"Macropen": analogues, tilmaamaha loo isticmaalo, dhabta ah

Waa maxay daawada "Macropen"? analoogga ah qalab, foomamka sii daayo, hababka codsiga, tilmaamo, sababo iyo waxyeelo ay la hoos ku soo bandhigi doonaa. Waxa kale oo aanu kuu sheegi in hadalka ku saabsan daroogada, bukaanka iyo haddii ay qaataan karaa carruurta.

Curiska, baakadaha, qaabka

Diyaarinta "Macropen" (hab analog loo cayimay doonaa oran) oo la soo saaray in laba nooc oo kala duwan. Aynu u fiirsan si faahfaahsan.

• Dhagaxyada ah loogu tala galay ganaax (daama). daroogada kuma jiraan nijaasta arki karo, waxa ay leedahay midabka orange iyo caraf udgoon iftiinka muuska. Walaxda firfircoon ee qaabkan soo fiiqan copolymer midecamycin. medicament ayaa sidoo kale waxaa ka mid ah waxyaabaha qofka jirran tusaale ahaan parahydroxybenzoate methyl, mannitol, parahydroxybenzoate propyl, saccharin sodium, qaarna, antifoam silicone, sodium ammooniya phosphate hydrogen, hypromellose, dhadhan muuska, iyo midab huruud ah. Dawada waxa ku jira dhalooyinka muraayad madow. Waxay waxaa la geeyaa raso baakado oo ay qaaddo kacmaha dhamaystiran.
• kiniinka "Macropen". dalalka Buugga in foomkan of daroogada waa cad yahay, wareega, qaab wax yar biconvex la geesaha beveled. Dhinaca mid waxaa gool kiniin. qayb firfircoon ee diyaarinta sida ay laftu midecamycin. Sida excipients isticmaalo potassium polacrilin, cellulose mikrokristallin, milmahayn magnesium iyo Rusheyn kartaa. Qaabkan daroogada "Macropen" analoogga ah waxaa ka mid ah (nooca "azithromycin") waxaa lagu gadaa baakad fin, oo waxaa la geeyaa raso baakado.

The guryaha pharmacodynamic daroogada

Soo bandhigay by analoogga ah oo daroogada ah "Macropen" laftiisa waxaa loo arkaa hab of antibiotics. Waxay ka tirsan tahay koox ee macrolides.

Mabda'a hawlgalka daroogada noocan oo kale ah waa in uu hakiyo Avv borotiinka ku jira unugyada bakteeriyada in yar ka qaataan dadkaas oo saamayn bacteriostatic, iyo ballaaran - bactericidal.

The waxtarka daweynta sare ee daroogada arkay bakteeriyada Gram-positive sida Staphylococcus, Clostridium, Listeria iyo Streptococcus korinobakterii iyo Gram - Bacteroides, Campylobacter, Helicobacter, Haemophilus influenzae, Moraxella.

Intaa waxaa dheer, daroogada "Macropen" analoogga ah waxaa ka mid ah marar aad u badan maamula iyadoo ay wada joogaan oo ka mid ah bakteeriyada intracellular: ureaplasma, chlamydia, mycoplasma.

Pharmacokinetics

daroogada "Macropen" Muddo intee leeg ayaa la nuugo? dalalka Buugga in ka dib markii qaadashada daroogada waxaa gudaha si buuxda iyo si dhakhso ah nuugo ka soo mareenka caloosha iyo mindhicirka.

tirada ugu badan ee daroogada ee serum dhiig lagu arkay 1-2 saacadood ka dib. Heer waxaa la hayo ilaa 6 saacadood.

cuntada oo wadajira wax saameyn ah kuma nuugista of daroogada, iyo ma yareeyo ay fiirsashada ee dhiigga. In xiriir this, waxaa lagu talinayaa in ay qaataan dawo this cuntada ka hor.

Lacagta ugu badan ee daroogada helay Parotid qanjirka, sambabada iyo maqaarka. Dheef-Drug dhacdaa beerka. Ma wada bandhigay la bile iyo iyada oo kelyaha.

Tilmaamayaasha kiniiniyada iyo ganaax

Maxaad qoro dawooyinka "Macropen"? Analogs iyo kharash yar iyo sidoo kale aad wax ku ool daroogada cudurada, taas waxaa keena sheyga xasaasi u ah walaxda firfircoon:

• cudurada nidaamka genitourinary (tus, Mycoplasma, Ureaplasma, Chlamydia);
• caabuqyada neef (pneumonia, pharyngitis, qumanka, hogaga, otitis, boronkiitada);
• cudurada of maqaarka iyo xub-axaleedka;
• xiiq-dheerta iyo gawracatada,
• enteritis, kuwaasi oo ay sababa Campylobacter.

