Txais tos ntawm Amoksiklav nyob rau hauv daim ntawv ntawm Ncua rau cov menyuam yaus: cim, ntau npaum li cas, cov yam ntxwv ntawm kev siv
Amoxiclav yog kev siv tshuaj kho mob ua ke. Nws cov tshuaj lom neeg nquag yog amoxicillin thiab clavulanic acid, uas muaj cov haujlwm antimicrobial.
Txoj kev tshem tawm yog sau tseg rau kis mob los ntawm cov tshuaj tua kab mob:
- mob otolorgic (otitis externa, purulent otitis media, mastoiditis),
- cov kis kab mob sib kis thiab sab mob ntawm sab sauv thiab qis,
- cov kab mob genitourinary system
- pathology ntawm cov leeg tshuab hlwb hlau,
- tawv nqaij kis kab mob
- mob ntawm qhov ncauj kab noj hniav thiab cov nqaij mos.
Tsuas tshuaj thiab tswj hwm
Txhawm rau npaj qhov kev ncua, dej ntxiv rau cov ntsiab lus ntawm lub vial rau lub cim.
Pom zoo kom tsuas noj tshuaj nyob rau hauv milliliters ntawm tiav kev ncua, nyob ntawm qhov hnyav ntawm tus neeg mob thiab qhov mob hnyav sib kis:
Nyhav kg | Ib zaug tshuaj hauv ib ml ntawm kev ncua ntawm 125 mg + 31.25 mg hauv 5 ml, nws yuav tsum noj 3 zaug ib hnub | Ib zaug tshuaj nyob rau hauv ml ncua ntawm 250 mg + 62.5 mg hauv 5 ml, koj yuav tsum tau noj nws 3 zaug ib hnub | Ib zaug tshuaj hauv ml ntawm kev ncua ntawm 400 mg + 57 mg hauv 5 ml, nws yuav tsum noj 2 zaug ib hnub | |||
Me me mus rau mob mentsis | Kev kis mob hnyav | Me me mus rau mob pesnrab | Mob nyav heev | Kab me / mob sib kis | Hnyav daim ntawv | |
5 txog 10 | 2,5 | 3,75 | 1,25 | 2 | 1,25 | 2,5 |
10 txog 12 | 3, 75 | 6, 25 | 2 | 3 | 2,5 | 3,75 |
12 txog 15 | 5 | 7,5 | 2,5 | 3,75 | 2,5 | 3,75 |
15 txog 20 | 6, 25 | 9,5 | 3 | 5 | 3,75 | 5 |
Los ntawm 20 txog 30 | 8,75 | — | 4,5 | 7 | 5 | 7,5 |
30 txog 40 | — | — | 6,5 | 9,5 | 6,5 | 10 |
Rau cov menyuam yaus uas muaj hnub nyoog 12 xyoos thiab hnyav dua 40 kg, cov tshuaj yog sau hauv cov ntsiav tshuaj.
Nrog rau kev ncua ntawm lub tuam txhab Sandoz, ib kab ntawv nrog qhov cim ntawm 1 txog 5 ml suav nrog.
Kev noj tshuaj yog xam raws qhov hnyav thiab hnub nyoog, nrog rau kev kis mob nyav heev. Qhov tshuaj yog xam raws li amoxicillin.
Rau cov menyuam muaj hnub nyoog qis dua 3 hlis, cov tshuaj tau tawm hauv cov tshuaj txhua hnub ntawm 30 mg rau ib hlis twg ntawm lub cev qhov hnyav, nws yuav tsum noj 2 zaug (tom qab 12 teev).
Rau cov neeg mob uas muaj hnub nyoog laus dua 3 hlis, kev noj tshuaj txhua hnub yog 20 mg rau ib phaus ntawm qhov hnyav, hauv cov mob hnyav, nrog rau cov kab mob ua pa, yuav tsum nce ntxiv rau 40 mg / kg, nws yuav tsum noj 3 zaug (txhua 8 teev).
Hauv txoj kev mob raum rov qab loj, txoj kev muab tshuaj txo qis lossis qhov ncua sij hawm ntawm ib koob tshuaj lengthened txog li 2 hnub.
Lub chav kawm ntawm kev kho mob tuaj yeem hloov los ntawm 5 mus rau 14 hnub, ntawm kev txiav txim siab ntawm tus kws kho mob, lub sijhawm ntawm kev kho mob tuaj yeem nce ntxiv.
