Magungunan ƙwayar cuta na ƙwayoyin cuta ba dole ba ne ya haɗa da ƙwayoyin rigakafi na kwayar cuta waɗanda ke lalata ƙananan ƙwayoyin cuta ko hana aikin haihuwa da haɓaka. Groupsungiyoyin da aka fi amfani dasu da amincin magungunan ƙwayoyin cuta sune macrolides da penicillins.
Ya danganta da hankalin mai cutar sankara na kamuwa da cuta da tarihin mai haƙuri, likitan da ke halartar na iya bayar da shawarar Amoxicillin ko Sumamed, da kuma magungunan analogues na waɗannan kwayoyi, don kawar da cutar.
Dangane da hankali na pathogen da tarihin mai haƙuri, likitan da ke halartar na iya bayar da shawarar Amoxicillin ko Sumamed don kawar da cutar.
Halayyar Amoxicillin
Abubuwan da ke aiki na miyagun ƙwayoyi shine maganin ƙwaƙwalwar ƙwaƙwalwa iri ɗaya sunan (amoxicillin). Yana cikin rukunin penicillins kuma yana da halayyar bakan da ke tattare da tasirin cututtukan ƙwayoyin cuta.
Sakamakon ƙwayar ƙwayar ƙwayar cuta ta amoxicillin ta ƙaru ga ƙwayoyin cuta kamar:
- gram-tabbatacce aerobic microbes (staphylococci, streptococci, pneumococci, listeria, corynebacteria, enterococci, anthrax pathogens, da sauransu);
- Gram-negative aerobic microbes (E. coli da Haemophilus mura, Helicobacter pylori, Gonococcus, wasu protea, Salmonella, Shigella, da sauransu)
- cututtukan ƙwayoyin cuta na anaerobic (clostridia, peptostreptococcus, da sauransu);
- wasu kwayoyin cuta (Chlamydia).
Abunda yake aiki na Amoxicillin shine kwayoyin cuta iri daya ne (amoxicillin).
Kwayoyin rigakafi ba sa amfani da nau'in ƙwayoyin cuta na gram-mara kyau da na gram wanda ke ɓoye beta-lactamase (penicillinase). Wannan enzyme yana aiwatar da ɗayan hanyoyin da aka saba da kwayar cuta ta jure kwayar ƙwayoyin ƙwayoyin cuta: tana lalata zobe na beta-lactam na amoxicillin kuma yana toshe tasirin ƙwayar cuta.
Don halakar da ƙwayoyin ƙwayoyin cuta waɗanda ke haifar da penicillinase, ya zama dole a haɗa amoxicillin tare da masu hana beta-lactamase (clavulanic acid, sulbactam, da sauransu).
Abubuwan da ke nuna amfanin wannan maganin shine:
- cututtuka na numfashi (tonsillitis, otitis media, pharyngitis na kwayan cuta, ciwon huhu, huhun ciki);
- meningitis
- coli enteritis na asalin ƙwayar cuta;
- Helicobacter pylori gastritis da duodenitis (a hade tare da metronidazole);
- cutar cholecystitis, cholangitis;
- purulent dermatological pathologies;
- ciwan ciki;
- leptospirosis, borreliosis, listeriosis;
- cututtuka na tsarin haifuwa da cututtukan urinary (urethritis, prostatitis, pyelitis, adnexitis);
- rigakafin ci gaban rikice-rikice na hanyoyin hakori, zubar da ciki da sauran ayyukan tiyata.
Abubuwan da ke nuna alamun amfani da Amoxicillin sune: cututtukan numfashi; cututtuka na tsarin haihuwa da fitsari na hanji da sauran cututtukan ƙwayoyin cuta.
Amoxicillin yana da nau'ikan saki:
- Allunan (0.25 da 0.5 g);
- capsules (0.25 da 0.5 g);
- dakatarwa (50 mg / ml).
Abubuwan hana rigakafi don amfani da Amoxicillin sune:
- rashin lafiyan ga beta-lactam kwayoyi (penicillins, cephalosporins, da sauransu);
- maganin ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta;
- maganin cutar sankarar kumburi
- mummunan cututtuka na jijiyoyin ciki, tare da gudawa da amai;
- ARVI;
- halayyar rashin lafiyan (rashin lafiyan hay, fitsari, asma).
Tare da cututtukan koda, ana buƙatar daidaita sashi gwargwadon yardawar keɓaɓɓiyar.
An ba da damar amfani da miyagun ƙwayoyi don bi da jarirai daga farkon watanni na rayuwa, an tsara shi yayin ciki da lactation (tare da taka tsantsan).
Halin Sumamed
Abubuwan da ke aiki a Sumamed shine azithromycin. Wannan kwayar rigakafi tana cikin rukunin macrolide. Sakamakon kwayar cutar ta kwayar halitta ya kara zuwa jijiyoyin da ke tafe:
- kwayoyin gram-tabbatacce aerobic kwayoyin cuta (streptococci, gami da pneumococci, staphylococci, listeria, corynebacteria, da sauransu);
- gram-korau aerobic microbes (moraxella, gonococci, hemophilic bacillus);
- kwayoyin anaerobic (porphyromonads, clostridia, borrelia);
- Cutar ta STI (mycoplasmas, chlamydia, treponema, da sauransu).
