Azithromycin lossis amoxicillin - uas zoo dua? Koj puas paub txaus txog cov tshuaj no?

Azithromycin thiab Amoxicillin vim kev siv tas li hauv cov kabmob uas zoo sib xws hauv lub siab ntawm ntau tus neeg tau sib zog ua ib qho thiab ib yam tshuaj. Txawm li cas los xij, lawv sib txawv ntau yam thiab muaj lawv tus kheej daim ntawv thov taw tes.

Cov tshuaj muaj pes tsawg leeg ntawm Azithromycin thiab Amoxicillin suav nrog tib yam tshuaj ua ke. Raws li cov npe no, ntau lub tuam txhab tshuaj ua lag luam tsim lawv cov khoom.

Mechanism ntawm kev ua

Azithromycin ua rau kev tsim cov protein hauv cov kab mob hauv lub cev, cuam tshuam nrog nws. Raws li qhov ua tiav, cov kab mob me me poob lub peev xwm loj hlob thiab ntau vim yog tsis muaj tsev cov ntaub ntawv.
Amoxicillin cuam tshuam kev tsim cov peptidoglycan, cov txheej txheem tseem ceeb ntawm cov kab mob ntsws, ua rau cov kab mob tuag taus.

Kev tawm tsam azithromycin hauv cov kab mob ua rau qeeb dua thiab tam sim no tsis tshua pom nyob hauv kev sib piv nrog amoxicillin. Nws yog qhov muaj kev cuam tshuam ntawm cov kab mob pathogenic rau Azithromycin thiab Amoxicillin uas yog lub hauv paus ntawm yuav ua li cas cov tshuaj tiv thaiv no sib txawv.

Azithromycin yog tseg rau:

Cov mob txhab ntxiv ntawm pharynx thiab tonsils,
Kev mob ntawm lub bronchi,
Mob ntsws o
Otitis media (mob rau ntawm tus mob tympanic kab noj hniav),
Mob Sinusitis (mob siab rau ntawm qhov sinuses)
Txoj hlab nthawv urethral
Cervicitis (kev puas tsuaj rau lub ncauj tsev menyuam)
Cov kab mob ntawm daim tawv nqaij
Lub plab zom mov, mob plab duodenal cuam tshuam nrog Helicobacter pylori kab mob - nrog rau lwm cov tshuaj.

Kev taw qhia txog kev siv Amoxicillin:

Kev puas tsuaj rau cov pa ua pa (mob hauv lub qhov ntswg, kab mob ntsws, mob caj pas, lub plab, lub plab, hlab ntsws, ntsws),
Otitis media,
Kis kab mob ntawm cov genitourinary kheej,
Cov kab mob ntawm daim tawv nqaij
Lub plab zom mov, mob plab duodenal cuam tshuam nrog Helicobacter pylori kab mob - nrog rau lwm cov tshuaj.

Cov Yuav Tsum Tau Ua

Azithromycin yog txwv tsis pub siv nrog:

Intolerance rau cov tshuaj lossis tshuaj tua kabmob macrolide (erythromycin, clarithromycin, thiab lwm yam),
Mob raum tsis zoo,
Daim siab ua haujlwm tsis zoo,
Lub sijhawm lactation - nres thaum tab tom noj tshuaj,
Muaj hnub nyoog txog 12 xyoos - rau tshuaj ntsiav thiab ntsiav tshuaj,
Muaj hnub nyoog txog 6 xyoo - rau kev ncua.

Cov kev tsis haum ntawm kev siv Amoxicillin:

Cov tshuaj tiv thaiv tsis haum rau penicillins (ampicillin, benzylpenicillin, thiab lwm yam), cephalosporins (cevtriaxone, cefepime, cefuroxime, thiab lwm yam),
Kab mob mononucleosis.

Sab sij huam

Azithromycin tuaj yeem ua rau:

Zoo nkaus li kiv kiv, nkees
Kev mob hauv siab
Kev zom
Thav
Kev ua xua rau lub hnub.

Qhov teebmeem tsis zoo ntawm Amoxicillin:

Digestive ntshawv siab,
Tachycardia (mob ntsws)
Daim siab ua haujlwm tsis zoo,
Deteriorating lub raum muaj nuj nqi.

Tso daim ntawv thiab nqi

Tus nqi ntawm azithromycin sib txawv raws li cov khw:

Ntsiav tshuaj
- 125 mg, 6 pcs. - 195 p,
- 250 mg, 6 pcs. - 280 r
- 500 mg, 3 pcs. - 80 - 300 r,
Cov tshuaj ntsiav 250 mg, 6 pcs. - 40 - 180 r,
Hmoov rau qhov kev npaj ib qho kev ncua ntawm 100 mg / 5 ml, 16,5 g, 1 lub raj mis - 200 r.

Cov tshuaj hu ua "Amoxicillin" kuj tseem ua los ntawm cov tuam txhab sib txawv (kom yooj yim, cov nqi ntawm cov ntsiav tshuaj thiab cov tshuaj ntsiav tau muab raws li 20 pcs.):

Kev ncua rau kev tswj hwm qhov ncauj ntawm 250 mg / 5 ml, ib fwj dej 100 ml - 90 r,
Kev rau txim rau kev txhaj tshuaj 15%, 100 ml, 1 pc. - 420 r
Cov tshuaj ntsiav / ntsiav tshuaj (rov ua dua kom txog 20 pcs.):
- 250 mg - 75 r,
- 500 mg - 65 - 200 r,
- 1000 mg - 275 p.

Azithromycin lossis amoxicillin - uas zoo dua?

Lub sij hawm ntawm kev kho mob nrog Azithromycin yog li 3 rau 6 hnub, Amoxicillin - txog 10 - 14 hnub. Txawm li cas los xij, raws li tsuas yog ntawm cov ntsuas no, nws tsis tuaj yeem ntseeg tau hais tias qhov tshuaj tiv thaiv twg yog qhov muaj zog dua. Rau mob ntsws, mob tracheitis thiab lwm yam kab mob ntawm cov kab mob ua pa, kev kho mob raug pom zoo kom pib nrog Amoxicillin. Txawm li cas los xij, nyob deb ntawm txhua tus neeg mob, cov tshuaj tua kab mob no yuav muaj cov yam xav tau. Yog li, yog tias Amoxicillin raug coj mus rau xyoo dhau los, tom qab ntawd Azithromycin yuav tsum tau nyiam - ua li no, kev tsim cov tshuaj tiv thaiv kab mob hauv cov kab mob tuaj yeem zam dhau.

Azithromycin thiab Amoxicillin - Kev raug zoo

Feem ntau yuav tsum tau siv ob yam tshuaj rau tib lub sijhawm rau cov mob otitis, mob hlab ntsws, thiab lwm yam kev kis mob uas tau ua mob ntev, mob ntsws. Noj Azithromycin nrog Amoxicillin tso cai rau koj kom ua tiav sai thiab ua tiav kev rhuav tshem ntawm tus neeg sawv cev ntawm tus kab mob. Nws yog tsim nyog xav txog tias kev sib xyaw ua ke nrog cov tshuaj tua kab mob ua rau muaj tshuaj lom ntau dua rau lub cev thiab qhov kev pheej hmoo ntawm kev phiv.

Amoxicillin li cas

Cov kev qhia tau qhia txog kev siv amoxicillin hauv kev tua kab mob. Cov ntau ntawm qhov kev coj ua yog qhov muaj peev xwm: los ntawm kev kis mob ntawm sab sauv ntawm txoj hlab mus rau genitourinary kheej. Tab sis cov tshuaj siv feem ntau siv rau cov kab mob ntawm cov kabmob ENT. Amoxicillin yog tshuaj tua kab mob ib nrab ntawm cov tshuaj penicillin chav kawm. Thawj zaug synthesized 47 xyoo dhau los los ntawm lub tuam txhab British tshuaj Beecham.
Lub hauv paus ntsiab lus ntawm kev ua: rhuav tshem cov kab mob ntawm cov hlwb. Vim tias qhov ceev nrawm cuam tshuam zoo ntawm cov tshuaj hauv cov dej hauv lub cev. Tsis nquag tawm tsam cov microbes uas txwv rau penicillin. Tias yog vim li cas ua ntej yuav noj nws, koj yuav tsum paub qhov tseeb tus mob dab tsi tshwm sim los ntawm o. Txwv tsis pub, qhov kev pheej hmoo ntawm kev tsim superinfection nce.

