Momwe mungapangire cocarboxylase wa jekeseni wa intravenous

Coenzyme wopangidwa m'thupi kuchokera ku thiamine. Iwo ali kagayidwe kachakudya, imayendetsa minofu kagayidwe. Mthupi, phosphorylated amapanga ma mono-, di- ndi triphosphoric esters, cocarboxylase ndi gawo la michere yomwe imayambitsa carboxylation ndi decarboxylation ya keto acids, pyruvic acid, yomwe imalimbikitsa kuphatikizika kwa acetyl coenzyme A, yomwe imatsimikizira kutenga nawo gawo mu metabolism ya carbohydrate. Kutenga gawo mu pentose kuzungulira kumalimbikitsa kusakanikirana kwa ma nucleic acid, mapuloteni ndi lipids.

Amasintha kukhathamira kwa glucose, minofu yamitsempha yamagazi, imathandizira kusintha ntchito yamtima.

Kuperewera kwa Cocarboxylase kumapangitsa kuwonjezeka kwa milingo ya pyruvic ndi lactic acid m'magazi, zomwe zimabweretsa acidosis ndi acidotic coma.

Kutulutsa Fomu

Zosungunulira: madzi d / i - 2 ml.

50 mg - ampoules (5) athunthu ndi zosungunulira (amp. - ma ma PC.) - mapaketi a makatoni.

Akuluakulu amapatsidwa iv kapena iv. Mlingo ndi 50-200 mg / tsiku. Mu matenda a shuga a mellitus (acidosis, chikomokere), mlingo wa tsiku ndi tsiku ukhoza kukhala 0,1-1 g. Pafupipafupi komanso nthawi yayitali yogwiritsira ntchito zimatengera zisonyezo.

Kwa ana - mu / m, mu / mu (dontho kapena mtsinje), kwa makanda - pang'onopang'ono. Ana mpaka miyezi itatu - 25 mg / tsiku, kuyambira miyezi 4 mpaka zaka 7 - 25-50 mg / tsiku, kuyambira wazaka 8 mpaka 18 - 50-100 mg / tsiku. Kutalika kwa mankhwalawa ndikuchokera masiku 3-7 mpaka 15.

Zotsatira zoyipa

Mwina: thupi lawo siligwirizana (urticaria, kuyabwa).

Ndi kuyambitsa / m: hyperemia, kuyabwa, kutupa m'malo a jakisoni ndikotheka.

Kuphatikiza mankhwala: metabolic acidosis, acidosis mu hyperglycemic chikomokere, acidosis mu kupuma komanso mapapo mtima kulephera, mtima kulephera, mtima matenda, osakhazikika angina, infarction myocardial, pambuyo-infarction mtima, chiwindi ndi / kapena kulephera kwa aimpso, uchidakwa wambiri ndi uchidakwa. , kuledzera ndi mtima glycosides ndi barbiturates, matenda opatsirana (diphtheria, kutentha thupi, typhoid fever, paratyphoid fever, neuralgia, multiple sclerosis, zotumphukira neuritis.

Awa ndi mankhwala osathandiza kwenikweni.

Mu ma syringe osiyanasiyana ndi iliyonse m'malo mwake

onse ali ndi jakisoni wokhazikika - mu bulu, yankho lokha silifunikira kuchepetsedwa

ndipo wina akuyenera kutulutsa ubongo wawo! KKB imasungunuka ndi yankho! ndi ufa. mankhwala osokoneza bongo masiku osiyanasiyana, inalowa mu minofu! mwachitsanzo: tsiku loyamba ndi kkb, lachiwiri ndi atf

Kodi Thiotriazolinum ndi Cocarboxylase amafunika kuti alangidwe ndikusintha kwa myocardium?

Masana abwino, okondedwa Victoria Yuryevna! Kwa nthawi yayitali, ndinasokonezeka ndi kusakhazikika m'dera la mtima (kufinya, kugunda, kuwotcha, malawi othamanga kwambiri mpaka 100, miyendo yamanja idayamba kugoneka pakamagona kapena pogona, komanso miyendo ina pambuyo pake), ECG itatha, wothandizira adatinso panali mtundu wina wa Reflux mumtima, mumangofunika kumwa zosokoneza. Miyezi 6 yapitayo ndinali m'chipinda chosungira ndipo nditatha ECG, ndidapatsidwa "kusinthanitsa ndi kusintha kwa mtima" ndipo ndidalangizidwa kuti ndipange 1 mapiritsi a ATP ndi Carboxylase kamodzi patsiku kwa masiku 10, kusintha kagayidwe, ndikumabaya jekeseni ndi maphunziro omwewo Thiotriazolin kulimbitsa minofu ya mtima, kukhazikitsa mpweya wabwino kwa mtima, kubwezeretsa kugunda kwa mtima, komanso kupewa stroke. Koma, nditatha 1 mphamvu, kutupa kwanga kwa mitsempha ya trigeminal kunakulirakulira, koma adandiwuza kuti mwina anali osokonekera ndipo mankhwalawa sanathe kuyambitsa izi. Ndipo kotero ndidabowola kale masiku 5 (ma ampoules asanu), ndipo tsopano powerenga zambiri, ndikukayika ngati ndikufunikira mankhwalawa? Zikomo kwambiri yankho lanu!

Moni. Zizindikiro zakusintha kwa myocardium malinga ndi ECG sikuti ndi matenda, zimatha kuchitika m'matenda osiyanasiyana ndipo zimafunikira kudziwa koyenera. Pankhani yoikidwa - palibe cholakwika ndi iwo. Ma metabolic metabols amathandiza pa matenda omwe alipo komanso kupewa. Chithandizo sichingayambitse kutupa kwaminyewa. Chinanso ndichakuti pamaso pa matenda amtima maphunzirowa sikokwanira, choncho pitilizani mayeso.

Metabolic acidosis

Kwa moyo wonse, ma asidi amitundu yambiri amapangidwa m'thupi la munthu. Amawachotsera zochuluka kudzera mkodzo, thukuta komanso kupuma. Izi zimachitika ngati kagayidwe kachakudya sikasokonekera, chifukwa apo ayi adzadziunjikira m'magazi ndikusokoneza zovuta za munthu. Njirayi imatchedwa metabolic acidosis ndipo imakonda kuchitika thupi likavutika ndi vitamini B1. Izi zimaphatikizira zotsatira zowopsa: kuchuluka kwa magazi m'magazi, kulowerera m'mitsempha, kulowetsedwa kwa zotumphukira, kuchepa kwa magazi ndi kufa. Pachifukwachi, akatswiri omwe apeza wodwala yemwe ali ndi mavuto okhala ndi acid-base balance amapereka mankhwala omwe amapanga "Cocarboxylase". Malangizo ogwiritsira ntchito aperekedwa pansipa.

Kutha kwatsika

Cocarboxylase ndi enzyme yopanda mapuloteni yomwe imakhudzidwa mwachindunji machitidwe a neuro-Reflex thupi, amachepetsa kuchuluka kwa lactic, pyruvic ndi alpha-ketoglutaric acid.

