Siv tshuaj Amoxicillin thiab metronidazole tib lub sijhawm?

Helicobacter pylori yog ib hom kab mob uas tuaj yeem nyob hauv thaj chaw acidic ntawm lub plab. Rau qhov pom ntawm kev sib txuas ntawm nws qhov tshwm sim thiab kev txhim kho ntawm kev mob plab, mob plab thiab mob hnyuv duodenal, cov kws sau ntawm txoj kev tshawb no tau txawm tias muab qhov khoom plig rau xyoo 2005 Nobel nqi tshuaj. Thiab yog tias qhov ua rau tus kabmob yog tus kabmob, tom qab ntawd nws yuav tsum tau kho nrog cov tshuaj tua kabmob. Nkag Metronidazole thiab Amoxicillin ua ke yog raug xa mus rau thawj kab kev kho mob thiab yog siv dav hauv txoj kev kho tus mob niaj hnub.

Kev sib xyaw ntawm metronidazole thiab amoxicillin yog siv rau hauv kev kho mob ntawm txhua yam kab mob ntawm lub plab thiab duodenum cuam tshuam nrog Halicobacter pylori. Cov tshuaj siv tsis yog ua ke ua ke, tab sis kuj tshwj xeeb ntxiv rau kev sib xyaw nrog cov tshuaj tiv thaiv proton twj tso kua mis uas txo cov plab acidity (Omeprazole, Rabeprazole, thiab lwm yam). Ntxiv rau, Clarithromycin, uas yog lwm yam tshuaj tua kab mob, feem ntau siv hloov Metronidazole lossis Amoxicillin. Feem ntau, tag nrho cov tshuaj no siv hauv qhov thiaj li hu ua quadrotherapy (kho nrog plaub yam tshuaj) ntawm Helicobacter-cuam tshuam cov kabmob, uas yog raws li nram no: Omeprazole + Clarithromycin + Amoxicillin + Metronidazole.

Yog li, cov tshuaj yuav tsum yuav qaug cawv nrog:

• Lub plab zom mov
• Duodenal mob rwj,
• Mob plab zom mov tshwm sim los ntawm Helicobacter pylori.

Cov Yuav Tsum Muaj

Ntxiv rau nws cov nyhuv ua rau muaj zog tiv thaiv tsis tau zoo, kev sib xyaw ua ke ntawm cov tshuaj no muaj contraindications:

• Tshuaj qaug cawv,
• Daim siab ua haujlwm tsis zoo,
• Mob raum tsis zoo,
• Tsis txog 12 xyoos
• Cev xeeb tub
• Kev quav cawv
• Kev kho mob cancer,
• Kev kho TB.

Tso daim ntawv thiab nqi

Cov nqi rau metronidazole yuav txawv nyob ntawm nws cov chaw tsim tshuaj paus:

• Ntsiav tshuaj
  • 250 mg, 20 pcs. - 15 - 25 p,
  • 250 mg, 24 pcs. - 80 - 100 r,
  • 250 mg, 40 pcs. - 140 - 150 r,
  • 500 mg, 10 pcs. - 180 - 190 p,
  • 500 mg, 20 pcs. - 70 - 90 r,

Nws yuav tsum raug sau tseg tias muaj lwm cov tshuaj nrog metronidazole uas yog cov tshuaj nquag, tab sis nrog lub npe txawv.

Amoxicillin tseem ua los ntawm cov tuam txhab sib txawv, vim tias nws tus nqi kuj tuaj yeem hloov pauv (kom yooj yim, cov nqi ntawm cov ntsiav tshuaj thiab cov tshuaj ntsiav tau muab raws li 20 pcs.):

• 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.

Cov tshuaj yeeb dej caw amoxicillin kuj tseem pom muaj nyob hauv ntau cov tshuaj muaj npe sib txawv.

Metronidazole thiab amoxicillin tib lub sijhawm

Thawj qhov kev txheeb xyuas ntawm kev sib xyaw ntawm cov tshuaj no tau tshwm sim sai sai tom qab pib kho rau mob peptic. Niaj hnub no, quadrotherapy (kev kho mob nrog plaub yam tshuaj) yog ib qho ntawm txoj kev ua tau zoo thiab muaj zog tshaj kom tau txais kev tua tus kab mob Helicobacter pylori. Kev siv cov Amoxicillin thiab Metronidazole ua ke nrog lwm cov tshuaj zam kev zam kev ua haujlwm uas tshem tawm feem ntau ntawm lub plab nrog rau lub plab peptic. Ib qho ntawm cov kev tsis txaus ntseeg ntawm qhov kev sib xyaw no yog qhov kev xav tau tom ntej rau kev kho mob probiotics lossis kev kho mob kho mob rau dysbiosis.

