Amoxicillin-clavulanate irashobora kunoza imikorere mito mito mubana bafite ibibazo byo guhungabana

Antibiyotike isanzwe,amoxicillin-clavulanate, irashobora kunoza imikorere mito mito mubana bahura n’imivurungano, nk’uko ubushakashatsi bugaragara mu kinyamakuru cyo muri Kamena cyasohotse mu kinyamakuru cyitwa Journal of Pediatric Gastroenterology and Nutrition from Hospitalwide Children's Hospital.

Amoxicillan-clavulanate, izwi kandi nka Augmentin, ikunze gutegekwa kuvura cyangwa gukumira indwara ziterwa na bagiteri.Icyakora, byavuzwe kandi ko byongera amara mato ku bantu bafite ubuzima bwiza kandi byakoreshejwe mu kuvura imikurire ya bagiteri ku barwayi barwaye impiswi idakira.

Ibimenyetso byo mu gifu cyo hejuru nko kugira isesemi, kuruka, kubabara mu nda, guhaga hakiri kare no kubura inda bikunze kugaragara ku bana.Nubwo iterambere ryateye imbere mu buhanga bwo gusuzuma indwara ziterwa no kugenda, hakomeje kubaho imiti iboneka yo kuvura imikorere ya moteri yo mu nda yo hejuru.

Carlo Di Lorenzo, MD, umuyobozi wa Gastroenterology, Hepatology and Nutrition mu bitaro by’abana by’igihugu ndetse akaba n'umwe mu banditsi b'ubushakashatsi yagize ati: "Harakenewe cyane imiti mishya yo kuvura ibimenyetso byo mu gifu cyo hejuru."Ati: "Kugeza ubu ibiyobyabwenge bikoreshwa akenshi biboneka gusa ku buryo butemewe, bigira ingaruka zikomeye cyangwa ntibikora neza ku mara mato kandi manini."

Kugira ngo hamenyekane niba amoxicillin-clavulanate ishobora kuba uburyo bushya bwo kuvura imikorere ya moteri yo mu nda yo hejuru, abashakashatsi bo mu Gihugu hose cy’abana basuzumye abarwayi 20 bari bateganijwe kwipimisha antometodenal.Nyuma yo gushyira catheter, itsinda ryakurikiranye imigendekere ya buri mwana mugihe cyo kwiyiriza byibuze amasaha atatu.Abana bahise bakira ikinini kimwe cyaamoxicillin-clavulanateimbere, haba isaha imwe mbere yo gufata ifunguro cyangwa isaha imwe nyuma yo kurya hanyuma ukurikiranwa nisaha imwe ikurikira.

Ubushakashatsi bwerekanye koamoxicillin-clavulanatebyakuruye amatsinda yo kwikuramo gukwirakwira mu mara mato, asa nayagaragaye mugihe cya duodenal icyiciro cya III cyimikorere yimikorere.Iki gisubizo cyabaye mubenshi mubitabiriye ubushakashatsi muminota 10-20 yambere kandi byagaragaye cyane mugihe amoxicillin-clavulanate yatangwaga mbere yo kurya.

Dr. Di Lorenzo yagize ati: "Gutera icyiciro cya mbere cyo mu nda birashobora kwihutisha gutembera mu mara, bikagira mikorobe yo mu nda kandi bikagira uruhare mu gukumira imikurire ya bagiteri ntoya."

Muganga Di Lorenzo avuga ko amoxicillin-clavulanate ishobora kuba ingirakamaro ku barwayi bafite ihinduka rya duodenal phase ya III, ibimenyetso simusiga byerekana amara yo mu nda ndetse n'abagaburirwa mu mara mato hamwe na gastrojejunal nasojejunal yo kugaburira cyangwa kubaga jejunostomy.

Nubwo amoxicillin-clavulanate isa nkaho yibasira amara mato, uburyo bukora ntabwo busobanutse.Muganga Di Lorenzo avuga kandi ko ingaruka mbi zishoboka zo gukoresha amoxicillin-clavulanate nk'umuti wa prokinetic zirimo kwinjiza za bagiteri cyane cyane ziva muri bagiteri mbi nka E. coli na Klebsiella no gutera Clostridium difficile iterwa na colitis.

Nubwo bimeze bityo ariko, avuga ko gukomeza gukora iperereza ku nyungu ndende za amoxicillin-clavulanate zifite akamaro mu mavuriro ya gastrointestinal.Ati: "Ubuke bwo guhitamo uburyo bwo kuvura burashobora kuba bufite ishingiro bwo gukoresha amoxicillin-clavulanate ku barwayi batoranijwe bafite uburwayi bukomeye bwo mu nda aho abandi batagize icyo bakora."