Momwe mungachiritsire matenda a shuga ndi Tiogamm 600?
Mankhwalawa amapangidwa motere:
- Njira yothetsera kulowetsedwa. Mtundu wowonekera, wachikaso. Kugulitsa mu Mbale 50 ml.
- Yambitsani kukonzekera kulowetsedwa. Amapezeka m'magalasi apadera a 20 ml.
- Mapiritsi omwe amaphimbidwa ndi zokutira zapadera. Atadzaza matuza apadera a zidutswa 10 chimodzi.
Chomwe chimagwira mu mitundu yonse ya mankhwalawa ndi thioctic acid. Piritsi limodzi lili ndi 600 mg ya acid. Zowonjezera zake ndi: macrogol, meglumine ndi madzi a jakisoni. Cellulose, silicon dioxide, lactose, talc ndi magnesium stearate zimawonjezedwanso pamapiritsi.
Zotsatira za pharmacological
Yogwira pophika ndi thioctic acid. Ndi antioxidant wamphamvu yemwe amatha kumanga mwachangu ma radicals aulere. Ndi coenzyme inayake ya mtundu winawake wa multenzyme. Amapangidwa mu mitochondria ndipo amaphatikizidwa mwachindunji mu makutidwe a oxidative a pyruvic acid.
Mothandizidwa ndi chinthu ichi, shuga m'magazi amachepetsa kwambiri. Nthawi yomweyo, kuchuluka kwa glycogen m'chiwindi kumawonjezeka pang'ono. Njira yogonjetsera kukana insulin imayambitsa. Makina ochitapo kanthu ali ofanana ndi mavitamini a B.
Thioctic acid imayang'anira njira zonse zokhudzana ndi lipid ndi carbohydrate metabolism. Imayambitsa ntchito ya kapangidwe ka cholesterol. Zakudya zamatenda a neuron zimayamba kukhala zabwinoko, ndipo pawiri palokha limakhala ndi hypoglycemic yabwino, hepatoprotective ndi hypolipidemic kwambiri pa thupi.
Pharmacokinetics
Mukamamwa pakamwa, mapiritsiwo amatengedwa mwachangu komanso mogwirizana kuchokera m'mimba. Koma ngati mumwa mankhwalawo ndi chakudya, ndiye kuti njira zoyamwa zimachepetsedwa kwambiri. Bioavailability ndi ochepa. Upamwamba wa asidi womwe umapezeka m'madzi a m'magazi umawonedwa mkati mwa ola limodzi.
Zimapangidwa makamaka m'chiwindi. Amachotseredwa ndi kuwonongeka kwa impso mu mawonekedwe a metabolites ndi mawonekedwe osasinthika.
Kodi chimagwiritsidwa ntchito ndi chiyani?
Zisonyezero zogwiritsidwa ntchito:
- matenda a shuga
- kuwonongeka kwa mowa pakati pa mitsempha yamkati,
- matenda a chiwindi: hepatitis aakulu ndi matenda enaake,
- mafuta kuwonongeka kwa maselo a chiwindi,
- polyneuropathy yapakati komanso potengera chilengedwe,
- mawonekedwe amphamvu a kuledzera ndi poyizoni ndi bowa kapena mchere wazitsulo zina zolemera.
Dokotalayo ndi amene amawonetsetsa kuti ali ndi nthawi yayitali bwanji komanso nthawi yayitali ya chithandizo chifukwa cha zovuta zamatenda zomwe zimawonekera.
Contraindication
Palinso zotsutsana zina zomwe mankhwalawa amaletsedwa. Izi matenda akuphatikiza:
- tsankho limodzi ndi zigawo za mankhwala,
- ana ochepera zaka 18,
- Nthawi yonse ya bere ndi kukomoka,
- kukanika kwa impso ndi chiwindi,
- chotupa choteteza
- zilonda zam'mimba komanso matenda am'mimba,
- kuchepa thupi
- matenda ashuga
- lactational acidosis,
- glucose-galactose malabsorption.
Izi zotsutsana zonse ziyenera kukumbukiridwa musanayambe kumwa mankhwalawa. Izi ndizowona makamaka kwa anthu omwe ali ndi matenda ashuga komanso osalolera wa lactose.
Momwe mungatenge Tiogamma 600
Njira yothetsera vutoli imaperekedwa. Mlingo wa tsiku ndi tsiku ndi 600 mg - iyi ndi botolo limodzi kapena kuchuluka kwa zomwe zimatsalira. Muyenera kulowa mkati mwa mphindi 30.
Kukonzekera njira yothetsera vuto, 1 ampoule wa mankhwalawa umaphatikizidwa ndi 250 ml ya sodium chloride solution. Njira yotsirizidwa imaphimbidwa nthawi yomweyo ndi kesi yoteteza. Amasungidwa pafupifupi maola 6. Ma infusions onse amachitika mwachindunji kuchokera m'botolo. Kutalika kwa chithandizo chotere ndi pafupifupi mwezi. Ngati pakufunika kupitiliza chithandizo chamankhwala, ndiye kuti musinthane ndi mapiritsi omwewo.
Mapiritsi amathandizidwa kukonzekera pakamwa, ndikofunikira kumwa iwo pamimba yopanda kanthu. Njira ya mankhwala pafupifupi kumatenga miyezi iwiri. Ngati pakufunika izi, ndiye kuti mankhwalawa amabwerezedwa kangapo pachaka.
Ntchito mu cosmetology
Thiogamm tsopano wayamba kugwiritsidwa ntchito mu cosmetology monga othandizira odana ndi ukalamba. Katundu wa antioxidant amateteza kukalamba msanga kwa khungu la nkhope. Ubwino ndikuti mankhwalawa amagwira ntchito osati pamafuta okha, komanso m'malo am'madzi.
Zomwe zimagwira zimathandizira kubwezeretsa ulusi wowonongeka wa collagen. Amawonjezera kutanuka kwa khungu la khungu. Ndi collagen yokwanira, khungu limasungabe chinyezi. Izi zimalepheretsa makwinya ndi makwinya.
