Clindamycin yog ib yam tshuaj uas ua haujlwm uas yog ib feem ntawm qee yam tshuaj los ntawm cov pab pawg ntawm cov tshuaj tiv thaiv ib nrab ntawm cov tshuaj linkosamine. Cov tshuaj muaj tib lub npe muaj nyob rau ntau hom. Yog li feem ntau yuam kev hu ua gel, clindamycin nyob rau hauv uas ua raws li kev nquag tshuaj.
Ua ntej siv cov tshuaj uas muaj cov clindamycin tiv thaiv, tus kws kho mob sab laj thiab cov ncauj lus kom ntxaws nrog cov lus qhia rau kev siv yog qhov tsim nyog.
Cov ntawv tso tawm thiab muaj pes tsawg leeg
Clindamycin muaj nyob rau hauv cov ntawv hauv qab no:
- Vaginal lee: muab rau cov tsev kho mob hauv ib lub raj nrog cov neeg thov. Cov lus sib xyaw ua ke nrog yav dhau los hais txog cov khoom siv sib xyaw hauv daim ntawv ntawm cov ntsev thiab cov neeg xa tawm: cov roj taum, propylene glycol, sodium benzoate, polyethylene oxide-1500, emulsifier No. Cov tshuaj pleev no muaj qhov tsw ntxhiab tsw ntxhiab li cas thiab muaj xim dawb lossis pleev-dawb.
- Nkaws Capsules: Muag 16 pcs. hauv pob ntawv thiab muaj ib rooj plaub xim xiav nrog lub hau liab. Cov tshuaj muaj pes tsawg leeg suav nrog hydrochloride ntawm cov tshuaj nquag thiab cov khoom xyaw ntxiv: magnesium stearate, lactose monohydrate, talc, pob kws nplej siab.
- Iav ampoules nrog cov kua ntshiab lossis daj rau kev txhaj tshuaj (i / m thiab i / v): ntim rau hauv hnab yas ntim khoom thiab tom qab ntawd hauv pob ntawv los qhia (10 pcs txhua). Cov tshuaj muaj pes tsawg leeg muaj cov tshuaj ua haujlwm nquag.
- Lub paum ntawm qhov chaw mos: muaj nyob hauv pob khoom ntawm tes (3 tswm ciab), muab tso rau hauv lub thawv ntawv thawv. Cov tshuaj muaj ib lub cim cylindrical thiab dawb lossis dawb nrog lub xim daj ua kom zoo nkauj.
Cov gel uas muaj cov tshuaj clindamycin muaj cov npe sib txawv thiab tau muab rau cov tsev kho mob hauv txhuas lub raj ntawm 15 lossis 30 g. Qhov siab tshaj plaws ntawm cov khoom siv hauv cov lus nug rau kev siv sab nraud nce mus txog 1%.
Cov gels suav nrog
Clindamycin yog ib feem ntawm cov ntaub hauv qab no:
- Adapalene;
- Dalacin;
- Tooj Liab;
- Kev Tshuaj Ntsuam (Clincitop);
- Clindoxyl;
- Clindacite B Prolong;
- Clindacin;
- Clindacin T;
- Klindovit;
- Klenzit-S.
Clindamycin yog ib feem ntawm cov gel zoo li Dalacin.
Pharmacological kev txiav txim
Thaum raug rau lub cev, clindamycin ua cov kab mob bacteriostatic. Lub ntsiab lus tiv thaiv protein synthesis thiab cuam tshuam nrog cov kabmob sib kis thiab kabmob parasitic: anaerobic thiab microaerophilic gram-positive cocci (Clostridium tetani, Mycoplasma spp.), Staphylococcus, bacilli thiab ntau yam kab mob ntawm Clostridium perfringens.
Raws li cov tshuaj tua kab mob antimicrobial, cov tshuaj zoo ib yam li lincomycin, tab sis qee qhov xwm txheej zoo dua (2-10 zaug).
Cov Tshuaj Pharmacokinetics
Qhov nqus ntawm cov khoom muaj npe tshwm sim nyob rau hauv ib lub sijhawm luv luv, tom qab uas clindamycin nkag mus rau cov ntaub so ntswg thiab lub cev.
Qhov siab tshaj plaws ntawm kev sib xyaw hauv cov ntshav nrog siv hauv qhov ncauj tau pom nyob hauv 1 teev, nrog kev txhaj tshuaj intramuscular - tom qab 1 teev hauv cov laus thiab tom qab 3 teev hauv tus menyuam.
