Amoxicillin a i ʻole Azithromycin: ʻoi aku ka maikaʻi?

ʻO Azithromycin a me Amoxicillin ma muli o ka hoʻohana mau ʻana i nā maʻi like ʻole i loko o nā manaʻo o nā poʻe he nui i hoʻoilo i hoʻokahi like lāʻau. Eia nō naʻe, ua loli nui ia a loaʻa iā lākou kahi pono palapala noi.

ʻO ka hui o Azithromycin a me Amoxicillin e loaʻa i nā mea hana like. Ma lalo o kēia mau inoa, nui nā huahana lāʻau lapaʻau e hana i kā lākou huahana.

Nā hana hana i ka hana

• Hana ka Azithromycin i ka hoʻokumu ʻana o ka protein i loko o kahi maʻi bacterial, ʻokiʻoki. I ka hopena, nalowale ka microorganism i ka hiki ke ulu a hoʻonui i muli o ka nele o nā mea hale.
• Hoʻopiliʻo Amoxicillin i ka hoʻokumu ʻana o ka peptidoglycan, kahi mea nui i ka hana o ka membrane baki, ma muli o ka make ʻana o nā microorganism.

ʻO ka pale ʻana i ka azithromycin i nā maʻi i ka māhuahua iki aku a maʻalahi i kēia manawa i ka hoʻohālikelike ʻia me amoxicillin. ʻO ka ʻalaʻawa o nā microbes pathogenic i Azithromycin a me Amoxicillin ʻo ia ke kumu o ka ʻano o kēia mau antibiotika.

Ua kuhikuhi ʻia ʻo Azithromycin no:

• ʻO nā hopuna lēʻino o ka pharynx a me nā tonsils,
• ʻO ka mumūʻana o ke kau,
• Polika
• ʻOitisitisitis (nāwī o ke ana tympanic),
• Sinusitis (aloha o ka sinuses)
• ʻO ka ʻōpū Urethral
• ʻO ka hū me ka hiki ke hōʻeha i ka waima cervical
• ʻO nā maʻi o ke kino
• ʻOi ulia Gastric, ules duodenal e pili pū ana me ka maʻi Helicobacter pylori - i hui pū me nā lāʻau ʻē aʻe.

Nā hōʻailona no ka hoʻohana ʻana o Amoxicillin:

• Hoʻopilikia i ka hana o ka mea hanu (ka ihu o ka ihu, pharynx, larynx, trachea, bronchi, māmā),
• ʻItislelo Oitis
• ʻO nā maʻi lēpaʻi o ka piliona genitourinary,
• ʻO nā maʻi o ke kino
• ʻOi ulia Gastric, ules duodenal e pili pū ana me ka maʻi Helicobacter pylori - i hui pū me nā lāʻau ʻē aʻe.

Nā Hoʻohui

Ua papa ʻia ʻo Azithromycin no ka hoʻohana ʻana me:

• Ke kuʻi ʻole i ka lāʻau a i ʻole ka macrolide antibiotics (erythromycin, clarithromycin, etc.),
• Hola hana huakaʻi,
• Hoʻoikaika kōpaʻa hana,
• Ka lactation wā - e kū ana i ka lawe ʻana i ka lāʻau,
• ʻAe a hiki i 12 mau makahiki - no nā capsules a me nā papa,
• ʻAno a hiki i 6 mau makahiki - no ka hoʻopiʻi.

Nā Contraindications o ka hoʻohana ʻana o Amoxicillin:

• ʻO ka maʻi o ka penicillins (ampicillin, benzylpenicillin, etc.), cephalosporins (cevtriaxone, cefepime, cefuroxime, etc.),
• Pākuʻi mononucleosis maʻi.

Nā hopena hopena

Hiki i ke Azithromycin ke:

• ʻEha hopohopo, luhi
• ʻEha ʻeha
• Hoʻomāiā
• Kuu limulu
• Allergy i ka lā.

Nā hopena ʻae like ʻole o Amoxicillin:

• ʻO nā maʻi he digestive
• Kahikina (palpitations)
• Hoʻoikaika kōpaʻa hana,
• Ke koho ʻana i ka hana huna.

E hoʻokuʻu i nā palapala a me ke kumukūʻai

Kūlike ke kumukūʻai o ka azithromycin ma ka mea hana:

• Nā Palaki
  • 125 mg, 6 pcs. - 195 p,
  • 250 mg, 6 pcs. - 280 r
  • 500 mg, 3 pcs. - 80 - 300 r,
• Nā ʻ 250lelo 250 mg, 6 pcs. - 40 - 180 r,
• ʻO ka Powder no ka hoʻomākaukauʻana o kahi hoʻomaha o 100 mg / 5 ml, 16,5 g, 1 pahu - 200 r.

ʻO ka lāʻau i kapa ʻia "Amoxicillin" e hana ʻia e nā ʻoihana like ʻole (no ka ʻoluʻolu, ke hāʻawi ʻia nei nā kumukūʻai o nā papa a me nā capsules ma nā ʻōlelo o 20 mau poloka.):

• ʻO ka hoʻokuʻu ʻana i ka hoʻoponopono waha waha he 250 mg / 5 ml, kahi haki o 100 ml - 90 r,
• Hoʻopaʻa no ka hōʻemi 15%, 100 ml, 1 pc. - 420 r
• Nā ʻōkuhi / papa (a helu ʻia i 20 pcs.):
  • 250 mg - 75 r,
  • 500 mg - 65 - 200 r,
  • 1000 mg - 275 p.

ʻO Azithromycin a i ʻolexicillin - ʻoi aku ka maikaʻi?

ʻO ke kumu o ka mālamaʻana me Azithromycin ma kahi o 3 a 6 lā paha, ʻo Amoxicillin - a hiki i ka 10 - 14 lā. Eia nō naʻe, e pili wale i kēia mau kuhikuhi, hiki ʻole ke hoʻomaopopo pono i ka mea hea o ka lāʻau i ka ikaika. No bronchitis, tracheitis a me nā maʻi ʻē aʻe o ka pūnao ka ʻana o ka papa, makemake ʻia ka mālama ʻana e hoʻomaka me Amoxicillin. Eia naʻe, kahi mamao loa i nā maʻi āpau, loaʻa kēia hopena antibiotic i ka hopena makemake. No laila, inā i lawe ʻia ʻo Amoxicillin ma mua o ka makahiki i hala, a laila makemake ʻia ʻo Azithromycin - ma kēia ʻano, hiki ke pale ʻia ka ʻano o ka pale ʻana i ka maʻi bacteria.

Azithromycin a me Amoxicillin - Hoʻohālikelike

He mea maʻamau pinepine e hoʻohana ai i ʻelua mau lāʻau i ka manawa like no nā ʻUru otitis, sinusitis, a me nā mea maʻi ʻē aʻe e pili ʻole i ka lilo i ka maʻi, pneumonia. ʻO ka lawe ʻana iā Azithromycin me Amoxicillin e hiki ai iā ʻoe ke hoʻokō i ka wikiwiki wikiwiki a me ka hoʻopau ʻana o ka mea kumu o ka maʻi. He mea kūpono ia e hui pū ka hui pū ʻana o nā lāʻauʻawaʻawa i nā hopena kūlohelohe a me ke kīpē.

Pehea ʻo Amoxicillin

Ke hōʻike aku nei i ka ʻōlelo i ka hoʻohana ʻana o amoxicillin i nā maʻi bacterial. Hoʻohana ka nui o ka hana: mai ka maʻi maʻi o ka ʻōpū hanu o luna a hiki i ka nui genitourinary. Akā hoʻohana pinepine ʻia ka lāʻau no nā maʻi o nā kino ENT. ʻO Amoxicillin kahi antibiotic semi-synthetic o ka papa penicillin. Ua hana mua ʻia ka 47 makahiki i hala e ka hui lāʻau lapaʻau Pelekane ʻo Beecham.
Ke kulekele o ka hana: luku ʻia o nā cell bacteria. Ma muli o ka wikiwiki o ka hoʻoulu ʻia o ka lāʻau i nā hōʻiliʻili o ke kino. ʻAʻole i ikaika e kūʻē i nā microbes e kāohi ana i ka penicillin. ʻO ia ke kumu ma mua o ka lawe ʻana, pono ʻoe e ʻike ʻike i nā mea kaumaha i hōʻeha ʻia. Inā ʻaʻole, loaʻa ka pilikia o ke kūkulu ʻana i ka superinfection.

