Dab tsi yog qhov sib txawv ntawm milgamma thiab nicotinic acid?
Milgamma thiab Nicotinic acid yog npaj cov vitamins B. Txawm tias qhov tseeb hais tias cov tshuaj no yog cov dej-soluble vitamins thiab muaj nyob rau hauv daim ntawv ntawm lawv tus kheej derivatives nyob rau hauv tib neeg lub cev, cov kws kho mob tsis tau sau ntawv kom txhaj rau Milgamma thiab nicotinic acid tib lub sijhawm. Yog tias tus neeg mob tau sau tshuaj rau ob qho tshuaj, tom qab ntawd, raws li txoj cai, lub sijhawm ntawm kev noj tshuaj thiab lawv cov tshuaj ntau npaum li cas.
Kev nplua
Kuv puas tuaj yeem nqa Milgamma nrog Nicotinic acid? Raws li cov lus qhia, tsis muaj lub ntsej muag ntawm kev sib cuam tshuam yeeb tshuaj ntawm cov tshuaj no, thiab tsis muaj qhov qhia tias tsis muaj kev cuam tshuam ntawm lawv cov thawj coj ib txhij. Tab sis, txij li Milgamma thiab Nicotinic acid muaj nyob rau ntawm cov chaw sawv cev sib cais, nws yog qhov tsis xav ua kom tau ib qho kev txhaj tshuaj los ntawm kev sib xyaw ntawm cov tshuaj no.
Cov kws kho mob cov lus teb hais txog kev tswj hwm ua ke ntawm cov tshuaj no txawv: ib txhia raug qhia kom txhaj tshuaj cais nyob rau yav sawv ntxov thiab thaum yav tsaus ntuj, lwm tus - txhaj tshuaj thaum lub sijhawm ib hnub. Txij li cov chaw tsim tshuaj yeeb tshuaj tsis qhia cov kev sib raug zoo ntawm Milgamma thiab Nicotinic acid, noj lawv tib lub sijhawm ntawm ib hnub yog kev tso cai.
Vidal: https://www.vidal.ru/drugs/milgamma_compositum__3201
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Milgamma Ua haujlwm li cas
Nws muaj cov txheej txheem ntawm 3 cov vitamins - B1, B6 thiab B12. Lwm cov tshuaj ua kom nquag plias yog qhov analgesic lidocaine hydrochloride.
Lub chaw muab tshuaj ntawm cov tshuaj yog tus cwj pwm hauv qab no:
- Vitamin B1 cuam tshuam cuam tshuam txog cov metabolism hauv cov metabolism. Koom nrog lub voj voog ntawm tricarboxylic acids, tsim ntawm thiamine pyrophosphate thiab adenosine triphosphoric acid, uas yog lub zog ntawm lub zog ntawm biochemical tshua hauv lub cev.
- Vitamin B6 cuam tshuam rau cov protein metabolism, thiab rau qee yam, ua kom nrawm cov metabolism ntawm carbohydrates thiab cov rog.
- Vitamin B12 txhawb kev tsim cov ntshav, txhawb kev tsim cov hnab riam ntawm cov hlab ntsha leeg. Txhim kho nucleic metabolism los ntawm kev ua kom muaj cov tshuaj folic acid.
- Lidocaine muaj cov nyhuv tshuaj loog.
Milgamma yog cov tshuaj uas muaj cov nyom ntawm 3 cov vitamins B1, B6 thiab B12.
Cov vitamin complex muaj cov nyhuv neurotropic. Vim tias kev tsa los ntawm cov ntshav ntws thiab muaj txiaj ntsig zoo ntawm cov leeg poob siab, cov tshuaj kho txhim kho cov mob muaj kev cuam tshuam thiab cov kabmob ntawm lub cev muaj zog.
Txhaj tshuaj yog siv rau hauv qhov xwm txheej xws li:
- neuralgia
- paresis ntawm lub ntsej muag hlab ntsha,
- cov leeg mob hlwb
- ganglionitis vim yog tus mob shingles,
- neuropathy, polyneuropathy,
- ntau yam sclerosis
- kev puas tsuaj rau cov hlab ntsws plexus,
- mob leeg
- osteochondrosis.
Cov vitamins mus sib ntxiv rau txhua tus ua, txhim kho cov mob ntawm lub plawv thiab lub hlwb tsis muaj zog.
Muaj qee zaus, cov tshuaj yuav ua rau muaj kev tsis haum tshuaj, kiv taub hau, tachycardia, ntuav, lossis ua kom qaug dab peg.
Cov ntsiav tshuaj daim ntawv ntawm kev tso tawm yog tsiag ntawv los ntawm qhov tsis muaj vitamin B12 hauv qhov muaj pes tsawg leeg thiab cov ntsiab lus ntawm thiamine derivative. Nws muag hauv qab cov npe lag luam Milgamma Composite. Hauv ib pob ntawm 30 lossis 60 ntsiav tshuaj. Daim foos no muaj ntau txoj kev nyeem tsawg dua. Nws yog siv rau qhov tsis muaj cov vitamins B1 thiab B6 tiv thaiv keeb kwm ntawm cov hlab ntsha neurological.
Milgamma hauv cov ntsiav tshuaj daim ntawv yog qhov txawv los ntawm qhov tsis muaj vitamin B12 hauv qhov muaj pes tsawg leeg.
Nicotinic Acid Khoom
Cov tshuaj no tseem hu ua vitamin B3, lossis niacin. Ib zaug hauv lub cev, nws yog metabolized rau nicotinamide. Cov tshuaj no khi rau coenzymes uas thauj hydrogen. Txhim kho cov rog metabolism, kev sib txuas ntawm cov amino acids, cov protein, purines.Txhim kho qhov zoo ntawm cov ntaub so ntswg ua pa, glycogenolysis, cell synthesis.
Cov nyhuv ntawm lub cev yog tus cwj pwm los ntawm:
- Rov ua kom tiav ntawm qhov tsis muaj niacin.
- Antipellagric kev txiav txim.
- Kev ruaj khov ntawm lipoproteins.
- Txo cov roj (nyob ntawm qhov muab ntau npaum).
- Vasodilating siv tau.
Kev ncig hauv cov hlab ntsha me me (suav nrog lub hlwb) txhim kho. Cov tshuaj muaj qee yam anticoagulant thiab detoxifying cuam tshuam.
Kev hno nrog ib cov tshuaj yog nqa tawm los ua kom qhov tseeb ntawm cov tshuaj metabolism hauv kev o thiab neuralgia:
- osteochondrosis,
- ntau yam sclerosis
- cov leeg ntawm lub ntsej muag neuritis,
- ntshav ncig tsis zoo,
- hemorrhoids, varicose leeg,
- Kab mob Hartnup
- mob ntshav qab zib mellitus
- hypovitaminosis,
- gastritis (tsis tshua muaj acidity),
- mob plab thaum kho mob,
- tus kaus
- kis kab mob
- qeeb epithelization ntawm qhov txhab,
- tsis hnov qab metabolism hauv,
- haus dej cawv lom.
Sib Piv ntawm Milgamma thiab Nicotinic Acid
Cov tshuaj noj yog tsim los ntawm ntau lub tuam txhab kws tshuaj. Cov tshuaj yeeb tshuaj ua ke nrog lidocaine yog tsim los ntawm cov chaw tsim khoom hauv German, thiab Nicotinic acid yog tsim los ntawm cov tuam txhab Lavxias.
Cov tshuaj muaj cov zoo sib xws hauv cov tshuaj ntau npaum li cas (kev daws teeb meem thiab cov ntsiav tshuaj), zoo li ntau tus lej qhia rau siv. Ob qho tshuaj yog zwm rau ntawm pab pawg npaj vitamin.
Dab tsi yog qhov txawv
Cov tshuaj sib txawv hauv cov muaj pes tsawg leeg, cov tshuaj muaj yees. Cov yam ntxwv ntawm kev ua ntawm cov tshuaj sib txawv:
- Milgamma muaj cov tshuaj neuroprotective, ua kom loog, muaj feem xyuam rau cov txheej txheem hauv metabolic. Nws yog siv los ua tus kab mob thiab cov tsos mob hauv kev kho mob ntawm cov kab mob ntawm cov hlab ntsha ntawm ntau txoj kev lom zem. Nws yog siv rau cov kabmob los ntawm kev thaiv cov hlab ntaws ntawm lub cev kis tau tus mob.
- Niacin yog tus cwj pwm los ntawm vasodilating thiab antipellagric kev ua. Nws yog siv raws li angioprotector thiab corrector ntawm vascular ncig.
Milgam kev npaj, kev qhia. Neuritis, neuralgia, radicular syndrome
Milgamma yog pom qhov dav dav ntawm qhov tshwm sim ntawm lub cev thiab cov kev txwv hauv kev kho mob ntawm cov leeg hlwb. Tshuaj tsis siv tshuaj analogues, vim vim lawv qhov sib txawv ntawm qhov hnyav ntawm kev nqis tes ua ntawm cov leeg.
Cov lus pom zoo kom noj tshuaj thaum cev xeeb tub thiab lactation sib txawv. Hauv Milgamma phau ntawv qhia, cov xwm txheej no raug xa mus ua contraindications. Kev siv lwm cov tshuaj yog nqa nrog ceev faj thiab tsuas yog raws li kws kho mob tau hais tseg thaum tsis muaj ib qho tsis txaus ntseeg.
Uas yog pheej yig dua
Tus nqi nruab nrab ntawm Milgamma hauv ampoules nrog kev daws yog nyob ntawm thaj tsam ntawm 250-1200 rubles. nyob ntawm lawv kom muaj nuj nqis hauv pob. Nyob rau hauv daim ntawv ntawm ib tug rubee, cov tshuaj yeeb tshuaj muaj nqis los ntawm 550 txog 1200 rubles.
Nicotinic acid muaj qhov pheej yig dua. Tus nqi nruab nrab ntawm 50 ntsiav tshuaj yog 30-50 rubles, ampoules - los ntawm 30 txog 200 rubles.
Dab tsi yog qhov zoo dua Milgamma lossis Niacin
Txhua ntawm cov tshuaj nws muaj nws tus kheej cov yam ntxwv. Hauv txhua kis, tus kws kho mob xaiv cov tshuaj tsim nyog ntawm tus kheej.
Muaj kev sib txawv, sib txuam ua ke, yog li lawv feem ntau muab rau tib lub sijhawm. Txawm li cas los xij, cov tshuaj pom zoo muab tshuaj yuav tsum tau coj mus rau hauv tus account thiab qhov xav tau nruab nrab ntawm cov tshuaj yuav tsum tau pom, raws li lawv muaj qhov tsis zoo siv tau. Nicotinamide ua rau kom zoo rau kev yees duab, thiab lwm cov vitamins tsis ua haujlwm los ntawm kev ua los ntawm cov khoom tsis zoo ntawm thiamine.
Qhov kev sib xyaw no tso cai rau koj kom sai sai cov txiaj ntsig uas xav tau thiab muab cov kev kho ntev ntev.
Lub hauv paus ntsiab lus ntawm kev khiav haujlwm
Diclofenac (diclofenac) yog ib hom tshuaj tsis-tshuaj steroidal. Nws qhov kev ua yog txhawm rau txhawm rau txhawm rau cov tshuaj tiv thaiv ntawm cov txheej txheem ntawm cov nqaij, txo cov tsos mob ua npaws, tshem tawm qhov mob hnyav. Tus qauv tshuaj ntawm Diclofenac yog cov khoom lag luam ntawm kev ua tiav ntawm phenylacetic acid, yog li ntawd, raws li kev siv tshuaj, Diclofenac muaj zog ntau dua li acetylsalicylic acid, uas txog thaum nyuam qhuav yog cov tshuaj tiv thaiv kev tiv thaiv.
Combilipen (combilipen) - ib yam tshuaj nyob rau pawg ntawm cov tshuaj vitamin ua ke. Nws nquag siv nyob rau hauv kev kho mob ntawm cov kab mob uas ua rau kev puas tsuaj rau cov leeg. Combilipen nce lub suab nrov ntawm lub cev, txhawb nws qhov kev tawm tsam rau sab nraud thiab sab hauv kev tawm tsam tsis zoo. Nws cov qauv muaj peb vitamins (B1, B6 thiab B12). Qhov ua tau zoo ntawm kev sib koom ua ke thaum kho thiab hauv kev kho kom rov zoo ntawm cov kab mob uas ua rau kev puas tsuaj rau cov hlab ntsha cov leeg tau pov thawj los ntawm ntau xyoo ntawm kev xyaum siv cov tshuaj.
Combilipen txhim kho kev ua tiav ntawm lub hauv plab tsis muaj zog, nws pab txhawm rau txhim kho kev ua haujlwm ntawm lub hauv nruab nrab cov hlab hlwb txhawm. Ib zaug txhaj cov vitamins yuav txo tau qhov mob tshwm sim los ntawm neuritis lossis osteochondrosis.
Tab sis yog tias muaj kev puas tsuaj rau cov kev teeb tsa ntawm cov hlab hlwb txhim kho, nrog los ntawm cov txheej txheem hais tawm (mob sciatica, piv txwv), ib ntsiav tshuaj ntawm Combilipen yuav tsis pab. Hauv qhov no, tus kws kho mob tuaj yeem sau ib chav kawm ntawm kev txhaj tshuaj thiab suav nrog Combilipen ua ke nrog Diclofenac hauv kev kho tus mob.
Qhov kev xaiv no tso cai koj ib txhij:
- nplij cov mob o hau,
- pab cov vitamins kom txhawb cov ntaub so ntswg uas cuam tshuam.
