"Z-Chinthu": ndemanga, malangizo ntchito, mavuto

Medicine "Z-Chinthu" malangizo Buku lofotokoza ndi mankhwala bacteriostatic cha gulu la macrolides, azalides. Mankhwala ali sipekitiramu yotakata kanthu antimicrobial. Limagwirira cha zochita kugwirizana ndi yimitsira wa kaphatikizidwe mapuloteni maselo tating'onoting'ono, potero liwiro kukula ndi kubereka mabakiteriya. Mankhwala "Z-Chinthu", ndemanga za odwala ndiponso akatswiri omwe nthawi zambiri zabwino, polimbana ndi zamoyo intra- ndi extracellular galamu alibe ndi galamu HIV ndi ena anaerobic. Nthawiyi tizilombo toyambitsa matenda Mwina poyamba kukhala kugonjetsedwa medicament kapena kupeza kukana ichi pa ntchito ya mankhwala.

katundu pharmacokinetic

Yogwira zikuluzikulu za mankhwala "Z-Chinthu" malangizo Buku lotchedwa azithromycin. Bwino odzipereka mu thupi anagawira msanga. Pambuyo mlingo umodzi wa mamiligalamu 500 zikutanthauza bioavailability ndi 37 peresenti, pambuyo maola awiri kapena atatu mu madzi ndi analengedwa ndende apamwamba - 0.4 mamiligalamu pa lita. Medicine "Z-Chinthu" likulowerera selo nembanemba ndipo kuwapititsa ku malo a phagocytes matenda, kumene pamaso pa nthumwi anamasulidwa. The medicament akudutsa mosavuta gistogematicalkie zotchinga. Mu zimakhala ndi maselo a ndende wa kakhumi ndi makumi asanu kuposa anamuona pa plasma, nthawi yomweyo gwero la matenda ndi pafupifupi cent 24-34 pa kuposa mu zimakhala wathanzi. Kamodzi mu chiwindi, mankhwala ndi demethylated, motero kutaya ntchito. Atalandira azithromycin mu woipa achire anapitiriza mu thupi kwa masiku asanu ndi aŵiri linachokera makamaka labwinobwino intestine (50 peresenti) ndi impso (6 peresenti).

zikuonetsa kuti

A medicament bwino matenda opatsirana ndi yotupa chifukwa cha tizilombo atengeke mankhwala. Choncho, medicament ntchito "Z-chinthu" mu nkusani, sinusitis, zilonda zapakhosi, media otitis, pharyngitis ndi pathologies zina chapamwamba kupuma thirakiti thirakiti chapamwamba kupuma. Mankhwala ndi matenda wa kapepalako m'munsi kupuma: matenda, chibayo, kuphatikizapo chifukwa cha tizilombo toyambitsa matenda atypical. ntchito mankhwala "Z-Chinthu" malangizo ntchito akulimbikitsidwa matenda zofewa minofu, khungu: dermatoses, erysipelas, impetigo; matenda pa mundawo mkodzo: cervicitis, urethritis.

Fomu kumasulidwa

mankhwala amapangidwa mu mawonekedwe a miyala ndi makapisozi. Miyala "Z-Chinthu" lenticular, oblong, yokutidwa ndi kuwala pinki chipolopolo. Valium mmatumba mu mapaketi a atatu. Makapisozi mwayera, molimba, gelatin; nkhani - osakaniza ufa ndi granules. Mmatumba mu 6 kapena 10 mu matuza metering.

kapangidwe

Mu piritsi limodzi Amalalikira pophika - azithromycin (mu mawonekedwe dihydrate) - alipo mu kuchuluka kwa mamiligalamu 500 pa kapisozi ndi - 250 mamiligalamu. Monga akuthandiza zigawo zikuluzikulu mu zikuchokera miyala ntchito povidone, magnesium stearate, dihydrate kashiamu wa phosphate, ndi sodium lauryl sulphate crospovidone, talc, titaniyamu dioxide, wofiira asidi utoto, hydroxypropylmethylcellulose, polysorbate. zinthu Secondary ongokhala makapisozi zinthu chimanga wowuma, sodium lauryl sulphate, methyl parahydroxybenzoate, shuga mkaka, asidi acetic, laktopress, aerosil, magnesium stearate, povidone, titaniyamu dioxide, gelatin, ndi propyl parahydroxybenzoate.

