Thrombomag - magani ne na ƙungiyar NSAID, yana nuna sakamako na antiplatelet. Godiya gareshi, hadarin haɓaka rikitarwa wanda ke haifar da ƙin jini ya ragu. Bugu da ƙari, ƙwayar ta nuna wasu kaddarorin, musamman, yana taimakawa kawar da kumburi.
Sunan kasa da kasa mai zaman kansa
Acetylsalicylic acid + Magnesium hydroxide
Thrombomag - magani ne na ƙungiyar NSAID, yana nuna sakamako na antiplatelet.
ATX
B01AC30
Saki siffofin da abun da ke ciki
Za'a iya siyan magani kawai za'a iya siyan su. Ya wakilci ƙungiyar kayan aikin hannu biyu. Abubuwan da ke tattare da kwantar da hankula suna nuna abubuwa daban-daban. Kamar yadda abubuwa masu aiki suke:
- acetylsalicylic acid;
- magnesium hydroxide.
Allunan suna da adadin nau'ikan abubuwan haɗin. Misali, maganin ASA shine 0.75 da 0.15 g .. Magnesium chloride yana cikin kwamfutar 1 a cikin adadin 15.2 da 30.39 mg. Allunan suna da karfi, amma ba kamar analogues ba, ana ba da izinin niƙa su kafin ɗauka. Bugu da ƙari, abubuwan haɗin Thrombomag sun haɗa da kayan haɗin da ba su nuna haɗin kai ba da ayyukan anti-mai kumburi:
- sitaci masara;
- dankalin dankalin turawa;
- microcrystalline cellulose;
- citric acid;
- magnesium stearate.
Ana bayar da maganin a cikin fakitoci (3 da guda 10.), Kowane ɗayansu yana dauke da Allunan 10.
Za'a iya siyan magani kawai za'a iya siyan su.
Aikin magunguna
Babban manufar maganin shine hana samar da thromboxane A2. Ana samun wannan sakamakon ta hanyar hana haɓakar sinadarin COX-1 isoenzymes. Koyaya, akwai raguwa a cikin ƙarfafar haɓakar ƙwayar ƙwayar kwayar cutar ta renal. Saboda wannan, bayyananniyar bayyanar cututtuka na kumburi sannu a hankali suke raguwa ko kuma tsananin taɓarɓarewa ta ragu sosai.
An rarraba ASA a cikin jiki duka, yana ba kawai maganin antithrombotic, tasirin anti-mai kumburi, amma kuma yana samar da sakamako na antipyretic. Lastarshe na kaddarorin shine saboda tasirin girma akan hypothalamus da kuma tsakiyar thermoregulation musamman. Bayan shan maganin, acetylsalicylic acid shine metabolized, a sakamakon haka, an saki salicylates. Wadannan abubuwa suna taimakawa rage algogenic na bradykinin, saboda wanda akwai raguwar tsananin zafin.
Saboda yawan adadin kaddarorin da ke alaƙar ASA, an gabatar da sinadarin a cikin abubuwan da ke tattare da magunguna da yawa. Tasirin antiplatelet din saboda iyawar shi kawai don hana hada kwayar platelet din ne kawai, amma kuma domin rage adadin karfinsu da juna. ASA yana shafar membranes na sel jini, yayin da tashin hankalinsu yake raguwa. Sakamakon haka, an sauƙaƙe hanyar samar da ƙwayoyin jan jini ta hanyar abubuwan ƙwanƙwasawa, saboda abin da aka lura da daidaiton kaddarorin jini, sanyin sa yana raguwa.
Wannan tasirin maganin yana kara zub da jini. Wani dukiyar ASA na tarawa shine kawar da ƙwararan jini. Dukkanin tasirin da wannan abu ya bayar suna da alaƙa. Don haka, ana hana dukiyar anti-haɗuwa ta hanyar sakin prostaglandins, amma tare da nau'in aiki daban. Wannan yana rage matakin kazamin ionized, wanda ke taimakawa rage ƙarfin haɗar platelets.
Dukiyar ASA tarawa shine kawar da ƙarar jini.
Rashin kyawun maganin shine dakatar da kwayar cutar antithrombotic prostaglandins. Ana bayar da wannan sakamako lokacin da aka sha maganin a babban kashi. Sakamakon shine kishiyar sakamako da ake so. Don wannan, yakamata a bi matakin yau da kullun da mai sana'ar ya bayar (ba fiye da 325 MG) ba.
