Clindamycin ni iki: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Clindamycin ni umuti ukomeye wica mikorobe abaganga bakoresha mu kurwanya indwara ziterwa na bagiteri zikomeye iyo izindi miti itagikora neza. Uyu muti ubarirwa mu itsinda ryitwa lincosamide antibiotics, kandi ukora cyane ku bwoko runaka bwa bagiteri zishobora gutera indwara mu magufa yawe, mu ngingo, mu muhaha, no mu bice byoroshye by'umubiri.

Iyo itanzwe binyuze mu muyoboro w'amaraso (intravenous) cyangwa guterwa mu mutsi (intramuscular), clindamycin ishobora kugera ku rwego rwo hejuru mu maraso yawe vuba. Ibi bituma bikoreshwa cyane mu kuvura indwara zikomeye zikeneye kwitabwaho byihuse.

Clindamycin ikoreshwa mu kuvura iki?

Clindamycin iterwa mu nshinge ivura indwara ziterwa na bagiteri zikomeye zikeneye imiti ikomeye yica mikorobe. Muganga wawe ashobora kuyandika iyo ufite indwara zititabiriye imiti yandi yica mikorobe cyangwa iyo ukeneye kuvurwa vuba.

Dore indwara zikomeye aho clindamycin iterwa mu nshinge ifasha cyane:

• Indwara zikomeye z'uruhu n'ibice byoroshye by'umubiri, harimo cellulitis na abscesses
• Indwara z'amagufa n'ingingo (osteomyelitis na septic arthritis)
• Indwara zikomeye z'umuhaha, harimo umusonga
• Indwara zo mu nda, cyane cyane izo bagiteri zitabona umwuka ziteramo
• Indwara z'amaraso (sepsis) ziterwa na bagiteri zishobora kwitabira umuti
• Indwara yo mu ngingo z'abagore
• Indwara zo mu menyo zamaze kwisanzura hanze y'iryo ryinyo

Umuvuzi wawe ashobora kandi gukoresha clindamycin ku ndwara zitamenyerewe ariko zikomeye nka endocarditis (indwara yo mu mutima) cyangwa brain abscesses. Uyu muti ukora neza cyane ku bagiteri zitakeneye umwuka kugira ngo zibaho, zikaba zizwi nka anaerobic bacteria.

Clindamycin ikora ite?

Clindamycin ibuza mikorobe gukora poroteyine zikeneye kugira ngo zibaho kandi zigwiri. Bitekereze nk'uko bibuza mikorobe ubushobozi bwo kubaka ibice by'ingenzi, bikazageza ku rupfu rwazo.

Uyu muti wica mikorobe ufatwa nk'ukomeye ku rugero ruciriritse kandi ukora by'umwihariko ku mikorobe ya gram-positive na mikorobe ya anaerobic. Ntiukora ku bwoko bwose bwa mikorobe, niyo mpamvu muganga wawe akunda gutuma hakorwa ibizamini kugira ngo yemeze ko ari wo muti ukwiriye ku ndwara yawe yihariye.

Uburyo bwo guterwa urushinge butuma clindamycin igera ku rwego rwo kuvura mu maraso yawe mu minota 30 kugeza ku isaha. Iki gikorwa cyihuse gituma gifite agaciro cyane mu kuvura indwara zikomeye aho igihe gifite akamaro.

Nkwiriye gufata Clindamycin nte?

Urushinge rwa Clindamycin ruhora rutangwa n'abakora mu rwego rw'ubuzima mu bitaro cyangwa mu mavuriro. Ntabwo uzishyiriraho uyu muti wenyine mu rugo.

Ku gikorwa cya intravenous (IV), umuti uvangwa n'umuti wera kandi ugatangwa buhoro buhoro unyuze mu urugingo rw'imitsi mu minota 10 kugeza kuri 60. Gutera umuti buhoro bifasha kwirinda ingaruka ziterwa n'umuti kandi bigatuma umubiri wawe wihanganira umuti neza.

Iyo utanzwe nk'urushinge rwa intramuscular, umuganga wawe azawutera mu gice kinini cy'umubiri, akenshi mu itako cyangwa mu kibuno. Ubu buryo ntibusanzwe ariko bushobora gukoreshwa iyo kubona IV bigoye.