Pamaziko a malonda, samapanga masks odana ndi kukalamba zokha, komanso mphamvu, kuyeretsa tinthu kwa nkhope.
Nthawi zina, ngakhale maula apadera omwe amachepetsa thupi amagwiritsidwa ntchito.
Kuchokera ku chitetezo chamthupi
Mankhwalawa amathandizira kukulitsa chitetezo cha mthupi. Mukamagwiritsa ntchito, maselo obwezeretsanso mwachangu amachitika, zomwe zimalepheretsa kuchulukitsa kwa ma cell a pathogenic cell.
Nthawi zina, zotupa za khungu la khungu siligwirizana. Zimayamwa kwambiri ndipo zimadzetsa zovuta kwa wodwalayo. Woopsa milandu, urticaria limapezeka. Mwa odwala ena, kukula kwa Quincke edema ndi anaphylactic mantha kumadziwika.
Malangizo apadera
Kumbukirani kuti odwala omwe ali ndi vuto lakubala la lactose ndi sucrose sayenera kumwa. Ndikofunika kwa odwala omwe ali ndi mtundu wa 2 matenda a shuga kuti ayang'anire kusintha konse kwamamawu am'magazi koyambirira kwa chithandizo. Kusintha kwa Mlingo kungakhale kofunikira. Izi ndizofunikira kupewa kupewa hypoglycemia.
Ndikwabwino kusiya kumwa mowa munthawi ya mankhwalawa, chifukwa njira yothira mankhwalawa imachepetsedwa, ndipo zizindikiro za kuledzera zimangokulitsa.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Kugwiritsa ntchito kwa Thiogamm pa nthawi ya pakati kumapangidwa mosiyanasiyana, popeza chinthu chogwira ntchito chimalowa mwachangu chotchinga cha placenta. Kuphatikiza apo, pamaziko a kafukufuku, titha kunena kuti pali zovuta zina za mluza komanso teratogenic ya mankhwalawa pa mapangidwe a fetal. Kusankha sikumapangidwa ngakhale kuli kofunikira pakufunika kwa chithandizo cha amayi. Mankhwala ena amasankhidwa omwe amafanananso pochita.
Mankhwalawa sayenera kugwiritsidwa ntchito poyamwitsa, popeza pawiri yogwira imalowa mkaka wa m'mawere ndipo imakhudza thupi la mwana.
Mankhwala ochulukirapo a Thiogram 600
Pali zochepa zoyambirira za bongo. Koma ngati mwangozi mwalandira mlingo waukulu, zotsatira zina zosayenera zingachitike:
- kupweteka mutu kwambiri
- mseru komanso kusanza
- Mukamamwa mowa, zizindikiro za kuledzera kwambiri zimawonedwa, mpaka kufa.
Poizoni wakupha, kusokonezeka kwa ma psychomotor ndikugwera pansi kwa chikumbumtima kumatha kuchitika. Convulsive syndrome imadziwika. Nthawi zambiri zizindikiro za lactic acidosis zimayamba. Woopsa milandu, intravascular coagulation, hypoglycemia, ndi mantha zimachitika.
Palibe chithandizo chamankhwala chomwe chilipo. Mankhwalawa amangokhala chizindikiro. Woopsa milandu, chapamimba thonje. Ndi hemodialysis yokha yomwe ingachotsere poizoni m'thupi.
Kuchita ndi mankhwala ena
Zotsatira zakugwiritsidwa ntchito mwachindunji kwa thioctic acid zimachepetsedwa ngakhale pang'ono ethanol. Mukamatenga Cisplatin yoyera, mphamvu yake imachepa. Mankhwalawa amathandizira odana ndi yotupa ya ma glucocorticosteroids ena.
Thioctic acid imatha kumangirira zitsulo zina zolemera. Chifukwa chake, tikulimbikitsidwa kupirira nthawi yayitali yopuma tikumwa Tiogamm ndi mankhwala ena okhala ndi chitsulo. Asitimu amatha kuthana ndi ma mamolekyulu akuluakulu a shuga, omwe amachititsa kuti mabotolo asungunuke bwino. Mankhwalawa sagwirizana ndi yankho lenileni la Ringer.
Ma fanizo ofala kwambiri a Thiogamma ndi:
- Thioctacid BV,
- Tiolepta
- Thioctacid 600T,
- lipoic acid
- Berlition 300.
Akatswiri azodzikongoletsa
Grigory, wazaka 47, Moscow
Amayi ambiri amabwera omwe amafuna kuti aziwoneka ochepera. Kwa ena a iwo, ndikulimbikitsa kugwiritsa ntchito ma tonics apadera a nkhope yochokera pa Tiogamm. The yogwira mankhwala linalake ndipo tikulephera kukula ndi kupitirira kukalamba ndi chiwonongeko cha khungu khungu. Mwanjira iyi, wosanjikiza wa epidermis amabwezeretsedwa, ndipo makwinya amawoneka ochepa. Khungu limayenda bwino, limakhala losalala komanso lolimba.
Valentina, wazaka 34, Omsk
Mankhwalawa amachepetsa kukalamba kwa maselo, komanso amathandizira kuthana ndi kuyanika kunja kwa zigawo za khungu. Koma mayi aliyense amatengera mankhwalawo mosiyanasiyana. Ena amadandaula za redness ndi totupa pakhungu. Kenako, ndalama zochokera ku Tiogamma ndizosatheka kuzigwiritsa ntchito.
Endocrinologists
Olga, wazaka 39, St. Petersburg
Nthawi zambiri ndimapereka mankhwala kwa odwala anga. Pogwiritsa ntchito nthawi yayitali, kuchuluka kwa shuga m'magazi kumachepa, koma apa muyenera kuwonetsetsa kuti hypoglycemia sikutukuka. Zokhudza chiwindi ndizabwino. Kuphatikiza kwa Glycogen kumatheka. Malo onsewa akuwonetsedwa mu malangizo. Ayenera kuphunzira asanayambe mankhwala.
Dmitry, wazaka 45, Ufa
Pali zofunikira zingapo pakugwiritsa ntchito mankhwalawa, choncho mankhwalawa sioyenera kwa odwala onse. Ndipo mankhwalawa ndiokwera mtengo kwambiri, amenenso ndi amodzi mwa zovuta zazikulu.
