E rua ngā paanga taha noa o te amoxicillin: korere i te 9% o ngā tāngata, me te kotingotingo i te 3%, e ai ki ngā raraunga whakamātau a te FDA. Ko te māhunga hoki 3%, ko te ruaki me te vaginitis āhua 1%. Ko ngā mea katoa e toe ana, tae atu ki te anaphylaxis me te C. difficile colitis, he mea iti nei. Ko te rohenga ehara i te uaua o tō itinga, engari ko te manawa, te pupū, me te kotingotingo o te kiri.
TL;DR: Ngā mea nui hei maumahara
- Ko te korere (9%) me te kotingotingo (3%) anake te mea tino noa. Ko ngā mea katoa e toe ana he mea iti, he mea onge rānei.
- Ka taea e te korere wai nui, toto rānei me te kirika te timata tae atu ki te rua marama i muri i tō pire whakamutunga.
- Ko te raru o te manawa, te pupū o te mata, te korokoro rānei, me te kiri kotingotingo ka hiahiatia he tiaki ohorere inaianei, ehara i te waea.
- Ko te kotingotingo i puta ki a koe i te wa e tango ana koe i te amoxicillin hei tamaiti, ehara i te mate pāwera ki te penicillin, ā, ko te mau o taua tapanga kaore i te whakatūwheratia ka nui te kino.
- Ko te rarangi paanga taha ka rite tonu i te 250 mg, 500 mg, me te 875 mg.
E rua ngā paanga taha ka puta te nuinga o ngā mea ka rongo ngā tāngata
Ko ngā paanga taha o te amoxicillin ka rangatira rua. I roto i ngā raraunga whakamātau kei muri i ngā kōrero tohutohu a te FDA, ko te korere, ko te kumete ngāwari rānei i puta ki te 9% o ngā tāngata, me te kotingotingo o te kiri, ko te urticaria rānei ki te 3%. Ko te māhunga hoki 3%, ko te ruaki 1%, me te vaginitis 1%. Ko ngā mea katoa e toe ana i runga i te tapanga, tae atu ki te anaphylaxis me te C. difficile colitis, he mea onge nei.
| Te tauhohenga | Kia hia aua (ngā raraunga whakamātau a te FDA) | Noa? |
|---|---|---|
| Korere, kumete ngāwari rānei | 9% | Ae |
| Māhunga | 3% | Ae |
| Kotingotingo kiri, urticaria rānei | 3% | Ae |
| Ruaki | 1% | Tīaha |
| Vaginitis, tae atu ki ngā huakita rewena irangihanga | 1% | Tīaha |
| Anaphylaxis | Kāore i te whakataua i ngā raraunga whakamātau | Onge |
| C. difficile colitis | Kāore i te whakataua i ngā raraunga whakamātau | Onge |
| DRESS me ētahi atu mate pāwera āta tūponotanga | Kāore i te whakataua i ngā raraunga whakamātau | Onge |
| Ngā mate toto (hemolytic anemia, iti te platelets, agranulocytosis) | Kāore i te whakataua i ngā raraunga whakamātau | Onge |
Ko te kaha kei runga i tō pounamu kāore e whakarereke i ngā paanga taha o te amoxicillin. Ka rapu ngā tāngata i ngā paanga taha o te amoxicillin 500mg me te mea ko te inenga paerewa pakeke ka mau ake tō ake rarangi, engari ko te 250 mg, 500 mg me te 875 mg ka tohatoha i tētahi kōtuitanga. Ka taea e te inenga teitei te kaha ake te mamae o te puku. Kāore e tāpiri ana i ngā tauhohenga hou.
Ko tō "mate pāwera ki te penicillin" he kotingotingo kē pea i rongo koe i tētahi wā, ā, ko te tapanga he nui ake te tūponotanga i te rongoā
Ko te nuinga o ngā tāngata ka whiwhi i te kotingotingo o te amoxicillin ka kīia he mate pāwera ki te penicillin mō te ora. Ko te nuinga o rātou ehara. Ko tētahi rangahau arotake me te meta-analysis i te tau 2025 i kitea ko te nuinga o ngā tūroro e mau ana i te tapanga mate pāwera ki te penicillin, ki te amoxicillin rānei, kāore i te mate pāwera i te wā e aromātai tika ana.
