I te nuinga o te wā ehara i te mate whēnei. Ko te mōputaputa ka puta mai i roto i ētahi rā o te rongoā amoxicillin, ko te nuinga he mōputaputa tarukino kaore e kino, ā, ko te nuinga ka puta mai i te wheori kua pā kē ki a koe, ki tāu tamaiti rānei. I roto i tētahi rangahau whakahoki, 6.8% noa iho o ngā tamariki i tohua he mate whēnei i te wā i whakamātau anō. Ko te wā me ngā tohu whakatūpato te whakaatu i te rerekētanga.

TL;DR: Ngā Kōrero Matua

  • Ko ngā mōputaputa ka timata i roto i ētahi rā o te rongoā, kaore i te mate whēnei; ko ngā tauhohe tonu ka timata i roto i te kotahi haora pea.
  • Ko ngā wāhi papatahi, mawhero, ōrite, ā, kāore e tino ngau te ngau i te tinana, ko te tauira noa o te mea kaore e kino.
  • Ko te pupu, te kiri kiri, ngā kamo, ngā kanohi, te pupuhi o te kanohi me te kirika, te uaua rānei ki te manawa he mate urupare.
  • Ko te nuinga o ngā mōputaputa kaore e kino ka memeha i roto i te wiki pea.
  • Kaua e whakatau ko koe anō koe he mate whēnei ki te penicillin. Me whakatau te tauhohe hei utu.

Ko te nuinga o ngā mōputaputa amoxicillin he pānga taha, ehara i te mate whēnei

Ko te mōputaputa ka puta mai i roto i ētahi rā o te rongoā amoxicillin, kaore i te mea he mate whēnei pono, engari he mōputaputa tarukino kaore e kino. Ka noho papatahi, mawhero, ōrite hoki, ka puta mai i te takiwa o te whā, te rima o ngā rā, ā, i te wā e mahi kē ana tētahi wheori. Ko te mate whēnei pono ka whakatauhia e te wā me ngā tohu i tua atu i te kiri.

Ko te taunakitanga kaha rawa atu mō tērā ka puta mai i te whakamātau anō. I roto i tētahi rangahau tōtika mō ngā tamariki 88 i tohua he mate whēnei ki te penicillin, ki te amoxicillin rānei i muri i te mōputaputa, 6.8% noa iho (ngā tamariki tokoono) i tauhohe i te wā i hoatu whaimana te tarukino anō i raro i te manaaki. Ko te tiimatanga toharite o te mōputaputa taketake, 4.9 rā i muri mai i te horopeta tuatahi, ā, 65.9% o ngā tamariki i eke ki te whakamātau i pangia e te mate wheori kua whakau, i te wā kotahi.

Ka rite te arorau ki ngā pakeke. Tata ki te 8% ki te 10% o ngā tangata i ngā whenua o Amerika ka mau ki te ingoa o te mate whēnei ki te penicillin, ahakoia neke atu i te 90% o rātou ka manawanui ki te penicillin i te wā i whakatauhia. Ko te ingoa, he maha atu i te kore, he he noa iho.

Ko te wā te whakaatu atu i te mōputaputa ake

Ki te mea i kii tētahi he mōputaputa maculopapular, ko te tauhohe kiri noa o te amoxicillin, ko te whakamaoritanga reo Ingarihi noa ko ngā wāhi mawhero papatahi ki te piki paku ka taea te whakakotahi ki ngā wāhi nui ake, ka timata i te tinana ka horapa ki waho.

Ko te mea e wehe ana i te mea kaore e kino mai i te mea he raruraru ko te wā i timata ai, ehara i te ahua. Ko ngā tauhohe IgE-mediated pono, ko te momo tonu, ka timata i roto i te kotahi haora pea o te horopeta. Ko te mōputaputa roa, T-cell-mediated, ka puta mai i roto i ngā rā, ā, ka pā ki te 7% o ngā tangata e tango ana i te aminopenicillins. Ko te hives he whewhe kua piki ake ka nui te ngau, ka neke haere i te tinana, ā, ka memeha mai i tētahi wāhi i roto i ngā haora. Ko te mōputaputa roa ka noho tonu, ka horapa ōrite, ā, ka ngau ngāwari, kāore rānei e ngau. Kāore he whakamātau kiri mōna.

Koinei te mea kāore e kii te nuinga o ngā whārangi: kāore he ture ipurangi e whakakapi ana i te tākuta e titiro ana ki te kiri. He maha ngā mea ka puta mai he mōputaputa ngau i te puku, ā, ko te wā e taea ai e koe, e tāu tamaiti rānei te kōrero, he nui ake i tētahi whakaahuatanga e pānui ana koe.

