Cov tshuaj tua kab mob penicillin thiab macrolide yog cov tshuaj zoo thiab muaj kev nyab xeeb tshaj tawm rau cov kab mob ntawm daim tawv nqaij, lub plab zom mov, ua pa ntawm lub cev thiab cov genitourinary, cov nqaij mos, thiab lwm yam. cov nyiaj ntawm cov nyiaj no.
Cov yam ntxwv ntawm Sumamed
Cov tshuaj nquag ntawm Sumamed yog azithromycin. Nws ua tau zoo ntawm gram-zoo (staphylococci, streptococci), gram-negative (hemophilic bacillus, moraxella, gonococci), anaerobic (clostridia, porphyromonads) thiab lwm yam kab mob me. Cov khoom muaj txiaj ntsig ntawm azithromycin yog nws txoj kev ua tau zoo tiv thaiv cov kab mob chlamydia, mycoplasmosis thiab borreliosis (Lyme mob).
Sumamed los yog Amoxiclav yog cov tshuaj zoo thiab muaj kev nyab xeeb uas tau tsim los kho cov kab mob rau cov kab mob.
Kev siv ntawm Sumamed yog qhia rau cov kab hauv qab no:
- cov kab mob hauv zos ua mob rau hauv cov hlab ntsws (pharyngitis, sinusitis, sinusitis, otitis media, mob ntsws hauv zej zog, mob ntsws, mob ntsws ntev thiab mob ntsws, mob hlab ntsws, thiab lwm yam);
- cov kab mob ntawm cov tawv nqaij thiab cov nqaij mos (ua mob, mob ntxau, mob erysipelas) lossis cov kab mob thib ob uas muaj cov kab mob dermatoses;
- pib theem ntawm borreliosis.
Tsis tas li, cov tshuaj yog tawm rau kev kho mob ntawm lub ncauj tsev menyuam, mob txha dej thiab lwm yam kev kis mob ntawm urogenital system los ntawm STIs, thiab kev tiv thaiv kev kis tus mob endocarditis thiab mycobacteriosis.
Cov tshuaj Sumamed yog tsim rau kev kho mob ntawm o ntawm cov kab mob genitourinary.
Sumamed muaj nyob hauv ntau hom:
- Kev Ntsiav Tshuaj Ntawm Lub Qhov ncauj. Kev noj tshuaj ntawm cov tshuaj tua kab mob hauv cov ntsiav tshuaj tuaj yeem yog 125 mg, 250 mg, 500 mg lossis 1 g.
- Cov tshuaj ntsiav 1 nkaws tshuaj ntsiav muaj 250 mg ntawm azithromycin.
- Hmoov rau kev ncua. Kev noj tshuaj azithromycin hauv Sumamed kev ncua yog 100 mg hauv 5 ml ntawm cov tshuaj, hauv Sumamed Forte raug ncua - 200 mg / 5 ml. Kev siv tshuaj ntau dua yog siv los kho cov menyuam yug menyuam tshiab. Daim ntawv tsuas yog npaj rau cov menyuam yaus, yog li ntawd cov hmoov muaj cov tshuaj tsw qab (txiv tsawb, txiv pos nphuab, txiv pos, txiv ntoo lossis vanilla).
- Hmoov rau kev txhaj tshuaj. 1 fwj tshuaj muaj 500 mg ntawm cov tshuaj tua kab mob.
Qee hom tshuaj ntawm cov tshuaj muaj aspartame thiab qab zib. Qhov no yuav tsum tau txiav txim siab nyob rau hauv muaj cov phenylketonuria lossis ntshav qab zib hauv tus neeg mob.
Cov kev tsis sib haum rau kev siv Sumamed yog cov xwm txheej hauv qab no:
- cov tshuaj tiv thaiv tsis haum rau azithromycin, lwm yam macrolides thiab ketolides, cov khoom xyaw pabcuam;
- noj tshuaj ergotamine thiab dihydroergotamine;
- kev ua txhaum loj heev nyob rau hauv daim siab thiab lub raum (glomerular pom kev tsawg dua 40 ml / min);
- lub cev nyhav thiab lub hnub nyoog ntawm tus neeg mob (txog 3 xyoos rau cov ntsiav tshuaj dispersible, nce txog 5 kg ntawm lub cev qhov hnyav rau kev ncua).
