Amoxicillin yechirwere chemhino haisi sarudzo yekutanga yakakodzera. IDSA inokurudzira amoxicillin-clavulanate (Augmentin) panzvimbo pezvo, nekuti zvikamu zvakawanda zvehutachiona hwe Haemophilus influenzae hazvidzikiswi neamoxicillin yakapusa. Amoxicillin yakapusa inoramba iri yekutanga kune zvirwere zvenzeve, pa 80 kusvika 90 mg/kg/zuva, uye kune strep throat yakasimbiswa nemuedzo.

TL;DR: Zvakakosha kuziva

  • Zvizhinji zvezvirwere zvemhino nenzeve zvinokonzerwa nemavhairasi uye zvinopera pasina mushonga unorwisa mabhakitiriya.
  • Kune mabhakitiriya ekuti sinusitis, nhungamiro dzinoda amoxicillin-clavulanate pane amoxicillin yakapusa.
  • Zvirwere zvenzeve ndizvo zvakasiyana: amoxicillin yakapusa ine dose yakakwirira, 80 kusvika 90 mg/kg/zuva, ichiri yekutanga.
  • Strep inoda muedzo wakanaka kutanga, wobva wapihwa kurapwa kwemazuva gumi akazara.
  • Tarisiro yekuvandudza mukati memaawa 24 kusvika 48 ye strep, uye 2 kusvika 4 mazuva ezvirwere zvemhino nenzeve.

Amoxicillin yakapusa yechirwere chemhino kazhinji haisi sarudzo yekutanga yakakodzera

Amoxicillin yechirwere chemhino inopiwa nguva dzose, asi hachisi icho nhungamiro dzakaisa pakutanga. Iyo 2012 IDSA guideline for acute bacterial rhinosinusitis inopa amoxicillin-clavulanate, kwete amoxicillin chete, semushonga wekutanga wekurwisa mabhakitiriya mune vese vana nevakuru. Chikonzero chacho chakatsveyamiswa uye chakajeka: 27% kusvika 43% ye H. influenzae isolates inorwisa amoxicillin asi ichiri kunzwisiswa kana clavulanate yapinda.

Clavulanate haisi mushonga unorwisa mabhakitiriya wakasimba. Iyo nhoo. Inodzivisa enzyme iyo mabhakitiriya aya anoshandisa kuparadza amoxicillin isati yaita chero chinhu chinobatsira.

Hezvino zvichaita kuti mapeji mazhinji asakuudze: vashandi vakawanda vane ruzivo vachiri kunyora amoxicillin yakapusa ye sinusitis, uye kune nyaya isina kuoma muvanhu vakuru vane hutano vasingashandisi mushonga unorwisa mabhakitiriya nguva pfupi yadarika, inowanzoshanda. Mushonga unopiwa uchiongorora zvirwere zvekumusha, nhoroondo yako yeallergies, uye izvo zvaushandisa gore rino. Kurongwa kweamoxicillin yakapusa hakusi kukanganisa. Icho chisarudzo chaunotenderwa kubvunza nezvacho.

Zvizhinji zvezvirwere zvemhino nenzeve hazvina kumboda mushonga unorwisa mabhakitiriya kutanga

Iyo CDC inotaura zvakananga nezve izvi: zvizhinji zvezvirwere zvemhino zvinokonzerwa nemavhairasi uye zvinovandudza pachazvo. Vanachiremba vanogona kushandisa kungomirira nekucherekedza, kana kunyora mishonga yakarembera yaunozadza chete kana zvinhu zvisina kuvandudza mumazuva maviri kana matatu. Kuzorora, mvura, uye kugeza nemunyu ndizvo zviri kushanda panguva iyoyo.

IDSA inotsanangura maitiro matatu anoratidza mabhakitiriya pane mavhairasi:

  • Zviratidzo zvakagara kwemazuva gumi kana anopfuura pasina kuvandudza.
  • Kutanga kwakanyanya: fivha ye 39°C (102°F) kana kupfuura pamwe nekubuda kwegadzike kana kurwadziwa kwes face, kwemazuva 3 kusvika 4 akateedzana.
  • "Kugwesha kaviri": wakatanga kuvandudza, wobva wadzokera zvakashata.

Kurwadziwa pahuro kunoshanda zvakasiyana asi kunosvika pakufanana. Iyo CDC inoti kuti kuongorora kwekurapa chete hakugoni kusiyanisa viral pharyngitis kubva ku group A strep. Muedzo we antigen uri nekukurumidza kana kuti tsika ye huro inouya kutanga, uye muedzo wekukurumidza uri wekusvibiswa muvana unofanira kusimbiswa netsika. Usaite kana kukumbira amoxicillin pamatemu chete. Kutsikwa pamusuwo wehofisi ndiko kunoita kuti chirwere chema vhairasi chive necheparutivi chemanyoka uye pasina rubatsiro. Kana matemu ako asina kujairika, sekunge chirwere chemhino pasina kuzara, kuti kusajeka kwacho kunokosha kunyange zvakadaro.

