Kugwiritsa ntchito kwa Amoxiclav ndi paracetamol
Amoxicillin wogwiritsa ntchito mankhwalawa amaperekedwa kwa akulu ndi ana azaka zonse kuti azitha kuchiza matenda oyambitsidwa ndi tizilombo tomwe timayang'anira. Kuphatikiza kwa Amoxicillin ndi Paracetamol sikunakhaleko kosakayikiridwa. Ngakhale izi, pali odwala omwe amakayikira kufunika kotenga mankhwalawa nthawi imodzi.
Malinga ndi zomwe zalembedwa
Ngati mutembenukira ku malangizo, ndiye kuti palibe zoletsa kumwa Amoxicillin ndi Paracetamol palimodzi zomwe zingapezeke. Ndalama izi zimasiyanitsa thupi la wodwalayo:
- Mankhwala a Amoxicillin amachotsa mabakiteriya, amachiritsa matenda oyambitsidwa,
- antipyretic Paracetamol ali ndi chizindikiro, amachepetsa kutentha kwambiri kwa thupi.
Madokotala nthawi zambiri amalimbikitsa kutenga Amoxicillin ndi Paracetamol. Mankhwalawa awiriwa ndi akale komanso amatsimikiziridwa. Satha kusintha zochita za wina ndi mnzake ngati mumamwa iwo mogwirizana ndi zomwe akuwonetsa komanso mogwirizana ndi malangizo.
Zosokoneza thupi
Kuyerekeza kowonjezereka kwa mankhwala awiri - Amoxicillin ndi Paracetamol - kwapangitsa kuti anthu aphunzire za zoyipa zomwe zimachitika mthupi.
Mutaphunzira kufotokozera za mankhwalawo, mutha kudziwa kuti mankhwalawa atatha kunyowetsedwa mwachangu ndikuyamba kuchitapo kanthu. Zinthu zomwe zimagwira zimadutsa m'chiwindi, pomwe zimapukusidwa. Umu ndi momwe analogue ya Amoxicillin - Amoxiclav imagwirira ntchito. Mu chida ichi, kuphatikiza pa chinthu chachikulu, clavulanic acid chilipo, chochepa chimawononga mphamvu ya chitetezo ya mabakiteriya, osawalola kukana mankhwalawo.
Paracetamol imadziunjikiranso m'chiwindi. Zakhala zikudziwika kuti mapiritsi amatha kukhala ndi hepatotoxic. Pazifukwa izi, ndizoletsedwa kuti zizigwiritsidwa ntchito kwa anthu omwe ali ndi zilonda zamtundu wa chiwindi.
Kumwa mankhwalawa nthawi imodzi kumawonjezera mwayi wokhudzana ndi chiwindi. Ndizosavomerezeka kugwiritsa ntchito antibayotiki ndi Paracetamol ndi mowa, chifukwa izi zimapangitsa kuti chiwopsezo cha hepatotoxic chikhale ndi zotsatira zoyipa.
Odwala, mutadziwa zoyipa zomwe zimapezeka mwa mankhwala osokoneza bongo komanso antipyretic, yesani kusintha Amoxicillin. Nthawi zambiri kusankha kumagwera pa mankhwala a Sumamed, omwe ali m'gulu la macrolides. Komabe, izi siziyenera kuchitika, popeza yogwira mankhwala azithromycin imaphatikizapo matenda a chiwindi mndandanda wa contraindication.
Ngati dokotala atayikira Amoxicillin, ndiye kuti ndiyenera kutero, ndipo maphunzirowo sayenera kukhala afupikirapo kuposa omwe adakhazikitsidwa ndi katswiri. Pankhani ya mantha kapena matenda a impso omwe alipo, tikulimbikitsidwa kusintha Parpyetamol ya antipyretic, mwachitsanzo, kugwiritsa ntchito mankhwala osokoneza bongo a ibuprofen.
Kugwiritsa ntchito yankho la ululu ndi kutentha, muyenera kukumbukira kuti sipangatenge masiku osapitilira 3-5 motsatira. Amoxicillin amatchulidwa kwa masiku 5 mpaka 12, ndipo atatha kuchotsa matendawa amagwiritsidwa ntchito masiku osachepera atatu.
Mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani
Malangizo a Amoxiclav Ogwiritsa Ntchito
Amoxiclav ayenera kugwiritsidwa ntchito mukangodya. Mwa mitundu yopepuka ya matenda opatsirana, kuchuluka kwa mamililita 375 (piritsi 1) maola 8 aliwonse, kapena piritsi 625 (1 piritsi) mamilimita 12 aliwonse. Odwala omwe ali ndi mtundu wovuta kwambiri wa matendawa kapena matenda opatsirana amapuma ndi Amoxiclav 625 (piritsi 1) mamilimita 8 aliwonse, kapena piritsi 1 la piritsi 1 lililonse.
Kudya kwakukulu tsiku lililonse sikuyenera kupitirira 6 g. Kutalika kwa chithandizo sikupitilira milungu iwiri. Mapeto a maphunzirowa atatha, simuyenera kukaonana ndi dokotala kuti akamupimitsenso. Matenda a Odontogenic - mapiritsi 375 (piritsi 1) maola 8 aliwonse, pitani mapiritsi 625 (piritsi 1) maola 12 aliwonse. Njira y kumwa mankhwalawa ndi masiku 5.
Kulephera kwamphamvu kwamphamvu - 625 mamililita (piritsi 1) maola 12 aliwonse. Kulephera kwakukulu kwa aimpso - mamililita 625 (piritsi 1) maola 24 aliwonse. Anuria - imeneyi pakumwa mankhwala Amoxiclav ndi maola 48 kapena kuposerapo.
Mapiritsi a Amoxiclav, malangizo:
Asanagwiritse ntchito, piritsi liyenera kuchotsedwa pamimba ndi kusungunuka m'madzi. Madzi okwanira theka la madzi owiritsa. Kapena mutha kutafuna Amoxiclav ndikumatenga ndi madzi mukamamwa. Simungamwe Amoxiclav ndi madzi okhala ndi kaboni, chifukwa madzi okhala ndi mpweya amakhudzanso malingaliro a thupi a antibayotikiyu, omwe nthawi zambiri amachepetsa mphamvu yake.
Amoxiclav mu ampoules, malangizo:
Mu milandu yomwe Amoxiclav pamapiritsi sapereka zomwe akuyembekezeredwa, kapena ngati pakufunika kuchiritsa wodwalayo nthawi yochepa, mankhwalawa amawayikidwa ngati jekeseni wamitsempha.
Kuphazikika kwa mtsempha wa antioxotic Amoxiclav amapangidwa mu mtsempha womwe uli m'dera lamkono. Mukapereka mankhwalawa, ndikofunikira kuwunikira mosamala kuti asalowe pakhungu. Kupanda kutero, matupi athu amakumana ndi zovuta zosiyanasiyana. Ndikofunikira kukhazikitsa mankhwala pang'onopang'ono kwa mphindi. Kudya kamodzi kokha ndi magalamu 1.2. Nthawi pakati pa jakisoni ndi maola 8.
Amoxiclav pa mimba
Kugwiritsidwa ntchito kwa Amoxiclav panthawi yoyembekezera komanso yoyamwitsa kumatheka, koma pokhapokha ngati zotsatira zomwe zikuyembekezeka zimaposa ngozi yomwe ingachitike.
