"Macropen": analogue, imiyalelo ukusetyenziswa, real

Yintoni na ichiza "Macropen"? An Togu zesixhobo, zawo iifom ukukhululwa, iindlela isicelo, izalathisi, Izimo kunye neziphumo ebezingalindelekanga ziza kuboniswa ngezantsi. Siya kunixelela ukuba uthetha malunga ichiza, izigulane kunye nokuba amukela abantwana.

Ubume, ukupakisha, imilo

Ukulungiselela "Macropen" (iindlela analog ziya zicaciswe apha) kuveliswe ngeendlela ezimbini ezahlukeneyo. Makhe sihlolisise ngokweenkcukacha ezingakumbi.

• Granules senzelwe kukunqunyanyiswa (tapeworm). Ichiza ayiqulathanga ubumdaka ebonakalayo, ine- umbala-orenji kunye livumba nokukhanya banana. Le esisebenza yalo mzobo kuphuma acetate midecamycin. medicament lukwaquka izinto encedisayo ezifana imethyl parahydroxybenzoate, mannitol, propyl parahydroxybenzoate, isodiyam saccharin, citric acid, abicah antifoam, anhydrous sodium hydrogen phosphate, hypromellose, banana isongo, kunye nombala otyheli. Iyeza uqulathwe iibhotile kwiglasi emnyama. Bona zibekwe imfumba ngekhadibhodi kunye abe epheleleyo Umthamo ngecephe.
• "Macropen" iipilisi. Manual ukuba olu hlobo ichiza kumhlophe, ngeenxa zonke, imilo biconvex kancinane elintlangothi beveled. Kwelinye icala kukho notching iipilisi. Icandelo esebenzayo yamalungiselelo enjalo iphumele midecamycin. Njengoko excipients kusetyenziswa polacrilin potassium, microcrystalline kwincindi, nemagnesium stearate kunye talc. Olu hlobo ichiza "Macropen" analogu kuyo ( "Azithromycin" type) ziya kuthengiswa Imiqulu blister, ezithi zibekwe imfumba kwikhadibhodi.

Iimpawu pharmacodynamic ye ichiza

Eza yi-analogue beziyobisi "Macropen" ngokwayo kucingwa njengendlela antibiotics. Baya kuba iqela macrolides.

Umgaqo esebenza ngayo isiyobisi enjalo kukuba abangaphangeliyo protein amagama phakathi kwiiseli ze iintsholongwane ngeedosi ezincinane ofaka isiphumo bacteriostatic, ezinkulu - bactericidal.

Ukusebenza eliphezulu konwaywa ichiza yabonakala iintsholongwane Igram-HIV afana Staphylococcus, zeClostridium, Listeria kunye iStreptococcus korinobakterii kunye Igram - Bacteroides, Campylobacter, Helicobacter, Haemophilus influenzae influenzae, Moraxella.

Ukongeza, ichiza "Macropen" analogu kuyo rhoqo kuqhutywa phambi ezi ntsholongwane intracellular: ureaplasma, chlamydia, mycoplasma.

Pharmacokinetics

iziyobisi "Macropen" sebenzi elingakanani? Manual ithi emva ezithatha ichiza ngaphakathi egxile ngokupheleleyo yaye ngokukhawuleza ukusuka phecana zesisu.

Ukufumaneka liphezulu iziyobisi serum ngegazi waphawula emva kweeyure 1-2. Kweli nqanaba nto iya kuhlala injalo de iiyure ezi-6.

Ngaxeshanye ekudleni aluchaphazeli kukufakwa ichiza, abe engalubambi ukunciphisa eyavela egazini. Kule meko, kucetyiswa ukuba ukuthatha eli yeza phambi kokuba isidlo.

Imali ubuninzi iziyobisi ezifumaneka nobubovu parotid, imiphunga kunye nesikhumba. Drug lokugaya kwenzeka esibindini. Siboniswe kunye enyongweni ngokusebenzisa nezintso.

tablets Iimpawu kunye ukumiswa

Kutheni ukumisela amayeza "Macropen"? Analogs kwaye ibiza ngaphantsi kwaye kakuhle kakhulu iziyobisi nxamnye zizifo, zibangelwa amagciwane ingqalelo into esebenzayo:

• izifo kwenkqubo genitourinary (umz, Mycoplasma, Ureaplasma, chlamydia);
• izifo ezihlasela zosulele ngokuphefumla (inyumoniya, pharyngitis, tonsils, sinusitis, otitis, iphika);
• izifo esikhumba kunye inwebu yangaphakathi;
• unkonkonko kunye umphimbo;
• enteritis, leyo zibangelwa yi Campylobacter.

