KAHIKI CLINDACIN

Clindacin, ʻoiai he mea hoʻohana ʻano hana maʻiʻaʻai lincosamide – clindamycinkahi lāʻau kūloko i hoʻohana i ka gynecology no ka mālamaʻana o mākaukau (vaginosis) mai ka huakini. Ka hana o ka hana o nā ʻano dosage o ka wai lāʻau (cream, suppositories) ke hana i ka hoʻopau ʻana i nā kaʻina hana o ka syntacellular protein synthesis i loko o ka pā microbial, ka mea e pae ana i ka pae o nā subunit limahana 50S nui.

Hōʻailona kaʻe clindamycin laulā nui. I nā kiko liʻiliʻi, ʻo ka maikaʻi o ka bacteriostatic o ka lāʻau e pili ana i nā mea he nui nā mea ʻaanaka. ^ E Ha yM. I nā lāʻau kiʻekiʻe clindamycin hōʻike ʻia e ka hana bactericidal e pili ana i ka luku ʻia ʻana o kekahi mea hoʻopili kino.

Hana nui clindamycin nānā i ka pili nā mea ʻaanakae alakaʻi ana i ka hoʻokumu mea maʻi pukikomo: Mobiluncus spp. (mobilunkus) ʻOhou palaʻai Gardnerella (palekele palaki) ʻO nā Bacteroides spp. (nā huaāpaʻa) Peptostreptococcus spp. (peptostreptococcus) Mycoplasma hominis (mycoplasma hominis).

Hōʻike i ka hoʻolaha clindamycin he palaʻai Candida albicans (kīopū) a Ā Trichomonas vaginalis (trichomonas hoʻokipa).

Intravaginal (i loko o loko o kahi kava) ke kau hoʻokahi o ka clindamycin ma ke ʻano o ka 100 mg alakaʻi i kahi ʻōmole o ke ʻano he 4% o ka lāʻau (e pili ana i ka 4 mg). ʻO ka plasma Cmax o ka clindamycin he 20 ng / ml.

Nā hopena hopena

ʻO kekahi mau mea maʻi me ka hoʻohana ʻana i clindacin i manaʻo i ka hoʻomohala ʻana o nā hopena maikaʻi ʻole, ʻo ia hoʻi: itching i loko o ka vaginahoʻonaʻauao rula makulopapularhiki mai urticariahoʻomohala lopa wahine a i ʻole colpita (hoʻokomo) hoʻonāukiuki ʻiamanaʻo kuni ana.

Mai ka ʻōnaehana hematopoietic ma nā hihia pinepine, ʻike ʻia ka hilahila: thrombocytopeniahiki aʻe leukopenia, eosinophilia, neutropenia, agranulocytosis.

I ka mea nui o ka hoʻopili ʻana o ka clindamycin, kahi hōʻailona o kona kūloko i ka hopena o ka ʻaoʻao o nā mea kikoʻī, hiki i ke komo pū ʻana me enterocolitis pseudomembranous (ʻolua).

ʻAila Clindacin, ʻōlelo aʻoaʻo no ka hoʻohana ʻana

Hana ʻia ke kapa Clindacin no ka hoʻohana ʻana i ka intravaginal me ka hoʻohana ʻana i kahi mea hana kūikawā hoʻokahi, ʻo ia kekahi mea i hāʻawi ʻia i loko o ka pahu no ka huahana lapaʻau. ʻO ka papa ʻōlelo ʻokoʻa hoʻokahi i kēlā me kēia lā i ka momona o 100 mg clindamycin (ka helu o ka mea hoʻopihapiha piha piha). ʻO ka hoʻomaka ʻana o ka lāʻau lapaʻau ka hana maikaʻi loa ma ke ahiahi (ma mua o ka moe. ʻO ka lōʻihi o ke papa o ka papa mālama, ma ke ʻano he kānāwai, e lawe ana mai ka 3 a 7 mau lā.

