"Macropen": analogues, malangizo ntchito kwenikweni

ndi mankhwala "Macropen" n'chiyani? An analogue cha chida chake mitundu kumasulidwa, njira ntchito, zizindikiro, contraindications ndi mavuto Adzaperekedwa pansipa. Ifenso kukuuzani kuti akulankhula za mankhwala, odwala ndiponso kaya akhoza kutengera ana.

Zikuchokera, ma CD, mawonekedwe

Kukonzekera "Macropen" (analogi njira adzakhala mwachindunji hereinafter) amapangidwa m'njira ziwiri zosiyana. Tiyeni tione iwo mwatsatanetsatane.

• Granules anafuna kuyimitsidwa (ingested). Mankhwala lilibe zosafunika looneka liri ndi mtundu lalanje ndi kuwala fungo la nthochi. The yogwira pophika mawonekedwe izi mutuluka midecamycin nthochi. medicament mulinso zinthu ancillary monga methyl parahydroxybenzoate, mannitol, propyl parahydroxybenzoate, sodium saccharin, citric acid, silikoni antifoam, anhydrous ndi sodium mankwala a hydrogen, hypromellose, kukoma nthochi, ndi mtundu wachikasu. Mankhwalawa ali mabotolo a galasi mdima. Iwo anayikidwa mu mulu wa mapepala ndi kukhala wathunthu dosing supuni.
• "Macropen" mankhwala. limati Buku mtundu uwu wa mankhwala ndi woyera, kuzungulira, pang'ono biconvex mawonekedwe m'mbali beveled. Pa dzanja limodzi pali notching miyala. The yogwira zikuluzikulu za pochita mutuluka midecamycin. Monga excipients ntchito polacrilin potassium microcrystalline mapadi, magnesium stearate ndi talc. mawonekedwe mankhwala "Macropen" analogue (A "Azithromycin" mtundu) amagulitsidwa mapaketi chithuza, amene anaikidwa mulu wa mapepala.

The pharmacodynamic katundu wa mankhwala

Anapereka ndi analogue a mankhwala "Macropen" palokha imatengedwa njira mankhwala. Iwo ali gulu la macrolides.

Mfundo ntchito imeneyi mankhwala ndi kuti kumabwezera mmbuyo mapuloteni kaphatikizidwe maselo mabakiteriya mu Mlingo yaing'ono akusintha zotsatira bacteriostatic, ndi lalikulu - bactericidal.

Mkulu achire mphamvu ya mankhwala anaona ndi mabakiteriya galamu HIV monga Staphylococcus, Clostridium, Listeria ndi Streptococcus korinobakterii ndi galamu - Bacteroides, Campylobacter, Helicobacter, Haemophilus influenzae, Moraxella.

Komanso, mankhwala "Macropen" analogue a kaŵirikaŵiri kutumikiridwa mu kukhalapo kwa mabakiteriya awa okhudza maselo ambiri: ureaplasma, chlamydia, mycoplasma.

Pharmacokinetics

mankhwala "Macropen" yaitali bwanji odzipereka? limati Manual kuti pambuyo kutenga mankhwala mkati kwathunthu ndi mofulumira odzipereka kwa mundawo m'mimba.

Ndende apamwamba mankhwala seramu magazi zimawonedwa pambuyo maola 1-2. Pa mlingo uwu anakhalabe mpaka maola 6.

Munthawi yomweyo chakudya wambiri sikumangotikhudza mayamwidwe wa mankhwala, ndipo sizichepetsa ndende zake magazi. Pa nkhani imeneyi, Ndi bwino kutenga mankhwala ichi pamaso chakudya.

The pazipita kuchuluka kwa mankhwala opezeka parotid England, mapapo ndi khungu. kagayidwe mankhwala amapezeka m'chiwindi. Timasonyeza pamodzi ndi ya ndulu ndi kudzera impso.

mapiritsi zizindikiro ndi suspensions

N'chifukwa mankhwala "Macropen"? Analogs ndi zotsikirako mtengo komanso kwambiri mankhwala pa matenda omwe amayamba ndi tizilombo tcheru ndi mankhwala yogwira:

• matenda a dongosolo genitourinary (mwachitsanzo, Mycoplasma, Ureaplasma, mauka);
• matenda kupuma (chibayo, pharyngitis, zilonda zapakhosi, sinusitis, otitis, chifuwa);
• matenda a pa khungu ndi nembanemba mucous;
• akuphokosera chifuwa ndi diphtheria;
• enteritis, zomwe ankayambitsa ndi Campylobacter.

