Cov tshuaj "caver": cov lus qhia rau kev siv (tshuaj)

Yog hais tias koj tshem tawm cov kev mob ntawm qhov ncauj thawj coj ntawm cov tshuaj yog tsis tau, siv lub "caver" txhaj tshuaj. Pab Guide xav tshuaj ua li cas thaum mob syndrome nruab nrab thiab theem siab heev. Qhov no tej zaum yuav yog ib tug postoperative mob ntawm tus neeg mob, lub raum Colic thiab tsawg rov qab mob.

Muaj pes tsawg leeg thiab rau hauv daim ntawv ntawm cov tshuaj tso tawm

Nyob rau hauv 1 ml ntawm cov tshuaj cov kev txhaj tshuaj yog 25 mg ntawm active ingredient - dexketoprofen. Lub koom haum pab khoom xyaw xws li ethanol tshuaj nyob rau hauv ib tug npaum li ntawm 96% sodium chloride, sodium hydroxide thiab dej rau txhaj tshuaj.

Cov kev npaj yog ib tug ntshiab tsis muaj kob kua. Ntim rau hauv lub khob vials, uas yog muab ntim rau hauv ib lub cardboard lub thawv rau 5-10 daim. Txhua vial muaj 2 ml ntawm "caver" tshuaj.

Cov lus qhia rau kev siv ntawm tshuaj koom uas tsis yog-tshuaj antiinflammatory thiab antirheumatic agents yog derivatives ntawm propionic acid.

pharmacological

Dexketoprofen trometamol (active tshuaj ntawm cov kev npaj) yog ib lub ntsev ntawm propionic acid. Tsiag ntawv analgesic, antipyretic thiab anti-inflammatory zog. Nws yog ib hoob uas tsis yog-tshuaj anti-inflammatory siv tshuaj, los yog narcotics yuav muab.

Lub mechanism ntawm lub lag luam yog aimed ntawm kev txo qhov synthesis ntawm prostaglandins uas ua los ntawm inhibition ntawm cyclooxygenase. Uas yog, tseg lub hloov dua siab tshiab ntawm arachidonic acid mus rau hauv lub endoperoxides PGG2 thiab PGH2 cyclical xwm. Ntawm no, nyob rau hauv lem, tsim prostaglandins PGEi, PGE2, PGF2a, PGD2, xws li xws li ib tug tshuaj raws li prostacyclin PGI2, thromboxane thiab ThAg thiab ThVg. Hluav ntawm prostaglandin synthesis muaj feem xyuam rau cov pulses ntawm lub inflammatory txheej txheem, xws li kinins, rau qhov yooj yim zog ntawm cov medicament. Dexketoprofen qhia inhibitory ntxim rau cov kev ua ntawm COX-1, COX-2.

Cov soj ntsuam tau tsim los pab cov analgesic nyhuv ntawm cov tshuaj nyob rau hauv cov zaubmov mob. Peb pom nws ua kom loog zog los plaug rau hauv txhaj tshuaj tov. Analysis twb tau soj xyuas nyob rau hauv cov tej yam uas mob mob heev nyob rau hauv lub postoperative lub sij hawm ntawm kev tiv thaiv. Qhov no orthopedic thiab gynecological phais cov txheej txheem, raws li zoo raws li mob plab phais. Siv tau nyob rau cov zaubmov mob nyob rau hauv lub txha nqaj tshuaj "caver". Cov lus qhia rau kev siv tshuaj xav ua thiab raum Colic.

Kev tshawb fawb pom tau hais tias kev kho mob chaw ua instantly, thiab nws cov nyiaj pab ntau tshaj efficiency manifested thaum lub sij hawm plaub caug-tsib feeb. Analgesic ntxim rau cov kab mob yuav siv sij hawm li yim teev, tab sis tsuas nyob rau hauv lub mob uas tau raug qhia nyob rau yam tsawg 50 mg txhais tau tias "caver" (tshuaj). Hauj lwm ntawm lub indications rau cov tshuaj - nws yog tag nrho cov tseem ceeb heev rau kawm ua ntej yuav siv nws.

