ʻO ka ʻike ʻana iā Amoksiklav i ke ʻano o ka ʻApana no nā kamaliʻi: nā hōʻailona, ​​dosage, nā hiʻohiʻona o ka hoʻohana

ʻO Amoxiclav kahi lāʻau lapaʻau i hui pū ʻia. ʻO kāna mau hana ikaika e amoxicillin a me clavulanic acid, he hana antimicrobial.

Hoʻomaʻamaʻa ʻia ke kaila no ka maʻi i hoʻoiho ʻia e nā microorganism-sensitive microorganisms:

• nā maʻi otolorgic (otitis externa, purulent otitis media, mastoiditis),
• maʻi pāpaʻi a me ka maʻi o ka ʻoi a luna o lalo o ke kaaka,
• maʻi maʻi ʻōnaehana o ka genitourinary
• kalewa o ka ʻōnaehana musculoskeletal,
• nā maʻi ʻeha
• nā hopena o ka pūpū waha a me nā lau palupalu.

ʻ a me ke kākele

No ka hoʻomākaukau i ka pohō, e hoʻohui ʻia ka wai i nā kiko o ka vial i ka māka.

Hoʻokahi ʻia nā kaha lāʻau hoʻokahi iloko o nā hale hana o ka hoʻopiʻi ʻana i hoʻopau ai, ma muli o ke kaumaha o ka mea maʻi a me ka nui o ka maʻi:

No nā keiki ma mua o 12 mau makahiki a kaupaona ʻia ma mua o 40 kg, ua kauoha ʻia ka lāʻau lapaʻau i nā papa.

Me ka hoʻokuʻuʻana i ka ʻoihana Sandoz, aia kahi pipette me nā hōʻailona mai ka 1 a 5 mau ml.

Hoʻopili ʻia ka dosis e like me ka paona a me ka makahiki, me ka nui o ka maʻi. Hoʻohālikelike ʻia ke ʻano e like me ka amoxicillin.

No nā keiki ma lalo o 3 mau makahiki o ke ʻano, hoʻolilo ʻia ka lāʻau lapaʻau i kēlā me kēia lā no 30 mg no ka kg o ka paona kino, pono e lawe ʻia i 2 mau manawa (ma hope o 12 mau hola).

No ka poʻe maʻi ʻoi aku ka 3 mau mahina, ʻo ka nui o kēlā me kēia lā he 20 mg pākēneka o ke kaumaha, ma nā hihia koʻikoʻi o ka maʻi, me ka maʻi ʻana o nā mea hanu, hiki ke hoʻonui ʻia ka nui i 40 mg / kg, pono e lawe ʻia i 3 mau manawa (kēlā me kēia 8 mau hola).

I loko o nā pilikia renal nui, hoʻemi ka nui o ka dosage a i ʻole ka lōʻihi o ke aniani hoʻokahi mau manawa a hiki i 2 mau lā.

Hiki i ka papa o ka lāʻau ke hoʻololi i ka 5 a i 14 lā, ma ke ʻano o ke kauka, hiki ke hoʻonui ʻia ka lōʻihi o ka mālama ʻana.

Nā Hoʻohui

Hoʻomaka kuepe a nānā:

• ka hoʻomanawanui ʻana o kēlā me kēia ʻano o ka lāʻau, penicillins, cephalosporins a me nā pakanā β-lactam,
• ka mōʻaukala maʻi hepatic, hoʻonāukiuki ʻia e ka luna ʻana o Amoxiclav a i kāna mea hoʻohui,
• maʻi mononucleosis hopohopo a me ka maʻi lymphocytic.

Me ka mālama pono pono e lawe ʻia ka lāʻau lapaʻau inā nānā ia:

• ʻitislelo poloka
• pūpū hema
• pilikia haehaeia.

Ke keu

Inā kuhihewa ʻole paha ʻoe ma mua o nā ʻōkuhi i hōʻike ʻia ʻia, hiki i nā hōʻailona like paha:

• nā maʻi dyspeptic
• hoʻomōhonu ulu
• hiamoe a hiamoe ʻole
• āhāhuʻe
• nahoa.

Pono ka ʻenemi i lalo o ka mālama o kekahi kauka. Hoʻomaʻamaʻa ka mālama ʻana i ka hoʻopau ʻana i nā hōʻailona o ka hoʻohālikelike. Inā ʻaʻole i hala aku ma mua o 4 mau hola i hala mai ka manawa o ka hoʻoilo, hōʻike ʻia ka mea pōʻino i ka nui o ka gastric a me nā adsorbents. Hiki ke hōʻola ʻia nā mea ikaika e ka hemodialysis.

