Momwe mungagwiritsire ntchito Amoxicillin 1000?

Matenda oyambitsidwa ndi bakiteriya omwe amayambitsidwa ndi tizilombo toyambitsa matenda: kupuma kwa matenda amtundu wa chifuwa (bronchitis, chibayo) ndi ziwalo za ENT (sinusitis, pharyngitis, tonsillitis, pachimake atitis media), genitourinary system (pyelonephritis, pyelitis, cystitis, urethritis, gonorrhea, endometritis, chiberekero matenda (peritonitis, cholangitis, cholecystitis), matenda a pakhungu ndi minofu yofewa (erysipelas, impetigo, dermatoses yemwe ali ndi matendawa), leptospirosis, listeriosis, matenda a Lyme (borreliosis), m'mimba thirakiti (matenda am'mimba, salmonellosis, salmonella kunyamula). ophylaxis), sepsis.

Mlingo

granules pokonzekera kuyimitsidwa kwa pakamwa, makapisozi, ufa wokonzera madontho omwera pakamwa, ana, ufa pokonzekera yankho la intravenous and intramuscular management, ufa pokonzekera kuyimitsidwa kwa

Contraindication

Hypersensitivity (kuphatikizapo ma penicillin ena, cephalosporins, carbapenems) Mochenjera. Multivalent hypersensitivity to xenobiotic, mononucleosis wopatsirana, mbiri ya matenda am'mimba (makamaka matenda am'matumbo ogwiritsidwa ntchito ndi maantibayotiki), kulephera kwa impso, kutenga pakati, kuyamwa.

Momwe mungagwiritsire ntchito: Mlingo ndi njira ya chithandizo

Mkati, chakudya chisanayambe kapena chitatha, piritsi limatha kumeza lonse, kugawidwa m'magawo kapena kutafuna ndi kapu yamadzi, kapena kuchepetsedwa m'madzi kuti lipange madzi (mu 20 ml) kapena kuyimitsidwa (mu 100 ml). Akulu ndi ana a zaka zopitilira 10 (wokhala ndi thupi loposa 40 makilogalamu) amawonetsedwa 0,5 g katatu pa tsiku, ndipo ali ndi matenda oopsa - 0,75-1 g katatu pa tsiku.

Ana amayikidwa mu mawonekedwe a kuyimitsidwa: azaka za 5-10 zaka - 0,25 g, zaka 2-5 - 0,125 g, osakwana zaka 2 - 20 mg / kg katatu patsiku, ali ndi matenda oopsa - 60 mg / kg katatu patsiku .

M'mimba musanabadwe komanso ana akhanda, mlingo umachepetsedwa komanso / kapena pakati pakati Mlingo umakulitsidwa. Njira ya chithandizo ndi masiku 5-12.

Mu chinzonono chosavuta, 3 g amatchulidwa kamodzi, mankhwalawa, tikulimbikitsidwa kutenga mlingo womwe umatchulidwa.

Mu pachimake matenda opatsirana am`mimba thirakiti (paratyphoid fever, typhoid fever) ndi biliary thirakiti, matenda opatsirana a akulu - 1.5-2 g katatu patsiku kapena 1-1,5 g 4 pa tsiku.

Ndi leptospirosis ya akuluakulu - 0,5-0.75 g 4 pa tsiku kwa masiku 6-12.

Ndi salmonella kunyamula akuluakulu - 1.5-2 g katatu pa tsiku kwa masabata 2-4.

Pofuna kupewa endocarditis ang'onoang'ono opaleshoni kulowetsedwa kwa akulu - 3-4 g 1 ora pamaso pa ndondomeko. Ngati ndi kotheka, mlingo wobwereza umayikidwa pambuyo maola 8-9. Mu ana, mlingo umachepetsedwa ndi 2 zina.

