Flemoklav Solutab® (250 mg 62, 5 mg) Amoxicillin, Clavulanic acid
- Lub Kaum Ib Hlis 2, 2018
- Lwm yam tshuaj
- Gene Poddubny
Nrog cov kab mob pathologies ntawm lub tso zis thiab lub raum, cov kws kho mob tshwj xeeb sau cov tshuaj tua kab mob kom tshem tawm cov tsos mob tsis zoo thiab zam kom tsis txhob pom qhov tshwm sim tsis zoo. Ib qho kev ua tau zoo tshaj plaws yog Flemoklav Solutab (250 mg), uas yog ib qho ntawm kev ua haujlwm ntau rau kev ua haujlwm uas ua rau muaj kev cuam tshuam peptidoglycan (kev sib txuas ntawm cov txhawb polymer ntawm cov phab ntsa cell) ntawm cov kab mob thaum nws faib thiab kev loj hlob, uas ua rau lub cell tuag.
Cov tshuaj sib xyaw ua ke ntawm yeeb tshuaj thiab kev txiav txim
Cov tshuaj yog cov tshuaj tua kab mob nrog cov dej ntawm cov dej cawv. Nws suav nrog hauv tus lej ntawm penicillins. Cov khoom xyaw nquag yog 250 mg ntawm amoxicillin thiab 62.5 mg ntawm clavulanic acid.
Cov tshuaj muaj pes tsawg leeg ntawm Flemoklav Solutab (250 mg) muaj cov khoom sib txuam hauv cov qauv hauv cov tshuaj tsw qab, saccharin, vanillin, crospovidone thiab cellulose.
Cov tshuaj muaj nqis ntawm cov tshuaj yog raws li kev puas tsuaj ntawm cov paj tsis zoo, uas ua rau cov txheej txheem mob hauv cov zais zis thiab lub raum. Nws muaj ntau qhov dav vim yog clavulanic acid nyob rau hauv muaj pes tsawg leeg.
Daim ntawv tso tawm
Flemoklav Solutab (250 mg) muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj dispersible. Lawv hloov mus ua qhov raug tshem tawm thaum ntsib nrog dej. Lawv muaj whitish xim thiab ib qho oblong zoo. Ntawm lub kink tej zaum yuav muaj blotches ntawm xim av tint. Tsis muaj kev pheej hmoo, tab sis nyob rau sab nraud yog lub tuam txhab logo thiab cim.
Hauv ib qho hlwv plaub ntsiav tshuaj muab tso rau. Hauv ib pob khoom tag nrho nees nkaum daim. Lub teeb suav nrog cov lus qhia.
Cov chaw muag tshuaj
Cov tshuaj "Flemoklav Solutab" (250 mg) yog kev sib txuam. Qhov no yog vim muaj kev sib xyaw ntawm ob qho tshuaj muaj zog - clavulanic acid thiab amoxicillin. Ua tsaug rau qhov kev sib xyaw ua ke no, cov tshuaj yeeb yaj kiab ntawm kev muaj cawv tau nthuav dav. Cov tshuaj inhibits lub synthesis ntawm cov kab mob phab ntsa, ib tug bactericidal nyhuv yog manifested.
Cov Tshuaj Hauv Tshuaj
Raws li cov lus qhia, Flemoklav Solutab (250 mg) muaj kev tawm tsam gram-negative thiab gram-positive aerobic cov kab mob hauv daim ntawv ntawm Klebsiella, Enterococci, Streptococci, Moraxella, Listeria, Staphylococci, Proteus, Peptococcus, E. coli thiab Bacteroid.
Qhov kev sib xyaw ua ke no tsim cov enzyme complex uas tiv thaiv qhov ua paug ntawm amoxicillin nyob rau hauv kev cuam tshuam ntawm microbes.
Clavulanic acid ua rau 2-5 hom beta-lactamases. Txawm li cas los xij, qhov kev tivthaiv no tsis muaj txiaj ntsig rau thawj tus kabmob.
Cov Tshuaj Pharmacokinetics
Cov tshuaj nquag tom qab noj tau nkag mus rau hauv lub plab hnyuv quav tom qab 30-45 feeb.
