Dalacin ndi mankhwala opha tizilombo a gulu la lincosamide. Mankhwalawa amagwiritsidwa ntchito pakamwa pa matenda am'mimba kwambiri, komanso amamugwiritsira ntchito njira yochotsekera mankhwala osakanikirana ndi mafuta kapena zodzola kuti muchepetse kutupa m'magazi ndi chala.
Mankhwalawa amayambitsa zovuta zambiri, zomwe zimafunikira kuphunziridwa kwathunthu kwa malangizo musanayambe kugwiritsa ntchito mankhwala.
ATX
D10AF0 ndiye nambala ya gulu la-anatomical-Therapeutic-kemikali gulu (ATX).
Mankhwalawa amagwiritsidwa ntchito pakamwa pa matenda am'mapapo apakuma, komanso pakukhazikitsa intravaginal komanso kuthetsa kutupa mu nyini.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwalawa amapezeka m'njira zingapo.
Gel
Mankhwala omwe ali ndi 1% yogwira ntchito (clindamycin phosphate) amathandiza kulimbana ndi ziphuphu zakumaso, okhala ndi bactericidal komanso anti-kutupa.
Chogulitsachi chimapezeka mu chubu cha aluminium, chomwe voliyumu yake imakhala ya 30. Gel imakhala ndi mawonekedwe osinthika.
Mankhwalawa amayambitsa zovuta zambiri, zomwe zimafunikira kuphunziridwa kwathunthu kwa malangizo musanayambe kugwiritsa ntchito mankhwala.
Mafuta
Mankhwala mu mawonekedwe ofewa Mlingo amagwiritsidwa ntchito pochiza ziphuphu zakunja. Kuphatikizika kwa mafuta ndi gelisi ndi chimodzimodzi.
Kirimu wamkaka
1 g kirimu kirimu muli 20 mg yogwira ntchito.
Kirimuyo amapangidwa mu machubu a aluminium okhala ndi voliyumu ya 20 ndi 40. Chogulitsacho chimagulitsidwa pabokosi la makatoni limodzi ndi wolemba.
Makandulo
1 suppository imakhala ndi 100 mg yogwira ntchito.
Chogulikacho chimapezeka mu mizere ya foil ndi makandulo atatu mumitundu iliyonse.
Ma fomu omwe palibe
Osowa muchipatala mutha kugula mankhwalawa piritsi.
1 kapisozi muli 300 mg ya clindamycin phosphate. Mapiritsi ndi makapisozi, omwe amaphatikiza ndi 150 mg pazomwe zimagwira, sizipezekanso pa malonda.
Zotsatira za pharmacological
Mankhwalawa ali ndi bactericidal. Gawo lomwe limagwira limawononga cell membrane wa pathogenic agents, poletsa kukula kwa chiwerengero chawo. Kuphatikiza apo, clindamycin imakhala ndi bacteriostatic, imaletsa kuchulukitsa kwa tizilombo toyambitsa matenda.
Chipangizochi chikugwira ntchito pothana ndi bakiteriya wa gramu-gramu komanso gram-negative, mycoplasma, gardnerella.
Pharmacokinetics
Ndikofunikira kuganizira izi:
- Mukamwa mankhwala mkati, 90% mayamwidwe yogwira ntchito.
- Mulingo waukulu kwambiri wa clindamycin umawonedwa m'magazi pambuyo pa ola limodzi.
- Yogwira pophika imaphatikizidwa m'chiwindi, ndikuchotsa m'thupi ndi mkodzo komanso pang'ono ndi ndowe.
- Pambuyo pakhungu lakunja, khungu limagwira ntchito yake ndi hydrolyzed (kugawanika) mu ndulu za ma gace a sebaceous. Clindamycin wopangidwa nthawi ya mankhwala ali ndi antibacterial.
Clindamycin ali ndi antibacterial.
Zomwe zimayikidwa
Mankhwala akusonyezedwa milandu zotsatirazi:
- Supplementories ndi zonona zimagwiritsidwa ntchito mu matenda a gynecology pochiza bakiteriya vaginosis.
- Gel kapena mafuta amamuikira ziphuphu ndi mankhwala a staphyloderma. Nthawi zambiri, mankhwala amagwiritsidwa ntchito pochiza phazi la matenda ashuga.
- Makapisozi amagwiritsidwa ntchito pneumocystis chibayo (matenda oopsa oyambitsidwa ndi bowa wopangidwa ndi yisiti motsutsana ndi chitetezo chofooka), matenda am'mimba. Nthawi zina maantibayotiki amatchulidwa kuti apewe kuphatikiza kwa kachiromboka pambuyo pochita opareshoni.
Contraindication
Mankhwala sangathe kugwiritsidwa ntchito mwazinthu zingapo:
- ndi chidwi chachikulu ndi chigawo chogwira ntchito, chomwe chimatha kutsagana ndi mawonekedwe a chotupa;
- odwala kwambiri chiwindi kulephera;
- odwala omwe sanafikire zaka zambiri.
Mlingo ndi makonzedwe
Ndikofunikira kuganizira izi:
- Ndi gardnerellosis, wothira kirimu wokwanira azilowetsedwa mu nyini usiku asanagone. Njira ya mankhwala osachepera masiku 5.
- Ma suppositories ogwiritsira ntchito intravaginal amagwiritsidwa ntchito mkati mwa masiku atatu. Pamalo a supine, kandulo uyenera kuyikiridwa mozama momwe ungathere mu nyini.
- Ndi ziphuphu ndi staphyloderma, gel osakaniza pang'ono liyenera kugwiritsidwa ntchito kumadera akhudzidwa ndi khungu. Pafupipafupi njira ndi 2 kawiri pa tsiku. Chithandizo chikuchitika kwa miyezi isanu ndi umodzi.