Cov Yuav Tsum Muaj
Cov tshuaj noj contraindicatedyog tias:
- kev tsis qaug rau kev sib xyaw ntawm cov tshuaj, penicillins, cephalosporins thiab lwm yam tshuaj tiv thaiv β-lactam,
- keeb kwm ntawm qhov mob siab hepatic, ua rau qhov kev tswj hwm ntawm Amoxiclav lossis nws cov analogues,
- mob mononucleosis thiab mob lyukhocytic.
Nrog saib xyuas cov tshuaj yuav tsum tau noj yog tias nws tau pom:
- mob plab pseudomembranous,
- daim siab ua hauj lwm
- mob raum tsis zoo.
Noj ntau dhau
Yog tias koj ua yuam kev lossis txhob txwm tshaj li cov koob pom zoo, cov tsos mob hauv qab no yuav tshwm sim:
- dyspeptic mob
- ntxhov siab ntau dhau
- kev ntxhov siab vim pw tsaug zog
- kiv taub hau
- cramps.
Tus neeg raug tsim txom yuav tsum nyob hauv kev saib xyuas ntawm tus kws kho mob. Txoj kev kho mob yog txhawm rau tshem tawm cov tsos mob ntawm intoxication. Yog tias tsis pub dhau 4 teev tau dhau mus txij li lub sijhawm ua txhaum kev qaug cawv, tus neeg raug tsim txom pom tias muaj plab thiab tso pa tawm. Cov tshuaj yeeb dej caw tuaj yeem muab tshem tawm los ntawm hemodialysis.
Sab sij huam
Thaum noj qhov ncua kev kawm ntawv, cov teebmeem hauv qab no tsis tuaj yeem pom:
- tsis muaj qab los noj mov, xeev siab, ntuav, tso quav xoob, mob plab, ua haujlwm rau lub siab, ua haujlwm ntawm nws cov enzymes, mob cholestasis, mob siab, mob plab pseudomembranous,
- ua xua
- qhov txo qis hauv tag nrho cov qe ntshav, nce ntxiv hauv eosinophils, txuas ntxiv ntawm lub sijhawm prothrombin,
- ntsug, mob taub hau, qaug dab peg, hyperactivity, ntxhov siab vim, teeb meem ntog pw tsaug zog,
- interstitial nephritis, qhov pom ntawm ntsev muaju hauv cov zis,
- superinfection, suav nrog thrush.
Amoxiclav kev ncua tsis muaj nyob hauv cov hmoov ntawv, uas yuav tsum tau txhaws nrog dej. Nyob ntawm seb qhov tshuaj muaj yees ntau npaum li cas, cov tshuaj muaj nyob hauv 3 koob tshuaj:
- 125 mg ntawm amoxicillin thiab 31.25 mg ntawm clavulanic acid (nrog flavour strawberry),
- 250 mg ntawm amoxicillin thiab 62.5 mg ntawm clavulanic acid (nrog rau tsw qab),
- 400 mg ntawm amoxicillin thiab 57 mg ntawm clavulanic acid (nrog txiv lws suav thiab txiv qaub tsw).
Raws li cov khoom sib txuas ntxiv, qhov kev ncua ntawv yog:
- citric anhydride
- sodium citrate,
- xanthan
- silica
- sodium benzoate thiab saccharinate,
- attracts
- carmellose sodium thiab microcrystalline cellulose.
Cov chaw muag tshuaj thiab tshuaj pharmacokinetics
Cov tshuaj yog nquag tiv thaiv cov kab mob hauv qab no:
- streptococci,
- staphylococci,
- enterococci,
- E. coli
- Mob raws kev mob siab,
- salmonella
- Ntxaug Yaj
- hemophilic bacillus,
- gonococci
- mob hnoos hawb pob
- brucella
- campylobacter ayuni,
- gardnerella qhov chaw mos,
- Ducrey's wand,
- Klebsiella
- moraxella cataralis,
- mob hlwb
- pasteurella tua neeg,
- Kev ua Proteus
- Yersinia enterocolitis,
- Helicobacter
- clostridia
- bactroids
- peptococci,
- peptostreptococcus,
- fusobacteria,
- preotella.
Thaum muab tshuaj, cov tshuaj sai sai sai, qhov siab tshaj plaws nyob rau hauv cov ntshav tau pom tom qab ib teev.
Ob qhov sib xyaw txeem mus rau hauv ntau cov ntaub so ntswg thiab cov kabmob, ntawm qhov muaj mob cuam tshuam los ntawm BBB. Dhau lub teeb meem hepatic, lawv yog metabolized.
Ua rau hauv zis, ib nrab-lub neej nws txawv ntawm 1 mus rau 1.5 teev.
Hauv cov mob raum loj dua, ib nrab ntawm lub neej ntawm amoxicillin nce rau 7.5 teev, thiab rau clavulanic acid rau 4,5 teev.
