Milgamm - mawonekedwe ndi mawonekedwe a ntchito

Mitundu ya Milgamm:

  • Njira yothetsera makulidwe a mu mnofu (m'mitsempha): madzi ofiira owonekera (2 ml aliyense m'magalasi amdima amdima, ma PC 5. M'matumba a chithuza, m'mapaketi a makatoni a 1, 2 kapena 5, m'makatoni 5: 5 ma PC. ., pamakatoni okhala ndi pallet imodzi 1 kapena 5, kapena ma PC 10,.
  • Dragee (zidutswa 15 zofunikira kumata chilichonse, pamakatoni a 2 kapena 4).

  • 1 ml yankho: thiamine hydrochloride (B1) - 50 mg, pyridoxine hydrochloride (B6) - 50 mg, cyanocobalamin (B12) - 0,5 mg, lidocaine hydrochloride - 10 mg,
  • Piritsi limodzi: benfotiamine - 100 mg, pyridoxine hydrochloride - 100 mg.

  • Zothetsera: mowa wa benzyl, sodium polyphosphate, potaziyamu hexacyanoferrate, sodium hydroxide, madzi a jekeseni,
  • Matontha: Aerosil, calcium carbonate, titanium dioxide, cellcrystalline cellulose, sodium carboxymethyl cellulose, povidone, chipolopolo, mafuta glycerides, sucrose, acacia ufa, polyethylene glycol-6000, chimanga, glycerol, glycol wax.

Mankhwala

Mavitamini a Neurotropic a gulu B ali ndi zotsatira zabwino pa matenda osachiritsika ndi otupa a zida zamagetsi ndi mitsempha, kuchititsa magazi kuyenda komanso kusintha magwiridwe antchito amanjenje.

Thiamine ndi chimodzi mwazinthu zofunika kwambiri mu kagayidwe kazachilengedwe, komanso kuzungulira kwa Krebs potenga nawo gawo pakuphatikizika kwa adenosine triphosphate ndi thiamine pyrophosphate.

Pyridoxine amatenga nawo mapuloteni ndipo amaphatikizidwa pang'ono ndi kagayidwe ka mafuta ndi chakudya. Ntchito yokhudza thupi ya thiamine ndi pyridoxine ndikupititsa patsogolo zochita za wina ndi mnzake, zomwe zimawonetsedwa muzochitika zamitsempha yama mtima, mitsempha ndi mitsempha. Vitamini B akusowa6 kumabweretsa chitukuko cha kufalikira komwe kumafotokoza komwe kumayima posachedwa pambuyo pokhazikitsa thiamine ndi pyridoxine.

Cyanocobalamin amagwira ntchito yofunika kwambiri pakuphatikizika kwa chithaphwi cha myelin, amathandizira kagayidwe kazinthu kamene kamayambitsa matenda a folic acid, amachepetsa kuopsa kwa kupweteka komwe kumachitika chifukwa cha kuwonongeka kwa dongosolo la zotumphukira zamitsempha, ndipo ndikulimbikitsa kwa hematopoiesis.

Lidocaine ndi mankhwala oletsa kudwala omwe amachititsa mitundu yonse ya mankhwala opaleshoni yam'deralo: kulowetsedwa, kulowetsedwa, kudwala.

Pharmacokinetics

Ikaperekedwa kudzera mu intramuscularly, thiamine imatengedwa mwachangu kuchokera pamalowo jekeseni ndikulowera m'magazi. Kutulutsa kwake ndi 484 ng / ml ndipo kumatheka patatha mphindi 15 atakhazikitsa mlingo wa 50 mg tsiku loyamba la mankhwala. Thiamine imagawidwa mosiyanasiyana mu thupi: 75% ya mankhwala omwe amaperekedwa amakhala m'magazi ofiira, 15% mu leukocytes, 10% m'madzi am'magazi. Chifukwa chosowa mavitamini osungidwa mthupi, ndikofunikira kuonetsetsa kuti thupi lake limadya tsiku lililonse.

Thiamine amadutsa zotchinga za m'magazi ndi magazi mu mtima ndikutsimikiza mkaka wa m'mawere. Kutupa kwa thunthu kumachitika ndi mkodzo pambuyo maola 0.15, mu gawo la alpha, mutatha ola limodzi mu gawo la beta, kwa masiku awiri mu gawo lodwala. Ma metabolites apamwamba a thiamine amaphatikizapo piramidi, thiaminocarboxylic acid ndi metabolites ena osadziwika. Mwa mavitamini onse, thiamine amadziunjikira m'thupi m'malo otsika kwambiri. Thupi la munthu wamkulu limakhala ndi 30 mg ya thiamine, 80% yomwe ili mu mawonekedwe a thiamine pyrophosphate, 10% - mu mawonekedwe a thiamine triphosphate, 10% - mu mawonekedwe a thiamine monophosphate.

