Kodi ndingabale Diclofenac ndi Combilipen palimodzi?

Madokotala, omwe amapanga njira zochiritsira, amasankha mankhwala kuti apititse patsogolo njira zochizira, zomwe njira zake zimathandizira zochita za wina ndi mnzake. Zotsatira zabwino kwambiri pochiza ma syndromes opweteka omwe amapezeka ndi matenda a neuralgic chikhalidwe chikuwonetsa kuyanjana kwa Combilipen ndi Diclofenac. Kuphatikiza uku kumakupatsani mwayi kuti mupeze zotsatira zomwe mukufuna ndikukupatsani njira yayitali yothandizira.

Mfundo yogwira ntchito

Diclofenac (diclofenac) ndimankhwala osapweteka a antiidal. Kuchita kwake ndikufuna kuthana ndi zomwe zimachitika mu minyewa yotupa, kuchepetsa zizindikiro za kutentha, kuthetsa kupweteka kwambiri. Mitundu ya mankhwala a Diclofenac ndi chinthu chopanga phenylacetic acid, motero, malinga ndi njira yothandizira, Diclofenac ndiyamphamvu kwambiri kuposa acetylsalicylic acid, yomwe mpaka posachedwapa inali yogwira ntchito kwambiri yotsutsana ndi kutupa.

Combilipen (combilipen) - mankhwala omwe ali m'gulu la zophatikiza vitamini. Amagwiritsidwa ntchito mosamala pochiza matenda omwe amachititsa minyewa yamitsempha. Combilipen imakulitsa kamvekedwe ka thupi, imalimbikitsa kukana kwake ndi zovuta zakunja ndi zamkati. Njira yake imakhala ndi mavitamini atatu (B1, B6 ndi B12). Kuchita bwino kwa kuphatikiza koteroko panthawi ya mankhwala komanso pakukonzanso matenda omwe amayambitsa kuwonongeka kwa minyewa ya minyewa kwatsimikiziridwa ndi zaka zambiri zomwe mumagwiritsa ntchito mankhwalawa.

Combilipen imathandizira kutsitsa kwa mitsempha, imathandizira kukonza magwiridwe antchito amanjenje yapakati. Jakisoni imodzi ya mavitamini imatha kuchepetsa ululu womwe umayambitsidwa ndi neuritis kapena osteochondrosis.

Koma ngati kuwonongeka kwa maselo amanjenje kukayamba, limodzi ndi njira zotupa (mwachitsanzo ,aticatica, piritsi limodzi la ku Combilipen silithandiza. Potere, adotolo atha kukulembera jakisoni wambiri ndikuphatikiza Combilipen limodzi ndi Diclofenac mu regimen .

Chisankhochi chimakupatsani mwayi womwewo:

kuthetsa edema yotupa,
lolani mavitamini othandizira minofu yomwe yakhudzidwa.

Popeza onse a Diclofenac ndi Combilipen ali ndi mphamvu ya analgesic, njira yolumikizirana yogwiritsira ntchito imachepetsa ululu mwachangu. Patsiku lachisanu la chithandizo, limadutsa kwathunthu, lomwe limasintha kwambiri moyo wa wodwalayo. Jekeseni wa Diclofenac ndi Combibipen ndi mankhwala pokhapokha ngati matendawa ali pachiwindi. Amachitidwa kuyambira masiku 5 mpaka milungu iwiri (maphunzirowa amatengera kuuma kwa chithunzichi). Kenako amasintha kugwiritsa ntchito mapiritsi.

Momwe mungapangire jakisoni?

Kodi ndizotheka kubayitsa Diclofenac ndi Combilipen nthawi imodzi? Chithandizo chotere ndichotheka, koma simungathe kumwa mankhwalawo nthawi yomweyo. Chida chilichonse chili ndi njira yolandirira. Diclofenac amapaka jekeseni kamodzi patsiku (mlingo wapawiri umaperekedwa kokha moyang'aniridwa ndi achipatala). Ndi bwino jekeseni tsiku limodzi, kuwonjezereka kwa makina osokoneza bongo kumakhudza ntchito ya m'mimba thirakiti. Jekeseni amatengedwa osaposa masiku awiri, ndiye kuti wodwalayo amapatsidwa mitundu ina ya mankhwala.

