"Zinnat": ezifanayo. Ukulungiselela "iZinnat": ukuhlaziywa, intengo

Kukuphi ukuphambuka okungenziwa ngabagqirha ukuba banike iyeza "iZinnat"? Iziganeko ze-analogs, izibonelelo zayo ze-pharmacological kunye nemiyalelo yokusetyenziswa iya kuboniswa ngezantsi. Kwakhona siya kukuxelela malunga na ukuba le myeza inezinkcenkceshelo kunye nemiphumo emibi, yiziphi iifom ezithengiswayo, yiyiphi inzuliso kunye neepropati zayo, zindleko zayo njalo njalo.

Iiifom zokukhululwa kweyeza kunye nokubunjwa kwazo

Nguwuphi na uhlobo onokufumana ngayo i-Zinnat iziyobisi kwi-pharmacy? Iimpawu zokubhala zenziwe ngeefom ezahlukeneyo. Ngokubhekiselele ekulungiseleleni okukhankanyiweyo, kungathengwa ngendlela yamacwecwe kunye ne-granules ukulungiselela ukumiswa. Makhe siqwalasele ukubunjwa kwala mahluko ngamayeza ngokubanzi:

• Iipilisi "Zinnat". Umyalelo, uqhotyoshelwe kumalungiselelo, uthi zonke iipilisi zihlanganiswe ngengubo ekhethekileyo. Eli liyeza liqukethe into esebenzayo, njenge-cefuroxime. Ukongezelela, iyeza elithi "Zinnat" (125 no-250 mg) liquka ezinye izinto ezincedisayo. Ezi ziyiyo: i-hydrogenated i-olive oil, i-croscarmellose sodium, i-silicon dioxide colloid, i-cellulose microcrystalline, i-white, i-lauryl sulfate, i- propylene glycol, i-propyl parahydroxybenzoate kunye ne-methylhydroxypropylcellulose, i-methyl parahydroxybenzoate. Kwipakethi yekhadibhodi yomkhiqizo wezobisi onokuba nama-tablet okanye ama-10.
• Imithi "iZinnat" (ukumiswa). Ezi zi-pellets ezilungiselelwe ukulungiselela ukumiswa okonkcenkceshe kunyango lwabantwana abaselula kunye nabaselula. Isisombululo kufuneka sithathwe kuphela ngaphakathi. Njengoko kumacwecwe, into esebenzayo yale fomu yesilwayo yi-cefuroxime. Kwakhona, ama-granules amayeza "iZinnat" (125 no-250 mg) aqulethe izixhobo ezincedisayo. I-potassium acesulfame, i-sucrose, amanzi ahlambulukileyo, i-povidone K30, i-stearic acid, i-aspartame, i-xanthan ne-baby flavored "iTutti-frutti". Xa kuthengiswa izilwanyana "iZinnat" kwii-granules ziza
  Kwibhotile yeglasi emnyama kwi-50 ml. Kwakhona ukusetyenziswa okulula, ikiti ibandakanya i-spoon spoon kunye nekomityi yokulinganisa.

Kufuneka kuqwalaselwe ngokukodwa ukuba ezinye iinkampani zephemokhrasi zivelisa kunye ne-powder "iZinnat", ezijoliswe ekufakeni ijoyi e-intravenous and intramuscular.

Izakhiwo ze Pharmacological zamachiza

Ziziphi iimpawu ze-pharmacological zesilwanyana "iZinnat" (250 no-150 mg)? Isiza lisizukulwana sesibini kwisiza-cephalosporin sokulwa nomlomo. Iyakwenza i-bactericidal, iphazamise ukuhlanganiswa kweendonga zeseli zebhakteria. Isilwanyana sinomsebenzi obanzi. Omnye akanakunceda ukuthetha ukuba ayixhatshali kwimiphumo ye-beta-lactamases emininzi.

Ukusebenza kwechiza ngokuchasene nezifo kunye neebhaktheriya

Ngokubhekiselele kubani i-bhakteriya yonyango elisebenzayo kakhulu "iZinnat" (250 no-150 mg)? Njengomthetho, kudlalwa ngokubhekiselele kwi-baceria e-gram-positive aerobic njenge-golden ne-epidermal staphylococci (kuquka iintlobo ezingagxininisi kwi-penicillins kunye neentlobo ezingaqhelekanga zemimandla engamelana ne-methicillin). Kwakhona, le nkunkuma isebenza kakhulu kwi pyrrolidonyl peptidase, pneumococcus, i-group B streptococcus kunye nokukhwehlela.

