Actovegin (jakisoni mapiritsi) - malangizo, mtengo, analogi ndi ndemanga pa pulogalamuyi

Actovegin amagwiritsidwa ntchito kukonza njira zama metabolic mu tishu chifukwa chakuyenda bwino kwa magazi. Kuphatikiza apo, Actovegin ndi antihypoxant yogwira ndi antioxidant.

Mankhwala apeza chidaliro, monga chida chodalirika, pakati pa madokotala ndi odwala. Imalekeredwa bwino ndi onse akulu ndi ana. Ngakhale mtengo wotsika mtengo wa mankhwalawo si chopinga. Mwachitsanzo, mtengo wamba wapaketi ya mapiritsi 50 ndi ma ruble 1,500. Mtengo wamtundu wotere umachitika chifukwa cha zovuta zonse zaukadaulo wopangira mankhwalawo, komanso chifukwa chakuti amapangidwa ndi wopanga kunja - kampani yopanga mankhwala ku Austria. Ndipo pomwe mankhwalawo akufuna, zomwe zikutanthauza kuti Actovegin ndi chida chothandiza.

Kodi chimathandiza ndi chiyani? Cholinga chachikulu cha mankhwalawa ndikuchiza matenda omwe amayambitsidwa ndi kufalikira kwa magazi. Zodzola mafuta zimagwiritsidwa ntchito kwambiri pofuna kuchiritsa zilonda, mapapu, komanso zipsinjo. Komanso, mankhwalawa amagwiritsidwa ntchito pochiza matenda omwe amayambitsidwa ndi zovuta zamagazi.

Gawo lalikulu la mankhwalawa ndi hemoderivat (hemodialysate). Mulinso zovuta za ma nucleotides, amino acid, glycoprotein ndi zinthu zina zochepa zama molekyulu. Izi zimapezeka ndi hemodialysis wamagazi amkaka amkaka. Hemoderivative ndi yopanda mapuloteni enieni, omwe amachepetsa kwambiri kuyambitsa kwake.

Pa kuchuluka kwachilengedwe, mphamvu ya mankhwalawa imafotokozedwa ndi kukondoweza kwa ma cellular oxygen metabolism, kusintha kwa kayendedwe ka glucose, kuwonjezeka kwa ndende ya ma nucleotide ndi amino acid omwe amaphatikizidwa ndi metabolism yamphamvu m'maselo, komanso kukhazikika kwa nembanemba yamaselo. Zochita za mankhwalawa zimayamba theka la ola pambuyo pa utsogoleri ndikufika pazowonjezera pambuyo pa maola 2-6.

Popeza mankhwalawa amapangidwa kuchokera ku zinthu zachilengedwe zachilengedwe, mpaka pano sanathe kutsatira ma pharmacokinetics awo. Titha kudziwa kuti kuphatikizika kwa mankhwalawa kwa mankhwalawa sikuchepa chifukwa cha kuwonongeka kwa impso ndi chiwindi mu ukalamba - ndiye kuti, pakachitika zinthu zofananazi.

Zizindikiro zogwiritsidwa ntchito

Mapale ndi mayankho:

  • Zosokoneza ubongo
  • Matenda a shuga a polyneuropathy
  • Zilonda zam'mimba
  • Angiopathy
  • Encephalopathy
  • Kuvulala kumutu
  • Mavuto Okhudzana ndi Matenda a shuga

Mafuta, kirimu ndi gel:

  • Kutupa njira khungu, mucous nembanemba ndi maso
  • Mabala, abrasions
  • Zilonda
  • Kumanganso minofu ikatha
  • Chithandizo ndi kupewa zilonda zipsinjo
  • Chithandizo cha kuwonongeka kwa ma radiation pakhungu

Kodi Actovegin angagwiritsidwe ntchito panthawi yomwe muli ndi pakati? Pakadali pano, palibe chidziwitso chazomwe zimayambitsa mankhwalawa ku thanzi la mayi ndi mwana. Komabe, palibe maphunziro akulu omwe adachitidwa pankhaniyi. Chifukwa chake, mankhwalawa angagwiritsidwe ntchito ngati ali ndi pakati, koma pokhapokha ngati adokotala adayang'aniridwa ndi iye, ndipo ngati chiwopsezo ku thanzi la mayi chikupita patsogolo kuvulaza komwe kungavulaze mwana wake wosabadwa.

Actovegin jakisoni wa ana

Mankhwalawa ana, jakisoni samalimbikitsidwa chifukwa cha chiwopsezo chachikulu cha matupi awo sagwirizana. Ngati pakufunika kugwiritsa ntchito Actovegin pochiza ana, ndikofunikira kugwiritsa ntchito mitundu ina ya mlingo. Komabe, nthawi zina, dokotalayo amatha kupereka ma jakisoni a Actovegin kwa mwana. Maziko a kukhazikitsidwa kwa jakisoni akhoza kukhala kulavulira kapena kusanza.

Zotsatira zoyipa ndi contraindication

Mankhwalawa amapangidwa kuchokera ku zosakaniza zachilengedwe, kotero mwayi woti pakhale zovuta zina ndizochepa kwambiri. Komabe, nthawi zina pali:

  • zotupa
  • zilonda pa jakisoni malo
  • Hyperemia pakhungu
  • hyperthermia
  • urticaria
  • kutupa
  • malungo
  • anaphylactic mantha
  • mutu
  • chizungulire
  • kufooka
  • nseru
  • kusanza
  • kutsegula m'mimba
  • kupweteka m'mimba
  • tachycardia
  • matenda oopsa kapena hypotension
  • kutuluka thukuta kwambiri
  • kupweteka kwa mtima

Mukamagwiritsa ntchito mafuta odzola komanso mafuta othandizira kuti muchiritse mabala, zilonda zambiri zimatha kuwonedwa m'malo omwe mankhwalawo amakhudza khungu. Ululu wotere nthawi zambiri umatha mkati mwa mphindi 15-30 ndipo suwonetsa kusalolera kwa mankhwalawa.

Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa nthawi yomweyo ndi mowa, chifukwa chomaliza chimatha kusokoneza achire.

Pakadali pano, palibe deta pakulimbana kwa Actovegin ndi mankhwala ena. Sikulimbikitsidwa kuwonjezera zinthu zakunja mu njira yothetsera kulowetsedwa.

Actovegin ali ndi zotsutsana zochepa. Izi zikuphatikiza:

  • Oliguria kapena anuria
  • Pulmonary edema
  • Kuvunda kwa mtima
  • Chidwi chambiri

Mlingo wa mitundu ndi kapangidwe kake

Mankhwalawa amapezeka m'mitundu yosiyanasiyana ya mapiritsi - mafuta, mafuta, zonona, gel, njira zothetsera kulowetsedwa ndi jakisoni. Mtengo wa mitundu ya mankhwalawa siofanana. Otsika mtengo kwambiri ndimapiritsi, mafuta ndi mafuta, otsika mtengo kwambiri.

MlingoKuchuluka kwa gawo lalikuluOthandiziraKuchuluka kapena kuchuluka
Kulowetsedwa njira25, 50 mlSodium Chloride, Madzi250 ml
Dextrose kulowetsedwa Solution25, 50 mlSodium Chloride, Madzi, Dextrose250 ml
Njira yothandizira jekeseni80, 200, 400 mgSodium Chloride, MadziAmpoules 2, 5 ndi 10 ml
Mapiritsi200 mgMagnesium stearate stearate, povidone, talc, cellulose, phiri sera, acacia chingamu, hypromellose phthalate, diethyl phthalate, yellow quinoline utoto, macrogol, aluminium varnish, povidone K30, talc, sucrose, dioxide
titaniyamu
Ma PC 50.
Gel 20%20 ml / 100 gSodium carmellose, calcium lactate, propylene glycol, methyl parahydroxybenzoate, propyl parahydroxybenzoate, madziMtengo 20, 30, 50, 100 g
Kirimu 5%5 ml / 100 gMacrogol 400 ndi 4000, mowa wa cetyl, benzalkonium chloride, glyceryl monstearate, madziMtengo 20, 30, 50, 100 g
Mafuta 5%5 ml / 100 gParafini yoyera, cholesterol, mowa wa cetyl, propyl parahydroxybenzoate, methyl parahydroxybenzoate, madziMtengo 20, 30, 50, 100 g

Actovegin, malangizo ogwiritsira ntchito ndi mlingo

Njira yoyenera yotengera Actovegin m'mapiritsi malinga ndi malangizo ndi mapiritsi awiri 2 pa tsiku. Ndi bwino kumwa mankhwala musanadye. Njira ya chithandizo nthawi zambiri imatha milungu iwiri.

