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  “阿莫西林拖地”“抗生素洗头”“阿莫西林清洗洗衣机”……最近,社交平台上涌现出诸多“生活小妙招”视频。视频中,演示者将阿莫西林药粉溶于水中,并用溶液拖地板,同时配音解释道:“这个方法还是我们老师告诉我的”“这个方子还是我奶奶传下来的”……这些视频的评论区中一些网友已经开始实践。

  不少网友在评论区写出用药体验:“阿莫西林和洗发水真的可以治疗头皮屑。”“洗完感觉头皮很轻松,真的不怎么痒了,普通洗发水是一洗完就抱着头抠。”除洗头外,还有网友拿阿莫西林粉末混合清洁剂来清洗洗衣机,直接将其丢进洗衣机,按下开关,一时间泡沫翻涌,“加点抗生素,能彻底杀菌除臭!”

  阿莫西林真的能洗万物吗?4月9日,成都市第五人民医院药剂科主管药师郭远新接受华西都市报、封面新闻记者采访时说:“视频中出现的治疗头皮屑等用途,目前缺少使用阿莫西林治疗的相关理论研究以及治疗依据,均属于超适应症用药范围。直接外用阿莫西林,可能通过皮肤吸收引发全身过敏,未通过皮试直接使用风险极高,可能导致致命性过敏性休克。”

  此“菌”非彼“菌”盲目使用可致不良后果

  “从药学角度分析,阿莫西林胶囊作为青霉素类口服抗菌药物,在《国家抗微生物治疗指南》等专业医学指南中被认为是抗击细菌感染重要的‘武器’之一,广泛用于敏感细菌导致的部分肺炎、中耳炎、链球菌性咽炎、部分口腔、消化道与皮肤感染。而视频中涉及头皮屑或脱发更多与真菌感染或者体内激素分泌有关,因此并不在其治疗范围内。”郭远新解释道。

  华西都市报、封面新闻记者查阅资料发现,阿莫西林是一种常用的广谱β-内酰胺类抗生素,主要针对革兰氏阳性球菌和杆菌以及革兰氏阴性菌。换句话说,阿莫西林针对的是细菌感染,而头屑的“罪魁祸首”,往往与真菌有关,因此阿莫西林对真菌并没有任何抑制作用。

  郭远新特别提醒,直接外用阿莫西林,可能引发全身过敏,严重的可能导致致命性过敏性休克。

  抗菌药物滥用或加速“超级细菌”产生

  掰开胶囊,倒出粉末,将药片碾成粉状,平时用药中,不少网友会觉得这样做更容易有药效,然而事实真的如此吗?“阿莫西林胶囊掰开后,不仅会导致药物被胃酸分解失活失效,同时直接服用药粉,还可能导致口腔与咽喉部的不适感,引起口干、口苦、呛咳、口舌刺激等现象。”郭远新介绍,“除阿莫西林外,一些缓控释制剂(如某些慢性病药物:硝苯地平控释片、琥珀酸美托洛尔缓释片等)不可掰开服用,否则可能导致药物过量中毒。”

  许多人都习惯把阿莫西林当作“万能消炎药”,加点抗生素,似乎杀菌消毒更彻底,感觉只要哪里“发炎”,它就能搞定。

  郭远新直言:“阿莫西林虽然相对其他的抗菌药物,比较安全、毒副作用小,但是由阿莫西林导致的不可预测性过敏反应情况还是很常见,因此,使用阿莫西林之前仍然需要完成皮试。”

  在郭远新看来,如果将阿莫西林使用在清洗洗衣机的场景中,无疑是一种抗菌药物的滥用,其危害不容小觑。“把阿莫西林用于设施设备以及环境‘消毒’,这属于过度灭菌范畴,不仅会导致环境污染,同时这些抗菌药物用于非医疗用途会加速‘超级细菌’的产生,导致抗感染药物无药可用、抗菌药物治疗无效的情况发生。”

  华西都市报-封面新闻记者车家竹周卓玥

  来源:华西都市报 新闻结尾 去同学家写作业被C,如何在岁月中保持真实的自我?的相关文章
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