Jakisoni wa Milgamm

Munkhaniyi, mutha kuwerengera malangizo ogwiritsira ntchito mankhwalawa Milgamma. Amapereka ndemanga kuchokera kwa alendo omwe amabwera patsamba lino - ogwiritsa ntchito mankhwalawa, komanso malingaliro a akatswiri azachipatala pakugwiritsa ntchito Milgamma pamachitidwe awo. Chopempha chachikulu ndikuti muwonjezere ndemanga zanu za mankhwalawa: mankhwalawo adathandizira kapena sanathandizire kuchotsa matendawa, ndizovuta ziti zomwe zimawoneka ndi zotsatirapo zake, zomwe mwina sizinalengezedwe ndi wopanga. Milgamm analogu pamaso pazochitika zopanga mawonekedwe. Gwiritsani ntchito pochiza matenda a osteochondrosis, neuralgia ndi matenda ena amitsempha akulu, ana, komanso pa nthawi ya bere.

Milgamma - kukonzekera kovuta kotengera mavitamini a gulu B. Neurotropic mavitamini a gulu B ali ndi zotsatira zabwino pamatenda otupa komanso osakhazikika amitsempha yamagetsi ndi zida zamagetsi. Amathandizira kutsika kwa magazi ndikuwongolera magwiridwe antchito amanjenje.

Thiamine (Vitamini B1) amagwira ntchito yayikulu pakukula kwa chakudya chamagulu, komanso kuzungulira kwa Krebs potenga nawo gawo pakuphatikizika kwa TPP (thiamine pyrophosphate) ndi ATP (adenosine triphosphate).

Pyridoxine (Vitamini B6) amatenga nawo mbali mu kagayidwe kazakudya zomanga thupi ndipo, mwa zina, mu kagayidwe kazakudya zamafuta ndi mafuta.

Ntchito yokhudza mavitamini onse awiri ndikuwonetsetsa zochita za wina ndi mnzake, kuwonetsedwa mu mitsempha ya mtima ndi mtima. Ndi kuchepa kwa vitamini B6, mikhalidwe yofala paliponse imasiya msanga pambuyo poyendetsa mavitamini awa.

Cyanocobalamin (Vitamini B12) amakhudzidwa ndi kaphatikizidwe kamwala ka myelin, amamuthandizira hematopoiesis, amachepetsa ululu womwe umawonongeka ndi kuwonongeka kwa dongosolo la zotumphukira zamitsempha, ndipo amathandizira kagayidwe kazinthu ka metabolic kudzera mwa activation ya folic acid.

Lidocaine ndi mankhwala oletsa kudwala omwe amachititsa mitundu yonse ya mankhwala opaleshoni yam'mimba (kulowetsedwa, kulowetsedwa, kulowetsedwa).

Pharmacokinetics

Pambuyo pakuwongolera mu mnofu, thiamine imalowa mwachangu ndikulowa m'magazi.

Pambuyo pamakonzedwe a intramuscular, pyridoxine imalowa mwachangu mu kayendedwe kazinthu ndikugawidwa m'thupi.

Pyridoxine imagawidwa thupi lonse, imadutsa chotchinga ndipo ikapezeka mkaka wa m'mawere.

Thiamine amamuchotsa mkodzo. Pyridoxine imayikidwa mu chiwindi ndi oxidized 4-pyridoxic acid, yomwe imatulutsidwa mkodzo, maola 2-5 atatha kumwa.

Zizindikiro

Monga pathogenetic ndi chizindikiro wothandizila pakuvuta kwa matenda ndi ma syndromes a dongosolo lamanjenje osiyanasiyana omwe amayambira:

• neuralgia, neuritis,
• paresis a nkhope
• retobulbar neuritis,
• ganglionitis (kuphatikizapo herpes zoster),
• kuchuluka
• mitsempha
• polyneuropathy (matenda ashuga, mowa),
• minyewa yamadzulo usiku, makamaka m'magulu achikulire,
• mawonetseredwe amatsenga a osteochondrosis a msana,
• radiculopathy
• lumbar ischialgia,
• minon tonic syndromes.

Kutulutsa Mafomu

Njira yothetsera kulowetsedwa mu mnofu jakisoni (ma ampoules) a 2 ml.

Mapiritsi (mapiritsi) 100 mg + 100 mg.

Milgamma compositum (dragee) 100 mg + 100 mg.

Malangizo ogwiritsira ntchito ndi mtundu wa mankhwala

Ngati mukumva kupweteka kwambiri, ndikofunikira kuyamba jakisoni wa mankhwala osokoneza bongo a 2 ml tsiku lililonse kwa masiku 5 mpaka 10, ndikusintha kwina kosamwa kapena pafupipafupi makonzedwe a (2-3 pa sabata kwa masabata 2-3 ) ndi kupitiriza kwa mankhwala ndi mlingo mawonekedwe pakamwa.

Mankhwala amaperekedwa mozama mu mafuta.

Gawani piritsi limodzi mpaka katatu pa tsiku kwa mwezi umodzi.

Mankhwala ayenera kumwedwa ndi madzi okwanira.

Zotsatira zoyipa

• kuyabwa, urticaria,
• kupuma movutikira
• Edincke's edema,
• anaphylactic shock,
• kutuluka thukuta kwambiri
• tachycardia
• ziphuphu.

Contraindication

• mtima wosakhazikika,
• zaka za ana (chifukwa chosowa deta),
• kuchuluka kwa chidwi cha munthu pazigawo za mankhwala.

Mimba komanso kuyamwa

Pa nthawi yoyembekezera komanso mkaka wa m'mawere, kugwiritsa ntchito mankhwalawa sikulimbikitsidwa.

Gwiritsani ntchito ana

Mankhwala ndi contraindified ana (osakwanira matenda matenda a gulu ili).

Kuyanjana kwa mankhwala osokoneza bongo

Thiamine imawonongedwa kwathunthu mu mayankho omwe ali ndi sulfites.

Mavitamini ena samapangidwa pakakhala zinthu zowola za mavitamini a B.

Levodopa amachepetsa mphamvu ya pyridoxine.

Mwina kuyanjana kwa mankhwalawa ndi cycloserine, D-penicillamine, epinephrine, norepinephrine, sulfonamides, zomwe zimabweretsa kuchepa kwa zotsatira za pyridoxine.

Thiamine imagwirizana ndi oxidizing othandizira, mankhwala enaake a zebulone, calcium, acetate, tannic acid, ammonium citrate, komanso phenobarbital, riboflavin, benzylpenicillin, dextrose ndi metabisulfite.

Thiamine imataya zotsatira zake ndi kuchuluka kwa pH (kuposa 3).

Osasamala zakumwa zoledzeretsa (sizikhudza kagayidwe ka mankhwala).

Mndandanda wa mankhwala Milgamm

Zofanana muzochitika zamagulu:

Kupanga ndi mawonekedwe a kumasulidwa

Milgamm imapezeka mu mawonekedwe a kholo (yankho la makina amkati mwa 2 ml ampoules) ndi mawonekedwe a piritsi.

Milgamm - njira yothetsera utsogoleri:

1. Zosakaniza zogwira ntchito: thiamine hydrochloride 100 mg mu kuchuluka kwa 2 ml, pyridoxine hydrochloride 100 mg mu 2 ml ampoule, cyanocobalamin - 1000 μg mu ampoule wa 2 ml.
2. Zothandiza pazinthu: mowa wa benzyl, lidocaine hydrochloride, sodium hydroxide, sodium polyphosphate, potaziyamu hexacyanoferrate tertiary, madzi a jekeseni.

Milgamm - mapiritsi ogwiritsira ntchito mkati:

1. Zosakaniza zomwe zikugwira: benfotiamine - 100 mg, pyridoxine hydrochloride - 100 mg.
2. Zothandiza pazinthu: talc, anhydrous colloidal silicon dioxide, croscarmellose sodium, microcrystalline cellulose, gawo lalitali la unyolo glycerides, povidone.

Gulu la zamankhwala ndi mankhwala: mavitamini ambiri a gulu B.

Kodi Milgamma amagwiritsidwa ntchito bwanji?

Milgamma imagwiritsidwa ntchito ngati chothandizira komanso chothandizira pathogenetic mu zovuta za mankhwala a syndromes otsatirawa ndi matenda amanjenje:

1. Neuritis, neuralgia,
2. Retrobulbar neuritis,
3. Ganglionitis (kuphatikizapo herpes zoster),
4. Polyneuropathy (wodwala matenda ashuga ndi mowa),
5. Paresis wamitsempha wamaso
6. Neuropathy
7. Plexopathy
8. Myalgia.
9. Kukokana minofu yausiku, makamaka kwa achikulire,
10. Matenda a minyewa yamatenda am'mimba omwe amayamba chifukwa cha kuchepa kwa mavitamini B1 ndi B6.
11. Mawonetseredwe amtundu wa osteochondrosis a msana: lumbar ischialgia, radiculopathy (radicular syndrome), minofu-tonic syndromes.

Mankhwala

Mankhwala a Milgamma compositum, monga mawonekedwe ake, ali ndi mavitamini a neurotropic omwe ali m'gulu B. Mankhwalawa amagwiritsidwa ntchito pothandizidwa ndi matenda amitsempha ndi minyewa yamitsempha, pamene wodwalayo ali ndi phenomena yotupa komanso yoipa.

• Vitamini B12 (Cyanocobalamin) imathandizira kuchepetsa ululu womwe umakhudzana ndi kuwonongeka kwa dongosolo la zotumphukira zamitsempha, komanso amathandizanso kukonza kagayidwe kazinthu ka nitic acid.
• Vitamini B1 (Thiamine) imakhala ndi antioxidant, ndipo imayang'ananso kagayidwe kazakudya zama protein ndi chakudya mu cell. Kuphatikiza apo, chinthu ichi chimapereka chitukuko cha analgesic kwenikweni.
• Vitamini B6 (Pyridoxine) amagwira mwachindunji kapangidwe kazinthu zingapo m'maselo a minyewa yamanjenje.

Mwambiri, mankhwalawa Milgamm akuwonetsedwa kwa anthu omwe ali ndi matenda a minofu ya mafupa.

Malangizo ogwiritsira ntchito

Malinga ndi malangizo ogwiritsira ntchito, jakisoni wa Milgamma amapatsidwa jakisoni wambiri mkati mwa minofu.

• Zowawa zophatikizana ndi zamitsempha yamagazi: 2 ml tsiku lililonse kwa masiku 5-10.
• Mitundu yofatsa yamatenda, mpumulo wa ululu wammbuyo kuyambira pamankhwala omwe ali pamwambapa: 2 ml 2-3 pa sabata kwa masabata atatu, kapena musinthane ndi mawonekedwe amkamwa (dragee).