Amoxicillin: lus piav qhia me ntsis

Cov tshuaj tua kab mob no yog suav tias yog universal thiab nyob rau hauv chav kawm ntawm penicillins. Nws yog siv nyob rau hauv kev kho mob ntawm kis pathologies provoked los ntawm pathogens rhiab rau qhov kev txiav txim ntawm cov tshuaj. Cov cim tseem ceeb rau kev siv Amoxicillin:

• cov kab mob ntawm cov kab mob ntawm lub tso zis thiab kev ua tub ntxhais hluas (suav nrog prostatitis),
• pathology ntawm lub tshuab ua pa thiab ENT kabmob,
• muaj kab mob ntawm txoj hnyuv,
• dermatological kis qhov chaw mob.

Cov tshuaj yog ua tau zoo hauv kev tshem tawm feem ntau cov kab mob pathogenic, suav nrog streptococci, staphylococci, thiab lwm yam.

Metronidazole Cov Lus Qhia luv

Cov tshuaj tua kab mob no muaj cov antiprotozoal thiab antimicrobial zog. Nws muaj nyob hauv cov npe ntawm cov tshuaj tseem ceeb thiab tseem ceeb tshaj plaws. Metronidazole siv tau los kho:

• dermatological kab mob ntawm kev kis tus kab mob,
• mob rwj
• haus cawv ntev zuj zus.

Ntxiv rau, cov tshuaj tua kab mob no pab hauv kev sib ntaus tawm tsam amoeba, plab hnyuv giardia, trichomoniasis, thiab lwm yam. Nws kuj tseem siv los tiv thaiv qhov tsis zoo tom qab kev phais mob hauv cov laus thiab menyuam yaus. Qhov ntau npaum li cas thiab qhov ntau npaum li cas yog tsim los ntawm tus kws tshwj xeeb coj mus rau hauv tus account ntawm tus neeg mob thiab cov hom phiaj ntawm txoj kev kho.

Tshuaj zoo sib xws

Tib lub sijhawm, cov tshuaj tau raug muab tshuaj rau cov neeg mob uas muaj kev cuam tshuam tsis zoo rau lawv cov tshuaj nquag. Cov qib siab ntawm pharmacoactivity thaum siv ua ke ntawm metronidazole + amoxicillin tau piav qhia los ntawm kev muaj zog tiv thaiv kev tiv thaiv kab mob thiab kev tiv thaiv kev txhim kho ntawm cov kab mob tiv thaiv kab mob rau cov kev ua ub no ntawm cov tshuaj. Hauv qhov no, cov tshuaj sib xyaw ua ke sib luag ntawm kev ua haujlwm.

Kev sib xyaw ua ke ntawm kev noj tshuaj tuaj yeem ua rau muaj kev tsis zoo los ntawm qhov ua mob ntawm txoj hnyuv.

Muaj qee zaus, cov neeg mob muaj:

• mob taub hau
• cystitis
• ua txhaum ntawm tso zis
• zoo nkaus li nkees nkees thiab nkees nkees,
• tsis meej pem,
• ua txhaum ntawm spatial orientation,
• qhov ua kom poob qis hauv kev xav ntawm leukocytes hauv cov ntshav cov ntshav.

Txhawm rau zam qhov tshwm sim, thaum kho, koj yuav tsum zam kev haus dej haus cawv thiab ua raws li tag nrho cov lus qhia ntawm koj tus kws kho mob.

Yuav noj li cas tib lub sijhawm?

Cov tshuaj kho mob raug muab rau noj hauv lub qhov ncauj raws li cov txheej txheem tsim los ntawm kws kho mob. Qhov tshuaj nruab nrab ntau npaum li cas yog 0.5 mg ntawm metronidazole thiab 0.75 mg ntawm amoxicillin (1 ntsiav tshuaj) peb zaug hauv ib hnub. Hauv cov neeg mob uas lub raum lub raum tsis ua haujlwm, ntau zaus ntawm kev siv tshuaj raug txo qis rau 2 zaug / hnub.

Lub sijhawm kho mob yuav tsum tsis pub tshaj 12 hnub. Hauv qee qhov xwm txheej, nws tuaj yeem txuas ntxiv mus txog ntau lub hlis. Amoxicillin raug pom zoo kom noj ua ntej noj mov. Tom qab noj mov, nws raug nquahu kom siv cov metronidazole. Cov ntsiav tshuaj tau nqos tag nrho yam tsis muaj ntxo, thiab ntxuav nrog dej.

