I-Amoxicillin vs. penicillin: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe
Izidakamizwa Vs. UmnganiUkubuka konke kwezidakamizwa nokwehluka okuyinhloko | Izimo zilashwa | Ukusebenza | Ukutholakala komshuwalense nokuqhathaniswa kwezindleko | Okuqhamuka uma udla imishanguzo | Ukusebenzisana kwezidakamizwa | Izexwayiso | Imibuzo evame ukubuzwa
Uma ngabe uke wagula ungenwa yi-bacterial infection, kungenzeka ukuthi wanikezwa i-antibiotic efana ne-amoxicillin noma i-penicillin. Njengama-antibiotic ohlobo lwe-penicillin, le mithi ingezimbili ezivame kakhulu ama-antibiotic ebekiwe. Kokubili i-amoxicillin ne-penicillin kwelapha izifo ezifanayo zebhaktheriya zomgudu wokuphefumula, i-genitourinary tract, indlebe, ikhala, nomphimbo.
I-Amoxicillin ne-penicillin yimithi elwa namagciwane ejwayelekile ekilasini elikhudlwana lama-antibiotic okuthiwa ama-beta-lactams . Le mithi isebenza ngokuvimba ikhono lamagciwane lokwakha nokunakekela isakhiwo sawo sokuzivikela esaziwa njengodonga lweseli. Ngaphandle kodonga lweseli, amagciwane awakwazi ukusinda.
Yize injalo, i-amoxicillin ne-penicillin zingabulala izinhlobo ezahlukene zamagciwane. Ngenxa yalokhu, zingasetshenziswa ngezindlela ezahlukahlukene.
Uyini umehluko omkhulu phakathi kwe-amoxicillin ne-penicillin?
I-Amoxicillin
I-Amoxicillin inguqulo entsha ye-penicillin ehlanganisa izinhlobo eziningi zamagciwane. I-Amoxicillin yadalwa ngokuguqula ukwakheka kwamakhemikhali kwasekuqaleni kwe-penicillin ukuyenza ibe namandla kakhulu.
Kokubili i-amoxicillin ne-penicillin kumboza amabhaktheriya e-Streptococcal. Kodwa-ke, i-Amoxicillin ithathwa njenge-antibiotic ebanzi ebanzi ehlanganisa izinhlobo ezahlukahlukene zamagciwane uma kuqhathaniswa ne-penicillin. I-Amoxicillin kwesinye isikhathi ihlanganiswa ne-beta-lactamase inhibitor, efana ne-clavulanic acid, ukuyenza ibe namandla kakhulu.
I-penicillin
Ngenxa yokuthi i-penicillin yaba ngomunye wama-antibiotic asetshenziswa kakhulu emhlabeni, izinhlobo eziningi zamagciwane ziye zamelana nayo. Kodwa-ke, kusasebenziseka ezifweni ezithile zamagciwane.
I-penicillin i-antibiotic ebanzi emincane ehlanganisa amagciwane ane-gram-positive namanye amabhaktheriya ane-gram-negative. I-penicillin inganikezwa njengomjovo (i-penicillin G) kanye nethebhulethi yomlomo noma ukumiswa oketshezi (penicillin V).
| Umehluko omkhulu phakathi kwe-amoxicillin ne-penicillin | ||
|---|---|---|
| I-Amoxicillin | I-penicillin | |
| Isigaba sezidakamizwa | Imithi elwa namagciwane I-beta-lactam | Imithi elwa namagciwane I-beta-lactam |
| Isimo somkhiqizo / ejwayelekile | Izinhlobo zebrendi ne-generic ziyatholakala | Izinhlobo zebrendi ne-generic ziyatholakala |
| Ngubani igama lomkhiqizo? | UMoxatag, Amoxil | I-Pfizerpen (penicillin G) |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ithebhulethi yomlomo Ithebhulethi yomlomo, iyahlafuna Ama-capsules omlomo I-powder yomlomo yokumiswa | Ithebhulethi yomlomo I-powder yomlomo yokumiswa IV powder yomjovo |
| Uyini umthamo ojwayelekile? | 500 mg njalo emahoreni ayi-12 noma ngama-250 mg njalo emahoreni ayisishiyagalombili. Umthamo uncike ekutheleleni okuphathwayo. | 125 kuya ku-250 mg njalo emahoreni ayisithupha kuya kwayisishiyagalombili Umthamo uncike ekutheleleni okuphathwayo. |
| Yelashwa isikhathi esingakanani? | Izinsuku eziyi-7-10 Isikhathi sithatha ukutheleleka okulashwa. | Izinsuku 2-10 Isikhathi sithatha ukutheleleka okulashwa. |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala, izingane, nezinsana ezineminyaka engu-3 nangaphezulu ubudala | Abantu abadala nezingane abaneminyaka engu-12 nangaphezulu |
Ufuna intengo engcono kakhulu ku-amoxicillin?
