Kusiyana pakati pa Milgamm ndi Combibipen
Mankhwalawa onse ndi mavitamini B ndipo ali ndi thiamine (B1), pyridoxine (B6) ndi cobalamin (B12). Mankhwala amapezeka mu mawonekedwe a mapiritsi oyera (mapiritsi 15 kapena 30 pa paketi iliyonse) ndi ma ampoules (2 ml) okhala ndi yankho.
Kuphatikizika kwa mapiritsi a Milgamm kumaphatikizapo 2, ndipo ku Combilipen 3 yogwira zigawo zamankhwala zosinthika. Zinthu zodziwika bwino ndi thiamine ndi pyridoxine. Ndipo cobalamin amakhala ku Combilipen kokha.
Mosiyana ndi mapiritsi, jakisoniyo ali ndi lidocaine, yomwe imalimbikitsa mankhwala ena. Mayankho a Milgamm ndi Combibipen ndi ofanana kapangidwe.
Zotsatira za pharmacological
Thiamine, yomwe ndi gawo la ma Combilipen ndi Milgamm, imapereka kufalikira pakati pazovuta pakati pa maselo amitsempha. Thupi limaphatikizidwa ndi michere yama michere yomwe imachitika mthupi la munthu ndipo imakhudza kagayidwe kazigawo zamafuta ndi mafuta.
Pyridoxine imasintha kagayidwe ka mafuta, chakudya komanso mapuloteni ena mthupi. Kusinthana koteroko kumalimbikitsa kupangidwa kwa magazi ndi kusintha kwa mitsempha. Izi ndizofunikira pakapangidwe ka ma nikic acid komanso kubwezeretsa mathero amitsempha.
Cobalamin amatenga nawo mbali popanga ma nucleotide, ofunikira kuti aphatikizidwe ndi cell epithelium, kapangidwe ka magazi ndi kukula kwachilengedwe. Vitamini B12 ndikofunikira pakuphatikizidwa kwa myelin ndi folic acid.
Combipilene ndi Milgamm ali ndi mawonekedwe ofanana. Kumwa mankhwalawa onse munthawi yochepa kumatha kuthetsa mavuto omwe amapezeka mkati mwa mantha.
Zizindikiro zogwiritsidwa ntchito
Ngakhale kuti mapangidwe a mankhwalawa monga jakisoni ndi ofanana, mawonekedwe owagwiritsa ntchito ndi osiyana pang'ono.
Ukalulu umalimbikitsidwa pochiza mitsempha ndi neuralgia yamavuto osiyanasiyana. Zabwino zimatheka mukamagwiritsa ntchito mankhwalawa kuthetsa radicular syndrome. Mankhwalawa ali ndi mphamvu zolimbitsa thupi ndipo amagwiritsidwa ntchito pochiza myalgia, retrobulbar neuritis, paresis yamitsempha yama nkhope ndi ma herpes.
Combilipen nthawi zambiri imagwiritsidwa ntchito pa trigeminal neuralgia, polyneuropathy yomwe imapezeka mwa odwala matenda a shuga komanso omwe amamwa mowa kwambiri. Mankhwala ali ndi analgesic kwambiri ndi kutukusira kwa nkhope yamitsempha, mafupa osiyanasiyana a msana, intercostal neuralgia, radicular, lumbar ndi cervicobrachial syndrome, lumbar ischialgia.
Kutengera zomwe zafotokozeredwa pamwambapa, adokotala azitha kupereka mankhwala omwe ali othandiza kwambiri pamlandu wina.
Contraindication
Combilipen ndi Milgamma alembedwa:
- ana ochepera zaka 16
- azimayi oyembekezera komanso oyembekezera
- anthu omwe ali ndi vuto la mtima
- odwala matupi awo sagwirizana ndi mankhwala.
Kuphatikiza apo, Milgamma siyikulimbikitsidwa kwa anthu omwe ali ndi mtima wamtima kapena kusintha kwa kayendedwe ka minofu yamtima. Chifukwa chake, Kombilipen akhoza kuonedwa ngati mankhwala otetezeka.
Mukamasanthula odwala omwe amathandizidwa ndi amodzi mwa mankhwalawa, hyperhidrosis idapezeka nthawi ndi nthawi. Ngati pali tsankho pamavuto aliwonse, kumwa mankhwalawa kuyenera kuyimitsidwa nthawi yomweyo ndikupereka antihistamine.
Njira yogwiritsira ntchito
Milgamma amamuika intramuscularly mu 2 ml tsiku lililonse mankhwalawa komanso 2 ml m'masiku awiri kupewa matenda. Kuti muchepetse kupweteka, dokotala amakupatsani mapiritsi omwe amamwa 1 chidutswa 3 pa tsiku. Kutalika kwa mankhwalawa, monga lamulo, ndi mwezi umodzi.
Combilipen imayang'aniridwa mwamphamvu. Ndi mawonekedwe ovuta a matendawa kwa masiku oyamba asanu ndi awiri, mankhwalawa amatumizidwa tsiku lililonse pa 2 ml patsiku. Pambuyo pake, Kombilipen amatumizidwa kamodzi pa sabata mpaka atachira. Ndi mawonekedwe ofatsa, jakisoni amaperekedwa nthawi 2 pa sabata kwa 2 ml. Kutalika kwa mankhwalawa kudzadziwika ndi dokotala, kutengera zomwe wodwalayo ali nazo komanso kuchuluka kwa matendawo, koma osapitirira masabata awiri. Pambuyo poti wodwalayo akumva ululu, ndiye kuti amapatsidwa mankhwala osokoneza bongo.
