Umthamo we-Amoxicillin 250mg/5ml Wengane: Thatha Umthamo Ngokwesisindo, Hhayi Ngokweminyaka

I-Amoxicillin 250 mg/5 mL iqukethe ama-50 mg kwi-mL ngayinye, ngakho-ke umthamo we-amoxicillin 250mg/5ml wengane usethelwa ngesisindo: kumthamo ojwayelekile we-amoxicillin suspension ka-45 mg/kg/ngosuku ohlukaniswe ngemithamo emibili, ingane enesisindo esingu-12 kg (26 lb) ithola cishe ama-5.4 mL kabili ngosuku. Izifo ezindlebeni ziba phezulu, futhi ilebula kadokotela iphambili.

TL;DR: Izinto Ezibalulekile

• 250 mg/5 mL kusho ama-50 mg ku-mL ngayinye. 400 mg/5 mL kusho ama-80 mg ku-mL ngayinye.
• Umthamo we-Amoxicillin ngesisindo uphambana neminyaka. Lapho ishadi lesisindo neshadi leminyaka lingavumelani, isisindo siyaphambili.
• Izifo ezindlebeni ziyisiphetho: imihlahlandlela ifuna ama-80 kuya ku-90 mg/kg/ngosuku, eduze nokuphinda kabili umthamo ojwayelekile.
• Kala usebenzisa isiringi yomlomo, hhayi isipuni sasekhishini, futhi unyakazise ibhodlela ngaphambi komthamo ngamunye.
• I-suspension exutshiwe ilungele izinsuku ezingu-14. Ngemuva kwalokho, yilahle kunokuyisebenzisa.

Izingane Ezimbili Ezinesikhathi Esifanayo Zingadinga Izilinganiso Ezihlukene Kakhulu ze-250 mg/5 mL

Ngomthamo we-amoxicillin 250mg/5ml wengane, qala ngokuhlushwa: 250 mg/5 mL kusho ama-50 mg ku-mL ngayinye. Ilebulu le-FDA lisetha ama-25 mg/kg/ngosuku ahlukaniswe njalo ngehora le-12 ezifweni ezibuthakathaka-kuya-ezimaphakathi kanye nama-45 mg/kg/ngosuku ahlukaniswe njalo ngehora le-12 ezifweni ezinzima. Kumthamo ka-45 mg/kg/ngosuku, ingane enesisindo esingu-12 kg ithola ama-270 mg kumthamo ngamunye, noma ama-5.4 mL, kabili ngosuku.

Lezi zinombolo zivela ngqo ezolwazini lokuphatha i-amoxicillin ye-suspension yomlomo, ezinganeni ezingaphezu kwezinyanga ezi-3 inikeza ama-25 mg/kg/ngosuku njalo ngehora le-12 (noma ama-20 mg/kg/ngosuku njalo ngehora le-8) ezifweni ezibuthakathaka-kuya-ezimaphakathi ezindlebeni, emakhaleni, emqolweni, esikhunjeni nasemgudwini womchamo, kanye nama-45 mg/kg/ngosuku njalo ngehora le-12 (noma ama-40 mg/kg/ngosuku njalo ngehora le-8) ezifweni ezinzima nasezifweni ezingezansi zomgudu wokuphefumula. Sebenza isibonelo esifanayo esingu-12 kg esivela kwenye ibhodlela futhi ama-270 mg aba ama-3.4 mL we-400 mg/5 mL.

Nansi umthamo we-amoxicillin ngesisindo kumthamo ka-45 mg/kg/ngosuku ohlukaniswe njalo ngehora le-12, uguqulwe waba ngama-milliliters kusuka kuzo zombili izinhlobo.

