Shuga wolimbikitsa > Chithandizo ndi kupewa

Moni, Igor Viktorovich.

M'malo mwanu, muyenera kuyamba ndikuwunikira ndikuwonetsa kuwopsa kwa matenda oopsa a shuga, chifukwa mankhwalawa ndiwopindulitsa kwambiri. Kuphatikiza apo, Diabetesol (ngati mukutanthauza, Butamide, osati Diabeteson) si njira yanthawi yonse yoyambira matenda a shuga a 2.
Ndikupangira kuti mupimidwe mayeso otsatirawa, malinga ndi zotsatira zake ndikotheka kusankha mtundu wamankhwala oyambira:

kuyezetsa magazi kwa C-peptide,
kuyezetsa magazi kwa glycosylated hemoglobin.

Tsopano yambani kutsatira chiwerengero cha zakudya 9, cholimbikitsidwa pazinthu zotere (zambiri pa intaneti zimapezeka kwambiri pa intaneti, chifukwa chake sindizibwereza, ngati muli ndi mafunso, ndiyankha).
Ndikuthanso kuti mutenge phytosborne Arfazetin 1/2 chikho 30 mphindi musanadye katatu pa tsiku, Arfazetin ayenera kumwedwa kwa masabata awiri, ndiye kuti mupumule kwa milungu iwiri, mutha kubwereza maphunzirowo kwa nthawi yayitali.

Mulibe zotsutsana chifukwa chotenga Simgal, Trombo bulu ndi Betalok ZOK.

Wodzipereka, Nadezhda Sergeevna.

Ndichite chiyani ngati ndikadakhala ndi funso lofananalo koma losiyana?

Ngati simunapeze zofunikira pakati pa mayankho a funso ili, kapena ngati vuto lanu ndi losiyana pang'ono ndi lomwe laperekedwa, yesani kufunsa dotolo funso lina patsamba lomwelo ngati ali pamutu wa funso lalikulu. Mutha kufunsanso funso latsopano, ndipo patapita kanthawi madotolo athu ayankha. Ndi ufulu. Mutha kusanthula zidziwitso zofananira pankhaniyi patsamba lino kapena patsamba losaka. Tidzakhala othokoza kwambiri mutatipangira kwa anzanu pamasamba ochezera.

Medportal 03online.com imapereka zokambirana zachipatala mu kulankhulana ndi madokotala pamalopo. Apa mukupeza mayankho kuchokera kwa akatswiri enieni m'munda wanu. Pakadali pano malowa akupereka malangizo mmalo 48: a allergist, anesthetist-resuscitator, venereologist, gastroenterologist, hematologist, geneticist, gynecologist, homeopath, dermatologist, Dokotala wazachipatala, dokotala wazachipatala, dokotala wothandiza , katswiri wa matenda opatsirana, katswiri wamtima, katswiri wazodzikongoletsa, katswiri wazamalankhulidwe, katswiri wa zamankhwala, wazamalamulo wamankhwala, wamisala, wamisala, wamisala, wazachipatala, wazachipatala a, dotolo, opaleshoni ya pulasitiki, proctologist, psychologist, pulmonologist, rheumatologist, radiologist, sexologist andrologist, mano, urologist, pharmacist, herbalist, phlebologist, opaleshoni, endocrinologist.

Timayankha mafunso 96.27%..

Mayina apadziko lonse lapansi

Acetylsalicylic acid. Mu Latin - Acidum acetylsalicylicum.

Thrombo ACC idapangidwa kuti ichiritse odwala omwe ali ndi vuto la mafuta metabolism, matenda a shuga kapena kuthamanga kwa magazi.

Kutulutsa mafomu ndi kapangidwe kake

Mankhwala amapezeka mu mawonekedwe a kuzungulira kwa mapiritsi oyera a biconvex, omwe amaphatikizidwa ndi filimu. Gawo la mankhwalawa lili ndi 50 kapena 100 mg yogwira ntchito - acetylsalicylic acid. Monga zigawo zothandizira ndi:

shuga mkaka
cellcrystalline mapadi,
colloidal silicon dioxide,
wowuma mbatata.

Kuphimba kwa enteric kumakhala ndi talc, ethyl acrylate Copolymer, triacetin ndi methaconic acid. Mapiritsi amapezeka m'matumba a blister a zidutswa 14 kapena 20. Mukatoni kamatakiti 14 a mankhwalawo ali ndi matuza awiri, magawo 20 - matuza 5.

Mankhwala amapezeka mu mawonekedwe a kuzungulira kwa mapiritsi a biconvex oyera.

