Flemoklav - malangizo ogwiritsira ntchito ndi zisonyezo, kapangidwe, Mlingo, mawonekedwe amtundu ndi mtengo
Flemoklav Solyutab ndi anti-virus wambiri. Ntchito yake imayendetsedwa motsutsana ndi gramu-and gram-negative bacteria, kuphatikizapo mabakiteriya omwe amapanga beta-lactomoses. Pokonzekera malangizo a "Flemoklav Solutab", ndemanga zokhudzana ndi chithandizo cha odwala azaka zosiyanasiyana komanso mfundo zina zofunika zomwe zalembedwa m'nkhaniyi.
Makhalidwe wamba
Mankhwala "Flemoklav Solutab" amapezeka pamapiritsi okhala ndi mawonekedwe osalala komanso mawonekedwe ozungulira. Mitundu imasiyanasiyana kuyambira yoyera mpaka yachikaso yokhala ndi mawanga bulauni. Piritsi lililonse lili ndi logo ya kampani ndi zilembo. Pali zolemba monga "421", "422", "424", "425", zomwe zikuwonetsa kuchuluka kwacosulanic acid ndi amoxicillin pakupanga kukonzekera.
Flemoklav Solyutab amapezeka m'chimake cha blister, chomwe chimadzaza mu bokosi la makatoni. Mankhwala olimbana ndi mankhwalawa amathandizidwa ndi adokotala, ndipo mankhwalawa amaperekedwa pakamwa. Phukusili lili ndi:
- 2 matuza okhala ndi mapiritsi "Flemoklav Solyutab",
- malangizo ogwiritsa ntchito.
Ndemanga za iwo omwe adamwa mankhwalawo agwirizana kwathunthu ndi malangizo.
Kupanga ndi mawonekedwe a kumasulidwa
Flemoklav Solutab imangoperekedwa piritsi lamapiritsi, koma imakhala ndi mitundu 4 ya mitundu yosiyanasiyana. The mankhwala:
Mapiritsi oyera kapena odera ngati utoto
The kuchuluka kwa amoxicillin trihydrate, mg pa pc.
125, 250, 500 kapena 875
The kuchuluka kwa potaziyamu clavulanate, mg pa pc.
31.25, 62.5 kapena 125
Magnesium stearate, omwazika cellulose, saccharin, microcrystalline cellulose, tangerine ndi mandimu, vanillin, crospovidone
Chotupa cha ma 4 kapena 7 ma PC, mapaketi a matuza awiri kapena asanu, omwe ali ndi malangizo ogwiritsa ntchito
Pharmacodynamics ndi pharmacokinetics
Amoxicillin ndi gawo la antibacterial, clavulanic acid ndi beta-lactamase inhibitor. Mankhwala a bactericidal amalepheretsa kuphatikiza maselo a bacteria a Acinetobacter, Asteurella, Bacillus, Chlamydia, Cholera, Citrobacter, Enterococcus, Mycoplasma, Pseudomona, Saprophyticus bacteria bacteria:
- aerobic gram-Staphylococcus aureus ndi epidermidis, Streptococcus pyogene, anthracis, chibayo,
- anaerobic gram-positive Peptococcus spp., Clostridium spp., Peptostreptococcus spp.,
- Gram-negative aerobic Haemophilus fuluwenza ndi ducreyi, Shigella spp., Escherichia coli, Bordetella pertussis, Proteus mirabilis ndi vulgaris, Gardnerella vaginalis, Salmonella spp., Enterobacter spp, Klebsiella yeris neris inferiocida neris Campylobacter jejuni,
- anaerobic gram-negative Bacteroides spp. ndi fragilis.
