Drug "Tsedeks" ga Banĩ (dakatar): reviews. Umarnin don amfani, contraindications

Toddlers sau da yawa sha numfashi cuta (duka biyu babba da ƙananan), otolaryngology. Pediatricians a cikin wannan harka rubũta maganin rigakafi "Tsedeks" (domin dakatar da yara). Reviews uwaye tabbatar da cewa magani taimaka warke tare da kadan tasiri (yayin da shan magunguna don mayar da hanji microflora kuma, idan ya cancanta, anti-alerji magunguna).

Daga cikin abũbuwan amfãni daga iyaye bayar da rahoton guda kashi na miyagun ƙwayoyi (a dakatar, ko a capsules), tasiri gwagwarmaya tare da lingering mashako, tonsillitis, sinusitis, otitis, na kullum rhinitis. Amma a cikin babban rashin babban kudin magani saki. Karatu a daki-daki, abun da ke ciki, umarnin, gefen sakamakon wannan miyagun ƙwayoyi.

Janar halaye

Yana hada da kwayoyi don pharmacological kungiyar zuwa na uku-ƙarni cephalosporins. Wannan yana nufin cewa korau kiwon lafiya effects idan aka kwatanta da na farko ko na biyu ƙarni maganin rigakafi za ta kasance ƙasa a cikin miyagun ƙwayoyi "Tsedeks". Wannan magani an kuma ake kira "ceftibuten", wanda ake dangantawa da wannan sunan mai aiki abu a cikin abun da ke ciki. Wannan kwayoyin aka samar da Italiya, Switzerland, da United States (a Rasha domin a saki wannan samfurin ya gana da kamfanin "Schering-garma").

Drug "Tsedeks" amince da Rasha Ma'aikatar Lafiya, a kan likita takardar sayen magani. Ga yara daga shekaru goma da wannan likita ta zayyana wani kwayoyin capsules, kuma ga jariran daga watanni shida zuwa shekaru goma - a cikin foda. A capsules suna samuwa a bororo fakitin biyar guda ko a raba bags. A fakitin slurry kawota aunawa kofin da kuma aunawa cokali. Capsules da foda medicament hasken rawaya ko fari (mafi kiwo) launi.

Lura cewa Figures a da miyagun ƙwayoyi sashi da ake nufi da take. Wannan shi ne, idan an rubuta "Tsedeks 400", sa'an nan da miyagun ƙwayoyi ne samuwa a capsules, kowanne dauke da hudu grams na ceftibuten (mafi daga cikin kashi da rana ba zai iya daukar wani yara ko manya). Don shirya foda slurry aka samar a cikin wani 30-milliliter vials (babban abu sashi ne 36 milligrams da milliliter).

Kwayoyin za a iya adana a zazzabi na daga biyu zuwa 25 digiri a sama sifili. Unopened magani zai šauki tsawon shekaru biyu. Duk da haka, da reconstituted dakatar kamata a adana a cikin firiji a 2-8 digiri na makonni biyu.

Drug "Tsedeks": jagora farashin

kwayoyin foda iya zama daga wani haske rawaya zuwa duhu launi a bushe jihar. A dilution na zama Milky da ceri turare. A shirye-shiryen hada ceftibuten dihydrate (36 MG da ml na diluted dakatar da 144 milligrams gram na bushe foda), sucrose, danko (guduro), xanthan, titanium dioxide da silicon, simethicone, sodium benzoate, polysorbate 80, dandano (ceri). Diluted magani kawai adana a cikin firiji. Fiye da kwanaki goma, ba su yi amfani da dakatar "Tsedeks". Foda farashin ne matsakaita na 475 rubles.

A capsules da dan kadan daban-daban abun da ke ciki. Akwai shiga ceftibuten (400 MG da kwantena), magnesium stearate, microcrystalline cellulose, sodium sitaci glycolate. A harsashi kanta aka hada da gelatin, titanium dioxide da sodium lauryl sulfate.

