Kāore te Amoxicillin mō te pangia o te ihu te whiriwhiri tuatahi o ngā aratohu. E taunaki ana te IDSA i te amoxicillin-clavulanate (Augmentin) hei utu, nā te mea he nui te ōrau o ngā momo Haemophilus influenzae e aukati ana i te amoxicillin noa. Ka noho tonu te amoxicillin noa hei rongoā tuatahi mō ngā pangia o te taringa, i te 80 ki te 90 mg/kg/ra, me te kapi a te karuropi kua whakapumautia e tētahi whakamātautau.
TL;DR: Ngā Kōrero Matua
- Ko te nuinga o ngā pangia o te ihu me te taringa he viral, ā, ka mama iho hei te kore o tētahi antibiotic.
- Mō ngā pangia huakita o te ihu, e pai ana ngā aratohu ki te amoxicillin-clavulanate i runga i te amoxicillin noa.
- Ko ngā pangia o te taringa te rereke: ko te amoxicillin noa te nui, 80 ki te 90 mg/kg/ra, kei te noho tonu hei rongoā tuatahi.
- Me whai whakamātautau pai te kapi a te karuropi i te tuatahi, ā, ka mutu he 10 ra te roa o te rongoā.
- Tūmanako he whakapainga i roto i te 24 ki te 48 haora mō te kapi a te karuropi, me te 2 ki te 4 ra mō ngā pangia o te ihu me te taringa.
Kāore te Amoxicillin Noa mō te Pangia o te Ihu te Tika te Whiriwhiri Tuatahi
Ka whakawhiwhia te Amoxicillin mō te pangia o te ihu i ngā wā katoa, engari ehara i te mea ko te aratohu te tuatahi. E kii ana te aratohu IDSA 2012 mō te rhinosinusitis huakita koi i te amoxicillin-clavulanate, ehara i te amoxicillin anake, hei rongoā tuatahi mō ngā tamariki me ngā pakeke. Ko te take he pūmau, he motuhake: 27% ki te 43% o ngā wehenga H. influenzae ka aukati i te amoxicillin engari ka kaha tonu ina tāpirihia te clavulanate.
Ehara te Clavulanate i te antibiotic kaha ake. He whakangungu ia. Ka aukati ia i te enzyme e whakamahia ana e aua huakita ki te whakangaro i te amoxicillin i mua i te taea o te rongoā ki te mahi i tētahi mea whai hua.
Anei te mea kāore e kii te nuinga o ngā whārangi: he maha tonu ngā kaimātai hauora whai wheako ka tuhia tonu te amoxicillin noa mō te sinusitis, ā, mō tētahi keehi kāore i te uaua i roto i te pakeke hauora kē kua kore e tango antibiotics tata nei, he maha tonu te mahi. Kei te aromatawai te kaiwhakahau i ngā tauira aukati o te rohe, tō hītori mate pāwera, me te aha kua rongoatia koe i tēnei tau. Ehara te whakahaunga mō te amoxicillin noa i te he. He whakataunga whai tika koe ki te pātai mōna.
Kāore te Nuinga o Ngā Pangia o te Ihu me te Taringa i Ngā Wā Katoa i Tonoa he Antibiotic
E whai kupu ana te CDC mō tēnei: ko te nuinga o ngā pangia o te ihu ka puta mai i ngā huaketo ā, ka mama iho hei te kore. Ka taea e ngā kaimātai hauora te whakamahi i te matakitakitanga, te tuhi rānei i tētahi whakahaunga āta whakaroa ka whakakiia e koe anake ki te kore e pai ake i roto i ngā rā e rua, e toru rānei. Ko te okiokinga, ngā wai, me ngā horoi konutai kei te mahi i roto i taua wā.
E whakaahua ana te IDSA e toru ngā tauira e tohu ana i te huakita, ehara i te huaketo:
- Ngā tohumate e roa ana te 10 rā neke atu rānei kāore he whakapainga.
- Te tiimatanga kino: kirika 39°C (102°F) neke atu rānei me te putanga pirau, te mamae rānei o te mata, mō ngā rā 3 ki te 4 ngā ra.
- "Te mate rua": i tīmata koe ki te pai ake, ā, ka kino rawa atu.
He rereke te mahi o te mamae o te korokoro engari ka mutu ki te wāhi kotahi. E kii ana te CDC e kāore e taea e te āhua o te tinana te wehewehe i te pharyngitis viral i te strep o te rōpū A. Ko te whakamātautau tere o te antigen, te tikanga rānei o te korokoro, ka puta tuatahi, ā, me whakapūmau te whakamātautau tere o te tamaiti ki tētahi tikanga. Kaua e tūmanako, e tono rānei i te amoxicillin i runga i ngā tohumate anake. Ko te pēhanga i te tari o mua te take ka mutu ai tētahi mate huaketo me te taha o te korere, kāore hoki he painga. Ki te he kē ō tohumate, pērā i te pangia o te ihu kāore he kōhuru, ka nui ake te hiranga o taua kāore i te tino mārama.
