Ama-antibiotic "Amoxil": yokusetshenziswa, ngempela

Ukuze izinkulungwane eziningi zeminyaka ngaphambi kokuba abantu badalwe emhlabeni, bonke ubuso iplanethi lalakhiwe ehlukahlukene yokukhumbula nezilwanyana ezincane. Kusukela ngaleso sikhathi, baye baphila side by side - indoda futhi microflora. Futhi phakathi amakhulu ezinkulungwane ezahlukene amagciwane amaqembu kukhona labo ngaphandle lapho umuntu umane lalingekho. Ngakolunye uhlangothi, komakhelwane nabanye nezilwanyana ezincane kungase engozini impilo yabantu, futhi ngisho nokuphila kwakhe. Kuyinto ukubhekana zokugcina-microbiologists nososayensi bayatfutfuka nemithi ekhethekile okuthiwa antibiotic. Enye yalezi izidakamizwa "Amoxil" imfundo manual echaza ke njengendlela -antibiotic ebanzi bohlu.

Kwemithi kanye pharmacokinetics

The main izidakamizwa esebenzayo "Amoxil" kuyinto amoxicillin trihydrate. Njengoba izingxenye asizayo aphume ashone calcium stearate, amazambane isitashi kanye ongaphakeme yamangqamuzana isisindo polyvinylpyrrolidone Medical. Isakhi esiyinhloko - amoxicillin - kuyinto ebanzi spectrum ngemithi elwa namagciwane, kungokwalabo iqembu aminopenicillins. Ukuze izinto ejwayelekile indlela amagciwane isinyathelo, okuyinto i ukucindezelwa asebenzayo we zamagama weseli izindonga amagciwane okuyinto ebucayi ukuze amoxicillin ukuphi. I ihogela ithonya amoxicillin kuhlanganisa enjalo Kuyaziwa Gram amagciwane omuhle njenge Staphylococcus aureus futhi Streptococcus. Umuthi iyasebenza ngokumelene ezihlukahlukene nezilwanyana ezincane Gram-negative futhi anaerobic. Ngohlelo ne metronidazole, ke kuba nethonya amabhaktheriya anomthelela ekuthuthukiseni isilonda peptic esiswini duodenum.

Ukuthola ngaphakathi emzimbeni, lo muthi manual 'Amoxil' elichaza ngokuningiliziwe lonke ulwazi mayelana izidakamizwa, ugxile asebenzayo emva 2 amahora ifinyelela lokuhlushwa esiphezulu ku igazi serum. Ingxenye-ukuphila umzimba 1.5 amahora. Nomuthi akube kusakhulunywa nge izinso azizange zishintshe (60-70%).

I abathengi main

Njengoba "Amoxil" has a sphere ebanzi ithonya, iziguli ukuthatha izidakamizwa, abantu nge ezihlukahlukene nezifo. Tablets "Amoxil" manual incoma ukuthi iziguli zokuphefumula ipheshana izifo: engenhla (namathansela, sinusitis, abezindaba otitis) kanye ephansi (pneumonia, ukucinana kwemigudu yokuphefumula). Futhi imithi ngempumelelo izifo yaleli pheshana biliary kanye ipheshana emathunjini.

Izifo kohlelo urinary futhi amenable ukuba "Amoxil". Lapha sikwazi ukukhuluma pyelonephritis, cystitis, bacteriuria asymptomatic e kwabesifazane abakhulelwe. Ngaphezu kwalokho, odokotela iqondiswa nomuthi wokwelapha acute izinyathelo ayinzima isipatsholo, isikhumba kanye ezithambile izicubu izifo.

Ngaphezu kwalokho, kungenzeka futhi kuhlanganiswe ngempumelelo (ngokuhlanganyela neminye imithi) isicelo. "Amoxil" esihambisana clarithromycin noma metronidazole, asetshenziselwa yokwelapha e yezifo wokugaya ukudla, senziwa Helicobacter amagciwane pylori (amafomu njalo kolwelwesi, izilonda esiswini kanye nezilonda duodenal).

Ubani akufanele bathathe 'Amoxil "?

