Flemoklav Solutab 250: malangizo, ntchito, kuchuluka

Novembara 2, 2018
Mankhwala ena
Gene Poddubny

Ndi pathologies a kwamkodzo thirakiti ndi impso, akatswiri amapereka mankhwala othandizira kuti athetse zizindikiro zosasangalatsa komanso kupewa kuwoneka oyipa. Imodzi mwa othandiza kwambiri ndi Flemoklav Solutab (250 mg), yomwe ndi imodzi mwa ma penicillin omwe amagwiritsa ntchito kwambiri zomwe zimasokoneza peptidoglycan (kapangidwe kazinthu zotsatsira polimba maselo a cell) cha bacterium panthawi yake komanso kukula, zomwe zimapangitsa kuti khungu lizifa.

The zikuchokera mankhwala ndi zochita

Mankhwalawa ndi antimicrobial wothandizirana kwakukulu. Imaphatikizidwa ndi kuchuluka kwa ma penicillin. Zosakaniza zomwe zimagwira ndi 250 mg ya amoxicillin ndi 62,5 mg wa clavulanic acid.

Kuphatikizidwa kwa Flemoklav Solutab (250 mg) kumakhala ndi zothandiza mu mawonekedwe a chipatso cha apurikoti, saccharin, vanillin, crospovidone ndi mapadi.

Mphamvu zamankhwala zimapangidwira pakuwonongeka kwa maluwa osayenera, omwe adayambitsa njira yotupa mu chikhodzodzo ndi impso. Ili ndi mitundu yambiri chifukwa cha clavulanic acid pamapangidwe.

Kutulutsa Fomu

Flemoklav Solutab (250 mg) amapezeka mu mawonekedwe a mapiritsi omwazika. Amasandulika kukhala kuyimitsidwa pakukhudzana ndi madzi. Amakhala ndi utoto woyera komanso mawonekedwe owoneka. Pa kink pakhoza kukhala milawu ya tint ya bulauni. Palibe zoopsa, koma kunjaku ndi logo ndi makampani.

Mu chithuza chimodzi mapiritsi anayi amayikidwa. Mu paketi yonse ya zidutswa makumi awiri. Zotengera zimaphatikizapo malangizo.

Mankhwala

Mankhwala "Flemoklav Solutab" (250 mg) ndi ophatikiza. Izi ndichifukwa chosakanikirana ndi zinthu ziwiri zamphamvu - clavulanic acid ndi amoxicillin. Chifukwa cha kuphatikiza uku, mankhwala osokoneza bongo amakopa. Mankhwala amalepheretsa kuphatikizika kwa khoma la bakiteriya, momwe amaonera bactericidal.

Mankhwala

Malinga ndi malangizowo, Flemoklav Solutab (250 mg) amagwira ntchito yolimbana ndi mabakiteriya a gram-negative komanso gram-aerobic omwe ali ngati Klebsiella, Enterococci, Streptococci, Moraxella, Listeria, Staphylococci, Proteus, Peptococcus, E. coli ndi Bacteroid.

Kuphatikiza uku kumapangitsa zovuta za enzyme zomwe zimalepheretsa kuwonongeka kwa amoxicillin mothandizidwa ndi ma virus.

Clavulanic acid imaphatikizira mitundu 2-5 ya beta-lactamases. Komabe, gawo ili silikugwira ntchito motsutsana ndi mtundu woyamba wa bakiteriya.

Pharmacokinetics

The yogwira zinthu pambuyo ingestion kulowa mkati m'mimba ngalande pambuyo 30-45 mphindi.

Kugwiritsa ntchito piritsi limodzi kumatenga maola asanu ndi atatu. Amagwirizanitsidwa pang'ono ndi mapuloteni a plasma.

Chiwindi chimapukusidwa. Zigawozo zimatuluka chifukwa cha kubisalira kwa tubular komanso kusefukira kwa glomerular kosasinthika pamodzi ndi mkodzo.

Zisonyezero zamankhwala

Monga momwe langizo la "Flemoklav Solutab" limasonyezera, limagwiritsidwa ntchito pakuwonongeka kwa bakiteriya mthupi la munthu. Yalangizidwa kwa akulu ndi ana:

ndi pharyngitis, tonsillitis, sinusitis, sinusitis, tonsillitis,
ndi kwamikodzo ndi matenda a impso,
ndi osteomyelitis
ndi matenda amtundu wa genitourinary system,
ndi zotupa za erysipelatous, zithupsa ndi streptoderma.