Cov kua pleev tau pleev rau sab nrauv, yog li yog tias nws nkag mus rau hauv lub qhov ncauj lossis qhov muag, ntxuav kom huv nrog cov dej ntau yog tsim nyog.
Nyob rau hauv kev tswj hwm kev siv tshuaj, qhov siab tshaj plaws tau sau tseg ntawm qhov kawg ntawm Txoj kev lis ntshav. Cov tshuaj ncua nyob rau hauv cov ntshav plasma rau 8-12 teev, nrog lub sijhawm ib nrab ntawm 2-2.5 teev. Cov tshuaj ntawm cov tshuaj yog metabolized hauv daim siab, thiab hauv 4 hnub yog tawm los ntawm lub cev los ntawm txoj hnyuv thiab lub raum.
Cov kua pleev tau pleev rau sab nrauv, yog li yog tias nws nkag mus rau hauv lub qhov ncauj lossis qhov muag, ntxuav kom huv nrog cov dej ntau yog tsim nyog.
Yuav siv cov tshuaj Chitosan Tiens li cas?
Mob ntshav qab zib hom 1 yog dab tsi?
Dab tsi yog Ciprolet tee siv rau - nyeem ntxiv txog qhov no hauv kab lus.
Kev taw qhia rau kev siv clindamycin
Cov tshuaj uas muaj cov tshuaj nyob rau hauv nqe lus nug yog sau tseg nyob rau hauv cov xwm txheej nram no:
- kev kis mob ntawm ENT plab hnyuv siab raum - otitis media, pharyngitis, tonsillitis;
- kev puas tsuaj rau cov pob txha thiab pob qij txha - osteomyelitis, mob caj dab;
- muaj kab mob hauv cov pa ua pa - mob ntawm cov ntawv pleural, purulent-rhuav cov txheej txheem txwv tsis pub ua rau txoj hlab ntsws, mob ntsws, mob ntsws;
- purulent txhab thiab kis mob ntawm cov nqaij mos thiab daim tawv nqaij mob - mob ntxau, mob hnyav ntawm thaj chaw ntawm tes, furunculosis, purulent txhab ntawm cov ntiv tes thiab / lossis taw, erysipelas;
- kev puas tsuaj rau lub plab hauv plab - peritonitis, abscesses;
- cov kab mob gynecological - colpitis, salpingitis, mob chlamydia, adnexitis, endometritis, malignant neoplasms.
Cov Yuav Tsum Muaj
Cov kev txwv tsis pub siv rau cov tshuaj bacteriostatic suav nrog:
- cov tib neeg tsis qaug rau ib lossis ntau cov khoom siv;
- daim siab ua haujlwm lossis lub raum tsis ua haujlwm;
- bronchial hawb pob;
- mob rwj, mob plab kiav txhab;
- kab mob autoimmune cuam tshuam rau neuromuscular synapses;
- hnub nyoog txog 1 hlis;
- hnub nyoog siab heev;
- cev xeeb tub thiab lactation lub sijhawm (tshwj tsis yog siv sab nraud).
Kev siv clindamycin
Cov gel uas muaj cov khoom sib txig ntawm tib lub npe tau thov nyob rau hauv txheej nyias ntawm cov ntxau thiab pob txuv, tom qab ntxuav daim tawv nqaij.
Qhov muab cov tshuaj ntsiav rau cov neeg laus thiab cov menyuam yaus hnub nyoog 15 xyoos tshaj sau tseg los ntawm tus kws kho mob tshwj xeeb. Cov tshuaj pom zoo: 1 pc. 4 zaug hauv ib hnub lossis 2-3 ntsiav tshuaj hauv ob peb koob tshuaj (thaum muaj kev kis mob hnyav).
V / m thiab / nyob rau hauv cov lus qhia:
- cov laus: 300 mg 2 zaug hauv ib hnub lossis 1.2-2.7 g ib hnub (nyob ntawm tus neeg mob lub sijhawm);
- cov menyuam hnub nyoog dhau 3 xyoos: 15-25 mg (lossis 25-40 mg) ib phaus. Qhov tag nrho cov tshuaj yog siv nyob rau hauv 3-4 koob tshuaj.
Intravaginal thawj coj ntawm cov tshuaj tiv thaiv yuav tsum ua 1 zaug hauv ib hnub ua ntej yuav mus pw.