Cov tshuaj tua kab mob yog contraindicated nyob rau hauv pathologies ntawm lub hauv nruab nrab lub paj hlwb thiab ncig, nrog rau thaum lub sijhawm pub niam mis thiab cev xeeb tub.

Ib qho ntxiv, tshuaj tsis raug txwv rau cov menyuam yaus. Nyob rau lub sijhawm siv cov tshuaj, nws yog ib qho tsim nyog yuav tsum tsis ua haujlwm nrog kev ua haujlwm ntau ntxiv ntawm kev saib xyuas thiab sai ntawm cov lus teb.

Petr Gavrilov (kws kho mob plab zom mov), 51 xyoo, Syktyvkar

Cov kab mob pathogenic hloov kho sai rau cov kev ua ntawm cov tshuaj tua kab mob, yog li ntawd, txhawm rau ua kom tiav kev ua tau zoo, Kuv feem ntau sau ntawv rau Metronidazole thiab Amoxicillin rau kev siv tib lub sijhawm. Qhov ua tau zoo ntawm cov neeg sawv cev no yog nyob ntawm tus yam ntxwv ntawm tus neeg mob lub cev thiab cov duab kab mob ntawm cov kab mob sib kis. Nws tsis tsim nyog yuav mus rau qhov muab nws tus kheej tshuaj. Txhawm rau kom sai thiab kho tus kab mob, nws yog qhov zoo dua los tham nrog tus kws kho mob.

Darina Sleptsova, 40 xyoo, Bryansk

Kuv tau siv los kho helminthiasis nrog Nemosol thiab Decaris. Txawm li cas los xij, Kuv muaj kev phiv tshuaj rau cov tshuaj no. Tam sim no kuv siv kev sib xyaw ntawm Metronidazole thiab Amoxicillin raws li kws kho mob tau hais tseg. Cov tshuaj yog ua tau zoo, ua kom maj mam pauv los ntawm lub cev. Kuv tsis tau soj ntsuam kev phiv thaum lawv siv.

Tamara Burguzina, 34 xyoo, Stavropol

Tus kws kho mob sau tshuaj metronidazole tom qab tshem tawm ntawm cov cab. Cov tshuaj muaj txiaj ntsig tiv thaiv ntau yam kab mob. Txawm li cas los xij, tiv thaiv keeb kwm yav dhau los ntawm kev siv cov tshuaj no, cov nyhuv tshuaj tau ua kom tsis muaj zog. Tom qab ntawd tus kws tshaj lij ntxiv cov tshuaj Amoxicillin. Cov kev sib koom ua ke ntawm cov tshuaj tua kab mob tau txhim kho kuv tus mob sai sai Ntawm cov kev mob tshwm sim, Kuv tsuas mob siab me ntsis. Txawm li cas los xij, nws tus kheej ploj mus li 2 hnub.

Cov lus qhia luv luv ntawm Amoxicillin

Amoxicillin muaj cov yam ntxwv li nram no:

1. Dosage daim ntawv thiab muaj pes tsawg leeg. Cov tshuaj tua kab mob muaj nyob rau hauv daim ntawv ntawm ntsiav tshuaj, tsiav tshuaj nyob rau hauv lub plhaub gelatin thiab cov hmoov ua rau npaj rau kev ncua. 1 ntsiav tshuaj lossis tshuaj ntsiav muaj 250 lossis 500 mg ntawm cov tshuaj nquag.
2. Mechanism ntawm kev ua. Cov tshuaj tua kab mob cuam tshuam nrog cov khoom tsim protein sib xyaw tsim nyog rau kev tsim cov kab mob ntawm phab ntsa. Cov kab mob ua rau yoog mus rau qhov tsis zoo thiab thaum kawg tuag. Cov tshuaj muaj txiaj ntsig tawm tsam gram-zoo thiab gram-cov kab mob tsis zoo uas tsis zais penicillinase.
3. Cov Tshuaj Pharmacokinetics Thaum noj ntawm qhov ncauj, amoxicillin yog nqus los ntawm lub plab hnyuv phab ntsa thiab tusyees faib thoob plaws cov ntaub so ntswg. Nrog cov mob o ntawm cov txha caj qaum, cov tshuaj nkag rau cov ntshav-hlwb teeb meem. Feem ntau ntawm cov koob tshuaj muab tau tawm hauv nws thawj daim ntawv nrog zis.
4. Cov tau txais daim ntawv thov. Cov tshuaj yog kws kho rau cov mob los ntawm tus kab mob rhiab:
   • kis kab mob sib kis,
   • cov txheej txheem mob hauv cov kabmob ENT (tonsillitis, mob ntawm pob ntseg hauv nruab nrab, kab mob pharyngitis),
   • cov kab mob sib kis ntawm cov genitourinary system (mob ntsws, mob ntawm lub tsev me nyuam thiab mob hnyuv tws, nqaij hlav),
   • purulent txhab ntawm cov nqaij mos,
   • listeriosis,
   • uncomplicated gonorrhea
   • leptospirosis.

