The mushonga "caver": mirayiridzo kushandiswa (majekiseni)

Kana kubvisa marwadzo nomumukanwa kwokubatsira mushonga hazvibviri, kushandisa "caver" jekiseni. Usage Guide anokurudzira majekiseni kuita kana kurwadziwa chirwere svikiro uye yakakwirira kukuvadza. Izvi zvinogona kuva postoperative ezvinhu omurwere, renal colic uye pasi musana kurwadziwa.

Murwiyo uye chimiro zvinodhaka yokusunungurwa

Muna 1 ml mhinduro kuti jekiseni iri 25 MG kuti vanoshingaira chirungiso - dexketoprofen. Ebetsero zvinhu zvinosanganisira panyaya iyi fuma iri mari 96% yavaibvisa chloride, yavaibvisa hydroxide uye mvura kuti jekiseni.

The gadziriro iri pachena Hauoneki zvokunwa. Mumapepa ari girazi ndiro, izvo akanyudzwa mune makadhibhokisi bhokisi kuti 5-10 zvidimbu. chinu nerimwe rine 2 ml "caver" chinodhaka.

Mirayiridzo kushandiswa majekiseni chokuita vasiri steroidal antiinflammatory uye antirheumatic vamiririri vane nomukaka zviri propionic acid.

pharmacological ehupfumi

Dexketoprofen trometamol (active zvacho gadziriro) iri munyu propionic acid. Anozivikanwa unonyaradza marwadzo, antipyretic uye Anti-anogumbura ehupfumi. Nderake boka asiri steroidal Anti-anogumbura zvinodhaka, kana NSAIDs.

The mashandiro kushanda nechinangwa kuderedza kwetunhu prostaglandins zvinobva chinovhiringidza kuti cyclooxygenase. Ndiko, tava kuderera kutendeuka arachidonic asidhi kupinda endoperoxides PGG2 uye PGH2 cyclical hunhu. Izvi, akavapindurawo, vakaumba prostaglandins PGEi, PGE2, PGF2a, PGD2, kusanganisira yakadaro fuma sezvo prostacyclin PGI2, thromboxane uye ThAg uye ThVg. Kudzvinyirira pakati prostaglandin usage kunokanganisa pulses pakati kushoma, zvakadai kinins, kukanganisa rezita medicament mashandiro. Dexketoprofen akaratidza inhibitory zvainoita basa Cox-1, Cox-2.

Nemiidzo zvekuchipatara makasimbisa unonyaradza marwadzo mugumisiro zvinodhaka pakawanda marwadzo. Takawana rayo rufimbi ehupfumi nokusuma kupinda jekiseni mhinduro. Analysis chaiitirwa pamusoro matambudziko kurwadziwa kwazvo mune postoperative nguva akapindira. Izvi vachibatsira uye gynecological maoparesheni, uyewo abdominal kuvhiyiwa. Rakashandiswa pana kunosiyana inosiyana kurwadziwa nomuzongoza zvinodhaka "caver". Mirayiridzo dzokushandisa majekiseni rinokurudzira kuita uye renal colic.

Ongororo dzakaratidza kuti dzokurapwa Zvivako anoita pakarepo, uye ayo kunonyanyisa kunyatsoshanda kwakaratidzwa munguva maminitsi makumi mana nemashanu. Unonyaradza marwadzo zvainoita muviri zvinotora maawa anenge masere, asi chete pasi mamiriro kuti yave chinotaurwa kanenge 50 MG rinoreva "caver" (majekiseni). Description of zvairatidza kuti zvinodhaka - zvose zvakakosha chaizvo kuti vadzidze asati kurishandisa.

By intramuscular kwokubatsira dexketoprofen trometamol soro wevasungwa aona mumaminitsi makumi maviri. Mukomboni ane anokudzwa ropa mapuroteni eplasma - 99%. Propagation dexketoprofen fluctuates kumativi 0.25 l / makirogiramu. poluraspredeleniya nguva maawa 0.35. Hwakaratidzwa pashure pemaawa 1-2,7.

