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×èòàòåëü Íåäóã.Ðó
Ïîìîãèòå, ïîæàëóéñòà, ðàçîáðàòüñÿ, êàêîé èç àíòèáèîòèêîâ - ìàêðîïåí, ðóëèä, êëàöèä - íàèáîëåå ýôôåêòèâåí â ëå÷åíèè óðåàïëàçìîçà. Âðà÷è,ñ êîòîðûìè ÿ êîíñóëüòèðîâàëàñü, íèêàê íå ìîãóò ñîéòèñü âî ìíåíèè. Òàì, ãäå ÿ ñåé÷àñ æèâó íåò âîçìîæíîñòè ïðîéòè àíàëèç íà ÷óâñòâèòåëüíîñòü ê àíòèáèîòèêàì. ß î÷åíü ïëîõî ïåðåíîøó ëå÷åíèå àíòèáèîòèêàìè (ðàññòðîéñòâî êèøå÷íèêà), ïîýòîìó õîòåëîñü áû ñðàçó âûáðàòü ýôôåêòèâíîå ñðåäñòâî è íå ïåðåëå÷èâàòüñÿ. Âîçìîæíî ñóùåñòâóåò òàêàÿ ñòàòèñòèêà.
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×èòàòåëü Íåäóã.Ðó
Óâ. Ëÿëÿ!
È õîòÿ óðåàïëàçìà áîëåå ÷óâñòâèòåëüíà ê ìàêðîëèäàì (ãðóïïó, îáüåäèíÿþùóþ Âàìè óêàçàííûå ïðåïàðàòû), íî ïîõîæå, ÷òî ê àçèòðîìèöèíó (ñóìàìåä) óðåàïëàçìû áîëåå ÷óâñòâèòåëüíû, ìåíåå óñòîé÷èâû:
Chemotherapy 2003 May;49(1-2):39-43
Assessment of antibiotic susceptibility of Ureaplasma urealyticum from prostitutes and outpatient clinic patients using the E-test and agar dilution method.
Cakan H, Polat E, Kocazeybek B, Ocal P, Cepni I, Aslan M, Salihoglu F, Altas K.
In this study, a total of 647 vaginal discharge samples were examined. Ureaplasma urealyticum growth was seen in 68 samples (10.5%). The antibiotic sensitivity of 30 types of U.urealyticum was determined with the E-test and agar dilution method. With the agar dilution method, all types were sensitive to ciprofloxacin and ofloxacin (MIC 0.94 microg/ml), tetracycline (MIC 0.125 microg/ml) and doxycycline (MIC 0.125 and 0.190 microg/ml). Furthermore, with the agar dilution method, 18 types (60%) were resistant to roxithromycin and 12 (40%) were sensitive (MIC 12 microg/ml); 3 types (10%) were resistant to erythromycin and 27 (90%) were sensitive (MIC 12 microg/ml); 9 types (30%) were resistant to clarithromycin and 21 (70%) were sensitive (MIC 12 microg/ml), and all types were sensitive to azithromycin (MIC 14 microg/ml).
×àñòî èñïîëüçóåòñÿ îäíîêðàòíûé ïðèåì ñóìàìåäà 1 ãðàìì, íî ïîõîæå ïðè äëèòåëüíûõ êëèí.ïðîÿâëåíèÿõ(áîëåå 3 íåä.) ëó÷øå ïî 0,5 g 2 ðàçà â äåíü â òå÷åíèå 6 äíåé.
: Drugs Exp Clin Res 2001;27(4):135-9
Azithromycin and doxycycline in the treatment of female patients with acute urethral syndrome caused by Ureaplasma urealyticum: significance of duration of clinical symptoms.
Skerk V, Schonwald S, Krhen I, Rusinovic M, Strapac Z, Vukovic J.
