Kodi pali kusiyana kotani pakati pamakina a inttovenous kapena intramuscular of Actovegin?

Actovegin ndi mankhwala omwe amathandizira kagayidwe, kusintha zakudya zama minofu, amachepetsa minofu hypoxia komanso amathandizanso kubadwanso. Kodi ndizotheka kubayitsa Actovegin intramuscularly? Madokotala a chipatala cha Yusupov amapereka mankhwala Actovegin mu mawonekedwe a jekeseni wamkati ndi mtsempha, kulowetsedwa. Mankhwala amatha kumwedwa pakamwa monga mapiritsi. Mafuta, mafuta ndi ma Actovegin gels amawaika pakhungu.

Mankhwalawa amagwiritsidwa ntchito mu endocrinology, neurology, opaleshoni yamitsempha, abettrics ndi ana. Asanapereke mankhwala actovegin intramuscularly mu chipatala cha Yusupov, madokotala amayesa kufufuza wodwalayo pogwiritsa ntchito zida zamakono zofufuzira kuchokera kwa opanga otsogolera komanso njira zodziwonera zasayansi. Mankhwalawa amathandizidwa ndi intramuscularly mogwirizana ndi malangizo ogwiritsa ntchito Actovegin. Madokotala payekhapayokha amadziwa njira yoyendetsera mankhwala, nthawi ndi nthawi ya mankhwala.

Malangizo ogwiritsira ntchito Actovegin

Yankho la Actovegin limayendetsedwa intramuscularly, yomwe imakhala mu 2 ml kapena 5 ml. Ampoules omwe ali ndi 10 ml sagwiritsira ntchito jakisoni wamkati, popeza mlingo woyenera wololera womwe ungayikidwe mu minofu ndi 5 ml, ndipo zomwe zili mum'mawu otseguka sizingasungidwe.

Mililita imodzi yothetsera yankho imakhala ndi 40 mg ya mankhwala othandizira - oyeretsa magazi a ng'ombe, 2 ml -80 mg, 5 ml –200 mg. Changu cha Actovegin chili ndi zinthu izi:

• Amino zidulo
• Macronutrients
• Tsatani zinthu
• Mafuta acids
• Oligopeptides.

Chithandizo chothandiza ndi madzi a jakisoni ndi sodium chloride. Njira ya Actovegin ndiwowoneka bwino, wopanda utoto kapena chikasu. Pakakhala mitambo kapena mapangidwe a ma flakes, mankhwalawa sagwiritsidwa ntchito mwamphamvu.

Zizindikiro ndi contraindication kwa mu mnofu makonzedwe a Actovegin

Actovegin ili ndi njira yovuta yochitira, yomwe imapereka zotsatirapo zake zosiyanasiyana zamankhwala. Amagwiritsidwa ntchito pochiza matenda ambiri. Madokotala ake pachipatala cha Yusupov amalembera, ngati pakufunika, kuti azitha kukonza minofu yathupi, amawonjezera kukana kwa hypoxia. Izi zimathandizira kuwonongeka kochepa kwa maselo amthupi mikhalidwe yoperewera kwa oxygen.

Actovegin mogwirizana ndi malangizo, intramuscularly kutumikiridwa pamaso pa izi:

• Ngozi yochepa yam'mimba,
• Ischemic stroke
• Dyscirculatory encephalopathy,
• Cerebral atherosulinosis,
• Angiopathy
• Matenda a shuga a polyneuropathy.

Jekeseni wam'magazi a Actovegin akuwonetsedwa kwa frostbite, kuwotcha, zilonda zam'mimba. Mankhwala chikuyendetsedwera intramuscularly kwa odwala akutha matenda a zotumphukira ziwiya, varicose mitsempha, matenda a shuga angiopathies. Madokotala amatipatsa jakisoni wambiri wa Actovegin wa matenda ofatsa kapena olimbitsa.

Momwe mungalowe intramuscularly Actovegin

Kodi kubaya Actovegin intramuscularly? Anamwino a chipatala cha Yusupov, akagwidwa ndi intramuscular activ of actovegin, amatsatira mosamalitsa malangizo ogwiritsira ntchito mankhwalawa. Jakisoni wa mu mnofu wa mankhwala amachitika molingana ndi ma algorithm:

• Asanapange chinyengo, amasamba m'manja ndi sopo ndi njira yothetsera matenda.
• Valani magolovesi osalala
• Masewera omwe ali ndi Actovegin amatenthetsedwa m'manja, ndikupukutidwa ndi mowa,
• Mphekerereyo imayang'anidwa, ndikuyika mabatani a zala pamenepo, amakwaniritsa kuti yankho lonse lili m'munsi, kuthyola nsonga yake ndi mzere wofiyira,
• Njira yothetsera vutoli imaphatikizidwa ndi syringe yonyansa, mpweya umamasulidwa.
• Gawanani patali m'zigawo zinayi ndikulowetsa singano pamtunda wakunja, mutatha kuchiritsa khungu ndi thonje la thonje ndi mowa,
• Mankhwala amaperekedwa pang'onopang'ono
• Pambuyo pa jekeseni, tsamba la jakisoni limaphatikizidwa ndi chopukutira kapena mpira wa thonje wothira mowa.

Mlingo wovomerezeka wa Actovegin wa makonzedwe amkati

Malinga ndi malangizo ogwiritsira ntchito Actovegin, 2-5 ml ya mankhwalawa angathe kutumikiridwa intramuscularly. Dokotala wothandizapo, poganizira zomwe zikuwonetsa, kuopsa kwa matendawa ndi kutha kwa mankhwalawa, atha kusintha mlingo woyenera. Mu matenda apakati amanjenje, 5 ml ya Actovegin nthawi zambiri imayendetsedwa tsiku lililonse kwa milungu iwiri. Kenako, madokotala amalembera mapiritsi a Actovegin pokonzekera Mlingo.

Kuti tifulumizire njira ya kukonzanso kwa minofu m'mabala, frostbite ndi kuvulala kwina kwa epermermis, jakisoni wa tsiku lililonse wa 5 ml ya Actovegin solution akuwonetsedwa. Kuphatikiza apo, mitundu yotere ya mankhwala monga gel, mafuta kapena kirimu imagwiritsidwa ntchito. Actovegin amaperekedwa intramuscularly mofatsa pang'ono zolimbitsa matenda. Mwambiri zovuta, madokotala amatipatsa jakisoni wovomerezeka kapena kulowetsedwa kwa mankhwala.

Njira zopewera kutsekeka kwa Actovegin

Kuwonetsetsa mphamvu kwambiri komanso chitetezo mankhwalawa ndi Actovegin, kumayambiriro kwa chithandizo, kutsutsana kwa munthu ndi mankhwala kumatsimikiza. Mwa ichi, 2 ml ya mankhwalawa amaperekedwa kwa intramuscularly kwa mphindi 1-2. Kukonzanso kwa nthawi yayitali kumakupatsani mwayi wowona momwe thupi limayankhira mankhwala, ndikukula kwa kuyanjana, siyani jakisoni munthawi. Zipinda zothandizira kuchipatala cha Yusupov zili ndi zida zotsatsira, zomwe zimakupatsani mwayi woperekera chithandizo kuchipatala mwachangu.

Kugwiritsa ntchito ma syringe otayika, njira zamakono zothandizira, zimakuthandizani kuti muteteze wodwala ku matenda oyambitsidwa ndi matenda opatsirana omwe amafala ndi magazi. Anamwino amadziwa bwino njira ya jakisoni wa mu mnofu. Mbale yotseguka imagwiritsidwa ntchito nthawi yomweyo, popeza kusapezeka kwa zoteteza mu yankho sikulola kuti lisungidwe kwanthawi yayitali. Pachifukwa ichi, odwala amalangizidwa kuti agule ma ampoules a voliyumu omwe amaperekedwa kamodzi.

Actovegin amasungidwa mufiriji. Musanagwiritse ntchito mankhwalawa, ma ampoule amawawotcha pang'ono m'manja kuti awonetsetse woyambira. Njira yothetsera mitambo yomwe ili ndi mitambo kapena yomwe ili ndi mpweya wowoneka siigwiritsidwa ntchito. Malinga ndi malangizo ogwiritsa ntchito Actovegin, ana amatha kupatsidwa jakisoni wa mankhwala intramuscularly kuyambira azaka zitatu.

Exidol ndi Actovegin zitha kutumikiridwa pamodzi. Njira zochizira zimatsimikiziridwa ndi adokotala. Pa chithandizo ndi Actovegin, madokotala amalimbikitsa odwala kuti asiye kumwa mowa. Kuti mupeze upangiri pakugwiritsa ntchito Actovegin, tiimbireni.

Makhalidwe Actovegin

Mankhwala omwe amakulolani kutsegula ndi kusintha momwe metabolic amathandizira m'thupi lathu, amakhutitsa maselo ndi mpweya, ndikuwonjezera njira yosinthira.

Kukhazikitsidwa kwa Actovegin kudzera m'mitsempha kapena intramuscularly ndi njira yotchuka yogwiritsira ntchito mankhwalawa.

Mankhwalawa amachokera ku hemoderivative yopanda magazi kuchokera kwa ana ang'onoang'ono. Kuphatikiza apo, zimaphatikizapo ma nucleotides, ma amino acid, mafuta achilengedwe, glycoproteins ndi zina zofunika kuzilimbitsa thupi. Hemoderivative ilibe mapuloteni ake, ndiye kuti mankhwalawo sikuti amayambitsa mavuto onse.

Zachilengedwe zachilengedwe zimagwiritsidwa ntchito popanga, ndipo mapangidwe a zamankhwala amtunduwu samatsika pambuyo pakugwiritsidwa ntchito kwa odwala omwe ali ndi impso kapena hepatic, omwe ali ndi vuto la metabolic logwirizana ndi ukalamba.

Pamsika wamankhwala, mitundu yosiyanasiyana yotulutsira mankhwala imaperekedwa, kuphatikizandi mayankho a jakisoni ndi kulowetsedwa, mmatumba a ampoules a 2, 5 ndi 10 ml. 1 ml yankho lili ndi 40 mg yogwira ntchito. Mwa zina zothandizira ndi sodium chloride ndi madzi.

Malinga ndi malangizo omwe opanga amapanga, ma 10 ampoules amagwiritsidwa ntchito kokha ngati otsitsira. Ngati jakisoni, mlingo woyenera wovomerezeka wa mankhwalawa ndi 5 ml.

Chidacho chimavomerezedwa bwino ndi magulu osiyanasiyana a odwala. Pafupifupi palibe mavuto. Contraindication pakumagwiritsidwa ntchito ndikusalolera payekha pazinthu zomwe zikugwira kapena zina zowonjezera.

Nthawi zina, kugwiritsa ntchito Actovegin kungayambitse:

• redness pakhungu,
• chizungulire
• kufooka ndi kuvuta kupuma,
• kukwera kwa magazi ndi magazi.
• kugaya chakudya.

Kodi Actovegin imayikidwa pati kudzera m'mitsempha ndi m'mitsempha?

Mankhwalawa ndi a gulu la othandizira. Amadziwika ndi magwiridwe antchito, kusintha minofu michere, kumawonjezera kukhazikika kwawo mikhalidwe ya kuchepa kwa mpweya. Amagwiritsidwa ntchito pochiza matenda ambiri amkati ndi khungu.

Chizindikiro chantchito:

• zosokoneza poyendetsa kayendedwe ka magazi
• kagayidwe kachakudya
• kuchepa kwa okosijeni wamkati,
• mitsempha ya mitsempha,
• matenda a ziwiya za mu ubongo,
• dementia
• matenda ashuga
• mitsempha ya varicose,
• radiation neuropathy.

Pamndandanda wazomwe zikugwiritsidwa ntchito ndi mankhwalawa, chithandizo cha mabala osiyanasiyana, kuphatikizapo kuwotcha kwamtundu wosiyanasiyana, zilonda zam'mimba, machiritso olakwika a khungu. Kuphatikiza apo, adapangira zochizira mabala olira ndi mabedi, pothandizira zotupa pakhungu.

Mankhwala angagwiritsidwe ntchito pochiza ana pokhapokha akuwongolera katswiri komanso moyang'aniridwa naye. Nthawi zambiri, jakisoni wambiri wa Actovegin amalimbikitsidwa, chifukwa makonzedwe amkati am'mimba amakhala opweteka kwambiri.

Kwa azimayi pa nthawi yomwe ali ndi pakati, mankhwalawa amalembedwa mosamala, atawunika zonse zomwe zingachitike kwa mwana wosabadwa. Kumayambiriro kwa zamankhwala, njira yolumikizira mankhwala imayikidwa. Zizindikiro zikayenda bwino, amasinthana ndi majakisoni am'mimba kapena mapiritsi. Ndizololedwa kutenga mankhwalawa panthawi yoyamwitsa.

Kodi njira yabwino kwambiri yothandizira jekeseni Actovegin: kudzera m'mitsempha kapena intramuscularly?

Kutengera ndi kuopsa kwa matendawa komanso momwe wodwalayo alili, jakisoni wa intramuscular kapena intravenous wa Actovegin ndi mankhwala. Dokotala amayenera kudziwa njira yoyendetsera mankhwalawa, nthawi ya chithandizo ndi Mlingo.

Musanagwiritse ntchito mankhwalawa, ndikofunikira kuyeserera kuti mupeze zomwe zimachitika mthupi lanu pazinthu zomwe zimapangidwe. Kuti muchite izi, jekeseni zosaposa 2-3 ml za yankho mu minofu. Ngati mkati mwa mphindi 15-20 pambuyo pa jekeseni palibe chizindikiro choti thupi lanu siligwirizana, Actovegin angagwiritsidwe ntchito.

Kutengera ndi kuopsa kwa matendawa komanso momwe wodwalayo alili, jakisoni wa intramuscular kapena intravenous wa Actovegin ndi mankhwala.

Pakupanga kwamankhwala mankhwalawa, njira ziwiri zimagwiritsidwa ntchito: kukhuthala ndi inkjet, yogwiritsidwa ntchito muzochitika zomwe zimakhala zofunikira kuti muchepetse kupweteka msanga. Musanagwiritse ntchito, mankhwalawa amaphatikizidwa ndi shuga kapena 5% shuga. Mlingo wovomerezeka tsiku lililonse ndi 20 ml. Mankhwala oterewa amayenera kuchitika kokha kuchipatala.

Popeza mankhwalawa amatha kuyambitsa kuthamanga kwa magazi, palibe oposa 5 ml omwe amalumikizidwa intramuscularly. Kudzimbidwa kuyenera kuchitika pobowoka. Ma ampoule otseguka ayenera kugwiritsidwa ntchito kwathunthu kwa 1 nthawi. Simungathe kuyisunga.