Musanayambe kumwa mankhwalawa, muyenera kukaonana ndi dokotala, kukayezetsa magazi kuti mumve ma bakiteriya ndikuwonetsa kuzindikira koyenera.

Momwe mungawerengere kuchuluka kwa "Flemoklava Solutab"?

Malangizo ntchito, mlingo wa mankhwalawa

Mlingo wake umasankhidwa ndi katswiri malinga ndi zomwe akuwonetsa, kutengera kwa thupi ndi mtundu wa matendawa. Flemoklav Solyutab adalembera ana kuyambira wazaka chimodzi mpaka khumi ndi ziwiri. Zomwe zimagwiritsidwa ntchito kwambiri kwa akulu masekeli osakwana 40 ndi azimayi pa nthawi yoyembekezera.

Piritsi liyenera kusungunuka ndi supuni yamadzi musanagwiritse ntchito. Pasakhale mapampu. Mankhwalawa amatsukidwa ndi madzi ambiri.

Ngati matenda a impso ndi kwamikodzo thirakiti, achikulire ndi omwe amapatsidwa mankhwala okwanira 250 milligram. Kuchulukana kwa ntchito - kanayi pa tsiku. Pakati pa madyerero ayenera kukhala omwewo kupuma kwa maola asanu ndi limodzi.

Ngati njira yotupa yayambika mu chikhodzodzo, ndiye kuti, cystitis, 250 mg imakhazikitsidwa katatu patsiku. Pakati pa phwando kupumula kwa maola eyiti kumawonedwa. Muyenera kumwa mankhwalawa mukatha kudya.

Malinga ndi ndemanga, Flemoklav Solutab (250 mg) ndiwosavuta kugwiritsa ntchito.

Ndi urethritis, ndiko kuti, matenda a mkodzo pokonzekera, wodwalayo amalimbikitsidwa kumwa mankhwalawa kanayi pa tsiku, 250 mg aliyense. Njira imeneyi iyenera kutsatiridwa kwa masiku atatu. Kupitilira apo, kuchuluka kwake kumatsikira mpaka 250 mg, koma kale katatu patsiku.

Mlingo wa tsiku ndi tsiku wa mankhwala omwe ali ndi pyelonephritis ndi magalamu atatu. Ndiye chifukwa chake sizovuta kugwiritsa ntchito mankhwalawa 250 mg. Zikatero, "Flemoklav Solutab" 875 kapena 500 mg ndi woyenera kwambiri.

Ngati mawonekedwe a kutupa ali osavuta, njira yothandizira mankhwalawa imatha kuposa masiku asanu. Woopsa milandu, chithandizo chikukulitsidwa kwa masiku khumi.

Contraindication

Kodi mungaphunzire chiyani kuchokera ku malangizo omwe mungagwiritse ntchito ndi Flemoklava Solutab (250 mg)?

Mankhwala othandizira owopsa amatha kugwiritsidwa ntchito pokhapokha atatha kuphunzira bacteria. Simungagwiritse ntchito mankhwalawa odwala onse. Pali zotsutsana zotsatirazi:

zolakwika zazikulu ntchito chiwindi,
kulephera kwa impso,
matenda mononucleosis,
Wodwala sayanjana ndi penicillin onse,
kutengeka kwambiri kwa zigawo zikuluzikulu za mankhwala.

Mankhwalawa amadziwitsa mosamala odwala omwe ali ndi matenda am'mimba ndi impso.

Zotsatira zoyipa za mankhwalawa

Malinga ndi malangizo ndi ndemanga ya "Flemoklav Solyutab" (250 g), pogwira ntchito zochizira, wodwalayo angapeze zovuta pazogwiritsa ntchito mankhwalawa. Nthawi imeneyi imatsatiridwa ndi:

leukopenia, kuchepa magazi, thrombocytosis,
kupweteka pamimba, kutsekula m'mimba, kusanza, nseru ndi kutentha kwamtunda,
matenda opatsirana, kusokonezeka kwa tulo, chizungulire,
kupweteka pokodza, kuyamwa ndi kuyaka,
totupa pachikuto cha khungu, urticaria.

