"Deksilant": cov lus qhia, indications, analogs, xyuas

Yuav ua li cas yog ib tug kho mob tshuaj, raws li "Deksilant"? Cov lus qhia, analogs, thiab lub ntsiab yam ntxwv ntawm cov tshuaj no yuav muab suav hais tias ntxiv. Tsis tas li ntawd, koj yuav kawm tau npaum li cas thiab nyob rau hauv dab tsi kab mob taw nws txhais tau hais thiab lawv hais dab tsi txog nws cov neeg mob.

Cov ntaub ntawv hais txog tus kab mob no

Uas hlub kab mob tshuaj "Deksilant"? Raws li cov lus qhia, xam tau tias yog cov tshuaj teev siab kho miv nyuas siv zug nyob rau hauv GORD, i.e. Gastroesophageal reflux tus kab mob. Nws yog feem ntau mob tus kab mob ntawm lub plab system thiab tshwm sim raws li ib tug tshwm sim ntawm reflux, uas yog lossi pheej rov qab ua casting cov ntsiab lus mus rau hauv cov hlab pas los yog plab ntawm lub duodenum. Raws li ib tug tshwm sim ntawm pathological kev tshwm sim esophageal mucosal kev puas tsuaj thiab tej zaum ntws los nruab nrog cev, xws li lub caj pas, lub suab, lub raj cua thiab bronchi.

Lub ntsiab ntawm cov tsos mob ntawm tus kab mob

Yuav ua li cas yog cov tsos mob ntawm GERD? Cov tsos mob (kev kho mob ntawm tus kab mob no yuav tsum tau tshuaj xwb tej gastroenterologist) xws pathology yog yeej tib yam nkaus. Feem ntau cov feem ntau tus neeg mob yws ntawm kub siab, belching roj los yog acid, mob nyob rau hauv lub caj pas, lub siab nyob rau hauv lub plab, uas tshwm sim tom qab noj mov, thiab lub plab tsis xis nyob, aggravated tom qab noj mov.

Yuav ua li cas lwm tus muaj peev xwm koj qhia GERD nrog esophagitis? Kev kho mob ntawm tus kab mob no feem ntau yog pib tom qab qhov tshwm sim ntawm regurgitation ntawm cov kua tsib nrog ib tug ib nrab-nqis zaub mov masses. Nws yuav tsum tau muab sau tseg tias tej zaum tus neeg mob thiaj paub hais tias nrog hais tias muaj xws li cov tsos mob li ntuav thiab xav mus rau nws, ib tug zoo nkaus li siab nyob rau hauv lub hauv siab, profuse qaub ncaug thiab dysphagia. Nyob rau hauv tas li ntawd, cov neeg uas muaj esophagitis yuav tsis txaus siab ntawm lub hauv siab mob, muab nyob rau hauv lub xub pwg, caj npab, caj dab thiab rov qab.

Nyob rau hauv cov ntaub ntawv uas, yog tias koj tau pom tsawg kawg ib tug ntawm cov qhia cov tsos mob, yuav tsum tam sim ntawd mus rau ib tug lub tsev kho mob rau ib tug ua tiav kev kho mob soj ntsuam.

Muaj pes tsawg leeg ntawm cov tshuaj, ib tug paub piav qhia txog ntawm daim ntawv no thiab cov khoom siv

Uas tshuaj yog feem ntau zoo thaum GERD (cov tsos mob, kev kho mob ntawm tus kab mob no yuav sib tham txog nyob rau hauv no tsab xov xwm)? Feem ntau cov feem ntau rau cov kev kho mob ntawm tus kab mob no, raws li zoo raws li lub teb tshem tawm ntawm nws cov kev soj ntsuam mob, cov kws txawj pom zoo kom noj cov tshuaj "Deksilant". Nws los nyob rau hauv daim ntawv ntawm cov tshuaj nrog hloov tso tawm, raws li tau zoo raws li nrog ib tug opaque gray lub cev thiab xiav hau uas dais lub logo «KAIS».