Musanagwiritse ntchito, khalani owongoka. Ndi wapampopi wowunikira, onetsetsani kuti zonse zomwe zili pansi. Dulani gawo kumtunda kwa dontho lofiira. Thirani yankho mu syringe yosalala ndikutulutsa mpweya wonse.

Gawani matako mwachidwi m'zigawo zinayi ndikuyika singano kumtunda. Pamaso jekeseni, gwiritsani ntchito malowa ndi yankho la mowa. Perekerani mankhwalawa pang'onopang'ono. Chotsani singano pogwira malo a jakisoni ndi swab wosabala.

The achire zotsatira amapezeka 30-30 mphindi pambuyo mankhwala. Kotero kuti mabala ndi zisindikizo sizimapezeka m'malo a jakisoni, tikulimbikitsidwa kupanga compress pogwiritsa ntchito mowa kapena Magnesia.

Popeza mankhwalawa amatha kuyambitsa kuthamanga kwa magazi, palibe oposa 5 ml omwe amalumikizidwa intramuscularly.

Kugwiritsa ntchito Actovegin mu regimens yovomerezeka ndikovomerezeka, popeza palibe kuyanjana koyipa ndi othandizira ena kwadziwika. Komabe, kuzisakaniza ndi njira zina mu botolo limodzi kapena syringe sizovomerezeka. Zokha kupatula njira zothetsera.

Ndikachulukirachulukira ka matenda omwe amachititsa wodwala kukhala pamavuto, nthawi yomweyo makina a Actovegin ndi intramuscularly amatha kukhazikika.

Ndemanga za Odwala

Ekaterina Stepanovna, wa zaka 52

Amayi anali ndi stroke ya ischemic. Ku chipatala, omwe amapita ndi Actovegin adalembedwa. Kupititsa patsogolo kunabwera pambuyo pa njirayi yachitatu. Onse pamodzi adalembedwa 5. Atachotsedwa, adotolo adati pakapita kanthawi maphunzirowo angabwerezenso.

Alexandra, wazaka 34

Ino si nthawi yoyamba kuti Actovegin adalembedwera chithandizo cha matenda a mtima. Mankhwala othandiza. Nditatha kuzilandira, ndimakhala womasuka nthawi zonse. Ndipo posachedwapa, pambuyo podandaula za phokoso m'mutu, encephalopathy idapezeka. Dotolo adati majekeseni azithandizira kuthana ndi vutoli.

Kodi njira yabwino yovalira Actovegin kudzera m'mitsempha kapena intramuscularly ndi iti?

Kukhazikitsidwa kwa jakisala wa makolo a Actovegin ndi chifukwa cha kuopsa kwa matenda ndi momwe munthu alili. Dokotala amayenera kudziwa njira yoyendetsera, nthawi yayitali ya mankhwala komanso kuchuluka kwa mankhwalawa. Musanagwiritse ntchito mankhwalawa, kuyezetsa kumachitika kuti muwone momwe thupi lingagwiritsire ntchito zomwe limapanga.

Chifukwa chaichi, kuphatikiza kwa 2-3 ml ya mankhwalawa amathandizidwa ndi intramuscularly. Ngati pambuyo pa mphindi 15 mpaka 20 mawonekedwe aliwonse owoneka pakhungu (mwachitsanzo, kutupa, hyperemia, ndi zina), amatsutsana pogwiritsa ntchito mankhwalawa.

Actovegin imayendetsedwa m'njira ziwiri: kukhuthala ndi ndege, chomalizacho chimagwiritsidwa ntchito ngati mukufunikira kuti muchepetse kupweteka. Musanapange jakisoni, mankhwalawa amalowetsedwa mu saline kapena 5% shuga. Mlingo wa tsiku ndi tsiku sayenera kupitilira 20 ml. Njira zoterezi zimatha kuchitika kuchipatala.

Popeza mankhwalawa angapangitse kuchuluka kwambiri kwa kuthamanga kwa magazi, kupitilira kwa 5 ml kungalowetsedwe pakatikati. Kupanda kutero, njirayi imachitika kuchipatala. Mphepo yotseguka iyenera kugwiritsidwa ntchito nthawi yomweyo; kusunga yankho lotseguka nkoletsedwa.

Musanagwiritse ntchito, ma ampoule amapezeka molunjika. Pogogoda mopepuka ndikofunikira kuti njirayi igwe pansi. Kenako gawo lapamwamba lam'mphepete pafupi ndi chilembo chofiira limasweka. Madzimadziwo amakokedwa ndi syringe yosalimba, kenaka mpweya umatulukamo.

Mwanjira, minyewa ya gluteus kumbali imodzi imagawika magawo anayi, singano imayikidwa gawo lakunja lakunja. Musanapange jekeseni, malo operekera jakisoni amayenera kuthandizidwa ndi ubweya wa thonje wokhazikika mu njira ya mowa. Mankhwala amaperekedwa pang'onopang'ono. Kenako singanoyo imayenera kuchotsedwa mwa kukanikiza swaberi yosalala kumalo a jekeseni.

Mankhwalawa amayamba kugwira ntchito mkati mwa mphindi 30 mpaka 40 pambuyo pa kutsegulidwa. Pofuna kupewa kuwoneka ngati kuphulika ndi kubwezeretsa pamalo a jakisoni, tikulimbikitsidwa kuyika compress pogwiritsa ntchito mowa kapena Magnesia.

Kukhazikitsidwa kwa Actovegin ngati gawo limodzi la zovuta zamankhwala ndizovuta kumaloledwa, chifukwa palibe zotsatira zoyipa za thupi pakugwiritsanso ntchito ndi mankhwala ena.Koma kuwabaya nthawi imodzi mu syringe yomweyo kapena kusakaniza ndi mankhwala ena sikuletsedwa. Kusankha kokha ndi kugwiritsa ntchito njira zowonjezera kulowetsedwa.

Wodwalayo akachulukitsa matenda osachiritsika, omwe amachititsa kuti thupi liziwonongeka kwambiri, nthawi zina dokotalayo amamulembera Actovegin nthawi imodzimodziyo kuti apange jakisoni m'chiuno komanso m'mitsempha.

Limagwirira a zochita za mankhwala Actovegin

Mankhwalawa adatchuka chifukwa cha machitidwe atatu akuluakulu, awa ndi:

1. Kuchita bwino kwambiri.
2. Kuthekera kwakukulu kwa pharmacological.
3. Chitetezo chonse cha mankhwalawa.

Actovegin amagwira ntchito zofunika kwambiri m'maselo a thupi monga:

• Kukondoweza kwa aerobic metabolism - izi zimachitika chifukwa cha kuchuluka kwa maselo okhala ndi michere ndikuwonjezera kuyamwa kwawo. Kuthandizira kusintha kwachulukidwe ka cell membrane, Actovegin imathandizira kuti maselo azitha kudya zonse zomanga - glucose. Chofunika kwambiri polimbana ndi matenda a endocrine.
• Kutsegula kwa kupanga kwa ATP (adenosine triphosphoric acid), yomwe imalola kuti khungu lililonse lizipereka mphamvu yamoyo m'mikhalidwe ya hypoxia, chifukwa cha kuchuluka kwa mpweya ndi ma neurons.
• Matenda a metabolism ndi njira zofunika. Izi ndizotheka chifukwa cha kupangika kwa acetylcholine, ma neurotransmitter ofunika kwambiri a dongosolo lathu lamkati, popanda zomwe njira zonse m'thupi zimatsikira.

Kuphatikiza apo, akatswiri amatcha Actovegin kuti ndi wamphamvu kwambiri wa antioxidants wodziwika, womwe umatha kuyambitsa kupanga mainzonejeni ndi dongosolo lamkati la thupi. Zotsatira za mankhwalawa pa endocrine system ndizofanana ndi zomwe zimachitika mu insulin, koma mosiyana ndi izi, Actovegin sichikhudza kapamba ndipo sichimapangitsa kuti ma receptor ake azigwira ntchito mozama.

Zabwino kwambiri za Actovegin ndi izi:

• pa kupuma dongosolo - akudwala kagayidwe kachakudya matenda,
• imayendetsa kagayidwe mu ubongo,
• imabwezeretsa kayendedwe ka magazi m'mitsempha yamafinya, ngakhale ndi kuphwanya kwakukulu,
• imathandizira kupanga mapuloteni a minofu, imathandizira pakuchiritsa ndi kuchira,
• chogwira mtima monga chogwirizanitsa.

Zisonyezero - chifukwa chiyani mankhwalawa adayikidwa?

Tsopano tikambirana mwachindunji zomwe Actovegin adalembedwera. Dokotala atha kukulemberani Actovegin ngati njira yodziyimira payokha yochiritsira, kapena ingaphatikizeni mu regimen yomwe yapangidwa kale. Mitundu yosiyanasiyana ya mankhwalawa imalimbikitsidwa pazinthu monga:

• kuvulala kwamtundu uliwonse, mabala ndi ma abrasions akuya kapena njira zotupa pakhungu ndi mucous nembanemba, mwachitsanzo, kutentha, kutentha kwa dzuwa kapena mankhwala.
• kukonzanso njira zosinthira mukalandira malo akulu otentha,
• kukokoloka ndi zilonda za varicose etiology,
• popewa kukula kwa zilonda za m'magazi ogona ndi opuwala ziwalo,
• popewa kapena kuchiza matenda a radiation,
• kuti mukonzekere isanafike nthawi yofikira,
• pambuyo kuvulala koopsa ubongo,
• Kuphwanya magazi m'mitsempha ya ubongo, monga kupewa kukula kwa sitiroko kapena chithandizo chake.
• ndi kuwonongeka kwa cornea kapena sclera ya maso,

Mitundu ya kumasulidwa kwa mankhwala

Kugwiritsa ntchito kwa Actovegin m'malo osiyanasiyana azachipatala kumafuna kuti mankhwalawa atulutsidwe m'njira zosiyanasiyana, zosavuta kugwiritsidwa ntchito m'munda wina.

Chifukwa chake, lero Actovegin ikupezeka mu mitundu monga:

• mapiritsi
• mafuta odzola, ngale ndi mafuta,
• yankho mu ampoules wa jakisoni.

Kusankha mtundu wa mankhwalawa kumangokhala ndi adokotala. Mukamasankha dokotala, muyezo wa chinthu chachikulu chogwira ntchito komanso mtundu wazinthu zothandizira zimawerengedwa. Chifukwa, mwachitsanzo, mafuta opangira mafuta amapezeka ndi 5% hemodialyzant, ndi gel yokhala ndi ndende ya 20%.

Kukonza kwa Actovegin mu ampoules a jakisoni (jakisoni)

Madokotala ambiri azamankhwala apadera amakonda kusankha Actovegin moyenera jakisoni. Kutengera ndi kuopsa kwa matendawa komanso momwe wodwalayo alili, malangizo a kagwiritsidwe ntchito ka actovegin mu ampoules amapereka mitundu iwiri ya mankhwala.

1. Mtsempha wa magazi kulowetsedwa njira ya 5 ml yogwira Actovegin ndi osachepera 250 ml a othandizira zinthu (NaCl 2 - 0,9%, Glucozae - 5.0%, madzi a jekeseni). Zikachitika mwadzidzidzi, kulowetsedwa koyambirira kumatha kukhala ndi Actovegin 10 ml kapena mpaka 20 ml ya chinthu chomwe chikugwira ntchito.
2. Kukula kwa makulidwe a mankhwalawa kumaphatikizapo kugwiritsa ntchito mankhwala osafunikira mkati mwa minofu, ndipo ma ampoules a 2 - 5 ml amatha kuikidwa.

Ampovegin ampoule solution yokhala ndi 40 mg yogwira pophika pa ml, zosankha zotsatirazi zamankhwala zilipo:

1. Actovegin wa jekeseni ya v / m:
   • Actovegin ampoules 2 ml, 25 zidutswa mu phukusi limodzi,
   • Mbale 5 ml ya Actovegin mu 5 kapena 25 phukusi limodzi,
   • Ma ampoules a 10 ml a Actovegin mu 5 ndi 25 zidutswa mu phukusi limodzi.
2. Actovegin wa kulowetsedwa kwa IV:

• Njira ya NaCl - 0,9% yokhala ndi 10% kapena 20% Actovegin,
• Glucose yankho - 5.0% yokhala ndi 10% actovegin.

Zisonyezero ndi cholinga cha jakisoni

Jekeseni makonzedwe a mankhwala ndikofunikira kuti kuwonongeke kwambiri kwa thupi komanso mikhalidwe yapadera yomwe imafunika kuchitapo kanthu mwadzidzidzi. Chifukwa chake, Actovegin jakisoni amapatsidwa ma pathologies otsatirawa:

• Vuto la mtima ndi kagayidwe kachakudya ka ubongo kamene kamachitika chifukwa cha matenda a ischemic kapena kuvulala kwambiri.
• Matenda a m'mitsempha ya zotumphukira ndi mitsempha, monga zilonda zam'mimba ndi zotupa za angiopathies.
• Polyneuropathy ya matenda ashuga.
• Mankhwala owonjezera, kutentha kapena kuwotcha kwa dzuwa.
• Kuchepetsa mphamvu ya thupi ndi mphamvu yofooka.
• Mankhwala obwezeretsanso pambuyo poziziritsa pakhungu pakhungu ndi mucous.
• Zilonda, kuwotcha, ndi kuvulala kwina kwamphamvu.

Kutengera ndi kuopsa kwa mkhalidwe wa wodwalayo, yankho la Actovegin litha kutumikiridwa kudzera mu intramuscularly, intravenly, komanso ngakhale kudzera m'mitsempha.

Chofunikira pakuyambitsa ndikuyenda pang'onopang'ono. Kuthamanga kwa mtundu uliwonse wa kulowetsedwa sikuyenera kupitilira ma ml awiri pamphindi. Jakisoni wamkati amathandizidwanso pang'onopang'ono, chifukwa amayambitsa kupweteka kwambiri.

Panthawi yovuta ngati stroko, makonzedwe a Actovegin tsiku ndi tsiku akhoza kukhala 50 ml, ndiye kuti pafupifupi 2000 mg yogwira chinthu pa 200 - 300 ml ya dilution. Chithandizo chotere chimachitika kwa masiku osachepera 7, kenako ndikuchepetsa mlingo wa 400 mg wa Actovegin. Ndi zizindikiro zowonekeratu zakutukuka, kuchuluka kwa infusions kumachepa, ndipo pang'onopang'ono wodwalayo amasamutsidwa kuti alandire mawonekedwe apiritsi a Actovegin.

