Hongu. Unogona kutora amoxicillin paunenge uine pamuviri kana chiremba akakurayira kuti uwane chirwere chebhakitiriya. Iyo ndeimwe yeanonyatsodzidzwa maantibhayotiki panguva yekuzvitera, uye data rakakura rehuwandu hwevanhu harina kuibatanidza neakakura congenital malformations. Mubvunzo wakaoma ndewokuti amoxicillin ndiyo mushonga wakakodzera kune chirwere chako chaicho.

TL;DR: Zvinokosha zvawadzidza

  • Penicillins, kusanganisira amoxicillin, zvinotsanangurwa neACOG sekuchengetedzeka kwese panguva yekuzvitera, uye vanhu 139,938 vakatarisana vakaona kuti hapana hukama neakakura congenital malformations.
  • Amoxicillin inopfuura placenta. Makumi emakore edata remhedzisiro, kwete zero fetal exposure, ndicho chikonzero nei ichivimbiswa.
  • Kazhinji haisi sarudzo yekutanga yeUTI yekuzvitera, nekuti mabhakitiriya akajairika emukadzi anowanzo kupesana nayo.
  • "Category B" igwaro rakadzimwa reFDA. Gwaro razvino rinoti shandisa chete kana zvichidikanwa zvakajeka, izvo zvakajairika kuchengetedza, kwete alarm chaiyo.
  • Alerji yePenicillin yakataurwa inofanirwa kutaridzwa zvakare zviri pamutemo usati waagamuchira mushonga wakatsiviwa.

Unogona kutora amoxicillin paunenge uine pamuviri? Hongu, uye ndeimwe yeanonyatsodzidzwa maantibhayotiki atinawo

Amoxicillin ipenicillin, uye penicillins inotakura makumi emakore edata remhedzisiro yekuzvitera. Mitemo yeACOG pamusoro pekushandisa maantibhayotiki panguva yekuzvitera, yakapfupikiswa neAAFP muna 1998, inotsanangura penicillins kusanganisira amoxicillin sekuchengetedzeka kwakajairika kune vanenge vaine pamuviri. Mu Quebec population cohort ya2017, amoxicillin haina kubatanidzwa neakakura congenital malformations. Iyo nhoroondo iyi, kwete kusavapo kwe fetal exposure, ndicho chikonzero nei vanachiremba vachiiishandisa.

Amoxicillin inosvika kune wako mwana. Inopfuura placenta, sezvinongoita maantibhayotiki mazhinji. Zvinoriita kuti zvive zvakachengetedzeka ndezvekuti takatarisa zvakaitika gare gare, munhamba zhinji chaidzo dzekuzvitera chaihwo, uye takaona hapana chiratidzo chemalformation. Uye kuenzanisa kunokosha hakusi mushonga versus hapana. Chirwere chebhakitiriya chisina kurapwa panguva yekuzvitera chinotakura njodzi yacho, dzimwe nguva njodzi yakakomba.

Chikuru mubvunzo hausi kuchengetedzeka, asi kana amoxicillin inokodzera chirwere chako

Kuve pane runyorwa pfupi rwe maantibhayotiki akachengetedzeka panguva yekuzvitera hakusi kuva mushonga wakakodzera kune bhuku rauri kutarisana naro. CDC's analysis of 2014 claims data yakafukidza 482,917 nhumbu yakawana 7.2% yakasanganiswa nechirwere chemado, uye maantibhayotiki akagara achiumbwa mukati mekutanga kwekutanga kwaive nitrofurantoin (34.7%), ciprofloxacin (10.5%), cephalexin (10.3%) uye trimethoprim-sulfamethoxazole (7.6%). Amoxicillin haisi iyo default ipapo, nekuda kwekuvapo kwe mabhakitiriya akajairika emukadzi akave asingashande pairi. Pano inowana nzvimbo yayo ndeye zvipembenene zvemumromo, sinusitis, strep throat, uye zvirwere zvemadziro kusanganisira asymptomatic bacteriuria kana tsika ichisimbisa kuti chirwere chacho chinonzi chinokwanisa.