Olga, wazaka 43, Saratov
Ndimagwiritsa ntchito Tiogamma pazodzikongoletsera. Ndimagula mankhwala m'mabotolo ndikupanga toni yapadera kumaso. Zotsatira zake zimakhala zabwino kwambiri, koma sizimawoneka nthawi yomweyo. Kusintha kunayamba pokhapokha mwezi umodzi wogwiritsa ntchito chida chotere. Khungu lakhala lolimba komanso losalala. Makwinya amenewo omwe ayamba kale kuwonekera m'khosi komanso kumaso ali pafupi kutonzedwa. Ndikupangira anzanga onse.
Alisa, wazaka 28, Moscow
Amadziwika ndi polyneuropathy. Ndimamva kufooka m'manja ndi m'miyendo. Nthawi zina zimakhala zovuta kuyenda ndikugwira zinthu zosiyanasiyana. Thiogamma adalembedwa - woyamba mwa mawonekedwe a osiyidwa, ndiye kuti adayamba kumwa mapiritsi. Ndine wokhutira ndi zotsatira zake. Mavuto azolimbitsa thupi achepa. Sindinamve zowawa zilizonse.
Kutulutsa mawonekedwe ndi kapangidwe kake
Thiogamma imapezeka m'mitundu ingapo:
- yankho la kulowetsedwa (kwa otsikira),
- Mapiritsi a pakamwa.
Mapiritsi a Thiogammawa amakhala atavala chovala chachikasu chamtundu wachikaso chokhala ndi chikaso chowoneka bwino chikasu ndi zoyera, oblong, convex mbali zonse ziwiri. Piritsi lililonse lili ndi 600 mg yogwira pophika - Thioctic acid. Mapiritsiwo ali ndi matuza a zidutswa 10 (matuza 3-10 m'bokosi lamakatoni), malangizo atsatanetsatane ofotokozera ndi mankhwalawo amaphatikizidwa m'bokosilo.
Thiogamm dropper solution ndi chikasu, chowoneka bwino, chosawoneka bwino, chimapezeka m'mabotolo amdima amdima a 50 ml pabokosi lamakatoni ndikulongosola kwa mankhwala. Botolo imodzi imakhala ndi 600 mg yogwira pophika - Thioctic acid, kukonzekera komweku kumaphatikizanso zinthu zothandizira - macrogol, meglumine ndi madzi a jakisoni.
Zizindikiro zogwiritsidwa ntchito
Kodi chimathandizira chiyani Tiogamm? Mapiritsi ndi yankho zimayikidwa ngati wodwala ali:
- kuledzera kwamphamvu ndi mawonetsedwe olimba (mwachitsanzo, mchere wa zitsulo kapena bowa),
- matenda a chiwindi - hepatitis ndi matenda enaake osiyanasiyana, mafuta achulukidwe a hepatocytes,
- zotumphukira kapena sensory-motor polyneuropathy,
- kuwonongeka kwa mowa ku mitengo ya mitsempha,
- matenda ashuga a m'mimba.
Mapiritsi a Thiogamm
Gawani mkati mwa 600 mg (piritsi 1) kamodzi patsiku. Mapiritsi amatengedwa pamimba yopanda kanthu, popanda kutafuna, ndimadzi pang'ono. Kutalika kwa chithandizo ndi masiku 30-60, malingana ndi kuopsa kwa matendawa. Kubwereza kwa njira ya mankhwala katatu pachaka.
Kumayambiriro kwa mankhwalawa, mankhwalawa amathandizidwa pamitsempha ya 600 mg patsiku (1 ampoule ya concentrate pokonzekera njira yothetsera kulowetsedwa kapena 1 botolo la kulowetsedwa) kwa masabata 2-4. Kenako mutha kupitiliza kumwa mankhwalawo mkati mwa mlingo wa 600 mg patsiku.
Malangizo pokonza ndi kutsata njira yothetsera kulowetsedwa (momwe mungayiritsire Tiogamm)
Kukonzekera njira yothetsera kulowetsedwa, zomwe zili mu 1 ampoule wa concentrate (zomwe zimakhala ndi 600 mg ya thioctic acid) zimaphatikizidwa ndi 50-250 ml ya 0,9% sodium chloride solution. Atangokonzekera, vial yokhala ndi kulowetsedwa yophimbidwa nthawi yomweyo imadzitchinjiriza ndi chotetezedwa ndikuwala, monga thioctic acid amamva kuwala. Njira yothetsera kulowetsedwa iyenera kuperekedwa mofulumira mukakonzekera. Nthawi yayikulu yosungirako yothetsera kulowetsedwa si zoposa 6 maola
Mukamagwiritsa ntchito njira yokonzera yopanga okonzeka, vial yomwe ili ndi mankhwalawo imachotsedwa m'bokosi ndipo nthawi yomweyo imakutidwa ndi tsamba lotetezedwa lopepuka, chifukwa thioctic acid amamva kuwala. Kulowetsako kumapangidwa kuchokera mwachindunji. Lowani pang'onopang'ono, pafupifupi 1.7 ml / min, kwa mphindi 30.
Malangizo ndi kukhazikika
Thiogamm nthawi zambiri limalekeredwa. Nthawi zambiri, kuphatikiza pazofanana, zotsatira zotsatirazi zimachitika:
- zimachitika mdera: Hyperemia, mkwiyo, kutupa,
- Kuchokera kwa hemopoietic dongosolo: hemorrhagic zidzolo (purpura), thrombocytopenia, thrombophlebitis, kuloza zotupa pakhungu ndi mucous nembanemba,
- mbali ya gawo la masomphenyawo: diplopia,
- pakhungu ndi minyewa yolimba: chikanga, kuyabwa, zotupa,
- thupi lawo siligwirizana: urticaria, zokhudza zonse zimachitika (kusapeza bwino, nseru, kuyabwa) mpaka chitukuko cha anaphylactic mantha,
- mbali yamanjenje yamkati: kuphwanya kapena kusintha kukoma, kupweteka, khunyu,
- kuchokera ku endocrine system: kuchepa kwa kuchuluka kwa shuga m'magazi (kusokonezeka kowoneka, thukuta kwambiri, chizungulire, kupweteka kwa mutu),
- ena: ngati mankhwala akupangidwira msanga - kupuma movutikira, kuchuluka kwa nkhawa (pamakhala kumva kuwawa m'mutu).
