Kodi Diclofenac ndi Milgamma angagwiritsidwe ntchito palimodzi?

Ululu m'khosi umadziwika bwino kwa anthu ambiri. Chifukwa chachikulu ndi osteochondrosis. Matendawa amabwera chifukwa chokhala phee: ntchito yayitali pakompyuta, kuyendetsa galimoto. Zakudya zopanda pake komanso zizolowezi zoyipa zimawonongeranso mkhalidwe wa msana.

Ndikofunikira kuchiza matenda a khomo lachiberekero m'magawo oyamba kuti muchepetse zovuta. Dokotala yekha ndi amene amapereka mankhwala oyenera. Kuti mankhwalawa akhale othandiza, muyenera kukayezetsa omwe katswiri wa mitsempha amathandizira. Kuti mukwaniritse zotsatira zabwino, ndibwino kugwiritsa ntchito njira yolumikizira.

Kodi osteochondrosis ndi chiyani

Kuti mumvetsetse chifukwa chake mankhwalawa kapena kuti mankhwalawa amalembedwa kwa matenda amchiberekero ya chifuwa cham'mimba, muyenera kukumbukira pang'ono matenda omwe muli. Maziko ndikusintha kwa ma disc, vertebrae, ligaments ndi mafupa. Kuphuka kwa mafupa ndi hernias kumatha kukhudza minofu, mafupa am'mimba, chingwe cha msana ndi mizu yake.

Zotsatira zopweteketsa mtima zimayambitsa kupindika kwa minyewa. Kuchepetsa mitsempha kumayendera limodzi ndi kuphwanya kwa magazi. Ndi kukakamiza kwa muzu wa msana, kupweteka ndi dzanzi m'khosi zimawonedwa. Kukhudzidwa kwa msana mu khosi kumatha kutsogolera kufooka kwathunthu komanso kusagwira ntchito kwa ziwalo za m'chiberekero.

Analgesics

Kuchepetsa ululu womwe umayenderana ndi kusintha kwamchiberekero yam'mimba, mankhwalawa amagwiritsidwa ntchito omwe ali ndi zotsatira za analgesic komanso anti-yotupa - NSAIDs. Amaletsa kaphatikizidwe kazinthu zomwe zimapangitsa kupweteka komanso kutupa.

Mankhwalawa amapezeka m'njira zosiyanasiyana. Mu nthawi yovuta kwambiri, jakisoni wamkati kapena wamkati amatha kuperekedwa. Zinthu zikakhala bwino, amasinthira kumwa mankhwalawo mkati. Kuti muchite izi, pali mapiritsi, makapisozi ndi ma ufa. Ngati pali zovuta ndi m'mimba, ndiye kuti mutha kugwiritsa ntchito makandulo. Kupititsa patsogolo njira zochizira za NSAIDs, zimagwiritsidwa ntchito kwambiri ngati mawonekedwe a mafuta, mafuta kapena mafuta.

Mankhwala ofunikira otupa osafunikira

Mankhwala onsewa ndi othandiza kwambiri, koma agwiritse ntchito mosamala. Zotsatira zoyipa kwambiri ndizo kukokoloka ndi zilonda zam'mimba, zomwe zimatha kuthana ndi magazi.

Mankhwala a Hormonal

Mankhwala omwe ali mgululi ali ndi mphamvu yotsutsa-yotupa. Dexamethasone, yomwe imayendetsedwa intramuscularly, imagwiritsidwa ntchito makamaka. Kugwiritsa ntchito ndalama zoterezi ndizotheka ndi ululu wopitiliza kupweteka, womwe umachitika pamaso pa chophukacho. Njira ya mankhwalawa imatenga masiku atatu mpaka asanu ndi awiri.

Ndizosatheka kuthandizidwa ndi mahomoni kwa nthawi yayitali, chifukwa pali zovuta pa thupi. Zotsatira zoyipa kwambiri ndizo mutu, chizungulire, kuchuluka kwa khungu pakhungu la jakisoni ndi zotupa zam'mimba komanso zotupa zam'mimba.

Njira yochizira iyi imagwiritsidwanso ntchito kupweteka kwambiri. Mankhwala oletsa kugwiritsidwa ntchito wamba amagwiritsidwa ntchito - lidocaine kapena novocaine. Zotsatira zimabwera mwachangu: kufalikira kwa zopweteka kumatha, minofu imamasuka, magazi amayenda bwino, edema ndi kuchepa kwa magazi. Jakisoni umachitika pang'onopang'ono mu khomo lachiberekero.

Ngati ndizosatheka kupanga blockade, ngati njira ina, chigamba chomwe chili ndi lidocaine - Veratis imagwiritsidwa ntchito. Koma ndi radicular syndrome, mawonekedwe oterewa sangakhale othandiza, popeza mankhwalawo amagwira ntchito pakhungu ndipo samakhudza ziwalo zomwe zimakhala mozama.

Zopumitsira minofu

Popeza khomo lachiberekero lachiberekero limayendera limodzi ndi mavuto a minyewa, pakufunika kuperekedwa ndalama zothandizira minofu kumasuka. Pachifukwa ichi, mankhwala omwe amaletsa kufalitsa kwa ma pulps osangalatsa ku ulusi wa minofu ndi oyenera.

Nthawi zambiri, chinthu chogwira ntchito monga tiznidine chimagwiritsidwa ntchito pazolinga izi. Mayina amalonda ndi Sirdalud, Tizalud ndi Tizanil. Mankhwala Midokalm (Tolperisone), omwe amapezeka mu mapiritsi ndi njira yothetsera jakisoni, sakhalanso wogwira ntchito.

Zopuma minofu zingayambitse kufooka kwa minofu ndi kuthamanga kwa magazi, komwe kuyenera kuganiziridwa pakumwa.