Hezvino zvimwe zvinhu zvakawanda zvisingazotaurirwi newe: "runyorwa rwakachengetedzeka" inzvimbo inopesana. Muchirevo chimwe chete cheCDC, ACOG inopa zano kuti sulfonamides uye nitrofurantoin zvinoshandiswa mukati mekutanga kwekutanga chete kana zvimwe zvimwe zvichiitwa zvisina kukodzera, uchitarisa kune zvinogona kubatanidzwa ne anencephaly, cardiac defects uye cleft lip kana palate. Saka mubvunzo unobatsira pamusoro zvirwere panguva yekuzvitera hausi "mushonga uyu wakachengetedzeka here?", asi "tsika yakatumirwa here, uye mushonga uyu unoenderana nayo?"

Exposure yekutanga trimester yakadzidza yega, uye yakazvibata

Amoxicillin yekutanga trimester safety yakatarisana yakasiyana pane kungofungidzira kubva pakuita kwehuwandu hwevanhu panguva yekuzvitera. The Quebec cohort yakatevera 139,938 akazvarwa achizvarwa pakati pa1998 na2008, kusanganisira 15,469 nhumbu dzakasangana ne maantibhayotiki mukutanga kwekutanga. Amoxicillin, mamwe ma penicillins, cephalosporins uye nitrofurantoin hazvina kubatanidzwa neakakura congenital malformations. Clindamycin, doxycycline, quinolones, macrolides uye phenoxymethylpenicillin zvakabatanidzwa nekuwedzera njodzi dze specific organ malformations.

Kutanga kwekutanga ndiko trimester kunokosha kune uyu mubvunzo nekuti organogenesis inomhanya kubva pasvondo 3 kusvika pasvondo 10. Iri ndiro hwindo malformation studies ari kuyedza.

Zvinenge zvichiratidzwa izvi hazvigoni kuratidza njodzi zero. Iyi idata rekuongorora. Zvinoratidza hapana chiratidzo, icho chiri chirevo chakasiyana chaicho. Zvakakodzera kusimudza exposure panguva yako yekusangana kwekutanga kwekutanga, kusanganisira pa your 8-week ultrasound, kuti mazuva ave mugwaro rako.

"Category B" igwaro rakadzimwa, kwete chibvumirano cheFDA chazvino

Amoxicillin pregnancy category waunogona kunge wakaverenga nezvayo, Category B, haisisisiri chirevo chepamutemo. FDA yakatanga kutsiva tsamba dzaive dzechikwereti nekurondedzero yePregnancy and Lactation Labeling Rule format muna 2015. The current FDA-approved label inoti amoxicillin inofanirwa kushandiswa panguva yekuzvitera chete kana zvichidikanwa zvakajeka. Zvidzidzo zvekuita kwemhuka mu mbeva uye nzombe padosi dzinodarika 2000 mg/kg, dzinodarika 3 kusvika 6 nguva dzinoshandiswa dzemunhu, hazvina kuratidza kukuvara kumwana. Hapana zvidzidzo zvakakwana uye zvakadzorwa panguva yevanhu vaine pamuviri, ndicho chikonzero nei gwara richitaura izvi. Chirevo ichi chiri pamagwaro emushonga anoda kusvika ese, nekuti isu hatitambise randomized trials pavanhu vane pamuviri.

Chirevo chiri muChirungu chakajeka: amoxicillin pregnancy category yapera, uye zvakatsiviwa nacho igwara rinotsanangura data remhuka rinodzikamisa pamwe nekusava nechokwadi, kwete yambiro inonangidzirwa kune uyu mushonga.

