Ko te Augmentin mō te panganga sinus te whiriwhiringa tuatahi ina te panganga wheori: 875 mg/125 mg ia 12 haora mō ngā ra e rima ki te whitu i roto i ngā pakeke. Ka tīmata te whakapai ake i te 48 ki te 72 haora, ehara i te rangi kotahi. I te mea ko te nuinga o ngā panganga sinus he wheori, kāore te rongoā e whai hua ki te nuinga o ngā take.

TL;DR: Ngā whakaaro matua

  • Te tikanga mō ngā pakeke: 875 mg/125 mg ia 12 haora, tae atu rānei ki te 500 mg/125 mg ia 8 haora.
  • Ka tango ngā pakeke i tēnei mō te rima ki te whitu ngā rā. Ko ngā tamariki te hunga ka whiwhi 10 ki te 14.
  • Whakamātauhia i te 48 ki te 72 haora. Kāore he tikanga o te whakatau i te rangi tuatahi.
  • Te kino haere i muri i te 72 haora, me te kore rānei e puta te huringa i te toru ki te rima rā, me waea atu ki te tākuta.
  • Te pupu o ngā kanohi, te huringa o te kitenga, me te mamae nui o te upoko me te uha o te kaki he raru mō te ruma ohorere, ehara i te pānga taha.

Ka mahi noa te Augmentin mō te panganga sinus ina te panganga wheori, ā, kāore te nuinga o ēnei

Ko te Augmentin mō te panganga sinus te whiriwhiringa tuatahi mō te rhinosinusitis wheori nui, engari he iti noa iho te hunga panganga sinus e tika ana. Ko te tikanga mō ngā pakeke ko te 875 mg/125 mg ia 12 haora mō te rima ki te whitu ngā rā. Ka tīmata te mate o ngā wheori i roto i ngā haora i muri i te rongoā tuatahi, engari ka tīmata te whakaora i roto i te 48 ki te 72 haora. Kāore he whakatau tika mō te rangi kotahi mō tana mahi.

He take tōna. E ai ki te CDC, ko te 90 ki te 98 ōrau o ngā panganga sinus ka puta mai i ngā wheori, ā, kāore he mahi a te patupaturopi ki te wheori. Nā reira, i mua i te pātai mō te rahi o te rongoā, me whai tātaritanga teitei.

E toru ngā tauira e tohu ana ki ngā wheori:

  • Ngā tohu e noho ana mō te 10 rā neke atu rānei me te kore e pai ake.
  • Te tīmatanga kino: kirika 102°F (39°C) neke atu rānei me te ngongo ihu me te mamae o te kanohi mō te toru ki te whā ngā rā tōtika.
  • Te kino rua: ka pai ake koe i roto i te whā ki te whitu ngā rā, ka kino ano.

Ko te ngongo matotoru, matomato, kowhero rānei, ehara i te mea kei tēnei rārangi. Ko te ngongo tae noa ki te wheori noa i te mate wheori, kāore hoki e kōrero nui. Ina kei reira tetahi o ngā tauira e toru, ko te arohaa 2012 IDSA e kii ana ko te amoxicillin-clavulanate, ehara i te amoxicillin noa, hei rongoā tuatahi mō ngā pakeke me ngā tamariki.

Ko tō rongoā ka whakawhirinaki ki tō tuponotanga, ehara ki tō mamae

Ko te rahi o te Augmentin mō te panganga sinus ka whiwhi ngā pakeke, he whakatau mō te kaha o te aukati, ehara i te aha te mamae o ratou. E rua ngā tikanga mō ngā pakeke e whakawhiwhia ana e te IDSA: 875 mg/125 mg ia 12 haora, me te 500 mg/125 mg ia 8 haora. Ko tētahi o ēnei ka hipoki i te mate sinus noa o te hapori.

He tikanga roa-roa mō te rongoā nui 2,000 mg/125 mg e rua i te rā, ā, ka tiakina tēnei, ehara i te mea noa. Ka whakaarohia mō te panganga kino, ngā wāhi me te aukati nui o te pneumococcal, te hunga kei roto i te tiaki tamariki, te pakeke atu i te 65 (me te iti iho rānei i te 2), te noho hōhipera tata, te whakamahi patupaturopi i roto i te 90 ra kua pahure, me te punaha ārai mate ngoikore. Nā reira ko te rahi o te Augmentin mō te panganga sinus ka whiwhi ngā pakeke, ka whakaata i tō rātou hītori, ehara i te rahi o tō rātou tohu.