Da miyagun ƙwayoyi foda gabatar a capsules fari, madara ko hasken rawaya launi, da harsashi ya da wani sunan lakabin shiri (Pharmaceutical abun da ke ciki na tawada hada da wani musamman glaze, simethicone, lecithin, black iron oxide (E 172), monoetilat ethylene glycol). Medicament "Tsedeks" (Farashin zai zama mafi girma a cikin capsules), kazalika da sauran Allunan, aka adana a kan hanya ƙofar firiji ko a hukuma inda zafin jiki ba ya wuce 25 digiri a sama sifili.

A mataki na miyagun ƙwayoyi

Wannan magani ake kira da mataki na antimicrobial da antibacterial. Shi halaka membrane na kwayoyin cuta da suke resistant zuwa wasu kwayoyi na ga cephalosporin kungiyar. Wannan magani ne resistant zuwa mafi penicillinases da cephalosporinase. Amma da kwayoyin ne mara amfani lokacin da akayi tare da damuwa resistant to beta-lactam maganin rigakafi (misali, penicillin-resistant streptococci).

A medicament "Tsedeks 400 'da kuma dakatar da rushe kwayoyin kamar Streptococcus pneumoniae, Moraxella catarrhalis, Proteus indolpolozhitelny, Haemophilus influenzae da E. coli, Klebsiella, Providencia, Salmonella. Wannan na faruwa saboda hanawa na transpeptidase da sosai nazarin halittu cell bango peptidoglycan kira. A anaerobic kwayoyin, staphylococci, kungiyar B streptococci, enterococci sakamako na wannan kwayoyin ba a rufe.

Hanzari tunawa daga cikin gastrointestinal fili, amma abinci ci slows da ya kwarara daga cikin tsari a cikin yin amfani da dakatar (da miyagun ƙwayoyi a capsules ba a rufe). Ganiya kwayoyin jari a jini cimma biyu sa'o'i bayan da gwamnati. Kwayoyin aiki abu da ke shiga cikin kyallen takarda da ruwaye a cikin wani gajeren lokaci (46-81% daga cikin miyagun ƙwayoyi taro a jini). Nuna miyagun ƙwayoyi ne excreted canzawa a cikin fitsari.

alamomi

Shiri "Tsedeks" (dakatar, kwantena) da ake amfani da wadannan cututtuka:

• ciwon makogwaro.
• mulufi zazzabi.
• tonsillitis.
• ciwon huhu.
• kullum da kuma m mashako.
• otitis kafofin watsa labarai.
• sinusitis.
• urethritis.
• cystitis.
• enteritis.
• gastroenteritis lalacewa ta hanyar E. coli, Shigella, Salmonella.

Magani wajabta da likitoci da kuma lura da sauran cututtuka da cewa an halaka su da ceftibuten. Bisa ga umarnin yara daga watanni shida da kuma manya za a iya ba miyagun ƙwayoyi jiyya "Tsedeks". A amfani da wannan kwayoyin ne yiwu tare da illa a marasa lafiya tare da koda insufficiency, gastro-na hanji cututtuka, na kullum colitis, alerji penicillin.

A sakamakon wannan magani a kan tayin a utero ci gaba da magani daga mata masu ciki da ba a sani. Har ila yau, babu karatu domin sanin da rabo daga ceftibuten a cikin abun da ke ciki na nono madara, don haka shayarwa suna ma ba a rika daukar wannan kwayoyin. Amma, kuna hukunta da martani na mata, da yawa dauki da miyagun ƙwayoyi a lokacin daukar ciki, lactation da magani daga protracted sinusitis kuma ba ya lura da wani illar a kan yara kiwon lafiya. Duk da haka, kai-magani a cikin wannan yanayin ne unacceptable!

contraindications

Domin jarirai har zuwa watanni shida, ko da kuwa mai tsanani daga babba na numfashi fili, babba ko ƙaramin numfashi fili, da magani ne tsananin haramta "Tsedeks" (for dakatar yara). Reviews Masana sun bayyana cewa da miyagun ƙwayoyi a lokacin jariri yana da wani mummunan sakamako a kan tanã haihuwar cikinta tsakiya m tsarin, haddasa wata predisposition zuwa allergies, narkewa kamar matsaloli, jijiyoyi.

