Kodi pali kusiyana kotani pakati pa Sumamed ndi Amoxiclav?

Mankhwala othandizira a Penicillin ndi macrolide ndi othandizira komanso otetezeka a mankhwala opatsirana a pakhungu la pakhungu, minyewa yamatumbo, minofu yofewa. fanizo la ndalama izi.

Makhalidwe a Sumamed

Chithandizo chogwira ntchito cha Sumamed ndi azithromycin. Imagwira bwino pa gram-positive (staphylococci, streptococci), gramu-hasi (hemophilic bacillus, moraxella, gonococci), anaerobic (clostridia, porphyromonads) ndi ma tizilombo ena ochepa. Chuma chamtengo wapatali cha azithromycin ndichothandiza pothana ndi tizilombo toyambitsa matenda a chlamydia, mycoplasmosis ndi borreliosis (matenda a Lyme).

Sumamed kapena Amoxiclav ndi mankhwala othandiza komanso otetezeka omwe amapatsidwa matenda a bacteria.

Kugwiritsa ntchito kwa Sumamed kukuwonetsedwa mwanjira zotsatirazi:

• bakiteriya matenda opezeka mu kupuma thirakiti (pharyngitis, sinusitis, sinusitis, otitis media, chibayo chopezeka ndi anthu, pachimake ndi matenda a bronchitis, tracheitis, etc.);
• matenda a pakhungu ndi minofu yofewa (impetigo, ziphuphu zakumaso, erysipelas) kapena matenda oyambitsidwa ndi bakiteriya okhala ndi dermatoses;
• gawo loyamba la borreliosis.

Komanso, mankhwalawa amalembera mankhwalawa cervicitis, urethritis ndi kutupa kwina kwa urogenital dongosolo lomwe limayambitsa matenda opatsirana pogonana, komanso kupewa matenda endocarditis ndi mycobacteriosis.

Mankhwala Sumamed ndi mankhwala zochizira kutupa kwa genitourinary dongosolo.

Sumamed imapezeka m'mitundu yosiyanasiyana:

1. Kusintha kwa pakamwa. Mlingo wa antibayotiki m'mapiritsi akhoza kukhala a 125 mg, 250 mg, 500 mg kapena 1 g.
2. Makapisozi 1 kapisozi kaphatikizidwe kamakhala ndi 250 mg ya azithromycin.
3. Mphamvu ya kuyimitsidwa. Mlingo wa azithromycin ku Sumamed kuyimitsidwa ndi 100 mg mu 5 ml ya mankhwalawa, mu kuyimitsidwa kwa Sumamed Forte - 200 mg / 5 ml. Mankhwala ochepetsa mphamvu amagwiritsidwa ntchito pochiritsa akhanda. Fomu ya Mlingowo idapangira ana, chifukwa chake, ufa umakhala ndi zonunkhira (nthochi, sitiroberi, rasipiberi, chitumbuwa kapena vanila).
4. Ufa wa jakisoni. Botolo 1 lamankhwala lili ndi 500 mg ya antiotic.

Mitundu ina ya mankhwalawa imakhala ndi aspartame ndi shuga. Izi ziyenera kuganiziridwa pamaso pa phenylketonuria kapena matenda a shuga mwa wodwala.

Zoyipa pa ntchito ya Sumamed ndi izi:

• Hypersensitivity azithromycin, ma macrolides ena ndi ma ketolides, zosakaniza zothandizira;
• kumwa mankhwala a ergotamine ndi dihydroergotamine;
• kuphwanya kwakukulu kwa chiwindi ndi impso (kuchuluka kwa kusefera kwa glomerular kosakwana 40 ml / min);
• kulemera kochepa komanso msambo wodwala (mpaka zaka 3 kwa mapiritsi omaliza, mpaka makilogalamu 5 a kulemera kwa thupi kuyimitsidwa).

Ndi arrhythmias kapena vuto la mtima, nthawi yayitali ya QT, bradycardia, chiwindi ndi impso, amatenga mankhwala angapo (Warfarin, Digoxin, antiarrhythmic mankhwala, etc.) Sumamed imagwiritsidwa ntchito mosamala.

Contraindication pa ntchito ya Sumamed ndi hypersensitivity kuti azithromycin.

Osagwiritsa ntchito Sumamed mu kwambiri kuwonongeka kwa impso.

Sumamed imagwiritsidwa ntchito mosamala pakulephera kwa mtima.

Makhalidwe a Amoxiclav

Amoxiclav imakhala ndi zinthu ziwiri zogwira ntchito: antioxidin wa antiotic ndi clavulanic acid. Amoxicillin ndi wa gulu la semisynthetic penicillin ndipo ali ndi bactericidal pa zotsatirazi tizilombo toyambitsa matenda:

• mabakiteriya a grob-aerobic (streptococci, pneumococci ndi staphylococci);
• mabakiteriya a gram-negative (Klebsiella, Escherichia coli ndi Haemophilus fuluwenza, Enterococci, Moraxella).

