Kodi chimathandiza ndi chiyani Omez? Malangizo ogwiritsira ntchito, ndemanga

Mankhwala amakono amapereka mndandanda wambiri wa mankhwala omwe amagwiritsidwa ntchito pochiza matenda am'mimba. Chimodzi mwa mankhwala omwewo ndi Omez. Ndiwothandiza kwambiri ndipo ndiyotchuka pakati pa odwala.

Omez amatanthauza mankhwalawo, kulandiridwa kwake komwe kumapereka zotsatira zabwino, mosasamala kanthu ndi cholinga (prophylactic kapena achire).

Kufotokozera Mwachidule

• Omez® (Omez) - mankhwala omwe amalepheretsa kubisalira kwa chapamimba ndipo amagwiritsidwa ntchito pa matenda am'mimbamo (GIT) ndi Zollinger-Ellison.
• Yogwira pophika - Omeprazole - yoyera kapena yothandiza yoyera ya kristalo.
• Gulu la mankhwala: Proton pump zoletsa.
• Muzipatala zomwe zimaperekedwa popanda mankhwala.
• Mtengo umasiyanasiyana kuyambira 70 mpaka 290 ma ruble kutengera ndi dera komanso kuchuluka kwa zidutswa zomwe zili muphukusili.

Omez, poyerekeza ndi njira zina zotsatizanazi, lili ndi mawu osavuta. Omez amachita ngati chinthu chogwira ntchito Omeprazole. Ndizotchuka kwambiri ndi akatswiri azamankhwala. Cholinga chake chachikulu ndikuchiza matenda am'mimba. Kuchita kwake ndikulingalira kuti magwiridwe am'madzi am'mimba azitha, kuthana ndi kuchuluka kwa acidity, komanso kuchepetsa zovuta zoyipa pazachilengedwe.

Kachitidwe ka ntchito ya chinthu chogwira ntchito kumathandizidwanso ndi kupezeka kwa Omez ndi othandizira:

• Mannitol ndi Lactose,
• Sodium lauryl sulfate ndi anrogenrous sodium hydrogen phosphate,
• Sucrose ndi Hypromellose.

Kutulutsa Fomu

Pali mitundu ingapo ya Omez omasulidwa:

• Mapiritsi okhala ndi mitundu yochulukirapo ya Omeprazole (40, 20 ndi 10 mg).
• Ufa womwe umaphatikizidwa poyimitsidwa.
• Lyophilisate, akagwiritsidwa ntchito ngati pakufunika kupanga yankho la jakisoni.

Katswiri wokhazikika atapenda mozama amatha kudziwa mtundu wa mankhwala omwe wodwala ayenera kumwa.

Mankhwala

Chofunikira chachikulu cha mankhwalawa chimayendetsedwa, ndikugwera m'malo acidic. Nthawi yomweyo, omeprazole imasinthidwa kukhala mtundu wa sulfenamide, womwe umamangiriza ma asidi a ATP mu dongosolo limodzi la enzyme. Zotsatira zake, gawo lotsiriza la mayendedwe a hydrogen ndi lotsekedwa. Amaloŵedwa m'malo ndi ayoni a potaziyamu. Zotsatira za Omez ndizomwe zimalepheretsa kutulutsidwa kwa hydrochloric acid.

Chifukwa chotenga muyezo umodzi wa mankhwalawa, imayamba kuchita pambuyo pa maola 1 - 1.5. Kuchuluka kwakukulu mutatenga Omez kumachitika 2 - 2, maola 5.

Atayimitsa mankhwalawa, tiziwalo timene timatulutsa m'mimba, timabwezeretsa ntchito yake pafupifupi masiku 5. Akatswiri amawona kuchuluka kwa mayamwa kwa Omez, chifukwa chakuti chipolopolo cha gelatin chimasungunuka mwachindunji chikalowa malo okhala acidic. Kuchoka kwa mankhwalawa kumachitika kudzera mu impso ndi mkodzo.

Momwe milandu amaikidwira

Omez ali ndi mawonekedwe osiyanasiyana. Izi zimakupatsani mwayi wolembera matenda otere:

• zilonda zam'mimba ndi zilonda zam'mimba,
• kuwonongeka kumunsi kwa kummero, kumakhumudwitsa ndi kutulutsa kwakanthawi m'matumbo am'mimba pazomwe zili m'mimba kapena matumbo,
• zotupa za m'mimba kapena zam'mimba,
• Gastroesophageal Reflux matenda (GERD),
• gastrinoma
• Reflux esophagitis,
• Zollinger-Ellison syndrome,
• kukokoloka kwa kumtunda kwa m'mimba, komwe kumayamba chifukwa cha matenda ammbuyo.
• kukula kwa matenda omwe amapha mabakiteriya opindulitsa pa mucous m'mimba,
• gastritis,
• kutentha kwa mtima.

Omez nthawi zambiri amatengedwa kuti apewe matenda. Mwachitsanzo, pofuna kupatula kuthekera kwa kubwereza chilonda cham'mimba kapena zilonda zam'mimba. Komanso, mankhwalawa amatha kuperekedwa kwa wodwala kwa maola awiri mpaka atatu asanamuchitidwe opaleshoni pofuna kupewa kuthekera kwa secretion yam'mimba kulowa mu kupuma.

Kufunika kotenga Omez kumatha kutsimikiziridwa ndi dokotala wokhazikika pambuyo pakuyezedwa, kuphatikizapo endoscopy ya duodenum ndi m'mimba. Izi zimalola katswiriyo kuti azindikire kukhalapo kwa kupatuka kulikonse kuchokera pachiwonetsero kapena gawo loyambirira la oncology. Mankhwalawa amatha kufinya zizindikiro za khansa, zomwe mtsogolomo zingathe kudodometsa kukhazikika kwa chizindikiritso cholondola.

Contraindication

Tiyenera kudziwa kuti, monga mankhwala ena onse, Omes ali ndi contraindication. Izi zikuphatikiza:

• kukhudzika kwambiri (kusalolera) kwa mankhwala kapena gawo lake lina,
• zaka
• pakati ndi kuyamwitsa,
• matumbo,
• Kutaya magazi kwa GI
• kupezeka kwa mabowo m'makoma a m'mimba kapena matumbo.