ʻO nā waiwai o ka azithromycin

Ua puka mai kēia lāʻau lapaʻau i ka makahiki 1980 ma ka hui Krooli PLIVA.

Hoʻomoana i nā hana: hoʻoemi i ka ulu o nā huakini a me kā lākou pā.

Ua manaʻo ʻia ʻo ia kekahi o nā lāʻau aʻaila keu loa. Hoʻopili maikaʻi ia me nā pēpē-gram-maikaʻi a me ka gram-positive pathogens o ka hanu a me ka maʻi gastrointestinal. Hoʻohana ʻia e pale i ka mycoplasmas, chlamydia, streptococci.

Hoʻohui i nā huaora C a me nā lāʻau lapaʻau ʻē aʻe.

ʻO ka hoʻohālikelike o Amoxicillin a me Azithromycin: Nā mea like a me nāʻokoʻa

ʻO ka ʻimi ʻana i nā hiʻohiʻona o nā lāʻau lapaʻau, nā hiʻohiʻona like e hōʻike ʻia:

1. ʻelua mau lālani hapai āpau i ka antibiotika semisynthetics
2. ka hoʻokō ʻana i ka hopena bactericidal ma muli o ka nui o ka makemake o ka ʻike
3. contraindicated: pūpū hema, e hoʻolohi i ka metabolism

He mea nui ka ʻokoʻa ma waena o kēia mau lāʻau.

• Ka wahi i hoʻopaʻaʻia: Azithromycin - i loko o ke koko, Amoxicillin - i nā plasma.
• E wikiwiki: kūkulu wikiwiki ʻo Amoxicillin
• Nā hopena ʻaoʻao: ʻAe i liʻiliʻi ʻo Azithromycin
• Kuhi o ka hoʻohana: Amoxicillin palena
• Kumukūʻai: Azithromycin ʻoi ʻekolu mau manawa
• ʻO ka hoʻokuʻu i hoʻokaʻawale: Hoʻopili ʻia ka Azithromycin i nā pōpō o ʻekolu papa, pōkole, nā puʻupuʻu a me nā mea hoʻolā minamina. Nā kuʻuna kūpono: 500 mg, 250 mg, 125 mg. Hoʻokuʻu ʻia ka Amoxicillin i loko o nā papa a i ʻole nā ​​ʻoki a me ka 250 a me 500 mg. Hoʻohana ʻia nā Granule no ka hoʻomākaukau ʻana o nā pēpē no nā keiki.

T.O. ʻOi aku ka maʻalahi o Amoxicillin: ua ʻae ʻia i ka mālama ʻana i nā keiki ʻōpiopio. Azithromycin - i kahi paʻa paʻa o nā maʻi.

Amoxicillin a me azithromycin - he mea hoʻokahi a ʻae paha nā lāʻau lapaʻau?

ʻO Amoxicillin a me azithromycin nā meaʻokoʻa o nā antibacterial ʻokoʻa. Eia nō naʻe, ua maʻamau pinepine ʻia no nā ʻano maʻi maʻi like ʻole, hiki ke hoʻokauwā i nā maʻi. Noho kēia mau lāʻau i kahi mahele nui o ka mākeke o ka lāʻau lapaʻau o nā māla antibakopa.

ʻO Amoxicillin kekahi mea hōʻailona o nā penicillins synthetic. ʻO lākou, ma ka huli ʻana, e pili ana i ka antibiotics beta-latcine (eia pū kekahi cephalosporins, carbapenems a me monobactams).

Ma ka hana pilikino, ua hoʻohana nui ʻia kēia lāʻau lapaʻau mai ka makahiki 1970. Aia nā mea i nā loio bakterial, ʻo ka hana o ka hana o ka antibiotic ua hoʻokumu ʻia i kona hiki ke hoʻohui i loko o nā mehameha a me nā mea hoʻowalewale o ka microbial cell. Ma muli o kēia, kahi make wikiwiki o ka flora pathogenic pili.

ʻO Azithromycin ka mea i aʻo ʻia i nā azalides, kekahi o nā subgroup o nā macrolide antibacterial agents. Ma kahi o nā hiʻohiʻona papa hana, ʻokoʻa ia i ka ala o ka hana bacteriostatic - komo nā kīpana o ka lāʻau i ka cell microbial, kahi lākou e ālai ai i ka hana o nā ribosa.

ʻO kēia hana e hiki ai i ka hiki ke hoʻonui hou i ka flora pathogen a hoʻonāukiuki i kona make ʻana mai nā pale palekana o ke kino o ka mea maʻi.

ʻAʻole au i ʻike i ka antibiotic e koho no ka bronchitis - Azithromycin a me Amoxicillin. He aha kāu mea e aʻo ai?

ʻO nā azithromycin a me nā amoxicillin he mau mea hoʻoikaika a me ka hopena o ka systemic. Hoʻomaopopo kēia i ke komo i ke kahe o ka mea maʻi a hiki ke hoʻopilikia i ka hana o nā ʻōnaehana ʻokoʻa. I ka manawa like, ʻo ko lākou noi pū ʻana me nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻonui i ka hopena antibacterial.

ʻO kahi mea nui e pono ai e noʻonoʻo i ka loaʻa o nā kumu kūpono no ka hoʻohana ʻana i kekahi o kēia mau lāʻau lapaʻau. I kēia mau lā, ʻaʻole kēia wale nō o nā mea maʻi, akā ke kaukaʻi nei nā kauka i nā lāʻau lapaʻau no nā maʻi viral o ka hāhā ʻana o ke alapine o ke ala, a he maʻi maoli nō lākou.

Pono e ʻokaʻawale ʻia nā hoʻohana ʻana i nā mea maʻi antibacterial, no ka mea hiki ʻole i ka mea maʻi a me kona mau hoahānau ke hoʻopaʻa pinepine ʻia e ʻike i nā hōʻailona o ka maʻi.

No laila, ʻo ka hoʻohana nui ʻana o Azithromycin a i Amoxicillin i loko o lākou ʻaʻole e hāʻawi i ka hopena kūpono i manaʻo ʻia, akā he kumu kūpono ka hopena.

ʻO ke ala e ʻoi loa e hoʻoholo ai i ka pono no ke koho ʻana i kekahi antibiotik ʻo ia ka mālama ʻana i kahi maʻi bacteriological, kahi e kōkua pono ai e hoʻoholo i ke ʻano o ka pathogen, a me ka hoʻoholo pū ʻana i kona ʻano kūlike i nā ʻano lāʻau antibacterial. Akā no ka mea e pono ai kēia ʻano hana i kekahi manawa, ʻo ka hoʻomaka mua ʻana o ka ʻoihana me ke ʻano o ka helu ʻana o ke koko, nā maʻi ʻomaʻi a me ke ʻano maʻamau o ka mea maʻi.

No laila, e koho i kahi antibiotik e pono i kuhikuhi no ka bronchitis, ʻoi aku ka maikaʻi o ke nīnau aku i ke kauka lapaʻau.

Ke hopohopo nei wau no ka hiki ke kūkulu ʻana i nā hopena hopena i ka wā e lawe ai i ka antibiotics. Pehea ka palekana o ka azithromycin a me amoxicillin?

E hoʻomaopopo ka mea maʻi ʻaʻole nā ​​lāʻau lapaʻau no ka hoʻoponopono o loko a i ʻole ka hopena o ka hopena o ka hopena. Inā i kēlā me kēia hoʻolaha hoʻolaha ʻia i ʻōlelo ʻia ʻo ka maluhia N. ka mea palekana loa i ka hoʻohālikelike ʻana i nā lāʻau hoʻomakano, a laila hiki ke maopopo iā ʻoe - ʻo ka quackery kēia.

Hoʻohana ʻia ka nui o ka lāʻau lapaʻau, ʻoi aku ka lōʻihi o ka ʻike o kona hoʻohana ʻana i ka hana lapaʻau, ʻoi aku ka ʻike hou aʻe e pili ana i nā hihia o nā hana he pono ʻole. A maopopo maopopo iā lākou a pau nā ʻōlelo o ka lāʻau.

