"Zinnat": Anzawo. Mankhwala "Zinnat": ndemanga, mtengo

mankhwala "Zinnat" Akhozanso kusankha pansi madokotala aliyense zolakwika? Analogs za mankhwala, katundu pharmacological ndi malangizo ntchito Adzaperekedwa pansipa. Ifenso kukuuzani kapena zikutanthauza kuti contraindications ndi mavuto, mitundu imene chogulitsidwa, amene ali kapangidwe ndi katundu wa zimene ndalama, ndi zina zotero.

mitundu amasulidwe mankhwala ndi zikuchokera awo

Mu mawonekedwe zimene mungazipeze pa mankhwala mankhwala "Zinnat"? analogues ake chopangidwa zosiyanasiyana. Monga ntchito yokonza anati, zikhoza kugulidwa mu mawonekedwe a miyala, ndi granules kwa kuyimitsidwa. Taganizirani kwa mankhwala kwa deta izi mwatsatanetsatane:

• "Zinnat" mankhwala. The Malamulo linalanda kuti mankhwala, ananena kuti mapale onse mwapadera TACHIMATA. mankhwala lili mchitidwe yogwira monga cefuroxime. Komanso, medicament "Zinnat" (125 mpaka 250 mg) chikuphatikizaponso zigawo wothandiza. Awa: mafuta hydrogenated masamba, sodium croscarmellose, colloidal pakachitsulo dioxide, microcrystalline mapadi, Opaspray White, ndi sodium lauryl sulphate propylene glycol, propyl parahydroxybenzoate ndi methyl hydroxypropyl mapadi, methyl parahydroxybenzoate. The katoni paketi ya mankhwala kungakhale mapiritsi 5 kapena 10.
• Medicament "Zinnat" (kuyimitsidwa). Izi granules oyenera yokonza kuyimitsidwa wokoma zochizira ana ang'ono ndi achinyamata. Anapanga njira ayenera kumwedwa mkati yekha. Monga miyala, ndi yogwira mankhwala kukonzekera ndi mtundu wa cefuroxime. Komanso pellets mankhwala "Zinnat" (125 mpaka 250 mg) ndipo muli zigawo wothandiza. Izi acesulfame potassium saccharose, madzi oyera, povidone K30, asidi stearic, aspartame, xanthan chingamu ndi kununkhira ana "Tutti-frutti." Mu kugulitsa mankhwala "Zinnat" limachokera mu granules
  mu galasi mdima mbale pa buku la 50 ml. Komanso, ntchito yabwino ya zida za chikuphatikizapo dosing supuni ndi chingwe chikho.

Tikumbukenso kuti ena makampani mankhwala kubala ndi ufa "Zinnat" anafuna kuti mtsempha ndi mu mnofu jekeseni.

The pharmacological katundu wa mankhwala

Kodi pharmacological makhalidwe medicament "Zinnat" (250 ndi 150 mg)? Anati kukonzekera ndi wachiwiri m'badwo cephalosporin mankhwala anafuna makonzedwe m'kamwa. Iwo bactericidal tingati kusokoneza bakiteriya selo khoma kaphatikizidwe. The medicament ali sipekitiramu ndi yotakata kanthu. Sitingathe kunena kuti kugonjetsedwa ambiri beta-lactamases.

mankhwala polimbana ndi matenda mabakiteriya,

Mokhudzana ndi mabakiteriya omwe ndi othandiza kwambiri medicament "Zinnat" (250 ndi 150 mg)? Childs, nthawi zambiri kwambiri zotchulidwa ndi aerobic mabakiteriya galamu HIV monga Staphylococcus ndi Staphylococcus epidermidis (kuphatikizapo tizilombo ta amene ali kugonjetsedwa ndi penicillin ndi kupatulapo methicillin zosagwira tizilombo ta osowa). Komanso, mankhwala kwambiri mogwira pyogenes, Streptococcus pneumoniae, Streptococcus Gulu B, ndi kuphokosera chifuwa.

