Kodi pali kusiyana kotani pakati pa Pentovit ndi Neuromultivitis, kuwunika kwa madokotala ndi odwala matenda ashuga

Vitamini ma protein amagwiritsidwa ntchito polimbana ndi matenda a mitsempha.

Ndikofunikira kudziwa kusiyana pakati pa Pentovit ndi Neuromultivitis.

Pentovit ili ndi magawo awiri owonjezera - awa ndi mavitamini B3 ndi B9.

Amakhudzanso ntchito za mtima dongosolo, kulimbitsa chitetezo cha m'thupi, kusintha kagayidwe, kukonza shuga wambiri, mafuta, chakudya. Mlingo wambiri wa mavitamini amakhala ku Neuromultivitis, mankhwalawa amakhala oyenera kwa nthawi yayitali.

Mavitamini tata amagwiritsidwa ntchito pochiza matenda:

Matenda a CNS, kutupa kwapakatikati, kuwonongeka,
neuralgia
mavuto a minofu yamafupa ndi cartilage,
kuchuluka kwambiri, manjenje amagwira ntchito kuvala,
sciatica, neuritis,
zotupa pakhungu chifukwa cha kuwonongeka kwa mitsempha.

Phindu la zigawozi:

B1 imasinthasintha momwe ma bioelectric amakhudzidwira mu minofu minofu chifukwa cha kukondoweza kwa mgwirizano wa synaptic. Imagwira ntchito ya coenzyme pakukonza kagayidwe.
B6 imakhudza kukonza kwa ma carbohydrate ndi lipids, imasintha kufalitsa kwamtundu wa bioelectric minofu minofu, ikuphatikizidwa pakusintha kwa purine nucleotides ndi kukonza kwa tryptophan kuti apange niacin. Kuchepetsa kukula kwa zokoka.
B12 imasungunuka mwachangu mumadzimadzi, imakhala ndi cobalt ndi zinthu zina zofunikira. Vitamini A amathandizira kuti apange myelin, yomwe imafunikira kuti apange chitseko cha zotchinga za mitsempha zomwe zimagawidwa mthupi lonse, ndikuwongolera kukakamiza kwa ma bioelectric kuzinthu komanso ziwalo. Amalimbikitsa erythropoiesis ndipo amaletsa magazi m'thupi. Zimathandizira kukhazikika, kukumbukira bwino zambiri.

Mavitamini owonjezera omwe ali gawo la Pentovit:

B3 imathandizira kupanga coenzyme NAD (Q10), transporter wamkulu wamagetsi opangira zigawo za mitochondria pakusintha kwa shuga mu mawonekedwe a kupuma. Imawongolera kuyanjana kwa ma nucleotide, mafuta.
B9 - folic acid imakulitsa machitidwe a B12, imalimbikitsa kupanga maselo amwazi, imalimbikitsa kubisalira kwa madzi am'mimba, ndi michere ina ya pancreatic. Amasintha kupanga kwa mRNA, serotonin, imathandizira kukula kwa tsitsi. Kugwira ntchito kwa chitetezo chathupi kumatheka, khungu limachiritsa mwachangu, minofu yowumitsa minofu imasintha.

Pentovit ndi analog ya ku Russia yomwe imawononga ndalama zokwana ma ruble a 125 pama mapiritsi 50.

Neuromultivitis

Mankhwala ali ndi mavitamini:

B1 imasinthidwa kukhala cocarboxylase, yomwe imakhudzidwa ndi chinsinsi cha mahomoni, imasintha njira za metabolic, ndikuthandizira kudutsa kwa kukoka kwa bioelectric kudzera mu ulusi wamitsempha.
B6 imathandizira kuti mitsempha imagwira ntchito moyenera. Amagwiritsidwa ntchito posinthana ndi ma amino acid, ali m'gulu la ma enzymes omwe amathandizira kuti pakhale kusintha kwa mankhwala mu minyewa yamitsempha. B6 imathandizira ma neurotransmitters kugwira ntchito.
B12 imasinthasintha momwe magazi amayendera, amathandizira njira zosiyanasiyana zachilengedwe. Imathandizira kupanga RNA, DNA, zomwe zimapangidwa ndi cerobrosides ndi phospholipids.

Matenda oyambitsidwa ndi kufinya kwa mafupa am'mitsempha omwe amachokera kumtambo,
lumbar ischialgia, ululu wammbuyo wopita kumadera otsika,
intercostal neuralgia, momwe mitsempha yomwe ili pakati pa nthiti imapanikizika,
matenda achitatu, kupindika kapena kutupa,
matenda amapewa am'mapewa, kusunthika kwa chifuwa, matenda kapena chizindikiro cha ululu,
polyneuropathy wokwiyitsidwa ndi zinthu zosiyanasiyana,
matenda apansi am'mbuyo
kutsina m'khosi,
Zizindikiro zopweteka
mankhwalawa amagwiritsidwa ntchito kuti matenda a mitsempha azisintha.
sinthowa mapangidwe amkati mwa ulusi,
Amathandizira kulumikizana ndi ziwalo zomwe zimakhala ndi minofu yosalala,
mavitamini amathandizira kukumbukira kukumbukira.

Mankhwalawa amagwiritsidwa ntchito piritsi limodzi kangapo patsiku, maphunzirowa ali pafupifupi mwezi umodzi, katswiriyo amawonetsa mawonekedwe a njira ya mankhwalawa. Mankhwala osokoneza bongo amakhala osowa kwambiri, zizindikiro zimachitika pamene mlingo womwe waperekedwa umaperekedwa.

Vitamini B1 sikuwoneka
atavutitsidwa ndi Vitamini B6, kusintha kwa dystrophic mu ulusi wamanjenje kumayamba, kulumikizana kwa kayendedwe, minyewa yamtunduwu imasokonezeka, kupweteketsa minofu kumachitika, data ya EEG imasokonekera, kuchepa kwa magazi, kuchepa kwa khungu sikuchitika,
B12 imayambitsa khungu pakhungu, kuyabwa, vuto la kusowa kwa magazi, kugunda kwa mtima, komanso chifuwa.

Pentovit imapangidwira zizindikiro zowawa zomwe zimayambitsidwa ndi zifukwa zosiyanasiyana, ndi polyneuropathy yoyambitsidwa ndi matenda osokoneza bongo a mellitus kapena uchidakwa. Nthawi zina, amagwiritsidwa ntchito pochiza odwala a oncology. Nthawi zambiri amalembedwa kwa anthu omwe ali ndi vuto la mitsempha.

Chidacho chimagwiritsidwa ntchito popanga zovuta za NSAIDs, kuphatikizapo mankhwala osokoneza minofu minofu, mankhwala ena kuti muchepetse kupweteka. Popewa kuyambiranso, kupezekanso kwa zizindikiro, Pentovit ikhoza kugwiritsidwa ntchito pambuyo pa chithandizo cha NSAID.

Kodi pali kusiyana kotani pakati pawo

Mukatha kuphunzira kapangidwe kake ndi kagwiritsidwe ntchito ka mankhwala, mutha kuzifanizira ndi izi:

Chithandizo chilichonse chimakhala ndi mavitamini ambiri. Ku Pentovit, folic acid ndi nicotinamide zilipo. Neuromultivitis ilibe zinthu zoterezi.
Mfundo zochita za mankhwala sizosiyana, zimaletsa hypovitaminosis. Thandizo pothana ndi vuto la mitsempha.
Mtundu wa kumasulidwa mumitundu iwiri yamankhwala ndizofanana. Chiwerengero cha mapiritsi a Pentovit omwe amagwiritsidwa ntchito patsiku ndiwokwera poyerekeza ndi Neuromultivitis, chifukwa chomaliza chili ndi mavitamini othandiza kwambiri.
Mndandanda wa contraindication Neuromultivitis ndiwowonjezereka chifukwa cha kuchuluka kwa mavitamini piritsi limodzi.
Neuromultivitis ndi okwera mtengo kwambiri, amapangidwa kunja.

