Menene bambanci tsakanin Sumamed da Amoxiclav?

Magungunan maganin Penicillin da macrolide suna da inganci kuma magunguna masu aminci wadanda aka tsara don cututtukan ƙwayar cuta na fata, ƙwayar jijiyoyi, tsarin numfashi da tsarin urogenital, ƙwaya mai taushi, da dai sauransu Dangane da alamomi da hankalin mutum ga magungunan, likitan yara da likitocin kwantar da hankali suna ba da shawarar ɗaukar Sumamed ko Amoxiclav, kazalika kwatankwacin waɗannan kuɗaɗen.

Halin Sumamed

Aiki mai aiki na Sumamed shine azithromycin. Yayi aiki sosai akan gram-tabbatacce (staphylococci, streptococci), gram-korau (hemophilic bacillus, moraxella, gonococci), anaerobic (clostridia, porphyromonads) da sauran ƙananan ƙwayoyin cuta. Abubuwan da ke da mahimmanci na azithromycin shine tasirin sa a kan cututtukan cututtukan Chlamydia, mycoplasmosis da borreliosis (cutar Lyme).

Sumamed ko Amoxiclav sune magunguna masu inganci waɗanda amintattu waɗanda aka wajabta don cututtukan ƙwayoyin cuta.

Amfani da Sumamed yana nunawa ga waɗannan hanyoyin:

• cututtukan ƙwayar cuta na cikin gida a cikin jijiyoyin numfashi (pharyngitis, sinusitis, sinusitis, otitis media, ciwon huhu na al'umma, cututtukan fata da na zuciya da na kullum, tracheitis, da dai sauransu);
• cututtuka na fata da kyallen takarda mai laushi (impetigo, kuraje mai tsanani, erysipelas) ko cututtukan ƙwayoyin cuta na sakandare tare da dermatoses;
• matakin farko na borreliosis.

Hakanan, an sanya maganin don maganin cervicitis, urethritis da sauran kumburi da tsarin urogenital wanda STIs ke haifar, da kuma rigakafin cututtukan endocarditis da mycobacteriosis.

An wajabta magunguna Sumamed don magance kumburi da tsarin ƙwayar cuta.

Sumamed yana samuwa a cikin nau'i daban-daban:

1. Allunan Yawan maganin rigakafi a cikin allunan na iya zama 125 MG, 250 MG, 500 MG ko 1 g.
2. Kafurai 1 kablatin gelatin ya ƙunshi 250 mg na azithromycin.
3. Foda don dakatarwa. Maganin azithromycin a cikin dakatarwar Sumamed shine 100 MG a cikin 5 ml na miyagun ƙwayoyi, a cikin dakatarwar Sumamed Forte - 200 mg / 5 ml. Ana amfani da magani mara ƙarancin magani don kula da jarirai. Wannan nau'in suturar an yi niyya ne ga yara, sabili da haka, foda ya ƙunshi kayan ƙanshi (banana, strawberry, rasberi, ceri ko vanilla).
4. Foda don yin allura. Kwalban magani 1 ya ƙunshi MG 500 na rigakafi.

Wasu nau'ikan maganin suna dauke da aspartame da sukari. Wannan yakamata a yi la’akari da shi a gaban phenylketonuria ko ciwon suga a cikin mara lafiyar.

Contraindications wa yin amfani da Sumamed sune halaye masu zuwa:

• hypersensitivity to azithromycin, sauran macrolides da ketolides, kayan abinci masu taimako;
• shan ergotamine da kwayoyi masu kashe kwayoyi;
• mummunan cin zarafi na hanta da kodan (ƙirar filmerular glomerular ƙasa da 40 ml / min);
• ƙananan nauyi da shekarun haƙuri (har zuwa shekaru 3 don allunan da aka watsa, har zuwa kilogiram 5 na nauyin jiki don dakatarwa).

Tare da arrhythmias ko raunin zuciya, tsawan tazara na QT, bradycardia, hanta da cututtukan koda, shan ƙwayoyi da yawa (Warfarin, Digoxin, magungunan antiarrhythmic, da sauransu), ana amfani da Sumamed tare da taka tsantsan.

Contraindication zuwa ga amfani da Sumamed shine rashin jituwa ga azithromycin.

Kada kayi amfani da Sumamed a cikin tsananin lalacewarsu.

Ana amfani da sumamed tare da taka tsantsan a bugun zuciya.

Halin Hausar Amoxiclav

Amoxiclav ya ƙunshi abubuwa guda biyu masu aiki: maganin amoxicillin na rigakafi da acid na clavulanic. Amoxicillin yana cikin rukunin ƙwayoyin penicillins na semisynthetic kuma yana da tasirin ƙwayoyin cuta akan cututtukan da ke gaba:

• gram-tabbatacce aerobic kwayoyin cuta (streptococci, pneumococci da staphylococci);
• kwayoyin gram-korau (Klebsiella, Escherichia coli da Haemophilus mura, Enterococci, Moraxella).