Kuwonjezera ankaimira medicament zambiri analamula kulamulira aerobic galamu alibe tizilombo (Escherichia coli, Klebsiella SPP., Providencia SPP., Haemophilus influenzae ndi tizilombo ta ampicillin zosagwira).

Sitingathe kunena kuti mankhwala "Zinnat" kwambiri pankhani gonococci (ta kukonza ndi wosapatsa penicillinase), meningococcus, nsomba ndi ena.

Komanso, tisaiwale kuti chinthu yogwira - cefuroxime - kugonjetsedwa mitundu methicillin zosagwira wa Staphylococcus aureus ndi epideramalnogo, Campylobacter SPP, Pseudomonas SPP, Listeria, etc .....

Malinga ndi kafukufuku ndi akatswiri, kuphatikiza wa pophika yogwira mankhwala ndi mankhwala a gulu aminoglycoside, odwala akhoza kuona zotsatira zowonjezera ndi zina synergy.

Zikuonetsa ntchito mankhwala

Nthawi zina, mankhwala opha tizilombo "Zinnat"? Mtengo wa mankhwala zosiyanasiyana, chiri motere. Malinga mankhwala malangizo, ayenera kumwedwa pamaso pa pathologies monga:

• ENT matenda. mankhwala akusonyeza kuti zilonda zapakhosi (kutupa tonsils), pharyngitis (kutupa pharynx ndi), pachimake otitis TV (kutupa khutu pakati) ndi sinusitis (kutukusira kwa m'njira za m'mphuno paranasal).
• Matenda wa kapepalako m'munsi ndi chapamwamba kupuma. Mankhwala "Zinnat" angina amathandiza bwino. Komabe, nthawi zambiri zotchulidwa mu kukhalapo kwa matenda ena. Zikuphatikizapo pambuyo ntchito matenda a ziwalo za chifuwa, m'mapapo abscess (kapena ndondomeko kudzikundikira mafinya mu minofu ya m'mapapo), bronchiectasis matenda (ie, patsogolo bronchus, ndilo sizingasinthe), bakiteriya chibayo ndi aakulu / pachimake matenda.
• Granules ndi miyala "Zinnat", malangizo ntchito imene muli mfundo wonse kuti alandire njira medicament akhoza zotchulidwa dokotala matenda a zimakhala zofewa ndi khungu. matenda monga matenda otsatirawa limati: abscess (kapena purulent minofu kutupa), pseudoerysipelas (ie, matenda a pakhungu), abrasions kupanga kuchuluka zithupsa, namkulunga, matenda, imene minofu chulukanani mofulumira tizilombo toyambitsa matenda, impetigo (ie, mapangidwe pustules kuti ankayambitsa ndi streptococci ndi staphylococci), erysipelas (aakulu kutupa kwa khungu chifukwa cha streptococcus), pyoderma (matenda khungu amene chikwiyire ndi mikroorgan pyogenic timalingaliro).
• Matenda a dongosolo genitourinary. The medicament "Zinnat" analogues kukonzekera izi (ngati n'koyenera m'malo mwa njira anafotokoza) akhoza kutumikiridwa mu pachimake kapena aakulu pyelonephritis (kutupa impso), urethritis (kutupa makoma mkodzo), cystitis (kutukusira kwa chikhodzodzo), asymptomatic bacteriuria (kulamulira mkodzo mabakiteriya thirakiti), chinzonono (nthenda, amene amayamba ndi gonococcus).
• M'chiuno matenda. Mankhwala bwino kuchitira cervicitis (ie, kutupa khomo pachibelekeropo), endometritis (kutupa kwa akalowa la chiberekero kapena) ndi adnexitis (kutukusira kwa zokhudzana uterine).
• Matenda zimfundo ndi mafupa. Kodi inu chinapululutsa mmwamba, kugwiritsa ntchito "Zinnat" ndithu kwambiri. Thiabendazole angagwiritsidwe ntchito osati mankhwala ziwalo ndi matenda khungu, komanso mafupa. Choncho, nthawi zambiri zotchulidwa odwala septic nyamakazi (malowedwe mabakiteriya kuti patsekeke zimfundo) ndi osteomyelitis (purulent kutupa periosteum a).
• Komanso, mankhwala othandiza kwambiri mu oumitsa khosi (kutupa kwa ubongo ndi msana), matenda Lyme (opatsirana ndi kuluma kwa nkhupakupa) ndi sepsis (i.e., matenda oyamba ndi bakiteriya kulowa magazi, unicellular bowa kapena poizoni).

