Amoxicillin: cov lus qhia rau kev siv > Kev khomob thiab kev tiv thaiv

Cov tshuaj lag luam tau tsim ntau cov tshuaj siv los kho kab mob. Thiab yog ib hom tshuaj muaj npe thiab muaj txiaj ntsig zoo tshaj plaws tshuaj tua kab mob tshuaj amoxicillin. Cov tshuaj yog siv rau ntau yam kab mob thaum nws tsim nyog los tshem tawm cov microflora muaj teeb meem uas ua rau lawv.

Qhia txog ntawm cov tshuaj

Amoxicillin tau tsim tawm thaum xyoo 70s. Qhov no yog tshuaj tua kabmob los ntawm chav kawm penicillin, ntsig txog cov tshuaj tua kabmob semisynthetic. Amoxicillin ze tshaj plaws ntawm ampicillin, tab sis txawv ntawm nws los ntawm qhov muaj cov pab pawg hydroxyl. Qhov no ua rau cov tshuaj muaj ntau dua thaum noj ntawm qhov ncauj (tsis yog tso ntshav). Amoxicillin tseem muaj kev tiv thaiv ntau dua rau kev ua haujlwm ntawm cov kua txiv hauv kev sib piv nrog ampicillin, uas ua rau nws nqus tau zoo dua los ntawm lub plab zom mov thiab lub siab ua haujlwm kom zoo.

Tom qab kev tswj hwm, hom penicillin no nkag mus rau hauv tag nrho cov ntaub so ntswg thiab lub cev ntawm lub cev, uas txiav txim siab nws cov kev kho mob siab. Kuj tseem muaj kev sib txuas ncaj qha ntawm cov koob tshuaj thiab cov ntsiab lus ntawm cov tshuaj hauv lub cev, uas yog, muab koob tshuaj ob zaug ua rau muaj kev nce siab ntxiv ob zaug hauv kev xav ntawm cov khoom. Ntawm 50-70%, amoxicillin ua tawm los ntawm lub raum, tsuas yog ib feem me me ntawm cov tshuaj tawm hauv lub siab.

Cov tshuaj yog tshuaj tua kab mob los tiv thaiv kab mob. Lub hauv paus ntsiab lus ntawm kev ua haujlwm ntawm amoxicillin yog ua raws li qhov tshwm sim ntawm qee yam cov enzymes uas ua rau lub cell ntsa ntawm cov kab mob. Tsis muaj cov enzymes, cov xovtooj ntawm tes raug rhuav tshem, thiab cov kab mob tuag taus.

Amoxicillin nquag tawm tsam ntau yam kab mob me, ob hom gram-zoo thiab gram-tsis zoo. Txawm li cas los xij, nws txoj kev ua yog deb ntawm thoob ntiaj teb, txij li muaj cov kab mob me me uas tiv taus qhov kev txiav txim ntawm amoxicillin. Hauv qee qhov, cov no yog cov kab mob uas muaj peev xwm ua cov beta-lactamase, uas ua rau cov tshuaj tua kab mob tsis haum. Yog li no, feem ntau amoxicillin yog tsim ua ke nrog clavulanic acid, uas tiv thaiv amoxicillin los ntawm kev ua ntawm beta-lactamase.

Txawm li cas los xij, amoxicillin dawb huv tseem siv tau ntau zaus, txawm hais tias nws qhov nqaim qhov loj me ntawm kev ua piv nrog kev sib xyaw ntawm amoxicillin thiab beta-lactamase. Qhov no tau piav qhia, ntawm ib sab, los ntawm tus nqi qis ntawm cov tshuaj ntshiab, thiab, ntawm qhov tod tes, los ntawm kev phiv tsawg.

Tsis tas li ntawd rau kev kho mob ntawm kis mob los ntawm Helicobakter pylori, kev sib xyaw ntawm amoxicillin thiab metronidazole yog siv.

Cov kab mob cuam tshuam los ntawm amoxicillin:

salmonella
staphylococci,
streptococci,
Ntxaug Yaj
gonococci.

Thov

Amoxicillin yog siv los kho cov kab mob ntawm cov kab mob hauv qab no:

qaum kev ua pa nyuaj (pharynx, nasopharynx, caj pas, tonsils),
cov pa ua pa tawm tsawg dua (trachea, mob ntsws, mob ntsws),
Kev kho mob txoj hnyuv
genitourinary plab hnyuv siab raum
tawv nqaij.

Tshwj xeeb, tus kws kho mob tuaj yeem sau ntawv muab tshuaj rau cov tshuaj tua kab mob rau cov kab mob sib kis ntawm cov kab mob ua pa:

Amoxicillin txo cov kev mob ntsws ua paug sai thiab txo qis rau lub sijhawm uas yuav tsum ua kom rov zoo.

Cov kab mob ntawm cov kab mob genitourinary hauv cov tshuaj uas amoxicillin tuaj yeem muab tshuaj:

cystitis
pyelitis
jade
pyelonephritis,
txoj hlab zis
gonorrhea
endometritis.

Lub plab zom mov, uas siv cov tshuaj amoxicillin:

cholecystitis
mob peritonitis
enterocolitis
cholangitis
typhoid ua npaws
mob plab zawv
salmonellosis (suav nrog cov cab kuj),

Thaum kis mob ntawm cov tawv nqaij thiab cov nqaij mos tau tus kws kho mob tuaj yeem sau tshuaj amoxicillin:

leptospirosis,
erysipelas
impetigo
cov kab mob dermatoses.

Amoxicillin tseem siv rau kev kho mob ntawm cov mob hauv qab no:

Thaum ua ke nrog metronidazole, cov tshuaj yaj yeeb yuav siv tau rau hauv kev kho mob ntawm kev mob plab thiab mob plab zom mov. Hauv qhov no, ob qho kev tawm dag zog tau siv los txiav kev loj hlob ntawm cov kab mob uas ua rau cov kabmob no. Amoxicillin ntseeg tau tias yuav tiv thaiv kev txhim kho ntawm cov kab mob tsis haum rau metronidazole.

Kev tshuaj xyuas txog cov tshuaj feem ntau zoo. Cov neeg mob nco txog nws cov kev ua hauj lwm siab, tus nqi tsim nyog thiab ib qho tsawg ntawm cov kev mob tshwm sim.

Daim ntawv tso tawm

Amoxicillin tsuas yog muag tsuas yog hauv cov tshuaj ntsiav lossis tsiav tshuaj. Daim ntawv rau kev tswj hwm hauv tsoomfwv tsis muaj, vim tias cov tshuaj nkag mus rau hauv lub cev los ntawm cov hnyuv zom zaub mov zoo li thaum muab tshuaj rau hauv lub cev. Cov ntsiav tshuaj thiab tsiav tshuaj ntawm cov tshuaj feem ntau muaj ntau npaum ntawm 250 thiab 500 mg. Cov txheej txheem los mus npaj ncua ntawv rau cov menyuam yaus puav leej muaj. Muaj ntau ntau cov analogues ntawm amoxicillin ntawm kev ua lag luam. Cov no yog cov tshuaj tsim los ntawm ob tus Lavxias thiab European tuam ntxhab. Cov qauv tshuaj tiv thaiv kab ke yuav tsum muaj cov amoxicillin hauv lawv cov qauv. Txawm li cas los xij, qee cov tshuaj yuav muaj lub npe txawv.

Amoxicillin txawv los ntawm tus nqi pheej yig. Nws tuaj yeem txog 30 rubles ib pob ntawm 10 ntsiav tshuaj thiab txog 60 rubles rau ib pob ntawm 20 tsiav tshuaj. Granules rau kev npaj ntawm ncua kev kawm (10 pcs. Rau ib pob) tseem raug nqi kwv yees li 60 rubles. Lub txee lub neej ntawm amoxicillin yog peb xyoos. Nws tuaj yeem muab tso rau hauv qhov chaw tsaus ntawm qhov kub ntawm qhov tsis tshaj +25 ºС.

Cov Yuav Tsum Muaj

Amoxicillin muaj ob peb qho kev tsis pom zoo. Lub ntsiab contraindications suav nrog:

hnub nyoog txog li 3 xyoos
thawj peb hlis ntawm cev xeeb tub
pub niam mis
tsis haum rau amoxicillin thiab lwm yam penicillins,
mob raum tsis ua haujlwm
mob plab zom mov,
mononucleosis mob sib kis,
lymphocytic leukemia
bronchial hawb pob,
keeb kwm ntawm cov tshuaj tua kab mob sib xyaw ua ke.

Nrog rau kev siv ua ke ntawm amoxicillin thiab clavulanic acid, kab mob siab rau daim siab raug ntxiv rau cov kev tiv thaiv no.

Amoxicillin thiab metronidazole tsis tuaj yeem siv ua ke ua menyuam yaus. Txawm hais tias lub hnub nyoog tsawg kawg nkaus ntawm kev siv tshuaj amoxicillin tuaj yeem siv, raws li cov kws tsim cov lus pom zoo, yog 3 xyoos, hauv kev coj ua, txawm li cas los xij, cov kws kho mob siv cov tshuaj amoxicillin los kho cov menyuam yau.

Qhov kev ncua yog muaj sucrose, qhov no yuav tsum raug txiav txim siab rau cov neeg muaj ntshav qab zib.

Nws yuav tsum nkag siab tias amoxicillin, zoo li txhua yam tshuaj tua kab mob, yog npaj los kho cov kab mob tsuas yog, thiab nyob rau kis mob kis - SARS, khaub thuas, herpes, nws txoj kev siv yuav tsis tsuas yog tsis muaj txiaj ntsig, tab sis feem ntau kuj muaj kev phom sij.