Clavulanic acid imapanga khola lolimba ndi ma penicillinases ndipo sichimasokoneza amoxicillin motsogozedwa ndi michere. Zosakaniza zimafika pazitali zazitali pambuyo pa mphindi 45. Zina zama pharmacokinetic:
Kuyankhulana ndi mapuloteni a plasma,%
Kutupa kwa chiwindi,% ya mlingo
Hafu ya moyo atatenga 375 mg, maola
Kuchotsa impso,% ya mlingo
Zizindikiro zogwiritsidwa ntchito
Mankhwala othandizira antibacterial, mogwirizana ndi malangizo, ali ndi zisonyezo zingapo zogwiritsidwa ntchito. Izi zikuphatikiza:
- pyelonephritis, cystitis, pyelitis, urethritis, cervicitis, prostatitis, salpingitis,
- chibayo, sinusitis, tonsillitis, pharyngitis,
- salpingoophoritis, endometritis, tubo-ovarian abscess, bacterial vaginitis,
- postpartum sepsis, pelivioperitonitis,
- chancre zofewa, chinzonono,
- erysipelas, impetigo,
- mafinya, matenda a bala,
- matenda a postoperative (staph) ndi kupewa kwawo pakuchita opareshoni,
- osteomyelitis.
Mlingo ndi makonzedwe
Malangizo ogwiritsira ntchito Flemoklav ali ndi chidziwitso chogwiritsira ntchito mankhwalawa. Izi zitha kuchitika pakamwa (pakumwa pakamwa ndi kumwa mapiritsi ndi madzi) kapena kudzera m'mitsempha (njira yomalizirayi mu chipatala). Dokotala yekha ndi omwe angakulamulireni kumwa mapiritsi potengera mbiri ya udokotala, kuuma kwa matendawo, ndi machitidwe ake. Kwa ana ndi akulu, Mlingo wawo udzakhala wosiyana.
Akuluakulu
Ana opitirira zaka 12 ndi akulu amawonetsedwa kumwa 500 mg ya amoxicillin kawiri pa tsiku kapena 250 mg katatu patsiku. Ngati matendawa ali oopsa kapena akukhudza thirakiti la kupuma, ndiye kuti 875 mg ndi mankhwala amaperekedwa kawiri pa tsiku kapena 500 mg katatu patsiku. Malangizo ogwiritsira ntchito amachenjeza kuti mlingo waukulu wa tsiku ndi tsiku wa amoxicillin kwa odwala omwe ali ndi zaka 12 ndi 6 g, mpaka zaka 12 - 45 mg pa kg iliyonse ya thupi. Kwa clavulanic acid, ziwerengerozi ndi 600 mg ndi 10 mg pa kg iliyonse ya thupi.
Ngati odwala akuvutika kumeza, tikulimbikitsidwa kutenga kuyimitsidwa: chifukwa, piritsi limasungunuka m'madzi. Pakuperekedwa kwa odwala a zaka zopitilira 12, 1 ga amoxicillin amagwiritsidwa ntchito katatu patsiku (nthawi zina 4), koma osapitirira 6 g patsiku. Njira ya mankhwala kumatenga milungu iwiri, chithandizo cha otitis media chimatenga masiku 10. Pofuna kupewa kupezeka kwa matenda atatha opareshoni mpaka ola limodzi, 1 g ya mankhwalawa imathandizidwa, limodzi ndi kulowererapo - 1 g maola 6 aliwonse. Kusintha kwa dose kumachitika chifukwa cha kulephera kwa impso ndi hemodialysis.
Flemoklav Solutab wa ana
Malinga ndi malangizo, Flemoklav ya ana imatengedwa muyezo. Ngati mwana ali ndi zaka 12, amapatsidwa kuyimitsidwa (piritsi pa 50 ml ya madzi), madontho kapena madzi. Ana mpaka miyezi itatu panthawi imodzi amapatsidwa 30 mg pa kilogalamu ya thupi patsiku mu mgawo iwiri yogawika, wamkulu kuposa miyezi itatu - 25 mg / kg mu mgawo iwiri yogawika kapena 20 mg / kg mu katatu. Panthawi yamavuto, Mlingo umakulitsidwa mpaka 45 mg / kg mu Mlingo wawiri wosagawika kapena 40 mg / kg mu waukulu.