Kwa magwiridwe antchito amtundu wamanjenje, choyambirira, mavitamini B ndiofunikira .. Amasintha njira za metabolic, amatenga nawo gawo pazomwe zimayambitsa ma neurotransmitters, zomwe zimathandizira kufalitsa kwa kukhudzidwa kwa mitsempha.

Ndikosavuta kugwiritsa ntchito kukonzekera kovuta komwe kumakhala ndi mavitamini onse: B1, B6 ndi B12. Pali njira zambiri zotere. Awa ndi Milgamma, Compligam B, Combibipen, Neuromultivitis, Trigamm. Amapezeka muma ampoules, pomwe lidocaine waikamo mankhwala osokoneza bongo. Pali mapiritsi, ngati matendawa amafunika kuthandizidwa kwa nthawi yayitali.

Kukonzekera kwamasamba

Kusintha kwa khosi lachiberekero nthawi zambiri kumayendetsedwa ndi zovuta zam'mitsempha, zomwe zimakhudza gawo la ubongo, chifukwa chake ndikofunikira kumwa mankhwala omwe amasintha magazi.

Ma Vasodilators amaphatikizapo:

• Cinnarizine (Stugeron),
• Vinpocetine (Cavinton),
• Pentoxifylline (Trental).

Kupititsa patsogolo kagayidwe kachakudya, ma neuroprotectors ndi antioxidants ndi mankhwala:

• Actovegin,
• Cerebrolysin
• Mexidol (Mexicoiprim),
• Piracetam (Nootropil).

Ndiosavuta kugwiritsa ntchito kukonzekera komwe kuli piracetam ndi cinnarizine - Fezam kapena Omaron.

Chondroprotectors

Kukonzekera kotereku kumakhala ndi glucosamine ndi chondroitin sulfate. Zinthu izi zimathandizira kapangidwe kazinthu zazikulu za cartilage, kuchepetsa ntchito ya kutupa. Pogwiritsa ntchito nthawi yayitali, zimakhala ndi mphamvu ya analgesic.

Ndalama zotere sizinaphule kanthu ndipo zimalekeredwa bwino. Amapezeka mu mitundu ya jakisoni, makapisozi ndi mafuta. Kuti mukwaniritse izi, muyenera kumwa mankhwala osachepera miyezi isanu ndi umodzi.

Ma antidepressants

Zizindikiro zopweteka zazitali zomwe zimapezeka m'khosi ndi m'mutu ndimatenda a msana zimayendera limodzi ndi kukhumudwa, zovuta za autonomic. Kuti muchepetse mkhalidwe wa odwala, ndikofunikira kugwiritsa ntchito antidepressants.

• Diazepam (Relanium, Sibazon),
• Venlafaxine (Velafax, Alventa),
• Duloxetine (Simbalta),
• Sertralin (Asentra, Zoloft, Serlift, Stimuloton).

Mankhwala osagwiritsa ntchito mankhwala

Njira zina zochizira zimathandizira kuthana ndi matendawa mwachangu:

1. Ngati vertebrae ndi yosakhazikika, ndikofunikira kukonza khosi la khomo pachibelekeropo pogwiritsa ntchito kolala yapadera.
2. Kutentha kouma, komanso mapulasitiki ampiru, kumathandiza kuchepetsa ululu m'khosi komanso kupumula minofu.
3. Mothandizadi amathetsa kuphipha kwa minofu, kuphatikizana.
4. Ngati ndi kotheka, mutha kugwiritsa ntchito ntchito za chiropractor.
5. Ngati pali osteochondrosis, ndiye kuti ndikofunikira kuchita zolimbitsa thupi. Izi zikuthandizani kulimbitsa minofu yanu. Kuchita masewera olimbitsa thupi kumachepetsa nkhawa. Njira yothandiza yopumulira pambuyo pa isometric, pambuyo pa kupsinjika kwamphamvu kwa minofu ndikutsatira kwawo.

Pochizira matendawa, physiotherapy imagwiritsidwa ntchito kwambiri:

• ma radiation a ultraviolet
• electrophoresis ndi mankhwala,
• mankhwala amplipulse,
• balneotherapy ndi matope mankhwala.

Ngati kupweteka kwambiri sikumayambira kumbali ya chithandizo chamankhwala chokhazikika, pitani kuchipatala. Pankhaniyi, amapanga discectomy - amachotsa diskiyo kwathunthu kapena pang'ono. Koma ngakhale yankho lavutoli silithandiza kuchiritsa matendawa kwathunthu.

Kuti muchepetse kupita patsogolo kwa matendawa, ndikofunikira kuthetsa zomwe zimayambitsa komanso zoyambitsa.

• Muyenera kudya kumanja: chakudya chizikhala ndi calcium, phosphorous, mapuloteni ambiri.
• Ndikofunikira kupatula kugwiritsa ntchito khofi ndi mowa, kusiya zizolowezi zoipa.
• Gona pabedi losalala komanso pilo.
• Pewani kuperewera kwamanjenje, kusakhazikika mtima ndi hypothermia.

Chithandizo cha anthu

Osteochondrosis amathandizidwa nthawi yayitali. Ndiyenera kumwa mankhwala ambiri. Kuchepetsa kuchuluka kwa umagwirira omwe umagwiritsidwa ntchito, kunyumba, utha kuthandizira chithandizo chachikulu pogwiritsa ntchito njira zina:

1. Yaphika mbatata yaiwisi ndi uchi woponderezedwa, wotengedwa chimodzimodzi.
2. Tincture wa maluwa a lilac ndi oyenera kupera. Kapu ya lilac imafunikira 0,5 l wa vodka. Kuumirira masiku angapo.
3. Kusakaniza kwa compress kungapangike kuchokera pa lita imodzi ya vodika, kumene 1 g ya phula imawonjezeredwa, 50 g ya ufa wa mpiru ndi madzi a aloe.
4. Kunyumba, ndikosavuta kukonzekera mafuta kuchokera ku ma hop a hop: supuni ya ufa imafunanso mafuta ofanana.

