Kodi pali kusiyana kotani pakati pa milgamma ndi nicotinic acid?

Milgamma ndi Nicotinic acid ndi mavitamini a B. Ngakhale kuti zinthu izi ndi mavitamini osungunuka ndimadzi ndipo zilipo momwe amapezeka mthupi la munthu, madokotala samapereka jekeseni wa Milgamma ndi nicotinic acid nthawi yomweyo. Ngati wodwala watchulidwa onse mankhwalawa, ndiye, monga lamulo, nthawi ya kumwa mankhwala ndi mitundu yake ya mankhwala ndi yosiyana.

Kugwirizana

Kodi ndingatenge Milgamm ndi Nikotinic acid? Malinga ndi malangizowo, panalibe zomwe zimachitika pakulimbana kwa mankhwalawa pakati pa mankhwalawa, ndipo palibe zomwe zikuwonetsa kuti iwo sanayenere kugwirira ntchito limodzi. Koma, popeza Milgamma ndi Nicotinic acid amapezeka ngati othandizira pawokha, ndikosayenera kupanga jakisoni imodzi kuchokera ku mankhwalawa.

Mayankho a madokotala okhudzana ndi kapangidwe kake ka mankhwala awa mosiyanasiyana: ena amalangizidwa kupereka jakisoni payokha m'mawa ndi madzulo, ena - kupereka jakisoni nthawi imodzi yamadzulo. Popeza opanga mankhwala sawonetsa mawonekedwe a Milgamma ndi Nicotinic acid, kuwatengera nthawi yomweyo ndizovomerezeka.

Vidal: https://www.vidal.ru/d drug/milgamm_compositum__3201
Radar: https://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGu>

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Momwe Milgamma Amagwira Ntchito

Ili ndi mavitamini atatu - B1, B6 ndi B12. Chothandizira chinanso ndi analgesic lidocaine hydrochloride.

Mankhwala omwe amadziwika ndi mankhwala amadziwika ndi izi:

1. Vitamini B1 imakhudzanso kagayidwe kazakudya. Amatenga nawo gawo la tricarboxylic acid, mapangidwe a thiamine pyrophosphate ndi adenosine triphosphoric acid, omwe ndiye gwero lamphamvu ya kusintha kwamphamvu mthupi.
2. Vitamini B6 imakhudza kagayidwe kazakudya, ndipo pamlingo wina, imathandizira kagayidwe kazakudya zamafuta ndi mafuta.
3. Vitamini B12 imalimbikitsa mapangidwe a magazi, imalimbikitsa kupangika kwa shehe ya ulusi wamanjenje. Imasintha kagayidwe kazigawo polimbikitsa folic acid.
4. Lidocaine ali ndi mankhwala oletsa kupanga.

Milgammam ndi mankhwala omwe ali ndi mavitamini atatu B1, B6 ndi B12.

Kuphatikizika kwa vitamini kumakhala ndi neurotropic. Chifukwa cha kukopa kwa magazi ndikuyenda bwino pamankhwala amanjenje, mankhwalawa amathandizira vutoli ndi matenda osachiritsika komanso otupa a zida zamagetsi.

Zingwe zimagwiritsidwa ntchito ngati:

• neuralgia
• paresis a nkhope
• mitsempha
• ganglionitis chifukwa cha shingles,
• neuropathy, polyneuropathy,
• multiple sclerosis
• kuwonongeka kwa mitsempha,
• minofu kukokana
• osteochondrosis.

Mavitamini onse amalimbitsa machitidwe a wina ndi mnzake, kukonza momwe mtima ndi mitsempha imathandizira.

Nthawi zina, mankhwalawa amatha kuyambitsa thupi kuwonetsa, chizungulire, tachycardia, kusanza, kapena kupweteka.

Mtundu wa piritsi wotulutsidwa umadziwika ndi kusowa kwa Vitamini B12 pakupanga komanso zomwe zimapezeka mu thiamine. Amagulitsidwa pansi pa dzina la malonda a Milgamm Composite. Mu phukusi la mapiritsi 30 kapena 60. Fomuyi ili ndi magulu owerengera pang'ono. Amagwiritsidwa ntchito posowa mavitamini B1 ndi B6 motsutsana ndi maziko a mitsempha yam'mitsempha.

Milgamm mu mawonekedwe a piritsi amadziwika ndi kusowa kwa vitamini B12 pakuphatikizidwa.

Katundu wa Nicotinic Acid

Izi zimatchedwanso vitamini B3, kapena niacin. Kamodzi m'thupi, imapangidwa nicotinamide. Izi zimagwirizanitsa ndi ma coenzymes omwe amayenda ndi hydrogen. Amasintha kagayidwe ka mafuta, kaphatikizidwe ka amino acid, mapuloteni, purines.Amasintha mtundu wa kupuma kwamatenda, glycogenolysis, kaphatikizidwe ka khungu.

Zokhudza thupi zimadziwika ndi:

1. Kubwezeretsa kusowa kwa niacin.
2. Antipellagric kanthu.
3. Kukhazikika kwa lipoproteins.
4. Kutsitsa cholesterol (pamitunda yayitali).
5. Vasodilating kwenikweni.

Kuzungulira m'mitsempha yamagazi yaying'ono (kuphatikiza ubongo) kumayenda bwino. Thupi limakhala ndi zovuta zina komanso zotsitsa.

Jekeseni wothandizirana ndi mankhwala amachitika kuti akwaniritse njira za kagayidwe kachakudya ndi kutupa;

• osteochondrosis,
• multiple sclerosis
• minyewa yamitsempha yamanja
• kuthamanga kwa magazi,
• zotupa, mitsempha ya varicose,
• Matenda a heartnup
• matenda ashuga
• hypovitaminosis,
• gastritis (otsika acidity),
• matenda am'mimba pa chikhululukiro,
• mitengo
• matenda opatsirana
• kuchepa kwapang'onopang'ono kwa mabala,
• kagayidwe kachakudya,
• poyizoni wa mowa.

Kuyerekeza Milgamma ndi Nicotinic Acid

Mankhwala amapangidwa ndi makampani osiyanasiyana azamankhwala. Mankhwala ovuta omwe ali ndi lidocaine amapangidwa ndi wopanga waku Germany, ndipo Nicotinic acid amapangidwa ndi makampani aku Russia.

Mankhwalawa ali ndi zofanana mu mtundu wa njira (yothetsera ndi mapiritsi), komanso mawonekedwe angapo ogwiritsira ntchito. Mankhwalawa onse ali m'gulu lokonzekera Vitamini.

Kodi pali kusiyana kotani?

Mankhwala amasiyana pakapangidwe, chinthu chogwira ntchito. Mawonekedwe a machitidwe a mankhwala amasiyana:

1. Milgamm ali ndi neuroprotective, analgesic kwenikweni, imakhudza kagayidwe kachakudya. Amagwiritsidwa ntchito ngati pathogenetic ndi chizindikiro wothandizila pa matenda a matenda amitsempha yamaukadaulo osiyanasiyana. Amagwiritsidwa ntchito pa matenda oyambitsidwa ndi blockade ya kufalikira kwa mitsempha.
2. Niacin amadziwika ndi vasodilating ndi antipellagric action. Amagwiritsidwa ntchito ngati angioprotector ndi kukonza kwa mtima.

Kukonzekera kwa Milgam, malangizo. Neuritis, neuralgia, radicular syndrome

Milgamm amadziwika ndi mawonekedwe osiyanasiyana pazokhudza thupi komanso kukula kwake pochiza matenda a mitsempha. Mankhwala osokoneza bongo siofananira, chifukwa zimasiyana mu kukula kwa kuchitira kwa ulusi wamanjenje.

Malangizo omwe amamwa mankhwala pa nthawi ya pakati komanso mkaka wa m'mawere amasiyana. Mu buku la Milgamm, izi zimatchulidwa kuti contraindication. Kugwiritsa ntchito mankhwala ena kumachitika mosamala ndipo ndi monga adalembera dokotala kuti akwaniritse zina zake.

Zomwe zimakhala zotsika mtengo

Mtengo wapakati wa Milgamm mu ampoules wokhala ndi yankho uli mu mndandanda wa ma ruble 250-1200. kutengera kuchuluka kwawo mu phukusi. Mwanjira ya dragee, mankhwalawa amalipira 550 mpaka 1200 rubles.

Nicotinic acid ndi wotsika mtengo. Mtengo wapakati wamapiritsi a 50 ndi ma ruble 30-50, ma ampoules - kuchokera ku 30 mpaka 200 ma ruble.

Zomwe zili bwino ndi Milgamma kapena Niacin

Iliyonse ya mankhwalawa ili ndi mawonekedwe ake. Munthawi zonsezi, adotolo amasankha payekha mankhwala othandizira payekhapayekha.

Kukhala ndi mawonekedwe osiyana, kupangirana wina ndi mnzake, motero amapatsidwa nthawi yomweyo. Komabe, njira yolimbikitsira yoyenera iyenera kuganiziridwanso komanso magawo ena azofunikira pakati pa mankhwala ayenera kuonedwa, monga ali osayenderana. Nicotinamide imathandizira Photolysis, ndipo mavitamini ena samapangidwa ndi machitidwe azinthu zowola za thiamine.

Kuphatikiza uku kumakupatsani mwayi kuti mupeze zotsatira zomwe mukufuna ndikukupatsani njira yayitali yothandizira.

Mfundo yogwira ntchito

Diclofenac (diclofenac) ndimankhwala osapweteka a antiidal. Kuchita kwake ndikufuna kuthana ndi kusintha kwa njira yotupa pamlingo wa minofu, kuchepetsa zizindikiro za kutentha, kuthetsa kupweteka kwambiri. Mitundu ya mankhwala a Diclofenac ndi chinthu chopanga phenylacetic acid, motero, malinga ndi njira yothandizira, Diclofenac ndiyamphamvu kwambiri kuposa acetylsalicylic acid, yomwe mpaka posachedwapa inali yogwira ntchito kwambiri yotsutsana ndi kutupa.

Combilipen (combilipen) - mankhwala omwe ali m'gulu la zophatikiza vitamini. Amagwiritsidwa ntchito mosamala pochiza matenda omwe amachititsa minyewa yamitsempha. Combilipen imakulitsa kamvekedwe ka thupi, imalimbikitsa kukana kwake ndi zovuta zakunja ndi zamkati. Njira yake imakhala ndi mavitamini atatu (B1, B6 ndi B12). Kuchita bwino kwa kuphatikiza koteroko panthawi ya mankhwala komanso pakukonzanso matenda omwe amayambitsa kuwonongeka kwa minyewa yamtsempha kwatsimikiziridwa ndi zaka zambiri zochita ntchito mankhwalawa.

Combilipen imathandizira kutsitsa kwa mitsempha, imathandizira kukonza magwiridwe antchito amanjenje yapakati. Jakisoni imodzi ya mavitamini imatha kuchepetsa ululu womwe umayambitsidwa ndi neuritis kapena osteochondrosis.

Koma ngati kuwonongeka kwa maselo amanjenje kukayamba, limodzi ndi njira zotupa (mwachitsanzo ,aticatica, piritsi limodzi la ku Combilipen silithandiza. Potere, adotolo atha kukulembera jakisoni wambiri ndikuphatikiza Combilipen limodzi ndi Diclofenac mu regimen yothandizira.

Chisankhochi chimakupatsani mwayi womwewo:

• kuthetsa edema yotupa,
• lolani mavitamini othandizira minofu yomwe yakhudzidwa.

Popeza onse a Diclofenac ndi Combilipen ali ndi mphamvu ya analgesic, njira yolumikizirana yogwiritsira ntchito imachepetsa ululu mwachangu. Patsiku lachisanu la chithandizo, limadutsa kwathunthu, lomwe limasintha kwambiri moyo wa wodwalayo. Jekeseni wa Diclofenac ndi Combibipen ndi mankhwala pokhapokha ngati matendawa ali pachiwindi. Amachitidwa kuyambira masiku 5 mpaka milungu iwiri (maphunzirowa amatengera kuuma kwa chithunzichi). Kenako amasintha kugwiritsa ntchito mapiritsi.

Momwe mungapangire jakisoni?

Kodi ndizotheka kubayitsa Diclofenac ndi Combilipen nthawi imodzi? Chithandizo chotere ndichotheka, koma simungathe kumwa mankhwalawo nthawi yomweyo. Chida chilichonse chili ndi njira yolandirira. Diclofenac amapaka jekeseni kamodzi patsiku (mlingo wapawiri umaperekedwa kokha moyang'aniridwa ndi achipatala). Ndi bwino jekeseni tsiku limodzi, kuwonjezereka kwa makina osokoneza bongo kumakhudza ntchito ya m'mimba thirakiti. Jekeseni amatengedwa osaposa masiku awiri, ndiye kuti wodwalayo amapatsidwa mitundu ina ya mankhwala.

Jekeseni wa Combibipen amachitika kawiri pa tsiku, kwa sabata limodzi, 2 ml ya mankhwalawa amasonkhanitsidwa syringe imodzi. Pamapeto pa maphunzirowa a masiku asanu ndi awiri, wodwalayo amatha kupitilirabe ndi jakisoni, koma amapatsidwa katatu pa sabata.

Ndiye momwe mungabayitsire mankhwala omwe afotokozedwa m'nkhaniyi? Chiwonetsero chilichonse chimayimiriridwa payokha ndipo chimatumizidwa intramuscularly panthawi zosiyanasiyana. Mukafunikira kugwiritsa ntchito analgesic yamphamvu kwambiri, analog ya Diclofenac imagwiritsidwa ntchito - mankhwala a Ketorol. Zimayenderanso bwino ndi Combilipen.

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Kombilipen - malangizo ogwiritsira ntchito

Mankhwala ndi a zovuta za multivitamin othandizira a neurotropic kanthu, amagwiritsidwa ntchito pochiza minyewa yamitsempha yama cell. Mavitamini a ku Combilipen amapangidwira:

• kuchuluka magazi,
• kusintha kagayidwe
• Chotsani zotupa za mitsempha,
• kukonza minofu yowonongeka ya minyewa,
• muchepetse ululu womwe umayamba chifukwa cha kuwonongeka kwa mankhusu a zotumphukira,
• kusintha kwa mitsempha yodutsitsa,
• kulimbitsa chitetezo chokwanira, kukulitsa kukhazikika kwa chitetezo chamthupi pazinthu zovuta: kupsinjika, kusuta, kumwa mowa.

Zovuta za jakisoni zimaperekedwa ndi zinthu zomwe zimagwira mu Gombilipen mu ampoules: benfothiamine (mawonekedwe a mafuta osungunuka a vitamini B1) - 100 mg, pyridoxine hydrochloride (vitamini B6) - 100 mg, cyanocobalamin (vitamini B12) - 1000 μg, lidocaine hydrochloride - 20 mg. Njira yothetsera jakisoni ili ndi zotuluka:

• sodium tripolyphosphate,
• sodium hydroxide
• potaziyamu hexacyanoferrate,
• mowa wa benzyl
• madzi a jakisoni.

Kutulutsa Fomu

Mankhwala Combilipen amapezeka mu mawonekedwe a mapiritsi ndi mayankho a jakisoni mu ampoules.Kapangidwe ka mapiritsi ndi kosiyana pang'ono ndi majekesheni. Masamba a Kombilipen ochokera ku zinthu zomwe zilibe mulibe lidocaine, ndipo kuchokera pazowonjezera zam'mapiritsiwo mulinso:

Jakisoni ndi madzi amtundu wotuwa wa pinki wokhala ndi fungo lakuthwa. Kombilipen mu ampoules muli ma millilitita awiri a jekeseni. Zingwe zimayikidwa m'maseke amtundu wa zidutswa 5 kapena 10. Chochulukitsa chimayikidwa mu katoni yakunja ngati palibe zikwangwani kapena malo osweka pama ampoules. Mankhwala amaperekedwa mu mankhwala ndi mankhwala. Ndikofunikira kusunga ma ampoules pamtunda wa madigiri 8 m'nyumba popanda dzuwa. Alumali moyo wa mankhwala 2 zaka.

Pharmacodynamics ndi pharmacokinetics

Zochita za mankhwalawa zimaperekedwa ndi mavitamini amtundu wa B, omwe amasiyanitsidwa ndi njira yothandiza pamitsempha yaumunthu, kusinthika kwazomwe zimapangitsa kuti minyewa ikhale yotupa komanso yolimba. Chofunikira chachikulu ndi thiamine (Vitamini B1), mavitamini B6 ndi B12 zimathandizira zotsatira zake ndikuchita gawo lofunikira mu kagayidwe ka metabolic. Mankhwala zotsatira za Combibipen zimatheka chifukwa cha zinthu zotsatirazi:

1. Vitamini B1. M'mbuyomu, ankatchedwa Anevrin, chifukwa kupezeka kwake kumalumikizana ndi matenda amanjenje - tengani. Matendawa amadziwika ndi kutopa, kuchepa kwa malingaliro, kupweteka chifukwa cha malo am'mitsempha yamafupa, komanso ziwalo. Thupi limatha kubwezeretsanso ntchito ya minyewa yamatenda mu matenda omwe atchulidwa kale, ndikumenyedwa kwa ubongo ndi kukula kwa ubongo. Udindo wake ndikupereka shuga ku maselo amitsempha wamba. Ndi kuperewera kwa glucose, amakhala opunduka, zomwe zimabweretsa ntchito zowonongeka - mayendedwe okhudzana. Thiamine imapereka kukhazikika kwa minofu yamtima.
2. Vitamini B6. Ndikofunikira kagayidwe koyenera, hematopoiesis yachilengedwe, mothandizidwa ndi zinthu zotulutsa ndi njira zoletsa zimachitika, kufalikira kwa zikakamizo pakukhudzana ndi minyewa ya mitsempha. Amapereka kapangidwe ka mahomoni norepinephrine ndi adrenaline, kayendedwe ka sphingosine - chinthu chomwe ndi gawo la nembanemba wamitsempha. Mothandizidwa ndi vitamini, mapangidwe a serotonin amachitika, omwe amachititsa kuti munthu azigona, azilakalaka komanso aziganiza.
3. Vitamini B12. Imalowa mthupi ndi chakudya chochokera kuchinyama. Amatenga nawo mbali mu biosynthesis ya acetylcholine, yemwe amachititsa zoyambitsa misempha. Ndikofunikira kwa hematopoiesis wabwinobwino, mothandizidwa ndi maselo ofiira amthupi omwe amalimbana ndi hemolysis amapangidwa. Zoyenera kuphatikizidwa ndi myelin - gawo la mitsempha ya mitsempha. Zofunika mu folic acid metabolism. Amatenga nawo kapangidwe ka amino acid - zida zomangira maselo a epithelial wosanjikiza, zimayang'anira kupanga mahomoni ndi majini. Kuchulukitsa minofu kukonzanso, kumachepetsa kukalamba kwa thupi. Imatha kupanga zotsatira za analgesic ndikuwonjezera mphamvu ya mankhwala oletsa kupanikizika, matenda a magazi.
4. Lidocaine. Ili ndi malo apakati pakati pazogwira ntchito komanso zothandizira. Zilibe ntchito mavitamini, ndi mankhwala ochititsa chidwi. Chifukwa cha chinthucho, jakisoni amakhala wopanda ululu. Kuphatikiza apo, chinthucho chimagwira ntchito pakukula kwa mitsempha yamagazi ndikuthandizira thupi kuyamwa mavitamini.

Jekeseni wa Kombilipen - zotchulidwa

Mphamvu ya kukonzekera kwa Vitamini kuti igwire bwino ntchito yamanjenje, kubwezeretsa minyewa yam'mitsempha ndi mayendedwe awo, kuchepetsa ululu panthawi yotupa komanso yodukiza mu minyewa yamitsempha ndipo masisitimu am'mimba amagwiritsidwa ntchito pochiza:

• matenda a musculoskeletal system,
• nkhope yamitsempha,
• neostgia neostgminal,
• polyneuropathies a mowa, matenda ashuga,
• lumbar ischialgia,
• ululu syndrome, womwe umayamba chifukwa cha kusintha kwazosokoneza khomo lachiberekero, khomo lachiberekero komanso lumbar spine (osteochondrosis).

Monga kukonzekera kwa multivitamin, jakisoni a Kombilipen amakhala ndi mphamvu yolimbitsa. Zotsatira zabwino zimawonedwa popereka jekeseni kwa odwala omwe ali ndi nthawi yothandizira. Mankhwalawa adalandira ndemanga zabwino kuchokera kwa odwala omwe adalandira chithandizo. Atamaliza maphunzirowa, odwala adazindikira kusintha kwa khungu, kuchuluka kwa mphamvu, komanso kuchepa kwa kutopa.