Los ntawm intramuscular thawj coj ntawm dexketoprofen trometamol siab tshaj plaws concentration cai nyob rau hauv nees nkaum feeb. Cov compound muaj ib tug high degree ntawm cov ntshav ntshav cov nqaijrog - 99%. Hais tawm dexketoprofen fluctuates nyob ib ncig ntawm 0.25 l / kg. poluraspredeleniya lub sij hawm ntawm 0.35 teev. Tso tawm tom qab 1-2,7 teev.

Indications rau kev siv ntawm cov tshuaj

Nws yuav tsum tau muab intramuscularly los yog intravenously rau mob syndrome, medium thiab siab tshuaj "caver" siv. Cov lus qhia rau kev siv cov tshuaj qhia ua tsuas yog thaum qhov ncauj txoj kev kho yog tsis pab. Lawv yuav tsum tau siv tom qab phais, nyob rau hauv cov ntaub ntawv ntawm lub raum Colic, thiab mob heev nyob rau hauv lub lumbar cheeb tsam.

Contraindications

Nws muaj cov tshuaj "caver" (tshuaj) indications thiab contraindications. Qhov thib ob pab pawg neeg no muaj xws li:

• npau taws me ntsis rau active tshuaj deksketoprofenu thiab ntxiv Cheebtsam ntawm cov tshuaj;
• muaj mob hawb pob thiab bronchial chua;
• mob rhinitis, qhov ntswg polyps, urticaria, angioneurotic edema;
• ulcers thiab los ntshav;
• hnyuv los ntshav ;
• Crohn tus kab mob los yog ulcerative mob plab;
• ib tug keeb kwm ntawm bronchial hawb pob;
• lub plawv tsis ua hauj lwm;
• raum kab mob theem nrab mus rau mob hnyav;
• ib tug los ntshav;
• mob loj heev hepatic kab mob;
• Siv rau neuraxial (intrathecal los yog epidural) koom haum saib xyuas;
• cev xeeb tub, tshwj xeeb tshaj yog III peb lub hlis;
• lactation.

Nws yog tsis tsim nyog rau tso ib yam ntawm cov yam tseem ceeb nyob rau hauv lub sij hawm "caver" (tshuaj) ntawm cov tshuaj. Cov lus qhia rau kev siv piav qhia txog tag nrho cov nta ntawm qhov kev tsim nyog siv cov tshuaj.

Cov tshuaj tsis yog muab rau cov neeg mob vim me me kev tsaus ntuj ntawm nws feem rau tus me nyuam lub cev. Ceev faj yuav tsum coj nws thiab cov neeg laus.

Tshuaj "caver" (tshuaj): cov lus qhia rau kev siv

Rau cov neeg laus, cov pom zoo koob tshuaj yog 50 mg thawj coj. Lub caij nyoog nruab nrab tshuaj yuav tsum tsis txhob yuav tsawg tshaj li 8-12 teev. Yog hais tias tsim nyog, tus thib ob txhaj yog nqa tawm tom qab rau lub sij hawm. Lub hnub koob tshuaj yog 150 mg. Lub tshuaj no yog siv rau ib-lub sij hawm nyem ntawm mob mob. Nws tsis yog siv rau ntau tshaj ob hnub nyob rau hauv ib tug uake. Tom qab ib tug thawj zaug kev kho mob ntawm kev mob, yog tias qhov teeb meem no tso cai, tus neeg mob yog pauv mus rau qhov ncauj anesthetics.

Phiv los ntawm lub cev los ntawm kev txo qhov tsawg kawg nkaus pub koob haum saib xyuas. Tom qab muab hlais tawm lawm rau qhov mob ncus muaj zog thiab nruab nrab degrees ntawm heev ntawm tshuaj siv nruj me ntsis qhia. Tau tshuaj compatibility nrog opioid analgesics.