Zotsatira za pharmacological

Acetylsalicylic acid (ASA) ili ndi chinthu chosunga ma antiplatelet chomwe chimalepheretsa kuphatikizika kwa magazi. Pulogalamu yogwira ntchito ili m'gulu la mankhwala omwe si a anti -idalidal anti-yotupa (NSAIDs), pokhala ochokera ku salicylic acid. Zotsatira zakuchizira zimachitika chifukwa cha kuponderezana kosasinthika kwa cycloo oxygenase. Pamene enzyme ikuletsedwa, kupanga kwa ma prostaglandins, thromboxane ndi uhule wa uhule kumasokonezedwa. Chifukwa cha kuponderezedwa kwa katulutsidwe a thromboxane A2, mapangidwe a maselo, kuphatikiza (kupondaponda) ndi kupendekera maselo.

Mphamvu ya antiplatelet imapitirira kwa sabata litatha kamodzi. Kukhalitsa kotere kwa acetylsalicylic acid kumagwiritsidwa ntchito pochiza komanso kupewa ischemic, matenda a varicose, kulowetsedwa kwa myocardial.

Pharmacokinetics

Pakaperekedwa pakamwa, acetylsalicylic acid imatenga mofulumira 100% m'matumbo ang'ono. Mapiritsi sasokoneza mucosa wa m'mimba chifukwa cha kupezeka kwa nembanemba. Pa mayamwidwe, pang'ono kagayidwe kwa salicylic acid kumachitika. Mankhwala awa amasintha m'chiwindi kupanga salicylates.

Ikalowa m'magazi, ASA imamanga ku 66-98% ndi mapuloteni a plasma ndipo imagawidwa mwachangu ku minofu. Kukopeka kwa Serum sikuchitika. Kutha kwa theka moyo kumafika mphindi 15-20. Njira ya kwamikodzo imangotulutsa 1% ya mlingo wovomerezeka womwe unali mu mawonekedwe ake. Zotsalira zimasiya thupi mu mawonekedwe a metabolites. Ndi mawonekedwe abwinobwino a nephrons, 80-100% ya mankhwalawa imaperekedwa kudzera mu impso mkati mwa masiku atatu.

Pakaperekedwa pakamwa, acetylsalicylic acid imatenga mofulumira 100% m'matumbo ang'ono.

Zizindikiro zogwiritsidwa ntchito

Mankhwalawa amathandizira kupewa matenda oopsa a m'matumbo a mtima pamene wodwala ali pachiwopsezo (kuthamanga kwa magazi, kunenepa kwambiri, msinkhu wokalamba kuposa zaka 50, zizolowezi zoipa, matenda a shuga. Mu zamtima, akatswiri azachipatala amayenera kupereka mankhwalawa potsatira zotsatirazi:

Monga kupewa kupewa kwa thromboembolism pambuyo pazinthu zina zowonjezera komanso ma opaleshoni othandizira ziwiya: ziwalo zamitsempha yama cell ochepa, kulumikizana, kuluma, angioplasty,
ndi mitsempha yakuya,
Zothandiza kupweteka chifukwa cha chimfine,
kupewa kufalikira kwakanthawi mu ubongo,
mankhwalawa a angina okhazikika komanso osakhazikika,
Kuteteza kubwereranso kwa mtima,
monga kupewa matenda a sitiroko, kuphatikiza pa zochitika za ubongo.

Mankhwalawa amagwiritsidwa ntchito kuti ateteze pulmonary embolism itatenga nthawi yayitali, yomwe imafunikira pakatha nthawi yothandizira.

Kutulutsa mawonekedwe ndi mankhwala zikuchokera

Thrombo ACC imapezeka mu mawonekedwe am'mapiritsi a pakamwa. Mapiritsiwo ndi oyera, ozungulira, onunkhira mbali zonse ziwiri, atapangidwa ndimatumba a zidutswa 14 (2) pabokosi lamatoni, mawuwo amaphatikizidwa ndi mankhwalawo ndikulongosola bwino za mikhalidwe.

Piritsi lililonse limakhala ndi 50 mg kapena 100 mg ya mankhwala othandizira - Acetylsalicylic acid, monga momwe amathandizira ali: lactose monohydrate, microcrystalline cellulose, silicon dioxide, starch ya mbatata.

Tengani thrombotic bulu wamtundu 2 shuga

No. 26 010 Endocrinologist 11/20/2015

Kodi ndizotheka komanso ngati zingabweretse mavuto. Tithokoze chifukwa cha yankho lanu.

