"Ibuprom": mirayiridzo kushandiswa, zvechokwadi

Nonsteroidal Anti-anogumbura zvinodhaka nenzvimbo ine simba kutungamirira chinzvimbo mishonga mumisika zvenyika. Ezvemutauro ava kunzwisisa mugumisiro antipyretic, Anti-anogumbura uye marwadzo zvainoita muviri womunhu. Imwe mishonga yakadaro "Ibuprom". Instruction inodzora sechinhu inobudirira chaizvo mushonga dzakasiyana-siyana zvirwere.

pharmacodynamics zvinodhaka

"Ibuprom" chinomiririra phenylpropionic asidhi rinobva. The mashandiro hwakavakirwa kudzvinyirira kuti simba Cox basa (enzayemu, mumwe aizotangira pamusoro prostaglandins, izvo zvinozoita kudzora chirongwa pathogenesis, pave inorwadza uye febrile nezvekufadza). Chine medicament ndizvo vasiri kusarudza chinovhiringidza pamusoro cyclooxygenase, kureva "Ibuprom" zvakafanana kuchititadzisa basa vaviri isoforms of enzayemu - .. Cox-1 uye Cox-2.

The unonyaradza marwadzo mugumisiro zvinodhaka "Ibuprom" mirayiridzo kunokanganisa maviri zvigadziriswe - peripheral uye nechepakati. Pevy akaratidza zvisina kunanga kuburikidza chinovhiringidza kuti prostaglandin kugadzirwa kwacho. Zvazvakaita rechipiri mashandiro (nechepakati) ndiko kudzvinyirira chizvarwa prostaglandins nechepakati uye peripheral kumatunhu ari NA. Nokuda zvinoderedza chokutsva chipo lipid physiologically vanoshingaira zvinhu zvinoderedza ari nehanya kuti maonero receptors namakemikari kuitika. Muna hypothalamus thermoregulation centre iri kudzvinyirira pamusoro prostaglandin usage kunotungamirira vasanyanye tembiricha muviri kana kwokupisa inoti.

Uyezve, "Ibuprom" Mahwendefa (mushandisi A kugadzirira rine mashoko akadaro) kusvika pamwero tunodzivisa aggregation (chokuedza) of maplatelet.

Murwiyo uye chimiro zvinodhaka yokusunungurwa

Ibuprofen - ndiyo huru vanoshingaira rokuti "Ibuproma". Ebetsero zvinoriumba anganzi crospovidone, nesilicon dioxide, polyethylene glycol uye vanoverengeka zvinhu (gelatine, starch, mafuta muriwo, sucrose, uye m. P.).

Forms umo zvinodhaka runopiwa vatengi, zvakawanda. Pfungwa yokuti anogona kugara mukati sachets mu polyvinyl chinu (Mahwendefa 50) kana iri Maronda akasiyana.

Zvichienderana vhoriyamu huru pakuderedza ari Pfungwa iri pamusoro "Ibuprome" (200 MG kuti ibuprofen pa piritsi) kana medicament "Ibuprom Max '(400 MG ibuprofen). Asi kwete ndizvozvo zvose. On zvakasiyana akadai "yokungoi- ta bara Ibuprom Capps" mirayiridzo rinotiudza kuti medicament iri kugadzirwa capsules pamwe 200 MG pamusoro vanoshingaira fuma chinoumba neimwe. "Extra Ibuprom" aidawo varwere vari capsules, vhoriyamu huru pakuderedza neimwe - 400 MG. On "Ibuprom Sinus" Chinyorwa inoti sechikamu rimwe piritsi rine 200 MG pamusoro ibuprofen uye 30 MG pseudoephedrine hydrochloride.

zvairatidza

A tsananguro zvezviratidzo vose kuwanikwa kana zvakwakanakira, unotora nzira dzakadai se "Ibuprom" Mahwendefa nokurairirwa. The sezvamunoita (medicament analogs pamwe chete vachishingaira fuma vachava anenge zvimwechetezvo), zvichireva kuti medicament rinopa yakanaka mugumisiro mukurapa zvirwere zvakadai chero matambudziko anogumbura chinopedza nomuzongoza uye mapfundo. No Kunze arthritis (RA, RA, psoriatic), osteoarthritis, ankylosing spondylitis. Ipa "Ibuprom" nyoro zvinyama kuzvimba uye zvetsandanyama nemapfupa ezvinhu anokonzerwa kunotevera, radiculitis, bursitis, tendinitis. Uyezve, medicament anokwanisa kurarama nomusoro uye ndichinzwa zino, neuralgia, myalgia, marwadzo chirwere muna yezvirwere uye anogumbura nezvirwere yokumusoro kufema turakiti. Vakashinga vanoita agadza "Ibuproma" iri kwokupisa mamiriro kuderedza muviri tembiricha, kurwadziwa kunzwa vaneta kana mwero nomwero uye zvisingazivikanwi mavambo.