Amoxiclav ya ana
Dokotala wa ana amapereka njira yodziwika yolandirira ndalama za mwana aliyense payekhapayekha ndipo izi zimatengera kuopsa kwa matendawa komanso malo omwe matendawa atenga. Mukamayikiridwa mankhwala amakhudzidwa ndi chidwi cha mankhwalawa, msinkhu komanso vuto lomwe ali nalo. Ndikofunika kwambiri kuti mutsatire mankhwalawo.
Ikani Amoxiclav kwa ana osakwana zaka 12 akulimbikitsidwa motengera:
Amamwa katatu pakadutsa maola 24.
Mlingo wa nthawi imodzi wamankhwala umatengera zaka za mwana:
- Kuyambira wazaka 7 mpaka 12 - ma milligram 250,
- Kuyambira wazaka ziwiri mpaka 7 - ma milligram 125,
- Kuyambira miyezi 9 mpaka zaka 2 - 62,5 milligram.
Ndi matenda oopsa a matendawa, kuchuluka kwake kuyenera kuwonjezeredwa.
Madzi amagwiritsidwa ntchito kukonza kuyimitsidwa, madzi ndi madontho.
Malinga ndi malangizo ogwiritsira ntchito, Amoxiclav amayenera kutsukidwa ndi madzi, mkaka kapena misuzi ya zipatso. Ana ayenera kumeza piritsi lonse, osafuna.
Ngati mwana akudwala gastritis kapena kudzimbidwa kosiyanasiyana, ndiye kuti mankhwalawa agwiritsidwe ntchito ndi chakudya.
Zizindikiro, contraindication ndi mavuto
Zowonetsa kugwiritsa ntchito Amoxiclav
Malinga ndi malangizo, Amoxiclav iyenera kumwedwa ndi matenda opatsirana otsatirawa:
- Matenda apamwamba komanso ochepa opatsirana,
- Zofooka mu genitourinary thirakiti,
- Matenda azamatenda
- Kulowerera pakhungu ndi minofu yofewa, izi zimaphatikizapo zotsatira zakuluma nyama ndi anthu,
- Kuphatikizana ndi mafupa
- Kuyambitsa matenda opatsirana pogonana
- Amoxiclav amagwiritsidwanso ntchito nthawi zambiri pothandizira matenda ophatikizidwa:
- Peritonitis,
- Cholangitis
- Cholecystitis.
Amoxiclav amagwiritsidwa ntchito pamavuto omwe amapezeka pambuyo pa ntchito yothandizira opaleshoni yam'mimba,
- Matenda am'mimba,
- Matenda amlomo,
- Chibayo
- Otitis, tonsillitis ndi sinusitis wodwala,
- Tizilombo toyamwa timene timapezeka m'mimba,
- Osteomyelitis, yowonetsedwa bwino mawonekedwe.
Pa opaleshoni yotsatsira:
- Mimba
- Colorectal
- Zachidziwitso
- Zaubongo,
- Maxillary
- Kupangira opaleshoni m'mutu ndi khosi.
Amoxiclav: mavuto
Amoxiclav, ikagwiritsidwa ntchito, imatha kuyambitsa zovuta zomwe zimakhudza machitidwe osiyanasiyana ndi ziwalo zamunthu, ndipo zafotokozedwa motere:
Matumbo. Kudzimbidwa ndi kapangidwe ka mavitamini ena B (K ndi K) - kutulutsa, kusowa chakudya, nseru ndi mseru pawokha, kupondera pang'onopang'ono, kusinthanitsa ndi matenda am'mimba ndi kudzimbidwa. Mimba, zilonda 12 zam'mimba, chikhodzodzo ndi kapamba zimadwala.
Chiwindi. Kuchepa kwa chiwindi, ndipo nthawi zina kumayambitsa matenda osokoneza bongo.
Impso. Mankhwalawa ali ndi poizoni pakugwira ntchito kwa impso, zomwe zimayambitsa kutupa mkati mwao ndikupanga miyala m'njira zomwe zimachotsa mkodzo.
Pakati mantha dongosolo. Amoxiclav imatha kupweteketsa mutu, chizungulire, kuthinana, komanso kukokana ndikotheka mukamamwa mankhwalawo.
Njira yozungulira. Zimalepheretsa kaphatikizidwe ka maselo oyera, chifukwa, chitetezo chokwanira chimachepa. Ndipo poletsa kaphatikizidwe ka mapulateleti, kumachepa pakupanga magazi komanso kuoneka magazi. Komanso, maselo ofiira m'magazi ake amatha kumalumikizana, zomwe zimabweretsa kuchepa kwamwazi m'magazi.
Thupi lawo siligwirizana. Urticaria, edema ya Quincke. Koma zoterezi zimachitika kawirikawiri.
Contraindication pa ntchito Amoxiclav
Malinga ndi malangizo, Amoxiclav ali ndi zotsatirazi zotsatirazi:
- Ngati kale anawonetsa kuphwanya chiwindi. Ndipo kawirikawiri, mankhwalawa amaperekedwa kwa odwala omwe ali ndi matenda osiyanasiyana a chiwindi, limodzi ndi kutayika kwa ntchito yake.
- Ndiosowa kwambiri komanso chisamaliro chachikulu kuti mankhwala opha khansa amapatsidwa matenda a m'matumbo, chifukwa kumwa mankhwalawa kumatha kuyambitsa kwambiri.
- Mochulukirapo, Amoxiclav amaperekedwa kwa odwala omwe ali ndi matenda a impso, limodzi ndi kulephera kwa aimpso.
- Amoxiclav amaletsedwa mu khansa ya m'mimba.
- Ndiowopsa kupaka mankhwala a mononucleosis, tk. mutamwa mankhwalawo, zimayimiririka ngati chikuku, ndipo zimapangitsa kuti zikhale zovuta kudziwa matendawa.
- Kusalolera kwaumunthu kumodzi mwazinthu zomwe zimapanga.
- Ndi kusamala kwambiri, mankhwalawa amalembedwa nthawi yonse yoyembekezera komanso panthawi yoyamwitsa.
Ngati pali zovuta zomwe mumagwiritsa ntchito maantibayotiki, muyenera kufunsa dokotala kuti athetse mabakiteriya ndi omwewo, koma osayambitsa mavuto. Kupanda kutero, njira zosasinthika zitha kuchitika m'thupi la munthu zomwe zitha kupha.
Kuwonetsedwa kwa mankhwala osokoneza bongo
Clavulanic acid imapereka zovuta zolembedwa zomwe zimakhala ndi ma enzymes awa ndikuwonetsetsa kukana kwa amoxicillin pazotsatira za beta-lactamases zopangidwa ndi microscopic organic. Acid iyi, yomwe kapangidwe kake kamafanana ndi maantibayotiki, ndi mtundu wa beta-lactam.
Zochita za Amoxiclav zimagwira ntchito motsutsana ndi mabakiteriya omwe ali pachiwopsezo cha zotsatira zake. Symbiosis ya amoxicillin ndi clavulanic acid ndi yapadera kwambiri. Kugwiritsa ntchito maantibayotiki kumayambitsa kufa kwa ma cell mabakiteriya, kuwalumikiza pamodzi ndi ma receptor akumtunda. Bacteria, yomwe mphamvu zake imayang'aniridwa, imayamba kuzolowera ndikuwononga mankhwalawa kudzera mu ensau ya beta - lactamase. Clavulanic acid imathandizanso kuchepetsa mphamvu za enzyme iyi. Izi zidapangitsa kuti Amoxiclav, omwe amaphatikiza asidi apadera awa, amagwiritsidwa ntchito pazinthu zosiyanasiyana zamankhwala.
