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阿莫西林

来源:baiyundou.net   日期:2024-07-25

生活中,很多人会像九妈一样,把阿莫西林当成“万能神药”,只要身体出现炎症,就上它。殊不知,这药并非传说中的消炎药,滥用还可能对身体产生危害!

阿莫西林其实是一种抗菌药物(也就是抗生素),主要用于治疗细菌性感染,如肺炎链球菌、溶血性链球菌、幽门螺杆菌、粪肠球菌等致病菌引起的呼吸道感染或泌尿系统感染。

而消炎药是指抑制“非感染性”炎症的药物,主要针对体内炎症所引起的症状治疗,比如疼痛、肿胀等,常见的有非甾体抗炎药(即布洛芬、阿司匹林等)。

目前,临床上有九成感冒都是病毒感染导致的,而体内有炎症也不一定的是细菌感染引起,这时用阿莫西林等抗生素根本就没有治疗作用。

而即使是细菌感染导致的疾病,随意滥用抗生素也可能造成菌群失调,引起二重感染,让病情越来越重。

更可怕的是,抗生素的危害远不止于此:

阿莫西林作为半合成青霉素,具有较强的杀菌作用以及穿透细胞的能力,但并非对所有菌种都有效,一般只对以下6种细菌感染的疾病有效,大家一定要对症,不要盲用:

一般因外界各类病原菌通过呼吸道感染引起,如由溶血链球菌、肺炎链球菌、葡萄球菌或流感嗜血杆菌所致中耳炎、鼻窦炎、咽炎、扁桃体炎等,此时用阿莫西林抗菌可起到较好效果。

当细菌进入呼吸系统时,也可能会刺激支气管、肺泡等下呼吸道系统,从而引起肺炎、急性支气管炎等病症,此时用阿莫西林可对抗感染。

幽门螺杆菌感染是胃癌的一大高危因素,阿莫西林对幽门螺杆菌具有良好的抗菌活性,临床数据表明,其对幽门螺杆菌感染治愈率高达85%。。

此外,阿莫西林亦可用于肠球菌所致的轻中度感染。

外部因素或自身免疫力降低可能引起皮肤软组织感染问题,可选择阿莫西林来减轻感染炎症症状。

阿莫西林对大肠埃希菌、克雷伯杆菌属所致的尿路感染疾病也有抗菌抗炎作用。

淋球菌的一种病原菌感染可引起急性单纯性淋病,而阿莫西林对淋球菌有一定杀灭作用,能够消退炎症并缓解症状。

出现感染时适度使用抗生素的确有助于缓解病情,但“是药三分毒”,错服、乱服都可能达不到治疗效果,甚至对身体造成损害。

特别是在服用阿莫西林等抗生素时,要注意以下几点:

在服用阿莫西林期间,注意避免同时服用生物制剂、抗凝血药物、避孕药、丙磺舒等药物。

首先要避免与粗纤维食物同吃,如花菜、菠菜、胡萝卜等,因为阿莫西林可能会被粗纤维吸收导致药物浓度下降,降低药效。

其次,避免辛辣刺激、生冷油腻的食物。否则可能会刺激肠胃导致病情加重,影响阿莫西林作用,还可能引起过敏反应。

阿莫西林属于抗生素,与酒精同服可能会出现双硫仑反应,轻则起皮疹,重则出现呼吸困难,甚至休克死亡。

阿莫西林在高温下会产生一种致敏性聚合物,从而导致服用者出现过敏症状,因此建议服药时用60℃以下的温水或凉白开。

由于阿莫西林导致的过敏反应发生率很高,在首次用药前最好进行皮试,若皮试阳性建议更换其他抗菌药,皮试阴性也需要在使用过程中密切检测。

一旦发生皮疹、喉头水肿等过敏反应需立刻停药。

参考资料:

[1]《免疫力是最好的医生》编委会编,免疫力是最好的医生,重庆出版社.2020.03,第70页

[2]杜赟.今天滥用抗生素,未来或“无药可救”.《再见啦,那些让人忧心的生活谣言》.中国纺织出版社.2020.01,第273页

[3]国家卫生健康委关于发布2020年版《中华人民共和国药典》的公告(2020年第78号)

[4]《发炎就上阿莫西林?切忌狂轰乱炸》.大众健康[J].2019年09期

[5] 李福长,刘梨平.我国抗生素滥用现状及其对策[J].临床合理用药杂志.2014,7(26):175-177.

[6]国家药典委员会编.中华人民共和国药典二部注释[M].2018

[7]唐小飞.规避阿莫西林用药误区.医师在线》.2017年第10期19-19.共1页

[8] 胡燕,白继庚,胡先明等.我国抗生素溢用现状,原因及对策探讨[J],中国社会医学杂志,2013(2):128-130.

[9]周大勇.孙伟.马立学.抗微生物药物使用参考.中国海洋大学出版社.2011.09,第39页

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