I-Dalacin iyi-antibiotic yeqembu le-lincosamide. Umuthi lo usetshenziswa ngomlomo ezifweni zomgudu wokuphefumula ongaphezulu, futhi usetshenziselwa ukuphathwa kwe-intravaginal ngendlela yama-suppositories noma okokugcoba ukuqeda ukuvuvukala esithweni sangasese sowesifazane emzimbeni nasezinhlungwini.
Umuthi ubangela ukuvela okuningi okubi, okudinga ukucwaningisisa kahle kwemiyalo ngaphambi kokuqala ukusetshenziswa komkhiqizo wezokwelapha.
I-ATX
I-D10AF0 yikhodi yokuhlukaniswa kwe-anatomical-Therapeutic-Chemical (ATX).
Umuthi usetshenziselwa ngomlomo ukuthola izifo zepheshana lokuphefumula elingaphezulu, kanye nokuphathwa kwe-intravaginal kanye nokuqeda ukuvuvukala esithweni sangasese sowesifazane.
Khipha amafomu nokwakheka
Umuthi uyatholakala ngezindlela eziningi zemithamo.
Gel
Umuthi onokuqukethwe okungu-1% wesakhi esisebenzayo (i-clindamycin phosphate) usiza ukulwa nezinduna, unomphumela we-bactericidal kanye ne-anti-inflammatory.
Umkhiqizo uyatholakala nge-aluminiumhubhu, umthamo wawo ongama-30 g. Ijeli inokuvumelana okungabonakali.
Umuthi ubangela ukuvela okuningi okubi, okudinga ukucwaningisisa kahle kwemiyalo ngaphambi kokuqala ukusetshenziswa komkhiqizo wezokwelapha.
Amafutha
Umuthi osefomini lomthamo othambile usetshenziselwa ukwelashwa kwangaphandle kwezinduna. Ukwakheka kwamafutha okugcotshwa nejeli kuyafana.
Ukhilimu we-Vaginal
I-1 g kakhilimu wesitho sowesifazane sangasese iqukethe ama-20 mg ento esebenzayo.
Ukhilimu ukhiqizwa kumashubhu e-aluminium anenqwaba yama-20 no-40 g. Umkhiqizo uthengiswa ebhokisini lekhadibhodi kanye nomuntu ofaka isicelo.
Amakhandlela
1 i-suppository iqukethe i-100 mg yento esebenzayo.
Umkhiqizo utholakala ngemicu ye-foil enamakhandlela ama-3 kwiphakeji ngalinye.
Amafomu wokukhishwa angatholakali
Akuvamile ekhemisi ungathenga umuthi ngethebulethi.
I-1 capsule iqukethe ama-300 mg we-clindamycin phosphate. Amacwecwe namaphilisi, okubandakanya i-150 mg yesithako esisebenzayo, nawo awatholakali ngokuthengiswa.
Isenzo se-Pharmacological
Umuthi unomphumela we-bactericidal. Ingxenye esebenzayo ibhubhisa i-membrane yeseli yama-pathogenic agents, ivimbela ukukhula kwenani labo. Ngaphezu kwalokho, i-clindamycin inomphumela we-bacteriostatic, ukuvimba ukuphindaphindeka kwamagciwane.
Ithuluzi liyasebenza ngokulwa namagciwane a-gram-positive ne-gram-negative, i-mycoplasma, i-gardnerella.
I-Pharmacokinetics
Kubalulekile ukucabanga ngezinto ezinjalo:
- Lapho uthatha umuthi ngaphakathi, ukufakwa kwe-90% kwento esebenzayo kuyenziwa.
- I-Clindamycin ephezulu kakhulu ibonwa egazini ngemuva kwehora.
- Ingxenye esebenzayo ikhiqizwa esibindini, futhi ikhishwe emzimbeni ngomchamo nakwinani elincane elinamaqhubu.
- Ngemuva kokwelashwa kwesikhumba kwangaphandle, isakhi esisebenzayo siyi-hydrolyzed (ihlukaniswe) emiseleni yezindlala ze-sebaceous. IClindamycin eyakheke lapho kusabela amakhemikhali inomphumela we-antibacterial.