Ntabwo ukeneye guhangayika ku bijyanye no gufata uyu muti hamwe n'ibiryo kuko utangwa mu maraso yawe cyangwa mu gice cy'umubiri. Ariko, kuguma ufite amazi ahagije mu gihe cyo kuvurwa bishobora gufasha umubiri wawe gukora umuti neza.

Nkwiriye gufata Clindamycin igihe kingana iki?

Igihe cyo kuvurwa na clindamycin gitandukanye cyane bitewe n'indwara yawe yihariye n'uburyo witwara ku muti. Abantu benshi bakira ubuvuzi mu minsi 7 kugeza kuri 21, ariko indwara zimwe zikomeye zishobora gusaba igihe kirekire.

Muganga wawe azakurikirana imiterere yawe yitonde cyane kandi ashobora kuguha imiti yo kunywa iyo ikiza cyawe gitangiye gukira. Iyi mpinduka ikunda kuba iyo umuriro wawe ugabanutse, umubare w'uturemangingo tw'amaraso twera usubiye mu buryo busanzwe, kandi ibimenyetso byawe bitangiye gukira.

Ku bikomere byo mu magufa n'imitsi, kuvurwa bishobora kumara ibyumweru byinshi cyangwa amezi menshi. Ibyorezo byo mu maraso na endocarditis akenshi bisaba ibyumweru 4 kugeza kuri 6 byo kuvurwa kugira ngo byemeze ko bagaruye neza mikorobe.

Ntuzigere uhagarika imiti hakiri kare, n'iyo wumva umeze neza. Guhagarika imiti y'antibiyotike hakiri kare bishobora gutuma ikiza kigaruka kandi bishobora gutuma umubiri urwanya antibiyotike.

Ni izihe ngaruka ziterwa na Clindamycin?

Kimwe n'indi miti yose, clindamycin ishobora gutera ingaruka, nubwo abantu benshi bayihanganira neza. Kumenya icyo witegura bishobora kugufasha kumva witeguye kandi ukamenya igihe cyo kuvugana n'ikipe yawe y'ubuzima.

Ingaruka zisanzwe ushobora guhura nazo zirimo:

• Urugimbu n'umuriro
• Impiswi (ziva ku zoroheje kugeza ku zikomeye)
• Urubavu, kubyimba, cyangwa kwaka ahaterwa urushinge
• Kubabara mu nda cyangwa kutumva neza
• Umutwe
• Isazi
• Impinduka mu buryohe

Izi ngaruka akenshi zishobora gucungwa kandi akenshi zikora neza uko umubiri wawe wimenyereza imiti. Ikipe yawe y'ubuzima ishobora gutanga ingamba zo kugabanya kutumva neza.

Ingaruka zikomeye zisaba ubufasha bwihuse bw'ubuvuzi. Vugana n'umuganga wawe ako kanya niba uhuye na:

• Impiswi zikomeye, zihoraho zifite amaraso cyangwa ururenda
• Kubabara mu nda cyane cyangwa kuruka
• Kugorana guhumeka cyangwa guhumeka
• Ibikorwa bikomeye byo ku ruhu, harimo uruhu cyangwa kubora
• Ibimenyetso by'ibibazo by'umwijima (guhinduka umuhondo kw'uruhu cyangwa amaso, inkari z'umukara)
• Udukoko tudasanzwe cyangwa kuva amaraso

Kimwe mu ngaruka zishobora guteza impungenge ni indwara yitwa Clostridioides difficile-associated diarrhea (CDAD). Ibi bibaho iyo clindamycin ihungabanya imiterere isanzwe ya mikorobe mu mara yawe, ikemerera mikorobe zangiza kwiyongera cyane.

Ingaruka zidakunze kubaho ariko zikomeye zirimo allergie ikaze, indwara z'amaraso, n'uburozi bw'umwijima. Itsinda ry'abaganga bazakugenzura neza kuri izi ngorane, cyane cyane mu minsi mike ya mbere yo kuvurwa.

Ninde utagomba gufata Clindamycin?

Clindamycin ntikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyandika. Ibyiciro bimwe na bimwe n'ibihe bituma uyu muti utakwiriye cyangwa bisaba ingamba zihariye.

