Amoklav-375: cov lus qhia rau kev siv

375 mg thiab 625 mg zaj duab xis-ntsiav tshuaj

Ib ntsiav tshuaj muaj

yam tshuaj: amoxicillin li amoxicillin trihydrate 250 mg, clavulanic acid li potassium clavulanate 125 mg (rau ntau npaum 375 mg) lossis amoxicillin li amoxicillin trihydrate 500 mg, clavulanic acid li potassium clavulanate 125 mg (rau kev noj 625 mg),

tus zam: colloidal silicon dioxide, crospovidone, croscarmellose sodium, magnesium stearate, talc, microcrystalline cellulose,

zaj duab xis txheej zaj duab xis: hydroxypropyl cellulose, ethyl cellulose, polysorbate, triethyl citrate, titanium dioxide (E 171), talc.

Cov ntsiav tshuaj, coated nrog zaj duab xis plhaub ntawm dawb lossis yuav luag dawb, octagonal duab nrog lub ntsej muag biconvex, sau nrog "250/125" ntawm ib sab thiab "AMS" ntawm lwm sab (rau ntau npaum ntawm 250 mg + 125 mg).

Cov ntsiav tshuaj, zaj duab xis-coated, dawb lossis yuav luag dawb, oval nrog biconvex nto (rau ntau npaum li 500 mg + 125 mg).

Cov chaw muag tshuaj

Cov Tshuaj Pharmacokinetics

Amoxicillin thiab clavulanic acid yog ua kom yaj tag hauv kev daws teeb meem ntawm pH ntawm lub cev. Ob qho khoom siv tau zoo nqus tom qab kev tswj hwm ntawm qhov ncauj. Nws yog qhov zoo dua rau noj amoxicillin / clavulanic acid lub sijhawm lossis thaum pib noj mov. Tom qab kev tswj hwm ntawm qhov ncauj, lub bioavailability ntawm amoxicillin thiab clavulanic acid yog kwv yees li 70%. Lub zog puab ntawm kev saib xyuas ntawm cov tshuaj nyob rau hauv lub plasma ntawm ob feem sib xyaw zoo ib yam nkaus. Qhov siab tshaj tawm cov dej siab tau mus txog 1 teev tom qab kev tswj hwm.

Qhov ntau ntawm amoxicillin thiab clavulanic acid nyob rau hauv cov ntshav ntshav thaum noj cov tshuaj amoxicillin / clavulanic acid ua ke yog zoo li cov tau pom nrog lub qhov ncauj cais cov tshuaj ntawm qhov sib npaug ntawm amoxicillin thiab clavulanic acid.

Txog 25% ntawm tag nrho cov nyiaj ntawm clavulanic acid thiab 18% ntawm amoxicillin khi rau cov ntshav protein. Qhov ntim ntawm kev faib tawm rau kev tswj hwm qhov ncauj ntawm cov tshuaj yog kwv yees 0.3-0.4 l / kg ntawm amoxicillin thiab 0.2 l / kg ntawm clavulanic acid.

Tom qab kev tswj hwm kev siv tshuaj, ob qho tib si amoxicillin thiab clavulanic acid tau pom nyob hauv lub zais zis, cov tawv nqaij ntawm lub plab hauv plab, tawv nqaij, rog, cov leeg nqaij, synovial thiab peritoneal kua, kua tsib thiab kua paug. Amoxicillin nkag mus rau hauv lub cev tsis zoo ua kua dej.

Amoxicillin thiab clavulanic acid hla qhov chaw tiv thaiv hniav. Ob seem puav leej sib kis mus rau niam mis.

Amoxicillin yog qee cov tso tawm hauv cov zis hauv daim ntawv ntawm tsis muaj zog penicillic acid nyob rau hauv ntau npaum li 10 - 25% ntawm thawj koob tshuaj. Clavulanic acid yog metabolized nyob rau hauv lub cev thiab nthuav tawm hauv cov zis thiab quav, ntxiv rau hauv cov qauv ntawm cov pa roj carbon dioxide nrog cov pa tawm ntawm huab cua.