Diclofenac ndi Combilipen: njira yogwiritsira ntchito

• odana ndi yotupa (tsekani kukula kwa kutupa m'matumbo a minofu),
• antipyretic (thandizani malungo, okhudza likulu la kutulutsidwa kwa ubongo)
• painkiller (chotsani ululu, wokhudzana ndi zotumphukira ndi njira zoyambira za chitukuko chake).

Chifukwa cha kukhalapo kwa zotulukapozi, mankhwala osapweteka a antiidal omwe amatchedwa noncotic analgesics (painkillers) ndi mankhwala a antipyretic.

Ulemba mankhwala Combilipen, Midokalm ndi Movalis (Arthrosan, Meloxicam, Amelotex)

• Amachepetsa minofu minofu kamvekedwe,
• amathandizanso kupweteka
• kumawonjezera kuyenda kwa minofu yozungulira malo owonongeka a msana,
• bwino zotumphukira magazi.

Movalis (dzina lapadziko lonse meloxicam) ndi mankhwala osagwiritsa ntchito mankhwala a anti-yotupa omwe amasankha ndipo pachifukwa ichi samayambitsa zovuta zodziwika bwino m'gulu lino lokonzekera zamankhwala kuchokera m'mimba.

Chifukwa chiyani Combilipen ndi Alflutop adasankhidwa?

• imalepheretsa kuwonongeka kwa mafupa ndi ma cartilage minerals pa macromolecular level,
• imathandizira njira zosinthira,
• muli zinthu zofunika kubwezeretsa minofu yowonongeka.

Kuphatikiza kwa Combilipen ndi Alflutop kumakhala kothandiza makamaka kwa osteochondrosis. Alflutop amayimitsa kusintha kwa msempha, ndipo Combilipen imabwezeretsa minyewa yowonongeka yamitsempha.

Jakisoni Combilipen ndi nikotini acid: malangizo ogwiritsira ntchito

• minyewa yamitsempha yamanja
• kuwonongeka kwa minyewa yamanjongo mu osteochondrosis,
• Ngozi zapakati komanso zoperewera za ubongo.
• matenda a chapakati ndi zotumphukira mantha dongosolo kugwirizana ndi mkati ndi kunja zakumwa (shuga, uchidakwa, etc.).

Kuphatikiza uku, nicotinic acid imagwira ntchito yochotsa mthupi, kuteteza minyewa yamanjenje ku ziphe za magwero osiyanasiyana - ikubwera ndi mtsinje wamagazi, wopangika pakulimbana ndi minyewa kapena minyewa yowonongeka ya minyewa yomwe, ndipo Combilipen imadyetsa maselo amitsempha, amathandizira kuti ayambe kuchira msanga.

Momwe mungapangire jakisoni wa nikotini acid ndi combilipene, kodi angathe kuchitidwa nthawi imodzi? Dotolo adayikiratu jakisoni 10% iliyonse ndikatha kudya, koma sanafotokozere momwe angachitire - pumani pamodzi nthawi imodzi kapena nthawi zosiyanasiyana (m'mawa ndi madzulo, mwachitsanzo), kapena yambani kuchita chimodzi kenako. Ndikudziwa kuti sangaphatikizidwe mu syringe imodzi. Amafuna kudziwa ngati nkotheka kupanga jakisoni onse kuchokera ku ma syringe osiyanasiyana nthawi imodzi, ngati zingatheke momwe zingakhalire zolondola - kubayitsa jakisoni onse m'magawo awiri kapena m'modzi, winayo kwinanso?

Mankhwala a Combilipen ndi Nicotinic acid amagwira ntchito bwino pamatenda osiyanasiyana a zotumphukira zamanjenje: dorsopathies, radiculopathies, osteochondrosis, neuralgia ndi neuropathies zosiyanasiyana.

Mu "Combibipene" mumakhala kuphatikiza mavitamini a B (B1, B6, B12) ndi lidocaine, Nicotinic acid kapena vitamini "PP". Kuphatikiza kwabwino kwa mankhwalawa malinga ndi chiwembu:

tsiku ndi tsiku x 1 patsiku kuti mupeze mankhwalawa mu ma syringe osiyanasiyana, mutha kuponya patali pafupi, mutha matako osiyanasiyana, kenako. Simungasiye singano mu minofu yocheperako ngati mutabaya mankhwala amodzi, ndiye kuti syringe ndi mankhwala ena mu singano yomweyo.

Kumbukirani kuti jakisoni wa nicotinic acid pamakhala kufowoka kwa nkhope, manja, kolala, kutsekeka kwa khungu.Nthawi zambiri mbali iyi, chifukwa champhamvu ya vasodilator, imazimiririka mofulumira mumphindi zochepa. Izi sizoyipa zilizonse!

Tsiku lililonse, i.e. kusinthana mankhwala sikumveka, chifukwa ndi ochokera m'magulu osiyanasiyana. Inde, ndipo chithandizo cha "smear" kwa masiku 20 ndi chosatheka.

Kodi kubaya nicotinic acid ndi combilipene?

Madokotala, omwe amapanga njira zochiritsira, amasankha mankhwala kuti apititse patsogolo njira zochizira, zomwe njira zake zimathandizirana. Zotsatira zabwino kwambiri pochiza ma syndromes opweteka omwe amapezeka ndi matenda a neuralgic chikhalidwe chikuwonetsa kuyanjana kwa Combilipen ndi Diclofenac. Kuphatikiza uku kumakupatsani mwayi kuti mupeze zotsatira zomwe mukufuna ndikukupatsani njira yayitali yothandizira.

Ndemanga za mankhwala Combilipen: zabwino ndi mavuto

Kombilipen ndizokonzekera mavitamini. Ili ndi mavitamini a gulu B (B1, B6, B12) ndi lidocaine hydrochloride. Combilipen imagwiritsidwa ntchito moyenera pochiza matenda amitsempha ya mitsempha (mitsempha, neuralgia), komanso matenda osiyanasiyana osakhazikika a msana - monga lumbar, chifuwa, osteochondrosis, etc.

Kombilipen jakisoni intramuscularly - malangizo ntchito

Ndiuzeni, majekeseni adalembedwa: 1. Diclofenac 3.0 i / m, No. 5 2. Niacin 2.0 i / m, No. 10 3. Combillipen 2.0 i / m, No. 10 Momwe mungabayire jakisoni, mutha kusakaniza mu imodzi syringe kapena ayi? Kubaya kamodzi kapena katatu patsiku? Fotokozerani amene adapereka mankhwalawa? Kuyala kuyenera kukhala muma syringe osiyanasiyana. Diclofenac kwa masiku asanu, mmodzi amakhudzika intramuscularly, ndi chikonga-to-tu ndi combilipen kuti apange jekeseni masiku khumi. Mutha kubayira jakisoni atatu nthawi.

Malangizo a jekeseni wa Nikotine ogwiritsira ntchito: mawonekedwe ...

Jekeseni wa nicotinic acid (nikotini) amapatsidwa matenda osiyanasiyana. Chowonadi ndi chakuti chimakhudza thupi mosiyanasiyana ndi matenda ena. Mankhwala ndi a gulu la Vitamini. kusintha magazi kumadera ena komanso mthupi lonse.

Momwe nicotinic acid amathandizira ndi mavitamini ena

Thupi laumunthu limalankhula, modabwitsa, ndi bizinesi yayikulu yamalonda, m'masitolo momwe njira zosiyanasiyana zimachitikira nthawi imodzi. Mu ntchito yopitayi, zinthu zambiri zapadera zimaphatikizidwa - chakudya, mafuta, mapuloteni, mavitamini, mchere. Kuti thupi lathu lizitha kuyamwa ndikugwiritsa ntchito zonsezo, muyenera kudziwa zomwe zimaphatikizana komanso zomwe sizili. Kulumikizana kwa nicotinic acid ndi mavitamini ena kumakhudza mwachindunji momwe mayamwidwe ake. Mwa njira, ngati mavitamini aphatikiza bwino, ndiye kuti mphamvu zake zimawonjezereka. Nicotinic acid imagwirizana bwino ndi mavitamini B2, B6 ndi N. Kukhalapo kwa mkuwa ndi vitamini B6 kumathandizira kuyamwa kwake ndi thupi.

Kubweretsa funso la momwe nicotinic acid imaphatikizidwira ndi mavitamini ena, ziyenera kudziwika kuti chinthuchi chimakaniratu zochita za thiamine. Vitamini B3 imangowononga vitamini B1. Vitamini B12 imawonetsanso kusagwirizana bwino ndi nicotinic acid. Pansi pa kuchitapo kwake, cyanocobalamin amataya ntchito. Kumvetsetsa momwe nicotinic acid imalumikizirana ndi mavitamini ena, mutha kuwonjezera mphamvu ya mankhwalawo ndikupewa zolakwika zomwe zimachitika chifukwa chophatikiza zinthu zomwe sizinaphule kanthu.

Mutu wina womwe tiyenera kuuyang'ana ndiwakuti kaya vitamini B3 akhoza kuledzera ndi mankhwala okhala ndi mipanda yolimba kwambiri. Makamaka, ambiri ali ndi chidwi ndi vuto la Combilipene ndi nicotinic acid. Nthawi zambiri, madokotala amapereka mankhwala awa pochiza matenda osiyanasiyana amitsempha. Mu tandem yotere, Vitamini PP imagwira ntchito yochotsa matenda, ndipo Combilipen ndiye amachititsa ntchito yama cell a mitsempha, yomwe imathandizira kuchira.

Mankhwala ena omwe amagwirizana ndi nicotinic acid.

Asanapereke vitamini PP kwa wodwala, adotolo afotokozere omwe amamwa.

• Ndi kulumikizana kwa nicotinic acid ndi neomycin, sulfonamides, barbiturate, anti-TB, kuwonjezeka kwa poizoni kumawonedwa.
• Osamamwa vitamini B3 munthawi yomweyo ndi aspirin, anticoagulants, antihypertensive mankhwala, kuti musachulukitse chiopsezo cha mavuto.
• Nicotinic acid imagwirizananso bwino ndi mankhwala othandizira matenda ashuga, chifukwa amachepetsa kuchiritsa kwawo.
• Ngati mutenga vitamini B3 ndi mankhwala ochepetsa lipid, chiopsezo chovulaza thanzi la chiwindi chimakulirakulira.
• Kuphatikiza apo, muyenera kusamala mukaphatikizidwa ndi mtima glycosides, fibrinolytics, antispasmodics, chifukwa mphamvu ya mankhwalawa imakulitsidwa.

Kodi nicotinic acid imagwirizana ndi mowa?

Popeza tinafotokozera momwe mungaphatikizire mavitamini ndi nicotinic acid, tikhudza pamutu wokhudzana ndi mowa. Malinga ndi malangizo, sizotheka kumwa vitamini B3 nthawi imodzi ndi mowa kapena mankhwala okhala ndi ethanol. Kusanganikirana kwawo kungapangitse kuchepa kwa mayamwidwe am'madzi a bile acid, komanso kuwonjezeka kwa poizoni. Nthawi yomweyo nicotinic acid imakhala ndi mphamvu yoledzera. Imalimbikitsa kuchotsedwa kwachangu kwa zinthu zapoizoni m'thupi, kumangirira zopitilira muyeso. Ichi ndichifukwa chake Vitamini B3 imagwiritsidwa ntchito popumitsa matenda olimba a hangover ndipo amagwiritsidwa ntchito ngati gawo la mankhwala osokoneza bongo. Contraindication Ndi zabwino zonse za nikotini acid, pali zochitika zina ngati kugwiritsidwa ntchito kwake kumatsutsana.

• Kusalolerana payekha, matupi awo sagwirizana ndi chinthu,
• Kuchulukitsa kwa matenda am'mimba ndi duodenum, kuphatikizapo zilonda zam'mimba,
• Kuphwanya chiwindi,
• Atherosclerosis (contraindicated intravenousous intravenousous),
• Gout
• Mitundu ikuluikulu ya matenda oopsa,
• Kuchulukitsa uric acid m'magazi.

Akatswiri amalangiza kusamala mukamagwiritsa ntchito vitamini B3 kwa anthu omwe akudwala matenda otsatirawa:

• Matenda a shuga
• Gastritis yokhala ndi acidity yayikulu,
• Manda,
• Hepatitis
• Glaucoma

Moyang'aniridwa ndi apadera a madokotala - azimayi panthawi yoyembekezera komanso mkaka wa m'mawere. Amadziwika kuti nicotinic acid amadziwika kuti azimayi amtsogolo akapita padera, mothandizidwa ndi chiwindi ndi ma biliary thirakiti, modalira mankhwala, panjira ya placenta. Niacin amatha kukonza kayendedwe ka magazi ndikuchepetsa mamasukidwe akayendedwe amwazi, omwe amalepheretsa mapangidwe am magazi ndikuchepetsa chiopsezo chotchinga mitsempha ya placenta. Titha kunena kuti chida chimatithandizira kupewa kubadwa msanga komanso zovuta zomwe zingachitike. Panthawi yoyamwitsa, vitamini A angagwiritsidwe ntchito kuti apange mkaka wa m'mawere.

Moni. Mukumwa mankhwala, kutsogoleredwa ndi malangizo awo azachipatala ndi ma contraindication kuti muwagwiritse ntchito. Mu malangizo a mankhwalawa palibe choletsa pa nthawi yomweyo. Omnic ndiwotheka panthawi yogwiritsira ntchito mankhwalawa. Monga lamulo, pakuyendera kwathunthu kwa dotolo, mankhwala onse omwe amatengedwa amawululidwa ndi wodwalayo ndipo adokotala amapanga nthawi yake woganizira izi. Nthawi zonse pamakhala chiopsezo cha mankhwala omwe amwedwa ndipo ndikosatheka kulosera momwe thupi lanu lingachitire ndi mankhwala ena, motere ndi njira yokhudza mavuto. Pochita, nicotinic acid simalola odwala onse.

1. Niacin: Contraindication
Jakisoni wamkati wamitsempha amathandizidwa mu mitundu yayikulu ya matenda oopsa (kuchuluka kosalekeza kwa kuthamanga kwa magazi) ndi atherosulinosis.
Anthu omwe ali ndi hypersensitivity kwa nicotinic acid ayenera kuikidwa nicotinamide, pokhapokha ngati nicotinic acid imagwiritsidwa ntchito ngati vasodilator.
Tiyenera kukumbukira kuti kugwiritsidwa ntchito kwa nthawi yayitali kwa nicotinic acid kungayambitse kukula kwa chiwindi. Popewa izi, tikulimbikitsidwa kuti muphatikize zakudya zomwe zimapezeka mu methionine - yofunika / yosapangika amino acid / muzakudya, kapena kupereka methionine ndi ena a lipotropic (osankha osakanikirana ndi mafuta).

2. Milgamm: contraindication: Njira yothandizira

Hypersensitivity zigawo zikuluzikulu za mankhwalawa, kuphwanya kwamtima kwa mtima, kukomoka kwa mtima. Vitamini B1 ndi contraindicated mu thupi lawo siligwirizana. Vitamini B6 ndi contraindicated vuto la chapamimba ndi duodenal chilonda mu pachimake siteji (popeza kuwonjezeka acidity wa chapamimba madzi ndikotheka). Vitamini B12 imapangidwa kuti igwiritsidwe ntchito mu erythremia, erythrocytosis, thromboembolism.

Lidocaine. Hypersensitivity kwa lidocaine kapena mankhwala ena amtundu wapakhungu, mbiri ya khunyu pakumatenga lidocaine, bradycardia, kwambiri ochepa hypotension, Cardiogenic mantha, mitundu yayikulu ya kufooka kwa mtima (II - III digiri), sinus nodeifo syndrome, w-cm , Adams-Stokes syndrome, AV block II ndi III digiri, hypovolemia, chiwindi / impso zimawonongeka, porphyria, myasthenia gravis.

Kuchita kwa thiamine kumapangidwira ndi fluorouracil, popeza chomaliza chimalepheretsa thiamine phosphorylation kuti thiamine pyrophosphate. Zooptira wa looptics, monga furosemide, zoletsa tubular reabsorption, ndimakhalitsidwe wowonjezera amatha kuyambitsa kuchuluka kwa thiamine, potero kuchepetsa mphamvu yake.

Kugwiritsa ntchito limodzi ndi levodopa kumatsutsana, chifukwa vitamini B6 imachepetsa kukula kwa antiparkinsonia zotsatira za levodopa. Kugwiritsira ntchito mosagwirizana ndi pyridoxine antagonists (mwachitsanzo isoniazid, hydralazine, penicillamine kapena cycloserine), njira zakulera zapakati pamlomo zitha kukulitsa kufunika kwa vitamini B6.

Kumwera zakumwa za sulfite (monga vinyo) kumakulitsa kuchepa kwa thiamine.

Lidocaine imawonjezera mphamvu yoletsa kupuma kwapakati pa mankhwala oletsa kupweteka (hexobarbital, thiopental sodium iv), mapiritsi ogona ndi zinthu zina, imafooketsa mphamvu ya mtima ya digitoxin. Pogwiritsa ntchito munthawi yomweyo ndi ma hypnotics ndi ma sedatives, ndizotheka kuwonjezera zovuta zina zamagetsi. Ethanol timapitiriza inhibitory mphamvu ya lidocaine pa kupuma.

Adrenoreceptor blockers (kuphatikizapo propranolol, nadolol) amachepetsa kagayidwe ka lidocaine m'chiwindi, amalimbikitsa zotsatira za lidocaine (kuphatikizapo poizoni) ndikuwonjezera mwayi wokhala ndi bradycardia ndi hypotension.

Mankhwala ofanana ndi ma Curare - ndizotheka kukulitsa mpumulo wa minofu (kufinya kwamisempha).

Norepinephrine, mexiletine - kawopsedwe wa lidocaine wawonjezereka (chilolezo cha lidocaine chikuchepa).

Isadrine ndi glucagon - kuchuluka kwa lidocaine.

Cimetidine, midazolam - kumawonjezera kuchuluka kwa lidocaine mu madzi a m'magazi. Cimetidine amachotsa kumanga kwa mapuloteni ndipo amachepetsa mphamvu ya lidocaine mu chiwindi, zomwe zimabweretsa chiwopsezo chowonjezereka cha mavuto a lidocaine. Midazolam amachepetsa kuchuluka kwa lidocaine m'magazi.

Anticonvulsants, barbiturates (kuphatikizapo phenobarbital) - ndizotheka kuthamangitsa kagayidwe ka lidocaine mu chiwindi, kuchepa kwa magazi.

Mankhwala a antiarrhythmic (amiodarone, verapamil, quinidine, aymalin, disopyramide), anticonvulsants (zotumphukira za hydantoin) - zotsatira zamtima zimapangidwira, kugwiritsa ntchito munthawi yomweyo ndi amiodarone kungayambitse kukulitsa kugwidwa.

Novocaine, procainamide - ikaphatikizidwa ndi lidocaine, CNS chowonetsa komanso kupezeka kwa kuyerekezera zinthu m'maso kumatheka.

Mao zoletsa, chlorpromazine, buvicain, amitriptyline, nortriptyline, imipramine - akaphatikizidwa ndi lidocaine, chiopsezo chokhala ochepa hypotension chikuwonjezeka ndipo mankhwala ochititsa chidwi a lidocaine amatha nthawi yayitali.

Narcotic analgesics (morphine, etc.) - ikaphatikizidwa ndi lidocaine, mphamvu ya analgesic ya narcotic analgesics imawonjezeka, ndipo kupsinjika kwa kupuma kumawonjezereka.

Prenylamine - imawonjezera chiopsezo chokhala ndi michere yamitsempha yamagazi ngati pirouette.

Profunikaenone - kuwonjezeka kwa nthawi yayitali komanso kuyipa kwa zovuta kuchokera ku dongosolo lamkati lamanjenje ndikotheka.

Rifampicin - kuchepa kwa kuchuluka kwa lidocaine m'mwazi ndikotheka.

Polymyxin B - Ntchito yothandizira pakuyang'aniridwa iyenera kuyang'aniridwa.

Procainamide - kuyerekezera zinthu zina ndizotheka.

Mtima glycosides - akaphatikizidwa ndi lidocaine, mtima wa mtima wa glycosides umafooka.

Digitalis glycosides - motsutsana kumbuyo kwa kuledzera, lidocaine ikhoza kukulitsa zovuta za AV block.

Vasoconstrictors (epinephrine, methoxamine, phenylephrine) - akaphatikizidwa ndi lidocaine, amachedwetsa kuyamwa kwa lidocaine komanso amalimbikitsa mphamvu yotsiriza.

Guanadrel, guanethidine, mecamylamine, trimethafan - wogwiritsidwa ntchito palimodzi kwa opaleshoni yam'mimba komanso yam'magazi, chiopsezo cha hypotension yayikulu ndi bradycardia imakulanso.