Kana usina chokwadi kana wasvika pamuganhu, August's $39 online urgent care visit inokubatanidza nemunachiremba ane rezinesi muUS anosarudza kana mushonga unorwisa mabhakitiriya wakakodzera uye anopa chete kana wakakodzera. Ive wakajeka nezvekukanganisika: kushanya kwemavhidhiyo hakugoni kutarisa mukati medengu re nzeve kana kumhanyisa strep swab, saka chirwere che nzeve chinofungidzirwa kana strep inogona kunoda kuongororwa pachako.

Dose ye Sinus inopatsanurwa nezera: nguva ipfupi kune vanhu vakuru, yakareba kune vana

Dose ye amoxicillin yechirwere chemhino haisi nhamba imwe yakatsiga, uye nguva yekurapa inotevera zera pane kutyisa. IDSA inotsanangura mazuva 5 kusvika 7 kune vanhu vakuru vane chirwere cheacute bacterial rhinosinusitis chisina kuoma uye mazuva 10 kusvika 14 kune vana. Mahomasi akakwirira (2 g kaviri pazuva kune vanhu vakuru, 90 mg/kg/zuva kune vana) anoiswa kune njodzi: kushandiswa kwemishonga unorwisa mabhakitiriya nguva pfupi yadarika, kudzidziswa kweimba yemwana, kana nzvimbo ine zvinetso zvekutambudzika zvinotambudzika.

Mafomu akajairika evakuru anoonekwa mukushanda i500 mg maawa 8 kana 875 mg maawa 12. Kupatsanurwa kwedu kwakazara kwedose ye amoxicillin kune vanhu vakuru kunobata kuti mafomu iwayo anochinja sei nezve chirwere.

Kune vana, dose ye amoxicillin yechirwere chemhino inoverengerwa pahuremu, izvo zvine mugumisiro unoshanda vabereki vanonzi vanoshandisa zvishoma: chikamu chakakodzera chemwana iyeye chinoshambidzwa pakati pezvirwere sezvo vachikura. Bhotela rakasara re nguva yemwaka wadarika ndiro dose yemwaka wadarika.

Zvirwere zvenzeve ndipo panoshandiswa amoxicillin yakakwirira dose seyekutanga

Amoxicillin yechirwere che nzeve inopesana nenyaya ye mhino, nekuti pano amoxicillin yakapusa ichiri mhinduro ye nhungamiro. Iyo 2013 AAFP rapid evidence review of acute otitis media inopa amoxicillin yakakwirira dose, 80 kusvika 90 mg/kg/zuva mumativi maviri akakamurwa, pakutanga kune vana.

Nguva inopatsanurwa nezera nekutyisa: mazuva 10 kune vana vari pasi pe2 kana vane zviratidzo zvakanyanya, uye mazuva 5 kusvika 7 kune nyaya dzisina kuoma kune vana vane makore 2 kana kupfuura. Kucherekedza pasina mushonga unorwisa mabhakitiriya isarudzo inoshanda mune dzimwe nyaya dzisina kuoma apo kutevera kunovimbiswa, izvo zvakakodzera kusimudza kana mwana wako achinge aita nguva dzekurapa dzakadzokororwa.

Vanhu vakuru vanotambura nezvirwere zvenzevewo. Vanorapwa ne standard adult amoxicillin dosing pane kuverengerwa pahuremu. Kana zvirwere zvikaramba zvichiitika, verenga nezve zvirwere zvenzeve nezvinetso zvekunzwa usati wasvika nguva inotevera.

Kurongwa kwe Strep kunobva pakudzivirira rheumatic fever, kwete kunyaradza huro yako

Amoxicillin ye strep throat inopiwa nekuda kwechikonzero chaasinganzwe vazhinji vachitaura pachena. Iyo CDC yakajeka kuti chinangwa chekurapa ndechekuti kuwedzera njodzi ye acute rheumatic fever nezvinetso zvekuvandudza sekubata peritonsillar abscess ne mastoiditis, kwete kungoderedza huro inorwadza nezuva rimwe.

Iyo CDC yekutanga regimen i amoxicillin 50 mg/kg kamwe chete pazuva, kusvika pak maximum ye 1,000 mg, kwemazuva 10. Penicillin V inoshanda zvakafanana uye inofarirwa mune zvimwe zvigadziridzo zvekuchengetedza nekuti yakanyatsoenderana, ndicho chikonzero nei nhungamiro dzichimwimwi dzichiita sekunge amoxicillin iri munzvimbo yepiri. Haasi. Icho ndicho sarudzo inonyorema kumedza, kunyanya kune vana.

