Ichi ndi penicillin wopangidwa, wogwira ntchito pagulu lalikulu la tizilombo tating'onoting'ono, koma wopanda ntchito pa matenda oyamba ndi mafangasi.
Dzinalo Losayenerana
Amoxicillin (Amoxicillin).
Ichi ndi penicillin wopangidwa, wogwira ntchito pagulu lalikulu la tizilombo tating'onoting'ono.
ATX
Malinga ndi gulu la anatomical, achire komanso mankhwala, amoxicillin amaphatikizidwa ndi gulu la J01CA - "Broad-spectrum penicillins."
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala amapezeka mu mawonekedwe a ufa wowonjezera pakamwa komanso kukonzekera kuyimitsidwa koyikika mu vial 100 ml ndi malangizo ogwiritsira ntchito. Mankhwala amataya katundu wake wochiritsa mu mawonekedwe a yankho, chifukwa chake kuyimitsidwa kumakhalapo mwa mawonekedwe a granules zosungunuka.
Kapangidwe ka mankhwalawa kumaphatikiza amoxicillin mu mawonekedwe a trihydrate.
Zotsatira za pharmacological
Amoxicillin 125 ndi mankhwala opanga mankhwala okhala ndi zochita zambiri za antimicrobial. Amagwira bwino mabakiteriya ambiri opanda gramu-gramu komanso gramu-zabwino, makamaka aerobic streptococci, staphylococci, gonococci, meningococci, salmonella, Escherichia coli, Pfeiffer coli ndi ena.
Pharmacokinetics
Pambuyo pa maola 1-2 pambuyo pa kupangika, imafika m'magazi am'magazi ndipo imalowa mu minyewa ndi madzi amthupi. Kudya zakudya sizimakhudza kuyamwa kwa mankhwala ndi thupi. Amadziunjikira mu mkodzo, mapapu, chikhodzodzo, zotupa zamkati, gawo limodzi m'matumba, matumbo, komanso ziwalo zoberekera zazikazi. Akapanda kukonzedwa ndikuwachotsa impso ndi chiwindi. Pang'ono pokha amathiridwa mkaka wa m'mawere.
Hafu ya moyo wa chinthu chimachokera pa mphindi 60 mpaka 90.
Zizindikiro zogwiritsidwa ntchito
Monga antibayotiki wina aliyense, Amoxicillin amapatsidwa matenda opangidwa ndi tizilombo tosavuta, kuphatikizapo:
- matenda kupuma thirakiti (chibayo, matenda a bronchitis pa exacerbation, otitis media, pharyngitis, tonsillitis, sinusitis);
- matenda a impso ndi kwamikodzo thirakiti (cystitis, pyelitis, pyelonephritis, urethritis);
- chinzonono;
- chlamydia, kuphatikiza ndi erythromycin tsankho pakati;
- khomo lachiberekero;
- matenda a pakhungu: dermatoses, impetigo, erysipelas;
- matenda a minofu ndi mafupa;
- pasteurellosis;
- listeriosis;
- matenda am'mimba dongosolo: salmonellosis, typhoid, kamwazi;
- kupewa ndi kuchiza matenda a endocarditis.
Contraindication
Kulandiridwa ndi koletsedwa ndi chiwopsezo chowonjezereka cha amoxicillin ndi penicillin ndi cephalosporins, omwe ali ndi matenda opatsirana a mononucleosis, lymphocytic leukemia, kulephera kwa chiwindi, matenda am'mimba (colitis omwe ali ndi mankhwala othandizira).
Ndi chisamaliro
Mochenjera, mankhwalawa amapatsidwa mankhwala osamalira odwala omwe ali ndi chifuwa chachikulu cha m'matumbo (bronchial asthma, hay fever), kulephera kwa impso, mbiri yakale ya magazi ndi pakati.
Momwe mungatenge Amoxicillin 125
Mankhwalawa amayenera kudyedwa katatu pakadutsa maola 8 aliwonse kuonetsetsa kuti mankhwalawa akutuluka. Akuluakulu ndi ana ochokera wazaka 12 (wokhala ndi thupi loposa 40 makilogalamu), mlingo wabwinobwino tsiku lililonse ndi 500 mg katatu patsiku.
Musanadye kapena musanadye
Ngakhale zakudya sizikhudzana ndi chithandizo, mankhwalawa sayenera kumwa pamimba yopanda kanthu kwa odwala omwe ali ndi matenda am'mimba: gastritis yokhala ndi acidity yochepa kapena yapamwamba, enterocolitis, kudzimbidwa kapena kutsekula m'mimba, dysbiosis kapena zilonda zam'mimba kapena matumbo ochepa.
