Thawj Tus Kws Kho Mob Xa Khoom > Kev khomob thiab kev tiv thaiv

Txhawm rau nce qhov kev ua tau zoo ntawm kev kho qee yam kab mob, cov kws kho mob feem ntau siv kev sib xyaw ntawm ob lossis ntau peb yam tshuaj tua kab mob ib zaug. Piv txwv li, kev kho mob, nrog rau ob qho Clarithromycin thiab Amoxicillin, raug lees paub tias yog qhov muaj txiaj ntsig zoo tshaj plaws hauv kev tiv thaiv kev swb Helicobacter Pylori - tus neeg sawv cev ntawm lub plab zom mov.

Nqe lus piav txog cov tshuaj

Helicobacter pylori Helicobacter nyob hauv lub plab ntawm lub plab thiab mus txog rau qee lub sijhawm, nws txoj haujlwm tseem ceeb yuav ploj mus tsis muaj tseeb. Thaum cov kab mob zoo tshwm sim, lub pathogenic microorganism yog qhib kom ua, vim tias qhov kev mob plab hnyuv loj tuaj.

Muab cov xwm txheej sib kis ntawm pathology, cov kws kho mob siv cov tshuaj tua kab mob los tiv thaiv tus kabmob. Qhov yuav tsum tau noj Amoxicillin thiab Clarithromycin ua ke feem ntau tshwm sim los ntawm kev ua kom tsis zoo rau lub plab peptic.

Cov tshuaj Amoxicillin yog tshuaj tua kab mob ib nrab hluavtaws, cov tshuaj nquag ua haujlwm uas tsim tawm los ntawm tus cwj mem penicillium pwm. Thaj chaw ntawm cawv ntawm Amoxicillin yog gram-zoo thiab gram-tsis zoo anaerobes, uas suav nrog Helicobacter pylori.

Clarithromycin kuj tseem yog cov tshuaj tua kab mob, tab sis los ntawm pawg Macrolide. Cov tshuaj tua kab mob ntawm cov pab pawg Macrolide muaj cov tshuaj tua kab mob, tiv thaiv thiab bacteriostatic. Ntxiv mus, Clarithromycin muaj peev xwm inhibit qhov synthesis ntawm cov protein tsim nyog rau lub neej ntawm cov kab mob pathogenic, thiab thiaj li tiv thaiv lawv txoj kev loj hlob thiab rov ua dua tshiab.

Yog li, ob lub tshuaj tsuas cuam tshuam rau cov kab mob me me uas cuam tshuam nrog cov kab mob.

Cov tsis ntseeg ntawm ntau tus neeg mob txog seb Clarithromycin thiab Amoxicillin tuaj yeem noj tib lub sijhawm yog nkag siab, tab sis tsis muaj qhov tseeb. Kev sib xyaw ua ke nrog clarithromycin thiab amoxicillin ua rau lub zog muaj zog ntawm qhov chaw ntawm kev kis tus kab mob thiab ua rau nws rhuav tshem.

Cov txheej txheem tshuaj kho mob siv los tua Helicobacter pylori yog hu ua kev sib tua. Muaj ntau ntau tus qauv ntawm kev siv tshuaj tua kabmob, txhua tus ntawm cov neeg uas yuav tsum ua tau raws li qhov yooj yim:

muab qhov siab ntawm kev tua kab mob ntawm cov kab mob,
yooj yim ntawm kev siv
yam tsawg kawg ntawm cov kev tsis haum tshuaj
tsis kam mus tiv taus hom,
qhov ua tau zoo ntawm kev tshwm sim rau ulcerative foci.

Raws li txoj cai, kev tswj hwm ntawm Amoxicillin thiab Clarithromycin suav nrog kev siv cov tshuaj ntxiv nrog lub peev xwm los tiv thaiv kev tsim cov tshuaj acid hydrochloric. Cov tshuaj no hu ua proton twj tso kua mis inhibitors (PPIs). Cov no suav nrog omeprazole, lansoprazole, pantoprazole thiab rabeprazole.

Vim tias kev sib txuas ntawm qhov kev ua peb zaug ntawm cov tshuaj tua kab mob - IIT, Amoxicillin thiab Clarithromycin, cov kev ua tau zoo ntawm kev kho ntxiv nce, txo tus neeg mob lub sijhawm rov qab. Yog li no, cov kws muag tshuaj tau tsim cov tshuaj, uas muaj peb yam tseem ceeb - Omeprazole, Amoxicillin thiab Clarithromycin. Cov tshuaj hu ua Pilobact Neo.

Cov Tshuaj Pilobact Neo yog cov kev sib koom ua ke ntawm lub hauv paus tseem ceeb ntawm kev siv tshuaj tua kabmob - Amoxicillin ntsiav tshuaj, Clarithromycin ntsiav tshuaj thiab Omeprazole tsiav tshuaj.

Raws li cov lus qhia, cov tshuaj no yog tsim rau hauv chav kawm xya-hnub. Cov pob ntawv muaj xya lub hlwv, txhua tus suav nrog ob ntsiav tshuaj ntawm Clarithromycion, Amoxicillin thiab Omeprazole. Koob tshuaj ib zaug - ib ntsiav tshuaj ntawm txhua yam thaum sawv ntxov thiab yav tsaus ntuj.

Rau cov menyuam yaus hnub nyoog qis dua 16 xyoo, Pilobact Neo yog contraindicated.

Noj Amoxicillin thiab Clarithromycin, ntxiv rau ua raws li tus kws kho mob pom zoo, tsuas yog txoj hauv kev los kho kom muaj kev noj qab haus huv txawm tias tom qab muaj kev puas tsuaj loj npaum li Helicobacter pylori mob.

Pom yuam kev lawm? Xaiv nws thiab nias Ctrl + Enter

Cov ntaub ntawv dav dav

Antibiotics tau siv nyob rau thawj ib nrab ntawm xyoo pua 20th. Nyob rau lub sijhawm no, cov kws tshawb fawb thiab cov kws tsim kev lag luam tau tso rau hauv kwj, uas ua rau lawv cov tsiaj thiab cov pab neeg coob. Tshuaj tua kab mob - tshuaj ntawm lub hauv paus chiv keeb, raws ntawm cov khoom siv hluavtaws yog tsim tawm.

Klacid thiab Amoxiclav yog sib txawv txawv pharmacological pawgtab sis siv rau qee yam kabmob sib thooj. Qee zaum ib qho tshuaj tua kab mob hloov los ntawm lwm qhov yog tias tsis rov zoo dua. Qhov twg yog qhov zoo dua thiab ua haujlwm tau zoo dua? Thiab thaum twg siv dab tsi?

Klacid yog tshuaj tua kab mob (clarithromycin) pawg ntawm macrolides. Ib qho kev ua haujlwm ntawm nws txoj haujlwm yog tias nws khi rau 50S ribosomal subunit ntawm cov kab mob rhiab thiab inhibits protein synthesis. Tshem tawm cov kab mob aerobic thiab anaerobic gram-tsis zoo thiab gram-zoo.

Klacid muaj ntau hom:

Cov tshuaj ntsuabCov. Nws muaj ob hom: 250 mg (10 daim ib pob) lossis 500 mg (14 daim ib pob).
Hmoov dawb dawbCov. Los ntawm nws ua rau ncua. Txhawm rau txo qhov iab ntawm kev saj, ntxiv txiv hmab txiv ntoo tsw qab. Muab koob tshuaj: 125mg / 5ml thiab 250mg / 5ml. Cov ntim muaj cov koob txhaj tshuaj lossis rab diav rau cov tshuaj noj tau yooj yim.
LyophilisateCov. Los ntawm nws ua ib txoj kev daws rau kev txhaj tshuaj hauv dej. Nws yog dawb hauv 500 mg rau ib lub vial.

Kev noj tshuaj tsis yog nyob ntawm kev noj zaub mov zoo.

Nws yog ntawv rau cov mob nram qab no:

Kab mob ntsws (tracheitis, mob ntsws, mob ntsws).
Kab mob ntsws.
Kabmob hnoos hawbpob.
Lub plab zom rhawv muaj kev cuam tshuam los ntawm Helicobacter pylori.
Rau cov teeb meem nrog ENT plab hnyuv siab raum.
Cov mob chlamydial.

Txawm hais tias nws ua tau zoo, Klacid yuav tsis pab nrog muaj qee cov kab mob gram-negative (piv txwv li, Pseudomonas aeruginosa). Zoo li ntau lwm cov tshuaj tiv thaiv, cov kev mob tshwm sim tuaj yeem zam tsis dhau. Los ntawm thiab loj, lawv muaj feem xyuam nrog lub plab zom mov (xeev siab, zawv plab), tej zaum muaj kev cuam tshuam ntawm cov hlab ntsha hlwb, mob taub hau.

Contraindications rau kev nkag:

Cov tshuaj tiv thaiv tsis haum rau cov tshuaj macrolide.
Raum lub raum thiab mob siab ua haujlwm.
Ua ke nrog qee lwm yam tshuaj.
Cev xeeb tub
Lub sijhawm lactation.
Cov me nyuam lub hnub nyoog.

Klacid raug tso tawm los ntawm lub raum lossis mob siab, yog tias coj los ntawm kev ua niam txiv, yog li tus neeg mob uas muaj teeb meem nrog cov plab hnyuv siab raum no yuav xav tau kev sib tham ntxiv.

Amoxiclav

Amoxiclav - tshuaj tiv thaiv penicillin pawgCov. Nws muaj cov txiaj ntsig zoo (amoxicillin) nrog beta-lactamase inhibitor (clavulanic acid). Clavulanic acid thaiv qhov nias ntawm cov kab mob ntawm cov enzymes. Cov tshuaj tua kab mob ua kom tshem tawm cov kab mob anaerobic gram-tsis zoo thiab kab mob gram-zoo.

Ua nyob rau hauv cov ntaub ntawv hauv qab no:

Tshuaj ntsuab dawbCov. Feem ntau tau sau 250/125 mg lossis 500/125 mg (thawj qhov ntsuas yog cov ntsiab lus ntawm amoxicillin, thib ob - clavulanic acid). Hauv ib lub raj mis - 15 daim.
HmoovCov. Ib qho kev ncua yog npaj los ntawm nws. Tsuas tshuaj - 125 mg ntawm amoxicillin thiab 31.25 mg ntawm clavulonic acid.
LyophilisateCov. Los ntawm nws ua kev daws rau kev txhaj tshuaj. Tsuas tshuaj - 500/100 mg thiab 1000/200 mg.

Koj tuaj yeem noj cov tshuaj tsis hais txog kev noj mov li.

Pab nrog cov kab mob hauv qab no:

Lub plab ua pa thiab ENT plab hnyuv siab raum.
Biliary thiab mob txeeb zig.
Nrog rau kab mob kis.
Lub plab zom mov tsis meej tshwm sim los ntawm Helicobacter pylori.
Hauv kev kho mob poj niam.
Cov tawv nqaij thiab cov ntaub mos muag.

Amoxiclav tshem tawm cov kab mob zoo, tab sis nws tsis ua kom puas rau kev rhuav tshem qee yam: ureaplasma, pseudomonas thiab chlamydia. Ntawm cov kev mob tshwm sim: teeb meem hnyuv, mob taub hau thiab tawm pob tawv.

Contraindications rau kev nkag:

Intolerance rau cov tshuaj ntawm pawg penicillin.
Kab mob siab.
Mob siab thiab mob raum.
Mononucleosis
Colitis.
Cev xeeb tub
Lub sijhawm lactation.

Zoo sib xws ntawm cov tshuaj

Txawm hais tias sib txawv rau cov pab pawg sib txawv ntawm pharmacological, ob qho tib si ua tau zoo ntawm cov kab mob ntawm txoj hlab pa thiab ENT plab hnyuv siab raum. Cov cwj pwm los ntawm ntau qhov kev txiav txim ntawm antibacterialCov. Ib mus rau ob lub lim tiam raug lees txais. Txawm li cas los xij, daim ntawv teev npe cov khoom tiv thaiv thiab cov ntsiab cai ntawm kev sib xyaw nrog cov khoom sib txawv. Yog li, kev yuav siv ib cov tshuaj yog nyob ntawm ntau yam. Ua ntej yuav tshem tawm cov tshuaj, tus kws kho mob tshwj xeeb yuav tsum tau ua qhov kev soj ntsuam txog kev nkag siab ntawm cov kab mob me me rau lawv.

Cov lus qhia luv luv ntawm Klacid

Klacid (Clarithromycin) muaj qhov nqus siab thaum coj, sai sai rau hauv cov kabmob thiab cov ntaub so ntswg. Cov tshuaj tua kab mob muaj lub sijhawm ntev li ib nrab-ntev, yog li cov tshuaj yog qaug 1-2 zaug ib hnub.

Klacid muaj kev tiv thaiv zoo los ntawm cov neeg mob. Cov ntsiav tshuaj yog oblong, tsis muaj kab nrib pleb thiab nti. Klacid 250 mg ua nyob rau hauv ltalis muaj 97.2% clarithromycin.

Cov tshuaj noj tshuaj suav nrog 1.46% impurities. Cov tshuaj uas tsim los ntawm beta-lactamases tsis cuam tshuam rau cov nyhuv ntawm cov tshuaj. Cov tshuaj tsis pom nyob hauv cov plab hnyuv siab raum thiab cov ntaub so ntswg.

Klacid yog siv rau kev kho:

mob plab
mob hlwb pob txha caj dab,
mob ntsws dej hauv zej zog,
mob rhininusitis,
tonsillopharyngitis,
urogenital chlamydia
Cov Kab Mob STD

Cov tshuaj yog kws kho rua qhov ncauj noj ua ntej lossis tom qab noj mov.

Kuv tuaj yeem nqa tib lub sijhawm

Nrog rau kev mob ntsws hauv zej zog, kab mob Klacid thiab Amoxiclav raug tsim tawm ib txhij. Cov tshuaj muaj cov nyhuv hauv qab no:

sai sai mus rau hauv ib tug mob hloov khoom nruab nrog,
tsim nyob rau hauv ntau ntau tshaj lawv cov nyiaj hauv ntshav cov ntshav,
muaj ib tug loj kho ntau yam ntawm kev txiav txim.

Kev sib koom tes ntawm 2 lub tshuaj tshwm sim raws li lawv cov lus qhia rau kev siv: Klacid - 2 zaug / hnub hauv ib qho ntim ntawm 500 mg, Amoxiclav - 2 zaug / hnub hauv ib qho ntawm 1000 mg.

Txog qhov ua tau zoo ntawm kev kho, cov kws kho mob feem ntau hais txog kev siv tshuaj ib txhij los ntawm kev muaj mob plab zom mov los ntawm Helicobacter pylori (thaum noj tshuaj ntxiv):

Amoxiclav: 2 zaug ib hnub rau 14 hnub,
Klacid: 2 zaug hauv ib hnub rau 2 lub lis piam,
Omeprazole: 2 zaug hauv ib hnub rau 30 hnub.
De-Nol (240 mg): 2 zaug 2 lub lis piam.

Kev sib koom tes tswj hwm pub rau kov yeej kev tiv thaiv kab mob rau cov kev ua ntawm cov tshuaj. Cov kab mob me tuag taus yam tsis tsim cov tshuaj tawm tsam.

Lub tswv yim ntawm cov kws kho mob thiab cov neeg mob tshuaj xyuas

Guzeev G.A., kws kho hniav

Kuv siv Klacid kho mob exacerbation ntawm periodontitis, nrog osteomyelitis. Kuv siv tshuaj kho nyob rau hauv txoj kev kho mob ntawm tonsillitis. Kev kho mob muab qhov zoo tshwm sim.

