I-Ampicillin vs.i-amoxicillin: Umahluko, ukufana, kwaye kukuphi okungcono kuwe

Iziyobisi Vs. Umhlobo

Ukujonga ngokubanzi iziyobisi kunye nolwahluko ophambili | Imiqathango iphathwe | Ukusebenza | Ukuhlawulwa kwe-inshurensi kunye nokuthelekiswa kweendleko | Imiphumela | Ukusebenzisana kweziyobisi | Izilumkiso | FAQ

Ukuba wakha wosulelwa ziintsholongwane, kungenzeka ukuba uthathe iyeza lokubulala iintsholongwane. I-Ampicillin kunye ne-amoxicillin zezi iyeza lokubulala iintsholongwane esetyenziselwa unyango lwezifo ezahlukeneyo zebhakteria. Omabini la mayeza avunyiwe yi-U.S. Amayeza okubulala iintsholongwane banomsebenzi we-antimicrobial kwaye basetyenziselwa unyango lwezifo ezibangelwa ziintsholongwane kuphela-azisebenzi kunyango losulelo lwentsholongwane (njengomkhuhlane okanye ukubanda okuqhelekileyo).

I-Ampicillin kunye ne-amoxicillin zihlelwa kwiqela lamayeza abizwa ngokuba yi-penicillin (okanye i-aminopenicillin), okanye i-beta-lactam antibiotics. Basebenza ngokuthintela ibhaktheriya ekwenzeni iindonga zeseli, zikhokelela ekufeni kwebhaktheriya. Zombini ezi zintsholongwane zisetyenziselwa ukunyanga iintlobo ezahlukeneyo zosulelo lwebacteria (ngaphezulu koku kungezantsi).

Nangona i-ampicillin kunye ne-amoxicillin zombini ipenisilini Iintsholongwane, azifani ncam. Qhubeka ufunda ukuze ufunde ngakumbi nge-ampicillin kunye ne-amoxicillin.

Nguwuphi umahluko ophambili phakathi kwe-ampicillin kunye ne-amoxicillin?

I-Ampicillin yipenicillin antibiotic. Isetyenziselwa ukunyanga ibacteria eninzi ene-gram-positive ne-gram-negative. Igama le-ampicillin yi-Principen; Nangona kunjalo, i-Principen ayisafumaneki njengesiyobisi segama. Iyeza liyafumaneka njenge-generic, ampicillin, njengephilisi yomlomo okanye inaliti. I-Ampicillin ikwafumaneka kwifom yenaliti njenge-Unasyn, equlathe i-ampicillin kunye ne-sulbactam (ukuthintela ukuxhathisa i-antibiotic). I-Unasyn ayisafumaneki njengegama lophawu-ifumaneka njenge-generic ampicillin / sulbactam kuphela.

I-Amoxicillin ikwayipilisi yokulwa nepenicillin. Iyafana ngekhemikhali ne-ampicillin kwaye inebanzi elibanzi lomsebenzi ngokuchasene neebhakteria ezininzi ze-gram-positive kunye ne-gram-negative.

Igama le-amoxicillin yi-Amoxil; Nangona kunjalo, i-Amoxil ayisasebenzi ngokuthengisa. Iyeza lifumaneka kuphela kwifom yesiqhelo ye-amoxicillin. I-Amoxicillin ixhaphake kakhulu njenge-amoxicillin capsules yabantu abadala, okanye ukunqunyanyiswa kwabantwana, okanye ngokudibeneyo ne-clavulanic acid (ethintela ukunganyangeki kwintsholongwane) njengeyeza elibizwa ngokuba yi-Augmentin.

Kubalulekile ukuba ukhumbule ukuba xa uthatha isibulala-zintsholongwane, kufuneka usithathe njengoko kuyalelwe, kwaye gqiba ikhosi epheleleyo , nokuba uziva ubhetele phambi kokuba unyango luphele. Nangona kunjalo, ukuba uthabathe isibulala-zintsholongwane sakho iintsuku ezininzi kwaye awuva bhetele okanye uziva umbi, qhagamshelana nomboneleli wakho wezempilo ukuze akukhokele.