Nthawi zambiri mukamamwa mapiritsi, zotsatirazi zimakhala zotsatirazi:
- kuchokera ku endocrine system: kuchepa kwa kuchuluka kwa shuga m'magazi (kusokonezeka kowoneka, thukuta kwambiri, chizungulire, kupweteka kwa mutu),
- thupi lawo siligwirizana: urticaria, zotupa pakhungu, kuyabwa, zokhudza zonse zimachitika mpaka anaphylactic mantha,
- Kuchokera kumimba: kupweteka kwam'mimba, nseru, m'mimba, kusanza.
Kuyanjana kwa mankhwala osokoneza bongo
Ma mamolekyulu a shuga (mwachitsanzo, ochokera ku zovuta za Levulose kapena Fructose) amapanga zinthu zochepa zosungunulira zomwe zimakhala ndi gawo lalikulu la Thiogamma.
Kwa a Tiogamm akhazikika ndi mitundu ina ya mankhwala, pali mndandanda wowonjezera wochitira:
Kugwiritsa ntchito kwa pakamwa kwa hypoglycemic othandizira ndi Insulin panthawi yamankhwala othandizira Tiogamm kumathandizira pazithandizo zochiritsira zomwe zimayambitsa matenda a antidiabetesic, chifukwa chake, mukamatenga alpha-lipoic acid mwa odwala omwe ali ndi matenda osokoneza bongo, njira ya kukonzanso matenda a shuga iyenera kusintha moyenera.
Mphamvu yotsutsa-yotupa ya glucocorticoid steroid imalimbikitsidwa ikaphatikizidwa ndi thioctic acid mu regerven yothandizira.
Kugwiritsa ntchito mankhwala a thioctic acid okhala ndi mayankho a Dextrose, njira ya Ringer's Crystalloid, kapena othandizira omwe amamangiriza magulu a disulfide kapena sulfhydryl sikugwirizana.
Zokonzekera zomwe zimakhala ndi zitsulo zazitsulo (mwachitsanzo, zozikidwa pazitsulo) sizikhala ndi mphamvu pochiza, popeza gawo logwira ntchito la Thiogamma limamanga zitsulo ndikuchichotsa mthupi.
Ethanol ndi zida zake za metabolic zimafooketsa mphamvu ya pharmacological ya alpha-lipoic acid, amathandizira pakukula kapena kupitiliza kwa matenda a neuropathic, chifukwa chake, zakumwa zoledzeretsa pamankhwala osavomerezeka sizikulimbikitsidwa.
Mankhwala ophatikiza pamodzi, omwe amaphatikizira kugwiritsa ntchito nthawi imodzi thioctic acid ndi Cisplatin, kugwiritsa ntchito bwino kwake kumachepetsedwa kwambiri.
Mndandanda wa mankhwala a Thiogamm
Kapangidwe kamene kamayimira fanizo:
- Tiolepta.
- Berlition 300.
- Thioctacid 600.
- Lipoic acid.
- Neuroleipone.
- Mapiritsi a Lipamide.
- Thioctacid BV.
- Espa Lipon.
- Berlition 600.
- Thiolipone.
- Lipothioxone.
- Oktolipen.
- Alpha Lipoic Acid
Maholide ndi mtengo
Mtengo wapakati wa Tiogamma (mapiritsi a 600 mg No. 30) ku Moscow ndi 858 rubles. Mtengo wa yankho la kulowetsedwa 12 mg / ml botolo la 50 ml - 226 rubles. Mankhwala a Thiogamma amaperekedwa kuchokera ku pharmacies mwaulemu kuchokera kwa dokotala.
Sungani zothetsera kuchokera patali ndi ana kuti zisadutse madigiri 8. Mapiritsi akulimbikitsidwa kuti atetezedwe ku dzuwa mwachindunji, amatha kusungidwa kutentha.
Alumali moyo wa mankhwalawa ndi zaka 2 za yankho ndi zaka 4 zam'mapiritsi. Osagwiritsa ntchito mankhwalawa kumapeto kwake.
Malangizo ogwiritsira ntchito
Mapiritsi a Thiogamm
Gawani mkati mwa 600 mg (piritsi 1) kamodzi patsiku. Mapiritsi amatengedwa pamimba yopanda kanthu, popanda kutafuna, ndimadzi pang'ono. Kutalika kwa chithandizo ndi masiku 30-60, malingana ndi kuopsa kwa matendawa. Kubwereza kwa njira ya mankhwala katatu pachaka.
Kumayambiriro kwa mankhwalawa, mankhwalawa amathandizidwa pamitsempha ya 600 mg patsiku (1 ampoule ya concentrate pokonzekera njira yothetsera kulowetsedwa kapena 1 botolo la kulowetsedwa) kwa masabata 2-4. Kenako mutha kupitiliza kumwa mankhwalawo mkati mwa mlingo wa 600 mg patsiku.
Malangizo pokonza ndi kutsata njira yothetsera kulowetsedwa (momwe mungayiritsire Tiogamm)
Kukonzekera njira yothetsera kulowetsedwa, zomwe zili mu 1 ampoule wa concentrate (zomwe zimakhala ndi 600 mg ya thioctic acid) zimaphatikizidwa ndi 50-250 ml ya 0,9% sodium chloride solution. Atangokonzekera, vial yokhala ndi kulowetsedwa yophimbidwa nthawi yomweyo imadzitchinjiriza ndi chotetezedwa ndikuwala, monga thioctic acid amamva kuwala. Njira yothetsera kulowetsedwa iyenera kuperekedwa mofulumira mukakonzekera. Nthawi yayikulu yosungirako yothetsera kulowetsedwa si zoposa 6 maola
Mukamagwiritsa ntchito njira yokonzera yopanga okonzeka, vial yomwe ili ndi mankhwalawo imachotsedwa m'bokosi ndipo nthawi yomweyo imakutidwa ndi tsamba lotetezedwa lopepuka, chifukwa thioctic acid amamva kuwala. Kulowetsako kumapangidwa kuchokera mwachindunji. Lowani pang'onopang'ono, pafupifupi 1.7 ml / min, kwa mphindi 30.