Nada shawarar Sumamed bada shawarar ga masu keta haddi:
- cututtukan ƙwayar cuta na ƙwayar jijiyoyin jiki;
- cututtukan da ke haifar da kumburi da kyallen takarda mai laushi da fata (erysipelas, kuraje, kamuwa da cuta na biyu tare da cututtukan fata da kuma cututtukan fata);
- matakin farko na cutar Lyme;
- cututtukan tsarin urogenital wanda ya haifar da cututtukan STI da sauran ƙwayoyin cuta (mycoplasmosis, cervicitis, chlamydia, urethritis, pyelitis, da dai sauransu).
Abubuwan da ke aiki a Sumamed shine azithromycin.
Kamar maganin rigakafin penicillin, Sumamed an yarda dashi don amfani dashi azaman prophylactic bayan ayyukan tiyata.
An wajabta sumamed a cikin ɗayan sigogi da yawa:
- Allunan da aka baza (0.125, 0.25, 0.5 da 1 g);
- Allunan (0.125, 0.5 g);
- kwanson ruwa (0.25 g);
- dakatarwa (40 mg / ml);
- maganin allura (500 MG).
Shigarwa Adamed ya shiga cikin yanayi kamar:
- rashin lafiyan ga macrolides da ketolides;
- rashin jituwa ga mahaɗan da ke ɓangare na miyagun ƙwayoyi;
- mummunan ciwo, rashin hanta;
- keɓantar da creatinine ƙasa da 40 ml minti ɗaya;
- matsanancin cututtukan zuciya, hanta da kodan, tsawan tazara na QT, gudanarwa na lokaci daya tare da magungunan anticoagulants da magungunan antiarrhythmic (tare da taka tsantsan);
- shekarun yara (har zuwa shekaru 3).
Sumamed yana samuwa a yawancin siffofin sashi.
Haramcin amfani da miyagun ƙwayoyi a cikin kula da yara ya shafi kawai ana iya rarraba shi. An wajabta dakatarwar don yaro mai nauyin kilo 5.
A cikin ciwon sukari na mellitus, yana da mahimmanci a la'akari da adadin sucrose wanda ke kunshe a cikin abubuwan da aka tsara na dakatarwa.
Kwatantawa da Amoxicillin da Sumamed
Sumamed da Amoxicillin suna da tasirin warkewa iri ɗaya kuma ana iya amfani dashi don alamomi iri ɗaya (cututtukan ƙwayar jijiyoyi da tsarin jijiyoyin jini, jijiyoyin ciki da taushi).
Zabi na maganin rigakafi ya kamata a gudanar da likita mai halartar dangane da kararrakin mara lafiya, tarihin likitancin sa, kasancewar bayyanar cututtuka da kuma sakamakon binciken dakin gwaje-gwaje.
Kama
Amoxicillin da Sumamed suna da tasirin sakamako na rigakafi iri iri kuma ana amfani dasu duka biyu wajen aikin kula da marasa lafiyar manya da kuma a cikin ilimin yara.
Dukansu maganin rigakafin ana rarrabe su azaman nau'in B bisa ga tsarin aminci na FDA. Wannan yana nufin cewa babu kayan teratogenic da mutagenic da aka samo a cikin shirye-shiryen kuma ana iya amfani dasu yayin daukar ciki idan amfanin da ake tsammani ga mahaifiyar mai tsammani ya fi haɗarin haɗari ga tayin.
Amoxicillin da Sumamed sune magunguna na zaɓaɓɓu a cikin maganin cututtukan ƙwayar cuta a cikin uwaye masu shayarwa: ƙwayoyin rigakafi sun shiga cikin madara, amma ba su da mummunan tasiri ga jariri. Lokacin kulawa da mahaifiyar mai reno, jariri na iya fuskantar halayen rashin lafiyan ƙwayoyi ko alamun dyspepsia sakamakon rashin daidaituwa a cikin microflora na hanji.
Idan kun kasance masu rashin lafiyar ƙwayoyin cuta na Amoxicillin da sauran maganin rigakafi na penicillin, yana yiwuwa a maye gurbin maganin tare da Sumamed. A cikin batun sabanin, ya fi dacewa a maye gurbin macrolide tare da kariya mai amoxicillin - Amoxiclav.
Mene ne bambanci
Bambanci tsakanin magungunan guda biyu ana lura dashi ta fannoni masu zuwa:
- Hanyar tasirin antimicrobial. Amoxicillin yana rushe rikodin babban furotin na jikin bango na kwayoyin cuta na kwayar cuta, wanda ke haifar da lalatarsu cikin sauri. Sumamed (azithromycin) yana hana rikodin ƙwayoyin cuta na rijiyoyin cuta a kan ribosomes kuma yana rage jinkirin girma da haifuwar cututtukan ƙwayoyin cuta, amma baya haifar da ƙimar ƙwayar cuta.