Txij li ob qho tib si Diclofenac thiab Combilipen muaj cov nyhuv ua kom loog, txoj kev sib koom tes ntawm kev siv txo cov mob sai dua. Hnub thib tsib ntawm kev kho mob, nws tiav kiag, uas hloov kho tus neeg mob lub neej kom zoo. Kev hno ntawm Diclofenac thiab Combibipen tsuas yog kho tsuas yog tias tus kab mob yog nyob rau hauv theem mob. Lawv tau ua tiav los ntawm 5 hnub txog ob lub lis piam (chav kawm yog nyob ntawm qhov mob hnyav ntawm cov duab hauv chaw kuaj mob). Tom qab ntawd lawv hloov mus rau kev siv ntsiav tshuaj.
Kev txhaj tshuaj yuav ua li cas?
Nws puas tuaj yeem hno Diclofenac thiab Combilipen tib lub sijhawm? Cov kev kho mob no ua tau, tab sis koj tsis tuaj yeem siv ob qho tshuaj mus rau tib qho syringe. Txhua lub cuab yeej muaj nws txoj kev npaj txais tos. Diclofenac yog txhaj ib hnub ib zaug (txhaj tshuaj ib zaug yog muab raws li kev saib xyuas mob). Nws raug nquahu kom txhaj rau hauv ib hnub, ntau dua kev tswj hwm tsis zoo muaj feem cuam tshuam rau kev ua haujlwm ntawm txoj hnyuv plab. Kev hno tau noj tsis pub ntev tshaj ob hnub, tom qab ntawd tus neeg mob hloov mus rau lwm hom tshuaj noj.
Kev hno ntawm Combibipen tau ua ob zaug ib hnub, rau ib lim tiam, 2 ml ntawm cov tshuaj tau sau hauv ib lub koob txhaj. Thaum kawg ntawm xya-hnub kawm, tus neeg mob tuaj yeem txuas ntxiv nrog kev txhaj tshuaj, tab sis lawv yuav raug muab 2-3 zaug hauv ib lub lis piam.
Yog li yuav ua li cas thiaj li txhaj cov tshuaj tau piav qhia hauv kab lus? Txhua ampoule tau ntaus cais thiab muab ntaub ntawv intramuscularly ntawm lub sijhawm sib nrug. Thaum koj xav siv lub zog ua kom muaj zog ntau dua, cov tshuaj ntawm Diclofenac tau siv - cov tshuaj Ketorol. Nws tseem mus zoo nrog Combilipen.
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Kombilipen - cov lus qhia rau kev siv
Cov tshuaj yog rau ntau yam ntawm cov neeg muaj ntau txoj haujlwm ntawm cov neurotropic kev txiav txim siab, yog siv los kho neurological pathologies. Combilipen vitamins yog npaj rau:
- nce ntshav kev,
- txhim kho cov metabolism
- tshem tawm o ntawm cov hlab ntaws cev,
- kho cov ntaub so ntswg ntawm cov hlab ntaws,
- txo qhov mob los ntawm kev puas tsuaj rau cov leeg ntu qhov cuab lub zog,
- normalization ntawm paj conduction,
- ntxiv dag zog rau kev tiv thaiv kab mob, nce qhov ruaj ntseg ntawm lub cev tiv thaiv mus rau qhov tsis zoo: kev ntxhov siab, haus luam yeeb, haus cawv.
Cov txiaj ntsig ntawm kev txhaj tshuaj yog muab los ntawm cov haujlwm tseem ceeb uas yog ib feem ntawm Combilipen hauv ampoules: benfothiamine (ib hom tshuaj muaj roj-soluble vitamin B1) - 100 mg, pyridoxine hydrochloride (vitamin B6) - 100 mg, cyanocobalamin (vitamin B12) - 1000 μg, lidocaine hydrochloride - 20 mg. Kev daws rau kev txhaj tshuaj muaj cov neeg zam:
- sodium tripolyphosphate,
- sodium hydroxide
- poov tshuaj hexacyanoferrate,
- benzyl haus cawv
- dej rau kev txhaj tshuaj.
Daim ntawv tso tawm
Cov tshuaj Combilipen muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab txhaj tshuaj daws hauv ampoules.Cov tshuaj ntawm cov ntsiav tshuaj yog txawv me ntsis los ntawm kev hno. Kombilipen tabs los ntawm cov tshuaj nquag tsis muaj lidocaine, thiab los ntawm cov ntsiab lus ntxiv rau cov tshuaj muaj xws li:
Qhov kev txhaj tshuaj yog cov kua pinky-ruby-kua nrog lub qhov ntse tshwj xeeb. Kombilipen hauv ampoules muaj ob milliliters ntawm kev txhaj tshuaj. Cov ntawv hno tau ntim rau hauv cov ntawv xov tooj ntawm tes ntawm 5 lossis 10 daim. Ib qho caws pliav yog muab tso rau hauv lub thawv sab nraud yog tias tsis muaj qhov to taub lossis cov ntsiab lus tawg ntawm cov ampoules. Cov tshuaj no tau faib hauv khw muag tshuaj los ntawm cov tshuaj noj. Nws yog ib qho tsim nyog yuav tau khaws cov ampoules ntawm qhov kub ntawm 8 degrees hauv tsev yam tsis muaj hnub ci. Lub txee lub neej ntawm cov tshuaj yog 2 xyoos.
Pharmacodynamics thiab pharmacokinetics
Qhov kev txiav txim ntawm cov tshuaj yog muab los ntawm kev sib xyaw ua ke ntawm cov vitamins B, uas paub qhov txawv los ntawm cov txiaj ntsig muaj txiaj ntsig ntawm tib neeg lub cev, rov ua kom muaj peev xwm nyob rau hauv cov mob thiab ua rau cov txheej txheem ntawm cov leeg nqaij thiab cov leeg hlwb. Cov tshuaj tseem ceeb yog thiamine (vitamin B1), vitamins B6 thiab B12 txhim kho nws cov nyhuv thiab ua lub luag haujlwm tseem ceeb hauv cov txheej txheem hauv kev zom zaub mov. Cov nyhuv pharmacological ntawm Combibipen tau tiav vim yog cov yam ntxwv ntawm cov tshuaj nquag:
- Vitamin B1. Sij hawm dhau los, nws tau hu ua Anevrin, vim tias nws txoj kev tshawb pom nws cuam tshuam nrog ib tus kab mob ntawm cov leeg poob siab - noj. Tus kab mob no yog tus cwj pwm nkees nkees, tsis muaj peev xwm ntawm lub hlwb, qhov mob los ntawm qhov chaw nyob ntawm cov hlab ntaws, thiab tuag tes tuag taw. Cov tshuaj yeeb yaj kiab tuaj yeem ua kom rov qab ua haujlwm ntawm cov hlab ntsha ntawm cov kab mob uas tau hais tseg, nrog cov hlab ntaws ntawm lub hlwb thiab lub hlwb kev loj hlob. Nws lub luag haujlwm yog muab cov piam thaj rau cov qog ua haujlwm zoo. Nrog cov piam thaj tsis txaus, lawv tau deformed, uas ua rau lub luag haujlwm tsis zoo - kev coj ua ntawm impulses. Thiamine muab kev ua haujlwm tsis zoo ntawm lub siab nqaij.
- Vitamin B6. Nws yog qhov tsim nyog rau kev tsim kho cov metabolism, hematopoiesis ib txwm, nrog kev pab ntawm cov tshuaj muaj zog excitation thiab inhibition cov txheej txheem tshwm sim, kis tau ntawm impulses ntawm cov ntsiab lus ntawm kev sib cuag ntawm cov hlab ntsha. Muab cov khoom sib txuas ntawm cov tshuaj hormones norepinephrine thiab adrenaline, kev thauj mus los ntawm sphingosine - ib yam khoom uas yog ib feem ntawm lub paj hlwb. Nrog kev pab los ntawm cov vitamin, kev tsim cov serotonin tshwm sim, uas yog lub luag haujlwm rau kev pw tsaug zog, qab los noj mov thiab tus cwj pwm ntawm ib tug neeg.
- Vitamin B12. Nws nkag mus rau hauv lub cev nrog zaub mov ntawm tsiaj keeb kwm. Koom rau hauv biosynthesis ntawm acetylcholine, lub luag haujlwm rau kev ua kom lub zog tsis nco qab. Nws yog qhov tsim nyog rau ib txwm hematopoiesis, nrog kev pabcuam ntawm cov tshuaj yeeb ntshav liab cov ntshav tsis kam tiv thaiv hemolysis raug tsim. Lub luag hauj lwm rau cov synthesis ntawm myelin - ib qho kev tivthaiv ntawm cov hlab ntaws. Qhov tseem ceeb rau cov folic acid metabolism. Koom hauv cov tshuaj synthesine amino acids - lub tsev tsim khoom rau cov hlwb ntawm cov txheej epithelial, tswj kev tsim cov tshuaj hormones los ntawm cov qau. Tsub kom cov nqaij mos ua kom muaj peev xwm, ua kom qeeb ntawm lub cev laus. Nws muaj peev xwm los tsim cov nyhuv analgesic thiab nce cov nyhuv ntawm kev ua kom loog, normalize ntshav siab.
- Lidocaine. Nws nyob nrog ib qho chaw nruab nrab ntawm cov nquag thiab pabcuam ntu. Nws tsis siv rau cov vitamins, nws yog tshuaj loog. Ua tsaug rau cov tshuaj, qhov kev txhaj tshuaj yuav tsis mob. Tsis tas li ntawd, lub hauv paus ua haujlwm ntawm kev nthuav dav cov hlab ntsha thiab pab lub cev nqus cov vitamins.
Kombilipen kev txhaj tshuaj - dab tsi yog tau sau tseg
Lub peev xwm ntawm kev npaj vitamin kom muaj txiaj ntsig zoo cuam tshuam rau cov leeg hlwb, rov qab ua cov hlab ntaws thiab lawv cov kev coj ua, txo qhov mob thaum mob thiab ua haujlwm hauv cov hlab ntsha thiab cov leeg nqaij tau siv los kho:
- cov kab mob ntawm cov leeg musculoskeletal,
- ntsej muag neuritis,
- intercostal thiab trigeminal neuralgia,
- polyneuropathies ntawm kev haus dej cawv, mob ntshav qab zib etiology,
- lub lumbar ischialgia,
- mob ntsws mob, uas tshwm sim los ntawm kev hloov pauv ntawm ncauj tsev menyuam, ncauj tsev menyuam thiab txha nqaj qaum (osteochondrosis).
Raws li kev npaj ntau yam tshuaj, Kombilipen kev txhaj tshuaj muaj qhov ua kom muaj zog. Cov txiaj ntsig tau zoo raug pom thaum qhia kho kev txhaj tshuaj rau cov neeg mob hauv lub sijhawm so tom qab. Cov tshuaj tau txais kev tshuaj xyuas zoo los ntawm cov neeg mob kho. Tom qab ua tiav cov txheej txheem ntawm kev kho, cov neeg mob tau teev tseg txog kev txhim kho ntawm daim tawv nqaij hloov, nthuav tawm ntawm lub zog, thiab ua rau qaug zog poob qis.
Diclofenac thiab Combilipen: txoj kev thov
- anti-inflammatory (thaiv kev loj hlob ntawm o ntawm lub hauv zos theem ntaub so ntswg),
- antipyretic (daws qhov mob kub taub hau, cuam tshuam rau qhov nruab nrab ntawm thermoregulation hauv hlwb)
- tshuaj pleev xim (tshem tawm qhov mob, cuam tshuam rau ob leeg nruab nrab thiab nruab nrab ntawm kev txhim kho).
Vim tias muaj cov teebmeem no, cov tshuaj tiv thaiv tsis-tshuaj steroidal tseem hu ua cov tshuaj uas tsis siv tshuaj tua kabmob (tshuaj pleev) thiab cov tshuaj tiv thaiv kabmob.
Cov Tshuaj ntawm Cov Tshuaj Combilipen, Midokalm thiab Movalis (Arthrosan, Meloxicam, Amelotex)
- txo lub zog pathologically nce nqaij cov nqaij mos,
- daws qhov mob
- nce kev ua haujlwm ntawm cov leeg puag ncig thaj tsam puas ntawm tus txha nqaj qaum,
- txhim kho cov ntu ntshav txaus.
Movalis (thoob ntiaj teb lub npe meloxicam) yog ib hom tshuaj tsis-tshuaj steroidal uas muaj cov kev xaiv tshwm sim thiab vim li no tsis tshua muaj kev mob ua rau mob txhawm rau muaj cov xeeb ceem ntawm cov pab pawg kho mob los ntawm kev mob plab hnyuv.
Vim li cas thiaj Combilipen thiab Alflutop raug tshuaj?
- tiv thaiv kev puas tsuaj ntawm pob txha thiab pob txha mos ntawm qib macromolecular,
- stimulates regenerative cov txheej txheem,
- muaj cov tshuaj uas tsim nyog rau kev rov qab ntawm cov ntaub so ntswg rhuav tshem.
Kev sib xyaw ntawm Combilipen thiab Alflutop yog qhov tshwj xeeb tshaj yog siv rau osteochondrosis. Alflutop tshem tawm cov txheej txheem nyob hauv tus nqaj qaum, thiab Combilipen rov qab cov ntaub so ntswg uas puas lawm.
Txhaj Tshuaj Combilipen thiab nicotinic acid: cov lus qhia rau kev siv
- cov leeg ntawm lub ntsej muag neuritis,
- kev puas tsuaj rau cov hlab ntsha hauv osteochondrosis,
- mob sib ce thiab mob cerebrovascular,
- pathology ntawm lub hauv nruab nrab thiab ntu ntu hlab ntsha cuam tshuam nrog rau sab hauv thiab sab nrauv intoxication (mob ntshav qab zib, haus cawv, thiab lwm yam).
Hauv kev sib xyaw ua ke no, nicotinic acid ua lub luag haujlwm ua rau detoxification, tiv thaiv cov leeg lub cev los ntawm cov tshuaj lom los ntawm ntau lub hauv paus - tuaj nrog cov ntshav tawm, tsim nyob rau hauv kev tsom mus rau lossis mob rau cov hlab ntaws ntau tshaj plaws, thiab Combilipen nourishes cov hlab hlwb, ua rau lawv rov zoo sai.