Kovalev K. D., kws kho mob

Klacid yog qhov tsim tawm rau kev kho mob ntawm ENT pathology hauv cov menyuam yaus (raug tshem tawm rau lawv) thiab cov neeg laus. Cov tshuaj nws kim.

Proskuryakova T.N., kws phais mob

Amoxiclav yog cov tshuaj tua kab mob zoo uas kuv siv hauv kev phais mob los kho cov qhov mob purulent. Lub chav kawm ntawm kev kho mob yog 10 hnub. Kuv sau tshuaj rau cov menyuam yaus thiab poj niam cev xeeb tub. Cov tshuaj muaj phiv. Nws yog ib qho tsim nyog yuav tau coj Linex tib lub sijhawm.

Julia, 32 xyoo, Moscow

Tus menyuam muaj pob ntseg mob. Tus kws kho mob kuaj cov mob otitis thiab qhia Klacid ua kua. Cov tshuaj tseem ceeb, tus ntxhais mob tus mob sai sai. Tsis muaj kev mob tshwm sim.

Galina, 41 xyoo, Ekaterinburg

Tus ntxhais mob mob ntsws. Tus kws kho mob sau Klacid - 4 ml ib hnub rau 5 hnub. Cov tshuaj tua kab mob tau yuav hauv cov hmoov ntawv rau kev ncua. Cov tshuaj tau pab kho sai sai nrog tus mob. Thaum kho, ib qho tshwm sim tshwm sim - tsaug zog. Qhov ntsuas kub ua kom qis dua 2 hnub.

Puas yog nws haum rau cov menyuam thaum hnub nyoog 1 xyoos? Dab tsi yog qhov zoo dua los ntawm tus mob ntsws: amoxiclav lossis clacid? Sab sij huam.

Lub caij ntuj no kuv tus ntxhais tau mob, qhov kub tsis txias sawv, thiab pib hnoos. Tus kws kho mob tau hais tias hnoos rau tsis muaj dab tsi, txawm tias tsis muaj dab tsi los muab.Peb hnub tom qab, qhov kub nce siab, tus kws kho mob los ntawm chav kho mob ceev tau hais tias tshuaj tua kab mob tsis tuaj yeem tso nrog, mob twb muaj nyob hauv cov pa hauv nruab nrab qis. Amoxiclav raug tshuaj. Peb haus yeeb yam tsis kawg, kuv tus ntxhais txuas ntxiv hnoos. Peb tau mus rau tus kws kho mob uas ntseeg siab thiab nws twb tau sau tus kws kho mob klacid, tau hais tias amoxiclav hauv kev mob ntsws tsis zoo. Ua ke nrog ob peb lwm yam tshuaj lawv muab cov tshuaj tiv thaiv kab mob no rau. Tom qab 1.5 hnub ntawm kev nkag, tus menyuam tsis hnoos thiab tsis rov ua dua.

Qhov no yog dab tsi lub thawv zoo li

Sab hauv yog kev qhia zoo.

Thiab lub raj mis nws tus kheej nrog cov hmoov, uas yuav tsum tau diluted nrog hau (tsis yog yuav tsum tsis meej pem nrog npau)) dej. Koj yuav tsum tau ntxiv me ntsis thiab co, tom qab ntawd pom tias qhov ntim ntawm cov tshuaj tau mus txog qhov ntsuas qhov xav tau uas tau hais tseg hauv lub raj mis.

Tseem Ceeb! Cov tshuaj yuav tsuas yog khaws cia rau 14 hnub. Nws yooj yim heev uas koj tuaj yeem khaws cia hauv tub yees thiab tsis tos kom txog thaum nws sov.

Lub hau yog zoo li qub, tsis muaj kev tiv thaiv los ntawm menyuam yaus.

Thaum yaj thiab nti tau ntev, hliv rau hauv rab diav thiab pom tias muaj nplej tsis yaj. Nws tau co lub sij hawm ntev, kom txog rau thaum tom qab qhov kawg ntawm kev nqus, cov hmoov tsis muaj pov tseg tseem tshuav.

Tus me nyuam tsis kam haus, yuav tsum nchuav hauv (Thiab Kuv paub vim li cas: ua ntej kuv muab rau tus menyuam Kuv sim nws tus kheej. Lub hauv paus ua kua muaj suab thaj qab zib, tab sis cov nplej yog iab iab kawg, tshwj xeeb yog hais tias lawv tau txais ntawm cov hniav thiab ntxo lawv, kev iab nyob hauv lub qhov ncauj yuav luag ib nrab ntawm ib hnub, thiab vim tias kuv tau sim me ntsis, yog li kuv tau muab tshuaj tiv thaiv kab mob thiab tam sim ntawd muab nws ua kua zaub lossis lwm yam rau nws. Zoo li koj tuaj yeem ua raws li cov lus qhia.

Tus kws kho mob xaj kom peb muab 3 ml ib hnub ob zaug. Tsuas tshuaj yuav tsum tau sau tseg noj mus rau hauv tus account qhov hnyav, hnub nyoog, qhov mob hnyav ntawm tus kab mob.

Txawm hais tias kuv tus ntxhais tau zoo sai dua, Kuv haus tshuaj tua kab mob rau 5 hnub. Los ntawm cov kev mob tshwm sim muaj kev cem quav thaum ntxov, lawv muab acipol thiab txhua yam zoo.

Pab rau kuv, Kuv yuav pom zoo nws. Tab sis, tau kawg, tus kws kho mob yuav tsum txiav txim siab seb puas yuav muab cov tshuaj tiv thaiv no rau.

Peb pom zoo kom nyeem

TSEEM CEEB Cov ntaub ntawv ntawm lub xaib no yog tsim rau kev qhia xov xwm nkaus xwb. Tsis txhob muab tshuaj rau tus kheej. Mus ntsib koj tus kws kho mob thaum pom thawj yam mob.

Yog hais tias cov tshuaj nquag ntawm clacid tsis haum rau tus neeg mob, feem ntau qhov kev xaiv yuav poob rau ntawm cov tshuaj ntawm lwm pawg tshuaj tiv thaiv. Thaum tus nqi ntawm klacid tsis txaus siab, koj tuaj yeem xaiv cov qauv analogues, tus nqi uas pheej yig dua.

Nyob rau hauv txhua rooj plaub, ua ntej hloov cov clacid, koj yuav tsum xub paub txog cov tshuaj nws tus kheej, nws cov khoom, thiab tom qab ntawd nws ua kom meej meej tias cov kev kho mob no yuav pom zoo dua li ib qho tshuaj noj.

Cov tshuaj tseem ceeb (tseem ceeb) ntawm clacid yog clarithromycin (tshuaj tiv thaiv ib nrab ntawm cov tshuaj tua kab mob, ATX: J01FA09).

Klacid muaj nyob rau hauv ntsiav tshuaj daim ntawv thiab hmoov (rau kev npaj ntawm cov kev daws rau kev tso dej khov thiab tshem tawm).

Tus nqi ntawm cov tshuaj yog nyob ntawm daim ntawv, ntau npaum li cas thiab npaum li cas ntawm clacid. Txog rau hnub tim, txoj cai tswj hwm tus nqi muaj raws li nram no:

klacid 125 mg / 5 ml lossis 250 mg / 5 ml (cov hmoov los ntawm qhov raug tshem tawm tau npaj) tus nqi 360 lossis 440 rubles, feem
500 mg klacid (1 lub raj mis, hmoov rau kev daws rau Txoj kev lis ntshav) tus nqi 590 rubles,
Klacid SR No. 14 tuaj yeem muas 900 rubles,
klacid 250 mg lossis 500 mg No. 14 tus nqi feem 670-700 rubles.

Raws li tuaj yeem pom los ntawm cov ntaub ntawv nthuav tawm, Klacid tsis tuaj yeem hu ua tus pheej yig tshuaj.

Chaw tsim tshuaj paus: Abbott Laboratories. Cov tshuaj yog zwm rau lub pharmacological pawg ntawm macrolides. Nws tuaj yeem rhuav tshem ntau hom kab mob microflora, suav nrog anaerobic thiab aerobic leeg. Tsis tas li ntawd, cov tshuaj siv tshuaj tua ntau cov kab mob xws li mycoplasma pneumoniae, legionella pneumophila thiab lwm yam.

Clacid deficiency - tsis muaj peev xwm txwv tsis pub qee cov kab mob gram-tsis zoo, xws li Pseudomonas aeruginosa thiab enterobacteriaceae.

Ib qho kab mob microflora uas tau ua rau pom tseeb rhiab rau clacid yuav yog qhov qhia rau nws qhov kev siv. Feem ntau, clacid yog tshuaj rau cov kab hauv qab no:

cov txheej txheem sib kis ntawm cov qis ntawm cov kab mob ua pa (tracheitis, mob ntsws, mob ntsws, pleurisy),
mob hnoos hawb pob
pom mob, tshwj xeeb gonorrheal thiab chlamydial keeb kwm,
pathology ENT plab hnyuv siab raum - sinusitis, pharyngitis, tonsillitis, otitis media,
mycobacterial kis txheej txheem,
cov nqaij mos ua mob - ua rau mob plaub hau, ua rau khaus, kho pob txha, mob qog, mob plab, mob erysipelas, lwm tus,
kev ua haujlwm ntawm lub plab, duodenum thiab tag nrho lub plab zom mov,
mob chlamydial.

Klacid yuav tsum tsis txhob ua raws li cov xwm txheej hauv qab no:

hypokalemia
pathologies loj ntawm daim siab thiab ob lub raum,
cev xeeb tub thiab lactation
porphyria
kev txawv txav ntawm lub plawv
macrolide intolerance.

Klacid kuj tseem tsis pom zoo rau kev siv nrog qee yam tshuaj; cov ntsiab lus tuaj yeem pom nyob rau hauv cov lus qhia ntawm zaj yeeb yam.

Daim ntawv foos ntawm cov tshuaj tso cai tsuas yog tom qab 12 xyoos, rau cov neeg mob tsawg tshaj plaws tsuas yog ncua kev kawm yog tsim nyog (kev txiav txim muab tshuaj yog ua raws li qhov hnyav).

Thaum siv cov tshuaj nyob rau sab hauv, cov tsos mob yuav tshwm sim uas qhia tias kev ua txhaum ntawm txoj hnyuv, uas yog: xeev siab, ntuav, mob epigastric, raws plab. Feem ntau, nrog kev siv clacid, cov neeg mob tau txhawj xeeb txog qhov muaj kev ntxhov siab, mob hlwb, mob hlwb, mob taub hau. Ntau txog txhua cov sab cov tsos mob tau sau nyob rau hauv cov lus qhia ntawm nom tswv.

Txhua cov tshuaj tsuas yog nyob ntawm xaiv hom tshuaj clacid. Piv txwv li, 500 mg ntsiav tshuaj yuav tsum tau noj ib hnub ib hnub tib lub sijhawm. Yog tias tsim nyog, muab ob npaug rau koob. Cov koob tshuaj ntawm ncua kev kawm raug xam los ntawm 7,5 mg / kg 2 zaug / hnub.

Ib qho tshuaj twg tsis pom zoo nyob rau hauv thawj 12 lub lim tiam ntawm cev xeeb tub, tsis txhob hais txog cov kab mob tua kab mob. Klacid tsis muaj qhov tshwj xeeb. Tsis muaj cov ntaub ntawv qhia meej txog nws txoj kev nyab xeeb thaum nqa thiab pub niam mis. Yog tias tsis muaj lwm txoj kev xaiv, thiab tus poj niam lub neej muaj kev phom sij, ces klacid tuaj yeem siv los ua kev kho mob.

Thaum pub niam mis, nws raug nquahu kom nres ib ntus kev nyiam ntawm tus menyuam. Koj yuav tsum siv cov qauv mis. Ib tug poj niam yuav tsum hais qhia lub mis mis kom thiaj ua rau tawv nqaij tsis chwv nws lub hauv siab thiab mob caj pas tsis tshwm.

XAUS! PEB POM ZOO

Txog kev kho thiab tiv thaiv rhinitis, tonsillitis, mob ua pa nyuaj thiab mob khaub thuas rau cov menyuam yaus thiab cov neeg laus, Elena Malysheva pom zoo kom siv tshuaj tiv thaiv zoo los ntawm cov kws tshawb fawb Lavxias. Vim nws qhov tshwj xeeb, thiab tseem ceeb tshaj plaws 100% ntuj tsim, qhov tshuaj muaj txiaj ntsig zoo heev hauv kev kho mob tonsillitis, mob khaub thuas thiab txhim kho kev tiv thaiv.

Daim ntawv foos ntawm cov tshuaj tau pom zoo rau kev siv tsuas yog txij hnub nyoog ntawm kaum ob, thiab tus neeg mob lub cev qhov hnyav yuav tsum tsis pub tsawg dua 40 kg. Kev raug txwv tsis pub siv rau cov menyuam yaus uas lub cev muaj tsawg kawg yog 8 kg. Txog li 6 lub hlis, clacid tsuas yog kho tshwj xeeb. Hauv qhov no, nws yog qhov zoo dua los siv cov analogues uas raug tso cai nyob rau hauv kev kho mob hauv tsev los ntawm lub sijhawm neonatal. Txoj kev lis ntshav thiab ntev siv ntawm clacid yog tso cai tsuas yog tom qab 18 xyoo.

Cov cim tseem ceeb rau clacid hauv kev kho mob: ntau yam txheej txheem ntawm cov kab mob (tonsillitis, sinusitis, mob ntsws, mob ntsws, mob ntsws, otitis media, lwm tus).

Hloov klacid tuaj yeem siv yeeb tshuaj zoo sib xws lossis zoo sib xws hauv cov lus sib xyaw, ntxiv rau cov nyiaj ntawm lwm pawg pharmacological. Cov kev hloov pauv uas nrov tshaj plaws rau cov tshuaj muaj sia yog ecositrin, clarithromycin, Fromilid, clarbact thiab lwm tus. Daim qauv analog raug xaiv los ntawm tus kws kho mob.

Yog hais tias clarithromycin tsis haum, macrolides tsis haum li lwm txoj hauv kev:

sumamed (azithromycin) - siv los ntawm 6 lub hlis (ncua kev kawm), ntsiav tshuaj los ntawm peb xyoos, haum
Macropen (midecamycin) - cov ntsiav tshuaj yog siv nrog tus neeg mob uas hnyav dua 30 kg, qhov kev ncua yog tso cai los ntawm cov menyuam mos,
vilprafen (josamycin) - rau cov tshuaj no, tus neeg mob lub cev yuav tsum hnyav li 10 kg,
azitrox (azithromycin) - tsiav tshuaj yog kho los ntawm hnub nyoog kaum ob, phoov tuaj yeem muab los ntawm 6 lub hlis.

Cov txiaj ntsig zoo hauv kev tiv thaiv kev sib kis thiab cov txheej txheem ua rau cephalosporin zoo li tshuaj, xws li suprax. Yog tias tus kab mob no ua tau yam tsis muaj kev cuam tshuam, cov tshuaj tua kab mob sib dua - penicillins (augmentin, ospamox, flemoxin, lwm tus) yuav ua.

Feem ntau, hloov cov tshuaj clacid yog ua tiav thaum muaj qhov tsis haum, lossis thaum tus nqi ntawm cov tshuaj no tsis haum rau tus neeg mob.

