Yebo. Ungakwazi ukuthatha i-amoxicillin ngesikhathi ukhulelwe lapho udokotela ekuyalele yona ngenxa yokutheleleka ngamabhaktheriya. ingenye yama-antibiotics acwaningwe kakhulu ngesikhathi sokukhulelwa, futhi imininingwane eminingi eqoqwe ayikayixhumanisi nezinkinga ezinkulu zokuzalwa. Umbuzo onzima ukuthi ngabe i-amoxicillin iyimithi efanele yokuphathwa kwakho yini.

I-TL;DR: Izinto Ezibalulekile

  • Ama-penicillins, kuhlanganise ne-amoxicillin, achazwa yi-ACOG njengezinye zezinketho eziphephile ngesikhathi sokukhulelwa, futhi isigaba esihlanganisa izinsana ezingu-139,938 asizange sithole ukuxhumana nezinkinga ezinkulu zokuzalwa.
  • I-Amoxicillin iyezwela e-placenta. Imidato yeminyaka eminingi, hhayi ukuthi ayikho nhlobo into ekhulayo ekhulayo, yingakho ithenjwa.
  • Ngokuvamile ayiyona inketho yokuqala yokuphathwa kwe-UTI ekhulelwe, ngoba amabhaktheriya avamile emgudwini womchamo avame ukungayizwa.
  • "Isigaba B" yisitembu somnyango we-FDA esesiyeke ukusebenza. Isitembu samanje sithi sebenzisa kuphela uma kudingeka ngempela, okuyikho okujwayelekile, hhayi isibonakaliso esicacile.
  • Ukukhala ngomuthombo wokuzwela ku-penicillin kufanele kuhlolwe kabusha ngokusemthethweni ngaphambi kokwamukela umuthi ohlalisa indawo.

Ungakwazi Ukuthatha i-Amoxicillin Ngesikhathi Ukhulelwe? Yebo, futhi ingenye yama-antibiotics acwaningwe kakhulu esinawo

I-Amoxicillin iyi-penicillin, futhi ama-penicillins anemininingwane eminingi yemiphumela yokukhulelwa. Isiqondiso se-ACOG ngezinhlobo zezimbiwo zokwelapha izifo ngesikhathi sokukhulelwa, esifinyezwe yi-AAFP ngo-1998, sichaza ama-penicillins kuhlanganise ne-amoxicillin njengephephe kakhulu ezigulini ezikhulelwe. Esifundweni sase-Quebec sika-2017, i-amoxicillin ayixhumani nezinkinga ezinkulu zokuzalwa. Lelo qophelo eliqinisekisiwe, hhayi ukuthi ayikho into ekhulayo, yingakho odokotela bayisebenzisa.

I-Amoxicillin iyafinyelela ingane yakho. Iyawela i-placenta, njengama-antibiotics amaningi. Okwenza kube nokuvikeleka ukuthi sibonile ukuthi kwenzekani kamuva, ezinyangeni eziningi zangempela zokukhulelwa, futhi asitholanga isibonakaliso sokungalungiswa. Futhi ukuqhathanisa okubalulekile akulona nhlobo umuthi ngokumelene nokungabi bikho. Ukutheleleka okungelashwanga ngamabhaktheriya ngesikhathi sokukhulelwa kunezibopho zakho, ngezinye izikhathi okubi kakhulu.

Umbuzo wangempela akukhona ukuphepha, kodwa ngabe i-amoxicillin ilungele ukutheleleka kwakho

Ukuba ohlwini olufushane lwama-antibiotics aphephile ekukhulelweni akufani nokuba yimithi efanele yenkinga osenayo. Ukuhlaziya kwe-CDC kwedatha yesimangalo sika-2014 ehlanganisa izimpeshezi ezingu-482,917 zokukhulelwa kutholakele ukuthi ama-7.2% ayenayo i-urinary tract infection, futhi ama-antibiotics asetshenziswe kakhulu esigabeni sokuqala sokukhulelwa kwakuyi-nitrofurantoin (34.7%), i-ciprofloxacin (10.5%), i-cephalexin (10.3%) kanye ne-trimethoprim-sulfamethoxazole (7.6%). I-Amoxicillin ayiyona inketho ezenzakalelayo lapho, ikakhulukazi ngoba amabhaktheriya avamile emgudwini womchamo asewalwela kuyo. Lapho inqoba khona indawo yayo ukutheleleka kwamazinyo, i-sinusitis, i-strep throat, kanye nokutheleleka komgudu womchamo okuhlanganisa ne-asymptomatic bacteriuria lapho isiko liqinisekisa ukuthi i-microorganism iyazwela.