Kulemba za Omez kungachitike pokhapokha atamuwunika komanso atadwala kale.

Malangizo ogwiritsira ntchito

Ngakhale mutazindikira kuti ali ndi vutoli, musanayambe kumwa Omez, muyenera kuwerenga malangizowo, omwe amafotokoza mwatsatanetsatane momwe angatengere ndi Omez. Malangizo ogwiritsira ntchito ndi cholinga cha Omez adafotokozedwa mwatsatanetsatane, nambala yina ya kumwa mankhwalawo kuti mupeze matenda osiyanasiyana:

• Ndi zilonda zam'mimba Omez amatchulidwa piritsi limodzi tsiku lililonse. Kutalika kwamankhwala pamilandu iyi ndikuchokera masiku 14 mpaka 28. Ndi kuchulukitsa kwa matendawa, kuchuluka kwake kungathe kuchuluka kwa mapiritsi awiri patsiku.
• Ngati matenda ofanana ndi kukokoloka kapena zilonda zapezeka, kuphwanya kukhulupirika kwa makoma am'mimba kapena matumbo, kuyipidwa ndi kugwiritsa ntchito mankhwala a NSAIDs (omwe si ateroidal), mlingo wa Omez sunasinthidwe (mapiritsi 1 - 2), koma njira yothandizira mankhwalawa yakhala ikuchitika kwa miyezi 1.5 - 2.
• Ndi matenda a Reflux esophagitis, kapena ngati kuli kotheka, kupatula kubwerezanso kwa matendawa, adotolo atha kukupatsani njira yotenga Omez kwa miyezi isanu mpaka isanu ndi umodzi.
• Kuzindikira kwa gastrinoma kumakhudzana ndi njira yomwe munthu angagwiritsire ntchito mlingo wake. Izi ndichifukwa chosiyana ndi katulutsidwe ka m'matumbo mu vuto lililonse. Pa gawo loyambirira la mankhwalawa, tikulimbikitsidwa kumwa mapiritsi atatu patsiku, ndipo muyezo wotsatira mlingo ungathe kuchuluka kuchokera pamapiritsi 4 mpaka 6 kawiri pa tsiku.

Ngati bacterium ya Helicobacter pylori ikamera m'thupi la wodwalayo, zomwe zimapangitsa kuti pakhale matenda amtundu wa zilonda kapena zilonda zam'mimba, Omez amadziwika ndi mankhwala omwe ali ndi antibacterial. Pankhaniyi, mankhwalawa amayenera kumwa piritsi limodzi pakapita milungu iwiri.

Malangizo ogwiritsira ntchito Omez akufotokozerani momveka bwino za mankhwalawa. Dziwani kuti ana osakwana zaka 18 sayenera kumwa mankhwalawa. Komabe, nthawi zina, mwana akhoza kutumikiridwa 0, 5 ya muyezo wa omez.

Kumwa mankhwala pa mimba kapena mkaka wa m`mawere

Kafukufuku sanawonetse mavuto omwe amachitika chifukwa cha kumwa mankhwalawa panthawi yapakati kapena mkaka wa m`mawere. Koma munthawi imeneyi, Omez amayenera kulembedwa pokhapokha ngati simungathe kuisintha ndi mankhwala ena. Mkazi yemwe amamwa mankhwalawa panthawi yapakati amayenera kuwunikidwa nthawi zonse ndi madokotala komanso azachipatala.

Kumwa mankhwala a kapamba

Ndi kapamba, Omez amatchulidwa mogwirizana ndi mankhwala ena. Kutalika kwa makonzedwe kumatengera kuchuluka kwa kapangidwe ka kapamba. Izi zimachitika chifukwa chakuti palibe mphamvu mwachindunji ya mankhwalawa pa kapamba. Imachita mosalunjika, pochepetsa kuchuluka kwa acidity ya m'mimba, kuthana ndi chizindikiro cha kutentha kwa pamtima, ndikuchepetsa ululu.

Zotsatira zoyipa

Ngakhale kuphatikiza kwakukulu kwa Omez, kumakhala ndi zovuta zingapo zomwe zimatha kudwala. Zina mwazodziwika ndi izi:

• kuphwanya milandu yamagazi osiyanasiyana,
• pamaso pa concomitant matenda a chapakati mantha dongosolo, kumwa Omez, kuthekera kwa zizindikiro monga odwala monga:
  • chizungulire
  • mutu
  • kusakhazikika
  • dziko lokhumudwitsa
• kuthekera kwa mavuto kuchokera m'matumbo am'mimba sikumayikidwa pambali:
  • kuphwanya chopondapo
  • nseru
  • kusanza
  • kuphwanya kukoma
  • kamwa yowuma
  • kupweteka kwam'mimba
• pamaso pa kuwonongeka kwa chiwindi kapena kapamba, wodwalayo angakulitse kuchuluka kwa secretion ya chiwindi michere,
• kusalolera payekha kwa zigawo za Omes kumatha kupangitsa wodwalayo kukula
  • zotupa,
  • urticaria
  • Edema wa Quincke.

Pofuna kuwonetsa zovuta zoyipa pang'ono, muyenera kusiya kumwa mankhwalawo ndikusankha mankhwala omwewo. Chaputala chotsatira chili ndi fanizo.

