ICephalexin vs.Amoxicillin: 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
Ukutheleleka ngamagciwane kubangelwa ukwanda kwamathuba okuphila kwamagciwane ezicutshini zomzimba noma ezithweni. Isimo esivamile esaziwa njenge-strep throat empeleni singaphezu kwamagciwane i-streptococcus pyogenes , kwesinye isikhathi kubhekiselwa kuyo njengeqembu A streptococcus, emphinjeni noma kumathoni. Izindlebe zingabangelwa amagciwane endlebeni yangaphakathi noma yangaphandle, futhi zingaholela ekwakhiweni koketshezi nengcindezi. Ubuhlungu bezinyo kungaba yithumba lamagciwane ngaphansi kwezinsini. Ukutheleleka ngamagciwane kuza ngezindlela eziningi.
Ama-antibiotic ayisiqalo sokwelashwa ekulweni nezifo ezibangelwa amagciwane. Imithi elwa namagciwane yokuqala eyatholwa kwakuyi-penicillin, futhi ingeyeqembu lama-antibiotic elaziwa ngokuthi i-beta-lactam antibiotics. I-beta-lactams ihlasela udonga lweseli lwama-bacteria, inikeze amabhaktheriya amandla futhi ivumele umzimba ukuthi uxazulule ukutheleleka. Selokhu kwatholakala i-penicillin, kube nezigaba eziningi kanye nezinhlobo zemithi elwa namagciwane i-beta-lactam. I-Cephalexin ne-amoxicillin yimithi elwa namagciwane i-beta-lactam evame ukusetshenziswa kakhulu.
Uyini umehluko omkhulu phakathi kwe-cephalexin ne-amoxicillin?
I-Cephalexin ngumuthi kadokotela osetshenziselwa ukwelapha izifo ezahlukahlukene zamagciwane. I-antibiotic yesizukulwane sokuqala i-cephalosporin antibiotic, engaphansi kokuhlukaniswa okukhulu kwama-antibiotics e-beta-lactam. I-Cephalexin iphazamisa ukuhlanganiswa kodonga lweseli ngokubopha amaprotheni abopha ipenicillin ngaphakathi kodonga lweselula. Ekugcineni, lapho i-cephalexin idosiwe ngokufanele, ibanga i-lysis, noma ukubhujiswa, noma iseli lamagciwane. Izinhlobo ezahlukahlukene zamagciwane ziqukethe amaprotheni ahlanganisayo ahlukile, ngakho-ke ukusebenza kwe-cephalexin kuyahlukahluka ngezinhlobo ezahlukahlukene zamagciwane.
I-Cephalexin iyatholakala njengethebhulethi yomlomo noma i-capsule, kanye nokumiswa ngomlomo. Igama lomkhiqizo le-cephalexin yi-Keflex. Isetshenziswa yizinsana, izingane nabantu abadala.
I-Amoxicillin ngumuthi kadokotela obuye usetshenziselwe ukwelapha izifo ezahlukahlukene zamagciwane. Kuyindlela yokubulala amagciwane i-penicillin kodwa futhi iwela ngaphansi kokuhlukaniswa okukhulu kwama-antibiotics e-beta-lactam. I-Amoxicillin, njenge-cephalexin, iphazamisa ukuhlanganiswa kodonga lweseli ngokubopha amaprotheni abopha i-penicillin ngaphakathi kodonga lweselula okuholela ekubhujisweni kweseli lamagciwane.
I-Amoxicillin iyatholakala njengethebhulethi yomlomo noma i-capsule, ithebhulethi ehlafunwayo, kanye nokumiswa ngomlomo. Igama lomkhiqizo le-amoxicillin yi-Amoxil noma i-Polymox. Isetshenziswa yizinsana, izingane nabantu abadala.
