"Ospamoks": umyalelo. Ukuphononongwa, ekhomba ixabiso zokusetyenziswa

"Ospamoks" - into eliyeza elwa esebenzayo i amoxicillin - Abameli aminopenicillins eziliqela. Kuhlelwe kwinkulungwane yama-20, amoxicillin iye omnye ethandwa arhente elwa. Ngenxa inani elincinane iziphumo ezibi okanye eziyingozi, kodwa ngenxa inyathelo bactericidal kubhaliwe ngokuqinileyo zibethelelwe eklinikhi. Ekuthengisweni "amoxicillin" iziyobisi Singene kunyaka we-1972, yaye logama nje yinto zintsholongwane esisiseko kwi unyango lwezifo pulmonary bacteria zemiphunga kunye nenkxaso kwi amanzi ayo kakhulu kwaye ngcathu.

System embalini yemveliso

Xa Elungiselela "Ospamoks" ukusetyenziswa ngokubanzi ngenxa iimpawu eziphambili ukwimo iziyobisi - amoxicillin. Xa ukuhlelwa iziyobisi, enikwa njenge zintsholongwane beta-lactam lemvelaphi semisynthetic. It aminopenicillin nge spectrum ezibanzi yomsebenzi elwa, ngokunxulumene macroorganism ekhuselekileyo.

Xa Elungiselela "Ospamoks" kukho iqela kunezixhobo iklasi webhunga aminopenicillins kudidi ingibitorzaschischennyh. Kuyinto antibiotics olusebenzayo, abamagama zezi zilandelayo: "Amoxicillin-clavulanate," "Ampicillin sulbactam". Zikwafumaneka ngokubanzi, kodwa zisetyenziswa kakhulu ngakumbi ngokubanzi. Inzuzo ephambili yokusebenzisa amoxicillin, abasusa ethile yalo ebaluleke kakhulu - uvakalelo le penicillins.

Umsebenzi antibacterial ye ichiza

Ukulungiselela "Ospamoks" (abantwana kunye nabantu abadala) unika kuyondelelaniswe molekyuli noshowo weseli eludongeni yebhaktiriya (peptidoglycan), ukuba isenzo bactericidal kwiseli ngeentsholongwane. Ngenxa yoko, iyeza iziyobisi "amoxicillin" amagciwane. Apho medicament esebenzayo kakhulu nxamnye iintsholongwane Igram-HIV: pneumococcus, enterococcus, Listeria. Kwakhona, ichiza "Ospamoks 1000" iyasebenza nxamnye iintsholongwane anaerobic - sporogenous zeClostridium kunye peptostreptokokki.

Ngenxa inyathelo bactericidal kunye ukunyhashwa iinkqubo Yindibanisela peptidoglycan "Amoxicillin" is a machiza ebanzi-omoya. Ekubeni peptidoglycan njengento noshowo iseli ngokwaneleyo udonga iintsholongwane ezimbi-Igram apho ichiza nalo esebenzayo. Eyona kakhulu ukulimala isiphumo bactericidal of "Ospamoksa" Helicobacter, Neisseria, ibangela meningitis, salmonella kunye ibihlungu-ngokwakha. Kancinane ngaphantsi bangenwe amoxicillin kubazali bakhe, Proteus, E. coli, ibihlungu-ukwakha Shigella, Vibrio cholerae kunye Neisseria ebangela: ukuvuza ngaphantsi.

Iindidi eziphambili zizifo babacukucezela ichiza "Ospamoks" liqela ezimbi yokuphefumla ezosulelayo of imvelaphi yebhaktiriya. Kwakhona, iibhaktheriya ezibangela etsolo otitis eendaba, inyumoniya ziibhakteriya, flow wemiphunga sinusitis ifuna indawo "Amoxicillin". Le ichiza kwakhona zibandakanyiwe kumzobo izithathu of ngokupheliswa Helicobacter pylori kwaye lisetyenziswa usulelo ama, izifo iintsholongwane kwinkqubo genitourinary.