Ngati kutumikiridwa m`nsinga, ana 3 - 3 wazaka kutumikiridwa 25 mg / kg kulemera katatu patsiku, ndi zovuta 4 pa tsiku. Ana asanakwane omwe ali m'chipatala kwa miyezi itatu amalandila 25 mg / kg ya amoxicillin kawiri pa tsiku, nthawi yobereka - mlingo womwewo, koma katatu patsiku. Mlingo waukulu wa ana tsiku lililonse ndi: clavulanic acid - 10 mg / kg kulemera kwa thupi, amoxicillin - 45 mg / kg thupi.
Malangizo apadera
Malinga ndi malangizo, ngati maphunziro a Flemoklav akuchitika, muyenera kuyang'anira ntchito ya magazi kupanga ziwalo, impso, ndi chiwindi. Malangizo ena apadera:
- Kuti muchepetse kuthana ndi zovuta, imwani mapiritsi ndi chakudya.
- Ndi chithandizo, pamakhala mwayi wopezeka wamphamvu, womwe umayambitsidwa ndi kukula kwa microflora osazindikira mankhwala.
- Kumwa mankhwalawa kumatha kupereka zotsatira zolakwika mukamaphunzira kuchuluka kwa shuga mumkodzo. Kuti mupewe izi, tikulimbikitsidwa kugwiritsa ntchito njira yofufuzira ya glucose oxidant.
- Kuyimitsidwa kothirilidwa kumatha kusungidwa mufiriji kwa masiku osaposera asanu ndi awiri, sikungatheke kuzizira.
- Ngati wodwala akuchulukitsa ku penicillin, kuyanjana ndi cephalosporins ndikotheka.
- Mapiritsi awiri a 250 mg a amoxicillin sakulingana ndi piritsi limodzi la 500 mg la amoxicillin, popeza amaphatikiza kuchuluka kofanana kwa clavulanic acid (125 mg).
- Pa mankhwala, muyenera kusiya kumwa mowa.
- Chifukwa cha kuchuluka kwa amoxicillin mu mkodzo, imatha kukhazikika pamakoma a catheter omwe amayikidwa mu urethra, chifukwa chake chipangizocho chimayenera kusinthidwa nthawi zonse.
- Mankhwala, matenda a erythema, kutentha thupi ndi zotupa zimatha kuchitika, zomwe zingasonyeze kuyambika kwa pustulosis yovuta kwambiri. Pankhaniyi, ndikofunika kusiya chithandizo. Momwemonso, chithandizo chiyenera kusiyidwa ngati mwadzidzidzi mwachitika.
- Piritsi limodzi la 875 + 125 mg, 0,025 g ya potaziyamu amawerengedwa - izi ziyenera kudziwika kwa odwala omwe amawona zoletsa potenga chinthucho.
Flemoklav Solutab pa nthawi yapakati
Mankhwala amatchulidwa mosamala pa nthawi yoyembekezera komanso yoyamwitsa (mkaka wa m`mawere). Kugwiritsa ntchito Flemoklav ponyamula mwana nthawi zina kumatha mu kukula kwa necrotizing colitis pakubadwa kwatsopano kapena kuwonongeka kwamkati mwa amayi apakati. Mu trimester yoyamba ya kutenga pakati, mlingo wa 875 + 125 mg ndi mankhwala. Kugwiritsa ntchito mankhwalawa pambuyo pa masabata 13 kumafunikira kuikidwa kwa dokotala. Zigawo zonse ziwiri za Flemoklav zimalowa mu placenta. Malangizo samayambitsa milandu wa mwana wosabadwayo.
Kuyanjana kwa mankhwala osokoneza bongo
Kuphatikiza kwa Flemoclav ndi maantacid, aminoglycosides, glucosamine, ndi mankhwala ofewetsa tutsi kumachepetsa mayamwidwe ake, ndipo ndi ascorbic acid, amathandiza kuyamwa. Zina zomwe zimachitika mogwirizana ndi malangizo:
- Mankhwala a Bacteriostatic (tetracyclines, macrolides, sulfonamides, lincosamides, chloramphenicol) amagwiritsa ntchito mankhwala osokoneza bongo.
