"Ospamoks": malangizo. Reviews, zikuonetsa mtengo ntchito

"Ospamoks" - mankhwala antimicrobial yogwira mankhwala ndi amoxicillin - oimira aminopenicillins angapo. Apanga mu m'ma 20, amoxicillin wakhala mmodzi wa anthu otchuka wothandizila antimicrobial. Chifukwa ochepa mavuto kapena zoipa, komanso chifukwa cha kanthu bactericidal izo litakhazi- anagwirizana kuchipatala. Mu kugulitsa "amoxicillin" mankhwala analowa chaka 1972, ndipo malinga ndi mankhwala enieni zochizira matenda m'mapapo mwanga bakiteriya kupuma ndi kuthandizana otaya awo aakulu ndi zolimbitsa.

Dongosolo la makhalidwe mankhwala

Pokonzekera "Ospamoks" ntchito lonse chifukwa cha mbali yofunika kwambiri ya mankhwala mankhwala - amoxicillin. Mu gulu la mankhwala, iye kuperekedwa monga beta-lactam mankhwala chiyambi semisynthetic. Iwo aminopenicillin ndi sipekitiramu lonse za ntchito antimicrobial, mwachibale kwa macroorganism otetezeka.

Pokonzekera "Ospamoks" pali gulu la Akhristu kalasi a aminopenicillins gulu ingibitorzaschischennyh. Ndi mankhwala aluso, amene mayina awo ali motere: "Amoxicillin-clavulanate," "Ampicillin sulbactam". Iwo ali m'zinenero, koma ntchito zambiri ambiri. The mwayi waukulu ntchito amoxicillin, iwo kuthetsa drawback kofunika kwambiri - tilinazo wa penicillin pa.

Ntchito antibacterial mankhwala

Kukonzekera "Ospamoks" (ana ndi akulu) amapereka maselo structural kaphatikizidwe wa bakiteriya khoma maselo (peptidoglycan), ali ndi kanthu bactericidal pa foni tating'onoting'ono. Chifukwa, chinthu mankhwala "amoxicillin" amapha mabakiteriya. Mmene medicament yogwira makamaka ndi mabakiteriya galamu HIV: pneumococcus, enterococcus, Listeria. Komanso, mankhwala "Ospamoks 1000" akugwira ntchito ndi mabakiteriya anaerobic - Clostridium sporogenous ndi peptostreptokokki.

Chifukwa kanthu bactericidal ndi kuyan'anila za ndondomeko ya kaphatikizidwe peptidoglycan "Amoxicillin" ndi mankhwala yotakata-sipekitiramu. Popeza peptidoglycan monga structural mchitidwe underdeveloped selo khoma mabakiteriya galamu alibe imene mankhwala ndi yogwira. Kwambiri atengeke zotsatira bactericidal a "Ospamoksa" Helicobacter, Neisseria, kuchititsa meninjaitisi, nsomba ndi n'ngopatsirana kupanga. Pang'ono zochepa atengeke amoxicillin amapatsira mwana wake, Proteus, E. coli, n'ngopatsirana kupanga Shigella, Vibrio cholerae ndi Neisseria zimene zimachititsa chinzonono.

Magulu zikuluzikulu za matenda amene ankachitira ndi mankhwala "Ospamoks" ndi gulu la kupuma pathologies opatsirana chiyambi bakiteriya. Komanso, mabakiteriya amene amayambitsa otitis TV pachimake, chibayo bakiteriya, otaya m'mapapo ndi sinusitis amafuna kopita "Amoxicillin". Izi mankhwala m'gulu chithunzi ternary wa kuthetsa Helicobacter pylori ndi ntchito matenda enteric, matenda bakiteriya a dongosolo genitourinary.

zikuonetsa

Mayina mankhwala "Ospamoks 500" Buku kakunena za ntchito prophylactic. Makamaka, chifukwa kupewa mavuto bakiteriya pambuyo kuchita olanda njira yodziwira mankhwala angathe kumwedwa mu wamkulu 500 mg 3 pa tsiku kwa masiku 5-7. A ofanana akuti prophylaxis waikidwa ndi kuteteza bacteremia pambuyo m'zigawo mano. Lonse osiyanasiyana zikuonetsa motere:

• ARI: bakiteriya pharyngitis, zilonda zapakhosi, laryngitis, matenda, chibayo, m'mapapo otaya;
• matenda pustular khungu: zithupsa, carbuncles, pyoderma, streptoderma;
• matenda a njira ya mkodzo thirakiti m'munsi (cystitis, urethritis);
• chlamydial matenda pa mimba;
• chinzonono;
• typhoid malungo, matenda Lyme.

Pharmacodynamic kuchepetsa ntchito

The zikuonetsa pamwamba n'zochepa, ndipo nthawi zambiri, polingalira mankhwala opha tizilombo, mankhwala kwenikweni. Izo sizingakhoze ntchito zochizira akutali a chibayo, pyelonephritis, matenda septic wa khungu ndipo zimakhala zofewa. Pa nthawi, mankhwala onse aminopenicillins akuwonongedwa ndi beta-lactamases mabakiteriya mwachangu m'malo ndi ophatikizana penicillin kutetezedwa: "Amoxicillin-clavulanate" ndi generics ake.

