Nyob rau hauv xyoo tas los, lub prevalence ntawm fungal kab mob tau nce significantly. Qhov no yog vim lub zog thiab tsis tas siv cov cytostatics, tshuaj tua kab mob, corticosteroid hormones, kev tsim kho ntawm cov kab mob immunodeficiency. Hauv kev soj ntsuam, feem ntau yog muaj urogenital candidiasis, tshwm sim hauv daim ntawv mob ntev / mob. Thrush yog tus cwj pwm ntawm cov vesicles thiab taw tes yaig, ib qhov mob ntawm cov mucosa, uas mob nyhav thiab ntshav hauv lub vestibule, purulent secretion ntawm daj / dawb, hlawv thiab khaus rau hauv perineum. Fluconazole rau cov tshuaj tiv thaiv yog cov tshuaj ntawm kev xaiv nyob rau hauv cov txheej txheem kev kho mob ntawm cov kab mob uas muaj tiag. Nws nquag koom nrog Candida (tsuas yog 3-6% ntawm Candida hom yog resistant rau Fluconazole), muaj bioavailability zoo thiab tsawg kawg ntawm contraindications.
Fluconazole rau thrush: yuav ua li cas coj, cov lus qhia
Fluconazole yog ib qho tshuaj antifungal ntawm pawg neeg triazole. Fluconazole txig rau hauv cov zis, hnoos qeev, qaub ncaug, thiab lwm yam kua txob. Tom qab lub qhov ncauj kom tsawg, 90% ntawm cov tshuaj nkag mus rau hauv cov hlab ntsha, nws tawm tsis tau txog 27-34 teev. Nws tau tsim nyob rau hauv ob hom: rau qhov ncauj (tshuaj ntsiav) thiab tso dej (tshuaj rau kev txhaj tshuaj) kev txais tos.
Cov kev qhia rau kev siv:
- rov qab thiab cov kab mob urogenital candidiacis;
- generalized candidiasis; cov kab mob uas cuam tshuam rau lub qhov muag, lub plawv, mob ntsws thiab mob plab;
- Thrush mucous pharynx, digestive plab hnyuv ntxwm, qhov ncauj kab noj hniav;
- cutaneous mycoses (mob ntsws tawv nqaij hauv cov nplhaib, ntawm lub cev, taw);
- raws li ib tug prophylaxis rau oncologists tau txais kev kho cytotoxic / hluav taws xob.
Contraindications:
- Ib tug neeg tsis txaus ntseeg ntawm Cheeb Tsam Cheeb Tsam (sodium stearate, lactose monohydrate, colloidal silicon dioxide) Tseem ceeb: Parenteral ntsiav tshuaj ntawm iterfenadine, cisapride, astemizole, quinidine tsis pom zoo;
- cardiomyopathy, mob plab / mob ntsws tsis zoo, mob nqaij ntheev, mob nqaij ntheev;
- cev xeeb tub, lactation, laus tshaj (muaj hnub nyoog 65 xyoos).
Fluconazole rau cov tawm tsam - sab phiv
Nrog rau cov tshuaj kom tsawg thiab cov khoom noj kom tsawg, cov dej tsis xyaw tsis ua kom muaj teeb meem loj thiab cov kev mob tshwm sim. Hauv 15% ntawm cov neeg mob, kev fab tshuaj tsis haum rau cov khoom nquag (urticaria, erythema, pob liab liab), kev ua haujlwm tsis zoo hauv txoj haujlwm ntawm txoj hnyuv. Tsawg heev (1-2% ntawm cov neeg mob) yog xeev siab, mob taub hau, kiv taub hau, ua rau daim siab puas.
