Mafotokozedwe "Ciprofloxacin" mankhwala kapena ayi? Anakonza, jakisoni, madontho maso ndi makutu "Ciprofloxacin"

Mankhwala "Ciprofloxacin" - maantibayotiki kapena ayi? Funso ili zambiri chidwi odwala amene analandira kusankhidwa yoyenera dokotala, kufuna kudziwa zambiri, chifukwa iwo samafuna kuthana ndi zotsatira za kulandira ndi wothandizila mankhwala. Yankho tingalipeze mu zipangizo za nkhaniyi. Komanso, ife ndikuuzani inu mwatsatanetsatane za tanthauzo ndi mankhwala, mu n'kupanga zikhoza kugwiritsidwa ntchito, zimene zili m'gulu kapangidwe kake, kaya ndi mankhwala mbali-zotsatira za contraindications aliyense ayenera kudziwa ndi mmene tingagwiritsire ntchito chida molondola.

mitundu kumasulidwa, ma CD a mankhwala ndi kapangidwe kake

Pamaso ndikukuuzani kuti kodi mankhwala "Ciprofloxacin" (maantibayotiki kapena ayi, mudzaphunzira mtsogolo), m'pofunika kunena zimene kupanga izo zikhoza kugulidwa pa mankhwala a.

Panopa, mankhwala zikhoza kugulidwa mumaonekedwe atatu osiyana. Tiyeni tione iwo mwatsatanetsatane.

1. The medicament madzi "Ciprofloxacin" - njira yothetsera kulowetsedwa. The yogwira zikuluzikulu za wothandizila ndi ciprofloxacin hydrochloride. Mankhwala malonda likupezeka mabotolo a 100 ml.
2. "Ciprofloxacin" mankhwala. Photo mankhwala anapereka m'munsimu. Iwo amachita ngati mchitidwe yogwira ciprofloxacin hydrochloride. Aliyense piritsi anyamula 500 ndi 250 mg mankhwala mankhwala. The malonda wothandizila akulowa makatoni 10, 20, 30, 40, 50, 60 kapena mapiritsi 100.
3. Mtundu wina madzi a mankhwala "Ciprofloxacin" - madontho maso ndi makutu. Iyi ya lokolo ya 0,3% wothandizila lomwe lili ngati amenewa amafotokozera opaleshoni monga ciprofloxacin hydrochloride. The malonda wothandizila atawalankhula Mbale, droppers, kapena ml ya 3 ndi 5 (anaikidwa mukatoni).

Makhalidwe pharmacological mankhwala

ndi mankhwala "Ciprofloxacin" n'chiyani? Mankhwala kapena ayi? Malinga ndi malangizo amene anabwera ndi malo ichi, mankhwala ndi antimicrobial mankhwala ndi sipekitiramu yotakata kanthu. Adzaupereka kwa fluoroquinolones gulu.

Zikutanthauza zotsatira bactericidal ndi inhibiting puloteni monga toyambitsa DNA gyrase, chifukwa cha zomwe zoona, wosweka DNA kugawanika ndi mapuloteni kaphatikizidwe maselo tizilombo zoipa. Iwo ayenera kukumbukira kuti ankaona medicament angathe bwino bwanji mabakiteriya onse kugawikana ndi tizilombo ali pa mpumulo.

Mokhudzana ndi mabakiteriya aliyense ogwira bongo "Ciprofloxacin"? Zimene wothandizila izi ukuperekedwa mabakiteriya galamu alibe thupi ndipo galamu HIV. Sitingathe kunena kuti ambiri staphylococci kuti ndi kugonjetsedwa methicillin, ndi ndi kugonjetsedwa ciprofloxacin.

Iwo ayenera kukumbukira kuti kwa medicament amtengo atengeke streptococci ndi enterococci.

The pharmacokinetics mankhwala

Njira yothetsera kulowetsedwa

Nthawi zina, izi zikutanthauza zotchulidwa monga jekeseni? "Ciprofloxacin" ntchito jekeseni pokhapokha ngati wodwala atenge mawonekedwe m'kamwa mankhwala, komanso ngati mukufuna kukwaniritsa pazipita achire zotsatira.

Pambuyo mtsempha kulowetsedwa wa ndende apamwamba mankhwala zimatheka pambuyo pa 60 Mphindi. Njira yothetsera ndi anagawira bwino mu zimakhala za thupi. Komabe, asagwe pa malo amene ali olemera mu mafuta.