E toru ngā tauira o ngā tauhohe amoxicillin, ehara i te rua

Ko ngā tohu mate whēnei ki te amoxicillin ka whakaatuhia hei rua kōwhiringa, he mōputaputa kaore e kino, he anaphylaxis rānei, ā, ka ngaro te wāhanga waenganui e tukua ai ngā tangata ki te wāhi tiaki ohorere me te raruraru. E toru ngā tauira e tika ana kia mōhiotia.

  • Tonu, IgE-mediated: hives, angioedema (te pupuhi o ngā ngutu, te arero, te mata rānei), wheezing, te anaphylaxis rānei, i roto i te kotahi haora pea o te horopeta.
  • Te tauhohe rite ki te serum sickness: kirika me te mamae, te pupuhi rānei o te hononga, me te mōputaputa, ka puta mai i te kotahi ki te toru wiki i muri i te tīmatanga. Ehara tēnei i te mōputaputa o te rima o ngā rā, ehara i te hives tonu.
  • Ngā tauhohe roa kino onge: Stevens-Johnson syndrome me te toxic epidermal necrolysis (te mamae o te kiri, te pupuhi, te kiri kiri, ngā kamo i roto i te waha, ngā kanohi, ngā taihekeheke), me te DRESS syndrome (kirika, te pupuhi o te kanohi, te pupuhi o ngā kōpuku, ka puta mai i te rua ki te ono wiki).

Ko te Stevens-Johnson syndrome ka puta mai kotahi ki te toru rā i mua i te mōputaputa me ngā tohu whakatūpato rite ki te rewharewha: kirika, ngā kanohi e wera ana, te mamae o te waha, te korokoro rānei. Ki te whai koe, tō tamaiti rānei i aua tohu me te mōputaputa hou, ka nui ake taua huinga i tērā kei runga i tēnei whārangi.

He kino te mōputaputa amoxicillin? He iti noa, engari ko ngā tohu whā te tino rereke

Ko te mōputaputa amoxicillin kaore i te kino. Ko ngā rereketanga ka puta, ā, ka kitea ahakoa kāore koe he tohu tākuta.

Waea atu ki te 911, haere rānei ki tētahi whare haumanu ohorere inaianei ki te:

  • Ko ngā ngutu, te arero, te mata, te korokoro rānei ka pupuhi, te uaua rānei ki te manawa, ki te horomia rānei, i roto i ngā meneti ki ngā haora o te horopeta.
  • Ko ngā hives ka horapa tere me te whanako, te pahekeheke, te tere rānei, te ngāwha ngoikore.
  • Ko te kiri ka mamae, ka pupuhi, ka kiri rānei, ko ngā kamo rānei kei roto i te waha, ngā kanohi, ngā taihekeheke, ā, otirā me te kirika. E tohutohu ana a Mayo Clinic kia waea atu ki te 911 tonu mō ēnei tohu.
  • He wheezing, he uaua rānei ki te manawa me te mōputaputa.

Whakarite wāhi ki te tiki i roto i te wiki e tū mai nei ki te: kei te horapa tonu te mōputaputa, kāore rānei i te whakarerekē i muri i te wiki; ka puta te kirika me te mamae o te hononga i te kotahi ki te toru wiki i muri mai; ka pupuhi ngā kōpuku me te pupuhi o te kanohi; ki te hiahia noa rānei koe kia tuhi tika te tauhohe ki te puka.

Kōrero ki tētahi tākuta i mua i te tīmatanga ki te: kua whai mōputaputa koe, tō tamaiti rānei ki tētahi penicillin i mua; kāore anō kia whakatauhia tētahi ingoa tawhito o te mate whēnei; kei te puta mai ngā tohu mono inaianei; kua timata rānei tētahi atu rongoā hou i te wā kotahi.

Ko te take ka noho ai te paparanga pupuhi ki runga: ko te toxic epidermal necrolysis ka uru ki te pupuhi me te kiri kiri i te 30% pea o te tinana me ngā kōiwi o ngā kanohi, te waha, te ara manawa, me ngā taihekeheke, me te tiaki i roto i te ICU, i te wāhi tahu rānei, ā, he tata ki te 25% te mate. Ki te kore koe e tino mōhio ki te paparanga kei roto koe, ka taea e te August AI Symptom Checker te āwhina i a koe ki te whakatau i te tere o te tiaki i roto i ngā meneti torutoru. Ehara tēnei i te whakakapi ki te waea atu ki te 911 ina pā ana ngā tohu o runga ake nei.