Ngati milandu ili yayikulu, ndiye nephritis, paresthesia, mankhwalawa ndi anaphylactic mantha amachitika.

Momwe mungatengere Flemoklav Solutab kwa ana (250 mg) akufotokozedwa pansipa.

Bongo

Amadziwika kuti wodwalayo samatsatira mlingo woyenera kapena kwa nthawi yayitali amatenga mankhwalawa mosasamala. Ngati bongo waledzera, zizindikiro za mbali zimachulukana. Kutsegula m'mimba, kusanza, ndi mseru kumachitika. Kuchita kotereku kumabweretsa kuchepa kwa madzi m'thupi komanso zoperewera muyezo wamagetsi wamagetsi.

Mankhwala amathetsedwa, m'mimba mumatsukidwa, imagwiritsidwa ntchito sorhuth. Chithandizo chazizindikiro chidzafunika.

Malangizo apadera

Ngati wodwalayo amakonda kuchita ziwopsezo zonse, muyenera kuyesa kuti atengeke ndi penicillin.

Ndikosatheka kuyimitsa payekha mankhwalawa ngati vutolo litheka, chifukwa izi zimayambitsa zotsatirapo zake.

Ngati kupweteka kumayamba m'mimba komanso kutsegula m'mimba kwambiri, muyenera kusiya kugwiritsa ntchito mankhwalawa ndikufunsani dokotala kuti akuthandizeni.

Malangizo a Flemoklava Solutab (250) mg ayenera kuonedwa mosamalitsa.

Mlingo

Mapiritsi owonongeka a 125 mg + 31.25 mg, 250 mg + 62,5 mg, 500 mg + 125 mg

Piritsi limodzi lili

amoxicillin trihydrate (ofanana ndi amoxicillin)

potaziyamu wambiri potaziyamu (wofanana ndi clavulanic acid) **

zokopa: microcrystalline cellulose, crospovidone, vanillin, kununkhira kwa apricot, saccharin, magnesium stearate.

Mapiritsi a Oblong, okhala ndi biconvex kumtunda, kuyambira oyera mpaka achikasu okhala ndi mawanga amtundu wa bulauni, olembedwa "421" (pamlingo wa 125 mg + 31.25 mg), "422" (pamiyeso 250 mg + 62,5 mg), "424" (pa mlingo wa 500 mg +125 mg) ndi chithunzi cha logo ya kampani.

Mlingo ndi makonzedwe

Mkati, musanadye. Piritsi limamezedwa lonse, kutsukidwa ndi kapu ya madzi, kapena kusungunuka ndi theka kapu yamadzi (osachepera 30 ml), kuyambitsa bwino musanagwiritse ntchito.

Kutalika kwa chithandizo kumatengera kuopsa kwa matendawa ndipo sikuyenera kupitirira masiku 14 popanda vuto linalake.

Akuluakulu ndi ana olemera kuposa 40 kg Mankhwala ndi 0,5 g / 125 mg katatu / tsiku. M'matenda owopsa, obwereza komanso osachiritsika, mankhwalawa amatha kuchulukitsidwa.

Kwa ana a zaka zitatu mpaka ziwiri (wokhala ndi thupi lolemera pafupifupi 5-12 kg) mlingo wa tsiku ndi tsiku ndi 20-30 mg wa amoxicillin ndi 5-7,5 mg wa clavulanic acid pa 1 kg ya kulemera kwa thupi. Nthawi zambiri iyi ndi mlingo wa 125 / 31.25 mg 2 kawiri / tsiku. Nthawi yomweyo musanagwiritse ntchito, sungunulani piritsi mu 30 ml ya madzi ndikusakaniza bwino.

Kwa ana azaka ziwiri mpaka 12 (ndi kulemera kwa thupi pafupifupi 13-37 makilogalamu) mlingo wa tsiku ndi tsiku ndi 20-30 mg wa amoxicillin ndi 5-7,5 mg wa clavulanic acid pa kg iliyonse ya thupi. Nthawi zambiri pamakhala mlingo wa 125 / 31.25 mg katatu kapena tsiku kwa ana azaka 2 mpaka 7 (kulemera kwa thupi pafupifupi 13-25 makilogalamu) ndi 250 / 62,5 mg katatu kapena tsiku kwa ana azaka za 7-12 (kulemera thupi pafupi 25-25 kg). Mu matenda oopsa, mankhwalawa amatha kuwirikiza kawiri (mlingo waukulu wa tsiku ndi tsiku ndi 60 mg wa amoxicillin ndi 15 mg wa clavulanic acid pa kg iliyonse ya thupi).

