Yini okufanele ukhethe: Amoxicillin noma Sumamed?

Ukwelashwa kwezidakamizwa kwezifo ezibangelwa amagciwane empeleni kufaka phakathi ama-anti-spectrum ama-antibhiksthi abhubhisa ama-microorganisms we-pathogenic noma avimbele ukuzala kwawo nokukhula okusebenzayo. Amaqembu asetshenziswe kabanzi futhi aphephile izidakamizwa ze-antibacterial yi-macrolides ne-penicillin.

Ngokuya ngokuzwela kwe-ejenti yokubangela ukutheleleka kanye nomlando wesiguli, udokotela ohambelayo angancoma i-Amoxicillin noma iSumamed, kanye nokufana kwale mithi, ukuqeda lesi sifo.

Ngokuya ngokuzwela kwe-pathogen kanye nomlando wesiguli, udokotela ohambelayo angancoma i-Amoxicillin noma iSumamed ukuqeda lesi sifo.

Isici se-Amoxicillin

Into esebenzayo yesidakamizwa iyi-antibiotic yegama elifanayo (amoxicillin). Kungokweqembu lama-penicillin futhi kunesici esibonakalayo semiphumela yokuthambekela.

Umphumela we-bactericidal we-amooticillin udlulela kuma-pathogen anjenge:

• amagciwane we-aerobic wegram-positive (staphylococci, streptococci, pneumococci, listeria, corynebacteria, enterococci, anthrax pathogens, njll.);
• Amagciwane angama-aerobic we-Gram-negative (i-E. coli ne-Haemophilus influenzae, Helicobacter pylori, Gonococcus, proteina, Salmonella, Shigella, njll.)
• ama-pathojeni we-anaerobic (i-clostridia, i-peptostreptococcus, njll);
• amanye amagciwane (chlamydia).
  

  Into esebenzayo ye-Amoxicillin iyi-antibiotic yegama elifanayo (amoxicillin).

I-antibiotic ayisebenzi ezingxenyeni zamagciwane ama-gram-negative ne-gram-positive asebenzisa okuyi-beta-lactamase (penicillinase). Le enzyme isebenzisa enye yezindlela ezijwayelekile zokumelana kwamagciwane emithini ye-antibacterial: ibola indandatho ye-beta-lactam ye-amoxicillin futhi ivimbe umphumela wayo we-bactericidal.

Ukubhubhisa izingqimba zamagciwane akhiqiza i-penicillinase, kuyadingeka ukuhlanganisa i-amooticillin ne-beta-lactamase inhibitors (clavulanic acid, sulbactam, njll).

Izinkomba zokusetshenziswa kwaleli gciwane yilezi:

• izifo zokuphefumula (i-tonsillitis, i-otitis media, i-bacterial pharyngitis, inyumoniya, i-pulmonary abscess);
• i-meningitis
• i-coli Enteritis yemvelaphi yamagciwane;
• IHelicobacter pylori gastritis ne-duodenitis (kuhlangene ne-metronidazole);
• i-cholecystitis esithathelwanayo, cholangitis;
• i-purulent dermatological pathologies;
• i-gonorrhea;
• i-leptospirosis, i-borreliosis, i-listeriosis;
• izifo zohlelo lokuzala kanye nepheshana lomchamo (urethritis, prostatitis, pyelitis, adnexitis);
• ukuvimbela ukuthuthukiswa kwezinkinga zezinqubo zamazinyo, ukukhipha isisu kanye nokunye ukungenelela kokuhlinzwa.
  

  Izinkomba zokusetshenziswa kwe-Amoxicillin yilezi: izifo zokuphefumula; izifo zohlelo lokuzala kanye nomgudu wokuchama kanye nezinye izifo ezingamagciwane.

I-Amoxicillin inezindlela eziningana zokukhishwa:

• amaphilisi (0,25 no-0,5 g);
• amaphilisi (0,25 no-0,5 g);
• ukumiswa (50 mg / ml).

Ukuxhumana ngokusetshenziswa kwe-Amoxicillin yile:

• i-allergy to drug beta-lactam (penicillins, cephalosporins, njll);
• i-monocytic tonillitis;
• i-lymphocytic leukemia;
• izifo ezithathelwanayo ezinzima zamapheshana emathunjini, ezihambisana nohudo nokuhlanza;
• I-ARVI;
• ukuthambekela kokungezwani komzimba (i-allergic hay fever, diathesis, isifuba somoya).

