Acetylsalicylic acid, ufa: malangizo ogwiritsira ntchito
Chikwama chilichonse chimakhala ndi:
acetylsalicylic acid - 500 mg,
phenylephrine hydrotartra t - 15,58 mg,
chlorphenamine maleate - 2.00 mg,
zokopa: anhydrous citric acid 1220 mg, sodium bicarbonate 1709.6 mg, kukoma kwa ndimu 100 m g, utoto wa chikasu cha quinoline (E 104) 0,32 mg.
Pharmacodynamics wa mankhwala
Mankhwala osakanikirana, zomwe zimachitika chifukwa chogwira ntchito:
Acetylsalicylic acid(ASI) Ili ndi analgesic, antipyretic, anti-kutupa kwenikweni, chifukwa cha chopinga cha ma cycloo oxygenase enzymes omwe amaphatikizidwa ndi kuphatikiza kwa prostaglandins. Acetylsalicylic acid imalepheretsa kuphatikiza kwa maselo ambiri, kutsekeka kaphatikizidwe ka thromboxane A2.
Phenylephrine Ndi a sympathomimetic ndipo, kukhala ndi vasoconstrictor kwenikweni, kumachepetsa kutupa kwa mucous nembanemba amkati mwa mphuno, zomwe zimapangitsa kupuma mosavuta.
Chlorphenamine A gulu la antihistamines, amathandizanso kuona zinthu zina monga kufinya komanso kusalala.
Contraindication Aspirin Complex mu mawonekedwe a ufa
- Hypersensitivity ku acetylsalicylic acid ndi ena NSAID kapena zida zina za mankhwala,
- zotupa ndi zotupa zam'mimba zam'mimba (pachimake gawo), kupweteka kapena kubwereza kumene kwa zilonda zam'mimba,
- mphumu yomwe imayamba chifukwa cha kutenga ma salicylates kapena NSAID ena,
- zotaya magazi, monga hemophilia, hypoprothrombinemia,
- Kuwonongeka kwakukulu kwa chiwindi ndi / kapena impso,
- polyposis yammphuno yolumikizana ndi mphumu ya bronchial ndi tsankho la acetylsalicylic acid,
- kuchuluka kwa chithokomiro,
- kuphatikiza pamodzi ndi mankhwala oteteza pakamwa,
- kuphatikizika ndi monoamine oxidase inhibitors, kuphatikiza masiku 15 atasiya kugwiritsa ntchito,
- kuphatikiza kwa methotrexate muyezo wa 15 mg pa sabata kapena kupitilira,
- mimba (I ndi III trimester), nthawi yoyamwitsa.
Mankhwalawa sanalembedwe ana osaposa zaka 15 ndi matenda opumitsa am'mimba omwe amayamba chifukwa cha matenda opatsirana ndi ma virus, chifukwa cha chiwopsezo cha Reye syndrome (encephalopathy ndi chiwindi chamafuta am'mimba ndikutukuka kwambiri kwa chiwindi cholephera.
Mlingo ndi makonzedwe a Aspirin Complex mu mawonekedwe a ufa
Sungunulani zomwe zili m'thumba mu kapu yamadzi kutentha kwa chipinda. Tengani pakamwa mukatha kudya.
Akulu ndi ana opitilira zaka 15: sachet kamodzi maola 6-8.
Pazipita tsiku mlingo 4 ma solo, nthawi pakati Mlingo wa mankhwala ayenera kukhala osachepera maola 6.
Kutalika kwa mankhwalawa (popanda kufunsa dokotala) sikuyenera kupitirira masiku 5 mutagwiritsidwa ntchito ngati mankhwala ochita kupanga komanso masiku opitilira 3 ngati antipyretic.
Zotsatira zoyipa za mankhwalawo
Thupi lonse: hyperhidrosis.
Matumbo: nseru, dyspepsia, kusanza, m'mimba ndi zilonda zam'mimba, magazi am'mimba, kuphatikizapo chobisika (chopondapo chakuda).
Zotsatira zoyipa: urticaria, eczematous, zotupa pakhungu, angioedema (edema ya Quincke), mphuno zam'maso, bronchospasm ndi kupuma movutikira.
