Matenda a shuga ndi chilichonse chokhudza izi

Masana abwino Anandiika Combilipen kuti azichiza neuralgia. Komabe, matenda anga akuluakulu ndi matenda ashuga. Kodi ndingamwe mankhwalawo ndi mankhwala ena nthawi imodzi?

Moni Tamara Nikolaevna! Combilipen ili ndi mavitamini a gulu B. Zotsatira zake zimawonetsedwa pakuchepetsa ululu ndi kutupa, kukonza kayendedwe ka magazi, ndi kuperekera kwa zokoka m'mitsempha ya mitsempha.

Zizindikiro za Combilipen kuphatikiza ndi neuritis, neuralgia, paresis ndi ululu wa radiculitis, myalgia. Mu shuga mellitus, mankhwalawa amagwiritsidwa ntchito pochiza polyneuropathy.

Mothandizidwa ndi thiamine, pyridoxine ndi cyanocobalamin, ululu wammbuyo umachepa komanso kumva kukhumudwa m'magawo am'munsi kumatha kubwezeretsedwanso, kusinthika kwa minofu pokhudzana ndi matenda am'mimba a shuga kumachitika mofulumira. Zotsatira za mankhwalawa zimatchulidwanso mu mitundu ina ya matenda ashuga polyneuropathy.

Kuti mupeze mphamvu yochulukirapo, Combilipen imagwiritsidwa ntchito kumayambiriro kwa mankhwala opangira intramuscular. Maphunzirowa amatenga masiku 7 mpaka 10, kenako mutha kupita ku fomu ya piritsi, ndikugwiritsa ntchito jakisoni kawiri pa sabata.

Mankhwalawa ndi othandizika komanso oleza mtima.

Zotsatira zoyipa, matupi a shuga ndi tachycardia amapezeka nthawi zambiri. Pa mankhwala ndi Combilipen, mowa uyenera kusiyidwa kwathunthu.

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
• 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:

• talcum ufa
• carmellose sodium
• sucrose
• cellulose
• povidone
• calcium owawa
• polysorbate-80.

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 zimayambitsa matenda osokoneza bongo komanso minyewa yotupa. 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 noradrenaline 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 mitsempha. 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 yam'mitsempha ndipo minofu yam'magazi imagwiritsidwa ntchito pochiza:

• matenda a musculoskeletal system,
• nkhope yamitsempha,
• neostgia neostgminal,
• polyneuropathies a chidakwa, 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.

Contraindication

Kuti mukwaniritse izi, jakisoni wa Kombilipen amakhala ndi zinthu zambiri zofunikira pazamoyo. Kuchuluka kwa mavitamini ena nthawi zina kumatha, kuwonjezera pa kuchiritsa, kuvulaza thupi. Iwo ali osavomerezeka kuti apereke mankhwala kwa odwala:

• pamaso pa mavitamini B,
• kulephera kwa mtima kapena
• thrombosis, thromboembolism.

Mlingo ndi makonzedwe

Mbale imodzi ya jakisoni imakhala ndi jakisoni wambiri (tsiku ndi tsiku) wa 2 ml. Momwe mungagwiritsire Combilipen kwa wodwala? Mankhwala kutumikiridwa kwambiri intramuscularly. Njirayi imapereka mawonekedwe a zinthu zofunikira kwambiri, zimachulukitsa zochita za mavitamini - potero zimayamwa. Ndi zizindikiro zazikulu, kupezeka kwa ululu sabata yoyamba, kuperekedwa kwa mankhwala tsiku lililonse kumayikidwa.

Pambuyo pakuwongolera vutoli, mlingo umachepetsedwa - jekeseni 2-3 pa sabata amapangidwa. Mitundu yofatsa yamatendawa, jakisoni amatchulidwa m'masiku atatu kwa masiku 7-10. Kutalika kwa nthawi ya jakisoni sikuyenera kupitirira masiku 14. Kuphatikiza kwama regimen ndi kutalika kwa nthawi ya maphunzirowa kumatsimikiziridwa ndi dokotala. Pambuyo masiku 10-14 a jakisoni, amatha kupatsa piritsi.