Ntugomba guhabwa clindamycin niba ufite:

• Allergie izwi kuri clindamycin cyangwa lincomycin
• Amateka ya diyare ikaze cyangwa colitis biturutse ku ikoreshwa ry'antibiyotike mbere
• Indwara ikaze y'umwijima
• Amateka y'ubwandu bwa Clostridioides difficile

Ibyiciro byinshi bisaba kwitonda cyane no kugenzurwa hafi mugihe cyo kuvurwa:

• Indwara y'impyiko cyangwa imikorere y'impyiko yagabanutse
• Indwara zo mu gifu, zirimo indwara yo mu mara yo mu rwego rwo hejuru
• Indwara z'imitsi n'imitsi nk'imyasthenia gravis
• Gusama cyangwa konsa
• Amateka y'allergie ku zindi antibiyotike

Niba utwite, clindamycin yambuka placenta ariko muri rusange ifatwa nk'umutekano iyo inyungu ziruta ibyago. Muganga wawe azagereranya ibi bintu neza mbere yo kuyandika mugihe cyo gutwita.

Kubagore bonsa, umubare muto wa clindamycin winjira mu mata y'ibere. Umuganga wawe azagufasha gufata icyemezo cyo gukomeza konsa mugihe cyo kuvurwa.

Amazina y'ubwoko bwa Clindamycin

Umuti wa clindamycin uterwa mu urushinge uboneka mu mazina menshi y’ubucuruzi, nubwo uwo bita generic ukoreshwa cyane mu bitaro no mu mavuriro. Izina rikunda kumenyekana cyane ni Cleocin, ikorwa na Pfizer.

Andi mazina y’ubucuruzi arimo Cleocin Phosphate n’ubundi bwoko bwa generic butandukanye bukomoka mu nganda zitandukanye zikora imiti. Byose bikubiyemo umuti umwe ukora, kandi bikora kimwe, nubwo ubwinshi n’uburyo bwo kubupakira bishobora gutandukana gato.

Umuvuzi wawe azahitamo uburyo bukwiye bushingiye ku byo ukeneye byihariye n’abacuruzi bakunda mu bitaro. Uburyo bikora birakomeza uko byagenda kose ku izina ry’ubucuruzi.

Uburyo bwa Clindamycin bwakoreshwa

Imiti myinshi isimbura antibiotics ishobora kuvura indwara zisa iyo clindamycin idakwiriye cyangwa itaboneka. Muganga wawe azahitamo uburyo bwiza bushingiye ku ndwara yawe yihariye, amateka yawe y’ubuzima, n’agakoko kabigiramo uruhare.

Uburyo busanzwe busimbura burimo:

• Vancomycin ku ndwara zikomeye ziterwa na gram-positive
• Linezolid ku bagiteri zananiranye
• Metronidazole ku ndwara ziterwa na anaerobic
• Cephalexin cyangwa cefazolin ku ndwara z’uruhu n’imitsi yoroshye
• Ampicillin-sulbactam ku ndwara zivanzemo
• Daptomycin ku ndwara zikomeye z’uruhu

Buri kimwe gisimbura gifite inyungu zacyo n’ibiganiro. Urugero, vancomycin ni nziza ku ndwara zananiranye ariko bisaba gukurikiranwa neza kw’imikorere y’impyiko. Linezolid ikora ku bagiteri zananiranye ariko ishobora gutera impinduka mu mubare w’amaraso iyo ikoreshejwe igihe kirekire.

Umuvuzi wawe azatekereza ibintu nk’agakoko gatera indwara yawe, imikorere y’impyiko n’umwijima, imiti yindi urimo gufata, n’amateka yawe y’antibiotics mugihe uhitamo uburyo bwiza busimbura.

Ese Clindamycin iruta Cephalexin?

Clindamycin na cephalexin byombi ni imiti ikora neza, ariko zikora ku bwoko butandukanye bwa mikorobe kandi zikoreshwa mu bihe bitandukanye. Nta na imwe iruta indi.

Clindamycin ifite inyungu nyinshi mu bihe byihariye. Iinjira neza mu magufa n'imitsi ihujwe, bituma iba nziza mu kuvura osteomyelitis na septic arthritis. Ikora neza kandi ku mikorobe itagira umwuka wa oxygen n'ubwoko bumwe na bumwe burwanya imiti.