Zvairatidza kuti kushandiswa kwezvinodhaka

Chinofanira kupiwa intramuscularly kana nomutsinga kuti kurwadziwa chirwere, svikiro uye yakakwirira zvinodhaka "caver" zvikuru. Mirayiridzo kushandisa majekiseni zano kuita chete kana nomumukanwa kurapa haisi kubatsira. Vanofanira kushandiswa pashure pokuvhiyiwa, pakuparwa renal colic, uye kurwadziwa mukati lumbar nharaunda.

Contraindications

Ane mushonga "caver" (kwepfuti) zvairatidza uye contraindications. Boka rechipiri dzinosanganisira:

• hypersensitivity kune basa nefuma deksketoprofenu uye mamwe zvinoumba mumushonga;
• asima kurwiswa uye Árbol kurwadza kwacho;
• chenjera rhinitis, nasal polyps, urticaria, angioneurotic edema;
• maronda uye ropa;
• gastrointestinal ropa ;
• Crohn nehosha kana maronda colitis;
• nhoroondo Árbol asima;
• mwoyo kutadza;
• renal zvirwere yechipiri kuna kwazvo;
• ropa nyonganyonga;
• zvakakomba hepatic chirwere;
• Shandisa nokuti neuraxial (intrathecal kana nhengo dzomuviri) Kutarisirwa;
• pamuviri, kunyanya III trimester;
• lactation.

Hazvina zvakafanira kuti aendese chero izvi kugadzwa "caver" (kwepfuti) zvinodhaka. Mirayiridzo kushandiswa kurondedzera zvose zviri kushandiswa zvakakodzera zvinodhaka.

The mushonga hauna raitongwa varwere nokuda kwakarova duku zvazvinoita kwayo muviri wemwana. Zvokungwarira vanofanira kutora uye vakwegura.

Drug "caver" (majekiseni): mirayiridzo kushandiswa

Nokuti vakuru, zvavakabvumirana dose ndiyo 50 MG kutarisira. The penguva pakati majekiseni havafaniri kuva maawa asingasviki 8-12. Kana zvakakodzera, jekiseni wechipiri rinoitwa mushure maawa matanhatu. The daily dose iri 150 MG. The mushonga rinoshandiswa mumwe-nguva ruyamuro kuti kurwadziwa. Hazvina kushandiswa mazuva anopfuura maviri pamusara. Pashure kwokutanga kurapwa kurwadziwa, kana mamiriro ezvinhu achibvumira, murwere akachinjirwa haadzokorori dzokutindivadza.

Nemigumisiro pamusoro muviri Akaroromesawo shoma akatendera dose kutarisira. Pashure pokuvhiyiwa nokuti marwadzo nezvekufadza simba uye paavhareji inosiyana kwokuomerwa zvinodhaka kushandiswa zvachose akaratidza. Possible mushonga kugarisana pamwe opioid analgesics.

Vakwegura regai kuchinja dose. Asi sezvo metabolic pezvakaitwa mu itsvo zvishoma panguva kurei zera, uchiri yakarumbidza kuderedza uwandu husingakuvadzi. The vaifanira kubvumirwa dose pamwe shoma anokurukura itsvo ndiyo 50 MG.

Varwere chiropa zvirwere (5-9 pfungwa pamusoro Child-Pugh) nezuva dose wakaderedzwa kusvika 50 MG. Pashure kwokubatsira zvinodhaka mumuviri kunyatsoongorora kuongorora basa womuviri uyu. In zvikuru Danho chiropa chirwere zvinodhaka hauna chinotarisirwa (10-15 pfungwa pamusoro Child-Pugh).

In chirwere munyoro, renal (creatinine Clearance -. 50-80 Rine mamiririta / Nha) dose zvanhasi haapfuuri 50 MG. Kana mwero kana zvakakomba renal dysfunction, umo creatinine Clearance pamusoro <50 ML / Maminitsi, mushonga wacho zvachose wairambidza.

Jekiseni chinotarisirwa sezvo intramuscular uye intravenous pakutengeserana. Kana achiita intramuscularly manipulations zvishoma uye zvikuru zvakakwana "caver" (majekiseni).