Sab sij huam

Amoxicillin feem ntau ua tau zoo los ntawm cov neeg mob. Txawm li cas los xij, nyob rau qee kis, tsis muaj kev xav tshwm sim tuaj. Feem ntau cov kev mob tshwm sim muaj xws li:

xeev siab, dyspepsia,
zawv plab
mob ntsws npog
pom mob pob txha
npaws
hloov pauv ntawm cov ntshav (eosinophilia, leukopenia, neutropenia), ua rau ntshav tsis txaus,
mob plab
dysbiosis,
candidiasis
colpitis (hauv poj niam),
mob taub hau
kev tsis haum tshuaj (hyperemia, edema, urticaria, dermatitis, anaphylactic shock),
tachycardia.

Neurological tshua tseem siv tau (insomnia, ntxhov siab, ntxhov siab, tsis meej).

Amoxicillin tuaj yeem ua rau txo qis hauv cov tshuaj vitamin K. Tsis tas li, kev siv cov tshuaj qee zaum ua rau txo qis hauv prothrombin Performance index.

Nrog rau kev kho mob ncua ntev nrog amoxicillin, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam ib ntus qhov mob ntawm lub siab, ob lub raum thiab ntshav cov ntshav hauv lub cev.

Nrog kev noj tshuaj ntau dua ntawm amoxicillin, yuav ua kom mob raws plab heev. Kev siv tshuaj tiv thaiv kev kho mob ntau tshaj, kho mob hemodialysis zoo.

Amoxicillin, cov lus qhia rau kev siv

Yog tias yuav tsum siv tshuaj amoxicillin, cov lus qhia rau kev siv yuav tshaj tag nrho cov ntaub ntawv tsim nyog. Qhov ntau npaum li cas ntawm amoxicillin yuav tsum tau qhia los ntawm kws kho mob. Txog rau ntau yam kabmob, ntau koob tshuaj thiab kev tswj hwm yog qhov tsim nyog thiab yog li ntawd kev kho tus kheej yog qhov tsis tuaj yeem nyob ntawm no. Qhov tshuaj tiv thaiv txhua hnub ntawm amoxicillin yog 6 g.

Raws li cov lus qhia rau kev siv, kev noj tshuaj li ib txwm rau cov neeg laus thiab menyuam yaus hnub nyoog 10 xyoo nrog qhov hnyav tshaj 40 kg yog 250-500 mg ib zaug. Hauv tag nrho, amoxicillin yuav tsum noj peb zaug hauv ib hnub, tom qab 8 teev. Lub sijhawm ntawm cov tshuaj yuav tsum nruj me ntsis kom deb li deb tau, vim qhov no yog qhov kev lees paub tswj kev tsim nyog cov tshuaj nyob rau hauv lub cev. Thaum raug mob hnyav, kev noj tshuaj ntawm amoxicillin tuaj yeem nce ntxiv txog 1000 mg.

Cov koob tshuaj twg raug pom zoo rau cov menyuam yaus hnub nyoog qis dua 10 xyoo? Hauv lub hnub nyoog no, ncua kev kawm raug ncua dua. Ib qho ntxiv, cov neeg mob me dua ib txwm coj los noj tsawg dua li cov neeg laus. Cov menyuam yaus 5-10 xyoo feem ntau yog txiav txim siab 250 mg ntawm amoxicillin 3 zaug hauv ib hnub, hauv 2-5 xyoos - 125 mg 3 zaug ib hnub. Rau cov menyuam hnub nyoog qis dua 2 xyoos thiab cov menyuam mos, cov koob tshuaj tau tsim raws lawv qhov hnyav - 20 mg / kg ib hnub. Qhov tshuaj no ntawm amoxicillin yuav tsum tau muab faib ua 3 zaug.

Hauv kev siv tshuaj kho mob, amoxicillin tuaj yeem raug kho rau menyuam yaus, pib txij li 4 lub lis piam.

Kev raug tshem tawm hauv tsev kawm ntawv

Raws li cov lus qhia rau kev siv, los npaj kev ncua ntawm amoxicillin, ntxiv dej rau cov kev pheej hmoo hauv lub raj mis, thiab tom qab ntawd nws co. Kev tshem tawm tiav tuaj yeem khaws cia hauv chav tsev ntev txog li 2 lub lis piam. Ua ntej txhua qhov siv, lub vial yuav tsum tau co. Lub khob ntsuas nrog uas cov tshuaj xav pabcuam muaj qhov ntim ntawm 5 ml. Yog tias npaj tau zoo, qhov kev ncua yuav tsum muaj 250 mg ntawm amoxicillin.

Cov neeg muaj lub raum tsis ua hauj lwm thiab kev tshem tawm creatinine tsawg zuj zus kuj yuav tsum tau txhaj tshuaj kom txo qis. Lub sijhawm kho mob nrog amoxicillin kuj tau txiav txim los ntawm tus kws kho mob. Feem ntau nws nyob ntawm 5-14 hnub. Tab sis txawm hais tias tus neeg mob xav tias kev txhim kho tom qab ob peb hnub ntawm kev noj tshuaj, koj yuav tsum tsis txhob tso tseg txoj kev kawm (nws raug nquahu kom ntev nws ntxiv 2-3 hnub), vim tias qhov no tuaj yeem ua rau kom rov qab mob dua.

Hauv kev kho tus kab mob gonorrhea rau tus txiv neej, ib koob tshuaj ib zaug yog txaus, tab sis hauv qhov ntau tshaj 3 g. Rau kev kho tus kab mob gonorrhea rau cov poj niam, amoxicillin yuav tsum noj ob zaug ntawm ib koob ntawm 3 g.

Hauv kev kho cov mob kis mob hnyav, xws li mob kub cev, paratyphoid kub taub hau, kab mob txhab ntawm lub plab biliary, qee cov kab mob gynecological, nws yog qhov yuav tsum tau siv cov tshuaj hauv qhov ntau npaum li 1.5-2 g peb zaug ib hnub.

Leptospirosis raug kho nrog ntsiav tshuaj lossis tsiav tshuaj ntawm amoxicillin hauv tshuaj ntau npaum li 0.5-0.75 g 4 zaug hauv ib hnub rau 6-12 hnub.

Txhawm rau kom tshem tawm cov mob salmonella thaum tsis muaj tus kab mob salmonellosis (bacillus carriage), nws yuav tsum tau noj cov tshuaj hauv qhov ntau npaum li 1.5-2 g peb zaug ib hnub twg rau 2-4 lub lis piam.

Hauv kev tiv thaiv ntawm endocarditis ua ntej kev phais mob, cov neeg laus tau muab 3-4 g ntawm amoxicillin ib zaug ib teev ua ntej kev phais mob. Cov menyuam yaus cov koob tshuaj yuav tsum nyob rau hauv qhov xwm txheej zoo li tsawg dua ib nrab.

Raws li cov lus qhia rau kev siv, kev noj zaub mov tsis cuam tshuam rau kev zom zaub mov, vim li ntawd nws tuaj yeem noj tsis hais lub sijhawm noj mov.

Lub chav kawm ntawm kev kho mob nrog amoxicillin tej zaum yuav nrog ua ke los ntawm dysbiosis. Yog li ntawd, tom qab ua tiav chav, nws yuav tsim nyog los rov qab qub hnyuv microflora nrog kev pab ntawm probiotics.

Yog tias mob raws plab me tuaj thaum siv cov tshuaj, koj yuav tsum zam kev siv cov tshuaj uas txo plab hnyuv.

Muaj kev cuam tshuam nrog lwm cov tshuaj thiab cov yeeb tshuaj

Amoxicillin feem ntau mus zoo nrog lwm cov tshuaj. Txawm li cas los xij, qee cov tshuaj tuaj yeem cuam tshuam nws cov txiaj ntsig, ob leeg zoo thiab tsis zoo. Yog li, piv txwv, raws li tau teev rau hauv cov lus qhia, cov tshuaj tua kab mob txhim kho cov nyhuv ntawm cov tshuaj thaum noj nws. Tab sis cov tshuaj bacteriostatic (macrolides, tetracyclines, sulfonamides), ntawm qhov tsis sib xws, cuam tshuam nws cov kev txiav txim. Vim li ntawd nws tsis pom zoo kom siv cov tshuaj amoxicillin txuam nrog hauv chav kawm ntawm cov tshuaj no.

Qee yam tshuaj (antacids, glucosamine, glycosides, laxatives) cuam tshuam nrog kev nqus ntawm amoxicillin, tab sis ascorbic acid, ntawm qhov tsis sib thooj, ua rau cov txheej txheem no. Amoxicillin txhim kho kev nqus ntawm digoxin.

Cov tshuaj txo qhov ua tau zoo ntawm kev tiv thaiv cov tshuaj estrogen hauv qhov ncauj, yog li ntawd, cov poj niam siv txoj hauv kev tiv thaiv no yuav tsum siv kev tiv thaiv ntxiv thaum kho nrog cov tshuaj tua kab mob no.

Nws tseem yuav tsum tau yug hauv siab tias koj tsis tuaj yeem noj cov tshuaj amoxicillin ua ke nrog cawv, vim qhov no nce ntxiv kev pheej hmoo ntawm kev phiv, ntxiv rau daim siab thiab lub raum tsis ua haujlwm. Koj yuav tsum tsis txhob haus cawv txawm tias ob peb hnub tom qab kawg ntawm kev kho mob.