Ukongezelela, isilwanyana sisoloko sichazwe ukulawula i-aerobic britter negative (Escherichia coli, Klebsiella SPP., Providence SPP., I-Haemophilus influenzae kunye ne-Ampicillin-resistant strains).

Omnye akanakunceda ukuthetha ukuba iZinnat isebenza kakuhle malunga ne-gonococci (iintlobo zokuvelisa kwaye zingabonakali i-penicillinase), i-meningococcus, i-salmonella njalonjalo.

Ukongezelela, kufuneka kuqatshelwe ukuba into esebenzayo - cefuroxime - ayixhatshali kwimimandla ye-methicillin engaxhatshali yegolide kunye ne-epidermal staphylococcus, i-Campylobacter SPP., I-Pseudomonas spp., UListeria, njl.

Ngokutsho kophando lweengcali, xa isithako esisebenzayo sokulungiselela sidibaniswa ne-antibiotics yeqela lama-aminoglycosides, izigulane zinokuba nempembelelo eyongeziweyo, kwaye ngamanye amaxesha ulungelelaniso.

Imiqondiso yokusetyenziswa kwemveliso yeyeza

Kwiimeko ziphi i-antibiotic "iZinnat" echanekileyo? Ixabiso leziyobisi kwiifom ezahlukeneyo linikwe ngezantsi. Ngokwemiyalelo yonyango, kufuneka ithathelwe phambi kwezinto ezinjengalezi:

• Usulelo lwe-ENT. Isilwayo sichazwe nge-tonsillitis (ukuvuvukala kweetoni), i-pharyngitis (ukuvuvukala kwe-pharynx), i-otitis esecaleni (ukuvuvukala kwindlebe ephakathi) kunye ne-sinusitis (ukuvuvukala kwesono se-paranasal).
• Izifo zendlela yokuphefumula engaphantsi nephezulu. Isilwanyana "iZinnat" nge-angina sinceda kakhulu. Nangona kunjalo, kudlalwa ngokubhekiselele kwaye phambi kwezinye izifo. Ezi ziquka ukusuleleka kwentsholongwane yesifuba, ikhefu lomphunga (okanye ukuqoqwa kwepusipi), i-bronchiectasis enesifo (oko kukuthi, ukwandiswa kwengxenye ye-bronchus engenakuphikiswa), i-pneumonia ye-bacteria kunye ne-bronchitis engapheliyo.
• Iigranules kunye namacwecwe "iZinnat", imiyalelo yokusetyenziswa equlethe ulwazi olupheleleyo malunga nendlela yokuthatha iyeza, inokumiselwa ngugqirha kwizifo eziluhlaza kunye nesikhumba. Ezi zifo ziquka ezi zilandelayo izifo: i-phlegmon (okanye i-sulphuent inflammation ye-cellulose), i-erysipeloid (oko kukuthi, izilonda ezithathelwanayo zesikhumba), i-furunculosis kunye nokubunjwa kwamanani amaninzi, ukusuleleka kwintsholongwane, apho izifo zonyango ziphindaphinda ngokukhawuleza ii-microorganism, i-impetigo (okokuthi, ukubunjwa kwee-pustules , Ezo zibangelwa yi-strepto- kunye ne-staphylococci), i-erysipelas (ukuvuvukala okukhulu kwesikhumba esibangelwa yi-streptococcus), i-pyoderma (izifo zesikhumba eziye zabangwa yi-pyogenic microorganms Isms).
• Usulelo lwe-genitourinary system. Imithi ye-Zinnat, ezifana nale nkunkuma (ukuba kuyimfuneko, ukutshintshwa kwe-arhente echazwe) inokumiselwa i-pyelonephritis enzima okanye engapheliyo (ukuvuvukala kweentso), i-urethritis (ukuvuvukala kweendonga ze-urethra), i-cystitis (ukuvuvukala kwesibindi), i-bacteriuria engabonakaliyo (i-colonization yi-bacteria ye-urinary Iindlela), i-gonorrhea (isifo esithathelwanayo esibangelwa yi-gonococcus).
• Izifo zeenxalenye zeplavic. Isilwanyana sonyango siphilisa i-cervicitis (oko kukuvuvukala komlomo wesibeleko), i-endometritis (okanye ukuvuvukala kwesisu somzimba), kunye ne-adnexitis (iinkqubo zokuvuvukala kwiintlobo zesisu).
• Izifo zamalungu kunye namathambo. Njengoko ungekho, ukusetyenziswa kwe "Zinnat" kubanzi kakhulu. Ingasetyenziselwa kuphela ukuphatha iziphathamandla zangaphakathi kunye nezifo zesikhumba, kodwa namathambo. Ngoko ke, ngokuqhelekileyo kunikwa izigulane ezine-articritis septic (kunye nokungena kweebhaktheriya kwi-joint joint) kunye ne-osteomyelitis (kunye nokuvuvukala kwe-periosteum).
• Kwakhona, isilwanyana sisebenza kakuhle kwiminitis (ukuvuvukala kweembrane zengqondo kunye nomgudu womgogodla), isifo seLyme (esadluliselwa ngokukhawulwa kwekhakiti) kunye ne-sepsis (oko kukuthi, isifo esithathelwanayo esibangelwa ukungena kweebhaktheriya, i-fungal unicellular okanye i-toxins egazini).