Onse a Milgamm ndi Combilipen amawathandizira kudzera mu intramuscularly, koma njira zochizira ndizosiyana.
Kuchita ndi mankhwala ena
Combilipen sagwiritsidwa ntchito ndi mankhwala monga levodopa, riboflavin, dextrose, phenobarbital ndi benzylpenicillin. Thiamine, yomwe ndi gawo lakakonzedwe, amataya katundu wake wochiritsa akadziwitsidwa ndi zinthu zomwe zimakhala ndi redox. Combilipen sinafotokozedwe ndi mankhwala omwe ali ndi mchere wamchere wachitsulo.
Milgamm amachepetsa mphamvu ya levodopa, chifukwa chake sanakhazikitsidwe palimodzi. Thiamine imawonongeka chifukwa cha mayanjano ndi sulfate solution, mercury chloride, acetates, glucose, penicillin ndi tannic acid, ndipo ma sumu omwe amatulutsidwa motere amakhala ndi zovulaza mavitamini ena. Mchere wamchere wachitsulo umatseketsa mphamvu ya mankhwalawa.
Ubwino ndi zoyipa
Milgamma ndi mankhwala achilengedwe omwe amapangidwa ku Germany ndi kampani ya Verwag Pharma GmbH. Ndipo Combipilen ndi mndandanda wake wapamwamba kwambiri, wopangidwa ku Russia ndi Pharmstandard-UfaVITA.
Ambiri amati Combipilen imakhala ndi zotsatira zoyipa zambiri, ndichifukwa chake madokotala amawalembera odwala awo pafupipafupi. Mankhwalawa amapangidwa pamaziko a Milgamm, koma, ngakhale izi, kugwira kwake ntchito kumachepera pang'ono.
Mtengo wa mapiritsi a Milgamma ndi ma ruble 1400-1500, pomwe ndalama zomwezo za Combipilene zitha kugulidwa pa ruble 350-450. Kuyika yankho la Milgamm mu ampoules kumawononga ndalama zogula 510-560 rubles, ndi Combipilene - 210-270 rubles.
Popeza taphunzira kuwunikira kwa mankhwalawa pa intaneti, titha kunena kuti mankhwalawa amagwiritsidwa ntchito bwino kuti athetse matenda a mitsempha ndikuchiza matenda a osteochondrosis. Nthawi yomweyo, Combipilene ndi wotsika mtengo kwambiri chifukwa chake, amapezeka kwa ambiri odwala.
Munthawi yochepa, onsewa mankhwalawa adawonetsa kuwongolera ndipo adathandizira kukonza wodwalayo. Koma amafunika kutengedwa ngati gawo la mankhwala ovuta, omwe adokotala amalimbikitsa.
Katundu wa mankhwala a Milgamma
Uku ndikakonzedwe kovuta ku Germany komwe kali ndi mavitamini B1 ndi B6. Cholinga chake ndikuchotsa njira yotupa ndi ya dystrophic yamkati yamanjenje yomwe imayambitsa kusowa kwa mavitamini a gulu B. Omwe amatsogolera kukhudzika kwa kulowetsedwa kwa minyewa yamitsempha. Chifukwa chake, mankhwalawa amayikidwa ngati chida chothandiza pakumenyedwa kwa matenda a osteochondrosis.
Milgamm imabwera m'mitundu iwiri: jakisoni ndi piritsi. Mphamvu ya mankhwalawa Komanso zovuta mankhwala a ululu ndi pathologies a minofu ndi mafupa dongosolo.
Makhalidwe a Combilipene
Mankhwala osakanikirana ndi analogue yaku Russia ya Milgamma. Makina ochitapo kanthu sakhala otsika poyerekeza ndi oyambirirawo. Ngakhale mu mawonekedwe a kumasulidwa - zofanana. Kuphatikizikako kumaphatikizapo mavitamini atatu: B1, B6 ndi B12. Lidocaine, womwe ndi gawo lazomwe amapangidwira, amathandizira: mankhwala opaka jakisoni ndi jakisoni wambiri. Zotsatira za mankhwalawa zimatengera kukondoweza kwa njira yotumizira maulalo ku maselo amitsempha.
Milgamm ndi Kombilipen: zomwezi?
Ngakhale Kombilipen ndi analogue a Milgamm, ndizosatheka kuyika chizindikiro chofanana pakati pa mankhwalawo. Woyamba uli ndi mavitamini awiri, wachiwiri - atatu ndi lidocaine. Mankhwala onse awiriwa amakhala ndi mowa wa benzyl ngati chosungira. Madzi, okhazikika ndi ma pH oyang'anira - amakhalabe ofanana mumagulu awiriwo. Zomwe, pazotsatira zawo, zomwe zimagwiranso ntchito kale - zimachotsera zolephera zamagulu m'thupi.
- Zisonyezero zogwiritsira ntchito: mankhwalawa a matenda amitsempha - ma neuritis, osteochondrosis osiyanasiyana a etiology, myalgia.
- Njira yoyendetsera: kudzera m'mitsempha kapena pakamwa
- kumasulidwa ndi ndende: mapiritsi a 100 mg. m'matumba 30 ndi 60 ma PC. ndi ma ampoules a 2 ml. 5 ndi 10 ma PC.
- mankhwala kudzera pa Intaneti.
- contraindication: munthu tsankho la yogwira, zaka mpaka 18, pakati ndi kulephera kwa mtima.