Kev taw qhia txog kev siv amoxicillin hmoov

kev kis mob ntawm cov pa hauv nruab nrog sab saud thiab ENT - kabmob (nrog rau mob siab thiab ntev, mob siab thiab mob otitis, mob pharyngeal abscess, tonsillitis, pharyngitis)

muaj mob sib kis ua pa rau hauv nruab nrog qis qis (nrog rau kev mob ntsws zoo nrog cov kab mob superinfection, mob ntsws txhaws ntev, mob ntsws)

mob txeeb zig

cov kab mob gynecological

tawv nqaij thiab cov nqaij mos sib kis kab mob

kis kab mob ntawm cov pob txha thiab pob qij txha

muaj mob rau ntawm lub plab hauv plab, suav nrog biliary huam (cholecystitis, cholangitis)

odontogenic tau tus kab mob

mob sib kis los ntawm kev sib deev (kab mob gonorrhea, chancroid)

kev tiv thaiv kab mob tom qab kev phais

tynys zholdarynyң zhғғargy bөlіkterіndegі zhne LOR aғzalardрy zhpalarda onyң іshіnde zhedel aғymdy zhine sozylmaly sinusitte, zhedel aғymdy zhne zezmylmala orta

tynys zholdarynyң tөmengі bөlіkterіndegі zhpalarda (onyң bshіnde bakterialyқ asқyn zhpasy bar zhedel aғymdy bronchitte, ua rau mob ntsws, mob ntsws)

nesep shyғaru zholdarynyң zhpalarynda

cov kws kho mob hlwb

terіmen zhұmsaқ tіn zhpalarynda

Sүekter txiv neej yuav zhpalarynda

құүрсақ қуысының, оныі ішінде өт жолдарының жұқпаларында (cholecystitis, cholangitis)

odontogendі zhpalarda

zhynystyқ zholmen zhatyn zhpalarda (tsim, chancroid)

cov kws phais mob aralasymnan keying zhpalardyң aldyn aluғa

Phiv los ntawm amoxicillin hmoov

muaj peev xwm ua kom tsis qab los noj mov, xeev siab, ntuav, raws plab, tsis tshua muaj: ua rau lub siab ua haujlwm tsis txaus, nce kev ua haujlwm ntawm ALT thiab AST, hauv cov kis mob sib cais - cholestatic jaundice, kab mob siab, pseudomembranous colitis.

kev tsis haum tshuaj, khaus, urticaria, pob txuv erythematous, tsis tshua muaj: multiforme exudative erythema, angioedema, anaphylactic kev poob siab, nyob rau hauv cov xwm txheej tsawg - exfoliative dermatitis, Stevens-Johnson syndrome.

thim rov qab nce nyob rau hauv lub sij hawm prothrombin (thaum ua ke nrog anticoagulants), tsis tshua muaj: candidiasis thiab lwm yam superinfection.

tebet zhogaluy, zhurek ainuy, құsu, ish қtu yқtimal, sirek: bauyr қyzmetіnің bұzyluy, ALT Ane AST, belsendilіgіnің ғoғarylauy, jekelegen jadedudylarda, cholestate, cholestate.

allergiyalyқ reaktsiyalar, қyshu, esekzhem, eritematozdy bөrtpeler, sirek: kөp pіshіndі ekssudativtі erythema, angionevrotikalyқ іsіnu, anafilaktikalyқ poob siab zhekelegen zhaғdaylarda - eksfoliativtі dermatitis, Stevens-Johnson syndrome.

prothrombin uaқytynң қaitymdy tүrde artuy (anticoagulantarmen bіrіktіrіp қoldanғanda);

Cov lus qhia tshwj xeeb rau kev siv

Nrog rau chav kawm siv cov tshuaj, nws yog ib qhov tsim nyog los saib xyuas lub xeev ntawm txoj haujlwm ntawm cov ntshav, daim siab, lub raum.

Vim tias qhov tseeb tias ntawm ntau tus neeg mob kis mob mononucleosis thiab mob lymphocytic uas tau txais ampicillin, qhov pom ntawm pob txuv erythematous tau pom, kev siv tshuaj tua kab mob ntawm ampicillin pawg hauv cov neeg mob zoo li no tsis pom zoo.

Cov tshuaj muaj poov tshuaj.

Cov neeg mob noj cov zaub mov sodium sodium yuav tsum nco ntsoov tias txhua 600 mg vial (500 mg + 100 mg) muaj 29.7 mg sodium, txhua lub vial 1.2 g (1000 mg + 200 mg) muaj sodium 59.3 mg. Tus nqi ntawm cov dej qab ntsev ntau tshaj plaws hauv ib hnub ntau tshaj 200 mg.

Thaum siv Amoxicillin sodium thiab potassium clavulanate nyob rau hauv koob tshuaj ntau, muaj qhov tsis tseeb qhov tsis zoo yog tau thaum txiav txim siab txog qib ntawm cov piam thaj hauv cov zis siv Benedict's reagent lossis Felling's solution (enzymatic tshua nrog glucose oxidase pom zoo).

Muab kev tswj hwm nrog disulfiram yuav tsum raug zam.

Cev xeeb tub thiab lactation
Lub sij hawm teem tseg ntawm cov tshuaj thaum cev xeeb tub yog ua tau tsuas yog nrog kev qhia tiag tiag. Amoxicillin sodium thiab clavulanic acid hauv ib qho me me yog tawm hauv niam cov kua mis. Thaum lub sijhawm kho yuav tsum tsis pub niam mis rau menyuam noj.

Cov tshuaj yog kurspen қoldanғan keездеездеқan tүzu aғzalarynң, bauyrdyң, bүyrekterdің қyzmet zhadayyna baқylau jasau. Zhұқpaly mononucleosis ә tus poj niam ntawm lymphocytic leukemia bar, ampicillin қabyldaғan emdelushіlerdің kөbіsіnde erythematosis bөrtpenің payda bolғany bajaldy, ampicillin tobyna tshuaj tua kab mob mіndai emdelushіlerge ре Cov tshuaj yog poov tshuaj bar.

Sodium Mölsheri Schektelgen noj saқtausha edelushіler 600rbіr 600 mg (500 mg + 100 mg) әrbіr құtyda 29.7 mg sodium, 1.2 g (1000 mg + 200 mg) әрбір құтыда 59.3 mg sodium bar ekendigin eskergen zh. Ezhoүary kүdeldektі dosad sodium mөlcheri 200 mg-nan asad. Sodium amoxicillin cov txiv neej potassium clavulanatyn zoғary dosalard ғoldanғan kedeезде Benedict reagent nemese Felling erindіndіsіn ездеoldanғan kede нес nonseptegly glucose

Disulfirammen bіr mezgіlde taғayyndamaғan poj niam.

Cov tshuaj zhktіlіk kesіnde tek tolyқ kөrsetіlіmder bolғan kездеeғa tanaayndaluy yыtimal. Sodium amoxicillin ә zhne clavulan қyshylı azdagan mөlsherde emшek sүtіmen bіrge bөlіnіp shyғady. Emdelu kezinda pob emіzudі toқtata tұrғ poj niam.

Dosage thiab txoj kev ntawm cov thawj coj

Cov menyuam yaus hnub nyoog 3 hlis txog 12 xyoos - ntawm ib koob ntawm 25/5 mg / kg lub cev qhov hnyav (hais txog txhua yam sodium amoxicillin thiab potassium clavulanate) nrog lub sijhawm 8 teev, thaum muaj mob hnyav, nrog lub sijhawm 6 teev

Cov menyuam yaus hnub nyoog qis dua 3 hli.: lub sijhawm ntxov thiab lub sijhawm tso sijhawm - ntawm ib koob ntawm 25/5 mg / kg lub cev qhov hnyav (hauv txhua yam Amoxicillin sodium thiab potassium clavulanate) txhua 12 teev, nyob rau lub sijhawm postperinatal - ntawm ib koob ntawm 25/5 mg / kg ntawm lub cev qhov hnyav (hais txog tag nrho cov sodium amoxicillin thiab potassium clavulanate) txhua 8 teev

Cov koob tshuaj prophylactic rau kev phais mob kev kho mob yog 1.2 g nrog kev siv tshuaj loog (nrog kev phais mob tsawg dua 2 teev), nrog kev ua haujlwm ntev - 1.2 g rau 4 zaug / hnub.

Rau cov neeg mob uas lub raum tsis txaus, qhov koob tshuaj thiab / lossis qhov ncua sij hawm ntawm cov koob tshuaj yuav tsum tau kho raws li cov creatinine tshem tawm (saib cov lus).

Txij li 85% Amoxicillin sodium thiab potassium clavulanate raug tshem tawm los ntawm hemodialysis, cov tshuaj tau muab tshuaj rau tom kawg ntawm cov txheej txheem hemodialysis. Nrog peritoneal lim ntshav, kev hloov kho tshuaj tsis tas yuav tsum muaj.

Lub chav kawm ntawm kev kho mob yog 5-14 hnub. Lub sijhawm ntawm cov chav kawm ntawm kev kho yog txiav txim siab ntawm tus kheej thiab yuav tsum tsis txhob tshaj 14 hnub. Nrog rau qhov txo qis ntawm qhov mob hnyav ntawm cov tsos mob, kev hloov pauv mus rau qhov ncauj ntawm cov tshuaj tau pom zoo kom txuas ntxiv txoj kev kho.