Mu malangizo a Amoxiclav, amadziwika kuti kuphatikiza kwa amoxicillin ndi clavulanic acid kumawononga mabakiteriya osagwirizana ndi amoxicillin. Amoxiclav amapatsidwa mphamvu zotchulidwa za bacteriostatic ndi bactericidal pamasamba onse a streptococci, echinococcoccus ndi listeria.
Mtengo wa mankhwalawo m'masitolo am'mishonga
Onani mtengo wa Amoxiclav mu 2018 ndi analogues zotsika mtengo >>> Mtengo wa Amoxiclav m'masitolo osiyanasiyana amasiyana mankhwala. Izi ndichifukwa chogwiritsa ntchito zinthu zotsika mtengo pamankhwala, komanso ndondomeko yamitengo yamaukosi am'mapiritsi. Koma ndikofunikira kuti kusiyana kwamitengo pakati pa anzawo akunja ndi aku Russia asakhale osasinthika.
Kutulutsa mawonekedwe Amoxiclav, ma CD ndikuphatikizira ndi mankhwala.
Ufa pakukonzekera njira yothetsera utsogoleri wa iv kuchokera yoyera mpaka yoyera. Ufa pakukonzekera njira yothetsera iv 1 ya vial. amoxicillin (munthawi ya mchere wa sodium) 500 mg clavulanic acid (munthawi ya mchere wam potaziyamu) 100 mg
Ufa pakukonzekera njira yothetsera utsogoleri wa iv kuchokera yoyera mpaka yoyera. Ufa pakukonzekera njira yothetsera iv 1 ya vial. amoxicillin (munthawi ya mchere wa sodium) 1 g clavulanic acid (munthawi ya mchere wa potaziyamu) 200 mg
Mabotolo (5) - mapaketi a makatoni.
Kufotokozera kwa mankhwalawa kumatengera malangizo ovomerezeka omwe angagwiritsidwe ntchito.
Pharmacological kanthu Amoxiclav
Mankhwala othana ndi chitetezo chachikulu, okhala ndi semisynt syntic penicillin amooticillin ndi clavulanic acid inhibitor, lactamase. Clavulanic acid imapanga khola losakhazikika bwino ndi β-lactamases ndikuwonetsetsa kukana kwa amoxicillin pazotsatira zawo.
Clavulanic acid, yofanana ndi mankhwala a lactam, ali ndi ntchito yochepa ya antibacterial.
Chifukwa chake, Amoxiclav amachita bactericidal pamitundu yambiri yama bakiteriya okhala ndi gramu komanso gram-hasi (kuphatikiza zovuta zomwe zakhala zikulimbana ndi maantia-beta lactam chifukwa chopanga ma β-lactamases).
Amoxiclav ikugwira ntchito yolimbana ndi mabakiteriya okhala ndi thanzi la aerobic: Streptococcus spp. (kuphatikiza Streptococcus pneumoniae, Streptococcus viridans, Streptococcus pyogenes, Streptococcus bovis), Enterococcus spp. mabakiteriya aerobic gram-hasi: Bordetella pertussis, Brucella spp., Campylobacter jejuni, Escherichia coli, Gardnerella vaginalis, Haemophilus ducreyi, Haemophilus fuluwenza, Helicobacter pylori, Klebsiella spp. spp., Salmonella spp., Shigella spp., Vibrio cholerae, Yersinia enterocolitica, Eikenella corrodens, anaerobic gram-bacteria bacteria: Peptococcus spp., Actinomyces israelii, Prevotella spp., Clostridium spp, Peptostr eptococcus spp., Fusobacterium spp., anaerobic gram-negative bacteria: Bacteroides spp.
Pharmacokinetics wa mankhwala.
Magawo akuluakulu a pharmacokinetic a amoxicillin ndi clavulanic acid ndi ofanana. Amoxicillin ndi clavulanic acid osakanikirana sakukhudzana.
Cmax pambuyo jekeseni wa bolus wa Amoxiclav 1.2 g ndi amoxicillin 105.4 mg / l ndi clavulanic acid - 28,5 mg / l. Zonsezi zimadziwika ndi kuchuluka kogawika m'madzi amthupi ndi minyewa (mapapu, khutu lapakati, zotuluka ndi zotumphukira za m'mimba, chiberekero, mazira). Amoxicillin imalowanso madzi ophatikizika a chiwindi, chiwindi, matumbo a prostate, minofu ya palatine, minofu ya minyewa, chikhodzodzo, kutsekeka kwa mphuno, malovu, kubisala kwa bronchial.
Amoxicillin ndi clavulanic acid simalowa BBB ndi mauna osavulala.
Cmax m'madzi amthupi amawonedwa 1 h atatha kufika ku Cmax mu plasma.
Zinthu zodutsa zimadutsa chotchinga ndipo poyang'ana mozama zimafukusidwa mkaka wa m'mawere. Amoxicillin ndi clavulanic acid amadziwika ndi zomanga zochepa m'mapuloteni a plasma.
Amoxicillin amaphatikizidwa pang'ono, asidi clavulanic mwachidziwikire amatha kuyamwa kwambiri.
Amoxicillin amachotseredwa ndi impso pafupifupi osasinthika ndi kubisalira kwa tubular ndi kusefera kwa glomerular. Clavulanic acid imapukusidwa ndi kusefera kwa glomerular, mwanjira ina ya metabolites. Zing'onozing'ono zimatha kupukusidwa kudzera m'matumbo ndi m'mapapu. T1 / 2 ya amoxicillin ndi clavulanic acid ndi maola 1-1,5.
Zonsezi zimachotsedwa ndi hemodialysis komanso zazing'ono ndi peritoneal dialysis.
Zisonyezero zogwiritsidwa ntchito:
Chithandizo cha matenda opatsirana komanso otupa omwe amayambitsidwa ndi tizilombo tating'onoting'ono ta mankhwala:
Matenda a chapamwamba kupuma thirakiti ndi ENT ziwalo (kuphatikizapo pachimake ndi matenda sinusitis, pachimake ndi matenda otitis TV, pharyngeal abscess, tonsillitis, pharyngitis),
Matenda am'munsi kupuma thirakiti (kuphatikizapo pachimake bronchitis ndi bakiteriya wamphamvu, chifuwa, chibayo),
Matenda amitsempha
Matenda a pakhungu ndi minofu yofewa, kuphatikiza kulumidwa kwa anthu ndi nyama,
Mafupa ndi mafupa olowa
Matenda a m'mimba, komanso bile ducts (cholecystitis, cholangitis),
Matenda opatsirana pogonana (gonorrhea, chancroid),
Kupewa matenda opereshoni.
Mankhwalawa amaperekedwa iv.
Kwa akulu ndi ana opitirira zaka 12 (omwe ali ndi thupi>> makilogalamu 40), mankhwalawa amadziwitsidwa muyezo wa 1.2 g (1000 mg + 200 mg) ndi nthawi yotalikirapo maola 8, ngati pali matenda ambiri, ndikungokhala kwa maola 6.
Kwa ana a zaka 3 mpaka 12 zaka, mankhwalawa ndi mankhwala 30 mg / kg thupi (malinga ndi Amoxiclav yonse) ndi nthawi yotalikirana ndi maola 8, ngati pali matenda opatsirana kwambiri, ndikutenga kwa maola 6.
