He Manaʻo Paha ka Amoxicillin no ka Maʻi Hōʻiliʻili (UTI)?

No laila, he manaʻo maikaʻi paha ka hoʻohana ʻana i ka amoxicillin no ka UTI?

ʻO ka pane pōkole: i kekahi manawa, akā pinepine ʻaʻole ia ke koho maikaʻi a mua paha.

ʻOiai he manawa hoʻokahi ka amoxicillin i lilo ai i kōkua nui no nā UTI, ua nui nā mea i loli. ʻO ka piʻi ʻana o ka pale ʻana o nā lāʻau hao ʻino i hoʻohaʻahaʻa iā ia i lalo o ka papa inoa o nā lāʻau hoʻōla i makemake ʻia.

ʻO ka Mua, He Aha ka UTI?

Ma mua o ko mākou kamaʻilio ʻana e pili ana i nā lāʻau hoʻōla, e hoʻomaopopo koke kākou i ka mea ʻo ia hoʻi ka maʻi hōʻiliʻili (urinary tract infection). He maʻi ʻo UTI i kekahi ʻāpana o kou ʻōnaehana hōʻiliʻili, e pili ana i kou mau puʻupaʻa, nā ʻauwai mimi, ka ʻōpū mimi, a me ka ʻauwae mimi kumu. ʻO ka hapa nui o nā maʻi, pili ia i ka ʻāpana haʻahaʻa o ka ʻōnaehana hōʻiliʻili—ka ʻōpū mimi a me ka ʻauwae mimi.

Ke aia ka maʻi i loko o ka ʻōpū mimi, kapa ʻia ia ʻo ka cystitis, ʻo ia hoʻi ke ʻano maʻamau loa o ka UTI. ʻO kēia ka mea a ka poʻe he nui e manaʻo ai ke kamaʻilio lākou e pili ana i ka amoxicillin no ka maʻi ʻōpū mimi.

Nā Hōʻailona a me nā Kumu Maʻamau o ka UTI

ʻO nā hōʻailona a me nā kumu o ka UTI maʻamau loa. Pono paha ʻoe e ʻike i kekahi a ʻoi aku paha o kēia mau mea:

• He makemake ikaika, paʻa mau e mimi
• He ʻeha a wela paha i ka wā e mimi ai
• ʻO ka mimi pinepine ʻana, me ka liʻiliʻi o ka mimi
• ʻO ka mimi keʻokeʻo, ʻulaʻula, ʻulaʻula māmā, a ʻeleʻele paha (he hōʻailona o ke koko)
• He mimi me ka ʻala ikaika
• ʻO ka ʻeha o ka ʻōpū a me ke kaomi ma ke kikowaena o ka ʻōpū a puni ka iwi o ka ʻūhā

ʻO ka hapa nui loa o nā UTI, he maʻi bacteria ia, me ka Escherichia coli (E. coli) ke kumu i ka 90% o nā hihia kumu. Noho maʻamau kēia bacteria i loko o nā ʻōpū akā hiki ke komo i loko o ka ʻōnaehana hōʻiliʻili a kumu i ka maʻi.

Ke Kuleana o ka Amoxicillin i ka Lāʻau ʻAna i nā UTI

ʻO ka Amoxicillin he lāʻau hao ʻino laulā mai ka ʻohana penicillin. Hana ia ma ka hoʻōki ʻana i ka bacteria mai ke kūkulu ʻana i ko lākou mau paia selulō, a make lākou i ka hopena. No nā makahiki he nui, he mea kaua hilinaʻi ia i nā ʻano maʻi bacteria he nui, me nā UTI.

No laila, he lāʻau hao ʻino maikaʻi paha ka amoxicillin no nā UTI i kēia lā? Ua lilo ka pane i mea paʻakikī. ʻO ka pilikia nui ʻo ka pale ʻana o nā lāʻau hao ʻino. Ma nā makahiki o ka hoʻohana a me ka hoʻohana hewa ʻana, ua ulu nui nā ʻano E. coli e pale i ka amoxicillin. ʻO ia hoʻi, ʻaʻole hiki i ka lāʻau hao ʻino ke pepehi i ka bacteria e kumu ai ka maʻi kumu.

Ma muli o ka laulā o kēia pale ʻana, ʻaʻole ka nui o nā alakaʻi lapaʻau e paipai hou i ka amoxicillin ma ke ʻano he lāʻau mua no ka UTI i ka hapa nui o nā mākua me ka maʻi ʻōpū mimi maʻalahi a maʻalahi ʻole.

Pehea ka Amoxicillin-Clavulanate (Augmentin)?