Yog tias koj ua npe ntawm analogues ntawm clacid, ces nws yuav ntev heev. Tab sis, rau peb cov nyeem, peb yuav tam sim no nthuav tawm cov npe zoo tshaj plaws ntawm cov nyiaj tau los ntawm cov analogues uas tsis tau hais los saum no. Yog li, analogues ntawm clacid:

Klacid lossis ib qho analogue ntawm no tau hais tseg tsuas yog kws kho mob tshwj xeeb. Tus kws kho mob txiav txim siab qhov ntau thiab daim ntawv ntawm cov tshuaj, tshem tawm thiab xaiv qhov hloov tshiab. Kev noj tshuaj rau tus kheej tsuas yog ua rau pom qhov tsis zoo, tsis txhob hnov qab txog nws.

Yog tias klacid xav tau hloov, txoj hauv kev yuav tsum xaiv qhov kev xaiv uas yuav haum rau tus neeg mob, suav nrog kev kho kom zoo, nrog rau tus nqi. Cia peb sib piv ob peb analogues, thiab sim seb lub cuab yeej twg zoo dua.

Cov tshuaj muaj ntau yam sib txawv, thiab yog li ntawd lawv tsis tuaj yeem hu ua cov txheej txheem analogues. Raws li rau thaj tsam ntawm kev thov, nws muaj ntau dua nrog clacid, yog li ntawd, cov tshuaj muaj cov tshuaj kho mob muaj zog dua. Ob qho kev kho mob muaj ntau yam contraindications, tab sis klacid tseem surpasses, thiab qhov no yog nws rho tawm.

Hauv txoj ntsiab cai, txhua txoj kev siv tshuaj tua kab mob muaj kuab lom ntau dua li cov tshuaj tua kab mob "nruab nrab", yog li lawv txoj kev siv yuav tsum muaj kev saib xyuas mob. Ob qhov kev hais daws no siv rau hauv kev tshuaj xyuas menyuam yaus.

Tus nqi rau 7 ntsiav tshuaj ntawm suprax hauv ib koob tshuaj 400 mg yog 900 rubles. Nws tsis yog qhov nyuaj los xaus tias suprax yog ib qho kim kim ntawm clacid.
Qhov twg yog qhov zoo dua - klacid lossis suprax - nug koj tus kws kho mob lo lus nug no. Tsuas yog tus kws kho mob tshwj xeeb yuav ntsuas xyuas cov xwm txheej tshwj xeeb hauv chaw kho mob, anamnesis, thiab qhia koj tias qhov twg zoo dua rau thov.

Feem ntau, suprax yog siv rau qhov kev kawm me me ntawm cov txheej txheem sib kis; klacid yog cov tshuaj "ceeb".

Npaj muaj rau tib pawg pharmacological (macrolides), tab sis txhua tus nws muaj nws txoj haujlwm tseem ceeb. Cov kws tshaj lij ntseeg tias kev hais ua ntej yog muaj zog dua, thiab nws qhov kev pom ntawm kev nthuav dav yog dav dua. Klacid feem ntau siv rau hauv kev mob ntsws thiab nrog kev kis mob ntawm daim tawv nqaij.

Ob qho tshuaj yeeb tshuaj tau tso cai txij thaum muaj hnub nyoog rau lub hlis hauv qhov kev ncua ntawv. Raws li rau contraindications, muaj cov tsos mob tsis zoo thaum lub sijhawm tswj hwm, tsis muaj qhov sib txawv tshwj xeeb.

Sumamed 500 mg No. 3 nqi txog 480 rubles. Peb lub ntsiav tshuaj feem ntau yog txaus rau tag nrho cov chav kawm ntawm kev kho mob. Xaus - sumamed yog pheej yig dua thiab kuj yooj yim dua kom tau txais.

Ob tus neeg sawv cev sawv cev rau ib pawg ntawm macrolides, tab sis cov khoom xyaw nquag yog txawv. Josamycin yog cov tshuaj nquag hauv vilprafen, thiab clarithromycin yog qhov tseem ceeb ntawm clacid.

Raws li qee cov lus ceeb toom, nws ntseeg tau tias vilprafen muaj zog dua li ntawm clacid, tsis muaj qhov laj thawj yog nws siv rau cov pob caws pliav thiab diphtheria.

Tus nqi ntawm vilprafen 500 mg No. 10 yog 600 rubles. Hauv txoj cai, ob qho tshuaj yeeb yog nyob rau tib txoj cai tswj hwm tus nqi.

Kev npaj npaj yog cov qauv ua qauv, yog li ntawd, qhov kev xaiv hauv kev coj ntawm ib qho ntawm txoj kev yuav ua raws kev nyiam nyob rau hauv kev sib raug zoo nrog cov chaw tsim khoom thiab tus nqi.

Klacid yog tsim los ntawm lub tuam txhab Abbot, uas muaj ceg nyob hauv ntau lub teb chaws. Lub tuam txhab muaj npe nrov rau cov khoom lag luam zoo, ua txhua yam tshiab tshaj plaws thev naus laus zis, yog li nws siv ntau cov kua qaub.
Clarithromycin yog qhov pheej yig analogue ntawm clacid, nws yog tsim los ntawm cov tuam ntxhab hauv tebchaws Russia, Is Nrias teb thiab lwm lub tebchaws sab hnub tuaj. Raws li cov kws tshaj lij, txoj kev pheej hmoo kom tau txais cov khoom lag luam qis hauv cov cheeb tsam no siab dua.

Xaus - nws yog qhov zoo dua los xaiv qhov zoo, tau kawg, yog tias qhov no tso cai rau tus neeg mob los ua kom muaj caij nyoog zoo.

Cov tshuaj muaj ib qho kev sib txawv, thiab tseem koom nrog pawg txawv pharmacological.Cov txiaj ntsig kho ntawm klacid muaj zog dua, tab sis dua, nws nyob ntawm qhov mob hnyav ntawm cov txheej txheem kis tau. Nrog rau cov kab mob tsis tseem ceeb, amoxiclav tag nrho ua tau raws li txhua qhov yuav tsum tau ua, thiab nws cov tshuaj lom tsawg dua.

Amoxiclav hloov pauv rau tus mob clacid uas tus neeg mob, piv txwv li, tsis zam penicillins, lossis muaj qhov tsis haum rau clavulanic acid. Yog tias tus kws kho mob pom tau tias nyob rau hnub thib ob txij li hnub pib kho, amoxiclav tsis muaj txiaj ntsig, qhov xwm txheej ntawm tus neeg mob hnyav dua, tom qab ntawd macrolide, hauv peb qhov xwm txheej, clacid, haum raws li ib qho analog.

Dab tsi los xaiv klacid lossis amoxiclav - tawm txoj haujlwm no rau tus kws tshaj lij, kev noj tshuaj rau tus kheej yog qhov txaus ntshai rau kev noj qab haus huv!

Amoxiclav 500 mg + 125 mg 15 pcs. raug nqi txog 400 rubles, qhov xaus yog qhov tshuaj no pheej yig dua clacid.

Muaj kev sib cav ntau yam txog clacid. Ib nrab ntawm cov neeg teb, nrog rau cov kws kho mob thiab cov neeg mob, muab cov kev soj ntsuam zoo, thaum lwm tus neeg tsis xav txog kev xav qhov tsis zoo.

Ntawm qhov zoo, tuaj yeem sau cia: cov neeg mob thiab cov kws tshaj lij hais tias cov tshuaj muaj txiaj ntsig zoo yog tias muaj teeb meem thaum lwm cov tshuaj tua kab mob tsis pab. Cov tshuaj sai sai, cov tsos mob tshwm sim ntawm tus kab mob cia ploj mus rau thawj hnub ntawm kev txais neeg mob.

Cov lus tsis zoo tawm los rau qhov tseeb tias qhov tshuaj yog qhov nyuaj rau zam rau, thiab txawm tias muaj kev kho luv luv, kev mob tshwm sim sai sai. Cov kev tiv thaiv tsis zoo no muaj zog heev uas tus neeg mob cia li muaj mob rau lawv, yog tias tsuas yog tshem tawm tus kab mob sib kis. Cov neeg mob pib noj ntau yam tshuaj rau mob taub hau, raws plab, ua xua, thiab lwm yam. Txoj kev kho yog qhov ntau dua thiab kim dua.

Kuj tseem muaj ntau qhov kev tsis txaus siab tias cov tshuaj puas lom, thiab nws tus nqi tsis txaus siab ib txwm.
Kev txheeb xyuas txog analogues kuj sib txawv. Raws li peb twb tau hais lawm, cov tshuaj tua kab mob ntawm ntau yam pharmacological pawg tuaj yeem ua raws li cov qauv ntawm cov tshuaj clacid. Ib txwm, penicillins yuav qaug zog thiab pheej yig dua. Cephalosporins yuav tsis paib rau cov pab pawg macrolide.

Yog hais tias tus neeg mob poob qis nrog mob catarrhal mob caj pas, thiab nws tau raug xaj, piv txwv li, hu ua, ces txhua yam yuav rov qab sai dua nyob rau hauv Feem ntau. Tab sis nws puas tsim nyog? Kev siv ntawm cov tshuaj "tsis muaj zog" - penicillins yuav muaj txaus, thiab cov nyhuv kuj yuav tsis chim siab rau tus neeg mob.

Qee zaum cov kab mob tiv taus cov kab mob tua kab mob tshwj xeeb pom. Cov neeg mob tau ceeb tias ib qho kev siv tshuaj tua kab mob muaj zog, tab sis tsis muaj ib qho tseeb. Tseeb tiag, qee lub sijhawm no kuj siv sijhawm. Yog li no, classic ntawm hom ntawv nyeem yog daim ntawv sau tshuaj ntawm tshuaj tua kab mob tom qab bacteriosis. Hmoov tsis zoo, kev tshawb fawb yuav tsum tau tos tsawg kawg ib lub lim tiam, thiab tus kab mob yuav tsum tau kho nyob rau hnub no thiab tam sim no. Ntawm no yog lub voj voos tsis zoo, yog li ntawd, cov tshuaj tua kab mob hauv ntau kis yog kho tsis pom kev.

Hauv peb tsab xov xwm, peb tau ntsib nrog cov tshuaj Klacid. Kawm paub txog tag nrho nws cov khoom, taw qhia, contraindications, phiv. Peb tau txiav txim siab tias cov analogues yog, thiab tseem tau muab kev sib piv kev soj ntsuam ntawm qee cov tshuaj.

Los ntawm tag nrho cov ntaub ntawv tshaj tawm, nws tuaj yeem xaus lus tias tshuaj tua kab mob yog cov tshuaj hnyav uas tsis tuaj yeem kho tsis tau, tab sis kuj ua rau lub cev tuag. Txhawm rau tiv thaiv kev kis mob sai thiab nyab xeeb tsuas yog kev paub dhau los ntawm tus kws kho mob yuav pab. Txhawm rau xaiv qhov koob tshuaj, lub sijhawm ua haujlwm ntawm kev kho mob, yog tias tsim nyog, nrhiav pom ib qho analogue, qhov no tseem ua haujlwm ntawm tus neeg tshwj xeeb.

Tom qab nyeem kab ntawv, cov neeg mob yuav tsum nkag siab meej, peb tsuas muab cov ntaub ntawv qhia, thiab tsis yog phau ntawv qhia rau kev kho mob. Nco ntsoov, lub cev ntawm txhua tus neeg yog qhov tshwj xeeb, yog li txoj hauv kev ntawm kev kho yuav tsum yog tus neeg. Dab tsi pab tus neeg nyob sib ze Gale yuav tsis tau pab koj tshwj xeeb. Noj qab nyob zoo!

Thiab me ntsis txog kev zais siab.

Yog tias koj lossis koj tus menyuam feem ntau muaj mob thiab raug kho nrog tshuaj tua kab mob ib leeg, paub tias koj tsuas kho cov nyhuv, tsis yog lub hauv paus.

Yog li koj tsuas yog "tso dej" ntau rau cov chaw muag tshuaj thiab cov tuam txhab ua liaj ua teb thiab muaj mob ntau zaus.

TSUM! txaus noj nws tsis paub meej uas.Koj tsuas yog yuav tsum tau tsa koj txoj hauv kev tiv thaiv thiab koj tsis nco qab nws txhais li cas qhov mob!

Muaj ib txoj kev rau qhov no! Pom zoo los ntawm E. Malysheva, A. Myasnikov thiab peb cov neeg nyeem! Cov.

Clarithromycin yog tshuaj tua kabmob rau cov pawg macrolide. Nws yog qhov tseem ceeb yog tshuaj kho mob rau txoj kev mob siab, mob otitis media, nrog rau cov hlab ntsws, mob sib kis ntawm cov kab mob ua pa, nrog angina thiab kab mob ua paug ntawm thaj av maxillofacial. Cov tshuaj tseem tuaj yeem pab txhawm rau tiv thaiv kev sib kis mob los ntawm Mycobacterium intracellulare thiab Mycobacterium avium. Cov lus qhia rau kev siv, analogues, tshuaj xyuas, phiv los ntawm cov tshuaj, contraindications thiab kev taw qhia rau nws siv, ntxiv rau seb nws tuaj yeem siv rau menyuam yaus thiab kev pub niam mis thiab cev xeeb tub - txhua cov lus qhia hauv tsab xov xwm yog nthuav tawm los ntawm kws kho mob.

Tus thawj tshuaj yog hu ua Klacid. Ntawm nws, thaum lub caij tam sim no muaj txog 40 daim ntawv luam - generics. Nws tsis yog qhov nyuaj los sau ib yam tshuaj rau clarithromycin hauv Latin. Hauv Latin, nws zoo li qhov no:

Rp .: Tab. Clarithromycini 0.25
D.t.d: No. 10
S .: noj ib ntsiav tshuaj ib hnub ob zaug, kav ntev li tsib hnub.

Nws yog hais txog cov kab mob antibacterial nrog cov kev tiv thaiv bacteriostatic. Nws muaj ntau cov teebmeem.

Los ntawm dab tsi pab pawg neeg cov tshuaj nyob muaj zog, nws cov tshuaj pharmacological nyob ntawm seb. Cov tshuaj muaj pes tsawg leeg suav nrog rau 250 lossis 500 mg ntawm cov tshuaj nquag.

Clarithromycin tsis muaj nyob rau hauv ampoules, thiab raws li kev ncua, tshuaj, tshuaj pleev ib ce lossis tshuaj ntsiav. Daim ntawv tso tawm tsuas yog ntsiav tshuaj coated nrog lub Opadry II plhaub, thaum 250 thiab 500 mg rau ib yam tshuaj muaj peev xwm muaj nyob hauv ib ntsiav tshuaj. Kev siv cov tshuaj yog qhia sab hauv.

Cov neeg tau txais tshuaj ntawm cov tshuaj muaj xws li:

cov hmoov txhuv nplej siab
povidone
sodium lauryl sulfate,
MCC
Aerosil
pregelatinized hmoov txhuv nplej siab
magnesium stearate.

Hauv tebchaws Lav Xias, nws tsim tawm los rau hauv ib lub hlwv uas muaj 5 daim ntawm cov ntsiav tshuaj. Hauv ib lub thawv ntawv cardboard haum los ntawm ib txog ob lub hlwv.

Clarithromycin tus nqi ntau npaum li cas? Nws tus nqi yog pheej yig dua li ntawm cov analogues. Dab tsi yog qhov txawv? Qhov sib txawv ntawm qhov degree ntawm kev ua kom huv ntawm cov tshuaj thiab cov chaw tsim khoom. Tus nqi siab tshaj yog cov tshuaj qub - Klacin. Generics nws pheej yig dua.

Tus nqi ntawm ib pob rau 10 ntsiav tshuaj ntawm Clarithromycin yog sib npaug rau rubles. Cov tshuaj yuav tuaj yeem yuav tom cov tsev muag tshuaj raws li daim duab thiab lus piav qhia.