Kufuneka kuqatshelwe ukuba eli chiza ukuze zimiselwe izigulane ngubani ungenako ukubathwala zintsholongwane arhente penicillin.

Izimo ukuba ukusetyenziswa kweziyobisi

noogxa bamanye amazwe kunye zasekhaya "macrofoams" kwakunye ichiza ngokwayo akukhuthazwa ukuba:

• uvakalelo ukuba midecamycin;
• lomonakalo hepatic yayinzima;
• abaneminyaka ukuya kutsho kwiminyaka emithathu (tablet).

Iindlela isicelo kunye umthamo amacwecwe

Ndingayisebenzisa njani ichiza "Macropen" (efanayo)? Imiyalelo yokusebenzisa liya kwazisa izigulane ukuba ichiza ngokohlobo amacwecwe anikwe zonke iiyure ezisi-8.

Abantwana abanobunzima ngaphezulu kwama-30 kg kwaye abadala ichiza Kucetyiswa ukuba ukuthatha 400 mg kathathu ngemini. umthamo aphezulu yemihla ngemihla abadala 1600 mg.

Child enobunzima ngaphantsi kwama-30 kg banikwa 20-40 mg kg nganye. Xa idosi enye yemihla ngemihla ye iyeza yahlulwe amaxesha 3. Xa izifo kakhulu, isixa zingentla ichiza angandiswa ku-50 mg kg nganye.

Umthamo kunye nomthamo nokumiswa

Indlela ukwamkela ngaso, "Macropen"? Analogs (abantwana) kunye nesixhobo ngokwalo unyityilikiswa emanzini plain. Le fom emiselweyo kuxhomekeke ubunzima yomntwana. Ichiza sithathwa kabini ngemini.

• ezinobunzima ka 0-5 kg - malunga 3,75 ml yezisombululo uzilungiselele;
• uyalinganisa 5.10 kg - malunga 7.5 ml;
• ezinobunzima ka 10-15 kg - malunga 10 ml;
• ezinobunzima ka 15-20 kg - malunga 15 ml;
• ezinobunzima ka 20-25 kg, malunga 22.5 ml.

Ukusetyenziswa kweziyobisi ebantwaneni

Xa wezifo ujongene indlela ngayo ingqalelo ngempumelelo kakhulu kwaye ikhuselekile. Oogqirha phantse nanini zingqubane kunye neziphumo ebezingalindelekanga.

Drug "Macropen» ayifane inegalelo dysbiosis, nto leyo eqhelekileyo ukuqeshwa kwezinye izinto isibulala-zintsholongwane.

Xa unyango "Makropenom" abantwana musani ukumisela amayeza ezongezelelweyo anti-ezinzwaneni.

Oku kuthetha ukuba abantwana kuveliswe ngendlela ekhethekileyo (granules). A ukumiswa njani eve kuhle. Kulo mba, ngexesha unyango izigulane abaselula abazange babe naziphi na iingxaki kunye namayeza.

Kufuneka kuqatshelwe ukuba kukho into eninzi ingxelo entle evela kubazali abathi isiphumo kwezonyango kweli chiza usoloko phezulu, nokuba kwiimeko apho ezinye antibiotics penicillin namandla.

nemiphumela emibi emva kokungenisa

Ukwamkela mali kunqabile kubangela ngayo ezibi. Noko ke, kwezinye iimeko, ichiza usenako negalelo ukuvela ezingaqhelekanga zilandelayo:

• Ngomhla inxalenye wokugaya: stomatitis, ukungabi namdla, ukugabha, nenyongo, isicaphucaphu, imvakalelo ubunzima esiswini, bandisa umsebenzi transaminase wesibindi, elide kunye sorhudo kakhulu (kunye nokudumba pseudomembranous).
• ziyabagulisa: bronchospasm, irhashalala, isikhumba sakho silume, irhashalala kunye eosinophilia.
• Okunye: silale kunye nobuthathaka.

imithi

Xa ulawulo ngaxeshanye kunye iziyobisi "Carbamazepine" awusafuni yayo yeenguqu esibindini kwaye kwandisa xiyimiso egazini. Le yindibaniselwano iziyobisi kwandisa umngcipheko neziphumo zinetyhefu ngabaya (Ataxia, ukugcinwa wokuchama, amahlaba).