Ua lohe paha ʻoe i kahi lāʻau like i kapa ʻia ʻo amoxicillin-clavulanate (inoa inoa: Augmentin). He lāʻau hui kēia. Loaʻa iā ia ka amoxicillin a me ka clavulanate potassium. ʻAʻole he lāʻau hao ʻino ka clavulanate; ma kahi o ia, he mea pāpale ʻo beta-lactamase.

I nā ʻōlelo maʻalahi, hana kekahi mau bacteria pale i kahi enzyme (beta-lactamase) e luku i ka amoxicillin ma mua o ka hiki ke hana. Hoʻopaʻa ka clavulanate i kēlā enzyme, e ʻae ana i ka amoxicillin e hana i kāna hana. No kēia kumu, ʻoi aku ka maikaʻi o ka amoxicillin clavulanate no ka UTI ma mua o ka amoxicillin wale nō a hiki ke kuhikuhi ʻia ke hiki ʻole ke hoʻohana ʻia nā lāʻau ʻē aʻe mua.

A Ihea ka Amoxicillin i Kuhikuhi ʻia ai no ka UTI?

Inā ʻaʻole ia he koho kiʻekiʻe, no ke aha ka amoxicillin no ka UTI e kūkākūkā ʻia nei? No ka mea, aia kekahi mau kūlana kūikawā e ʻike ai ke kauka he pono ia no ka hana.

1. Hāpai: Pono e mālama koke ʻia ka UTI i ka wā hāpai e pale aku i nā pilikia. Manaʻo ʻia ka amoxicillin he palekana no ka hoʻohana ʻana i ka wā hāpai (Category B), e lilo ai ka amoxicillin no ka UTI i ka wā hāpai i koho maʻamau a maikaʻi hoʻi, no ka mea, hiki i nā lāʻau mua i koi ʻia ke loaʻa nā hoʻonohonoho palekana ʻokoʻa kumu.
2. Nā Keiki: Hoʻohana pinepine ʻia ka amoxicillin e mālama i nā UTI i nā keiki, pinepine ma ke ʻano wai i maʻalahi iā lākou ke lawe.
3. Ka Loaʻa ʻana o ka Hōʻoia ʻana: Inā lawe ke kauka i kahi laʻana mimi no ka hoʻomaʻemaʻe a me ka hoʻāʻo ʻana i ka maʻi, hiki i ka hale hana ke hoʻomaopopo i ke ʻano kikoʻī o ka bacteria e kumu ai kāu UTI a me nā lāʻau hao ʻino e pale ai ʻo ia. Inā hōʻike nā hopena i kāu maʻi kikoʻī i hana ʻia e ka bacteria i hiki i ka amoxicillin ke pepehi, hiki i kāu kauka ke kuhikuhi iā ia.
4. Nā ʻAlergona a i ʻole ka Hoʻomanawanui ʻole: Inā maʻi ka mea maʻi i nā lāʻau mua i koi ʻia (e like me nā lāʻau sulfa i loaʻa ma Bactrim), hiki ke noʻonoʻo ʻia ka amoxicillin ʻo kekahi o nā koho ʻē aʻe no ka UTI.

Ka Dosi a me ka Wikiwiki o ka Hana

Inā hoʻoholo ke kauka he kūpono ka amoxicillin iā ʻoe, he mea nui e hahai pono i kāna mau ʻōlelo kuhikuhi. ʻO ka dosi amoxicillin maʻamau no ka UTI i nā mākua he 500 mg i kēlā me kēia 8 a i ʻole 12 hola, a i ʻole 875 mg i kēlā me kēia 12 hola. No nā keiki, pili ka dosi i ko lākou kaumaha.

No laila, pehea ka lōʻihi o ka hana ʻana o ka amoxicillin no ka UTI? ʻO ka hapa nui o ka poʻe e hoʻomaka e ʻike i ka hoʻōla ʻana mai ko lākou mau hōʻailona i loko o 1 a 3 mau lā ma hope o ka hoʻomaka ʻana i ka lāʻau hao ʻino. Paha e emi kou ʻeha, a e emi paha ka makemake nui e mimi.

Akā naʻe—a he mea nui loa kēia—pono ʻoe e hoʻopau i ka papa holoʻokoʻa o nā lāʻau hao ʻino i kauoha ʻia e kāu kauka, ʻoiai inā maikaʻi loa ʻoe. Hiki i ka papa maʻamau ke lōʻihi mai 3 a 14 mau lā. Hiki i ka haʻalele mua ke ʻae i ka bacteria ikaika, ʻoi aku ka pale ʻana e ola a hoʻonui, e alakaʻi ana i ka maʻi hou ʻoi aku ka paʻakikī ke mālama.