Mankhwalawa matenda a shuga a polyneuropathy, othandizira mtsempha wamagulu amagwiritsidwa ntchito. Mlingo ndi 2 g / tsiku, ndipo maphunzirowa ndi milungu itatu. Pambuyo pa izi, mankhwala omwe ali ndi mapiritsi amachitika - 2-3 ma PC. patsiku. Kulandila kumachitika mkati mwa miyezi 4-5.

Malangizo ogwiritsira ntchito, mafuta, gelisi ndi zonona

Mafuta amagwiritsidwa ntchito mabala, zilonda, kuwotcha. Kavalidwe ndi mafuta amayenera kusinthidwa kanayi pa tsiku, ndikuyika ma bedores ndikuwotcha radiation - katatu patsiku.

Gelalo ili ndi mafuta ocheperako kuposa mafuta. Actovegin gel, monga malangizowo amanenera, amagwiritsidwa ntchito pochiritsa mabala, zilonda zam'mimba, zironda zamkati, kupsa, kuphatikizapo radiation. Ndi zoyaka, gel osakaniza Actovegin umayikidwa mu wosanjikiza wowonda, wokhala ndi zilonda - wokhala ndi wosanjikiza, ndikutseka ndi bandeji. Kavalidwe kamasinthidwe kamayenera kusinthidwa kamodzi patsiku, ndi bedores - katatu patsiku.

Kirimuyo amagwiritsidwa ntchito pochiritsa mabala, zilonda zam'mimba, kupewa zipsinjo zochotsa (mutatha kugwiritsa ntchito gel).

Jekeseni imatha kuchitika m'njira ziwiri: kudzera m'mitsempha. Popeza jakisoni ali ndi chiopsezo chowonjezeka cha ziwopsezo, ndikulimbikitsidwa kuti muyambe kuchita mayeso a hypersensitivity.

Ndi ischemic sitiroko ndi angiopathy, 20-50 ml ya Actovegin, yomwe itaphatikizidwa kale mu 200-300 ml ya yankho, imayendetsedwa. Njira ya mankhwala ndi milungu 2-3. Katemera amaperekedwa tsiku lililonse kapena kangapo pa sabata.

Pa matenda a metabolic ndi mtima, ndikofunikira jakisoni 5-25 ml tsiku lililonse kwa masabata awiri. Zitatha izi, njira ya chithandizo iyenera kupitilizidwa ndi mapiritsi.

Zilonda ndi kuwotcha, 10 ml imayendetsedwa kudzera m'mitsempha kapena 5 ml kudzera m'mitsempha. Katemera amafunika kuchitika kamodzi kapena kangapo patsiku. Kuphatikiza apo, mankhwalawa amachitika pogwiritsa ntchito mafuta, gel kapena zonona.

Mlingo wa ana amawerengeredwa potengera kulemera kwawo komanso zaka zawo:

  • 0-3 zaka - 0,4-0,5 ml / kg 1 nthawi patsiku
  • Zaka 3-6 - 0,25-0.4 ml / kg kamodzi patsiku
  • Zaka 6-12 - 5-10 ml patsiku
  • zopitilira zaka 12 - 10-15 ml patsiku

Mitu ya mankhwalawa

Analogue ya mankhwala Actovegin ndi Solcoseryl, yemwenso ilinso ndi magazi enaake. Actovegin amasiyana ndi Solcoseryl chifukwa ilibe zoteteza. Izi, kumbali imodzi, zimawonjezera moyo wa alumali wazinthu, koma zinazo, zimatha kuyambitsa chiwindi. Mtengo wa Solcoseryl ndiwokwera pang'ono.

Mtengo mumafakisi

Zambiri pamitengo yamapiritsi ndi ma ampoules opangira jakisoni a Actovegin ku malo ogulitsa mankhwala ku Moscow ndi Russia zimatengedwa kuchokera ku data ya malo ogulitsa pa intaneti ndipo zingakhale zosiyana pang'ono ndi mtengo wogulitsa mdera lanu.

Mutha kugula mankhwalawa ku pharmacies aku Moscow pamtengo: jekeseni wa Actovegin wa 40 mg / ml 2 ml 5 - kuchokera ma ruble 295 mpaka 347, mtengo wa 40 mg / ml jakisoni wa 5 ml 5 ampoules - kuyambira 530 mpaka 641 rubles (Sotex).

Zoyenera kufalitsa kuchokera ku malo ogulitsa mankhwala:

  • mafuta, kirimu, gel - popanda mankhwala,
  • mapiritsi, jakisoni yankho, kulowetsedwa mu 0,9% sodium kolorayidi ndi njira ya dextrose - mwa mankhwala.

Mndandanda wa analogues ukuperekedwa pansipa.

Chifukwa chiyani Actovegin adalembedwa?

Mankhwala Actovegin zotchulidwa wotsatira:

  • kagayidwe kachakudya ka mtima ndi minyewa ya muubongo (mitundu yovuta komanso yopweteka kwambiri yamisala yodziwika bwino, kuchepa kwa mitsempha, kuvulala kwamisala),
  • zotumphukira zamafupa (zam'mimba ndi zam'mimba) komanso zovuta zawo (angiopathy, trophic zilonda),
  • machiritso a zilonda (zilonda zamumitundu yosiyanasiyana, zovuta zam'matumbo (bedores), njira zochiritsa bala
  • kutentha ndi kutentha kwamoto.
  • kuwonongeka kwa radiation pakhungu, mucous nembanemba, radiation neuropathy.

Malangizo ogwiritsira ntchito Actovegin (jakisoni mapiritsi), Mlingo ndi malamulo

Mapiritsi amatengedwa pakamwa ndi madzi pang'ono, osafuna kutafuna, musanadye.

Mlingo wofanana, mogwirizana ndi malangizo ogwiritsira ntchito mapiritsi a Actovegin, 1 piritsi 2 katatu pa tsiku, pafupipafupi.

Mankhwalawa odwala matenda ashuga polyneuropathy zotchulidwa (akamaliza maphunziro a masabata atatu a jakisoni Actovegin) 3 pa tsiku kwa mapiritsi 2-3 ndi miyezi 4 mpaka 5.

Katemera Actovegin

Kwa mtsempha wa magazi kapena wamitsempha, kutengera kuwopsa kwa matendawa.

Mlingo woyambirira wotsimikiziridwa ndi malangizo ndi 10-20 ml. Kenako 5 ml amamulembera kudzera mu mnofu pang'onopang'ono kapena mu mnofu kamodzi pa tsiku tsiku lililonse kapena kangapo pa sabata.

250 ml ya kulowetsedwa njira jekeseni kudzera muyezo wa 2-3 ml pa mphindi, 1 nthawi patsiku, tsiku lililonse kapena kangapo pa sabata. Mutha kuyikanso 10, 20 kapena 50 ml ya yankho la jakisoni, wothira mu 200-300 ml ya shuga kapena saline.

Njira yodziwika bwino yothandizira mankhwalawa ndi jakisoni 10-20. Sikulimbikitsidwa kuwonjezera mankhwala ena ku kulowetsedwa.

Mlingo kutengera mawonekedwe:

  • Mavuto a kufalikira kwa matenda a m'magazi ndi kagayidwe: kumayambiriro kwa chithandizo, 10-20 ml iv tsiku lililonse kwa masabata awiri, ndiye 5-10 ml iv 3-5 pa sabata kwa masabata osachepera awiri.
  • Ischemic stroke: 20-50 ml mu 200-300 ml of the main solution / / Drip tsiku lililonse kwa sabata 1, ndiye 10-20 ml ya iv pakulanda - masabata awiri.
  • Angiopathy: 20-30 ml ya mankhwalawa mu 200 ml ya yankho lalikulu kudzera mu intraar kapena iv tsiku lililonse, kutalika kwa mankhwalawa kuli pafupifupi masabata anayi.
  • Trophic ndi zilonda zam'mimba zina zoyipa, kuwotcha: 10 ml iv kapena 5 ml IM tsiku lililonse kapena katatu pa sabata kutengera njira yochiritsira (kuwonjezera pamankhwala am'deralo ndi Actovegin mu mitundu yapamwamba).
  • Kupewa komanso kuchiza kwa kuwonongeka kwa ma radiation pakhungu ndi mucous;
  • Kukula kwa cystitis: tsiku lililonse 10 ml ya kusintha kosakanikirana ndi maantibayotiki.

Chidziwitso Chofunikira

Ndi jakisoni wa mu mnofu, Actovegin iyenera kutumikiridwa pang'onopang'ono osaposa 5 ml.

Pokhudzana ndi mwayi wokhala ndi anaphylactic reaction, jekeseni woyeserera amalimbikitsidwa (intramuscularly 2 ml).

Njira yothetsera phukusi lotseguka silikusungidwa.

Ndi jakisoni wambiri, ndikofunikira kuwongolera madzi amagetsi a m'magazi.