OKUSHIWO: Imininingwane yeCephalexin | Imininingwane ye-Amoxicillin
| Umehluko omkhulu phakathi kwe-cephalexin ne-amoxicillin | ||
|---|---|---|
| I-Cephalexin | I-Amoxicillin | |
| Isigaba sezidakamizwa | I-Cephalosporin / Beta-lactam antibiotic | I-penicillin / i-Beta-lactam antibiotic |
| Isimo somkhiqizo / ejwayelekile | I-Brand ne-generic iyatholakala | I-Brand ne-generic iyatholakala |
| Ngubani igama lomkhiqizo? | UKeflex | Amoxil, Polymox |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ithebhulethi, i-capsule, ukumiswa | Ithebhulethi, i-capsule, ithebhulethi ehlafunwayo, ukumiswa |
| Uyini umthamo ojwayelekile? | 500 mg kane ngosuku | 500 mg kabili kuya kathathu nsuku zonke |
| Yelashwa isikhathi esingakanani? | Izinsuku eziyi-7-14 | Izinsuku eziyi-7-14 |
| Ubani ovame ukusebenzisa umuthi? | Izinsana, izingane, abantu abadala | Izinsana, izingane, abantu abadala |
Ufuna intengo engcono kakhulu ku-Amoxicillin?
Bhalisela izexwayiso zentengo ye-Amoxicillin bese uthola ukuthi intengo ishintsha nini!
Thola Izaziso Zentengo
Izimo eziphathwa yi-cephalexin ne-amoxicillin
I-Cephalexin ibilokhu ikhona kukhonjiswa ukuthi kuyasebenza ngokumelene nezinhlobonhlobo zezinto eziphilayo zamagciwane kufaka phakathi Escherichia coli , I-Haemophilus influenzae (i-beta-lactamase negative) , UKlebsiella pneumoniae , I-Moraxella catarrhalis , Amaphrotheni mirabilis , IStaphylococcus aureus (MSSA) , I-Staphylococcus epidermidis , I-Streptococcus pneumoniae , futhi IStreptococcus pyogenes. Ukuzwela kwalezi zidalwa kuvumela i-cephalexin ukuthi iphinde isebenze ekwelapheni izinhlobo eziningi ezijwayelekile zezifo ezibandakanya izifo eziphezulu zokuphefumula ezifana ne-sinusitis, i-pharyngitis, ne-tonsillitis. I-Amoxicillin ibuye isebenze ekulweni nezifo eziphansi zokuphefumula ezifana ne-pneumonia etholwa ngumphakathi. Okunye ukusetshenziswa kwe-cephalexin kufaka ukutheleleka kwesikhumba (i-cellulitis), ukutheleleka kwamathambo nokuhlangana, i-otitis media, kanye nezifo zomgudu womchamo (UTI).
I-Amoxicillin ibonisiwe ukusebenza ngokumelene nezinhlobonhlobo zezinto eziphilayo ezibandakanya I-Enterococcus faecalis , Escherichia coli , I-Haemophilus influenzae (i-beta-lactamase negative) , I-Helicobacter pylori , Amaphrotheni mirabilis , IStaphylococcus sp. , I-Streptococcus agalactiae , I-Streptococcus pneumoniae , futhi IStreptococcus pyogenes. Ukuzwela kwalezi zidalwa kuvumela i-amoxicillin ukuthi futhi isebenze ekwelapheni izinhlobo eziningi ezijwayelekile zezifo ezibandakanya ukutheleleka okuphezulu nangaphansi kokuphefumula. Okunye ukusetshenziswa kufaka phakathi ukutheleleka kwezicubu zesikhumba, i-otitis media, kanye nezifo zomgudu womchamo.
Ufuna intengo engcono ku-Cephalexin?
Bhalisela izexwayiso zentengo yeCephalexin bese uthola ukuthi intengo ishintsha nini!