Masiku angati kumwa
Pafupifupi, nthawi ya mankhwalawa imayamba kuchokera masiku 5 mpaka 12. Pambuyo pa izi, muyenera kusiya ndikuyambiranso pokhapokha ngati mwalandira dokotala.
Mu matenda a shuga, chitetezo cha wodwalayo chimachepa, motero thupi limakhala pachiwopsezo chotenga matenda.
Kumwa mankhwala a shuga
Mu matenda a shuga, chitetezo cha wodwalayo chimachepa, motero thupi limakhala pachiwopsezo chotenga matenda. Nthawi zambiri, maantibayotiki amathandizira matenda a pakhungu, urethra ndi kupumira kwamapazi. Gwiritsani ntchito mankhwalawa mosamala, pokhapokha poyang'aniridwa ndi dokotala komanso pokhapokha ngati pali vuto la hypoglycemia.
Zotsatira zoyipa
Chifukwa chakuti penicillin amakhudza matumbo a microflora ndikuwonetsa thupi, wodwalayo amatha kukumana ndi zovuta zosiyanasiyana zamagulu panthawi ya chithandizo.
Matumbo
Mankhwala angayambitse mitundu iyi:
- dysbiosis;
- stomatitis
- gastritis;
- kamwa yowuma
- kupweteka kwa anus;
- kusintha kwa kakomedwe;
- kupweteka kwam'mimba
- kusanza ndi kusanza
- kutsegula m'mimba
- glossitis;
- kusokonezeka kwa chiwindi.
Pakati mantha dongosolo
Zingaoneke:
- zopweteka (ndi kuchuluka kwa mankhwalawa);
- kugwedezeka
- mutu.
Kuchokera pamtima
Osachotsedwa:
- tachycardia;
- kuchepa magazi
- leukopenia.
Matupi omaliza
Ndi chidwi chambiri, thupi lawo siligwirizana, zotupa: khungu hyperemia, urticaria, kuyabwa ndi kufooka kwa khungu, rhinitis, conjunctivitis, edema ya edi, Quincke, kawirikawiri - malungo, exfoliative dermatitis, matenda a Stevens-Johnson. Osowa kwambiri - anaphylactic mantha.
Zokhudza mphamvu pakuwongolera njira
Panalibe maphunziro apadera azachipatala okhudzana ndi mphamvu ya Amoxicillin pakutha kuyendetsa magalimoto ndikuwongolera magwiridwe antchito.
Malangizo apadera
Panthawi yamankhwala, chisamaliro chapadera chiyenera kulipidwa pamlingo wa chiwindi ndi impso.
Odwala omwe ali ndi penicillin hypersensitivity amatha kukumana ndi mitundu yofanana ndi mankhwala a cephalosporin.
Ngati pakati pa Amoxicillin pakufunika kuchiza matenda otsegula m'mimba, ndibwino kuti musagwiritse ntchito mankhwala omwe amachepetsa peristalsis. Attapulgite kapena kaolin wokhala ndi mankhwala angagwiritsidwe ntchito.
Chithandizo chimatha maola 48-72 atatha kutha kwa zizindikiro zakunja za matendawa.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Kugwiritsidwa ntchito ndikololedwa pokhapokha ngati phindu kwa mayi limaposa chiwopsezo kwa mwana wosabadwayo. Popeza ma penicillin amalowera mkaka ndipo amatha kupweteka m'mimba ndi matumbo a mwana, gwiritsani ntchito mankhwalawa mosamala mukamayamwa.
Gwiritsani ntchito mu ukalamba
Mukalamba, mulingo wofanana ndi womwe umalimbikitsa odwala akuluakulu, kuwongolera kuchuluka kwa mankhwalawa sikofunikira.
Momwe mungapereke Amoxicillin kwa ana 125
Mlingo wa tsiku ndi tsiku wa ana umagawidwa muyezo Mlingo wa 4 ndi 4 ndipo umafotokozedwa ndi msinkhu wokhudzana ndi kulemera kwa thupi:
- kuyambira mwezi umodzi - 150 mg pa 1 kg;
- mpaka chaka 1 - 100 mg pa 1 kg;
- Zaka 1-4 - 100-150 mg pa 1 kg;
- kuchokera zaka 4 - 1-2 g.
Mlingo wa tsiku ndi tsiku wa ana umaperekedwa ndi msinkhu wofanana ndi kulemera kwa thupi.
Kutalika kwa mankhwalawa kumatsimikizika ndi kuopsa kwa matendawa (kuyambira masiku 5 mpaka 20). Mu matenda osachiritsika, kuchiritsa kumatha kutenga miyezi ingapo.