Nrog arrhythmias lossis lub plawv tsis ua hauj lwm, ncua ncua QT ntu, bradycardia, mob siab thiab lub raum pathologies, noj ntau yam tshuaj (Warfarin, Digoxin, tshuaj tiv thaiv kab mob, thiab lwm yam.) Sumamed siv nrog ceev faj.
Amoxiclav Cwj Pwm
Amoxiclav muaj ob yam tshuaj: cov tshuaj tua kab mob amoxicillin thiab clavulanic acid. Amoxicillin belongs rau cov pab pawg ntawm semisynthetic penicillins thiab muaj cov kab mob ntawm cov kab mob hauv qab no:
- cov kab mob gram-positive aerobic (streptococci, pneumococci thiab staphylococci);
- cov kab mob gram-negative (Klebsiella, Escherichia coli thiab Haemophilus influenzae, Enterococci, Moraxella).
Qhov tshuaj tiv thaiv thib ob ntawm cov tshuaj, clavulanic acid, neutralizes beta-lactamases ua los ntawm cov kab mob tawm tsam amoxicillin. Qhov no tiv thaiv Beta-lactam cov tshuaj tua kab mob ua kom lub cev tsis zoo thiab tiv thaiv qhov ua tau zoo ntawm cov tshuaj.
Kev taw qhia txog kev siv Amoxiclav yog cov kab mob hauv qab no:
- cov kab mob ua mob ntawm txoj hlab pa;
- o ntawm cov hlab zis, zais zis, raum;
- cov kab mob sib kis kab mob;
- cholecystitis, mob plab zom mov (tshem tawm ntawm Helicobacter pylori pawg), cholangitis;
- daim tawv nqaij, pob txha thiab cov nqaij mob sib kis;
- Cov kab mob STIs (kab mob gonorrhea, chancre), kev mob plab hauv plab, kho dua tshiab tom qab kev khiav haujlwm.
Amoxiclav feem ntau siv rau hauv kev kho hniav.
Amoxiclav feem ntau siv rau hauv kev kho hniav los kho thiab tiv thaiv txoj kev loj hlob ntawm cov kab mob ntawm cov pos hniav (piv txwv li, cov mob endocarditis).
Daim ntawv pom zoo ntawm cov tshuaj yuav txawv nyob ntawm qhov ntsuas ntawm kev kho thiab hnub nyoog ntawm tus neeg mob. Amoxiclav muaj nyob rau hauv daim ntawv pharmacological hauv qab no:
- Ntsiav tshuaj Cov koob tshuaj ntawm cov tshuaj tua kab mob hauv 1 ntsiav tshuaj tuaj yeem yog 250 mg, 500 mg lossis 875 mg. Tus nqi ntawm beta-lactamase inhibitor rau ib pawg ntawm cov tshuaj tsis pauv - 125 mg.
- Cov ntsiav tshuaj tawg yooj yim. Kev noj tshuaj ntawm amoxicillin / clavulanic acid yog 500 mg / 125 mg thiab 875 mg / 125 mg.
- Hmoov rau kev tsim khoom ntawm kev ncua ntawv. Cov koob tshuaj ntawm cov tshuaj tua kab mob thiab beta-lactamase inhibitor nyob rau hauv kev ncua 5 ml tej zaum yuav yog 125 mg thiab 31.25 mg, 250 mg thiab 62,5 mg thiab 400 mg thiab 57 mg, ntsig txog.
- Hmoov rau qhov siv thiab ua cov tshuaj tiv thaiv kev txhaj tshuaj. Kev noj tshuaj ntawm amoxicillin / clavulanic acid yog 500 mg / 100 mg, 1000 mg / 200 mg.
Kev siv cov Amoxiclav yog cov tsis muaj dab tsi hauv cov kev tshawb fawb xws li:
- cov tshuaj tiv thaiv tsis haum rau penicillins, cephalosporins, monobactam, keeb kwm carbapenems, kev fab tshuaj rau cov tshuaj tiv thaiv cov tshuaj (suav nrog phenylketonuria);
- kev cuam tshuam ntawm daim siab ua rau lub siab, npau taws los ntawm kev siv amoxicillin lossis clavulanate;
- lymphocytic leukemia;
- monocytic tonsillitis (mob mononucleosis).
Kev siv cov Amoxiclav yog ua rau kev ua txhaum lub siab.