Abu na biyu na maganin, clavulanic acid, yana magance beta-lactamases da kwayoyin cuta masu adawa da amoxicillin suka samar. Wannan yana kare kariyar maganin ta beta-lactam daga lalata kuma yana kiyaye tasirin maganin.

Abubuwan da ke nuna alamun amfani da Amoxiclav sune cututtuka masu zuwa:

• cututtukan ƙwayar cuta na ƙwayar jijiyoyin jiki;
• kumburi na urethra, mafitsara, kodan;
• cututtukan cututtukan mahaifa;
• cholecystitis, ciwo na ciki (kawar da Helicobacter pylori mallaki), cholangitis;
• fata, kashi da cututtukan nama;
• STIs (gonorrhea, chancre), hanyoyin ciki na ciki, farfadowa bayan aiki.

Mafi yawan lokuta ana amfani da Amoxiclav a cikin ilimin hakora.

Mafi yawan lokuta ana amfani da Amoxiclav a cikin ilimin hakora don magancewa da hana ci gaban rikice-rikice na cutar gum na kwayan cuta (alal misali, cututtukan endocarditis).

Hanyar da aka ba da shawarar ta miyagun ƙwayoyi na iya bambanta dangane da alamomi na jiyya da shekarun haƙuri. Ana samun Amoxiclav a cikin nau'ikan magungunan masu zuwa:

1. Kwayoyi Yawan kwayoyin antibacterial a cikin kwamfutar hannu 1 na iya zama 250 MG, 500 MG ko 875 MG. Adadin beta-lactamase inhibitor a kowace rukunin magani ba a canzawa - 125 MG.
2. Allunan. Sashi na amoxicillin / clavulanic acid shine 500 mg / 125 mg da 875 mg / 125 mg.
3. Foda don ƙirƙirar dakatarwa. Yawan maganin rigakafi da inhibitor beta-lactamase a cikin dakatarwar 5 ml na iya zama 125 mg da 31 mg mg, 250 mg da 62.5 mg da 400 mg da 57 mg, bi da bi.
4. Foda don ƙirƙirar maganin allura. Maganin maganin amoxicillin / clavulanic acid shine 500 mg / 100 mg, 1000 mg / 200 mg.

Amfani da Amoxiclav an hana shi cikin cututtukan cuta kamar:

• hypersensitivity ga penicillins, cephalosporins, monobactam, tarihin carbapenems, rashin lafiyan kayan haɗin magunguna (ciki har da phenylketonuria);
• rikicewar hanta, tsokani ta hanyar yin amfani da amoxicillin ko clavulanate;
• maganin cutar sankarar kumburi
• maganin ƙwaƙwalwar ƙwayoyin cuta guda ɗaya (mononucleosis).

Yin amfani da Amoxiclav an contraindicated take hakkin hanta.

An contraindicated don amfani da nau'in ɓarna na Amoxiclav tare da nauyin jikin mutum har zuwa 40 kilogiram, har zuwa shekaru 12, tare da ƙirar tacewa ta ƙasa da ƙasa da 30 ml / min.

A cikin cututtukan cututtukan gastrointestinal, tsokani ta hanyar maganin beta-lactam, koda ko gazawar hanta, ciki, shayarwa da kuma gudanar da kulawa na lokaci guda tare da maganin cututtukan cututtukan fata (ciki har da warfarin), an tsara Amoxiclav tare da taka tsantsan.

Kwatanta Sumamed da Amoxiclav

Ana amfani da Amoxiclav da Sumamed don alamomi masu kama, saboda haka, don ainihin zaɓin magani, ya kamata a fayyace kamanceceniya da bambance-bambancen magunguna.

Karkatar da maganin rigakafi ne kawai likitan da ke halartar ya kamata ya yi. Aikin mai haƙuri shine nuna tarihin halayen rashin lafiyan, jerin magunguna, yanayin kiwon lafiya na musamman da cututtukan cututtukan fata.

Kama

Amoxiclav da Sumamed suna da halaye na yau da kullun:

• mai fadi da kewayon antibacterial mataki;
• yiwuwar maye gurbin maganin rigakafi guda ɗaya tare da wani tare da hankalin mutum ga ɗayan magungunan;
• amincin kulawa da duka magunguna ga yara da manya;
• Tsarin aminci na FDA - B (yin amfani da lokacin daukar ciki yana halatta idan amfanin ga mace mai ciki ya fi haɗarin cutar da tayin);
• yuwuwar tasiri hankalin maida hankali saboda tasirin sakamako daga tsarin juyayi na tsakiya.

