The mushonga "Vigantol": mirayiridzo kushandiswa, analogs uye wongororo

Nei tichifanira mushonga zvakadai, se "Vigantol"? Mirayiridzo yokushandisa uye analogues zvinodhaka izvi zvichakurukurwa pazasi. Uyewo, isu achakuudza zvinhu fomu zvinodhaka ichi rinowanikwa sei tinorasikirwa, kana ane chero divi migumisiro uye contraindications.

Zvinoumba, kavha, chimiro, tsananguro

Chii chinonzi "Vigantol"? Mirayiridzo yokushandisa, vasiyana mushonga, ndezvokuti zvinodhaka inodzora calcium phosphorus muviri mumuviri womunhu. Inowanika sezvo yakajeka jikichira mhinduro kuti kudya. The medicament ane zvishoma yellowish ruvara uye viscous kusachinja-chinja.

1 ml mushonga raiva 500 ug kolekaltsiferola uye upiyona hwebetsero sezvo srednetsepochnyh triglycerides. The mushonga iri kutengeswa muna 10 Rine mamiririta ndiro akagadzirwa murima magirazi uye tine chivhariso-dropper.

Pharmacodynamics medicament

Sei mushonga "Vigantol"? Mirayiridzo dzokushandisa chinoratidza kuti kushingaira Pfungwa ine yokudzora calcium phosphorus muviri pharmacological chiito. Panguva iyoyo zvinoita kumusoro yokushomeka vhitamini D _3, anowedzera karusiyamu Absorção de Água muna nemudumbu uye itsvo reabsorbs phosphates.

Kuwedzera ose pamusoro apa, medicament "Vigantol" inosimudzira Pfupa mineralization, izvo zvinokosha dzose kushanda ari parathyroid mumasero.

The pharmacokinetics ane zano wezvokurapa

Apo Absorção de Água kunoitika "Vigantol" chinodhaka? Mirayiridzo yokushandisa kunoratidza kuti Absorção de Água mari rinoitwa kubva zvomudumbu turakiti. Inside vanhu muviri vanoshingaira mumiririri anosunga kuti α2-globulins uyewo vamwe chikamu - pamwe sealbumin.

Kolekaltsiferol rinoungana iri chiropa, adipose rinenge uye mapfupa, uyewo skeletal tsandanyama, itsvo, adrenal omumuviri uye myocardium.

Kutaura-soro wevasungwa kuti basa chinoita munyama vakachengeta pashure pemaawa 4-5. Pashure paizvozvo, zvinonzi, zvisinei akaderedza zvishoma, nokuti vakaramba panguva aida pamwero kunorapwa kwenguva refu.

Nyanzvi awanikwa kuti Kolekaltsiferol zvinokwanisa kupinda placenta. Vakaonawo kuti fuma ukasunungurwa pamwe mukaka waamai, saka haisi varumbidzwa kurishandisa panguva lactation.

Somugumisiro biotransformation mu itsvo uye chiropa vari matongosika vakadaro vakaneta uye tichishingaira metabolites zvakadai digidroksikolekaltsiferol, kaltsifediol uye calcitriol.

Akaratidza mushonga kubva muviri womunhu pamwe bile riri shoma - pamwe weti.

Chii kushandisa?

Zvino munoziva kuti ehupfumi zvinodhaka "Vigantol". Huru zvairatidza kuti zvirwere ava kushandiswa kwayo:

• spazmofiliya;
• kusimba;
• osteomalacia.

Kurambidzwa kushandisa zvinodhaka

Kana pane contraindications chakadaro zvinodhaka se "Vigantol" (mutengo wayo ru- chete pazasi)? Hazvina yakarumbidza kutora nzira pasi zvinotevera ezvinhu:

• hypercalcemia;
• yakawedzera aikanganiswa pezvokuvamba Pfungwa;
• hypercalciuria;
• sarcoidosis;
• kuvapo itsvo matombo (reraimu);
• immobilization.

Sei kutora "Vigantol"? Nzira uye chipimo chemushonga

Tora mushonga zvinofanira kufungwa chete mushonga. Uyewo, asati kushandisa zvakafanira kunyatsodzidza ari akanyudzwa mirayiridzo. It akaratidza kuti zvinodhaka "Vigantol" achangoberekwa yatarwa mukaka kana zvimwe zvokunwa. To ichi mhinduro dziri kusanganiswa rworudyi huwandu zvokudya mwana muduku chipunu.