Sidoo kale waa in la ogaadaa in daroogada taas waxaa laguugu qori karaa bukaanka kuwaas oo aan u dulqaadan karin penicillin wakiilka antibiotic.

Sababo isticmaalka daroogada

dhigooda Dibadda iyo gudaha "macrofoams" iyo sidoo kale daroogada laftiisa laguma talinayo:

• dareen in midecamycin;
• dhantaalan cagaarshowga daran;
• da'doodu tahay ilaa saddex sano, (waayo, kiniin).

Hababka loo codsiga iyo qiyaasta kaniiniyada

Sidee baan u isticmaalaan daroogada "Macropen" (la mid ah)? Tilmaamaha loogu isticmaalo warrami bukaanka in daroogada qaab kiniin siiyey 8 saac oo kasta.

Carruurta oo miisaankeedu yahay in ka badan 30 kg iyo dadka waaweyn ee daroogada ayaa lagu talinayaa in ay qaataan 400 mg saddex jeer maalintii. dose maalin walba ugu badan ee dadka waaweyn waa 1600 mg.

Child oo miisaankeedu yahay in ka yar 30 kg waxaa la siiyaa 20-40 mg halkii kg. At dose isku maalin kasta daawada u qaybsan yahay 3 jeer. In cudurada daran, lacagta kor ku xusan ee daroogada waa la kordhin karaa ilaa 50 mg halkii kg.

Keeneysa oo keeneysa in ganaax

Sidee si ay u aqbalaan ganaax, "Macropen"? Analogs (carruurta) iyo qalab laftiisa kala diri biyo cad. Foomkaan waxaa loo qoray ku xiran tahay miisaanka ilmaha. Daawada waxaa qaaday laba jeer maalintii.

• oo leh miisaan ah 0-5 kg - oo ku saabsan 3.75 mL ee xalka loo diyaariyey;
• culeyskiisu yahay 5.10 kg - oo ku saabsan 7.5 ml,
• oo leh miisaan ah 10-15 kg - 10 ml,
• oo leh miisaan ah 15-20 kg - 15 ml,
• oo leh miisaan ah 20-25 kg, oo ku saabsan 22.5 ml.

Isticmaalka daroogada ee carruurta

In heshiisyo Caruurta la yahay waxaa loo arkaa ugu fiican oo ammaan ah. Dhakhaatiirta ku dhowaad marnaba isku leh waxyeelo ka.

Drug "Macropen» dhif kordhinaya dysbiosis, taas oo waa wax caadi ah in magacaabidda wakiilada kale antibiotic.

In lagu daweeyo carruurta "Makropenom" ma qori daawooyinka anti-fangas oo dheeraad ah.

Taas macnaheedu waxa loogu talagalay carruurta waxaa la soo saaray foom gaar ah (dhagaxyada ah). ganaax A uusan dhadhamin wanaagsan. Marka tan la eego, inta lagu guda jiro daaweynta bukaanada dhallinyarada ah, weligoodna ma wax dhibaato ah daawo.

Sidoo kale waa in la ogaadaa in ay jirto wax badan oo ka mid ah jawaab-celin wanaagsan ka waalid kuwaas oo ku andacooday in saamaynta ku daweynta ee daroogada this had iyo sare, xitaa in kiisaska kale antibiotics penicillin karayaan.

waxyeello ka soo gaartey ka dib markii uu qofku cuno

Aqbalaada lacagaha dhif keena dhibaato. Si kastaba ha ahaatee, mararka qaarkood, daroogada weli ka gaysan karaan in ay soo bixitaanka of the aan caadi ahayn soo socda:

• On qayb ka mid ah marinka dheef shiidka, stomatitis, rabitaanka cuntada oo luma, matag, cagaarshow, lalabo, dareen u tiiraanyooday in caloosha, kordhay dhaqdhaqaaqa transaminase beerka, sii dheeraaday oo shuban daran (la colitis pseudomembranous).
• cadaanyo: bronchospasm, finan maqaarka, maqaar cuncun, finan iyo eosinophilia.
• Kale: feejignaan xumo iyo daciifnimo.

isdhexgalka daroogada

Marka maamulka isku mar daawooyin "carbamazepine" hoos ay isbadal ku dhaca beerka iyo kordhisaa-fiirsashada ee dhiigga. Tani waxay isku dhafan oo ah daawooyinka ay kordhayso khatarta waxyeello sun ah dambe (ataxia, haynta kaadida, casiraad).