Tengani mapiritsiwo mkati ndi madzi okwanira:

• Mankhwalawa polyneuropathy, mlingo woyenera ndi piritsi 1 la Milgamma katatu patsiku. Woopsa komanso ndi ululu wambiri, kuti muwonjezere msanga mankhwalawa m'magazi, fomu ya Milgamm ya utsogoleri wa makolo imagwiritsidwa ntchito. M'tsogolomu, kupitiriza chithandizo, amasintha kumwa mankhwalawo mkati, piritsi limodzi patsiku tsiku lililonse.
• Monga njira yochitira mankhwalawa a neuritis, neuralgia, myalgia, radicular syndrome, retrobulbar neuritis, herpetic zotupa, nkhope paresis, mlingo woyenera ndi piritsi 1 patsiku. Njira ya mankhwala kumatenga pafupifupi mwezi umodzi.

Mukamatenga mtundu uliwonse wa Milgamma, ndikulimbikitsidwa kuchita zowunikira sabata iliyonse. Zinthu zikakhala bwino, tikulimbikitsidwa kuti musinthe jakisoni ndikuyamba ma dragees.

Contraindication

Simungagwiritse ntchito mankhwalawa pazinthu zotere:

1. Mimba komanso kuyamwa
2. Thupi lonse la mankhwala
3. Kulephera kwamtima
4. Ana ndi ukalamba.

Ndi mankhwala omwe mumadzipaka nokha komanso kugwiritsa ntchito mosayenera mankhwalawa, zotsatira zoyipa ndizotheka, zomwe sizimadziwonetsa zokha, koma zimatha kuchitika.

Zotsatira zoyipa

Kutenga Milgma kumatha kuyambitsa zovuta ngati:

1. Urticaria
2. Kuyabwa
3. Edincke's edema,
4. Kupuma pang'ono ndi dyspnea,
5. Hyperthirsty
6. Ziphuphu,
7. Zizindikiro za Tachycardic,
8. Kugwedezeka kwa anaphylactic
9. Bradycardia
10. Mitsempha yama ng'ombe,
11. Chizungulire
12. Kuchepetsa mseru

Zotsatira zoyipa zotere, monga lamulo, zimayamba chifukwa cha jakisoni wothamanga kwambiri wa Milgamma, komanso kuchuluka kwambiri kwa mankhwalawa.

Bongo

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

Mpaka pano, ma analogi a Milgamma otsatirawa amadziwika: Neuromultivit, Binavit, Triovit, Pikovit, ndi zina. Mtengo wa Milgamm analogues nthawi zambiri umakhala wotsika.

Chidwi: kugwiritsa ntchito ma fanizo kuyenera kuvomerezana ndi adokotala.

Mtengo wapakati wa jakisoni wa MILGAM muma pharmacies (Moscow) ndi ma ruble 250.

Mankhwala Okhala Pamalo a Pharmacy

Mankhwala ndi mankhwala.

Ichi ndi chida chamatsenga chabe! Khosi langa limakhala likuwawa kwambiri mwina (kapena ndikugona mosatonthozeka, piloyo silinali yolondola) Nthawi yomweyo ndinathamangira kwa adotolo, adandiuza Milgamma kuti andipatse. Chida chachikulu!

Pambuyo pa jakisoni woyamba, khosi langa linadutsa. Koma ndinangochita maphunziro onse omwe dokotala adandiuza. Kenako adamwa kaphatikizidwe ka Milgammu. Ndipo chifukwa chake, ngati muthamangitsa, mutha kubweretsa ku osteochondrosis.

Mamilgraine adalembedwa kuti achulukitse misewu ya mpweya ndi khomo lachiberekero. Wopangidwa molumikizana ndi Mexicoidol. Jakisoni 10 a amenewo ndi 10 a amenewo. Mwakutero, mankhwalawo adathandizira. Koma kwa mwezi wachiwiri tsopano ndakhala ndikudwala ziphuphu. Osati pamene kunalibe zotsogola.

Tsopano pakhosi, pankhope, kumbuyo, pachifuwa, ndi chibwano ambiri, anthu atatu odwala amkati adalumpha nthawi imodzi. Kuyenda, kupweteka .. koyipa. Komanso, PMS yaipiraipira. Ululu wamtchire, pafupifupi kukomoka. Kholingo, kutsekula m'mimba ... basi. Kwakukulukulu, wina anachiritsidwa, wina anapeza (

Mu 2004, adagwa pansi chifukwa cha hernias ophatikizika m'chigawo chobiriwira, osadzuka .. Kenako adasilira mavitamini B a kupewa kutumphukira komanso nthawi yophukira. 30 jakisoni, pitani misala! Nditaphunzira za Milgamm. Anayamba kufunsa zopewa. Panalibe zochulukitsa zaka 10! dokotala neurosurgeon adadabwa ndimatenda anga! Ngakhale mu 2004 zinali zofunika kuchita opareshoni nthawi yomweyo! kungoti madotolo am'deralo sanatchere chidwi ndi zithunzi za MRI, kapena mawu akuti ... Tithokoze Mulungu! Ndikuganiza kuti mankhwalawa adandithandizira ndipo ndikulipiritsa! Ndimagwiritsabe ntchito kupewa!

Zoya, ndikuchita masewera olimbitsa thupi chotani, ndipo mukumwabe Milgamm? Ndili ndi hernias a dera lumbar ...

Ntchito yapadera nthawi zambiri imayamba kutsina mitsempha yotsika. Ululu wake ndiwakuti ngakhale umakwera khoma. Chifukwa chiani sindinachiyesetse, komanso chomwe sichinaperekedwe, koma nditangotenga Milgamm ndimakhala ndi mpumulo weniweni. Ndipo kukhomphola tsopano kuli kofala.

Pamene compositum inayamba kumwa milgamma pafupipafupi, motero sindinayambiranso ndi msana wanga. Ndipo nthawi zambiri ndimakhala ndikukhomedwa pamimba pamenepo, ndipo ndimakhala patchuthi chodwala kwa milungu iwiri, jekeseni, ndikuchita masewera olimbitsa thupi. Ndipo tsopano ttt molunjika kubwerera kunayamba kundimvera, sizilephera. Koma sindipuma, ndimamwa milgamma nthawi ndi nthawi, popeza mavitamini samachulukana ndipo samasungidwa mthupi, ndimafunikira kuchuluka kwawo nthawi zonse.

Posachedwa, panali cheki pantchito, ndimayenera kuchita mantha kwambiri. Ndadzuka m'mawa, sinditha kuwongola. Chiuno chimapweteka kwambiri. Anangotsika pakama, atakola ndi diclofenac. Kanthawi pang'ono ululuwo umaleka, koma osati kwakanthawi. Inayamba kupereka kwa matako, mwendo wotsika ngakhale chidendene. M'malo mwa ntchito, ndimayenera kupita kukakumana ndi katswiri wamitsempha. Kuzindikira kumakhumudwitsa - lumbosacral radiculitis. Mwachilengedwe, zidatulukira pamsempha pambuyo pakutsimikizika. Ndimawopa mankhwala osokoneza bongo kuyambira ndili mwana, adotolo adalamula kuti amwe mapiritsi a compositum milgamm. Monga mavitamini nthawi yomweyo, thupi limangokhala labwino. Ndiyenera kunena nthawi yomweyo kuti ndizosavuta. Ndipo ndikosavuta kuntchito.

Ndimaganiza kuti osteochondrosis sanachiritsidwe mothandizidwa, othandizira othandizira, monga kufinya chinthu, kutentha ndi chigamba cha tsabola. Chifukwa chake, ndidadabwa kwambiri kuti mapiritsi a Milgamma omwe adalembedwa ndi adotolo amagwira ntchito, ululuwu udazimiririka ndipo kwanthawi yayitali! Tiyenera kumwa maphunziro, mwina ndiziwathetseratu.

Lamba wopangidwa ndi tsitsi la ngamila limandithandiza kwambiri kuchokera ku lumbar osteochondrosis, ndipo ndikayamba kumva kupendekera kumbuyo kwanga, nthawi yakumwa mapiritsi, nthawi zambiri ndimamwa Milgamm, imakhala ndi ululu komanso zotsatira zake zimakhala nthawi yayitali.

Dokotalayo adazindikira kuti mlongo ali ndi neostgia neostgia. Ndipo adasankha gulu la mayeso kuti atenge. Mwachilengedwe, kuchepa kwa mavitamini B1 ndi B6 kunaululidwa ndi zotsatira zake. Mlongo wanga anali ndi mantha kuti adzafunika kubayira. Koma adotolo adatsimikizira kuti tsopano mutha kugula mankhwala abwino kwambiri, omwe amapangidwa ku Germany, milgamma compositum. Ndiwothandiza kwambiri mwa iye, chifukwa imakhala ndi benfotiamine, yomwe imathandizira kugaya bwino kwa mankhwala ndi pyridoxine, omwe amathandiziranso bwino kupweteka kwa ululu. Ndipo pambali pake, amapangira kuchepa kwa mavitamini ofunikira. Zotsatira zake sizinatenge nthawi. Pambuyo pa maphunziro a milgamm compositum, ululuwo unaleka. Mlongo wanga amasangalala kwambiri ndi mankhwalawa.

Pamene ku komiti yapachaka yomwe ndidapeza pakuwunika mavitamini B1 ndi B6, poyamba ndidakhumudwa. Ndikuganiza, tsopano apha ndi jakisoni. Koma adotolo adandiuza mapiritsi a milgamma compositum. Iye akuti zida zawo za benfotiamine ndi pyridoxine ndizothandiza kwambiri kuposa mavitamini wamba. Ndipo yotengeka ndi thupi mwachangu kwambiri. Mankhwalawa anandithandiza. Mavitamini abwinobwino.

Mitengo ya Milgamma m'mafakisi ku Moscow

Kodi osteochondrosis amakula bwanji?

Maziko a mafupa amunthu ndi msana, momwe mumapezeka kuchokera 33 mpaka 35 vertebrae. Amalumikizidwa kudzera ma disc a intervertebral disc, omwe amalimbikitsa kulimbitsa kaphikidwe ndi kupondaponda. Chifukwa cha iwo, mzere wa msana umasunthika ndikuyenda bwino. Chimba chilichonse cha ma intervertebral chimakhala ndi zinthu zonona ngati zowazunguliridwa ndi mphete yolimba. Hyaline cartilage imakwirira ma disc intervertebral onse pamwambapa komanso pansipa.

Chifukwa cha matenda amenewa, kusokonezeka kwa kagayidwe kachakudya kumachitika, magazi amayenda. Pa gawo loyamba kapena loyambirira la matendawa, mphamvu ndi kusuntha kwa ma intervertebral disc zimachepa. Zoyendetsa zimawoneka ngati zikuchepa. Ming'alu ndi protrusions zimachitika mu mphete ya fibrous, chifukwa chifukwa cha abrasion, kuwonjezeka kwa katundu kumachitika. Mapeto ake, mphete yamkati imatha kupindika, yomwe imaphatikizira chophukacho. Pakapita nthawi, zonse zakumwambazi zimabweretsa kupindika kwa msana komanso kusokonezeka kwakukulu.

Zomwe zimayambitsa osteochondrosis?