Contraindication
Mankhwala a Thiogamma angagwiritsidwe ntchito pochiza pokhapokha pazomwe adokotala akuwonetsa. Asanayambe chithandizo, wodwalayo ayenera kuphunzira malangizo omwe aphatikizidwa ndi mankhwalawa zoletsa komanso contraindication. Thiogamma imatsutsana zotsatirazi:
- Mimba ndi kuyamwa
- thrombophlebitis ndi thromboembolism (yankho la kulowetsedwa),
- wodwala mpaka zaka 18 - luso logwiritsa ntchito silikudziwika,
- kusalolera pakumwa mankhwala,
- kuchepa kwa lactase (mapiritsi).
Zotsatira zoyipa
Malangizo ndi kukhazikika
Thiogamm nthawi zambiri limalekeredwa. Nthawi zambiri, kuphatikiza pazofanana, zotsatira zotsatirazi zimachitika:
- zimachitika mdera: Hyperemia, mkwiyo, kutupa,
- Kuchokera kwa hemopoietic dongosolo: hemorrhagic zidzolo (purpura), thrombocytopenia, thrombophlebitis, kuloza zotupa pakhungu ndi mucous nembanemba,
- mbali ya gawo la masomphenyawo: diplopia,
- pakhungu ndi minyewa yolimba: chikanga, kuyabwa, zotupa,
- thupi lawo siligwirizana: urticaria, zokhudza zonse zimachitika (kusapeza bwino, nseru, kuyabwa) mpaka chitukuko cha anaphylactic mantha,
- mbali yamanjenje yamkati: kuphwanya kapena kusintha kukoma, kupweteka, khunyu,
- kuchokera ku endocrine system: kuchepa kwa kuchuluka kwa shuga m'magazi (kusokonezeka kowoneka, thukuta kwambiri, chizungulire, kupweteka kwa mutu),
- ena: ngati mankhwala akupangidwira msanga - kupuma movutikira, kuchuluka kwa nkhawa (pamakhala kumva kuwawa m'mutu).
Nthawi zambiri mukamamwa mapiritsi, zotsatirazi zimakhala zotsatirazi:
- kuchokera ku endocrine system: kuchepa kwa kuchuluka kwa shuga m'magazi (kusokonezeka kowoneka, thukuta kwambiri, chizungulire, kupweteka kwa mutu),
- thupi lawo siligwirizana: urticaria, zotupa pakhungu, kuyabwa, zokhudza zonse zimachitika mpaka anaphylactic mantha,
- Kuchokera kumimba: kupweteka kwam'mimba, nseru, m'mimba, kusanza.
Ana, pa mimba ndi mkaka wa m`mawere
Mankhwala a Thiogamm amapangidwa kuti agwiritse ntchito panthawi yoyembekezera komanso panthawi yoyamwitsa (yoyamwitsa).
Mankhwalawa adapangidwa kuti agwiritsidwe ntchito mwa ana ndi achinyamata osakwana zaka 18.
Malangizo apadera
Odwala omwe ali ndi matenda ashuga amafunika kuwunika pafupipafupi kuchuluka kwa shuga m'magazi, makamaka poyambira chithandizo. Nthawi zina, m`pofunika kuchepetsa mlingo wa mankhwala amkamwa hypoglycemic kapena insulin pofuna kupewa kukula kwa hypoglycemia.
Ngati zizindikiro za hypoglycemia zikuwoneka, lekani chithandizo mwachangu. Nthawi zina, mukamagwiritsa ntchito mankhwalawa odwala omwe alibe mphamvu ya glycemic komanso ngati ali ndi vuto lalikulu, zimapangitsa kuti anaphylactic asinthe.
Kugwiritsa ntchito mowa mukamamwa mankhwalawa kumachepetsa achire ndipo kumayambitsa chiwopsezo chothandizira kukulitsa komanso kupitilira kwa neuropathy. Zilibe mphamvu pakuyendetsa galimoto ndikugwira ntchito ndi zina.
Kuyanjana kwa mankhwala osokoneza bongo
Ma mamolekyulu a shuga (mwachitsanzo, ochokera ku zovuta za Levulose kapena Fructose) amapanga zinthu zochepa zosungunulira zomwe zimakhala ndi gawo lalikulu la Thiogamma.
Kwa a Tiogamm akhazikika ndi mitundu ina ya mankhwala, pali mndandanda wowonjezera wochitira:
Kugwiritsa ntchito kwa pakamwa kwa hypoglycemic othandizira ndi Insulin panthawi yamankhwala othandizira Tiogamm kumathandizira pazithandizo zochiritsira zomwe zimayambitsa matenda a antidiabetesic, chifukwa chake, mukamatenga alpha-lipoic acid mwa odwala omwe ali ndi matenda osokoneza bongo, njira ya kukonzanso matenda a shuga iyenera kusintha moyenera.
Mphamvu yotsutsa-yotupa ya glucocorticoid steroid imalimbikitsidwa ikaphatikizidwa ndi thioctic acid mu regerven yothandizira.
Kugwiritsa ntchito mankhwala a thioctic acid okhala ndi mayankho a Dextrose, njira ya Ringer's Crystalloid, kapena othandizira omwe amamangiriza magulu a disulfide kapena sulfhydryl sikugwirizana.
Zokonzekera zomwe zimakhala ndi zitsulo zazitsulo (mwachitsanzo, zozikidwa pazitsulo) sizikhala ndi mphamvu pochiza, popeza gawo logwira ntchito la Thiogamma limamanga zitsulo ndikuchichotsa mthupi.
Ethanol ndi zida zake za metabolic zimafooketsa mphamvu ya pharmacological ya alpha-lipoic acid, amathandizira pakukula kapena kupitiliza kwa matenda a neuropathic, chifukwa chake, zakumwa zoledzeretsa pamankhwala osavomerezeka sizikulimbikitsidwa.