Zomwe zimapanga mankhwalawa zimadziwika kuti ndizofunikira kwambiri pakulimbitsa thupi, dongosolo la endocrine silingabise zinthu zomwe zimapangidwa.

Mankhwalawa amapangidwa kuchokera ku mitundu yofanana ya mavitamini ndipo amagwiritsidwa ntchito pazovuta zamitsempha, malingaliro awo machitidwe ndi omwewo. Mankhwala amaletsa hypovitaminosis ndipo imakhala ndi phindu pa kawonedwe kazinthu zazikulu.

Mavitamini a B amakhudza njira zosiyanasiyana mthupi. Kuperewera kwa michereyi kumayambitsa kuti munthu asakhumudwe, kumakhala kusamvetseka m'malo am'mimba, pakhungu pakhungu, kuphwanya tsitsi ndikusintha kwa mawonekedwe. Pentovit ndi Neuromultivitis amathandiza kuchotsa zizindikirazi.

Malingaliro a madotolo

Muzochita zanga zamankhwala, ndi Neuromultivitis okha omwe adagwiritsidwa ntchito. Mankhwalawa amadzaza ndi zinthu zomwe zikusowa, zimathandizira kuchiritsa minofu, kuchotsa ululu. Zizindikiro zoyipa sizimapezeka mwa anthu, madandaulo ochokera kwa odwala samalandiridwa.

Neuromultivitis ndi Pentovit ndimagwiritsa ntchito zachipatala. Ndimalemba mankhwala potengera matenda enaake. Ndi chithandizo chotenga nthawi yayitali, wodwalayo amadya Neuromultivitis, ngati matendawa atathetsedwa mwachangu, mutha kumwa Pentovit. Mankhwala onse awiriwa ndi othandiza, mavuto omwe amakhalapo nawo samabuka.

Ndemanga Zahudwala

Ndikuganiza kuti Neuromultivitis ndi mankhwala othandiza kwambiri. The endocrinologist adapereka mankhwala ochiritsira pambuyo kupanikizika kwa nthawi yayitali, zotsatira zake zidawoneka nthawi yomweyo. Panalibe kugona, mantha anali atapita, ndimakhala mwamtendere ndi zochitika zosiyanasiyana. Ndimagwiritsa ntchito mankhwala osokoneza bongo m'dzinja ndi masika.

Pentovit adandiuza ndikam'peza ndi khomo lachiberekero la khomo lachiberekero. Mutu unasiya kupweteka, kumveka bwino kwa malingaliro kunawonekera. Mankhwalawa ndi okwera mtengo, muyenera kugwiritsa ntchito katatu patsiku sabata lachitatu. Ndazolowera, palibe mtima wofuna kumwa mapiritsi ena.

Kufotokozera mwachidule za mankhwalawa

"Neuromultivitis" ndi mankhwala ophatikiza omwe amapangidwa kuti apangitse kagayidwe kazakudya ka minofu. Zomwe zimagwiritsidwa ntchito popanga mankhwalawa ndi mavitamini a B, makamaka B1, B6 ndi B12. Mankhwalawa amapezeka piritsi ndi jekeseni. Poyerekeza ndemanga, majekeseni a "Neuromultivit" amawonetsedwa kwa ana kawirikawiri, makamaka ana amapatsidwa mapiritsi. Mutha kugula malonda pamtaneti uliwonse wogulitsa ma shopu. Mankhwalawa amawaika m'bokosi lakunja lamkatoni, mkati mwake muli matuza awiri a mapiritsi 10 oyera. Mapiritsiwo amakhala ndi mawonekedwe owongoka.

Ndizodabwitsa kuti palibe malingaliro ovomerezeka pakugwiritsira ntchito mankhwalawa ali mwana. Chifukwa chomwe izi zimawonedwa ngati gawo limodzi lalikulu, lomwe limaposa kuchuluka kwa mavitamini a B ndi mwana wapakati katatu. Koma pochita, chidachi chimagwiritsidwabe ntchito ndi ana kuti azichitira ana amisinkhu yosiyanasiyana, kuphatikiza makanda. Ngati mumakhulupirira ndemanga za odwala ndi madokotala, "Neuromultivit" imalekeredwa mosavuta ndi ana. Nthawi zambiri, kugwiritsa ntchito mankhwalawa kunabweretsa zotsatira zochizira. Komabe, mankhwalawa ali ndi mbali "zakuda", choncho katswiri woyenera yekha ndi amene ayenera kusankha nthawi yoikika.

Ndani amafunikira mankhwalawa?

Ngati titangotchula malangizo a "Neuromultivitis" (tisiyira ndemanga pambali), zidzadziwika kuti mankhwalawa ali ndi zowonetsa zamitsempha. Wopanga amalimbikitsa kugwiritsa ntchito mankhwalawa kwa odwala omwe ali ndi mbiri ya zovuta zotsatirazi:

zotchulidwa hypovitaminosis ,.
polyneuropathy (motsutsana ndi maziko a matenda osokoneza bongo kapena kusiya mowa),
mitsempha
neuralgia, kuphatikiza pakati,
sciatica
lumbago
plexitis
paresis a nkhope
chophukacho chophukacho, chikuchitika ndi radiculopathy.

Koyamba, matendawa alibe "ana", koma neuromultivitis imakonda kuperekedwa kwa ana omwe anachitidwa opaleshoni. Mankhwalawa amathandiza thupi kuchira msanga, kuchepetsa mavuto, komanso kukhazikika kwamanjenje. Osangowunikira za Neuromultivitis kwa ana, komanso maphunziro azachipatala ovomerezeka amatsimikizira kuyenera kwa mankhwala omwe amagwiritsidwa ntchito mu nthawi ya postoperative.

Kubwezera mawu

Pakuwona mavitamini a Neuromultivit, makolo nthawi zambiri amafotokozera nkhawa ana awo azaka za 2 mpaka 4. Mosakayikira, mankhwalawa amangoperekedwa kwa ana okhawo omwe ali ndi vuto la mitsempha. M'malo mwake, monga momwe madokotala amalembera mu ndemanga, "Neuromultivitis" kwa odwala adakali achichepere ndikofunikira kuti chitetezo chamanjenje chizikhala. Makamaka ana omwe akuchedwa kuyambika pakulankhula ayenera kumwa mankhwalawa.

Makolo ambiri samakonda kuyang'ana pa kusakonda, kapena m'malo mwake, kulephera kwa mwana wawo kuyankhula ali ndi zaka 3, kutanthauza kuti "nthawi yake siyinafike." Komabe, amayi ndi abambo omwe ali ndi udindo ayenera kuwachenjezedwa ndi kusakhalapo kwa zabwino zilizonse: ngati mawu amwanayo sanadzaperekedwe kwa miyezi ingapo, muyenera kufunsa katswiri. Dokotala wamatsenga adzaperekanso malangizo amomwe njira zoyenera zodziwira matenda (nthawi zambiri, ndikukaikira kwa RR, electroencephalogram yaubongo imachitidwa, kuyezetsa magazi mwatsatanetsatane kumachitika), komanso kukambirana ndi otolaryngologist ndi audiologist, zomwe ziyenera kutsimikizira kuti chilichonse chikugwirizana ndi kumva kwa mwana.

Monga monotherapy yofulumira yolankhula musagwiritse ntchito "Neuromultivit" kwa ana. M'mawunikidwe, amayi amalemba kuti nthawi zambiri mankhwalawa amawalembera limodzi ndi mankhwala monga:

Zomwe zimagwiritsidwa ntchito paubwana

Mankhwalawa amalimbikitsidwa kwa ana osaposa chaka chimodzi, koma moyang'aniridwa ndi dokotala wa ana kapena wamisala, mankhwala nthawi zina amalembedwa kwa ana. Malinga ndi ndemanga ya "Neuromultivitis" ndi malangizo ogwiritsa ntchito, chidziwitso chimaperekedwa kuti ndibwino kumwa mavitamini m'mawa, makamaka mukangodzuka. Ndiosafunika kumwa mankhwalawa madzulo, chifukwa pamakhala chiopsezo chokhala ndi vuto lambiri, kusangalala komanso kusowa tulo.