Ana osakwana zaka 3 miyezi: asanabadwe komanso nthawi yayikulu - pa kuchuluka kwa 30 mg / kg kulemera kwa thupi (malinga ndi Amoxiclav yonse) maola 12 aliwonse, panthawi yozizira - panthawi ya 30 mg / kg thupi (malinga ndi Amoxiclav yonse ) maola 8 aliwonse
30 mg iliyonse ya Amoxiclav imakhala ndi 25 mg ya amoxicillin ndi 5 mg ya clavulanic acid.
Mlingo wa prophylactic wochizira maopaleshoni ndi 1.2 g popanga mankhwala ochita opaleshoni (wokhala ndi nthawi yopanga opaleshoni yochepera maola 2), ndi maopareshoni a nthawi yayitali - 1.2 g mpaka 4 nthawi / tsiku.
Kwa odwala omwe ali ndi vuto la impso, muyezo komanso / kapena pakati pa Mlingo wa mankhwala uyenera kusinthidwa malinga ndi chilolezo cha creatinine (onani tebulo). Chilolezo cha Creatinine
Mlingo ndi njira ya mankhwala.
Kusintha kwa 0,5 ml / s (> 30 ml / mphindi) sikufunika 0.166-0.5 ml / s (10-30 ml / min) muyezo woyamba ndi 1.2 g (1000 mg + 200 mg), kenako 600 mg (500) mg + 100 mg) iv maola 12 aliwonse Momwe mungagwiritsire ntchito syringe kuchokera ku Nurofen
Tiyeneranso kulabadira contraindication kugwiritsa ntchito mankhwalawa:
- Ndi koletsedwa kugwiritsa ntchito Nurofen pamaso pa ulcerative mawonekedwe am'mimba thirakiti.
- Kusalolera payekha pazinthu zomwe zimapangidwa ndikuletsa kugwiritsa ntchito kwake.
- Zoyipa zazikulu za mtima.
- Impso kapena chiwindi kulephera pachimake.
- Ndi zoletsedwa kugwiritsa ntchito Nurofen koyamba nthawi yobala mwana, komanso sikulimbikitsidwa kumwa mankhwalawa mu nthawi ya mkaka wa m`mawere.
- Kupezeka kwa neoplasms mu nasopharynx.
- Mavuto ndi kupuma kwamphamvu, mphumu ya bronchial ndi matenda ena ofanana.
- Standard Nurofen imasokonekera kwa ana osakwana zaka 7.
- A hemorrhagic sitiroko m'mbuyomu ndiko kuphwanya kugwiritsa ntchito mankhwalawa.
- Matenda am'magazi oyendetsedwa ndi chibadwa chomwe chimakulitsa kuchuluka kwa magazi.
- Opaleshoni pamitsinje yayikulu ya mtima.
Palinso zolakwika zingapo pakugwiritsa ntchito Nurofen:
- Wachiwiri ndi wachitatu trimester wa kubereka mwana.
- Matenda a mtima dongosolo la ischemic chikhalidwe.
- Kutupa kwa mucous nembanemba wam'mimba thirakiti la mtundu wodwala ndi matenda ena omwe amawonjezera chiopsezo cha ulcerative foci.
- Mlingo wokwera kwambiri wamagazi, komanso kuchuluka kwa lipids m'magazi.
- Kukayikira kukhetsa magazi m'matumbo.
Ngati pali contraindication wachibale, tikulimbikitsidwa kuti m'malo mankhwalawa muthane ndi analogue kapena pezani kuchipatala kuti mupeze malangizo. Aspirin ndi Nurofen amaloledwa kumwedwa limodzi, komabe, kuchuluka kwa mankhwalawa kuyenera kutsitsidwa.
Kuchita ndi mankhwala ena
Kugwiritsa ntchito Ketanov ndi Nurofen palimodzi sizimveka, chifukwa mankhwalawa ali ndi mfundo imodzimodziyo yodziwikitsira thupi. Musanayambe kuphatikiza mankhwala, ndikofunikira kuti mupite kuchipatala. Madokotala a matenda ena amapereka Nurofen ndi Suprastin nthawi yomweyo, omwe amachotsa matenda am'matenda a matenda opatsirana.
Funso ndiloti, ndibwino, Pentalgin kapena mankhwala opangidwa ndi ibuprofen amakhala otsutsana. Mankhwala amasiyana osati kokha mwa lingaliro lazowonetsera thupi. Nurofen amadziwika ndi kuchuluka kwa mitundu, pali kuthekera kwa kugwiritsa ntchito kunja mankhwala. Monga gel, wogwiritsa ntchito ibuprofen amatha m'malo mwa Diclofenac. Mankhwala amasiyana mosiyanasiyana. Pentalgin imawonedwa ngati yabwino kuposa Nurofen, koma mankhwala achiwiri ndi otetezeka kwambiri mthupi.
Musanatenge Teraflu, Corvalol, Midokalm, Flemoklav, Fenistil, tikulimbikitsidwa kudikirira pafupifupi maola awiri.
Pali zithunzi zambiri za Nurofen monga mankhwala ochititsa chidwi, mwachitsanzo, Ketorol, Potsatira, Spazmalgon, Baralgin, Chitramon, Fezepam ndi ena, komabe, madokotala otetezeka kwambiri amazindikira mankhwalawa potengera ibuprofen.
Amoxicillin wogwiritsa ntchito mankhwalawa amaperekedwa kwa akulu ndi ana azaka zonse kuti azitha kuchiza matenda oyambitsidwa ndi tizilombo tomwe timayang'anira. Kuphatikiza kwa Amoxicillin ndi Paracetamol sikunakhaleko kosakayikiridwa. Ngakhale izi, pali odwala omwe amakayikira kufunika kotenga mankhwalawa nthawi imodzi.
Khalidwe la Amoxicillin
Njira za mankhwala a penicillin. Kuchokera mu mawonekedwe a kuyimitsidwa pakamwa ndi mapiritsi. Muli ndi zomwe zimagwira. Imagwira chifukwa chophwanya kapangidwe ka proteni wa khoma la bakiteriya. Zotsatira zake, kukula ndi kugawanika kwa maselo kuyimitsidwa, kuwonongeka kwawo kumachitika. Sichikhudza mphamvu ya riketitsia, mycoplasmas, ma virus.
Zizindikiro zogwiritsidwa ntchito munthawi yomweyo
Mankhwala amatengedwa limodzi ndi matenda opatsirana a kumtunda komanso kwam'munsi kupuma, khungu, matenda amtundu, matumbo. Lemberani mankhwala kwa odwala omwe ali ndi meningitis, leptospirosis, sepsis, chinzonono, matenda a Lyme. Mankhwala ndi oyenera kuteteza kutupa kwa endocardial ndi matenda mu nthawi ya postoperative.
Contraindication
Mankhwala ophatikizika amalekanitsidwa m'mikhalidwe ndi matenda monga:
- matupi awo sagwirizana ndi mankhwala
- Hypersensitivity ku penicillin kapena xenobiotic,
- monocytic tonillitis,
- matupi awo sagwirizana
- mphumu
- nyengo matupi awo sagwirizana ndi ma rhinoconjunctivitis,
- matenda amitsempha yamagazi otupa,
- matenda am`mimba thirakiti pachimake,
- kulephera kwa aimpso
- nthawi ya pakati komanso yoyamwitsa,
- ana ochepera zaka zitatu.
Odwala omwe ali ndi zotupa za hepatic ayenera kusintha Paracetamol ndi Ibuprofen kapena mankhwala ena antipyretic.