Txheem ntawm tsiav tshuaj - granules yog dawb los yog yuav luag dawb. Lawv active ingredient ua dekslansoprazol. Tsis tas li ntawd cov tshuaj muaj xws li xws ancillary Cheebtsam li giproloza, qab zib grits, macrogol 8000, magnesium carbonate, polysorbate 80, sucrose, colloidal silicon dioxide, tsawg-pawg giproloza, triethyl citrate, hypromellose, ib tug copolymer ntawm methyl methacrylate thiab methacrylic acid, talc, dispersion ntawm methacrylic acid, titanium dioxide.

Yuav "Deksilant" tsiav tshuaj yuav ua tau nyob rau hauv hnab yas fwj, uas yog muab tso rau hauv ib pawg ntawm cov duab los qhia.

Therapeutic tshuaj cov neeg ua hauj tshwj xeeb tshaj yog (tsiav tshuaj)

Yuav ua li cas yog cov lam tsiav tshuaj raws li "Deksilant"? Teb qhia tias cov tshuaj yog ib tug proton twj tso kua mis inhibitor (PPI). Nws yog tau suppress lub tso pa tawm ntawm digestive hloov khoom nruab nrog lub ntsiab kua txiv los ntawm inhibition ntawm K + / H + -ATPase nyob rau hauv lub parietal hlwb ntawm lub plab. Tsis tas li ntawd, tom qab uas tau txais cov tshuaj sim zaum kawg kauj ruam ntawm acid secretion.

Yuav ua li cas puas cov tshuaj "Deksilant"? Phau Ntawv Qhia hais tias tom qab tau txais cov tshuaj ntsiav hauv nws disintegrates nyob rau hauv lub plab thiab tawm rau ob tug sib txawv ntawm cov granules, uas yog coated nrog ib tug enteric txheej. Yog li, lub hauv paus khoom siv ntawm lub cuab tam pib nws active nyhuv nyob ntawm lub pH nyob rau hauv ntau qhov chaw hauv cov hnyuv.

Vim lub tshuaj ntsiav plhaub thiab cov ntsiab lus granular kev npaj "Deksilant" qhia uas yog muab hauv qab no, muaj ib lub caij nyoog kev txiav txim thiab tseem muaj txhawb rau ib tug tseem ceeb yuav txo tau nyob rau hauv lub tso pa tawm ntawm pais plab kua txiv tshaj ib ncua sij hawm.

Indications tau txais lam tsiav tshuaj

Nyob rau hauv tej rooj plaub, tus neeg mob yog tus kws kho ib tug yeeb tshuaj, raws li "Deksilant" (tus nqi ntawm medicinal tshuaj ntsiav yog siab txaus)? Raws li cov lus qhia muaj nyob rau hauv lub tsev no kom tau txais kev:

• erosive esophagitis nrog tej heev (rau kev kho mob);
• erosive esophagitis thiab kub siab yooj yim ces (raws li txij nkawm txoj kev kho tom qab kev kho mob);
• Gastroesophageal reflux kab mob, kuj muaj cov neeg uas tsis yog-erosive reflux kab mob (raws li ib tug symptomatic kev kho mob).

Bans lub sij hawm ntawm qhov ncauj tsiav tshuaj

Nyob rau hauv dab tsi tej yam kev mob yuav tsis siv cov tshuaj "Deksilant"? Phau Ntawv Qhia ceeb toom txog cov nram qab no contraindications tau txais cov nyiaj no:

• me muaj hnub nyoog;
• High-rhiab heev rau ib yam ntawm cov tshuaj Cheebtsam;
• txhawb kev siv ntawm inhibitors ntawm tus kab mob HIV protease;
• hnub lub sij hawm;
• pub niam mis.