Komanso ndi thandizo la mankhwala "Zinnat" khalidwe ndi kupewa mavuto pa ntchito pa thorax, ziwalo za pamimba, mafupa a chiuno ndi mafupa.

Malinga ndi mayankho a odwala ndi akatswiri, mankhwala othandiza kwambiri mu zonse pathologies pamwambapa. Koma si mu ngati iwo anali oyamba ndi bakiteriya tcheru anati mankhwala. Koma ngati palibe zotsatira kuchokera kutenga mankhwala palibe, muyenera kuona dokotala ndi kubatizidwa kufufuza mankhwala kachiwiri.

Contraindications ntchito mankhwala

The medicament "Zinnat" chithunzi chimene m'nkhani ino ali osavomerezeka wodwalayo ndi thupi lawo siligwirizana ndi penicillin, mu hypersensitivity kwa thunthu yogwira (cefuroxime) ndi matenda ndi magazi ziwalo m'mimba. Musapereke iye ana kwa miyezi itatu.

Iwo ayenera kukumbukira kuti mankhwala ayenera kumwedwa mosamala kwambiri kwa amayi apakati (makamaka trimester) ndi pa kuyamwitsa mwana.

Mankhwala "Zinnat": malangizo ntchito, mtengo

Zotsatirazi poika mankhwala anati, dokotala ayenera kuwafotokozera mtima wake momwe ntchito chipangizo ichi mankhwala. Komanso, musanayambe kumwa tikulimbikitsidwa kuti mukuwerenga malangizo Ufumuyo.

Miyala "Zinnat" ayenera kumwedwa nthawi kapena nthawi yomweyo pambuyo kudya chakudya. Mu angina ndi matenda ena akulimbikitsidwa kugwiritsa ntchito mankhwala kwa masiku 5-10. Pamene Lyme matenda nthawi terpene akhale masiku osachepera 20.

Nthawi zambiri mankhwala "Zinnat" mu angina ndi matenda ena opatsirana wapemphedwa kuti akulu mu kuchuluka kwa 250 mg kawiri pa tsiku. Pyelonephritis wothandizila mankhwala ntchito ndi pafupipafupi yomweyo koma ndalama ya 125 mg.

Kukayikitsa chibayo, komanso matenda Lyme, ndi woopsa matenda kupuma thirakiti mankhwala mu mlingo umodzi akhale pa 250 ndi 500 mg. Pokhalabe ndi periodicity awiri. Chinzonono (wopepuka) mankhwala tikulimbikitsidwa kuchita kuchuluka kwa nthawi patsiku 1 chaka

Mankhwala "Zinnat" (kuyimitsidwa ana): malangizo ntchito mankhwala

Kukachitika kuti mankhwala ndi mankhwala wakhala anasankha mwana, madokotala kulengeza ntchito pellets anafuna kuti yokonza kuyimitsidwa wokoma. Motero m'pofunika tione kuti 10 ml ya kukonzekera madzi zizigwirizana 250 mg wa mankhwala yogwira (cefuroxime).

Kodi mlingo prescribers "Zinnat" (kuyimitsidwa) ana? Malangizo kwa chida limanena kuti achinyamata opitirira zaka 12 wa mankhwala chikuyendetsedwera kawiri pa tsiku pa 125 mg.