Wotchipa anzanu

Ngati pazifukwa zina mankhwalawo sanathe kugula Omez, mutha kusankha ma fanizo apakhomo, nawonso ndi otsika mtengo. Mwa zina zomwe ndizotchipa komanso zotsika mtengo ndi izi:

• Kuyendera. Ili ndi katundu wofanana ndi Omez. Sizimachepetsa kugwira ntchito kwake, ngakhale zitakhala zofanana ndi chakudya.
• Omeprazole stad. Amawerengera vuto la matenda. Iwo ali osavomerezeka kutenga pamaso pa matenda a chiwindi kapena kapamba. Nthawi zambiri amauzidwa asanachite opaleshoni kuti apewe zomwe zili m'mimba kulowa m'misewu.
• Omeprazole Acry. Ntchito mankhwalawa zilonda zam'mimba. Maonekedwe amtundu wotere monga mutu samatsutsidwa. Sizoletsedwa kutenga nthawi yoyembekezera kapena yoyamwitsa.
• Barol. Imachepetsa njira ya katulutsidwe ka madzi a m'mimba. Simalimbikitsidwa kwa ana ochepera zaka 18 ndi amayi apakati.
• Velos. Amalembera gastritis, yomwe imayendetsedwa ndi kuchuluka kwa acidity kapena zilonda zam'mimba.
• Altan. Ntchito kuchiza gastritis, dysbiosis, zilonda zam'mimba kapena zilonda zam'mimba. Ana osaposa zaka 9 ali osavomerezeka.
• Zomera. Mbali yodziwika bwino ya mankhwalawa ndi chilengedwe chake. Chidacho chili ndi zinthu zotsutsa-kutupa. Amagwiritsidwa ntchito pokhapokha ngati acidity yochepa. Ndi acidity yayikulu, mankhwalawa sangatengedwe.
• Dalargin. Amagwiritsidwa ntchito ngati njira yotha kuthetseratu zoperewera pakhoma la matumbo kapena m'mimba m'nthawi yochepa. Amatengedwa ngati jakisoni.

Zofanana

Palinso ma fanizo a Omez ochokera kunja:

• Osagwirizana. Amawerengera matenda monga kupezeka, zilonda kapena mastocytosis. Sivomerezeka kugwiritsa ntchito mankhwalawa panthawi yomwe muli ndi pakati kapena mwa ana, komanso pamaso pa tsankho la munthu pazamankhwala kapena pazinthu zake.
• Ultop. Chidacho chili ndi mphamvu ya cytoprotective. Nthawi zambiri amagwiritsidwa ntchito ngati njira yothandizira pothandizira zilonda zam'mimba.
• Ulcozole. Ntchito pamaso pa zilonda zoyambitsidwa ndi kupsinjika. Ana ndi amayi apakati saloledwa. Pamaso pa matenda a chiwindi kapena kapamba, makonzedwe amayenera kuchitika moyang'aniridwa ndi dokotala.
• Orthanol. Amasankhidwa ngati mankhwala omwe amawongolera kuchuluka kwa katulutsidwe katulutsidwe ka chapamimba. Zotsatira zoyipa monga kuphwanya mseru, kupweteka mutu, kapena kusanza sizimaletsedwa.
• Zhelkizol. Chofunikira chachikulu cha mankhwalawa cholinga chake ndikukhazikitsa secretion ya basal.
• Chelitsid. Chimagwiritsidwa ntchito pochiza zilonda zam'mimba kapena zilonda zam'mimba.

Musanamwe mankhwala omwewo, phunzirani mosamala malembedwe, malangizo, chifukwa ndi momwe mungatengere. Mphamvu ya achire othandizira zimatengera izi.

Kupanga ndi mawonekedwe a kumasulidwa

Kutulutsa - makapisozi ndi ufa. Makapisozi a gelatin ndi olimba, thupi la kapisozi limawonekera, kapu ndi pinki. Mawu olembedwa "OMEZ" ali mbali zonse za kapisozi. Ma granles oyera amadzaza kapisozi. Phukusili lili ndi makapisozi 10 kapena 30.

Mapangidwe a makapisozi a Omez amaphatikiza ndi zomwe zimapangidwira omeprazole, komanso zinthu zina: dibasic sodium phosphate, sucrose, sodium lauryl sulfate, madzi oyeretsedwa.

Imapezekanso ngati ufa wa lyophilized, pomwe njira yothetsera Hinduia yakonzedwa (Omez iv). Botolo limakhala ndi 40 mg ya mankhwalawa. Mulinso yogwira pophika omeprazole, komanso exipient anhydrous sodium carbonate. Malangizo ogwiritsira ntchito ndi kufotokozera amaphatikizidwa m'bokosi ndi mankhwala.

Mankhwala

The yogwira mankhwala Omez ali antiulcer kwenikweni, kuchepetsa mulingo woyambira pansi ndi kusangalatsa secretion. Malinga ndi malangizo, zozizwitsa za omez sizitengera mtundu wa chilimbikitso.

Domperidone, yomwe ndi gawo la Omez D, imakhala ndi antiemetic, imathandizira mamvekedwe am'munsi esophageal sphincter, komanso imathandizira kutsitsa kwam'mimba pomwe njirayi imayamba kuchepa. Monga lamulo, mphamvu ya mankhwalawa imachitika mofulumira, paola loyamba pambuyo pa makonzedwe, ndipo zimatha osachepera tsiku.

Zomwe zimathandiza Omez

Zisonyezero zogwiritsidwa ntchito ndi Omez ndi izi:

• zilonda zam'mimba za duodenum, m'mimba,
• erosive and ulcerative esophagitis,
• zilonda zam'mimba zomwe zimagwirizanitsidwa ndi chithandizo cha mankhwala omwe si a antiidal
• chilonda chopsinjika
• zilonda zam'mimba zam'mimba kapena zilonda zam'mimba,
• Zollinger-Ellison syndrome,
• kapamba
• matenda a gastroesophageal Reflux,
• zokhudza zonse mastocytosis.

Ngati simungathe kumwa mankhwalawo mkati, koma pali zofunikira kuti mugwiritse ntchito, mankhwalawa amatha kuthandizidwa kudzera mu mtsempha wa magazi. Mukamwa ma mapiritsi a Omez, ndi zinthu zina ziti zomwe amagwiritsidwa ntchito, adokotala amafunsira.

Mapiritsi a Omez: malangizo ogwiritsira ntchito

Wodwala ayenera kumeza makapu osatsegula kapena kutafuna. Ngati mapiritsi a Omez amalembera zilonda zam'mimba, Reflux esophagitis, malangizo ogwiritsira ntchito amapereka kuti mankhwalawa amagwiritsidwa ntchito pa 20 mg patsiku, m'mawa, pamimba yopanda kanthu. Mankhwala ayenera kumwedwa kwa masiku 14.