Bhalisela izexwayiso zentengo ye-amoxicillin bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Izimo eziphathwa yi-amoxicillin ne-penicillin
I-Amoxicillin ne-penicillin zingelapha izifo eziningi ezahlukahlukene zamagciwane kufaka phakathi ukutheleleka okuphansi kokuphefumula kanye nokutheleleka kwamazinyo. I-Amoxicillin ne-penicillin zivame ukubekwa ekwelapheni ukutheleleka kwezindlebe okuphakathi, okunye okubizwa ngokuthi i-otitis media. Womabili la ma-antibiotic angelapha nezifo ezithile zomgudu womchamo nesikhumba.
I-Amoxicillin ivunyiwe yi-FDA ukwelapha ukutheleleka kwamagciwane njenge-gonorrhea. Kungaphatha futhi H. pylori izifo kanye nokutheleleka komphimbo njenge-pharyngitis ne-tonsillitis. Ngokutheleleka komgudu wokuphefumula njenge-pneumonia etholwe ngumphakathi (ebangelwa yi- i-streptococcus pneumonia ), i-amoxicillin iyinketho ezindaweni eziphansi ukumelana nemithi elwa namagciwane .
I-penicillin ivame ukusetshenziselwa ukwelapha i-endocarditis yebhaktheriya, imfiva ebomvu , kanye nezifo zamazinyo. Ukutheleleka kwesikhumba okubangelwa I-Staphylococcus aureus ingalashwa futhi nge-penicillin, yize ifomu le-penicillin G lithandwa.
Ngabe i-amoxicillin ne-penicillin zingaphatha ukutheleleka ngegciwane?
Kubalulekile ukuqaphela ukuthi ama-antibiotic afaka i-amoxicillin ne-penicillin awasebenzi ekulweni nezifo ezinjenge-COVID-19. Lezi zinhlobo zezifo zibangelwa amagciwane futhi aziphenduli kuma-antibiotic. Kodwa-ke, ukutheleleka ngegciwane kunganciphisa amasosha omzimba futhi kuholele ekutheleleni kwamagciwane, okungavumela ukwelashwa ngama-antibiotic.
| Isimo | I-Amoxicillin | I-penicillin |
| Ukutheleleka endlebeni, ekhaleni nasemphinjeni | Yebo | Yebo |
| Izifo ezingezansi zokuphefumula | Yebo | Yebo |
| Ukutheleleka kwamazinyo | Yebo | Yebo |
| Izifo ezithinta i-genitourinary | Yebo | Yebo |
| Izifo zesikhumba nezithambile | Yebo | Yebo |
| Imfiva Ebomvu | Yebo | Yebo |
| I-endocarditis yebhaktheriya | Yebo | Yebo |
| Izifo ezibangelwa E. coli , Salmonella , H. influenzae , Shigella | Yebo | Akunjalo |
Ingabe i-amoxicillin noma i-penicillin isebenza kangcono?
Yize womabili ama-antibiotics esebenza ekwelapheni ukutheleleka kwamagciwane, ukusebenza kwawo kuncike kubhaktheriya elibanga ukutheleleka. I-Amoxicillin iyakwazi ukuqeda uhla olubanzi lwebhaktheriya ngokuqhathaniswa ne-penicillin. Yize womabili ama-antibiotic esebenza ngempumelelo umabhebhana , i-amoxicillin isebenza kangcono ngokulwa nayo E. coli futhi H. influenzae , phakathi kwabanye.