Zochita zake zabwino zimapangidwira kagayidwe kazakudya ndikupereka minofu ndi mphamvu. Kuperewera kwa Cocarboxylase kumayambitsa kukoka kwa glucose, minofu ya mtima, komanso minyewa ya minyewa. Izi zitha kuchititsa kuti munthu atengeke ndi matenda monga acidosis, matenda osokoneza bongo, neurocircular dystonia, mtima pathologies, ndi zina, Mankhwala "Cocarboxylase" amatulutsa acid-base ndi metabolism. Izi, zimathandizira kuti antitoxic ndi anti-ischemic athari.

"Cocarboxylase": malangizo ogwiritsira ntchito ndi zisonyezo

Mankhwala amapatsidwa kwa wodwala amene ayenera kukhazikika kagayidwe kachakudya kupuma, chiwindi, mtima ndi kulephera kwa aimpso. Matenda a mtima, a pre-and infarction infaration, omwe amatha kuchitika chifukwa cha kuchuluka kwa acid m'magazi, kukonzekera kwa coenzyme "Cocarboxylase", omwe amafanananso ndi mavuto ofanana, amathandizira kusintha momwe munthu alili. Nthawi zambiri amalembedwa kwa anthu omwe ali ndi vuto loledzera komanso poyizoni wa mtundu uliwonse, kuphatikiza mankhwala.

Mankhwala "Cocarboxylase", malangizo omwe angagwiritsidwe ntchito omwe ali pansipa, amapatsidwa matenda opatsirana:

Peripheral neuritis ndi ma sclerosis ambiri. Ngakhale muzochita za ana, mankhwalawa adapeza malo ake. Amagwiritsidwa ntchito pa nthawi ya pakati ngati pali toxosis yayikulu kapena fetal hypoxia.

"Cocarboxylase" ndiwonjezerapo ndi ufa womwe umagwiritsidwa ntchito pobayira odwala. Kwa ana, mankhwalawa amaperekedwa kudzera mwa intramuscularly, subcutanely, kapena mwanjira zina pansi pa lilime. Mankhwala "Cocarboxylase" amagwiritsidwa ntchito kudzera m'mitsempha yama bongo okhawo kamodzi patsiku.

Ana a zaka zosakwana zisanu ndi zitatu ali ndi jakisoni wa 25 mg wa mankhwala "Cocarboxylase". Malangizo ogwiritsira ntchito kwa akulu ndi ana pambuyo pa zaka eyiti ndi osiyana mwanjira ina - mg. Nthawi ya mankhwala ndi mankhwala imakhazikitsidwa ndi dokotala aliyense payekha kwa wodwala aliyense. Zonse zimatengera kuchuluka komanso kunyalanyaza kwa matendawa.

"Cocarboxylase": Zizindikiro pa nthawi ya pakati

Mwana wosabadwayo mthupi la mkazi wathanzi kwathunthu amalandira mavitamini ndi michere yonse yofunikira kuti chitukuko chikhale bwino. Koma ngati mayi woyembekezera ali ndi mavuto akulu, monga toxosis yayikulu m'miyezi yapitayi ya kutenga pakati, eclampsia, kusokonezeka kwa thiamine, kupweteka, ndiye Cocarboxylase amapatsidwa kwa mayi woyembekezera musanayambike chifukwa chenicheni cha izi kapena kuti matenda atakhazikitsidwa. Komanso, mankhwalawa amavomerezedwa kuti azigwiritsidwa ntchito ndi amayi apakati omwe ali ndi matenda ashuga.

Zotsatira zoyipa ndi contraindication

Palibe zotsatira zoyipa zogwiritsidwa ntchito ndi mankhwalawa, kupatulapo tsankho lomwe lingagwiritsidwe ntchito palokha (cocarboxylase). Malangizo ogwiritsira ntchito amayang'anitsitsa kuti pambuyo pakupereka mankhwalawa, palibe zovuta zoyipa zomwe zidadziwika.

Cocarboxylase ndi mankhwala othandiza kwambiri, koma musanagwiritse ntchito mankhwalawa, ndikofunikira kukaonana ndi dokotala.

Cocarboxylase-Forte - ndi chiyani ndipo ndi osiyana bwanji?

Anthu ambiri omwe adwala ndi matenda enaake atawachezera Mankhwala amafunsidwa kuti awapatse china chake chothandiza, koma osafunikira jakisoni. Palibe chachilendo mu izi, chifukwa jakisoni nthawi zonse ndizowonjezera komanso zosafunikira. Kuphatikiza apo, izi ndizovuta kwambiri, chifukwa si aliyense amene angapereke jakisoni kunyumba kapena kufunsa achibale za izo. Kupatula apo, ngati zachitika molakwika, ndiye kuti kusapeza bwino komanso vuto m'malo a jakisoni kumatsimikizika. Chifukwa chake, mankhwalawa "Cocarboxylase-Forte" mapiritsi adapangidwa.

Cocarboxylase sichinthu chokhacho chomwe ndi gawo la mankhwalawa. Mulinso ndi glycerol amino acid ndi ma magnesium ion. Amasintha bwino ntchito ya cocarboxylase. Magnesium imathandiza kukonza mayamwidwe ndi kagayidwe, ndipo glycerin imakhala yofatsa, imasintha ndikulimbitsa kugona.

Mankhwala "Cocarboxylase", owunikira omwe ali abwino kwambiri, alibe kusiyana kwapadera ndi "Cocarboxylase-Forte" malinga ndi zochita za pharmacological. Amagwiritsidwanso ntchito mosamala pakuphwanya acid-base balance komanso kupewa zovuta za matenda ashuga.

Cocarboxylase Forte: Ziyeso Zamankhwala

Akatswiri akuti Cocarboxylase-Forte ndiwothandiza kwambiri kugwiritsa ntchito njira zovuta kwa odwala omwe ali ndi matenda a shuga, matenda a mtima, matenda a dystonia, matenda a metabolic, komanso kupewa kupewa zovuta pamtima.

Cocarboxylase Forte: Phindu

Mankhwalawa amagulitsidwa nthawi zambiri kuposa Cocarboxylase wa jakisoni, chifukwa cha kugwiritsa ntchito popanda kusapeza komanso kusowa kwa ndalama zowonjezera mu syringes, madzi a jakisoni, ndi zina zambiri.

Izi ndizofunikira kwambiri kwa ana omwe ali ndi matenda omwe ali pamwambawa. Kupatula apo, chakuti adakumana ndi zovuta zotere, ndipo zimawapatsa zovuta zambiri, ndipo ndikofunikira kuti awapatse chithandizo choyenera osagwiritsa ntchito singano.

Njira yogwiritsira ntchito mankhwalawa komanso contraindication ake

"Cocarboxylase-Forte" satchulidwa kwa anthu omwe ali ndi chidwi chochulukirapo pazinthuzo. Komanso, sikulimbikitsidwa kwa amayi apakati. Mankhwalawa sanatchulidwe ana omwe sanakwanitse zaka khumi ndi ziwiri.

