Magungunan yana cikin rukunin magungunan hemostatic, yin amfani da shi don dalilai na maganin cutar daji da dalilai na warkewa saboda kasancewar bayyanar tasirin maganin cutar kansa a cikin maganin. Tasirin magungunan ƙwayar cuta ya samo asali ne daga ikon daidaita tsarin jijiyoyin bugun jini. Magungunan suna da contraindications. Yarda da wani takamammen tsari ya kamata a aiwatar bisa ga umarnin don amfani.
ATX
B02BX01.
Saki siffofin da abun da ke ciki
Masanin ya gabatar da manyan nau'ikan nau'ikan sakin magunguna guda biyu: allunan da bayani.
Ethamsylate yana cikin rukunin magungunan hemostatic.
Babban sashi mai aiki a duka siffofin shine ethamylate (a cikin Latin - Etamsylate). Abun da ke cikin kashi a cikin bayani (2 ml) bai wuce milimita 125 ba, a cikin kwaya - ba fiye da 250 MG ba. Taimako na taimako a cikin tsarin kowane sashi na tsarin aiki kamar masu kwantar da hankula.
Abun kwayoyin sun hada da wadannan abubuwan:
- polymer mai sauƙi
- sitaci kayan lambu (masara);
- stearic acid;
- canza launin abinci (dangane da masana'anta);
- madarar sukari (lactose).
Iya warware matsalar ya ƙunshi:
- sodium bicarbonate (bicarbonate);
- sodium pyrosulfite;
- tsarkakakken ruwa.
Abubuwan da ke cikin abubuwan da ke aiki a cikin maganin ba su wuce 125 MG ba.
Kwayoyi na daidai zagaye siffar, farin ko launi ruwan hoda da ƙaramin girma. Chamfer da haɗari suna nan. Tare da yanki mai tsayi na kwamfutar hannu, wani yanki mai yawan fararen fata a fili ake bayyane. Akwai fim mai rufe fim ɗin sashi na tsari. Allunan suna kwance cikin sel 10-raga. a kowane.
An zuba maganin allurar cikin gilashin ampoules bayyananne. Akwai alamu masu shuɗi akan akwati a wurin buɗe shafin da aka gabatar. Inje a cikin ampoules an saka cikin filastik filastik a cikin adadin 5 inji mai kwakwalwa. Dukkan nau'ikan sashi suna tafiya suna sayarwa a cikin kwali. Umarnin don amfani - akwai.
Hanyar aikin
Hanyar aiwatar da miyagun ƙwayoyi ya dogara ne da tasirin cutar ƙwayar cuta.
Tare da magani na yau da kullun, permeability na jijiyoyin jiki an daidaita shi, ciki har da cikakkiyar maganin ƙwayar cuta. An maimaita microcirculation na jini.
Tare da lokatai masu yawa, ƙwayoyi suna rage ƙarar secretion. Magungunan suna iya tayar da samuwar thromboplastin. Karkashin tasirin magani, yawan coagulation na jini yana karuwa, haka kuma yawan adon platelet. Magungunan yana hana haɓakar thrombosis da samuwar ƙwayoyin jini. Hypercoagulant kaddarorin magungunan ba ya nan.
A ƙarƙashin tasirin magani, yawan coagulation na jini yana ƙaruwa.
Pharmacokinetics
Lokacin da aka sha shi da baki, rarrabuwar hanyar sashi yana faruwa a cikin ƙwayar gastrointestinal. Magani ya fara aiki 20-30 bayan aikace-aikace. Matsakaicin maida hankali a cikin jini ya kai bayan minti 60. Tasirin magungunan yana tsawon awanni 6-7. Cire rabin rayuwar yana ɗaukar awoyi 1,5-2.
Maganin tare da allurar intramuscular da sauri ya watsu zuwa kyallen takarda mai taushi kai tsaye daga wurin allurar. Tasirin warkewa yana faruwa ne bayan mintuna 15-30. Magungunan yana metabolized a cikin hanta, ba tare da la'akari da irin sakin ba. M metabolites masu aiki ba su nan. Excretion yana gudana ne ta hanyar kodan; ba fiye da 2% an excreted canzawa.