Sezvo chirimwa kugadzirira intravenous aizomupa

The mvura iri ampoule 2 Rine mamiririta nokuda kwezvinhu mukati tsinga anofanira rakasanganiswa. Kusvikira zviri ampoule zvakakodzera kuwedzera 30-100 ml 0,9% yavaibvisa chloride, shuga kana lactate Ringer anogadzirisa. The mvura nokuti intravenous jekiseni rakagadzirwa pasi chena ezvinhu. The wakagadzirira fuma zvinofanira zvachose yakajeka uye havana netsvina. Aizomupa rinoitwa kuti gumi kusvika makumi maminitsi. Regai pachena kuti chiedza chezuva zuva sezvo yokupedza panguva gadziriro yayo, uye panguva jekiseni.

"Caver" (majekiseni mu ampoules) Chinyorwa anokurudzira kuti akabatana zvinodhaka ruchikonzera. Nokuti ichi 2 Rine mamiririta ampoule vanofanira kuwedzera 100 ml 0,9% yavaibvisa chloride. Kana zvakakodzera, kuti mushonga inogona rakasanganiswa shuga zvakafanana reshiyo.

It hakubvumidzwi chokubatanidza mune mhinduro jekiseni "Promethazine" uye "Pentazocine" munhu medicament "caver" (majekiseni).

How kushandisa mishonga bolus? Kuti izvi zvidaro, imwe aizomupa mhinduro Vhoriyamu 2 Rine mamiririta hadzina rakasanganiswa. Kurumidzai dira, mukati masekonzi gumi namashanu. Iyi ndiyo nguva chourongwa hakufaniri kuderedzwa. Tikafunga yakaderera mishonga akabvumira "caver" injectable mvura akadai "Heparin", "Lidocaine", "Morphine" uye "Theophylline".

Hazvina Zvakakodzera kusanganisa kuti jekiseni Urume navaduku dose "dopamine", "Promethazine", "pentazocine", "pethidine" uye "Hydrocortisone". Zvinokurudzirwa nokuda ngozi pane precipitate chena, riri zvisingadiwi chaizvo panguva nzira.

The mushonga hakufaniri kunyange rwechipiri tichimhanya chekuchengeta uye chinofanira kupiwa pakarepo pashure muunganidzwa ane girazi ampoule. The Kugadzirisa kunofanirawo kushandiswa pakarepo mushure nokusanganisa vose mishonga inodiwa. Mutoro Kururama nzira anowira tinotsigira pamusoro utano mushandi.

Jekiseni pashure yokubikira anoramba ose ehupfumi yakasimba masikati. Ichi chirwere anogutswa kana wakagadzirira zvinodhaka kunodzivirirwa zvachose kubva masikati netembiricha mamiriro isingadariki 25 ° C.

Ampoule "caver" rakagadzirirwa chete jekiseni. Residues mhinduro pakarepo zvishandiswezve. Pakarepo pamberi aizomupa, iva nechokwadi chokuti mhinduro iri pachena uye asina ruvara staining. Kana particulate nyaya mishonga ipi hazvigoni kushandiswa.

Side Migumisiro zvinodhaka

vakawanda divi anokonzerwa pashure pakatanga "caver" (kwepfuti) zvinodhaka inogona kuchengetwa. Instruction zvinosanganisira mashoko kuti kazhinji kuonekwa mananara akadai svoto uye kurutsa. Pane kurwadziwa jekiseni nzvimbo, ropa, kuzvimba uye hematoma. Dzimwe zvinoratidzika kupererwa, kushaya hope, dzungu, hope uye kutemwa. Kashoma wakaiswa nefivha uye kuneta, madzerere, chills. Paiva abdominal marwadzo, dyspepsia. Mushure jekiseni dzimwe nguva vane manyoka kana kupatira, kurutsa ropa. kunyanya kuoma muromo yakanga yaona. Vamwe varwere vanonetsekana dermatitis, kuvaviwa, rashes uye kunyanya ziya.

Mune zvisingawanzoitiki Muzviitiko, pane hyperglycemia, hypertriglyceridemia uye neanorexia. Paresthesia uye akaonekwa afenda. Vavhiringidzike varwere tinnitus, vakurumidze anorova tachycardia. Mune zvisingawanzoitiki Muzviitiko, zviratidzo BP, thrombophlebitis, bradypnea zvakanyorwa. Paiva maronda, jaundice, mapundu, akatambudzika mburwa, tsandanyama kuomarara, vadyi kuomarara. Chitarisiko tsandanyama chinyamunhari chinorwadza uye kurwadziwa kumashure. Ubatanidzwewo akaona yakawedzera weti inotungamirwa, renal colic, acetonuria. Paiva kukundikana kumwedzi uye kushanda kweprostate gland. Paiva tremor kuti tsandanyama, peripheral edema.