Odwala a shuga omwe akutenga Cocarboxylase Forte ayenera kuwunika shuga wawo wamagazi tsiku lililonse.

Mlingo nthawi zonse umakhazikitsidwa ndi adokotala. Akuluakulu ndi ana opitirira zaka khumi ndi ziwiri, amatenga piritsi limodzi pansi pa lilime mpaka atasungunuka kwathunthu, katatu patsiku. Amapatsidwanso pakamwa pakadutsa mphindi 15 musanadye katatu pa tsiku, muyenera kumwa piritsi ndi madzi ochepa. Njira ya chithandizo nthawi zambiri imatha osaposa mwezi umodzi.

"Cocarboxylase": Zizindikiro zogwiritsidwa ntchito

Kugwiritsa ntchito Cocarboxylase kumachepetsa kuchuluka kwa mapangidwe a pyruvic acid ndi lactic acid, kukonza shuga, kumakhudzanso minofu ya trophic, ndikuwonjezera magwiridwe antchito amtima. Ngati thupi liperewera mu chinthu ichi, mulingo wa pyruvic acid m'magazi umakwera, zomwe zingayambitse kukula kwa acidosis.

Zizindikiro zogwiritsidwa ntchito ndi mtengo

Mtengo wamba wa cocarboxylase mu ampoules ndi ma ruble a flono. Mutha kugula cocarboxylase m'masitolo ogulitsa mankhwala.

Kugwiritsa ntchito cocarboxylase ndi zikuwonetsa:

Anthu odwala matenda ashuga, kagayidwe kachakudya, kupuma acidosis (zosagwira ntchito m'magulu a asidi-asidi, amawoneka ngati magazi ochepa pH komanso m'ndondomeko ya bicarbonate pazoyenera.
Hypoglycemia, hyperglycemia (shuga yayikulu komanso yotsika).
Njira zamatsenga zimachitika mthupi, limodzi ndi kuphwanya kagayidwe kazakudya. Matenda a gululi amathanso kulandira cholowa komanso kukhala nawo. Nthawi zambiri, galactosemia, glycogenosis, komanso matenda a shuga amapezeka.
Hepatic, kupuma, aimpso, kulephera kwa mtima. Zomwe zimachitika ndi mitundu ya matenda.
Postinfarction mtima - monga gawo la zovuta kuchizira matenda amtima, mwatsatanetsatane apa.
Hepatic chikomokere.
Matenda a shuga. (Nthawi zambiri mumapezeka matenda a shuga chifukwa chophwanya shuga mu magazi)
Uchidakwa wambiri komanso chakumwa chakumwa choledzeretsa.
Poizoni mankhwala gulu la barbiturates, digitalis.
Paratyphoid, malungo ofiira, diphtheria, matenda a typhoid - monga gawo limodzi la zovuta.
Angapo sclerosis, zotumphukira neuropathy.
Encephalopathy, hypoxic perinatal, chibayo, sepsis, kulephera kupuma kwa akhanda.
Zochitika limodzi ndi acidosis ndi hypoxia.

Malangizo ogwiritsira ntchito ndi mlingo

Malangizo ogwiritsira ntchito jakisoni wa cocarboxylase ndi ufa pakukonzekera njira:

Cocarboxylase imayendetsedwa mosavuta, kudzera m'mitsempha kapena m'mitsempha. Gawo la mankhwalawa limayikidwa payekha, kutengera anamenis, mkhalidwe wa wodwala komanso kuopsa kwa matendawa.
Kwa akuluakulu, mankhwalawa amaperekedwa kamodzi - 50/100 mg. Ngati ndi kotheka, monga momwe zimakhalira ndi vuto la matenda ashuga, kamodzi pa maola awiri kapena atatu. M'tsogolomu, chithandizo chamankhwala chimathandizidwa - 50 mg tsiku lililonse.
Ndi kulephera kwadongosolo kosakhazikika - mosamalitsa 50 mg kawiri kapena katatu tsiku lililonse, musanayambe kukonzekera kwa digitalis. Maphunzirowa ndi maola 24.
Mu shuga mellitus, mg tsiku lililonse kutalika kwa masiku 5 mpaka 10, osayimitsa mankhwala antidiabetes.
Mu pachimake mawonekedwe aimpso kapena chiwindi kulephera, kuyamwa, kuledzera mg katatu patsiku.
Ndi angapo sclerosis ndi zotumphukira neuritis, 50/100 mg tsiku lililonse supra.

Cocarboxylase hydrochloride intramuscularly chithandizo chabwino cha mtima

Lero, zidandigwira kuti ndilembe ndemanga zamankhwala. Pali usiku pabwalo, koma sindingathe kuyimitsa zonse))).

Pano, ndikukuuzani za mankhwala omwe adandithandizira kubwezeretsa mtima wanga ndikuthandizira kulimba kwa thupi pambuyo pobereka. Mapazi anga atazungulira nthawi, kukhumudwa pambuyo pake, kenako pali ana awiri nthawi imodzi, ndizovuta kwambiri pagalimoto yanga. Chifukwa chake, pamene arrhasmia inayamba ndipo thupi linayamba kugwedezeka chifukwa chosowa tulo, (makamaka kupompa mkaka usiku), ndinapempha amayi anga kuti andipatse jakisoni wa Cocarboxylase hydrochloride intramuscularly.

Mwamwayi, amayi anga ali ndi dokotala komanso jakisoni, simukuyenera kupita kuchipatala.

Njira yanga yoperekera chithandizo inali yosavuta: tsiku lina ndinalowetsedwa ndi ATP (komanso thandizo la mtima).

Pa tsiku lachiwiri, Cocarboxylase hydrochloride anali atabayidwa.

Pophatikiza mankhwalawa, mtima wanga unalandira "mavitamini" amtundu wina omwe adandipatsa mphamvu kuyang'anira ana nthawi yonseyo.

Phukusili lili ndi mabotolo 10 a cocarboxylase + 10 mabotolo a sol sol for intramuscular management.

Tsoka ilo, sindingawonetse chithunzi cha ATF, popeza kuti majakisoni atha. Ndipo amayi anga anagula phukusi lina la cocarboxylase. Gawo la malangizo ogwiritsa ntchito, ndikuwonetsa pachithunzichi.Koma ikunena momveka bwino kuti ndi zovuta zamtima komanso kuchepa kwa chakudya chamafuta, mutha kubaya mankhwalawa. Ndinali ndi tachycardia kale panthawiyo, popeza sindinkagona mwachangu kwa pafupifupi theka la chaka. Inde, ndipo amuna anga sanathandize. Njira yogwiritsira ntchito mankhwalawa, ndinayala motsatizana. Ndani amasamala, mutha kuwerenga momwe mungabyala jakisoni musanagwiritse ntchito.

Njira yanga yothandizira, kubwezeretsa phokoso la mtima ndikusintha magwiridwe ake, inali masiku 20.

Kukonzekera kwa masiku 10 ATP + masiku 10 cocarboxylase kukonzekera.

