Espa-Lipon imawonjezera kukana kwa chiwindi pazotsatira zoyipa

600 mg ya alpha lipoic (thioctic) acid pachilichonse. Zowonjezera:

• sodium carboxymethyl wowuma,
• cellulose ufa,
• MCC
• povidone
• monohydrogenated lactose,
• silika
• magnesium wakuba,
• Utoto wa quinoline wachikasu,
• E171,
• macrogol-6000,
• hypromellose.

Phukusi la mankhwala 30 mapiritsi.

Mu paketi ya miyala 30.

Zotsatira za pharmacological

MP ali ndi hypoglycemic, detoxization, hepatoprotective ndi hypocholesterolemic kwenikweni, kutenga nawo gawo pamalamulo a metabolism. Thioctic acid ndi antioxidant wogwira amene amathandizira kugaya kwa cholesterol komanso kusintha ntchito ya chiwindi.

Gawo lothandizirali likufanana ndi mavitamini B. Mankhwala amalimbikitsa glycogen m'magazi a chiwindi, amachepetsa kuchuluka kwa plasma kwa glucose ndikuwongolera kuzindikira kwa insulin ndi maselo.

Kuphatikiza apo, MP imachotsa mankhwala oopsa m'thupi, kuteteza maselo a chiwindi ku zotsatira zawo, kuteteza thupi ku kuledzera ndi mchere wamchere.

Mankhwala amalimbikitsa kuchuluka kwa glycogen mu chiwindi.

Ntchito ya neuroprotective ya mankhwala imakhazikitsidwa ndi kuponderezedwa kwa lipid oxidation mu kapangidwe ka mafupa am'mitsempha ndi kukondoweza kwa kayendedwe ka mitsempha.

Zizindikiro zogwiritsidwa ntchito

• zakumwa zoledzeretsa,
• matenda ashuga polyneuropathy,
• hepatic pathologies (kuphatikizapo matenda a chiwindi ndi hepatic cirrhosis,
• kuledzera pachimake / koopsa (poyizoni ndi bowa, mchere wamchere, ndi zina),
• kuchira pambuyo pakuchita opaleshoni (pakuchita opareshoni).

Kuphatikiza apo, MP akuwonetsa kukonzekera bwino kwambiri pantchito ndi kupewa matenda amitsempha yamavuto.

Contraindication

Malangizowa akuwonetsa zoletsa kugwiritsa ntchito hepatoprotector:

• uchidakwa
• GGM (galactose-glucose malabsorption),
• kusowa kwa mkaka,
• zaka za ana
• kusalolera payekha.

Espa-Lipon amaphatikizidwa ndi uchidakwa.

Momwe mungatenge Espa Lipon

Pulogalamuyo imagwiritsa ntchito mankhwala osokoneza bongo wa isotonic sodium chloride musanagwiritse ntchito.

Woopsa polyneuropathy (chidakwa, matenda ashuga) MP amagwiritsidwa ntchito 1 nthawi / tsiku mu mtundu wa IV infusions wa 24 ml ya mankhwala osungunuka mu 250 ml ya sodium chloride solution. Kutalika kwa mankhwalawa ndikuchokera ku milungu iwiri mpaka inayi. Njira yothetsera kulowetsedwa imaperekedwa mkati mwa mphindi 45-55. Mayankho omwe amakhala okonzeka ndi oyenera kugwiritsidwa ntchito mkati mwa maola 5.5-6 mutapanga.

Chithandizo chothandizira chimaphatikizapo kugwiritsa ntchito MP ya piritsi yamapiritsi a 400-600 mg / tsiku. Kutalika kochepa kovomerezeka ndi miyezi itatu. Mapiritsi amayenera kuledzera theka la ola musanadye, kutsukidwa ndi madzi, osafuna kutafuna.

Mapiritsi amayenera kuledzera theka la ola musanadye, kutsukidwa ndi madzi, osafuna kutafuna.