Pambuyo pa jekeseni wamitsempha, pyridoxine imatengedwa mwachangu m'magazi ndikugawidwa m'thupi, ndikuchita mbali ya coenzyme pambuyo pa gulu lake la CH2OH ndi phosphorylated pa 5th udindo. Vitamini amamangidwa ndi mapuloteni a plasma ndi pafupifupi 80%. Pyridoxine imagawidwa thupi lonse ndikuwoloka chotchinga, ndikuwonekeranso mkaka wa m'mawere. Thupi limadziunjikira m'chiwindi ndipo limaphatikizira mpaka 4-pyridoxic acid, womwe umapukusidwa kudzera mu impso kwa maola 2-5 utatha. Thupi laumunthu limakhala ndi 4-150 mg ya vitamini B6, kuchuluka kwake kwatsiku ndi tsiku kumakhala pafupifupi 1.7-3.6 mg ndi kuchuluka kwatsopano kwa 2.2-2.4%.

Zizindikiro zogwiritsidwa ntchito

  • Neuritis, neuralgia,
  • Polyneuropathy, kuphatikizapo mowa ndi matenda ashuga,
  • Retrobulbar neuritis,
  • Ganglionites, kuphatikizapo herpes zoster,
  • Mawonetseredwe amtundu wa osteochondrosis a msana: radiculopathy, lumbar ischialgia, minofu-tonic syndromes,
  • Paresis wamitsempha wamaso.

Kuphatikiza apo, kugwiritsa ntchito Milgamma kukuwonetsedwa:

  • Chithandizo: monga gawo la zovuta mankhwala a plexopathy, neuropathy, minyewa usiku kukokana (zambiri odwala okalamba),
  • Dragee: chizindikiro cha myalgia, matenda amitsempha yamagazi oyambitsidwa ndi kuchepa kwa mavitamini B1 ndi B6.

Contraindication

  • Nthawi yokhala ndi pakati komanso yoyamwitsa,
  • Hypersensitivity mankhwala.

Kuphatikiza apo, kugwiritsa ntchito Milgamma kumatsutsana:

  • Yankho: kupezeka kwa mtima wosakhazikika mtima, ubwana,
  • Dragee: Kulephera kwamtima mu gawo la kubweza.

Malangizo ogwiritsira ntchito Milgamma: njira ndi mlingo

Njira yothetsera vutoli idapangira jakisoni. Majakisoni a Milgamm amachitika kwambiri mu mnofu. Mlingo woyenera wopweteka kwambiri: 2 ml 1 nthawi patsiku, njira ya mankhwala - masiku 5-10. Pambuyo pochepetsa ululu wosaneneka kapena ndi mitundu yofooka ya matendawa, mankhwalawa amatchulidwa katatu pa sabata kwa masabata awiri. Chithandizo chikuyenera kuchitika moyang'aniridwa ndi achipatala mlungu uliwonse. Kugwiritsa ntchito yankho kuyenera kufotokozedwera kwa nthawi yayifupi kwambiri, kutsatiridwa ndikusamutsa wodwala kupita naye mkati.

Mapiritsi a Milgamma amatengedwa pakamwa ndi madzi okwanira. Mlingo woyenera: piritsi limodzi katatu patsiku, njira ya mankhwala - mwezi umodzi.

Mawonekedwe ndi kapangidwe ka mankhwala

Ampoules, dragees, kirimu amagulitsidwa ku malo ogulitsa mankhwala.

Wothandizirana ndi othandizira ndi kuphatikiza magawo atatu: B1, B6, B12.

Thiamine (B 1) - madzi sungunuka m'madzi. Kuphatikizika kwa minofu yathupi kumafika 50% mukamamwa.

Amatenga nawo mbali:

  • Popereka ululu wamitsempha, kukonza makina owonongeka amitsempha, kulimbikitsa chizindikirocho kumapeto kwake,
  • Tetezani khungu lanu kuzinthu zowonongeka za zinthu zomwe zimapangidwa nthawi ya oxidation,
  • Munjira zamphamvu kaphatikizidwe mu cell.

Benfotiamine ndi mchere wosungunuka wa thiamine. Mothandizidwa ndi pafupifupi 100% m'mimba, ndiye kuti ili ndi mapindu ake mukamamwa pakumayerekeza ndi mawonekedwe omwe samasungunuka madzi.

Pyridoxine (Vit B 6):

  • Amasintha kagayidwe kachakudya mu dongosolo lamanjenje,
  • Antioxidant
  • Imasinthasintha kagayidwe kazakudya zomanga thupi, zimalepheretsa kuchuluka kwa poizoni, owopsa pamapeto amitsempha - ammonia,
  • Amayang'anira kagayidwe ka amino acid.

Vitamini B 12 (cyanocobalomin):

  • Kugwiritsa ntchito pomanga pozungulira mathero a mitsempha ya myelin,
  • Amayang'anira kutembenuka kwa lipids, chakudya cham'mimba ndi mapuloteni.

Milgamma - Mapiritsi Amapangidwe a Vitamini:

  • Benfiotiamine 100 mg,
  • Pyridoxine (B6) 100 mg.

Ampoules of Milgamma

Voliyumu - 2.0, Na. 5, 10 ndi 25 mu phukusi la jakisoni minofu.