Ntau yam ntawm Amoxiclav hmoov thiab cov khoom xyaw tseem ceeb
Cov lus qhia rau siv Amoxiclav kev ncua rau cov menyuam yaus thiab cov neeg laus yog cov ntawv tseem ceeb tshaj plaws rau tus neeg mob. Cov paub daws teeb rau cov tshuaj tuaj yeem muab cov lus teb rau txhua cov lus nug txog kev xav tshuaj Piv txwv li, cov teeb meem tseem ceeb yog amoxicillin thiab clavulanic acid (ntsev ntsev).
Cov tshuaj muaj pes tsawg leeg tsis yog lam tau lam ua, vim tias amoxicillin yog cov tshuaj synthetically tsim tawm beta-lactam (nws cov nyiaj ib txwm muaj hauv cov tshuaj), thiab clavulanic acid tuaj yeem hu ua tus pabcuam thiab tus tiv thaiv ntawm lub hauv paus loj, vim nws tsis tsuas yog ua kom ntev kev txiav txim hauv Amoxiclav, tab sis kuj tseem pab daws cov microbes. uas tau tawm tsam amoxicillin.
Daim ntawv tso tawm ntawm cov tshuaj no feem ntau yog siv los ua menyuam yaus cov hmoov npaj rau cov kua qab zib, tab sis qee kis nws tuaj yeem siv rau cov laus. Txawm li cas los xij, cov lus qhia rau kev siv Amoxiclav rau cov neeg laus yuav zoo ib yam li ntawd rau cov menyuam yaus.
Hauv kev ncua ntawm Amoxiclav rau cov menyuam yaus, raws li 5 ml ntawm cov tshuaj, thawj tus lej qhia cov ntsiab lus ntawm amoxicillin, thiab lub thib ob - cov ntsiab lus ntawm clavulanic acid. Nws tshwm sim hauv kev siv tshuaj hauv qab no:
- 125 mg / 31.5 mg (qhov noj tsawg tshaj plaws, xws li Amoxiclav feem ntau yog rau cov menyuam hnub nyoog qis dua ib xyoos) - daim ntawv no muaj tshwj xeeb rau cov menyuam yaus tsis hnov tsw.
- 250 mg / 62.5 mg - txhawm rau txhawm rau kev txaus rau cov menyuam yaus, nws tsim tawm nrog tsw qab.
- Amoxiclav forte 312.5 mg / 5 ml 25 g 100 ml - nws tuaj yeem yog zuaj txiv los yog txiv qaub.
Kev taw qhia txog kev teem sijhawm ntawm Amoxiclav
Ncua Kev Kawm Amoxiclav yog tshuaj menyuam yaus rau tshuaj tua kab mob, qhov cim qhia rau kev siv uas tej zaum yuav zoo li:
- tej kab mob kis tau, nrog rau cov mob hauv pob ntseg, caj pas thiab qhov ntswg,
- kev kis mob ntawm qhov mob nyhav thiab theem nrab hauv cov ntsws,
- o ntawm cov mob txeeb zig thiab lwm cov kab mob.
Lub hom phiaj ntawm Amoxiclav raug muab tshem tawm thiab cov ntawv sau ua lus Latin tsuas yog sau los ntawm tus kws tshwj xeeb. Txawm hais tias Amoxiclav yog ib qho tshuaj tua kab mob zoo heev rau menyuam yaus, pab tiv thaiv nrog ntau tus kab mob tsis zoo, tab sis nws tseem tsis yog panacea rau txhua yam kabmob. Yog li hauv kev kho kab mob thiab mob fungal Amoxiclav, kev kho me nyuam yaus rau kev tswj hwm qhov ncauj tsis tuaj yeem pab tus neeg mob.
Nthuav! Kev tshem tawm Amoxiclav tuaj yeem raug muab rau cov poj niam lub sijhawm cev xeeb tub thiab lactation. Txawm li cas los xij, nws tsim nyog paub tias cov tshuaj tua kab mob tau muab faib thoob plaws lub cev los ntawm cov ntshav, uas txhais tau hais tias nws kis tau mus rau niam mis thaum lactation thiab txawm tias dhau los ntawm cov phab ntsa placental thaum yug menyuam.
Yuav ua li cas thiaj yug me nyuam qhov kev ncua
Txhawm rau nrhiav kom paub yuav ua li cas txhawm rau Amoxiclav nyob rau hauv kev ncua rau cov menyuam yaus thiab txoj kev ntseeg siab tshaj plaws los npaj cov tshuaj no, nws tsim nyog los ua tib zoo kawm cov lus qhia, uas kauj ruam los ntawm kauj ruam piav qhia txog yuav npaj cov kua qab li cas:
- Nws yog ib qho tsim nyog kom co cov hmoov txhawm rau npaj ntawm Amoxiclav hauv kev ncua rau cov menyuam yaus, kom tsis muaj cov hmoov hauv cov hmoov.