He hapa pukapuka kore kino tēnā mēnā kāore te tapanga e mahi i tetahi mea. Ka mahi tēnā. Ko te rangahau ano i kitea ko te tapanga he hononga motuhake ki te nui ake o te mate, te nui ake o te kuhunga ki te ICU me te manawapa miihini, me te nui ake o te mate MRSA me te C. difficile, nā te mea ka whakawhitia ngā tūroro kua tapaina ki ngā rongoā whānui ake, iti ake te whai hua. Kotahi te kaupapa whakawātea i whakakore i te tapanga mate pāwera i roto i te 97% o ngā tūroro i whakamātauhia e ia.
Koinei te nuinga o ngā whārangi kāore e kī atu ki a koe: he nui te wāhanga o ēnei kotingotingo kāore he tauhohenga rongoā i te tuatahi. Ka whakatūpato te tapanga FDA ka nui te ōrau o ngā tūroro whai mononucleosis hopuhopu ka whakawhanake i te kotingotingo erythematous, pērā i te kirikiri i runga i te amoxicillin, ā, me kāore te rongoā e tukuna ki tētahi e mōhio ana kei te mate mono. Ko taua kotingotingo kei te kaha nuitia e te wheori, ehara e te whakawhiwhi mate ki te penicillin.
He rerekē te ahua o ngā tauira i te mahi:
- Te nuinga o te paanga kore kino: he kotingotingo papatahi, kotingotingo, ka puta mai i muri i etahi rā o te akoranga, kāore e māngere, he iti noa iho rānei te māngere, ā, kaore he atu tohu.
- Te tauira mate pāwera: ko ngā pūruhi pūruhi, ko te pupū o te mata, ngā ngutu rānei, ko ngā tohu manawa rānei, ka puta mai i roto i ngā meneti ki ngā haora o te inenga.
Ki te mau koe i tētahi tapanga tawhito, tono he tuku ki tētahi tohunga mate pāwera, ki tētahi tohunga mate mate rānei mō te whakamātau mana. Kāore koe e whakamātau anō i a koe i te kāinga ki te kimi.
Ka puta te korere i te amoxicillin ki te 1 i roto i te 11 tāngata, engari e rua ngā momo kāore e rite
Ka puta te korere i te amoxicillin? Āe, nui atu i te mea ka puta he mea ke atu: 9% i ngā raraunga whakamātau a te FDA, me ngā raraunga whakamātau tamariki kei te taha rite tonu ki te 8% āhua. Na, ko te pātai whaihua ehara i te mea ka puta te korere i te amoxicillin, engari ko tēhea o ngā tauira e rua e titiro ana koe.
Ko te korere noa e pā ana ki te antibiotic ka timata i roto i ngā rā tuatahi o te akoranga. Ko ngā kumete he ngāwari ke atu i te wai, kāore he kirika, ā, ka tau i roto i ngā rā torutoru o te mutunga o ngā pire. Ānō noa, kāore e mate.
Ko tētahi atu tauira ko te C. difficile colitis. Ka whakaahua a MedlinePlus he korere wai nui, toto rānei me te kirika me te kōpuku puku, ā, ka kī ka taea e ia te timata tae atu ki te rua marama i muri i te pire whakamutunga. Ina pātai ngā tāngata ka puta te korere i te amoxicillin he kino rawa, ko taua tauira ta rātou e kī ana. Waea atu ki tētahi taote ināianei.
He toru o ngā mea ka puta mai i roto i te mate tārewerewere o te rongoā, ka puta mai te ruaki tukurua me te korere i muri i etahi haora o te inenga engari kaua e ata whakatika.
E rua ngā ture whai hua. Kaua e tango i ngā rongoā korere ka hokona wātea ki te taea te C. difficile, nā te mea ko te whakaiti i te koropekope ka kino ake. Ā, kaua e mutu te akoranga i a koe anō mō te ngāwari ngāwari o ngā kumete. Waea tuatahi atu ki te tohutohu.
Ko te ngenge te nuinga o te wā ka puta i te mate, ehara i te antibiotic
Ka ngenge koe i te amoxicillin? Kāore i te nuinga o te wā. Ko te ngenge kāore e puta ki roto i ngā tauhohenga i roto i ngā raraunga whakamātau a te FDA, e whakaatu ana i te korere, māhunga, kotingotingo, ruaki, me te vaginitis. Na, ki te pātai ngā tāngata ka ngenge koe i te amoxicillin, ko te whakautu tika ake ko te mate koe ka ngenge koe: kirika, moe pakaru, iti te kai me te inu, me te mate wai nā te korere, ruaki rānei, ka puta katoa tēnei.
