Amoxicillin Sandoz - cov lus qhia raug rau siv

Amoxicillin Sandoz: cov lus qhia rau kev siv thiab tshuaj xyuas

Lub npe Latin: Amoxicillin Sandoz

ATX Code: J01CA04

Tus nquag ua hauj lwm: amoxicillin (Amoxicillin)

Cov tsim tawm: Sandoz, GmbH (Sandoz, GmbH) (Austria)

Hloov kho cov lus piav qhia thiab yees duab: 07/10/2019

Cov nqi hauv khw muag tshuaj: los ntawm 123 rubles.

Amoxicillin Sandoz yog tshuaj tua kab mob los ntawm pab pawg ntawm semisynthetic penicillins.

Tso tawm daim ntawv thiab muaj pes tsawg leeg

Daim ntawv noj tshuaj - cov ntsiav tshuaj zaj duab xis: oblong (0.5 g txhua) lossis oval (1 g txhua), biconvex, nrog cov ntawv ceeb toom ntawm ob sab, los ntawm dawb mus rau daj me ntsis hauv xim (ntau npaum 0.5 g: 10 thiab 12 pcs hauv cov hlwv, hauv daim duab los qhia 1 lub hlwv thiab cov lus qhia rau kev siv Amoxicillin Sandoz, ntim khoom rau tsev kho mob - hauv ib daim ntawv thawv 100 blisters rau 10 ntsiav tshuaj, ntau npaum 1 g: 6 thiab 10 pcs hauv hlwv, hauv ib daim ntawv cardboard 2 lub hlwv thiab cov lus qhia rau cov tshuaj, ntim rau tsev kho mob - hauv thawv ntawv ntawm 100 blisters).

Composition 1 ntsiav tshuaj:

  • cov tshuaj nquag: amoxicillin (hauv daim ntawv ntawm trihydrate) - 0.5 lossis 1 g,
  • Lub cev ntu: microcrystalline cellulose, povidone, sodium carboxymethyl hmoov txhuv nplej siab (hom A), magnesium stearate,
  • zaj duab xis sheath: hypromellose, talc, titanium dioxide.

Cov Tshuaj Hauv Tshuaj

Amoxicillin - cov tshuaj tiv thaiv nquag - yog ib qho kev sib txuas ntawm penicillin nrog cov nyhuv bactericidal.

Lub tshuab kev ua ntawm yog vim muaj peev xwm ntawm amoxicillin ua rau kev puas tsuaj ntawm lub cell membrane ntawm cov kab mob hauv cov theem ntawm kev rov ua tiav. Cov tshuaj tshwj xeeb inhibits cov enzymes ntawm cov kab mob cell cell microorganisms (peptidoglycans), uas ua rau lawv cov lysis thiab tuag.

Amoxicillin Sandoz ua hauj lwm los tawm tsam cov kab mob hauv qab no:

  • Gram-positive aerobic microorganisms: Streptococcus spp. (suav nrog S. pneumoniae), Listeria monocytogenes, Enterococcus faecalis, Bacillus anthracis, Staphylococcus spp. (tsis suav nrog rau penicillinase ua cov hlab ntsha), Corynebacterium spp. (tsis suav C. jeikeium),
  • gram-negative aerobic microorganisms: Neisseria spp., Borrelia spp., Shigella spp., Helicobacter pylori, Escherichia coli, Salmonella spp., Campylobacter, Haemophilus spp., Proteus mirabilis, Leptospira spp., Treponema spp.,
  • cov kab mob anaerobic: Fusobacterium spp., Bacteroides melaninogenicus, Peptostreptococcus spp., Clostridium spp.,
  • Lwm tus: Chlamydia spp.

Amoxicillin Sandoz tsis ua haujlwm tawm tsam cov kab mob hauv qab no:

  • Cov kab mob aerobic Gram-positive: Cov kab mob Staphylococcus (kev tsim cov kab mob lactamase),
  • cov kab mob gram-negative aerobic: Klebsiella spp., Citrobacter spp., Proteus spp., Acinetobacter spp., Pseudomonas spp., Serratia spp., Moraxella catarrhalis, Enterobacter spp., Providencia spp.,
  • cov kab mob anaerobic: Bacteroides spp.,
  • Lwm tus: Rickettsia spp., Mycoplasma spp.

Cov Tshuaj Pharmacokinetics

Tom qab qhov ncauj tshuaj ntawm Amoxicillin Sandoz 0.5 g, lub plasma qhov siab ntawm cov tshuaj yog los ntawm 6 txog 11 mg / L. Lub sijhawm kom mus txog qhov siab tshaj plaws ntshav plasma yog 1-2 teev. Noj tsis cuam tshuam qhov nqus (ceev thiab qib). Kev yooj yim txog kev noj qab nyob zoo yog kev txhaj tshuaj-mob siab rau hauv xwm thiab tuaj yeem yog 75-90%.

15-25% ntawm qhov tau txais koob hnoos khi rau cov ntshav protein. Amoxicillin sai nkag mus rau hauv cov kua tsib, lub zais pa tawm, lub ntsws mob ntsws, tso zis, kua nruab nrab. Hauv cov khoom me me nkag mus rau hauv cov kua dej cerebrospinal, muab qhov tsis muaj mob tawm ntawm cov leeg ntshav, tsis li ntawd cov ntsiab lus hauv cov kua hlwb cerebrospinal tuaj yeem ncav cuag 20% ​​ntawm lub plasma concentration. Nws nkag rau hauv lub tsho me, hauv me me rau hauv niam cov kua mis.

Txog li 25% ntawm qhov lees qhov tshuaj ntawm cov tshuaj yog metabolized nrog tsim ntawm penicilloic acid, uas tsis muaj kev ua si pharmacological.

Nws yog pom: 60-80% ntawm koob tshuaj - los ntawm ob lub raum tsis pauv rau 6-8 teev tom qab noj Amoxicillin Sandoz, ib qho me me - nrog kua tsib.

Ib nrab-lub neej (T½) yog 1-1.5 teev, nrog lub davhlau ya nyob twg tsis ua hauj lwm nws tuaj yeem sib txawv hauv 5‒20 teev.

Amoxicillin tshem tawm ntawm lub cev thaum mob hemodialysis.

Daim ntawv noj tshuaj:

zaj duab xis-ntsiav tshuaj ntsiav tshuaj.

Kev piav qhia

Oblong (muab tshuaj rau 0.5 g) lossis oval (ntau npaum li cas 1.0 g) biconvex ntsiav tshuaj, zaj duab xis-txheej xim dawb los ntawm xim dawb mus rau daj me ntsis hauv xim, nrog kev ceeb toom ntawm ob sab.