Cov cai npaj rau kev npaj thiab kev coj ua ntawm cov kev daws rau iv kev txhaj tshuaj
Cov ntsiab lus ntawm 600 mg vial (500 mg + 100 mg) yuav tsum tau yaj nyob rau hauv 10 ml dej rau kev txhaj tshuaj lossis 1.2 g (1000 mg + 200 mg) hauv 20 ml dej rau kev txhaj tshuaj. Hauv / hauv nkag mus nkag qeeb (hauv 3-4 feeb.)

Cov cai hais txog kev npaj thiab ua haujlwm ntawm kev daws teebmeem rau txoj kev ua ntshav infusion
Rau kev coj noj coj ua, ntxiv kev sib tov ntawm cov tshuaj yog qhov tsim nyog: npaj cov kev daws teeb meem uas muaj 600 mg (500 mg + 100 mg) lossis 1.2 g (1000 mg + 200 mg) ntawm cov tshuaj yuav tsum tau diluted hauv 50 ml lossis 100 ml ntawm cov tshuaj infusion, ntsig txog. Lub sijhawm tiv thaiv ntawm Txoj kev lis ntshav yog 30-40 feeb. Thaum siv cov kev daws teeb meem hauv qab no hauv cov ntawv pom zoo, cov tshuaj tua kab mob tsim nyog yuav tau muab cia rau hauv lawv.

Txoj hauv kev daws teeb meem hauv qab no tuaj yeem siv los ua cov kuab tshuaj rau iv infusions.

Eresecterge zhene 12 jastan askan nemese de salmaғ 40 kg-noj astam bolatyn balalarғa npaj 1.2 g (1000 mg + 200 mg) ntawm koob 8 saғat arylyқpine, zhpa barysy ayyr bolkan jaidaida 6 saғat aralıpen cwj mem tayayndaydy.

3 aiylқtan 12 jasқa deyingі balalarғa - kgр kg dene salmagyna shaganda 25/5 mg ntawm koob tshuaj (barly қ sodium amoxicillin txiv neej potassium clavulanatyna shaganda) 8 saғat aralıpen, zhpa barysy auyr bolғan jaidaida 6 saғat arylyқpen taayyndaydy.

3 aiққa deiіngі balalarғa: shala tuғan balalarғa ә zhine perinataldy kesңde - kgр kg dené salmagyna shaққanda 25/5 mg koob tshuaj (barleyқ sodium amoxicillin txiv neej potassium clavulanatina sha) oo) әrbіr 12 saғat haisin dozenokelina kenyena kaleina 5 - tus txiv neej potassium clavulanatyna shaққanda) 8rbіr 8 saғat saiyn.

Kev phais mob қ aralasymdarda aldyn alu dozasy іengіzіletіn cov tshuaj yeeb yaj kiab 1.2 g құraids (kev ua haujlwm ұұққғғ 2 2 saғattan kem bғғanda), kev ua haujlwm ұұққғғөөөіііііғғғғ - - 4 4 т ntev й 1.2 рет 1.2 1.2 1.2 1.2-nan.

85% sodium amoxicillin, poov tshuaj clavulanate, hemodialysis, agyly zhoyylatyndytan, kev npaj tshuaj hemodialysis, ayқtalғannan keyin enziedі. Peritonealdi lim ntshav kom zoo nkauj t diartaubіn tүzetu emez. Emdela kev kawm 5-14 mus txog rau құraydy. Emdela kursnyұ ұзқтығы ғр Adamғa zhekely anyқtalady zhne 14 knnen aspauғa tiis. Cov tsos mob ң auyrlyқ dәrezhesі azayғan kezhe emdeudі zhalғastyru drugsshіn tshuaj ңshіletіn tүrіne kөshu kerek.

Ішітының гіндегі 600 mg zatta (500 mg + 100 mg) kev txhaj tshuaj ғ arnalғan 10 ml rau ib hlis 1.2 g zatty (1000 mg + 200 mg) kev txhaj tshuaj ғ arnalғan 20 ml suғa eritken zhen. K / i Bayau Engizu Kerek (3-4 min ntawm Kev Tshawb Xyuas)

Kev sib cuam tshuam txog yeeb tshuaj

Nrog rau kev siv tib lub sijhawm ntawm Amoxicillin sodium thiab potassium clavulanate thiab anticoagulants, qhov nce ntawm lub sijhawm prothrombin tau sau tseg. Yog li ntawd, kev sib xyaw ua ke no yog kho nrog ceev faj.

Nrog rau kev siv tib lub sijhawm ntawm Amoxicillin sodium thiab potassium clavulanate nrog allopurinol, kev pheej hmoo ntawm kev tsim cov kev mob tshwm sim xws li exanthema nce.

Nrog rau kev sib xyaw ua ke ntawm sodium amoxicillin thiab potassium clavulanate, diuretics, allopurinol, phenylbutazone, NSAIDs thiab lwm yam tshuaj uas txhaws tubular zais cia ua rau lub siab ntawm amoxicillin (clavulanic acid yog feem ntau tsuas yog los ntawm glomerular filtration).

Cov tshuaj tua kab mob txo qhov ua tau zoo ntawm kev tiv thaiv qhov ncauj.

Kws tshuaj sib cuam tshuam

Cov tshuaj tua kab mob Amoxicillin sodium thiab potassium clavulanate thiab aminoglycoside yog lub cev thiab tshuaj tsis haum.

Zam kev sib tov cov tshuaj nrog kev daws teeb meem ntawm dextrose (qabzib), dextran, bicarbonate (vim tias cov tshuaj tsis tshua nyob hauv lawv), nrog rau cov kev daws teeb meem uas muaj ntshav, protein thiab lipids.

Amoxicillin sodium thiab potassium clavulanate tsis sib xyaw nrog tib lub koob txhaj tshuaj lossis infusion vial nrog lwm cov tshuaj.

Sodium amoxicillin cov txiv neej potassium clavulanathine әseri tikely emes anticoagulant tshuaj bir mezgilde taayyndaғ zoo prothrombin uazytynyң artңany bilіnedi. Sondyқtan nkawj иyyntyty taғayyndaғanda saқ bolu krek.

Cov kua txiv amoxicillin cov txiv neej potassium clavulanatyn allopurinolmen bir mezgilde ғoldanғan kezhe exantheum shiқyta zhaсыymsyz erserlerdің damu іaupі artada.

Sodium amoxicillin txiv neej potassium clavulanatine diuretictermen, allopurinolmen, phenylbutazonmen, ҚҚSD ҚҚ ө zekshelіk secretion bөgateіn basқaday dәrіlіk тарttarmen bіr mezgılınılınılışınılтnılınılтnцn

Tshuaj tua kab mob ishіletіn tiv thaiv tіmdіlіgіn tөmendadeted.

Cov Tshuaj қ разара әрекеттесуі

Sodium amoxicillin cov txiv neej potassium clavulanates ә aminoglycosidic tshuaj tua kab mob lub cev ә tshuaj lom neeg ғ tұrғydan үylespeydi.

Cov Tshuaj Pharmacokinetics

Lub ntsiab pharmacokinetic tseem ceeb ntawm amoxicillin thiab clavulanic acid yog qhov zoo sib xws. Amoxicillin thiab clavulanic acid nyob rau hauv kev sib txuas tsis cuam tshuam rau txhua lwm yam.

Kev xa Khoom
Qhov siab tshaj plaws tom qab txhaj tshuaj bolus ntawm Amoxicillin sodium thiab potassium clavulanate 1.2 g yog 105.4 mg / L rau amoxicillin thiab 28.5 mg / L rau clavulanic acid. Ob qhov sib xyaw ua ke los ntawm cov ntim zoo hauv kev faib tawm hauv lub cev thiab cov nqaij (lub ntsws, nruab nrab pob ntseg, kua dej pleural thiab peritoneal, lub tsev me nyuam, zes qe menyuam). Amoxicillin tseem nkag mus rau hauv cov kua ntshav synovial, mob siab, lub caj pas prostate, palatine tonsils, cov leeg nqaij, lub zais zis, lub zais ntawm cov ntshav, cov qaub ncaug, lub ntsej muag zais zis.

Amoxicillin thiab clavulanic acid tsis hla cov ntshav-hlwb teeb meem hauv kev tsis txaus ntshai.

Qhov siab tshaj plaws nyob rau hauv lub cev hauv lub cev yog pom 1 teev tom qab ncav lub siab tshaj plaws ntshav plasma.

Cov khoom muaj zog hla qhov chaw tiv thaiv qhov ncauj thiab nyob rau hauv cov kab mob ntau yog raug nthuav tawm hauv niam cov kua mis. Kev khi rau cov ntshav plasma protein rau amoxicillin yog 17-20%, rau clavulanic acid - 22-30%.

Kev zom zaub mov
Amoxicillin yog qee cov metabolized, Clavulanic acid yog nquag metabolized hauv daim siab thiab raug tawm los ntawm glomerular pom, ib feem hauv daim ntawv ntawm metabolites.

Chaw Sau Ntawv
Amoxicillin tsuas yog tawm hauv lub raum feem ntau los ntawm tubular tso pa thiab glomerular pom. Clavulanic acid yog tawm los ntawm glomerular pom, ib feem nyob rau hauv daim ntawv ntawm metabolites. Cov zaub mov me me tuaj yeem tawm ntawm txoj hnyuv thiab lub ntsws. T1 / 2 ntawm amoxicillin thiab clavulanic acid yog 1-1.5 teev Ob lub Cheebtsam raug tshem tawm los ntawm hemodialysis thiab hauv cov khoom me me los ntawm peritoneal lim ntshav.