Qhov ua tau zoo ntawm ib qho ntsiav tshuaj kav ntev txog yim teev. Kev txuam nrog cov plasma protein tebchaw.
Lub siab yog metabolized. Cov cheebtsam tuaj tawm ua rau muaj tubular zais zis thiab glomerular pom tsis hloov nrog zis.
Kev qhia rau kev siv tshuaj
Raws li cov lus qhia rau "Flemoklav Solutab" qhia, nws yog siv rau cov kab mob ua rau tib neeg lub cev puas tsuaj. Pom zoo rau cov neeg laus thiab cov menyuam yaus:
- nrog pharyngitis, tonsillitis, mob ntsws, mob ntsws, tonsillitis,
- nrog mob txeeb zig thiab mob raum,
- nrog osteomyelitis
- nrog pathologies ntawm genitourinary system,
- nrog erysipelatous mob txhab, rwj thiab streptoderma.
Ua ntej koj pib noj cov tshuaj, koj yuav tsum tau mus ntsib kws kho mob, kuaj cov kab mob rhiab rau amoxicillin thiab tsim kev kuaj mob kom raug.
Yuav ua li cas los xam cov tshuaj ntau npaum "Flemoklava Solutab"?
Cov lus qhia rau kev siv, ntau npaum li cas ntawm cov tshuaj
Cov koob tshuaj yog xaiv los ntawm tus kws tshaj lij rau cov hauv paus ntawm kev ntsuas, tus kheej tshwj xeeb ntawm tus kab mob thiab chav kawm ntawm tus kab mob. Flemoklav Solyutab yog tsim rau cov menyuam yaus los ntawm ib txog kaum ob xyoos. Tsawg siv ntau rau cov neeg laus uas hnyav dua 40 kg thiab pojniam thaum cev xeeb tub.
Cov ntsiav tshuaj yuav tsum tau yaj nyob rau hauv ib rab diav dej ua ntej siv. Yuav tsum tsis muaj cov leeg twg. Cov tshuaj yog ntxuav nrog dej kom ntau.
Yog tias muaj kab mob hauv lub raum thiab tso zis tawm, cov neeg laus tau sau tseg 250 milligrams ntawm cov tshuaj. Kev ntau ntau ntawm kev siv - plaub zaug ib hnub. Nruab nrab ntawm cov txais yuav tsum yog tib so ntawm rau teev.
Yog tias qhov mob tshwm sim hauv lub zais zis, uas yog, cystitis, 250 mg tau sau tseg peb zaug ib hnub. Nruab nrab ntawm cov txais khoom tuaj yeem pom yim-yim teev. Koj yuav tsum tau noj cov tshuaj tom qab noj mov.
Raws li kev txheeb xyuas, Flemoklav Solutab (250 mg) nws yooj yim heev rau siv.
Nrog rau cov mob txhab zis, uas yog, kis tau ntawm cov mob tso zis, tus neeg mob raug nquahu kom noj cov tshuaj plaub zaug ib hnub, 250 mg ib zaug. Xws li cov qauv no yuav tsum tau ua raws li peb hnub. Ntxiv mus, tus nqi txo mus rau 250 mg, tab sis twb tau peb zaug hauv ib hnub.
Cov tshuaj txhua hnub ntawm cov tshuaj nrog pyelonephritis yog peb grams. Yog li ntawd nws yog qhov tsis yooj yim rau kev siv cov tshuaj nyob rau hauv ib koob ntawm 250 mg. Hauv cov xwm txheej zoo li no, "Flemoklav Solutab" 875 lossis 500 mg yog qhov tsim nyog dua.
Yog hais tias qhov xwm ntawm cov txheej txheem mob kis tsis yooj yim, cov txheej txheem kho yuav tsis pub ntev tshaj tsib hnub. Nyob rau hauv cov mob hnyav, kev kho mob ncua kom ntev txog kaum hnub.
Cov Yuav Tsum Tau Ua
Dab tsi ntxiv uas koj tuaj yeem kawm los ntawm cov lus qhia rau siv nrog Flemoklava Solutab (250 mg)?