Amoxicillin (Amoxicillin): Lus Qhia luv

Amoxicillin yog tshuaj tua kab mob tshuaj penicillin pawg, cov hluavtaws ib nrab. Qhov piv txwv ntawm ampicillin no nquag ua rau muaj ntau ntawm cov kabmob sib kis.

Cov tshuaj yog nquag tiv thaiv cov kab mob aerobic gram-tsis zoo:

• gonococcus,
• ua mob meningococcus,
• E. coli
• shigella,
• salmonella,
• klebsiella.

Nquag ua tawm tsam aerobic gram-zoo cov kab mob:

1. staphylococcus,
2. mob streptococcus.

Luv luv piav qhia ntawm Metronidazole

Tus neeg sawv cev tiv thaiv kab mob muaj nyob hauv cov ntawv ntsiav tshuaj. Nws muaj cov cwj pwm hauv qab no:

1. Qhov ua tau zoo ntawm kev cuam tshuam. Metronidazole cuam tshuam rau DNA qauv ntawm cov tshuaj tiv thaiv thiab cov kab mob uas nkag siab zoo rau cov khoom xyaw nquag. Cov tshuaj yog nquag tiv thaiv Trichomonas, gardnerella, Giardia, amoeba. Rhiab cov tshuaj thiab cov kab mob anaerobic. Cov kab mob nyob hauv cov pa oxygen ib puag ncig yog tshuaj tiv thaiv.
2. Cov tau txais daim ntawv thov. Daim ntawv teev npe ntawm cov cim qhia rau kev siv tshuaj metronidazole suav nrog cov kab mob hauv qab no:
   • trichomonas lesion ntawm qhov zis thiab lub paum,
   • Giardiasis
   • amoebiasis
   • cov mob sib kis los ntawm cov kab mob anaerobic microorganisms,
   • sib tov sib kis mob los ntawm kev ua lub neej nquag ntawm cov kab mob aerobic thiab anaerobic,
   • tiv thaiv ntawm postoperative teeb meem,
   • haus cawv ntev zuj zus.
3. Cov Yuav Tsum Tau Ua Cov tshuaj tsis tau sau tseg rau cov mob txhab rau hauv lub hlwb, mob siab rau lub siab thiab lub raum pathologies, thiab ib leeg tsis kam rau metronidazole. Koj tsis tuaj yeem coj tus neeg sawv cev antiprotozoal thaum ntxov ntawm cev xeeb tub.
4. Txoj kev ntawm daim ntawv thov. Qhov tshuaj raug coj 250-750 mg 3 zaug ib hnub. Cov koob tshuaj rau cov menyuam yaus tau teeb tsa ntawm tus nqi ntawm 5-15 mg / kg. Lub sijhawm ntawm cov kev kho kom haum yog txiav txim siab los ntawm qhov loj ntawm cov chav kawm ntawm tus kab mob.
5. Sab sij huam. Thaum noj cov ntsiav tshuaj, kev zom plab tuaj yeem tshwm sim hauv daim ntawv ntawm xeev siab, ntuav, tsis kaj siab tom qab lub qhov ncauj, thiab raws plab. Cov nyhuv ntawm cov tshuaj rau ntawm cov hlab ntsha hauv nruab nrab yog tshwm sim los ntawm mob taub hau, tsis hnov ​​qab, tsis nco qab thiab mob nriaj. Nrog rau kev nkag siab zoo rau cov tshuaj, cov tshuaj tiv thaiv kev tsis haum tshwm sim hauv daim ntawv ntawm urticaria, tawv nqaij ua pob khaus, los ntswg.

Qhov twg yog qhov zoo dua - Amoxicillin lossis Metronidazole

Cov tshuaj muaj cov txheej txheem sib txawv ntawm kev nqis tes ua, yog li nws nyuaj rau qhov hais tias qhov twg yog qhov zoo dua.

Amoxicillin hauv kev sib koom tes yog siv los kho tus mob gastritis los ntawm Helicobacter pylori mob.