Alerji yePenicillin yakataurwa inofanirwa kutaridzwa zvakare usati wachinja mushonga

Vanhu vanotsvaga dzimwe nzira dzekuzvitera kune penicillin allergy vanowanzo funga kuti dzimwe nzira dzakafanana. Hazvisi. Chikamu chikuru chezvakataurwa nezve penicillin allergies hachina kusimba kana chichiongororwa zviri pamutemo, uye vazhinji vanozvibvumira kubva kuhutachiona hwehudiki hwainge husina kusimbiswa sekubata kwakashata. Saka nhanho inenge isinganyatso kuitwa ndeiyi: bvunza kana penicillin allergy evaluation kana skin testing yakakodzera usati waagamuchira mushonga wakatsiviwa.

Chikonzero nei zvichikosha chinoonekwa mune data. Mu Quebec cohort, first-trimester macrolide exposure yakabatanidzwa nekuwedzera njodzi ye organ-malformation, nepo amoxicillin yakasazviita. Mitemo yeACOG sezviri kupfupikiswa neAAFP inoti ma quinolones ese akazvidavirira panguva yekuzvitera nekuda kwe arthropathy muvanhu vechidiki, uye kuti kanamycin uye streptomycin zvakabatanidzwa nekurasikirwa kwekunzwa kwevana. Cephalosporins ndidzo dzimwe nzira dzinowanzo shandiswa kune allergy yakasimbiswa, uye idzo dzakaratidzawo hapana hukama hwe malformation mune iyi cohort.

Ziva zviratidzo zvipi zvinoreva kumbomira nekudaidza, uye zvipi zvinoreva 911

Daidza 911 kana enda kuchipatara nekukurumidza kana:

  • Hives, kuzvimba kwechiso kana mutsipa, kuoma kufema kana kuchema mushure medosi
  • Fever pamusoro pe100.4°F (38°C) nekutambudzika kwepasi, kunotonhora, kuda kurutsa kana kurutsa, izvo zvinogona kureva pyelonephritis iyo maantibhayotiki emuromo chete angasafukidza
  • Kusviba kwemvura kana kubuda ropa kwakasimba kana kwenguva refu, izvo zvinogona kureva C. difficile colitis
  • Kuzvarwa nguva dzose, kumanikidzwa kwechiuno, kuyerera kwemvura kana kubuda ropa kwechibereko
  • Kuderera kwe fetal movement

Bvumidza kushanya mukati mevhiki rinotevera kana:

  • Zviratidzo zvako hazvina kuvandudzika mushure memaawa 48 kusvika 72 pakutora maantibhayotiki
  • Kushatirwa kudiki kunoonekwa pasina zviratidzo zvekufema
  • Zviratidzo zvemadziro zvinodzokera mushure mekunge wapedza kurapwa
  • Kuwana yeast infection mushure mekurapwa

Taura nachiremba usati watanga kana:

  • Waimbove wakabatwa nepenicillin kana amoxicillin
  • Prescription yakanyorerwa usati waziva nezvekuzvitera kwako
  • Hausati waziva kana tsika yemukadzi yakatumirwa
  • Unoshandisa mishonga yekurapa kana uine dambudziko reitsvo

Kana uchifunga nezvekuti unogona here kutora amoxicillin paunenge uine pamuviri uye usingagoni kusvika kuchikwata chako chekuvaka nekukurumidza, August's $39 online urgent care visit inokubatanidza kune chiremba ane rezinesi reUS anoongorora zviratidzo zvako uye anosarudza kana prescription yakakodzera. Iva wakajeka nezve miganhu: vhidhiyo yekushanya haigone kumhanyisa tsika yemukadzi, haikwanise kukuongorora, haikwanise kuongorora mwana wako, uye hachisi chekutsiva chekukurumidzira chechinhu chiri pane urongwa hwe911 pamusoro. Kana mari iri dambudziko pachitoro chemaratidziro, ona how much amoxicillin costs without insurance.

