Cov tshuaj tua kab mob, xws li Amoxicillin lossis Azithromycin, yog ib pawg ntawm cov tshuaj uas tuaj yeem tiv thaiv kev loj hlob thiab rov ua dua ntawm cov kab mob pathogenic los yog ua rau lawv rhuav tshem. Muaj ntau hom kev tiv thaiv kab mob uas muaj qhov sib txawv hauv cov muaj pes tsawg leeg thiab kev ua haujlwm muaj feem xyuam nrog ib hom kab mob, uas yog ib qho tseem ceeb xav txog thaum xaiv cov tshuaj tua kab mob, txwv tsis pub kho mob yuav tsis muaj txiaj ntsig.
Amoxicillin li cas
Cov tshuaj yog ib feem ntawm pawg penicillin thiab yog ib qho tshuaj tiv thaiv ib nrab ntawm cov tshuaj tiv thaiv uas pom zoo raws li amoxicillin trihydrate.
Amoxicillin lossis Azithromycin yog ib pawg ntawm cov tshuaj uas tuaj yeem tiv thaiv kev loj hlob thiab rov ua dua ntawm cov kab mob pathogenic los yog ua rau lawv rhuav tshem.
Kev kho mob ua kom tiav yog ua tiav los ntawm kev sib zog ua ke ntawm cov xovtooj ntawm phab ntsa ntawm cov kab mob uas nkag siab zoo rau cov tshuaj. Nquag ua tawm tsam gram-zoo thiab gram-negative cocci, qee hom gram-negative bacilli: Shigella, Salmonella, Klebsiella, E. coli. Cov kab mob uas tsim cov tshuaj tua kab mob penicillin-rhuav tshem enzyme penicillinase tiv thaiv cov tshuaj tua kab mob.
Ua ke nrog cov tshuaj metronidazole ua rau muaj kev phom sij rau tus neeg sawv cev ntawm Helicobacter pylori mob.
Thaum noj ntawm qhov ncauj, cov tshuaj sai sai sai, nkag mus rau cov ntaub so ntswg thiab dej ntawm lub cev. Nws yog tawm los ntawm lub raum tsis hloov pauv.
Kev taw qhia rau kev siv:
- mob ntsws, nrog rau mob ntsws;
- txoj hnyuv txuas;
- dermatological kab mob ntawm ib qho kis;
- kis kab mob ntawm cov genitourinary system.
Cov tshuaj yog contraindicated nyob rau hauv cov ntaub ntawv ntawm hypersensitivity rau lub Cheebtsam Cheebtsam, kis mononucleosis, lymphocytic leukemia. Tsis txhob xaj tshuaj tua tshuaj rau hauv daim ntawv tshuaj ntsiav rau cov menyuam yaus hnub nyoog qis dua 5 xyoos.
Thaum cev xeeb tub thiab lactation, nws tuaj yeem siv tsuas yog qhia los ntawm kws kho mob thiab coj mus rau hauv txhua yam kev pheej hmoo. Nws hla lub plab thiab nkag rau hauv niam mis.
Amoxicillin tuaj yeem ua rau muaj kev phiv tshuaj xws li:
- khaus, tawm pob ntawm cov ua xua ua ke, mob ua paug;
- xeev siab, ntuav, raws plab;
- leukopenia, thrombocytopenia;
- mob taub hau
- tsis hnov qab pw tsaug zog thiab qab los noj mov;
- superinfection.
Cov tshuaj muaj ntau hom kev tso tawm: ntsiav tshuaj, tshuaj ntsiav, daws thiab ncua kev tswj hwm ntawm qhov ncauj, hmoov rau txhaj. Qhov kev ncua yog muaj sucrose, uas yuav tsum xam los ntawm cov neeg muaj ntshav qab zib.