Yuav ua li cas txhaj tshuaj ntawm nicotinic acid thiab combilipene, tuaj yeem ua lawv ib txhij? Tus kws kho mob tau sau 10 cov tshuaj ntawm txhua i / m tom qab noj mov, tab sis tsis tau piav qhia yuav ua li cas - ncua kev ua ke nyob rau tib lub sijhawm lossis sijhawm sib txawv (sawv ntxov thiab yav tsaus ntuj, piv txwv), lossis thawj zaug ua lwm yam. Kuv paub tias lawv tsis tuaj yeem sib xyaw nrog ib tus syringe. Nws xav paub seb nws puas muaj peev xwm ua kom ob qho kev txhaj tshuaj los ntawm ntau cov koob txhaj tshuaj ib zaug, yog tias ua tau nws yuav ua li cas thiaj kho ntxiv - txhawm rau ob qho kev txhaj tshuaj rau hauv ib nrab lossis ib ntawm ib, txhaj rau lwm tus?
Cov tshuaj Combilipen thiab Nicotinic acid ua haujlwm tau zoo rau ntau yam kabmob ntawm cov kabmob hlab ntsha hlwb: dorsopathies, radiculopathies, osteochondrosis, ntau yam neuralgia thiab neuropathies.
Hauv "Combibipene" muaj kev sib xyaw ua ke ntawm B vitamins (B1, B6, B12) thiab lidocaine, Nicotinic acid lossis vitamin "PP". Kev sib xyaw zoo ntawm cov tshuaj no raws li cov txheej txheem:
txhua hnub x 1 lub sijhawm hauv ib hnub los txhaj cov tshuaj no hauv cov koob txhaj sib txawv, koj tuaj yeem nyob hauv ib lub pob tw ntawm ib sab, koj tuaj yeem nyob hauv lub pob tw sib txawv, tom qab ntawv sib hloov. Koj tsis tuaj yeem tso ib rab koob rau hauv cov leeg gluteal yog tias koj txhaj ib cov tshuaj, tom qab ntawd lub koob txhaj tshuaj nrog lwm cov koob rau hauv tib rab koob.
Nco ntsoov tias ntawm kev txhaj tshuaj ntawm nicotinic acid tej zaum yuav liab liab ntawm lub ntsej muag, tes, thaj tsam dab tshos, khaus tawv nqaij.Feem ntau qhov kev mob tshwm sim no, vim tias cov vasodilator cuam tshuam sai, ploj mus sai sai hauv ob peb feeb. Qhov no tsis yog ua xua!
Txhua txhua lwm hnub, i.e. hloov cov tshuaj tsis raug, vim lawv yog los ntawm ntau pab pawg. Tau, thiab "smear" kev kho mob rau 20 hnub yog impractical.
Yuav ua li cas txhaj cov tshuaj nicotinic acid thiab combilipene?
Cov kws kho mob, kev tsim kho cov txheej txheem kho mob, xaiv cov tshuaj los txhim kho cov nyhuv tshuaj, uas nws cov qauv ua tau sib txuam. Qhov tshwm sim zoo tshaj plaws hauv kev kho mob ntawm qhov mob syndromes provoked los ntawm cov kab mob ntawm cov neuralgic xwm ua kom pom kev sib raug zoo ntawm Combilipen nrog Diclofenac. Qhov kev sib xyaw no tso cai rau koj kom sai sai cov txiaj ntsig uas xav tau thiab muab cov kev kho ntev ntev.
Kev txheeb xyuas txog cov tshuaj Combilipen: pros thiab cons
Kombilipen yog kev npaj muaj vitamin. Nws muaj cov vitamins ntawm pab pawg B (B1, B6, B12) thiab lidocaine hydrochloride. Combilipen tau zoo siv rau kev kho mob ntawm cov leeg hlwb (neuritis, neuralgia), thiab rau ntau yam kab mob sib kis ntawm tus txha nqaj qaum - xws li mob caj pas, hauv siab, ncauj tsev menyuam osteochondrosis, thiab lwm yam.
Kombilipen hno intramuscularly - cov lus qhia rau kev siv
Qhia rau kuv, kev hno tshuaj tau sau tseg: 1. Diclofenac 3.0 i / m, No. 5 2. Niacin 2.0 i / m, No. 10 3. Combillipen 2.0 i / m, No. 10 Yuav ua li cas txhaj tshuaj, koj tuaj yeem sib xyaw hauv ib qho koob txhaj tshuaj lossis tsis? Yuav hno ib zaug peb lossis ib zaug thaum nruab hnub? Qhia seb leej twg yog cov yuav cov tshuaj no? Kev twv yuav tsum yog nyob rau hauv cov koob txhaj sib txawv. Diclofenac rau tsib hnub rau ib ampoule intramuscularly, thiab nicotine rau-tu thiab combilipen kom txhaj kaum hnub. Koj tuaj yeem txhaj peb koob ib zaug zuj zus.
Cov lus qhia kev txhaj tshuaj Nicotine rau kev siv: cov yam ntxwv ...
Kev txhaj tshuaj ntawm cov nicotinic acid (nicotine) yog tsim rau ntau yam kab mob. Qhov yog tias nws cuam tshuam rau lub cev sib txawv nrog qee qhov mob. Cov tshuaj no zwm rau cov vitamin pawg ntawm cov tshuaj. normalizes ntshav kev nyob rau hauv tej qhov chaw thiab thoob plaws lub cev tag nrho,
Yuav ua li cas nicotinic acid ua haujlwm nrog lwm cov vitamins
Tib neeg lub cev yog, piv rau kev hais lus, lub lag luam tshuaj loj loj, hauv cov khw uas muaj ntau cov txheej txheem ib txhij. Hauv kev ua haujlwm tsis tu ncua no, ntau cov ntsiab lus tshwj xeeb tau koom nrog - carbohydrates, rog, protein, vitamins, minerals. Yog li kom peb lub cev tuaj yeem nqus tau thiab siv tau txhua qhov, koj yuav tsum paub tias yam tshuaj twg yog sib xyaw nrog lwm yam thiab qhov twg tsis yog. Kev sib cuam tshuam ntawm nicotinic acid nrog lwm cov vitamins ncaj qha cuam tshuam rau cov txheej txheem ntawm nws nqus. Los ntawm txoj kev, yog tias cov vitamins sib xyaw ua ke zoo, tom qab ntawd lawv cov nyhuv yog pom tau txais txiaj ntsig zoo. Nicotinic acid zoo kawg nkaus rau cov vitamins B2, B6 thiab N. Qhov muaj tooj liab thiab vitamin B6 txhim kho nws kev nqus ntawm lub cev.
Tsa cov lus nug ntawm yuav ua li cas nicotinic acid ua ke nrog lwm cov vitamins, nws yuav tsum tau sau tseg tias cov tshuaj no kiag li neutralizes qhov kev txiav txim ntawm thiamine. Vitamin B3 tsuas yog rhuav tshem cov vitamin B1. Vitamin B12 kuj pom tias tsis zoo sib xyaw nrog nicotinic acid. Raws li nws txoj haujlwm, cyanocobalamin plam kev ua si. Nkag siab li cas cov nicotinic acid ua ke nrog lwm cov vitamins, koj tuaj yeem nce qhov kev ua tau zoo ntawm cov tshuaj thiab zam kom tsis txhob ua yuam kev cuam tshuam nrog kev ua tsis tiav ntawm cov tshuaj.
Lwm cov ncauj lus uas tsim nyog peb tau saib yog seb vitamin B3 tuaj yeem siv tau nrog cov tshuaj muaj zog. Hauv qee qhov, ntau tus neeg txaus siab nyob rau hauv qhov teeb meem sib xyaw ntawm Combilipene thiab nicotinic acid. Feem ntau, cov kws kho mob tau sau ntawv rau cov tshuaj no rau hauv kev kho mob ntawm ntau cov kab mob neurological. Nyob rau hauv xws li lub hnub dhau los, vitamin PP yuav siv sijhawm ntawm detoxification muaj nuj nqi, thiab Combilipen yog lub luag haujlwm rau cov khoom noj khoom haus ntawm cov hlab ntsha hlwb, uas ua rau nrawm dua.
Yuav ua li cas lwm yam tshuaj yog sib xws nrog nicotinic acid.
Ua ntej muab cov tshuaj PP rau tus neeg mob, tus kws kho mob yuav tsum qhia meej tias nws siv hom tshuaj twg tam sim no.
- Nrog kev sib cuam tshuam ntawm nicotinic acid nrog neomycin, sulfonamides, barbiturate, tshuaj tiv thaiv TB, kev nce rau hauv cov nyhuv tshuaj lom yog pom.
- Tsis txhob noj cov vitamins B3 ib txhij nrog cov tshuaj aspirin, anticoagulants, antihypertensive tshuaj, yog li kom tsis txhob muaj kev pheej hmoo ntawm kev phiv.
- Nicotinic acid kuj tseem tsis zoo rau cov tshuaj tiv thaiv kab mob, vim nws txo lawv cov nyhuv kho.
- Yog tias koj noj cov tshuaj vitamin B3 nrog cov tshuaj lipid-txo qis, qhov pheej hmoo ua rau muaj kev phom sij rau kev noj qab haus huv ntawm daim siab.
- Ntxiv rau, koj yuav tsum tau ceev faj thaum ua ke nrog mob glycosides, fibrinolytics, antispasmodics, txij li thaum cov nyhuv ntawm cov tshuaj no yuav ua kom zoo dua.
Nicotinic acid puas sib xyaw nrog cawv?
Txheeb kom meej meej yuav ua li cas sib txuas ua ke cov vitamins nrog nicotinic acid, peb yuav kov lub ncauj lus ntawm nws kev sib raug zoo nrog cawv. Raws li cov lus qhia, nws tsis tuaj yeem noj cov vitamins B3 ib txhij nrog cawv los yog tshuaj muaj ethanol. Lawv txoj kev sib xyaw ua ke tuaj yeem ua rau txo qis ntawm cov kua tsib cov kua qaub ua kom muaj zog, nrog rau kev nce ntxiv hauv cov tshuaj lom rau lub siab. Nyob rau tib lub sijhawm, nicotinic acid nws tus kheej muaj qhov sib xyaw ua kom muaj zog. Nws txhawb nqa lub tshem tawm nquag ntawm cov tshuaj lom tawm hauv lub cev, khi dawb radicals. Tias yog vim li cas cov vitamin B3 yog siv los daws cov kev mob tshwm sim hangover thiab siv ua ib feem ntawm kev kho mob rau cawv thiab quav tshuaj. Kev Txheeb Ze Nrog rau tag nrho cov txiaj ntsig ntawm nicotinic acid, muaj mob thaum nws siv yog nruj me ntsis contraindicated.
- Kev tsis qaug rau leej twg, kev fab tshuaj rau qhov quav,
- Exacerbation ntawm cov kab mob ntawm lub plab thiab duodenum, suav nrog mob rwj,
- Ua txhaum ntawm daim siab,
- Atherosclerosis (contraindicated leeg siv),
- Gout
- Cov qauv mob ntshav siab,
- Nce uric acid nyob rau hauv cov ntshav.
- Mob ntshav qab zib mellitus
- Gastritis nrog high acidity,
- Hemorrhage,
- Kab mob siab
- Mob caj pas
Nyob hauv kev tswj tshwj xeeb ntawm cov kws kho mob - poj niam thaum cev xeeb tub thiab lactation. Nws paub tias nicotinic acid yog tsim rau cov leej niam yav tom ntej nyob rau hauv ntau ntawm cev xeeb tub, nrog cov kab mob pathologies ntawm daim siab thiab mob plab, nrog kev quav yeeb tshuaj, nrog kev hloov pauv hauv kev ua haujlwm ntawm cov placenta. Niacin muaj peev xwm txhim kho cov ntshav ncig thiab txo qis viscosity, uas tiv thaiv kev tsim cov ntshav txhaws thiab txo kev pheej hmoo ntawm kev txhaws ntawm cov hlab ntsha ntawm tus txiv neej. Peb tuaj yeem hais tias qhov cuab yeej pabcuam yog kev tiv thaiv ntawm kev yug menyuam ntxov thiab qhov muaj teeb meem. Thaum pub niam mis, yuav tsum tau txhaj tshuaj vitamin A los pab txhawb kev lactation.
Nyob zoo. Thaum tab tom noj tshuaj, ua raws lawv cov lus qhia kho mob thiab contraindications rau lawv siv. Hauv cov lus qhia rau cov tshuaj no tsis muaj kev txwv txog kev siv tib lub sijhawm. Omnic muaj peev xwm ua tau thaum lub sijhawm siv cov tshuaj no. Raws li txoj cai, thaum lub sijhawm puv sijhawm mus ntsib kws kho mob, txhua yam tshuaj uas tus kws kho mob tau tshaj tawm thiab tus kws kho mob ua rau nws lub sijhawm teem mus rau hauv qhov no. Nws ib txwm muaj ib tug neeg raug rau cov tshuaj noj thiab nws tsis yooj yim sua twv seb koj lub cev yuav ua li cas rau qee yam tshuaj, qhov no yog los ntawm cov kev phiv. Hauv kev xyaum, nicotinic acid yuav tsis zam ntawm txhua tus neeg mob.
1. Niacin: Tshuaj Tiv Thaiv Tsis Txaus
Kev txhaj tshuaj tiv thaiv yog contraindicated nyob rau hauv ntau cov ntawv ntawm tawg (nce ntxiv nyob rau hauv ntshav siab) thiab atherosclerosis.
Cov neeg mob siab txog qhov mob siab tshaj mus rau nicotinic acid yuav tsum yog tshuaj nicotinamide, tshwj tsis yog nicotinic acid siv ua vasodilator.