- magome pa kutentha osaposa +25 ndi ampoules +8 C osapitilira zaka ziwiri.
Kodi pali kusiyana kotani?
Kusiyana kwakukulu, kuwonjezera pa kapangidwe kake, ndi njira yothandizira.
Combilipen amatchulidwa ngati jakisoni wa mu mnofu, 1 patsiku. Zochita: masiku 5-10. Atatha kusintha jakisoni 2-3 sabata iliyonse kwa masabata awiri. Kapena kulowetsa mapiritsi. Imwani mukatha kudya 1 tabu / katatu katatu patsiku. Kutalika kwa chithandizo sikuyenera kupitirira mwezi umodzi.
Milgamma amapatsidwa jakisoni imodzi tsiku lililonse mpaka zizindikiro za pachimake zitazimiririka. Kenako amasinthana ndi majekeseni osowa: katatu pa sabata kwa masabata anayi. Mapiritsi amatenga 1 pc. katatu patsiku.
Zomwe chipolopolo cha Kombilipen sichikuphatikiza sucrose. Oyenera mankhwalawa odwala matenda ashuga.
Ndi osteochondrosis
Ululu mu osteochondrosis amayamba chifukwa chosinthika cha zotupa za intervertebral disc. Mankhwalawa onse ndi othandiza kwambiri pochiza matenda a osteochondrosis. Mapiritsi a Milgamm ali ndi bioavailability ya 100%, motero amapatsidwa nthawi zambiri. Combilipen, monga lamulo, sichikuperekedwa kwa monotherapy. Amagwiritsidwa ntchito ngati adjuvant mu zovuta mankhwala.
Ndemanga za madotolo ndi odwala
Svetlana, wazaka makumi asanu ndi limodzi ndi chimodzi, ku Moscow
Ndi Milgamm yekhayo amene amathandiza kuthetsa ululu wammbuyo. Pambuyo pa jekeseni wachiwiri, ndimamva bwino.
Anastasia, wazaka 39, neuropathologist, Lipetsk
Kuyesedwa mwamphamvu zaka zambiri zogwiritsidwa ntchito ndi odwala - Milgamm amatanthauza No. 1.
Anatoly, wazaka 47, Voronezh
Ndimaganiza zopweteka mutu wanga nyengo. Atasiya kuthandiza analgin, adapita kwa adotolo. Anapeza osteochondrosis. Jekeseni wa Kombilipen. Nthawi yomweyo ndinamverera ngati munthu.
Nadezhda, wazaka 51, Ukhta
Anatenga onse awiri. Palibe chifuwa. Mankhwala ena oyenera a Milgamm. Ngakhale kuti jakisoni amakhalanso osasangalatsa.
Kumbukirani: adokotala okha ndi omwe amakupatsani mpikisanowu komanso mtundu wa chithandizo chamankhwala ambiri. Osadzinyengerera, khulupilirani thanzi la akatswiri.
Mankhwala
Mfundo za kagwiritsidwe ntchito ndi mbali zazikulu za njira imodzi ndi zina zimapezeka muzinthu zomwe zilimo. Chifukwa chake, mankhwala a thiamine amalimbikitsa kupanga kwa carboxylase, yomwe imayang'anira mafuta ndi carbohydrate metabolism. Kamodzi m'thupi, zinthuzi zimasinthidwa kukhala thiamine triphosphates, zomwe zimayambitsa masinthidwe azomwe zimapangidwira kusintha kwa mitsempha, kupewa mapangidwe a oxidation omwe amachititsa kuti magazi azikhala.
Kapangidwe kake kamakhala kosakanikirana ndi madzi, ndipo amawaonjezera pakapangidwe kamankhwala kuti amayamba kusungunuka. Chifukwa chake, imaphatikizidwa bwino, imayendetsedwa mwachangu kwa minofu. Amatenga nawo magawo asanu ndi limodzi amachitidwe amtundu, omwe amapereka njira za enzymatic zomwe zimakhudza kupanga kwa glucose ndi decarboxylation ya ketoxylate. Popanda vitamini B 1, ndizosatheka kupanga acetylcholine, imakongoletsa microcirculation ndipo imayang'anira ziwopsezo zamagazi a magazi. Ndi kuchepa kwake, mathero a mitsempha amathandizidwa ndikuwonongeka kwa ma pyruvates ndi lactates, omwe amadziunjikira mu minofu ndikuyambitsa kupweteka pamizu
Gawo lotsatira ndi Vitamini B6, lomwe limawonjezeredwanso ku mankhwalawo momwe amapangira phosphates. Pyridoxal ndiyofunikira pakapangidwe ka ma neurotransmitters, histamine ndi hemoglobin. H imayambitsa kupanga lipid mankhwala, imalimbikitsa gluconeogeneis, imalimbikitsa kagayidwe kazinthu. Thupi limalimbikitsa kukonzanso kwa amino acid ndi kupukusa kwa gawo la mapuloteni. Izi ndizofunikira kulimbitsa chitetezo chokwanira, kusintha momwe magwiridwe amanjenje amathandizira, ntchito za mtima ndi mitsempha yamagazi.
Kuphatikiza apo, Vitamini B6 imasamalira bwino mulingo woyenera pakati pa mavitamini a sodium ndi potaziyamu, omwe amalepheretsa kusunga ndi kudziunjikira kwamadzi m'thupi, chifukwa chake amateteza kutupa. Pyridoxal imafunikanso kuchitira dermatitis, eczema, kuwotcha ndi pyoderma, chifukwa imathandizira kupititsa patsogolo kukonzanso kwa minofu ya epithelial ndikupanga maselo atsopano.