Ehara hoki te rahi ake i te mea pai ake. I kitea i roto i tētahi rangahau whakahoahoa 2021 i roto i te JAMA Network Open ko te rongoā nui o te amoxicillin-clavulanate kāore i kaha ake i te rahi noa i roto i ngā pakeke me te sinusitis nui.

He mahanga whai mahi: e rua 250 mg papa kāore i rite ki tētahi 500 mg papa. Ko ia kaha e mau ana te rite 125 mg o te clavulanate, nā reira ko te takirua o ngā papa ka takirua te clavulanate. Kaua rawa e whakahiato i te rongoā mai i ngā toenga o tētahi rongoā kua pahure.

E rima ki te whitu ngā rā te akoranga mō ngā pakeke, ā, kāore te roa ake e kaha ake

Te maha o ngā rā ki te tango Augmentin mō te panganga sinus, he poto tana whakautu mō ngā pakeke: e rima ki te whitu ngā rā mō te rhinosinusitis wheori kore raru. Ko te 10 ki te 14 rā e kitea ana e koe i ētahi atu wāhi, engari mō ngā tamariki tērā.

Ko ngā akoranga poto ake mō ngā pakeke, ka rite ki ngā akoranga roa ake mō te mate, ā, ka iti ake te mate korere me te iti ake te pana aukati. Koira te take katoa.

Te maha o ngā rā ki te tango Augmentin mō te panganga sinus, he pātai mō ngā whakawai e rua. Ko te tuatahi ko te whakamutu i te toru o ngā rā i te mea ka pai koe, e waiho ana ko te mea kaha rawa o ngā wheori. Ko te tuarua ko te roa o te akoranga me ngā papa kāore i oti. Ko tētahi akoranga e hiahia ana kia roa ake, he akoranga me arotake ano. Ki te hiahia koe ki te tikanga o te rongoā noa, koinei te maha o ngā rā me tango koe.

Kāore te pai ake i te rua o ngā rā e kii ana kāore e mahi

Te roa o te tango Augmentin kia mahi, ka whakawhirinaki ki tētahi o ngā matawaka e toru e kōrerohia ana e koe, ā, ka whakauruhia e ngā kaipānui ēnei katoa ki roto i tētahi pātai pouri kotahi.

Matawaka tuatahi ko te whakauru. Ka eke te taumata toto ki te kotahi ki te rua haora i muri i te rongoā. Kua tīmata ke te patu wheori i te rangi tuatahi, roa i mua i te mohiotanga o tō kanohi.

Matawaka tuarua ko te whakaora tohu, ka kitea i te 48 ki te 72 haora. A, no te pātai a te tangata "Te roa o te tango Augmentin kia mahi", koinei te matawaka e tino hiahia ana ratou.

Matawaka tuatoru ko te whakaoti, ka rere puta noa i te akoranga, tae atu ki tua atu. Ka taea e te pupukitanga me te mare e toe ana te noho i te wiki neke atu rānei i muri i te papa whakamutunga.

Koinei te mea kāore e kōrerohia e te nuinga o ngā whārangi: i roto i taua rangahau 2021, ko te 44 ōrau noa iho o ngā pakeke i te nuinga o te wā i te rongoaro "he nui ake te pai" rānei kaore he tohu i te toru o ngā rā, ka piki ki te 82 ōrau i te tekau o ngā rā. Ko te rongoaro kāore i tino pai i te rua o ngā rā, ka waiho koe ki te nuinga, ehara i te raruraru.

Tirohia te tohu tika. Ka whakapai te pehanga o te mata me te ngenge i te tuatahi. Ko te pupukitanga o te ihu te mea whakamutunga ka maemae, nā reira ka noho hei tohu whakatere ngoikore, ā, nā te mea ka ātaahua te panganga sinus kāore he pupukitanga, ka pohehe te whai.

Kāore he whakapai ake i te toru o ngā rā he tohu ki te mahi, ehara i te tatari

Kāore te Augmentin e mahi mō te panganga sinus he tohu haumanu kua tautuhia, ehara i te kare a roto. Ko te roto o te IDSA he maamaa: ko ngā tohu e kino haere ana i muri i te 48 ki te 72 haora o te rongoā, me te kore rānei e puta te whakapai ake i te toru ki te rima rā, me whakapā atu ki te tākuta. Kāore he whakapai ake e tūmanakohia ana i roto i te 24 haora tuatahi, nā reira kāore he raraunga whai mana o te whakatau i te rangi tuatahi.