Cephalexin, ku rundi ruhande, akenshi ikundwa mu kuvura indwara zisanzwe zo ku ruhu kuko akenshi yihanganirwa neza kandi ikora ku mikorobe isanzwe itera izo ndwara. Iboneka kandi mu buryo bwo kunywa kugira ngo ivurwe abarwayi batari mu bitaro.

Muganga wawe azahitamo hagati y'iyo miti ashingiye ku bintu bitandukanye: ubwoko bwa mikorobe itera indwara yawe, aho indwara iherereye, amateka yawe y'ubuzima, n'ibisubizo by'ibizamini byo muri laboratori. Rimwe na rimwe, guhitamo biterwa n'umuti mikorobe mikorobe yoroheje.

Ibikunze Kubazwa Kuri Clindamycin

Ese Clindamycin irakwiriye abantu barwaye indwara z'impyiko?

Clindamycin irashobora gukoreshwa ku bantu barwaye indwara z'impyiko, ariko muganga wawe azagukurikiranira hafi kandi ashobora guhindura urugero rwawo. Bitandukanye n'imiti mikorobe imwe, clindamycin ikorwa cyane cyane n'umwijima wawe aho kuba impyiko zawe.

Niba urwaye indwara zikomeye z'impyiko, umuganga wawe ashobora guhitamo umuti mikorobe utandukanye cyangwa akagenzura imikorere y'impyiko zawe kenshi mugihe cyo kuvurwa. Icyemezo gishingiye ku buryo impyiko zawe zikora neza niba ufite izindi ndwara.

Nkwiriye gukora iki niba mbonye clindamycin nyinshi bitunguranye?

Kubera ko clindamycin y'urushinge ihabwa buri gihe n'abashinzwe ubuzima, kwikubira imiti bitunguranye ntibikunze kubaho. Ariko, niba ucyeka ko wabonye nyinshi cyangwa urimo guhura n'ingaruka zikomeye, menyesha ikipe yawe y'ubuzima ako kanya.

Ibimenyetso byo gufata clindamycin nyinshi bishobora kuba harimo isesemi ikabije, kuruka, impiswi, cyangwa guhumeka bigoranye. Itsinda ryawe ry'ubuvuzi rishobora gutanga ubufasha no kugukurikiranira hafi kugeza umuti uvuye mu mubiri wawe.

Nkwiriye gukora iki niba nciwe urugero rwa clindamycin?

Kubera ko clindamycin y'urushinge itangwa ahantu havurirwa, gucikanwa n'imiti ntibisanzwe. Niba urugero rwatanzwe rutinze, itsinda ryawe ry'ubuvuzi rizagena igihe cyo gukoresha kugira ngo bakomeze urwego ruzima mu maraso yawe.

Niba ufite impungenge zerekeye igihe cyangwa imiti yacitse, ganira ibi n'umuforomo cyangwa muganga wawe. Bashobora gusobanura gahunda yawe yihariye yo gutanga imiti kandi bakemeza ko wakira ubuvuzi bwiza.

Nshobora kureka gufata clindamycin ryari?

Ugomba kureka clindamycin gusa muganga wawe yemeje ko ari byiza kubikora. Iyi myanzuro ishingiye ku buryo witwara ku buvuzi, ibisubizo byo muri laboratori, no gukemura ibimenyetso byawe by'indwara.

Umutanga serivisi z'ubuvuzi azakurikirana ibimenyetso nk'umubare w'uturemangingo twera tw'amaraso, umuriro, n'imikorere y'ahantu handuye. Iyo ibi bigiye neza kandi bigahoraho, bashobora guhagarika umuti cyangwa bakaguherereza imiti y'akanwa.

Nshobora kunywa inzoga nkanwa clindamycin?

Nubwo clindamycin itagira imikoranire y'inzoga, akenshi ni byiza kwirinda kunywa mugihe urimo gukira indwara ikomeye. Inzoga zirashobora kubangamira ubudahangarwa bwawe kandi zikongera ingaruka z'uruhande nk'isesemi n'impiswi.

Niba uri mu bitaro bakugaburira clindamycin, kunywa inzoga ntibiba bikunze kuba ikibazo kuko uzaba wibanda ku gukira. Iyo usohotse, ganira ku kunywa inzoga n'umutanga serivisi z'ubuvuzi washingiye ku miterere yawe yihariye n'ubuzima bwawe muri rusange.