U ka sebelisa Amoxicillin 1000 joang?

Ts'oaetso ea baktheria e bakoang ke likokoana-hloko tse otlang: mafu a ts'oaetso ea matšoafo (bronchitis, pneumonia) le litho tsa ENT (sinusitis, pharyngitis, tonsillitis, atitis media), tsamaiso ea genitourinary (pyelonephritis, pyelitis, cystitis, urethritis, gonorrhea, endometritis, cervicitis, mpa ts'oaetso (peritonitis, cholangitis, cholecystitis), tšoaetso ea letlalo le lisele tse bonolo (erysipelas, impetigo, dermatoses ea nang le tšoaetso ka nako), leptospirosis, listeriosis, lefu la Lyme (borreliosis), phepelo ea gastrointestinal (dysentery, salmonellosis, salmonella carrera) meningitis ophylaxis), sepsis.

Foromo ea litekanyetso

li-granules bakeng sa ho hlophisa ho emisoa bakeng sa tsamaiso ea molomo, li-capsules, phofo bakeng sa ho lokisa marotholi bakeng sa tsamaiso ea molomo bakeng sa bana, phofo bakeng sa ho lokisa tharollo bakeng sa tsamaiso ea methapo le methapo, phofo bakeng sa ho hlophisa ho emisoa bakeng sa

Contraindication

Hypersensitivity (ho kenyelletsa le penicillin tse ling, cephalosporins, carbapenems) Ka tlhokomeliso. Multivalent hypersensitivity ho xenobiotic, ts'oaetso ea mononucleosis, nalane ea maloetse a amanang le gastrointestinal (haholo-holo lefu la colitis le amanang le ts'ebeliso ea lithibela-mafu), ho se sebetse hantle ka mokokotlong, ho ruruha.

Mokhoa oa ho sebelisa: litekanyetso le kalafo

Kahare, pele kapa ka mor'a lijo, mohala o ka metsoa kaofela, oa aroloa likarolo kapa oa sechuoa ka khalase ea metsi, kapa oa tšeloa ka metsing ho etsoa sirapo (ka 20 ml) kapa ho emisoa (ka 100 ml). Batho ba baholo le bana ba kaholimo ho lilemo tse 10 (ba nang le boima ba 'mele bo fetang tse 40) ba beoa makhetlo a 0.5 g makhetlo a 3 ka letsatsi, mme ba na le ts'oaetso e matla - 0,75-1 g makhetlo a 3 ka letsatsi.

Bana ba ngolisitsoe ka mokhoa oa ho emisoa: a le lilemo li 5-10 - 0,25 g, lilemo tse 2-5 - 0,125 g, ka tlase ho lilemo tse 2 - 20 mg / kg makhetlo a 3 ka letsatsi, a nang le ts'oaetso e matla - 60 mg / kg makhetlo a 3 ka letsatsi .

Mo masea a tsoang pele ho nako le a sa tsoa tsoaloa, lethalinyana le ea fokotsoa le / kapa karohano lipakeng tsa litekanyetso li eketseha. Nako ea kalafo ke matsatsi a 5-12.

Kokonate e boima e sa rarahanang, 3 g e fanoe hang, kalafong ea basali, ho khothalletsoa ho nka tekanyo e boletsoeng esale pele.

Ho mafu a hlobaetsang le a tšoaetsanoang ke "gastrointestinal pampiri" (paratyphoid fever, typhoid fever) le lefu la phepo e nepahetseng, ho mafu a tšoaetsanoang a gynecological ho batho ba baholo - 1.5-2 g makhetlo a 3 ka letsatsi kapa makhetlo a 1-1,5 g ka letsatsi.

Ka leptospirosis bakeng sa batho ba baholo - 0.5-0.75 g makhetlo a 4 ka letsatsi bakeng sa matsatsi a 6-12.

Ka mokelikeli oa salmonella ho batho ba baholo - makhetlo a 1.5-2 g makhetlo a 3 ka letsatsi bakeng sa libeke tsa 2-4.

Bakeng sa thibelo ea endocarditis ka ts'ebetsong e nyane ea ts'ebetso ea ho buoa bakeng sa ba baholo - 3-4 g hora e 1 pele ho ts'ebetso. Haeba ho hlokahala, tekanyetso e phetoang e laeloa kamora lihora tsa 8-9. Ho bana, lethal dose le fokotseha makhetlo a 2.