1 ntsiav tshuaj ntawm 0.5 g thiab 1.0 g muaj:
Lub ntsiab
Yam tshuaj muaj sia: amoxicillin (hauv daim ntawv ntawm amoxicillin trihydrate) 500.0 mg (574.0 mg) thiab 1000.0 mg (1148.0 mg), feem.
Cov muaj tswv yim: magnesium stearate 5.0 mg / 10.0 mg, povidone 12.5 mg / 25.0 mg, sodium carboxymethyl hmoov txhuv nplej siab (hom A) 20.0 mg / 40.0 mg, microcrystalline cellulose 60.5 mg / 121 mg.
Xau zaj duab xis: titanium dioxide 0.340 mg / 0.68 mg, talc 0.535 mg / 1.07 mg, hypromellose 2.125 mg / 4.25 mg.

Kev ntsuas rau siv

Amoxicillin Sandoz yog siv rau hauv kev kho mob kis thiab kis mob los ntawm cov kab mob nkag mus rau cov tshuaj:

  • Cov kabmob hauv nruab nrog cev, sab sauv thiab sab hauv ua pa: mob otitis media, tonsillitis, pharyngitis, mob ntsws, mob ntsws, mob ntsws, ua mob ntsws
  • Cov kab mob genitourinary: cystitis, endometritis, adnexitis, septic rho menyuam, pyelitis, pyelonephritis, epididymitis, mob tso zis, mob ntsws ntev, thiab lwm yam,
  • lub plab zom mov: kev mob rau cov kab mob (rau kev kis mob los ntawm cov kab mob me me, cov tshuaj feem ntau yog siv los ua kev kho mob sib xyaw),
  • kua tsib lub plab: cholecystitis, cholangitis,
  • listeriosis, mob leptospirosis, Mob Lyme (borreliosis),
  • kis ntawm daim tawv nqaij thiab cov nqaij mos,
  • endocarditis (suav nrog rau kev tiv thaiv thaum kho hniav).

Tsis tas li, Amoxicillin Sandoz ntsiav tshuaj yog siv los ua ib feem ntawm kev sib xyaw ua ke (ua ke nrog clarithromycin, metronidazole lossis proton twj tso kua mis inhibitors) kom tua Helicobacter pylori.

Cov Yuav Tsum Muaj

  • cov me nyuam qis dua 3 xyoos,
  • tso tshuaj tiv thaiv tsis haum rau lwm cov tshuaj tua kab mob beta-lactam, piv txwv li, cephalosporins lossis carbapenems (ib qho kev sib kis tau tshwm sim),
  • pub niam mis
  • muaj kev tiv thaiv zoo rau ib qho twg ntawm cov tshuaj lossis penicillin.

Amoxicillin Sandoz ntsiav tshuaj yuav tsum tau siv nrog ceev faj hauv cov xwm txheej hauv qab no:

  • lub plab zom mov tsis haum, nrog rau mob raws plab / ntuav ntev,
  • lub raum tsis ua hauj lwm zoo,
  • kis mob
  • bronchial hawb pob,
  • kev ua xua diathesis
  • kis mob mononucleosis (muaj kev pheej hmoo ua pob ntawm daim tawv nqaij ua pob),
  • mob ntsws ua kom mob ntshav siab,
  • cov menyuam hnub nyoog tshaj 3 xyoos,
  • cev xeeb tub (cov txiaj ntsig rau leej niam yuav tsum ntau tshaj qhov txaus ntshai rau tus me nyuam hauv plab).

Pharmacodynamic kev txiav txim

Cov Tshuaj Hauv Tshuaj
Amoxicillin yog ib qho tshuaj muaj penicillin ib nrab nrog cov nyhuv bactericidal.
Qhov kev ua haujlwm ntawm cov kab mob bactericidal ntawm amoxicillin cuam tshuam nrog kev puas tsuaj rau lub cell membrane ntawm cov kab mob hauv kev nthuav tawm theem. Amoxicillin tshwj xeeb ua rau cov kab mob ntawm cov kab mob cell cell (peptidoglycans), ua rau lawv lub lysis thiab tuag.
Siv tawm tsam:
Gram-zoo cov kab mob aerobic
Bacillus anthracis
Corynebacterium spp.
(tshwj tsis yog Corynebacterium jeikeium)
Enterococcus faecalis
Listeria monocytogenes
Streptococcus spp.
(suav nrog Kab mob ntsws (Streptococcus pneumoniae)
Dab Tsi Staphylococcus spp. (tsis suav nrog rau penicillinase ua cov hlab ntsha).
Gram-negative aerobic cov kab mob
Borrelia sp.
Escherichia coli
Haemophilus spp.
Helicobacter pylori
Leptospira spp.
Neisseria spp.
Proteus mirabilis
Salmonella spp.
Shigella spp.
Treponema spp.
Campylobacter
Lwm yam
Chlamydia spp.
Cov kab mob Anaerobic
Bacteroides melaninogenicus
Clostridium spp.
Fusobacterium spp.
Peptostreptococcus spp.
Nquag tiv thaiv:
Gram-zoo cov kab mob aerobic
Dab Tsi Staphylococcus
(β-lactamase-ua cov kab mob)
Gram-negative aerobic cov kab mob
Acinetobacter spp.
Citrobacter spp.
Enterobacter spp.
Klebsiella spp.
Moraxella catarrhalis
Proteus spp.
Providencia spp.
Pseudomonas spp.
Serratia spp.
Cov kab mob Anaerobic
Bacteroides spp.
Lwm yam
Mycoplasma spp.
Rickettsia spp.
Cov Tshuaj Pharmacokinetics

Qhov tsis haum xeeb ntawm cov amoxicillin yog cov tshuaj tiv thaiv ntau thiab ntau li ntawm 75 txog 90%. Lub xub ntiag ntawm cov zaub mov tsis muaj kev cuam tshuam kev nqus tau cov tshuaj. Raws li kev tswj hwm ntawm qhov ncauj ntawm amoxicillin hauv ib zaug ntawm 500 mg, qhov tsom ntawm cov tshuaj hauv plasma yog 6 - 11 mg / L. Tom qab kev tswj hwm ntawm qhov ncauj, qhov siab tshaj plaws ntshav plasma yog nce mus txog tom qab 1-2 teev.
Ntawm 15% thiab 25% ntawm amoxicillin khi rau cov ntshav protein.
Cov tshuaj sai sai nkag mus rau hauv cov ntaub so ntswg mob ntsws, hnoos qeev, mob nruab nrab hauv pob ntseg, kua tsib thiab tso zis. Thaum tsis muaj cov hlab ntaws ntawm tus mob meninges, amoxicillin nkag mus rau hauv cov kua hlwb cerebrospinal hauv ib qho khoom tsawg.
Nrog rau cov mob o ntawm cov txha caj qaum, qhov ntau ntawm cov tshuaj hauv cov kua hlwb cerebrospinal tuaj yeem yog 20% ​​ntawm nws cov concentration hauv cov ntshav ntshav. Amoxicillin hla lub hno mis thiab pom muaj tsawg nyob hauv leej niam cov kua mis.
Txog li 25% ntawm kev muab tshuaj metabolized nrog rau kev tsim ua kom muaj zog ntawm penicilloic acid.
Li ntawm 60-80% amoxicillin sawv tsis pauv los ntawm ob lub raum tsis dhau 6 mus rau 8 teev tom qab siv tshuaj.
Ib qho me me ntawm cov tshuaj tau tawm hauv lub bile.
Ib nrab-lub neej yog 1-1.5 teev. Hauv cov neeg mob uas mob raum tsis ua haujlwm, kev tshem tawm ib nrab ntawm lub neej nws txawv ntawm 5 mus rau 20 teev. Cov tshuaj yog dhau los ntawm hemodialysis.