IClindamycin ine-antibacterial effect.
Okunqunyelwe
Umuthi ukhonjiswa kulezi zimo ezilandelayo:
- Ama-suppositories no-ukhilimu asetshenziswa ku-gynecology ekwelapheni i-bacterial vaginosis.
- Ijeli noma i-ointment ibekelwe umqubuko kanye nokwelashwa kwe-staphylderma. Imvamisa, kusetshenziswa umuthi wokwelapha unyawo lwesifo sikashukela.
- Ama-Capsule asetshenziselwa i-pneumocystis pneumonia (isifo esinobuthi esithathelwanayo esibangelwa isikhunta esifana nemvubelo esiphikisana nesendlalelo sokungazweli komzimba), izifo zomgogodla wesisu. Kwesinye isikhathi kubekwa i-antibiotic ukuvikela ukunamathiselwa kwegciwane lesibili ngemuva kokuhlinzwa.
Contraindication
Umuthi awukwazi ukusetshenziswa emacaleni amaningi anjalo:
- nokuzwela okuphezulu kwengxenye esebenzayo, engahle ihambisane nokuvela kokuqhuma;
- iziguli ezinokwehluleka kwesibindi okukhulu;
- iziguli ezingakafiki iminyaka yobuningi.
Imithamo nokuphatha
Kubalulekile ukucubungula okulandelayo:
- Nge-gardnerellosis, umfakisicelo wekhilimu ophelele kufanele afakwe esithweni sangasese ebusuku ngaphambi kokulala. Inkambo yokwelashwa okungenani izinsuku ezingama-5.
- Ama-suppositories wokusetshenziswa kwe-intravaginal asetshenziswa kungakapheli izinsuku ezintathu. Esimweni sobukhosi, ikhandlela kufanele lifakwe ngokujulile ngangokunokwenzeka esithweni sangasese sowesifazane.
- Ngomqubuko kanye ne-staphyloderma, inani elincane lejeli kufanele lisetshenziswe ezindaweni ezithintekile kwesikhumba. Imvamisa yenqubo izikhathi 2 ngosuku. Ukwelashwa kwenziwa izinyanga eziyisithupha.
Ukwelashwa kwezinkinga zesifo sikashukela
Kusetshenziswa amakhebuli ukuphathwa komlomo. Musa ukuhlafuna. Kubalulekile ukuphuza i-antibiotic ngamanzi amaningi (okungenani ama-300 ml).
Abantu abadala banqunyelwe i-150 mg yento esebenzayo izikhathi 4 ngosuku izinsuku eziyi-14. Isikhathi sokuphuza umuthi sinqunywa ngudokotela.
Imiphumela emibi
Umuthi ubangela imiphumela eminingi engathandeki yomzimba. Ekwelapheni i-bacteric vaginosis, i-thrush cishe njalo yenzeka.
Amapheshana wesisu
Kunezimo eziningi zobuhlungu esiswini. Imvamisa yayibona ukugabha kanye nesitulo esidabukisayo.
Engxenyeni yesikhumba nezicubu ezingaphansi
Ukomiswa nokucasuka kwesikhumba kwenzeka. I-dermatitis yokuxhumana nokukhiqizwa okwandayo kwe-sebum kwesinye isikhathi kuyabonakala.
Njengemiphumela emibi evela ohlelweni oluphambili lwezinzwa, isiyezi kanye nomfutho wegazi ophakeme kungenzeka.
Isistimu yezinzwa ephakathi
Isiyezi kanye nomfutho wegazi ophakeme kungenzeka.
Kusuka ohlelweni lomchamo
Imvamisa kuba ne-dysuria (ukwephula inqubo yokuchama).
Kusuka ohlelweni lokuphefumula
Akuvamile ukubonwa okuvela ekhaleni.
Allergies
Ngokungabekezeleli okuthile kwento esebenzayo, kwenzeka ukuqhuma, okuhambisana nokulunywa nokushiswa.
Ngokungabekezeleli okuthile kwento esebenzayo, kwenzeka ukuqhuma, okuhambisana nokulunywa nokushiswa.