Zotsatira zoyipa Actovegin

Malangizo ogwiritsira ntchito amachenjeza za mwayi wokhala ndi zovuta za mankhwala Actovegin:

  • Mawonekedwe a mziwopsezo: nthawi zina, ndikotheka kukhala ndi urticaria, edema, thukuta, malungo, kutentha,
  • Ntchito zam'mimba thirakiti: kusanza, nseru, zizindikiro zam'mimba, kupweteka m'dera la epigastric, kutsekula m'mimba,
  • Mtima dongosolo: tachycardia, kupweteka m'dera la mtima, khungu khungu, kufupika, ochepa matenda oopsa kapena hypotension,
  • Ntchito zamanjenje: kufooka, mutu, chizungulire, kukwiya, kusazindikira, kunjenjemera, paresthesia,
  • Machitidwe a kupumira: kumverera kwa kupsinjika m'chifuwa, kupuma pafupipafupi, kumeza kumeza, zilonda zapakhosi, kumva kukhuta,
  • Musculoskeletal system: kupweteka kumbuyo, kumva kupweteka m'malo ndi mafupa.

Malinga ndi kafukufuku wambiri, jakisoni a Actovegin amaloledwa bwino ndi odwala. Kuchita kwa anaphylactic, mawonetseredwe a ziwonetsero, ndi kugundana kwa anaphylactic sizingaoneke.

Mndandanda wa ma Actovegin analogues

Ngati ndi kotheka, bweretsani mankhwalawa, njira ziwiri ndizotheka - kusankha kwina ndi mankhwala omwe ali ndi mphamvu yomweyo kapena mankhwala omwe ali ndi vuto lofananalo, koma ndi chinthu chinanso chogwira ntchito. Mankhwala osokoneza bongo omwe ali ndi vuto lofananalo amaphatikizidwa ndikugwirizana kwa code ya ATX.

Analogs Actovegin, mndandanda wa mankhwala:

Zofanana muzochita:

  • Cortexin,
  • Vero-Trimetazidine,
  • Cerebrolysin
  • Nthawi-25.

Mukamasankha zofunikira, ndikofunikira kumvetsetsa kuti mtengo, malangizo ogwiritsira ntchito ndi kuwunikira majekeseni ndi mapiritsi a Actovegin sagwira ntchito pa analogues. Musanalowe m'malo, ndikofunikira kulandira kuvomerezedwa ndi adotolo komanso kuti musamwe m'malo mwa mankhwalawo.

Chidziwitso Chapadera cha Opereka Zaumoyo

Zochita

Kuyanjana kwa mankhwala osokoneza bongo sikudziwikabe.

Malangizo apadera

Paresteral makonzedwe a mankhwala ayenera kuchitika pansi wosabala.

Chifukwa cha kuthekera kwa anaphylactic, tikulimbikitsidwa kuchita jekeseni wa mayeso (testers hypitensitivity).

Pankhani yamavuto amagetsi a electrolyte (monga hyperchloremia ndi hypernatremia), izi ziyenera kusinthidwa moyenerera.

Njira yothetsera jakisoni imakhala pang'ono. Kukula kwa utoto kumasiyanasiyana kuchoka pamtundu wina kupita kwina kutengera mawonekedwe a zida zomwe zimagwiritsidwa ntchito, komabe izi sizikukhudzana ndi ntchito ya mankhwala kapena kulolerana kwake.

Osagwiritsa ntchito yankho la opaque kapena yankho lomwe lili ndi tinthu tating'onoting'ono.

Mutatsegula zochuluka, yankho silingathe kusungidwa.

Pakadali pano, palibe deta yakugwiritsira ntchito mankhwalawa Actovegin mu odwala, chifukwa chake kugwiritsa ntchito mankhwalawa sikulimbikitsidwa.

Zizindikiro zogwiritsidwa ntchito

Chifukwa chiyani Actovegin adalembedwa? Zizindikiro zimasiyana malinga ndi mtundu wa mankhwalawo.

Zisonyezero zosankhidwa ndi mapiritsi a Actovegin:

  • kusokonezeka kwa magazi mu ubongo pambuyo pa matenda, kuvulala pakubwezeretsa,
  • kusokonezeka kwa magazi mu zotumphukira mitsempha koyambirira kapena pambuyo jakisoni, kuwononga atherosulinosis, kufafaniza endarteritis (kutupa kwa makoma a mitsempha) ya malekezero akuyenera kulandira
  • kusokonezeka kwa magazi m'mitsempha - mitsempha ya varicose, zilonda zam'mapazi zam'munsi, thrombophlebitis pakachira.
  • shuga mellitus, wophatikizika ndi kuwonongeka kwa mitsempha yamagazi ndi mitsempha (diabetesic angioneuropathy), m'magawo oyambira kapena poyambira.

Zisonyezo za jakisoni Actovegin ndi otsitsira:

  • pachimake matenda, kuvulala,
  • zosokoneza kayendedwe ka magazi m'dera la ubongo ndi khomo lachiberekero,
  • kuchepa kwa nzeru pamsika wamavuto okhudzana ndi zaka kapena zoopsa za pambuyo pake,
  • zovuta zowononga endarteritis, kufafaniza kwa matenda a m'matenda, matenda a Raynaud,
  • woopsa wa venous kuchepa, kubwereza thrombophlebitis, mwendo zilonda,
  • ma bedi ambiri ogona ogona omwe samachiritsa mabala kwa nthawi yayitali,
  • kuvulala kwakukulu
  • wodwala matenda ashuga
  • kuvulala kwa radiation
  • kupatsidwa khungu.

Asankhidwa kunja Actovegin ndi:

  • mabala atsopano, kutentha pang'ono, chisanu,
  • zotupa pakhungu pakumachiritsa,
  • kuwotcha kwakukulu pagawo lachire,
  • zotupa, zotumphukira zilonda,
  • ma radiation ayaka
  • kupatsidwa khungu.

20% Maso amaso a:

  • zilonda zamoto
  • kukokoloka kwa ziphuphu,
  • keratitis yodwala komanso yotupa,
  • kukonza cornea asanaikidwe,
  • ma radiation yamoto wayaka,
  • microtrauma ya ziphuphu zakumaso kwa anthu omwe amagwiritsa ntchito ma lens.

Malangizo ogwiritsira ntchito Actovegin, mlingo

Mothandizidwa, kudzera m'mitsempha (kuphatikizapo mawonekedwe a kulowetsedwa) komanso kudzera m'mitsempha. Pokhudzana ndi kuthekera kwa kukhazikika kwa anaphylactic, tikulimbikitsidwa kuyesa kupezeka kwa hypersensitivity kwa mankhwala asanayambe kulowetsedwa.

Kutengera ndi kuopsa kwa chithunzi chachipatalachi, mlingo woyambirira ndi 10-20 ml / tsiku kudzera m'mitsempha kapena kudzera m'mitsempha, ndiye 5 ml kudzera m'mitsempha kapena 5 ml kudzera m'mitsempha.

Matenda a metabolism ndi mitsempha yaubongo: kumayambiriro kwa mankhwalawa, 10 ml kudzera m'mitsempha tsiku lililonse kwa masabata awiri, ndiye 5-10 ml kudzera m'mitsempha 3-4 pa sabata kwa masabata osachepera awiri.

Ischemic stroke: 20-50 ml mu 200-300 ml ya yankho likulu kumatsitsa tsiku lililonse kwa sabata 1, ndiye 10-20 ml kudzera mu mtsempha - 2 milungu.

Kusokonezeka kwamitsempha yamagazi (ya m'magazi ndi venous) ndi zotsatira zake: 20-30 ml ya mankhwala mu 200 ml ya yankho lalikulu kudzera mu mtsempha wa magazi tsiku ndi tsiku, kutalika kwa mankhwalawa kuli pafupifupi masabata anayi.

Machiritso owawa: 10 ml kudzera m'mitsempha kapena 5 ml kudzera m'mitsempha tsiku lililonse kapena katatu pamlungu, kutengera njira yochiritsira (kuwonjezera pamankhwala apamwamba ndi Actovegin pamafomu oyambira).

Kupewa komanso kuchiza kuvulala kwama radiyo pakhungu ndi minyewa ya pakhungu poyeza poizoniyu: pafupifupi 5 mg mumitsempha tsiku ndi tsiku pang'onopang'ono pakukhudzana ndi radiation.

Kukula kwa cystitis: tsiku lililonse 10 ml ya kusintha kosakanikirana ndi maantibayotiki.

Mapiritsi

Muyenera kumwa mapiritsi musanadye, osafunikira kutafuna, muyenera kumwa ndi madzi ochepa. Nthawi zambiri, kuyikidwa kwa mapiritsi 1-2 katatu patsiku kumayikidwa. Mankhwalawa, monga lamulo, amakhala kwa milungu inayi mpaka isanu ndi umodzi.

