He aha ke koho: Klacid a i ʻole Amoxiclav?

ʻO nā Macrolides a me nā penicillins kahi o nā hui palekana a me ka maikaʻi loa o nā lāʻau antibacterial. Hoʻohana ʻia lākou e mālama i nā hōʻeha o nā kino kūloko, nā ʻōpala palupalu a me ka ʻili. Aia i nā kuhikuhi no ka hoʻohana a me ka kumu kumu o ka maʻi, hiki i ke kauka ke kuhikuhi iā Klacid a i ʻole Amoxiclav, me nā lāʻau like ʻana i ka hoʻohālikelike a me nā hopena iā lākou (Clarithromycin, Augmentin, Sumamed).

Hōʻanoʻike o Klacid

ʻO ka hana ikaika o Klacid ka clarithromycin antibiotic macrolide. Hoʻonui ka laulā o kāna hana antibacterial i nā maʻi maʻamau maʻamau o nā maʻi maʻi maʻi. Hoʻokomo ʻia nā microorganism kūpono:

• nā kino-maikaʻi a me ka gram-Neger i ke kino aerobic (streptococci, pneumococci, moraxella, hemophilus bacillus, listeria, etc.);
• anaerobic pathogens (clostridia, etc.);
• nā mea hoʻomāinoino pilikino o STDs (chlamydia, mycoplasma, ureaplasma);
• toxoplasma;
• ʻO Borrelia
• Helicobacter pylori (H. pylori);
• mycobacteria (ʻaʻole hōʻike i ka pono kūpono wale nō i ka wā i maʻi ʻia me ka maʻi microbacteria tuberculosis).

Hoʻohana ʻia nā Klacid a me Amoxiclav e mālama i nā hōʻeha o nā kino o nā kino, nā palu palupalu a me nā ʻili.

ʻO ka laulā ākea o ka hana clarithromycin hiki iā ʻoe ke kuhikuhi iā Klacid me nā hōʻailona aʻe nei:

• nā maʻi maʻi pehu o nā wahi o luna a me lalo o ka ʻōpū o ka ʻōpū (sinusitis, tonsillitis, pharyngitis, otitis media, tracheobronchitis, pyponia atypical, etc.);
• folliculitis, erysipelas, nā mea maʻi ʻē aʻe o ka ʻili a me ka ʻoloputan a;
• nā maʻi kūloko a me nā ʻōnaehana i hoʻokumu ʻia e ka mycobacteria (ʻaʻole i hoʻohālikelike ʻia ʻo Koch);
• ka prophylaxis o ka maʻi mycobacterial i hoʻonāukiuki ʻia e M. avium i nā maʻi maʻi HIV-maikaʻi me kahi haʻahaʻa haʻahaʻa o T-helpers;
• ʻeha ka ʻōpū a me ka ulia duodenal (i hiki ke hōʻemi i ka hoʻoliʻiliʻi ʻana o H. pylori ma ke ʻano o ka papa o ka antibacterial hui pū ʻia);
• ʻO nā STI e nā maʻi pili i ka clarithromycin;
• ka pale ʻana o nā hoʻopiʻi maʻi ʻana ma hope o nā kaʻina hana niho (me ka sepsis a me ka endocarditis).

Ma muli o ka hoʻomohala a me ka makahiki o ka mea maʻi, hiki i ke kauka ke kuhikuhi i kekahi o kēia ʻano hana e hoʻokuʻu ai iā Klacid:

• nā papa (ka dosage o ke ʻano ikaika - 250 a me 500 mg);
• suspension (ka nui o nā antibiotic i 5 ml o ka huahana i pau a 125 a 250 mg);
• ka pauma no ka hoʻomākaukau o ka hoʻonā wai infusion (dosis o clarithromycin - 500 mg ma 1 bole).

ʻO ka hana ikaika o Klacid ka clarithromycin antibiotic macrolide.

ʻAʻole i kuhikuhi ʻia ʻo Klacid ma ke ʻano o nā injections: ke kōkōkōkō ʻo ka macrolide i lawe ʻia no ka pahu he hoʻokahi a i ʻole kekahi manawa lōʻihi.