Qhov qhia tau rau kev siv yog carriage thiab kab mob uas ua rau tag nrho cov teeb meem ntawm cov kab mob sib kis ntawm lub cev. Vim li cas dab tsi los yog dab tsi pab, dab tsi yog kho nws rau? Yuav coj li cas thaum noj tshuaj thiab cov txheej txheem ntawm kev tswj hwm, thaum txoj kev kho tshuaj pharmacological yog cais tawm ntawm lub cev.

Qhov kev siv tshuaj tiv thaiv ib nrab dej uas siv tshuaj tua tus kab mob no tau noj nrog:

cov txheej txheem sib kis los ntawm Mycobacterium, chlamydia thiab lwm yam kab mob kis los ntawm kev sib deev,
purulent thiab tsis tau tso cai otitis media thiab mob siab,
pharyngitis mob thiab mob ntev, tonsillitis, laryngitis, tracheitis, sinusitis,
mob ntsws tsis tau qhia meej txog cov kab mob,
mob ntsws, ob leeg mob los yog mob ntev,
qog ntawm daim tawv nqaij, rwj, carbuncle,
mob caj dab.

Nolpase, Metronidazole, Amoxiclav, Azithromycin, Fromilide, Vilprafen, Zentiva, Amoxicillin, Klacid thiab lwm cov lus sib txawv rau cov tshuaj tua kab mob kuj tseem siv tau los kho tus mob. Cov tshuaj twg yuav zoo dua rau cov neeg mob tshwj xeeb tshaj yog txiav txim siab los ntawm kev rhiab ntawm cov kab mob rau nws. Txhua yam tshuaj no tsis zoo ib yam. Thiab cov kws kho mob yuav tsum xaiv txoj kev kho kom zoo rau cov neeg mob tshwj xeeb.

Piv txwv li, ib hom tshuaj ntawm tib pawg Erythromycin muaj qhov txwv tsis pub tsawg tshaj plaws (MIC) piv nrog Clarithromycin (Erythromycin yuav tsum muaj ob zaug ntau npaum li los tiv thaiv kev loj hlob ntawm cov kab mob).

Clarithromycin Teva yog ib qho kev siv hluavtaws ib nrab los ntawm erythromycin. Nws muaj qhov kev ua kom dav. Nws cov tshuab ntawm kev txiav txim siab yog tias cov tshuaj tiv thaiv cov tshuaj tiv thaiv protein vim qhov khi ntawm cov kab mob sib kis mus rau 50s subunit. Nws tua thiab inhibits qhov kev loj hlob ntawm ob qho tib si aerobic thiab anaerobic gram-zoo, gram-tsis zoo kab mob.

Qhov kev ruaj khov zoo ntawm clarithromycin hauv cov ntshav ntxiv rau 12 teev. Clarithromycin Teva muaj 250 mg ntawm cov tshuaj nquag. Dab tsi los kho yog tib yam li cov qauv yooj yim ntawm clarithromycin.

Clarithromycin uas yog ib yam khoom siv tom qab dhau daim siab. Nws 14-hydroxy metabolite muaj cov haujlwm antimicrobial. Raws li qhov kev txiav txim no, nws yog ib qho tseem ceeb kom paub tias yuav ua li cas npaj cov tshuaj kom raug txhawm rau kom ua tiav nws cov txiaj ntsig ntau dua.

Ua ntej noj mov lossis tom qab noj tshuaj?

Nws raug nquahu kom tsis txhob noj cov tshuaj tib lub sijhawm uas lwm tus ua ntej noj mov. Qhov no ua rau txo qhov kev siv bioavailability thiab txo qhov nqus ntawm cov tshuaj thiab nws cov concentration. Thiab qhov ua tau cuam tshuam tias cov zaub mov nqa tuaj thiab kev kho mob ntawm cov kab mob tsis sib xws.

Daim ntawv thov thiab ureaplasma, sinusitis, gastritis, chlamydia ntau npaum

Cov tshuaj Clarithromycin yog siv rau ureaplasma, prostatitis, cystitis, nrog mob chlamydia thiab lwm yam kev kis mob ntawm cov kab mob ntawm lub tso zis. Nws yog cov tshuaj tshwj xeeb tawm tsam tus mob chlamydia, vim nws tuaj yeem nkag mus thiab ua qhov tseeb.

Qhov siab tshaj plaws: 500 mg ob zaug ib hnub rau cov neeg laus hnub nyoog 18 xyoo. Lub sijhawm tswjhwm yog li ntawm 7 mus rau 10 hnub, nyob ntawm kev ua haujlwm ntawm tus kabmob.

Nws raug nquahu kom sib xyaw nrog kev noj Clarithromycin nrog kev siv dej alkaline kom txo tau cov tshuaj lom rau ntawm ob lub raum.

Thaum cev xeeb tub, pub niam mis

Cov tshuaj tsis tau sau tseg nyob rau thawj thawj lub hlis thaum cev xeeb tub. Thiab yog tias tus poj niam uas tau yug menyuam pub mis rau tus menyuam thiab raug kho nrog tus kab mob antibacterial, kev pub mis niam yog contraindicated. Kev pub noj mov yuav tsum zam nyob rau tsib hnub thaum Clarithromycin noj thiab ntxiv rau ib hnub rau nws ua tiav kev tshem tawm ntawm lub cev.

Cov tshuaj yog contraindicated rau cov neeg uas muaj mob ntev ntawm daim siab thiab lub raum, uas yog, lub raum thiab / lossis daim siab ua haujlwm.

Contraindications tsis meej yog:

ua kom lub cev tsis haum rau ib qho twg ntawm cov yeeb tshuaj ntxiv,
porphyria
thawj peb hlis ntawm cev xeeb tub
lub sijhawm pub niam mis.

Koj tsis tuaj yeem noj cisapride, pimozide, terfenadine tib lub sijhawm uas yog clarithromycin.

Txhawm rau tiv thaiv kev phiv los ntawm cov tshuaj rau ntawm cov qog ua kom lub plab ua ntej nrog kev mob plab, lub plab zom mov thiab mob hnyuv duodenal, Omeprazole (proton twj tso kua mis inhibitor) noj tib lub sijhawm uas Clarithromycin, koj kuj tseem tuaj yeem haus DeNol lossis hloov nrog nws. Omez thiab Omeprazole yog cov npe ua lag luam rau tib cov tshuaj nquag, qhov sib txawv ntawm ob cov tshuaj muaj tsawg heev.

Tsis tas li, tib neeg ua xua rau ib qho tshuaj ntawm cov tshuaj uas tau siv los npaj nws yuav tsum tsis txhob noj Clarithromycin. Cov kev mob tshwm sim suav nrog hepato- thiab nephrotoxicity.

Amoxiclav thiab Clarithromycin ob leeg yog tus sawv cev ntawm pab pawg ua haujlwm. Lawv muaj cov kev mob tshwm sim zoo sib xws. Yog li ntawd, kev sib koom ua ke ntawm ob hom tshuaj no tsis txhim kho lawv cov nyhuv antibacterial, tab sis potentiates tus lej ntawm cov kev tsis haum tshuaj. Koj tuaj yeem coj lawv tib lub sijhawm, tab sis qhov no yuav tsum tau ua nrog ceev faj heev. Hauv qhov no, kev iab nyob hauv qhov ncauj yuav tshwm sim. Kuv yuav ua li cas? Yog li qhov no yog kom tshem tawm cov tshuaj tua kab mob ntau dhau.

Zoo li yam tshuaj tua kab mob, Clarithromycin tsis pom zoo kom siv nrog cawv. Txij li nyob rau hauv cov ntaub ntawv no, metabolized ethanol cuam tshuam zoo rau daim siab ua haujlwm.Thiab txij li thaum tag nrho cov tshuaj dhau los ntawm hepatocytes, kev haus dej cawv ntau dhau los ua rau kev sib txuam ntawm cov tshuaj thiab nws cov nyhuv tshuaj lom. Tsis txhob siv dej cawv thiab tshuaj xyuas kev sib raug zoo nrog cov tshuaj. Tom qab ntawd cov yeeb tshuaj no (cawv) yuav tsis cuam tshuam rau lub sijhawm tam sim no ntawm cov tshuaj, uas nws muaj ib hnub.

Hauv cov kab mob ntawm ENT plab hnyuv siab raum thiab bronchi, plaub pawg tseem ceeb ntawm cov tshuaj tua kab mob tau siv. Cov no yog penicillins, cephalosporins, macrolides thiab fluoroquinolones. Lawv yooj yim nyob rau hauv uas lawv muaj nyob rau hauv cov ntsiav tshuaj thiab tsiav tshuaj, uas yog, rau kev tswj hwm qhov ncauj, thiab lawv tuaj yeem nqa tau tom tsev. Txhua ntawm cov pab pawg muaj nws tus kheej cov yam ntxwv, tab sis rau txhua qhov tshuaj tiv thaiv muaj cov kev cai txais yuav tsum tau ua raws.

Cov tshuaj tua kab mob yuav tsum yog kws kho mob sau tseg rau qee yam cim xwb. Qhov kev xaiv ntawm cov tshuaj tua kab mob yog nyob ntawm seb qhov xwm txheej ntawm tus kab mob loj npaum li cas, nrog rau cov tshuaj uas tus neeg mob tau txais yav dhau los.
Cov tshuaj tua kab mob yuav tsum tsis txhob siv los kho cov kab mob khaub thuas.
Qhov ua tau zoo ntawm cov tshuaj tua kab mob tau raug tshuaj xyuas thaum thawj peb hnub ntawm nws txoj kev tswj hwm. Yog tias cov tshuaj tua kab mob ua haujlwm zoo, koj yuav tsum tsis txhob cuam tshuam kev kho mob ua ntej lub sijhawm txiav txim siab los ntawm tus kws kho mob. Yog tias cov tshuaj tua kab mob ua tsis tau zoo (cov tsos mob ntawm tus kab mob tseem nyob li qub, qhov kub yog siab), qhia koj tus kws kho mob. Tsuas yog tus kws kho mob txiav txim siab los hloov cov tshuaj antimicrobial.
Cov kev mob tshwm sim (xws li xeev siab tsis hnov mob, tsis zoo nyob hauv lub qhov ncauj, kiv taub hau) tsis tas yuav siv tshuaj tua kab mob tshem tawm tam sim ntawd. Feem ntau, tsuas yog kho qhov ntau ntawm cov tshuaj lossis cov tswj kev siv tshuaj ntxiv uas txo cov kev mob tshwm sim yog txaus. Kev ntsuas kom kov yeej cov kev mob tshwm sim yog txiav txim los ntawm tus kws kho mob.
Qhov tshwm sim ntawm kev siv tshuaj tua kab mob tuaj yeem yog kev txhim kho raws plab. Yog tias koj muaj cov quav muag quav nyab, sab laj kws kho mob sai li sai tau. Tsis txhob sim kho kho mob raws plab los ntawm kev noj tshuaj tiv thaiv kab mob rau koj tus kheej.
Tsis txhob txo qhov ntau npaum li cas raws li koj tus kws kho mob qhia. Cov koob tshuaj me me ntawm cov tshuaj tua kab mob tuaj yeem tsim kev phom sij, vim hais tias tom qab lawv siv nws muaj qhov tshwm sim siab ntawm qhov tshwm sim ntawm cov kab mob tiv thaiv.
Txheeb xyuas cov sijhawm ntawm kev noj tshuaj tiv thaiv kab mob - kev saib xyuas ntawm cov tshuaj nyob rau hauv cov ntshav yuav tsum tswj hwm.
Qee cov tshuaj tua kab mob yuav tsum tau noj ua ntej noj mov, lwm tus tom qab. Txwv tsis pub, lawv yuav nqus tau qhov tsis zoo, yog li nco ntsoov nug nrog koj tus kws kho mob txog cov yam ntxwv no.

Nta: cov tshuaj tua kab mob sab-spectrum. Lawv siv feem ntau intramuscularly thiab intravenously rau mob ntsws thiab ntau lwm yam mob hnyav hauv kev phais mob, urology, gynecology. Ntawm cov tshuaj rau kev tswj hwm ntawm qhov ncauj, tsuas yog siv cov cefixime tam sim no siv dav.

Cov kev mob tshwm sim feem ntau: kev fab tshuaj, xeev siab, raws plab.

Lub ntsiab contraindications: ib tug neeg intolerance.

Mob caj pas
Exacerbation ntawm ua mob tonsillitis
Mob otitis media
Kev mob pob txha
Exacerbation ntawm mob ntsws ntev
Kev mob ntsws los ntawm zej zog
Caws pliav kub taub hau
Cov tawv nqaij kis kab mob
Mob cystitis, pyelonephritis thiab lwm yam mob

Nta: yog cov tshuaj tua kab mob muaj kuab lom ntau-spectrum.

Cov kev mob tshwm sim feem ntau: ua xua

Lub ntsiab contraindications: ib tug neeg intolerance.

Amoxicillin DS (Mekofar Tshuaj-Tshuaj)

Flemoklav Solutab (Astellas)

Tus mob Mycoplasma thiab Chlamydia (mob hawb pob, mob ntsws rau cov neeg laus dua 5 xyoos)
Mob caj pas
Exacerbation ntawm ua mob tonsillitis
Mob otitis media
Kev mob pob txha
Exacerbation ntawm mob ntsws ntev
Kabmob hnoos hawbpob

Nta: tshuaj tua kab mob, siv feem ntau hauv cov qauv hauv cov ntsiav tshuaj thiab ncua kev kawm. Ua ib nyuag qeeb dua qhov tawm tsam ntawm lwm pab pawg. Qhov no yog vim qhov tseeb tias macrolides tsis tua cov kab mob, tab sis nres lawv cov luam tawm tshiab. Tsis tshua muaj txiaj ntsig ua rau ua xua.

Cov kev mob tshwm sim feem ntau: kev fab tshuaj tsis haum, mob thiab tsis xis nyob hauv plab, xeev siab, raws plab.

Lub ntsiab contraindications: ib tug neeg intolerance.

Clubax OD (Ranbaxi)

Mob otitis sab nraud
Kev mob pob txha
Exacerbation ntawm mob ntsws ntev
Kev mob ntsws los ntawm zej zog
Tej Huab Tais
Salmonellosis
Cystitis, pyelonephritis
Adnexitis
Chlamydia thiab lwm yam mob

Nta: cov tshuaj tua kab mob muaj zog, feem ntau siv rau kev kis mob hnyav. Lawv tuaj yeem cuam tshuam qhov tsim ntawm pob txha mos, thiab yog li ntawd yog contraindicated rau menyuam yaus thiab cov niam yug.

Cov kev mob tshwm sim feem ntau: kev ua xua, kev mob ntawm txoj leeg, cov leeg thiab pob qij txha, mob thiab tsis xis nyob hauv plab, xeev siab, raws plab, tsaug zog, kiv taub hau, nce rhiab rau UV hluav taws xob.

Lub ntsiab contraindications: ib tug neeg intolerance, cev xeeb tub, pub niam mis, muaj hnub nyoog txog 18 xyoo.

(Mustafa Nevzat Ilach Sana'i)

Nco ntsoov, kev noj tshuaj tus kheej yog qhov muaj kev phom sij txog lub neej, sab laj nrog kws kho mob kom pab tswv yim txog kev siv tshuaj kho mob.

Tus muaj peev xwm xaiv cov tshuaj yuav tsum tau ua los ntawm cov kws kho mob koom, tab sis rau kev sib tham muaj kev sib tham nrog cov neeg kho mob nws yuav tsis yog ua kom muaj kev paub txog cov yam ntxwv ntawm cov kab mob tua kab mob niaj hnub no.