Mankhwala ophatikiza pamodzi, omwe amaphatikizira kugwiritsa ntchito nthawi imodzi thioctic acid ndi Cisplatin, kugwiritsa ntchito bwino kwake kumachepetsedwa kwambiri.
Mndandanda wa mankhwala a Thiogamm
Kapangidwe kamene kamayimira fanizo:
- Tiolepta.
- Berlition 300.
- Thioctacid 600.
- Lipoic acid.
- Neuroleipone.
- Mapiritsi a Lipamide.
- Thioctacid BV.
- Espa Lipon.
- Berlition 600.
- Thiolipone.
- Lipothioxone.
- Oktolipen.
- Alpha Lipoic Acid
Maholide ndi mtengo
Mtengo wapakati wa Tiogamma (mapiritsi a 600 mg No. 30) ku Moscow ndi 858 rubles. Mtengo wa yankho la kulowetsedwa 12 mg / ml botolo la 50 ml - 226 rubles. Mankhwala a Thiogamma amaperekedwa kuchokera ku pharmacies mwaulemu kuchokera kwa dokotala.
Sungani zothetsera kuchokera patali ndi ana kuti zisadutse madigiri 8. Mapiritsi akulimbikitsidwa kuti atetezedwe ku dzuwa mwachindunji, amatha kusungidwa kutentha.
Alumali moyo wa mankhwalawa ndi zaka 2 za yankho ndi zaka 4 zam'mapiritsi. Osagwiritsa ntchito mankhwalawa kumapeto kwake.
Malangizo ogwiritsira ntchito
Kutulutsa mawonekedwe, zikuchokera
Kampani yaku Germany imatulutsa mankhwalawa m'njira zitatu zosiyanasiyana:
- Mapiritsi a 600 mgAtadzaza matuza a PVC a ma PC 10. m'modzi aliyense. Mapiritsi ali ndi mtundu wachikaso chowoneka bwino, chokhazikika mkati mwa mithunzi yachikasu / yoyera. 3/6/10 matuza amayikidwa mu phukusi limodzi la makatoni. Zophatikizika: thioctic acid (600 mg kukula), lactose monohydrate, microcrystalline lactose, othandizira ena,
- kulowetsedwa njira. Wogulitsidwa wokonzeka kugwiritsa ntchito, mankhwalawo ali ndi mtundu wachikaso chowoneka bwino, kutanthauza kubiriwira ndikotheka. Njira yokhazikika yokonzedwa imapangidwa mumabotolo akuda amdima okhala ndi voliyumu ya 50 ml, yotsekedwa ndi chivindikiro cha mphira chosindikizidwa ndi chitsulo. Phukusi la makatoni okhala ndi zigawo zimatha mabotolo 1/10. Kuphatikizika: mchere wa meglumine wa thioctic acid (thunthu limafanana ndi 600 mg wa thioctic acid), meglumine, macrogol, madzi apadera a jekeseni,
- kuganizira kwambiri kulowetsedwa. Wopezeka mumtundu wakuda bii, kukula kwama 20 ml, amadzimadzi amakhala ndi utoto wachikasu. Tray ya Carbon imateteza ma ampoules kuti asawonongeke, ili ndi magawo asanu, phukusi limodzi limakhala ndi 1/2/4 maula. Zomwe zimapangidwira: zofanana ndi yankho lomwe lakonzedwa kale, kusiyana: kapangidwe sikumaphatikizapo 50 ml ya madzi a jakisoni, koma 20 ml.
Kutengera ndi kuopsa kwa matendawa, mawonekedwe ena, dokotalayo amapereka mtundu wina wamankhwala omwe wodwala aliyense angagwiritse ntchito.
Njira yogwiritsira ntchito
Popeza taphunzira mosamala malangizowa, titha kunena kuti Tiogamma imagwiritsidwa ntchito motere:
- Mapiritsi tikulimbikitsidwa kuti kumwa 1 ola limodzi asanadyeosafuna kutafuna, kumeza, kutsuka ndi madzi ochepa oyeretsedwa. Pakudya, mankhwalawa sangathe kugwiritsidwa ntchito. Njira ya mankhwalawa ndi kuyambira masiku 30 mpaka 60 (nthawi yeniyeni ndi yomwe dokotala amakupatsani), muyezo wa tsiku lililonse ndi 600 mg (1 piritsi),
- gwiritsani ntchito mankhwala kwa masabata 2-2, kuyambitsa kamodzi pa tsiku 600 mg. Kenako, odwala amapatsidwa maphunziro a mapiritsi a Tiogamma.
Zosangalatsa! Kukonzekera kwa Thiogamm yankho la jakisoni kuchokera m'maganizo: 1 ampoule + 200 ml ya sodium kolorayidi (9%). Sungani zosaposa maola 6, kuphimba ndi kesi yoteteza.
Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa nokha, musanagwiritse ntchito, onetsetsani kuti mukuonana ndi dokotala.
Zotsatira zoyipa, bongo
Pa mayesero azachipatala, malinga ndi kuwunika kwa wodwala, nthawi zina, zotsatirapo zoyipa zinaonedwa:
- mawonekedwe a chikanga, kuyabwa kwambiri, zotupa zosiyanasiyana,
- kusapeza bwino, urticaria, anaphylactic,
- mutu, chizungulire, thukuta kwambiri, kulephera kudziwa,
- kukokana, kudwala,
- kuwona zotupa pa mucous nembanemba.
Zotsatira zoyipa zomwe zili pamwambazi zimawoneka ngati chifukwa cha kuchuluka kwa mlingo, kusalolera kwa mankhwalawo.
Mutazindikira kukhalapo kwa zizindikiro zosasangalatsa: muyenera kusiya kumwa mankhwalawo, nthawi yomweyo funsani kwa dokotala kuti mupeze mankhwala.