Odwala ndi mkhutu aimpso ntchito

Odwala omwe amalephera kupweteka kwa impso, kuphipha kwa clavulanic acid ndi amoxicillin kudzera mu impso kumatsitsidwa. Kutengera kuuma kwa impso, kuchuluka kwa Flemoklav Solutab (kofotokozedwa ngati mankhwala a amoxicillin) sikuyenera kupitirira kuchuluka kwa zotsatirazi:

Zomwe zimagwiritsidwa ntchito pazakudya zam'mimba komanso pakati

Mankhwala opha maantibayotiki ndi oletsedwa m'milungu khumi ndi iwiri yoyambirira ya mimba, chifukwa amatha kusokoneza kukula ndi mapangidwe a mwana.

Mu trimester yachiwiri ndi yachitatu, kugwiritsa ntchito mankhwalawa kumaloledwa. Komabe, katswiriyo ayenera kuunikira maubwino omwe ali kwa mkaziyo komanso kuvulaza kwa mwana wosabadwa.

Amaloledwa kutenga mankhwalawa panthawi yoyamwitsa, koma mlingo umasankhidwa ndi adokotala.

Onani malangizo omwe ana ayenera "Flemoklava Solutab" (250 mg).

Ntchito kuphwanya chiwindi ndi impso

Wodwala akapezeka kuti ali ndi vuto losalephera la impso, ndiye kuti katswiriyo amasintha mlingo wake malinga ndi momwe magaziwo alili. Mutha kumwa 250 mg ya mankhwalawa ndikupumula kwa maola khumi ndi awiri.

Mankhwalawa amaletsedwa kugwiritsa ntchito kuphwanya kwambiri chiwindi ndi jaundice. Chenjezo limaperekedwa kwa odwala omwe ali ndi vuto lochepa la chiwindi.

Kuyanjana kwa mankhwala osokoneza bongo

Nthawi yomweyo, amoxicillin wokhala ndi aminoglycosides, mankhwala opha laxid ndi antacid sangathe kugwiritsidwa ntchito. Izi zimabweretsa kuchepa kwa mayamwidwe azinthu zomwe zimagwira.

Ascorbic acid imathandizira kuyamwa kwa penicillin.

Ndi kuphatikiza kwa maantibayotiki ndi ma anticoagulants, kuthekera kwa kutulutsa kwamkati kumawonjezeka.

Amoxicillin amatha kuchepetsa kutha kwa njira zolerera zam'kamwa. Ichi ndichifukwa chake odwala amalangizidwa kuti agwiritse ntchito njira zina zowatetezera mukamayankhulana kwambiri.

Flemoklav ali ndi pulogalamu yotchuka ngati Amoksiklav.

Ili ndi zophatikizira zomwezi monga Flemoklava. Imapezeka mu mayimidwe oyimitsidwa, mapiritsi ndi njira zovomerezeka. Ili ndi mitundu yambiri (125-875 mg). Njira yothetsera jakisoni itha kugwiritsidwa ntchito kuyambira masiku oyamba a moyo wa mwana, kuyimitsidwa - kuyambira miyezi iwiri.

M'malo mwa Flemoklav, Flemoxin Solutab angagwiritsidwe ntchito. Ana amayikidwa mapiritsi a 250 ndi 125 mg. Chidacho chikuyambitsidwa pazaka za chaka chimodzi. Kutalika kwa mankhwala ayenera kukhala osachepera masiku khumi. Popeza Flemoxin ilibe clavulanic acid, kukula kwake sikocheperako.

Analogue ya mankhwala ndi a Augmentin Children. Malangizo ogwiritsira ntchito mankhwalawa ndi ofanana ndi a Flemoklav. Imapezeka mu mawonekedwe a jakisoni njira, ufa ndi mapiritsi. Mankhwalawa amatengedwa kuchokera masiku asanu mpaka milungu iwiri. Ngati wodwala sanakwanitse zaka 12, amamuika kuyimitsidwa. Jekeseni wa mankhwalawa amagwiritsidwa ntchito m'mibadwo yonse.