Ubungqina obubonakalayo buxela

Okuqhotyoshelwe ichiza "Ospamoks 500" manual iqulathe ulwazi malunga nokusebenzisa umbala. Ngokukodwa, kuba nokuthintela iingxaki iintsholongwane emva kokwenza invasive iinkqubo zokuxilonga amayeza nga kuthathwa abadala 500 mg 3 ngemini kangangeentsuku 5-7. A kota prophylaxis efanayo ifakelwe kwaye nokuthintela bacteremia emva utsalo kwamazinyo. Uluhlu kuyabonisa ngolu hlobo lulandelayo:

• Ari: bacteria pharyngitis, tonsils, laryngitis, iphika, inyumoniya, umphunga kwemali;
• zifo pustular yesikhumba: yamathumba, abengezelayo, pyoderma, streptoderma;
• obenesifo iphecana esezantsi wokuchama (Ngokuzimela, urethritis);
• usuleleko lwechlamydial ngexa lokukhulelwa;
• ukuvuza ngaphantsi;
• yicesina, isifo Lyme.

Pharmacodynamic ukunciphisa isicelo

Kubonakala ngentla olungephi, yaye kwiimeko ezininzi, ngenxa yokunganyangeki nemithi, chiza ukusebenza encinane. Alinako zingasetyenziswa unyango ekwanti yinyumoniya, pyelonephritis, usulelo yokubolisa ulusu kunye kwizihlunu ezithambileyo. Okwangoku, onke amachiza zonke aminopenicillins kubhujiswa beta-lactamases iintsholongwane ngenkuthalo indawo yi-penicillins ekhuselweyo zidityanisiwe: "Amoxicillin-clavulanate" kunye generics yayo.

Kuba "amoxicillin" yaye, ngokunjalo, kuba ukulungiswa "Ospamoks" umyalelo eshiya izicelo nje ezimbalwa. Nguye ichiza-umgca wokuqala kubantwana abakhulelweyo kunye izifo kulapha ngasentla. Kwakhona, "Amoxicillin" kunye iinguqulelo zayo oluthile, kuquka "Ospamoks", enokuphenduleka ngexesha elinye ingasetyenziswa na ubudala ebantwaneni ngokutsho yesingqino. Sebenzisa ngaphandle kwezifo ezosulelayo njengenyathelo lokuthintela ebantwaneni akukho ukubaluleka kwaye contraindicated.

ifomu Ukukhululwa balawule

ekuqulunqeni Basic "Ospamoks" ukulungiselela - amacwecwe eziqulathe 500 no-1000 mg esisebenza. Lo zisetyenziswa ngokuxhaphakileyo ukhetho zintsholongwane ukuba baninzi kangangoko abantu abadala. into esebenzayo evela amacwecwe esiswini iphaphatheke kwaye uzifake egazini. Kokuqhubeka izixwexwe asha yaye luchukumisa isithuba Embi kwaye ubulala ngqo iintsholongwane, nokukhawulezisa inkqubo nokufunyanwa kwizifo ezosulelayo. Kwakhona iyafumaneka imixube olungumgubo ukusetyenziswa ezingabantwana (ngezantsi).

Powder "Ospamoks" kukunqunyanyiswa

Kwakhona, ngenxa ukhuseleko aminopenicillins ebantwaneni yi nemixube yabantwana ezikhoyo "Ospamoks" iziyobisi. Ukunqunyanyiswa abantwana - yindlela elungileyo isicelo beziyobisi, engadingi njengezingxobo yokuginya okanye iipilisi. Xa ndandineminyaka engama-5, yaye ngamanye amaxesha ukuya ku-8, abantwana ingxaki yokuginya iifom balawule esiqinileyo. Ukurhoxiswa kulo mzekelo yeyona ndlela kulawulo kakhulu amagorha enteral ye ichiza elwa.

Ukulungiselela ukunqunyanyiswa iifom idosi olungumgubo eqhelekileyo equlathe 125, 250 no-500 mg nganye ml 5 mxube uzilungiselele. Xa imveliso nokupakishwa eqhelekileyo kwakhona iza mbini igutyana ml-60 (okanye 100 ml ukuba umthamo 500 mg / 5 ml) ekulinganiseni icephe, kunye nomthamo ml-5.