Amoxicillin yog qhia rau kis thiab kis mob los ntawm cov kab mob tsis haum tshuaj:
• cov kab mob sib kis ntawm cov pa sab saud thiab qis thiab ENT kabmob (tonsillitis, mob otitis media, pharyngitis, mob ntsws, mob ntsws, mob ntsws, mob ntsws)
• cov kab mob sib kis ntawm cov kab mob genitourinary (urethritis, pyelonephritis, pyelitis, kab mob prostatitis, kab mob epididymitis, cystitis, adnexitis, septic rho menyuam, endometritis, thiab lwm yam),
• mob plab hnyuv: ua mob rau cov kab mob. Txoj kev kho ua ke tuaj yeem tsim nyog rau kev kis mob los ntawm cov kab mob tsis huv,
• cov kab mob sib kis thiab mob ntawm cov nplais qhwv (cholangitis, cholecystitis),
• Kev Siv Tshuaj Tiv Thaiv Helicobacter pylori (hauv kev sib xyaw nrog proton twj tso kua mis inhibitors, clarithromycin lossis metronidazole),
• kev kis mob ntawm daim tawv nqaij thiab cov nqaij mos
• mob leptospirosis, listeriosis, Lyme mob (borreliosis),
• mob endocarditis (nrog rau kev tiv thaiv ntawm endocarditis thaum kho hniav).

Siv thaum cev xeeb tub thiab lactation

Cov kev tshawb fawb tsiaj tau pom tias amoxicillin tsis muaj ib qho embryotoxic, teratogenic thiab mutagenic ntxim rau cov me nyuam hauv plab. Txawm li cas los xij, kev tshawb fawb txaus thiab tswj tau zoo txog kev siv amoxicillin hauv cov poj niam cev xeeb tub tsis tau ua, yog li ntawd, kev siv cov tshuaj amoxicillin thaum cev xeeb tub yog muaj peev xwm tsuas yog tau txais kev cia siab rau leej niam tshaj qhov ua rau muaj kev pheej hmoo rau tus menyuam hauv plab. Cov tshuaj tau tawm hauv niam cov kua mis, yog li thaum kho nrog amoxicillin thaum lactation, nws yuav tsum daws qhov teeb meem ntawm kev txwv tsis pub mis niam, txij li kev zawv plab thiab / lossis fungal colonization ntawm mucous membrane tuaj yeem txhim kho, nrog rau kev txiav txim siab rau cov tshuaj tua kab mob beta-lactam hauv cov menyuam mos.

Tsuas tshuaj thiab tswj hwm

Sab hauv.
Kev kho tus mob:
Raws li txoj cai, txoj kev kho tau pom zoo kom txuas ntxiv rau 2-3 hnub tom qab ploj ntawm cov tsos mob ntawm tus kab mob. Yog tias muaj tus mob los ntawm tus mob by-hemolytic streptococcus, kev kho kom tiav ntawm cov kab mob yuav tsum tau kho tsawg kawg yog 10 hnub.
Kev kho mob kho mob yog qhia rau kev ua tsis tau ntawm kev tswj hwm qhov ncauj thiab rau kev kho mob ntawm mob hnyav.
Cov neeg laus noj (suav nrog cov neeg laus):
Tus qauv muab tshuaj:
Cov koob tshuaj ib txwm li ntawm 750 mg rau 3 g ntawm amoxicillin ib hnub nyob rau hauv ob peb koob tshuaj. Qee qhov xwm txheej, nws raug pom zoo kom txwv qhov koob tshuaj rau 1500 mg rau ib hnub hauv ob peb koob tshuaj.
Lub sijhawm luv luv ntawm kev kho:
Kev kuaj mob tsis tso zis: noj 2 g ntawm cov tshuaj ob zaug rau txhua zaus txhaj nrog lub sijhawm nruab nrab ntawm 10-12 teev.
Cov me nyuam cov kev noj tshuaj (txog 12 xyoos):
Cov koob tshuaj txhua hnub rau cov menyuam yaus yog 25-50 mg / kg / hnub hauv ob peb koob tshuaj (ntau tshaj 60 mg / kg / hnub), nyob ntawm seb qhov ntsuas thiab mob hnyav npaum li cas.
Cov menyuam yaus lub cev hnyav dua 40 kg yuav tsum tau txais cov tshuaj noj rau cov neeg laus.
Koob tshuaj rau raum tsis ua hauj lwm:
Hauv cov neeg mob uas mob raum tsis zoo, lub koob tshuaj yuav tsum raug txo kom tsawg. Nrog raum tshem tawm tsawg dua 30 ml / min, kev nce ntxiv ntawm qhov sib txawv nruab nrab ntawm cov koob tshuaj lossis txo qis dua cov koob tshuaj tom qab raug pom zoo. Hauv raum tsis ua haujlwm, luv luv cov kev kawm ntawm kev kho ntawm 3 g yog contraindicated.

Cov neeg loj (nrog rau cov neeg mob laus laus):

Creatinine tshem tawm ml / minKoob tshuajQev nruab nrab ntawm cov koob tshuaj
> 30Tsis tas yuav hloov pauv qhov tau
10-30500 mg12 h
500 mg24 h
Nrog rau cov mob hemodialysis: 500 mg yuav tsum tau kho tom qab cov txheej txheem.