Ib qho tshuaj tua kab mob ntau yam tuaj yeem siv tsuas yog tom qab dhau txoj kev tshawb fawb bacteriological. Koj tsis tuaj yeem siv cov tshuaj rau txhua tus neeg mob. Muaj cov hauv qab no contraindications:
- kev tsis xws loj hauv kev ua haujlwm ntawm lub siab,
- mob raum tsis ua hauj lwm,
- mononucleosis mob sib kis,
- tus neeg mob muaj kev fab tshuaj rau txhua yam penicillins,
- ntev li ntawm kev cuam tshuam rau cov tshuaj nquag ntawm cov tshuaj.
Cov tshuaj yog kho nrog ceev faj rau cov neeg mob uas muaj kab mob ntawm lub plab zom mov thiab lub raum.
Sab sij huam tshuaj
Raws li cov lus qhia thiab tshuaj xyuas rau "Flemoklav Solyutab" (250 g), hauv kev coj ua kev ntsuas kev kho mob, tus neeg mob yuav muaj kev phiv los ntawm cov tshuaj tiv thaiv kev nquag. Lub sijhawm no nrog nws cov lus los ntawm:
- mob leukopenia, ntshav liab, qog ntshav,
- mob hauv plab, raws plab, ntuav, xeev siab thiab kub siab,
- cov tsos mob chua leeg, pw tsis tsaug zog, kiv taub hau,
- mob thaum tso zis, khaus qhov chaw mos thiab mob,
- ua pob rau ntawm daim tawv nqaij npog, urticaria.
Yog tias tus neeg mob hnyav, ces nephritis, paresthesia, kub cev tshuaj thiab anaphylactic poob siab.
Yuav noj Flemoklav Solutab rau menyuam yaus li cas (250 mg) tau piav qhia hauv qab no.
Noj ntau dhau
Nws raug sau tseg nyob rau hauv qhov xwm txheej uas tus neeg mob tsis ua raws li cov tshuaj noj lossis rau lub sijhawm ntev siv cov tshuaj tsis tswj xyuas. Nyob rau hauv cov ntaub ntawv ntawm overdose, sab cov tsos mob nce. Raws plab, ntuav, thiab xeev siab tshwm sim. Xws li tus txheej txheem ua rau lub cev qhuav dej thiab lub cev tsis xws luag hauv dej-electrolyte tshuav nyiaj li cas.
Cov tshuaj raug muab tso tseg, lub plab yog ntxuav, tus neeg vwm siv. Yuav tsum kho cov tsos mob kom ua tiav.
Cov lus qhia tshwj xeeb
Yog tias tus neeg mob ntxim rau kev fab tshuaj, koj yuav tsum tau ua qhov kev sim rau qhov ua rau raug mob ntawm lub cev rau penicillin.
Nws tsis tuaj yeem cais tawm ntawm cov tshuaj thaum muaj tus mob zoo, vim tias qhov no yuav ua rau kom rov tshwm sim.
Yog tias qhov mob tshwm sim hauv plab thiab mob plab zawv plab heev, koj yuav tsum tsis txhob siv cov tshuaj thiab sab laj nrog kws kho mob kom pab.
Cov lus qhia rau Flemoklava Solutab (250) mg yuav tsum ua raws cai.
Dosage daim ntawv
Cov ntsiav tshuaj tawg yooj yim 125 mg + 31.25 mg, 250 mg + 62.5 mg, 500 mg + 125 mg
Ib ntsiav tshuaj muaj
amoxicillin trihydrate (sib npaug rau amoxicillin)
diluted poov tshuaj clavulanate (sib npaug rau clavulanic acid) **
tus zam: microcrystalline cellulose, crospovidone, vanillin, apricot tsw zoo, saccharin, magnesium stearate.
Oblong ntsiav tshuaj, nrog rau biconvex nto, los ntawm dawb mus rau daj nrog pom me ntsis ntawm cov xim av xim, cim "421" (rau kev noj tshuaj 125 mg + 31.25 mg), "422" (rau kev noj tshuaj 250 mg + 62.5 mg), "424" (rau qhov ntau npaum li 500 mg +125 mg) thiab daim duab ntawm lub tuam txhab logo.
Tsuas tshuaj thiab tswj hwm
Sab hauv, ua ntej noj mov. Cov ntsiav tshuaj tau nqos tag nrho, ntxuav nrog ib khob dej, lossis yaj hauv ib nrab khob dej (tsawg kawg 30 ml), nplawm kom huv ua ntej siv.