Bakeng sa bakuli ba nang le bothata ba ho phekola renal bo nang le CC ea 15-25 ml / min, nako e pakeng tsa litekanyetso li eketseha ho fihlela lihora tse 12, ka CC ka tlase ho 10 ml / min, tekanyo e fokotsoa ka 15-50%, ka anuria, tekanyo e phahameng ke 2 g / ka letsatsi.

Ketso ea pharmacological

Semisynthetic penicillin, e na le phello ea bactericidal, e na le pono e fapaneng ea ketso. E sitisa motsoako oa peptidoglycan (polymer e tšehetsang lebota la sele) nakong ea karohano le kholo, 'me e baka lizing ea baktheria.

E sebetsa khahlanong le likokoana-hloko tse nang le aerobic gram e ntle: Staphylococcus spp. (ntle le penicillinase e hlahisang mefuta e meng), Streptococcus spp. le likokoana-hloko tse mpe tsa aerobic gram-negative: Neisseria gonorrhoeae, Neisseria meningitidis, Escherichia coli, Shigella spp., Salmonella spp., Klebsiella spp. Mefuta e hlahisang penicillinase ha e lumellane le amoxicillin.

Litlamorao

Litla-morao: ho ka etsahala uritisaria, letlalo hyperemia, erythematous rashes, angioedema, rhinitis, conjunctivitis, ka seoelo - feberu, arthralgia, eosinophilia, exfoliative dermatitis, erythema multiforme exudative (ho kenyeletsa le lefu la Stevens-Johnson) bokuli, maemong a ikhethileng - ts'oaetso ea anaphylactic.

Ho tsoa ho tsamaiso ea tšilo ea lijo: dysbiosis, phetoho ea tatso, ho hlatsa, ho nyekeloa, lets'ollo, stomatitis, glossitis, keketseho e leka-lekaneng molemong oa "transaminases" ea "sebete", seoelo - pseudomembranous enterocolitis,

Ho tloha lehlakoreng la ts'ebetso ea methapo: ho ruruha, ho tšoenyeha, ho hloka boroko, ataxia, pherekano, phetoho ea boits'oaro, khatello ea maikutlo, neuropathy ea hlooho, hlooho, ho tsekela, ho ruruha.

Matšoao a laboratori: leukopenia, neutropenia, thrombocytopenic purpura, anemia.

Tse ling: ho hema hanyane, tachycardia, nephritis ea kahare, lefu la botšehali, ho hlahella ka ho hlaka (haholoholo ho bakuli ba nang le mafu a sa foleng kapa ho hanyetsa mmele ho fokola). Matšoao: ho nyekeloa ke pelo, ho hlatsa, lets'ollo, ho leka-lekana ha metsi a motlakase (ka lebaka la ho hlatsa le lets'ollo).

Phekolo: lavage ea gastric, charcoal e kentsoeng, li-saline laxatives, lithethefatsi ho boloka tekanyo ea electrolyte ea metsi, hemodialysis.

Litaelo tse khethehileng

Ka mokhoa oa kalafo, hoa hlokahala ho lekola boemo ba ts'ebetso ea mali, sebete le liphio.

Hoa khoneha ho hlaolela superinitness ka lebaka la kholo ea microflora ha e na taba le eona, e hlokang phetoho e lekanang ea kalafo ea lithibela-mafu.

Ha ho laetsoe bakuli ba nang le sepsis, nts'etsopele ea karabelo ea bacteriolysis (karabelo ea Yarish-Herxheimer) e khonahala (ka seoelo).

Ho bakuli ba nang le hypersensitivity ho penicillin, ho kopana le lintho tse ling tse sebetsanang le lithibela-mafu tse ling tsa beta-lactam hoa khoneha.

Phekolo ea lets'ollo le bonolo ka mokhoa oa kalafo, ho ka sebelisoa litlhare tse thibelang lefu la sethoathoa; Bakeng sa letšollo le matla, etela ngaka.