Abin da aka wajabta
Yin amfani da miyagun ƙwayoyi don dalilai na warkewa yana gudana tare da cututtukan da ke haifar da tsokani jini. Waɗannan sun haɗa da masu ciwon sukari da kuma basur mai narkewa. Ana amfani da maganin sosai a cikin maganin tsoma baki a cikin cututtukan ophthalmic, hakori, urological, gynecological da otolaryngic.
Ana amfani da maganin sosai a cikin aikin tiyata a cikin yankin ophthalmic.
Ana amfani da magani a lokacin haila don hana zubar jini mai nauyi. An ba da damar amfani da rikicewar basur saboda dalilai na lafiya, gami da amfani da gaggawa don amai da gudawa na hanji.
Contraindications
Amfani da miyagun ƙwayoyi a matsayin wani ɓangare na monotherapy don basur wanda aka tsokani ta hanyar amfani da magungunan anticoagulants an haramta.
Babban contraindications sune:
- thrombosis
- thromboembolism.
An shawarci mara lafiyar marasa lafiyar da su guji shan maganin.
Yadda ake ɗauka
Ya kamata a sha miyagun ƙwayoyi ba tare da la'akari da irin sakin ba gwargwadon tsarin aikin. Ana ɗaukar maganin a baki (Allunan), ana gudanar da shi ta hanyar intramuscularly, retrobulbarly, intravenously (bayani) da kuma waje. Jiko (drip) allura ana aiwatar dashi a cikin sashin ƙwararrun likitocin. Sashi yana ƙaddara ta ƙwararren likita dangane da yanayin haƙuri.
Singlearin maganin warkewa guda ɗaya na maganin shine 150-250 ml sau uku a rana. Adadin kuɗin yau da kullun na kwamfutar hannu don marasa lafiya ya kamata ba su wuce magunguna 6 a kowace rana ba. Dangane da umarnin, kwaya ba ta da shawarar a ɗauka a kan komai a ciki. Allunan dole ne su bugu lokacin abinci ko bayan abinci.
Ana amfani da waje ta hanyar amfani da aikace-aikacen bandeji da aka sanya a cikin maganin maganin kai tsaye ga rauni.
Nawa kwanaki
Yin amfani da miyagun ƙwayoyi yana gudana a cikin darussan. Adadin aikin jiyya shine kwana 10-14. Tsakanin darussan, kuna buƙatar ɗaukar hutu na kwanaki 7-10.
Tare da nau'in ciwon sukari na 1
Lokacin kulawa da cututtukan cututtukan sukari, dole ne a kula da tsari na sashi wanda kwararre ya tsara. Maganin da aka bayar da shawarar maganin kwayoyin shine 250-500 MG sau uku a rana don kwanaki 10.
Lokacin kulawa da cututtukan cututtukan sukari, dole ne a kula da tsari na sashi wanda kwararre ya tsara.
An aiwatar da gabatarwar maganin a cikin / m ko / a cikin adadin 2-4 ml sau biyu a rana don kwanaki 14. Zai fi kyau a yi amfani da sirinji tare da ƙananan allurai diamita.
Side effects
Tsarin tsari da aka zaɓa ba daidai ba zai iya tayar da haɓaka sakamako masu illa da yawa.
Gastrointestinal fili
Daga cikin jijiyoyi, ƙwannafi, yawan tashin zuciya da amai, da kuma ciwon ciki.
Hematopoietic gabobin
A ɓangaren gabobin haemopoietic, haɓakar tachycardia, tsalle a cikin karfin jini, jin zafi a cikin yankin zuciya yana lura.
Shan magungunan na iya rushe wurare dabam dabam na jini, sakamakon yadda fatar ta zama cyanotic.
Tsarin juyayi na tsakiya
Daga gefen tsarin juyayi na tsakiya, amai, damuwa na bacci (yawan bacci ko rashin bacci), fargabar iyakar zata iya bayyana.
Sakamakon sakamako na shan miyagun ƙwayoyi ya hada da tashin hankali na barci.
Daga tsarin urinary
A cikin halayen da ba kasafai ba, akwai keta alfarmar fitsari.
Cutar Al'aura
Magungunan ba ya haifar da rashin lafiyan halayen.
Umarni na musamman
Yin amfani da miyagun ƙwayoyi a cikin yara na iya buƙatar gyara tsarin aikin sashi. An hana yara matuƙar bayar da magunguna sama da 2-3 a rana; ana yin lissafin kowane kashi dangane da nauyin jikin ɗan (har zuwa 15 mg / kg nauyi).
Amfani da barasa
Magungunan ba su dace da barasa ba. Ethanol a hade tare da sashi mai aiki a cikin sashi na sashi yana haifar da maye jiki sosai kuma yana kara kaya a hanta.
Magungunan ba su dace da barasa ba.
Yi amfani da lokacin daukar ciki da lactation
Yin amfani da miyagun ƙwayoyi dangane da mata masu juna biyu (I trimester) ana aiwatar da shi ne ƙarƙashin kulawa da likitan halartar kuma saboda dalilai na kiwon lafiya. Babu takamaiman bayani game da yiwuwar cutar da tayi.
Yawan damuwa
Wanda ya ƙera aikin bai bayar da ƙarin yawan abin da zai wuce gona da iri ba.
Yin hulɗa tare da wasu kwayoyi
Babu wani bayani game da hulɗa game da maganin cututtukan cututtukan cututtukan cuta tare da wasu kwayoyi.
Analogs
Akwai wasu tsoffin analogues (bisa ga ATX) da kuma ilimin halittar jini.
Manyan sun hada da:
- Eskom. Akwai azaman maganin allura. Babban sashi mai aiki daidai yake da na asali. Yana hana zub da jini na etiologies daban-daban, yana ƙarfafa ganuwar jijiyoyin jini. Kudin kusan - 90-120 rubles.
- Dicinon. Hemostatic, daidaitaccen tsarin tsarin (kai tsaye) na asali. Akwai shi a cikin hanyar warwarewa da kwayoyin. Da sauri ya karba ya rarraba. Akwai contraindications. Farashin a cikin kantin magani ya kasance daga 130 rubles.
Kayan kwayoyi sun hada da:
- Tranexam. Magungunan hemostatic wanda ke aiki azaman hanawar cututtukan fibrinolysis. Yana haɓaka samuwar plasmin. Akwai shi a cikin kwamfutar hannu. Yana hana ci gaba da zub da jini, gami da mahaifa, hanji da na huhu. Farashi - daga 80 rubles.
- Vikasol. Magungunan rigakafin ƙwayar cuta, wanda shine misalin kwayar cutar K. Hanyar sakinwa shine mafita ta allura. Babban nuni ga amfani shine cututtukan basur. Kudinsa - daga 120 rubles.
Kusan duk analogues na buƙatar takardar sayan magani daga kantin magunguna. An cire zaɓin mai zaman kansa.
Magunguna kan bar sharuɗan
Kowane nau'i na sakin yana samuwa akan sayan magani.
Farashin Etamsilat
Kudin magani (dangane da irin sakin) yana farawa daga rubles 120.
Yanayin ajiya na miyagun ƙwayoyi Ethamsylate
Dole ne a adana miyagun ƙwayoyi a cikin wuri mai sanyi da duhu. Dole ne a nisantar da bayyanar rana. Haramun ne a kyale yara da dabbobi a wurin ajiyar magunguna.
Ranar karewa
Haramun ne a adana magungunan (ba tare da yin laima ba) fiye da watanni 36.
Yi nazarin sake dubawa
Vladimir Starovoitov, likitan tiyata, Nizhny Novgorod
Na yi la'akari da miyagun ƙwayoyi suna da tasiri. A aikace, na nema na dogon lokaci. Farashin magunguna karami ne, wanda ke sauƙaƙa sayen kowane nau'in magani kuma yana sa magani ya zama araha ga kowane yanki na jama'a. Yawancin lokaci Ina hada da hemostatic a farjin farfadowa a matsayin hanyar hana zubar jini bayan tiyata.
