Bambalwa abawazi umehluko phakathi kwe-Ampicillin ne-Amoxicillin. Yomibili le mishanguzo ingeyemithi elwa namagciwane evela ohlotsheni lwama-penicillin. Lawa ma-ejenti anezinto eziningi zokulwa futhi alwa nezinhlobo eziningi zama-microorganisms we-pathogenic.
Udinga ukwazi ukuthi zihluke kanjani, ngoba i-Ampicillin ne-Amoxicillin akuyona into efanayo.
Isici se-Ampicillin
Into esemqoka esebenzayo yindawo esetshenziswe igama elifanayo. Ngaphezu kwalokho, ezinye izinto ezisizayo zikhona ekubumbeni. Abakhiqizi yizinkampani zaseRussia (ngokwesibonelo, i-Synthesis).
I-Ampicillin ne-Amoxicillin zinobubanzi besenzo futhi zilwa nezinhlobo eziningi ze-pathogenic ezincane.
Kwenziwe amafomu ambalwa okukhishwa:
- Amaphilisi Isiqephu esingu-1 siqukethe u-0.25 g wesithako esisebenzayo.
- Amakhandlela Ecebeni elilodwa, u-0.25 g wesithako esisebenzayo ukhona.
- Ukumiswa I-5 ml iqukethe u-0.25 g wekhompiyutha esebenzayo.
I-Ampicillin ingelinye lama-antibacterial agents asebenza ngempumelelo kakhulu. Inqanda inqubo yokwakha izindonga zezakhi zamaseli kumagciwane. Umuthi usebenza ngokulwa namagciwane amancane eqembu le-cocci. Lokhu kusebenza ku-staphylococci, streptococci, gonococci, meningococci, pneumococci.
Umuthi ulwa namagciwane amaningi angenalo gamu. Isibonelo, i-E. coli, i-enterobacteria, i-salmonella, njll. Kepha ikhambi alisebenzi ekulweni nezinhlobo ezakha i-penicillin, ngoba i-ampicillin ibhujiswa isenzo sabo.
Isamba esiphezulu sengxenye esebenzayo egazini sizotholwa amahora amaningi ngemuva kokusetshenziswa komuthi. Isigamu sempilo singamahora amabili. Umuthi ushiya umzimba nge-bile nomchamo. Umuthi ubhekwa njengunobuthi obuphansi. Akuqongeleli emzimbeni womuntu. Ngenxa yalokhu, kuvunyelwe ukuthathwa ngamanani amakhulu isikhathi eside.
I-Ampicillin ilwa namagciwane amaningi angenayo i-gram-negative.
Umuthi ubekelwe ukwelashwa kwezifo ezithinta i-ampicillin. Izinkomba zokusetshenziswa zimi ngokulandelayo:
- izifo zemvelo yokuvuvukala yezindawo eziphansi zohlelo lokuphefumula, kanye nezifo zekhala, umlomo, i-pharynx, izindlebe (zisebenza nge-pneumonia, i-bronchitis, i-tonsillitis, i-pharyngitis, i-sinusitis, i-otitis media, i-tonsillitis, umkhuhlane);
- i-pathologies ye-urological enezinqubo zokuvuvukala (lokhu kufaka i-urethritis, cystitis, pyelonephritis, prostatitis, gonorrhea, njll);
- i-gynecological pathologies ebangelwa izifo;
- izinqubo zokutheleleka ezithathelwanayo kuma-ducts we-bile (kusebenza ku-cholangitis ne-cholecystitis);
- ukutheleleka kwe-pathological emathunjini (izifo ezinjalo zifaka i-gastroenteritis, i-dysentery, i-enterocolitis, i-salmonellosis, i-typhoid, njll);
- Ukuvuvukala kwesikhumba nezicubu ezithambile, okucasulwe izifo;
- i-endocarditis;
- i-rheumatism;
- erysipelas;
- umkhuhlane obomvu;
- i-meningitis
- i-peritonitis;
- sepsis.
Umuthi ubekwa udokotela. Inquma irejimeni yokwelashwa, umthamo, isikhathi sokwelashwa, kuya ngesimo esivamile sesiguli, iminyaka yakhe, izici umuntu ngamunye, ifomu nobunzima besifo.