Hematopoietic dongosolo: hypoprothrombinemia.
Pakati mantha dongosolo ndi zomverera ziwalo: chizungulire, tinnitus, mutu, kusamva.
Njira yamikodzo: Kulephera kwaimpso, pachimake pakati glomerulonephritis.
Zotsatira za pharmacological
Acetylsalicylic acid ndi mankhwala osagwiritsa ntchito mankhwala a antipyretic, analgesic, anti-yotupa, omwe amagwirizana ndi zoletsa za ntchito za COX1 ndi COX2 zomwe zimayang'anira kapangidwe ka prostaglandins. Kupondereza kapangidwe ka thromboxane A2 kupatsidwa zinthu zamagulu ambiri, kuphatikiza kuphatikiza kwamatumbo ndi thrombosis, kumakhala ndi zotsutsana. Pambuyo pa makolo kupaka yankho lamadzi, ndi mphamvu ya analgesic imatchulidwa kuposa pambuyo pakukonzekera kwa acetylsalicylic acid. Ndi subconjunctival ndi parabulbar management, ili ndi kutchulidwa komweko komwe kumakhala kotsutsa komanso katemera wa anti-aggregation, komwe pathogenetically imalungamitsa kugwiritsa ntchito mankhwalawa pochiza zotupa m'maso oyambira ndi kutengera kwina. Kutsutsa-yotupa kumanenedwa kwambiri mukamagwiritsa ntchito mankhwalawa panthawi yovuta yotupa m'maso. Ndi mabala opaka amaso amodzi, mankhwalawa amachotsa kupweteketsa mtima (kosangalatsa) kwa maso owoneka bwino.
Kukonzekera kwina kwa acetylsalicylic acid
Kutulutsa Fomu
Ufa wowonjezera pakamwa. Ufa wosalala bwino kuyambira oyera mpaka oyera ndi oyera oyera.
Chikwama chilichonse chimakhala ndi:
ntchito yogwira - acetylsalicylic acid (500 mg), phenylephrine bitartrate (15.58 mg), chlorpheniramine maleate (2.00 mg),
zotuluka - madzi a citric acid, bicarbonate wa sodium, kununkhira kwa mandimu, utoto wachikasu wa quinoline.
3547,5 mg wa mankhwalawa mu thumba la pepala, wolumikizidwa ndi zojambula za aluminium ndi polyethylene, mapaketi awiri amalumikizidwa mu mzere umodzi (wopatulidwa ndi Mzere wa mafuta), mizere 5 pamodzi ndi malangizo ogwiritsira ntchito pabokosi la makatoni.
Zizindikiro zogwiritsidwa ntchito
· Kutupa njira mu zoyambira zosiyanasiyana ndi kutengera: (conjunctivitis, blepharitis, blepharoconjunctivitis, meibomyitis, halazion, keratitis, scleritis, keratouveitis),
· Endo native uveitis iliyonse etiology, exo native uveitis (pambuyo zoopsa, postoperative, kusokonezeka, kutentha, chorioretinitis, neuritis, kuphatikizapo retobulbar neuritis, optochiasal arachnoiditis),
Kupewa proliferative vitreoretinopathy,
· Kupewa intraoperative ndi postoperative zovuta zotupa chikhalidwe (makamaka, intraoperative myosis ndi macular edema pambuyo pamakonzedwe amkati opaleshoni ndikuyika kwa intraocular mandala, yogwira matenda mu laser microsurgery, thromboembolic zinthu mu ophthalmology.
Zotsatira zoyipa
Acetylsalicylic acid
- Thupi lonse: hyperhidrosis.
- Matumbo am'mimba: nseru, dyspepsia, kusanza, zilonda zam'mimba ndi 12 zilonda zam'mimba, magazi am'mimba, kuphatikizapo chobisika (chopondapo chakuda).
- Thupi lawo siligwirizana: urticaria, zotupa pakhungu, angioedema (edema ya Quincke), mphuno, bronchospasm ndi kupuma movutikira.