Lub zog ntawm azithromycin

Cov tshuaj no tau tshwm sim rau xyoo 1980 hauv lub tuam txhab Croatian PLIVA.

Kev siv tshuab ntawm kev nqis tes ua: maj mam txo qis kev loj hlob ntawm cov kab mob thiab lawv kis tau.

Nws suav hais tias yog ib qho ntawm cov tshuaj tua kab mob ntau tshaj plaws. Nws kis tau zoo nrog gram-tsis zoo thiab gram-zoo pathogens ntawm kev ua pa thiab lub plab zom mov. Nws yog siv los tawm tsam mycoplasmas, chlamydia, streptococci.

Tau tshaj cov vitamin C thiab lwm cov tshuaj tua kab mob.

Sib Piv ntawm Amoxicillin thiab Azithromycin: Qhov zoo sib xws thiab Qhov Txawv

Tshawb nrhiav cov yam ntxwv ntawm cov tshuaj, cov yam ntxwv zoo sib xws tseem ceeb:

ob qho tib si yog tshuaj tua kab mob semisynthetics thib peb-tiam
ua tiav cov nyhuv bactericidal nyob ntawm seb qib xav tau
contraindicated: daim siab ua haujlwm, uas yuav ua rau cov metabolism hauv qeeb

Qhov sib txawv ntawm cov tshuaj no tseem ceeb.

Qhov chaw ntawm kev xav: Azithromycin - hauv cov ntshav, Amoxicillin - hauv ntshav.
Ceev: Amoxicillin txhim tsa sai dua
Qhov tshwm sim: Azithromycin muaj qhov tsawg kawg nkaus
Kev ntsuas ntawm kev siv: Amoxicillin txwv
Nqe: Azithromycin yog peb zaug siab dua
Daim foos tso tawm: Azithromycin tau ntim rau hauv cov hlwv ntawm peb ntsiav tshuaj, tsiav tshuaj, hmoov thiab ncua kev kawm. Cov tshuaj noj yooj yim: 500 mg, 250 mg, 125 mg. Amoxicillin tau faib tawm hauv cov ntsiav tshuaj lossis tshuaj ntsiav ntawm 250 thiab 500 mg. Granules rau kev npaj cov tsis ncua rau cov menyuam yaus yog tsim tawm.

T.O. Amoxicillin muaj ntau yam ntxiv: nws tau raug tso cai hauv kev kho mob rau menyuam yaus. Azithromycin - mus rau lub voj voog nqaim ntawm cov neeg mob.

Amoxicillin thiab azithromycin - nws puas yog ib lossis ntau yam tshuaj?

Amoxicillin thiab azithromycin yog cov tshuaj tua kab mob sib txawv kiag li. Txawm li cas los xij, ntau zaus lawv tau raug kho rau tib tus kab mob sib kis, uas tuaj yeem nkag siab cov neeg mob. Cov tshuaj no nyob hauv ib qho tseem ceeb ntawm kev lag luam kws tshuaj ntawm cov tshuaj tua kab mob.

Amoxicillin yog ib tus neeg sawv cev ntawm hluavtaws penicillins. Lawv, nyeg, zwm rau cov tshuaj tua kab mob beta-latcine (ntawm no kuj suav nrog cephalosporins, carbapenems thiab monobactams).

Hauv kev siv tshuaj, cov tshuaj no tau siv dav txij li xyoo 1970. Nws zwm rau cov kab mob bactericidal, txij li cov txheej txheem ntawm kev ua ntawm cov tshuaj tua kab mob yog ua raws li nws lub peev xwm los sib xyaw ua ke rau cytoplasmic membranes ntawm microbial hlwb thiab rhuav tshem lawv cov kev ntseeg. Vim tias qhov no, muaj kev tuag sai heev ntawm cov kab mob tseem ceeb ntawm cov nroj tsuag.

Azithromycin yog cov neeg sawv cev kawm ntau tshaj plaws ntawm azalides, ib qho ntawm cov kab mob me me ntawm macrolide antibacterial tus neeg sawv cev. Ntxiv nrog rau cov yam ntxwv hauv lub cev, nws kuj sib txawv ntawm txoj kev ntawm bacteriostatic kev ua - cov tshuaj ntawm cov tshuaj nkag rau hauv microbial cell, qhov chaw uas lawv thaiv cov haujlwm ntawm ribosomes.

Qhov kev txiav txim no ua rau nws tsis tuaj yeem ntxiv rau cov kab mob pathogenic thiab ua rau nws tuag los ntawm kev tiv thaiv kev tiv thaiv ntawm tus neeg mob lub cev.

Kuv tsis paub txog cov tshuaj tua kabmob twg los xaiv rau mob ntsws - Azithromycin lossis Amoxicillin. Koj tuaj yeem qhia li cas?

Ob lub azithromycin thiab amoxicillin yog cov tshuaj tua kab mob nrog cov txheej txheem tiv thaiv ib puag ncig. Qhov no txhais tau hais tias lawv nkag mus rau hauv cov hlab ntshav ntawm tus neeg mob thiab tuaj yeem cuam tshuam rau kev ua haujlwm ntawm ntau yam khoom hauv nruab nrog cev. Tib lub sijhawm, lawv cov kev sib koom tes nrog lwm cov tshuaj tuaj yeem cuam tshuam cov nyhuv antibacterial.

Lwm qhov tseem ceeb uas yuav tsum tau coj mus rau hauv tus account yog qhov muaj laj thawj txaus rau kev siv ib yam ntawm cov tshuaj no. Niaj hnub no, ntau zaus, tsis yog tsuas yog cov neeg mob lawv tus kheej xwb, tab sis kuj yog kws kho mob sau ntawv tawm tshuaj tua kab mob rau cov kab mob kis ntawm lub qaum ua pa, uas lawv tsis zoo kiag li.

Yuav tsum zam kom tsis txhob siv cov tshuaj tua kab mob ywj pheej, vim tias tus neeg mob lossis nws cov txheeb ze tsis tuaj yeem ntsuas tus tsos mob tus yam ntxwv.

Yog li, kev siv Azithromycin lossis Amoxicillin hauv lawv feem ntau tsis muab cov kev cia siab tshwm sim, tab sis ua rau muaj kev mob tshwm sim.

Txoj hauv kev zoo tshaj plaws los txiav txim siab qhov xav tau ntawm kev teem sij hawm ntawm ib qho tshuaj tua kab mob yog los ua kev tshawb fawb cov kab mob bacteriological, uas yuav pab txiav txim siab seb hom kab mob, thiab tseem txiav txim siab nws rhiab rau ntau yam kab mob antibacterial. Tab sis txij li hom no xav tau qee lub sijhawm, pib ntawm kev kho mob feem ntau yog txiav txim siab los ntawm kev kuaj ntshav hauv lub chaw kuaj mob, cov tsos mob hauv tus kws kho mob thiab cov mob ntawm tus neeg mob.

Yog li, txhawm rau xaiv cov tshuaj tua kab mob uas yuav tsum yog tshuaj rau kev mob ntsws, nws yog qhov zoo tshaj plaws los sab laj nrog tus kws kho mob tsim nyog.

Kuv txhawj xeeb txog kev muaj peev xwm tshwm sim thaum siv tshuaj tiv thaiv kab mob. Yuav muaj kev nyab xeeb li cas rau azithromycin thiab amoxicillin?

Tus neeg mob yuav tsum nkag siab tias tsis muaj tshuaj kho mob rau kev tswj hwm sab hauv lossis qhov ncauj nrog qhov tsis ua tiav ntawm kev mob tshwm sim. Yog tias nyob rau hauv kev tshaj tawm twg tau hais tias cov tshuaj N. muaj kev nyab xeeb tiag tiag hauv kev sib piv rau cov tshuaj tua kab mob uas tsis zoo, tom qab ntawd koj tuaj yeem paub tseeb - qhov no yog quackery.