Thupi lomwe mulibe piritsi la Milgamma ndi hydroxycobalamin, chinthu chokhacho chomwe chitha kudziunjikira m'thupi. Imathandizira kusintha komwe kumadzitchinjiriza, kumayendetsa kumwa kwa oxygen ndi maselo. Vitamini B12 ndiyofunikira pakupewa magazi, amathandizira kuyendetsa magazi, ndipo amatenga nawo mbali mu hematopoiesis. Imathandizira mkhalidwe wabwinobwino wamanjenje, kuchitidwa kwake ndikofunikira kukonza kugona.
Kukhala nawo pakuphatikizidwa kwa mahomoni ndi ma neurotransmitters, chinthucho chimayang'anira kulenga ndi kudziunjikira kwa mphamvu zamagetsi, mapangidwe a kukumbukira ndi ndende. Chimateteza ku matenda a dementia, kumakulitsa kupirira, kumathandizira kudutsa kwamphamvu kudzera mu mathero a mitsempha. Kuphatikiza apo, ndiye hepatoprotector wolimba kwambiri wachilengedwe, yemwe amateteza chiwindi kuti chikhale ndi mafuta osayamba. Komanso, cobalamin imayambitsa mkhalidwe wama maganizo a munthu, kupewa kupsinjika ndi kukwiya.
Kutulutsa Mafomu
Palinso zosiyana zosiyana pankhaniyi. Choyamba, izi ndiye mtengo wake. Ngati mungasankhe zomwe musankhe, Milgammu kapena Kombilipen ndi momwe imodzi ingasiyane ndi ina, ndikofunikira kulabadira wopanga ndi mtengo wake.
Poyamba, mankhwalawa amapangidwa ndi kampani yaku Germany ya Varvag Pharm. Njira yothetsera vutoli imagulitsidwa m'magalasi opakidwa magalasi, amakhala ofiira komanso ofunikira pang'ono. Mbale 5 yokhala ndi chisonyezo pansi imayikidwa mu mzere wa polypropylene kuti zitheke kuthana ndi gawo lakumwambalo. Bokosilo ndi loyera, lili ndi logo ya kampani. Mu paketi ikani mapaketi awiri kapena asanu ndi malangizo ogwiritsira ntchito.
Wopangayo amatipatsanso mankhwala ngati mapiritsi ozungulira pang'onopang'ono. Kukoma kwawo ndikotsekemera pang'ono chifukwa cha sucrose, yomwe ndi gawo la kuphatikizika, motero njirayi siyabwino kwa odwala matenda ashuga. M'matumba muli magawo 15 a mankhwala, ndipo mumapaketi - 2 kapena 4 mbale ndi malangizo ogwiritsira ntchito.
yankho la 2 ml No. 5 - 300-350 rubles.
No. 25 - 1200-1500 rubles.
Tab. No. 30 - 550-600 rubles.
No. 60 - 1100-1200 rubles.
Kombilipen
Izi zimapangidwa ndikumaperekedwa kwa makampani ogulitsa mankhwala ndi Russia, kampani yopanga Pharmstandard. Mtengo wake ndi wotsika kawiri. Njira yothetsera vutoli ndi madzi ofiira ofiira omwe amaphimbidwa. Mayunitsi 5 amaikidwanso mzere, ndipo bokosilo ndi loyera ndi mtundu wamtambo wabuluu. Paketi ili ndi mapaketi amodzi kapena awiri ndi malangizo ogwiritsira ntchito.
Mtundu wachiwiri ndi mapiritsi oyera mu zokutira zopanda-sucrose, chifukwa chake mankhwalawa ndi oyenera kwa odwala matenda ashuga. Muli zidutswa 15 pachimake, ndi 1 kapena awiri ndi cholembera m'bokosi. Odor ndi kukoma kulibe.
R-op 2ml No. 5 - 150-180 rubles.
Tab. No. 30 - 280-320 rubles.
Njira zogwiritsira ntchito
Mfundo yogwiritsira ntchito zida zonsezi ndi chimodzimodzi. Mwanjira yothetsera vutoli, amapatsidwa intramuscularly. Mlingo ndi 2 ml, kamodzi pa masiku 5-10. Kenako, dokotala amasamutsa wodwalayo kuti akonze mankhwala - 2-3 ml katatu pa sabata.
Ponena za mawonekedwe olimba, palinso kusiyana pakati pa kumwa mapiritsi kapena ma dragees. Muyenera kuwatengera mayunitsi 1-3 kamodzi patsiku theka la ola mukatha kudya, osambitsidwa ndi madzi, osafuna kutafuna komanso osaluma. Kutalika kwa chithandizo ndi masiku 30.Nthawi zambiri atachotsa zizindikiro zowopsa, wodwalayo amamuchotsa pamakina kuti apitirize kukonzekera pakamwa kuti apitirize kukonzanso mankhwala.
Kuphatikiza ndi mankhwala ena
Popeza kapangidwe kake kanali kofanana, mankhwala amawonetsa zofanana pothandizana m'njira zosiyanasiyana:
- Mukamamwa ndi mankhwala a sulfate, vitamini B 1 amawonongeka.
- Simungatenge ndi Levopoda, chifukwa imataya katundu wake wonse.
