Momwe mungagwiritsire ntchito mankhwala Amoxil?

Mankhwala okhala ndi antibacterial omwe ali ndi zotsatira zosiyanasiyana. Ili m'gulu la aminopenicillins. Imakhala ndi bactericidal zotsatira. Kuwononga kukhulupirika kwa maselo a cell omwe atengeke ndi michere ya amoxicillin.

Amoxil ndi mankhwala antibacterial omwe ali ndi zotsatira zosiyanasiyana.

Zimakhudzana ndi gramu yabwino (kupatula zovuta zomwe sizingatulutsidwe ndi penicillin) ndi mabakiteriya opanda gramu. Sizikhudza mabakiteriya omwe amatulutsa penicillinase, mycobacteria, mycoplasmas, riketitsia, ma virus (monga fuluwenza kapena SARS) ndi protozoa.

Amatengeka mwachangu kuchokera kumtunda wam'mimba. Kuchulukana kwambiri m'madzi am'magazi kumachitika mphindi 90-120 pambuyo pa kuperekedwa. Imayamba kuwonetsedwa pambuyo maola 1.5 osasinthika (mpaka 70%). Zimasiya thupi makamaka ndi mkodzo komanso mbali ina yamatumbo.

Zomwe zimathandiza

Ntchito antibacterial regimens pochiza matenda opatsirana:

  • dongosolo la bronchopulmonary,
  • Ziwalo za ENT
  • hepatobiliary dongosolo
  • genitourinary dongosolo
  • kwamikodzo dongosolo
  • musculoskeletal system
  • zida za musculo-ligamentous.

Kuphatikiza apo, amagwiritsidwa ntchito poletsa kukula kwa matenda opatsirana m'magawo a postoperative a mankhwalawa komanso pochiza matenda opatsirana a bakiteriya a minofu yofewa.

Amoxil (DT 500 kapena mawonekedwe ake) amatha kuperekedwa kwa mwana yemwe ali ndi zovuta zovuta.

Kuphatikiza regimens ndi metronidazole kapena clarithromycin, zotchulidwa mankhwala a matenda am'mimba dongosolo kugwirizana ndi Helicobacter pylori.

Amoxil (DT 500 kapena analogues ake) amatha kupatsidwa mankhwala kwa ana omwe ali ndi zovuta zovuta, koma pamaso pa mitundu yovuta ya otitis media, rickets, fungal matenda, vuto la autoimmune komanso matenda a immunodeficiency.

Contraindication

Sichidziwikire ngati wodwala amatha kudziwa penicillins, cephalosporins, carbapenems. Sitikulimbikitsidwa kugwiritsa ntchito munthawi ya mkaka wa m`mawere. Osasankhidwa kwa ana osakwana zaka zitatu.

Ndi a impso pathologies, kusintha kwa mankhwalawa kumafunikira. Amalembedwa mosamala kwa anthu omwe ali ndi mbiri ya:

  • matenda opatsirana ndi ma virus
  • pachimake lymphatic leukemia,
  • matupi awo sagwirizana.

Momwe mungatenge Amoxil

Imaperekedwa pakamwa. Kutenga mankhwalawa sikudalira chakudyacho. Mlingo komanso muyezo wa mankhwalawa amatsimikiza malinga ndi malangizo ogwiritsira ntchito.

Mlingo wa tsiku ndi tsiku wa mwana kuyambira 30 mpaka 60 mg / kg, ndipo umatha kugawidwa pawiri kapena katatu.

Amalandira kwa akulu ndi ana atatha zaka 10 kuchiza matenda omwe amachitika:

  • mawonekedwe owoneka bwino ndi apakati - 0.5-0.75 g kawiri pa tsiku,
  • mawonekedwe owopsa kapena ovuta - 0,75-1.0 g kawiri pa tsiku.

Ana (kawiri patsiku):

  • pa zaka 3 mpaka 10 - 0,375 g iliyonse,
  • ali ndi zaka 1-3 - 0,25 g.

Mlingo wa tsiku ndi tsiku wa mwana kuyambira 30 mpaka 60 mg / kg, ndipo umatha kugawidwa pawiri kapena katatu.

Mu matenda am'mimba dongosolo logwirizana ndi H. pylori, amalimbikitsidwa sabata (kawiri pa tsiku):

  • 1000 mg kuphatikiza ndi 0,5 g ya clarithromycin ndi 0,04 g wa omeprazole,
  • 750-1000 mg osakanikirana ndi 0,4 g wa metronidazole ndi 0,04 g wa omeprazole.

Kwa mitundu yosavuta ya chinzonono, mutha kumwa limodzi la Amoxil (3 g) ndi Probenecid (1 g).

Ntchito mankhwalawa zochizira matenda ashuga.

Zotsatira zoyipa

Kuyankha kosakwanira kwa thupi kumwa mankhwalawa ndizotheka.

Titha kuwoneka: nseru (mpaka kusanza), kusokonezeka kwa kamvekedwe, pakamwa pouma, kuchepa kwa chakudya, kufalikira, kupweteka kwa epigastric komanso kusapeza bwino, colitis.