Qhov kev siv tshuaj ntau dua, ntev dua qhov kev paub ntawm nws qhov kev siv hauv kev soj ntsuam, ntau cov ntaub ntawv tau khaws txog cov xwm txheej ntawm qhov tsis xav ua. Thiab txhua tus ntawm lawv yuav tsum tau qhia hauv cov lus qhia ntawm cov tshuaj.

Ob Azithromycin thiab Amoxicillin yog cov tshuaj tua kab mob zoo, thaum noj, cov kev mob tshwm sim tsis tshua muaj tshwm sim. Ntxiv mus, lawv siv tsis muaj qhov ntxim rau cov kab ke hauv nruab nrog cev. Txawm li cas los xij, qhov zaus thiab hom ntawm cov nyom tshwm sim hauv lawv yog qee yam sib txawv.

Yog li thaum noj Azithromycin, cov tsos mob tsis txaus siab feem ntau pom:

kev txhim kho ntawm kev kis mob theem nrab ntawm cov kab mob, kis mob lossis fungal etiology,
cov cim ntawm kev ntxhov siab nyob rau hauv kev ua haujlwm ruaj khov ntawm lub plab (qhov hnov ntawm tsam plab, hnyav, mob tawv nqaij, tsis qab los noj mov, xeev siab, raws plab),
kev nce ntxiv ib ntus nyob rau hauv cov concentration ntawm daim siab cytolysis enzymes hauv cov ntshav,
hyperbilirubinemia,
mob lom rau lub hauv nruab nrab lub paj hlwb (cov tsos mob ntawm kiv taub hau, mob taub hau, hnov tus kheej ntawm parasthesia, tinnitus, nce kev txob taus, pw tsaug zog tsis zoo).

Yog tias peb tham txog Amoxicillin, ces qhov teeb meem loj tshaj plaws nrog nws siv yog kev tawm tsam. Ntau zaus, nws yog lawv uas yog qhov laj thawj ntawm kev tshem tawm cov tshuaj no.

Clinically, qhov no yog pom los ntawm pob khaus ntawm daim tawv nqaij (liab nrog khaus heev), anaphylactic poob siab, mob plab zom mov. Cov kab mob ntawm cov neeg hauv cov ntshav txo qis, ntxiv ntawm cov kabmob sib kis theem ob thiab kev txhim kho ntawm cov kabmob cuam tshuam ntawm nephritis kuj tau piav qhia.

Puas yuav siv azithromycin thiab amoxicillin siv rau tib yam kabmob?

Hauv qhov. Azithromycin yog ib hom tshuaj ntau dua. Thaum nws nkag mus rau hauv lub nruab zog ncig, nws sai sai nyob rau hauv kev kho kom haum rau hauv qhov chaw ua pa. Tsis tas li, nws cov lus nkag mus rau hauv lub cev tiv thaiv kab mob rau lub cev. Muaj lawv nyob rau hauv cov koob tshuaj siab ntev rau lub sijhawm ntev. Ib feem ntawm cov tshuaj kuj sib sau ua ke hauv cov nqaij mos ntawm lub cev.

Rau Amoxicillin, qhov xwm txheej yuav txawv me ntsis. Cov tshuaj no zoo thiab faib rau tib neeg lub cev. Tsis tas li, nws tsis muaj kev cuam tshuam cov pa hauv cov nqaij hauv lub siab thiab raug nthuav tawm hauv daim ntawv tsis hloov pauv los ntawm cov kab mob genitourinary. Nws tseem nkag mus tau zoo los ntawm qhov kev tiv thaiv kev tiv thaiv placental thiab meningeal. Yog li, cov tshuaj no muaj ntau cov dav siv hauv kev coj ntawm tus kws kho mob.

Muaj ntau tus kabmob hauv kev coj ua uas koj tuaj yeem sau tshuaj yog Azithromycin lossis Amoxicillin:

kev mob ntsws hauv zej zog hauv cov neeg mob uas tsis muaj qhov mob ua kom tob tob,
kab mob ntsws ntsws,
mob txha
pharyngitis
laryngitis
tonsillitis mob los yog mob ntev,
otitis media.

Tsis tas li ntawd, Amoxicillin yog siv los kho cov kab mob ntawm cov kab mob genitourinary (cystitis, prostatitis, urethritis, pyelonephritis), cov leeg mus rau lub cev (osteomyelitis), theem pib ntawm tus kab mob Lyme, Helicobacter pylori mob (yog ib feem ntawm kev kho mob sib xyaw). Nws kuj tseem tau sau tseg rau kev tiv thaiv teeb meem, hauv kev npaj thiab kev coj ua ntawm kev siv dag zog thiab phais kev cuam tshuam.

Ib qho ntawm cov tshuaj no puas tau raug muab qhia nyob rau hauv peb lub hlis thib ntawm cev xeeb tub?

Thaum xaiv cov tshuaj tua kab mob, qhov tseem ceeb tshaj plaws yog qhov tsis muaj tshuaj lom ntawm lub cev hauv plab kom tsis txhob muaj qhov ua tsis taus.

Yog tias peb tham txog Azithromycin thiab Amoxicillin, tom qab lub sijhawm ntev ntawm lawv qhov kev siv hauv kev soj ntsuam qhia tau pom tias tsis muaj cov ntaub ntawv hais txog kev cuam tshuam teratogenic ntawm cov neeg sawv cev no.

Ntawm lwm pab pawg ntawm cov tshuaj, penicillins thiab macrolides yog suav tias yog ib qhov kev nyab xeeb tshaj plaws rau kev siv ntawm pawg neeg mob no. Lawv sib raug zoo nrog lactation kuj tseem muaj pov thawj.

Ib tug xov tooj ntawm cov tsiaj cov kev tshawb fawb tau tau siv ua cov tshuaj no, uas pom tau tsis muaj qhov txawv txav los ntawm cov hom kev xeeb tub.

Raws li cov ntaub ntawv no, Asmeskas lub koomhaum rau kev tswj hwm zoo ntawm cov tshuaj lag luam FDA tau muab ob qho Amoxicillin thiab Azithromycin qeb B, uas qhia txog kev nyab xeeb ntawm cov tshuaj no rau cov menyuam hauv plab. Lawv raug tso cai xaiv tsa thaum muaj pov thawj txaus.

Puas muaj nqi sib txawv ntawm cov tshuaj no?

Yog tias koj saib ntawm lub tsev muag tshuaj, nws yooj yim pom tias Amoxicillin, tsis hais tus neeg tsim khoom, yog nyob hauv tus nqi pheej yig dua li Azithromycin. Qhov no feem ntau vim yog lub sijhawm ua cov tshuaj no ntau thiab cov nqi ntawm cov txheej txheem no.

Amoxicillin tso tawm ntev dua 10 xyoo hauv ntiaj teb, thiab lub sijhawm no ntau lub tuam txhab pib tsim cov tshuaj tua kab mob no nyob rau hauv ntau cov npe lag luam.

Cov nqi nce siab dua ntawm azithromycin kuj tseem tau txhawb nqa los ntawm cov ncauj lus tsis ntev los no, raws li cov macrolides tau nce siab dua cov tshuaj penicillins hluavtaws.

Kev taw qhia thiab contraindications rau siv

Cov tshuaj yog siv qhov ncauj rau cov kabmob hauv qab no:

cov kab mob ntawm ENT plab hnyuv siab thiab ua pa (mob rau ntawm cov qog ua pa ntawm lub pharynx thiab / lossis palatine tonsils tshwm sim los ntawm streptococci, mob rau hauv nruab nrab pob ntseg, mob ntawm lub ntsws thiab mob ntsws, mob rau ntawm lub larynx thiab paranasal sinuses),
kis ntawm daim tawv nqaij thiab cov nqaij mos,
zuam-qiv cov kab mob,
kev puas tsuaj rau cov kab mob genitourinary tshwm sim los ntawm tus mob chlamydia (mob rau ntawm ncauj tsev menyuam thiab zis),
kev tshem tawm ntawm H. pylori (yog ib feem ntawm kev kho mob nyuaj).