Imithi is contraindicated kubantu abangekho hypersensitive kuya izingxenye eziyinhloko asebenzayo, izingxenye elisizayo, amaqembu penicillins futhi cephalosporins. Musa ukuphuza lokhu kuze imithi nge mononucleosis futhi wegazi lymphocytic. Co-nokuphathwa 'Amoxil' nge metronidazole Akwamukelekile ukuthi izifo sezinzwa uhlelo kwezinso ohlelweni hematopoietic. Esikhathini Ngohlelo efanayo ayikwazi elibekelwe iziguli ezingaphansi kweminyaka engu-18 ubudala, abaphethwe izifo emathunjini, okuyinto ahambisana ukuhlanza isikhathi eside noma isifo sohudo.

Futhi, "Amoxil", yokusetshenziswa okuyinto likuchaza ngokuningiliziwe contraindications izidakamizwa, kwenqatshelwe ukuthatha iziguli pathologies ezinzima futhi kwezinso e kokusebenza kwesibindi. Kuyinto nengamukeleki kuhlanganiswe ukuphathwa Yiqiniso ukudla notshwala.

Umthamo zemithi

izidakamizwa Medical ekhiqizwa yizimboni amaphilisi nge umthamo 250, 500 kanye 625 mg. "Amoxil" okunqunyiwe ngomlomo nakudla. Umthamo kanye nokwelashwa lwemithi udokotela akhethiwe ikhumbula ngobucayi isifo futhi isimo lesiguli. Kubantu abadala kanye nezingane ezingaphezu kwezingu-10 ubudala (enesisindo okungenani 40 kg) umthamo owodwa kumele abe phakathi mg 250 kuya ku-500. Ngezinye izimo ezinzima kakhulu ezinqunyiwe ukuze 1 igremu "Amoxil" ukulungiselela. Imiyalelo ukusetshenziswa nezingane bakhuthazwa ukuba baphakamise imithi esekelwe izibalo ezilandelayo:

yobudala Wengane (iminyaka)	umthamo owodwa (mg)
5-10	250
2-5	125
Kufika 2	Daily - 30 mg esisindo / kg

Kungakhathaliseki ubudala isikhawu nesineke phakathi ngemithamo ngemithamo kufanele okungenani amahora angu-8.

Abantu abanokukhubazeka ekusebenzeni izinso kweminyaka emkhatsini imithamo kumele lenyuke emahoreni angu-12. Ukuze abantu abaphethwe anuria, yangosuku 'Amoxil' akumele seqe 2 amagremu.

Kwezinye izimo, libeke izidakamizwa "Amoxil-625"? Yokusetshenziswa, ngaphezu zonke izinkomba ngenhla, incoma ukuthi lokhu kusho abacindezela izifo kwamazinyo (kuhlanganise nalabo for ekwelapheni ithumba dentoalveolar), futhi bone kanye nezifo ngokuhlanganyela (r. H. osteomyelitis). nomuthi Ngempumelelo ngezilinganiso isisu ukonakala, kanye kwangemva kokubeletha sepsis intraabdominal, ukusha, abscesses kanye nezifo ukulimaza.

Izici isicelo 'Amoxil'

Phakathi ukwelashwa, imithi (ikakhulukazi ebulilini), ochwepheshe batusa ukuba bagcine umchamo okukhiphayo. Ukuze ugweme ukuthuthukiswa crystalluria kufanele uthathe nangokuphuza uketshezi oluningi. ukusetshenziswa isikhathi eside 'Amoxil' noma kabusha ukuphathwa ne izidakamizwa ezifanayo esikhathini esifushane kungase kuphakame ukuthuthukiswa superinfection futhi ukusheshisa ukukhula eziphilayo ukumelana. Kungakhathaliseki umthamo (250 mg noma "Amoxil" 500) imfundo manual uncoma izingane uhlanzeke ngomlomo, njengoba ingxenye main okusebenzayo isikhundla ukushintsha umbala koqweqwe lwawo. Iziguli, lapho umsebenzi wakhe lochwepheshe ehlangene ukusebenza umsebenzi odinga ukujula okusezingeni eliphezulu, 'Amoxil' kumele kusetshenziswe ngokuqapha ngenxa imiphumela engemihle engase ibe ku isimiso sezinzwa.

Isikhathi lactation kuyinto engathandeki ukuthatha imithi njengoba excreted ku ubisi lwebele, okungase kuholele ekubeni uthunyelelwe sensitization usana (ukuzwela landa ingxenye esebenzayo, ukubonakaliswa kungenzeka komzimba nezinto).