Marka co-maamula leh "warfarin" daroogada wuxuu kordhiyaa khatarta ah ee dhiig-bax, la "kadeed ah" iyo "ergometrina" - arkay dabac dhuumaha ugu sarreeya (ischemia suurto gal ah iyo gangrene of jirka ah), iyo "Cyclosporine" - kordhiyaa halista ah ee nephrotoxicity.

tilmaamaha gaarka ah ee qaata daawada

Sida laga soo xigtay tilmaamaha, tixgeliyo hab uu leeyahay sifooyinka soo socda:

• Sida isticmaalka wakiilada kale antimicrobial, muddo-dheer daaweynta "Makropenom" bukaanka waxaa laga yaabaa in la horumariyo bakteeriyada iska caabin ah daroogada.
• Haddii daawada keena shuban daba dheeraaday, waxay muujinaysaa horumarka of ulcerös pseudomembranous.
• Inta lagu jiro muddada-dheer therapy waa lagama maarmaan si ay ula socdaan dhaqdhaqaaqa ee falgalka beerka. Tani gaar ahaan waa run bukaannada qaba hawlgalka oo yaraada ee xubnaha this.
• walax noocan oo kale ah, sida mannitol (laga helo miraha) waxaa laga yaabaa sababta oo ah shuban.
• Marka joogitaanka xasaasiyadda si acetylsalicylic dheeh huruud acid, waxaa ka mid ah in Halabuurka ee diyaarinta ka cadhaysiinina karaan dareen diidmo oo xasaasiyadeed (tus bronchospasm).

Drug "Macropen": analogues daroogada iyo qiimaha ay

Currently analogs of qayb firfircoon ee daroogada ka yar dib u eegis kajirin. Iyadoo la tixgelinayo in hantida ay leeyihiin koox isku pharmacological (macrolides jiilka 2aad), ka mid ah daawooyinka hoos ku qoran: "azithromycin", "Clarithromycin" iyo "Josamycin". Waxaa sidoo kale loo isticmaalaa in cudurrada bakteeriyada. Laakiin ka hor inta la isticmaalayo antibiyootiko, kuwaas oo lagu daaweyn jiray carruurta iyo dadka waaweyn, waxaa lagama maarmaan ah in la tasho dhakhtar ama dhakhtarka carruurta, sida laga yaabaa in ay leeyihiin siyaabo aad u kala duwan oo ka mid ah maamulka, qiyaasta iyo dhibaatooyinka soo raaca.

Price of kiniiniyada iyo ganaax "Macropen" (analogues dib-diyaarinta waxaa looga hadlay this article) waa 270-360 rubles. Haddii qiimaha antibiotic sida waa mid aad u sareeya, waxaanu kugula talinaynaa in aad bedesho "azithromycin". Its qiimaha waa rubles oo kaliya 85-100.

Iyadoo la tixgelinayo daroogada, sida "Clarithromycin" iyo "josamycin", qiimaha uu ka badan yahay asalka ah (ka 380 rubles).

Kurtumm

Reviews of daawo "Macropen" inta badan wanaagsan. Wuxuu ahaa badankoodu ka tagay bukaanka ka dib markii maamulka daroogada ee sanka ah.

Marar badan, tayada sare ee daroogada ayaa lagu arkay oo keliya uu ballan ku habboon. Haddii aad qaadato daawada sida ku cad tilmaamaha (mudada daaweynta 1-2 toddobaad), xaaladda bukaanka waxaa horumarinta dagdaga oo ku filan. Sida caadiga ah, daaweynta noocan oo kale ah bukaanka uma baahna in dillacinin. Waa arrin aad u muhiim ah si ay u dhamaystiraan koorsada oo dhan therapy. Haddii kale, cudurka waxa uu noqon karaa chronic.

Sidoo kale waa in la ogaadaa in ay jiraan badan oo dib u eegista on ganaax gelitaanka (ee carruurta yar yar). Xaaladaha intooda badan, waalidku waxay ku qanacsan natiijooyinka daaweynta. Sida laga soo xigtay iyaga, daroogada gargaar deg deg ah oo ku filan marka aad qufacdo, oo ay ku jiraan in muddada dheer.

Marar dhif ah, si looga hortago shuban ilmaha iyo siin fogaado sida "Baktisubtil" iyo "Linex".

Inta lagu guda jiro soo dhaweynta, warbixinta daawada, waalidka qaar ayaa sheegaya muuqaalka kore ee carruurta dhibaatooyinka soo socda: hurdo, lalabo iyo matag. Xaaladaha noocaas ah, daawada waa la joojiyay iyo bedelay u dhigma ka sii xasil.