Ngati palibe zisonyezo, ndiye kuti matenda a chiwindi ndi kuledzera amathandizidwa piritsi limodzi la piritsi 1 patsiku.

Kuchita ndi mankhwala ena

Kuphatikiza ndi hypoglycemics, kuwonjezeka kwa ntchito ya hypoglycemic ya MP kumadziwika.

Thioctic acid sigwirizana ndi yankho la Ringer ndi glucose. Izi ndichifukwa choti chinthucho chimapanga zinthu zovuta polumikizana ndi mamolekyulu a shuga.

Chithandizo chogwira ntchito chitha kuchepetsa ntchito yothandizira khansa.

Kuyenderana ndi mowa

Odwala omwe alandila MP uyu amalangizidwa kuti asamwe mowa.

• Oktolipen
• Malipidwe,
• Thiolipone
• Lipoic acid
• Thioctacid 600 t,
• Tiolepta
• Tiogamma.

Mndandanda wa mankhwala Espa-Lipon ndi Berlition.
Analogue ya mankhwala Espa-Lipon ndi Lipoic acid.
Analogue ya mankhwala Espa-Lipon ndi Oktolipen.

Ndemanga za Espa Lipon

Grigory Velkov (wochiritsa), Makhachkala

Chida chothandiza pa matenda a chidakwa komanso matenda ashuga polyneuropathy. Chimodzi mwazabwino zake ndi kupezeka kwa mitundu iwiri ya mankhwalawa, ndiko kuti, mankhwalawa amayamba ndi kuyambitsa iv, ndikupitilira ndi mapiritsi. Izi zikufotokozera kupezeka mosavuta kwa thupi, komanso zimachepetsa mwayi wolimbana ndi zovuta zina. Odwala ena amasokonezedwa ndi mtengo wa mankhwalawa, koma odwala ambiri amakhutira ndi momwe zimakhalira.

Angelina Shilohvostova (wamisala), Lipetsk

Mankhwala nthawi zambiri amagwiritsidwa ntchito ngati gawo la zovuta la mankhwala odwala matenda ashuga. Mankhwala pafupipafupi amathandizira kupewa zovuta zingapo, makamaka kuchokera ku mtima. Mankhwalawa amalembedwa ndi mankhwala ndipo amayenera kulembedwa ndi katswiri. Kuvomerezedwa kosavomerezeka sikovomerezeka, makamaka ndi iv. Ndizothekanso kuti pambuyo pa infusions, mutha kusintha pang'ono ndi pang'ono kugwiritsa ntchito mankhwala piritsi. Mwa zoyipa zomwe zimachitika, chizungulire komanso kupukusa chakudya cham'mimba nthawi zambiri zimawonedwa.

Espa Lipon Alpha Lipoic Acid wa matenda ashuga a shuga

Svetlana Stepenkina, wazaka 37, Ufa

Ndidayamba kumwa mapiritsiwa motsutsana ndi dotolo wamanjenje pomwe mitsempha yanga m'chiwuno changa "imanjenjemera". Kuphatikiza apo, adayesa posachedwa mphamvu ya mankhwalawa pamene anali kulimbana ndi kunenepa kwambiri. Patatha masabata 4 chiyambireni chithandizo, kulemera kunachepa ndi 9 kg, ndipo panalibe zosasangalatsa.

Ndikufuna kuchenjeza aliyense kuti simungagwiritse ntchito mapiritsiwa popanda kufunsa adotolo, kutero zingachitike zovuta zina, chifukwa thioctic acid ilipo mu mankhwalawo.