Lub sijhawm kho yog nyob ntawm qhov mob hnyav thiab tsis pub tshaj 14 hnub yam tsis muaj kev xav tau tshwj xeeb.
Cov neeg loj thiab menyuam yaus hnyav dua 40 kg cov tshuaj raug xaj nyob ntawm 0.5 g / 125 mg 3 zaug / hnub. Nyob rau hauv cov mob hnyav, rov tshwm sim thiab mob ntev, cov koob tshuaj no tuaj yeem muab ob npaug.
Rau cov menyuam muaj hnub nyoog 3 hlis txog 2 xyoos (nrog lub cev qhov hnyav txog kwv yees li 5-12 kg) koob tshuaj txhua hnub yog 20-30 mg ntawm amoxicillin thiab 5-7.5 mg ntawm clavulanic acid rau 1 kg ntawm lub cev qhov hnyav. Feem ntau qhov no yog koob tshuaj 125 / 31.25 mg 2 zaug / hnub. Tam sim ntawd ua ntej siv, yaj lub ntsiav tshuaj hauv 30 ml dej thiab sib tov.
Rau cov menyuam muaj hnub nyoog 2 txog 12 xyoos (nrog lub cev qhov hnyav txog kwv yees li 13-37 kg) koob tshuaj txhua hnub yog 20-30 mg ntawm amoxicillin thiab 5-7.5 mg ntawm clavulanic acid rau ib kg ntawm lub cev hnyav. Feem ntau qhov no yog koob tshuaj 125 / 31.25 mg 3 zaug / hnub rau cov menyuam hnub nyoog 2 txog 7 xyoo (qhov hnyav txog 13-25 kg) thiab 250 / 62.5 mg 3 zaug / hnub rau cov menyuam hnub nyoog 7-12 xyoo (hnyav lub cev txog 25-37 kg). Hauv kev kis mob hnyav, cov koob tshuaj no tuaj yeem raug muab siab txog ob npaug (qhov siab tshaj plaws txhua hnub yog 60 mg ntawm amoxicillin thiab 15 mg ntawm clavulanic acid rau ib kg ntawm lub cev hnyav).
Cov neeg mob uas lub raum tsis ua hauj lwm zoo
Hauv cov neeg mob uas lub raum tsis ua haujlwm, kev tawm ntawm clavulanic acid thiab amoxicillin los ntawm ob lub raum tau qeeb. Ua raws li qhov mob hnyav ntawm lub raum tsis ua haujlwm, tag nrho cov tshuaj ntawm Flemoklav Solutab (qhia raws li kev noj tshuaj ntawm amoxicillin) yuav tsum tsis pub ntau tshaj li cov nyiaj hauv qab no:
Cov yam ntxwv ntawm kev siv hauv kev pub mis thiab cev xeeb tub
Cov tshuaj tua kab mob txwv tsis pub nruj me ntsis hauv thawj 12 lub lis piam ntawm cev xeeb tub, vim tias lawv tuaj yeem cuam tshuam kev loj hlob thiab tsim tus menyuam.
Hauv lub hlis thib ob thiab thib peb, kev siv tshuaj yeeb raug tso cai. Txawm li cas los xij, tus kws tshaj lij yuav tsum tshawb xyuas cov txiaj ntsig rau tus poj niam thiab kev phom sij rau tus menyuam hauv plab.
Nws raug tso cai kom coj cov khoom thaum lub sijhawm pub mis, tab sis ntau npaum yog xaiv los ntawm kws kho mob.
Xav txog cov lus qhia rau cov menyuam yaus rau "Flemoklava Solutab" (250 mg).
Daim ntawv thov rau kev ua txhaum lub siab thiab lub raum
Yog tias tus neeg mob kuaj pom tias lub raum tsis ua haujlwm ntev, tom qab ntawd tus kws kho mob tshwj xeeb kho qhov ntau npaum li cas los ntawm cov yam ntxwv ntawm cov ntshav. Koj tuaj yeem siv sab hauv 250 mg ntawm cov tshuaj nrog rau ncua sij hawm kaum ob teev.