Cov koob tshuaj ntawm cov tshuaj tau teeb tsa ua ib tus zuj zus, coj mus rau hauv tus account qhov hnyav ntawm cov chav kawm ntawm tus kabmob thiab cov yam ntxwv ntawm tus neeg mob. Cov tshuaj pom zoo rau cov neeg laus thiab menyuam yaus hnub nyoog 10 xyoo nrog lub cev hnyav dua 40 kg yog 500 mg ntawm amoxicillin 3 zaug hauv ib hnub. Cov menyuam yaus hnub nyoog 5 txog 10 xyoo tau muab 250 mg 3 zaug nyob rau ib hnub, dua li yog txoj kev ncua.
Lub zog ntawm azithromycin
Semi-hluavtaws antibacterial muaj nyob hauv pawg neeg azalides. Raws li lub ntsiab active tshuaj muaj azithromycin. Pab txo qis cov kab mob pathogenic, qeeb lawv cov kev loj hlob thiab rov ua dua tshiab. Nyob rau hauv qhov chaw siab nyob hauv thaj tsam ntawm qhov mob o tuaj yeem ncaj qha rau kev tuag ntawm pathogens.
Cov tshuaj yog nquag tiv thaiv ntau cov kab mob gram-tsis zoo thiab gram-zoo, aerobes thiab anaerobes. Cov kab mob uas tiv taus erythromycin tsis rhiab rau azithromycin.
Cov tshuaj tua kab mob ua rau ob qho tib si sab nraum lub hlwb thiab sab hauv lawv, uas saib xyuas nws cov hauj lwm zoo tiv thaiv kev tiv thaiv rau cov cab - chlamydia thiab mycoplasmas
Nws yog sai sai los ntawm lub plab zom mov, tiv taus ib puag ncig acidic, tsom tsuas yog nyob rau hauv cov ntaub so ntswg, thiab tsis nyob hauv ntshav, thiab accumulates ncaj qha hauv kev tsom xam ntawm kev kis mob. Nws yog tawm mus rau ntau dua nrog cov kua tsib, kom tsawg dua nrog cov zis.
Azithromycin nquag tawm tsam ntau cov kab mob gram-negative thiab gram-zoo, aerobes thiab anaerobes.
Nws yog tshuaj rau kis kab mob kis los ntawm microorganisms rhiab heev rau azithromycin:
- qis qis thiab sab qaum cov kab mob ua pa;
- caws pliav kub taub hau;
- kis tau ntawm cov nqaij mos thiab tawv nqaij;
- cov kab mob sib kis ntawm cov kab ke genitourinary;
- cov kab mob ntawm txoj hnyuv mob tshwm sim los ntawm Helicobacter pylori;
- Lyme kab mob hauv thawj theem.
Cov tshuaj yog contraindicated nyob rau hauv cov ntaub ntawv ntawm ib tug neeg intolerance ntawm lub Cheebtsam Cheebtsam. Hauv daim foos tshuaj, tsis txhob tsa cov menyuam yaus hnub nyoog qis dua 14 xyoos.
Nws tuaj yeem siv los kho cov poj niam cev xeeb tub yog tias qhov txiaj ntsig yuav pab rau leej niam ntau dua qhov muaj feem ua rau muaj menyuam hauv plab. Tsis txhob sau ntawv rau lub sijhawm lactation, rau lub sijhawm kho, pub mis tus menyuam yuav tsum nres.
Thaum siv Azithromycin, cov kev mob tshwm sim hauv qab no yog ua tau:
- xeev siab, ntuav, ua tsis taus quav;
- mob plab zom mov;
- jade;
- pojniam plab paum;
- mob hauv lub plawv;
- khaus, tawm pob ntawm lub cev tsis haum, Quincke's edema;
- neutrophilia, eosinophilia.
Cov tshuaj tua kab mob muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, tshuaj ntsiav thiab phoov, ntxiv rau hauv cov ntawv txhaj tshuaj. Qhov zoo tshaj plaws ntau npaum li cas thiab lub sijhawm ntawm kev kho kom zoo yog tsim los ntawm tus kws kho mob tshwj xeeb coj mus rau hauv tus account qhov mob hnyav thiab tus yam ntxwv ntawm tus neeg mob. Raws li cov lus pom zoo tus qauv, cov neeg laus thiab cov menyuam hnub nyoog 14 xyoos noj 500 mg ib zaug rau thawj hnub, txij li 2 txog 5 hnub - 250 mg ib hnub ib zaug lossis 500 mg ib hnub ib zaug rau 3 hnub.