Kukonzekera kuyimitsidwa, onjezerani madzi owiritsa owiritsa ku botolo la ufa kuti likhale chizindikiro, kenako gwedezani bwino. Musanagwiritse ntchito, muyenera kugwiranso kuyimitsanso. Mlingo umapangidwa ndi kapu yoyezera.
The ntchito aimpso kuwonongeka
Pankhani ya kuphwanya kwaimpso, Amoxicillin imayikidwa limodzi ndi mankhwala a clavulanic acid (Amoxiclav). Kuphatikizikaku kumalepheretsa kukula kwa kachilombo ka bacteria.
Bongo
Zizindikiro zazikulu za bongo zimaphatikizira: kutsegula m'mimba, kusanza ndi kusanza, zomwe zimayambitsa kuphwanya kwamanja kwamagetsi.
Zizindikiro za poizoni wapoizoni wokhala ndi Amoxicillin zikawonetsedwa, ndikofunikira kuchita malinga ndi chiwembu chotsatira:
- Tsuka m'mimba ndi madzi ofunda, oyera.
- Tengani mlingo wa adsorbent (wothandizitsa kaboni pamiyeso ya piritsi 1 pa 10 makilogalamu a thupi).
- Tengani zakumwa zamchere.
- Zotsalira za antibiotic zimapukusidwa ndi hemodialysis.
Pankhani ya kuphwanya kwaimpso, Amoxicillin imayikidwa limodzi ndi mankhwala a clavulanic acid (Amoxiclav).
Kuchita ndi mankhwala ena
Kuchepa ndi kuchepa kwa mayamwidwe:
- glucosamine;
- maantacid;
- mankhwala othandizira;
- chakudya.
Kuchulukitsa kuyamwa kwa ascorbic acid.
Kuphatikiza kwamphamvu kwa zotsatira kumachitika mukamamwa maantibayotiki (Rifampicin, aminoglycosides).
Amoxicillin amachepetsa tetracyclines, sulfonamides, chloramphenicol.
Imawonjezera zotsatira za anticoagulants.
Imafooketsa mphamvu za kulera yokhala ndi estrogen.
Kuchulukitsa kuopsa kwa methotrexate.
Imathandizira mayamwidwe a digoxin.
The kuchuluka kwa mankhwala kumawonjezera olowa:
- ndi okodzetsa;
- ndi anti-yotupa;
- ndi phenylbutazone;
- ndi oxyphenbutazone.
Allopurinol imawonjezera chiopsezo cha zotupa pakhungu.
Kuyenderana ndi mowa
Kuphatikiza kwa zakumwa zamankhwala ndi ethanol sizikusowa. Pa mankhwala ndi Amoxicillin, ndibwino kukana mowa: kuchoka kwa zinthu zonsezi kumachitika kudzera mu impso ndi chiwindi. Mukamamwa mowa, chiwindi chimayamba kupanga michere kuti ipangitse Mowa. Kugwiritsira ntchito pamodzi kwa Amoxicillin ndi mowa kumathandizira poizoni wambiri ndipo kumatha kuyambitsa poizoni wa ethanol, zomwe zimakwiyitsa kwambiri mucous membrane wam'mimba ndi matumbo ang'onoang'ono. Kuphatikiza apo, mowa umachepetsa mphamvu ya antibacterial ya mankhwalawa, motero makonzedwe awo munthawi yomweyo samaperekedwa.
Analogi
M'mafakitala, pali mitundu ingapo ya m'malo mwa Russia ndi akunja omwe mumagulitsa mankhwalawo, ogulitsidwa pansi pa mayina ena. Mitengo, makamaka ya mankhwala omwe atumizidwa kunja, ndiyokwera kuposa yoyambirira. Mwa zida:
- Azithromycin Mphamvu ya kuyimitsidwa. Kusamalidwa kwakukulu kuyenera kuchitika: mankhwalawa ali ndi mndandanda wokwanira wa contraindication.
- Ecobol. Amapezeka m'mapiritsi. Kugwiritsidwa ntchito pamilandu yomweyo ngati yoyambayo. Contraindified mu ana osakwana zaka 3. Amasankhidwa mosamala kwa amayi apakati ndi amayi oyamwitsa, ndi kulephera kwa impso.
- Amosin. Itha kuthandizidwa ndi ana osakwana zaka 2, malinga ndi kuchuluka kwa mankhwala.
- Flemoxin (Amoxicillin) Solutab (500 mg). Wothandizana naye wachi Dutch. Amapezeka piritsi. Kuletsedwa kwa ana.