E rua ngā āhuatanga e tika ana kia mahia. Ko te ngenge me te kiri koma, te māngere o te manawa, te mimi pouri, te kowhai o ngā kanohi rānei ka tohu i te hemolytic anemia onge, ā, me waea atu ki te tohutohu. Ko te ngenge hou me te kirika, te kotingotingo, me te ngongo ngongo kua pupū ake i roto i te kotahi ki te toru wiki ka tohu i te tauhohenga mate pāwera āta, ka korerohia i muri mai.
Kotahi anō: ki te ngenge koe i te rā tuatoru, tuawhā rānei i te tuatahi, kaore pea te mate e aro. He take tēnā kia aromātai anō, ehara i te take kia tatari ai.
Ka puta ētahi tauhohenga i muri i te mutunga o te pire whakamutunga
Kia roa te roa o ngā paanga taha o te amoxicillin? Ka timata te nuinga i te kotahi ki te toru rā, ā, ka memeha haere i roto i ngā rā torutoru o te pire whakamutunga. Ko te kotingotingo maculopapular kore kino ka puta mai i te ra 3 ki te ra 10, ā, ka mau te kotahi ki te rua wiki kia memeha atu i muri i te whakamutunga.
Ko ngā mea ka puta mai i te wāhi ka puta ai tēnei wāhanga kia panuihia. Ko te DRESS (tauhohenga rongoā me te eosinophilia me ngā tohu pūnaha) ka puta mai i te kotahi ki te toru wiki, ā, ka whakaranu i te kirika, te kotingotingo whānui, me ngā ngongo ngongo kua pupū ake, i etahi wā ka pupū te mata. Me aromātai ohorere tēnā. Ko te tauhohenga pērā i te mate kohungahunga, ka puta mai te kirika, te kotingotingo, me te mamae tahi i roto i taua wā kotahi ki te toru wiki, ā, ka rerekē ki te anaphylaxis me te Stevens-Johnson syndrome. Kāore tētahi e whai rangahau mana whakaputa. Ā, he onge ngā mea e rua.
Na, kia roa te roa o ngā paanga taha o te amoxicillin i te taha tawhiti? Tae atu ki te rua marama, nā te mea ka whakaurua e MedlinePlus te C. difficile colitis ki roto i taua matapihi. Ko ngā paanga toto onge i tuhia ki roto i ngā tohutohu rongoā, tae atu ki te hemolytic anemia, thrombocytopenia, me te agranulocytosis, ka taea te whakaora i te wā e mutu ai te rongoā.
Ko te mea nui hei maumahara: "Kua oti kē i ahau te antibiotic" kāore e whakakore i te antibiotic. Kī atu ki tētahi tohunga hauora i kite koe i roto i ngā rua marama kua pahure.
Kāore ngā tauhohenga katoa e hiahiatia he ohorere. Koinei te rohenga
Waea atu ki te 911, haere rānei ki te rūma ohorere inaianei ki te:
- He raru koe ki te manawa, ki te pōhūhū, ki te kōhiri rānei o te korokoro, o te uma rānei i muri i te inenga.
- Ka pupū te mata, ngā ngutu, te arero, te korokoro, te kanohi rānei, ina koa me te raru ki te horopeta.
- Ko te kotingotingo whānui ka kotingotingo, ka pakaru, ka ngahoro rānei, ā, ka puta mai ngā kōpuku mamae ki roto i te waha, ki ngā kanohi rānei.
- He korere wai nui, toto rānei koe me te kirika me te kōpuku, tae atu ki ngā wiki i muri i te mutunga.
- Ko te urticaria, ko te kotingotingo rānei ka puta mai me te whanoke, te ngaro o te kaha, me te tere o te pakupaku ngoikore.
I waenganui i aua taumata: he kotingotingo e horapa ana me te kirika, me tētahi kotingotingo, tikina kia mutu te rongoā ka kitea i te ra ano, ā, ko te korere toto, te wai nui rānei tikina kia waea atu ki te tohutohu i roto i te 24 haora.
Whakaritea he toro atu i roto i te wiki e whai ake nei ki te:
- He kotingotingo iti koe, kāore he atu tohu.
- Ka mau tonu ngā kumete ngāwari i muri i te mutunga o te akoranga.
- Ka puta he huakita rewena hou ki a koe.
- Ka kino ngā paanga taha kia whakaaro ana koe ki te whakamutu wawe.