Mwina chitukuko cha zochitika monga eosinophilia, kusintha kosinthika kwa thrombocytopenia ndi leukopenia, kuchepa kwazitsulo, kuchuluka kwa prothrombin nthawi.

Ndi pathologies a chiwindi, kuchuluka kwa michere ya chiwindi kumawonjezeka, zizindikiro za jaundice zitha kuwoneka.

Kusowa tulo, kuda nkhawa, chizungulire komanso kupweteka kwa mutu.

Nthawi zina, interphitial nephritis imayamba.

Ndizotheka maonekedwe a khungu lanu siligwirizana ndi mitundu yambiri ya dermatitis, komanso kufooka kwathunthu komanso candidiasis.

Malangizo apadera

Zimafunikira kupatulapo wodwala yemwe ali ndi matenda a penicillin ndi magulu a mankhwala a cephalosporin.

Kugwiritsa ntchito mankhwala osakwanira kungayambitse kukula kwa kukhudzika kwa mankhwala.

M'matenda am'mimba am'mimba, limodzi ndi kusanza ndi kutsekula m'mimba, mitundu yamlomo ya amoxicillin simalowedwa kwambiri.

Kuti muchepetse chiopsezo cha mapangidwe am'madzi a amoxicillin popereka mankhwala okwanira, ndikofunikira kudya madzi ambiri.

Amoxil sigwirizana ndi mowa.

Zitha kuyambitsa kusintha kwa mithunzi ya enamel ya mano, motero, kulandira kwake kumafunika kutsatira mosamalitsa pakamwa.

Zosagwirizana. Mwa odwala ena, akaphatikizidwa, zotsatira za antabuse zimawonedwa, limodzi ndi mutu, nseru ndi kusanza, kuchuluka kwa mtima, kuthamanga kwa magazi, kulephera kupuma, kunjenjemera, etc.

Odwala omwe akuyendetsa magalimoto kapena njira zina zowopsa amalembera mosamala (chifukwa cha chiwopsezo cha mavuto obwera chifukwa cha dongosolo lamkati).

Ngakhale kuti mankhwalawa alibe mphamvu yakukula kwa mwana wosabadwayo, amayi oyembekezera amamulembera pokhapokha ngati pali zovuta zina.

Mukamagwiritsa ntchito mankhwalawa, ndikofunikira kusiya kuyamwitsa.

Gawo limalowa mkaka wa m'mawere, chifukwa chake, ukamagwiritsidwa ntchito nthawi ya mkaka wa m'mawere, ndikofunikira kusiya kuyamwitsa.

Osati kupatsidwa kwa makanda ndi ana mpaka zaka zitatu.

Malangizo othandizira othandizira okalamba safunika.

Bongo

Chithunzi cha chipatala cha bongo ndi kuwonjezereka kwa zotsatira zoyipa.

Chithandizo cha zizindikiro zimadalira mkhalidwe wa wodwalayo.

Mosasamala za kuuma, njira zomwe zikugwiritsidwa ntchito:

  • chifuwa cham'mimba,
  • kupangira kukonzekera kwa sorbent (mwachitsanzo, makina oyambitsa),
  • kumwa mchere.

Kuchita ndi mankhwala ena

Kugwiritsa ntchito pamodzi kwa amoxicillin ndi njira zakulera zam'mlomo zimayambitsa kuchepa kwa mphamvu yomaliza.

Zimathandizira kuyamwa kwa digoxin.

Zosagwirizana ndi disulfiram.

Mtengo wapakati wa mankhwalawa ku Russia umasiyana 340 mpaka 520 rubles.

Ikagwiritsidwa ntchito molumikizana ndi Probenecid, Oxyphenbutazone, Phenylbutazone, Aspirin, Indomethacin kapena Sulfinperazone, imachotsedwa m'thupi kwambiri.

Pogwiritsa ntchito munthawi yomweyo mankhwala a chloramphenicol ndi maantibayotiki ena (tetracyclines kapena macrolides), mphamvu ya mankhwalawa imachepetsedwa.

Mukamamwa ndi Allopurinol, chiopsezo cha khungu lawo siligwirizana.

  • Augmentin
  • Amosin
  • Amoxil K 625,
  • Amoxiclav
  • Samalirani
  • Flemoklav Solutab,
  • Panklav et al.

Kuphatikiza apo, Amoxicillin 250 mg (500 mg kapena mawonekedwe a ufa) nthawi zambiri amalimbikitsidwa m'malo mwake.

Anox ya Amoxicill ndi Amoxicillin 250 mg (500 mg kapena mawonekedwe a ufa).

Ndemanga za madotolo ndi odwala pa Amoxil

Voronova N.G., otolaryngologist, Belgorod

Maantibayotiki abwino okhala ndi ma penicillin angapo. Ndikupangira izi kwa odwala anga omwe ali ndi matenda a streptococcal, komanso mitundu yosavuta ya matenda opatsirana komanso otupa a khutu ndi mmero kwa anthu azaka zosiyanasiyana. Imalekerera bwino ndipo nthawi zambiri imayambitsa mavuto. Poyerekeza ndi kagwiritsidwe ntchito ka ma antibacterial othandizira ena, amatha kukhala osathandiza (chifukwa cha kukana microflora). Chosavuta kugwiritsa ntchito.