Noma yimuphi umthamo zomuthi, ngisho 'Amoxil' 250, ukulaya akunconyelwe abesifazane ukuthatha izinto zokuvimbela inzalo estrogen-equkethe, njengoba amoxicillin kubulala ikhono yabo. It kubambezela inqubo kokukhipha izidakamizwa ngokusebenzisa izinso lapho complexed nge "Amoksilom" nesineke kuthatha indomethacin, atsetilsallitsilovuyu acid (aspirin), sulfinpyrazone, oxyphenbutazone, Phenylbutazone.

Ukweqiwa ngokweqile

Izimpawu lokweqisa umthamo owodwa imithi yilezi: isicanucanu, ukuhlanza, uhudo, uketshezi okungafanele electrolyte ibhalansi izinkomba. Ukuqeda imiphumela ukukhiqiza lavage esiswini, ukusetshenziswa kwemikhiqizo umswakama (carbon ikakhulukazi ocushiwe), laxatives, imisebenzi eyenziwa ukulungisa ibhalansi uketshezi electrolyte. Ezimweni ezimbi kakhulu kungase kudinge hemodialysis (igazi ukuhlanza izinso).

Okungenzeka imiphumela engemihle

Yiziphi imiphumela emibi-antibiotic has a "Amoxil"? Yokusetshenziswa uchaza izinkinga okungenzeka izinhlelo ezihlukahlukene zomzimba.

pheshana emathunjini kungaba asabela ekutholeni "Amoxil" isicanucanu, ukuhlanza, ukukhishwa isisu. Ngo ngaphezulu Ezimweni ezimbi kakhulu kungase ukuthuthukisa oluhambisana noma nesifo pseudomembranous, candidiasis emathunjini. Kusukela uhlelo urinary sivame ukuba ukuthuthukiswa nephritis interstitial. Izenzo sifo kungalindeleka phezu yesimiso hematopoietic. Ngezinye izikhathi ithuthukisa thrombocytopenia, leukopenia, anaemia hemolytic, crystalluria. ukusabela okungekuhle ukuba 'Amoxil' e isimiso sezinzwa kungaholela ukubukeka ukuquleka, isiyezi kanye isimo hyperactivity. Ngezinye izikhathi kunezinhlobo ezehlukene komzimba nezinto (ukuqubuka, pruritus, urticaria, conjunctivitis, vasculitis nomzimba, angioedema).

Eyingozi kakhulu "Amoxil"? Ukufundiswa, kobufakazi nesineke futhi izifundo eziningi ukukhombisa ukuthi izidakamizwa kungabangela ukuthuthukiswa anaphylaxis ka erythema multiforme, candidiasis ka nolwelwesi lwamafinyila kanye isikhumba, jaundice cholestatic, isifo sokusha kwesibindi, Stevens-Johnson syndrome (erythema abulalayo).

"Amoxil" futhi angina

Angina edume ngokuthi inqubo ezithathelwanayo ebonakaliswa avuvukele izingxenye lymph pharyngeal indandatho. Ngokuvamile, le nqubo le amygdala. Ukuvuvukala kubangelwa streptococci noma staphylococci. Esikhathini ngobuningi kwamacala ukubhekana nalesi sifo webhaktheriya ochwepheshe bezokwelapha uncamela sebenzisa antibiotic penicillin akuzange kusize iqembu. Omunye izidakamizwa ezinjalo kuba "Amoxil". Tablets bafundise sinikwe Kunconywa kungakhathaliseki ukudla. Ngesikhathi esifanayo kufanele kugwinywe lonke wageza phansi ngamanzi. Ngokuvamile, izidakamizwa esithathwayo nge esingaba okungenani amahora angu-8. Nokho, uhlelo sokwelashwa umthamo kungase kushintshwe ngamunye by udokotela ukuba khona kuye kobukhulu isimo lesiguli.

Izingane wezingane ngokuvamile enqunyiwe ukuba aphathe 'Amoxil "250. Guide uchaza sokuphuzisa zemithi kuye ngobudala isisindo sengane. Izinsana ezineminyaka engu-2 uvamise ukunikwa yangosuku elilingana 30 mg izidakamizwa amakhilogramu esisindo ngayinye. umthamo Ubude kufanele ihlukaniswe 3 ngemithamo. Izingane ubudala iqembu kusuka 2 kuya 5 iminyaka 1 isikhathi ngosuku ukuze 125 mg ezinqunyiwe nomuthi. Kusukela eminyakeni 5 ubudala nangaphansi iminyaka engu-10, lapho engayitholi olulodwa nsuku zonke 250 mg. Intsha engu-12 1 tablet kanye engabelwe ekwelapheni angina (625 mg). Isikhawu phakathi ngemithamo ngema-awa lange-12.