- Zomwe zimapangidwazo zimatsutsana ndi ma penicillin antibayotiki, isoniazid ndi cycloserine.
- Zinthu za Riboflavin zimayambitsa kusakanikirana kwa mavitamini B1, 6 ndi 12.
- Carbonates, iodide, acetate ndi ma tannins zimaphwanya mankhwala a thiamine.
- Sitikulimbikitsidwa kumwa onse omwe ali ndi mavitamini kapena mavitamini ofanana nthawi imodzi.
Zotsatira zoyipa
Nthawi zambiri, mankhwalawa onse amaloledwa bwino, koma amatha kuyambitsa mavuto ambiri:
- Chitetezo chokwanira - machitidwe akuthwa mwa mawonekedwe a ziwengo (zotupa, kuyabwa, khungu rede, kuyaka ndi kunyezimira khungu)
- Thupi lamanjenje - chizungulire, kukomoka
- Mtima - arrhythmia, tachycardia
- Chimbudzi - nseru ndi gag Reflex
- Zipangizo zamafupa ndi minofu - kukokana ndi kukokana
- Zotengera - kudumphira m'magazi
- Hematoma kapena kuyamwa pamalowo jakisoni.
Malamulo osungira
Palibenso kusiyana - mankhwala onsewa angagwiritsidwe ntchito kwa zaka ziwiri. Mafuta osafunikira amayenera kugwiritsidwa ntchito nthawi yomweyo; osavomerezeka kusunga yankho mu firiji. Popeza pafupifupi zigawo zonse zimawonongeka ndi radiation ya ultraviolet, ndibwino kuti pakhale phukusi lamankhwala kuti lisakhale lopepuka, ndipo mapiritsi sayenera kuwonetsedwa ndi chinyezi, apo ayi amakhala opanda pake. Ndikofunika kusunga paketi yamankhwala m'malo ochepa okha ana. Kutentha kwa zinthuzi ndi 20-25 0 C.
Pali mitundu ingapo ya mankhwalawa omwe ali ndi mawonekedwe ofanana ndi mfundo zomwe zingachitike. Mndandandandawu umaphatikizapo mitundu iyi:
Ndi mankhwala ati omwe ali bwino komanso kusiyana kwake
Mwachidule, titha kuwunikira pang'ono za kuchuluka kwa nyimbo ziwirizi, zomwe zitilola kuzindikira kusiyana pakati pa Milgamma ndi Combibipen, mbali zawo zoyipa ndi zabwino:
Kukonzekera komwe kumafanana pang'ono poyambirira kumatha kukhala ndi kusiyana kwakukulu, chifukwa chake simuyenera kudzipangira nokha kapena kudzisankhira nokha. Izi zitha kuchitika kokha ndi dokotala, malingana ndi kuzindikira.
Kodi ndi milandu iti yomwe imalembedwa?
Kugwiritsa ntchito kwa Milgamma ndi Combilipene ndikofunikira pazinthu zosiyanasiyana zamatenda. Ndipo amathandizanso kuti pasakhale matenda ambiri.
Milgamma angasankhe:
- Pamaso pa mawonekedwe a neuralgic.
- Ngati mizu ya msana imaponderezedwa.
- Ngati akufotokozera minofu ululu akumva.
- Ngati ulusi wamitsempha umakhudzidwa ndi njira zosiyanasiyana za pathological.
- Ndi matenda otupa a mitsempha ya optic.
- Ngati otitis media idapangitsa nkhope kukhala yopanda chidwi.
- Kuthetsa herpes zoster.
- Ngati kusokonezeka kosiyanasiyana mu ntchito ya thupi kumakula, kumalumikizidwa ndi mavitamini B osakwanira.
- Ndi myalgia.
- Zochizira anthu omwe ali ndi matenda a osteochondrosis. Pankhaniyi, amathanso kusankha Compositum.
Kuika Combilipen kumachitika:
- Pamaso pa polyneuropathy chifukwa cha matenda ashuga kapena uchidakwa.
- Ngati msana wam'mbuyo umapweteka kwambiri, komanso ngati kugunda kwamphamvu kumafalikira kumadera ena a thupi.
- Ngati msana ungasinthe, zomwe zimabweretsa chiwonetsero cha radicular syndrome.
Mothandizidwa ndi njira zingapo zochiritsira komanso kumwa mankhwala osokoneza bongo, amathetsa mavuto ngati amenewa.
Zomwe akuchitazo ndi mankhwala osokoneza bongo
Chifukwa cha kuphatikiza kwa mavitamini mankhwalawa, mothandizidwa ndi iwo, kusintha kwa kagayidwe kazomwe thupi limachitika. Pambuyo kulowetsedwa m'magazi, zigawo za mankhwalawa zimakhala thiamine triphosphates, zomwe zimathandizira kusintha kwamankhwala, zimathandizira kufalitsa zikhumbo pakati pa maselo amitsempha, ndikuletsa njira zowonjezera zamankhwala zomwe zimayambitsa kusokonezeka osiyanasiyana mthupi.
Zigawo zikuluzikulu zimatengeka mosavuta ndipo zimalowa mwachangu mu minofu.
Chilichonse chophatikiza pa zokonzekerachi chili ndi zake zapadera:
- B1 imakhudzidwa ndikupanga acetylcholine, imathandizira kukonza kwa kusintha kwamphamvu kwa magazi ndi masoka a magazi. Ndi kupanda kwake kwa mitsempha kumatha kuwonongeka, komwe kumayendetsedwa ndi zowawa.