Thola Izaziso Zentengo
Kokubili i-cephalexin ne-amoxicillin sekuvame ukusetshenziswa ngaphandle kwelebula ye-endocarditis prophylaxis. Iziguli ezinokukhubazeka kwenhliziyo okuzalwa noma ama-valves enhliziyo yokufakelwa zisengozini enkulu yokuthola ukutheleleka ngaphakathi kolwelwesi lwenhliziyo yazo ngemuva kwezinqubo zamazinyo. Imithamo ye-Prophylactic yama-antibiotic njenge-amoxicillin ne-cephalexin enikezwe ngaphambi kwalezi zinqubo ikhonjisiwe ukunciphisa ingozi yezifo ezinjalo.
| Isimo | I-Cephalexin | I-Amoxicillin |
| Izifo eziphezulu zokuphefumula | Yebo | Yebo |
| Pharyngitis | Yebo | Yebo |
| Amathumba | Yebo | Yebo |
| Isinusitis | Akunjalo | Yebo |
| I-pneumonia etholwe ngumphakathi | Yebo | Yebo |
| Izifo zokuphefumula ezingezansi ezingacacisiwe | Yebo | Yebo |
| I-cellulitis | Yebo | Yebo |
| Impetigo | Yebo | Akunjalo |
| I-Otitis media | Yebo | Yebo |
| I-Osteomyelitis | Yebo | Akunjalo |
| I-osteoarthritis ethathelwanayo | Yebo | Akunjalo |
| Ukutheleleka ngomgudu womchamo | Yebo | Yebo |
| Isisu | Yebo | Akunjalo |
| I-endocarditis yebhaktheriya | Ngaphandle kwelebula | Ngaphandle kwelebula |
| Isifo seLyme | Akunjalo | Ngaphandle kwelebula |
| Ukutheleleka kwamazinyo | Akunjalo | Ngaphandle kwelebula |
| H. pylori duodenal ulcer | Akunjalo | Ngaphandle kwelebula |
Ingabe i-cephalexin noma i-amoxicillin isebenza kangcono?
Ukusebenza kwe-cephalexin noma i-amoxicillin kuzohluka ngohlobo ngalunye lwebhaktheriya nesiguli ngasinye. Nganoma yimaphi amabhaktheriya azwelayo, umuthi ngamunye ungasebenza uma nje uzokhishwa ngokufanele ngezikhathi ezifanele. I- ukusebenza kwe-beta-lactam ama-antibiotic ancike esikhathini lapho isidakamizwa samahhala, esingenawo amaprotheni singaphezu kwesilinganiso esiphansi se-inhibitory (MIC) sebhaktheriya.
Esinye isici ekwelashweni ngama-antibiotic ukumelana nemithi elwa namagciwane . Ukumelana namagciwane kwenzeka lapho amabhaktheriya eguquka ekuphenduleni ukutholakala kwe-antibiotic. Ushintsho luguqulwa ukuluvumela ukuthi luphile yize kune-antibiotic. Endabeni yemithi elwa namagciwane i-beta-lactam, amabhaktheriya akhiqiza ama-enzyme e-beta-lactamase, `enza i-antibiotic ingasebenzi. Ukuphindaphindwa noma ukusetshenziswa ngokweqile kwama-antibiotic, kanye nokufakwa kokudla okuncane kakhulu, kungaba nomthelela ekumelaneni namagciwane.
Eyodwa funda wafuna ukuqhathanisa ukubuyela emuva okuyizimpawu kweziguli ezingane ezine-streptococcal tonsillopharyngitis. Lokhu kwenziwa ngokuqhathanisa izimpindelo nezikhalazo ezinophawu olulandela uhlobo ngalunye lwezokwelapha. Ucwaningo luqhathanise amaqembu amane okwelashwa afaka i-amoxicillin kanye ne-cephalosporins yesizukulwane sokuqala, kufaka phakathi i-cephalexin. Ucwaningo luthole ukuthi izehlakalo zokuphindaphinda kwezimpawu ziphezulu eqenjini le-amoxicillin kunaseqenjini lesizukulwane sokuqala se-cephalosporin.
I-Infectious Disease Society igcina kuyo imihlahlandlela ukuthi i-amoxicillin inketho yokuqala ye- iqembu A streptococcal pharyngitis. I-Cephalexin iyindlela eyamukelekayo yeziguli ezinokungezwani komzimba ne-penicillin.