Thaum muab tshuaj rau haus ua ke Amoxicillin thiab Metronidazole

Kev qhia rau kev siv tshuaj sib xyaw ua ke yog cov kabmob no:

• mob caj dab los ntawm kev mob Helicobacter pylori,
• peptic rwj ntawm lub plab thiab duodenum,
• tsis mob plab zom mov tsis haum plab,
• malignant loj hlob ntawm lymphoid nqaij ntawm lub plab,
• rov qab los tom qab tshem tawm ntawm kev ua haujlwm tsis zoo ntawm lub plab,
• gastroesophageal reflux.

Thaum noj cov tshuaj amoxicillin

Amoxicillin yog koom nrog pawg penicillin thiab siv rau cov cim hauv qab no:

• kis kab mob ntawm cov pa sab saud thiab qis,
• cov kab mob ntawm cov mob txeeb zig,
• kis kab mob ntawm cov nqaij mos, lub plab zom mov thiab kev ua me nyuam (nrog rau cov mob los ntawm gonococci, listeria thiab leptospira),
• kev tiv thaiv ntawm cov kab mob teeb meem ntawm kev kho hniav thiab phais.

Metronidazole raug xaj kom muaj rau dab tsi?

Tsis zoo li amoxicillin, metronidazole ua haujlwm tsis tsuas yog tiv thaiv cov kab mob, tab sis kuj tawm tsam protozoa (cua nab, giardia). Cov tshuaj raws cov tshuaj tua kab mob no tau sau tseg rau:

• txoj kev kho mob ntawm cov mob hnyav nrog cov kab mob koom ua ke ntawm cov kab mob anaerobic thiab aerobic,
• giardiasis
• mob plab zom mov thiab lwm yam kev mob plab zom mov los ntawm cov kab mob rhiab rau cov tshuaj,
• o cov mob hlwb ua tawm los ntawm trichomonads,
• kev tiv thaiv ntawm mob txeeb zig thiab txoj hnyuv mob plab.

Metronidazole tuaj yeem siv rau hauv kev quav dej cawv mus ntev los tsim cov kev xav tsis zoo ntawm kev xav rau ethanol.

Cov nyhuv sib xyaw ntawm Amoxicillin thiab Metronidazole

Muaj kev sib koom tes ntau ntawm cov tshuaj yog tiv thaiv tus kab mob Helicobacter pylori. Metronidazole cuam tshuam tsis zoo rau Helicobacter genotype, cuam tshuam nrog nws cov txheej txheem replication.

Penicillin tshuaj tua kab mob inhibits kev txhim kho ntawm microorganism tsis kam rau Metronidazole.

Qhov ua tau zoo ntawm chav kawm yog nyob ntawm muaj cov khoom siv ntxiv ntawm kev kho (suav nrog clarithromycin) thiab qhov kev cuam tshuam ntawm cov kab mob me me mus rau qhov nyuaj ntawm cov tshuaj tua kab mob.

Amoxicillin thiab metronidazole - yuav ua li cas coj nrog mob caj dab?

Gastritis cuam tshuam nrog H. pylori tus kab mob yuav tsum tau yauv tshuaj tua kab mob. Txwv tsis pub, nws muaj qhov pheej hmoo loj ntawm kev tsim muaj mob txhab. Ntau xyoo dhau los ntawm kev siv quadrotherapy cia peb xaiv qhov zoo tshaj plaws ntawm cov tshuaj. Raws li kev txheeb xyuas ntawm ob tus kws kho mob gastroenterologist thiab cov neeg mob lawv tus kheej, cov txiaj ntsig zoo tshaj plaws tuaj yeem ua tiav nrog 7 hnub tom qab kev kho mob:

• Omeprazole 20 mg 2 zaug ib hnub,
• Clarithromycin 0.5 g 2 zaug ib hnub,
• Amoxicillin 1 g 2 zaug ib hnub,
• Metronidazole 0.5 g 2 zaug ib hnub.

Nws yuav tsum nkag siab tias kev siv cov Metronidazole ib leeg nrog Amoxicillin yuav tsis ua rau muaj txiaj ntsig zoo - Clarithromycin thiab Omeprazole yuav tsum mus nrog lawv. Ib qho tshuaj ntxiv rau cov tshuaj tua kab mob yog tsim nyog los lav kev puas tsuaj ntawm cov kab mob. Omeprazole tso cai rau koj kom tshem tawm cov nyhuv ntawm hydrochloric acid rau ntawm phab ntsa helicobacter uas puas lawm. Nyob rau tib lub sijhawm, muaj ntau yam kev hloov ntawm ob qho kev ua haujlwm ntawm quadrotherapy nws tus kheej (nrog kev npaj bismuth, tetracycline, thiab lwm yam) thiab muaj ntau yam ntawm Helicobacter tshem tawm cov txheej txheem ib qhov. Yog tias tsis ua haujlwm lossis kev ua tsis tau ntawm kev coj ua raws li kev kho mob no, nws yuav tsum xaiv qhov sib txawv ntawm cov tshuaj.