Umahluko ophambili phakathi kwe-ampicillin kunye ne-amoxicillin
	Ampicillin	Amoxicillin
Iklasi yeziyobisi	I-penicillin (beta-lactam) zintsholongwane	I-penicillin (beta-lactam) zintsholongwane
Uhlobo lweBrith / generic	Ngokwesiqhelo	Ngokwesiqhelo
Ngubani igama lophawu?	Inqununu (ayisafumaneki kwigama lophawu)	I-Amoxil, iTrimox (ayisafumaneki kwigama lophawu)
Zeziphi iifom eza nalo iziyobisi?	Ampicillin: philisi, inaliti Unasyn: (ampicillin-sulbactam): inaliti	I-Amoxicillin: iphilisi, ukumiswa, ithebhulethi, ithebhulethi ehlafunwayo Ukongezwa : (amoxicillin-clavulanate): ithebhulethi, ithebhulethi ehlafunwayo, ukumiswa I-Prevpac: ikhosi yonyango equkethe ii-amoxicillin capsules ngokudibanisa ne-lansoprazole kunye ne-clarithromycin (esetyenziselwa izilonda zesisu ezibangelwa yi-H. pylori bacteria)
Ithini idosi esemgangathweni?	Umzekelo: ampicillin 500 mg rhoqo kwiiyure ezi-6 kwiintsuku ezili-10 ukuya kwezi-14	Umzekelo: i-amoxicillin 500 mg kathathu ngemini kangangeentsuku ezili-10
Lude kangakanani unyango oluqhelekileyo?	Iintsuku 10-14; zinokwahluka	Iintsuku 7-10; zinokwahluka
Ngubani oqhelekileyo usebenzisa amayeza?	Abantu abadala nabantwana	Abantu abadala nabantwana

Iimeko zonyango lwe-ampicillin kunye ne-amoxicillin

I-Ampicillin isetyenziselwa ukunyanga usulelo lwebacteria kubandakanya:

• Usulelo lwe-genitourinary tract, kubandakanya ukuvuza ngaphantsi, okubangelwa coli, P. mirabilis , enterococci, Shigella, S. typhosa kunye nezinye ii-Salmonella kunye ne-penicillinase-evelisa N. gonorrhoeae
• Unyango lwempembelelo yokuphefumla olubangelwa kukungasebenzi kwepenicillinase umkhuhlane kunye ne-staphylococci, kunye ne-streptococci kubandakanya IStreptococcus pneumoniae
• Usulelo lwe-gastrointestinal tract olubangelwa Shigella, S. typhosa kunye nezinye ISalmonella, E. coli, P. mirabilis , kunye ne-enterococci
• I-Meningitis ebangelwa Meningitidis

I-Amoxicillin isetyenziselwa ukunyanga izifo ezahlukeneyo zentsholongwane:

• Usulelo lwendlebe (i-otitis media), usulelo lwempumlo, okanye usulelo lomqala olubangelwa ziintlobo ezithile ze IStreptococcus , inyumoniya , Istaphylococcus spp., Okanye Haemophilus influenzae
• Usulelo lomchamo olubangelwa yi Escherichia coli, P. mirabilis, okanye I-Enterococcus faecalis
• Usulelo lolusu okanye ulusu kusulelo olubangelwa ziintlobo ezithile ze IStreptococcus, iStaphylococcus (njengeStaphylococcus aureus), okanye E. coli
• Usulelo olungaphantsi lokuphefumla olubangelwa ziintlobo ezithile ze IStreptococcus , IStreptococcus pneumoniae, iStaphylococcus , okanye H. influenzae
• I-gonorrhea enobunzima obunzima kumadoda nabasetyhini obangelwa I-Neisseria gonorrhoeae
• Ukupheliswa kwe pylori ukunciphisa umngcipheko wokuphindaphinda kwezilonda zesisu
• I-Amoxicillin ikwasetyenziswa njengonyango kathathu nge-lansoprazole kunye ne-clarithromycin (njenge-Prevpac) kwizigulana ezine pylori usulelo kunye isilonda duodenal