Zopangidwa:

  • Pyridoxine - 100 mg,
  • Thiamine - 100 mg,
  • 1 mg (1000 mcg) cyanocobalomin,
  • Lidocaine hydrochloride - 20 mg,
  • Vitamini B stabilizer 12, 1, 6 - potaziyamu wa hexacinoferrate,
  • Kusungika - mowa wa benzyl (40 mg / 2 ml),
  • Madzi 2.0 a jakisoni
  • Galasi la ampoule ndilopanda chilichonse, lamdima (kuteteza ku cheza cha ultraviolet).

Kodi mankhwalawa amagwira ntchito bwanji?

Ntchito ya milgamma imalumikizidwa ndi zotsatira za mavitamini omwe amapanga mawonekedwe ake. Munthu amafunika 2 mg ya pyridoxine, thiamine, ndi cyanocobalamin 2 μg patsiku kwa moyo wonse.

Kuchuluka kwa mavitamini omwe ali m'makonzedwewo kumaposa zomwe munthu amafunikira patsiku. Omwe amafotokozera awo odana ndi kutupa, kusinthanso komanso ma analgesic zotsatira zakumapeto ndi mitsempha yapakati.

Lidocaine - mankhwala ochititsa chidwi - amalimbikitsa ntchito ya analgesic yakumaloko ndi trophic yamavitamini awa. Kugwiritsa ntchito mankhwalawa molumikizana ndi gulu la mankhwala omwe si a steroidal anti-kutupa kumathandizira zotsatira za analgesic ndikuchepetsa kutupa kwambiri.

Milgamm - malangizo ntchito

Awa ndi mankhwala othandizika ndi kutchulidwa kwa analgesic kwenikweni, omwe cholinga chake ndi mankhwalawa a polyneuropathies a chiyambi osiyanasiyana, limodzi ndi ululu. Mapiritsi a Milgamm amagwiritsidwa ntchito mu 1 ena 3 r / tsiku.

  1. 1 Dr. 3 r / tsiku kwa masabata 4-6.
  2. Bwerezani miyezi itatu iliyonse.

Kale sabata yachitatu yakuvomerezedwa, mphamvu ya kupweteka m'miyendo imatsika ndi 30-50% ndipo pofika nthawi imeneyi odwala nthawi zambiri amakana kutenga analgesics.

Ma jakisoni a Milgamma, kenako ma dragees amaperekedwa:

  1. Chithandizo cha ma neuropathies mu osteochondrosis ndi matenda a shuga / m tsiku lililonse pa 2.0 No10,
  2. Ngati mukupweteka kwambiri (musculoskeletal or neuropathic): atatha jekeseni la masiku 10, 2-3 r / sabata amapatsidwa minofu yomwe imachitika. Masabata 2-3 kapena pakamwa 1. 1 r / tsiku kwa masabata anayi,
  3. Mankhwalawa kutupa kwa trigeminal, 2.0 v / m amalembedwa kwa masiku 10 mpaka 15, kenaka wina 1. Compositum 3 r / d kwa masabata 6,
  4. Pofuna kupewa kapena kuchiza masoka a masensa: Cavinton, glycine, Proserin, electrophoresis + Milgamm v / m 2.0 No10, atatha 1 ena 3 r / tsiku - mpaka masiku 30,
  5. Kuti muchiritse odwala omwe akumva kupweteka pambuyo pa kuchotsedwa kwa disc: i / m kwa 2.0 Palibe masiku 5, ndiye 1 ena 3 r / tsiku - masiku 25. Kuphatikiza pa analgesic zotsatira, kuchepa kwa nkhawa ndi mawonekedwe a asthenic adadziwika.

Zotsatira za pharmacological

Kamangidwe ka mankhwala a Milgamm (Milgamma) akuphatikiza mavitamini a gulu B.

Mavitamini B ndi zinthu zosungunuka zamafuta zomwe zimagwira gawo lalikulu mu kagayidwe kazinthu kakang'ono ka thupi ndipo zimachita mbali zonse zofunika. Gulu la mavitamini B limaphatikizapo magawo akuluakulu a kukonzekera kwa Milgamma - vitamini B1 (thiamine), B6 ​​(pyridoxine) ndi B12 (cyanocobalamin). Chimodzi mwazonse zomwe zimapangidwira vitamini Milgamm chimagwira ntchito yofunika.

Vitamini B1 (Thiamine)

Thiamine (B1) amachititsa kuti kagayidwe kazigawo kazigawo ka mkati (chiwindi, ubongo ndi minofu yamoyo). Kuphatikiza apo, imakhudzidwa ndikupanga mafuta acids ndikuwonjezera metabolism ya amino acid. Ntchito yofunikira ya thiamine ndikuti imachepetsa kutupa kwa khungu, imasintha mkhalidwe wa mucous nembanemba. Thiamine amakhudzidwa ndi hematopoiesis komanso magawo am'magazi, kupewa kukalamba kwa thupi.

Thiamine amalembedwa ndi akatswiri pazochitika zotsatirazi:

  • ndi matenda a chiwindi
  • ndi kusokonezeka kwa dongosolo la endocrine (zotsatira zake ndi kunenepa kwambiri, shuga),
  • ndi eczema, psoriasis, pyoderma,
  • Ndi zolakwika ntchito ya impso, ubongo ndi chapakati mantha dongosolo,
  • ndi gastritis, zilonda zam'mimba, kapamba ndi zina m'mimba.

Zotsatira zoyipa

Matupi a mziwopsezo samatsutsidwa: kawirikawiri - kupuma movutikira, urticaria, zotupa pakhungu, edema ya Quincke, kuwopsa kwa anaphylactic.

Kuphatikiza apo, jakisoni wa Milgamma angayambitse mavuto:

  • Dongosolo la mtima: kawirikawiri - tachycardia, nthawi zina - arrhythmia, bradycardia,
  • Machitidwe amsempha: nthawi zina - chisokonezo, chizungulire,
  • Matumbo ogwiritsa ntchito: nthawi zina - kusanza,
  • Mchitidwe wamafupa: nthawi zina - kupweteka,
  • Dermatological zimachitika: kawirikawiri - kuyabwa, kuchuluka thukuta, ziphuphu,
  • Zomwe zimachitika munthawiyo komanso mwatsatanetsatane: zina - kukwiya pa malo a jakisoni, mankhwala osokoneza bongo kapena makonzedwe akulu - chiwonetsero cha zochita zamkati.

Potengera momwe mankhwalawa amakhalira ndi Milgamm dragees, kukulitsa kosakhumudwitsa kumatheka.

  • Momwe mtima: zina, tachycardia,
  • Zina: nthawi zina - thukuta limachulukirachulukira.

Malangizo apadera

Pakakhala vuto la wodwalayo mwangozi, dokotalayo amayenera kupima nthawi yomweyo, kutengera mtundu wa wodwalayo, kupereka chithandizo choyenera kapena kusankha momwe angagonekere kuchipatala.

Zilonda ziyenera kugwiritsidwa ntchito mosamala kuphatikiza ndi cycloserine, D-penicillamine.

Zambiri pokhudzana ndi mphamvu ya Milgamma pakutha kwa odwala kuyendetsa magalimoto ndi machitidwe ake zikusowa.

Kuyanjana kwa mankhwala osokoneza bongo

Malinga ndi malangizo, Milgamm mu mankhwala othandizira amachepetsa mphamvu ya levodopa, izi zimachitika chifukwa cha kuwonjezeka kwa zotumphukira zake za decarboxylation mothandizidwa ndi pyridoxine. Mankhwala amakhudzana ndi penicillamine, cycloserine, isoniazid.

Kuyanjana kwa mankhwala kwa yankho kumachitika chifukwa cha kuphatikiza.

Chifukwa cha mawonekedwe a thiamine, yankho la Milgamm silingaphatikizidwe ndi kuchepetsedwa komanso kuphatikiza mankhwala ophatikiza, kuphatikizapo ma carbonates, iodides, acetates, ammonium iron citrate, tannic acid, phenobarbital, benzylpenicillin, riboflavin, dextrose, disulfites. Kuwonongeka kwathunthu mu mayankho a sulfites, zopangidwa ndi kuwonongeka kwa thiamine zimachepetsa ntchito zamavitamini ena. Mphamvu ya thiamine imatayika pa pH yoposa 3, ndipo mkuwa umathandizanso kuthamangitsa njira zowonongera.

Ndi munthawi yomweyo kugwiritsa ntchito epinephrine ndi norepinephrine, kupezeka kwa lidocaine mu yankho kungayambitse mavuto ambiri kuchokera pansi pamtima. Kuchita ndi sulfonamides kunadziwikanso.

Chifukwa cha kupezeka kwa cyanocobalamin mu kapangidwe kake, yankho la Milgamm silingaphatikizidwe ndi mchere wazitsulo zolemera, riboflavin (makamaka ndikuwonetsedwa nthawi yomweyo).

Ma antioxidants amachepetsa zovuta zamankhwala, mphamvu ya nicotinamide imathandizira kufalikira.

Mafanizo a Milgamm ndi: Vitaxone, Vitagamm, Combibipen, Compligam B, Neuromultivit, Binavit, Triovit, Pikovit.

Ndemanga zamkati

Pakadali pano, pali ndemanga zingapo za Milgamm, zomwe zimasiyidwa ndi onse omwe adalandira chithandizo ndi madokotala. Amati jakisoni wamkati ndimapweteka kwambiri, ndipo nthawi zina kuyipidwa kumawonekera pamalo a jekeseni. Komabe, zabwino za mankhwalawa neuralgia, neuritis ndi matenda ena ndizokayikitsa. Pazakusintha kwathunthu kwathanzi, akatswiri amalangizo akuwongolera kukhala ndi moyo wathanzi ndikutsatira malingaliro onse panthawi yamankhwala, chifukwa Milgamma amangochotsa zokhazo, koma osati zomwe zimayambitsa matendawa.

Nthawi zambiri, odwala amafotokoza za chithandizo cha mankhwala a Milgamm monga gawo la mankhwala ophatikiza, mwachitsanzo, mankhwalawa akaphatikizidwa ndi Movalis, mankhwala osagwiritsa ntchito mankhwala osokoneza bongo omwe amagwiritsidwa ntchito pochiza matenda a musculoskeletal system.

Kapangidwe ka mavitamini ndi momwe amakhudzira dongosolo lamanjenje laumunthu

Kuphatikizidwa kwa mavitamini a Milgamm, monga tafotokozera pamwambapa, muli mavitamini B ambiri.

Mwa jakisoni wa jakisoni, mawonekedwe ake ndi awa:

    Thiamine "B1" idapangidwa kuti ipereke kagayidwe kazachilengedwe kagayidwe kamwazi, kamene kamathandizira kukhala ndi thanzi labwino la minofu yamitsempha. Zikachitika kuti thupi laumunthu ndilosakwanira pachinthu ichi, izi zitha kupangitsa kuti pakhale michere yambiri, yomwe ingapangitse kuti pakhale ziwonetsero zambiri za matenda.

Omwe amapanga jakisoni ndi sodium hydroxide ndi polyphosphate, madzi, lidocaine hydrochloride limodzi ndi potaziyamu hexacyanoferrate.

Zomwe mapiritsi a mavitamini a Milgamma akuphatikiza ndi izi:

  • Pyridoxine, yomwe ndi yofunika kwambiri mu kagayidwe kazakudya, potenga nawo gawo la mafuta ndi kagayidwe kazakudya.
  • Benfotiamine, omwe amadziwika kuti ndi amodzi mwa mitundu ya thiamine "B1", amagwira mwakhama kagayidwe kazachilengedwe.

Omwe amathandizira pankhaniyi ndi a colloidal silicon dioxide, komanso talc ndi povidone.

Kuphatikizidwa kwa mavitamini a Milgamm ndi konsekonse.

Malangizo ogwiritsa ntchito jakisoni ndi mapiritsi

Kwambiri achire zotsatira za mankhwala zimatheka kudzera mu mnofu makonzedwe. Mlingo woyenera wa mankhwalawa ndi ma milligram awiri, ndipo muyenera kulowa kamodzi pa tsiku. Ngati cholinga ndikukonzanso mankhwala, ndiye kuti mtengo wake wa chinthucho umagwiritsidwa ntchito kamodzi pakatha masiku awiri.

Mtundu wa mapiritsi a mankhwalawa, monga lamulo, umagwiritsidwa ntchito ngati chithandizo chothandizira, ndipo mlingo woyenera mwanjira iyi ndi piritsi limodzi kamodzi patsiku. Izi zimatsimikiziridwa ndi malangizo a Milgamma ndikuwunika.

Chifukwa chakuti mankhwalawa samakhudza ma psychomotor zimachitika, palibe zotsutsana pazomwe zimagwiritsidwa ntchito poyendetsa, kapena polumikizana ndi zina.

Kuchita kwa mankhwala ndi mankhwala ena

Pogwiritsa ntchito munthawi yomweyo Milgamm ndi zinthu zina, vitamini B1 amayamba kuwonongeka kwathunthu mthupi ndipo samapereka chithandizo choyenera. Kuphatikiza apo, zinthu zina zilizonse zimaleka kuchitapo kanthu, chifukwa chake mankhwalawa sitingayembekezere pamenepa.

Kuperewera kwa mphamvu ya mankhwala kumachitika motsutsana ndi maziko a vitamini "B1" omwe ali ndi zinthu zotsatirazi ndi zinthu:

  • Magnesium sulfate kapena, mwanjira ina, magnesia ndi mankhwala omwe ali ndi mankhwala ofewetsa tuvi tolimba, choleretic, sedative, antispasmodic, vasodilator, anticonvulsant, antihypertensive ndi antiarrhythmic.
  • Mercury chloride kapena Sulema amagwira ntchito monga antiseptic komanso mankhwala opha majeremusi. Kugwiritsa ntchito Milgamm malinga ndi kuwunika kuyenera kusamala.
  • Potaziyamu iodide imagwiritsidwa ntchito pochiza matenda a chithokomiro, endic goiter, komanso hyperthyroidism, syphilis, diso ndi kupuma thirakiti.

Kuphatikiza apo, ntchito ya vitamini "B1" imatha kuchepa chifukwa cha kukula kwa acid-base usawa mu thupi la munthu, komanso, motsutsana ndi kuyang'ana kumbuyo kwa mankhwala omwe ali ndi mkuwa.

Mphamvu ya vitamini "B6" imachepetsa mphamvu ya mankhwala omwe amalimbana ndi matenda a Parkinson. Pachifukwa ichi, simungagwiritse ntchito mankhwalawa nthawi imodzi. Mchere wina wazitsulo zolemera ungathe kulepheretsa vitaminiyo kugwira ntchito ndi zinthu zina zofunika.

Izi zimatsimikiziridwa ndi malangizo ogwiritsira ntchito "Milgamma" ndi kuwunika.

Ndemanga za Odwala

Anthu omwe amatenga Milgamma amakhala ndi lingaliro losakanizika pa mankhwalawa. Mankhwalawa adathandizira odwala ambiri, komabe, pali zitsanzo zambiri zosakhutira zomwe zimakhudzana ndi zovuta zoyipa.

Odwala omwe ali ndi myalgia kwazaka zingapo, zomwe nthawi zambiri zimabweretsa zowawa zambiri, akunena kuti chifukwa cha upangiri wa dokotala yemwe adakhalapo adayamba kubaya mankhwala a Milgamma. Poyerekeza ndi chithandizo chotere, kupweteka kwawo kunazimiririka, ndipo mkhalidwewo unasintha kwambiri, kotero kuti samamvanso bwino, monga kale. Poyerekeza ndemanga, anthu ali okondwa ndi mankhwalawa, akukhulupirira kuti idawathandiza, ndikuyipereka kwa odwala ena.

Odwala omwe ali ndi vuto la neuritis amauza za Milgamma kuti atatha kulandira chithandizo cha jakisoni matendawa adazimiririka, koma zotulukapo za jakisoni wa Vitamini adatsalira, zomwe zidafotokozedwanso kuti nkhope yonse ya odwala idakutidwa ndi zowopsa komanso zovuta kuzunza ziphuphu, ndipo miyendo nthawi zambiri usiku. Chifukwa chake, odwala amalangizidwa kuti azikambirana ndi katswiri musanayambe kumwa mankhwalawa, chifukwa aliyense ali ndi mawonekedwe ake amthupi komanso kutengera mbali zina zomwe zili ndi kapangidwe kake.

Anthu omwe akhala akuvutika kwanthawi yayitali chifukwa cha vertebral osteochondrosis m'dera lumbar, ndizovuta kuyenda ndikukhala pansi. Pozindikira zomwe zidachitika, madokotala amawapatsanso mankhwala a Milgamm. Odwala amati atalandira chithandizo chamankhwala amtunduwu, adayamba kumva bwino, ndipo zopweteka tsopano sizimawavutitsa nthawi zambiri.

Zoyipa zake ndi ziti?

Zokhudza zovuta zomwe zimachitika chifukwa cha mankhwala m'thupi, ndemanga zambiri zimanenanso za ziphuphu. Makamaka, tikulankhula za ziphuphu zazikulu zokhala ndi mitu yoyera. Koma mokulira, poganizira kuti zinthu zambiri zakhala zikuyenda bwino, titha kunena kuti Milgamma ndiyothekera komanso njira zabwino zopangira mankhwala.

Kutulutsa mawonekedwe, zikuchokera

Mankhwala a Milgamm amapangidwa m'mitundu iwiri: yankho la jakisoni wamkati ndi mapiritsi. Kuphatikizikako kuli ndi kusiyana: magawo awiri amawonjezeredwa ku yankho la jakisoni - vitamini B12 ndi lidocaine. Izi zowonjezera zimathandizira zotsatira za kupumula kwa ululu.

Milgamm, ngakhale ndi mankhwala a Vitamini, sagwiritsidwa ntchito kuchepa kwa mavitamini m'thupi, koma matenda amanjenje omwe amapezeka ndi zizindikiro za ululu. Mankhwalawa ali ndi zinthuzi chifukwa cha kupezeka kwa mavitamini ambiri, omwe amakhala apamwamba kakhumi kuposa zomwe thupi limafunikira tsiku lililonse.

Tiyeni tikambirane mwatsatanetsatane kapangidwe kamodzi chabe ka Milgamm.

  1. Vitamini B1 (thiamine) - 100 mg. Gawo lomwe limayambitsa, makamaka, kagayidwe kazakudya. Chifukwa cha izi, gawo lina lamphamvu limaperekedwa ku thupi, lomwe limathandizira kagayidwe kake konse. Vitamini B1 imakhala ndi mankhwala ochititsa chidwi ndipo imabwezeretsanso impuction ya maselo a mitsempha.
  2. Vitamini B6 (pyridoxine) - 100 mg. Amatenga nawo mitundu yonse ya kagayidwe kachakudya komwe kamachitika m'maselo amitsempha, komanso kapangidwe kazinthu kamene kamapereka kufalikira kwa mitsempha m'dera lolumikizana ndi mitsempha.
  3. Vitamini B12 - 1 mg. Ili ndi tanthauzo lotchedwa analgesic. Iwo amateteza zochitika za wamanjenje.
  4. Lidocaine hydrochloride - 20 mg. Kukomoka kwapakhomo, kukulitsa mphamvu ya mavitamini a B.