Pakuti "amoxicillin" ndi moyenera, chifukwa lokonzekera "Ospamoks" malangizo masamba ntchito ochepa. Iye ali woyamba mzere mankhwala ana pakati ndi matenda a pamwamba. Komanso, "Amoxicillin" ndipo Mabaibulo ake generic, kuphatikizapo "Ospamoks" angagwiritsidwe ntchito pa m'badwo uliwonse ana malinga ndi umboni. Ntchito kunja kwa matenda opatsirana monga muyeso njira ana alibe phindu lenileni ndi contraindicated.

mawonekedwe kumasulidwa ndi mlingo

Kuweta chiphunzitso "Ospamoks" kukonzekera - miyala yomwe 500 ndi 1000 mg wa yogwira pophika. Izi ndi zambiri ntchito mankhwala njira kuti ndi mulingo woyenera akulu. Amalalikira mankhwala kuchokera miyala mmimba ndi omwazika ndi odzipereka mu magazi. Wotuluka ku zimakhala chofuna komanso zopweteka mmakutu danga interstitial ndi mwachindunji amapha mabakiteriya, mofulumira ndondomeko kuchira ku matenda opatsirana. Likupezeka mu formulations ufa ntchito Dokotala (m'munsimu).

Ufa "Ospamoks" kwa kuyimitsidwa

Komanso, chifukwa cha chitetezo cha aminopenicillins ana alipo Dokotala formulations "Ospamoks" mankhwala. Kuyimitsidwa ana - njira yabwino ntchito ya mankhwala, amene sikutanthauza Pomeza makapisozi kapena miyala. Pa zaka 5, ndipo nthawi zina 8, ana ndi vuto Pomeza mitundu olimba mlingo. Kuyimitsidwa mu nkhani iyi ndiyo oyenera njira enteral utsogoleli wa mankhwala antimicrobial.

Kukonzekera kuyimitsidwa za muyezo mitundu ufa mlingo munali 125, 250 ndi 500 mg pa 5 ml ya mankhwala osakaniza okonzeka. Mankhwala muyezo ma CD komanso akubwera ooneka enieni vial 60 ml ya (kapena 100 ml kwa mlingo wa 500 mg / 5 ml) ndi kuyeza supuni, ndi mphamvu 5 ml.

Features ndi ntchito dosing

Mayina mankhwala "Ospamoks" malangizo kumafuna modes angapo dosing zimadalira msinkhu ndi ntchito aimpso odwala ndi matenda nephrotic. Wamkulu mlingo (pa zaka 16) ndi 1.5-2 ga patsiku. Miyala dispersible a 500 mg anatengedwa katatu patsiku, 1000 mg - 2 nthawi tsiku kwa masiku 5-7.

Pa zaka 12 mpaka 16 analimbikitsa mlingo wa 1000 mg pa tsiku, ndi zinayi nthawi kutenga mankhwala pa mlingo wa 250 mg kawiri kapena 500 mg. Popeza makhalidwe a mayamwidwe mankhwala ndi kuchepetsa mosavuta pamene ankadya ndi chakudya, Ndi bwino kutenga muyezo umodzi Mphindi 30 pamaso chakudya.

Ntchito mankhwala Pediatrics

Ana mlingo zimadalira m'badwo. Ana ndi makanda kwa chaka chimodzi saloledwa kubweretsa mlingo tsiku la 250 mg. Mankhwala mawonekedwe - ufa kuyimitsidwa 125 mg / 5 ml. Utenga zotsatirazi kuyeza supuni nthawi 2 tsiku. mwana A zaka zapakati pa 6 zaka amaloledwa kutenga kuyimitsidwa wokonzedwera kwa "Ospamoks" muyezo kukonzekera. Mlingo tsiku 375-500 mg ndi: kuyimitsidwa ingested ndi kuyeza supuni kawiri pa tsiku.

Kuyambira zaka 6 mpaka 10 akale mwana akhoza mosadalira kutenga mankhwala tableted "Ospamoks". Guide zikutanthauza kulandira mlingo tsiku la 750 mg. Mapiritsi a 250 mg anatengedwa katatu patsiku monga malangizo dokotala nthawi chithandizo. Ngati chifukwa kukhalapo matenda ena amagwirizana ndi mkhutu kumeza slurry umagwiritsidwa ntchito Mlingo ofanana. Pa nthawi yomweyo pa m'badwo uliwonse m'pofunika kuti aziona mankhwala kuwunika mtima kwa nthumwi antimicrobial ndi chizindikiritso cha zochita chowawa.