Yuri Sverdlov, wazaka 43, Kursk

Chiwindi changa chinayamba kupweteka kwambiri. Chifukwa cha kusapeza bwino, nthawi zambiri munthu amayenera kupeza nthawi yocheza kuntchito. Khunyu yotchulidwa makamaka pambuyo podyera kwambiri. Vutoli lidakulitsidwa ndikuti ndidasanza ma bile. Dotolo adandiuza jakisoni ndi mapiritsi awa, omwe ndidayamba kumwa ndikulowetsedwa. Mankhwalawa ali ndi mtengo wokwera, koma ndimawopa thanzi langa ndipo ndidaganiza kuti siloyenera kupulumutsa. Zotsatira zake zidakondweretsa, ngakhale ziphuphu zakumaso zidasowa kumaso, zomwe, malinga ndi adokotala, zikuwonetsa kusintha kwa chiwindi.

Kutulutsa mawonekedwe ndi kapangidwe kake

Amapezeka mu mawonekedwe a mapiritsi ndipo yang'anani kwambiri pakukonzekera kulowetsedwa.

Mapiritsi amagulitsidwa mumapaketi a blister (10, 25 ndi 30 piritsi lililonse) omwe amaikidwa phukusi la makatoni a 1, 3, 4, 6 ndi 10.

Zomwe zimagulitsidwa zimagulitsidwa mu galasi yamagalasi (12 ndi 24 ml ya mankhwalawa), ndikuyikidwa m'mapulasitiki a 5 amp. ndi makhadi a makatoni.

1. Malangizo ogwiritsira ntchito

Nkhaniyi ikuwonetsa zazomwe zikuwonetsa, mtundu wa kumasulidwa, kapangidwe kake, njira yoyendetsera, zotsutsana, zotheka, njira yosungirako, momwe amavomerezera kumwa mankhwalawa ndi zina zambiri. Zambiri izi ziyenera kuphunziridwa mosamala kwambiri kuti zisamachitike ndi mavuto mtsogolo.

Pharmacology

Thioctic acid ndi antioxidant wamphamvu yemwe amapangidwa m'thupi ndi decarboxylation wa alpha-keto acid. Imakhudzanso chimodzimodzi ndi vitamini B pa thupi la munthu. Kuphatikiza apo, mankhwalawa amayang'anira lipid komanso kagayidwe kazakudya.

Mankhwala palokha ali ndi detoxization, lipid-kutsitsa, lipotropic, hepatoprotective, hypocholesterolemic kwenikweni. Kuphatikiza apo, imakonza ma neuroni a trophic.

The bioavailability wa yogwira mankhwala si oposa 30%.

Matenda a ziwalozo amakhala osiyanasiyana mosiyanasiyana ndipo amalankhula za matendawa ngakhale gawo limodzi la hepatic lobules, bile ducts, kapena intrahepatic ngalande likukhudzidwa.

Njira yogwiritsira ntchito

Pali njira zingapo zomwe mungagwiritsire ntchito mankhwalawa:

• mawonekedwe a infusions (kudzera m'mitsempha),
• pakamwa (pakamwa), kamodzi patsiku, theka la ola musanadye kadzutsa, osamwa madzi komanso osatafuna. Izi makamaka zimachitika pamimba yopanda kanthu.

Amapangidwa moyikirapo mtima pokonzekera yankho la infusions ndi mapiritsi. Njira yothetsera kulowetsedwa imakonzedwa kuchokera ku kumata mwa kulowetsamo sodium chloride mu isotonic solution.

Chithandizo chachikulu cha zakumwa zoledzeretsa / matenda ashuga polyneuropathy zimachitika motere: kamodzi patsiku mu mawonekedwe a iv drip infusions wa 24 ml yankho mu 250 ml ya isotonic sodium chloride solution (izi zimafanana ndi 600 mg ya α-lipoic acid).

Kutalika kwakanema kwa masabata awiri kapena anayi. Malangizo a kulowetsedwa amaperekedwa mkati mwa mphindi 50.

Mayankho okonzeka amasungidwa pamalo otetezedwa ndikuwala, ndikugwiritsa ntchito maola 6 kuchokera tsiku lokonzekera.