Gawo lachiwiri la mankhwalawa, clavulanic acid, limalepheretsa ma cell a beta-lactam opangidwa ndi mabakiteriya osagwirizana ndi amoxicillin. Izi zimateteza mphete ya beta-lactam ya antiotic kuti isawonongeke komanso imasunga mphamvu ya mankhwalawa.

Zowonetsa kugwiritsa ntchito Amoxiclav ndi awa matenda:

• mabakiteriya otupa;
• kutupa kwa urethra, chikhodzodzo, impso;
• gynecological matenda opatsirana;
• cholecystitis, zilonda zam'mimba (kuchotsedwa kwa Helicobacter pylori colonies), cholangitis;
• khungu, fupa komanso cholumikizira matenda;
• Matenda opatsirana pogonana (gonorrhea, chancre), njira zamkati zotupa za m'mimba, kukonzanso pambuyo pa ntchito.

Amoxiclav nthawi zambiri amagwiritsidwa ntchito popangira mano.

Amoxiclav nthawi zambiri amagwiritsidwa ntchito mu mano kuchitira ndi kupewa kukula kwa zovuta za bacteria wa chingamu (mwachitsanzo, endocarditis yopatsirana).

Njira yovomerezeka ya mankhwalawa imatha kusiyanasiyana malinga ndi momwe wodwala amathandizira komanso zaka zake. Amoxiclav akupezeka zotsatirazi pharmacological mitundu:

1. Mapiritsi Mlingo wa gawo la antibacterial piritsi limodzi ukhoza kukhala 250 mg, 500 mg kapena 875 mg. Kuchuluka kwa beta-lactamase inhibitor pa gawo lililonse la mankhwala osasinthika - 125 mg.
2. Mapiritsi omwaza. Mlingo wa amoxicillin / clavulanic acid ndi 500 mg / 125 mg ndi 875 mg / 125 mg.
3. Mphamvu ya kupanga kuyimitsidwa. Mlingo wa antioxotic ndi beta-lactamase inhibitor mu kuyimitsidwa kwa 5 ml akhoza kukhala 125 mg ndi 31.25 mg, 250 mg ndi 62,5 mg ndi 400 mg ndi 57 mg, motsatana.
4. Ufa wopangira jakisoni. Mlingo wa amoxicillin / clavulanic acid ndi 500 mg / 100 mg, 1000 mg / 200 mg.

Kugwiritsa ntchito Amoxiclav kumatsutsana mu ma pathologies monga:

• Hypersensitivity kwa penicillins, cephalosporins, monobactam, mbiri ya carbapenems, ziwengo pamagulu othandizira a mankhwalawa (kuphatikizapo phenylketonuria);
• kusokonezeka kwa chiwindi, kukwiya chifukwa chogwiritsa ntchito amoxicillin kapena clavulanate;
• lymphocytic leukemia;
• monocytic tonillitis (mononucleosis).

Kugwiritsa ntchito Amoxiclav kumatsutsana ndikuphwanya chiwindi.

Amakanizidwa kuti agwiritse ntchito mtundu wina wa Amoxiclav wokhala ndi mphamvu yakufika mpaka 40 kg, mpaka zaka 12, wocheperako wosachepera 30 ml / min.

Mu matenda am'mimba thirakiti, oyambitsa beta-lactam mankhwala, impso kapena chiwindi kulephera, pakati, kuyamwitsa ndi munthawi yomweyo makonzedwe anticoagulants (kuphatikizapo warfarin), Amoxiclav zotchulidwa mosamala.

Kuyerekezera kwa Sumamed ndi Amoxiclav

Amoxiclav ndi Sumamed amagwiritsidwa ntchito pazisonyezo zofananira, chifukwa chake, pakusankha ndendende mankhwala, kufanana ndi kusiyana kwa mankhwalawo kuyenera kufotokozedwa.

Kupereka mankhwala opha tizilombo kuyenera kuchitika kokha ndi adokotala. Ntchito ya wodwala ndikuwonetsa mbiri ya momwe thupi lawo siligwirira ntchito, mndandanda wazamankhwala, thanzi lapadera ndi matenda amtundu wa matenda.

Kufanana

Amoxiclav ndi Sumamed ali ndi zochitika zingapo zingapo:

• osiyanasiyana antibacterial kanthu;
• kuthekera kwa kusintha kwa maantibayotiki wina ndi chidwi chamankhwala amodzi;
• chitetezo chamankhwala ndi onse mankhwala kwa ana ndi akulu;
• Muyeso wa chitetezo cha FDA - B (kugwiritsidwa ntchito pa nthawi yomwe mayi ali ndi pakati ndikololedwa ngati zopindulitsa za amayi apakati ndizapamwamba kuposa chiopsezo chovulaza mwana wosabadwayo);
• kuthekera kolimbikitsa chidwi cha anthu chifukwa cha mavuto kuchokera chapakati mantha dongosolo.

Kodi pali kusiyana kotani?