Ka hoʻohana ʻana o ka mea noi

No ka mālama pono ʻana a me ka hoʻokele ʻana o ka ʻono i loko o ka pūpū, e noi ʻia e hoʻohana i nā mea noi i hoʻoiho ʻia i loko o ka mōʻī me ka lāʻau lapaʻau a pili i ke ʻano o kā lākou hoʻohana, ʻo ia hoʻi:

• wehe i ka pāpale pale mai ka puna o kaʻaila,
• pīhoihoi i ka wahi o ka mea noi i hiki ai ke kāpae,
• kuʻi i ka ʻaoʻao hope o ka pahu e hoʻopiha piha ai i ka mea noi (ʻike ʻia ka mea hoʻopiha piha ʻana i ka wā e kū pono ana ke kūleʻa kūʻokoʻa ʻana i ke kī)
• e moe ana ma kou kua, e hoʻokomo i ka mea noi i loko o ka pūʻupuʻu kahi hohonu e like,
• e hoʻolomi mālie i ka mea noi i ka piston a pau ʻole ka piha.
• wehe pono i ka mea i hoʻohana ʻia mai ka ʻūʻī a hoʻokuʻu aku.

Nā kukui clindacin, nā ʻōlelo e hoʻohana ai

Hoʻohana ʻia nā ʻōmole Clindacin i ka inoa intravaginally, me ka hoʻokele hoʻokahi i kēlā me kēia lā i ka 1st kākoʻo, ʻoi aku ka maikaʻi i ke ahiahi (ma mua o ka hiamoe. ʻO ka lōʻihi o ke papa o ka papa mālama, ma ke ʻano he kānāwai, e lawe ana mai ka 3 a 7 mau lā.

No ka hoʻohana pono ʻana i ka lāʻau lapaʻau, hoʻokuʻu ʻia kahi mea hoʻokahi mai ka ʻāpana contour waho e ka ʻokiʻoki i ka kiʻi pale i ke ʻano o nā kukui o ke kukui. A laila, i kahi kūlana supine, e hoʻokomo i ka suporidora i loko o ka pūpū i ka hohonu hohonu.

Hoʻohui

Ke hoʻohui a me ka clindamycin, e hoʻonui ʻia ka hana o ka aminoglycosides (Streptomycin), Rifampicin a ʻĀlinini.

ʻAʻole kūpono ʻo Clindamycin Aminophylline, Erythromycin, Kōlepika Magnesium, Ampicillin, Kaleka ka calcium gluconatekāhea diphenylhydantoin a palauku.

Hoʻonui ka hopena o ka clindamycin i ka hoʻomaha pilikino ma muli o ka hōʻike n-anticholinergics.

Ke ʻano o ka noi

Kaulana Clindacin pili: intravaginally. Ma mua o ka hoʻohana ʻana, hoʻokuʻu ʻia kahi kākoʻo mai ka ʻāpana contour, ma hope o ka ʻokiʻoki ʻana i ke kiʻi ma ka ʻaoʻao o ka mea i makemake ʻia, ua hoʻolauna ʻia, inā hiki, i loko o kahi vagina, i ka kūlana ʻoi.
1 kāinoa 1 manawa i kēlā lā i kēia lā, ma mua o ka manawa o ka hiamoe no 3-7 mau lā ma ka lālani.

E hoʻokuʻu i ke ʻano a me ke ʻano o ka lāʻau lapaʻau

Loaʻa iā Clindacin i ke ʻano o nā supositories no ka hoʻokuʻi ʻana i nā pōpoki i loko o nā pā o 3 mau ʻāpana i kahi pahu kāwele. Ua hui pū ʻia ka lāʻau lapaʻau me nā ʻōlelo kikoʻī.

ʻO ka mea nui a me ka mea nui o ka lāʻau, ʻo clindamycin phosphate, ʻo kēlā me kēia supilii he 100 mg o kēia ʻano. Ka hoʻohui pū ʻana o nā kukui me ka nui o nā mea kōkua.