Nazemtseva R.K., gastroenterologist, Kaluga

Ndikupangira mankhwalawa mu regimication chithandizo regimens. Zogulitsa zotsika mtengo, zomwe mtengo wake umayenera aliyense. Kugwiritsa ntchito kwambiri matenda ammimba. Wolekeredwa bwino ndi akulu ndi ana.

Vasilyeva G.V., dokotala wazamankhwala, Chita

Nthawi zambiri ndimalembera odwala anga. Ngakhale mankhwalawo pawokha sioyipa, nthawi zambiri samatha kuthana ndi tizilombo toyambitsa matenda a m'chiuno.

Karina, wazaka 28, Biysk

Ndili ndi matenda osatha a mamillionitis, motero ndimasunga mankhwalawo kabati yanga yamankhwala. Sindinazindikire mawonekedwe apadera azotsatira zoyipa. Nthawi yomweyo ndimayesetsa kutenga Bifidumbacterin, chifukwa chake zizindikiro za dysbiosis zimakhala pafupifupi zosaoneka. Amachotsera zizindikiro mwachangu.

Natalia, wazaka 36, ​​Novosibirsk

Pambuyo pakukulanso kwa matenda osatha a pyelonephritis, kupweteka kumawonekera pakukodza ndi kutulutsa kwachilendo ndi fungo losasangalatsa. Ndinatembenukira ku chipatala cha anakubala komwe adamupeza ndi matenda a misala. Ndipo akuti nthendayi nthawi zambiri imakhala yofanana ndi yotupa. Adalimbikitsa njira yothandizira mankhwalawa, opaka ndi njira yofunda ya chamomile, mafuta opaka ndi bulugamu wofukizira ndi mafuta okongoletsa. Ndimayikira izi kwa masiku 4. Zizindikiro zosasangalatsa tsopano sizinatchulidwe bwino, ndipo ndikumva bwino.

Zowonetsa kugwiritsa ntchito Amoxil

Kugwiritsa ntchito Amoxil kukuwonetsedwa pamatenda omwe ali:

  • matenda a impso ndi kwamkodzo
  • matenda am`mimba thirakiti ndi hepatobiliary dongosolo,
  • matenda a pakhungu ndi minofu yofewa,
  • matenda a mafupa ndi minofu mafupa.

Komanso, mankhwalawa amagwira ntchito pazovuta zina mwa odwala omwe akuchitidwa opaleshoni.

Amoxil adapangidwira zochizira zilonda zam'mimba komanso gastritis yovuta, kuphatikiza ndi metronidazole kapena clarithromycin.

Mlingo ndi makonzedwe

Malinga ndi malangizo, Amoxil imagwiritsidwa ntchito ngati mapiritsi kapena ufa (wopangira mtsempha). Poyamba, ndikofunikira kumwa mankhwalawo mkati, osayang'ana nthawi yakudya. Mapiritsi a Amoxil ayenera kumezedwa lonse ndikutsukidwa ndi madzi. Monga lamulo, muyenera kumwa mankhwalawa limodzi ndi maola 8. Akuluakulu amayikidwa 250-500 mg pa nthawi, koma m'malo ovuta kwambiri, mlingowo ungathe kuwonjezeka mpaka 1 g.

Mapiritsi a Amoxil amawonetsedwa kwa ana mu Mlingo wotsatira:

  • Zaka 1-2 - 30 mg wa pa kilogalamu ya thupi patsiku,
  • Zaka 2-5 - 125 mg nthawi
  • Zaka 5-10 - 250 mg pa mlingo,
  • kuyambira zaka 10 - 250-500 mg pa mlingo, ngati kulemera kuposa 40 kg.

Mlingo woyenera wovomerezeka ndi 60 mg pa 1 kg ya kulemera kwa tsiku.

Jekeseni wamitsempha wamankhwala amachitika kukapanda kuleka kapena kutulutsa maora aliwonse 8-12. Asanagwiritse ntchito, yankho limapangidwa pamaziko a Amoxil ufa, pambuyo pake amalowetsedwa m'mitsempha. Kusunga mankhwala kuchepetsedwa sikuletsa.

Mlingo wa akuluakulu ndi 1000/20 mg ndi gawo la maola 8. Mwazovuta kwambiri, mlingo wa 1000/200 mg mg maola 6 aliwonse ndiovomerezeka, koma izi ndizokwanira.

Panthawi yopangira opaleshoni, jakisoni imachitika pamaso pa opaleshoni, mlingo wake ndi 1000/1 mg, pambuyo pake umaperekedwa kwa maola 6 aliwonse.

Kwa ana, Mlingo wa jakisoni wa Amoxil uli motere:

  • mpaka miyezi itatu ndi kulemera kwa pafupifupi 4 kg - 25/5 mg pa 1 kg ya kulemera kulikonse maola 12,
  • kuyambira miyezi itatu mpaka zaka 12 ndi masekeli opitilira 4 - 25/5 mg pa kg iliyonse pa maola 8 aliwonse.

Kusiya Ndemanga Yanu