Txhua yam tshuaj tua kab mob tau muab faib ua cov pab pawg sib txawv, txhua tus muaj nws tus yam ntxwv thiab cov hau kev ntawm kev cuam tshuam cov kab mob microflora. Qee pawg muaj cov mob me, uas yuav luag tsis nrog kev mob tshwm sim, thaum lwm qhov muaj cov txheej txheem kho mob muaj zog, tab sis muaj kev cuam tshuam tsis zoo rau kev noj qab haus huv, uas yog vim li cas lawv tsis tuaj yeem siv los kho menyuam yaus.

Cov no yog cov tshuaj tua kab mob niaj hnub no uas muaj cov teeb meem me me rau ntawm lub cev. Qhov kev ua ntawm macrolides yog tsom rau ntawm kev tsim cov protein synthesis hauv cov kab mob me me, kom lawv poob lawv lub peev xwm ntawm cov tsiaj txhu.

Cov kab mob bacteriostatic thiab bactericidal ua haujlwm ntawm qee cov tshuaj ntawm pawg no tso cai txo cov tshuaj tua kab mob mus rau 3 hnub.

Qhov no yog qhov tshwj xeeb tshaj plaws hauv kev kho mob ntsws rau me nyuam yaus, vim hais tias cov tshuaj tua kab mob muaj kev cuam tshuam loj tshaj plaws rau lub cev ntas. Ntawm cov tshuaj feem ntau yog:

Clarithromycin (ntsiav tshuaj, tshuaj ntsiav), yog nyob rau tiam thib ob ntawm macrolides thiab muaj kev ua haujlwm dav. Kev tiv thaiv zoo: streptococci, staphylococci, hemophilic bacillus, neisseria, legionella, mycoplasma, chlamydia, moraxella. Cov tshuaj no tuaj yeem siv los kho mob ntsws txhawm rau hauv cov laus thiab cov menyuam yaus. Rau cov neeg laus, cov koob tshuaj txhua hnub ntawm clarithromycin yog 500 mg, uas tuaj yeem noj ob qho tib zaug ib zaug lossis faib ua ob. Lub chav dav dav ntawm kev kho yuav tsum tsis pub tshaj 14 hnub. Rau cov menyuam yaus, kev txiav txim siab tshuaj yuav tsum tau nqa tawm raws li cov txheej txheem: 7.5 mg ntawm qhov tshuaj ib 1 kg ntawm lub cev qhov hnyav. Tsis pub ntev tshaj 10 hnub,
Klacid (ntsiav tshuaj, hmoov rau kev tshem tawm) yog hais txog ib nrab tshuaj hluavtaws. Nws ua tau zoo tiv thaiv rau feem ntau cov kab mob paub tab, txawm tias muaj peev xwm ua kom zais-beta lactamase. Rau cov menyuam yaus, klacid hauv cov hmoov tuaj yeem siv los npaj cov kev ncua. Cov tshuaj npaj tau tuaj yeem khaws cia rau hauv tub yees kom tsis pub ntau tshaj 2 lub lis piam, thiab clacid tuaj yeem muab nrog mis, uas yog qhov tshwj xeeb tshaj yog rau kev kho mob ntawm menyuam mos. Kev noj tshuaj ntau npaum li cas yog muab kwv yees rau lub cev qhov hnyav: 7.5 mg rau 1 kg ntawm qhov hnyav. Cov tshuaj yuav tsum tsis pub tshaj 10 hnub. Rau cov neeg laus, cov ntsiav tshuaj lossis kev txhaj tshuaj raug xaj. Cov koob tshuaj txhua hnub ntawm cov tshuaj ntsiav clacid yuav tsum tsis pub ntau tshaj 500 mg / hnub,

Erythromycin (ntsiav tshuaj) yog cov tshuaj bacteriological uas ua rau cov tsiaj txhu ua kom mob xws li: staphylococcus, streptococcus, neisseria, hemophilic bacillus, legionella, mycoplasma, chlamydia. Cov tshuaj yog siv los kho cov menyuam txij thaum yug los. Cov menyuam mos yug tshiab muab lub cev tsim 1 phaus hnyav 1 zaug nyob rau ib hnub. Cov menyuam yaus txij li 4 hlis mg rau 1 kg ntawm qhov hnyav 3 zaug ib hnub. Cov koob tshuaj erythromycin rau cov neeg laus yog mg ib zaug.

Tshuaj tua kab mob ntawm pab pawg no tau sau tseg ntau tshaj ib yam li lwm qhov. Qhov no yog vim lawv txoj kev paub thiab kev ua haujlwm zoo.Kev kho mob ntawm cov tshuaj tua kab mob yog raws li kev muaj peev xwm inhibit kab mob cell synthesis. Tus cwj mem Penicillins yog tsim los ntawm cov khoom siv ntuj tsim, xws li nceb, pwm, thiab lwm yam, tab sis qee zaum lawv tuaj yeem hloov me ntsis hauv chav kuaj kom ua tau haujlwm ntau dua. Xws li penicillins hu ua semi-hluavtaws.

Qhov kev txiav txim ntawm penicillins tsuas yog ua rau cov kab mob pathogenic, yog li ntawd, tib neeg cov paj ntoo thaum ua kev kho mob tsis muaj kev txom nyem.

Qhov tsis zoo ntawm pawg no yog qhov nquag muaj kev phiv los ntawm kev ua xua:

Amoxil (ntsiav tshuaj) yog hais txog cov tshuaj uas muaj qhov kev pom ntawm qhov dav dav, uas yog tawm tsam txhua tus kab mob uas ua rau cov txheej txheem ua mob hauv bronchi. Amoxil tsis ua yeeb yam rau cov tsiaj uas tsim cov tshuaj penicillinase. Rau cov menyuam hnub nyoog qis dua 2 xyoos, ib koob tshuaj 30 mg rau 1 kg ntawm qhov hnyav tau sau tseg, txij li 2 txog 5 xyoos - 125 mg, txij li 5 txog 10 - 250 mg. Cov koob tshuaj txhua hnub ntawm tus neeg laus yog 500 mg, tab sis tuaj yeem nce ntxiv mus rau 1 g,
Ampicillin (ntsiav tshuaj, granules, tsiav tshuaj, hmoov) yog cov yeeb tshuaj ib nrab hluavtaws. Nws muaj kev ua haujlwm dav dav, vim tias nws ua tau zoo tiv thaiv: staphylococci (tshwj tsis yog cov tshuaj uas ua rau penicillinase), streptococci, enterococci, listeria, neisseria. Kev ua tsis tau zoo tiv thaiv cov kab mob tsim cov beta-lactamase. Kev noj tshuaj ntawm ampicillin raug teeb tsa ua ib leeg zuj zus, tab sis ib koob rau cov neeg laus yuav tsum tsis pub ntau tshaj 500 mg, thiab rau cov menyuam yaus hnyav txog 20 kg - 25 mg,
Amoxicillin (ntsiav tshuaj, granules, tsiav tshuaj) yog hais txog cov tshuaj tiv thaiv ib nrab nrog kev tiv thaiv cov kua qaub. Kev ua kom dav dav ua rau nws muaj txiaj ntsig tawm tsam feem ntau ntawm cov kab mob me, tsuas yog cov uas tsim tawm penicillinase. Rau kev kho mob ntawm cov menyuam yaus hnub nyoog qis dua 10 xyoo, nws yuav tsum siv nrog kev ceev faj heev thiab ua rau kev ua txhaum cai. Tsuas tshuaj: tsawg dua 2 xyoos - 20 mg rau 1 kg ntawm qhov hnyav, 2-5 xyoos - 2.5 ml ib zaug, 5-10 xyoo - 5 ml ib zaug. Cov koob tshuaj pom zoo rau cov laus mg 3 zaug hauv ib hnub,
Augmentin (ntsiav tshuaj, hmoov) muaj clavulanic acid, vim tias nws ua tau zoo tiv thaiv cov kab mob nrog kev tsim cov beta-lactamase. Yog li, Augmentin nrog rau mob ntsws thiaj li tau siv ntau dua li lwm tus penicillins. Qhov ntau thiab tsawg ntawm cov tshuaj yog txiav txim siab raws tus neeg qhov yam ntxwv ntawm lub cev thiab chav kawm ntawm tus kab mob. Yuav kom ua tiav qhov kev kho mob siab tshaj plaws, Augmentin yuav tsum noj tsawg kawg 5 hnub, tab sis cov chav dav dav ntawm kev kho yuav tsum tsis pub ntau tshaj 2 lub lis piam,

Cov tshuaj tua kab mob fluoroquinolone muaj zog, uas tsis kam lees cov kab mob bactericidal. Cov tshuaj ntawm cov pab pawg no inhibit cov kab mob DNA gyrase thiab tseem thaiv qhov kev sib txuas ntawm cov kab mob muaj protein ntau. Cov kab mob fluoroquinolone ua rau cov kab mob tawm tsam cov kab mob beta-lactamase.

Tshuaj tua kab mob ntawm pab pawg no muaj ntau qhov tshwm sim, nrog rau kev cuam tshuam rau kev noj qab haus huv ntawm lub plab zom mov. Fluoroquinolones feem ntau ua rau muaj kev ua txhaum ntawm cov hnyuv microflora, uas ua rau nws tus kheej nyob rau hauv dysbiosis.

Tsifran (ntsiav tshuaj, kev daws teeb meem) yog txwv tsis pub muab rau menyuam yaus, cev xeeb tub thiab lactating leej niam. Nws muaj kev cuam tshuam tsis zoo rau ntau tus kab mob, tab sis muaj cov lej phiv loj heev. Qhov ntau npaum ntawm tsifran yog kho nruj me ntsis ntawm tus kheej, tab sis lub sijhawm ntawm chav kawm yuav tsum tsis pub tshaj 30 hnub,

Cyprolet (ntsiav tshuaj, kev daws teeb meem) yog txwv tsis pub leej niam cev xeeb tub thiab pub mis, yuav tsum tsis txhob muab rau menyuam yaus. Cov tshuaj rhuav tshem feem ntau ntawm cov kab mob uas ua rau mob ntsws, tab sis kuj tawm tsam lub cev. Yog li, nws tau raug sau tseg tsuas yog hauv cov xwm txheej tseem ceeb uas yuav tsum tau ua kiag tam sim ntawd. Kev noj cov koob ntawm ciprolet yog tswj hwm tus kheej, thiab lub sijhawm kho yuav tsum tsis pub dhau 10 hnub,
Ciprofloxacin (ntsiav tshuaj, daws teeb meem) yuav tsum tsis txhob noj los ntawm menyuam yaus, cev xeeb tub thiab lactating niam.Heev ua haujlwm tiv thaiv hemophilic bacillus, shigella, salmonella, neisseria, mycoplasma, staphylococcus, enterococcus, chlamydia. Feem ntau ua rau lub plab zom mov. Cov koob tshuaj ntawm ciprofloxacin yog tus kheej, tab sis qhov ntau tshaj txhua hnub kev nkag mus yuav tsum tsis pub ntau tshaj 1.5 g,

Cephalosporin tshuaj tua kab mob muaj ntau qhov kev pom ntawm kev nqis tes ua thiab muaj tshuaj lom tsawg.

Kev rhuav tshem cov kab mob pathogenic tau tiav los ntawm kev rhuav tshem cov hlwb ntawm lawv lub membrane, uas muab cov nyhuv sai tom qab siv tshuaj. Cov tshuaj tua kab mob Cephalosporin tau muab faib ua peb pawg, qhov twg kawg, tiam thib peb, muaj cov txiaj ntsig zoo tshaj plaws. Tshuaj tua kab mob hauv pab pawg no muaj tus nqi tsawg ntawm kev phiv.

Cephalexin (ntsiav tshuaj, granules, tsiav tshuaj) tuaj yeem kho rau kev kho mob menyuam yaus, cev xeeb tub thiab lactating. Tab sis kev kho mob yuav tsum tau ua nyob rau hauv kev saib xyuas tag nrho ntawm cov kws kho mob. Cephalexin belongs rau cov thawj tiam, tab sis muaj kev tiv thaiv zoo los ntawm lub cev thiab nthuav tawm tsis hloov. Cov koob tshuaj rau cov menyuam yaus yuav tsum tsis pub ntau tshaj mg rau 1 kg ntawm qhov hnyav 4 zaug hauv ib hnub, thiab rau cov neeg laus - 500 mg tsawg kawg txhua 6 teev,

Cefazolin yog thawj qeb tshuaj uas los hauv cov hmoov ntawv los tsim cov tshuaj txhaj. Tej zaum yuav raug kho rau cov menyuam yaus los ntawm 1 hlis, tab sis yog contraindicated rau cov poj niam cev xeeb tub. Cov kev mob tshwm sim tshwm sim los tsawg tsawg zaus thiab yooj yim dua. Qhov ntau npaum ntawm cefazolin tau sau tseg rau tus kheej, tab sis kev kho yuav tsum tsis pub ntev tshaj 10 hnub,
Suprax (granules thiab tsiav tshuaj) tuaj yeem siv rau kev kho mob menyuam yaus thiab thaum cev xeeb tub. Cov tshuaj yog rau cov neeg thib peb, yog li ntawd nws nkag tau yooj yim los ntawm lub cev thiab kev coj ua tsis ua kev phiv. Txog kev kho mob menyuam yaus txij li 6 lub hlis txog 12 xyoos, nws raug nquahu kom siv rau kev ncua, thiab nws qhov ntau yog 8 mg rau 1 kg ntawm qhov hnyav ib zaug hauv 24 teev. Rau cov neeg laus, Suprax raug xaj 400 mg txhua 24 teev,

Cov tshuaj tua kab mob ntawm lwm pab pawg tsis tshua muaj tshuaj, tab sis nyob rau qee tus neeg mob (piv txwv li, tsis kam txais mus rau ib qho kev sib xyaw) siv tau:

Lincomycin (tsiav tshuaj, kev daws teeb meem) yog hais txog linkosamide pawg, uas inhibits protein synthesis hauv cov kab mob hauv cov hlwb. Nws ua tau zoo los tawm tsam staphylococcus, streptococcus, thiab anaerobic kab mob. Nws tuaj yeem raug kho rau menyuam yaus txij li 1 hlis, txij li nws tsis cuam tshuam loj heev rau cov hnyuv microflora. Kev noj tshuaj ntawm lincomycin rau cov menyuam yaus hnub nyoog qis dua 14 xyoos mg rau 1 kg ntawm qhov hnyav, rau cov laus - 500 mg txog 4 zaug hauv ib hnub,
Doxycycline (tsiav tshuaj) yog cov tshuaj tua kab mob ntawm pab pawg tetracycline, uas tsis pom zoo rau menyuam yaus, cev xeeb tub thiab lactating niam. Kev ua ntawm cov tshuaj yog los ntawm kev tsub tawm ntawm cov protein ntawm ib tus kab mob cell thiab ua txhaum ntawm nws lwm lub luag haujlwm. Feem ntau ntawm cov kab mob gram-zoo thiab gram-tsis zoo yog rhiab rau doxycycline. Cov tshuaj muaj cov nyhuv tsawg thiab kev ua haujlwm tsis cuam tshuam rau lub plab hnyuv microflora. Doxycycline tuaj yeem siv tau pib txij li 12 xyoo, thiab nws cov koob tshuaj txhua hnub yuav tsum tsis pub tshaj 200 mg,

Bioparox yog ib qho tshuaj tua kab mob aerosol nrog lub ntsej muag tshuaj fusafugine. Nws muaj cov txiaj ntsig tawm tsam tawm tsam streptococci, staphylococci, neisseria, mycoplasma. Nws tuaj yeem siv rau menyuam yaus txij li 2.5 xyoos. Bioparox yog kho rau kev mob hnyav ntawm mob ntsws nrog rau cov kab mob xws li laryngitis, pharyngitis, tracheitis, thiab lwm yam.