ʻO nā Azithromycin lāua ʻo Amoxicillin he mau palekana palekana i ka wā e lawe ʻia ai ka hopena, ʻaʻole ʻano anu nā hopena. Eia kekahi, hoʻomaʻamaʻa lākou i nā hopena ʻona i nā ʻōnaehana ʻokoʻa. Eia nō naʻe, ʻo ka ʻokoʻa a me nā ʻano o nā hopena ʻino i loko o lākou ke ʻano ʻē.

No laila ke lawe ʻia iā Azithromycin, e ʻike pinepine ʻia nā maʻi like ʻole.

• ka hoʻomohala ʻana o ka maʻi maʻi kūmole o kahi maʻi bacterial, viral a i ʻole fungal etiology,
• nā hōʻailona o ka haunaele i ka hana mau o ka hoʻokaʻina ʻana o ke aʻalolo (sensation of bloating, kaumaha, hōʻeha, hōʻeha ʻeha, ka hoʻolilo ʻana i ka momona, ka ʻōpū, ke keokeo),
• ka hoʻonui iki ʻana i ka hoʻāʻo ʻana o nā kāpili moliki moliki i loko o ke koko,
• pākaukau
• nā hopena o ka hopena me ka hoʻonāukiuki ma loko o nā kikowaena kūwili (mau hōʻailona o ka maʻi, ka ʻeha, ke ʻano o ka parasthesia, tinnitus, nui ka huhū, nā hana hiamoe.

Inā mākou e kamaʻilio e pili ana iā Amoxicillin, a laila ua pilikia nui loa me kona hoʻohana ʻana nā maʻi kūlohelohe. ʻImi pinepine, ʻo ia ka poʻe i lilo i kumu no ka hoʻopau ʻana o kēia lāʻau lapaʻau.

ʻO ka haukapila, hōʻike ʻia kēia e ka ʻōpala ma ka ʻili (ʻulaʻula me ka hōʻeha koʻikoʻi), kahi hoʻohālikelike anaphylactic, ʻāwīwī ʻana. ʻO nā hihia o ka hōʻemi ʻana i ka nui o nā kōpela o ke koko, ke hoʻohui ʻana i nā maʻi maʻi lua a me ka ulu ʻana o nā nephritis interstitial.

Hiki ke hoʻohana ʻia ka azithromycin a me nā amoxicillin no nā maʻi like?

Ma kahi ʻāpana. ʻO Azithromycin kahi lāʻau lapaʻau kūikawā hou loa. Ke komo nei ʻo ia i ka ʻōnaehana ʻōnaehana, hoʻoili koke ʻia ʻo ia i loko o ka hōʻulu ʻana o ka ʻohi ʻana ma ka ʻeha o ka ʻōpū. Pēlā nō hoʻi e komo pū kekahi ʻāpana i nā ʻāpana pale pale o ke kino. Ke waiho nei lākou ma nā papa keu loa no kahi lōʻihi lōʻihi. ʻO ka ʻāpana o ka lāʻau lapaʻau ka hōʻiliʻili ʻana i nā kiko palupalu o ke kino.

No Amoxicillin, ʻokoʻa ke kūlana. Hoʻopuka maikaʻi ʻia kēia lāʻau lapaʻa a laha pū ʻia i ke kino kanaka. Pēlā nō, ʻaʻole ia e pale i nā kaʻina metabolic i loko o ke kao a hoʻomaʻemaʻe ʻia i ke ʻano loli ʻole ma o ka genitourinary tract. ʻIke pū ia i loko o ka paepae placental a me ka meningeal. No laila, he nui nā hoʻohana o kēia lāʻau lapaʻau i ka hana o ke kauka.

Nui nā ala i hiki iā ʻoe ke kākau ai iā Azithromycin a i ʻole Amoxicillin:

• nā pneumonia kai loaʻa i ke kaiāulu me ka ʻole o ka comorbidity uncompensated,
• bacterial bronchitis,
• nā maʻi tritisitis
• pharyngitis
• laryngitis
• maha a i ʻole tonsilitis,
• otitis media.

Eia kekahi, ua hoʻohanaʻo Amoxicillin e mālama i nā maʻi o ka ʻōnaehana genitourinary (cystitis, prostatitis, urethritis, pyelonephritis), ke kino musculoskeletal (osteomyelitis), ke ʻano mua o ka maʻi Lyme, kahi maʻi Helicobacter pylori (ma ke ʻano o ka hui hoʻohui ʻana). Hāʻawi ʻia ia no ka mālama ʻana i nā hoʻopiʻi, ma ka hoʻolālā a me ke ʻano hana o ka hoʻomālamalama a me nā hana ʻoi.

Hiki ke kuhikuhi ʻia kekahi o kēia mau lāʻau i ke kolu o ka lā 3 o ka hāpai?

Ke koho ʻana i kahi lāʻau lapaʻau antibacterial, kahi ʻāpana koʻikoʻi o ka nele o nā hopena o nā maʻi o ka lōkō e pale ai i nā maʻi hiki ʻole.

Inā mākou e kamaʻilio e pili ana iā Azithromycin a me Amoxicillin, a laila heʻike ka lōʻihi o ko lākou hoʻohana ʻana i nā hana lapaʻau i hōʻike ʻole ʻaʻohe data i ka hopena teratogenic hiki i kēia mau mea.

Ma waena o nā hui'ē aʻe o ka lāʻau, penicillins a me nā macrolides i manaʻo ʻia kekahi o ka palekana loa no ka hoʻohana ʻana i kēia mahele o nā maʻi. Hōʻoiaʻiʻo nō kā lākou ʻae me ka lactation.

Ua mālama ʻia kekahi helu o nā holoholona holoholona me ka hoʻohana ʻana i kēia mau lāʻau lapaʻau, ka mea i hōʻike ʻole ʻole ʻia mai ke ʻano maʻamau o ka hāpai ʻana.

Mākaukau i kēia mau ʻikepili, ʻo ka hui ʻāina ʻo ʻAmelika no ka kaohi o ka maikaʻi o nā huahana lapaʻau FDA i kuhikuhi i ka ʻAmoxicillin a me Azithromycin kākohu B, e hōʻike ana i ka palekana o kēia mau lāʻau no ka fetus. Hiki iā lākou ke koho ma ke alo o ka ʻike pono.

Aia paha kekahi kumukūʻai ma waena o kēia mau lāʻau?

Inā nānā ʻoe i ka lāʻau lapaʻau, maʻalahi ia ke ʻike iā Amoxicillin, me ka manaʻo o ka mea hana, aia i kahi mea kūʻai haʻahaʻa ma mua o Azithromycin. ʻO kēia ma muli o ka lōʻihi o ka hana o kēia mau lāʻau a me ke kumukūʻai o kēia kaʻina.

Hoʻokuʻu ʻia ʻo Amoxicillin i 10 mau makahiki i loko o ka honua, a i kēia manawa manawa ʻoi aku ka nui o nā mea hana hou e hana i kēia antibiotic ma lalo o nā inoa kālepa like ʻole.

Hoʻololi ʻia nā kumukūʻai kiʻekiʻe no azithromycin e nā hiʻohiʻona hou, e like me ka macrolides e makemake nui ʻia ma mua o nā penicillins synthetic.

Nā hōʻailona a me nā contraindications no ke hoʻohana

Hoʻohana ʻia ka lāʻau lapaʻau no nā maʻi aʻe:

• nā maʻi o nā ʻUlani ENT a me ka hanu (ka ʻaihue ʻana o nā membes waha o ka pharynx a / a i ʻole nā ​​palatine tonsils i kumu ʻia e ka streptococci, nā hōʻeha o ka pepeiao waena, nā mea hōʻeha o ka bronchi a me nā ʻōpū, mālama i nā larynx a me nā paranasal sinuses).
• nāʻiʻi o ka ʻili a me nā pāwī palupalu,
• kaukaʻi ʻia
• hana ʻino i ka ʻōnaehana genitourinary i hoʻokumu ʻia e chlamydia (hoʻonāukiuki i ka umauma a me ka urethra),
• ka hoʻokaʻawale ʻana o H. pylori (ma ke ʻano o ka hoʻomaʻamaʻa paʻakikī).

