Maantibiotic, monga Amoxicillin kapena Azithromycin, ndi gulu la mankhwala omwe angalepheretse kukula ndi kubereka kwa tizilombo toyambitsa matenda kapena kuwononga. Pali mitundu ingapo ya ma antibacterial othandizira omwe amasiyana pakapangidwe kake ndi zochita zogwirizana ndi pathogen inayake, yomwe ndiyofunikira kuganizira posankha mankhwala, apo ayi chithandizo chingakhale chothandiza.
Amoxicillin amatani
Mankhwalawa ndi gawo limodzi la gulu la penicillin ndipo ndi mankhwala opangidwa ndi chitetezo chambiri.
Amoxicillin kapena Azithromycin ndi gulu la mankhwala omwe angalepheretse kukula ndi kubereka kwa tizilombo toyambitsa matenda kapena kuwawononga.
The achire zotsatira zimatheka ndi kupondereza kapangidwe ka cell makoma mabakiteriya omwe amakhala tcheru ndi mankhwalawa. Yogwira polimbana ndi gramu-gramu komanso gram alibe cocci, ena okhala ndi gramu osavomerezeka: Shigella, Salmonella, Klebsiella, E. coli. Bacteria yomwe imatulutsa penicillin yowononga penicillinase imalimbana ndi maantibayotiki.
Mothandizana ndi metronidazole amachepetsa causative wothandizila wa Helicobacter pylori matenda.
Mankhwalawa akamwa pakamwa, amalowetsedwa mwachangu, kulowa mkati mwa minyewa ndi madzi amthupi. Imafufutidwa ndi impso zosasinthika.
Zisonyezero zogwiritsidwa ntchito:
- matenda kupuma, kuphatikizapo bronchitis;
- matenda am'mimba thirakiti;
- matenda a dermatological a matenda opatsirana;
- matenda a genitourinary dongosolo.
Mankhwala ndi contraindicated vuto la hypersensitivity kwa zigawo zikuluzikulu, matenda mononucleosis, lymphocytic leukemia. Osamapereka mankhwala opha majeremusi kwa ana ochepera zaka 5.
Pa nthawi yoyembekezera komanso mkaka wa m'mawere, imagwiritsidwa ntchito pokhapokha ngati dokotala akuwonetsetsa ndikuwunika zonse zomwe zingachitike. Imawoloka chikhodzodzo ndikuyamwa mkaka wa m'mawere.
Amoxicillin amatha kuyambitsa zovuta monga:
- kuyabwa, zotupa za matupi awo sagwirizana, conjunctivitis;
- kusanza, kusanza, kutsekula m'mimba;
- leukopenia, thrombocytopenia;
- mutu
- kugona ndi kugona;
- kupambanapamwamba.
Mankhwalawa ali ndi mitundu ingapo yomasulidwa: mapiritsi, makapisozi, yankho ndi kuyimitsidwa pakumwa pakamwa, ufa wovulala. Kuyimitsidwa kuli ndi sucrose, yomwe iyenera kuganiziridwa ndi anthu omwe akudwala matenda a shuga.
Mlingo wa mankhwalawa umayikidwa payekhapayekha, poganizira kuopsa kwa matendawo ndi machitidwe a wodwala. Mlingo wovomerezeka wa akulu ndi ana opitirira zaka 10 wokhala ndi thupi loposa 40 makilogalamu ndi 500 mg ya amoxicillin katatu patsiku. Ana a zaka zapakati pa 5 mpaka 10 amapatsidwa 250 mg katatu pa tsiku, makamaka mwa kuyimitsidwa.
Katundu wa azithromycin
Semi-kupanga antibacterial mankhwala amaphatikizidwa ndi gawo laling'ono la azalides. Monga chinthu chachikulu chomwe chili ndi azithromycin. Zimathandizira kuchepetsa kuchuluka kwa mabakiteriya okhala ndi tizilombo, akuchepetsa kukula ndi kubereka. Pakukhudzidwa kwakukulu pamalo a kutupa kumathandizira mwachindunji pakufa kwa tizilombo toyambitsa matenda.
Mankhwalawa amagwira ntchito motsutsana ndi mabakiteriya ambiri opanda gramu komanso gramu, ma aobob ndi anaerobes. Mabakiteriya omwe amalimbana ndi erythromycin samvera azithromycin.
Maantibayotiki amagwira kunja kwa maselo komanso mkati mwake, momwe amathandizira kugwiriridwa kwake ndi majeremusi okhathamira - chlamydia ndi mycoplasmas.