Β-adrenoreceptor blockers - akaphatikizidwa, amachepetsa kagayidwe ka lidocaine m'chiwindi, zotsatira za lidocaine (kuphatikizapo zapoizoni) zimakulitsidwa, ndipo chiwopsezo cha kukhala ndi bradycardia ndi ochepa hypotension chikuwonjezeka. Ndi kugwiritsa ntchito pamodzi kwa of-adrenergic receptor blockers ndi lidocaine, ndikofunikira kuchepetsa mlingo wotsiriza.

Acetazolamide, thiazide ndi malupu okodzetsa - akaphatikizidwa ndi lidocaine chifukwa chotsatira cha hypokalemia, zotsatira zake zotsiriza zimachepa.

Maanticoagulants (kuphatikizapo ardeparin, dalteparin, danaparoid, enoxaparin, heparin, warfarin, ndi zina) - akaphatikizidwa ndi lidocaine, chiopsezo chotaya magazi.

Anticonvulsants, barbiturates (phenytoin) - ikaphatikizidwa ndi lidocaine, kuthamanga kwa kagayidwe ka lidocaine mu chiwindi, kuchepa kwa magazi, komanso kuwonjezeka kwa kukhumudwa kwa mtima kumatha.

Mankhwala omwe amachititsa kuti mitsempha ipatsidwe - mutaphatikizidwa ndi lidocaine, mphamvu ya mankhwala omwe amachititsa kufalikira kwa mitsempha imalimbikitsidwa, popeza yotsirizirayi imayendetsa kutsata kwa kukhudzika kwa mitsempha.

Kusagwirizana. Pyridoxine sigwirizana ndi mankhwala okhala ndi levodopa, popeza ndikugwiritsa ntchito munthawi yomweyo, kupindika kwa decarboxyl kwam'mbuyo kumalimbikitsidwa ndipo, motero, kuphatikiza kwa mphamvu yake antiparkinsonia kumachepetsedwa.

Thiamine imagwirizana ndi oxidizing ndikuchepetsa makina: zebulone chloride, iodini, carbonate, acetate, tannic acid, ammonium iron citrate, komanso sodium phenobarbital, riboflavin, benzylpenicillin, glucose ndi metabisulfite, chifukwa ndiwopezeka pamaso pawo. Copper imathandizira kuwonongeka kwa thiamine, kuwonjezera apo, thiamine imataya ntchito ndi pH yowonjezereka> 3. Vitamini B12 sigwirizana ndi mchere wazitsulo zolemera.

Yosavuta kupeza mumafakisi

Kutengera ndemanga 3

Milgamm amagwiritsidwa ntchito pofuna kuchiza minyewa yamanjenje, kusintha kwa mawonekedwe osokoneza bongo ndikuwongolera kuyambitsa mitsempha. Muli mitundu ingapo ya vitamini B. Nthawi zambiri amadziwika kuti amtundu wamatumbo ndi matenda amanjenje. . Mavitamini a Milgamm amathandizira kusintha kufalikira kwa magazi, zimakhudza mitsempha, komanso amakhala ndi mankhwala ochita kupanga.

Zokhudza mankhwalawa

Monga chonenedwayo, Milgamma ndi m'gulu la mavitamini (ndipo osati maantibayotiki, monga ena amanenera). Zofunikira kwambiri ndi thiamine (B1), pyridoxine (B6), cyanocobalamin ().

Pambuyo kukhazikitsidwa mu minofu, thiamine imafalikira mwachangu komanso mosagwirizana m'thupi lonse. Sipangidwa ndi thupi, motero, liyenera kuperekedwa tsiku lililonse mokwanira. Ndi kuchepa kwake, hypovitaminosis imawoneka. Amachotsa impso. Imalowa mkati mwa chotchinga chachikulu.

Funsani katswiri wanu wamaubongo funso laulere

Irina Martynova. Omaliza maphunziro ku Voronezh State Medical University. N.N. Burdenko. Clinical intern and neurologist BUZ VO "Moscow Polyclinic ".

Pyridoxine ali ndi katundu wofanana ndi thiamine, koma amagawidwa mthupi lonse, patapita nthawi amaphatikizidwa ndi impso mkati mwa maola atatu. Amadutsa chopinga chotchinga, chotsekedwa mkaka wa m'mawere.

Cyanocobalamin imalowa m'chiwindi ndi m'mafupa, imadzunjikana. Titha kubwezeretsedwanso m'matumbo kuchokera ku bile.

The zikuchokera mankhwala

• lidocaine hydrochloride,
• cyanocobalamin,
• pyridoxine hydrochloride,
• thiamine hydrochloride,
• potaziyamu hexacyanoferrate,
• sodium polyphosphate,
• mowa wa benzyl
• sodium hydroxide
• madzi a jakisoni.

Mapalewo ali ndi:

• pyridoxine hydrochloride,
• benfotiamine,
• sodium croscarmellose,
• talcum ufa
• glycerides pang'ono
• silicon dioksidi madzi achilengedwe
• cellcrystalline mapadi,
• povidone K30.

Zizindikiro zogwiritsidwa ntchito

Milgamma adalembedwa kuti athetse zizindikiro ndikuchiza matenda amanjenje ndi msana, kuphatikiza:

• Plexopathy. Kuwonongeka kwa brachial, cervical, kapena lumbosacral mbali yamanjenje chifukwa cha chotupa, radiation therapy, compression, kapena kuvulala. Dzina lina ndi plexitis.
• Retrobulbar neuritis. Kutupa kwa mitsempha ya optic.
• Polyneuropathy. Angapo zotupa za zotumphukira, nthawi zambiri amakhala limodzi ndi kusokonezeka kwa chidwi komanso kufooka kwa ziwalo.
• Neuropathy. Zotupa zopanda mitsempha kapena gulu la mitsempha.
• Neuritis. Matenda a m'mitsempha omwe amapezeka mwachilengedwe. Zimaphatikizidwa ndi ziwalo, paresis komanso kuchepa mphamvu.
• Ganglionites. Zilonda zosiyanasiyana zamitsempha yamitsempha, zimakhala ndi zizindikiro zosiyana, kutengera omwe amanjenje amakhudzidwa.
• Neuralgia. Kutupa kwamitsempha komwe chizindikiro chokhacho chimapweteka.
• Usiku minofu kukokana. Mwendo kukokana mwadzidzidzi, kuwonetsedwa makamaka usiku. Zokha, sizowopsa, koma zimasokoneza kugona mokhazikika ndipo zimatha kuonetsa kukhalapo kwa matenda akulu kwambiri.
• Paresis wamitsempha wamaso. Kuwala komwe kumachitika pang'onopang'ono matenda amitsempha amaso akutsogolera ku asymmetry yawo.
• Lumbar ischialgia. Ululu m'munsi kumbuyo, kufikira kumiyendo imodzi kapena iwiri. Nthawi zambiri, chomwe chimayambitsa kupweteka ndi khungu la mitsempha ya sciatic.
• Radiculopathy (sciatica). Kuwonongeka kwa mizu ya msana chifukwa cha kutupa, kuvulala kapena kupindika.
• Ma syndromes a minofu. Kutopa kwakanthawi komanso kowawa kwa minofu, komwe nthawi zambiri kumayamba chifukwa cha osteochondrosis.

Contraindication

Contraindication ogwiritsa ntchito ali motere:

• Kulephera kwa mtima, kuchepa magazi, kuchepa kwa minofu ya mtima.
• Ana ndi unyamata.
• Mimba komanso kuyamwa.
• Hypersensitivity kwa mavitamini B, mpaka kumaliza kutsiriza.

Mlingo ndi kugwiritsa ntchito

Mlingo uyenera kutumizidwa ndi dokotala. Zomwe zili pansipa ndizongotchulapo.

Malangizo ogwiritsira ntchito mankhwalawa Milgamma amalingalira jakisoni, mapiritsi ndi mapiritsi.

Jakisoni: pochiza ndi Milgamma, jakisoni amapatsidwa muyeso umodzi wa mapiritsi kamodzi pa tsiku. Njira ya mankhwalawa ndi kuyambira masiku 5 mpaka 10. Pofuna kukonza mankhwala, mankhwalawa amayenera kubayidwa pakatha masiku awiri (tsiku lililonse). Kuti achepetse kupweteka kwambiri, Milgamma amadzibaya kamodzi. Singano iyenera kuyikiridwa kwambiri mu minofu, kenako ndikulimba pang'onopang'ono pa syringe plunger.

Mapiritsi: Mapiritsi amagwiritsidwa ntchito pokonzanso chithandizo ndikuchepetsa ululu wambiri. Ndi kukonza mankhwala, piritsi 1 nthawi 1 patsiku. Kuchepetsa ululu - piritsi 1 katatu patsiku.

Dragee: amagwiritsidwa ntchito pokonza mankhwala, mpaka mapiritsi atatu patsiku.

Ndi mankhwala aliwonse, njira yochiritsira sayenera kupitilira mwezi umodzi.

Kupatula ndizotheka kokha malinga ndi zomwe dokotala wakupatsani.

Zotsatira zoyipa ndi bongo

Zotsatira zoyipa zimaphatikizapo tachycardia, thukuta limachulukirachulukira, ming'oma, kuyabwa, ziphuphu, matupi awo sagwirizana (anaphylactic shock, edema ya Quincke).

Pankhani ya bongo Zizindikiro kuchokera pamndandanda wazotsatira zoyipa zimawonedwa th.

Zizindikiro za mankhwala osokoneza bongo zikawoneka, mankhwalawa amathetsedwa, chithandizo chamankhwala chimayang'aniridwa ndi dokotala.

Kuchita ndi mankhwala ena

Thiamine amasiya kugwira ntchito kapena kuwonongeka ndi mkuwa, acidity yayikulu (pH kuposa 3), sulfites. Sizigwirizana ndi mankhwala onse ochepetsa kapena oxidizing: phenobarbital, dextrose, acetates, ammonium citrate, ayodini, riboflavin, tannic acid, carbonates, disulfites, benzylpenicillin.

Cyanocobalamin Imagwirizana bwino ndi nicotinamide, koma siyigwirizana ndi riboflavin, mchere wamafuta ndi antioxidants.

Pyridoxine imagwirizana ndi penicillamine, isoniazid, cycloserine, imafooketsa mphamvu ya levodopa.

Lidocaine zomwe zili ndi ma ampoules, zimawonjezera katundu pamtima, ngati zimagwiritsidwa ntchito limodzi ndi epinephrine ndi norepinephrine. Kuchita ndi sulfonamides kwawonedwa.

Kupititsa patsogolo zabwino, mankhwala a Midokalm, Movalis ndi Milgamma nthawi zambiri amaloledwa. Ngakhale kumwa mankhwalawa sikuyenera kukhala osakanikirana ndi syringe yomweyo, ndikulimbikitsidwanso kumawabayila matako osiyanasiyana.

Milgamma yogwirizana ndi Alflutop - zovuta izi nthawi zambiri zimayikidwa ndi katswiri kuti akwaniritse achire kwambiri.

Milgamma ndi vitamini b3 (nicotinic acid) ndiogwirizana kwambiri, njira yogwiritsira ntchito iyenera kuonedwa ndi dokotala.

Milgamma yogwirizana ndi Voltaren .

Milgamm sayenera kugwiritsidwa ntchito nthawi yomweyo Kompligamom , popeza kukonzekera kuli chimodzimodzi.

Kugwiritsa ntchito kophatikizana kumatha kuyambitsa bongo.

Zolemba zogwiritsira ntchito

Ngati mankhwalawo adalandiridwa mwangozi, wodwala amayenera kutumizidwa kwa dokotala kapena kuchipatala, kutengera kuwuma kwa zizindikirazo.

Mankhwala sangathe kupatsidwa ana , azimayi oyembekezera komanso oyamwitsa. Palibe zambiri zowopsa zomwe zanenedwa kwa akulu okalamba.

Mankhwalawa sasokoneza chidwi komanso kuyika chidwi, pogwiritsa ntchito mankhwalawa mutha kuyendetsa galimoto.

Milgamm nthawi zina amagwiritsidwa ntchito kupondereza zizindikiro zochizira pochizira kudalira mowa. Ngakhale izi, munthawi yomweyo kugwiritsa ntchito mankhwala ndi mowa ndikosayenera, chifukwa chomaliziracho chitha kuyambitsa zotsatira zabwino za mankhwalawa.

Sungani Milgamma pa kutentha kwa 2-8 ° C, mumdima komanso osatheka ndi ana .

Moyo wa alumali ndi zaka zitatu.

Tchuthi kuchokera ku malo ogulitsa mankhwala

Mankhwala amaperekedwa ku pharmacies mwa mankhwala .

Zofananira zazikulu za Milgamma ndizo ndi .

Kapangidwe ka Neuromultivitis mu ampoules ndikufanana kwambiri ndi kapangidwe ka Milgamma, koma lidocaine sichikuphatikizidwamo. Jakisoni wa Neuromultivitis ndiwowawa, koma ndiwotetezeka ku cores ndi ana.

Kombilipen ndi vitamini wina. Zili chimodzimodzi popanga Milgamma, koma zimapangidwa ku Russia. Ndiotsika mtengo, chifukwa ma ampoules 5 aku Combilipen mudzayenera kulipira ma ruble a 120-150, ma ampoules 10 adzagula ruble 230. Ngati vuto lazachuma sililola kugwiritsa ntchito ndalama pamankhwala omwe atengedwa kunja, ndiye kuti Combilipen ayenera kusankhidwa, chifukwa awa ndi okhawo otchipa aku Russia omwe angatenge malo a Milgamm.

Ivan Sergeevich, neuropathologist : “Nthawi zambiri ndimagwiritsa ntchito Milgamma pochita zamankhwala. Amadziwonetsa bwino mu zovuta zamatenda amanjenje, chifukwa zimapatsa thupi mavitamini omwe amatsalira kwambiri. Zachidziwikire, mankhwalawa siabwino: pafupifupi munthu m'modzi mwa odwala makumi awiri samadwala, ndipo jakisoni siwopweteka kwambiri. Koma chithandizo chamankhwala komanso kupewa ndi chofunikira. ”

Anna Nikolaevna, rheumatologist : "Mankhwalawa ndi abwino chifukwa amatha kugwiritsidwa ntchito m'njira zambiri - kuchokera pazizindikiro zodzipatula kupita ku matenda aubongo. Mlingo wa mavitamini ndiwofunika kwambiri, chifukwa mavitamini oyang'ana nthawi zonse amayamba kuchita bwino. Pali zovuta zomwe zimachitika ndi lidocaine wa, koma muyenera kulipira jakisoni wabwino. ”

Sergey, wazaka 42, wodwala : "Ndinadwala kumanja mbali yamanja pambuyo poti ndachitidwa sitiroko. Kwa nthawi yayitali anali kufunafuna mankhwala oyenera, mpaka mkazi wake atakumana ndi Milgamma. Adakumana ndi dotolo, adayamba kubaya. Pakatha sabata, ndidayamba kuchira. Jakisoni amakhala wowawa, mankhwalawo pawokha amanunkhira osasangalatsa. Koma ndizoyenera. Pakangotha ​​miyezi yochepa, tibwereza maphunziro athu. ”

Alla, wazaka 31 : “Amayi anga anagwidwa ndi polyneuropathy. Zowawa zopweteka thupi lonse, makamaka m'miyendo. Adotolo adatumiza gulu la mankhwala, pakati pawo panali Milgamma. Pambuyo pa masiku 4, ululuwo sunathere, koma unatsalira. Banja lonse linapumira kwambiri. Sindikudziwa ngati Milgamm adathandizanso kapena mankhwala ena, koma sizinapweteke kutero. "

Funso - yankho

Kodi milgamm ndi mowa zimayenderana bwanji?

Malangizo omwe adatchulidwa samanena za mowa, koma mawonekedwe ake amakayikira kwambiri, makamaka ngati Milgamm imagwiridwa ngati jakisoni. Mavitamini omwe amathandizidwa ndi mowa amatha kuwonongeka kapena kuwonjezeredwa koyipa kwambiri, ndipo lidocaine komanso mowa womwe umabweretsa mtima ndi dongosolo lamanjenje, lomwe limabweretsa zotsatira zoyipa.

Kodi Milgamma imagwira ntchito bwanji ku osteochondrosis, kuphatikizapo khomo lachiberekero komanso lumbar?

Kuwonetsedwa kosasangalatsa kwambiri kwa osteochondrosis ndikumva kupweteka kwambiri m'gawo lina la msana. Pofuna kuletsa chizindikiro ichi, adotolo amamulembera mankhwala amphamvu ndi jakisoni, ndipo Milgamm ndi mmodzi wawo.

Kodi mankhwalawa amayikidwa nthawi yanji?

Diclofenac ndi othandizanso ululu. Pamodzi ndi Milgamm amasiya kugwidwa kwambiri. Nthawi zambiri Diclofenac ndi Milgamm amagwiritsidwa ntchito limodzi ndi osteochondrosis.

Kodi pali kusiyana kotani pakati pa Milgamm ndi Mexicoidol?

- antioxidant. Zochita zake zimakhala zopanda tanthauzo, zimapangidwa ndi gulu lonse la matenda. Milgamm amachita makamaka pamanjenje.

Kodi zimakhala zowawa bwanji?

Jakisoni wa Milgamm ndiwothandiza, koma ali ndi lidocaine, yemwe amachepetsa kusapeza bwino.

Kodi imatha kukankhidwa kangati?

Pokhapokha ngati madokotala atakufotokozerani, maphunzirowa atatha kubwerezedwanso ku Milgamm.

Kodi ndi kampani iti komanso dziko liti lomwe limatulutsa mankhwalawa?

Wopanga: Solufarm Farmatsoitshe Ertsoyagnisse GmbH. Dziko: Germany.

Ndibwino - Milgamma kapena Compligam?

Ndiwofanana mu kapangidwe kake, kusiyana pakati pawo kwa wodwala wina kumayenera kupezeka kuchokera kwa adokotala.

Zomwe muyenera kusankha - Neurobion kapena Milgammu?

Mankhwalawa ndi a gulu limodzi, koma palibe okongoletsa ku Neurobion. Ngati simulimbana ndi lidocaine, ndibwino kuti mumakonda Milgamm.

Kodi mankhwalawa amakhudza bwanji matendawa?

Imathandiziranso kupweteka komanso imathandizanso kukonzanso minyewa yamitsempha. Ndizosatheka kuchiritsa matenda,

Ndi mavitamini ati a Milgamm?

B1 (thiamine), B6 ​​(pyridoxine), B12 (cyanocobalamin).

Kodi kuchitira ziphuphu pogwiritsa ntchito mankhwalawa?

Ziphuphu, monga kuyabwa, ndizovuta zomwe zimatha maphunzirowo atatha kapena mankhwala atayimitsidwa.

Ndi ma syringe ati omwe ali bwino jakisoni?

Kuti muzitsatira bwino mankhwalawa, ndibwino kugwiritsa ntchito syringes ndi voliyumu ya 2-10 ml.

Ndibwino kuti mukubaya - m'mawa kapena madzulo?

Popeza mankhwalawa ndi mavitamini ovuta, ndibwino kuti mumawabowola m'mawa, pamene metabolism imagwira ntchito kwambiri. Jakisoni wam'mawa amatha kusangalatsa wodwalayo.

Onerani kanema wonena za mankhwalawa

Milgammama ndi mavitamini ovuta kwambiri kupewa ndi kuchiza matenda ogwirizana ndi masisitimu amanjenje. Itha kugwiritsidwa ntchito pochepetsa ululu.Amakhala ndi ma jakisoni, mapiritsi ndi ma dragees.

Madokotala nthawi zambiri amalembetsa Milgamm pamodzi ndi mankhwala ena othandizira matenda ovuta kwambiri, popeza ali ndi chidaliro pakuchita kwake bwino.

0"> Lamulirani ndi: Kulemba kwaposachedwa kwambiri Kwambiri

Yosavuta kupeza mumafakisi

Yosavuta kupeza mumafakisi

Cerinat
Dzina lachi Latin: Cerinat
Magulu azachipatala:
Kupanga ndi mawonekedwe a kumasulidwa: Piritsi 1 ili ndi burwer's yeast autolysate 390 mg, m'mabotolo 60 kapena 120 ma PC. Brewer's yeast autolysate ili ndi: vitamini B1 (thiamine), B5 (pantothenic acid), B6 ​​(pangamic acid), PP (nicotinic acid), H (biotin), D (calciferol), A (mwanjira ya beta-carotene), C ( ascorbic acid), E (alpha-tocopherol), kufufuza zinthu, mapuloteni otaya kugaya, zofunika ma amino acid.

Mlingo ndi makonzedwe: Mkati, osafuna kutafuna, ndikutsuka ndi madzi okwanira, piritsi limodzi. 2 pa tsiku limodzi ndi maola 12, kuti mukwaniritse kwambiri - mapiritsi atatu.