Kwa anthu odwala matenda a shuga a polyneuropathy, mankhwalawa amayamba kutumikiridwa mwamphamvu pa 2 g patsiku kwa masabata atatu, mapiritsi atchulidwa - 2-3 ma PC. patsiku kwa miyezi 4-5.

Gel ndi mafuta Actovegin

Gilalyo imagwiritsidwa ntchito kwambiri kuti ayeretse mabala ndi zilonda zam'mimba, komanso chithandizo chotsatira. Ngati khungu lili ndi kuwonongeka kapena kuwonongeka kwa radiation, mankhwalawo amayenera kuyikidwa mu mawonekedwe osalala. Ngati zilonda zilipo, gwiritsani ntchito gel osakaniza ndi dotolo ndikuphimba ndi compress pamwamba, yomwe imadzazidwa ndi mafuta a Actovegin.

Kavalidwe kake kamayenera kusinthidwa kamodzi patsiku, koma ngati zilonda zimayamba kunyowa kwambiri, ndiye kuti izi ziyenera kuchitidwa pafupipafupi. Kwa odwala omwe ali ndi vuto la radiation, galasi limayikidwa mu mawonekedwe a ntchito. Chifukwa cha chithandizo komanso kupewa zilonda zopsinjika, mavalidwe azisinthidwa katatu patsiku.

Mafutawo amawaika pakhungu loonda pakhungu. Amagwiritsidwa ntchito pochiza mabala ndi zilonda zam'mimba kuti azithamangitsa epithelialization (machiritso) pambuyo pa mankhwala a gel kapena zonona. Popewa kupsinjika zilonda, mafuta amayenera kupaka padera loyenera pakhungu. Pofuna kupewa kuwononga khungu pakhungu, mafuta amayenera kugwiritsidwa ntchito pambuyo pothira kapena pakati pamagawo.

Diso lamaso

Dontho limodzi la gel osenda limafinyidwa mwachindunji kuchokera ku chubu kupita ku diso lakumaliralo. Lemberani katatu patsiku. Mutatsegula phukusi, khungu la maso limatha kugwiritsidwa ntchito kwa milungu yopitilira 4.

Zotsatira zoyipa

Nthawi zambiri, mankhwalawa amalekeredwa bwino. Komabe, nthawi zina njira yovuta imatha kuchitika - ziwopsezo, mantha a anaphylactic, kapena zochitika zina:

  • Hypersensitivity kumachitika
  • kutentha kuwonjezeka
  • kunjenjemera, angioedema,
  • khungu plethora,
  • zotupa, mkwiyo,
  • kuchuluka kutuluka thukuta
  • kutupa kwa pakhungu kapena mucous nembanemba
  • kusintha kwa jekeseni,
  • Zizindikiro zam'maso
  • kupweteka m'dera la epigastric,
  • kusanza, kutsegula m'mimba,
  • kumverera kwawawa m'dera la mtima, kukoka mwachangu,
  • kupuma pang'ono, khungu lotuwa,
  • kudumpha mu kuthamanga kwa magazi, kupuma pafupipafupi, kumva kupindika pachifuwa,
  • zilonda zapakhosi,
  • mutu, chizungulire,
  • kukwiya, kunjenjemera,
  • zotupa, mafupa,
  • chisangalalo m'dera lumbar.

Ngati kugwiritsa ntchito Actovegin kumabweretsa zotsatirazi zoyipa, kugwiritsa ntchito kwake kuyenera kumalizidwa, ngati kuli koyenera, chithandizo chamankhwala chimayikidwa.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere

Gwiritsani ntchito Actovegin pa nthawi yoyembekezera komanso mkaka wa m`mawere pokhapokha ngati phindu lomwe likuyembekezeredwa kwa mayi likupereka chiwopsezo kwa mwana wosabadwayo kapena mwana. Munthawi yogwiritsa ntchito mankhwalawa mu placental insufficiency, ngakhale kawirikawiri, milandu yakupha imawonedwa, zomwe zitha kukhala chifukwa cha matenda oyambitsidwa. Kugwiritsa ntchito yoyamwitsa sikunaperekedwe ndi zotsatirapo zoipa kwa mayi kapena mwana.

Contraindication

Actovegin sagwiritsidwa ntchito zotsatirazi:

  • kusalolera kwa mankhwala kapena zida zake,
  • pa mimba zotchulidwa mosamala,
  • ntchito pa mkaka wa m`mawere ndi osayenera,
  • matenda a mtima
  • pulmonary edema,
  • ndi oliguria ndi anuria.

Analogs ndi mtengo Actovegin, mndandanda waz mankhwala

Analogue yokhayo ya mankhwala Actovegin ndi Solcoseryl. Amapangidwa ndi nkhawa ya zamankhwala ku Germany Valeant.

Chizindikiro cha chinthu chakunja chimapangidwa ndi kampani yaku Belarus yopanga mankhwala "Dialek". Awa ndi mankhwala a gel osakaniza Diavitol. Chofunikira chachikulu cha mankhwalawa chimachotsedwapo ma umboni ndi magazi a ng'ombe.

Analogs mwa kuchuluka, mndandanda:

  • Divaza
  • Anantavati
  • Mexicoidol
  • Noben
  • Cinnarizine
  • Armadin Yankho
  • Nootropil
  • Winpotropil
  • Stugeron
  • Metacartin
  • Cardionate
  • Dmae
  • Tanakan

Posankha analogi, ndikofunikira kumvetsetsa kuti malangizo ogwiritsira ntchito Actovegin, mtengo ndi kuwunika kwa mankhwala omwe ali ndi zotsatira zofananira sizikugwira ntchito. Ndikofunikira kupeza upangiri wa dokotala komanso kuti usasinthe popanda mankhwala.

Mitengo muma pharmacies aku Russia: Actovegin, mapiritsi 50 ma PC. - 1612 rubles, yankho la jakisoni, 40 mg / ml ampoules 5 ml 5 ma PC - 519 ma ruble.

Sungani pamalo amdima pa kutentha kwa 18-25 ° C. Tchuthi muma pharmacies ndi mankhwala.

Ndemanga 12 za "Actovegin"

Khalani kutali ndi Actovegin ndi madotolo omwe amakupatsirani .... Mankhwalawa amavulaza thanzi makamaka m'mitsempha yamagazi .... amakulitsa mitsempha m'thupi lonse .... Moni ma varicose mitsempha ndi zotupa .... metabolism imathandizira, koma onse okhala ndi malele ataliatali amakhala ndi otsika.

Mankhwala anathandiziradi ndi phokoso m'khutu. Ndimamva kusinthika kwenikweni pambuyo pa jekeseni wachiwiri wa Actovegin 5ml - kuti jakisoniyo ndiwowawa, koma amatengeka bwino ndipo tsamba la jakisoni silimapweteka konse, zomwe zimachitika nthawi zina. Kupirira miniti kukhoza kukhoza.

Mzanga ali ndi zaka 53, wotchulidwa mankhwala. Yomwe ikuperekedwa kuti ikaname, yati mapindu ake. Sizimakhudza chilichonse. Mankhwala achilendo.

Amadziwa Actovegin mwa mawonekedwe a gel - zimandiwoneka kuti alibe wofanana ndi kutentha kwa thupi!

Ndimadzipatsa maphunziro a jakisoni kawiri pachaka, pakalibe mphamvu yotsalira ()). Zotsatira zake zachitika kale jekeseni woyamba.

mankhwalawa ndiabwino. imabwezeretsa mtima ndi mtsempha wamagazi. ngati pali zapamwamba zapamwamba pamzimba, incl. ndi pamapazi awo - aliyense adzasowa pambuyo pobayidwa. koma ndidazigwiritsa ntchito m'ma 90s, pomwe sindimadziwabe chilichonse chokhudza ma prion. jekeseni wa 2 ml intramuscularly kwa masiku 15 otsatizana, ndipo nthawi yomweyo atabayidwa cocarboxylase (100 mg) komanso masiku 15. Mtima unakhazikika bwino panthawiyi, ndipo monga chotulukapo chake, unkataya thupi kwambiri popanda kudya. popeza Actovegin ndi cocarboxylase imathandizira kusinthana kwa shuga m'thupi.
Koma pakadali pano sindigwiritsa ntchito Actovegin pazifukwa ziwiri - ndizotheka kuti mmalo mwake muli ma prion (madala ng'ombe amisala) ndikulimbikitsa kuchuluka kwa khungu, komwe kungayambitse khansa.

ndiuzeni kuti kenako nditha m'malo mwake?

Lero apanga dontho lachiwiri. Ndikumva bwino. Pali zotsatira zoyipa: kupweteka mutu, kuzizira.