Makamaka mavuto mankhwala

Gulu mankhwala a penicillin mbiri wolemekezeka otsika kawopsedwe Komabe, amakonda chifukwa thupi lawo siligwirizana. Chifukwa cha chitetezo poizoni, chifukwa lokonzekera "Ospamoks" malangizo chizathandiza ntchito Dokotala neonatal nthawi. Komanso, akulu ndi ana mankhwala mankhwala "amoxicillin" amachititsa zochita zina mbali. Makamaka:

• ziwengo monga urticaria, conjunctivitis, rhinitis, angioedema, malungo, eosinophilia, mwapadera osowa anaphylactic mantha;
• Zotsatira Common mbali monga mutu, nseru, chizungulire, kutsegula m'mimba, ndi kugwiritsa ntchito nthawi yaitali (masiku opitirira 15 zingapo za matenda);
• crystalluria, interstitial nephritis, osauka makamaka ntchito limodzi ndi mankhwala a metronidazole;
• ndi maziko a mankhwala opha tizilombo angathe superinfection mwa mitundu wokhala ndi kukana kwathunthu kapena wachibale "amoxicillin";
• Pamene ntchito ngati khanda angathe kutsekula m'mimba, magwero a mafangasi.

contraindications

Contraindication kusintha kale mlandu siligwirizana ndi aminopenicillin, matenda mononucleosis, kutsegula m'mimba ndi matenda a mbali iliyonse pa mundawo m'mimba. mankhwala si ntchito pamaso mphumu bronchial, matenda akulu tizilombo popanda mavuto bakiteriya, kudziwika ziwengo kuti cephalosporins. Yotsirizira ndi contraindication wachibale mosamala kufufuzidwa, kuyambira mtanda ziwengo kuti aminopenicillin amapezeka okha 5-20% ya milandu.

Features ntchito mu akazi apakati ndi lactating

Mbali yofunika ya ntchito maantibayotiki pa mimba ndi kuthekera ndi leni kawopsedwe awo. Kukonzekera angapo a penicillin nkomwe zimapukusidwa ndi excreted mu mawonekedwe pachiyambi. Izi zikutanthauza kuti palibe zotsatira poizoni iwo amayambitsa. Komanso, "Ospamoks" lachindunji mwachibale kwa maselo bakiteriya ndipo alibe mphamvu pa maselo a anthu.

Poona zochitika zimenezi, ntchito amaloledwa "amoxicillin" mimba pa siteji iliyonse pa matenda a matenda monga zizindikiro zakumwamba. Chofunika, pafupifupi 30% ya magazi ukubwera mu mlingo diffuses kudzera nsengwa ndi amakhudzana ndi thupi la mwana wosabadwayo. Mu zatsopano ndi kulamulidwa maphunziro matenda yokhudza anthu sichinayambe kutsimikiziridwa poizoni ndi teratogenic zotsatira 'Ospamoksa ".

Komanso sitingachisonyeze chitukuko cha zotsatira teratogenic mu maphunziro nyama pa mimba. Mnthawi mkaka wa m'mawere, m'pofunika kuchepetsa zakudya za mankhwala. "Ospamoks" mosavuta akudutsa mu mkaka wa m'mawere ndi mwana m'mimba imatsala mu m'magazi. Polingalira za chiopsezo cha chifuwa, kutsegula m'mimba ndi mafangasi ana matumbo dysbiosis Ndi bwino kusiya kuyamwitsa pamene mankhwala mankhwala opha tizilombo toyambitsa.

Maphunziro Anzawo ndi generic mankhwala

Mu msika zoweta mu zamakono komanso otetezeka mankhwala "Ospamoks 250" Pali pafupi dazeni zonse analogs ndi mtengo osiyana. Iwo chopangidwa ndi makampani akuluakulu ndipo musati amasiyana kwambiri kwa "Amoxicillin" kuchokera opanga ena. Kwenikweni, "Ospamoks 1000" ndi generic, monga ena ambiri cha Akhristu wake pa kapangidwe ndi mawonekedwe kumasulidwa.

Pa kukonzekera piritsi "Ospamoks" Mtengo za 2/3 apamwamba kuposa zoweta, wosindikiza JSC "kaphatikizidwe". mtengo wake mu pharmacies ndi 200 rubles. Pakuti yomweyo dzuwa muyezo kusankha ndi mtengo china. Polingalira za mbali mwatsatanetsatane mu nkhani iyi, patsogolo wapatsidwa mankhwala ambiri m'banja, Lomwe lingathe kukopedwa pa rubles 30 (20 ma PC.).

kutetezedwa aminopenicillin

Dokotala analogs "Ospamoksa", "Augmentin" ndi "Hikontsil" mu mawonekedwe a ufa ntchito yokonza kuyimitsidwa mankhwala amakhala ndi dzuwa chimodzimodzi monga analogs Russian mosavuta. Ndipo m'lifupi mwake ntchito otsiriza, kuphatikizapo zoweta, kuchepetsa tizilombo tating'onoting'ono kukana kuti amoxicillin. Choncho, ambiri amangoti ntchito tsopano kutetezedwa aminopenicillin clavulanate. mankhwala awa (onani pamwamba pa maina) ndi champhamvu tingati ndi lonse antimicrobial sipekitiramu.