Milgamma
Dzina lachi Latin: Milgamma
Magulu azachipatala: Mavitamini ndi Njira ngati Vitamini
B02 Tinea versicolor. G50.0 Neuralgia wamitsempha yamaubongo atatu. G51 Zilonda zam'maso zamafuta. G54.9 zotupa zosadziwika za mizu ya mitsempha ndi plexuses G58 Ma mononeuropathies ena. G62 Ma polyneuropathies ena. G62.1 Mowa polyneuropathy. G63.2 Matenda a shuga a polyneuropathy H46 Optic neuritis. M79.1 myalgia M79.2 Neuralgia ndi neuritis, osadziwika Kupweteka kwa R52, osati kwina
Kupanga ndi mawonekedwe a kumasulidwa:
pachidutswa 15 ma PC, mu bokosi la matuza awiri kapena anayi.

m'bokosi la 5 ampoules a 2 ml.

MachitidwePainkiller, imayendetsa magazi, imathandizanso kukonzanso minyewa yamitsempha . Mavitamini a Neurotropic a gulu B ali ndi zotsatira zopindulitsa mu matenda otupa ndi mitsempha ya m'mitsempha, mu milingo yambiri amakhala ndi analgesic kwenikweni, amathandizira kuwonjezeka kwa magazi ndikupangitsa magwiridwe antchito a mitsempha ndi mapangidwe a magazi.

Zowonetsa: Matenda amthupi amanjenje osiyanasiyana omwe amayambira: neuropathy (matenda ashuga, mowa, etc.), neuritis ndi polyneuritis retrobulbar neuritis, zotumphukira paresis, kuphatikizapo mitsempha ya nkhope, neuralgia, kuphatikizapo Mitsempha ya trigeminal ndi mitsempha ya patali, ululu (radicular, myalgia, herpes zoster).

Zoyipa: Hypersensitivity (kuphatikiza zigawo zina), mitundu yoopsa komanso yovuta kwambiri ya mtima wosakhazikika, nthawi ya neonatal (makamaka makanda osakwana) (yankho la d / in).

Ndi tsiku lililonse mavitamini B6 mpaka 25 mg, palibe contraindication ntchito pa mimba ndi mkaka wa m`mawere. Zilonda ndi yankho zimakhala ndi 100 mg ya mankhwalawa, chifukwa chake muzochitika izi samalimbikitsidwa.

Zotsatira zoyipa: Kutemera, tachycardia, ziphuphu zakumaso, zochitika zina zokhudzana (rd d / in. Ndikumayambitsa mwachangu kwambiri), zovuta zoyipa: zotupa pakhungu, urticaria, kuyabwa, bronchospasm, edema ya Quincke, anaphylactic.

Mogwirizana: Thiamine amawola kwathunthu mumayankho omwe ali ndi sulfite. Dr. mavitamini samapangidwa pakakhala mavitamini B1 osweka. Levodopa amachotsa mphamvu ya kuchuluka kwa mankhwalawa a vitamini B6.
Kuyanjana kotheka ndi cycloserine, D-penicillamine, adrenaline, norepinephrine, sulfonamides.
Zosagwirizana ndi zinthu za redox, komanso phenobarbital, riboflavin, benzylpenicillin, glucose, metabisulfite, mchere wazitsulo zolemera. Copper imathandizira kusweka kwa thiamine, kuwonjezera apo, thiamine imataya zotsatira zake pa pH yoposa 3.

Mlingo ndi makonzedwe: Mkati. Piritsi limodzi mpaka 3 katatu patsiku ndi madzi okwanira, kwa mwezi umodzi.
M'mavuto owawa kwambiri komanso kupweteka kwambiri, jekeseni imodzi (2 ml) yakuya mu mafuta ndi yofunika kuti muwonjezere mankhwalawa m'magazi. Mochulukitsa atadutsa komanso m'mitundu yofatsa yamatendawa, jakisoni imodzi katatu pa sabata imafunikira.M'tsogolomu, kupitiriza chithandizo, imwani piritsi limodzi tsiku lililonse.

Bullfight
Dzina lachi Latin: Corrida +
Magulu azachipatala: Zakudya Zabwino
Gulu la Nosological (ICD-10): F17.2 Mankhwala osokoneza bongo a Nikotine
Kupanga ndi mawonekedwe a kumasulidwa: Piritsi limodzi lolemera 0,5 g limakhala ndi ufa wa ma rhizomes a chinsus, timbewu ta masamba ta timbewu tonunkhira komanso michere yazakudya yozikidwa pa MCC yoyeretsedwa kwambiri, m'mabotolo a ma pc a ma 150. kapena mu contour bezjacheykovy ma CD a 10 ma PC.

Chidule: Zakudya zopatsa mphamvu zomwe zili ndi mafuta ofunikira a 1.5 mg piritsi limodzi.

MachitidweMatenda a metabolic njira, tonic, anti-nkhawa, anti-kusiya .
Mankhwala: Mafuta ofunikira, osasunthika, alkaloids, glycosides, ma tannins amachepetsa chikhumbo cha kusuta, amayambitsa utsi wa fodya, mavitamini, ma organic acids, ma macro- ndi ma microelements amathandizira kubwezeretsa metabolism yachilengedwe, insoluble zakudya fiber (MCC), kudutsa m'mimba Ziwopsezo ndi zoopsa zimathandizira kutulutsa kwawo msanga kwa thupi la wosuta.

Zowonetsa: Mankhwala osokoneza bongo a Nikotine (kuchepetsa chidwi chofuna kusuta komanso kuyamwa kuti asachotsere), kupewa SARS.

Mlingo ndi makonzedwe: Mkati chikumbumtima: ngati mukufuna kusuta - 1 tabu. (khalani pakamwa mpaka mutatsitsimuka kwathunthu). Kutengera kulakalaka kusuta, tengani mapiritsi 5 patsiku. ndi zina zambiri. Mulingo wambiri watsiku ndi tsiku uli ndi mapiritsi 30. Njira yovomerezeka ndi milungu isanu. Ndi kuchepa kwa chikhumbo cha kusuta, kuchuluka kwa mapiritsi omwe amamwa amachepetsa motero. Potengera kudalira kopepuka, mapiritsi 10 akukwana. patsiku (kwa masabata 7). Ndikulimbikitsidwa kuti muzikhala ndi mapiritsi nthawi zonse kwa milungu isanu ndi iwiri kuti muchepetse nthawi yomwe mukufuna kuti musute, mpaka thupi lipere.
Monga prophylactic, wochiritsa: osasuta - tebulo 1-2. Katatu patsiku poletsa chimfine (nthawi ya masika ndi yophukira kapena nthawi yakusokonekera kwamphamvu).

Chenjezo: Tiyenera kudziwa kuti mukamayamwa fodya mukamamwa mankhwalawa, mutha kukumana ndi vuto (thukuta lozizira, chizungulire, kukhumudwa, ndi zina zotere), kusintha kwa kakomedwe, ndi mseru. Pankhaniyi, muyenera kusiya kusuta, kupuma pang'ono ndikuotcha, ndikutenga piritsi lina la 1.

Mebicar
Dzina lachi Latin: Mebicarum
Magulu azachipatala: Anxiolytics
Gulu la Nosological (ICD-10):
Zotsatira za pharmacological

Mimba ndi kuyamwa:

Mlingo ndi makonzedwe:

Mebix
Dzina lachi Latin: Mebix
Magulu azachipatala: Anxiolytics
Gulu la Nosological (ICD-10): F10.2 Matendawa amadalira mowa F17.2 Mankhwala osokoneza bongo a Nikotine F28 Matenda ena ophatikizika a psychotic F40 Phobic nkhawa yamavuto. F41 Zovuta zina F43 Kuthana ndi kupsinjika kwakukuru komanso kusinthasintha kwa mawonekedwe. F48 Matenda enanso a mitsempha. F48.0 Neurasthenia. R07.2 Ululu m'dera la mtima. R45.0 Wamanyazi. R45.4 Kuyipa ndi kuwawa
Zotsatira za pharmacological

Zogwira pophika (INN) Mebicar (Mebicar)
Kugwiritsa: Neuroses ndi neurosis-ngati mayiko limodzi ndi kusokonezeka, kukhudzika kwamtima, nkhawa, mantha (kuphatikizapo odwala omwe amamwa mowa mwauchidakwa), modekha komanso nkhawa zodandaula popanda kuphwanya kwenikweni chikhalidwe ndi malingaliro a psychomotor (kuphatikizapo nkhawa paranoid syndrome mu schizophrenia, ndiuterutional ndi mtima psychoses), zotsalira pambuyo pambuyo pachimake psychoses ndi zizindikiro za kusakhazikika kwatsoka ndi zotsalira zipatso zipatso, wolankhula hallucino h organic chiyambi, kusiya chikonga (monga gawo la zovuta mankhwala).

Zoyipa: Hypersensitivity, pakati (I trimester).

Mimba ndi kuyamwa: Contraindified m'mimba (ine trimester).

Zotsatira zoyipa: Hypotension, kufooka, chizungulire, hypothermia (1 mpaka 1.5 ° C), zizindikiro zosokoneza, matupi awo sagwirizana (pruritus).

Mogwirizana: Imawonjezera mphamvu ya mapiritsi ogona.

Mlingo ndi makonzedwe: Mkati, ngakhale kudya zakudya, 0,3-0.6-0.9 g katatu patsiku. Mlingo umodzi wambiri ndi 3 g, tsiku lililonse - 10 g. Njira ya mankhwalawa imachokera masiku angapo mpaka miyezi 2-3, chifukwa cha matenda amisala - mpaka miyezi isanu ndi umodzi, kuchotsedwa kwa chikonga - masabata 5-6.

Chenjezo: Siyenera kugwiritsidwa ntchito pomwe oyendetsa magalimoto ndi anthu omwe ntchito yawo imalumikizidwa ndi chidwi chochulukirapo.

Nicotinic Acid
Dzina lachi Latin: Nicotinic acid
Magulu azachipatala:
Gulu la Nosological (ICD-10):
Zotsatira za pharmacological

asidi (Nicotinic acid)
Kugwiritsa:

Zoletsa kugwiritsa ntchito:

Mimba ndi kuyamwa:

Mlingo ndi makonzedwe:Popewa:
Ndi pellagra:
Ndi ischemic stroke: w / w, 0.01-00.05 g.
Ndi atherosulinosis:

Matenda ena:

• Nicotinic acid

Niacin MS
Dzina lachi Latin: Acidum nicotinicum MC
Magulu azachipatala: Angioprotectors ndi ma microcirculation kukonza. Mavitamini ndi zinthu ngati mavitamini. Nikotinati
Gulu la Nosological (ICD-10): E52 Nicotinic acid akusowa pellagra. E78.5 Hyperlipidemia, yosadziwika G46 Vascular cerebrovascular syndromes mu cerebrovascular matenda. G93.4 Encephalopathy, yosatchulidwa I20 Angina pectoris angina pectoris. I25 Matenda a mtima a ischemic. I25.2 Zomwe zimachitika m'mbuyomu Zotsatira za I69 za matenda amitsempha. I70 Atherosulinosis. I70.2 Atherosclerosis yamitsempha yamanja. I73 Matenda ena otumphukira a mtima. I73.0 Matenda a Raynaud. I73.1 Thromboangiitis obliterans matenda a Buerger. I77.1 Kugwedeza kwamitsempha. I99 Mavuto ena komanso osafotokozedwa a magazi. K29 Gastritis ndi duodenitis. K52 Matenda ena a m'matumbo a m'matumbo ndi colitis. R07.2 Ululu m'dera la mtima. T14.1 Vulala lotseguka la dera losadziwika
Zotsatira za pharmacological

Yogwira pophika (INN) Nicotinic acid (Nicotinic acid)
Kugwiritsa: Kupewa komanso kuchiza kwa pellagra (kuchepa kwa vitamini PP), atherosulinosis, hyperlipidemia (kuphatikizapo hypercholesterolemia, hypertriglyceridemia) kusokoneza endarteritis, matenda a a Raynaud, migraine, ngozi ya ubongo, kuphatikizapo ischemic stroke (zovuta mankhwala), angina pectoris, matenda a Hartnup, hypercoagulation, nkhope ya neuritis, kuledzera, mabala ochiritsa a nthawi yayitali, zilonda zam'mimba, matenda opatsirana, matenda am'mimba.

Zoyipa: Hypersensitivity, chironda chachikulu cham'mimba ndi duodenum (mu pachimake gawo), kukanika kwambiri kwa chiwindi, gout, hyperuricemia, mitundu yoopsa ya matenda oopsa komanso atherosclerosis (iv).

Zoletsa kugwiritsa ntchito: Mimba, yoyamwitsa.

Mimba ndi kuyamwa: Ndi kusamala pa nthawi yoyembekezera ndi mkaka wa m`mawere (mlingo waukulu umalakwika).

Zotsatira zoyipa: Chifukwa cha kutulutsidwa kwa histamine: redness of the khungu, incl. nkhope ndi kumtunda hafu ya thupi ndikumverera kwa kugunda ndi kumva kutentha, kuthamanga kwa magazi kumutu, chizungulire, hypotension, orthostatic hypotension (mwachangu kwa mtsempha wa magazi), kuchuluka kwa msuzi wa madzi am'mimba, kuyabwa, dyspepsia, urticaria.
Kugwiritsa ntchito kwa nthawi yayitali milingo yayikulu: kutsegula m'mimba, kusanza, kusanza, chiwindi, kupweteka kwam'mimba, kupweteka kwam'mimba, hyperuricemia, kuchepa kwa glucose, hyperglycemia, kuchuluka kwazosakhazikika kwa AST, LDH, alkaline phosphatase. m'mimba.

Mogwirizana: Amatha kuchita za fibrinolytic othandizira, antispasmodics ndi mtima glycosides, zakumwa zoopsa za chiwindi. Amachepetsa mayamwidwe a bile acid sequestrants (imeneyi ya 1.5-2 maola pakati Mlingo ndikofunikira) ndi hypoglycemic zotsatira za antidiabetesic mankhwala.Kuyanjana kwa mankhwala a antihypertensive, acetylsalicylic acid, anticoagulants.

Mlingo ndi makonzedwe: Mkati (mutatha kudya), mkati / mkati pang'onopang'ono, mu / m, s / c. Popewa: ndi pakamwa, kwa akuluakulu - 0.0125-0.025 g / tsiku, kwa ana - 0.005-0.025 g / tsiku.
Ndi pellagra: Akuluakulu - pakamwa, 0,1 ga 2 kawiri pa tsiku kwa masiku 15-20 kapena iv 0,55 g kapena i / m 0,1, kawiri pa tsiku kwa 10- 10 Masiku 15, kwa ana mkati, 0.0125-0.05 g katatu pa tsiku.
Ndi ischemic stroke: w / w, 0.01-00.05 g.
Ndi atherosulinosis: mkati, 2-3 g / tsiku mu Mlingo wa 2-4.
Pankhani ya lipid kagayidwe kachakudya: mkati, mlingo umakulitsidwa pang'onopang'ono (pakalibe zotsatira zoyipa) kuchokera ku 0,05 g kamodzi patsiku mpaka 2-3 g / tsiku mu Mlingo wambiri, njira ya chithandizo ndi mwezi umodzi kapena kuposerapo, kupuma kumafunikira pakati pa maphunziro obwereza.
Matenda ena: ndi pakamwa, kwa akuluakulu - 0,02-0.05 g (mpaka 0,1 g) katatu patsiku, kwa ana - 0,0125-0.025 g katatu pa tsiku.

Chenjezo: Mankhwala, chiwindi chimayang'aniridwa pafupipafupi (makamaka pakumwa waukulu). Popewa hepatotoxicity, ndikofunikira kuphatikiza zakudya zopatsa methionine (tchizi cha kanyumba) muzakudya, kapena methionine kapena mankhwala ena a lipotropic.
Gwiritsani ntchito mosamala vuto la hyperacid gastritis, zilonda zam'mimba ndi duodenum (chikhululukiro) chifukwa cha kukhumudwitsa kwa mucous membrane (kutenga waukulu ndi kutsutsana pamenepa). Kutenga Mlingo waukulu kumapangidwanso mu matenda a chiwindi, kuphatikizapo hepatitis, cirrhosis (mwina ndi hepatotoxicity), matenda a shuga.
Sikoyenera kugwiritsa ntchito kukonza dyslipidemia mwa odwala matenda a shuga.
Ziyenera kukumbukiridwa kuti jakisoni wa s / c ndi / m ndiwowawa.

• Niacin MS (Acidum nicotinicum MC)

Nicotinic acid - Darnitsa
Dzina lachi Latin: Nicotinic acid
Magulu azachipatala: Angioprotectors ndi ma microcirculation kukonza. Mavitamini ndi zinthu ngati mavitamini. Nikotinati
Gulu la Nosological (ICD-10): E52 Nicotinic acid akusowa pellagra. E78.5 Hyperlipidemia, yosadziwika G46 Vascular cerebrovascular syndromes mu cerebrovascular matenda. G93.4 Encephalopathy, yosatchulidwa I20 Angina pectoris angina pectoris. I25 Matenda a mtima a ischemic. I25.2 Zomwe zimachitika m'mbuyomu Zotsatira za I69 za matenda amitsempha. I70 Atherosulinosis. I70.2 Atherosclerosis yamitsempha yamanja. I73 Matenda ena otumphukira a mtima. I73.0 Matenda a Raynaud. I73.1 Thromboangiitis obliterans matenda a Buerger. I77.1 Kugwedeza kwamitsempha. I99 Mavuto ena komanso osafotokozedwa a magazi. K29 Gastritis ndi duodenitis. K52 Matenda ena a m'matumbo a m'matumbo ndi colitis. R07.2 Ululu m'dera la mtima. T14.1 Vulala lotseguka la dera losadziwika
Zotsatira za pharmacological

Yogwira pophika (INN) Nicotinic acid (Nicotinic acid)
Kugwiritsa: Kupewa komanso kuchiza kwa pellagra (kuchepa kwa vitamini PP), atherosulinosis, hyperlipidemia (kuphatikizapo hypercholesterolemia, hypertriglyceridemia) kusokoneza endarteritis, matenda a a Raynaud, migraine, ngozi ya ubongo, kuphatikizapo ischemic stroke (zovuta mankhwala), angina pectoris, matenda a Hartnup, hypercoagulation, nkhope ya neuritis, kuledzera, mabala ochiritsa a nthawi yayitali, zilonda zam'mimba, matenda opatsirana, matenda am'mimba.

Zoyipa: Hypersensitivity, chironda chachikulu cham'mimba ndi duodenum (mu pachimake gawo), kukanika kwambiri kwa chiwindi, gout, hyperuricemia, mitundu yoopsa ya matenda oopsa komanso atherosclerosis (iv).

Zoletsa kugwiritsa ntchito: Mimba, yoyamwitsa.

Mimba ndi kuyamwa: Ndi kusamala pa nthawi yoyembekezera ndi mkaka wa m`mawere (mlingo waukulu umalakwika).

Zotsatira zoyipa: Chifukwa cha kutulutsidwa kwa histamine: redness of the khungu, incl.nkhope ndi kumtunda hafu ya thupi ndikumverera kwa kugunda ndi kumva kutentha, kuthamanga kwa magazi kumutu, chizungulire, hypotension, orthostatic hypotension (mwachangu kwa mtsempha wa magazi), kuchuluka kwa msuzi wa madzi am'mimba, kuyabwa, dyspepsia, urticaria.
Kugwiritsa ntchito kwa nthawi yayitali milingo yayikulu: kutsegula m'mimba, kusanza, kusanza, chiwindi, kupweteka kwam'mimba, kupweteka kwam'mimba, hyperuricemia, kuchepa kwa glucose, hyperglycemia, kuchuluka kwazosakhazikika kwa AST, LDH, alkaline phosphatase. m'mimba.

Mogwirizana: Amatha kuchita za fibrinolytic othandizira, antispasmodics ndi mtima glycosides, zakumwa zoopsa za chiwindi. Amachepetsa mayamwidwe a bile acid sequestrants (imeneyi ya 1.5-2 maola pakati Mlingo ndikofunikira) ndi hypoglycemic zotsatira za antidiabetesic mankhwala. Kuyanjana kwa mankhwala a antihypertensive, acetylsalicylic acid, anticoagulants.

Mlingo ndi makonzedwe: Mkati (mutatha kudya), mkati / mkati pang'onopang'ono, mu / m, s / c. Popewa: ndi pakamwa, kwa akuluakulu - 0.0125-0.025 g / tsiku, kwa ana - 0.005-0.025 g / tsiku.
Ndi pellagra: Akuluakulu - pakamwa, 0,1 ga 2 kawiri pa tsiku kwa masiku 15-20 kapena iv 0,55 g kapena i / m 0,1, kawiri pa tsiku kwa 10- 10 Masiku 15, kwa ana mkati, 0.0125-0.05 g katatu pa tsiku.
Ndi ischemic stroke: w / w, 0.01-00.05 g.
Ndi atherosulinosis: mkati, 2-3 g / tsiku mu Mlingo wa 2-4.
Pankhani ya lipid kagayidwe kachakudya: mkati, mlingo umakulitsidwa pang'onopang'ono (pakalibe zotsatira zoyipa) kuchokera ku 0,05 g kamodzi patsiku mpaka 2-3 g / tsiku mu Mlingo wambiri, njira ya chithandizo ndi mwezi umodzi kapena kuposerapo, kupuma kumafunikira pakati pa maphunziro obwereza.
Matenda ena: ndi pakamwa, kwa akuluakulu - 0,02-0.05 g (mpaka 0,1 g) katatu patsiku, kwa ana - 0,0125-0.025 g katatu pa tsiku.

Chenjezo: Mankhwala, chiwindi chimayang'aniridwa pafupipafupi (makamaka pakumwa waukulu). Popewa hepatotoxicity, ndikofunikira kuphatikiza zakudya zopatsa methionine (tchizi cha kanyumba) muzakudya, kapena methionine kapena mankhwala ena a lipotropic.
Gwiritsani ntchito mosamala vuto la hyperacid gastritis, zilonda zam'mimba ndi duodenum (chikhululukiro) chifukwa cha kukhumudwitsa kwa mucous membrane (kutenga waukulu ndi kutsutsana pamenepa). Kutenga Mlingo waukulu kumapangidwanso mu matenda a chiwindi, kuphatikizapo hepatitis, cirrhosis (mwina ndi hepatotoxicity), matenda a shuga.
Sikoyenera kugwiritsa ntchito kukonza dyslipidemia mwa odwala matenda a shuga.
Ziyenera kukumbukiridwa kuti jakisoni wa s / c ndi / m ndiwowawa.

Nicotinic Acid-Darnitsa Acid (Nicotinic ac>Nicotinic acid
Dzina lachi Latin: Acidum nicotinicum
Magulu azachipatala: Angioprotectors ndi ma microcirculation kukonza. Mavitamini ndi zinthu ngati mavitamini. Nikotinati
Gulu la Nosological (ICD-10): E52 Nicotinic acid akusowa pellagra. E78.5 Hyperlipidemia, yosadziwika G46 Vascular cerebrovascular syndromes mu cerebrovascular matenda. G93.4 Encephalopathy, yosatchulidwa I20 Angina pectoris angina pectoris. I25 Matenda a mtima a ischemic. I25.2 Zomwe zimachitika m'mbuyomu Zotsatira za I69 za matenda amitsempha. I70 Atherosulinosis. I70.2 Atherosclerosis yamitsempha yamanja. I73 Matenda ena otumphukira a mtima. I73.0 Matenda a Raynaud. I73.1 Thromboangiitis obliterans matenda a Buerger. I77.1 Kugwedeza kwamitsempha. I99 Mavuto ena komanso osafotokozedwa a magazi. K29 Gastritis ndi duodenitis. K52 Matenda ena a m'matumbo a m'matumbo ndi colitis. R07.2 Ululu m'dera la mtima. T14.1 Vulala lotseguka la dera losadziwika
Zotsatira za pharmacological

Yogwira pophika (INN) Nicotinic acid (Nicotinic acid)
Kugwiritsa: Kupewa ndi kuchiza kwa pellagra (kuchepa kwa vitamini PP), atherosulinosis, hyperlipidemiahypercholesterolemia, hypertriglyceridemia), zotumphukira zotupa, kuphatikizira kusokoneza endarteritis, matenda a a Raynaud, migraine, ngozi ya ubongo, kuphatikizapo ischemic stroke (zovuta mankhwala), angina pectoris, matenda a Hartnup, hypercoagulation, nkhope ya neuritis, kuledzera, mabala ochiritsa a nthawi yayitali, zilonda zam'mimba, matenda opatsirana, matenda am'mimba.

Zoyipa: Hypersensitivity, chironda chachikulu cham'mimba ndi duodenum (mu pachimake gawo), kukanika kwambiri kwa chiwindi, gout, hyperuricemia, mitundu yoopsa ya matenda oopsa komanso atherosclerosis (iv).

Zoletsa kugwiritsa ntchito: Mimba, yoyamwitsa.

Mimba ndi kuyamwa: Ndi kusamala pa nthawi yoyembekezera ndi mkaka wa m`mawere (mlingo waukulu umalakwika).

Zotsatira zoyipa: Chifukwa cha kutulutsidwa kwa histamine: redness of the khungu, incl. nkhope ndi kumtunda hafu ya thupi ndikumverera kwa kugunda ndi kumva kutentha, kuthamanga kwa magazi kumutu, chizungulire, hypotension, orthostatic hypotension (mwachangu kwa mtsempha wa magazi), kuchuluka kwa msuzi wa madzi am'mimba, kuyabwa, dyspepsia, urticaria.
Kugwiritsa ntchito kwa nthawi yayitali milingo yayikulu: kutsegula m'mimba, kusanza, kusanza, chiwindi, kupweteka kwam'mimba, kupweteka kwam'mimba, hyperuricemia, kuchepa kwa glucose, hyperglycemia, kuchuluka kwazosakhazikika kwa AST, LDH, alkaline phosphatase. m'mimba.

Mogwirizana: Amatha kuchita za fibrinolytic othandizira, antispasmodics ndi mtima glycosides, zakumwa zoopsa za chiwindi. Amachepetsa mayamwidwe a bile acid sequestrants (imeneyi ya 1.5-2 maola pakati Mlingo ndikofunikira) ndi hypoglycemic zotsatira za antidiabetesic mankhwala. Kuyanjana kwa mankhwala a antihypertensive, acetylsalicylic acid, anticoagulants.

Mlingo ndi makonzedwe: Mkati (mutatha kudya), mkati / mkati pang'onopang'ono, mu / m, s / c. Popewa: ndi pakamwa, kwa akuluakulu - 0.0125-0.025 g / tsiku, kwa ana - 0.005-0.025 g / tsiku.
Ndi pellagra: Akuluakulu - pakamwa, 0,1 ga 2 kawiri pa tsiku kwa masiku 15-20 kapena iv 0,55 g kapena i / m 0,1, kawiri pa tsiku kwa 10- 10 Masiku 15, kwa ana mkati, 0.0125-0.05 g katatu pa tsiku.
Ndi ischemic stroke: w / w, 0.01-00.05 g.
Ndi atherosulinosis: mkati, 2-3 g / tsiku mu Mlingo wa 2-4.
Pankhani ya lipid kagayidwe kachakudya: mkati, mlingo umakulitsidwa pang'onopang'ono (pakalibe zotsatira zoyipa) kuchokera ku 0,05 g kamodzi patsiku mpaka 2-3 g / tsiku mu Mlingo wambiri, njira ya chithandizo ndi mwezi umodzi kapena kuposerapo, kupuma kumafunikira pakati pa maphunziro obwereza.
Matenda ena: ndi pakamwa, kwa akuluakulu - 0,02-0.05 g (mpaka 0,1 g) katatu patsiku, kwa ana - 0,0125-0.025 g katatu pa tsiku.

Chenjezo: Mankhwala, chiwindi chimayang'aniridwa pafupipafupi (makamaka pakumwa waukulu). Popewa hepatotoxicity, ndikofunikira kuphatikiza zakudya zopatsa methionine (tchizi cha kanyumba) muzakudya, kapena methionine kapena mankhwala ena a lipotropic.
Gwiritsani ntchito mosamala vuto la hyperacid gastritis, zilonda zam'mimba ndi duodenum (chikhululukiro) chifukwa cha kukhumudwitsa kwa mucous membrane (kutenga waukulu ndi kutsutsana pamenepa). Kutenga Mlingo waukulu kumapangidwanso mu matenda a chiwindi, kuphatikizapo hepatitis, cirrhosis (mwina ndi hepatotoxicity), matenda a shuga.
Sikoyenera kugwiritsa ntchito kukonza dyslipidemia mwa odwala matenda a shuga.
Ziyenera kukumbukiridwa kuti jakisoni wa s / c ndi / m ndiwowawa.

• Nicotinic acid (m nicotinicum)

Yogwira pophika (INN) Nicotinic acid (Nicotinic acid)
Kugwiritsa: Kupewa komanso kuchiza kwa pellagra (kuchepa kwa vitamini PP), atherosulinosis, hyperlipidemia (kuphatikizapo hypercholesterolemia, hypertriglyceridemia)kusokoneza endarteritis, matenda a a Raynaud, migraine, ngozi ya ubongo, kuphatikizapo ischemic stroke (zovuta mankhwala), angina pectoris, matenda a Hartnup, hypercoagulation, nkhope ya neuritis, kuledzera, mabala ochiritsa a nthawi yayitali, zilonda zam'mimba, matenda opatsirana, matenda am'mimba.

Zoyipa: Hypersensitivity, chironda chachikulu cham'mimba ndi duodenum (mu pachimake gawo), kukanika kwambiri kwa chiwindi, gout, hyperuricemia, mitundu yoopsa ya matenda oopsa komanso atherosclerosis (iv).

Zoletsa kugwiritsa ntchito: Mimba, yoyamwitsa.

Mimba ndi kuyamwa: Ndi kusamala pa nthawi yoyembekezera ndi mkaka wa m`mawere (mlingo waukulu umalakwika).

Zotsatira zoyipa: Chifukwa cha kutulutsidwa kwa histamine: redness of the khungu, incl. nkhope ndi kumtunda hafu ya thupi ndikumverera kwa kugunda ndi kumva kutentha, kuthamanga kwa magazi kumutu, chizungulire, hypotension, orthostatic hypotension (mwachangu kwa mtsempha wa magazi), kuchuluka kwa msuzi wa madzi am'mimba, kuyabwa, dyspepsia, urticaria.
Kugwiritsa ntchito kwa nthawi yayitali milingo yayikulu: kutsegula m'mimba, kusanza, kusanza, chiwindi, kupweteka kwam'mimba, kupweteka kwam'mimba, hyperuricemia, kuchepa kwa glucose, hyperglycemia, kuchuluka kwazosakhazikika kwa AST, LDH, alkaline phosphatase. m'mimba.

Mogwirizana: Amatha kuchita za fibrinolytic othandizira, antispasmodics ndi mtima glycosides, zakumwa zoopsa za chiwindi. Amachepetsa mayamwidwe a bile acid sequestrants (imeneyi ya 1.5-2 maola pakati Mlingo ndikofunikira) ndi hypoglycemic zotsatira za antidiabetesic mankhwala. Kuyanjana kwa mankhwala a antihypertensive, acetylsalicylic acid, anticoagulants.

Mlingo ndi makonzedwe: Mkati (mutatha kudya), mkati / mkati pang'onopang'ono, mu / m, s / c. Popewa: ndi pakamwa, kwa akuluakulu - 0.0125-0.025 g / tsiku, kwa ana - 0.005-0.025 g / tsiku.
Ndi pellagra: Akuluakulu - pakamwa, 0,1 ga 2 kawiri pa tsiku kwa masiku 15-20 kapena iv 0,55 g kapena i / m 0,1, kawiri pa tsiku kwa 10- 10 Masiku 15, kwa ana mkati, 0.0125-0.05 g katatu pa tsiku.
Ndi ischemic stroke: w / w, 0.01-00.05 g.
Ndi atherosulinosis: mkati, 2-3 g / tsiku mu Mlingo wa 2-4.
Pankhani ya lipid kagayidwe kachakudya: mkati, mlingo umakulitsidwa pang'onopang'ono (pakalibe zotsatira zoyipa) kuchokera ku 0,05 g kamodzi patsiku mpaka 2-3 g / tsiku mu Mlingo wambiri, njira ya chithandizo ndi mwezi umodzi kapena kuposerapo, kupuma kumafunikira pakati pa maphunziro obwereza.
Matenda ena: ndi pakamwa, kwa akuluakulu - 0,02-0.05 g (mpaka 0,1 g) katatu patsiku, kwa ana - 0,0125-0.025 g katatu pa tsiku.

Chenjezo: Mankhwala, chiwindi chimayang'aniridwa pafupipafupi (makamaka pakumwa waukulu). Popewa hepatotoxicity, ndikofunikira kuphatikiza zakudya zopatsa methionine (tchizi cha kanyumba) muzakudya, kapena methionine kapena mankhwala ena a lipotropic.
Gwiritsani ntchito mosamala vuto la hyperacid gastritis, zilonda zam'mimba ndi duodenum (chikhululukiro) chifukwa cha kukhumudwitsa kwa mucous membrane (kutenga waukulu ndi kutsutsana pamenepa). Kutenga Mlingo waukulu kumapangidwanso mu matenda a chiwindi, kuphatikizapo hepatitis, cirrhosis (mwina ndi hepatotoxicity), matenda a shuga.
Sikoyenera kugwiritsa ntchito kukonza dyslipidemia mwa odwala matenda a shuga.
Ziyenera kukumbukiridwa kuti jakisoni wa s / c ndi / m ndiwowawa.

• Nicotinic acid (-)

• Buku la Mankhwala Osokoneza bongo

Dzinalo: Milgamma

Machitidwe
Milgamm imakhala ndi mavitamini a neurotropic a gulu B. Mankhwala othandizira amagwiritsidwa ntchito ngati matenda amitsempha ndi minyewa yamitsempha, amathandizana ndi njira yotupa komanso yoipa komanso / kapena kulowetsedwa kwamitsempha. Amagwiritsidwanso ntchito pa matenda a musculoskeletal system.Mavitamini a gulu B mu Mlingo waukulu amathandizira kupweteka kwam'mimba, kusintha kwa ma cell, kutsitsa dongosolo lamanjenje, kukonza njira zopangira magazi.

Vitamini B1 (thiamine) imapangidwa m'thupi kupita ku cocarboxylase (thiamine diphosphate) ndi thiamine triphosphate ndi phosphorylation. Cocarboxylase monga enzymatic coenzyme imakhudzidwa ndi unyolo wa carbohydrate metabolism, womwe ndi wofunikira pakuchita bwino kwa minyewa ndi minyewa yamitsempha. Ikuwongolera kupititsa kwa mitsempha mwa kukopa kufalitsa kwa synaptic. Kuperewera kwa Vitamini B1 (thiamine) kumayendetsedwa ndi kudzikundikira kwamtundu wazinthu zomwe zimakhala ndi oxidized metabolism: pyruvic acid, lactic acid. Chifukwa cha izi, kusayenda bwino kwa minyewa yamanjenje kumachitika ndikupanga mitundu yambiri yamatenda.
Mapiritsi a milgamm thiamine chloride amaloledwa ndi benfotiamine, omwe ndi mafuta osungunuka a thiamine. Benfotiamine imapangidwa ndi phosphorylation kuti thiamine pyruvate ndi thiamine triphosphate - zinthu zofunikira pazamoyo. Udindo wa thiamine triphosphate mukutenga kagayidwe kazakudya (monga coenzyme ya pyruvate decarboxylase enzymes, transketolase enzymes). Thiaminpyruvate amasamutsa magulu a aldehyde mu pentose-phosphate mzunguko.

Vitamini B6 (pyridoxine) imapangidwa m'matumbo a thupi. Zinthu zama metabolism ndi coenzymes ya non-oxidative metabolism pafupifupi ma amino acid onse. Ma coenzymes amatenga nawo gawo pa decarboxylation ya amino acid ndikupanga okhazikika ambiri olimbitsa thupi - adrenaline, tyramine, dopamine, histamine, serotonin. Imakhudzidwanso ndi anabolism ndi catabolism ya amino acid kudzera mu njira za transamination. Vitamini B6 imakhudza kagayidwe ka tryptophan, mothandizidwa, kupatsirana kwa α-amino-β-ketoadininic acid kumachitika pa hemoglobin.

Vitamini B 12 (cyanocobalamin) ali ndi mphamvu ya antianemic, amalimbikitsa kapangidwe ka creatinine, choline, acid, metabolicine. Amatenga nawo mbali zama cell kagayidwe. Ndi analgesic.

Vitamini B1 (thiamine) ndi dephosphorylated mu minofu ya impso. Hafu ya moyo ndi mphindi 35. Mu minofu ya thupi simadzunjikira chifukwa cha kusakwanira kwathunthu m'mafuta. Matenda a metabolism afalikira mkodzo.

Pyridoxine (vitamini B 6) pambuyo phosphorylation amasinthidwa kukhala pyridoxal-5-phosphate. Pambuyo polowa m'madzi a m'magazi, chomaliza chimagwirizanitsidwa ndi albin. Alkaline phosphatase hydrolyzes pyridoxal-5-phosphate, pambuyo pake metaboliteyo akhoza kulowa mu cell.

Cyanocobalamin (Vitamini B 12), ikafika m'madzi am'magazi, imamangidwa kumapuloteni ndi mapangidwe a zovuta kunyamula. Mwanjira imeneyi, umatengedwa ndi minyewa ya chiwindi. Cyanocobalamin imadziunjikanso m'mphepete mwa mafupa, imadutsa chotchinga cha hematoplacental. Pambuyo pochotsa ndi bile, imatha kuyikidwanso m'matumbo (matumbo-kwa chiwindi).

Zisonyezero zogwiritsidwa ntchito:
Neuritis, neuralgia,
kufunikira kokuthandizani
radicular syndrome
polyneuropathies ochokera kumayendedwe osiyanasiyana (chidakwa, matenda ashuga),
myalgia
retobulbar neuritis,
herpes zoster ndi mawonekedwe a matenda ena a herpes,
paresis a nkhope.

Njira yogwiritsira ntchito:
Chithandizo chimayamba ndi 2 ml ya milgamma intramuscularly (kulowa kwambiri mu minofu) 1 pa tsiku. Kukonzanso - 2 ml milgamma katatu pa sabata. Kapena chithandizo chowonjezereka ndikotheka ndi njira yakumasulidwa (piritsi 1 patsiku). Pofuna kupumula msanga, ululu wa milgamma kapena mapiritsi atatu mpaka atatu patsiku amagwiritsidwa ntchito. Ndi polyneuropathies, mlingo wa piritsi 1 3 r / s umagwiritsidwa ntchito. Kutalika kwa chithandizo ndi mwezi umodzi.

Zotsatira zoyipa:
Thupi lawo siligwirizana (zotupa, edema ya Quincke, anaphylactic mantha, kuyabwa kwa khungu, dyspnea).
Zochita zamkati (thukuta, palpitations, arrhythmia, chizungulire, mseru, kupweteka).Zosangalatsa zimachitika pakadutsa msanga pakakhazikitsidwa mankhwala kapena ngati mukulitsa mlingo.

Zoyipa:
Kulephera kwa mtima (pachimake kapena kupweteka kwambiri, kulephera kwamtima),
kuphwanya kwamkati minofu yamtima,
Hypersensitivity pamagawo a milgamm,
zaka mpaka 16.

Mimba
Milgamma sagwiritsidwa ntchito pa nthawi yoyembekezera komanso mkaka wa m'mawere, chifukwa maphunziro pazokhudza kubereka ndi kulowa mkaka wa m'mawere sanachitike.

Mogwirizana ndi mankhwala ena:
Akasakanizidwa ndi mayankho a sulfate, vitamini B1 amawola kwathunthu. Potengera kukhalapo kwa mankhwala a thiamine metabolism, mavitamini ena sanapangidwe. Thiamine (benfotiamine) ndiwopezeka pamaso pa mercury chloride, acetates, carbonates, iodides, tannic acid, riboflavin, iron ammonium citrate, penicillin (benzylpenicillin), metabisulfite ndi glucose. Ntchito za Thiamine zimachepa pamaso pa mkuwa (kuchuluka kwamatumbo) ndi kuchuluka kwa pH.

Pyridoxine mu mankhwala othandizira amatha kuchepetsa mphamvu ya levodopa (antiparkinsonian athari) chifukwa cha kuchuluka kwa zotumphukira za decarboxylation, kotero vitamini B6 sagwiritsidwa ntchito ndi levodopa ndi mankhwala okhala ndi levodopa. Cyanocobalamin simapangika pamaso pa mchere wamchere wambiri.

Bongo
Ndi mankhwala osokoneza bongo a milgamm, kuwonjezeka kwa zofanana ndi zovuta kumachitika. Pankhani ya bongo, syndromic ndi dalili mankhwala ndikofunikira.

Kutulutsa Fomu:
Milgamm ikupezeka mu mawonekedwe a kholo (yankho la makonzedwe amkati mwa 2 ml ampoules) ndi mawonekedwe a piritsi.

Malo osungirako:
Mu malo owuma, amdima kutali ndi ana, pamtunda wa pafupifupi 15 ° C.

Zopangidwa:
Milgamm - njira yothetsera utsogoleri:
Zosakaniza zogwira ntchito: thiamine hydrochloride 100 mg mu kuchuluka kwa 2 ml, pyridoxine hydrochloride 100 mg mu 2 ml ampoule, cyanocobalamin - 1000 μg mu ampoule wa 2 ml.

Zothandiza pazinthu: mowa wa benzyl, lidocaine hydrochloride, sodium hydroxide, sodium polyphosphate, potaziyamu hexacyanoferrate tertiary, madzi a jekeseni.
Milgamm - mapiritsi ogwiritsira ntchito mkati:
Zosakaniza zomwe zimagwira: benfotiamine - 100 mg, pyridoxine hydrochloride - 100 mg.

Zothandiza: talc, anhydrous colloidal silicon dioxide, croscarmellose sodium, microcrystalline cellulose, pang'ono-unyolo wamtambo glycerides, povidone.

Chosankha:
Milgamma ikhoza kugwiritsidwa ntchito ndi oyendetsa ndi anthu omwe akugwira ntchito ndi zovuta kupanga.

Yang'anani!
Musanagwiritse ntchito mankhwala Milgamma muyenera kufunsa dokotala. Malangizo awa kuti agwiritse ntchito amaperekedwa mwa kutanthauzira kwaulere ndipo cholinga chake ndi chidziwitso chokha. Kuti mumve zambiri, chonde onani zomwe akupanga.

Zomwe zimayikidwa ndikugwiritsa ntchito jekeseni ya Combilipen molondola

Ndikuphatikiza pogwiritsa ntchito mavitamini a B, ovuta omwe amachititsa kuti mphamvu ya magwiridwe antchito agwiritsidwe ntchito bwino komanso kuti madzi azikhala ndi mphamvu amatchedwa Combibipen. Kodi ndi ma jekisoni a Kombilipen omwe adapangidwira: malangizo ogwiritsira ntchito, kodi pali zoyerekeza zamankhwala, mtengo wake, ndi kuwunika kwa wodwala?

Momwe mungabayitsire chikonga

Ngati ululu wammbuyo umatengedwa modzidzimutsa, timatembenukira kwa katswiri kuti atithandizire. Monga gawo la chithandizo chovuta, mavitamini a gulu B nthawi zambiri amadziwikiridwa, makamaka, Combilipen. Kukonzekera kophatikizako kumakhala ndi kupumula, analgesic komanso anti-kutupa, komwe kumachitika kawirikawiri jakisoni wachiwiri.

Malangizo a Kombilipen ogwiritsa ntchito mtengo ndi fanizo

Combilipen ndi mankhwala omwe ali multivitamin. Amapangidwa ku Russia ndipo amagwiritsidwa ntchito makamaka pochiza matenda amitsempha, ngati gawo limodzi la mankhwala othandizira.Zizindikiro zogwiritsa ntchito mankhwalawa zimatha kukhala zosiyana, ndipo ndikofunikira kuti musamangodalira ndemanga za jakisoni ndi mapiritsi, koma makamaka pa lingaliro la adokotala.

Jakisoni wodziwika - momwe angathere?

Nicotinic acid, kapena Vitamini B3, amapangidwa ndi makampani onse akunja komanso azachipatala. Chofunikira kwambiri pa mankhwalawa ndi nicotinic acid, pomwe millilita iliyonse ya mankhwalawa imakhala ndi mamiligalamu 10 a vitaminiyu, ndipo piritsi ili ndi magalamu 0,55 a chinthu chachikulu.

- Kufotokozera, matenda a msana

Niacin ndi mavitamini osungunuka ndi madzi ochokera ku gulu B, lotchedwanso nicotinamide, niacin, B3, kapena PP. Mankhwalawa amadziwika kuti amachiza matenda a pellagra, omwe amapezeka m'makhwala omwe amadwala kwambiri komanso anthu omwe amadya chimanga, ndiye kuti, omwe akukhala m'maiko osauka kwambiri ndipo sangakwanitse kugula nyama. Komanso, mukagwiritsidwa ntchito ngati mankhwala, mavitaminiwa amachititsa chidwi cha khungu ndi redness, chifukwa chinthucho ndimphamvu ya vasodilator ndipo limafinya mitsempha yamagazi, potero zimapangitsa magazi kuyenda ndi kuchepesa cholesterol.

Mankhwala akutchulidwa ngati:

• Kuthamanga kwa magazi ndi chotchinga cha magazi
• Cerebrovascular ngozi
• Ndi mitsempha ndi mitsempha ya varicose
• Spinal osteochondrosis
• Matenda a Hartnup
• Hypovitaminosis, matenda ashuga
• Matenda opatsirana
• Mabala ochiritsa olakwika
• Kuledzera
• Gastritis yotsika acidity
• Kuphwanya mafuta kagayidwe ndi ena.

Chosangalatsa kwambiri ndikugwiritsa ntchito nicotinic acid mu osteochondrosis. Mankhwalawa adapangidwira kusintha njira za metabolic, komanso pamaso pa kutupa ndi kutsina, chifukwa zimatha kulimbana nawo ndikuchepetsa mkhalidwe wa wodwalayo. Zotsatira zabwino za ntchito:

• Kukonzanso kusowa kwa zinthu mthupi
• Kuthandizira minofu yowonongeka mwa kukonza magazi
• Kuteteza ma cell ku zowonongeka ndi ma free radicals
• Zimasintha kagayidwe kachakudya mthupi, kuti zinthu zovulaza zimathiridwa mwachangu
• Chuma chofunikira kwambiri cha Vitamini mu matendawa ndikuti chimabwezeretsa mawonekedwe a neural, chifukwa pomwe minofu yamanjenje imapangidwanso ndipo imakana njira zotupa.

Kuphatikiza ndi niacin, milgamm nthawi zambiri imayikidwa - chisakanizo cha lidocaine, thiamine, pyridoxine ndi B12 pamankhwala amodzi, koma mankhwalawa sagwirizana ndi nicotinamide chifukwa mavitamini awa amawonongeka. Ndiye mungaphatikizire bwanji zonse palimodzi?

- Kufotokozera ndi kuphatikiza

Milgamma ndi chisakanizo cha mavitamini atatu B ndi analgesic kotero kuti kayendetsedwe ka zinthu sikadwala. B1, B6 ndi B12 iwonso sagwirizana, koma okhazikika, potaziyamu hexacyanoferrate, amawonjezeredwa ngati gawo lothandizira, lomwe limapangitsa kuyambitsa kwa magawo onse atatu. Mavitamini atatu ofunikira awa ndi ofunikira pothandizira matenda am'mitsempha yamanjenje, pakakhala zovuta za mitsempha yodutsitsa kapena njira zowonongeka zomwe nthawi zambiri zimachitika mu osteochondrosis.

Nthawi zambiri, dotolo wofotokozerayo amafotokoza bwino momwe angabayitsire Movalis, Milgamm ndi Niacin. Ngati palibe malingaliro, ndiye kuti muyenera kudziwa bwino kuti milgamm sigwirizana ndi nicotinic acid. Ndikofunika kubaya jakisoni m'mawa, kusuntha nthawi yakudya masana, ndi milgamm madzulo asanagone. Pazinthu zoterezi, palibe mgwirizano wotsutsana womwe ungabuke. Mankhwala ovuta, onse atatu a mankhwalawa amapereka zotsatira zabwino.

Cerinat
Dzina lachi Latin: Cerinat
Magulu azachipatala:
Kupanga ndi mawonekedwe a kumasulidwa: Piritsi 1 ili ndi burwer's yeast autolysate 390 mg, m'mabotolo 60 kapena 120 ma PC.Brewer's yeast autolysate ili ndi: vitamini B1 (thiamine), B5 (pantothenic acid), B6 ​​(pangamic acid), PP (nicotinic acid), H (biotin), D (calciferol), A (mwanjira ya beta-carotene), C ( ascorbic acid), E (alpha-tocopherol), kufufuza zinthu, mapuloteni otaya kugaya, zofunika ma amino acid.

Mlingo ndi makonzedwe: Mkati, osafuna kutafuna, ndikutsuka ndi madzi okwanira, piritsi limodzi. 2 pa tsiku limodzi ndi maola 12, kuti mukwaniritse kwambiri - mapiritsi atatu.

Milgamma
Dzina lachi Latin: Milgamma
Magulu azachipatala: Mavitamini ndi Njira ngati Vitamini
B02 Tinea versicolor. G50.0 Neuralgia wamitsempha yamaubongo atatu. G51 Zilonda zam'maso zamafuta. G54.9 zotupa zosadziwika za mizu ya mitsempha ndi plexuses G58 Ma mononeuropathies ena. G62 Ma polyneuropathies ena. G62.1 Mowa polyneuropathy. G63.2 Matenda a shuga a polyneuropathy H46 Optic neuritis. M79.1 myalgia M79.2 Neuralgia ndi neuritis, osadziwika Kupweteka kwa R52, osati kwina
Kupanga ndi mawonekedwe a kumasulidwa:
pachidutswa 15 ma PC, mu bokosi la matuza awiri kapena anayi.

m'bokosi la 5 ampoules a 2 ml.

MachitidwePainkiller, imayendetsa magazi, imathandizanso kukonzanso minyewa yamitsempha . Mavitamini a Neurotropic a gulu B ali ndi zotsatira zopindulitsa mu matenda otupa ndi mitsempha ya m'mitsempha, mu milingo yambiri amakhala ndi analgesic kwenikweni, amathandizira kuwonjezeka kwa magazi ndikupangitsa magwiridwe antchito a mitsempha ndi mapangidwe a magazi.

Zowonetsa: Matenda amthupi amanjenje osiyanasiyana omwe amayambira: neuropathy (matenda ashuga, mowa, etc.), neuritis ndi polyneuritis retrobulbar neuritis, zotumphukira paresis, kuphatikizapo mitsempha ya nkhope, neuralgia, kuphatikizapo Mitsempha ya trigeminal ndi mitsempha ya patali, ululu (radicular, myalgia, herpes zoster).

Zoyipa: Hypersensitivity (kuphatikiza zigawo zina), mitundu yoopsa komanso yovuta kwambiri ya mtima wosakhazikika, nthawi ya neonatal (makamaka makanda osakwana) (yankho la d / in).

Ndi tsiku lililonse mavitamini B6 mpaka 25 mg, palibe contraindication ntchito pa mimba ndi mkaka wa m`mawere. Zilonda ndi yankho zimakhala ndi 100 mg ya mankhwalawa, chifukwa chake muzochitika izi samalimbikitsidwa.

Zotsatira zoyipa: Kutemera, tachycardia, ziphuphu zakumaso, zochitika zina zokhudzana (rd d / in. Ndikumayambitsa mwachangu kwambiri), zovuta zoyipa: zotupa pakhungu, urticaria, kuyabwa, bronchospasm, edema ya Quincke, anaphylactic.

Mogwirizana: Thiamine amawola kwathunthu mumayankho omwe ali ndi sulfite. Dr. mavitamini samapangidwa pakakhala mavitamini B1 osweka. Levodopa amachotsa mphamvu ya kuchuluka kwa mankhwalawa a vitamini B6.
Kuyanjana kotheka ndi cycloserine, D-penicillamine, adrenaline, norepinephrine, sulfonamides.
Zosagwirizana ndi zinthu za redox, komanso phenobarbital, riboflavin, benzylpenicillin, glucose, metabisulfite, mchere wazitsulo zolemera. Copper imathandizira kusweka kwa thiamine, kuwonjezera apo, thiamine imataya zotsatira zake pa pH yoposa 3.

Mlingo ndi makonzedwe: Mkati. Piritsi limodzi mpaka 3 katatu patsiku ndi madzi okwanira, kwa mwezi umodzi.
M'mavuto owawa kwambiri komanso kupweteka kwambiri, jekeseni imodzi (2 ml) yakuya mu mafuta ndi yofunika kuti muwonjezere mankhwalawa m'magazi. Mochulukitsa atadutsa komanso m'mitundu yofatsa yamatendawa, jakisoni imodzi katatu pa sabata imafunikira. M'tsogolomu, kupitiriza chithandizo, imwani piritsi limodzi tsiku lililonse.

Bullfight
Dzina lachi Latin: Corrida +
Magulu azachipatala: Zakudya Zabwino
Gulu la Nosological (ICD-10): F17.2 Mankhwala osokoneza bongo a Nikotine
Kupanga ndi mawonekedwe a kumasulidwa: Piritsi limodzi lolemera 0,5 g limakhala ndi ufa wa ma rhizomes a chinsus, timbewu ta masamba ta timbewu tonunkhira komanso michere yazakudya yozikidwa pa MCC yoyeretsedwa kwambiri, m'mabotolo a ma pc a ma 150.kapena mu contour bezjacheykovy ma CD a 10 ma PC.

Chidule: Zakudya zopatsa mphamvu zomwe zili ndi mafuta ofunikira a 1.5 mg piritsi limodzi.

MachitidweMatenda a metabolic njira, tonic, anti-nkhawa, anti-kusiya .
Mankhwala: Mafuta ofunikira, osasunthika, alkaloids, glycosides, ma tannins amachepetsa chikhumbo cha kusuta, amayambitsa utsi wa fodya, mavitamini, ma organic acids, ma macro- ndi ma microelements amathandizira kubwezeretsa metabolism yachilengedwe, insoluble zakudya fiber (MCC), kudutsa m'mimba Ziwopsezo ndi zoopsa zimathandizira kutulutsa kwawo msanga kwa thupi la wosuta.

Zowonetsa: Mankhwala osokoneza bongo a Nikotine (kuchepetsa chidwi chofuna kusuta komanso kuyamwa kuti asachotsere), kupewa SARS.

Mlingo ndi makonzedwe: Mkati chikumbumtima: ngati mukufuna kusuta - 1 tabu. (khalani pakamwa mpaka mutatsitsimuka kwathunthu). Kutengera kulakalaka kusuta, tengani mapiritsi 5 patsiku. ndi zina zambiri. Mulingo wambiri watsiku ndi tsiku uli ndi mapiritsi 30. Njira yovomerezeka ndi milungu isanu. Ndi kuchepa kwa chikhumbo cha kusuta, kuchuluka kwa mapiritsi omwe amamwa amachepetsa motero. Potengera kudalira kopepuka, mapiritsi 10 akukwana. patsiku (kwa masabata 7). Ndikulimbikitsidwa kuti muzikhala ndi mapiritsi nthawi zonse kwa milungu isanu ndi iwiri kuti muchepetse nthawi yomwe mukufuna kuti musute, mpaka thupi lipere.
Monga prophylactic, wochiritsa: osasuta - tebulo 1-2. Katatu patsiku poletsa chimfine (nthawi ya masika ndi yophukira kapena nthawi yakusokonekera kwamphamvu).

Chenjezo: Tiyenera kudziwa kuti mukamayamwa fodya mukamamwa mankhwalawa, mutha kukumana ndi vuto (thukuta lozizira, chizungulire, kukhumudwa, ndi zina zotere), kusintha kwa kakomedwe, ndi mseru. Pankhaniyi, muyenera kusiya kusuta, kupuma pang'ono ndikuotcha, ndikutenga piritsi lina la 1.

Mebicar
Dzina lachi Latin: Mebicarum
Magulu azachipatala: Anxiolytics
Gulu la Nosological (ICD-10):
Zotsatira za pharmacological

Mimba ndi kuyamwa:

Mlingo ndi makonzedwe:

Mebix
Dzina lachi Latin: Mebix
Magulu azachipatala: Anxiolytics
Gulu la Nosological (ICD-10): F10.2 Matendawa amadalira mowa F17.2 Mankhwala osokoneza bongo a Nikotine F28 Matenda ena ophatikizika a psychotic F40 Phobic nkhawa yamavuto. F41 Zovuta zina F43 Kuthana ndi kupsinjika kwakukuru komanso kusinthasintha kwa mawonekedwe. F48 Matenda enanso a mitsempha. F48.0 Neurasthenia. R07.2 Ululu m'dera la mtima. R45.0 Wamanyazi. R45.4 Kuyipa ndi kuwawa
Zotsatira za pharmacological

Zogwira pophika (INN) Mebicar (Mebicar)
Kugwiritsa: Neuroses ndi neurosis-ngati mayiko limodzi ndi kusokonezeka, kukhudzika kwamtima, nkhawa, mantha (kuphatikizapo odwala omwe amamwa mowa mwauchidakwa), modekha komanso nkhawa zodandaula popanda kuphwanya kwenikweni chikhalidwe ndi malingaliro a psychomotor (kuphatikizapo nkhawa paranoid syndrome mu schizophrenia, ndiuterutional ndi mtima psychoses), zotsalira pambuyo pambuyo pachimake psychoses ndi zizindikiro za kusakhazikika kwatsoka ndi zotsalira zipatso zipatso, wolankhula hallucino h organic chiyambi, kusiya chikonga (monga gawo la zovuta mankhwala).

Zoyipa: Hypersensitivity, pakati (I trimester).

Mimba ndi kuyamwa: Contraindified m'mimba (ine trimester).

Zotsatira zoyipa: Hypotension, kufooka, chizungulire, hypothermia (1 mpaka 1.5 ° C), zizindikiro zosokoneza, matupi awo sagwirizana (pruritus).

Mogwirizana: Imawonjezera mphamvu ya mapiritsi ogona.

Mlingo ndi makonzedwe: Mkati, ngakhale kudya zakudya, 0,3-0.6-0.9 g katatu patsiku.Mlingo umodzi wambiri ndi 3 g, tsiku lililonse - 10 g. Njira ya mankhwalawa imachokera masiku angapo mpaka miyezi 2-3, chifukwa cha matenda amisala - mpaka miyezi isanu ndi umodzi, kuchotsedwa kwa chikonga - masabata 5-6.

Chenjezo: Siyenera kugwiritsidwa ntchito pomwe oyendetsa magalimoto ndi anthu omwe ntchito yawo imalumikizidwa ndi chidwi chochulukirapo.

Nicotinic Acid
Dzina lachi Latin: Nicotinic acid
Magulu azachipatala:
Gulu la Nosological (ICD-10):
Zotsatira za pharmacological

asidi (Nicotinic acid)
Kugwiritsa:

Zoletsa kugwiritsa ntchito:

Mimba ndi kuyamwa:

Mlingo ndi makonzedwe:Popewa:
Ndi pellagra:
Ndi ischemic stroke: w / w, 0.01-00.05 g.
Ndi atherosulinosis:

Matenda ena:

• Nicotinic acid

Niacin MS
Dzina lachi Latin: Acidum nicotinicum MC
Magulu azachipatala: Angioprotectors ndi ma microcirculation kukonza. Mavitamini ndi zinthu ngati mavitamini. Nikotinati
Gulu la Nosological (ICD-10): E52 Nicotinic acid akusowa pellagra. E78.5 Hyperlipidemia, yosadziwika G46 Vascular cerebrovascular syndromes mu cerebrovascular matenda. G93.4 Encephalopathy, yosatchulidwa I20 Angina pectoris angina pectoris. I25 Matenda a mtima a ischemic. I25.2 Zomwe zimachitika m'mbuyomu Zotsatira za I69 za matenda amitsempha. I70 Atherosulinosis. I70.2 Atherosclerosis yamitsempha yamanja. I73 Matenda ena otumphukira a mtima. I73.0 Matenda a Raynaud. I73.1 Thromboangiitis obliterans matenda a Buerger. I77.1 Kugwedeza kwamitsempha. I99 Mavuto ena komanso osafotokozedwa a magazi. K29 Gastritis ndi duodenitis. K52 Matenda ena a m'matumbo a m'matumbo ndi colitis. R07.2 Ululu m'dera la mtima. T14.1 Vulala lotseguka la dera losadziwika
Zotsatira za pharmacological

Yogwira pophika (INN) Nicotinic acid (Nicotinic acid)
Kugwiritsa: Kupewa komanso kuchiza kwa pellagra (kuchepa kwa vitamini PP), atherosulinosis, hyperlipidemia (kuphatikizapo hypercholesterolemia, hypertriglyceridemia) kusokoneza endarteritis, matenda a a Raynaud, migraine, ngozi ya ubongo, kuphatikizapo ischemic stroke (zovuta mankhwala), angina pectoris, matenda a Hartnup, hypercoagulation, nkhope ya neuritis, kuledzera, mabala ochiritsa a nthawi yayitali, zilonda zam'mimba, matenda opatsirana, matenda am'mimba.

Zoyipa: Hypersensitivity, chironda chachikulu cham'mimba ndi duodenum (mu pachimake gawo), kukanika kwambiri kwa chiwindi, gout, hyperuricemia, mitundu yoopsa ya matenda oopsa komanso atherosclerosis (iv).

Zoletsa kugwiritsa ntchito: Mimba, yoyamwitsa.

Mimba ndi kuyamwa: Ndi kusamala pa nthawi yoyembekezera ndi mkaka wa m`mawere (mlingo waukulu umalakwika).

Zotsatira zoyipa: Chifukwa cha kutulutsidwa kwa histamine: redness of the khungu, incl. nkhope ndi kumtunda hafu ya thupi ndikumverera kwa kugunda ndi kumva kutentha, kuthamanga kwa magazi kumutu, chizungulire, hypotension, orthostatic hypotension (mwachangu kwa mtsempha wa magazi), kuchuluka kwa msuzi wa madzi am'mimba, kuyabwa, dyspepsia, urticaria.
Kugwiritsa ntchito kwa nthawi yayitali milingo yayikulu: kutsegula m'mimba, kusanza, kusanza, chiwindi, kupweteka kwam'mimba, kupweteka kwam'mimba, hyperuricemia, kuchepa kwa glucose, hyperglycemia, kuchuluka kwazosakhazikika kwa AST, LDH, alkaline phosphatase. m'mimba.

Mogwirizana: Amatha kuchita za fibrinolytic othandizira, antispasmodics ndi mtima glycosides, zakumwa zoopsa za chiwindi. Amachepetsa mayamwidwe a bile acid sequestrants (imeneyi ya 1.5-2 maola pakati Mlingo ndikofunikira) ndi hypoglycemic zotsatira za antidiabetesic mankhwala. Kuyanjana kwa mankhwala a antihypertensive, acetylsalicylic acid, anticoagulants.

Mlingo ndi makonzedwe: Mkati (mutatha kudya), mkati / mkati pang'onopang'ono, mu / m, s / c. Popewa: ndi pakamwa, kwa akuluakulu - 0.0125-0.025 g / tsiku, kwa ana - 0.005-0.025 g / tsiku.
Ndi pellagra: Akuluakulu - pakamwa, 0,1 ga 2 kawiri pa tsiku kwa masiku 15-20 kapena iv 0,55 g kapena i / m 0,1, kawiri pa tsiku kwa 10- 10 Masiku 15, kwa ana mkati, 0.0125-0.05 g katatu pa tsiku.
Ndi ischemic stroke: w / w, 0.01-00.05 g.
Ndi atherosulinosis: mkati, 2-3 g / tsiku mu Mlingo wa 2-4.
Pankhani ya lipid kagayidwe kachakudya: mkati, mlingo umakulitsidwa pang'onopang'ono (pakalibe zotsatira zoyipa) kuchokera ku 0,05 g kamodzi patsiku mpaka 2-3 g / tsiku mu Mlingo wambiri, njira ya chithandizo ndi mwezi umodzi kapena kuposerapo, kupuma kumafunikira pakati pa maphunziro obwereza.
Matenda ena: ndi pakamwa, kwa akuluakulu - 0,02-0.05 g (mpaka 0,1 g) katatu patsiku, kwa ana - 0,0125-0.025 g katatu pa tsiku.

Chenjezo: Mankhwala, chiwindi chimayang'aniridwa pafupipafupi (makamaka pakumwa waukulu). Popewa hepatotoxicity, ndikofunikira kuphatikiza zakudya zopatsa methionine (tchizi cha kanyumba) muzakudya, kapena methionine kapena mankhwala ena a lipotropic.
Gwiritsani ntchito mosamala vuto la hyperacid gastritis, zilonda zam'mimba ndi duodenum (chikhululukiro) chifukwa cha kukhumudwitsa kwa mucous membrane (kutenga waukulu ndi kutsutsana pamenepa). Kutenga Mlingo waukulu kumapangidwanso mu matenda a chiwindi, kuphatikizapo hepatitis, cirrhosis (mwina ndi hepatotoxicity), matenda a shuga.
Sikoyenera kugwiritsa ntchito kukonza dyslipidemia mwa odwala matenda a shuga.
Ziyenera kukumbukiridwa kuti jakisoni wa s / c ndi / m ndiwowawa.

• Niacin MS (Acidum nicotinicum MC)

Nicotinic acid - Darnitsa
Dzina lachi Latin: Nicotinic acid
Magulu azachipatala: Angioprotectors ndi ma microcirculation kukonza. Mavitamini ndi zinthu ngati mavitamini. Nikotinati
Gulu la Nosological (ICD-10): E52 Nicotinic acid akusowa pellagra. E78.5 Hyperlipidemia, yosadziwika G46 Vascular cerebrovascular syndromes mu cerebrovascular matenda. G93.4 Encephalopathy, yosatchulidwa I20 Angina pectoris angina pectoris. I25 Matenda a mtima a ischemic. I25.2 Zomwe zimachitika m'mbuyomu Zotsatira za I69 za matenda amitsempha. I70 Atherosulinosis. I70.2 Atherosclerosis yamitsempha yamanja. I73 Matenda ena otumphukira a mtima. I73.0 Matenda a Raynaud. I73.1 Thromboangiitis obliterans matenda a Buerger. I77.1 Kugwedeza kwamitsempha. I99 Mavuto ena komanso osafotokozedwa a magazi. K29 Gastritis ndi duodenitis. K52 Matenda ena a m'matumbo a m'matumbo ndi colitis. R07.2 Ululu m'dera la mtima. T14.1 Vulala lotseguka la dera losadziwika
Zotsatira za pharmacological

Yogwira pophika (INN) Nicotinic acid (Nicotinic acid)
Kugwiritsa: Kupewa komanso kuchiza kwa pellagra (kuchepa kwa vitamini PP), atherosulinosis, hyperlipidemia (kuphatikizapo hypercholesterolemia, hypertriglyceridemia) kusokoneza endarteritis, matenda a a Raynaud, migraine, ngozi ya ubongo, kuphatikizapo ischemic stroke (zovuta mankhwala), angina pectoris, matenda a Hartnup, hypercoagulation, nkhope ya neuritis, kuledzera, mabala ochiritsa a nthawi yayitali, zilonda zam'mimba, matenda opatsirana, matenda am'mimba.

Zoyipa: Hypersensitivity, chironda chachikulu cham'mimba ndi duodenum (mu pachimake gawo), kukanika kwambiri kwa chiwindi, gout, hyperuricemia, mitundu yoopsa ya matenda oopsa komanso atherosclerosis (iv).

Zoletsa kugwiritsa ntchito: Mimba, yoyamwitsa.

Mimba ndi kuyamwa: Ndi kusamala pa nthawi yoyembekezera ndi mkaka wa m`mawere (mlingo waukulu umalakwika).

Zotsatira zoyipa: Chifukwa cha kutulutsidwa kwa histamine: redness of the khungu, incl. nkhope ndi kumtunda hafu ya thupi ndikumverera kwa kugunda ndi kumva kutentha, kuthamanga kwa magazi kumutu, chizungulire, hypotension, orthostatic hypotension (mwachangu kwa mtsempha wa magazi), kuchuluka kwa msuzi wa madzi am'mimba, kuyabwa, dyspepsia, urticaria.
Kugwiritsa ntchito kwa nthawi yayitali milingo yayikulu: kutsegula m'mimba, kusanza, kusanza, chiwindi, kupweteka kwam'mimba, kupweteka kwam'mimba, hyperuricemia, kuchepa kwa glucose, hyperglycemia, kuchuluka kwazosakhazikika kwa AST, LDH, alkaline phosphatase. m'mimba.

Mogwirizana: Amatha kuchita za fibrinolytic othandizira, antispasmodics ndi mtima glycosides, zakumwa zoopsa za chiwindi. Amachepetsa mayamwidwe a bile acid sequestrants (imeneyi ya 1.5-2 maola pakati Mlingo ndikofunikira) ndi hypoglycemic zotsatira za antidiabetesic mankhwala. Kuyanjana kwa mankhwala a antihypertensive, acetylsalicylic acid, anticoagulants.

Mlingo ndi makonzedwe: Mkati (mutatha kudya), mkati / mkati pang'onopang'ono, mu / m, s / c. Popewa: ndi pakamwa, kwa akuluakulu - 0.0125-0.025 g / tsiku, kwa ana - 0.005-0.025 g / tsiku.
Ndi pellagra: Akuluakulu - pakamwa, 0,1 ga 2 kawiri pa tsiku kwa masiku 15-20 kapena iv 0,55 g kapena i / m 0,1, kawiri pa tsiku kwa 10- 10 Masiku 15, kwa ana mkati, 0.0125-0.05 g katatu pa tsiku.
Ndi ischemic stroke: w / w, 0.01-00.05 g.
Ndi atherosulinosis: mkati, 2-3 g / tsiku mu Mlingo wa 2-4.
Pankhani ya lipid kagayidwe kachakudya: mkati, mlingo umakulitsidwa pang'onopang'ono (pakalibe zotsatira zoyipa) kuchokera ku 0,05 g kamodzi patsiku mpaka 2-3 g / tsiku mu Mlingo wambiri, njira ya chithandizo ndi mwezi umodzi kapena kuposerapo, kupuma kumafunikira pakati pa maphunziro obwereza.
Matenda ena: ndi pakamwa, kwa akuluakulu - 0,02-0.05 g (mpaka 0,1 g) katatu patsiku, kwa ana - 0,0125-0.025 g katatu pa tsiku.

Chenjezo: Mankhwala, chiwindi chimayang'aniridwa pafupipafupi (makamaka pakumwa waukulu). Popewa hepatotoxicity, ndikofunikira kuphatikiza zakudya zopatsa methionine (tchizi cha kanyumba) muzakudya, kapena methionine kapena mankhwala ena a lipotropic.
Gwiritsani ntchito mosamala vuto la hyperacid gastritis, zilonda zam'mimba ndi duodenum (chikhululukiro) chifukwa cha kukhumudwitsa kwa mucous membrane (kutenga waukulu ndi kutsutsana pamenepa). Kutenga Mlingo waukulu kumapangidwanso mu matenda a chiwindi, kuphatikizapo hepatitis, cirrhosis (mwina ndi hepatotoxicity), matenda a shuga.
Sikoyenera kugwiritsa ntchito kukonza dyslipidemia mwa odwala matenda a shuga.
Ziyenera kukumbukiridwa kuti jakisoni wa s / c ndi / m ndiwowawa.

Nicotinic Acid-Darnitsa Acid (Nicotinic ac>Nicotinic acid
Dzina lachi Latin: Acidum nicotinicum
Magulu azachipatala: Angioprotectors ndi ma microcirculation kukonza. Mavitamini ndi zinthu ngati mavitamini. Nikotinati
Gulu la Nosological (ICD-10): E52 Nicotinic acid akusowa pellagra. E78.5 Hyperlipidemia, yosadziwika G46 Vascular cerebrovascular syndromes mu cerebrovascular matenda. G93.4 Encephalopathy, yosatchulidwa I20 Angina pectoris angina pectoris. I25 Matenda a mtima a ischemic. I25.2 Zomwe zimachitika m'mbuyomu Zotsatira za I69 za matenda amitsempha. I70 Atherosulinosis. I70.2 Atherosclerosis yamitsempha yamanja. I73 Matenda ena otumphukira a mtima. I73.0 Matenda a Raynaud. I73.1 Thromboangiitis obliterans matenda a Buerger. I77.1 Kugwedeza kwamitsempha. I99 Mavuto ena komanso osafotokozedwa a magazi. K29 Gastritis ndi duodenitis. K52 Matenda ena a m'matumbo a m'matumbo ndi colitis. R07.2 Ululu m'dera la mtima. T14.1 Vulala lotseguka la dera losadziwika
Zotsatira za pharmacological

Yogwira pophika (INN) Nicotinic acid (Nicotinic acid)
Kugwiritsa: Kupewa komanso kuchiza kwa pellagra (kuchepa kwa vitamini PP), atherosulinosis, hyperlipidemia (kuphatikizapo hypercholesterolemia, hypertriglyceridemia) kusokoneza endarteritis, matenda a a Raynaud, migraine, ngozi ya ubongo, kuphatikizapo ischemic stroke (zovuta mankhwala), angina pectoris, matenda a Hartnup, hypercoagulation, nkhope ya neuritis, kuledzera, mabala ochiritsa a nthawi yayitali, zilonda zam'mimba, matenda opatsirana, matenda am'mimba.

Zoyipa: Hypersensitivity, chironda chachikulu cham'mimba ndi duodenum (mu pachimake gawo), kukanika kwambiri kwa chiwindi, gout, hyperuricemia, mitundu yoopsa ya matenda oopsa komanso atherosclerosis (iv).

Zoletsa kugwiritsa ntchito: Mimba, yoyamwitsa.

Mimba ndi kuyamwa: Ndi kusamala pa nthawi yoyembekezera ndi mkaka wa m`mawere (mlingo waukulu umalakwika).

Zotsatira zoyipa: Chifukwa cha kutulutsidwa kwa histamine: redness of the khungu, incl. nkhope ndi kumtunda hafu ya thupi ndikumverera kwa kugunda ndi kumva kutentha, kuthamanga kwa magazi kumutu, chizungulire, hypotension, orthostatic hypotension (mwachangu kwa mtsempha wa magazi), kuchuluka kwa msuzi wa madzi am'mimba, kuyabwa, dyspepsia, urticaria.
Kugwiritsa ntchito kwa nthawi yayitali milingo yayikulu: kutsegula m'mimba, kusanza, kusanza, chiwindi, kupweteka kwam'mimba, kupweteka kwam'mimba, hyperuricemia, kuchepa kwa glucose, hyperglycemia, kuchuluka kwazosakhazikika kwa AST, LDH, alkaline phosphatase. m'mimba.

Mogwirizana: Amatha kuchita za fibrinolytic othandizira, antispasmodics ndi mtima glycosides, zakumwa zoopsa za chiwindi. Amachepetsa mayamwidwe a bile acid sequestrants (imeneyi ya 1.5-2 maola pakati Mlingo ndikofunikira) ndi hypoglycemic zotsatira za antidiabetesic mankhwala. Kuyanjana kwa mankhwala a antihypertensive, acetylsalicylic acid, anticoagulants.

Mlingo ndi makonzedwe: Mkati (mutatha kudya), mkati / mkati pang'onopang'ono, mu / m, s / c. Popewa: ndi pakamwa, kwa akuluakulu - 0.0125-0.025 g / tsiku, kwa ana - 0.005-0.025 g / tsiku.
Ndi pellagra: Akuluakulu - pakamwa, 0,1 ga 2 kawiri pa tsiku kwa masiku 15-20 kapena iv 0,55 g kapena i / m 0,1, kawiri pa tsiku kwa 10- 10 Masiku 15, kwa ana mkati, 0.0125-0.05 g katatu pa tsiku.
Ndi ischemic stroke: w / w, 0.01-00.05 g.
Ndi atherosulinosis: mkati, 2-3 g / tsiku mu Mlingo wa 2-4.
Pankhani ya lipid kagayidwe kachakudya: mkati, mlingo umakulitsidwa pang'onopang'ono (pakalibe zotsatira zoyipa) kuchokera ku 0,05 g kamodzi patsiku mpaka 2-3 g / tsiku mu Mlingo wambiri, njira ya chithandizo ndi mwezi umodzi kapena kuposerapo, kupuma kumafunikira pakati pa maphunziro obwereza.
Matenda ena: ndi pakamwa, kwa akuluakulu - 0,02-0.05 g (mpaka 0,1 g) katatu patsiku, kwa ana - 0,0125-0.025 g katatu pa tsiku.

Chenjezo: Mankhwala, chiwindi chimayang'aniridwa pafupipafupi (makamaka pakumwa waukulu). Popewa hepatotoxicity, ndikofunikira kuphatikiza zakudya zopatsa methionine (tchizi cha kanyumba) muzakudya, kapena methionine kapena mankhwala ena a lipotropic.
Gwiritsani ntchito mosamala vuto la hyperacid gastritis, zilonda zam'mimba ndi duodenum (chikhululukiro) chifukwa cha kukhumudwitsa kwa mucous membrane (kutenga waukulu ndi kutsutsana pamenepa). Kutenga Mlingo waukulu kumapangidwanso mu matenda a chiwindi, kuphatikizapo hepatitis, cirrhosis (mwina ndi hepatotoxicity), matenda a shuga.
Sikoyenera kugwiritsa ntchito kukonza dyslipidemia mwa odwala matenda a shuga.
Ziyenera kukumbukiridwa kuti jakisoni wa s / c ndi / m ndiwowawa.

• Nicotinic acid (m nicotinicum)

Yogwira pophika (INN) Nicotinic acid (Nicotinic acid)
Kugwiritsa: Kupewa komanso kuchiza kwa pellagra (kuchepa kwa vitamini PP), atherosulinosis, hyperlipidemia (kuphatikizapo hypercholesterolemia, hypertriglyceridemia) kusokoneza endarteritis, matenda a a Raynaud, migraine, ngozi ya ubongo, kuphatikizapo ischemic stroke (zovuta mankhwala), angina pectoris, matenda a Hartnup, hypercoagulation, nkhope ya neuritis, kuledzera, mabala ochiritsa a nthawi yayitali, zilonda zam'mimba, matenda opatsirana, matenda am'mimba.

Zoyipa: Hypersensitivity, chironda chachikulu cham'mimba ndi duodenum (mu pachimake gawo), kukanika kwambiri kwa chiwindi, gout, hyperuricemia, mitundu yoopsa ya matenda oopsa komanso atherosclerosis (iv).

Zoletsa kugwiritsa ntchito: Mimba, yoyamwitsa.

Mimba ndi kuyamwa: Ndi kusamala pa nthawi yoyembekezera ndi mkaka wa m`mawere (mlingo waukulu umalakwika).

Zotsatira zoyipa: Chifukwa cha kutulutsidwa kwa histamine: redness of the khungu, incl. nkhope ndi kumtunda hafu ya thupi ndikumverera kwa kugunda ndi kumva kutentha, kuthamanga kwa magazi kumutu, chizungulire, hypotension, orthostatic hypotension (mwachangu kwa mtsempha wa magazi), kuchuluka kwa msuzi wa madzi am'mimba, kuyabwa, dyspepsia, urticaria.
Kugwiritsa ntchito kwa nthawi yayitali milingo yayikulu: kutsegula m'mimba, kusanza, kusanza, chiwindi, kupweteka kwam'mimba, kupweteka kwam'mimba, hyperuricemia, kuchepa kwa glucose, hyperglycemia, kuchuluka kwazosakhazikika kwa AST, LDH, alkaline phosphatase. m'mimba.

Mogwirizana: Amatha kuchita za fibrinolytic othandizira, antispasmodics ndi mtima glycosides, zakumwa zoopsa za chiwindi. Amachepetsa mayamwidwe a bile acid sequestrants (imeneyi ya 1.5-2 maola pakati Mlingo ndikofunikira) ndi hypoglycemic zotsatira za antidiabetesic mankhwala. Kuyanjana kwa mankhwala a antihypertensive, acetylsalicylic acid, anticoagulants.

Mlingo ndi makonzedwe: Mkati (mutatha kudya), mkati / mkati pang'onopang'ono, mu / m, s / c. Popewa: ndi pakamwa, kwa akuluakulu - 0.0125-0.025 g / tsiku, kwa ana - 0.005-0.025 g / tsiku.
Ndi pellagra: Akuluakulu - pakamwa, 0,1 ga 2 kawiri pa tsiku kwa masiku 15-20 kapena iv 0,55 g kapena i / m 0,1, kawiri pa tsiku kwa 10- 10 Masiku 15, kwa ana mkati, 0.0125-0.05 g katatu pa tsiku.
Ndi ischemic stroke: w / w, 0.01-00.05 g.
Ndi atherosulinosis: mkati, 2-3 g / tsiku mu Mlingo wa 2-4.
Pankhani ya lipid kagayidwe kachakudya: mkati, mlingo umakulitsidwa pang'onopang'ono (pakalibe zotsatira zoyipa) kuchokera ku 0,05 g kamodzi patsiku mpaka 2-3 g / tsiku mu Mlingo wambiri, njira ya chithandizo ndi mwezi umodzi kapena kuposerapo, kupuma kumafunikira pakati pa maphunziro obwereza.
Matenda ena: ndi pakamwa, kwa akuluakulu - 0,02-0.05 g (mpaka 0,1 g) katatu patsiku, kwa ana - 0,0125-0.025 g katatu pa tsiku.

Chenjezo: Mankhwala, chiwindi chimayang'aniridwa pafupipafupi (makamaka pakumwa waukulu). Popewa hepatotoxicity, ndikofunikira kuphatikiza zakudya zopatsa methionine (tchizi cha kanyumba) muzakudya, kapena methionine kapena mankhwala ena a lipotropic.
Gwiritsani ntchito mosamala vuto la hyperacid gastritis, zilonda zam'mimba ndi duodenum (chikhululukiro) chifukwa cha kukhumudwitsa kwa mucous membrane (kutenga waukulu ndi kutsutsana pamenepa). Kutenga Mlingo waukulu kumapangidwanso mu matenda a chiwindi, kuphatikizapo hepatitis, cirrhosis (mwina ndi hepatotoxicity), matenda a shuga.
Sikoyenera kugwiritsa ntchito kukonza dyslipidemia mwa odwala matenda a shuga.
Ziyenera kukumbukiridwa kuti jakisoni wa s / c ndi / m ndiwowawa.