Wani sashin aiki mai aiki a cikin kayan haɗin yana nuna kaddarorin antacid da laxative. Godiya gareshi, haɗarin rikitarwa a lokacin jiyya yana raguwa, saboda wannan abu yana sauƙaƙa tasirin cutar ASA akan ƙwayoyin mucous na hanji. Bayan shan maganin, magnesium hydrochloride yana hulɗa tare da ruwan 'ya'yan itace na ciki, wanda ke haifar da samuwar magnesium chloride.
Lokacin da wannan abu ya shiga hanjin ciki, to lahanin da zai nuna yana bayyana. Wannan ya faru ne saboda ƙarancin ikon narkewa a cikin irin wannan yanayin. Magnesium chloride yana tayar da jijiyoyin jiki. Wani dukiya shine ikon ɗaure shi tare da bile acid. Wannan abin da jiki ke cinye shi a hankali, wanda ke ba da gudummawa ga tsawan aikinsa.
Bayan shan maganin, magnesium hydrochloride yana hulɗa tare da ruwan 'ya'yan itace na ciki, wanda ke haifar da samuwar magnesium chloride.
Pharmacokinetics
An ba da shawarar shan magungunan dabam da abinci, saboda ɗaukar abubuwan da ke aiki na iya rage gudu, wanda hakan zai shafi yawan sakinsu. Abubuwan da ke tattare da magungunan suna dauke nan take, kuma gaba daya. Tsarin canji na acetylsalicylic acid yana da matakai da yawa. Da farko, ana fitar da salicylic acid, wanda daga baya ya zama metabolized tare da bayyanar wasu adadin mahadi: phenyl salicylate, glucuronide salicylate, salicyluric acid.
Ingancin tasiri na miyagun ƙwayoyi yana faruwa minti 10-20 bayan shan kwayoyin. Distributionaddamarwa da yawa a cikin jiki yana faruwa ne sakamakon ɗaukar nauyin da yake da shi ga garkuwar jini. Koyaya, wannan tsari ya dogara da sashi na ASA: mafi girman adadin magungunan da aka karɓa, mafi muni ƙwayoyin ƙwayoyin sunadarai sunadarai zuwa cikin ƙwayoyin plasma.
An cire abubuwanda ke aiki daga jini cikin sauri - a cikin minti 20, metabolites suna jinkirta tsawon lokaci. ASA gaba daya barin jiki bayan kwana 1-3. Kodan suna da alhakin aiwatar da cire manyan abubuwan haɗin. Abubuwan da ke aiki na biyu (magnesium hydrochloride) basu tasiri akan bioavailability na acetylsalicylic acid.
Ana bada shawara don shan magunguna dabam da abinci.
Alamu don amfani
An wajabta wannan magani don irin wannan yanayin:
- rigakafin farko na cututtuka daban-daban na CVD: embolism da thrombosis na veins da arteries, gazawar zuciya, idan akwai abubuwan haɗari: ciwon sukari, hauhawar jini, halaye marasa kyau, kamar shan sigari ko shan barasa;
- angina pectoris na yanayin rashin kwanciyar hankali;
- rigakafin sakandare na infarction na myocardial;
- rigakafin rikice-rikice bayan tiyata, haɗarin wannan yana ƙaruwa bayan jijiyoyin jijiyoyin zuciya jiyya grafting, angronlasty na zuciya.
Shin zai taimaka da hawan jini?
Magungunan da ke cikin tambaya yana taimakawa raguwa a cikin karfin jini, amma zuwa mafi girma wannan sakamakon yana nuna kanta bayan shan kwaya kafin lokacin kwanciya. Dole ne a ɗauka cikin zuciya cewa a ƙarƙashin rinjayar Thrombomag, matsin lamba na iya sauka zuwa mahimmanci. A saboda wannan dalili, bai kamata a yi amfani dashi ba yayin shan magungunan antihypertensive.
Contraindications
Magungunan suna da ƙuntatawa da yawa akan alƙawarin:
- lalacewar tsarin numfashi yayin jiyya tare da acetylsalicylic acid;
- mummunan amsawar halayyar mutum ga ɗimbin ASA da sauran abubuwan da aka haɗa a cikin abun da ke ciki;
- saitin maganganun cuta: fuka-fuka, ƙwanƙwasa hanci, tashin hankali ga acetylsalicylic acid, a wannan yanayin, haɗarin gazawar numfashi yana ƙaruwa;
- zub da jini a cikin narkewar abinci;
- basur;
- ci gaban yashwa a cikin tsarin ganuwar ganuwar narkewa;
- babban haɗarin zub da jini (a kan asalin ƙwayar cutar thrombocytopenia, rashi na bitamin K, da sauransu);
- karancin glucose-6-phosphate.
