Malangizo ogwiritsira ntchito Amoxiclav 500: kapangidwe, Mlingo, mitengo ndi malingaliro pa mankhwala

Amoxiclav 500 + 125 mg ndi mankhwala ochepetsa mphamvu ya antibacterial. Amagwira motsutsana ndi mabakiteriya ambiri omwe ndi amachititsa matenda osiyanasiyana opatsirana. Mankhwala ndi oimira gulu la pharmacological kuphatikiza kwa ma cell opangidwa ndi penicillin opatsirana ndi cell cellase inhibitors.

Kutulutsa mawonekedwe ndi kapangidwe kake

Mankhwala amapezeka mu mawonekedwe a mapiritsi a zidutswa 14 papaketi iliyonse. Zida zazikulu zomwe zimagwiritsa ntchito mankhwalawa ndi amooticillin (mankhwala opangidwa ndi penicillin gulu) ndi clavulanic acid (choletsa ma enzyme ya bakiteriya yomwe imawononga penicillin ndi analogues - β-lactamase. Zinthu zothandizazi zimathandizira kuti ntchito ya mankhwalawa igwiritsidwe mabakiteriya osiyanasiyana.

Piritsi limodzi la Amoxiclav, lomwe lili ndi 500 mg / 125 mg lili pazinthu zomwe zikugwira ntchito:

  • amoxicillin (monga amoxicillin trihydrate) 500 mg
  • clavulanic acid (monga potaziyamu clavulanate) 125 mg

Komanso mapiritsi amakhala ndi zinthu zothandiza:

  • Silicon dioxide colloidal amadzimadzi.
  • Crospovidone.
  • Magnesium wakuba.
  • Croscarmellose sodium.
  • Microcrystalline mapadi.
  • Cell ya Ethyl.
  • Polysorbate.
  • Talc.
  • Titanium dioxide (E171).

Kuchuluka kwa mapiritsi amodzi mu phukusi limodzi la Amoxiclav lakonzedwa kuti pakhale mankhwala ochepetsa mphamvu ya antibayotiki. Mlingo wosiyanasiyana umakupatsani mwayi wosinthira kuchuluka kwa maantibayotiki pakugwiritsa ntchito.

Mankhwala

Amoxicillin ndi mankhwala othana ndi vuto la penicillin, mamolekyulu ake amakhala ndi mphete ya β-lactam. Amagwira motsutsana ndi mabakiteriya ambiri, ali ndi bactericidal zotsatira (amawononga maselo a tizilombo) chifukwa cha kusokonezeka kapangidwe ka khoma la maselo. Mabakiteriya ena amapanga enzyme zy-lactamase, yomwe imawononga mphete ya β-lactam ya molekyuli ya amoxicillin, yomwe imatsogolera ku inactivation yake. Kusunga ntchito ya antibacteria ku mabakiteriya, chinthu chachiwiri chomwe chimagwira piritsi ndi clavulanic acid. Kapangidwe kameneka kamalepheretsa enzyme β-lactamase, yomwe imapangitsa mabakiteriyawa kuyamba kugwira ntchito yokhala ndi poizoni. Kuphatikiza kumeneku kwa zinthu zomwe zimathandizanso kumatchedwa amoxicillin, kotetezedwa ndi clavulanic acid. Clavulanic acid sachita mpikisano ndi amoxicillin komanso sachita zinthu zingapo zotsutsana ndi antibacterial. Chifukwa chake, Amoxiclav imagwira ntchito motsutsana ndi mabakiteriya ambiri:

  • Ma gror-positive aerobes (mabakiteriya omwe ali ndi utoto wofiirira wa Gram ndipo amatha kupangika pokhapokha mpweya wabwino) ndi tizilombo ta Enterococcus faecium, Corynebacterium spp., Staphylococcus aureus, Listeria spp.
  • Ana grob-anaerobes (nawonso amatembenukira ofiirira, koma kukula ndi kuthekera kwawo kungatheke popanda mpweya) - Clostridium perfringens, Actinomyces israell, Peptococcus spp., Peptostreptococcus spp.
  • Gram-negative aerobes (Ma gramu ndi pinki ndipo amatha kupezeka pamaso pa okosijeni) - Salmonella spp., Shigella spp., Vibrio cholerae, Helicobacter pylori, Bordetella pertussis, Neisseria gonorrhoeae, Neisseria meningitidіs, Pasteurella multochrella, Harrel Escherichia coli, Klebsiella spp., Proteus mirabilis, Proteus vulgaris.
  • Ma gram alibe anaerobes (amatha kumangokhala pansi pamikhalidwe yodzoza ndikutembenukira pinki) - Fusobacterium spp., Prevotella spp, Bacteroides spp.