Iwo ayenera kukumbukira kuti mankhwala akhoza Kwalamulidwa kwa odwala amene sangakhoze kulekerera mankhwala wothandizila Penicillin.

Contraindications ntchito mankhwala

Lina ndi zoweta Anzawo "macrofoams" komanso mankhwala yokha ali osavomerezeka chifukwa:

• kudziwa midecamycin;
• aakulu kwa chiwindi kuwonongeka;
• zaka zaka zitatu (chifukwa mapiritsi).

Njira ntchito ndi mlingo wa mapiritsi

Kodi ndimagwiritsa ntchito mankhwala "Macropen" (ofanana)? Malangizo ntchito akufotokozera odwala amene mankhwala mu mawonekedwe a mapiritsi anapatsidwa mawola 8.

Ana yolemera makilogalamu oposa 30 ndipo akulu mankhwala tikulimbikitsidwa kuti atenge 400 mg katatu patsiku. Zolemba malire tsiku mlingo aakulu 1600 mg.

Mwana akulemera makilogalamu zosakwana 30 amapatsidwa 20-40 mg wa pa kg. Pa mlingo yomweyo tsiku la mankhwala lagawidwa 3 zina. Mu matenda akulu, pamwamba kuchuluka kwa mankhwala akhoza ziwonjezeke kwa mg ndi 50 pa kg.

N'zimene ndi n'zimene kuyimitsidwa

Kodi kuvomereza kuyimitsidwa, "Macropen"? Analogs (ana) ndi chida lokha kusungunuka madzi opanda. fomu iyi Kwalamulidwa malinga ndi kulemera kwa mwanayo. Mankhwala akutengedwa kawiri pa tsiku.

• ndi kulemera kwa makilogalamu 0-5 - za 3,75 mL wa njira okonzeka,
• akulemera makilogalamu 5,10 - pa 7.5 ml ya;
• ndi kulemera kwa 10-15 makilogalamu - za 10 ml;
• ndi kulemera kwa 15-20 makilogalamu - za 15 ml;
• ndi kulemera kwa makilogalamu 20-25, za 22,5 ml.

Ntchito mankhwala ana

Mu amachita Pediatrics ndi njira gululi zothandiza kwambiri komanso otetezeka. Madokotala pafupifupi konse adzawombana ndi mavuto.

Mankhwala "Macropen» kawirikawiri kumathandiza kuti dysbiosis, lomwe ndi zachilendo poika atumiki mankhwala.

Mankhwalawa "Makropenom" ana mankhwala zina odana ndi mafangasi mankhwala.

Izi zikutanthauza kuti ana amapangidwa mwapadera (granules). kuyimitsidwa A Kodi kulawa wabwino. Pa nkhani imeneyi, pa chithandizo cha odwala wamng'ono iwo konse vuto lililonse ndi mankhwala.

Iwo ayenera kukumbukira kuti pali zambiri ndithu ndemanga yothandiza makolo amene amati zotsatira achire za mankhwala nthawi zonse mkulu, ngakhale pa nthawi imene ena mankhwala a penicillin mphamvu.

mavuto pambuyo ingestion

Kuvomereza ndalama kawirikawiri amachititsa zochita chowawa. Komabe, nthawi zina, mankhwala akhoza amathandiza kuti zikamera wa kuvutika zotsatirazi:

• Pa mbali pa mundawo m'mimba: stomatitis, kusafuna kudya, kusanza, matenda a chikasu ndiyo, nseru, kumverera kwa kulemera m'mimba, kuchuluka chiwindi transaminase ntchito, yaitali ndi kutsekula m'mimba aakulu (ndi matenda a m'matumbo pseudomembranous).
• thupi lawo siligwirizana: bronchospasm, ziwengo, khungu kuyabwa, zotupa ndi eosinophilia.
• Other: mphwayi ndi kufooka.