Chifukwa chake, kuti matendawa asayambitse vuto lalikulu, ndikofunikira kukaonana ndi katswiri munthawi yake, kukwaniritsa nthawi zonse osati kudzisamalira.

Onjezani ndemanga

Pofuna kuchiritsa osteochondrosis ndi kupweteka kwakumbuyo kumbuyo, chithandizo chovuta chidzafunika, chomwe chimakonzedwa mosalekeza. Choyamba, ululuwo umaleka, chifukwa cha ichi, mankhwala osiyanasiyana amagwiritsidwa ntchito, omwe ayenera kukhala ogwirizana. Diclofenac ndi Milgamma angagwiritsidwe ntchito nthawi imodzi, koma pali zotsutsana.

Makhalidwe a Diclofenac

Ndi mankhwala osapweteka a antiidal (NSAID) osasankha. Zokhudza mankhwala:

1. Amachotsa kutupa.
2. Amachepetsa kuwawa.
3. Zimalepheretsa kukula kwa zizindikiro zina zotupa (edema, fever, hyperemia).
4. Zimalepheretsa kuphatikizika kwa mapulosi.

Njira yayikulu yogwiritsira ntchito mankhwalawa ndi kupondereza ma enzymes a COX omwe amachititsa kuti ma biosynthesis a prostaglandins apangidwe. Diclofenac imalepheretsa zonse COX-2, zomwe zimayambitsa kutupa, COX-1, yomwe imagwira ntchito zingapo zofunikira zathupi. Izi zimapangitsa kuti pakhale zovuta, monga zotupa zam'mimba, matenda a bronchospasm, kusungunuka kwamadzi m'thupi, ndi zina zambiri.

Mankhwala amaperekedwa ngati:

• 25, 50 ndi 100 mg mapiritsi
• jakisoni yankho
• rectal suppositories
• kirimu, mafuta, mafuta odzola,
• ophthalmic akutsikira.

Mothandizidwa ndi intramuscularly, imayamba kuchita pambuyo pake kwa mphindi 10-15, ndipo itakamwa pakamwa, pakatha mphindi 40. Mphamvu ya analgesic imakhala kwa maola 6-12.

Mankhwalawa amalembedwa kuti athane ndi ululu ndi kutupa pamaso pa:

• nyamakazi, arthrosis, gout,
• bursitis
• tenosynovitis,
• neuralgia
• matenda a msana (osteochondrosis, osteoarthrosis),
• mawonekedwe a rheumatoid,
• kuvulala koopsa
• migraine
• myositis
• dysmenorrhea,
• aimpso kapena kwa chiwindi colic.

Diclofenac ndi chizindikiro chogwiritsa ntchito chomwe chimakhudza kwambiri m'mimba ngakhale ndi makonzedwe a makolo, chifukwa chake simuyenera kugwiritsa ntchito mankhwalawa ndikugwiritsa ntchito kupewa.

Momwe Milgamma Amagwira Ntchito

Maziko a mankhwalawa amaimiridwa ndi mavitamini a B, omwe ali ndi neurotropic, analgesic, metabolic effect ndipo amathandizira zochitika za pharmacological:

1. Thiamine (Vitamini B1) amakhudzidwa ndi chakudya cha metabolism ndi ATP.
2. Pyridoxine (Vitamini B6) amagwira ntchito pakupanga mapuloteni okhala ndi mafuta komanso kupanga maselo ofiira am'magazi, amachepetsa cholesterol, ndikuthandizira kupezeka kwa glucose ndi neurocytes.
3. Cyanocobalamin (Vitamini B12) imayendetsa njira zosiyanasiyana za metabolic, imathandizira kubwezeretsanso ntchito za mitsempha, imathandizira kugundana kwa magazi ndi kupangika kwa minofu.

Jakisoniyo ali ndi lidocaine waiwo, yemwe amalimbikitsa zotsatira za analgesic ndikuthandizira kuyamwa kwa mankhwalawa. Piritsi la mankhwalawa limapezekanso.

Milgamm imafotokozedwa ngati gawo la zovuta mankhwala ngati pathogenetic ndi wothandizira. Zowonetsa:

• kutupa kwamitsempha (neuralgia, neuritis),
• kugonjetsedwa kwa masamba achifundo, kuphatikiza ndi kachilombo ka herpes,
• kuphwanya zamkati chifukwa cha kuwonongeka kwa mathero a mitsempha,
• neuropathy, kuphatikizapo polyneuropathy mu shuga ndi uchidakwa,
• mafupa am'mimba,
• ululu mu osteochondrosis, radiculitis, sciatica, minofu-tonic syndromes.

Milgamm ndi mankhwala a kutupa kwa mitsempha (neuralgia, neuritis).

Zizindikiro zogwiritsidwa ntchito munthawi yomweyo

Kugawana mankhwala ndikothandiza kwambiri pakuwonongeka kwa magawo osiyanasiyana a zotumphukira zamitsempha. Zisonyezero zakudikirira kwawo:

• mawonetseredwe amanjenje a osteochondrosis, spondylitis, kuvulala,
• kupweteka kumbuyo
• ma radicular ndi tunnel syndromes,
• nyamakazi, polyarthritis, arthrosis,
• kuwonongeka kwa ubongo komanso kusowa malo okhala chifukwa chomwa mowa,
• matenda ashuga polyneuropathy.

Contraindication

Mankhwalawa sangathe kugwiritsidwa ntchito pakuleza munthu m'modzi, ziwengo zam'mimba, zilonda zam'mimba, kutupa kwamatumbo, kuthekera kwa kutaya kwamkati, kuphwanya hematopoiesis, kulephera kwa mtima mu gawo lowola, kuphwanya kwambiri chiwindi kapena impso, kutenga pakati, kuyamwitsa. Pochita ana, kuphatikiza uku sikugwiritsanso ntchito.