Malangizo apadera

Kugwiritsa ntchito mankhwala Combilipen sikulimbikitsidwa kwa anthu omwe akukhudzidwa ndi njira zomwe zimafunikira chidwi kapena kuthana msanga. Izi ndizowona makamaka mafakitale owopsa kuti apewe mwayi wovulaza wodwala. Ndikofunikira kusiya kuyendetsa galimoto mutamwa mankhwalawo, chifukwa zotsatira za mankhwalawa zimachepetsa zomwe driver amayendetsa.

Pa nthawi yoyembekezera

Malangizowa ali ndi machenjezo okhudza kugwiritsa ntchito jakisoni wa Kombilipen pa nthawi yoyembekezera komanso mkaka wa m'mawere. Izi zikufotokozedwa ndi kuthekera kwa mayamwidwe a zinthu ziwiri zamagulu amkaka pakudyetsa mwana wakhanda kapena malowedwe a zinthu zomwe zimagwira mwa placenta. Kuganizira kwambiri za jakisoni wa ku Combilipen kumatha kuvulaza thupi kapena kulimbikitsa kukula kwa mwana wosabadwayo.

Muubwana

Zotsatira za mankhwala Combilipen zimaphatikizapo ubwana ndi unyamata. Simungathe kupereka mankhwala kwa ana chifukwa chazomwe zili ndi zakumwa za benzyl. Palibe chidziwitso pazophunzirira pazakhudzidwa ndi mankhwalawa pa thupi la ana, motero kumwa mankhwalawa sikulimbikitsidwa chifukwa choopsa chovulaza mwana.

Kuyanjana kwa mankhwala osokoneza bongo

Asanapange majekeseni, dokotala amafunsa wodwalayo za kupezeka kwa matenda osatha komanso kugwiritsa ntchito mankhwalawa - mankhwalawa amatha kuyanjana ndi zinthu zina ndikuwonjezera kawopsedwe awo kapena kuchepetsa njira zochizira. Chonde dziwani:

1. Vitamini B1 amawola kwathunthu mothandizidwa ndi oxidizing othandizira (sulfites), phenobarbital, riboflavin.
2. Mavitamini a Gulu B ndi mankhwala a Levodopa, omwe amapatsidwa matenda a Parkinson, amachepetsa kuchiritsa kwa wina ndi mnzake.
3. Vitamini B12 sigwirizana ndi mafuta amchere achitsulo ndi ascorbic acid.
4. Copper imathandizira kuwonongeka kwa vitamini B1.

Kuyamwa kwa mowa

Amachepetsa kwambiri kuyamwa kwa thiamine (Vitamini B1), motero, mutamwa jakisoni wa Combiben, kugwiritsa ntchito zakumwa zoledzeretsa ndizoletsedwa. Simungatenge nthawi yomweyo jakisoni wa mankhwala ndi mankhwala omwe amakhala ndi ethyl mowa. Kuphatikizikako kumachepetsa mphamvu ya mankhwala Combilipen pamthupi la wodwalayo.

Zotsatira zoyipa

Jakisoni wa Kombilipen alibe zinthu zomwe zingavulaze thupi la wodwalayo, koma zinthu zampweya zomwe zingapangitse kuyankhidwa kwa thupi kukhala:

• mawonekedwe a matupi awo sagwirizana (kuyabwa, urticaria, kupuma movutikira, mantha anaphylactic, Quincke edema),
• tachycardia kochokera mu mtima
• matenda a metabolic (thukuta kwambiri, ziphuphu zakumaso, hyperhidrosis),

Bongo

Pali milandu pamene, pakubweretsa jakisoni, zoyipa za mankhwalawa sizinawoneke poyamba, ndipo zimachitika ndi kuchuluka. Odwala omwe ali ndi bongo wambiri, amatha kuwona mawonekedwe a kuyabwa, urticaria, zotupa za pakhungu, thukuta kwambiri, chizungulire, mseru, kusanza, komanso kusinthasintha kwa mtima. Muzimutsuka zam'mimba nthawi yomweyo, kakhazikitsidwe makala, ndikufunsani dokotala kuti akupatseni chithandizo chamankhwala.

Mapiritsi a jakisoni Combilipen amapangidwa ndi bungwe la Pharmstandard la mumzinda wa Ufa. Pamafesi, mutha kugula zofanana ndi zina mwa mankhwala omwe amapezeka pamakampani azachipatala monga Vitagamm ndi Trigamm. Mwa mankhwala achilendo, Neurorubin (dziko lopanga - Norway), Neurobion (dziko lopanga - Germany) ndi Milgamm (dziko lopanga - Austria) ali ndi zofanana. Mankhwala achilendo amasiyana ndi jakisoni wa ku Combilipen pamtengo wokwera kwambiri.