Ko ngā kohungahunga te nuinga o tēnei mōputaputa, ā, ko te mono te take ka pōhēhē ngā tau tatauranga

Ko te mōputaputa amoxicillin i roto i te kohungahunga te putanga tino noa o tēnei kōrero, nā te mea ka pangia ngā tamariki nohinohi e ngā mate taringa me te uma ka rongoatia ki te amoxicillin, ā, kei te haere tonu hoki rātou i ngā wheori. E rua ngā take, kotahi te kiri.

Ko tēnei huinga te whakamārama i ngā tatauranga whakamataku. Ko te reiti o te mōputaputa tarukino ka noho ki te 5% ki te 10%, engari ko te mōputaputa i muri i te amoxicillin i roto i te mononucleosis infectious i kōrero o mua i te 80% ki te 100% o ngā take, ahakoa kua whakapiki ake ngā rangahau hou i te tau pono he iti ake. Ko ngā tūponotanga motuhake o tāu tamaiti ka tino whakawhirinaki ki te mea kei te puta kē he wheori. Kei te whakaatu hoki ngā taunakitanga e puta mai ana ko ētahi mōputaputa e pā ana ki te mono he tino mate urupare roa ki te tarukino, ā, koinei te take ka pai ake te whai i te tohunga i te kii he kaore he kino.

I roto i te tamaiti kaore e taea te kōrero i ngā tohu, tirohia ngā kamo o te waha, te kore e pai ki te inu, te ngōre, te uaua rānei ki te horomia, te momoe nui, me te kirika e piki ake ana hei utu mo te heke.

Ka memeha noa te mōputaputa; ko te whakamutu i te antibiotic ka nui ake te utu i te penapena

Ko te nuinga o ngā mōputaputa ka roa mo te kotahi ki te ono rā, ā, ko te toharite 3.8 rā i roto i te rangahau whakahoki o ngā tamariki 88. Ka puta te ahua kino i mua i te hurihanga, ā, ka pouri, ka papatahi rānei i te wā e āta hoki ana.

Ko te whakaaro ki te whakamutu tonu i te antibiotic ka tino mārama, ā, he he hoki i te nuinga o te wā. Ko te whakarere i tētahi akoranga i runga noa i te mōputaputa ka tupono te mate kare i rongoatia, te whakakapinga kore i tika ki tētahi tarukino whānui atu me te utu nui ake, me tētahi ingoa mate whēnei pumau ka whai atu ki a koe, ki tāu tamaiti rānei mō ngā tekau tau. Ko taua whakatau kei te tākuta kua kite kē i te mōputaputa, ehara i te hua rapu ipurangi.

Ki te hiahia koe i tērā kōtuitui i te tere, ko te wāhi tiaki ohorere ipurangi te utu $39, ā, ka tirotirohia e tētahi tākuta kua rēhitatia ki te US te wā me te whakatau mena he whakahaunga, he whakakapinga rānei e tika ana. Ko te mea kāore e taea e te telehealth ko te tirotiro i te kiri pupuhi, ngā kamo o te mangai, te raruraru ara manawa rānei, me te katoa o ēnei me whai tiaki ohorere. Mō te mōputaputa ka roa ake i te wā e tatari ana, ka honoa ki tētahi tauira o ngā mōputaputa me ngā puku ka hoki mai anō, tono kia tirohia tēnei.

Kaua e kotahi te mōputaputa e noho hei ingoa mate whēnei ki te penicillin mo te ora

Ko te whakatau ko koe anō koe he tauhohe mate whēnei ki te amoxicillin ka nui ake te utu i te mōputaputa ake, nā te mea neke atu i te 90% o ngā tangata e mau ana ki te ingoa mate whēnei ki te penicillin ka manawanui ki te penicillin i te wā i whakatauhia. Ka pana te ingoa i a koe, i tāu tamaiti rānei ki ngā whakakapinga whānui ake i te wā i mahi tonu ai te amoxicillin noa, e te utu i raro iho i te $20 kaore he inihua.

Tuhia ngā kōrero i te wā e kata ana: te ingoa tarukino, te rā, te maha o ngā haora, ngā rā rānei i muri mai i te horopeta i timata ai te mōputaputa, te ahua, te mea i puta mai te kirika, te pupuhi, te uaua rānei ki te manawa, me te aha i puta mai i muri i te whakamutunga. Hoatu tērā ki ia tohutohu kei te heke mai.