Ngati zilonda zam'mimba sizinachiritsidwe panthawi yamankhwala, chithandizo chitha kupitilira milungu ina iwiri. Monga ulamuliro, mukumwa mankhwalawa, kuwonda kwa zilonda zam'mimba za duodenum kumachitika pakatha milungu 4.

Chithandizo cha Zollinger-Ellison syndrome chimaphatikizapo kumwa 60 mg ya mankhwala patsiku. Za kumwa momwe mungamwe - musanadye kapena mutamaliza kudya, malangizo amakupatsanso chisonyezo: mankhwalawa amatengedwa musanadye. Mlingo wokonza amayesedwa ndi dokotala.

Ndi gastritis, chithandizo chimatenga sabata limodzi mpaka sabata ziwiri. Chithandizo cha gastritis cholinga chake ndikuchotsa zizindikiro za m'mimba zosakwiya. Pankhaniyi, 1 kapisozi patsiku ndi mankhwala. Kuphatikiza apo, dokotala yemwe akupezekapo angakuuzeni momwe mungatengere Omez chifukwa cha gastritis mutakhazikitsa matenda.

Ndi kapamba, amamuika ngati gawo la mankhwala okwanira. Amaganiziridwa kuti chithandizo choterechi chimathandizira wodwalayo kutentha kwa mtima, kuchepetsa ululu ndi kupsinjika kwa kapamba. Kutalika kwa chithandizo kumatengera kuuma kwa zizindikirazo. Poyamba, makapisozi awiri amaperekedwa tsiku lililonse, ndiye kuti mankhwalawa amakonzanso - 1 kapisozi patsiku.

Ndi kutentha kwa mtima, sikuyenera kugwiritsidwa ntchito popanda kuvomerezeka ndi dokotala.

Intravenous makonzedwe, kutengera matendawa, imachitika mlingo wa 40 mg mpaka 80 mg patsiku. Ngati mlingo umachokera pa 60 mg, utha kugawidwa pawiri. Pambuyo pochotsa zizindikiro zowopsa, kusintha kwa mankhwalawa pakamwa kumachitika.Njira yokonzekerayi ndi yoyenera tsiku.

Zotsatira za pharmacological

Monga momwe annotation ikuchitira umboni, mankhwalawa ndi mankhwala othandizira omwe ali m'gulu la proton pump zoletsa. The yogwira mankhwala omeprazole, omwe ali ndi makapisozi, tikulephera secretion wa hydrochloric acid, akukhudzidwa ndi enzyme H + -K + -ATPase yam'mimba maselo. Zotsatira zake, gawo lotsiriza la hydrochloric acid synthesis limatsekedwa mchikakamizo chake. Zotsatira zake, mosasamala mtundu wa zolimbikitsa, mulingo woyambira komanso wosachedwa kubisala umachepa.

Zizindikiro Omez

Zisonyezero zogwiritsidwa ntchito ndi Omez ndi izi:

• zilonda zam'mimba za duodenum, m'mimba,
• erosive and ulcerative esophagitis,
• zilonda zam'mimba zomwe zimagwirizanitsidwa ndi chithandizo cha mankhwala omwe si a antiidal
• chilonda chopsinjika
• zilonda zam'mimba zam'mimba kapena zilonda zam'mimba,
• Zollinger-Ellison syndrome,
• kapamba,
• gastroesophageal Reflux matenda,
• zokhudza zonse mastocytosis.

Ngati simungathe kumwa mankhwalawo mkati, koma pali zofunikira kuti mugwiritse ntchito, mankhwalawa amatha kuthandizidwa kudzera mu mtsempha wa magazi.

Mukamwa ma mapiritsi a Omez, ndi zinthu zina ziti zomwe amagwiritsidwa ntchito, adokotala amafunsira.

Zotsatira zoyipa za omez

Mwambiri, mavuto akumwa mankhwalawa ndi osowa. Zotsatira zoyipa izi ndizotheka:

• Matumbo oyenda: m'mimba kupweteka, nseru, chisangalalo, kulawa zosokoneza, kuchuluka kwa chiwindi michere.
• Ziwalo za Hematopoietic:thrombocytopenia, leukopenia, agranulocytosis.
• Machitidwe amanjenje: mutu, chizungulire, kukhumudwa.
• Dongosolo laumiseche: myasthenia gravis, arthralgia, myalgia.
• Chiwonetsero cha khungu: zotupa, pruritus, photosensitivity.
• Mawonetseredwe amatsutsa: urticaria, malungo, bronchospasm.
• Kuphatikiza apo, nthawi zina, pamatha kukhala kuwonongeka kwa khungu, malaise, ndi thukuta.

Bongo

Wikipedia ikuwonetsa kuti kuledzera sikumayambitsa ziwopsezo zopatsa moyo. Poterepa, masomphenya osalala, kamwa yowuma, tulo, mutu, tachycardia. Mankhwala othandizira amagwiritsidwa ntchito. Hemodialysis osati ogwira ntchito mokwanira.

Kuchita

Nthawi yomweyo, imatha kuchepetsa mayamwidwe a ampicillin esters, mchere wamchere, ketoconazole, itraconazole.

Omeprazole amalimbikitsa ndende ndikuchepetsa ntchito yochotsa diazepam, osalunjika anticoagulants, phenytoin.

Ndi kuphatikiza kwa ntchito mkamwa omeprazole ndi clarithromycin, kuchuluka kwa zinthu izi m'magazi a m'magazi kumachulukanso.

Malangizo apadera

Ndikothekanso kutenga makapisozi nthawi imodzi ndi chakudya, kuchokera pomwe mankhwalawo sataya ntchito.

Musanayambe kumwa ma kapisozi kapena kumwa Omez kudzera m'mitsempha, muyenera kusiyanitsa njira zoyipa, popeza kuchiritsa kumatha kubisa zomwe mukuwonetsa.