Nā hopena hopena

Ke lawe ʻia nei ka hopena o ka hoʻōki, hiki ke nānā ʻia nā hopena maikaʻi ʻole:

• nele i ka makemake nui, ka nausea, ka luaʻi, nā kīwaha, nā ʻeha o ka ʻōpū, hana hewa ʻana o nā ate, a me ka nui o nā hana ona, nā intrahepatic cholestasis, hepatitis, colsese pseudomembranous,
• nā pepeke
• ʻO ka hoemi ʻana i nā koina koko, kahi nui i nā eosinophils, ka hoʻonui ʻana i ka manawa prothrombin,
• vertigo, headache, seizures, hyperactivity, hopohopo, pilikia hāʻule i ka hiamoe,
• ʻO ka nephritis interstitial, ke ʻano o nā analima paʻakai ma ka pāʻai,
• manuahi, e komo pūkaukau.

Loaʻa ka ʻōmaʻomaʻo Amoxiclav i loko o ka pauka form, pono e hoʻoheʻe ʻia me ka wai. Wahi a ka nui o nā mea ikaika, hiki ke loaʻa ka lāʻau lapaʻau i nā mea hoʻohālikelike 3.

• 125 mg o ka amoxicillin a me 31.25 mg o ka clavulanic acid (me ka ʻōpala strawberry),
• 250 mg o ka amoxicillin a me 62.5 mg o ka clavulanic acid (me nā hua cherry),
• 400 mg o ka amoxicillin a me 57 mg o ka clavulanic acid (me ka ceri a me ka lemona lemon).

E like me nā mea hoʻohui aʻe, aia ka hoʻokuʻu ʻana i nā:

• citric anhydride
• sodium citrate,
• Xanthan
• silika
• sodium benzoate a saccharinate,
• hoihoi
• sodium carmellose me ka cellulose microcrystalline.

Pharmacology a me ka pharmacokinetics

Hoʻomaʻaʻa ʻia ka lāʻau lapaʻau e kū'ē i nā microorganisms like aʻe:

• Aulaia,
• Melanie
• enterococci,
• E. coli
• kolera vibrio,
• salmonella
• Shigella
• hemophilic bacillus,
• gonococci
• wai lāloʻi
• ka brucella
• campios yuni,
• lailato
• Holoi Ducrey,
• Klebsiella
• moraxella cataralis,
• muhaloko
• pasteurella multicide,
• Proteus
• Hoʻokomo ʻia ʻo Yersinia enterocolitis,
• Hoʻokomo Helicobacter
• pili
• pili nā huapalapala
• peptococci,
• paulamala93
• pepekean,
• preotella.

I ka wā e hoʻolako ʻia, hoʻoulu koke ʻia ka lāʻau lapaʻau, ʻike nui ʻia ka nui o ke koko ma hope o hoʻokahi hola.

Ua komo nā ʻāpana ʻelua i nā ʻāpana a me nā ʻāpana, i mua o ka mumū i komo i loko o ka BBB. Ke hele nei i ka pale hepatic, ua hoʻokaʻawale lākou.

Kuhi ʻia i loko o ka urihi, ua like ka hapalua o ke ola mai 1 a 1.5 mau hola.

I nā pathal renal koʻikoʻi, hoʻonui ka hapalua o nā amoxicillin i 7.5 hola, a no ka clavulanic acid i nā hola 4,5.

Nā ʻano ʻāpana ʻĀina o Amoxiclav a me nā mea hana nui

ʻO nā ʻōkuhi no ka hoʻohana ʻana iā Amoxiclav no ka wā kamaliʻi a me nā pākeke ka palapala koʻikoʻi loa no ka mea maʻi. Hiki i kahi mea kolohe i ka lāʻau lapaʻau ke hāʻawi i nā pane i nā nīnau āpau e pili ana i ka antibiotic. No ka mea la, ʻo nā konohiki nui ka amoxicillin a me ka waikawa clavulanic (paʻakai paʻakai).

ʻAʻole kuhi hewa kēia ʻano o ka lāʻau lapaʻau, no ka mea ʻo ʻAhxicillin he synthetically i hoʻohālikelike ʻia i ka beta-lactam (ʻoi ka nui o ka nui o ka nui o ka lāʻau) a hiki ke kapa ʻia ʻo clavulanic acid i mea kōkua a pale i ka mea nui, no ka mea ʻaʻole ia e hoʻolōʻihi i ka hana ma Amoxiclav, akā kōkua pū kekahi i nā mikrobes i kū i ka amoxicillin.