Qhov nruab nrab kev tshem tawm ib nrab-lub neej ntawm amoxicillin / clavulanic acid yog li 1 teev, thiab qhov nruab nrab tag nrho kev sib tw yog kwv yees li 25 l / teev. Li ntawm 60-70% ntawm amoxicillin thiab 40-65% ntawm clavulanic acid raug tso tawm tsis hloov pauv hauv cov zis thaum thawj 6 teev tom qab noj ib qho tshuaj amoxicillin / clavulanic acid ntsiav tshuaj. Thaum lub sij hawm ntau cov kev tshawb fawb, nws tau pom tias 50-85% ntawm amoxicillin thiab 27-60% ntawm clavulanic acid tau tawm hauv cov zis hauv 24 teev. Qhov loj tshaj plaws ntawm clavulanic acid tau tawm hauv thawj 2 teev tom qab daim ntawv thov.

Kev siv ib txhij ntawm probenecid qeeb ua rau kev tso tawm ntawm amoxicillin, tab sis cov tshuaj no tsis cuam tshuam qhov cuam tshuam ntawm clavulanic acid los ntawm ob lub raum.

Ib nrab-lub neej ntawm amoxicillin zoo ib yam li cov menyuam yaus hnub nyoog 3 hlis txog 2 xyoos, tseem yog menyuam yaus thiab neeg laus. Thaum muab tshuaj rau cov menyuam yaus me (nrog rau cov menyuam mos thaum yug los) hauv thawj lub limtiam ntawm lub neej, cov tshuaj yuav tsum tsis txhob siv ntau dua ob zaug hauv ib hnub, uas cuam tshuam nrog kev hloov lub plawv tsis ua haujlwm ntawm cov menyuam yaus. Vim tias qhov tseeb tias cov neeg laus cov neeg mob feem ntau yuav mob lub raum, lub tshuaj yuav tsum tau txiav txim nrog kev ceev faj rau pawg neeg mob no, tab sis yog tias tsim nyog, kev tshuaj xyuas lub raum kev ua haujlwm yuav tsum tau nqa tawm.

Tag nrho kev tshem tawm ntawm amoxicillin / clavulanic acid nyob rau hauv cov ntshav txo qis hauv cov xaim ncaj qha rau ib qho kev txo qis hauv kev ua haujlwm. Qhov txo qis ntawm amoxicillin tshem tawm yog qhov tshaj tawm piv rau clavulanic acid, txij li ntau dua ntawm amoxicillin yog tawm dhau los ntawm lub raum. Yog li, thaum muab tshuaj rau cov neeg mob uas lub raum tsis ua haujlwm, yuav tsum tau txhaj tshuaj kho kom tsis txhob muaj cov tshuaj amoxicillin ntau ntau thiab tswj cov qib clavulanic acid yuav tsum tau ua.

Thaum muab tshuaj rau cov neeg mob uas lub siab tsis ua hauj lwm zoo, yuav tsum ceev faj thaum xaiv ib koob thiab soj ntsuam daim siab ua haujlwm tas li.

Cov Tshuaj Hauv Tshuaj

Amoxicillin yog tshuaj tua kab mob ib nrab los ntawm pawg neeg penicillin (beta-lactam tshuaj tua kab mob) uas tiv thaiv ib lossis ntau tshaj li cov enzymes (feem ntau hu ua penicillin-khi cov protein) koom nrog biosynthesis ntawm peptidoglycan, uas yog ib qho tseem ceeb qauv ntawm cov kab mob ntawm tes ua phab ntsa. Kev txwv tsis pub peptidoglycan hluavtaws ua rau kev ua haujlwm tsis zoo ntawm lub xovtooj ntawm phab ntsa, feem ntau ua raws li cov cell lysis thiab cell tuag.

Amoxicillin raug pov tseg los ntawm beta-lactamases uas ua los ntawm cov kab mob tiv taus, thiab yog li ntawd, kev ua si spectrum ntawm amoxicillin ib leeg tsis suav nrog cov kab mob me me uas tsim cov enzymes no.

Clavulanic acid yog beta-lactam kev txuam nrog penicillins. Nws inhibits qee qhov beta-lactamases, yog li tiv thaiv qhov ua tsis tiav ntawm amoxicillin thiab nthuav nws cov kev ua haujlwm spectrum. Clavulanic acid nws tus kheej tsis muaj qhov chaw mos ua rau muaj kev cuam tshuam loj heev rau kev kho mob.

Tshaj lub sijhawm dhau los ntawm qhov kev txwv qis tshaj plaws (T> IPC) yog suav tias yog qhov kev txiav txim siab tseem ceeb ntawm cov hauj lwm zoo ntawm amoxicillin.