Msana wathu umafunika kuchita masewera olimbitsa thupi nthawi zonse. Zosintha, amasinthika kuti azichita zochitika, komabe, kuchuluka kwambiri kumangomuvulaza. Osteochondrosis imachitika pazifukwa zosiyanasiyana. Atha kutumikila:

• kuvulala kobadwa nako ndi kuvulala kwa msana,
• chibadwa
• mavuto a metabolic
• matenda
• zoyambitsa zachilengedwe, ndiko kuti, kukalamba kwa thupi,
• kuchita masewera olimbitsa thupi mopitirira malire
• kukhudzana ndi mankhwala
• kupindika msana
• phazi lathyathyathya
• kuwonetsedwa kwakanthawi (mwa anthu omwe ali ndi ntchito yolumikizidwa ndi maulendo atali, mwachitsanzo, oyendetsa magalimoto).

Mutha kuwunikiranso zinthu zingapo zomwe zimawonjezera chiopsezo cha osteochondrosis:

• kunenepa kwambiri ndi kuperewera kwa zakudya m'thupi,
• kumangokhala
• ntchito yokhudzana ndi kuyendetsa kapena kompyuta,
• kusuta
• Kuchita masewera olimbitsa thupi mopitilira muyeso
• kukhazikika poyipa
• katundu wokhazikika pamiyendo yolumikizidwa ndi nsapato zosasangalatsa komanso zidendene,
• hypothermia
• nkhawa.

Chiwopsezo chowonjezeka chimawonedwa mwa anthu omwe amachita nawo masewera, osunthika, omanga. Mikhalidwe yovutikanso ilibe gawo labwino pa thanzi, kuphatikizapo msana. Sitikulimbikitsidwa kuti muziyenda ndi mitu yanu yoweramitsidwa, chifukwa izi zimatha kuyambitsa kukula kwa khomo lachiberekero.

Mitundu ya Osteochondrosis

Pali mitundu itatu yayikulu yamatendawa.

Tebulo 1. Mitundu ya osteochondrosis.

Kugonjetsedwa kwa nthambi ziwiri kapena zingapo kumachitika ngati munthu ali ndi matenda otchedwa osteochondrosis.

Zizindikiro za osteochondrosis

Zizindikiro za matendawa zimatha kukhala zosiyanasiyana. Izi zikuchokera komwe gawo la dongosolo la locomotor lidakhudza matendawa.

Zizindikiro zomwe zidakumana ndi lumbar osteochondrosis:

• kupweteka, kupweteka, kupweteka,
• kupweteka kumakulirakulira chifukwa chakulimbitsa thupi kapena kusuntha,
• ndikupweteketsa mbali zina za kaphiriko, miyendo kapena ziwalo zopezeka m'chigoba,
• kutayika kwamiyendo m'miyendo,
• ululu akatembenuka, kugwada.

Zizindikiro zomwe zimakumana ndi cervical osteochondrosis:

• mutu womwe ma analgesics samathandizira,
• chizungulire chomwe chimachitika ndikutembenuza mutu,
• kupweteka m'manja, mapewa, pachifuwa,
• maso osalala
• kukhumudwa m'maso, kumva ndi kuwonongeka kwa masisitimu, tinnitus,
• kusapeza bwino lilime, dzanzi, kusintha kwa mawu.

Zizindikiro zomwe zimapezeka mu osteochondrosis wa thoracic dera:

• kupweteka kudabuka pachifuwa ndi masamba, ndikweza manja, ndikugwada.
• kuwonjezeka ululu pa hypothermia, usiku, kuchuluka kwa kuthinitsidwa kwamthupi, kutembenuka,
• kupweteka pakamapuma ndi kuphipha,
• kumva dzanzi m'thupi lonse kapena m'malo osiyanasiyana,
• kuyaka ndi kuyabwa, miyendo yozizira,
• kupweteka kwapweteka komwe kumachitika pansi pa nthiti poyenda,
• kumverera kwa kuponderezedwa.

Kupatukana kwa osteochondrosis m'magawo

Gawo loyamba la matendawa limadziwika ndi kutayika kwa elasticity ndi abrasion ya disc intervertebral disc. Kutuluka kwawo pang'onopang'ono kumachitika. M'mawa, kusasangalala komanso kusuntha kwa kayendedwe kumatha kumveka.

Mbali yodziwika bwino ya gawo lotsatira ndi ululu panjira. Pa gawo lachiwiri, ming'alu imapezeka mu mphete ya fibrous, kulumikizana kwa vertebrae kumatha kukhazikika. Ululu umawonetsedwa ndi kuukiridwa, kwenikweni. Ululu umasokoneza ufulu wa kuyenda.

Gawo lowonda kwambiri limawonekera ndikuwonongeka kwa mphete ya fibrous, pomwe zomwe zili mkati mwake zimayenda mu mzere wa msana. Mitundu ya hernia, yomwe, popanda chithandizo choyenera, pamapeto pake imabweretsa kulumala.

Zotsatira za osteochondrosis

Zotsatira za matendawa zimatha kukhala zoopsa. Osteochondrosis nthawi zambiri amayambitsa hernia, radiculitis, protrusion ya disc intervertebral disc. Chitsamba chimafuna chisamaliro chapadera, chifukwa popanda chithandizo, chingwe cha msana chitha kuwonongeka. Izi zimabweretsa kulumala. Kanani miyendo yakumunsi komanso yam'mwamba.

Hypertension ndi hypotension, vegetovascular dystonia ndizomwe zimachitika motsatana ndi osteochondrosis. Zimawonjezeranso mwayi wokhala ndi stroke komanso matenda a mtima.

Ngati mulibe chidwi ndi osteochondrosis, ndiye kuti zovuta zazikulu za matendawa zimayamba kudzipangitsa kumva - mavuto ndi ziwalo zamkati (mtima, chiwindi, etc.), neostgia neuralgia imayamba, ndipo impso zimayamba kulephera.

Nthawi zina, kuchepa kwa m'mbuyo m'mimba kumatha kusokonezeka ndi sciatica, ndiko kuti, kutupa kwa mitsempha ya sciatic. Imadziwoneka yokha mwa kupweteka kwambiri m'munsi kumbuyo ndi miyendo. Nthawi zambiri, matendawa amayenda m'chiwalo cha m'chiberekero cha m'mimba, pomwe kumatupa kwambiri. Zotsatira zomwe zimachitika tsiku lililonse ndi sciatica ndi kusabereka komanso kusabala.

Zotsatira zoyipa kwambiri zakuti matenda ngati amenewa omwe amapezeka m'khosi amatha kubweretsa kuwonongeka kwa ubongo. Ndi cervical osteochondrosis, ma vertebrae amatha kulimbitsa mitsempha yomwe imapereka mpweya ku ubongo. Komanso, kutsekeka kwamitsempha kumabweretsa kuchepa kwa makutu, mavuto ndi kupuma, mtima komanso mgwirizano.

Kodi kuchitira osteochondrosis?

Choyambirira, kufufuza kumafunika. Kuzindikira kumaphatikizapo kusonkhanitsa kwa anamnesis, palpation, Hardware ndi ma laboratorion. Izi zimathandiza dokotala kuti azindikire moyenera komanso kuti adziwe njira zochizira.

Osteochondrosis amatha kuthandizidwa ndimankhwala, opaleshoni ndi physiotherapy. Mankhwalawa ikuchitika kwathunthu. Chithandizo chozizwitsa cha matendawa sichinapangidwebe. Wodwala amayenera kudutsa njira zingapo zachipatala, mafuta, mafuta, makapisozi, mapiritsi, jakisoni, ndi zina zambiri.

Tiyeneranso kuyang'anira zamankhwala othandizira, zomata zomwe zingalimbitse ndi kulimbikitsa zotsatira za mankhwala. Mankhwala ena wowerengeka amatha kukhala opindulitsa, mwachitsanzo, mankhwala azitsamba.

Chithandizo chimachedwa, chifukwa chake wodwalayo ayenera kukhala woleza mtima ndikutsatira malangizo a dokotala. Mukamalandira chithandizo, kupumula kwa bedi kumalimbikitsidwa. Chifukwa chake njira yosavuta yochepetsera katundu pa msana. Gona bwino m'malo olimba. Poyamba, madokotala amayesa kuchepetsa kupweteka kwa msana, ndiye kuti mankhwala opatsirana amatupa, komanso mankhwala omwe amachotsa kutupa. Amaloledwa kugwiritsa ntchito mafuta opangira mafuta ndi ma gels omwe ali ndi zotsatira zofananira. Pamodzi ndi izi, mankhwalawa amagwiritsidwa ntchito omwe amalimbikitsa kupumula kwa minofu, kusintha kayendedwe ka magazi, komanso mankhwala omwe amabwezeretsa maselo a cartilage. Zotsatira zabwino kwambiri zimachitika pogwiritsa ntchito mankhwala ndi physiotherapy. Pambuyo pamiyeso yomwe ili pamwambapa, odwala amapita njira ya ultrasound, electrophoresis, maginito, etc.

Malo osambira amatope ndi akasupe am'madzi ali ndi phindu pa thunthu la masculoskeletal. Masiku ano, njira zoterezi zikupezeka m'm zipatala ndi malo ambiri ogulitsira. Kusisita kumathandizanso thupi. Komabe, muyenera kukumbukira za contraindication (mitundu yonse ya zotupa ndi neoplasms). Madokotala ena amalimbikitsa kupita ku maphunziro a Reflexology. Izi zimaphatikizapo kupukutira, kutentha ndi jakisoni.

Nthawi zambiri kuchita maphunziro a Reflex kumathandizanso wodwala ululu, kumathandizira kupumula komanso makamaka kukonza thanzi lake. Pakakhala kuti palibe njira imodzi yomwe yatchulidwa ndi matendawa, wodwalayo amamuchitira opaleshoni. Opaleshoniyo amachitidwa kuti athetse vuto lophatikizana la hernia, kukhazikika pamtunda wa msana ndikuchepetsa katundu pamsana. Kuchita ntchito ngatizi kumakhala kowopsa kwambiri, motero amangolembera okhawo omwe ali ovuta kwambiri.

Mlandu wa Kubayidwa

Zingwe, monga njira yothandizira mitundu yonse ya osteochondrosis, pindulani pazifukwa zingapo.

Mwakuyamwa. Thupi limalowa m'thupi mwachangu poyerekeza ndi mankhwala. Kwa makapisozi ndi mapiritsi, muyenera theka la ola lisanayambike kuphatikiza ziwalo zawo m'thupi.

Mlingo weniweni. Ubwino wa jakisoni pamapiritsi ndi kumwa kwake. Kudzera mu jakisoni, mankhwalawo samatayika pakumwedwa, pomwe zina mwa zinthu zomwe zimagwira pamapiritsi zimasungunuka chifukwa cha michere ya m'mimba pa iwo.

Kuyanjana kwenikweni ndi dera lopweteka Zimathandizira kuchotsa zovuta zopanda pake pa thupi lonse. Mwachitsanzo, ndikulowetsedwa kwa mankhwalawa mu khomo lachiberekero, limangokhudza gawo lokhalo, osakhudza ziwalo zina zonse za anthu.