Yuav ua li cas haus dej Fluconazole rau cov poj niam
Cov koob tshuaj txhua hnub ntawm cov tshuaj yog nyob ntawm qhov mob ntawm qhov mob thiab qhov theem ntawm cov kab mob pathological, yog li ntawd nws yog txiav txim siab thiab, yog tias tsim nyog, kho tsuas yog los ntawm tus kws kho mob. Ua ntej txoj kev kho mob, kev ntsuam xyuas microbiological yog ua tiav, kuaj kev kuaj mob rau cov kab mob Dysbacteriosis thiab STDs. Qhov mob hnyav ntawm urogenital thrush yuav tsum tau kho ua ke: Cov ntsev tshuaj Fluconazole + kev pab hauv zos (suppositories, ointments, creams). Rau cov ntaub ntawv tawm ntawm lub nroos, tsuas yog ib qho tshuaj ntsiav ntawm yeeb tshuaj (150 MG) yog txaus. Cov tshuaj yuav tsum nqos tau tag nrho, tsis pub ntxhe, nyem nrog dej txaus. Kev kho cov mob cancer candidiasis yog ua tiav raws li lub tswvyim: kev siv ob zaug rau ntawm Fluconazole rau peb hnub (150 mg), tag nrho cov kev kawm yog 28 hnub. Rau kev tiv thaiv ntawm kev rov qab - nyob rau thawj hnub ntawm lub voj voog, ib qho tshuaj rau 5-12 lub hlis. Qhov kev pom zoo txhua hnub rau cov menyuam yaus yog 3 mg / kg ntawm lub cev qhov hnyav, hauv thawj 24 xuab moos nws tau txais kev pom zoo siv 6 mg / kg ib hnub twg. Lub sij hawm kho yuav tsis pub ntev tshaj 14 hnub. Rau kev tiv thaiv ntawm kev tawm tsam nrog tshuaj tua kab mob, koob tshuaj yog 50-300 mg ib zaug.
Fluconazole rau cov txiv neej nrog cov kab mob
Hauv cov txiv neej hauv 45-50% ntawm tus neeg mob, tus kab mob nrog Candida fungus tshwm sim thaum muaj kev sib deev. Thaum kuaj thawj zaug, tus kab mob no tshwm sim los ntawm qhov muag me ntsis xwb, ua rau nws muaj zog, xws li hyperemia thiab o ntawm qhov chaw mos, liab qab muaj ntau yam duab thiab ntau ntau rau ntawm noov lub taub hau, hnyav thiab kub hnyiab hauv lub perineum, ntau cheesy paug nrog tus ntxhiab tsw phem. Kev sib tw khiav ua rau tuaj yeem tuaj yeem ua rau cov kab tawg ua rau ntawm daim tawv nqaij, cov kab mob sclerosis, fibrosis. Tus qauv qis ntawm Fluconazole rau kev kho mob ntawm candidiasis rau cov txiv neej yog 150 mg (ib zaug xwb). Rov qab txais tos ntawm cov tshuaj - tom qab 7 hnub. Txoj Kev Kho Mob Fluconazole yuav tsum muab sib xyaw nrog kev kho mob ntawm lub zos - kho cov qoob loo nrog cov tshuaj tiv thaiv cov tshuaj tiv thaiv los ntawm cov tshuaj tiv thaiv (antifungal cream / ointments).
Fluconazole rau nrau: tus kws kho mob xyuas
Hauv kev kho cov candidiasis, muaj ob qho teeb meem tseem ceeb: kev siv tshuaj rau yus tus kheej tsis muaj kev sim ua ntej thiab tom qab mus rau cov kws kho mob. Txhawm rau kuaj qhov tseeb thiab xaiv ib txoj kev kho kom tsim nyog tsuas yog tus kws kho mob tshwj xeeb xwb. Fluconazole rau cov kab mob sib kis tau yog qhov zoo tshaj plaws tshuaj los ntawm txoj kab ntawm cov tshuaj antimycotic ntawm kev ua haujlwm. Txhawm kom kho tus mob hawb pob, ib qho tshuaj ntawm Fluconazole yog txaus. Yog tias lub sijhawm ntawm candidiasis rov ua dua 3-5 zaug hauv ib xyoos, ntev dua yog qhov tsim nyog - txhua 7 hnub rau 150 mg ntawm Fluconazole rau 6-7 lub hlis.