- Hematopoietic dongosolo: hypoprothrombinemia.
- Pakati mantha dongosolo ndi zomverera ziwalo: chizungulire, tinnitus, mutu, kumva.
- Kwamikodzo dongosolo: aimpso kulephera, pachimake interstitial glomerulonephritis.
- Nthawi zina (
Mlingo
Akuluakulu ndi ana opitilira zaka 15 sankha 1 sachet maola onse a 6-8. Mlingo woyenera wa tsiku lililonse ndi ma sache 4, nthawi yayitali pakati pa Mlingo wa mankhwala uyenera kukhala osachepera maola 6.
Kutalika kwa mankhwalawa (popanda kufunsa dokotala) sikuyenera kupitirira masiku 5 mutagwiritsidwa ntchito ngati mankhwala okomola komanso masiku opitilira 3 ngati antipyretic.
Mankhwala ayenera kumwedwa pakumwa, mutatha kusungunula zomwe zili mumadzimadzi kapu ya madzi ofunda.
Kuyanjana kwa mankhwala osokoneza bongo
Acetylsalicylic acid
Pogwiritsa ntchito munthawi yomweyo ethanol, cimetidine ndi ranitidine wokhala ndi acetylsalicylic acid, poizoni wake wotsiriza umalimbikitsidwa.
Pogwiritsa ntchito munthawi yomweyo heparin komanso anticoagulants acetylsalicylic acid, ngozi yotaya magazi imachulukanso chifukwa cha kuponderezedwa kwa ntchito ya kupatsidwa zinthu za m'magazi komanso kusamutsa anticoagulants osagwirizana polumikizana ndi mapuloteni amadzi a m'magazi.
Acetylsalicylic acid amachepetsa mayamwidwe a indomethacin, phenoprofen, naproxen, flurbiprofen, ibuprofen, diclofenac, piroxicam.
Pogwiritsa ntchito munthawi yomweyo GCS yokhala ndi acetylsalicylic acid, chiopsezo chakuwonongeka kwachiwiri kwa mucosa wam'mimba chimawonjezeka.
Acetylsalicylic acid wogwiritsidwa ntchito munthawi yomweyo amatha kukulitsa kuchuluka kwa phenytoin chifukwa chosamutsidwa chifukwa chogwirizana ndi mapuloteni.
Ndi munthawi yomweyo kugwiritsa ntchito mankhwala antidiabetesic (kuphatikizapo insulin) ndi acetylsalicylic acid, zotsatira za hypoglycemic zimatheka chifukwa chakuti acetylsalicylic acid wambiri muyezo amakhala ndi malo okhala ndi hypoglycemic komanso amachokera ma protein a plasma.
Acetylsalicylic acid wogwiritsidwa ntchito munthawi yomweyo amatha kupititsa patsogolo zotsatira za vancomycin.
Ndi munthawi yomweyo kugwiritsa ntchito methotrexate ndi acetylsalicylic acid, zotsatira za methotrexate zimatheka chifukwa chochepetsa impso ndikuyichotsa pakulankhulana ndi mapuloteni.
Ma salicylates omwe amagwiritsidwa ntchito munthawi yomweyo amachepetsa uricosuric mphamvu ya probenecid ndi sulfinpyrazone chifukwa cha mpikisano wa tubular kuchotsa kwa uric acid.
Ndi munthawi yomweyo kugwiritsa ntchito zidovudine ndi acetylsalicylic acid, kuwonjezereka kwa poizoni kumadziwika.
Phenylephrine
Ndi munthawi yomweyo kugwiritsa ntchito phenylephrine ndi mao inhibitors (antidepressants - tranylcypromine, moclobemide, antiparkinsonia mankhwala - selegiline), zovuta zoyipa mwanjira ya kupweteka kwambiri kwa mutu, kuthamanga kwa magazi ndi kutentha kwa thupi ndizotheka.
Ndi kugwiritsa ntchito pamodzi kwa phenylephrine ndi beta-blockers, kuwonjezeka kwa kuthamanga kwa magazi ndi bradycardia yayitali ndikotheka.