Jekeseni nthawi zambiri amapereka zotsatira zabwino kuposa mankhwala.

Zambiri zamankhwala

Mankhwala opangidwa pochiza matenda a osteochondrosis amatchedwa Milgamma. Mulinso mavitamini a gulu B komanso ma neurotropes. Zimakhala ndi zotsatira zabwino pamitsempha ndi minofu yamagetsi, zimawonjezera kutuluka kwa magazi ndikuchepetsa ululu. Kagayidwe kazakudya zomanga thupi ndi zopatsa mphamvu m'thupi zimayenda bwino. Izi ndichifukwa cha mavitamini a B1 ndi B6, dzina lina ndi thiamine ndi pyridoxine. Amathandizanso thupi, makamaka mantha, mtima komanso minofu.

Kapangidwe kamankhwala kamaphatikizanso vitamini B12 kapena cyanocobalamin. Chifukwa cha iye, ululu umachepa. Mchitidwe wamanjenje umabwereranso kwina mwa mphamvu zake.

Milgamm imakhala ndi lidocaine wa amenenso amachotsa zowawa.

Mankhwalawa amapezeka m'mitundu ingapo, monga makapisozi, mapiritsi ndi ma ampoule a jakisoni. Mankhwala amagwiritsidwa ntchito pa mitundu yonse ya osteochondrosis. Mwinanso kukhala ndi phindu mu arthrosis. Amatchulidwa monga adanenera dokotala.

Momwe mungagwiritsire ntchito?

Poyamba, zomwe zimayambitsa kutupa zimachepetsedwa, zomwe ma analgesics ndi mankhwala omwe amafunikira kuziletsa amagwiritsidwa ntchito. Pambuyo pa izi, kufalikira kwamwazi kumabwezeretseka, komwe kukonzekera mavitamini a B. Izi zimaphatikizanso kukonzekera kwa Milgamm.

Kuti mupeze jakisoni, gwiritsani ntchito yankho lomwe lili ma ampoules. Iyenera kuperekedwa pang'onopang'ono kuteteza kukomoka ndi kukokana.

Milgamma imagwiritsidwa ntchito pamitundu yonse ya osteochondrosis, koma nthawi zambiri imakhala ndi khomo lachiberekero komanso lumbar. Amagwiritsidwa ntchito kubwezeretsa ma disc a intervertebral panthawi yowonongeka kwawo. "Milgamma" ndibwino kuti mutenge ma jakisoni, popeza ali ndi zabwino zingapo pamapiritsi.

Mukamagwiritsa ntchito Milgamma pochiza matenda a khomo pachibelekeropo, muyenera kuyimitsa mwadzidzidzi kuti musawononge mitsempha yomwe ikupita msana. Pakumva ululu ndi lumbar osteochondrosis, Milgammu imagwiritsidwa ntchito pamene njira zina zonse zomwe zilipo zakhala zikuyesedwa. Mankhwalawa amatha kuphatikizidwa ndi mafuta komanso mafuta amtengo wapatali kuti apititse patsogolo achire. Madokotala nthawi zambiri amalimbikitsa kugwiritsa ntchito Milgamma ndi diclofenac. Pankhaniyi, jakisoni amayenera kupangidwa nthawi zosiyanasiyana masana.

Dokotala amsiye malangizo okhudza kuchuluka kwa mankhwalawa komanso kuchuluka kwa mankhwalawa. Nthawi zambiri maphunzirowa amatenga masiku 5 mpaka 10. Ngati mphamvu ikuwonekera mwachangu, majekeseni a Milgamm akhoza m'malo ndi mapiritsi a mankhwalawa. Mlingo umatengera mtundu wa ululu. Jakisoni wa Milgamma nthawi zambiri amapatsidwa katatu pa sabata.

Ndemanga za madokotala za milgamm

Maofesi apamwamba a multivitamin, omwe amathandiza kwambiri pochiritsa ma neuropathies, kuphatikizapo sekondale, mtima, genesis. Chida chofunikira pa matenda azovuta za matenda ashuga. Mphamvu ya mankhwalawa imadziwonetsera pakulimbikitsa kulowetsedwa ndikuwonjezeka panthawi yowonjezera mankhwala. Mtengo umathetseka kwathunthu ndi mtundu wa mankhwalawo.

Ndimasankha odwala pothandizira matenda a mano kapena zovuta. Ndimalingalira mtundu wothandiza kwambiri wa jekeseni (yankho la makonzedwe a intramuscular). Mankhwala apamwamba kwambiri opatsa thanzi komanso kubwezeretsa ulusi wamitsempha ndi mathero, m'malo onse osweka a trophism ndi kuwonongeka.

Chachilendo, zingaoneke ngati zachilendo, Milgamma imagwiritsidwa ntchito kwambiri popanga mankhwala opatsirana othandizira opweteka ndi asthenic syndromes omwe amapezeka mu prostatitis, kupsinjika ndi "pelvic pain syndrome", ndipo nthawi zina zimakhala zovuta kujambula mzere pakati pa izi. Zimathandizira kupumula kwa zowawa, komanso m'magawo oyambirira a chithandizo. Mpikisano wake ndiwomveka - chithandizo cha ma neuropathies, kukonza kuyendetsa bwino kwa minyewa ya mitsempha, zovuta pa ubale wa plexus ya pelvis, kukonza kwa asthenia.

Thupi lawo siligwirizana, kusagwirizana kwa mavitamini a B ndikotheka.

Zokambirana pa kagwiritsidwe ntchito ka "unsci science" ka vitamini B kaumbidwe sikolakwika, popeza momwe kugwiritsa ntchito mankhwalawa kumadziwika ndi mazana a odwala padziko lonse lapansi, ndipo asayansi otsogola padziko lapansi amatchuka ndi kugwiritsa ntchito mankhwala ovuta a B. Mu "Western" mankhwala, zinthu zambiri sizigwera pansi pa "Standard" yawo. Pamenepo, ngakhale physiotherapy ndi mwayi wa anthu olemera kwambiri. Siphatikizidwa muyezo uliwonse waku America, ndipo kodi ndiwothandiza? Palibenso chifukwa chosakaniza mazira osiyanasiyana mudengu limodzi ndikulimbikitsa zofuna za makampani azilimidwe azaku Western.

Kuphatikiza pazomwe zimagwiritsidwa ntchito pochiritsira, kukonza mitsempha yabwino, zovuta za vitamini. N`zotheka onse mankhwalawa neuralgia komanso asthenic ndi masamba zinthu.

Ululu wopweteka, wokwiyitsa m'mimba mundawo mapiritsi. Allergic, monga gulu lonse la B.

Zabwino mu zovuta mankhwala a polyneuropathy, kuphatikizapo mowa.

Mankhwala omwe amadziwika kuti amathandizidwa ndi mano kupweteka kwa mitsempha ya mtundu uliwonse wamitsempha (makamaka kuwonongeka kwa mitsempha ya mandibular). Popanda Milgamm, kuchira kumathanso, koma ndi izi kumathamanga.

Mu mano, njira yayitali imalamulidwa, motero, piritsi la mankhwalawa ndi labwino

Pafupipafupi matupi awo sagwirizana ndi mavitamini ndi lidocaine.

Ntchito yotsatsa ikuluikulu yomwe makampani ena anali nayo panthawiyo idalowa m'magulu azachipatala ambiri omwe amaganiza kuti kuphatikiza mavitamini a B ndi diclofenac kumapereka mphamvu zamatsenga pochiza ululu wammbuyo. M'machitidwe anga, izi sizinatsimikizidwe.

Mankhwala oyenera omwe amagwiritsidwa ntchito pochizira kutopa, kupsinjika kwa magwero osiyanasiyana. Anawonetsa kukhathamiritsa kwake kwakukulu, palibe chidziwitso pakuapangidwa kwa zoyipa. Sichigwiritsidwa ntchito ngati ana, popeza alibe chitetezo chokwanira kwa ana.

Mtengo wa mankhwalawo umagwirizana kwathunthu ndi mtunduwo.

Mankhwala abwino osokoneza bongo othandizira kutopa, kupsinjika, kutengeka mtima.

Zowawa zokwanira ndi jekeseni wamitsempha. Ikhoza, ngati mankhwala aliwonse, kuyambitsa thupi kulimbana, arrhythmias ndi chizungulire, kotero muyenera kusamalira bwino moyo wanu mukamagwiritsa ntchito.

Mankhwala abwino kwambiri pazovuta zovuta. Wololekeza bwino kwambiri ndi odwala (matupi awo sagwirizana ndi munthu payekha pakapangidwe kamankhwala. Mtengo wabwino wa ndalama. Kugwiritsa ntchito kosavuta - kupezeka m'njira zosiyanasiyana.

A bwino kwambiri mavitamini a B pochizira matenda amanjenje.

Zatsimikizira kukhala zothandiza mu chithandizo chovuta, kwenikweni palibe zoyipa, kulolera bwino, mtengo wotsika mtengo. Amapereka zabwino analgesic mu pachimake zinthu. Mtengo wa ndalama ndiwosasinthasintha. Amapezeka mumitundu yosiyanasiyana.

Ndimakonda kwambiri mankhwalawo. Ndimagwiritsa ntchito mankhwala osokoneza mankhwalawa pochotsa zomvera m'maso.

Mankhwalawa akhala ali pamsika - ichi ndi chitsimikiziro chofunikira. Milgamma amadziwika komanso wodalirika. Ndipo pali chifukwa! Ndiwothandiza kwambiri monga gawo la zovuta mankhwala, kulolera bwino, mtengo wokwanira.

Ndizachilendo kwambiri, koma pamakhala zovuta zina ndi kusalolerana komwe. Komabe, njirayi ndi yoona kwa mankhwala ambiri.

Milgamma ndiye muyezo wagolide.

Mankhwala otsimikiziridwa bwino a radicular syndrome, neuritis ya nkhope, lumbalgia, yokhala ndi neurosis, asthenic. Zotsatira zoyipa ndizochepa. Nthawi zina ndimapereka mankhwala kwa odwala anga monga gawo la zovuta pazochizira matenda a neurosis, lumbalgia. Fomu ya piritsi imakhalanso yololedwa.

Mtengo wabwino wa ndalama.

Mankhwala omwe amagwira ntchito bwino pochiza matenda ashuga a polyneuropathy ndi matenda ena amitsempha. Mankhwala nthawi zonse amaloledwa ndi wodwala, nthawi zambiri pamakhala sayanjana. Woyenerera bwino pamtengo / mtengo wabwino. Nthawi zonse ndimagwiritsa ntchito zomwe ndimachita ndipo ndimalimbikitsa kwa anzanga.

Mankhwala abwino kwambiri, atsimikizira kuti ndi othandizika kuthandizira, kusakhalapo kwa zotsatira zoyipa, kulekerera bwino, mtengo wotsika mtengo. Amapereka zabwino analgesic mu pachimake zinthu. Mtengo wa ndalama ndiwosasinthasintha. Amapezeka mumitundu yosiyanasiyana.