Cov neeg laus tsis kho cov koob tshuaj. Tab sis raws li cov metabolic dab nyob rau hauv lub ob lub raum qeeb cia nyob rau hauv ib tug laus uas muaj hnub nyoog, nws yog tseem pom zoo kom txo tau cov tshuaj. Qhov siab tshaj plaws pub koob tshuaj nrog me ntsis tackle raum yog 50 mg.

Cov neeg mob uas siab ailments (5-9 ntsiab lus ntawm cov me nyuam-Pugh) txhua hnub koob tshuaj txo kom 50 mg. Tom qab thawj coj ntawm cov tshuaj rau hauv lub cev ua tib zoo saib xyuas cov hauj lwm ntawm lub cev. Nyob rau hauv loj dua theem siab tus kab mob cov tshuaj tsis yog xeem (10-15 ntsiab lus ntawm cov me nyuam-Pugh).

Nyob rau hauv me me kab mob, lub raum (creatinine clearance -. 50-80 ml / min) txhua hnub koob tshuaj yuav tsum tsis txhob ntau tshaj 50 mg. Yog hais tias loj tsawv lossis mob raum tsis ua hauj lwm, nyob rau hauv uas creatinine clearance ntawm <50 mL / min, cov tshuaj yog txwv tsis pub.

Txhaj yog muab raws li intramuscular thiab tso dej tseem khiav. Thaum muab intramuscularly manipulations maj mam thiab nqus ntev txaus "caver" (tshuaj).

Raws li cog npaj tso dej raws leeg Txoj kev lis ntshav

Cov kua nyob rau hauv lub ampoule 2 ml rau kev tswj hwm rau hauv lub hlab ntsha yuav tsum tau diluted. Mus rau cov ntsiab lus ntawm cov ampoule yog tsim nyog los ntxiv 30-100 ml ntawm 0.9% sodium chloride, qabzib los yog lactate Ringer tus tov. Cov kua tso dej raws leeg txhaj tau npaj nyob rau hauv muaj menyuam tsis taus tej yam kev mob. Qhov npaj tshuaj yuav tsum yog kiag li pob tshab thiab muaj tsis muaj impurities. Txoj kev lis ntshav yog ua rau kaum rau peb caug feeb. Tsis txhob las tshav hnub raws li cov tshuaj thaum lub sij hawm nws npaj, thiab thaum lub sij hawm txhaj tshuaj.

"Caver" (tshuaj nyob rau hauv ampoules) phau ntawv xav rau thaum lawv tseem nrog cov tshuaj los yug. No 2 ml ampoule xav mus ntxiv 100 ml ntawm 0.9% sodium chloride. Thaum tsim nyog, cov tshuaj yuav diluted nrog piam thaj nyob rau hauv tib lub ratio.

Nws yog txwv tsis pub muab nyob rau hauv ib tug tov cov kev txhaj tshuaj "Promethazine" thiab "Pentazocine" ib tug medicament "caver" (tshuaj).

Yuav ua li cas mus thov cov tshuaj bolus? Yuav kom qhov no kawg, ib tug Txoj kev lis ntshav tov ntim ntawm 2 ml tsis diluted. Ncuav sai sai, tsis pub dhau kaum tsib nas this. Qhov no yog lub sij hawm ntawm thawj coj yuav tsum tsis txhob raug muab txo. Lub ua ke ntawm tsawg koob tshuaj tso cai "caver" injectable kua xws li "heparin", "lidocaine", "morphine" thiab "Theophylline".

Nws yog tsis tsim nyog los mus sib tov txhaj tshuaj kua nrog me me koob tshuaj "dopamine", "Promethazine", "pentazocine", "pethidine" thiab "hydrocortisone". Nws yog pom zoo vim txoj kev pheej hmoo ntawm ib tug dawb precipitate, uas yog tsis tshua muaj undesirable thaum lub sij hawm tus txheej txheem.