Cov tshuaj yog txwv tsis pub siv rau kev ua txhaum loj heev ntawm daim siab thiab jaundice. Ceev faj yog teev rau cov neeg mob uas mob siab me me.
Yeeb tshuaj sib cuam tshuam
Tib lub sijhawm, amoxicillin nrog aminoglycosides, laxatives thiab antacids yuav siv tsis tau. Qhov no ua rau txo qis ntawm kev nqus ntawm cov khoom nquag.
Ascorbic acid nrawm rau kev nqus ntawm penicillin.
Nrog kev sib xyaw ua ke ntawm cov tshuaj tua kab mob thiab cov tshuaj tiv thaiv anticoagulants, qhov ntxim nyiam muaj feem los ntshav sab hauv yuav nce ntxiv.
Amoxicillin tseem tuaj yeem txo cov txiaj ntsig ntawm kev tiv thaiv qhov ncauj. Tias yog vim li cas cov neeg mob tau qhia kom siv cov hau kev ntxiv ntawm kev tiv thaiv thaum sib tham sib.
Flemoklav muaj cov yeeb yam nrov no yog Amoksiklav.
Nws muaj cov khoom xyaw tib yam li hauv Flemoklava. Nws muaj nyob hauv kev ncua hmoov, ntsiav tshuaj thiab cov kev daws teeb meem. Nws muaj ntau yam tshuaj (125-875 mg). Cov tshuaj txhaj tuaj yeem siv txij thaum thawj hnub ntawm tus menyuam lub neej, ncua kev kawm - los ntawm ob lub hlis.
Hloov ntawm Flemoklav, Flemoxin Solutab yuav siv tau. Cov menyuam raug xaj 250 thiab 125 mg ntsiav tshuaj. Cov cuab yeej siv tau pom zoo thaum muaj hnub nyoog ib xyoos. Lub sijhawm kho yuav tsum yog tsawg kawg kaum hnub. Txij li thaum Flemoxin tsis muaj clavulanic acid, nws lub luag haujlwm yog nqaim.
Cov tshuaj noj tiv thaiv tshuaj yog Augmentin Cov Me Nyuam. Cov lus qhia ntawm kev siv tshuaj yeeb yog tib yam li ntawd ntawm Flemoklav. Nws muaj nyob rau hauv daim ntawv ntawm kev txhaj tshuaj, hmoov thiab ntsiav tshuaj. Cov tshuaj raug coj los ntawm tsib hnub rau ob lub lis piam. Yog tias tus neeg mob tsis yog 12 xyoos, raug ncua kev muab tshuaj. Kev hno cov tshuaj no yog siv rau txhua pawg hnub nyoog.
Thaum kho cov menyuam yaus, Amoxicillin siv tshuaj ua kua. Kev noj tshuaj txhua hnub yog muab faib ua peb koob.
Ib cov tshuaj bacteriostatic zoo ib yam li Flemoklav yog Sumamed, tab sis azithromycin ua raws li cov tshuaj muaj tshuaj nyob hauv nws. Ib yam tshuaj rau yus cov menyuam txij thaum muaj hnub nyoog 6 hlis.
Tsis tas li, "Flemoklav Solutab" tuaj yeem hloov los ntawm cov tshuaj hauv qab no: "Ecoclave", "Trifamox", "Klacid", "Bactoclav", "Vilprafen", "Trifamox", "Azithromycin".
Xyuas rau "Flemoklava Solutab" (250 mg)
Penicillins paub tias yog cov tshuaj muaj kev nyab xeeb tshaj plaws. Txawm li cas los xij, lawv yuav tsis pab nyob rau txhua qhov xwm txheej. Cov neeg tsim khoom tau tso tawm ib cov tshuaj tshiab nrog clavulanic acid. Kev kho lub ntsej muag vim qhov kev sib txuas no ua kom zoo dua qub ntau zaus.
Flemoklav Solutab (250 mg) yog qhov kev hais daws zoo uas muaj kev pom dav dav los ntawm pawg neeg penicillin. Nws ua rau muaj feem xyuam nrog cov kab mob anaerobic thiab aerobic gram-tsis zoo thiab cov kab mob gram-zoo. Cov kws kho mob pom zoo kom siv nws hauv kev kho mob hlwb teb. Tsis tas li ntawd, nws pom zoo zoo los ntawm cov neeg mob hauv cov laus.