Ikani monga adalangizidwa ndi dokotala.

Kukonzekera bwino kuchokera pagulu la mavitamini B. Pali jakisoni ndi mawonekedwe a piritsi yomwe musankhe, yomwe ndiyabwino kwambiri. Mankhwalawa amaloledwa ndi odwala. Palibe zoyipa zomwe zawonedwapo mu ntchito yanga yonse.

Nthawi zambiri amagwiritsidwa ntchito zovuta mankhwala opweteka radicular syndromes motsutsana ndi maziko a osteochondrosis, ndi kuvulala ndi matenda a mitsempha yotumphukira.

Mankhwala ndi abwino. Nthawi zambiri gwiritsani ntchito pochita zanga. Zotsatira zoyipa sizimawonedwa. Imalekereredwa bwino ndi odwala. Sindinawone kusiyana kwakukulu pakati pa mankhwalawa ndi Combilipen, mtengo wachiwiri umatsika pang'ono, koma ndizosagwirizana kwenikweni. Ndikupangira izi!

Yogwirizana ndi lidocaine wa.

Mankhwala abwino milandu ya presthesia ndi zovuta zina za impuction wa mitsempha. Chachikulu ndi kuyamwa kwamankhwala ndikusamala wodwala. Ndikupangira anzanga mtundu wabwino kwambiri wa multivitamin kuphatikiza mitundu yosiyanasiyana yamasulidwe yomwe imalola kuti munthu athe kulandira chithandizo.

Sindinawone izi.

Mankhwala abwino, otsika mtengo malinga ndi momwe masiku ano alili, amakumana mokwanira machitidwe a matenda osiyanasiyana. Itha kuikidwa prophylactically. Nthawi zambiri, odwala amakhutira ndi mankhwalawo.

Kukhazikika kwa akatswiri ndikofunikira musanagwiritse ntchito.

Zodabwitsa pazochitika zonse, mankhwalawa. Ndakhala ndikugwiritsa ntchito kwa nthawi yayitali ngati imodzi mwazinthu zofunikira pazachipatala cha dorsopathies. Kuyankha bwino kwambiri kwa neurotropic. Wokongola analgesic mphamvu. Nthawi zambiri pamakhala mankhwalawa amakhudzidwa ndi mankhwalawa.

Ndikulimbikitsa. Makamaka amasangalala ndi kuphatikiza kwa "mtengo-wamtengo".

Mankhwala abwino kwambiri pochiza matenda osiyanasiyana a mitsempha ndi mitsempha.

Machitidwe anga, adakhala abwino mu nthawi ya postoperative kwa odwala omwe ali ndi vuto la mitsempha yapang'onopang'ono ndipo atatha kusintha miyendo. Kuphatikiza apo, adayilamula ndi zotsatira zabwino kwa odwala atavulala kwambiri muubongo.

Great vitamini zovuta. Kuphatikiza kwakukulu kwa mtengo / mtengo. Adadzitsimikizira yekha mwa kulowetsedwa kwa mitsempha. Zotsatira zimachitika mwachangu mokwanira ndipo zimatenga nthawi yayitali. Maphunziro akhoza kukhala osakwanira. Pali kuthekera kwa chithandizo chamagulu.

Kuphatikizika kwabwino kwa multivitamin kophatikizika koyenerera pazinthu zonse. Mtengo wa ndalama pamlingo woyenera. Mitundu yosiyanasiyana yamasulidwe.

Kugwiritsa kwake ntchito pochizira matenda onse akatswiri onse.

Sindikawona mfundo yofotokozera mankhwalawa ngati palibe mavitamini a B m'thupi

Mankhwala abwino. Ndidatenga ndekha ndikulimbikitsa kwa odwala anga (makamaka atatha kupezeka maantibayotiki. Kuphatikiza kwama mavitamini angapo ndi mankhwala okongoletsa. Sindinawone zomwe thupi limachita. Ndikofunika kuzindikira kuyendetsa bwino kwa mankhwalawa pambuyo popita jakisoni, ndiziwonetsa "bwino". Jakisoni alibe ululu chifukwa cha lidocaine.

Choyamba, kuchita bwino! Kutsika mtengo, mtengo, ngakhale kuti ndiwotsimikizirika koma mungafunike kuchitiridwa, komwe mungapite.

Piritsi lamtundu wa mankhwalawa siligwira ntchito kwenikweni.

Nthawi zambiri gwiritsani ntchito pochita zanga, monga. Odwala amatamandanso, amathandizira kuthana ndi mavuto. Ndi dorsalgia wa magwero osiyanasiyana, mankhwala ofunika.

Milgammam ndi mankhwala abwino kwambiri ochizira osamva m'maganizo mwa akulu ndi ana, onse pachimake komanso osachiritsika.

Mtengo ndiwokwera, khalidwe lili pamwamba.

Ndikotheka kusintha mankhwalawa ndi mavitamini a B. Njira ya mankhwalawa ndi masiku 5 mpaka 10. Zotsatira zoyipa monga urticaria, chizungulire, ndi mseru ndizotheka.

Kufunika kopereka mankhwala a gulu B, monga mitundu ina ya mavitamini, pochiza ululu (vertebrogenic, tunnel) syndromes muzochitika zamankhwala zapadziko lonse ndi funso lalikulu. Kafukufuku wodalirika wazachipatala yemwe amatsata muyezo wapadziko lonse, wokwaniritsa zofunika zina, sanaperekedwe.

Makina mavitamini ambiri omwe ndimagwiritsa ntchito pochiritsa matenda amanjenje. Mavitamini omwe amaphatikizidwa ndikuphatikizika ndi madzi osungunuka - chifukwa chake, bongo ndi lovuta kwambiri kuchita, koma ndikofunikira kukumbukira izi.

Njira yosavuta yogwiritsira ntchito - jakisoni 1 patsiku, imakupatsani mwayi wowonjezera machiritso.

Milgamm ali ndi mavitamini B abwino, othandiza komanso othandiza kwambiri. ”Muli ndi lidocaine, yomwe imapangitsa kuti jakisoniyo akhale bwino.

Thupi lawo siligwirizana nthawi zambiri limapezeka lidocaine.

Chowoneka bwino kwambiri chogwiritsira ntchito mankhwalawa: ma syndromes osiyanasiyana opweteka, kuwonongeka kwa mitsempha, matenda aubongo, matenda osokoneza bongo, zotsatira za kuperewera kwa mankhwala osokoneza bongo ndi uchidakwa, ndi zina zambiri.

Zabwino B1 + B6 + B12 jekeseni m'modzi, koma lidocaine ndi mankhwala oletsa kupezeka, ndipo allergen imakhala yofala ndi madokotala a mano. Ngakhale iyemwini sanawone kulekerera kwa nirazu, adangomva. Encephalopathies ndi neuropathies kuphatikiza mowa amathandizidwa bwino.

Kupezeka kwa lidocaine mu kaphatikizidwe kuyenera kuwerengera.

Gawo labwino kwambiri mu pharmacology, abale a odwala amasangalala kupanga jakisoni :-) palibe ululu, zotsatira zabwino ndikutsimikiza mwangwiro. Mtengo wakevomerezeka.

Chogulitsachi ndichabwino ndi kugwiritsa ntchito mwaluso. Mafotokozedwe ake ndi omveka, okwanira.

Pazomwe akuchita, adanenanso mobwerezabwereza mankhwala osokoneza bongo omwe amadzilamulira okha ndi odwala. Chowonadi ndi chakuti kapangidwe kake kamaphatikizapo mafuta osungunuka a vitamini B12 (cyanocobalamin), omwe amatha kudziunjikira m'thupi. Milandu yonse ya bongo ndi yotsimikizira ma labotale. Magetsi ambiri a vitamini B12 anali angapo. Kuchepa kwa kuchuluka kwa mafuta kwa vitamini B12 kunali kochepa. Chifukwa chake pempho: werengani malangizo mosamala, osapitilira nthawi yomwe mwagwiritsa ntchito, komanso muyezo kapena osakwatiwa.

Onetsetsani kuti mwakumana ndi adotolo pakufunika kogwiritsa ntchito.

Mankhwalawa ndiabwino kwambiri kuphatikiza ma pathologies osiyanasiyana momwe mitsempha ndi mizu zimakhudzidwira, chifukwa kwenikweni zimapereka zinthuzo kwa thupi zomwe zimafunikira kuti zisinthidwe mwachangu izi.

Nthawi ndi nthawi, mankhwalawa amagwiritsidwa ntchito. Pazowona zanga, awa ndi pafupi 5% ya odwala. Mu 2%, kupweteka mutu komanso chizungulire sichinadziwike. Zachidziwikire, ngati njirayi idakokedwa kapena idapita kutali, mankhwalawa siothandiza kwenikweni. Zowawa ndi kukhazikitsidwa kwa m / m.

Nthawi zina, ndimapereka mankhwala prophylactically. Mankhwalawa ndibwino kumwa m'mawa, monga mwa ndemanga za odwala ali ndi mphamvu yosangalatsa.

Zotsatira zoyipa zomwe zingachitike

Ndikofunika kukumbukira kuti mankhwalawa ali ndi zovuta zina. Ngati awoneka atangomaliza kumwa mankhwala, muyenera kufunsa dokotala. Zotsatira zoyipa zazikulu zimaphatikizapo pruritus, ziwengo, edema ya Quincke, thukuta, nseru, chizungulire, kukokana, komanso kusintha kwa mtima.

Nthawi zambiri, zotsatira zoyipa zimachitika chifukwa chosagwiritsa ntchito mankhwalawo mosayenera kapena mwachangu kwambiri. Zotsatira zomwezi zimachitikanso ngati mulingo woyenera sagwiritsidwa ntchito.

Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa kwa miyezi yoposa isanu ndi umodzi, chifukwa pali chiopsezo chachikulu chokhala ndi mavuto amanjenje. Mankhwalawa amatha kubweretsa mutu pafupipafupi.

Nthawi zina zimayambitsa matenda otsegula m'mimba komanso matenda ena okhudzana ndi m'mimba. Zimakhudza mtima, mapapu, amayambitsa kukula kwa tachycardia, kuthamanga kwa magazi.

Nthawi zina zotsatira zoyipa zimawonekera mu mawonekedwe a mavuto ndi tulo, kuchuluka kwa nkhawa, kusazindikira, paresthesia, mavuto amva komanso kuwona.

Kuphwanya kwakukulu

Mankhwalawa sayenera kugwiritsidwa ntchito ngati pali zovuta zilizonse za mankhwalawa kapena zosokoneza bongo.

Mankhwalawa amalembedwa ndi dokotala, ndipo nthawi zina amatha kudziwa zifukwa zomwe akukanira kugwiritsa ntchito mankhwalawa.

Alumali moyo ndi mankhwala osokoneza bongo omwe ali ndi machitidwe ofanana

Mapiritsi a Milgamm ndi ma ampoules amaloledwa kusungidwa kwa zaka ziwiri. Kutentha kolimbikitsidwa ndi madigiri a 10-15, muyenera kusungira mumdima komanso osatheka ndi ana.