Actovegin, adotolo adandiunikira VVD. Pambuyo popita jakisoni, sindinawone momwe zimayambira. Ndinapita kwa dotolo wina - ndidalamulira kuti ndigwiritsenso jakisoni, koma kale cortexin. Kuchokera pamenepo, zimandisangalatsa.

Ndipo ndimakonda Cortexin kuti athetse zizindikiro za VVD, sizipweteka kwambiri, ndipo zimapangitsa mutu wanga kuthamanga.

Ndipo tidalowetsa cortexin m'mwana yemwe ali ndi RR, akuti Actovegin ndiwowawa kwambiri, sitinayerekeze kuchita. Koma cortexin adalimbanso ndi ntchito yake bwino - adalimbikitsa zomwe mwana amalankhula.

Kutumizidwa pambuyo pa micostroke ndi kusinthana ndi kotekisi. Actovegin Inde, atatha miyezi 4 maphunziro a kotekisi. Ndinapitilanso ndi singano, ndinachita masewera apadera olimbitsa thupi. Ntchito zonse zidachira, kukumbukira bwino ndikuchita bwino zidabwezedwa.

Mlingo

Jekeseni 40 mg / ml - 2 ml, 5 ml

ntchito yogwira - kufooketsa hemoderivative wa magazi a ng'ombe (malinga ndi nkhani youma) * 40.0 mg.

obwera: madzi a jakisoni

* ili ndi pafupifupi 26.8 mg wa sodium chloride

Transparent, chikasu njuchi.

Mankhwala

Pharmacokinetics

Ndizosatheka kuphunzira za pharmacokinetic makhalidwe (mayamwidwe, magawidwe, ma excretion) a Actovegin®, popeza imangokhala ndi zofunikira za thupi zomwe zimapezeka mthupi.

Actovegin ® imakhala ndi antihypoxic athari, yomwe imayamba kuwoneka posachedwa kwambiri mphindi 30 pambuyo pa utsogoleri waboma ndikufika pazowonjezera pambuyo pa maola atatu (maola 2-6).

Mankhwala

Actovegin® antihypoxant. Actovegin ® ndi hemoderivative, yomwe imapezeka ndi dialysis ndi ultrafiltration (ikamapangidwa ndi kulemera kwa maselo osakwana 5000 daltons). Actovegin ® imapangitsa kulimbitsa mphamvu kwa organic mu cell. Zochita za Actovegin® zimatsimikiziridwa poyesa kuyamwa komanso kugwiritsa ntchito shuga komanso mpweya wabwino. Zotsatira ziwirizi zimayenderana, ndipo zimatsogolera pakuwonjezeka kwa kupanga kwa ATP, mwakutero kupereka mphamvu yochulukirapo ku cell. Pansi pazomwe zimachepetsa magwiridwe antchito a mphamvu kagayidwe (hypoxia, kusowa kwa gawo lapansi), komanso kugwiritsa ntchito mphamvu (kuchiritsa, kusinthanso) Actovegin ® imalimbikitsa mphamvu zama processor metabolism ndi anabolism. Yachiwiri zotsatira kuchuluka magazi.

Zotsatira za Actovegin ® pa mayamwidwe ndi kugwiritsa ntchito mpweya, komanso ntchito yofanana ndi insulini ndi kukondoweza kwa mayendedwe a glucose ndi oxidation, ndizofunikira pa chithandizo cha matenda ashuga a polyneuropathy (DPN).

Odwala omwe ali ndi matenda a shuga mellitus ndi matenda ashuga a polyneuropathy, Actovegin ® amachepetsa kwambiri chizindikiro cha polyneuropathy (kupweteka kwa kuwawa, kumva kutentha, parasthesia, dzanzi m'magawo otsika). Mokulira, kusokonezeka kwa chidwi kumachepetsedwa, ndipo thanzi la odwala limadranso bwino.

Mlingo ndi makonzedwe

Actovegin ®, jekeseni, amagwiritsidwa ntchito intramuscularly, kudzera m'mitsempha (kuphatikizapo mawonekedwe a infusions) kapena kudzera m'mitsempha.

Malangizo ogwiritsira ntchito ma ampoules omwe ali ndi malo amodzi akupumira:

tengani zochulukira kuti pamwamba pomwe pamakhala chizindikirocho. Kukoka pang'ono ndi chala ndikugwedeza zokwanira, lolani kuti yankho lake lithe kuchoka kumapeto kwa phokoso. Dulani pamwambapa mwa kukanikiza chizindikiro.

a) Mulingo wovomerezeka:

Kutengera ndi kuopsa kwa chithunzi chachipatalachi, mlingo woyambirira ndi 10-20 ml kudzera m'mitsempha kapena intraarter, ndiye 5 ml iv kapena pang'onopang'ono IM tsiku lililonse kapena kangapo pa sabata.

Ikagwiritsidwa ntchito ngati infusions, 10-50 ml imalowetsedwa mu 200-300 ml ya isotonic sodium chloride solution kapena 5% dextrose solution (masanjidwe oyambira), kuchuluka kwa jakisoni: pafupifupi 2 ml / min.

b) Mlingo kutengera ziwonetsero:

Matenda amisempha ndi mtima: kuyambira 5 mpaka 25 ml (200-1000 mg patsiku) kudzera tsiku lililonse kwa masabata awiri, kenako ndikusintha kwa mawonekedwe a piritsi.

Matenda ozungulira komanso azakudya monga ischemic stroke: 20-50 ml (800 - 2000 mg) mu 200-300 ml ya 0,9% ya sodium kolorayidi kapena 5% shuga, mumatsika mkati tsiku lililonse kwa sabata 1, ndiye 10-20 ml (400 - 800 mg) kudzera m'mitsempha kukapanda kuleka - masabata awiri ndikusintha kwa mawonekedwe a piritsi.

Zowonongeka za mtima (zotupa ndi venous) zamatsenga ndi zotsatira zawo: 20-30 ml (800 - 1000 mg) ya mankhwala mu 200 ml ya 0,9% sodium kolorayidi kapena 5% shuga, kudzera m'mitsempha kapena mtsempha tsiku lililonse, kutalika kwa mankhwalawa ndi milungu 4.

Dongosolo la matenda ashuga: 50 ml (2000 mg) patsiku kudzera m'mitseko kwa masabata atatu ndikusintha kwa mapiritsi a mapiritsi - 2-3 mapiritsi 3 katatu patsiku kwa miyezi yosachepera 4-5.

Zilonda zoyipa za m'munsi: 10 ml (400 mg) kudzera m'mitsempha kapena 5 ml kudzera m'mitsempha tsiku lililonse kapena katatu pamlungu kutengera njira yochizira

Kutalika kwa nthawi ya mankhwalawa kumatsimikiziridwa payekhapokha malinga ndi mawonekedwe ndi kuuma kwa matendawa.

Malangizo apadera

Intramuscularly, ndikofunikira kupaka jekeseni pang'onopang'ono kuposa 5 ml, chifukwa yankho lake ndi hypertonic.

Poganizira za kuthekera kwa ma anaphylactic, tikulimbikitsidwa kuti jakisoni wachiwiri (2 ml intramuscularly) akaperekedwe asanayambe chithandizo.

Kugwiritsa ntchito Actovegin® kuyenera kuchitika moyang'aniridwa ndi achipatala, ndi kuthekera koyenera kwa mankhwalawa.

Pogwiritsa ntchito kulowetsedwa, Actovegin®, jekeseni, amatha kuwonjezeredwa ndi isotonic sodium chloride solution kapena 5% shuga. Zoyeserera ziyenera kuwonedwa, chifukwa Actovegin ® ya jakisoni sikhala ndi mankhwala osungirako.

Kuchokera pamalingaliro achilengedwe, ma ampoules otseguka ndi mayankho okonzekera ayenera kugwiritsidwa ntchito nthawi yomweyo. Mayankho omwe sanagwiritsidwe ntchito ayenera kutayidwa.

Ponena za kusakaniza njira ya Actovegin ® ndi njira zina zothetsera jakisoni kapena kulowetsedwa, kusayenerana kwaumoyo, komanso mgwirizano pakati pazogwira ntchito, sizingasiyidwe kwina, ngakhale yankho likhale lowonekera bwino. Pachifukwa ichi, yankho la Actovegin® siliyenera kuperekedwa posakaniza ndi mankhwala ena, kupatula omwe atchulidwa mu malangizowo.

Njira yothetsera jakisoni imakhala ndi kuwala kwa chikasu, kuchuluka kwake komwe kumadalira kuchuluka kwa batch ndi zinthu zomwe zimapezeka, komabe, mtundu wa yankho sakukhudza kugwiriridwa ndi mankhwalawa.

Osagwiritsa ntchito yankho la opaque kapena yankho lomwe lili ndi tinthu tating'onoting'ono!