Nws yuav tsum tau yug los rau hauv lub siab hais tias kev siv lub sijhawm ntev ntawm cov koob tshuaj ntau ntawm cov nicotinic acid tuaj yeem ua rau txoj kev loj hlob ntawm cov rog rog. Txhawm rau tiv thaiv cov kev mob no, nws raug nquahu kom suav cov zaub mov muaj methionine ntau - ib qho tseem ceeb / tsis coj los tiv thaiv cov amino acid / hauv kev noj haus, lossis los sau tshuaj methionine thiab lwm yam lipotropic (xaiv sib cuam tshuam nrog cov rog) cov neeg sawv cev.
2. Milgamma: contraindications: Txhaj tshuaj
Cov tshuaj tiv thaiv tsis haum rau cov tshuaj ntawm cov tshuaj, kev ua txhaum sai ntawm lub plawv kev sib tw, daim ntawv mob decompensated lub plawv tsis ua haujlwm. Vitamin B1 yog contraindicated nyob rau hauv kev tsis haum tshuaj. Vitamin B6 yog contraindicated nyob rau hauv rooj plaub ntawm pais plab thiab duodenal mob rwj nyob rau hauv mob mob theem (vim tias nws muaj peev xwm nce acidity ntawm pais plab kua txiv). Vitamin B12 yog contraindicated rau siv hauv erythremia, erythrocytosis, thromboembolism.
Lidocaine. Hypersensitivity rau lidocaine lossis lwm qhov chaw tso tshuaj loog hauv ib cheeb tsam, keeb kwm ntawm kev mob qaug dab peg thaum noj lidocaine, muaj mob bradycardia, mob ntshav qis ntawm lub plawv, mob ntshav siab, cov mob loj ntawm kev mob plawv tsis ua hauj lwm (II - III degree), ntshav ntswg mob qaug zog, w-cm , Cov kab mob Adams-Stokes syndrome, AV txhaws ntawm II thiab III degrees, hypovolemia, mob hnyav / mob raum, mob hlwb, ntshav qab zib, myasthenia gravis.
Qhov txiav txim ntawm thiamine tsis ua hauj lwm los ntawm fluorouracil, txij li tom kawg kev sib tw inhibits thiamine phosphorylation rau thiamine pyrophosphate. Voj diuretics, xws li furosemide, inhibiting tubular reabsorption, nrog kev kho ntev ntev tuaj yeem ua rau muaj qhov thim thim tawm ntxiv, yog li txo qis nws qib.
Concomitant siv nrog levodopa yog contraindicated, txij li thaum vitamin B6 tuaj yeem txo qhov hnyav ntawm antiparkinsonian nyhuv ntawm levodopa. Siv cov tshuaj tsis haum nrog pyridoxine antagonists (piv txwv li isoniazid, hydralazine, penicillamine lossis cycloserine), qhov ncauj tshuaj tiv thaiv kuj yuav ua rau muaj kev xav tau cov vitamin B6.
Haus cov dej haus sulfite-uas muaj dej cawv (xws li cawv txiv hmab) ntxiv qhov ua kom zoo rau thiamine.
Lidocaine ua rau muaj kev cuam tshuam zoo tshaj plaws rau hauv lub ntsws ua pa ntawm lub ntsej muag tshuaj loog (hexobarbital, thiopental sodium iv), cov tshuaj tsaug zog thiab tshuaj loog, ua rau lub zog ntawm cov txiaj ntsig digitoxin. Nrog rau kev siv nrog hypnotics thiab sedatives, nws muaj peev xwm nce cov nyhuv inhibitory nyob rau hauv nruab nrab lub paj hlwb. Ethanol txhim kho cov nyhuv inhibitory ntawm lidocaine ntawm kev ua pa.
Adrenoreceptor blockers (suav nrog propranolol, nadolol) qeeb cov metabolism hauv lidocaine hauv daim siab, txhim kho cov teebmeem ntawm lidocaine (suav nrog tshuaj lom) thiab nce kev pheej hmoo ntawm kev tsim bradycardia thiab hypotension.
Cov tshuaj zoo li Curare - nws muaj peev xwm tob tob rau cov nqaij so kom txaus (rau txhawm rau txhawm rau cov leeg ua pa).
Norepinephrine, mexiletine - lidocaine toxicity nce (lidocaine tshem tawm tsawg).
Isadrine thiab glucagon - nce lidocaine tshem tawm.
Cimetidine, midazolam - ua rau kev nce siab ntawm lidocaine hauv ntshav ntshav. Cimetidine hloov chaw los ntawm khi rau cov protein thiab ua rau qeeb qeeb ntawm qhov tsis ua haujlwm ntawm lidocaine hauv daim siab, uas ua rau muaj kev pheej hmoo ntxiv ntawm kev phiv los ntawm lidocaine. Midazolam muaj pes tsawg nce tsub kom lub ntsiab ntawm lidocaine hauv cov ntshav.
Anticonvulsants, barbiturates (suav nrog phenobarbital) - nws muaj peev xwm ua kom nrawm cov metabolism ntawm lidocaine hauv daim siab, txo qis hauv cov ntshav concentration.
Cov tshuaj tiv thaiv antiarrhythmic (amiodarone, verapamil, quinidine, aymaline, disopyramide), anticonvulsants (hydantoin derivatives) - cov txiaj ntsig cardiodepressive yog qhov ua kom zoo dua qub, ib txhij siv nrog amiodarone tuaj yeem ua rau kev txhim kho ntawm qaug dab peg.
Novocaine, procainamide - thaum ua ke nrog lidocaine, CNS kev zam thiab qhov tshwm sim ntawm kev pom dab yog qhov ua tau.
MAO inhibitors, chlorpromazine, buvicain, amitriptyline, nortriptyline, imipramine - thaum ua ke nrog lidocaine, txoj kev pheej hmoo ntawm kev txhim kho arterial hypotension nce thiab cov tshuaj loog hauv zos ntawm lidocaine yog lub sijhawm ntev.
Narcotic analgesics (morphine, thiab lwm yam) - thaum ua ke nrog lidocaine, cov nyhuv ua kom loog ntawm narcotic analgesics nce, thiab ua pa nyuaj siab ntxiv.
Prenylamine - qhov kev pheej hmoo ntawm kev txhim kho ventricular arrhythmias zoo li pirouette.
Propafenone - kev nce ntxiv nyob rau lub sijhawm thiab qhov mob ntawm qhov tshwm sim ntawm lub hauv nruab nrab ntawm lub paj hlwb yog tau.
Rifampicin - ib qho kev txo qis ntawm kev saib xyuas ntawm lidocaine hauv cov ntshav yog ua tau.
Polymyxin B - Kev ua haujlwm rau lub pa yuav tsum raug saib xyuas.
Procainamide - cov tsoos tsho muaj peev xwm ua tau.
Mob glycosides - thaum ua ke nrog lidocaine, cov nyhuv cardiotonic ntawm cov mob glycosides tsis muaj zog.
Digitalis glycosides - tawm tsam keeb kwm ntawm intoxication, lidocaine yuav nce ntxiv qhov hnyav ntawm AV block.
Vasoconstrictors (epinephrine, methoxamine, phenylephrine) - thaum ua ke nrog lidocaine, lawv ua rau qeeb ntawm qhov kev nqus ntawm lidocaine thiab ua kom ntev txog cov nyhuv tom qab.
Guanadrel, guanethidine, mecamylamine, trimethafan - nrog rau kev siv ua ke rau pob txha caj qaum thiab tshuaj pleev ib ce, qhov kev pheej hmoo ntawm kev mob ntshav siab thiab cov kab mob bradycardia nce ntxiv.
Β-adrenergic receptor blockers - thaum sib koom ua ke, lawv qeeb cov metabolism ntawm lidocaine hauv lub siab, qhov cuam tshuam ntawm lidocaine (nrog rau cov tshuaj lom) yog qhov ua kom zoo dua, thiab kev pheej hmoo ntawm kev txhim kho bradycardia thiab arterial hypotension tau nce. Nrog rau kev siv sib xyaw ua ke ntawm β-adrenergic receptor blockers thiab lidocaine, nws yog qhov tsim nyog los txo qhov koob tshuaj ntawm tom kawg.
Acetazolamide, thiazide thiab lub voj diuretics - thaum ua ke nrog lidocaine los ntawm kev txhim kho ntawm hypokalemia, cov nyhuv ntawm tom kawg poob qis.
Anticoagulants (suav nrog ardeparin, dalteparin, danaparoid, enoxaparin, heparin, warfarin, thiab lwm yam) - thaum ua ke nrog lidocaine, qhov kev pheej hmoo ntawm los ntshav ntau dua.
Anticonvulsants, barbiturates (phenytoin) - thaum ua ke nrog lidocaine, kev ua kom sai ntawm cov metabolism ntawm lidocaine hauv daim siab, txo qis hauv cov ntshav siab, thiab kev nce siab ntawm cov txiaj ntsig txog lub plawv muaj peev xwm ua tau.
Cov tshuaj uas ua rau thaiv kev tiv thaiv neuromuscular kis - thaum ua ke nrog lidocaine, cov nyhuv ntawm cov tshuaj uas cuam tshuam ntawm cov neuromuscular kis tau zoo dua, txij li tom kawg txo txoj kev coj ua ntawm cov hlab ntsha impulses.
Incompatibility. Pyridoxine yog tsis sib xws nrog cov tshuaj uas muaj levodopa, txij li thaum siv tib lub sijhawm, peripheral decarboxylation ntawm tom kawg yog txhim kho thiab, yog li, qhov hnyav ntawm nws cov tshuaj tiv thaiv antiparkinsonian txo.
Thiamine yog tsis sib haum nrog oxidizing thiab txo cov tebchaw: mercury chloride, iodide, carbonate, acetate, tannic acid, ammonium hlau citrate, ntxiv rau sodium phenobarbital, riboflavin, benzylpenicillin, qabzib thiab metabisulfite, vim tias nws tsis ua haujlwm rau hauv lawv lub xub ntiag. Tooj liab nrawm qhov kev txiav tawm ntawm thiamine, ntxiv rau, thiamine poob nws cov dej num nrog nce pH> 3. Vitamin B12 yog tsis sib xws nrog cov ntsev ntawm cov hlau nyhav.
Yooj yim nrhiav tau hauv cov chaw muag tshuaj
Raws li 3 kev xyuas
Milgamma yog siv los kho cov mob ntawm cov leeg nqaij ntshiv, inhibit kev hloov pauv thiab txhim kho cov kev sib deev ntawm txoj hlab ntshav. Muaj ntau hom vitamin B. Nws feem ntau yog kho rau kev mob orthopedic thiab neurological. Cov. Milgamma cov vitamins pab txhim kho cov ntshav ncig, muaj kev cuam tshuam rau cov leeg ntshav ntawm lub hlwb, thiab muaj cov tshuaj loog.
Hais txog yeeb tshuaj
Raws li cov ntawv hais, Milgamma belongs rau cov pab pawg ntawm cov vitamins (thiab tsis tua tshuaj, raws li ib txhia hais). Cov khoom xyaw tseem ceeb yog thiamine (B1), pyridoxine (B6), cyanocobalamin ().
Tom qab qhia rau hauv cov leeg, thiamine sai sai thiab tsis ncaj muab faib thoob plaws lub cev. Nws tsis yog tsim los ntawm lub cev, yog li ntawd, yuav tsum tau muab cov khoom tso tawm sab nrauv txhua txhua hnub hauv qhov ntau txaus. Nrog nws cov tsis muaj peev xwm, hypovitaminosis tshwm. Nws yog tawm los ntawm lub raum. Cais tau los ntawm qhov tsis muaj teeb meem.
Nug koj tus kws kho mob hlwb lus nug dawb
Irina Martynova. Kawm tiav los ntawm Voronezh State Medical University. N.N. Burdenko. Cov chaw kuaj mob thiab neurologist BUZ VO "Moscow Polyclinic ".
Pyridoxine muaj cov khoom zoo sib xws rau thiamine, tab sis nws tau muab faib kom thoob hauv lub cev, tom qab qee lub sijhawm nws oxidized thiab tawm los ntawm lub raum hauv thaj tsam li 3 teev. Dhau los ntawm qhov tso cov nyom tso tawm, tawm hauv cov niam mis.
Cyanocobalamin nkag mus rau daim siab thiab mob pob txha, nce ntxiv. Yuav rov tso cov hnyuv los ntawm cov kua tsib.
Cov tshuaj muaj pes tsawg leeg
- lidocaine hydrochloride,
- cyanocobalamin,
- pyridoxine hydrochloride,
- thiamine hydrochloride,
- poov tshuaj hexacyanoferrate,
- sodium polyphosphate,
- benzyl haus cawv
- sodium hydroxide
- dej rau kev txhaj tshuaj.
Cov ntsiav tshuaj muaj:
- pyridoxine hydrochloride,
- benfotiamine,
- croscarmellose sodium,
- talcum hmoov
- ib nrab cov saw glycerides,
- silicon dioxide anhydrous colloidal,
- microcrystalline cellulose,
- povidone K30.
Kev ntsuas rau siv
Milgamma yog kws kho mob kom txo cov tsos mob thiab kho kab mob ntawm cov leeg hlwb thiab caj qaum, suav nrog:
- Cov leeg daj ntseg. Kev puas tsuaj rau ntawm cov ceg tawv, caj ncig, lossis lumbosacral ntawm cov hlab ntsha vim tias mob qog, kho hluav taws xob, zaws, lossis raug mob. Tus lwm lub npe yog plexitis.
- Retrobulbar neuritis. Kev mob ntsaws ntawm cov kab mob optic.
- Polyneuropathy. Ntau qhov txhab ntawm qhov txha caj qaum, feem ntau nrog los ntawm kev hnov mob tsis zoo thiab lub cev tuag tes tuag taw.