I-Amoxicillin inezindlela eziningana zokukhishwa. Amathebulethi atholakala ku-0,25 no-0,5 g.

Amaphilisi we-Amoxicillin atholakala ku-0.25 no-0.5 g.

I-Amoxicillin Ukumiswa kuyatholakala kwi-vial engilazi engu-50 mg / ml.

Nge-pathologies yezinso, ukulungiswa komthamo kuyadingeka ngokuhambisana nokucaciswa kwe-creatinine.

Umuthi uvunyelwe ukusetshenziselwa ukwelapha izingane ezisanda kuzalwa kusukela ezinyangeni zokuqala zokuphila, ezinqunyelwe ngesikhathi sokukhulelwa nokuqunjelwa (ngokuqapha).

Isimo seSumamed

Isithako esisebenzayo eSumamed yi-azithromycin. Le antibiotic ingeyeqembu le-macrolide. Umphumela wayo we-antibacterial udlulela kuma-pathogen alandelayo:

• amagciwane we-aerobic wegram-positive (i-streptococci, kufaka phakathi i-pneumococci, i-staphylococci, i-listeria, i-corynebacteria, njll.);
• amagciwane angama-gram-negative aerobic (i-moraxella, i-gonococci, i-hemophilic bacillus);
• amagciwane ama-anaerobic (ama-porphyromonads, ama-clostridia, i-borrelia);
• Amagciwane athelelelwa nge-STI (mycoplasmas, chlamydia, treponema, njll).

Ukuqokwa kweSumamed kunconyelwe ukwephula okulandelayo:

• ama-bacterium e-pathologies yokuphefumula;
• izifo ezithathelwanayo nezivuvukelayo zezicubu ezithambile nesikhumba (i-erysipelas, induna, ukutheleleka kwesibili nge-dermatitis kanye nama-dermatoses);
• isigaba sokuqala sesifo seLyme;
• i-pathologies yesistimu ye-urogenital ebangelwa ama-pathogen we-STI namanye ama-virus (mycoplasmosis, cervicitis, chlamydia, urethritis, pyelitis, njll.).

Isithako esisebenzayo eSumamed yi-azithromycin.

Njengama-penicillin antibiotic, amaSumamed avunyelwe ukusetshenziswa njenge-prophylactic ngemuva kokungenelela kokuhlinzwa.

I-Sumamed ichazwe kwelinye lamafomu amaningi womthamo:

• amaphilisi ahlanekezelayo (0.125, 0.25, 0.5 no-1 g);
• amaphilisi (0.125, 0.5 g);
• amaphilisi (0,25 g);
• ukumiswa (40 mg / ml);
• isixazululo somjovo (500 mg).

Ukwemukelwa kwe-Advocate kufakwe ngaphansi kwezimo ezifana:

• ukungahambisani kahle nama-macrolide nama-ketolides;
• ukungabekezeleli ababhekisi okuyingxenye yesidakamizwa;
• ukugula kakhulu, ukwehluleka kwesibindi;
• i-creatinine imvume engaphansi kwama-40 ml ngomzuzu;
• i-pathologies enzima yenhliziyo, isibindi nezinso, ukwandisa isikhathi sokuphumula se-QT, ukuphathwa kanyekanye ngama-anticoagulants kanye nemithi ye-antiarrhythmic (ngokuqapha);
• iminyaka yezingane (kuze kube yiminyaka emi-3).

I-Sumamed itholakala ngezindlela eziningi zemithamo.

Ukuvinjwa kokusetshenziswa kwomuthi ekwelapheni kwezingane kusebenza kuphela kwifomu lawo elihlakazeka. Ukumiswa kunqunyelwe ingane enesisindo esingaphezu kwama-5 kg.

Ku-mellitus yesifo sikashukela, kuyadingeka ukubheka inani le-sucrose eliqukethwe kumthamo omisiwe wokumiswa.

Ukuqhathanisa kwe-Amoxicillin ne-Sumamed

ISumamed ne-Amoxicillin inomphumela ofanayo wokwelapha futhi ungasetshenziselwa izinkomba ezifanayo (izifo zohlelo lokuphefumula nolwelwesi lwezitho zofuzo, ipheshana lesisu kanye nezicubu ezithambile).