Infusions tau raug tsim los ntawm kev kis mob hnyav los ntawm cov kab mob tsis tuaj yeem (kev puas tsuaj rau ntawm caj ces, zais zis, lub qhov quav, zej zog muaj mob ntsws).

Cov tshuaj yog contraindicated nyob rau hauv cov ntaub ntawv ntawm hypersensitivity, nyob rau hauv cov ntaub ntawv ntawm ua tsis taus hlaus thiab / los yog daim siab muaj nuj nqi. Siv nrog ceev faj:

lub sijhawm cev xeeb tub thiab pub niam mis,
menyuam
cov menyuam yaus hnub nyoog qis dua 16 xyoo thiab cov menyuam yaus muaj lub siab tsis zoo lossis lub raum tsis ua haujlwm,
nrog arrhythmia (tej zaum yuav muaj kev ntxhov siab nyob rau hauv kev sib dhos ntawm lub ventricles thiab lengthening ntawm QT luv).

Cov tshuaj tua kab mob tau muab tshuaj ntawm qhov ncauj lossis leeg ntshav. Qhov ntau npaum li cas tau teev raws li cov cim, qhov hnyav ntawm tus kab mob, qhov rhiab ntawm cov kab mob pathogen. Sab hauv, noj 1 r / hnub 0.25-1 g (rau cov neeg laus) lossis menyuam yaus 5-10 mg / kg (menyuam hnub nyoog qis dua 16 xyoo) 1 teev ua ntej lossis 2 teev tom qab noj mov.

Tso dej nrog siv nrog tsawg kawg li 1 teev. Inkjet lossis txhaj tshuaj intramuscular yog txwv tsis pub.

Kev cuam tshuam nrog lwm yam tshuaj

Noj zaub mov, haus dej cawv los yog antacids qeeb thiab txo qhov nqus.

Tetracycline thiab chloramphenicol nkag mus rau hauv kev sib txuam nrog Azithromycin, nce nws cov txiaj ntsig, lincomycins - lawv raug txo, ua antagonists.

Thaum siv tshuaj kho mob azithromycin, cov chaw muag tshuaj ntawm Midazolam, Carbamazepine, Sildenafil, Didanosine, Triazolam, Zidovudine, Efavirenza, Fluconazole thiab qee yam tshuaj cuam tshuam cuam tshuam. Qhov kawg ob leeg kuj muaj qee qhov kev cuam tshuam rau cov chaw muag tshuaj ntawm cov tshuaj tua kab mob nws tus kheej.

Nrog rau kev siv tshuaj nrog Nelfinavir, kev saib xyuas ntawm tus neeg mob tus mob yog qhov tsim nyog rau lub siab thiab hnov cov plab hnyuv siab raum, vim tias C nce siab_max thiab AUC tshuaj tua kab mob, uas ua rau kom muaj kev mob tshwm sim ntau dua. Nws tseem yog qhov tseem ceeb uas yuav tau saib xyuas tus neeg mob kom zoo thiab noj qab haus huv thaum noj nrog Digoxin, Cyclosporin thiab Phenytoin, vim tias muaj qhov ua tau ntawm kev ua rau lawv cov ntshav siab ntxiv.

Nrog rau kev siv txau siv nrog cov tshuaj tua kab mob nrog alkaloids p. Claviceps tuaj yeem muaj cov tshuaj lom, xws li vasospasm thiab dysesthesia. Yog tias nws yuav tsim nyog siv nws ua ke nrog Warfarin, lub sijhawm prothrombin yuav tsum ua tib zoo saib xyuas vim tias nws muaj peev xwm nce sijhawm prothrombin ntau zaus thiab ntau zaus los ntawm hemorrhage. Kuj, cov tshuaj no yog categorically incompatible nrog heparin.

Antibiotic sib piv

Nws pom tseeb tias ob hom tshuaj tua kab mob no muaj cov haujlwm zoo sib xws. Tab sis tseem, koj yuav tsum xam seb qhov twg yog qhov ua tau zoo tshaj plaws. Txhawm rau teb cov lus nug, uas zoo dua - Azithromycin lossis Amoxicillin, thiab seb puas muaj qhov sib txawv nruab nrab ntawm lawv, koj yuav tsum piv lawv los ntawm cov ntsiab lus:

Ob qho tib si yog semi-hluavtaws dav-spectrum tshuaj tua kab mob.
Ob leeg ua kom pom cov kab mob bacteriostatic ua kom muaj zog me thiab qhov ib txwm muaj, thiab cov kab mob bactericidal ua rau muaj kev mloog zoo ntau.
Cov kev ua ntawm Azithromycin dav dua li Amoxicillin, uas muab nws ua kom zoo dua hauv kev kho mob kis tus kab mob nrog cov kab mob tsis paub tseeb.
Ob qho tshuaj tua kab mob yog siv rau cov kabmob zoo sib xws, tab sis Amoxicillin muaj qhov dav dav ntawm cov kab mob vim kev mob plab thiab lub plab zom mov.
Azithromycin muaj kev nyab xeeb dua li amoxicillin, vim tias nws raug tso cai nrog kev ceev faj siv rau cov poj niam cev xeeb tub thiab cov menyuam hnub nyoog qis dua 16 xyoo.
Qhov ntau npaum li cas ntawm azithromycin hauv cov menyuam yaus raug txo qis me ntsis, uas kuj yuav qhia tau tias nws muaj kev nyab xeeb siab dua li ntawm Amoxicillin.
Tib lub sijhawm, kev sib raug zoo ntawm Azithromycin yog qhov tsawg: thaum noj nrog lwm cov tshuaj (antacids, flucanazole, thiab lwm yam) thiab thaum noj nrog zaub mov, nws tuaj yeem hloov qhov kev nqus ntawm cov tshuaj tua kab mob, uas yuav cuam tshuam qhov nqus tshuaj thiab cov nyhuv, thaum Amoxicillin muaj kev ywj pheej ntau dua los ntawm kev siv lwm yam tshuaj.
Azithromycin yuav nqus tau qeeb dua (2-3 teev) dua li Amoxicillin (1-2 teev).
Amoxicillin tsis zoo rau kev siv cov tshuaj tua kab mob penicillinase.
Ob leeg sib piv cov tshuaj tua kab mob hla cov keeb kwm kev tiv thaiv uas tsis muaj qhov nyuaj, yog qhov ruaj khov nyob hauv acidic ib puag ncig ntawm lub plab thiab muaj faib sai sai thoob plaws cov ntaub so ntswg.
Azithromycin, tsis zoo li Amoxicillin, muaj kev xaiv, raug tso tawm los ntawm cov thauj khoom tsuas yog nyob ntawm qhov muaj cov kab mob, uas yog, tsuas yog hauv cov kabmob.

Kev sib cuam tshuam ntawm Amoxicillin thiab Azithromycin yog antagonistic hauv qhov, txo kev ua haujlwm ntawm ob qho tshuaj, yog li koj yuav tsum tsis txhob noj ua ke. Txawm hais tias kwv yees qhov sib luag ntawm ob qhov sib piv ua yeeb tshuaj, ib qho tseem tuaj yeem hais tias Azithromycin zoo dua li Amoxicillin nyob rau hauv tias nws muaj kev nyab xeeb dua, muaj qhov kev ntsuas ntau dua thiab xaiv ntau dua.

Txawm li cas los xij, nws yuav tsum tsis txhob suav hais tias Amoxicillin yog qhov tsis zoo - nws qhov zoo muaj xws li tus nqi nqus dej siab thiab sib xyaw nrog lwm yam tshuaj.

Yog li, lo lus nug "Yam tshuaj twg zoo dua?" Tuaj yeem teb tau tias Azithromycin zoo dua li Amoxicillin, uas tsis txhais tau tias tom kawg tsis tsim nyog mloog - qee kis (piv txwv, nrog mob plab) nws pom nws tus kheej zoo thiab raug pom zoo kom daim ntawv thov.

