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Njira zochizira Meloxicam ndi Combilipen sizinakhazikitsidwe mumapulogalamu apadziko lonse lapansi, adapangidwa panthawi yopanga mankhwala. Akatswiri amati zizindikiro za matenda amitsempha zikagwiritsidwa ntchito limodzi zimayimitsidwa katatu, ndipo kuchuluka kwa kubwereza matenda osachiritsika kunachepa ndi 20%.

Meloxicam ndi Combilipen atha kuphatikizidwa. Izi zimakuthandizani kuti muzitha kugwiritsa ntchito bwino ndalamazo. Chachikulu ndichakuti musaphatikize mankhwalawo mu syringe imodzi ndikubaya mosiyanasiyana matako osiyanasiyana.

Kufotokozera mwachidule za Meloxicam ndi Combilipene

Meloxicam - inhibitor yosankha cycloo oxygenase enzyme (COX-2). Chipangizocho chili ndi anti-yotupa, analgesic komanso antipyretic.

Malangizo ogwiritsira ntchito Meloxicam ndi kufotokoza kwa mankhwala omwe awerengedwa pano.

Kombilipen - kapangidwe kovuta ka mavitamini a neurotropic a gulu B. Muli thiamine (B1), pyridoxine (B6), cyanocobalamin (B12) ndi gawo la analgesic - lidocaine. Chochita chake chimapangidwira makulidwe a mu mnofu.

Zizindikiro zogwiritsidwa ntchito munthawi yomweyo

Ndizotheka kudula kapena kumwa Meloxicam ndi Combilipen limodzi ndi ma pathologies otere:

neuralgia ndi kutupa kwa zotumphukira misempha - neuritis,

Njira ya mankhwala yophatikiza jakisoni imatha masiku 5 mpaka 10. Mutha kulowa mankhwalawa matenda aliwonse opweteka.

Chifukwa chiyani kuphatikiza kwa meloxicam ndi Combilipen kudalembedwa?

Meloxicam mu ampoules

Meloxicam osakanikirana ndi Combilipen amachita pazotsatira ndi mawonekedwe a pathogenetic pamankhwala. Meloxicam ilimbana ndi zizindikiro za matenda, amachepetsa ululu, kutupa ndi kutupa. Kombilipen ndi kuyamwa mwachangu m'magazi kumapereka njira zobwezeretsanso ndikusinthanso kwa zida zowonongeka. Kukonzekera ndi mavitamini a B kumalimbikitsa kupangika kwa myelin ndi sphingosine, komwe ndikofunikira pa ulusi wamitsempha.

Kukhudzidwa kawiri pa ulusi wamitsempha ndi minofu yoyandikana nayo kumathandizira kuti muchepetse kuchira ndi 55-60%.

Combilipen imatsimikizira kupitilira kwa mapangidwe a magazi ndi kuchepetsa chiopsezo cha zotsatira za meloxicam yokhudzana ndi kutuluka kwa magazi m'mimba.

Malangizo: momwe mungagwiritsire ntchito

Madokotala pochita apanga mitundu ingapo yothandizidwa ndi Meloxicam ndi Combilipen.:

1. 1 ampoule (2 ml) wa Combilipene ndi 1 mulingo wambiri wa Meloxicam (1.5 ml uli ndi 15 mg yogwira mankhwala) tsiku ndi tsiku. Kutalika kwa chithandizo ndi masiku 5.
2. 1 ampoule (2 ml) waku Combilipene masiku ena onse ndi 1 ampoule wa meloxicam (1.5 ml muli 15 mg yogwira mankhwala) tsiku lililonse. Kutalika kwa chithandizo ndi masiku 10.
3. 1 ampoule (2 ml) wa Combilipene tsiku lililonse ndi piritsi 1 (7.5 mg) ya meloxicam kwa masiku 10.
4. 1 ampoule (2 ml) wa Combilipene tsiku lililonse kwa masiku 10 ndi piritsi 1 (15 mg) ya meloxicam masiku 1, 3, 5 a chithandizo (ngati ululu wammbuyo ndi wofatsa).

Kusankhidwa kwa regimen yothandizira kumachitika malinga ndi matenda osachiritsika kapena kupweteka kwambiri. Kupatukana pakati pa maphunziro a chithandizo ayenera kukhala osachepera miyezi itatu.

Ngati chiwembu ndi jakisoni wa Meloxicam ndi Combilipen asankhidwa, ndiye kuti pakufunika thandizo kuti apange jakisoni m'kholalo lakunja kwa buluyo. Ngati inu nokha mutapereka majakisoni, ndiye kuti njirayi imachitika kunja kwa minofu yaakazi ndipo imatha kupitilira zowawa.

Meloxicam ndi Combilipen - njira zopangira jakisoni. Samafunika kukhala osadulidwa kapena kuwotcha m'manja.

Jekeseni Algorithm:

Kusankha kwa jekeseni

Sambani m'manja ndi sopo ndipo ngati ndi kotheka, muzivala magolovesi azachipatala.

Kukhazikika kwa singano

Matako oyambitsa mankhwalawa tsiku loyamba ndi osiyana. Ndipo malo a jakisoni ndi gawo lakunja lakunja. Mukasunthidwa kamodzi, lowetsani singano pakona madigiri 90, kusiya 1 cm kunja.

Sikulimbikitsidwa kusintha makonzedwe a mankhwala: choyamba, meloxicam imayendetsedwa, kenako Combilipen. Pakukonzekera Vitamini, wodwalayo amatha kudzimva yekha pambuyo mphindi ziwiri mothandizidwa ndi mankhwala a lidocaine.

Kusunga ma syringe kapena singano ndikuloledwa. Simungasakanikize mankhwala mu syringe imodzi, jekeseni onse m'masiku 1 mu 1 matako. Kupanda kutero, kukulira kwa kulowetsedwa kapena kulowetsedwa pamalo a jekeseni ndikotheka. Wokhalira kumawoneka ngati mtanda waukulu ngati ndalama ya 5-kopeck, yodziyimira payokha m'masiku 5-7.

Ngati maphunziro amasankhidwa ndikufanana kwa mapiritsi a Meloxicam ndi jakisoni wa Combibipen, ndiye malamulo okhazikitsa jekeseni, werengani pamwambapa, kuyambira ndima 7. Matupi a jakisoni amasinthidwa tsiku lililonse.

Mapiritsi a Meloxicam akuyenera kumwa 1 nthawi patsiku ndi chakudya (kapena osapitirira mphindi 30 zitatha). Muyenera kumwa piritsi ndi kapu ya madzi owiritsa kapena mchere. Phalelo silisungunuka kapena kutafuna pakamwa.

Zotsatira zoyipa za Co-Administration

Kugwiritsa ntchito kwa meloxicam ndi Combilipen tsiku limodzi kumatha kubweretsa kuchuluka kwa matenda apakhungu apakhungu (eczema, psoriasis). Kuopsa kwa mavuto kumawonjezeka ndi kayendetsedwe kosayenera ka mankhwala. Pa tsamba la jakisoni, kulowetsedwa ndi aseptic necrosis kumatha kupanga.

Ngati wodwala atenga mapiritsi a Meloxicam kapena jakisoni ndi Combilipen, izi zimawonjezera zovuta za zovuta zilizonse za mankhwala:

1. thupi lawo siligwirizana, thukuta ndi tachycardia - zotheka zotsatira za mankhwala a vitamini,
2. poizoni hepatitis, pachimake aimpso kulephera, kupweteka kwam'mimba - pafupipafupi zimachitikira Meloxicam.

Contraindication

Meloxicam ndi Combilipen sayenera kugwiritsidwa ntchito pazinthu zotere:

1. mtima wosakhazikika,
2. wosakwana zaka 18
3. mimba ndi mkaka wa m`mawere
4. matenda a impso, matenda amchiwindi,
5. thupi lawo siligwirizana 1 gawo la mankhwala kapena zambiri.

Jekeseni ndi contraindicated kwa odwala omwe ali ndi paraproctitis, gluteal abscesses, khungu matenda monga psoriasis, chikondwerero pachimake.

Machitidwe a Combilipen

Combilipen ndi mavitamini ovuta omwe amaphatikizapo mankhwala ochititsa chidwi.