Kev ntsuas rau siv

Cov cuab yeej siv los kho rau cov kab mob tuaj yeem txhim kho:

• hauv cov nqaij mos
• hauv lub plab,
• hauv cov pa nruab nrog cev
• hauv cutaneous npog
• hauv ENT-cov tshuab
• hauv txoj hnyuv,
• hauv genitourinary plab hnyuv siab raum.

Cov tshuaj no muaj ntau hom kev kho mob:

1. hauv ntsiav tshuaj,
2. hauv granules,
3. li cas hmoov av tuaj
4. hauv tsiav tshuaj,
5. li cas hmoov (suav nrog kev haus).

Duab 1. Amoxicillin ntsiav tshuaj, 1000 mg, 20 pcs, chaw tsim tshuaj paus - ALIUD PHARMA.

Amoxicillin yog ib cov tshuaj uas muaj cov kab mob loj thiab muaj txiaj ntsig zoo, uas yog cov tshuaj muaj peev xwm thib 3 ntawm txoj kev kho mob rau kev kho mob ntsws tuberculosis.

Tseem Ceeb! Thaum muab sib xyaw nrog metronidazole, cov tshuaj nquag tawm tsam Helicobacter pylori. Ua tsaug rau Amoxicillin, hauv Helicobacter pylori kev ruaj khov tsis txhim kho rau metronidazole.

Kev ntsuas rau siv tib txhij

Qhov tseem ceeb tshaj plaws rau kev siv ua ke ntawm cov tshuaj tua kab mob yog kev kho kab mob - kev rhuav tshem cov kab mob microbial ntawm H. pylori, uas yog qhov tseem ceeb ua rau ua kom mob siab thiab mob siab rau ntawm phab ntsa ntawm lub plab.

Cov tshuaj sib xyaw ua ke tuaj yeem ua raws li cov cim hauv qab no:

• exacerbation ntawm Helicobacter-txuam pais plab rwj,
• atrophic gastritis,
• dyspepsia ntawm tsis yog-mob txhab rau keeb,
• malignant neoplasia ntawm lymphoid nqaij txuam nrog pais plab paum,
• resection rau mob qog malignant ntawm lub plab,
• pais plab mob cancer nyob rau hauv cov neeg txheeb ze,
• gastroesophageal reflux tus kab mob, siv sijhawm ntev ntev ntawm NSAIDs (nrog ceev faj).

Yog tias thawj cov tshuaj kab mob ua tsis muaj txiaj ntsig lossis ua ib qho kev kho mob ntxiv, amoxicillin + metronidazole complex tuaj yeem kho tus kab mob ntsws thiab thaum pib mob chlamydia, txawm hais tias tsis muaj antichlamydial kev ua haujlwm hauv antiprotozoal tus neeg sawv cev.

Qhov ntau thiab tsawg ntawm cov tshuaj thiab lub sijhawm ntawm cov chav kawm ntawm kev kho yog txiav txim los ntawm tus kws kho mob.

Amoxicillin Cov Cwj Pwm

Cov tshuaj tiv thaiv muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, tshuaj ntsiav lossis kev ncua rau kev tswj hwm qhov ncauj. Amoxicillin inhibits kev ua haujlwm ntawm cov enzymes koom nrog kev tsim cov peptidoglycan, uas yog cov protein tsim nyog rau kev txhim kho kab mob ntawm phab ntsa. Tus kab mob tua tau tus kab mob txwv tsis pub sib faib thiab pab txhawb kev tuag ntawm cov kab mob me. Rhiab rau Amoxicillin:

• cov kab mob gram-zoo aerobic (streptococci, staphylococci, tshwj tsis yog muaj kev phom sij ua rau muaj cov beta-lactamases),
• Gram-negative aerobic microorganisms (Escherichia coli, Proteus, Haemophilus influenzae, gonococci, meningococci, Salmonella, Klebsiella, Shigella, Helicobacter pylori).

Cov tshuaj tsis muaj txiaj ntsig tawm tsam indole-positive hom kab mob ntawm Proteus, enterobacter, serration, rickettsia, kab mob thiab intracellular cab.

Thaum noj ntawm qhov ncauj, Amoxicillin nrawm rau hauv cov ntshav thiab tusyees faib thoob plaws cov nqaij.