Tus twg muaj zog dua

Ua ntej xaiv ib qho ntawm lawv, xav txog kev pom zoo los ntawm kws kho mob. Qhov ua tau ntawm kev kho yog nyob ntawm qhov no. Txog rau kev kis tus mob uas tsis paub keeb kwm, Azithromycin yuav ua tus nquag. Nws yuav yog qhov kev xaiv zoo tshaj plaws rau kev ua xua rau penicillin. Los yog thaum noj tshuaj tiv thaiv raws li nws tsis muaj kev cia siab. Feem ntau Amoxicillin tau sau tseg rau kev kis tus kab mob ENT: kev mob ntsws, tonsillitis, mob ntsws, mob ntsws, mob ntsws, otitis media. Ua tiav nws tus kheej hauv kev kho tsiaj txhu kev paub tshwj xeeb. Azithromycin yog muaj rau cov menyuam yaus hnub nyoog 12 xyoos.

Uas yog pheej yig dua

Tus nqi nruab nrab txawv nws txawv peb zaug: Azithromycin - 120 rubles. rau 6 tsiav tshuaj 250 mg., Amoxicillin 20 ntsiav tshuaj ntawm 0.5 yuav raug nqi 45 rubles.

Hauv cov khw muag tshuaj, ib pawg ntawm cov tshuaj noj tshuaj ntxiv. Ob leeg txawv teb chaws thiab Lavxias-ua.

Hloov chaw ntawm Amoxicillin: Abiklav, Amoksikar, V-Moks, Upsamoks.

Daim ntawv thov nta

Kev siv azithromycin yog kev tso cai thaum cev xeeb tub, tsis zoo li Amoxicillin. Ob qho puav leej tsis pom zoo ua lactation.

Tetracyclines thiab chloramphenicol, thaum noj ua ke nrog cov tshuaj, txhim kho cov nyhuv.

Hauv kev sib xyaw ua ke rau kev kho tus mob Heliobacter, Azithromycin tau txais nrog tib leeg ntawm metronidazole.

Kev tshuaj xyuas ntawm cov kws kho mob thiab cov neeg mob

Julia, tus kws kho mob hauv zos, 39 xyoo

Cov tshuaj yog qhov muaj zog, yog tias siv raws li cov lus qhia! Tsis txhob muab koj tus kheej ua.

Alexey, 43 xyoo

Nws muaj qhov tsis haum rau Amoxcillin. Hloov chaw pab.

Txhua lub caij nplooj ntoo hlav, kuv mob khaub thuas, kuv mob khaub thuas, nyob hauv tsev kho mob lawv sau “azithromycin” - nws kis sai heev.

Cov ntaub ntawv siv tsis tau tuaj yeem sib npaug nrog cov kws kho mob tau sau ntawv.

Cov yam ntxwv ntawm Azithromycin

Azithromycin yog ib qho macrolide ib nrab ntawm cov azalide subclass ib nrab. Lub lactone nplhaib ua rau cov molecule uas muaj kua qaub tiv taus li sai tau. Lub tuam txhab "Pliva" tau sau npe Azithromycin xyoo 1981. Cov tshuaj ua lag luam nquag yog azithromycin (hauv daim ntawv ntawm dihydrate). Cov tshuaj muaj daim ntawv tso tawm hauv qab no:

cov ntsiav tshuaj coated: 250 thiab 500 mg,
tsiav tshuaj: 250 thiab 500 mg,
hmoov rau kev tshem tawm qhov ncauj: 100, 200 thiab 500 mg / 20 mg.

Broad-spectrum tshuaj tua kab mob. Nws ua tawm tsam ntau yam mob ntawm streptococci, Staphylococcus aureus, Neisseria, hemophilus bacillus, clostridia, mycoplasmas, chlamydia, daj ntseg treponema, thiab lwm tus. Tsis muaj zog tiv thaiv cov kab mob gram-zoo uas tiv taus Erythromycin.

Kev ntsuas rau kev teem caij azithromycin yog:

sab sauv ntawm txoj hlab ua pa - pharyngitis, laryngitis, mob tracheitis,
mob ntsws thiab mob ntsws, nrog rau atypical,
sinusitis, otitis media, mob ntsws,
caws pliav,
daim tawv nqaij mob,
cov kab mob sib kis los ntawm kev sib deev
complex kev kho mob ntawm peptic rwj ntawm gastrointestinal ib ntsuj av.

Cov tshuaj tsis siv:

nrog tus neeg rhiab,
nrog lub raum lossis lub siab ua haujlwm tsis nyob hauv theem ntawm decompensation,
hauv cov menyuam hnub nyoog qis dua 12 xyoos lossis qis dua 45 kg,
tib lub sijhawm ua cov tshuaj ergotamine.

Txog kev noj qab haus huv, lawv tau raug sau tseg thaum cev xeeb tub thiab pub niam mis. Raws li kev saib xyuas ntawm tus kws kho mob, kev txiav txim siab me me ntawm lub raum thiab hepatic muaj nuj nqi yog tshuaj (nrog creatinine tshem tawm 40 ml / min thiab siab dua, cov koob tshuaj tsis yog titrated), ib qho kev txawv txav ntawm cov mob plawv raum.

Tawm tsam keeb kwm yav dhau los ntawm kev noj tshuaj Azithromycin, ua pob xoo, khaus tawv nqaij, mob taub hau, kiv taub hau, xeev siab, raws plab yuav tshwm sim.

Cov kev mob tshwm sim tom qab no tuaj yeem siv sijhawm noj tshuaj:

ua pob, khaus,
mob taub hau, kiv taub hau,
xeev siab, raws plab,
pw ua ke, lub plawv dhia ceev,
nce ntawm creatinine thiab daim siab enzymes hauv ntshav ntshav,

Amoxicillin kev txiav txim

Amoxicillin yog penicillin ib zaug hluavtaws ua haujlwm ntawm aerobes rhiab - staphylococci, streptococci, Escherichia coli, Helicobacter pylori, thiab lwm yam Nws tau tsim tawm hauv xyoo 1972. Cov tshuaj tua kab mob tiv taus cov tshuaj tiv thaiv acidic. Amoxicillin inhibits kev tsim cov membrane cov kab mob ntawm cov kab mob me me thaum lawv faib thiab kev loj hlob, vim cov kab mob tuag. Cov tshuaj yeeb dej caw yog amoxicillin.

Cov tshuaj muaj ntau hom kev tso tawm:

ntsiav tshuaj: 250 thiab 500 thiab 1000 mg,
hmoov rau kev ncua rau kev tswj hwm ntawm qhov ncauj: 125, 250 thiab 500 mg (haum rau kev kho mob ntawm cov menyuam yaus),
tsiav tshuaj: 250 mg.

Amoxicillin suav nrog kev sib xyaw ntawm trihydrate. Muaj cov khoom xyaw: Magnesium, calcium, hmoov txhuv nplej siab.

Amoxicillin yog hais txog kev mob pob txha taub hau semisynthetic. Nws yog tus yam ntxwv ua tau los ntawm kev tiv thaiv kab mob. Nws muaj qhov cuam tshuam uas cuam tshuam rau meningococci, Pseudomonas aeruginosa thiab Escherichia coli, Helicobacter pylori, staphylococcus, streptococcus, thiab lwm yam.

Cov tshuaj tua kab mob yog cov tshuaj tiv thaiv rau cov pais plab acid HCl. Cov txiaj ntsig ua kom tiav yog ua tiav los ntawm kev tua cov protein ua ke ntawm cov xovtooj ntawm phab ntsa ntawm cov kab mob thaum lub sijhawm faib thiab kev loj hlob, ua rau muaj kev tuag ntawm microorganisms.