Odwala omwe ali ndi vuto la impso ndi CC ya 15-40 ml / mphindi, nthawi yayitali pakati pa Mlingo imachulukitsidwa mpaka maola 12, ndi CC pansi 10 ml / min, mlingo umachepetsedwa ndi 15-50%, ndi anuria, mlingo waukulu ndi 2 g / tsiku.

Zotsatira za pharmacological

Semisynthetic penicillin, ali ndi bactericidal zotsatira, ali ndi mawonekedwe osiyanasiyana ochitapo kanthu. Zimasokoneza kaphatikizidwe ka peptidoglycan (polymer yothandizira cell ya cell) munthawi yamagawo ndikukula, ndikuyambitsa kuchepa kwa mabakiteriya.

Yogwira motsutsana ndi aerobic gram-tizilombo: Staphylococcus spp. (kupatulapo penicillinase yopanga tizilombo ta), Streptococcus spp. ndi tizilombo ta aerobic gram-hasi: Neisseria gonorrhoeae, Neisseria meningitidis, Escherichia coli, Shigella spp., Salmonella spp., Klebsiella spp. Penicillinase yopanga tizilombo timalephera kugwiritsidwa ntchito ndi amoxicillin.

Zotsatira zoyipa

Thupi lawo siligwirizana: zotheka urticaria, khungu hyperemia, erythematous totupa, angioedema, rhinitis, conjunctivitis, kawirikawiri - malungo, arthralgia, eosinophilia, exfoliative dermatitis, erythema multiforme exudative (kuphatikizapo Stevens-Johnson syndrome) matenda, padera - anaphylactic mantha.

Kuchokera pamimba: dysbiosis, kusintha kwa kukoma, kusanza, mseru, matenda a m'mimba, glossitis, kuwonjezeka kwapang'onopang'ono kwa ntchito ya "chiwindi" transaminases, kawirikawiri - pseudomembranous enterocolitis,

Kuchokera ku dongosolo lamanjenje: chisangalalo, nkhawa, kusowa tulo, ataxia, chisokonezo, kusintha kwa machitidwe, kukhumudwa, zotumphukira zamitsempha, mutu, chizungulire, khunyu.

Zizindikiro zasayansi: leukopenia, neutropenia, thrombocytopenic purpura, kuchepa magazi.

Zina: kupuma movutikira, tachycardia, nephritis ya mkati, maliseche candidiasis, kupezeka kwakukulu (makamaka kwa odwala omwe ali ndi matenda osakhazikika kapena kuchepa kwa thupi). Zizindikiro: nseru, kusanza, kutsegula m'mimba, kusowa kwamphamvu m'madzi (monga kusanza ndi kutsekula m'mimba).

Chithandizo: chapamimba cha m'mimba, makala ophatikizika, mchere wa saline, mankhwala osungirako madzi a electrolyte bwino, hemodialysis.

Malangizo apadera

Ndi njira ya chithandizo, ndikofunikira kuwunika momwe ntchito ya magazi, chiwindi ndi impso.

Ndikotheka kukhala ndi superinitness chifukwa cha kukula kwa microflora sazindikira izi, zomwe zimafunikira kusintha kofananirana ndi mankhwala opha maantibayotiki.

Mukafotokozera odwala omwe ali ndi sepsis, kukula kwa bacteriolysis reaction (Yarish-Herxheimer reaction) ndikotheka (kawirikawiri).

Odwala omwe ali ndi hypersensitivity ku penicillin, zovuta zomwe zimachitika ndi mankhwala ena a beta-lactam ndizotheka.

Pochiza matenda am'mimba ophatikizira mankhwala, mankhwala othandizira omwe amachepetsa matumbo amayenera kupewedwa; kaolin kapena mankhwala okhala ndi antidiarrheal angagwiritsidwe ntchito. Kwa matenda otsegula m'mimba, funsani dokotala.

Kuchiza kumapitirirabe kwa maola ena 48-72 atatha kutha kwa zizindikiro za matenda.