Vladimir Verkhovodov, Bolkhov

Moni, ndikuuzeni chonde, ndikufuna kuyamba kumwa njira zothandizira pakamwa kuyambira nthawi yoyamba, Klair adalangizidwa, lero ndi tsiku lachiwiri la kusamba, malangizo akuti kugwiritsa ntchito kuyambira tsiku loyamba, mutha kumwa kuchokera tsiku lachiwiri, ngati ndi choncho, ndi piritsi yani yoyamba kumwa. Zikomo kwambiri yankho lanu.

Moni. Ndili ndi zaka 30. Ndili ndi ana awiri (anyamata 7 ndi 4 wazaka) wathanzi. Pambuyo pa mwana wachiwiri panali patupu. Zitatha izi (zaka 4 zidapita), mimba idayamba. Mimba inali yachibadwa. Anangodandaula za thrush, yemwe amathandizidwa. Mwana adabadwa pa nthawi, mwana, 3330 g, 50 cm. 8/9 pa Apgar. Pa tsiku lachiwiri, mwana anali ndi totupa pamutu, thovu ndi zodzadza ndimadzimadzi achikasu, omwe amaphulika ndikuphatikizana. Anatiyika kuchipatala, sananene chilichonse, adawombera bilirubin ndi Fr.

Chonde ndiuzeni, ndinatenga mayeso a IgA ndi IgG a chlamydia, zotsatira zake ndi 87 ndi 230, motsatana (zomwe zili mu 50.50-60 ndizokayikira, zoposa 60 zidzayika). Pambuyo pa kutha kwa chithandizo, mwezi umodzi pambuyo pake, kuwunikira kwa ulamuliro kunapangidwa, zotsatira zake ndi 63 ndi 213, izi zikutanthauza chiyani, chithandizo china chikufunika? Zikomo kwambiri yankho lanu.

Wokondedwa Dokotala! Ndikutembenukira kwa inu ndi funso lotsatirali: Posachedwa, pafupifupi mwezi wapitayo, bere lozungulira nipples ndi ma nipples okha anayamba kutuluka, kufiyira kunawoneka ngati nyenyezi. Zingakhale chiyani. Tithokoze yankho.

Moni. Ndili ndi vuto lotere - nditabadwa kachiwiri ndili ndi polyp yayikulu yotsegula kunja kwa urethra (pafupifupi 2 cm), adachichotsa, chifukwa K. Mu sabata imodzi idakulanso kawiri. Pambuyo pa opaleshoni, panali kutupa kwa mucosa-protrusion. Miyezi isanu ndi umodzi yadutsa kale, ndipo nembanemba ya mucous imangokhala ngati pali "polyp" (imatha kuwoneka kuchokera mu ngalande) ndipo ngalande mu urethra imayamba kutseguka. Palibe zopweteka, koma panthawi yogonana ndizosasangalatsa ndipo zimapweteka. Ndiyenera kuchita chiyani pamtunduwu komanso ngati opareshoniyo ingathe

Masana abwino Ndidakhala ndi pakati, ndinadutsa mayeso kuchipatala chakutsogolo - zotsatira za HBsAg zidapezeka. Anandikakamiza kuti ndipite kuchipatala china kwa katswiri wa matenda opatsirana, operekera matendawa adapereka kumeneko - palibe chomwe chidapezeka. Adatsitsidwa. Pamapeto pa kutenga pakati, ndimapatsanso yachiwiri mwa mkazi ndipo ndimatinso, ndimapita kwa katswiri wa matenda opatsirana ndipo zotsatira zake zimakhala zoipa. Zotsatira zake, katswiri wa matenda opatsirana adatumiza chopereka cha magazi kuti apezeke matenda a hepatitis B virus (HBV), zotsatira zake zidafika - zidapezeka, gawo lofufuzira - silinapezeke.

Malangizano opezeka pa intaneti a 18+ ndi a zidziwitso ndipo sapereka gawo la kufunsana kwa nkhope ndi madokotala. Pangano la ogwiritsa ntchito

Zambiri zanu zimatetezedwa. Malipiro ndi kugwiritsa ntchito tsamba ndikuchitika pogwiritsa ntchito protocol ya SSL yotetezeka.