Udokotela wakho kuphela onganquma ukuthi ikuphi ukwelashwa okufanele ukutheleleka kwakho ngamagciwane.
Ukuqhathaniswa kanye nezindleko zokuqhathaniswa kwe-cephalexin vs.i-amoxicillin
I-Cephalexin ngumuthi kadokotela ohlanganiswa yizinhlelo zombili zomshwalense wezentengiso nowe-Medicare. Umuthi ojwayelekile we-cephalexin ungabhalwa ngamaphilisi ayi-28 amandla we-500mg. Intengo emaphakathi yemali yalo muthi ngaphandle komshwalense ingasondela ku- $ 50 noma ngaphezulu. Ngesigqebhezana esivela kwaSingleCare, ungasithola ngemali ephansi njengo- $ 9.
I-Amoxicillin ngumuthi kadokotela obuye uhlanganiswe yizinhlelo zombili zomshwalense wezentengiso nowe-Medicare. Intengo yemali kadokotela ebhalelwe amaphilisi angama-21 amandla angu-500mg we-amoxicillin ingaphezu kwama- $ 20, kepha ngesigqebhezana esivela kwa-SingleCare, ungathola lo muthi uqala ngaphansi ngo- $ 5.
| I-Cephalexin | I-Amoxicillin | |
| Ngokuvamile embozwe umshwalense? | Yebo | Yebo |
| Imbozwe ngokujwayelekile yi-Medicare? | Yebo | Yebo |
| Umthamo ojwayelekile | 28, 500 mg amaphilisi | 21, 500 mg amaphilisi |
| I-Medicare copay ejwayelekile | Imvamisa ingaphansi kwe- $ 10, kepha yehluka ngohlelo | Imvamisa ingaphansi kwe- $ 10, kepha yehluka ngohlelo |
| Izindleko ze-SingleCare | $ 9- $ 17 | $ 5- $ 10 |
Thola ikhadi lesaphulelo sakwaSingleCare
Imiphumela emibi ejwayelekile ye-cephalexin vs. amoxicillin
I-Cephalexin ne-amoxicillin zinohlu olufanayo lwemiphumela emibi. Umphumela ovame kakhulu ohlangothini lwemithi yomibili uhudo. Eminye imiphumela emibi yamathumbu ibandakanya isicanucanu, ukugabha nesisu. Ezimweni ezingavamile, kubikwe amacala we-pseudomembranous colitis.
Ukusabela kwe-Anaphylactic kungenzeka nge-cephalexin ne-amoxicillin. Ukusabela kwe-Anaphylactic kuyisenzo esibi kakhulu somzimba esingahle silethe ngemifantu, ukuvuvukala kolimi noma izindebe, kanye / noma nendlela yomoya evimbelayo. Ukusabela kwe-Anaphylactic kudinga ukwelashwa ngokushesha.
Uhlu olulandelayo aluhloselwe ukuba luhlu oluphelele lwemiphumela emibi engaba khona. Sicela uxhumane nosokhemisi, udokotela, noma omunye uchwepheshe wezokwelapha ukuthola uhlu oluphelele lwemiphumela engemihle engaba khona.
| I-Cephalexin | I-Amoxicillin | |||
| Umphumela oseceleni | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Uhudo | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| I-Dyspepsia | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Isisu | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Ubuhlungu besisu | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Isicanucanu | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Ukuhlanza | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| I-Pseudomembranous colitis | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| I-Rash | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| I-Urticaria | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Isiyezi | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Ubuhlungu bekhanda | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| I-jaundice | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| I-Anaphylaxis | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| I-candidiasis ye-mucocutaneous | Akunjalo | Akuchaziwe | Yebo | Akuchaziwe |
| Ulimi olunezinwele ezimnyama | Akunjalo | Akuchaziwe | Yebo | Akuchaziwe |
Umthombo: Cephalexin (I-DailyMed) I-Amoxicillin (I-DailyMed)
Ukusebenzisana kwezidakamizwa kwe-cephalexin kuqhathaniswa ne-amoxicillin
I-Cephalexin ingakhuphula ukugxila kwe-serum kwe-ejwayelekile ye-antidiabetic agent metformin. Iningi lezifundo ze-cephalexin isikhathi esifushane, ngakho-ke izidakamizwa zingasetshenziswa ngasikhathi sinye inqobo nje uma isiguli siqashwa.