Kukonzekera ndi zotsatira zofananira: Vitaxone, zovuta B1, ampoules Nevrolek, mapiritsi Neuromax, Neurorubin, Neovitam, Neurobeks, Neuromultivit ndi ena. Ndalama zonse ziyenera kugwiritsidwa ntchito potsatira dokotala.

Mankhwala osokoneza bongo amawonetsedwa pazotsatira zoyipa. Pankhaniyi, muyenera kufunsa dokotala nthawi yomweyo. "Milgamma" sayenera kugwiritsidwa ntchito ndi mankhwala omwe ali ndi levodopa. Sipanganso nzeru kuzigwiritsa ntchito limodzi ndi njira zothetsera, chifukwa zimalepheretsa vitamini B1.

Ndemanga zamkati

Ndemanga za mankhwalawa, kwakukulu, ndizabwino: anthu omwe adagwiritsapo ntchito Milgamma adziwe kuti mawonekedwe a osteochondrosis atsika, ndipo mawonekedwe awo apambana. Kugona sikuthandizanso. Kuphatikiza apo, chida ichi chimakhudzanso kukongola kwa kugonana koyenera: imatha kulimbitsa misomali ndikusintha mkhalidwe wa tsitsi chifukwa cha mavitamini omwe alimo.

Alexander, wazaka 49:

"Vitamini wamkulu. Kuphatikiza kwakukulu kwa mtengo / mtengo. Adadzitsimikizira yekha mwa kulowetsedwa kwa mitsempha. Zotsatira zimachitika mwachangu mokwanira ndipo zimatenga nthawi yayitali. Maphunziro akhoza kukhala osakwanira. Pali kuthekera kwa chithandizo chambiri. "

Anastasia, wazaka 38:

“Moyo wanga wonse ndinali ndi matenda oopsa kwambiri ndipo ndasiya kale kulandira chithandizo. Zitachitika pachabe ... zovuta zidayamba - nyamakazi. Ndinazindikira chifukwa cholumikizira m'chiuno chinali choyaka. Komabe, chithandizo chake chidakhala chosavuta. Ndinkamwa mankhwalawa a milgamm ndi maphunzirowa mwezi uliwonse. Tsopano zikuwoneka kuti zonse zili bwino, palibe chomwe chikuvutitsa. "

Irina, wazaka 53:

"Katswiri wamitsempha wodziwika ndi matenda a osteochondrosis ndi lumbago + sciatica! Ndikubayitsa jakisoni ndi Alflutop! Jekeseni woyamba anali wowawa kwambiri kotero kuti ndimatha kudumphadumpha, ndimatha kuwona zoterezi! theka la chaka! Amathandiza ndi lumbago!))) "

Anna, wazaka 38:

"Ndagwiritsa ntchito mankhwalawa kopitilira kamodzi, amathandizira kuchiritsa matenda a osteochondrosis ndi kupweteka m'dera lumbar, mankhwalawa amathandizanso ndi herpes komanso zithupsa zilizonse. zomwe zinkandivuta nthawi zambiri, mutha kuwona mavitamini awa akuchulukitsa chitetezo chokwanira, ndikulimbikitsa kwakukulu kwa ena. tsopano ndikufuna kuchitira mwamuna wanga mankhwala. ”

Lyudmila, wazaka 35:

"Msana wanga wapweteka, nditabayidwa jakisoni 5 ndikusintha bwino, tsopano ndimapitiliza kulandira chithandizo kawiri pa sabata, ndiye kuti ndipita ku Milgamma compositum. Ndizomvetsa chisoni kuti kulibe mafayilo azitsamba otsegulira ma bulamu, pokhapokha zovuta kuchita ndi dzanja lachikazi. "

Ivan, wazaka 43:

“Mankhwala othandiza kwambiri. Anandiwuza kuti azikhala ndi milgamm pomwe bala langa limandipweteka. Ndidapita kwa dotolo, adati ndikungofunika kuchita jakisoni angapo. Ndidachita zonse monga momwe adalamulira. Chida chopulumutsa. "

Tidasanthula momwe mankhwalawa amachitikira ndikugwiritsa ntchito. Ndemanga za odwala zimawonetsa kuti zimachepetsa ululu ndikuchotsa mawonetseredwe a osteochondrosis. Chachikulu ndikutsatira malangizo mosamala ndikutsatira malangizo a dokotala.

Ndemanga za wodwala wamagalamu

Dokotalayo adandiuza kuti ndipereke mankhwalawa kuti ndithane ndi kutopa kwamanjenje. Imakhala ndi zotsatira zabwino kwambiri za analgesic. Mumamva mutatha kumwa mankhwalawo momwe thupi limapezera mphamvu. Nthawi yomweyo pamakhala phokoso. Pali njira zothetsera pamitengo yosiyanasiyana, kutengera amene ayenera kumwa mankhwala. Mavitamini onse omwe amapezeka pokonzekera amakhala abwino kwambiri komanso ochitapo kanthu. Tsopano ndikumva bwino, thupi langa silimapwetekanso, kukokana kwanga kunasowa. Chachikulu ndikuchita mankhwalawa apamwamba kwambiri, komanso osaphonya jakisoni, ndiye kuti padzakhala zotsatira zomwe zingakonde, zomwe zimakhudza thanzi lonse.

Ndidapemphedwa kuti ndiyike "Milgamma" chifukwa cha ululu wammbuyo, mitsempha yodinidwa kuntchito. Zowawa zidapita pomwepo, koma ziwengo zowopsa zidayamba pa mankhwalawo - nkhope yonse idatsukidwa ndi ziphuphu chifukwa sizidachitike nkomwe mu unyamata. Ngakhale mpumulo kumbuyo, ndinayenera kusiya jakisoni, chifukwa sindimatha kugwira ntchito ndi munthu wotere. Izi zisanachitike, sizinakhalepo ndi zovuta za mavitamini a B; ndimachimwa makamaka pa Milgamm. Chifukwa chake yang'anani mosamala pa mndandanda wa contraindication ndi momwe mungathere mbali, ndizowona. Chifukwa chake, ngati jakisoni woyamba akudutsa popanda mavuto, ndiye kuti amachiritsa msana ndikuthandizira dongosolo lamanjenje.

Tsopano ndimawerenga ndemanga za madokotala ndipo sindikumvetsa chifukwa chake mavitamini awa adayikidwa kwa mwana wanga wazaka 1. Mwana wanga mwachangu anayamba kukwawa ndi kudzuka, anafuna mwachangu ndikuyenda kutsamira khoma. Koma nthawi iliyonse akapita kwa katswiri wa zamitsempha, amatibweretsera phiri la mankhwala osokoneza bongo, akumati samamugwira bwino. Popeza mwana wanga woyamba, yemwe adayamba kuyenda mochedwa, kuikidwa kwa dotoloyu kunatithandizira, tidam'khulupirira ndipo tidapereka majekeseni a Milgamm kwa mwana wa chaka chimodzi. Atatha kulandira chithandizo ndi Milgamm, nthawi yomweyo adayamba kuyenda osathandizidwa ndi wina aliyense, ndipo mbali zina adakhala bwino, mwachitsanzo, adakhala wodekha. Koma tsopano, popeza ndaganiza zolemba zowunikiranso ndikuwerenga ndemanga za dokotala wa opaleshoni ya ana Chepurnoy M.G., ndizodabwitsa. Koma koposa zonse, sitinawone zotsatira zoyipa, ndipo mwana ali ndi chaka chimodzi ndi miyezi inayi, ali wathanzi.

Mankhwala "Milgamma" adandiwuza ndi katswiri wa mitsempha yochizira matenda amchiberekero. Khosi langa lidawawa kwambiri, ndikupereka m'manja. Ndinayamba kumwa mapiritsi molingana ndi malangizo komanso kuphatikiza jakisoni "Movalisa" ndikumwa zakumwa. Ululu pang'onopang'ono unayamba kuchoka, dzanja langa silinathenso kukoka, ndimatha kusuntha dzanja langa, kunyamula zinthu. Mitundu ya kupsyinjika m'chifuwa idachoka nthawi yomweyo, ndipo ndidayamba kupita kukachita kutikita mtima kwa khosi lachiberekero. Ndinkamwa "Milgamma" pamaphunzirowo, popanda kusokoneza, adotolo adati mapiritsiwo alibe mphamvu ngati jakisoni, koma ndinapeza mapiritsi okha. Mapiritsi a Milgamm siotsika mtengo, ma paketiwo amanditengera ma ruble 1,700. Mwamuna wanga ali ndi vuto lakumbuyo, tidagulira majakisoni a Milgamm komanso tinawapanga limodzi ndi mankhwala ena. Zotsatira zake zinali zabwino.

Pambuyo pa opaleshoni yamakutu, ndinali ndi dzanzi m'khutu komanso lilime. Dokotala wamitsempha adayambitsa Milgamma jakisoni (njira imodzi - jakisoni 10). Kuzindikira sikunachotsere bwino, koma kwakhala kwabwino kwambiri, makamaka kuwongolera chilankhulo. Sindimataya mtima, adotolo adati pakapita kanthawi kamodzi njira yofananira yomweyo imayenera kutengedwa.

Ndikufuna kunena za chondichitikira changa pogwiritsa ntchito mankhwalawa "Milgamma" jakisoni. Amayi anga nthawi zambiri ankazigwiritsa ntchito. Ine, pofuna kuthana ndi kutopa kovutikira pamavuto amanjenje, pachiwopsezo changa komanso pachiwopsezo, popeza adachita zofunikira pa mayi anga, ndidaganiza zoyamba maphunziro omwe adalembedwa pasipoti ija, ndikudzipatsa ndekha jakisoni. Inemwini, sindinakumane ndi ululu uliwonse pa jakisoni, nditangobaya jakisoni. Panalibe zovuta kapena zovuta. Kuthamanga magazi pang'ono kumutu, koma izi ndi zomwe zimapangitsa mankhwalawo. Zachidziwikire, ndichabwino kuchita chilichonse monga momwe adokotala amafotokozera, koma chomwe chinali, chinali. Sindinamvepo chilichonse chothandiza, koma mankhwalawo mwina anali ndi phindu lake.

Mankhwala "Milgamma" adandiuza kwa dermatovenerologist pomwe ndimadwala ma shingles. Kutupa komweko kunadutsa mwachangu kwambiri, koma ululu wosaletseka udatsalira, monga kuwotcha komwe kumayambira m'chigawo. Anadwala postherpetic neuralgia pafupifupi chaka chimodzi. Mankhwalawa adatengedwa limodzi ndi mankhwala ena. Unalekereredwa bwino. Zowawa kumbuyo kwa "Milgamma" zimachepa pang'onopang'ono, koma pambuyo poti chithandizo chidayambanso. Anadutsa maphunziro anayi "Milgamma". Pulogalamuyi idalimbikitsa "Combilipen" waku Russia, ndidayesanso. Mtengo wake anali wotsikirapo. Sindinapeze kusiyana kwakukulu pakukhazikika pakati pa mankhwalawa, motero ndinasinthira ku Combilipen. Sindidzachitanso Milgamm.