Jekeseni wa Combibipen amachitika kawiri pa tsiku, kwa sabata limodzi, 2 ml ya mankhwalawa amasonkhanitsidwa syringe imodzi. Pamapeto pa maphunzirowa a masiku asanu ndi awiri, wodwalayo amatha kupitilirabe ndi jakisoni, koma amapatsidwa katatu pa sabata.

Ndiye momwe mungabayitsire mankhwala omwe afotokozedwa m'nkhaniyi? Chiwonetsero chilichonse chimayimiriridwa payokha ndipo chimatumizidwa intramuscularly panthawi zosiyanasiyana. Mukafunikira kugwiritsa ntchito analgesic yamphamvu kwambiri, analog ya Diclofenac imagwiritsidwa ntchito - mankhwala a Ketorol. Zimayenderanso bwino ndi Combilipen.

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

Mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani

Diclofenac

Kuchepetsa njira yotupa, kuthana ndi kutentha, kuchepetsa ululu ndizofunikira zitatu za Diclofenac. Chochita cha pharmacological chimachepetsa kwakanthawi zizindikiro za pathological, pomwe zili ndi mtengo wotsika mtengo. Mankhwalawa amagwira ntchito kudzera m'magazi, kuchepetsa kupangidwa kwa zinthu zingapo zogwira ntchito kwachilengedwe - ma prostaglandins.

Kuchepa kwa chiwerengero chawo ndi machitidwe a Diclofenac m'thupi kungapangitse zovuta zina:

Kuwonongeka kwa mucosa wam'mimba, zilonda zam'mimba,
Kuchuluka kwa magazi,
Kuwonongeka kwa impso / chiwindi
Kuphwanya kwachilendo kwa hematopoiesis, limodzi ndi matenda apafupipafupi, kuchepa kwa mpweya m'magazi, mawonekedwe a zotupa m'mimba,
Zizindikiro zam'mimba: Kukula kwa chimbudzi, kusanza ndi mseru.

Diclofenac sangathe kugwiritsidwa ntchito popanga zotupa za m'matumbo, m'mimba ndi zilonda zam'mimba, ziwengo zamankhwala, ubwana (mpaka zaka 6) komanso sabata la 30 la bere.

Kombilipen

Mankhwalawa ndi kuphatikiza kwa mavitamini B akulu:

B1 - imasintha magawo osiyanasiyana a kagayidwe, imasintha magwiridwe antchito a mitsempha ndi ma synapses - kulumikizana pakati pa maselo amitsempha,
B6 - imagwira ntchito yofunika kwambiri mu hematopoiesis ndi ntchito yamatenda am'mphamvu (kusanthula, kuloweza, kutulutsa, etc.),
B12 ndi gawo lofunikira popanga maselo a epithelial ndi maselo ofiira amwazi.

Pofuna kuchepetsa kusasangalala ndi jakisoni, chinthu chodulira chakumaso ("kuzizira"), Lidocaine, adawonjezeranso kukonzekera.

Combilipen sayenera kugwiritsidwa ntchito:

Mwa mwana (wosakwana zaka 18) - chitetezo sichinkafufuzidwa,
Ngati pali magawo am'mbuyomu omwe thupi lanu limakumana ndi vuto lililonse,
Pa nthawi ya bere ndi poyamwitsa,
Woopsa matenda a mtima minofu.

Nthawi zambiri zovuta zomwe zimachitika chifukwa cha mankhwala zimapweteka. Zotsatira zina, monga dyspepsia, chizungulire komanso kusachita bwino m'thupi, zimachitika mwa munthu wochepa m'modzi mwa odwala 10,000.

Zizindikiro zogwiritsidwa ntchito palimodzi

Amawonetsedwa kuvulala, matenda osachiritsika: nyamakazi, arthrosis, osteochondrosis.