- B6. Ndi kutenga kwake mbali, ma neurotransmitters, histamine ndi hemoglobin amapangidwa. Mothandizidwa nawo, ma amino acid amakonzedwa, mapuloteni amawumbidwa. Kugwiritsa ntchito chinthu pothandizika kumalimbitsa chitetezo cha mthupi. Zikomo kwa iye, dongosolo lamanjenje limagwira ntchito bwino, ndipo mtima ndi mitsempha yamagazi imalimba. Chifukwa cha kukhazikika kwazomwe zimagwira ntchito za mchere, madzi amadzimadzi samadziunjikira m'thupi. Popanda gawo ili, ndizosatheka kupanga chida chothandiza kuthetsa ma pathologies a khungu, chifukwa mothandizidwa ndi epithelium imabwezeretsedwa mwachangu ndipo maselo atsopano amapangidwa.
- B12. M'mapiritsi a Milgamma sichoncho. Mothandizidwa ndi chinthu ichi, zomwe zimapezeka m'maselo mu ma cell zimayendetsedwa, ndipo chitetezo cha mthupi chimalimbitsidwa. Ngati zokwanira za zinthuzi zitha kulowa mthupi, ndiye kuti magazi atha kukhala osakhudzika, zowonetsa sizimachokera munthawiyo, njira ya hematopoiesis imachitika mokhazikika. Zimalepheretsa njira ya dystrophic m'chiwindi.
Milgamm ndi Combilipen atha kubweretsa kusintha m'maganizo ndipo munthuyo sadzakhalanso wopsinjika komanso wosakwiya.
Pali kusiyana pakati pa mankhwalawa momwe amamasulidwa. Mtengo wamankhwala umasiyanasiyana. Ndi chisankho chiti chomwe chingakhale chofunikira kwambiri m'mbali iliyonse chitha kutsimikiziridwa ndi adokotala. Osagula komanso kumwa mankhwala osapangana ndi katswiri.
Ngati tiyerekeza wopanga, ndiye kuti chida ichi chimapangidwa ndi kampani "Varvag Pharma". Amapatsa makasitomala amakapu amitundu yambiri ndi yankho la mtundu wa pinki wokhala ndi fungo linalake.
Ndipo mankhwalawa ali ngati mawonekedwe a ngalande zazing'ono zozungulira, zokutira. Ma dragees amakhala ndi kuluma kokoma, chifukwa amakhala ndi sucrose, kotero odwala matenda ashuga sangathe kutenga mankhwalawa.
Mtengo wa yankho la ma ampoules amachokera ku 300 mpaka 1500 ma ruble, zonse zimatengera kuchuluka kwa ma piritsi omwe amakhala.
Kuyerekezera Mankhwala
Mukamayang'ana mawonekedwe a Combilipen ndi Milgamm, zonse zofanana ndi zosiyana zimawululidwa.
Makhalidwe ofanana a Milgamm ndi Combilipen ndi awa:
- kumasulidwa (mankhwalawa onse akupezeka mu njira yothetsera jakisoni ndi mapiritsi),
- mawonekedwe omwewo (kukonzekera kumakhala ndi zosakaniza zofanana),
- mndandanda wazisonyezo zogwiritsidwa ntchito (mavitamini onse awiriwa amapatsidwa matenda omwe amaperekedwa ndi kuwonongeka kwa maselo amitsempha),
- mndandanda wa contraindication ndi mavuto.
Malingaliro a madotolo
Oleg, wa zaka 48, wa neurosurgeon, ku Moscow: "Milgamma akuwonetsa magwiridwe antchito kwambiri othandizira odwala matenda amitsempha omwe amachitika atagwira ntchito ndi kuvulala. Mankhwala amasintha ntchito ya ubongo, amachotsa kupweteka kwambiri chifukwa cha kutupa kwa mizu ya mitsempha. Chida nthawi zambiri chimagwiritsidwa ntchito pochiza matenda am'mitsempha yama neva omwe amayamba chifukwa chomwa mowa kwa nthawi yayitali. Mankhwalawa alibe analogue yosagwira - Kombilipen, - yodziwika ndi mtengo wotsika. Ma vitamini osavulaza amavulaza thupi, kotero amatha kugwiritsidwa ntchito mopanda mantha. ”
Marina, wazaka 40, dokotala wamkulu, Kaliningrad: "Combilipen ndi Milgamma nthawi zambiri amalembera odwala a osteochondrosis, nyamakazi ndi arthrosis. Mankhwalawa amathandizanso kuti khungu lizigwirizana ndi msana komanso mafupa, kuchepetsa kukula kwa ululu wamankhwala ndikuchotsa kupsinjika kwa minofu. Mankhwala ali ndi mapiritsi okhala ndi mapiritsi omwe amalola kuti munthu athandizidwe kunja. "
Ndemanga za odwala a Milgamm ndi Combilipene
Alla, wazaka 38, Kostroma: “Kwa nthawi yayitali ndimadwala mutu, zomwe sizimapezeka. Kufufuza mwatsatanetsatane kunathandizira kudziwa kuti kuwoneka kwa chizindikiro chosasangalatsa kumalumikizidwa ndi kukhalapo kwa cervical osteochondrosis. Wochiritsayo adapereka mankhwala angapo, kuphatikizapo jakisoni wa Milgamma. Ndinailowetsa kwa sabata limodzi, nditatha ndinayamba kumwa mapiritsi. Ululu unasowa, kuyenda kwa khosi kunayamba kuyenda, mphamvu idawoneka. Adapeza analogue yotsika mtengo ya Milgamm - Combilipen. Nthawi zina ndimazigwiritsa ntchito pofuna kupewa. ”
Maxim, wazaka 45, Kursk: “Ndinkakonda kugwiritsa ntchito mankhwala osokoneza bongo. Ndinaganiza zoyamba kulandira chithandizo chamankhwala chotsika mtengo, zomwe zimapangitsa kuti pakhale zovuta zonse. Sindinayerekeze kuyesa Milgamma kwa nthawi yayitali, komabe, palibe zomwe zidakhumudwitsa pambuyo pobayidwa. Ululu womwe umapezeka mchimangawo unachepera, chifukwa ndimatha kubwerera kuntchito. Pakangotha miyezi isanu ndi umodzi ndimawononga njira zoperekera chithandizo kwa Milgamm, ululu suwonekanso. ”
Mbali ya Milgamm
Milgammama ndi mankhwala okhala ndi mavitamini okhala ndi thiamine, pyridoxine, cyanocobalamin ndi lidocaine. Fomu ya Mlingo - yankho lomveka bwino la mtundu wofiira. Mankhwalawa amabwezeretsanso njira yokhudza thupi m'maselo ndi ziwalo za thupi. Iwo ali ndi analgesic kwenikweni, amateteza kagayidwe kachakudya njira. Amagwiritsidwa ntchito potupa ndi kuwonongeka kwa zotupa zamanjenje ndi musculoskeletal system. Kuphatikizikako kumaphatikizapo zinthu zomwe zimathandizira kuchitana.