- Mankhwalawa amathandizira ntchito ya anticoagulants yosalunjika, chifukwa imachepetsa matumbo a microclora ndikuchepetsa kaphatikizidwe ka vitamini K.
- Flemoklav imawonjezera ntchito yoletsa pakamwa, mankhwala osokoneza bongo omwe para-aminobenzoic acid amapangira.
- Kuphatikizidwa kwa mankhwalawa ndi ethinyl estradiol kumawonjezera mwayi wokhetsa magazi.
- Osmodiuretics, phenylbutazone imatha kuwonjezera kuchuluka kwa amoxicillin.
- Kuphatikizidwa kwa mankhwalawa ndi Allopurinol kumapangitsa kuti pakhale zotupa pakhungu.
- Kumwa mankhwalawa kumachepetsa kuchuluka kwa impthrexate ndi impso, zomwe zimabweretsa poizoni.
- Flemoclav imakulitsa mayamwidwe a digoxin m'matumbo.
- Sizikulimbikitsidwa kuphatikiza mankhwalawa ndi disulfiram ndi chemotherapy.
Mankhwala
Flemoklav Solutab adayikidwa ndi dokotala. Palibe chifukwa chomwe muyenera kudzilingalira.
Nthawi zambiri odwala amakhala ndi mankhwalawo pa zabwino. Imayenererana ndi aliyense ndipo amathandizira pa chilichonse. Anthu amadziwa kuyamwa kwa mankhwalawa komanso kukoma kwake kosangalatsa. Mankhwala othana ndi mankhwalawa amatha kugwiritsidwa ntchito pochiza matenda osiyanasiyana. Mankhwala azitsimikizira okha.
Mankhwala amapatsidwa mankhwala ochizira matenda oyambitsidwa ndi tizilombo tating'onoting'ono ta antibayotiki. Izi ndi matenda monga:
- matenda opatsirana
- matenda a m'munsi ndi m'munsi kupuma thirakiti (pharyngitis, sinusitis, chibayo, bronchitis, etc.),
- matenda a genitourinary dongosolo ndi ziwalo zamkati (cystitis, prostatitis, gonorrhea),
- osteomiscitis
- matenda a impso
- zofewa minofu matenda a pakhungu (dermatosis, abscess).
Komanso, mankhwalawa amagwiritsidwa ntchito ngati prophylaxis pakuchita opareshoni.
Kodi mankhwalawa amagwiritsidwa ntchito bwanji?
Flemoklav Solyutab wa antibiotic amagwiritsidwa ntchito pakamwa. Piritsi ya mankhwalawa imalimbikitsidwa kuti imezedwe lonse kapena kutafuna ndi madzi abwinobwino. Omwe sangathe kumeza mapiritsi ali ndi mwayi wowerenga ndi theka la kapu ya madzi ndikumwa.
Flemoklav Solyutab ayenera kumwedwa nthawi yomweyo asanadye. Izi zimachepetsa mphamvu ya maantibayotiki pamimba yama microflora.
Madokotala amalimbikitsa kuti azitsatira mankhwalawa okhazikika, kuyesera kumwa mapiritsi nthawi zonse nthawi zina masana.
Kodi ndiyenera kutenga Flemoklav Solyutab mpaka liti?
Kutalika kwa mankhwalawa kumatsimikiziridwa ndi dokotala. Nthawi zambiri, chithandizo chimayenera kupitilizidwa kwa masiku osachepera atatu atatha zizindikiro zopweteka. Koma nthawi zina, njira ya mankhwalawa imatha masiku 7 mpaka 10. Nthawi yayikulu yovomerezeka ndi milungu iwiri.
Pogwiritsa ntchito mankhwalawa kwa nthawi yayitali, tikulimbikitsidwa kuwonetsetsa bwino impso ndi chiwindi.
Malinga ndi odwala, mankhwalawa amathandizira kuthana ndi purulent tonillitis. Malinga ndi iwo, maantibayotiki samakhudza matumbo microflora ndipo ndiwotsika mtengo.