- Neuropathy. Cov mob tsis ua haujlwm ntawm txoj hlab ntshav lossis pawg ntawm cov leeg.
- Neuritis. Tus mob paj hlwb hnoos uas yog mob caj dab. Nws yog nrog los ntawm tuag tes tuag taw, paresis thiab poob qis rhiab.
- Pab pawg Ganglionites. Txawv cov qhov txhab ntawm cov hlab ntshav ntawm lub cev, muaj cov tsos mob sib txawv, nyob ntawm seb qhov twg ntawm cov hlab ntsha tau cuam tshuam.
- Neuralgia. Mob leeg ntshav hauv uas tsuas yog tsos mob yog mob.
- Hmo ntuj cov leeg ntswj. Plab ceg cramps, manifested feem ntau thaum tsaus ntuj. Los ntawm lawv tus kheej, lawv tsis txaus ntshai, tab sis lawv cuam tshuam nrog kev pw tsaug zog ib txwm thiab tuaj yeem ua lub cim qhia muaj kev mob hnyav dua.
- Paresis ntawm lub ntsej muag leeg. Xob laim ceev ceev ua rau lub ntsej muag cov kab mob ua rau lawv cov asymmetry.
- Lumbar ischialgia. Hnov mob hauv sab nraub qaum, txuas rau ib lossis ob ceg. Feem ntau, qhov ua rau mob yog mob tawm ntawm sciatic hlab ntsha.
- Radiculopathy (sciatica). Kev puas tsuaj rau tus txha caj qaum vim yog mob, mob lossis pawj.
- Cov leeg mob-tonic syndromes. Lub siab ntev thiab mob cov leeg nruj, uas feem ntau ua rau osteochondrosis.
Cov Yuav Tsum Tau Ua
Cov txheej txheem rau kev siv yog raws li nram no:
- Lub plawv tsis ua haujlwm, ntshav tsis txaus, ua haujlwm tsis zoo ntawm lub siab.
- Menyuam yaus thiab tub ntxhais hluas.
- Cev xeeb tub thiab lactation.
- Kev tsis haum xeeb rau cov vitamins B, ua kom tiav kev nkag tsis tau.
Tsuas tshuaj thiab cov ntawv thov
Qhov ntau npaum yuav tsum yog tus kws kho mob sau tseg. Cov ntaub ntawv hauv qab no tsuas yog rau kev siv xwb.
Cov lus qhia rau kev siv tshuaj Milgamma xav txog kev txhaj tshuaj, ntsiav tshuaj thiab ntsiav tshuaj.
Kev hno tshuaj: thaum kho nrog Milgamma, kev txhaj tshuaj raug sau nyob rau hauv tus nqi ntawm ampoule (2 mg) ib hnub ib zaug. Lub chav kawm ntawm kev kho mob yog los ntawm 5 mus rau 10 hnub. Rau kev saib xyuas kev kho mob, ib lub ampoule yuav tsum txhaj txhua ob hnub (txhua lwm hnub). Txhawm rau txo tus mob sai sai ntawm kev mob, Milgamma txhaj ib zaug. Cov koob yuav tsum tau muab tso rau hauv cov leeg nqaij, thiab tom qab ntawd maj mam nias ntawm lub plunger ntawm cov koob txhaj tshuaj.
Ntsiav tshuaj: ntsiav tshuaj yog siv rau kev kho mob kho thiab kho mob mob ceev. Nrog rau kev kho mob, thov siv 1 ntsiav tshuaj 1 zaug hauv ib hnub. Txo rau qhov mob - 1 ntsiav tshuaj 3 zaug ib hnub.
Zaj rubee: siv rau kev kho kho, muaj txog 3 ntsiav tshuaj hauv ib hnub.
Nrog rau ib hom kev kho, hom kev kho yuav tsum tsis pub ntau tshaj ib hlis.
Muaj kev zam tau tsuas yog ua tau raws li koj tus kws kho mob hais.
Phiv thiab haus tshaj
Cov kev mob tshwm sim suav nrog tachycardia, nce tawm hws, ua pob khaus, khaus, ua pob, muaj kev fab tshuaj tsis haum (anaphylactic shock, Quincke's edema).
Nyob rau hauv cov ntaub ntawv ntawm overdose Cov tsos mob los ntawm daim ntawv teev cov kev mob tshwm sim tau pom th.
Thaum cov tsos mob ntawm kev noj ntau dua tshwm sim, cov tshuaj raug muab tso tseg, kev kho mob cov tsos mob raug tso cai los ntawm kev saib xyuas ntawm kws kho mob.
Kev cuam tshuam nrog lwm yam tshuaj
Thiamine plam kev ua hauj lwm zoo los yog rhuav tshem los ntawm tooj liab, siab acidity (pH ntau tshaj 3), sulfites. Nws yog tsis sib xws nrog txhua qhov kev txo qis lossis oxidizing tebchaw: phenobarbital, dextrose, acetates, ammonium citrate, iodides, riboflavin, tannic acid, carbonates, disulfites, benzylpenicillin.
Cyanocobalamin Nws muaj kev sib raug zoo nrog nicotinamide, tab sis yog tsis sib xws nrog riboflavin, ntsev ntawm cov hlau hnyav thiab cov tshuaj tiv thaiv kab mob.
Pyridoxine cuam tshuam nrog penicillamine, isoniazid, cycloserine, ua kom lub zog levodopa tsis muaj zog.
Lidocaine muaj nyob hauv ampoules, nce qhov kev thauj mus rau lub plawv, yog tias siv ua ke nrog epinephrine thiab norepinephrine. Kev sib cuam tshuam nrog sulfonamides tau pom.
Txhawm rau txhim kho cov txiaj ntsig zoo, Midokalm, Movalis thiab Milgamma complex ntawm cov tshuaj feem ntau tau kho. Thaum noj cov tshuaj no yuav tsum tsis txhob muab sib xyaw nrog cov tshuaj qub, nws tseem pom zoo kom prick lawv nyob rau hauv pob tw sib txawv.
Milgamma tau tshaj nrog Alflutop - qhov kev nyuaj no feem ntau tau sau tseg los ntawm tus kws kho mob kom ua tiav cov txiaj ntsig siab tshaj plaws.
Milgamma thiab vitamin b3 (nicotinic acid) muaj qhov sib txuam tau zoo, txoj kev siv yuav tsum tau kuaj nrog koj tus kws kho mob.
Milgamma tau tshaj nrog Voltaren .
Milgamma yuav tsum tsis txhob siv nrog ib txhij Kompligamom , txij li thaum npaj muaj zoo sib xws.
Lawv cov kev siv ua ke tuaj yeem ua rau noj ntau dua.
Daim ntawv thov nta
Yog tias cov tshuaj tau tswj hwm tus mob ntawd lub cev ncaj qha, tus neeg mob yuav tsum tau xa mus rau tus kws kho mob lossis tsev kho mob sai, nyob ntawm seb qhov mob loj npaum li cas
Tshuaj tsis tuaj yeem muab rau menyuam yaus , cev xeeb tub thiab lactating poj niam. Tsis muaj kev qhia txog cov phom sij rau cov neeg laus dua.
Cov tshuaj tsis cuam tshuam rau kev mloog zoo thiab lub siab xav, nrog kev siv koj tuaj yeem tsav lub tsheb.
Qee zaus Milgamma raug siv txhawm rau txhawm rau tshem tawm cov tsos mob tshem tawm hauv kev kho kev quav cawv. Dua li ntawm qhov no, kev tswj hwm ib txhij ntawm cov tshuaj thiab cawv yog qhov tsis tsim nyog, txij li tom kawg tuaj yeem ua kom qhov zoo ntawm cov tshuaj.
Khaws Milgamma ntawm qhov kub ntawm 2-8 ° C, hauv qhov tsaus ntuj thiab qhov chaw ncav cuag ntawm cov menyuam yaus .
Txee lub neej yog 3 xyoos.
Hnub so los ntawm cov tsev muag tshuaj
Cov tshuaj no tau faib tawm los ntawm cov khw muag tshuaj los ntawm tshuaj .
Cov yeeb yaj kiab loj ntawm Milgamma yog thiab .
Cov lus sib xyaw ntawm Neuromultivitis hauv ampoules yog qhov zoo sib xws rau Milgamma, tab sis lidocaine tsis suav nrog nws. Kev txhaj tshuaj ntawm Neuromultivitis yog qhov mob, tab sis nws muaj kev nyab xeeb rau cov cores thiab menyuam yaus.
Kombilipen yog lwm qhov ua cov vitamins. Nws zoo sib xws nyob rau hauv muaj pes tsawg leeg rau Milgamma, tab sis yog tsim nyob rau hauv Russia. Nws yog qhov pheej yig dua, rau 5 ampoules ntawm Combilipen koj yuav tsum tau them 120-150 rubles, 10 ampoules yuav raug nqi txog 230 rubles. Yog hais tias qhov teeb meem nyiaj txiag tsis tso cai rau kev siv nyiaj los ntawm cov tshuaj yeeb yaj kiab, ces Combilipen yuav tsum yog qhov zoo dua, vim qhov no tsuas yog pheej yig Lavxias hloov chaw rau Milgamma.
Ivan Sergeevich, tus kws kho mob hlwb : “Kuv nquag siv Milgamma hauv kuv txoj kev kho mob. Nws qhia nws tus kheej zoo nyob rau hauv kev kho mob nyuaj ntawm pathologies ntawm lub paj hlwb, vim tias nws muab lub cev cov vitamins uas nws feem ntau tsis muaj. Yog lawm, cov tshuaj tsis zoo: kwv yees li ib ntawm nees nkaum tus neeg mob ua xua, thiab kev txhaj tshuaj tsis yog qhov mob tshaj plaws. Tab sis kev kho mob tiv thaiv thiab tiv thaiv cov txiaj ntsig muaj nqis. "
Anna Nikolaevna, kws rheumatologist : “Cov tshuaj zoo nyob rau hauv uas nws tuaj yeem siv ntau txoj hauv kev - los ntawm tshem tawm cov tsos mob mus rau cov kab mob hlwb. Kev noj tshuaj ntawm cov vitamins yog qhov hnyav heev, vim tias cov vitamins niaj zaus saib pib ua rau kev kho kom zoo. Nws muaj kev fab tshuaj tsis haum rau lidocaine, tab sis koj yuav tsum them rau qhov txhaj tshuaj yooj yim dua. ”
Sergey, 42 xyoo, tus neeg mob : “Kuv tau txais hemiparesis sab xis tom qab mob hlab ntsha tawg. Tau ntev heev lawv tau nrhiav tshuaj zoo, kom txog rau thaum nws tus poj niam tuaj hla Milgamma. Sab laj nrog kws kho mob, pib txhaj tshuaj. Tom qab ib lim piam, Kuv ntau dua los yog tsawg dua pib ua kom rov zoo dua. Qhov kev txhaj tshuaj yog qhov tsis zoo, qhov tshuaj nws tus kheej tsw tsis zoo. Tab sis nws tsim nyog. Ob peb hlis, peb yuav rov ua qhov tseeb dua. "
Alla, 31 xyoos : “Kuv niam raug tus mob polyneuropathy tawm tsam kuv. Tormented mob thoob plaws lub cev, tshwj xeeb hauv ob txhais ceg. Tus kws kho mob sau ib pawg tshuaj, nrog rau lawv yog Milgamma. Tom qab 4 hnub, qhov mob tsis ploj, tab sis subsided. Tag nrho tsev neeg nqus tau xyu ntawm kev nyem siab. Kuv tsis paub xyov Milgamma tau pab lossis qee yam tshuaj noj, tabsis nws tsis tuaj yeem tsis zoo dua rau kev noj nws. "
Lo lus nug - teb
Milgamma thiab cawv sib cuam tshuam li cas?
Cov lus qhia hauv nom tswv tsis hais txog kev haus cawv, tab sis lawv kev sib raug zoo yog tsis ntseeg heev, tshwj xeeb yog Milgamma raug muab los ua kev txhaj tshuaj. Cov vitamins nyob hauv qaug cawv yog cuam tshuam los yog nqus tau ntau dua, thiab lidocaine nrog rau cov cawv ua rau muaj lub siab thiab lub hauv hlab ntsha, uas ua rau muaj kev phom sij txaus ntshai.
Yuav ua li cas tau zoo yog Milgamma rau osteochondrosis, suav nrog rau ncauj tsev menyuam thiab lumbar?
Txoj kev tsis zoo tshaj plaws ntawm osteochondrosis yog qhov mob hnyav nyob rau hauv qee seem ntawm nqaj qaum. Txhawm rau kom tso tseg qhov kev mob tshwm sim no, tus kws kho mob tau sau ntawv siv tshuaj kho mob uas muaj zog los ntawm txhaj tshuaj, thiab Milgamma yog ib ntawm lawv.
Thaum twg yog cov tshuaj noj nrog?
Diclofenac yog qhov ua kom mob zoo sai sai. Ua ke nrog Milgamma lawv nres tawm tsam mob hnyav. Feem ntau Diclofenac thiab Milgamm yog siv ua ke nrog osteochondrosis.
Milgamma thiab Mexidol sib txawv li cas?
- antioxidant. Nws qhov kev txiav txim yog tsis tseem ceeb, nws yog tsom rau ib pab pawg ntau dua ntawm cov kab mob. Milgamma ua tshwj xeeb rau ntawm lub paj hlwb.
Yuav mob nws npaum li cas los mob?
Milgamma kev txhaj tshuaj yog rhiab, tab sis nws muaj lidocaine, uas txo qhov tsis xis nyob.
Ntev npaum li cas nws tuaj yeem tau tshaj?
Tshwj tsis yog muaj ntawv tso cai los ntawm kws kho mob, chav kawm ntawm Milgamma tuaj yeem raug nplua tsis pub tshaj 1 zaug hauv 3 hlis.