ʻO kēia ʻano ka hoʻokuʻu i ka lāʻau lapaʻau e hoʻohana pinepine ʻia e like me ka pēpē pēpē no ka hoʻomākaukau ʻana o ka ʻaila, akā i kekahi mau hihia hiki ke kuhikuhi ʻia no nā pākeke. Eia nō naʻe, e like nā kuhikuhi o ka hoʻohana ʻana iā Amoxiclav no nā pākeke e like me nā keiki.

I ke kāpaeʻana o Amoxiclav no nā keiki, e kau ana i ka 5 ml o ka lāʻau lapaʻau, ʻo ka helu helu mua e hōʻike i nā kiko o ka amoxicillin, a me ka lua - ka mea i kikoo i ka clavulanic acid. Aia ia ma ia hopena penei:

1. 125 mg / 31.5 mg (ka ʻōlelo liʻiliʻi loa, ʻo Amoxiclav e kuhikuhi pinepine ʻia no nā keiki ma lalo o hoʻokahi makahiki) - ua loaʻa kēia ʻano hana no nā keiki me ka ʻōpala ʻōpala.
2. 250 mg / 62.5 mg - e hoʻomaʻamaʻa i ke komo ʻana o nā keiki, ua hoʻōla ʻia me kahi hua cherry.
3. Amoxiclav forte 312.5 mg / 5 ml 25 g 100 ml - hiki ia i ka cherry a i ʻole lemon.

Nā manaʻo no ka koho ʻana ʻo Amoxiclav

ʻO ka Suspension Amoxiclav kahi keiki maʻi o nā keiki, nā hōʻailona no ka hoʻohana ʻana i nā mea e like me:

• nā mea maʻi ʻole, me ka komo pū ʻana ma nā pepeiao, ʻāha a me ka ihu
• nā maʻi āpau o ke ʻano haʻahaʻa a maʻalahi i ke kaʻe,
• ka hana ʻana i nā aʻa a me nā maʻi ʻē aʻe.

ʻO ke kumu o ka hana ʻaʻo Amoxiclav a me kahi papa i ka Latin hiki ke kākau wale ʻia e kekahi loea. ʻOiaiʻo Amoxiclav kahi mea lapaʻau maikaʻi loa no nā keiki, ke kōkua nei i ka hoʻohālikelike ʻana i nā heluna nui o nā pōʻino kino, akā naʻe naʻe ʻaʻohe panacea no nā maʻi āpau. Pēlā i ka mālama ʻia ʻana o nā maʻi maʻi viral a me nā maʻi, ʻo Amoxiclav, kahi hopena o ke keiki no ka lawelawe waha hiki ʻole ke kōkua i ka mea maʻi.

ʻAʻohe! Hiki ke kuhikuhi ʻia ka ʻaihue Amoxiclav i nā wahine i ka wā hāpai a me ka lactation. Eia naʻe, mea e ʻike no ka hoʻokaʻawale ʻia o ka lāʻau ma loko o ke kino ma o ke koko, ʻo ia ka mea e komo i loko o ka waiū i ka wā lactation a ma o nā paia placental hoʻi i ka wā hānau.

Pehea e hānai ai i kahi pīpī

E ʻike i ke ʻano o ka hoʻokaʻawale ʻana iā Amoxiclav i ke pani ʻana no nā keiki a ʻo ke ala hilinaʻi loa e hoʻomākaukau ai i kēia lāʻau lapaʻau, pono pono e noʻonoʻo pono i nā ʻōkuhi, ʻo kēlā me kēia kahele e wehewehe i ke ʻano e hoʻomākaukau ai i ka syrup:

1. Pono e lūlū i ka pauku no ka hoʻomākaukau ʻana o Amoxiclav i ka hoʻokuʻu ʻia ʻana o nā keiki, no laila ʻaʻohe ʻōmole o ka pauna.
2. A laila hoʻohui i ka wai i ka wai i loko o ka pahu wai i ka pahu i ka māka i hōʻike ʻia ma luna o ka hue.
3. Kāwili i ka pauku soluble no ka hoʻomākaukau o ka ʻauʻau me ka wai lā a hiki i kahi hanana ʻano like ʻole.

