Mankhwala "Amoxil": malangizo ntchito kwenikweni

Kwa zaka masauzande ambiri kwa munthu anaonekera padziko lapansi, padziko lonse lapansili anali anthu mitundu yosiyanasiyana ya tizilombo. Kuyambira pamenepo, iwo ankakhala limodzi - mwamuna ndi microflora. Ndipo mwa masauzande magulu osiyana mabakiteriya pali anthu opanda umene munthu sitingakhale kulibe. Komano, oyandikana nawo ndi zina tizilombo akhoza kwambiri zingawononge thanzi la munthu, ngakhale moyo wake. Ndi kuthana ndi womaliza microbiologists ndi asayansi osauka mankhwala lapadera mankhwala. Mmodzi wa mankhwala awa ndi "Amoxil" malangizo Buku limene limafotokoza monga yotakata-sipekitiramu mankhwala.

Mankhwala ndi pharmacokinetics

Waukulu yogwira thunthu "Amoxil" ndi amoxicillin trihydrate. Monga zigawo wothandiza protrude kashiamu stearate, wowuma mbatata ndi otsika maselo kulemera polyvinylpyrrolidone Medical. The chigawo chachikulu - amoxicillin - ndi yotakata sipekitiramu mankhwala, uli gulu la aminopenicillins. Pakuti mmene zinthu bactericidal limagwirira cha zochita, chomwe ndi yimitsira yogwira kaphatikizidwe makoma khungu la bakiteriya amene amazindikira amoxicillin. Dera la chikoka amoxicillin zikuphatikizapo odziwika bwino ngati galamu mabakiteriya zabwino ngati Staphylococcus aureus ndi Streptococcus. The mankhwala ndi yogwira motsutsana zosiyanasiyana tizilombo galamu alibe ndi anaerobic. Mu tandem ndi mankhwala a metronidazole, liri ndi mphamvu pa mabakiteriya zimene zimachititsa chitukuko cha chironda chachikulu mu m'mimba ndi duodenum.

Kupeza mkati thupi, mankhwala 'Amoxil' Buku limene limafotokoza mwatsatanetsatane nkhani zonse zokhudza mankhwala, odzipereka yogwira pambuyo maola 2 nufikira ndende abwere ku seramu magazi. Hafu ya moyo wa chamoyo ndi maola 1.5. Medicament lotulukira kudzera impso pafupifupi zikutsatiridwa (60-70%).

The ogula chachikulu

Popeza "Amoxil" ali ndi dera lonse la mphamvu, odwala kumwa mankhwala, anthu ndi ntchito zosiyanasiyana za matenda. Miyala "Amoxil" Buku akuonetsa kuti odwala matenda matenda kupuma thirakiti: chapamwamba (zilonda zapakhosi, sinusitis, otitis TV) ndi kutsikira (chibayo, chifuwa). Wogwira mankhwala matenda a thirakiti biliary ndi kapepala m'mimba.

Matenda a dongosolo mkodzo ndi amenable kuti "Amoxil". Apa ife tikhoza kulankhula za pyelonephritis, cystitis, bacteriuria asymptomatic mu amayi apakati. Komanso, madokotala kutumikiridwa medicament zochizira pachimake wopepuka masitepe chinzonono, khungu ndi matenda minofu zofewa.

Komanso, n'zotheka ndi ophatikizana bwino (molumikizana ndi mankhwala ena) ntchito. "Amoxil" mu tandem ndi clarithromycin kapena mankhwalawa amagwiritsidwa ntchito mankhwala achire matenda a dongosolo m'mimba, amayamba ndi Helicobacter mabakiteriya pylori (njira aakulu a gastritis, zilonda muzituluka ndi zilonda mmatumbo).

Amene sanayenera 'Amoxil "?