Nrog ntshav qab zib
Cov tshuaj tua kab mob rau ntshav qab zib tau sau tseg tom qab kev kuaj mob tsim nyog. Kev noj tshuaj ntau raws tus mob feem ntau ntawm tus neeg mob thiab tus yam ntxwv ntawm nws lub cev.
Phiv los sis clindamycin
Nws tsis yog tshem tawm txoj kev loj hlob ntawm cov tshuaj tiv thaiv tsis zoo ntawm lub cev.
Los ntawm cov leeg nqaij thiab pob txha sib txuas
Cov tsos mob ntawm mob rov qab mob.
Mob nraub qaum yuav tshwm sim los ntawm kev noj tshuaj.
Kev kho mob txoj hnyuv
Los ntawm lub plab zom mov hauv qee cov neeg mob, cov kev mob tshwm sim hauv qab no yog sau tseg:
- xeev siab thiab ntuav
- zawv plab thiab lub plab tsis xis nyob;
- plaub sua;
- nws yog xim hlau (tom qab iv kev tswj hwm qhov siab ntawm cov tshuaj);
- o ntawm cov qog ua pa ntawm txoj hlab pas (thaum siv tshuaj ntsiav);
- hyperbilirubinemia;
- nce kev ua haujlwm ntawm daim siab enzymes thiab bilirubin hauv ntshav ntshav;
- kev ntxhov siab hauv kev ua haujlwm ntawm lub siab thiab qog nqaij tawv (tsis tshua muaj).
Los ntawm lub plab zom mov, qee cov neeg mob ua rau xeev siab thiab ntuav.
Hematopoietic plab hnyuv siab raum
Muaj qee zaus, muaj cov leukocytes tsawg, cov hlwb pob txha mos (neutrophilic granulocytes) thiab ntshav muaj ntshav nyob hauv ntshav.
Los ntawm cov hlab plawv system
Nrog kev tswj hwm sai ntawm cov tshuaj, ntshav siab tuaj yeem txo qis, qaug zog thiab kiv taub hau tshwm.
Kev ua xua
Tej zaum muaj kev fab tshuaj suav daws muaj xws li:
- urticaria;
- anaphylactic kev poob siab;
- npaws
- Quincke's edema;
- o ntawm daim tawv nqaij thiab cov xoos mucous (hauv cov neeg mob cais);
- erythema multiforme;
- anaphylactic kev poob siab (tsis tshua muaj).
Tej zaum muaj kev fab tshuaj suav daws muaj urticaria.
Thaum siv lub ntsej muag gel, tiv thaiv dermatitis thiab cov kev mob tshwm sim rau tag nrho lub cev. Xws li kev tswj hwm ntawm intravaginal, qhov tshwm sim tsis zoo los ntawm qhov tsis hnov cov plab hnyuv siab tau pom: kiv taub hau, mob siab.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Nrog kev tshwm sim tsis tu ncua ntawm cov kev mob tshwm sim hauv daim ntawv ntuav, kev fab tshuaj, kiv taub hau lossis txo qis ntshav siab, nws raug nquahu kom tso tseg kev tsav tsheb thaum kho.
Cov lus qhia tshwj xeeb
Cov gel uas muaj cov khoom xyaw nquag tsis pom zoo kom siv rau daim tawv nqaij tom qab siv tshuaj txhuam, vim qhov no yuav ua rau tawv nqaij tawv ntxiv.
Cov neeg mob uas muaj kab mob ntawm lub plab zom mov yuav tsum tau ceev faj thaum siv tshuaj ntsiav. Yog tias mob raws plab lossis tsos mob ntawm colitis thaum kho mob, koj yuav tsum sab laj nrog koj tus kws kho mob.
Cov neeg mob uas muaj kab mob ntawm lub plab zom mov yuav tsum tau ceev faj thaum siv tshuaj ntsiav.
Hnub nyoog laus
Siv kev ceev faj yog tias qhia.
Rau menyuam
Clindamycin nyob rau hauv daim ntawv ntawm kev daws yog qhia rau kev kho mob ntawm cov menyuam yaus los ntawm 3 xyoo, nyob rau hauv daim ntawv ntawm tsiav tshuaj - los ntawm 8 xyoo.
Thaum cev xeeb tub thiab lactation
Tsis pom zoo siv clindamycin thaum xeeb tub (thaum cev xeeb tub ntxov) thiab pub niam mis tsis pom zoo.
Kev pleev rau kom tau tshem tawm pob txuv yuav tsum tau thov nrog ceev faj.