Xa co-elawulwa kunye ichiza "warfarin" kwandisa umngcipheko ukopha, with "ergotamine" yaye "ergometrina" - saphawula spasm nemithambo yoluvo (ischemia kunokwenzeka ukubola kweqondo), kunye ne "cyclosporine" - kwandisa umngcipheko nephrotoxicity.

imiyalelo ezikhethekileyo ngokufumana ichiza

Ngokutsho imiyalelo, ingqalelo indlela unalo mpawu zilandelayo:

• Njengoko ukusetyenziswa kwezinye izinto elwa nawo, ixesha elide unyango "Makropenom" isigulane lisenokuba iintsholongwane ukunganyangeki ngamachiza.
• Ukuba iyeza ebangela urhudo elide, libonisa uphuhliso kukudumba pseudomembranous.
• Ngethuba ixesha elide unyango kuyimfuneko ukuba esweni umsebenzi enqanda zesibindi. Oku kuyinyaniso ngokukhethekileyo izigulane kunye nokusebenza kakuhle kwalo omzimba.
• Enjalo into, ezifana mannitol (efumaneka iinkozo) isenokuba unobangela urhudo.
• Xa ubukho aleji acetylsalicylic acid idayi etyheli, iqukiwe ekwakhiweni yokulungiselela kungabangela negazi lakho (umz bronchospasm).

Drug "Macropen": analogue amayeza kunye namaxabiso azo

Okwangoku analogs le nto inxaxheba ichiza phantsi kovavanyo ayikho. Ngokuphathelele kwimpahla ngoweqela enye amayeza (macrolides sizukulwana-2), phakathi kwazo zezi amayeza zilandelayo: "Azithromycin", "Clarithromycin" yaye "Josamycin". Kananjalo kusetyenziswa kwezifo. Kodwa ngaphambi kokuba usebenzise ezi antibiotics ukuba unyango abantwana kunye nabantu abadala, kuyimfuneko ukuba adibane nogqirha okanye wabantwana, njengoko babe iindlela ezahlukeneyo kakhulu kulawulo, idosi imiphumela.

Price of tablets nokumiswa "Macropen" (analogue reviews of zamalungiselelo kuxutyushwa kweli nqaku) yi 270-360 engange. Ukuba ixabiso zintsholongwane iphezulu kakhulu, sicebisa ukuba uyitshintshe ufake "azithromycin". ixabiso layo engange 85-100 kuphela.

Ngokuphathelele iziyobisi, ezifana "Clarithromycin" yaye "josamycin", ixabiso yabo ingaphezulu original (ukususela 380 engange).

baqinisekiswa

Izimvo amayeza "Macropen" ubukhulu becala HIV. Inkoliso yabo ukushiya isigulana emva ulawulo ichiza sinus.

Kwiimeko ezininzi, ukusebenza eliphezulu ichiza waphawula kuphela ukonyulwa ngexesha. Ukuba uthatha ichiza njengoko kubonisiwe kule imiyalelo (ixesha unyango kwiiveki 1-2), imeko izigulane 'luyaphucuka ngokukhawuleza ngokwaneleyo. Njengomgaqo, unyango enjalo isigulane akuyomfuneko ukuba kwenzakalani. Kubaluleke kakhulu ukuba ukugqiba yonke ikhosi unyango. Kungenjalo, usulelo unokuba ezondeleyo.

Kufuneka kuqatshelwe ukuba kukho ukudla lohlolo lokunqunyanyiswa yokwamkelwa (kubantwana abancinane). Kwiimeko ezininzi, abazali lanelisekile kunye neziphumo zonyango. Ngokutsho kwabo, ichiza uncedo ngokukhawuleza ngokwaneleyo xa ukhohlela, kuquka in ixesha elide.

Kwiimeko ezinqabe kakhulu, ukuthintela isifo sorhudo umntwana, aze anike probiotics ezifana "Baktisubtil" yaye "Linex".

Ngexesha reception, ingxelo ngayo amayeza, abanye abazali bathi imbonakalo abantwana iziphumo ilandelayo ecaleni: ukozela, isicaphucaphu nokugabha. Kwiimeko ezinjalo, iyeza luyapheliswa kwaye endaweni elilingana ekhuselekileyo.