I-Amoxicillin ingaphazamisa ukugxila kwe-serum yama-immunosuppressants abalulekile. Ukugxilwa kwe-Serum kwe-methotrexate kukhonjisiwe ukuthi kukhushulwa ngokusetshenziswa ngasikhathi sinye ne-amoxicillin, ngenkathi ukugxila kwe-mycophenolate kungancipha. Le mithi yokuzivikela emzimbeni isetshenziswa ezigulini ezinezimo ezibucayi, ngakho-ke iziguli ezidinga ukusetshenziswa kwe-amoxicillin ngenkathi ikule mithi kufanele ziqashwe ngeso lokhozi.
I-Probenecid, uma inikezwa nge-cephalexin noma i-amoxicillin, ingakhuphula izingxube ze-serum zemithi elwa namagciwane. Ngenkathi ukusetshenziswa kwakho kokubili ngasikhathi sinye kungaphikiswa, iziguli kufanele ziqashwe.
| Izidakamizwa | Isigaba Sezidakamizwa | I-Cephalexin | I-Amoxicillin |
| I-Metformin | IBiguanide, Antidiabetic | Yebo | Akunjalo |
| IMethotrexate | I-Antifolate, i-Immunosuppressant | Akunjalo | Yebo |
| I-Mycophenolate | I-Immunosuppressant | Akunjalo | Yebo |
| I-Probenecid | I-Uricosuric | Yebo | Yebo |
| AmaTetracyclines | Imithi elwa namagciwane | Akunjalo | Yebo |
| Uvithamini K | I-Coagulant | Yebo | Yebo |
Izexwayiso zeCephalexin ne-amoxicillin
Iziguli ezinokungezwani komzimba ne-penicillin akufanele zithathe i-amoxicillin. Kunobufakazi bokuphakamisa ukuthi iziguli ezine-penicillin yokungezwani komzimba nazo zingaba nokuzwela ngokweqile kuma-cephalosporins, kufaka phakathi i-cephalexin. Ukuqapha kufanele kusetshenziswe lapho kubekwa i-cephalexin ezigulini ze-penicillin-aleji ezingasetshenziswanga ngaphambili ze-cephalosporins.
I-Pseudomembranous colitis yisimo esingajwayelekile kodwa esibi. Kubandakanya ukuvuvukala nokuvuvukala kwekholoni ngenxa yokwanda kwe- clostridium difficile . I-Pseudomembranous colitis ingenzeka ngama-antibiotic ahlukahlukene, kufaka phakathi i-cephalexin ne-amoxicillin.
I-Cephalexin ne-amoxicillin zikhishwe ngomqondo. Iziguli ezinomsebenzi we-renal owehlisiwe noma okhubazekile kumele imithamo yazo ilungiswe ngokufanele.
I-Cephalexin ibhekwa njengesigaba sokukhulelwa B, okusho ukuthi izifundo zezilwane azikhombisanga miphumela ye-teratogenic. Kubhekwa njengokuvikelekile ngokuvamile ekukhulelweni. I-Cephalexin iwela obisini lwebele kepha ngokuvamile ibhekwa njengephephile ngenkathi incelisa.
I-Amoxicillin nayo ibhekwa njengesigaba sokukhulelwa B. Kubhekwa njengokuvikelekile ngokuvamile ekukhulelweni. I-Amoxicillin iwela obisini lwebele kepha futhi ibhekwa njengephephile ngenkathi incelisa.