Kenako amasinthana ndi kukonza kukonza, i.e. imwani mankhwalawa monga mapiritsi (600 mg patsiku). Kutalika kochepa kwa mapiritsi ndi miyezi itatu. Nthawi zina, kugwiritsa ntchito nthawi yayitali kumachitika (nthawi yayitali ya mankhwalawa imatsimikiziridwa ndi adokotala).

Kuphatikizika, mawonekedwe omasulidwa

Mankhwalawa amapita ku malo ogulitsa mankhwala monga:

• Yambitsani kukonzekera yankho. Amapezeka m'mabala opangidwa ndigalasi lakuda. Mbale umodzi uli ndi 12 kapena 24 ml ya mankhwalawa. Ma Ampoules amaikidwa m'mapulasitiki okhala ndi zidutswa za 5, ndi mapaketi - m'makatoni okhala ndi zidutswa za 1 kapena ziwiri.
• Mapiritsi a 600 mg okhala ndi mafilimu. Atadzaza matuza opangidwa ndi zozungulira zojambulazo kapena PVC. Matumba amayikidwa m'makatoni okhala ndi zidutswa 3, 6 kapena 10.

Piritsi lililonse lili ndi 600 mg ya thioctic acid, ndipo monga zowonjezera - silicon dioxide, povidone, sodium carboxymethyl starch, lactose monohydrate, MCC, colloidal silicon dioxide, magnesium stearate.

Ponena za kukhazikika, mumakhala mchere wa ethylenediamine wa α-lipoic acid ndi madzi a jakisoni.

2. Zotsatira zoyipa

Maumboni ochokera kwa odwala amawonetsa kuti Espa-Lipon imalekeredwa bwino ndi thupi. Nthawi zina, mawonekedwe a:

• kusanza, mseru, mutu, kufupika,
• kukwiya, thukuta kwambiri,
• thupi lawo siligwirizana mawonekedwe a urticaria, chikanga, anaphylactic mantha, hemorrhagic zidzolo.

Anthu akuvutika ndi zotumphukira polyneuropathy, kumayambiriro kwa mankhwala amatha kumva ngati "goosebumps" pakhungu. Kutsegula mwachangu kwa kukonzekera kwa Espa-Lipon kungayambitse kuwonongeka, kutsekeka kwa zotupa m'matumbo amkati, khungu, kuthamanga kwa kukhudzidwa kwa intracranial.

Zoyenera kuchita vuto la bongo?

Pankhani ya bongo, mawonekedwe a mawonekedwe monga:

• Kupweteka kwam'mimba komwe kumamvekera kumbuyo
• Zingwe
• Hypoglycemic chikomokere,
• Chizungulire, kupweteka mutu,
• Kusintha, mseru,
• Kukhumudwa, kutaya mtima,
• Mutu, chizungulire, khungu limachita khungu (mpaka kukomoka).

Pankhani ya kukula kwa zinthu izi, chithandizo chamankhwala ndikofunikira. Ngati izi sizikuthandizani, ndiye kuti muyenera kugwiritsa ntchito mankhwala oletsa anticonvulsant.

Nthawi zambiri, chithandizo chimayamba ndi infusions wa iv, kenako ndikusinthana ndi mapiritsi a Espa-Lipon.

Mimba

Pa nthawi yoyembekezera, kugwiritsa ntchito mankhwala a Espa-Lipon ndi osafunika kwambiri. Izi ndichifukwa choti zinthu zomwe zikugwira ntchitoyo zikuwononga thanzi la mwana wosabadwayo, mpaka pakukula kwa zinthu monga: Pakadali pano, palibe deta yodalirika yokhudza mankhwalawa.

• Achisanu mimba
• Kukula kwa zodukiza zazikulu za mwana wosabadwa,
• Zingachitike mwangozi.

Kuphatikiza apo, mtsikanayo nayenso amakhudzidwa. Amatha kupweteka kwambiri m'mimba, mtima, msana, kusanza, nseru, chizungulire, komanso matenda.

