Product "ciprofloxacin" antibiotics okanye akunjalo? Solution, iinaliti, amathontsi amehlo nendlebe 'ciprofloxacin "

Drug "ciprofloxacin" - i-zintsholongwane okanye akunjalo? Lo mbuzo kudla unomdla kwabo izigulane abafumene ukuqeshwa ugqirha olufanelekileyo kaThixo, efuna inkcazelo engakumbi, kuba andifuni ukujongana neziphumo efumene-arhente isibulala-zintsholongwane. Impendulo inokufumaneka izinto kweli nqaku. Kwakhona, siza kukuxelela ngokweenkcukacha malunga kuthetha ntoni na iyeza, ekwimo yintoni kokuba usetyenziswe, yintoni ifakiwe kumafa yayo, ingaba ichiza icala elingenzi nto-naziphi Izimo kufuneka bazazi kwaye usebenzise indlela ngokuchanekileyo isicombululo.

Iifom ukukhululwa, ukupakishwa amayeza nokubunjwa kwayo

Phambi ndithi kuni malunga yintoni na unyango "ciprofloxacin" (i-zintsholongwane okanye akunjalo, uza kufunda kamva), kuyimfuneko ukuba ndithi, oko benza oko zingathengwa ekhemesti.

Okwangoku, eli chiza zingathengwa iintlobo ezintathu ezahlukeneyo. Makhe sihlolisise ngokweenkcukacha ezingakumbi.

1. Le medicament engamanzi "ciprofloxacin" - isisombululo ukumnika. Ilungu elikhutheleyo arhente yi ciprofloxacin hydrochloride. Ichiza ekhoyo ukuthengiswa iibhotile ml 100.
2. "Ciprofloxacin" iipilisi. Photo amayeza thaca ngezantsi. Kusebenza njengento esebenzayo ye ciprofloxacin hydrochloride. tablet nganye inokuba liqulathe 500 no 250 kweziyobisi iziyobisi mg. Iarhente yokuthengisa ongena iibhokisi-10, 20, 30, 40, 50, 60 okanye tablets-100.
3. Olunye uhlobo ulwelo lwe ichiza "ciprofloxacin" - wamehlo nendlebe. Le arhente 0.3% kwingingqi leyo iqulethe into yokusebenza afana ciprofloxacin hydrochloride. I-arhente yokuthengisa unikelwa e ezineengqayi, iidropha, okanye ml-3 ukuya ku-5 (ibekwe kwibhokisi yekhadibhodi).

Ezona mpawu kwemithi iziyobisi

Yintoni na ichiza "ciprofloxacin"? Zintsholongwane okanye akunjalo? Ngokutsho imiyalelo eze esi sibonelelo, ichiza ichiza elwa kunye kuluhlu olubanzi amanyathelo. Lingcwaba lomfo qela fluoroquinolones.

Kuthethwa ukusebenza bactericidal ngokuthi ziyibuyisela enzayimi ezifana ziibhakteriya DNA gyrase, ngenxa leyo, enyanisweni, owaphukileyo DNA phindana kunye Iprothini Yindibanisela iiseli iintsholongwane eziyingozi. Kufuneka kuqatshelwe ukuba iqula ekwaziyo medicament ingqalelo kuchaphazela zombini iintsholongwane ukuziphindaphinda magciwane kubafikela.

Malunga amagciwane isiyobisi olusebenzayo "ciprofloxacin"? Isenzo le arhente sibhekiswe iintsholongwane Igram-negative aerobic kunye gram-HIV. Asinako ukuba uninzi staphylococci ezingamelanga zidibane methicillin, kwaye abanganyangekiyo ciprofloxacin.

Kufuneka kuqatshelwe ukuba ukuba medicament streptococci ephakathi sifo kunye enterococci.

Le pharmacokinetics beziyobisi

Solution for nokubandakanywa

Kwezinye iimeko, oku kuthetha emiselweyo izitofu? "Ciprofloxacin" lisetyenziswa xa iinaliti kuphela xa sigulane asikwazi ukuthatha ngohlobo lomlomo beziyobisi, kwakunye ukuba ufuna ukufikelela kangangoko nezinyangayo.

Emva nokubandakanywa efakwa le mithamo iphezulu ichiza iyazalisekiswa emva 60 kwemizuzu. Isisombululo isasazwa kakuhle kwizihlunu zomzimba. Noko ke, angawi kwiindawo zityebi okunamafutha.