Features wa ntchito, mlingo

Mankhwalawa ayenera kumwedwa pakamwa kamodzi pa tsiku, ola limodzi musanadye kapena maora awiri. Matenda pa mundawo kupuma, chapamwamba ziwalo kupuma, zofewa minofu ndi khungu mankhwala mlingo tsiku la 500 mg, chithandizocho ikupitirira kwa masiku atatu. Njira ya chithandizo cha migrans erythema zotsatirazi: tsiku loyamba kulandira 1000 mg, kuchokera wachiwiri kwa tsiku lachisanu - 500 mg tsiku lililonse. Mu wopepuka cervicitis urethritis kukhala mono- kapena kutenga 1000 mg wa mankhwala. Odwala matenda kugwira ntchito zolimbitsa aimpso, kusintha mlingo chofunika.

Mankhwalawo. Reviews

Wa pakutchulidwa mosiyanasiyana chowawa pambuyo kutenga mankhwala, "Z-Chinthu" pali mayankho osiyana. Nthawi zambiri, odwala amadandaula m'mimba, nseru, kusanza, kupweteka m'mimba, kudzimbidwa, kusinza. Odwala ena afotokoze zotsatira zoyipa monga chizungulire, omangana, mutu. Nthawi zina ofuntha, manjenje, tinnitus, mavuto kumva, mkhutu maganizo kununkhiza ndi kukoma. The malangizo ntchito mwa zotheka mavuto kutchulidwa ndi monga paresthesia, asthenia, anorexia, pseudomembranous matenda a m'matumbo, kwa chiwindi necrosis, arrhythmia, kuchepa magazi, nephritis, neutropenia, vaginitis, arthralgia, photosensitivity, angioedema, chiwindi, poizoni epidermal necrolysis, erythema multiforme . odwala munthu amasonyeza "Z-Chinthu" amapezeka, ofuna nkhawa pambuyo ntchito mankhwala osokoneza bongo. Reviews, mwa zina, ali ndi mfundo zimene mankhwala kungakhale kusintha chinenero cha mtundu, kudzimbidwa, totupa pakhungu ndi kuyabwa.

contraindications

Musagwiritse ntchito anthu medicament ndi hypersensitivity kuti macrolides ndi koopsa chakhungu impso ntchito / chiwindi. Mankhwala "Z-Chinthu" ana kwa zaka khumi ndi osankhidwa. Komanso, musatenge mankhwala kwa amayi nthawi mkaka wa m'mawere, pamodzi ndi dihydroergotamine ndi ergotamine, odwala akusowa lactase, ndi tsankho majini kuti galactose malabsorption glyukozogalaktoznoy. CHENJEZO Kwalamulidwa mankhwala anthu akudwala matenda osawopsa wa aimpso / kwa chiwindi, arrhythmia kapena kutengera za thereto. Mimba, mankhwala ntchito kokha ngati phindu sikhala ndi mayi ali wamkulu kuposa chiopsezo zotheka kuti chitukuko cha mwana wosabadwayo.

ambiri osokoneza

M'mimba, nseru, kusanza angathe vuto la kulandira Mlingo kwambiri tsiku lokonzekera "Z-chinthu." Reviews anthu umboni za maonekedwe a chizindikiro ichi monga imfa kanthawi mmakutu. Mu ambiri osokoneza kutumikiridwa mankhwala symptomatic.

Mwanjira ndi mankhwala ena

Mankhwalawa ayenera kumwedwa kuchepetsa ndi 30 peresenti ndende ya azithromycin mu madzi, kotero medicament "Z-Chinthu" ayenera kumwedwa ola osachepera limodzi musanamwe kapena maora awiri ntchito mankhwala ndi zakudya. Ndende mu plasma didanosine, methylprednisolone, carbamazepine, rifabutin, pamene ntchito pamodzi, azithromycin si bwanji. Komabe, sitingathe kukusalani zotsatira zake pa ndende ya cimetidine indinavir, triazolam, fluconazole, midazolam, efavirenz, trimethroprim. Ngati mukufuna kugwiritsa ntchito mankhwala, "Z-Chinthu" imodzi ndi cyclosporine kapena digoxin, m'pofunika kuti aziona madzi a m'magazi zapitazi, ndipo pamene ntchito pamodzi ndi warfarin tikulimbikitsidwa mosamala kuyan'ana prothrombin nthawi. Dongosolo munthawi yomweyo terfenadine ndi azithromycin zingachititse arrhythmia, komanso kutalikitsa QT imeneyi.