Vitamini B6 (Pyridoxine)

Pyridoxine (B6) ndimadzi osungunuka am'madzi omwe amawongolera kayendedwe ka metabolic komanso kusintha kayendedwe ka magazi. Pyridoxine amatenga nawo kapangidwe ka mamolekyulu ndi kuwonongeka kwa chakudya chamagulu. Kuphatikiza apo, vitamini B6 imachepetsa chiopsezo cha kunenepa kwambiri, matenda ashuga komanso kukula kwa matenda amtima. Mlingo wa cholesterol m'thupi la munthu zimatengera kuchuluka kwa vitamini B6. Udindo wa vitamini B6 ndiwofunikira kwambiri pakuwonekera kwa maselo ofiira amwazi, i.e. gawo ili limathandizira kubwezeretsa ntchito ya hematopoiesis. Monga mavitamini ena a zovuta za Milgamma, vitamini B6 amakhudza kulimbitsa chitetezo cha mthupi. Kuphatikiza apo, kuchuluka kokwanira kwa pyridoxine kumateteza kupsinjika, kumachepetsa nkhawa, komanso kumabweretsa mtendere wamalingaliro.

Vitamini B6 ndi mankhwala:

  • odwala atherosclerosis, kuchepa magazi ndi matenda ashuga,
  • pakati ndi toxicosis,
  • achinyamata omwe ali ndi vuto losagwira bwino ntchito kwa gwero la sebaceous.

Vitamini B12 (Cyanocobalamin)

Cyanocobalamin (B12) imathandizira kuthamangitsa kuwonongeka kwa mapuloteni, mafuta ndi chakudya. Zoyenera kuphatikizidwa ndi maselo oyera amwazi omwe amathandizira poteteza minofu yamoyo kuzinthu zakunja. Amachepetsa cholesterol mthupi la munthu. Vitamini B12 imathandizira kuti matenda azikhala ngati agona komanso kuthandizira kupanga melatonin, pamlingo wokwanira momwe magonedwe ndi kugona kwake kumatengera.

Zowonetsa kugwiritsa ntchito cyanocobalamin ndi awa:

  • sciatica
  • matenda a chiwindi
  • polyneuritis
  • matenda a pakhungu (dermatitis, psoriasis),
  • matenda a radiation
  • mafupa
  • pachimake ndi matenda a kutupa chiwindi,
  • mafupa
  • sciatica ndi ena.

Njira yogwiritsira ntchito

Milandu yopweteka kwambiri, chithandizo chimayamba ndi jakisoni 1 (2 ml) patsiku. Pambuyo pachimake gawo la ndondomekoyi kapena ndi ululu wofowoka ululu, mankhwalawa amathandizidwa ndi intramuscularly 1 jekeseni katatu pa sabata.

Moyang'aniridwa ndi dokotala, kusintha kosinthira kwa mankhwalawa ndi mawonekedwe amkamwa a Milgamma® ndikotheka. Pankhaniyi, tikulimbikitsidwa kuti mutenge piritsi limodzi la Milgamm® katatu patsiku.

Kugwiritsa ntchito jakisoni ndikothandiza kwambiri pakakhala matenda oyenda bwino, mapiritsi amalimbikitsidwa ndi madokotala kuti azikonza mankhwalawa komanso pofuna kupewa.

Mavitamini a Milgamm: ndemanga ya odwala ndi madokotala

Pambuyo pofufuza kuchuluka kwa mavitamini omwe amapanga Milgamm, mutha kumvetsetsa zomwe mankhwalawa amabweretsa m'thupi la munthu. Ndi mavitamini a B omwe amakhudza kwambiri chitetezo chathupi chonse, amakhala ndi mphamvu yochizira pamatenda a matenda amkati mwa dongosolo lamanjenje, musculoskeletal system. Chifukwa chogwiritsa ntchito Milgamm, akatswiri amapeza mpumulo wachangu kuchokera ku ululu wambiri, chithandizo chimabweretsa zotsatira zabwino zosatha. Kuphatikiza apo, akatswiri amalimbikitsa kuti pakhale mavitamini a Milgamm chifukwa cha matenda osiyanasiyana amkati, chifukwa izi zimabwezeretsa zinthu zomwe zimapangidwa m'thupi lomwe lofooka.

Vitamini B (Milgamma): zomanga thupi ndi kuzikweza, kukwaniritsa zotsatira zabwino kwambiri kapena kuvulaza thupi?

Milgamm mu masewera amagwiritsidwa ntchito kuti apititse patsogolo ntchito. Vitamini B1 si anabolic ndipo sagwiritsidwa ntchito pakukula kwa minofu. Koma zimakhudza kuphatikiza kwa matalala osalala ndi matchulidwe amino acid. Ochita masewera amagwiritsa ntchito vitamini B6 pophunzira kwambiri, pomwe akumugwiritsa ntchito amawonjezera mphamvu ya aerobic ndi pafupifupi 6-7% pamwezi. Kuchita kwa Vitamini B6 kumakhala ndi zotsatira zabwino pokwaniritsa zotsatira zazitali kwambiri zoonjezera zolemera ndi zomanga thupi. Komabe, musaiwale kuti kutenga Milgamma sikulimbikitsidwa kwa anthu omwe ali ndi vuto la mtima. Ndipo katundu wa masewera mosakayikira amasiya chizindikiro pa ntchito ya thupi. Komanso, kafukufuku wokhudza ntchito ya mankhwalawa pophunzitsidwa sanachitike. Chifukwa chake, Funso - Kodi mankhwalawo ndi otetezeka bwanji pamasewera olemera - amakhalabe osamveka bwino.

Sizinthu zonse zofunika kwambiri kuti thupi la munthu lipange kudzipangira palokha mokwanira komanso kuti zipangidwe bwino. Mavuto azachilengedwe omwe akuwonongeka nthawi zonse samathandizanso pakupanga michere yonse yofunikira, mavitamini ndi zinthu zina zomwe zimagwira ntchito pazamoyo. Kuti mukhale ndi moyo wakhama komanso wokwaniritsa, munthu wamakono sayenera kunyalanyaza zazomwe apeza pamsika wazamankhwala. Ndi kugwiritsa ntchito mtundu wa Milgamma vitamini womwe ungathandize kukwaniritsa zotsatira zambiri pakukwaniritsa thupi ndi mavitamini a B kotero ndikofunikira kwa iye - thiamine, pyridoxine ndi cyanocobalamin. Komabe, musaiwale kuti Milgamma ndi mankhwala osokoneza bongo, ndipo ndikofunikira kumwa, mutatha kukambirana ndi katswiri. Kuchuluka kwa mavitamini m'thupi kumabweretsa zotsatira zoyipa.

Posankha mankhwala omwe ali oyenera kwambiri pazochitika zilizonse, madokotala pachipatala cha Yusupov amaganizira zinthu zingapo: kulolerana kwa chinthu chimodzi, kukhalapo kwa matenda opatsirana, ndi machitidwe a thupi la wodwala aliyense. Ku chipatala cha Yusupov, moyang'aniridwa ndi madotolo otsogola, akuluakulu amapeza bwino matenda ndi chithandizo cha matenda osiyanasiyana. Chifukwa cha zida zapamwamba komanso njira zamakono zamankhwala zomwe zimagwiritsidwa ntchito, zotsatira zabwino zamankhwala zimatheka. Kuti mumve zambiri, funsani mlangizi wa chipatala mwa kupangana.

Zotsatira za mankhwalawa pa thupi

Milgamm amagwiritsidwa ntchito pochiza ma pathologies mu neurology ndipo mwanjira ina mu orthopedics, ali ndi zotsatirazi mthupi:

  • sinthana zochita za minofu ndi mafupa,
  • imasintha bwino magazi kudzera m'magazi ndi njira zopangira magazi,
  • sinthanso magwiridwe antchito amanjenje,
  • amathandizanso kupweteka.

Zofunikira pa ntchito ya Milgamma

Malangizo ogwiritsira ntchito fotokozani mfundo zofunika kuziganizira mukamagwiritsa ntchito mankhwala.

  1. Milgamm imalembedwa kwa odwala omwe amapezeka kuti amamwa kwambiri mowa. Koma munthawi yomweyo kugwiritsa ntchito mankhwala ndi mowa ndikoletsedwa, chifukwa sipangakhale chithandizo chilichonse. Mutu, kusasamala, kugona kwambiri komanso mavuto amanjenje amathanso kuchitika chifukwa cha mgwirizano wa lidocaine, womwe ndi gawo la Milgamma, ndi zakumwa zoledzeretsa.
  2. Ngati mwangozi mtsempha wa magazi anachitika, wodwalayo ayenera kuyang'aniridwa ndi achipatala.

Mitu ya mankhwalawa

Ngati ndi kotheka, Milgamma ikhoza kusintha ndi mankhwala omwe ali ndi vuto lofananalo.

  1. Neuromultivitis. Piritsi limodzi - 100 mg ya vitamini B1, 200 mg ya vitamini B6, 200 μg ya vitamini B12. Mtengo woyenerana ndi ma ruble 550. mapiritsi 20.
  2. Neurobion. Imapezeka mu mawonekedwe a piritsi komanso yankho la jakisoni. Zomwe zili: 100 mg ya vitamini B1, 200 mg ya vitamini B6, 240 mcg a vitamini B12. Mtengo wapakati ndi 300 - 350 rubles. ma mapiritsi atatu kapena mapiritsi 20.
  3. Kombilipen. Kuphatikizika: 50 mg ya vitamini B1, 50 mg ya B6, 500 μg wa B12, 10 mg ya lidocaine. Mtengo - pafupifupi ma ruble 250. kwa ma ampoules 10 ndi ma ruble 400. mapiritsi 60.

Ndemanga za mankhwala

Ndemanga za Milgamm zimakhala zabwino, koma odwala nthawi zambiri amatchula kupweteka kwa jakisoni wa intramuscular. Komanso pamalo opangira jakisoni, hematoma yaying'ono nthawi zina imapangidwa kapena totupa amawoneka.

Madokotala amazindikira mphamvu ya mankhwalawa akagwiritsidwa ntchito pochiza matenda amitsempha, koma achenjeza kuti mankhwalawa samachiritsa omwe amayambitsa matendawa. Kugwiritsa ntchito mankhwalawa kuyenera kuchitika pokhapokha ngati adokotala akuwuzani.

Kusiya Ndemanga Yanu