"Metindol inonoka": tsanangudzo, mirayiridzo, zviratidzo

Munguva yedu, kazhinji vanhu vanotarisana nechinetso chekutambudzika muzvibatanidza, shure kana musana. Nezvekugara kwebasa, varwere vakawanda vave vachionekwa kwenguva refu vane osteochondrosis. Nokurwadziwa mumisungo uye mapfundo, kunyange vana vaduku vanowanzosangana panguva yekukura kwemuviri. Kusiyana kwakasiyana, asi muzviitiko zvakawanda, vanachiremba vanorayira chirwere chinonzi anesthetic "Metindol-retard."

Tsanangudzo

Izvi zvinodhaka isiri-steroidal anti-inflammatory drug. Indomethacin ndiyo chinhu chinoshanda chechirwere ichi. "Metindol" ine analoggesic uye anti-inflammatory effect. Uyewo, ichi chirwere chinokwanisa kuva ne antiggregant effect.

Mukana wekubudisa uye kuumbwa

Ichi chinodhaka chinowanikwa mune mahwendefa. Zvinogona kuchena kana kuchena machena. Pasi pehwendefa rakadzika, iyo inopera. Mune blister mapiritsi makumi maviri nemashanu, blister iri mune bhokisi rekadhibhodhi. Icho chikuru chinoshandiswa zvinoshandiswa indomethacin. Zvimwewo zvinowanikwa muhwendefa pane zvimwe zvinhu, zvakadai semashizha ematata, microcrystalline cellulose, magnesium stearate, talc. Mukuwedzera, ichi chinodhaka chinowanikwawo nenzira ye dragees, gel, capsules, mafuta, maziso, uye shanduro yakagadzirirwa.

Pharmacological action

Iyo mishonga ine anti-inflammatory, analgesic, deensitizing uye antipyretic effect. Uyewo, zviito zvezvemapurisa zvemurapa uyu zvinosanganisira kubviswa kwekutambudzika nekudzikama kwezvibatanidzwa, kubviswa kwehupombwe kumativi ose uye kushinga kwemanheru. Mukuwedzera, "Metindol" inorwisana ne-erythema uye inokurudzira kuwedzera kukuru kwehukuru hwekufamba.

Zviratidzo zvekushandiswa

Iyo mishonga ine simba rakasimba, saka kazhinji inorayirwa kurwara kwe musculoskeletal system, pamwe nehutano hwepfungwa dzemarudzi akasiyana-siyana. Mushonga wacho une nzvimbo yekumira marwadzo ejeri (zvakadai semasanache, lumbago, kurwadziwa mushure mekuvhiyiwa uye kukuvadzwa kunorwadza, musoro, myalgia, sciatica, neuralgia).

"Metindol-inonoka" inowanzotaurwa muzvirwere zvinotevera: neuralgic amyotrophy, arthritis, chirwere chePaget , ankylosing spondylitis, rheumatism, gout. Uyezve, chirwere ichi chinoratidzwa zvirwere zvinoputika-zvinotapukira, zvakadai se pharyngitis, otitis media, tonsillitis. Pamusana pokuti mishonga inobata zvakanaka, inorayirwawo kurapwa kwe pericarditis, yechipiri hyperaldosteronism, algodismenorea, adnexitis, kuputira mudiki.

Munguva yekutambudzika kwekukuvadzwa kwemisungo, majoints kana tendons, "Metindol" inorayirirwa nenzira yechizoro kana gel. Uyewo mafuta kana gel rinogona kurongerwa se-anti-inflammatory for joints, somuenzaniso, ne radiculitis, myalgia, lumbago, osteochondrosis, arthritis. Zvimwe ndezvokuti chirwere chinokanganisa chechiuno uye zvinyorwa zviduku zvakasiyana-siyana.

Contraindications

"Metindol" inopesana nehutano hwemwoyo, semuenzaniso wepatronary atresia kana kukanganiswa kwakanyanya kweaorta. Uyewo, ichi chinodhaka hachina kurongerwa zvirwere zvepachirwere chegumbo, uye chirwere chekudya, chirwere chendrhosis, ulcerative colitis, aspirin triad, pamwe nekuputsa ruvara kana kuona maonero.