The zili mankhwala mu minofu nthawi 5-11 kuposa mu madzi. Achire magawanidwe a wothandizila zimapezeka tonsils ndi malovu, ndulu, chiwindi, m'mimba, ya ndulu, m'chiuno, m'mimba, seminal madzimadzi, chiberekero, endometrium, Prostate minofu, mazira, impso, chiberekero, ziwalo mkodzo, bronchial secretions, m'mapapo minofu minofu, mafupa, madzi synovial ndi peritoneal, articular chichereŵechereŵe ndi khungu.

Mu madzimadzi cerebrospinal mankhwala akulowa buku laling'ono. Pankhaniyi ndende ndi za 7-10% (poyerekeza ndi seramu) pa meninges sanali chofuna ndi za 15-37% pa chofuna.

Mankhwala mankhwala "Ciprofloxacin" zithunzi zomwe mungathe kuwona kuchokera mu nkhani iyi, ndi bwino mu secretions bronchial, lymph, madzimadzi ocular, ndi peritoneum, pleura, ndi latuluka. Mu ntchito iyi, amachepetsa penapake medicament pa mfundo otsika pH.

Mankhwala zimapukusidwa mu chiwindi (15-30%) ndi mapangidwe metabolites yogwira. Pakuti ndondomeko mtsempha akulowa thupi theka moyo wa maola 5-6. Linanena bungwe akutanthauza impso mu mawonekedwe zikutsatiridwa ndi monga metabolites.

mapiritsi

Nthawi zambiri, odwala Kwalamulidwa m'kamwa "Ciprofloxacin". Mu nkhani iyi, yogwira mapiritsi pophika mofulumira odzipereka kwa mundawo m'mimba. The bioavailability wa mankhwala ndi za 50-86%. seramu ake pazipita ndende akwaniritsa pambuyo pa 1-1.6 maola.

Pakamwa malangizo mankhwala ndi anagawira mu madzi m'thupi ndipo zimakhala. magawanidwe ake mkulu opezeka mapapo ya ndulu, impso, chikhodzodzo ndulu, madzimadzi umuna, chiwindi, chiberekero, tonsils, Prostate minofu, chiberekero, mazira, ndi endometrium. Komanso, mankhwala "Ciprofloxacin" bwino mu fupa, ocular madzimadzi, malovu, bronchial katulutsidwe, minofu, khungu, peritoneum, pleura ndi lymph.

Mu madzimadzi cerebrospinal mankhwala opezeka mu wochepa (poyerekeza ndi ndende seramu ndi za 6-10%).

Thupi waukulu kuwonongedwa kwa mankhwala ndi thupi ndi impso.

madontho

Kodi pharmacokinetics "Ciprofloxacin" ndalama mukusonkhanapo? Khutu madontho (ophthalmic ngati) kutumikiridwa odwala kwambiri. Pambuyo ntchito ndende pazipita yogwira pophika ndi zosakwana 5 ng / ml.

Mankhwala "Ciprofloxacin": zikuonetsa ntchito

Malinga ndi mbali zosiyanasiyana za kumasulidwa, mankhwala akhoza yoti nthenda zosiyanasiyana. Taganizirani zikuonetsa kuti mwatsatanetsatane.

Mapiritsi ndi kulowetsedwa njira

Izi mitundu ya mankhwala analamula kuti matenda opatsirana ndi yotupa amene amayamba ndi tizilombo atengeke ciprofloxacin.

Choncho, mankhwala amagwiritsidwa ntchito pofuna kuchiza m'mapapo thirakiti, makutu, mphuno komanso pakhosi, mkodzo thirakiti impso matenda, Ziwalo zoberekera, m'mimba dongosolo (kuphatikizapo mano, mkamwa ndi kamwa) thirakiti biliary, zikopa mucous, khungu, ndulu, dongosolo minofu ndi mafupa ndi minofu zofewa. Iwo ayenera kukumbukira kuti mankhwala akusonyeza zochizira peritonitis ndi sepsis. Komanso, amagwiritsidwa ntchito pofuna kuchiza ndi kupewa matenda a anthu ndi chitetezo chokwanira yafupika (wothandizila immunosuppressive mu chithandizocho).

madontho diso

Mu wothandizila pochiza matenda a maso ntchito matenda opatsirana ndi yotupa diso. zolakwika zimenezo zimaphatikizapo blepharitis, keratitis, blepharoconjunctivitis, keratoconjunctivitis, bakiteriya corneal chilonda, pachimake ndi subacute conjunctivitis, meybomit (kapena otchedwa "balere") ndi dacryocystitis aakulu. Komanso, "Ciprofloxacin" madontho ntchito zochizira kuvulala matenda diso pambuyo kugundidwa ndi thupi mayiko kapena kuvulala. Komanso dziwani kuti mankhwala kawirikawiri analamula kuti zi- ndipo pambuyo ntchito kupewa mavuto opatsirana opaleshoni ophthalmic.

madontho khutu

Mu otorhinolaryngology mankhwala akhoza anakonzedwera otitis zakunja komanso zochizira matendawo pambuyo ntchito zachilengedwe opatsirana.