Chifukwa cha msinkhu, makanda ambiri satha kumeza piritsi lonse. Ngati mwana adayikidwa mapiritsi, osakhala jakisoni wa Neuromultivit, ndemangazo zikuonetsa kuti muyenera kukonzekera nokha. Kuti muchite izi, muyenera kuphwanya piritsi limodzi la mankhwalawo, ndikupukusira kumtunda wopanda madzi wopanda zigawo zazikulu. Chifukwa chake ufa umaphatikizidwa ndi supuni ya madzi akumwa. Mwa njira, ngati mwana akana kumwa mankhwala, kuyimitsidwa kwakukonzekera kwa Neuromultivitis kungawonjezeke ku chakudya kapena chakumwa.

Njira zochizira ana osaposa chaka chimodzi zimawoneka motere: piritsi limodzi la Neuromultivitis limaperekedwa katatu patsiku, koma chakudya chokha. Ngati dokotala akuwona kufunika kogwiritsa ntchito mankhwalawa kwa makanda, mlingo umachepetsedwa kangapo. Kwa ana, kotala la piritsi yophwanyika yosakanizidwa ndi mkaka wa m'mawere kapena chosakanikirana chakumapeto chakudya. Kutalika kwa mankhwalawa ndi mankhwalawa sikuyenera kupitilira masiku 30, chifukwa kuchuluka kwa mavitamini B kungayambitse zotsatira zoyipa zamagetsi.

Zomwe zimapangidwa, contraindication

Monga tanena kale, Neuromultivit ndi mavitamini ambiri. Kuphatikizidwa kwa mankhwalawa kumaphatikizapo cyanocobalamin (vitamini B12), thiamine (vitamini B1) ndi pyridoxine (vitamini B6). Muubwana, mankhwalawa amalekeredwa mosavuta, ngakhale kuti wopanga safuna kutsatira malangizo alionse omwe angagwiritse ntchito. Pakuwona za Neuromultivitis, makolo a makanda ochepera chaka chimodzi amazindikira kuti ana adawonetsa kusanza, tachycardia, ndi urticaria. Mwambiri, kuopsa kwa momwe thupi limachitikira m'makhanda amafotokozedwa ndi kusakhazikika kwa chitetezo chathupi komanso thupi lonse. Chiwombolo chimachitika padera, ndipo sichingakhale mwa makanda okha, komanso kwa ana okulirapo.

Pankhani ya zovuta kapena zoyipa, "Neuromultivitis" imathetsedwa. M'malo mwake, Ichi ndiye chokhacho chobowoleza kugwiritsa ntchito mankhwalawa. Lingaliro pa njira zamankhwala ena zimapangidwa ndi adotolo.

Mayankho odwala

Musanagwiritse ntchito malonda, onetsetsani kuti mwawerengera malangizo kuti agwiritse ntchito. M'mawunikidwe a Neuromultivitis, makolo ambiri amalemba kuti zotsatira za chithandizo zimatheka patatha milungu ingapo. Poyamba, palibe kusintha koonekeratu pamakhalidwe a mwana adawonedwa, koma kumapeto kwa maphunzirowo, ogwiritsa ntchito adazindikira kuti mwana amakhala wodekha komanso wowonjezereka. Makamaka makolo amakhala ndi chidwi chofuna kugona ana okhazikika: atatha Neuromultivitis, adayamba kugona kwambiri ndikugona mwachangu.

Pokhudzana ndi makanda, zotsatira za kugwiritsa ntchito mavitamini awa sizodziwika bwino. Makolo a ana athanzi omwe adalembedwa kuti "Neuromultivit" kuti ateteze kuchepa kwa mavitamini sanazindikire kusintha kulikonse mutatha kumwa. Ngakhale makanda omwe anapezeka ndi matendawa akuchulukirachulukira patatha milungu iwiri akugwiritsidwa ntchito, zinthu zina zikuchitika:

kutsitsa kwa nsagwada ya m'munsi polira,
kunenepa
kusowa kwa colic ndi regurgation,
zokwanira magalimoto.

Mwa ana omwe akuchedwa kuyankhula, kusintha kwina kumaonekanso. Zosintha zoyambirira, monga lamulo, sizichitika pakumwa, koma pakapita kanthawi pambuyo pake. Ana ambiri azaka zakubadwa zitatu pambuyo pa Neuromultivitis samangotchula mawu, komanso kupanga ziganizo, kupanga zopempha ndi mafunso. Nthawi yomweyo, mphamvu zolimbitsa thupi zimadziwikanso pambuyo pakudya mavitamini B ndikutha.

Kutembenukiranso pa kuwunika kwa mapiritsi a Neuromultivit, ndizosavuta kulingalira kuti mankhwalawa amaperekedwa kwa ana asukulu omwe amadandaula chifukwa chotopa komanso kukumbukira kukumbukira. Zotsatira zoyambirira zamankhwala zimabwera pambuyo poti agwiritse ntchito: ana amakhala ndi mphamvu zambiri, zinthu zophunzirira zimatengedwa ndikukumbukiridwa mwachangu, chidwi ndi, chifukwa chake, kuwonjezeka kwa magwiridwe asukulu.

Zina zomwe muyenera kudziwa za mankhwalawa

Mwinanso zowonjezera zokhudzana ndi chida chophatikizika "Neuromultivit" chitha kukhala chothandiza kwa ambiri omwe (kapena akhala ndi) kuthana ndi kugwiritsa ntchito kwake:

Mutha kuthandizidwa ndi mankhwalawa mosamalitsa okhazikika ndi vertebrologist kapena neurologist. Kuti mupeze mankhwalawa mufamu, mufunika kulandira mankhwala kuchokera kwa dokotala.
Neuromultivit ilibe gawo pa kasamalidwe kazinthu zovuta. Komanso, kugwiritsidwa ntchito sikumalepheretsa kuyendetsa galimoto.
Mwambiri, mavitamini samayambitsa kugona. Osachepera, madandaulo okhudzana ndi zovuta monga kutopa, ulesi, ndi kugona sizikupezeka pakuwunika kwa Neuromultivitis.
Mankhwalawa sangapindule limodzi ndi zakumwa zoledzeretsa. Ndikofunikira kwambiri kusiya mowa kwa odwala omwe ali ndi matenda a minculoskeletal system. Ndikofunika kuti musasute fodya munthawi ya chithandizo, chifukwa chikonga chimakhudza kumapeto kwa mitsempha, chimalepheretsa minofu yathunthu ndi okosijeni kuwapeza.
Mapiritsi ndi ma ampoules ziyenera kusungidwa mmatumba otsekedwa, m'malo akutali ndi magetsi ndi magetsi othandizira pa kutentha osaposa +25 ° С. Moyo wa alumali ndi zaka zitatu.
Kukhazikika kosaloledwa kwa "Neuromultivitis" ndi mwana sikuloledwa. Awa si mavitamini osavulaza, koma mankhwala ophatikizika kwambiri.

Zochuluka motani

Zambiri pazopanga chida ichi zimapezeka muzomwe mungagwiritse ntchito. "Neuromultivitis" mu majekeseni (kuwunika kwa jakisoni kumatsimikizira kuti mankhwalawa amalekereka kupweteka, chifukwa chake nthawi zambiri amagwiritsidwa ntchito limodzi ndi mankhwala ochita kupanga) amapangidwa ndi kampani yaku Austria G.L. Pharma, yogulitsidwa m'matumba a 5 ndi 10 ampoules. Mtengo umachokera ku ma ruble 350. phukusi limodzi. Mavitamini okhala ndi mapapo "Neuromultivit" amapangidwa ndi kampani yopanga mankhwala LANACHER ku Germany. Mtengo woyerekeza wa mankhwalawa ndi pafupifupi ma ruble 300. mapiritsi 20.