Zosakaniza zazikulu zomwe zimagwiritsa ntchito mankhwalawa zimachokera ku matumbo. Mwazi wawo umafika pachithandizo chambiri mkati mwa theka la ola mutatha kumwa mapiritsi, kuchuluka kwakukulu kumafikiridwa pafupifupi maola awiri. Zonsezi zimagawidwa mokwanira mu minyewa yonse ya thupi, kupatula ubongo, chingwe cha msana ndi madzi am'magazi (chithokomiro cham'mimba), popeza sizilowa mu chotchinga cha magazi (malinga ngati palibe njira yotupa m'matumbo athu). Komanso, amoxicillin ndi clavulanic acid amadutsa chikhodzodzo kulowa mwana wosabadwayo panthawi yoyembekezera ndikudutsa mkaka wa m'mawere panthawi ya mkaka wa m'mawere. Zinthu zofunikirazi zimakumbidwa makamaka ndi impso (90%) zosasinthika. Hafu ya moyo (kuchotsedwa kwa nthawi ya 50% ya chinthu kuchokera koyambirira kuzungulira thupi) ndi mphindi 60-70.

Zizindikiro zogwiritsidwa ntchito

Amoxiclav ndimankhwala othana ndi bakiteriya, amawonetsedwa pochiza matenda opatsirana omwe amayamba chifukwa cha mabakiteriya omwe amakhudzidwa ndi penicillin ndi analogenes:

  • Matenda opatsirana a chapamwamba kupuma thirakiti - otitis media (kutupa kwa khutu lapakati), tonsillitis (kutupa kwa tinthu), pharyngitis (kutupa kwa pharynx) ndi laryngitis (kutupa kwa larynx).
  • Matenda opatsirana a m'munsi kupuma thirakiti - bronchitis (kutupa kwa bronchi) ndi chibayo (chibayo).
  • Matenda opatsirana a kwamikodzo dongosolo - cystitis (kutupa kwa chikhodzodzo), urethritis (kutupa kwa urethra), pyelonephritis (njira ya bakiteriya mu dongosolo la impsocaliceal la impso.
  • Matenda a ziwalo zamkati mwa mayi ndi chithupsa cham'mimba (kupangika kwa patsekeke yochepa yodzaza ndi mafinya) ya chiberekero kapena minyewa ya m'chiuno.
  • Matenda opatsirana mu ziwalo ndi CHIKWANGWANI cham'mimba - matumbo, peritoneum, chiwindi ndi bile ducts.
  • Matenda opatsirana a pakhungu ndi minyewa yodutsa - kutenthedwa kwa kutentha, chithupsa (kutulutsa thukuta limodzi, zotupa ndi zotupa zake), carbuncle (purifiyumu ingapo yodutsa komweko).
  • Matenda oyambitsidwa ndi matenda a m'nsagwada ndi mano (matenda odontogenic).
  • Matenda opatsirana omwe amapanga dongosolo la musculoskeletal system - mafupa (osteomyelitis) ndi mafupa (a mafupa am'mimba).
  • Prophylactic antibiotic mankhwala asanagwiritse ntchito njira zilizonse zachipatala limodzi ndi kuphwanya umphumphu wa khungu kapena mucous nembanemba.

Amoxicillin angagwiritsidwenso ntchito pophatikiza mankhwalawa ndi maantibayotiki angapo a magulu osiyanasiyana achire kuti athandizire kuphimba kwawo.

Contraindication

Kuwonekera kwa ma contraindication ogwiritsira ntchito Amoxiclav sikokwanira, kumaphatikizapo izi:

  • Mankhwala osokoneza bongo a penicillin ndi kufanana kwawo ndi kutsutsana kwathunthu, komwe Amoxiclav imachotsedwa ndi mankhwala opatsirana kuchokera ku gulu lina la mankhwala. Amoxicillin angayambitse kutengeka koyipa, komwe kumawonekera pakhungu pakhungu, kuyabwa, ming'oma (chotupa pakhungu la edema yofanana ndi kuyaka kwamkati), edincke's edema (angioedema pakhungu ndi minofu yolowera), kusokonezeka kwapafupipafupi. kuchepa kwa kuchepa kwamphamvu kwa magazi ndi chitukuko cha ziwalo zingapo).
  • Kuwonongeka kwakukulu kwa magwiridwe antchito a chiwindi ndi impso (kusakwanira kwa ziwalo izi).
  • Matenda ena a ma virus ndi opatsirana mononucleosis.
  • Njira yotupa m'mitsempha ya m'mimba yofiyira yokhala ndi mafupa ofiira ndi lymphocytic leukemia.