Ngokusho kuka-2018 ukubuyekeza okuhlelekile , i-amoxicillin ingcono ekwelapheni i-pneumonia etholwe ngumphakathi uma iqhathaniswa ne-penicillin. Kodwa-ke, imiphumela ikhombisile ukuthi i-penicillin ingaba ngcono kwizifo zokuphefumula ngokujwayelekile ngenxa yokutholakala kwayo okuncane. Kwakungekho mehluko ophawulekayo phakathi kwama-antibiotic amabili lapho welapha i-otitis media.
Enye yezinjongo eziyinhloko zokulwa nokutheleleka kwamagciwane ukuvimbela ukumelana. Ukumelana namagciwane kungaholela ezifweni ezinamandla okungaba nzima ukuzelapha. Kungakho ukwazi ukuthi yini amagciwane abangela ukutheleleka kubalulekile. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola inketho yokwelashwa engcono kakhulu ekusebenzelayo.
Ukuhlanganisa kanye nezindleko ze-amoxicillin kuqhathaniswa ne-penicillin
I-Amoxicillin iyimithi elwa namagciwane evame ukunikezwa cishe njalo embozwe yiMedicare nezinhlelo zomshwalense. Izindleko ezijwayelekile ezijwayelekile ze-amoxicillin cishe zingama- $ 24. Kodwa-ke, ikhadi lesaphulelo le-SingleCare lingehlisa lezi zindleko ziye ku- $ 5. I-Amoxicillin ivame ukuthengwa njengethebhulethi ejwayelekile, i-capsule, noma uketshezi lomlomo.
Njenge-amoxicillin, i-penicillin nayo iyatholakala kabanzi futhi imbozwe yizinhlelo eziningi zomshuwalense. Uma uthatha i-penicillin ekhemisi, kungenzeka kube yifomu le-penicillin V noma ifomu le-penicillin VK. Izindleko ezijwayelekile ze-penicillin V ngu- $ 40. Kodwa-ke, ngekhadi lesaphulelo le-SingleCare, lezi zindleko zingancishiselwa ku- $ 9. Izindleko zizoya ngokuthi iyiphi ikhemisi oyisebenzisayo nokuthi uyalithola yini iphilisi noma ifomu eliwuketshezi.
| I-Amoxicillin | I-penicillin | |
| Ngokuvamile embozwe umshwalense? | Yebo | Yebo |
| Imbozwe ngokujwayelekile yi-Medicare? | Yebo | Yebo |
| Umthamo ojwayelekile | 500 mg amaphilisi | 250 mg amaphilisi |
| I-Medicare copay ejwayelekile | $ 0– $ 10 | $ 0– $ 18 |
| Izindleko ze-SingleCare | $ 5 + | $ 8.80 + |
Imiphumela emibi ejwayelekile ye-amoxicillin vs. penicillin
I-Amoxicillin ne-penicillin zinemiphumela efanayo efanayo. Imiphumela emibi kakhulu yalawa ma-antibiotic uhudo, isicanucanu nokuhlanza.
Umehluko owodwa phakathi kwe-amoxicillin ne-penicillin ukuthi i-amoxicillin kungenzeka kakhulu ukuthi ikhiqize ukuqubuka kwesikhumba. Lokhu kuqubuka kungahluka ngobunzima kusuka komoya kuya kokubi. Kodwa-ke, kuvame ukuphela ezinsukwini ezimbalwa. Khuluma nodokotela wakho uma wena noma ingane yakho iqala ukuqubuka.
| I-Amoxicillin | I-penicillin | |||
| Imiphumela emibi | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Uhudo | Yebo | > 1% | Yebo | * akubikiwe |
| Isicanucanu | Yebo | > 1% | Yebo | * |
| Ukuhlanza | Yebo | > 1% | Yebo | * |
| I-Rash | Yebo | > 1% | Akunjalo | - |
Lokhu kungenzeka kungabi uhlu oluphelele. Xhumana nodokotela wakho noma usokhemisi ngemiphumela engemihle engaba khona.