Jakisoni ndiwodwala kwambiri, makamaka cocarboxylase. Zimamveka kuti njuchi yaluma. Pamapeto pa chithandizo, ndinali ndimalira kale jakisoni.

Komano momwe mtima wanga udayamba kugwira ntchito. Zatsopano bwanji! Arrhythmia, tachycardia wapita, ndinamva mphamvu ndi mphamvu zambiri. Sindikudandaula kuti zonsezi zidadutsa. Ngakhale mabwalo pansi pamaso apita))).

Mtengo wa mankhwalawa kwa ma ampoules 10 ndi 70 h scrollnias, kapena 300 ma ruble.

Njira yonse ya chithandizo, idanditengera ma h hpnias 150 (pamodzi ndi ATP).

Cocarboxylase Injection

Makampani ambiri opanga mankhwala akukhazikitsa Cocarboxylase, vitamini gulu lowerengeka. Mbale iliyonse imakhala ndi magalamu 0,55 a chinthu chachikulu. Komanso mu phukusi pamakhala zowonjezera zowonjezera ndi yankho la kuchepetsera ufa. Mankhwalawa amapezeka mu ufa chifukwa cha jakisoni, yemwe amasungunuka musanayambike mwachindunji. Phukusili lili ndi ma 5 kapena 10 ampoules.

Mankhwala

Chida ichi chimakhala ndi zotsatirazi mthupi:

coenzyme
pamodzi ndi sodium ndi mapuloteni, imathandizira ku carboxylation ndi decarboxylation,
imathandizira mapangidwe a acetyl coenzyme A, omwe amachititsa kuti kagayidwe kazachilengedwe kamangidwe.

Mankhwala

Ndi kholo makonzedwe, mankhwala amapangika mwachangu komanso mokwanira kwathunthu m'matumbo aang'ono ndi duodenum. Maola 11 okha atatha kugwiritsa ntchito, cocarboxylase amachotsedwa m'thupi. Pophunzira za mankhwalawa, zinali zotheka kudziwa kuti amapezeka m'matupi onse, ndipo makamaka ambiri aiwo m'chiwindi, mtima ndi ubongo.

Cocarboxylase amathandizira kuti glucose amizidwe ndikugwira ntchito moyenera kwa ziwalo za CCC. Komanso, gawo lalikulu limathandizira kukonza minofu. Kuperewera kwake kumakwiyitsa kuchulukana kwa asidi, pomwe acidosis imayamba ndipo zotsatira zake ndi acidotic chikomokere. Nthawi zambiri, Cocarboxylase amalimbikitsidwa pamaso pa pathologies mkati mwa nthawi yomwe pali kuperewera kwa chilengedwe.

Pharmacokinetics

Ikalowa m'magazi, gawo lalikulu la mankhwalawo limatengedwa ndi maselo ofiira amwazi ndikufalikira mthupi lonse mthupi la thiamine diphosphate. Njira za metabolism zimachitika m'chiwindi, ndipo mankhwalawa amachotsedwa pogwiritsa ntchito impso ndi mkodzo.

Madokotala amalembera Cocarboxylase pamaso pa matenda otsatirawa:

acidosis ya matenda ashuga, metabolic ndi kupuma,
kulephera kwa mtima
kuphwanya impso ntchito,
mavuto kupuma
mtima
kagayidwe kachakudya michere,
vuto la mtima
angina wosakhazikika,
matenda a mtima, omwe amapezeka nthawi zonse,
chikomokere matenda a shuga
poyizoni wazakumwa zoledzeretsa ndi zotsatira zake,
kukhalapo kwa mbiri yakale yosamwa kwambiri,
multiple sclerosis
matenda osiyanasiyana opatsirana
sepsis yotsatira hypoxia ndi acidosis.

Contraindication

Kuzindikira kwakukulu kwa mankhwalawa.
Hypovitaminosis Vitamini B1.
Vitamini B1 ya vitamini.

Pa nthawi yoyembekezera komanso ana

Kwa ana, mankhwalawa amaperekedwa kudzera mwa intramuscularly kapena subcutaneally, kupatula ana akhanda. Mankhwalawa amaperekedwa kwa iwo pang'ono.

Cocarboxylase hydrochloride intramuscularly chithandizo chabwino cha mtima

Lero, zidandigwira kuti ndilembe ndemanga zamankhwala. Pali usiku pabwalo, koma sindingathe kuyimitsa zonse))).

Mwamwayi, amayi anga ali ndi dokotala komanso jakisoni, simukuyenera kupita kuchipatala.

Njira yanga yoperekera chithandizo inali yosavuta: tsiku lina ndinalowetsedwa ndi ATP (komanso thandizo la mtima).

Pa tsiku lachiwiri, Cocarboxylase hydrochloride anali atabayidwa.

Pophatikiza mankhwalawa, mtima wanga unalandira "mavitamini" amtundu wina omwe adandipatsa mphamvu kuyang'anira ana nthawi yonseyo.

Phukusili lili ndi mabotolo 10 a cocarboxylase + 10 mabotolo a sol sol for intramuscular management.

Tsoka ilo, sindingawonetse chithunzi cha ATF, popeza kuti majakisoni atha. Ndipo amayi anga anagula phukusi lina la cocarboxylase. Gawo la malangizo ogwiritsa ntchito, ndikuwonetsa pachithunzichi. Koma ikunena momveka bwino kuti ndi zovuta zamtima komanso kuchepa kwa chakudya chamafuta, mutha kubaya mankhwalawa. Ndinali ndi tachycardia kale panthawiyo, popeza sindinkagona mwachangu kwa pafupifupi theka la chaka. Inde, ndipo amuna anga sanathandize. Njira yogwiritsira ntchito mankhwalawa, ndinayala motsatizana. Ndani amasamala, mutha kuwerenga momwe mungabyala jakisoni musanagwiritse ntchito.

Njira yanga yothandizira, kubwezeretsa phokoso la mtima ndikusintha magwiridwe ake, inali masiku 20.

Kukonzekera kwa masiku 10 ATP + masiku 10 cocarboxylase kukonzekera.

Jakisoni ndiwodwala kwambiri, makamaka cocarboxylase. Zimamveka kuti njuchi yaluma. Pamapeto pa chithandizo, ndinali ndimalira kale jakisoni.

Komano momwe mtima wanga udayamba kugwira ntchito. Zatsopano bwanji! Arrhythmia, tachycardia wapita, ndinamva mphamvu ndi mphamvu zambiri. Sindikudandaula kuti zonsezi zidadutsa. Ngakhale mabwalo pansi pamaso apita))).

Mtengo wa mankhwalawa kwa ma ampoules 10 ndi 70 h scrollnias, kapena 300 ma ruble.

Njira yonse ya chithandizo, idanditengera ma h hpnias 150 (pamodzi ndi ATP).

Cocarboxylase Injection

Mankhwala

Chida ichi chimakhala ndi zotsatirazi mthupi:

coenzyme
pamodzi ndi sodium ndi mapuloteni, imathandizira ku carboxylation ndi decarboxylation,
imathandizira mapangidwe a acetyl coenzyme A, omwe amachititsa kuti kagayidwe kazachilengedwe kamangidwe.