Momwe mungatenge Amoxicillin ndi Paracetamol
Mankhwala samatafuna, kutsukidwa ndi madzi ambiri. Mlingo wothandizila umatsimikiziridwa ndi momwe wodwalayo alili. Achinyamata ndi achikulire omwe amapatsidwa mankhwala okwana 500 mg tsiku lililonse. Ngati ndi kotheka, onjezani mlingo mpaka 1000 mg katatu patsiku. Mlingo woyenera wa Paracetamol ndi piritsi 1 mpaka 4 pa tsiku. Zolemba malire - 4 g patsiku.
Amoxicillin sayenera kuthandizidwa ndi Paracetomol ngati pali zotsutsana ndi mankhwala.
Anthu ambiri amadabwa ngati ana angamwe mankhwala. Kufikira miyezi itatu, kudya kumapangidwa. Kuyambira miyezi itatu mpaka zaka 6, Paracetamol imaperekedwa pa 10 mg / kg patsiku, ndipo kuyambira zaka 6 mpaka 12 - theka la piritsi katatu patsiku. Amoxicillin mpaka zaka 10 amatchulidwa ngati kuyimitsidwa. Mlingo wovomerezeka kwa zaka ziwiri ndi 20 mg / kg patsiku, ndipo kuyambira 2 mpaka 5, 125 mg patsiku. Kuyambira zaka 5 zimapatsa 250 mg katatu patsiku. Ana kuyambira azaka 10 ayenera kupatsidwa mankhwala 500 mg katatu patsiku mawonekedwe a piritsi. Musanagwiritse ntchito, muyenera kufunsa dokotala.
Zotsatira zoyipa za Amoxicillin ndi Paracetamol
Zotsatira zotsatirazi zitha kuoneka panthawi ya chithandizo:
- Kuchepetsa kuchuluka kwa magazi,
- colic mu impso,
- kuphwanya impso ntchito,
- ziwengo mu mawonekedwe a khungu totupa, angioedema,
- kugaya chakudya
- chimbudzi kapena kudzimbidwa,
- kuchuluka kwa matenda operewera a m'mimba,
- kutentha kwa mtima
- kupweteka kwam'mimba
- kupambanapamwamba.
Ndi kugwiritsa ntchito nthawi yayitali, mankhwalawa ali ndi hepatotoxic. Ngati zizindikirozi zikuwoneka, sinthani chithandizo ndikuyang'ana kwa dokotala.
Ngati Paracetamol ikuphatikizidwa ndi Amoxicillin, zotsatira zoyipa zitha kupezeka mwa kuchepa kwa kuchuluka kwamaselo am'magazi.
Malingaliro a madotolo
Alena Ivanitskaya, wothandizira
Maantibayotiki otambalala, komanso mankhwalawa a gulu la macrolide, amapatsidwa mankhwala pamaso pa zizindikiro za matenda. Amagwiritsidwa ntchito pa chifuwa chachikulu, matenda a genitourinary system, ziwalo za ENT. Kupititsa patsogolo kukhathamira kwa mankhwala ndikuwongolera msanga, Ibuprofen kapena Paracetamol ndi mankhwala. Mankhwala samatithandizirana. Mukamamwa mankhwala a antibacterial, muyenera kumwa ndalama zowongolera microflora yamatumbo.
Mikhail Aksenov, otolaryngologist
Amoxicillin amapha mabakiteriya, ndipo Paracetamol imachepetsa kutentha ndi zowawa. Mankhwala amalumikizana bwino, amapereka mwachangu. Pambuyo pakutha kwa zizindikiro za matendawa, ndikofunikira kupitiliza chithandizo kwa masiku 3-4. Pa chithandizo, muyenera kuwunika momwe magazi, chiwindi ndi impso zimayendera.
Ndemanga za Odwala pa Amoxicillin ndi Paracetamol
Christina, wa zaka 32
Kwa zilonda zapakhosi, maantibayotiki ndi Paracetamol adalembedwa. Zinthu zinasintha pa tsiku lachiwiri. Kutentha kwa thupi kunachepa, mphuno yam'mimba idachoka, ndipo mutu umachepa. Chifukwa chogwiritsa ntchito nthawi yayitali, kutsegula m'mimba komanso kupweteka m'mimba kunayamba. Ndikupangira kutenga ndi SARS zosaposa masiku 3-5.
Wodwala matenda am'mapapo, adokotala adafotokozera Amoxicillin. Kuphatikizidwa ndi Paracetamol kuti muchepetse kutentha. Mphamvu ya antipyretic sichimachitika mwachangu ndipo sichikhala nthawi yayitali. Ndi bwino kumwa ndi mankhwala Nimesulide. Imakhala yabwino komanso yotetezeka.
Kufotokozera kwa Amoxicillin
Mankhwala a antibacterial ali ndi yogwira mankhwala amoxicillin trihydrate okwanira 287 mg.
Zosakaniza zothandizira ndi talc, magnesium stearate, wowuma wa mbatata. Mankhwalawa ali ndi zotsatira zosiyanasiyana. Zimakhudza mapangidwe a peptidoglycans, kuwonetsa motero ntchito yolimbana ndi tizilombo:
- khalimotz,
- streptococci,
- enterococci,
- meningococci,
- E. coli
- Shigella
- nsomba
- Helicobacter pylori.
93% ya mankhwalawa imatengedwa kwathunthu ndi thupi la wodwalayo. Mankhwala amatha kumwedwa pamaso chakudya osavulaza thanzi la wodwalayo.
Kuchuluka kwa mankhwala atatha kumwa 250 mg wa antibayotiki wapezeka mu seramu ya magazi pambuyo pa ola limodzi. Maantibayotiki amalowa m'matumbo ndi madzi, ndikupanga zinthu zochulukazo mu plasma, bronchi, chiwindi, zamitsempha, mazira, malovu, ndi madzi am'mimba.
Mankhwala olimbana ndi mankhwalawa 25% amakhala kumapulogalamu a mapuloteni a plasma. Mankhwala amawonongedwa, ndikupanga magawo omwe amagwira ntchito, nthawi yochotsa thupi lathunthu ndi mphindi 90.
Khalidwe la Paracetamol
Mapiritsi ali ndi chinthu chimodzi chogwira ntchito mu kuchuluka kwa 0,2 kapena 0,5 ndi zina zowonjezera: wowuma wa mbatata, povidone, stearic acid.
Mankhwalawa ali ndi analgesic ndi antipyretic kwenikweni. Mankhwala amakhudza kapangidwe ka cycloo oxygenase, amakhudza pakati pa thermoregulation. Mankhwalawa sasintha kagayidwe kamadzi ndi mchere, samakwiyitsa mucosa wam'mimba, chifukwa satenga nawo gawo pakupanga ma prostaglandins mu minofu.
Mankhwalawa amalowetsedwa mwachangu mthupi la wodwalayo, kuchuluka kwakukulu kwa mankhwalawo kumapezeka m'matupi atatha 2 maola. Amamangilira mapuloteni a plasma mu 15%, amadutsa mu chotchinga cha magazi, atadutsa mkaka wa m'mawere. Mankhwalawo amawonongeka m'chiwindi, kumalumikizana ndi glucuronic acid ndi sulfates, ndikupanga metabolites yopanda mphamvu.
Imapukusidwa mu maola 4. Gawo lamankhwala limachotsedwa kudzera mu impso, 3% - osasinthika. Mwa anthu opitilira zaka 65, kutsimikizika kwa mankhwalawa kumachepa ndipo nthawi yochotsa osakwanira imachuluka.