Ukuzikhethela kwama-antibhayirasi kufanele kwenziwe ngudokotela ohambele kuye ngokuya ngezikhalazo zesiguli, umlando wakhe wezokwelapha, ukuba khona kwe-concomitant pathologies kanye nemiphumela yokuxilongwa kweLabhoratri.

Ukufana

I-Amoxicillin ne-Sumamed zinemiphumela emibi ebanzi yokwelapha futhi zisetshenziswa zombili ekwelashweni kweziguli ezindala nasekuziphatheni kwezingane.

Womabili la magciwane ahlukaniswa njengoGaba B ngokuya ngesigaba sokuphepha se-FDA. Lokhu kusho ukuthi azikho izakhiwo ze-teratogenic ne-mutagenic ezitholakele kulungiselelwa futhi zingasetshenziswa ngesikhathi sokukhulelwa uma inzuzo elindelekile kunina olindelwe iphakeme kunobungozi obungahle bube khona kuzingane.

I-Amoxicillin ne-Sumamed yizidakamizwa ezikhethiwe ekwelashweni kwezifo ezibangelwa amagciwane kumama asenkulisa: ama-antibiotics adlulela kubisi lwebele, kepha angabi nomthelela omubi enganeni. Lapho elapha umama osancelayo, usana lungahlangabezana nokungezwani nomuthi noma izimpawu ze-dyspepsia ngenxa yokungalingani ku-microflora yamathumbu.

Uma ungumuntu ongayithandi i-Amoxicillin namanye ama-penicillin ama-antibiotic, kungenzeka ukuthi usebenzise umuthi esikhundleni seSumamed. Kwelinye icala, kungcono kakhulu ukuthi ungene esikhundleni se-macrolide nge-amooticillin evikelekile - i-Amoxiclav.

I-Amoxicillin ne-Sumamed zinemiphumela emibi ebanzi yokwelapha futhi zisetshenziswa zombili ekwelashweni kweziguli ezindala nasekuziphatheni kwezingane.

ISumamed ne-Amoxicillin inomphumela ofanayo wokwelapha futhi ungasetshenziswa ngezinkomba ezifanayo.

I-Sumamed ivunyelwe ukusetshenziswa njenge-prophylactic ngemuva kokungenelela kokuhlinzwa.

I-Amoxicillin ne-Sumamed yizidakamizwa ezikhethiwe ekwelapheni izifo ezibangelwa amagciwane kumama asebekhulile

Uyini umehluko

Umehluko phakathi kwalezi zidakamizwa ezimbili ubonwa kulezi zinto ezilandelayo:

1. Umshini wemiphumela yokubulala izinhlungu. I-Amoxicillin iphazamisa ukwakheka kweprotheni eyinhloko odongeni lweseli lwamagciwane e-pathogenic, okuholela ekubhujisweni kwabo ngokushesha. I-Sumamed (azithromycin) ivimbela ukwakheka kwamaprotheni we-pathogen kuma-ribosomes futhi yehlise ukukhula nokukhiqizwa kwamagciwane, kodwa ayivuseli i-bacterial lysis.
2. I-spectrum yomsebenzi we-antibacterial. Uma kuqhathaniswa neSumamed, i-Amoxicillin inesibalo esiphansi sesenzo se-antimicrobial: ayikhombisi umphumela we-bactericidal ngokumelene namagciwane athile we-gram-negative aerobic ne-anaerobic, kanye nama-microorganisms akhiqiza i-penicillinase.
3. Uhlobo lokwelashwa kanye nesikhathi sokuphatha esinconyiwe. I-Azithromycin igcinwa kwizitho zangaphakathi nezicubu ezithambile isikhathi eside, ngakho-ke iSumamed ithathwa isikhathi esingu-1 ngosuku. Isikhathi sokwelashwa singasukela ezinsukwini ezi-1 kuye kwezingu-5-7. I-Amoxicillin ithathwa amahlandla ama-3 ngosuku izinsuku ezingama-5- 10.
4. Uhlobo nobuningi bemiphumela emibi. Imiphumela emibi ibonwa kaningi ngokwelashwa kweSumamed. Imiphumela emibi ye-amoxicillin ibonakaliswa ikakhulu ngendlela yokungezwani komzimba, ukubonwa ngokweqile noma ukuphazamiseka kohlelo lwezinzwa oluphakathi. Ukusabela okungekuhle ngokwelashwa kweSumamed kubhekwa kaningi. Ngesikhathi sokulashwa, ukwenzeka kokungasebenzi kahle kwezinhlelo zenhliziyo nokuzala, ipheshana lesisu, isistimu yezinzwa ephakathi, njll.