Momwe mungatenge Diclofenac ndi Milgamm palimodzi

Kuti mupeze zotsatira zachangu, mankhwalawa amayikidwa mu mawonekedwe a jekeseni wamitsempha. Mutha kuwadulira tsiku limodzi, osasakanikirana mu syringe imodzi, kapena mosiyana tsiku lililonse.

Mlingo watsimikiza ndi dokotala. Chithandizo chikuchitika ndi yochepa maphunziro (masiku 3-5).

Ngati ndi kotheka, chithandizo chachitali chimalimbikitsidwa kuti musinthane ndi mtundu wa mankhwala piritsi.

Zotsatira zoyipa za Diclofenac ndi Milgamm

Zotsatira zoyipa ndizochepa. Amawonetsedwa ndi chizungulire, kusanza, kukhumudwa, zilonda zam'mimba.

Ngati mumagwiritsa ntchito Diclofenac ndi Milgamma, ndiye kuti kusanza ndi kupukusa m'mimba zitha kuwoneka.

Malingaliro a madotolo

Averina T.N., wamisala

Kuphatikizikako ndikwabwino kwa kupweteka kwapadera. Mphamvu yotchulidwa imawonedwa pambuyo pa jekeseni woyamba.

Levin E. L., rheumatologist

Ndimalemba NSAIDs ndi Milgamm wa arthralgia, kuphatikizapo genesis wosadziwika. Mankhwalawa amaphatikizidwa bwino komanso amalolera odwala.

Ndemanga za odwala za Diclofenac ndi Milgamm

Galina, wazaka 62, Saratov

Mwamuna wanga akamakoka kumbuyo, ndimamuwombera ndi mankhwalawa. Kutulutsidwa mkati mwa ola limodzi.

Elena, wazaka 44, Omsk

Ndili ndi ululu wammbuyo chifukwa cha khosi pachiwindi. Pakukhathamira, adapaka Diclofenac, koma patapita nthawi mankhwalawa anasiya kuthandiza. Adotolo adalangiza kuti alumize Milgamma. Zinkagwira ntchito. Zotsatira zake zimakhala zabwino kwambiri kuposa kale.

Diclofenac kanthu

Mankhwalawa ndi mankhwala osapweteka a anti-yotupa omwe:

• kutentha kwapansi
• mankhwala
• Kuchepetsa kutupa
• zimasiyanasiyana antirheumatoid zotsatira.

Pogwiritsa ntchito nthawi yayitali, anti-allergenic athari imawonedwa, ndipo chiopsezo cha kuwundana kwa magazi kumachepetsedwa. Chida chimagwiritsidwa ntchito mu gynecology mwa mawonekedwe a rectal suppositories.

Makhalidwe a mankhwala osokoneza bongo

Ndikofunikira kudziwa kuti Diclofenac ndi Milgamm akhala akugwiritsidwa ntchito limodzi kwazaka zambiri Kuphatikizika kwa Diclofenac ndi Milgamm sikuyenera kukhala vuto . Cholinga chophatikiza mankhwalawa amtunduwu: mphamvu yodziwika bwino yamankhwala (mphamvu zoyenera zimanenedwa kale kuchokera tsiku loyamba la chithandizo), kuthekera kochepetsa mlingo wa NSAIDs (Diclofenac, Movalis, Voltaren) ndikuchepetsa nthawi yamankhwala. Koma kodi mankhwala aliwonse pawokha ndi ndani?

Milgamm ali ndi zinthu zabwino:

• zabwino pamitsempha,
• ali ndi mankhwala okongoletsa
• Amathandizira magazi.

Milgamm, monga Diclofenac, ali ndi mitundu yosiyanasiyana yotulutsidwa (ma ampoules, mapiritsi, dragees). Koma mosiyana ndi Diclofenac, Milgamm imavomerezedwa bwino ndi thupi la wodwalayo (palibenso zotsutsana), zomwe ndizofunikira kwambiri ndi chithandizo cha nthawi yayitali. Koma Milgamm amakhazikikanso ndi adokotala.

Zolemba za kuphatikiza kwa mankhwala

Monga tanena kale, mutha kuphatikiza mankhwala. Komanso, popanda kuphatikiza Diclofenac ndi Milgamm sangathe kuchita ndi mtundu wamankhwala wamawu kapena ngati kuli koyenera, siyimitseni tsiku loyamba. Kuphatikiza apo, kuthekera kuchepetsa kuchuluka kwa Diclofenac, pamodzi ndi mankhwala othandizira, kungalepheretse kupezeka kwa zoyipa.

Ndikofunika kukumbukira kuti kuphatikiza kwa Diclofenac + Milgamm kumangokhala kwakanthawi kochepa. Ndi njira yothandizira masiku opitilira 7, kusiyanitsa pakati pa iye ndi monotherapy Milgamm kapena Diclofenac kutha.

Ngati tilingalira mbali yothandiza ya nkhaniyi, mwanjira ina, ngati nkotheka kuyambitsa mankhwala onse awiri nthawi yomweyo, ndikofunikira kukumbukira zotsatirazi. Amaloledwa kubaya Diclofenac ndi Milgamm palimodzi, koma mankhwala aliwonse ayenera kuvulazidwa ndi syringe yosiyanasiyana ndipo jakisoni wotsatira umachitika bwino kwina. Kuphatikiza apo, jakisoni amagwiritsidwa ntchito pokhapokha pamavuto, koma ngati ndi vuto lalitali, ndibwino kuti musankhe mapiritsi ndikuganiza za Milgamm monotherapy.

Vidal: https://www.vidal.ru/d drug/diclofenak__11520
Radar: https://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGu>

Mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani

Kodi Diclofenac ndi Milgamm akhoza kudulidwa palimodzi?