Nthawi zina pamakhala zinthu zina zofunika kupewetsa kumeza kapisozi yonse, pomwe mankhwalawo amagwiritsidwa ntchito motere: kapukusi amatsegulidwa, ndipo zomwe zili mkati zimaphatikizidwa ndi applesauce (supuni 1). Munjira zina, simungatenge zomwe zili pambale.

Zomwe zimapangitsa kuti mankhwalawo athe kuyendetsa magalimoto komanso kugwira ntchito ndi zinthu mwatsatanetsatane sizokayikitsa.

Analogs Omez

Pali ma analogi ndi aku Russia ochokera ku Omez, koma osavomerezeka kusankha nokha. Zomwe zimachitika mthupi zimakhala ndi mankhwala osokoneza bongo Omeprazole, Demeprazole, Crismell, Zerocide, Omecaps, Omesol, Gastrozole, Ultop etc. Mtengo wa analogi zimatengera wopanga ndi zinthu zina.

Nolpaza kapena Omez - ndibwino?

Njira Nolpaza Imakhalanso ndi zofanana, kuchepetsa kuchuluka kwa hydrochloric acid ndikuthandizanso kuchepetsa matenda am'mimba. Mapangidwe a Nolpaz akuphatikizira omwe amagwira ntchito Pantoprazole. Mankhwalawa nthawi zina amagwira ntchito mwachangu.

Omez kapena Ranitidine - ndibwino?

Ranitidine Muli yogwira mankhwala ranitidine hydrochloride ndipo amagwiritsidwa ntchito zofanana ndi matenda monga Omez. Ndi mankhwala ati omwe mungasankhe kumatengera dokotala.

Ndibwino - Omez kapena Ultop?

Kapangidwe kazandalama Ultop yogwira pophika omeprazole imaphatikizidwanso. Zochita zake zimatengera chopinga china cha madzi a m'mimba. Ndi mankhwala ati omwe ayenera kusankhidwa, ndikofunikira kufunsa katswiri ndipo nthawi yomweyo muziganizira za matendawo.

Orthanol kapena Omez - ndibwino?

Orthanol - Mankhwala ena omwe amagwiritsidwa ntchito ndi omeprazole. Monga Omez, mankhwalawa amapatsidwa matenda a zilonda zam'mimba, zinthu zina.

Ndibwino - Omez kapena Pariet?

Zikukwera muli yogwira pophika rabeprazole sodium. Komabe, zikuwonetsa kugwiritsa ntchito mankhwalawa ndizofanana ndi makapisozi a Omez.

Ndibwino - Omez kapena De Nol?

De nol- Wothandizira anti-ulcer othandizira omwe amakhala ndi bismuth subcitrate. Momwe angatenge Omez ndi De Nol zimatengera kuopsa kwa matendawa. Koma izi zikuyenera kuchitika molingana ndi chiwembu chomwe adokotala adapereka.

Zabwino ndi ziti - Omez kapena Omez D?

Odwala ambiri ali ndi chidwi ndi kusiyana pakati pa Omez ndi Omez D. kusiyana pakati pa mankhwalawa ndikuti Omez D muli ngati yogwira mankhwala osati omeprazole, komanso domperidone.

Mankhwalawa sanalembedwe kwa ana osakwana zaka 12, popeza palibe chidziwitso chokwanira chokhudza thupi la odwala.

Ndemanga za Omez

Pali ndemanga zambiri zabwino za Omez. Ndemanga ya iwo omwe akutenga chida ichi akuwonetsa kuti imagwira bwino matenda a zilonda zam'mimba, amathandizira kuthana ndi kuukiridwa kutentha kwa mtimaamathetsa chizindikiro cha gastritis pachimake. Ndemanga za Omez pamafomu mulinso zabwino, anthu amati zitha kutengedwa nthawi iliyonse, ndipo zimachitanso chimodzimodzi. Kuphatikiza apo, mankhwalawa amathandizira kugaya kwam'mimba pakumwa mankhwala ena omwe amachitika pamimba komanso matumbo mokwiyitsa. Monga zovuta, zimakonda kutchulidwa kuti chipangizochi ndiokwera mtengo kwambiri.

Mtengo Omez, komwe mugule

Mtengo wa mapiritsi a Omez 10 mg wa pafupifupi ruble 110 pamabotolo 30. Mtengo wa Omez 20 mg - kuchokera ku ma ruble 170 pa paketi imodzi ya 30 makapisozi. Mtengo wa Omez ku Moscow komanso m'mizinda ina ya Russia ndiwofanana. Mutha kugula Omez 20 mg ku Ukraine (Kiev, Kharkov, mizinda ina) pa 60 UAH. (kulongedza ma PC 30. Mtengo wa 10 mg - pafupifupi 25 UAH. Ndalama zingati zomwe mtengo ungagulitsidwe molondola pakugulitsa.

Analogi ndi mtengo

Pali ma analogi ndi aku Russia ochokera ku Omez, koma osavomerezeka kusankha nokha. Zofanana mthupi zimaphatikizidwa ndi Omeprazole, Demeprazole, Crismel, Zerocide, Omecaps, Omezol, Gastrozole, Ultop, etc. Mtengo wa analogues zimatengera wopanga ndi zinthu zina.

Mtengo wa mapiritsi a Omez 10 mg ndi avareji ma ruble 120 pa zidutswa 30. Mtengo wa Omez 20 mg - kuchokera ku ma ruble 180 pa paketi imodzi ya 30 makapisozi.

Maganizo a odwala

Pali ndemanga zambiri zabwino za Omez. Ndemanga yotenga chida ichi chikuwonetsa kuti imagwira bwino matenda a zilonda zam'mimba, imathandizira kuthana ndi kutentha kwa kutentha, komanso imachotsa chizindikiro cha gastritis yovuta.

Ndemanga za Omez pamafomu mulinso zabwino, anthu amati zitha kutengedwa nthawi iliyonse, ndipo zimachitanso chimodzimodzi. Kuphatikiza apo, mankhwalawa amathandizira kugaya kwam'mimba pakumwa mankhwala ena omwe amachitika pamimba komanso matumbo mokwiyitsa. Monga zovuta, zimakonda kutchulidwa kuti chipangizochi ndiokwera mtengo kwambiri.