Zotsatira zoyipa

Kukula kwa zolakwika ndi zolakwika m'mimba ndi duodenum, kutsika magazi kugundana, chiwindi ndi impso ntchito.

Savelyev A.V., Neurologist, Moscow

Ndimapereka mankhwala awiriwa kuphatikiza ululu wamanjenje. Zimathandizira kuthetsa zizindikiro mwachangu.

Aksenova T.V., vertebrologist, Kurgan

Kwa matenda olowa, ndimapereka mankhwala. Imathandizira ndi osteochondrosis.

Tatyana, wazaka 38, Krasnoyarsk

Dotolo adalamulira kuti akhazidwe chifukwa cha kupweteka kumbuyo. Zinathandiza mwachangu.

Andrey, wazaka 40, Astrakhan

Diclofenac ndi Combilipen anathandizira kupweteka pambuyo pakuvulala kwammbuyo.

Kuphatikiza

Ndi pathologies a chapakati mantha dongosolo omwe adalimbikitsa kukula kwa kutupa, kugwiritsa ntchito mankhwala amodzi sikokwanira. Pankhaniyi, odwala ayenera kufunsa dokotala, katswiriyo ndi amene amawadziwa kuchuluka kwa mankhwalawa akagwiritsidwa ntchito limodzi. Kulandilidwa kophatikizana kumathandiza kupewa kutukuka kwa njira yotupa, kuyimitsa kupweteka ndikupereka mavitamini ofunikira kumalo omwe akhudzidwa. Mankhwala amathandizira anti-yotupa ndi antispasmodic katundu wina ndi mnzake.

Contraindication

Kugwiritsa ntchito mankhwalawa zovuta sikungatheke ngati wodwalayo ali ndi zotsutsana kwathunthu. Izi zikuphatikiza:

tsankho limodzi pazogwira ntchito kapena zowonjezera,
mimba
yoyamwitsa
kulephera kwamtima
matenda a impso ndi chiwindi,
matenda aakulu a m'mimba dongosolo mu pachimake siteji,
zaka za ana (mpaka zaka 18).

Kulandila mosamala nthawi imodzimodzi ndikusintha mtundu wofunikira kwa odwala okalamba komanso anthu omwe nthawi zambiri samatsata.

Malingaliro a madotolo

Vyachedlav Seleznev, wochita zamisala, Tomsk

Diclofenac nthawi zambiri imalembedwa kwa odwala nthawi yomweyo monga Combilipen. Kugwiritsa ntchito moyenera kumawonjezera mphamvu yotsutsa-yotupa ya antispasmodic ndikuonetsetsa kuti masisitimu amthupi ndi mavitamini ofunikira.

Kristina Samoilova, otolaryngologist, St.

Kwa pathologies a ziwalo za ENT, ndikulimbikitsa kugwiritsa ntchito mankhwalawa onse. Kuphatikiza mankhwala kumathandizira kuthamanga ndikuchiritsa wodwalayo.

Ndemanga za Odwala

Denis Vasiliev, wazaka 28, Bryansk

An antispasmodic adalembedwa ndi dokotala wa osteochondrosis, adamwa mapiritsiwo kwa masiku 5, ndipo mavitamini adabayira masiku 7. Mankhwalawa onse anali ololera bwino, palibe mavuto. Zinthu zinasintha patatha masiku atatu, ululuwo unachepa. Pazolinga zodzitetezera, ndimaba jakisoni 2 pachaka.

Irina Kovaleva, wa zaka 48, Ekaterinburg

Panthawi yokonzanso atachitapo kanthu opaleshoni, Diclofenac ndi Combilipen adabayidwa. Ndili ndi nkhawa chifukwa cha mseru. Analekerera kukonzekera bwino, mwachangu anayamba kuchira.