Pa yoyamwitsa, mwana samalimbikitsidwanso kumwa mankhwalawa.

Mtengo wapakati ku Ukraine

Nzika zaku Ukraine zitha kugula mankhwalawa pamtengo wa 100 mpaka 600 hryvnia pa paketi iliyonse. Mtengo umadalira mphepete mwa mankhwala ena ake ndi mtundu wake.

Kanema pamutu: Kapangidwe kake ndi chiwindi chake

Mankhwala otsatirawa amatchedwa Espa-Lipon analogues: Lipamide, Berlition, Thioctacid, Oktolipen, Thiogamm.

• Ngati muli ndi zizindikiro za matendawa, muyenera kufunsa dokotala nthawi yomweyo. Mutha kuwona mndandanda wazachipatala cha gastroenterological pa webusayiti yathu ya https://gastrocure.net/kaziyo.html
• Mudzakhala ndi chidwi! Nkhaniyi ikufotokoza zomwe zimapangitsa kuti azitha kukayikira kupezeka kwa matenda a chiwindi koyambirira kwa https://gastrocure.net/bolezni/gepatit.html
• Mukufunanso kudziwa zambiri zamankhwala azitsamba zosiyanasiyana zam'mimba thirakiti https://gastrocure.net/bolezni.html

Ndemanga za kugwiritsa ntchito mankhwalawa ndizosowa, chifukwa chida ichi sichimagwiritsidwa ntchito mwanjira ya monotherapy. Nthawi zambiri pamakhala ndemanga za odwala omwe adagwiritsa ntchito matenda ashuga polyneuropathy.

Anthu amazindikira kuti kumwa mankhwalawo kunathandizira kuchotsa kukhudzika kwa kutentha, kupweteka m'mapazi ndi miyendo, kukokana kwa minofu, "zotupa zam'mimba", kubwezeretsa zomvera. Pali umboni wa kugwiritsa ntchito bwino kwa Espa-Lipon pochiza matenda a atherosermosis (zovuta).

Ndi kuchepa kwamafuta kwa chiwindi, mankhwalawo adathandizira kubisalira kwa bile, amatulutsa phenysena.

Kuphatikiza apo, kusintha kwa odwala kumatsimikiziridwa ndi zoyesayesa zabwino za zizindikiro za ultrasound ndikuwunika.

Mutha kuwerenga ndemanga za odwala pamankhwala awa kumapeto kwa nkhani.

Chifukwa chake, Espa-Lipon ndi hepatoprotector wamba. Chidachi chimagwiritsidwa ntchito pochiza odwala omwe akufunika chiwindi chowonjezera. Mutha kugula m'masitolo ambiri, koma zisanachitike, muyenera kulandira mankhwala a dokotala.

Malangizo ogwiritsira ntchito Espa-Lipon (njira ndi Mlingo)

Kuyika kwa Espa-Lipon kumapangidwira kukonzekera kulowetsedwa pambuyo poyambira kusungunuka mu isotonic sodium chloride solution.

Woopsa mitundu ya zakumwa zoledzeretsa kapena matenda ashuga polyneuropathy, mankhwala zotchulidwa mu mawonekedwe a mtsempha wa kulowetsedwa kulowetsedwa 1 nthawi patsiku (m'mawa pa chopanda kanthu, theka la ola pamaso chakudya).

Achinyamata amafunika kupasuka kwa 12-24 ml ya mankhwalawa 250 ml ya isotonic sodium chloride solution (womwe ndi wofanana ndi kutenga 300-600 mg wa thioctic acid patsiku), kutengera kulemera kwa thupi ndi kuopsa kwa zomwe ali nazo.