Poyerekeza ndemanga, "Neuromultivit" silili m'gulu la mankhwala okwera mtengo. Inde, maofesi ena multivitamin ndi okwera mtengo kwambiri. Nthawi yomweyo, nthawi zonse pamakhala ena omwe amafuna kupulumutsa ndalama ndi kugula analogi zotsika mtengo. Mukawunika "Neuromultivitis" mutha kupeza zolemba zingapo zamakankhwala ogulitsa kunja ndi mtengo wotsika. Onsewa ali ofanana mu kapangidwe ndi mfundo zoyenera kuchitira ndi mankhwalawo. Kenako, tidzayesa mwachidule fanizo la Neuromultivit ndi analogues. Tidzatenga ndemanga ndi malangizo ogwiritsa ntchito ndalamazi ngati maziko.

Benfolipen

Mankhwalawa amapezeka m'mapiritsi, omwe ali ndi kuchuluka kwa thiamine monga Neuromultivit, koma mlingo wochepa kwambiri wa mavitamini B6 ndi B12. Musanagwiritse ntchito mankhwalawa, muyenera kufunsa dokotala, phunzirani mosamala malangizo ndi kuwunika. "Neuromultivitis" ya ana sichikulimbikitsidwa ndi wopanga - zomwezo zitha kunenedwa za "Benfolipen", koma izi siziteteza pakumwa mankhwala ngakhale kwa ana omwe ali ndi pafupipafupi "Neuromultivitis". Ndikofunika kudziwa kuti pali zambiri zaphwanya boma pazogwiritsa ntchito "Benfolipen", zimaphatikizapo:

Hypersensitivity pazinthu zilizonse zomwe zimapangidwa,
zosokoneza mu ntchito ya mtima
mimba ndi mkaka wa m`mawere.

Kwa odwala akuluakulu, mankhwalawa ndi mankhwala osokoneza bongo omwe amadza chifukwa cha matenda otsatirawa:

trigeminal neuralgia,
Matenda a Bell
ululu wammbuyo womwe umayamba chifukwa cha zotupa za msana, hernia yophatikizira,
polyneuropathy.

Poyerekeza ndi Neuromultivitis, zomwe ndemanga sizimafotokozedwa kawirikawiri pazotsatira zoyipa, Benfolipen nthawi zambiri imayendetsedwa ndi palpitations, hyperhidrosis, nseru, chizungulire, komanso kusanza. Matenda oyambitsidwa ndi matendawa sichachilendo mukagwiritsa ntchito mankhwalawa. Kuphatikiza apo, analogueyi ndiosafunika kuphatikiza ndi kudya kwama vitamini ena.

Mlingo wa mankhwalawa, monga momwe zimakhalira nthawi zina zilizonse, amatsimikiza ndi dokotala. Mlingo woyenera wa Benfolipen ndi motere: kumwa piritsi limodzi katatu patsiku ndi madzi. Mtengo woyerekeza wa mankhwalawo ndi ma ruble 150. pa paketi iliyonse ndi miyala 30.

Kombilipen

Analogue yotsika mtengo ya Neuromultivit. Potengera kapangidwe kake, Combibipene ikhoza kusinthidwa kwathunthu ndi Benfolipen. Komabe, ngati pakufunika kupereka mankhwalawa moyenera, kusankha kumapangidwa mokomera mankhwalawa. Njira yothetsera "Combipilene" wa jakisoni, kuwonjezera pazinthu zazikulu, muli lidocaine. Phukusi lokhala ndi ma ampoules 5 limatha ma ruble 100. "Combilipen Tabs" ndi mtundu wa piritsi, womwe mtengo wake umasiyana pakati pa ma ruble 150-170.

Monga zikuwonetsa kugwiritsa ntchito mankhwalawa (kapena "Neuromultivitis"), ma pathologies ena amapezekanso pakuwunika kwa madokotala:

polyneuritis motsutsana ndi kuledzera kwamkati ndi kunja,

polyneuritis osiyanasiyana etiologies,
yotupa yotupa yomwe imagwiritsidwa ntchito ndi matenda a msana,
osteochondrosis wamchiberekero, thoracic, lumbar,
tinea versicolor.

Pankhani yoletsa, "Combilipen" sichikulimbikitsidwa kuti chizigwiritsidwa ntchito muzolemba zomwezo "Benfolipen". Malinga ndi mtundu wovomerezeka, mankhwalawa sioyenera ana, popeza maphunziro pakati pa zaka zino sanachitidwe. Sizoletsedwa kutenga mavitamini okonzekera azimayi oyembekezera kapena oyamwitsa, anthu omwe ali ndi matenda a mtima. Pazizindikiro zoyambirira za kusalolera kwa chimodzi mwazigawo za mankhwala, ndikofunikira kusiya kugwiritsa ntchito kwina.

Ndizofunikira kudziwa kuti "Combilipen" nthawi zambiri amalembera ana ndi ana omwe amachedwa kuyankhula limodzi ndi mankhwala a nootropic, njira zowongolera magwiridwe antchito amanjenje. Mlingo weniweni umawerengeredwa ndi katswiri ndipo zimatengera zomwe munthu aliyense wodwala amachita. Pafupifupi, chithandizo chamankhwala chimatenga milungu 3-4.

Mukamatenga "Combilipen Tabs", ndikofunikira kutsatira mosamalitsa malangizo ogwiritsa ntchito. Ndemanga ya Neuromultivitis ya ana silifotokoza zovuta zilizonse pakumwa mankhwala. Kubwezera kwokhako, malinga ndi makolo, ndiko kuwawa kwa mapiritsi, kotero kupangitsa mwana kuti amwe iwo oswedwa kuyimitsidwa sikophweka. Koma apa yankho linapezeka: mankhwalawa samamveka ngati mukuwonjezera ku chakudya kapena zakumwa. Ndi "Combilipen" "chinyengo" chofananira sichigwira ntchito, chifukwa:

Piritsi liyenera kumwedwa wonse. Ichi ndiye chifukwa chachikulu chomwe mavitamini ovutikirapo sathanidwe kwa makanda.
Ndikofunikira kumwa mankhwalawo ndi madzi, zomwe zikutanthauza kuti ndizosatheka kuwonjezera ufa wa mankhwala ndi msuzi, tiyi, compote kapena phala mkaka.

Tikulankhula za mankhwala omwe amapangidwa ku Russia (mtengo wapakati - ma ruble 120 a mapiritsi 50). Madokotala nthawi zambiri amayerekezera Pentovit ndi Neuromultivitis pankhani ya katundu, kapangidwe kake, ndi cholinga chake. Akatswiri ambiri atsimikiza kuti analogue sikuti imakhala yotsika ndi mankhwala akunja, koma owerengeka ndi omwe anganene motsimikiza kuti ndibwino - Pentovit kapena Neuromultivit. Malinga ndi akatswiri a mitsempha, polemba pulogalamu yachipatala, mankhwala onse awiriwa amawaganizira.

Kusiyana kwakukulu pakati pa "Pentovit" yanyumba ndizomwe amapanga. Kuphatikiza pa mavitamini a B, mulinso zinthu zina zachilengedwe, makamaka nicotinic ndi ma folic acid. Monga Neuromultivit, Pentovit imagwiritsidwa ntchito limodzi ndi mankhwala a magulu ena kutsimikizira izi:

hypovitaminosis,
mitundu ya polyneuritis,
kupweteka kwa minyewa
matenda a pakhungu (dermatitis, eczema, psoriasis).

Kuphatikiza apo, mavitamini a B ndiofunikira kwa odwala omwe adadwala matenda opatsirana. Pentovit amathandizanso kuchira. Tengani ngati prophylactic pothana ndi kukhumudwa ndi matenda amisala.

