Mishonga "Ciprofloxacin": antibiotic kana kwete? Solution, injections, madonhwe eziso uye nzeve "Ciprofloxacin"

Chirwere ichi Chiprofloxacin chirwere cherabioti kana kwete? Uyu mubvunzo unowanzowanzofarirwa kune avo varwere avo, mushure mekugamuchira chiremba akakodzera, kuti vawane ruzivo rwakawedzerwa, sezvo vasingadi kurwisa migumisiro yekutora maantibiotic. Mhinduro yaunogona kuwana mune zvinyorwa zvenyaya ino. Tichakutaurirawo zvakajeka kuti chinonzi chirapi ichi chinorevei, mumhando ipi iyo inogona kushandiswa, iyo inosanganiswa mukugadzirisa kwayo, kana mishonga ine migumisiro, izvo zvinopesana zvakadini zvinofanira kuzivikanwa uye kuti ungashandisa sei mushonga zvakanaka.

Mafomu ekusunungurwa, purogiramu yemishonga uye yakarongeka

Usati watitaurira nezvechirwere "Ciprofloxacin" (antibiotic kana kwete, uchawana zvishoma gare gare), unoda kutitaurira kuti inogona kutengwa papi pharmacy.

Parizvino, ichi chinodhaka chinogona kutengwa nenzira zvitatu zvakasiyana. Ngationgororei pamusoro pezvo.

1. Mune chimiro chemvura, mushonga we "Ciprofloxacin" inogadzirisa zvirwere. Iyo inoshandisa chikamu chemujaira iyi ciprofloxacin hydrochloride. Chirwere chacho chinotengeswa mu 100 mabhodhoro.
2. Mapiritsi "Ciprofloxacin". Mifananidzo yemishonga inoratidzwa pasi apa. Chinhu chacho chinoshanda chinosanganisira ciprofloxacin hydrochloride. Rimwe piritsi rinogona kuva 500 uye 250 mg yemishonga yemishonga. Mukutengeswa kwechigadzirwa chinouya mumakadhibhopu pakapetheti gumi, 20, 30, 40, 50, 60 kana 100 mapiritsi.
3. Chimwe chimiro chemvura chinonzi "Ciprofloxacin" - madonhwe eziso nenzeve. Iyi inharaunda 0.3% yegadziriro inoshandiswa zvinoshandiswa zvakadai sa ciprofloxacin hydrochloride. Mukutengeswa kwechigadzirwa chinouya mumabhodhoro e droppers kwe 5 kana 3 ml (yakaiswa mubhodhibhokisi bhokisi).

Zviratidzo zvepamusoro zvechirwere

Chii chinonzi "Ciprofloxacin"? An antibiotic kana kwete? Maererano nemirayiridzo iyi inogadziriswa pamishonga iyi, iyi mishonga inonzi drug antimicrobial ine basa rakawanda rekuita. Icho chiri cheboka re fluoroquinolones.

Mushandi anoita bacticicidal, achivhara enzyme yakadai sebhakitiriya DNA-gyrase, ndicho chikonzero kudzokorora kweDNA kunonyatsoputswa, pamwe chete nekushandiswa kwesero seprotein yemakemikari anokuvadza. Inofanirawo kuonekwa kuti mishonga iri mubvunzo inogona kuchinja zvose zviri kubudisa mabhakitiriya uye michina yakawanda iripo.

Nekuremekedza uko mabhakitiriya ari chirwere "Ciprofloxacin" inoshanda? Chiito chemugumi uyu chinotungamirirwa kune-gram-negative aerobic microorganisms uye gram-positive. Mumwe haakwanisi kubatsira kutaura kuti staphylococci yakawanda iyo isingagamuchirwi ne methicillin inopikisa ciprofloxacin.

Inofanira kuonekwa zvakare kuti streptococci uye enterococci zvinonyatsotarisana nemishonga.