Lub raum khiav tsis zoo hauv cov menyuam yaus uas hnyav dua 40 kg

Creatinine tshem tawm ml / minKoob tshuajQev nruab nrab ntawm cov koob tshuaj
> 30Tsis tas yuav hloov pauv qhov tau
10-3015 mg / kg12 h
15 mg / kg24 h

Kev Tiv Thaiv endocarditis
Rau kev tiv thaiv ntawm endocarditis nyob rau hauv cov neeg mob tsis nyob rau hauv kev siv tshuaj loog, 3 g ntawm amoxicillin yuav tsum tau kho 1 teev ua ntej kev phais thiab, yog tias tsim nyog, yuav tsum ntxiv 3 g tom qab 6 teev.
Cov menyuam yaus raug nquahu kom xa tshuaj amoxicillin ntawm koob tshuaj 50 mg / kg.
Yog xav paub ntau dua thiab cov lus piav qhia ntawm pawg ntawm cov neeg mob uas muaj kev pheej hmoo rau cov mob endocarditis, xa mus rau cov lus qhia hauv cheeb tsam cov cai.

Sab sij huam

Qhov tshwm sim ntawm cov kev mob tshwm sim yog piav qhia raws li kev paub qib hauv qab no: ntau heev - ntau dua 10%, nquag - los ntawm 1 txog 10%, tsis xws luag - los ntawm 0.1% mus rau 1%, tsawg - los ntawm 0.01 txog 0.1%, heev tsawg - tsawg dua 0.01%.
Los ntawm cov kab mob plawv:nquag: tachycardia, phlebitis, tsis tshua muaj: txo cov ntshav siab, tsis tshua muaj heev: QT luv ncua ntev.
Ntawm ib feem ntawm cov ntshav thiab cov lymphatic system:nquag: eosinophilia, leukopenia, tsis tshua muaj: neutropenia, thrombocytopenia, agranulocytosis, tsis tshua muaj heev: anemia (suav nrog hemolytic), thrombocytopenic purpura, pancytopenia.
Los ntawm lub paj hlwb:nquag: tsaug zog, mob taub hau, kiv taub hau, tsis tshua muaj: poob siab, ntxhov siab, ntxhov siab, ataxia, hloov cwj pwm, peripheral neuropathy, ntxhov siab vim, pw tsaug zog, kev nyuaj siab, mob khaub thuas, tshee, tsis meej pem, nriaj, tsis tshua muaj heev: hypersthesia, qhov muag tsis pom kev, tsw thiab tsw rhiab rhiab, hnov ​​ntxig.
Los ntawm genitourinary system:tsis tshua muaj: interstitial nephritis, nce ntshav siab creatinine concentration.
Los ntawm lub plab zom mov thiab lub siab: dysbiosis, saj hloov, stomatitis, glossitis, nquag: xeev siab, raws plab, kev nce rau hauv hepatic indices (ALT, AST, alkaline phosphatase, γ-glutamyltransferase), nce ntxiv ntawm qhov concentration ntawm bilirubin hauv cov ntshav, tsis tshua muaj: ntuav, dyspepsia, mob epigastric, mob siab, mob cholestatic daj ntseg, tsis tshua muaj heev: mob rau daim siab tsis ua hauj lwm, mob raws plab nrog admixture ntawm cov ntshav, pseudomembranous colitis, qhov tsos ntawm cov xim dub ntawm tus nplaig.
Los ntawm cov leeg musculoskeletal:tsis tshua muaj: arthralgia, myalgia, leeg mob xws li leeg hlwb, tsis tshua muaj heev: tendon rupture (tej zaum ob sab sib luag thiab 48 teev tom qab pib kho mob), leeg tsis muaj zog, rhabdomyolysis.
Ntawm daim tawv nqaij sab:nquag: mob caj dab, tawm pob, tsis tshua muaj: urticaria tsis tshua muaj heev: photosensitivity, o ntawm daim tawv nqaij thiab mucous daim nyias nyias, malignant exudative erythema (Stevens-Johnson syndrome), tshuaj lom epidermal necrolysis (Lyell syndrome).
Los ntawm cov kab ke endocrine:tsis tshua muaj: kev tsis nco qab tsis tshua muaj heev: hypoglycemia, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib.
Los ntawm tus txheej txheem ua pa:tsis tshua muaj: bronchospasm, dyspnoea, tsis tshua muaj heev: ua xua hawb pob.
Dav:tsis tshua muaj: feem ntau tsis muaj zog tsis tshua muaj heev: npaws.
Lwm yam: txog siav ua tsis taus pa, qhov chaw mos candidiasis, tsis tshua muaj: superinfection (tshwj xeeb tshaj yog nyob rau cov neeg mob uas muaj mob ntev lossis txo lub cev tsis kam), cov tshuaj tiv thaiv zoo ib yam li cov mob ntshav, raug mob sib cais: anaphylactic poob siab.

Noj ntau dhau

Cov tsos mob: xeev siab, ntuav, raws plab, tsis txaus cov dej-electrolyte tshuav, nephrotoxicity, crystalloria, qaug dab peg qaug dab peg.
Kev Kho Mob: txais hluav ncaig hluav taws xob, siv tshuaj kho mob, kho cov dej-electrolyte tsis txaus, hemodialysis ua tau.

Kev cuam tshuam nrog lwm yam tshuaj

Muaj peev xwm ua kom lub sij hawm nqus tau digoxin thaum kho mob Amoxicillin Sandoz ®.
Probenecid txo cov kev tawm tsis haum ntawm amoxicillin los ntawm ob lub raum thiab ua rau nce ntawm amoxicillin hauv cov kua tsib thiab cov ntshav.
Kev siv tib txhij ntawm amoxicillin thiab lwm yam cov tshuaj bacteriostatic (macrolides, tetracyclines, sulfonamides, chloramphenicol) vim qhov ua tau ntawm kev thaiv kev. Nrog rau kev siv txhij aminoglycosides thiab amoxicillin yuav tshwm sim muaj cov nyhuv synergistic.
Siv tib lub sijhawm amoxicillin thiab disulfiram.
Nrog rau kev siv txhij methotrexate thiab amoxicillin, ib qho kev nce ntxiv hauv lub tshuaj lom cov qub yog qhov ua tau, tej zaum vim yog kev sib tw inhibition ntawm tubular lub raum zais cia ntawm methotrexate los ntawm amoxicillin.
Antacids, glucosamine, laxatives, zaub mov, aminoglycosides Ua kom qeeb thiab txo qhov nqus, ascorbic acid tsub kom kev nqus ntawm amoxicillin.
Nce cov txiaj ntsig ntawm kev tsis ncaj qha tshuaj thaiv tsev (suppressing lub plab hnyuv microflora, txo cov synthesis ntawm vitamin K thiab prothrombin Performance index), txo cov haujlwm ua tau estrogen-muaj cov tshuaj tiv thaiv hauv qhov ncauj, tshuaj uas metabolize para-aminobenzoic acid (PABA), ethinyl estradiol - qhov txaus ntshai los ntshav "tawg".
Diuretics, allopurinol, oxyphenbutazone, phenylbutazone, cov tshuaj tsis-tshuaj steroidal thiab lwm yam tshuaj uas thaiv cov leeg, nce qhov kev tsub ntxiv ntawm amoxicillin hauv cov ntshav.
Allopurinol nce kev pheej hmoo ntawm kev txhim kho pob khaus tawv nqaij.