Nokuti kudzivirira zvirwere zvakadai kusimba, utano uye renguva izwi vana mwedzi miviri ushandiswe daily 1 donhwe rekugadzirira. Mushonga uyu kwemazuva mashanu. kuita maviri zuva rotonhorera pashure yakati nguva.

Kids kubva vaviri makore asina yakarumbidza kupa mishonga mumwaka wechirimo.

For vakurumidze vana vane mazuva 10 oupenyu ushandiswe dose of 2 Madonhwe (rimwe zuva). kurapwa Izvi zvinofanira mberi yose zuva, kuita mbiri-zuva rotonhorera. Kunze kurapa kwakadaro ndiwo mwedzi yezhizha.

Kana marapirwo kusimba vanoshandisa zvinodhaka "Vigantol"? Madonhwe iyi nyaya kutora pamatunhu mishonga. Somuenzaniso, vana kubva pamazuva 10 oupenyu vanobvumirwa ose zuva kupa pamusoro 2-8 madonhwe.

"Vigantol" vakura vari zvakare neMutungamiriri kupinda chiremba. Pre-Murwere kaviri zvokurapa kuongororwa, umo nhamba chinosimbiswa vhitamini D kushaikwa _H. Zviya, ayo pamwero vanofanira kuongororwa panguva yose kurapwa.

An ovhadhozi kurapwa

Ndezvipi zviratidzo ovhadhozi kuitika kana isina kukodzera kugamuchira mushonga akadai "Vigantol"? Analogs zvinodhaka ichi uye mushonga pachayo kuti kushandiswa chete dose, iro rave anosarudzwa kupinda chiremba.

Kazhinji ichi zvinoreva nyaya ovhadhozi chokuita chokwadi kuti muviri, kusanganisira mwana, kuunganidza yakawanda vhitamini D _W. It kunoitika hypervitaminosis D ₃ panguva mamiriro ichi. Zviratidzo zvacho zvinosanganisira kupatirwa kana manyoka, pollakiuria, nomusoro, nyota, kurutsa, zvinetso zvokudya, nocturia, kuda kurutsa, polyuria, mukuru muutera, esimbi kuravira mumuromo uye zvichingodaro.

Kuwedzera kune izvi zvinhu, murwere anogona vava kunzwisisa uye nenyonganiso muchimiro mapfupa marwadzo, turbidity weti, BP, pruritus, myalgia, conjunctival hyperemia, arrhythmia, etc.

Under izvi mamiriro vanoitirwa kurapa raitongwa dzichiri hypercalcemia. Scheme kurapa chirwere kunobva zvakaoma.

Saka, muna chiitiko overdosage zviratidzo zvinodhaka Akawisira, uye murwere ushandiswe yakaderera karusiyamu zvokudya, vhitamini E, kudyiwa yakawanda emura, ascorbic acid, thiamine, retinol, riboflavin uye pantothenic acid.

Kana Muzviitiko zvakaipisisa, ivo zvinoda intravenous kwokubatsira 0,9% yavaibvisa chloride mhinduro, calcitonin, furosemide, electrolytes uye hemodialysis.

Kuti kudzivisa ovhadhozi vanofanira kuramba kuongorora wevasungwa calcium muropa.

nenjodzi

Kazhinji, "Vigantol" mavhitaminzi akashivirira kwazvo. Mune zvisingawanzoitiki Muzviitiko, murwere anogona kuva zvinotevera sadikanwa Migumisiro:

• hypercalciuria;
• svoto;
• hypercalcemia;
• arrhythmia;
• ari deposition calcium ari Kuronga nyoro munyama;
• kurutsa;
• pasi muviri uremu;
• kutyora pfungwa uye kuziva;
• urolithiasis;
• ungaderedza Nzara, polyuria nenyota.

zvinodhaka kwavatori

Drug "Vigantol" kunogona kukanganisa yaunodya vamwe zvinodhaka. Saka, asati kushandisa, iva nechokwadi kuti bvunza chiremba wako uye kuverenga mirayiridzo. Nenzira, vokupedzisira akarongwa zvinotevera zvechadenga medicament:

• Kushandiswa "phenytoin", uyewo nevamiririri ndeve barbiturates boka kunowedzera mwero chaivo kushandurwa anowedzera kudiwa womunhu muviri kuti vhitamini D _3.
• Combination medicament "Vigantol" munhu bisphosphonate "calcitonin" uye "plicamycin" kutanga kunoderedza kuti kunyatsoshanda. Zvinofanira kucherechedzwa kuti "Colestipol" uye "Kolestiramin" kuderedza ari gastrointestinal Absorção de Água kuti mafuta-soluble mavhitaminzi. Izvi zvinoda kuti vawedzere dose yavo.
• Mawa Kutarisirwa zvinodhaka pamwe antacids kuti ane aruminiyamu uye magnesium nezvimedu (kunyanya pamusoro refu), zvinogona kuwedzera wevasungwa kwavo ropa, uyewo kuchengeta mukana kudhaka.
• Mubatanidzwa vhitamini D _3, ayo analogues kana metabolites. Zvisinei, izvi zvinofanira kuitwa chete chinokosha zviitiko. Zvakakodzera zvikuru kudzora karusiyamu pamwero muropa.
• Combined kurapa pane cardiac glycosides nekuwedzera hunokachidza zvinogona zvinodhaka nokuda hypercalcemia. Vanaamai vakadaro vanofanira kuita ECG, uyewo kudzora pamwero calcium uye dose kuchinja kwezvinhu cardiac glycosides. Ngozi hypercalcaemia anogona kuwedzera benzodiazepine nomukaka.
• Kwakaderedza kubudirira vaiona mishonga iri kuchengetwa pamunhu yaizoshanda panguva kurapa "isoniazid" uye "Rifampicin". Izvi imhaka yokuti vanokwanisa kuwedzera mwero biotransformation.
• Nyanzvi vakawana kuti thiazide diuretics, karusiyamu excretion DZEMUNHU DZINODZORA mutoo iri weti. ekisiposha kwakadaro kunosimudzira panowanikwa hypercalcemia, izvo zvinoda nguva richiona calcium muropa.

Price uye analogues zvinodhaka

Unoziva sei tinorasikirwa "Vigantol"? Mutengo zvinodhaka izvi zvinogona kuva zvakasiyana uye kuvimba samambure Pharmacies, uyewo nzvimbo dzokugara murwere. Saka chii kunokosha chokushandisa ichi? Chizvitengera zvaunokwanisa kuti 200-220 rubles.

Kana zvakadaro iwe kugona kuwana mushonga wakadai muguta, inogona kutsiviwa akafanana. Huru dzomuzana vanoonekwa zvinodhaka kutevera zvinoreva: "Videhol", "Akvadetrim", "Vitamin D", "cholecalciferol", "Kolekaltsiferol" uye vamwe.

Achienzanisa mishonga iyi, vanhu vakawanda vari kushamisika ndoupi nani.

Sezvazvakanyorwa kuzivikanwa, kuitira kudzivisa kukura kusimba varwere vaduku kubva pakuzvarwa vanotanga taurira mishonga kuti vawedzere uwandu vhitamini D muropa. Kakawanda, pediatricians anoratidza kushandiswa kwezvinodhaka akadai "Vigantol" uye "Akvadetrim". Ndivo zvikuru. Zvisinei, nyanzvi dzinokurudzira vabereki akadzivisa pamwe pediatricians, zvinoreva zvakafanira kutora mwana wavo. Zvechokwadi, mune dzimwe nguva, murwere nani kupa jikichira, apo vamwe - the aqueous zvichachipedza.

Reviews nokuti somushonga chigadzirwa "Vigantol"

About "Vigantol" gadziriro pane dzakawanda wongororo siyana. Zvikurukuru, vari kusiyira vabereki vevana vaduku. Pashure pezvose, mushonga kazhinji ushandiswe vana vane kuperevedza vhitamini D _3.

Nokudaro, kuburikidza inofambiswa vabereki zvavakasangana nazvo kushandisa mushonga uyu, uye vanonetseka kana abatsira vamwe vana.

Maererano voruzhinji, pediatricians kazhinji mishonga vana 'Vigantol ". Uyewo aiwanzoshandisa uye aqueous mhinduro kuti "Akvadetrim". Muzviitiko zvacho zvose, vana vakachengeta zvakanaka muitiro. Kazhinji, izvi zvinoitika pashure yakazara nzira yokurapa.

Maererano vabereki, asi jikichira kugadzirira kunonyanya akakodzera vana vachangoberekwa. Mushure kurapwa havana kuzivisa chero abnormalities mu mafupa mamiriro.

Zvinofanira kucherechedzwa kuti, pasinei mukuru pangozi nenjodzi, zviitiko nemigumisiro Varwere pakugamuchira "Vigantola" akanga asingamboshayikwi akanyorwa. Panzira, pane yakawanda nyaya dzinovaka kubva varwere, izvo zvinofadza yakaderera mutengo zvinodhaka ichi.