Pharmacokinetics yezvinodhaka

Solution for infusions

Muzviitiko zvipi iyo mishonga inorayirwa sejisi? "Ciprofloxacin" inoshandiswa mujojo kana murwere asingakwanisi kutora mafomu emuromo wemishonga, uyewo kana chirwere chikuru chinenge chichidiwa.

Mushure mokunge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge Mhinduro yacho inoparadzirwa zvakanaka pamusoro pemishonga yemuviri. Muchiitiko ichi, haisi kuwira panzvimbo dzakapfuma mumafuta.

Zvinyorwa zvechirwere mumatumbu zvinokwana 5-11 zvakapfuura pane plasma. Kurapa kwehutano hwemajeni kunowanikwa mumatare, saliva, nduru chiropa, chiropa, mumatumbo, bile, mapachiviri, nhengo dzomukati, chirwere chepamuviri, seminal fluid, uterus, endometrium, prostate tishues, maovhesi, mafungiro, fallopian tubes, nhengo dzekuvhenekera, marinchial secretion, pulmonary tishu , Muscle, bone tissue, synovial uye peritoneal fluids, cartilage yeganda uye ganda rekushandiswa.

Muchidimbu chemvura inoshandiswa mushonga wacho unopinda mumavhu maduku. Panguva imwecheteyo, inotungidzirwa inenge inenge 7-10% (mukuenzanisa neserum) mune zvisiri izvo zvinopisa mumiriri uye anenge 15-37% ane moto.

Mushonga we "Ciprofloxacin," mufananidzo waunogona kuona munyaya ino, unopinda zvakanaka kusvika pakuchengetedzwa kwebhonical, lymph, meso echirwere, peritoneum, pleura, uyewo kuburikidza neparcenta. Basa remishonga rinoderedza zvishoma pane zvakaderera pH maitiro.

Mushonga wacho unoshandiswa muropa pachiropa (anenge 15-30%) nekuumbwa kwemaitiro asingashandisi metabolites. Nenzira inopisa yekupedza, kupera kwehafu-hupenyu maawa mashanu kusvika maawa matanhatu. Iyo mishonga inonyanya kusvibiswa mune fomu isina kufananidzwa uye nenzira ye metabolites.

Mapiritsi

Kazhinji kazhinji, varwere vanorayirirwa nemitemo ye "Ciprofloxacin". Muchiitiko ichi, chinhu chinoshandiswa chemapiritsi chinokurumidza kubviswa kubva pamagetsi. Bioavailability yechirwere chacho inenge 50-86%. Iyo yakawanda yakasvibisa serumisi inosvika mushure memaawa anenge 1-1.6.

Muchidimbu kutorwa mishonga inoparidzwa mumvura yemuviri uye maviri. Izvo zvakanyanya kuwedzera zvinowanikwa mumapapu, bile, mafungiro, nduru, chiropa, chiropa, chibereko, zviputi, prostate tisues, fallopian tubes, endometrium uye mavari. Mukuwedzera, chirwere chinonzi "Ciprofloxacin" chinopinda zvakanaka mumapfupa, ziso remvura, saliva, maronchial secretions, mishonga, ganda, peritoneum, pleura uye lymph.

Muchidimbu chinotyisa, mushonga wacho unowanikwa mune zvishoma (mukuenzanisa neserum, inongororwa inenge 6-10%).

Iyo nhengo huru yekuwedzerwa kwemishonga kubva mumuviri ndiyo itsvo.

Matope

Chii chinonzi pharmacokinetics cheko ciprofloxacin? Donhesi dzekunze (pamwe nemadonzvo eziso) dzinorayirwa kune varwere zvishoma nezvishoma. Mushure mokushandiswa, huwandu hwekugadzirisa kwechigadzirwa chinoshanda chiri pasi pe 5 ng / ml.

Mushonga "Ciprofloxacin": zviratidzo zvekushandiswa

Zvichienderana neizvi kana kuti iyo yakasunungurwa, iyi mishonga inogona kurongerwa zvirwere zvakasiyana. Funga nezvehupupuriro hwechikumbiro zvakanyanya.