Mankhwala contraindicated anthu amene ali hypersensitive kwa Gawo yogwira zigawo zikuluzikulu wothandiza, magulu a penicillin ndi cephalosporins. Musamalandire mankhwala ndi mononucleosis ndi lymphocytic khansa. Co-ka 'Amoxil' ndi mankhwala a metronidazole ndi zosavomerezeka kwa matenda a kuvutika mantha dongosolo mu dongosolo hematopoietic. Mu tandem sizili mankhwala odwala pansi zaka 18, akudwala matenda a m'mimba, amene anatsagana ndi kusanza yaitali kapena m'mimba.

Komanso, "Amoxil", malangizo ntchito amene amafotokoza mwatsatanetsatane contraindications kuti mankhwala, si ololedwa kuti atengere odwala ndi pathologies kwambiri ndi kuvutika mu ntchito chiwindi. Ndi zosavomerezeka mu ophatikizana Inde mankhwala kudya mowa.

dosing regimens

Medical mankhwala opangidwa ndi opanga mapiritsi ndi mlingo 250, 500 ndi 625 mg. "Amoxil" zotchulidwa pakamwa popanda chakudya. Mlingo ndi chithandizo kamwedwe anasankha dokotala kutenga nkhani zovuta matenda ndi mmene alili. Akuluakulu ndi ana zaka zoposa 10 zaka (masekeli osachepera 40 kg) umodzi mlingo ayenera kukhala pakati mg ndi 250 mpaka 500. Pa zinthu aakulu zedi Kwalamulidwa kwa 1 galamu "Amoxil" kukonzekera. Malangizo pa ntchito ya ana amalimbikitsidwa kuti asankhe mankhwala zochokera kuwerengetsera zotsatirazi:

Kaya m'badwo wa imeneyi wodwala pakati Mlingo Mlingo ayenera kukhala maola osachepera 8.

Anthu olumala mu ntchito kwa impso imeneyi pakati Mlingo ayenera ziwonjezeke kwa maola 12. Kwa anthu akuvutika anuria, mlingo tsiku 'Amoxil' mwina upambana 2 gm.

Nthawi zina, mankhwala mankhwala "Amoxil-625"? Malangizo ntchito, kuwonjezera zikuonetsa onse pamwamba, akuonetsa zimenezi zikutanthauza kuti kupondereza matenda mano (kuphatikizapo la Chithandizo cha vuto la dentoalveolar), ndi fupa ndi matenda olowa (r Mukhoza. H. Osteomyelitis). Kugwiritsa medicament mu mlingo mimba septic, ndi postpartum intraabdominal sepsis, zilonda zamoto, abscesses ndi matenda chilonda.

Features cha ntchito 'Amoxil'

Pa mankhwala, mankhwala (makamaka mlingo waukulu), akatswiri amalangiza kukhalabe chokwanira mkodzo linanena bungwe. Pofuna kupewa chitukuko cha crystalluria ayenera kutenga wambiri madzi. ntchito yaitali 'Amoxil' kapena adzathe kulandira chithandizo cha mankhwala chomwecho mu nthawi yochepa kungadzutse chitukuko cha superinfection ndipo imathandizira kukula kwa zamoyo kugonjetsedwa. Kaya mlingo (250 mg kapena "Amoxil" 500) malangizo Buku akuonetsa ana kukhala wabwino m'kamwa ukhondo, monga waukulu yogwira chigawo angathe kusintha mtundu wa enamel lapansi. Odwala, amene akatswiri ntchito chikugwirizana ndi ntchito za ntchito yofunika ndende mkulu, 'Amoxil' ayenera kugwiritsidwa ntchito mosamala kwambiri chifukwa cha kukhudza zotheka mbali mu wamanjenje dongosolo.

Nthawi mkaka wa m'mawere ndi osafunika kuti makhwalawa monga excreted mu mkaka wa m'mawere, kungachititse zina za khanda (kuchuluka kudziwa chigawo chimodzi yogwira zotheka maonekedwe a thupi lawo siligwirizana).

mlingo uliwonse wa mankhwala, ngakhale 'Amoxil' 250, malangizo ali osavomerezeka chifukwa amai esitirojeni munali kulera, monga amoxicillin kusagwira ntchito zawo. Ndi kubweza ndondomeko kuchotsa mankhwala kudzera impso pamene complexed ndi "Amoksilom" mtima amatenga indomethacin, atsetilsallitsilovuyu asidi (ndi aspirin), sulfinpyrazone, oxyphenbutazone, phenylbutazone.