Pogwiritsa ntchito nthawi yomweyo mankhwala okhala ndi pakamwa okhala ndi estrogen komanso amoxicillin, njira zina kapena zowonjezera zakulera ziyenera kugwiritsidwa ntchito ngati kuli kotheka.

Kuchita

Mankhwala osagwirizana ndi aminoglycosides (kupewa zina ndi zina, musasakanikirane).

Maantacid, glucosamine, mankhwala othandizira, chakudya, aminoglycosides amachepetsa komanso kuchepetsa kuyamwa, ascorbic acid imawonjezera kuyamwa.

Maantibayotiki (kuphatikizapo aminoglycosides, cephalosporins, vancomycin, rifampicin) amakhala ndi synergistic, mankhwala a bacteriostatic (macrolides, chloramphenicol, lincosamides, tetracyclines, sulfonamides).

Imawonjezera kugwira ntchito kwa anticoagulants osalunjika (kupondereza microflora yamatumbo, kumachepetsa kaphatikizidwe ka vitamini K ndi index ya prothrombin), kumachepetsa mphamvu ya estrogen-yomwe imakhala ndi pakamwa, mankhwala, panthawi ya kagayidwe kamene PABA imapangidwa, ethinyl estradiol - chiopsezo cha magazi "kupatsika".

Amoxicillin amachepetsa chilolezo ndikuwonjezera kawopsedwe a methotrexate, amathandizira kuyamwa kwa digoxin.

Ma diuretics, allopurinol, oxyphenbutazone, phenylbutazone, NSAIDs, ndi mankhwala ena omwe amatseketsa katulutsidwe ka tubular kumakulitsa kuchuluka kwa amoxicillin m'magazi.

Allopurinol imawonjezera mwayi wokhala ndi zotupa pakhungu.

Kutulutsa mafomu ndi kapangidwe kake

Mapiritsi oyera kapena achikasu amtundu wa biconvex oblong wokhala ndi magawo mbali zonse. Atanyamula zidutswa 6 m'matumba a pulasitiki, matuza awiri mumapaketi okhala ndi makatoni. Kwa akatswiri azachipatala, kulongedza kumaperekedwa kwa zidutswa 6,500 mum'zinthu za pulasitiki kapena zidutswa 10 m'matumba a pulasitiki, matuza zana mu paketi.

Piritsi lililonse mumakhala mankhwala - amoxicillin trihydrate mu 1 mg.

Zomwe zimathandiza

Amawonetsera matenda oyambitsa mabakiteriya omwe amayambitsa:

• matenda a ziwalo za ENT (sinusitis, sinusitis, otitis media),
• matenda opuma (bronchitis, chibayo),
• kutupa kwamtundu wamatumbo (cystitis, pyelonephritis, urethritis, etc.),
• matenda a pakhungu ndi zofewa zimakhala (erysipelas, dermatoses).

Ndikulimbikitsidwanso kuchiza matenda amkamwa, salmonellosis, meningitis ndi sepsis. Amalembera gastritis ndi zilonda zam'mimba.

Amoxicillin amapatsidwa cystitis.

Ndi chisamaliro

Ngati pali mbiri ya pathologies monga:

• Mphumu ya bronchial,
• matupi awo sagwirizana
• kuwonongeka kwaimpso,
• matenda a magazi
• matenda mononucleosis,
• lymphoblastic leukemia.

Amoxicillin amalembedwa mosamala kwa ana akhanda.

Njira zopewera zimaperekedwa kwa ana akhanda asanakwane.

Momwe mungatenge Amoxicillin 1000

Pakamwa. Mlingo ndi ma regimens amatsimikiziridwa ndi dokotala malinga ndi njira ya matenda a matenda.

Akuluakulu ndi achinyamata opitirira zaka 10 wokhala ndi thupi lolemera kuposa 40 kg - 500 mg katatu patsiku.

Woopsa matenda, gawo la mankhwalawa lingathe kuwonjezeka mpaka 1 g pa nthawi.