Ki te kāore koe i te tino mārama kua eke koe ki te paepae, ko te $39 te haerenga urgent online a August ka honoa koe ki tētahi kaimātai hauora whai raihana o Amerika ka whakatau mena ka tika te antibiotic, ā, ka whakahaere anake mena ka tika. Kia mārama ki ngā rohe: kāore e taea e te ataata te titiro ki roto i tētahi taringa, te tango rānei i tētahi tauira kapi, nā reira ko te pangia o te taringa, te strep pea, ka hiahiatia he āhua tinana ki te wāhi.
Ko te Kai mō te Ihu ka Wehea mā te Tau: He Poto mō ngā Pakeke, He Roa mō ngā Tamariki
Ehara te kai Amoxicillin mō te pangia o te ihu i tētahi tau kotahi, ā, ko te roa o te rongoā ka whai i te tau maha ake i te taumaha. E kii ana te IDSA ki te 5 ki te 7 rā mō ngā pakeke me te rhinosinusitis huakita koi kāore i te uaua, me te 10 ki te 14 rā mō ngā tamariki. Ko ngā tikanga kai nui (2 g takirua i te ra i ngā pakeke, 90 mg/kg/ra i ngā tamariki) ka rahuitia mō ngā take morearea: te whakamahi antibiotics tata, te haere ki te whare tiaki tamariki, te rohe rānei kua mōhiotia ngā take aukati.
Ko ngā pae paerewa pakeke e kitea ana i te mahi ko te 500 mg ia 8 haora, te 875 mg rānei ia 12 haora. Ko tā mātou wetewete katoa o te kai Amoxicillin mō ngā pakeke ka kōrero ki te pehea e huri ai aua pae i runga i te mate.
Mō ngā tamariki, ko te kai Amoxicillin mō te pangia o te ihu ka pae ki te taumaha, ā, he hua whai take tēnei e kore e aro atu ngā mātua: ko te kai tika o te tamaiti kotahi ka huri i waenga i ngā mate i a ia e tipu ana. Ko te pounamu i toe nō te takurua kua pahure nei ko te kai nō te takurua kua pahure nei.
Ko Ngā Pangia o te Taringa te Wāhi Kotahi e Noho Tonu Ana te Amoxicillin Nui hei Rongoā Tuatahi
Ko te Amoxicillin mō te pangia o te taringa te whakaata o te kōrero mō te ihu, nā te mea kei konei tonu te amoxicillin noa te whakautu aratohu. Ko te arotake tere o ngā taunakitanga AAFP 2013 mō te otitis media koi ka whakatakoto i te amoxicillin nui, 80 ki te 90 mg/kg/ra i ngā kai wehewehe e rua, hei tuatahi mō ngā tamariki.
Ka wehea te roa mā te tau me te taumaha: 10 rā mō ngā tamariki kei raro iho i te 2, me ngā tohumate kino, me te 5 ki te 7 rā mō ngā keehi ngāwari i ngā tamariki 2 tau te pakeke me te pakeke ake rānei. Ko te tirotiro kāore he antibiotic he kōwhiringa tika i roto i ngā keehi kāore i te kino kua whiriwhiria, ina ka whakapumautia te aroturuki, he mea pai ki te whakahua mena kua whai rongoā maha tō tamaiti.
Ka pangia hoki ngā pakeke ki te pangia o te taringa. Ka rongoatia rātou ki te kai amoxicillin paerewa pakeke, ehara i te tatauranga pae ki te taumaha. Ki te tonu te pangia, panui atu ki te pangia o te taringa me ngā raruraru rongo i mua i te hurihanga e whai ake nei.
Ko te Whakahaunga Strep Mō te Aukati i te Mate Reumatic, Ehara te Whakamāori i te Korokoro
Ka whakawhiwhia te Amoxicillin mō te kapi a te karuropi mō tētahi take kāore e rongo te nuinga o te tangata. E tino kii ana te CDC ko te kaupapa o te rongoā ko te whakaiti i te tūponotanga o te mate reumatic koi me ngā raruraru pirau pērā i te peritonsillar abscess me te mastoiditis, ehara i te mea ko te poto noa i te mamae o te korokoro kia kotahi te rā.