Muzochitika zina zamatenda ena, dongosolo la mankhwalawa limasankhidwa ndi dokotala payekhapayekha, koma nthawi zonse limapangidwa kuchokera ku kuchuluka kwa mankhwalawa mpaka chisamaliro cha mankhwala mpaka pamlingo wochepera.

Kutulutsidwa kwa Actovegin muzochita zamankhwala nthawi zonse kumayendetsedwa ndi ziyeso zingapo zazikulu. Malinga ndi zotsatira zawo komanso chidziwitso cha nthawi yayitali chogwiritsa ntchito mankhwalawa, amaloleza bwino pafupifupi odwala onse. Komabe, opangawo amawona kuti ndi udindo wawo kuchenjeza za zovuta zomwe zingachitike.

Ndi tsankho la munthu payekha kapena hypersensitivity kumagawo Actovegin, mawonetsedwe oterewa ndi otheka monga:

• khungu rede ndi zotupa,
• urticaria
• kutupa
• mankhwalawa.

Actovegin 5 ml kapena kupitilira kuyenera kuyikidwa ndi adokotala okha, ndipo majekeseni oyamba ayenera kuchitika motsogozedwa ndi iye. Ngati wodwalayo sakudziwa za kupsinjika kwake kwa mankhwalawa, wodwala anaphylactic angayambe.

• pulmonary edema,
• anuria
• kulephera kwa mtima
• kulephera kwa aimpso.

Mtengo wa yankho la Actovegin zimatengera kuchuluka kwa ma piritsi mumaphukusi, ndipo amatha kuchokera ku ruble 500. mpaka 1100 rub.

Mtundu wamafuta a Actovegin umagwiritsidwa ntchito popanga. Limagwirira a Actovegin imayendetsa maselo a zigawo zonse za khungu kuti asinthike ndikukonzanso. Chifukwa cha kuthekera monga moyo komanso kugwira ntchito mwa nthawi zonse mu kuperewera kwa oxygen, yomwe imapatsa maselo a Actovegin, mafutawa ndi ofunikira kwambiri pakupanga zilonda zowonjezera komanso kupewa kwawo, komanso pochiza zilonda zamkhungu zosiyanasiyana.

Kutulutsa kutulutsa mafuta a mitundu ya Actovegin

Pakugwiritsa ntchito kwakunja, kampani yopanga zamankhwala imapanga mitundu yamafuta ngati:

• Mafuta okhala ndi 5% yokhazikika ya zinthu zogwira ntchito m'machubu kuchokera pa 20 mpaka 100 magalamu.
• Kirimu yokhala ndi magazi a ng'ombe 5 am'magazi othandizira komanso othandizira.
• Mafuta okhala ndi 20% yogwira zinthu.

Zizindikiro zamafuta

Mitundu yamafuta a mankhwalawa imagwiritsidwanso ntchito m'mbali zosiyanasiyana zamankhwala. Malangizo ogwiritsira ntchito mafuta opangira Actovegin amalimbikitsa kuti mankhwalawa athe kukhudzana ndi madera omwe akukhudzidwa molumikizana ndi yankho la jakisoni kapena mankhwala ena. Amatchulidwa monga:

• Mawonekedwe otupa pakhungu la chododometsa.
• Mitundu yonse yoyaka, kuphatikiza yoyaka yophimba malo akulu pakhungu.
• Kubwezeretsanso pambuyo kumuika zikopa khungu.
• Kuchepetsa minofu pang'onopang'ono mutawotcha.
• Mitundu yonse ya zilonda zam'mimba ndikukokoloka chifukwa cha kusokonezeka kwa kuchuluka kwa zotumphukira.
• Ophthalmic matenda a cornea ndi retina.
• Kupewa komanso kuchiza zilonda zamavuto.
• Kubwezeretsa pambuyo pochizira poizoniyu.

Malangizo ogwiritsira ntchito mafuta a Actovegin

Mitundu yamafuta a Actovegin mu milandu yambiri imagwiritsidwa ntchito ngati mankhwala othandizira omwe amagwiritsidwa ntchito kuti apititse patsogolo kukula kwa epithelium m'malo ofunikira a lesion kapena chitetezo chofooka. Chiwembu chokhazikikacho chimapereka gawo logawika patatu, patatu. Izi zimathandiza kwambiri pochiza zilonda zam'mimba komanso kuvulala kwambiri.

M'masiku oyamba, gel osakaniza ndi 20% yogwira imayikidwa pazivulazo, ndiye kuti gelamuyo imasinthidwa ndi zonona, ndipo pambuyo poti mafuta a actovegin 5% amaphatikizidwa.

Popewa kupsinjika zilonda, mafuta a Actovegin amatha kukhala njira yayikulu yothandizira. Koma ndi ma bedores omwe alipo ndi kuwonongeka khungu, mafuta omwe amagwiritsidwa ntchito kuphatikiza ndi mankhwala ena.

Mafuta amapaka pachilondapo ndi woonda ngakhale wosanjikiza kapena kulisunga ndi mayendedwe olimba kulowa m malo owopsa.

Zotsatira zoyipa ndi contraindication

Kuipa kwa khungu kumata wamafuta a Actovegin ndikosowa kwambiri. Mwapadera, pamene munthu, wokhala ndi hypersensitivity kwa zigawo zoyankhulidwako, sanapite kwa dokotala, koma amadzipatsa yekha mankhwala, zitha kuchitika:

• kufiira kwambiri
• kutentha kwanyengo
• kawirikawiri urticaria.

Popeza mafuta a Actovegin ndi mankhwala am'deralo, palibe zotsutsana pazomwe zimagwiritsidwa ntchito panthawi yomwe ali ndi pakati. Kudziwitsidwa panja kwa malo ochepa a khungu sikungavulaze mwana wosabadwayo.

Zosungirako ndi mtengo

Mafuta okhala ndi mafuta amatha kusungidwa kutentha, ngati osapitirira 25 * C, m'malo otetezedwa ndi dzuwa. Moyo wa alumali suyenera kupitilira tsiku lomwe lasonyezedwa pamaphukusi.

Mtengo wapakati wa mawonekedwe a mafuta ndi ma ruble 140. kusiyana pang'ono kungakhale chifukwa chamayendedwe akumadera.

Piritsi la Actovegin komanso yankho ndi mafuta limathandizira kukonza minofu, limathandizira kagayidwe kachakudya maselo, ndikuwongolera kuthekera kwa thupi, mothandizanso chitetezo cha mthupi.

Malangizo ogwiritsira ntchito mapiritsi Actovegin amalimbikitsa kuti muwagwiritse ntchito pokhapokha mukauzidwa ndi dokotala pofuna kupewa kapena ngati gawo lomaliza la maphunziro.

Kupanga ndi mlingo wa mapiritsi opangidwa

Phukusi lodziwika bwino la mapiritsi a Actovegin limakhala ndi ma 50 mpaka 100 kuzungulira ma dragees okhala ndi chipolopolo chakuda. Piritsi limodzi lili ndi zinthu monga:

• Kuyanika kumaganizira zochuluka kuchokera ku magazi a ng'ombe - 200 mg.
• Magnesium stearate - 2.0.
• Povidone K90 - 10 mg.
• Talc - 3.0 mg.
• Cellulose - 135 mg.

Pazomwe zimapangidwa, chigamba cha dragee chili ndi zinthu monga:

• Phula la glycolic.
• Diethyl phthalate.
• Macrogol.
• Povidone.
• Kubweza.
• Titanium dioxide.
• Ndi zinthu zina.

Malangizo ogwiritsira ntchito mapiritsi ndi mlingo

Mapiritsi a Actovegin amangopangidwira ntchito zodzitetezera kapena monga chimodzi mwazinthu zovuta kupangira mankhwala monga matenda:

• Vuto losokoneza bongo la ubongo wa etiology iliyonse.
• Njira zapamwamba zamatenda otumphukira a mtima ndi mawonekedwe awo.
• Matenda a shuga a polyneuropathy.
• Nthawi yochira pambuyo pa opaleshoni yochotsa mitsempha ya varicose.

Kuwerengera kwa kuchuluka kwa ma dragees ndi zomwe adalandira patsiku kuyenera kuchitidwa kokha ndi dokotala, poganizira momwe wodwalayo alili komanso momwe alili. Mu njira yovomerezeka yodwala, kutengera kulemera kwa wodwalayo, osapitilira mapiritsi awiri, kuchuluka katatu patsiku.

Kusintha mphamvu ya mankhwalawa, mapiritsi a Actovegin samalimbikitsidwa kutafuna kapena pogaya. Ndipo ndibwino kumwa madzi ambiri. Ndikofunika kumwa mankhwala musanadye.

Njira yosungirako komanso kuyanjana ndi mankhwala ena

Mapiritsi amatha kusungidwa kutentha, koma m'malo otetezedwa ndi dzuwa. Ndikofunikira kuyang'anira tsiku lotha ntchito lomwe lasonyezedwa pamaphukusi. Akamaliza, kumwa mankhwalawo ndizoletsedwa.

Ngakhale kuti Actovegin imalekeredwa bwino ndi pafupifupi odwala onse, sangathe kulembedwa lokha. Makamaka chidziwitso chonse cha malangizo chikuyenera kuperekedwa kwa anthu omwe ali ndi vuto la impso. Kukhalapo kwa anuria kapena edema yokhazikika kuyenera kukhala chenjezo ku mkhalidwe wosamala ndi actovegin.

Mtengo okhazikitsidwa piritsi la piritsi ndi ma ruble 1700.

Actovegin ndi mankhwala ozikidwa pazinthu zachilengedwe, chifukwa chomwe chimakhala ndi chitetezo chambiri komanso chitha kugwiritsidwa ntchito mwa anthu amisinkhu yosiyanasiyana, ngakhale mwa ana aang'ono.

Chofunikira chachikulu cha Actovegin ndichotsitsidwa ndimthole hemoderivative. Thupi limakhala la antihypoxants - mankhwala omwe amatha kupewa kapena kuchepetsa mavuto obwera chifukwa cha njala (oxygen yokwanira mu oxygen) m'thupi.

Dzinali limatanthawuza kuti chinthucho chimapezeka m'magazi a ana ang'onoang'ono ndikumamasula mapuloteni pogwiritsa ntchito ukadaulo wapadera. Deproteinised hemoderivative activates metabolism by normalization ndikuwonjezera kayendedwe ka oksijeni kudzera m'magazi kupita ku ziwalo ndi ziwalo. Thupi limasintha kagayidwe kakang'ono ka minofu mu minyewa ndipo limachepetsa mayamwidwe, chifukwa chomwe kuchuluka kwa mphamvu m'maselo a thupi kumachuluka chifukwa cha kuchuluka kwa ma amino acid.

Deproteinised hemoderivative kuchokera kwa magazi a ng'ombe imathandizira kuchira ndi kuchira mu ziwalo zonse ndi minofu, imapangitsa magazi awo. Vutoli limathandizira kukhudzika kwa mitsempha mu shuga ndi kubwezeretsa chidwi cha khungu lakhudzidwa.

Omwe amathandizira yankho la jakisoni ndi madzi osungunuka ndi sodium chloride. Mu 2 ml ampoules pali 200 mg ya amoyo a hemovirus kuchokera magazi a ng'ombe, ndipo mu 5 ml ampoules - 400 mg.

Actovegin jakisoni amaperekedwa ngati zotupa za ubongo, monga:

• discirculatory encephalopathy, pomwe magazi amapita ku ubongo amasokonezeka,
• kuphipha kwa ubongo
• aneurysm
• ziwiya zamatumbo
• kuvulala kwam'mutu.

Actovegin imagwira mu:

• matenda osakwanira
• ischemic stroke
• ochepa angiopathy,
• kutentha ndi kutentha kwamoto.
• kupatsidwa khungu
• kuwonongeka kwa radiation pakhungu, mucous nembanemba, minyewa yamitsempha,
• Zilonda zam'magazi osiyanasiyana, mabedi,
• kuwonongeka kwa retinal
• hypoxia ndi ischemia yamitundu yosiyanasiyana ndi minofu ndi zotsatira zake,
• matenda ashuga polyneuropathy.

Zotsatira za Actovegin zimayamba kuwonekera pakadutsa mphindi 10-30 pambuyo pa utsogoleri ndikufika pazomwe zimachitika patatha maola atatu.

Jekeseni wa Actovegin mu mawonekedwe a yankho la jakisoni amaperekedwa kudzera mwa intramuscularly, kudzera m'mitsempha. Poyamba (malingana ndi kuopsa kwa matendawa), 10 mpaka 20 ml ya yankho limayendetsedwa kudzera mu minyewa kapena mkati mwa cell, kenako 5 ml tsiku lililonse, kapena kangapo pa sabata.

Matenda osiyanasiyana, kuchuluka kwa mankhwalawa komanso kuchuluka kwa njira yothetsera vutoli zimasiyana:

- pakakhala magazi ndi vuto la kagayidwe ka bongo, 10 ml yankho limayendetsedwa tsiku lililonse kwa masabata awiri, kenako kuchokera pa 5 mpaka 10 ml kangapo pa sabata kwa mwezi umodzi kapena Actovegin ndi mapiritsi,

- ndi ischemic stroke, mankhwalawa amaperekedwa kudzera mu mawonekedwe a drip. Kuti muchite izi, konzekerani yankho motere: 20-50 ml ya Actovegin imatsitsidwa kuchokera ku ampoules ndi 200-300 ml ya 5% shuga kapena 0.9% sodium chloride solution. Njira yothetsera vutoli imaperekedwa tsiku lililonse kwa masiku 7, ndiye kuti mankhwalawa amachepetsedwa nthawi 2 ndikuwonetsedwa kwa masiku 14 tsiku lililonse. Pambuyo pa chithandizo cha jakisoni, Actovegin ndi mankhwala,

- matenda a diabetesic polyneuropathy, Actovegin amalowetsedwa kudzera m'milungu itatu ndi 50 ml ya mankhwalawa, kenako Actovegin ndi mapiritsi. Mulingo wambiri pamilandu iyi mpaka miyezi 5,

- ndi zotumphukira zamitsempha yamavuto ndi zotulukapo zamtundu wam'matumbo ndi angiopathy, yankho limakonzedwa momwemonso ndi ischemic stroke komanso jekeseni wamitsempha tsiku ndi mwezi.

- popewa kuvulala pang'onopang'ono, jakisoni a 5 ml amagwiritsidwa ntchito tsiku lililonse pakati pamagawo othandizira,

- wokhala ndi zilonda zaulesi komanso Actovegin, jakisoni amawathandizira kudzera m'mitsempha kapena intramuscularly, 5 kapena 10 ml tsiku lililonse kapena kangapo patsiku (pafupipafupi makonzedwe amatengera kuuma kwa chotupa).