Ukuze ekwelapheni namathansela webhaktheriya ezigulini omdala, odokotela ukunquma "Amoxil" Yokusetshenziswa 500 uchaza ukuphathwa Yiqiniso umdwebo njengoba ethola isilinganiso esisodwa somuthi we mg 500. Uma yebo okunzima inqubo Udokotela angase anikeze isiguli umthamo owodwa we izidakamizwa ukuze 1 igremu. esiphezulu I umthamo zonke izinsuku we-angina kumele singeqi 6 amagremu. "Amoxil" at umthamo 625 mg ngokwanele ngokuvamile iqondiswa ekwelapheni namathansela. Tablets kuthathwe kanye ngezikhawu amahora 12. Uma isiguli unesifo esingelapheki ukwehluleka kwezinso, angina kunikezelwe umthamo kanye yansuku zonke 625 mg. Iziguli ezingazweli ku-ku-hemodialysis, emva inqubo eminye thatha 1 tablet ye izidakamizwa.

Kunoma ikuphi, impatho we "Amoxil" kwezidakamizwa angina wesifunda kufanele akhethwe udokotela ukuba khona.

Ukuxhumana 'Amoxil' nezinye izidakamizwa

Njengoba kushiwo ngaphambili, isicelo engathandeki "Amkosila" abesifazane besebenzisa ejenti temlomo umuthi, kusukela kahle encishisiwe lakamuva. Ngaphezu kwalokho, ukopha kungase ukuthuthukisa. Uma isiguli uhlushwa izifo kohlelo eziphathelene nenhliziyo (isib, arrhythmia) futhi kuthatha digoxin, ukusetshenziswa concomitant ka 'Amoxil' ukuqinisa kwakhe (digoxin) ukumuncwa.

Lapho ukuphatha kanyekanye izidakamizwa kokuba umphumela bacteriostatic (macrolides, tetracyclines, chloramphenicol), kanye nomuthi "Amoxil" imfundo yokusebenza azisa iziguli ulwazi umphumela amagciwane of amoxicillin - main ingxenye esebenzayo "Amoxil" - is neutralized.

Uma nganoma isiphi isizathu kwakudingeka ukuqhuba diuresis ophoqelelwe (uketshezi futhi ukusetshenziswa ngesikhathi esisodwa isisu), izidakamizwa lokuhlushwa emzimbeni kuyothiwa encishisiwe. Lapho ukuphatha kanyekanye "Amoxil" futhi "Allopurinol" (iziguli babelwe ngamazinga aphakeme uric acid egazini) kungandisa ukuvama ukubonakaliswa ziyabagulisa isikhumba.

Engathandeki co-nokuphathwa i antacid (imithi senzelwe ukwelapha izifo ezihlobene acid-emathunjini ngu ukululaza hydrochloric acid we juice esiswini) kanye nokulungiselela "Amoxil" (amaphilisi). Yokusetshenziswa yazisa ukuthi kuleli cala, ukumuncwa amoxicillin kuzoncishiswa.

esimisiwe ngokucophelela reception ihlanganiswe "Amoxil" futhi anticoagulants (izinto nemithi lapho sicindezeleke umsebenzi igazi ekunqandeni iphinde ivimbele thrombosis). Kulokhu, idinga nokuqapha njalo isikhathi prothrombin, ngoba kungenzeka ngempela ukopha.

Izenzo isimiso sokugaya ukudla bungene ngesimo sohudo ukunciphisa ukumuncwa izidakamizwa, kanjalo eziwohlokayo umphumela "Amoxil". Ukusetshenziswa kwalesi antibiotic ingase inciphise estradiol (kakhulu asebenzayo besifazane ocansini-hormone okuthiwa i - estrogen) umchamo abesifazane abakhulelwe.

Umthengi ukubukwa phezu 'Amoxil'

Imithi elwa namagciwane akunakubangelwa izinto uvuka indlobane. Ngenxa yalesi sizathu, i-"Amoksile" izimpendulo babe focus ezahlukene, okuhle nokubi.

