He aha kaʻokoʻa ma waena o Sumamed lāua ʻo Amoxiclav?

ʻO nā hoʻonaninani penicillin a me nā macrolide nā lāʻau lapaʻau maikaʻi a palekana i ʻōlelo ʻia no nā maʻi bakalapa o ka ʻili, ka gastrointestinal tract, nā ʻōpū a me nā urogenital, nā ʻūlū palupalu, a me nā mea pono. ʻO nā mea kikoʻī o kēia mau kālā.

Nā ʻano hiʻohiʻona o ka Sumamed

ʻO ka mea ikaika a Sumamed ʻo ka azithromycin. Hoʻōla maikaʻi ia i ka gram-positive (staphylococci, streptococci), gram-negative (hemophilic bacillus, moraxella, gonococci), anaerobic (clostridia, porphyromonads) a me nā microorganism ʻē aʻe. ʻO kahi waiwai nui o ka azithromycin ka maikaʻi o ka hakakāʻana i nā pathogens o chlamydia, mycoplasmosis a me ka borreliosis (maʻi Lyme).

ʻO nā mea hōʻiliʻili a i ʻole Amoxiclav ka hopena maikaʻi a palekana i ʻōlelo ʻia i nā maʻi maʻi.

Hōʻike ʻia ka hoʻohana ʻana o Sumamed no kēia ʻano alala:

• nā maʻi bacterial i hoʻopaʻa ʻia i ka ʻōpū o ka ʻōpū (pharyngitis, sinusitis, sinusitis, otitis media, pneumonia i loaʻa i nā kaiāulu, bronchitis aʻeha a me nā maʻi, tracheitis, etc.);
• nā maʻi o ka ʻili a me nā io ponoʻī (impetigo, ʻeha koʻikoʻi, erysipelas) a i ʻole ka maʻi bacterial faharoa me nā dermatoses;
• ka hoʻomaka mua ʻana o ka borreliosis.

Pēlā pūkaʻi, kauoha ʻia no ka mālama ʻana i ka cervicitis, urethritis a me nā pēpē ʻē aʻe o ka urogenital system i hoʻokumu ʻia e STI, a me ka pale ʻana o ka infocious endocarditis a me mycobacteriosis.

ʻO ka lāʻau lapaʻau ʻo Sumamed i ʻōlelo ʻia no ka mālama ʻana i ka mumū o ka ʻoihana genitourinary.

Ua loaʻa i ka Sumamed ma nā ʻano ʻano like ʻole:

1. Nā Papa Hoʻolaha Oral. ʻO ka nui o ka hopena o ka antibiotik ma nā papa he 125 mg, 250 mg, 500 mg a i ʻole 1 g.
2. Nā ʻatikā Kūkulu gelatin he 250 mg o azithromycin.
3. Hoʻopili no ka pēpē ʻO ka make ʻana o ka azithromycin ma ke kāʻei ʻana ma Sumamed ke kāpili ʻia he 100 mg ma ka 5 ml o ka lāʻau lapaʻau, i kā Susamed Forte suspension - 200 mg / 5 ml. Hoʻohana ʻia kahi lāʻau lapaʻau haʻahaʻa e mālama i nā pēpē hou. Manaʻo ʻia kēia ʻano dosage no nā keiki, no laila, loaʻa ka pauka i nā ʻono (banana, strawberry, raspberry, cherry a vanilla).
4. ʻO ka paukahi no ka hoʻonāukiuki. 1 ipu o nā lāʻau lapaʻau he 500 mg o ka antibiotic.

Aia kekahi mau ʻano o ka lāʻau lapaʻau me ka aspartame a me ke kō. Pono e noʻonoʻo pono i kēia ma mua o ka phenylketonuria a i ʻole ka maʻi maʻi ma ka mea maʻi.

Nā maʻi hoʻohālikelike i ka hoʻohana ʻana o Sumamed i nā ʻano ʻōlelo like ʻole:

• hypersensitivity i ka azithromycin, nā macrolides a me nā ketolides, nā mea kōkua;
• ka lawe ʻana i ka lāʻau ergotamine a me nā dihydroergotamine;
• nā hana hōʻeha nui o ka pūpū a me nā pōpoki (ʻo ka kānalua filtration glomerular e emi mai ma kahi o 40 ml / min);
• ke kaupaona haʻahaʻa a me ka makahiki o ka mea maʻi (a hiki i 3 mau makahiki no nā papa pālahalaha, a hiki i ka 5 kg o ke kino o ke kino no ka hoʻopiʻi).