Qhov siab tshaj plaws ntawm cov tshuaj pom tau tias 60-120 feeb tom qab kev noj mov. Hauv lub siab, cov tshuaj tua kab mob tau hloov mus rau hauv cov roj ntsha uas tsis ua haujlwm, uas tawm hauv cov zis.

Amoxicillin inhibits kev faib tawm thiab pab txhawb kev tuag ntawm cov microorganism.

Nkaus ntawm metronidazole

Metronidazole muaj cov teebmeem antimicrobial thiab antiprotozoal. Cov kev ua tau zoo tau piav qhia los ntawm kev muaj peev xwm los kho 5-nitro pawg thaum nkag mus rau hauv cov qauv ntawm cellular ntawm cov kab mob pathogenic. Cov khoom siv nquag ua haujlwm yog ua rau hauv DNA, txwv tsis pub muaj cov khoom siv hluav taws xob ua ke, uas ua rau cov kab mob tuag. Cov tshuaj yuav siv tau tawm tsam cov kab mob hauv qab no:

• Trichomonas vaginalis,
• dysenteric amoeba,
• vaj,
• Giardia
• bacteroids
• fusobacteria,
• clostridia
• peptococci,
• peptostreptococcus.

Aerobic cov kab mob thiab cov kab mob ntawm lub cev tsis zoo rau lub cev yuav tsis cuam tshuam nrog cov tshuaj nquag. Nyob rau ntawm qhov muaj cov tsiaj muaj ntxaij, metronidazole ua rau kom muaj zog ntawm cov tshuaj tua kab mob. Cov tshuaj txo cov tsis kam ntawm malignant qog mus rau hluav taws xob, txhawb txoj kev txhim kho rau kev haus dej cawv, txhawb txoj kev kho kom zoo. Thaum noj, cov tshuaj nquag raug tusyees faib thoob plaws cov ntaub so ntswg thiab cov plab hnyuv siab raum, kov yeej cov keeb kwm kev tiv thaiv. Hauv lub siab, metronidazole hloov pauv mus rau hauv cov roj ntsha uas ua rau cov zis.

Yuav noj Amoxicillin thiab Metronidazole ua ke li cas?

Cov tshuaj noj yog coj noj ntawm qhov ncauj 3 zaug hauv ib hnub. Qhov ntau thiab tsawg yog xaiv los ntawm tus kws kho mob mus kawm. Thaum tsis muaj peev xwm kho lub raum, lub sijhawm nruab nrab ntawm cov koob tshuaj yog nce rau 12 teev. Lub chav kawm ntawm kev kho mob kav 10-12 hnub. Hauv qee kis, nws txuas ntxiv mus rau 6 lub hlis. Amoxicillin noj ua ntej noj mov, Metronidazole - tom qab. Cov ntsiav tshuaj tau ntxuav tag nrog dej ntau.

Phiv los ntawm Amoxicillin thiab Metronidazole

Yog tias koj ua raws li lub caij noj tshuaj sau los ntawm koj tus kws kho mob, cov kev mob tshwm sim tsis tshua muaj tshwm sim. Qee lub sij hawm xws li qhov tsis zoo raug pom:

• mob taub hau
• febrile mob
• teeb meem ntawm kev tso zis
• Lub cev tsis muaj kev sib koom tes ntawm kev txav,
• tsaug zog thiab qaug zog,
• hloov cov ntshav sib xyaw.

Lub tswv yim ntawm cov kws kho mob

Peter, 45, kws kho teeb meem, Tver: “Metronidazole thiab Amoxicillin feem ntau yog siv los kho tus mob gastritis thiab mob rau sab hauv. Cov tshuaj no ua rau muaj kev cuam tshuam ntawm lwm tus, uas pab tshem tawm Helicobacter pylori, lub ntsiab ua rau cov mob cuam tshuam ntawm lub plab hnyuv sab saud. Koj tuaj yeem noj tshuaj tua kab mob tsuas yog qhia los ntawm koj tus kws kho mob. Txwv tsis pub, qhov ntxim nyiam ntawm kev mob tshwm sim ntxiv. "

Irina, 54 xyoo, kws kho mob dav dav, Barnaul: “Metronidazole nrog Amoxicillin siv rau hauv kev kho mob kis mob los ntawm cov tshuaj tua kab mob. Cov tshuaj muaj txiaj ntsig zoo rau kev mob ntsws qhuav, pais plab rwj, trichomoniasis. Kev tswj hwm yuav tsum tau ua rau coj mus rau hauv tus account tus yam ntxwv ntawm lub cev. Tsis txhob noj tshuaj rau tus kheej. ”