Za ka kuma ba zai iya daukar wani kwayoyin yara wanda masu kula da wani gyara na miyagun ƙwayoyi, ko da wani nakasar cuta daga carbohydrate metabolism. Idan yara sun fructose rashin ha} uri, rashin isomalt, sucrose, akwai matsaloli tare da sha na galactose ko glucose, da miyagun ƙwayoyi "Tsedeks" (dakatar) is contraindicated a cikin wadannan lokuta.

Lura cewa yara a karkashin shekaru goma na kwayoyin capsules ne tsananin haramta. A slurry tare da samartaka ba inganta waraka saboda kasa adadin ceftibuten. Yara yin la'akari fiye da arba'in da biyar kilogram kullum shawarar kudi na kwayoyin, domin ya fara tasawa, wato daya kwantena (ɗari huɗu da milligrams). Saboda haka, tsananin bi likita shawarwari domin yin amfani da miyagun ƙwayoyi.

illa

Duk wani kwayoyin yana da mummunan sakamakon da kwayoyin, ciki har da hanyar "Tsedeks". Umarnin da miyagun ƙwayoyi jihohin da ciwon kai, tashin zuciya, zawo (zawo) na iya faruwa da wani yawan abin sama na maganin rigakafi a yara. Wadannan cututtuka fiye faruwa da kuma na iya faruwa a lokacin da shan wani maganin rigakafi.

Bisa data daga pharmacological lura, marasa lafiya da wuya bayyana irin illa kamar amai, ciwon mara, gastritis, bacin, drowsiness, rash, cunkoso, dandano canji, akan rage haemoglobin a cikin jini, thrombocytosis, eosinophilia, leukopenia, ta ƙara aiki a magani AST, Alt da LDH, convulsions.

Matasa da yara na iya nuna wasu alamu na yawan abin sama: agitation, rashin barci, dehydration, zazzabi, tsoka rigidity, melena, zazzabi, mai guba fata necrosis, hyperkinesis, aphasia, hematuria, jaundice. Wannan rare m events cewa na iya faruwa bayan gwamnati da miyagun ƙwayoyi "Tsedeks" yara. Umurnai na yin amfani da wani sauran kwayoyin na ga cephalosporin kungiyar, kuma ya bayyana a yawan guda illa.

• Rigakafi da cuta ne halin da bayyanar rashin lafiyan halayen, bronchospasm, rash, shortness na numfashi, anaphylaxis, mai guba epidermal necrolysis, urticaria, pruritus, erythema multiforme, Stevens-Johnson ciwo, ji na ƙwarai zuwa ga haske, angionevroticheskog edema.
• A wani dakin gwaje-gwaje binciken, canza sigogi na prothrombin lokaci da kuma INR.
• A wani ɓangare na gastrointestinal fili iya colitis, zawo yayin da shan miyagun ƙwayoyi, "Tsedeks" (sashi a cikin wannan yanayin ne m, tun da shi obscheharakternye effects na maganin rigakafi na wani pharmacological kungiyar).
• Daga cikin urinary da hematopoietic tsarin za a iya lura koda tabarbarewa, anemia (aplastic, hemolytic), mai guba nephropathy, ciki na jini, tabbatacce Coombs 'test, hyperbilirubinemia, agranulocytosis, glycosuria, neutropenia, pancytopenia.

Duk da dogon jerin illa aka ba a saukar mai haɗari yawan abin sama ãyõyin maye. Bugu da kari, wani cikakken jerin illa nuna mataki na ilimi da miyagun ƙwayoyi a kiwon lafiya filin. Babu illa daga miyagun ƙwayoyi magani iya nuna wani rashin karatu da sakamakon da aka gyara a kan jikin mutum.

Drug "Tsedeks" (dakatar): Umurni

Ga yara har zuwa shekaru goma da aka nada foda ga dakatar. Don wannan karshen, da ma'auni kofin (kunshe a cikin kunshin) mai zuba ashirin da biyar milliliters na Boiled ruwa a dakin da zazzabi da kuma zuba a cikin vial tare da foda. Shake har sai da cikakken rushe kwayoyin. Top up tare da biyar milliliters na ruwa da kuma shake da kyau.