Me ka arrhythmias a i ʻole ka pohihihi, kahi manawa QT i hala, bradycardia, nā pēpē a me nā palu, a lawe aku i nā lāʻau lapaʻau (Warfarin, Digoxin, nā lāʻau antiarrhythmic, etc.) Hoʻohana ʻo Sumamed me ka akahele.

ʻO ka contraindication i ka hoʻohana ʻana o Sumamed he hypersensitivity i azithromycin.

Mai hoʻohana i ka Sumamed ma kahi paʻakikī koʻikoʻi.

Hoʻohana ʻia ʻo Sumamed me ka makaʻala i ka hiki ʻole o ka puʻuwai naʻau.

Hoʻāla ʻia Amoxiclav

Loaʻa i ka Amoxiclav ohe mau mea ikaika: ʻo ka antibiotic amoxicillin a me clavulanic acid. ʻO Amoxicillin e pili ana i ka hui o penicillins semisynthetic a he hopena bactericidal ma kēia huakaʻi:

• nā kino aerobic gram-maikaʻi (streptococci, pneumococci a me staphylococci);
• nā huakini kino-kino (Klebsiella, Escherichia coli a me ka influemes Haemophilus, Enterococci, Moraxella).

ʻO ka māhele ʻelua o ka lāʻau, clavulanic acid, ka hoʻololi ʻana i ka beta-lactamases i hoʻoulu ʻia e nā bacteria e kū i ka amoxicillin. Mālama kēia i ka beta antibiotic beta-lactam mai ka pala a mālama i ka pono o ka lāʻau.

ʻO nā maʻi no ka hoʻohana ʻana o Amoxiclav i kēia mau maʻi.

• nā hana kino o ke kino o ka ʻōpū;
• hana ino ʻia o ka urethra, pākuʻi, ʻeha;
• nā maʻi kuʻunaʻi gynecological;
• cholecystitis, ulia gastric (kahi kinai ʻana o nā kolana pylori Helicobacter), cholangitis;
• nā ʻili, ka iwi a me nā maʻi hui ʻili;
• Nā STI (gonorrhea, chancre), nā hana maʻi intra-abdominal, hoʻoponopono hou ma hope o ka hana.

Hoʻohana pinepine ʻia ka Amoxiclav ma ke kauka niho.

Hoʻohana pinepine ʻo Amoxiclav i ka hana hānai no ka mālamaʻana a pale i ka hoʻomohala ʻana o nā maʻi hōʻeha o ka maʻi bacterial (no ka laʻana, infocious endocarditis)

Hiki ke ʻano ke ʻano pono o ka lāʻau lapaʻau ma muli o nā hōʻailona no ka lapaʻau a me ka makahiki o ka mea maʻi. Loaʻaʻo Amoxiclav i loko o nā ʻano lāʻau lapaʻau e like me kēia:

1. Nā Palaki ʻO ka makeʻana o ka hoʻohui o ke ʻano antibacterial i loko o 1 papa he 250 mg, 500 mg a i ʻole 875 mg. ʻO ka nui o ka inhibitor beta-lactamase no kēlā me kēia waihona o ka lāʻau lapaʻau ua hoʻololi ʻole ʻia - 125 mg.
2. Nā pale papa. ʻO ka helu o ka amoxicillin / clavulanic acid he 500 mg / 125 mg a me 875 mg / 125 mg.
3. ʻO ka pauka no ka hana ʻana o ke kāpoki. ʻO ka makeʻana o nā antibiotic a me nā beta-lactamase inhibitor ma loko o kahi 5 ml suspension hiki i ka 125 mg a me ka 31.25 mg, 250 mg a me 62.5 mg a me 400 mg a me 57 mg, ma kēlā.
4. ʻO ka pauka no ka hana ʻana i kahi hopena hoʻonā. ʻO ka helu o ka amoxicillin / clavulanic acid he 500 mg / 100 mg, 1000 mg / 200 mg.

Hoʻohana ʻia ka hoʻohana ʻana o Amoxiclav i loko o nā ala e like me:

• hypersensitivity o penicillins, cephalosporins, monobactam, a mōʻaukala o ka carbapenems, he alerine i nā mea kōkua o ka lāʻau (e komo pū ka phenylketonuria);
• nā pilikia o ka pūpū, hoʻonāukiuki e ka hoʻohana o amoxicillin i a clavulanate paha;
• leukemia lymphocytic;
• monillytic tonsillitis (mononucleosis).

ʻO ka hoʻohana ʻana o Amoxiclav, ua hoʻohālikelike ʻia i ka hōʻe ʻole ʻana i ka pūpū.