Noi ʻia nā infusions no nā maʻi ʻehaʻehā ma muli o ke kīnā ʻole-pale (hōʻeha i ka ʻōpū, nā puhaka, ka pa, ka pneumonia kaiāulu.

Hoʻopilikia ka lāʻau lapaʻau ma ka hihia o ka hypersensitivity, i ka hihia o ka renal impaired a / a i ʻole hana i ka ate. E hoʻohana me ka akahele:

• i ka wā hāpai a me ka ʻōpū
• pēpē
• kamaliʻi na keiki malalo o 16 mau makahiki a me na keiki me ka mahele kino ikaika a ā ole paha;
• me ka arrhythmia (loaʻa paha nā pilikia i ka lace o ka ventricles a me ka hoʻolōʻihi i ka waena o ka QT).

Kūkulu ʻia ka antibiotic i nā waha a i ʻole ka intravenously. Hoʻokumu ʻia ka dosage e pili ana i nā hōʻailona, ​​ka nui o ka maʻi, ka naʻau o ke kumu o ka pathogen. E lawe i loko o 1 r / lā 0.25-1 g (no nā pākeke) a no nā keiki 5-10 mg / kg (nā keiki ma lalo o 16 mau makahiki) 1 hola ma mua a i ʻole 2 mau hola ma hope o ka ʻai.

Ka hoʻohanaʻana i ka drip a me ka lōʻihi o ka 1 hola. Hoʻokomo ʻia ka inkjet a i ʻole intramuscular injection.

Hoʻopili pū me nā mea'ē aʻe

ʻAi ʻia ka ʻai, nā ʻōpū a me nā anakuma e hoʻoheheʻe ai i ke kīnā.

Hoʻopili ʻo Tetracycline a me chloramphenicol i kahi pilina synergistic me Azithromycin, e hoʻonui ana i kona pono, lincomycins - ua hōʻemi ʻia lākou, ʻo ia nā mea antagonist.

ʻOiai e lawe nei i nā dosis therapeutic o azithromycin, ua ʻike ʻia nā lāʻau lapaʻau ʻo Midazolam, Carbamazepine, Sildenafil, Didanosine, Triazolam, Zidovudine, Efavirenza, Fluconazole a me kekahi mau lāʻau'ē aʻe. ʻO nā mea hope ʻelua he hopena pū kekahi ma ka pharmacokinetics o ka antibiotic ponoʻī.

Me ka hoʻohana pū ʻana me Nelfinavir, ka nānā ʻana i ke kūlana o ka mea maʻi e pono ai no ka maʻi maʻi o ke kino a me ka lohe ʻana paha, ʻoiai ʻo C nui e hoʻonui_max a me Auc antibiotic, kahi e hoʻonui ai i nā hopena ʻaoʻao. He mea kūpono hoʻi ia e kiaʻi i ka olakino a me ka maikaʻi o ka mea e lawe ʻia ana me Digoxin, Cyclosporin a me Phenytoin, no ka mea i hiki ke hoʻonui ʻia kā lākou ʻike ʻana i ke koko.

Me ka hoʻohana pū ʻana o kahi lāʻau lapaʻau me ka alkaloids p. Hiki i nā Claviceps nā hopena pona, e like me ke vasospasm a me ka dysesthesia. Inā pono e hoʻohana pū iā ia me Warfarin, pono mālama pono ʻia ka manawa prothrombin no ka mea hiki ke hoʻonui i ka manawa prothrombin a me ka pinepine o ka hemorrhage. Eia kekahi, ʻo kēia lāʻau lapaʻau hikiʻole i kahi kūpono me ka heparin.

Hoʻohālikelike Antibiotic

Ua maopopo loa ia like nā hopena like o kēia mau antibiotika. Eia naʻe, pono ʻoe e ʻike i ka mea i ʻoi loa ka maikaʻi. I ka pane i ka nīnau, ʻoi aku ka maikaʻi - Azithromycin a i Amoxicillin, a inā he ʻano kumu i waena o lākou, pono ʻoe e hoʻohālikelike iā lākou i nā kumu:

1. ʻO nā lāʻau ʻelua nā semi-synthetic ākea ākea ākea.
2. Hōʻike nā ʻelua i kahi hopena bacteriostatic i loko o nā liʻiliʻi liʻiliʻi a me nā mea maʻamau, a me ka hopena bactericidal i loko o nā kikowaena nui.
3. ʻOi aku ka nui o nā hana a Azithromycin ma mua o Amoxicillin, kahi e hāʻawi ai i ka pono ma ka mālamaʻana i nā maʻi hopuna me kahi pathogen ʻike ʻole.
4. Hoʻohana ʻia nā ʻelua antibiotika no nā maʻi like, akā ʻo Amoxicillin me ka nui o ka maʻi o nā maʻi ma muli o ka ʻeha a me nā ʻōpū o ka gastrointestinal.
5. ʻOi aku ka palekana o Azithromycin ma mua o amoxicillin, no ka mea e ʻae ʻia me ka akahele no ka hoʻohana ʻana i nā wahine hāpai a me nā keiki ma lalo o 16 makahiki.
6. Ua emi iki ka make ʻana o ka azithromycin i nā keiki, he mea ia e hōʻike ai i kona palekana ua ʻoi aku ka kiʻekiʻe ma mua o Amoxicillin.
7. I ka manawa like, he haʻahaʻa ka hoʻohālikelike o ka Azithromycin: i ka wā e lawe ʻia me nā lāʻau ʻē aʻe (antacids, flucanazole, etc.) a inā lawe ʻia me ka meaʻai, hiki iā ia ke hoʻololi i ke kaʻa o ka maʻi, e pili ana i nā ʻano paʻa a me ka hopena.
8. Hoʻomoe hou ʻia ka Azithromycin (2-3 mau hola) ma mua o Amoxicillin (1-2 mau hola).
9. Amoxicillin hu ole e kū'ē i ka penicillinase synthesizing bacteria.
10. Ua hoʻohālikelike nā maʻi ʻelua i nā pale mai ka histohematological me ka paʻakikī ʻole, kūpaʻa i ka acidic o ka ʻōpū o ka ʻōpū a ua hoʻolōʻihi ʻia i nā kiko āpau.
11. ʻO Azithromycin, like me Amoxicillin, he koho selectivity, e hoʻokuʻu ʻia ana mai nā mea lawe wale i ke alo o nā maʻi, ʻo ia wale nō, ma nā mea āpau i hoʻopilikia ʻia.

ʻO ke kamaʻilio ʻana o Amoxicillin a me Azithromycin he antagonistic ma ke ʻano, e hōʻemi ana i ka hopena o nā lāʻau ʻelua, no laila ʻaʻole ʻoe e lawe pū ʻia. ʻOiai ke kaulike like o nā mea hoʻohālikelike ʻelua i hoʻohālikelike ʻia, hiki i kekahi ke ʻōlelo aʻe ʻoi aku ʻo ʻAzithromycin i ʻoi aku ma mua o Amoxicillin i ia palekana, ʻoi aku ka nui o ka hana a me ka koho nui aku.

Eia nō naʻe, ʻaʻole pono e noʻonoʻo ʻo ia he maikaʻi ʻo Amoxicillin - ʻo kona mau pono hoʻi me ka kiʻekiʻe o ka hoʻoulu ʻana a kūpono hoʻi i nā lāʻau ʻē aʻe.

No laila, ʻo ka nīnau "ʻO wai ka antibiotika i ʻoi aku ka maikaʻi?" Hiki ke pane ʻia ka maikaʻi o Azithromycin ma mua o Amoxicillin, ʻaʻole ia he manaʻo kūpono ʻole ke nānā aku - i kekahi mau kūlana (no ka laʻana, me nā maʻi ʻeha) e hōʻike pono iā ia iho a ua ʻōlelo ʻia e noi.