Txhua tus neeg sawv cev tiv thaiv kab mob yuav tsum yog kws kho mob tau hais tseg tsuas yog ua tiav kev soj ntsuam ntawm tus neeg mob lub cev. Kev noj tshuaj rau tus kheej lossis sau tshuaj rau cov tshuaj tua kab mob yam tsis tau tshuaj xyuas ua ntej thiab kev tshuaj ntsuam tuaj yeem ua rau muaj kev cuam tshuam ntawm tus kabmob lossis nws dhau mus rau hauv cov ntawv ntev.

Txhua cov ntaub ntawv muab rau ntawm lub xaib no yog rau ntaub ntawv nkaus xwb. Tsis txhob muab tshuaj rau tus kheej. Mus ntsib koj tus kws kho mob thaum pom thawj yam mob. Kev nquag txuas yog yuav tsum muaj thaum hais cov lus.

Nws yog tsim nyog sau cia tias ampicillin thiab amoxicillin, uas zoo tib yam hauv kev muaj pes tsawg leeg, lawv lub cev raug pov tseg hauv tib neeg lub cev. Tag nrho cov txheej txheem ntawm kev rhuav tshem tshwm sim nyob rau hauv kev cuam tshuam ntawm penicillinase enzyme.

Cov tshuaj no tsuas yog sau los ntawm tus kws kho mob uas tuaj koom xwb. Thaum muaj hnub nyoog 2 xyoos, nws yuav tsum siv 20 mg rau hauv kev kho mob, ncaj qha rau ib kg ntawm tus neeg lub cev qhov hnyav, koob tshuaj ib hnub. Rau ib qho tshuaj, qhov no yog ntau heev, yog li cov tshuaj tau muab faib rau tus mob 3 zaug ib hnub.

Nco ntsoov tias rau cov menyuam yaus yug tshiab, cov tshuaj yog tawm ntawm tus kheej, yog li tus kws kho mob hauv tsev kho mob yuav qhia txog yuav haus amoxicillin li cas rau lub hnub nyoog no.

Amoxicillin rau kev mob ntsws tuaj yeem siv thaum muaj hnub nyoog 5 mus rau 10 xyoo. Thov nco ntsoov tias qhov ntau npaum ntawm amoxicillin yuav tsum tsis pub tshaj 250 mg. Txhawm rau kom pom tseeb, qhov no yog kwv yees li 1 teev ntawm kev ncua kev kawm, haus 3 zaug hauv ib hnub, tom qab txhua koob, haus cov dej kom nws yooj yim kom nqos kev ncua.

Thaum muaj hnub nyoog laus dua, nrog kev mob siab, tus mob amoxicillin no yuav tuaj yeem haus dej cawv hauv daim ntawv ntawm cov ntsiav tshuaj lossis tshuaj ntsiav.

Ntawm qhov contraindications sau tseg: quav nyab kub taub hau, bronchial hawb pob, kuj tsis tuaj yeem noj nrog lub raum tsis ua haujlwm.

Ntxiv rau, cov tshuaj tsis siv rau hauv kev kho mob ntawm tus mob mononucleosis lossis thaum lactation.

Cov npe ntawm cov kev mob tshwm sim yog dav, yog li koj yuav tsum paub txog pes tsawg hnub haus dej, yuav siv tshuaj amoxicillin li cas thaum menyuam yaus thiab neeg laus kom tsis txhob cuam tshuam nrog cov teebmeem hauv qab no.

Kev tsis haum tshuaj, dysbiosis, xeev siab, kiv taub hau feem ntau tshwm sim lossis qhov tsis zoo ntawm lub hauv nruab nrab lub paj hlwb tau tshwm sim.

Qhov tshuaj tiag tiag tuaj yeem tuaj yeem ua ntau hom. Cov tshuaj ntsiav, hauv ib pob muaj 16 daim, thaum lub tshuaj ntsiav nws tus kheej muaj 250 mg. Qhov thib ob daim ntawv tso tawm cov tshuaj kuj tseem muaj nyob hauv daim ntawv tshuaj ntsiav, tab sis tsuas yog nrog cov tshuaj ntawm 500 mg. Daim ntawv foos thib 3 tau nthuav tawm nyob rau hauv daim ntawv ntawm granules. Lawv nyob hauv lub raj mis, yav tom ntej nws yog qhov tsim nyog los npaj kev ncua los ntawm granules.

Nco ntsoov tias ib hom tshuaj twg yog rau kev siv sab hauv nkaus xwb.

Tsis yog txhua tus neeg mob zam cov tshuaj no. Yog li no, cov kws kho mob tuaj yeem sau tshuaj analogues. Piv txwv li, augmentin, cov tshuaj no yog cov qauv ua qauv ntawm Amoxicillin.

Tus nqi ntawm augmentin yog tsawg dua li cov tshuaj Amoxicillin, kwv yees li 150 rubles. Nws yog tsim nyog sau cia tias txawm hais tias augmentin muaj tib qhov ntsuas rau kev siv, lawv txawv me ntsis hauv contraindications. Augmentin tsis raug siv rau kev fab tshuaj rau cephalosporins tshuaj tua kab mob, rau kev sib kis mob mononucleosis, zoo li ua rau lub siab ua haujlwm tsis zoo.

Cov lus teb rau lo lus nug, yog dab tsi zoo dua Augmentin lossis Amoxicillin? Tsuas yog kws kho mob thiaj tuaj yeem teb koj xwb. Tom qab tag nrho, cov tshuaj tau muab tshuaj raws li kev mob hnyav, thiab tseem nyob ntawm lub hnub nyoog ntawm tus neeg mob.

Qhov thib ob zoo analogue yog ciprolet. Lawv sib txawv tsis yog hauv cov txheej txheem ntawm kev cuam tshuam, tab sis kuj nyob hauv qhov muaj pes tsawg leeg. Feem ntau, ciprolet yog kho rau cov neeg laus. Ciprolet tuaj yeem muas tau rau hauv daim ntawv ntawm cov ntsiav tshuaj, daws teeb meem, lossis qhov muag pom. Lub ciprolet txhais tau tias muaj qhov muaj zog ntawm qhov kev txiav txim siab, txawm tias xws li tus nqi tsawg. Cov ntsiav tshuaj tuaj yeem siv rau hauv kev kho mob ntawm qhov mob siab mob heev, raws caij nyoog rhinitis lossis ua xua rhinitis. Tsis tas li ntawd, cov txheej txheem mob hauv lub zais zis, kev puas tsuaj rau daim tawv nqaij, nrog rau cov txheej txheem purulent ntawm cov ntaub so ntswg mob tau sau tseg los ntawm cov cim.

Amoxiclav yog tshuaj tiv thaiv ntawm cov tshuaj, tsuas yog nws tau hluavtaws ib nrab. Cov tshuaj, nyeg, muaj ib qho tshuaj amoxicillin nrog clavulanic acid. Yog li ntawd, nws muaj cov txheej txheem zoo ntawm cov tib neeg lub cev. Nws kuj tseem yuav tsum tau sau tseg cais cov tshuaj, qhov no yog kev siv tshuaj kho mob amoxicillin, ncaj qha nrog clavulanic acid.

Kev npaj Amoxicillin nrog clavulanic acid yog kho rau ntau yam kab mob.Cov ntsiav tshuaj tuaj yeem qaug dej nrog mob sinusitis, otitis media, thiab nrog rau osteomyelitis lossis nrog rau daim tawv nqaij kis. Qhov no amoxicillin nrog clavulanic acid uas twb muaj lawm kuj tseem tau sau tseg tias yog prophylaxis rau kev kis kab mob hauv kev phais mob. Amoxicillin nrog cov clavulanic acid yuav siv tau los ntawm 3 hlis uas muaj hnub nyoog. Qhov tshuaj loj hauv lub hnub nyoog no tau muab suav li 25 mg / kg / hnub.

Nws tsim nyog sau cia tias thaum muaj hnub nyoog laus dua, cov tshuaj tau tawm hauv cov tshuaj ntau dua.

Raws li rau Amoxicillin, qhov sib txawv loj yuav yog hauv kev qhia thiab qhov tshwm sim. Thov nco tias Amoxiclav yuav kim npaum li cov tshuaj muaj tseeb.

Clarithromycin tuaj yeem hloov ua ntau hom. Piv txwv, hauv daim ntawv ntawm cov ntsiav tshuaj lossis tshuaj ntsiav. Lub hauv paus tseem ceeb hauv cov tshuaj muaj tseeb yog clarithromycin.

Cov tshuaj yog raug kho rau cov kab mob ntawm cov pa hauv siab, piv txwv li, rau kev mob khaub thuas, mob ntsws, kuj tuaj yeem siv rau hauv kev kho mob mycobacterial lossis lub plab zom mov. Dab tsi yog qhov zoo dua clarithromycin? Nws tuaj yeem siv rau hauv menyuam yaus (ntau dua 12 xyoos). Raws li kev ntsuas, nws tau sau tseg tias clarithromycin tsis ua rau muaj kev phiv tshuaj tsis zoo, hauv kev sib piv nrog kev kho mob nrog summamed lossis amoxicillin.

Tab sis dab tsi kiag txhais tau hais tias mus taw hauv koj kis? Tus kws kho mob tuaj yeem pab koj hauv qhov teeb meem no, leej twg yuav kawm tag nrho koj li keeb kwm kev kho mob thiab suav sau tag nrho cov txiaj ntsig kev kuaj mob uas tsim nyog. Tom qab txhua tus, tsis yog txhua tus tau sau meej meej clarithromycin, Amoxicillin lossis Sumamed, nrog rau lwm cov qauv sib xyaw ntawm cov tshuaj, tuaj yeem kho tshuaj.

Thov nco tseg, peb tau sau tseg ntau yam tshuaj noj ntawm cov tshuaj, nws yuav pab tau koj li cas, tsuas yog kws kho mob tuaj yeem qhia koj. Rau txhua tus neeg mob, lawv cov tshuaj yog xaiv.

Amoxicillin lossis ampicillin, yuav xaiv dab tsi? Vim li cas peb sau “FAMOUS”. Qhov tseeb yog tias feem ntau ntawm cov analogues, cov kws kho mob nyiam sau tshuaj rau ampicillin tseeb. Nov yog qhov tshuaj siv dav-dav uas tuaj yeem siv tsis tsuas yog kho rau cov mob ENT.

Feem ntau tshuaj kho rau kev kho mob rau cov kab mob hauv genitourinary system, lub plab zom mov, cov kab mob gynecological, nrog rau kev kis mob ntawm daim tawv nqaij.

Thov nco ntsoov tias cov lus qhia tsis qhia tias yuav ua li cas thiaj coj nws mus thaum yau. Txij li thaum cov tshuaj tau sau tseg ib tus zuj zus. Tus kws kho mob yuav tsum tau nqa tawm tsis yog qhov kev kuaj mob ntawm tus menyuam nkaus xwb, tabsis tseem yuav tsum paub txog kev pheej hmoo ntawm qhov teeb meem thiab xaiv qhov ntau ntawm cov tshuaj.

Lawv raug nqi ntawm 89 txog 143 rubles, nyob ntawm daim ntawv tso tawm ntawm cov nyiaj. Khaws tsis ncav cuag ntawm cov menyuam yaus. Txee lub neej ntawm kev ntim tsis tau qhib yog 2 xyoos.

Thaum tus kws kho mob tau sau tshuaj rau tshuaj tua kab mob, nws xaiv cov tshuaj uas muaj txiaj ntsig zoo thiab nyab xeeb tshaj plaws rau qee yam kab mob. Txawm li cas los xij, cov neeg mob feem ntau nug cov lus nug “Qhov twg zoo dua: Klacid lossis Augmentin?” Qee zaum lawv nug kom piav qhia qhov txawv ntawm cov kab mob antibacterial zoo li no.

Tshuaj tua kab mob yog cov tshuaj uas tua cov kab mob. Lawv siv rau ntau cov kab mob tshwm sim los ntawm cov kab mob me me no.

Cov tshuaj tua kab mob yog koom nrog pab pawg sib txawv. Cov feem ntau siv ntawm lawv yog cov hauv qab no:

Txhua pawg ntawm cov tshuaj muaj nws tus kheej spectrum ntawm kev ua. Feem ntau, nws yog qhov dav heev thiab suav nrog ob tus kab mob gram-negative thiab gram-zoo.

Ntau zaus, cov kws kho mob tau muab tshuaj tua kab mob los ntawm pawg ntawm penicillins thiab macrolides - piv txwv li, amoxicyclav (Augmentin) thiab clarithromycin (Klacid).

Txawm hais tias qhov tseeb tias qhov zoo ntawm kev coj ntawm cov tshuaj no zoo ib yam, muaj qee qhov sib txawv ntawm lawv. Ib qho ntxiv, lawv nyias muaj nyias lub siab ntev thiab muaj cov npe ntawm cov kev mob tshwm sim.

Nws yog cov nta no uas qhia tus kws tshaj lij uas sau daim ntawv no lossis cov tshuaj tua kab mob.

Txhawm rau kom nkag siab qhov kev nqis tes ntawm tus kws kho mob, koj yuav tsum nthuav qhia cov lus taw qhia thiab contraindications rau cov tshuaj ntawm ib qho tshuaj, nrog rau nws cov nyhuv, metabolism thiab hom kev ua kom zoo.

Tej zaum qhov tshuaj kho mob ntau tshaj plaws los ntawm pawg neeg penicillin yog Augmentin. Nws pom zoo los ntawm kws kho mob thiab kws kho mob hlwb, kws phais neeg thiab kws kho mob plab, urologists.

Cov tshuaj tua kab mob no tau ua tiav siv tau los kho tus poj niam cev xeeb tub thiab cov niam tu. Pawg no ntawm cov neeg mob lawv tus kheej muaj kev txwv ntawm kev siv, txawm li cas los xij, Augmentin yog cov tshuaj ntawm kev xaiv rau lawv.

Qhov nrov ntawm cov tshuaj tua kab mob yog txuam nrog ntau yam:

Kev ua tau zoo ntawm cov tshuaj.
Cov sijhawm pib ua haujlwm sai.
Yooj yim ntawm kev siv.
Zoo siab ntev.
Cov ntawv txhaj tshuaj thiab ntsiav tshuaj.
Kev siv tau thaum tseem yog menyuam yaus.
Kuj yuav beta-lactamases.

Txij li cov tshuaj penicillins tau siv rau hauv kev kho mob tau ntev, ntau cov kab mob tau tsim kev tiv thaiv rau lawv. Qee tus neeg tau txais cov khoom tiv taus, uas ua rau lawv lub cev tiv thaiv kab mob rau cov kab mob ntawm cov tshuaj tua kab mob. Thiab lwm tus tsim cov tshuaj tshwj xeeb - cov enzymes uas tuaj yeem rhuav tshem thiab ua kom tsis zoo ntawm cov tshuaj. Lawv hu ua beta-lactamases thiab muaj kev tiv thaiv zoo tshaj plaws rau penicillins.

Qee qhov tshuaj tua kab ntawm cov pab pawg no lawv tus kheej tiv thaiv qhov kev ua ntawm cov kab mob enzymes, txawm li cas los xij, lawv muaj lwm yam tsis zoo - piv txwv li, qhov pom kev nqaim ntawm kev nqis tes ua, tsis muaj kev ua tau zoo, tshem tawm sai sai ntawm lub cev.