Cov tshuaj yuav tsum tsis txhob yuav txawm tias ib tug thib ob momentum cia thiab yuav tsum tau muab sai li sai tau tom qab sau ntawm ib khob ampoule. Cov tshuaj yuav tsum tau ua ntawv thov tam sim ntawd tom qab nws ntawm tag nrho cov tsim nyog cov tshuaj. Lub luag hauj lwm rau lub correctness ntawm cov txheej txheem ntog ncaj mus rau cov kev kho mob ua hauj lwm.

Txhaj tom qab ua noj ua haus khaws tag nrho cov khoom lawm thaum lub sij hawm ib hnub. Qhov no mob yog txaus siab yog hais tias tus npaj cov tshuaj no kiag li kev tiv thaiv los ntawm nruab hnub nrig thiab kub tej yam kev mob tsis tshaj 25 ° C.

Ampoule "caver" yog tsim los rau ib tug tib txhaj tshuaj. Residues tshuaj sai li sai tau siv. Tam sim ntawd ua ntej lub Txoj kev lis ntshav, Nco ntsoov tias cov tshuaj yog pob tshab thiab tsis muaj kob uas tseg tau. Yog hais tias tej particulate teeb meem tshuaj yuav siv tsis tau.

Tshwm sim los ntawm cov tshuaj

ib tug xov tooj ntawm cov kev phiv tom qab cov kev taw qhia ntawm "caver" (tshuaj) ntawm cov tshuaj yuav tsum tau cai. Instruction muaj xws li cov ntaub ntawv uas nquag tshwm sim phenomena xws li xeev siab thiab ntuav. Muaj yog ib tug mob nyob rau hauv lub qhov koob, los ntshav, o thiab hematoma. Tej zaum nws zoo nkaus li anemia, insomnia, kiv taub hau, nkees nkees thiab mob taub hau. Feem ntau yeej tsis tas ua npaws thiab nkees, qhov muag plooj tsis pom kev, ua daus no. Muaj mob plab, dyspepsia. Tom qab txhaj tshuaj tej zaum kuj muaj raws plab los yog cem quav, ntuav ntshav. ntev dryness ntawm lub qhov ncauj twb pom. Ib txhia neeg muaj kev txhawj xeeb dermatitis, khaus, ua pob ua xyua thiab ntau hws.

Nyob rau hauv tsawg zaus, muaj hyperglycemia, hypertriglyceridemia thiab anorexia. Paresthesia thiab tshwm sim nco qab lawm. Disturbed cov neeg mob tinnitus, ntxov ntxov yeej thiab tachycardia. Nyob rau hauv tsawg tus neeg mob, cov tsos mob ntawm kub siab, thrombophlebitis, bradypnea raug kaw. Muaj ulcers, jaundice, tawm pob, troubled pob txuv, nqaij nruj, ob leeg nruj. Cov tsos mob tu-sauv thiab kev mob kev nkeeg nyob rau hauv lub rov qab. Cov cai muaj zog zis tag, lub raum Colic, acetonuria. Muaj failures ntawm lub cev ntas thiab cov hauj lwm ntawm lub prostate caj pas. Muaj yog ib tug co ntawm cov leeg, peripheral edema.

Nyob rau hauv exceptional zaum nws muaj cai nyob rau hauv cov neeg mob neutropenia thiab thrombocytopenia. Cov piv txwv qhia anaphylactic tshua, e.g., anaphylaxis. Heev tsis tshua tshwm sim bronchospasm, dyspnea. Thab tej zaum pancreatitis thiab Stevens-Johnson syndrome, epidermal necrolysis. Cov neeg mob raug kev txom nyem tom qab thawj coj ntawm tshuaj ntawm angioedema, ntsej muag edema, photosensitivity. Qhia los ntawm ib tug mus rau kaum txhiab nyob rau hauv cov ntaub ntawv ntawm tus kab mob no nephritis thiab nephrotic syndrome.