• Vitamini B1 (thiamine), yomwe imakhala ndi phindu pa kugwira ntchito kwa minofu ya mtima ndi dongosolo lamanjenje lamkati,
• Vitamini B6 (pyridoxine) - imatenga nawo mbali pakuwongolera kwa chapakati komanso kotumphukira NS,
• Vitamini B12 (cyanocobalamin), yofunikira kupangira myelin osakwanira ndi ma nucleotide,
• lidocaine wa mankhwala ochititsa.

Zotsatira za mankhwala Midokalm

Midokalm ilinso m'gulu la mankhwala omwe si a anti -idalidal anti-kutupa (NSAIDs), omwe amagwiritsidwa ntchito kwambiri ngati mankhwala. Chithandizo chogwira mankhwalawa ndi tolperisone hydrochloride. Imakhala ndi minyewa yopuma, ma vasodilator ndi mankhwala ochititsa chidwi, komanso imathandizira kukonza magazi muziwalo zomwe zakhudzidwa. Fotokozerani Midokalm makamaka kuti muchepetse kupweteka ndi minyewa ya m'mimba, arthrosis, osteochondrosis.

Fotokozerani Midokalm makamaka kuti muchepetse kupweteka ndi minyewa ya m'mimba, arthrosis, osteochondrosis.

Kuphatikiza

Ngakhale kuti mankhwalawa ali onse amgulu lama pharmacological, akagwiritsidwa ntchito limodzi, zotsatira zake zimachulukitsidwa. Chifukwa cha izi, machiritso amadza mwachangu, ndipo nthawi yakukwaniritsa kwathunthu yafupika. Izi zimathetsa kuyambika kwa mavuto omwe amabwera chifukwa chogwiritsa ntchito mankhwala kwa nthawi yayitali.

Kodi kutenga Combilipen, Meloxicam ndi Midokalm?

Nthawi zambiri, akamagwiritsa ntchito limodzi, mankhwalawa amaperekedwa tsiku lililonse ngati jakisoni wa intramuscular. Sitikulimbikitsidwa kuti muwasakanize mu syringe imodzi. Nthawi yayitali ya jekeseni wa mankhwala osachepera masiku 5.

M'masiku otsatirawo a 7-10, ndikofunikira kumwa mankhwalawa mwanjira ya mapiritsi mpaka mkhalidwe utasintha.

Komabe, kutengera ndi matenda ndi mawonekedwe a njira yake, mlingo wake ungasiyane, chifukwa chake ndibwino kudalira upangiri wa akatswiri.

Malingaliro a madotolo

Andrei, dokotala wa opaleshoni, Arkhangelsk: "Mowirikiza, matenda osachiritsika ndi otupa am'mimba amisala amafunikira chithandizo chovuta. Pankhaniyi, ndikulembera kuphatikiza kwa mankhwalawa 3 kwa odwala anga. Pakangodutsa kanthawi kochepa, zimathandiza kuti matenda asamadutse komanso kuti odwala azikhala bwino. ”

Marina, dokotala wamkulu, Saratov: "Kuthandizira odwala omwe ali ndi ululu wammbuyo, arthrosis, lumbago, ndikuwalimbikitsa jakisoni wa mankhwalawa. Nthawi zambiri, kugwiritsa ntchito kwawo palimodzi kumavomerezedwa ndi odwala, kusintha kumachitika mkati mwa masiku ochepa. ”

Ndemanga za Odwala

Alexander, wazaka 63, Vladivostok: “Ndinadwala matenda osatha kwa zaka zambiri chifukwa chogwira ntchito zolimbitsa thupi. Zowawa zanga sindinadzipezera tokha malo. Dokotala ku chipatalacho nthawi yomweyo adapereka majekiseni atatu, kenako mapiritsi. Ululu unayamba kuchepa tsiku lachitatu, ndipo kumapeto kwa sabata lachiwiri la chithandizo ndidayiwaliratu zavutoli. ”

Anastasia, wazaka 25, Voronezh: “Mwana wachiwiri atabadwa, chiwopsezo chophatikizika chikuwonekera, zochitika zilizonse zolimbitsa thupi zimapweteka, ndipo ndine mayi wa ana awiri. Ndinapita kwa adotolo, ndinawayika majakisoni, adati akathandiza mwachangu. Patadutsa masiku angapo ndinapeza mpumulo, tsopano kawiri pachaka ndimadalira njira zopewera mankhwala ndipo ndayiwala kale za ululu. ”

Makhalidwe a meloxicam

Meloxicam ndi dzina lapadziko lonse lapansi la non-steroidal anti-kutupa mankhwala a Movalis. Ndili m'gulu la oxycams. Imakhala ndi antipyretic, anti-yotupa komanso analgesic zotsatira zochokera mu zopinga za syntaglandin synthesis pamalo a kutupa. Zimayambitsa zovuta zochepa, makamaka kuchokera m'mimba.

Meloxicam ali ndi antipyretic, anti-kutupa ndi analgesic kwenikweni.

Amamasulidwa pa mankhwala.

Kodi a Combilipen amagwira ntchito bwanji

Vitamini yophatikiza Vitamin (thiamine hydrochloride, pyridoxine hydrochloride, cyancobalamin hydrochloride) limodzi ndi lidocaine. Kugwiritsa ntchito bwino mankhwala a neuropathies amachokera zosiyanasiyana.

Mchitidwewo umatengera mphamvu za mavitamini omwe amaphatikizidwa ndi mankhwala:

• Amathandizira kupatsidwa kwa mitsempha,
• imapereka kupatsirana kwa ma synaptic ndi njira zoletsa mu chapakati mantha dongosolo,
• imathandizira kapangidwe kazinthu kamene kamalowa mu nembanemba yamanjenje, komanso ma nucleotide ndi myelin,
• imapereka kusinthana kwa pteroylglutamic acid.

Mavitamini omwe amapanga zochita za wina ndi mnzake, ndipo lidocaineine amachititsa kuti jakisoniyo ikhale m'malo ndikuwathandizira kuti mayendedwe ake azikhala bwino, kukulitsa zombozo.

Mankhwala ochokera ku malo ogulitsa mankhwala.

Matenda a musculoskeletal system

Popeza onse Meloxicam ndi Combilipen amapezeka m'magulu awiri amasulidwe (mapiritsi ndi njira yothandizira jekeseni), ndiye kuti m'masiku atatu oyamba onse amapatsidwa mankhwala a jakisoni, kenako ndikupitiliza chithandizo chamankhwala ngati mapiritsi.

Ndi nyamakazi, arthrosis ndi osteochondrosis, monga zina, mankhwalawa malinga ndi malangizo ali motere:

1. M'masiku atatu oyamba, Meloxicam amathandizidwa pa 7.5 mg kapena 15 mg kamodzi patsiku, kutengera mphamvu ya kupweteka ndi kuuma kwa njira yotupa, ndi Combilipen - 2 ml tsiku lililonse.
2. Patatha masiku atatu, pitilizani mankhwala ndi mapiritsi:
   • Meloxicam - mapiritsi 2 kamodzi patsiku,
   • Kombilipen - piritsi limodzi 1-2 kamodzi patsiku.

Njira yodziwika bwino yamankhwala kuyambira masiku 10 mpaka 14.

Zotsatira zoyipa za Meloxicam ndi Combilipen

• chifuwa
• kusokonezeka kwa chapakati mantha dongosolo mu mawonekedwe a chizungulire, chisokonezo, kusokonezeka, etc.,
• kutentha kwa mtima
• zolephera pamatumbo am'mimba,
• kukokana
• kuyamwa pamalowo jakisoni.

Monga ndimankhwala ena omwe si a antiidal a anti-yotupa, kuwonongeka kwa impso ndikotheka.

Kuphatikizika

Mwakutero, mankhwalawa amapereka mofulumira kuchotsa kwa kutupa, komanso kupatsanso mphamvu ya analgesic.

Ngati mungabaye jakisoni pamodzi, zotsatira zake zidzaonekere kale m'masiku oyamba a chithandizo.

Zolemba za kuphatikiza

Ngati mumalowa mankhwalawo nthawi yomweyo, maphunzirowo amachepetsa kwambiri. Mankhwalawa amatha kuyambira masiku 10 mpaka 14.

Musanalandire chithandizo, ndikofunikira kuganizira zovuta zomwe zimachitika ndi mgwirizano. Zodziwika kwambiri ndi:

• chizungulire ndi chisokonezo,
• kuvulala kwamtima,
• zotupa m'mimba
• kukokana.

Thupi lawo siligwirizana limatha kuonekanso ngati zotupa pakhungu ndi redness ndi kuyabwa.

Zotsatira zoyipa zikachitika, chitukuko chake chikuyenera kuyang'aniridwa.

Ngati matendawo akuipiraipira, ndikofunikira kusiya mankhwalawo ndikupempha thandizo kwa dokotala.

Kodi ndizotheka kuwaza zonse pamodzi

Zingwe zitha kuchitidwa limodzi. Zizindikiro za izi:

• matenda a msana, limodzi ndi ululu,
• osteochondrosis,
• kuvulala
• dorsalgia.

Ngakhale kuti madokotala amalimbikitsa jakisoni palimodzi ndipo onse awiri amagwirizana bwino, pali zotsutsana zingapo. Ndikwabwino kukana jekeseni matenda ndi zinthu zotsatirazi:

1. Mimba komanso kuyamwa.
2. Matenda a mtima.
3. Kulephera kwamkati ndi chiwindi.
4. Kuchulukitsa kwa magazi.
5. Kutupa njira kutukusira m'matumbo.

Sitikulimbikitsidwanso kuti muyambe kulandira chithandizo mosagwirizana ndi zinthu zomwe zimapangika. Nthawi zina, Meloxicam imatha kusinthidwa ndi mankhwala ofanana ndi Midokalm.

Mankhwala angagulidwe ku pharmacy ndi mankhwala kuchokera kwa dokotala.

Kodi ndingatenge limodzi?

Mankhwalawa amagwirizana, koma amayenera kutumizidwa mosiyanasiyana. Ndikosatheka kusakaniza mayankho mu ampoule umodzi. Kuphatikizika kwa Combilipen ndi Meloxicam ndikuchepetsa kukula kwa zowawa, kutupa ndi kulimba mmalo olumikizirana mafupa.

Meloxicam samayambitsa zotsatira zoyipa m'mimba.

Zizindikiro zogwiritsidwa ntchito palimodzi

Nthawi yomweyo, mankhwala amagwiritsidwa ntchito pochiza matenda:

• neuralgia yomwe imayamba chifukwa cha kuwonongeka kwa msana,
• osteochondrosis,
• kusintha kwatsoka kwammalo ndi msana,
• ankylosing spondylitis (ankylosing spondylitis),
• polyneuropathy ochokera kwa odwala matenda ashuga,
• radicular ululu syndrome
• dorsalgia
• lumbago.

Zotsatira zoyipa ndi bongo

Mukamagwiritsa ntchito mankhwala osakanikirana, zotsatirapo zoyipa zoterezi zitha kuonekera:

• mutu
• mgwirizano wolakwika,
• kusintha kwa mtima,
• kupukusa m'mimba (nseru, kusanza, kutsegula m'mimba, kutulutsa m'mimba),
• agwiritse
• kupweteka pamalo a jekeseni
• thupi lawo siligwirizana mu urticaria, kutupa kwa nkhope ndi larynx, anaphylactic mantha.

Mankhwala osokoneza bongo amathandizira kukulira zotsatira zoyipa. Mankhwalawa cholinga chake ndikutsegula thupi ndikuchotsa zizindikiro za poizoni.

Ndemanga za madotolo za Meloxicam ndi Combilipene

Dmitry, wazaka 44, wofufuza zamankhwala, Samara: "Combilipen ndi Meloxicam zitha kugwiritsidwa ntchito pokhapokha ngati pali matenda omwe amayamba chifukwa cha kuvulala kwa minofu ndi mafupa. Amalimbana ndi ululu komanso zizindikiro za kutupa. N`zotheka kugwiritsa ntchito mankhwala pambuyo olowa m'malo opaleshoni. Zochita zoyipa za thupi mukamatsatira njira zamankhwala ndizosowa. ”

Alexandra, wazaka 37, wamisala, Perm: "Ndizotheka kukwaniritsa kuchotsedwa kwa osteochondrosis pogwiritsa ntchito mankhwala angapo okhala ndi zochita zosiyanasiyana. Mankhwala othana ndi kutupa Meloxicam nthawi zambiri amaphatikizidwa ndi vitamini Kombilipen. Mutha kugwiritsa ntchito mankhwalawa tsiku lomwelo, koma kusakaniza ndi osavomerezeka. Kuchita maphunziro athunthu kumathandiza kuchotsa ululu komanso kuyanjanso. ”