Macrolides thiab penicillins yog cov muaj kev nyab xeeb thiab muaj txiaj ntsig zoo tshaj plaws ntawm cov tshuaj tua kab mob. Lawv raug siv los kho kab mob hauv nruab nrog cev, nqaij mos thiab tawv nqaij. Nyob ntawm qhov ntsuas rau kev siv thiab qhov ua rau muaj tus kabmob ntawm tus kabmob, tus kws kho mob tuaj yeem sau ntawv rau Klacid lossis Amoxiclav, ntxiv rau cov tshuaj zoo sib xws hauv kev muaj pes tsawg leeg thiab ua rau lawv (Clarithromycin, Augmentin, Sumamed).
Cov cwj pwm ntawm Klacid
Cov tshuaj tiv thaiv ntawm Klacid yog macrolide tshuaj tua kab mob clarithromycin. Lub spectrum ntawm nws cov kev ua haujlwm tiv thaiv kab mob kis mus rau feem ntau cov kab mob ntawm cov kis kab mob. Cov kab mob rhiab xws li:
- cov kab mob gram-positive thiab gram-negative aerobic (streptococci, pneumococci, moraxella, hemophilus bacillus, listeria, thiab lwm yam);
- anaerobic pathogens (clostridia, thiab lwm yam);
- Cov neeg ua rau mob STDs (chlamydia, mycoplasma, ureaplasma);
- toxoplasma;
- Borrelia
- Helicobacter pylori (H. pylori);
- mycobacteria (tsis qhia kev ua haujlwm zoo tsuas yog thaum kis mob tuberculosis microbacteria).
Klacid thiab Amoxiclav tau siv los kho cov mob hauv nruab nrog cev, cov nqaij mos thiab tawv nqaij.
Qhov dav dav ntawm kev txiav txim ntawm clarithromycin tso cai rau koj los sau tshuaj Klacid nrog cov cim hauv qab no:
- cov kab mob tua kab mob ntawm cov qaum thiab qis ntawm cov kab mob ua pa (sinusitis, tonsillitis, pharyngitis, otitis media, tracheobronchitis, atypical mob ntsws, thiab lwm yam);
- folliculitis, erysipelas, lwm yam kab mob sib kis ntawm cov tawv nqaij thiab cov nqaij mos;
- cov kab mob hauv zos thiab cov kab mob hauv lub cev los ntawm mycobacteria (tsis suav nrog Koch lub bacillus);
- prophylaxis ntawm kev tiv thaiv mycobacterial tiv thaiv los ntawm M. avium nyob rau hauv cov neeg mob HIV-tus neeg mob uas muaj cov ntsiab lus tsawg ntawm T-pabcuam;
- mob rwj thiab duodenal mob rwj (txhawm rau txo qis ntawm H. pylori ua ib feem ntawm cov kab mob sib xyaw ua ke);
- STIs tshwm sim los ntawm pathogens rhiab rau clarithromycin;
- kev tiv thaiv ntawm cov kab mob ua mob tom qab cov txheej txheem kho hniav (suav nrog sepsis thiab endocarditis).
Ua raws li kev kuaj mob thiab lub hnub nyoog ntawm tus neeg mob, tus kws kho mob tuaj yeem sau ib qho ntawm cov qauv hauv qab no ntawm kev tso tawm ntawm Klacid:
- ntsiav tshuaj (kev noj tshuaj ntawm cov tshuaj nquag - 250 thiab 500 mg);
- kev ncua (tus nqi ntawm cov tshuaj tua kab mob hauv 5 ml ntawm cov khoom tiav yog 125 lossis 250 mg);
- hmoov rau qhov kev npaj ntawm ib qho kev daws teeb meem (koob tshuaj clarithromycin - 500 mg hauv 1 lub raj mis).
Cov tshuaj tiv thaiv ntawm Klacid yog macrolide tshuaj tua kab mob clarithromycin.
Klacid tsis raug xaj nyob rau hauv kev txhaj tshuaj: kev tswj hwm ntawm macrolide yog nqa tawm nrog dej rau ib teev lossis ntev dua ntawm ib lub sijhawm.