Imibhalo engezansi emibili ibaluleke kakhulu kunethebula. Okokuqala, umthamo we-amoxicillin 400mg/5ml wokusetshenziswa yizingane awushintshani nombhalo we-250 mg/5 mL, futhi izifo ezindlebeni zisebenzisa umgomo ophakeme kunezinombolo ezingenhla (bona isigaba se-otitis media). Okwesibili, izingane ezingaphansi kwezinyanga ezi-3 zinikezwa umthamo ophansi, kufika ku-30 mg/kg/ngosuku ohlukaniswe njalo ngehora le-12, ngoba umsebenzi wezinso ongakavuthwa uhlanza i-amoxicillin kancane. Ithebula lihloselwe ukukwenza uqonde. Inani lamagremu adokotela lakho alibhale kanye nama-milliliters aselebula likasokhemisi ziyaphambili njalo.

Izinombolo Ezintathu Zinquma Umthamo: Isisindo, Isifo, kanye Namandla Ebhodlela

Umthamo we-Amoxicillin ngesisindo uyindawo eyodwa yokuqala ethembekile, ngakho-ke lapho ishadi lesisindo neshadi leminyaka lingavumelani, thatha umthamo ngesisindo samanje sengane yakho. Isisindo siyiguquguquko lokuqala, futhi siyahamba. Ama-4.5 mL ka-winter odlule akuyona umthamo ka-winter wamanje wengane enesisindo esikhuphuke ama-4 kg kusukela lapho.

Okwesibili yisifo. Izifo ezijwayelekile zijikeleza kusuka kumagremu angu-20 kuye ku-45 ngekhilogremu ngosuku. Izifo ezindlebeni zidinga ama-80 kuye ku-90 mg/kg/ngosuku. Okwesithathu yibhodlela: i-amoxicillin suspension ifika njenge-125 mg/5 mL, 250 mg/5 mL, kanye ne-400 mg/5 mL, futhi ukuthatha umthamo ebhodleleni elingu-250 mg/5 mL kusuka eshadini elingu-125 mg/5 mL kunikeza uphinda kabili umuthi kuwo wonke umthamo.

Yingakho ibhodlela elisele lendodana yakho, noma lesifo samanje sengane yakho, akusona isinqamuleli. Isisindo esihlukile, isifo esihlukile, ubukhulu obuhlukile. Abadala banikezwa umthamo ohlukile ngalesi sizathu esifanayo: umthamo ofanele we-amoxicillin wabantu abadala ufika njengamatheblethi angu-500 mg noma angu-875 mg, ngaphandle kokubalwa ekhishini. Bala kabusha yingane le, isisindo lesi, ibhodlela leli, njalo.

Uma Ibhodlela Lakho Lithi 400 mg/5 mL, Ungaphinde Usebenzise Ama-milliliters Angu-250 mg/5 mL

Umthamo we-amoxicillin 400mg/5ml wokusetshenziswa yizingane uyinani elifanayo lamagremu elinikezwa ngomthamo omncane, ngoba ibhodlela libamba ama-80 mg nge-mL kunama-50 mg. Ukuguquka akusho "cishe uhhafu". Kuku-250 okuhlukaniswe ngo-400, noma u-0.625, okungaphansi kancane koku-2/3. Amasipuni ama-5 we-250 mg/5 mL angama-250 mg, futhi ama-250 mg avela ebhodleleni elinamandla kakhulu angama-3.1 mL cishe.

Ukuguqula umthamo we-amoxicillin 400mg/5ml wokusetshenziswa yizingane kusuka eshadini elingu-250 mg/5 mL ngokwenza uhhafu ngakho-ke ubeka umthamo ongaphansi cishe ngo-20%. Uma usokhemisi ekunikeza amandla ahlukile kunokugcina, yeka ngaphambi komthamo wokuqala, funda i-mg nge-5 mL ephrintwe kulebula, bese ucela usokhemisi ukuthi abhale umthamo omusha we-mL ebhodleleni. Yenza lokhu nasezindaweni zokugcwalisa, hhayi kuphela kugcwalisa kokuqala.

Imiphumela yomthamo ophezulu yezifo ezindlebeni ijwayele ukuba yi-400 mg/5 mL ngesizathu esisebenzayo. Ingane enesisindo esingu-15 kg kumthamo ka-80 kuye ku-90 mg/kg/ngosuku idinga cishe ama-12 kuya ku-13.5 mL kumthamo ngamunye kusuka ebhodleleni elingu-250 mg/5 mL, kanti cishe ama-7.5 kuya ku-8.4 mL kusuka kulona elinamandla.

Izifo Ezindlebeni Zidinga Cishe Uphinda Kabili Umthamo Ojwayelekile, Noma Ngezinye Izikhathi Azikho Ama-antibiotic Nokuncane

I- 2013 AAP ne-AAFP acute otitis media guideline incoma i-amoxicillin enomthamo ophezulu, ama-80 kuye ku-90 mg/kg/ngosuku emithameni emibili ehlukanisiwe, njengomuthi wokuqala ezinganeni eziningi ezingenalo i-penicillin allergy. Isizathu siyisayensi yamachwane: kudingeka ama-concentration aphezulu endlebeni maphakathi ukwedlula i-Streptococcus pneumoniae enokumelana ephakathi. Umhlahlandlela ofanayo ubeka isikhathi ngokusho kweminyaka nobukhali besifo, izinsuku eziyi-10 ezinganeni ezineminyaka engu-6 kuye kweyengu-23 noma ezinezifo ezinzima noma ezihlangothini lonke, kanye nezinsuku ezi-5 kuye kwezi-7 ezingane ezineminyaka engu-2 nangaphezulu ezinezifo ezingezona ezinzima.

Kumthamo ka-85 mg/kg/ngosuku, ingane enesisindo esingu-12 kg idinga cishe ama-510 mg kumthamo ngamunye. Lokho kungama-10.2 mL we-250 mg/5 mL, noma ama-6.4 mL we-400 mg/5 mL, cishe uphinda kabili umthamo kuthebula elingenhla.

Nazi izinto eziningi ezizokutshela zona: cishe izingane ezimbili kwizintathu ezinazo i-acute otitis media ziyachakama ngaphandle kwama-antibiotic, ngakho-ke ukuqaphela ngomuthi wokushintsha noma ukuvakashelwa okuhleliwe kungaba yinto efanele ezinganeni eziningi eziphilile ezingaphezu kwezinyanga eziyisithupha ezinezimpawu ezibuthakathaka, ezihlangothini olulodwa, noma ezingezona ezibi. I-CDC outpatient guidance for pediatric populations iyavuma ukuthi i-amoxicillin ihlala iyinye yokuqala ezifweni ezindlebeni, i-sinusitis, kanye ne-strep throat uma nje ingane ingazange iphathwe nge-amoxicillin ezingama-30 ezidlulile, futhi iyakusekela ukuqaphela kuze kufike ezinsukwini ezi-3 e-sinusitis ebuciko ebuciko.

Uma usewindi lokuqaphela, uhlelo lokusebenza lokuxhasana nempilo njenge-August AI lungakusiza ukuthi urekhode izinga lokushisa, ubuhlungu ezindlebeni, kanye nokulala okuphazamisayo, ukuze uvakashele ukulandelela uhlangana nerekhodi kunokuba nesithombe. Landelela izimpawu nge-August AI.

Isipuni Sasekhishini Asiyona Indlela Yokuthatha Umthamo

Ukufunda ukukala i-amoxicillin eyi-liquid kubaluleke njengenombolo obuyibalile, ngoba umthamo ofanele ongakalwanga kahle usengumthamo ongalungile. I-MedlinePlus icacile: ungaze usebenzise isipuni sasekhaya. Sebenzisa isiringi yomlomo enombhalo ofanele noma idivayisi yokulinganisa eza nomuthi. Izipuni zasekhaya ziyahlukahluka kakhulu kwingxubevange yazo, ngakho-ke isipuni esincane singaba ngaphansi noma ngaphezulu kakhulu kwama-5 mL.

Nyakazisa ibhodlela kahle ngaphambi komthamo ngamunye. I-Amoxicillin iyi-suspension, hhayi isixazululo, futhi ibhodlela elingalinganiswanga kahle libeka umthamo ongaphansi kwemithamo yokuqala kanye nemithamo ephezulu yezilandelayo.

Imikhuba emithathu yenza okunye kube lula. Funda umaki we-mL usezingeni leso kunokuba ubuvele ubheke phezulu. Khetha isiringi ubukhulu bayo obuseduze nomthamo, ngoba ama-5.4 mL kulula kakhulu ukufunda kahle kusiringi engama-6 mL kunokusiringi engu-20 mL. Bese ufutha kancane ngaphakathi kwesihlathi, hhayi emuva komphimbo, okubangela ukuhlanza. Cela usokhemisi isiringi yomlomo yamahhala kanye nomthamo we-mL, hhayi nje i-mg, ebhaliwe ebhodleleni.

Ibhodlela Liphela Njengomuthi Ngemuva Kwezinsuku Eziyi-14 Kusukela Usokhemisi Alixube

Ukugcinwa kwe-amoxicillin eyi-liquid ngemuva kokuxutshwa kunomkhawulo oqinile: i- FDA label inikeza i-suspension eyenziwe kabusha izinsuku eziyi-14, nesiqandisi esikhethwayo kodwa kungadingeki ngempela. Ngale kwewindi, yilahle kunokuba uyisebenzise. Bhala usuku lokuxuba ebhodleleni ngosuku olithola ngalo, ngoba isitika sikasokhemisi akusho njalo ukuthi kulula ukubona.

Akekho kulokhu okushintsha umthetho wokuthi inkambo egcwele iqedwa noma ngabe ingane yakho ibukeka ingcono. I-MedlinePlus kanye nelebula kokubili kuxwayisa ukuthi ukuqeda kusenesikhathi noma ukweqa imithamo kungabangela ukwelashwa okungaphelele futhi kukhuthaze amagciwane ayinqaba. Lahla lokho okusele. Akusona isinqamuleli sendodana yakho noma isifo esilandelayo.

Ukuphinda Kabili Ngemuva Komthamo Ophuthelwe Kuyinto Eyingozi Kakhulu

Umthamo we-amoxicillin ophuthelwe yingane kuvame ukuba yinkinga encane kunokulungiswa. I-MedlinePlus iyaluleka ukuthi uthathe umthamo ophuthelwe lapho ukhumbula, uwukweqe uma umthamo olandelayo ususeduze, futhi ungaphindisi kabili ukubuyisa. Empeleni, kabili ngosuku kusho ekuseni kanye nombhede, kathathu ngosuku kusho cishe njalo ngehora le-8, futhi ukuhlukanisa ngokulinganayo kudlula izikhathi eziqondile.

Imithamo ephuma emlonyeni noma ephuma ngokuphuma isisu ayinayo umthetho wokubuyiselwa kabusha, ngoba kuncike ukuthi ingakanani ephumayo nokuthi yenzeke ngemuva kwesikhathi esingakanani. Shayela usokhemisi noma udokotela ngaphambi kokubuyisela, naphambi kwengane engakwazi ukubamba lutho phansi, ukuhlanza ngokwako kudinga ukunakwa ngaphambi kwama-antibiotic.

Yazi isilinganiso sansuku zonke ngezibalo ezicacile. Kwingane enesisindo esingu-12 kg, ngisho nohlelo lwe-ear infection oluphakeme luka-90 mg/kg/ngosuku lubalelwa cishe ku-1,080 mg ngosuku, cishe ama-21.6 mL we-250 mg/5 mL. Uma unikeze ngaphezu kwenani lansuku zonke elikulebula, shayela kunokuba ulinde, futhi ufunye i-US Poison Control ku-1-800-222-1222 uma usola ukuphinda kabili noma umthamo owengeziwe. Lapho abanakekeli ababili behlukanisa imithamo, uhlelo lokusebenza lokuxhasana nempilo njenge-August AI lungakusiza urekhode isikhathi lapho umthamo ngamunye unikezwe khona ukuze umuntu wesibili ungawuphindi.

Akuzona Zonke Izindlela Zokuphendula Ezine-Amoxicillin Eziyisimo Esiphuthumayo, Kodwa Lezi Ziyizo

Shayela i-911 noma uye egumbini lezimo eziphuthumayo manje uma:

• Uvuvukile ubuso, izindebe noma ulimi, ama-hives asakazeka ngokushesha, ubunzima bokuphefumula noma bokugwinya, noma ukukhwehlela ngemuva komthamo
• Ukugijima okubanzi okunama-blisters noma isikhumba esixebukayo, noma umkhuhlane onenhlwathi
• Isifo sohudo esinzima noma esinegazi, noma isifo sohudo esinomkhuhlane nobuhlungu besisu
• Izimpawu zokuphelwa amanzi enganeni engakwazi ukubamba imithi phansi: ayikho umchamo amahora angu-8 noma ngaphezulu, azikho izinyembezi, amehlo anqekethile, ubuthakathaka
• Umkhuhlane omkhulu onomphimbo onzima, ukuvuvukala ngemuva kwendlebe, noma ukuwa kobuso
• Noma iyiphi ingane engaphansi kwezinyanga ezi-3 enomkhuhlane

Bhukha ukuvakashelwa phakathi nesonto elizayo uma:

• Kuvela i-flat rash ngaphandle kokuqubuka noma ubunzima bokuphefumula
• Isifo sohudo esibuthakathaka singathuthuki
• Izimpawu ziseyingaqhubeka ngemuva kokuphela kwenkambo egcwele
• Isisindo sengane yakho sesishintshile kakhulu kusukela lapho umuthi ubhalwa khona

Khuluma nodokotela ngaphambi kokuba uqale uma:

• Kukhona noma yikuphi umlando we-penicillin noma i-cephalosporin allergy
• Ingane yakho inemono-nucleosis noma izinkinga zezinso
• Ingane ingaphansi kwezinyanga ezi-3 ubudala
• I-Amoxicillin yasetshenziswa emavikini angama-30 edlule, ngoba imihlahlandlela ye-CDC incoma ukuthi kungase kudingeke enye into
• Ingane yakho ithatha eminye imithi ehlangene ne-amoxicillin

Ngengxenye ephakathi, i-August's $39 online urgent care visit ikuxhumanisa nodokotela ogunyazwe yi-US ongabuyekeza izimpawu futhi anqume ukuthi i-antibiotic ifanelekile yini. Qonda imikhawulo: ukuvakashelwa kwevidiyo akukwazi ukubheka ngaphakathi endlebeni noma ukwenza i-strep swab, futhi akuwona umgudu wengane engaphansi kwezinyanga ezi-3 enomkhuhlane, wobunzima bokuphefumula, noma obuqoqa ukungezwani komzimba okubucayi.

Imibuzo Evame Ukubuzwa

Ingabe i-Amoxicillin Kufanele Inikezwe Nokudla?

Ngokuvamile ayidingeki. I-Amoxicillin iyomunca kahle nokudla noma ngaphandle kokudla, ngakho-ke akudingeki ukuthi ubeke imithamo ngezikhathi zokudla. Ukuyinika ne-snack encane kuvame ukunciphisa ukuphazamiseka kwesisu kanye nesicanucanu, okuyisikhalazo esivamile kakhulu, ngakho-ke uma ingane yakho ibe nomthamo wokudala isicanucanu, yihlanganise nomthamo olandelayo nokudla. Ukungaguquki kubaluleke kakhulu kunokuhlela isikhathi.

Kungakanani Ngokushesha Ingane Yami Kufanele Ithuthuke, Futhi Kuthiwani Uma Umkhuhlane Usengaphezu Kwezinsuku Ezi-3?

Yebo, ukuthuthuka kufanele kubonakale. Izingane eziningi zibukeka zingcono phakathi namahora angu-48 kuye ku-72 kusukela ziqale i-amoxicillin. Uma umkhuhlane noma ubuhlungu buqhubeka ngale kwesikhathi, shayela udokotela kunokuba ulungise umthamo ngokwakho. Umkhuhlane oqhubekayo uvame ukukhombisa i-organism enokumelana, isifo samagciwane esingazange sibe nesidingo se-antibiotic, noma okunye ukuxilonga kunokukhombisa iphutha lokukala.

Ngingayixuba Umthamo Lobisi Noma Ijusi Uma Ingane Yami Yenqaba?

Yebo. Ilebulu le-FDA livumela umthamo ukuthi uxutshwe ne-formula, ubisi, ijusi lezithelo, amanzi, i-ginger ale, noma okunye okuphuzwayo abandayo. Kunezimfuneko ezimbili ezisebenzayo: yinike ngokushesha ngemuva kokuxuba, futhi qiniseka ukuthi ingane yakho iqedela konke. Sebenzisa uketshezi oluncane ngangokunokwenzeka, ngoba ingilazi yejusi engapheliswanga kusho umthamo ongagqitywanga.

Ingabe I-Flat Rash Ngosuku Lwes-5 Lwe-Amoxicillin Ukungezwani Komzimba?

Ngokuvamile cha. I-flat, engakhama i-maculopapular rash evela ezinsukwini ezimbalwa ngenkambo kuvamile ezinganeni futhi ngokuvamile ayiyona i-penicillin allergy yangempela. Ama-hives, ukuvuvukala kobuso noma kwezindebe, kanye nobunzima bokuphefumula kuhlukile futhi kudinga ukunakwa okusheshayo. Noma kunjalo, cela udokotela ahlole futhi abhale ukungezwani komzimba kahle kwirekhodi, ngoba i-allergy ebhalwe kabi ilandela ingane iminyaka eminingi.

Kufanele Ngivuse Ingane Yami Umthamo Wasebusuku?

Cha. Ungavusi ingane elala i-amoxicillin. Guqula isheduli phambili bese ugcina izikhathi zilinganisiwe usuku olulandelayo. Ngomthamo kabili ngosuku, thatha umthamo lapho ingane yakho ivuka bese uhlukanisa omunye cishe amahora angu-12 kamuva. Ukulala kusekela ukululama, futhi ukushintsha kwamahora amabili akukwenzi ihlule inkambo.

Ingabe Amatheblethi Angabekwa Njengokukhetha Uma Ingane Yami Ingenakuyithatha I-Liquid?

Ngezinye izikhathi. Amatheblethi ashunqayo nama-capsules afika emandleni aqinisekisiwe, ngakho-ke asebenza kuphela uma umthamo we-amoxicillin 250mg/5ml wengane obuyekelwe uwuguqukele kahle ematheblethi aphelele, futhi kuphela uma ingane yakho ibawa ngokuthembekile ngaphandle kokuyigwinya iphelele. Cela usokhemisi mayelana nokunonga i-suspension kuqala, okungabizi kakhulu futhi kuxazulula iningi lokwenqaba.

Umthamo We-Amoxicillin 250mg/5ml Wengane: Uhlobo Olufushane

Guqula isisindo sibe ngamagremu, bese amagremu abe ngama-milliliters usebenzisa ama-50 mg nge-mL ebhodleleni elingu-250 mg/5 mL kanye nama-80 mg nge-mL ebhodleleni elingu-400 mg/5 mL. Phinda uhlole ukuhlushwa kuwo wonke ukugcwalisa, kala usebenzisa isiringi yomlomo ngemuva kokunyakazisa, futhi ulahle ibhodlela ngemuva kwezinsuku eziyi-14. Lapho noma yikuphi ishadi nelebula likasokhemisi lingavumelani, landela ilebula bese ushayela udokotela.

Ukuzihlangula: Lesi sihloko sihloselwe ulwazi kuphela futhi asisho ukwelulekwa kwezokwelapha. Njalo thintana nomhlinzeki wezempilo oqeqeshiwe ukuze uthole izinqumo zokuxilonga nokwelapha. Uma uhlangabezana nesimo esiphuthumayo sezokwelapha, shayela i-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.