ʻO ka mea ikaika

Ma mua o ke koho ʻana i kekahi o lākou, e noʻonoʻo i nā ʻōlelo hāpai a ke kauka. Aia nō ka hopena o ka mālama ʻana i kēia. No nā maʻi i ʻike ʻole ʻia, e hoʻohana ʻia ʻo Azithromycin. ʻO ka koho maikaʻi loa no ka maʻi penicillin. A i ʻole i ka lawe ʻana i kahi antibiotic e pili ana ʻaʻole i kūleʻa. Hoʻomaʻamaʻa pinepine ʻia ka Amoxicillin no ka hoʻopili ʻana i nā mea ENT: sinusitis, tonsillitis, bronchitis, pneumonia, otitis media. Ua hoʻōla maikaʻi ʻo ia iā ia iho ma ka lolo pediatric. Noi ʻia ʻo Azithromycin no nā keiki he 12 mau makahiki.

ʻOi ka uku

Ka hoʻololi iki ʻana o ka kumukūʻai kumukūʻai no ʻekolu mau manawa: Azithromycin - 120 rubles. no 6 mau kōneka 250 mg., Amoxicillin 20 papa o 0.5 he kumukūʻai 45 mau rubles.

I loko o nā lāʻauʻai, ua hōʻike ʻia kahi pūʻulu o nā lāʻau lapaʻau mai nā lāʻau lapaʻau. Hoʻokomo ʻia nā mea ʻelua a ua hoʻopaʻa ʻia mai iā Rūsia.

ʻĀpana o Amoxicillin: Abiklav, Amoksikar, V-Moks, Upsamoks.

Nā hiʻohiʻona noi

Hoʻohana ʻia ka hoʻohana ʻana o ka azithromycin i ka wā hāpai, ʻaʻole e like me Amoxicillin. ʻAʻole kuhikuhi ʻia nā ʻelua no ka lactation.

ʻO Tetracyclines a me chloramphenicol, i ka wā i lawe pū ʻia me nā lāʻau lapaʻau, e hoʻomaikaʻi i ka hopena.

I ka hui pū ʻana no ka maʻi Heliobacter, hāʻawi ʻia ka Azithromycin me ka metronidazole.

Hōʻikeʻike i nā kauka a me nā maʻi

Julia, lāʻau lapaʻau kūloko, 39 makahiki

He ikaika ka lāʻau lapaʻau, inā hoʻohana e like me nā ʻōlelo ʻōlelo! Mai hāʻawi iā ʻoe iho.

Alexey, 43 makahiki

Aia kahi maʻi āpau iā Amoxcillin. Kōkua nā mea hoʻohālikelike.

I kēlā me kēia puna, he anu au, loaʻa iaʻu kahi anu, i loko o ka haukapila lākou kākau ai i ka "azithromycin" - ke wikiwiki koke nei.

ʻAʻole hiki ke hoʻohālikelike ʻia nā ʻike e pili ana i ka hāʻawi ʻana i kahi kauka.

Hōʻanoʻike o Azithromycin

ʻO Azithromycin kahi macrolide semi-synthetic o ka azalide subclass. Hana ka lactone lohi i ka molekala e like me ke kūpaʻa e kūleʻa i ka wa e hiki ai. ʻO ka hui "Pliva" hoʻomā i ka Azithromycin i ka makahiki 1981. ʻO ka mea hana ikaika he azithromycin (ma ke ʻano o ka dihydrate). Ke hōʻike ʻia nei ka lāʻau lapaʻau i nā palapala hoʻoiho:

• nā papa i hoʻohui ʻia: 250 a me 500 mg,
• mau kapena: 250 a 500 mg,
• pauku no ka hoʻopiʻi ʻana i ka waha: 100, 200 a me 500 mg / 20 mg.

Antibiotic ākea pālahalaha. Hoʻoulu ia i nā ʻano ʻano like ʻole o ka streptococci, Staphylococcus aureus, Neisseria, hemophilus bacillus, clostridia, mycoplasmas, chlamydia, pale treponema, a me nā mea ʻē aʻe. Ka hoʻoulu kū ʻana i nā maʻi kūpaʻa gram-maikaʻi i kūpaʻa i ka erythromycin.

ʻO ka hōʻailona no ke koho ʻana i ka azithromycin:

• nā maʻi ʻeha hanu luna kiʻekiʻe - pharyngitis, laryngitis, tracheitis,
• ʻO bronchitis a me nā pneumonia, me ka atypical,
• sinusitis, otitis media, sinusitis,
• ʻalaʻulaʻula,
• nā hopena o ke kino,
• mai nā maʻi hoʻi i hai ʻia
• ka hopena paʻakikī o ka uluna peptic o ka gastrointestinal tract.

ʻAʻole hoʻohana ʻia ka lāʻau lapaʻau:

• me ka lahui ponoʻī,
• me ka renal a i ʻole ʻole a pau ʻole i ka hana o ka decompensation,
• i na keiki malalo o 12 mau makahiki a oi aku paha i ka 45 kg,
• ma ka manawa like me nā lāʻau huʻala ergotamine-type.

No nā kumu olakino, ua kuhikuhi ʻia lākou i ka wā o ka hāpai a me ka umauma. Ma lalo o ka mākaʻi o ke kauka, kau kahi maʻi hōʻemi o ka ʻōpū a me ka hana hepatic i kuhikuhi ʻia (me ka hana ʻana me ka creinine 40 ml / min a kiʻekiʻe, ʻaʻole i titrated ke ʻano), kahi ʻano pākaukau o ka maʻi ʻeha coronary.

E kūʻē i ke kiʻi ʻana o ka lawe ʻana iā Azithromycin, kahi hōʻeha, ka ʻehaʻeha o ke kino, ke poʻo, ka ʻōpū, ke ʻano, ka maʻi ʻōpū.

Hiki ke hopena ʻia ka hopena hope loa i ka wā e lawe nei i ka lāʻau lapaʻau.

• laila, ʻehala,
• nāliʻi, ʻeha,
• kauā kala wale, huʻi,
• palpitations, puʻuwai wikiwiki,
• hoʻonui i nā pae o ka creatinine a me nā kino enima i loko o ke kaila koko,

ʻO ka hana Amoxicillin

ʻO Amoxicillin kahi penicillin semi-synthetic e hana i ka aerobes sika - staphylococci, streptococci, Escherichia coli, Helicobacter pylori, etc., a ua hoʻohuihui ʻia i ka makahiki 1972. Hiki ke kūpaʻa a kūleʻa i nā kūlana acidic. Hoʻopili ʻo Amoxicillin i ka hana ʻana o nā protein o nā membrane o nā microorganisms i ka wā hoʻohele a me ka ulu ʻana, ma muli o ka make o nā pathogens. ʻO ka mea hana a amoxicillin.

He nui nā ʻano o ka lāʻau lapaʻau:

• papa: 250 a 500 a me 1000 mg,
• ka pauku no ka hoʻokuʻu ana i ka hoʻokele waha: 125, 250 a me 500 mg (kūpono no ka mālama ʻana i nā keiki),
• mau kapala: 250 mg.

Hoʻohui ʻia ʻo Amoxicillin i ka hoʻohui o nā trihydrate. Loaʻa nā hiʻohiʻona kōkua: magnesium, calcium, kālai.

ʻO Amoxicillin e pili ana i ka penicillins semisynthetic. Hōʻike ʻia ia e kahi hopena antibacterial i haʻi ʻia. He ʻeha ʻeha i ka meningococci, Pseudomonas aeruginosa a me Escherichia coli, Helicobacter pylori, staphylococcus, streptococcus, etc.

Kūkā ka antibiotic i ka gastric acid HCl. Loaʻa ka hopena therapeutic ma ka pale ʻana i ka synthesis o ka protein o nā pā o nā huakini i ka wā o ka hoʻokaʻawale a me ka ulu, me ka make o nā microorganisms.

Nā hōʻailona no ka hoʻohana ʻana:

• nā hopena o ke ala kiʻekiʻe a me ka lalo o ka ʻōpū, pinepine ka maʻi pneumonia, bronchitis,
• rhinitis protracted, sinusitis, sinusitis, tonsillitis,
• lohe i nā maʻi - otitis media,
• nā maʻi o nā pūpū, nā pua ʻōpala,
• hana ʻino i ka ʻili a me nā pulupulu palupalu e nā bacteria.
• meningitis
• ka pale ʻana o nā maʻi bacterial ma hope o ka hana ʻana,
• nā maʻi i hoʻouna ʻia ma ka hoʻopā ʻana aku,
• gastric ulcer (ma ke ʻano o ka hōʻeha paʻakikī).