"Max Ibuprom" mirayiridzo Chinyorwa anokurudzira achitora pamberi chete zviratidzo apo inodiwa dose pakati medicament yanyatsosimba. "Ibuprom Extra" kuchavawo kubudirira zviratidzo zvakadaro.

"Ibuprom Sinus" (fanano - "Ibuprom yokungoi- ta bara Caps") rinowanzoshandurwa ushandiswe kupa mushonga unonyaradza marwadzo, antipyretic uye Anti-anogumbura simba, uyewo kuti kuderedza mumatenhere mucous mhino uye paranasal sinuses. Kuti, kuti mushonga tichabudirira mune symptomatic dambudziko chikosoro, chenjera kufema chirwere uye yokuSpain achiperekedzwa nemusoro, kwazvo huro, tsandanyama, nefivha uye kuzvimba mucous membranes mhino uye paranasal sinuses.

Possible mafomu

"Ibuprom" (Mahwendefa) kudzidziswa Chinyorwa anokurudzira kupa mumwe nomumwe nomumwe murwere zvichienderana kusimba kunotoda kurapwa zviratidzo zviri chirwere. Mureza zvaiitwa zvinodhaka - chimwe dose ari Vhoriyamu 200 kusvika 800 MG pa zvikamu zviri 3-4 kanomwe pazuva. Nokuti varwere vadiki chipimo chemushonga anosarudzwa zvichienderana uremu muviri - 20-40 MG chete kilogram kurema muviri (ndiro bhuku nezuva), rakakamurwa kanoverengeka yose zuva. Kazhinji kurapa kunotora 2 3 mavhiki. Kufadza akashivirira dose pazuva kuti akura murwere - 2.4 d akagamuchira panguva kana tapedza kudya uye ndikandoshamba pasi shoma emura. Gurai hwendefa muzvikamu kunaka.

"Max Ibuprom» muri pasina zvokudya nezvokunwa inoda Vhoriyamu mvura yakakwana. On chikamu mahwanda piritsi kunaka.

Kana "yokungoi- ta bara Ibuprom Capps", ipapo varwere anopfuura 12 makore chete dose ndiyo 1-2 capsules 4-6 ose maawa zvikamu. Nacho zvokudya panguva kana pashure. Nokuti vanhu vakura zvikuru kusarudza dose hakusi zvakakodzera, asi vanenge pachena kukundikana itsvo nerevane chiropa.

"Ibuprom Extra" mirayiridzo inokurudzirwa kutora 1 Kamudzira ose maawa 4 (kutaura varwere vanopfuura makore 12), asi hapana anopfuura 3 capsules pazuva. Tora mishonga pashure zvokudya, regai kutsenga. Varwere vakwegura zvikuru kusarudza dose hakusi zvakakodzera.

"Ibuprom Sinus" atora pamberi kudya mahwendefa 1-2 uye kugeza pasi nemvura. Frequency - ose maawa 4-6. Kufadza daily bvumidzwa kutora 6 Mahwendefa.

Contraindications kuti mushonga "Ibuprom"

"Ibuprom" (Mahwendefa) kushandisa mirayiridzo unorambidza vaya vane yakawedzerwa hypersensitivity kuti ibuprofen kana chishongedzo ingredients. Zvisingagamuchirwi basa medicament varwere vachitambura zvomudumbu turakiti maronda erosive-ulcerous hunhu (kunyanya rikwanise chokutambudzika). Also hazvitenderwi kurapwa "Ibupromom" pamberi asipurini vanamwari vatatu vatatu , uye mune zvimwe zvirwere optic etsinga. Variations ari hemopoietic ino oparesheni ndiwo hwaro asiri kushandiswa chero zvipi kubva boka NSAID. Not kunoitwa varwere rine anozivikanwa hadzina kufambiswa zvakanaka mune itsvo chiropa chinangwa zvinodhaka ichi.

Hazvina zvisingagamuchirwi uye Application "Ibuproma" pamwe nemamwe mishonga kubva boka dzisiri steroidal.

Kana mishonga 'Ibuprom Max "mapiritsi mirayiridzo kushandiswa unorambidza pasi matambudziko chete, sezvinoita" Ibuprom ".

"Ibuprom Extra", kuwedzera ose pamusoro kurondedzerwa contraindications, usingasii aisirwe pamberi Hemorrhagic diathesis pavarwere vane kukwana cardiac ushande. Newewo haagoni kutora zvinodhaka uku zvaipesana nemvura makatsamwisa kurutsa, manyoka kana kukwana mvura mvura rinodyiwa.