- Amoxiclav. Kuphatikiza kwa amoxicillin (875 mg) ndi clavulanic acid (125 mg). Amapezeka mu mawonekedwe a mapiritsi ndi ufa wopangira kuyimitsidwa. Chida chotchuka komanso chopezeka kawirikawiri mumsanja. Nthawi yomweyo mtengo.
Amoxicillin 125 amagawa zinthu ku mankhwala
Ndi mankhwala. Mankhwalawa akuyenera kuwonetsa dzina la Latin la mankhwalawa (Amoxycillinum) ndi njira yotulutsira.
Kodi ndingagule popanda kulandira mankhwala?
Kuyambira mu 2017, mndandanda wazamankhwala omwe angogulitsidwa pokhapokha ngati adokotala akupatsidwanso mankhwala ndi Amoxicillin, kotero ndizosatheka kugula izo mwaulere, popanda mankhwala.
Mtengo wa Amoxicillin 125
Ichi ndi mankhwala otsika mtengo: mtengo wake umachokera ku 40 mpaka 200 ma ruble. Ma Analogs amatha ndalama zambiri.
Zosungidwa zamankhwala
Ufa umasungidwa pamatenthedwe mpaka 25 ° C. Kuyimitsidwa okonzekeraku kuyenera kutalikirana ndi ana pa kutentha kwa + 2 ... + 8 ° C ndi kumadyetsedwa sabata limodzi.
Tsiku lotha ntchito
Zaka 3 kuyambira tsiku lomwe watulutsa.
Wopanga Amoxicillin 125
Mankhwalawa mu mawonekedwe a ufa amapangidwa ndikuperekedwa ku gawo la Russia ndi mayiko a CIS ndi kampani yaku China yopanga mankhwala Huabei.
Ndemanga za madotolo ndi odwala pa Amoxicillin 125
Ekaterina, azaka 27, Ekaterinburg
Mankhwalawa adawonetsedwa kwa mwana atapumira mayeso a Helicobacter pylori. Maantibayotiki awiri adalembedwa, amodzi mwa iwo ndi Amoxicillin. Zinali zofunika kumwa piritsi katatu patsiku, pamodzi ndi mankhwala ena ndikudya. Kulakalaka mwana kunachepa pang'ono, koma kuchira msanga kunakwera. Amachiritsa matendawa, koma amachepetsa chitetezo chokwanira, makamaka kwa ana. Gwiritsani ntchito mosamala.
Eleanor, wazaka 33, Moscow
Anayamba kumwa maantibayotiki chifukwa cha kuzizira kwambiri nthawi yozizira: anali ndi malungo, mphuno, mutu, ndipo adayamba kutseka makutu ake. Katswiri wa ENT adazindikira sinusitis mu siteji yovuta (yayikulu, koma sizinachitike kawirikawiri) komanso atitis media. Amoxicillin wofotokozedwa, Sanorin wa mphuno ndi Remantadine ndi Complivit kuti alimbikitse chitetezo chamthupi.
Zowona maantibayotiki katatu patsiku. Tsiku lotsatira zinakhala bwino, pang'ono pang'ono kupita. Makutu samapweteka, koma mutu umalemera ngati mutawerama. Pambuyo pa masiku awiri, ziphuphu zakumaso zidatsanulidwa kumaso ndi pachifuwa. Koma sinusitis ndi otitis adachiritsidwa. Mankhwala osokoneza bongo, ngati maantibayotiki onse.
Kurbanismailov RB, Krasnoyarsk, dokotala wazamankhwala
Mankhwala ochepetsa mphamvu ochepetsa mphamvu pakufunika pakati pa madokotala ku Russia. Pali mitundu yamagetsi yambiri yomwe imakonda kugwiritsidwa ntchito mu matenda azachipatala kupewa matenda. Thupi lawo siligwirizana limachitika kawirikawiri. Amapezeka mosavuta m'mafakisi.
Budanov E.G., Sochi, otolaryngologist
Maantibayotiki wamba ndiwowoneka bwino. Ndimalandiridwa bwino ndi thupi, mawonekedwe osavuta kugwiritsa ntchito, makamaka ana. Nthawi zambiri amagwiritsidwa ntchito pa matenda a streptococcal komanso matenda owopsa am'mapapo. Pambuyo kugwiritsa ntchito maantibayotiki ena, imakhala yofooka. Nthawi zina zimatha kuyambitsa mavuto. Ndibwino kuti mugwiritse ntchito mankhwalawa tenillitis ndi pharyngitis.