Mankhwala

Pharmacokinetics

Madokotala amalembera Cocarboxylase pamaso pa matenda otsatirawa:

acidosis ya matenda ashuga, metabolic ndi kupuma,
kulephera kwa mtima
kuphwanya impso ntchito,
mavuto kupuma
mtima
kagayidwe kachakudya michere,
vuto la mtima
angina wosakhazikika,
matenda a mtima, omwe amapezeka nthawi zonse,
chikomokere matenda a shuga
poyizoni wazakumwa zoledzeretsa ndi zotsatira zake,
kukhalapo kwa mbiri yakale yosamwa kwambiri,
multiple sclerosis
matenda osiyanasiyana opatsirana
sepsis yotsatira hypoxia ndi acidosis.

Contraindication

Chotsutsana chokha chogwiritsira ntchito mankhwalawa ndi kupezeka kwa sayanjana ndi mbali zake zazikulu kapena zothandizira.

Zosokoneza magazi

Mlingo wa cocarboxylase mu matenda: 1 wokwanira mpaka katatu patsiku. Kutalika kwa mankhwalawa kumatha kuyambira masiku 14 mpaka 1 mwezi.

Odwala omwe ali ndi mankhwalawa amayenera kupatsidwa mankhwala osokoneza bongo a 100-1000 milligrams patsiku kwa masiku 10 osapumira. Pamodzi ndi izi, ndikofunikira kumwa mankhwala ena a shuga.

Pamaso pa pachimake impso ndi hepatic kusowa m'masiku ochepa, cocarboxylase amaba jekeseni wa m'mitsempha 1-3 ma 3 katatu patsiku. Mutha kugwiritsanso ntchito kukapimitsa mankhwala. Kuti muchite izi, sinthani mankhwala ofunikira mu 400 ml ya njira ya 5% ya shuga.

Mu matenda, mankhwala kutumikiridwa intramuscularly kwa ma ampoules a 1-2 patsiku. Njira ya mankhwalawa imachokera masiku 30 mpaka 45.

Ana omwe sanafikire miyezi itatu akhoza kupatsidwa 25 mg ya cocarboxylase subcutaneously kapena intramuscularly. Odwala kuyambira miyezi itatu mpaka zaka 7 amapatsidwa mg mg patsiku, ndipo kuyambira wazaka 8 mpaka 18, mutha kugwiritsa ntchito mg.

Amimba

Ngati dokotala atenga udindo ndikuganiza zopereka Cocarboxylase kwa mayi woyembekezera, ndiye kuti amasudzulidwa ku glucose ndi vitamini C ndipo amawupatsa. Kutalika kwa mankhwalawa kuyambira masiku 10 mpaka miyezi iwiri. Zizindikiro zazikulu zogwiritsa ntchito mankhwalawa nthawi iyi ndi:

Bongo

Mukapitirira mlingo womwe dokotala wakupatsani, zizindikiro zotsatirazi zitha kuoneka:

kugunda kwa mtima
kudwala
akukumbutsa
mutu wanga ukupweteka
kufooka ndi kugwira ntchito kwambiri kumamveka,
minofu khunyu
ntchito yamtima imasokonekera,
thukuta likukula,
kupuma movutikira ndi matupi awo sagwirizana.

Ndi kukula kwa chizindikiro chimodzi kapena zingapo, ndikofunikira kusiya kukonzekera kwa mankhwalawa ndikulumikizana ndi chipatala chomwe madokotala amatha kupereka chithandizo chamankhwala oyamba komanso osokoneza bongo.

Mankhwala

Coenzyme wopangidwa m'thupi kuchokera ku thiamine. Iwo ali kagayidwe kachakudya, imayendetsa minofu kagayidwe.

Mthupi, phosphorylated amapanga ma mono-, di- ndi triphosphoric esters, cocarboxylase ndi gawo la michere yomwe imayambitsa carboxylation ndi decarboxylation ya keto acids, pyruvic acid, yomwe imalimbikitsa kuphatikizika kwa acetyl coenzyme A, yomwe imatsimikizira kutenga nawo gawo mu metabolism ya carbohydrate. Kutenga gawo mu pentose kuzungulira kumalimbikitsa kusakanikirana kwa ma nucleic acid, mapuloteni ndi lipids. Amasintha kukhathamira kwa glucose, minofu yamitsempha yamagazi, imathandizira kusintha ntchito yamtima.

Kuperewera kwa Cocarboxylase kumapangitsa kuwonjezeka kwa milingo ya pyruvic ndi lactic acid m'magazi, zomwe zimabweretsa acidosis ndi acidotic coma.

Zizindikiro zogwiritsidwa ntchito

Kodi chimathandiza ndi chiyani? Cocarboxylase amagwiritsidwa ntchito nthawi yomweyo limodzi ndi mankhwala ena mankhwalawa:

Matenda a mtima osachiritsika, matenda obwera pambuyo pamtima, matenda amtima, matenda obisika, osakhazikika pa mtima,
Acidosis yokhala ndi hyperglycemic chikomokere, metabolic acidosis, acidosis wokhala ndi mtima m'mapapo komanso kulephera kupuma,
Kulephera kwamkati ndi / kapena chiwindi, kuledzera kwamphamvu komanso pachimake, poyizoni, kuledzera ndi barbiturates ndi mtima glycosides, matenda opatsirana (malungo ofiira, diphtheria, paratyphoid fever, typhoid fever, angapo sclerosis, neuralgia, zotumphukira neuritis.

Komanso, mankhwalawa amalembera ana nthawi ya neonatal ndi hypoxia, kupuma, kulephera kwa hypoxic encephalopathy, sepsis, chibayo, acidosis.

Mimba komanso kuyamwa

Cocarboxylase pa nthawi yomwe ali ndi pakati amaloledwa kukhazikitsidwa ngati phindu lomwe amayembekezeredwa kwa mayi limaposa zovuta zomwe zimayambitsa khanda. Ngati mukufunikira kugwiritsa ntchito mankhwalawa panthawi ya mkaka wa m`mawere, muyenera kufunsa katswiri ndikusankha kusokonezeka kwa kuyamwitsa.

Cocarboxylase pa nthawi yomwe ali ndi pakati, ngati pali ma pathologies mukukula kwa mwana wosabadwayo, ndi oletsedwa.

Mlingo ndi makonzedwe

Njira yothetsera jakisoni yomwe idakonzedwa kuchokera ku ufa imayendetsedwa kudzera mu mnofu kapena m'magazi. Mlingo wa mankhwalawa umakhazikitsidwa payekhapayekha, kutengera kuopsa kwa mkhalidwe wa wodwalayo komanso chikhalidwe chake.