"Milgamma" imathandiza, mankhwala abwino kwambiri. Nthawi zonse ndimazisunga m'nyumba yamankhwala. Kamodzi katswiri wamitsempha atandiuza mankhwalawa, ndipo kuyambira nthawi imeneyo ndakhala ndikuigwiritsa ntchito. M'mbuyomu, adangolowa jakisoni, koma tsopano pali mapiritsi. Ndiwosavuta kwambiri, nthawi zonse mutha kupita nanu paulendo. Milgamma imathandizira msanga kupweteka komanso kutupa, mavitamini a B amatulutsa magazi. Mankhwala amagwiradi ntchito.

Dokotala wamitsempha chifukwa cha kutupa kwa mitsempha ya trigeminal adandiwuza "Milgamma" jakisoni. Ndimatha kuwunikira mphamvu ya mankhwalawa pophatikiza ndi ena ngati ali ndi chiyembekezo. Patatha masiku awiri, mpumulo unabwera. Popeza kufalikira kumachitika kawirikawiri ndimatenda a trigeminal, ndinayenera kumwa Milgamm koposa kamodzi. Nditayamba kumubaya kachiwiri, ndidamva kuwawa. Ndinauzidwa kuti ndimwe m'mapiritsi, chifukwa mu jakisoni wa lidocaine, ndipo amatha kuyambitsa thupi. Panalibe kutengera mapiritsi.

Ndidaphunzitsa mwana kuti agone m'manja mwanga. Zimalemera kwambiri, ndipo zinkakhala zovuta kunyamula manja musanalote, msana unayamba kupweteka. Poyamba, imangowuma pakati pama phewa, kenako ndikumverera kofanana ndi goosebumps. Ndidapita kwa dotolo, ndikadandipatsa mankhwala oti ndizipanga masewera olimbitsa thupi. Ndinayamba kutenga ndikumva bwino. Tsopano ndimayesetsa kuyamwa ndi dzanja.

Nditangomaliza kulongedza milgamma compositum, ndimayenera kumwa mavitamini awa nthawi yayitali, nthawi yomweyo idayamba kukhala yosavuta kukhosi, ndimatha kuyiyendetsa mwachilungamo, msana wanga umakhala wosavuta, ndakhala wovuta kwambiri, ndimatopa pang'ono, sindimva kupweteka m'mawa, ndipo ichi ndi chophatikiza chachikulu.

Ndipo ndimagwiritsa ntchito Milgamma chifukwa cha ululu wammbuyo. Adakonzanso ndimwamuna wake ndipo adagwira ntchito kwambiri kotero kuti adatambasulira mafupa kumbuyo kwake, kupweteka kudali kotheka, samatha kutembenuka. Dokotala wamisala adandiuza Milgamma kwa ine. Ndinkamwa mapiritsi, zinali zofunikira kwa ine. Ndidakonda mphamvu ya mankhwalawo. Patatha sabata limodzi, ndidayiwaliratu kuti msana wanga udandipweteka.

Abambo anga, kudandaula kwa katswiri wazokhudza matenda am'manja pafupi ndi dzanja, adalandira chithandizo chamankhwala, kuphatikiza milgamma. Mankhwalawa anali ndi jakisoni anayi amkati tsiku lililonse. Tidakondwera kudziwa kuti milgamm, yomwe imaphatikizapo mavitamini a gulu B, opangidwa ku Germany, mosiyana ndi kukonzekera komweko, ilibe potaziyamu cyanide, yomwe imakhala yoopsa m'dzina lake. Pambuyo pa jakisoni atatu, kuwoneka bwino kwasintha. Zowawa zatha. Milgamm ndiwothandiza kwambiri, kuchepetsa nkhawa zopweteka zomwe zimabweretsa.

Ndikudziwa ndipo nthawi zambiri ndimagwiritsa ntchito mankhwalawa, adotolo adandiuza kuti nditenge maphunziro (jakisoni) a milgamma, kuti ndikhale ndi thanzi labwino katatu pachaka. Ngati sindingathe kuyimitsa majakisoni, ndiye kuti ndiyenera kumwa mapiritsi a piritsi, popeza anandipeza ndi MS. Ngakhale jakisoni komanso zopweteka, monga momwe ziliri ndi mavitamini a gulu B, koma momwe amawagwiritsira ntchito ndiabwino, kapena, ndichabwino. Ndidamva kuti adayikiridwa zizindikilo zina zambiri.

Mwana wanga wamwamuna amasiya mbali yamanja pambuyo pa stroko. Tili ndi miyezi isanu ndi itatu, tinalandira chithandizo cha mankhwala ndi Milgamm komanso kutikita minofu yayikulu. Zotsatira zake - mwana adayamba kukunkhunza patsiku la 6 atayamba maphunziro. Kuphatikizika kwa mankhwalawo pawokha ndi fungo losasangalatsa, lomwe limaperekedwa mozama komanso pang'onopang'ono, zomwe sizovuta. Koma chinthu chofunikira kwambiri ndichotsatira, tikuyembekezera nthawi yomwe idzathe kubweretsanso maphunzirowa, chifukwa zovuta zotsalira zamagalimoto zimapitilirabe.

Milgamm anali njira yanga yothandizira msana. Adotolo, omwe adandipatsa mankhwala, adatsimikizira kuti ali ndi vitamini B wambiri, yemwe panthawiyo anali wofunikira kwa ine. Zovuta za mankhwalawa ndizokwera mtengo, motero ndidagula magawo awiri a mankhwalawo, ndimamwa kamodzi patsiku ndikudya. Sindinapeze zotsatira zoyipa, ndiyenera kutenga osati pamimba yopanda kanthu. Kuphatikiza pa Milgamm, mankhwala ena anaphatikizidwanso munthawi ya chithandizo, komanso njira zamagetsi zomwe zimayikidwa m'chipinda chothandizira. Mwezi wopereka chithandizo ndipo ndayiwala za ululu wammbuyo komanso kupweteka kwamitsempha, zikomo.

Pokhudzana ndi kuwonongeka kwa matenda ashuga, agogo adawonetsa polyneuropathy. Ndinkazunzidwa chifukwa choyaka moto nthawi zonse pakhungu, kupweteka kwa minofu, miyendo yopweteka kwambiri - sindinathe kugona usiku. Dotolo adapereka chithandizo chokwanira, ndipo mwa mankhwala ena angapo panali maphunziro a Milgamm. Patatha sabata limodzi kuti mugone usiku, ululu m'miyendo unachepa. Agogo anzawowo, adayamba kudya zakudya mosamala, nthawi zambiri amakhala mwamphamvu. Ndipo tsopano, malinga ndi lingaliro la dokotala, ali wokonzeka kutenga maphunziro a milgamma kangapo pachaka.

Mkazi kuyambira ubwana amavutitsidwa ndi ululu wammbuyo, zomwe zimachitika m'makalasi a judo. Pambuyo pa kubadwa kwa mwana woyamba sizinkam'khudza bwino, pafupifupi kukwera khoma ndikumva kuwawa. Anakayezetsa ndipo anakam'patsa MRI ya msana. Kuzindikira ndikukutulutsa kwa disc ndi kutsina kwa mitsempha yotsika. Dokotala wothandizira anali kulandira jakisoni wamkati ndi Milgamma. Unali chipulumutso! Pambuyo popita jakisoni, mkazi wanga adatsala pang'ono kuyiwala za kupweteka kumbuyo. Tsopano, ndikuwopseza kawirikawiri, amagwiritsa ntchito Milgamma. Mimba yachiwiri ndi kubereka mwana zinayenda bwino, popanda zovuta. Zokhazo zoyipa: jakisoni ndiwowawa kwambiri.

Banja lathu limadzidziwa nokha za mankhwalawa. Amayi nthawi zambiri amakhala ndi vuto lakumbuyo kwake, pamakhala zowawa, kulimba m'thupi lonse. Pamodzi ndi chondroprotectors, adotolo nthawi zonse amamulembera Milgamma. Pambuyo pa maphunzirowa, imakhala yosavuta, ma arthrosis amatsika kwakanthawi. Milgamma kwenikweni ndi zovuta za mavitamini a B, omwe ndi othandiza kwambiri ku cartilage ndi dongosolo lonse la musculoskeletal. Komanso mu kapangidwe kake ndi lidocoin, kotero pali zotsatira za analgesic kuchokera pakugwiritsa ntchito. Awa ndimankhwala abwino kwambiri, amagwiritsidwanso ntchito ngati njira yothandizira kuti mulimbitse zamanjenje. Pafupifupi palibe zoyipa, mtengo wotsika mtengo ndi ntchito zosiyanasiyana ndizosangalatsa.

Kufotokozera kwapfupi

Milgamma ndi mavitamini ovuta okonzekera mavitamini B, omwe akhala akugwiritsidwa ntchito pochiza matenda a musculoskeletal system chifukwa cha katundu wa analgesic komanso anti-yotupa, komanso kuthekera kolimbikitsanso minofu. Kuphatikiza apo, mu "summary" yawo yamankhwala imawoneka yofunika kwambiri monga neurotropy, i.e. kutenga nawo mbali njira zomwe zimachitika mu dongosolo lamanjenje, kuphatikiza kagayidwe ka ma neurotransmitters ndi kufalitsa kwa kukhudzidwa kwa mitsempha. Chimodzi mwazinthu zonse za milgamm ndiyofunika kuyankhula mwatsatanetsatane. Vitamini B1 (yemwe amadziwikanso kuti thiamine) ndiye cholumikizira chofunikira kwambiri mu metabolism ya carbohydrate komanso pazosintha zamitundu iwiri, zomwe zimatchedwa mzunguko wa Krebs, zomwe zotsatira zake ndi kupangidwa kwa ATP. Vitamini B6 (pyridoxine) amatenga kagayidwe kazakudya zomanga thupi ndipo, momwe angathere, mu metabolism yamafuta ndi chakudya. Mavitamini "awiri okondawa" awa, omwe amawonjezera mphamvu ya wina ndi mnzake, ndi othandizadi ku mitsempha ndi mtima. Vitamini B12 (cyanocobalamin) amatenga nawo mbali popanga chithokomiro cha myelin, imalimbikitsa hematopoiesis, imapangitsa ululu wokhudzana ndi kuwonekera kwa mitsempha yapang'onopang'ono, komanso imathandizira kagayidwe ka michere ya nucleic acid mwa activation ya folic acid. Kuphatikiza pa vitamini wophatikizika uyu, mankhwala ena osokoneza bongo omwe ali m'gulu la mankhwala osokoneza bongo ali mbali ya milgamm. Imodzi mwa magawo omwe amagwiritsidwa ntchito posachedwa kwambiri a milgamma ndi kupweteka kwam'mbuyo, i.e.