Nws yog contraindicated yuav siv daim ntawv dispersible ntawm Amoxiclav nrog lub cev qhov hnyav txog 40 kg, nce txog 12 xyoo, nrog lub ntsej muag glomerular tus nqi tsawg dua 30 ml / min.
Hauv cov kab mob ntawm lub plab zom mov, ua rau muaj teeb meem beta-lactam tshuaj tua kab mob, lub raum lossis lub siab tsis ua haujlwm, cev xeeb tub, pub mis niam thiab kev tswj hwm ib txhij nrog cov tshuaj anticoagulants (suav nrog warfarin), Amoxiclav yog tus muaj kev ceev faj.
Sib Piv ntawm Sumamed thiab Amoxiclav
Amoxiclav thiab Sumamed siv rau qhov ntsuas zoo sib xws, yog li ntawd, rau qhov kev xaiv tseeb ntawm kev noj tshuaj, qhov zoo sib xws thiab sib txawv ntawm cov tshuaj yuav tsum paub meej.
Kws kho mob muab tshuaj rau noj yuav tsum tau ua los ntawm tus kws kho mob nkaus xwb. Tus neeg mob txoj haujlwm yog qhia txog keeb kwm kev tsis haum tshuaj, cov npe ntawm cov tshuaj, cov kev mob tshwj xeeb thiab cov kab mob ntev.
Qhov zoo sib xws
Amoxiclav thiab Sumamed muaj ntau tus yam ntxwv:
- qhov muaj ntau yam kev ua haujlwm ntawm antibacterial;
- muaj peev xwm hloov ib qho tshuaj tiv thaiv kab mob nrog lwm qhov nrog tus neeg mob rhiab rau ib qho ntawm cov tshuaj;
- kev nyab xeeb ntawm kev kho mob nrog ob qho tshuaj rau menyuam yaus thiab cov neeg laus;
- FDA kev nyab xeeb tus qauv - B (siv thaum lub sijhawm cev xeeb tub raug tso cai yog tias cov txiaj ntsig rau tus poj niam cev xeeb tub muaj qhov siab dua qhov muaj feem ua kev puas tsuaj rau tus menyuam hauv lub cev);
- qhov ua tau los ntawm kev cuam tshuam lub zog ntawm kev saib xyuas vim yog cov kev mob tshwm sim los ntawm lub hauv nruab nrab hauv lub paj hlwb.
Dab tsi yog qhov txawv
Txawm hais tias muaj cov yam ntxwv zoo sib xws, qhov sib txawv ntawm ob qhov tshuaj tiv thaiv yog qhov tseem ceeb thiab ua rau pom hauv qab no:
- Mechanism ntawm kev ua. Amoxicillin (Amoxiclav) rhuav tshem cov kab mob cell cell phab ntsa, qhia cov nyhuv bactericidal, thiab azithromycin (Sumamed) inhibits protein synthesis rau ribosomes thiab qeeb kev loj hlob ntawm colony ntawm pathogens.
- Lub sijhawm thiab sijhawm ntawm noj cov tshuaj nrog tib lub pathology. Azithromycin accumulates zoo hauv cov ntaub so ntswg, yog li Sumamed noj 1 zaug hauv ib hnub rau 3 hnub (yog tias tsim nyog, kev kho mob txuas ntxiv mus). Amoxiclav yuav tsum haus cawv 2-3 zaug nyob rau ib hnub rau 5-14 hnub. Kev kho tshuaj ntawm amoxicillin thiab azithromycin rau kev kho mob ib zaug yuav txawv li 2-3 zaug.
- Kev nyab xeeb rau cov neeg mob. Txawm hais tias pawg FDA ib leeg, Amoxiclav yuav suav tias muaj kev nyab xeeb dua thaum cev xeeb tub thiab, tsis zoo li Sumamed, tuaj yeem siv rau kev lactation.
- Qhov ntau zaus ntawm kev phiv tshuaj. Cov kev mob tshwm sim muaj feem ntau pom nrog Sumamed kev kho.
Uas yog pheej yig dua
Nrog nruab nrab ncua sijhawm ntawm kev kho mob, tus nqi kho nrog Amoxiclav thiab Sumamed yuav luag sib npaug. Hauv kev kis mob hnyav, uas tau koom nrog kev kho mob mus ntev nrog amoxicillin thiab ib cov tshuaj ntawm 2-3 zaug hauv ib hnub, kev siv tshuaj tua kab mob macrolide yog qhov pheej yig dua, vim tias Sumamed yuav tsum noj 1 zaug hauv ib hnub rau 3 hnub.