Pentovit ndiye analogue yotsika mtengo kwambiri ya Neuromultivit. Pazowunikira za momwe mungagwiritsire ntchito, nthawi zambiri mumatha kupeza osakhutira ndi wodwala chifukwa chosagwirizana ndi mapiritsi - muyenera kumwa Pentovit katatu patsiku kwa mapiritsi a 2-4. Kutalika kwabwino kwamankhwala akulu ndi masiku 30. Ngati pakufunika thandizo lenileni, dokotala atha kukulemberani mankhwala omwe angabwereze mavitamini.

Ndikofunikira kuti musapitirire kuchuluka kwa mankhwala, chifukwa kudya kwambiri mavitamini a B m'thupi kungayambitse zovuta:

zolephera pamatumbo am'mimba,
kusokonezeka kwa magazi,
mavuto a mtima
pulmonary edema.

Kugwiritsa ntchito "Pentovit" sikuyambitsa ngozi iliyonse kwa oyendetsa ndege. Malangizo a mankhwalawa, komanso mawonekedwe ake, sizikulimbikitsidwa kupereka mankhwala kwa ana, amayi oyembekezera. Koma potengera ndemanga za Pentovit ndi Neuromultivit, zonse ndizosiyana pochita: amazipangira ana, amayi apakati, ngakhale iwo amene akukonzekera kukhala makolo posachedwa.

Ngakhale mavuto omwe amapezeka nthawi zambiri, mankhwalawa akupitilirabe kutchuka ndikuwonetsa zotsatira zabwino pochiza matenda osiyanasiyana komanso matenda. Thupi limatha kuyankha mosiyanasiyana pakalandiridwa kwa "Pentovit", koma nthawi zambiri odwala amakhala ndi awa:

Matendawa: (motere, dokotala ayenera kuletsa mankhwalawo ndikusintha ndi wina),
tachycardia yokhudzana ndi ululu mu sternum,
zosokoneza tulo, kuda nkhawa.

Kuphatikiza apo, anthu omwe ali ndi matenda ashuga ayenera kukumbukira kuti zipolopolo zam'mapiritsiwo zimakhala ndi shuga, zomwe ngakhale zazing'ono zimatha kuwononga thanzi.

Ubwino wa mankhwala achilendo awa ndikupezeka kwake: pa mtengo wa Neuromultivitis, mutha kugula mapiritsi ambiri. "Compligam" pa avareji mtengo pafupifupi ma ruble 230. kupaka ndi matuza atatu ambiri. Kuphatikiza apo, izi zimapangidwa ku Canada ndi kampani yotchuka yopanga mankhwala. Pa gawo lililonse lopanga mavitamini, macheke ambiri ndi kafukufuku woyesera amachitika, ndiye palibe kukayika kuti Compligama imakwaniritsa miyezo yapadziko lonse lapansi.

Chokhacho chingabweze chida ichi ndi akatswiri amatcha kuchepa kwa zinthu zofunika kuzifufuza poyerekeza ndi Neuromultivitis. "Compligam" yovuta ndikuphatikiza:

pantothenic, 4-aminobenzoic ndi folic acid,
thiamine
cyanocobalamin,
Vitamini PP
biotin
choline.

Kapangidwe kolemera ka mankhwalawa ndi kophatikiza. Kuphatikiza apo, Kompligam imapangidwa osati piritsi komanso mawonekedwe a jakisoni (mankhwalawa amaperekedwa ndi intramuscularly). "Compligam" imakonda kugwiritsidwa ntchito ngati njira yothandizira yogwira popanga mavitamini B.

Opanga Kompligam akuphatikizira contraindication kwa ana ochepera zaka 12, pakati komanso kuyamwa. Simungathe kumwa mankhwalawa pamaso pa tsankho la aliyense pazinthu zilizonse zomwe zimapangidwa ndi mankhwala.

Kutulutsa mafomu ndi kapangidwe kake

Mankhwalawa amapangidwa mwanjira ya mapiritsi okhala ndi chipolopolo chopepuka, komanso ufa pakukonzekera kuyimitsidwa. Zomwe zili mu Neuromultivit zimaphatikizapo:

Vitamini B1 (thiamine) - 100 mg,
vitamini B2 (pyridoxine) - 200 mg,
vitamini B12 (cyanocobalamin) - 200 mcg.

Zothandiza zothandizira zimaphatikizapo: cellulose yosinthidwa, mchere wa magnesium stearic, talc, titanium dioxide, hypromellose, ma polima a methaconic acid ndi ethacrylate.

Njira yamachitidwe

The pharmacological zochita zachokera mogwirizana ndi mavitamini. Amatenga nawo mbali machitidwe a metabolic.

Vitamini B1 mothandizidwa ndi michere imadutsa mu cocarboxylase, womwe ndi coenzyme wa zochita zambiri. Imagwira gawo lalikulu mu kagayidwe - lipid, chakudya ndi mapuloteni. Imasintha machitidwe a mitsempha ndi chisangalalo.

Vitamini B1 imathandizira kulowetsedwa kwa mitsempha ndi excitability.

Pyridoxine, kapena Vitamini B6, ndikofunikira pakugwirira ntchito kwapakati komanso kotumphukira kwamanjenje. Amachita nawo mapangidwe ofunikira a mahomoni ndi michere. Zabwino pa NS. Palibe, kuphatikiza kwa ma neurotransmitters ndikosatheka - histagin, dopamine, norepinephrine, adrenaline.

Cyanocobalamin, kapena vitamini B12, amafunikira njira yoyenera yopanga maselo amwazi, komanso kukula kwa maselo ofiira amwazi. Amachita nawo zokhudzana ndi kusintha kwachilengedwe komanso mankhwala omwe amachititsa kuti ziwalo zonse zigwirizane:

gulu la methyl,
Mapangidwe a amino acid
nucleic acid kaphatikizidwe
lipid ndi mapuloteni kagayidwe,
mapangidwe a phospholipids.

Mitundu ya Coenzyme ya multivitamin iyi imathandizira pakukula kwa maselo.

Cyanocobalamin, kapena vitamini B12, amafunikira njira yoyenera yopanga maselo amwazi, komanso kukula kwa maselo ofiira amwazi.

Pharmacokinetics

Zigawo zonse za mankhwala zimasungunuka zakumwa. Samawonetsa zopindulitsa. Mavitamini B1 ndi B6 amalowetsedwa m'matumbo apamwamba. Mlingo wa mayamwidwe umatengera mlingo. Njira ya mayamwidwe cyanocobalamin n`zotheka ngati pali enzyme yapadera m'mimba - transcobalamin-2.

Zigawo za neuromultivitis zimagwera m'chiwindi. Amawachotsera pang'ono komanso osasinthika kudzera impso. Ambiri mwa mankhwalawa amachotsedwa m'matumbo ndi chiwindi. Vitamini B12 imachotsedwa ndi bile. Pang'ono pokha mankhwalawa atha kupezekanso kudzera mu impso.

Zizindikiro zogwiritsidwa ntchito

Multivitamin Neuromultivit imagwiritsidwa ntchito pa zovuta chithandizo cha zotsatirazi zamitsempha zotsatirazi:

polyneuropathy yamavuto osiyanasiyana,
matenda ashuga kapena kuledzera
neuralgia ndi neuritis,
Kusintha kwamphamvu kwa msana chifukwa cha radicular syndrome,
sciatica
lumbago
plexitis (matenda otupa a mitsempha ya m'mapewa),
neuralgia wamkati,
kutupa kwamatumbo atatu,
ziwalo.

Vitamini zovuta zimathandiza ndi lumbago.
Neuromultivitis imayang'anira neuralgia ndi neuritis.
Mankhwalawa amathandiza ndi intercostal neuralgia.
Neuromultivitis imagwiritsidwa ntchito pochiza polyneuropathy yamayendedwe osiyanasiyana.