Cov kev tsis haum rau kev siv clarithromycin yog:
- cov tshuaj tiv thaiv txo qis rau cov tshuaj macrolide thiab ketolide, cov tshuaj tiv thaiv kab mob ntawm cov tshuaj;
- lub plawv tsis ua hauj lwm, mob plawv, mob plawv ventricular arrhythmia thiab tachycardia, lub xub ntiag ntawm proarrhythmogenic yam thiab muaj kev pheej hmoo ntawm lengthening QT luv (piv txwv li, tsis muaj peev xwm ntawm cov poov tshuaj thiab magnesium);
- kev sib xyaw ntawm lub raum thiab lub siab ua haujlwm;
- cholestatic jaundice, kev npau taws los ntawm kev siv tshuaj tua kab mob (keeb kwm);
- kev pub mis
- cev xeeb tub (hauv 2-3 hlis, nws siv tau raws li kev qhia nruj);
- hnub nyoog tsawg dua 6 lub hlis;
- porphyrin kab mob;
- kev kho nrog tshuaj uas tsis sib xws nrog clarithromycin (Ergotamine, Colchicine, Ticagrelor, Midazolam, Ranolazine, Cisapride, Astemizole, Terfenadine, statins, thiab lwm yam).
Yog tias muaj lub siab thiab lub raum tsis ua haujlwm (yog tias Cl creatinine tsawg dua li ib txwm, tab sis ntau dua 30 ml / min), clarithromycin txoj kev kho yuav tsum tau ua hauv kev saib xyuas kev kho mob thiab nrog saib xyuas ntshav biochemistry. Thaum muab tshuaj rau Klacid kev ncua nyob hauv cov neeg mob ntshav qab zib mellitus, tus nqi sucrose hauv kev pom zoo ntawm cov tshuaj yuav tsum raug txiav txim siab.
Thaum muab tshuaj rau Klacid kev ncua nyob hauv cov neeg mob ntshav qab zib mellitus, tus nqi sucrose hauv kev pom zoo ntawm cov tshuaj yuav tsum raug txiav txim siab.
Amoxiclav Cwj Pwm
Amoxiclav muaj cov tshuaj tiv thaiv kab mob (amoxicillin) thiab ib qho beta-lactamase inhibitor (clavulanic acid). Clavulanic acid thaiv qhov kev txiav txim ntawm cov kab mob enzymes uas zom cov beta-lactam lub nplhaib tshuaj tua kab mob. Kev sib xyaw ntawm ob yam no tso cai rau koj ua nrog suav nrog thiab cov kab mob me me tiv taus cov tshuaj penicillins uas tsis muaj kev tiv thaiv.
Lub spectrum ntawm kev ua ntawm amoxicillin txuas ntxiv mus rau cov kab mob hauv qab no:
- gram-zoo aerobic microorganisms (staphylococci, streptococci, pneumococci);
- gram-negative aerobic cocci (hemophilic thiab Escherichia coli, moraxella, Klebsiella, enterobacteria).
Kev qhia rau kev siv tshuaj yog cov kab mob hauv qab no:
- cov kab mob kis kab mob ntawm cov pa sab saud thiab qis qis;
- cov txheej txheem mob ntawm lub tso zis mob tshwm sim los ntawm aerobic microorganisms;
- lub plab zom mov (kev mob plab thiab duodenal mob rau sab hauv, mob rau lub plab thiab cov kua tsib);
- cov kab mob kis tau ntawm kev sib deev;
- odontogenic mob, tiv thaiv cov kab mob ua mob tom qab kev kho hniav;
- osteomyelitis, kab mob tiv thaiv cov nqaij mos;
- cov kab mob txhab ntawm daim tawv nqaij thiab cov nqaij mos subcutaneous;
- rau kev tswj hwm ntawm Amoxiclav: Kab mob kas cees (mob txeeb zig, mob sib khuav me me), mob plab hauv plab, tiv thaiv kev sib kis kis mob tom qab kev phais mob.
Amoxiclav muaj nyob hauv ntau hom tshuaj:
- ntsiav tshuaj (noj tshuaj ntawm amoxicillin yog 250, 500 lossis 875 mg);
- ntsiav tshuaj tawg yooj yim (soluble) (muaj 500 lossis 875 mg ntawm tshuaj tua kab mob);
- lyophilisate rau kev tsim cov khoom siv npaj rau lub cev (qhov koob tshuaj tiv thaiv kab mob hauv 1 lub raj tshuaj lyophilisate yog 500 mg lossis 1 g);
- hmoov rau kev tsim khoom ntawm kev ncua (5 ml ntawm cov tshuaj tiav tau muaj 125, 250 lossis 400 mg ntawm cov tshuaj nquag, nyob ntawm seb siv npaum li cas).