• Nicotinic acid (-)

• Buku la Mankhwala Osokoneza bongo

Pochiza matenda a musculoskeletal system, mavitamini a B ndi ofunikira kwambiri. Milgamm ndi nicotinic acid ndizopangira mavitamini zomwe zimapangidwira nthawi zotere.

Ili ndi mavitamini atatu - B1, B6 ndi B12. Chothandizira chinanso ndi analgesic lidocaine hydrochloride.

Mankhwala omwe amadziwika ndi mankhwala amadziwika ndi izi:

1. Vitamini B1 imakhudzanso kagayidwe kazakudya. Amatenga nawo gawo la tricarboxylic acid, mapangidwe a thiamine pyrophosphate ndi adenosine triphosphoric acid, omwe ndiye gwero lamphamvu ya kusintha kwamphamvu mthupi.
2. Vitamini B6 imakhudza kagayidwe kazakudya, ndipo pamlingo wina, imathandizira kagayidwe kazakudya zamafuta ndi mafuta.
3. Vitamini B12 imalimbikitsa mapangidwe a magazi, imalimbikitsa kupangika kwa shehe ya ulusi wamanjenje. Imasintha kagayidwe kazigawo polimbikitsa folic acid.
4. Lidocaine ali ndi mankhwala oletsa kupanga.

Kuphatikizika kwa vitamini kumakhala ndi neurotropic. Chifukwa cha kukopa kwa magazi ndikuyenda bwino pamankhwala amanjenje, mankhwalawa amathandizira vutoli ndi matenda osachiritsika komanso otupa a zida zamagetsi.

Zingwe zimagwiritsidwa ntchito ngati:

• neuralgia
• paresis a nkhope
• mitsempha
• ganglionitis chifukwa cha shingles,
• neuropathy, polyneuropathy,
• multiple sclerosis
• kuwonongeka kwa mitsempha,
• minofu kukokana
• osteochondrosis.

Mavitamini onse amalimbitsa machitidwe a wina ndi mnzake, kukonza momwe mtima ndi mitsempha imathandizira.

Nthawi zina, mankhwalawa amatha kuyambitsa thupi kuwonetsa, chizungulire, tachycardia, kusanza, kapena kupweteka.

Mtundu wa piritsi wotulutsidwa umadziwika ndi kusowa kwa Vitamini B12 pakupanga komanso zomwe zimapezeka mu thiamine. Amagulitsidwa pansi pa dzina la malonda a Milgamm Composite. Mu phukusi la mapiritsi 30 kapena 60. Fomuyi ili ndi magulu owerengera pang'ono. Amagwiritsidwa ntchito posowa mavitamini B1 ndi B6 motsutsana ndi maziko a mitsempha yam'mitsempha.

Combilipen jakisoni intramuscularly - mlingo, mankhwala, contraindication ndi ndemanga

Mchitidwe wamanjenje umagwira ntchito yayikulu pakuwongolera ndi kulumikizana kwa zochitika za ziwalo zonse ndi machitidwe a thupi. Pali mankhwala omwe amathandizira kuti khungu lamanjenje lizikhala labwino kuti zitsimikizire kuti munthu ali ndi moyo wathunthu. Ndi makina ati omwe amagwiritsidwa ntchito popewa kukhumudwa kwa maselo a mitsempha, omwe magawo a msana amakhala ndi phindu la Combiben jakisoni wa makulidwe a mu mnofu, timayesa kuzifufuza.

Omwe adapatsidwa jakisoni wa nikotini acid ndi combilipene?

Sindikumvetsa ngati mavutowo atakhala abwinobwino pambuyo pa mphindi 5 jekeseni, kumva kugunda thupi lonse, kutentha, makutu kumakhala kuwongoka kolunjika) mkamwa ndi kununkhira kwa kuphatikizana uku.

Zimatenga pafupifupi mphindi 5 ndipo chilichonse chimadutsa ..

uku ndikutengera kwa chikonga, nthawi yoyamba yomwe mukufuna kukhazikitsa 1 ml, tsiku lotsatira lili kale 2 momwe ziyenera kukhalira, choncho adotolo adandiwuza. ndipo kombilipen ndi mavitamini, sipangakhale kuchitapo kanthu.

ngati sichinsinsi, mukutani?

Mitsempha ya khomo lachiberekero imapinimbidwa ndi katswiri wamitsempha adati ..

Ma jakisoni a Physio komanso mapiritsi a kutikita minofu tsopano ndili nawo

pitani mtedza! kotero chilichonse ndichofunika ... bwerani, bwerani! Inde, zidanenanso kwa ine. kutikita minofu kunathandiza

Movalis - kufotokoza

Movalis ndi mankhwala osokoneza bongo a anti-yotupa a ku Spain, opangidwa ku Italy ndi mankhwala omwe amagwira - meloxicam. Meloxicam amatanthauza mankhwala amakono opweteka, omwe amasankha COX-1 mosamala poyerekeza ndi COX-2. Izi zimamupatsanso mwayi pokhudzana ndi chitetezo - zoyipa m'mimba, chifukwa chochepa kwambiri cha m'mimba, zimachitika kawirikawiri. Mankhwalawa samakhudzana ndi kuphatikiza kwa maselo am'magazi, zomwe zimapangitsa kukhala kotetezeka kwa odwala omwe amakonda magazi. Adanenanso antipyretic ndi anti-yotupa katundu poyerekeza ndi analgesic zotsatira, zomwe zimapangitsa kukhala kusankha koyamba kotsatsira njira yotupa mu minye yolumikizira.

Popeza osteochondrosis ya msana ndikuwonongeka kwa cartilage, kenako ndikuwonongeka kwa ma disc intervertebral, vertebrae. Kuopsa kwa matendawa kuli poti minofu yama cartilage singathe kubwezeretsedwanso, njira zowonongeka zitha kuchepetsedwa, koma sizingatheke kubwezeretsanso minofu yoyambayo. Pamaso pa matendawa, njira yotupa ndi ululu zimayamba, motero, idasunthidwa ndikuwunikira kuti muchepetse kutupa ndikuchotsa chizindikiro chosasangalatsa. Mu pachimake zinthu, jakisoni amapatsidwa intramuscularly, kamodzi patsiku. Mbale umodzi uli ndi mulingo woyenera wa tsiku ndi tsiku wa 15 mg. Kutalika kwa mankhwalawa sikuyenera kupitirira masiku opitilira asanu.Kuwerenga kuyanjana, pali kuphatikiza kwinanso - mankhwalawa samalowa m'malo mwake kapena osagwirizana ndi mavitamini a B ndi lidocaine.

Zisonyezero za nicotinic acid

Nicotinic acid imakhudza thupi. Imasinthasintha kagayidwe kachakudya, imakhudza kubwezeretsedwa kwa mawonekedwe a neural. Mankhwala amatha kubwezeretsa magazi ku ubongo ndi ziwalo zina za thupi. Nikotini amalembedwa akumwa mowa, poyizoni wa chikhalidwe china, popeza amatha kusintha.

Pazifukwa zochizira, imagwiritsidwa ntchito pamsana, ngozi yamatenda, tinnitus, atherosulinosis, magazi opatsika mpaka kumapeto, zoledzeretsa zosiyanasiyana, matenda a chiwindi, zilonda zam'mimba, komanso kuchepa kwa maonekedwe. Monga zolinga za prophylactic, nicotinic acid imagwiritsidwa ntchito kukonza mawonedwe ndi kukumbukira, kwa gastritis yokhala ndi acidity yochepa, kuthetsa mawonetseredwe, ndi kuchepetsedwa kwa kudya kwamafuta m'thupi, komanso kupewa khansa.

Niacin amalimbikitsa vasodilation ndipo amatulutsa kagayidwe ka oxygen ndi oxidative zimachitika mthupi.

Niacin amapezeka mu. Mbale umodzi uli ndi 1 ml ya yankho la 1% ya nicotinic acid. Mankhwala ndi mankhwala okwanira 1-2 pa tsiku. Imayendetsedwa mosavuta kapena kudzera m'mitsempha. Ma jakisoni a intramuscular and intracutaneous a nicotinic acid amakhala opweteka kwambiri. Pambuyo pakubaya kwa mtsempha, khungu lingayambike, komwe ndi kwachilendo. Kupanda redness kumawonetsa kuti pali zovuta zina zoyenda mthupi.

Niacin amatchulidwa 1-2 katatu patsiku, kutengera kulemera kwa thupi komanso kuopsa kwa matendawa. Mukumwa mankhwalawa, amafunika kuyambitsa tchizi cha tchizi ndi zinthu zina zomwe zimakhala ndi methionine yambiri muzakudya. Izi zimathandiza kuteteza maselo a chiwindi. Ngati msuzi wamatumbo uli ndi acidity yowonjezereka, pamenepa, nicotinic acid imayikidwa pambuyo chakudya, ndipo iyenera kutsukidwa ndi mkaka wambiri wofunda ndi mchere wamadzi. Mapiritsi a Nicotinic acid akulimbikitsidwa mu nthawi yophukira komanso yophukira kwa anthu omwe ali ndi vuto lozungulira m'magawo otsika. Mu milandu iyi, mankhwalawa amatengedwa pakatha masiku 30.

Pamaso pa thrombophlebitis ndi venous kuchepa, nicotinic acid iyenera kumwedwa patali.

Asidi wa Nicotinic amatengedwa pokhapokha ngati adokotala amawalangiza. Sichikulimbikitsidwa kuti mugwiritse ntchito pakukulitsa zilonda zam'mimba, ndimatenda a chiwindi, okwera kwambiri, osagwirizana ndi vitamini PP. Ndi zoletsedwa kupereka nicotinic acid chifukwa cha magazi ndi zotupa m'mimba.

Kusiyana pakati pa nicotinamide ndi nicotinic acid (niacin)

Kodi pali kusiyana kotani pakati pa nicotinamide ndi?

Monga tanena kale, niacin ndi nicotinic acid, mtundu waukulu wa chinthu, ndipo nicotinamide ndimachokera kwa iwo. Mankhwalawa onse amapanga, koma amakhudza thupi.

Niacin amagwiritsidwa ntchito matenda a mtima. Imakhala ndi chotupa. Kugwiritsidwa ntchito kwake kumayendetsedwa ndi kumverera kwa "kuthamanga" kwa magazi kumutu, khungu rede.

Nicotinamide ilibe zotsatira zoyipa izi. Thupi silipanga mitsempha yamagazi, komanso silimathandizira kutsitsa cholesterol yamagazi, monga niacin. Amagwiritsidwa ntchito pochiza komanso kupewa mtundu wa 1 wa matenda a shuga ndi matenda a maso. Dzina lina la chinthucho ndi niacinamide.

Zotsatira za pharmacological

Amatenga nawo kagayidwe ka mafuta, mapuloteni, amino acid, purines, kupuma kwa minofu, glycogenolysis. Ilibe tanthauzo lotchedwa vasodilating.

Gawo lapansi limapangitsa kapangidwe ka nicotin adenine dinucleotide (NAD) ndi nikotini adenine dinucleotide phosphate (NADP). Mwanjira ya NAD ndi NADP, imavomereza ndikusintha ma protoni osiyanasiyana mmagulu angapo a redox, kuonetsetsa momwe zimakhalira nthawi zambiri zamitundu yambiri, kuphatikiza mphamvu.

Nicotinamide imathandizira kuti ubongo uzigwira ntchito komanso kupanga ma mahomoni ogonana, umalimbikitsa kuchuluka kwa shuga m'magazi am'magazi. Imakhala ndi anti-pellagric athari.

Mlingo ndi makonzedwe

Mankhwala mu mawonekedwe a mapiritsi ntchito pakamwa, mu ampoules - subcutanely, intramuscularly, kudzera m`mitsempha.

Mlingo wa mankhwalawa amatchulidwa payekhapayekha, chifukwa cha kuperewera kwa vitamini PP.

Ndi pellagra - 50-100 mg katatu pa tsiku, kwa masiku 15-20, kupewa akuluakulu - 15-25 mg, kwa ana - 5-10 mg 1-2 kawiri pa tsiku.

Kwa matenda ena, akulu - 20-50 mg, ana - 5-10 mg 2-3 kawiri pa tsiku.

Mu / mu, m / m ndi s / c - 1-2 ml ya 1%, 2,5%, 5% yankho kawiri pa tsiku limodzi ndi liwiro la makonzedwe osaposa 2 mg / mphindi.

Kuti muchepetse kukhumudwitsa mucousitsa m'mimba ndi makonzedwe amkamwa, tikulimbikitsidwa kumwa mankhwalawa mkaka.

Momwe zimayikidwa jakisoni wa osteochondrosis

Amaphatikiza ma analgesic, antipyretic ndi anti-kutupa, chifukwa omwe samangochotsa ululu, komanso amakhudza zomwe zimawoneka.

Kuchepetsa kwakukulu kwa gululi ndimankhwala osokoneza bongo. Nthawi zambiri kutenga NSAIDs kumabweretsa kukula kapena kuchuluka kwa zilonda zam'mimbazi. Makulidwe a makolo kumlingo wina amachepetsa chiopsezo chazosiyanasiyana.

Nthawi zambiri, zochizira osteochondrosis zotchulidwa:

• Ketonal - ali ndi kutchulidwa kwa analgesic zotsatira, anti-kutupa ndi antipyretic zotsatira sizitchulidwa. Mosasokoneza amakhudza mucous nembanemba zam'mimba ndi matumbo, amakwiya magazi. Chochitikacho chimatha mpaka maola 6.
• Movalis - ali ndi kutchulidwa anti-yotupa zotsatira, analgesic ndi antipyretic kwenikweni sanena. Simalimbikitsa kupangika kwa zilonda m'mimba ndi duodenum, sizikhudza kuwonongeka kwa magazi. Yovomerezeka mpaka maola 24, omwe amakupatsani mwayi woti mulowe mankhwalawa kamodzi patsiku.
• - amathetsa kutupira m'matenda, antipyretic ndi analgesic zotsatira sizitchulidwa. Zimasokoneza m'mimba ndimatumbo, chifukwa chake, amatha kugwiritsidwa ntchito pokhapokha ngati pali mankhwala omwe amachepetsa kupanga acid m'mimba. Chochitikacho chimatha mpaka maola 12.

Ophera

Ngati milandu yothana ndi kutupa singathe kupirira ululu wammbuyo, dokotala amakupatsani ma analgesics:

• Analgin - ndi wa gulu la NSAIDs, koma kwenikweni lilibe anti-yotupa. Amachotsa msanga kupweteka, jekeseni kulowa m'mitsempha kapena m'mitsempha katatu patsiku.
• Tramadol ndi analgesic yomwe imagwira ntchito pa opioid receptors muubongo ndipo imakhala ndi mphamvu ya analgesic. Zotsatira zimayamba kupitirira theka la ola pambuyo pa kukhazikitsa ndipo zimatha mpaka maola 6. Pogwiritsa ntchito nthawi yayitali, ndizowonjezera, koma pang'ono kwambiri kuposa morphine.

- Ichi ndi mankhwala osakanikirana, omwe amaphatikizapo mankhwala oletsa kupanga (lidocaine) ndi mavitamini B 1, B 6 ndi B 12. Lidocaine ali ndi mankhwala oletsa kukomoka, kutsekereza kufalikira kwa mitsempha kuchokera ku zolandilira ululu. Zotsatira zimayamba msanga, koma zimakhala pafupifupi ola limodzi.

Mavitamini a B amakhudzidwa ndi kagayidwe ka maselo amitsempha. Majakisoni a Milgamma amathandizira kuchiritsa kwa muzu wopindika wa msana. Pali kubwezeretsa kwa chipolopolo chake chakunja ndi kukhudzika kwa mitsempha kumadutsa njira yolondola.

Mitsempha yodinidwa imatsogolera kumverera kwa dzanzi, goosebumps, kupweteketsa kwapweteka m'dera lomwe iye amakhala. Milgamm imabwezeretsa kutha kwa mitsempha, potero kuthetseratu zizindikiro zosasangalatsa izi.

Mankhwalawa amapaka jekeseni wa minofu kwa masiku 7-10 kamodzi patsiku.

Chondoprotective

- mankhwala omwe amateteza komanso kubwezeretsa ma disc a intervertebral disc.

Mulinso zinthu zomwe zimapezeka mu cartilage. Zimathandizira kubwezeretsanso disc, kuthetsa ululu komanso kuthetsa kutupa m'magawo olowa.

Zochizira osteochondrosis ntchito:

Amapatsidwa intramuscularly tsiku lililonse kapena kangapo pa sabata. Maphunzirowa amatenga milungu ingapo.

Chondroprotectors angagwiritsidwe ntchito pochotseredwa kuteteza kutulutsa ndi kusintha mkhalidwe wa ma disc a intervertebral disc.

Chithandizo cha blockade

Paravertebral blockade ndikukhazikitsa kwa mankhwala mwachindunji ku mizu ya mitsempha. Zogwiritsidwa ntchito, yankho la mankhwala oletsa ululu (novocaine, procaine, trimecaine) osakanikirana ndi anti-yotupa wothandizira (hydrocortisone) umagwiritsidwa ntchito.

Blockade imachotsa kupweteka pakapita mphindi, ndipo hydrocortisone imathandizira kutukusira kwa minofu. Izi zimakupatsani mwayi wowonjezera jakisoni mpaka masiku angapo. Blockades ikuchitika mu njira ya 3-5 mu masiku 2-3.

Osati Mulimonsemo, mutha kuchita jakisoni. Contraindators kuti blockade ndi:

• tsankho kwa opaleshoni wamba,
• khungu la nsana,
• abscesses, abscesses, phlegmon m'munda wa blockade,
• matenda opatsirana pachimake.

Vitamini

Kuphatikiza pa mavitamini a B, a osteochondrosis, mavitamini A, E, C ndi mankhwala omwe amapangira jakisoni. Amachepetsa kuwonongeka kwa minyewa yotupa, kuthandizira njira zosinthira mu minofu yamanjenje ndi malo olumikizirana mafupa, ndikusintha ma microcirculation. Fotokozerani mavitamini munthawi yotsika gawo la pachimake.

Mavitamini A ndi E ndi mafuta osungunuka, chifukwa chake amamasulidwa mu mawonekedwe amafuta. Mutha kulowa nawo kokha kudzera m'magazi, njira ya mankhwalawa imatha milungu ingapo.

Vitamini C imatulutsidwa ngati njira yothandiza kuti majekeseni amitsempha ndi mtsempha. Kutalika kwa maphunzirowa kumatsimikiziridwa ndi dokotala wopita.

Zomwe zimapangidwira zochizira khosi lachiberekero

nthawi zambiri kumabweretsa kupweteka m'mutu, mapewa ndi miyendo yam'mwamba.

Matenda a ululu amakhala pang'ono, ndipo koyamba ndikuphwanya magazi, kufooka m'misempha ya dzanja, kumverera kwa goosebumps komanso dzanzi.

Chifukwa chake, majakisoni akuwonetsedwa:

• Mavitamini a Milgamm kapena B,
• nicotinic acid
• anti-yotupa mankhwala.

Ma vertebrae omwe ali mu thoracic spine ndiakulu kuposa khomo lachiberekero. Malinga, ma disc awo amakhala ndi makulidwe komanso malo. Kuwonongeka kwawo kumabweretsa kupweteka kwambiri pakuyenda, kotero, jakisoni wa chondroprotectors amalembedwa popanda kulephera.

Nthawi zambiri, thoracic osteochondrosis imawonetsedwa ndi ululu m'mbali, popeza njira yamkati imayenda mkati mwake. Chifukwa chake, mankhwalawa amagwiritsa ntchito blockades, jakisoni wa analgesics ndi mankhwala othandizira kutupa.

Ma jakisoni a Milgamm ndi mavitamini azichira msanga.

Lumbar

Mitundu ya lumbar vertebrae ndi yayikulu ndipo ma disc awo ndiwakulu kwambiri. Apa osteochondrosis imatsogolera kudina kwa mitsempha yachilengedwe ndi kupweteka kwamkati mwa kupweteka ndi mwendo. Kupweteka kumakhala kovuta, kotero, ma pinkiller, jakisoni woletsa kutupa ndi milgamu ndi mankhwala.

Chondroprotectors amathandizira kubwezeretsa disc ndikuchepetsa kuyankha. Blockade nthawi zambiri imachitika ngati chithandizo ndi analgesics sichimapereka mphamvu yokhalitsa.