Akuluakulu amaperekedwa 0,05-0.1 g patsiku kamodzi, ngati ndi kotheka (matenda a shuga), jakisoni imabwerezedwa pambuyo pa maola 1-2. Pambuyo pake, kumwa kwa 0,05 mg ndi patsiku kumayikidwa. Pankhani ya kulephera kwazungulire, 0,05 g amatumikiridwa maola awiri musanadye makonzedwe a digito katatu patsiku.

Mlingo wa tsiku ndi tsiku wa Cocarboxylase wa ana osakwana miyezi 3 ndi 0,025 g, kuyambira miyezi 4 mpaka zaka 7 - 0.025-0.05 g, wazaka 8-18 - 0.05-0.1 g.

Njira yothetsera jakisoni yokonzedwa kuchokera ku lyophilisate imayendetsedwa kudzera m'mitsempha kapena m'mitsempha. Mlingo wa mankhwalawa ndi 0,05-0.2 g patsiku. Mlingo wa tsiku ndi tsiku wa odwala omwe ali ndi matenda ashuga amatha kuwonjezeka mpaka 0-1-1 g.

Kwa ana, yankho limagwiritsidwa ntchito intramuscularly, mtsempha (mumtsinje kapena kukapanda kuleka), kwa ana akhanda - ochepa. Mlingo wa tsiku ndi tsiku wa Cocarboxylase wa ana ochepera miyezi 3 ndi 0,025 g, kuyambira miyezi 4 mpaka zaka 7 - 0,025-0.05 g, wazaka 8-18 - 0,05-0.1 g.

Migwirizano ndi magwiritsidwe akusungidwa

Sungani pamalo amdima, owuma komanso osatheka ndi ana. Ufa - pa kutentha osaposa 25 ° C, lyophilisate pokonzekera yankho la intravenous and intramuscular management - 20 ° C, lyophilisate pokonzekera yankho la makina a intramuscular - 10 ° C.

Moyo wa alumali ndi zaka zitatu.

Kodi mwapeza cholakwika m'mawuwo? Sankhani ndikusindikiza Ctrl + Lowani.

Zotsatira za pharmacological

Cocarboxylase imakhala ndi coenzyme, monga momwe ilili coenzyme thiamine. Pamodzi ndi mapuloteni komanso michere ya magnesium, imapangitsa carboxylation ndi decarboxylation wa alpha keto acidkomanso zimalimbikitsa maphunziroacetyl coenzyme A,potero matenda a kagayidwe kazakudya.

Kuyanjana kwa mankhwala osokoneza bongo

Cocarboxylase amaphatikizidwa mwachangu ndi mankhwala osiyanasiyana komanso zinthu zina zogwira thupi. Ganizirani zochitika zazikulu:

Ndi antidepressants - pali kuchuluka kwa zochitika.
Mavitamini a B amathandizira kuti ayambe kugwiritsa ntchito njira zochizira.
Digoxin - imayambitsa kuchepa kwa kuthekera kwa myocardiocyte kuyamwa zinthu zomwe zimagwira ndi ma metabolites.

Sizoletsedwa kuphatikiza Cocarboxylase ndi mankhwala omwe ali ndi alkali kapena osachita nawo mbali.

Kuchita ndi mankhwala ena

Malinga ndi ndemanga, Cocarboxylase, ikaphatikizidwa, imakulitsa zowonjezera zazotsatira zamtima zamtima glycosides.

Malinga ndi malangizo, kuphatikiza mankhwalawo mu syringe imodzi ndi mankhwala ena ndizoletsedwa. Chovomerezeka kugwiritsa ntchito zosungunulira zokha, zomwe zimakhala m'bokosi ndi mankhwala.

Migwirizano ndi magwiritsidwe akusungidwa

Alumali moyo wa mankhwala ndi zaka 3. Njira yothetsera mavutowo itakonzedwa, iyenera kugwiritsidwa ntchito nthawi yomweyo.Malinga ndi ndemanga, Cocarboxylase iyenera kusungidwa kutali ndi ana, m'malo owuma komanso amdima.

Sungani mankhwalawo pa kutentha osaposa 25 digiri Celsius.

Botolo limodzi la ufa limakhala ndi: cocarboxylase hydrochloride - 50 milligrams ndi excipients.

Mphepete imodzi yamadzi yosungunulira imakhala ndi: madzi a jakisoni - mamililita awiri.

Malangizo ogwiritsira ntchito Cocarboxylase

Mu Chilatini, dzina la mankhwalawa limamveka ngati Cocarboxylase, mankhwalawa amapangidwa ndi opanga zapakhomo ndi akunja, akhala akudziwika kwa nthawi yayitali. Cocarboxylase hydrochloride amagwira ntchito ngati mankhwala, omwe ali ndi katundu wa coenzyme, amachotsa mawonekedwe a acidosis ndikubwezeretsanso thupi lanyama ntchito.

Kupanga ndi mawonekedwe a kumasulidwa

Mankhwala amadziwika pokhapokha mwa mtundu wa lyophilisate - ufa pokonzekera njira ya makolo. Kupanga kwake ndi kufotokoza:

Mitundu yoyera yodziwika bwino yophatikiza mitundu yoyera

Mbale umodzi uli ndi 50 mg ya cocarboxylase hydrochloride ndi 2 ml ya zosungunulira - sodium acetate

Ampoules ndi ufa wa 50 mg, phukusi la ma ampoules asanu

Kuchita ndi mankhwala ena

Cocarboxylase imalumikizana bwino ndi mankhwala ndi zinthu zingapo zogwira ntchito:

antidepressants kuphatikiza ndi mankhwala - zochulukitsa,
Mavitamini B - mukumwa mankhwalawa, mphamvu za mavitamini zimatheka.
digoxin - kuthekera kwa myocardiocytes kuyamwa mphamvu ya mankhwala ndipo ma metabolites ake amachepa,
kugwiritsa ntchito mankhwalawa limodzi ndi njira zamchere kapena zosagwirizana ndi ndale sizikulimbikitsidwa.

Cocarboxylase Analogs

Cocarboxylase Implant - ndi coenzyme yomwe imapangidwa m'thupi kuchokera ku thiamine,
Cocarboxylase Ferein - analogue yathunthu ya mankhwala omwe afotokozedwawo, omwe ali ndi mphamvu yofanana mthupi,
Ellar Cocarboxylase,
Cocarboxylase Hydrochloride - coenzyme wa ma enzyme omwe amaphatikizidwa ndi kagayidwe kazachilengedwe.

Ndemanga pa Cocarboxylase

Ndemanga za cocarboxylase zimatha kupezeka pa intaneti. Madokotala amasiya ndemanga kuchokera pakuwona kwa akatswiri pakuwona ndi odwala omwe adziwona zotsatira za mankhwalawo pokha.

Mwachitsanzo, katswiri wazachipembedzo Nikolai adalemba pa imodzi mwazinthuzi:

«I / O cocarboxylase imatha kukhala yothandiza kwambiri kwa odwala omwe ali ndi vuto la mtima. Kutsatira kwathunthu zomwe ndatsimikiza, 99% ya odwala amati zizindikiro za matenda osasangalatsa zimatha pambuyo pa jakisoni awiri, omwe amalankhula kale za phindu la mankhwalawo».