Ndi munthawi yomweyo kugwiritsa ntchito phenylephrine ndi sympathomimetics, mphamvu yotsiriza yamchiberekero yamitsempha yama mtima ndi dongosolo la mtima limakhazikika. Chisangalalo, kusakwiya, kugona.
Kugwiritsidwa ntchito kwa phenylephrine musanayambe kupweteka kwa mankhwalawa kumawonjezera chiopsezo cha kusinthasintha kwa mtima. Phenylephrine iyenera kuyimitsidwa masiku ochepa asanapangidwe opaleshoni.
Ndi munthawi yomweyo kugwiritsa ntchito Rauwolfia alkaloids kumachepetsa achire zotsatira za phenylephrine.
Pogwiritsa ntchito munthawi yomweyo phenylephrine ndi caffeine, zochizira komanso zowopsa zomwe zimadza pambuyo pake zitha kupitilizidwa.
Nthawi zina, munthawi yomweyo kugwiritsa ntchito phenylephrine ndi indomethacin kapena bromocriptine, matenda oopsa kwambiri angayambike.
Pogwiritsa ntchito munthawi yomweyo phenylephrine ndi antidepressants a gulu losankha serotonin reuptake inhibitors (fluvoxamine, paroxetine, sertraline), zonse zomwe thupi limachita kuti muzimvetsetsana ndi chiwopsezo chokhala ndi serotonergic syndrome zitha kuchuluka.
Ndi munthawi yomweyo kugwiritsa ntchito phenylephrine kumachepetsa hypotensive zotsatira za antihypertensive mankhwala gulu la sympatholytics (reserpine, guanethidine).
Chlorphenamine
Ndi munthawi yomweyo kugwiritsa ntchito chlorphenamine kumathandizanso kuti zilepheretse chidwi chapakati pa mankhwalawa amtundu wa ethanol, hypnotics, tranquilizer, antipsychotic (antipsychotic), othandizira pakati.
Ndi kugwiritsa ntchito nthawi yomweyo chlorphenamine timapitiriza anticholinergic zotsatira anticholinergics (atropine, antispasmodics, triceclic antidepressants, MAO zoletsa).
Mlingo
Magawo okonzekera makamwa, 500 mg
Sachet imodzi imakhala
yogwira mankhwala - acetylsalicylic acid - 500 mg,
zotuluka: mannitol, sodium bicarbonate, sodium hydrocytrate, ascorbic acid, kununkhira kwa cola, kununkhira kwa lalanje, anhydrous citric acid, aspartame.
Ma granles achikasu kuyambira oyera mpaka pang'ono chikaso.
Mankhwala
Ikaperekedwa, acetylsalicylic acid imatengedwa mwachangu kuchokera m'mimba. Zimapukusidwa mu chiwindi ndi hydrolysis ndikupanga salicylic acid, ndikutsatira ndi kuphatikizika ndi glycine kapena glucuronide. Pafupifupi 80% ya salicylic acid imamangidwa kumapuloteni a plasma ndipo imagawidwa mwachangu kuzinthu zambiri zamadzimadzi ndi zamthupi. Imalowa mkati mwa chotchinga cha magazi.
Salicylic acid imachotsedwera mkaka ndikuwoloka placenta.
Hafu ya moyo wa acetylsalicylic acid ndi pafupifupi mphindi 15, salicylic acid pafupifupi maola atatu. Salicylic acid ndi metabolites ake amuchotsa makamaka ndi impso.
Acetylsalicylic acid (ASA) ndi m'gulu la mankhwala omwe si a anti -idalidal (NSAIDs) ndipo ali ndi zotsatira za analgesic, antipyretic ndi anti-yotupa, komanso amalepheretsa kuphatikizana kwa ma cell. Kupanga kwamachitidwe kumalumikizidwa ndi kulepheretsa ntchito ya cycloo oxygenase (COX), puloteni yayikulu mu metabolism ya arachidonic acid, yomwe ili patsogolo pa prostaglandins, yomwe imagwira gawo lalikulu pathogenesis ya kutupa, kupweteka ndi kutentha.