Kev taw qhia rau kev siv:

kis kab mob ntawm cov pa sab saud thiab qis, feem ntau mob ntsws, mob ntsws,
mob ntsws ntev, mob ntsws, mob ntsws, tonsillitis,
kab mob hnov - otitis media,
kab mob ntawm lub raum, zais zis,
kev puas tsuaj ntawm daim tawv nqaij thiab cov nqaij mos los ntawm kab mob,
mob rau daim npluag qhwv
kev tiv thaiv cov kab mob ua mob tom qab kev phais,
cov kab mob kis los ntawm kev sib deev,
lub plab zom mov (raws li kev kho mob kom zoo).

Amoxicillin tsis raug xaj tau thaum cev xeeb tub thiab pub niam mis, mob siab ua haujlwm nyob rau theem ntawm decompensation.

lub sijhawm cev xeeb tub thiab pub niam mis,
kev tsis haum tshuaj rau cov Cheebtsam,
decompensated daim siab ua haujlwm,
mob leukemia thiab mononucleosis,
ntsws ua pa hawb pob thiab quav nyab ua npaws.

Amoxicillin zoo rau, tab sis yog tias qhov tshuaj tsis pom zoo, cov kev mob tshwm sim hauv qab no:

bouts ntawm xeev siab, ua txhaum cai ntawm saj saj,
khaus, urticaria,
ua txhaum ntawm cov ntshav dawb ntawm tes suav,
mob taub hau, kiv taub hau.

Dab tsi yog qhov sib txawv thiab qhov sib txawv ntawm Azithromycin thiab Amoxicillin?

Cov tshuaj muaj cov yam ntxwv zoo sib xws:

Lawv muaj kev pom dav dav ntawm kev ua, zwm rau ib nrab tshuaj hluavtaws tua kabmob. Hauv 80% ntawm cov neeg mob, lawv nquag tawm tsam tib cov pathogens.
Cov ntawv tso tawm - cov ntsiav tshuaj, hmoov rau rho tawm, tsiav tshuaj.
Siv rau hauv kev xyaum yug menyuam yaus.
Nkag siab los ntawm cov txiaj ntsig thiab ntshav-hlwb teeb meem. Siv rau hauv kev kho mob ntawm neuroinfections. Teem sijhawm thaum cev xeeb tub tsuas yog rau kev noj qab haus huv.
Zoo zam, muaj kev muab tshuaj yooj yim.

Azithromycin thiab Amoxicillin tsis yog analogues, lawv muaj ntau tus naj npawb ntawm qhov sib txawv:

Cov pab pawg sib txawv: Azithromycin - los ntawm macrolides, Amoxicillin - penicillins.
Azithromycin muaj cov kev ua dav dav. Nws yog cov tshuaj ntawm kev xaiv rau kev kis tus kab mob tsis paub tseeb.
Amoxicillin tuaj yeem ua ke nrog cov tshuaj feem ntau, nws qhov kev nqus yog ywj pheej ntawm kev noj zaub mov. Azithromycin tsis sib xws nrog ntau yam tshuaj, piv txwv li, antacids, antimycotics, thiab lwm yam. Nws tsis tuaj yeem noj nrog zaub mov, vim hais tias kev nqus hauv lub plab thiab txoj hnyuv txo qis.
Azithromycin tsis muaj kev nyab xeeb kiag li. Nws yog kho nrog ntau dua ceev faj rau cov neeg mob raum thiab hepatic tsis txaus. Nqa mus rau hauv qhov cuam tshuam txog txoj kev ua haujlwm ntawm lub siab, uas yog qhov tshwj xeeb tshaj yog rau cov neeg mob tsis tuaj yeem ua lub cev.
Amoxicillin raug tso cai nyob rau hauv kev xyaum ua menyuam yaus txij li thawj hnub ntawm tus menyuam lub neej nyob rau hauv daim ntawv ntawm ncua kev kawm ntawm 0.125 g. Azithromycin tuaj yeem raug kho rau menyuam yaus txij thaum muaj hnub nyoog 12 xyoos.
Cov kab mob ua rau mob angina feem ntau tsim lactamases - cov enzymes uas tsis muaj zog Amoxicillin. Yog li ntawd, nrog tonsillitis, cov kws kho mob uas paub zoo feem ntau sau ntawv Azithromycin.
Macrolide ua hauj lwm tawm tsam chlamydia, ureaplasmas thiab mycoplasmas. Txoj kev kawm luv luv peb-hnub ntawm 1 lub tshuaj hauv ib hnub yog tsim nyog. Nws yog suav tias yog tshuaj ntawm kev xaiv rau kev kho mob ntawm ntau yam kab mob sib kis.

Dab tsi yog qhov zoo dua rau noj - azithromycin lossis amoxicillin?

Qhov tshuaj twg yuav tsum yog kws kho mob - Azithromycin lossis Amoxicillin, txiav txim siab los ntawm tus kws kho mob, suav txog qhov kev kuaj mob, kev tsis txaus siab ntawm tus neeg mob, mob hnyav, cuam tshuam nrog pathologies, kev ua xua yav dhau los.

Azithromycin accumulates sai li sai tau nyob rau hauv cov ntaub so ntswg ntawm lub tshuab ua pa. Qhov no ua rau nws zoo dua hauv kev kho mob ntsws, nrog rau daim ntawv atypical.

Amoxicillin tseem muaj kev faib ntau ntxiv hauv lub cev. Nws tsis nyob hauv lub siab. Nws tawm hauv cov zis. Yog li, cov tshuaj yog siv ntau dua rau kev mob raum, cystitis, mob ntawm txoj hlab zis. Ntau zaus, cov tshuaj tau raug sau tseg rau kev tiv thaiv cov kab mob tom qab tsis ua haujlwm.

Azithromycin tuaj yeem hloov nrog Amoxicillin tau?

Hauv kev xyaum ua haujlwm, kev hloov pauv ntawm Amoxicillin nrog Azithromycin pom nyob rau hauv kev kho mob kis mob ntawm sab qaum thiab sab ua pa, thiab ntxiv rau kev xyaum ntawm tus kws kho mob otorhinolaryngologist. Hauv txhua kis, tshuaj ntawm lwm pawg tau xaiv.

Tib lub sijhawm, Azithromycin thiab Amoxicillin tsis tuaj yeem siv - cov tshuaj muaj kev sib nrig sib.

Lub tswv yim ntawm cov kws kho mob

Natalya, kws kho mob nkeeg, St. Petersburg

Cov menyuam yaus feem ntau raug kev txom nyem los ntawm ntau yam mob uas xav tau tshuaj tua kab mob. Kuv xaiv Amoxicillin thiab Azithromycin. Cov tom kawg tau sau tseg rau mob ntsws, mob ntsws. Hauv txhua lwm yam mob, Kuv pib kho nrog Amoxicillin. Ob qhov tshuaj muaj cov qauv tso tawm yooj yim, muaj lub siab zam tau zoo, thiab sai sai muab qhov zoo rau kev ua haujlwm. Muaj nyob ntawm tus nqi. Lawv yooj yim mus yuav hauv txhua lub tsev muag tshuaj.

Sergey, kws kho mob, Khabarovsk

5 xyoos dhau los, cov neeg mob ntsws muaj dej ntau. Cov laus thiab cov hluas mob puav leej muaj mob. Kuv xav tias qhov tshuaj zoo tshaj plaws hauv rooj plaub no yog Azithromycin. Cov caij nyoog tau txais yooj yim, cov chav kawm ceev: tsuas yog 3 hnub. Nws yog qhov ua tau zoo, tsis muaj kev yws ntawm cov kev mob tshwm sim. Hauv txhua lwm yam mob uas yuav tsum muaj tshuaj tua kab mob, Amoxicillin yog tus kws kho mob. Qhov dav dav ntawm kev ua nrog kev kam rau ua tau zoo ua rau nws yog cov tshuaj kws kho mob tshaj plaws ntawm kuv cov neeg mob.

Kev Ntsuam Xyuas Rau Neeg Mob

Irina, 32 xyoo, Kazan

Nws mob hnyav heev: nws tau nqos qhov mob, qhov kub tawm thiab ua daus no. Raug mob nrog tonsillitis. Tus kws kho mob tau hais tawm sai sai rau Azithromycin. Kuv pib noj, tab sis muaj xeev siab, kiv taub hau. Kuv yuav tsum tau hloov Amoxicillin. Tom qab nws, qhov kub tau poob sai sai, tshee dhau. Tsis muaj kev mob tshwm sim.Cov tshuaj tau pab, thiab ua rau mob qa ploj mus yam tsis muaj teeb meem.