ʻAʻole i kuhikuhi ʻia ʻo Amoxicillin i ka wā hāpai a me ka hōʻoki ʻana o ka pēpē, maikaʻi ʻole o ka ate ma ka hana o ka decompensation.

• i ka wā hāpai a me ka ʻōpū
• he maʻi kūlohelohe i nā ʻāpana,
• decompensated paleka holo ole,
• leukemia a me ka mononucleosis,
• ʻO ka palaka a bronchial a me ka hū maʻi.

ʻAno maikaʻi ʻia ka Amoxicillin, akā inā ʻaʻole ʻike ʻia ka make, nā hopena hou aʻe e ulu nei:

• kui ke ʻano o ka nausea, ka hala ʻana o ka ʻike ʻono,
• itching, urticaria,
• ka hōʻino ʻana i ke kīnāola keʻokeʻo,
• āhini, kūlohelohe.

He aha ka pilina a me ke kūlike ma waena o Azithromycin a me Amoxicillin?

ʻO nā lāʻau lapaʻau kekahi mau hiʻohiʻona like:

1. He ākea ākea lākou o ka hana, pili i nā lāʻau lapaʻau anti-synthetic. Ma 80% o nā hihia, ikaika lākou e kū'ē i nā pathogens like.
2. Nā ʻano o ka hoʻokuʻu - nā papa, ka pala no ka hoʻokuʻu ʻana, nā kapala.
3. Hoʻohana ʻia ma ka hana pila.
4. Hoʻokomo ʻia ma o nā pale o ka palaloka a me ke koko-lolo. Hoʻohana ʻia i ka mālamaʻana o nā neuroinfections. Hoʻoholo ʻia i ka wā hāpai ʻo ia wale nō nā kumu olakino.
5. Maʻae ʻia, loaʻa i kahi regimen dosis maʻalahi.

ʻAʻole hui nā Azithromycin a me Amoxicillin i loaʻa ka nui o nāʻokoʻa:

1. Nā huiʻokoʻa lapaʻau like ʻole: Azithromycin - mai macrolides, Amoxicillin - penicillins.
2. He hana nui aʻe ka Azithromycin. ʻO ia ka lāʻau ke koho no nā maʻi me kahi pathogen i ʻike ʻole ʻia.
3. Hiki ke kuhikuhi ʻia ʻo Amoxicillin e hui pū me ka hapa nui o nā lāʻau, ke kūʻokoʻa nei kāna kāpili ʻana i ka kō i ka meaʻai. ʻAʻohe kūpono ka Azithromycin i nā helu o nā lāʻau lapaʻau, no ka laʻana, ʻo nā antacids, antimycotics, a me nā mea ʻē aʻe, ʻaʻole hiki ke lawe i ka ʻai, no ka mea ua pau ka haʻahaʻa i ka ʻōpū a me ka ʻōpū.
4. ʻAʻole palekana ka Azithromycin. Ua kuhikuhi ʻia me ka nui o ka mālama ʻana i nā mea maʻi me ka maʻi hula a me ka maʻi hepatic. E noʻonoʻo i ka hopena o ka ʻōnaehana conduction o ka puʻuwai, ka mea nui loa i nā mea maʻi me ka arrhythmia.
5. ʻAʻohe Amoxicillin e hana i ka hana pediatric mai nā lā mua loa o ke ola o kahi keiki ma ke ʻano o ka pohō ʻana o 0.125 g. ʻAzithromycin hiki ke kuhikuhi ʻia i nā keiki mai nā makahiki 12 wale nō.
6. Kālau pinepine nā kumu kumu o ka angina i nā lactamases - nā kinipōpō e hana ʻole ai i ka Amoxicillin. No laila, me tonsillitis, hoʻomaʻamaʻa pinepine nā kauka i nā Azithromycin.
7. ʻO Macrolide ka hana e kū'ē ai i ka chlamydia, ureaplasmas a me mycoplasmas. Kahi ʻia ka papa ʻekolu lā ʻekolu o 1 papa i kēlā me kēia lā. Ua manaʻo ʻia ʻo ia ka lāʻau koho ke koho pono no ka mālama ʻana i nā maʻi maʻi e pili ana.

He aha ka maikaʻi e lawe - azithromycin a amoxicillin paha?

ʻO wai kekahi o nā lāʻau e kuhikuhi - Azithromycin a i Amoxicillin, i hoʻoholo ʻia e ke kauka, i ka nānā ʻana i ka maʻi maʻi, nā hoʻopiʻi hoʻopiʻi, ka hōʻeha o ka maʻi, nā pathologies pili, a me nā mea pili i nā wā ma mua.

Hoʻokomo ka Azithromycin i ka hiki ke hiki i nā io o nā papa o ka hanu. ʻO kēia i mea makemake ai i ka mālama ʻana i ka pneumonia, me ka ʻano puka atypical.

Hāʻawi pololeiʻo Amoxicillin i loko o ke kino. ʻAʻole ia e hana i ka palau ʻana. Hoʻokuʻu ʻia i ka urine. No laila, hoʻohana nui ʻia ka lāʻau lapaʻau no ka hoʻonā ʻana o nā keiki, cystitis, urethritis. ʻOi pinepine aku, ua hoʻokaʻawale ʻia ka lāʻau lapaʻau no ka pale ʻana o nā hoʻopiʻi maʻi postoperative.

Hiki ke hoʻololi iā Azithromycin me Amoxicillin?

Ma ka hana pilikino, loaʻa ke kaila o Amoxicillin me Azithromycin i ka mālama ʻana i nā maʻi o ka ʻōpū a me nā ʻōpū o ka ʻōpū, a me ka hoʻomaʻamaʻa ʻana o kahi otorhinolaryngologist. I nā koho āpau e koho ʻia nā lāʻau lapaʻau o nā lālā ʻē aʻe.

I ka manawa like, ʻaʻole hiki ke hoʻohana ʻia ka Azithromycin a me Amoxicillin - e kāʻalo aku nā lāʻau lapaʻau kekahi i kekahi.

ʻO ka manaʻo o nā kauka

Natalya, pediatrician, St.

Hoʻomaʻamaʻa pinepine nā keiki i nā maʻi like ʻole e koi ana i ka antibiotics. Ua koho wau iā Amoxicillin a me Azithromycin. Hoʻomaopopo ʻia ka hope loa no ka bronchitis, pneumonia. I nā hihia āpau āpau, hoʻomaka wau i ka mālamaʻana me Amoxicillin. Loaʻa i nā lāʻau ʻelua nā puka hoʻokuʻu kūpono, ʻoluʻolu loa, a hāʻawi maikaʻi ʻia i ka dinamika maikaʻi. Loaʻa. He mea maʻalahi lākou e kūʻai mai ma kekahi lāʻau kūʻai.

Sergey, lapaʻau, Khabarovsk

I nā makahiki he 5 i hala iho nei, ua loaʻa pinepine nā hihia o ka maʻi pneumonia. E maʻi ana nā ʻōpio a me nā ʻōpio ʻōpio. Manaʻo wau ʻo ka lāʻau maikaʻi loa ma kēia hihia ʻo Azithromycin. ʻO ka papa inoa maʻalahi kūpono, papa papaʻaila wale nō: 3 mau lā. Hoʻomaopopo maikaʻi ʻia, ʻaʻohe hihia hoʻopiʻi o ka hopena ʻaoʻao. I nā hanana āpau a pau e koi ai i nā maʻi antibiotika, ua kuhikuhi ʻia ʻo Amoxicillin. ʻO kahi ākea ākea o ka hana me ka hoʻomanawanui maikaʻi loa i hana i kahi lāʻau lapaʻau loa i waena o kaʻu mau maʻi.