Mene ne bambanci

Duk da kasancewar halayen iri ɗaya, bambanci tsakanin maganin rigakafi guda biyu yana da mahimmanci kuma an bayyana shi a cikin masu zuwa:

1. Hanyar aikin. Amoxicillin (Amoxiclav) yana rushe bangon ƙwayar ƙwayar cuta, yana nuna sakamako mai ƙwayar cuta, kuma azithromycin (Sumamed) yana hana haɗin furotin akan ribosomes kuma yana rage jinkirin ci gaban tarin ƙwayoyin cuta.
2. Tsawon lokaci da mita na shan miyagun ƙwayoyi tare da irin ƙwayar cuta iri ɗaya. Azithromycin ya tattara da kyau a kyallen takarda, don haka ana ɗaukar Sumamed sau 1 kowace rana tsawon kwana 3 (idan ya cancanta, ana ci gaba da warkewa). Amoxiclav ya kamata ya bugu sau 2-3 a rana don kwanaki 5-14. Kashi na warkewa na amoxicillin da azithromycin a kowace hanya na iya bambanta sau 2-3.
3. Tsaron marasa lafiya. Duk da nau'in FDA guda, ana amfani da Amoxiclav mafi aminci yayin daukar ciki kuma, ba kamar Sumamed ba, za'a iya amfani dashi don lactation.
4. Mitar halayen da ba a dace ba. Ana yawan lura da tasirin sakamako tare da maganin Sumamed.

Wanne ne mai rahusa

Tare da matsakaicin tsawon lokacin jiyya, farashin maganin tare da Amoxiclav da Sumamed kusan daidai yake. A cikin mummunan cututtuka, wanda ya haɗa da magani na dogon lokaci tare da amoxicillin da sake yin maganin sau 2-3 a rana, maganin ƙwaƙwalwar macrolide yana da rahusa, saboda Dole ne a kawo sumul 1 sau ɗaya a rana tsawon kwanaki 3.

Tare da matsakaicin tsawon lokacin jiyya, farashin maganin tare da Amoxiclav da Sumamed kusan daidai yake.

Wanne ya fi kyau: Sumamed ko Amoxiclav?

Amoxiclav da analogues sune magunguna na zabi don kamuwa da cuta daga tsarin numfashi, hanjin urinary da sauran gabobin ciki.

Sumamed yana ba ku damar maye gurbin Amoxiclav a cikin kamuwa da cuta tare da ƙwayar cuta na kwayar cutar mahaifa, kumburi da tsarin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta wanda ya haifar da STIs, rashin lafiyan magungunan anti-anticterial beta-lactam, da rashin daidaituwa na maganin penicillin.

Ga yara

Sumamed da Amoxiclav suna da hadari ga yara, amma ana yawan amfani da amoxicillin a cikin ilimin yara.

Amfanin da aka yi na macrolide don kamuwa da cututtukan da ke kama da yaro shine yiwuwar ɗayan kashi ɗaya daga cikin mafi girman maganin rigakafi a cikin babban maganin otitis na tsakiya na asalin kwayoyin cuta.

Sumamed da Amoxiclav suna da hadari ga yara, amma ana yawan amfani da amoxicillin a cikin ilimin yara.

Likitoci suna bita

Amosova O.P., likitan ilimin likita, Krasnodar

Sumamed kyakkyawar wakili ne na kwayar cuta. Sau da yawa nakan tsara shi ga marasa lafiya don maganin cututtukan ƙwayar cuta (chlamydia, urea da mycoplasmosis). Ana iya sauƙaƙe maganin a sauƙaƙe ta marasa lafiya kuma yana da jigilar magunguna masu dacewa.

Idan farashin magungunan ya yi yawa, ana iya maye gurbin sa da analog na gida (Azithromycin).

Chernikov S.N., likitan dabbobi, Voronezh

Amoxiclav shine daidaitaccen maganin rigakafi don tsarin kumburi da jijiyoyin jiki. Dangane da sashi, zaka iya zaɓar nau'in kwamfutar hannu na maganin ko dakatarwa.

A mafi yawan lokuta, Amoxiclav yana da haƙuri sosai, amma a wasu halaye, babban adadin magunguna da kuma jinya mai tsawo suna haifar da zawo da ciwon ciki.

Nazarin haƙuri a kan Sumamed da Amoxiclav

Catherine, mai shekara 25, Veliky Novgorod

A ƙarshen hunturu, ta kamu da rashin lafiya, tana da zazzabi mai zafi da tari da hanci. Likita ya gano cutar tracheitis kuma an tsara shi da maganin Amoxiclav. Na sha kwayoyin hana daukar ciki a kalla na abinci sau biyu a rana, kai tsaye bayan na ci abinci. Sun taimaka da sauri, basu lura da matsaloli tare da ciki da hanji ba. Kadai kawai shine babban farashin magunguna.

Veronika, 28 years old, Samara

Sumamed magani ne mai kyau, amma ya kamata a ɗauka azaman makoma ta ƙarshe, lokacin da wasu kwayoyi ba su taimaka ba. Likita ya ba da wannan magani ga ɗansa lokacin da maganin gargajiya bai yi tasiri ba. Sumame to, ya taimaka da sauri kuma na dogon lokaci.

A lokacin jiyya, dole ne ku sha probiotics don hanji kuma kuyi la'akari da contraindications.