"Macropen": analogues, aʻo no ka hoʻohana 'ana, maoli

He aha mea i ka lāʻau "Macropen"? An mea like o ka mea paahana, kona hoʻokuʻu ano, noi epekema, nāʻikepili, contraindications a me kaʻaoʻao mau waiwai e e hōʻike mai iā ia ma lalo nei. E hai mai no hoi oe i ka laua kamailio ana i ka lāʻau, nā mea maʻi, a ina paha he mea hiki ke apono i na keiki.

Haku mele 'ana,'ōpala, shape

E hoomakaukau ai "Macropen" (Analog mea e e hoakaka ia i hoakaka ia) ua hua mai i nāʻokoʻa 'ano apau loa. E mākou noonoo ia i loko o aku au mamuli.

• Granules manaoia no ka wehe (kino). Ka lāʻau 'Aʻole i apo ia i nanaia impurities, ia mai he alani waihoʻoluʻu a me ka malamalama aroma o ka maiʻa. Kaʻeleu 'Oponopono o keia shape protrudes midecamycin'ākeka. medicament pū nā ancillary 'ikamu e like me meto parahydroxybenzoate, mannitol, propyl parahydroxybenzoate, paʻakai saccharin, citricʻakika, mea pīlali antifoam, anhydrous paʻakai hydrogen posapahate, hypromellose, maiaʻono, a me ka waihoʻoluʻu yellow. Ka lapaau Ua hookomoia i loko o ka hue ili o ka pouli aniani. Ka mea, i hoonoho iho i loko o ka puʻu o ka pepa, a i ka piha dosing puna.
• "Macropen" huaale. Manual Hawaii i keia palapala o ka lāʻau i keʻokeʻo, a, iki biconvex shape me beveled lua penei. Ma ka kekahi lima, aia no ua notching papa. Kaʻeleu ke keʻena o ka hoʻomākaukau protrudes midecamycin. Like excipients hoʻohana polacrilin potasiuma, microcrystalline kelulose, makanekiuma stearate a me ka talc. Kēia palapala no ka lāʻau "Macropen" mea like o ia ( "Azithromycin" 'ano) i kūʻaiʻia i loko o blister he huihui, a i waiho i loko o ka puʻu o ka pepa.

Ke pharmacodynamic waiwai o ka lāʻau

Hooku iho la ia ia ma ka mea like o ka lāʻau "Macropen" iho ua manaoia he mea o antibiotics. Ka mea, e pili ana i ka pae ana o macrolides.

I ka rula o ka hana ana e like me ka lāʻau o ka mea i inhibits kumuʻiʻo hoʻololi kemikala ma keena o ka koʻohune ma ka liʻiliʻi nā māhele ka lawe 'ana i ka bacteriostatic kanawai, a me ka nui - bactericidal.

Ke kiʻekiʻe pākōlea laulā o ka lāʻau i ka malamaia me Gram-maikaʻi koʻohune e like me Staphylococcus, Clostridium, Listeria a me Streptococcus korinobakterii a me Gram - Bacteroides, Campylobacter, Helicobacter, Haemophilus influenzae, Moraxella.

Eia hou, i ka lāʻau "Macropen" mea like o ka mea nui pinepine lawelawe i loko o ka alo ana o kēia mau intracellular koʻohune: ureaplasma, chlamydia, mycoplasma.

Pharmacokinetics

lāʻau "Macropen" Pehea la ka loihi o ka paka? Manual Hawaii i ma hope o kona lawe ana i ka lāʻau ma loko o ka mea pono a me ka koke ke kemu, mai ka gastrointestinal'āpana.

ua malama ma hope 1-2 hola o ka lani kiekie loa lehulehu o ka lāʻau i loko o ke koko lāʻau lapaʻau. Ma keia pae ka mea, ua mālama 'a 6 hola.

I ka wā hoʻokahi aiʻai ana, aole ia e pili i ke omo o ka lāʻau, a 'aʻole i emi kona lehulehu i loko o ke koko. Ma keia e pili ana, ka mea, ua? Aeiiaiaoaony e lawe keia laau ma mua o ka meaʻai.

ʻO kā mākou dala o ka lāʻau i loaʻa i loko o ka parotid gland, maʻiʻaʻai a me ka ili. Uluwehi O pūnao ia lŘlŘ ma ke akepaʻa. Ua hōʻike pū me ka bile, a ma nā puʻupaʻa.

Nāʻikepili papa a me ka Wehe 'ia mai

No ke aha la i koi 'ia ka lapaʻauʻia "Macropen"? Analogs a emi pipiʻi, a hoi loa ka hoʻokō lāʻau ma luna o nā mea palahēhē, a i ke kumu ma ka microorganisms ikepili koʻikoʻi i kaʻeleu waiwai:

• nā mea palahēhē o ka genitourinary'ōnaehana (e laʻa me, Mycoplasma, Ureaplasma, Chlamydia);
• naehana nā mea palahēhē (pneumonia, pharyngitis, tonsillitis, sinusitis, otitis, bronchitis);
• nā mea palahēhē o ka ili a me ka mucous membranes;
• whooping cough a me ka diphtheria;
• enteritis, i i ke kumu e Campylobacter.