Pochiza ana, Amoxicillin amagwiritsidwa ntchito ngati mawonekedwe amadzimadzi. Mlingo wa tsiku ndi tsiku wa mankhwalawa amagawidwa pawiri.

Mankhwala ofanana ndi a bacteriostatic ofanana ndi Flemoklav ndi Sumamed, koma azithromycin amagwira ntchito ngati mankhwala. Mankhwala amaperekedwa kwa ana kuyambira miyezi isanu ndi umodzi.

Komanso, "Flemoklav Solutab" atha kukhala m'malo mwa mankhwalawa: "Ecoclave", "Trifamox", "Klacid", "Bactoclav", "Vilprafen", "Trifamox", "Azithromycin".

Ndemanga pa "Flemoklava Solutab" (250 mg)

Penicillin amadziwika kuti ndiye zinthu zotetezeka kwambiri. Komabe, sangathandize muzochitika zonse. Opanga atulutsa mankhwala atsopano ndi clavulanic acid. Zowonjezera zochizira chifukwa cha kulumikizaku zimakulitsidwa nthawi zambiri.

Flemoklav Solutab (250 mg) ndi njira yodabwitsa yothandizira komanso yowunikira yambiri kuchokera ku gulu la penicillin. Imagwira mogwirizana ndi anaerobic ndi aerobic gram-negative ndi gram-bacteria. Madokotala amalimbikitsa kuti mugwiritse ntchito ana. Kuphatikiza apo, imalekeredwa bwino ndi odwala okalamba.

Ndi chitukuko cha cystitis pambuyo pa hypothermia, akatswiri amamulembera Flemoklav Solyutab. Mankhwala amathandiza msanga. Pakatha masiku awiri, chisangalalochi chimazimiririka. Mtengo wakevomerezeka. Potere, mapiritsiwa safunikira kuti amezedwe, chifukwa akasakaniza ndi madzi amasinthidwa kukhala kuyimitsidwa.

Mankhwalawa ali ndi mwayi wopanda vuto lililonse monga momwe angapangidwire makina osungunuka. "Flemoklav Solutab" (250 mg) amafanana ndi manyuchi kuti alawe, ndikofunikira kwa iwo kumwa odwala ochepa. Ubwino waukulu pamankhwala ena opha maantibayotiki ndikuti samayambitsa zotsatira zoyipa monga dysbiosis.

Mankhwala "Flemoklav Solutab" (250 mg) amapezeka kawirikawiri m'mabanja ambiri othandizira. Ngati kuzizira sikuchoka kwa nthawi yayitali, malungo amatenga nthawi yayitali, odwala amayenera kumwa maantibayotiki, mankhwalawa amatengedwa. Zimathandiza kuyambira tsiku loyamba, zotsatira zoyipa sizimawoneka. Zochitika zofatsa zimachitika, koma ndizochepa, pali mankhwala okwanira kusintha matumbo.

Chokhacho chingabwezere mtengo pamtengo wokwera.

Ndikwabwino kuti muzidziwiratu zowunikira za Flemoklava Solutab (250 mg) pasadakhale. Amakhala otsimikiza. Ogula amangoti chinthu chachikulu ndikuyang'anira kuchuluka kwa Flemoklava Solutab (250 mg).

Zotsatira za pharmacological

Amoxicillin ndi mankhwala osokoneza bongo owoneka bwino omwe ali ndi ntchito yolimbana ndi ma gram ambiri komanso gram alibe tizilombo. Nthawi yomweyo, amoxillin imayamba kuwonongeka ndi beta-lactamases, chifukwa chake ntchito yokhala ndi amoxicillin sinafikira tizilombo tomwe timatulutsa timadzi tambiri. Clavulanic acid, beta-lactamase inhibitor yokhudzana ndi penicillin, amatha kuyambitsa mitundu yambiri ya beta-lactamases yomwe imapezeka mu penicillin ndi cephalosporin zosagwira tizilombo.Clavulanic acid ili ndi mphamvu yokwanira yolimbana ndi plasmid beta-lactamases, yomwe nthawi zambiri imazindikira kukana kwa mabakiteriya, ndipo sagwira ntchito motsutsana ndi mtundu wa 1 wa chromosomal beta-lactamases.

