Umkhiqizo "Ciprofloxacin" amaphilisi noma cha? Isixazululo, imijovo, iso amaconsi futhi indlebe "Ciprofloxacin"

Izidakamizwa "Ciprofloxacin" - ama-antibiotic noma cha? Lo mbuzo ngokuvamile nesithakazelo yalezo ziguli wathola aphoyintimenti udokotela ezifanele BakaJehova, efuna ukwaziswa okwengeziwe, ngoba bengafuni ukubhekana nemiphumela yaleso ithola ejenti antibiotic. Impendulo ingatholakala mathiriyeli lo sihloko. Futhi, thina Uzokutshela ngokuningiliziwe mayelana okuqondiwe umuthi, kulokho yakha ingasetshenziswa, lokho likhona ngezithako zawo, ukuthi noma izidakamizwa ohlangothini-imiphumela yanoma yikuphi Izimo kufanele bazazi nendlela ukusebenzisa ithuluzi kahle.

amafomu wokukhishwa, isembozo imithi ngezithako zawo

Ngaphambi kokuba nginixoxele le mayelana nokuthi iyiphi ikhambi "Ciprofloxacin" (ama-antibiotic noma cha, uzofunda kamuva), kubalulekile ukutshela, kulokho yakha ke angathengwa ngaleso ekhemisi.

Okwamanje, lokhu izidakamizwa angathengwa izinhlobo ezintathu ezahlukene. Ake sixoxe ngazo ngokuningiliziwe.

1. Lolu ketshezi nomuthi "Ciprofloxacin" - isixazululo ukumnika. Uphiko esebenzayo ye-ejenti kuyinto ciprofloxacin hydrochloride. Umuthi itholakale emakhemisi ngo amabhodlela 100 ml.
2. "Ciprofloxacin" amaphilisi-mbumbulu. Photo imithi abekwe ngezansi. It uba ingxenye esebenzayo ye ciprofloxacin hydrochloride. ithebhulethi ngamunye ingaqukatha 500 kanye 250 mg izidakamizwa izidakamizwa. I-ejenti yokuthengisa engena amabhokisi 10, 20, 30, 40, 50, 60 noma amaphilisi 100.
3. Enye ewuketshezi zomuthi "Ciprofloxacin" - iso amaconsi futhi indlebe. Lokhu wendawo 0.3% ejenti equkethe enjalo into yokusebenza ezifana ciprofloxacin hydrochloride. I-ejenti yokuthengisa ilethwa izitsha eziyisikhombisa, droppers, noma 3 kuya 5 ml (afakwe ebhokisini amakhadibhodi).

Izimfanelo kwemithi izidakamizwa

Uyini izidakamizwa "Ciprofloxacin"? Ama-antibiotic noma cha? Ngokusho imiyalelo efike nale ndawo, wabiza izidakamizwa kuyinto izidakamizwa elwa namagciwane nge spectrum ezibanzi yesenzo. It kungokwalabo fluoroquinolones iqembu.

Kusho ukusebenza amagciwane by ezivimbela-enzyme ezifana webhaktheriya DNA gyrase, ngenxa okuyilokho, eqinisweni, ephukile DNA ukufanisana amaprotheni zamagama lamaseli nezilwanyana ezincane eziyingozi kanye. Kufanele kuqashelwe ukuthi le kubhekwe nomuthi kahle uyakwazi zithonye amagciwane ukuzandisa, abese izilokazane ezincane unganyakazi.

Maqondana nanoma yikuphi amagciwane izidakamizwa ngempumelelo "Ciprofloxacin"? Isenzo lesi ejenti sibhekiswe amagciwane aerobic Gram-negative futhi igremu-HIV. Asinakusho ukuthi iningi staphylococci amelana methicillin, futhi amelana ciprofloxacin.

Kufanele kuqashelwe ukuthi i-nomuthi streptococci ngokulinganisela singangena futhi enterococci.

I pharmacokinetics zomuthi

Isixazululo for ukumnika

Kwezinye izimo, lokhu kusho okunqunywe ngemijovo? "Ciprofloxacin" isetshenziselwa imijovo kuphela uma isiguli singenakukwazi ukuthatha yetemlomo zomuthi, kanye uma ufuna ukufeza umphumela esiphezulu zokwelapha.

Ngemva ukumnika emthanjeni of emakamu esiphezulu izidakamizwa kufinyelelwa emva kwemizuzu engaba ngu-60. Isixazululo isakazwa kahle izicubu zomzimba. Nokho, angawi izindawo abacebile amafutha.