Ngakhale kupezeka kwa mawonekedwe ofanana, kusiyana pakati pa maantibayotiki awiriwa ndikofunikira ndipo akuwonekeranso zotsatirazi:

1. Njira yamachitidwe. Amoxicillin (Amoxiclav) amawononga khoma la bakiteriya, kuwonetsa bactericidal, ndipo azithromycin (Sumamed) amalepheretsa kuphatikiza mapuloteni pa ribosomes ndikuchepetsa kukula kwa tizilombo toyambitsa matenda.
2. Kutalika ndi pafupipafupi kumwa mankhwalawo ndi matenda omwewo. Azithromycin imadzaza bwino mu minofu, chifukwa chake Sumamed imatengedwa nthawi 1 patsiku kwa masiku atatu (ngati kuli kotheka, chithandizo chimapitilira). Amoxiclav ayenera kuledzera katatu patsiku kwa masiku 5-14. The achire mlingo wa amoxicillin ndi azithromycin pa maphunziro angagwiritsidwe kangapo katatu.
3. Chitetezo kwa odwala. Ngakhale gulu limodzi la FDA, Amoxiclav imadziwika kuti ndi yotetezeka panthawi yapakati ndipo, mosiyana ndi Sumamed, itha kugwiritsidwa ntchito ngati mkaka wa m'mawere.
4. Pafupipafupi pazomwe zimachitika. Zotsatira zoyipa zimawonedwa kawirikawiri ndi mankhwala a Sumamed.

Zomwe zimakhala zotsika mtengo

Ndi nthawi yayitali ya chithandizo, mtengo wa mankhwala omwe amachitika ndi Amoxiclav ndi Sumamed pafupifupi. Matenda oopsa, omwe amaphatikizapo chithandizo cha nthawi yayitali ndi amoxicillin komanso mankhwalawa a mankhwala katatu patsiku, mankhwala a macrolide a antiotic ndi otsika mtengo, chifukwa Sumamed iyenera kumwedwa nthawi imodzi kwa masiku atatu.

Ndi nthawi yayitali ya chithandizo, mtengo wa mankhwala omwe amachitika ndi Amoxiclav ndi Sumamed pafupifupi.

Zomwe zili bwino: Sumamed kapena Amoxiclav?

Amoxiclav ndi mawonekedwe ake ndi mankhwala osankhidwa matenda opatsirana kupuma, kwamikodzo thirakiti ndi ziwalo zina zamkati.

Sumamed imakulolani kuti mulowe m'malo mwa Amoxiclav pamatenda omwe ali ndi pathogen ya atypical, kutupa kwa genitourinary system yomwe imayambitsidwa ndi matenda opatsirana pogonana, chifuwa cha beta-lactam antibacterial, ndi penicillin mankhwala osagwira ntchito.

Kwa ana

Sumamed ndi Amoxiclav ndiotetezeka kwa ana, koma amoxicillin amagwiritsidwa ntchito kwambiri mu ana.

Ubwino wa kukonzekera kwa macrolide kwa matenda amtundu wa mwana ndikuthekera kwa mlingo umodzi wambiri wa mankhwala othandizira mu pachimake pakati otitis media a bacteria.

Sumamed ndi Amoxiclav ndiotetezeka kwa ana, koma amoxicillin amagwiritsidwa ntchito kwambiri mu ana.

Madokotala amafufuza

Amosova O.P., dokotala wazamankhwala, Krasnodar

Sumamed ndi antibacterial wabwino. Nthawi zambiri ndimalembera odwala kuti azichiza matenda amtundu wamkati (chlamydia, urea ndi mycoplasmosis). Mankhwalawa amalekeredwa mosavuta ndi odwala ndipo ali ndi njira yabwino.

Ngati mtengo wa mankhwalawo ndiwokwera kwambiri, utha kusinthidwa ndi analogi yapakhomo (Azithromycin).

Chernikov S.N., dokotala wa ana, Voronezh

Amoxiclav ndi muyezo antibayotiki njira yotupa ya kupuma thirakiti. Kutengera mlingo, mutha kusankha mawonekedwe a piritsi kapena kuyimitsidwa.

Nthawi zambiri, Amoxiclav amalekeredwa bwino, koma nthawi zina, Mlingo waukulu wa mankhwalawa komanso chithandizo chamanthawi yayitali umayambitsa matenda am'mimba komanso m'mimba.

Ndemanga za odwala pa Sumamed ndi Amoxiclav

Catherine, wazaka 25, Veliky Novgorod

M'nthawi yozizira, adadwala kwambiri, adadwala malungo ndi chifuwa komanso mphuno. Dokotala adazindikira tracheitis ndipo adamupatsa Amoxiclav. Ndinkamwa mapiritsi okwanira kawiri pa tsiku, nditangodya. Anathandiza mwachangu, sanazindikire zovuta ndi m'mimba komanso matumbo. Zokhazo zoyipa ndizokwera mtengo kwa mankhwalawo.

Veronika, wazaka 28, Samara

Sumamed ndi mankhwala abwino kwambiri, koma ayenera kumangotengedwa ngati njira yomaliza, mankhwala ena sangathandize. Dokotalayo adapereka mankhwalawa kwa mwana wake wamwamuna pomwe mankhwala achibadwa sanathandize. Sumamed ndiye adathandizira mwachangu komanso kwanthawi yayitali.

Mankhwala, muyenera kumwa ma probiotic am'matumbo ndikuganizira contraindication.