Ina ba da shawarar cewa marasa lafiya na ɗauki ƙaramin kashi 1.5-2 hours kafin aikin da aka gabatar. A wannan lokacin, maganin yana tunawa gaba daya, yana fara aiki rabin sa'a bayan aikace-aikacen. A miyagun ƙwayoyi rage hadarin capillary da venous zub da jini. Yana da inganci musamman a matsayin ɓangaren rikicewar jiyya.
Gunaguni game da sakamako masu illa daga marasa lafiya ba su da yawa. Babban dalilin da zasu iya faruwa shine karuwa ne da gangan a cikin adadin da likita ya tsara. Abubuwan da ke haifar da sakamako a cikin mafi yawan lokuta suna wucewa da kansu bayan kwanaki 2-3.
Larisa, ɗan shekara 31, Magnitogorsk
Tayin tayi sama da mako goma sha shida. Bayan tsaftacewa, an buɗe jini. Bayan gwaji, likita ya allurar da maganin ƙwaƙwalwar ƙwayar cuta. 1 allura bai taimaka ba, Dole na dugu da hanya. An tsayar da jinni, an yi amfani da maganin a gida don wani kwanaki 5. Bayan aikin, an lalata yanayin haihuwar. Fitar ta yayi yawa, yayin hailarta sai ta fara jin nauyi da rauni. Na sake komawa wurin likitan mata. Likita ya ce zubar da jini yana da ƙarfi, ya zama dole a daidaita da'irar da wuri-wuri.
Ta dauki magungunan hemostatic a cikin nau'ikan allunan. A farkon magani, ta sha kwaya 1 sau uku a rana, a hankali tana ƙara yawan zuwa allunan 2 sau ɗaya. Likita ya yi gargadin cewa ba shi yiwuwa a narkar da abincin cikin hanzari, ya zama dole a hankali a rage maganin. Abubuwan da ke haifar da sakamako sun bayyana a ranar 2 na jiyya. Da safe bayan shan kwayoyin, sai na ji wani mummunan rauni na tashin zuciya.
A abincin rana, liyafar ta yanke shawarar kada ta ɓaci, sha kwaya bayan cin abinci. Babu tashin hankali, amma akwai wata 'yar karamar ajiyar zuciya, wanda ya tafi bayan' yan awanni. Kwanakin farko ta kasa yin bacci na dogon lokaci, sannan barcin ya koma al'ada.
Maxim, dan shekara 43, Astrakhan
Na dade da rashin lafiya tare da hemophilia. Don ci gaba da ƙoshin lafiya, yana tilasta masa shan magungunan rigakafin jini a kai a kai. A da, ya guji maganin gargajiya, ya nemi ya ceci kansa tare da magungunan gargajiya, amma hakan ya ci tura. Bayan alƙawari na gaba, likita ya ba da shawarar ɗaukar magani mai tsada tare da sakamako na hemolytic. Sakamakon rashin kudi, na sha hanyar 1 kawai na wannan maganin. Likita ya ce in zabi kayan aiki mai araha.
An dakatar da zaɓin ne akan maganin mara tsada tare da daidaitaccen tsarin kamar magani mai tsada. Na sayi maganin a kantin magani tare da takardar sayan magani. Na farko na ɗauki kwamfutar hannu 1 sau 2 a rana, to, tare da izinin likita, na ɗan ƙara yawan kashi. Ina so in lura cewa cutar hemolytic na miyagun ƙwayoyi ta kasance mai jurewa. Duk tsawon shekaru na amfani, sakamako masu illa sun faru 1 lokaci saboda rashin kyakkyawan tsari. Kada a sha magani a cikin komai a ciki: tashin zuciya ya bayyana. Ina shan magungunan kwayoyi na makonni biyu tare da hutun kwanaki 6-7. Gamsu da sakamakon.