Ana miyezi itatu zaka 12 za mlingo umodzi masamu ndi kuchulukitsa mg ndi 10 pa kilogalamu ya kulemera kwa mwana. Pafupipafupi chikuonetseratu kuti ana ndi chimodzimodzi kuti achinyamata.

Mu aakulu matenda achinyamata matenda ndi otitis TV zaka zoposa 12 awerenge mankhwala mu kuchuluka kwa 250 mg kawiri pa tsiku, ndi mwana ndi miyezi itatu - 15 mg / kg (ndi multiplicity ofanana).

The jekeseni mawonekedwe a mankhwala: malangizo ntchito

Tsopano inu mukudziwa momwe mwana amapatsidwa mankhwala "Zinnat" (kuyimitsidwa). Komabe, tisaiwale kuti, kuwonjezera pa granules ndi miyala, ndi medicament amachoka mu mawonekedwe a ufa jekeseni.

Pakuti makonzedwe mu mnofu ndi mtsempha wa mankhwala kwa akulu katatu patsiku akapatsidwa 750 mg. Ngati wodwalayo matenda aakulu kwambiri, mlingo umodzi kuchuluka kawiri.

Ana akhozanso jekeseni "Zinnat". Pankhaniyi chikuyendetsedwera katatu patsiku. Pamene mlingo uwu kuchita masamu ndi kuchulukitsa 60 mg wa yogwira pawiri pa kilogalamu thupi × wachinyamata.

Mu zizindikiro matenda akhoza kusuntha ndi ntchito parenteral mankhwala, kuyimitsidwa kapena miyala.

Zotsatira zoyipa za mankhwala pambuyo ingestion

Kodi pali zovuta zilizonse atalandira "Zinnat" mankhwala? Yankho la funso umenewu uli mankhwala kalozera.

Kotero, kuti mavuto pambuyo ntchito anati njira ndi izi zochitika chowawa:

• malungo, urticaria ndi pruritus (kuwonetseredwa pa khungu), totupa pakhungu ndi chitukuko anaphylaxis;
• hypoprothrombinemia, leukopenia, hemolytic magazi m'thupi, thrombocytopenia, ndi eosinophilia;
• kumva imfa, khunyu, mutu, ndi kugona;
• m'mimba, kuchuluka ntchito za michere chiwindi, kusanza, matenda a chiwindi, cholestatic matenda a chikasu ndiyo ndiponso nseru;
• vaginosis, dysbiosis, ndi interstitial nephritis.

Iwo ayenera kukumbukira kuti mubwereze za odwala anati medicament mauthenga sizachilendo kuti pambuyo kutenga mankhwala zina za kugonana fairer amapezeka thrush. Zikamera wa totere kupatuka ndi chifukwa kukula lalikulu candida bowa gulu mu nthawi ya mankhwala opha tizilombo.

malangizo enieni kugwiritsa ntchito mankhwala

Ngati mankhwala ntchito kwa nthawi yaitali, wodwalayo akhoza kuchuluka chulutsa tizilombo kugonjetsedwa. Monga ulamuliro, izo umafuna kutha msanga mankhwala.

Ndi palibe chinsinsi chimene phwando mankhwala anabiotic zambiri kumayambitsa zikamera wa m'mimba. Ndipo mankhwala "Zinnat" - yotero. Choncho, odwala kumwa mankhwala ino, tiyenera adzanyamula kukumbukira kuti pa maziko awa, iwo akhoza kukhala pseudomembranous matenda a m'matumbo.

Malinga ndi chizolowezi achire, pa chithandizo ndi mankhwala matenda Lyme odwala kuona Jarisch-Herxheimer. Malinga ndi akatswiri, ndi mtundu wa zotsatira za zotsatira bactericidal wa mankhwala pa causative wothandizila - spirochete Borrelia burgdorferi. Kuti wodwalayo si zokha kusiya kumwa mankhwala, dokotala ayenera kufotokoza kwa iye kuti ndi zofala pafupipafupi chifukwa cha mankhwala a Lyme matenda. Patapita nthawi zina kwa nthawi athamanga paokha.