Cov Tshuaj Sib Piv
Txawm hais tias qhov tseeb tias cov tshuaj muaj cov tshuaj ua haujlwm los tiv thaiv kab mob, lawv koom nrog ntau hom, uas ua rau muaj qhov sib txawv hauv cov muaj pes tsawg leeg, kev ua haujlwm ntawm kev ua thiab kev ntsuas.
Qhov zoo sib xws
Ob tus neeg sawv cev yog cov tshuaj tua kab mob ua rau pom dav dav thiab ua rau feem ntau cov kab mob gram-positive thiab gram-tsis zoo. Lawv raug kho rau ntau yam kab mob ntawm kev kis tus kab mob.
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab tsiav tshuaj, zoo li nyob rau hauv ntau npaum cov ntawv npaj rau kev kho mob ntawm cov menyuam.
Nkag siab los ntawm cov keeb kwm kev cuam tshuam, faib ceev ceev thoob plaws lub cev nqaij. Lawv yog cov tshuaj tua kab mob zoo, nrog kev siv ntawm qhov tshwm sim tsis zoo tshwm sim.
Dab tsi yog qhov sib txawv
Amoxicillin belongs rau penicillins, thiab Azithromycin - rau azalides. Lawv tsis muaj cov ntawv tib yam li cov kev ua ub ua no, uas ua rau muaj kev sib txawv ntawm cov txheej txheem ntawm kev nqis tes ua thiab kev cuam tshuam.
Azithromycin accumulates tsuas yog nyob rau hauv cov ntaub so ntswg ntawm lub cev thiab muaj peev xwm mloog zoo ncaj qha hauv foci ntawm kev kis mob.
Amoxicillin koom ua ke rau ntawm cov kab mob ntawm cov kab mob hlwb thiab rhuav tshem lawv txoj kev ncaj ncees, uas ua rau cov kab mob tuag, Azithromycin muaj peev xwm nkag mus rau hauv microbial cell, thaiv kev ua haujlwm ntawm ribosomes, uas txwv tsis pub muaj ntau ntawm pathogenic microflora.
Cov kev ua ntawm Azithromycin tiv thaiv cov kab mob yog qhov dav dua li Amoxicillin, yog li nws muaj peev xwm ntau dua los kho cov kab mob sib kis los ntawm cov kab mob tsis paub tseeb.
Amoxicillin tsis ua haujlwm ntawm cov kab mob pathogenic uas tsim cov tshuaj tiv thaiv penicillin-enzymes. Azithromycin tsis inhibit qhov muaj peev xwm ntawm microbes tiv thaiv erythromycin, ntawm uas nws yog ib qho muab tso tawm.
Azithromycin accumulates tsuas yog nyob rau hauv cov ntaub so ntswg ntawm lub cev thiab muaj peev xwm mloog zoo ncaj qha hauv foci ntawm kev kis mob. Amoxicillin muaj kev faib ntau thoob plaws hauv lub cev thiab muaj tus yam ntxwv zoo dua nrog lwm cov tshuaj.
Uas yog pheej yig dua
Tsis hais txog ntawm cov chaw tsim khoom, Amoxicillin belongs rau tus nqi qis dua piv rau Azithromycin. Qhov no yog vim lub sijhawm ua khoom lag luam thiab tus nqi ntawm cov txheej txheem no.
Amoxicillin muaj txiaj ntsig zoo rau kev mob plab thiab lub plab.
Qhov twg yog qhov zoo dua: Amoxicillin lossis Azithromycin
Cov tshuaj muaj feem sib txawv ntawm cov tshuaj tiv thaiv kab mob thiab muaj kev tawm tsam ntau yam kab mob, uas yuav tsum tau coj mus rau hauv qhov ua tiav kom ua tiav cov txiaj ntsig kev kho mob.
Azithromycin muaj cov haujlwm dav dua, yog li nws yog qhov zoo dua los siv nws rau cov kabmob los ntawm cov kab mob tsis meej. Muaj peev xwm txwv cov kab mob penicillinase coj los sib xyaw.