Ndondomeko yamitengo
Kutulutsa Fomu | Kuchuluka kwa Phukusi | Mtengo wapakati ku Russia | Mtengo wapakati ku Ukraine |
Mapiritsi | 30 ma PC | 890 rub | 470 UAH |
Mapiritsi | Ma PC 60. | 1700 rub. | 880 UAH |
Kulowetsa Solution | 1 botolo | 220 rub | 75 UAH |
Mtengo ungasiyane kutengera mtundu wa makemikolo, mzinda wogula.
Sinthani mankhwalawa ndi mankhwalawa:
- Chingwe,
- Lipamide
- Oktolipen
- Neuro lipone
- Thioctic acid
- Espa Lipon ndi ena.
Zotsatira zoyipa Tiogram 600
Mukamagwiritsa ntchito mankhwalawa chifukwa chovuta kuchiza, kuoneka kwa zotsatira zosafunikira kumbali ya ziwalo zambiri ndi machitidwe. Samafunikira chithandizo chilichonse chamankhwala ndikudutsa mwachangu mankhwala atatha.
Kuphwanya kwam'mimba kokwanira kumawonetsedwa ndi izi:
- kupweteka m'mimba
- kusanza kwambiri komanso kusanza.
Zotsatira zapadera za NS sizichitika kawirikawiri. Zimayendera limodzi ndi kusintha kwa kaonedwe ka kukoma, komanso mawonekedwe a wamphamvu wolimba. Nthawi zina, ngakhale kukulitsa khunyu ndikotheka.
Mothandizidwa ndi mankhwalawa, mankhwalawa amayamba kuyenda bwino, zomwe zimapangitsa kuti magazi ake azikhala ochepa. Kenako chizungulire chikuwonekera, thukuta limachulukirachulukira, zosokoneza zazing'ono zimawonedwa.
Mankhwalawa amathandizira kukulitsa chitetezo cha mthupi. Mukamagwiritsa ntchito, maselo obwezeretsanso mwachangu amachitika, zomwe zimalepheretsa kuchulukitsa kwa ma cell a pathogenic cell.
Mukamamwa mankhwalawo, mbali yina imatha kuoneka ngati mumatuluka thukuta.
Nthawi zina, zotupa za khungu la khungu siligwirizana. Zimayamwa kwambiri ndipo zimadzetsa zovuta kwa wodwalayo. Woopsa milandu, urticaria limapezeka. Mwa odwala ena, kukula kwa Quincke edema ndi anaphylactic mantha kumadziwika.
Panthawi yamankhwala, ndibwino kukana kuyendetsa galimoto nokha. Chithandizo chogwira chimawonjezera kuthamanga kwa intracranial. Izi zimatha kusokoneza chiwonetsero cha psychomotor reaction, chofunikira kwambiri pangozi.
Migwirizano ya Holiday ya Mankhwala
Kupezeka pa pharmacy iliyonse.
Amangotulutsidwa pokhapokha ngati amupatsa udokotala.
Mapiritsi amatha kugulidwa pamtengo wa 800 mpaka 1700 rubles. kunyamula. Njira yothetsera kulowetsedwa imakhala pafupifupi ma ruble 1800. Koma mtengo wotsiriza umatengera kuchuluka kwa mapiritsi kapena ma ampoules omwe ali mumapaketi komanso pamayendedwe a pharmacy.
Ndemanga za Tiogamma 600
Thiogamma imagwiritsidwa ntchito kwambiri onse pazachipatala komanso cosmetology. Chifukwa chake, ndemanga zokhudzana ndi mankhwalawa zimatha kupezeka zambiri.
Grigory, wazaka 47, Moscow
Amayi ambiri amabwera omwe amafuna kuti aziwoneka ochepera. Kwa ena a iwo, ndikulimbikitsa kugwiritsa ntchito ma tonics apadera a nkhope yochokera pa Tiogamm. The yogwira mankhwala linalake ndipo tikulephera kukula ndi kupitirira kukalamba ndi chiwonongeko cha khungu khungu. Mwanjira iyi, wosanjikiza wa epidermis amabwezeretsedwa, ndipo makwinya amawoneka ochepa. Khungu limayenda bwino, limakhala losalala komanso lolimba.
Valentina, wazaka 34, Omsk
Mankhwalawa amachepetsa kukalamba kwa maselo, komanso amathandizira kuthana ndi kuyanika kunja kwa zigawo za khungu. Koma mayi aliyense amatengera mankhwalawo mosiyanasiyana. Ena amadandaula za redness ndi totupa pakhungu. Kenako, ndalama zochokera ku Tiogamma ndizosatheka kuzigwiritsa ntchito.
Mukamamwa mankhwalawo, mbali yake ingathe kuonekeranso ngati urticaria.
Olga, wazaka 39, St. Petersburg
Nthawi zambiri ndimapereka mankhwala kwa odwala anga. Pogwiritsa ntchito nthawi yayitali, kuchuluka kwa shuga m'magazi kumachepa, koma apa muyenera kuwonetsetsa kuti hypoglycemia sikutukuka. Zokhudza chiwindi ndizabwino. Kuphatikiza kwa Glycogen kumatheka. Malo onsewa akuwonetsedwa mu malangizo. Ayenera kuphunzira asanayambe mankhwala.
Dmitry, wazaka 45, Ufa
Pali zofunikira zingapo pakugwiritsa ntchito mankhwalawa, choncho mankhwalawa sioyenera kwa odwala onse. Ndipo mankhwalawa ndiokwera mtengo kwambiri, amenenso ndi amodzi mwa zovuta zazikulu.
Olga, wazaka 43, Saratov
Ndimagwiritsa ntchito Tiogamma pazodzikongoletsera. Ndimagula mankhwala m'mabotolo ndikupanga toni yapadera kumaso. Zotsatira zake zimakhala zabwino kwambiri, koma sizimawoneka nthawi yomweyo. Kusintha kunayamba pokhapokha mwezi umodzi wogwiritsa ntchito chida chotere. Khungu lakhala lolimba komanso losalala.Makwinya amenewo omwe ayamba kale kuwonekera m'khosi komanso kumaso ali pafupi kutonzedwa. Ndikupangira anzanga onse.