Nā Hōʻike Hoʻomaʻi

Irina, 32 makahiki, Kazan

Ua maʻi ʻo ia i ka maʻi: ua ʻeha ka make, ua kū a kū mai ke ʻano o ka wela. Diagnosed me ka tonsillitis. Ua kuhikuhi koke ke kauka iā Azithromycin. Hoʻomaka wau e lawe, akā loaʻa nō ka nausea, hōʻeha. He pono wau e hoʻololi i ka Amoxicillin. Ma hope ona, hoʻemi wikiwiki ka mahana, ua hele ke koena. ʻAʻole i hopena ʻokoʻa nā hopena.Ua kōkua ka lāʻau lapaʻau, a hala ke ʻeha ʻeha me nā hōʻeha ʻole.

Elena, 34 makahiki, Izhevsk

ʻO kaʻu kaikamahine he 12 makahiki. ʻO kēia manawa ua maʻi me ka bronchitis. Ua kuhikuhi ka mea pediatrician iā Azithromycin. Ma ka lā 2 o ke kālai ʻia, loaʻa iā ia ka hōʻeha kino ma ka ʻili a me nā rashes, a puka mai ka maʻi paleka. Ua wehewehe ʻo ke kauka i kēia ma kahi o ka intolerance pilikino a kāpili i ka lāʻau lapaʻau me Amoxicillin. Ua hoʻomanawanui maikaʻi ʻia kēia antibiotika, ʻaʻohe hopena ʻino. Eia kekahi, hoʻokele wikiwiki i ka hopena o nā maʻi.

Ivan, 57 makahiki, Arkhangelsk

ʻO ka maʻi me ka maʻi huhū. Ua manaʻo wau e hala ʻia ia, ʻaʻole naʻe i pau. Pipi mau ka ihu, + 37.2 ... + 37.5 ° C i ke ahiahi, piʻi ana ke poʻo, e lulu ana. Hele au i ke kauka. Hoʻouna aku ia iā ia i x-ray, ka mea e hōʻike ana i ka sinusitis bilateral. Ua kuhikuhi ʻia ʻo Amoxicillin Ua inu au i 5 mau lā, ʻaʻole maʻalahi ia. Ke hoʻololi nei i ka hopena maʻi i ka Azithromycin. Ua maikaʻi wau i ka holomua ʻana ma ka hopena o ka lā mua. Ua hoʻi mai ke ʻano i loko o ka maʻi, ua emi ka haʻahaʻa, a hoʻomaka wau e hanu me ka maluhia i koʻu ihu. Ua hala i ke papa holoʻokoʻa, e maikaʻi ana. ʻO ka lāʻau lapaʻau nui.

Ua kuhikuhi ke kauka iā Amoxicillin no tonsillitis. Eia nō naʻe, ma hope o 5 mau lā o ka hoʻokele ʻana, ʻaʻohe mea holomua. Hiki iaʻu ke hoʻololi i ka lawe ʻana i ka azithromycin?

ʻO ke kūlana i wehewehe ʻia i ka nīnau he mea maʻamau loa i loko o ka hana a ke kauka. Ma muli o kona hoʻohana lōʻihi ʻana, ua nalowale ʻo Amoxicillin i kāna hana maikaʻi loa. ʻO kēia no ka mea i hiki i nā kuʻuna o nā microorganism ka hoʻohālikelike i ka lāʻau, a hoʻomaka e hana i kahi enzyme, penicillinase, e haki wale ana i nā parti antibiotic.

Ua hōʻoia hope ʻia kēia mau noi e pili ana i kēia kumuhana. No laila, Amoxicillin i hui pū me ka clavulanic acid i kēia manawa i kuhikuhi mua ʻia.

Ma hea ka maikaʻi loa ʻo Azithromycin. Ke kū ka haʻahaʻa o ka microflora i ka haʻahaʻa. No laila, i nā kūlana i hāʻawi aku i ka penicillin synthetic i hāʻawi i ka hopena i manaʻo ʻia, ʻo ia ka lāʻau lapaʻau i koho.

Ua loaʻa iaʻu nā hopena kūloko i ka wā e lawe ana iā Amoxicillin a me Ceftriaxone. Pehea palekana iaʻu e lawe azithromycin?

Ma waena o nā lāʻau āpau o ka pūʻulu antibacterial beta-lactam, aia kahi cross-sensitivity. ʻO kēia ke kumu o ka ʻike i kahi like o kā lākou kemika, a ʻaʻole hoʻokaʻawale ke kino iā lākou mai kahi hoʻokahi.

Eia nō naʻe, aia ka azithromycin o ka lāʻau lapaʻau like ʻole a pau. No laila, he koho nui loa ma ke alo o nā hopena alerine i nā penicillins, cephalosporins, monobactam a i ʻole carbapenem i nā maʻi. ʻO kona hoʻohana nui ʻana i nā maʻi like i hōʻoia i ka palekana piha.

Inā loaʻa ka manaʻo o ka mea maʻi, a laila e hiki ke hoʻāʻo ʻia kahi hoʻomaʻamaʻa maʻalahi no ka hele ʻana o ka hypersensitivity i ka hopena maʻi ma mua o ka hoʻohana mua ʻana o ka lāʻau mālama maʻi.

Hiki anei iā Amoxcillin aiʻole Azithromycin i hoʻohālikelike ʻia i hoʻokahi keiki hoʻokahi makahiki?

ʻO kahi hiʻohiʻona o kēia mau mea nana e hana i kēia mau antibacterial e hiki ke hoʻohana ʻia i nā makahiki āpau o ka mea maʻi. A inā he pākeke lākou e loaʻa i ka pepa papa, a laila no ka ʻoluʻolu o ka dosage a hoʻohana no nā keiki he syrup. Hāʻawi ia iā ʻoe e helu i ka nui o ka antibiotik i kekahi keiki pono, e pili ana i ke kaumaha o kona kino a me ka makahiki.

Ma ka hoʻomaʻamaʻa, hiki iā ʻoe ke hoʻohana i kēia mau lāʻau lapaʻau i ka makahiki mua o ke ola me ka makaʻu ʻole o nā ʻōlapa.

ʻO wai o kēia mau mea hoʻonaninani ʻo ia ka maikaʻi - Azithromycin a me Amoxicillin?

He mea paʻakikī ka pane iki ʻole i ka nīnau o ka mea e ʻoi aku ai i ka maikaʻi ma mua o Amoxicillin a i Azithromycin, no ka mea aia kekahi mau maʻi liʻiliʻi i hōʻike ʻia no ka hoʻohana ʻana a me kahi papa inoa o nā flora pili ʻana.

ʻO kēlā me kēia mau lāʻau lapaʻau nā pono āpau a me nā mea pono ʻole.

ʻO ka pōmaikaʻi nui loa o Azithromycin kona hopena, ʻo ka mea nui ka pale ʻana i ka pale ʻana ma mua o ka Amoxicillin (ʻoi aku ʻole ka hui pū me ka clavulanic acid, e like me Amoxiclav). Hāʻawi ka maʻalahi o ka hoʻohana ʻana i kona makemake, no ka mea no ka mālama ʻana i ka hapa nui o nā ʻōpū o ka hanu, pono ia e lawe i hoʻokahi papa hoʻokahi i hoʻokahi lā no 3 lā.

ʻO ka hana nui a Amoxicillin ʻo ia ka loaʻa. Eia nō naʻe, ma ka hana lapaʻau i kēlā me kēia makahiki kahi i hoʻohana nui ʻia a keu ʻole hoʻi.

Ke kamaʻilio nei ka wikiō e pili ana i ka hoʻopakele wikiwiki i ka maʻi, ka maʻi a me nā SARS. ʻO ka manaʻo o ke kauka akamai.

ʻO nā ʻano o ka lāʻau Azithromycin

Na kēia lāʻau lapaʻau i nā antibiotics macrolide o ka hui o ka azalide. I nā dosages maʻamau, loaʻa iā ia ka hopena bacteriostatic, akā ma nā dosis nui e hōʻike i nā waiwai bactericidal. Hiki iā ia ke hoʻonui i ka hana a T-killers, ke kāohi nei i ka hoʻohuihui o nā mea hoʻopihapiha a me ka hoʻoulu ʻana i ka hana o interleukins, e hana ana i nā hopena anti-inflammatory a me ka immunomodulating.

Hiki i ka Azithromycin ke loaʻa i ka hopena bactericidal, koʻikoʻi i ka pili:: pneumococcus, gonococcus.