In aakatipa zviitiko zvakanzi kuchengetwa varwere neutropenia uye thrombocytopenia. Mienzaniso akazvimirira anoratidza anaphylactic siyana, semuenzaniso, anaphylaxis. Very kashoma pachena bronchospasm, dyspnea. Kanganisa dzimwe nguva pfungwa nomuviri zvemwana asati uye Stevens-Johnson urwere, epidermal necrolysis. Varwere vanotambura pashure kwokubatsira majekiseni angioedema, chiso edema, photosensitivity. Yakashuma imwe zviuru gumi muna zvakaitika chirwere nephritis uye nephrotic syndrome.

Pamutemo wakadzikwa chokwadi ovhadhozi kunge kuzivikanwa. Kana kwazvo zvavakabvumirana mishonga ine medicament kwakakanganisa kunokanganisa zvomudumbu turakiti, kuchikonzera kurutsa, abdominal kurwadziwa, uye kudya. Anogona kuoneka hope uye nekuvhiri- ngika, dzungu, uye nomusoro. Panoongororwa chokwadi ovhadhozi hwobva kutora zvimwe zviito mumusiye ari mushonga kubva muviri kubudikidza dialysis.

zvinodhaka analogues

The mutengo Akakwirira zvinodhaka anosiyana "caver" (majekiseni). Analogs zvinodhaka ichi chinogona kuwanika chero chemishonga. ATC chete bumbiro uye zvinoshingaira pakuderedza kubva anotevera mishonga:

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

zvinodhaka izvi zvinogona kutsiva zvachose "caver" (kurira kwepfuti), kana zvichidikanwa. Analogs uye Sevamiririri zvinodhaka chiito nenzira yakafanana uye vane zvakangofanana vanoshingaira fuma, asi havazivi atore pachavo. Asati Pavanotsiva rimwe mishonga vanofanira kubvunza chiremba uyo ichakubatsira kusarudza kupfuura rakakodzera kuzvipedza.

Mari kurapwa

Takasikwa Ukraine zvinodhaka "caver" (kwepfuti). Manual anokurudzira kushandisa hazvina dzose, asi apo neapo, uye kwete mazuva anopfuura maviri. MuRussia, mushonga uyu haasi kwakapararira hazvitengeswi mu Pharmacies, saka unogona chete kudana anofungidzirwa mutengo. It yakaumbwa muna mushanduro kubva Hryvnia kusvika Russian Ruble, kufungisisa yepamutemo Gengi panguva iri parizvino 1 OMR. akaenzana 3.21 rubles. In Ukraine, mushonga uyu anogona kutengwa 200 Hryvnia. Pakuurayiwa mutengo achava akaenzana 640 rubles Russian.

The nzira okuchengetera uye sherefu-upenyu

No vanofanira kuchengetera makore anopfuura maviri kubvira panguva gadzira akadhindwa ari kavha, mishonga "caver" (kwepfuti). Description of mushonga yakati kuti panopera ari pasherefu upenyu zvinodhaka hakusi akakodzera kushandiswa. Kuzviunganidzira zvinoreva zvakafanira mubhokisi yepakutanga panguva tembiricha isingadariki 25 ° C. Mishonga inofanira kuva akadzikama nzvimbo dzisingambosvikiki vana uye kudzivirirwa zvakananga chezuva.

Inotengeswa drugstores kunoparirwa mushonga. The mugadziri chinhu wokuUkraine PJSC kambani "Farmak".

"Cavers" - akavimbika uye inobudirira zvikuru dlyakupirovaniya kurwadziwa. Akagadzirirwa kushandiswa pfupi. Yakabuda pamusoro pamusika pfupi ichangopfuura uye haasati vakakwanisa kukunda vatengi nzvimbo. Inogona kutengwa kuburikidza paIndaneti Pharmacies, uyewo kuburikidza mikuru Pharmacies mumaguta makuru Ukraine.