ʻO nā hoʻohālikelike i ka hoʻohana ʻana o clarithromycin:

• hypersensitivity i nā lāʻau macrolide a me ke ketolide, nā mea kōkua o ka lāʻau;
• ʻO ka nele o ka puʻuwai, ka maʻi naʻau coronary, arrhythmia ventricular a me tachycardia, ka hiki ʻana o nā mea proarrhythmogenic a me ka hoʻonui nui aʻe o ka hoʻonui ʻana i ke kikowaena QT (no ka laʻana, ka hemahema o ka pāhana a me ka magnesium);
• kahi hui pūpili o ka pūpū a me ka hana ʻole o ka naʻau;
• jaundice cholestatic, hoʻonāukiuki e ka hoʻohana ʻana o kēia antibiotik (mōʻaukala);
• lactation
• hapai (i ka 2-3 trimester, hiki nō ke hoʻohana e like me nā ʻōmole koʻikoʻi);
• mau makahiki malalo mai o 6 malama;
• maʻi maʻi porphyrin;
• ʻo ka maʻi lapaʻau me nā mea kūlike e pili ʻole ana me ka clarithromycin (Ergotamine, Colchicine, Ticagrelor, Midazolam, Ranolazine, Cisapride, Astemizole, Terfenadine, statins, etc.).

Ma ka hihia o ke akepaʻa a me ka hana ʻana o ka pēpē (inā ʻo Cl creatinine ma mua o ka hana maʻamau, akā ʻoi aku ma mua o 30 ml / min), pono ke mālama ʻia ʻo ka clarithromycin ma lalo o ka mākaʻi ʻana o ka lāʻau lapaʻau a nānā i nā biochemistry koko. I ke kohoʻana i ke kāʻei o Klacid i nā mea maʻi me ka maʻi mellitus, pono ke noʻonoʻo i ka nui o ka sukrose i loko o ka ʻōlelo i manaʻo ʻia o ka lāʻau.

I ke kohoʻana i ke kāʻei o Klacid i nā mea maʻi me ka maʻi mellitus, pono ke noʻonoʻo i ka nui o ka sukrose i loko o ka ʻōlelo i manaʻo ʻia o ka lāʻau.

Hoʻāla ʻia Amoxiclav

ʻO Amoxiclav ka mea i hoʻohui ʻia nā wae antibacterial (amoxicillin) a me kahi beta-lactamase inhibitor (clavulanic acid). Hoʻopili ka Clavulanic acid i ka hana o nā enzyme bacterial e wāwahi i ka beta antibiotic beta-lactam. ʻO ka hui pū ʻana o kēia mau ʻāpana ʻelua e hiki iā ʻoe ke hana pū a me nā microorganism kū'ē i nā penicillins pale ʻole.

Hoʻonui ʻia ka kiko o ka hanaxxillillin i loko o nā pathogens i lalo iho nei:

• nā mea ʻai aerobic gram-maikaʻi (staphylococci, streptococci, pneumococci);
• gramci-aerobic cocci (hemophilic a me Escherichia coli, moraxella, Klebsiella, enterobacteria).

ʻO nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau nā mahele iki:

• nā maʻi kino o ke kikowaena a me nā ʻōpū papa haʻahaʻa;
• nā hana hoʻonā a me nā ʻoihana maʻi o ka urinary i hana ʻia e nā microorganisms aerobic;
• nā maʻi ʻeha a me ka ʻōpū (ka gastric a me duodenal ulcers, ka mumū o ka ʻōpū a me nā kumuo ʻoi);
• nā maʻi ʻeha o ka ʻōpiopio;
• nā maʻi odontogenic, ka pale ʻana i nā hoʻopiʻi olakino ma hope o nā hana dental;
• osteomyelitis, maʻi ʻeha hoʻohui;
• nā maʻi hōʻiliʻili o ka ʻili a me ka kiko subcutaneous;
• no ka hoʻopuka ʻana o Amoxiclav: STD (gonorrhea, light chancre), hoʻoulu i ka ʻōpū o ka ʻōpū, pale ʻana i nā hoʻopiʻi maʻipaʻa ma hope o ke kau ʻana.

Loaʻa ia Amoxiclav i kekahi mau palapala hoʻohālikelike:

• papa (ke ʻano o ka nuixicillin he 250, 500 a i ʻole 875 mg);
• papa ʻai (soluble) papa (loaʻa 500 a 875 mg o ke ʻano lāʻau);
• lyophilisate no ka hana ʻana o kahi hoʻomākaukau intravenous (ʻo ka pāʻana o ka wae antibacterial i loko o 1 pahu o ka lyophilisate he 500 mg a 1 g);
• ka pauku no ka hana o kahi hana o ke kahuli (5 ml o ka lāʻau hoʻopau i loko o ka 125, 250 paha 400 mg o ka mea ikaika, e pili ana i ka ʻōnaehana i hōʻike ʻia.