Nā Hopena ʻAoʻao Hiki a me nā Mālama

E like me kekahi lāʻau lapaʻau, hele mai ka amoxicillin me nā hopena ʻaoʻao. ʻO ka hapa nui he maʻalahi a hiki ke hoʻokele ʻia, akā he mea nui ka ʻike i ka mea e ʻimi ai.

ʻO nā hopena ʻaoʻao maʻamau o ka amoxicillin no ka UTI penei:

• ʻOka a luaʻi paha
• Ka maʻi palahī
• ʻO ke poʻo
• He loli i ka ʻono
• Nā maʻi hū ʻōpū

ʻAʻole pinepine nā hopena ʻaoʻao koʻikoʻi akā pono lākou i ka lāʻau koke. E hoʻōki i ka lawe ʻana i ka lāʻau a kāhea i kāu kauka a i ʻole e ʻimi i ka mālama pilikino inā ʻoe e ʻike i:

• Ka ʻili ʻili nui, nā ʻūhā, a i ʻole ka ʻōhū
• Ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka ʻāʻī
• Ka paʻakikī i ka hanu ʻana a i ʻole ka ale ʻana
• Ka maʻi palahī nui a wai paha (hiki ke lilo i hōʻailona o ka maʻi C. diff)
• Ka koko ʻole maʻamau a i ʻole ka ʻoki ʻana

ʻOiaʻiʻo, inā loaʻa ʻoe i ka maʻi maʻi i ka penicillin, ʻaʻole pono ʻoe e lawe i ka amoxicillin.

Nā Lāʻau Hao ʻino Mua a me nā Lāʻau ʻē aʻe no ka UTI

Inā ʻaʻole ka amoxicillin ka luna, he aha ia? ʻO ka lāʻau mua no ka UTI pinepine ka mea i pili i nā ʻano pale ʻana o ka wahi, kāu mōʻaukala olakino, a me nā maʻi maʻi. ʻO nā lāʻau hao ʻino i paipai pinepine ʻia e nā kauka no nā UTI maʻalahi ʻole penei kumu:

• Nitrofurantoin (Macrobid)
• Trimethoprim/sulfamethoxazole (Bactrim, Septra)
• Fosfomycin (Monurol)

Maʻalahi loa kēia mau lāʻau no ka E. coli a loaʻa nā pae pale haʻahaʻa.

Ka Mālama ʻAna ma ka Hale a me ka Pale ʻana

ʻOiai pono nā lāʻau hao ʻino e hoʻōla i ka UTI, hiki iā ʻoe ke lawe i nā ʻanuʻu ma ka home e hoʻomaha ai i kou ʻeha a kōkua i ka pale ʻana i nā maʻi e hiki mai ana:

• E inu i ka wai nui: Kōkua kēia i ka hoʻoheheʻe ʻana i kou mimi a holoi i nā bacteria mai kou ʻōnaehana.
• E hoʻohana i ka ʻeke wela: Hiki i ka hoʻokomo ʻana i kahi ʻeke wela ma kou ʻōpū a i ʻole ke kua ke kōkua i ka hoʻomaha ʻana o ke kaomi a me ka ʻeha.
• E mimi ke makemake ʻoe: Mai paʻa no nā wā lōʻihi.
• E holoi mai mua a hope: Kēia e pale ai i nā bacteria mai ka ʻāina anal mai ka laha ʻana i ka ʻauwae mimi.
• E mimi ma hope o ka moe kolohe: Hiki i kēia ke kōkua i ka holoi ʻana i nā bacteria i komo paha i loko o ka ʻauwae mimi.

FAQ: Nā Nīnau no ka Amoxicillin a me nā UTI i Pane ʻia

E kālailai kākou i kekahi o nā nīnau maʻamau a ka poʻe.

He aha kaʻu e hana ai inā ʻaʻole maikaʻi nā hōʻailona UTI ma hope o ka lawe ʻana i ka amoxicillin?

Inā ʻaʻole i maikaʻi kou mau hōʻailona ma hope o 2-3 mau lā o ka lāʻau hao ʻino, pono ʻoe e kāhea i kāu kauka. He hōʻailona maopopo kēia e hiki ke pale ʻia ka bacteria e kumu ai kāu maʻi i ka lāʻau. ʻO kēia kekahi kumu nui e nīnau ai i kāu kauka, “he aha kaʻu e hana ai inā ʻaʻole i hoʻōla ka amoxicillin i ka UTI?” Pono paha lākou e hana i kahi hōʻike mimi e hoʻomaopopo i ka bacteria a hoʻololi paha iā ʻoe i kahi lāʻau hao ʻino ʻē aʻe, ʻoi aku ka maikaʻi.