Mlingo wa mankhwala
Monga tanena kale, mankhwalawa amathandizidwa pakamwa ndipo nthawi zambiri amawatsuka ndi madzi. Malinga ndi malangizo, kwa ana opitirira zaka 12 ndi akulu ndikokwanira kumwa piritsi limodzi (500/125 mg) katatu patsiku. Ana kuyambira wazaka ziwiri mpaka 12 ndi masekeli 13 mpaka 37 makilogalamu akulimbikitsidwa kuti apereke 20-30 mg pa kilogalamu ya thupi patsiku. Mlingo wa tsiku ndi tsiku uyenera kugawidwa m'magawo atatu. Nthawi zina, dokotalayo atha kukuwuzani kuwonjezeka kwa mlingo. Zimatengera matenda komanso mawonekedwe a thupi.
Odwala okalamba nthawi zambiri amapatsidwa mlingo wa munthu wamkulu.
Kodi simuyenera kutenga Flemoklav Solyutab liti?
Madokotala salimbikitsa kumwa mankhwalawa kwa anthu omwe ali ndi hypersensitivity kuzinthu zilizonse za mankhwalawa. Komanso, mosamala muyenera kugwiritsa ntchito mankhwalawa odwala a lymphocytic leukemia kapena monocucleosis opatsirana. Chowonadi ndi chakuti "Flemoklav Solutab" ali ndi zinthu zomwe zingayambitse eczema. Sikulimbikitsidwa kupereka mankhwalawa kwa ana osakwana zaka ziwiri. Mankhwala opha maantibayotiki amapezeka mwa anthu omwe ali ndi jaundice.
Kugwiritsa ntchito mankhwalawa "Flemoklav Solutab" kuyenera kuchitika moyang'aniridwa ndi dokotala, makamaka kwa anthu omwe ali ndi vuto loopsa la hepatic kapena aimpso, omwe ali ndi matenda am'mimba, komanso akukumana ndi pakati komanso kuyamwa.
Chimachitika ndi chiyani ndi mankhwala osokoneza bongo?
Pankhani ya mankhwala osokoneza bongo, zingachitike zizindikiro zingapo, monga:
- mutu
- chizungulire
- thupi lawo siligwirizana (kawirikawiri)
- kusanza
- nseru
- kutsegula m'mimba
- chisangalalo
- kamwa yowuma
- kusokoneza kukoma.
Pofuna kuwonetsedwa ndi zomwe zalembedwa, muyenera kusiya kugwiritsa ntchito dokotala.
Zotsatira zoyipa
Mankhwala "Flemoklav Solutab" ndiwowoneka bwino chifukwa ali ndi zotsika zingapo zoyipa kuposa zina zake. Komabe, mankhwalawa ali ndi mavuto, ndipo ayenera kukumbukiridwa mukamagwiritsa ntchito.
Zotsatira zoyipa za mankhwalawa, kutengera kuchuluka kwa zomwe zimachitika, zitha kugawidwa mu:
- pafupipafupi (kutsegula m'mimba, kupweteka kwam'mimba, nseru, kusanza, urticaria),
- Nthawi zina (cholestatic jaundice, hepatitis, leukopenia, hemolytic anemia, vasculitis, angioedema, kulowetsedwa nephritis),
- milandu yokhayo (pseudomembrial colitis, erythema multiforme, anaphylactic mantha, exfoliative dermatitis).
Ngati zizindikiro zakuperewera kwa mankhwalawa zikuwoneka, muyenera kusiya kugwiritsa ntchito kwake ndikuwonana ndi dokotala.
Odwala, omwe akukayikira kumwa maantibayotiki, komabe adamvera malangizo a dokotala ndipo adalandira chithandizo cha chibayo pogwiritsa ntchito mankhwala a Flemoklav Solutab. Zotsatira zake zidawadabwitsa, chifukwa zoyipa sizinawonekere munthawi ya chithandizo. Chodabwitsa ndichakuti, mankhwalawa amatha kusungunuka m'madzi ndikumwa.