Txhawm rau muab cov tshuaj tua kab mob ntawm cov pab pawg no ruaj khov, lawv tau pib sib xyaw nrog lwm cov tshuaj nrog cov cuab yeej no. Yog li muaj amoxiclav (Augmentin). Vim tias muaj clavulanic acid nyob rau hauv nws cov muaj pes tsawg leeg, cov kab mob tsis tuaj yeem rhuav tshem cov tshuaj thiab txo nws cov haujlwm.

Lub sijhawm ntawm Augmentin yog qhov dav heev.

Augmentin tuaj yeem siv rau ntau yam pathologies. Qhov no yog vim nws qhov teeb meem ntawm kev ua.

Feem ntau cov gram-negative thiab gram-negative microbes yog rhiab rau cov tshuaj no. Feem ntau feem ntau nws tau sau tseg rau cov kab mob ntawm cov pa, nrog rau ENT plab hnyuv siab raum. Tsis tas li ntawd, nws tau siv dav hauv cov kab mob ntawm cov kab mob genitourinary (pyelonephritis, cystitis) thiab lub plab zom mov (mob cholecystitis).

Cov kws phais tau muab Augmentin rau cov kab mob ntawm daim tawv nqaij (erysipelas) thiab cov nqaij mos.

Amoxiclav yog cov tshuaj ntawm kev xaiv rau angina thiab mob ntsws.

Augmentin nyob rau hauv feem ntau qhov tshwm sim yog tshuaj rau kev mob ntsws yog thawj txoj kab tshuaj tua kab mob. Cov kab mob uas feem ntau ua rau mob ntsws (pneumococci) yog rhiab rau nws.

Xws li kev kho mob monotherapy feem ntau muaj kev vam meej thiab tsis tas yuav teem caij ntxiv cov tshuaj ntxiv. Txawm li cas los xij, qhov no muaj tseeb rau cov ntaub ntawv me ntawm tus mob.

Qee zaum cov kws kho mob muab cov tshuaj amoxiclav nrog azithromycin. Txoj kev sib xyaw no ua tau zoo tawm tsam gram-negative, gram-positive microbes, nrog rau mycoplasmas thiab chlamydia.

Hauv cov ntawv loj rau qhov hnyav, amoxiclav muab tshuaj pleev ib leeg.

Angina hu ua tonsillitis. Txawm li cas los xij, tsis zoo li cov kab mob tonsillitis, cov lus no feem ntau txhais tau tias yog ib qho kab mob tshwm sim los ntawm beta-hemolytic streptococcus.

Angina yog fraught nrog cov nyhuv tshuaj lom ntawm lub microbe rau ntawm ob lub raum thiab lub siab. Nws qhov tshwm sim ntau yog glomerulonephritis, uas yuav ua rau lub raum tsis ua haujlwm.

Angina tseem ua rau kev txhim kho ntawm tshwj xeeb pathology - rheumatism. Tus mob pib nrog kev sib koom ua ke, tab sis lub siab yog cuam tshuam ntau tshaj plaws. Cov txiaj ntsig ntawm kev tsis kho tus mob tonsillitis yog ntau yam kis tau kab mob - stenosis thiab tsis muaj txiaj ntsig ntawm mitral, aortic, tricuspid li qub.

Beta hemolytic streptococcus tseem nkag siab tshwj xeeb rau cov tshuaj tua kab mob penicillin. Tias yog vim li cas Augmentin tau raug tshuaj yog li ntau zaus nrog angina.

Amoxiclav muaj tshuaj ntau yam.Qhov no tso cai rau koj siv nws ob qho tib si hauv kev coj ua pediatric thiab kev kho rau cov neeg laus. Ntxiv rau, cov ntsiab lus ntawm cov tshuaj nquag txiav txim siab qhov ntau npaum li cas ntawm kev noj cov ntsiav tshuaj (lossis kev txhaj tshuaj).

Augmentin tuaj yeem noj 2 lossis 3 zaug nyob rau ib hnub. Lub chav kawm ntawm kev kho mob nruab nrab 5-7 hnub, yog tias tsim nyog, kav ntev txog kaum hnub.

Kev pub niam txiv txoj kev khiav dej num ntawm cov tshuaj yog cov leeg txhaj tshuaj. Nws raug xaiv rau cov qauv mob hnyav.

Kev txhaj tshuaj pab ua kom cov tshuaj nkag ncaj qha rau cov ntshav, uas ua kom muaj kev cuam tshuam sai.

Thaum kho nrog amoxiclav, tsis tas yuav tsum tau ua raws li qee yam kev noj haus, txawm li cas los xij, cov tshuaj yuav tsum tau noj ib zaug ib zaug. Qhov no yuav tsim tau txoj kev xav zoo ntawm cov tshuaj tua kab mob hauv cov ntshav.

Amoxiclav feem ntau ua rau muaj kev phiv tshuaj los ntawm cov hnyuv plab. Cov neeg mob nco ntsoov tsis xis nyob hauv plab, qhov tshwm sim ntawm xeev siab thiab txawm tias ntuav. Ib qho kev mob tshwm sim heev yog zawv plab.

Nws pom nyob rau hauv ntau tus neeg mob tau txais cov tshuaj tua kab mob no, thiab yog qhov laj thawj ntawm kev kuaj mob ntawm "dysbiosis".

Txawm li cas los xij, tus mob no ploj mus nws tus kheej yam tsis tau txais kev kho tom qab muab tshuaj tua kab mob tso tseg. Tsuas yog nyob rau qee kis tsawg leej muaj tus kab mob loj dua tuaj - tus kab mob ntsig txog tshuaj tua kab mob xav tau kev kho mob hnyav.

Clarithromycin yog tshuaj tua kab mob los ntawm cov pawg macrolide. Cov kab mob me hauv qab no yog nkag siab rau nws:

Staphylococci thiab streptococci.
Listeria, Neisseria thiab Moraxella.
Haemophilus mob npaws.
Legionella.
Mycoplasmas.
Chlamydia
Mycobacteria.
Clostridia.
Spirochetes.
Campylobacter.

Clarithromycin tiv taus beta-lactamases, cov enzymes no tsis muaj peev xwm tiv thaiv nws tsis tau. Txawm li cas los xij, qee qhov mob ntawm staphylococci tuaj yeem kho tsis tau nrog hom tshuaj tua kab mob no. Peb tab tom tham txog kev tsis haum oxaline thiab methicillin.

Hauv kev hais txog qee cov kab mob me, clarithromycin muaj peev xwm ua kom pom cov kab mob tshwm sim.

Hauv cov khw muag tshuaj, clarithromycin paub los ntawm cov npe hauv qab no:

Hauv qhov ntsuas rau kev teem caij ntawm clarithromycin, kab mob ntawm cov kab mob ntawm lub ntsws thiab ENT kabmob feem ntau qhia. Cov no suav nrog:

Mob ntsws ntsws.
Otitis media.
Sinusitis (purulent frontal sinusitis, sinusitis, ethmoiditis, pansinusitis).
Kev mob ntsws (tshwj xeeb nws cov qauv atypical).

Ntxiv rau, cov tshuaj tua kab mob no yog siv rau erysipelas, impetigo, furunculosis. Nws kuj tseem raug kho rau cov kab mob uas tshwm sim los ntawm mycobacteria.

Muaj qee qhov kev txwv nrog kev kho Klacid. Yog li, nws tsis pom zoo thaum cev xeeb tub, tshwj xeeb tshaj yog nyob rau thawj peb hlis, thiab nrog lactation.

Thaum kho nrog cov tshuaj tua kab mob no, muaj qhov pheej hmoo siab ntawm kev tsim mob candidiasis - pom kev tawm pob. Hauv kev hais txog qhov no, cov kws kho mob feem ntau sau ntawv sib xyaw ua ke ntawm cov tshuaj tua kab mob - piv txwv li, Fluconazole.

Clarithromycin yuav tsum tsis txhob siv rau hauv cov neeg mob uas mob raum tsis zoo.

Ntawm cov kev mob tshwm sim ntawm cov tshuaj no yog daim siab mob siab - tshuaj tiv thaiv kab mob siab. Nws yog qhov taw qhia rau kev tshem tawm clarithromycin thiab kev kho ntawm kev kho.

Paub txog kev nyab xeeb ntawm clarithromycin paub. Cov kev phiv tshuaj yog qhov tsis tshua muaj thiab feem ntau cov no yog cov kev tsis txaus siab tshwm sim los ntawm kev mob txoj hnyuv.

Cov neeg mob yws txog:

Cov kev mob no feem ntau tsis tas yuav kho tshwj xeeb thiab hla ntawm lawv tus kheej tom qab tsis muaj tshuaj. Txawm li cas los xij, hauv qee kis, cov kws kho mob yuav tsum hloov cov tshuaj antibacterial.

Qee zaum, clarithromycin tuaj yeem ua mob rau hauv cov ntshav system, ua rau agranulocytosis thiab mob thrombocytopenia.

Tawm tsam cov keeb kwm yav dhau los ntawm kev kho mob mus ntev nrog cov tshuaj tua kab mob los ntawm cov pab pawg macrolide, cov neeg mob tau sau tseg txog insomnia, nce kev ntxhov siab thiab chim siab, mob taub hau, kiv taub hau, thiab hnov lus tsis zoo.

Tsis tas li ntawd, kev kho mob nrog cov tshuaj no tuaj yeem ua rau muaj kev txhim kho ntawm ntau yam kev tsis haum tshuaj.

Tab sis feem ntau, clarithromycin kho tau zoo zam txim. Feem ntau nws tau sau tseg rau hauv daim ntawv ntawm cov ntsiav tshuaj uas noj ob zaug ib hnub.

Cov tshuaj tua kab mob no tau pom zoo rau siv rau menyuam yaus. Txawm li cas los xij, txog 12 xyoos, cov kws kho mob pom zoo kom siv cov tshuaj tua kab mob ua ib qho kev ncua.

Nws yog qhov nyuaj rau tus neeg mob los txiav txim siab seb qhov tshuaj twg zoo dua - clarithromycin lossis amoxiclav. Tias yog vim li cas qhov kev xaiv ntawm tshuaj tua kab mob yog ib txwm prerogative ntawm tus kws kho mob koom, uas coj mus rau hauv tus account ntawm tus kab mob, contraindications thiab tus yam ntxwv ntawm tus neeg mob.

Rp .: Tab. Clarithromycini 0.25
D.t.d: No. 10
S .: noj ib ntsiav tshuaj ib hnub ob zaug, kav ntev li tsib hnub.

Nws yog hais txog cov kab mob antibacterial nrog cov kev tiv thaiv bacteriostatic. Nws muaj ntau cov teebmeem.

Los ntawm dab tsi pab pawg neeg cov tshuaj nyob muaj zog, nws cov tshuaj pharmacological nyob ntawm seb. Cov tshuaj muaj pes tsawg leeg suav nrog rau 250 lossis 500 mg ntawm cov tshuaj nquag.

Cov neeg tau txais tshuaj ntawm cov tshuaj muaj xws li:

cov hmoov txhuv nplej siab
povidone
sodium lauryl sulfate,
MCC
Aerosil
pregelatinized hmoov txhuv nplej siab
magnesium stearate.

Hauv tebchaws Lav Xias, nws tsim tawm los rau hauv ib lub hlwv uas muaj 5 daim ntawm cov ntsiav tshuaj. Hauv ib lub thawv ntawv cardboard haum los ntawm ib txog ob lub hlwv.

Tus nqi ntawm ib pob rau 10 ntsiav tshuaj ntawm Clarithromycin yog sib npaug rau rubles. Cov tshuaj yuav tuaj yeem yuav tom cov tsev muag tshuaj raws li daim duab thiab lus piav qhia.

Qhov kev siv tshuaj tiv thaiv ib nrab dej uas siv tshuaj tua tus kab mob no tau noj nrog:

cov txheej txheem sib kis los ntawm Mycobacterium, chlamydia thiab lwm yam kab mob kis los ntawm kev sib deev,
purulent thiab tsis tau tso cai otitis media thiab mob siab,
pharyngitis mob thiab mob ntev, tonsillitis, laryngitis, tracheitis, sinusitis,
mob ntsws tsis tau qhia meej txog cov kab mob,
mob ntsws, ob leeg mob los yog mob ntev,
qog ntawm daim tawv nqaij, rwj, carbuncle,
mob caj dab.

Ua ntej noj mov lossis tom qab noj tshuaj?

Daim ntawv thov thiab ureaplasma, sinusitis, gastritis, chlamydia ntau npaum

Qhov siab tshaj plaws: 500 mg ob zaug ib hnub rau cov neeg laus hnub nyoog 18 xyoo. Lub sijhawm tswjhwm yog li ntawm 7 mus rau 10 hnub, nyob ntawm kev ua haujlwm ntawm tus kabmob.

Nws raug nquahu kom sib xyaw nrog kev noj Clarithromycin nrog kev siv dej alkaline kom txo tau cov tshuaj lom rau ntawm ob lub raum.

Thaum cev xeeb tub, pub niam mis

Cov tshuaj yog contraindicated rau cov neeg uas muaj mob ntev ntawm daim siab thiab lub raum, uas yog, lub raum thiab / lossis daim siab ua haujlwm.

Contraindications tsis meej yog:

ua kom lub cev tsis haum rau ib qho twg ntawm cov yeeb tshuaj ntxiv,
porphyria
thawj peb hlis ntawm cev xeeb tub
lub sijhawm pub niam mis.

Koj tsis tuaj yeem noj cisapride, pimozide, terfenadine tib lub sijhawm uas yog clarithromycin.

Tsis tas li, tib neeg ua xua rau ib qho tshuaj ntawm cov tshuaj uas tau siv los npaj nws yuav tsum tsis txhob noj Clarithromycin. Cov kev mob tshwm sim suav nrog hepato- thiab nephrotoxicity.

Zoo li yam tshuaj tua kab mob, Clarithromycin tsis pom zoo kom siv nrog cawv. Txij li nyob rau hauv cov ntaub ntawv no, metabolized ethanol cuam tshuam zoo rau daim siab ua haujlwm. Thiab txij li thaum tag nrho cov tshuaj dhau los ntawm hepatocytes, kev haus dej cawv ntau dhau los ua rau kev sib txuam ntawm cov tshuaj thiab nws cov nyhuv tshuaj lom. Tsis txhob siv dej cawv thiab tshuaj xyuas kev sib raug zoo nrog cov tshuaj. Tom qab ntawd cov yeeb tshuaj no (cawv) yuav tsis cuam tshuam rau lub sijhawm tam sim no ntawm cov tshuaj, uas nws muaj ib hnub.

>> Lub vev xaib tau qhia ntau txoj kev kho mob rau kev kho mob sinusitis thiab lwm yam kab mob ntawm lub taub ntswg. Siv rau kev noj qab haus huv!

Macrolides thiab penicillins yog cov muaj kev nyab xeeb thiab muaj txiaj ntsig zoo tshaj plaws ntawm cov tshuaj tua kab mob. Lawv raug siv los kho kab mob hauv nruab nrog cev, nqaij mos thiab tawv nqaij. Nyob ntawm qhov ntsuas rau kev siv thiab qhov ua rau muaj tus kabmob ntawm tus kabmob, tus kws kho mob tuaj yeem sau ntawv rau Klacid lossis Amoxiclav, ntxiv rau cov tshuaj zoo sib xws hauv kev muaj pes tsawg leeg thiab cuam tshuam rau lawv (Clarithromycin, Augmentin, Sumamed).