Mankhwala amaloledwa kuyikidwa nthawi yomweyo, koma nthawi yomweyo syringe yofunikira imafunikira wothandizira aliyense. Wotsatira jekeseni amachitika kumalo ena. Jakisoni amaperekedwa ngati vutolo likufunika. Nthawi zina, muyenera kuganizira za monotherapy wokhala ndi nthawi yayitali ndi Milgamm momwe mumakhala mapiritsi.

Kodi ndizotheka kukhetsa Movalis ndi Milgamm nthawi imodzi?

Masiku ano, madokotala akuwonjezeranso mankhwala othandizira omwe awonetsedwa kuti ndi othandiza pochiza matenda ena. Chimodzi mwazomwezi ndi Mivalis ndi Milgamm, omwe nthawi zambiri amaloledwa kuti agwiritse ntchito. Loyamba ndi mankhwala osagwiritsa ntchito mankhwala osokoneza bongo, omwe nthawi zambiri amagwiritsidwa ntchito pochiza matenda ndi kupweteka kwamisempha. Chachiwiri ndi utatu wopangidwa ndi mavitamini B12, B6 ndi B1. Ndiosavuta kugwiritsa ntchito, chifukwa imakupatsani mwayi kuti musataye nthawi ndikuchita jakisoni angapo nthawi imodzi.

Kodi ndizotheka kukhetsa Movalis ndi Milgamm nthawi imodzi? Ichi ndi chizolowezi chilichonse, chomwe nthawi zambiri chimagwiritsidwa ntchito ndi madotolo. Makamaka, kuphatikiza koteroko kumatha kulimbikitsidwa kwa anthu omwe ali ndi matenda a herver intervertebral hernia. Chifukwa chake, kutupa ndi kupweteka kumachotsedwa, ndipo mavitamini angapo adzakulitsa chitetezo chokwanira ndikuthandizira kuti matendawa apangidwe. Monga lamulo, njira yothandizira mankhwalawa imalembedwa mkati mwa masiku 5-10. Nthawi zina dokotala amatha kulangizira zolemba zamankhwala zopangidwa ndi Milnamm kapena Diulofenac. Simuyenera kuopa kugwiritsa ntchito mankhwala omwewo, koma ndi dzina lina, chifukwa izi zitha kuchitika chifukwa kupezeka kwa ziwengo m'magawo ena a mankhwalawo.

Momwe mungapangire mavitamini B

Mavitamini amafunika kugwiritsa ntchito moyenera. Momwe mungapangire mavitamini a Gulu B molondola - tikambirana izi.

Mutha kukambilana ndi mtundu wanthawi zonse wokhala ndi Vitamini. Masiku 10 oyamba: B12 tsiku lililonse, tsiku lililonse amasinthana B1 ndi B6. Masiku 10 achiwiri, m'malo B12 ndi B2 - B2 tsiku lililonse, tsiku lililonse limasinthanso B1 ndi B6.

Maphunzirowa ndi masiku 20. Apanso, tikuwonetsetsa kuti dongosololi likuyenera kukambirana ndi adokotala pakukambirana kumaso. Opanga mankhwalawa amapereka odwala B mavitamini ndipo m'makina apadera, omwe amaphatikizidwa kale mu ampoule amodzi (kuphatikiza kwa mankhwalawa sikuphatikiza madzi osungunuka B1, koma mafuta osungunuka a benfotiamine). Ndipo "zida" zotere ndizothandiza, kuphatikiza kugwiritsa ntchito - jekeseni imodzi masiku atatu onse. Kuthekera ndi kulangika kwa kugwiritsa ntchito mankhwalawa monga Milgamma, Ambene, Beplex, mutha kukambilananso ndi dokotala.

Pa kapangidwe ka mavitamini a B ndi ascorbic acid. Monga momwe tikudziwira, muyenera "kubaya" kuwombera kwa Vitamini C wokhala ndi vitamini B12 "munthawi" - popeza munthawi yomweyo makonzedwe a vitamini C ndi B12, zochita za cytocobalamin (B12) sizingatheke - tikulimbikitsidwa kupangira jakisoni mankhwalawa kwa maola osachepera awiri. Ponena za kuphatikiza munthawi yomweyo vitamini C ndi vitamini B1 kapena B6, sitikudziwa machenjezo aliwonse okhudza kuthekera kwa mawu oyamba. Chokhacho ndikuti ndikufuna kutsimikizira kuti mumaganiza kuti ndibwino kusaziphatikiza mu syringe imodzi, koma ndikupanganso majakisoni awiri - mbali zingapo za matako. (Ndipo, zoona, simungasakanize B1 ndi B6 mu syringe yomweyo - koma tikamasulira uthenga wanu molondola, makonzedwe a mankhwalawa amakukonzekerani patsiku).

B1 - thiamine. Lowani mozama mu / m kapena pang'onopang'ono mu / mu 1 nthawi / tsiku. Mlingo umodzi wa akulu ndi 25-50 mg. Njira ya mankhwalawa imasiyanasiyana masiku 10 mpaka 30. Yang'anirani zovuta za vitamini B1: matupi awo sagwirizana ndi zotheka - urticaria, kuyabwa pakhungu, edema ya Quincke, kawirikawiri - anaphylactic mantha, thukuta, tachycardia ndizothekanso.
Jekeseni wama subcutaneous (ndipo nthawi zina intramuscular) a thiamine amakhala opweteka chifukwa cha pH yotsika yankho.

B2 - riboflavin. Mlingo umodzi wa munthu wamkulu ndi 5-10 mg katatu kapena tsiku kwa miyezi 1-1.5. Zotsatira zoyipa: impso.