Muna mushonga "Ibuprom Sinus" vose vari pamusoro waiti contraindications. Uyezve, harina kushandiswa asima, cheshuga, thyroid (giperterioz) yakakwirira kwevari kemikari. Chiri contraindicated Varwere pamberi pheochromocytoma (adrenal mapundu mu munyama), hyperplasia isiri yekenza (adenoma) kuti yeprostate.

kunaka kuitika

"Ibuprom" sezvo akashivirira? Manual rine ruzivo pamusoro zvinogona vamwe yaivhuvhuta zviitiko akasiyana gadziriro uye nhengo Varwere kugamuchira zvinodhaka. Nhamba huru dzekukurira kushandisa NSAIDs riri kwakacherechedzwa kubva nemudumbu. Varwere kutaura kuda kurutsa, kurutsa, epigastric kusanzwa, neanorexia uye kuvandudzwa erosive ulcerous maronda ari mucous ari zvomudumbu turakiti.

Kazhinji CNS nemishonga zvinochengetwa nomusoro, dzungu, nokusagadzikana, hope abnormalities uye kuona maonero pezvakaitwa. Possible divi Maitiro krovetvoryaschey maitiro pamusoro kutambira munhu medicament kwenguva refu - kupererwa, thrombocytopenia, agranulocytosis.

Pane zvakasiyana-siyana neutachiona kuti "Ibuprom". Mahwendefa (mushandisi rine mashoko) anogona kutsamwisa mapundu, angioneurotic edema. Mune zvisingawanzoitiki chaizvo Muzviitiko kungaita aseptic yomumuzongoza (zvikuru kubatwa ichi kuita vanhu vane autoimmune zvirwere), bronchospastic syndrome. Sezvo munharaunda kuratidzwa wevarwere vanoti pamusoro pomoto manzwiro uye tingling paganda, pamusoro kuzara.

"Ibuprom Sinus", kuwedzera pamusoro vakanyorwa, zvingaita kuti pave dyspnea, tachycardia, yakakwirira BP, hyperhidrosis.

Kunwisa mishonga: nechirevo

Kana ane ovhadhozi zvinodhaka akadai "Ibuprom" uye "Max Ibuprom" mirayiridzo Chinyorwa inoshuma zvaibvira kukura kuda kurutsa uye kurutsa, epigastric marwadzo. Uyewo, pane zvinhu zvakadaro zvingaitika hope, akanzwa nomusoro uye dzungu, anogona kuderedza BP uye arrhythmias. In kwazvo Muzviitiko zviratidzo kuonekwa metabolic acidosis zvingaitika kurasikirwa pfungwa pamwe havachanyatsogoni kufema ushande.

In ezvinhu akadaro akataura rokukurumidzira gastric lavage uye kugadzwa symptomatic kurapwa. Netsika nemumuromo enterosorbents. Writhing chirwere wakasuduruka Via "Diazepam", "lorazepam".

Nechinyoreso ovhadhozi kuti "Ibuprom yokungoi- ta bara Capps," kunze vose pamusoro, pane ndingangokuvara nekuvhiri- ngika, nezvipusha, pakoma. Possible chiropa dysfunction. In varwere asima anogona achiipa chirwere.

Refu Kushandisa zvinodhaka "Ibuprom Sinus" anogona kukonzera Kumwe kuchinja kunotanga muropa, akadai hemolytic kupererwa neropa (kunowedzera disintegration masero matsvuku eropa), granulocytopenia (zvinoderedza uwandu granulocytes), thrombocytopenia (akaderedza platelet count).

Chii chinofanira kuteerera?

"Ibuprom" muperekedzi rinokurudzira kubatwa nokungwarira avo vakabatana chiropa chirwere, chirwere cheitsvo, chirwere chemwoyo. Kana murwere asati atanga kurapa ane zviratidzo dyspepsia, kana murwere chete oparesheni, vanofanira kutanga kurapwa "Ibupromom" nokungwarira kukuru. A nhoroondo mashoko ropa chero ripi zvomudumbu zvirwere, sema anokuzviratidza, mabatiro nekunetseka nonsteroidal Anti-anogumbura zvinodhaka, inofanira kuva nguva kunyatsomuteerera kuti ezvinhu omurwere.

Kudzivirira tsaona, zvinokosha kushanda "Ibuproma" akaramba kuongorora renal nerevane chiropa, peripheral ropa mufananidzo.

Uye "Ibuprom" uye "Max Ibuprom" mirayiridzo isina pachii kushandiswa muna 3 trimester akazvitakura. Muna 1 ne2 trimesters pamusoro NSAID kushandiswa anoruramiswa chete zviitiko apo akatarisirwa kunobatsirawo kuti mai kudarika zvingangoitwa migumisiro mwana.

