Augmentin renyoreku resinus ndiyo yekutanga-mutsetse chete kana chirwere chiri chebhakitiriya: 875 mg/125 mg maawa gumi nemaviri kwemazuva mashanu kusvika manomwe muvanhu vakuru. Kuvandudzika kunotanga pa48 kusvika 78 maawa, kwete pazuva iroro. Sezvo zvisingawanzoitiki kuti zvakawanda zvekunetsana kwe sinus zvine hutachiona, mushonga wacho hauna basa kune vazhinji vezvinetso.

TL;DR: Zvinokosha zvaunofanira kuyeuka

  • Mhando yakajairika yevakuru: 875 mg/125 mg maawa gumi nemaviri, kana 500 mg/125 mg maawa masere.
  • Vakuru vanoishandisa kwemazuva mashanu kusvika manomwe. Vana ndivo vanopiwa mazuva 10 kusvika 14.
  • Unyatsoesa pazuva rechi48 kusvika rechi72. Kutonga kwezuva rekutanga hakuna maturo.
  • Kutanga kuipa mushure meawa 72, kana kusachinja nezvemutatu kusvika mashanu mazuva, zvinoreva kufona kuna anokuongorora.
  • Kuzvimba kweziso, kuchinja kwekuona, kana kurwadziwa kwemusoro kwakanyanya nekusindimara kwemutsipa ndizvo zvinhu zvekuenda kuchipatara, kwete mhedzisiro yekusashanda.

Augmentin renyoreku reSinus Inoshanda chete Kana Chirwere Chiri Chebhakitiriya, Uye Vazhinji Havana Kudaro

Augmentin renyoreku resinus ndiyo nzira yekutanga-mutsetse yekusarudza acute bacterial rhinosinusitis, asi nhamba shoma chete yezvinetso zve sinus zvinokwanirwa. Mhando yakajairika yevakuru i875 mg/125 mg maawa gumi nemaviri kwemazuva mashanu kusvika manomwe. Mabakitiriya anotanga kufa mukati memaawa ekutanga kwechidimbu, asi kunzwa kunyoreka kunowanzotanga pa48 kusvika 72 maawa. Hapana chikonzero chekutonga pazuva rimwe chete nezve kuti iri kushanda here.

Chikonzero chakakosha. CDC inoti huwandu hwezvinetso zve sinus izvo zvine hutachiona ndezve 90 kusvika 98 muzana, uye mushonga unorwisa mabhakitiriya hauna basa kuhutachiona. Saka zvisati zvaitika kuti mubvunzo wedose ubvumwe, kuongorora kunofanirwa kuwanikwa.

Maitiro matatu anoratidza kubhakitiriya:

  • Zviratidzo zvichiri kwemazuva 10 kana kupfuura pasina kuvandudzika.
  • Kutanga kwakanyanya: fivha ye102°F (39°C) kana kupfuura ine purulent nasal discharge uye kurwadziwa kwakadzika kwemazuva matatu kana mana akateedzana.
  • Kuperevedza kaviri: unovandudza mukati memazuva mana kusvika manomwe, wobva warwara zvakare.

Gomarara rakakora, rakasvibirira, kana rejiro hachisi pane rondedzero iyi. Kutsvedzerera kwemavara kwakajairika mukurwara kwehutachiona uye hakunyatsoenderera. Paunenge uchitarisa chimiro chimwe chezvitatu, 2012 IDSA guideline inopa amoxicillin-clavulanate, kwete amoxicillin yakajeka, senzira yekutanga yekurapa kwekufungidzira kune vakuru nevana.

Dose Yako Inotsamira Pamakakwira Ane Njodzi, Kwete Pamazuva Apo Unonzwa Zvakaipa

Kukwiridzwa kweAugmentin kwezvirwere zve sinus zvinopiwa kune vakuru ndiko kusarudza pamusoro pekupikisa kunogoneka, kwete pamusoro pekuti vanonzwa sei. IDSA inopa nzira mbiri dzakajairika dzevaviri: 875 mg/125 mg maawa gumi nemaviri, kana 500 mg/125 mg maawa masere. Chero chimwe chezvi chinokutendera kune zvakajairika zvekunetsana kwe sinus.

Mhando yekukwiridzwa kwepamusoro, 2,000 mg/125 mg kaviri pazuva, iripo, uye inoshandiswa pane zvakajairika. Inofungidzirwa kune zvirwere zvakanyanya, nzvimbo dzine high pneumococcal resistance, kurara kwekutarisana nevana, zera re65 (kana pasi pe2), kuzarirwa kuchipatara munguva pfupi yapfuura, kushandiswa kwemishonga mumazuva 90 apfuura, kana sisitimu isina simba rekuvhara. Saka dosi yeAugmentin renyoreku reSinus rine vakuru rinoratidzira nhoroondo yavo, kwete mamaki avo ezviratidzo.