Mwanjira mankhwala

Pamene makonzedwe munthawi yomweyo ndi mankhwala "Carbamazepine" amachepetsa kusintha zake chiwindi ndi kumawonjezera ndende m'magazi. kuphatikiza mankhwala kumaonjezera ngozi ya zotsatira poizoni wa yotsirizira (ataxia, mkodzo posungira, omangana).

Pamene co-kutumikiridwa ndi mankhwala "warfarin" kumaonjezera ngozi ya magazi, ndi "ergotamine" ndi "ergometrina" - anati zotumphukira mtima kuphipha (zotheka ischemia ndi chilonda wa malekezero), ndi "cyclosporine" - kumaonjezera ngozi ya nephrotoxicity.

malangizo Special kulandira mankhwala

Malinga ndi malangizo amene ankaona kuti njira ali mbali zotsatirazi:

• Monga kugwiritsa ntchito atumiki antimicrobial, yaitali mankhwala "Makropenom" wodwala angathe mabakiteriya azikana mankhwala.
• Ngati mankhwala amachititsa m'mimba yaitali, umasonyeza chitukuko cha matenda a m'matumbo pseudomembranous.
• Pa nthawi yaitali mankhwala n'kofunika kuti aziona ntchito za michere chiwindi. Izi n'zofunika makamaka kwa odwala ndi ntchito mkhutu a chiwindi.
• Chotero chinthu, monga mannitol (zopezeka mbewu) chingakhale chifukwa cha kutsegula m'mimba.
• Pamene pamaso pa ziwengo kuti acetylsalicylic asidi utoto wachikasu, zili m'gulu la zikuchokera lokonzekera kungakhale thupi lawo siligwirizana (mwachitsanzo bronchospasm).

Mankhwala "Macropen": analogues wa mankhwala ndi mitengo awo

Panopa analogs wa pophika mwakhama mankhwala pansi review kulibe. Ndi nkhani ya chuma a yemweyo pharmacological gulu (macrolides 2 m'badwo), mwa iwo ndi mankhwala zotsatirazi: "Azithromycin", "Clarithromycin" ndi "Josamycin". Iwo ntchito matenda bakiteriya. Koma musanagwiritse ntchito mankhwala awa zochizira ana ndi akulu, m'pofunika kuonana ndi dokotala kapena dokotala, monga akhale ndi njira yosiyana makonzedwe mlingo ndi mankhwalawo.

Price miyala ndi kuyimitsidwa "Macropen" (ndemanga analogues kukonzekera zafotokozedwa m'nkhani ino) ndi 270-360 rubles. Ngati mtengo mankhwala mopambanitsa, Mpofunika kuti m'malo ndi "azithromycin". mtengo wake ndi rubles 85-100 yekha.

Pankhani mankhwala, monga "Clarithromycin" ndi "josamycin", phindu ndi apamwamba kuposa zoyambirira (kuchokera 380 rubles).

umboni

Ndemanga za mankhwala "Macropen" makamaka positive. Ambiri a iwo anali kusiya mtima pambuyo akuluakulu a mankhwala nkusani lapansi.

Nthawi zambiri, dzuwa mkulu wa mankhwala ali kokha kusankhidwa wake yake. Ngati inu kutenga mankhwala malinga ndi malangizo (chithandizo Kutalika kwa masabata 1-2), chikhalidwe odwala chikusintha mwamsanga mokwanira. Monga ulamuliro, monga mankhwala wodwala sayenera puncture. Nkofunika kumaliza njira yonse ya mankhwala. Apo ayi, matenda angakhale aakulu.

Iwo ayenera kukumbukira kuti pali zambiri ndemanga pa chikuonetseratu kuyimitsidwa (ana ang'ono). Nthawi zambiri makolo anali okhutitsidwa ndi zotsatira za mankhwala. Malinga ndi iwo, mankhwala thandizo msanga zokwanira pamene inu kutsokomola, kuphatikizapo yaitali motero.

Nthawi zina, kupewa matenda otsekula m'mimba mwanayo ndi kupereka probiotics monga "Baktisubtil" ndi "Linex".

Pa phwando, ndi malipoti mankhwala, makolo ena kuti maonekedwe a ana zotsatirazi mavuto: kusinza, kunyansidwa ndi kusanza. Zikatero, mankhwala sinyamukanso ndipo m'malo ndi ofanana ndi otetezeka kwambiri.