Kwiminyaka yakutshanje, ukuxhaphaka kwezifo ezifayo kwande kakhulu. Oku kubangelwa ukusetyenziswa okusebenzayo kwaye akusoloko kusetyenziso lwe-cytostatics, i-antibiotics, i-hormone ye-corticosteroid, ukuphuhliswa kwe-immunodeficiency states. Kwinkqubo yekliniki, ngokuqhelekileyo kukho i-urrogenital candidiasis, eyenzeka kwifomu engapheliyo. I-thrush ibonakaliswa ngobuninzi bama-vesicle kunye neengongoma zengxaki, isilonda se-mucosa, esivame ukusiqhawula kunye nokuphuma kwi-vestibule, ukukhutshwa kwe-yellow / white, ukutshisa nokutshisa kwi-perineum. I-Fluconazole ye-thrush yilezi zixhobo ezikhethiweyo kwindlela yokwenza utyholongwane lomntu ogulayo. Isebenza ngamandla ngokumalunga ne-Candida (kuphela ama-3-6% weemfuno ze-Candida ezichasene ne-Fluconazole), ine-bioavailability enhle kwaye ubuncinci benkcazo.
I-Fluconazole ye-thrush: indlela yokuthatha, imiyalelo
I-Fluconazole yiyilisi ye-antitifungal yeqela le-triazole. I-Fluconazole igxininisa ngokupheleleyo kumchamo, i-sputum, i-saliva, nezinye iifutha zamanzi. Emva kokungenwa komlomo, i-90% yesichenge singena kwigazi, lithengiswa ngokungatshintshi kwiiyure ezingama-27-34. Iveliswa ngeendlela ezimbini: ngomlomo (i-capsule) kunye ne-intravenous (isisombululo somjovo).
Izimpawu zokusetyenziswa:
- i-urrogenital candidiasis ephindaphindiweyo;
- candidiasis; izifo ezichaphazela amehlo, intliziyo, izifo zokuphefumula kunye nesisu;
- I-thrush mucous pharynx, izitho zokutya, umlomo womlomo;
- i-mycoses (i-fungal lesions) kwi-groin, emzimbeni, ezinyaweni);
- njengeprophylaxis ye-oncologists efumana i-cytotoxic / i-radiation therapy.
Ukungqinelana:
- ukunyanzelwana komntu ngamacandelo e-Fluconazole (i-sodium stearate, i-lactose monohydrate, i-colloidal silicon dioxide) Kubalulekile: Iipilisi ze-parenteral ze-iterfenadine, i-cisapride, i-systemizole, i-quinidine ayikhuthazwa;
- i-cardiomyopathy, u-renal / hepatic insufficiency, i-arrhythmia, i-bradycardia;
- ukukhulelwa, i-lactation, ubudala obudala (ngaphezu kweminyaka engama-65).
I-Fluconazole yempembelelo yecala
Ngomlinganiselo ochanekileyo kunye ne-intake scheme, i-fluconazole ayibangeli iingxaki ezinzulu kunye nemiphumo emibi. Kwi-15% yezigulane, iimpendulo ezithintekayo kwi-substance esebenzayo (i-urticaria, i-erythema, i-rash), iimeko ezingasebenzi kumsebenzi wesisu esisisigxina sinokwenzeka. Inqabile kakhulu (1-2% yamatyala) isisongela, intloko, isisu, umonakalo wesibindi.
Ukusela njani i-Fluconazole yokutshitshiswa kwabasetyhini
Umthamo wemihla ngemihla uxhomekeke kubukhulu besibalo kunye nenqanaba leprogram ye-pathological, ngoko ke kunqunywe kwaye, ukuba kunyanzelekile, kulungiswe kuphela ngudokotela. Ngaphambi kwenkqubo yokonyango, kuhlolwa uvavanyo lwe-microbiological, iimvavanyo zelabhoratri malunga nobukho be-dysbacteriosis kunye ne-STD. Ikhondo elibi le-urogenital thrush ludinga unyango oluhlanganisiweyo: iiblubhethi ze-Fluconazole + izicwangciso zendawo (i-suppositories, i-ointments, i-creams). Ngeendlela ezikhanyayo ze-thrush, enye i-capsule enye yeziyobisi (150 mg) yanele. Iyeza kufuneka ligxilwe ngokupheleleyo, ngaphandle kokuhlafuna, lifakwe ngamanzi aneleyo. Ukwelashwa kwe-candidiasis engapheli kwenziwa ngokucwangcisa iskimu: ukuphathwa kwexesha ezimbini kwe-Fluconazole iintsuku ezintathu (150 mg), ikhosi epheleleyo iintsuku ezingama-28. Ukuthintela ukuphindaphinda - ngosuku lokuqala lomjikelezo, i-capsule enye kwiinyanga ezi-5-12. Ukunconywa kwansuku zonke kubantwana ku-3 mg / kg yesisindo somzimba, kwiiyure ezingama-24 zokuqala kucetyiswa ukuthatha 6 mg / kg ngosuku. Ubude bonyango abufanele kudlule iintsuku eziyi-14. Ukuthintela i-thrush kunye neyeza-antibiotics, i-dose yi-50-300 mg kanye.
I-Fluconazole yamadoda ane-thrush
Kwamadoda angama-45-50% amatyala, usulelo lwe-Candida fungus livela ngexesha lokwabelana ngesondo. Kwinqanaba lokuqala, eso sifo sibonakala kuphela ngokuvutha komsindo, njengoko kuqhubeka, impawu zonyango ziyancipha: kukho i-hyperemia kunye nokuvuvukala kwepenisi, iintlobo ezibomvu zemilo eyahlukeneyo kunye nobukhulu kwintloko yepenis, ukutshisa okukhulu kunye nokutshisa kwi-perineum, ininzi ephosakeleyo yiphunga elimnandi ngephunga elimnandi. Ukuqhuma i-thrush kunokukhokelela ekubunjweni kweentlukwano ebusweni besikhumba, i-sclerosis, i-fibrosis. Umlinganiselo osemgangathweni we-Fluconazole unyango lwe-candidiasis kumadoda ngu-150 mg (idosi enye). Ukuphindwa kwamkelwa kwesilwanyana - emva kweentsuku ezi-7. Ulwaphulo lwe-Fluconazole kufuneka ludibene kunye nokunyangwa kwemiphumo yendawo - phatha izicathulo zomzimba nge-cretifungal creams / ointments.
I-Fluconazole ye-thrush: ukuhlolwa kogqirha
Xa unyango lwe-candidiasis, kukho iingxaki ezimbini ezibalulekileyo: iinzame zonyango ngaphandle kokuhlolwa kwangaphambili kwaye kamva zibhenela oogqirha. Ukwenza utyilongo oluchanekileyo kwaye ukhethe unyango olwaneleyo lunokuphela kwingcali. I-Fluconazole ye-thrush ithathwa njengeyona ndlela isisetyenziswa ngokugqithisileyo ukusuka kumgca wezilwanyana zamanemycotic zesenzo senkqubo. Ukunyanga isiqhelo esichukumisayo, i-capsule enye ye-Fluconazole yanele. Ukuba iipisodes ze-candidiasis ziphindaphindiwe ngamaxesha ama-3-5 ngonyaka, ixesha elide liyimfuneko - nganye iintsuku ezi-7 nge-150 mg ye-Fluconazole ngeenyanga ezi-6-7.