I-Amoxicillin yengculi ye-sinus ayiyona inketho yokuqala yomhlahlandlela. I-IDSA incoma i-amoxicillin-clavulanate (Augmentin) esikhundleni salokho, ngoba ingxenye enkulu yezinhlobo ze-Haemophilus influenzae azizweli kwi-amoxicillin evamile. I-amoxicillin evamile ihlala iyinketho yokuqala yezifo zezindlebe, ku-80 kuya ku-90 mg/kg/ngosuku, kanye ne-strep throat eqinisekiswe ngesivivinyo.

TL;DR: Izinto Ezibalulekile Ezibalulekile

  • Izifo eziningi ze-sinus nezindlebe ziyizibangelwa amagciwane futhi ziyadlula ngaphandle kwe-antibiotic.
  • Ngokubola okubangelwa amagciwane, imihlahlandlela iyathanda i-amoxicillin-clavulanate kuneyo-amoxicillin evamile.
  • Izifo zezindlebe ziyisimo esikhethekile: i-amoxicillin evamile edayozwe kakhulu, 80 kuya ku-90 mg/kg/ngosuku, iseyizinto zokuqala.
  • I-Strep idinga isivivinyo esiqinisekile kuqala, bese kuba izinsuku eziyi-10 eziphelele zokwelashwa.
  • Lindela ukuthuthuka emahoreni angama-24 kuya kwangu-48 nge-strep, kanye nezinsuku ezi-2 kuya kwezi-4 zezifo ze-sinus nezindlebe.

I-Amoxicillin Evamile yeNgculi yeSinus Ngokuvamile Ayiyona Inketho Yokuqala Elungile

I-Amoxicillin yengculi ye-sinus iyalelwa njalo, kodwa ayiyona into imihlahlandlela ekuyibeka phambili. Umhlahlandlela we- IDSA ka-2012 we-acute bacterial rhinosinusitis ubeka i-amoxicillin-clavulanate, hhayi i-amoxicillin yodwa, njengokwelashwa kokuqala kwe-empiric kubo bobabili izingane nabantu abadala. Isizathu silula futhi siqondile: u-27% kuya ku-43% wezinhlobo ze- H. influenzae azizweli kwi-amoxicillin kodwa zisazwela lapho kwengezwa i-clavulanate.

I-Clavulanate akuyona i-antibiotic enamandla. Kuyisihlangu. Ivimba i-enzyme leyo magciwane ayisebenzisa ukuchitha i-amoxicillin ngaphambi kokuba umuthi wenze noma yini ewusizo.

Nansi into amakhasi amaningi angakutsheli yona: odokotela abaningi abanolwazi basabhalela i-amoxicillin evamile ye-sinusitis, futhi ngesimo esingelona eliyinkimbinkimbi kumuntu omdala onempilo angakezange athathe ama-antibiotic kamuva nje, ivamise ukusebenza. Udokotela ubheka amaphethini okumelana namagciwane endawo, umlando wakho wokungezwani komzimba, nokuthi yini oyilapho ulapho ngayo kulo nyaka. Ukugunyazwa kwe-amoxicillin evamile akuyona iphutha. Kuyisinqumo okufanele usibuze ngaso.

Izifo Eziningi Ze-Sinus Nezindlebe Azikaze Zidinge I-Antibiotic Kusukela Ekuqaleni

I-CDC ichaza ngale ndaba ngokungananazi: izifo eziningi ze-sinus zibangelwa amagciwane futhi ziyazilapha zodwa. Odokotela bangasebenzisa ukubheka isimo isikhashana, noma babhale incwadi kadokotela yokulibazisa oyolanda kuphela uma izinto zingathuthukanga emva kwezinsuku ezimbili noma ezintathu. Ukuphumula, ukudla okungamanzi, kanye nokugeza ngosawoti kwenza umsebenzi esikhathini esiphakathi.