Peb tsis tau hais tias pom tau hais tias cov tshuaj muaj sucrose. Yog li ntawd, nws siv yog tsis pom zoo rau cov neeg uas muaj glucose-galactose malabsorption intolerance (raws roj ntsha) ntawm fructose, raws li zoo raws li lub tsis ua hauj lwm saharazno-izomaltaznoy.

Ceev faj cov ntawv

Nrog ceev faj npaj "Deksilant" (tshuaj analogues no muaj nyob rau ntawm qhov kawg ntawm tsab xov xwm) yog muab tso rau thaum uas tig mus txais tos:

• "Tacrolimus".
• Contact lenses ntawm isoenzyme CYP2C19.
• "Warfarin".
• "Methotrexate".

Cov tshuaj "Deksilant": cov lus qhia rau kev siv

Xam tias yog ntshaw kom noj tshuaj tsuas yog tom qab kev noj kev haus nrog ib tug tej gastroenterologist. Tsiav tshuaj muab lus nyob rau hauv daim ntawv ntawm ib tug tag nrho, tsis hais txog ntawm cov mov noj.

Yog hais tias tsim nyog, koj muaj peev xwm qhib tau lub tshuaj ntsiav plhaub. Yog li nws cov ntsiab lus yuav tsum sau nyob rau hauv ib diav, sib tov nrog nonacidic Kua puree, ces tam sim ntawd nqos tsis zom.

Yuav ua li cas los kho erosive esophagitis tej heev? Thaum xws li kab mob tshuaj "Deksilant" (60 mg) twb muab ib hnub ib zaug. Hoob no ntawm kev kho mob nrog rau qhov no lub cuab tam yog yim lub lis piam.

Kev tu tom qab kev kho mob ntawm erosive esophagitis thiab rau yooj yim ces kub siab yuav tsum tau tau txais 30 mg ntawm yeeb tshuaj ib zaug ib hnub twg. Nyob rau hauv no kho yuav tsum txog rau lub hlis.

Nyob rau hauv lub xub ntiag ntawm erosive esophagitis thiab mob mob loj tsawv medicament pom zoo ntau npaum yog 60 mg ib hnub twg. Therapeutic kev kho mob ntawm xws kab mob yuav tsum yog ntev li rau lub hlis.

Raws li symptomatic kev kho mob ntawm GERD los yog nerd? Kev npaj "Deksilant" (30 mg) nyob rau hauv xws kab mob kws ib cov tshuaj ntsiav ib zaug ib hnub twg. Hoob no ntawm txoj kev kho mob ntawm cov kab mob xws yuav tsum kav tsawg kawg yog plaub lub lis piam.

Nyob rau hauv cov neeg uas muaj ib tug tsis hnov lub siab muaj nuj nqi loj tsawv txhua hnub ntau npaum nyob rau hauv saib xyuas cov nyiaj yuav tsum tsis pub tshaj 30 mg. Soj ntsuam cov ntaub ntawv nyob rau hauv lub nkag ntawm cov tshuaj los ntawm cov neeg uas muaj mob loj heev puas rau hnub tim, tsis muaj.

Haum ntawm lub dosing regimen nyob rau hauv cov neeg laus cov neeg mob thiab cov neeg uas raum tsis ua haujlwm zoo thiab me me siab yog tsis yuav tsum tau.

Tsis zoo mob tom qab tshuaj thawj coj (tsiav tshuaj)

Yuav ua li cas tshwm sim tsis zoo yuav ua rau "Deksilant" capsule? Xyuas hais tias tom qab noj cov tshuaj xam tau tias yog nyob rau hauv cov neeg mob tsim ib tug ntau ntawm tsis zoo tshua. Cov lawv yog tshwj xeeb yog tseem ceeb nyob hauv cov nram qab no:

• raws plab, tshuaj hob kab mob siab, flatulence, anaphylactic poob siab, mob plab, quav tawv, xeev siab;
• epidermal necrolysis, ntuav, exfoliative dermatitis, tshuaj lom, ua pa ib ntsuj av tau kab mob (sab sauv), npau taws me ntsis;
• hyponatremia, anaphylactic tshua, pruritus, malignant exudative erythema (Stevens - Johnson), hypomagnesemia, qhov ncauj Candidiasis;
• mob raum tsis ua hauj lwm, mob thiab mob plab tsis xis nyob, urticaria, qhov ncauj qhuav, tawm pob, o ntawm lub qhov ncauj, leukocytoclastic vasculitis, pancreatitis;
• Cov kev hloov nyob rau hauv daim siab muaj nuj nqi, generalized pob, autoimmune hemolytic anemia, pob txha lov, hnoos;
• Kub flashes, laryngeal edema, nce ntshav siab, ceev ceev nyob rau hauv lub caj pas, mob taub hau, idiopathic thrombocytopenic purpura;
• kiv taub hau, qhov muag plooj tsis pom kev, dysgeusia, paresthesia, tsis hnov lus, qaug dab peg;
• stroke, kiv tauv hau, nraum ischemic nres, qhov muag plooj tsis pom kev, hnov hallucinations, ntsej muag edema, insomnia, hloov nyob rau hauv qab los noj mov, kev nyuaj siab, tsis muaj zog thiab thiaj li nyob.

Cov tsos mob ntawm overdose

Yuav ua li cas yog cov tsis zoo los tshwm sim thaum dhau heev lawm ntawm pom zoo koob tshuaj ntawm cov tshuaj kws kho mob "Deksilant"? Rau hnub tim, tsis muaj mob ntawm cov teeb meem loj overdose ntawm lus los ntawm kev siv cov tshuaj no tau qhia. Yog li kws txawj hais tias ib tug tib daim ntawv thov ntawm cov medicament ntawm ib tug ntau npaum ntawm 120 los yog 300 mg ntawm tej yam kev txhaum kev phiv tsis tshwm sim. Nrog rau kev hwm mus noj cov tshuaj no mus rau 60 mg ib hnub ob zaug, xws li ib tug txoj kev ua ib qho kev nce rau hauv cov ntshav siab 140/90 hli Hg. Art.

Yuav ua li cas tshem tawm cov cim ntawm ib tug overdose? Nyob rau hauv lub xub ntiag ntawm kev soj ntsuam ces symptomatic txoj kev kho. Nws yuav tsum tau muab sau tseg tias dekslansoprazol tsis tso tawm los ntawm hemodialysis.

tshuaj cov kev sib tshuam

Raws li nrog rau lwm yam tshuaj sib tham dekslansoprazol? Raws li cov lus qhia, qhov no muaj peev xwm muab tau rau cov neeg mob uas noj "Clopidogrel", tsis muaj kev sis raug zoo uas yuav muaj. Nyob rau hauv cov ntaub ntawv ntawm thaum uas tig mus txais txoj kev hais tias tus kho lus hom yog tsis yuav tsum tau.

Tsis tas li ntawd sau tseg tag tsis tuaj kawm ntawv ntawm clinically tseem ceeb sis raug zoo nrog cov tshuaj suav hais tias "diazepam" "theophylline" thiab "Phenytoin".

Tib siv dekslansoprazola yuav cuam tshuam rau haum ntawm cov tshuaj, lub bioavailability ntawm uas yog nyob rau hauv lub pH nyob rau hauv lub plab (e.g., hlau ntsev, esters ntawm ampicillin, "Digoxin" "ketoconazole" thiab "erlotinib").

Tib mus txais tos "Deksilanta" nrog "Tacrolimus" nce lub concentration ntawm lub yav tas rau hauv cov ntshav, tshwj xeeb tshaj yog nyob rau hauv cov neeg tom qab kev sib hloov.

Nyob rau hauv thaum uas tig mus daim ntawv thov ntawm no tshuaj "fluvoxamine" muaj ib tug siab ntau yam zuj zus rau hauv lub mauj raug ntawm cov thawj.