Lub tuam txhab twg thiab lub teb chaws twg tsim cov tshuaj no?
Chaw tsim tshuaj paus: Solufarm Farmatsoitshe Ertsoyagnisse GmbH. Lub teb chaws: Yelemees.
Qhov twg yog qhov zoo dua - Milgamma lossis Compligam?
Lawv zoo sib xws hauv kev muaj pes tsawg leeg, qhov sib txawv ntawm lawv rau qee tus neeg mob xav tau los ntawm tus kws kho mob uas koom nrog.
Yuav xaiv dab tsi - Neurobion lossis Milgammu?
Cov tshuaj no koom nrog tib pab pawg, tab sis tsis muaj tshuaj loog nyob hauv Neurobion. Yog tias koj tsis haum rau lidocaine, nws yog qhov zoo dua los muab kev xaiv rau Milgamma.
Cov tshuaj cuam tshuam li cas rau cov pob txha caj qaum?
Nws daws cov tsos mob mob thiab txhawb nqa kev tsim dua tshiab ntawm cov hlab ntaws. Nws yuav luag tsis tuaj yeem kho tus mob hernia, tab sis Milgamma yuav pab muffle cov tsos mob thiab ua kom nrawm rau qhov pib ntawm kev them nyiaj.
Cov vitamins twg hauv Milgamma?
B1 (thiamine), B6 (pyridoxine), B12 (cyanocobalamin).
Yuav kho pob txuv tom qab siv cov tshuaj?
Pob txuv, zoo li khaus, yog cov kev mob tshwm sim uas yuav ploj mus tom qab qhov kev kawm dhau los lossis cov tshuaj tau txiav.
Cov koob txhaj tshuaj twg zoo dua rau kev txhaj tshuaj?
Rau kev tswj hwm yooj yim ntawm cov tshuaj, nws yog qhov zoo dua los siv cov koob txhaj nrog nrog lub ntim ntawm 2-10 ml.
Thaum twg yog qhov zoo dua rau nkaug - sawv ntxov lossis yav tsaus ntuj?
Txij li cov tshuaj no yog cov vitamin ua kom zoo, nws yog qhov zoo dua rau prick nws thaum sawv ntxov, thaum cov metabolism ua haujlwm ntau dua. Thaum sawv ntxov txhaj vitamins yuav tuaj yeem txhawb siab rau tus neeg mob.
Saib cov vis dis aus txog cov tshuaj
Milgamma yog cov txheej txheem nyuaj ntawm cov vitamins tsom rau kev tiv thaiv thiab kev kho mob ntawm cov kab mob cuam tshuam nrog cov leeg hlwb thiab cov leeg hlwb. Nws tuaj yeem siv los daws qhov mob.Muaj nyob rau hauv daim ntawv ntawm kev txhaj tshuaj, ntsiav tshuaj thiab dragees.
Cov kws kho mob feem ntau hais txog Milgamma nrog rau lwm cov tshuaj rau txoj kev kho mob ntawm cov kab mob, vim lawv ntseeg siab txog nws cov hauj lwm zoo.
0"> Kev txiav txim los ntawm: Cov npe tau Tsis ntev los no Ntau qhov tau txais txiaj ntsig Qhov phem tshaj plaws
Yooj yim nrhiav tau hauv cov chaw muag tshuaj
Yooj yim nrhiav tau hauv cov chaw muag tshuaj
Cerinat
Lub npe Latin: Cerinat
Pharmacological pawg:
Muaj pes tsawg leeg thiab daim ntawv tso tawm: 1 ntsiav tshuaj muaj tus brewer poov xab autolysate 390 mg, hauv lam fwj ntawm 60 lossis 120 pcs. Brewer cov poov xab autolysate muaj: vitamin B1 (thiamine), B5 (pantothenic acid), B6 (pangamic acid), PP (nicotinic acid), H (biotin), D (calciferol), A (nyob rau hauv daim ntawv ntawm beta-carotene), C ( ascorbic acid), E (alpha-tocopherol), cov ntsiab lus, cov protein yooj yim zom, cov amino acids tseem ceeb.
Muab thiab kev coj: Sab hauv, tsis tas yuav zom, ntxau tshuaj kom tsis muaj kua txaus, 1 ntsiav tshuaj. 2 zaug hauv ib hnub nrog kev sib nrug ntawm 12 teev, kom ua tiav cov nyhuv siab tshaj plaws - 3 ntsiav tshuaj.
Milgamma
Lub npe Latin: Milgamma
Pharmacological pawg: Cov vitamins thiab zoo li txhais tau tias
B02 Tinea versicolor. G50.0 Neuralgia ntawm trigeminal hlab ntsha. G51 Txhab ntawm lub ntsej muag leeg. G54.9 Cov lus tsis pom tseeb rau cov qhov txhab ntawm cov hlab ntsha thiab plexuses G58 Lwm cov nyiaj txiag mononeuropathies. G62 Lwm cov polyneuropathies. G62.1 Cawv polyneuropathy muaj cawv. G63.2 Cov kab mob ntshav qab zib mob siab H46 Optic neuritis. M79.1 myalgia M79.2 Neuralgia thiab neuritis, tsis pom tseeb R52 Qhov Mob, tsis yog lwm qhov kev cais
Muaj pes tsawg leeg thiab daim ntawv tso tawm:
hauv qhov ncauj tawm 15 pcs., nyob rau hauv ib lub thawv 2 lossis 4 lub hlwv.
nyob rau hauv ib lub thawv ntawm 5 ampoules ntawm 2 ml.
Pharmacological kev txiav txim:Mob taub hau, txhim kho cov ntshav ncig, txhawb kev tsim dua tshiab ntawm cov hlab ntaws Cov. Neurotropic cov vitamins ntawm pab pawg B muaj cov txiaj ntsig zoo hauv kev kho mob thiab cov kab mob tsis zoo ntawm cov hlab ntsha thiab lub cev muaj zog, nyob rau hauv cov koob tshuaj siab lawv muaj cov nyhuv ua kom loog, pab txhawb kev ntshav nce ntxiv thiab ua kom cov haujlwm ntawm cov hlab ntsha thiab cov txheej txheem ntshav tsim.
Kev Taw Qhia: Kab mob ntawm cov hlab ntsha ntawm ntau yam keeb kwm: mob neuropathy (mob ntshav qab zib, haus dej cawv, thiab lwm yam), mob neuritis thiab polyneuritis, suav nrog retrobulbar neuritis, peripheral paresis, suav nrog cov leeg ntawm lub ntsej muag, neuralgia, suav nrog trigeminal hlab ntsha thiab intercostal qab haus huv, mob (radicular, myalgia, herpes zoster).
Cov Tshuaj Tiv Thaiv: Hypersensitivity (suav nrog rau ib qho ntawm ib leeg), cov qauv mob hnyav thiab mob tsis ua haujlwm ntawm lub plawv tsis ua haujlwm, lub sijhawm tsis ua haujlwm (tshwj xeeb tshaj yog cov menyuam tsis tau yug) (daws d / hauv).
Nrog rau qhov koob tshuaj niaj hnub ntawm cov vitamins B6 txog 25 mg, tsis muaj cov tshuaj contraindications rau siv thaum cev xeeb tub thiab lactation. Dragees thiab kev daws teeb meem muaj 100 mg ntawm cov tshuaj, thiab yog li ntawd hauv cov rooj plaub no lawv tsis pom zoo.
Phiv los sis: Kev tawm hws, mob tachycardia, mob ntxau, lwm yam kev tsis muaj zog (rd d / hauv. Nrog kev qhia sai heev), kev tawm tsam: tawv nqaij ua pob, urticaria, khaus, bronchospasm, Quincke's edema, anaphylactic shock.
Kev sib cuam tshuam: Thiamine ua txhua yam nyob rau hauv kev daws teeb meem muaj sulfites. Dr. cov vitamins yog inactivated nyob rau hauv muaj cov khoom lag luam vitamin B1 tawg. Levodopa tshem tawm cov txiaj ntsig ntawm kev kho tshuaj ntawm cov vitamin B6.
Muaj peev xwm sib cuam tshuam nrog cycloserine, D-penicillamine, adrenaline, norepinephrine, sulfonamides.
Tsis sib haum nrog cov tshuaj redox, ntxiv rau phenobarbital, riboflavin, benzylpenicillin, qabzib, metabisulfite, ntsev ntawm cov hlau hnyav. Tooj liab ua rau nrawm tawg ntawm thiamine, ntxiv rau, thiamine poob nws cov nyhuv ntawm pH ntawm ntau dua 3.
Muab thiab kev coj: Sab hauv. Rau 1 ntsiav tshuaj txog 3 zaug hauv ib hnub nrog tus nqi txaus kua, rau ib hlis twg.
Thaum muaj mob hnyav thiab mob hnyav, ib qho kev txhaj tshuaj (2 ml) roj tob tob yog qhov xav tau txhawm rau txhawm rau nce qib tshuaj nyob hauv ntshav. Tom qab exacerbation tau dhau los thiab hauv cov ntawv mob sib khuav xwb, 1 txhaj 2-3 zaug hauv ib lub lim tiam yog xav tau.Yav tom ntej, txuas ntxiv kev kho mob, noj 1 lub tshuaj txhua hnub.
Phauj +
Lub npe Latin: Corrida +
Pharmacological pawg: Kev Noj Qab Haus Huv
Nosological kev faib tawm (ICD-10): F17.2 kev quav yeeb quav cawv
Muaj pes tsawg leeg thiab daim ntawv tso tawm: 1 ntsiav tshuaj hnyav 0.5 g muaj hmoov ntawm rhizomes ntawm calamus hav iav, mint nplooj hmoov thiab kev noj haus fiber ntau raws li tau ua kom huv MCC, hauv hwj ntawm 150 pcs. los yog hauv contour bezjacheykovy ntim ntawm 10 pcs.
Nta: Kev noj zaub mov ntxiv nrog lub calamus tseem ceeb roj cov ntsiab lus ntawm tsawg kawg 1.5 mg rau ib ntsiav tshuaj.
Pharmacological kev txiav txim:Kev ua rau lub cev zom zaub mov zoo, tonic dav dav, tiv thaiv kev ntxhov siab, tiv thaiv tawm tsam .
Kws tshuaj: Cov roj tseem ceeb, hloov pauv, alkaloids, glycosides, tannins tshem tawm txoj kev xav haus luam yeeb, ua rau muaj kev haus luam yeeb rau cov pa luam yeeb, vitamins, organic acids, macro- thiab microelements pab rov qab cov metabolism hauv ib txwm, insoluble kev noj haus fiber ntau (MCC), kis los ntawm kev zom zaub mov, khi co toxins thiab co toxins ua rau lawv cov kev tshem tawm sai ntawm lub cev ntawm cov haus luam yeeb.
Kev Taw Qhia: Kev quav yeeb yaj kiab Nicotine (los txo qis kev haus luam yeeb thiab txiav tawm ntawm nws), tiv thaiv SARS.
Muab thiab kev coj: Sab hauv kev quav tshuaj muaj yees: yog tias koj xav haus luam yeeb - 1 tab. (khaws hauv qhov ncauj kom txog thaum resorbed kiag li). Nyob ntawm seb nws nyiam haus luam yeeb npaum li cas, noj li 5 ntsiav tshuaj ib hnub. thiab ntau dua. Qhov siab tshaj plaws niaj hnub noj tshuaj yog txog li 30 ntsiav tshuaj. Lub sijhawm ntawm kev nkag yog 5 lub lis piam. Nrog rau qhov kev xav txo qis rau kev haus luam yeeb, cov naj npawb ntawm cov ntsiav tshuaj noj tau txo kom tsawg. Yog tias muaj teeb meem me me, 10 ntsiav tshuaj muaj txaus. ib hnub (rau 7 lub lis piam). Nws raug nquahu kom koj ib txwm muaj ntsiav tshuaj nrog koj rau 7 lub limtiam kom ncav sijhawm kom lub siab xav haus luam yeeb, kom txog thaum lub cev tsis muaj kev quav yeeb dawb huv.
Raws li prophylactic, tus neeg sawv cev kho neeg mob: cov tsis haus luam yeeb - 1-2 rooj. 3-4 zaug hauv ib hnub rau kev tiv thaiv khaub thuas (nyob rau lub caij nplooj ntoo hlav thiab lub caij nplooj zeeg los yog thaum lub sijhawm ua rau lub cev tsis zoo).
Ceev faj: Nws yuav tsum tau yug los rau hauv lub siab tias thaum koj sim haus luam yeeb thaum noj tshuaj, koj yuav ntsib kev tsis xis nyob (tawm hws txias, kiv taub hau, mob taub hau, thiab lwm yam), qhov hloov pauv ntawm saj, thiab xeev siab. Hauv qhov no, koj yuav tsum tso tseg kev haus luam yeeb tam sim ntawd, siv ob peb tus pa thiab tso pa tawm, thiab haus ib qho ntxiv 1 lub tshuaj.