Pamaso pazochitika zilizonse zomwe zingachitike ndi mankhwala amtundu wa penicillin (amoxicillin imagwiranso ntchito kwa iwo), Amoxiclav sichigwiritsanso ntchito.

Mlingo wa mapiritsi a Amoxiclav kwa akuluakulu

Njira ndi Mlingo wa kugwiritsa ntchito Amoxiclav zimatsimikiziridwa ndi adotolo pamaziko a zinthu zambiri - kukonza, kuopsa kwa matenda opatsirana, kutengera kwake. Ndibwino kuchititsanso kuwunika kwawoko maubwino wa chithandizo cha mankhwala pogwiritsa ntchito maphunziro a bacteria.

Njira ya mankhwala ndi masiku 5-14. Kutalika kwa nthawi ya chithandizo akutsimikiza ndi dokotala. Kuchiza sikuyenera kupitirira masiku opitilira 14 popanda kupimidwa kachiwiri.

Popeza mapiritsi osakanikirana a amoxicillin ndi clavulanic acid a 250 mg + 125 mg ndi 500 mg + 125 mg ali ndi kuchuluka komweko kwa clavulanic acid -125 mg, mapiritsi 2 a 250 mg + 125 mg siofanana ndi piritsi limodzi la 500 mg + 125 mg.

Zotsatira zoyipa

Kumwa mapiritsi a Amoxiclav kungayambitse kukulitsa zovuta zingapo:

  • Dyspeptic syndrome - kusowa kwa chilakolako cha chakudya, nseru, kusanza kwakanthawi, kutsegula m'mimba.
  • Mphamvu yamankhwala pakudya chamagaya oyambitsidwa ndi Amoxiclav imapangitsa khungu kuwonongeka kwa mano, kutupa kwa m'mimba mucosa (gastritis), kutupa kwamatumbo ang'onoang'ono (enteritis) ndi (colitis) yayikulu.
  • Kuwonongeka kwa hepatocytes (maselo a chiwindi) ndi kuchuluka kwa michere yawo (AST, ALT) ndi bilirubin m'magazi, kuwonongeka kwa bile (cholestatic jaundice).
  • Thupi lawo siligwirizana zomwe zimachitika kwa nthawi yoyamba ndipo zimatha kutsagana ndi matenda osiyanitsa - kuyambira pakhungu pakhungu mpaka pakukhazikika kwa anaphylactic.
  • Kusokonezeka mu hematopoietic dongosolo - kuchepa kwa milingo ya leukocytes (leukocytopenia), maselo othandiza magazi kuundana (thrombocytopenia), kuchepa kwa magazi, magazi a hemolytic chifukwa cha kuwonongeka kwa maselo ofiira amwazi.
  • Kusintha kwa magwiridwe antchito amtundu wamanjenje - chizungulire, kupweteka pamutu, kukulitsa khunyu.
  • Kutupa kwamkati mwa impso (interstitial nephritis), mawonekedwe a makhiristo (crystalluria) kapena magazi (hematuria) mkodzo.
  • Dysbacteriosis ndikuphwanya microflora wabwinobwino wa mucous membrane, chifukwa cha kuwonongeka kwa mabakiteriya omwe amakhala momwemo. Komanso, motsutsana ndi maziko a dysbiosis, vuto linalake lingakhale kukula kwa matenda oyamba ndi fungus.

Pankhani ya zovuta, kumwa mapiritsi a Amoxiclav kuyimitsidwa.