Mapiritsi uye sarudzo yezvipusi

Iyi mishonga yemishonga inorayirwa kune zvirwere zvinotapukira uye zvinoputira, izvo zvakakonzerwa nema microorganisms anoziva ciprofloxacin.

Nokudaro, ichi chinodhaka chinoshandiswa kuporesa mapfupa ekufema, nzeve, mhuno uye nehuro, urinary tract uye itsvo, mazamu, chirwere chekudya (kusanganisira meno, muromo nemasana), bile ducts, mucous membrane, ganda, nduru, Musculoskeletal uye soft tistues. Inofanirawo kutariswa kuti mishonga iyi inoratidzirwa kurapa kwe peritonitis uye sepsis. Mukuwedzera, inoshandiswa kurapa nekudzivirira zvirwere kune vanhu vane hutachiwana husina kudzivirirwa (panguva yekurapa nezvirwere zvemuviri).

Donhwe reziso

Muhupfumi, mushonga unoshandiswa zvirwere zvinotapukira uye zvinoputika. Kukanganisa kwakadaro kunosanganisira blepharitis, keratitis, blepharoconjunctivitis, keratoconjunctivitis, bhakitiriya corneal ulcer, subacute uye acute conjunctivitis, meibomite (kana kunonzi "bhari") uye chisingagumi dacryocystitis. Mukuwedzera, madonhwe e "Ciprofloxacin" anoshandiswa kurapa kuora kwekuona kwehutachiona mushure mekunyengera kwemamwe masimba kana kukuvadzwa. Inofanirawo kuonekwa kuti mishonga iyi inowanzogadzirirwa kusati kwapera uye shure kwekuchengetedza zvinetso zvepabonde mukuvhiya kwehupombwe.

Nzeve matonho

Mu otorhinolaryngology, ichi chinodhaka chinogona kurongerwa kune kunze otitis, pamwe chete nekurapa kwezvinetso zveperioperative zvehutachiona hunotapukira.

Contraindications kushandiswa kwechigadzirwa

Mune zviitiko zvipi zvinorambidzwa kushandisa chirwere ichi "Ciprofloxacin"? Nhoroondo uye mishonga pachayo pachake pasina mamiriro ezvinhu inogona kutarisirwa pasi pemamiriro anotevera:

• Ne pseudomembranous colitis ;
• Nokushayikwa kweglucose-6-phosphate dehydrogenase;
• Panguva yekuzvitakura;
• Muhuduku kusvika makore gumi nematanhatu (kusvikira pakupera kwekuumbwa kwemasaga);
• Ne hypersensitivity kune mishonga kana zvimwe zvinoshanda kubva muboka re fluoroquinolones;
• Munguva yekuraira.

Inofanirawo kuonekwa kuti nekuchengetedzwa kwakanyanya iyi mishonga inorayirwa kune varwere vane hutachiona hwehutano hwehutano hwehupfungwa (musoro), zvirwere zvepfungwa, hutano hwepfungwa, hutachiona hwehutano, hutsinye hwekushaya simba / hupenzi husina kukwana, kuurayiwa, uye vakwegura varwere.

Mirayiridzo yekushandiswa kwemishonga yemishonga

Zvichienderana nechimiro chekusunungurwa kwechirwere, chinogona kutarisirwa mune imwe dhigiriji. Ichocho, tichazozivisa ikozvino.