Amoxicillin txiv neej clavulan қyshylynyң negіzgі pharmacokinetic қ parametlerі ассас. Amoxicillin әne clavulan hyyshyly zhyyntyta bir-bіrіne yқpalyn tigizbeydі.

Amoxicillin sodium sodium potassium clavulanate cov txiv neej txhaj tshuaj dane keyin ezhoғary qhov kev xav ntawm 105,4 mg / l amoxicillin tus poj niam 28.5 mg / l clavulan қyshylynda 1.2 g rydydy. Lub eci tivthaiv yog lub cev ntawm tinder tus txiv neej sұyyқtyқtarynda (өkpe, ororta құlaқұ, pleurals, thiab peritonealdy sұyyқtyқta, zhatyrda, anabezda) zaқsa taraluymen sipattalady. Amoxicillin Sogndal-ak sinovialdy sұyyқtyққa, bauyrғa, қuyқasty bezіne, taңday Badamsha bezderіne, bұlshyқet tіnderіne, өt қaltasyna, mұrynnyң osalқy қuystarynyң skretterіne, sіlekeyge, bronchus sekretіne өtedі. Amoxicillin txiv neej clavulan қyshyly қabynbaғan mi қaby ary tarynda hematoencephalalyқ bөget arқyly пtpeydi.

Lub koom haum sұyytytytarynda ezhoғary concentration қan plasmazynda ejoғary concentration ғ zhetkennen keyin 1 saғattan soң bajalada. Belsendі zattar placentala kab laum argyly өtedі zhne bolar-bolmas concentration lard emshek sүtіmen bөlіnіp shyғady. Plan plasmas қuyzdarymen bailanysuy amoxicillinde 17-20%, clavulan қyshylynda 22-30% құ raids.

Kev zom zaub mov
Amoxicillin ishinara metabolism hauv. Clavulan қyshylı bauyrda belsendі t metabolrde metabolizdenedі zhne suab nrovқtyқ sүzіlu arқyly, іshіnara metabolite tүrіnde shygarylad.

Shygaryluy
Amoxicillin negіzіnen bүyrekterde өzekshelіk secretion қne nrovқtyқ sүzіlu arқyly shygarylad. Clavulan қyshyly noisyқtyқ sүzіlu arқyly, іshіnara metabolite tүrіnde shyғarylady Azdaғan mөlsherі ішек және өкпелер ақылы шығарылыы мүмкін. Amoxicillinnus clavulan қyshylynyң T1 / 2 1-1.5 saғatta құraids. Lub eci tivthaiv yog hemodialysis ntawm agyly dav hlau azdaғan molsherde peritonealdi dialysis agyly joyylad.

Cov Tshuaj Hauv Tshuaj

Ib qho tshuaj tua kab mob sab-loj, muaj cov tshuaj semisynthetic penicillin amoxicillin thiab β-lactamase inhibitor clavulanic acid. Clavulanic acid ua rau lub zog ua haujlwm ruaj khov nrog β-lactamases thiab ua kom cov kuj ntawm amoxicillin rau lawv cov teebmeem. Clavulanic acid, zoo sib xws hauv kev teeb tsa rau antibiotics-lactam cov tshuaj tua kab mob, muaj cov kab mob tsis muaj zog tiv thaiv kab mob. Amoxicillin sodium cuam tshuam los ntawm kev ua ke ntawm cov kab mob hauv lub cev.

Amoxicillin sodium thiab potassium clavulanate ua cov kab mob bactericidal ntawm ntau cov kab mob gram-positive thiab gram-tsis zoo (suav nrog cov kab mob uas tau tawm tsam cov tshuaj tua kab mob beta-lactam vim yog tsim cov β-lactamases).

Amoxicillin sodium thiab potassium clavulanate nquag ua haujlwm tawm tsam

cov kab mob aerobic gram-zoo: Tus kab mob Streptococcus spp. (suav nrog Streptococcus pneumoniae, Streptococcus viridans, Streptococcus milleri, Streptococcus pyogenes, Streptococcus bovis), Enterococcus spp., Staphylococcus aureus (tshwj tsis yog hom kab mob methicillin-tiv thaiv kab mob), Staphylococcus epidermidis, spp. Listeria spp., Nocardia cov hnub qub,

aerobic gram-cov kab mob tsis zoo: Bordetella pertussis, Brucella spp., Campylobacter jejuni, Campylobacter coli, Escherichia coli, Gardnerella vaginalis, Haemophilus ducreyi, Haemophilus influenzae, Helicobacter pylori, Klebsiella pheori, Legionella lyreis neisserifororer , Proteus vulgaris, Providencia spp., Salmonella spp., Shigella spp., Vibrio cholerae, Yersinia enterocolitica, Eikenella corrodens,

anaerobic cov kab mob: Actinomyces israelii, Bacteroides spp. (suav nrog Bacteroides fragilis), Prevotella melaninogenica, Clostridium spp. (tshwj tsis yog Clostridium difficile), Peptostreptococcus spp., Fusobacterium spp., Propionibacterium spp.

Sodium amoxicillin, potassium clavulanates, grams, grams ntawm cov kab mob bacterieds, auқymdy өrіsіne (onyңndі β-lactamase інімінің жасалаы Saldarynan beta-lactamides tshuaj tua kab mob acid steric).

Sodium amoxicillin ә zhne potassium clavulanates myna aerobts gramң kab mob ғ belsendі: Tus kab mob Streptococcus spp. (onshinde Streptococcus pneumoniae, Streptococcus viridans, Streptococcus milleri, Streptococcus pyogenes, Streptococcus bovis), Enterococcus spp., Staphylococcus aureus (methicillin-bacillus arnidae), , Nocardia cov hnub qub,

aerobts gramteris cov kab mob: Bordetella pertussis, Brucella spp., Campylobacter jejuni, Campylobacter coli, Escherichia coli, Gardnerella vaginalis, Haemophilus ducreyi, Haemophilus influenzae, Helicobacter pylori, Klebsiella pheori, Legionella lyreis neisserifororer , Proteus vulgaris, Providencia spp., Salmonella spp., Shigella spp., Vibrio cholerae, Yersinia enterocolitica, Eikenella corrodens,

anaerobes kab mob: Actinomyces israelii, Bacteroides spp. (Onyң Qab Bacteroides fragilis), Prevotella melaninogenica, Clostridium spp. (Clostridium difficile-den basқa), Peptostreptococcus spp., Fusobacterium spp., Propionibacterium spp.

Tso Tawm Cov Ntawv

Amoxicillin muaj nyob rau hauv cov ntawv hauv qab no:
1. Cov tshuaj ntsiav ntawm 250 mg (16 daim ib pob).
2. 500 mg tshuaj tsiav tshuaj (16 daim ib pob).
3. Granules hauv lub raj mis (rau qhov npaj ntawm kev ncua).

Txhua daim qauv ntawm amoxicillin yog noj ntawm qhov ncauj, kev qhia txog cov tshuaj tua kab mob no ua kev txhaj tshuaj (txhaj tshuaj) tsis muaj.

Kev kho mob Amoxicillin

Amoxicillin Dos Tshuaj
Kev noj tshuaj ib txwm ntawm amoxicillin rau cov neeg laus thiab menyuam yaus hnub nyoog dhau 12 xyoos (nrog lub cev nyhav tshaj 40 kg) yog 500 mg 3 zaug ib hnub. Tab sis hauv txhua kis, koob tshuaj tau txiav txim siab los ntawm tus kws kho mob, thiab yog tias tsim nyog (thaum muaj mob hnyav) nws tuaj yeem nce ntxiv txog 750-1000 mg 3 zaug hauv ib hnub, thiab ntau dua. Qhov siab tshaj uas tau tso cai siv rau cov neeg laus niaj hnub yog 6 g.

Rau qee cov kab mob, ib qho tshuaj tsis muaj txheej txheem ntawm amoxicillin yog siv. Piv txwv, hauv kev kis mob gonorrhea, cov txiv neej tau sau tseg ib zaug 3 g ntawm cov tshuaj, rau cov poj niam, tib lub koob tshuaj yog sau ob zaug. Nrog rau kev txhaj tshuaj kub cev, amoxicillin siv ntau npaum li cas: 1.5-2 g 3 zaug ib hnub. Nrog rau kev tiv thaiv leptospirosis, qhov siab siab ntawm cov tshuaj kuj tau siv: 500-750 mg 4 zaug ib hnub.

Tom qab ploj ntawm cov yam ntxwv sab nraud ntawm txhua tus kab mob, kev kho mob nrog amoxicillin yuav siv sijhawm ntxiv li 2-3 hnub, kom tsis txhob rov muaj mob ntxiv. Qhov nruab nrab chav kawm ntawm kev kho mob yog los ntawm 5 mus rau 12 hnub.

Amoxicillin ntau npaum rau cov menyuam yaus

Amoxicillin, zoo ib yam li lwm yam tshuaj tua kab mob, yuav tsum yog kws kho mob muab rau menyuam yaus nkaus xwb. Nws kuj tseem sau ntawv rau lub koob tshuaj, nyob ntawm lub hnub nyoog thiab qhov hnyav ntawm tus menyuam, thiab nyob ntawm qhov mob hnyav.