Yikuphi okushibhile

Izindleko ze-Amoxicillin zivela kuma-ruble angama-40. ngamathebhulethi angama-20 (500 mg), ne-Sumamed - kusuka kuma-ruble angama-378. amaphilisi ama-3 (500 mg). Njengoba unikezwe umthamo ofanele wokwelapha kanye nemvamisa yemithi, ukwelashwa ngemithi elwa nama-macrolide kuzobiza izikhathi ezintathu noma ngaphezulu.

Yikuphi okungcono - Amoxicillin noma Sumamed

I-Amoxicillin iyisidakamizwa sokukhetha kwezifo ezingelula zamagciwane esipheshana sokuphefumula, ukuqedwa kwe-Helicobacter nge-gastroduodenitis (ngokuhlanganiswa neMetronidazole) kanye nokuvinjwa kwezinkinga zezinqubo zamazinyo nezokuhlinzwa.

I-Sumamed isidakamizwa esisebenza kangcono. Isebenza kuma-patyps ase-atypical futhi amelana nama-pathojeni we-amoxicillin (ngokwesibonelo, ama-STI) futhi isetshenziselwa ukwaliwa ukubhebhetheka kwe-beta-lactams.

Ukubuyekezwa kweziguli

U-Elena, oneminyaka engama-34, eMoscow

Saw Amoxicillin njengoba kubekwe yi-Therapist njengendlela yokusindisa i-antibiotic. Ngemuva komthamo wokuqala waba lula ukuphefumula, izinga lokushisa lehla. Ngaphuza yonke inkambo yesidakamizwa, angibonanga imiphumela emibi, yize ithambekele kokungezwani komzimba. Inzuzo enkulu ye-Amoxicillin izindleko zayo eziphansi.

U-Oksana, oneminyaka engu-19, uBarnaul

Umfowethu ugula kakhulu ngenkathi ebandayo: Ama-ARVI eza ku-bronchitis kanye ne-pneumonia. Imithi elwa nodokotela ayihambanga ngaso sonke isikhathi, kodwa uSumamed wabhala kokunye ukuvakashelwa kwe-ENT, wayincoma njengenyathelo lokugcina. Umuthi uthathwa ngezinsuku ezi-3 kuphela, kepha ukuvimba ngokuphelele ukutheleleka. Phakathi kwamaphutha intengo ephezulu.

Izindleko ze-Amoxicillin zivela kuma-ruble angama-40. ngamathebhulethi angama-20 (500 mg), ne-Sumamed - kusuka kuma-ruble angama-378. amaphilisi ama-3 (500 mg).

Ukubuyekezwa kodokotela nge-Amoxicillin ne-Sumamed

Budanov E.G., otolaryngologist, uSochi

I-Amoxicillin iyi-antibiotic yakudala evela kumkhiqizi wasekhaya. Ine-spectrum emincane elinganiselwe yesenzo se-antibacterial futhi isetshenziselwa ikakhulukazi ukutheleleka kwe-streptococcal kwepheji lokuphefumula, isikhumba, njll.

Kubekezelelwa kahle ngabadala nezingane, kepha ayisebenzi ekulweni namanye ama-antibhikitikhi ngenxa yenani elikhulu lezinto ezingamelana nalo.

INazemtseva R.K., udokotela wezifo zabesifazane, uKrasnodar

I-Sumamed iyikhambi elihle elivela eqenjini le-macrolide. Ngiyincoma ekwelashweni kwama-STDs (ikakhulukazi i-chlamydia) nasekwelapheni okuyinkimbinkimbi kwesifo sokuvuvukala kwe-pelvic. Ngokungabekezeleli noma ukungasebenzi kahle kwama-penicillin, amaSumamed angasetshenziswa ukwelapha i-tonsillitis, pharyngitis nezinye izifo zokuphefumula.

Umuthi unezindlela eziningana zokukhishwa nemodi yokuphatha elula.