Umxholo ichiza esikule amaxesha 5-11 ngaphezulu kwi-plasma. Therapeutic lamanani iimali zifumaneka tonsils, amathe, inyongo isinyi, isibindi, emathunjini, inyongo, amalungu zangasese, esiswini, ulwelo amadlozi, isibeleko, lo endometrium, ukuba nezihlunu endlaleni, amaqanda, izintso, tubes, amalungu wokuchama, netuwa inyumoniya, izicwili umphunga , imisipha, ithambo, neencindi lwamalunga ne peritoneal, intlala articular nolusu.

Xa cerebrospinal fluid ichiza engena nomthamo encinane. Kule meko xi yi malunga 7-10% (xa kuthelekiswa ne-serum) kwi meninges non-asha kwaye malunga 15-37% e ebushushwini babo.

Amayeza imveliso "ciprofloxacin" iifoto apho ubona kweli nqaku, kakuhle waya netuwa inyumoniya, nkovu, ulwelo ocular, lo peritoneum, pleura, kunye ngumkhaya. Kulo msebenzi kunciphisa ngandlel medicament kwi amaxabiso esezantsi pH.

Drug umzimba esibindini (15-30%) kunye nokusekwa metabolites esebenzayo. Ukuze inkqubo efakwa engena umzimba isiqingatha-ubomi iiyure 5-6. Isiphumo kuthetha kwi izintso ekwimo lingatshintshanga kwaye njengoko metabolites.

tablets

Kaninzi, izigulane emiselweyo zomlomo "ciprofloxacin". Kulo mzekelo, amacwecwe isithako esebenzayo ako ngokukhawuleza ukusuka lokugaya. Le bioavailability amachiza umalunga 50-86%. serum Ayithandi eliphezulu afunyenwe emva malunga 1-1.6 kweeyure.

Ngomlomo ichiza isasazwa kwi neencindi zomzimba kunye namalaphu. lamanani yayo omkhulu wafumana emiphungeni, inyongo, zezintso, inyongo isinyi, ulwelo amadlozi, isibindi, wesibeleko, tonsils, prostate izihlunu, Imibhobho, amaqanda, kunye endometrium. Ukongeza, ichiza "ciprofloxacin" kakuhle kulo ithambo, ulwelo ocular, ematheni, secretion inyumoniya, izihlunu, ulusu, peritoneum, pleura kunye nkovu.

Xa cerebrospinal fluid ichiza ifumaneka ngezixa ezincinane (xa kuthelekiswa xi serum yi malunga 6-10%).

Umzimba ephambili ekupheliseni ichiza ukusuka mzimba nezintso.

amathontsi

Ziziphi pharmacokinetics "ciprofloxacin" imali yasekuhlaleni? amathontsi indlebe (abaxilonga ngathi) elawulwa kwizigulane ngaphantsi rhoqo. Emva alusebenzise xi ubuninzi esisebenza lingaphantsi kwe-5 ng / ml.

Drug "ciprofloxacin": zikhombisa ukuba ukusetyenziswa

Kuxhomekeka ngendlela ethile woyekelelo, ichiza banokuthi banyulwe izifo ezahlukeneyo. Cinga ezibonisa ukuba iinkcukacha ezingaphezulu.

Iipilisi kunye nesisombululo nokubandakanywa

Ezi iintlobo namayeza ezimiselweyo izifo ezosulelayo kunye ukudumba ezo zibangelwa amagciwane bangenwe ciprofloxacin.

Ngoko ke, eli chiza isetyenziselwa ukunyanga iphecana yokuphefumla, iindlebe, impumlo nomqala, izifo phecana kunye kidney wokuchama, amalungu okuzala, inkqubo yokucola (kuquka amazinyo, umlomo kunye nemihlathi), iphecana biliary, inwebu yangaphakathi, ulusu, senyongo, inkqubo musculoskeletal kunye inyama ithambile. Kufuneka kuqatshelwe ukuba eli chiza iboniswe ngenxa yonyango peritonitis kunye nokudumba. Ukongeza, ukuba isetyenziselwa ukunyanga nokuthintela usulelo kubantu ekuncipheni okukwazi (arhente immunosuppressive kwi nothomalaliso).

wamehlo

Xa arhente zamehlo lisetyenziswa izifo ezosulelayo kunye yokukrala esweni. nokuphambuka okunjalo ziquka blepharitis, keratitis, blepharoconjunctivitis, keratoconjunctivitis, isilonda ziibhakteriya kwenwebu yamehlo, conjunctivitis etsolo kunye subacute, meybomit (okanye ekuthiwa "nerhasi") kunye dacryocystitis ezigulo ezondeleyo. Ukongezelela, "ciprofloxacin" ngamathontsi ezisetyenziselwa ukunyanga yokwenzakala iliso ezosulelayo emva ngokubethwa imizimba yabo bangaphandle okanye yokwenzakala. Kwakhona qaphela ukuba eli chiza idla ezimiselweyo phambi nasemva-operative ukuthintelwa yeengxaki ezosulelayo kutyando lwamehlo.

indlebe amathontsi

Xa otorhinolaryngology eli chiza inokwalathelwa ngenxa otitis bangaphandle, kwakunye ukuba unyango yeengxaki post-operative zendalo esosulelayo.