Nrog kev txhim kho cystitis tom qab hypothermia, cov kws tshaj lij sau ntawv Flemoklav Solyutab. Cov tshuaj pab sai heev. Tom qab ob hnub, qhov tsis xis nyob ploj mus. Tus nqi yog xam tau. Hauv qhov no, cov ntsiav tshuaj tsis tas yuav nqos, txij li thaum tov nrog dej lawv hloov mus rau kev ncua.
Cov tshuaj no muaj qhov tsis muaj txiaj ntsig zoo li qhov ua tau ntawm kev coj ua hauv daim ntawv yaj. "Flemoklav Solutab" (250 mg) zoo li kua dej kom saj, nws yooj yim rau lawv haus cov neeg mob me. Cov kev tau txais txiaj ntsig zoo dua li lwm cov tshuaj tua kab mob yog tias nws tsis ua rau muaj kev mob tshwm sim li dysbiosis.
Cov tshuaj "Flemoklav Solutab" (250 mg) yog ib txwm muaj nyob hauv ntau tsev neeg cov khoom siv ua ntej pabcuam. Yog tias tus mob khaub thuas tsis ploj mus ntev, tus kub taub hau mob mus ntev, cov neeg mob yuav tsum tau haus tshuaj tua kab mob, cov tshuaj no tau noj. Nws pab txij li thawj hnub, cov kev mob tshwm sim tseem ceeb tsis tshwm sim. Cov xwm txheej me tshwm sim, tab sis lawv muaj tsawg, muaj tshuaj txaus los txhim kho plab hnyuv muaj nuj nqi.
Lub tsuas drawback yog lub siab tus nqi.
Nws yog qhov zoo dua los paub koj tus kheej nrog kev txheeb xyuas txog Flemoklava Solutab (250 mg) ua ntej. Lawv feem ntau zoo. Cov neeg yuav khoom tsuas hais tias qhov tseem ceeb tshaj plaws yog los saib xyuas qhov ntau npaum ntawm Flemoklava Solutab (250 mg).
Pharmacological kev txiav txim
Amoxicillin yog cov tshuaj tua kab mob ntau tshaj ib nrab hnub nrog kev ua si tiv thaiv ntau yam kab mob gram-positive thiab gram-tsis zoo. Tib lub sijhawm, amoxicillin tiv thaiv kev puas tsuaj los ntawm beta-lactamases, thiab yog li ntawd cov spectrum ntawm kev ua ntawm amoxicillin tsis txuas ntxiv mus rau cov kab mob me me uas tsim cov enzyme no. Clavulanic acid, beta-lactamase inhibitor yam ntxwv ntawm kev siv rau penicillins, muaj peev xwm tsis muaj peev xwm tsis ua haujlwm ntau ntawm beta-lactamases pom muaj nyob rau hauv penicillin thiab cephalosporin resistant microorganisms.Clavulanic acid muaj qhov ua tau zoo txaus los tiv thaiv plasmid beta-lactamases, uas feem ntau txiav txim siab qhov tawm tsam ntawm cov kab mob, thiab tsis muaj kev tiv thaiv zoo tiv thaiv cov chromosomal beta-lactamases hom 1, uas tsis tiv thaiv los ntawm clavulanic acid.
Lub xub ntiag ntawm clavulanic acid nyob rau hauv Flemoklav Solutab npaj tiv thaiv amoxicillin los ntawm kev puas tsuaj los ntawm cov enzymes - beta-lactamases, uas tso cai rau nthuav cov antibacterial spectrum ntawm amoxicillin. Cov hauv qab no yog hauv kev ua haujlwm hauv vitro ntawm amoxicillin nrog clavulanic acid.