One hundred ninety-two female patients with acute urethral syndrome caused by Ureaplasma urealyticum were examined. First, patients were divided into two groups: those with clinical symptoms present for less than 3 weeks before the start of treatment and those with clinical symptoms 3 weeks or longer before the beginning of therapy. The patients were then further divided into groups and randomized to receive azithromycin once daily in a single dose of 1 g or 500 mg once daily for 6 days, or to receive doxycycline 100 mg b.i.d. for 14 days or 100 mg b.i.d. for 7 days (eight study groups in all). Clinical and bacteriological efficacy were evaluated 3 weeks after the end of therapy. In the group of patients with disease symptoms lasting for 3 weeks or longer, eradication and clinical cure rates were significantly higher after the administration of azithromycin at a dose of 1 x 500 mg/6 days than after a single dose of 1 g (p < 0.001).
Ïðåïàðàòàìè âòîðîé ëèíèè ÿâëÿþòñÿ ôòîðõèíîëîíû, òåòðàöèêëèíû (ïîñëåäíèå Âàì íå î÷åíü, èáî ÷àñòî âûçûâàþò äèñáàêòåðèîç).
äëÿ ïðîôèëàêòèêè äèñáàêòåðèîçà âî âðåìÿ ëå÷åíèÿ ÀÁ íàñòîÿòåëüíî âàì ðåêîìåíäóþ ïðåïàðàòû (èîãóðòû), ñîäåðæàùèå æèâûå øòàììû áèôèäîáàêòåðèé/ëàêòîáàêòåðèé.
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×èòàòåëü Íåäóã.Ðó
Óâàæàåìàÿ Ëÿëÿ!
Êàêèå ó Âàñ åñòü êëèíè÷åñêèå ïðîÿâëåíèÿ óðåàïëàçìû? Ãäå îíè îáíàðóæåíû (â êðîâè, â ìàçêå èç öåðâèêàëüíîãî êàíàëà èëè èç óðåòðû)?
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×èòàòåëü Íåäóã.Ðó
Ó ìåíÿ â ìàçêå ìåòîäîì ÏÖÐ îáíàðóæèëè óðåàïëàçìó.  òå÷åíèå ãîäà áîëèò âíèçó æèâîòà ñïðàâà, ãàñòðîýíòåðîëîã ñ÷èòàåò, ÷òî ýòî áàóãèíèò (ïîäòâåðæäåíî èððèãîñêîïèåé), ãèíåêîëîã - àäíåêñèò.
Ïîäñêàæèòå, ïîæàëóéñòà, êàêèå ïðåïàðàòû ïðèìåíÿòü äëÿ ëå÷åíèÿ àäíåêñèòà (âîçìîæíîãî, ò.ê. âðà÷è íå ìîãóò ïîíÿòü, áîëèò ëè ó ìåíÿ èç-çà íåãî èëè èç-çà áàóãèíèòà)+óðåàïëàçìû è áàóãèíèòà (åñëè èçâåñòíî), ó÷èòûâàÿ, ÷òî ó ìåíÿ ãåïàòèò Ñ è íå õîòåëîñü áû íàãðóæàòü ïå÷åíü?
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×èòàòåëü Íåäóã.Ðó
ß ïðîëå÷èëàñü îò óðåàïëàçìû: 7 äí ôðîìèëèä, ôèòîëèçèí, ãëþêîíàò êàëüöèÿ, áåòàäèí, âàííî÷êè ñ ïåðåêèñüþ. Êîíòðîëüíûé àíàëèç ïîêàçàë îïÿòü óðåàïëàçìà óðåàëèòèêóì â áîëüøîì êîëè÷åñòâå è ìèêîïëàçìà â íåáîëüøîì. Ïðèñóòñòâóþò ñèìïòîìû öèñòèòà, áîëè âíèçó æèâîòà â òå÷åíèå ãîäà, ïëàíèðóþ áåðåìåííîñòü. Íàçíà÷åíî íà 2é êóðñ ëå÷åíèÿ: îôëîêñàöèí 1õ3õ10 äí (ó ìåíÿ ê íåìó ÷óâñòâèòåëüíîñòü ïî ïîñåâó), ñóìàìåä 1õ2õ6 äí, îêñèãðèññàíò, âíóòðèâåííî - ãëþêîçà, àñêîðáèíêà, àëîý, Â12.
 àíàìíåçå - ãåïàòèò Ñ, ëå÷åííûé èíåòðôåðîíîì+ðèáàâèðèíîì 14 íåäåëü.