Gwiritsani ntchito mosamala mu hyperchloremia, hypernatremia.

Palibe deta yomwe ilipo ndipo kugwiritsa ntchito sikololedwa.

Gwiritsani ntchito pa nthawi yoyembekezera

Kugwiritsa ntchito Actovegin ® ndikololedwa ngati chithandizo chamankhwala chikuyembekezeka kupitilira chiwopsezo cha mwana wosabadwayo.

Ntchito pa mkaka wa m`mawere

Mukamagwiritsa ntchito mankhwalawa m'thupi la munthu, palibe zotsatirapo zoyipa zomwe zimabwera chifukwa cha mayi kapena mwana. Actovegin® iyenera kugwiritsidwa ntchito panthawi yokhayo pokhapokha ngati chithandizocho chikuyembekezeredwa kuposa chiwopsezo cha mwana.

Zomwe zimachitika chifukwa cha mankhwalawa amatha kuyendetsa galimoto kapena njira zoopsa

Palibe zotsatira zazing'ono zomwe zingatheke.

Bongo

Palibe deta pa kuthekera kwa bongo wa Actovegin®. Kutengera ndi data ya pharmacological, palibe zovuta zina zomwe zimayembekezera.

Kutulutsa Fomundi kunyamula

Jekeseni 40 mg / ml.

2 ndi 5 ml ya mankhwalawa m'magalasi osayera amtundu (mtundu I, Heb. Pharm.) Ndi malo osweka. Ma ampoules asanu pa pulasitiki yonyamula matuza. 1 kapena 5 matuza okhala ndi malangizo ogwiritsira ntchito aikidwa pabokosi lamakatoni. Zolemba zoteteza kuzungulira zowonekera ndi zolemba za holographic ndi chiwongolero choyamba chotsegulidwa zimapakidwa pa paketi.

Kwa mamililita 2 ndi 5 ml, chizindikirocho chimayikidwa pakamwa pagalasi kapena palemba omwe amatsatira.

Wogwirizira Sitifiketi Yoyang'anira

LLC Takeda Mankhwala, Russia

Packer ndikupereka mawonekedwe oyang'anira

LLC Takeda Mankhwala, Russia

Adilesi ya bungwe lolandila madandaulo kuchokera kwa ogula pa mtundu wa zinthu (katundu) mdera la Republic of Kazakhstan:

Ofesi yoyimira a Takeda Osteuropa Holding GmbH (Austria) ku Kazakhstan

Kutulutsa mawonekedwe ndi kapangidwe kake

Pangani mitundu iyi:

  1. Gel 20% yokutidwa m'matumba a 5 g.
  2. Gel Actovegin ophthalmic 20% atakulungidwa m'matumba a 5 g.
  3. Mafuta 5% amamuyika m'matumba a 20 g.
  4. Yankho la jakisoni 2 ml, 5.0 No. 5, 10 ml No. 10. Jekeseni Actovegin amalowa m'magalasi amitundu yopanda utoto omwe ali ndi mpata wopumira. Atadzaza matuza matulidwe a 5 zidutswa.
  5. Njira yothetsera kulowetsedwa (Actovegin kudzera m'mitsempha) imayikidwa m'mabotolo 250 ml, omwe amatsitsidwa ndikuyika mkatoni.
  6. Mapiritsi a Actovegin ali ndi mawonekedwe ozungulira a biconvex, wokutidwa ndi chipolopolo chobiriwira. Atadzaza mabotolo amdima amtundu wa 50 zidutswa.
  7. Kirimuyi imayikidwa m'matumba a 20 g.

Kapangidwe ka mankhwala Actovegin, omwe amathandiza ndi magazi osakwanira, akuphatikiza hemoderivative yochokera ku magazi a ng'ombe monga chinthu chofunikira. Mankhwala a jakisoni amakhalanso sodium chloride ndi madzi monga zinthu zina.

Makhalidwe

Actovegin ndi wa gulu la pharmacotherapeutic zothandizira komanso othandizira kukonzanso kosintha mu minofu.

Actovegin amatanthauza antihypoxants. Chithandizo chothandizacho ndichotuluka mu magazi a ng'ombe ya ng'ombe. Imakhala ndi phindu pa kayendedwe ndi kukhathamiritsa kwa glucose, imalimbikitsa kugwiritsa ntchito mpweya. Kuchulukitsa kagayidwe kachakudya maselo ndi zimakhala.

Amasintha mphamvu kagayidwe mu zimakhala. Mankhwalawa ali ndi tanthauzo lalikulu pochiza matenda ashuga - polyneuropathy. Matendawa amaganiza mkhalidwe wa odwala. Amagwiritsidwa ntchito kuti apititse patsogolo kuchiritsa kwa zotupa zapakhungu.

Kuwerenga kwa mankhwala pogwiritsa ntchito njira ya pharmacokinetic ndizovuta. Izi ndichifukwa cha zofunikira zathupi zomwe zimapezeka m'thupi la munthu.

Palibe kuyanjana komwe kunapezeka pakati pa kuchepa kwa zamankhwala chifukwa cha kusintha kwa ma hemoderivatives mwa odwala komanso kusintha kwa ma pharmacokinetics.

Zotsatira za pharmacological

Wikipedia ikuwonetsa kuti mankhwalawa amathandizira kagayidwe kazakudya mu minofu ya thupi, amathandizira kusintha kosinthika ndikuyenda bwino kwa trophism. Zogwira ntchito hemoderivative zopezeka ndi dialysis ndi ultrafiltration.

Mothandizidwa ndi mankhwalawa, minofu yolimbana ndi hypoxia imachulukirachulukira, chifukwa mankhwalawa amathandizira ntchito yogwiritsira ntchito okosijeni komanso kumwa. Imathandiziranso kagayidwe kazinthu zamagetsi ndikuwonjezera shuga. Zotsatira zake, mphamvu zamagetsi zimachuluka.

Chifukwa cha kuchuluka kwa kugwiritsira ntchito kwa oxygen, ma plasma nembanemba amaselo am'magulu mwa anthu amakhala okhazikika. ischemia, ndikupangidwe kwa ma lactates kumathandizanso.

Mothandizidwa Actovegin Sikuti glucose zomwe zimakhala mu cell zimangowonjezereka, komanso metabolism ya oxidative imalimbikitsidwa. Zonsezi zimathandizira kutsegula kwa mphamvu yama cell. Izi zikutsimikizira kuwonjezeka kwa kuchuluka kwaonyamula mphamvu zaulere: ADP, ATP, amino acid, phosphocreatine.

Actovegin imagwiranso ntchito chimodzimodzi ndi chiwonetsero cha kufalikira zovuta zamagazi ndi zotsatira zake zomwe zimawoneka chifukwa cha kuphwanya izi. Ndiwothandiza kuthamangitsa njira yochiritsira.

Mwa anthu ndi zovuta zamatenda, amayaka, Zilonda zamitundu mitundu motsogozedwa ndi Actovegin, magawo onse a morphological ndi biochemical granulation amakhala bwino.

Popeza Actovegin amachita pa mayamwidwe ndikugwiritsa ntchito mpweya mu thupi ndikuwonetsa ntchito yofanana ndi insulin, yolimbikitsa kuyendetsa ndi oxidation shuga, ndiye kuti kukopa kwake ndikofunikira pakukonzekera mankhwala matenda ashuga polyneuropathy.

Mwa anthu akuvutika matenda ashuga, munthawi ya chithandizo, kusokonezeka kwamphamvu kumabwezeretseka, kuwuma kwa zizindikiro zomwe zimagwirizanitsidwa ndi kusokonezeka kwa malingaliro kumachepetsedwa.

Pharmacokinetics ndi pharmacodynamics

Kupatula kumawonetsa kuti mawonekedwe a pharmacokinetic a mankhwalawa sangaphunzire, popeza amakhala ndi ziwalo zolimbitsa thupi zokha zomwe zimapezeka mthupi. Chifukwa chake, malongosoledwe akusowa.

Pambuyo pa utsogoleri wa makolo Actovegin Zotsatira zake zimadziwika pambuyo pafupifupi mphindi 30 kapena kale, kutalika kwake kumadziwika pambuyo pa maola atatu pafupifupi.

Panalibe kuchepa kwamankhwala ogwira ntchito a hemoderivatives mwa anthu omwe ali ndi vuto la impso komanso hepatic, komanso okalamba, akhanda, etc.

Mafuta Actovegin, zikuwonetsa kuti mugwiritse ntchito

  • yotupa njira ya pakhungu ndi mucous nembanemba, mabala (ndi amayaka, abrasions, mabala, ming'alu etc.)
  • zilonda zakulira, chiyambi cha varicose, etc.,
  • kuyambitsa kusinthika kwa minofu pambuyo pakuwotcha,
  • cholinga cha mankhwala ndi kupewa mabedi,
  • pofuna kupewa kuwonekera pakhungu lomwe limakhudzana ndi mphamvu ya radiation.

