Hom tshuaj tua kab mob,amoxicillin-clavulanate, tuaj yeem txhim kho lub plab zom mov me me hauv cov menyuam yaus uas muaj kev cuam tshuam kev txav mus los, raws li kev tshawb fawb pom nyob rau hauv Lub Rau Hli luam tawm ntawm Phau Tsom Faj ntawm Pediatric Gastroenterology thiab Khoom Noj Khoom Haus los ntawm Nationwide Children's Hospital.
Amoxicillan-clavulanate, tseem hu ua Augmentin, feem ntau yog muab los kho lossis tiv thaiv kab mob los ntawm cov kab mob.Txawm li cas los xij, nws kuj tau raug tshaj tawm los ua kom lub plab zom mov me me hauv cov tib neeg noj qab haus huv thiab tau siv los kho cov kab mob ntau dhau hauv cov neeg mob raws plab.
Cov tsos mob ntawm plab hnyuv siab raum xws li xeev siab, ntuav, mob plab, satiety thaum ntxov thiab plab plab yog tshwm sim hauv cov menyuam yaus.Txawm hais tias muaj kev nce qib hauv kev siv thev naus laus zis rau kev kuaj mob motility, tseem muaj cov tshuaj tsis muaj rau kev kho mob ntawm lub plab hnyuv siab rau lub cev muaj zog.
Carlo Di Lorenzo, MD, tus thawj coj ntawm Gastroenterology, Hepatology thiab Nutrition ntawm Nationwide Children's Hospital thiab ib tus kws sau ntawv tshawb fawb tau hais tias "Muaj qhov xav tau tseem ceeb rau cov tshuaj tshiab los kho cov tsos mob plab hnyuv siab rau cov menyuam yaus.""Tam sim no cov tshuaj siv feem ntau tsuas yog muaj nyob rau hauv kev txwv, muaj kev phiv loj lossis tsis zoo txaus rau cov hnyuv me thiab loj."
Txhawm rau tshuaj xyuas seb puas yog amoxicillin-clavulanate tuaj yeem ua qhov kev xaiv tshiab rau kev kho mob plab hnyuv siab rau lub cev muaj zog, cov kws tshawb fawb ntawm Nationwide Children's tau tshuaj xyuas 20 tus neeg mob uas tau teem sijhawm mus kuaj mob antroduodenal manometry.Tom qab muab catheter tso, pab neeg saib xyuas txhua tus menyuam qhov kev hloov pauv thaum yoo mov yam tsawg peb teev.Cov me nyuam tom qab ntawd tau txais ib koob tshuajamoxicillin-clavulanateenterally, ib teev ua ntej noj mov los yog ib teev tom qab noj mov thiab tom qab ntawd tau soj ntsuam motility rau ib teev tom qab.
Txoj kev tshawb no qhia tiasamoxicillin-clavulanateUa rau cov pab pawg ntawm kev nthuav tawm hauv cov hnyuv me, zoo ib yam li cov uas tau pom thaum lub sijhawm duodenal III ntawm cov txheej txheem interdigestive motility.Cov lus teb no tau tshwm sim nyob rau hauv feem ntau ntawm cov neeg koom nrog kev tshawb fawb hauv thawj 10-20 feeb thiab pom tseeb tshaj plaws thaum amoxicillin-clavulanate tau muab ua ntej noj mov.
"Inducing preprandial duodenal theem III yuav ua kom lub plab me me, cuam tshuam lub plab microbiome thiab ua lub luag haujlwm hauv kev tiv thaiv kev loj hlob ntawm cov kab mob me me," said Dr. Di Lorenzo.
Dr. Di Lorenzo hais tias amoxicillin-clavulanate tuaj yeem ua tau zoo tshaj plaws rau cov neeg mob uas muaj kev hloov pauv ntawm duodenal theem III, cov tsos mob ntev ntawm txoj hnyuv pseudo-obstruction thiab cov neeg noj ncaj qha rau hauv lub plab me nrog gastrojejunal nasojejunal noj hlab lossis phais jejunostomy.
Txawm hais tias amoxicillin-clavulanate zoo li feem ntau cuam tshuam rau lub plab me, cov txheej txheem uas nws ua haujlwm tsis meej.Dr. Di Lorenzo kuj tau hais tias qhov ua tsis tau zoo ntawm kev siv amoxicillin-clavulanate ua tus neeg sawv cev prokinetic muaj xws li induction ntawm cov kab mob tsis zoo, tshwj xeeb tshaj yog los ntawm cov kab mob gram tsis zoo xws li E. coli thiab Klebsiella thiab ua rau Clostridium difficile induced colitis.
Txawm li cas los xij, nws hais tias kev tshawb nrhiav ntxiv ntawm amoxicillin-clavulanate cov txiaj ntsig ntev hauv kev kho mob plab yog qhov tsim nyog."Qhov tsis txaus ntawm cov kev xaiv kho mob tam sim no tuaj yeem ua pov thawj rau kev siv amoxicillin-clavulanate hauv cov neeg mob xaiv uas muaj hom mob plab me me uas muaj lwm yam kev cuam tshuam tsis tau zoo," nws hais.
Post lub sij hawm: May-11-2022