Ua hoʻohālikelike ʻia ka hoʻohana ʻana i ka palapala hoʻohālikelike o Amoxiclav me ke koʻikoʻi o ke kino a hiki i ka 40 kg, a hiki i 12 mau makahiki, me kahi huina filtration glomerular haʻahaʻa ma lalo o 30 ml / min.

I nā maʻi o ka pēpē gastrointestinal, hoʻonāukiuki ʻia e nā antibiotika beta-lactam, kidney a me ka hōʻoki ʻole i ka ate, ka hapai, ka hōʻuluʻulu a me ka hoʻokolohua ʻōwili me nā anticoagulants (me ke ʻano o ka warfarin), ua hoʻoholo ʻia ʻo Amoxiclav me ka makaʻala.

ʻO ka hoʻohālikelike o Sumamed lāua ʻo Amoxiclav

Hoʻohana ʻia ʻo Amoxiclav a me Sumamed no nā hōʻailona like ʻana, no laila, no ka koho pololei ʻana o nā lāʻau lapaʻau, pono e like me nā mea like a me nā ʻokoʻa o nā lāʻau lapaʻau.

Ke lawe nei i kahi lāʻau lapaʻau e hana wale ʻia e ke kauka hele mai. ʻO ka hana a ka mea maʻi e hōʻike i kahi mōʻaukala o nā hopena aleriko, kahi papa inoa o nā lāʻau lapaʻau, nā kūlana olakino kūikawā a me nā puʻuwai maʻi.

Hoʻohālike

ʻO Amoxiclav a me Sumamed he mau hiʻohiʻona maʻamau:

• ka laulā o ka hana antibacterial hana;
• ka hiki o ka hoʻololi ʻana i kekahi antibiotic me kekahi me ka nānā ʻana o kekahi i nā lāʻau lapaʻau;
• ka palekana o ka mālama ʻana me nā lāʻau ʻelua no nā keiki a me nā pākeke;
• ʻOi ka palekana palekana FDA - B (hoʻohana i ka wā hāpai a loaʻa i ka wā inā ʻoi aku ka nui o nā pono kūpono no ka wahine hāpai i ka ʻoihana wahine;
• ka hiki o ka hoʻoulu ʻia ʻana o ka neʻe ʻana o ka makaʻala ma muli o nā hopena ʻaoʻao mai ka pūnaehana neʻe.

ʻOkoʻa ka ʻokoʻa

ʻOiai ke kūʻana o nā hiʻohiʻona like, ʻano nui ka ʻokoʻa ma waena o nā mea ʻelua e hōʻike ai i kēia mau mea i loko o ka hopena:

1. Nā hana hana i ka hana. Hoʻopuka ʻo Amoxicillin (Amoxiclav) i ka paia o ka maʻi bacterial, e hōʻike ana i ka hopena bactericidal, a me ka azithromycin (Sumamed) ke pale aku i ka synthesis o ka protein ma nā ribosom a e hoʻolōʻihi i ka ulu ʻana o kahi kolone o nā pathogens.
2. ʻO ka lōʻihi a me ka pinepine e lawe i ka lāʻau lapaʻau me ka pathology like. Hoʻopili maikaʻi ka Azithromycin i loko o nā lau, no laila ua lawe ʻia ʻo Sumamed i hoʻokahi manawa i kēlā me kēia lā no 3 mau lā (inā pono, hoʻomau ʻia ka lāʻau). Pono ke inu Amoxiclav i 2-3 mau lā i ka lā no 5-14 lā. ʻO ka hopena therapeutic o amoxicillin a me azithromycin i ke papa lāʻau lapaʻau e like me ka 2-3 mau manawa.
3. ʻO ka palekana no nā maʻi. ʻOiai ʻo ke kākahi o ka FDA hoʻokahi, manaʻo ʻia ʻo Amoxiclav i ka wā mālama a i like ʻole ʻo Sumamed, hiki ke hoʻohana ʻia no ka lactation.
4. ʻO ke alapine ʻana o ka hopena ʻino. Hoʻopaʻa pinepine nā hopena i ka hopena Sumamed.

ʻOi ka uku

Me kahi mau kauka o ka mālama ʻana, ua like ke kumukūʻai o ke ʻano maʻi me Amoxiclav a me Sumamed. I nā maʻi koʻikoʻi, kahi e komo ai i ka mālama lōʻihi me ka amoxicillin a me kahi hoʻoponopono o ka lāʻau lapaʻau 2-3 mau manawa i kahi lā, ʻoi aku ka maʻalahi o ka mālama maʻi macrolide, no ka mea, ʻoi aku ka maikaʻi. Kuhi ʻia ka ʻāpana o ka manawa 1 i kēlā me kēia lā no 3 mau lā.