Ýôåêòèâíà ëè ýòà âòîðàÿ ñõåìà? Âðà÷ ïðåäëàãàåò åùå ïèòü ýðèòðîìèöèí, íî ÿ íå õî÷ó íàãðóæàòü ïå÷åíü. ×òî åùå ïîñîâåòóåòå?
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×èòàòåëü Íåäóã.Ðó
Ñõåìà ìîæåò ñðàáîòàòü. Ñóìàìåä (àçèòðîìèöèí) èç ãðóïïû ìàêðîëèäîâ, ïîýòîìó ýðèòðîìèöèí èç òîé æå ãðóïïû ïðèíèìàòü íåò íèêàêîé íóæäû. Òàêæå îòñóòñòâóåò íåîáõîäèìîñòü â âîáåíçèìå, â/â ãëþêîçå, àñêîðáèíîâîé êèñëîòå, âèòàìèíå Â12, àëîý. Âìåñòî íåíóæíîé òðàòû äåíåã ëó÷øå çàêóïèòü èîãóðòû ñ æèâûìè øòàììàìè ëàêòî- èëè áèôèäî-áàêòåðèé èëè æå èìï. ïðåïàðàò, ñîäåðæàùèé èõ â æèâîì (!) âèäå äëÿ ïðîôèëàêòèêè âîçìîæíîãî äèñáàêòåðèîçà, íåïëîõî áû áûëî (îñîáåííî åñëè áåñïîêîÿò îáèëüíûå ìåñÿ÷íûå) â ïðåäâåðèè áåðåìåííîñòè ïðîâåðèòü ñûâ. æåëåçî. ÎÆÑÑ, ôåððèòèí: äåôèöèò æåëåçà â îðãàíèçìå ìîæåò îòâå÷àòü çà íåäîñòàòî÷íûé àíòèìèêðîáíûé èììóíèòåò.
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×èòàòåëü Íåäóã.Ðó
Ñïàñèáî! http://smaylik.by.ru/images/gif/49.gif
ß ïðî÷ëà Âàøå ñîîáùåíèå âûøå, â íåì ãîâîðèòñÿ, ÷òî ñóìàìåä äîçèðîâêîé ëó÷øå ïî 0,5? À îôëîêñàöèí ïî 0,25? À ñòîèò äîáàâèòü íèñòàòèí èëè äèôëþêàí èëè ñâå÷è òåðæèíàí? Èìïîðòíûå ïðåïàðàòû ñ æèâûìè áèôèäîáàêòåðèÿìè - ýòî ÷òî-òî òèïà ìàëüòèäîôèëóñà? Ãëþêîçû è àëîå ñ àñêîðáèíêîé è Á12, ÿ äóìàþ, âðà÷ íàçíà÷èëà èç-çà áîëåé â òå÷åíèå ãîäà, äëÿ ñíÿòèÿ âîñïàëåíèÿ, íå ïîìîãóò, òàê õîòü íå ïîâðåäÿò?
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×èòàòåëü Íåäóã.Ðó
àçèòðîìèöèí ïî 0,5 2 ðàçà â äåíü, îôëîêñàöèí (òàðèâèä) 0,2 2 ðàçà â äåíü, òàáë. ïî 0,25 ïî èäåå ñóùåñòâîâàòü íå äîëæíî, íåîáõîäèìîñòè ïèòü åãî òðèæäû â äåíü íåò (ïîëóâûâåäåíèå îê. 12 ÷). Àëîý è ãëþêîçà íè îò áîëåé íè îò âîñïàëåíèÿ íèêàê, àñêîðáèíêà â áîëüøèõ äîçàõ ÷åðåç ñòèìóëÿöèþ íàäïî÷å÷íèêîâ â ïðèíöèïå ïðîòèâîâîñïàëèò. äåéñòâèå îêàçàòü ìîæåò, íî ïðàêòè÷íåå ÍÏÂÑ, íàïð. äèêëîôåíàê èëè íàïðîêñåí.
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×èòàòåëü Íåäóã.Ðó
To Dr. Vad: ñïàñèáî çà http://smaylik.by.ru/images/gif/68.gif
To Oleg1: íè îäíîé ñòàòüè íå íàøëà
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×èòàòåëü Íåäóã.Ðó
×òî íå ïëîäèòü îäèíàêîâûõ òåì.