Kōrero ki tētahi tohunga hauora i mua i te tīmatanga ki te:
- He tauhohenga koe ki te penicillin, ki te amoxicillin rānei i mua.
- Ka whakapaehia te mononucleosis.
- He mate whatukuhu koe.
- Kei te hapu koe, kei te whāngai koe.
- Ka tango koe i te allopurinol, warfarin, me te methotrexate.
Ko tēnei taumata ehara i te mea theoretical. E ai ki te CDC ko ngā paanga taha o te antibiotic te tino take o ngā haerenga ki te rūma ohorere e pā ana ki te rongoā i ngā tamariki, ā, ko ngā tauhohenga o te antibiotic te take tata ki te 1 i roto i te 5 o ngā haerenga ki te ED e pā ana ki te rongoā katoa. Ki te tino koretake koe kei hea koe i roto i tēnei taumata, ka taea e te Rangatū Kaiwhakamātau Tohu a August AI kore utu te āwhina i a koe ki te wehewehe i te ohorere i te noa i mua i tō whakatau ki hea haere.
Ko te kai ka āwhina, ko te probiotics ka āwhina, ā, ko te whakamutu wawe kāore e āwhina i tētahi
Ka taea te tango te amoxicillin me te kore kai, e ai ki te tapanga a te FDA, ā, he pono taua, ā, ko te tino whai hua o te tohutohu. Ma te tango i te tīmatanga o te kai ka whakaiti i te māhunga. Ki te hurihia ngā kapete i tō kopu, ko taua huringa anake te tuatahi hei whakamātau.
Ko ngā wai ka nui ake te hiahia i te tūmanakohanga ina tīmata te korere. Ko te inu iti maha ka eke ki te karaihe nui, ā, ko ngā wai whai tote ka whakakapi i te wai mā, kāore e taea.
Ko te hopu: ko ngā probiotics ehara i te whakautu whakatō i te ipurangi e kiia ana e ratou. Ko ngā taunakitanga mō te aukati i te korere e pā ana ki te antibiotic he ranu, he motuhake ki te momo, me te nuinga o ngā raraunga kei muri i te Saccharomyces boulardii me te Lactobacillus rhamnosus GG. Ki te whakamahi koe i tētahi, wehea kia rua haora te tawhiti mai i te antibiotic. Waiho mā te hunga kua mate te mate, me te raina pokapū, kei reira te taumata tūponotanga e rereke ana.
Kaua e mutu wawe, kaua hoki e penapena ngā pire e toe ana mō te wā e tū mai ana. Ki te ahua kino te paanga taha kia kore e taea te akoranga, ko te whakatika he antibiotic rerekē kua whiriwhiria e tētahi tohunga hauora, ehara i te mea kua poto ake, ā, ko te utu te mea hei whakaarahia i roto i taua kōrero nā te mea ko ngā whiringa rereke ka rereke te utu i te tā te amoxicillin te utu kaore he inihua.
Mō ngā paanga taha he mea āno te mamae engari kaore i te marama he ohorere, ko tētahi $39 te utu mō te toro atu ki te rūma ohorere ipurangi ka taea e tētahi tohunga hauora kua raihana ki te US te arotake i tō wheako ka whakatau mena ka haere tonu, ka huri rānei, ka tirotiro atu rānei. Ko te tohunga hauora te whakatau, ehara te papatono. Kāore he ataata ataata e taea te whakahaere anaphylaxis, he kotingotingo kotingotingo, he whakapae C. difficile rānei. Me kitea ēnei i te tangata.
Nā te pātai auau
Ka taea e koe te inu waipiro i te wā e tango ana koe i te amoxicillin?
Kāore, ehara i te mea e mataku ana ngā tāngata. Kāore te amoxicillin i roto i ngā antibiotic ka puta he tauhohenga ki te waipiro, nā reira ko tētahi inu kāore e puta he tauhohenga pērā i te metronidazole. Ko te raru whai hua ko te overlap: ka kino te waipiro i te māhunga, ka raruraru te moe, ka tāpiri atu ki te matewai ina kua korere kē koe. Ka puhoi ake tō ora, ehara i te mea ka ngoikore te antibiotic.
He haumaru te amoxicillin i te wā e hapu ana me te whāngai?
