Rwanda
Amoxicillin [1] [2] kuvura indwara ziterwa na bagiteri ziterwa na mikorobe ishobora kwandura [4]. Iki gicuruzwa niwo murongo wa mbere w’imiti ya otitis, kandi ushobora no gukoreshwa mu kuvura ibimenyetso nka streptococcal pharyngitis, umusonga, selile na selile yinkari [4]. Ufatanije na acide clavulanic, kurwanya imiti ya bagiteri birashobora gucika intege neza.
Ibisobanuro birambuye
Ingaruka zisanzwe zirimo isesemi no guhubuka [4], kandi birashobora no kongera ibyago byo kurwara kandida; Niba uhujwe na acide clavulanic (ni ukuvuga potasiyumu ya amoxicillin clavulanic aside), hazabaho ingaruka ziterwa nimpiswi [5]. Ntukoreshe ibiyobyabwenge kubantu bafite allergic kuri penisiline; Abarwayi bafite impyiko barashobora gufata iki gicuruzwa, ariko igipimo kigomba kugabanuka. Gufata imiti mugihe utwite no konsa byerekana ko nta kibi kiriho muri iki gihe.
Amoxicillin yashyizwe ku rutonde mu 1972 [6]. Uyu muti uri ku rutonde rw’umuryango w’ubuzima ku isi urutonde rw’imiti ya ngombwa, ikaba ari umwe mu miti yingenzi muri gahunda y’ubuvuzi [7] na antibiotike ikoreshwa cyane ku bana [8]. Amoxicillin ni iy'imiti ya siyansi [4]. Igiciro cyinshi cya buri muti kiri hagati ya 0.02 na 0.05 USD [9]. Muri Amerika, amasomo y'iminsi icumi yo kuvura atwara amadorari 16 [4].
Amoxicillin BP
Amoxicillin 250 mg capsules
ihame ry'ibikorwa
Amoxicillin ikora ihagarika synthesis yinkuta za bagiteri. Irabuza guhuza umurongo wa peptidoglycan polymer urunigi arirwo rugingo nyamukuru rwinkuta za selile ya bagiteri-nziza na bagiteri-mbi.
ingaruka mbi
Ingaruka mbi zirimo isesemi, kuruka, kurakara na antibiyotike ya kolite, kandi impiswi nayo ishobora kubaho. Mubihe bidasanzwe, inyandiko zubuvuzi zerekana ko ingaruka zirimo impinduka zo mumutwe, kuzunguruka, urujijo rwo mumutwe, guhangayika, na paranoia (sensibilité yumucyo, amajwi, nibitekerezo bidasobanutse).
reaction ya anaphylactique
Imyitwarire ya allergique iterwa na amoxicillin irashobora kwitega ibitunguranye kandi bikomeye, kandi ubuvuzi bugomba gushakishwa vuba bishoboka. Ubu buryo bwo kubyitwaramo butangirana nimpinduka zo mumutwe mugihe cyambere, bigakurikirwa no kurwara uruhu biherekejwe no guhinda gukomeye (mubisanzwe bitangirira ku rutoki no kuzenguruka no gukwirakwira vuba), kumva, gutwika no kuruka. Ibindi bimenyetso byose bidasa nkaho biteye inkeke bigomba gukemurwa cyane.
Amoxicillin ntabwo allergique y'uruhu.
3-10% by'abana bafata amoxicilline (cyangwa ampisilline) bakabona guhubuka (amasaha 72 nyuma yo gufata penisiline), ariko birashobora no kubaho kubantu bakuru. Rimwe na rimwe byitwa "amoxicillin rash".
Rash isobanurwa nka maculopapular rash cyangwa iseru (isa n'iseru), bityo yitwa "igisebe kimeze nk'igisebe cyatewe na amoxicillin" mubitabo byubuvuzi. Bitangirira mumurongo kandi bigakwira aho. Ntabwo ari reaction ya allergique nyayo, kandi nta mpamvu yo guhagarika gahunda yubuvuzi iriho. Nyamara, iyi myanda isanzwe ya amoxicillin hamwe na allergique itera akaga mubisanzwe ntabwo byoroshye kubitandukanya.
Indwara ya allergique amoxicillin irashobora kandi kuba ikimenyetso cyerekana mononucleose yanduye. Ubushakashatsi bumwe bwerekana ko abarwayi bagera kuri 80-90% bazatera iyi ndwara igihe banduye virusi ikaze ya EB bakavurwa na amoxicillin cyangwa ampisilline.
Ibicuruzwa bifitanye isano
Mu 1985, Datong Lokomotive Works yatahuye ko moteri y’amashanyarazi aricyo cyerekezo cy’iterambere cy’inganda za gari ya moshi n’Ubushinwa mu gihe kiri imbere, maze ishyira ahagaragara igitekerezo cy’ibikorwa by’ibikorwa bya "Nanzhu (Zhuzhou Electric Lokomotive Works) na Datong Lokomotive Work".
Shaoshan Ubwoko bwa lokomoteri yo mu bwoko bwa 3 nigisekuru cyanjye cya kabiri mugihugu cyanjye 6-axe itwara abagenzi hamwe na moteri. Lokomoteri ifata ikiraro-cyuzuye cyuzuye-ikosora kandi ikamenya icyiciro cya thyristor igenzurwa neza na voltage igenga. Lokomoteri ifata sisitemu imwe ya AC 25kV 50Hz ya voltage kandi ifite umuvuduko ntarengwa wa 100km / h.
SS3B yashizwemo na moteri iremereye cyane yamashanyarazi ni moteri ya 12-imizigo yamashanyarazi. Igizwe na lokomoteri ebyiri zisa 6-zihujwe na kuperi hamwe nikirahure. Ibice byombi bifite ibikoresho bya sisitemu yumuriro mwinshi-uhuza, insinga zo kugenzura, hamwe nu kurinda imiyoboro. Imiyoboro hamwe na sisitemu yo kugenzura imiyoboro. Ikinyabiziga cyose kirashobora kugenzurwa icyarimwe kuva cab. Lokomoteri ikoresha sisitemu imwe yumurongo wumurongo wumurongo wa voltage, voltage 25kV, imiyoboro ya AC-DC, kandi umuvuduko ntarengwa wo gukora wa lokomoteri ni 100km / h.
Shaoshan 4 yateje imbere amashanyarazi ni moteri ya 8-axe yimodoka. Lokomoteri igizwe na lokomoteri ebyiri zisa zisa zihujwe na kuperi hamwe nikirahure. Amahugurwa yombi afite ibikoresho bihuza amashanyarazi menshi kuri sisitemu y'amashanyarazi, insinga zo guhuza imiyoboro hamwe na feri yo kugenzura feri yo mu kirere. Ikinyabiziga cyose kirashobora kugenzurwa mugihe kimwe cyabashoferi ba kinyabiziga kimwe. Lokomoteri ebyiri nazo zirashobora gutandukana kandi zigakoreshwa mu bwigenge nka moteri enye.