Cov tshuaj nruab nrab ntawm amoxicillin rau cov menyuam yaus yog raws li hauv qab no:
1. Cov menyuam yaus hnub nyoog qis dua 2 xyoos - 20 mg / kg lub cev hnyav / hnub. Cov tshuaj no tau muab faib ua 3 zaug.
2. Cov menyuam muaj 2-5 xyoos - 125 mg (i. Piv txwv li 1/2 daus kev ncua) 3 zaug ib hnub.
3. Cov menyuam yaus 5-10 xyoo - 250 mg (1 lub vauj ntawm kev ncua) 3 zaug ib hnub.

Tus kws kho mob sau ntawv tawm amoxicillin nruj me ntsis ntawm tus kheej, hauv kev noj tshuaj me me, nrog ncua ncua sij hawm nruab nrab ntawm cov koob tshuaj rau cov menyuam mos thiab cov menyuam yug ntxov.

Amoxicillin thaum cev xeeb tub

Rau cov poj niam thaum cev xeeb tub, amoxicillin tsuas yog kho yog tias lub hom phiaj tau txais txiaj ntsig ntawm cov tshuaj no rau leej niam tshaj qhov ua rau muaj mob loj rau hauv lub cev hauv plab. Txawm hais tias tsis muaj ib qho xwm txheej tshwm sim tsis zoo ntawm amoxicillin rau kev xeeb tub thiab kev yug menyuam, tsis muaj kev tshawb fawb txog cov ntsiab lus no. Yog li, cov kws kho mob tsis nyiam ua cov kev pheej hmoo.

Thiab thaum lub sijhawm pub niam mis, niam mis amoxicillin yog sib kis: nws kis mus rau niam mis thiab yuav ua rau tus menyuam mos muaj qhov ua xua lossis cuam tshuam nrog cov hnyuv microflora.

Amoxicillin nrog angina

Nrog cov ntaub ntawv purulent ntawm angina (follicular thiab lacunar), amoxicillin feem ntau yog siv tshuaj zoo nrog cov tshuaj muaj tsawg. Qhov ua tau zoo ntawm amoxicillin hauv angina yog vim qhov tseeb hais tias tus kab mob no feem ntau tshwm sim los ntawm staphylococcus, microbe uas nkag siab rau qhov tshwm sim ntawm cov tshuaj tua kab mob no.

Txawm hais tias nrog lwm yam kab mob, amoxicillin raug tso cai rau tus neeg mob tsis hais txog kev noj zaub mov, nrog angina, cov tshuaj no yuav tsum tau noj tom qab noj mov kom nws ua ntev ntev nws cov nyhuv ncaj qha rau tus mob ua paug.
Ntau txog mob caj pas

Amoxicillin + clavulanic acid (Amoxiclav)

Muaj cov tshuaj zoo li no hauv amoxicillin tshuaj ua ke nrog clavulanic acid. Cov tshuaj no yog hu ua amoxicillin clavulanate , lossis Amoxiclav , lossis Augmentin Cov. Peb nco ntsoov tias amoxicillin hauv tib neeg lub cev tsis muaj kev tawm tsam txaus vim qhov kev nqis tes ntawm penicillinase enzyme. Clavulanic acid muaj cov cuab yeej ntawm thaiv cov enzyme no, kom amoxicillin tsis tawg thiab ua rau cov kab mob tsis zoo ntev dua li ib txwm. Amoxiclav raug suav tias yog cov tshuaj muaj zog tshaj li amoxicillin.
Kev taw qhia txog kev siv Amoxiclav:

Cov kab mob tua kab mob ntawm tus neeg mob txoj hlab pa qis dua (mob ntsws, mob ntsws, mob ntsws qhuav, pleural empyema).
Kev kis mob ntawm lub pob ntseg, lub caj pas thiab lub qhov ntswg (otitis media, tonsillitis, tonsillitis, sinusitis, frontal sinusitis).
Kev kis mob ntawm cov kab mob txeeb zig thiab mob ntawm qhov chaw mos (pyelonephritis, pyelitis, prostatitis, salpingitis, tus mob ntawm zes qe menyuam, endometritis, postpartum sepsis, septic rho menyuam, kab mob gonorrhea, mob chncre me me, thiab lwm yam).
Kev kis mob ntawm daim tawv nqaij thiab cov nqaij mos (ua paug, phlegmon, erysipelas, mob txhab).
Osteomyelitis
Kev mob kis kab mob tom qab thiab lawv tiv thaiv.

Daim ntawv tso tawm Amoxiclav:
1. Cov ntsiav tshuaj ntawm 375 mg thiab 625 mg (cov ntsiab lus ntawm amoxicillin yog qhia hauv mg).
2. Hmoov rau kev ncua nrog qhov siab ntawm 156 mg / 5 ml thiab 312 mg / 5 ml.
3. Hmoov rau inhalation 600 mg rau ib pob, thiab 1.2 g ib pob.

Amoxiclav Cawv xam raws li amoxicillin, vim nws yog cov tshuaj tua kab mob no uas yog cov tshuaj nquag hauv tshuaj.
Ntau txog Amoxiclav

Yuav luag txhua qhov kev tshuaj xyuas muaj nyob hauv Is Taws Nem txog cov tshuaj tua kab mob amoxicillin yog qhov zoo. Cov neeg mob nco ntsoov cov txiaj ntsig sai ntawm kev siv tshuaj, yooj yim siv (lub sijhawm txais tos tsis nyob ntawm lub sijhawm noj mov), kev kho kom rov zoo los ntawm cov kab mob uas twb muaj lawm thaum kawg ntawm kev kho mob.

Qhov feem pua me me ntawm kev tshuaj xyuas tsis zoo nyob rau hauv uas cov neeg mob yws tias cov tshuaj "tsis pab" yog vim qhov tseeb tias amoxicillin, txawm hais tias nws yog qhov tshuaj tua kab mob ntau, tsis yog omnipotent, thiab tsis yog txhua tus kab mob yog nkag siab nws txoj haujlwm. Yog li, nws raug nquahu kom ua qhov kev kuaj mob rau tus neeg mob ua ntej sau ntawv rau cov tshuaj tua kab mob no: cais tawm ntawm tus neeg sawv cev ntawm tus kab mob thiab kuaj nws cov rhiab heev rau cov tshuaj. Tab sis cov kev tshawb fawb no yuav tsum muaj lub sijhawm ntev, thiab feem ntau yog nqa tawm hauv cov chaw nyob ruaj ruaj. Hauv kev xyaum, tus kws kho mob, sim ua kom txo tus neeg mob tus mob, muab tshuaj kho yam tsis muaj kev tshuaj xyuas, qee feem ntawm kev tuaj yeem, thiab qee zaum ua yuam kev. Cov neeg mob xav txog qhov tsis muaj txiaj ntsig ntawm kev kho tsis muaj tshuaj - qhov kev xav no tsis muaj tseeb.

Tshuaj tua kab mob Amoxicillin

Cov tshuaj siv yog txhais tau tias ntawm kev siv tshuaj tua kab mob. Amoxicillin belongs rau cov tshuaj tua kab mob ntau-spectrum, nws yog ib feem ntawm semisynthetic penicillins pawg. Cov tshuaj yog cov kab mob sib piv ntawm ampicillin, tab sis thaum noj ntawm qhov ncauj, nws yog tus cwj pwm zoo los ntawm kev zoo dua. Raws li cov lus qhia rau kev siv, cov tshuaj muaj cov tshuaj tua kab mob cuam tshuam nrog:

cov kab mob aerobic gram-zoo - Staphylococcus spp., Streptococcus spp.,
gram tsis zoo–Salmonella spp., Neisseria meningit>

Raws li cov lus qhia, Amoxicillin muaj cov tshuaj ua haujlwm tseem ceeb - amoxicillin trihydrate, uas yog nyob hauv qhov ntau npaum li cas rau hauv daim ntawv tso tawm. Ntu cov khoom siv muab cov ntsiav tshuaj ntxiv cov khoom, cov yam ntxwv paub, nce txee lub neej. Qhov muaj pes tsawg leeg, ntxiv rau hauv daim ntawv ntawm trihydrate, suav nrog:

calcium stearate
lactose monohydrate,
magnesium stearate,
polysorbate,
talcum hmoov
cov hmoov txhuv nplej siab.

Tsuas tshuaj thiab tswj hwm

Yuav noj tshuaj amoxicillin li cas? Cov lus qhia pom zoo kom siv cov tshuaj hauv, ntxuav nrog dej, tsis cuam tshuam nrog kev noj mov. Kev noj tshuaj ntawm Amoxicillin nyob ntawm lub hnub nyoog thiab chav kawm ntawm tus kab mob. Nws yog ib qho tsim nyog yuav tau xav txog:

ib koob tshuaj rau cov laus, menyuam yaus hnub nyoog 12 xyoos - 250, 500 mg,
hauv cov kis mob hnyav - txog 1 gram,
ntawm cov koob tshuaj, lub sijhawm luv yog 8 teev,
lub chav kawm ntawm kev kho mob yog los ntawm 5 mus rau 14 hnub,
nyob rau hauv cov neeg mob uas lub raum tsis ua haujlwm, lub sij hawm tau teeb tsa ua ib tus zuj zus,
qhov ntau thiab ntau npaum li cas ntawm kev kho mob yog txiav txim siab los ntawm tus kws kho mob.