Ua E hoi e kaulana i keia k i e hoakaka ia no nā mea maʻi i hiki ole tolerate antibiotic Agena penicillin.

Contraindications i ka hoʻohana 'ana o ka ai'

Na a me ka wahi lulu counterparts "macrofoams" like hoʻi me ka lāʻau iho ua i paipai no:

• pā lonoaʻili i ka midecamycin;
• loa hepatic hoʻopilikia;
• kanaka kahiko, i ka makahiki ekolu (no ka papa).

Nā Papahana O Ka noi a ka laʻau heluna o nā papa

Pehea e au e hoʻohana i ka lāʻau "Macropen" (like)? Na Ke Kumu no ka hoʻohana, e hai hoʻomanawanui iki mai i ka lāʻau i loko o ka palapala o ka papa haawiia kela 8 hola.

Keiki he nui ma mua o 30 kg a me nā mākua i ka lāʻau ua? Aeiiaiaoaony e pakolu lawe 400 mg i ka lā. I kā mākou kela la i keia mahele lāʻau no nā mākua, he 1600 mg.

Child he pāʻumi emi o 30 kg i hāʻawiʻia 20-40 mg no kg. Ma ka Ia i kela la mahele lāʻau o ka lapaʻauʻia ua maheleia i loko o 3 manawa. I loa nā mea palahēhē, hiki e mahuahua ai ka luna nui o ka lāʻau a hiki i 50 mg no kg.

Dosing a dosing mai paha

Pehea eʻae wehe, "Macropen"? Analogs (no ka mea, na keiki) a me ka hoʻopololei nō hoʻi nā mea hoʻoheheʻe akaka ka wai. Kēia palapala Ua koi 'ia ke kaumaha ma muli o ka keiki ka hoʻokauʻana. Ka lāʻau 'Ua lawe palua i ka lā.

• me ke kaupaona ana o ka 0-5 kg - ma kahi o 3,75 ML o ka hoomakaukau pāʻoihana;
• kaupaona 5,10 kg - ma kahi 7,5 ml;
• me ke kaupaona ana o 10-15 kg - ma kahi o 10 ml;
• me ke kaupaona ana o 15-20 kg - ma kahi o 15 ml;
• me ke kaupaona ana o 20-25 kg, e pili ana i 22,5 ml.

E ho ohana ana o ka lāʻau i loko o na keiki

Ma pediatrics epa a me na mea e noʻonoʻo i ka loa a me ka pono maluhia. Kauka aneane ole collide me kaʻaoʻao waiwai.

Uluwehi O "Macropen» kākaʻikahi ka poʻea pau i ka dysbiosis, i mea nō, he pono ole i loko o ka hookohu o nā antibiotic konohiki.

Ma ka iapaau ana o "Makropenom" na keiki mai ole i koi 'ia hou Anati-fungal lapaʻauʻia.

Kēia 'o ia hoʻi no ka keiki ua hua mai i loko o ka kūikawā ano (granules). A wehe 'Aʻole e hoao ei nani maikai. Ma keia manao, i ka iapaau ana o ka opiopio e hoomanawanui i ka mea, aole i kekahi pilikia me ka lapaʻauʻia.

It E e kaulana no hoi ia he mea hala loa he wahi lihi iki o ka maikaʻi i kou manaʻo, mai na makua e koi ana i ka pākōlea kanawai o keia k mea mau kiʻekiʻe, a hiki i ka manawa ma kahi'ē aʻe antibiotics penicillin powerless.

Adverse 'ole ma hope o' ai, inu

Ae o na dala kākaʻikahi ke kumu adverse reactions. Naʻe, i loko o kekahi mau hihia, i ka lāʻau hiki nō he hoʻonui i ka muli o ke kēia mau abnormalities:

• Ma ka hapa o ka digestive'āpana: stomatitis, lilo o ka ikaika loa ka makemake, ka luaʻi, jaundice, nausea, aloha o ka naau i loko o ka'ōpū, mahuahua ake transaminase haʻawina, hoʻolōʻihiʻia a me ka loa diarrhea (me pseudomembranous colitis).
• Allergic reactions: bronchospasm, ili poʻe noʻonoʻoʻole, itchy ili, lapuwale ia a me ka eosinophilia.
• Other: lethargy a me ka nawaliwali ka hoomaopopo ana.

lāʻau hana kūleʻa

A hiki i ka wā hoʻokahi aaieieno? I ai ' "Carbamazepine" emi kona loli i loko o ke ake, a maoli he ka lehulehu i loko o ke koko. Keia hui malu pu ana o ka ai 'maoli i ka pilikia o kaʻawahia' ole o ka hope (ataxia, urinary ka mālama, cramps).