Mapiritsi "Ciprofloxacin"

Nhoroondo dzechirwere uye mishonga iyi inogona kugoverwa mumabhuku akasiyana. Izvo zvinoenderana nekuoma kwechirwere, mamiriro emuviri wemurwere, rudzi rwehutachiona, uremu hwomurwere nezera rake, uyewo maitiro eitsvo. Inorayirwa madhadhi ekuburisa mumuromo (500 uye 250 mg imwe neimwe) inogona kunge yakaita seizvi:

1. Muzvirwere zvemuviri wekupemha, kana kuti panzvimbo yavo mazana mashoma (kuenzanisa zvakakomba), 250 mg kaviri pazuva (mumatambudziko akakura, 500 mg).
2. Mune zvirwere zvisingaverengeki zvehutano uye urso - 250 mg kaviri pazuva (mumatambudziko akaoma - 500 mg).
3. Nekurapa kwegonorrhea - muzana mumwe chete muyero ye 500 kana 250 mg.
4. Nechiremera chechikadzi, chiritisiti, enteritis, prostatitis, osteomyelitis (ine chirwere chakaoma) - 500 mg kaviri pazuva.

Maererano nemirairo, mushonga unofanirwa kutorwa chete musina chinhu chisina chinhu, wakashambidzwa pasi nemvura yakachena. Varwere vane chirwere chakakomba chekushaya simba vanorayirwa ½ kuyerwa kwechirwere. Nguva yekurapa nemishonga iyi inotsamira pakuoma kwechirwere. Zvisinei, kurapa kunofanira kupfuurira kwemazuva maviri mushure mekunyangarika kwezviratidzo zvechirwere. Sezvo mutemo, nguva yehutano nechirwere ichi mazuva makumi manomwe.

Solution for infusions

Ndinofanira kushandisa sei chirongwa cheProfilocacin? Nhoroondo dzechirwere ichi uye mishonga pachayo inofanira kutarisirwa mukati mekudzivirira kwehafu yeawa (pamusero we 200 mg).

Inofanira kunyanya kutaurwa kuti mhinduro yekukanganiswa inogona kusanganiswa ne 10% glucose solution, 0.9% sodium chloride solution, 10% fructose solution uye Ringer's solution.

Nhamba imwe chete yemushonga ndeye 200 mg. Kana murwere ane zvirwere zvakanyanya, ipapo 400 mg. Kuwanda kwemishonga yekushandisa zvinodhaka - kaviri pazuva. Nguva yekurapa inowanzova mavhiki maviri. Kana zvichidikanwa, chirongwa chekurapa chinogona kuwedzerwa.

Ophthalmic (0.3%) madonhwe

Donhwe reziso "Ciprofloxacin" yevana pasi pegore rimwe rekushandisa rinorambidzwa. Mune dzimwe nguva, inonyanya kushandiswa pamusoro. Nekutengesa zvakanyanya uye zvakanyanya nyore, chirwere ichi chakavigwa mujoni conjunctival yeziso rakagadzikana, 1-2 inodonha maawa mana. Nehutachiona hwakakomba, muyero wacho unoramba uri wakafanana, asi mushonga unofanirwa kuiswa maawa ose. Mushure mokunge chirwere chacho chiri nani, huwandu uye huwandu hwekudzivirira huri kuderedzwa.

Nechirwere che-cornea (mabhakitiriya), mushonga unorayirwa 1 inodonha imwe nguva yeawa imwechete kwemaawa matanhatu. Zvadaro-1 inodarika imwe hafu yeawa. Pazuva rechipiri - 1 ronhora nguva imwe neimwe. Kubva pamazuva matatu kusvika ku14 - 1 inodarika maawa mana.

Kana mushure memavhiki maviri ekurapa epithelization zvisati zvaitika, ipapo kurapwa kunobvumirwa kuramba kuchienderera mberi.

Nzeve (0.3%) madonhwe

Nzira yei mune otorhinolaryngology inoshandiswa mushonga we "Ciprofloxacin"? Matsipa emhete anoshandiswa chete mushure mekunge mutezo wekunze wekunze wakanatswa zvachose. Usati washandisa, gadziriro inofanira kushandurwa kune utsi hwemuviri kuitira kuti usadzivirire kushushikana.