Ko te tikanga tuatahi a te CDC ko te amoxicillin 50 mg/kg kotahi i te ra, tae atu ki te 1,000 mg, mō te 10 rā. Ko te Penicillin V he rite te whai hua, ā, ka pai ake i roto i ētahi tikanga whakahaere nā te mea he whānui ake tana kōpaki, ā, ko te take ka pānui ai ngā aratohu me te mea ko te amoxicillin te tuarua. Ehara. Ko ia te kōwhiringa kaingākau ake, otirā mō ngā tamariki.
Whakaotia ngā ra 10 katoa ahakoa ka pai te korokoro i te rā tuatoru. Ka mutu te kirika, hoki atu ki te kura, ki te mahi, ki te whare tiaki tamariki 24 haora i muri i te kai tuatahi.
Ko te Pai ake i roto i te Rua Rā Kāore e Tīwhiwhiwhi ana ka taea e koe te whakamutu i te Rongoā
Kia roa te Amoxicillin ki te mahi ka whakawhirinaki ki te mate e rongoatia ana. Ko ngā tohumate Strep ka mama i roto i te 24 ki te 48 haora. Ko ngā pangia o te ihu me te taringa ka hiahiatia te 2 ki te 4 rā ki te hurihanga, nā te mea ka puhoi te whakaheke o ngā wāhi kua pupuhi, kua kapi, ahakoa ka hinga ngā huakita.
Kāore he whakapainga nui i te 48 ki te 72 haora he waea, ehara i te tatari me te titiro. E toru ngā whakamārama kei te wātea: tētahi momo aukati, te tātaritanga he, te mate huaketo rānei kāore i te tika kia whakautu.
Ko te hopu: kaua e whakatau i te angitu mā te pai o te mārama o tō māhunga. Ka taea e te wai kei muri i te whatiwhati me te kōputu i muri i te mate te roa mo ngā wiki i muri i te rongoā o te mate anō. Ko taua kapi roa nei he whakaheke, ehara i te rahunga, ā, ehara i te take mō tētahi antibiotic tuarua.
Ētahi Tauira Amoxicillin ka Tonoa Koe ki te Tari; Ētahi Ka Tonoa Koe ki te 911
Ko ngā paanga taha noa o te amoxicillin kaore i te tino ataahua, ā, kaore he kino: korere, nausea, mātete ngāwari, me ngā pangia huaketo. He raruraru, ehara i te mate, ā, ko te nuinga kāore e hiahiatia te whakamutu. He poto te rarangi o ngā tauira he rerekē rawa.
Waea atu ki te 911, haere rānei ki tētahi ruma whawhati tata mena:
- Kei a koe he wheezing, he uaua ki te manawa, ki te horomia rānei, me te pūhua o te kanohi, korokoro, arero, ngutu, kanohi rānei, me te kiri rawa, te kiri kiri rānei.
- Ka puta koe i te korere wai rawa, korere toto rānei me te kirika me te mamae o te puku, ka tohu pea i te colitis C. difficile.
- Ko te pangia o te ihu ka puta mai me te mamae nui, te pūhua o te kanohi, te whakarerekētanga o te tirohanga, te raruraru rānei.
- Ko te pangia o te korokoro ka puta mai me te horoia, he reo "hua wera" ngongengi, he kore rānei e taea te whakatuwhera i te waha.
- He tamaiti he pūhua, whero, mamae rānei kei muri i te taringa me te kirika.
Whakaritea tētahi āhua i roto i te wiki e whai ake nei mena:
- Kua 10 rā neke atu rānei ngā tohumate o te ihu kāore he whakapainga.
- Kāore koe i te pai ake i muri i te 3 rā o te rongoā.
- Ka whiwhi koe i ngā wahanga o te ihu e whā neke atu rānei i te tau.
- Ka tonu te pangia o te taringa, kaore rānei te rongo e rite ana i muri i te rongoā.
Kōrero ki tētahi kaimātai i mua i te tīmatanga mena:
- Kei a koe he mate pāwera ki te penicillin, cephalosporin, mate whatukuhu, me te mate C. difficile o mua.
- E whakapae ana te mononucleosis.
- Kei te hapu koe, kei te whāngai rānei koe.
- Ka tango koe i te methotrexate, i te allopurinol rānei.
Ki te kāore koe i te tino mārama kei hea koe, ko te Kaiāwhina AI Tohumate a August kore utu ka āwhina i a koe ki te wehewehe i te wāhi ki te wāhi i mua i tō whakatau ki hea haere.
Ngā Pātai Auau
Ka Rongoa Amoxicillin i te Strep Throat?
Āe. Ka pātai ana te tangata ka rongoa amoxicillin i te strep throat, ko te whakautu ka pure te Streptococcus o te rōpū i te wa e whakapumautia ana e tētahi whakamātautau. Ko te kukū ko te mononucleosis, he kaitāwhai strep noa. Ko te amoxicillin i whakawhiwhia ki tētahi ka mate mono tonu ka puta he mātete whānui ka rite ki te mate pāwera rongoā engari ehara i te mea. Tētahi atu take mō te whakamātautau i mua i te whakahaunga.