Imatengedwa mwachangu kuchokera m'mimba, ndikulimbana ndi acidic malo, yokhazikika makamaka mu minofu, osati m'magazi, ndipo imadziunjikira mwachindunji poyang'ana matenda. Amawerengedwa ndi mulingo wambiri, mpaka pang'ono ndi mkodzo.
Azithromycin imagwira ntchito motsutsana ndi mabakiteriya ambiri opanda gramu komanso gramu-zabwino, aerobes ndi anaerobes.
Amawerengetsera matenda opatsirana omwe amayambitsidwa ndi tizilombo tomwe timayang'ana azithromycin:
- matenda am'munsi komanso okwera kupuma;
- malungo ofiira;
- matenda a minofu yofewa ndi khungu;
- matenda opatsirana a genitourinary system;
- matenda am'mimba thirakiti chifukwa cha Helicobacter pylori;
- Matenda a Lyme koyambirira.
Mankhwala ndi contraindicated ngati munthu tsankho la zigawo zikuluzikulu. Mu mawonekedwe a kapisozi, musamuike ana osakwana zaka 14.
Itha kugwiritsidwa ntchito pochiza amayi apakati ngati maubwino omwe akuyembekezeredwa kwa mayi ataposa chiwopsezo cha mwana wosabadwayo. Musati kutumiza pa mkaka wa m`mawere, kwa nthawi ya chithandizo, kuyamwitsa mwana kuyenera kuyimitsidwa.
Mukamagwiritsa ntchito Azithromycin, zotsatirazi ndizotheka:
- kusanza, kusanza, kuphwanya chopondapo;
- gastritis;
- yade;
- vagidi candidiasis;
- kupweteka mumtima;
- kuyabwa, kuzimiririka kwachilengedwe, matupi a Quincke;
- neutrophilia, eosinophilia.
Maantibayotiki amapezeka mu mawonekedwe a mapiritsi, makapisozi ndi madzi, komanso mawonekedwe a jakisoni. Mlingo woyenera kwambiri komanso nthawi yayitali yothandizira mankhwalawa amakhazikitsidwa ndi katswiri pozindikira zovuta za matendawa komanso machitidwe a wodwala. Malinga ndi malingaliro onse, akulu ndi ana opitilira zaka 14 amatenga 500 mg kamodzi patsiku loyamba, kuyambira masiku 2 mpaka 5 - 250 mg kamodzi patsiku kapena 500 mg kamodzi patsiku kwa masiku atatu.
Kuyerekezera Mankhwala
Ngakhale kuti mankhwalawa ali ndi antibacterial, ali amitundu yosiyanasiyana, zomwe zimabweretsa kusiyana pakapangidwe, kayendedwe ka zochita ndi mawonekedwe.
Kufanana
Othandizira onsewa ndi ma semisynthetic yotakasa sipekitiramu ndipo amagwiritsa ntchito mabakiteriya ambiri opanda gramu. Amalandira mankhwala osiyanasiyana matenda opatsirana.
Mankhwalawa amapezeka mu mawonekedwe a mapiritsi ndi makapisozi, komanso mitundu ya Mlingo wothandiza ana.
Lowani kudzera mu zotchinga za histoeticological, zomwe zimagawidwa mwachangu m'thupi lonse. Mankhwalawa ndi mankhwala oteteza, omwe amagwiritsa ntchito zomwe zimachitika kawirikawiri sizimachitika.
Kodi pali kusiyana kotani?
Amoxicillin ndi wa penicillin, ndi Azithromycin - azalides. Mulibe zinthu zomwezo ngati chinthu chogwira ntchito, zomwe zimabweretsa kusiyana pakapangidwe kazinthu ndi kukula.
Azithromycin imadziunjikira makamaka m'thupi lathu ndipo imatha kulunjika mwachindunji pakulimbana ndi matenda.
Amoxicillin imalumikizana ndi michere ya ma cell a pathogenic ndikuwononga kukhulupirika kwawo, komwe kumapangitsa kufa kwa mabakiteriya, Azithromycin amatha kulowa mu cell yaying'ono, kutsekereza ntchito ya ribosomes, yomwe imalepheretsa kuchulukitsa kwa microflora ya pathogenic.
Ntchito ya Azithromycin yolimbana ndi mabakiteriya ndi yotakata kuposa Amoxicillin, chifukwa chake imakhala yothandiza kwambiri pochiza matenda opatsirana omwe adayamba chifukwa cha tizilombo toyambitsa matenda.
Amoxicillin sachita zinthu monga tizilombo toyambitsa matenda tomwe timatulutsa michere yogonjetsedwa ndi penicillin. Azithromycin sichingalepheretse mphamvu ya ma virus kulimbana ndi erythromycin, yomwe imachokera.
