Momwe mungatengere Augmentin 500 125 kwa akulu ndi ana

Augmentin ndi mankhwala ophatikizira pano omwe alipo, omwe ali ndi zochita zambiri. Wothandizila othandizira amatha kutha kuwononga tizilombo tating'onoting'ono tambiri tambiri tomwe timagwiritsa ntchito mphamvu zambiri m'thupi la amoxicillin ndi clavulanic acid. Ndi mankhwala oyenera, amatha kuwononga pafupifupi mitundu yonse ya tizilombo tokhala m'magulu osiyanasiyana. Chifukwa cha zigawo zikuluzikulu zomwe zimagwira, mankhwalawa amatha kupereka chithandizo chokwanira, chomwe chitha kubwezeretsanso thanzi la wodwalayo, ndikuchotsanso zizindikiro zosasangalatsa za matendawa.

Pharmacodynamics ndi pharmacokinetics a mankhwalawa

Chifukwa cha kapangidwe kake ka mankhwala, kuwonongeka kwakanthawi kwa pathogen kumatsimikiziridwa. Amoxicillin amachititsa kuti mbali ya maselo iwonongeke, chifukwa sichikhala ndi mphamvu yopitilira thupi la wodwalayo. Ndipo mothandizidwa ndi clavulanic acid, ndizotheka kuletsa kuchulukitsa kwa pathogen, komwe sikumupatsa mwayi wokhala ndi moyo m'thupi la munthu.

Zinthu zonse ziwiri zomwe zimagwiritsa ntchito mankhwalawa zimatha kuwononga ma virus ambiri komanso mabakiteriya omwe amawamverera. Koma kuti izi zitheke, ndikofunikira kumwa mankhwalawo moyenera, chifukwa kusatsatira mankhwalawa kumadzetsa kuwonongeka kwa thanzi, komanso kungakulitse matendawa.

Kupeza clavulanic acid mu mankhwala ndikofunikira kuti muteteze amoxicillin pakuwonongeka koyambirira kwa thupi. Kuphatikiza apo, chifukwa cha gawo ili, ndizotheka kuwononga tizilombo tambiri tomwe timagwirizana ndi ma cephalosporin ena, penicillin ndi magulu ena a mankhwala. Kuphatikiza apo, ma tizilombo toyambitsa matenda amatha kuyambitsa amoxicillin - chifukwa, mankhwalawa sakhala othandiza kwa wodwalayo.

Augmentin ali ndi mawonekedwe omwe amalimbikitsa kutulutsa pang'onopang'ono kwa zinthu zazikulu zogwira ntchito. Amasiyana ndi mapiritsi olimbitsa, opatsidwa antibacterial kanthu, mfundo zina za pharmacokinetic. Chifukwa cha izi, ndizotheka kuwonjezera chidwi cha mankhwalawa kuzinthu zomwe zimatsutsana ndi gawo lalikulu lomwe nthawi zina lingawoneke.

Zonsezi zomwe zimagwira zimatsala pang'ono kusungunuka m'matumbo am'mimba, makamaka ngati wodwala atenga piritsi ndi kapu yamadzi.

Pambuyo pa kupukutika kwa chipolopolo, zigawo za mankhwala zimatengedwa mwachangu kulowa m'magazi. Kuti akwaniritse kuthamanga kwamankhwala m'thupi, ndikofunika kuti wodwalayo amwe mapiritsi asanadye. Mukangomwa mankhwalawo, ziwalo zake zogwira ntchito zimadziunjikira mu ziwalo zosiyanasiyana, zamadzimadzi ndi michere ina, yomwe ndi:

mkodzo
khungu
mapapu
bile
nsalu
m'mimba
sputum
kupezeka kwa mafinya m'thupi.

Amoxicillin, monga mankhwala ena a penicillin, amatha kuwachotsa limodzi ndi mkaka wa m'mawere, chifukwa amamwa pafupifupi madzi onse obwera mthupi.

Komabe, akatswiri a zamankhwala ndi madotolo sanakhazikitse chiwopsezo chokhacho cha makanda akamamwa mkaka wa m'mawere ngati mayi akuchiza ndi antibayotiki. Kafukufuku waposachedwa akuwonetsa kuti Augmentin 500 125 sangathe kukhala ndi vuto komanso losakhazikika kwa mwana wosabadwayo, kotero mankhwalawa amatha kumwa ndi amayi apakati, koma izi ziyenera kuchitidwa moyang'aniridwa ndi dokotala.