Alisa, wazaka 28, Moscow
Amadziwika ndi polyneuropathy. Ndimamva kufooka m'manja ndi m'miyendo. Nthawi zina zimakhala zovuta kuyenda ndikugwira zinthu zosiyanasiyana. Thiogamma adalembedwa - woyamba mwa mawonekedwe a osiyidwa, ndiye kuti adayamba kumwa mapiritsi. Ndine wokhutira ndi zotsatira zake. Mavuto azolimbitsa thupi achepa. Sindinamve zowawa zilizonse.
Mlingo
Mapiritsi a 600 mg okhala ndi mafilimu
Piritsi limodzi lili
ntchito yogwira - thioctic acid 600 mg
obwera: methylhydroxypropyl cellulose 5-6 mPAs, colloidal silicon dioxide, microcrystalline cellulose, lactose monohydrate, sodium carboxymethyl cellulose, talc silicone yopangidwa ndi talc ndi simethicone (dimethicone ndi silicon dioxide yabwino yogawa 94: 6), magnesium
kapangidwe ka chipolopolo: macrogol 6000, methylhydroxypropyl cellulose 6 mPAs, talc, sodium dodecyl sulfate.
Mapiritsi okhala ndi mawonekedwe, ndi utoto wamafilimu, ndi achikaso owoneka bwino ndi mawanga oyera, okhala ndi ngozi mbali zonse ziwiri.
Mankhwala ena zochizira matenda am'mimba thirakiti ndi kagayidwe kachakudya matenda.
Khodi ya PBX A16AX01
Mankhwala
Mothandizidwa ndi pakamwa, thioctic acid imalowa mwachangu mthupi. Chifukwa chogawa minofu yofulumira, theka la moyo wa thioctic acid mu plasma pafupifupi mphindi 25. Pazma yambiri ndende ya 4 μg / ml inayesedwa pakatha maola 0.5 pambuyo pamlomo wa 0.6 g wa thioctic acid. Kuchoka kwa mankhwalawa kumachitika makamaka kudzera mu impso, 80-90% - mu mawonekedwe a metabolites.
Thioctic (alpha-lipoic) acid ndi antioxidant wamkati ndipo amagwira ntchito ngati coenzyme mu oxidative decarboxylation wa alpha-keto acid. Zimathandizira kuchepetsa shuga m'magazi ndikuwonjezera glycogen m'chiwindi, komanso kuthana ndi insulin. Amasintha ndende ya pyruvic acid m'magazi. Thioctic acid ali pafupi ndi mankhwala ku B mavitamini.
Amatenga nawo kayendedwe ka lipid ndi carbohydrate metabolism, imalimbikitsa kagayidwe ka cholesterol, imayendetsa ntchito ya chiwindi. Ali ndi hepatoprotective, hypolipidemic, hypocholesterolemic, hypoglycemic effect. Amakweza ma neuroni a trophic.
Zochita zamankhwala osokoneza bongo
Panali kuchepa mu mphamvu ya chisplatin pamene idaperekedwa pamodzi ndi Tiogamm ®. Mankhwala sayenera kutumikiridwa pamodzi ndi chitsulo, magnesium, potaziyamu, nthawi yapakati pakati Mlingo wa mankhwalawa iyenera kukhala osachepera maola asanu. Mphamvu yochepetsera shuga ya insulin kapena antidiabetesic agents imatha kupititsidwa patsogolo; kuyang'anira shuga wamagazi nthawi zonse kumalimbikitsidwa, makamaka kumayambiriro kwa chithandizo ndi Tiogammma ®. Kupewa zizindikiro za hypoglycemia
ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi.
Wopanga
Dragenopharm Apotheker Püschl GmbH, Germany
a Vörvag Pharm GmbH ndi Co KG
Calver Strasse 7, 71034 Beblingen, Germany.
Adilesi ya bungweli kuvomereza madandaulo kuchokera kwa ogula pa mtundu wa zinthu (katundu) ku Kazakhstan:
Oimira ofesi ya Vörvag Pharma GmbH & Co. CG ku Republic of Kazakhstan ndi Central Asia,
050022, Almaty, St. Bogenbai Batyr 148, wa. 303
Ndemanga za Odwala
Kuyankhidwa kwa mankhwala nthawi zambiri motsimikiza. Anthu omwe ali ndi matenda ashuga amasangalala kwambiri.
Asayansi akuti kutenga Tiogamma popewa kupewa sikungachitike, koma kuwonetsa mavuto ndi manjenje, mankhwalawa amabweretsa mpumulo woonekera kwa odwala.
Maphunziro okhazikika amathandizira odwala, moyo wawo.
Zipangizo zambiri zamankhwala zimagwiritsidwa ntchito pazinthu zina. Izi zimathandizidwanso mu Tiogamm. Madona achikondi mothandizidwa ndi mankhwalawa amalimbana ndi makwinya, khazikitsani makulidwe amaso. Amapanga mitundu yonse ya matatani, maski kutengera mankhwalawo.
Zofunika! Ndizosatheka kuneneratu za mankhwalawa pakhungu la nkhope, osadzilimbitsa, kusamalira thanzi lanu. Mankhwala amodzi atha kuthandiza, kwa ena, amathanso kuyambitsa mavuto ambiri.
Malangizo Othandiza
Pomaliza, talemba malingaliro angapo omwe angakuthandizeni kumvetsetsa komanso kukumbukira zothandiza za Tiogamm:
- Mankhwala amatha kuthana ndi neuropathy oyambitsidwa ndi matenda ashuga, amathandizira kubwezeretsa chiwindi, amatenga kagayidwe ka lipid, amachepetsa shuga m'magazi,
- Simungathe kumwa mankhwalawa kwa amayi apakati, ana ochepera zaka 18,
- Thiogamm saloledwa kuphatikiza mowa, mankhwala ena,
- Musanamwe mankhwala, onetsetsani kuti mwawonana ndi dokotala.
Thiogamma ndiyachilengedwe, imakwaniritsa zonse zomwe zanenedwa. Kuti mupeze zotsatira zomwe mukufuna, muyenera kugwiritsa ntchito malonda osapitilira muyeso, mosamala malinga ndi malangizo a dokotala.