No ka hoʻomākaukau ʻana i kahi pīpī ʻaʻole paʻakikī i kahi mea maʻi maʻi ʻole. Hoʻomaopopo i ka hoʻowalewale ʻana iā Amoxiclav no nā keiki, hiki i ka mea maʻi ke hana i kahi pohā me ka nui o ka make ʻana o nā mea nui i pono no ka mālama ʻana.

Pehea e koho ai i ka hewa kūpono

ʻO ka pōmaikaʻi o Amoxiclav i ke ʻano o ka hoʻokuʻuʻana ma luna o nā ʻano mea ʻē aʻe o ka antibiotics, he hoʻomākaukau wai ia me ka ʻoluʻolu e pono ai i nā keiki mai ka hoʻomaka ʻana o ke ola a hiki i 12 mau makahiki.

He mea kūpono no ka lawe ʻana i ka lāʻau lapaʻau, me ka noʻonoʻo ʻana i ka make o nā keiki e ka amoxicillin i kēlā me kēia lā, ʻelua ma 2 mau makahiki a i 7 mau makahiki, ʻaʻole pono eʻoi aku ma mua o 40 mg / kg i loko o nā ʻano ʻino, a ma nā mālamalama a me nā hōʻemi maʻalahi - 20 mg / kg.

Nui! He mea kūpono ke hoʻomanaʻo o ka hoʻomoʻa ʻana o ka hoʻōla o Amoxiclav no nā keiki me ka renal impaired a me ka hana hepatic, e hoʻoponopono mau ʻia i ke ʻano o ka mea maʻi.

Maʻalahi wale ka heluʻana o Amoxiclav i ka hoʻokuʻuʻana no kahi lā.

1. Nā kūlana - ke kaupaona o ke keiki 16 kg, mau makahiki 6 mau makahiki, ka maʻi kaumaha, ka lāʻau lapaʻau i hoʻohana ʻia he 250 mg amoxicillin.
2. Ka helu - 5 ml * 40 mg * 16 kg / 250 mg = 12.8 ml.

Pono e hoʻokaʻawale ʻia ka hopena i ʻelua a ʻekolu paha, ma muli o ka ʻōlelo a ke kauka.

Wahi a ka papa ʻaina lāʻau e kūlike ʻole i ka nui o nā hewa o nā keiki, ʻaʻole ia i ʻō i ka makahiki o ke keiki, ʻo 5 a 5 a i ʻole 10 makahiki paha, akā kaupaona ʻia ma luna o kona paona.

Hoʻolohe E lawe ʻia ana e kahi kikoʻī o ka ʻono no nā keiki.

Ehia lā e lawe ai i ka pēpē

Ehia mau lā e inu ai i ka ʻōkuhi o Amoxiclav e pono e hoʻoholo ʻia e ka mea e hele ai i ka maʻi ʻānani, e like me ka mea holo pono ia i ke kūlana o ka mea maʻi.

Ke ʻano o ke ʻano o ka mālama ʻana a me ke ʻano o ka lāʻau lapaʻau e pili ana i ka pane ʻana o ke kino i ka lāʻau maʻi.

ʻO ka maʻamau, ʻo ka hāʻawi ʻana i ke pēpē ʻo Amoxiclav e hoʻokuʻu ʻia ai i nā lā he 5-7 lā. Me nā maʻi paʻakikī, hiki i ka hoʻonui ʻana i nā lā 14, akā ʻaʻole hiki.

Nā hiʻohiʻona o ka lawe ʻana i ka lāʻau lapaʻau no nā pēpē

Mahalo i kāna mau ʻāpana kālā, he kuleana ko ka mea maʻi ʻaʻole e noʻonoʻo pehea pehea ka lōʻihi e hiki ai iā ia ke hāʻawi i ka lāʻau lapaʻau. ʻAʻole makaʻu, kahakaha iā Amoxiclav no nā keiki hou a me nā pēpē.

ʻO ka make ʻana o Amoxiclav i ka pohō ai no nā pēpē a hiki i ka 3 mau mahina, ʻaʻole ia e hānai i kahi lā o kēlā me kēia lā he 20 mg / kg o amoxicillin. ʻO nā pēpē i ke aʻo ʻana o nā maʻi ma lalo o ka mākaʻikaʻi koʻikoʻi o nā loea, no laila, ʻo ka nui ke loaʻa i nā maʻi ma nā keiki hou, hōʻike ʻia lākou i ka hoʻokipa.