Izimo ukusetyenziswa kwemali

Apho amatyala akuvumelekanga ukuba ukusebenzisa iziyobisi "ciprofloxacin"? Analogs, yaye ingqalelo ichiza kuyo nayiphi na imeko ukuba kuqhutywa kule miqathango ilandelayo:

• e wenze pseudomembranous ;
• e ukuswela glucose-6-phosphate dehydrogenase;
• ngexesha lokukhulelwa;
• kubantwana ukuya kwiminyaka eli-18 (de kugqitywe ukuyilwa asemzimbeni);
• hypersensitivity ukuba ichiza okanye ezinye iindlela fluoroquinolones;
• zisanyisa.

Kufuneka kuqatshelwe ukuba balumke ngeyona banikwa amayeza emiselweyo ukuba izigulane yamafutha kakhulu kweenqanawa ebuchotsheni (Cerebral), isifo cerebrovascular, ukugula ngengqondo, kunye nezigulo convulsive, insufficiency sezintso / hepatic, sokuwa, kwakunye kubantu abalupheleyo.

Ukusetyenziswa Guide medicament

Kuxhomekeka imilo yokhululo kweziyobisi, nto inokusetyenziswa balawule ezahlukeneyo. Ntoleyo, thina uchaze ngoku.

Tablets "ciprofloxacin"

Analogue amachiza ngokwayo sisixhobo linokukwenziwa ukuya kangangoko eyahlukileyo. Kuxhomekeke ubungqongqo esi sifo, umzimba kwisigulana, uhlobo losulelo, ubunzima yomguli kunye nobudala, kwakunye neempawu nezintso. iidosi ezicetyiswayo yolawulo yomlomo (500 mg ne-250) ukuze kwenziwe ngolu hlobo lulandelayo:

1. izifo zemiphunga, okanye mandithi amaqela elisezantsi (aqine esiphakathi), - mg 250 kabini ngosuku (kwiimeko ezinzima - 500 mg).
2. Xa izifo ayinzima wokuchama phecana kunye kwizintso - 250 mg kabini ngemini (kwiimeko enzima - 500 mg).
3. Kuba unyango lwe ukuvuza ngaphantsi - idosi enye kwindawo umthamo mg 500 okanye 250.
4. ukungaqheleki yamanina, ukudumba, enteritis, prostatitis, osteomyelitis (ezinzima) - 500 mg kabini ngemini.

Ngokutsho imiyalelo, amayeza kufuneka kuthathwe ungatyanga, ukusela ulwelo uhlambulukile. Izigulane ezinzima renal ½ emiselweyo amayeza balawule. Ubude unyango oku kuthetha kuxhomekeke nobungozi besi sifo. Noko ke, unyango kufuneka kuqhubeke iintsuku ezi-2 emva kokuba yokuduka esi sifo. Ngokuqhelekileyo, ubude unyango le arhente ziintsuku 7-10.

Solution for nokubandakanywa

Ndingayisebenzisa njani isisombululo "ciprofloxacin"? Analogs zesixhobo ngokwalo medicament maliqhutywe yegazi ngaphezu kwesiqingatha seyure (200 mg).

Kufuneka ngakumbi kuqatshelwe ukuba isisombululo ibe nokubandakanywa uvumelekile ukuba edibana ngayo i-10% isisombululo iswekile, 0.9% sodium chloride, umxube fructose-10% kunye nesisombululo Ukukhala kaThixo.

A ithamo elinye ichiza 200 mg. Ukuba isigulana na usuleleko kakhulu, ngoko 400 mg. Le ubuninzi Ulawulo isiyobisi - kabini ngemini. Ubude unyango idla ngokuba ziiveki 1-2. Ukuba kuyimfuneko, unyango lungandiswa.