Amoxiclav muaj cov tshuaj tiv thaiv kab mob (amoxicillin) thiab ib qho beta-lactamase inhibitor (clavulanic acid).
Cov tshuaj tiv thaiv kev noj cov Amoxiclav yog cov kab mob xws li:
- cov tshuaj tiv thaiv tsis haum rau cov tshuaj ntawm penicillin thiab cephalosporin pawg, nrog rau monobactam thiab carbapenem;
- kev tsis haum tshuaj thiab cov teeb meem ntawm lub cev ntawm lub cev ntxiv ntawm Amoxiclav (phenylketonuria);
- kev sib kis monocytic tonsillitis;
- lymphocytic leukemia;
- kev ua haujlwm tsis txaus siab vim muaj kev kho mob amoxicillin (keeb kwm);
- thaum sau tshuaj rau cov tshuaj dispersive Amoxiclav: qhov hnyav tsawg dua 40 kg, menyuam lub hnub nyoog (txog 12 xyoos), lub raum tsis ua haujlwm (Cl creatinine <30 ml / min.).
Nrog kev ceev faj, Amoxiclav yog tshuaj rau daim siab thiab lub raum pathologies, rau kev kho mob nrog anticoagulants, rau keeb kwm ntawm lub plab hnyuv mob tshwm sim los ntawm kev kho kab mob, rau kev lactation thiab cev xeeb tub.
Sib piv ntawm Klacid thiab Amoxiclav
Cov lus qhia rau kev xaiv tsa ntawm Amoxiclav thiab Klacid zoo sib xws. Qhov sib txawv ntawm kev siv yog vim muaj qhov sib txawv hauv qhov pom ntawm cov dej num, cov nqi thiab kev nyab xeeb ntawm cov tshuaj.
Qhov zoo sib xws
Cov yam ntxwv zoo sib xws rau ob qho tshuaj yeeb tshuaj yog:
- Ntau qhov kev ua los tiv thaiv kab mob.
- Lub sijhawm pom zoo ntawm kev kho (5-14 hnub) thiab ntau npaum li cas ntawm kev siv tshuaj tua kab mob (2 zaug hauv ib hnub).
- Cov mob ntawm tawm ntawm cov khw muag tshuaj (raws cov ntawv sau tshuaj).
- Kev ua hauj lwm zoo rau cov kab mob ua rau cov beta-lactamases.
- Siv tau rau hauv txoj kev kho mob txoj hnyuv rwj ua rau H. pylori.
Dab tsi yog qhov txawv
Qhov sib txawv ntawm Klacid thiab Amoxiclav yog qhov tseem ceeb dua. Qhov sib txawv ntawm cov tshuaj yog pom hauv cov ntsiab lus xws li:
- FDA Kev Nyab Xeeb Pawg. Amoxicillin yog qhov zoo dua rau kev siv los ntawm cov poj niam cev xeeb tub.
- Kev siv tau thaum lactation. Amoxiclav raug tso cai siv rau kev pub niam mis, thiab Klacid tsis pom zoo.
- Qhov tsawg kawg nkaus hnub nyoog nyob rau hauv uas siv yeeb tshuaj. Cov neeg sawv cev Amoxicillin tuaj yeem raug kho rau menyuam yaus txij thawj hnub ntawm lub neej. Klacid raug samfwm rau cov menyuam yaus hnub nyoog qis dua rau lub hlis.
- Qhov niaj hnub kho tus kab mob noj tshuaj tiv thaiv kab mob. Thaum kho nrog Amoxiclav, nws yog 750-1750 mg, thiab Klacid - 500-1000 mg.
- Kev phiv tshuaj tiv thaiv thiab contraindications. Clacid yog ib qho tshwm sim los ntawm cov kev mob tshwm sim ntau dua los ntawm lub hauv nruab nrab lub paj hlwb (hnov lus tsis zoo thiab hnov tsw, pw tsis tsaug zog, mob taub hau).