Kodi ndizotheka kubaya nthawi yomweyo

Ku funso loti kodi ndizotheka kupaka jekeseni Diclofenac ndi Combilipen nthawi yomweyo, pali yankho lotsimikizika - ndizotheka, koma atakambirana koyambirira ndi adokotala. Mankhwalawa amatha, kutanthauza kuti, amalimbikitsa mphamvu zochizira wina ndi mzake pochiza matenda am'mimba ndi zotumphukira zamitsempha. Kuphatikiza kumalola kuchepetsa nthawi ya chithandizo ndikukwaniritsa zotsatira zoyambirira 30% mwachangu kuposa kugwiritsa ntchito kamodzi.

Kugawana kumaphatikizanso kuyambitsa kwa lirilonse la mankhwala mosiyanasiyana.

Zizindikiro zogwiritsa ntchito Diclofenac ndi Combilipen:

Chizindikiro chimodzi chogwiritsidwa ntchito ngati mankhwala

mitsempha ndi neuralgia,

syndromes kupweteka chifukwa cha kuwonongeka kwa pathologies a msana: radicular syndrome, khomo lachiberekero, lumbar syndrome motsutsana ndi osteochondrosis kapena herniated disc,

kupweteka kwa postoperative

ma syndromes ammbuyo.

Mavitamini a madzi a gulu B osungunuka amatha kuperekedwa kwa prophylaxis limodzi ndi diclofenac pa vuto lililonse la ululu. Pankhaniyi, kutalika kwa maphunzirowa sikuyenera kupitirira masiku atatu.

Kugwirizana, zotsatira zakapangidwe

Diclofenac Ampoules

Kuphatikiza kwa Diclofenac ndi Combilipen kumagwiritsidwa ntchito pa zovuta kuchitira kupweteka, kufooka kwa pathologies a msana ndi zotumphukira zamitsempha. Diclofenac poyamba amachitapo kanthu pamalo omwe akukhudzidwa. Amathandizanso puffness, mizu yamanjenje imaleka kupanikizika ndi zimakhala zowazungulira, kukula kwa kutupa kumachepa.

Akapatsidwa intramuscularly, kombilipen imapereka mofulumira mavitamini m'magazi. Mothandizidwa ndi mavitamini a B, kupangidwa kwa maselo atsopano ndi minyewa yamitsempha yopanga myelin ndipo sphingosine imayamba.

Chifukwa cha kuphatikiza kwa mankhwalawa, chiwopsezo cha zotsatira zoyipa za Diclofenac pa hematopoietic system chimachepa. Kombilipen imapereka magazi abwinobwino komanso osasokoneza.

Kuphatikizidwa kwa mankhwala othandizira amatha kuchepetsa nthawi ya kukokomeza njira za 60%, komanso kuwonjezera nthawi yotikhululukidwa ndi 20%.

Momwe mungapereke jakisoni

Pali njira zingapo zomwe mungagwiritse ntchito munthawi yomweyo ndi Diclofenac ndi Combilipen:

2 ml Combilipen ndi 2 ml 2,5% Diclofenac (1 ampoule wa mankhwala aliwonse) tsiku lililonse, kwa masiku 5,

2 ml ya Combilipene amasintha tsiku lililonse tsiku lililonse ndi 2 ml ya 2,5% Diclofenac kwa masiku 10 (ndi kupweteka kwambiri)

2 ml kapena 1 ampoule a Combilipen tsiku lililonse kwa masiku 10 ndi ma ampoules atatu a 2 ml a 2,5% Diclofenac pa masiku 1, 3 ndi 5 a chithandizo.

Thupi la minofu yofiyira

Diclofenac ndi Combilipen amayendetsedwa ndi intramuscularly. Zilonda zimachitika pang'onopang'ono kunja kwa bulu. Sikoyenera kuwonongeratu kukonzekera, mankhwala onse awiri amapezeka mu mawonekedwe okonzekera jakisoni. Ngati jakisoni atapangidwa mu minofu ya chikazi, kuwonda pang'ono kumachitika pamalo a jekeseni.

M'pofunika kupaka jekeseni mankhwala molondola kuti musapeze zovuta komanso zovuta. Kuti muchite izi, werengani malangizo oyika jakisoni:

Njira Yolera

Sambani m'manja ndi sopo musanalowe. Ngati ndi kotheka, perekani jakisoni ndi magolovesi othandiza kuchipatala.