I-antibiotics ezifana ne-ampicillin okanye i-amoxicillin kufuneka isetyenziswe kuphela kwiintsholongwane xa zichazwe ukuba zilungele ngumboneleli wakho wezempilo. Oku kunceda ukukhusela ukuxhathisa i-antibiotic. Amaziko Okulawula Nokuthintela Izifo ( i-CDC Kukhuthaza ukusetyenziswa okufanelekileyo kwee-antibiotics ngokunceda ababoneleli bezempilo ukuba bakhethe i-antibiotic efanelekileyo kwaye banciphise ukusetyenziswa kwee-antibiotiki ngokungeyomfuneko xa kunyangwa izifo ezahlukeneyo ezithathelwanayo. Oku kubizwa ngokuba ligosa lamayeza okubulala iintsholongwane.

Ngaba i-ampicillin okanye i-amoxicillin isebenza ngakumbi?

Izifundo ngokuthelekisa la mayeza mabini ayisiyiyo yakutsha nje kwaye / okanye zisebenzise isampulu encinci kakhulu. Isifundo esinye , Ukusukela ngo-1974, xa kuthelekiswa amachiza amabini osulelo lwendlebe ebantwaneni kwaye wafumanisa ukuba omabini la machiza ayasebenza ngokufanayo. I-Amoxicillin yanyamezelwa ngcono, kunye neziphumo ebezingalindelekanga ezimbalwa kune-ampicillin.

I-Ampicillin iyodwa ayimiswanga njengoko yayinjalo mandulo , ngenxa yokuphuhliswa kokunganyangeki ngamachiza. Okwangoku, i-amoxicillin imiselwe ngokubanzi. Nangona kunjalo, i-ampicillin ngokudibeneyo ne-sulbactam (Unasyn) ihlala inikwa njenge-inaliti kwisibhedlele. I-Sulbactam sisiyobisi esibizwa ngokuba yi-beta-lactamase inhibitor kwaye sinceda ekuthinteleni ukunganyangeki ngamachiza. Kwimeko yokulaliselwa ngaphandle, oku kuyafana nesigulana esithatha i-Augmentin, eyi-amoxicillin kunye ne-clavulanic acid, i-beta-lactamase inhibitor.

Olona nyango lusebenzayo lunokuchongwa ngumboneleli wakho wezempilo, onokuluchonga usulelo lwakho njengebhaktiriya okanye intsholongwane. Ukuba usulelo lubangelwa yintsholongwane, isigqibo sokuba yeyiphi i-antibiotic oyisebenzisayo iya kusekelwa kwinto ibacteria ebangela usulelo (ukuba lwaziwa, okanye alwaziwa, zeziphi iibhaktheriya ekurhanelwa ukuba zibangela usulelo). Ummeli wakho uya kujonga kwimbali yakho yezonyango epheleleyo kunye nezinye iimeko zonyango onazo kunye namanye amayeza owathathayo anokuthi asebenzisane ne-ampicillin okanye i-amoxicillin.

Fumana ikhadi lesaphulelo kwikhemesti

Ukufunda kunye nokuthelekiswa kweendleko ze-ampicillin vs i-amoxicillin

I-Ampicillin kunye ne-amoxicillin zigutyungelwe zizicwangciso ezininzi zeinshurensi kunye neMedicare Icandelo D.

Umthamo oqhelekileyo we-ampicillin ungangama-40, 500 mg njengezingxobo. Ixabiso elingaphandle kwepokotho liya kuba malunga ne-30 yeedola. Sebenzisa ikhadi le-SingleCare kwi-ampicillin kunokuhlisa ixabiso libe ngaphantsi kweedola ezingama-20.

Ummiselo oqhelekileyo we-amoxicillin unokuba yi-30, 500 mg capsules. Ixabiso elingaphandle kwepokotho lingangaphezulu kwe- $ 20. Nge-amoxicillin isaphulelo se-SingleCare unokuhlawula nje nge- $ 5.