Āe, me te whakaaetanga a tō tohutohu. Ko te amoxicillin kei roto i ngā antibiotic e rapu ana ngā tohunga hauora i te wā e hapu ana, engari ko taua whakatau nō tēnā e mōhio ana ki tō hītori. Mō te whāngai, ko te tapanga a te FDA e kī ana ka puta ngā penicillin ki roto i te waiu o te whaea, ā, ka taea e ia te whakawhiwhi i te kohungahunga e whāngai ana. He mea kōrero tēnā, ehara i te take aunoa kia mutu.
Ka ngoikore te amoxicillin i te whai mana o te whānau kāore e hapu?
Kāore i te nuinga o te wā. Kāore te amoxicillin i roto i ngā antibiotic kua whakaatuhia hei whakaiti i ngā taumata homone whakawhānau, rerekē ki te rifampin. Ko te tūponotanga tino pono he pokatata: ki te puta te ruaki, te korere nui rānei te amoxicillin, ko te pire whakawhānau waha i tangohia i mua tata atu kaore pea i tino uruhia. Tirohia ngā tohutohu a tō pire mō ngā pire kua ngaro, kua ruakina rānei, ā, whakamahia te mana whānau tautoko puta noa i taua wā.
Ka nui ake ngā paanga taha o te Augmentin i te amoxicillin noa?
Āe, te nuinga o te korere. Ko te Augmentin he amoxicillin me te clavulanate, ā, ko te wāhanga clavulanate te take o te mamae o te puku, ehara ko te amoxicillin. Ko tērā te take ka taea e tētahi tohunga hauora e hiahia ana ki te whānuitanga o te mana ka kōwhiri tonu i te amoxicillin noa ina ka mahi tēnā. Ki te kino te kopu o Augmentin i mua, ka taea te manawaroa te amoxicillin anake.
He aha te kōwhai, te parauri rānei o ngā niho o taku tamaiti i te amoxicillin?
I ētahi wā ka puta tēnei, ā, ka mohiotia. Ka whakaaturia e MedlinePlus te kowhai, te parauri, te hina rānei o ngā niho o tētahi tamaiti hei painga pea o te amoxicillin, ā, ka kī ka taea te whakaora. Ka āwhina te paraihe, ina koa i muri i te whakataha wai, ka pania ngā niho nui atu i te papa. Kī atu i te toro niho e whai ake nei ki te kore e memeha.
He kino ngā paanga taha o te amoxicillin ki te mate whatukuhu koe, neke atu rānei i te 65?
Āe, ka taea. Ka horoia te amoxicillin e ngā whatukuhu, nā reira ka whakaitihia te inenga i te mate whatukuhu, ā, ka whakaarohia ano hoki i te pakeketanga, nā te mea ka ngoikore te mahi whatukuhu i te wahangu. Ina teitei te taumata toto, ko ngā tūponotanga e nui ana ko te crystalluria, ā, he onge, ko te hopu. Kia tino mōhio te tangata e tohutohu ana ki tō mahi whatukuhu, ā, kia mau tonu te inu wai.
Ka puta he huakita rewena i te amoxicillin?
Āe. I puta te vaginitis ki te 1% āhua o ngā tāngata i roto i ngā raraunga whakamātau a te FDA, nā te mea ka whakakorea e te antibiotic ngā huakita tiaki, ā, ka tipu te rewena. Ka timata te nuinga o ngā tohu i te wā o te akoranga, i muri rānei: te māngere, te wera, te tukunga matotoru. Ka mahi te rongoā antifungal ka hokona wātea, engari kia aromātai mō te wā tuatahi, mō te tukurua rānei. Ka taea e ngā kohungahunga te mate parera waha mo taua take ano.
Te raro o te raina i ngā paanga taha o te amoxicillin
E rua ngā painga ka puta auau, ko te korere i te 9%, ko te kotingotingo i te 3%, ā, kāore tētahi e tohu ana he mate pāwera. Ko te raru o te manawa, ko te pupū o te mata, te korokoro rānei, ko te kotingotingo kiri rānei ka hiahiatia he tiaki ohorere inaianei. Ā, ki te mau koe i tētahi tapanga mate pāwera ki te penicillin mai i te tamarikitanga, kia aromātai mana tēnā engari kaua e ora ana ki taua mea mō ngā toru tekau tau atu.
Whakakape: He mōhiohio noa tēnei tuhinga, ā, kāore e whakaarohia he tohutohu hauora. Me whakapā atu ki tētahi tohunga hauora whai mana mō ngā whakatau tātaritanga me te rongoā. Ki te wheako koe i tētahi ohorere hauora, waea atu ki te 911, haere rānei ki te rūma ohorere tata tonu.