Phekolo e hlile e tsoela pele lihora tse ling tse 48-72 kamora ho nyamela hoa matšoao a bongaka a lefu lena.

Ka tšebeliso e ts'oanang ea lithibela-mafu tsa molomo tse nang le estrogen le amoxicillin, mekhoa e meng kapa e eketsehileng ea thibelo ea bokhachane e lokela ho sebelisoa haeba ho khonahala.

Tšebelisano

Ka meriana ha e lumellane le aminoglycosides (ho qoba ho inactivation ka bobeli, u se kopane).

Li-antacids, glucosamine, laxatives, lijo, aminoglycosides li fokotsa lebelo hape li fokotsa ho monya, ascorbic acid e eketsa ho monya.

Litlhare tse thibelang likokoana-hloko (ho kenyelletsa aminoglycosides, cephalosporins, vancomycin, rifampicin) li na le phello ea synergistic, lithethefatsi tsa bacteriostatic (macrolides, chloramphenicol, lincosamides, tetracyclines, sulfonamides) ke litheko.

E eketsa ts'ebetso ea li-anticoagulants tse sa tobang (ho hatella microflora ea mala, e fokotsa sebopeho sa vithamine K le index ea prothrombin), e fokotsa ts'ebetso ea litheko tsa motsoako oa estrogen, lithethefatsi, nakong ea metabolism eo PABA e thehiloeng, ethinyl estradiol - kotsi ea ho tsoa mali "ho phatloha".

Amoxicillin e fokotsa ho hlakisa le ho eketsa chefo ea methotrexate, e ntlafatsa ho nkeloa ha digoxin.

Diuretics, allopurinol, oxyphenbutazone, phenylbutazone, NSAID, le lithethefatsi tse ling tse thibelang secretion ea tubular li eketsa khatello ea amoxicillin maling.

Allopurinol e eketsa kotsi ea ho ba le lekhopho la letlalo.

Lokolla liforomo le sebopeho

Lipilisi tse tšoeu kapa tse bosoeu ba biconvex oblong tse arohantsoeng ka lehlakoreng le leng. E kentsoe likotoana tse 6 mekotla ea polasetiki, lithupa tse peli ka paketeng ea karete. Bakeng sa mekhatlo ea bongaka, ho paka ho fanoa ka likotoana tsa 6 500 ka lijaneng tsa polasetiki kapa likotoana tse 10 ka lithutsoana tsa polasetiki, lilakane tse 100 ka paketeng ea karete.

Letlapeng le leng le le leng ho na le ntho e sebetsang - amoxicillin trihydrate ka tekanyetso ea 1 g.

Ho thusang

E laetsoe tšoaetso ea baktheria e baka:

• mafu a litho tsa ENT (sinusitis, sinusitis, otitis media),
• mafu a matšoafo (bronchitis, pneumonia),
• ts'oaetso ea "genitourinic" (cystitis, pyelonephritis, urethritis, jj.),
• mafu a tšoaetsanoang a letlalo le lisele tse bonolo (erysipelas, dermatoses).

Ho khothalletsoa hape kalafo ea lets'ollo, salmonellosis, meningitis le sepsis. E ngoletsoe lefu la gastritis le londa tsa ka mpeng.

Amoxicillin e fuoe cystitis.

Ka tlhokomelo

Haeba ho na le nalane ea li-pathologies tse kang:

• asthma ea lefu la bronchial,
• allergic diathesis
• mosebetsi o sa sebetseng oa renal,
• mafu a mali
• tšoaetso ea mononucleosis,
• lymphoblastic leukemia.

Amoxicillin e fuoa tlhokomeliso ho bana ba sa tsoa hlaha.

Ho nka mehato ea tlhokomelo ho masea le masea a tlang pele ho nako.

Mokhoa oa ho nka Amoxicillin 1000

Ka molomo. Litekanyetso le li-regimens li khethoa ke ngaka ho latela tlhahlobo ea tšoaetso ea tšoaetso.

Batho ba baholo le ba lilemong tsa bocha ba ka holimo ho lilemo tse 10 ba na le boima ba 'mele bo fetang tse 40kg - 500 mg makhetlo a mararo ka letsatsi.

Maemong a tebileng a lefu lena, karolo ea moriana e ka eketsoa ho 1 g ka nako.