Zviratidzo zvinosanganisira arterial hypertension, chirwere chinoputika, chirwere chepfungwa uye chinonzi hepatic insufficiency, optic nerve pathology , kuvepa, kushaya ropa ropa coagulability uye hematopoiesis (leukopenia, anemia). Uyewo, chirwere ichi chinopesana nevarwere vane maitiro ekuderedzwa kwekuongorora uye kushandiswa kwezvipfeko zvemajasi. Kuberekwa uye kukwidziridzwa kunoshandawo kune zvinopesana.

Nehemorrhoids uye proctitis, kutora mishonga iri muchimiro chepamusoro kunopesana. Gel kana mafuta hazvibvumirwi, uye vanewo simba rakasimba. Vana nevakwegura, uyewo nevarwere vane thrombocytopenia uye epilepsy, mishonga haibvumirwi, asi kushandiswa kwayo kunofanira kuchenjerera zvikuru. Iyo mishonga iri mufananidzo wegelisi kana marashi inorambidzwa kune vana pasi pemakore 1.

Side effect

"Metindol" inyanzvi yekunyepedzera, asi panguva yekugamuchira chirwere ichi, migumisiro yakadai seyeusea, kurutsira, anorexia, chirwere kana kuvimbiswa, kurwadziwa kwepamuviri uye kunyange kukanganiswa kwemuviri wepamuviri kunogona kuonekwa. Izvi ndezvekugadzirisa chirwere. Pamusoro pehutachiona hwehutano, kuora musoro uye chizoro, kunzwa kwokuneta kana kuora mwoyo, zvinetso zvepfungwa uye kuvhiringidzika kwehope zvinogona kuitika. Pamusoro pehutano hwehutano hwemwoyo, pangave nekuputika, kurwadziwa kwepfupa, tachycardia, arrhythmia, kuwedzerwa kweropa. Allergic reactions inoitika zvishoma nezvishoma. Izvi zvinosanganisira erythema nodosum, urticaria, pruritus, kupisa kweganda, dermatitis.

Nezvemamwe maitiro emitumbi, hazvisi nyore, asi kunzwa kana kuonekwa kwekuona, kushaya simba rekuita basa, kuwedzera kutuka, kumudzimai kana kumabuda ropa, kukanganiswa kana kuwedzerwa kwezvinyorwa zvemamota zvinogona kuitika. Nekushandiswa kwechirevo chemishonga "Metindol-retard" inogona kuitika, kutsamwa pamucheka we rectum, uye chirwere chisingaperi chinogona kuwedzera. Nekushandisa kwekunze kwechirwere, kubvisa, kuputika kana kubwinya kweganda kunogoneka.

Kushanda

Mushonga unogona kushandiswa nenzira nhatu (kunze, muromo, rectally). Pakutanga kwekurapa, vanhu vakuru vanorayirwa 25 mg ye indomethacin kanenge ka 2-3 pazuva. Mushonga unofanirwa kupedzwa mushure mekudya, wakashambidzwa nemukaka. Kana muyero usingabatsiri payero iyi, muyero unowedzerwa. Mushonga unofanirwa kupfuurirwa kunwa 2-3 nguva pazuva, asi chimiro chezuva nezuva munyaya iyi 150 mg. Ndapota cherechedza kuti mazamu ezuva rose emishonga ndeye 200 mg. Mushure mokunge chinangwa chaunoda chikaitika, chiyero chechirwere chinofanira kupera zvishoma nezvishoma. Nzira yekurapa mazuva makumi matatu. Kana chirwere ichi chinogara kwenguva yakareba, chiyero chikuru chechirwere zuva nezuva chinenge 75 mg.

Rectally, mushonga unofanirwa kushandiswa musati warara, mushure mekucheneswa kwakakwana kwemukati. Mafuta kana gel rinoshandiswa chete kunze, 2-4 dzimwe pazuva. Isa gel kunzvimbo yakagadzikana yezvibatanidzwa. Munhu mukuru mazoro ezuva rimwe nerimwe masendimita 15 (kureba kwechidimbu kubva mubhuti), uye hafu yevana ishoma (7.5 cm) yejeri kana mafuta.

Overdose

Kuwedzerwa kwehuwandu hwemishonga "Metindol-retard" inoratidzirwa nekunyunyutira, kurutsira, kurwadziwa musoro kwepfungwa kana chirwere, chiyeuchidzo chinogona kuvhiringidzika uye kuora mwoyo munguva inogona kuonekwa. Mumamiriro ezvinhu akaoma kwazvo, paresthesia, kuputika, uye kupera kwemigumo kunogona kuonekwa . Mukudarika kwekudarika, kusunungurwa kwakadaro kwechirwere kubva mumuviri kunodiwa.