- Bikin kwayoyi masu kashe kwayoyin cuta. Idan aka kwatanta da Sumamed, Amoxicillin yana da ƙananan jigilar kwayar cutar rigakafi: ba ya nuna tasirin ƙwayar cuta a kan wasu nau'ikan ƙwayoyin cuta aerobic da ƙwayoyin anaerobic, har ma da ƙananan ƙwayoyin cuta waɗanda ke samar da penicillinase.
- Tsarin magani da bada shawarar lokacin gudanarwa. Ana adana Azithromycin a cikin gabobin ciki da kyallen takarda mai laushi tsawon lokaci, don haka ana ɗaukar Sumamed lokaci 1 a rana. Tsawan lokacin jiyya na iya zama daga kwanaki 1 zuwa 5-7. Ana shan Amoxicillin sau 3 a rana don kwanaki 5-10.
- Nau'in da tasirin sakamako masu illa. Ana yawan lura da tasirin sakamako tare da maganin Sumamed. Sakamakon sakamako na amoxicillin yana bayyana ne musamman a cikin halayen rashin lafiyan halayen, superinfection ko rikice-rikice na tsarin juyayi na tsakiya. Ana lura da mummunan halayen da ke tattare da maganin Sumamed sau da yawa. A lokacin jiyya, abin da ya faru na tabarbarewa na jijiyoyin jini da tsarin haihuwa, jijiyoyin ciki, jijiyoyin tsakiya, da sauransu.
Wanne ne mai rahusa
Kudin Amoxicillin daga 40 rubles ne. don Allunan 20 (500 MG), da Sumamed - daga 378 rubles. na allunan 3 (500 MG). Ganin ingantaccen maganin warkewa da yawan magunguna, maganin ƙwaƙwalwar ƙwaƙwalwar macrolide zai cinye sau 3 ko fiye da haka.
Wanne ya fi kyau - Amoxicillin ko Sumamed
Amoxicillin shine magani na zabi don kamuwa da cututtukan ƙwayar cuta mai lalacewa na ƙwayar cuta, Harkokin Helicobacter tare da gastroduodenitis (haɗe tare da Metronidazole) da kuma rigakafin rikice-rikice na aikin hakori da tiyata.
Sumamed shine magani mafi inganci. Yana aiki akan atypical kuma yana tsayayya da cututtukan amoxicillin (alal misali, STIs) kuma ana amfani dashi don rashin lafiyan ga beta-lactams.
Neman Masu haƙuri
Elena, 34 years old, Moscow
Gano Amoxicillin kamar yadda mai ilimin hanyoyin kwantar da hankali ya umarta azaman ƙaramar zaɓi na rigakafi. Bayan kashi na farko ya zama mafi sauƙi ga numfashi, zazzabi ya ragu. Na sha duka hanya na miyagun ƙwayoyi, ban lura da wani sakamako masu illa ba, kodayake yana iya zama halayen rashin lafiyar jiki. Babban fa'idodin Amoxicillin shine ƙananan farashi.
Oksana, dan shekara 19, Barnaul
Brotheran uwan yana rashin lafiya sosai a lokacin sanyi: ARVI yana zuwa mashako da ciwon huhu. Magungunan rigakafin da likita ya tsara ba koyaushe suna taimakawa ba, amma Sumamed ya rubuta akan ɗayan ziyarar ENT, yana ba da shawarar a matsayin wurin zama na ƙarshe. Ana shan miyagun ƙwayoyi kwanaki 3 kawai, amma gaba daya yana dakatar da kamuwa da cuta. Daga cikin gazawar shine babban farashin.
Kudin Amoxicillin daga 40 rubles ne. don Allunan 20 (500 MG), da Sumamed - daga 378 rubles. na allunan 3 (500 MG).
Nazarin likitocin game da Amoxicillin da Sumamed
Budanov E.G., otolaryngologist, Sochi
Amoxicillin wani maganin gargajiya ne daga masana'antar cikin gida. Tana da karancin fuska mai daukar nauyin kwayoyin cuta kuma ana amfani da ita ne don cututtukan cututtukan mahaifa da fata, fata, da sauransu.
Yara da yara sun yarda da shi sosai, amma ba zai iya karɓar wasu ƙwayoyin cuta ba saboda yawan adadin masu juriya.
Nazemtseva R.K., likitan ilimin mahaifa, Krasnodar
Sumamed kyakkyawan magani ne daga kungiyar macrolide. Ina ba da shawarar shi a lura da STDs (akasarin chlamydia) kuma a cikin hadadden kulawa da kumburi da gabobin ƙashin ƙugu. Tare da rashin haƙuri ko rashin ƙarfi na penicillins, Hakanan ana iya amfani da Sumamed don magance cututtukan ƙwayoyin cuta, cututtukan cututtukan cututtukan fata da sauran cututtukan da ke motsa jiki.
Magungunan suna da nau'ikan sakinwa da yanayi mai dacewa na gudanarwa.