I ka ke kākoʻo '-lawelawe me ka lāʻau "warfarin" maoli i ka pilikia o ke kahe ana ke koko, a me "ergotamine" a me ka "ergometrina" - mālamaʻike ākea vascular spasm (hiki ischemia a me gangrene o nāʻaoʻao), a me "cyclosporine" - maoli i ka pilikia o ka nephrotoxicity.

Special ao no ka loaa ana i ka lāʻau '

E like me na kuhikuhi, noʻonoʻo i nā mea i ke kēia mau hiʻona:

• Like i loko o ka hoʻohanaʻana i nā antimicrobial Luna, lōʻihi-makahiki lapaʻau "Makropenom" ka hoʻomanawanui i hoʻomōhala lāʻau e kū'ē'ē mai koʻohune.
• Inā ka lapaʻauʻia ke kumu hooloihi ae i diarrhea, ia Hōʻike ka hooulu ana o pseudomembranous colitis.
• Ma lōʻihi-makahiki Inc mea pono ke kanaka hoʻoponopono i ka ha awina o ke akepaʻa nā'ūhū. He oi loa oiaio o nā mea maʻi me kaʻole hana o keia hui,.
• Oia ka waiwai, e like me mannitol (i loaʻa i loko o mānoanoa ko) e ia i ke kumu o ka diarrhea.
• A hiki i ke alo o ka allergy i acetylsalicylicʻakika yellow kalameaʻai, ua komo pū i loko o ka haku mele 'ana o ka la hoomalolo hiki hoʻonāukiuki allergic reactions (e laʻa me bronchospasm).

Uluwehi O "Macropen": analogues o ka ai 'a me kā lākou mau kumukūʻai

Currently analogs o ka hana 'Oponopono i loko o ka lāʻau ma lalo o ka nāʻanaʻana hakuʻole. Me ka pili ana i na waiwai a pau a hiki i ka ia pharmacological pūʻulu (macrolides 2nd hanauna), i waena o lākou nō nā kēia lapaau: "Azithromycin", "Clarithromycin" a me ka "Josamycin". Ka mea, i kekahi hoʻohana i ka mea koʻohune nā mea palahēhē. Akā, ma mua ka hoʻohana 'ana i kēia mau antibiotics no ka lapaau ana o na keiki a me nā mākua, e mea pono, e kukakuka lakou i ka lapaau a pediatrician, e like me ka mea i loaʻa loa naʻano likeʻole o ka hoʻoponopono, a me ka laʻau helunaʻaoʻao' ole.

Price o ka papa a me ka wehe ' "Macropen" (analogues hōʻike manaʻo o ko lakou hoomakaukau ana i kūkākūkā i loko o keia' atikala) mea 270-360 rubles. Inā ua antibiotic kāki muli o kona kiʻekiʻe, ua paipai aku ia oe e puku ia me "azithromycin". Kona kumukuai mea wale 85-100 rubles.

Me ka pili ana i ka ai ', e like me "Clarithromycin" a me ka "josamycin", kā lākou waiwai, uaʻoi kona kiʻekiʻe ma mua o ka palapala (mai ka 380 rubles).

e hoike

Reviews o ka lapaau "Macropen" ka hapanui maikaʻi. Ka hapa nui o ia poe e waiho ana i ka hoomanawanui ma hope hooponopono ana o ka lāʻau i loko o ka sinus.

Ma na hihia a pau, me ka ka hoʻokōʻana kiʻekiʻe o ka lāʻau ua malama wale no kona 'eleu koho. Inā e lawe i ka lāʻau 'i hōʻike ma ka olelo (iapaau ana lōʻihi like' ole o ka 1-2 pule), i ka hoʻomanawanui iki mai 'ke ano ua hoʻomaikaʻi koke lawa. E like me ka rula, e like me ka lapaau i ka hoʻomanawanui, aole ia e pono i ka puncture. He mea nui ka hoʻokō 'ia i ka holoʻokoʻa papa o ka Inc. I ole ia, i ka maʻiʻaʻai hiki i maʻi.

Ua E hoi e kaulana i loaʻa i nui o nā hōʻike manaʻo ma luna o ke komo wehe (no ka keiki uuku). Ma ka hapanui o na hihia, na makua, ua māʻona i ka hopena o ka lapaau. E like me ia ia lakou, i ka lāʻau koke lawa kōkua ia oe cough, a me ka protracted.

Ma pohihihi keia manawa, e pale aku i ke keiki ka diarrhea, a haawi probiotics e like me "Baktisubtil" a me ka "Linex".

Iloko o ke? Eaia, me ka hōʻike 'ana no o ka lapaʻauʻia, nā mākua kekahi e olelo aku i ke ano o na keiki na kēiaʻaoʻao ole: drowsiness, nausea a me ka luaʻi. Ma na hihia, ka lapaʻauʻia ua hōʻoki aku a UAIAaIN ma ka oi maluhia like paha.