Mlingo Kugwiritsa

Zizindikiro za owonjezera mlingo umodzi wa mankhwala ndi: nseru, kusanza, kutsekula m'mimba, nthenda madzimadzi ndi bwino electrolyte zizindikiro. Kuthetsa mavuto kubala chapamimba lavage, kugwiritsa ntchito mankhwala absorbent (makamaka adamulowetsa mpweya), mankhwala ofewetsa tuvi, ntchito anachita kukonza madzimadzi ndi electrolyte bwino. Zikavuta kungafune hemodialysis (magazi kuyeretsa ndi impso).

chingachitike mbali ya

ndi mavuto a mankhwala ali "Amoxil" n'chiyani? Malangizo ntchito limafotokoza mavuto zotheka kachitidwe zosiyanasiyana za thupi.

thirakiti m'mimba akhoza kutani kulandira "Amoxil" nseru, kusanza, kutsekula m'mimba. Nthawi zambiri aakulu angathe hemorrhagic kapena pseudomembranous matenda a m'matumbo, candidiasis wa intestine lapansi. Ku dongosolo mkodzo kawirikawiri anati interstitial nephritis chitukuko. Maonekedwe a matenda omwewa tingayembekezere ya dongosolo hematopoietic. Nthawi zina akufotokozera thrombocytopenia, leukopenia, hemolytic magazi m'thupi, crystalluria. Zoipa zimachitika kuti 'Amoxil' mu wamanjenje dongosolo kungachititse maonekedwe a khunyu, chizungulire ndi boma la ofuntha. Nthawi zina pali mitundu yosiyanasiyana ya thupi lawo siligwirizana (zotupa pruritus, urticaria, conjunctivitis, matupi awo sagwirizana vasculitis, angioedema).

The owopsa "Amoxil"? Malangizo, pamene umboni uperekedwa mtima ndi maphunziro ambiri amasonyezera kuti mankhwala akhoza kuyambitsa anaphylaxis chitukuko cha erythema multiforme, candidiasis wa nembanemba wa mucous ndi khungu, cholestatic matenda a chikasu ndiyo, matenda a chiwindi, Stevens-Johnson syndrome (erythema zilonda).

"Amoxil" ndi angina

Angina yotchuka wotchedwa opatsirana ndondomeko akuwonetseredwa mu chofuna lymph zigawo pharyngeal mphete. Nthawi zambiri, zimachitika ndi amygdala. Kutupa amayamba ndi streptococci kapena staphylococci. Mu zambiri za milandu kuthana ndi matenda bakiteriya madokotala amakonda kugwiritsa ntchito mankhwala a penicillin gulu. Mmodzi mankhwala amenewa ndi "Amoxil". Mapiritsi malangizo pa amapatsa analimbikitsa kaya chakudya. Pa nthawi yomweyo ayenera kuwameza lonse nasamba pansi ndi madzi. Childs, mankhwala akutengedwa ndi imeneyi ya maola osachepera 8. Komabe, chiwembu cha mankhwala ndi mlingo zikhoza kusintha payekha ndi dokotala nawo malingana ndi kuopsa kwa alili.

Ana dokotala nthawi zotchulidwa kuchitira "Amoxil" 250. Guide limafotokoza n'zimene regimens malingana ndi msinkhu wa mwanayo ndi kulemera. Ana a zaka 2 kawirikawiri anapatsidwa ndalama tsiku wofanana 30 mg wa mankhwala pa kilogalamu ya kulemera kwa thupi. Total mlingo ayenera kugawidwa Mlingo 3. Ana msinkhu wa ku zaka 2 mpaka 5 1 nthawi patsiku kwa 125 mg Kwalamulidwa medicament. Kuyambira zaka 5 zakubadwa ndipo pansi zaka 10, limodzi kudya tsiku ndi 250 mg. Achinyamata kwa zaka 12 piritsi 1 kamodzi analamula kuti mankhwala a angina (625 mg). The imeneyi pakati Mlingo ndi maola 12.