Cov tshuaj tiv thaiv ntawm Klacid yog macrolide tshuaj tua kab mob clarithromycin. Lub spectrum ntawm nws cov kev ua haujlwm antibacterial txuas mus rau feem ntau cov kab mob kis ntawm cov kis kab mob. Cov kab mob rhiab xws li:

cov kab mob gram-positive thiab gram-negative aerobic (streptococci, pneumococci, moraxella, hemophilus bacillus, listeria, thiab lwm yam),
anaerobic pathogens (clostridia, thiab lwm yam),
Cov neeg ua rau mob STDs (chlamydia, mycoplasma, ureaplasma),
toxoplasma
Borrelia
Helicobacter pylori (H. pylori),
mycobacteria (tsis qhia kev ua haujlwm zoo tsuas yog thaum kis mob tuberculosis microbacteria).

Klacid thiab Amoxiclav tau siv los kho cov mob hauv nruab nrog cev, cov nqaij mos thiab tawv nqaij.

Qhov dav dav ntawm kev txiav txim ntawm clarithromycin tso cai rau koj los sau tshuaj Klacid nrog cov cim hauv qab no:

cov kab mob tua kab mob ntawm cov ntu ntawm sab saud thiab qis ntawm cov kab mob ua pa (sinusitis, tonsillitis, pharyngitis, otitis media, tracheobronchitis, atypical mob ntsws, thiab lwm yam),
folliculitis, erysipelas, lwm yam kab mob sib kis ntawm cov tawv nqaij thiab cov nqaij mos subcutaneous,
cov kab mob hauv zos thiab cov kab mob hauv lub cev los ntawm mycobacteria (tsis suav nrog Koch lub bacillus),
kev tiv thaiv ntawm tus mob mycobacterial tiv thaiv los ntawm M. avium hauv cov neeg mob HIV zoo nrog cov ntsiab lus tsawg ntawm T-pabcuam,
mob rwj thiab duodenal mob rwj (txhawm rau txo qis ntawm H. pylori hauv chav sib xyaw ua ke),
STIs tshwm sim los ntawm pathogens rhiab rau clarithromycin,
kev tiv thaiv ntawm cov kab mob ua mob tom qab cov txheej txheem kho hniav (suav nrog sepsis thiab endocarditis).

Ua raws li kev kuaj mob thiab lub hnub nyoog ntawm tus neeg mob, tus kws kho mob tuaj yeem sau ib qho ntawm cov qauv hauv qab no ntawm kev tso tawm ntawm Klacid:

ntsiav tshuaj (ntau npaum ntawm cov tshuaj nquag - 250 thiab 500 mg),
kev ncua (tus nqi ntawm cov tshuaj tua kab mob hauv 5 ml ntawm cov khoom tiav yog 125 lossis 250 mg),
hmoov rau qhov kev npaj ntawm ib qho kev daws teeb meem (koob tshuaj clarithromycin - 500 mg hauv 1 lub raj mis).

Cov tshuaj tiv thaiv ntawm Klacid yog macrolide tshuaj tua kab mob clarithromycin.

Klacid tsis raug xaj nyob rau hauv kev txhaj tshuaj: kev tswj hwm ntawm macrolide yog nqa tawm nrog dej rau ib teev lossis ntev dua ntawm ib lub sijhawm.

Cov kev tsis haum rau kev siv clarithromycin yog:

muaj tshuaj tiv thaiv kab mob rau cov tshuaj macrolide thiab ketolide, cov tshuaj tiv thaiv kab mob hauv cov tshuaj,
lub plawv tsis ua hauj lwm, mob plawv, mob plawv ventricular arrhythmia thiab tachycardia, lub xub ntiag ntawm proarrhythmogenic yam thiab muaj kev pheej hmoo ntawm lengthening QT luv (piv txwv li, tsis muaj peev xwm ntawm cov poov tshuaj thiab magnesium),
kev sib xyaw ua ke ntawm lub raum uas tsis zoo thiab mob hauv lub cev,
cholestatic jaundice, kev npau taws los ntawm kev siv tshuaj tua kab mob (keeb kwm),
kev pub mis
cev xeeb tub (hauv 2-3 hlis, nws siv tau raws li cov cim qhia nruj me ntsis),
tsawg dua 6 lub hlis
Kab mob porphyrin
kev kho nrog tshuaj uas tsis sib xws nrog clarithromycin (Ergotamine, Colchicine, Ticagrelor, Midazolam, Ranolazine, Cisapride, Astemizole, Terfenadine, statins, thiab lwm yam).

Yog tias muaj mob hauv lub siab thiab lub raum ua haujlwm (yog tias Cl creatinine tsawg dua li ib txwm, tab sis ntau dua 30 ml / min), clarithromycin txoj kev kho yuav tsum tau ua hauv kev saib xyuas kev kho mob thiab nrog saib xyuas ntshav biochemistry. Thaum muab tshuaj rau Klacid ncua kev kawm ntawv hauv cov neeg mob ntshav qab zib mellitus, tus nqi sucrose hauv kev pom zoo ntawm cov tshuaj yuav tsum raug txiav txim siab.

Thaum muab tshuaj rau Klacid ncua kev kawm ntawv hauv cov neeg mob ntshav qab zib mellitus, tus nqi sucrose hauv kev pom zoo ntawm cov tshuaj yuav tsum raug txiav txim siab.

Amoxiclav muaj cov tshuaj tiv thaiv (amoxicillin) thiab ib qho beta-lactamase inhibitor (clavulanic acid). Clavulanic acid thaiv qhov kev txiav txim ntawm cov kab mob enzymes uas zom cov beta-lactam lub nplhaib tshuaj tua kab mob. Kev sib xyaw ntawm ob yam no tso cai rau koj ua nrog suav nrog thiab cov kab mob me me tiv nrog cov tshuaj penicillins uas tsis muaj kev tiv thaiv.

Lub spectrum ntawm kev ua ntawm amoxicillin txuas ntxiv mus rau cov kab mob hauv qab no:

muaj cov tsiaj txhu muaj txiaj ntsig aerobic (staphylococci, streptococci, pneumococci),
gram-negative aerobic cocci (hemophilic thiab Escherichia coli, moraxella, Klebsiella, enterobacteria).

Kev qhia rau kev siv tshuaj yog cov kab mob hauv qab no:

cov kab mob kis kab mob ntawm cov pa sab saud thiab qis,
cov txheej txheem mob ntawm lub tso zis mob tshwm sim los ntawm aerobic microorganisms,
lub plab zom mov (lub plab zom mov thiab mob plab hnyuv, ua mob rau lub plab thiab cov kua tsib),
cov kab mob sib kis ntawm kev ua me nyuam,
cov mob odontogenic, tiv thaiv cov kab mob ua mob tom qab kev kho hniav,
osteomyelitis, mob tiv thaiv cov nqaij mos,
cov kab mob txhab ntawm daim tawv nqaij thiab cov nqaij mos subcutaneous,
rau kev tswj hwm ntawm Amoxiclav: Kab mob kas cees (mob txeeb zig, mob sib khuav me me), mob plab hauv plab, tiv thaiv kev sib kis kis mob tom qab kev phais mob.

Amoxiclav muaj nyob hauv ntau hom tshuaj:

ntsiav tshuaj (noj tshuaj ntawm amoxicillin yog 250, 500 lossis 875 mg),
ntsiav tshuaj dispersible (soluble) (muaj 500 lossis 875 mg ntawm cov tshuaj tua kab mob),
lyophilisate rau kev tsim cov khoom siv rau kev npaj tshuaj rau cov tshuaj tua kabmob (koob tshuaj tiv thaiv kab mob hauv 1 lub raj tshuaj lyophilisate yog 500 mg lossis 1 g),
hmoov rau kev tsim khoom ntawm kev ncua (5 ml ntawm cov tshuaj tiav muaj cov 125, 250 lossis 400 mg ntawm cov tshuaj nquag, nyob ntawm seb siv npaum li cas).

Amoxiclav muaj cov tshuaj tiv thaiv (amoxicillin) thiab ib qho beta-lactamase inhibitor (clavulanic acid).

Cov tshuaj tiv thaiv kev noj cov Amoxiclav yog cov kab mob xws li:

ua kom lub ntsej muag tsis haum rau cov tshuaj ntawm penicillin thiab cephalosporin pawg, nrog rau monobactam thiab carbapenem,
kev tsis haum tshuaj thiab cov teeb meem ntawm lub cev ntawm lub cev ntxiv ntawm Amoxiclav (phenylketonuria),
mob monocytic tonsillitis,
lymphocytic leukemia
kev ua haujlwm tsis haum rau daim siab vim muaj kev kho mob amoxicillin (keeb kwm),
thaum muab tshuaj rau cov tshuaj dispersive Amoxiclav: yuag tsawg dua 40 kg, menyuam lub hnub nyoog (txog 12 xyoos), lub raum mob tsis zoo (Cl creatinine) Sau ntawv cia

Cov cwj pwm ntawm Klacid

cov kab mob gram-positive thiab gram-negative aerobic (streptococci, pneumococci, moraxella, hemophilus bacillus, listeria, thiab lwm yam),
anaerobic pathogens (clostridia, thiab lwm yam),
Cov neeg ua rau mob STDs (chlamydia, mycoplasma, ureaplasma),
toxoplasma
Borrelia
Helicobacter pylori (H. pylori),
mycobacteria (tsis qhia kev ua haujlwm zoo tsuas yog thaum kis mob tuberculosis microbacteria).

Qhov dav dav ntawm kev txiav txim ntawm clarithromycin tso cai rau koj los sau tshuaj Klacid nrog cov cim hauv qab no:

cov kab mob tua kab mob ntawm cov ntu ntawm sab saud thiab qis ntawm cov kab mob ua pa (sinusitis, tonsillitis, pharyngitis, otitis media, tracheobronchitis, atypical mob ntsws, thiab lwm yam),
folliculitis, erysipelas, lwm yam kab mob sib kis ntawm cov tawv nqaij thiab cov nqaij mos subcutaneous,
cov kab mob hauv zos thiab cov kab mob hauv lub cev los ntawm mycobacteria (tsis suav nrog Koch lub bacillus),
kev tiv thaiv ntawm tus mob mycobacterial tiv thaiv los ntawm M. avium hauv cov neeg mob HIV zoo nrog cov ntsiab lus tsawg ntawm T-pabcuam,
mob rwj thiab duodenal mob rwj (txhawm rau txo qis ntawm H. pylori hauv chav sib xyaw ua ke),
STIs tshwm sim los ntawm pathogens rhiab rau clarithromycin,
kev tiv thaiv ntawm cov kab mob ua mob tom qab cov txheej txheem kho hniav (suav nrog sepsis thiab endocarditis).

Ua raws li kev kuaj mob thiab lub hnub nyoog ntawm tus neeg mob, tus kws kho mob tuaj yeem sau ib qho ntawm cov qauv hauv qab no ntawm kev tso tawm ntawm Klacid:

ntsiav tshuaj (ntau npaum ntawm cov tshuaj nquag - 250 thiab 500 mg),
kev ncua (tus nqi ntawm cov tshuaj tua kab mob hauv 5 ml ntawm cov khoom tiav yog 125 lossis 250 mg),
hmoov rau qhov kev npaj ntawm ib qho kev daws teeb meem (koob tshuaj clarithromycin - 500 mg hauv 1 lub raj mis).

Cov tshuaj tiv thaiv ntawm Klacid yog macrolide tshuaj tua kab mob clarithromycin.

Klacid tsis raug xaj nyob rau hauv kev txhaj tshuaj: kev tswj hwm ntawm macrolide yog nqa tawm nrog dej rau ib teev lossis ntev dua ntawm ib lub sijhawm.

Cov kev tsis haum rau kev siv clarithromycin yog:

muaj tshuaj tiv thaiv kab mob rau cov tshuaj macrolide thiab ketolide, cov tshuaj tiv thaiv kab mob hauv cov tshuaj,
lub plawv tsis ua hauj lwm, mob plawv, mob plawv ventricular arrhythmia thiab tachycardia, lub xub ntiag ntawm proarrhythmogenic yam thiab muaj kev pheej hmoo ntawm lengthening QT luv (piv txwv li, tsis muaj peev xwm ntawm cov poov tshuaj thiab magnesium),
kev sib xyaw ua ke ntawm lub raum uas tsis zoo thiab mob hauv lub cev,
cholestatic jaundice, kev npau taws los ntawm kev siv tshuaj tua kab mob (keeb kwm),
kev pub mis
cev xeeb tub (hauv 2-3 hlis, nws siv tau raws li cov cim qhia nruj me ntsis),
tsawg dua 6 lub hlis
Kab mob porphyrin
kev kho nrog tshuaj uas tsis sib xws nrog clarithromycin (Ergotamine, Colchicine, Ticagrelor, Midazolam, Ranolazine, Cisapride, Astemizole, Terfenadine, statins, thiab lwm yam).

Thaum muab tshuaj rau Klacid ncua kev kawm ntawv hauv cov neeg mob ntshav qab zib mellitus, tus nqi sucrose hauv kev pom zoo ntawm cov tshuaj yuav tsum raug txiav txim siab.

Dab tsi yog qhov txawv

Qhov sib txawv ntawm Klacid thiab Amoxiclav yog qhov tseem ceeb dua. Qhov sib txawv ntawm cov tshuaj yog pom hauv cov ntsiab lus xws li:

FDA Kev Nyab Xeeb Pawg. Amoxicillin yog qhov zoo dua rau kev siv los ntawm cov poj niam cev xeeb tub.
Kev siv tau thaum lactation. Amoxiclav raug tso cai siv rau kev pub niam mis, thiab Klacid tsis pom zoo.
Qhov tsawg kawg nkaus hnub nyoog nyob rau hauv uas siv yeeb tshuaj. Cov neeg sawv cev Amoxicillin tuaj yeem raug kho rau menyuam yaus txij thawj hnub ntawm lub neej. Klacid raug samfwm rau cov menyuam yaus hnub nyoog qis dua rau lub hlis.
Qhov niaj hnub kho tus kab mob ntawm cov tshuaj tua kab mob. Thaum kho nrog Amoxiclav, nws yog 750-1750 mg, thiab Klacid - 500-1000 mg.
Kev phiv tshuaj tiv thaiv thiab contraindications. Clacid yog ib qho tshwm sim los ntawm cov kev mob tshwm sim ntau dua los ntawm lub hauv nruab nrab cov hlab hlwb (hnov lus thiab hnov tsw txawv, pw tsis tsaug zog, mob taub hau).

Kev Ntsuam Xyuas Rau Neeg Mob

Maria, 31 xyoo, Astrakhan

Tus menyuam feem ntau muaj teeb meem lub caj pas (tonsillitis, pharyngitis). Yav dhau los, tus kws kho mob tau sau tshuaj Amoxicillin thiab nws cov duab sib piv, tab sis lub sijhawm no cov tshuaj tua kab mob tsis pab, tsis hais txog qhov ntsuas kub. Tom qab 3 hnub ntawm kev mob, cov tshuaj hloov mus rau Klacid. Twb tau nyob rau hnub thib ob ntawm kev nkag, qhov kub tau poob qis, thiab tus menyuam pib rov zoo li qub.

Kuv txaus siab rau qhov tshwm sim, tab sis cov tshuaj muaj ib qho muaj zog tshwm sim - xeev siab.

Olga, 28 xyoos, Krasnodar

Amoxiclav yog ib tus neeg sawv cev dav dav uas ua haujlwm zoo nrog nws txoj haujlwm. Cov tshuaj tau txhawm rau kho mob ntawm nws tus tub thaum nws tsuas yog ib xyoos. Tus me nyuam zoo siab haus cov tshuaj nyob rau hauv daim ntawv ntawm kev ncua, thiab tom qab 1-2 hnub cov txiaj ntsig tau twb pom.

Cov tshuaj tseem yog tsim nyog rau cov neeg laus, yog li nws tsim nyog khaws cia tshuaj thiab hmoov rau hauv cov tshuaj hauv tsev.