Posachedwa, m'mimba mudadzikumbutsanso, osati za ine zokha, komanso za amuna anga, mwina adadya kena kolakwika, tsopano zikuwoneka kuti zogulitsazo ndi zatsopano, koma aziyika mafuta ophikira mwa iwo, mafuta a kanjedza, mitundu yonse ya mankhwala, chonde - kutulutsa gastritis ... Popeza kutenga Gaviscon kumangochotsa zizindikiro zokha, koma sikuchiritsa, ndipo kukulira sikungakuchokenso, ndidaganizanso kumwa Omez. Masiku atatu ovomerezeka - ndipo thanzi labwino labwereranso kwa ife.

Ponena za chochitikacho, machiritso anali chipulumutso changa. Ndimatenga kapisozi kamodzi patsiku, m'mawa musanadye kapena mukudya. Chidacho chimachotsa kusasangalala komanso kupweteka m'mimba tsiku lonse. Mankhwala samayambitsa chizolowezi. Mutha kusiya kumwa mukangomva kupumula kwa zizindikiro za gastritis.

Ndikofunika kwambiri kumwa Omez ngati mukumwa mankhwala ena ambiri. Zithandiza kuchepetsa mavuto oyipa a mapiritsi pamimba. "Omez" amasonyezedwa ngakhale zilonda zam'mimba.

Pharmacokinetics

Pambuyo m`kamwa makonzedwe, achire zotsatira za mankhwala amayamba ola limodzi. Yogwira ntchito mwachangu imatengedwa mwachangu kuchokera m'matumbo, ikafika pamtunda wa mphindi 30-60. Zake bioavailability ndi 40%. Mankhwalawa 90% amakhala ndi mapuloteni a plasma, omwe amapangidwa mu chiwindi. Metabolite yofunikira ndi hydroxymeprozole.

Pafupifupi 80% imachotsedwa impso, komanso mkodzo, 20-30% - palimodzi ndi ndulu. Chilolezo cha Creatinine - 500-600 ml / mphindi. Odwala omwe ali ndi vuto la aimpso, kuperewera kwa mankhwalawa kumachepetsa malinga ndi chilolezo cha creatinine. Hafu ya moyo wa mankhwalawa ndi mphindi 30-60.

Kodi Omez ndi chiyani?

Makapisozi a Omez amalembera matenda otsatirawa:

• Zilonda zam'mimba ndi ma p. 12,
• Erosive-ulcerative esophagitis,
• NSAIDs-gastropathy (ulcerative process), chifukwa cha kugwiritsa ntchito mankhwala osapweteka a anti-yotupa),
• Zolinger-Elinson Syndrome,
• Systemic mastocytosis,
• Polyendocrine adenomatosis,
• Zilonda zam'mimba zimapsinjika zilonda,
• Zilonda zaposachedwa zam'mimba ndi 12p matumbo,
• Kuchotsa kwa Helicobacter pylori (monga mankhwala othandizira).

Mlingo ndi makonzedwe

Omez ndi mankhwala opangira ntchito zamkati. Kapisozi tikulimbikitsidwa kuti mumezedwe lonse, osafuna kutafuna, osambitsidwa ndi madzi pang'ono, theka la ola musanadye.

Ndi kuchulukitsa kwa zilonda zam'mimba ndi 12 p. Mwa matumbo, NSAID-gastropathy ndi kukokoloka kwa ulcerative esophagitis, mlingo woyenera wa tsiku ndi tsiku wa omez ndi 1 kapu. (20 mg). Mukumwa kwambiri Reflux esophagitis, mlingo umachulukitsidwa mpaka 2 kapisozi (40 mg). Ayenera kutengedwa nthawi imodzi patsiku. Kutalika kwa njira ya mankhwalawa zilonda zam'mimba 12 tsa m'matumbo ndi 2-3 (ngati ndi kotheka - masabata 4-5), ndi Reflux exophagitis ndi zilonda zam'mimba - masabata 8.

Odwala omwe ali ndi vuto la Zolinger-Ellison amadziwika ndi 60 mg ya mankhwalawa, omwe amagawidwa pawiri. Malinga ndi zidziwitso zachipatala, mlingowo ukhoza kuwonjezeka mpaka 80-120 mg patsiku.

Pofuna kupewa kuyambiranso zilonda zam'mimba - 1 kapisozi 1 nthawi patsiku.

Popewa kukula kwa matenda a Mendelssohn's (acid-aspiring pneumonitis), wodwalayo akulimbikitsidwa kuti atenge 40 mg ya omez ola limodzi asanafike opaleshoni. Ndikupanga opaleshoni yayitali kwa nthawi yayitali (maola opitilira maola awiri), mlingo womwewo umayambidwanso.

Pakuwonongeka (kuthetsa) kwa Helicobacter, Omeprazole amagwiritsidwa ntchito ngati mankhwala othandizira, malinga ndi chiwembu chapadera.

Odwala omwe ali ndi vuto la chiwindi amafunsidwa 20 mg ya mankhwala patsiku.

Kuyanjana kwa mankhwala

Omez amachepetsa mayamwidwe a ketoconazole ndi intraconazole, mchere wamchere ndi ampicillin.

Kuchulukitsa ndende ndikuchepetsa kuchotsedwa kwa osakhudzika anticoagulants, diazepam ndi phenytoin.

Simalumikizana ndi amoxicillin, metronidazole, diclofenac, theophylline, lidocaine, cyclosporine, estradiol, caffeine, propranol, quinidine, ndi ma antacid omwe amagwiritsidwa ntchito munthawi yomweyo.

Omez amatha kupititsa patsogolo zotsatira za mankhwala omwe amakhudza dongosolo la hematopoiesis.

Malo osungira

Sungani pamalo owuma, amdima, osatha kufikira ana, pamtunda wosaposa 25 C. Moyo wa alumali wa mankhwala ndi zaka zitatu. Pambuyo pa nthawi imeneyi, kugwiritsa ntchito mankhwalawo kumaletsedwa.