Me kahi mau kauka o ka mālama ʻana, ua like ke kumukūʻai o ke ʻano maʻi me Amoxiclav a me Sumamed.

ʻO wai ka mea maikaʻi: Sumamed a i ʻole Amoxiclav?

ʻO Amoxiclav a me kāna mau mea hoʻohālike, ʻo ia nā lāʻau lapaʻau i koho no nā maʻi ʻeha o ka pūnao, ka urinary tract a me nā kino ʻokoʻa o loko.

Hāʻawi ʻo Sumamed iā ʻoe e hoʻololi i ka Amoxiclav i nā maʻi me ka pathogen atypical, nā hana hoʻomohala i ka ʻōnaehana genitourinary i hoʻokumu ʻia e nā STI, nā maʻi kūloko i nā lāʻau antibacterial beta-lactam, a me nā hana hoʻomehana penicillin.

No na keiki

Ua palekana ʻo Sumamed a me Amoxiclav i nā keiki, akā ʻoi ka hakuxicillin i hoʻohana pinepine ʻia i nā keiki pediatrics.

ʻO ka hoʻohanaʻana i kahi hoʻomākaukau macrolide no nā maʻi maʻi maʻamau o kahi keiki ka hiki i kekahi o ka nui o ka nui o ka nui loa o ka nui o ka antibiotic i loko o ka media otitis media o kāna kumu bakela.

Ua palekana ʻo Sumamed a me Amoxiclav i nā keiki, akā ʻoi ka hakuxicillin i hoʻohana pinepine ʻia i nā keiki pediatrics.

Hōʻike nā kauka i nā kauka

ʻO Amosova O.P., gynecologist, Krasnodar

ʻO Sumamed kahi hui antibakteri maikaʻi. Ua kuhikuhi pinepine wau iā ia i nā poʻe maʻi no ka mālama ʻana i nā maʻi genital (chlamydia, urea a me mycoplasmosis). Hoʻomaʻamaʻa maʻalahi ka lāʻau lapaʻau e nā maʻi a loaʻa iā ia ka regimen dosage kūpono.

Inā kiʻekiʻe loa ke kumukūʻai o ka lāʻau lapaʻau, hiki ke hoʻololi ʻia e kahi analogue home (Azithromycin).

Chernikov S.N., pediatrician, Voronezh

ʻO Amoxiclav kahi lāʻau lapaʻau maʻamau no nā hana maʻi o ka hāhā. Wahi a ka dosage, hiki iā ʻoe ke koho i kahi ʻano papa o ka lāʻau lapaʻau a i ʻole ka hoʻokuʻu ʻia ʻana.

I ka hapa nui, ʻae maikaʻi ʻia ʻo Amoxiclav, akā ma kekahi mau mea, nui nā dosis nui o ka lāʻau a me ka therapy lōʻihi e hoʻolōʻihi i ka maʻi a me ka ʻeha.

ʻO nā loiloi hoʻomanawanui ma Sumamed a me Amoxiclav

Catherine, 25 makahiki, Veliky Novgorod

ʻO ka hoʻoilo, ua lilo ʻo ia i ka maʻi nui, kahi maʻi nui me ka maʻi ʻōpala a me ka ihu runny. Ua hōʻike ke kauka i ka tracheitis a kuhikuhi iā Amoxiclav. Lawe au i nā lāʻau paʻi ma kahi kiʻekiʻe loa ma ʻelua lā i hoʻokahi lā, ma hope koke o ka ʻai ʻana. Ua kōkua wikiwiki lākou, ʻaʻole ʻike i nā pilikia me ka ʻōpū a me nā ʻōpū. ʻO ka mea maikaʻiʻole ke kumukūʻai kiʻekiʻe o ka lāʻau lapaʻau.

Veronika, 28 makahiki, ʻo Samara

ʻO Sumamed kahi lāʻau maikaʻi loa, akā pono lawe ʻia ma ke ʻano he hopena hope loa, inā ʻaʻole kōkua ʻia nā lāʻau lapaʻau. Ua ʻōlelo ke kauka i kāna lāʻau lapaʻau i kāna keiki inā ʻaʻole pono nā lāʻau lapaʻau kuʻuna. Ua kōkua wikiwiki ʻia ʻo Sumamed a i kekahi manawa lōʻihi.

I ka wā mālama, pono ʻoe e inu i probiotics no nā ʻōpū a e noʻonoʻo i nā contraindications.