Mlingo, pafupipafupi pakukhazikitsidwa ndi chithandizo chamankhwala ndizachidziwitso chokhacho. Njira zonse zamankhwala zimayikidwa ndi adokotala, potengera kuopsa kwa matendawa ndi matenda okhudzana ndi wodwalayo.

Malinga ndi malangizo ogwiritsa ntchito jakisoni a Actovegin, mankhwalawa ali ndi zotsutsana zotsatirazi:

• pulmonary edema,
• anuria (kuchepa kwa mkodzo mu chikhodzodzo),
• oliguria (kuchepa kwa mkodzo wofotokozedwa ndi impso),
• mtima wosakhazikika (mkhalidwe womwe mtima wowonongeka suwapatsa minofu ndi ziwalo ndi magazi ofunikira),
• kusungunuka kwa madzi mthupi.

Zotsatira zoyipa zomwe zitha kuchitika mukamamwa Actovegin zimaphatikizanso matupi awo sagwirizana ndi:

• urticaria
• kutentha kwamoto
• thukuta lotukuka
• kukweza thupi kutentha.

Nthawi zina, mukamamwa Actovegin, zomverera zowawa zimawonedwa, izi zimachitika chifukwa cha kuwonjezeka kwa ntchito zachinsinsi ndipo zimadziwika kuti ndizofala. Komabe, ngati ululu ulipo, koma mankhwalawo sagwira ntchito, chithandizo chimayimitsidwa.

Mochenjera, mankhwalawa amapatsidwa gawo lachiwiri ndi III, pakati komanso mkaka wa m`mawere.

Malangizo apadera

Kukhazikitsidwa kwa jakisoni wa Actovegin kuyenera kuchitika mosamala kuti popewa mavuto osagwirizana ndi anaphylactic reaction. Asanayambe chithandizo, jekeseni woyeserera amalimbikitsidwa.

Izi zimachitika mu inatatient kapena kunja kwa malo, pomwe nkotheka kuchitira chithandizo mwadzidzidzi ngati kuwoneka kosafunikira.

Zovuta za Actovegin mu ampoules zimakhala ndi tint wachikasu pang'ono, kukula kwake komwe kumatha kusiyanasiyana mosiyanasiyana m'mankhwala. Zimatengera mawonekedwe a zomwe zayamba kugwiritsidwa ntchito zopezeka zododometsa hemoderivative. Kusintha koteroko sikumakhudza mtundu wa mankhwalawo komanso kugwira ntchito kwake.

Mothandizidwa ndi mankhwalawa mobwerezabwereza, kuchuluka kwa madzi mthupi komanso kapangidwe kazinthu zamagazi ka seramu ziyenera kuyang'aniridwa.

Kafukufuku wofufuza akutsimikizira kuti Actovegin sayambitsa zovuta kapena zotsatira zoyipa ngati munthu atamwa mankhwala ochuluka.

Njira yothetsera jakisoni Actovegin iyenera kusungidwa m'malo otentha kwambiri kutentha kusati kuposa 25 digiri. Alumali moyo wa mankhwala 5 zaka.

Kodi mwazindikira kulakwitsa? Sankhani ndikusindikiza Ctrl + Lowani kutiuza.

Werengani a Health zana limodzi:

Dzinalo: Actovegin (Actovegin)

Machitidwe
Actovegin imayendetsa ma cell metabolism (metabolism) pakuwonjezera kuyendetsa ndikudziunjikira kwa glucose ndi oksijeni, ndikupititsa patsogolo kugwiritsidwa ntchito kwawo kwa intracellular. Njira izi zimatsogolera kupititsa patsogolo kwa metabolism ya ATP (adenosine triphosphoric acid) ndikuwonjezereka kwa mphamvu zama cell. Pansi pa zochitika zomwe zimachepetsa magwiridwe antchito a mphamvu kagayidwe (hypoxia / kusakwanira kwa okosijeni ku minofu kapena kufinya; thupi) ndi anabolism (njira yovomerezeka ya zinthu ndi thupi). Yachiwiri zotsatira kuchuluka magazi.

Zonse za Actovegin: kupanga, kugwiritsa ntchito, kachitidwe ka zinthu pa thupi la munthu

Zisonyezero zogwiritsidwa ntchito:
Kusakwanira kwa kufalikira kwa ziwalo, ischemic stroke (kusakwanira kwa kupezeka kwa minofu ya muubongo ndi mpweya chifukwa cha ngozi ya pachimake ya cerebrovascular), kuvulala kwamitsempha yama ubongo, zotumphukira za magazi (zotupa, zotupa), angiopathy. kukula kwa mitsempha ya m'munsi yam'munsi (kusintha m'mitsempha yodziwika ndi kuwonjezeka kosiyanasiyana kwa lumen yawo ndikupanga mawonekedwe a khoma chifukwa kuphwanya ntchito za zida zawo zapakhosi), zilonda zamtundu wosiyanasiyana, zilonda zamatenda (minofu necrosis yoyambitsidwa ndi kupanikizika kwanthawi yayitali chifukwa chabodza), kuwotcha, kupewa komanso kuchiza kuvulala kwama radiation. Kuwonongeka kwa cornea (kuwonekera kwa mandala kwa diso) ndi sclera (kupindika kwa diso) odwala omwe ali ndi magalasi, kupewa zotupa posankha ma mankhwalawa mu odwala omwe ali ndi vuto la chithokomiro (kugwiritsa ntchito mafuta odzola), komanso kuthamangitsanso machiritso a zilonda zam'mimba (kuchiritsa pang'onopang'ono zolakwika pakhungu), kukolola (minofu necrosis yoyambitsidwa ndi kupanikizika kwanthawi yayitali chifukwa chabodza), kuwotcha, kuvulala ndi radiation pakhungu, ndi zina zambiri.

Zotsatira zoyipa za Actovegin:
Thupi lawo siligwirizana: urticaria, thukuta, thukuta, malungo. Kuyabwa, kuyaka m'munda wa kugwiritsa ntchito gel, mafuta kapena kirimu, mukamagwiritsa ntchito khungu la maso - lacure, jakisoni wa sclera (redness la sclera).

Actovegin njira makonzedwe ndi mlingo:
Mlingo ndi njira ya ntchito zimatengera mtundu ndi kuuma kwa njira ya matendawa. Mankhwalawa amalembedwa pakamwa, kwa makolo (kudutsa chimbudzi cham'mimba) ndipo makamaka.
Mkati mwa piritsi 1-2 katatu patsiku musanadye. Zilonda sizimatafuna, kutsukidwa ndi madzi pang'ono.
Kwa mtsempha wa intravenous kapena intraarterial, malinga ndi kuopsa kwa matendawa, mlingo woyambira ndi 10-20 ml. Kenako 5 ml amaikidwa kudzera m'mitsempha pang'onopang'ono kapena mu mnofu, kamodzi pa tsiku tsiku lililonse kapena kangapo pa sabata. Mitsempha, 250 ml ya kulowetsedwa njira imayendetsedwa pansi pamlingo wa 2-3 ml pamphindi, kamodzi patsiku, tsiku lililonse kapena kangapo pa sabata. Muthanso kugwiritsa ntchito 10, 20 kapena 50 ml yankho la jakisoni, wothira mu 200-300 ml ya shuga kapena saline. Pazonse, infusions 10-20 pa njira iliyonse ya mankhwala. Sitikulimbikitsidwa kuti tiwonjezere zinthu zina mu njira yothetsera.
Parenteral makonzedwe actovegin ayenera kuchitika mosamala chifukwa kuthekera kupanga anaphylactic (matupi awo sagwirizana. Majekeseni oyesedwa amalimbikitsidwa, ndi zonsezi, ndikofunikira kupereka zofunikira zothandizira mwadzidzidzi. Palibe oposa 5 ml omwe angathe kutumikiridwa kudzera m'mitsempha, chifukwa yankho limakhala ndi katundu wa hypertonic (kupanikizika kwa osmotic kwa yankho kumakhala kwakukulu kuposa kuthamanga kwa magazi a osmotic). Mukamagwiritsa ntchito intravenly, ndikulimbikitsidwa kuwunikira zomwe zikuwonetsa kagayidwe ka madzi.
Kugwiritsa ntchito pamutu. Gelali imayeretsedwa kuti itsuke ndikuchiritsa mabala ndi zilonda zotseguka. Ndi zovulala ndi ma radiation, galasi limayikidwa pakhungu ndi gawo loonda. Pochiza zilonda zam'mimba, gel osayo limayikidwa pakhungu ndi wokutira wokutidwa ndi compress ndi mafuta Actovegin kuti tipewe kudziphatika pachilonda. Mavalidwe amasinthidwa nthawi 1 pa sabata, ndipo zilonda zam'mimba kwambiri - kangapo patsiku.
Kirimuyo amagwiritsidwa ntchito kukonza machiritso a mabala, komanso mabala akulira. Kugwiritsidwa ntchito pambuyo pa mapangidwe a zilonda zowonjezera komanso kupewa kuvulala kwama radiation.
Mafutawo amawaika pakhungu loonda pakhungu. Amagwiritsidwa ntchito pochiza mabala ndi zilonda zam'mimba kuti azithamangitsa epithelialization (machiritso) pambuyo pa mankhwala a gel kapena zonona. Popewa kupsinjika zilonda, mafuta amayenera kupaka padera loyenera pakhungu. Popewa kuvulala kwamayendedwe pakhungu, mafuta amayenera kugwiritsidwa ntchito pambuyo pothira kapena pakati pamagawo.
Maso am'maso 1 dontho limodzi la gel limapindika kuchokera ku chubu kupita ku diso lakumaliralo. Lemberani katatu patsiku. Mutatsegula phukusi, khungu la maso limatha kugwiritsidwa ntchito kwa milungu yopitilira 4.

Actovegin contraindication:
Kuchuluka kwazinthu zomwe zingagulidwe. Mosamala, lembani mankhwala panthawi yomwe muli ndi pakati. Panthawi yoyamwitsa, kugwiritsa ntchito Actovegin ndikosayenera.

Malo osungirako:
Pamalo ouma pamtunda wopanda kutentha kuposa +8 * C.

Kutulutsa Fomu:
Dragee forte mu paketi ya ma PC 100. Njira yothetsera jakisoni mu ma ampoules a 2,5 ndi 10 ml (1 ml - 40 mg). Njira yothetsera kulowetsedwa kwa 10% ndi 20% ndi saline m'mbale 250 ml. Gel 20% mu machubu a 20 g. Kuwira 5% m'machubu a 20 g. Mafuta 5% m'matumba a 20 g.

Kapangidwe ka Actovegin:
Ma protein a protein (osachiritsika) amachokera ku magazi a ng'ombe. Muli 40 mg yazinthu zouma mu 1 ml.

Yang'anani!
Musanagwiritse ntchito mankhwalawa, muyenera kufunsa dokotala.
Malangizowo amaperekedwa kuti mudziwe nokha "".

Antihypoxant. Actovegin ® ndi hemoderivative, yomwe imapezeka ndi dialysis ndi ultrafiltration (ikamapangidwa ndi kulemera kwa maselo osakwana 5000 daltons). Zimakhudza mayendedwe ndikugwiritsa ntchito shuga, zimathandizira kugwiritsidwa ntchito kwa okosijeni (zomwe zimayambitsa kukhazikika kwa mapangidwe a plasma a maselo nthawi ya ischemia ndi kuchepa kwa mapangidwe a lactates), motero kukhala ndi mphamvu ya antihypoxic yomwe imayamba kuwonekera pakangotha ​​mphindi 30 pambuyo pa utsogoleri wa makolo ndikufika pazambiri pambuyo pa maola atatu (maola 2-6).

Actovegin ® imachulukitsa kuchuluka kwa adenosine triphosphate, adenosine diphosphate, phosphocreatine, komanso amino acid - glutamate, aspartate ndi gamma-aminobutyric acid.

Pharmacokinetics

Pogwiritsa ntchito njira za pharmacokinetic, ndizosatheka kuwerenga magawo a pharmacokinetic a Actovegin ®, popeza amangopanga zinthu zokhazokha zomwe zimapezeka mthupi.

Mpaka pano, palibe kuchepa kwa pharmacological zotsatira za hemoderivatives mwa odwala omwe asinthidwa a pharmacokinetics (mwachitsanzo, kulephera kwa hepatic kapena aimpso, kusintha kwa kagayidwe kamene kamakhudzana ndi ukalamba, komanso mawonekedwe a metabolic mwa akhanda.

Zotsatira za Actovegin pa thupi

Actovegin amapangidwa kuchokera ku zosakaniza zachilengedwe ndipo alibe pafupifupi zotsutsana. Kugwiritsidwa ntchito moyenera pa zamankhwala, cosmetology ndi masewera. Chimalimbikitsa kukhathamiritsa kwa okosijeni komanso kuchuluka kwa glucose, kumapangitsa kagayidwe kachakudya.

Ntchito mankhwalawa:

• zovuta zamagazi mumitsempha ya bongo (kuphatikiza pambuyo pa sitiroko),
• Zilonda za magwero osiyanasiyana,
• mitsempha yachiphuphu
• mitsempha ya varicose
• thrombophlebitis
• endarteritis,
• matenda a retinal.

Kuphatikiza apo, mankhwalawa amagwiritsidwa ntchito pakakonzedwa khungu, kuvulala ndi ma radiation, kuchiritsa mabala, kupsa ndi kupsinjika zilonda.

Zomwe zimagwiritsa ntchito mankhwalawa

Actovegin likupezeka ma ampoules a 2 ml, 5 ml ndi 10 ml. 1 ml muli 40 mg yogwira ntchito. Mitsempha, imalowetsedwa mu mtsempha kapena mtsinje (ngati mufunika kuchotsa ululu) mwachangu. Ndi drip, mankhwalawa amaphatikizidwa ndi saline kapena glucose. Kwa tsiku limodzi, osapitirira 10 ml ya Actovegin amaloledwa kutumikiridwa, muzovuta, mpaka 50 ml. Chiwerengero cha jakisoni ndi mlingo zimatsimikiziridwa ndi dokotala wofikira pamatenda a wodwalayo komanso momwe thupi limagwirira. Maphunzirowa amakhala osachepera sabata ndipo amafika masiku 45.

Mu matenda a shuga, chithandizo chimayikidwa pakadontho 2 ml. Mankhwalawa amatha pafupifupi miyezi 4.

Jakisoni wamkati amachitika kokha ndi anamwino oyenerera omwe amadziwa malamulo okonzekera mankhwalawa.

Jakisoni wamkati amachitika kokha ndi anamwino oyenerera omwe amadziwa malamulo okonzekera mankhwalawa.

Dongosolo la jakisoni:

1. Konzani syringe, ubweya wa thonje, mankhwala opha tizilombo, oyenda, alendo.
2. Mangani chiwonetserochi pamawondo - wodwalayo amatha. Palpate mtsempha.
3. Chitani jakisoni ndi mowa ndikuupaka.
4. Chotsani alendo ndikuwongolera kapena sinthani dontho.
5. Pambuyo pa njirayi, chotsani singano ndikugwiritsa ntchito thonje losalala.
6. Wodwalayo amagwirana ndi mkono.

Jakisoni ndiwosavuta, koma amayenera kuchitidwa ndi katswiri kupewa mavuto obwera chifukwa cha matenda.

Kutulutsa Fomu

Njira yothetsera kulowetsedwa (mu yankho la dextrose) ikuwonekera, kuyambira wopanda mtundu mpaka pakongola pang'ono.

Omwe amathandizira: dextrose - 7.75 g, calcium sodium - 0,67 g, madzi d / i - mpaka 250 ml.

250 ml - mabotolo agalasi lopanda utoto (1) - mapaketi a makatoni.

Mu / kukoka kapena mu / ndege. 250-500 ml patsiku. Mlingo wa kulowetsedwa uyenera kukhala pafupifupi 2 ml / min. Kutalika kwa chithandizo ndi 10usions infusions. Chifukwa cha kuthekera kwa chitukuko cha anaphylactic, tikulimbikitsidwa kuti tichite mayeso isanayambike kulowetsedwa.

Kusokonezeka kwa mitsempha ndi mitsempha yaubongo: kumayambiriro - 250-500 ml / tsiku iv kwa masabata awiri, ndiye 250 ml iv kangapo pa sabata.

Mavuto otumphukira a mitsempha ndi zotsatira zawo: 250 ml iv kapena iv tsiku lililonse kapena kangapo pa sabata.

Kuchiritsa konse: 250 ml iv, tsiku lililonse kapena kangapo pamlungu, kutengera kuthamanga kwa machiritso. Mwinanso kugwiritsidwa ntchito kophatikizana ndi Actovegin ® munthawi ya mankhwala ogwiritsira ntchito kwanuko.

Kupewa komanso kuchiza kuvulala kwama radiyo pakhungu ndi minyewa ya m'magazi: avareji a 250 ml iv tsiku lisanachitike komanso tsiku lililonse munthawi yamankhwala othandizira poizoniyu, komanso pakatha milungu iwiri itatha.

Contraindication

• Hypersensitivity ku Actovegin ® kapena mankhwala ena,
• mtima wosakhazikika,
• pulmonary edema,
• oliguria, anuria,
• kusungunuka kwa madzi mthupi.

Mochenjera: hyperchloremia, hypernatremia, shuga mellitus (1 vial muli 7.75 g ya dextrose).

Mitundu, mayina, kapangidwe ndi mitundu ya kumasulidwa

Actovegin ikupezeka mitundu yotsatsira iyi (yomwe nthawi zina imatchedwa mitundu):

• Gel kuti mugwiritse ntchito zakunja,
• Mafuta ogwiritsira ntchito zakunja,
• Kirimu wakugwiritsa ntchito kunja,
• Njira yothetsera kulowetsedwa ("dontho") pa dextrose m'mabotolo a 250 ml,
• Kulowetsedwa kwa 0.9% sodium chloride (mu saline yokhudza thupi) m'mabotolo 250 ml,
• Njira yothetsera jakisoni mumiyeso ya 2 ml, 5 ml ndi 10 ml,
• Mapiritsi a pakamwa.

Actovegin gel, kirimu, mafuta ndi mapiritsi alibe dzina lina wamba losavuta. Koma mitundu ya jakisoni m'moyo watsiku ndi tsiku nthawi zambiri amatchedwa mayina osavuta. Chifukwa chake, jakisoni nthawi zambiri amatchedwa "Actovegin ampoules", "jakisoni Actovegin"komanso "Actovegin 5", "Actovegin 10". Mu mayina "Actovegin 5" ndi "Actovegin 10", manambalawa akuwonetsa kuchuluka kwa mamililita ambiri omwe ali ndi yankho lokonzekera kukhazikitsidwa.

Mitundu yonse ya Actovegin monga yogwira (yogwira) yomwe ili nacho kufafaniza hemoderivative zopezeka m'magazi otengedwa ana a ng'ombe athanzikudyetsedwa kokha mkaka. Deproteinised hemoderivative ndi mankhwala omwe amapezeka m'magazi a ng'ombe ndikudziyeretsa kuchokera ku molekyulu yayikulu ya mapuloteni (depoteinization). Zotsatira zakunyinyirika, maselo am'magazi ang'onoang'ono amkati am'magazi omwe amapezeka, omwe amatha kuyambitsa kagayidwe m'thupi ndi minofu iliyonse. Kuphatikiza apo, zinthu zophatikizika zotere sizikhala ndi mamolekyulu akulu am'mapulogalamu omwe angayambitse zovuta zina.

The kunyongedwa hemoderivative kuchokera magazi a ng'ombe ndimayimilira zonse zili magulu ena a biologically yogwira zinthu. Izi zikutanthauza kuti akatswiri odziwa zamankhwala amatsimikizira kuti gawo lililonse la hemoderivative lili ndi zinthu zofananira zachilengedwe, ngakhale kuti zimachokera ku magazi a nyama zosiyanasiyana. Momwemo, magawo onse a hemoderivative ali ndi magawo ofanana omwe amagwira ntchito ndipo ali ndi mphamvu yofanana yamankhwala.

Gawo logwira ntchito la Actovegin (depeduinised derivative) m'malamulo ovomerezeka nthawi zambiri limatchedwa "Gwiritsani ntchito kwambiri.

Mitundu yosiyanasiyana ya Actovegin imakhala ndi magawo osiyanasiyana othandizira (amoyo hemoderivative):

• Actovegin gel - imakhala ndi 20 ml ya hemoderivative (0,8 g mu mawonekedwe owuma) mu 100 ml ya gel, yomwe imagwirizana ndi 20% ndende ya yogwira.
• Mafuta ndi zonona za Actovegin - zimakhala ndi 5 ml ya hemoderivat (0,2 g mu mawonekedwe owuma) mu 100 ml ya mafuta kapena zonona, zomwe zimafanana ndi 5% ndende yogwira ntchito.
• Dextrose kulowetsedwa - lili 25 ml ya hemoderivative (1 g mu mawonekedwe owuma) pa 250 ml yankho lokonzekera kugwiritsa ntchito, lomwe limafanana ndi kuchuluka kwa okhudzidwa a 4 mg / ml kapena 10%.
• Njira yothetsera kulowetsedwa 0,9% sodium chloride - muli 25 ml (1 g zouma) kapena 50 ml (2 g zouma) wa hemo-zotumphukira pa 250 ml yankho lokonzekera kugwiritsa ntchito, lomwe limafanana ndi kuchuluka kwa okhudzidwa a 4 mg / ml ( 10%) kapena 8 mg / ml (20%).
• Njira yothetsera jakisoni - imakhala ndi 40 mg ya hemoderivative pa 1 ml (40 mg / ml). Yankho likupezeka mu ampoules a 2 ml, 5 ml ndi 10 ml. Momwemo, ma ampoules omwe ali ndi 2 ml ya solution ali ndi 80 mg yogwira pophika, 5 ml yankho 200 mg ndi 10 ml ya solution 400 mg.
• Mapiritsi amlomo - ali ndi 200 mg ya hemoderivat youma.

Mitundu yonse ya Mlingo wa Actovegin (mafuta, kirimu, gel, njira zothandizira kulowetsedwa, mayankho a jakisoni ndi mapiritsi) ali okonzeka kugwiritsa ntchito ndipo safuna kukonzekera musanagwiritse ntchito. Izi zikutanthauza kuti mafuta, mafuta kapena zonona zimatha kuthiridwa nthawi yomweyo mutatsegula phukusi, imwani mapiritsi osakonzekera. Njira zoyendetsera kulowetsedwa zimaperekedwa kudzera m'mitsempha ("dontho") popanda kuchepetsedwa ndi kukonzekera, kungoyika botolo mu dongosolo.Ndipo zothetsera za jakisoni zimaperekedwanso kudzera mu intramuscularly, kudzera m'mitsempha kapena kudzera m'mitsempha popanda kukhathamiritsa m'mbuyomu, posankha zochulukirapo ndi kuchuluka kwa mamililita.

Njira yothetsera jakisoni mu ma ampoules monga gawo lothandizira imangokhala ndi madzi osalala osasamba. Njira ya kulowetsedwa kwa dextrose imakhala ndi madzi osungunuka, dextrose ndi sodium chloride monga zigawo zothandiza. Njira yothetsera kulowetsedwa ndi 0,9% sodium chloride monga zigawo zothandizira zimakhala ndi sodium chloride ndi madzi okha.

Mapiritsi a Actovegin monga zida zothandizira ali ndi zinthu izi:

• Mountain sera glycolate
• Titanium dioxide
• Diethyl phthalate,
• Zouma gum arabian,
• Macrogol 6000,
• Ma cell apose a Microcrystalline,
• Povidone K90 ndi K30,
• Kubweza
• Magnesium wakuba,
• Talc,
• Colinine wa quinoline wachikasu wonyezimira wa aluminiyamu (E104),
• Hypromellose phthalate.

Kapangidwe kazinthu zothandizira za gel, mafuta ndi zonona Actovegin zikuwonetsedwa patebulo ili m'munsiyi:

Zothandiza pa Actovegin gel	Zothandiza zothandizira mafuta a Actovegin	Zothandiza zothandizira kirimu Actovegin
Carlone sodium	Parafini yoyera	Benzalkonium chloride
Calcium lactate	Methyl Parahydroxybenzoate	Glyceryl monstearate
Methyl Parahydroxybenzoate	Propyl parahydroxybenzoate	Macrogol 400
Propylene glycol	Cholesterol	Macrogol 4000
Propyl parahydroxybenzoate	Cetyl mowa	Cetyl mowa
Madzi oyeretsedwa	Madzi oyeretsedwa	Madzi oyeretsedwa

Kirimu, mafuta ndi gel osakaniza Actovegin amapezeka mu machubu a zotayidwa a 20 g, 30 g, 50 g ndi 100 g. Kirimu ndi mafuta abwino ndi oyera kwambiri. Actovegin gel ndi chowoneka chikaso kapena chopanda khungu.

Actovegin kulowetsedwa kochokera pa dextrose kapena 0,9% sodium chloride ndi omveka, opanda khungu kapena zakumwa zachikasu zomwe mulibe zosayera. Mayankho ake amapezeka m'mabotolo agalasi omveka bwino a 250 ml, omwe amatsekedwa ndi choletsa komanso kapu ya aluminiyamu yoyambira koyambirira.

Malangizo a jakisoni Actovegin amapezeka mu ma ampoules a 2 ml, 5 ml kapena 10 ml. Ma ampoules osindikizidwa amaikidwa pabokosi lamatabwa a zidutswa 5, 10, 15 kapena 25. Mayankho mu ma ampoules okha ndi amadzimadzi owonekera amtundu wachikaso kapena wopanda mtundu wokhala ndi tinthu tating'onoting'ono.

Mapiritsi a Actovegin amapaka utoto wonyezimira wachikaso, wonyezimira, wozungulira biconvex. Mapiritsi amadzaza mabotolo amdima amdima a zidutswa 50.

Kukula kwa ma Actovegin ampoules mu ml

Njira yothetsera Actovegin mu ampoules imapangidwa kuti apangidwe jekeseni wamitsempha, ma intraarterial ndi intramuscular. Njira yothetsera ma ampoules ndiyokonzeka kugwiritsa ntchito, motero, kuti mupange jakisoni, mumangofunikira kutsegula zochulukazo ndikulemba mankhwalawo mu syringe.

Pakadali pano, yankho likupezeka mu ampoules a 2 ml, 5 ml ndi 10 ml. Kuphatikiza apo, ma ampoules a ma voliyumu osiyanasiyana amakhala ndi yankho limodzi ndi momwe amagwiritsidwira ntchito - 40 mg / ml, koma zomwe zimagwiritsidwa ntchito mu ma ampoules osiyanasiyana osiyanasiyana ndizosiyana. Chifukwa chake, mu ma ampoules omwe ali ndi 2 ml yankho lili ndi 80 mg yogwira ntchito, ma ampoules a 5 ml - 200 mg, ndi ma ampoules a 10 ml - 400 mg, motero.

Zochizira

Zotsatira zakuchuluka kwa Actovegin, zomwe zimapangitsa kuti kagayidwe kazinthu kazinthu kazinthu zikhale bwino komanso kuwonjezeka kwa hypoxia, pamlingo wa ziwalo zosiyanasiyana komanso minyewa imawonekera ndi zotsatirazi zochizira:

• Kuchira kwa kuwonongeka kwa minofu iliyonse kumathandizira. (mabala, mabala, mabala, mabala, kuwotcha, zilonda, ndi zina) ndikubwezeretsa kwawo. Ndiye kuti, mothandizidwa ndi Actovegin, mabala aliwonse amachira mwachangu komanso mosavuta, ndipo chilondacho chimapangidwa chaching'ono komanso chosagwira.
• Kupuma kwamatayala kumayambitsa, zomwe zimapangitsa kuti oxygen igwiritsike ntchito bwino komanso mokwanira m'maselo a ziwalo zonse.Chifukwa chogwiritsa ntchito mpweya wathunthu, zotsatira zoyipa za kusakwanira kwa magazi m'matupi amachepetsedwa.
• Imalimbikitsa kugwiritsa ntchito shuga ndimaselomumkhalidwe wa okosijeni wa okosijeni kapena kuchepa kwa metabolic. Izi zikutanthauza kuti, mbali imodzi, kuchuluka kwa glucose m'magazi kumachepera, ndipo mbali inayo, michere ya hypoxia imatsika chifukwa chogwiritsa ntchito glucose popuma minofu.
• Kuphatikizika kwa ulusi wa collagen kumakhala bwino.
• Njira yogawa ma cell imakhudzidwa ndi kusamukira kwawo komwe kumakhala komwe kukonzanso kukhulupirika kwa minofu ndikofunikira.
• Kukula kwa mtsempha wamagazi kunakhudzidwa, zomwe zimapangitsa kuti magazi azikhala bwino.

Zotsatira za Actovegin pakulimbikitsa kugwiritsidwa ntchito kwa glucose ndizofunikira kwambiri ku ubongo, popeza zida zake zimafunikira chinthu ichi kuposa ziwalo zina zonse zamunthu. Kupatula apo, ubongo umagwiritsa ntchito glucose makamaka pakupanga mphamvu. Actovegin mulinso inositol phosphate oligosaccharides, momwe imafanana ndi insulin. Izi zikutanthauza kuti mothandizidwa ndi Actovegin, kayendedwe ka glu mu michere ya muubongo ndi ziwalo zina zimayenda bwino, kenaka chinthuchi chimagwidwa mwachangu ndi maselo ndikugwiritsidwa ntchito popanga mphamvu. Chifukwa chake, Actovegin imathandizira kagayidwe kazachilengedwe m'magulu a ubongo ndikupereka zofunikira zake, motero imapangitsa ntchito ya magawo onse amkati wamanjenje ndikuchepetsa zovuta za matenda osokoneza bongo.

Kuphatikiza apo, kukonza kagayidwe kazinthu zamagetsi ndikuwonjezera kugwiritsidwa ntchito kwa shuga kumabweretsa kuchepa kwa zovuta za zizindikiro za kuzungulira kwa matenda ena amisempha kapena ziwalo zina.

Zizindikiro zogwiritsira ntchito (Chifukwa chiyani Actovegin adalembedwa?)

Mitundu yosiyanasiyana ya Actovegin akuwonetsedwa kuti agwiritse ntchito matenda osiyanasiyana, chifukwa chake, popewa chisokonezo, tiziwona mosiyana.

Mafuta, kirimu ndi gel osakaniza Actovegin - zikuonetsa. Mitundu yonse itatu ya Actovegin yopangira ntchito zakunja (kirimu, gel osakaniza ndi mafuta) imawonetsedwa kuti igwiritsidwe ntchito mumikhalidwe yomweyi:

• Kupititsa patsogolo kwa machiritso a bala ndi zotupa pakhungu ndi mucous nembanemba (abrasions, mabala, zipsera, kuyaka, ming'alu),
• Kusintha kukonza kwa minofu mukawotcha kwina kulikonse (madzi otentha, nthunzi, dzuwa, ndi zina zotere),
• Chithandizo cha zilonda zam'madzi pakhungu lililonse (kuphatikizapo zilonda zam'mimba za varicose),
• Kupewa komanso kuchiza zotsatira zamavuto a radiation (kuphatikizapo radiation chithandizo cha zotupa) pakhungu ndi mucous membrane,
• Kupewa komanso kuchiza zilonda zowonjezera (kokha kwa mafuta a Actovegin ndi zonona),
• Pa chisanachitike chithandizo cha bala mabala khungu lisanalumikizidwe pa mankhwalawa kwambiri ndikuwotcha kwambiri (kokha kwa gelini la Actovegin).

Malangizo a kulowetsedwa ndi jakisoni (jakisoni) Actovegin - zikuonetsa kuti mugwiritse ntchito. Mayankho a kulowetsedwa ("ma dontho") ndi mayankho a jakisoni akuwonetsedwa kuti mugwiritse ntchito pazotsatira zomwezi:

• Chithandizo cha kagayidwe kazakudya kagayidwe kamitsempha ndi ubongo (mwachitsanzo, kugunda kwa ischemic, mavuto obwera chifukwa cha kuvulala kwamkati, kutsekeka kwa magazi m'magazi aubongo, komanso matenda amisala komanso kukumbukira, chidwi, kusanthula mphamvu chifukwa cha matenda am'mimba a chapakati mantha dongosolo, etc.),
• Chithandizo cha zotumphukira zotumphukira, komanso zotsatira ndi zovuta (mwachitsanzo, zilonda zam'mimba, angiopathies, endarteritis, etc.),
• Chithandizo cha matenda a shuga a polyneuropathy,
• Kuchiritsa mabala a pakhungu ndi mucous nembanemba za chilengedwe chilichonse komanso komwe zimachokera (mwachitsanzo, kupweteka, kudula, kudula, kupsya, zilonda zam'mimba, zilonda zam'mimba, ndi zina).
• Kupewa ndi kuchiza zotupa za pakhungu ndi mucous nembanemba mothandizidwa ndi radiation, kuphatikizapo radiation mankhwala a zilonda zam'mimba,
• Chithandizo cha kutentha kwamatenthedwe ndi mankhwala (yankho la jakisoni wokha),
• Hypoxia ya ziwalo ndi minofu yazinthu zilizonse (umboni uwu umavomerezedwa ku Republic of Kazakhstan kokha).

Mapiritsi a Actovegin - zikuonetsa kuti mugwiritse ntchito. Mapiritsi awonetsedwa kuti agwiritsidwe ntchito pochiza matenda kapena matenda:

• Monga gawo la zovuta za matenda a metabolic ndi mtima wamatumbo (mwachitsanzo, kusowa kwa magazi m'thupi, kuvulala kwamisala, komanso kuchepa kwa mtima chifukwa cha kusokonekera kwa mitsempha ndi kagayidwe kachakudya).
• Chithandizo cha zotumphukira zotupa ndi zovuta zawo (trophic ulcers, angiopathy),
• Dongosolo la matenda ashuga,
• Hypoxia ya ziwalo ndi minofu yazinthu zilizonse (umboni uwu umavomerezedwa ku Republic of Kazakhstan kokha).

Mafuta, kirimu ndi gel osakaniza Actovegin - malangizo ogwiritsira ntchito

Mitundu yosiyanasiyana ya Actovegin yogwiritsira ntchito kunja (gel, kirimu ndi mafuta) imagwiritsidwa ntchito chimodzimodzi, koma pamagawo osiyanasiyana a matenda awa. Izi zimachitika chifukwa cha zigawo zingapo zothandizira zomwe zimapereka katundu wosiyanasiyana ku gel, mafuta ndi zonona. Chifukwa chake, gel, kirimu ndi mafuta zimapereka mabala pamagawo osiyanasiyana ochiritsa ndi mawonekedwe osiyana siyana a bala.

Kusankha kwa Actovegin gel, kirimu kapena mafuta ndi mawonekedwe omwe amagwiritsidwa ntchito pazinthu zosiyanasiyana zamabala

Actovegin gel ilibe mafuta, chifukwa chomwe chimatsukidwa mosavuta ndikuthandizira kuti pakhale kupangika kwa magawo (gawo loyambirira la machiritso) ndikuwumitsa munthawi yomweyo kwamvula yonyowa (exudate) kuchokera pachilonda. Chifukwa chake, ndikofunikira kugwiritsa ntchito gel osakaniza kuti muchiritse mabala onyowa ndi zotulutsa zambiri kapena poyambira chithandizo cha mabala aliwonse onyowa kufikira atakutidwa ndi granulations ndikumauma.

Actovegin zonona zimakhala ndi ma macrogols, omwe amapanga pamwamba pa chilonda filimu yowala yomwe imamangiriza zotuluka pachilonda. Fomu ya Mlingoyi imagwiritsidwa ntchito bwino pochiza mabala onyowa osakhazikika kapena pochotsa bala lowuma ndi khungu lakukula.

Mafuta a Actovegin amakhala ndi parafini, kotero kuti chinthucho chimapanga filimu yoteteza padziko lapansi. Chifukwa chake, mafuta amtunduwu amagwiritsidwa ntchito pochiza mabala owuma osapakika kapena pang'onopang'ono.

Pafupifupi, gel osakaniza a Actovegin, zonona ndi mafuta ndizofunikira kuti zigwiritsidwe ntchito limodzi ngati gawo la mankhwala atatu. Pa gawo loyamba, pomwe pachilonda pakanyowa ndipo pakhale zotupa zambiri, gel osakaniza ayenera kugwiritsidwa ntchito. Kenako, pamene bala limayaka ndi nderezo yoyamba (crusts) ikayamba, muyenera kusinthana ndi kirimu cha Actovegin ndikuchigwiritsa ntchito kufikira pomwe bala ili ndi khungu lowonda. Komanso, mpaka kubwezeretsa kwathunthu kukhulupirika kwa khungu, mafuta opangira Actovegin ayenera kugwiritsidwa ntchito. M'malo mwake, chilondacho chikatha kunyowa ndikukhala chouma, mutha kugwiritsa ntchito zonona kapena mafuta a Actovegin mpaka kuchira kwathunthu, osasintha iwo.

Chifukwa chake, ndizotheka kufotokozera mwachidule malingaliro osankha mtundu wa Actovegin wogwiritsa ntchito kunja:

• Ngati chilondacho chili chonyowa ndi zotulutsa zambiri, ndiye kuti gel osakaniza azigwiritsidwa ntchito mpaka chilondacho chitapendekeka. Ngati chilondacho chikuuma, ndikofunikira kuti musinthe kugwiritsa ntchito zonona kapena mafuta.
• Ngati chilondacho chili chonyowa pang'ono, chochepa kapena chochepa, ndiye kuti zonunkhirazi zikuyenera kugwiritsidwa ntchito, ndipo pambuyo poti chilondacho chaphwa kwathunthu, pitani ntchito mafuta.
• Ngati bala lawuma, popanda kuwonongeka, ndiye kuti mafuta azigwiritsidwa ntchito.

Malamulo ochizira mabala ndi gel, kirimu ndi mafuta a Actovegin

Pali kusiyanasiyana pakugwiritsa ntchito gel, kirimu ndi mafuta kuti muzichiritsa mabala ndi zilonda zamkati pakhungu. Chifukwa chake, m'malemba omwe ali pansipa, pansi pa mawu akuti "bala" tikutanthauza kuwonongeka kulikonse pakhungu, kupatula zilonda.Ndipo, malinga ndi izi, tidzafotokozera mwatsatanetsatane kugwiritsidwa ntchito kwa gel, kirimu ndi mafuta othandizira mabala ndi zilonda.

Gilala imagwiritsidwa ntchito pochiza mabala amvula ndi chofukizira. Actovegin gel imagwiritsidwa ntchito pokhapokha ngati chilonda choyeretsedwa kale (kupatula milandu ya zilonda zam'mimba), pomwe minofu yonse, mafinya, exudate, ndi zina zambiri zimachotsedwa. Ndikofunikira kuyeretsa bala musanayambe kugwiritsa ntchito Actovegin gel chifukwa kukonzekera kulibe zinthu zoyambitsa matenda ndipo sikuthana ndi vuto lanu. Chifukwa chake, kupewa matenda a bala, muyenera kutsukidwa ndi yankho la antiseptic (mwachitsanzo, hydrogen peroxide, chlorhexidine, ndi zina zotero) musanalandire chithandizo ndi Actovegin gel.

Zilonda zam'madzi zotulutsa (kupatula zilonda zam'mimba), msuzi umayikidwa mu wochepa thupi 2 mpaka 3 pa tsiku. Pankhaniyi, chilondacho sichitha kuphimba ndi bandeji, ngati palibe chiopsezo cha matenda komanso kuvulala kowonjezereka masana. Ngati bala lili ndi vuto, ndiye kuti ndibwino kuti muthane ndi gelalo la Actovegin pamwamba pake ndi kuvala pafupipafupi patsekeke, ndikuwasintha katatu patsiku. Gelalo limagwiritsidwa ntchito mpaka chilondacho chikauma ndipo pang'onopang'ono pang'onopang'ono (pamalo osasyanasiyana pansi pa chilondacho, zomwe zikuwonetsa kuyambiranso kwa machiritso). Komanso, ngati gawo la chilondacho lidakutidwa ndi granulations, ndiye kuti amayamba kulichotsa ndi kirimu wa Actovegin, ndipo malo osowetsa madzi akupitilirabe ndimafuta. Popeza granerals nthawi zambiri imapangidwa kuchokera m'mphepete mwa chilondacho, atapangidwa mawonekedwe azilondazo amakwiriridwa ndi kirimu, ndipo pakati ndi gel. Chifukwa chake, pamene dera la granulation limakulirakulira, malo omwe amathandizidwa ndi kirimu amawonjezereka ndipo dera lochitiridwa ndi gel limachepa. Chilonda chonse chikakhala chouma, chimapaka mafuta ndi zonona zokha. Chifukwa chake, onse a gel osakaniza ndi zonona amatha kupaka ntchito pa bala limodzi, koma m'malo osiyanasiyana.

Komabe, ngati zilonda zimaperekedwa, ndiye kuti mawonekedwe awo sangatsukidwe ndi yankho la antiseptic, koma nthawi yomweyo gwiritsani ntchito Actovegin gel osakaniza ndi wosanjikiza, ndikuphimba ndi bandeji yophika yophika ndi mafuta a Actovegin. Kavalidwe kameneka kamasinthidwa kamodzi patsiku, koma ngati zilonda zimakhala zonyowa kwambiri ndipo zotulutsa zimakhala zochulukirapo, ndiye kuti mankhwalawa amachitika pafupipafupi: 2 mpaka 4 pa tsiku. Zilonda zam'maso zikulira kwambiri, kavalidwe kamasintha m'mene bandeji imanyowa. Kuphatikiza apo, nthawi iliyonse khungu la Actovegin limapaka pachilonda, ndipo chilema chimakutidwa ndi chovala chachivi chokhazikika ndi zonona za Actovegin. Momwe zilondazo zikaleka kunyowa, amayamba kuzipaka ndi mafuta a Actovegin 1-2 kawiri pa tsiku, mpaka chilemacho chitha.

Actovegin kirimu amagwiritsidwa ntchito pochiritsa mabala omwe ali ndi malo ochepa owoneka kapena owuma. Kirimuyo amamuyika woonda wosanjikiza pamwamba pa mabala 2 mpaka 3 pa tsiku. Kavalidwe ka mabala kumayikidwa ngati pali chiopsezo cha mafuta a Actovegin. Kirimuyo nthawi zambiri amagwiritsidwa ntchito mpaka chilondacho chimakutidwa ndi chosyanasiyana (khungu loonda), pambuyo pake amasintha pogwiritsa ntchito mafuta opangira Actovegin, omwe amasamalira chilema mpaka atachira kwathunthu. Kirimuyo uyenera kuyichidwa kawiri pa tsiku.

Mafuta a Actovegin amagwiritsidwa ntchito pongofuna kupukuta kapena mabala ophimbidwa ndi granulation (khungu loonda), yopyapyala 2 mpaka 3 pa tsiku. Musanagwiritse ntchito mafuta, chilondacho chimayenera kutsukidwa ndi madzi ndikuchiritsidwa ndi yankho la antiseptic, mwachitsanzo, hydrogen peroxide kapena chlorhexidine. Chovala chodziwika bwino cha mankhwalawa chitha kupakidwa mafuta ngati pali chiopsezo chothira mafuta pakhungu. Mafuta a Actovegin amamuyika mpaka chilondacho chitachiritsidwa kwathunthu kapena mpaka khungu litapangidwa. Chidacho chikuyenera kugwiritsidwa ntchito kangapo patsiku.

Pazonse, zikuwonekeratu kuti Actovegin gel, kirimu ndi mafuta amagwiritsidwa ntchito m'magawo pochiritsa mabala omwe ali pamigawo yosiyanasiyana yochira. Pa gawo loyamba, chilondacho chikanyowa, ndi gel osafunikira limayikidwa. Kenako, mu gawo lachiwiri, pamene kufukufuku woyamba kuonekera, kirimu amagwiritsidwa ntchito.Ndipo, gawo lachitatu, atapangidwa khungu lopyapyala, chilondacho chimapaka mafuta osalala mpaka khungu limabwezeretsedwa ku umphumphu. Komabe, ngati pazifukwa zina sizingatheke kuchiritsa mabala motsatana ndi gel, kirimu ndi mafuta, ndiye kuti mutha kugwiritsa ntchito Actovegin imodzi yokha, ndikuyamba kuigwiritsa ntchito panthawi yoyenera yomwe ikulimbikitsidwa. Mwachitsanzo, Actovegin gel ingagwiritsidwe ntchito nthawi iliyonse pochiritsa mabala. Actovegin cream imayamba kugwiritsidwa ntchito kuyambira pomwe bala limayamba, itha kugwiritsidwa ntchito mpaka chilema chitachira kwathunthu. Mafuta a Actovegin amagwiritsidwa ntchito kuyambira pomwe bala limangiratu mpaka pakukonzanso khungu.

Popewa kupsinjika kwa zilonda zapakhungu ndi zotupa za khungu ndi radiation, mutha kugwiritsa ntchito zonona kapena mafuta a Actovegin. Pankhaniyi, kusankha pakati pa kirimu ndi mafuta kumapangidwa pokhapokha pazokonda za anthu kapena zomwe zingatheke pakugwiritsa ntchito mawonekedwe amodzi.

Popewa mabedi, kirimu kapena mafuta amapaka m'malo a pakhungu lomwe limakhala pachiwopsezo chomaliza chotsatira.

Pofuna kupewa kuwonongeka pakhungu ndi radiation, mafuta amtundu wa Actovegin amagwiritsidwa ntchito pankhope yonse pambuyo pa radiotherapy, komanso kamodzi tsiku lililonse, pakatikati pamagawo a radiation chithandizo.

Ngati pakufunika kuthandizira zilonda zam'mimba pakhungu ndi minofu yofewa, ndiye kuti gel osakaniza a Actovegin, zonona ndi mafuta amathandizidwa kuti aphatikizidwe ndi jakisoni wa yankho.

Ngati mugwiritsa ntchito jekeseni ya Actovegin, zonona kapena mafuta, ululu ndi zotupa zikuonekera m'dera la bala kapena chilonda, khungu limayamba kufiyira pafupi, kutentha kwa thupi kumadzuka, ndiye kuti pali chizindikiro cha matenda. Muzochitika zoterezi, muyenera kusiya kugwiritsa ntchito Actovegin ndi kufunsa dokotala.

Ngati, motsutsana ndi kagwiritsidwe ntchito ka Actovegin, chilonda kapena vuto lotupa silikuchira mkati mwa masabata awiri mpaka atatu, ndiye ndikofunikanso kukaonana ndi dokotala.

Actovegin gel, kirimu kapena mafuta ochiritsira kwathunthu pazovuta ayenera kugwiritsidwa ntchito masiku osachepera 12 otsatizana.

Mapiritsi a Actovegin - malangizo ogwiritsira ntchito (achikulire, ana)

Mapiritsi adapangidwa kuti agwiritsidwe ntchito mumikhalidwe yofanana ndi matenda monga njira zovomerezeka. Komabe, kuopsa kwa achirewo ndi makulidwe a makolo a Actovegin (majekeseni ndi "ma dontho") ndikulimba kuposa momwe amamwa mankhwalawo piritsi. Ichi ndichifukwa chake madokotala ambiri amalimbikitsa kuti nthawi zonse kuyamba kulandira chithandizo ndi mankhwala a Paretovegin, kutsatiridwa ndikusintha mapiritsi ngati kukonza mankhwala. Ndiye kuti, pagawo loyamba la mankhwalawa, kuti muthane ndi njira yodziwika bwino yothandizira, ndikulimbikitsidwa kuperekera makolo ku Actovegin (mwa jakisoni kapena "ma dontho"), kenako ndikumwa mankhwalawa mapiritsi kuphatikiza mphamvu zomwe zimachitika ndi jakisoni kwa nthawi yayitali.

Komabe, mapiritsi amatha kumwedwa popanda kholo kukonzekera kwa Actovegin, ngati pazifukwa zina sizingatheke kutenga jakisoni kapena vutolo silili lalikulu, chifukwa momwe limapangidwira momwe mawonekedwe a piritsi akukwanira.

Mapiritsi ayenera kumwedwa mphindi 15-30 musanadye, kumeza iwo onse, osafuna kutafuna, osafuna kutafuna, osasweka ndi kuphwanya njira zina, koma osambitsidwa ndi madzi ochepa osapindika (theka lagalasi ndikokwanira). Kupatula, mukamagwiritsa ntchito mapiritsi a Actovegin kwa ana, amaloledwa kuwagawa m'magawo awiri, ndikumasungunuka, kenako amadzasungunuka ndi madzi ochepa, ndikupatsa ana mu mawonekedwe ochepetsedwa.

Munthawi zosiyanasiyana ndi matenda, tikulimbikitsidwa kuti akuluakulu amwe mapiritsi 1 mpaka 2 katatu pa tsiku kwa milungu 4 mpaka 6.Kwa ana, mapiritsi a Actovegin amaperekedwa 1/4 - 1/2, 2 mpaka katatu pa tsiku kwa masabata anayi mpaka 6. Mlingo wa akulu ndi ana omwe akuwonetsedwa ndiwambiri, zikuwonetsa, ndipo dokotala ayenera kudziwa payekha kuchuluka kwa mapiritsiwo munthawi iliyonse, kutengera kuwonongeka kwa zizindikiro ndi kuopsa kwa matenda. Njira yochepetsetsa yamankhwala iyenera kukhala osachepera milungu 4, popeza ndikugwiritsa ntchito nthawi yochepa, chithandizo chofunikira sichichitika.

Pa matenda ashuga a polyneuropathy, Actovegin nthawi zonse amayamba kutumikiridwa mu 2000 mg tsiku lililonse kwa masabata atatu. Pambuyo pokhapokha atatha kumwa mankhwalawa mapiritsi awiri mpaka atatu, katatu patsiku, kwa miyezi inayi mpaka isanu. Pankhaniyi, kumwa mapiritsi a Actovegin ndi gawo lothandizidwa, lomwe limakupatsani mwayi wolimbikitsira zabwino zomwe zimachitika ndi jekeseni wamkati.

Ngati, potengera maziko akumwa mapiritsi a Actovegin, munthu akayamba kuyamwa, ndiye kuti mankhwalawo amathetsedwa mwachangu, ndipo antihistamines kapena glucocorticoids amathandizidwa.

Kuphatikizika kwa mapiritsiwo kuli ndi utoto wa utoto wa aluminiyamu wa aluminium (E104), womwe umawoneka ngati wowopsa, chifukwa chake mapiritsi a Actovegin ndi oletsedwa kuti azigwiritsidwa ntchito mwa ana osaposa zaka 18 ku Republic of Kazakhstan. Lamulo loletsa kudya mapiritsi a Actovegin ndi ana osaposa zaka 18 likupezeka kokha ku Kazakhstan pakati pa mayiko omwe kale anali USSR. Ku Russia, Ukraine ndi Belarus, mankhwalawa amavomerezedwa kuti agwiritsidwe ntchito mwa ana.

Actovegin jakisoni - malangizo ntchito

Mlingo ndi malamulo wamba ogwiritsira ntchito njira za Actovegin

Actovegin mu ampoules a 2 ml, 5 ml ndi 10 ml adapangira mabungwe oyang'anira - kutanthauza jekeseni wamkati, intraarterial kapena intramuscular. Kuphatikiza apo, yankho la ampoules limatha kuwonjezeredwa kumapangidwe opanga okonzekera kulowetsedwa ("dropers"). Mayankho a Ampoule ali okonzeka kugwiritsa ntchito. Izi zikutanthauza kuti safunikira kukhala osadulidwa, kuwonjezeredwa, kapena kukonzekera kuti agwiritse ntchito. Kuti mugwiritse ntchito mayankho, mumangofunikira kutsegula zochulukirapo ndikulemba zomwe zili mu syringe ya voliyumu yofunikira, kenako ndikupanga jakisoni.

Kuchulukitsa kwa gawo lomwe limagwira ntchito pazowonjezera za 2 ml, 5 ml ndi 10 ml ndizofanana (40 mg / ml), ndipo kusiyana pakati pawo kumangokhala m'chigawo chonse chogwira ntchito. Mwachiwonekere, kuchuluka kwathunthu kwa gawo kogwira ntchito kumakhala kochepa mu 2 ml ampoules (80 mg), pakati pa 5 ml ampoules (200 mg) ndi kuchuluka kwa 10 ml ampoules (400 mg). Izi zimapangidwa kuti zitheke kugwiritsa ntchito mankhwalawa, pomwe jakisoni mungofunika kusankha njira yokwanira yokhala ndi kuchuluka kwa yankho lomwe lili ndi kuchuluka kwa kuchuluka kwa mankhwala omwe adalembedwa ndi dokotala. Kuphatikiza pazinthu zonse zomwe zimagwira, palibe kusiyana pakati pa ma ampoules omwe ali ndi yankho la 2 ml, 5 ml ndi 10 ml.

Ampoules okhala ndi yankho amayenera kusungidwa pamalo amdima, amdima pamawonekedwe amlengalenga a 18 - 25 o C. Izi zikutanthauza kuti ma ampoules amayenera kusungidwa pabokosi lamakhadilo momwe adagulitsira, kapena kwina kulikonse. Mutatsegula ampoule, yankho lake liyenera kugwiritsidwa ntchito nthawi yomweyo, kusungirako kwake sikuloledwa. Simungagwiritse ntchito yankho lomwe lasungidwa kwakanthawi kwakanthawi, popeza ma virus atakhala m'malo mwake amatha kulowamo, zomwe zingaphwanye kusakhazikika kwa mankhwalawo ndipo zitha kuyambitsa mavuto pambuyo pobayidwa.

Njira yothetsera ma ampoules imakhala yotseka chikasu, kukula kwake komwe kumatha kukhala kosiyanasiyana m'magulu osiyanasiyana a mankhwalawa, chifukwa izi zimatengera mawonekedwe a chakudya. Komabe, kusiyana kwa kukula kwa mtundu wa yankho sikukhudza kutha kwa mankhwalawa.

Osagwiritsa ntchito yankho lomwe lili ndi tinthu tina, kapena mitambo. Njira yotereyi iyenera kutayidwa.

Popeza Actovegin angayambitse thupi lawo siligwirizana, tikulimbikitsidwa kuti muyambe jekeseni woyeserera musanayambe mankhwala mwa jekeseni wa 2 ml ya intramuscularly. Kupitilira apo, ngati kwa maola angapo munthu sanawonetsetse kuti alibe matendawa, chithandizo chitha kuchitika bwinobwino. Njira yothetsera vutoli imaperekedwa pa mlingo woyenera wa intramuscularly, kudzera m'mitsempha kapena kudzera m'mitsempha.

Ma Ampoules omwe ali ndi mayankho ali ndi malo abwino oti atsegule mosavuta. Vuto lakulowera ndi lofiirira owoneka bwino kumutu wakuthengo. Ampoules atsegule motere:

• Tengani zochulukazo m'manja mwanu kuti cholakwika chikhale (monga chikuwonekera pa Chithunzi 1),
• Dinani galasi ndi chala chanu ndikumugwedeza pang'ono kuti muwongolere mpaka pomwe pansi,
• Ndi zala zakumanja kwachiwiri, gawani nsonga ya chikwanje m'dera loti muchoke kwa inu (monga chithunzi Chithunzi 2).

Chithunzi 1 - Kutenga koyenera kwa mowonjezerapo ndi njira yopumira.

Chithunzi 2 -Kuphwanya koyenera kwa nsonga ya phokoso kuti uyitsegule.

Mlingo ndi njira ya makonzedwe a Actovegin amatsimikiza adokotala. Komabe, muyenera kudziwa kuti kuti mukwaniritse izi mwachangu, ndizotheka kuyendetsa njira za Actovegin kudzera kapena kudzera m'mitsempha. Achire pang'onopang'ono achire zotsatira zimatheka ndi mu mnofu makonzedwe. Ndi jakisoni wamitsempha, simungathe kuyendetsa zoposa 5 ml ya Actovegin yankho nthawi, komanso jakisoni wamkati kapena wamkati, mankhwalawa amatha kuperekedwera kuchuluka kwakukulu. Izi zikuyenera kuganiziridwa posankha njira yoyendetsera.

Kutengera ndi kuopsa kwa matendawa ndi kuuma kwa zizindikiro zamankhwala, 10 mpaka 20 ml ya yankho nthawi zambiri amayikidwa pa tsiku loyamba kudzera m'mitsetse kapena m'mitsempha. Kuphatikiza apo, kuyambira tsiku lachiwiri mpaka kumapeto kwa chithandizo, 5 mpaka 10 ml ya yankho limayendetsedwa kudzera m'mitsempha kapena 5 ml intramuscularly.

Ngati anaganiza zopereka kulowetsedwa kwa Actovegin (mwa njira ya “dontho”), ndiye 10 - 10 ml yankho kuchokera ku ma ampoules (mwachitsanzo, ma amposles 1-2 pa 10 ml iliyonse) amatsanulidwa mu 200 mpaka 300 ml ya yankho la kulowetsedwa (njira yamoyo kapena 5% shuga) . Kenako, yankho lake limayambitsidwa pamlingo wa 2 ml / min.