Iimpawu kunye izicelo ongaka

Okuqhotyoshelwe ichiza "Ospamoks" umyalelo kubandakanya iindlela ezininzi umthamo zixhomekeke yobudala kunye umsebenzi sezintso kwizigulane kunye nezifo nephrotic. oyidlayo abadala (ngaphezu kweminyaka eli-16) yi 1.5-2 g ngosuku. Amacwecwe esasazekayo of mg 500 ezithathwe izihlandlo ezithathu ngosuku, 1000 mg - amaxesha 2 ngemini kangangeentsuku 5-7.

Xa ndandineminyaka engama-12 ukuya kowe-16 ekucetyiswa ithamo 1000 mg ngosuku, oko kukuthi ixesha-emine ukuthatha amachiza ne nedosi ye-250 mg, kabini okanye 500 mg. Xa sijonga iimpawu kukufakwa ichiza kwaye inciphise amathuba kwalo xa ufukame isidlo, kucetyiswa ukuba athathe idosi enye kwimizuzu engama-30 phambi kokuba isidlo.

Ukusetyenziswa kweziyobisi wezifo

Abantwana oyidlayo kuxhomekeke kubudala. Kubelekwa neentsana ukuya kunyaka omnye bavumelekile ukuba beze idosi yemihla ngemihla 250 mg. ifomu Product - powder kukunqunyanyiswa 125 mg / ml-5. Yamkela icephe yokulinganisa zilandelayo amaxesha 2 ngosuku. A nomntwana ophakathi kweminyaka emi-6 ubudala bavumelekile ukuba ukumiswa olulungiswe ukulungiselela standard "Ospamoks". Le idosi yemihla ngemihla ngu 375-500 mg: ukumiswa tapeworm umlinganiselo icephe kabini emini.

Ukususela kwiminyaka 6 ukuya kwi-10 ubudala uyakwazi ukuthatha ngokuzimeleyo iziyobisi tableted "Ospamoks". Guide kuthetha ukufumana idosi yemihla ngemihla ye-750 mg. Amacwecwe 250 mg ezithathwe kathathu ngemini njengoko kwiingcebiso kagqirha ixesha unyango. Ukuba ngenxa yobukho nezinye izifo ezinxulumene ne ligwinya kakuhle, oluludaka lisetyenziswa kwi iidosi efanayo. Ngelo xesha na ubudala kuyimfuneko ukuba iliso unyango, ukuvavanywa kokusebenza kwe-arhente elwa kunye nokuchongwa abasabela ezibi.

Ingakumbi iziphumo ebezingalindelekanga ichiza

Group antibiotics penicillin irekhodi owahlukileyo zinetyhefu esezantsi, kunjalo, bakholisa ukuba baxabane nomzimba. Ngenxa yokuba ukhuseleko zinetyhefu, kuba ukulungiswa "Ospamoks" umyalelo ivumela ukusetyenziswa ixesha abantwana lweentsana. Ngaphezu koko, abadala kunye kwiintsana kweziyobisi iziyobisi "amoxicillin" ebangela abanye ngayo icala. Ngokukodwa:

• komzimba njengoko urticaria, conjunctivitis, nokuthimliswa, angioedema, ifiva, eosinophilia, Njengokungeniswa kakhulu ezinqabileyo anaphylactic;
• Iziphumo ebezingalindelekanga Common ziquka intloko, isicaphucaphu, isiyezi, urhudo, kunye nokusetyenziswa ixesha elide (iintsuku ezingaphezu kwe-15 kwiqela izifo);
• crystalluria, nephritis Embi, nokuphuhlisa kakhulu kwi sicelo, kunye metronidazole;
• ngokuchasene nentsukaphi unyango zintsholongwane basenokuba superinfection phakathi strains ukuba amelane olupheleleyo okanye isalamane ukuba "amoxicillin";
• Xa kusetyenziswa usana inokuphuhlisa urhudo, imvelaphi ezinzwaneni.