Tib mus siv ntawm methotrexate thiab dekslansoprazola yuav ua, raws li tau zoo raws li kev txuag ntawm cov thawj siab concentration los yog nws metabolite nyob rau hauv cov ntshav ntshiab. Yog hais tias koj xav mus nqa ib tug koob methotrexate, nws yog pom zoo kom mus ib ntus tsis txhob noj dekslansoprazola.

Lactation lub sij hawm thiab hnub lub sij hawm

Puas yuav ua tau thaum lub sij hawm hnub noj cov tshuaj "Deksilant"? Raws li cov ntaub ntawv ntawm cov kws txawj, cov tshuaj thaum lub sij hawm cev xeeb tub yog txhob.

Yog hais tias koj xav mus cob rau hais tias txoj kev noj niam, nws yuav tsum tsis txhob pub niam mis.

Cov ntaub ntawv

Cov ntaub ntawv yuav tsum tau muab rau tus neeg mob ua ntej koj muab ib tug yeeb tshuaj "Deksilant"?

Ua ntej txoj kev kho dekslansoprazolom kav tawm malignancy nyob rau hauv ib tug neeg mob, vim hais tias cov kev txais tos yog suav hais tias yog tshuaj yuav los npog cov tsos mob thiab ncua lub tseeb mob.

Yog hais tias tag nrho cov tsos mob ntawm tus uas twb muaj lawm tus kab mob mob txawm txaus kho mob tus cwj pwm, nws yog tsim nyog los ua kev cai ntxiv kev ntsuam xyuas.

Nyob rau hauv kev siv ntawm proton twj tso kua mis inhibitors, uas, nyob rau hauv qhov tseeb, koom dekslansoprazol nce txoj kev pheej hmoo ntawm txoj hnyuv kab mob nrog raws plab accompaniment, uas ua hauj lawm yog ntau yam kab mob, kuj muaj cov genus Clostridium difficile. Cov kab mob yog tshwj xeeb tshaj yog nyob rau hauv ntau pw tsev kho mob cov neeg mob. Qhov tseeb yuav tsum tau coj mus rau hauv tus account tias ib tug neeg mob tau tsis zoo tuaj nrog kev kho mob raws plab. Nyob rau hauv cov ntaub ntawv no, cov neeg mob yuav tsum tau mus siv tus nqi qis tshaj zoo koob tshuaj dekslansoprazola thaum lub sij hawm luv luv-term kev kho mob.

Cov neeg uas tau txais high koob tshuaj ntawm cov tshuaj nyob rau hauv kev saib xyuas, los yog nyob rau hauv ntev-lub sij hawm kev kho mob ntawm proton twj tso kua mis inhibitors rau kaum ob lub hlis los yog ntau tshaj ho tsub kom kev pheej hmoo ntawm osteoporotic pob txha lov ntawm lub ob txhais tes, lub duav thiab cov pob txha ntawm cov leeg nrob kem. Yog li ntawd, cov neeg mob uas muaj feem yuav rau osteoporotic pob txha lov yuav tsum twv yuav raug hu lo rau pom zoo ntau npaum tus kws kho mob.

Tej zaum, nyob rau hauv cov neeg mob uas tau txais cov tshuaj nyob rau hauv kev saib xyuas, cov neeg mob muaj asymptomatic thiab symptomatic hypomagnesemia. Raws li ib tug txoj cai, xws xeev tshwm sim nyob rau hauv cov kev tshwm sim hais tias txoj kev kho mob "Deksilantom" ntawd kub ntev li ntawm tsawg kawg yog peb lub hlis. Nws yuav tsum tau recalled hais tias cov tsos mob ntawm hypomagnesemia yog arrhythmias, tetany thiab convulsions. Kev kho mob xws mob yuav tsum tau replenishment magnesium thiab rho txais tos ntawm proton twj tso kua mis inhibitors.