ʻO Amoxiclav ka mea i hoʻohui ʻia nā wae antibacterial (amoxicillin) a me kahi beta-lactamase inhibitor (clavulanic acid).

ʻO nā kumulane e lawe iā Amoxiclav he mau ala e like me:

• hypersensitivity i nā lāʻau lapaʻau o nā penicillin a me nā pūʻulu cephalosporin, a me ka monobactam a me ka carbapenem;
• maʻi pālohelohe a me nā maʻi metabolic o nā mea hou aʻe o Amoxiclav (phenylketonuria);
• hopohopo monocytic tonsillitis;
• leukemia lymphocytic;
• hehaola hepatic hana ma muli o ka therapy amoxicillin (mōʻaukala);
• i ka wā e koho ai i nā papa hoʻoheheʻe ʻia ʻAmoxiclav: ʻoi aku ka nui ma mua o 40 kg, mau makahiki o nā keiki (a hiki i ka 12 makahiki), nui o ka pilikia hōʻeha (Cl creatinine <30 ml / min.).

Me ka mālama aka, ua ʻōlelo ʻia ʻo Amoxiclav no nā maʻi ʻalepona a me ka pēpē, no ka mālama ʻana me nā anticoagulants, no ka moʻolelo o nā maʻi gastrointestinal i kumu o ka maʻi antibacterial, no ka lactation a me nā hapai.

ʻO ka hoʻohālikelike o Klacid a me Amoxiclav

ʻO nā hōʻailona no ke koho ʻana iā Amoxiclav a ʻo Klacid ua like nō ia. ʻO kēlā me kēia ʻokoʻa ka hoʻohana ʻana ma muli o ka ʻokoʻa i ka spectrum o ka hana antibacterial, ke kumukūʻai a me ka palekana o nā lāʻau lapaʻau.

Hoʻohālike

ʻO nā hiʻohiʻona maʻamau no nā lāʻau lapaʻau ʻelua:

1. ʻO kahi ākea ākea o ka hana antibacterial.
2. ʻO ka lōʻihi kūpono o ka lāʻau (5-14 lā) a me ka neʻe ʻana o ka lawe ʻana i ka lāʻau (2 mau manawa i kahi lā).
3. ʻO ke kūlana e waiho ai mai nā lāʻau lapaʻau (ma ke kau lāʻau).
4. Hoʻomaka e kū'ē i nā bacteria e hoʻopuka ana i ka beta-lactamases.
5. Ka hoʻopiʻi ʻana i ka ʻeha paʻa o nā ʻeha gastrointestinal i hoʻonāukiuki ʻia e H. pylori.

ʻOkoʻa ka ʻokoʻa

ʻO ka ʻokoʻa ma waena o Klacid a me Amoxiclav ka mea nui loa. ʻO nā ʻokoʻa i ka lāʻau lapaʻau e nānā ʻia i nā mea like me:

1. ʻO ka Pūnaewele palekana FDA. ʻOi aku ka makemake o Amoxicillin e hoʻohana ʻia e nā wahine hāpai.
2. Mālama ka hoʻohana ʻana i ka wā lactation. Hoʻohana ʻia ʻo Amoxiclav e hoʻohana ʻia no ka ʻōpū o ka maʻi, ʻaʻole i ʻōlelo ʻia ʻo Klacid.
3. ʻO ka makahiki liʻiliʻi loa e hiki ai ke hoʻohana ʻia i ka lāʻau lapaʻau. Hiki ke kuhikuhi ʻia nā ʻenehana hoʻokumuʻo Amoxicillin i nā keiki mai nā lā mua o ke ola. Ua kuhikuhi ʻia ʻo Klacid i nā pēpē i ʻoi aku ma mua o ʻeono mahina.
4. Ka lāʻau lapaʻau i kēlā me kēia lā. I ka wā e mālama ai me Amoxiclav, ʻo 750-1750 mg, a me Klacid - 500-1000 mg.
5. ʻO nā hopena kūponoʻole a me nā contraindications. Hāʻawi ʻia ka Clacid e nā hopena ākea pinepine mai ka neʻe ʻana o ke aʻa ma ke kikowaena (ʻike i ke aʻa a me ka ʻono, ʻāhina, ka ʻeha).

ʻOi aku ka makemake o Amoxicillin e hoʻohana ʻia e nā wahine hāpai.

Hoʻohana ʻia ʻo Amoxiclav e hoʻohana ʻia no ka ʻōpū o ka maʻi, ʻaʻole i ʻōlelo ʻia ʻo Klacid.