Mphamvu ya analgesic ya acetylsalicylic acid imachitika m'njira ziwiri: zotumphukira (mosalunjika, kudzera mwa kuponderezedwa kwa kaphatikizidwe ka prostaglandin) komanso chapakati (chifukwa cha kuletsa kwa kuphatikizika kwa prostaglandin pakatikati ndi potupa kwamanjenje.
Chifukwa cha kuchepa kwa kupanga kwa ma prostaglandins, mphamvu zawo m'malo opangira mankhwala opatsirana amachepa.
Acetylsalicylic acid imalepheretsa kuphatikiza kwa maselo ambiri mwa kuletsa kaphatikizidwe ka thromboxane A2 m'mapulateleti ndipo imakhala ndi mphamvu ya antiplatelet.
Zotsatira zoyipa
- zotupa pakhungu, urticaria, kuyabwa, matenda a m'mimba, mphuno, kusokonezeka kwa anaphylactic, bronchospasm, Quincke edema
- kutsegula m'mimba, kusanza, kusanza, kupweteka kwa dera la epigastric, kuchepa kwa chilala, zilonda zam'mimbazi zam'mimba (ndi kugwiritsa ntchito pafupipafupi komanso kwanthawi yayitali),
- Nthawi zina magazi amatuluka m'matumbo (amayamba chifukwa cha kuchepa kwa magazi m'thupi kapena kuchepa kwa magazi m'thupi (kuchepa kwa magazi m'thupi), mwachitsanzo, chifukwa cha kukha mwazi kwamatsenga)
- hemorrhagic syndrome (nosebleeds, chiseyeye magazi), kuchuluka nthawi kuchuluka kwa magazi, thrombocytopenia, kuchepa magazi
- Reye / Reye syndrome (encephalopathy yomwe ikupita patsogolo: nseru ndi kusanza kosakhazikika, kupuma movutikira, kugona, kukokana, chiwindi chamafuta, hyperammonemia, kuchuluka kwa AST, ALT)
- pachimake aimpso kulephera, nephrotic syndrome
- kawirikawiri, kuphwanya kwakanthawi kwa ntchito ya chiwindi ndi kuwonjezeka kwa transaminases ndikotheka
- pakhoza kukhala zochitika za hemolysis ndi hemolytic anemia mwa odwala kwambiri shuga-6-phosphat dehydrogenase.
Zochita zamankhwala osokoneza bongo
Acetylsalicylic acid imachepetsa kutsimikizika kwa methotrexate ndipo imasokoneza kumanga kwa methotrexate kwa mapuloteni a plasma.
Ndi kuphatikiza kwa acetylsalicylic acid okhala ndi anticoagulants (coumarin, heparin) ndi mankhwala a thrombolytic, chiopsezo chotaya magazi chimachulukitsidwa chifukwa cha kuphwanya kwa magazi m'thupi komanso kuwonongeka kwa minofu ya m'mimba.
Amachepetsa kugunda kwa zotsatira za coumarin.
Chifukwa cha kuphatikiza kwamtunduwu zotsatira mukagwiritsidwa ntchito molumikizana ndi Mlingo waukulu (3 ≥ g / tsiku) wa NSAID ena okhala ndi salicylates, chiwopsezo cha zilonda zam'mimba komanso kutuluka kwa m'mimba kumawonjezeka.
Kuphatikizidwa kwa acetylsalicylic acid ndi kusankha serotonin reuptake inhibitors (SSRIs, SSRIs) kumawonjezera chiopsezo chakutuluka kwa magazi m'matumbo am'mimba chifukwa chogwirizana.
Acetylsalicylic acid imachulukitsa kuchuluka kwa digoxin m'madzi a m'magazi.
Mlingo waukulu wa acetylsalicylic acid umakweza mphamvu ya hypoglycemic ya mankhwala antidiabetesic (insulin, sulfonylurea kukonzekera) chifukwa cha hypoglycemic zotsatira za acetylsalicylic acid komanso kusamutsidwa kwa sulfonylurea kuchokera ku mapuloteni a plasma.