Mtengo wapakati wa Omez m'mafakisi ku Moscow ndi ma ruble 150-180 (makapisozi 20 mg)

Omez - mawonekedwe ogwiritsira ntchito

Kuti mudziwe za mankhwala a Omez (onani chithunzi pansipa) - mawonekedwe ake akugwiritsidwa ntchito ndiwambiri - muyenera kufunsa dokotala kuti azichita mayeso athunthu. Kutalika kwam'mimba ndi duodenum ndikofunikira kuzindikira zodwala kapena gawo loyambirira la khansa. Izi ndichifukwa choti mankhwalawa amatha kubisa zizindikiro za oncology, kotero kuti chithandizo chamankhwala chitha kupangitsa kuti azindikire.

Dziwani za mankhwala Omez - zomwe zomwe zimagwiritsidwa ntchito popanga tanthauzo ndi chiyani. Zowonetsa:

• zilonda zam'mimba, zilonda zam'mimba, zotuluka zake,
• kukokoloka kwa mpanda zam'mimba,
• Zilonda zam'mimba zomwe zatulukira kumwa mankhwala omwe si a steroidal omwe amateteza kutupa,
• Zilonda zoyambitsidwa ndi kupsinjika,
• Zollinger-Alisson syndrome,
• kukokoloka kwa m'mimba komanso kum'mero ​​kwa chiwindi.
• kachilombo komwe kamawononga mabakiteriya oyamba m'mimba,
• mankhwalawa gastritis ndi kutentha pa chifuwa.

Omez - malangizo ogwiritsira ntchito

Ku Omez, malangizo ogwiritsira ntchito amaphatikizapo malangizo omwe amamwa mankhwalawa. Amati makapisozi amagwiritsidwa ntchito m'mawa, kuwameza palimodzi ndi mankhwala amadzimadzi. Ngati dokotala sanakuwuzeni mankhwala, malangizo a Omez akutsimikizira kuchuluka kwa kapisozi ndi nthawi yayitali ya chithandizo:

• ndi zilonda zam'mimba 20 mg patsiku amatengedwa, maphunzirowa amakhala mpaka mwezi, ngati milandu ili yolephera, mlingowo umachulukitsidwa,
• ndi zilonda zam'mimba - Mlingo wofanana, koma maphunzirowa atha kukula mpaka miyezi 1.5,
• ndi kukokoloka Inde - mwezi umodzi, makapisozi awiri patsiku amagwiritsidwa ntchito, ngati maphunzirowo ndi oopsa - maphunzirowa amawirikiza,
• odana ndi kubwezeretsanso kanthu 20 mg Omez wagwiritsidwa ntchito,
• Zollinger-Ellison Syndrome - Mlingo wovomerezeka ndi dokotala aliyense payekhapayekha, ndi 70 mg, wagawidwa pawiri.
• ndi kuthetsa - ogwiritsidwa ntchito pagululi ndi maantibayotiki, kuyenderana kumatsimikiziridwa.

Pa nthawi yoyembekezera

Pochiza ndi mankhwalawa, wina angapeze funso loti angagwiritse ntchito Omez panthawi yomwe ali ndi pakati. Mankhwalawa amatha kuloza m'mimba mwa mwana wosabadwayo, koma palibe maphunziro pazokhudza mwana. Zotsatira zake, madokotala amachepetsa kugwiritsa ntchito omeprazole kwa amayi oyembekezera komanso panthawi yachilendo chifukwa cha kuchuluka kwa mahomoni. Dokotalayo sangathe kunena mosavutikira zovuta zake, chifukwa chake ena amazilemba molingana ndi zowonetsa komanso moyang'aniridwa kwambiri.

Ngati dokotala amawopa mwana wosabadwayo, kapena mayi woyembekezera ali ndi zotsutsana pakugwiritsira ntchito hypersensitivity, ndiye kuti Omez amasinthidwa ndi ma antacid am'deralo. Sikoyenera kupereka mankhwalawo panokha pa nthawi yomwe muli ndi pakati, chifukwa chiopsezo chotenga matenda a mtima mu fetus chimalira. Izi ndizofunikira makamaka pakumwa mankhwala mu trimester yoyamba.

Omez amagwiritsidwa ntchito moyenera pa kutentha kwa mtima, amachotsa mawonetseredwe ake m'matumbo am'mimba. Ndikofunika kukumbukira kuti sikulimbikitsidwa kuti muzitenga palokha malinga ndi kuwunika, pokhapokha, monga njira ya ambulansi - 1 kapisozi 10 mg. Zotsatira zake zochizira zimachitika pakatha masiku 4-5, ndipo zonse zimatha osapitilira milungu iwiri. Kuchokera pazomwe mapiritsi a Omez sagwiritsidwa ntchito palokha, amachokera ku kutentha kwa mtima komwe kumachitika kangapo kawiri pa sabata.

Ngati dokotala wazindikira Reflux esophagitis, izi zikuwonetsa kuti chomwe chikuwoneka ngati kutentha kwa mtima chadziwika. Matendawa amadziwika ndi kukomoka kwa m'munsi m'misempha yam'mero ​​- minofu iyi imakhala pakati pa esophagus ndi m'mimba, imatseka pambuyo pa chakudya, kupewa kutulutsa kwa hydrochloric acid ndi zinthu zomwe zimalowa m'mero. Ngati matenda oterewa akuwonekera pokhapokha nthawi yowonjezera - mu nthawi yophukira ndi yophukira - adokotala adzakupatsani chithandizo chogwirizana ndi zomwe wodwalayo ali nazo.

Kwa m'mimba

Matenda am'mimba omwe amapezeka ndi vuto la asidi akusonyeza kuti Omez wopweteka m'mimba adzalembedwera kuti athetse. Zizindikiro zodziwika bwino zogwiritsira ntchito mankhwalawa ndi gastritis yamitundu yosiyanasiyana. Ngati matendawa ndi acidic, Omeprazole amathandizira kuchulukana, amatulutsa pH, amathandizanso kupweteka, kusasangalala komanso kutentha kwa mtima. Amagwiritsidwa ntchito theka la ola musanadye, kupewa kuchuluka kwa acidity chifukwa chimbudzi.