Phakathi kwezinye izinto, ngoncedo lweyeza "iZinnat" lwenziwa kunye nokuthintela iingxaki ngexesha lokusebenza kwisifuba, izitho zangasese, i- pelvis kunye namalungu.

Ngokutsho kokuphononongwa kwezigulane kunye neengcali, eli liyeza lisebenza kakhulu kuzo zonke ezi zilapha ngasentla. Kodwa oku kuphela ukuba babangelwa yiibhaktheriya ezivelele kwiziyobisi. Ukuba akukho mpembelelo yonyango ibonwa, ngoko kufuneka ubone ugqirha uze uphinde uphinde uphinde uphinde uhlolwe unyango.

Ukungqinelana nokusetyenziswa kwemveliso yeyeza

Isilwanyana "iZinnat", isithunzi esichazwe kweli nqaku, akucebisi ukuba iziganeko zesigulane zenze iipenicillin, ukuxhomekeka kwezinto ezinokusebenza (i-cefuroxime), kwakunye nezifo kunye nokuphaphaka kwenkqubo yokutya. Musa ukunika abantwana ukuya kwiinyanga ezintathu.

Kufuneka kwakhona kuqaphele ukuba isilwanyana kufuneka sithathwe ngokuqaphela ngokugqithiseleyo ngabafazi abakhulelweyo (ngokukodwa kwi-trimester yokuqala) nangethuba lokuncelisa.

Isilungiso seZinnat: imiyalelo yokusetyenziswa, intengo

Emva kokutyunjwa kweziyobisi, ugqirha kufuneka achaze isigulane sakhe ukuba le nyeza kufuneka isetyenziswe njani. Kwakhona, ngaphambi kokuqala ukufumana oko kucetyiswa ukuba ufunde imiyalelo eqhotyoshelweyo.

Iibhilethi "Zinnat" kufuneka zithathwe ngexesha okanye emva kokutya kokutya. Nge-angina nezinye izifo, isilwanyana sinconywa ukuba sisetyenziswe iintsuku ezingama-5-10. Ngesifo seLyme, ubude bonyango kufuneka kube ubuncinane iintsuku ezingama-20.

Kwiimeko ezininzi, iyeza elithi "Zinnat" ngeengcula kunye nezinye izifo ezithathelwanayo zichazwe kubantu abadala kwi-250 mg kabini ngosuku. Kwi-pyelonephritis, i-antibiotics isetyenziswe ngokuphindaphindiweyo, kodwa kwisixa sama 125 mg.

Ukuba ukrokrela i-pneumonia, kunye nesifo seLyme, kunye nezifo ezinzulu zendlela yokuphefumula, ukuthatha isidakamizwa kwisitya esisodwa akufanele kube ngu-250, kodwa 500 mg. Kule meko, i-periodicity iphindwe kabini. Nge-gonorrhea (engaxakekiyo), amayeza kufuneka athathwe kanye ngosuku ngemali eyi-1 g.

Isilwanyana "iZinnat" (ukumiswa kwabantwana): umyalelo wokusetyenziswa kweyeza

Kwimeko apho unyango olunje lonyango lubekwe kumntwana, oogqirha bancomela ukusebenzisa i-granules ejoliswe ekulungiseleleni ukumiswa okumnandi. Kufuneka kuqatshelwe ukuba i-10 ml yokulungiswa kwamanzi ihambelana ne-250 mg yezinto ezisetyenziswayo (cefuroxime).

Iyiphi imilinganiselo i-Zinnat (ukumiswa) amayeza anqunyelwe abantwana? Imiyalelo kwesi sixhobo ithi umntwana oneminyaka engaphezu kweminyaka engama-12 ubudala unqunywe kabini ngosuku nge 125 mg.

