Diclofenac sodium: madhara, tsanangudzo, mirayiridzo, kushandiswa, zvinopesana, kuumbwa, kuchengetwa

Zvinodhaka zvinosanganisira diclofenac sodium sezvinonyanya kushandiswa zvinoshandiswa kurapa zvirwere zvinoputika-zvinokonzera zviratidzo zvemuviri wemunhu. Iko mari yakaderera yemishonga iyi uye kukwanisa kwakanyanya kunoita kuti ive yakakurumbira kune varwere. Zvose izvi zvinorevei? Ndezvipi zviratidzo zvavo? Ndezvipi zvinofanirwa kufunga nezvekuisa imwe miitiro ye diclofenac sodium? Tinodzidza mhinduro dzemibvunzo iyi nemimwe yakawanda iye zvino.

Dosage mafomu

Kusvika iye zvino, diclofenac sodium, mutengo waro unofungidzirwa kuti unotengwa zvikuru, unowanikwa nenzira yehwendefa, mafuta anonhuwira uye gel kushandiswa kwekunze, rectal suppositories uye injection solutions. Mishonga iyi ine chinhu chimwe chete chinoshingaira, chiri cheboka reasi - steroidal anti - inflammatory drugs. Mishonga yemishonga yekushandiswa kwekunze inoshandiswa kwenguva refu, asi diclofenac sodium mu ampoules (solution) inokurudzirwa kuti ishandiswe pachigamba chekurapa. Dzimwe tsanangudzo dzehutano hwechirongwa uchishandisa maitiro akafanana emishonga imwechete dzichaongororwa gare gare. Uye iko zvino zvakakosha kufunga pamusoro peiyo fomu yese inotaurwa pamusoro apa.

Tsanangudzo yekugadzirira

Saka, regai tione kuti madhiragi anobudiswa sei pasi pezita rokuti "Diclofenac sodium" chaizvoizvo anotarisa. Matethe ane zita iri, sekutonga, ane mararamiro ane maparidzi nemashamba uye pangozi kune rumwe rutivi. Muvara wavo unosiyana, zvichienderana nemugadziri, kubva kune chena kusvika kumukati. Imwe fomu yemayero, inonzi "Voltaren" kana "Diclofenac sodium" - mafuta, ane mafuta, masvosve. Muvara waro unogona kuva wakachena kana kuti hutete. Kunhuhwira kwemafuta kunoshaya, kunyanya sewaini. Iyo gel yezita rimwechete ine chimiro chekuchenesa uye chichena chakachena neamai-ye-pearl ruvara.

Rectal suppositories inonzi "Diclofenac" kana kuti "Voltaren" (yakafanana mukugadzirwa) inoita semakenduru akafanana nemagetsi emuchena . Solution yejojo ne sodium diclofenac yakajeka, yakagadzirwa mumuchenje wakajeka kana kuti mutsvuku. Iyi fomu fomu ine kunhuhwirira kunofanana neBenylyl alcohol.

Chimiro chemafuta, sarudzo, suppositories uye mahwendefa

Kuonekwa, kunhu uye marara emishonga haisi chiratidzo chehuhu hwavo uye kubudirira. Hapana achazoti kukanganisa kwemishonga kune zvakakosha zvikuru. Ndiko kusaka zvakakosha kufunga fomu imwe neimwe yepayipi kubva pano maonero. Sezvo zita racho rinoreva, chinhu chikuru chinoshandiswa pamapiritsi, mafuta, gel uye mhinduro ndiyo diclofenac sodium. Kuwanda kwaro mune mushonga mumwe nomumwe kwakasiyana. Kuti uwane ruzivo rwakawedzerwa rwemashoko aya, tinokurudzira kuti uzvizive netafura inotevera.

Diclofenac sodium (suppositories) yakazara mumapurasitiki akasiyana-siyana emapurasitiki mashanu ega imwe neimwe. Rimwe kana maviri masero akadaro akaiswa mubhodhibhokisi bhokisi nemirairo yekushandiswa.

Matethe akaiswa mumiganhu yezvikamu gumi, uye mumabhokisi emakadhibhodi 1, 2, 3, 5 kana 10 mune rimwe nerimwe. Nokudaro, bhokisi rimwe rinogona kuva nemapiritsi gumi kusvika ku100.