Tare da kulawa
Akwai da yawa daga cikin contraindications na dangi wanda ya halatta a yi amfani da maganin, amma ana buƙatar taka tsantsan:
- cututtukan zuciya
- gout
- sepsis
- a baya an gano ciwon ciki da duodenal ulcer;
- wani nau'in hanta na hanta da koda na gazawar aiki;
- asma;
- ilimin halin mutum na tsarin numfashi;
- lokacin da ake bukata;
- rashin lafiyan rashin lafiyan mutum.
Yadda ake ɗaukar thrombomag?
A mafi yawancin halaye, ana yin allurar da ba ta wuce allunan 1-2 a rana ba. Ana ɗaukar miyagun ƙwayoyi sau ɗaya. Bayani na jiyya na iya bambanta. Misali, don hana cututtukan CCC, an tsara 150 MG kowace rana, to, an rage wannan adadin sau 2. A wasu halaye, ana ganin ya isa ya ɗauki kwamfutar hannu 1 tare da kowane sashi na ASA (75 ko 150 MG), wanda ya dogara da tsananin cutar.
Tare da nau'i mai laushi na koda da gazawar hanta, ya kamata a sha magani tare da taka tsantsan.
Tare da ciwon sukari
An yarda da miyagun ƙwayoyi don amfani, ba a yin gyare-gyare na kashi, amma ya kamata a kula da mai haƙuri.
Sakamakon sakamako na Thrombomagus
Abubuwan da ba a dace ba yayin jiyya tare da wannan wakili ba su da yawa fiye da na Acetylsalicylic acid, saboda yawan sinadaran da ke aiki kaɗan ne, kuma tasirin allunan yana ƙara yin taushi. Side effects cewa faruwa sau da yawa:
- ciwon kai
- zub da jini
- bronchospasm;
- tashin zuciya da amai
- ƙwannafi.
Abubuwan da ke faruwa a irin waɗannan alamun ba su zama ruwan dare gama gari:
- janar gaba daya;
- Dizziness
- rauni, ji tare da akai tinititus;
- basur;
- rushewar tsarin hematopoietic, wanda cutar kwayar cuta ke nunawa, thrombocytopenia, da sauransu.
- kumburin ciki na ciki, wanda a mafi yawan lokuta ana fama da jin zafi a cikin ciki;
- farashi;
- bayyanar cututtuka daban-daban na rashin lafiyan: kumburi da jijiyoyin jiki, itching, kurji, hyperemia, rhinitis;
- lalataccen aikin na koda.
Tasiri kan ikon sarrafa abubuwan inji
Tuki mota ba contraindication bane. Koyaya, da aka ba da wannan mummunan rikice-rikice na iya haɓaka yayin jiyya, ya kamata a yi taka tsantsan.
Umarni na musamman
Lokacin da ake rubuta magani a cikin tambaya kafin tiyata, dole ne a tuna cewa kayan anti-tara tarin ƙwayoyi na iya faruwa a cikin kwanaki 3 daga kwamfutar hannu ta ƙarshe.
Yayin gudanar da aikin kula da marasa lafiya da ke fama da cutar koda, ya zama dole a sanya idanu kan manyan alamomin wannan sashin.
A farkon matakin farko da na karshe na jiyya, yakamata a yi kimantawa kan abubuwan da ya shafi jini.
Yi amfani da tsufa
A cikin marasa lafiya na wannan rukunin, haɗarin zub da jini yana ƙaruwa idan an ɗauki ƙaramin kashi na Trobomag. Don hana rikice-rikice, ana lura da alamun jini da hanta kodayaushe.
A cikin marasa lafiya tsofaffi, haɗarin zub da jini yana ƙaruwa idan an ɗauki ƙaramin kashi na Trobomag.
Aiki yara
Ba a amfani dashi.
Yi amfani da lokacin daukar ciki da lactation
Ba a sanya magani ba lokacin cinyewa, ƙuntatawa ya shafi kawai I and III trimesters. Irin waɗannan cututtukan suna faruwa ne sakamakon haɗarin haɓakar cututtukan cuta. Zai yiwu yiwuwar kullewa da wuri na ductus arteriosus a tayin. Laifin zuciya a cikin yaro na iya haɓaka. A cikin watanni biyu na II, an ba shi izinin yin amfani da miyagun ƙwayoyi a cikin adadin da bai wuce 150 MG kowace rana ba.
Yayin shayarwa, ba a kuma sanya magani akan tambaya ba.