Mtengo wa Combilipen

Jekeseni waku Combilipen adalandira ndemanga zabwino zokhudzana ndi kuphatikiza kwamtengo wotsika komanso njira yothandizira. Mtengo wa mankhwalawa umatengera ndondomeko yamitengo ya makeke ndi ma CD. Mitengo ya mankhwalawa ku pharmacies ku Moscow imawonetsedwa patebulo:

Mumtsempha wa mnofu

Kombilipen, 5 ampoules

Kombilipen, 10 ampoules

Nkhope yanga idandipweteka kwambiri. Dokotalayo adazindikira kuti ali ndi vuto la trigeminal neuralgia ndipo adapereka jekeseni wa Combilipen. Patsiku lachitatu, ululu udayamba kufooka ndikuzimiririka tsiku lakhumi pomaliza maphunziro. Ndinadabwitsanso kuti ndidachiritsidwa mwachangu. Dokotalayo anachenjeza kuti ziwengo ndizotheka, koma zonse zidandiyendera.

Ndili ndi osteochondrosis ndipo adokotala adandipangira jekeseni wa Combilipen kwa masiku 10. Lero ndi tsiku lachitatu ndipo sindingathe kupirira. Chizungulire komanso kufooka zimandizunza kwambiri, ndimaganiza kuti zitha, koma vuto langali limangokulirakulira. Tsiku loyamba sindinkagwira ntchito bwino, ndipo lero ndizovuta kuyenda. Ndadziletsa jakisoni ndekha, mawa ndipita kwa adotolo kuti ndikapange nthawi yatsopano.

Msana wanga ukupweteka. Ndinapita kwa adotolo, ndipo analimbikitsa jakisoni wa Kombilipen. Pambuyo pa masiku khumi akuthandizidwa, adayamba kumva bwino. Ndinadabwa kwambiri. Nditamaliza jakisoni, ndidazindikira kuti tsitsi langa, khungu ndi misomali zikhala bwino. Mawa ndifunsa adotolo momwe mungagwiritsire ntchito mankhwalawa. Ndidakonda zotsatira.

Kupanga ndi mawonekedwe a kumasulidwa

Njira "Kombilipen" zimapangidwa m'mitundu iwiri: yankho ndi mapiritsi. Kapangidwe ka yankho limaphatikizapo zigawo zikuluzikulu: thiamine hydrochloride, pyridoxine hydrochloride, lidocaine hydrochloride ndi cyanocobalamin. Zowonjezera ndi sodium hydroxide ndi madzi oyeretsedwa apadera. Piritsi limodzi mumakhala zinthu: pyridoxine hydrochloride, cyanocobalamin ndi benfotiamine. Zowonjezera: sucrose, povidone, cellcrystalline cellulose. Mapiritsiwo amapezeka pamatumba ndipo amakhala m'mabokosi. Njira yothetsera vutoli imakhala mu 2 ml ampoules, omwe ali pabokosi lamatoni.

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

Limagwirira ntchito ya Combilipene mu shuga

Pogwiritsa ntchito thiamine hydrochloride, ndizotheka kudyetsa maselo amitsempha ndi glucose. Kuchepa kocheperako kumabweretsa mkwiyo ndi kukula kwa mitsempha, zomwe zimayambitsa zovuta muntchito yawo. Gawo lotsatira lothandizira - pyridoxine hydrochloride imatha kusintha kagayidwe kachakudya kagayidwe kachakudya. Cyanocobalamin imathandizira kuphatikizika kwa ma nikic acid ndipo imathandizira kukonza minofu.

Mankhwala "Kombilipen": kapangidwe ndi mawonekedwe a kumasulidwa

Mankhwalawa amapezeka m'mitundu iwiri. Nthawi zambiri, madokotala amapatsa odwala mapiritsi. Mapiritsi oyera ndi biconvex. Zomwe zikuluzikulu pano ndi mavitamini a B, kuphatikizapo benfotiamine (piritsi limodzi - 100 mg ya mankhwala), pyridoxine hydrochloride (100 mg), komanso cyanocobalamin (2 μg). Carmellose, sucrose, talc, povidone, calcium stearate, microcrystalline cellulose, ndi polysorbate amagwiritsidwa ntchito ngati othandizira.Kuphatikiza apo, mankhwalawa "Combilipen" amapangidwa mwanjira ya jekeseni wa pinki wa jakisoni. Ampoules amakhala ndi 2 ml yamadzimadzi, ndipo 1 ml ya mankhwalawa imakhala ndi 50 mg ya thiamine hydrochloride, 50 mg ya pyridoxine hydrochloride, komanso 10 mg ya lidocaine ndi 500 μg ya cyanocobalamin. Njira yothetserayi ilinso ndi mowa wa benzyl, sodium tripolyphosphate, potaziyamu hexacyanoferrate, sodium hydroxide ndi madzi oyeretsedwa a jekeseni.

Zothandiza zimatha mavitamini

Si chinsinsi kuti mavitamini ndi zinthu zofunika kwambiri kwa thupi. Kukhala ndi zochita zachilengedwe, amatenga nawo gawo pafupifupi mu zochita zonse za metabolic, kuonetsetsa kuti ziwalo zina zikuyenda bwino. Ichi ndichifukwa chake madokotala nthawi zambiri amapereka mankhwala "Combilipen" kwa odwala. Kuunika kwa akatswiri kukuwonetsa kuti mankhwalawa alidi ndi zotsatira zabwino paumoyo wathanzi. Makamaka, vitamini B1 imakhudzidwa ndi kukhudzidwa kwa mitsempha. Vitamini B6 ndiyofunikira pakubadwa kwachilengedwe. Amatenga nawo mbali machitidwe a hematopoiesis, amapereka mapangidwe a catecholamines, komanso amawongolera magwiridwe antchito amkati ndi zotumphukira zamanjenje. Vitamini B 12 ndiyofunikira pakapangidwe ka myelin ndi ma nucleotide. Imathandizanso kupanga magazi komanso kuonetsetsa kuti thupi likukula.

Zizindikiro zogwiritsidwa ntchito

Nthawi zambiri, mankhwalawa amagwiritsidwa ntchito mu zamakono zamakono. Makamaka, imayikidwa kwa odwala omwe ali ndi trigeminal neuralgia. Chizindikiro chovomerezeka ndi polyneuropathies ochokera kumayendedwe osiyanasiyana, kuphatikizapo omwe amaphatikizidwa ndi matenda osokoneza bongo a shuga komanso uchidakwa. Mankhwalawa amathandizanso kutsitsa zizindikiro zazikuluzikulu za kutupa kwa mitsempha ya nkhope. Imathanso kuthana ndi kupweteka komwe kumachitika ndi matenda osiyanasiyana amsana, kuphatikizapo radicular syndrome, neostgia neuralgia, etc.

Mankhwala "Combilipen" (mapiritsi): malangizo ogwiritsira ntchito

Zachidziwikire, adokotala okha ndi omwe angalimbikitse munthu kuti amwe mankhwalawa. Kupatula apo, ndi katswiri yekha yemwe ali ndi maluso ofunikira kuti athe kudziwa bwino kuchuluka kwa nthawi ndi nthawi ya mankhwalawa pogwiritsa ntchito mankhwala "Combilipen Tabs". Malangizo ogwiritsira ntchito pano ndiosavuta: muyenera kungotenga piritsi limodzi katatu pa tsiku. Mankhwalawa amamwa bwino kwambiri mukatha kudya. Njira ya chithandizo, monga lamulo, sichidutsa milungu inayi. Mu zovuta zambiri, mapiritsi amaphatikizidwa ndi kuphatikizika kwa mankhwala. Wodwala m'njira zina, wodwalayo amapatsidwa 2 ml yankho kawiri kapena katatu pa sabata (maphunzirowa amatenga masiku pafupifupi 10). M'mavuto akulu, mkati mwa sabata loyamba, odwala amapatsidwa mitundu yambiri ya mankhwala tsiku lililonse kenako amachepetsa mlingo. Kutalika kwa mankhwalawa kumatsimikiziridwa payekhapayekha, koma, monga lamulo, sizidutsa milungu iwiri.

Mankhwala "Combilipen": ndemanga ya odwala ndi madokotala

Ndemanga za mankhwalawa zabwino. Madokotala amawona kuti mankhwalawa ndi ofunikira pakuchiza matenda amitsempha, ndipo nthawi zina amalimbikitsa ndi kufooka kwa thupi. Odwala amadziwa kuti jakisoni siwowawa, ndipo zotsatira zake zimawoneka nthawi yomweyo. Njira yothetsera vutoli sikuti imathandizanso kugwira ntchito kwamanjenje, koma, chifukwa cha zomwe zili lidocaine, imathandizanso kupweteka. Zopindulitsa zimaphatikizapo mtengo wotsika - ma analogu otchuka a mankhwala ndiokwera mtengo kuwirikiza kawiri.

Malangizo ogwiritsira ntchito

Yankho la Kombilipen limapangidwira makonzedwe amkati. Mlanduwu ukamadzawonetsa matendawa mwamphamvu, jakisoni wamkati amaperekedwa kwa masabata awiri sabata iliyonse. Kenako, mankhwalawa amachepetsedwa 2 pa sabata. Malangizo a mankhwalawa amakhala kwa masiku 14. Ngati matendawa apezeka modekha, jakisoni amapatsidwa nthawi ziwiri pa sabata kwa masiku 7. Ponena za mapiritsi a Kombilipen, amayenera kuledzera atatha kudya, kutsukidwa ndi madzi ambiri. Ambiri mapiritsi 3 kamodzi pa tsiku. Kutalika kwa mankhwalawa komanso kuchuluka kwa mankhwalawa kumayikidwa ndi adokotala okha.

Mankhwala opanga muyezo waukulu sangathe kugwiritsidwa ntchito kuposa mwezi umodzi. Ndiye kuti mankhwalawo amachepetsedwa kapena amwe mankhwala ena.

Zotsatira zoyipa

Malangizo ogwiritsira ntchito "Combibipen" adanena kuti makamaka mankhwalawa amathandizidwa ndi odwala ndipo samayambitsa mavuto. Pazochitika zina, odwala amadziwa momwe izi zimayambira:

• kuyabwa ndi kuwotcha khungu,
• urticaria
• kudzikuza,
• kusokonezeka kwa mtima
• zotupa pakhungu,
• thukuta kwambiri.

Mitu ya mankhwalawa

M'makeke a pharmacy, kusankha kwa mitundu yambiri yamavuto am'mankhwala kumapangidwa. Komabe, ena aiwo alibe mawonekedwe ofanana ndi a Combilipen. Ichi ndichifukwa chake ndizoletsedwa kwathunthu kusintha pawokha mankhwala omwe adokotala adapereka kuti akhale analogue. Kudzichitira nokha mankhwala kumakhala kovulaza thanzi. Analogue yotchuka kwambiri yoperekedwa ndi madokotala kwa odwala omwe ali ndi matenda ashuga ndi Milgamm. Mankhwalawa ali ndi kachitidwe kena kofananira pa thupi, monga "Combilipen". Koma kumbukirani kuti gulu lamapiritsi awa ndiwokwera.

Kusunga ndi kugulitsa

Kuti mugule pa Combilipen pharmacy chain, mungafunike mankhwala kuchokera kwa dokotala yemwe ali wovomerezeka ndi chidindo chake. Chovomerezeka kusunga mankhwalawo mwanjira yankho m'chipinda, zizindikiro za kutentha zomwe sizidutsa digrii 8. Mankhwalawa amasungidwa pamapiritsi pamtunda womwe sudzapitirira 25 digiri. Zogulitsa zamankhwala ziyenera kukhala m'chipinda chouma, momwe angafikiridwe ndi ana komanso kuwala kwa dzuwa. Ndizololedwa kupulumutsa chinthucho osaposa zaka ziwiri kuchokera tsiku lopanga, zomwe zikuwonetsedwa pamakatoni. Tsiku lotha ntchito litatha, kumwa mankhwalawo nkoletsedwa, chifukwa izi zingawononge thanzi lanu.

Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?

Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.

Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa matenda ashuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda a shuga omwe alipo masiku ano. Werengani nkhani >>

Zomwe zimapangitsa kuti jakisoni azigwira bwino komanso momwe thupi limakhudzira

Mililita imodzi yamadzi a jakisoni ali ndi:

• thiamine (vitamini B-1) - 100 mg,
• pyridoxine (vitamini B-6) - 100 mg,
• cyanocobalamin (vitamini B-12) - 1 mg,
• lidocaine wa - 20 mg.

Mwanjira zina zowonjezera pakupanga Combilipene momwe amapangira jekeseni wamadzi, timagwiritsa ntchito:

1. mowa wa benzyl
2. sodium hydroxide
3. sodium tripolyphosphate,
4. sodium hexacyanoferrate,
5. madzi a jakisoni.

Thiamine amathandizira kuyendetsa kwathunthu zamitsempha mu mankhwala. Komanso, gawo ili limakonda kusamukira kwa shuga mu ma cell a minyewa yamanjenje. Kuphatikiza apo, mankhwalawa amakhudzidwa ndimayendedwe a metabolic, monga chakudya, mafuta ndi metabolism ya protein. Gawoli ndilofunikira kwambiri kuchitira bongo, limathandizira kusintha kwa magwiridwe antchito aubongo. Amatenga nawo mbali pokhalitsa moyenera ntchito zam'thupi.

Mothandizidwa ndi pyridoxine, ma acid a nucleic amapangidwa bwino, kuphatikizika kwa mapuloteni ndi mafuta ndizofanana. Izi zimakhudzidwa ndikupanga norepinephrine ndi adrenaline, komanso zimathandizira kukonza kayendedwe kazinthu zomwe zimapezeka mu nembanemba yamitsempha ya sphingosine. Kuphatikiza apo, zimakondweretsa kutembenuka kwa tryptophan kukhala niacin.

Kwa anthu omwe ali ndi matenda a shuga, vitamini B-6 amathandizira kuwongolera kuchuluka kwa shuga m'magazi. Zimathandizira kuchepetsa kufunika kwa insulin. Pachifukwa ichi, odwala matenda ashuga ayenera kuonana ndi dokotala nthawi zonse asanamwe mankhwala okhala ndi pyridoxine. Ngati mankhwala oterowo ndi mankhwala, muyenera kuyang'anitsitsa kuwerenga kwa shuga m'magazi.

Cyanocobalamin imagwira nawo mwachangu njira ya hematopoietic, mapangidwe a minyewa yamanjenje, ndikupanga DNA. Kuchuluka kwokwanira m'thupi kumapangitsa kugwira ntchito kwa mtima, mitsempha yamagazi ndi mitsempha, komanso momwe khungu limagwirira ntchito komanso momwe magayidwe am'mimba amagwirira ntchito. Kuphatikiza apo, vitamini B-12 amawongolera kukhoza kukhazikika, kukumbukira mwachangu zambiri.

Gawoli limathandizira kuti kayendedwe kazachilengedwe zizigwira ntchito, komanso limatha kupewa kupangika kwa machitidwe a matenda. Zimathandizanso kuyang'anira zakumaso, kuthetsa nkhawa zamavuto ndi mantha okwanira. Amayi asanafike nthawi yotsatira ya msambo kumathandizira kupewa ndikuchepetsa chizindikiro cha premenstrual syndrome.

Lidocaine, yomwe ndi gawo la yankho la jakisoni, amathandizanso kupweteka kwambiri, amalimbikitsa kusintha kwa vasodilation komanso kuthamanga kwa mayendedwe a vitamini.

The mapiritsi

Piritsi limodzi lili ndi izi:

• 100 mg benfotiamine (analogue yosungunuka ya vitamini B 1),
• 100 mg Vitamini B-6
• 2 mg ya vitamini B-12.

Zotsatirazi zinagwiritsidwa ntchito ngati zowonjezera pakupanga ma Combilipen Tabs:

• carmellose sodium
• povidone
• cellcrystalline mapadi,
• calcium owawa
• polysorbate 80,
• sucrose (shuga wonenepa).

Chigoba cha mapiritsiwo chimapangidwa ndi zinthu zotere:

• hypromellose (hydroxypropyl methylcellulose),
• macrogol
• povidone
• titanium dioxide
• talcum ufa.

Pazomwe zimayikidwa

Mankhwala amamulembera wodwalayo zinthu monga izi:

1. Mowa ndi matenda ashuga a polyneuropathy. Poyerekeza ndi maziko a matendawa, pali kuphwanya ntchito kwa zotumphukira zamitsempha, kuwoneka kwa kufooka kwa minofu, kuchepa kwa chidwi ndi magwiridwe antchito a tendons. Kulandila kwa Combibipen amadziwika kuti ndi gawo limodzi la chithandizo chokwanira, chomwe chimatanthawuza chithandizo chokhala ndi ma tridclic antidepressants, othandizira okhala ndi thioctic acid.
2. Neuralgia m'mitsempha ya trigeminal. Matendawa amawonekera mu mawonekedwe a paroxysmal akuwonetsa ululu mu zigawo za kanthawi kochepa, kozungulira, kutsogolo ndi maxillary. Ululu umayamba chifukwa cha kufooka kwa mitsempha ndi kuwonongeka kwa chidziwitso cha mawonekedwe a mitsempha motsutsana ndi maziko a chifuwa chachikulu, zoopsa, matenda a kutupa kapena chikhalidwe. Amupatseni mankhwala monga mbali yovuta kuthandizira. Mankhwala, mankhwala osakhalitsa, maphunziro a anti-kutupa ndi analgesic ndi mankhwala. Mankhwala owonjezera, amodzi mwa mankhwalawa amalembedwa, omwe ali ndi mavitamini a B (kuphatikiza Combilipen).
3. Kutupa m'mitsempha yamaso. Zomwe zimayambitsa matendawa zimakhala mu hypothermia, kuwonongeka kwa mtima wamitsempha yamagazi (atherosulinosis of the vertebral artery). Komanso, gwero la vutoli limatha kutulutsa khutu ndi zolakwika za nkhope, ma neoplasms mu ubongo. Muzochitika zotere, njira yolumikizira chithandizo imafunikira nthawi zonse, komanso kuphatikiza ndi mankhwala akuluakulu (glucocorticoids, mankhwala osokoneza bongo, analgesics), Kombilipen adalembedwa ngati yankho la jakisoni wambiri.
4. Chithandizo cha kupweteka kwambiri motsutsana ndi matenda oopsa a msana.

Kuphatikiza pa ma pathologies omwe ali pamwambapa, Combilipen adalembera zochizira:

• matenda m'khosi ndi m'mapewa (owonetsedwa ndi osteochondrosis mu ma disc a intervertebral disc),
• kuwukira kwa ululu m'dera lodziwika bwino (zomverera zowawa zimawonekera chifukwa cha kudina kwa mizu mu mzere wa msana),
• intercostal neuralgia (pali kugonjetsedwa ndi kuphwanya kwa zolingana ndi mitsempha yolandirira).

Malamulo ogwiritsira ntchito

Mitundu yonse yamatenda amitsempha yamagazi imaphatikizanso kugwiritsa ntchito Combilipen pazomwe achirewo mpaka sabata limodzi. Ngati mankhwalawa amatchulidwa ngati jakisoni wa mu mnofu, 2 ml ya mankhwalawa imaperekedwa tsiku lililonse. Ngati pakufunika thandizo, njira yochizira imapitilira kwa masiku 14. Izi zikutanthauza kumayambiriro kwa mankhwalawa limodzi mlingo wina 6 nthawi yopuma pakati pa jakisoni kwa masiku awiri.

Nthawi zina, wodwalayo amatha kusamutsidwa kuti alandire Combilipen mwanjira ya mapiritsi. Izi ndichifukwa cha chithandizo.

Kutalika kwa nthawi yovomerezeka komanso njira zochiritsira ziyenera kutsimikiziridwa ndi dokotala, kukumbukira zomwe zimachitika ndi matenda, komanso momwe thupi limayankhira zotsatira za mankhwalawa.

Zoletsa ntchito

Monga mankhwala aliwonse, Combilipen ali ndi zotsutsana zina kuti azigwiritse ntchito. Kugwiritsa ntchito mankhwalawo ndizoletsedwa ngati matenda a mtima wapezeka kapena atsimikiziridwa kale. Choyamba, zimakhudza kulephera kwamtima.

Ndikofunika kuti musagwiritse ntchito Combilipen kwa azimayi panthawi yoyembekezera komanso poyamwitsa. Vitaminiyu mu mawonekedwe a jakisoni wotsekemera amakhala ndi benzyl mowa, chifukwa chake amatsutsana kuti agwiritsidwe ntchito ndi odwala osakwana zaka 18.

Palinso choletsa china chilichonse chogwiritsidwa ntchito ndi Combilipen - kukhalapo kwa tsankho kwa chinthu chilichonse cha mankhwalawa.

Zotsatira zoyipa

Ngati simungatsatire malangizo azachipatala komanso kugwiritsa ntchito Combilipen pafupipafupi, pali mwayi wokhala ndi matchulidwe omwe amatsutsa. Munthawi ya chithandizo ndi wothandizirayu, mapangidwe a machitidwe oyipa amtunduwu adalembedwa:

• kutentha thupi
• ziphuphu zakumaso,
• kulimbitsa khungu kosalekeza,
• Edema ya Quincke (imayamba pamtunda wapansi, pa nembanemba ya mucous),
• anaphylaxis (thupi siligwirizana kwa mtundu wofulumira, momwe mumawoneka ma puffness, mkwiyo wa pakhungu, kupuma movutikira).

Komanso, zomwe wodwalayo amachita zomwe zimachitika ku Combilipen zimatha kudziwonetsa mu mawonekedwe a hyperhidrosis (thukuta lomwe limakulirakulira) ndi tachycardia (mavuto amuyeso wamtima). Ngakhale m'dera la jakisoni, nthawi zina mutha kuwona kutanthauziridwa.

Zizindikiro zopitilira muyeso

Mukapitilira muyeso wa mankhwalawa, pali mwayi wopanga zovuta zingapo. Pankhaniyi, wodwalayo angadandaule za zomwe zimachitika:

1. chizungulire
2. mkhalidwe wopweteketsa
3. kusokonezeka kwa chikumbumtima
4. Kusokonezeka kwa ntchito zamtima (arrhythmia kapena bradycardia),
5. akukumbutsa.

Ngati chimodzi mwazizindikiro zomwe tatchulazi zapezeka, chithandizo ndi Combilipen chikuyenera kusiya. Pankhaniyi, mudzayeneranso kukaonana ndi dokotala kuti athe kusintha njira zochizira. Momwemonso, adokotala amafotokoza chithandizo cha matenda, poganizira zomwe zimayambitsa.

Momwe limalumikizirana ndi mankhwala ena

Popeza Kombilipen nthawi zambiri imayikidwa ngati gawo la zovuta mankhwala, ndikofunikira kulingalira momwe imagwirizanirana ndi mankhwala ena kuti asavulaze thupi kapena kuchepetsa mphamvu ya mankhwalawa.

Ngati mukufunika kugwiritsa ntchito nthawi yomweyo ndi Levodopa (wolembedwa kwa anthu omwe akudwala matenda a Parkinson), muyenera kukumbukira kuti kuphatikiza uku kumathandiza kuchepetsa kuchiritsa kwa pyridoxine yomwe ili ku Combilipen.

Kugwiritsanso ntchito kwa Combilipen ndi mankhwala otere kumatsutsana:

• mankhwala azitsulo zolemera - kusagwirizana ndi cyanocobalamin,
• Mercury chloride, carbonate, iodide, acetate, gland-ammonium citrate, tannic acid chifukwa chosagwirizana ndi vitamini B-1,
• zinthu zomwe zimakhala ndi mkuwa ndi sulfite zothetsera, monga zimawononga thiamine.

Komanso, musatenge Riboflavin mogwirizana ndi Combilipen.

Zomwe zikuchitika kuti, pazifukwa zilizonse, chithandizo ndi Combibipen sichingatheke, wothandizila wina wovuta wa multivitamin akhoza kuyikidwa, womwe umapangitsa chidwi ndi gawo logwira ntchito kapena momwe limakhudzira thupi. Zoterezi, angalandire phwando:

• Milgamma
• Oligima
• Duovita
• Multimax
• Pikovita
• Pentovita
• Ma Tabulo Ambiri
• Multivita
• Hexavita
• Complivita
• Folibera
• Gendevita
• Revita
• Unigamm
• Neurogamma
• Polybion,
• Macrovita
• Heptavitis.

Mtengo wa mankhwala

Mutha kugula othandizira a multivitamin awa m'masitolo ogulitsa mankhwala. Mtengo wa Kombilipen monga njira yothetsera jakisoni ndi pafupifupi ma ruble 260 pa 10 ampoules a 2 ml. Bokosi lomwe lili ndi ma ampoules 5 limawononga pafupifupi ma ruble 160.

Mtengo wa mankhwalawa m'mapiritsi ndi ma ruble pafupifupi 320-360 pabokosi lililonse ndi ma 30 ma PC, ndipo mukapaka ma pc 60 mumalipira ma ruble 550.