Cov lus qhia tshwj xeeb

Ua ntej sau ntawv yuav Amoxicillin Sandoz ®, koj yuav tsum xyuas kom meej tias cov kab mob ntawm cov kab mob me me uas ua rau muaj kev kis mob yog nkag siab cov tshuaj.
Hauv kev kis mob hnyav thiab mob ntawm txoj hnyuv, nrog rau mob raws plab ntev los yog xeev siab, nws tsis pom zoo kom noj Amoxicillin Sandoz ® sab hauv vim tias qhov ua tau zoo yuav txo qis ntawm cov tshuaj.
Thaum kho mob raws plab me me nrog ib txoj kev kho mob, tshuaj tiv thaiv kab mob uas txo qis plab hnyuv yuav tsum zam, thiab kaolin lossis attapulgite-muaj cov tshuaj tiv thaiv kab mob tuaj yeem siv tau. Txog rau mob raws plab heev, tham nrog kws kho mob.
Nrog rau kev txhim kho mob ncauj plab tsis tu ncua, kev txhim kho pseudomembranous mob plab (mob tshwm sim los ntawm Clostridium difficile). Hauv qhov no, Amoxicillin Sandoz ® yuav tsum tau tsum tsis ua hauj lwm thiab kev kho tsim nyog yuav tsum tau kho. Nyob rau tib lub sijhawm, tshuaj uas ua rau kom qeeb ntawm lub plab zom mov yog contraindicated.
Nrog chav kawm ntawm txoj kev kho mob, nws yog ib qhov tsim nyog los saib xyuas lub xeev ntawm txoj haujlwm ntawm cov ntshav, daim siab thiab lub raum.
Nws muaj peev xwm los tsim superinfection vim kev loj hlob ntawm microflora tsis raug rau nws, uas yuav tsum muaj kev hloov pauv hauv kev siv tshuaj tua kab mob.
Hauv cov neeg mob uas muaj lub siab ntsws ua rau penicillins, hla kev tsis haum nrog lwm cov tshuaj tua kab mob beta-lactam yog ua tau.
Kev kho mob tsim nyog txuas ntxiv rau lwm 48-72 teev tom qab ploj ntawm cov cim ntawm chaw soj ntsuam ntawm tus kab mob.
Nrog rau kev siv tshuaj sib luag nrog cov tshuaj estrogen uas muaj qhov ncauj txwv tsis pub thiab amoxicillin, lwm txoj kev los tiv thaiv kev tiv thaiv yuav tsum tau siv yog tias ua tau.
Amoxicillin Sandoz ® tsis pom zoo rau kev kho mob ntawm txoj hlab ntsws mob khaub thuas kis tus kab mob vim nws ua tsis tau zoo.
Kev ceev faj tshwj xeeb yog pom zoo rau cov neeg mob uas muaj kev fab tshuaj diathesis lossis mob ntsws hawb pob, keeb kwm ntawm lub plab hnyuv (tshwj xeeb, colitis tshwm sim los ntawm kev siv tshuaj tua kab mob).
Nrog rau kev siv sijhawm ntev ntawm Amoxicillin Sandoz ®, nystatin, levorin, lossis lwm yam tshuaj tua kab mob yuav tsum tau kho ib txhij.
Thaum kho, ethanol tsis pom zoo.
Kev siv cov Amoxicillin Sandoz ® tsis cuam tshuam rau qhov kev soj ntsuam enzymatic ntawm glucosuria, txawm li cas los xij, cov lus qhia tsis tseeb rau cov ntshav qabzib yog ua tau.
Thaum noj cov Amoxicillin Sandoz ®, nws raug nquahu kom koj haus kua ntau ntau kom tiv thaiv qhov tsim ntawm amoxicillin muaju hauv cov zis.

Kev cuam tshuam rau lub peev xwm tsav tsheb thiab ua lwm yam dej num uas xav tau kev xav zoo thiab nrawm ntawm cov kev xav hauv lub hlwb

Vim tias qhov tshwm sim ntawm cov kev mob tshwm sim, xws li tsaug zog, mob taub hau thiab tsis meej pem, kev ceev faj yuav tsum ua kom zoo thaum koom nrog cov kev phom sij uas yuav tsum muaj kev kub siab ntawm kev saib xyuas thiab ceev ntawm psychomotor cov tshuaj tiv thaiv.

Muaj pes tsawg leeg ntawm Amoxicillin ntsiav tshuaj

Cov tshuaj tua kab mob yog tsim nyob rau hauv qhov ntau npaum li cas los ntawm 125 mg rau 1 gram. Cov tshuaj tiv thaiv tsis haum yog cov tshuaj ntawm tib lub npe - amoxicillin nyob rau hauv daim ntawv ntawm trihydrate. Raws li cov koom haum pab siv:

  • magnesium stearate,
  • talcum hmoov
  • cov hmoov txhuv nplej siab.

Cov hnyuv hauv plab hnyuv tseem muaj cov ntxig enteric-soluble plhaub xyaw.

Cov tshuaj yog zwm rau cov tshuaj tua kab mob semisynthetic ntawm penicillin series. Nws ua tau zoo tiv thaiv cov kab mob gram-tsis zoo thiab gram-zoo, nrog rau cov kab mob gram-tsis zoo. Cov txiaj ntsig nquag ua rau muaj kev txwv tsis pub muaj cell synthesis, yog li siv ceev xwmphem qhov nce ntawm cov kab mob ntawm cov kab mob pathogenic.

Cov lus qhia rau kev siv ntsiav tshuaj Amoxicillin 250 mg

Cov tshuaj Amoxicillin 0.25 g tau sau tseg rau cov menyuam yaus thiab cov neeg laus uas mob me mus rau mob nyhav ntev yam tsawg 5 hnub. Lub sijhawm siab kawg ntawm kev siv yog 2 lub lis piam.

Nws yog ib qho tsim nyog yuav tau noj tshuaj txhua 8 teev ua ntej noj:

  • ½ ntsiav tshuaj - 2 xyoos,
  • rau tag nrho cov ntsiav tshuaj - los ntawm 5 xyoo,
  • 1-2 ntsiav tshuaj - los ntawm 10 xyoo thiab laus dua

Cov lus qhia rau kev siv yog cov kab mob ntawm cov pa ntawm lub qaum thiab theem qis ua pa:

  • mob ntsws
  • mob txha
  • pharyngitis
  • tonsillitis
  • mob hlab ntsws
  • mob hlab ntsws
  • sepsis
  • raws li kev tiv thaiv kab mob thiab ua kom tawv nqaij hauv daim tawv.