Ñêàæèòå, ìîæíî ëè çàìåíèòü Îôëîêñèí Ñóìàìåäîì?
Ìíå âðà÷ íàçíà÷èëà ëå÷åíèå, à ïðî ïðèòèâîïîêàçàíèÿ íå óòî÷íèëà. À ó ìåíÿ êàê ðàç îíî èìååò ìåñòî áûòü Ïîâûøåííàÿ ñóäîðîæíàÿ ãîòîâíîñòü - ìíå òîëüêî åå îñòàëîñü ñíîâà àêòèâèðîâàòü Îôëîêñèíîì, áóäåò ïðîñòî çäîðîâî...
Ó ìåíÿ â ìàçêå ++++ óðåàïëàçìû, îñòàëüíûõ (ìèêî è õëàìèäèé) - íåò. Â ìàçêå íà ôëîðó ìíîãî ëåéêîöèòîâ.
Îñîáî íè÷åãî íå áåñïîêîèò, ïîõîæå, ÷òî ýòà çàðàçà âî ìíå äîñòàòî÷íî äàâíî, ãîä òàê òî÷íî. Íó, ìîæåò òîëüêî ÷óòü áîëåå ñòðàííûå âûäåëåíèÿ, íî òîëüêî ÷óòü, íå áîëåå.
ß áû ñðîäó íå âçÿëàñü ÷òî-òî â ñåáå èñêàòü, íî ïëàíèðóþ áåðåìåííîñòü, õîòåëîñü áû ïîä÷èñòèòü "õâîñòû".
Îé, çàáûëà ñêàçàòü. Êðîìå "Îôëîêñèíà+òðèõîïîë" ìíå íàçíà÷èëè "Áèíîêëàð+òðèõîïîë". Ìîæåò òîãäà ïèòü ïðîñòî "Áèíîêëàð+òðèõîïîë" ?
(îé, ÷óâñòâóþ, îòïðàâÿò ìåíÿ "êî âðà÷ó"
Ñïàñèáî
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×èòàòåëü Íåäóã.Ðó
Óâàæàåìàÿ Ñâåòëàíà!
Îôëîêñàöèí (äà è äð. ôòîðõèíîëîíû) âûçûâàþò ñóäîðîæíûå ïðîÿâëåíèÿ ó ïîæèëûõ ïàöèåíòîâ ñ ýëåêòðîëèòíûìè íàðóøåíèÿìè è íàðóøåíèåì ôóíêöèè ïî÷åê íà ôîíå âûñîêèõ äîç.
Óðåàïëàçìû ëó÷øå âñåãî ïîääàþòñÿ ëå÷åíèþ àçèòðîìèöèíîì (ñóìàìåäîì) ïî 0,5 äâàæäû â òå÷åíèå 6-7 äíåé, àëüòåðíàòèâîé ìîæåò áûòü äîêñèöèêëèí 0,1 äâàæäû 7 äíåé. Êëàðèòðîìèöèí (áèíîêëàð) ëó÷øå ïðèìåíÿòü åñëè îïðåäåëåíà ê íåìó ÷óâñòâèòåëüíîñòü Âàøåé èíôåêöèè. Ìåòðîíèäàçîë (òðèõîïîë) ìîæåò áûòü ýôôåêòèâåí ïðè áàê. âàãèíîçàõ, ïðè ëå÷åíèè ìîíîèíôåêöèè óðåàïëàçìîé èìååò âåñüìà îãðàíè÷åííîå ïðèìåíåíèå.
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×èòàòåëü Íåäóã.Ðó
Ñïàñèáî áîëüøîå, ïîíÿëà.
Àçèòðîìèöèí-Àçèâîê êóïëåí (êàêîé æå äîðîãîé ýòîò ñóìàìåä!).
Îê, äàâàéòå ïðîïüþ äíåé 6-7, áåç áèíîêëàðà - òåì áîëåå, ÷òî ÷óâñòâèòåëüíîñòü íèêòî íå îïðåäåëÿë êàê ÿ ïîíÿëà (àíàëèç äåëàëè 2 äíÿ, íè÷òî çà 2 äíÿ íå óñïååò ñîçðåòü).