- Tom qab ntawv ntxiv ntxuav chav sov-txias dej rau lub vial rau cov cim qhia rau sab saum toj ntawm lub raj mis.
- Sib tov cov hmoov ua kua rau cov kev npaj ntawm cov raug tshem tawm ua ke nrog cov kua kom txog thaum ib tus qauv sib xws yog tsim.
Los npaj qhov raug tshem tawm tsis yog qhov nyuaj txawm tias tus neeg tsis muaj kev paub dhau los. Kev paub daws teebmeem Amoxiclav rau menyuam yaus li cas, tus neeg mob yuav tuaj yeem ua rau ncua kev kawm nrog qhov kev siv tshuaj ntawm cov khoom tseem ceeb uas tsim nyog rau kev kho.
Yuav xaiv cov tshuaj yog npaum li cas
Qhov zoo dua ntawm Amoxiclav nyob rau hauv txoj kev ncua ntawv hla lwm hom tshuaj tua kab mob yog tias nws yog kev ua kua nrog kev noj haus kom haum rau menyuam yaus txij thaum pib lub neej mus txog 12 xyoos.
Nws tsim nyog noj tshuaj, suav txog tias cov menyuam yaus haus cov tshuaj amoxicillin ib hnub, ob zaug ntawm 2 xyoos thiab 7 xyoo, yuav tsum tsis pub ntau tshaj 40 mg / kg hauv cov ntawv loj, thiab hauv lub teeb thiab mob sib kis - 20 mg / kg.
Tseem Ceeb! Nws yog tsim nyog kom nco ntsoov tias koob tshuaj Amoxiclav raug muab ncua tseg rau cov menyuam yaus uas tsis muaj mob raum thiab mob siab yuav tsum tau kho tas li nyob ntawm tus neeg mob lub cev.
Xam lub koob tshuaj Amoxiclav hauv kev ncua rau ib hnub yog yooj yim heev:
- Cov xwm txheej - cov menyuam yaus hnyav 16 kg, hnub nyoog 6 xyoo, muaj mob hnyav, siv tshuaj ntau yog 250 mg amoxicillin.
- Muab xam - 5 ml * 40 mg * 16 kg / 250 mg = 12.8 ml.
Qhov tshwm sim yuav tsum tau muab faib ua ob lossis peb koob tshuaj, nyob ntawm cov tshuaj ntawm tus kws kho mob.
Qhov ntau npaum li cas cov lus qhia tau hais tias cov me nyuam cov tshuaj yuav txawv nyob ntawm lub hnub nyoog ntawm tus me nyuam, seb nws muaj 5 xyoos lossis 10 xyoo, tab sis raws li nws qhov hnyav.
Saib xyuas! Kev laij cov koob tshuaj rau cov menyuam yaus yuav tsum tau nqa tawm los ntawm kws tshaj lij.
Muaj pes tsawg hnub ua qhov kev ncua ntawv
Muaj pes tsawg hnub haus Amoxiclav raug ncua yuav tsum txiav txim los ntawm tus kws kho mob menyuam yaus, vim tias qhov no yuav tsum ua tiav raws li tus neeg mob lub cev.
Lub chav kawm ntawm kev kho mob thiab ntau npaum li cas ntawm cov tshuaj sib txawv raws li lub cev ua teb rau cov tshuaj tua kab mob.
Feem ntau, muab tus menyuam ncua Amoxiclav raug tso cai 5-7 hnub. Nrog cov mob hnyav, kev txuas ntxiv ntawm 14 hnub yog ua tau, tab sis tsis muaj ntxiv.
Cov yam ntxwv ntawm kev siv tshuaj rau cov me nyuam mos
Ua tsaug rau nws cov khoom sib dhos loj, tus neeg mob muaj cai tsis xav tias nws yuav muab tshuaj ntev npaum li cas. Cov kws kho menyuam yaus, tsis txhob ntshai, sau ntawv Amoxiclav rau cov menyuam tshiab thiab menyuam mos.
Kev noj tshuaj ntawm Amoxiclav hauv kev ncua rau cov menyuam mos txog li 3 hlis yuav tsum tsis pub tshaj li 20 mg / kg ntawm amoxicillin. Cov menyuam mos thaum lub sijhawm muaj kev kho mob yuav tsum yog los ntawm kev saib xyuas ntawm cov kws tshwj xeeb, yog li ntawd, feem ntau yog thaum muaj kab mob hauv cov menyuam mos, lawv tau txais tsev kho mob.