Malangizo apadera

Kugwiritsa ntchito mapiritsi a Amoxiclav 500 + 125 kuyenera kuchitika pokhapokha malinga ndi dokotala. Ndikupangidwanso kuti muwerenge malangizo a mankhwalawo. Malangizo apadera okhudza kuperekera kwa mankhwalawa ayenera kukumbukiridwa:

  • Musanayambe kumwa, muyenera kuwonetsetsa kuti m'mbuyomu palibe zomwe zimachitika pakumwa mankhwala a gulu la penicillin ndi mitundu yake. Ngati ndi kotheka, ndikofunikira kuchita zoyeserera.
  • Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha ngati pali mabakiteriya omwe amayamba chifukwa cha mabakiteriya omwe amakhala ndi chidwi cha amoxicillin. Amoxiclav sikugwira ntchito motsutsana ndi ma virus. Njira yoyenera yoyambira yothandizira maantibayotiki ndikuchita kafukufuku wa bacteria, ndikuwonetsa chikhalidwe cha causative wothandizila wa pathological ndikuwonetsa chidwi chake ku Amoxiclav.
  • Ngati palibe zotsatira kuyambira pakuyamba kugwiritsa ntchito mapiritsi a Amoxiclav mkati mwa maola 48-72, amasinthidwa ndi mankhwala enanso othandizira kapena njira zochiritsira zosinthika zasintha.
  • Mosamala kwambiri, Amoxiclav amagwiritsidwa ntchito mwa odwala omwe ali ndi chiwindi kapena vuto la impso, pomwe ntchito zawo zimayang'aniridwa.
  • Panthawi ya mankhwala
  • Palibe chidziwitso pakuwonongeka kwa Amoxiclav pa mwana wosabadwayo. Komabe, kugwiritsa ntchito koyamba kwa nthawi ya mimba ndikosayenera. Pakumapeto kwakanthawi komanso poyamwitsa, mankhwalawa amavomerezedwa kuti agwiritsidwe ntchito, koma kuvomerezeka kuyenera kuchitika kokha moyang'aniridwa ndi dokotala.
  • Amoxiclav pamapiritsi a ana aang'ono sagwiritsidwa ntchito, popeza imakhala ndi zinthu zambiri zogwira ntchito, zopangidwira zaka zapakati pa 6.
  • Kugwiritsa ntchito pamodzi ndi mankhwala a magulu ena a mankhwala kuyenera kukhala osamala kwambiri. Osagwiritsa ntchito mankhwala omwe amachepetsa magazi ndikuwopsa kwa chiwindi kapena impso.
  • Mapiritsi a Amoxiclav samasokoneza kwenikweni momwe munthu amachitikira komanso kuwonongeka.

Malangizo onse apaderawa okhudza kugwiritsidwa ntchito kwa Amoxiclav amayenera kuganiziridwa ndi adokotala asanakumane.

Bongo

Kuchuluka kwazowonjezera za mankhwalawa mukamamwa mapiritsi a Amoxiclav kumatha kuyenda limodzi ndi kusintha kwa kugwira ntchito kwa ziwalo zam'mimba thirakiti (nseru, kusanza, kutsekula m'mimba, kupweteka kwam'mimba), komanso mantha am'mimba (mutu, kugona, kukokana). Nthawi zina bongo wambiri wa mankhwalawa ungayambitse hemolytic anemia, chiwindi kapena impso. Ngati muli ndi vuto la bongo, muyenera kusiya kumwa mankhwalawo ndi kupita kuchipatala. Mankhwalawa amagawidwa m'mafakisoni mwa mankhwala.

Gwiritsani ntchito panthawi yoyembekezera komanso poyamwitsa

Kafukufuku wazinyama sanawululire zowopsa za kumwa mankhwalawa panthawi yomwe ali ndi pakati komanso momwe zimakhudzira kukula kwa fetal.

Kafukufuku wina mwa azimayi omwe ali ndi matendawa asanakwane, zimapezeka kuti kugwiritsa ntchito prophylactic ndi amoxicillin / clavulanic acid kumatha kuphatikizidwa ndi chiopsezo chowonjezeka cha necrotizing enterocolitis mu akhanda. Pa nthawi yoyembekezera komanso mkaka wa m'mawere, mankhwalawa amagwiritsidwa ntchito pokhapokha ngati phindu lomwe limaperekedwa kwa mayi limaposa chiwopsezo cha mwana wosabadwayo ndi mwana. Amoxicillin ndi clavulanic acid ochepa omwe amalowa mkaka wa m'mawere. Mu makanda omwe amalandila yoyamwitsa, kukula kwa chidwi, kutsegula m'mimba, ma micidi a mucous nembanemba amkamwa amatha. Mukamamwa Amoxiclav 500 + 125, ndikofunikira kuthetsa nkhani yosiya kuyamwitsa.