Ibuprofen - huru vanoshingaira zvinoriumba "Ibuproma" - mune mishonga duku yabudiswa muna mukaka, zvisinei nokuti zororo kurwadziwa uye kwokupisa ezvinhu kushandisirwa panguva lactation zvinogoneka. Zvisinei, kana paine mubvunzo yokurapa-refu achibatsirwa "Ibuproma" kana kuti aifanira kugamuchira kurei mishonga vanofanira kukurukura nachiremba wako mubvunzo pokungoda kuramba breastfeed.

Kushandisa "Ibuproma Sinus" munguva gestation pamuviri uye uchiyamwisa kazhinji contraindicated.

Kudyidzana nevamwe zvinodhaka

chimiro Chero "Ibuproma" ( "Ibuprom Max", "yokungoi- ta bara Ibuprom Capps," "Extra Ibuprom") kudzidziswa Chinyorwa unorambidza kufanana antihypertensives uye diuretics zvakadai furosemide, hydrochlorothiazide, sezvo avo kuchirapa mugumisiro inogona substantially kuderedzwa.

Kushandiswa "Ibuproma" iri tandem pamwe antiplatelet uye FIs zvokusarudza kweserotonin kunowedzera mukana ropa LCD. Uyezve, zviri kukwanisa kuwedzera NSAID glycosides kugutsikana mune plasma uye, nokudaro, kukonzera exacerbation zviri congestive mwoyo kukundikana. "Ibuprom" kuwedzera pamusoro muviri womunhu anticoagulants. Nokuda kwechikonzero ichi, zvakakosha kugara akuteerere coagulation parameters, t. To. Ibuprofen yekudyidzana kunoderedza platelet aggregation.

Yakafanana nokushanda zvinodhaka lithium uye "MTX" substantially kuwedzera zviri izvi zvinhu zviri plasma. Tandem pamwe cyclosporine nephrotoxicity zvinotungamirira kuwedzera yokupedzisira.

Tikafunga "Ibuproma" pamwe kugadzirira digitalis (Digitalis) anogona kukura cardiac arrhythmias. Uyewo anogona kutora NSAID ichi mu tandem pamwe acetylsalicylic asidhi (asipurini), sezvo pane mukana kunaka divi dzokusatendeseka kuratidzwa.

Tikafunga quinolone antibacterial vamiririri, uye chero NSAID (uye "Ibuproma" kusanganisira) kunowedzera mukana pfari. A akabatana mishonga, se "Zinovudin" kunowedzera njodzi haemarthrosis uye hematoma pavarwere neHIV.

Zvinofungwa varwere pamusoro mishonga

Nonsteroidal PVA - kazhinji izvi kugadzirira zvakakura ndivo-siyana zvinokonzerwa. Naizvozvo, mhinduro wevarwere kune nzira dzakadaro pane nguva dzose zvose zvakanaka nezvakaipa negwara. Hakuna kusara uye "Ibuprom".

Unorema vanhu vakatora mushonga, vakafadzwa ake kushanda. Marwadzo nokukurumidza kuchapera uye kwenguva yakareba pacharo haritauri fanana. The mushonga yave vaudzewo kunorwadza kumwedzi, nomusoro uye myositis, neuralgia uye myalgia pa.

Panguva iyoyowo, pane varwere vasingafari vane simba pamusoro zvinodhaka "Ibuprom". Instruction ndizvo kukurumidza kukura unonyaradza marwadzo maturo, asi vatengi vazhinji havana wakanzwawo chiito zvinodhaka ichi. Uyewo, vazhinji chema nenjodzi dzakadai svoto uye nomusoro.

A guru boka revanhu vachinyunyuta kuti "Ibuprom" haina kubviswa chose ndichinzwa zino. Kunyange zvazvo muchiitiko ichi hachisi zvakakodzera kutaura kuti zvinodhaka kwakaipa. Chokwadi kuti, somuenzaniso, mune rikwanise pulpitis haangavi kubatsira mumwe kupfuura jekiseni zvakananga kupinda chingamu inonyaradza marwadzo omusoro. Kana ndichinzwa zino "Ibuprom" - ndiwo mukana nekukurumidza kuti kuna chiremba wemazino, pasina kutarisana kurwadziwa.

Chero zvazvingava, NSAIDs - nayo obezvolivayuschie uye chizvarwa chitsva Anti-anogumbura vamiririri, anobudirira ndakasununguka chaizvo zvakawanda pathologies. Ndiwo maonero ruzhinji vatengi uye nyanzvi utano.