Okuqukethwe kwezidakamizwa kule izicubu ezikhathini 5-11 kunaleyo plasma. lokuhlala oqabulayo ejenti atholakala amalaka, ngamathe, gallbladder, isibindi, amathumbu, Bile, okhalo, lesisu, uketshezi kwesidoda, kwesibeletho, endometrium, wendlala izicubu, amaqanda, izinso, amashubhu fallopian, izitho urinary, uketshezi bronchial, iphaphu izicubu , imisipha, amathambo, uketshezi lwamalunga futhi peritoneal, uqwanga articular nesikhumba.

Ngo cerebrospinal fluid izidakamizwa engena nomqulu omncane. Kulokhu emakamu imayelana 7-10% (uma kuqhathaniswa ne serum) empambanweni meninges non-elikhanyayo futhi mayelana 15-37% ngesikhathi avuvukele.

Imithi umkhiqizo "Ciprofloxacin" izithombe ongawabona kulesi sihloko, kahle phakathi uketshezi bronchial, izindlala zamanzi, uketshezi ocular, le peritoneum, pleura, futhi placenta. Kulo msebenzi incipha kancane nomuthi at ongaphakeme pH amagugu.

Izidakamizwa akheka esibindini (15-30%) lapho kumiswa metabolites asebenzayo. Ukuze inqubo emthanjeni ingena emzimbeni isigamu-ukuphila amahora 5-6. Lokukhipha kusho e izinso ngefomu ingashintshiwe njengoba metabolites.

amaphilisi

Ngokuvamile, iziguli kuyabekwa ngomlomo "Ciprofloxacin". Kulokhu, izibhebhe isithako esebenzayo ngokushesha ugxile kusukela ipheshana wokugaya ukudla. I bioavailability izidakamizwa imayelana 50-86%. esiphezulu serum lokuhlushwa wayo izuzwe ngemuva kwamahora mayelana 1-1.6.

Ngemlomo wathola izidakamizwa kwasakazwa the uketshezi lomzimba nezicubu. lokuhlala wayo omkhulu wathola emaphashini, Bile, izinso, nenyongo sesinye, uketshezi kwesidoda, isibindi, kwesibeletho, amalaka, wendlala izicubu, fallopian amashubhu, amaqanda, futhi endometrium. Ngaphezu kwalokho, lesi sidakamizwa "Ciprofloxacin" sibalelwa ithambo, uketshezi ocular, ngamathe, uketshezi bronchial, imisipha, isikhumba, peritoneum, pleura kanye lymph.

Ngo cerebrospinal fluid isidakamizwa itholakala nengcosana (kuqhathaniswa lokuhlushwa serum imayelana 6-10%).

Umzimba omkhulu wokuba kubhujiswe izidakamizwa kusukela zomzimba ziyinkimbinkimbi ngendlela nezinso.

amathonsi

Yini pharmacokinetics "Ciprofloxacin" izimali zendawo? Indlebe amathonsi (amehlo sengathi) zaphathwa iziguli kancane kaningi. Ngemva ukusetshenziswa emakamu esiphezulu isithako esisebenzayo lingaphansi kuka 5 ng / ml.

Izidakamizwa "Ciprofloxacin": izinkomba ukusetshenziswa

Kuye ngohlobo oluthile woyekelo, umuthi kungenzeka esimisiwe izifo ezahlukene. Cabanga izinkomba for kabanzi.

Amaphilisi kanye isixazululo ukumnika

Letinhlobo imithi engabelwe zezifo ezithathelwanayo namakhambi ukuvuvukala okuyinto zibangelwa nezilwanyana ezincane ukungenwa ciprofloxacin.

Ngakho, lokhu izidakamizwa isetshenziswa ukwelapha zokuphefumula ipheshana, indlebe, ikhala nomphimbo, pheshana urinary nezinso izifo, Izitho zokuzala, isimiso sokugaya ukudla bungene (kuhlanganise amazinyo, umlomo nemihlathi), ipheshana biliary, nolwelwesi lwamafinyila, isikhumba, gallbladder, system zemisipha kanye izicubu zomzimba ezithambile. Kufanele kuqashelwe ukuthi le izidakamizwa kuboniswa ekwelapheni peritonitis futhi sepsis. Ngaphezu kwalokho, isetshenziswa ukwelapha avimbele izifo kubantu abanegciwane ukungatheleleki encishisiwe (ejenti immunosuppressive e therapy).