A, no te rahua te akoranga, he torutoru noa ngā take. Kua aukatia te tukumāhuri. Kāore rawa te mate i te wheori, engari he wheori, he mate pāwera rānei. Me te mea rānei he ārai ā-hanganga, pērā i te rua o te pūpū sinus kua tutakina, me te nuku o te ihu.

Ko ngā mahi whai muri a te tākuta he iti noa iho: huri momo patupaturopi, tono kia mahia he ahua rānei, me te whakahou ake rānei i te tātaritanga. Te takaro i te kāinga, kāore he putanga pai.

Ki te kua pahure kē koe i te 72 haora, ā, kei te noho koe, ko te $39 o August te haerenga ohorere i runga ipurangi ka hono koe ki tētahi tākuta kua raihana ki ngā whenua o Amerika ki te ata tiro i tō waahi wā me te whakatau mēnā he rongoā, he whakakapi, he tirohanga kanohi rānei e tika ana. Kāore he rongoā e taurangi, ā, kāore e taea e te ataata te whakaahua i o pūpū sinus, te rapu i tō ihu, me te tiaki i ngā tohu whakatūpato o te kanohi me te ngongo pūngao kei raro nei. Ka haere ēnei ki te hōhipera ohorere.

Ko te clavulanate te take ka puta te raru o te kopu ki te Augmentin, ā, nā te kai ka āwhina

Ko te korere me te ruaki te take nui na te clavulanate, ehara i te amoxicillin. Ko taua mea kotahi e whakamārama ana he aha te Augmentin e kaha ake ana ki te kopa i te amoxicillin noa, ā, nā te mea ko te tohutohu kia tangohia ia rongoā i te tīmatanga o te kai: ka āta tākona e te kai te pānga ki te kopa, ā, ka whakapai ake te whakauru o te clavulanate i te wa kotahi.

Kua ngaro te rongoā i runga i te tikanga 12 haora? Tangohia ina mahara koe, engari ki te tata ana te rongoā muri ki te whā haora, peke atu. Kaua rawa e takirua, na te mea ko te takirua o te papa ka takirua te clavulanate me te raruraru puku.

Ko ngā kumete ngāwari ka taea te manawanui, ehara hoki i te take ki te whakarere i te akoranga. Ko te korere kino, te wai rānei, te toto rānei me te mamae puku e kino haere ana he rereke, ā, e tika ana kia waea atu ki te tari i te rangi kotahi mō te C. difficile pea. He nui ake ngā kōrero mō te katoa o ngā pānga taha o te Augmentin he pai ki te pānui i mua i te rangi tuatahi.

Ko ētahi tohu i te wā o te rongoā he ohorere, ehara i te pānga taha

Ko ngā panganga sinus kei te taha o te kanohi me te roro. Ko te cellulitis orbital me te horapa ki roto i te angaanga he onge, ā, koira te take ka parea atu e ngā tohu e whai ake nei ki tō tākuta.

Waea atu ki te 911 me te haere rānei ki te rūma ohorere inaianei ki te:

  • Kei te pupū, te whero, me te peehi huri noa i te kanohi, me ngā huringa hou o te kitenga pēnei i te kitenga takirua me te ngaronga rānei o te kitenga.
  • He mamae nui te upoko me te uha o te kaki, te raruraru, te moe, me te ngāueue rānei.
  • Ka pupū te mata, te korokoro rānei, me te whewhe, te ngongo rānei, te uaua ki te manawa me te horomia rānei.
  • He korere kino, toto rānei me te mamae puku e kino haere ana.

Whakaritea he haerenga i roto i te wiki e whai ake nei ki te:

  • Ko te kirika 102°F (39°C) neke atu rānei ka noho tonu i muri i te toru o ngā rā e tango patupaturopi ana.
  • Ka pai ake ngā tohu ka kino ano.
  • Ko tēnei te whā o āu panganga sinus i roto i te tau.
  • Ka kite koe i te kowhai o te kiri, ngā kanohi rānei, te mimi pouri, me te ngenge nui, ka tohu pea i te kino o te ate na te rongoā.

Kōrero ki tētahi tākuta i mua i te tīmatanga ki te:

  • He mate pāwera ki te penicillin, ki te cephalosporin rānei.
  • Kua mamae kē koe i te kōwhai kōwhai, i te raruraru ate rānei nā te Augmentin i mua.
  • He mate whatukuhu koe, he ngoikore rānei te mahi whatukuhu.
  • Kei te hapū koe, kei te whāngai koe i te tamaiti.
  • Ka tango koe i te allopurinol, methotrexate, me te warfarin.