B6 - pyridoxine. Zochizira kuchepa kwa vitamini B6 mu akulu IM, subcutaneous kapena iv tsiku lililonse 50-150 mg. Kutalika kwa mankhwalawa kumatsimikiziridwa ndi mtundu ndi kuuma kwa matendawa.
Popewa kuchepa kwa vitamini B6, mlingo wa 40 mg / tsiku umagwiritsidwa ntchito. Malangizo apadera: Gwiritsani ntchito mosamala zilonda zam'mimba ndi duodenum, matenda a mtima a ischemic. Ndi kuwonongeka kwambiri kwa chiwindi, pyridoxine mu Mlingo wambiri ungayambitse kuwonongeka kwa ntchito yake.

B12 - cyanocobolamine. Ndi kuchepa kwa vitamini B12, kwa prophylaxis, IM kapena IV, 1 mg kamodzi pamwezi, chithandizo, IM kapena IV, 1 mg tsiku lililonse kwa masabata 1-2, mlingo wokonzanso wa 1-2 mg / m kapena iv - kuyambira nthawi imodzi pa sabata mpaka nthawi 1 pamwezi. Kuchokera kumbali ya chapakati mantha dongosolo: kawirikawiri - mkhalidwe wokondwerera. Kuchokera pamtima wamtima: kawirikawiri - kupweteka mumtima, tachycardia. Thupi lawo siligwirizana: kawirikawiri - urticaria. Contraindication - Supomboembolism, erythremia, erythrocytosis.

Kwa mavitamini onse a B, thupi limatha kusintha. Mavitamini onse a B sangasakanizidwe mu syringe yomweyo, chifukwa ma cobalt ion omwe amapezeka mu molekyulu ya cyanocobalamin amachititsa kuti mavitamini ena awonongeke. Tiyeneranso kukumbukira kuti vitamini B12 imatha kukulitsa zotsatira zoyipa zomwe zimayambitsidwa ndi vitamini B1.
Kukonzekera konse kwa mavitamini a B kuyenera kuperekedwa mwachindunji, pang'onopang'ono (kuwongolera bwino ndikuwongolera koyenera, syringe yokhala ndi zigawo zitatu iyenera kugwiritsidwa ntchito).

Ampoules a 1 ml mu paketi ya 10 ma PC. 3% ndi 6% yankho ndi thiamine chloride: 1 ml ampoules m'matumba a 50 ma PC. 2,5% ndi 5% yankho.

1 ampoule ndi 1 ml ya jakisoni yomwe ili ndi pyridoxine hydrochloride 0.01, (0,2525) kapena 0,05 g, mu bokosi la 10 ma PC.

Njira yothetsera jakisoni 0,05%, 0,02%.

1 ml yankho lili ndi 500 kapena 200 μg ya cyanocobalamin, 1 ml pa ampoule, 10 ampoules mu katoni.

1% yankho la jakisoni mumapiritsi a 1 ml, ma ampoules 10 pa paketi iliyonse.

C - ascorbic acid:

Kupezeka muma ampoules. 1 ml yankho lili ndi 20 kapena 100 mg yogwira ntchito. Kuchuluka kwa 1 ampoule ndi 1-2 ml. Phindu la kayendetsedwe ka mankhwala ndizabwino. Njira yothetsera vutoli imatha kukhala ndi 5 kapena 10%.

Ikumana ndi zomwe okonda moyo wathanzi:

"Ndimadziboola vitamini B1, B6, B12 ndi vitamini C nyengo iliyonse yamasika komanso nthawi yophukira.

Ndimatenga vitamini iliyonse ndikunyamula + 40 ma PC. 2 magalamu a syringes ndi zina.

* Vitamini B1- patsiku losamvetseka m'mawa
* Vitamini C - masana a tsiku losamvetseka. Vitamini B1 wophatikizidwa ndi Vitamini C
** Vitamini B6, B12 - ngakhale masiku (m'manja osiyanasiyana, miyendo, matako, chilichonse chomwe chingatheke) Ndibera mavitamini a B m'mawa "

"Ndinkalakwitsa mavitamini B mwina maulendo 4 m'moyo wanga. Tsopano thupi langa lathamangira. Ndibowanso. Tsopano ndionjezanso B2 ndi C.
(B2 imakweza B6, B1 siyigwirizana ndi B6, B siyigwirizana ndi C)

Masiku 10 m'mawa B6 ndi B1 tsiku lililonse lililonse, B12 tsiku lililonse madzulo,
Masiku 10 m'mawa B6 + B2 ndi B1 tsiku lililonse lililonse,
Masiku 10 kuchokera
Zambiri: masiku 30 kubayidwa 50 - 10x (B1 + B2 + B6 + B12 + C)

Madzulo abwino, ndinazindikira za matenda asanafike pathupi, mutu wanga sunandivutitse, ndipo nditabereka ndidadwala kwambiri usiku. Akatswiri a mitsempha adayikiramo midcalm 1cube ndi Mexicoidol 5ml. Kodi amatha kuyendetsedwa palimodzi? E mu dzenje limodzi popanda kutulutsira singano? (midocalm muli novocaine), kungokhala Mexicoidol ndi jakisoni owawa kwambiri, ngakhale 2ml kenako 5ml

Shiyanova Alena, Akhtubinsk

Ayi, simungathe! Mwambiri, ndikuganiza kuti 5 ml ndi chopondera cha minofu, nthawi zambiri mankhwalawa amaperekedwa kudzera mu mtsempha.

Yankho: 05.17.2015 Pokrovskaya Julia Alexandrovna Moscow 0.0 Matenda a mitsempha, Mutu nthambi. Wothandizira

Osasakanikirana ndi syringe yomweyo. Ngati simulekerera jakisoni, mutha kusankha ndi dokotala za kuchuluka kwa 2 ml kapena kusinthana ndi piritsi. Pafupifupi, Mexicoidol sakuphatikizidwa muyezo wochizira mutu. Mwina matenda anu amafunika kumveketsa, komanso kukonza chithandizo. Pofuna kumveketsa bwino mutu wamutu, lembani mafunso okhudza mutu (opezeka patsamba langa la http: //upokrov.wix.com/svoynevrolog mu gawo la "zizindikiro zanu") ndikulumikizana naye kuti mumupangire.