Teb tsim tseeb ntawm overdose tau lawm tias. Thaum tau siab tshaj lub pom zoo koob tshuaj medicament adversely muaj feem xyuam rau cov hnyuv, yuav ua tau rau ntuav, mob plab, thiab anorexia. Yuav tshwm sim nkees nkees thiab tsis meej pem, kiv taub hau, thiab mob taub hau. Nyob rau hauv paub qhov tseeb overdose yuav tsum tam sim ntawd muab tej yam thiab thim cov tshuaj los ntawm tus kab mob los ntawm kev lim ntshav.

tshuaj analogues

Cov nqi siab ntawm cov tshuaj raws "caver" (tshuaj). Analogs ntawm cov tshuaj no muaj peev xwm yuav nrhiav tau nyob rau hauv tej chaw muag tshuaj. ATC tib code thiab lub active tivthaiv los ntawm cov nram qab no cov tshuaj:

• "Alfort Dex."
• "Dekafen".
• "Delsangin".
• "Delsangin Inekt"
• "Depiofen".
• "Rastel."
• "Sertofen".

Cov tshuaj yuav kiag li hloov lub "caver" (tshuaj), yog tias tsim nyog. Analogs thiab hloov ntawm cov tshuaj ua nyob rau hauv ib txoj kev zoo thiab muaj raws nraim tib yam kom nquag plias yam khoom uas, tab sis lawv tsis tos rau lawv tus kheej. Ua ntej hloov ib leeg tshuaj yuav tsum tau nrog ib tug kws kho mob uas yuav pab koj xaiv qhov feem ntau haum kev xaiv.

Tus nqi ntawm cov tshuaj

Tau nyob rau hauv Ukraine tshuaj "caver" (txhaj tshuaj). Phau ntawv kom siv ntawm nws yog tsis tu ncua, tab sis tsuas puav, thiab tsis ntau tshaj li ob hnub. Nyob rau hauv Russia, cov tshuaj no yog tsis muaj ntau thiab tsis yog muag nyob rau hauv pharmacies, yog li ntawd koj tsuas muaj cai hu approximate nqi. Nws twb tsim nyob rau hauv qhov txhais los hryvnia lub Lavxias teb sab ruble, noj mus rau hauv tus account lub official pauv tus nqi uas yog tam sim no 1 UAH. sib npaug zos rau 3.21 rubles. Nyob rau hauv Ukraine, cov tshuaj no yuav yuav rau 200 hryvnia. Nyob rau hauv cov nqe lus ntawm cov nqi yuav sib npaug zos rau 640 Lavxias teb sab rubles.

Cov kev cia thiab txee-lub neej

Tsis xav cia ntau tshaj li ob lub xyoos los ntawm lub sij hawm ntawm kev siv thiab ua luam nyob rau hauv lub ntim, noj tshuaj "caver" (txhaj tshuaj). Hauj lwm ntawm cov tshuaj uas sau hais tias nyob rau thaum kawg ntawm lub txee lub neej ntawm cov tshuaj yog tsis haum rau kev siv. Khaws cia txhais tau tias tsim nyog nyob rau hauv tus thawj thawv kub tsis siab tshaj 25 ° C. Tshuaj noj yuav tsum nyob rau hauv ib qhov chaw txias muab tsis cuag rau cov me nyuam thiab yuav tsum tau muaj kev tiv thaiv los ntawm ncaj qha tshav ntuj.

Muag nyob rau hauv drugstores nruj me ntsis rau cov tshuaj. Cov chaw tsim tshuaj paus yog ib tug Ukrainian lub tuam txhab PJSC "Farmak".

"Cavers" - ib tug txhim khu kev qha thiab zoo heev dlyakupirovaniya mob. Tsim los rau cov luv luv siv. Nws nyob rau hauv kev ua lag luam kuj tsis ntev los no thiab twb tsis tau muaj kev tswj los yeej muaj cov tau txais kev pab qhov chaw nyob. Nws yuav tsum tau muas los ntawm kev hauv internet khw muag tshuaj, raws li zoo raws li los ntawm cov chaw muag tshuaj loj loj lub zos ntawm Ukraine.