Mibvunzo Inowanzobvunzwa

Amoxicillin inopfuura placenta here?

Hongu. Amoxicillin inopfuura placenta uye inosvika kune fetus, sezvinoita maantibhayotiki mazhinji. Kufambisa kwe placenta kwakaringana hakusi uchapupu hwekukuvara; zvinongoreva kuti exposure yakaitika. Zvinogadzirisa mubvunzo wekuchengetedzeka ndeye data remhedzisiro, uye mune cohort ye139,938 yekuzvarwa, first-trimester amoxicillin exposure haina kubatanidzwa neakakura congenital malformations. Exposure inogona kuyerwa. Chiratidzo chekukuvara hachisi.

Ndinofanira kunetseka kana ndakatora amoxicillin ndisati ndaziva kuti ndine pamuviri?

Kazhinji kwete. Nhatu dzezvitereki zveU.S. hadzisi dzakasungirirwa, ndicho chikonzero nei CDC ichiisa prescribing munharaunda dzevevechidiki se "kurapa kwema-maviri", uye amoxicillin yekutanga trimester safety ndiyo chikamu chinodzikamisa kwazvo kubva pane zvose zvezvinhu zvaunadzidza. MedlinePlus ichiri kurayira kutaura nachiremba wako kana wava kutora amoxicillin, saka ita ikoko uye uuye nezvemazuva ekusangana.

Kukanganwa dose yeamoxicillin kunokuvadza panguva yekuzvitera here?

Kazhinji kwete. Tora dose yakakanganwika paunoyeuka, kunze kwekunge dose yako inotevera iri pedyo, munyaya iyi iisiye. Usambofa wakawedzera kudzamara wadzoka. Njodzi huru yekuzvitera ndiyo kumbomira pakutanga: chirwere chemukadzi kana chemazino chakatorapwa chikamu chinogona kudzoka, uye chirwere chekudzoka chinonetsa kurapa kupfuura chekutanga.

Unogona kutora amoxicillin paunenge uine pamuviri?

Hongu. LactMed inoshuma peak milk levels ye0.69 kusvika 0.81 mg/L mushure medosi raamai rine 1 gram, ine infant dose iri pasi pe0.4% yedose yemwana yakajairika, ine infrequent uye mild infant effects se occasional diarrhea kana rash isingawanzowanikwe. The FDA label ichiri kupa chengetedzo nekuda kwezvinogona kuitika kune vana.

Augmentin yakafanana neamoxicillin panguva yekuzvitera here?

Kwete. Augmentin is amoxicillin yakavhenganiswa neclavulanate, chipimo chechipiri chakawedzerwa kukunda kuramba kwe bhakitiriya. Iine zviratidzo zvakasiyana, profile yemhedzisiro yakasiyana ine diarrhea yakawanda, uye yayo MotherToBaby fact sheet. Usafunge kuti data rekuzvitera pane amoxicillin yakachena inopfuura otomatiki. Verenga gwara pane bhodhoro rako uye bvunza munyoreri kuti ndeupi pakati peaviri waakapihwa.

Chikonzero chepasi: unogona here kutora amoxicillin paunenge uine pamuviri? Hongu, kana yakarayirwa chirwere chebhakitiriya chakanyoreswa. Nhoroondo yekuchengetedzeka, kusanganisira yekutanga trimester, yakanaka sezvaunowana uchapupu hwe maantibhayotiki. Shanda nekuchemerera kwako pane mubvunzo uri nani pane izvo: tsika yakatumirwa here, uye mushonga uyu unoenderana nayo?

Disclaimer: Chinyorwa ichi ndechokuda kuzivisa chete uye hachisi zano rekurapa. Gara uchibvunza chiremba anokwanisa kuti uwane kurapwa nezvisarudzo zvekuzvirapa. Kana uine dambudziko rekurapa, daidza 911 kana enda kuchipatara chepedyo nekukurumidza.