Ndi kuphatikiza kwa acetylsalicylic acid pa Mlingo ≥ 3 g / tsiku ndi okodzetsa, kuchepa kwa kusefedwa kwa glomerular kumawonedwa (chifukwa cha kuchepa kwa kapangidwe ka ma prostaglandins ndi impso).
Systemic glucocorticoids (kupatula hydrocortisone, wogwiritsidwa ntchito monga mankhwala a matenda a Addison) amachepetsa kuchuluka kwa ma salicylates m'madzi am'magazi, omwe umawonjezera chiopsezo cha kuchuluka kwa mankhwala a salicylate atasiya kumwa mankhwala a glucocorticosteroid.
Kumbuyo kwa kuphatikiza kwa acetylsalicylic acid mu Mlingo ≥ 3 g / tsiku ndi zolembera za angiotensin-kutembenuza enzyme (ACE), kuchepa kwa kusefukira kwa ACE inhibitors kumadziwika, komwe kumayendera limodzi ndi kuchepa kwa mphamvu yawo ya antihypertensive.
Acetylsalicylic acid imawonjezera poizoni mphamvu ya valproic acid chifukwa chakuchoka ku dziko lomangidwa ndi mapuloteni.
Mowa umachulukitsa nthawi ya magazi ndi kuwonongeka kwa acetylsalicylic acid pa mucosa m'mimba.
Pogwiritsa ntchito mankhwala osokoneza bongo a uricosuric (benzbromaron, probenosis), kuchepa kwa uricosuric kungawonedwe (chifukwa cha mpikisano wa uric acid ndi impso).
Malangizo apadera
Acetylsalicylic acid imatha kupweteketsa mphumu ya bronchial kapena zina. Zovuta zomwe zili pachiwopsezo ndi mbiri ya wodwala ya mphumu, hay fever, polyposis, matenda oyamba kupuma, komanso zovuta zina zamankhwala ena (mwachitsanzo, kuyabwa, urticaria, ndi zochitika zina pakhungu).
Kutha kwa acetylsalicylic acid kuponderesa kuphatikizira kwa kupatsidwa zinthu za m'magazi kungayambitse magazi ochulukitsa panthawi komanso pambuyo kuchitapo kanthu pochita opaleshoni (kuphatikiza zing'onozing'ono, monga kuchotsa mano). Kuopsa kwa magazi kumachulukirachulukira ndikugwiritsa ntchito ASA pa mlingo waukulu.
Pa Mlingo wotsika, acetylsalicylic acid amachepetsa kuchotsa uric acid, komwe kungayambitse kukulitsa kwa gout kwa odwala omwe ali ndi vuto lochepa kwambiri la chimbudzi, zomwe zingayambitse kugunda kwamatenda a gout mwa odwala omwe ali pachiwopsezo.
Acetylsalicylic acid sayenera kugwiritsidwa ntchito pochiza matenda oyambitsidwa ndi tizilombo, pamaso kapena kusapezeka kwa malungo, mwa ana ndi achinyamata, popanda kufunsa dokotala. Ndi matenda ena a virus, makamaka ndi fuluwenza A, B virus ndi nthomba, pali chiopsezo cha matenda a Reye.
Odwala omwe ali ndi vuto lalikulu la glucose-6-phosphate dehydrogenase, acetylsalicylic acid angayambitse hemolysis kapena hemolytic anemia.
Mlingo umodzi wa mankhwalawa uli ndi 19 mg ya sodium, womwe uyenera kuganizira za odwala omwe alibe mchere.
Aspirin Effact ili ndi gwero la phenylalanine (aspartame), lomwe limatha kuvulaza anthu omwe ali ndi phenylketonuria.
Zomwe zimachitika chifukwa cha mankhwalawa amatha kuyendetsa galimoto kapena njira zoopsa
Bongo
Zizindikiro: chizungulire, tinnitus, kumva kutaya kwamva, thukuta, mutu, nseru, kusanza. Pambuyo pake, malungo, hyperventilation, ketosis, kupumula kwa alkalosis, metabolic acidosis, chikomokere, kuperewera kwa mtima, kulephera kupuma, hypoglycemia imayamba.