Tsis zoo li cov tshuaj analogue, Amoxicillin ua tau zoo rau kev mob plab thiab lub plab. Azithromycin tsuas yog kho rau kev kis kab mob ntawm txoj hnyuv txhawm rau ua los ntawm Helicobacter pylori.
Yuav muab Amoxicillin hloov nrog Azithromycin?
Vim tias siv Amoxicillin siv sijhawm ntev, ntau cov kab mob tau yoog nws thiab tsim ib qho enzyme tshwj xeeb uas rhuav tshem cov tshuaj tua kab mob me me. Yog li no, nyob rau qee kis uas siv tshuaj los ntawm amoxicillin tsis coj cov txiaj ntsig xav tau, nws raug nquahu kom hloov nws nrog Azithromycin, uas muaj qhov pom ntawm dav dua. Tsis txhob noj tshuaj tua kab mob tib lub sijhawm.
Kev Ntsuam Xyuas Rau Neeg Mob
Eugene, hnub nyoog 40 xyoo, Moscow: "Lub sijhawm ua lag luam Kuv tau hnov mob taub hau heev thiab lwm cov kev mob tsis zoo ntawm qhov mob siab o tuaj ntxiv. Tsis muaj sijhawm mus ntsib kws kho mob, thiab qhov kub tsis tau nce ntau. Nws yog qhov zoo uas kuv tau coj Azithromycin nrog kuv. Kuv twb zoo dua nyob rau hnub 3 ntawm kev kho mob "Qhov kub tau poob qis, mob taub hau thiab los ntswg yuav luag ploj. Kuv paub tseeb tias qhov kev ua haujlwm zoo ntawm cov tshuaj, tab sis raws li kev tawm tsam, muaj lub ntsej muag o - ib qho tshuaj antihistamine tau hais txog nws."
Svetlana, hnub nyoog 35 xyoo, Chelyabinsk: "Tus kws kho mob tau hais qhia rau Amoxicillin thaum nws mob mob caj pas. Kuv haus raws li cov lus qhia, tsis muaj kev phiv tshuaj, tsuas hnov mob me ntsis hauv lub siab xwb. Tab sis cov tshuaj muaj peev xwm tiv nrog angina pathogens. Thaum kuv tus txiv mob mob, lawv tau tawm hauv tsev kho mob dua. Hnub 2, tus txij nkawm muaj teeb meem mob plawv, nws tseem mob caj npab. Nws tsis haus tshuaj tua kab mob, thiab kho mob caj pas nrog tshuaj ntxaug dej. "
Cov kws kho mob tshuaj xyuas txog Amoxicillin thiab Azithromycin
Lapin R.V., kws phais mob nrog 12 xyoo ntawm kev paub, Moscow: "Azithromycin yog cov tshuaj tua kab mob zoo hauv kev kho cov txheej txheem mob hauv ntau cov ntaub so ntswg thiab cov kabmob. Kuv siv nws hauv kuv xyaum, cov neeg mob tau zoo siab, tsis muaj kev phiv."
Voronina OM, kws kho hniav nrog kev paub txog 17 xyoo, Kaliningrad: "Amoxicillin kov nrog nws txoj haujlwm. Kuv tau coj nws los kho txoj hnyuv mob, xyaum tsis cuam tshuam rau txoj hnyuv. Koj tuaj yeem muab rau tus menyuam. Tab sis koj yuav tsum tsis txhob sau nws tus kheej, nws yog qhov zoo dua los nrhiav tswv yim los ntawm tshwj xeeb. "
Tereshkin R.V., tus kws kho hniav orthopedic nrog 8 xyoo ntawm kev paub, Krasnodar: "Kuv siv Azithromycin hauv kev kho hniav rau ntau yam kab mob. Kuv muab tshuaj 500 mg ib hnub ib zaug rau 3 hnub, nyob rau qee kis kuv pom zoo kom noj nws nrog cov tshuaj antihistamines thiab anti-inflammatory siv yeeb siv tshuaj. "