Zotsatira za kafukufuku wazachipatala zimawonetsa kuti kugwiritsa ntchito multivitamin ndi analogi yake imathandizira kubwezeretsanso maselo amitsempha. Analogs amalimbikitsa kutenga ana omwe ali ndi kuchepetsedwa kwakalankhulidwe.

Njira yamankhwala imatengera matendawa. Akatswiri amalimbikitsa kumwa mapiritsi a multivitamin kwa masiku osachepera 10.

Momwe angatenge

Mankhwalawa amalembera achikulire mkati. Mlingo - piritsi 1 kapena 2 pa tsiku. N`zotheka kuwonjezera mlingo ndi chitukuko cha pachimake yotupa njira. Nthawi yovomerezeka imasiyanasiyana.

Wothandizira multivitamin amatengedwa mukatha kudya osafuna kutafuna. Amatsukidwa ndi madzi pang'ono.

Wothandizira multivitamin amatengedwa mukatha kudya osafuna kutafuna.

Zotsatira zoyipa

Nthawi zina, pakakhala kuvomerezedwa, zizindikiro zosafunikira zotere zimawonedwa:

nseru
kusanza
kuchuluka kwa acidity ya m'mimba,
zolakwika, nthawi zina zimagwa,
thupi lawo siligwirizana ndi kuyabwa,
urticaria
cyanosis, kukanika kupuma,
Zosintha zamkati mwa ma enzymes enaake mu seramu yamagazi,
kumverera kwa kupsinjika pakhosi motsutsana ndi maziko ofooka ndi kufooka,
thukuta kwambiri
Khungu
kumverera kwa kutentha kwamphamvu.

Chimodzi mwazotsatira zoyipa za mankhwalawa ndizomwe zimayambitsa thupi, zomwe zimawonetsedwa ndi kuyabwa.

Malangizo apadera

Mukalandira, ndikulimbikitsidwa kuti mumvere malangizo awa:

Mankhwalawa amatha kuphimba kuchepa kwa folic acid m'thupi.
Zomwe zimapangitsa kuti munthu ayendetse magalimoto sizinaoneke, motero, kukonzekera kwa multivitamin sikuloledwa kwa oyendetsa. Ngati chizungulire ndi kufooka zimamveka pakumwa, tikulimbikitsidwa kusiya kuyendetsa.
Tiyi yamphamvu siyimaloledwa, chifukwa imalepheretsa kuyamwa kwa thiamine.
Kumwa vinyo wofiira kumathandizira kuti njira ya Vitamini B1 isokonezeke. Kumwa zakumwa zoledzeretsa zambiri kumalepheretsa kuyamwa kwa thiamine.
Mankhwalawa amatha kuyambitsa ziphuphu ndi zotupa mwa anthu.
Cyanocobalamin ikayambitsidwa m'thupi mwa munthu yemwe ali ndi funicular myelosis ndi mitundu ina ya magazi, zotsatira za kafukufuku zimatha kusintha.
Iyenera kugwiritsidwa ntchito mosamala odwala omwe ali ndi zilonda zam'mimba ndi duodenum, pachimake komanso matenda aimpso.
Ndi mtima wowonda komanso kuperewera kwamatenda, munthu akhoza kukulira.
Kuyang'ana kwakukulu kwa pyridoxine kumatha kuchepetsa mkaka. Ngati nkosatheka kuchedwetsa chithandizo, mkazi amamulembera mankhwala omwewo ndi kuchepa kwa vitamini B6. Ndikofunika kuti muchepetse kuyamwitsa nthawi yayitali.
Wodwala akapezeka ndi zilonda zam'mimba, amatha kupatsidwa ntchito yomwe ufa umayimitsidwa. Mlingo wa mankhwalawa umatsimikiziridwa ndi akatswiri.

Ndikofunika kuti muchepetse kuyamwitsa nthawi yayitali.

Bongo

Ngati mankhwala osokoneza bongo,

neuropathies yolumikizana ndi bongo wa pyridoxine,
zovuta zamaganizidwe
kukokana ndi kukokana
kusintha mu electroencephalogram,
seborrheic dermatitis,
kuchepa kwa maselo ofiira a m'magazi,
kuwoneka kwa ziphuphu zambiri,
kusintha kwa khungu la khungu.

Mwa wodwala payekha, zizindikiro za bongo zinawonedwa pambuyo pa milungu 4 yogwiritsa ntchito mankhwalawa. Chifukwa chake, ma neuropathologists salimbikitsa kuti pakhale chithandizo chambiri.

Mlingo wapamwamba (woposa 10 g) wa thiamine amakhala ndi mphamvu yozungulira, amalepheretsa momwe amapangira mitsempha. Mlingo wapamwamba kwambiri wa vitamini B6 (wopitilira 2 g patsiku) umayambitsa masinthidwe, kukhudzika, kupweteka, komanso mtima wama mtima, malinga ndi electrocardiogram. Nthawi zina odwala amakhala ndi kuchepa kwa magazi m'thupi. Kugwiritsira ntchito piridoxine kwanthawi yayitali mu 1% kwa miyezi ingapo kumathandizira kuti matenda a neurotoxic apangidwe mwa anthu.

Kugwiritsa ntchito nthawi yayitali cyanocobalamin kumapangitsa chiwindi ndi impso kuwonongeka. Wodwalayo wasokoneza ntchito ya chiwindi michere, kupweteka mumtima, kuchuluka magazi.

Kugwiritsa ntchito mapiritsi nthawi yayitali (kupitirira miyezi isanu ndi umodzi) kumayambitsa kusokonezeka kwa mphamvu ya minyewa, kusangalala kwamanjenje nthawi zonse, kufooka, chizungulire, kupweteka m'mutu ndi kumaso.

Kugwiritsa ntchito mapiritsi nthawi yayitali kumayambitsa kupweteka m'mutu ndi kumaso.

Chithandizo cha milandu yonse ya bongo ndi chizindikiro. Ngati mumagwiritsa ntchito mankhwalawa mopitirira muyeso, muyenera kusanza pomwa madzi ambiri ndikukanikiza muzu wa lilime ndi chala chanu. Pambuyo poyeretsa m'mimba, tikulimbikitsidwa kumwa kaboni yokhazikitsidwa ndi piritsi limodzi pa 10 makilogalamu. Wovulala kwambiri, wodwala amalizidwa kuchipatala.

Kuchita ndi mankhwala ena

Ndi kuphatikiza kwa Neuromultivitis ndi Levodopa, kuchepa kwa mphamvu ya antiparkinsonia kumawonedwa. Kuphatikizika ndi Mowa kumachepetsa kwambiri kulowetsedwa kwa vitamini B1 m'magazi.

Kuphatikizidwa kwa mankhwalawa ndi ethanol kumachepetsa kuyamwa kwa vitamini B1 m'magazi.

Milandu ina yokhudzana ndi achire:

Neurorubin amatha kuwonjezera kawopsedwe a isoniazid,
Furosemide ndi zida zina zotsekemera zimathandizira kuwonjezeka kwa thiamine, chifukwa chomwe zotsatira za Neurorubin zimafooketsa,
kugwiritsa ntchito munthawi yomweyo anthu okangana ndi pyridoxine kumawonjezera kufunika kwa vitamini B6,
Zinnat imatha kusokoneza mayamwidwe a mavitamini, motero ndikofunika kumwa pambuyo pakutha kwa multivitamin mankhwala.

Pa mankhwala musaphatikizire mankhwala ena okhala ndi mavitamini B.