Nrog nruab nrab ncua sijhawm ntawm kev kho mob, tus nqi kho nrog Amoxiclav thiab Sumamed yuav luag sib npaug.
Nws yog ib qho zoo: Sumamed los yog Amoxiclav?
Amoxiclav thiab nws cov tshuaj analogues yog cov tshuaj ntawm kev xaiv rau kev kis tus kab mob ntawm lub ntsws, mob txeeb zig thiab lwm yam hauv nruab nrog cev.
Sumamed tso cai rau koj hloov Amoxiclav hauv kev kis kab mob nrog atypical pathogen, kev kho mob ntawm cov kab mob genitourinary tshwm sim los ntawm STIs, ua xua rau beta-lactam antibacterial tshuaj, thiab kho penicillin kev ua tsis tau zoo.
Rau menyuam
Sumamed thiab Amoxiclav muaj kev nyab xeeb rau menyuam yaus, tab sis amoxicillin feem ntau siv rau hauv tshuaj pleev xim rau menyuam yaus.
Qhov zoo dua ntawm kev siv tshuaj macrolide rau kev kis kab mob sib kis ntawm ib tug menyuam yaus yog qhov muaj peev xwm ntawm kev txhaj tshuaj ib zaug ntau tshaj plaws ntawm cov tshuaj tua kab mob hauv mob otitis media ntawm cov kab mob keeb kwm.
Sumamed thiab Amoxiclav muaj kev nyab xeeb rau menyuam yaus, tab sis amoxicillin feem ntau siv rau hauv tshuaj pleev xim rau menyuam yaus.
Cov kws kho mob tshuaj xyuas
Amosova O.P., kws kho mob pojniam, Krasnodar
Sumamed yog tus neeg sawv cev zoo tshuaj tiv thaiv kab mob. Kuv feem ntau muab tshuaj rau cov neeg mob rau kev kho mob ntawm qhov chaw mos (chlamydia, urea thiab mycoplasmosis). Cov tshuaj tau yooj yim zam los ntawm cov neeg mob thiab muaj cov tshuaj yooj yim.
Yog tias tus nqi ntawm cov tshuaj no ntau dhau, nws tuaj yeem hloov los ntawm cov tshuaj tiv thaiv hauv tsev (Azithromycin).
Chernikov S.N., tus kws kho menyuam yaus, Voronezh
Amoxiclav yog tshuaj tua kab mob rau cov txheej txheem ua mob ntawm txoj hlab pa. Nyob ntawm seb ntau npaum li cas, koj tuaj yeem xaiv ib ntsiav tshuaj daim ntawv ntawm cov tshuaj lossis ncua kev kawm.
Feem ntau, Amoxiclav zam tau zoo, tab sis qee kis, kev siv tshuaj ntau thiab kev kho mob ntev ntev ua rau mob raws plab thiab mob plab.
Tus neeg mob tshuaj xyuas ntawm Sumamed thiab Amoxiclav
Catherine, 25 xyoo, Veliky Novgorod
Lub caij dhau los no, nws mob heev, ua npaws kub heev nrog hnoos thiab los ntswg. Tus kws kho mob kuaj tau mob tracheitis thiab tshuaj Amoxiclav. Kuv noj tshuaj ntau kawg noj ntau zaug ob zaug hauv ib hnub, tam sim ntawd tom qab noj mov. Lawv pab tau sai, tsis pom muaj teeb meem nrog lub plab thiab cov hnyuv. Qhov tsuas yog qhov tsis zoo yog tus nqi ntau ntawm tshuaj.
Veronika, 28 xyoos, Samara
Sumamed yog qhov tshuaj zoo heev, tab sis nws yuav tsum noj tsuas yog thaum kawg, thaum lwm cov tshuaj tsis pab. Tus kws kho mob tau sau cov tshuaj no rau nws tus tub thaum siv cov tshuaj tua kab mob ua tsis zoo. Sumamed ces pab sai sai thiab ntev ntev.
Thaum kho, koj yuav tsum haus dej cawv probiotics rau txoj hnyuv thiab txiav txim siab contraindications.