Amoxicillin amachotsedwa m'thupi la wodwalayo kudzera mu impso, ndi clavulanic acid - kudzera mu ziwalo zoberekera ndi njira zina (mwachitsanzo, kudzera mu ndulu kapena ndowe). Pafupifupi 20% ya mankhwalawa imachoka m'thupi ndi mkodzo - zotsalazo zimathandizidwa ndi njira zina.

Dokotala akapereka mankhwala kwa odwala

Malangizo a Augmentin 500 125 ogwiritsira ntchito piritsiwa akuti kugwiritsa ntchito mankhwalawa ndikofunikira pa matenda opatsirana omwe amayambitsa kutupa. Izi zikuphatikiza:

sinusitis, otitis media, tonsillitis,
bronchopneumonia, bronchitis wapamwamba, chibayo chomwe chikuwoneka m'mapapo lobes,
matenda a ziwalo zamkodzo komanso njira zomwe zimaphatikizapo cystitis, urethritis, matenda a impso, matenda omwe amachititsa azimayi, chinzonono, ndi zina zotero.
Matenda amtundu wakhungu ndi zotupa - mwachitsanzo, osteomyelitis,
matenda ena osakanikirana, omwe amaphatikizapo kuchotsa mimba kwa septic, obstetric sepsis, ndi ena.

Augmentin amawonetsedwa ngati mapiritsi ang'onoang'ono, yokutidwa ndi nembanemba woonda. Mlingo wa mankhwalawa ndi 250, 500 ndi 875 mg.

Mankhwalawa amapangidwanso m'njira yoletsa kukakamiza pakamwa komanso yankho lamkati, komabe, mitundu yotere ya mankhwalawa sifunidwa ndi adokotala ndipo nthawi zambiri imagwiritsidwa ntchito wodwala ali kuchipatala.

Kuyimitsidwa kotengedwa pakamwa kumakhala ndi Mlingo wa 125, 200 ndi 400 mg, ndipo yankho la intravenous lili ndi 500 ndi 1000 mg. Mtundu wa othandizira othandizira zimatengera mwachindunji umboni wa adotolo, komanso kuuma kwa matenda ndi mtundu wake. Ngati chithandizo chovuta chikuchitika kunyumba, monga lamulo, wodwalayo adzafotokozedwa kuti agwiritse ntchito mapiritsi.

Malangizo a mankhwala othandizira

Monga tanena kale, mankhwalawa amayenera kumwedwa pokhapokha ngati adokotala adanenera. Pankhaniyi, mlingo wa Augmentin umakhazikitsidwa payekhapayekha, malinga ndi zovuta zambiri, zomwe ndi:

kuchuluka kwa thupi la wodwala
gulu
kuopsa kwa njira ya matenda,
ntchito ya impso za wodwalayo komanso njira iliyonse yamatenda ophatikizidwa.

Kuti mukwaniritse bwino mayamwidwe, komanso kupewa kupewetsa zotsatira zoyipa m'mimba, mankhwalawa amayenera kumwedwa musanadye. Kupanda kutero, wodwalayo adzafunika kudikirira chithandizo kuchokera ku Augmentin.

Njira yocheperako yothandizira matendawa ndi masiku 5. Ngati wodwala atamwa mankhwalawa kwa milungu iwiri, dokotala adzafunika kuwunika momwe thanzi alili, komanso kumvetsetsa zamankhwala - izi zimulola adotolo kusankha ngati angapitilize maphunzirowo ndi Augmentin kapena kutha kwathunthu. Pafupifupi, matenda opatsirana mwa akuluakulu amathandizidwa masiku a 5-7, ndipo ana masiku 8-10. Komabe, potengera momwe thupi limagwirira ntchito, nthawi yovuta ya mankhwala opha maantibayotiki imatha kukhala yosiyana.

Ngati ndi kotheka, dokotalayo amatha kupereka mankhwala kwa odwala. Izi zikutanthauza kuti choyamba wodwalayo amalandira chithandizo cha mankhwala osokoneza bongo, kenako asinthana ndikugwiritsa ntchito mapiritsi. Nthawi zambiri, dongosolo lotere la chithandizo limaperekedwa kwa odwala okalamba omwe amafunikira kuti athetse msanga zizindikiro zosasangalatsa za matendawa kuti akhale athanzi.