Iyo mishonga inovigwa munzeve yekunzwa mumavhuna 3-4 madonhwe 2-4 ka-zuva (inogona kuva kakawanda). Mushure mekudzivirira, murwere anofanira kurara kune rumwe rutivi rwemaminitsi mashanu kusvika ku11.

Kana zvichidikanwa, mushure mekucheneswa kwekunze kwenzeve, unogona kuisa swabhota yekotoni yakagadziriswa mumhinduro ye "Ciprofloxacin" mairi. Nenzira, anofanira kunge ari mundima kusvika kune imwe nzira inotevera.

Nguva yehutachiona nemishonga iyi haifaniri kudarika mazuva 5-11. Dzimwe nguva kurapwa kunogona kuwedzerwa. Asi izvi ndezvokuti kana mhepo yemunharaunda yakanyanyisa.

Imishonga inorwisa maantibiotic here?

Mishonga "Ciprofloxacin" - antibiotic kana kwete? Ichitaura nezveboka re fluoroquinolones, ichi chinodhaka chigadzirwa chema antibacterial agent. Mukuona kweizvi, haisi mishonga inorwisa mabhakitiriya, sezvo zvinhu izvi zvisikwa zvakasikwa.

Zvakaipa Kuchinja

Izvozvo zvinokonzera chikamu chechirwere "Ciprofloxacin" here? Kuvana nevakuru, anofanira kuiswa chete maererano nehupupuriro. Izvi zvinokonzerwa nekuti chirwere chakadaro chakaita nhamba yakawanda yemigumisiro. Kazhinji kazhinji inoratidzirwa muchirwere chekudya (kusuruvara, kurwadziwa mumimba, kusuruvara, flatulence, chirwere), kubva muurongwa hwehutano (kuneta, kudengenyeka, chizivo, kusuruvara, kuora musoro), sensations (tinnitus, kunhuwa kwekunzwa kunhuhwirira , Shandura muvaravara maonero), uyewo kubva kune hemopoietic, urinary uye musculoskeletal systems. Uyewo, kurapwa ne "Ciprofloxacin" kunogona kuita kuti kuonekwa kwegadziriswa (chechchy skin, papules, urticaria, dyspnea, blisters, kunyepera kwemaziso, eosinophilia, nodalma nevamwe).

Nhaurirano dzechivako uye mari dzayo

Mutengo wechirwere ichi "Ciprofloxacin" yakadzika kwazvo, uye inenge 30-50 Russian rubles. Uye ino mari inoshanda kumarudzi ose emishonga. Asi zvakadini kana, nokuda kwechimwe chikonzero kana chimwe, iyo "Ciprofloxacin" vashandi haigokufanani newe? Analogs emudzvinyiriri uyu anogara aripo mune zvem pharmacy. Izvi zvinosanganisira zvinodhaka zvakadai seCitrase, Alzipro, Ecocil, Afenoxin, Tsiprex, Tsifrazid, Basijen, Tsifran, Betaciprol, Tsifloksinal, Vero Ciprofloxacin, Cyteral, Zindolin-250, Isfipro, Ciprofloxabol, Quintor, Tsiprosol, Quipro, Tsiprosin, Liprochin, Ciprosan, Microfloq, Cipropan, Oftotsipro, Tsipronat, Protsipro, Tsiprolet, Recipro, Tsiprolakar, Sifloks, Tsiprodoks, Tseprova, Tsiprobrin, Tsiloksan, Ciprobid "," Ziplox "," Cyprinol "nevamwe.

Zvinofanira kuonekwa kuti mutengo wemari iyi haisi yakakwirira kudarika zvinodhura zvechirwere chepakutanga. Nokudaro, hauzokwanisi kuwana mishonga yekurapa chirwere chaicho.

Ngationei mhinduro

Iye zvino unoziva kuti chirwere ichi "Ciprofloxacin" chii. Ndinoda kunyanya kucherechedza kuti inogona kushandiswa chete maererano nezviratidzo uye chirevo chechiremba anoenda.