KUFUNSA FUNSO 05/17/2015 Shiyanova Alena, Akhtubinsk

Ndimalingalira kuti ndisasakanikirane mu syringe imodzi, koma kubayirira mu dzenje limodzi, mwachitsanzo, adabaya mycodalm ndipo, popanda kutulutsa singano, jekeseni mexidol. Kapena kodi mexidol akhoza kuchepetsedwa ndi novocaine?

KUFUNSA FUNSO 05/17/2015 Shiyanova Alena, Akhtubinsk

Ndipo ngati mumagawa ma 5ml ndi ma syringe awiri ndikuwonjezera ma novocaine kuti muchepetse ululu, palibe njira yopita kuchipatala ndi kukabaya mu mtsempha, ndipo ngati mukufuna kuchepetsa mexidol ndi njira ya saline kapena china chake kukhala mtsempha?

Yankho: 05.17.2015 Kantuev Oleg Ivanovich Omsk 0.0 Psychiatrist, psychotherapist, narcologist.

M'malo mwanu, ndibwino kuperekera mankhwalawo osagwiritsa ntchito intramuscularly, koma mwamitsempha - kwa mphindi 5-7, pamiyeso ya 40-60 akutsikira mphindi.

Masana abwino Ndimalola Cipralex chaka chachiwiri, pamakhala mantha komanso kusowa tulo. Tsopano ndi nyengo yophukira ndipo mutu wanga udawawa kwambiri, panali zotere zaka 4 zapitazo, Mexicoidol adathandiza. Funso Kodi ndingathe kuyika ndi cipralex? Zikomo

Ndidakhala kuti ndidapangidwa dzulo lamankhwala dzulo. Anandiika jakisoni: combilipen ndi mexidol. Kodi mankhwalawa amaphatikizidwa? Kodi nditha kuwabera nthawi yomweyo?

Moni Kunali kuwawa kwambiri kumbuyo, sanathe kusuntha mpaka atayiyatsa kandulo Voltaren. Dokotala adamulembera: Voltaren solution v / m 3.0 No. 10, Milgamm solution 2.0 No. 5, mapiritsi a Nize x 2 r / tsiku kwa masiku 10. Funso: kodi ndizotheka kulowa m'malo mwa Milgamm ndi Combibipen, ndikufunsanso funso lina: kodi ndibwino kugwiritsa ntchito mankhwala Midokalm m'malo mwa voltaren, kodi ali ndi zovuta ngati voltaren? Zikomo

Zabwino ndi kusiyana kwake ndi chiyani

Diclofenac imawerengedwa kuti ndi imodzi mwazabwino kwambiri zosagwiritsa ntchito mankhwala a anti-yotupa a mtundu wake. Amathandizanso kupweteka kwambiri, kupatsirana odana ndi kutupa, antipyretic. Kubaya Diclofenac ndikulimbikitsidwa pamavuto otsatirawa:

• kuphatikiza kwa kutupa etiology, osteochondrosis,
• rheumatism
• ma sprains ndi minofu
• neuritis, neuralgia.

Mu maunyolo a pharmacy, mankhwalawa amagulitsidwa m'njira zamankhwala a jakisoni, suppositories, komanso mawonekedwe a gel kapena mafuta.

Milgamma ndi kuphatikiza kosakaniza mavitamini a B. Mankhwalawa amapatsidwa mankhwala ochizira matenda am'mitsempha yama minyewa komanso kuletsa kwa metamorphoses yonyansa. Mankhwalawa amaphatikizanso lidocaine, womwe umapereka jekeseni wopanda ululu. Chifukwa cha kuphatikiza uku, Milgamma ili ndi zinthu zabwino zotsatirazi:

• kutsekereza kufalikira kwa zopweteka,
• kukonza kwa hematopoietic dongosolo,
• zabwino pa mantha dongosolo.

Fomu yotulutsira yamalonda ndi yofanana: mayankho, mapiritsi ndi zowonjezera. Kusiyana pakati pa Diclofenac ndi Milgamm kuli m'ndandanda wazotsutsana: woyamba mankhwala ali ndi zochulukirapo. Milgamm ilibe zotsutsana, koma imatha kupunthwa ngati atchulidwa ndi dokotala woyenera.

Kuphatikiza

Kugwiritsa ntchito mitundu iwiri yonseyi kumathandizira kupweteka kwakanthawi. Mankhwala othana ndi kutupa Diclofenac amachotsa msanga njira zotupa ndikuchepetsa ululu wambiri, Milgamm imakhutitsa minofu ndi mavitamini, ndikuthandizira kupanga magazi bwino.

Awiri mwa mankhwalawa amagwiritsidwa ntchito ngati mankhwala kwa nthawi yayitali. Ichi ndi chifukwa cha kuphatikiza kwakukulu kwa chithandizo: kusintha kumawonedwa kale patsiku loyamba logwiritsira ntchito. Ndizotheka kupha Diclofenac ndi Milgamm nthawi yomweyo, koma chifukwa chazovuta zophatikiza mankhwala, kuikidwa kwa mankhwalawa kumatheka kokha ndi dokotala.

Kodi ndizotheka kutenga Diclofenac ndi Milgamm nthawi imodzi?

Mlingo umodzi wamankhwala umatha kupititsa patsogolo zambiri komanso umapereka mofulumira analgesic. Kuphatikiza apo, multivitamin imathandizira zotsatira za NSAIDs, zomwe zimapangitsa kuti achepetse kuchuluka kwa jakisoni omwe si a steroidal.

Ndizofunikira kudziwa kuti kuyamwa kuphatikiza mankhwala ndikofunikira mu masiku 7 okhawo. Ndi chithandizo chachitali, mphamvu ya mankhwalawa imachepetsedwa.