	Ampicillin	Amoxicillin
Ngokuqhelekileyo i-inshurensi?	Ewe	Ewe
Ngokuqhelekileyo ihlanganiswe yiCandelo le-Medicare?	Ewe	Ewe
Umthamo osemgangathweni	40.500 mg njengezingxobo	30.500 mg njengezingxobo
Uhlobo oluqhelekileyo lweMedicare Part D	$ 0- $ 1	$ 0- $ 1
Ixabiso elilodwa	$ 20 +	$ 5 +

Iziphumo eziqhelekileyo ezichaphazelekayo ze-ampicillin vs amoxicillin

Iziphumo ebezingalindelekanga ezixhaphakileyo ze-ampicillin kunye ne-amoxicillin zinxulumene nobuntununtunu be-penicillin kwaye kunokwenzeka ukuba zenzeke kwizigulana ezazikhe zafumana uvakalelo kwiipenicillin nakwizigulana ezinembali ye-aleji kunye / okanye i-asthma. Iziphumo zixhaphakileyo zibandakanya isicaphucaphu, ukugabha, urhudo, kunye nerhashalala / uvakalelo. Iziphumo ezinobuzaza ze-anaphylactic zifuna unyango olungxamisekileyo.

Ngokubanzi, unyango lwe-antibiotiki lunokukwenza ukuba uhlaselwe sisifo sohudo okanye usulelo lwegwele. Buza umboneleli wakho wezempilo ukuba ufanele ukuthatha iprobiotic .

Olu alukho uluhlu olupheleleyo lweziphumo ebezingalindelekanga ezinokwenzeka. Qhagamshelana nomboneleli wakho wezempilo uluhlu olupheleleyo lweziganeko ezimbi.

	Ampicillin	Amoxicillin
Imiphumela	Iyasebenza?	Rhoqo	Iyasebenza?	Rhoqo
Urhudo	Ewe	Akuxelwanga	Ewe	> 1%
Isicaphucaphu	Ewe	Akuxelwanga	Ewe	> 1%
Intlungu zesisu	Ewe	Akuxelwanga	Ewe	Akuxelwanga
Ukuhlanza	Ewe	Akuxelwanga	Ewe	> 1%
Irhashalala	Ewe	Akuxelwanga	Ewe	> 1%

Umthombo: DailyMed ( ampicillin ), Yonke imihla ( ifumobillin ), Ileyibhile ye-FDA ( ifumobillin )

Ukudibana kweziyobisi kunye ne-ampicillin vs amoxicillin

I-Ampicillin kunye ne-amoxicillin zinoluhlu olufanayo lokunxibelelana kweziyobisi kuba ziyimichiza efanayo.

Ukuthatha i-ampicillin okanye i-amoxicillin ene-anticoagulant enjenge-warfarin inokuchaphazela ukopha-izigulana kufuneka zijongwe ukuba zikule ndibaniselwano. Kwakhona, i-allopurinol, iyeza le-gout, ngokudibeneyo ne-ampicillin okanye i-amoxicillin inokunyusa ithuba lokuphuhliswa kweerhashalala.

Izicwangcisi zomlomo (ezaziwa nangokuthi iipilisi zokulawula ukuzalwa) zinokungasebenzi kakuhle xa zithathwa ngokudibanisa namayeza okubulala iintsholongwane afana ne-ampicillin okanye i-amoxicillin. Qhagamshelana nomboneleli wakho wezempilo malunga nesidingo solawulo lokuzalwa lokugcina (njengekhondom) ngelixa uthatha i-antibiotic.

I-Ampicillin kunye ne-amoxicillin zombini ziyasebenzisana nesitofu sokugonya somlomo sephepha, iVivotif Berna. Isibulala-zintsholongwane sinokungasebenzi kwisitofu sokugonya.

Olu ayilo luhlu lupheleleyo lokunxibelelana kweziyobisi- olunye unxibelelwano lweziyobisi lunokwenzeka. Nxibelelana nomboneleli wakho wezempilo uluhlu olupheleleyo lokudibana kwamachiza.