Azithromycin imadziunjikira makamaka m'thupi lathu ndipo imatha kulunjika mwachindunji pakulimbana ndi matenda. Amoxicillin amagawananso mthupi lonse ndipo amadziwika kuti amagwirizana ndi mankhwala ena onse.
Zomwe zimakhala zotsika mtengo
Mosatengera wopanga, Amoxicillin ndi wa gulu lotsika mtengo poyerekeza ndi Azithromycin. Izi ndichifukwa cha nthawi yopanga komanso mtengo wa njirayi.
Amoxicillin imagwira ntchito pamatumbo komanso m'matumbo.
Zomwe zili bwino: Amoxicillin kapena Azithromycin
Mankhwalawa ndi am'magulu osiyanasiyana a antibacterial othandizira ndipo amagwira ntchito motsutsana ndi tizilombo toyambitsa matenda osiyanasiyana, omwe amayenera kukumbukiridwa kuti akwaniritse zotsatira zabwino zamankhwala.
Azithromycin ali ndi zochitika zambiri, choncho ndibwino kuti muzigwiritsa ntchito matenda omwe amayamba chifukwa cha pathogen wosatsimikizika. Amatha kupondereza penicillinase kupanga mabakiteriya.
Mosiyana ndi analogue, Amoxicillin imagwira ntchito pamatumbo ndi m'mimba. Azithromycin ndi mankhwala a matenda am'mimba omwe amayamba chifukwa cha Helicobacter pylori.
Kodi Amoxicillin akhoza kulowedwa m'malo ndi Azithromycin?
Chifukwa chogwiritsa ntchito nthawi yayitali ya Amoxicillin, mabakiteriya ambiri asintha momwemo ndikupanga enzyme yapadera yomwe imaphwanya tinthu tomwe timagwira antibayotiki. Chifukwa chake, pakagwiritsidwa ntchito kwa mankhwalawa pogwiritsa ntchito amoxicillin sizinabweretse zotsatira, ndikofunika kuti muthane ndi Azithromycin, yemwe ali ndi mphamvu yotchuka. Osamwa maantibayotiki nthawi yomweyo.
Ndemanga za Odwala
Eugene, wazaka 40, ku Moscow: "Ndili paulendo wopita kuntchito ndimamva kupweteka kwambiri m'mutu komanso Zizindikiro zina zakusokonekera kwa sinusitis. Panalibe nthawi yopita kwa dotolo, ndipo kutentha kwake sikunakhale kambiri. Ndikwabwino kuti ndinapita ndi Azithromycin ndi ine .. Ndinkamvanso bwino tsiku lachitatu la chithandizo. "kutentha kunatsika, mutu ndi mphuno yotsika zatsala pang'ono kutha. Ndikutsimikizira mphamvu ya mankhwalawo, koma monga mbali yothandizira, panali kutupa kwa nkhope - antihistamine wachita nawo."
Svetlana, wazaka 35, Chelyabinsk: "Dotolo adamuuza Amoxicillin atapeza zilonda zapakhosi. Ndinkamwa motsatira malangizo, pakadalibe zomwe zimachitika, kupweteka kochepa komwe kumamveka m'dera la chiwindi. Ndi mankhwala. Koma patsiku lachiwiri, mnzakeyo anali ndi mavuto a mtima, ngakhale kupweteka m'manja. Anasiya kumwa mankhwalawo, ndikuchiritsa zilonda zapakhosi. "
Madokotala amawunika za Amoxicillin ndi Azithromycin
Lapin R.V., yemwe ndi dokotala wa opaleshoni wazaka 12, ku Moscow: "Azithromycin ndi mankhwala othandiza kupewetsa matenda m'matumbo ndi ziwalo zosiyanasiyana. Ndimaligwiritsa ntchito pochita, odwala amaleredwa bwino, palibe zotsatira zoyipa."
Voronina OM, dokotala wamano wazaka 17, Kaliningrad: "Amoxicillin amalimbana ndi ntchito yake. Nditenga mankhwalawa gastritis, kwenikweni sinakhudze matumbo. Mutha kupatsa mwana. Koma simuyenera kuyiyika nokha, ndibwino kufunsa malangizo kuchokera kwa inu katswiri. "
Tereshkin R.V., dotolo wamano wazaka 8, Krasnodar: "Ndimagwiritsa ntchito Azithromycin pochita zamankhwala ndimatenda osiyanasiyana a bakiteriya. Ndimapereka mankhwala 500 mg kamodzi patsiku kwa masiku atatu, nthawi zina ndimalimbikitsa kutenga ndi kuphatikiza antihistamines ndi odana ndi zotupa. "