Chithandizo cha mavuto a shuga
Makapisozi amagwiritsidwa ntchito pakamwa. Osawabera. Ndikofunika kumwa mankhwalawa ndi madzi ambiri (osachepera 300 ml).
Akuluakulu amakwaniritsidwa 150 mg yogwira mankhwala 4 pa tsiku kwa masiku 14. Nthawi yakumwa mankhwalawa imatsimikiziridwa ndi adokotala.
Zotsatira zoyipa
Mankhwalawa amachititsa ambiri kuyipa kwa thupi. Pochiza bakiteriya vaginosis, kupweteka nthawi zambiri kumachitika.
Matumbo
Nthawi zambiri pamakhala kupweteka m'mimba. Nthawi zambiri amawona akusanza komanso kukhumudwa.
Pa khungu ndi subcutaneous minofu
Kuuma ndi kuwuma kwa khungu kumachitika. Dermatitis yolumikizana ndi kupanga kwa sebum nthawi zina kumawonedwa.
Zotsatira zoyipa kuchokera ku dongosolo lamkati lamanjenje, chizungulire komanso matenda oopsa zimatheka.
Pakati mantha dongosolo
Chizungulire komanso matenda oopsa zimatheka.
Kuchokera kwamikodzo
Nthawi zambiri pamakhala dysuria (kuphwanya mkodzo pokonzekera).
Kuchokera ku kupuma
KaƔirikaƔiri sikowoneka mphuno.
Matupi omaliza
Ndi tsankho la munthu pazinthu zomwe zimagwira ntchito, pakhungu limachitika, lomwe limatsatana ndi kuyabwa ndi kuyaka.
Ndi tsankho la munthu pazinthu zomwe zimagwira ntchito, pakhungu limachitika, lomwe limatsatana ndi kuyabwa ndi kuyaka.
Malangizo apadera
Kugwiritsa ntchito mankhwalawa piritsi kumayambitsa matenda otsegula m'mimba ambiri, motero, odwala omwe ali ndi vuto lalikulu la matumbo amadziwika mosamala kwambiri.
Mimba komanso kuyamwa
Amaloledwa kugwiritsa ntchito mankhwalawa ku 2nd trimester ya mimba.
Pali kuchuluka kwakukulu kwa gawo logwira ntchito mkaka wa m'mawere, kotero kuyamwitsa kuyenera kusiyidwa ngati mkazi akuchitidwa ndi Dalacin.
Kupangira Dalacin kwa Ana
Kugwiritsa ntchito ndalama kwa ana mu mtundu uliwonse wa mankhwala kumalakwika.
Gwiritsani ntchito mu ukalamba
Kuonana ndi dokotala ndikofunikira kupewa zovuta.
Zokhudza mphamvu pakuwongolera njira
Mankhwalawa amaloledwa kumwa ndi anthu omwe zochita zawo zimagwirizanitsidwa ndi chidwi chachikulu.
Mankhwalawa amaloledwa kumwa ndi anthu omwe zochita zawo zimagwirizanitsidwa ndi chidwi chachikulu.
Bongo
Ngati mulingo woyenera wothandizila upitilira, pseudomembranous colitis (pachimake kutupa kwamatumbo akulu) kumayamba.
Kuchita ndi mankhwala ena
Gawo logwira ntchito la Dalacin limathandizira zotsatira za opuma minofu, chifukwa chake, kugwiritsa ntchito mankhwalawa sikulimbikitsidwa.
Ngati mzimayi wachita mankhwala ndi Dalacin mu mawonekedwe a kirimu wa ukazi, ndiye kuti zopaka zina zapamwamba siziyenera kugwiritsidwa ntchito.
Analogi
Clindovit ndi clindamycin ali ndi mawonekedwe ofanana, koma otsika mtengo.
Kupita kwina mankhwala
Dokotala amafunikira kulandira.
Mtengo wa Dalacin
Mtengo wa mankhwalawa umasiyana ndi 380 mpaka 800 rubles. kutengera mtundu wa mankhwalawo amasulidwe.
Kusungidwa kwa mankhwala Dalacin
Sungani mankhwalawo firiji. Ndikofunika kuti ana azitha kupeza mankhwalawa.
Tsiku lotha ntchito
Chipangizocho chimasungabe katundu wake wazaka 2.
Dalacin amakhalanso ndi mphamvu yochiritsa kwa zaka ziwiri.
Ndemanga za Dalacin
Marina, wazaka 35, Moscow
Dokotala adapereka ma jakisoni chifukwa chowonjezera mobwerezabwereza bakiteriya vaginosis (gawo 4 pachaka). Pambuyo pa kumwa mankhwala, ndinamva chizungulire. Amakumana ndi kusanza komanso kutsegula m'mimba. Ndinafunika kusiya kumwa mankhwalawo ndizotsatira zoyipa. Koma mnzake adachiritsa Dalacin wa matenda opatsirana a m'mimba.
Oleg, wazaka 35, Perm
Sindimadziwa kuti abambo sayenera kumwa mowa ngakhale mu Mlingo wocheperako akalandira mankhwala othandizira. Kutsegula m'mimba kunachitika, komwe kunatenga sabata limodzi. Mankhwala ozikidwa pa lactobacilli sakanatha kuteteza zizindikiro za poizoni. Koma zotsatira za chithandizo cha chibayo zidakhutitsidwa.
Yuri, wazaka 18, Omsk
Dokotalayo adalimbikitsa kuti gel yodzola ziphuphu kumaso. Palibe zoyipa zomwe zidachitika. Sindikonda mfundo yoti muyenera kugwiritsa ntchito mankhwalawa kwa miyezi isanu ndi umodzi.