Mhinduro yacho inodururwa mugirazi re transparent ampoules ya 3 ml imwe neimwe, iyo inobva yaiswa muzvidimbu zviduku 5. Rimwe kadhibhodhi bhokisi rine 5 or 10 maboules e solution.

Mafuta nezvinonhuwira zvakazara mualuminium uye plastiki tubes. Puraipi imwe neimwe ine 30 kana 40 g yamafuta, 40, 50, 60 kana 100 g gel. Iyo yakazara pamwe chete nemirairo yekushandiswa mumakadhibhodhi mabhokisi.

Zviratidzo zvekushandiswa

Diclofenac sodium murayiridzo wekudzidzisa inokurudzira kushandiswa kwezvirwere zvakasiyana-siyana zvinokonzerwa nekuputira maitiro. Sezvo mutemo, mushonga uyu unowanzoshandiswa kugadzirisa marwadzo mushure menguva yekushanda uye munguva yekudzikinura kubva kukuvara. Mukuwedzera, zvinodhaka zvine diclofenac sodium (mafuta, mafuta, suppositories, mahwendefa uye sarudzo) zvinowanzoshandiswa kurapwa kwezvirwere zvinopisa-kupisa zvekubatana, katetila uye musimba tishu. Neuralgia, arthritis uye arthrosis, sciatica, rheumatism, bursitis nezvimwe zvirwere zvakawanda zvinoporerwa nemishonga iyi.

Mirairo yekushandiswa

Pakugadza miitiro yose yeiyo yakagadzirwa nediclofenac sodium, chiremba haafungi nezvemamiriro ezvinhu akadaro sehutsinye hwechirwere ichi, asiwo anotarisa kurema, nguva yemurwere. Ndezvipi zvirongwa zvekurapa zvinogona kusiyaniswa?

Matafura anopiwa kuvarwere vakwegura kudarika makore 6 (vana - maererano nezviratidzo zvakasimba). Nhamba yezuva nezuva haigoni kudarika 200 mg. Nhamba yakakurudzirwa yechirwere ichi inofanira kutorwa mumitambo yakawanda, zvichida mushure mekudya. Mushure mekugadzirisa mamiriro ekurapa, diclofenac sodium (mahwendefa) anotorwa muhuwandu huwandu (hunotarirwa nechiremba anoenda). Nguva yekurapa munyaya iyi inobva pahuwandu hwehutachiona hwemhuka.

Solution "Diclofenac" kana kuti "Voltaren" (injections), mutengo waro unowanzowedzera zvishoma pane zvinoreva muromo, unorayirwa pachigamba chekutanga kurapwa chirwere chemarwadzo kana mumamiriro ezvinhu akaoma. Nhamba yezuva nezuva ine 75 mg. Zvinokwanisika kushandisa fomu iyi yeiyo se "blockade". Muchiitiko ichi, chirwere chacho chinoshandiswa kaviri (75 mg mujairo) neyenguva yeawa 2-3. Nguva yehutano nemajojo inopera mazuva mashanu.

Mafuta nezvinonhuwira zvine sodium diclofenac zvinowanzoshandiswa sevamwe vashandi mukurapa arthrosis, matambudziko uye rheumatism. Shandisa chigadzirwa pamucheka wakachena mune zvikamu zviduku, kunyatsodziya. Zuva harifaniri kushandisa zvinopfuura 8 g mafuta kana gel.

Makese "Diclofenac" anoshandiswa kupedza zviratidzo zvinorwadza ne gout, spondylitis, neuralgia uye kurwadziwa kwemisonda. Mune rimwe zuva, hapana anodarika 2 suppositori inofanira kushandiswa.

Kubatana Kwemishonga

Zvinodhaka zvine diclofenac sodium (mahwendefa, mafuta, majekiseni kana kuti suppositories) anogona kusangana nemamwe madhiragi. Somuenzaniso, haagoni kutorwa pamwechete nedzimwe NSAID uye glucocorticosteroids. Iko kusanganiswa kazhinji kunotungamirira kukurudzirwa kwezvinetso, kunyanya, kubuda ropa mumatomu emimba. Mukuwedzera, ichi chikamu chinogona kuwedzera hutu hwema methotrexate. Mishonga yemishonga inokonzerwa nemishonga inopesana nemishonga uye mamwe maantibioti, pane zvinopesana, inoderera apo inotorwa pamwechete nediclofenac sodium.