Ngati gastritis yodziwika ndi acidity yachilendo kapena yafupika, mankhwalawa safunikira kugwiritsidwa ntchito. Zizindikiro za kutentha pa mtima zikachitika, madokotala amatulutsa prophylactic ya makapisozi kapena kuyimitsidwa. Ndi kuchepetsedwa katulutsidwe ka khungu la gastritis ndi kusowa kwa kutentha kwa mtima, Omez amatha kutchulidwa pakakhala zovuta pakudya kwambiri, kuzunza zonunkhira, kuzifutsa, kusuta mbale, zonunkhira. Malinga ndi ndemanga, amalimbana ndi ntchitoyi.

Mankhwalawa amathandizanso ndi zilonda zam'mimba, zomwe zimakulira nthawi ya offseason. Omez samangochotsa mawonetsedwe ake, komanso amathandizira kuchiritsa mwachangu. Zilonda zopweteka zimafuna kuchuluka kwa 40 mg, osapweteka kwambiri komanso kutentha kwamtima - 20 mg. Maphunzirowa amakhala mpaka mwezi, pambuyo pake amapuma. Zomwezi zikugwiranso ntchito zilonda zam'mimba. Ndi kukokoloka, mankhwalawa amagwiritsidwa ntchito kwa miyezi iwiri, ndipo mlingo umayikidwa ndi dokotala payekhapayekha. Ndi kukula kwa matenda pambuyo pa mankhwala omwe si a steroidal, mlingo wocheperako umagwiritsidwa ntchito moyang'aniridwa ndi madokotala.

Ndi m'mimba

Ngati munthu akudwala matenda a pancreatic adenoma kapena Zollinger-Ellison, ndiye kuti ali ndi ululu wam'mimba komanso am'mimba. Pankhaniyi, Omez amagwiritsidwa ntchito bwino kutsekula m'mimba, koma amafunika kusankha payekha. Ngati acidity ichulukitsidwa kwambiri, mlingo umatha kukhala 120 mg, njira ya mankhwala imatsimikizidwa poganizira zomwe wodwalayo ali nazo. Mukamatenga, kumbukirani kuti Omez amayamba kuchita pakapita kanthawi ndikugwiritsa ntchito pafupipafupi.

Mu matenda am'mimba ndipo matumbo oyambitsidwa ndi kuwonongeka kwa mabakiteriya opindulitsa, mapiritsi a Omez D amagwiritsidwa ntchito, omwe kuphatikiza ndi domperidone. Izi zothandiza zimapulumutsa m'mimba chifukwa cha katundu wowonjezera mamvekedwe a anus, imathandizira kutsitsa kwam'mimba. Mankhwala amathandizira kuchepetsa kubisalira, kumathandizira minofu kuwonongeka pakumasulidwa ndowe. Mphamvu ya pharmacological sikudalira mtundu wam'mimba, umachitika mwachangu.

Omeprazole amathandizira kutsekula m'mimba, koma nthawi yomweyo imatha kukhala chifukwa chake. Izi zimachitika chifukwa cha zotsatira zoyipa za mankhwalawa komanso hypersensitivity pazinthu zina mwa anthu ena. Pofuna kuti izi zisachitike, muyenera kuyang'anitsitsa mlingo womwe wapatsidwa, uwatenge molingana ndi maphunzirowo, ndipo ngati pali mawonekedwe owoneka bwino dokotala. Iyenera kuwunika makamaka kwa mapiritsi kwa okalamba.

Mpakafika zaka 5, Omez sanapatsidwe mwana. Pali zosiyasiyana pamalamulo awa. Zollinger-Ellison syndrome - chifukwa chake mapiritsi a Omeprazole amalembedwa mosamala ana osakwana zaka 5. Kuphatikiza pa matendawa, matenda ena owopsa am'mimba omwe amagwiritsidwa ntchito kwambiri amakhala chizindikiro cha kugwiritsidwa ntchito. Dotolo amakupangira mlingo woyenera malinga ndi kulemera kwa thupi la mwanayo - mpaka 10 makilogalamu padzakhala 5 mg, mpaka 20 kg - 10 mg, kupitilira kulemera uku - 20 mg. Mankhwala onse omwe amawonetsedwa amatengedwa kamodzi patsiku.

Kwa prophylaxis

Mankhwala a Omez amagwiritsidwa ntchito poletsa kutulutsa kwamkati kam'mimba kokhala ndi acidic singalo. Izi zimachitika ngati wodwalayo akhala akuchita opareshoni kwakanthawi kapena akudziwa kuti akuvutika ndi kutentha kwa mtima, zilonda zam'mimba. Poyambirira, ndikulondola kumwa 40 mg patsiku ndi maola atatu musanachite opareshoni, ndipo chachiwiri, kuchuluka kwa nthawi yoikidwa madzulo, maola 4 asanagone usiku. Nthawi ino ndikwanira acid acid - malinga ndi ndemanga, mankhwalawa ali ndi zabwino zake.

Omez - contraindication

Kumwa mankhwala aliwonse amathandizidwa ndi mankhwala kuti mupewe zoipa. Pali mawonekedwe a mankhwala a Omez - contraindication ndi awa:

• Hypersensitivity zigawo zikuluzikulu, chifuwa,
• zaka mpaka 5
• Mimba, kuyamwa,
• Mankhwala sangathe kugwiritsidwa ntchito ndi mowa,
• Imwani mankhwala mosamala pakulephera kwa chiwindi, khansa,
• ndi chiwonetsero cha kuchepa thupi, kusanza ndi magazi ndi mseru popanda chifukwa, ndikofunikira kupatula mankhwalawo.
• Kugwiritsa ntchito nthawi yayitali ndikosayenera chifukwa chakuwonjezeka kwa chiwopsezo cha m'chiuno, m'chiuno ndi msana.