Kev Ntsuam Xyuas Rau Neeg Mob

Tatyana, 45 xyoo, Kazan: “Tom qab tshem tawm ntawm cov cab, tus kws kho mob qhia kuv kom coj Metronidazole. Cov tshuaj tawm tsam cov kis mob uas tshwm sim ntawm keeb kwm ntawm kev ua cov parasitic. Cov nyhuv tsis tau txaus hais, yog li ntawd, kev kho mob ntxiv nrog Amoxicillin. Hauv kev sib xyaw ua ke, cov tshuaj no tau ua zoo dua, uas tau txo lub sijhawm ntawm cov kev kho kom zoo. Txoj kev kho yuav tsum ua ke nrog kev siv cov probiotics uas cuam tshuam kev txhim kho ntawm dysbiosis. "

Marina, 42 xyoo, Ivanovo: “Metronidazole thiab Amoxicillin yog cov pheej yig tab sis cov tshuaj tua kab mob zoo. Kev sib xyaw ua ke zoo sib xws tau siv nyob rau hauv kev kho mob kis kab mob ntawm cov kab mob ntawm lub tshuab ua pa. Cov tshuaj daws tau sai sai nrog kev kis tus mob. Kuv tsis pom muaj cov kev mob tshwm sim. "

Metronidazole (Metronidazole): cov lus qhia me ntsis

Metronidazole yog cov tshuaj tua kab mob ntau yam nrog antimicrobial, tiv thaiv cov kab mob thiab cov kab mob antiprotozoal. Cov tshuaj yog siv rau hauv kev kho mob ntawm parasitic thiab kis kab mob.

Cov khoom yog nquag tiv thaiv cov kab mob hauv qab no:

• dysenteric amoeba
• urogenital trichomoniasis,
• txoj hnyuv lamblia,
• vaj loog.

Tawm tsam qee tus kab mob gram-positive:

• peptostreptococcus,
• eubacteria,
• clostridia,
• Helicobacter pylori (gram-tsis zoo).

Kom tsis muaj tus kab mob anaerobic:

• vailonella,
• anaerobic kis tau tus mob
• bacteroids.

Muaj kev phiv ntau

Cov kev mob tshwm sim los ntawm kev tswj hwm tib lub sijhawm ua ke ntawm ob qho tshuaj tsis txawv ntawm qhov ntawd zoo li yog tias lawv siv nyias. Qee qhov xwm txheej, kev tsis haum siab hauv qab no tshwm sim:

• los ntawm lub plab zom mov: raws plab, xeev ntuav, ntuav,
• ua xua kev tawm tsam
• teturam-zoo li nyhuv.

Cov kev ua txhaum cai hauv qab no yuav tshwm sim:

• teeb meem ua haujlwm cov hnyuv,
• cystitis,
• qib txo ntshav dawb hauv cov ntshav
• teeb meem nrog tso zis,
• nce kub
• taub hau kev mob
• tawv nqaij ua pob,
• ua txhaum kev sib koom tes,
• tsis meej pem kev nco qab.

Nrog xws li cov npe loj ntawm cov kev mob tshwm sim, teeb meem nrog pw tsaug zog thiab nkees feem ntau pom.

Daim ntawv thov efficiency

Vim tias qhov tseeb tias cov tshuaj txhim kho ib tus neeg ua haujlwm, peb tuaj yeem ntseeg siab tham txog lawv cov txiaj ntsig. Tab sis nyob rau hauv txhua kis, qhov tseeb ntawm kev kho mob nrog cov tshuaj no yuav tsum raug txiav txim siab tus kheej, coj mus rau hauv tus account tag nrho cov nta ntawm chav kawm ntawm tus kab mob.

Feem ntau, qhov nyuaj no yog qhov tseem ceeb rau cov neeg mob uas lwm cov tshuaj tsis sib haum lossis thaum cov nyiaj no tsis muaj txiaj ntsig zoo.

Yuav noj cov Amoxicillin thiab Metronidazole ua ke li cas

Tus qauv muab tshuaj rau H. pylori kev tshem tawm yuav tsum siv txhua cov tshuaj 1 ntsiav tshuaj peb zaug ib hnub. Qhov tshuaj txhua hnub ntawm ob qho tshuaj tua kab mob tsis pub tshaj 2000 mg. Qhov nruab nrab nruab nrab ntawm lub chav kawm yog 12 hnub.

Nrog rau kev mob ntsws, cov nyiaj yuav tsum tau li hauv rau lub hlis.

Penicillin tshuaj tua kab mob yog qaug ua ntej noj mov, thiab antiprotozoal tom qab.