Nansi into amakhasi amaningi angayitsheli: "uhlu oluphephile" luyindawo eyimpikiswano. Kulo mbiko ofanayo we-CDC, i-ACOG incoma ukuthi ama-sulfonamides kanye ne-nitrofurantoin asetshenziswe esigabeni sokuqala sokukhulelwa kuphela lapho ezinye izinketho zingalungile ngokwelapha, zinikezwa ukuxhumana okungenzeka ne-anencephaly, izinkinga zenhliziyo kanye ne-cleft lip or palate. Ngakho umbuzo osizayo mayelana nokutheleleka ngesikhathi sokukhulelwa akukhona ukuthi "ngabe leli pilisi liphephile?", kodwa ngabe "kwathunyelwa isiko, futhi ngabe leli muthi liyalingana nalo?"

Ukwaziswa kwesigaba sokuqala sokukhulelwa kuye kwahlolwa ngokwawo, futhi kwahlala

Ukuphepha kwe-amoxicillin esigabeni sokuqala sokukhulelwa kuye kwahlolwa ngokuhlukile kunokuba kucatshangwe kusukela emidatweni ejwayelekile yokukhulelwa. Isifundo sase-Quebec sangaphambili siholele izinsana ezingu-139,938 ezizala zodwa phakathi kuka-1998 no-2008, kuhlanganise nezimpeshezi ezingu-15,469 ezaba nazo ama-antibiotics esigabeni sokuqala sokukhulelwa. I-Amoxicillin, amanye ama-penicillin, ama-cephalosporin kanye ne-nitrofurantoin ayixhumani nezinkinga ezinkulu zokuzalwa. I-Clindamycin, i-doxycycline, ama-quinolone, ama-macrolide kanye ne-phenoxymethylpenicillin axhumana nezingozi eziphakeme zezinkinga zezitho ezithile.

Isigaba sokuqala sokukhulelwa siyisigaba esibalulekile kulo mbuzo ngoba ukwakheka kwezitho zomzimba kuqala cishe kusukela evikini lesi-3 kuya eVini lesi-10. Yilolo lubonelelo izifundo zezinkinga zokuzalwa ziqinisekisa ngempela.

Lokhu umbono ongakwazi ukukwenza ukufakaza ukuthi akukho ingozi. Le yimidato yokubuka. Zikhombisa isibonakaliso, okuyinto eshiwo ngokuzenzekelayo. Kubalulekile ukuveza ukuthi wawusebenzisa umuthi ngesikhathi sokuvakasha kwakho okulandelayo, kuhlanganise nge-ultrasound yakho yeviki lesi-8, ukuze izinsuku zibe eshadini lakho.

"Isigaba B" siyisitembu esesiyekisiwe, hhayi isinqumo samanje se-FDA

Isigaba sokukhulelwa se-amoxicillin osuke walufunda, Isigaba B, akusona isabelo esisemthethweni. I-FDA yaqala ukufaka izigaba zezinhlamvu ngezigaba zezinto ezibhalwe ngezindaba ze-Pregnancy and Lactation Labeling Rule ngo-2015. Isitembu esenzelwe yi-FDA esingcono sithi i-amoxicillin kufanele isetshenziswe ngesikhathi sokukhulelwa kuphela uma kudingeka ngempela. Izifundo zokuzalwa ezifuywayo ezifuywayo eziphilayo emagundwaneni nasezinyathelweni ngemithamo efika ku-2000 mg / kg, cishe izikhathi ezi-3 kuye kwezi-6 zomthamo ojwayelekile womuntu, azizange zibonise umonakalo esibuneni. Azikho izifundo ezanele neziqondiswe kahle ezikhulelwe, yingakho isitembu siyachaza. Leli gama livela cishe kuso sonke isitembu semithi, ngoba asenzi izivivinyo eziqondisayo kubantu abakhulelwe.

I-ngqikithi: isigaba sokukhulelwa se-amoxicillin sesidlulile, futhi okwakhona esikhundleni sayo yisitembu esichaza imininingwane ekhuthazayo efuywayo kanye nokungazethembi okuyiqiniso, hhayi isixwayiso esihloselwe lo muthi ngokuqondile.