Ko te whakatau mate whēnei, te wero-a-waha rānei i raro i te manaaki ka taea te tango i tētahi ingoa teka. Ko te taputapu PEN-FAST kua whakamanatia he 96.3% te uara matapae kino, ā, ko ngā tūroro iti te tūponotanga ka taea te whiwhi carbapenem me te kore he whakamātau o mua. Pātai mōna i te wāhi tiaki noa e tū mai nei.

Ngā Pātai Auau

Ko te mōputaputa amoxicillin te tikanga kei te mate whēnei taku tamaiti ki te cephalosporins me ētahi atu rongoā patūropi hoki?

Kāore i te nuinga o te wā. Ko te mōputaputa roa i te amoxicillin kāore i te nui te whakaatu mō te manawanui ki ētahi atu momo rongoā patūropi. Ko te rāwea i waenganui i te penicillin me te cephalosporins he iti ake i te mea i akona i te whakatupuranga o mua, ā, ko te nuinga o ngā tangata e tauhohe ana ki tētahi ka manawanui ki tētahi atu. Kawea te hītori kua tuhia ki tētahi tohutohu hei utu mo te karo i ngā momo katoa i runga i te whakapae.

Ka taea te pā atu te mōputaputa amoxicillin ki ētahi atu tangata i roto i te whare?

Kao. Ko te mōputaputa tarukino kāore e taea te horapa mai i tētahi tangata ki tētahi tangata. Ko te mea ka horapa ko te mate taketake i puta ai te rongoā patūropi, me te wheori e kaha ake ana te mōputaputa. Ki te kite tētahi teina i tētahi mōputaputa rite kore e tango i te rongoā, ka tohu tērā ki te mate wheori noa, kāore ki te tarukino.

Ka taea te mōputaputa amoxicillin tīmata i muri i te mutunga o te horopeta whakamutunga?

Āe. Ko ngā tauhohe roa ka kaha ake e ngā T cells, me ngā rā ki te whakaoho, nō reira ka puta mai te mōputaputa i roto i ētahi rā i muri i te horopeta whakamutunga. Kei te rite tonu tēnei ki te tauira kaore e kino. Kia mahara ki te tawhiti tika i waenganui i te horopeta whakamutunga me ngā wāhi tuatahi, nā te mea ko te taipitopito ka pātai tuatahi te tohunga mate whēnei.

Ka puta te mōputaputa amoxicillin ki ngā pakeke i te tahi atu ara i ngā tamariki?

I ētahi wā. Ka korero ngā pakeke mo te nui ake o te ngau, ā, ka nui ake te tūponotanga ka tango ratou i ētahi atu rongoā, nā te mea ka raruraru ai ko wai te tarukino te kawenga. Kawea hoki e ngā pakeke ētahi ingoa mate whēnei tuku iho mai i te tamarikitanga kāore ano kia whakatauhia. Ko ngā ture wā he rite tonu, engari me whakaatu ngā pakeke i ia atu rongoā me ia atu rongoā i timata i te marama o mua.

He tohu kino te kiri kiri i te wā e memeha ana te mōputaputa?

Kāore i te nuinga o te wā. Ko te kiri tino pai, ka pakupaku i te wā e maroke ana te mōputaputa e hoki ana, kaore he mamae, he rite ki te kiri i muri i te weranga o te rā. Ko te mea nui ko te rerekētanga i te kiri mamae, kiri kiri nui, i te wā e heke ana te kiri i ngā wahi nui, ka mamae te mata ki te pa, ki te pakaru rānei ngā ngutu o te mangai. Ko taua momo he mate urupare, ehara i te wā whakaora.

Ko te kōrero mutunga

I te nuinga o te wā, ko te mōputaputa amoxicillin he huihuinga kaore e kino, ka mutu noa nei, ka memeha i roto i te wiki, ā, kāore e whakaatu ana i ngā kōwhiringa rongoā patūropi a muri ake nei. Ko te wā te wehewehe i a ia i te mate whēnei pono: i roto i te kotahi haora te tino raruraru, i roto i ngā rā kaore.

Whakakāhoretanga: Ko tēnei tuhinga mō ngā kōrero anake, kāore hoki e kiia he tohutohu rongoā. Kōrero tonu ki tētahi tohunga hauora whai raihana mō te whakatau me te rongoā. Ki te whai koe i tētahi mate urupare ohorere, waea atu ki te 911, haere rānei ki tētahi whare haumanu ohorere tata tonu.