I kahi pēpē a hiki i ka makahiki, ʻaʻole hiki ke hoʻonele i kēlā make i ka 30 mg / kg i kēlā me kēia lā. Pono e nānā pono nā pēpē, akā hiki ke hana ʻia kēia i ka home. A hiki i ka makahiki 1 a pēpē, pono nā liʻiliʻi i nā hala, no ka mea he pōʻino ka hōʻeha ʻana mai i kēia makahiki hiki i ka pōpilikia no ka hoʻomohala ʻana o ka pēpē.

Pehea e hāʻawi ai iā Amoxiclav i kahi keiki

Pehea e lawe aku ai i ke pēpē o Amoxiclav no nā keiki e wehewehe pono ʻia e ke kauka mua, ʻoiai ʻo ka loiloi ʻana e hoʻoholo ʻia e ke kauka hele ʻana ma ke kumu o ka mea maʻi a hiki ke kū hoʻokahi kanaka.

Ke ʻano maʻalahi o ka hana ʻana ʻo Amoxiclav no ka mea maʻi liʻiliʻi, no ka mea ua maʻalahi ka hua wai wai a hoʻomanaʻo ʻia nā kaila wai no nā kamaliʻi, a no laila, e hoʻolilo i kahi mea hoʻowahāwahā i nā pēpē me ka pinepine. Hōʻike pinepine nā loiloi o nā mākua e pili ana i nā analogue e pili ana i kahi pilikia me ka lawe ʻana i nā lāʻau lapaʻau.

Hiki iā ʻoe ke ana i ke ʻano i makemake ʻia me ka pipette e hele mai me ka pahu k. Hoʻomaka kekahi lāʻau lapaʻau e hana i loko o nā keiki ma hope o hoʻokahi hola, a excreted i 1-1,5 hola.

ʻAʻole hilinaʻi i ka hoʻohui antiibiotic i ka hoʻokomo ʻana i ka meaʻai, akā hōʻike pinepine nā pediatricians i ka hānai aku i ke keiki ma hope koke o ka lawe ʻana i ka lāʻau.

Hoʻolohe I kahi hihia o nā maʻi ʻino, ua mālama ʻia ka mālama ʻia ʻana i nā papa a i ʻole nā ​​ʻano ʻē aʻe i hoʻohana ʻia ka maʻi maʻi.

Waihona a me nā kūlana waiho

Ma hope o ka wehe ʻana i ka ipu, pono ke mālama ʻia i loko o ka friji. ʻO ke ola o ka pale ma hope o ka wehe ʻana i ke ʻano diluted ʻaʻole hiki i 7 mau lā.

Inā ʻaʻole e wehe ʻia ka mākeke, hiki ke hoʻohana ʻia i ʻelua makahiki.

Hoʻomaopopo ʻia ka lāʻau lapaʻau e ka neʻe i ke kauka, ma hope o ka mea e pono ai ke kuhikuhi i ka lāʻau ma Latin.

Hoʻolohe ʻAʻole kūʻai aku ʻo Amoxiclav no nā keiki me ke kū ʻole o kekahi.

Nā hopena hopena

Pono e nānā pono ʻaʻole nā ​​papa inoa āpau wale o ka loea, akā pono nā lula no ka hoʻohana ʻana i pili i ka antibiotic, inā ʻaʻole nā ​​hopena a me nā hopena ʻole e hoʻopilikia ai i ke kino o kahi mea maʻi liʻiliʻi.

Nā hopena hopena i nā keiki mai ka lawe ʻana iā Amoxiclav i ka hoʻokuʻu ʻia hiki ke hana e like me kēia penei:

• nā ninia
• utuka
• āhāhuʻe
• nā hana ʻino i ka hana ʻana o ka ʻōpū,
• nā pilikia i ka hana o nā ate a me nā ʻōpala, etc.

Nui! Inā loaʻa ka pilikia i ka mea maʻi ma ka hana o nā kumulāʻau nui, pilikia paha ke kūlana, a hiki pū i kēia ke hopena o ka lāʻau. Hoʻomaopopo e nīnau aku i kahi kauka.

Loaʻa pinepine nā loiloi o nā hopena ʻaoʻao, akā ʻaʻole e hiki ke hopena i ke kino o ka mea maʻi me nā hopena ʻole. Ma hope o ke ʻano o ka mālama ʻana a me nā dosage e kōkua i ka pale ʻana i ka maʻi a pale i ka hopena o ka lāʻau.