Cov neeg uas yuav tsum tau ntev-lub sij hawm kev kho mob los yog nyob rau hauv thaum uas tig mus kev PPIs nrog digoxin los yog lwm yam tshuaj uas yuav ua rau hypomagnesemia (xws li diuretics), yuav tsum tau tas li saib xyuas lub concentration ntawm magnesium nyob rau hauv cov ntshav (raws li ua ntej kev kho mob thiab thaum lub sij hawm nws).

Vim lub high yuav kiv taub hau thiab qhov muag plooj tsis pom kev rau cov neeg thaum lub sij hawm kev kho mob "Deksilantom" yuav tsum caiv txhob tsav tsheb tsheb thiab lwm yam mechanisms uas yuav tsum tau tshwj xeeb mloog los ntawm tus neeg.

Tshuaj "Deksilant": counterparts, tus nqi xyuas

Yuav ua li cas yuav muab suav hais tias hloov cov tshuaj? Kws txawj hais tias lub ntsiab analogs ntawm cov tshuaj no yog raws li nram no:

• "Veloz" - ib tug zoo txhais tau tias kev soj ntsuam txog kev ua txhaum ntawm acidity. Nws active tivthaiv sai cheeb ntev acid ntau lawm, ua rau nws yooj yim dua thiab xa mob.
• "Barolo" - nrog cov yam ntxwv zoo heev rau cov "Deksilantom".
• "Geerdin" - sai sai restores acidity, tiv thaiv kev puas tsuaj ntawm lub plab hnyuv phab ntsa, raws li zoo raws li relieves kub siab.

Tsis tas li ntawd, analogs ntawm hais tias cov tshuaj muaj xws li tshuaj "Omez". Uas yog zoo dua - "Omez" los yog "Deksilant"? Piv cov nyiaj no tsis tau, vim hais tias lawv muaj sib txawv kiag li yam, txawm tias lawv ob qho tib si yog tsim los txo cov acidity ntawm pais plab kua txiv.

Tej zaum, rau cov kev kho mob ntawm Gastroesophageal reflux kab mob cov kws txawj pom zoo kom siv cov tshuaj "Nexium". Nyob rau tib lub sij hawm, cov neeg mob muaj wondering dab tsi xaiv - "Nexium" los yog "Deksilant"? Cov kws kho mob hais tias ob tug hais ua hauj lawm yog zoo tiv nrog lub hauj lwm. Txawm li cas los, thaum xaiv ib qho kev tshuaj yuav tsum tau xav hais tias cov thawj cov tshuaj ua rau tsawg phiv.

Yuav ua li cas npaum li cas yog cov "Deksilant" capsule? Tus nqi ntawm cov tshuaj no nyob rau hauv lub margins ntawm lub tsev muag tshuaj network. Qhov nruab nrab nqi ntawm cov nyiaj ntawm txog 900 rubles.

Cov neeg mob hais li cas txog cov tshuaj no? Ntau tus neeg uas noj cov tshuaj no hais tias nws muaj qhov nqi tshaj. Txawm li cas los xij, cov kws txawj hais tias qhov yeeb tshuaj no zoo heev. Nws muaj lub caij nyoog ntev thiab haum sai normalizes lub acidity ntawm pais plab kua txiv. Hauv qhov no, cov kws kho mob pom tias "Dexylant" tuaj yeem ua rau qee qhov mob, tab sis, raws li txoj cai, lawv ploj thaum kho nws cov tshuaj txhua hnub.

Nws kuj yuav tsum tau hais tias kev ywj pheej siv cov tshuaj no yog txwv tsis pub. Qhov tseeb no yog vim muaj qhov tseeb tias thaum nws raug xaiv, nws yog ib qho tsim nyog yuav tau saib xyuas tus neeg mob lub qog thiab daim siab pathology, thiab cov hnub nyoog ntawm tus neeg mob.