Imibuzo ebuzwa njalo mayelana ne-cephalexin vs. amoxicillin
Yini i-cephalexin?
I-Cephalexin yisizukulwane sokuqala, i-cephalosporin antibiotic. Kungokwesigaba esikhulu semithi elwa namagciwane eyaziwa nge-beta-lactam antibiotics. Ngokuvamile kusebenza ngokulwa namagciwane abandakanyeka ekutheleleni okuphefumulayo okuphezulu nangaphansi, i-otitis media, i-mastitis, nesikhumba, amathambo, kanye nezifo ezihlangene.
Yini i-amoxicillin?
I-Amoxicillin iyi-antibiotic etholakala ku-penicillin. Kungokwesigaba esikhulu semithi elwa namagciwane eyaziwa nge-beta-lactam antibiotics. Ngokuvamile kusebenza ngokulwa namagciwane abandakanyeka ekutheleleni okuphefumulayo okuphezulu nangaphansi, i-otitis, imidiya kanye nokutheleleka kwesikhumba.
Ingabe i-cephalexin ne-amoxicillin ziyefana?
Ngenkathi i-cephalexin ne-amoxicillin kungama-antibiotic e-beta-lactam ngayinye, awafani. I-Cephalexin iyi-antibiotic ye-cephalosporin, kanti i-amoxicillin isuselwa ku-penicillin. Ngenkathi zimboza ezinye zezinto eziphilayo ezifanayo zebhaktheriya, ngayinye imboza izinto ezihlukile.
Ingabe i-cephalexin noma i-amoxicillin ingcono?
Kunezici eziningi zokukhetha i-antibiotic ephumelela kakhulu kunoma yikuphi ukutheleleka. Ngenkathi ucwaningo oluthile lukhombisa ukuthi i-amoxicillin ingahle ihlotshaniswe nokuphindeka okungaphezulu kwe-strep pharyngitis kuqhathaniswa ne-cephalexin, ihlala kumhlahlandlela wokwelashwa njengokwelashwa komugqa wokuqala.
Ngingasebenzisa i-cephalexin noma i-amoxicillin ngenkathi ngikhulelwe?
I-Cephalexin ne-amoxicillin kubhekwa njengokuphephile ngesikhathi sokukhulelwa. Akukho monakalo owaziwayo kumbungu yize zonke izidakamizwa zidlula ku-placenta.
Ngingasebenzisa i-cephalexin noma i-amoxicillin ngotshwala?
Ngenkathi kungekho ukuphikisana nokuthatha lawa ma-antibiotic ngenkathi uphuza utshwala, iziguli kufanele zazi ukuthi ukuphuza utshwala kungakhuphula ubungozi bemiphumela emibi yamathumbu.
Ingabe i-cephalexin noma i-amoxicillin inamandla?
Uma ifakwe isilinganiso esifanele, womabili ama-antibiotic ayasebenza ngokulwa nezinto zawo ezihlanganisiwe. Ukumbozwa komzimba we-cephalexin kuyenza isebenze kwezinye izimo i-amoxicillin engekho, kufaka phakathi i-mastitis kanye nokutheleleka kwamathambo nokuhlangana.
Isebenza kanjani ngokushesha i-cephalexin?
Ama-antibiotic aqala ukusebenza ngokumelene nomzimba ngokushesha nje lapho uqala ukwelashwa. Kungathatha izinsuku ezimbalwa ngaphambi kokuba isiguli siqale ukuthola ukukhululeka kwezimpawu ngokuya ngohlobo lokutheleleka.
Ingabe i-amoxicillin noma i-cephalexin ingcono ekuthelelekeni kwezindlebe?
I-American Academy of Family Physicians (AAFP) igcina kuyo imihlahlandlela ukuthi i-amoxicillin yindlela yokwelashwa oyikhethayo kuma-otitis media. Amanye ama-antibiotic, njenge-cephalosporin, angasetshenziswa uma kukhona ukungezwani komzimba noma uma kusolwa ukumelana nakho.