Ob txoj haujlwm tseem ceeb ntawm kev ua rau amoxicillin thiab clavulanic acid yog:

inactivation los ntawm cov kab mob beta-lactamases uas tsis tau txhawm los ntawm clavulanic acid, suav nrog cov chav kawm B, C thiab D.

ib qho kev hloov pauv ntawm kev sib txuas ua ke ntawm penicillin, uas txo qis kev sib raug zoo ntawm cov tshuaj tua kab mob mus rau lub hom phiaj.

Lub zog tsis haum ntawm cov kab mob lossis cov txheej txheem ntawm lub efflux twj tso kua mis (thauj cov tshuab) tuaj yeem ua rau lossis tswj qhov tsis kam ntawm cov kab mob, tshwj xeeb tshaj yog cov kab mob gram-tsis zoo.

Ciaj ciam qhov tseem ceeb ntawm MIC rau amoxicillin / clavulanic acid yog cov tau txiav txim siab los ntawm European Pawg Neeg Saib Xyuas Kev Tiv Thaiv Antimicrobial Rhiab (EUCAST).

Kev ntsuas rau siv

Amoklav yog qhia rau kev kho mob ntawm kev kis mob hauv qab no rau cov neeg laus thiab menyuam yaus:

• Mob pob ntseg mob hlwb (kuaj mob txaus)

• Kev mob o cov nqaij mos

• Kev mob hniav uas mob heev nrog rau kis mob rau daim ntaub ua pob. Cov txheej txheem kev cai rau kev siv tshuaj zoo antibacterial yuav tsum raug txiav txim siab.

Tsuas tshuaj thiab tswj hwm

Cov koob tshuaj tau txiav txim siab nyob ntawm cov ntsiab lus ntawm amoxicillin / clavulanic acid hauv kev npaj, tshwj tsis yog muab koob tshuaj tau teem raws li cov ntsiab lus ntawm ib qho ntawm cov khoom siv.

Thaum xaiv cov koob tshuaj ntawm Amoclav rau kev kho mob ntawm ib tus neeg tus mob, cov hauv qab no yuav tsum raug xam tias:

• Cov kab mob xav tias tsam lawv lub cev thiab lawv cov tshuaj tua kab mob (saib "Ceev Faj")

• Qhov mob heev thiab ncig ntawm kev kis tus kab mob

• Lub hnub nyoog, hnyav, thiab raum ua haujlwm ntawm tus neeg mob.

Yog tias tsim nyog, lwm cov tshuaj ntawm Amoklav yuav siv (suav nrog kev tso tshuaj ntau dua ntawm amoxicillin thiab / lossis ntau qhov sib piv ntawm amoxicillin thiab clavulanic acid) (saib "Kev Ceeb Toom").

Rau cov neeg laus thiab menyuam yaus hnyav 40 kg lossis tshaj saud, qhov koob tshuaj txhua hnub ntawm Amoklav-375 yog 750 mg ntawm amoxicillin / 375 mg ntawm clavulanic acid thaum siv raws li cov lus pom hauv qab no. Yog tias nws yuav tsum tau siv ntau dua koob tshuaj txhua hnub ntawm amoxicillin, kev siv lwm cov tshuaj ntawm Amoklav raug pom zoo kom tsis txhob noj ntau yam tshuaj tsis haum siab ntawm cov hnub nyoog clavulanic acid (saib "Kev Ceeb Toom").

Cov neeg laus thiab menyuam yaus hnyav 40 kg thiab ntau dua 1 ntsiav tshuaj 250 mg / 125 mg peb zaug ib hnub.

Cov menyuam yaus lub cev hnyav dua 40 kg

Rau cov menyuam yaus lub cev nyhav qis dua 40 kg, Amoklav-375 ntsiav tshuaj tau hu ua:

Cov neeg laus li Cov noj tshuaj txhaj tsis tas yuav kom kho.

Cov neeg mob uas lub raum tsis ua hauj lwm zoo

Kev hloov pauv koob yog nce raws li qhov xav tau ntau tshaj ntawm amoxicillin.

Hauv cov neeg mob uas muaj tus nqi creatinine tshem tawm (CrCl) ntau dua 30 ml / min, tsis tas kho qhov koob tshuaj.

Cov menyuam yaus lub cev hnyav dua 40 kg

Rau cov menyuam yaus lub cev qhov hnyav tsawg dua 40 kg thiab cov creatinine tshem tawm qhov muaj nqis tsawg dua 30 ml / min, kev tswj hwm ntawm Amoclav-375 nrog qhov sib piv ntawm 2: 1 ntawm amoxicillin / clavulanic acid tsis pom zoo, vim tias tsis muaj peev xwm ntawm kev hloov kho tshuaj. Rau cov neeg mob zoo li no, Amoclav nrog qhov sib piv ntawm amoxicillin / clavulanic acid ntawm 4: 1 yog qhov kev pom zoo.