Augmentin, yemwe mlingo wake ndi 500 mg + 125 mg, akuyenera kutenga milungu yopitilira 2 popanda maphunziro achiwiri.

Ana ndi akulu omwe ali ndi zaka zopitilira 12 ndi kulemera kwama kilogalamu oposa 40 amafunika kumwa piritsi limodzi kangapo patsiku (Mlingo wa mankhwalawa ndi 500 mg + 125 mg).

Kwa ana omwe kulemera kwawo ndi kochepera 40 kilogalamu, mulingo woyenera wa mankhwalawa uyenera kutumizidwa ndi dokotala mosalephera. Monga lamulo, limafanana ndi mapiritsi a 1-2, omwe amafunikira kuledzera tsiku lonse. Okalamba safunika kusintha mlingo panthawi yovuta ya mankhwala, chifukwa sangathe kuvulaza thanzi la wodwalayo.

Mukamamwa mapiritsi, ndikofunikira kutsatira malingaliro onse ndi upangiri wa dokotala, chifukwa chithandizo chokhacho chofunikira chitha kukhala ndi zotsatira zowonjezera zathanzi, komanso kuthetsa zizindikiro zosasangalatsa za matendawa.

Zotsatira zoyipa za mankhwala ndi contraindication ake

Kotero kuti zovuta zake sizigunda thupi la wodwalayo, ayenera kutenga Augmentin molondola. Komabe, nthawi zina zovuta zoyipa zimapezekabe - ndiz:

urticaria
chizungulire
angioedema,
mutu
anaphylaxis,
zotupa pakhungu
matumbo a vasculitis,
kutsegula m'mimba
mtundu uliwonse wa chiwindi
candidiasis a mucosa (lilime, maliseche, ndi zina),
dyspepsia
mseru ndi kusanza (nthawi zambiri zimawonedwa pokhapokha kumwa mankhwala ambiri),
interstitial nephritis.

Ngati zovuta zotere zapezeka, ndikofunikira kuwunika momwe thanzi lanu lakhalira - ngati zotsatira zoyipa zimachitika kwa masiku atatu kapena kupitilira apo, muyenera kupita kwa dokotala kuti akonze mlingo wa Augmentin kapena alowe m'malo mwa antibacteria.

Monga momwe amathandizira ena othandizira, Augmentin ali ndi zotsutsana, izi:

jaundice
Kugwiritsidwa ntchito kwa chiwindi, komwe kumachitika chifukwa chakumwa mankhwala mu anamnesis,
kukhudzika kwambiri kwa thupi kumankhwala osokoneza bongo a beta-blocker.

Kuphatikiza apo, ndizoletsedwa kutenga Augmentin pa nthawi ya chitukuko kapena nthawi ya mononucleosis, popeza pamenepa, matendawa amatha kuyambitsa khungu pakhungu, lomwe nthawi zina limapangitsa kuti adziwe.

Pa nthawi yoyembekezera, kumwa mankhwala sikuletsedwa, chifukwa kafukufuku wambiri wasonyeza kuti mankhwalawa sangathenso kukhala ndi vuto kwa mwana yemwe akukula m'mimba. Koma, Augmentin akuyenera kutengedwa pokhapokha ngati adokotala adamuuza. Nthawi zambiri, mankhwalawa amaperekedwa ngati mzimayi ali ndi chiopsezo chachikulu chotenga zovuta kapena kachilombo ka fetus.

Koma kudyetsa kwachilengedwe sikufunikira kuyimitsidwa, chifukwa palibe zotsatira zoyipa pa thanzi la mwana.

Chofunikira kwambiri ndikuti musanapereke mankhwala ndi dokotala, ndikofunikira kuti muthe kupeza mbiri yachipatala yonse, kuzindikira momwe thupi limagwirira ku penicillin ndi cephalosporins. Kupanda kutero, wodwalayo angayambenso kudwala.

Ngati pazifukwa zilizonse wodwala akuletsedwa kutenga Augmentin, akhoza m'malo mwa ma fanizo otsatirawa: