Kodi ndingatenge Actovegin ndi Milgamm nthawi imodzi?

Mexicoidid ndi Actovegin adalembedwera kwambiri ndi akatswiri amisala ndi othandizira pazinthu zosiyanasiyana za ubongo ndi zotumphukira (mitsempha yam'mimba ndi miyendo), nthawi zambiri kuphatikiza.

Mankhwala

• Mexicoidol ndi mankhwala okhala ndi zochita za antioxidant kwenikweni. Izi zikutanthauza kuti zimalepheretsa kupangika kwa poizoni wa ma cell aubongo (ma neurons) - ma radicals aulere - mikhalidwe ya kuchepa kwa mpweya. Kuphatikiza apo, mankhwalawa amagwira ntchito ngati antihypoxant - amathandizira kuperekera ndi kumwa kwa mpweya ndi maselo amitsempha, nootropic - imasintha njira zamaganizidwe ndi kukumbukira, zimachepetsa kukokana, zimachepetsa nkhawa, ndikuwonjezera kukana kwa ma neurons kumitundu yosiyanasiyana yowonongeka.
• Actovegin adapangidwa ngati zolimbikitsa minofu kusinthika chifukwa amalimbikitsa kuchiritsa kwa zotupa zosiyanasiyana za pakhungu. Pakadali pano, mawonekedwe awogwiritsa ntchito apita kwambiri kuposa chithandizo cha zovuta zamakina pakhungu. Mankhwalawa amalimbikitsa kumwa kwa minofu, kumathandizira kuyendetsa shuga ndikuwonetsetsa kuti akugwiritsidwa ntchito mokwanira, kusintha magazi ndikuyenda m'mitsempha yaying'ono, ndikuteteza ma neurons kuti asawonongeke. Chifukwa cha njirazi, kukana kwa maselo ku njala yachilengedwe kumachulukitsidwa ndipo chiwopsezo cha zovuta kuchokera ku ubongo ndi mitsempha yomaliza ku matenda a shuga chimachepa.

• kuvulala kwa ubongo (mikwingwirima, mikangano),
• stroke - kufa kwa gawo lina laubongo chifukwa cha kuthamanga kwa magazi,
• ischemia (kusowa kwa magazi) mu ubongo ndi minofu ya mtima,
• kusokonezeka kwa dongosolo la ziwonetsero zamagetsi, zomwe zimakhudza ziwalo zamkati, zomwe zimawonetsedwa ndi kutsika kwa mtima, kupweteka kwa mtima, kukokana kwam'mimba, kugunda kwamantha,
• mankhwala osokoneza bongo ochizira matenda amisala,
• kusokonezeka kwa malingaliro ndi magalimoto motsutsana ndi maziko a kusiya mowa,
• nkhawa ndi nkhawa, kupsinjika,
• purulent-yotupa njira mu kapamba ndi peritoneum,
• zovuta zoyambirira za kuloweza.

• sitiroko
• kuvulala kumutu
• kukumbukira osasamala, chisamaliro, zochitika zamaganizidwe osiyanasiyana zovuta,
• kuphwanya kwazungulira (kufinya kwamitsempha yamagazi m'miyendo),
• zilonda, zipsera, zilonda za pakhungu,
• matenda ashuga polyneuropathy (kuwonongeka kwa mathero a mitsempha ndi shuga wambiri).

Contraindication

• matenda owopsa aimpso ndi kwa chiwindi,
• nthawi ya bere ndi kuyamwitsa,
• zaka zosaposa 18 zaka
• munthu osalolera mankhwala.

• mtima ndi impso ntchito.
• Hypersensitivity mankhwala
• pulmonary edema,
• kuchuluka kwa madzi mthupi,
• osakwana zaka 18.

Kutulutsa mawonekedwe ndi mtengo

• tabu. 125 mg, 30 ma PC. - 281 p.,
• mapiritsi a 125 mg, 50 ma PC. - 387 p.,
• ma ampoules 5% 5 ml, 5 ma PC. - 471 p.,
• amp. 5% 2 ml, ma PC 10. - 504 p.,
• amp. 5% 5 ml, 20 ma PC. - 1654 p.,
• amp. 5% 2 ml, 50 ma PC. - 2004 tsa.

• 200 mg mapiritsi, 50 ma PC. - 1525 p.,
• ma ampoules 4% 2 ml, 25 ma PC. - 1504 p.,
• amp. 4% 5 ml, 5 ma PC. - 620 p.,
• amp. 4% 10 ml, ma PC. - 1184 tsa.

Zomwe zili bwino: Actovegin kapena Mexicoidol?

Mankhwala osokoneza bongo amasiyana kwambiri pamlingo. Actovegin ndi bwino kutengera zotumphukira, chifukwa mexidol imakhudzanso kuthamanga kwa magazi mu ubongo. Actovegin ndi mankhwala osankhira a:

• kuwonongeka kwa mafuta m'deralo kapena makina pakhungu,
• kukhumudwa kwambiri,
• matenda ashuga polyneuropathy.

Mexicoid akulangizidwa kutsatira ngati:

• mtima ischemia
• micros-vascular dystonia - VVD (discoordination of the autonomic mantha system),
• pachimake purulent zikhalidwe za m'mimba,
• Poizoni wa antipsychotic mankhwala ogwiritsidwa ntchito pochiza matenda amisala,
• uchidakwa wambiri,
• nkhawa zochulukirapo
• mavuto.

Imagwira pang'onopang'ono komanso pang'onopang'ono kuposa Actovegin. Komabe, jakisoni, onse a mankhwalawa amagwira ntchito mwachangu komanso moyenera, makamaka akaperekedwa.

M'pofunikanso kuganizira kuti Mexicoidol imaphatikizidwa pakubala, ndipo Actovegin imaloledwa (malinga ndi mgwirizano ndi adokotala omwe akupezekapo).

Actovegin kapena Mexicoidol: ndibwino kwa osteochondrosis

Funso la zomwe zili bwino ndi osteochondrosis - Actovegin kapena Mexicoidol - limapezeka nthawi zambiri. Matenda a msana, mankhwalawa amaperekedwa kuti akonze zovuta zamitsempha: kukakamira kwa mizu ya mitsempha ndi ma disc a intervertebral, vertebrae iwo eni ndi zida zoyandikana. Zikakhala zotere, chisankhochi chiyenera kuyimitsidwa ku Actovegin, chifukwa chimagwira pamizere ya mitsempha, ndikuwadyetsa, komanso pazotengera zotumphukira zomwe zimapereka msana. Komeridol, kumbali yake, imakhudza minyewa yamanjenje mwachindunji, komanso kwakukulu osati paripheral, koma pa dongosolo lamanjenje lamkati: ubongo ndi msana.

Kugwirizana kwaexidol ndi Actovegin

Kukonzekera kwa minyewa imeneyi nthawi zambiri kumayendetsedwa nthawi imodzi, chifukwa ndizogwirizana komanso zimakwaniritsa bwino zochizira zomwe zimachitika wina ndi mnzake. Anthu ambiri ali ndi chidwi ndi funsoli: kodi ndizotheka kumwa mapiritsi nthawi yomweyo ndikulowa Actovegin ndi Mexicoidol mu dropers?

Mexicoidol imagwiritsidwa ntchito kwambiri munthawi yovulala kwambiri komanso kuvulala kwamatumbo, kuphatikiza Actovegin nthawi zambiri imalembedwa, chifukwa mankhwala amodzi sangapereke chiyeso chokwanira munthawi zovuta ngati izi. Komanso, kuphatikiza kwa mankhwalawa kumagwira ntchito mu:

• shuga mellitus, pamene ubongo umakhudzidwa nthawi yomweyo (diabetesic encephalopathy) ndi zotumphukira zamitsempha (polyneuropathy),
• Dystonia yamasamba, yowonekera kwambiri chifukwa cha mantha,
• ischemia ya mtima ndi ubongo, zomwe nthawi zambiri zimawonedwa mophatikiza.

Kugwiritsa ntchito mankhwala paliponse kuli ndi zinthu zingapo zomwe zimayambitsa mafunso osiyanasiyana mwa odwala. Kodi ndizotheka kuphatikiza kumwa mapiritsi a Actovegin ndi Mexicoidol munthawi yake kapena ndikufunika kumwa mankhwala amodzi kaye, kenako ndikudikirira kanthawi kenakake? Mutha kumwa nawo limodzi: sizidzafooketsa zomwe zimachitika wina ndi mnzake ndipo sizichulukitsa chiopsezo chatsoka. Kodi mankhwala amtundu umodzi ndi wina akhoza kubayidwa nthawi yomweyo? Jakisoni wa Actovegin ndi Mexicoidol amatha kuperekedwa nthawi yomweyo, mu ma syringe osiyanasiyana. Kodi mayankho osakanikirana a Mexicoidol ndi Actovegin mu dontho limodzi? Koma izi siziyenera kuchitika, zoletsa kuphatikiza mankhwala awiri kapena angapo mu botolo limodzi zimakhudza mankhwala ambiri.

Odwala amakonda kudziwa momwe angagwiritsire ntchito Actovegin ndi Mexicoidol kuphatikiza, makamaka ngati mankhwala wachitatu ndi omwe amafanizidwa limodzi. Tiyeni tiwone zina mwa njira zomwe angapangire kusankhidwa kwawo.

Actovegin, Mexicoidol, Mildronate

Kuphatikiza kumeneku nthawi zambiri kumapangidwira kwa ischemia yamatumbo, zotsatira za stroko ndi kuvulala. Mankhwala onse amaperekedwa koyamba ndi jakisoni, pali zosankha zosiyanasiyana. Mwachitsanzo, Mexidol ndi Actovegin amayendetsedwa ndi intramuscularly, ndipo Mildronate amayendetsedwa ndi minyewa. Kapena Montidol mu dontho, ndi zothetsera zina kumenyera mu mtsempha. Njira ya jakisoni amatha masiku 10 mpaka 14, kenako amasinthana ndi kutenga mapiritsi, ndipo m'malo mwa kufinya, makapisozi. Ndi kuphatikiza uku, nthawi zambiri mumayenera kusintha mankhwalawa - kukonzekera kwamitsempha yambiri nthawi imodzi sikuvomerezedwa bwino nthawi zonse. Ndikofunikanso kulingalira kuti ngati vuto la intracranial likuwonjezeka chifukwa cha kuvulala kwa ziwalo zam'kati mwa matenda a msana, ndiye kuti Mildronate sangagwiritsidwe ntchito.

Actovegin, milgamm ndi mexidol - malangizo a mankhwala

Kuphatikiza kofananako kumagwiritsidwa ntchito kwambiri pothandizira matenda a osteochondrosis, matenda ashuga polyneuropathy, ndi matenda aubongo. Nthawi zambiri amayamba ndi maphunziro a jakisoni a masiku khumi. Momwe mungagwiritsire ntchito jakisoni a Actovegin ndi Mexicoidol? Mankhwalawa akhoza kuperekedwa kudzera m'mitsempha kapena mu mnofu. Milgammu - kokha intramuscularly. Njira ya chithandizo imapitilizidwa piritsi, nthawi zambiri kuyambira 1 mpaka 3 months. Kuphatikizidwa uku kumadziwika ngati kulimbana kwakanthawi kokwanira, popeza mapuloteni a Actovegin nthawi zambiri amayambitsa chitetezo cha mthupi ndipo mavitamini a B omwe amapezeka m'matumbo amachititsanso chifuwa nthawi zambiri.

Ndemanga za Actovegin

• mwachangu mawonekedwe
• mkulu waluso matenda a chapakati komanso zotumphukira mantha dongosolo,
• Kutheka kwa ntchito pa mimba ndi mkaka wa m`mawere.

• mtengo wokwera
• pafupipafupi chitukuko cha thupi lawo siligwirizana.

Kutengera ndemanga, nkovuta kunena momveka bwino kuti ndi mankhwala ati othandiza kwambiri. Izi mwina zikuchitika chifukwa cha kusazindikira kwamphamvu kwa anthu pazinthu zomwe zimagwiritsidwa ntchito ndi mankhwala ena ake. Odwala ambiri amadziwa kuti Actovegin "akuphatikizidwa ndi ntchitoyi" ndipo imawonetsa mofulumira kuposa Montidol. Mosakayikira, titha kunena kuti tikayerekezera mitengo ya Actovegin ndi Mexicoidol, chomalizirachi ndichopezeka mosavuta, makamaka ngati kayendetsedwe ka maphunziro ndikofunikira. Mexidol imapindulanso pakulekerera, popeza kugwiritsidwa ntchito sikumayambitsa zotsatira zoyipa.

Zochita Actovegin

Antihypoxant. Zimakhala ndi phindu pa kayendedwe ndi kagwiritsidwe ntchito ka glucose ndi oxygen. Zimathandizira kukulitsa kukopa kwa ATP, ADP, phosphocreatine, GABA. Zimakhudzanso njira ya glucose oxidation ndi ntchito ya insulin. Amachepetsa kuopsa kwa kusokonezeka kwa chidwi, amathandizira kukonza bwino kwamaganizidwe. Ntchito mankhwalawa odwala matenda ashuga polyneuropathy.

Machitidwe a Milgamm

Kuphatikizikako kumaphatikizapo mavitamini a neurotropic a gulu B. Amakhala ndi mphamvu ya analgesic, amasintha mapangidwe amkati a magazi ndi ma cellcirculation, amakhala ndi matenda amanjenje. Ndikulimbikitsidwa kuchotsedwa kwa njira yotupa m'matenda otupa komanso osachiritsika omwe ali ndi mkhutu wamitsempha yamagetsi (kuphatikizapo osteochondrosis).

Milgamm imakhala ndi mavitamini a neurotropic a gulu B.

Zizindikiro zogwiritsidwa ntchito munthawi yomweyo

Kuphatikizana kwa mankhwala kumalimbikitsidwa ngati:

• trigeminal neuralgia,
• kagayidwe kazakudya ndi mtima,
• matenda ashuga polyneuropathy,
• zakumwa zoledzeretsa,
• sitiroko
• radiculopathies a magwero osiyanasiyana,
• masisitomala akumamva, etc.

Kuphatikiza apo, imagwiritsidwa ntchito mu gynecology pamagawo okonzekera ndi kuchititsa kutenga pakati.

Momwe mungatenge Actovegin ndi Milgamm?

Amapezeka mu mapiritsi ndi njira zovomerezeka. Atha kuperekedwa kudzera pakamwa kapena kholo.

Tiyenera kukumbukira kuti akapatsidwa ma jakisoni ndi ma infusions, Actovegin sangathe kutumizidwa nthawi yomweyo ndi mankhwala ena. Chifukwa chake, ndi zovuta zovuta, amathandizidwa ndi ma syringe osiyanasiyana.

Chiwembu ndi kutalika kwa mankhwalawa zimatengera mtundu wamatenda ndi kuuma kwa chithunzichi, chifukwa chake, akuyenera kuwonetsa dokotala payekhapayekha.

Zotsatira zoyipa

Pakukonzekera mankhwala osokoneza bongo, mawonekedwe osagwirizana a thupi amatha kuwoneka ngati:

• zotupa pakhungu,
• kutupa
• khungu hyperemia,
• mankhwalawa.

Kodi ndizotheka kutenga Actovegin ndi Mildronate nthawi imodzi? Werengani apa.

Khludeeva S.A., psychotherapist, Novosibirsk.

Mankhwala abwino. Amagwiritsidwa ntchito mu zovuta kuchitira kupsinjika ndi kutengeka kwamaganizo. Zotsatira zoyipa ndizochepa. Odwala ena amadandaula za kupweteka mkati mwa jakisoni wa mu mnofu.

Arthur, wazaka 45, Kazan.

Chaka chatha, chifukwa cha zovuta za mwendo, ndinayenera kupita kwa dokotala wamitsempha. Dokotalayo adapereka maphunziro a jekeseni wa mu mnofu wa Milgamm ndi Actovegin. Mankhwalawa anali othandiza. Pamodzi ndi zowawa m'miyendo, zizindikiritso za zotupa zimatuluka. Kuti mukhalebe achire, mankhwalawa amayenera kubwerezedwa miyezi isanu ndi umodzi iliyonse.

Milgamm ndi mowa

Simungamwe mowa panthawi ya mankhwala ndi milgamm. Mowa wa Ethyl umapangitsa kuti mavitamini B asamamwe. Pakumwa mowa limodzi ndi mankhwala osokoneza bongo, sipangakhale zochizira.

Kugwiritsidwa ntchito kolumikizana kwa zinthu kumatha kusokoneza chiwindi, mtima ndi mitsempha yamagazi. Ngati mumamwa mapira ndi mowa nthawi yomweyo, muyenera kuyembekezera mavuto onse omwe mankhwalawo amapezeka nawo:

• Kuphwanya kowoneka bwino kwamgwirizano,
• Mutu wowawa
• Chizungulire chowonekera,
• Kugona ndi kutopa,
• Kupweteka ndi kulemera m'khosi, kumtunda ndi m'munsi.

Mothandizidwa ndi milgamma komanso mowa, wodwala amatha kukumbukira. Milgamm imakhala ndi lidocaine wa. Zokongoletsa za komweko sizogwirizana ndi mowa.

Milgamma ndi mankhwala osapweteka a anti-yotupa

Madokotala ku Chipatala cha Neurology Chipatala cha Yusupov amapanga chithandizo chovuta cha ululu wokhala ndi mankhwala osokoneza bongo a anti-yotupa:

Pazovuta za odwala omwe ali ndi ululu wam'mapapo, mavitamini a B amagwiritsidwa ntchito kwambiri, omwe ali ndi mitundu yambiri ya ma neurotropic (thiamine, pyridoxine, cyanocobalamin). Zili mu kukonzekera kwa milgamm. Mukamagwiritsa ntchito mankhwalawa, sikuti kuphatikiza kwa okhazikika omwe amalepheretsa, koma matumbo amanjenje amabwezeretsedwanso, njira za metabolic mu myelin sheph ya mizu yamitsempha zimasinthidwa.

Thiamine (Vitamini B₁) ndi coenzyme mu zochita za oxidative decarboxylation a α-ketoglutaric ndi pyruvic acids, amatenga nawo gawo pazochitika za kupanga mapuloteni komanso njira zobwezeretsanso minyewa yowonongeka. Chifukwa cha izi, thiamine imayendetsa njira zamagetsi zamagetsi mu zotumphukira zamitsempha yamagazi, zimathandizira njira yobwezeretsa njira zikagonjetsedwa.

Pyridoxine (Vitamini B₆) amatenga nawo mbali pa decarboxylation ndi transamination wa amino acid mu zotumphukira mantha dongosolo, nawo mbali mapuloteni synthesis. Kukhazikitsidwa kwake kwa analgesic mphamvu ya cyanocobalamin ndi pyridoxine. Mavitamini amenewa amathandizira kuti njira zobwezeretsanso mavuto zikuluzikulu za mitsempha zowonongeka, zomwe zakhala zikuponderezedwa kapena ischemia, zitha kuchititsa kuti mankhwala omwe si a antiidal.

Therapy yokhala ndi milgamma imabweretsa mpumulo wammbuyo wama radicularular komanso imapereka zotsatira zabwino. Kugwiritsa ntchito nthawi imodzi milgamma ndi mankhwala omwe si a antiidal anti-yotupa kumachepetsa nthawi yamankhwala ndikuchepetsa kufunika kowonjezereka kwa mankhwala opweteka. Kuphatikiza mankhwala kumatenga nthawi ya chikhululukiro mu gawo lalikulu la odwala omwe ali ndi ululu wammbuyo komanso compression radiculopathy.

Mayankho a mafunso oleza mtima

Kodi ndizotheka kubaya ma mile komanso ma milegma nthawi imodzi? Mankhwala onse awiriwa sayenera kusakanikirana mu syringe yomweyo. Momwe mungabaye milgamm ndi movalis? Mankhwala amathandizidwa ndi intramuscularly, makamaka m'malo osiyanasiyana a thupi.

Momwe mungayikitsire diclofenac ndi milgamm? Mutha kudula diclofenac ndi milgamm palimodzi ndi syringe yotsalira. Jekeseni wotsatira ndi bwino kuchitidwa kwina.

Diclosan ndi milgamma angagwiritsidwe ntchito nthawi imodzi. Madotolo amapereka milgamm mu mawonekedwe a yankho kapena mapiritsi. Njira yothetsera jakisoni imayendetsedwa intramuscularly, mapiritsi amayenera kumwa m'mawa mutatha kudya, kumwa madzi ambiri. Diclosan gel osakaniza ali ndi akupanga zitsamba.Amamugwiritsa ntchito pakhungu ndi wochepa thupi wosanjikiza ndi massaging zofewa katatu patsiku.

Kodi ndizotheka kumamenya milgamm ndi voltaren limodzi? Saloledwa kuyambitsa milgamm ndi voltaren mu syringe yomweyo. Mukamapangira zovuta mankhwala, mankhwalawa amaperekedwa nthawi yomweyo, koma amafunikira kutumizidwa mosiyanasiyana.

Kodi Mexicoidol ndi Milgamm amakhazikitsidwa chimodzimodzi? Maloidol ndi milgamm ndi mankhwala omwe amatha kugwiritsidwa ntchito nthawi imodzi, popeza machitidwe a wina amathandizira zotsatira za enawo. Iliyonse ya mankhwalawa imaperekedwa mwa mitundu iwiri yotulutsidwa: jakisoni ndi mapiritsi. Madokotala pachipatala cha Yusupov payekhapayokha amakhazikitsa njira yochizira wodwala aliyense.

Kodi ndizotheka kugwiritsa ntchito milgamma ndi kufatsa limodzi? Milgamma ndi mankhwala, omwe amaphatikiza mavitamini a gulu B. Mildronate ndi mankhwala omwe amasintha kagayidwe. Ndi kuphatikiza kwa milgamma ndi kufewetsa, kulumikizana sikumachitika.

Momwe mungatenge mapiritsi a milgamma ndi glycine? Mapiritsi a Milgamm ayenera kumwedwa m'mawa ndi madzi ambiri. Glycine iyenera kuyikidwa pansi pa lilime ndikusungunuka.

Kombilipen ndi milgamm - pali kusiyana kotani? Ngakhale kuti mapangidwe a mankhwalawa ndi ofanana, mawonekedwe awagwiritsidwe ntchito ali osiyanasiyana. Milgamma imagwiritsidwa ntchito pochiza matenda amitsempha ndi neuralgia yamavuto osiyanasiyana, kuchotsa kwa radicular syndrome kumagwiritsidwa ntchito pochizira myalgia, retrobulbar neuritis, paresis ya nkhope yamitsempha yam'maso ndi matenda a herpesvirus. Combilipen imagwiritsidwa ntchito pochiza trigeminal neuralgia, polyneuropathy, yomwe imapezeka mwa odwala matenda a shuga komanso anthu omwe amamwa mowa kwambiri. Mankhwala ali ndi analgesic kwambiri chifukwa cha kutupa kwamitsempha yama nkhope, ma cellular neuralgia, lumbar ischialgia. Madokotala pachipatala cha Yusupov amapereka mankhwala amtundu wina uliwonse womwe ungakhale wothandiza kwambiri pochiza matenda enaake.

Milgamma, midocalm komanso mankhwala osapatsirana a antiidal

Pamaso pa kupweteka kwambiri, komwe kumayendetsedwa ndi kuphipha kwamkati mwa minofu, madokotala amatulutsa mankhwala a milgamm pamodzi ndi mankhwala osokoneza bongo a midocalm komanso sanali antiidal. Milgamm ili ndi mavitamini a B, imabwezeretsa kuchepa kwawo mthupi, imakhala ndi mphamvu ya analgesic. Midokalm ndimatenda apakati opuma. Mankhwalawa amathandizanso kuphipha kwa minofu. Mankhwala osagwirizana ndi antisteroidal omwe ali ndi anti-yotupa, analgesic ndi antiplatelet.

Mu mitundu yovuta ya mankhwalawa limodzi ndi milgamma ndi midocalm amaphatikiza mankhwala omwe si a antiidal anti-yotupa monga movalis, diclofenac. Kuphatikiza mankhwala kumakupatsani mwayi woletsa kupweteka, kuchepetsa nthawi yamankhwala. Ngati mankhwala onse atatu amagwiritsidwa ntchito ngati jakisoni, ogwira ntchito zachipatala amasonkhanitsa yankho mu syringe zosiyanasiyana. Majakisoni amachitika m'timabowo ndi m'mapewa.

Kodi ndimankhwala ati omwe angasankhe, madokotala pachipatala cha Yusupov amasankha payekhapokha atatha kupima wodwalayo. Madokotala a zaubongo amatengera kuopsa kwa matendawa. Kukhalapo kwa contraindication kugwiritsa ntchito mankhwala ena, kuyenderana ndi kuyanjana kwamankhwala. Pezani kufunsa kwa dokotala pakupanga nthawi yoonana ndi foni. Chipinda cholumikizirana kuchipatala cha Yusupov chimatsegulidwa mozungulira nthawi yonseyo kwa masiku 7 pasabata.

Malangizo apadera

Tolperil amatsutsana panthawi yoyembekezera komanso yoyamwitsa. Ngati pakufunika izi, ndiye kuti kuyamwitsa kuyenera kuyimitsidwa, ndipo mwanayo asamutsidwe kuti adyetse kusakaniza kwake. Ponena za kutenga pakati, apa maubwino omwe mayi ali nawo ayenera kupitilira chiwopsezo cha mwana wosabadwayo.

Kapangidwe ka mapiritsi ndi mayankho a jakisoni kumaphatikizapo lidocaine. Ndipo izi zikutanthauza kuti musanagwiritse ntchito ndikofunikira kuyeserera koyesa kwa lidocaine wa. Kupanda kutero, kumwa mankhwalawa kumayambitsa mavuto ambiri. Jekeseni wa jekeseni wovomerezeka kuti athandize ana osaposa zaka 14 - mapiritsi okha ndi omwe angagwiritsidwe ntchito pa izi.

Popeza tolperil imatha kufooka kwambiri minofu, munthawi ya chithandizo muyenera kusamala kwambiri mukamayendetsa galimoto ndikugwiritsa ntchito njira.

Kuchita ndi mankhwala ena

Ngati wodwalayo amatenga nthawi yomweyo nifluminic acid akamakonzekera ndi tolperil, ndipo ndi gawo limodzi la mankhwala monga donalgin, niflugel, nifluril, ndiye kuti mlingo wawo uyenera kuchepetsedwa ndi theka, popeza tolperil imathandizira zotsatira za donalgin ndi mankhwala ofananawo.

Mapiritsi a Tolperil alibe mphamvu zoyeserera. Izi zimaperekedwa mu malangizo ogwiritsa ntchito. Ndipo izi zikutanthauza kuti zitha kugwiritsidwa ntchito limodzi ndi mankhwala ena osokoneza bongo, osokoneza bongo, komanso osokoneza bongo.

Palibe chidziwitso chokhudzana ndi kuyanjana ndi mankhwala ena.

Jakisoni wabwino kwambiri wa osteochondrosis wamchiberekero

Osteochondrosis wam'kati mwa khomo lachiberekero ndi njira yotupa: kuwonongeka kwa ma disc, ma vertebrae, mafupa. Ngati matendawa ali pachiwopsezo choyambirira cha chitukuko, kuti kuthetseratu kwathunthu, ndikokwanira kuchiza zisonyezo za cervical osteochondrosis ndi jakisoni ndikuti mupewe opaleshoni ndikuwona nthawi yoyipa yophwanya. Kugwiritsa ntchito mankhwala osokoneza bongo kumachitika katatu kuposa kuchitidwa opaleshoni, koma dokotala amachenjeza kuti jakisoni wa mankhwala ndi nkhani yoposa tsiku limodzi. Ndipo njira ya chithandizo nokha ikuyenera kuchitika kwathunthu: musati musokoneze mukangomva kufooka kwa ululu m'khosi (izi sizitanthauza kuti kuchira kwabwera).

Zomwe zimayambitsa matenda a khomo pachibelekeropo

Osteochondrosis ya msana samamera nthawi imodzi - izi ndizofunikira kumvetsetsa panthawi yoletsa kuphwanya mukufunsidwa. Ndipo chododometsa chotupa mkati mwa khomo lachiberekero sichitha. Ma harbinger oyamba a matendawa akuyenera kukhala chizindikiro kuti zolakwika zina zomwe mumapanga tsiku ndi tsiku.

Zifukwa zazikulu zomwe zimatsogolera pakupanga kwa osteochondrosis:

• Zakudya zopanda pake - kugwiritsa ntchito mafuta ndi mafuta, kukonzedwa kwa mashuga. Zolakwika zomwe zalembedwa muzakudya zimakhala ndi maziko owopsa - sizibweretsa phindu kwa thupi (musazidyetse ndi zofunikira), koma nthawi yomweyo zimayimitsa kupanga kwa thupi kwa zinthu zofunika. Mwachitsanzo, mankhwala oyengedwa amasokoneza kupanga chondroitin, hyaluronic acid, collagen, elastin. Izi ndizofunikira pachiwonetsero cha matenda a vertebrae. Kuperewera kumayambitsa kusokonezeka kwa metabolic ndi kukula kwa osteochondrosis,
• onenepa kwambiri. Zomwe zimagawika katundu mosiyanasiyana pamsana, kupindika kwamitsempha yamagazi ndikosakwanira kwa magazi ku ziwalo (kuphatikizapo ubongo),
• kuphwanya kaimidwe mu mawonekedwe osiyanasiyana - scoliosis, Lordosis,
• rheumatism chikhululukiro, phazi lathyathyathya,
• pantchito,
• pafupifupi kusowa kwathunthu zolimbitsa thupi,
• kuvulala khosi, kuvulala msana,
• kuchita masewera olimbitsa thupi mopitirira malire
• kukhalabe m'malo opanikizika.

Matendawa mu 30% ya milandu imayamba chifukwa cha cholowa cham'tsogolo komanso malingaliro osagwirizana pachitukuko cha khosi lachiberekero.

Matendawa amawonekera pang'onopang'ono, chifukwa chake amatha kupezeka ngakhale mutangoyang'anira thanzi lanu. Kukhazikika kwa zovuta mkati mwa khomo lachiberekero kumatha kumveka ndi izi:

1. Mutu wa paroxysmal, wowotcha. Kusintha kwachilendo kumatha kukhala kosiyana: mwa odwala ena amagogoda mkati mwa akachisi, kenako amapita kumbuyo kwa mutu mu mawonekedwe osokoneza. Ena amakhala ndi zowawa mkati mwa dera la parietali lomwe limafikira kumutu wonse.
2. Ululu m'khosi, mapewa.
3. Kuyesa kufooka m'manja.
4. Mdima pamaso pa maso, tinnitus, ntchentche zowalira, chizungulire, mavuto amaso ndi kumva.
5. Zikwangwani zomveka zotsatana zimatembenuka. Kuphatikiza apo, pali ululu, kumverera kwa khosi lolimba.
6. Kugwira ntchito mopitirira muyeso, kufooka kwathunthu.
7. Kuyanjana kwamphamvu, kusakhazikika.

Kuphatikiza apo, zovuta zimabuka ndi kutanthauzira (mawu a wodwalayo amakhala opendekera), kugona pang'ono kwa lilime, komwe kumakhala kovuta kutchula mawu.

Mankhwala

Kutupa kochulukira mkati mwa khomo lachiberekero kumadziwika ndi kusokonekera kwa ziwalo zingapo komanso minofu imodzi nthawi imodzi. Chifukwa chake, adotolo amatipatsa mankhwala omwe amalumikizana, kukulitsa mankhwala ena a pharmacokinetics. Kupindulitsa kwake kumachitika nthawi yomweyo pamitsempha yamanjenje, minyewa ya mafupa, mtima ndi mitsempha ya magazi.

Dokotala yekha ndi amene amatsimikiza pulogalamu yochizira ndikusankha kuti ndi majekisheni a osteochondrosis a khomo lachiberekero omwe angagwire bwino ntchito inayake. Cholinga cha mankhwala ndikukwaniritsa zotsatirazi:

• mankhwala oletsa kukomoka
• analgesic kwenikweni
• machitidwe abwino
• kukhumudwitsa anthu
• kuchepa kowoneka bwino kwa zotupa,
• kuthetsa kuchitapo kanthu.

Pulogalamu yayikulu yothandizira imaphatikizapo kuikidwa kwa mankhwala otsatirawa kuti athandizire kulimbitsa thupi ndi magwiridwe antchito:

1. Analgesics. Pali njira zingapo zothandizira kupumula kwamankhwala oyambitsa ululu. Ma painkiller angathandize kuchepetsa mawonetseredwe a cervical osteochondrosis: chithandizo ndi jakisoni, paravertebral blockade imakhala yopindulitsa. Kwa izi, kuphatikiza kwa ma analgesics okhala ndi mahomoni a adrenal amagwiritsidwa ntchito. Vitamini B12 imaphatikizidwanso mu kachipangizo kamankhwala.
2. Jekeseni wa khomo lachiberekero la osteochondrosis, lomwe limayendetsedwa ndi minofu yayikulu kwambiri, yokhala ndi minyewa yopumulira. Tolperisone ndi tizanidine nthawi zambiri amaperekedwa kuti apumule mopitirira.
3. Kuphatikiza pa mankhwala omwe atchulidwa, Actovegin amagwiritsidwa ntchito. Cholinga chachikulu cha mankhwala ndikuwonjezera mphamvu zametabolism. Ndi kukhazikitsidwa kwa Actovegin, odwala amathandizidwa ndi chizungulire chopitilira, chomwe, pamlingo wodandaula ndi khomo lachiberekero la khomo lachiberekero, chikhala pamalo achiwiri pambuyo pa ululu. Ngakhale achire a mankhwalawa adatsimikizika, madokotala samapereka mankhwala ena mwanjira ina - yankho limaperekedwa pamodzi ndi chithandizo chamankhwala cha osteochondrosis. Amakanizidwa kuyesa kuchotsa chizungulire mwa njira za anthu.
4. Kuti muthane kuphipha kwa minofu ndipo munthawi yomweyo mukwaniritse zotsatira za analgesic, minyewa yopumulira minyewa ndi yopumulira imayikidwa. Maphunziro apfupi amachokera ku benzodiazepine ndi othandiza. Ambiri achire Mlingo zotchulidwa Diazepam, Clonazepam.
5. Mwa jakisoni wofunsidwa kwa khomo lachiberekero, madokotala nthawi zina amaphatikizapo Berlition. Amakamba za lipoic acid kukonzekera. Mankhwalawa sagwiritsidwa ntchito mosiyana, koma monga othandizira pa chithandizo chokwanira cha pathogenetic. Cholinga chachikulu chokhazikitsidwa ndi Berlition ndikuwongolera kagayidwe kazinthu zama cell, kusintha kayendedwe ka axonal, ndikumachepetsa nkhawa za oxidative, kulumikiza ma radicals aulere. Kuimitsa kaphatikizidwe kake ndikuchepetsa ntchito ya makutidwe ndi okosijeni kumabwezeretsa maselo.
6. Vitamini Therapy. Jekeseni wa osteochondrosis wamchiberekero msana kumayambitsa kuyambitsa kwa mavitamini - onse padera komanso monga gawo la mankhwala. Mavitamini a B ali ndi zotsatira zabwino pamikhalidwe ndi luso la magwiridwe antchito a mitsempha. Kuphatikiza apo, kuchuluka kwa kayendedwe ka magazi kamakonzedwa, mankhwala ochita kupanga amaperekedwa. Mavitamini B1 (thiamine) ndi B6 (pyridoxine) amathandizira kagayidwe kazakudya zama protein, opatsirana kagayidwe kachakudya. Mankhwala othandizira Vitamini amawongolera kuthamanga ndi mtundu wa njira za metabolic m'njira zamakonzedwe osiyana komanso monga mbali ya mavitamini okhala ndi mavitamini a B (Milgamma, Combilipen). Vitamini B12 (cyanocobalamin) amachepetsa kwambiri kupweteka chifukwa cholimbikitsa kagayidwe kachakudya kagayidwe kachakudya. Milgamm imakhala ndi lidocaine wa. Mankhwala amachepetsa ululu ndi jekeseni wamitsempha.

Chifukwa chake, ntchito yayikulu ya njira yochiritsidwira yothetsera imathetsedwa - kupereka phindu pamapangidwe a thupi.

Mankhwala osakhala a steroid

Cholinga chachikulu cha pulogalamu yothandizirayi ndikutsitsimutsa kupweteka. Pachifukwa ichi, odwala amapatsidwa jekeseni wa cervical osteochondrosis wa mankhwala omwe si a antiidalidal anti-kutupa (NSAIDs). Ali m'gulu la mankhwala othandiza kwambiri (kupatsidwa mphamvu yawo ya analgesic).

Malinga ndi pharmacokinetics of NSAIDs, zochitika za cycloo oxygenase (COX) zimaponderezedwa, chifukwa chomwe kuphatikiza kwa ma prostaglandins, ma prostogia ndi thromboxanes amaletsa. Izi zimachitika osati chifukwa chazithandizo zazikulu zokha, komanso mavuto.

Pakadali pano, mitundu iwiri ya mankhwala omwe si a steroidal amagwiritsidwa ntchito mu orthopedics - osasankha komanso osankha (COX-2 inhibitors). Mwa oimira gulu loyamba, omwe amachokera ku acetic acid (Diclofenac, Ketorolac), kukonzekera kwa arylpropionic acid (Ibuprofen, Ketoprofen), ndalama za gulu la oksikam (Piroxicam, Lornoxicam) zimagwiritsidwa ntchito. Othandizira omwe si a steroidal amaphatikizapo Nimesulide, Meloxicam, Celecoxib. Koma, ngakhale atakwaniritsidwa, kugwiritsa ntchito NSAID kumatanthawuza malire ake.