Koma Natalia, yemwe mankhwalawo adamulembera wa mimba Adalemba kuti samona kusintha kulikonse, koma kuwunika atamwa mankhwalawa adawonetsa kusintha kwathanzi lake. Pambuyo pobadwa, analogue ya mankhwala osokoneza bongo adagwiritsidwa ntchito ndi mwana wake.

Ndikosatheka kupeza malingaliro andale kapena osalimbikitsa kuchokera kwa odwala omwe ali pa intaneti, omwe angatchulidwenso ndi zabwino za mankhwalawa.

Mtengo wa Cocarboxylase

Mtengo wa cocarboxylase zimatengera mtundu wa kumasulidwa ndi chomera chomwe chimapanga mankhwala omwe ali pansi pa layisensi yolandila kwa wopanga ovomerezeka. Mndandanda wamitengo ya Cocarboxylase:

muma ampoules a 50 mg N1 okhala ndi MHFP solvent opangidwa ndi Moskhimpharmpreparat OJSC - mtengo wake ndi ma 47 rub rubles,
mu ma ampoules a 50 mg N1 ndi zosungunulira zopangidwa ndi Microgen NPO FSUE Tomsk, Virion - zimawononga ma ruble 26.30,
ma ampoules a 50 mg N1 ndi zosungunulira zopangidwa ndi MHFP - zimafunikira ma ruble 50.30,
ma ampoules a 50 mg N1 ndi zosungunulira zopangidwa ndi Bryntsalov A - mtengo wa ma ruble 15.60,
mu ma ampoules a 50 mg N1 ndi zosungunulira zopangidwa ndi Moskhimpharmpreparaty (Russia) - mtengo wa ma ruble 7.30,
mu ma ampoules a 50 mg N1 ndi zosungunulira zopangidwa ndi Microgen NPO FSUE Perm, Biomed - zimawononga ma ruble a 180.00.

Pa nthawi yoyembekezera

Pazifukwa zamakhalidwe, maphunziro azachipatala pazotsatira za cocarboxylase pa amayi apakati, oyembekezera amayi awo ndi ana awo sanachitike. Pachifukwa ichi, sikulimbikitsidwa kugwiritsa ntchito mankhwalawa panthawiyi.

Momwe Cocarboxylase amakhudzira kuchuluka kwa magwiridwe antchito poyendetsa kapena kugwiritsa ntchito njira zina sizikudziwika, chifukwa opanga sanawerenge nkhaniyi.

Kupeza

Mutha kugula Cocarboxylase mu jakisoni popereka mankhwala kuchokera kwa dokotala, omwe akuwonetsa muyezo wofunikira ndi njira ya mankhwalawo.

Kuti mukhalebe achire, ndikofunikira kutsatira malamulowa:

Kutentha kwa chipinda chomwe mankhwalawo ali osaposa 25 digiri,
chinyezi ziyenera kutsitsidwa
ma ampoules azikhala kutali ndi ana komanso kuwala kwa dzuwa.

Tsiku lotha ntchito likuwonetsedwa pamaphukusi ndipo sayenera kupitirira miyezi 36. Pambuyo pa nthawi imeneyi, ma ampoules ayenera kutayidwa.

Malangizo ogwiritsira ntchito jakisoni wa Cocarboxylase akuwonetsa kukhalapo kwa ma fanizo:

Mtengo wa mankhwalawa umatengera wopanga mankhwalawo ndi malo ogulitsa. Mtengo wamba wa ma ampoules 5 a Cocarboxylase ali pamlingo wa ma ruble 50, zomwe zimapangitsa kuti mankhwalawa akhale okwera mtengo kumagawo osiyanasiyana a anthu.

Malangizo apadera

Monga gawo la Cocarboxylase, glycocholic acid imanenedwa, yomwe, mwa kuwongolera mobwerezabwereza kapena kwa nthawi yayitali kwa odwala omwe ali ndi jaundice kapena cholestasis, imatha kupewetsa chiwindi ntchito. Malangizo ena apadera a mankhwalawa:

Pambuyo pochulukitsa ndi lyophilisate, njira yothetsera vutoli itha kusungidwa osapitiliza tsiku kutentha madigiri 2-8, ndipo ndibwino kuti muziigwiritsa ntchito nthawi yomweyo.
Sizikudziwika kuti mankhwalawa amakhudza bwanji kuthamanga ndi chidwi, chifukwa odwala omwe amalandila chithandizo anali ochepa komanso owopsa ndipo samatha kuyendetsa magalimoto ndi machitidwe.

Cocarboxylase pa nthawi yapakati

Zisonyezero zakugwiritsa ntchito mankhwalawa panthawi yomwe ali ndi pakati ndi fetal hypoxia komanso chithandizo cha toxicosis monga gawo la zovuta mankhwala. Amayi oyembekezera amakhala kuti amamwa mankhwalawa kwa masiku 10 pa 50 mg / tsiku. The lyophilisate imasungunuka mu 20 ml ya glucose, jakisoni amaperekedwa movomerezeka ndi zovuta ndi yankho la ascorbic acid (vitamini C).

Migwirizano yogulitsa ndikusunga

Mutha kugula mankhwala kokha mwa mankhwala. Mankhwalawa amasungidwa pamatenthedwe mpaka madigiri 25 m'malo owuma osapeza kuwala kwa dzuwa kwa zaka zitatu kuyambira tsiku lopangidwa.

Pali mitundu ingapo ya mankhwala yotchuka ya opanga osiyanasiyana, koma ndi dzina lomwelo. Kufotokozera kwawo:

Cocarboxylase Improv - coenzyme wopezeka m'thupi kuchokera ku thiamine,
Cocarboxylase Ferin ndi mankhwala okwanira ndi mankhwala omwewo
Ellar cocarboxylase ndi metabolic wothandizila mu mawonekedwe a lyophilisate,
Cocarboxylase Hydrochloride ndi coenzyme yomwe imakhudzidwa ndi metabolism ya carbohydrate.

Cocarboxylase - malangizo, ntchito, maupangiri, ma piritsi ndi ma jakisoni amkati a hydrochloride) omwe mankhwalawo amathandizira acidosis ndi chikomokere kwa akuluakulu, ana ndi mimba. Kupanga

Munkhaniyi, mutha kuwerengera malangizo omwe mungagwiritse ntchito mankhwalawa Cocarboxylase. Amapereka ndemanga kuchokera kwa alendo omwe amabwera patsamba lino - ogwiritsa ntchito mankhwalawa, komanso malingaliro a akatswiri azachipatala pakugwiritsa ntchito Cocarboxylase pamachitidwe awo. Chopempha chachikulu ndikuti muwonjezere ndemanga zanu za mankhwalawa: mankhwalawo adathandizira kapena sanathandizire kuchotsa matendawa, ndizovuta ziti zomwe zimawoneka ndi zotsatirapo zake, zomwe mwina sizinalengezedwe ndi wopanga. Mndandanda wa Cocarboxylase pamakhala ma analogues omwe amapezeka. Gwiritsani ntchito mankhwalawa acidosis, chikomokere matenda a chiwindi ndi chiwindi ndi kulephera kwa impso akulu, ana, komanso panthawi yoyembekezera ndi mkaka wa m`mawere. The zikuchokera mankhwala.