Zomwe zimayikidwa
An analgesic imagwira ntchito motere:
- malungo
- kupweteka (pang'ono pang'ono)
- myalgia.
Amoxicillin amagwiritsidwa ntchito pochiza matenda otsatirawa:
- matenda opezeka m'gulu lathu
- zilonda zam'mimba ndi duodenum,
- matenda a pakhungu ndi minofu yofewa,
- rhinosinusitis
- pachimake tonsillitis
- Mavuto opaleshoni yam'mimba,
- aakulu cervicitis
- matenda a m'mapapo
- bronchitis.
Mankhwala a antibiotic amagwira ntchito popanga matenda a ENT mu ana: atitis media, tonsillitis, sinusitis. Mankhwalawa amagwiritsidwa ntchito pochiza matenda am'matumbo a m'matumbo a m'mimba: endometritis, salpingitis, oophoritis, tubo-ovarian abscess, peritonitis.
Amoxicillin ndiwothandiza poika mankhwala ophatikizika amitundu yambiri ya PID. Mankhwala oletsa mankhwalawa amagwiritsidwa ntchito pochiza mapapo, chibayo, kuponderezedwa kwam'mimba.
Kugwirizana kwa Amoxicillin ndi Paracetamol
Kuphatikiza kwa analgesic ndi antibacterial ndi muyeso wokhazikitsidwa wa chithandizo. Dokotala nthawi zambiri amatipatsa mankhwala othandizira odwala pachimake.
Ndi streptococcal tonsillopharyngitis, maantibayotiki a 0.5 g maola 8 aliwonse amagwiritsidwa ntchito pakamwa, mosasamala kanthu za kudya kwa masiku 10.
Kutentha kukakwera pamwamba pa 38 ° C, Paracetamol amalembedwa pa mlingo wa 500 mg (kwa achikulire) katatu patsiku. Mu sinusitis yovuta komanso yopweteka, mphamvu ya Amoxicillin mu 0.5-1.0 g maola 8 aliwonse atsimikiziridwa.
Zizindikiro zochizira matenda am'munsi kupuma thirakiti limaphatikizira kuperekera kwa analgesic kwa mutu komanso kutentha kwa 38-39 ° C. Ngati wodwala ali ndi nthenda za mtima ndi mitsempha yamagazi, mantha amthupi, zovuta zowopsa zitha kuwoneka motsutsana ndi maziko a kutentha.
Valentina Nikolaevna, wazaka 60, Mineralnye Vody
Adatenga Amoxicillin ndi bronchitis. Dokotalayo anamwetsa mapiritsi ngati mankhwala otsika mtengo komanso othandiza. Mankhwalawa adabweretsa zovuta zambiri, chifukwa mankhwalawo amayenera kumwa ngakhale usiku. Mankhwalawa anali ndi vuto m'mimba. Kutentha kukacha, ndinamwa piritsi limodzi la Paracetamol. Panalibe zoyipa. Mutu unachepa.
Ivan Teodorovich, wazaka 72, Prokopyevsk
Adadwala ndi follicular tonsillitis. Kutentha kunakwera kufika pa 39 ° C, ndinamwa piritsi la Paracetamol 500 mg, koma patatha maola 4 mkhalidwewo unafika poipa. Dokotalayo adamupangira maphunziro a amoxicillin. Anachira. Malangizo othandizira othandizidwa ndi anzawo.
Olga Ivanovna, wazaka 58, Volkhov
Ali ndi matenda a adenovirus, anali ndi zonena zambiri pakhosi pake. Njira za Folk sizinathandize. Dokotalayo adapereka Amoxicillin. Ndinkamwa piritsi limodzi 2 pa tsiku kwa masiku 12. Mapiritsi sakhala omasuka kumeza, ndi akulu. Mukumwa mankhwalawa, zotsatira zoyipa zimawonekera - kukhumudwa. Ndinayenera kumwa Linex ndikuyendera madokotala. Sindidzagulanso maantibayotiki, ngakhale adandichiritsa.
Kupanga ndi mawonekedwe a kumasulidwa
- Mitundu yolimba ya mankhwalawa. Mapiritsi
- Mafuta ampuluzi. Yankho la jakisoni.
- Mphamvu yakuyimitsidwa.
- 375 mg kapena 625 mg. Kuphatikizikako kumakhala ndi amoxicillin 250 mg kapena 500 mg ndi clavulanic acid 125 mg,
- botolo limodzi - zidutswa 15, m'bokosi 1 botolo.
- botolo lakuda lili ndi 100 ml yankho,
- m'bokosi 1 wokhala ndi scoop,
- 5 ml yankho lokonzekera lomwe lili ndi 125 mg ndi 31.25 mg kapena 250 mg ndi 62.5 mg yogwira ntchito, motsatana.
Amoxiclav Injection Solution:
- ufa wowuma 600 mg ndi 1.2 g mu botolo limodzi,
- Botolo 1 imakhala ndi amoxicillin 500 mg kapena 1000 mg ndi clavulanic acid 100 mg ndi 200 mg, motero
- Mabotolo 5 mu paketi imodzi.
Zowonetsa kugwiritsa ntchito Amoxiclav
Malinga ndi malangizo, mankhwalawa amayenera kumwedwa ndi matenda opatsirana otsatirawa:
- Matenda apamwamba komanso ochepa opatsirana,
- Zofooka mu genitourinary thirakiti,
- Matenda azamatenda
- Kulowerera pakhungu ndi minofu yofewa, izi zimaphatikizapo zotsatira zakuluma nyama ndi anthu,
- Kuphatikizana ndi mafupa
- Kuyambitsa matenda opatsirana pogonana
- Mankhwala nthawi zambiri amagwiritsidwa ntchito pochiza matenda ophatikizidwa:
- Peritonitis,
- Cholangitis
- Cholecystitis.
Amoxiclav amagwiritsidwa ntchito pamavuto omwe amapezeka pambuyo pa kuchitidwa kwa opaleshoni yolowerera pamimba yam'mimba:
- Matenda am'mimba,
- Matenda amlomo,
- Chibayo
- Otitis, tonsillitis ndi sinusitis wodwala,
- Tizilombo toyamwa timene timapezeka m'mimba,
- Osteomyelitis, yowonetsedwa bwino mawonekedwe.
Pa opaleshoni yotsatsira:
- Mimba
- Colorectal
- Zachidziwitso
- Zaubongo,
- Maxillary
- Kupangira opaleshoni m'mutu ndi khosi.
Malangizo ogwiritsira ntchito
Tengani Amoxiclav mutangodya. Mwa mitundu yopepuka ya matenda opatsirana, kuchuluka kwa mamililita 375 (piritsi 1) maola 8 aliwonse, kapena piritsi 625 (1 piritsi) mamilimita 12 aliwonse. Odwala omwe ali ndi vuto lalikulu la matendawa kapena matenda opatsirana amapuma 625 (piritsi 1) mamilimita 8 aliwonse, kapena piritsi la 1 (piritsi 1) lililonse maola 12 aliwonse.
Kudya kwakukulu tsiku lililonse sikuyenera kupitirira 6 g. Kutalika kwa chithandizo sikupitilira milungu iwiri. Mapeto a maphunzirowa atatha, simuyenera kukaonana ndi dokotala kuti akamupimitsenso. Matenda a Odontogenic - mapiritsi 375 (piritsi 1) maola 8 aliwonse, pitani mapiritsi 625 (piritsi 1) maola 12 aliwonse. Njira y kumwa mankhwalawa ndi masiku 5.