Zomwe zimagwiritsidwa ntchito komanso zikuwonetsa kugwiritsa ntchito Amoxiclav 500 mg

Amoxiclav 500 mg mpaka 125 mg amadziwika makamaka kwa odwala omwe ali ndi matenda omwe amapangidwa ndi kutenga bacteria monga staphylococcus, enterococcus, brucella ndi ena ambiri.

Makonda ambiri amayamba chifukwa cha matenda opuma komanso matenda otolaryngic.

Amoxiclav 500 ufa wothandizira jakisoni amapatsidwa mankhwala opatsirana pogonana komanso matenda omwe amachitika pambuyo pa opaleshoni.

Amoxiclav 125 mg kapena 250 mg ndikulimbikitsidwa kwa ana. Kukhazikitsidwa kwa Amoxiclav 500 ndikotheka m'malo ovuta, koma katswiriyo ayenera kuyesa zabwino ndi zoopsa za nthawiyo.

Momwe angatenge

Titha kunena kuti Amoxiclav 500 mg ndi mankhwala othandizira ophatikizika, chifukwa akamwedwa molondola, ma antibayotiki amatha kusintha mitundu ingapo yama virus.

Mutha kumwa Amoxiclav 500 pokhapokha pakulembapo mankhwala, pomwe katswiriyo akuyenera kuwonetsa momwe angatenge munthu wamkulu komanso payekha. Komanso, popanda mankhwala, Amoxiclav 500 sadzagulitsidwa ku pharmacy.

Zofunika! Amoxiclav 500 imalimbikitsidwa musanadye, chifukwa mankhwalawo amalowetsedwa bwino komanso odziwika bwino.

Njira yoyendetsera mankhwalawa imakumwa makamaka, kupatula jakisoni. Kwenikweni, mankhwalawa amayamwa sabata limodzi ndi kumwa 2 kawiri pa tsiku.

Yang'anani! Amoxiclav 500 imayamba mu ola limodzi.

Kwa ana, malamulo ovomerezeka azikhala ofanana, koma ndikofunikira kukumbukira kuti thupi la mwana limagwiritsidwa ntchito kwambiri ndi zinthu zina zomwe zingakhale ndi zotsatira zosayenera.

Mukamawerenga mankhwala, dokotala amakumbukira zinthu zotsatirazi:

  • zaka
  • kulemera kwa thupi
  • ntchito ya kwamikodzo,
  • kuchuluka kwa matenda.

Pambuyo pa kufufuza, katswiriyo amawona kuti ndi mtundu uti womwe umafunikira wachikulire.Pafupifupi, kwa munthu wamkulu wokhala ndi vuto locheperako komanso wathanzi, piritsi limodzi limayikidwa maola 12 aliwonse, ndi mitundu yayikulu, piritsi limodzi pakatha maola 8 aliwonse.

Kugwiritsira ntchito kwa ana pambuyo pa zaka 12 ndi kulemera kwa thupi wopitilira ma kilogalamu makumi anayi kuli kofanana ndi mlingo wa akulu, ndipo mukamayika mankhwala kwa ana aang'ono, amawongoleredwa ndi chithunzi cha 40 ml cha mankhwalawa pamakilogalamu 10 alionse a kulemera, poganizira kuchuluka kwa amoxicillin pa mamiligalamu asanu.

Mwachitsanzo: ndi mwana wolemera makilogalamu 8 ndi zaka zosakwana chaka chimodzi, mlingo wa tsiku ndi tsiku wa Amoxiclav 500 udzakhala motere - 40 mg * 8 kg * 5 ml / 500 = 3.2 ml. Mlingo uwu umayenera kugawidwa pawiri kapena katatu pa tsiku. Ngati ndi kotheka, piritsi limatha kugawidwa pakati.

Ndingatenge kumwa kwa Amoxiclav 500 mg mpaka liti?

Kutenga mankhwalawa kumatha masiku 14 osachepera masiku 7. Pafupifupi, Amoxiclav 500 imatengedwa kawiri kapena katatu patsiku.

Popeza mankhwalawa ali ndi mawonekedwe osiyanasiyana, muyenera kuwonetsetsa kuti palibe zoletsa kugwiritsa ntchito.

Ndizotheka kupereka Amoxiclav 500 kwa masabata opitilira awiri, koma izi zitha kuchitika katswiri ataziunika.

Kutheka kwa ntchito pa mimba ndi mkaka wa m`mawere

Amoxiclav 500, monga mankhwala ena aliwonse amtundu wa penicillin, amakhudza thupi la mayi wapakati kapena wolocha, motero, kuikidwa pokhapokha ngati pakufunika kofunikira.