I-IDSA ichaza amaphethini amathathu asikisela amagciwane kunamageciwane:

  • Izimpawu ezihlala izinsuku eziyi-10 noma ngaphezulu ngaphandle kokuya phambili.
  • Ukuqala okunzima: umkhuhlane ongu-39°C (102°F) noma ngaphezulu kanye nokuphuma okunobuthi noma ubuhlungu ebusweni, izinsuku ezi-3 kuya kwezi-4 zilandelana.
  • "Ukugula kabili": waqala ukuthuthuka, bese kuba sengathi ubuyele emuva kabi.

Ukubuhlungu kwentolo kusebenza ngendlela ehlukile kodwa kufana nendawo efanayo. I-CDC ithi ukuhlolwa komtholampilo kukodwa akunakwehlukanisa i-viral pharyngitis kusuka ku-group A strep. Isivivinyo esisheshayo esiqinisekile noma i-culture yentolo kuqala, futhi isivivinyo esisheshayo esingalungile enganeni kufanele siqinisekiswe nge-culture. Ungalindeli noma ucele i-amoxicillin ngokusekelwe ezimpawini kuphela. Ingcindezi ehhovisi ngaphambili yindlela isifo esibangelwa amagciwane esiphelela ngayo nesifo sohudo kanye nokungabi naso inzuzo. Uma izimpawu zakho zingavamile, njengengculi ye-sinus ngaphandle kokuvaleka, lokho kungabazisi kubaluleke nakakhulu.

Uma ungamqinisekisi ukuthi uwuphahlile yini umkhawulo, i-August's $39 online urgent care visit ikuxhumanisa nodokotela ogunyazwe yi-US, ongakhetha ukuthi i-antibiotic ifanele yini futhi iyinikeze kuphela uma injalo. Zibhekisise imingcele: ukuvakashelwa kwevidiyo akukwazi ukubheka ngaphakathi endlebeni noma ukusebenzisa i-swab ye-strep, ngakho-ke ukugula okusolwayo kwendlebe noma i-strep engaba khona kuzodinga ukuhlolwa komuntu mathupha.

Izilinganiso ze-Sinus Zihlukaniswa Ngeminyaka: Isikhathi Esifushane Sabadala, Esinde Kakhulu Kwezingane

Isilinganiso se-amoxicillin sengculi ye-sinus akuyona inombolo eyodwa eyenziwe, futhi ubude besikhathi bulandela iminyaka kakhulu kunokuzwela. I-IDSA ibeka izinsuku ezi-5 kuya kwezi-7 kubantu abadala abane-acute bacterial rhinosinusitis engafakwanga, kanye nezinsuku eziyi-10 kuya kweziyi-14 ezinganeni. Amasu edayozwe kakhulu (i-2 g kabili ngosuku kubantu abadala, i-90 mg/kg/ngosuku ezinganeni) agcinelwa izinto ezingozini: ukusetshenziswa kwama-antibiotic kamuva nje, ukuya e-daycare, noma isifunda esinokukhathazeka ngempambano eyaziwayo.

Amabhendi ajwayelekile abantu abadala aboniswa emtholampilo angama-500 mg njalo emahoreni angu-8 noma ama-875 mg njalo emahoreni angu-12. Ukuhlaziywa kwethu okuphelele kwe- dosis ye-amoxicillin kubantu abadala kuhlanganisa ukuthi lawa mabhendi ashintsha kanjani ngokwesizathu.

Ezinganeni, isilinganiso se-amoxicillin sengculi ye-sinus sisekelwe esisindweni, okubanga umphumela ongokoqobo abazali abangawuboni kangako: isilinganiso esifanele sengane efanayo sishintsha phakathi kwezifo njengoba ikhula. Ibhodlela elisele lonyaka odlule liyisilinganiso sonyaka odlule.

Izifo Zendlebe Yiyona Ndlela I-Amoxicillin Eyinkulu Engene Ngayo Iyinto Yokuqala

I-Amoxicillin yengculi yendlebe iyisithombe esiphikisana nendaba ye-sinus, ngoba lapha i-amoxicillin evamile iseyimpendulo yomhlahlandlela. Isibuyekezo esisheshayo esisekelwe ebufakazini sezifo ezingapheli zezindlebe ezibucayi ze-AAFP sika-2013 sibeka i-amoxicillin enkulu, i-80 kuya ku-90 mg/kg/ngosuku ezindaweni ezimbili ezihlukene, phambili ezinganeni.