Iziyobisi	Iklasi yeziyobisi	Ampicillin	Amoxicillin
IWarfarin	I-Anticoagulant	Ewe	Ewe
Yonke into	IXanthine oxidase inhibitor (esetyenziselwa igawuthi)	Ewe	Ewe
Izinto zokucwangcisa ngomlomo	Izinto zokucwangcisa ngomlomo	Ewe	Ewe
Iiprobene	Uricosuric	Ewe	Ewe
UVivotif Bern	Ugonyo lwetyhefu (live)	Ewe	Ewe
IBupropion	I-Aminoketone yoxinzelelo	Ewe	Ewe
Imethotrexate	Antimetabolite	Ewe	Ewe
I-Magnesium citrate	Isaline laxative	Ewe	Ewe

Izilumkiso ze-ampicillin kunye ne-amoxicillin

Izilumkiso ze-ampicillin kunye ne-amoxicillin:

• IClostridium difficile urhudo olunxulumene noko kuye kwaxelwa uninzi lwee-antibiotics kwaye zinokubakho kubukrakra ukusuka kurhudo oluncinci ukuya kwi-colitis ebulalayo. Olu luhudo lunokwenzeka ngexesha okanye emva kokusetyenziswa kwe-antibiotic (nokuba kwiinyanga ezininzi kamva). Ukuba ufumana urhudo, isicaphucaphu, iintlungu zesisu, kunye / okanye umkhuhlane, nxibelelana nomboneleli wakho wezempilo kwangoko.
• Ukuba unembali yokusabela kwi-penicillin, musa ukuthatha i-ampicillin okanye i-amoxicillin.
• Ubunzima, ngamanye amaxesha obulalayo, ukusabela kwe-hypersensitivity (anaphylaxis) kuye kwaxelwa ngeepenicillin. Oku kunokwenzeka kwizigulana ezinyangwa nge-cephalosporin enje cephalexin . Izigulana akufuneki zinikwe i-ampicillin okanye i-amoxicillin ukuba kuye kwakho impendulo yangaphambili. Ukuba kuyenzeka ukuba uxabane, i-ampicillin okanye i-amoxicillin kufuneka iyekwe kwangoko kwaye kufuneka ufune unyango olungxamisekileyo.
• I-Ampicillin okanye i-amoxicillin kufuneka isetyenziselwe kuphela ukunyanga usulelo lwebacteria. Sebenzisa isibulala-zintsholongwane kusulelo lwentsholongwane akusinyangi isigulo, kwaye kunokukhokelela ekuchaseni isibulala-zintsholongwane.
• Ukusetyenziswa ixesha elide kwee-antibiotics kunokukhokelela kusulelo lwefungal, oluya kufuna ukunyangwa.

Izilumkiso ezongezelelweyo ze-ampicillin:

• Izigulane ezine-gonorrhea kunye ne-syphilis nazo zifuna unyango lwe-penicillin (penicillin G) efanelekileyo.
• Ngaphandle konyango lwe-ampicillin, isigulana sisenokufuna inkqubo yotyando, ngakumbi usulelo lwe-staphylococcal.

Imibuzo ebuzwa rhoqo malunga ne-ampicillin vs i-amoxicillin

Yintoni iampicillin?

I-Ampicillin yi-beta-lactam, ipenicillin antibiotic, esetyenziselwa ukunyanga izifo ezininzi ezahlukeneyo zebacteria kubantu abadala nasebantwaneni. I-Unasyn ine-ampicillin kunye ne-sulbactam. Ifumaneka kwifom yenaliti kuphela. I-Sulbactam yi-beta-lactamase inhibitor, eyongezwa kwi-ampicillin e-Unasyn ukukhusela ukuxhathisa i-antibiotic.

Yintoni i-amoxicillin?

I-Amoxicillin yintsholongwane ye-beta-lactam, ehambelana nepenicillin, esetyenziselwa ukunyanga usulelo lwebacteria kubantu abadala nasebantwaneni. I-Amoxicillin iyeyona nto ixhaphakileyo emiselweyo. I-Augmentin (equlathe i-amoxicillin kunye ne-clavulanic acid) yenye ye-antibiotic exhaphakileyo echazwe kwizifo ezininzi ezosulelayo. I-Clavulanic acid yi-beta-lactamase inhibitor, eyongezwa kwi-amoxicillin e-Augmentin ukunceda ukuthintela ukuxhathisa i-antibiotic.

Ngaba i-ampicillin kunye ne-amoxicillin ziyafana?