Kukwiridzwa kwepamusoro hakunawo kwakanaka. 2021 yakavhenganiswa trial muJAMA Network Open yakawana kukwiridzwa kwepamusoro kweamoxicillin-clavulanate kwakanga kusina kunaka pane kukwiridzwa kwakajairika muvakuru vane acute sinusitis.

Chipengo chimwe chete chinoita: mahwendi maviri e250 mg haasi akafanana neimwe mahwendi e500 mg. Simba rega rega rinopa zvakafanana 125 mg yekluvulanate, saka kuwedzera mahwendi kunowedzera cluvulanate kaviri. Usambofa wakabatanidza dose kubva kune zvakasara kubva pakugadzirwa kwakare.

Mazuva Mashanu Kusvika Manomwe Ndiwo Mukana Wavakuru, Uye Kwakare Hakusi Kunaka

Ndeapi mazuva ekutora Augmentin renyoreku reSinus ane mhinduro pfupi kune vakuru: mazuva mashanu kusvika manomwe kune isina-yakaoma acute bacterial rhinosinusitis. Iwo mazuva 10 kusvika 14 aripo asi anoda vana.

Mukana wevakuru wakaderera unofananidzwa nemukana wevakuru pane zviyero zvekuporesa uchigadzira diarrhea shoma uye kumanikidzwa kwekupikisa. Ndiyo zvese zvine musoro.

Ndeapi mazuva ekutora Augmentin renyoreku reSinus ariwo mubvunzo pamusoro pekuedzwa kaviri. Chekutanga ndekumira pachikamu chechitatu nekuti unonzwa zvakanaka, izvo zvinosiya shure chete chikamu chakagadzikana chebhakitiriya. Chechipiri ndechekufambisa mukana nemahwendi akasara. Mukana unoda kuwedzerwa ndiko kumwe kufambisana kunoda kuongororwa patsva. Kana uchida mechiniki yekugadzirwa kwakajairika, heino mafuwa angakubatsira.

Kusanzwa Zviri Nani Nezvezuva reChipiri Hazvireve Kuti Hazvishandi

Ndeapi nguva Augmentin inoshanda zvinoenderana ne yechitatu, uye vakuverenga vanowanzosanganisa zvese zvinovabatanidza muzvibvunzo zvakawanda zvinovadzvanyirira.

Clock yekutanga ndeyekutora. Zviyero zveropa zvine simba zvakanyanya maawa maviri kusvika maviri mushure mekudya. Kushongedza bhakitiriya kwakatotanga nezuva rekutanga, kure zvakare nezvisati zvaitika kuti chiso chako chazvizive.

Clock yechipiri ndeyekunzwira, izvo zvinowanzova zvakajeka pa48 kusvika 72 maawa. Paunenge uchibvunza "ndinguvai Augmentin inoshanda," iyi ndiyo nguva yacho yawauri kureva.

Clock yechitatu ndeyekugadzirisa, iyo inomhanya kureba kwenguva yekufambisa uye kuenderera mberi. Kupfungaira kwesara uye kukosora kunogona kuramba kwemazuva manomwe kana kupfuura mushure mehwendi yekupedzisira.

Hezvino zvakawanda zvinonzi zvichaita: mune imwecheteyo 2021 trial, ingangoita 44 muzana evakuru vakazvinzwa "zviri nani kwazvo" kana kuti zvakasununguka kubva kune zvinetso nezvezuva rechitatu, zvichikwira kusvika kunenge 82 muzana nezvezuva rechi10. Kunzwa kusanyanyisa nezvezuva rechipiri kunokuisa muhuwandu, kwete mudambudziko.

Tarisai chiratidzo chakakodzera. Kupisa kwechiso uye kuneta kunowanzotanga kuderera. Kupfungaira kwemhino ndicho chinhu chekupedzisira kudzikama, ndosaka zvichiita chiratidzo chakaipa chekuenderera mberi, uye nei kunetsana kwe sinus pasina kupfungaira kunogona kunge kwakanyanya kunetsana kutsvaga.

Hapana Kuvandudzika Nezve Zuva rechitatu Ndiwo Mushonga WeKuita, Kwete Kuti Uimirire

Augmentin isingashande renyoreku reSinus chinhu chekurapa chakajeka, kwete chekunzwa. Iyo IDSA threshold iri nyore: zviratidzo zviri kuipa mushure me48 kusvika 72 maawa ekurapa, kana kusavandudzika zvachose nezve matatu kusvika mashanu mazuva, zvinoreva kusangana nemunhu anokuraira. Kuvandudzika hakutarisirwi mukati memaawa makumi maviri nemana ekutanga, saka kutonga kwezuva rekutanga hakusi data rinonzwika.