Special instructions

Vanhu vekwegura, uyewo

Varwere vane hono uye chirwere chechiropa vanofanira kushandisa mushonga wacho nekuchenjerera zvakanyanya. Inofanirawo kushandisa zvakanyanyisa mushonga kune varwere vane arterial hypertension uye mwoyo kusakona.

Nyanzvi dzakawanda dzinoti "Metindol-kutora" ndiyo yakanakisisa inopesana nemishonga, asi panguva yekurapa inofanirwa kutarisa basa reitsvo uye chiropa zvakarongeka. Hazvikurudzirwi kushandisa chirwere ichi pamwe chete ne acetylsalicylic acid. Usashandisa mafuta kana gel kuti ganda rinenge ronda. Zvinokurudzirwa kuti urege kuwana mishonga mumaziso. Kana ikamedzwa, simesa zvakakwana nemvura.

Inofanira kuonekwa kuti chirwere ichi chinoshungurudza kutungamira kwemotokari uye dzimwe nzira, naizvozvo, panguva yekurapa, mabasa anoda kuwedzera kuiswa kwekutarisirwa kunofanira kudziviswa.

Kuwirirana nemishonga

Kushandiswa panguva imwechete ye indomethacin kunogona kuderedza zvinoitika zve beta-blockers uye saluretics, uyewo kuwedzerwa migumisiro yeinticoagulants isina kuratidzika. Kushandisa indomethacin pamwe chete nediflunizalom, zvinokonzera kutsvaira simba rakasimba rekubuda ropa. Kana iwe ukashandisa ichi chirwere neprobenecid, kukanganiswa kwe indomethacin mu plasma yeropa kunowedzera. Kana iwe ukashandisa "Metindol" ne digoxin, mukana wekuwedzera mumwero we digoxin mu plasma yeropa inooneka.

"Metindol-inonoka." Mutengo wekugadzirira

Mutengo wechirwere unobva kune unogadzira, uyewo pane chimiro chekusunungurwa. Mari yezvinodhaka iyi muhwendefa inotangira kubva pamakore zana kusvika kuzana makumi matanhatu nemazana makumi matanhatu nemabheta.

Kuchengetedza mamiriro

Chengeta mushonga uyu munzvimbo ine rima. Icho kutonhora kunofanira kuva zvishoma ne15 uye kwete kudarika 25 degrees. Shelf upenyu upenyu hwemwedzi 60.

Analogues

Kazhinji varwere mu pharmacy vanokumbira mimwe yemishonga. Painkillers inogona kuwanikwa mune imwe pharmacy. Tichifunga kuti "Metindol" inosunungurwa pamutemo, iwe unogona kubvunza vamwe vavo. Ichi chemishonga ndeyeboka remishonga rinogona kubvisa marwadzo muzvibatanidza nemisungo. Iri boka rinosanganisira mishonga yakadai se "Meloksikam", "Diklonak", "Pfizer". Uyezve, "Metindol" chikamu cheboka rezvinodhaka zvinoshandiswa mukurapa zvirwere zvepamusoro uye masangano. Iri boka rinosanganisirawo madhiragi akadaro: "Geparoid Lechiva", "Ibuprofen", "Ketorol". Mukuwedzera, "Metindol-kureva" inoreva boka reasi-steroidal anti-inflammatory drugs. Muchiitiko ichi, analogue inogona kuva Indomethacin-Acry, Paracetamol.

Ongororo

Muzvizhinji, mhinduro dzevari vaviri nevarwere nevanachiremba pamusoro pemishonga iyi ndeyechokwadi. Apo varwere vanouya kune nyanzvi, vanokumbira kupa mishonga chero ipi zvayo (mapiritsi kana mafuta), asi kuti mishonga iri painkillers. Mutengo unokoshawo, sezvo vakawanda vasingakwanisi kutenga mishonga inodhura. "Metindol" inenge isingadhuri uye panguva imwechete inyanzvi yakawanda. Saka, vanachiremba vanokurudzira.

Zvinofanira kuonekwa kuti mishonga iyi ine migumisiro yakawanda, saka tora neuchenjeri, nguva dzose taurirana nemumwe nyanzvi (kunyanya kana pane zvimwe zvinetso zvehutano). Mukuwedzera, zvakakosha kuitisa kurapwa pasi pekutarisirwa kwechiremba, hazvina kukodzera kuisa mhinduro iyi (se, zvechokwadi, vamwe).