Contraindications ntchito ndalama

Imene milandu ndikoletsedwa kugwiritsa ntchito mankhwala "Ciprofloxacin"? Analogs, ndipo ankaona mankhwala Mulimonsemo sayenera kuperekedwa zinthu zotsatirazi:

• pa matenda a m'matumbo pseudomembranous ;
• pa akusowa shuga-6-mankwala dehydrogenase;
• pa mimba;
• ana kwa zaka 18 (mpaka akamaliza mapangidwe mafupa a);
• hypersensitivity mankhwala kapena njira zina fluoroquinolones;
• mkaka wa m'mawere.

Iwo ayenera kukumbukira kuti ndi kusamala kwambiri kupatsidwa mankhwala zotchulidwa odwala atherosclerosis choopsa cha zida za ubongo (oziziritsa), matenda cerebrovascular, matenda a ubongo ndi matenda convulsive, aimpso / kwa chiwindi insufficiency, khunyu, komanso odwala okalamba.

Kagwiritsidwe Guide medicament

Malinga ndi mawonekedwe za kumasulidwa mankhwala, akhoza kutumikiridwa mu mlingo wosiyana. Chimene, ife kufotokoza tsopano.

Miyala "Ciprofloxacin"

Analogues wa mankhwala palokha ndi chida awerenge mmene osiyana. Izo zimatengera kukula kwa matenda, thupi la wodwalayo, mtundu wa matenda, kulemera kwa wodwalayo ndi zaka, komanso mbali ya impso. Analimbikitsa Mlingo kwa makonzedwe m'kamwa (500 mg mpaka 250) akhale motere:

1. matenda kupuma, kapena m'malo m'magulu awo m'munsi (zolimbitsa mwamphamvu), - 250 mg kawiri pa tsiku (mu Zikavuta - 500 mg).
2. Mu matenda wopepuka mkodzo thirakiti impso - 250 mg kawiri pa tsiku (milandu yovuta - 500 mg).
3. Zochizira matenda a chinzonono - mlingo umodzi mu mlingo wa 500 kapena 250 mg.
4. Matenda kuvutika, matenda a m'matumbo, enteritis, prostatitis, osteomyelitis (ndi aakulu) - 500 mg kawiri pa tsiku.

Malinga ndi malangizo, mankhwala ayenera kumwedwa pa chopanda kanthu m'mimba, kumwa madzi aukhondo. Odwala aakulu aimpso ½ Kwalamulidwa mankhwala mlingo. Nthawi mankhwala izi zikutanthauza zimadalira kukula kwa matendawa. Komabe, mankhwala ayenera kupitiriza kwa masiku osachepera 2 pambuyo kutha kwa matenda. Childs, nthawi ya mankhwala ndi wothandizila awa ndi masiku 7-10.

Njira yothetsera kulowetsedwa

Kodi ndimagwiritsa ntchito "Ciprofloxacin" njira? Analogs cha chida lokha medicament ayenera kuperekedwa kudzera m'mitsempha pa theka la ola (mu 200 mg).

Kuyenera makamaka ananena kuti njira yothetsera kulowetsedwa amaloledwa kuphatikiza ndi 10% shuga njira, 0,9% sodium kolorayidi, 10% fructose njira ndi njira Ringer a.

A mlingo umodzi wa mankhwala ndi 200 mg. Ngati wodwalayo matenda aakulu, ndiye 400 mg. The multiplicity zakayendesedwe ka mankhwala - kawiri pa tsiku. Nthawi mankhwala kawirikawiri masabata 1-2. Ngati ndi kotheka, mankhwala akhoza zochuluka.

Diso (0,3%) madontho

M'maso "Ciprofloxacin" ana pansi chaka chimodzi akhoza kugwiritsidwa ntchito. Nthawi zina, mwakachetechete ntchito timitu. Mu amtengo kwambiri ndi wofatsa matenda mankhwala ndi anaika mu za sac conjunctival wa diso akhudzidwa lililonse 1-2 akutsikira 4 h. mlingo akanali yemweyo, koma mankhwala ayenera anga nthawi zonse mu matenda akulu. Kamodzi kusintha kwa buku mtima ndi kuchepetsa pafupipafupi instillations.