Paunenge uchinyatso kusashanda, zvinoreva zvinhu zvitatu. Chipenyu chakagadzirwa. Chirwere chakanga chisati chiri chebhakitiriya uye chakanga chine hutachiona kana kuti chekugara. Kana chimwe chinhu chekuvaka chakavharwa, sekunge chakavharwa, kana kuti nasal polyps.

Zvisarudzo zvevarapi zvakafanana: shandura kirasi yemishonga, odha tsika kana mifananidzo, kana vhura zvakare kuongorora zvachose. Kufungidzira pamba hakuna shanduro yeizvi inoshanda.

Kana uri mushure mechikamu che72 maawa uye wakadzika, August's $39 online urgent care visit inokubatanidza neUS-licensed clinician anogona kuongorora nguva yako uye kusarudza kana kugadziriswa, shanduko, kana kuongororwa panyama kwakakodzera. Hapana chirevo chinovimbiswa, uye kushanya kwevhidhiyo hakugone kupa mifananidzo ye sinus yako, kusveta mhino yako, kana kubata zviratidzo zveziso neuropologiki pazasi. Zvese izvo zvinogona kuenda kuchipatara.

Klávulanate Ndiwo Chikonzero Augmentin Inokanganisa Dumbu Rako, Uye Nei Chikafu Chichibatsira

Diarrhea nechekutsva zvichikonzerwa zvikuru nekluvulanate, kwete neamoxicillin. Chokwadi ichocho chinotsanangura nei Augmentin ichioma padumbu pane amoxicillin yakajeka, uye nei rairo iri rekutora chipi nechipi panguva yekutanga kudya: chikafu chinodzora mhedzisiro ye GI uye chinovandudza kubvumirwa kwe kluvulanate panguva imwe chete.

Wakashaya dose pakugadzirwa kwemaawa 12? Tora pazvinenge zvichitaurwa, kunze kwekunge chidimbu chinotevera chiri maawa angangoita mana kure, mune izvo skip. Usambofa wakawedzera, nekuti kuwedzera mahwendi kunowedzera kluvulanate kaviri nedambudziko dumbu naro.

Maitiro akasununguka anoenderana uye haasi chikonzero chekusiya mushonga. Diarrhea yakakomba, yemvura, kana yeropa ine kurwadziwa kwakadzika kwemudumbu kunopesana, uye kunoda kufona pazuva rimwe chete kuti uwane zvirwere zveC. difficile. Tsananguro yakawanda pamusoro pemhedzisiro yakakwana ye mhedzisiro yeAugmentin yakakodzera kuverenga usati wasvika pazuva rekutanga.

Zvimwe Zviratidzo Pakurapa Ndiwo Njodzi, Kwete Mhedzisiro

Kunetsana kweSinus kunowira padhuze neziso uye nehuropi. Orbital cellulitis ne intracranial spread zvishoma, uye ndizvo zvikonzero zviratidzo zvinotevera zvinopfuura nemunhu anokuraira zvachose.

Fonera 911 kana enda kuchipatara chekukurumidza zvino kana:

  • Pane kuzvimba, kutsvuka, kana kuzvimba kune ziso, kana kuchinja kwekuona kutsva sekunge maviri kana kurasikirwa kwekuona.
  • Une kurwadziwa kwemusoro kwakakomba nekusindimara kwemutsipa, kuvhiringidzika, hope, kana kudemba.
  • Chiso kana mutsipa wako wazvimba, kana uine mazamu, kuhwihwa, kana dambudziko rekufema kana kumedza.
  • Une diarrhea yakakomba kana yeropa ine kurwadziwa kwakadzika kwemudumbu.

Ronga kushanya mukati mevhiki rinotevera kana:

  • Fivha ye102°F (39°C) kana kupfuura inoramba ichiripo mushure memazuva matatu pamishonga inorwisa mabhakitiriya.
  • Zviratidzo zvinovandudza wobva warwara zvakare.
  • Iyi ndiyo yako yechina yekunetsana kwe sinus mumwaka.
  • Unoona kuchinja kweganda kana maziso, weti yakasviba, kana kuneta kwakakomba, izvo zvinogona kutaura kukuvara kwechiropa kwakakonzerwa nemushonga.