Hoʻopili ka Azithromycin i nā subunits ribosomal liʻiliʻi i nā cell bacterial, a laila ke kāohi nei i ka hana a ka enzymatic i ka translocase peptide a hoʻonāukiuki i ka biosynthesis protein. Ke alakaʻi nei kēia i kahi lohi i ka ulu o nā meaola palupalu a me ka hikiʻole o kā lākou hana hou. Hoʻololi ka nui o nā pathogens a hiki i ka pale o ke kanaka maʻi ke hoʻohālikelike iā lākou iho.

Hōʻike ka lāʻau lapaʻau e ka lipophilicity a me ke kūpaʻa kiʻekiʻe. ʻO nā pathogens pathogenic i kū i ka hana a ka erythromycin e pale aku i ka azithromycin (bacteroids, enterobacteria, salmonella, shigella, gram-negative bacilli, etc.). Ma muli o ka pharmacodynamics o ka lāʻau lapaʻau, hoʻonui nui ʻia ka paʻa o ka mea hana i ka ʻāpala i hoʻopili ʻia, no laila hiki iā ia ke kau i ka hopena bactericidal, pili i ka pili

• wahi o ka pneumococcus
• gonococcus
• ʻogeniclelo lekiuki
• ʻO ka helicobacter pylori,
• hiloi hemophilic,
• nā kumu lawe kumu o ka pertussis a me ka difteria.

ʻO kēia kekahi o nā pakika palekana palekana. ʻO ka loli ʻana i nā hopena hopena ma ka awelika 9%. Inā pono, hiki ke hoʻohana ʻia i ka wā hāpai. Hoʻohālikelike ʻia e nā hopena cross-allergic me nā lāʻau macrolide.

He aha nā meaʻokoʻa?

Hoʻololi ka mākaukau i ka hoʻonohonoho ʻana. ʻO Amoxicillin kahi hoʻohālikelike o Penicillin, aʻo Azithromycin kahi antibiotic hou loa mai ka hui macrolide.

ʻO ka hope hope loa i kahi kikoʻī. ʻO ia ke kū'ē i ka mycoplasmas, keu- a me nā pathogens intracellular, a me kekahi anaerobes, e like me bacteroids, clostridia, peptococci a me peptostreptococci. I ka manawa like, hiki i nā mākaukau amoxicillin ke pani i ka hana o Escherichia coli, kekahi mau ʻano o Salmonella, Klebsiella a me Shigella, me ka lāʻau macrolide ʻaʻole hiki ke hoʻokō.

Ma muli o ka filtration mua i loko o ka nui, ua emi ka systemic bioavailability o azithromycin i 37%. Hoʻopau kaʻai ʻana i ka paʻakikī mai ka papa hana. Loaʻa ka lōʻihi loa o ka ʻikepili kaha i ka neʻe i ka plasma ma hope o ka hiki ʻana o nā hola 2.5 ma hope o ka nānā ʻana. ʻOi loa ia ma mua o ka amoxicillin e hoʻopaʻa ai i nā kahe koko (a hala i 50%). Hoʻouna ia i nā ʻili i hoʻopili ʻia e nā phagocytes a me neutrophils, e hana ana i ka piʻi nui ʻana o ka lāʻau lapaʻau ma ʻaneʻi. Hoʻopau i nā pale polisis, e komo i loko o ke ʻano kūloko o nā pū.

Hoʻokomo ʻia ʻo Amoxicillin i ke koko me ka wikiwiki: ua hoʻoholo ʻia ka manaʻo nui o ka serum ma hope o 1,5 mau hola i ka wā e lawe ai i ka waha a ma hope o 1 mau hola i ka wā i hoʻokomo ʻia ai i ka iwi gluteus. ʻAʻole mālama ʻia ke ʻano o ke ʻano o ka pau mua, hiki ke loaʻa iā bioavailability 90%. Ua hoʻokaʻawale ʻia ia i ka ate (ʻaʻole iʻoi aku ma mua o 20% o ka nui o ka mua), excreted ka nui ma o nā keiki i loko o nā hola 3-4 mai ka manawa o ka hoʻohana.

ʻO ka hapalua o ka ola o ka azithromycin he 65 mau hola ma muli o ka reabsorption i loko o ka ʻōpū i ka wā o ka laweʻana, e hōʻemi ana i ka lawe o ka lāʻau. Hoʻopau nui ʻia me ka bile. ʻO ka hopena antibacterial e noho ma ka liʻiliʻi loa 5 mau lā ma hope o ka pau loa.

ʻO kahi contraindication hou no ka azithromycin ʻo ka pale ʻole o ka ate. I nā lālani a me nā papa, ʻaʻole pono e hāʻawi ʻia i kahi keiki inā ʻoi aku kona koʻikoʻi ma mua o 45 kg. ʻO ka palena makahiki no ka hoʻokuʻu ʻana aku i nā waha he 6 mau mahina. ʻAʻole i kuhikuhi ʻia ʻo Amoxicillin no ka angina monocytic, diathesis a kūlohelohe, ka hopena o ka bronchospasm, rhinoconjunctivitis, leukemia lymphocytic, colitis o ka lāʻau a me ke koko gastrointestinal. Manaʻo ʻia nā keiki ma lalo o 10 mau makahiki e lawe i loko o kahi mea i hoʻokuʻu ʻia.

No Amoxicillin, kahi hopena hiʻona ka hopena o ka rasul-macul macapopapular non-alika, ka mea e nalowale koke nei ma hope o ka hoʻokuʻu ʻana o ka lāʻau. Aia nō i ka wā hoʻolālā e ulu ai:

• wīwī lolo
• stomatitis
• nahoa
• tachycardia
• purpura
• ʻeha i ka luhi,
• mau ulia maʻi me ke koko a me ka hoʻowalewale ʻana i ka digestive tract,
• ka paleʻole ʻana o ka microflora peʻe.

ʻAʻole maʻi o Dysbacteriosis a me ka colitis lāʻau e pili ana i ka azithromycin. Hāʻawi ia i nā hopena liʻiliʻi ʻole aʻe, akā hiki ke alakaʻi i ka hoʻopilikia ʻeha a hoʻonui i nā ʻano o ka plasma i nā lāʻau lapaʻau i lawe ʻia me ka maʻi maʻi. Lawe iā ia i hoʻokahi manawa i kahi lā pōkole. Pono e hoʻopau ʻia ʻo Amoxicillin i nā manawa he nui i ka lā, me ka hoʻōki ʻole ʻana i ka mālama ʻana no nā hola 48-72 ma hope o ka nalo ʻana o nā hōʻailona.

ʻO wai ka mea maikaʻi - Amoxicillin a Azithromycin?

ʻO kēlā me kēia lāʻau lapaʻau ke loaʻa nā pono a me nā pono ʻelua. ʻO kā lākou hana e pili pono ana i ka hiki ke hiki i ka microflora bacterial. Koho ʻia ke koho e ke kauka, i ka nānā ʻana i nā contraindications a me nā hiʻohiʻona o ka mea maʻi. Loaʻa i kahi ākea ākea ʻo Azithromycin o ka hana, ʻoi aku ka liʻiliʻi o nā mea kau palena i ka hoʻohana ʻana a me nā hopena pae. Akā me kekahi o nā maʻi, ʻoi aku ka maikaʻi o Amoxicillin.

Hōʻike nā kauka e pili ana i nā lāʻau lapaʻau e pili ana iā Amoxicillin a me Azithromycin

Svetlana, 40 makahiki. Therapist, Kazan

Hoʻohana kūpono ka Azithromycin a hoʻohana pono ʻia. Ma muli o ka hoʻonui nui o ka pale i ka beta-lactams, hoʻonui nui ʻia ka amoxicillin i ʻāpana o nā hui hoʻohui.

Konstantin, 41 makahiki, otolaryngologist, Moscow

Hiki ke kūleʻa nā lāʻau ʻelua i ka hoʻouka ʻana i nā mālamalama kumu kumu o ka tonsillitis, laryngitis, otitis media, sinusitis a me nā ala e pili ana. ʻOi aku ka palekana no nā keiki ʻo azithromycin.