Umthombo: DailyMed ( I-Amoxicillin ), IDailyMed ( I-penicillin )
Ukusebenzisana kwezidakamizwa kwe-amoxicillin kuqhathaniswa ne-penicillin
I-Amoxicillin ne-penicillin zingasebenzisana neminye imithi eminingana. Ama-antibiotic ohlobo lwe-penicillin angaxhumana ne-methotrexate, umuthi ovame ukusetshenziselwa ukwelapha i-rheumatoid arthritis. Ukuthatha i-amoxicillin noma i-amoxicillin kungathinta ukuthi umzimba uyicubungula kanjani i-methotrexate, engaholela kubuthi.
Imithi yokulwa namagciwane efana ne-probenecid ne-allopurinol ingaholela ekukhuleni kwamazinga egazi e-amoxicillin noma i-penicillin. Lokhu kusebenzisana kungaholela ekukhuleni kwemiphumela emibi.
Ukusebenza kwe-amoxicillin ne-penicillin kungancishiswa lapho kuthathwa ne amaphilisi okuvimbela inzalo noma amanye ama-antibiotic.
Ukuhlanganisa i-amoxicillin noma i-penicillin ne-warfarin kungathinta indlela okwenziwa ngayo i-warfarin emzimbeni. Lokhu kungaholela engozini eyengeziwe yokopha.
| Izidakamizwa | Isigaba Sezidakamizwa | I-Amoxicillin | I-penicillin |
| IMethotrexate | I-Antimetabolite | Yebo | Yebo |
| I-Allopurinol I-Probenecid | Ukuphikisana | Yebo | Yebo |
| I-Ethinyl estradiol I-Levonorgestrel Norethindrone | Izindlela zokuvimbela inzalo ngomlomo | Yebo | Yebo |
| I-Warfarin | I-Anticoagulant | Yebo | Yebo |
| I-chloramphenicol I-Erythromycin | Imithi elwa namagciwane | Yebo | Yebo |
Lokhu kungenzeka kungabi uhlu oluphelele lwako konke ukuhlangana kwezidakamizwa okungenzeka. Xhumana nodokotela ngayo yonke imithi okungenzeka uyayiphuza.
Izexwayiso ze-amoxicillin ne-penicillin
Kubikwe kakhulu ukuzwela ngokweqile nokuzwela kwezifo nge-amoxicillin ne-penicillin. Ukusabela okweqile kungaholela i-anaphylaxis noma ukushaqeka kwe-anaphylactic. Uma uhlangabezana nobunzima bokuphefumula, ukuqhuma okukhulu, kanye nesicanucanu esinzima, funa usizo lwezokwelapha ngokushesha.
Uma unikezwe inkambo yokwelashwa kwe-amoxicillin noma i-penicillin, kubalulekile qeda wonke ama-antibiotic noma ngabe uzizwa ungcono. Uma ungakuqedi ukwelashwa, amabhaktheriya angaba nethuba lokuguquka futhi athuthukise ukumelana ne-antibiotic. Lokhu kungaholela ekuthelelekeni okunzima kakhulu okungadinga ukwelashwa okuqhubekayo.
Khuluma nodokotela wakho uma uhlangabezana noma unomlando wokulandelayo:
- Uhudo ngemuva kokuthatha ama-antibiotics
- Ukungezwani komzimba nemithi elwa namagciwane
- Izinkinga zesibindi noma zezinso
Imibuzo ebuzwa njalo mayelana ne-amoxicillin vs. penicillin
Yini i-amoxicillin?
I-Amoxicillin iyi-antibiotic eyaziwa ngamagama ayo omkhiqizo i-Amoxil ne-Moxatag. Njenge-antibiotic yohlobo lwe-penicillin, i-amoxicillin ingaphatha izifo ezithinta ukuphefumula, izifo ezithinta i-genitourinary tract, kanye nezindlebe, umphimbo namakhala. I-Amoxicillin iza ngamathebulethi, i-capsule, namafomu oketshezi.
Yini i-penicillin?