Ubude buhlukaniswa ngeminyaka nokuzwela: izinsuku eziyi-10 ezinganeni ezingaphansi kweminyaka emi-2 noma ezinezimpawu ezinkulu, kanye nezinsuku ezi-5 kuya kwezi-7 ezinganeni ezineminyaka emi-2 nangaphezulu. Ukubhekwa ngaphandle kwama-antibiotic kuyisinketho esisemthethweni ezingxenyeni ezingezona ezinkulu lapho kulandelwa, okufanele kukhuphulwe uma ingane yakho iye yaba nezikhathi zokwelashwa ezilandelanayo.

Abadala bayagula ezindlebeni nabo. Bayelashwa ngemilinganiso evamile ye-amoxicillin yabadala esikhundleni sokubala okusekelwe esisindweni. Uma izifo ziqhubeka zibuyela, funda ngama-ezifo zezindlebe nezinkinga zokuzwa ngaphambi kokujikeleza okulandelayo.

Ukugunyazwa kweStrep Kuhloswe Ekugwenqeni Umkhuhlane Wemfuzo, Hhayi Ukudambisa Intolo Yakho

I-Amoxicillin ye-strep throat iyalelwa ngesizathu esiningi abantu abangazange besizwe sasikhulunywa ngokungananazi. I-CDC icacile ukuthi inhloso yokwelashwa ukwehlisa ubungozi bokuthola umkhuhlane omkhulu wenhliziyo kanye neziqhekeko ezihlaselayo njenge-peritonsillar abscess ne-mastoiditis, hhayi nje ukunciphisa intolo ebuhlungu ngosuku.

Isikimu sokuqala se-CDC yi-amoxicillin 50 mg/kg kanye ngosuku, kuze kufike ku-1,000 mg, izinsuku eziyi-10. I-Penicillin V iyasebenza ngokulinganayo futhi iyathandeka kumanye amasu okubusa ngoba ayincane, yingakho imihlahlandlela ngezinye izikhathi ifundeka sengathi i-amoxicillin iyihlandla lesibili. Akunjalo. Yiyona nketho evumelana kakhulu, ikakhulukazi ezinganeni.

Qedela zonke izinsuku eziyi-10 ngisho nangemva kokuba intolo izizwa njengoba injwayo ngosuku lwesithathu. Uma usukhululekile kumkhuhlane, buyela esikoleni, emsebenzini, noma e-daycare amahora angama-24 ngemuva komthamo wokuqala.

Ukuzizwa Ungcono Ngemva Kwezinsuku Ezimbili Akusho Ukuthi Ungayeka Isikhathi Sokwelashwa

Kungakanani i-amoxicillin okudingeka ukuba isebenze kuncike ekutheni yisiphi isifo eselashwayo. Izimpawu ze-Strep zivame ukudambisa emahoreni angama-24 kuya kwangu-48. Izifo ze-sinus nezindlebe zivame ukuthatha izinsuku ezi-2 kuya kwezi-4 ukujika umkhawulo, ngoba izikhala ezivuvukele, ezivaliwe ziyadonsa kancane ngisho nangemva kokuba amagciwane enqotshwa.

Ukuthuthuka okungabalulekile kungakapheli amahora angama-48 kuya kwangu-72 kuyifoni, hhayi ukulinda nokubona. Izincazelo ezintathu zisemthethweni: igciwane elinamandla, ukuxilongwa okungalungile, noma isifo esibangelwa amagciwane esingeke sisebenze.

Inkinga: ungahluleli impumelelo ngokuthi ikhanda lakho lizolunga yini. Uketshezi ngemuva kwe-eardrum kanye nokuvaleka ngemuva kokugula kungahlala amasonto ngemuva kokwelashwa kwesifo ngokwaso. Lokho kugcwala okuqhubekayo kuyindonsa, hhayi ukwehluleka, futhi akuyona isizathu se-antibiotic yesibili.