Pamodzi ndi magazi, amoxicillin amadutsa mkaka wa m'mawere, omwe amangopatsidwa pakudyetsa kapena kufotokoza. Ndipo clavulanic acid imatha kulowa ngakhale kudzera m'makoma oyimitsa, omwe amakhalanso ndi vuto lakelo kwa mwana wosabadwayo.

Momwe mungapewere zoyipa

Pazifukwa zosamwa kapena zolakwika, komanso kumwa mankhwala mopitirira muyeso, zotsatira zoyipa zingachitike. Amatha kuwonetsa monga kuphwanya chimbudzi, chizungulire, thukuta kwambiri.

Panthawi yakukhudzidwa kosakhudzanso, komwe kumathandizanso ngati kuchuluka kwa mankhwalawa kumatheka ndi mankhwala osayenera, wodwalayo ayenera kusiya kumwa mankhwalawo. Ngati mukumwa mankhwalawa posachedwa, ndikofunikira kumeza m'mimba. Izi zimatha kuchitika pokhapokha ngati malo omwe wodwalayo ali ndi vuto, komanso ngati angasokoneze ziwalo zoberekera.

Dongosolo la kwamikodzo limatha kuchita zinthu zingapo zosasangalatsa, choncho kupewa mavuto obwera chifukwa cha kumwa Amoxiclav, muyenera kukumbukira:

  • ndi vuto laimpso, ndikofunikira kusintha mlingo kuti mutenge piritsi limodzi mu maola 48,
  • zigawo zikuluzikulu za mankhwalawa zimapukusidwa mu ziwalo zathanzi mokulira kwa maola awiri oyambilira, mutachotsa thupi lonse mkati mwa maola 24. Komabe, kuthetseratu mankhwala a matenda a impso sangachitike munthawi yochepa chonchi,
  • ngati kuli kotheka, samalani ndi maantibayotiki ena a gulu la beta-lactam.

Zotsatira zosakhala bwino, muyenera kulankhulana ndi katswiri nthawi yomweyo.

Mankhwala ofanana

Nthawi zambiri, kuperekedwa kwa mankhwala a mayina ena ogulitsa ndi mitundu ina chifukwa kumachitika chifukwa mabakiteriya ochulukirapo amalimbana ndi maantibayotiki omwe ali ndi kapangidwe kake. Izi ndiye maziko kuti mudziwe zomwe zimayimira Amoxiclav 500. Awa akhoza kukhala a Flemoxin solutab ndi Augmentin, komanso ena.

Komabe, ziyenera kukumbukiridwa kuti ngati ma analogues otsika mtengo amatengedwa limodzi ndi Amoxiclav 500, zovuta zamtanda zimatha. Ndikofunikanso kukumbukira kuti kugwiritsa ntchito nthawi yomweyo kwa allopurinol ndi Amoxiclav 500 kapena mankhwala enanso oterewa kungayambitse zovuta. Amoxicillin ayenera kuchotsedwa kwa wodwala.

Kodi Amoxiclav 500 mg ndi zochuluka motani

Monga analogue iliyonse, Amoxiclav 500 mu pharmacy iliyonse imatha kukhala ndalama zosiyana. Chifukwa chake mtengo wamba wamapiritsi ku Moscow udzakhala ma ruble 460, koma ku St. Petersburg mapiritsi amatenga ma ruble 455.

Mukamasankha mtengo wamapiritsi, simukuyenera kuthamangitsa mtengo wocheperako, zidzakhala zokwanira kupeza mankhwala omwe amaperekanso mtengo mukamagula.

Ndemanga za madotolo ndi odwala

Ndemanga za odwala a Amoxiclav 500 ndi akatswiri azachipatala ndi ofanana kwambiri. Chifukwa cha odwala omwe amamwa mankhwalawo, kugwiritsa ntchito mosavuta komanso kusapezeka kwa zovuta zimayang'aniridwa, kutsatira malangizowo.

Amadziwikanso ndi odwala kuti nthawi yamankhwala komanso zochita za mankhwalawo zimachitika mwachangu, chifukwa patapita masiku ochepa mankhwala othandizira amathandizira wodwala, ndipo kumapeto kwa sabata yonseyo matendawa amatheratu.

Akatswiri amagogomezera mawonekedwe abwino, Mlingo wosavuta ndi mawonekedwe a zochita za Amoxiclav 500.

Kusiya Ndemanga Yanu