Kulephera kwamphamvu kwamphamvu - 625 mamililita (piritsi 1) maola 12 aliwonse. Kulephera kwakukulu kwa aimpso - mamililita 625 (piritsi 1) maola 24 aliwonse. Anuria - gawo la mankhwalawa ndi maola 48 kapena kuposerapo.
Mapiritsi a Amoxiclav:
Asanagwiritse ntchito, piritsi liyenera kuchotsedwa pamimba ndi kusungunuka m'madzi. Madzi okwanira theka la madzi owiritsa. Kapena mutha kutafuna ndikumwa ndi madzi mukamamwa. Simungathe kumwa ndi madzi otumphuka, chifukwa madzi okhala ndi mpweya amakhudzanso malingaliro amthupi a antibayotikiyu, omwe nthawi zambiri amachepetsa mphamvu yake.
Amoxiclav mu ampoules:
Mu milandu yomwe Amoxiclav pamapiritsi sapereka zomwe akuyembekezeredwa, kapena ngati pakufunika kuchiritsa wodwalayo nthawi yochepa, mankhwalawa amawayikidwa ngati jekeseni wamitsempha.
Kuphazikika kwa mtsempha wa antioxotic Amoxiclav amapangidwa mu mtsempha womwe uli m'dera lamkono. Mukapereka mankhwalawa, ndikofunikira kuwunikira mosamala kuti asalowe pakhungu. Kupanda kutero, matupi athu amakumana ndi zovuta zosiyanasiyana. Ndikofunikira kupatsa mankhwala pang'onopang'ono kwa mphindi 30-60. Kudya kamodzi kokha ndi magalamu 1.2. Nthawi pakati pa jakisoni ndi maola 8.
Amoxiclav ya ana
Dokotala wa ana amapereka njira yodziwika yolandirira ndalama za mwana aliyense payekhapayekha ndipo izi zimatengera kuopsa kwa matendawa komanso malo omwe matendawa atenga. Mukamayikiridwa mankhwala amakhudzidwa ndi chidwi cha mankhwalawa, msinkhu komanso vuto lomwe ali nalo. Ndikofunika kwambiri kuti mutsatire mankhwalawo.
Tengani Amoxiclav kwa ana osakwana zaka 12 akulimbikitsidwa motengera:
Amamwa katatu pakadutsa maola 24.
Mlingo wa nthawi imodzi wamankhwala umatengera zaka za mwana:
- Kuyambira wazaka 7 mpaka 12 - ma milligram 250,
- Kuyambira wazaka ziwiri mpaka 7 - ma milligram 125,
- Kuyambira miyezi 9 mpaka zaka 2 - 62,5 milligram.
Ndi matenda oopsa a matendawa, kuchuluka kwake kuyenera kuwonjezeredwa.
Madzi amagwiritsidwa ntchito kukonza kuyimitsidwa, madzi ndi madontho.
Amoxiclav amayenera kutsukidwa ndi madzi, mkaka kapena timadziti ta zipatso. Ana ayenera kumeza piritsi lonse, osafuna.
Ngati mwana akudwala ndi gastritis kapena kudzimbidwa kosiyanasiyana, ndiye kuti mankhwalawo ayenera kumwedwa ndi chakudya.
Pa mimba ndi mkaka wa m`mawere
Kugwiritsidwa ntchito kwa Amoxiclav panthawi yoyembekezera komanso yoyamwitsa kumatheka, koma pokhapokha ngati zotsatira zomwe zikuyembekezeka zimaposa ngozi yomwe ingachitike.
Mtengo mumafakisi
Mtengo wa Amoxiclav m'masitolo osiyanasiyana amatha kusiyanasiyana. Izi ndichifukwa chogwiritsa ntchito zinthu zotsika mtengo komanso mfundo zamtengo wapatali zamagulu azitsamba a pharmacy.
Onani zambiri za mankhwala Amoxiclav, malangizo omwe angagwiritsidwe ntchito omwe amaphatikizapo zambiri komanso mtundu wa mankhwala. Lembali limaperekedwa pazokhudza zidziwitso zokha ndipo silingakhale cholowa m'malo mwa upangiri wachipatala.
Kuchiza ndi Amoxicillin kumatanthauza kukhazikitsa mosamalitsa malangizo omwe akupezeka mu malangizo. Kugwiritsa ntchito molakwika mankhwala zimayambitsa mavuto . Mankhwala a chifuwa chachikulu, Amoxicillin amaphatikizidwa mwadala ndi mankhwala ena. Izi zimakuthandizani kuti muwonjezere kuchuluka kwa chithandizo chamankhwala ndikuchepetsa chiopsezo chokana mankhwala.
Chithunzi 1. Amoxicillin atanyamula mawonekedwe a makapisozi ndi mulingo wa 250 mg, wopangidwa ndi Farmland. Mu paketi ya 20 zidutswa.
Mankhwala ali pafupifupi odzipereka mu m'mimba thirakiti. Sizinapereka chilengedwe cha m'mimba. The pazipita kuchuluka kwa mankhwala mthupi zimatheka 2 mawola kukamwa . Ambiri a Amoxicillin amadziunjikira mumaselo a chiwindi. Ichi ndichifukwa chake anthu omwe ali ndi matenda a chiwindi amalangizidwa kuti achepetse kugwiritsa ntchito mankhwalawa.
Ndi doxycycline
Amoxicillin ndi Doxycycline ndi maantibayotiki. Payokha, amalimbana bwino ndi matenda komanso kutupa. Mankhwala osokoneza bongo sagwiritsidwa ntchito limodzi pakapangidwe ka anti-chifuwa chachikulu. Doxycycline ali inhibitory kwambiri amoxicillin . Mankhwala amagwiritsidwa ntchito mosiyanasiyana mankhwala. Ngati mankhwalawa amayamba kumwa Amoxicillin, amadzilowetsa ndi Doxycycline. Kuphwanya mfundo za kuphatikiza mankhwala ndikofupa kutsatira zochitika :
- kuchepa kwa mphamvu ya mankhwala,
- mwayi wokhala ndi zovuta za bongo,
- Kuthekera kwa poizoni.
- zotsatira zoyipa.
Ndi Biseptolum
Biseptol zotchulidwa zochizira matenda opatsirana kupuma. Mosiyana ndi Amoxicillin, iye osati mankhwala . Amayikidwa ngati sulfonamides. Pochiza chifuwa chachikulu, Biseptol sichigwiritsidwa ntchito, chifukwa mycobacteria yamatenda sikhala ndi chidwi ndi magawo ake.
Nthawi zina, imawoneka ngati mankhwala othandiza. Biseptol amalembera meningitis, otitis media, bronchitis, pyelonephritis, sinusitis, toxoplasmosis ndi matenda ena opatsirana .
Kuphatikizika kwa Amoxicillin ndi Biseptolum sikofunikira. Koma kuwagwirira ntchito limodzi sikuletsedwa. Kugwiritsa ntchito bwino kwa mankhwala omwe ali ndi njirayi sikuchira.
Nthawi zina, kupezeka kwa thupi lawo siligwirizana . Zimadziwonetsera zotsatirazi:
- zotupa pakhungu,
- kuyang'ana pakhungu
- redness m'malo ena a thupi,
- kulephera kupuma
- kutsokomola.