Amatafula kufanele athathwe ngomlomo isigamu sehora ngaphambi kokudla noma amahora amabili emva kwalokho. Esigulini esikhulile nengane eneminyaka yobudala engaphezu kweminyaka eyi-14, umthamo owodwa uqhamuka ku-0,25 uye ku-1 g. 2-3 g uvunyelwe ngosuku, kepha hhayi ngaphezu kwe-4 g. Kuya ngesifo:
- I-Pathology yezitho ze-ENT - 0,25 g kanye njalo emahoreni ayi-6, kodwa nge-pneumonia - 0.5 g.
- Ama-pathologies wezinhlelo zokuchama nezokuzala - ngu-0.5 g kanye njalo emahoreni ayi-6.
- ITyphoid - 1-2 g kanye njalo emahoreni ayi-6;
- I-gonorrhea ngaphandle kwengxaki - 2 g 1 isikhathi.
Ezinganeni ezineminyaka engu-6-14 ubudala, umthamo wansuku zonke yi-100 mg ngekhilogremu yesisindo somuntu. Inani lonke kufanele lihlukaniswe kube ama-servings ayi-5. Inkambo ihlala isonto lonke, kepha inganwetshwa izinsuku ezingama-21 uma kunesidingo.
Isici se-Amoxicillin
Kubhekwa njenge-analogue ye-Ampicillin. Kwenziwa yizinkampani eziningana zaseRussia. Ungathenga umuthi ngesimo samaphilisi we-250 no-500 mg, amaphilisi, futhi kukhona imifino yokulungiselela ukumiswa.
Umuthi uvimbela ukukhiqizwa kwama-enzymes wokuqhamuka kwamaseli wamagciwane. Lokhu kuholela eqinisweni lokuthi bayafa. Izakhiwo zamaselula zimane zincibilike. Umuthi uphatha ama-aerobic bacterium ohlobo lwegramu-positive ne-gram-negative, chlamydia.
I-Amoxicillin ilwa namagciwane we-aerobic wohlobo lwegram-positive ne-gram-negative, chlamydia.
I-Amoxicillin imiselwe i-:
- udayi, isifo sohudo kanye nezinye izifo ezibangelwa ukutheleleka kwamathumbu;
- i-endocarditis eyingozi;
- abezindaba ze-otitis zohlobo oluphakathi nolwangaphandle;
- Izifo ze-ENT nezinqubo zokuvuvukala ngenxa yokutheleleka kwamagciwane;
- ukutheleleka ezinhlelweni zokuchama nokuzala.
Umthamo unqunywa ngamunye esigulini ngasinye. Ezinganeni ezineminyaka engaphezu kwe-10 ubudala nabadala, isikhonzi esisodwa singama-250-500 mg, kepha uma lesi sifo simbi, singangezelelwa sibe yi-1. g Ezinganeni ezingaphansi kweminyaka emi-2, umthamo wansuku zonke ufike kuma-20 mg ngekhilogremu yomzimba ngamunye. Kufanele ukuphuza lesi sidakamizwa njalo ngamahora ayi-8. Uma isiguli siphazamise umsebenzi wezinso, khona-ke ikhefu linamahora ayi-12-16.
Ukuqhathanisa kwe-Ampicillin ne-Amoxicillin
Ukwazi ukuthi yisiphi isidakamizwa esingcono, udinga ukuziqhathanisa bese unquma ukufana, ukuhlukanisa izici.
Ukufana
Zombili lezi zidakamizwa zinokuphikisana. Lokhu kusho ukuthi izingqinamba ezifanayo zamagciwane zingatheleleki kwi-Amoxicillin nase-Ampicillin. Isibonelo, uma ngesikhathi sokwelashwa kwe-bronchitis i-antibiotic eyodwa ayizange isize, eyesibili ngeke inikeze umphumela noma.
I-Ampicillin ne-Amoxicillin zifakwe ku-asthma ye-bronchial.
Okunye ukufana ukuba khona kwe-contraindication ezejwayelekile. Lokhu kufaka phakathi:
- ukwanda kokuthola isidakamizwa noma izakhi zaso, kanye ne-penicillin noma ezinye izidakamizwa zokulwa namagciwane zaleli qembu;
- izifo zokugaya ezinzima;
- i-acute leukemia;
- i-mononucleosis esithathelwanayo;
- isifuba somoya;
- ama-viral pathologies athathelanayo;
- ukudideka kohlobo lwe-allergic.
Ngesifo sikashukela, udinga ukuqhubeka ngokuqapha.
Izingane ezingaphansi kweminyaka emithathu ubudala nazo zinikezwa izidakamizwa kuphela njengoba kuchazwe udokotela. Okufanayo kusebenza nakwabesifazane ngesikhathi sokukhulelwa nesikhathi sokubeletha.