Thaum cev xeeb tub thiab lactation

Cov kev qhia txwv tsis pub siv cov tshuaj amoxicillin thaum pub mis. Thaum cov tshuaj tua kab mob mus rau hauv cov mis, nws tuaj yeem tsim kev puas tsuaj rau tus menyuam. Yog tias tsim nyog tau txais kev kho mob, pub mis yuav tsum tau muab ncua tseg. Kev siv cov tshuaj thaum cev xeeb tub nws muaj nws tus kheej. Penicillins hla lub tsho me me thiab muaj ntau ntxiv hauv nws. Qhov siab ntawm amoxicillin nyob rau hauv cov kua dej amniotic ncav cuag 25-30 feem pua ntawm cov ntshav ntshav ntawm tus poj niam cev xeeb tub, uas yog qhov kev pheej hmoo rau kev loj hlob ntawm tus me nyuam hauv plab.

Muaj ntau lub tswv yim pom zoo rau kev siv tshuaj tua kab mob thaum lub cev xeeb tub:

siv cov tshuaj tsuas yog qhia
tus kws kho mob teeb tsa cov koob tshuaj thiab kev tswj hwm coj mus rau hauv tus account qhov xwm txheej ntawm tus poj niam,
Kev kho tshuaj yog tau kev tso cai tsuas yog nyob hauv lub sijhawm thib ob thiab peb lub hlis, thaum tus placenta tsim,
tus kws kho mob saib xyuas tus neeg mob tus mob yuav tsum,
nws yog ib qho tsim nyog yuav tsum xav txog tag nrho cov contraindications rau siv.

Amoxicillin rau menyuam yaus

Ua npaws kub, ua kom lub cev tsis muaj zog los ntawm kev kis tus kab mob - lub laj thawj rau kev muab tshuaj rau menyuam yaus ua yeeb tshuaj. Amoxicillin rau kev mob khaub thuas yog muab rau cov menyuam yaus ua qhov kev ncua (saib duab hauv qab). Cov tshuaj yog npaj ua ntej siv. Xws li yog lub ntsuas ntsuas muaj cov tshuaj 250 mg ntawm cov tshuaj nquag. Cov kev qhia ntawv sau tseg:

ntxiv dej rau hauv lub raj mis nrog granules,
co qhov sib tov
cov menyuam yaus hnub nyoog qis dua ob xyoos muab 20 mg tshuaj rau ib phaus ntawm lub cev qhov hnyav hauv ib hnub,
thaum muaj hnub nyoog ob txog tsib xyoos - koob tshuaj yog 125 mg,
ntawm 5 txog 10 xyoo - tus lej tau ob npaug,
Ntau tshaj kaum - kev ncua kev ncua txog 500 mg,
hauv qhov xwm txheej loj - txog li 1 gram.

Kev sib cuam tshuam txog yeeb tshuaj

Thaum lub sijhawm siv cov tshuaj tua kab mob hu ua Amoxicillin, koj yuav tsum ua tib zoo xav txog kev siv lwm cov tshuaj ib txhij. Raws li cov lus qhia, kev cuam tshuam nrog cov tshuaj tuaj yeem muab ntau yam txiaj ntsig. Pom cov teebmeem:

Amoxicillin txhim kho kev nqus ntawm digoxin,
nce cov nyhuv ntawm indirect anticoagulants,
txo prothrombin Performance index,
txo cov nyhuv ntawm cov tshuaj estrogen uas muaj qhov ncauj txwv tsis pub,
nce lub tshuaj lom ntawm methotrexate,
txo qhov synthesis ntawm vitamin K.

Nws yuav tsum raug coj mus rau hauv tus account - Amoxicillin muaj cov nyhuv bactericidal ntawm kev nthuav tawm cov kab mob me, yog li ntawd, nws yuav tsum tsis txhob siv nrog cov tshuaj bacteriostatic antimicrobial - sulfonamides, tetracyclines. Nrog rau kev siv tib txhij:

Glucosamine, laxatives, qeeb qeeb ntawm kev nqus ntawm Amoxicillin, thiab ascorbic acid nce,
Rifampicinpoob dej tawm ntawm cov khoom tua kab mob,
non-steroidal anti-inflammatory tshuaj ntau ntxiv ua rau kom cov tshuaj tua kab mob zoo ntxiv.
Allopurinolnce kev pheej hmoo ntawm daim tawv nqaij sawv pob.

Cawv kev sib tham

Raws li cov lus qhia, Amoxicillin ntsiav tshuaj, tshuaj ntsiav lossis ncua ntawv yuav tsum tsis txhob siv nrog haus cawv. Kev siv tib lub sij hawm ua rau kev tawm tsam - ncaj qha kev sib cais, uas yog txaus ntshai rau lub cev, nce qhov kev pheej hmoo ntawm lub raum lub luag haujlwm. Cov ntsiab lus hauv qab no yuav tsum tau txiav txim siab:

ib qho tshuaj tua kab mob hauv cov ntshav tuaj yeem mus txog ib asthiv,
cawv yog tshem tawm los ntawm lub cev tom qab txog ob hnub,
tsis tsuas yog siv tib txhij yog txaus ntshai,
nws yog ib qho tsim nyog yuav tsum coj mus rau hauv lub sijhawm ntawm kev tshem tawm cov tshuaj tua kab mob thiab haus dej cawv.

Amoxicillin - kev mob tshwm sim

Nrog kev siv ywj pheej, ua txhaum ntawm kev noj ntau npaum li cas, kev kawm tsis raug, lub sij hawm yuav tshwm sim. Cov kev qhia tau sau tseg qhov tshwm sim ntawm kev tawm tsam ntawm lub cev mus rau noj Amoxicillin. Cov kev mob tshwm sim muaj:

tsis qab los noj mov
ua txhaum ntawm hnyuv microflora,
ua xua
insomnia
khaus
kiv taub hau
urticaria
mob plab
zawv plab
xeev siab
erythematous pob
ntuav
lub siab ua tsis taus haujlwm,
ntxhov siab
cramps
pom mob pob txha
tsis nco qab zoo
mob tej pob txha.

Cov kev mob tshwm sim tuaj yeem pom tias muaj tshuaj ntau dhau. Qhov tshwm sim ntawm:

anaphylactic kev poob siab,
hemolytic anemia,
kev tsis haum vasculitis,
hyperemia,
candidiasis
npaws
cholestatic mob daj ntseg,
dysbiosis,
mob ntsws npog
mob plab
txog siav
tachycardia,
Quincke's edema,
Kev Nyuaj Siab
eosinophilia
cuab yeej neuropathies,
kab mob siab
kev tsis nco qab.

Thaum cov tshuaj Amoxicillin muaj contraindications rau kev siv, tus kws kho mob yuav xaiv lwm yam tshuaj rau tus neeg mob kom tawm tsam kev kis mob. Hloov chaw yuav tsum muaj thiab thaum muaj kev mob tshwm sim, thaum kev kho mob nres, cov tshuaj tshiab tau sau tseg. Cov kev qhia tau hais tias muaj analogues ntawm Amoxicillin rau cov tshuaj nquag:

Lub Ecoclave
Flemoxin Solutab,
Taromentin
Rapiclav
Medoclave
Clamosar
Baktoklav,
Augmentin
Arlet
Amovikomb,
Ranklav,
Panklav,
Lyclav,
Verklav.

Amoxicillin Nqe

Cov tshuaj tua kab mob yuav tuaj yeem yuav tom cov tsev muag tshuaj nyob ze lossis txiav txim los ntawm khw hauv online. Hauv qhov no, cov tshuaj yuav tsum yog kws kho mob sau tseg. Amoxicillin ntau npaum li cas? Tus nqi yuav nyob ntawm daim ntawv tso tawm, ntau npaum li cas, cov nqi thauj. Tus nqi nruab nrab ntawm cov tshuaj thiab analogues hauv rubles yog:

Kev taw qhia txog kev siv Amoxicillin

Raws li cov lus qhia, Amoxicillin muaj txiaj ntsig tawm tsam cov kab mob uas ua rau muaj cov kab mob li nram no:

Mob ntsws ntsws, ntsws txham,
Pharyngitis, sinusitis, mob otitis, mob tonsillitis,
Cystitis, pyelitis, urethritis, pyelonephritis, endometritis, mob ncauj lus, cervicitis,
Tus mob cholecystitis, cholangitis, tus mob peritonitis,
Mob impetigo, erysipelas, mob ntxiv zaum ob dermatoses,
Lyme mob
Listeriosis, mob leptospirosis,
Salmonellosis
Tej Huab Tais
Ua mob rau daim tawv nqaij
Sepsis
Endocarditis (kev tiv thaiv).

Phiv los ntawm Amoxicillin

Thaum siv Amoxicillin, cov kev mob tshwm sim hauv qab no yog ua tau:

Los ntawm lub plab zom mov: xeev siab thiab ntuav, hloov saj, dysbiosis, stomatitis, glossitis, raws plab, pseudomembranous enterocolitis, ua rau lub siab ua haujlwm tsis zoo,
Los ntawm sab hauv ntawm cov leeg hlwb: ataxia, kev ntxhov siab, tsis meej pem, ntxhov siab, ntxhov siab, pw tsaug zog, hloov cwj pwm, kiv taub hau, mob taub hau, mob paj hlwb, mob hlwb, ua kom qaug dab peg,
Kev tsis haum tshuaj: erythema, urticaria, tawv nqaij hyperemia, rhinitis, pom mob pob txha, mob caj dab, tsis tshua - mob sib koom tes, kub taub hau, exfoliative dermatitis, Stevens-Johnson syndrome, tsis tshua mob heev - anaphylactic ceeb,
Kev kuaj pom: kuaj ntshav liab, neutropenia, leukopenia, thrombocytopenic purpura,
Lwm qhov kev tshwm sim tsis zoo: tachycardia, ua tsis taus pa ntawm qhov paum, mob hnyuv ntawm lub paum, mob nestritis interstitial, superinfection (tshwj xeeb tshaj yog nyob rau cov neeg muaj kev txo qis lossis cov kab mob mus ntev).