Cov neeg mob uas muaj lub siab ua haujlwm tsis zoo

Kev kho yog nqa tawm nrog ceev faj; daim siab ua haujlwm raug saib xyuas tas li (saib "Kev Tswj Xyuas Qhov Tsis Zoo" thiab "Kev Ceeb Toom").

Amoklav npaj rau kev siv lub qhov ncauj.

Nws raug nquahu kom koj noj cov tshuaj thaum pib noj mov kom txo qis kev mob plab thiab txhim kho kev nqus ntawm amoxicillin / clavulanic acid.

Noj ntau dhau

Tej zaum muaj kev txhim kho cov tsos mob los ntawm kev mob plab, nrog rau kev ua txhaum ntawm cov dej-electrolyte tshuav nyiaj li cas. Cov xwm txheej ntawm amoxicillin-txuam crystalluria tau pom, qee zaum ua rau lub raum tsis ua haujlwm.

Cov neeg mob uas lub raum tsis ua haujlwm lossis tau txais kev kho mob siab dua yuav ua rau qaug dab peg. Rau cov mob plab zom mov, kev kho mob cov tsos mob kuj yuav muab nrog ua ke nrog kom rov muaj dej-electrolyte tshuav nyiaj li cas. Amoxicillin thiab potassium clavulanate tuaj yeem raug tshem tawm los ntawm hemodialysis.

Kev cuam tshuam nrog lwm yam tshuaj

Cov xwm txheej nce ntawm tus tseev tsim ntiaj teb li qub piv rau (INR) hauv cov neeg mob tau txais kev kho tu nrog acenocoumarol lossis warfarin tawm tsam keeb kwm ntawm cov tshuaj tua kab mob ntawm amoxicillin tau piav qhia. Yog tias tsim nyog, kev sib txig sib xyaw ntawm cov tshuaj ua tib zoo saib xyuas lub sijhawm prothrombin lossis INR thaum pib kho thiab tom qab txiav kev kho mob nrog amoxicillin. Tej zaum yuav tau txhaj tshuaj rau cov tshuaj tiv thaiv kab mob qhov ncauj.

Penicillins tuaj yeem txo qhov ua kom tsis haum tawm ntawm methotrexate, uas nrog cov tshuaj lom ntau ntxiv.

Kev siv ua ke nrog probenecide tsis pom zoo. Nws txo cov zais ntawm amoxicillin nyob rau hauv lub raum leeg. Kev siv ib txhij ntawm probenecid nrog Amoclav tuaj yeem ua rau nce ntxiv hauv cov ntshav ntawm amoxicillin (tab sis tsis yog clavulanic acid) thiab lawv cov kev saib xyuas ntev dua.

Kev tiv thaiv kev nyab xeeb

Ua ntej pib kho mob nrog Amoclave, nws yog ib qho tsim nyog yuav tsum tau sau cov ncauj lus kom ntxaws txog kev kho mob yav dhau los ntsig txog kev tiv thaiv kab mob siab rau penicillins, cephalosporins lossis lwm yam beta-lactam npaj.

Cov neeg muaj mob hnyav thiab tuag tsis haum lub cev (tshuaj tiv thaiv anaphylactoid) tau pom thaum kho penicillin. Lawv feem ntau muaj peev xwm nthuav dav hauv cov neeg mob uas muaj qhov tsis haum lub siab rau penicillins thiab muaj keeb kwm ntawm atopy. Yog tias muaj kev fab tshuaj tsis haum, Amoclav txoj kev kho yog tsum tsis ua ntxiv thiab lwm yam tshuaj tiv thaiv kab mob uas tsim nyog.

Thaum muaj pov thawj pom tau yooj yim ntawm kev kis tus kab mob mus rau amoxicillin, kev txiav txim siab yuav tsum tau muab rau kev hloov mus ntawm Amoclav mus rau amoxicillin raws li cov lus qhia ua haujlwm.