Cov lus qhia rau kev siv cov ntsiav tshuaj Amoxicillin 500 mg

Cov tshuaj Amoxicillin 0.5 g yog npaj rau cov neeg laus thiab menyuam yaus hnub nyoog 10 xyoo. Nws yog ib qho tseem ceeb uas lub cev hnyav tshaj 40 kg. Lub sijhawm kho yog txiav txim siab ntawm tus kheej thiab feem ntau yog 7-10 hnub.

Nrog rau kev siv sijhawm ntev, nrog rau cov tshuaj tiv thaiv kab mob, nws raug nquahu kom noj cov tshuaj tua kabmob.

Nws yog nruj me ntsis txwv tsis pub tshaj qhov kev tso cai nkag tau, vim qhov no tuaj yeem ua rau muaj kev tsis zoo.

Cov lus qhia rau kev siv ntsiav tshuaj Amoxicillin 875 + 125

Rau qee cov kab mob, Amoxicillin tsiav tshuaj nrog ntau npaum ntawm 875 + 125 yog yuav tsum tau ua. Cov naj npawb no txhais tau hais tias hauv ib qho tshuaj ntawm cov tshuaj muaj 875 mg ntawm cov tshuaj tua kab mob thiab 125 mg ntawm qhov sib xyaw uas txwv qhov tsis kam ntawm cov kab mob me. Feem ntau, clavulanic acid ua raws li cov tshuaj tiv thaiv. Raws li qhov tshwm sim, cov kab mob penicillinase-secreting tsis tuaj yeem tiv thaiv cov tshuaj tua kab mob ua rau lawv tsis tuaj yeem tiv thaiv kab mob.

Cov tshuaj no tau sau tseg rau cov kab mob nqaum thiab mob hnyav:

  • cov kab mob ua pa
  • lymphoid nqaij txhab,
  • cov txheej txheem tiv thaiv kab mob ntawm cov kab mob txeeb zig thiab yug cev.

Cov menyuam yaus los ntawm 12 xyoo thiab cov neeg laus tau sau tseg 1 capsule (875 + 125) ib zaug nkag. Siv 2 zaug nruab hnub. Lub sijhawm kho yog 5-14 hnub.

Cov lus qhia rau kev siv tshuaj Amoxicillin 1000 mg

Cov tshuaj noj rau cov tshuaj tua kab mob Amoxicillin tau sau rau hauv kev siv 1 gram rau cov neeg mob uas muaj kab mob hnyav ntawm lub ntsws ua pa, urogenital mob thiab tawv nqaij. Cov tshuaj yuav siv tau rau hauv cov menyuam yaus uas lub cev hnyav dua 40 kg, thiab rau cov neeg laus:

  • ntawm 1 qhov tshuaj 1 lub tshuaj ntsiav,
  • noj 2 zaug ib hnub tom qab sib npaug,
  • lub sijhawm siv yog 1-2 lub lis piam.

Nrog tus mob typhoid fever, 1.5-2 g ntawm cov tshuaj tua kab mob noj 3 zaug ib hnub. Tom qab tog, yuav ua li cas cov tsos mob ntawm tus kab mob ploj, kev kho mob txuas ntxiv rau ntxiv 2-3 hnub.

3 ntsiav tshuaj ntawm Amoxicillin - cov lus qhia rau siv

Rau kev kho mob tus kab mob gonorrhea, uas tau nyaij nyob rau hauv ib qho kev mob uas tsis yooj yim dua, tus neeg sawv cev tshuaj tua kab mob tau sau rau hauv koob tshuaj 3 grams. Nov yog rooj plaub nkaus xwb thaum siv tshuaj ntau dua rau cov tshuaj tiv thaiv kab mob rau ib zaug.

Rau kev kho tus kab mob gonorrhea siv:

  • nyob rau hauv cov txiv neej, 3 tsiav tshuaj ntawm 1000 mg ib zaug,
  • hauv cov poj niam, 3 g ntawm tshuaj rau ob hnub.

Ntawm kev txiav txim siab ntawm tus kws kho mob, cov tshuaj tua kab mob Amoxicillin yog ua ke nrog antigout raws li probenecid:

  • ua ntej noj tshuaj tiv thaiv kab mob, koj yuav tsum haus dej tshuaj rau gout,
  • tom qab ib nrab ib teev, noj 3 ntsiav tshuaj ntawm Amoxicillin nrog tshuaj ntawm 1 g txhua.

Cov lus qhia txog kev siv tshuaj Amoxicillin rau cov neeg laus

Rau cov neeg mob laus, cov tshuaj yog raug kho rau kev kho mob ntawm kis thiab mob:

  • cov hnyuv
  • cov kab mob zis
  • tus qau
  • cov pa ua pa tuaj,
  • nasopharynx
  • Cov kabmob.

Tshaj tawm ntawm kev siv 2-3 zaug hauv ib hnub. Cov koob tshuaj tau teeb tsa ib tus zuj zus los ntawm 250 txog 1000 mg. Kev Taw Qhia:

  • otitis media: theem me - 500 mg 3 zaug hauv ib hnub, nrog mob hnyav - 875 mg 3 zaug hauv ib hnub txhua 8 teev rau 5 hnub,
  • mob hlab ntsws: 1500 mg tau muab faib ua 3 koob tshuaj kom tas sij hawm 7 hnub,
  • rhinopharyngitis: 500 mg peb zaug hauv ib hnub, sijhawm kho yog 7-14 hnub,
  • mob txha: 0.5 g 3 zaug ib hnub, nrog muaj tus kab mob loj heev - 1 g peb zaug hauv ib hnub,
  • mob ntsws: noj 1 tshuaj ntsiav (500 mg) 3 zaug hauv ib hnub tom qab 8 teev,
  • pyelonephritis: 500 mg 3 zaug hauv ib hnub, nyob rau hauv rooj plaub loj - 1000 mg peb zaug hauv ib hnub, chav kawm ntawm kev kho mob yog 7-10 hnub,
  • cystitis: 250-500 mg muab faib ua peb koob, nrog kab mob siab dua - 1 g 3 zaug ib hnub.

Amoxicillin 250 - cov lus qhia rau kev siv cov ntsiav tshuaj rau cov neeg laus

Amoxicillin tsiav tshuaj nrog tshuaj ntawm 250 mg yog kho rau cov neeg laus nrog:

  • cov kab mob uas tsis nrog los ntawm teeb meem,
  • mob me los sis hauj sim tsis muaj lub siab tsis ua kom tu ncua.

Cov lus pom zoo rau kev nkag:

  • cov tshuaj yog noj 1-2 ntsiav tshuaj nyob rau ib lub sijhawm ua ntej noj mov,
  • zaus siv 3 zaug hauv ib hnub,
  • lub sijhawm nruab nrab ntawm kev txhaj tshuaj yog 8 teev.