Ngati mankhwala "Zinnat" anapatsidwa odwala ndi matenda a "shuga", ayenera amaonanso kuti gawo la slurry inaphatikizapo sucrose. Pankhaniyi, izo tikulimbikitsidwa kuti m'malo anati mawonekedwe za mankhwala wina. Mwachitsanzo, piritsi kapena ufa anafuna njira jekeseni mtsempha kapena mu mnofu.

Kukachitika kuti mankhwala a matenda kwa mwana wamng'ono kapena mwana anapatsidwa mankhwala monga kuyimitsidwa ndi, ayenera kudziwa kuti ndi zofunika kukonzeketsera ntchito ofunda, osati otentha madzi.

Mogwirizana ndi njira zina zachipatala

Ndingatani kutenga mankhwala "Zinnat" ndi mankhwala ena? Nthawi zambiri, inde. Koma ayenera kuganizira mfundo zingapo. Mwachitsanzo, utsogoleli munthawi yomweyo mankhwala ndi cefuroxime medicament monga "Probenecid", kungachititse ndi kuwonjezeka mu AUC wa choyamba 50%.

Tiyeneranso kukumbukira kuti pamene ntchito maantibayotiki ndi mankhwala ochotsa asidi woyamba yafupika bioavailability. Koma izi amangonena za mankhwala mu mawonekedwe a kuyimitsidwa a.

Price ndi analogues wa wothandizila maantibayotiki

Kodi zambiri ndi mankhwala "Zinnat"? Mtengo wa chida ichi mu unyolo osiyana mankhwala siyana. Komabe, mtengo avareji mankhwala pa piritsi ndi 400 Russian rubles (zidutswa 10). Koma kuyimitsidwa, 50 ml ya lokonzekera muyenera kulipira pafupi 350 rubles. mtengo wofanana pamwamba pa ufa jekeseni.

Kodi ngati pazifukwa zina wodwala kupeza mankhwala "Zinnat"? Analogues izo nthawizonse anagulitsa maunyolo mankhwala. Ngati inu simukudziwa mtundu wa mankhwala, tikungotchula iwo tsopano.

Choncho, analogs amatanthauza "Zinnat" wa chinthu yogwira ndi mankhwala zotsatirazi:

• "Super".
• "Aksetin".
• "Tsefurus".
• "Aksosef".
• 'Cefuroxime axetil.
• "Antibioksim".
• "Cefuroxime ndi sodium."
• "Atsenoveriz".
• "Cefuroxime Kabi."
• "Zinatsef".
• "Cefuroxime."
• "Zinoksimor".
• "Tsefurozin".
• "Ketotsef".
• "Tsefurabol".
• "Kefstar".
• "Tsefroksim J".
• "RRF".
• "Cetyl Lupine."
• "Tidzakulowereni".

Sitingathe kunena kuti mankhwala zonsezi zosiyanasiyana kumasulidwa. Pa nkhani imeneyi, iwo akhoza kugwiritsidwa ntchito akuluakulu, achinyamata ndi ana aang'ono.

Alumali moyo wa mankhwala ndi zinthu yosungirako

Alumali moyo wa miyala "Zinnat" ndi zaka 2 pa tsiku kupanga, ndi kuyimitsidwa ndi ufa jekeseni - miyezi 12. Koma ndi pamene chikhalidwe chimene yosungiramo lokonzekera zinachitikadi yekha firiji. Mwa njira, kale kukonzekera kuyimitsidwa ndi zofunika kuika mu chipinda yozizira. Khalani mu mawonekedwe siziyenera kukhala masiku woposera khumi. Patapita nthawi iyi, ntchito mankhwala ndi koletsedwa.