Kutengera mtundu wamatenda omwe Actovegin amagwiritsidwa ntchito, Mlingo wotsatira wa jekeseni pano ulimbikitsidwa:

• Kusokonezeka kwa mtima ndi mitsempha ya muubongo (craniocerebral trauma, kusakwanira kwa magazi m'thupi) - 5 mpaka 25 ml yankho patsiku amatumizidwa tsiku lililonse kwa masabata awiri. Mukamaliza maphunziro a jakisoni Actovegin sinthani kuti mugwiritse ntchito mapiritsi kuti mukhale ndi kuphatikiza zomwe zimatheka pochiritsa. Kuphatikiza apo, m'malo motembenukira ku mankhwala othandizira pama mapiritsi, mutha kupitiliza jakisoni wa Actovegin, ndikuyambitsa kudzera mu 5 mpaka 10 ml ya yankho katatu pamlungu kwa masabata awiri.
• Ischemic stroke - jekeseni Actovegin kulowetsedwa ("dontho"), ndikuwonjezera 20-50 ml ya yankho kuchokera ku ampoules mpaka 200-300 ml ya phineological saline kapena 5% dextrose solution. Pa mlingo uwu, kulowetsedwa kwa mankhwala kumathandizira tsiku lililonse kwa sabata limodzi. Kenako, mu 200 - 300 ml ya kulowetsedwa njira (saline kapena dextrose 5%), 10 - 20 ml ya Actovegin yankho kuchokera ku ampoules amawonjezeredwa ndikuyendetsedwa pa mankhwalawa tsiku lililonse m'njira ngati "otsika" kwa milungu iwiri. Mukamaliza maphunzirowa, "otsitsira" omwe ali ndi Actovegin switch kuti atenge mankhwalawo piritsi.
• Angiopathy (zotumphukira zamisempha ndi zovuta zawo, mwachitsanzo, zilonda zam'mimba) - jekeseni kulowetsedwa kwa Actovegin ("dontho"), ndikuwonjezera 20-30 ml ya yankho kuchokera ku ampoules mpaka 200 ml ya saline kapena 5% dextrose solution. Pa kumwa motere, mankhwalawa amawapaka tsiku lililonse kwa milungu inayi.
• Diabetesic polyneuropathy - Actovegin imayendetsedwa kudzera mu 50 ml ya yankho kuchokera ku ampoules, tsiku lililonse kwa milungu itatu.Akamaliza jakisoni, amasinthana ndi kutenga mapiritsi a Actovegin kwa miyezi inayi mpaka isanu kuti akhalebe achire.
• Kuchiritsa mabala, zilonda, kuwotcha ndi kuwonongeka kwina kwa khungu - jekeseni yankho la ma ampoules a 10 ml kudzera m'mitsempha kapena 5 ml intramuscularly kapena tsiku ndi tsiku, kapena katatu pa sabata, kutengera kuthamanga kwa chilema. Kuphatikiza pa jakisoni, Actovegin mu mawonekedwe a mafuta, kirimu kapena gel ingagwiritsidwe ntchito kupititsa patsogolo machiritso a bala.
• Kupewa komanso kuchiza kuvulala kwama radiation (munthawi ya radiation mankhwala a zotupa) pakhungu ndi mucous membrane - Actovegin imayendetsedwa 5 ml yankho kuchokera ku ampoules kudzera tsiku ndi tsiku, pakati pamagawo a radiation mankhwala.
• Chowonjezera cystitis - jekeseni 10 ml ya njira kuchokera ampoules transurethrally (kudzera urethra) tsiku lililonse. Actovegin pankhaniyi amagwiritsidwa ntchito limodzi ndi maantibayotiki.

Malamulo akukhazikitsa Actovegin intramuscularly

Intramuscularly, mutha kulowetsamo zosaposa 5 ml za mayankho munthawi imodzi, chifukwa mu kuchuluka kwa mankhwalawa kumatha kukhumudwitsa minofu, yomwe imawonetsedwa ndi kupweteka kwambiri. Chifukwa chake, pakukonzekera kwa intramuscular, ma ampoules okha a 2 ml kapena 5 ml a Actovegin solution ayenera kugwiritsidwa ntchito.

Kuti mupange jakisoni wamkati, muyenera kusankha gawo la thupi lomwe minofu imayandikira khungu. Madera oterewa ndi ntchafu yotsatira, yotsatira yachitatu ya phewa, pamimba (mwa anthu onenepa kwambiri), ndi matako. Kenako, dera lomwe thupi lomwe jakisalo limapangidwira limapukutidwa ndi antiseptic (mowa, Belasept, ndi zina). Zitatha izi, ma ampoule amatsegulidwa, yankho lake limatengedwa kuchokera mu syringe ndipo singano imatembenuzidwa mozondoka. Pukuta pansi pa syringe ndi chala chanu kulowera kuchokera pa pistoni kupita pa singano kuti muchepetse thovu m'makoma. Kenako, kuti muchotse mpweya, kanikizani syringe plunger mpaka dontho kapena kufinya kwa njira kuonekere kumapeto kwa singano. Pambuyo pake, singano ya syringe imakhala yowonekera mpaka pakhungu ndipo imalowetsedwa kwambiri mu minofu. Kenako, ndikakanikiza pisitoni, yankho lake limatulutsidwa pang'onopang'ono m'mimba ndipo singano imachotsedwa. Tsambalo la jakisoni limachiritsidwanso ndi antiseptic.

Nthawi iliyonse, malo atsopano amasankhidwa kuti apange jekeseni, yemwe amayenera kukhala 1 cm kuchokera kumbali zonse kuchokera pamabatani kuchokera kubayidwa kale. Osakola kawiri m'malo amodzi, ndikuyang'ana khungu lotsala mutabayidwa.

Popeza kuti jakisoni wa Actovegin ndi opweteka, ndikulimbikitsidwa kuti mukhale phee ndikudikirira mpaka ululuwo utachepera kwa mphindi 5 mpaka 10 pambuyo pa kubayidwa.

Actovegin yankho la kulowetsedwa - malangizo ogwiritsira ntchito

Mayankho a kulowetsedwa kwa Actovegin amapezeka mitundu iwiri - mu saline kapena dextrose solution. Palibe kusiyana pakati pawo, kotero mutha kugwiritsa ntchito mtundu uliwonse wa yankho lomalizidwa. Mayankho oterewa a Actovegin amapezeka m'mabotolo 250 ml mwanjira ya kulowetsedwa okonzekera (“dontho”). Njira zothetsera kulowetsedwa zimaperekedwa kudzera mu kukhuthala kwamkati ("dontho") kapena intraarterically ndege (kuchokera ku syringe, ngati intramuscularly). Kupaka jakisoni mu mtsempha kuyenera kuchitika pamlingo wa 2 ml / min.

Popeza Actovegin imatha kuyambitsa mavuto, tikulimbikitsidwa kupanga jakisoni wa mayeso asanachitike, komwe 2 ml yankho limayendetsedwa ndi intramuscularly. Ngati patatha maola angapo thupi siligwirizana, ndiye kuti mutha kupitiliza kukhazikitsidwa kwa mankhwalawa kudzera m'mitsempha kapena mu mafinya.

Ngati matendawo amawoneka mwa anthu pakugwiritsa ntchito Actovegin, ndiye kuti kugwiritsa ntchito mankhwalawa kuyenera kutha ndipo chithandizo chofunikira chokhala ndi antihistamines chiyenera kuyamba (Suprastin, diphenhydramine, Telfast, Erius, Cetirizine, Tsetrin, ndi zina).Ngati matupi awo sagwirizana kwambiri, ndiye kuti ma antihistamine okha sayenera kugwiritsidwa ntchito, komanso mahomoni a glucocorticoid (Prednisolone, Betamethasone, Dexamethasone, etc.).

Njira zothetsera kulowetsedwa zimapakidwa utoto wachikaso, mthunzi wake womwe ungakhale wosiyana pokonzekera ma batchi osiyanasiyana. Komabe, kusiyana koteroko pakukhudzika kwamtundu sikukhudza mphamvu ya mankhwalawa, chifukwa ndi chifukwa cha zida zopangira zomwe zimagwiritsidwa ntchito popanga Actovegin. Malangizo a Turbid kapena mayankho okhala ndi tinthu tating'onoting'ono totsika tulo sayenera kugwiritsidwa ntchito.

Kutalika konse kwa mankhwalawa nthawi zambiri kumakhala kwa 10 mpaka 20 infusions ("akutsikira") pa maphunzirowa, koma ngati ndi kotheka, nthawi yayitali ingakhale ndi dokotala. Mlingo wa Actovegin wa kulowetsedwa kwa kulowetsedwa kwamatenda osiyanasiyana munjira izi:

• Mavuto ozungulira ndi a metabolic mu ubongo (kuvulala kwamitsempha yamagazi, magazi osakwanira ku ubongo, etc.) - 250 mpaka 500 ml (mabotolo 1 mpaka 2) amatumizidwa kamodzi patsiku tsiku lililonse kwa masabata awiri mpaka anayi. Kupitilira apo, ngati kuli kotheka, pofuna kuphatikiza njira zochiritsira zomwe zapezedwa, amasinthira kumwa mapiritsi a Actovegin, kapena akupitiliza kuperekera vutolo mwakutsikira kwa 250 ml (botolo 1) kawiri pa sabata kwa masabata ena awiri.
• Acute cerebrovascular ajali (sitiroko, etc.) - jekeseni 250 - 500 ml (1 - 2 Mbale) kamodzi patsiku, kapena katatu pa sabata kwa masabata awiri mpaka atatu. Ndipo, ngati kuli kotheka, amasinthira kumwa mapiritsi a Actovegin kuti aphatikize othandizira.
• Angiopathy (kufalikira kwaziphuphu ndi zovuta zake, mwachitsanzo, zilonda zam'mimba) - 250 ml (1 botolo) amathandizidwa kamodzi patsiku tsiku lililonse, kapena katatu pa sabata kwa masabata atatu. Nthawi yomweyo ndi "dropers", Actovegin angagwiritsidwe ntchito kunja ngati mawonekedwe a mafuta, kirimu kapena gel.
• Diabetesic polyneuropathy - 250 mpaka 500 ml (1 mpaka 2 mbale) amathandizidwa kamodzi patsiku, kapena katatu pa sabata kwa masabata atatu. Chotsatira, amasintha kumwa mapiritsi a Actovegin kuti aphatikize othandizira.
• Trophic ndi zilonda zina, komanso mabala osakhalitsa osachiritsika amtundu uliwonse, amathandizidwa ndi 250 ml (botolo 1) kamodzi patsiku tsiku lililonse, kapena katatu pa sabata, mpaka bala la bala litachira kwathunthu. Imodzi ndi kulowetsedwa makonzedwe, Actovegin itha kupakidwa makamaka mu mawonekedwe a gel, kirimu kapena mafuta othamangitsira kuchiritsa mabala.
• Kupewa komanso kuchiza kuvulala kwama radiation (munthawi ya radiation mankhwala a zotupa) ndi pakhungu la mucous - jekeseni 250 ml (1 botolo) tsiku limodzi lisanayambike, kenaka tsiku lililonse munthawi yonse ya mankhwala a radiation, komanso sabata zina zowonjezera pambuyo gawo lomalizira.

Bongo

Mu malangizo aku Russia ogwiritsira ntchito, palibe zomwe zikuwonetsa kuthekera kwa kuchuluka kwa mitundu ya Actovegin. Komabe, mwa malangizo omwe avomerezedwa ndi Unduna wa Zaumoyo wa Kazakhstan, pali zisonyezo kuti mukamagwiritsa ntchito mapiritsi ndi mayankho a Actovegin, bongo lingachitike, womwe umawonetsedwa ndi kupweteka m'mimba kapena kuwonjezereka. Zikatero, tikulimbikitsidwa kusiya kugwiritsa ntchito mankhwalawa, kutsuka m'mimba ndikuwonetsa chithandizo chothandizira kukhalabe ndi magwiridwe antchito ofunikira a ziwalo ndi machitidwe.

Mankhwala osokoneza bongo a gel, kirimu kapena mafuta a Actovegin ndiosatheka.

Zokhudza mphamvu pakuwongolera njira

Palibe mtundu umodzi wa Actovegin (mafuta, kirimu, gel, mapiritsi, jakisoni ndi mayankho a kulowetsedwa) sizikhudza kuthekera koongolera njira, chifukwa chake, motsutsana ndi maziko ogwiritsa ntchito mankhwalawa mtundu uliwonse, munthu angagwire ntchito ina iliyonse mkulu anachita ndi chidwi.

Kuchita ndi mankhwala ena

Mitundu ya Actovegin yogwiritsira ntchito kunja (gel, kirimu ndi mafuta) sizimayenderana ndi mankhwala ena.Chifukwa chake, zitha kugwiritsidwa ntchito kuphatikiza njira ina iliyonse yoyendetsera pakamwa (mapiritsi, mapiritsi), ndikugwiritsira ntchito kwanuko (kirimu, mafuta, ndi zina). Pokhapokha ngati Actovegin amagwiritsidwa ntchito limodzi ndi othandizira ena (mafuta, mafuta, mafuta odzola, ndi zina), theka la ora liyenera kugwiritsiridwa ntchito pakati pa kugwiritsa ntchito mankhwalawa awiri, osasenda pambuyo pake.

Ma solutions ndi mapiritsi Actovegin nawonso samalumikizana ndi mankhwala ena, chifukwa chake amatha kugwiritsidwa ntchito ngati gawo la zovuta zovuta pogwiritsa ntchito njira zina. Komabe, ziyenera kukumbukiridwa kuti mayankho a Actovegin sangasakanizidwe mu syringe yomweyo kapena "dontho" lomwelo ndi mankhwala ena.

Mochenjera, mayankho a Actovegin ayenera kuphatikizidwa ndi potaziyamu, kukonza potaziyamu (Spironolactone, Veroshpiron, ndi zina) ndi ACE inhibitors (Captopril, Lisinopril, Enalapril, etc.).

Madokotala amawunika za Actovegin kudzera m'mitsempha kapena m'mitsempha

Valeria Nikolaevna, katswiri wa zamankhwala, ku St. Petersburg: "Nthawi zonse ndimapereka mankhwala kwa odwala malinga ndi momwe akuwonetsera. Mphamvu zabwino pamankhwala zimatsimikiziridwa ndi zotsatira za maphunziro a labotale. Chachikulu pakupangidwayi ndikutsimikiza mwanzeru, komanso kuti mankhwalawo sasintha kukhala achinyengo. "

Vasily Aleksandrovich, katswiri wamkulu, Saratov: "Ndikulembera majakisoni Actovegin kwa odwala amisinkhu yosiyanasiyana monga chithandizo cha matenda a shuga, mavuto ammagazi, ndi zotupa za pakhungu. Kuphatikiza apo, ndimalembera anthu okalamba omwe ali ndi matenda a dementia. Komanso, mankhwalawa ndiofunika kuti amenyedwe. Odwala amalekerera bwino mankhwalawa, ndipo sikuti ali ndi zotsutsana. Kugwiritsa ntchito Actovegin kumapereka zotsatira zabwino pakuthandizira anthu amisinkhu yakale. "