Cov tsos mob ntawm kev noj haus ntau tshaj ntawm Amoxicillin yog xeev ntuav, ntuav thiab raws plab, uas ua rau muaj kev txhaum ntawm cov dej-electrolyte tshuav. Txoj kev kho yog ntxuav lub plab, sau tshuaj rau cov tshuaj thuv pleev cov kua qaub thiab ua kom muaj cov pa roj carbon, thiab kho cov dej-electrolyte sib npaug.

Amoxicillin analogues

Cov tshuaj yeeb yaj kiab ntawm yeeb tshuaj, muaj amoxicillin yog cov tshuaj nquag, yog cov tshuaj hauv qab no:

Amoxillate (Lub teb chaws Yelemees),
Amosin (Russia),
Apo-Amoxy (Canada),
Amoksisar (Russia),
Gonoform (Austria),
Bactox (Fabkis),
Grunamox (Yelemees),
Taisil (Bangladesh),
Ospamox (Austria),
Danemox (Is Nrias teb),
Hikontsil (Slovenia),
Ecobol (Russia),
Flemoxin Solutab (Netherlands),
E-Mox (Egypt).

Cov lus thiab cov xwm txheej ntawm kev cia

Amoxicillin, raws li cov lus qhia, yuav tsum khaws cia hauv chav kub hauv qhov chaw qhuav thiab tsaus ntuj kom tsis txhob ncav cuag cov menyuam.

Qhov npaj ncua kev kawm yog muab cia rau 14 hnub ntawm qhov kub ntawm 15-25 ° C.

Lub txee lub neej ntawm cov tshuaj yog 2 xyoos, tom qab uas nws yuav tsum muab pov tseg.

Pom qhov yuam kev hauv cov ntawv nyeem? Xaiv nws thiab nias Ctrl + Enter.

Pharmacological kev txiav txim

Amoxicillin yog tshuaj tua kab mob uas muaj ntau yam teebmeem. Tshuaj tua kab mob pab pawg - penisillins semisyntheticCov. Abstract qhia tias cov tshuaj yog 4-hydroxyl analogue ampicillinCov. Muab cov nyhuv bactericidal. Ua pom kev ua haujlwm tiv thaiv cov kab mob aerobic gram-zoo, uas yog Streptococcus spp., Dab Tsi Staphylococcus spp. (tshwj tsis yog cov leeg ntshav uas tsim cov tshuaj penicillinase). Kuj tseem nquag tawm tsam aerobic gram-cov kab mob tsis zoo: Shigella spp., Neisseria gonorrhoeae, Escherichia coli, Neisseria meningitidis, Klebsiella spp., Salmonella spp.

Kho tsiaj Amoxicillin

Hauv cov tshuaj veterinary, 15% amoxicillin txhaj tshuaj yog siv. Rau tsiaj, nws yog siv los kho kab mob hauv lub plab zom mov, kab mob ntawm daim tawv nqaij, kab mob ua pa, kab mob ntawm cov kab mob genitourinary, thiab lwm yam. Nws yog siv rau cov dev, rau miv, rau nyuj. Cov tshuaj yuav tsum tau muab nyob rau hauv daim tawv nqaij lossis intramuscularly, ntau npaum nyob rau hauv cov ntaub ntawv no yog 1 ml ib 10 kg ntawm qhov loj. Yog tias tsim nyog, rov tso cov tshuaj tom qab 48 teev. Pom zoo zaws ntawm qhov chaw uas cov tshuaj txhaj yog pom zoo.

Cov lus qhia rau Amoxicillin DS

Koj yuav tsum tau noj cov tshuaj 500 mg peb zaug ib hnub. Yog tias pom muaj mob hnyav tshwm sim, tus kws kho mob yuav nce qhov ntau ntxiv rau 750-1000 mg. Cov yam ntxwv ntawm kev kho mob yog nyob ntawm kev kuaj mob ntawm tus neeg mob.

Qhov ntau npaum ntawm Amoxicillin rau angina nyob ntawm qhov siv ntawm cov txheej txheem pathological. Raws li txoj cai, nrog angina, ib txwm koob ntawm cov tshuaj yog kws kho - 500 mg peb zaug ib hnub. Yuav noj nws li cas rau cov neeg laus lossis yuav ua li cas coj nws rau cov menyuam yaus mob khaub thuas, koj yuav tsum tau nrog koj tus kws kho mob tham.

Cov tshuaj muab rau qhov mob ntsws yog nyob ntawm tus kws kho mob lub hwj tshuaj. Cov tshuaj rau cov laus yog feem ntau 500 mg ntawm cov tshuaj 3-4 zaug hauv ib hnub, kev kho mob kav ntev li ib lub lim tiam. Txawm li cas los xij, qhov tseeb ntau txog ntau npaum li cas hnub tau txais qhov tshuaj kho, tus kws tshaj lij yuav tsum tau qhia.

Noj ntau dhau

Raws li txoj cai, nrog ib qho kev noj ntau dhau, tsis muaj peev xwm tshaj tawm cov nyhuv tshuaj lom, txawm tias muaj ntau npaum li cas ntawm cov tshuaj. Yog tias ib qho tshuaj Amoxicillin ntau heev, tus neeg mob qhia tias mob plab zom mov, ua txhaum cai ntawm cov dej-electrolyte sib npaug. Hauv cov neeg uas raug mob los ntawm kev mob raum tsis ua haujlwm, kev haus luam yeeb ntau heev tuaj yeem ua rau pom tus mob nephrotoxicity thiab crystalluria.

Cov kev mob tshwm sim yog nqa tawm, rau cov tshuaj twg uas kws kho mob tau siv, koj yuav tsum tau noj tshuab txais carbon. Thov siv hemodialysisCov. Tsis muaj ib qho tshuaj tua kab mob tshwj xeeb.

Qhov twg yog qhov zoo dua: Flemoxin Solutab lossis Amoxicillin?

Raws li ib feem ntawm cov tshuaj Flemoxin muaj cov tshuaj zoo ib yam. Tab sis Amoxicillin siv ntau dua los kho cov neeg laus. Flemoxin Solutab yog nqus nrawm hauv cov hnyuv, nws tuaj yeem siv nrog cov zaub mov noj, lawv muaj qab ntxiag. Cov ntsiav tshuaj no tuaj yeem yaj hauv dej thiab npaj kev ncua lossis kua dej. Flemoxin Solutab yog cov tshuaj kim dua.

Amoxicillin rau menyuam yaus

Rau cov menyuam yaus, cov tshuaj tau siv nruj me ntsis raws li lub sijhawm teem tseg los ntawm kws kho mob. Raws li txoj cai, cov menyuam yaus tau raug txwv tsis pub ncua, siv cov tshuaj amoxicillin thiab metronidazole tsis pom zoo rau cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 18 xyoo. Amoxicillin ntau npaum li cas rau cov menyuam yaus nyob ntawm qhov hnyav ntawm tus menyuam, nws lub hnub nyoog, kab mob. Amoxicillin rau me nyuam mos yog sau tseg rau tus kheej rau cov menyuam yug tshiab, lawv ua lub sijhawm ntau npaum li cas ntawm koob tshuaj thiab nruj me ntsis ua raws cov txheej txheem qhia los ntawm kws kho mob.

Amoxicillin thiab dej cawv

Hauv cov lus qhia rau cov tshuaj tsis muaj ntaub ntawv qhia txog seb cov tshuaj puas ua ke nrog cawv. Txawm li cas los xij, cov kws kho mob tsis pom zoo kom xyaum ua kev sib xyaw ua ke no. Tom qab tag nrho, cawv txo qhov cuam tshuam ntawm cov tshuaj. Hauv qhov no, qhov kev mob tshwm sim tuaj yeem ua tau ntau zog.Kev txiav txim siab tsis tuaj yeem tshwm sim ntawm cov hlab ntsha tuaj yeem sau tseg, cov tshuaj lom rau lub siab yog nce sai, qhov kev pheej hmoo ntawm kev ua kom tsis haum, ua pa tsis zoo tshwm sim. Nws yuav tsum tau yug hauv siab tias cov ntsiav tshuaj no yog tshuaj tua kab mob, los ntawm qhov lawv yuav tsum tsuas yog siv lub sijhawm txwv tsis pub haus cawv.

Kev Ntsuas Xyuas Amoxicillin

Hauv Is Taws Nem, tshuaj xyuas txog Amoxicillin feem ntau yog qhov zoo. Lawv sau tseg tias tom qab pib kho, cov nyhuv tshwm sim nws tus kheej sai heev, cov tshuaj yooj yim siv rau ob tus neeg laus thiab menyuam, rau tus neeg muaj kev ncua tshwj xeeb rau menyuam yaus. Tsis tas li, raws li qhov zoo, nws tau hais tseg tias cov tshuaj muaj peev xwm noj nrog ntawm cev xeeb tub.

Thaum tham txog Amoxicillin, kev tshuaj xyuas ntawm kws kho mob kuj zoo. Tab sis cov kws tshaj lij ib txwm sau tias kev siv tus kheej nrog tshuaj yog qhov tsis lees txais.