Izimo

Contraindication siyahlengahlengiswa ngaphambili ityala Andidibani aminopenicillin, mononucleosis ezosulelayo, urhudo kunye nezifo nayiphi na inxalenye iphecana zesisu. Ichiza alisetyenziswa phambi sombefu inyumoniya, usulelo kakhulu egazini ngaphandle iingxaki yintsholongwane, ekufumanekeni of aleji cephalosporins. Le yokugqibela i contraindication lwezizalwane ulutshekishe ngenyameko enkulu, ekubeni cross nokwaliwa ukuya aminopenicillin kwenzeka kuphela ngo-5-20% yamatyala.

Iimpawu sesicelo abasetyhini abakhulelweyo kunye phindeke

Into ebalulekileyo ukusetyenziswa zintsholongwane ngexesha lokukhulelwa ithuba kwaye eyona letyhefu zabo. Amalungiselelo ngeqela le penicillins ngenkankulu umzimba kwaye kwazona kule fom yokuqala. Oku kuthetha ukuba akukho iziphumo eziyityhefu bakhubekise. Kwakhona, "Ospamoks" into ethile ngokunxulumene iiseli iintsholongwane kwaye alunasiphumo kwi iiseli zabantu.

Ngenxa yezi mpawu, ukusetyenziswa kuvumelekile "amoxicillin" lokukhulelwa nanini na xa ukunyanga isifo ngokungqinelana okukhomba ngasentla. Okubalulekileyo, malunga nama-30% yegazi engenayo kwi iidosi kubengezele nge ngumkhaya kwaye wawumdibanisa umzimba olungekazalwa. Ekuhloleni kunye nezifundo lwezonyango ilawulwa ebandakanya abantu khange singqiniwe iziphumo eziyityhefu kunye naMahlathi 'Ospamoksa ".

Kwakhona engaveli uphuhliso lweziphumo eteratogenic kwizifundo isilwanyana ngexesha lokukhulelwa. Nangona kunjalo, ngexesha zisanyisa, kubalulekile ukuba ukunciphisa kwe olwa nawo. "Ospamoks" ngokulula ludlulele ubisi lwebele kunye umntwana esiswini ifunxwe egazini. Ngenxa lwengozi komzimba, urhudo kunye nabantwana dysbiosis wamathumbu ezinzwaneni kucetyiswa ukuba uyeke ukuncancisa-nokutyisa ngexesha unyango kunye olwa nawo.

nabalingani Iklasi kunye neziyobisi generic

Kwimarike yasekhaya iziyobisi mihla nekhuselekileyo "Ospamoks 250" Kukho analogs ezipheleleyo malunga neshumi elinesibini ukuba ixabiso ezahlukeneyo. Bona elalenziwe kwiinkampani ezininzi kwaye musa kwahluka kangako "Amoxicillin" kwezinye abenzi. Ngokwenene, "Ospamoks 1000" yileyo ifanayo, njengamanye abaninzi oogxa bakhe ekwakhiweni kunye ifomu ukukhululwa.

On the amalungiselelo tablet "Ospamoks" ixabiso liphezulu malunga 2/3 kunezixhobo zasekhaya, ekhutshwe yi-JSC "Synthesis". ixabiso layo ezikhemisti imalunga 200 engange. Kuba ukusebenza enye kwingongoma nganye ukhetho lixabiso factor. Ngenxa iimpawu ezithile kulo mzekelo, kuqala inikwa leziyobisi ezininzi zasekhaya, leyo kuthengelwa engange nje-30 (20-PC.).

aminopenicillin ekhuselweyo

analogs Pediatric "Ospamoksa", "Augmentin" yaye "Hikontsil" ngokohlobo emigutyeni soqulunqo lokunqunyanyiswa ichiza lubonakala ngokuba ukusebenza efanayo njengoko analogs Russian ifikeleleke ngakumbi. Ububanzi nokusetyenziswa yokugqibela, kuquka zasekhaya, nciphisa amagciwane ukuya amoxicillin. Ngoko ke, lo ezininzi eziqhele ukusetyenziswa ngoku akhuselwe aminopenicillin clavulanate. Ezi antibiotics (jonga ngentla kumagama) baninzi ngendlela enamandla kunye spectrum ezibanzi elwa.