Zochizira zilonda zapakhosi bakiteriya odwala wamkulu, madokotala mankhwala "Amoxil" Malangizo ntchito 500 limafotokoza chithandizo chithunzi Inde monga polandira mlingo umodzi wa 500 mg. Pankhaniyi kumene choopsa cha ndondomeko ya adokotala akhoza mankhwala mlingo umodzi wa mankhwala 1 gram. The pazipita tsiku mlingo wa angina sayenera upambana magalamu 6. "Amoxil" pa mlingo wa 625 mg ndi mokwanira zambiri kutumikiridwa mu mankhwala a zilonda zapakhosi. Mapiritsi anatengedwa kamodzi pa intervals wa maola 12. Ngati wodwala akudwala kulephera aakulu aimpso, angina kuti akapatsidwa mlingo kamodzi tsiku lililonse la 625 mg. Odwala amene hemodialysis, pambuyo ndondomeko zina kutenga piritsi 1 mankhwala.

Mulimonsemo, chithandizo cha "Amoxil" mankhwala kwa angina dera ayenera kusankhidwa ndi dokotala nawo.

Mogwirizana 'Amoxil' ndi mankhwala ena

Monga tanenera poyamba, ntchito oipa "Amkosila" akazi ntchito wothandizila m'kamwa kulera zosiyanasiyanazi, kuyambira yafupika dzuwa la mtsogolo. Komanso, magazi angathe. Ngati wodwala akudwala matenda a dongosolo mtima (mwachitsanzo, arrhythmia) ndipo akutenga digoxin, ntchito concomitant wa 'Amoxil' kulimbikitsa (digoxin) mayamwidwe.

Pamene makonzedwe munthawi yomweyo mankhwala ndi zotsatira bacteriostatic (macrolides, tetracyclines, chloramphenicol), ndi medicament "Amoxil" opaleshoni malangizo amatithandiza odwala zomwe bactericidal zotsatira za amoxicillin - waukulu yogwira chigawo "Amoxil" - kwatha.

Ngati pa zifukwa zina zinali zofunika kuchita amakakamizidwa diuresis (madzi ndi ntchito munthawi yomweyo okodzetsa), ndende mankhwala mu thupi adzakhululukidwa yafupika. Pamene makonzedwe munthawi yomweyo "Amoxil" ndi "Allopurinol" (anatumizidwa odwala ndi milingo okwera asidi uric m'magazi) angadwale pafupipafupi chiwonetsero cha thupi lawo siligwirizana pakhungu.

Osafunika co-ka mankhwala ochotsa asidi (mankhwala anafuna zochizira matenda asidi zokhudzana m'mimba mwa neutralizing chidulo hydrochloric madzi chapamimba) ndi kukonzekera "Amoxil" (mapiritsi). Malangizo ntchito imatiuza kuti mu nkhani iyi, mayamwidwe wa amoxicillin adzakhala yafupika.

Mosamala yoikidwiratu Integrated phwando "Amoxil" ndi anticoagulants (zinthu ndi mankhwala omwe nkhawa ntchito clotting magazi ndiponso kupewa thrombosis). Pankhaniyi, pamafunika polojekiti zonse nthawi prothrombin, chifukwa N'zosakayikitsa magazi.

Maonekedwe a dongosolo m'mimba mwa mawonekedwe a m'mimba kuchepetsa mayamwidwe wa mankhwala, potero chatsika zotsatira "Amoxil". Kugwiritsa ntchito mankhwala akhoza kuchepetsa estradiol (kwambiri yogwira wamkazi timadzi - esitirojeni) mu mkodzo za amayi apakati.

maganizo ogula pa 'Amoxil'

Mankhwala akhoza zimachitika zinthu aukali ndithu. Chifukwa chaichi, "Amoksile" mayankho ndi cholinga osiyana, zabwino ndi zoipa.