Kugwiritsira ntchito kwakanthawi kwa NSAIDs mu Mlingo wocheperako kumayambitsa kukula kwa zovuta. Amapezeka mu 25% ya milandu yachipatala, ndipo mwa 5% odwala amakhala ndi ngozi yakupha.

Ngati mwatsimikizira kusalolera kwa mankhwala omwe si a antiidal, muyenera kuuza dokotala za izi: Mankhwala a gululi adzasinthidwa ndi ena m'malo popanda kusankhana ndi boma.

Kuti muchepetse mwayi wokhala ndi zovuta zoyipa (makamaka pokhudzana ndi kuwonongeka kwa mucous membrane wa dongosolo logaya chakudya), akatswiri akuwona kuti ndizoyenera pochiza NSAIDs, omwe amasankha COX-2 inhibitors.

Pentoxifylline jekeseni

Popeza matenda am'mimba amaphatikizira kukula kwa vuto la microcirculatory, kupereka jekeseni kuchokera ku osteochondrosis yamchiberekero, dokotala amaphatikizanso kuyambitsa kwa mankhwala omwe angapangitse kuti magazi asamayende bwino m'deralo kwakanthawi kochepa. Pankhani yakuchiritsa zovuta zamalumikizidwe am'mimba, Pentoxifylline yatsimikiza.

Ndikofunika kupaka mankhwala a 20 mg, nthawi imodzi patsiku la 1 sabata. Mankhwalawa ali ndi mawonekedwe awa:

• amalimbikitsa kumasulidwa mosalekeza kwa chinthu chogwira ntchito,
• Amapereka chovala chofanana pamatumbo,
• bwino magazi
• sinthana tinthu tating'onoting'ono tomwe timayambitsa matenda osakhazikika,
• amachepetsa kuuma kwa mizu edema,
• amalimbikitsa kupweteka kwam'mbuyo komanso kupumula kwa zizindikiro zamanjenje.

Zomwe zidasindikizidwa ndimankhwala zimapangitsa kuti zikhale zotchuka pochotsa kukhathamiritsa kwa msana. Koma zomwe mankhwalawa amafunikira kuti azitha kukhala ndi thanzi labwino mkati mwazomwe zimagwiritsidwa ntchito mu khomo lachiberekero la mankhwalawa - chithandizo ndi majekeseni amachepetsa kwambiri kuthamanga kwa magazi.

Alflutop ndi mankhwala a jakisoni. Njira yothetsera vutoli ndi kuchotsa kwa nsomba zinayi za m'madzi. Mankhwala ali ndi glycosaminoglycans, hyaluronic acid, chondroitin sulfate, dermatan sulfate, keratan sulfate. Izi zimapezekanso mu cartilage ya disc intervertebral disc.Zochepa zomwe zimakhala ndi zinthuzi zimabweretsa kuwonongeka kwa minofu yama cartilage, kuchepa kwake, kutsika kwake, ndikutsatiridwa ndikusinthidwa ndi minofu yamafupa.

• chondroprotective zotsatira
• amayamba pang'ono kenako ndikuletsa ntchito yotupa,
• mkulu analgesic zotsatira,
• amatenga nawo gawo pa kagayidwe kachakudya njira mkati mwa cartilage minofu.

Komanso pakupanga mankhwala a Alflutop proteinoglycans alipo. Mapangidwe amakhala ndi trophic athari, amadziwika ndi cholowa m'malo. Ndikothekanso kuwona momwe zinthu zasinthira pa MRI. Mlingo wokhoza kuyamwa chinyezi, kutalika kwa cartilage, ma micorelief a minofu yamafupa amathandizidwanso.

Zinthu zadzidzidzi

M'dera la khosi, minyewa yambiri yamitsempha yamagazi ndi mitsempha yamagazi, kuphatikiza ndi chotupa cham'mimba, imadziwika. Kuyendetsa magazi kolakwika mkati mwake kumakhala chifukwa cha kusayenda bwino kwa kayendedwe, chizungulire, kuchepa kwa mawonekedwe ndi kumva, kukula kwa stroko, komanso vuto la matenda oopsa.

Pochizira mafupa, owerenga athu adagwiritsa ntchito bwino Artrade. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Gome limawonetsa mitundu iwiri ya zovuta za khomo lachiberekero:

Pomaliza

Osteochondrosis yamchiberekero ya khomo lachiberekero ndi matenda omwe amayambitsa kusokonezeka kosalekeza, popeza mumayenera kutembenuza mutu wanu kangapo patsiku. Ndipo kuyenda kulikonse kumayenderana ndi kupweteka, chizungulire, msana, kuchepa kwa luso la kuzindikira. Jekeseni wa osteochondrosis wa khomo lachiberekero la m'mimba limapereka chithandizo. Koma musaiwale kuti kusokonezeka kwa cartilage ndi kutupa komwe kumachitika pambuyo pake ndi vuto lomwe lingapewedwe: kupewa kuthana ndi khosi, kusamalira thupi (makamaka mukamaphunzitsidwa), samalani zaukhondo (gwiritsani ntchito mating'i a mafupa), khalani omasuka panchito pa kompyuta komanso nditakhala nthawi yayitali.

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