Uas yog pheej yig dua
Nrog tib lub sijhawm ntawm kev kho mob, Klacid yuav raug nqi 2-3 npaug kim dua li Amoxiclav. Qhov sib piv ntawm cov nqi ntawm cov chav kawm kev kho mob nyob ntawm cov tshuaj tua kab mob sib kis.
Qhov twg yog qhov zoo dua: Klacid lossis Amoxiclav
Qhov kev xaiv ntawm cov tshuaj yog nqa los ntawm tus kws kho mob raws li kev kuaj mob ntawm tus neeg mob, hom kab mob sib kis thiab keeb kwm kev kho mob.
Amoxiclav suav hais tias yog tshuaj ntawm kev xaiv hauv kev kho mob ntawm kev tiv thaiv kab mob ntawm cov pa ua rau muaj feem ntau ntawm cov kab mob. Nws muaj kev nyab xeeb rau cov pab pawg neeg txom nyem tshaj plaws ntawm cov neeg mob.
Klacid feem ntau yog kho rau cov neeg mob laus uas muaj tus kab mob STD, muaj kab mob loj thiab mob hauv zos.
Kev Ntsuam Xyuas Rau Neeg Mob
Maria, 31 xyoo, Astrakhan
Tus menyuam feem ntau muaj teeb meem lub caj pas (tonsillitis, pharyngitis). Yav dhau los, tus kws kho mob tau sau tshuaj Amoxicillin thiab nws cov duab sib piv, tab sis lub sijhawm no cov tshuaj tua kab mob tsis pab, tsis hais txog qhov ntsuas kub. Tom qab 3 hnub ntawm kev mob, cov tshuaj hloov mus rau Klacid. Twb tau nyob rau hnub thib ob ntawm kev nkag, qhov kub tau poob qis, thiab tus menyuam pib rov qab zoo.
Kuv txaus siab rau qhov tshwm sim, tab sis cov tshuaj muaj ib qho muaj zog tshwm sim - xeev siab.
Olga, 28 xyoos, Krasnodar
Amoxiclav yog ib tus neeg sawv cev dav dav uas ua tiav nws txoj haujlwm. Cov tshuaj tau txhawm rau kho qhov mob ntawm nws tus tub thaum nws muaj hnub nyoog ib xyoos xwb. Tus me nyuam zoo siab haus cov tshuaj nyob rau hauv daim ntawv ntawm kev ncua, thiab tom qab 1-2 hnub cov txiaj ntsig tau twb pom.
Cov tshuaj tseem yog tsim nyog rau cov neeg laus, yog li nws tsim nyog khaws cov ntsiav tshuaj thiab hmoov rau hauv cov tshuaj hauv tsev.
Cov kws kho mob tshuaj xyuas txog Klacid thiab Amoxiclav
Bakieva E.B., Kws Kho Hniav, Ufa
Klacid yog ib qho zoo, muaj yeeb tshuaj zoo los ntawm cov chaw tsim khoom hauv German. Nws ua tau zoo tiv thaiv ntau yam kab mob ntawm cov kab mob uas tawm tsam tshuaj tua kab mob ib txwm muaj. Nws muaj lub siab tropism rau cov pob txha thiab cov hniav, yog li nws tau nquag siv hauv kev kho hniav thiab phais.
Kuv sau cov tshuaj no rau cov neeg mob osteomyelitis, mob periostitis, kab mob hu ua odontogenic sinusitis thiab thawj cov kab mob ntawm cov kab mob ua pa (tonsillitis, pharyngitis).
Lub hom phiaj ua tsis tau zoo yog muaj qhov tshwm sim ntau dhau los ntawm txoj hnyuv plab (zawv plab, dyspepsia, xeev siab).
Almasri A.M., kws kho mob plab zom mov, Moscow
Amoxiclav feem ntau muab tshuaj rau cov kab mob ua pa, tab sis cov tshuaj muab qhov zoo rau hauv lwm qhov teeb meem (piv txwv, nrog mob txhab, cholecystitis, thiab lwm yam). Cov tshuaj tua kab mob muaj ntau hom thiab yog qhov yooj yim siv. Ib qho txiaj ntsig ntxiv yog tus nqi pheej yig.
Thaum kho, qhov quav tsis taus yog qhov ua tau, thiab candidiasis feem ntau muaj tus kab mob tom qab kev tswj hwm.