iso amaconsi

Zamehlo ejenti isetshenziswa zezifo ezithathelwanayo namakhambi sokuvuvukala iso. ngeziphambeko ezinjalo zihlanganisa blepharitis, keratitis, blepharoconjunctivitis, keratoconjunctivitis, webhaktheriya isilonda corneal, oyingozi futhi subacute conjunctivitis, meybomit (noma okuthiwa "ibhali") futhi dacryocystitis ezingamahlalakhona. Ngaphezu kwalokho, "Ciprofloxacin" amathonsi esetshenziselwa ukwelapha ukulimala iso ezithathelwanayo ngemva yokushayiswa umzimba zazo zakwamanye amazwe noma ukulimala. Phawula futhi ukuthi ngokuvamile leli izidakamizwa ezinqunyiwe zokuvimbela ngaphambi nangemuva-operative yezinkinga ezithathelwanayo ngo nokuhlinza amehlo.

indlebe amathonsi

Ngo otorhinolaryngology kungenzeka lokhu izidakamizwa nakhelwe otitis zangaphandle, kanye ukwelapha yezinkinga post-op bemvelo ezithathelwanayo.

Izimo ukusetshenziswa kwezimali

Kukuyiphi amacala kungavunyelwe ukusebenzisa izidakamizwa "Ciprofloxacin"? Analogs, futhi wayebheka izidakamizwa kunoma yisiphi isimo akufanele iphathwe kwale mibandela elandelayo:

• ngesikhathi nesifo pseudomembranous ;
• ngesikhathi ukuntula glucose-6-phosphate dehydrogenase;
• ngesikhathi sokukhulelwa;
• ezinganeni kuze iminyaka engu-18 (kuze kuphelele ukwakheka skeleton);
• hypersensitivity kuya izidakamizwa noma ezinye izindlela fluoroquinolones;
• lactation.

Kufanele kuphawulwe ukuthi ngokucophelela okukhulu banikezwe imithi enqunyiwe iziguli isifo sokuqina kwemithambo yegazi okunzima izitsha ubuchopho (cerebral), isifo cerebrovascular, isifo sengqondo, iziyaluyalu convulsive, kwezinso / esingamahlalakhona hepatic, isithuthwane kanye ezigulini esezikhulile.

Ukusetshenziswa Guide nomuthi

Kuye ukuma ukukhululwa kwezidakamizwa, ingasatshenziswa e Isikali ezahlukene. Yikuphi, sichaza manje.

Tablets "Ciprofloxacin"

Analogue izidakamizwa ngokwayo iyithuluzi angabelwa ngokwezinga ezahlukene. It kuncike ngobucayi isifo, umzimba wesiguli, uhlobo ukutheleleka, isisindo lesiguli kanye nobudala, kanye izici nezinso. imithamo Kunconywa ekuphathweni setemlomo (500 mg 250) kungenzeka kanje:

1. izifo zokuphefumula, noma kunalokho ngamabandla abo aphansi (kobukhulu ngokulinganisela), - 250 mg kabili ngelanga (ezimweni ezinzima - 500 mg).
2. Ngo ayinzima urinary izifo ipheshana izinso - 250 mg kabili ngelanga (ezimweni eziyinkimbinkimbi - 500 mg).
3. Ukuze ekwelapheni isipatsholo - umthamo owodwa endaweni umthamo mg 500 noma 250.
4. kwezinso gynecological, nesifo, enteritis, prostatitis, osteomyelitis (nge ezinzima) - 500 mg kabili ngelanga.

Ngokusho imiyalelo, imithi kufanele kuthathwe esiswini esingenalutho, ukuphuza uketshezi ahlanzekile. Iziguli ezinzima kwezinso ½ ebekiwe imithi umthamo. Isikhathi yokwelapha lokhu kusho incike ngobucayi isifo. Nokho, ukwelashwa kufanele siqhubeke izinsuku okungenani ezingu-2 emva ukunyamalala sifo. Ngokuvamile, isikhathi sokwelashwa nale ejenti izinsuku ezingu 7-10.

Isixazululo for ukumnika

kufanele ngisebenzisa kanjani "Ciprofloxacin" isixazululo? Analogs ithuluzi ngokwayo nomuthi kumele iqondiswa ngemithambo yegazi phezu kwesigamu sehora (e 200 mg).

Kumele ikakhulukazi kuqashelwe ukuthi ikhambi ukumnika ovunyelwe ukuhlanganisa necebo 10% glucose, sodium 0.9% chloride, 10% isixazululo fructose kanye solution, Ringer sika.

A umthamo owodwa we umuthi mg 200. Uma isiguli ukutheleleka ezinzima ke 400 mg. I kaningi izidakamizwa ekuphathweni - kabili ngosuku. Isikhathi yokwelapha ngokuvamile amasonto 1-2. Uma kunesidingo, ukuphathwa zingandiswa.