Ndi matenda omwewo, kirimu Actovegin amagwiritsidwa ntchito.

Zizindikiro zogwiritsidwa ntchito gel Actoveginndi ofanana, koma mankhwalawa amagwiritsidwanso ntchito pochiritsa khungu lanu musanayambe njira yopatsirana khungu pakulipira matenda oyaka.

Kugwiritsa ntchito mankhwala osiyanasiyana kwa oyembekezera zimachitika ndi zofananira, koma pokhapokha ngati adokotala adayang'aniridwa ndi amene akuwayang'anira.

Actovegin kwa othamanga nthawi zina amagwiritsidwa ntchito kuti awonjezere momwe amagwirira ntchito.

Kuchokera pa chiyani Mafuta onunkhira, komanso mitundu ina ya mankhwalawa imagwiritsidwanso ntchito, chifukwa chake izi kapena mawonekedwe amenewo amathandizira, dokotala wothandizidwa amalangizidwa.

Mapiritsi a Actovegin

Muyenera kumwa mapiritsi musanadye, osafunikira kutafuna, muyenera kumwa ndi madzi ochepa. Nthawi zambiri, kuyikidwa kwa mapiritsi 1-2 katatu patsiku kumayikidwa. Mankhwalawa, monga lamulo, amakhala kwa milungu inayi mpaka isanu ndi umodzi.

Kwa anthu odwala matenda a shuga a polyneuropathy, mankhwalawa amayamba kutumikiridwa mwamphamvu pa 2 g patsiku kwa masabata atatu, mapiritsi atchulidwa - 2-3 ma PC. patsiku kwa miyezi 4-5.

Actovegin yankho la kulowetsedwa

Ma infusions amachitika onse kudzera m'mitsempha. Mlingo wa mankhwalawa amasankhidwa payekha. Nthawi zina, mankhwala oyamba a 10% amawonjezeka mpaka 50 ml. Pa maphunziro achire, njira 10-20 zitha kuchitidwa.

Atangotsala pang'ono kulowetsedwa, kukhulupirika kwa vala kuyenera kuyesedwa. Ndikofunika kudziwa kuti kuchuluka kwa kukapanda kuleka kwa mankhwala ndi 2 ml pa mphindi. Ndikofunikira kupatula kulowa kwa mankhwala m'malo owonjezera.

Mafuta onunkhira

Amagwiritsidwanso ntchito kwa masiku osachepera 12 motsatizana ndi gawo lokonzanso minofu, kawiri pa tsiku. Pochiza zilonda zam'mimba, zotupa, mabala a pakhungu ndi mucous, mafutawo amagwiritsidwa ntchito ngati cholumikizira mu chithandizo cha magawo atatu: yambani kupaka gel, kenako kirimu ndipo kumapeto kwake, mafuta omwe amayikidwa paziwalo zowonda. Pofuna kupewa kuwononga khungu pakhungu, mafutawa amagwiritsidwa ntchito pakatha gawo la machiritso komanso pakati pa magawo.

Kodi Actovegin amawalembera bwanji ana

Itha kuperekedwa kwa ana akhanda ndi makanda mu mlingo wa 0,4-0,5 ml pa kg, mankhwalawa amatumizidwa mu mtsempha kapena minofu 1 nthawi patsiku.

Ana azaka wazaka 1-3 amafunsidwa mankhwala omwewo ngati ana.

Ana wazaka 3-6 akulimbikitsidwa kupaka 0,25-0.4 ml ya mankhwala a 1 r. tsiku lonse mu / m kapena / mu.

Kuyanjana kwa mankhwala osokoneza bongo

Kuyanjana kwa mankhwala Actovegin sikunakhazikitsidwe. Komabe, pofuna kupewa kusagwirizana kwa mankhwala, sikulimbikitsidwa kuwonjezera mankhwala ena ku Actovegin kulowetsedwa.

Pokambirana za analogues a Actovegin, ziyenera kudziwitsidwa kuti chinthu chofanana chogwira ntchito chimangophatikizidwa ndi mankhwala a Solcoseryl. Mankhwala ena onse ali ndi zofanana zofanizira. Mtengo wa analogues umatengera wopanga.

Ku gulu la antihypoxants ndi antioxidants palinso analogues:

  1. Actovegin granate.
  2. Actovegin zikhazikitsani.
  3. Antisten.
  4. Astrox.
  5. Vixipin.
  6. Mavitamini.
  7. Hypoxene
  8. Glation.
  9. Zambiri.
  10. Dihydroquercetin.
  11. Dimephosphone.
  12. Cardioxypine.
  13. Carditrim.
  14. Carnitine.
  15. Karnifit.
  16. Coudewita.
  17. Kudesan.
  18. Kudesan kwa ana.
  19. Kudesan Forte.
  20. Levocarnitine.
  21. Limortar.
  22. Montidant.
  23. Mexicoidol.
  24. Mexicoid jekeseni 5%.
  25. Achimor.
  26. Mexicoipridolum.
  27. Mexicoiprim.
  28. Maloiphine.
  29. Methylethylpyridinol.
  30. Metostable.
  31. Sodium hydroxybutyrate.
  32. Neurox.
  33. Neuroleipone.
  34. Oktolipen.
  35. Olyphene.
  36. Predizin.
  37. Wokonzedweratu.
  38. Rexode
  39. Rimekor.
  40. Solcoseryl.
  41. Tiogamma.
  42. Thiotriazolinum.
  43. Trekrezan.
  44. Triducard.
  45. Ochepetsa.
  46. Trimetazidine.
  47. Phenosanoic acid.
  48. Khadi.
  49. Cytochrome C.
  50. Eltacin.
  51. Emoxibel
  52. Emoxipin
  53. Chotsalira.
  54. Yantavit.

Jekeseni Actovegin, malangizo ogwiritsira ntchito

Mankhwala mu mawonekedwe a yankho la jakisoni amatha kutumikiridwa kudzera m'mitsempha, kudzera m'mitsempha kapena m'mitsempha.

Jakisoni, molingana ndi kuopsa kwa matendawa, amaperekedwa pa mlingo wa 10-20 ml kudzera m'mitsempha, kenako pang'onopang'ono 5 ml ya yankho ikuchitika mwamitsempha. Mankhwala mu ampoules amayenera kuperekedwa tsiku lililonse kapena kangapo pa sabata.

Ampoules adayikidwa liti kayendedwe ka magazi ndi kagayidwe ka magazi ndi ubongo. Poyamba, 10 ml ya mankhwalawa imathandizidwa pakapita masabata awiri. Kenako, kwa milungu inayi, 5-10 ml amathandizidwa kangapo pa sabata.

Odwalaischemic stroke 20-50 ml ya Actovegin, yomwe kale imalowetsedwa mu 200-300 ml ya kulowetsedwa, imayendetsedwa. Kwa milungu iwiri kapena itatu, mankhwalawa amaperekedwa tsiku lililonse kapena kangapo pa sabata. Momwemonso, chithandizo chimaperekedwa kwa anthu omwe akuvutika ochepa angiopathy.

Odwala ndi zilonda zam'mimba kapena zilonda zina zaulesi ngakhale amayakalembani kuyambitsa kwa 10 ml kudzera m'mitsempha kapena 5 ml kudzera m'mitsempha. Mlingo, kutengera kuopsa kwa zotupa, umaperekedwa kamodzi kapena kangapo patsiku. Kuphatikiza apo, mankhwala am'deralo amachitika ndi mankhwala.

Kwa prophylaxis kapena chithandizokuwononga kuwala kwa pakhungu ntchito tsiku lililonse 5 ml ya mankhwala kudzera m`mitsempha pakati kukhudzana ndi radiation.

Njira yothetsera kulowetsedwa, malangizo ogwiritsira ntchito

The kulowetsedwa ikuchitika kudzera m'mitsempha kapena kudzera m'mitsempha. Mlingo umatengera kuzindikira kwake komanso momwe wodwalayo alili. Monga lamulo, 250 ml ndi mankhwala patsiku. Nthawi zina mlingo woyambira wa 10% umakulitsidwa mpaka 500 ml. Njira ya mankhwalawa imatha kukhala 10 mpaka 20 infusions.

Musanafike kulowetsedwa, muyenera kuwonetsetsa kuti botolo silinawonongeke. Mulingo wake uyenera kukhala pafupifupi 2 ml pa mphindi. Ndikofunikira kuti yankho sililowe mu minofu yowonjezera.