A gulu lalikulu la makasitomala anafotokoza chitsanzo chawo ndi mankhwala othandiza "Amoxil" ana. Reviews kwakukulukulu ndifilimu positive. Makolo ambiri akunena mofulumira bactericidal zotsatira za amoxicillin pa thupi mwanayo. Against maziko a mawonetseredwe yowala chifuwa pachimake (malungo, chifuwa youma, wheeze) mankhwala akhoza kulimbana ndi nthenda mwa masiku 7-10.

Kwa odwala ena mankhwala anali kutumikiridwa chifukwa chikhalidwe cha mavuto mano. Pambuyo opaleshoni pofuna kuchotsa cysts mano kutumikiridwa mankhwala 'Amoxil. Malangizo (500 mg - Mlingo kwa munthu wodwala wamkulu) Lamulo Dongosolo kawiri pa tsiku, piritsi 1. Ambiri, odwala kulemba za kuti mankhwala sanatenge oposa 5 masiku ndipo anali imathandiza. matenda bala sichinachitikepo, lipole ndi mofulumira.

A gulu linalake la ogula kutenga mankhwala mu nkhani ya mavuto m'madera a ENT (sinusitis) ndi matenda a njira ya mkodzo thirakiti (cystitis, pyelonephritis). Odwala kulemba kuti mpumulo boma wakhalako tsiku 2-3 mankhwala.

Against limakhala mayankho onsewa zabwino ogula pali ndemanga zoipa za mankhwala. Nthawi zambiri odwala kuti tikadwala "Amoxil" anali zochita chilango chochokera kwa mundawo m'mimba. Mawonetseredwe zambiri - dysbacteriosis, flatulence, bloating, alternating m'mimba ndi matenda kudzimbidwa. Odwala ena kuti athetse vuto probiotics (mankhwala ndi zina biologically yogwira munali microcultures moyo, makamaka bifidobacteria ndi lactobacilli).

Anthu ambiri anayamikira mankhwala monga mankhwala oletsa matenda a thirakiti chapamwamba kupuma, koma chibayo ndi zizindikiro za kuledzera "Amoxil" anali ofooka. Nthawi imeneyi, ikuchitika odwala mankhwala ndi mankhwala mabuku.

Pali gulu la odwala amene chofunika mankhwala a zilonda zamoto, zosiyanasiyanazo abscesses, matenda bala padziko khungu. Nthawi imeneyi, madokotala nthawi zambiri anaika "Amoxil". Malangizo ntchito, odwala weniweni ndi madokotala kuzipenya amasonyeza anaiyamba wa poika mankhwala, chifukwa ali ndi digiri yapamwamba ya dzuwa.

Kuleza mtima akazi kulemba zimene anatenga 'Amoxil' zinthu zovuta okha monga mimba septic, puerperal sepsis. Mu milandu, mankhwala anatsimikizira wake "ulamuliro" yotakata-sipekitiramu mankhwala ndipo athana ndi matenda aakulu maliseche wamkazi.

Mulimonsemo, ziribe kanthu momwe yosavuta mwina wodwala matenda ake, kudzikonda unacceptably zosafunikira mtima kuti umoyo wawo. Mankhwala, limene bwinobwino anachiritsa zilonda zapakhosi mnzake, mtima wina zingachititse kwambiri mavuto kuyambira totupa pakhungu ndi kutha zotupa sizingasinthe ziwalo zosiyana ndi kachitidwe, amene angathe mudzazilipira osati thanzi, komanso moyo.

Modern mankhwala msika ndi zovuta zosiyanasiyana yekha ndi dokotala kwambiri oyenerera amatha kumvetsa zonsezi mawu sayansi, Mlingo wa anthu komanso masikimu, ndi kukhala mankhwala umathandizanso munthu mmodzi wodwala aliyense, kutenga nkhani boma wake wathanzi, pamene kuchepetsa chiopsezo mavuto .