Kuti kuderedze mikana yemigumisiro yakaipa, murwere anofanira kugara achizivisa chiremba achienda kuti ari kutora mishonga Diclofenac kana Voltaren.

Contraindications

Kune diclofenac sodium uye zvinopesana. Sezvo nyanzvi dzinoti, zvinodhaka neiyo chinhu hazvikwanisi kuiswa zvakananga neavo vakambove vachibuda ropa shoma munhengo dzechipfuva chemuviri muam anamnesis. Ichokwadi ndechokuti vose vasina-steroidal anti-inflammatory drugs havakanganisi zvakanyanya gastric mucosa uye duodenum. Izvi zvinoshanda kumagadzirira kubva kuVottaren series. Majojo, mutengo waro uri pasi pasi, pasinei nekuvhara kwemukati, kuita zvinokonzera kudya uyewo mahwendefa anogadzirwa.

Iyo murayiridzo haitauri kunyora mushonga wevarwere vane chirwere cheropa uye zvirwere zvepfungwa. Mune zvimwe zviitiko zvinokwanisika kushandisa maitiro ekunze kweiyo diclofenac sodium: mafuta nemafuta. Izvo zvinokurudzirwa zvinoshanda kune vakadzi vane pamuviri (zvikurukuru mumatatu matatu) uye vanaamai vanoyamwisa. Chikamu hachina kukurudzirwa kushandisa diclofenac sodium kuitira kurapwa kwevana vari pasi pemakore matanhatu.

Kunyatsopesana kwekushandisa kwekushandisa diclofenac sodium inonzi inofanirwa kuitika kune NSAIDs, inoratidzwa nenzira ye rhinitis uye urticaria. Usatora mishonga iyi ne-bronchial asthma.

Migumisiro Yechiri

Zvinokwanisika here kutendeuka kusingadiwi kwomuviri kutora zvinodhaka zvine diclofenac? Zvechokwadi, izvi zvinoshamisa hazvigonekiki munenge hafu yematambudziko. Nzira yakanyanya kufanana nayo kana kushandisa madhiragi nechikamu ichi inofungidzirwa kuva chirwere chekudya mukati mekurwadziwa kwepamuviri, kuwedzerwa kwegesi kubudisa, kuora mwoyo uye zvakadaro. Kakawanda, varwere vanogona kuwedzera zvironda mudumbu uye mumukati mucosa. Hazvina mhosva kuti fomu ipi inoshandiswa. Muchiitiko chisingawanzoiti, murwere angave akatambudzika nekutsumwa uye kuramba achitsamwa.

Nezvekushandiswa kwechigadziriswa, nyanzvi dzinotaura kuti zvichida kuonekwa kweecrosis yeadipose tissue panzvimbo yejojo, kuumbwa kwepfungwa ye purulent uye kunzwa kunopisa mumisungo. Zvechokwadi, izvi zvinowanzoitika kashoma (imwe yero pa10000). Kunyange zvakadaro, zvakakosha kunyatsocherechedza chimiro cheganda panguva yekurapwa nemishonga inobva diclofenac sodium.

Kana paine chero zviratidzo zvinotaura pamusoro pekutadza kwakaitwa mumuviri kusvika pakuiswa kwechirwere, zviri nani kuzivisa chiremba achiuya pamusoro pavo.

Overdose

Kuwandisa kweNSAIDs, iyo inosanganisira zvinodhaka "Diclofenac" uye "Voltaren", yakazara nekuwedzera kwezvikamu zvataurwa pamusoro apa. Kurapa chiratidzo. Muchiitiko ichi, kushandiswa kwemishonga yakakonzera kudarika kwepamusoro kunofanira kumira kwechinguva.

Kuchengetedza mamiriro

Chengetedza maitiro ese emuda we diclofenac sodium kubva pakushambidza midziyo nemagetsi ekujekesa. Icho kutonhora mumukamuri hachifaniri kudarika makumi maviri nemashanu. Zvakakosha kuve nechokwadi kuti kunyange kunze kwemaitiro hakugone kuwira mumaoko echeche, kunyanya mwana muduku. Vana vari pasi pemakore matanhatu vanogona kukonzera chepfu yakanyanya kana vakashandisa mafuta akawanda kwazvo paganda.

Irofu mararamiro emishonga inowanzosvika makore maviri kubvira pazuva rokugadzirwa. Mushure mekunge nguva iyi, mushonga unofanirwa kutorwa.