Zizindikiro zogwiritsidwa ntchito munthawi yomweyo

Akatswiri amodzi omwe amagwiritsa ntchito mankhwalawa pozindikira matenda ngati awa:

• sciatica, zovuta za dystrophic mu cartilage wa articular, rheumatism,
• zotupa za mitsempha mathero,
• minofu minofu kuvulala.

Mankhwala othandizira amaphatikizidwanso chifukwa cha zovuta zamatumbo zomwe zimayamba chifukwa cha kutupa kwa msana.

Mu ululu wopweteka kwambiri, mankhwalawa amagwiritsidwa ntchito ngati ma jakisoni, koma atathetsa zovuta, akulimbikitsidwa kusinthana ndi Milgamma monotherapy monga ma dragees.

Kuphatikizika ndi mphamvu ya mankhwala

Dongosolo la chithandizo liyenera kutsimikiziridwa ndi adokotala, koma anthu ambiri amachita "kuwombera" pawokha, kutengera momwe awonera. Zikatero, ntchito yothandizira anti-yotupa (Diclofenac) ndi yovuta kuphatikiza ndi mavitamini a B (Milgamma) imagwiritsidwa ntchito.

Nthawi yomweyo, ndikwabwino kudziwa ngati Diclofenac ndi Milgamm atha kubayidwanso nthawi yomweyo, ndipo ndi phindu lotani kapena zowonongeka zomwe zingachitike kuchokera ku izi.

Zitha kuphatikizika liti ndipo sizingatheke

Kugwiritsa ntchito palimodzi ndikotheka, palibe zotsutsana pazomwezi. Pali nthawi zina momwe kumafunikira kuphatikiza mankhwala. Mwachitsanzo, ngati kuli kotheka, siyani kupweteka kwambiri msanga.

Mutha kuwaza Diclofenac ndi Milgamm pamodzi tsiku lomwelo. Komabe, mankhwalawa amathandizanso masiku 7 okha. Pambuyo pa nthawi imeneyi, kusiyana pakati pa kuphatikizana ndi kugwiritsa ntchito mankhwala kumatha.Pankhaniyi, mutayimitsa kuwonekera kwadzidzidzi kwa matendawa ndikuwongolera mkhalidwe wa wodwalayo, ndikwabwino kuti musankhe mankhwalawa kwa nthawi yayitali ndi Milgamma ndikusintha Diclofenac ndi mankhwala osagwiritsidwa ntchito ndi mphamvu, chifukwa, kuwonjezera pa njira yovomerezeka yothandizirana, idanenanso zotsatira zoyipa kuchokera m'matumbo am'mimba.

Momwe mungaphatikizire ntchito

Ndikofunikira kuti jakisoni aliyense akhale syringe yatsopano komanso m'malo osiyanasiyana, chifukwa Milgamma imakhala yovuta kwambiri kuyamwa chifukwa cha mawonekedwe ake. Chiwembuchi, momwe jekeseni wa Diclofenac ndi Milgamm ayenera kutsimikiziridwa ndi dokotala.

Mankhwalawa a osteochondrosis, 1 diclofenac ampoule imayikidwa 2 pa tsiku ndi 1 jekeseni wa Milgamm m'mawa, chifukwa Mavitamini B amalandira bwino panthawiyi.

Kugwiritsa ntchito limodzi kwa mankhwala aliwonse kuyenera kuyambitsidwa mosamala, chifukwa kuphatikiza kwa mitundu iwiri ya mankhwala osokoneza bongo kungayambitse zotsatira zoyipa, mpaka kufika pakuwopsezedwa kwa anaphylactic, komwe sikukadadziwonetsa kokha mukamamwa padera. Kusintha kotereku ndikumunthu payekha ndipo zimatengera mawonekedwe a thupi, koma nthawi zambiri, kuphatikiza kwa Diclofenac limodzi ndi Milgamm sikunawululire.

Machitidwe a Milgamm

Mankhwalawa ndi m'gulu la zinthu zokhala ndi mipanda yolimba kwambiri. Kuphatikizikako kumaphatikiza magawo angapo omwe amagwira ntchito mu pyridoxine, thiamine, cyanocobalamin, lidocaine. Amapezeka mu yankho ndi mapiritsi.

Mankhwala omwe amapezeka ali ndi mavitamini a neurotropic, omwe amaphatikizidwa ndi gulu B.

Amagwiritsidwa ntchito pa matenda a mitsempha ndi minyewa ya mitsempha. Nthawi zambiri zotchulidwa odwala ndi kuwonongeka kwa minofu ndi mafupa dongosolo. Amathetsa ululu wowonda, amalimbikitsa kutseguka kwa ma cellcirculation njira, amateteza ntchito ya hematopoietic ndi mphamvu yogwira ntchito yamanjenje.

Momwe mungasungire Diclofenac ndi Milgamm nthawi imodzi?

Chithandizo cha Diclofenac sichitha masiku osapitilira 5. Kuti muchepetse kupweteka kwambiri, ndikofunikira jakisoni 25-50 mg. Mankhwala mu mawonekedwe a jekeseni akuwonetsedwa mu mnofu makonzedwe. Kuchulukana kwa ntchito - kuyambira 2 mpaka katatu patsiku.

Diclofenac imalowetsedwa kudzera m'mitsempha. Mlingo wapamwamba ndi 150 mg / tsiku. Asanayambidwe mankhwalawa, zomwe zimaphatikizidwe zimaphatikizidwa ndi yankho la Sodium chloride.

Ndi ululu waukulu, jakisoni wa intramuscular wa Milgamma amawonjezeredwa. Mlingo wake ndi 2 ml. Chithandizo chimatenga masiku 5 mpaka 10. M'tsogolomu, wodwalayo amapatsidwa mapiritsi.