Thandizani manja anu ndi tsamba la jakisoni ndi antiseptic kawiri. 70% ethyl mowa azichita.

Tsegulani ma ampoule ndi diclofenac, sonkhanitsani mankhwalawa mu syringe ya 5 ml. Ndiye kuti amasula mpweya ku syringe kuti dontho lagalasi la mankhwala liponyedwe pa singano. Osakhudza singano ndi manja anu, apo ayi, syringe idzasinthidwa.

Pukutani tsamba la jekeseni pabokosi kachiwiri. Ichi chikuyenera kukhala chopamwamba chakunja, ngati chidacho chonse chagawika m'magawo anayi ofanana.

Ndi kayendedwe koyenera komanso kowongoka, ikani singano ya singano m'chopendekera cha madigiri 90, kusiya mpaka 1 cm la singano kunja. Pang'onopang'ono ndikani plunger ndikubaya mankhwalawo.

Chotsani syringe mwachangu ndikulumikiza mowa watsopano wopukutira kapena wopukusira ndi mowa pamalowo. Kutaya kapena kutaya syrinji yomwe imagwiritsidwa ntchito.

Yembekezerani kwa mphindi 15 mpaka diclofenac itayamba kulowa m'magazi. Sinthani magolovesi anu kapena pakani manja anu ndi antiseptic kachiwiri. Tsegulani ampulla waku Combibipen.

Tengani syringe yatsopano ya 5 ml ndikutenga Combilipen. Tulutsani mpweya ku syringe kuti dontho limodzi la chinthu lipangidwe pa singano yamagalasi.

Pukutani mbali yachiwiri kumtunda wakunja ndi nsalu kapena thonje lokutidwa ndimowa.

Mabatani a kukhazikitsidwa kwa Diclofenac ndi Combilipen patsiku la 1 ndizosiyana. Dera loyang'anira mankhwalawa ndi kunja kwapadera kwambiri. Ndi kuyenda koyenera, mozama, pakadutsa madigiri 90, ikani singano ya syringe ndikusindikiza piston pang'onopang'ono.

Mutapereka mankhwalawa, tulutsani singano, mutaye syringe ndikusindikiza mowa ndikupukutira kumalo a jekeseni.

Lolani wodwalayo kudzuka pakama pakapita mphindi 1-2 atatha njirayi.

Jekeseni wa Kombilipen nthawi zina amamuwona wopweteka. M'mphindi ziwiri zoyambirira, jakisoni amayamba kupweteka, kenako ululu umachepa chifukwa cha mankhwala omwe amayamba chifukwa cha lidocaine. M'tsogolomu, malo a jakisoni sayenera kupweteka ndi jakisoni woyenera.

Mutha kukhala ndi chidwi ndi chidziwitso chogwiritsira ntchito Diclofenac mu mawonekedwe a mafuta, pazizindikiro ndi cholinga cha kapangidwe ka mankhwala. Werengani mwatsatanetsatane m'nkhaniyi.

Pamalo opakidwa jekeseni, pali kakulidwe kakangidwe kakang'ono kopanda matenda, komwe nthawi zambiri kumadzisintha pakatha masiku 2-7 popanda kuchitapo kanthu. Pambuyo poti jekeseni wambiri amalowa pambuyo pobayira jakisoni wa mankhwalawo, ngati mankhwalawo sanatengeke ndi thupi kapena atayambitsidwa molakwika. Ngati chopumpacho chikukulirakulira, chikusanduka chofiira, kutentha ndikuwuma kwambiri, kukaonana ndi dokotala, izi zitha kukhala zopanda kanthu.

Kutengera ndi malamulo aposachedwa, mwayi wokhala wopanda kanthu ndizochepa kwambiri. Chifukwa chake, yang'anirani mosamala kuperekedwa koyenera kwa jakisoni wa mu mnofu.