Kwa odwala akuluakulu, 24-48 ml ya mankhwalawa imaphatikizidwa ndi 250 ml ya isotonic sodium chloride solution (womwe ndi wofanana ndi kutenga 600-1200 mg wa thioctic acid patsiku) kutengera kulemera kwa thupi ndi kuopsa kwa zomwe ali nazo. Espa-Lipon akulimbikitsidwa kwa masabata 2-4.

Kulowetsedwa kumachitika mkati mwa mphindi 50. Moyo wa alumali wa njira yakonzedweratu suli wopitilira maola 6 (malinga ngati umasungidwa ndi dzuwa lowongolera).

Ndi jakisoni wa mu mnofu, mlingo wa Espa-Lipon utabayidwa m'malo omwewo sayenera kupitirira 50 mg (2 ml).

Chotsatira, muyenera kusinthira kumankhwala akukonzanso ngati mapiritsi. Kutalika kochepa kwa njira yochizira ndi miyezi itatu. Mulingo wovomerezeka wa mankhwalawa ndi 400-600 mg patsiku (mapiritsi a 2-3. 200 mg kapena piritsi 1. 600 mg). Ngati ndi kotheka, kugwiritsa ntchito mankhwalawa kwakadali kotheka (mwakufuna kwa dokotala).

Mapiritsi amayenera kuledzera theka la ola musanadye, yonse komanso ndi madzi pang'ono.

Zotsatira zoyipa

Mukamamwa pakamwa, zotsatira zotsatirazi nthawi zina zimawonedwa: kupweteka kwam'mimba, kusanza, kusanza, kutentha mtima, kutsegula m'mimba, hypoglycemia.

Ndi mtsempha wamitsempha, nthawi zina pamakhala zotupa pakhungu ndi mucous nembanemba, diplopia, thrombophlebitis, kupsinjika, hemorrhagic rashes (purpura), thrombocytopathy. Ndi makonzedwe osavuta a mankhwalawa, kupuma movutikira, kuchuluka kwazovuta zamkati (mawonekedwe akumawoneka m'mutu) ndizotheka.

Malangizo apadera

Pa mankhwala ndi mankhwalawa, m`pofunika kukana kumwa mowa.

Odwala omwe ali ndi matenda ashuga, makamaka kumayambiriro kwa zamankhwala, amafunika kuwunika pafupipafupi kuchuluka kwa shuga m'magazi. Nthawi zina, kuchepetsa mankhwala a hypoglycemic wothandizira amafunikira.

Zowonjezera kuti mukhale ndi chidwi. Espa-Lipon ndiwopatsa chidwi, choncho tikulimbikitsidwa kuti mutenge ma ampoules m'bokosi musanayambe kugwiritsa ntchito.

Zowonjezera za mapiritsi. Mankhwalawa sasokoneza kuthekera kwa kugwira ntchito ndi ma kayendedwe ovuta komanso magalimoto oyendetsa.

Kuyanjana kwa mankhwala osokoneza bongo

Kulimbikitsa mphamvu ya hypoglycemic ya Espa-Lipon kumadziwika mukamamwa mankhwala a insulin kapena pakamwa a hypoglycemic.

Kuchepetsa mphamvu kwa Cisplatin akaperekedwa ndi thioctic acid.

Ethanol amachepetsa mphamvu ya mankhwalawa.

Imathandizira odana ndi yotupa zotsatira za corticosteroids.

Amamanga zitsulo, kotero kukonzekera kwachitsulo sikungafotokozeke nthawi imodzi.

Mtengo mumafakisi

Mtengo wa Espa-Lipon phukusi limodzi umayamba kuchokera ku ma ruble 697.

Malongosoledwe patsamba lino ndi mtundu wosavuta wa mtundu wazovomerezeka zamankhwala. Chidziwitsocho chimaperekedwa kuti chizidziwitso chokha komanso sikuti chitsogozo chodzidzipangira nokha. Musanagwiritse ntchito mankhwalawa, muyenera kufunsa katswiri kuti mudziwe malangizo omwe amavomerezedwa ndi wopanga.