Chithandizo: chapamimba cha m'mimba, gwiritsani ntchito makala ndi makala okakamiza amchere. Mankhwala ena ayenera kuchitika mu dipatimenti yapadera.
Kuchita ndi mankhwala ena
Maphunziro apadera kuphunzira kulumikizana kwa acetylsalicylic acid ndi mankhwala ena pSubconjunctival / parabulbar management sinachitike. Ndi njira yolimbikitsira ya makonzedwe ndi kuchuluka kwa mankhwalawa, kusintha kwa mayanjano olakwika ndi mankhwala ena sizingatheke. Mwakulankhula, ndizotheka kuwonjezera zovuta za heparin, anticoagulants, sperpine, glucocorticosteroids ndi mankhwala a m'kamwa a hypoglycemic ndikuchepetsa zotsatira za mankhwala a uricosuric. Pogwiritsa ntchito munthawi yomweyo ndi methotrexate, chiwopsezo chowonjezereka cha mavuto obwera pambuyo pake chimatha.
Mankhwala munthawi yomweyo ophatikizidwa ndi mitundu yambiri ya ophthalmic (mwa mawonekedwe a madontho ndi mafuta) amaloledwa: glucocorticosteroids, omwe ali ndi etiotropic othandizira (antiviral and / or antibacterial therapy, antiglaucoma agents, m-anticholinergics, sympathomimetics, anti antigicgic mankhwala. Pakati pakugwiritsa ntchito mankhwala osiyanasiyana ophthalmic, osachepera mphindi 10-15 ayenera kudutsa. Sichiyenera kugwiritsidwa ntchito nthawi yomweyo ndi ena NSAID omwe amalumikizidwa kwanuko (mwanjira ya ma instillations kapena subconjunctival / majekiseni a parabulbar). Osasakaniza njira yokonzekera ya acetylsalicylic acid ndi yankho la mankhwala ena.
The munthawi yomweyo etiopathogenetic mankhwala (kutenga NSAIDs, antibacterial ndi sapha maukonde, glucocorticosteroids, antihistamines, etc.) amaloledwa.
Njira zopewera kupewa ngozi
Osasakanikirana jakisoni wa mankhwalawa ndi mayankho a mankhwala ena omwe sanalembedwe pamalangizo awa. Mankhwala amagwirizana ndi procaine (mu syringe imodzi). Ngati kuli kofunikira kupatsa mankhwala acetylsalicylic acid munthawi yomweyo ndimankhwala ena a etiotropic ndi / kapena symptomatic, osachepera mphindi 10-15 ayenera kutha pakati pa kugwiritsa ntchito mitundu yambiri ya ophthalmic. Njira ya mankhwala sayenera upambana masiku 10-12. Osamavala mukamalandira chithandizo magalasi olumikizana.
Pothana ndi vuto la postoperative hemorrhagic (makamaka odwala matenda a shuga), kugwiritsa ntchito koyambirira kwa angioprotectors (dicinone, etamsylate, ndi zina) ndikofunikira.
Kugwiritsa ntchito mankhwalawa kumafunikira kusamala kuti pakhale zovuta m'magazi oyambitsidwa ndi magazi komanso zotupa komanso zotupa m'matumbo am'mimba mu anamnesis chifukwa cha kutuluka kwa magazi. Ndi mabala opaka amaso ndi kuwonongeka kwa thupi lotupa, kutaya magazi ndikotheka. Acetylsalicylic acid ngakhale yaying'ono Mlingo amachepetsa excretion wa uric acid mthupi, zomwe zingayambitse kukula kwa kuopsa kwa gout mwa odwala atengeke. Pa nthawi ya mankhwala sayenera kumwa Mowa.
Zotsatira pa kuthekera koyendetsa magalimoto ndikuwongolera njira zoopsa: Kwa odwala omwe masoka amawonongeka kwakanthawi atagwiritsa ntchito maso, sikulimbikitsidwa kuyendetsa magalimoto kapena kugwira ntchito ndi njira zosunthira kwa mphindi zingapo pambuyo pakupeza mankhwala.