Imiyalo ekhethekile
Ukusetshenziswa kwesidakamizwa ngendlela yethebhulethi kubangela uhudo ezimweni eziningi zokwelashwa, ngakho-ke, iziguli ezine-dysbiosis yamathumbu ezinzima zinqunywa ngokuqapha okukhulu.
Ukukhulelwa nokukhulelwa
Kuvunyelwe ukusebenzisa umuthi kusuka ku-2nd trimester yokukhulelwa.
Kukhona ukugcwala okukhulu kwengxenye esebenzayo ebisini lobisi, ngakho-ke ukuncelisa ibele kufanele kuyekwe uma owesifazane ephathwa nge-Dalacin.
Ukunquma i-Dalacin ezinganeni
Ukusetshenziswa kwezimali ezinganeni kunoma yiluphi uhlobo lomthamo kufakwe ku-contraindified.
Sebenzisa ebudaleni
Ukubonisana nodokotela kuyadingeka ukugwema izinkinga.
Umthelela ekhonweni lokulawula izindlela
Umuthi uvunyelwe ukuthathwa ngabantu abamisebenzi yabo ihambisana nezinga eliphakeme lokunakwa.
Umuthi uvunyelwe ukuthathwa ngabantu abamisebenzi yabo ihambisana nezinga eliphakeme lokunakwa.
Ukweqisa
Uma umthamo onconyiwe wento esebenzayo udluliwe, i-pseudomembranous colitis (ukuvuvukala okunamandla kwesisu esikhulu) kungaqhamuka.
Ukuxhumana nezinye izidakamizwa
Ingxenye esebenzayo ye-Dalacin ithuthukisa imiphumela yokuvuselela izicubu zomzimba, ngenxa yalokho, ukusetshenziswa kanyekanye kwale mishanguzo akunconywa.
Uma owesifazane enza inkambo yokwelashwa ne-Dalacin ngesimo ukhilimu wesitho sangasese sowesifazane, khona-ke amanye amalungiselelo ezihloko akufanele asetshenziswe.
Ama-Analog
IClindovit ne-clindamycin zinokwakheka okufana, kepha kushibhile.
Imibandela yekhefu lekhemisi
Kudingeka incwadi kadokotela.
Intengo yeDalacin
Izindleko zomuthi ziyahlukahluka kusuka kuma-ruble angama-380 kuya kwangama-800. kuya ngesimo sokukhishwa komuthi.
Izimo zokugcina zomuthi i-Dalacin
Gcina umuthi emazingeni okushisa asekamelweni. Kubalulekile ukukhawulela ukufinyelela kwezingane emithini.
Isikhathi sokuphelelwa yisikhathi
Ithuluzi ligcina izakhiwo zalo zokuphulukisa iminyaka emi-2.
I-Dalacin igcina izakhiwo zayo zokuphulukisa iminyaka emi-2.
Ukubuyekezwa kwe-Dalacin
UMarina, oneminyaka engama-35, eMoscow
Udokotela unikeze imijovo yokwanda okuphindaphindiwe kwe-bacterial vaginosis (isiqephu sesi-4 ngonyaka). Ngemuva komthamo olungiselelwe, ngazizwa nginesiyezi esinamandla. Ubhekene nokuhlanza kanye nohudo. Kwadingeka ngikhanse ukuthatha umuthi ngemuva kwemiphumela emibi. Kepha umngani welapha i-Dalacin yesifo esithathelwanayo se-patity esiswini.
U-Oleg, oneminyaka engama-35 ubudala, uPm
Bengingazi ukuthi amadoda kufanele angabuphuzi utshwala ngisho nakwalemithamo emincane lapho belashwa ngemithi elwa namagciwane. Isifo sohudo senzeka, okwathatha isonto lonke. Izidakamizwa ezisuselwa ku-lactobacilli azikwazanga ukuhlukanisa nezimpawu zobuthi. Kepha umphumela wokwelashwa kwezinduna waneliswa.
UYuri, oneminyaka engu-18, u-Omsk
Udokotela wancoma ijeli yokugcoba izinduna ebusweni. Akukho kusabela okubi okwenzekile. Angiyithandi into yokuthi udinga ukusebenzisa umkhiqizo okungenani izinyanga ezi-6.