Eye (0.3%) amathonsi

Eye lehla "Ciprofloxacin" izingane ezingaphansi konyaka owodwa lingasetshenziswa cha. Kwezinye izimo, it buthule isicelo ihlelwe ngokulandelana kwezihloko. Ngo ngokulinganisela omnene ezinzima futhi ukutheleleka izidakamizwa ufakwa ku sac conjunctival esweni ethintekile njalo 1-2 lehla 4 h. Isikali lamahubo lilingana, kodwa izidakamizwa kumele safaka njalo ngehora izifo ezinzima. Uma ngcono umthamo nesineke futhi ukunciphisa imvamisa instillations.

isilonda corneal (webhaktheriya) nomuthi iqondiswa 1 iconsi njalo ngehora ¼ amahora 6. Khona - 1 iconsi zonke ingxenye yehora. Ngosuku lwesibili - 1 iconsi njalo ngehora. Kusukela 3 kuya ku-14 ngosuku - 1 iconsi zonke 4 h.

Uma ngemva kwamasonto amabili okwelashwa epithelialization lwenzeke, impatho uvunyelwe ukuze uqhubeke.

Indlebe (0.3%) amathonsi

izidakamizwa "Ciprofloxacin" njengoba lisetshenziswe otorhinolaryngology? Indlebe amathonsi asetshenziswa kuphela emva yangaphandle canal sokuzwa is kahle bahlanza. Ngaphambi ukusetshenziswa, umuthi kumele sekuqala ukufudumala kuya lokushisa lomzimba ukugwema ezishukumisayo vestibular.

Umuthi ufakwa endlebeni umsele kuze kube sezingeni 3-4 sehla izikhathi 2-4 ngosuku (kaningi). Ngemva instillation isiguli aqambe amanga ngakolunye uhlangothi imizuzu 5-11.

Uma kudingekile, emva uhlanzekile indlebe lendawo kungenzeka ukubeka swab ukotini ofakwe "Ciprofloxacin" isixazululo. Phela, kufanele ise mavesi ekuthululweni inqubo elandelayo.

Isikhathi yokwelapha nale izidakamizwa kumele singeqi izinsuku 5-11. Ngezinye izikhathi ukwelashwa lungaboniswa. Kodwa lena kuphela icala uma izitshalo zendawo kuyinto ebucayi kakhulu.

Ingabe imithi engama-antibiotic?

Nomuthi "Ciprofloxacin" - ama-antibiotic noma cha? Ukwelapha iqembu fluoroquinolone, umuthi eyisidalwa esinenkululeko zokwenziwa elwa namagciwane. Ngenxa yalokhu-ke akuyona i-antibiotic, njengoba lezi izinto kukhona kuphela odabuka yemvelo.

ukusabela ezingezinhle

Ingabe imiphumela emibi yemithi "Ciprofloxacin"? Izingane kanye nabantu abadala, ke kufanele sinikezwe kuphela ngaphansi izinkomba. Lokhu kungenxa yokuthi umuthi onjalo linenani kunalokho enkulu yemiphumela emibi. Ngokuvamile zenzeka maqondana ipheshana wokugaya ukudla (ukuhlanza, ubuhlungu besisu, isicanucanu, ukubuyisa, ukukhishwa isisu), isimiso sezinzwa (ukukhathala, liqhaqhazela, isiyezi, ukuqwasha, ikhanda), ingxenye izinzwa (tinnitus, iziyaluyalu nephunga , ushintsho umbala), kanye ingxenye hematopoietic, urinary futhi uhlelo zemisipha. Futhi, ukwelashwa "Ciprofloxacin" kungaba ezenza abantu basabele ngendlela nomzimba (pruritus, papules, urticaria, dyspnea, amanxeba okusha, edema ebusweni, eosinophilia, erythema nodosum , njll).

Analogue lemali nokubaluleka kwalo

I inani lentengo lomuthi "Ciprofloxacin" aphansi kakhulu, futhi kuba ruble Russian mayelana 30-50. Ngaphezu kwalokho, lokhu izindleko iphathelene zonke izinhlobo imithi. Kodwa kuthiwani uma, ngenxa yanoma yisiphi isizathu, ungeyena ekahle "Ciprofloxacin"? Analogs yalesi izidakamizwa uhlale etholakala Pharmacy. Lezi zihlanganisa izidakamizwa ezifana "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 "nabanye.

Kufanele kuqashelwe ukuthi intengo lezi zimpahla akuyona kunalelo izindleko zomuthi yasekuqaleni. Ngakho-ke, ukuthengwa kwemithi yokwelapha isifo nawe ngeke nobunzima.

Kufinyeta

Manje uyazi ukuthi kuyinto izidakamizwa "Ciprofloxacin". Ngifuna ukugcizelela ukuthi ungayisebenzisa kuphela uma kuboniswe futhi udokotela.