Kubantwana ukusuka kwiinyanga ezintathu ukuya kwi-12 ubudala, isilinganisi esisodwa sibalwa ngokuphindaphinda i-10 mg nge kilogram yesisindo somntwana. Ubuninzi bokungeniswa kwabantwana abaselula buyafana nababantwana abaselula.

Kwimeko yezifo ezithathelwanayo kunye ne-average otitis, isilwanyana esingama-250 mg kabini ngosuku singanikwa umntwana oseneminyaka engaphezu kwe-12 ubudala, kwaye umntwana unokufumana i-15 mg / kg ngokuphindaphindiweyo kwinyanga ezintathu.

Ifomu engavumelekanga yokulungiselela: imiyalelo yokusetyenziswa

Ngoku uyazi ukuba isilwanyana "iZinnat" (ukumiswa) sinikwe umntwana. Nangona kunjalo, ku funeka kuqatshelwe ukuba, ngaphezu kwe-granules kunye namacwecwe, le nyanga ibuye ifumaneke njenge powder for injections.

Ngenxa yokulawulwa kweengculaza kunye ne-intravenous kubantu abadala, i-antibiotics ilawulwa kathathu ngosuku, 750 mg ngosuku. Ukuba isigulane sinesimo esibi kakhulu sesifo, ngoko i-do-day-day-dosage iphindwe kabini.

Abantwana banako ukujova ngeZinnat. Kule meko, ilawulwa kathathu ngosuku. Kule meko, i-dosage ibalwa ngokuphindaphinda: 60 mg ye-active substance x kilogram yesisindo somntwana.

Kwimiqondiso yeklinikhi kunokwenzeka ukutshintsha ukusuka kwindlela yokusebenzisa i-antirentical kwi-antibiotics ekumiswe okanye kwiipilisi.

Iziphumo emva kokuthatha amayeza

Ngaba zikhona na iziphumo emva kokuthatha iZinnat? Impendulo yalo mbuzo iqulethwe kwiimpawu zonyango.

Ngoko, ezi ziphumo ezimbi zingabonakaliswa kwimiphumo emibi emva kokusetyenziswa kwe-ejenti ekhankanyiweyo:

• Umkhuhlane, ukuvuthwa nokuvuthwa (kuboniswe elukhumbeni), ukuphazamiseka kwesikhumba kunye nophuhliso lwe-anaphylaxis;
• Hypoprothrombinemia, leukopenia, i-hemolytic anemia, i-thrombocytopenia kunye ne-eosinophilia;
• Ukuva ukuphazamiseka, ukuxinwa, iintloko nokulala;
• Isifo sohudo, ukunyuka komsebenzi we-enzyme yesibindi, ukuhlanza, isifo se-hepatitis, isicupunu kunye ne-jaundice ye-cholestatic;
• I-Vaginosis, i-dysbacteriosis kunye ne-nephritis ye-interstitial.

Kufuneka kwakhona kuqaphele ukuba kwiimpendulo kwizigulane malunga nonyango ngokuqhelekileyo kukho ulwazi lokuba emva kokuba uthathe izidakamizwa abathile abafazi baye batshabalalisa. Ukubonakala kokuphambuka okunjalo kubangelwa ukukhula okukhulu kwesikhunta seC Candida ngexesha le-antibiotic therapy.

Imiyalelo ekhethekileyo ekusebenziseni imveliso yeyeza

Ukuba isilwanyana sisetyenzisiwe ixesha elide, ngoko izigulane zinokufumana ukuphindaphinda kwenyuka kwama-microorganism. Njengomthetho, oku kufuna ukupheliswa kwangoko kunyango.

Akuyiyo imfihlo kunoma ubani othabatha izidakamizwa ze-anabiotic ngokuqhelekileyo ukhokelela ekubonakaleni kwehudo. Kwaye imithi ye "Zinnat" ayikho. Ngaloo ndlela, izigulane ezithatha le mphuzo zimele zikhumbule ukuba malunga nale mvelaphi zingahlakulela i-colitis epseudomembranous.

Njengoko kuboniswa ngethambo lokunyanga, ngexesha lonyango lwe-Lyme isifo se-antibiotics kwizigulane kunokuthi kuqaphele ukusabela kuka-Yarisch-Gerxheimer. Ngokutsho kweengcali, kuba ngumphumo we-bactericidal effect yeyeza kwi-pathogen-spirochete Borrelia burgdorferi. Ukuze isigulane singavumi ukuthatha isigqirha ngokukhawuleza, ugqirha kufuneka amchazele ukuba oku kuyisiphumo esivamile kunye nesigqirha sokunyanga isifo seLyme ngamagciwane. Emva kwexesha elithile, lidlula ngokwalo.