ʻO nā waiwai Pharmacological

No Clindacin i ka antibiotika mai ka hui o lincosamides. ʻO ka mea hana ikaika o ka lāʻau lapaʻau e hōʻike i ka hana therapeutic kiʻekiʻe e pili ana i nā ʻano nui o nā pathogens o ka maʻi. ʻO ka hana o ka lāʻau lapaʻau ka bacteriostatic, ʻo ia hoʻi, ʻo ka clindamycin phosphate, he ʻāpana o ka suporitoria, e pale i ka ulu ʻana a me ka hana hou ʻana o nā puna o ka pathogen pathology ma ke kāohi ʻana i ka synt synt o nā protein microbial cell.

ʻO ka lāʻau maikaʻi loa e kū'ē i staphylococci, streptococci, corynebacteria, mycoplasmas, peptococci, clostridia. Ma mua o ke kuhikuhi ʻana i nā Supositories, pono hana ka wahine i ka bacteriological a me ka bacterioscopic inoculation o nā mea huna no ka hoʻoholo ʻana i ka naʻau o ka pathogen i kahi antibiotic.

Hoʻohana ʻia ka lāʻau lapaʻau ma ka hana gynecological no ka mālamaʻana i nā maʻi bacterial i hoʻoulu ʻia e nā microorganism sensit i clindamycin.

Nā Hoʻohui

Ma mua o ka hoʻomaka ʻana i ka lāʻau me ka lāʻau lapaʻau, pono e ʻike ka mea maʻi i ka gynecologist, e hana i nā hoʻokolohua a heluhelu pono i nā ʻōlelo hoʻopili. Ua hoʻohālikelike ʻia nā koho ʻana i nā poʻe maʻi me ka hypersensitivity i clindamycin a i ʻole nā ​​mea kōkua e hana ai i ka lāʻau lapaʻau, nā wahine hāpai a me nā poʻe me nā neoplasms malignant o nā paia o ka pūpū.

Hoʻohana i ka wā hāpai a me ka lactation

I ka manawa mua o ka wā hāpai ʻia, ʻaʻole i kuhikuhi ʻia nā koho clindacin no ka mālama ʻana i nā makuahine e makemake ana. ʻO kēia no ka ʻike ʻole loa e pili ana i nā hopena palekana o clindamitacin i ka hoʻomohala ʻana i ka maʻi hānai, ʻo ka mea, i nā wiki 12 mua, ua hoʻokumu ʻia nā iwi āpau a me nā ʻōnaehana o ke keiki hānau keiki, a hiki i ka hopena o ka lāʻau lapaʻau ke hoʻopilikia i kēia kaʻina hana.

Ma ka lua a me ke kolu o ka hapalima o ka hāpai ʻana, hiki ke hoʻohana ʻia nā suppositories e like me ka hōʻike pololei ʻana ma lalo o ka mākaʻina ʻana o ke kauka ma ka hopena he ʻoi aku ka nui o ka loaʻa ʻana o ka mea i makemake ʻia i ka wā hāpai.

Nā hopena hopena

Ma keʻano holoʻokoʻa, hōʻae ʻia ka lāʻau lapaʻau e nā mea maʻi, akā naʻe, i ka poʻe me ka hoʻonui i ka manaʻo pilikino e clindamitacin, hiki i kēia mau hopena maikaʻi ʻole e ulu:

• Ma ka ʻāpana o nā mea o nā papa o ka hua - ka hoʻomohala ʻana i nā kaʻina o nā ʻōiwi o ka ʻōpū, ka vaginitis, colpitis,
• Mai nā ʻenehana hemopoietic - hōʻemi i ka nui o nā leukocytes, neutropenia, eosinophilia, thrombocytopenia, agranulocytosis,
• Nā kūloko kūloko - puhi, ʻeha i ka vagina, soreness a me nā pilikia.
• ʻO ka hoʻohaʻahaʻa ʻōnaehana o ka lāʻau, he haʻahaʻa, akā i nā hihia hōʻemi hiki ke alakaʻi i ka hoʻomohala ʻana i ka enterocolitis pseudomembranous.