Ezinye Izimpendulo Ze-Amoxicillin Zisho Ukuthi Shayela Ihhovisi; Ezinye Zisho Ukuthi Shayela i-911

Izimo ezivamile ezimbi ze-amoxicillin azikhangisi futhi ngokuvamile azilimazi: isifo sohudo, isicanucanu, umkhuhlane omnene, kanye nezifo zamagciwane. Ziyacasula, azilimazi, futhi eziningi azidingi ukuyeka. Uhlu olufushane lwezimpendulo luhluke ngempela.

Shayela i-911 noma uye egumbini likaphuthu-thuthu manje uma:

  • Unokuphefumula okunzima, ubunzima bokuphefumula noma ukugwinya, noma ukuqunjelwa kobuso, intolo, ulimi, izindebe, noma amehlo, noma ukubila okukhulu kwesikhumba noma ukukhukuleka.
  • Uthola isifo sohudo esiwuhlupho noma esinegazi esinegazi namagabavu, okungaba uphawu lwe-C. difficile colitis.
  • Ingculi ye-sinus iza nobuhlungu obukhulu noma obubi, ukuqunjelwa kobuso noma kwamehlo, ukushintsha kombono, noma ukudideka.
  • Intolo ebuhlungu iza nokulokotha, izwi elithi "izambane elishisayo" elingacacile, noma ukwehluleka ukuvula umlomo.
  • Ingane inokuqunjelwa, ububomvu, noma ubuhlungu ngemuva kwendlebe kanye nomkhuhlane.

Bhukha ukuvakashelwa kungakapheli isonto elizayo uma:

  • Izimpawu ze-sinus ziye zadlula izinsuku eziyi-10 noma ngaphezulu ngaphandle kokuya phambili.
  • Awuthuthukanga ngemuva kwezinsuku ezi-3 kwi-antibiotic.
  • Uthola izikhathi ezine noma ngaphezulu ze-sinus ngonyaka.
  • Izifo zezindlebe ziqhubeka ziphindeka, noma ukuzwa kubonakala kungalungile ngemuva kokwelashwa.

Khuluma nodokotela ngaphambi kokuba uqale uma:

  • Une-allergy ye-penicillin noma ye-cephalosporin, isifo sezinso, noma umlando wesifo se-C. difficile.
  • Kusolwa i-mononucleosis.
  • Ukhulelwe noma ucwenga.
  • Uthatha i-methotrexate noma i-allopurinol.

Uma ungamqinisekisi ukuthi yiphi ingxenye oyilwayo, i-August AI Symptom Checker yamahhala izokusiza ukuhlunga okokuphuthumayo kokujwayelekile ngaphambi kokuba ukhethe ukuthi uyephi.

Imibuzo Evame Ukubuzwa

Ingabe i-Amoxicillin Yelapha iStrep Throat?

Yebo. Lapho abantu bebuza ukuthi ngabe i-amoxicillin iyayelapha yini i-strep throat, impendulo ithi iyayisula i-Streptococcus yeqembu ngokuqinisekile uma isivivinyo siyiqinisekisa. Inkinga iyinketho, ukulinganisela okujwayelekile okudala isifo esibukeka njengesifo esidala umkhuhlane okungelona isifo esidala umkhuhlane.

Ngingayithatha i-Amoxicillin Uma Ngine-Allergy yePenicillin?

Cha. I-Amoxicillin iyi-penicillin, ngakho-ke i-allergy ye-penicillin yangempela iyayivinjelwa. Odokotela bangaguqukela kwezinye izinhlobo kuye ngesifo, ngokuvamile i-doxycycline ye-sinusitis ne-azithromycin noma i-clindamycin ye-strep, nge-cephalosporins ethile esetshenziswa ngokucophelela kubantu abaphendule kabi. Izimpawu eziningi zezinsana ze-"penicillin allergy" zivame ukuphuma zingalungile ekuhlolweni okusemthethweni, okufanele kulandelwe uma kuqhubeka kukhawulela izinketho zakho.

Ngenzeni Uma Ngiphuthelwe Umthamo We-Amoxicillin?