I-Ampicillin kunye ne-amoxicillin ziyafana kakhulu. Ziyafana ngokufanayo kwaye zikwiklasi enye yeziyobisi. Zineziphumo ebezingalindelekanga ezifanayo kunye nokunxibelelana kweziyobisi, kodwa ezinye izikhombisi ezahlukeneyo kunye nedosi eyahlukileyo. Unokufunda ngakumbi ngamachiza amabini kulwazi oluchazwe apha ngasentla.

Ngaba i-ampicillin okanye i-amoxicillin ingcono?

Omabini la machiza anokusebenza xa esetyenziswa ngokwawo; Nangona kunjalo, i-ampicillin ichaphazeleka kakhulu kukunganyangeki ngamachiza, ngenxa yoko i-amoxicillin imiselwe ngokubanzi. Nangona kunjalo, oko akuthethi ukuba kungcono, kukodwa, kodwa kunokwenzeka ukuba uphumelele ngokuchasene neebhaktheriya ekujongwe ukuba zihlasele. Xa elinye iyeza lisetyenziswa ngokudibeneyo ne-beta-lactamase inhibitor (Unasyn njenge-injection okanye i-Augmentin njengeyeza lomlomo), ukhuseleko lwe-antimicrobial lusebenza ngakumbi, kwaye umngcipheko wokuchasana neziyobisi uphantsi.

Ndingayisebenzisa i-ampicillin okanye i-amoxicillin ngelixa ndikhulelwe?

Omabini la mayeza anjalo udidi lokukhulelwa B . Akukho zifundo zaneleyo nezilawulwa kakuhle kwabasetyhini abakhulelweyo. Umboneleli wakho wokhathalelo lwempilo uya kulinganisa umngcipheko ngokuchasene nezibonelelo xa usenza isigqibo sokuba uyayifuna na i-antibiotic, kwaye yeyiphi i-antibiotic efanelekileyo kuwe xa ukhulelwe.

Ndingayisebenzisa i-ampicillin okanye i-amoxicillin ngotywala?

Ngelixa i-ampicillin kunye ne-amoxicillin zingangqinelani notywala, Phawula ukuba utywala bunokuthintela umzimba wakho ekulweni nosulelo. Utywala bunokwenza ukuba iziphumo ebezingalindelekanga zesisu zibe mbi ngakumbi. Kungcono ukunqanda utywala de uzive ungcono.

Ngaba i-ampicillin yintsholongwane eyomeleleyo?

I-Ampicillin inokusebenza ngokuchasene neentlobo zebacteria ezibangela usulelo oluthile. Nangona kunjalo, ayichazwanga kangako njengoko ibikade ikho, ngenxa yokukhutshwa kwe ukuxhathisa xa isetyenziswa yodwa njenge-ampicillin. Ihlala isetyenziswa (njengenaliti) kwisibhedlele njenge-Unasyn, equlathe i-sulbactam ukongeza kwi-ampicillin, ukunceda ukuthintela ukumelana neentsholongwane.

Zingaphi iintsuku ekufuneka zithathelwe i-ampicillin?

Inani leentsuku lixhomekeke kuhlobo kunye nobunzima bosulelo kwaye luya kugqitywa ngumboneleli wakho wezempilo. Ngokwesiqhelo, i-ampicillin iya kuthathwa kangangeentsuku ezili-10 ukuya kwezi-14. Qiniseka ukuba ugqibe ikhosi yezibulala-ntsholongwane — musa ukuyeka ngequbuliso nokuba uziva ubhetele kuba intsholongwane inokubuya.

Yeyiphi intsholongwane ebulala i-ampicillin?

I-Ampicillin isetyenziselwa ukunyanga izifo ezahlukeneyo zebacteria kubandakanya usulelo oluthile lomchamo, usulelo lokuphefumla, usulelo lwesisu, kunye ne-meningitis. Jonga eli candelo lingentla Iimeko ezinyangwa yi-ampicillin kunye ne-amoxicillin ngolwazi oluthe kratya malunga neentlobo zebhaktiriya ezisebenza ngokuchasene nolunye kwezi ntlobo zosulelo.