Elena, 34 xyoo, Izhevsk

Kuv tus ntxhais yog 12 xyoos. Tsis ntev los no tau mob mob ntsws. Tus kws kho mob txiav txim rau Azithromycin. Nyob rau 2 hnub ntawm kev kho mob, nws pib mob khaus heev rau ntawm daim tawv nqaij thiab tawm pob, thiab mob raws plab. Tus kws kho mob tau piav qhia txog qhov no ua rau ib tus neeg tsis kam txais thiab hloov cov tshuaj nrog Amoxicillin. Cov tshuaj tua kab mob no tau tiv thaiv zoo, tsis muaj kev phiv tshuaj. Tsis tas li ntawd xwb, tswj tau nrawm nrog tiv thaiv tus kabmob.

Ivan, 57 xyoo, Arkhangelsk

Mob nrog mob sib kis ua pa. Kuv xav tias nws yuav dhau, tab sis nws tsis ua tiav. Lub qhov ntswg txhaws tas li, + 37.2 ... + 37.5 ° C ntawm yav tsaus ntuj, lub taub hau tawg, tawm hws. Kuv mus cuag kws kho mob. Nws xa nws mus rau xoo hluav taws xob, uas qhia tau hais tias kuv muaj ob sab sib nraus mob ntsws. Amoxicillin tau raug sau tseg. Kuv haus 5 hnub, nws tsis tau muaj kev yooj yim dua. Hloov cov tshuaj tua kab mob rau Azithromycin. Kuv muaj kev txhim kho thaum kawg ntawm thawj hnub. Qhov kub rov zoo li qub, mob taub hau tsawg, thiab kuv pib ua pa ntawm qhov ntswg. Dhau ib chav kawm tag nrho, mloog zoo. Cov tshuaj zoo heev.

Tus kws kho mob tau sau tshuaj Amoxicillin rau mob tonsillitis. Txawm li cas los xij, tom qab 5 hnub ntawm kev tswj hwm, tsis muaj kev txhim kho. Kuv puas tuaj yeem hloov mus rau kev noj tshuaj azithromycin?

Cov xwm txheej tau piav qhia hauv lo lus nug yog ib qho ntau hauv kws kho mob txoj haujlwm. Vim nws siv sijhawm ntev, Amoxicillin tau plam nws cov hauj lwm zoo heev. Qhov no yog vim muaj ntau qhov tseeb ntawm cov kab mob me me muaj peev xwm hloov kho tshuaj, thiab tau pib tsim lub enzyme tshwj xeeb, penicillinase, uas tsuas yog zom cov tshuaj tua kab mob me me.

Cov kev tshawb fawb tsis ntev los no ntawm cov ncauj lus no tau tsuas yog lees paub cov qauv no. Yog li no, Amoxicillin txuam nrog clavulanic acid yog tam sim no feem ntau tau sau tseg.

Azithromycin nyob qhov twg zoo. Qhov tsis kam ntawm microflora rau nws tseem poob qis. Yog li, hauv cov xwm txheej uas noj cov tshuaj penicillin tsis tau ua tiav cov txiaj ntsig kev cia siab, nws yog qhov tshuaj ntawm kev xaiv.

Kuv muaj kev fab tshuaj thaum noj Amoxicillin thiab Ceftriaxone. Kuv nyab xeeb npaum li cas rau kuv noj tshuaj azithromycin?

Nruab nrab ntawm tag nrho cov tshuaj ntawm beta-lactam antibacterial pawg, muaj tus ntoo khaub lig-rhiab. Qhov no yog vim qhov tseeb tias lawv cov qauv tshuaj lom neeg yog kwv yees li qhov qub, thiab lub cev tsis cais qhov txawv ntawm ib qho.

Txawm li cas los xij, azithromycin belongs rau cov pab pawg sib txawv ntawm cov tshuaj. Yog li, nws yog qhov kev xaiv tseem ceeb nyob rau hauv muaj cov kev tsis haum rau penicillins, cephalosporins, monobactam lossis carbapenem hauv cov neeg mob. Nws siv thoob plaws hauv cov neeg mob zoo li no tau lees tias muaj kev nyab xeeb tiav.

Yog tias tus neeg mob tau muaj kev txhawj xeeb, tom qab ntawd sim tshuaj tawv nqaij rau qhov muaj qhov tsis nco qab rau qhov tshuaj tiv thaiv tuaj yeem ua ua ntej siv thawj zaug ntawm cov tshuaj tiv thaiv.

Yuav puas tau Amoxcillin lossis Azithromycin rau ib tus menyuam hnub nyoog ib xyoos?

Ib qho tshwj xeeb ntawm ob hom kab mob antibacterial no kuj tseem siv tau thaum muaj hnub nyoog rau tus neeg mob. Thiab yog tias rau cov neeg laus lawv muaj nyob hauv ntsiav tshuaj daim ntawv, tom qab ntawd rau qhov yooj yim ntawm kev ntau npaum thiab siv rau cov menyuam yaus muaj kua txiv. Nws tso cai rau koj los laij cov tshuaj tua kabmob rau ib tus menyuam raws nws qhov hnyav thiab hnub nyoog.

Hauv kev coj ua, koj tuaj yeem siv cov tshuaj no hauv thawj xyoo ntawm lub neej tsis muaj kev ntshai ntawm cov teeb meem.

Qhov twg ntawm cov kab mob antibacterial no yog qhov zoo tshaj plaws - Azithromycin lossis Amoxicillin?

Nws yog qhov nyuaj rau qhov tsis muaj tseeb los teb cov lus nug ntawm dab tsi yog qhov zoo dua li Amoxicillin lossis Azithromycin, vim tias cov tshuaj tua kab mob no muaj qhov taw qhia sib txawv me ntsis rau kev siv thiab cov npe ntawm cov muaj lub npe.

Txhua ntawm cov tshuaj no nws muaj nws qhov zoo thiab qhov tsis zoo.

Qhov txiaj ntsig zoo tshaj plaws ntawm Azithromycin yog nws cov txiaj ntsig, vim tias cov kab mob muaj qhov tawm tsam nws tsawg dua rau Amoxicillin (tshwj xeeb tshaj yog tsis muaj kev sib xyaw nrog clavulanic acid, zoo li hauv Amoxiclav). Yooj yim ntawm kev siv kuj hais lus hauv nws txoj kev pom zoo, txij li rau kev kho mob ntawm feem ntau cov kab mob ntawm cov kab mob ua pa nws yuav tsum tau noj ib ntsiav tshuaj ib hnub ib zaug rau 3 hnub.

Cov txiaj ntsig tseem ceeb ntawm Amoxicillin yog nws muaj. Txawm li cas los xij, hauv kev siv kuaj mob txhua xyoo nws siv ntau dua thiab tsis tshua muaj.

Daim vis dis aus hais txog yuav kho tus mob khaub thuas, mob khaub thuas lossis SARS kom sai li cas. Lub tswv yim ntawm tus kws kho mob ua paub.

Cov tshuaj ntawm Azithromycin tshuaj

Cov tshuaj no belongs rau cov tshuaj tua kab mob macrolide ntawm azalide pawg neeg tsawg. Hauv cov txheej txheem ntau, nws muaj cov nyhuv bacteriostatic, tab sis nyob rau hauv ntau npaum li cas nthuav qhia cov kab mob bactericidal. Nws muaj peev xwm txhim khu kev ua ub no ntawm T-killers, inhibit cov synthesis ntawm inflammatory mediators thiab txhawb kev tsim tawm ntawm interleukins, tsim cov tshuaj tiv thaiv ntxiv thiab tiv thaiv tshuaj tiv thaiv kab mob.

Azithromycin muaj peev xwm muaj cov kab mob bactericidal, tshwj xeeb yog hais txog: pneumococcus, gonococcus.