Zigawozo zimateteza maselo amanjenje kuti asawonongeke pazinthu zoyipa. Chida chimagwiritsidwa ntchito kupweteka kwapakhosi pamitsempha, kutupa ndi mapeto am'mitsempha, kupindika kwa mitsempha ya nkhope, plexitis, komanso kukanika kwa axons. Akuluakulu ndi okalamba odwala amapatsidwa minyewa kukokana, matenda amisempha ndi mafupa pakusokoneza magwiridwe antchito amanjenje. Intramuscularly kutumikiridwa mu 2 ml kwa masiku 5-10. Kenako mutha kusintha pakumwa mapiritsi kapena kuchepetsa kuchuluka kwa jakisoni m'mapiritsi.
Zomwe zimapangidwa ndi Milgamma zimateteza maselo amanjenje kuti asawonongeke pazinthu zoyipa.
Kuyerekezera Milgamm ndi Combilipen
Musanayambe chithandizo, muyenera kuyerekeza njira ndi mtengo, zochita ndi ntchito yake. Ndi dokotala yekhayo amene angakupatseni mankhwala omwe amafunikira komanso kudziwa mtundu wa mankhwalawo.
Mankhwalawa onse ali ndi mavitamini B. Amagwiritsidwa ntchito pakuwonongeka kwa mitsempha ndi masculoskeletal system.
Kutulutsa ndalama mu njira yothetsera jakisoni.
Sizofunikira kuwonjezera apo kugwiritsa ntchito mankhwala pamodzi ndi Norepinephrine, Epinephrine, Levodopa, mchere wazitsulo zolemera, ascorbic acid, Phenobarbital, Riboflavin, Dextrose. Njira sizosiyanasiyana momwe mungagwiritsire ntchito komanso mulingo. Iyenera kugwiritsidwa ntchito pambuyo pofunsa dokotala. Mutha kugula mu pharmacy kokha ndi mankhwala.
Ndemanga za madotolo za Milgamma ndi Combilipen
Elena Viktorovna, wothandizira, Novosibirsk
Ndikupereka mankhwalawa Milgamm kwa odwala. Mankhwalawa ndiwopanga akunja ndipo ndi okwera mtengo kuposa Combilipen. Mankhwala onse awiriwa ali ndi mphamvu pa zotupa zamkati pamtima, chapakati chamanjenje, mafupa am'mimba komanso chododometsa cha metabolism. Chithandizo chitha kupitilira masiku 5 mpaka 10. Nthawi zina, zotchulidwa matenda opatsirana. Kuti musankhe bwino, muyenera kumuonana ndi dokotala komanso kukayezetsa.
Ksenia Valentinovna, katswiri wamitsempha yamaubongo, Tyumen
Combilipen ndi yoyenera kwambiri kuthandizira matenda osachiritsika omwe amachitika atamwa mowa komanso matenda a shuga. Mankhwalawa ndiokwera mtengo ndipo amawonedwa kuti ndi othandizira ku neuritis ndi neuralgia. Ili ndi tanthauzo lotchedwa analgesic. Zimathandizira kuchiza matenda ena. Kombilipen amagwira bwino ntchito matenda a msana. Itha kuthandizidwa kuvulala koopsa muubongo pambuyo pakuchita opaleshoni kuti mubwezeretse ntchito zamanjenje.
Momwe mungagwiritsire ntchito?
Kodi pali kusiyana kotani pakati pa Milgamm ndi Kombilipen pankhaniyi, ndikofunika kwa onse odwala, chifukwa ambiri akuyesetsa kupeza analogue a Milgamm chifukwa cha mtengo wake wokwera.
Pankhaniyi, anthu amatha kukhala odekha, chifukwa onsewa amagwiritsidwa ntchito mwanjira yomweyo:
- Ngati yankho lakhazikitsidwa, ndiye kuti jakisoni amapaka minofu. Nthawi imodzi, simungathe kupitiliza ndalama zopitilira mamililita awiri. Mankhwalawa amayenera kubayidwa pakatha masiku khumi. Pambuyo pa izi, chithandizo chokonzedwa chimayikidwa, pomwe ma jekeseni atatu pa sabata la 3 ml amafunikira.