K. Milgamma ndi wochotsa bwino ululu wammbuyo wammbuyo, onse kuphatikiza ndi NSAIDs ndi "solo" mode. Mukamagwiritsa ntchito milingo yayikulu ya milgamma, momwe analgesic amagwiritsidwira ntchito ali ofananadi ndi galu yemwe anadya kupweteka pakupereka ululu kwa veteran wa mankhwala opangira mankhwala a diclofenac.

Zonsezi pamwambapa zimagwiritsidwa ntchito pa milgamma mwanjira yothetsera jakisoni. Monga mukudziwa, mavitamini a B amawonongeka mosavuta mthupi, posungunuka ndi madzi. Komabe, akatswiri a zamankhwala achotsa kusiyana kumeneku popanga mankhwala a milgamm compositum mwa mawonekedwe a dragees. Ili ndi analogue yosungunuka ya thiamine benfotiamine ndi pyridoxine. Katunduyu ali pafupi kupezeka kwathunthu: kumalowa kudzera m'matumbo epithelium, ndikusinthidwa kukhala thiamine diphosphate, kale m'maselo, omwe amathandizira pakadutsa analgesic.

Milgamma (tsopano tikulankhula za mawonekedwe omwe angathe kubayidwa) imayendetsedwa mwachisawawa ndipo, makamaka, mozama. Ngati ululu wamankhwala ululu wambiri, ndiye kuti muyenera kuyamba ndi njira yatsiku ndi tsiku la 2 ml yothetsera masiku 7-10. Mutatha kupweteka kwambiri, mutha kusinthana ndi mankhwala opaka mkamwa, kapena kutumikiridwa mankhwalawa kawirikawiri (katatu pa sabata kwa masabata awiri). Milgamm iyenera kutumikiridwa pang'onopang'ono, chifukwa apo ayi, mutha kumva chizungulire komanso kusakhazikika. Zizindikiro zomwezi zimadziwika ndi mankhwala osokoneza bongo ambiri.

Pharmacology

Kuphatikizika kwa mavitamini a gulu B. Neurotropic mavitamini a gulu B ali ndi zotsatira zabwino pamatenda otupa komanso osakhazikika amitsempha ndi zida zamagetsi. Amathandizira kutsika kwa magazi ndikuwongolera magwiridwe antchito amanjenje.

Thiamine (Vitamini B₁) imagwira ntchito yayikulu pakukula kwa chakudya chamafuta, komanso kuzungulira kwa Krebs potenga nawo gawo pakuphatikizika kwa TPF (thiamine pyrophosphate) ndi ATP (adenosine triphosphate).

Pyridoxine (Vitamini B₆) umagwira nawo kagayidwe kazakudya zomanga thupi, ndipo gawo lina, mu kagayidwe kazakudya zamafuta ndi mafuta.

Ntchito yokhudza mavitamini onse awiri ndikuwonetsetsa zochita za wina ndi mnzake, kuwonetsedwa mu mitsempha ya mtima ndi mtima. Ndikuperewera kwa Vitamini B₆ kufala komwe kumafala kumatha msanga mavutowa atayambitsidwa.

Cyanocobalamin (vitamini b₁₂) amatenga nawo kaphatikizidwe kamwala wa myelin, amamuthandizira hematopoiesis, amachepetsa ululu womwe umawonongeka ndi kuwonongeka kwa dongosolo la zotumphukira zamitsempha, ndipo amathandizira kagayidwe kazinthu ka nitic acid kudzera mwa activation ya folic acid.

Lidocaine ndi mankhwala oletsa kudwala omwe amachititsa mitundu yonse ya mankhwala opaleshoni yam'mimba (kulowetsedwa, kulowetsedwa, kulowetsedwa).

Pharmacokinetics

Pambuyo poyang'anira i / m, thiamine imalowa mwachangu ndikulowa m'magazi. The kuchuluka kwa thiamine ndi 484 ng / ml mphindi 15 pambuyo kukhazikitsa mankhwala pa 50 mg (patsiku la 1 la makonzedwe).

Pambuyo poyang'anira i / m, pyridoxine imatengedwa mwachangu mu kayendedwe kazinthu ndikugawidwa m'thupi, ndikuchita ngati coenzyme pambuyo phosphorylation ya gulu la CH₂OH mu udindo wa 5.

Pyridoxine imagawidwa thupi lonse, imadutsa chotchinga ndipo ikapezeka mkaka wa m'mawere. Thupi limakhala ndi 40-150 mg ya vitamini B₆, kuchotsera kwake kwa tsiku ndi tsiku kuli pafupifupi 1.7-3.6 mg pamlingo wokonzanso wa 2,2-2.4%. Pafupifupi 80% ya pyridoxine imamangilira mapuloteni a plasma.

Kutetemera ndi chimbudzi

Ma metabolites apamwamba a thiamine ndi thiamine carboxylic acid, piramidi ndi metabolites ena osadziwika. Mwa mavitamini onse, thiamine amasungidwa m'thupi muzing'onoting'ono kwambiri. Thupi la achikulire limakhala ndi 30 mg ya thiamine mu mawonekedwe a 80% thiamine pyrophosphate, 10% thiamine triphosphate ndi ena onse mu mawonekedwe a thiamine monophosphate. Thiamine amaponyedwa mkodzo, T_1/2 magawo a cy-magawo - 0,15 h, ma β-magawo - 1 h ndi gawo lofunikira - mkati mwa masiku awiri.

Pyridoxine imayikidwa mu chiwindi ndi oxidized 4-pyridoxic acid, yomwe imatulutsidwa mkodzo, maola 2-5 atatha kumwa.

Kutulutsa Fomu

Njira yothetsera makonzedwe am'mitsempha ndi yowonekera, yofiira.

Omwe amathandizira: mowa wa benzyl - 40 mg, sodium polyphosphate - 20 mg, potaziyamu hexacyanoferrate - 0,2 mg, sodium hydroxide - 12 mg, madzi d / i - mpaka 2 ml.

2 ml - magalasi akuda amdima (5) - ma CD a ma CD (1) - ma CD.
2 ml - magalasi amdima amdima (5) - ma CD a ma CD (2) - ma CD.
2 ml - magalasi amdima amdima (5) - ma CD a ma CD (5) - ma CD.
2 ml - makapu amdima amdima (5) - makatoni amakhadi (1) - mapaketi a makatoni.
2 ml - makapu amdima amdima (5) - makatoni (5) - mapaketi a makatoni.
2 ml - makapu amdima amdima (10) - makatoni amakhadi (1) - mapaketi a makatoni.

Mankhwala amaperekedwa mozama mu mafuta.

Milandu yakumva ululu waukulu, kuti mukwaniritse mankhwalawa msanga m'magazi, ndikofunikira kuti muyambe kulandira mankhwalawa ndi / m mankhwala a 2 ml tsiku lililonse kwa masiku 5-10. Mtsogolomo, matenda a ululu atachepa ndipo m'matenda ofatsa, amasinthana ndi mankhwala othandizira pakamwa (mwachitsanzo, Milgamma ® compositum), kapena jekeseni ena osowa (kawiri pa sabata kwa masabata 2-3) ndikotheka anapitiliza chithandizo chamankhwala olimbitsa pakamwa (mwachitsanzo, Milgamm ® compositum).

Kuyanʻaniridwa kwa sabata kwa dokotala kumalimbikitsidwa.

Kusintha kwa mankhwalawa ndi mawonekedwe a mulingo woyamwa pakamwa (mwachitsanzo, Milgamma ® compositum) ndikulimbikitsidwa kuchitika posachedwa.

Kuchita

Thiamine imawonongedwa kwathunthu mu mayankho omwe ali ndi sulfites. Zotsatira zake, kusweka kwa mankhwala a thiamine kumapangitsa zochita za mavitamini ena.

Thiamine imagwirizana ndi oxidizing komanso kuchepetsa mankhwala, kuphatikiza ayodini, carbonates, acetates, tannic acid, ammonium iron citrate, phenobarbital, riboflavin, benzylpenicillin, dextrose, disulfites.

Copper imathandizira kuwonongeka kwa thiamine.

Thiamine imataya mphamvu yake ndi kuchuluka kwa pH (kuposa 3).

Mlingo wothandizira wa pyridoxine umafooketsa mphamvu ya levodopa (mphamvu yotsutsa ya levodopa yafupika) mukamamwa. Kuchita ndi cycloserine, penicillamine, isoniazid imawonedwanso.

Ndi kholo la ntchito lidocaine wa owonjezera ntchito norepinephrine ndi epinephrine, kuchuluka zotsatira zoyipa mtima. Kuchita ndi sulfonamides kumawonedwa.

Cyanocobalamin sigwirizana ndi mchere wazitsulo zolemera. Riboflavin amakhalanso ndi zowonongeka, makamaka akakhala ndi kuwala, nicotinamide imathandizira chidwi cha Photolysis, pomwe antioxidants imalepheretsa.

Zotsatira zoyipa

Zomwe zimachitika pakakhala zovuta zimaperekedwa molingana ndi gulu la WHO:

* nthawi zina - Zizindikiro zimawoneka ndi pafupipafupi

Zotsatira zamatsenga: kawirikawiri - zotupa pakhungu, kupuma movutikira, kugwedezeka kwa anaphylactic, edema ya Quincke, urticaria.

Kuchokera ku dongosolo lamanjenje: Nthawi zina - chizungulire, chisokonezo.

Kuchokera pamtima dongosolo: kawirikawiri - tachycardia, nthawi zina: bradycardia, arrhasmia.

Kuchokera pamimba yogaya: nthawi zina - kusanza.

Kuchokera pakhungu ndi minofu yolumikizira: osowa kwambiri - kutuluka thukuta, ziphuphu, kuyabwa.

Kuchokera ku minculoskeletal system: Nthawi zina - kupweteka.

Zomwe zimachitika mdera lanu: Nthawi zina, kuyamwa kumachitika pamalo a jakisoni.

Zokhudza zonse zimatha kuchitika mwachangu pakakonzedwe kapena ndi mankhwala osokoneza bongo.

Monga pathogenetic ndi chizindikiro wothandizila pakuvuta kwa matenda ndi ma syndromes a dongosolo lamanjenje osiyanasiyana omwe amayambira:

• neuralgia, neuritis,
• paresis a nkhope
• retobulbar neuritis,
• ganglionitis (kuphatikizapo herpes zoster),
• kuchuluka
• mitsempha
• polyneuropathy (matenda ashuga, mowa),
• minyewa yamadzulo usiku, makamaka m'magulu achikulire,
• mawonetseredwe amanjenje a osteochondrosis a msana: radiculopathy, lumbar ischialgia, minofu-tonic syndromes.

Malangizo apadera

Pakachitika vuto la iv mwangozi, wodwalayo amayenera kuyang'aniridwa ndi dokotala kapena ayenera kugonekedwa m'chipatala, kutengera ndi kuuma kwa zizindikirazo.

Kukopa pa kuyendetsa magalimoto ndi kayendedwe kazinthu

Palibe chidziwitso pochenjeza za kugwiritsa ntchito mankhwalawa ndi oyendetsa magalimoto ndi anthu omwe akugwiritsa ntchito njira zoopsa.