Aikace-aikacen aiki mara kyau
Yakamata a yi taka tsantsan, tunda magnesium hydrochloride na iya shiga cikin jini jini. A wannan yanayin, sakamakon guba na abu yana ƙaruwa. Wannan tsari an bayyana shi ta hanyar bacin rai na tsarin juyayi na tsakiya.
A cikin gazawar koda mai girma, ba a yi amfani da maganin ba. A wannan yanayin, ya kamata ka mai da hankali kan ƙididdigar bayanin halitta (kasa da 30 ml a minti daya).
Mai tsananin lalata hanta wani abu ne na shan maganin.
Amfani don aikin hanta mai rauni
Babban lahani ga wannan ƙwayar cuta shine mai ɗaukar hoto don shan ƙwayoyi.
Gaggwar Damuwar
Ana inganta tasirin sakamako masu illa da yawa da aka bayyana a sama. Idan an ɗauki manyan allurai, alamun mummunan yanayin yanayin cututtukan yana faruwa. Kwayar cutar
- zazzabi
- hauhawar huhu;
- hypoglycemia;
- alkalal;
- ketoacidosis;
- mummunan lalacewar tsarin zuciya da jijiyoyin jini.
A wannan yanayin, farjin ya ƙunshi buƙatar lavage na ciki. An ba da shawarar mai haƙuri don ɗaukar sihirin da yawa, hemodialysis, alkaline diuresis an kuma tsara su. Ana ɗaukar matakan don dawo da ma'aunin ruwa-electrolyte. Game da yawan shaye-shayen magunguna, an kwantar da mara lafiya a asibiti.
Game da yawan abin sama da ya kamata, farjin ya shafi lalacewar ciki.
Yin hulɗa tare da wasu kwayoyi
Sakamakon methotrexate, valproic acid yana haɓaka.
Yawancin kwayoyi da abubuwa an lura dasu, tare da kulawa ta lokaci guda wanda maganganu marasa kyau zasu bunkasa:
- masu ilimin narkewa;
- NSAIDs;
- Insulin
- magungunan hypoglycemic;
- antiplatelet, anticoagulant da thrombolytic jami'ai;
- sulfonamides;
- Digoxin;
- lithium;
- ethanol.
Matsakaicin matakin ASA ya ragu a ƙarƙashin rinjayar wasu kwayoyi da abubuwa: GCS don amfani da tsari, Ibuprofen, sauran magungunan antacids, waɗanda ke ɗauke da magnesium ko aluminum hydroxide.
Tasirin Methotrexate yana haɓaka lokacin da aka ɗauke shi tare da Thrombomag.
Amfani da barasa
Yakamata a yi taka-tsantsan yayin aikin jiyya tare da Thrombomagum, yayin cinye abubuwan da ke dauke da giya.
Analogs
Abubuwa wadanda zasu iya amfani da su maimakon maganin da ake tambaya:
- Cardiomagnyl;
- Abubuwan da zasu iya canzawa;
- Haɓakar Strombital;
- Clopidogrel Plus.
Magunguna kan bar sharuɗan
Magungunan rukuni na kwayoyi don magungunan kan-kan-kan.
Zan iya saya ba tare da takardar sayan magani ba?
Akwai irin wannan dama.
Farashi
Farashin ya bambanta daga 100 zuwa 200 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Nagari zafin jiki na yanayi - ba fiye da + 25 ° С.
Ranar karewa
Ya halatta ayi amfani da samfur din har tsawon shekaru 2 daga ranar saki.
Mai masana'anta
Hemofarm, Rasha.
Nasiha
Veronika, shekara 33, St. Petersburg.
Kyakkyawan magani. Dauki bayan tiyata. Sakamakon sakamako, ban da halayen fata a matakin farko, ba su bane. Godiya ga Thrombomag, babu wasu rikice-rikice, wanda yake da mahimmanci, saboda jinina yayi kauri sosai.
Elena, 42 years old, Alupka.
Tare da hauhawar jini, ya zama dole don sarrafa adadin maganin. Idan ka sha shi ba tare da jituwa ba, karfin jini zai iya sauka zuwa iyaka mai tsauri.Na sami matsala: Na manta da shan maganin a kan lokaci, sannan na tuna kuma na sha shi nan da nan, amma nan da nan lokaci na zuwa na gaba ya kamata ya zo. Banyi la'akari da wannan ba kuma nayi kwafin liyafar. Sakamakon haka, ba su daɗewa fitar da ruwa ba, matsanancin matsin ya faɗi.