Ukukhala ngomuthombo wokuzwela ku-penicillin kufanele kuhlolwe kabusha ngaphambi kokushintsha imithi

Abantu abafuna ezinye izindlela ze-penicillin ekukhulelweni ngokuvamile bacabanga ukuthi ezinye izinketho ziyalingana. Azifani. Inqwaba enkulu yokukhala okubhalisiwe kwe-penicillin ayiqiniseki lapho ihlolwa ngokusemthethweni, futhi eziningi ziphuma emgqonyeni womzimba wangaphambili ongazange uqinisekiswe njengomunye umphumela wokungezwani. Ngakho-ke isinyathelo cishe akekho ongusiphakamisa yilesi: buza ukuthi ngabe ukuhlolwa komuthombo wokuzwela ku-penicillin noma ukuhlolwa kwesikhumba kufanelekile yini ngaphambi kokwamukela into eyi-substitute.

Kungani kubalulekile kubonakala emidatweni. Esifundweni sase-Quebec sangaphambili, ukuthi kwaba nazo ama-macrolide esigabeni sokuqala sokukhulelwa kwaxhunyaniswa nengozi eyandayo yezinkinga zezitho, kanti i-amoxicillin ayixhumani. Isiqondiso se-ACOG njengoba sichazwe yi-AAFP siyakhomba ukuthi wonke ama-quinolone avinjelwe ekukhulelweni ngenxa ye-arthropathy ezilwaneni ezincane, futhi ukuthi i-kanamycin ne-streptomycin zixhunyaniswe nokulahlekelwa ukuzwa komntwana okusanda kuzalwa. Ama-cephalosporin avame ukuthola indawo yokungezwani okuqinisekisiwe, futhi nawo akubonisa ukuxhumana nokungalungiswa kuleso sifundo.

Yazi ukuthi yiziphi izimpawu ezisho ukuthi uyeke futhi ushaye, nokuthi yiziphi ezisho ukuthi 911

Shayela u-911 noma uye egumbini lokuphuthumayo manje uma:

  • Izinyosi, ukuvuvukala kobuso noma komphimbo, ubunzima bokuphefumula noma ukukhwehlela ngemva komthamo
  • Umkhuhlane ongaphansi kuka-100.4°F (38°C) onobuhlungu eceleni, ukubanda, isicanucanu noma ukugabha, okungabona i-pyelonephritis ongahlalisa ngayo kuphela ama-antibiotics ombuso
  • Isifo sohudo esibi noma esiqhubekayo esimanzi noma esinegazi, esingabonisa i-C. difficile colitis
  • Ama-contractions ajwayelekile, ingcindezi esifubeni, ukophuma koketshezi noma ukopha esithweni sangasese sowesifazane
  • Ukunciphisa ukunyakaza komntwana

Bhukha ukuvakashelwa phakathi nesonto elilandelayo uma:

  • Izimpawu zakho azithuthukanga ngemuva kwamahora angu-48 kuye kwangu-72 ngemithi elwa namabhaktheriya
  • Kuvela isinye esincane ngaphandle kwezimpawu zokuphefumula
  • Izimpawu zomgudu womchamo zibuya ngemva kokuqeda imithamo
  • Kuvela ukutheleleka nge-yeast ngemva kokwelashwa

Khuluma nodokotela ngaphambi kokuba uqale uma:

  • Wake waphendula ku-penicillin noma ku-amoxicillin
  • Ukuqokwa kwabazali kwabhalwa ngaphambi kokuba ukukhulelwa kwakho kwaziwe
  • Awusona isiqiniseko ukuthi ngabe isiko lomchamo laziwa yini
  • Uthatha eminye imithi noma unezinkinga zezintso

Uma usazibuza ukuthi ungathatha i-amoxicillin yini ngesikhathi ukhulelwe futhi ungakwazi ukufinyelela ithimba lakho labazali ngokushesha, ukuvakasha kwe-August okungama-$39 online urgent care kukuxhumanisa nodokotela ogunyazwe yi-US ocubungula izimpawu zakho futhi anqume ukuthi ukuqokwa kufanelekile yini. Yiba nombono ocacile ngemikhawulo: ukuvakasha ngevidiyo akukwazi ukwenza isiko lomchamo, akukwazi ukukuhlolwa, akukwazi ukubhekisisa ingane yakho, futhi akuyona into eyi-substitute yokunakekelwa okuphuthumayo kunoma yini esesibhalweni sika-911 ngenhla. Uma izindleko ziyinkinga esemgqeni we-pharmacy, bona ukuthi i-amoxicillin ibiza malini ngaphandle komshwalense.

Imibuzo Ebuzwa Njalo

Ingabe i-amoxicillin iwelela i-placenta?