Ngokuvamile akunjalo. Umthamo owodwa owuphuthelweyo awuqedi isikhathi sokwelashwa. Uyithathe ngokushesha lapho ukhumbula khona, ngaphandle uma umthamo wakho olandelayo usuzophela, lapho ungaphuthelwa khona lowo uphuthelwe futhi uqhubeke. Ungalokothi uphinde uphindwe kabili ukuze ubuyele. Uma uphuthelwa imithamo njalo, tshela udokotela, ngoba isikimu esiphindwe kabili ngosuku singase sibe sengokoqobo kunaleso samahora ayisishiyagalombili.

Ingabe i-Amoxicillin Iyenzela Ukuphepha Kukhulelwe?

Ngokwesikhathi. I-Amoxicillin ingenye yama-antibiotic odokotela abavame ukuyisebenzisa lapho bekhulelwe futhi bencelisayo, kodwa leso sinqumo singowesizwe esinikeza incwadi kadokotela, sibhekwa ngokumelene nesifo esiphathwa. Tshela ukuthi ukhulelwe, uzama ukukhulelwa, noma ucwenga ngaphambi kokuba kunikezwe incwadi kadokotela, hhayi ngemva kokuba uyilande. Umthamo nesikhathi kungalungiswa esikhundleni sokuthi umuthi uguqulwe.

I-Amoxicillin Ibiza Kangakanani Ngaphandle Komshwalense?

Ngokuvamile akubizi kakhulu. I-Amoxicillin iy-generic yakudala futhi ingenye yama-antibiotic ashibhile kakhulu asetshenziswa njalo, yize inani eliqondile lishintsha ngokwemikhemisi, ukwakheka, kanye nenani, futhi izixazululo zoketshezi ezinganeni zibizwa ngendlela ehlukile kuma-capsules. Sihlaziya izinombolo zamanje kumhlahlandlela wethu wokuthi i-amoxicillin ibiza kangakanani ngaphandle komshwalense.

Ngingasebenzisa i-Amoxicillin Eseleyo Kusuka Ekuqinisweni Okudala?

Cha. Amaphilisi aseleyo ayisilinganiso esingalungile futhi, ngokuchaza, isikhathi sokwelashwa esingaphelele, futhi isilinganiso esisekelwe esisindweni sengane cishe siguquke kusukela ngaleso sikhathi. Ukuthatha i-amoxicillin ngezimpawu zesifo se-sinus ngaphandle kokuhlolwa kwamanje futhi kusho ukuthi akekho ohlolile ukuthi uwuphahlile yini umkhawulo wokubola. Izikhathi ezingaphelele ziyindlela eqinisekile yokudala ukuphambana ngenkathi welapha lutho.

Isiphetho Nge-Amoxicillin Yezifo Ze-Sinus, Zendlebe, Neze-Strep

Umkhawulo wokuxilongwa uza phambi kokugunyazwa, njalo. Kwezifo ze-sinus, i-amoxicillin-clavulanate iyathandeka kuneyo-amoxicillin evamile, izinsuku ezi-5 kuya kwezi-7 kubantu abadala kanye nezinsuku eziyi-10 kuya kweziyi-14 ezinganeni. Kwezifo zezindlebe, i-amoxicillin evamile enkulu ku-80 kuya ku-90 mg/kg/ngosuku ihlala iyinketho yokuqala. Kwab confirmed strep, yi-50 mg/kg kanye ngosuku, kufike ku-1,000 mg, izinsuku eziyi-10 eziphelele.

Qedela isikhathi sokwelashwa ngisho nangemva kokuba uzizwa ungcono, futhi ubuyele uma kungasekho ntuthuko ngemuva kwama-72 amahora.

Isitatimende Sokuzihlangula: Lesi sihloko siyokwaziswa kuphela futhi asisho ukwelulekwa kwezokwelapha. Njalo thintana nomhlinzeki wezempilo oqeqeshiwe ukuze uthole izinqumo zokuxilongwa nokwelashwa. Uma ubhekene nesimo esiphuthumayo sezokwelapha, shayela i-911 noma uye egumbini likaphuthu-thuthu eliseduze ngokushesha.