Ka taea e au te tango amoxicillin ki te mate pāwera ahau ki te penicillin?
Kāore. Ko te Amoxicillin he penicillin, nā reira ko te mate pāwera penicillin pono ka aukati i a ia. Ka whakakapi ngā kaimātai hauora i ētahi atu momo i runga i te mate, ko te doxycycline noa mō te sinusitis me te azithromycin, clindamycin rānei mō te strep, me ētahi cephalosporins ka whakamahia i runga i te tupato i roto i ngā tangata ko ā rātou tauira he ngāwari. He maha ngā "mate pāwera penicillin" o te tamarikitanga ka puta he he i te wāhi whakamātautau mana, he mea pai ki te whai mena ka kaha tonu te whakaiti i ō kōwhiringa.
Me aha ahau ki te ngaro tētahi kai o te amoxicillin?
Kāore i te nuinga. Kāore tētahi kai ngaro e whakahoki i tētahi rongoā. Kainga hei te wa ka mahara koe, engari ki te tata ana te wa o tō kai e tū ana, me pehi te kai ngaro, ā, ka haere tonu. Kaua e rua te kai hei hopu. Ki te ngaro koe i ngā kai i ngā wā katoa, kōrero ki te kaiwhakahau, nā te mea he maha ake te mahi o tētahi tikanga rua i te kotahi ia waru haora.
He haumaru te amoxicillin i te wā hapū?
I ētahi wā. Ko te Amoxicillin kei roto i ngā antibiotics e whakamahia nuitia ana e ngā kaimātai hauora i te wā hapū me te whāngai, engari ko taua whakataunga no te tangata e whakahaere ana, ka aromatawai ki te mate e rongoatia ana. Korerohia mai kei te hapu koe, kei te ngana ki te hapu, kei te whāngai rānei i mua i te tuhia o te whakahaunga, ehara i muri i te tiki. Ka taea te whakarerekē te kai me te roa, kaua ki te whakarerekē te rongoā.
E hia te utu o te amoxicillin kāore he inihua?
Kāore i te nuinga. Ko te Amoxicillin he generic tawhito, ā, ko tētahi o ngā antibiotics iti rawa te utu e whakamahia nuitia ana, ahakoa ka rereke te tau tika mā te whare rongoā, te hanganga, me te rahi, ā, ka rereke te utu o ngā ranunga wai mō ngā tamariki i ngā kapene. Ka wetewetehia e mātou ngā tau nama o nāianei i roto i tā mātou aratohu mō te nui o te utu o te amoxicillin kāore he inihua.
Ka taea e au te whakamahi i te amoxicillin i toe mai i tētahi whakahaunga tawhito?
Kāore. Ko ngā pire i toe te kai he, ā, i runga i te whakamaaramatanga, he rongoā kāore i oti, ā, kua tata te huri o te kai pae ki te taumaha o te tamaiti mai i tera wā. Ko te tango i te amoxicillin mō ngā tohumate pangia o te ihu kāore he aromatawai o nāianei, ko te tikanga hoki kāore tētahi i tirotiro mena kua eke koe ki te paepae huakita.
Ko te Rarangi Raro mō te Amoxicillin mō te Pangia o te Ihu, Taringa, me te Kapi a te Karuropi
Ko te paepae tātaritanga ka puta i mua i te whakahaunga, i ngā wā katoa. Mō ngā pangia o te ihu, ka pai ake te amoxicillin-clavulanate i te amoxicillin noa, mō te 5 ki te 7 rā i ngā pakeke me te 10 ki te 14 rā i ngā tamariki. Mō ngā pangia o te taringa, ko te amoxicillin noa te nui i te 80 ki te 90 mg/kg/ra te noho tonu hei rongoā tuatahi. Mō te strep kua whakapumautia, ko te 50 mg/kg kotahi i te ra, tae atu ki te 1,000 mg, mō te 10 ra katoa.
Whakaotia te rongoā ahakoa ka pai te ahua, ā, waea atu ki te tari mena kāore he whakapainga i te 72 haora.
Whakakāhoretanga: Ko tēnei tuhinga mō ngā kōrero anake, ā, kāore e tika te tohutohu hauora. Kōrero tonu ki tētahi kaimātai hauora whai tohu mō ngā whakataunga tātaritanga me te rongoā. Ki te wheako koe i tētahi mate urutomo, waea atu ki te 911, haere rānei ki te rūma whawhati tata tata atu i te wāhi tonu.