Pa tsiku lachiwiri la maphunzirowa, matako amayenera kusinthidwa: kachiwiri, pakani Diclofenac, ndipo koyamba - Combilipen. Mankhwala ena kumapeto osiyanasiyana tsiku lililonse. Muyenera nthawi zonse kuyamba ndi Diclofenac. Sikoyenera kupita kumalo omwe ali ndi jekeseni patsiku lachiwiri komanso lotsatira. Chachikulu ndikulowa m'mbali mwa matako! Ngati hematoma yaying'ono ikawoneka patsamba la jakisoni wapitalo, yesani mozungulira ndipo osaloza singano pamenepo. Amasankha yekha pakatha masiku 5-7.

Njira ya chithandizo zimatengera mawonekedwe a jakisoni. Diclofenac jekeseni sakulimbikitsidwa kuti mugwiritse ntchito masiku opitilira 5.Ngati mukumva kupweteka kwambiri, monga adanenera dokotala, chithandizo chitha kupitilizidwa ndi mapiritsi a Diclofenac, ma gels kapena ma NSAID ena mpaka masiku 10 ogwirira ntchito mosalekeza.

Combilipen ikhoza kusindidwa kwa masiku 10, kenako tikulimbikitsidwa kusinthana ndi mavitamini a mkamwa kapena piritsi B, kumawadya kwa mwezi umodzi. Zitsanzo za mavitamini ovuta: ma tabu a Kombilipen, Neuromultivit.

Zotsatira zake zimadzawonekera pambuyo pa masiku awiri ndi atatu a chithandizo chamankhwala. Ziziwonetsedwa kuchepa kwa zilonda m'dera la minyewa yomwe yakhudzidwa kapena mizu yamitsempha. Ndi radiculitis, wodwalayo amamva kuwonjezeka kwa matalikidwe a kayendedwe, kuchepa kwa kuwuma kowawa.

Kutalika kwa mankhwalawa kumwa mosakanikirana ndimankhwala kumadalira gawo lomwe limapangidwira ndikuwonjezereka kwa miyezi iwiri.

Pa magawo 1-2 a osteochondrosis, njira ya mankhwalawa yophatikiza Diclofenac ndi Combilipen itha kugwiritsidwa ntchito kamodzi miyezi isanu ndi umodzi pazolinga zopewera. Ndi mawonekedwe apamwamba a degenerative matenda a msana, chithandizo ndi othandizira sichitha kubwereza nthawi 1 m'miyezi itatu.

Zotsatira zoyipa

Zotsatira zoyipa zomwe zimagwiritsidwa ntchito pophatikizira zimawonekera ndi kuphatikiza kolakwika kwa mankhwala, mankhwala osokoneza bongo omwe amapezeka, kuphatikizidwa kwa mankhwala mu syringe imodzi. Pamalo a jakisoni, kukula kwa kulowetsedwa kapena aseptic necrosis ndikotheka. Kukula kwa ziwopsezo zamkati kumawonjezeka, matenda a Lyell amatha kukhala ndi kutuluka kwa mpira wapamwamba pakhungu kapena kugunda kwa anaphylactic.

Mukamagwiritsidwa ntchito limodzi, chiopsezo cha zovuta zilizonse za mankhwalawa chimachulukitsidwa katatu.

Zotsatira zoyipa zomwe zimakwiyitsa Combilipen:

thupi lawo siligwirizana mu urticaria, kuyabwa, kupuma movutikira, anaphylactic mantha,
kutuluka thukuta kwambiri
tachycardia
ziphuphu.

Njira yina yothandiza yogwiritsidwa ntchito popangira zotupa m'malo opaka minofu yofewa ndi kulumikizana ndi chigamba chokhala ndi diclofenac. Werengani zambiri za kugwiritsa ntchito chigamba m'nkhaniyi.

D iklofenak imatha kuyambitsa mavutowa:

kupweteka kwa epigastric, kuchulukitsa kwa matenda am'mimba kapena kapamba,
kutuluka magazi m'magawo osiyanasiyana am'mimba: kusanza ndi magazi, melena kapena malo wamagazi,
chiwindi hepatitis, pachimake chiwindi kulephera,
pachimake aimpso kulephera.