Yebo. I-Amoxicillin iyezwela i-placenta futhi ifinyelela esibuneni, njengama-antibiotics amaningi. Ukudluliswa kwe-placenta ngokwayo akukona ubufakazi bobunzima; kuvame ukusho nje ukuthi kwenzeke ukuchayeka. Lokhu okutholakalayo kuyindaba yokuphepha ngumbono, futhi esifundweni sezinsana ezingu-139,938, ukuchayeka kwe-amoxicillin esigabeni sokuqala sokukhulelwa akuzange kube nobudlelwano nezinkinga ezinkulu zokuzalwa. Ukuchayeka kungalinganiselwa. Isibonakaliso sobunzima asikho.

Kufanele ngikhathazeke uma ngithatha i-amoxicillin ngaphambi kokuba ngazi ukuthi ngikhulelwe?

Hhayi ngokuvamile. Cishe ingxenye eyodwa kwezintathu zezimpeshezi zase-U.S. azifunwa, yingakho i-CDC ichaza ukuqokwa kwabaguli abangabomdabu wokuzala njengokuthi "ukuphathwa kwababili", futhi ukuphepha kwe-amoxicillin esigabeni sokuqala sokukhulelwa kuyingxenye eyinhloko evikelekile yazo zonke izibopho. I-MedlinePlus iseluleka ukuthi ushaye udokotela wakho uma ukhulelwe ngenkathi uthatha i-amoxicillin, ngakho-ke shayela lowo mphathi bese uletha izinsuku zokuchayeka kwakho.

Ingabe ukudlula umthamo we-amoxicillin kuyingozi ngesikhathi sokukhulelwa?

Hhayi ngokuvamile. Thatha umthamo odlulwe lapho ukhumbula, ngaphandle uma umthamo wakho olandelayo usuzobuya, kuleli cala uyidlule. Ungalokothi uphinde uphindaphinde ukuze ubuyele emuva. Ingozi enkulu yokukhulelwa ukuyeka ngaphambi kwesikhathi: ukutheleleka komgudu womchamo noma kwamazinyo okungaphansi kokwelashwa kungabuyela emuva, futhi ukutheleleka okubuyelayo kunzima ukwelashwa kunokuba kwasekuqaleni.

Ungakwazi Ukuthatha i-Amoxicillin Ngesikhathi Ufefe?

Yebo. I-LactMed ibika amazinga aphezulu wobisi angu-0.69 kuye ku-0.81 mg/L ngemva komthamo wabazali ongu-1 gram, isilinganiso somntwana esi ngaphansi kuka-0.4% womthamo ojwayelekile wezingane, ngezimo ezingavamile nezilula kubantwana njengokuthi isifo sohudo esivamile noma isinye esingavamile. Isitembu se-FDA siye lula ngoba kungenzeka umntwana athole ubunzima.

Ingabe i-Augmentin ifana ne-amoxicillin ngesikhathi sokukhulelwa?

Cha. I-Augmentin iyinhlanganisela ye-amoxicillin ne-clavulanate, isithako sesibili esengeziwe ukuze sinqobe ukumelana namabhaktheriya. Inezimfuno ezihlukile, isimo sezinto ezihlukile ezinezifo eziningi, kanye ne-fact sheet yayo ye-MotherToBaby. Ungacabangi ukuthi imininingwane yokukhulelwa ngama-amoxicillin ayo kwenzeka ngokuzenzakalela. Funda isitembu esemabhodleleni akho bese ubuza umuntu okubhalela umuthi ukuthi iyiphi yezimbili owathola ngempela.

Isiphetho: Ungakwazi Ukuthatha i-Amoxicillin Ngesikhathi Ukhulelwe? Yebo, lapho iqokwa ukuphathwa kokutheleleka okwenziwe ngamabhaktheriya. Isimo sezinto esiphephile, kuhlanganise nesigaba sokuqala sokukhulelwa, cishe singcono njengoba ubufakazi be-antibiotic butholakala. Sebenzisa ukukhathazeka kwakho embuzweni ongcono esikhundleni salokho: ngabe isiko lathunyelwa, futhi ngabe leli muthi liyalingana nalo?

Isitatimende: Lesi sihloko sihlose ukunikeza ulwazi kuphela futhi asihambisani nezeluleko zezokwelapha. Njalo thintana nomhlinzeki wezempilo oqeqeshiwe ukuze uthole izinqumo zokwelapha nokwelashwa. Uma uhlangabezana nesimo esiphuthumayo sezokwelapha, shayela u-911 noma uye egumbini lokuphuthumayo eliseduze ngokushesha.