Kusamala

Ngati wodwala anaiwala kumwa mankhwala, utenge mlingo anaphonya posachedwapa, ndi lotsatira - ndi imeneyi ya tsiku (24 hours). Mankhwalawa ndi azithromycin, komanso kukhazikitsa chithandizo chilichonse mankhwala, pali chiopsezo superinfection inalowa, kuphatikizapo mafangasi. Zochizira zilonda zapakhosi ndi pharyngitis chifukwa cha Streptococcus pyogenes, ndi kupewa malungo enaake ophwanya nthawi zotchulidwa Penicillin. Tikumbukenso kuti azithromycin ndi polimbana matenda streptococcal, koma si oyenera kupewa matenda enaake ophwanya m'thupi.

"Z-Chinthu" mankhwala. analogs

Mwamsanga ine ndiyenera kuti amatanthauza "Z-Chinthu" si mankhwala pachiyambi. Ndi zoweta generic mankhwala "Sumamed" anakamba mu 1980 ndi akatswiri a Chikolowesha mankhwala kampani "Pliva". Pakali pano, kugulitsa ndi analogues ambiri "Sumamed": kuwonjezera mankhwala "Z-Chinthu", iwo monga mankhwala monga "Azitroks", "Hemomitsin", "Azitsid", "Sumatrolid soljutab", "Zitrolid", " azivok "," safocid "," Azitral "," Sumamoks "," Sumametsin "ndi ena. Kotero, kodi pali kusiyana chakuti kuvomereza: generic "Z-chinthu" kapena "Sumamed" imene ili mankhwala oyambirira? Yankho wopezeka pa funso limeneli ayi. Malinga ndi katundu pharmacological mankhwala zofanana, kusiyana kokha ndi Mlengi ndi mtengo. Komabe, odwala ambiri amaona kuti analogi ndi tanthauzo kwambiri kuposa pachiyambi, chifukwa kupanga ake osati maphunziro matenda ndi mayesero. Ngati mukumaika chidwi pa mtengo, ndi bwino kugula njira "Z-Chinthu": mtengo wa makapisozi asanu avareji 171-187 rubles, pamene makapisozi asanu "Sumamed" inu kulipira 448-530 rubles.

Maganizo odwala za mankhwala "Z-Chinthu"

Reviews anthu za mankhwala kwenikweni wabwino. Ambiri a anthu omwe akhala ntchito mankhwala, mwa ubwino wake onani Mwachangu mkulu pa mtengo wotsika. Odwala akusonyeza kuti mankhwala makamaka amawathandiza angina. Iye akuona tsiku lotsatira atalandira ndalama ali kwambiri bwino, ndi zilonda zapakhosi, chifuwa, zopweteka mu malo. Komanso mankhwala bwino relieves sinusitis: Pa tsiku lachiwiri la mankhwala kumatha m'mphuno kuchulukana, siyani mutu. Nthawiyi, osati ndemanga onse kotero positive. Anthu ena amayankhula za chitukuko cha matenda amphamvu m'mimba odwala kulandira amatanthauza "Z-chinthu." odwala munthu inanena kuti atakhala makapisozi a / mapiritsi anayamba kumva zoipa: panali zizindikiro monga mantha, kufupika kwa mpweya, palpitations mtima, nkhawa, mantha. Zikatero, mankhwala ayenera anasiya amuthandize akatswiri.

zina zambiri

Medicine "Z-Chinthu" wa pharmacies pa mankhwala kuchipatala. Luso kuyendetsa njira ndi magalimoto kukonzekera alibe chochita. Alumali moyo kuyambira kutuluka kwa zaka ziwiri, mankhwala ziyenera kusungidwa mwa ana sangawapeze ndi kutetezedwa kukhudzana ndi dzuwa pa kutentha osati choposa madigiri 25 Celsius.