Nquag tiv thaiv cov kab mob aerobic gram (zoo li cov kab mob tsim cov beta-lactamases): Staphylococcus aureus, cov kab mob aerobic gram-tsis zoo: Enterobacter spp., Escherichia coli, Haemophilus influenzae, Klebsiella spp., Moraxella catarrhalis. Cov kab mob hauv qab no tsuas yog tiv thiav hauv vitro: Staphylococcus epidermidis, Streptococcus pyogenes, Streptococcus anthracis, Streptococcus pneumoniae, Streptococcus viridans, Enterococcus faecalis, Corynebacterium spp., Listeria monocytogenes, anaerobic Clopog. (suav nrog kev tsim cov kab mob beta-lactamases): Proteus mirabilis, Proteus vulgaris, Salmonella spp., Shigella spp., Bordetella pertussis, Yersinia enterocolitica, Gardnerella vaginalis, Neisseria meningitidis, Neisseria gonorrhoeae, Haemophi libina jejuni, anaerobic gram-cov kab mob tsis zoo (suav nrog beta-lactamase ua cov leeg tawm): Bacteroides spp., suav nrog Tshuaj yej Bacteroides fragilis.
Tsuas tshuaj thiab tswj hwm
Flemoklav Solutab 250 mg ntsiav tshuaj yog noj ntawm qhov ncauj.
Kev noj tshuaj yog tsim raws tus kheej lub hnub nyoog, lub cev nyhav, lub raum kev ua haujlwm ntawm tus neeg mob, nrog rau qhov mob hnyav npaum li cas. Txo kom txo tau qhov muaj peev xwm ua mob plab hnyuv twm thiab kom muaj qhov nqus tau zoo, kom cov tshuaj yuav tsum noj thaum pib noj mov. Cov ntsiav tshuaj tau nqos tag nrho, ntxuav nrog ib khob dej, lossis yaj hauv ib nrab khob dej (tsawg kawg 30 ml), nplawm kom huv ua ntej siv. Qhov kawm tsawg kawg ntawm cov tshuaj tua kab mob yog 5 hnub.
Txoj kev kho yuav tsum tsis txhob txuas ntxiv ntev dua 14 hnub yam tsis muaj tshuaj xyuas qhov xwm txheej kho mob. Yog tias tsim nyog, nws muaj peev xwm los ua cov kev kho mob ib qib dhau ib zaug (ua ntej, kev tswj hwm hauv niam txiv ntawm amoxicillin + clavulanic acid, tom qab ntawd los ntawm kev tswj hwm qhov ncauj).
Cov neeg laus thiab menyuam yaus hnub nyoog 12 xyoos nrog lub cev hnyav ≥ 40 kg cov tshuaj raug muab tshuaj ntawm 500 mg / 125 mg 3 zaug / hnub.
Qhov siab tshaj plaws qhov siab txhua hnub yuav tsum tsis pub tshaj 2400 mg / 600 mg ib hnub twg.
Cov menyuam hnub nyoog 1 xyoos txog 12 xyoos nrog lub cev hnyav txog 10 txog 40 kg qhov ntau npaum cov tshuaj tau teem ib lub zuj zus raws li qhov xwm txheej kuaj mob thiab qhov mob tau hnyav heev.
Cov tshuaj pom zoo txhua hnub yog los ntawm 20 mg / 5 mg / kg ib hnub rau 60 mg / 15 mg / kg ib hnub thiab tau faib ua 2 rau 3 koob tshuaj.
Cov ntaub ntawv soj ntsuam txog kev siv amoxicillin / clavulanic acid nyob rau qhov sib piv ntawm 4: 1 ntawm koob tshuaj> 40 mg / 10 mg / kg ib hnub hauv cov menyuam yaus hnub nyoog qis dua ob xyoos tsis yog. Qhov nyiaj pab ntau tshaj rau cov me nyuam txhua hnub yog 60 mg / 15 mg / kg ib hnub.
Kev noj tshuaj tsawg kawg yog pom zoo rau kev kho mob ntawm daim tawv nqaij thiab cov nqaij mos, nrog rau cov mob ua paug tonsillitis, ntau dua ntawm cov tshuaj tau raug pom zoo rau kev kho mob xws li otitis media, sinusitis, kis mob qis thiab mob txeeb zig, mob pob txha thiab pob qij txha. Muaj cov ntaub ntawv txhaj tshuaj tsis txaus rau pom zoo kom siv cov tshuaj ntau dua 40 mg / 10 mg / kg / hnub hauv 3 koob (4: 1 piv) hauv cov menyuam yaus hnub nyoog qis dua 2 xyoos.
Kev kwv yees kwv yees ntau npaum li cas rau cov kws kho mob hauv pob tsuas hauv qab no: