Mankhwala a Montidol kapena Actovegin: ndibwino bwanji?

Ntchito yayikulu yonse: kukondoweza kwa kagayidwe kazakudya mu minofu (kusinthika) mwa kukonza magazi. Mexicoidol amachita izi kudzera pakuchepetsa kwa makutidwe a oxidative. Actovegin - mwa kudzikundikira kwa shuga. Zoyambira zosiyanasiyana (antioxidant ndi antihypoxant) sizipangitsa kuti mankhwalawa akhale osagwirizana. Popeza ndi a nootropics, amagwiritsidwa ntchito popanga zovuta.

Zimakhudza bwanji thupi

Actovegin imathandizira kugwiritsira ntchito kwa oxygen komanso kugwiritsa ntchito shuga. Izi zimathandizira kukonza kagayidwe ka maselo ndikusintha mphamvu m'mizimba. Chida chimakhala ndi magazi a ng'ombe. Ine.e. izi ndi zachilengedwe. Koma silipezeka m'thupi la munthu. Zomwe zimalepheretsa kuphunzira za malo ake. Zotsatira zake - kusowa kwa umboni. Chifukwa cha izi, ku United States ndi Western Europe, mankhwalawa sagulitsidwa ndipo sanakhazikitsidwe mankhwala.

Ubwino wa Actovegin ukadali othamanga kwambiri kuchitapo kanthu - umagwira pakatha mphindi 30.

Moididol ndioteteza nembanemba. Zimawonjezera kukana kwa maselo ndikumasokoneza ma radicals mwa kuletsa njira zowonjezera za oxidative. Pansi pamzere - katundu wa m'magazi amakhala wofanana, ndipo magazi amapezeka kuti zimakhala. Amachepetsa cholesterol. Kugwiritsa kwa kufalikira kwa kapamba.
Mofulumira, mankhwalawa amagwira ntchito ngati jekeseni wovomerezeka - pambuyo pa mphindi 45. Intramuscular - patatha maola anayi.

Kuphatikiza Actovegin ndi Mexicoidol

Mankhwalawa onse amaphatikizidwa, kulimbikitsana. Mu zovuta monga: mtima matenda, sitiroko ndi zoopsa ubongo kuvulala. Kafukufuku akuwonetsa: kugwiritsa ntchito kuphatikiza kumawonjezera zotsatira za chipatala ndi 25%. Mosiyana ndi kugwiritsa ntchito mankhwala amodzi.

Ndi chithandizo chovuta ndi mankhwalawa, simungathe kuyiyika mu syringe imodzi. Chida chilichonse - syringe yopatukana. Nthawi pakati pa jakisoni imasungidwa bwino mphindi 15. Popeza zinthu zomwe Actovegin amagwira ndi zophatikiza organic, mukamayanjana ndi chinthu china, chiopsezo chosintha kapangidwe ka mankhwalawo ndi chachikulu. Zotsatira zake, kukula kwa thupi lawo siligwirizana.

Amaloledwa kutenga Mexicoidol ndi Actovegin pamapiritsi nthawi yomweyo.

Kuyerekeza form form ndi kipimo mitundu

Amakhala m'gulu limodzi lamankhwala - ma neurotropes, makamaka - nootropics. Zomwe zimagwiritsidwa ntchito pakuwonongeka kwa metabolic mu minofu ya mu ubongo chifukwa cha kusayenda bwino kwa magazi. Amayambitsa kukana kwa maselo aubongo mu nthawi ya hypoxia - "kufa ndi mpweya". Mankhwalawa onse amadziwika ndi zochepa zoyipa.

Kodi pali kusiyana kotani?

Mankhwala amasiyanasiyana m'njira zitatu izi:

  1. Zinthu zogwira ntchito. Iliyonse ndi yosiyana. Actovegin imakhazikika pamwazi wa ng'ombe. Omwe pawokha amakhala ndi zigawo 200 zamagetsi zomwe zimagwira ntchito. Izi ndichifukwa cha zovuta za mankhwalawo. Mexidol imakhala ndi etimethylhydroxypyridineced. Kuphatikiza pazinthu zothandizira, ilinso ndi lactose. Mosamala kugwiritsa ntchito mankhwalawa ndikofunikira kwa iwo omwe sayanjana ndi lactose.
  2. Chithandizo cha mankhwala. Munthu payekha, wosankhidwa ndi dokotala.
  3. Kutulutsa Fomu. Mexicoidol imapezeka m'mitundu iwiri: jakisoni (ma PC 10. Mu 2 ml.) Ndi mapiritsi a 50, 125 ndi 250 mg. 30, 40 ndi 50 tabu. Actovegin: mapiritsi a 200 mg. x 50 ma PC., yankho la 250 ml., kirimu, gel ndi mafuta. Amaperekedwa mu machubu a zotayidwa kuchokera 20 mpaka 100 g.

Zizindikiro zogwiritsidwa ntchito

Mexidol idalembedwa kuti:

  • ngozi yamitsempha
  • mitsempha, kupsinjika, kukhumudwa
  • purulent kutupa m'mimba
  • kuthupi komanso mwamphamvu

  • Matenda a CNS
  • kuvulala pakhungu
  • matenda ashuga

Njira yogwiritsira ntchito

Mlingo ndi chithandizo zimakhazikitsidwa payekhapayekha.

Actovegin amapangidwa mu mawonekedwe a yankho, mapiritsi ndi mafuta. Njira yothetsera vutoli imayendetsedwa m'njira zitatu: kudzera m'mitsempha (5-50 ml.), Intramuscularly (katatu patsiku) komanso kudzera m'mitsempha. Njira ya chithandizo ndi jakisoni ndi masiku 14-30. Mapiritsi amatengedwa katatu katatu patsiku. Kutalika kwa mankhwala: mwezi ndi theka.

Mexicoidol imapezeka mu yankho ndi piritsi. Mapiritsi amatengedwa katatu patsiku, mlingo waukulu wa tsiku ndi tsiku ndi 800 mg. Njira ya chithandizo ndi masiku 5-30. Kubaya: 200-500 mg kudzera m'mitsempha kapena katatu. Kutalika kwa maphunzirowa ndi sabata kapena awiri.

Ndemanga za madotolo ndi odwala

Anna, wazaka 39, wodwala zamtima:
Ndimatenga Mexicoidol, odwala anga amawonetsa kukumbukira ndi kusamalira ndi chidwi. Kuchepetsa kwambiri nkhawa kapena zovuta za asthenic.

Vera, wazaka 53, wodwala:
Actovegin adandiuza ngati wodwala matenda ashuga, amathandiza!

Lily, wazaka 28:
Anatenga onse awiri. Sindimamva kusiyana.

Olga, wazaka 46, wamisala:
Tsopano ndikusankha Mexicoidol. Ali ndi zotsutsana zochepa.

Tatyana, wazaka 35:
Woperekedwa kwa amayi pambuyo pa sitiroko. Koma ziwengo zinayambika. Wochotsedwa. Kuchita ndi mexidol jakisoni.

Zofanana ndi nyimbo

Actovegin imaphatikizidwa mu gulu lama pharmacological omwe amachititsa njira zama metabolic m'maselo ndikuthandizira kusintha kwa trophism, yomwe imalimbikitsa njira yobadwanso.

Mexicoidol ndi gulu la nootropics. Yogwira pophika mankhwala imathandizira kupuma kwamaselo, omwe amathandizira kukonza zakudya ndikuthandizira kuchotsa kwa zizindikiro zonse za kuledzera.

Mankhwalawa ndi ofanana momwe amathandizira thupi, koma kapangidwe kake ka mankhwalawo ndi kosiyana. Popanga njira yothetsera jakisoni, chinthu chomwe chimapezeka ndimadzi oyeretsedwa.

Zomwe ndibwino kugwiritsa ntchito pochiza mankhwala, njira yothetsera jakisoni wa Mexicoidol kapena Actovegin mu jakisoni imatha kutsimikiziridwa ndi dokotala wokhazikika pazotsatira za kuyesedwa ndi physiology ya wodwalayo.

Kukonzekera kumasiyana pakati pawo mu kapangidwe kake ka mankhwala ndi kayendedwe ka zochita pa thupi la wodwalayo.

Gawo lalikulu la Actovegin limatsitsidwa mwa magazi a ana a ng'ombe. Kukonzekera mwanjira yothetsera jakisoni kumakhala ndi sodium chloride ndi madzi oyeretsedwa monga gawo lina.

Mothandizidwa ndi mankhwalawa, minofu ya thupi imayamba kugonjetsedwa ndi njala, chifukwa mankhwalawa amathandizira kuti magwiritsidwe ntchito a oxygen ndi momwe amamwa. Chidacho chimayendetsa kagayidwe kazinthu zamagetsi ndikugwiritsa ntchito shuga, zomwe zimabweretsa kuwonjezeka kwa mphamvu yama cell.

Chifukwa cha kuchuluka kwa okosijeni, ma plasma nembanemba a maselo amakhala okhazikika mwa anthu omwe akudwala ischemia. Kuchepetsa kuchuluka kwa mpweya wabwino wa okosijeni kumachepetsa kuchuluka kwa lactate wopangidwa.

Mothandizidwa ndi Actovegin, zomwe zimakhala m'magazi zimachulukana ndipo njira za oxidative kagayidwe zimapangidwira, zomwe zimapangitsa kuti mphamvu ya metabolism ipangidwe mu maselo a minofu.

Actovegin chifukwa cha momwe amachititsa maselo amisempha imathandizira njira zama metabolic, potero kuyambitsa kusinthika.

Kuphatikizidwa kwa Mexicoidol mwanjira yankho la jakisoni kumakhala ndi ethyl methylhydroxypyridineine monga gawo logwira, gawo lazinthu zowonjezera limaseweredwa ndi sodium metabisulfite ndi madzi oyeretsedwa.

Maloidol mu ampoules amatanthauza ma pharmacological othandizira omwe amakhudza dongosolo lamanjenje.

Mankhwala amadziwika ndi zinthu zotsatirazi:

  • antioxidant
  • antihypoxic,
  • nembanemba kukhazikika
  • nootropic,
  • Wodandaula.

Mankhwalawa amathandizira kukumbukira kukumbukira, amathandizanso kugwidwa ndipo amatha kuchepetsa kuchuluka kwa zamadzimadzi m'madzi amthupi ndi zimakhala.

Kodi Mexicoidol ndi Actovegin zitha kutengedwa nthawi yomweyo?

Actovegin ndi Mexicoidol sikuti ndi mankhwala omwe amagwirizana, amatha kuphatikizidwa munjira zamankhwala, zomwe zitha kupititsa patsogolo phindu lililonse la ndalamazo.

Nthawi zina, kulandira chithandizo pogwiritsa ntchito mankhwala munthawi yomweyo kumatha kukulitsa zotsatira zabwino ndi 92%, zomwe ndi 25% kuposa momwe mungagwiritsire ntchito chithandizo choyambirira, chomwe chimaphatikizapo kugwiritsa ntchito amodzi mwa othandizira omwe amapanga mankhwala.

Mukamapangira mankhwala osokoneza bongo pogwiritsa ntchito mankhwalawa awiri, ndikofunikira kuti aperekedwe ndi jekeseni wamkati ndi donth. Kutalika kwa chithandizo chotere ndi masiku 30.

Chomwe chikutsimikiziridwa ndikuwonjezereka kwa chiwopsezo cha hepatoprotective ndi detoxization ku Mexidol pamene chikuyendetsedwa ndikuphatikiza Actovegin pothandizira matenda a chiwindi a hepatosis omwe sanali mowa.

Kugwiritsa ntchito mankhwala munthawi yomweyo kumathandiza kuchepetsa cholesterol yathunthu m'thupi ndi 11%.

Contraindication

Mexicoidol ndi Actovegin ali ndi mndandanda wocheperako wa contraindication kuti mugwiritse ntchito.

Malinga ndi malangizo ogwiritsira ntchito, Actovegin siyikulimbikitsidwa kuti mugwiritse ntchito ngati mankhwala ali ndi zotsatirazi:

  • oliguria
  • pulmonary edema,
  • kuchedwa kuchotsa madzimadzi m'thupi,
  • Anuria
  • mtima wosakhazikika,
  • kukhudzika kwakukulu pazigawo za mankhwala.

Kukhazikitsidwa kwa mapangidwe a mankhwala a Mexidol ndi koletsedwa ngati wodwala awonetsa kukhalapo kwa:

  • Hypersensitivity kuti athandize ethylmethylhydroxypyridine kapena chilichonse chothandiza,
  • pachimake chiwindi kulephera
  • pachimake aimpso kulephera Kupereka mankhwala Montidol ndi oletsedwa ngati wodwala akuwonetsa kupezeka kwa hypersensitivity pakupanga mankhwala.

Popereka mankhwala, dokotala ayenera kuganizira za kukhalapo kwa zotsutsanazi mwa wodwala.

Momwe mungatenge Mexicoidol ndi Actovegin?

Montidol mu mawonekedwe a yankho la jakisoni ndi jakisoni imayikidwa kuti imayendetsedwe mwa intramuscular kapena intravenous mwa njira ya ndege kapena dontho la kulowetsedwa. Asanadziwitse Mexicoidol mwa kulowetsedwa kwa mtsempha, zomwe zili mumapulogalamuwa zimaphatikizidwa ndi yankho la isotonic sodium chloride.

Kubayira jet kwa mankhwala kumaphatikizapo njira mkati mwa mphindi 5-7. Pankhani yogwiritsa ntchito njira yotsitsa ya utsogoleri, mankhwalawa popereka mankhwala ayenera kutsika ndi 40-60 pamphindi. Mlingo woyenera wovomerezeka kwa munthu yemwe ali ndi vuto la mtsempha wa magazi ndi 1200 mg patsiku.

Mlingo woyenera wa njira zochizira zimatsimikiziridwa ndi dokotala, poganizira njira ya matenda ndi zikhalidwe za wodwala.

Actovegin mu mawonekedwe a yankho limapangidwira intravenous, intraarterial kapena mu mnofu makonzedwe.

Mlingo ndi mulingo wa mankhwala amatsimikiziridwa ndi adokotala kutengera kuopsa kwa matendawa.

Ngati kagayidwe kazakudya ndi magazi m'magazi a ubongo zimachitika, tikulimbikitsidwa kuti pakangodutsa 10 mg ya mankhwalawa patsiku masiku 14. Nthawi imeneyi ikatha, jakisoni imachitika kwa milungu inayi pa mlingo wa 5-10 ml ya mankhwalawa kangapo pa sabata.

Ngati wodwalayo ali ndi zilonda zam'mimba ndi zotupa zina za pakhungu, tikulimbikitsidwa kuti mankhwalawa athandizidwe mu 10 ml ya mtsempha wa magazi kapena 5 ml intramuscularly. Mlingo womwe akuwonetsedwa, kutengera kuuma komanso njira zochizira zomwe adokotala amafunsa, zitha kutumikiridwa kangapo patsiku.

Mukamachita infra-arterial kapena intravenous infusions, njira yothetsera mankhwalawa yokonzedwera cholinga ichi imagwiritsidwa ntchito. Malangizo ogwiritsira ntchito akutsimikiza kuti azitsatira 250 ml yankho patsiku.

Nthawi zina, muyezo wa yankho utha kuwonjezeka mpaka 500 ml. Njira yochizira njira kuyambira pa 10 mpaka 20 njira.

Zotsatira zoyipa za Mexicoidol ndi Actovegin

Maonekedwe oyipa chifukwa chogwiritsa ntchito mankhwalawa ndi osowa, nthawi zambiri mukamagwiritsa ntchito Mexicoidid ndi Actovegin mumalekeredwa bwino.

Mukasankha Actovegin, munthu ayenera kuganizira kuwoneka kwa zotsatirazi zoyipa ndi zovuta zomwe zimachitika mwa wodwala:

  • ziwengo ndi mawonekedwe ake: kawirikawiri, kupezeka kwa urticaria, edema, thukuta lochulukirapo, malungo, mawonekedwe akuwala kwamoto,
  • amalimbikitsa kusanza, nseru, zizindikiro zam'mimba, kupweteka kwa epigastrium, kutsegula m'mimba,
  • kupweteka kwa tachycardia, kupweteka m'dera la mtima, khungu pakhungu, kupuma movutikira, kusintha kwa magazi kukhala mbali yaying'ono kapena yayikulu,
  • kumva kufooka, kupweteka mutu, chizungulire, kusokonezeka, kulephera kudziwa, kunjenjemera, paresthesias,
  • kumverera kwa kupweteka pachifuwa, kuchuluka kwa kupuma, kuvuta kumeza, kupweteka pammero, kutsamwitsa zomverera,
  • kupweteka kumbuyo mmunsi, mafupa ndi mafupa.

Pankhani yogwiritsa ntchito yankho la Mexicoidol, maonekedwe a:

  • kulumikizana
  • kuchuluka kwa kuuma kwa mucosa wamlomo,
  • kugona kwambiri
  • ziwengo.

Ngati mawonekedwe a zotsatirazi akuwoneka, amafunika kusiya kumwa mankhwalawo ndikuchita mankhwalawa.

Madokotala amafufuza

Olga, wazaka 39, dokotala wazamankhwala, Moscow

Ndizotheka kugwiritsa ntchito Mexicoidol osati monga mankhwala ochizira matenda amitsempha osiyanasiyana, komanso ngati mankhwala ochizira kapena kupewa matenda a kutopa kwambiri. Ndikupangira makonzedwe amkati. Odwala amafotokoza bwino momwe amachezera komanso amachepetsa nkhawa.

Irina, wazaka 49, wamisala, Chelyabinsk

Actovegin imalekeredwa bwino ndi odwala; imagwiritsidwa ntchito mu monotherapy komanso mu zovuta mankhwala. Mogwira kholo makonzedwe a mankhwala. Nthawi zina wodwalayo anali ndi kuchuluka kwa magazi. Amathandizanso ndimatenda amitsempha yama ubongo, ndimatenda amtundu wa zotumphukira.

Ndemanga za Odwala

Elena, wazaka 40, Yekaterinburg

Chachiwiri digiri ya dyscirculatory encephalopathy. Adachotsa Actovegin kuphatikiza ndimankhwala ena. Zotsatira zake zinachitika pambuyo pa masabata atatu. Zinakhala ngati zatsopano, koma patatha theka la chaka kubwereza kochizira kumafunika, chifukwa zonse zabwerera.

Ksenia, wazaka 34, Rostov

Posachedwa, adachitanso jakisoni yachiwiri ya jekeseni wamitsempha ya Montidol. Ndinatenga maphunziro 4 zaka zapitazo. Mankhwalawa adayikidwa ndi dotolo wamatsenga pazodandaula zanga za kutopa, chizungulire chofatsa, komanso nkhawa. Pambuyo pa jakisoni woyamba, zizindikiro zosasangalatsa zidasowa. A pang'ono nkhawa za ululu ndi mu mnofu makonzedwe a mankhwala.

Montidol mu ampoules a 2 ml amawononga ma 375 mpaka 480 rubles. kunyamula. Kuika ma ampoules okhala ndi voliyumu ya 5 ml kuli ndi mtengo kuchokera 355 mpaka 1505 rubles. kutengera chiwerengero cha ma ampoules omwe ali mgululi.

Actovegin mu ampoules amachokera ku 450 mpaka 1250 rubles. kutengera kuchuluka kwa zochulukirapo mu phukusi ndi kuchuluka kwake.

Chikhalidwe cha mankhwala osokoneza bongo

Actovegin ndi mankhwala omwe amasintha kukonzanso kwa minofu ndi trophism. Njira yotulutsira: mafuta, kirimu, gel, yankho mu ma piritsi a jakisoni, mapiritsi, yankho la kulowetsedwa. Gawo lomwe limagwira limachotsedwa pamagazi a ng'ombe.

Mankhwalawa amathandizira kagayidwe ka ma cell, chifukwa, mphamvu yama cell imawonjezeka. Mankhwalawa amathandizira kufalikira kwa magazi, kumapangitsa njira yogwiritsira ntchito michere, imathandizira njira yokonza minofu.Ndi matenda ashuga polyneuropathy, mankhwalawa amachepetsa zizindikiro za matendawa - kudzitsitsa kwa malekezero am'munsi, paresthesia, zotentha, kumva kupweteka.

Kuphatikiza apo, Actovegin ali ndi izi:

  • imapangitsa kuti mpweya ubweretse ma cell a ubongo,
  • amachita ngati antioxidant wamphamvu,
  • imathandizira kutuluka kwa glucose kumasewera mu ma neurons, chifukwa cha momwe ma cell aubongo amalandirira zakudya zofunikira,
  • imalimbikitsa kupangidwa kwa ATP ndi acetylcholine m'maselo aubongo,
  • zopindulitsa pa myocardial minofu ndi chiwindi maselo.

Zisonyezero zogwiritsira ntchito mapiritsi, jakisoni ndi ma dontho:

  • kagayidwe kachakudya ka mtima ndi minyewa ya muubongo (kuvulala kwamitsempha kwa ubongo, ngozi ya ubongo, kuchepa kwa mitsempha, sitiroko),
  • venous and arterial vascular disk,
  • matenda ashuga polyneuropathy.

Zisonyezero zogwiritsa ntchito mafuta:

  • mabala, zotupa za mucous nembanemba
  • mankhwala a bedores
  • kukonza mofulumira minofu itatha,
  • zilonda zakulira
  • osteochondrosis,
  • gawo loyambira la zotupa m'mimba,
  • ma radiation ayaka
  • chisanu.

Zisonyezero zogwiritsa ntchito gel:

  • Kupsa ndi kukokoloka kwa ziphuphu,
  • corneal chithandizo pamaso kumuika,
  • keratitis yodwala komanso yotupa,
  • microtrauma ya cornea mwa anthu omwe amagwiritsa ntchito ma lens.

Mexidol ndi mankhwala a nootropic okhala ndi antidepressant, anti-shock ndi antihypoxic zotsatira. Amapezeka m'mitundu iwiri: mapiritsi ndi yankho mu ma ampoules a jakisoni. Chosakaniza chophatikizika ndi ethylmethylhydroxypyridine succine, chomwe chimalepheretsa mapangidwe a peroxide lipids ndikuteteza maselo kukalamba.

Mexidol ndi mankhwala a nootropic okhala ndi antidepressant, anti-shock ndi antihypoxic zotsatira.

Mankhwala amasinthira magazi m'mitsempha, kufinya magazi, kugwira ma kagayidwe kazinthu, kutsitsa cholesterol, kuteteza maselo am'magazi ndi maselo ofiira amwazi kuti asawonongeke, ndikufotokozeranso njira za redox m'maselo aubongo.

Mankhwalawa amathandizira kuthetsa zizindikiritso za kuledzera ndikuwonetsa kwa micros-vascular dystonia patatha nthawi yayitali, kumathandizira kubwezeretsa ntchito zamtunduwu, kumathandizira zotsatira za anticonvulsants, antipsychotic, and tranquilizer. Mexicoid imathandizanso kukhumudwa, kusintha kuphunzira, kukonza kukumbukira.

Kutenga mankhwalawa chifukwa cha matenda a mtima kumakhala ndi zotsatira zabwino pa myocardium, chifukwa kumalimbitsa zimitsempha za myocardiocytes komanso kuteteza makhoma a mitsempha kuchokera pakayikamo cholesterol. Mankhwalawa amathandiza kupangika kozungulira ngati magazi atha kuwonongeka ndi mtima.

Zisonyezero zogwiritsidwa ntchito:

  • pachimake ubongo
  • pachimake myocardial infaration,
  • zovuta zamavuto amtundu wa neurosis ndi neurotic,
  • kuwonda modekha,
  • vegetovascular dystonia,
  • discirculatory encephalopathy,
  • kuvulala kumutu
  • peritonitis, pachimake necrotic kapamba,
  • kuledzera pachimake ndi antipsychotic mankhwala,
  • mpumulo wazizindikiro zakumwa zoledzera,
  • open glaucoma.

Kugwirizana kwa mankhwala

Mankhwala amakhala ndi mgwirizano wabwino. Nthawi zambiri amaphatikizidwa, ndipo amatha kulimbikitsana pochiza matenda amitsempha yamagazi. Ngati mankhwalawa amagwiritsidwa ntchito limodzi pochiza matenda a m'matumbo amiyendo, ndiye kuti mankhwalawo amawonjezeka mpaka 93%, omwe ndi 26% kuposa momwe mungogwiritsira ntchito mankhwala amodzi okha.

Momwe mungatengere Actovegin ndi Mexicoidol palimodzi?

Ngati mankhwalawa amagwiritsidwa ntchito popanga mankhwala osokoneza bongo, osavomerezeka kuti muwayesere mu syringe imodzi, chifukwa zigawo zikuluzikulu zimatha kuyanjana komanso kusintha kapangidwe kamankhwala. Zotsatira zake, mphamvu ya mankhwalawa imachepetsedwa ndipo ngakhale matupi awo sagwirizana akhoza kuyamba. Pa mankhwala aliwonse, syringe yokhayo iyenera kugwiritsidwa ntchito.