Hiki i ka UTI i mālama ʻole ʻia ke lilo i maʻi puʻupaʻa koʻikoʻi?

ʻAe, ʻoiaʻiʻo. ʻO ia kekahi o nā pilikia nui loa o ka mālama ʻole ʻana i ka UTI. Inā hele ka bacteria mai kou ʻōpū mimi a i kou mau puʻupaʻa, hiki ke kumu i ka maʻi koʻikoʻi loa i kapa ʻia ʻo pyelonephritis. No laila, hiki i ka UTI ke lilo i maʻi puʻupaʻa? ʻO ka pane he ʻae loa. ʻO nā hōʻailona o ka maʻi puʻupaʻa, ʻoi aku ka ʻino a hiki ke pili i ke kuni kiʻekiʻe, ke anu, ka ʻeha o ke kua a me ka ʻaoʻao, ka ʻoka, a me ka luaʻi kumu. Pono ka maʻi puʻupaʻa i ka mālama koke ʻana.

Palekana paha ka lawe ʻana i ka amoxicillin no ka UTI i ka wā hāpai?

E like me ka mea i ʻōlelo ʻia, ʻae. ʻO ia kekahi o nā lāʻau hao ʻino i hoʻohana pinepine ʻia a palekana no ka amoxicillin no ka UTI i ka wā hāpai. E ana ke kauka i nā pono a koho i ka koho maikaʻi loa a palekana loa no ʻoe a me kāu pēpē.

Hiki iaʻu ke hoʻohana i nā lāʻau amoxicillin i waiho ʻia mai kekahi maʻi ʻē aʻe?

Mai loa. He mea nui loa kēia. ʻAʻole pono ʻoe e hoʻomaʻi iā ʻoe iho a lawe i nā lāʻau hao ʻino i waiho ʻia. Aia nā kumu he nui no kēia: 1. Paha ʻaʻohe āu UTI; hiki ke lilo kou mau hōʻailona i mea ʻē aʻe. 2. Paha ʻaʻole kaulike a ʻaʻole piha paha ka papa o ka lāʻau i loko o nā lāʻau i waiho ʻia. 3. Paha ʻaʻole pono ka amoxicillin no ke ʻano kikoʻī o ka bacteria e kumu ai kou maʻi o kēia manawa. ʻO ka lawe ʻana i nā lāʻau hao ʻino pono ʻole e hāʻawi i ka pilikia honua o ka pale ʻana o nā lāʻau hao ʻino.

No laila, hana anei ka amoxicillin no ka mālama ʻana i ka UTI? ʻAe, hiki nō, akā ma nā kūlana kikoʻī wale nō, i ʻae ʻia e ke kauka. A he lāʻau hao ʻino maikaʻi paha ka amoxicillin no nā UTI ma ka laulā? No ka hapa nui o nā hihia mākua maʻalahi ʻole, aia nā koho ʻoi aku ka maikaʻi a ʻoi aku ka hilinaʻi.

Ka Hopena

ʻOiai ʻoi aku ka liʻiliʻi o ka hoʻohana ʻana i ka amoxicillin no ka UTI ma mua o ka wā ma mua, aia nō ia i loko o ka lāʻau lapaʻau, ʻoi aku hoʻi no nā wahine hāpai, nā keiki, a i ʻole ke hōʻoia nā hoʻāʻo ʻana i ka hale hana e pono ia. ʻO ka hoʻololi ʻana mai ia mea ma ke ʻano he lāʻau mua, ʻo ia ka hopena pololei o ka piʻi ʻana o ka E. coli i kona pale ʻana iā ia.

ʻO ka mea koʻikoʻi loa e lawe aku ai: pono ka UTI i ka hoʻomaʻi ʻana e ka ʻoihana lapaʻau. ʻO ka hoʻohana ʻana i ka lāʻau hao ʻino i waiho ʻia he mea weliweli a hiki ke alakaʻi i nā maʻi i hoʻōla ʻole ʻia, nā pilikia koʻikoʻi e like me ka maʻi puʻupaʻa, a me ka piʻi ʻana o ka pale ʻana o nā lāʻau hao ʻino.

Inā manaʻo ʻoe he UTI kou, ʻo ka hana maikaʻi loa a palekana loa ʻo ke kamaʻilio ʻana me kahi mea mālama ola. Hiki iā lākou ke hoʻomaʻi pololei i kou maʻi a kuhikuhi i ka lāʻau hao ʻino ʻoi aku ka maikaʻi no ʻoe, e hōʻoiaʻiʻo ana e loaʻa iā ʻoe ka hoʻōla koke a palekana.