Yuav kom tawm tsam cov kab mob ntawm cov kab mob fungal, ntau cov tshuaj raug tsim tawm hnub no. Thiab ua ntej txhua tus kws kho mob muaj ib qho kev xaiv yooj yim ntawm cov tshuaj noj tshaj plaws hauv qhov no los yog cov ntaub ntawv ntawd.
Ketoconazole ntsiav tshuaj los yog lwm cov tshuaj npaj raws li nws yog antifungal cov neeg ua hauj lwm ntawm lub dav spectrum ntawm kev txiav txim. Lawv tuaj yeem siv kho cov kab mob qhov ncauj, uas yog, kab mob tshwm sim los ntawm cov kab mob fungi, thiab lwm yam kab mob loj ntawm cov kab mob - mycoses, seborrhea.
Ketoconazole muaj teebmeem rau cov kabmob xws li hu ua Candida, dermatophytes, pwm fungi, muaj ntau yam kabmob ntsig txog lub cev thiab cov kab mob staphylococci thiab streptococci.
Thaum twg Ketoconazole ntsiav tshuaj?
Cov kev qhia rau kev siv ketoconazole yog:
- fungal kab mob ntawm cov hnyuv;
- fungal kis mob ntawm cov hlab ntsha urin-genital pwm, nrog rau qhov chaw mos candidiasis, zoo dua li thrush, as Well as mob mob contractiacis;
- mycosis ntawm cov rau tes, tawv nqaij, plaub hau, paronychia, folliculitis;
- seborrheic dermatitis (kab laum);
- fungal septicemia;
- mycosis qhov muag;
- kev mob mycoses - candidiasis, blastomycosis, histoplasmosis, etc .;
- kev tiv thaiv ntawm fungal kab mob nyob rau hauv cov neeg uas muaj immunodeficiency thiab nce kev pheej hmoo ntawm fungal qhov txhab.
Thaum noj tshuaj, npaj cov ntsiav tshuaj nrog ketoconazole muab ib txoj kev kho mob zoo rau lub cev thiab cov kua qaub me. Qhov kev txiav txim ntawm cov khoom no yog txuam nrog kev puas tsuaj ntawm tus txheej txheem ntawm biosynthesis ntawm ergosterol phospholipids thiab triglycerides, uas yog koom tes rau hauv tsim ntawm fungal cell membrane. Thaum kawg, txoj kev loj hlob thiab kev sib npaug ntawm cov kev tsim txom cov hlwb ceases thiab tus kab mob recedes.
Thaum noj qhov ncauj, qhov kev npaj txig yog txav kom zoo, uas yog, absorbed rau hauv cov ntshav, dav faib hauv cov nqaij, ib feem me nkag mus rau hauv cov kua qog hlwb. Tom qab kev nqus ntawm lub plab zom mov, cov khoom nquag muaj metabolized hauv daim siab, uas ua rau coob tus tsis muaj teebmeem metabolites. Cov tshuaj yog tso tawm hauv cov zis (13%), tshem tawm cov kua mis thiab tawm nrog cov quav (57%).
Feem ntau 1-2 ntsiav tshuaj noj ib hnub nrog zaub mov rau 2-8 lub lim piam, nyob ntawm seb tus kab mob thiab lub cev hnyav li cas. Cov tshuaj yuav muab tau rau cov menyuam yaus hnub nyoog tshaj 12 xyoos.
Contraindications thiab kev phiv los ntawm kev noj Ketoconazole
Ketoconazole ntsiav tshuaj los ntawm seborrheic dermatitis thiab lwm yam kab mob ntawm fungal etymology yog contraindicated nyob rau hauv cov cev xeeb tub, cov laus, cov me nyuam tsis tau muaj 12 xyoos, cov neeg uas muaj qhov ua siab phem rau ketoconazole thiab muaj kev puas tsuaj ntawm lub raum thiab lub siab ua haujlwm.
Cov kev mob tshwm sim ntawm kev ntsiav tshuaj yog raws li nram no:
- xeev siab thiab ntuav;
- zawv plab;
- kev pw tsaug zog;
- kiv taub hau, mob taub hau;
- poob plaub hau;
- niam txiv lub cev;
- exanthema;
- tsis muaj siab kev sib deev;
- gynecomastia;
- urticaria, pob tawv nqaij;
- photophobia;
- kub cev.
Qhov ncauj hais txog kev npaj los ntawm ketoconazole yuav tsum tau nrog kev saib xyuas kev kho mob li qub: ntshav kuaj, kuaj daim siab thiab lub raum ua haujlwm. Kiag li tsis ua raws li tus kheej-targeting thiab nws tus kheej-noj tshuaj nrog cov tshuaj no. Kev kho tsuas yog tus kws kho mob sau tau nkaus xwb.
Yog hais tias mob fungal meningitis, kev siv ketoconazole tsis zoo, vim hais tias cov khoom tsis zoo mus los ntawm BBB (hemato-encephalic barrier).
Kev npaj raws li cov tshuaj no yog cov kab mob siab hepatotoxic, yog li tus qauv yuav tsum tsuas yog siv thaum qhov txiaj ntsim kev pabcuam tau them rau qhov kev pheej hmoo. Tshwj xeeb tshaj yog nws txhawj txog cov neeg mob uas raug kev txom nyem los ntawm kev ua haujlwm siab tshaj plaws ntawm homatic enzymes los yog raug kev puas tsuaj rau lub siab vim yog siv lwm yam tshuaj.
Npaj nrog ketoconazole nyob rau hauv cov ntsiav tshuaj
Ntawm no yog cov npe ntawm cov qauv analogs ntawm ketoconazole hauv cov ntsiav tshuaj (raws li cov khoom sib xyaw ua ke):
- Mycosorrhal;
- Fungistab;
- Dermazol;
- Oronazole;
- Nizoral ;
- KetoconazoleAltapharm;
- Ketoconazole DS;
- Mikanisal;
- Livarol;
- Mikoket;
- Fungin.