Ukuba izidakamizwa "iZinnat" zinikezelwe kwizigulane ezixilongwe "nesifo sikashukela," kufuneka sithathwe ingqalelo ukuba i-sucrose ifakiwe kwi-suspension. Kule meko, kucetyiswa ukuba ufake indawo ekhankanyiweyo yeziyobisi enye. Ngokomzekelo, iipilisi okanye iipowders zingasetyenziselwa ukulungiselela isisombululo somjovo we-intravenous okanye we-intramuscular.

Ukuba, ukuze uphathe isifo, umntwana omncinci okanye umntwana osemtsha wayemiselwe isilwanyana ngendlela yokumiswa, kufuneka wazi ukuba kuyimfuneko ukuyilungisa usebenzisa ukufudumala kunokushisa.

Ukusebenzisana nezinye izixhobo zonyango

Ngaba ndinokuthatha i-Zinnat kunye nezinye izidakamizwa? Kwiimeko ezininzi, ewe. Kodwa ngexesha elifanayo, izinto ezininzi kufuneka ziqwalaselwe. Ngokomzekelo, ukulawulwa ngokubambisana kwe-cefuroxime yeziyobisi kunye neziyobisi ezifana neprobenecid kunokukhokelela kunyuka kwi-AUC yowama-50% ngaphambili.

Kufuneka kwakhona kuqaphele ukuba kunye nokusetyenziswa kwangexesha elifanayo le-antibiotic kunye ne-antacids, ukufumaneka kwezinto ezikhoyo ngaphambili kunciphisa. Kodwa oku kusebenza kuphela kumalungiselelo ngendlela yokumiswa.

Ixabiso kunye nezifaniso ze-antibiotic

Ingakanani iyeza "Zinnat"? Ixabiso le mveliso kwiinketyambo zeekhemisi ezahlukeneyo ziyahlukahluka. Nangona kunjalo, iindleko eziqhelekileyo zamachiza kumacwecwe zi malunga nama-ruble aseRussia (amaqhekeza angama-10). Ngokumalunga nokumiswa, ngoko-50 ml yesilwanyana ofuna ukuyinika malunga nama-ruble angama-350. Ixabiso elifanayo libekwe i-powder yeenjini.

Yintoni endiyenzayo ukuba, ngenxa yezizathu ezithile okanye esinye, isiguli asikwazanga ukuthenga izidakamizwa zeZinnat? Iziganeko zalo zihlala zithengiswa kwiiketyu zeekhemisi. Ukuba awukwazi ukuba zeziphi izicwangciso, siza kubhala phantsi ngoku.

Ngenxa yoko, analogs lithetha "Zinnat" ukwimo sikhuthele amayeza zilandelayo:

• "Super".
• "Aksetin".
• "Tsefurus".
• "Aksosef".
• 'Axetil Cefuroxime'.
• "Antibioksim".
• "Cefuroxime sodium."
• "Atsenoveriz".
• "Cefuroxime Kabi."
• "Zinatsef".
• "Cefuroxime."
• "Zinoksimor".
• "Tsefurozin".
• "Ketotsef".
• "Tsefurabol".
• "Kefstar".
• "Tsefroksim J".
• "RRF".
• "Cetyl Lupine."
• "Proxy".

Asinako ukuba onke la machiza kufuneka iifom ukukhululwa ezahlukeneyo. Kule meko, ukuba kusetyenziselwa abadala kunye elivisayo, kunye nabantwana abancinci.

Aphezulu wobomi ichiza kunye neemeko yogcino

Ithuba lokugcinwa amacwecwe "Zinnat" yiminyaka 2 ukusuka kumhla wokwenziwa, kwaye ukunqunyanyiswa olungumgubo isitofu - iinyanga ezili-12. Kodwa ke kuphela xa imeko ukuba ukugcinwa yokulungiselela lwaqhutywa kuphela kwiqondo lobushushu igumbi. Hi ndlela leyi, ukunqunyanyiswa sele zilungiselelwe Kuyancomeka ayifake kwigumbi okupholisa. Yigcine kule fomu kufuneka ungabi ngaphezu kweentsuku ezilishumi. Emva kweli xesha, sebenzisa amayeza akuvumelekanga ngokungqongqo.