Noj ntau dhau
Yog tias siv ntau dhau ntawm cov tshuaj siv, cov kev mob tshwm sim tuaj yeem kho kom zoo, rau kev tshem tawm cov kev kho cov tsos mob twg.
Kev cuam tshuam nrog lwm yam tshuaj
Cov tshuaj ntxiv txhim kho qhov ua haujlwm ntawm cov tshuaj uas siv los so cov leeg pob txha. Kev tiv thaiv synergism yog pom thaum noj cov tshuaj nquag nrog metronidazole, ceftazidime thiab ciprofloxacin.
Txoj cai synergism raug pom thaum noj cov tshuaj nquag nrog metronidazole.
Kev siv sib xyaw nrog opioids tuaj yeem ua rau inhibition ntawm lub ntsws ua haujlwm, thiab nrog sympathomimetics, macrolides thiab chloramphenicol, ua rau muaj kev sib nrig sib.
Cov khoom ua si nquag txo cov nyhuv ntawm aminoglycosides.
Cawv tau zoo
Kev sib xyaw ntawm cov tshuaj tua kab mob thiab haus dej cawv tsis tau.
Analogs
Hauv kev kho mob gynecology, lwm tus neeg sawv cev paum yuav kho tau kom tsis txhob siv clindamycin. Ntawm lawv yog:
- Dalacin;
- Clindatop;
- Pob Khoom;
- Klindovit;
- Clindacin.
Hauv kev kho mob gynecology, clindovit tuaj yeem raug kho kom tsis txhob siv cov clindamycin.
Cov hauv qab no yog sau ua tsiav tshuaj zoo sib xws hauv kev ua haujlwm:
- Klimitsin;
- Dalacin C;
- Klindafer;
- Pulksipron;
- Clindagexal.
Cov tshuaj zoo ib yam li kev txhaj tshuaj muaj xws li:
- Dalacin C. Phosphate;
- Zerkalin;
- Klimitsin.
Rau cov tshuaj zoo sib xws rau kev txhaj tshuaj suav nrog Zerkalin.
Qhov muaj txiaj ntsig zoo tshaj plaws yog Linkomycin.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Kev npaj uas muaj cov nquag muaj nyob rau hauv nqe lus nug yog tshuaj.
Kuv tuaj yeem yuav yam tsis tas yuav tshuaj
Muaj qee lub sijhawm muag cov tshuaj tsis muaj kws kho mob sau. Txawm li cas los xij, kev coj tus kheej tuaj yeem ua rau muaj kev tsis zoo.
Nqi
Tus nqi ntawm cov gel, uas suav nrog cov nquag ua haujlwm, sib txawv ntawm 300 txog 800 rubles. nyob ntawm cov khw thiab chaw muag khoom.
Tus nqi ntawm cov tshuaj nyob rau hauv tsiav tshuaj yog los ntawm 135 rubles, nyob rau hauv daim ntawv ntawm lub paum ntawm qhov paum - los ntawm 350 rubles, hauv ampoules nrog kev txhaj tshuaj - los ntawm 170 rubles, hauv daim ntawv ntawm suppositories - los ntawm 500 rubles.
Cia rau cov neeg mob rau cov tshuaj
Tshuaj yuav tsum muab khaws cia kom deb ntawm cov neeg hauv tsev neeg. Pom zoo kom huab cua kub txaus yog + 15 ... + 25 ° C.
Hnub tas sij hawm
Kev txhaj tshuaj thiab tshuaj pleev plhu yog siv tau li ntawm 2 xyoos ntawm hnub uas siv los ntawm kev tsim khoom. Cov tshuaj ntsiav, cov tshuaj txhawb nqa thiab cov gel nrog cov khoom xyaw nquag - 3 xyoos.
Chaw tsim tshuaj paus
Hemofarm (Serbia) thiab VERTEX (Russia).
Kev tshuaj xyuas ntawm cov kws kho mob thiab cov neeg mob
Valery, 42 xyoo, urologist, Moscow
Kuv xaj tshuaj rau kev kho mob rau kev kho tus kab mob vaginosis hauv cov poj niam thiab tus kab mob anaerobic balanitis rau cov txiv neej. Cov tshuaj yog ua tau zoo rau erythrasma.
Marina, 38 xyoo, Ryazan
Nws coj clindamycin tiv thaiv kev mob o thaum kho hniav. Cov tshwm sim zoo heev. Tsis muaj kev phiv pom. Lub tsuas drawback ntawm lub gel yog nws tus nqi siab.