Daim ntawv ntau npaum li cas ntawm cov tshuaj tsis tsim nyog rau siv yog tias muaj kev pheej hmoo loj uas xav tias cov pathogens tiv taus beta-lactam npaj tsis kho kom haum xeeb los ntawm beta-lactamases rhiab rau lub inhibitory nyhuv ntawm clavulanic acid. Txij li thaum tsis muaj cov ntaub ntawv ntiag tug ntawm T> IPC (qhov tsis tshua muaj tshuaj lom), thiab cov txiaj ntsig ntawm kev ntsuas qhov sib piv ntawm qhov ncauj ntau npaum li cas ntawm cov ciam teb tseem ceeb, daim ntawv noj tshuaj no (tsis muaj amoxicillin ntxiv) yog qhov tsis tsim nyog rau kev kho mob los ntawm kev raug mob los ntawm penicillin-resistant S. pheumoniae leeg.

Hauv cov neeg mob uas lub raum tsis ua haujlwm lossis yuav ua rau chua leeg. Amoclav txoj kev kho qhia pom ib txoj kev taug ntawm cov mob mononucleosis, txij li tom qab siv daim ntawv no, qhov tsos mob ntawm pob khaus zoo li ua pob.

Qhov kev siv ntau tshaj plaws ntawm allopurinol thaum kho nrog amoxicillin muaj peev xwm ua kom ntau ntxiv ntawm kev txhim kho cov tawv nqaij ua xua.

Kev siv tshuaj ntev ntev tuaj yeem ua rau muaj kev tawm tsam ntau dhau los ntawm cov kab mob refractory microorganisms.

Kev txhim kho ntawm kev paub dav dav erythema nrog kev kub taub hau thiab tsim muaj pustules thaum pib ntawm txoj kev kho yog qhov tshwm sim ntawm cov kev mob tshwm sim ntawm tus mob tsis paub qab hau (OGEP) (saib "Phiv"). Qhov tshuaj tiv thaiv no yuav tsum tau txiav tawm kev kho mob nrog Amoclave thiab yog qhov kev tsis sib haum xeeb rau kev tswj hwm ntawm amoxicillin txuas ntxiv.

Kev kho mob ntawm cov neeg mob mob siab tsis tuaj yeem ua nrog ceev faj.

Cov xwm txheej hnyav los ntawm daim siab raug pom muaj feem ntau yog rau cov txiv neej thiab cov neeg laus laus thiab muaj feem cuam tshuam nrog kev kho mob ntev. Cov xwm txheej no tsis tshua pom muaj tsawg hauv cov menyuam yaus.

Hauv txhua pab pawg ntawm cov neeg mob, cov tsos mob thiab cov tsos mob tshwm sim feem ntau thaum lub sijhawm lossis tom qab kho tas, tab sis qee kis nws tshwm sim li ob peb lub lis piam tom qab siv tshuaj tag. Feem ntau lawv thim rov qab. Cov kev phiv loj heev los ntawm daim siab tuaj yeem txhim kho, tsis tshua muaj kev phom sij nrog lub txiaj ntsig tuag. Lawv yuav luag pom ntawm cov neeg mob uas muaj tus kabmob tseem ceeb lossis siv cov tshuaj tsis haum uas tuaj yeem cuam tshuam lub siab (saib "Phiv").

Cov xwm txheej ntawm cov tshuaj tua kab mob ua rau pom muaj thaum kho nrog yuav luag txhua yam tshuaj tua kab mob, nrog rau amoxicillin, tuaj yeem sib txawv ntawm qhov mob me me mus rau kev tuag taus (saib "Phiv").

Nws yog ib qho tseem ceeb uas yuav tau qhia rau txoj kev kuaj mob no rau cov neeg mob uas mob raws plab thaum lub sijhawm lossis tom qab ua tiav txhua yam kev siv tshuaj tua kab mob. Nyob rau hauv cov ntaub ntawv ntawm kev loj hlob ntawm cov tshuaj tua kab mob ntsig txog kev tua kab mob, Amoclave kev kho mob tam sim ntawd nres, sab laj tus kws kho mob thiab nqa tawm kev kho mob tsim nyog. Hauv qhov xwm txheej no, kev siv cov tshuaj uas tiv thaiv peristalsis yog contraindicated.

Thaum kho mus sij hawm ntev, kev tshuaj xyuas tsis tu ncua ntawm cov haujlwm ntawm ntau cov kab mob hauv lub cev, nrog rau lub raum, mob siab thiab hematopoietic plab hnyuv siab raum, yog kev pom zoo.

Tsawg tsawg zaus, thaum noj tshuaj, muab ncua sij hawm ntxiv prothrombin tau sau tseg. Nrog kev tswj hwm tib lub sij hawm ntawm anticoagulants, kev saib xyuas kom zoo ntawm cov ntsuas kev sib tsoo yog qhov yuav tsum ua. Kev txhaj tshuaj rau cov tshuaj tiv thaiv qhov ncauj yuav tsum ua kom tiav qib theem ntawm kev xav tau.