Nā ʻōlelo kikoʻī

I ka wā o ka mālama ʻana me nā suppositories vaginal, ʻoi aku ia e pale i nā moe kolohe.

Mai ka wā o ka mālama ʻana me nā manaʻo o ka lāʻau i loko o ka wahine, hiki ke hoʻoikaika ʻia ka hoʻoku ʻana, pono ke kapa ʻia nā mea hoʻomaʻemaʻe kino.

I ka wā o ka menstruation, ʻaʻole i lawe ʻia ka lāʻau lapaʻau. Pono ʻoe e kali a hiki i ka hopena o nā lā koʻikoʻi a ma hope wale nō o ka hoʻomaka ʻana i ka maʻi maʻi.

I ka wā hāpai a me ka lactation

Wahi a nā kuhikuhi koʻikoʻi, nā haʻawina hōʻike palekana o ka palekana o clindacin i ka wā hapai ma ka trimester mua ʻaʻole i lawe ʻia, e pili ana me ia, ʻaʻole i ʻāpono ʻia kona hoʻohana ʻana i kēia manawa. Hana maʻi Clindacin no nā wahine i kēia wā II me III trimester o ka hapaha ʻae ʻia i nā hihia nui loa o nā pono o ia mau lāʻau no ka makuahine, i hoʻohālikelike ʻia i nā hopena kūpono ʻole no ka maʻi wahine.

ʻOiai i kēia, aia i ka gynecology kahi hana e koho ai i clindacin i II me III trimester o ka hapahamai kekahi piʻi kinopono nō e mālama ʻia. Ke noʻonoʻo nei i nā loiloi e pili ana i kēia lāʻau lapaʻau ma ke ʻano o kaʻaila, a me nā loiloi e pili ana i nā supositories i ka wā hāpai i ka wā o kēia manawa, pono ke hoʻomaopopo ʻia i ka nui o nā hihia, ʻoi aku ka hopena me Clindacin i kahi kinai o kahi maʻi ʻeha me nā hopena ʻino ʻole no ka makuahine ʻokoʻa a me ka hapā.

Hoʻohana ʻia o Intravaginally clindamycin me ka waiu o ka makuahine hānai ʻia ʻaʻole i aʻo ʻia, i pili me ka mea, ʻo ia kona kumu i ka manawa lactation hiki wale nō me kahi hoʻohālike kūpono o nā pono o ia lāʻau no ka makuahine e hoʻohālikelike ʻia i nā hanana kūpono no ka pēpē.

Hoike e pili ana iā Klindatsin

ʻO ka hapa nui o nā wahine e hoʻohana nei i kēia lāʻau lapaʻau no ka mālama ʻana mea maʻi puki, Waiho aku wau i nā loiloi kūpono e pili ana i nā supine o clindacin, me nā poʻe maʻi e koi ʻia i kēia lāʻau lapaʻau me hapai i ka II a III trimester. ^ E Ha yM. ʻAʻole ʻike nui nā loiloi e pili ana i ka cream Klindacin, akā maikaʻi nō hoʻi lākou ma nā ʻōlelo o ka hopena a me ka palekana o kēia lāʻau lapaʻau. Ke hōʻuluʻulu nei i ka manaʻo nui o nā poʻe maʻi e pili ana i ka lāʻau Klindacin mea maʻi puki, palekana palekana e pono no ia e hoʻohana e like me nā hōʻailona, ​​akā aia wale nō ma hope o ka nīnau ʻana i ka loea.

ʻO ke kumukūʻai ʻo Klindatsin ma kahi e kūʻai aku ai

Hoʻohālikelike ʻia me kona mau hoa no ka hoʻohana topical (e komo pū ana me ka lawena poni, kaʻaila, suppositories, capsules, etc.), ke kumukūʻai o clindacin ma ke kiʻekiʻe. Ke kumu, ke kumu kūʻai Klindatsina i loko o na ipukukui No. 3 aia ma kahi o 650 mau rubles (ma kēlā me kēia, hiki ke kūʻai ʻia nā mea 6 papahele ma ka awelika no 1300 rubles). Kūʻai aila ʻaʻa clindacin ʻokoʻa ma waena o 350-400 rubles no ka pā wai o 20 grama.