Cocarboxylase ndi coenzyme yomwe imapangidwa m'thupi kuchokera ku thiamine. Iwo ali kagayidwe kachakudya, imayendetsa minofu kagayidwe. Mthupi, phosphorylated amapanga ma mono-, di- ndi triphosphoric esters, cocarboxylase ndi gawo la michere yomwe imayambitsa carboxylation ndi decarboxylation ya keto acids, pyruvic acid, yomwe imalimbikitsa kuphatikizika kwa acetyl coenzyme A, yomwe imatsimikizira kutenga nawo gawo mu metabolism ya carbohydrate. Kutenga gawo mu pentose kuzungulira kumalimbikitsa kusakanikirana kwa ma nucleic acid, mapuloteni ndi lipids.

Amasintha kukhathamira kwa glucose, minofu yamitsempha yamagazi, imathandizira kusintha ntchito yamtima.

Kuperewera kwa Cocarboxylase kumapangitsa kuwonjezeka kwa milingo ya pyruvic ndi lactic acid m'magazi, zomwe zimabweretsa acidosis ndi acidotic coma.

Cocarboxylase hydrochloride + Excipients.

metabolic acidosis
Hyperglycemic coma ndi acidosis mu matenda a shuga,
kulephera kwa chiwindi
kulephera kwa aimpso
kupuma acidosis aakulu, mtima kulephera,
kulephera kupuma
kulephera kwina kosasintha kwa magazi,
myocardial infarction ndi pambuyo-infarction mtima (monga gawo la zovuta mankhwala),
poyizoni wazakumwa zoledzeretsa,
uchidakwa wambiri,
poizoni wazida, barbiturates,
kuledzera matenda opatsirana: diphtheria, malungo ofiira, matenda a typhoid ndi paratyphoid
zotumphukira neuritis.

Mu ana mu nthawi ya Neonatal nthawi:

perinatal hypoxic encephalopathy,
kulephera kupuma
chibayo
sepsis
hypoxia
acidosis.

Lyophilisate pakukonzekera njira yothetsera kulowetsedwa ndi mtsempha (makonzedwe a ma piritsi a jekeseni).

Palibenso mitundu ina ya kumwa, kaya ndi mapiritsi kapena zowonjezera.

Malangizo ogwiritsa ntchito ndi chiwembu chogwiritsira ntchito

Akuluakulu amawathandizira kudzera m'mitsempha kapena m'mitsempha. Mlingo wake ndi mg patsiku. Mu matenda a shuga a mellitus (acidosis, chikomokere), mlingo wa tsiku ndi tsiku ukhoza kukhala 0,1-1 g. Pafupipafupi komanso nthawi yayitali yogwiritsira ntchito zimatengera zisonyezo.

Kwa ana - mu / m, mu / mu (kukapumira (dontho) kapena ndege), kwa ana akhanda - pang'ono. Ana mpaka miyezi itatu - 25 mg patsiku, kuyambira miyezi 4 mpaka zaka 7, patsiku, kuyambira wazaka 8 mpaka 18 patsiku. Kutalika kwa mankhwalawa ndikuchokera masiku 3-7 mpaka 15.

thupi lawo siligwirizana (urticaria, kuyabwa),
Hyperemia, kuyabwa ndi kutupa pamalo a jakisoni.

Hypersensitivity kuti cocarboxylase.

Mimba komanso kuyamwa

Pankhani yothandiza ndi chitetezo chogwiritsa ntchito cocarboxylase pa nthawi yoyembekezera, maphunziro azachipatala sanachitike. Chifukwa chake, deta yodalirika pa contraindication ya cocarboxylase panthawiyi sichiri. Kufunsira kwa dokotala ndikofunikira.

Kugwiritsa ndikotheka malinga ndi mtundu wa mankhwalawa.

Imawonjezera mtima wa mtima wa glycosides wamtima ndikuwongolera kulolerana kwawo.

Mndandanda wa mankhwala Cocarboxylase

Zofanana muzochitika zamagulu:

Cocarboxylase Amabzala,
Cocarboxylase Ferein,
Ellar Cocarboxylase,
Cocarboxylase hydrochloride.

Analogs mu pharmacological gulu (othandizira pochizira acidosis):

Alpha D3 Teva,
Dimephosphone,
Kalinor
Quintasol,
Sodium bicarbonate,
Muli sodium lactate,
Stylamine
Trometamol N.

Katundu ndi zochita

Eargenous cocarboxylase amapangidwa kuchokera ku vitamini B 1, ndipo ndi coenzyme. Ma coenzymes (coenzymes) amapanga ma enzymes - mapuloteni omwe amakhala othandizira pazinthu zosiyanasiyana zamitundu mitundu. Ntchito za coenzymes nthawi zambiri zimachitidwa ndi mavitamini. Cocarboxylase ndi coenzyme ya ma enzymes omwe amawongolera metabolism ya saccharide. Kuphatikiza mapuloteni ndi michere ya magnesium, ndi gawo limodzi la enboxme ya carboxylase, yomwe imagwira ntchito ngati gawo la metabolcharide metabolism, imalepheretsa kudziunjikira kwa lactic ndi pyruvic acid m'thupi, komanso imathandizira kuyamwa kwa glucose. Zonsezi zimapangitsa kuti pakhale mphamvu zambiri zopanga mphamvu, zomwe zikutanthauza kuti metabolism yabwino m'thupi lonse.

Thiamine, yolowa m'thupi, imayamba kumamatira ku cocarboxylase, ndipo mwa mawonekedwe awa ndiomwe amapanga michere. Chifukwa chake, cocarboxylase ndi mtundu wogwira wa coenzyme wopezeka ndi thiamine pa nthawi yake yokhazikika. Komabe, mitundu ya biochemical ya thiamine pyrophosphate siili yofanana ndi mphamvu ya thiamine, chifukwa chake cocarboxylase sagwiritsidwa ntchito pochiza matenda obwera chifukwa cha kuchepa kwa vitamini B 1. Amagwiritsidwa ntchito mu zovuta kuchiza matenda osiyanasiyana a pathological omwe amafunika kukhazikika kwa carbohydrate metabolism.

Thiamine pyrophosphate amalimbikitsa kuyamwa kwa glucose, amateteza kagayidwe kachakudya mu minyewa yamanjenje, amabwezeretsa ntchito za minofu ya mtima. Kuperewera kwa cocarboxylase kumabweretsa kuphwanya asidi-m'munsi wamagazi (acidosis), komwe kumayambitsa matenda oopsa a ziwalo zonse ndi machitidwe, ndipo kumatha kubweretsa kukomoka ndi kufa.

Kuchita bwino kwa cocarboxylase kwatsimikiziridwa ndi maphunziro ambiri azachipatala.