Ñïàñèáî åùå ðàç.
Ìåíÿ âîò òîëüêî ìóæ ñìóùàåò... Êàê-òî ðóêà íå ïîäíèìàåòñÿ äàâàòü åìó òó æå äîçó, ÷òî è ñåáå. Ìîæåò åìó äîñòàòî÷íî 0,5 1 ðàç â äåíü?
Äëÿ íåãî âîîáùå òàáëåòêè ïèòü - íàêàçàíèå, êàê íà çëî.
Òî ëè äåëî - ÿ
Åùå ñïðîøó. Íàçíà÷åí áûë Äèôëþêàí ê àíòèáèîòèêàì (çàìåíèëà ôëþêîñòàòîì). Ïèòü?
À ìîæåò èìååò ñìûñë ôëîðó ïîääåðæàòü Ëèíåêñîì? Èëè ýòî êàê ìåðòâîìó ïðèïàðêà?
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×èòàòåëü Íåäóã.Ðó
Àçèòðîìèöèí è êëàðèòðîìèöèí èç îäíîé ãðóïïû (ìàêðîëèäîâ), îäíîâðåìåííî íå íàçíà÷àþòñÿ.
Ìóæà íóæíî ëå÷èòü, åñëè ó íåãî âûñåÿíà óðåàïëàçìà, â äðóãèõ ñëó÷àÿõ ñîìíèòåëüíî, íî ìîæåòå ïîïðîáîâàòü 1 ãðàì (2 òàáë.) îäíîêðàòíî.
Åñëè êàíäèä èëè äð. ãðèáîâ íå âûñåÿíî, òî íàçíà÷åíèå ôëþêîíàçîëà íå îïðàâäàíî.
Ëèíåêñ ìîæåòå ïîïèòü: âîçìîæíî çàùèòèò Âàñ îò ïîá. äåéñòâèÿ àçèòðîìèöèíà (òí. äèñáàêòåðèîçà) è ìîæåò ïîâûñèòü âåðîÿòíîñòü ïîëíîãî áåçðåöèäèâíîãî èçëå÷åíèÿ.
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×èòàòåëü Íåäóã.Ðó
Ñïàñèáî, http://fool.exler.ru/sm/rev.gif
óøëà ïèòü òàáëÝòêè...
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×èòàòåëü Íåäóã.Ðó
Ñâåòëàíà!
Âû íå ïðîÿñíèëè ÃËÀÂÍÛÉ âîïðîñ: èìåþòñÿ ëè ó Âàñ êëèíè÷åñêèå ïðîÿâëåíèÿ óðåàïëàçìîçà èëè îôëîêñèí + áèíîêëàð + òðèõîïîë íàçíà÷åíû òîëüêî ïîòîìó, ÷òî â ìàçêå ìåòîäîì ÏÖÐ îáíàðóæåíà óðåàïëàçìà? Åñëè ýòî âòîðîé âàðèàíò, òî ïîäñêàæèòå ãäå çàíÿòü î÷åðåäü íà ëå÷åíèå, ÷òîáû óñïåòü êóïèòü â àïòåêå àíòèáèîòèêè, ò.ê. áîëüøîé ÷àñòè íàñåëåíèÿ çåìíîãî øàðà íåîáõîäèìî íà÷àòü ëå÷èòüñÿ îò ýòîé çàðàçû.
P.S. Äà åù¸. Ðåçîííî â ýòîì ñëó÷àå ñðî÷íî ïîêóïàòü àêöèè ôàðìàöåâòè÷åñêèõ êîìïàíèé: íè òîëüêî ïîòîìó, ÷òî ñïðîñ íà ñîîòâåòñòâóþùèå ëåêàðñòâà ðåçêî âîçðàñòåò, íî è ïîòîìó, ÷òî ÷àñòü ïàöèåíòîâ çàòåì áóäåò âûíóæäåíà äëèòåëüíî ëå÷èòüñÿ îò ðåàëüíûõ çàáîëåâàíèé, ñïðîâîöèðîâàííûõ òàêèì «ëå÷åíèåì».