Iqembu elikhulu amakhasimende echazwe isipiliyoni sabo ne izidakamizwa zemithi "Amoxil" izingane. Izibuyekezo ingxenye enkulu abe nombala omuhle. Abazali abaningi ukubika nomphumela okusheshayo amagciwane of amoxicillin ku umzimba wengane. Against isizinda ukubonakaliswa bhá Ukucinana kwemigudu yomoya emaphashini acute (imfiva, isifuba esomile lapho ndonda) umuthi ukwazi ukubhekana ukutheleleka zingakapheli izinsuku 7-10.

Kwezinye iziguli, lokhu-antibiotic saphathwa ngenxa yesimo zezinkinga kwamazinyo. Ngemva kokuhlinzwa yokususa izinhlumba bamazinyo iqondiswa zomuthi 'Amoxil'. Imiyalelo (500 mg - Isikali i isiguli esingumuntu omdala) ezilungisiwe ekuphathweni kabili ngosuku, 1 tablet. Ngokuvamile, iziguli bhala mayelana kuleloZwi lelaphe wathatha izinsuku hhayi ningi than 5 futhi ephumelela ngempela. isilonda ukutheleleka livelile cha, le nqubo zokuphulukisa ishesha.

Iqembu elithile abathengi ukuthatha izidakamizwa uma izinkinga ezindaweni ENT (sinusitis) kanye pheshana urinary nezifo (cystitis, pyelonephritis). Iziguli bhala ukuthi usizo isimo sekuqhubeke usuku 2-3 yokwelashwa.

Ngaphansi kwesimo zonke lezi izimpendulo ezinhle kubathengi kukhona Izibuyekezo ezingezinhle mayelana izidakamizwa. Kaningi iziguli ukuthi uma uthatha "Amoxil 'babengabafokazi ukusabela ezingezinhle ezivela pheshana emathunjini. I njalo kunazo ukubonakaliswa - dysbacteriosis, ukubuyisa, ukuvuvukala, kushintshana sohudo isimo ukuqunjelwa. Ezinye iziguli ukuthatha ukuxazulula probiotics isimo (imfuyo kanye izithasiselo eziphila abakhuthele equkethe microcultures bukhoma, ikakhulukazi bifidobacteria futhi lactobacilli).

abantu Abaningi bakwazisa lokhu izidakamizwa njengoba ikhambi eliphumelelayo yezifo engenhla ipheshana zokuphefumula, kodwa i-pneumonia ne izimpawu zokudakwa "Amoxil" uJesu wayelula. Kulezi zimo, kwenziwe nesiguli ukwelashwa nokwelulekwa esibanzi.

Kukhona iqembu ekubulaleni iziguli ezigulela edingekayo ukwelashwa yasha, izinhlobo ezahlukene abscesses, itheleleke isilonda ebusweni isikhumba. Kulezi zimo, odokotela nabo njalo esimisiwe 'Amoxil ". Yokusetshenziswa, iziguli zangempela futhi odokotela kokuma ukhombise sekufanele awushiye ukuqokwa zomuthi, ngoba ngezinga eliphezulu kahle.

Sibekezele-abesifazane tlola ngalokho wathatha 'Amoxil' nasezimweni ezinzima zempilo ngokwayo njengoba isisu ukonakala, sepsis puerperal. Kulezi zimo, umuthi waqinisekisa yayo "igunya" ezibanzi-spectrum-antibiotic futhi babhekana ngokuphumelelayo nokuphazamiseka izifo ezibucayi Izitho zangasese zesifazane.

Kunoma ikuphi, kungakhathaliseki ukuthi elula kwabanye kungase kubonakale sengathi isiguli ekuguleni kwakhe, u sokuzishaya angamukelekile engenangqondo empilweni yabo. Umuthi, eye ngempumelelo belashwa umphimbo uzakwabo obuhlungu, ngesinye isiguli kungabangela eziningi side effects ezisukela ukuqubuka nesiphetho izilonda engelapheki kwezitho ezahlukene futhi izinhlelo, ezingasetshenziswa abiza impilo hhayi kuphela, kodwa futhi ekuphileni.

emakethe yesilungu yanamuhla, liyinkimbinkimbi ngendlela futhi ezihlukahlukene ukuthi kuphela udokotela abaqeqeshiwe ukwazi ukuqonda wonke la magama isayensi, ngemithamo namacebo nokwenza yokwelapha ekwelapheni ngayinye esigulini ngasinye, kucatshangelwa isimo sakhe sempilo, ngenkathi kuncishiswa ingozi nemiphumela engemihle .