Corneal chilonda (bakiteriya) medicament kutumikiridwa 1 dontho ola lililonse ¼ kwa maola 6. Ndiye - 1 dontho lililonse theka la ora. Pa tsiku lachiwiri - 1 dontho ola lililonse. 3 14 tsiku - 1 dontho lililonse 4 h.

Ngati Patatha milungu iwiri ya mankhwala epithelialization sichinachitikepo, ndiye mankhwala amaloledwa muchokera.

Khutu (0,3%) madontho

mankhwala "Ciprofloxacin" limatanthauza otorhinolaryngology? madontho khutu ntchito pokhapokha kunja Makutu ngalande bwino kutsukidwa. Pamaso ntchito, mankhwala ayenera kutenthetsa kutentha thupi kupewa mangolomera vestibular.

mankhwala ndi anaika mu ngalande khutu mpaka 3-4 akutsikira nthawi 2-4 tsiku (zambiri). Pambuyo instillation wodwala sayenera kugona mbali ina kwa mphindi 5-11.

Ngati ndi kotheka, pamene Iwo ayeretsedwa ndi makutu m'dera n'zotheka kuika thonje swab ankawaviika "Ciprofloxacin" njira. Zodabwitsa ndizakuti, ayenera ankakhala mu ndime ndondomeko zotsatirazi.

Kutalika kwa mankhwala ndi mankhwala sayenera upambana masiku 5-11. Nthawi zina mankhwala angathe. Koma ichi ndi nkhani ngati nyama wanu ndi tcheru kwambiri.

Ndi mankhwala opha tizilombo?

Medicament "Ciprofloxacin" - maantibayotiki kapena ayi? Muzilemekeza fluoroquinolone gulu, mankhwala ndi kupanga antibacterial wothandizira. Poona zimenezi si mankhwala, monga mankhwala awa ali yekha chiyambi achilengedwe.

zosiyanasiyana chokhwima

Kodi zotsatira mankhwala mbali "Ciprofloxacin"? Ana ndi akulu, ayenera kuperekedwa kokha zizindikiro. Ichi ndi chifukwa chakuti kuti mankhwala ali ndi nambala m'malo lalikulu mavuto. Nthawi zambiri zidzachitika mwachibale kwa thirakiti m'mimba (kusanza, kupweteka m'mimba, kunyansidwa, flatulence, m'mimba), mantha dongosolo (kutopa, kugwedeza, chizungulire, tulo, mutu), ndi ziwalo (tinnitus, matenda kununkhiza , kusintha kwa mtundu), komanso pa mbali ya hematopoietic, mkodzo ndi dongosolo minofu ndi mafupa. Komanso, mankhwala "Ciprofloxacin" kungakhale thupi lawo siligwirizana (pruritus, papules, urticaria, dyspnea, matuza, edema nkhope, eosinophilia, erythema nodosum , etc.).

Analogues ndalama ndi phindu lake

Mtengo wa mankhwala "Ciprofloxacin" wochepa kwambiri, ndipo pafupifupi 30-50 Russian rubles. Komanso, mtengo zikugwirizanirana mitundu yonse mankhwala. Koma bwanji ngati pazifukwa zosiyanasiyana, simuli njira yabwino "Ciprofloxacin"? Analogs za mankhwala nthawi zonse zilipo mu pharmacies. Zikuphatikizapo mankhwala monga "Tsipraz", "Altsipro", "Ekotsifol", "Afenoksin", "Tsipreks", "Tsifratsid", "Basij", "TSifran", "Betatsiprol", "Tsifloksinal", "Vero -Tsiprofloksatsin "," Tsiteral "," Zindolin-250 "," Ifitsipro "," Tsiprofloksabol "," Kvintor "," Tsiprosol "," Kvipro "," Tsiprosin "," Liprohin "," Tsiprosan "," Mikrofloks " "Tsipropan", "Oftotsipro", "Tsipronat", "Protsipro", "Tsiprolet", "Retsipro", "Tsiprolaker", "Sifloks", "Tsiprodoks", "Tseprova", "Tsiprobrin", "Tsiloksan", "Tsiprobid "" Tsiploks "," tsiprinol "ndi ena.

Tikumbukenso kuti mtengo wa zinthu zimenezi si apamwamba kuposa mtengo wa mankhwala pachiyambi. Choncho, kugula mankhwala zochizira matenda simudzalandira movutikira.

kuti adzimvera

Tsopano inu mukudziwa kuti ndi mankhwala "Ciprofloxacin". Ndikufuna kutsindika kuti mukhoza ntchito pokhapokha ngati anasonyeza ndi zotchulidwa dokotala.