Hauv cov neeg mob uas lub raum tsis txaus, yuav tsum tau txhaj tshuaj kom haum raws li qib kev tsis txaus (saib "Dosage thiab Administration").

Hauv cov neeg mob nrog txo diuresis, crystalluria tsis tshua pom, feem ntau yog tiv thaiv keeb kwm ntawm kev kho mob los ntawm niam txiv.Thaum siv tshuaj kho mob amoxicillin ntau, kev haus dej kom txaus yog qhov pom zoo kom txo qhov muaj feem ntawm amoxicillin-cuam tshuam crystalluria. Hauv cov neeg mob uas muaj lub raj yas tso rau hauv lub zais zis, nws yog ib qho tsim nyog yuav tsum soj ntsuam nws txoj kev patency tsis tu ncua. Thaum kho cov glucosuria, cov ntshav qabzib tau raug soj ntsuam uas siv cov txheej txheem enzymatic nrog glucose oxidase, vim tias cov txheej txheem tsis muaj enzymatic qee zaum muab cov txiaj ntsig tsis zoo. Muaj cov clavulanic acid nyob rau hauv Amoklava tuaj yeem ua rau kev tsis khi ntawm IgG thiab albumin rau erythrocyte cov qog ua haujlwm, uas tuaj yeem ua rau qhov tsis muaj tseeb ntawm kev kuaj Coombs.

Muaj qee tus neeg mob ntawm cov kab mob enzyme-txuas immunosorbent assay (ELISA) rau Aspergillus hauv cov neeg mob uas tau txais cov tshuaj, uas tom qab txiav txim siab tias tsis muaj kev kis mob los ntawm Aspergillus. Cov tshuaj tiv thaiv khaub thuas nrog nonaspergillic

polysaccharides thiab polyfuranoses ua ib feem ntawm kev xeem ELISA ntawm Aspergillus. Cov txiaj ntsig kev sim tau zoo hauv cov neeg mob noj Amoklav yuav tsum tau txhais nrog ceev faj thiab paub tseeb los ntawm lwm txoj kev kuaj mob.

Koob tshuaj rau cov me nyuam

Rau cov neeg mob me, koob tshuaj txhua hnub ntawm Amoxiclav yog suav ib txwm suav raws li cov lus hauv cov lus qhia:

• txog li 3 hlis, Amoxiclav yog tshuaj rau 30 mg / 1 kg ntawm lub cev qhov hnyav hauv ib hnub, muab faib ua 3 koob ib hnub,
• los ntawm 3 lub hlis txog 12 xyoos, koob tshuaj txhua hnub yog xam raws lub mis 20 mg / 1 kg ntawm qhov hnyav rau mob me, lossis 40 mg / 1 kg rau mob hnyav, qhov tshwm sim ntawm cov tshuaj tau muab faib ua 3 ntu thiab muab rau ib zaug,
• Txij li 12 xyoo, cov menyuam tuaj yeem siv tshuaj noj rau cov neeg laus.

Lub sijhawm kho rau cov menyuam yaus feem ntau tsis pub tshaj 5-7 hnub. Qhov no yog ib nrab ntau npaum li cov neeg laus. Yog tias tsim nyog, tus kws kho mob tuaj yeem txuas ntxiv cov kev siv tshuaj tua kab mob.

Amoxiclav tshuaj xyuas

Feem ntau ntawm kev tshuaj xyuas txog Amoxiclav yog qhov zoo. Yuav luag tam sim ntawd tom qab noj cov tshuaj, cov tsos mob tsis muaj zog, phiv yog mob me lossis tsis tuaj ib yam nkaus. Hauv qee kis, cov neeg mob laus thiab cov neeg mob raum muaj lub suab tsis txaus siab ntawm edema, uas qhia txog kev ua haujlwm tsis txaus ntawm lub nruab nrog cev. Cov xwm txheej no tsis suav hais tias yog ib qho dab tsi, tshwj xeeb tshaj yog thaum koj xav tias clavulanic acid nws dhau los ntawm lawv. Nyob rau tib lub sijhawm, cov tshuaj txhim kho nws cov nyhuv, cov cim qhia ntawm kev siv ntau dhau yuav tshwm sim. Txhawm rau tiv thaiv qhov no tshwm sim, kev tiv thaiv kev tiv thaiv yuav tsum tau ua - haus dej ntau thiab ntau zaus ntsib tus kws kho mob.