Mebicar
Lub npe Latin: Mebicarum
Pharmacological pawg: Kev Mob Nkeeg
Nosological kev faib tawm (ICD-10):
Pharmacological kev txiav txim
Siv thaum cev xeeb tub thiab lactation:
Muab thiab kev coj:
Mebix
Lub npe Latin: Mebix
Pharmacological pawg: Kev Mob Nkeeg
Nosological kev faib tawm (ICD-10): F10.2 Cawv Cawv Cawv F17.2 kev quav yeeb quav cawv F28 Lwm yam kev mob puas siab ntsws F40 Phobic ntxhov siab vim tsis meej. F41 Lwm cov kev ntxhov siab F43 Teb rau qhov kev nyuaj siab loj thiab qhov tsis haum. F48 Lwm cov teeb meem neurotic. F48.0 Neurasthenia. R07.2 Mob hauv cheeb tsam hauv plawv. R45.0 Kev Puas Siab Ntsws. R45.4 Txhaum tsis yooj yim thiab ntsim siab
Pharmacological kev txiav txim
Cov khoom xyaw nquag (INN) Mebicar (Mebicar)
Thov: Neurosis thiab neurosis-zoo li tej yam kev mob uas ua rau muaj kev npau taws, ua lub siab xav, ntxhov siab, ntshai (suav nrog rau cov neeg mob quav dej cawv thaum muaj kev zam txim), kev mob siab tsis nco qab thiab kev ntxhov siab tsis muaj qhov txhaum tag nrho ntawm kev coj cwj pwm thiab kev ntxhov siab psychomotor (suav nrog kev ntxhov siab paranoid syndrome nyob rau hauv schizophrenia, nrog kev tsis txaus siab thiab leeg ntshav hlwb), cov kab mob tom qab mob hlwb nrog rau cov tsos mob ntawm kev nyob tsis tus thiab muaj cov tsos mob muaj txiaj ntsig, cov lus ua rau lub cev ntev. h cov keeb kwm organic, kev tshem tawm cov nicotine (ua ib feem ntawm txoj kev kho hnyav).
Cov Tshuaj Tiv Thaiv: Kev tsis haum lub cev, kev xeeb tub (kuv xeeb menyuam).
Siv thaum cev xeeb tub thiab lactation: Contraindicated nyob rau hauv cev xeeb tub (Kuv plaub hlis).
Phiv los sis: Cov mob ntshav siab, tsis muaj zog, kiv taub hau, mob hypothermia (ntawm 1-1.5 ° C), cov tsos mob dyspeptic, kev fab tshuaj (pruritus).
Kev sib cuam tshuam: Txhim kho cov nyhuv ntawm tshuaj tsaug zog.
Muab thiab kev coj: Sab hauv, tsis hais txog kev noj zaub mov, 0.3-0.6-0.9 g 2-3 zaug ib hnub. Qhov siab tshaj plaws ntau npaum li cas yog 3 g, txhua hnub - 10 g. Chav kawm ntawm kev kho mob yog los ntawm ob peb hnub rau 2-3 lub hlis, rau kev puas siab ntsws - txog 6 lub hlis, rau kev tshem tawm nicotine - 5-6 lub lis piam.
Ceev faj: Nws yuav tsum tsis txhob siv thaum cov tsav tsheb thiab cov neeg uas muaj kev cuam tshuam los ntawm kev saib xyuas ntau ntxiv.
Nicotinic Acid
Lub npe Latin: Nicotinic acid
Pharmacological pawg:
Nosological kev faib tawm (ICD-10):
Pharmacological kev txiav txim
kua qaub (Nicotinic acid)
Thov:
Txwv tsis pub siv:
Siv thaum cev xeeb tub thiab lactation:
Muab thiab kev coj:Txog kev tiv thaiv:
Nrog pellagra:
Nrog ischemic mob stroke: w / w, 0.01–0.05 g.
Nrog atherosclerosis:
Rau lwm yam kab mob:
- Nicotinic acid
Niacin MS
Lub npe Latin: Acidum nicotinicum MC
Pharmacological pawg: Angioprotectors thiab microcirculation correctors. Cov vitamins thiab cov khoom lag luam zoo li vitamin. Nicotinates
Nosological kev faib tawm (ICD-10): E52 Nicotinic acid tsis muaj pellagra. E78.5 Hyperlipidemia, tsis paub meej G46 Lub cev tsis muaj ntshav txha caj qaum nyob rau hauv cov kab mob cerebrovascular. G93.4 Encephalopathy, tsis pom tseeb I20 Angina pectoris angina pectoris. I25 Mob ischemic mob plawv mus ntev. I25.2 Yav dhau los myocardial infarction I69 Qhov yuav tshwm ntawm kab mob cerebrovascular. I70 Atherosclerosis. I70.2 Atherosclerosis ntawm nqua leeg. I73 Lwm yam kab mob vascular. I73.0 Raynaud's syndrome. I73.1 Thromboangiitis obliterans Buerger's kab mob. I77.1 Nquag ntawm cov hlab ntsha. I99 Lwm yam thiab tsis hais txog ntawm cov kev mob lub cev. K29 Kev mob caj dab thiab mob duodenitis. K52 Lwm yam uas tsis kis ua mob rau hauv plab thiab kem plab. R07.2 Mob hauv cheeb tsam hauv plawv. T14.1 Qhib lub qhov txhab ntawm qhov tsis pom tseeb ntawm thaj chaw ntawm lub cev
Pharmacological kev txiav txim
Cov khoom xyaw ua si nquag (INN) Nicotinic acid (Nicotinic acid)
Thov: Kev tiv thaiv thiab kev kho mob ntawm pellagra (vitamin deficiency PP), atherosclerosis, hyperlipidemia (suav nrog hypercholesterolemia, hypertriglyceridemia), peripheral vascular spasm, suav nrog obliterating endarteritis, Raynaud tus kab mob, mob taub hau, cerebrovascular kev sib tsoo, suav nrog ischemic stroke (txoj kev kho mob), mob angina pectoris, mob Hartnup, hypercoagulation, ntsej muag neuritis, intoxication, ntev kho qhov txhab, kiav txhab, kab mob sib kis, mob plab hnyuv.
Cov Tshuaj Tiv Thaiv: Kev kub siab lub cev tsis zoo, mob rwj ntawm lub plab thiab duodenum (hauv qib mob hnyav), muaj cov kab mob siab rau lub siab, gout, hyperuricemia, mob hnyav ntawm kev mob ntshav siab thiab atherosclerosis (iv).
Txwv tsis pub siv: Cev xeeb tub, pub niam mis.
Siv thaum cev xeeb tub thiab lactation: Nrog ceev faj thaum cev xeeb tub thiab lactation (koob tshuaj siab yog contraindicated).
Phiv los sis: Vim tias raug tso tawm ntawm histamine: liab ntawm daim tawv nqaij, incl. lub ntsej muag thiab sab saud ib nrab ntawm lub cev nrog kev hnov mob tingling thiab hlawv lub siab, maj tawm ntawm cov ntshav mus rau lub taub hau, kiv taub hau, mob ntshav qab zib, mob ntshav txha caj qaum (nrog rau kev tswj hwm ceev ceev), muaj kev zais zais ntawm lub plab ua kua, khaus, dyspepsia, urticaria.
Nrog kev siv ntev ntawm kev noj tshuaj ntau: kev mob plab zom mov, tsis nco qab, ntuav, ua haujlwm tsis txaus siab hauv lub siab, ua kom lub siab rog, ua rau lub plab zom mov, mob plab, mob plab, mob ntshav qab zib, txo cov ntshav qabzib, hyperglycemia, hloov zuj zus hauv AST, LDH, alkaline phosphatase, mucosal irritation. hnyuv daim nyias nyias.
Kev sib cuam tshuam: Potentiates qhov kev txiav txim ntawm cov kab mob fibrinolytic, tshuaj antispasmodics thiab mob glycosides, ua rau cov dej cawv lom ua rau lub siab. Txo kev nqus ntawm cov kua tsib acid sequestrants (qhov luv ntawm 1.5-2 teev ntawm koob tshuaj yog qhov tsim nyog) thiab cov nyhuv hypoglycemic ntawm cov tshuaj tiv thaiv kab mob.Muaj peev xwm sib cuam tshuam nrog kev siv tshuaj tiv thaiv kab mob siab, acetylsalicylic acid, anticoagulants.
Muab thiab kev coj: Sab hauv (tom qab noj mov), hauv / hauv qeeb, hauv / m, s / c. Txog kev tiv thaiv: los ntawm qhov ncauj, rau cov neeg laus - 0.0125-0.025 g / hnub, rau cov menyuam yaus - 0.005-0.025 g / hnub.
Nrog pellagra: cov laus - los ntawm qhov ncauj, 0.1 g 2–4 zaug ib hnub rau 15-20 hnub lossis iv 0.05 g lossis i / m 0.1 g, 1-2 zaug hauv ib hnub rau 10– 15 hnub, rau cov menyuam yaus sab hauv, 0.0125-0.05 g 2-3 zaug ib hnub.
Nrog ischemic mob stroke: w / w, 0.01–0.05 g.
Nrog atherosclerosis: sab hauv, 2-3 g / hnub hauv 2-4 koob.
Thaum lipid metabolism tsis txaus siab: sab hauv, qhov koob tshuaj yog maj mam nce ntxiv (thaum tsis muaj kev mob tshwm sim) los ntawm 0.05 g ib hnub ib zaug rau 2-3 g / hnub hauv ob peb koob tshuaj, chav kawm ntawm kev kho mob yog 1 hlis lossis ntau dua, kev so yuav tsum nyob ntawm cov kev kawm tas mus.
Rau lwm yam kab mob: los ntawm qhov ncauj, rau cov laus - 0.02-0.05 g (txog 0.1 g) 2-3 zaug ib hnub, rau cov menyuam yaus - 0.0125-0.025 g 2-3 zaug hauv ib hnub.
Ceev faj: Thaum kho, lub siab ua haujlwm yuav tsum raug saib xyuas tsis tu ncua (tshwj xeeb yog thaum noj ntau dua). Txhawm rau tiv thaiv kab mob siab hepatotoxicity, nws yog ib qho tsim nyog yuav tsum muaj cov khoom noj uas muaj methionine (tsev cheese) hauv zaub mov, lossis methionine lossis lwm yam tshuaj lipotropic.
Siv nrog ceev faj nyob rau hauv cov ntaub ntawv ntawm hyperacid gastritis, peptic rwj ntawm lub plab thiab duodenum (nyob rau hauv kev zam txim) vim cov nyhuv tsis haum ntawm cov qog ua kua (noj loj yog contraindicated nyob rau hauv cov ntaub ntawv no). Kev noj tshuaj loj yog tseem cuam tshuam hauv cov kab mob siab, suav nrog kab mob siab, mob ntshav siab (muaj peev xwm ua rau hepatotoxicity), mob ntshav qab zib mellitus.
Nws yog qhov tsis tsim nyog siv los kho ntawm dyslipidemia hauv cov neeg mob ntshav qab zib mellitus.
Nws yuav tsum tau yug los hauv lub siab tias s / c thiab / m hno mob mob.
- Niacin MS (Acidum nicotinicum MC)
Nicotinic acid - Darnitsa
Lub npe Latin: Nicotinic acid
Pharmacological pawg: Angioprotectors thiab microcirculation correctors. Cov vitamins thiab cov khoom lag luam zoo li vitamin. Nicotinates
Nosological kev faib tawm (ICD-10): E52 Nicotinic acid tsis muaj pellagra. E78.5 Hyperlipidemia, tsis paub meej G46 Lub cev tsis muaj ntshav txha caj qaum nyob rau hauv cov kab mob cerebrovascular. G93.4 Encephalopathy, tsis pom tseeb I20 Angina pectoris angina pectoris. I25 Mob ischemic mob plawv mus ntev. I25.2 Yav dhau los myocardial infarction I69 Qhov yuav tshwm ntawm kab mob cerebrovascular. I70 Atherosclerosis. I70.2 Atherosclerosis ntawm nqua leeg. I73 Lwm yam kab mob vascular. I73.0 Raynaud's syndrome. I73.1 Thromboangiitis obliterans Buerger's kab mob. I77.1 Nquag ntawm cov hlab ntsha. I99 Lwm yam thiab tsis hais txog ntawm cov kev mob lub cev. K29 Kev mob caj dab thiab mob duodenitis. K52 Lwm yam uas tsis kis ua mob rau hauv plab thiab kem plab. R07.2 Mob hauv cheeb tsam hauv plawv. T14.1 Qhib lub qhov txhab ntawm qhov tsis pom tseeb ntawm thaj chaw ntawm lub cev
Pharmacological kev txiav txim
Cov khoom xyaw ua si nquag (INN) Nicotinic acid (Nicotinic acid)
Thov: Kev tiv thaiv thiab kev kho mob ntawm pellagra (vitamin deficiency PP), atherosclerosis, hyperlipidemia (suav nrog hypercholesterolemia, hypertriglyceridemia), peripheral vascular spasm, suav nrog obliterating endarteritis, Raynaud tus kab mob, mob taub hau, cerebrovascular kev sib tsoo, suav nrog ischemic stroke (txoj kev kho mob), mob angina pectoris, mob Hartnup, hypercoagulation, ntsej muag neuritis, intoxication, ntev kho qhov txhab, kiav txhab, kab mob sib kis, mob plab hnyuv.
Cov Tshuaj Tiv Thaiv: Kev kub siab lub cev tsis zoo, mob rwj ntawm lub plab thiab duodenum (hauv qib mob hnyav), muaj cov kab mob siab rau lub siab, gout, hyperuricemia, mob hnyav ntawm kev mob ntshav siab thiab atherosclerosis (iv).
Txwv tsis pub siv: Cev xeeb tub, pub niam mis.
Siv thaum cev xeeb tub thiab lactation: Nrog ceev faj thaum cev xeeb tub thiab lactation (koob tshuaj siab yog contraindicated).
Phiv los sis: Vim tias raug tso tawm ntawm histamine: liab ntawm daim tawv nqaij, incl.lub ntsej muag thiab sab saud ib nrab ntawm lub cev nrog kev hnov mob tingling thiab hlawv lub siab, maj tawm ntawm cov ntshav mus rau lub taub hau, kiv taub hau, mob ntshav qab zib, mob ntshav txha caj qaum (nrog rau kev tswj hwm ceev ceev), muaj kev zais zais ntawm lub plab ua kua, khaus, dyspepsia, urticaria.
Nrog kev siv ntev ntawm kev noj tshuaj ntau: kev mob plab zom mov, tsis nco qab, ntuav, ua haujlwm tsis txaus siab hauv lub siab, ua kom lub siab rog, ua rau lub plab zom mov, mob plab, mob plab, mob ntshav qab zib, txo cov ntshav qabzib, hyperglycemia, hloov zuj zus hauv AST, LDH, alkaline phosphatase, mucosal irritation. hnyuv daim nyias nyias.