Lero mutha kupeza m'malo otsatirawa:

Pentovit. Izi zitha kukhala ndi zofatsa. Mapiritsi ndi otsika mtengo, mtengo wawo umakhala wotsika kangapo kuposa Neuromultivit. Kuphatikizikako kumaphatikizapo folic acid ndi nicotinamide. Zotsatira zamankhwala zimawonedwa kale masabata atatu atayamba kuchira.
Masamba a Kombilipen - chida chothandiza chomwe sichimayambitsa mawonetseredwe a matupi awo. Atha kulowa m'malo mwa Neuromultivit mwa odwala omwe ali ndi vuto lofanana ndi laubongo kapena la hypersensitivity pamagulu ena. Mankhwalawa amapangidwanso mwanjira ya ma ampoules a jekeseni, omwe amapangidwa intramuscularly. Odwala ena amafotokoza kusintha kwakukulu pamaonekedwe a tsitsi, misomali ndi khungu.
Compligam - imabwezeretsa kupitilira kwa kusintha kwamphamvu mu dongosolo lamanjenje. Mankhwalawa amachepetsa ululu, amathetsa zizindikiro za mitsempha. Kuphatikiza apo, mankhwalawa ali ndi mavitamini ena a B. Amatha m'malo mwa Neuromultivit.
Neurobion - adagwiritsidwa ntchito pakuwongolera chithandizo cha pathologies a NS. Popanga mavitamini, ofanana ndi gulu la Neuromultivitis. Chidachi chimathandizira thanzi la minyewa. Mankhwalawa ali ndi mavitamini B6 ambiri ndi B12. Odwala omwe akutenga, onani kuchepa kwakukulu kwa ululu waukulu.
Milgamm Composite ndi mnzake wotsika mtengo. Chida champhamvu chomwe chimabwezeretsa minyewa yamitsempha. Kapangidwe kake kalibe cyanocobalamin. Mankhwalawa amathandizanso kupweteka. Achire zotsatira zimakhalapo kwa nthawi yayitali. Pakupereka kwake, ndikokwanira kumwa 1 dragee patsiku.
Nervolex. Ili ndi yankho la jakisoni, wophatikiza mavitamini B1, B6 ndi B12. Komanso, kuchuluka kwa cyanocobalamin ndiwokwera kwambiri kuposa mu neuromultivitis. Jekeseni amathandizira shuga, kuwonongeka kwa mitsempha yaukali, neuritis ndi sciatica.
Neurorubin forte ndi mankhwala ophatikiza ndi milingo yowonjezera yogwira zosakaniza. Amagwiritsidwa ntchito pachimake neuritis ndi polyneuritis, poyizoni wa mankhwala.
Unigamma ndi Vitamini B1 kukonzekera komwe kumathandizira ndi pyridoxine ndi cyanocobalamin. Amagwiritsidwa ntchito pakusintha kwamphuno kwa msana, kuchepa kwa mitsempha, makamaka nkhope.
Complex B1 - yankho la jekeseni wamkati wa mtundu wofiira. Yankho lake lili ndi ethyl mowa ndi lidocaine wa. Ampoules ali ndi 2 ml ya yankho. Chida sichikugwiritsidwa ntchito ngati munthu wapezeka kuti ali ndi vuto la kuvutikira kwa lidocaine. Kuphatikizika kwa B1 sikumadziwika chifukwa cha kufooka kwa sinus node, matenda a Adams Stokes, hypovolemia ndi vuto lalikulu la chiwindi.
Vitaxone ndi yankho la jakisoni wa utoto wofiira ndi fungo linalake. Jekeseni amatchulidwa zotupa m'mitsempha, limodzi ndi ululu, kuwuma kayendedwe ndi paresis. Contraindication ndi zoyipa ndizofanana ndi zovuta za B1.

Kapangidwe ka mankhwala Pentovit kumaphatikizapo folic acid ndi nicotinamide.
Neurobion - adagwiritsidwa ntchito pakuwongolera chithandizo cha pathologies a NS.
Neurorubin forte ndi mankhwala ophatikiza ndi milingo yowonjezera yogwira zosakaniza.
Masamba a Kombilipen - chida chothandiza chomwe sichimayambitsa mawonetseredwe a matupi awo.Milgamma Compositum ndi mankhwala amphamvu omwe amabwezeretsa minyewa yamitsempha.

Zolemba za ntchito yasayansi pamutu wakuti "Mwayi wogwiritsa ntchito neuromultivitis mu chithandizo chovuta cha polyneuropathy mwa odwala matenda a shuga"

Mwayi wogwiritsa ntchito neuromultivitis mu zovuta chithandizo cha polyneuropathy mwa odwala matenda a shuga

A.Yu. Tokmakova, M.B. Antsiferov

Endocrinological Research Center (Dir. - Acad. RAMS I. I. Dedov) RAMS, Moscow

Distal polyneuropathy ndizovuta kwambiri za matenda ashuga, zolembedwa, malinga ndi olemba osiyanasiyana, mu 15-95% ya odwala omwe ali ndi mbiri yakale ya zaka zoposa 10. M'zaka zaposachedwa, chisamaliro chawonjezereka popewa kupewa ndi kuchiza matenda a shuga. Izi ndichifukwa choti kuwonongeka kwa mitsempha ya zotumphukira kwa anthu omwe ali ndi vuto la chakudya m'thupi kumatha kubweretsa ululu waukulu, womwe umachepetsa kwambiri moyo wa odwala, ndipo makamaka m'malo ovuta kwambiri, umathandizira kukulitsa mayiko ovuta. Kutsimikiziridwa ndikuti diabetesic neuropathy imayambitsa chitukuko cha 65-75% ya milandu ya matenda ammimba a shuga, mawonekedwe ake a neuropathic. Zonsezi pamwambapa zimafunikira kufunafuna ndikulowetsa muzipatala zatsopano mankhwala othandizira odwala matenda ashuga.

Neuromultivitis (Lappasperg, Austria) ndi makonzedwe ophatikizidwa omwe amaphatikizapo mavitamini apamwamba a B (thiamine, pyridoxine, cyano-nocobalamin). Zakhala zikuwatsimikiziridwa kuti gulu lazachipatala ili ndi mwayi wowonjezera kuchuluka kwa kukondoweza kwa minyewa yamitsempha, komanso kukhala ndi mphamvu yodziletsa ya analgesic. Zonsezi zimapangitsa kuyesa kugwiritsa ntchito neuromultivitis mu zovuta za polyneuropathy mwa odwala matenda a shuga.

Tidaphunzira zotsatira za neuromultivitis pa kukula kwa mawonekedwe a distal polyneuropathy mwa odwala matenda a shuga. Kafukufukuyu adakhudza odwala 15 (amuna 6, akazi 9, azaka zapakati pa 61.5 ± 0.7 g) omwe ali ndi matenda ashuga 2 amakhala ndi zaka 1 mpaka 30 zaka. Odwala onse adadandaula za kusasangalala m'miyendo. Chotsatira chotsalira chinali m'munsi miyendo ischemia (malinga ndi Doppler ultrasound). Zambiri mwatsatanetsatane za kapangidwe ka gulu la odwala omwe adawerengedwa zimaperekedwa pagome. 1.

Makhalidwe azachipatala a gulu la odwala omwe adawunika

Chiwerengero cha odwala Age (zaka) Kugonana (m / f) Kutalika kwa matenda ashuga (zaka) 15 61.5 ± 0.7 6/9 17.7 ± 0.9

Pa phunziroli, madandaulo a odwala (kupweteka pakupuma, kupweteka kwa usiku, paresthesias, kukokana m'matumbo a miyendo), kafukufuku wamapazi (khungu lowuma, hyperkeratosis, kusintha kwa miyendo ndi zala), komanso mphamvu yazizindikiro izi pamankhwala zimayesedwa mwatsatanetsatane.

Mwa odwala onse, mulingo wa kubwezeretsa kwa carbohydrate metabolism, Hbp, unatsimikizika. Zosintha pakumvekera kwamphamvu zimatsimikiziridwa pogwiritsa ntchito foloko yamaphunziro omaliza (Kircher + Wilhelm, Germany) pamalo olondola (pachifuwa cham'mimbamo ndi koyambira kwa chala choyamba), komanso pamalo owoneka bwino a mitu ine ndi V ya mafupa oyambira ndi zidendene. Kusankhidwa kwa mfundo zowonjezera zokhudzira kumvetsetsa kwamanjenje kumachitika chifukwa chakuti magawo a phazi ndi malo opsinjika kwambiri pazoyenda mukamayenda komanso kukula kwambiri kwa zolakwika za neuropathic ulcerative.