Eye (0.3%) amathontsi

Wamehlo "ciprofloxacin" kubantwana abangaphantsi konyaka omnye masingaze sisetyenziswe. Kwezinye iimeko, oko ngokuzolileyo isicelo ngokwemixholo. In ephakathi kakhulu kunye nowobulali usulelo ichiza wabethelela kungena kulo sac conjunctival iso abachaphazelekayo zonke 1-2 tsakisi 4 h. oyidlayo uhlala efanayo, kodwa ichiza kufuneka wabethelela iyure nganye izifo eziqatha. Xa ekuphuculeni umthamo nomonde, nokunciphisa nezihlandlo instillations.

isilonda kwenwebu (bacteria) medicament elawulwa 1 drop yonke iyure ¼ iiyure ezi-6. Emva koko - 1 drop yonke seyure. Ngosuku lwesibini - 1 drop iyure yonke. Ukususela-3 ukuya kowe-14 ngosuku - 1 drop zonke 4 h.

Ukuba emva kweeveki ezimbini unyango epithelialization ekungazange kubekho injengayo, ngoko ke unyango kuvunyelwa ukuba uqhubeke.

Indlebe (0.3%) amathontsi

iziyobisi "ciprofloxacin" njengoko lisetyenziswe otorhinolaryngology? amathontsi indlebe zisetyenziswa kuphela emva emjelweni lwangaphandle ekuva ukuba icocwe kakuhle. Phambi ukusetyenziswa, ichiza kufuneka yothani ukuba iqondo lobushushu emzimbeni ukuphepha yashukunyiswa vestibular.

Ichiza ufakwa ukuya endlebeni umsele ukusa kumkhamo 3-4 lehla amaxesha 2-4 ngosuku (ngakumbi rhoqo). Emva instillation isigulane kufuneka ulale kwelinye icala imizuzu 5-11.

Ukuba kuyimfuneko, ekupheleni kokwenziwa kwesiko labafazi indlebe elobulali ityala unako ukubeka cotton swab nkxu "ciprofloxacin" isisombululo. Phela, kufuneka zibekwe kwindawo le nkqubo ilandelayo.

Ubude unyango kunye eli chiza kufuneka ingadluli kwiintsuku 5-11. Ngamanye amaxesha unyango kwandiswa. Kodwa ke kuphela ukuba ngaba izilwanyana wobulali olubuthathaka kakhulu.

Ingaba amayeza olwa nawo?

Medicament "ciprofloxacin" - i-zintsholongwane okanye akunjalo? Ukunyanga iqela fluoroquinolone, ichiza a arhente zokwenziwa antibacterial. Ngenxa yoku asinto zintsholongwane, njengoko kuphela imvelaphi yendalo ezi izinto.

ukusabela ezingalunganga

Ngaba iziphumo ebezingalindelekanga zeyeza "ciprofloxacin"? Ngokuba abantwana kunye nabantu abadala, kufuneka kuphela phantsi izenzakalo. Oku kungenxa yokuba iyeza loo mntu unayo inombolo kunokuba elikhulu yeziphumo ebezingalindelekanga. Kaninzi ke kwenzeka ngokunxulumene wokugaya (ukugabha, iintlungu esiswini, isicaphucaphu, flatulence, isifo sorhudo), i-luvo (ukudinwa, lafa, isiyezi, sokulibala, intloko ebuhlungu), inxalenye izivamvo (ukuduma, ukuphazamiseka seyiphi , ukutshintsha umbala), kwakunye phezu inxalenye hematopoietic, wokuchama kunye nenkqubo musculoskeletal. Kwakhona, unyango "ciprofloxacin" kungabangela negazi (pruritus, papules, urticaria, dyspnea, namadyungudyungu, nokudumba yobuso, eosinophilia, erythema nodosum , njalo njalo).

Analogue imali kunye nexabiso layo

Ixabiso ichiza "ciprofloxacin" eziphantsi kakhulu, kwaye malunga ne30-50 engange Russian. Ngaphezu koko, le iindleko inxulumene zonke iintlobo amayeza. Kodwa kuthekani ukuba, ngenxa yaso nasiphi na isizathu, wena akunguye yindlela efanelekileyo "ciprofloxacin"? Analogs kweli chiza usoloko efumaneka ekhemesti. Ezi ziquka iziyobisi 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 "kunye nabanye.

Kufuneka kuqatshelwe ukuba ixabiso le-asethi ayikho ngaphezulu kakhulu iindleko kwichiza yokuqala. Ngoko ke, ukuthengwa amayeza ngenxa yonyango sisifo akuyi kuba nzima.

Ngamafuphi

Ngoku uyazi ukuba sisiyobisi "ciprofloxacin". Ndifuna ukugxininisa ukuba ungayisebenzisa kuphela ukuba kuboniswe kwaye amiselwe ngugqirha.