Pedza mazuva ese gumi kunyangwe huro yasvika pakunaka pazuva rechitatu. Kana usina fivha, dzokera kuchikoro, kubasa, kana kuimba munguva maawa makumi maviri nemana mushure mekunge washandisa dose yekutanga.

Kunzwa zviri nani mushure memazuva maviri hazvireve kuti unogona kumisa nguva yekurapa

Amoxicillin inotora nguva yakareba sei kuti ishande zvichienderana nezvirwere zviri kurapwa. Zviratidzo zve Strep zvinowanzovandudza mukati memaawa 24 kusvika 48. Zvirwere zve mhino nenzeve zvinowanzotora mazuva 2 kusvika 4 kuti zvichinje, nekuti nzvimbo dzakazara, dzakavharika dzinobuda zvishoma nezvishoma kunyange mushure mekunge mabhakitiriya avhunduka.

Kusavandudzika kwakanyanya mushure memaawa 48 kusvika 72 kungori runhare, kwete kungomirira nekucherekedza. Zvikonzero zvitatu zviri patafura: hutachiona hunoramba, kuongorora kwakashata, kana chirwere chema vhairasi chisingazoshandisi mushonga.

Chakavanzika: usaongorore kubudirira nekunzwika kwako kwakachena. Zvinyorwa shure kwedengu re nzeve uye kuzara mushure mechirwere zvinogona kuramba kwemavhiki mushure mekunge chirwere chacho chachirapwa. Ikoko kuzara kunotsigira kuri kubuda, kwete kutadza, uye hakusi chikonzero chechipiri che mushonga unorwisa mabhakitiriya.

Mamwe maamoxicillin reaction anoreva kufonera hofisi; vamwe vanoreva kufonera 911

Zvinowanzoitika zveamoxicillin zvisina kunaka uye kazhinji hazvikuvadzi: manyoka, kuda kurutsa, rash diki, nezvirwere zve mphutse. Zvinogumbura, hazvisi zvine njodzi, uye zvakawanda hazvidi kumira. Rondedzero pfupi yezvinyorwa zvakasiyana chaizvo.

Fonera 911 kana enda kuchipatara nekukurumidza kana:

  • Unofema zvakaoma, fambisa kufema kana kumedza, kana kuzvimba kwechiso, huro, rurimi, miromo, kana maziso, kana kutyoka kweganda kwakanyanya kana kunyunguduka.
  • Unowana manyoka akawanda kana eropa ane fivha nemarwadzo, izvo zvinogona kuratidza C. difficile colitis.
  • Chirwere chemhino chinouya nekurwadziwa kwakanyanya kana kunowedzera kwe musoro, kuzvimba kwechiso kana maziso, kushanduka kwekuona, kana kuvhiringidzika.
  • Huro inorwadza inouya nekudonha mate, izwi rakadzikama re "hot potato", kana kusagona kuvhura muromo.
  • Mwana ane kuzvimba, kutsvuka, kana kurwadziwa shure kwenzeve pamwe chete nefivha.

Nyorera kushanya mukati mevhiki rinouya kana:

  • Zviratidzo zvemhino zvanga zviri kwemazuva gumi kana kupfuura pasina kuvandudza.
  • Haukwanise kuvandudza mushure me3 mazuva pakushandisa mushonga unorwisa mabhakitiriya.
  • Unowana zviitiko zvina kana kupfuura zvemhino pagore.
  • Zvirwere zvenzeve zvinoramba zvichiitika, kana kunzwa kuchinzi kwakaipa mushure mekurapwa.

Taura nemunachiremba usati watanga kana:

  • Une penicillin kana cephalosporin allergy, chirwere cheitsvo, kana kuti kare C. difficile infection.
  • Mononucleosis inofungidzirwa.
  • Urinepakati kana uchiyamwisa.
  • Unoshandisa methotrexate kana allopurinol.

Kana usina chokwadi kuti uri muchikamu chipi, yemahara August AI Symptom Checker ichakubatsira kusiyanisa zvine njodzi kubva kuzvinhu zvakajairika usati wasarudza kwaunofanira kuenda.

Mibvunzo Inowanzobvunzwa

Amoxicillin inorapa here strep throat?

Hongu. Vanhu pavanobvunza kuti amoxicillin inorapa here strep throat, mhinduro ndeyekuti inobvisa group A Streptococcus zvakajeka kana muedzo wazvisimbisa. Chinetso ndicho mononucleosis, chipingamupenyu che strep chakajairika. Amoxicillin inopiwa kumunhu ane mono chaizvo kazhinji inokonzera rash yakapararira inoita seasati alerge asi kazhinji haisi. Imwe nharo yekuedza usati wapeji mishonga.