Hiki i ka Clacid ke hōʻike pinepine ʻia e nā hopena hopena mai ka neʻe o ka pūnao waena (insomnia).

ʻOi ka uku

Me ka like o ka lōʻihi o ka lāʻau, ʻo Klacid e kūʻai i nā manawa 2-3 mau kumu kūʻai ma mua o Amoxiclav. ʻO ka hoʻohālikelike o ke kumukūʻai o ka papa lapaʻau e hilinaʻi ana i ka regimen antibiotic.

ʻOi aku ka maikaʻi: Klacid a i ʻole Amoxiclav

Ke lawe ʻia nei ke koho i ka lāʻau lapaʻau e ke kauka e pili ana i ka maʻi o ka mea maʻi, ka ʻano o ka loʻi maʻi hopohopo a me ka mōʻaukala olakino.

Hoʻoholo ʻia ʻo Amoxiclav i ka lāʻau koho ke koho i ka mālama ʻana i nā maʻi o ka pūnao hoʻopiʻi ʻia i nā maʻi maʻamau. Mālama loa ia no nā pūʻulu o nā mea āpau o nā maʻi.

Hoʻomaʻamaʻa pinepine ʻia ʻo Klacid i nā maʻi pākeke me nā STD, nā maʻi kūlohelohe a me nā maʻi kūloko.

Nā Hōʻike Hoʻomaʻi

Maria, 31 tau makahiki, ʻo Astrakhan

Loaʻa pinepine ke keiki i ka ʻeha (tonsillitis, pharyngitis). Ma mua, ua kuhikuhi ke kauka iā Amoxicillin a me kāna mau kikowaena, akā i kēia manawa ʻaʻole i kōkua ka antibiotika, ʻaʻole i hoʻohuli i ka wela. Ma hope o 3 mau lā o ka maʻi, ua hoʻololi ʻia ka lāʻau lapaʻau iā Klacid. Aia ma ka lua o ka lā e komo ai, ua nui ke aniani, a hoʻomaka ke keiki e ola hou.

Ua hauʻoli wau i ka hopena, akā i ka lāʻau lapaʻa ka hopena ikaika - nausea.

Olga, 28 makahiki, Krasnodar

ʻO Amoxiclav kahi mākala ākea ākea ākea e hoʻopiʻi pono ana me kāna hana. Ua kau ʻia ka lāʻau lapaʻau no ka maʻi o kāna keiki, i kona wā ʻōpio hoʻokahi. Ua hauʻoli ke keiki e inu i ka lāʻau lapaʻau ma ke ʻano o ka pona ʻana, a ma hope o 1-2 mau lā ua ʻike ʻia ka hopena.

He kūpono kūpono ka lāʻau lapaʻau no nā pākeke, no laila he mea kūpono e mālama i nā papa a me nā pala i loko o kahi keʻena lapaʻau home.

Hōʻike nā kauka e pili ana i nā kauka ʻo Klacid lāua me Amoxiclav

Bakieva E.B., Dentist, Ufa

ʻO Klacid kahi lāʻau maikaʻi maikaʻi a maikaʻi mai ka mea hana Kelemania. Loaʻa ia i ke kuā he nui o nā maʻi o ka pale kūpaʻa i nā lāʻau kūlohelohe. He ia koʻikoʻi nui no ka iwi a me nā ʻili niho, no laila ua hana ikaika ia i ka dentistry a me nā hana.

Ke kuhikuhi nei wau i kēia lāʻau lapaʻau i nā mea maʻi me ka osteomyelitis, periostitis, sinusitis odontogen a me nā maʻi maʻi mua o ka ʻōnaehana (tonsillitis, pharyngitis).

ʻO kahi hemahema kūlike mau loa ka hopena i ka hopena mai ke aʻeha o ka gastrointestinal (maʻi, dyspepsia, nausea).

Almasri A.M., gastroenterologist, Moscow

Hoʻomaʻamaʻa pinepine ʻia ʻo Amoxiclav i nā maʻi ʻeha, akā hāʻawi ka lāʻau lapaʻau i ka dinamics maikaʻi i nā hihia ʻē aʻe (no ka laʻana, me nā ʻōpū, cholecystitis, etc.). Loaʻa ka antibiotic i kekahi mau ʻano a kūpono ke hoʻohana. ʻO kahi uku hou aʻe ke kumukūʻai kūpono.

I ka wā o ka mālama ʻana, hiki i nā maʻi stool ke hoʻomohala a pinepine ka kandidiasis ma hope o ka hoʻokele ʻana.