Tactile sensitivity adatsimikiza kugwiritsa ntchito monofilament yolemera 10 g (North Coast Medical, Inc., USA) pamiyeso yofanana ndi yogwedezayo.

Kusintha kwa kutentha kwa kutentha kunayesedwa pogwiritsa ntchito mtundu wa standard-Therm silinda (Neue Medizintechnik GmbH, Germany).

Maphunziro onse adachitidwa isanachitike komanso itatha chithandizo cha neuro-multivitis. Mankhwala anali 3 mapiritsi patsiku, nthawi ya mapangidwe anali 3 miyezi.

Asanalandire chithandizo, madandaulo ofala kwambiri mwa odwala amaperekedwa patebulo. 2.

Kuwunikira madandaulo kunapangitsa kuti zitha kulankhula za kuuma kwa neuropathy pakuwunika, komanso kuchepa kwa moyo.

Mukamayang'ana malekezero am'munsi, khungu lowuma lidapezeka mu 98% yoyesedwa, kuwonongeka kwa miyendo yamitundu yosiyanasiyana (makamaka kupindika kwa zala) - mu 40%, hyperkeratosis - 80%.

Chifukwa chake, pafupifupi onse anaphatikizidwa

phunziroli lidaphatikizapo odwala omwe ali pachiwopsezo chokhala ndi matenda a diabetesic phokoso, ngakhale kuti nthawi yayitali ya matendawa mwa ena a iwo idangokhala zaka 2 zokha.

Posankha chindapusa cha chakudya cha carbohydrate metabolism, kuwonongeka kwa shuga kunawululidwa m'magulu ambiri odwala (HvA1c - 8.7 ± 0.4% ndi chizolowezi mpaka 5.7%).

Kutsika kwakukulu kwa kugunda kwa chithokomiro kunkadziwika kwambiri pamapazi a kupsinjika kwakukulu pamapazi (Gome 3.)

Kusanthula kwa kuzindikirika kwa kugunda kwa odwala omwe ali ndi matenda ashuga kumawonetsa kofunikira kwambiri

Madandaulo ofala kwambiri a odwala omwe amayesedwa

Ululu pakupumula 97

Minofu kukokana 54

Kuzindikira kwamphamvu mu gulu la odwala musanalandire chithandizo

Tanthauzo la tanthauzo Odwala omwe ali ndi matenda ashuga (cu) Norm (cu)

Miloza yamankhwala 2.2 ± 0.3 6

M'munsi mwa chala chimodzi 1,3 ± 0,5

Mutu wa 1 metatarsal bone 0.2 ± 0.03 5

Metatarsal mutu V 1.1 ± 0.7 5

73.3% ya odwala. Kufanana kunadziwika pakuchepetsa mtundu uwu wamalingaliro kumbuyo ndi masamba oyenda phazi. ''

Mwa odwala onse omwe ali ndi matenda a shuga a mtundu wachiwiri, zizindikiro za distal polyneuropathy zomwe zimachitika kumbuyo kwa carbohydrate metabolism zidapezeka.

Kukonzanso kwa odwala kunachitika atamaliza maphunziro a miyezi 3 yokhala ndi neuromultivitis. Mlingo wolipirira wa carbohydrate metabolism ya HbA1c sunasinthe kwambiri ndipo unafika pa 8.1 ± 0,3% (musanafike chithandizo, 8.7 ± 0.4%). Odwala onse adazindikira kusintha kwa thanzi, komwe kukuwonetsa kuchepa kwakukulu kwa kupweteka kwamawu.

Kuchepa kwa ululu wa usiku kumapazi kunadziwika, zomwe zidalola odwala ambiri kusiya kugwiritsa ntchito analgesics ndi sedative asanagone. Zotsatira zakuwonetsetsa madera amisempha pambuyo poti munalandira chithandizo sizinawonetse kusintha kwamphamvu pakhungu.

Kuzindikira kwamphamvu kumayenda bwino, makamaka kuderali (tebulo 5).

Zomwe zapezedwa zimatsimikizira zabwino za mavitamini a B pamlingo wokondwerera m'mitsempha ya mitsempha.

Kudziwitsa tactile sensitivity, atatsiriza chithandizo cha neuromultivitis, kunali kotheka kuzindikira kuchepa kwakukulu kwa odwala omwe ali ndi tactile anesthesia.

Mukamazindikira kutentha kwam'mbuyo komanso chomera pamiyendo mwa odwala omwe ali ndi matenda ashuga,

Tactile kudziwa odwala asanalandire chithandizo

Tanthauziro a Sensitivity Point

medial ankolo msingi 1 toe mutu 1 metatarsal mutu V metatarsal bone chidendene

Tinapulumutsa 80% 66.7% 13.3% 26.7% 46.7%

Kuchepetsa 13.3% 26.7% 13.3% 1 3.3% 53.3%

Palibe 6.7% 6.6% 73.4% 60% 0%

kuchepa kwake pamlingo wopsinjika kwambiri kumapazi, komwe kumatsimikizira chiopsezo chachikulu chokhala ndi vuto la ulcerative ulcerative m'maderawa (Table 4). .

Zomwe zapezedwa zikuwonetsa kuchepa kwakumverera kowoneka bwino pamtunda wamiyendo poyerekeza ndi malo oyenera. Kutsika kwamphamvu tactile kumapangitsanso ngozi yakuvulala kwamapazi, yomwe ndiyomwe imayambira pakupanga zolakwika zapakhosi.

Kuzindikira kutentha kunachepetsedwa mkati

Kuzindikira kwamphamvu kwa odwala musanalandire chithandizo

Tchulani matchulidwe musanalandire chithandizo (у.) Pambuyo pa chithandizo (У-е.)

Zam'miyendo zam'mimbazi Zam'mutu 1 zala Mutu wa 1 metatarsal fupa Mutu wa V metatarsal fupa chidendene 2.2 ± 0.3 1.3 ± 0,53,5 0 3 0.03 1.1 1.1 0.7 3.4 ± 1.0 5 , 4 ± 0,1 p "S, 001 3.7 ± 0.6 p" S, 001 4.2 ± 0.9 p "S, 0001 2.9 ± 0.8 p ^ 0.001 4.1 ± 0 , 2 p> 0.01

Mkuyu. 1. Madandaulo a odwala asanafike chithandizo.

kusintha pang'ono (opaleshoni mu 73.3% ya odwala musanalandire chithandizo ndi odwala 66.7% atamaliza maphunziro anu).

Kafukufuku wokhudzana ndi mawonekedwe a zotumphukira zam'mitsempha mwa odwala omwe ali ndi matenda amtundu wa 2 adawonetsa kuti neuromultivitis imathandizira pakumveka kolimba kwa miyendo, komanso imachepetsa mwamphamvu kulimba kwa ululu. Izi zikuwonetsa kuchepa kwa chiwopsezo cha kukhala ndi zilonda zam'mimba za trophic komanso kuwonjezeka kwa moyo wa odwala omwe ali ndi matenda ashuga a distal polyneuropathy. Tiyeneranso kudziwa kufunika kwa kuchititsa maphunziro panjira ya mankhwala, chifukwa mankhwalawa safuna kuti makolo aziwatsogolera. Kuti muwone zokhazikika pazotsatira zomwe zapezeka, ndikofunikira kuchita kafukufuku wachiwiri pambuyo pa miyezi 6 ndi 12.

Pansi pa chala choyamba

Kukula kwa mutu wa fupa la metatarsal woyamba

____ Palibe Wochepetsa Wopulumutsidwa

Mkuyu. 2. Tactile sensitivity odwala omwe ali ndi matenda ashuga isanayambe kapena itatha.

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