Kukhalapo kwa clavulanic acid mu Flemoklav Solutab kukonzekera kumateteza amoxicillin kuti asawonongedwe ndi ma enzyme - beta-lactamases, omwe amalola kukulitsa mawonekedwe a antibacterial a amoxicillin. Otsatirawa ndi ntchito ya vitro yosakanikirana ya amoxicillin ndi clavulanic acid.

Yogwira motsutsa mabakiteriya okhala ndi aerobic gram - kuphatikiza mabakiteriya opanga beta-lactamases: Staphylococcus aureus, aerobic gram-negative bacteria: Enterobacter spp., Escherichia coli, Haemophilus influenzae, Klebsiella spp., Moraxella catarrhalis. Tizilombo toyambitsa matenda totsatirayi timangokhala tokha mu vitro: Staphylococcus epidermidis, Streptococcus pyogene, Streptococcus anthracis, Streptococcus pneumoniae, Streptococcus viridans, Enterococcus faecalis, Corynebacterium spp. Listeria monocyicolis (kuphatikiza zingwe zopanga beta-lactamases): Proteus mirabilis, Proteus vulgaris, Salmonella spp., Shigella spp., Bordetella pertussis, Yersinia enterocolitica, Gardnerella vaginalis, Neisseria meningitidis, Neisseria gonorrhoeae, Haemophi libelee Campus jejuni, bakiteriya wa anaerobic gram-negative (kuphatikizapo beta-lactamase yopanga tizilombo ta): Bacteroides spp. Tiyi Bacteroides fragilis.

Mlingo ndi makonzedwe

Mapiritsi a Flemoklav Solutab 250 mg amatengedwa pakamwa.

Mlingo wa mankhwalawa umayikidwa payekha kutengera zaka, kulemera kwa thupi, impso ya wodwalayo, komanso kuwuma kwa matenda. Kuti muchepetse kusokonezeka kwa m'mimba ndikuwonjezera kuyamwa, mankhwalawa ayenera kumwedwa kumayambiriro kwa chakudya. Piritsi limamezedwa lonse, kutsukidwa ndi kapu ya madzi, kapena kusungunuka ndi theka kapu yamadzi (osachepera 30 ml), kuyambitsa bwino musanagwiritse ntchito. Njira yochepetsetsa ya mankhwala opha maantibayotiki ndi masiku 5.

Kuchiza sikuyenera kupitilira masiku opitilira 14 osanenapo za matenda. Ngati ndi kotheka, ndikotheka kuchitapo kanthu pang'onopang'ono (oyamba, makolo ake a amoxicillin + clavulanic acid, otsatiridwa ndi makonzedwe apakamwa).

Akuluakulu ndi ana osaposa zaka 12 okhala ndi kulemera kwa thupi ≥ 40 kg Mankhwala ndi 500 mg / 125 mg katatu / tsiku.

Mlingo wapamwamba wa tsiku lililonse sayenera kupitirira 2400 mg / 600 mg patsiku.

Ana a zaka 1 mpaka zaka 12 ndi thupi lolemera 10 mpaka 40 kg Mlingo wa mankhwalawa umakhazikitsidwa payekhapayekha potengera matenda komanso kuopsa kwa matendawa.

Mlingo wovomerezeka tsiku lililonse umachokera pa 20 mg / 5 mg / kg patsiku mpaka 60 mg / 15 mg / kg patsiku ndipo umagawidwa pawiri.

Zotsatira zamankhwala pa yogwiritsira ntchito amoxicillin / clavulanic acid muyezo wa 4: 1 pa kipimo> 40 mg / 10 mg / kg patsiku la ana osakwana zaka ziwiri. Mlingo wapamwamba wa tsiku lililonse wa ana ndi 60 mg / 15 mg / kg patsiku.

Mlingo wochepa wa mankhwalawa amalimbikitsidwa pochizira matenda amkhungu komanso minyewa yofewa, komanso matendawa omwe amapezeka, mapiritsi a mankhwalawa amalimbikitsidwa pochiza matenda monga otitis media, sinusitis, matenda am'munsi kupuma komanso kwamkodzo, matenda a mafupa ndi mafupa. Palibe zambiri zachipatala zomwe zingapangitse kuti mankhwalawa agwiritsidwe ntchito mopitirira 40 mg / 10 mg / kg / tsiku mu 3 Mlingo (4: 1) mwa ana osakwana zaka ziwiri.

Njira yolondola ya odwala omwe ali ndi ana yaperekedwa patebulo pansipa: