Ib qho tshuaj tua kab mob sab muaj kev tiv thaiv ntau cov kab mob, nrog rau cov kab mob gram-zoo thiab gram-tsis zoo. Nyob rau hauv nws cov muaj pes tsawg leeg 2 nquag ua haujlwm, cov neeg tsim khoom ntxiv qee cov tshuaj pab ntxiv. Kev siv tshuaj yog ua tiav nrog kev tso cai los ntawm tus kws tshwj xeeb uas xaiv ib qho zuj zus thiab cov chav kawm ntawm kev tswj hwm. Kev noj tshuaj rau tus kheej tsis suav nrog. Nws muaj contraindications, suav nrog cov txheeb ze, nyob rau hauv uas muaj kev ceev faj kev txais tos yog qhov yuav tsum tau nyob hauv kev saib xyuas ntawm tus kws tshaj lij.
Nrog saib xyuas
Ceev faj yuav tsum muaj rau cov neeg muaj keeb kwm muaj lub plab nyhuv loj. Cov tshuaj tiv thaiv sib deev tseem muaj qhov ua rau lub raum mob loj, lub siab ua haujlwm, ua haujlwm kawg ntawm cov me nyuam hauv plab thiab pub niam mis.
Ib qho tshuaj tua kab mob sab muaj kev tiv thaiv ntau cov kab mob, nrog rau cov kab mob gram-zoo thiab gram-tsis zoo.
ATX
Cov tshuaj tau muab rau tus kheej ATX code - J01CR02.
Tso cov ntawv thiab cov nyob ua ke
Cov tshuaj muaj nyob hauv daim ntawv foos thiab cov hmoov txheej rau kev npaj ncua kev kawm. Daim ntawv teev tshuaj ob zaug muaj tib yam tshuaj nyob rau ntau hom. Cov khoom sib txuas ntxiv kuj sib txawv.
Ntsiav tshuaj
Daim ntawv foos ua tshuaj ntawm cov tshuaj tua kab mob hauv nws cov tshuaj muaj cov khoom tseem ceeb thiab ntu pabcuam. Cov tshuaj yeeb dej caw muaj xws li clavulan poov tshuaj ntsev (125 mg) thiab amoxicillin trihydrate (500 mg). Cov tshuaj ntxiv:
- polysorb;
- polyvinylpyrrolidone insoluble;
- E468;
- E572;
- E460 (MCC).
Txhua lub ntsiav tshuaj yog coated nrog zaj duab xis nkag. Cov zaj duab xis sheath nyob rau hauv nws cov muaj pes tsawg leeg:
- hypromellose;
- ethyl cellulose;
- talc;
- triethyl citrate.
Amoxicillin nyob rau hauv cov cawv ntawm cov kua qaub yuav tiv taus l-lactamases.
Biconvex oval dawb (tsis tshua qab cream) ntsiav tshuaj tau ntim rau hauv cov hlwv (5-7 pcs.) Thiab cov iav fwj (15-21 pcs.). Tus naj npawb ntawm blisters nyob rau hauv ib lub thawv cardboard - 2-4 pcs. Cov ntim khoom muaj cov cim tsim nyog (cov ntaub ntawv hais txog qhov chaw tsim khoom, tus lej naj npawb, txee lub neej).
Hmoov
Lub ntsiab ntawm cov ntawv ntim tshuaj yog tib yam li hauv cov ntawv hauv cov tshuaj. Qhov siab ntawm amoxicillin (500-1000 mg) thiab clavulan (100-200 mg) yuav txawv. Lyophilisate yog cov tshuaj dawb hmoov, ntim hauv cov ntshiab iav fwj. Lub taub hau ntim tau ntim nrog cov roj hmab nres thiab qhwv hauv ntawv ci.
Vials ntawm hmoov yog muab ntim rau hauv cov thawv ntawv thawv, sab nraum qab ntawm qhov muaj pes tsawg leeg, qhov kub thiab lub sijhawm khaws cia yog qhia. Hauv pob ntawv - tsis pub ntau tshaj 5 npuas. Cov lus qhia rau kev siv muaj nyob hauv txhua lub thawv.
Pharmacological kev txiav txim
Cov tshuaj tua kab mob hauv nws cov muaj pes tsawg leeg muaj cov tshuaj semisynthetic penicillin thiab clavulanic acid. Qhov tom kawg yog lub luag haujlwm rau muab cov kev ruaj khov uas tsis muaj zog nrog cov beta-lactamases uas tsim cov kab mob me. Amoxicillin nyob rau hauv cov cawv ntawm cov kua qaub yuav tiv taus l-lactamases.
Clavulan, zoo li cov tshuaj tua kab mob beta-lactam, muaj cov kab mob antibacterial rau lub cev. Cov tshuaj yog nquag tiv thaiv ntau tus kab mob pathogenic, suav nrog gram-zoo, gram-tsis zoo, anaerobic leeg. Grampositive leeg:
- Gardnerella vaginalis;
- Tus kab mob Streptococcus mob ntsws;
- Enterococcus faecalis;
- Tus kab mob Streptococcus pyogenes thiab lwm yam beta hemolytic streptococci;
- Streptococcus viridans.
Gram-negative strains:
- Eikenella corrodens;
- Moraxella catarrhalis;
- Capnocyptophaga spp;
- Pasteurella multocida;
- Haemophilus mob npaws.
Tom qab nkag mus rau hauv lub plab zom mov, cov tshuaj tseem ceeb ntawm cov ntsiav tshuaj tau nqus sai rau hauv cov ntshav thiab nqa thoob plaws hauv lub cev.
Tus kab mob Anaerobic:
- Fusobacterium nucleatum;
- Bacteroides fragilis;
- Prevotella spp.
Antibiotic-resistant microorganisms:
- Enterobacter sp;
- Morganella morganii;
- Citrobacter freundii;
- Stenotrophomonas maltophilia;
- Acinetobacter sp;
- Serratia sp;
- Providencia spp.
Feem ntau, qhov tsis kam ntawm qee cov kab mob kis tau los tiv thaiv keeb kwm ntawm kev siv tshuaj tua kab mob ntev ntev.
Cov Tshuaj Pharmacokinetics
Cov txheej txheem lwj ua lwj ntawm ob qho kev ua kom zoo sib xws yog cov zoo sib xws. Tom qab nkag mus rau hauv lub plab zom mov, cov tshuaj tseem ceeb ntawm cov ntsiav tshuaj tau nqus sai rau hauv cov ntshav thiab nqa thoob plaws hauv lub cev. Kev txhaj tshuaj rau hauv ntshav (tsis tshua muaj leeg ntshav) txhaj tshuaj sai dhau los ntawm qhov chaw txhaj tshuaj.
Qhov siab tshaj plaws hauv cov ntshav tau kuaj pom 60 feeb tom qab hno thawj zaug. Ob lub txheej txheem raug muab faib sib npaug ntawm cov nqaij mos thiab dej. Hauv cov ntsiab lus me me, amoxicillin pom muaj nyob hauv zes qe menyuam, tsev menyuam, ntsws, daim siab, ntshav dej synovial, qaub ncaug, hnoos qeev thiab cov leeg nqaij.
Cov khoom qoj ib ce tsis muaj zog tuaj yeem kov yeej BBB, tab sis pom muaj nyob rau hauv niam mis thiab lub cev. Xyaum tsis khi rau cov protein. Ib nrab ntawm cov metabolism, kev nthuav tawm yog nqa los ntawm lub raum thiab hnyuv hauv 1.5-2 teev.
Kev siv cov tshuaj tiv thaiv kab mob rau kev kho mob thiab kho lub hom phiaj tau tso cai yog tias tus neeg mob tau kuaj pom tias muaj tus kab mob sib kis.
Kev ntsuas rau siv
Kev siv cov tshuaj tiv thaiv kab mob rau kev kho mob thiab kho kom zoo yog tso cai yog tias tus neeg mob tau kuaj pom muaj tus kab mob sib kis mob los ntawm cov kab mob me me uas nkag siab rau cov tshuaj nquag hauv cov tshuaj sib xyaw. Cov no suav nrog:
- sab sauv ntawm txoj hlab ua pa (sinusitis, otitis media, pharyngitis, tonsillitis);
- qis cov kab mob ua pa (mob ntsws, mob ntsws);
- kis kab mob ntawm cov genitourinary system (cystitis, vaginosis);
- kis kab mob ntawm daim tawv nqaij, nrog rau cov kab tom thiab ua pob rau ntawm sab nraud poj niam lub cev;
- mob pob txha txhab;
- kab mob ntawm biliary huam ntawm ib qho kev kis (cholangitis).
Kev siv cov tshuaj tiv thaiv kab mob tuaj yeem tau nrog kev txhim kho ntawm tus kabmob odontogenic.
Cov Yuav Tsum Muaj
Cov tshuaj muaj ib tug xov tooj ntawm meej contraindications. Cov no suav nrog:
- keeb kwm cholestatic jaundice;
- mob siab daim siab pathology;
- mononucleosis ntawm kis kab mob sib kis;
- cov menyuam yaus hnub nyoog (txog 12 xyoos);
- muaj lub cev tsis haum rau lub ntsiab hauv cov tshuaj;
- ib leeg tsis kam rau cov tshuaj tua kab mob ntawm cephalosporins thiab penicillins pawg.
Nrog raum tsis ua haujlwm, ceev faj siv txhua daim ntawv tshuaj yuav tsum tau ua.
Siv thaum cev xeeb tub thiab lactation
Cov kws tshaj lij tsis pom zoo kom siv ib hom tshuaj rau cov lus tawm thiab kho kom zoo thaum lub sijhawm cev xeeb tub thiab pub niam mis. Hauv cov lus qhia rau kev siv, cov sijhawm no tau qhia tias yog tus txheeb ze sib piv. Siv daim ntawv ntawm lub qhov ncauj yog ua tau yog tias muaj kev hem thawj rau lub neej ntawm leej niam. Hauv theem tom ntej, koj tsis tuaj yeem nkag mus rau cov tshuaj hauv / m lossis / hauv.
Yuav noj Amoxiclav 2 li cas?
Kev siv yeeb tshuaj tuaj yeem nqa hauv tsev. Qhov ntau thiab cov chav kawm ntawm kev tswj hwm yog xaiv ntawm tus kheej, raws li qhov xwm txheej ntawm tus neeg mob thiab qib ntawm cov chav kawm ntawm tus kabmob.
Rau cov laus
Lub lyophilisate yog diluted nrog kev txhaj tshuaj dej. Nws yog ib qho tsim nyog los saib xyuas cov xim ntawm cov kua: cov tshuaj huab yuav tsum tau muab pov tseg. Kev kho qhov tseeb ntawm cov tshuaj yuav tsum tsis pub ntau tshaj 30 ml. Rau kev yooj yim, nws yog muab fractionally, 2-3 zaug hauv ib hnub. Nws tsis pom zoo kom tswj ntau dua 10 ml (1 lub raj tshuaj 500 mg / 100 mg). Cov tshuaj tiav tau maj mam txhaj rau hauv cov leeg ntshav.
Cov neeg mob kuaj mob ntshav qab zib mellitus yav dhau los yuav tau kho cov tshuaj ntau npaum li cas.
Cov tshuaj noj tau noj tag nrho, nyiam dua thaum pib noj mov, rau qhov zoo tshaj plaws kev nqus thiab tiv thaiv kev phiv tshuaj los ntawm lub plab zom mov. Cov txheej txheem txhua hnub yog tsis pub ntau tshaj 3 ntsiav tshuaj. Lub chav kawm ntawm kev pub nkag yog 10-14 hnub. Nws tuaj yeem txuas ntxiv nrog kev tso cai los ntawm tus kws kho mob tuaj koom thaum tsis muaj qhov cuam tshuam zoo.
Koob tshuaj rau cov me nyuam
Cov menyuam raug xaj ib ntsiav tshuaj. Kev kho mob ncaj qha ncaj qha nyob ntawm qhov hnyav ntawm lub cev ntawm tus menyuam. Cov tub ntxhais hluas uas lawv qhov hnyav dua 40 kg tau xaj 10 mg / kg ntawm clavulanic acid, amoxicillin - tsis ntau dua 45 mg / kg.
Noj cov tshuaj rau ntshav qab zib
Cov neeg mob kuaj mob ntshav qab zib mellitus yav dhau los yuav tau kho cov tshuaj ntau npaum li cas. Kev txais tos yog qhov zoo dua mus pib nrog ib nrab koob.
Sab sij huam
Amoxiclav 2, yog tias siv tsis raug, tuaj yeem ua rau cov kev tsis haum siab yam tsis txaus ntseeg.
Kev kho mob txoj hnyuv
Los ntawm lub plab zom mov, mob plab zom mov tau pom, suav nrog kev mob epigastric, dyspepsia, raws plab, nce kev ua ntawm AST thiab ALT.
Amoxiclav 2, yog siv tsis raug, tuaj yeem ua rau mob plab zom mov.
Hematopoietic plab hnyuv siab raum
Los ntawm cov kab mob circulatory, thrombocytopenia, leukopenia, hemolytic anemia thiab pancytopenia yog qhov txawv txav.
Nruab nrab hauv lub paj hlwb
Kiv taub hau, mob taub hau, pw tsaug zog ntxhov siab (insomnia, tsaug zog), ntxhov siab vim, cuam tshuam ntawm cov kev xav tom qab yog suav tias yog kev mob tshwm sim los ntawm lub hauv nruab nrab hauv cov hlab hlwb.
Los ntawm cov kab mob zis
Los ntawm cov kab mob urinary, crystalluria thiab mob ua haujlwm hauv cov raum yog cais (tsis tshua muaj).
Kev ua xua
Feem ntau, kev fab tshuaj ua rau nws tus kheej ua pob rau ntawm daim tawv nqaij, urticaria, khaus thiab dermatitis. Tsis tshua muaj qhov tsis pom qhov ceeb - anaphylactic shock thiab Quincke's edema.
Cov lus qhia tshwj xeeb
Nrog kev siv ntev, nws yog ib qho tsim nyog yuav tsum tau kuaj ntshav thiab cov zis tsis tu ncua. Cov yav tas tuaj yeem ua tsis raug vim qhov kev siv ntawm Feling txoj kev daws teeb meem. Kev siv cov ntsiav tshuaj daim ntawv ntawm cov tshuaj tib lub sijhawm cov zaub mov ua rau txo kev pheej hmoo ntawm dyspepsia.
Nrog kev siv ntev, nws yog ib qho tsim nyog yuav tsum tau kuaj ntshav thiab cov zis tsis tu ncua.
Cawv tau zoo
Txwv tsis pub haus dej cawv thaum noj tshuaj tua kab mob. Ethanol ua ke nrog amoxicillin provokes kev txhim kho ntawm intoxication.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Yog hais tias tus neeg mob tsis muaj kev mob tshwm sim hauv daim ntawv ntawm kev tsaug zog, ces tsav tsheb thiab lwm yam tsheb raug tso cai.
Siv rau lub siab ua haujlwm tsis zoo
Lub siab pathologies yog tus txheeb ze sib deev. Yuav tsum tau txhaj kom haum.
Daim ntawv thov rau lub raum khiav tsis zoo
Nrog lub raum pathologies, cov tshuaj tau qaug cawv txhua 24 teev. Cov txheej txheem txhua hnub yog tsis ntau tshaj 1 ntsiav tshuaj. Thaum lub sij hawm thov, kev saib xyuas ntawm creatinine tshem tawm yog tsim nyog.
Noj ntau dhau
Tsis muaj ntaub ntawv txaus ntseeg ntawm cov txiaj ntsig ua tau ploj tuag nrog kev noj tshuaj ntau dhau. Tus neeg mob lub cev zuj zus thiab cov yam ntxwv tshwm sim, uas suav nrog:
- ntuav tsis ntuav;
- mob hauv siab;
- Kiv taub hau
- cramps
- insomnia
Thaum thawj cov tsos mob tshwm sim, koj yuav tsum hu rau lub tsev kho mob sai li sai tau. Txoj kev kho yog yam mob. Kev pabcuam thawj zaug muaj nyob rau hauv kev ntxuav lub plab thiab noj enterosorbent (qhib lub tshuab hluav ncaig). Tsis muaj cov tshuaj antidote.
Kev cuam tshuam nrog lwm yam tshuaj
Chondroitin Cheebtsam, aminoglycoside, antacid, laxatives tuaj yeem txo tus nqi ntawm kev nqus. Ascorbic acid nce ntxiv ntawm kev nqus ntawm cov tshuaj uas muaj sia hauv cov tshuaj sib xyaw. Cov tshuaj uas tiv thaiv kev tsim cov calcium (NSAIDs, diuretics, phenylbutazone) tuaj yeem nce qib ntawm cov khoom ua haujlwm nquag.
Kev tswj hwm tib lub sij hawm ntawm cov tshuaj tiv thaiv thiab tshuaj thiab yuav tsum tau nyob hauv kev saib xyuas ntawm tus kws tshaj lij. Thaum tsis ua raws li cov tshuaj kho mob, ib qho kev nce rau lub sijhawm prothrombin raug pom. Cov tshuaj tua kab mob tuaj yeem ua rau kom lom ntau ntxiv ntawm antimetabolite. Allopurinol thiab tshuaj thaum noj nws ua rau muaj kev pheej hmoo ntawm kev loj hlob exanthema. Disulfiram yog tsis sib xws nrog cov tshuaj.
Analogs
Cov tshuaj tua kab mob penicillin muaj ntau qhov hloov pauv nrog cov nyhuv tshuaj zoo sib xws. Cov no suav nrog:
- Sumamed. Macrolide tshuaj tua kab mob yog qhov azalide nrog rau kev pom ntawm qhov kev ua ntau. Muaj nyob rau hauv cov hmoov ntawv sau, los ntawm qhov kev ncua cia yog npaj. Lub ntsiab tivthaiv yog azithromycin dihydrate. Nws muaj cov cuab yeej tshaj tawm hais txog antimicrobial. Nquag ua tawm tsam staphylococci thiab streptococci. Tus nqi hauv khw muag tshuaj yog los ntawm 215 rubles.
- Flemoklav. Cov nqaj qauv nrog cov muaj pes tsawg leeg zoo li qub. Lub luag haujlwm ntawm cov tshuaj nquag yog amoxicillin thiab clavulan. Muaj nyob hauv daim ntawv ntawm cov ntsiav tshuaj nrog sib txawv ntawm cov khoom nquag. Tus nqi hauv cov chaw muag tshuaj yog los ntawm 300 rubles.
- Flemoxin. Cov tshuaj tua kab los ntawm pawg penicillin yog ampicillin analog. Muaj nyob hauv ntsiav tshuaj daim ntawv. Ib cov tshuaj tua kab mob muaj nyob rau tam sim no. Tus nqi ntawm daim ntawv teev cov tshuaj hauv cov chaw muag tshuaj yog los ntawm 230 rubles.
Ib qho tshuaj noj twg thiaj li muaj nyob ntawm hwj tshuaj. Cov tshuaj tiv thaiv kom tsis txhob mob thiab qhov mob tshwm sim muaj nyob rau hauv cov lus qhia.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Ib daim ntawv twg ntawm kev tso tawm tshuaj yuav tsum tau ntawv sau ntawv yuav los ntawm lub tsev muag tshuaj.
Kuv puas yuav tau yam tsis muaj daim ntawv yuav tshuaj?
Nws tsis tuaj yeem yuav cov tshuaj tua kab mob yam tsis tas muaj tshuaj.
Cia rau cov neeg mob rau cov tshuaj
Cov tshuaj no muaj nyob rau hauv cov npe B. Khaws ntawm qhov ntsuas kub tsis tshaj + 25 ° C hauv qhov chaw tsaus, txias, zoo.
Hnub tas sij hawm
Khaws tsis pub dhau 24 lub hlis.
Kev txheeb xyuas ntawm Amoxiclav 2
Kev txheeb xyuas txog cov tshuaj muaj qhia rau hauv qab no.
Cov kws kho mob
Kirill Andreev, kws tshaj lij, Voronezh.
Kuv sau cov tshuaj tua kab mob ntau zaus, cov neeg mob txaus siab rau qhov tshwm sim. Nws yog ib qho tseem ceeb kom ua raws txhua cov lus qhia ntawm tus kws kho mob tuaj kawm, noj tshuaj noj, raws li kev noj tshuaj ntau dua. Yog tias koj tsis xis nyob, Kuv pom zoo kom kho kev kho mob tam sim ntawd.
Svetlana Zavyalova, kws kho mob zawv plaub hau, Samara.
Cov tshuaj yog siv tau zoo, tab sis cov neeg mob feem ntau yws cov kev mob tshwm sim los ntawm Amoxiclav. Feem ntau, kev tsis haum tshuaj me yog tshwm sim hauv daim ntawv ntawm cov pob khaus ntawm txheej sab saud ntawm lub dermis. Lawv tuaj yeem kho nrog cov tshuaj pleev antihistamine, uas tus neeg ua xua yuav pab koj xaiv.
Cov neeg mob
Evgenia Baratyntseva, 47 xyoo, Rostov-on-Don.
Ntshav qab zib mellitus zoo heev tiv thaiv kev tiv thaiv kab mob, tiv thaiv mob ntsws txham tau kuaj. Lub sijhawm dhau los ntawm kev tsis zoo, nws tsis tuaj yeem yuav tsaug zog thiab ua pa. Kuv txom nyem 4 hnub, mus cuag kws kho mob. Nws tau muab tshuaj tua kab mob, nws yuav nws nrog tshuaj. Cov tshuaj pab tau, Kuv tsis hnov mob twg.
Anatoly Verd, 72 xyoo, Ekaterinburg.
Kuv tau mob ntshav qab zib tau 34 xyoo. Kab mob kis tau ntawm cov kab mob ua pa tuaj yeem kuaj pom ntau zaus. Kev quav yeeb tshuaj tau tsim rau cov tshuaj "teeb", lawv tau nres pab. Sau lub hwj chim tshuaj tua kab mob. Pab tau sai. Thawj hnub, Kuv mloog zoo li kuv nkees nkees, uas dhau hnub tom qab.
Nqe rau Amoxiclav 2
Tus nqi ntawm ib cov tshuaj hauv khw muag tshuaj, nyob ntawm daim ntawv tso tawm thiab ntau npaum li cas, pib los ntawm 94 rubles.