Ba da magani wajabta ta likita ta amfani da wani ma'auni cokali ko sirinji. Lura cewa ƙaddarãwar cokali gefe: zagaye, kuma m gwargwado. A kowane gefen biyu daban-daban division dabi'u. Dubi division da kuma zuba kayyade yawan dakatarwar. Wannan shi ne, idan daya gefen da aka rubuta, 90 ml, kuma tare da wani 135 ml, sa'an nan kunna cokali, kuma ya tarye fitar da ake so rarraba bukata adadin kwayoyin.

Duk da cewa cikin kwalbar da aka tsara don talatin milliliters na dakatar, ka likita iya canja adadin ruwan da foda, dangane da yanayin da cutar da ya faru, shekaru da kuma nauyi na yaro. Sa'an nan da miyagun ƙwayoyi "Tsedeks" (dakatar yara har zuwa shekaru goma da capsules yara mazan) an ba da likita ta shawarwari.

Idan kana rikita batun da babban adadin gefen sakamakon da miyagun ƙwayoyi, sai ka tambayi don maye gurbin da miyagun ƙwayoyi a kan mafi m. Idan ba ka amince da iyawa da su likita, sa'an nan shawarci game da magani da sauran} wararru.

Bisa ga mai tsanani da cuta, da miyagun ƙwayoyi ba daya zuwa sau uku a rana kwanaki biyar. Alal misali, lura da m kwayan enteritis magani ake ba sau biyu a rana, ba sau daya da miyagun ƙwayoyi "Tsedeks" tare da pharyngitis ko surkin jini otitis. sashi umarnin ya zama daidai da halartar likita.

A cikin wani hali, an kwayoyin wani pharmacological kungiyar nada don biyar zuwa kwanaki goma (ba fiye da sau uku a kowace rana kafin abinci ko bayan) tare da wani layi daya liyafar na prebiotics da rai kwayoyin wanda inganta hanji microflora, da kuma anti-alerji kwayoyi (tun da yawa yara da kwarewa da wani rashin lafiyan kurji magani).

Tabbata a bi likita shawara a lokacin da shan miyagun ƙwayoyi "Tsedeks" (for yara dakatar), sake bitar wasu uwaye nuna su gazawarsa. Da yawa daga cikinsu ƙayyade sashi "da ido", a shirye dakatar da aka diluted da dumi ruwa kafin su sami ganiya zazzabi.

Saboda wannan ya auku ko yawan abin sama, ko tasiri na magani illa a jiki an rage saboda kasa adadin aiki abu. Ka tuna, idan ba ka warkar da kamuwa da cuta, za a ta karbuwa ga kwayoyin mataki, sa'an nan gaba lokacin da ka bukata don amfani da miyagun ƙwayoyi mafi m (a matsayin wani ɓangare na lura da maganin rigakafi aka hana by likitoci).

Amfani da miyagun ƙwayoyi a lokacin samartaka

Standard magani aka nada wani ajali na biyar zuwa goma kwanaki. Yara a karkashin shekaru goma da haihuwa da kuma yin la'akari kasa da 45 kg na slurry aka sanya a kan tushen da tara milligrams da kilogram. Matasa yin la'akari da arba'in da biyar kilo, za a nada a capsules miyagun ƙwayoyi "Tsedeks". Umurnai na amfani karfafa da dogara a kan mai tsanani da cuta. Alal misali, a lura da kullum mashako, kwayan sinusitis ko urinary fili cututtuka isa ya dauki daya kwantena (400 MG) da rana da kuma ciwon huhu halatta tallafi na biyu da 200 MG kashi capsules (m. E. A kashi ne zuwa kashi 2 allurai).

Da miyagun ƙwayoyi saki wannan nau'i na abinci-m. Haka kuma an sanya tare da lokaci daya Drug Administration da nufin maido da na hanji microflora. Wasu yara hadiya Allunan, kuma ya capsules hanyar amai, don haka da mata rika Mix da ruwa da abun ciki na shirye-shiryen "Tsedeks" yara (manual ne shiru a kan wannan hanya na aikace-aikace, don haka duba tare da pediatrician).