I-penicillin iyimithi elwa namagciwane esetshenziswa kakhulu esetshenziselwa ukwelapha izifo eziningi ezibangelwa amagciwane. Ijwayele ukusetshenziselwa ukwelapha izifo ezibangwa yi- I-Streptococcus nokunye i-gram-positive amagciwane. I-penicillin iyatholakala njenge-penicillin G (umjovo) kanye ne-penicillin V (ngomlomo).
Ngabe i-amoxicillin ne-penicillin ziyefana?
I-Amoxicillin ne-penicillin akuzona izidakamizwa ezifanayo. I-Amoxicillin inguqulo entsha, eguquliwe ye-penicillin ehlanganisa uhla olubanzi lwamabhaktheriya.
Ngabe i-amoxicillin noma i-penicillin ingcono?
I-Amoxicillin noma i-penicillin ingasebenza kangcono ngokuya ngokutheleleka ngegciwane elelashwa. I-Amoxicillin ingamboza ukutheleleka okubangelwa ezinye izinhlobo zebhaktheriya njenge E. coli , Salmonella , futhi H. influenzae . I-penicillin kungaba ngcono ukukhomba izinhlobo ezithile zamagciwane ukuze kuvinjelwe ukumelana nemithi elwa namagciwane.
Ngingayisebenzisa yini i-amoxicillin noma i-penicillin ngenkathi ngikhulelwe?
Kokubili i-amoxicillin ne-penicillin ku Isigaba Sokukhulelwa B . Lokhu kusho ukuthi ngokuvamile ziphephile ukusetshenziswa ngesikhathi sokukhulelwa. Noma kunjalo, kubalulekile ukuxhumana nodokotela wakho noma umhlinzeki wezokunakekelwa kwezempilo ukuze uqinisekise ukuthi uthola ukwelashwa okuhle kakhulu ngenkathi ukhulelwe.
Ngingasebenzisa i-amoxicillin noma i-penicillin ngotshwala?
Ukuphuza utshwala ngokulinganisela ngeke kuthinte ukuthi i-amoxicillin noma i-penicillin isebenza kahle kangakanani. Akukho ukuxhumana okwaziwayo phakathi kotshwala nalawa magciwane . Kodwa-ke, utshwala bungathinta umzimba wakho kanye namasosha omzimba wakho wonke angabambezela ukuthi ululama ngokushesha kangakanani ekuthelelekeni.
Ungayithatha yini i-amoxicillin uma uxabana ne-penicillin?
Cha. Amoxicillin akufanele ithathwe uma une- ukungezwani komzimba kweqiniso ne-penicillin . Lokhu kungenxa yokuthi ukwakheka kwamakhemikhali kwe-amoxicillin kuyefana kakhulu ne-penicillin. Uma uhlangabezane nokusabela okweqile ku-penicillin esikhathini esedlule, udokotela wakho angakunikeza i-antibiotic evela ekilasini elihlukile.
Ungakwazi yini ukudlula i-penicillin yokungezwani komzimba?
Yebo. Kungenzeka ukuthi ushiye i-penicillin yokungezwani komzimba ngokuhamba kwesikhathi. Ukubuyekezwa okukodwa okuvela ku-Journal of the American Medical Association kuthole ukuthi Abantu abangama-80% nge-penicillin yokungezwani komzimba iba nokubekezelela ngemuva kweminyaka eyi-10. Ukungezwani ne-penicillin kwesinye isikhathi kubikwa kabi ngesikhathi sobuntwana. Ngokuya ngesipiliyoni sakho esedlule nge-penicillin, umhlinzeki wakho wezokunakekelwa kwempilo angancoma ukuthi uzame i-penicillin futhi uma kunesidingo.
Yimaphi ama-antibiotic okufanele uwagweme nge-penicillin yokungezwani komzimba?
Uma une-penicillin yokungezwani komzimba, kufanele ugweme ukuthatha amanye ama-antibiotic ohlobo lwe-penicillin. Amanye ama-antibiotic afana ne-penicillin afaka phakathi i-amoxicillin, i-ampicillin, ne-cephalosporins efana ne-Keflex. Khuluma nodokotela wakho ngezinketho zakho zokwelashwa uma unegciwane ku-penicillin.