Ukuphendula okuhlukile kuvame ezidakamizweni. Lokhu kufaka phakathi:
- i-urticaria, ukuvuvukala;
- i-rhinitis, i-conjunctivitis;
- ukukhuphuka kwenhliziyo, kwehla umfutho wegazi;
- i-leukopenia, i-thrombocytopenia, i-anemia;
- isicanucanu, izinkinga zesitulo;
- i-hepatitis;
- i-stomatitis
- i-jade;
- isiyezi, ikhanda, ukusaba, izinkinga ngokuxhumana kokunyakaza, ukulahleka kwengqondo;
- ubunzima bokuphefumula, i-bronchospasm, dyspnea;
- ubuthakathaka bemisipha, i-myalgia, i-arthralgia, i-tendonitis;
- thambisa;
- umkhuhlane
- ukushaqeka kwe-anaphylactic, i-edema kaQuincke, isifo sikaLyell - kuyaqabukela.
Uma kuvela izimpawu ezinjalo, yeka masinyane ukusebenzisa i-antibiotic bese uya esibhedlela. Ukwelashwa okubonakalayo kunqunyelwe.
Uyini umehluko
Naphezu kokufana okuningi, kunokwehluka okuningana phakathi kwale mithi.
I-Ampicillin ikhishwa ngokushesha futhi idonswe ngokubi. Ngenxa yalokhu, kuzodingeka ukuthi kuthathwe kaningi kune-Amoxicillin - amahlandla ama-4 ngosuku. Ngaphezu kwalokho, i-ampicillin ayimunwa kahle. Ama-60% wokuxhuma akhishwa ngaphambi kokufinyelela endaweni yenkinga.
E-Amoxicillin, lesi sibalo singama-80-95%, kuya ngohlobo lokukhululwa. Lokhu inzuzo ngaphezulu kwe-antibiotic yesibili.
Yikuphi okushibhile
I-Ampicillin ingathengwa ngenani lama-ruble angama-20. kuthebhulethi engu-250 mg. Kwi-Amoxicillin, izindleko zivela kuma-ruble angama-60., Kodwa amaphilisi anethamo lika-500 mg.
Okuhle: Ampicillin noma i-Amoxicillin
Imithi inesibalo esifanayo sokwenza, izinkomba zokusetshenziswa, i-contraindication, imiphumela emibi. Ngenxa yalokhu, izidakamizwa zingathatha indawo yomunye uma kunesidingo.
Kepha i-Ampicillin inezingqinamba eziningana: ayithakwa kahle futhi isuswe ngokushesha. Ngenxa yalokhu okuthandayo, basanikeza i-Amoxicillin.
Ukubuyekezwa kweziguli
USergey, oneminyaka engama-42 ubudala, eMoscow: "I-Ampicillin yigciwane elidala, elihle futhi elinokwethenjelwa. Sekuyiminyaka eminingana ngihlala ngilisebenzisela ukubanda. Kuyisidakamizwa esihle futhi eshibhile."
U-Inga, oneminyaka engama-38, uDagomys: "Ukufakwa kwe-Amoxicillin kuhlala kwikhabethe lomuthi ekhaya. Kuyisidakamizwa esihle. Okokuqala, uKlacid wabekelwa, kepha okwakhekile kuyafana, kepha izindleko zincane, ngakho-ke umngane kadokotela ungeluleke ukuthi ngishintshele kulo muthi. Umuthi uphulukisa ngokushesha."
Odokotela babuyekeza i-Ampicillin ne-Amoxicillin
U-Budanov EG, udokotela we-ENT, uKazan: "I-Ampicillin uhlobo olungejwayelekile lwe-penicillin yesizukulwane sokuqala. Inomsebenzi ophakeme ngokumelene ne-streptococcus namanye ama-bacteria, ngakho-ke kunqunyelwe umkhuhlane obomvu, i-pharyngitis, i-tonsillitis. I-Bioavailability ayimpofu, kepha kuya ngokuthi ngiyadla. "
INazemtseva I. L., udokotela wezifo zamazinyo, uChelyabinsk: "I-Amoxicillin iyi-antibiotic enhle. Ayisetshenziswa kakhulu kwezokwelapha. Kunconywa ukuzwela ezintweni ezincane ezatholakala ngesikhathi sokuhlwanyelwa amagciwane."