Nā hopena maikaʻiʻole

ʻŌnaehana Genitourinary: ʻehaʻeha, puʻu kandidiasis, menregual irregularities, hōʻea i ke kuʻuna, dysuria, pyelonephritis, vaginitis / maʻi ʻeha.

ʻO ke kino holoʻokoʻa: fungal infection, abdominal pain, headache, localized pain abdominal, fever, ʻeha i ka ʻaoʻao, ʻeha a puni ke kino, localized edema, kandidiasis.

ʻĀpana kikoʻī: kikala, holo maikaʻi, ʻōpū.

ʻO ka ʻili a me nā memula ailī: itching (ʻaʻole i ka kahua hoʻokipa), lohi, ʻeha ma ke kahua hōʻōlohelohe, ka haki (ma ka pae hoʻokokoke).

Hoʻohana i ka wā hāpai a lactation

Ka lilo ʻana o clindamycin phosphate suppositories i nā wahine hāpai i ka lua o ka hapala o ka hapai ʻana, me ka hoʻohana pono ʻana o clindamycin i ka lua o ke kolu o ka mea i hele ʻole ai i ka hopena pathological.

I nā wahine i ka mea mua o ka mākeke, pono e hoʻohana ʻia kēia lāʻau lapaʻau inā inā he mau hōʻole ʻia ka hōʻike ʻana.

ʻAʻole i ʻike ʻia inā ua hoʻopili ʻia ka clindamycin ma ka umauma wai ma hope o ka hoʻohana ʻana o ka clindamycin phosphate, no laila, i ka wā hapaha, hiki ke hoʻomaopopo ʻia ka lāʻau lapaʻau wale nō inā ua loaʻa ka pōmaikaʻi i makemake ʻia i ka makuahine i ka hopena kūpono i ka pēpē.

ʻAʻole hoʻohana nā keiki i ka lāʻau lapaʻau.

Nā hiʻohiʻona noi

ʻO ka hoʻohana ʻana i nā suppositories o vaginal me clindamycin hiki ke alakaʻi i ka hoʻomohala ʻana o nā microorganisms insensitive, me ka huʻu hoʻi.

Ma ka hana wahaila a me ka makua ka hoʻopili ʻana o clindamycin hiki i ke kanikau, a i kekahi mau pilikia - colitis. Inā, i ka wā e hoʻohana ai i nā ʻano lāʻau lapaʻau o clindamycin no ka hoʻokō intravaginal, pilikia a hōʻeha paha ke ʻano, a laila pono ke hōʻilo ʻia kēia lāʻau lapaʻau, pono ke ʻano pono nā hana diagnostic pono a nānā ʻia nā mea lapaʻau inā pono.

Hoʻomaʻamaʻa ʻia nā mea maʻi i ka wā o ka mālama ʻana i nā supositories o vaginal e pili ana i ka clindamycin, ʻaʻole pono kekahi e komo i loko o ka ʻōpū o ka puʻupaʻa, a ʻaʻole hoʻi e hoʻohana i nā ʻano huahana ʻē aʻe i manaʻo ʻia no ka hoʻokō intravaginal (no ka laʻana ka tampons, douches).

ʻO ka huahana nā māhele e hiki ke hōʻemi i ka ikaika o nā huahana latex a i nā huahana paha, e like me nā condoms a i ʻole nā ​​contraceptive vaginal diaphragms. No laila, ʻaʻole i ʻōlelo ʻia ka hoʻohana ʻana o ia mau huahana i ka wā o ka mālama ʻana me ka lāʻau lapaʻau i loko o nā ʻano o nā suppositories vaginal.

Ma kahi o 30% (6.5 - 70%) o ka clindamycin i hoʻopili ʻia i ka ʻōnaehana kalepa ma hope o ka hoʻohana ʻana o nā suppositories o vaginal.