Taura nemunhu anokuraira usati watanga kana:

  • Une chero nenyanzvi yekupedzisira kana cephalosporin allergies.
  • Wanga uine jaundice kana zvirwere zvechiropa kubva kuAugmentin kare.
  • Une chirwere cheitsvo kana kushanda kweitsvo kwadzikira.
  • Uine pamuviri kana uri kuyamwisa.
  • Unoshandisa allopurinol, methotrexate, kana warfarin.

Chinhu Chakaipa

Nhamba nhatu dzinotakura peji rino: 875 mg/125 mg maawa gumi nemaviri, mazuva mashanu kusvika manomwe, uye kuongorora patsva pa48 kusvika 72 maawa. Zvese zvitatu zvinofunga nezve mamiriro ekutanga, ndiko kuti, kuongorora kwechokwadi chebhakitiriya pane zuva rechina rekufunganya. Pedza mukana wakakwana kunyange kana uchinzwa zvakanaka nezvezuva rechitatu. Kana uri kuipa mushure me72 maawa kana kusachinja nezvezuva rechi5, Augmentin renyoreku reSinus hakusi iro rauri kuda, uye ndicho chinhu chekufona nacho pane kuti uzvirarame kwevhiki.

Mibvunzo Inowanzobvunzwa

Ndeapi wandinogona kutora panzvimbo yeAugmentin kana ndine nenyanzvi yekupedzisira?

Kwete, Augmentin haisi sarudzo ine nenyanzvi chaiyo ye IgE-mediated penicillin allergy, sezvo iri penicillin. Kune vakuru, vanachiremba vanowanzoshandisa doxycycline senzira yekutanga, uye respiratory fluoroquinolones ndiyo sarudzo yepiri-mutsetse yakachengeterwa vanhu vasingakwanise kutora doxycycline. Tsanangura zvakajeka kusashanda kwako, nekuti chironda cheudiki neanaphylaxis chaiwo zvinotungamira kune dzakasiyana sarudzo.

Augmentin yakachengeteka here kushandisa renyoreku reSinus panguva yekuzvitakura?

Hongu. Amoxicillin-clavulanate iri pakati pemishonga inorwisa mabhakitiriya inoshandiswa panguva yekuzvitakura kana bacterial sinus infection yakasimbiswa, uye penicillins vane nhoroondo yakareba yekuchengeteka kwechero kirasi yemishonga inorwisa mabhakitiriya kune vanhu vane pamuviri. Taura nemunhu anokuraira kuti une pamuviri kana uri kuyamwisa zvisinei, sezvo izvi zvichichinja kuti ndeapi dzimwe nzira dzinogona kuitwa kana mukana wekutanga ukatadza.

Augmentin inoshanda nekukurumidza pane amoxicillin yakajeka renyoreku reSinus?

Kwete. Klávulanate haidzoreki chero chinhu. Inodzora ma enzymes ebeta-lactamase, ayo anowedzera kuvharwa kune mhando dzeHaemophilus influenzae neMoraxella catarrhalis dzaizoparadza amoxicillin zvikasadaro. Ndiwo mukana wekuvhara, kwete mukana wekumhanya. Zvese zvinodhaka zvinotevedzera zvakafanana 48 kusvika 72 maawa ezviratidzo kana zviri kushanda.

Ndinogona kunwa doro ndichiri kutora Augmentin?

Kazhinji kwete. Hapana ngozi yekudyidzana kwakadai doro rinogadzira ne metronidazole, saka kunwa kamwe kunogona kusakonzeresa kukuvara. Dambudziko rekunyanya nderekushanduka: doro rinowedzera kusashanda kwemudumbu uye diarrhea klávulanate inokonzera, rinokanganisa hope, uye rinokunyatisa panguva iyo uri kuyedza kumisa zvipembenene zve sinus. Skip kwazvo kwevhiki.

Ndinogona kushandisa decongestant, saline rinse, kana steroid nasal spray pamwe neAugmentin?

Hongu. Saline irrigation uye intranasal steroid sprays zviri zvakanaka pamwe neAugmentin renyoreku reSinus uye zvinotarisana nekupfungaira mushonga unorwisa mabhakitiriya usingagadzirise. Oral decongestants ane humbowo hushoma uye anofanirwa kungori kwemazuva mashoma, kunyanya kana une BP yakakwira. Topical decongestant sprays haifanire kumhanya kupfuura mazuva matatu nekuda kwe rebound congestion.

Disclaimer: Chinyorwa chino chinongova chekuzivisa chete uye hachisi chikonzero chekurapa kwazvo. Nguva dzose taura nehunyanzvi hwekurapa kuti uwane kuongorora nekugadzirisa sarudzo. Kana uri kuva nezvinetso zvekurapa, fonera 911 kana enda kuchipatara chekukurumidza pakarepo.