Makhalidwe a Actovegin ndi Mexicoidol

Mankhwalawa ali m'magulu osiyanasiyana a mankhwala. Komabe, amadziwika ndi katundu wofanana. Actovegin ndi woimira gulu lokonzekera magazi. Ntchito yayikulu ndikusangalatsa kwa kusintha kwa minofu. Mankhwalawa amakhala ndi magazi a ng'ombe amphongo, omwe amakhala ndi ma cell ochepa a magazi a seramu komanso maselo a ng'ombe zazing'ono.

Actoverin angagulidwe monga njira yothetsera, mapiritsi ndi kukonzekera kwamtundu. Madzi amadzimadzi amapezeka kuchokera pouma wama hemagerivative magazi a ng'ombe. Njira yothetsera vutoli imagwiritsidwa ntchito jakisoni, kulowetsedwa. Kukhazikitsidwa kwa mankhwalawa mu mawonekedwe amachitika m'njira zosiyanasiyana: kudzera m'mitsempha, intramuscularly komanso intraarterally.

Kupanga kwamankhwala kwa gawo lalikulu la Actovegin sikumveka bwino. Izi zimachitika chifukwa chakuti chinthuchi ndi chachilengedwe, koma sichikhala m'thupi la munthu. Izi zimasokoneza ntchito yophunzirira malo ake. Komabe, amaganiza kuti mankhwalawa ofotokoza magazi a ng'ombe ya hemoderivative amadziwika ndi zinthu zingapo:

  • Kuthetsa kwa zotsatira za hypoxia, chida chimalepheretsa kuyambika kwa chizindikiro cha kuchepa kwa okosijeni mtsogolo,
  • imayendetsa ntchito ya ma enzymes omwe amachititsa phosphorylation ya oxidative,
  • Kubwezeretsanso kwa kagayidwe kachakudya, mwachitsanzo, mothandizidwa ndi Actovegin, kuwonda mofulumira, phosphate metabolism imakulirakulira,
  • makulidwe a acid-base bwino,
  • Kubwezeretsa magazi, ngati kusintha kwake kwakuchitika chifukwa cha kusokonezeka kwamitsempha yamagazi,
  • kutsegukira kwa kusinthika njira, minofu trophism ndi mtundu.

Amadziwika kuti mankhwalawa amakhudza mayendedwe a shuga, amakhudzidwa ndikugwiritsa ntchito kwake. Chifukwa cha kuthekera kwa mankhwalawa kumapangitsa kuti thupi lizimva kumwa kwambiri, ziwalo zam'mimba zimakhazikika ngati ischemia imayamba. Nthawi yomweyo, lactate imapangidwa pang'onopang'ono. Kutengera njirazi, mphamvu ya antihypoxic ya mankhwala imawonetsedwa.

Ubwino wa Actovegin ndiwothamanga kwambiri.

Imayamba kuchita mphindi 30 pambuyo pa utsogoleri wa makolo. Pafupipafupi, mphamvu za mankhwalawa zimawonekera kwakanthawi - pambuyo pa maola 1-3, zomwe zimatengera momwe thupi limakhalira, kuuma kwa ma pathologies.

Mothandizidwa ndi wothandizirayi, kuwonjezereka kwa kuchuluka kwa zinthu ndi mankhwala enaake kwamveka: adenosine diphosphate, adenosine triphosphate, aminobutyric acid, glutamate ndi ma amino acid, komanso phosphocreatine. Actovegin amagwira ntchito pa matenda a shuga a polyneuropathy. Izi zimachitika chifukwa cha kuthekera kolimbikitsa mayendedwe ndi kugwiritsa ntchito shuga. Ndi mankhwala omwe ali ndi chida chotere, kuchepa kwa kukula kwa zizindikiro zambiri za matenda ashuga polyneuropathy mwa odwala omwe ali ndi matenda osokoneza bongo amadziwika.

Zoyipa za chida ichi ndi kusowa kwa umboni. Izi ndichifukwa choti Actovegin sanachite kafukufuku.

Chida choterechi chimayikidwa poganizira momwe amasulidwira. Zisonyezero zogwiritsira ntchito mapiritsi:

  • Monga gawo la zovuta mankhwala a metabolic mu ubongo, minyewa yam'magazi yomwe imathandizira kukulitsa kuchepa kwa magazi, kusokonezeka kwa magazi,
  • kusintha kwachilengedwe mu kapangidwe ka zipupa za zotumphukira, zomwe zimatsogolera pakupezeka kwa zilonda zam'mimba,
  • matenda ashuga polyneuropathy.

Njira zomwe zimagwiritsidwa ntchito panjira yothetsera vutoli zimagwiritsidwa ntchito pazomwe zimapangidwanso ndi mapiritsi, kuphatikiza apo, Actovegin fluid concentrate imayikidwa kangapo:

  • ischemic stroke (mankhwalawa amasintha magazi kupita kumalo omwe akhudzidwa ndi minofu),
  • kuchotsa kwa zotsatira za mankhwala a radiation,
  • kukondoweza kwa kusintha kwa minofu pamaso pa zotupa za khungu (mabala, kuwotcha, ndi zina).

Njira zamtundu wa zonona kuti mugwiritse ntchito kunja zimagwiritsidwa ntchito potsatira mawonekedwe a matenda:

  • bedore mankhwala
  • kuchiritsa kwa mabala omwe adawonekera pakhungu ndi mucous nembanemba,
  • kukonza minofu pambuyo pakuwotcha,
  • ulcerative mawonekedwe osiyanasiyana etiologies,
  • kuchotsa kwa zotsatira za mankhwala a radiation,
  • kupatsirana kwa minofu (chithandizo cha Actovegin chikuchitika musanachitike).

Mankhwala sinafotokozeredwe zotere:

  • Hypersensitivity kwa zigawo zikuluzikulu,
  • kuphwanya kutuluka kwamadzi kuchokera mthupi, mwachitsanzo, ndi mitundu yambiri ya kwamikodzo,
  • pulmonary edema,
  • kulephera kwa mtima pamlingo wakubwezera.

Mankhwala ndi a gulu la mankhwalawa otetezedwa, momwe thupi la amayi limakhalira pathupi komanso mkaka wa m`mawere silinaphunzire, koma palibe zotsatirapo zoyipa zomwe zimachitika pakumwa. Komabe, kusamala kuyenera kuchitika pakumwa mankhwala ndi Actovegin mu zochitika zathupi. Chida ichi chitha kuperekedwa kwa akhanda, pomwe phindu lomwe lingapweteke lingachitike.

Zotsatira zoyipa ndizochepa: amawona chiopsezo chokhala ndi vuto la magazi a ng'ombe; mukamagwiritsa ntchito zinthu zina zakunja, zimachitika mderalo (mkwiyo, redness, zidzolo).

Mankhwalawa ndi a gulu la mankhwala omwe amawonetsa antioxidant. Chifukwa cha Mexicoidol, kuchepa kwa chiwonongeko cha zinthu zopindulitsa kumadziwika, pomwe mawonekedwe amtundu wa oxidizing waulere sasankhidwa. Mutha kugula mankhwalawa monga mapiritsi ndi njira yothandizira, jekeseni wamitsempha. Mafuta a Ethyl methyl hydroxypyridine amagwira ntchito ngati chinthu chachikulu.

  • nembanemba yoteteza
  • nootropic
  • antihypoxic.

Chifukwa cha Mexicoidol, kukana kwa thupi kumachulukanso m'zinthu zingapo zodalira mpweya, kuphatikiza kudodometsa, kuledzera ndi ethanol ndi zinthu zake zowola, komanso kusokoneza kayendedwe ka magazi muubongo. Chifukwa cha chida ichi, kuchuluka kwa magazi kumapangidwanso kwina, kupatsirana kwa magazi kumankhwala kumakhala bwino, chiopsezo cha magazi amatsika, zomwe zimachitika chifukwa chotsutsa-kuphatikiza.

Nthawi yomweyo, zimimba za m'magazi zimakhazikika, nyumba yotsitsa lipid imawonetsedwa, zomwe zimathandiza kuchepetsa kuchuluka kwa cholesterol yoyipa. Nthawi yomweyo, kuchepa kwa kukula kwa zizindikilo zambiri za chifuwa chamkaka nthawi yamachulukidwe amadziwika. Kukula kwa zochita za Mexicoidol kutengera momwe amaperekera thupi. Njira yothetsera vutoli imagwira ntchito mwachangu kwambiri (ntchito zimawonekera pambuyo pa mphindi 45-50). Pochita jakisoni wa mu mnofu, mankhwalawa amayamba kugwira ntchito pambuyo pa maola 4.

Mankhwala wolembedwa zingapo:

  • choperewera
  • Matenda a Parkinson (monga njira yothandizira)
  • vegetovascular dystonia,
  • atherosulinotic mtima matenda,
  • achire syndrome
  • zotupa zako m'mimba,
  • ochepa matenda oopsa.

  • chiwindi, matenda a impso,
  • Hypersensitivity
  • mkaka wa m'mimba, pakati.

Kwa ana, mankhwalawa samalimbikitsidwanso chifukwa chosowa kudziwa momwe amakhudzira thupi lomwe likukula.

Kuyerekezera Mankhwala

Njira zina za mankhwalawa ndizofanana.

Mankhwala onse awiriwa amagwiritsidwa ntchito pamavuto am'magazi komanso ma metabolic mu minyewa ya ubongo. Amathandizira kukulitsa kukana kwa thupi pazinthu zomwe zimapangitsa kuti mpweya wa m'magazi uthere. Mankhwalawa onse samabweretsa zotsatira zoyipa zambiri.

Chili bwino ndi chiyani - Actovegin kapena Mexicoidol?

Mankhwalawa onse ali ndi phindu pazimba za maselo, amawonetsa antihypoxic. Ndi malingaliro awa, titha kunena kuti Actovegin ikhoza kugwiritsidwa ntchito m'malo mwa Mexicoidol. Komabe, ndikofunikira kukumbukira kuti omaliza a njira angathenso kukhudzidwa, ziwalo zam'mimba. Chifukwa chake, Mexicoidol nthawi zambiri imakhala yothandiza kwambiri.

Malingaliro a madotolo

Tikushin E.A., neurosurgeon, wazaka 36, ​​St. Petersburg

Mexicoidol ndiyabwino kwambiri kuposa Actovegin. Imagwira nthawi zambiri. Zoyipa ndizomwe zimachitika pafupipafupi.

Shkolnikov I.A., wamisala, wazaka 38, Ufa

Actovegin amathandiza pa matenda a ischemia pomwe mankhwala ena alibe ntchito. Alibe umboni ndipo izi ndizofunikira kwambiri.

Chikhalidwe cha Mexicoidol

Ichi ndi mankhwala a ku Russia ozikidwa pa ethylmethyloxypyridineced. Ili ndi mitundu yambiri yothandizirana, yomwe imatha kugawidwa m'magulu awiri - minyewa ndi minyewa.

Mexicoidol sili ndi antihypoxic zotsatira, komanso nootropic, anticonvulsant, neuroprotective, etc. Zimasintha kufalitsidwa kwa ziwalo, zimalepheretsa kuphatikizana kwa maselo ambiri, ndikutsitsa cholesterol. Kuphatikiza apo, Mexicoidol imawonjezera kukana kwa munthu pamikhalidwe yovuta.

Mankhwalawa amagwiritsidwanso ntchito pochiza matenda monga atherosulinosis, matenda am'mimba komanso matenda oopsa, ma syndromes osiyanasiyana opweteka komanso matenda opatsirana, matenda a nyamakazi, chifuwa chachikulu, matenda a shuga.

Mitundu yayikulu yamasulidwa ndi mapiritsi ndi njira zovomerezeka.

Kwa mankhwalawa, onse amkati ndi makonzedwe amkati amaperekedwa. Zonse zimatengera matenda omwe amagwiritsidwa ntchito pochiritsa. Mwachitsanzo, mankhwalawa amathandizira kugunda kwamitsempha, jet kapena drip. Ndi mankhwalawa modekha kuwonongeka okalamba odwala - intramuscularly.

Zofanana za Actovegin ndi Mexicoidol

Mankhwalawa amasiyana pakapangidwe ndi kagwiridwe ka ntchito. Amawalembera zochizira matenda amitsempha ndi mtima kuti muchepetse zovuta za kuzungulira kwa magazi. Mankhwalawa nawonso:

  • amathandiza kuti matenda a kagayidwe kazachulukidwe,
  • Sinthani minofu ya okosijeni
  • limbitsa makhoma amitsempha yamagazi
  • kuteteza neurons
  • bwezeretsani magazi m'matumba ang'onoang'ono,
  • yeretsani thupi ndi kuledzera,
  • sinthani magawo a kukula kwa maselo ndi magawikidwe.

Mankhwalawa amapezeka mu mawonekedwe a mapiritsi ndi jakisoni. Amatha kuphatikizidwa ndi mankhwala omwe ali ndi mphamvu ya sedative, analgesic, anticonvulsant komanso antibacterial. Piritsi la mankhwalawa limapangidwa m'matumba a pulasitiki ndi mapaketi a makatoni, omwe amawonetsa dzina la mankhwalawo ndi chinthu chomwe chikugwira. Njira zothetsera jakisoni wa mankhwalawa onse zili ndi magalasi amadzi oteteza kugalasi.

Mankhwalawa amasiyana wina ndi mnzake mu magawo ena, kuphatikiza kapangidwe kazomwe amapangira mankhwala.

Kugwira ntchito kwa Actovegin kumatheka chifukwa cha kupezeka kwazomwe zimapangitsa kuti hemoderivative yotayika ikhale magazi a ng'ombe. Kapangidwe ka ochulukitsa zimatengera mtundu wa kumasulidwa kwa mankhwalawo. Emulsifiers, povidone, selulosi, talc ndi zinthu zina zimapezekanso m'mapiritsi. Yankho lake limakhala ndi sodium chloride. Kuphatikiza apo, Actovegin, mosiyana ndi Mexicoidol, imapezeka ngati yankho la kulowerera kwa otsika. Mulinso mchere. Amayikika mumiyala yamagalasi 250 ml.

Kugwira ntchito kwa Actovegin kumatheka chifukwa cha kupezeka kwazomwe zimapangitsa kuti hemoderivative yotayika ikhale magazi a ng'ombe.

Chofunikira chachikulu pa Mexicoidol ndi ethylmethylhydroxypyridine succinate. Mapiritsi a mankhwalawa amakhala ndi magnesium stearate, lactose ndi povidone. Njira yothetsera jakisoni, kuwonjezera pazomwe zimagwira, imaphatikizapo madzi oyeretsedwa ndi sodium metabisulfite.

Ngakhale kuti matenda ena onsewa mankhwalawa amatha kugwiritsidwa ntchito, aliyense mwa mankhwalawa ali ndi zisonyezo zapadera. Monga chithandizo chodziyimira pawokha, Actovegin amalembera ma pathologies monga:

  • Matenda a Parkinson
  • sitiroko
  • zironda
  • chifuwa
  • encephalopathy
  • amayaka
  • purulent pathologies a cornea ndi maso,
  • zilonda zam'mimba
  • kupweteka ndi kusokonekera kwa malo okhala mu osteochondrosis,
  • matenda a radiation
  • khunyu.

Kuphatikiza apo, mankhwalawa amatha kugwiritsidwa ntchito panthawi yomwe ali ndi pakati ngati pali chiopsezo cholakwika. Actovegin nthawi zambiri amalembedwa kwa makanda omwe ali ndi zizindikiro za hypoxia. Mankhwalawa amatha kugwiritsidwa ntchito kuti athetse mavuto obwera chifukwa chovulala mu ubongo.

Mexicoidol samakonda kugwiritsidwa ntchito pochiritsa ana ndi amayi apakati. Monga chithandizo chodziyimira pawokha, kugwiritsa ntchito kwa Mexicoidol kumakhala koyenera panjira zotsatirazi:

  • matenda ashuga ndi mowa wamphamvu,
  • kukokana
  • asthenia
  • glaucoma
  • arrhasmia,
  • njira zamantha
  • ngozi yamatenda,
  • Kusiyana kwa kuthamanga kwa magazi,
  • kuwonongeka kwazidziwitso
  • kusamva.

Kuphatikiza apo, mankhwalawa amathandizira kukonza machitidwe a mitsempha yamagazi ndikuchepetsa cholesterol. Kugwiritsira ntchito kwa Mexicoidol kumawonjezera kukana kwa nkhawa ndikupangitsa kukumbukira kukumbukira. Monga gawo la mapulani ovuta, mankhwalawa amagwiritsidwa ntchito pochiza matenda am'mimba, kuphatikizapo necrotic kapamba ndi peritonitis.

Mankhwala osokoneza bongo amasiyana pamagulu amachitidwe. Ntchito yogwira Actovegin imakhala ndi mphamvu yolimbikitsa pakugwiritsa ntchito ndi kugwiritsa ntchito mpweya. Imafulumira metabolism ndikuwonjezera zomwe glucose amapezeka m'maselo. Mwa kukonza kayendedwe ka okosijeni ndi glucose, kuwonjezereka kwa mphamvu zama cell kumakwaniritsidwa. Kuphatikiza apo, Actovegin imathandizira kukhazikitsa njira zosinthira mu minofu yowonongeka.

Mexicoidol ndi gulu la nootropics. Zimateteza ulusi wamanjenje kuti isawonongeke pakalibe mpweya ndi michere. Imateteza ma membrane am'magazi pochepetsa kuchuluka kwa cholesterol ku phospholipids. Mexidol imathandizira kuti magazi azitha kufalikira, komanso kuthetseratu kuperewera kwa mpweya.

Mankhwalawa ali ndi mphamvu yoyeserera ndi yotsutsa. Mexicoidol imasintha mphamvu yama cellular ndikuyendetsa ntchito ya mphamvu yama kaphatikizidwe ka mitochondria. Kuphatikiza apo, chinthu chofunikira cha mankhwalawa chimayambitsa superoxide dismutase, yomwe ndi enzyme ya antioxidant.

Zabwino kuposa Actovegin kapena Mexicoidol

Mukamasankha mankhwala, muyenera kuganizira za kulolerana kwake komwe kumagwira ntchito komanso momwe amathandizira. Actovegin nthawi zambiri zotchulidwa pa matenda a zotumphukira ziwiya. Kuphatikiza apo, mankhwalawa amagwiritsidwa ntchito pochizira matenda amitsempha yamagazi chifukwa cha kupindika kwa ma disc a intervertebral disc. Mexicoidol imathandiza bwino ndi kusokoneza mitsempha yaubongo ndi zovuta zina

Zotsatira zoyipa kuchokera ku Actovegin ndi Mexicoidol

Zochita zoyipa pogwiritsa ntchito mankhwalawa ndizosowa kwambiri. Komabe, mukamagwiritsa ntchito Actovegin, mutha kukumana:

  • zolimbitsa thukuta,
  • urticaria
  • malungo
  • kutsegula m'mimba
  • kupweteka m'mimba
  • tachycardia
  • kupuma movutikira
  • kuthamanga pamahatchi
  • mutu
  • kufooka
  • kulephera kudziwa
  • kuphatikizika ndi mafupa.

Maloidol amathanso kuyambitsa mavuto osasangalatsa, koma nthawi zambiri izi zimachitika pogwiritsa ntchito mankhwalawa kwa nthawi yayitali. Zotsatira zoyipa:

  • kamwa yowuma
  • kusokoneza kwam'mimba,
  • kupweteka m'mimba
  • chifuwa
  • kugona

Ngati mavuto akachitika, ndikofunika kusiya mankhwala.

Momwe mungasinthire

Vutoli laididol litha kuperekedwako kukapanda kuleka kapena kuwongolera kudzera m'mitsetse. M'mbuyomu, zomwe zili mumapulogalamuwa zimasungunuka mu saline. Mulingo wovomerezeka wa mankhwalawa ndi 1200 mg patsiku. Kuphatikiza apo, mutha kupereka jakisoni ndi mankhwalawa ku minofu.

Actovegin, wogulitsidwa mu ampoules a 2 ndi 5 ml, amathandizidwa ndi intramuscularly. Kwa nthawi 1, mutha kulowa mu minofu osapitilira 5 ml ya mankhwalawa. Ndikofunika kupaka jekeseni. Ampoules a 10 ml amagwiritsidwa ntchito kukonza njira yothetsera kulowetsedwa kwamkati. Mlingo wa yankho lomwe limalowetsedwa patsiku likhoza kukhala 200-500 mg. Chiwerengero cholimbikitsidwa cha infusions chimachokera ku 10 mpaka 20 nthawi.

Mankhwala Okhala Pamalo a Pharmacy

Kuti mugule Mexicoidol ndi Actovegin mu pharmacy, dokotala amafunikira.

Mtengo wa yankho la Actovegin, kutengera mlingo ndi wopanga, ndi ma ruble a 550-1050. Mtengo wa Mexicoidol ndi ma ruble 400- 1700.

Irina, wazaka 54, Sochi

Kwa nthawi yayitali ndimakhala wosasangalala, panali madontho akuthamanga kwa magazi komanso chizungulire. Ndinapita kwa dotolo yemwe anandipeza ndi vestonia. Anamuthandizira jakisoni wa Mexicoidol ndi Actovegin. Mkhalidwe wake unayamba kuyenda bwino patatha sabata limodzi. Analandira chithandizo kwa miyezi iwiri. Dokotalayo adalimbikitsa njira zamankhwala zamtundu uliwonse pakatha miyezi isanu ndi umodzi.

Valentine, wazaka 32, Ufa

Mexicoidol kuphatikiza Actovegin jekeseni wanga amene adapulumuka stroko. Anali atadwala ziwalo zammbali. Kugwiritsidwa ntchito ndi mankhwalawa pafupifupi miyezi 4. Pang'onopang'ono, zinthu zinayamba kuyenda bwino, komanso kumva pang'ono pang'ono. Tsopano akuyenda pang'ono.

Kuyerekeza jakisoni Actovegin ndi Mexicoidol

Actovegin ndi Mexicoidol ali ndi mitundu yosiyanasiyana ya mankhwala, ndipo pali zosiyana zambiri pakati pawo kuposa zofanana. Zizindikiro zina zokhazokha zomwe zingagwiritsidwe ntchito zomwe zingakhale chifukwa chofananizira.

Chofunikira chodziwika bwino cha mankhwala a 2 ndi antihypoxic athari, ngakhale pali zosakaniza zosiyanasiyana. Chifukwa chake, kuchuluka kwake kwa ntchito ndi kusokonezeka kwa ubongo. Izi, mwachitsanzo, zitha kukhala zotsatira za kuvulala kwa ischemic, komanso mavuto omwe amabwera ndi kuvulala kwa craniocerebral ndi zotsatira zawo.

Kuphatikiza apo, jakisoni a Actovegin ndi Mexicoidol atha kupatsidwa zotupa za zotumphukira za mitundu yonse ya arterial ndi venous. Amagwiritsidwa ntchito ngati matenda ashuga, chifukwa nthawi zotere amathandizira kupewa kukula kwa matenda ashuga a polyneuropathy. Ngakhale pankhani ya matenda ashuga, momwe amagwirira ntchito adzasiyana.

Zotsatira zoyipa za mankhwalawa ndizofanana. Nthawi zina kumakhala kumverera kukamwa kowuma ndi nseru yofatsa. Thupi lawo siligwirizana chifukwa chotupa kapena khungu limakhala lambiri. Koma ku Mexicoidol, amawonetsedwa mofooka. Ngakhale Actovegin amayenera kudulidwa mosamala kwambiri, chifukwa ingayambitse kugwidwa koopsa kwa chifuwa cha anaphylactic.

Chotsika mtengo ndi chiyani?

Makina opanga Mexicoidol ndi kampani ya ku Russia yotchedwa Pharmasoft. Yankho limagulitsidwa mu ampoules ya ma 10 kapena 50 ma PC. mu phukusi. Poyamba, mankhwalawa adzagula ma ruble 480-500., Kachiwiri - ma ruble 2100.

Actovegin amapangidwa ku Austria kapena ku Russia (mafakitale a Japan a Takeda GmbH). Imabwera m'matumba a 5 kapena 25 ampoules. Mtengo wa kusankha koyamba - ma ruble 1100., Wachiwiri - ma ruble 1400.

Kodi ndizotheka kusintha mankhwalawa ndi wina?

M'matenda ena oyipa kwambiri a mitsempha kapena mitsempha, Mexicoidol sakanalowedwa m'malo ndi mankhwala ena onse, kuphatikizapo ndi Actovegin. Izi zimagwira, mwachitsanzo, peritonitis kapena kapamba, komwe Mexicoidol imagwiritsidwa ntchito ngati gawo la zovuta mankhwala. Kuphatikiza apo, mankhwalawa amatchulidwa ngati njira yodziyimira yochotsa matenda omwe achotsa mowa.

Muzochita zamisala, imagwiritsidwa ntchito pochiza mikhalidwe yokhudzana ndi kuchuluka kwa nkhawa. Palibe chifukwa choti Actovegin atha kulowa m'malo mwake.

Kusiya Ndemanga Yanu