Zofunika! Pa mankhwala othandizira, tikulimbikitsidwa kuwunika momwe chiwindi ndi impso zimayendera. Pambuyo pakutha kwa chithandizo, ma immunomodulators amasonyezedwa kuti abwezeretse thupi.
Ndi azithromycin
Ubwino Azithromycin lagona pakugwiritsa ntchito matenda ndi pathogen wosadziwika . Mankhwalawa amawonedwa ngati osokoneza thanzi, mosiyana ndi Amoxicillin. Mosamala, amaloledwa kutengedwa panthawi yomwe muli ndi pakati komanso ubwana. Ubwino wa Amoxicillin pamwamba pa Azithromycin ndi kuthamanga kwa mayamwidwe. Amapanga osapitilira 2 maola .
Kuphatikizika kwa mankhwala kumapangidwa. Amapereka okopa chidwi pa wina ndi mnzake . Nthawi zina mankhwala amagwiritsidwa ntchito mosiyanasiyana mankhwalawa. Pophwanya lamulo kuti aletse mgwirizano zotsatirazi zikuchitika :
- Chithandizo chimakhala chothandiza
- pamakhala chiopsezo cha matendawa kukhala chokhazikika
- mwayi wokhala ndi mavuto omwe akuwonjezereka ukuwonjezeka,
- zotheka bongo wa mankhwala.
Yang'anani! Kutenga maantibayotiki popanda upangiri wachipatala ndizoletsedwa. Pali chiopsezo chakuvulaza kwambiri thanzi.
Komanso mudzakhala ndi chidwi ndi:
Ndi ceftriaxone
Amoxicillin ndi Ceftriaxone kuphatikiza kuyanjana ndi maantibayotiki. Mwachilengedwe chomwe anachokera, ndi osiyana kotheratu. Ceftriaxone ali m'gulu la cephalosporins. Kuphatikiza mankhwalawa ndiwirizonse sikuyenera. Iwo ali Kuchepetsa mphamvu ya mnzake . Monga gawo la anti-TB, mankhwalawa sagwirizana. Kuphwanya malingaliro a phwando kumakhudza kuwoneka kwa mavuto omwe afotokozedwa motere :
- kuwonongeka kwaimpso,
- mutu
- maonekedwe a ziwengo
- kupatuka mu ntchito ya m'mimba thirakiti.
Chithunzi 2. Kulongedza ndi kuchuluka kwa Ceftriaxone mu mawonekedwe a ufa pakukonzekera njira. Wopanga "Biosynthesis".
Ndi Klacid
Klacid Ndi mankhwala otsogolera gulu la macrolide. Ili ndi chiyambi chopanga. Zake kuloledwa kuphatikiza Amoxicillin . Nthawi zambiri, mankhwala amaikidwa tandem chifukwa cha chifuwa chachikulu, chibayo kapena kuphwanya chitetezo cha mthupi. Mankhwala kulimbikitsana wina ndi mnzake. Ndi kasamalidwe koyenera, mwayi wazotsatira zoyipa siziphatikizidwa. Kugwiritsa ntchito mankhwala osokoneza bongo kumapangitsa kuti thupi liwonongeke kapena kuti lisinthe.
Mawonekedwe Kutenga Clacid ndi macrolides ena kumabweretsa kutsutsana.
Ndi ciprofloxacin
Ciprofloxacin A gulu la fluoroquinolones. Sichotsika ndi Amoxicillin pogwira ntchito yolimbana ndi matenda opatsirana.
Kukonzekera Ndi zoletsedwa kugwiritsa ntchito limodzi onse munthawi ya chifuwa chachikulu, komanso mwanjira ina iliyonse. Mankhwala opha tizilombo m'thupi amatsogolera poyizoni poizoni . Zikhudzidwa:
- ziwalo zopumira
- mtima
- ziwalo zam'mimba,
- dongosolo lamanjenje.
Ndi ibuprofen
Ibuprofen Ndi mankhwala antipyretic amene amachotsa ululu. Nthawi zambiri imagwiritsidwa ntchito ngati gawo la mankhwala osakanikirana ndi Amoxicillin. Mankhwala zimathandizira bwino wina ndi mnzake . Itha kugwiritsidwa ntchito mankhwalawa chifuwa chachikulu, makamaka ndi kuchuluka kwake. Ngati wodwalayo alibe ululu ndi kutentha thupi, ndiye kuti Ibuprofen salandiridwa. Kuchita bwino kwa mankhwalawa akaphatikizidwa sikuchepa.
Ngakhale kutsata bwino kwa mankhwala, muyenera kudziwa kuthekera kwa mavuto . Amakhala akusemphana ndi kuchuluka kwa mankhwala kapena ngati thupi lawo siligwirizana. Izi zimachitika kawirikawiri ndi chithandizo cha nthawi yayitali.
Yang'anani! Pakati pa phwando la Amoxicillin ndi Ibuprofen, nthawi yosachepera ola limodzi iyenera kuchitika.
Ndi paracetamol
Nthawi zina, pochiza matenda opatsirana, Amoxicillin ndi mankhwala Paracetamol . Sichiwabwezeretsa chomwe chimayambitsa matendawa, koma amachotsa chizindikiro chake, kusintha matendawo momwe wodwalayo alili. Mankhwala osokoneza bongo samachepetsa mphamvu ya mnzake, koma muwonjezere. Monga gawo la anti-TB, Paracetamol ndi mankhwala ngati pakufunika pakuchepetsa kutentha kwa thupi . Kupewa mankhwala osokoneza bongo ndi zoyipa zambiri, muyenera kutsatira malangizo a dokotala.
Chithunzi 3. Kuyika mankhwala Paracetamol mwanjira ya mapiritsi ndi muyeso wa 500 mg, wopangidwa ndi Pharmstandard. Mu paketi ya 20 zidutswa.
Kodi ndingamwe mankhwalawa ndi amoxicillin?
Amoxicillin amaloledwa kumwa ndi mankhwala ena, osati ma penicillin . Polimbana ndi chifuwa chachikulu, amagwiritsidwa ntchito ndi mankhwala a gulu lachitatu. Zimaphatikizapo Linezolid, clarithromycin ndi Clofazimine . Phatikizani Mosavuta Amoxicillin ndi ma pinkiller ndi antipyretic mankhwala.
Kanema wothandiza
Onerani kanema wosangalatsa yemwe amayankhula za Amoxicillin wa mankhwala: zake, momwe zingagwiritsire ntchito, contraindication, mgwirizano ndi mankhwala ena, zoyipa.
Amoxicillin wogwiritsa ntchito mankhwalawa amaperekedwa kwa akulu ndi ana azaka zonse kuti azitha kuchiza matenda oyambitsidwa ndi tizilombo tomwe timayang'anira. Kuphatikiza kwa Amoxicillin ndi Paracetamol sikunakhaleko kosakayikiridwa. Ngakhale izi, pali odwala omwe amakayikira kufunika kotenga mankhwalawa nthawi imodzi.
Momwe Paracetamol Imagwira
Mankhwala monga mapiritsi ali ndi zomwe zimagwira. Gawo lochita lachiwonetsero limagwira pa likulu lachifundo la hypothalamus. Pambuyo pakutenga, kutentha kwa thupi kumatsikira kwazonse. Mankhwala amathandizira kuchepetsa kupweteka. Pogwiritsa ntchito nthawi yomweyo ndi mankhwala opha maantibayotiki, zotsatira zake zimakhala bwino.