Kugwiritsa ntchito mankhwalawa panthawi yapakati
Zinthu zake za mankhwalawa, monga lamulo, sizikhala ndi vuto lililonse pakukula kwa mwana wosabadwayo. Flemoklav Solutab imatha kulembedwa kwa amayi apakati, koma pokhapokha pofufuza mosamala za zoopsa zilizonse ndi mapindu a chithandizo chotere.
M'miyezi itatu yoyambirira ya mimba, nthawi zambiri amalimbikitsidwa kugwiritsa ntchito njira zina zomwe zimakhala zotetezeka kwa thupi. Pa mkaka wa m`mawere, tikulimbikitsidwa kuti tisamachite mankhwalawa. Ngati mankhwalawa sangathe kupewedwa, madokotala amalangizani kuti ayamwe kuyamwitsa kwakanthawi.
Pankhani ya mankhwala achikulire, phukusi limakhala ndi: matuza a 2 ndi mankhwala "Flemoklav Solyutab", malangizo. Kwa ana (ndemanga nthawi zambiri zimakhala zabwino) pali mankhwala opangidwa ndi antibayotiki omwe ali ndi mulingo woyenera.
"Flemoklav Solutab 250" ya ana: ndemanga pamankhwala
Monga lamulo, mankhwalawa amagwiritsidwa ntchito pomeza ndi kumwa madzi. Ana "Flemoklav Solutab" ndiosavuta kupatsa mwa kuyimitsidwa. Mlingo wowonetsedwa ndi adokotala. Kuyimitsidwa kwamaliridwe kumasungidwa pamalo osazizira komanso owala pang'ono osapitilira tsiku.
Kwa ana, Flemoklav Solutab 250 ndi wangwiro. Ndemanga ya Flemoklav Solutab "yoletsa antibayotiki ndiosiyana kwambiri, chifukwa wodwala aliyense ali ndi mawonekedwe ake amthupi. Nthawi zambiri makolo amawopa zoyipa zomwe zingachitike, zomwe, panjira, ndizosowa kwambiri.Koma zonsezi zimasonyezanso kufunikira kwa dokotala.
Ana omwe akudwala matenda am'mimba thirakiti amathanso kutumikiridwa Flemoklav Solutab. Malangizo ogwiritsira ntchito, malingaliro a mankhwala omwe amagwiritsidwa ntchito - zonsezi ziyenera kuphunziridwa bwino ndi makolo.
"Flemoklav Solutab": analogues, ndemanga
Maantibayotiki ali ndi mitundu ingapo yothandizira ma analogue, monga:
Ndemanga zambiri za Flemoklav Solutab zimatsimikiza. Izi ndizofunikira makamaka pochiza matenda a ziwalo za ENT, komanso njira yapamwamba komanso yapansi yopumira. Mankhwalawa amathandizira matenda aliwonse otupa pakanthawi kochepa.
Mwambiri, ndemanga za Flemoklav Solyutab ndizokhulupirika kwambiri. Ambiri amakopeka ndi zotsatira zoyipa zochepa, komanso kuthekera kugwiritsa ntchito mankhwalawa panthawi yapakati komanso mkaka wa m`mawere.
Zotsatira zoyipa za Flemoklav
Malangizo ogwiritsira ntchito ali ndi chidziwitso pazotsatira za Flemoklav. Izi zikuphatikiza:
- enamel mdima, nseru, wakuda lilime, kusanza, enterocolitis, kutsegula m'mimba, pseudomembranous ndi hemorrhagic colitis, gastritis, chiwindi kulephera,
- stomatitis, hepatitis, glossitis, jaundice, kuchuluka kwa bile, kulephera kugaya,
- kusowa tulo
- hemolytic anemia, agranulocytosis, thrombocytopenia, leukopenia, eosinophilia, granulocytopenia,
- chizungulire, kukokana, kupweteka kwa mutu, kusintha kwa machitidwe, nkhawa, kuchepa mphamvu,
- phlebitis
- ziwengo, mafinya, uritisaria, matupi a vasculitis, erythema, dermatitis,
- candidiasis.