Malangizo ogwiritsira ntchito mapiritsi a Actovegin

Muyenera kumwa mapiritsi musanadye, osafunikira kutafuna, muyenera kumwa ndi madzi ochepa. Nthawi zambiri, kuyikidwa kwa mapiritsi 1-2 katatu patsiku kumayikidwa. Mankhwalawa, monga lamulo, amakhala kwa milungu inayi mpaka isanu ndi umodzi.

Anthu akuvutika matenda ashuga polyneuropathy, mankhwalawa amayamba kutumikiridwa pamitsempha 2 patsiku kwa masabata atatu, pambuyo pake mapiritsi - 2-3 pcs. patsiku kwa miyezi 4-5.

Gel Actovegin, malangizo ogwiritsira ntchito

Gilalyo imagwiritsidwa ntchito kwambiri kuti ayeretse mabala ndi zilonda zam'mimba, komanso chithandizo chotsatira. Ngati khungu lili ndi kuwonongeka kapena kuwonongeka kwa radiation, mankhwalawo amayenera kuyikidwa mu mawonekedwe osalala. Ngati zilonda zilipo, gwiritsani ntchito gel osakaniza ndi dotolo ndikuphimba ndi compress pamwamba, yomwe imadzazidwa ndi mafuta a Actovegin.

Kavalidwe kake kamayenera kusinthidwa kamodzi patsiku, koma ngati zilonda zimayamba kunyowa kwambiri, ndiye kuti izi ziyenera kuchitidwa pafupipafupi. Kwa odwala omwe ali ndi vuto la radiation, galasi limayikidwa mu mawonekedwe a ntchito. Chifukwa cha chithandizo komanso kupewa zilonda zopsinjika, mavalidwe azisinthidwa katatu patsiku.

Mafuta Actovegin, malangizo ogwiritsira ntchito

Mafuta amasonyezedwa kwa chithandizo cha zilonda zam'mimba ndi mabala, amagwiritsidwa ntchito mukamaliza chithandizo ndi gel ndi zonona. Mafutawo amawaika pachilonda cha pakhungu pamavalidwe omwe amafunika kusintha mpaka kanayi pa tsiku. Ngati mafuta amagwiritsidwa ntchito popewa kupsinjika zilonda kapena kuvulala kwama radiation, kavalidwe kanu kasinthidwe katatu.

Mafuta a actovegin oyaka amayenera kupaka mafuta osamala kuti asawononge khungu, lomwe mafuta oyenera amapaka bwino poyambira.

Ma Analogs a Actovegin

Pali mitundu yotsika mtengo komanso yotsika mtengo ya mankhwalawa yogulitsidwa, yomwe mutha kuyikamo majakisoni ndi mapiritsi. Ma Actovegin analogs ndi mankhwala osokoneza bongo Cortexin, Vero-Trimetazidine, Cerebrolysin, Courantil-25, Solcoseryl.

Komabe, pokambirana za Actovegin analogues mu ampoules, ziyenera kudziwika kuti chinthu chofanana chogwira ntchito chimangopangidwira mankhwala Solcoseryl. Mankhwala ena onse omwe atchulidwa pamwambapa ali ndi zisonyezo zofananira zothandizira. Mtengo wa analogues umatengera wopanga.

Chili bwino ndi chiyani - Actovegin kapena Solcoseryl?

Monga gawo la mankhwalawo Solcoseryl - zomwe zimapangidwa zomwe zimapangidwa kuchokera ku magazi a ng'ombe. Koma inu Actovegin alumali nthawi yayitali chifukwa imasunga zoteteza. Komabe, akatswiri ena amati zotchingira matendawa zimakhudza chiwindi cha munthu.

Zomwe zili bwino - Cerebrolysin kapena Actovegin?

The cerebrolysin yomwe imapangidwa imakhala ndi hydrolyzate ya ubongo yomwe imamasulidwa ku mapuloteni. Ndi iti mwa mankhwalawa omwe mungakonde, adokotala okha ndi omwe amasankha kutengera umboni. Nthawi zina, ndalamazi zimaperekedwa nthawi imodzi.

Kwa ana, mankhwalawa amalembera matenda amisempha, omwe anali chifukwa cha mavuto apakati kapena mavuto obadwa nawo. Mankhwala mu mawonekedwe a jakisoni amatha kuperekedwa kwa ana mpaka chaka chimodzi, koma munthawi ya chithandizo ndikofunikira kutsatira njira yoyenera mosamala.

Zilonda zofatsa, dragee amatchulidwa - piritsi 1 patsiku. Ngati jakisoni wa Actovegin adakhazikitsidwa intramuscularly, mlingo umatengera mkhalidwe wa mwana.

Actovegin pa nthawi yapakati

Actovegin sichimaphatikizidwa mwa amayi apakati. Chifukwa chomwe amayi apakati amaloledwa kumwa mankhwalawa zimatengera thanzi la mayi munthawi ya bere. Nthawi zambiri mimba Actovegin amagwiritsidwa ntchito popewa zovuta za chitukuko cha fetal nthawi kuchuluka kwachuma.

Komanso, mankhwalawa nthawi zina amaperekedwa mukakonzekera kutenga pakati.Kwa amayi oyembekezera, dontho, jakisoni kapena mapiritsi pa nthawi ya pakati amapatsidwa mphamvu yothandizira kufalikira kwa chiberekero, kusintha magwiridwe antchito a placenta, kusinthana kwa mpweya.

Popeza mankhwalawa ali ndi zinthu zachilengedwe, sizikhala ndi vuto lililonse pa mwana wosabadwayo, monga momwe zikuwonera ndi ndemanga pa nthawi yomwe ali ndi pakati.

Pa nthawi yoyembekezera, muyezo wa Actovegin solution umayendetsedwa kuchokera 5 mpaka 20 ml, iv ikamachitika tsiku lililonse kapena tsiku lililonse. Intramuscularly, mankhwalawa amadziwitsidwa pa Mlingo wokhazikika, kutengera zomwe mankhwalawa amadziwitsidwa pa mimba. Chithandizo nthawi zambiri chimatha 4 kapena 6 milungu.

Ndemanga za Actovegin

Tsambali limakhala ndi ndemanga zambiri za jakisoni wa Actovegin, pomwe odwala amalemba za momwe angathandizire matenda osiyanasiyana. Pali ndemanga zosiyanasiyana za makolo omwe amapereka jakisoni kwa makanda. Nthawi zina, kusintha kwamatenda a mitsempha kudadziwika.

Koma makolo ena omwe amagwiritsa ntchito mankhwalawa kwa ana, makamaka kwa makanda, adawona kuti zinali zovuta kuti ana azilola jakisoni intramuscularly, chifukwa ndizopweteka kwambiri. Nthawi zina zimadziwika.

Ndemanga za Actovegin pa nthawi yapakati, azimayi amasiya zabwino. Amalemba kuti maphunzirowa atatha maphunziro a iv kapena intramuscularly zimatheka kubereka mwana wathanzi ngakhale akuwopseza kuti ataye mimbayo, komanso mavuto ndi kukula kwa mwana wosabadwayo.

Nthawi zambiri lembani za mankhwalawa komanso omwe adamwa mapiritsi a Actovegin. Kuunika kwa madotolo ndi odwala pankhaniyi ndi kwabwino.

Kuwunikanso kwa mafuta a Actovegin ndi kuwunika kwa gel kumawonetsa kuti mitundu yonse iwiri ya mankhwalawo, komanso zonona, imayambitsa kuchiritsa kwamayaka, mabala ndi zilonda zam'mimba. Chida chake ndi chosavuta kugwiritsa ntchito.

Mtengo wa Actovegin muma ampoules

Muli zochulukirapo 5 za 5 ml iliyonse, kutengera komwe mugule mankhwalawo. Pafupifupi, phukusi - kuchokera ku ma ruble 530. Ma ampoules a 10 ml ya jakisoni amatha kugula pamtengo wa 1250 ma ruble a ma 5 pcs. Actovegin muma ampoules a 2 ml (ogwiritsidwa ntchito pa nthawi yoyembekezera) atha kugulidwa pamtengo wa 450 rubles.

Actovegin IV (yankho la kulowetsedwa) amawononga ndalama kuchokera ku ruble 550 pa botolo 250 ml.

Mtengo wa jakisoni Actovegin ku Ukraine (ku Zaporozhye, Odessa, etc.) - kuchokera ku 300 hryvnia kwa ma ampoules asanu.

Mtengo wa mafuta a Actovegin ndi avareji a ruble 100-140 papaketi 20 g. Mtengo wa gel ndi wapakati pa ma ruble 170. Mutha kugula zonona ku Moscow pamtengo wa ma ruble 100-150. Maso amaso amtengo wapatali kuchokera ku ma ruble 100.

Ku Ukraine (Donetsk, Kharkov), mtengo wa Actovegin gel ndi pafupifupi 200 hhucnias.

Kusiya Ndemanga Yanu