Yara da na koda cuta, da likita ƙayyade wani sashi regimen. A cikin wani hali, da ganewar asali dole gaya likita game da rashin lafiyan halayen ga Pharmaceutical aka gyara, nakasar cututtuka da kuma karbar duk wani magani a lokacin da cuta.

Analogs, kuma interactions da sauran kwayoyi

Duk da dogon jerin gefen sakamakon da miyagun ƙwayoyi "Tsedeks" wa'azi ba ya samar da wani cikakken bayanin irin hulda da miyagun ƙwayoyi da sauran magunguna. Saboda haka, yayin da shan kwayoyin da antacids, ranitidine da theophylline wani alamu na tsangwama da aka gano ya zuwa yanzu.

Wani lokaci cephalosporins iya canza prothrombin aiki, saboda haka wannan category na marasa lafiya wajibi ne a gwada wasan kwaikwayon na INR da prothrombin lokaci, da kuma shigar da bitamin K kafin samun "Tsedeks" miyagun ƙwayoyi. Sashi (40 ug / ml) na miyagun ƙwayoyi a cikin pharmacological nazarin bai ba da bayanai game da duk wani magudi a cikin sinadaran da kuma awon jini Manuniya.

Duk da haka, a cikin mutane tare da alerji penicillin ne mafi sau da yawa giciye dauki zuwa cephalosporins, a sakamakon tasowa anaphylaxis. M zawo iya nuna tsanani keta cewa bukatar hanzarta likita shiga tsakani.

Mafi yawancin iyaye suna tambayarka ka maye gurbin kwayoyin "Tsedeks" ga yara (dakatarwa), sake dubawa baya nuna mummunar sakamako akan lafiyar, amma farashin wannan magani. Analogues da wannan magani a game da nau'in aiki shine Azran, Axon, Bestum, mataimakin, Iksim Lupine, Kefotex, Lendacin, Medaxon, Ortax, Sulmover, Supraks, Chizon, Cetax, Cefaxon, da Cefodox. Duk da haka, ba tare da tambayar likita ba, kada ku maye gurbin miyagun ƙwayoyi.

Girgawa sama

Godiya ga kayan aiki mai suna ceftibuten wannan kwayoyin halitta na ƙarni na uku yana da sakamako na antibacterial da antimicrobial. Duk da yawan jerin abubuwan da ke faruwa a cikin kullun, rashin haɗuwa da haɗari ba ya kai ga maye. Idan wannan ya faru, ya wajaba don wankewa cikin gaggawa kuma taimaka likita.

Idan yaro yana da komai a wani nau'i na rashin lafiyar, to, ku yi hankali lokacin shan kwayoyin "Tzedeks". Umurnin (dakatarwa, ana ɗauke da capsules, ba abu mai muhimmanci ba) yayi gargadin cewa wannan kwayoyi baza'a iya amfani dasu ba wadanda ba su da amfani da suturci ga penicillin ko kwayoyin maganin kwayoyin cutar, nakasasshen cuta na carbohydrates. Yi la'akari da wannan ƙwayar magani ga mutanen da ke da kullun kodan da tsarin tsarin narkewa.

An samar da kwayoyin a cikin foda don shiri na dakatar da yara daga rabin shekara zuwa shekaru 10 (kimanin kilo 45) kuma a cikin matasan ga matasa da manya. Wannan magani ne mai tsada amma mai mahimmanci don maganin cututtuka na ƙwayar respiratory, tsarin urinary, Ƙungiyar ENT. Saboda haka, likita na iya yin tambaya game da maganin kwayoyin halitta, wanda yake da wannan aikin magani kamar "Tsedeks" (dakatarwa).

Umurnin (ga yara na dukan shekaru, ana ba da tsarin kulawa a cikin milligrams) don amfani da kwayoyin cututtuka ga cututtuka daban-daban na da wuyar fahimtar mutum. Sabili da haka, wajibi ne a saurara a saurari sauraron likitan likitancin. Tare da kwayoyin halitta, wajibi ne a dauki magunguna don mayar da microflora na intestinal (shirye-shirye "Normobakt", "Linex", "Hilak", "Bifidumbacterin", "Lactobacterin" - don zaɓar daga) da kuma magungunan maganin antiallergic (irin su "Fenistil" Ƙari "," Zodak ").