Contraindication

Mankhwala sangayambike paokha, kudalira momwe akumvera komanso thanzi lawo. Mapiritsi a Thrombo ACC ali ndi zotsutsana zingapo:

kukhetsa m'mimba kapena kukayikira kwawo,
zilonda zam'mimba zam'mimba ndi duodenum pachimake kapena mu anamnesis,
hemorrhagic diathesis,
mphumu ya bronchial yomwe imayamba pakumwa mankhwala acetylsalicylic acid kapena mankhwala ena kuchokera ku gulu la NSAID,
Matenda a chiwindi ndi impso, limodzi ndi ziwopsezo zamagulu,
Chithandizo cha methotrexate,
kulephera kwa mtima
Mimba mu 1 ndi 3 trimesters,
nthawi yoyamwitsa,
wazaka 18
lactose tsankho, shuga malabsorption syndrome,
sinus polyposis.

Zotsatira zoyipa zogwiritsira ntchito mankhwalawa ndi:

gout
Hyperuricemia
kulephera kwaimpso
ziwengo kwa mankhwala osokoneza bongo
2 nyengo yovomerezeka,
kukonzekera opaleshoni, kuphatikizapo mano,
hay fever
mbiri yakusokonekera kwa gastritis.

Mlingo ndi makonzedwe

Mapiritsi a Thrombo ACC amayenera kumwedwa mutatha kudya kapena panthawi ya chakudya, kutsukidwa ndi madzi ambiri, osaluma kapena kuwaza. Mankhwalawa amapangidwira kuti azigwiritsidwa ntchito kwa nthawi yayitali, koma mlingo ndi nthawi yayitali ya chithandizo zimatsimikiziridwa ndi adokotala, kutengera mtundu wa wodwala ndi mawonekedwe a thupi lake.

Pofuna kupewa matenda a mtima ndi thrombosis, tsiku lililonse mankhwalawa ndi 50 mg, ngati kuli kotheka, amatha kuwonjezeka mpaka 100 mg patsiku moyang'aniridwa ndi dokotala.

Pofuna kupewa komanso kuchiza pulmonary embolism ndi mitsempha yayikulu ya m'mimba, 100 mpaka 200 mg ya mankhwalawa amadziwikiridwa patsiku, logawidwa mu 2 waukulu.

Kugwiritsa ntchito mankhwala pa mimba ndi mkaka wa m`mawere

Mu trimester yoyamba ya kubereka, mankhwala a Thrombo ACC sanalembedwe, chifukwa panthawiyi ziwalo zonse za mwana wosabadwa zimayikidwa, ndipo zomwe zimachitika chifukwa cha mankhwala pakhungu la mkazi zimatha kusokoneza njirayi ndikupangitsa kupangika kwa kusiyana kwa kubereka.

Munthawi yachiwiri yomwe mayi ali ndi pakati, kugwiritsa ntchito mankhwalawa ndikotheka kuyang'aniridwa ndi dokotala, ngati njira zochiritsira zomwe zimayembekezeredwa kwa amayi zimaposa zovuta zomwe zimayambitsa khanda.

Mu nthawi yachitatu ya mimba, kutenga mapiritsi a Thrombo ACC amatsutsana, chifukwa chithandizo chimatha kubweretsa magazi mkati mwa mwana wosabadwa, kutulutsa magazi kwambiri komanso kuphwanya magazi kuundana kumene.

Acetylsalicylic acid imatha kuchotseredwa mkaka wa m'mawere ndikuyambitsa mavuto ambiri makanda, chifukwa chake, mankhwalawa sagwiritsidwa ntchito pa nthawi ya mkaka wa m'mawere. Ngati chithandizo chikufunika, kuyamwitsa kuyenera kusiyidwa.

Zotsatira zoyipa

Mukamamwa mapiritsi a thrombo ACC mu odwala omwe ali ndi vuto la asidi la acetylsalicylic, zotsatira zoyipa zimayamba:

Kuchokera kugaya chakudya - kutentha kwa mtima, kupweteka m'mimba, mseru, kuchuluka kwa matenda am'mimba komanso zilonda, kusanza, magazi m'matumbo, kukula kwa chifuwa champhamvu, kuchuluka kwa ziwindi zam'mimba,
Kuchokera kwamanjenje - chizungulire komanso kupweteka kwa mutu, tinnitus, kumva kusamva,
chiwopsezo cha kukhetsa magazi, kupweteketsa magazi, kutulutsa magazi,
mbali ya chithunzi cha magazi - thrombocytopenia, kuchepa magazi, kuchepa kwa chisonyezero cha utoto ndi kuchuluka kwa maselo ofiira a magazi,
thupi lawo siligwirizana - zotupa pakhungu la mtundu wa erythematous, zotupa zochepa pakhungu, Quincke's edema, bronchospasm, chitukuko cha mphumu ya bronchial, rhinitis, kawirikawiri, kukula kwa anaphylactic.