- Mapiritsi kapena ma dragees amatengedwa mu gawo limodzi kapena atatu patsiku. Muyenera kumwa mankhwalawa mphindi 30 mutatha kudya ndi kumwa madzi oyera ambiri. Simungathe kutafuna ndikuluma mankhwalawo. Nthawi zambiri maphunziro omwe amakhala mwezi wathunthu ndiokwanira kukwaniritsa momwe wodwalayo alili.
Zizindikiro za matendawa zitatha kuthetsedwa, mankhwalawo amapitilirabe kumwa ochepa, monga malangizowo amanenera, kuthandizira thupi.
Mankhwala osokoneza bongo komanso osiyanasiyana
Milgamm ndi Kombilipen ndi ofanana. Izi ndi zomwe zimachitika, kusiyana sikokulira kwambiri.
Kutengera ndi kapangidwe kofananako, pali zinthu zofananira komanso zotsutsana:
- Chitetezo cha mthupi chitha kuyankha pamankhwala omwe ali ndi matenda a hypersensitivity. Pankhaniyi, khungu limakhala lofiira, kusenda, kusisita, zotupa.
- Nthawi zina odwala amakhala ndi chizungulire komanso akukomoka.
- Mitengo yamkati yamtima imasweka, kugunda kwamtima kumayamba mwachangu.
- Kuchepetsa mseru ndi nkhawa zakusanza.
- Makungu ndi kukokana kumamveka m'misempha.
- Zizindikiro za kuthamanga kwa magazi zimasinthasintha.
- A hematoma amawonekera pamalo opangira jekeseni.
Ngati wodwala agwiritsa ntchito mankhwala ochulukirapo kuposa mlingo, ndiye kuti mavuto ake amakula. Ichi ndi chikhalidwe chowopsa chomwe chimafuna thandizo la madokotala. Pankhaniyi, m'mimba mumatsukidwa, ma sorbyts amalembedwa, ndikuyenera mavitamini m'thupi amabwezeretsedwa.
Kuphatikiza ndi mankhwala osiyanasiyana
Milgamm kapena Combilipen sagwiritsidwa ntchito ndi mankhwala onse:
- Mothandizidwa ndi mankhwala, mphamvu za Levodopa zimatayika kwathunthu.
- Amatsutsana ndi ma penicillin.
- Mothandizidwa ndi zinthu za riboflavin, mavitamini a B ndi osagwira.
Sipangonso kumwa kumwa mankhwalawa onse kapena mavitamini ena nthawi imodzi.
Sungani mankhwala mwanjira yomweyo. Mutha kuzigwiritsa ntchito zaka ziwiri kuyambira tsiku lopanga. Ngati ma bulou atsegulidwa, ndiye kuti ayenera kugwiritsidwa ntchito nthawi yomweyo kapena kutayidwa, chifukwa kusungidwa mufiriji ndikuloledwa.
Ma radiation a Ultraviolet amatsogolera ku chiwonongeko chotheratu cha pafupifupi magawo onse azinthu, motero ndikofunika kuwasiya kumalo otetezedwa ndi dzuwa. Mapiritsi sayenera kusungidwa m'malo achinyontho, chifukwa amayamba kuwonongeka mwachangu.
Zofunikira
Zomwe zili bwino kuposa jakisoni wa Milgamma kapena Combilipene ndi mapiritsi ndizovuta kunena.
Pokhapokha pofufuza zonse ziwiri za mankhwalawo, mutha kudziwa kuti kuphatikiza ndi chimodzi mwa zonsezi ndi chiyani:
- Mankhwala pafupifupi amafanana kwathunthu ngati mumayang'anitsitsa mawonekedwe awo ndi kuchuluka kwa zinthu zazikulu. Koma ngati Milgamma adayikidwa mu mawonekedwe a mapiritsi, ndiye chifukwa chake ndikofunikira kulingalira za kusowa kwa hydroxycobalamin pakuphatikizidwa.
- Sucrose kulibe chipangidwe cha chipolopolo chakunja cha Combilipen, chomwe chimapangitsa kuti mankhwalawa athe kupezeka kwa anthu odwala matenda a shuga.
- Kusiyanitsa kwakukulu kumawonedwa pakuwonetsa ntchito. Mothandizidwa ndi mankhwala amodzi, neuralgia imachiritsidwa, komanso ndi ina - polyneuropathy.
- Mankhwala amapangidwa ndi makampani osiyanasiyana azamankhwala, omwe ali ndi phindu lalikulu pamtengo. Mtengo wa Russia Combilipen ndiwotsika kangapo.
- Imwani mankhwala chimodzimodzi ndi nthawi yomweyo.
- Komanso mankhwalawa sangathe kugwiritsidwa ntchito muzochitika zomwezi, ndipo amayambitsa zovuta zina.
Pali zinthu zina zomwe zimapangitsa mavitamini a B ndi mankhwala ena. Chifukwa chake, musanayambe kugwiritsa ntchito, muyenera kufotokozera dokotala zomwe mankhwala omwe akutengedwa pano. Ndemanga pa mankhwala pamaforamu ndizabwino kwambiri. Amathandizira kukonza vutoli, koma adokotala okhawo ndi omwe ayenera kulandira mankhwala.