Kuchokera pamtima

Tachycardia, phlebitis, kusakhazikika kwa kuthamanga kwa magazi.

Zotsatira zoyipa za ntchito ya amoxicillin zimatha kukhala m'mimba.
Mukumwa Amoxicillin, pamatha kupezeka ululu wa epigastric.
Tachycardia imatha kukhala yotenga Amoxicillin.

Zotupa pakhungu.

Momwe mungapereke Amoxicillin kwa ana 1000

Malinga ndi malangizo ogwiritsira ntchito, amapatsidwa katatu patsiku. Amawerengera zaka za ana:

• kuyambira zaka 5 mpaka 10 - 1 tsp. mu mawonekedwe a kuyimitsidwa kapena 0,25 g pamapiritsi,
• kuyambira zaka ziwiri mpaka 5 - ¼ tsp. mu mawonekedwe a kuyimitsidwa,
• kuyambira 0 mpaka zaka 2 - ¼ tsp. mu mawonekedwe a kuyimitsidwa.

Bongo

Chifukwa chosagwiritsa ntchito maantibayotiki, izi zingachitike:

• matenda am'mimba (nseru, kusanza, kutsegula m'mimba, kupweteka m'mimba),
• chitukuko cha kusowa kwa madzi m'magetsi,
• agwiritse
• nephrotoxicity
• malamay

Ndi makonzedwe osalamulirika a Amoxicillin, kusanza kumatha kuyamba.

Zikatero, pamafunika kutenga makala okhazikika ndi kuchita chisonyezo chamankhwala. Poizoni wowopsa, kuchipatala ndikofunikira.

Kodi ndingagule popanda kulandira mankhwala?

Mankhwala ambiri opezeka pa intaneti amapereka kugula mankhwalawa kwapa.

Mwachangu za mankhwala osokoneza bongo. Amoxicillin; Azithromycin: mphamvu, zotsatira zoyipa, mawonekedwe, Mlingo, zotsika mtengo zotumphukira; Ospamox kuyimitsidwa (Amoxicillin) momwe angakonzekere; ndemanga ya Dokotala pa mankhwala Amoxiclav: zikuwonetsa, kutsimikizira, zotsatira zoyipa, analogi; Flemaksin solutab mankhwala, malangizo. Matenda a genitourinary system

Ndemanga za madotolo ndi odwala pa Amoxicillin 1000

Gorodkova T.F., gastroenterologist, Ufa

Chida chothandiza komanso chotsika mtengo. Ndimayambitsa mitundu yotsatsira mankhwala. Imalekereredwa bwino ndipo sikuti imayambitsa mavuto. Zololedwa kwa ana.

Elena, wazaka 28, Tomsk

Amoxicillin Sandoz Nthawi zonse ndimakhala kunyumba yanga yanyumba yamankhwala, chifukwa ndimakhala ndikulimbana ndi atitis media komanso matenda a sinusitis. Zimathandizanso ndi angina. Pazaka zonse zogwiritsidwa ntchito, sindinawone mawonekedwe apadera azotsatira zoyipa. Kuphatikiza ndi maantibayotiki, ndimayesetsa kutenga Hilak Forte, kotero, zizindikiro za dysbiosis kapena thrush sizimachitika konse. Mwachangu chotsani zizindikiro zosasangalatsa panthawi yowonjezera matenda.

Anastasia, wazaka 39, Novosibirsk

Ndikudziwa kuti mankhwalawa amagwiritsidwa ntchito kwambiri pochiza matenda a bakiteriya mwa ana ndi akulu. Anagwiritsa ntchito mobwerezabwereza. Ndidadabwa kuti imagwiritsidwanso ntchito kwambiri ngati mankhwala a Chowona Zanyama. Amoxicillin adalembedwa kwa mphaka wanga pamene ali ndi cystitis. Adapanga jakisoni 3 tsiku lililonse. Chidwi ndi thanzi komanso yogwiranso ntchito.