Te mutunga iho

E toru ngā tau ka mau ki tēnei whārangi: 875 mg/125 mg ia 12 haora, e rima ki te whitu ngā rā, me te arotake i te 48 ki te 72 haora. Ko ēnei katoa e whakaaro ana ki te tikanga, arā, he tātaritanga wheori pono, ehara i te rā whā o te makariri. Whakaoti te akoranga katoa ahakoa ka pai te āhua o tō tinana i te toru o ngā rā. Ki te kino koe i muri i te 72 haora, me te kore rānei e puta te huringa i te rima o ngā rā, ehara te Augmentin mō te panganga sinus i te whakautu i hiahiatia e koe, ā, ko tētahi tena piira me mahi, ehara i te wiki ki te tatari.

Ngā Pātai Auau

He aha taku e taea te tango hei whakakapi i te Augmentin ki te mate pāwera ahau ki te penicillin?

Kao, ehara te Augmentin i te whiriwhiringa mō te mate pāwera IgE pono ki te penicillin, na te mea he penicillin tērā. Mō ngā pakeke, ka huri ngā tākuta ki te doxycycline hei whakakapi noa, ā, ko ngā fluoroquinolones manawa hei kōwhiringa tuarua e tiakina mō ngā tāngata kāore e taea te tango doxycycline. Whakaahuahia tō tauhohenga kia tika, na te mea ko te kowhata i te tamarikitanga me te tino anaphylaxis ka puta he whakatau rerekē.

He haumaru te tango Augmentin mō te panganga sinus i te wā o te hapūtanga?

Āe. Ko te amoxicillin-clavulanate kei roto i ngā patupaturopi ka whakamahia i roto i te hapūtanga ina kua whakapūmautia te panganga wheori, ā, ko ngā penicillins te wā roa rawa atu te ahurutanga o ngā momo patupaturopi katoa i roto i ngā wahine hapū. Kōrero ki tō tākuta kei te hapū koe, kei te whāngai rānei, na te mea ka huri tēnei i ngā whiriwhiringa ka noho tonu ki te teepu ki te rahua te akoranga tuatahi.

Ka tere ake te mahi o te Augmentin i te amoxicillin noa mō te panganga sinus?

Kao. Kāore te clavulanate e tere ake i te aha. Ka aukati tēnei i ngā enzymes beta-lactamase, ka roa ai te hipoki ki ngā momo Haemophilus influenzae me te Moraxella catarrhalis e kaha kē ana ki te whakangaro i te amoxicillin. Ko tērā he painga hipoki, ehara i te painga tere. Ko ngā rongoā e rua ka whai i te tikanga tohu 48 ki te 72 haora ina mahi ana.

Ka taea e au te inu waipiro i te wā e tango Augmentin ana?

Kāore i te nuinga. Kāore he raruraru kino pēnei i te waipiro ki te metronidazole, nā reira he iti noa te waipiro kotahi e taea te kino. Ko te raruraru whai mahi ko te tūhononga: ka kino te waipiro i te ruaki me te korere e puta kē ana te clavulanate, ka pokanoa ki te moe, ā, ka mate wai koe i te wā e ngana ana koe ki te whakaheke i te ngongo o te pūpū. Peia atu mō te wiki.

Ka taea e au te whakamahi i te decongestant, te horoi saline, me te steroid nasal spray i te taha o Augmentin?

Āe. Ko te horoi saline me ngā rehu steroid intranasal he hoa pai ki te Augmentin mō te panganga sinus, ā, ka aro ki te pupukitanga kāore e taea e te patupaturopi te pa. Ko ngā rehu decongestant a-waha he iti ake te taunakitanga, ā, me herehere ki te torutoru rā, otirā ki te nui ake o te toto takawiri koe. Ko ngā rehu decongestant topika, kāore e tika kia neke atu i te toru rā na te peehi o te rebound.

Whakakape: Kei te mōhiohio anake tēnei tuhinga, kāore hoki e rite ana ki te tohutohu hauora. Me whakapā tonu ki tētahi tohunga hauora whai tohu mō ngā whakatau tātaritanga me te rongoā. Ki te pae mai tētahi raru hauora nui ki a koe, waea atu ki te 911, haere rānei ki te hōhipera tata tonu.