Amoxicillin 500 - cov lus qhia rau kev siv cov ntsiav tshuaj rau cov neeg laus

Hauv ib koob ntawm 500 mg, ib qho tshuaj tiv thaiv kab mob rau cov neeg mob laus yog tias tus kab mob tsis txawv thiab tshwm sim hauv kev tsim:

  • 1 lub tshuaj ib zaug
  • nruab hnub, 3 koob noj tom qab sib npaug,
  • lub sijhawm ntawm kev coj ua yog 5-14 hnub.

Thaum noj ntau tshaj 10 hnub, nws yog ib qhov tsim nyog los saib xyuas lub siab thiab lub raum ua haujlwm.

Amoxicillin 1000 ntsiav tshuaj - lus qhia rau siv los ntawm cov neeg laus

Kev teem sij hawm ntawm 1000 mg ntawm cov tshuaj tua kab mob rau kev kho mob hauv cov neeg laus yog tau sau tseg rau cov ntawv hnyav thiab mob hnyav:

  • mob raum
  • purulent tonsillitis,
  • mob pharyngitis
  • pyelonephritis,
  • cystitis
  • cov kab mob sib kis los ntawm kev sib deev
  • purulent tawv nqaij mob.

  • 1 ntsiav tshuaj ib koob
  • zaus siv 2 zaug nyob rau ib hnub,
  • lub sijhawm nruab nrab ntawm kev txhaj tshuaj yuav tsum yog 12 teev,
  • Lub sijhawm tiv thaiv yog 5-10 hnub.

Kev noj tshuaj ntau ntawm cov tshuaj tuaj yeem cuam tshuam rau kev ua haujlwm ntawm lub siab thiab lub raum; tau soj ntsuam tas li ntawm lawv cov kev ua haujlwm.

Cov lus qhia rau siv cov tshuaj Amoxicillin rau cov menyuam yaus

Amoxicillin rau cov menyuam yaus yog cov tshuaj tua kab mob ntawm pawg penicillin. Hauv cov menyuam yaus me, cov tshuaj tuaj yeem ua rau lub ntsej muag tsis haum, yog li ntawd, nws yog qhov tsim nyog nrog ceev faj thiab nyob hauv kev saib xyuas ntawm tus kws kho mob.

Qhov ntau npaum ntawm cov menyuam yaus Amoxicillin tau teeb tsa ua ib qho zuj zus:

  • cov menyuam yug thiab menyuam thawj xyoo ntawm lub neej raws li lub hnub nyoog ntawm 20-40 mg rau ib phaus,
  • txij li 2 xyoos txog 125 mg,
  • txij li 5 xyoos txog 250 mg,
  • los ntawm 10 xyoo txog 500 mg.

Raws li qhov kev ntsuas kub thiab cov ntaub ntawv kaw, cov menyuam tau raug muab koob tshuaj raws li 125-500 mg rau kev siv ib zaug. Qhov ntau zaus siv yog 2-3, thiab lub sijhawm yog 5-7 hnub. Nws raug nquahu kom muab tshuaj thaum pib noj mov. Qhov no yuav txo qhov feem ntau ntawm kev mob tshwm sim ntawm txoj hnyuv plab tuaj uas feem ntau tshwm sim hauv cov menyuam yaus thaum siv cov tshuaj tiv thaiv kab mob.

  • mob thiab mob otitis,
  • pharyngitis thiab rhinopharyngitis,
  • mob ntsws
  • tonsillitis thiab adenoiditis,
  • cystitis thiab pyelonephritis,
  • purulent kis ntawm cov ntaub mos muag.

Amoxicillin 250 ntsiav tshuaj - lus qhia rau siv rau menyuam yaus

Nws raug tso cai kom siv cov tshuaj nrog qhov tshuaj ntawm 250 mg rau menyuam yaus txij li 2 xyoos.

Muaj hnub nyoog menyuamIb koob tshuaj (ntsiav tshuaj)Cov naj npawb ntawm cov txais tos ib hnub
5 xyoos1/23
10 xyoo13
18 xyoo1-22-3

Qhov tsuas tshuaj no tso cai rau kev siv cov tshuaj nyob rau hauv daim ntawv ntawm tsiav tshuaj. Yog tias tus me nyuam tsis tuaj yeem nqos nws tag nrho, koj tuaj yeem qhib lub plhaub, nchuav tawm cov hmoov los ntawm nws thiab yaj rau hauv 5-10 ml dej.

Cov lus qhia rau siv cov tshuaj Amoxicillin rau cov poj niam cev xeeb tub

Raws li cov ntaub ntawv los ntawm cov lus qhia rau kev siv, cov tshuaj tuaj yeem raug rau cov niam cev xeeb tub yog tias muaj kev qhia rau kev siv:

  • gonorrhea
  • txoj hlab zis
  • cystitis
  • pyelonephritis,
  • sab sauv ntawm txoj hlab ua pa nrog catarrhal manifestations nyob rau hauv daim ntawv ntawm hnoos, los ntswg,
  • mob ntsws
  • mob txha.

Cov kev tshawb fawb pom tias cov tshuaj tua kab mob tsis ua rau hloov mus rau lwm tus thiab tsis muaj peev xwm cuam tshuam kev txhim kho ntawm embryonic.

Thaum cev xeeb tub, cov tshuaj tsawg kawg nkaus ntawm cov tshuaj tau sau tseg - los ntawm 250 mg peb zaug ib hnub. Qhov siv sij hawm tsawg kawg nkaus yog 5-7 hnub. Txawm li cas los xij, tus kws kho mob tuaj yeem hloov kho lub pob tw thiab kev kho mob raws li qhov muaj kabmob ntawm tus kabmob.

Amoxicillin - analogues - cov lus qhia rau siv

Raws li cov tshuaj muaj yees, hloov cov tshuaj tua kab mob yog muaj. Kev ntsuas rau siv nrog lawv sib tshuam. Hauv cov lus qhia rau kev siv rau qee cov tshuaj muaj qhov tsis sib xws hauv kev tswj hwm thiab contraindications.

Flemoxin Solutab

Nws nquag siv hauv kev kho mob hauv hlwb, txij li cov ntsiav tshuaj tau yooj yim soluble hauv dej. Muaj nyob rau hauv koob tshuaj 125, 250, 500 thiab 1000 mg. Amoxicillin, cellulose dispersible, flavors thiab sweeteners yog tam sim no.