Azithromycin khi rau me me ribosomal subunits hauv cov kab mob hauv cov kab mob, thiaj li thaiv cov kab mob enzymatic ntawm peptide translocase thiab cuam tshuam cov protein biosynthesis. Qhov no ua rau muaj kev poob qis hauv kev loj hlob ntawm cov kab mob muaj sia thiab kev tsis muaj peev xwm ntawm lawv cov kev yug me nyuam ntxiv. Tus naj npawb ntawm cov pathogens dhau los ua tsawg thiab cov neeg mob lub cev muaj peev xwm tiv thaiv lawv ntawm lawv tus kheej.

Cov tshuaj yog tsiag ntawv los ntawm lipophilicity thiab zoo acid tiv thaiv. Cov kab mob pathogenic uas tawm tsam cov kev ua ntawm erythromycin tsis muaj zog rau azithromycin (bacteroids, enterobacteria, salmonella, shigella, gram-negative bacilli, thiab lwm yam). Vim yog lub chaw muag tshuaj ntawm cov tshuaj, ntau qhov ntau ntawm cov khoom siv sib xyaw yog tsim nyob rau hauv cov ntaub so ntswg uas kis tus kab mob, yog li ntawd nws muaj peev xwm ua tau ib qho kev mob bactericidal, tshwj xeeb tshaj yog hais txog

mob ntsws
gonococcus
pyogenic streptococcus,
Helicobacter pylori,
hemophilic bacillus,
Cov kab mob ua rau mob hnoos hawb thiab diphtheria.

Nov yog ib qho ntawm cov tshuaj tua kab mob zoo tshaj plaws. Qhov ntxim nyiam ntawm kev tsim cov kev mob tshwm sim yog li ntawm 9%. Yog tias tsim nyog, nws tuaj yeem siv thaum cev xeeb tub. Nws yog qhov pom los ntawm kev rov qab muaj kev fab tshuaj nrog cov tshuaj macrolide.

Qhov txawv ntawv yog dab tsi?

Npaj ua txawv hauv muaj pes tsawg leeg. Amoxicillin yog ib qho tshuaj sib txuas ntawm Penicillin, thaum Azithromycin yog cov tshuaj tua kab mob niaj hnub ntxiv los ntawm pawg macrolide.

Lub tom kawg tau qhov kev txiav txim siab ntau dua. Nws nquag ua tawm tsam mycoplasmas, ntxiv- thiab intracellular pathogens, thiab qee cov anaerobes, xws li bacteroids, clostridia, peptococcus thiab peptostreptococcus. Tib lub sijhawm, kev npaj tshuaj amoxicillin tuaj yeem tiv thaiv kev ua si ntawm Escherichia coli, qee yam ntawm Salmonella, Klebsiella thiab Shigella, uas cov tshuaj macrolide tsis tuaj yeem tiv thaiv.

Raws li kev txheeb xyuas thawj zaug hauv lub siab, qhov kev ua kom lub cev muaj zog ntawm azithromycin yog txo mus rau 37%. Noj ua rau nws nyuaj rau nqus los ntawm cov hnyuv. Cov ntsiab lus siab tshaj plaws ntawm cov khoom sib txuam hauv cov ntshav tau tiav tom qab kwv yees li 2.5 teev tom qab noj. Nws muaj feem ntau dua li amoxicillin los khi rau cov ntshav protein (nce txog 50%). Nws nquag hloov mus rau cov ntaub so ntswg mob los ntawm phagocytes thiab neutrophils, uas ua rau muaj kev nce siab ntawm cov tshuaj ntawm no. Overcomes cytological teeb meem, nkag mus rau hauv ib puag ncig sab hauv ntawm lub hlwb.

Amoxicillin nkag mus rau hauv cov ntshav sai: qhov siab tshaj plaws ntawm qhov kev txiav txim siab tau txiav txim siab tom qab 1.5 teev thaum noj ntawm qhov ncauj thiab tom qab 1 teev thaum txhaj rau hauv cov nqaij gluteus. Qhov tshwm sim ntawm thawj qhov kev tso cai yog tsis pom, kev txau siab ntawm bioavailability ncav cuag 90%. Nws yog qee qhov ua rau daim siab (tsis pub ntau tshaj 20% ntawm thawj zaug), raug tshem tawm feem ntau los ntawm lub raum li 3-4 teev txij li lub sijhawm siv.

Ib nrab lub neej ntawm azithromycin yog li 65 teev vim muaj kev thim rov qab hauv txoj hnyuv thaum tshem tawm, uas txo qis ntau zaus noj cov tshuaj. Excreted tsuas yog nrog bile. Cov nyhuv tshuaj tiv thaiv tsawg kawg yog 5 hnub tom qab txhaj koob tshuaj kawg.

Ib qho tshuaj tiv thaiv ntxiv rau azithromycin yog daim siab ua haujlwm. Hauv tshuaj ntsiav thiab ntsiav tshuaj, nws yuav tsum tsis txhob muab rau tus menyuam yog tias nws qhov hnyav dua 45 kg. Lub hnub nyoog txwv rau qhov ncauj tawm yog 6 lub hlis. Amoxicillin tsis raug tshuaj rau monocytic angina, kev phiv tshuaj diathesis, kev pheej hmoo ntawm bronchospasm, rhinoconjunctivitis, lymphocytic leukemia, tshuaj colitis thiab plab hnyuv los ntshav. Cov menyuam tsis tau muaj 10 xyoo pom zoo kom coj nws mus sab hauv ua qhov raug ncua.

Rau Amoxicillin, tus yam ntxwv tshwm sim yog tsis haum rau maculopapular pob, uas sai sai ploj tom qab tsis siv tshuaj. Tsis tas li ntawd thaum lub sij hawm kho yuav pib:

ua xua rhinitis
mob plab
cramps
tachycardia
purpura
mob hauv qhov quav,
mob txhab thiab mob tawm hauv cov hnyuv,
tsis txaus ntawm hnyuv microflora.

Dysbacteriosis thiab colitis cov tshuaj tsis yog cov yam ntxwv ntawm azithromycin. Nws muab cov kev xav tsis raug tsawg dua, tab sis tuaj yeem ua rau lub siab puas thiab ua kom ntshav muaj zog ntxiv ntawm cov tshuaj noj nrog ntshav qab zib. Siv ib zaug ib hnub rau ib chav kawm luv. Amoxicillin yuav tsum noj ntau zaus nyob hauv ib hnub, yam tsis tau tso tseg kev kho mob rau 48-72 teev tom qab ploj ntawm cov tsos mob.

Qhov twg yog qhov zoo dua - Amoxicillin lossis Azithromycin?

Txhua ntawm cov tshuaj muaj ob qho zoo thiab tsis zoo. Lawv ua tau zoo yog nyob ntawm qhov ua raug mob yooj yim ntawm cov kab mob microflora. Cov kev xaiv yog xaiv los ntawm tus kws kho mob, coj mus rau hauv tus account contraindications thiab tus yam ntxwv ntawm tus neeg mob. Azithromycin muaj kev pom ntau dav, muaj kev txwv tsawg dua ntawm kev siv thiab phiv. Tab sis nrog qee qhov mob, Amoxicillin ua tau zoo dua.

Cov kws kho mob tshuaj xyuas txog Amoxicillin thiab Azithromycin

Svetlana, 40 xyoo. Tus Kws Kho Mob, Kazan

Azithromycin yog qhov yooj yim siv thiab zam zoo. Vim tias cov tshuaj tiv thaiv tsis sib haum xeeb ntau dua rau beta-lactams, amoxicillin yog nce ntxiv los ua cov neeg sib xyaw ua ke.

Konstantin, 41 xyoo, kws kho mob otolaryngologist, Moscow

Ob qho tshuaj yuav ua tau zoo nyob rau hauv kev sib ntaus cov neeg ua rau ua mob tonsillitis, laryngitis, otitis media, sinusitis thiab muaj cov kab mob sib deev. Muaj kev nyab xeeb dua rau menyuam yaus yog azithromycin.