Ngati vuto limodzi kapena zingapo zikuwoneka, mankhwalawo ayenera kusiyidwa ndikuyang'ana kwa dokotala.

Bongo

Mukamamwa mapiritsi a Thrombo ACC mu Mlingo waukulu, wodwalayo amakula ndi zizolowezi zowonjezera, zomwe zimafotokozedwa poyizoni wa salicylate - kusanza, ndowe ndi magazi, kuwonongeka kwa chiwindi, nosebleeds, tinnitus, alkalosis.

Poizoni wamphamvu ndi acetylsalicylic acid, odwala amakhala ndi edema, kupuma, kupuma, kupuma, mtima, kukomoka, kukomoka.

Chithandizo cha mankhwala osokoneza bongo a salicylates imakhala ndikutsuka m'mimba, kumwa mothandizidwa mobwerezabwereza, kubwezeretsa mchere wamchere, ndipo ngati kuli kotheka, kumachitika mankhwalawa.

Kuyanjana kwa mankhwala osokoneza bongo

Kusamala makamaka kumafunika kulumikizana ndi mankhwala a mapiritsi a thrombo ACC ndi mankhwalawa:

Methotrexate
Ma anticoagulants - chifukwa choika magazi ambiri,
NVPV,
Mankhwala a thrombolytic
Hypoglycemic mankhwala ndi insulin.

Acetylsalicylic acid, yomwe ndi gawo la mapiritsi a Thrombo ACC, imathandizira kuchiritsa kwa zotsatira zamankhwala omwe ali pamwambawa, omwe amawonjezera mwayi wokhala ndi zotsatirapo zamagetsi komanso bongo. Ngati ndi kotheka, kuyanjana kwa mankhwala kumafuna kusintha kwa mlingo.

Ndi munthawi yomweyo mapiritsi okhala ndi mankhwala ochokera ku gulu la glucocorticosteroids, kuchepa kwa achire zotsatira za acetylsalicylic acid kumawonedwa.

Malangizo apadera

Mapiritsi a Thrombo ACC amatha kutengedwa pokhapokha ngati adokotala adatinso kuyesa magazi koyambirira.

Acetylsalicylic acid, yomwe ndi gawo la mankhwalawa, imatha kuyambitsa kupanikizika kwa bronchospasm mwa anthu omwe amakonda chifuwa kapena odwala matenda amphumo. Mphumu imayambika pakumwa mankhwalawa imakhala yowonjezereka komanso yovuta.

Ngati pali mbiri ya urticaria, kutupa kwa mphuno ndi pharynx mutamwa mapiritsi a acetylsalicylic kapena mapiritsi a NVPV, muyenera kufunsa dokotala musanalandire chithandizo ndi Thrombo ACC.

Poyerekeza ndi momwe mankhwalawo amathandizira ndi mankhwala osokoneza bongo, kuchuluka kwa magazi a m'magazi kumachepa, zomwe zimatha kuyambitsa magazi pakhungu. Ngati wodwala wakonzekera kuchitapo kanthu pochita opaleshoni, kuphatikizapo kupaka mano, ndikofunikira kuchenjeza adotolo kuti amatenga Thrombo ACC.

Amayi omwe amamwa mapiritsi a mankhwalawa amayenera kudziteteza mosamala kuyambira mimbayo isanakonzekere, ndipo ngati kutenga pakati kwachitika, ndiye kuti kumwa mankhwalawo kuyimitsidwa ndi kufunsa dokotala.

Mapiritsi a Thrombo ACC sangatengedwe nthawi yomweyo ndi acetylsalicylic acid kapena mankhwala osapweteka a antiidal, chifukwa izi zimawonjezera chiopsezo cha zotsatira zoyipa komanso bongo wambiri.

Odwala a zaka zopitilira 65 amafunikira kusankha kwa mankhwalawa chifukwa mankhwalawa ali ndi vuto lalikulu.

Ngati mukumva zosasangalatsa mu epigastric dera nthawi ya mankhwala, mankhwala osokoneza bongo, komanso kupweteka pamimba, mapiritsi amayimitsidwa ndipo amathandizidwa ndi dokotala.

Pakumwa mankhwala, munthu ayenera kupewa zinthu zomwe zimafunikira kuti azichita chidwi ndi kuyendetsa galimoto. Izi zimachitika chifukwa cha kuwoneka kwa chizungulire ndi tinnitus nthawi ya mankhwala.