Rau cov menyuam mos mus txog ib xyoos, xws li ntau qhov tshuaj tsis pub tshaj 30 mg / kg ib hnub. Cov menyuam mos yuav tsum raug saib xyuas, tab sis qhov no tuaj yeem ua tom tsev. Txog thaum tus menyuam muaj 1 xyoos, kev siv tshuaj yuav tsum yog tsawg heev, vim tias qhov kev raug mob tau txais kev kho nyob rau hnub nyoog no tuaj yeem tsim kev phom sij rau kev loj hlob ntawm tus menyuam.
Yuav muab Amoxiclav rau me nyuam li cas
Yuav ua li cas coj Amoxiclav kev ncua rau cov menyuam yuav tsum raug piav qhia ua ntej los ntawm tus kws kho mob, txij li kev kho mob yog txiav txim los ntawm tus kws kho mob koom nrog rau ntawm tus neeg mob tus mob thiab tuaj yeem yog tus kheej ntshiab.
Txoj kev siv Amoxiclav ncua kev kawm yog qhov yooj yim rau cov neeg mob me, vim nws cov kua dej tau yooj yim nqos thiab qee qhov nco qab rau cov dej rau cov menyuam, thiab raws li, nws ua rau lub gag reflex hauv cov menyuam yaus tsawg dua. Kev tshuaj xyuas ntawm niam txiv hais txog analogues feem ntau hais txog qhov teeb meem nrog kev noj tshuaj.
Koj tuaj yeem ntsuas qhov yuav tsum tau siv nrog tus pipette uas los nrog cov khoom siv. Cov tshuaj tua kab mob pib ua rau cov menyuam yaus tom qab ib teev, thiab tawm hauv 1-1.5 teev.
Kev nqus tshuaj tua kabmob tsis yog nyob ntawm kev noj zaub mov, tab sis feem ntau tus kws kho mob hauv cov kws kho mob pom zoo kom pub mis rau tus menyuam tam sim ntawd tom qab siv cov tshuaj.
Saib xyuas! Yog tias muaj mob hnyav, yuav kho tau cov tshuaj kho mob lossis lwm yam tshuaj tua kab mob.
So haujlwm thiab chaw mob
Tom qab qhib lub raj mis, nws yuav tsum muab cia rau hauv lub tub yees. Txee lub neej tom qab qhib hauv daim ntawv xoos tuaj yeem tsis pub dhau 7 hnub.
Yog tias lub raj mis tsis qhib, nws tuaj yeem siv rau ob xyoos.
Cov tshuaj yog kws kho mob sau los ntawm tus kws kho mob tuaj koom, tom qab cov tshuaj hauv Latin yuav tsum tau tshuaj.
Saib xyuas! Kev tshem tawm Amoxiclav rau menyuam yaus tsis yog muag yam tsis tau tshuaj.
Sab sij huam
Nws yog qhov yuav tsum tau soj ntsuam tsis tsuas yog txhua daim ntawv pov thawj ntawm cov kws tshaj lij, tab sis kuj muaj cov cai ntawm kev siv txuas nrog cov tshuaj tua kab mob, txwv tsis pub tshaj tawm thiab tsis tsim nyog cuam tshuam uas cuam tshuam rau lub cev ntawm cov neeg mob me me tau.
Cov kev mob tshwm sim hauv cov me nyuam los ntawm kev noj Amoxiclav hauv kev ncua ntawv tuaj yeem tshwm sim raws li hauv qab no:
- zawv plab
- ntuav
- kiv taub hau
- kev ntxhov siab nyob rau hauv cov txheej txheem ntawm lub plab,
- teeb meem hauv kev ua haujlwm ntawm daim siab thiab lub raum, thiab lwm yam.
Tseem Ceeb! Yog tias tus neeg mob tau pib muaj teeb meem hauv kev ua haujlwm ntawm cov kabmob tseem ceeb, qhov mob yuav haj yam tsis zoo, thiab qhov no tseem yuav cuam tshuam cov nyhuv ntawm cov tshuaj. Nco ntsoov sab laj tus kws kho mob.
Kev tshuaj xyuas ntawm cov kev mob tshwm sim tsis tshua muaj, tab sis cov txiaj ntsig ntawm tus neeg mob lub cev tsis dhau yam tsis muaj txim. Ua raws li kev kho mob thiab tshuaj noj yuav pab tiv thaiv kev kis kab mob thiab zam kev phiv tshuaj.