Ndinogona here kushandisa amoxicillin kana ndichirwara nepenicillin?

Kwete. Amoxicillin ndeye penicillin, saka penicillin allergy chaiyo inoidzivisa. Vanachiremba vanotsiva zvimwe zvikamu zvichienderana nechirwere, kazhinji doxycycline ye sinusitis uye azithromycin kana clindamycin ye strep, nezvimwe cephalosporins zvinoshandiswa nekungwarira kune vanhu vane maitiro avo aive asina kuipa. Mazhinji "penicillin allergy" labels emudiki achazoshanda kuti akanganise panguva yekuedzwa kwakakodzera, izvo zvakakodzera kutevera kana zvichienderera mberi nekutadzisa zvinhu zvako.

Chii chandinofanira kuita kana ndakapotsa dose ye amoxicillin?

Kazhinji kwete. Imwe chete yakapotsa dose haidzoswi nguva yekurapa. Iishandise sezvaunenge waizodzidza, kunze kwekunge dose yako inotevera iri pedyo, kana uri munyaya iyi, shandisa yakapotsa uye rova. Usambofa wakashandisa kaviri kuti uwane. Kana uri kupotsa nguva dzose, taura nemunachiremba, nekuti regimen kaviri pazuva rinogona kuve rinonyoreka pane kamwe maawa masere.

Amoxicillin yakachengeteka here panguva yekuzvitakura?

Dzimwe nguva. Amoxicillin iri pakati pemishonga unorwisa mabhakitiriya vanachiremba vanowanzoshandisa panguva yekuzvitakura uye kuyamwisa, asi sarudzo iyoyo ndeyemunhu anopa mishonga, ichiongororwa nechirwere chiri kurapwa. Taura kuti une pamuviri, uri kuyedza kukonzera, kana kuyamwisa usati wanyorwa mushonga, kwete mushure mekunge waenda nawo. Dose uye nguva dzekurapa dzinogona kugadziriswa pane kuchinjwa kwemushonga.

Amoxicillin inodhura zvakadii isina inshuwarisi?

Kazhinji kwete zvakawanda. Amoxicillin ishanduro yakare yekare uye imwe yezvishoma zvinodhura zvinodhura zvinodhura zvinoshandiswa, kunyange hazvo huwandu chaihwo hunosiyana ne pharmacy, fomu, uye huwandu, uye zvinwiwa zvevana zvinodhura zvakasiyana nemakapusule. Tinotsanangura nhamba dzazvino mugwaro redu re amoxicillin inodhura sei isina inshuwarisi.

Ndinogona here kushandisa amoxicillin yakasara kubva kune yakare yakambopa?

Kwete. Mapiritsi akasara haasiwo dose chaiyo uye, nekuda kwezvinorehwa, nguva yekurapa isina kukwana, uye dose yehuremu hwecheche inenge yashanduka kubva ipapo. Kushandisa amoxicillin pamatemu echirwere chemhino pasina kuongororwa kwazvino kunorevawo kuti hapana akatarisa kana wasvika pamuganhu webhakitiriya zvachose. Nguva dzekurapa dzakashandiswa nemazvo inzira yakavimbiswa yekuberekesa kupikisa uchirapa chinhu.

Chikamu chepasi chezve amoxicillin chezvirwere zve mhino, nzeve, ne strep

Chikamu chekuongorora chinouya pamberi pekurongwa, nguva dzose. Kune zvirwere zve mhino, amoxicillin-clavulanate inosarudzirwa pamusoro peamoxicillin yakapusa, kwemazuva 5 kusvika 7 kune vanhu vakuru uye mazuva 10 kusvika 14 kune vana. Kune zvirwere zvenzeve, amoxicillin yakapusa yakakwirira dose pa 80 kusvika 90 mg/kg/zuva inoramba iri yekutanga. Kune strep yakasimbiswa, ndeye 50 mg/kg kamwe chete pazuva, kusvika 1,000 mg, kwemazuva akazara 10.

Pedza nguva yekurapa kunyangwe mushure mekunge wanzwa zvakanaka, uye fonera kana pasina kuvandudza mushure memaawa 72.

Disclaimer: Chinyorwa chino chinongorerwa ruzivo chete uye hachireve zano rekurapa. Nguva dzose bvunza mushandi wezvehutano akakodzera kuti asarudze nezvekutsvaga nekurapa. Kana uri kutambura nedambudziko rekurapa, fonera 911 kana enda kuchipatara chepedyo nekukurumidza.