Lub raum tsis ua haujlwm ntxiv rau daim ntawv teev npe ntawm contraindications. Cov tshuaj yog siv hauv cov menyuam txij thaum yug los, thiab lub koob tau suav los ntawm lub cev qhov hnyav:

  • thawj 12 lub hlis, 30-60 mg ib hnub,
  • los ntawm 3 xyoos rau 375 mg ob zaug,
  • los ntawm 10 xyoo 750 mg ob zaug lossis 500 peb zaug.

Nqe Flemoxin Solutab:

  • 125 mg - 230 rub.,
  • 500 thiab 250 mg - 260 rubles.,
  • 1000 mg - 450 rubles.

Cov tshuaj muaj nyob hauv koob tshuaj 250, 500 thiab 1000 mg. Cov tshuaj yog contraindicated nyob rau hauv:

  • qaug dab peg
  • kev ua xua diathesis
  • quav nyab ua npaws
  • mononucleosis mob sib kis,
  • ua mob khaub thuas
  • lub plab zom zaws, hauv qhov ntuav, raws plab yog sau tseg.

Ospamox yog muab noj ntawm qhov ncauj tag nrho, ntxuav nrog dej. Cov tshuaj siv rau hauv cov koob tshuaj hauv qab no:

  • nyob rau hauv cov menyuam yaus hnub nyoog qis dua 10 xyoo tsuas yog nyob hauv daim ntawv ntawm kev ncua, ntsiav tshuaj tsis tau sau,
  • los ntawm 10 xyoo rau 0.5 g thaum sawv ntxov thiab yav tsaus ntuj,
  • los ntawm 16 xyoo txog 750 mg ob zaug,
  • hauv cov laus, 1 g thaum sawv ntxov thiab yav tsaus ntuj.

Tus nqi ntawm cov tshuaj nyob rau hauv ntau cov tshuaj yog nyob rau hauv thaj tsam ntawm 30 txog 150 rubles.

Muaj nyob rau hauv qhov ntau npaum ntawm 250 thiab 500 mg, nws tau pom zoo rau kev kho mob ntawm cov kab mob raws li cov phiaj xwm ib tus neeg:

  • 125 mg - tom qab 2 xyoos,
  • 250 mg - tom qab 5 xyoos,
  • 250-500 mg - tom qab 10 xyoo,
  • rau cov laus thiab cov neeg hluas txij li 18 xyoo, 500 mg peb zaug lossis 1000 mg ob zaug.

Tsis tau sau tseg rau cov pojniam cev xeeb tub.

Tus nqi ntawm cov tshuaj yog 30 rubles. rau 250 mg thiab 60 rubles. rau 500 mg.

Ntxiv nrog rau qhov tseem ceeb cov tshuaj muaj nyob hauv qhov nyiaj ntawm 250 thiab 500 mg, nws muaj lactulose, povidone, qos hmoov txhuv nplej siab, talc. Tsis tau sau ntawv siv rau cov menyuam yaus hnub nyoog qis dua 3 xyoos. Pom zoo rau kev siv:

  • rau cov laus 500-1000 mg,
  • rau cov hluas 500-750 mg,
  • cov menyuam yaus los ntawm 3 xyoo ntawm hnub nyoog 125-250 mg.

  • 250 mg - 60 rubles.,
  • 500 mg - 130 rubles.

Amoxicillin ntsiav tshuaj nqe

Nyob ntawm qhov ntau npaum li cas, cov naj npawb ntawm cov ntsiav tshuaj thiab cov chaw tsim khoom, tus nqi ntawm cov tshuaj tua kab mob Amoxicillin hloov pauv:

  • Hemofarm 16 pieces ntawm 500 mg - 90 rubles.,
  • Hemofarm 16 tsiav tshuaj ntawm 250 mg - 58 rubles.,
  • Sandoz 12 daim ntawm 1000 mg - 165 rubles,
  • Avva Rus 20 ntsiav tshuaj ntawm 500 mg - 85 rubles.

Tus nqi ntawm cov tshuaj 500 mg nws txawv nyob hauv ntau lub tsev muag tshuaj:

Yuav siv li cas: noj ntau thiab hom tshuaj kho

Npaj rau kev tswj hwm qhov ncauj.

Raws li txoj cai, txoj kev kho tau pom zoo kom txuas ntxiv rau 2-3 hnub tom qab ploj ntawm cov tsos mob ntawm tus kab mob. Thaum muaj mob los ntawm D-hemolytic streptococcus, kev kho kom tiav ntawm cov kab mob yuav tsum tau kho tsawg kawg 10 hnub.

Kev kho mob kho mob yog qhia rau kev ua tsis tau ntawm kev tswj hwm qhov ncauj thiab rau kev kho mob ntawm mob hnyav.

Cov neeg laus noj (suav nrog cov neeg laus):

Cov koob tshuaj ib txwm li ntawm 750 mg rau 3 g ntawm cov tshuaj ib hnub hauv ob peb koob tshuaj. Qee qhov xwm txheej, nws raug pom zoo kom txwv qhov koob tshuaj rau 1500 mg rau ib hnub hauv ob peb koob tshuaj.

Lub sijhawm luv luv ntawm kev kho:

Kev kuaj mob tsis tso zis: noj 2 g ntawm cov tshuaj ob zaug rau txhua zaus txhaj nrog lub sijhawm nruab nrab ntawm 10-12 teev.

Cov me nyuam cov kev noj tshuaj (txog 12 xyoos):

Cov koob tshuaj txhua hnub rau cov menyuam yaus yog 25-50 mg / kg / hnub hauv ob peb koob tshuaj (ntau tshaj 60 mg / kg / hnub), nyob ntawm seb qhov ntsuas thiab mob hnyav npaum li cas.

Cov menyuam yaus lub cev hnyav dua 40 kg yuav tsum tau txais cov tshuaj noj rau cov neeg laus.

Koob tshuaj rau raum tsis ua hauj lwm:

Hauv cov neeg mob uas mob raum tsis zoo, lub koob tshuaj yuav tsum raug txo kom tsawg. Nrog raum tshem tawm tsawg dua 30 ml / min, kev nce ntxiv ntawm qhov sib txawv nruab nrab ntawm cov koob tshuaj lossis txo qis dua cov koob tshuaj tom qab raug pom zoo. Hauv raum tsis ua haujlwm, luv luv cov kev kawm ntawm kev kho ntawm 3 g yog contraindicated.

Cov neeg loj (nrog rau cov neeg mob laus laus):

Creatinine tshem tawm> 30 ml / min - tsis tas yuav tsum muaj kev kho lub qhov muag

Creatinine tshem tawm 10-30 ml / min - 500 mg txhua 12 teev,

Creatinine tshem tawm 30 ml / min - tsis tas yuav tsum tau txhaj tshuaj kho

Creatinine tshem tawm 10-30 ml / min - 15 mg / kg txhua 12 teev,

Cia Koj Saib