Ho tsoa ho tsamaiso ea methapo ea pelo

Tachycardia, phlebitis, khatello ea mali.

Litla-morao tsa ho sebelisa amoxicillin e ka ba lets'ollo.
Ha u ntse u nka Amoxicillin, ho ka ba le bohloko ba epigastric.
Tachycardia e kanna ea ba karabelo ea ho nka Amoxicillin.

Letlalo le boreleli, ho hlohlona.

U ka fa bana ba Amoxicillin joang?

Ho latela litaelo tsa tšebeliso, e laetsoe makhetlo a 3 ka letsatsi. Ho laetsoe ho ela hloko lilemo tsa bana:

• ho tloha ho lilemo tse 5 ho isa ho tse 10 - 1 tsp. ka mokhoa oa ho emisoa kapa 0,25 g matlapeng,
• ho tloha ho lilemo tse peli ho isa ho tse 5 - ¼ tsp. ka mokhoa oa ho emisoa,
• ho tloha lilemong tse 0 ho isa ho tse peli - ¼ tsp. ka sebopeho sa ho emisoa.

Bongata

Ka lebaka la taolo e sa laoleheng ea meriana e thibelang likokoana-hloko, tse latelang li ka hlaha:

• mathata a ka mpeng: ho nyekeloa ke pelo, ho hlatsa, lets'ollo, bohloko ba ka mpeng),
• nts'etsopele ea ho se leka-lekane ha metsi,
• oa ts'oaroa ka matla
• nephrotoxicity
• hello.

Ka tsamaiso e sa laoleheng ea Amoxicillin, ho hlatsa ho ka qala.

Maemong a joalo, ho hlokahala hore u nke mashala a sebetsang le ho etsa lipontšo tsa kalafo. Ha chefo e matla, ho kenella sepetlele hoa hlokahala.

A na nka reka ntle le lengolo la ngaka?

Boholo ba meriana bo fumanehang marang-rang bo fana ka ho reka sethethefatsi sena ho feta.

Ka potlako mabapi le lithethefatsi. Amoxicillin; Azithromycin: ho sebetsa hantle, litla-morao, sebopeho, litekanyetso, litekanyetso tse theko e tlaase; Ho emisoa hoa Ospamox (Amoxicillin) ho itokisa; litlhaloso tsa ngaka mabapi le lithethefatsi Amoxiclav: lipontšo, tsamaiso, litla-morao, li-analogues; Flemaksin solutab drug, litaelo. Boloetse ba tsamaiso ea genitourinary

Tlhahlobo ea lingaka le bakuli ho Amoxicillin 1000

Gorodkova T.F., gastroenterologist, Ufa

Sesebelisoa se sebetsang le se theko e tlaase. Ke fana ka taelo ka mefuta ea kalafo ea tlholo. E mamelloa hantle ebile ha e bake litla-morao. E lumelletsoe bana.

Elena, ea lilemo li 28, Tomsk

Amoxicillin Sandoz Kamehla ke lula ke le kahaboteng ea meriana ea lapeng, hobane khafetsa ke na le bothata ba liphatlalatso tsa otitis media le sinusitis e sa foleng. E boetse e thusa ka angina. Bakeng sa nako eohle ea ts'ebeliso, ha kea ka ka boloka lipontšo leha e le life tse khethehileng tsa litla-morao. Hammoho le motsoako ona o thibelang likokoana-hloko, ke leka ho nka Hilak Forte, ka hona matšoao a dysbiosis kapa a thrush ha a so ka a ba teng. Ka potlako tlosa matšoao a sa thabiseng nakong ea mafu a feteletsang.

Anastasia, ea lilemo li 39, Novosibirsk

Kea tseba hore sethethefatsi sena se sebelisoa haholo kalafong ea tšoaetso ea baktheria ho bana le ho batho ba baholo. E sebelisa hangata. Ke ile ka makala hore e boetse e sebelisoa haholo kalafong ea bongaka ba liphoofolo. Amoxicillin e ne e fuoe katse ea ka ha a e-na le cystitis. Ba ile ba etsa liente tse 3 feela ka letsatsi le leng. Lekeke le phetse hape le mafolofolo hape.