Kev sib cuam tshuam: Potentiates qhov kev txiav txim ntawm cov kab mob fibrinolytic, tshuaj antispasmodics thiab mob glycosides, ua rau cov dej cawv lom ua rau lub siab. Txo kev nqus ntawm cov kua tsib acid sequestrants (qhov luv ntawm 1.5-2 teev ntawm koob tshuaj yog qhov tsim nyog) thiab cov nyhuv hypoglycemic ntawm cov tshuaj tiv thaiv kab mob. Muaj peev xwm sib cuam tshuam nrog kev siv tshuaj tiv thaiv kab mob siab, acetylsalicylic acid, anticoagulants.
Muab thiab kev coj: Sab hauv (tom qab noj mov), hauv / hauv qeeb, hauv / m, s / c. Txog kev tiv thaiv: los ntawm qhov ncauj, rau cov neeg laus - 0.0125-0.025 g / hnub, rau cov menyuam yaus - 0.005-0.025 g / hnub.
Nrog pellagra: cov laus - los ntawm qhov ncauj, 0.1 g 2–4 zaug ib hnub rau 15-20 hnub lossis iv 0.05 g lossis i / m 0.1 g, 1-2 zaug hauv ib hnub rau 10– 15 hnub, rau cov menyuam yaus sab hauv, 0.0125-0.05 g 2-3 zaug ib hnub.
Nrog ischemic mob stroke: w / w, 0.01–0.05 g.
Nrog atherosclerosis: sab hauv, 2-3 g / hnub hauv 2-4 koob.
Thaum lipid metabolism tsis txaus siab: sab hauv, qhov koob tshuaj yog maj mam nce ntxiv (thaum tsis muaj kev mob tshwm sim) los ntawm 0.05 g ib hnub ib zaug rau 2-3 g / hnub hauv ob peb koob tshuaj, chav kawm ntawm kev kho mob yog 1 hlis lossis ntau dua, kev so yuav tsum nyob ntawm cov kev kawm tas mus.
Rau lwm yam kab mob: los ntawm qhov ncauj, rau cov laus - 0.02-0.05 g (txog 0.1 g) 2-3 zaug ib hnub, rau cov menyuam yaus - 0.0125-0.025 g 2-3 zaug hauv ib hnub.
Ceev faj: Thaum kho, lub siab ua haujlwm yuav tsum raug saib xyuas tsis tu ncua (tshwj xeeb yog thaum noj ntau dua). Txhawm rau tiv thaiv kab mob siab hepatotoxicity, nws yog ib qho tsim nyog yuav tsum muaj cov khoom noj uas muaj methionine (tsev cheese) hauv zaub mov, lossis methionine lossis lwm yam tshuaj lipotropic.
Siv nrog ceev faj nyob rau hauv cov ntaub ntawv ntawm hyperacid gastritis, peptic rwj ntawm lub plab thiab duodenum (nyob rau hauv kev zam txim) vim cov nyhuv tsis haum ntawm cov qog ua kua (noj loj yog contraindicated nyob rau hauv cov ntaub ntawv no). Kev noj tshuaj loj yog tseem cuam tshuam hauv cov kab mob siab, suav nrog kab mob siab, mob ntshav siab (muaj peev xwm ua rau hepatotoxicity), mob ntshav qab zib mellitus.
Nws yog qhov tsis tsim nyog siv los kho ntawm dyslipidemia hauv cov neeg mob ntshav qab zib mellitus.
Nws yuav tsum tau yug los hauv lub siab tias s / c thiab / m hno mob mob.
- Nicotinic Acid-Darnitsa Acid (Nicotinic ac>)Nicotinic acid
Lub npe Latin: Acidum nicotinicum
Pharmacological pawg: Angioprotectors thiab microcirculation correctors. Cov vitamins thiab cov khoom lag luam zoo li vitamin. Nicotinates
Nosological kev faib tawm (ICD-10): E52 Nicotinic acid tsis muaj pellagra. E78.5 Hyperlipidemia, tsis paub meej G46 Lub cev tsis muaj ntshav txha caj qaum nyob rau hauv cov kab mob cerebrovascular. G93.4 Encephalopathy, tsis pom tseeb I20 Angina pectoris angina pectoris. I25 Mob ischemic mob plawv mus ntev. I25.2 Yav dhau los myocardial infarction I69 Qhov yuav tshwm ntawm kab mob cerebrovascular. I70 Atherosclerosis. I70.2 Atherosclerosis ntawm nqua leeg. I73 Lwm yam kab mob vascular. I73.0 Raynaud's syndrome. I73.1 Thromboangiitis obliterans Buerger's kab mob. I77.1 Nquag ntawm cov hlab ntsha. I99 Lwm yam thiab tsis hais txog ntawm cov kev mob lub cev. K29 Kev mob caj dab thiab mob duodenitis. K52 Lwm yam uas tsis kis ua mob rau hauv plab thiab kem plab. R07.2 Mob hauv cheeb tsam hauv plawv. T14.1 Qhib lub qhov txhab ntawm qhov tsis pom tseeb ntawm thaj chaw ntawm lub cev
Pharmacological kev txiav txim
Cov khoom xyaw ua si nquag (INN) Nicotinic acid (Nicotinic acid)
Thov: Kev tiv thaiv thiab kho cov mob pellagra (vitamin deficiency PP), atherosclerosis, hyperlipidemia (suav nroghypercholesterolemia, hypertriglyceridemia), peripheral vascular spasm, suav nrog obliterating endarteritis, Raynaud tus kab mob, mob taub hau, cerebrovascular kev sib tsoo, suav nrog ischemic stroke (txoj kev kho mob), mob angina pectoris, mob Hartnup, hypercoagulation, ntsej muag neuritis, intoxication, ntev kho qhov txhab, kiav txhab, kab mob sib kis, mob plab hnyuv.
Cov Tshuaj Tiv Thaiv: Kev kub siab lub cev tsis zoo, mob rwj ntawm lub plab thiab duodenum (hauv qib mob hnyav), muaj cov kab mob siab rau lub siab, gout, hyperuricemia, mob hnyav ntawm kev mob ntshav siab thiab atherosclerosis (iv).
Txwv tsis pub siv: Cev xeeb tub, pub niam mis.
Siv thaum cev xeeb tub thiab lactation: Nrog ceev faj thaum cev xeeb tub thiab lactation (koob tshuaj siab yog contraindicated).
Phiv los sis: Vim tias raug tso tawm ntawm histamine: liab ntawm daim tawv nqaij, incl. lub ntsej muag thiab sab saud ib nrab ntawm lub cev nrog kev hnov mob tingling thiab hlawv lub siab, maj tawm ntawm cov ntshav mus rau lub taub hau, kiv taub hau, mob ntshav qab zib, mob ntshav txha caj qaum (nrog rau kev tswj hwm ceev ceev), muaj kev zais zais ntawm lub plab ua kua, khaus, dyspepsia, urticaria.
Nrog kev siv ntev ntawm kev noj tshuaj ntau: kev mob plab zom mov, tsis nco qab, ntuav, ua haujlwm tsis txaus siab hauv lub siab, ua kom lub siab rog, ua rau lub plab zom mov, mob plab, mob plab, mob ntshav qab zib, txo cov ntshav qabzib, hyperglycemia, hloov zuj zus hauv AST, LDH, alkaline phosphatase, mucosal irritation. hnyuv daim nyias nyias.
Kev sib cuam tshuam: Potentiates qhov kev txiav txim ntawm cov kab mob fibrinolytic, tshuaj antispasmodics thiab mob glycosides, ua rau cov dej cawv lom ua rau lub siab. Txo kev nqus ntawm cov kua tsib acid sequestrants (qhov luv ntawm 1.5-2 teev ntawm koob tshuaj yog qhov tsim nyog) thiab cov nyhuv hypoglycemic ntawm cov tshuaj tiv thaiv kab mob. Muaj peev xwm sib cuam tshuam nrog kev siv tshuaj tiv thaiv kab mob siab, acetylsalicylic acid, anticoagulants.
Muab thiab kev coj: Sab hauv (tom qab noj mov), hauv / hauv qeeb, hauv / m, s / c. Txog kev tiv thaiv: los ntawm qhov ncauj, rau cov neeg laus - 0.0125-0.025 g / hnub, rau cov menyuam yaus - 0.005-0.025 g / hnub.
Nrog pellagra: cov laus - los ntawm qhov ncauj, 0.1 g 2–4 zaug ib hnub rau 15-20 hnub lossis iv 0.05 g lossis i / m 0.1 g, 1-2 zaug hauv ib hnub rau 10– 15 hnub, rau cov menyuam yaus sab hauv, 0.0125-0.05 g 2-3 zaug ib hnub.
Nrog ischemic mob stroke: w / w, 0.01–0.05 g.
Nrog atherosclerosis: sab hauv, 2-3 g / hnub hauv 2-4 koob.
Thaum lipid metabolism tsis txaus siab: sab hauv, qhov koob tshuaj yog maj mam nce ntxiv (thaum tsis muaj kev mob tshwm sim) los ntawm 0.05 g ib hnub ib zaug rau 2-3 g / hnub hauv ob peb koob tshuaj, chav kawm ntawm kev kho mob yog 1 hlis lossis ntau dua, kev so yuav tsum nyob ntawm cov kev kawm tas mus.
Rau lwm yam kab mob: los ntawm qhov ncauj, rau cov laus - 0.02-0.05 g (txog 0.1 g) 2-3 zaug ib hnub, rau cov menyuam yaus - 0.0125-0.025 g 2-3 zaug hauv ib hnub.
Ceev faj: Thaum kho, lub siab ua haujlwm yuav tsum raug saib xyuas tsis tu ncua (tshwj xeeb yog thaum noj ntau dua). Txhawm rau tiv thaiv kab mob siab hepatotoxicity, nws yog ib qho tsim nyog yuav tsum muaj cov khoom noj uas muaj methionine (tsev cheese) hauv zaub mov, lossis methionine lossis lwm yam tshuaj lipotropic.
Siv nrog ceev faj nyob rau hauv cov ntaub ntawv ntawm hyperacid gastritis, peptic rwj ntawm lub plab thiab duodenum (nyob rau hauv kev zam txim) vim cov nyhuv tsis haum ntawm cov qog ua kua (noj loj yog contraindicated nyob rau hauv cov ntaub ntawv no). Kev noj tshuaj loj yog tseem cuam tshuam hauv cov kab mob siab, suav nrog kab mob siab, mob ntshav siab (muaj peev xwm ua rau hepatotoxicity), mob ntshav qab zib mellitus.
Nws yog qhov tsis tsim nyog siv los kho ntawm dyslipidemia hauv cov neeg mob ntshav qab zib mellitus.
Nws yuav tsum tau yug los hauv lub siab tias s / c thiab / m hno mob mob.
- Nicotinic acid (m nicotinicum)
Cov khoom xyaw ua si nquag (INN) Nicotinic acid (Nicotinic acid)
Thov: Kev tiv thaiv thiab kev kho mob ntawm pellagra (vitamin deficiency PP), atherosclerosis, hyperlipidemia (suav nrog hypercholesterolemia, hypertriglyceridemia), peripheral vascular spasm, suav nrogobliterating endarteritis, Raynaud tus kab mob, mob taub hau, cerebrovascular kev sib tsoo, suav nrog ischemic stroke (txoj kev kho mob), mob angina pectoris, mob Hartnup, hypercoagulation, ntsej muag neuritis, intoxication, ntev kho qhov txhab, kiav txhab, kab mob sib kis, mob plab hnyuv.
Cov Tshuaj Tiv Thaiv: Kev kub siab lub cev tsis zoo, mob rwj ntawm lub plab thiab duodenum (hauv qib mob hnyav), muaj cov kab mob siab rau lub siab, gout, hyperuricemia, mob hnyav ntawm kev mob ntshav siab thiab atherosclerosis (iv).
Txwv tsis pub siv: Cev xeeb tub, pub niam mis.
Siv thaum cev xeeb tub thiab lactation: Nrog ceev faj thaum cev xeeb tub thiab lactation (koob tshuaj siab yog contraindicated).
Phiv los sis: Vim tias raug tso tawm ntawm histamine: liab ntawm daim tawv nqaij, incl. lub ntsej muag thiab sab saud ib nrab ntawm lub cev nrog kev hnov mob tingling thiab hlawv lub siab, maj tawm ntawm cov ntshav mus rau lub taub hau, kiv taub hau, mob ntshav qab zib, mob ntshav txha caj qaum (nrog rau kev tswj hwm ceev ceev), muaj kev zais zais ntawm lub plab ua kua, khaus, dyspepsia, urticaria.
Nrog kev siv ntev ntawm kev noj tshuaj ntau: kev mob plab zom mov, tsis nco qab, ntuav, ua haujlwm tsis txaus siab hauv lub siab, ua kom lub siab rog, ua rau lub plab zom mov, mob plab, mob plab, mob ntshav qab zib, txo cov ntshav qabzib, hyperglycemia, hloov zuj zus hauv AST, LDH, alkaline phosphatase, mucosal irritation. hnyuv daim nyias nyias.
Kev sib cuam tshuam: Potentiates qhov kev txiav txim ntawm cov kab mob fibrinolytic, tshuaj antispasmodics thiab mob glycosides, ua rau cov dej cawv lom ua rau lub siab. Txo kev nqus ntawm cov kua tsib acid sequestrants (qhov luv ntawm 1.5-2 teev ntawm koob tshuaj yog qhov tsim nyog) thiab cov nyhuv hypoglycemic ntawm cov tshuaj tiv thaiv kab mob. Muaj peev xwm sib cuam tshuam nrog kev siv tshuaj tiv thaiv kab mob siab, acetylsalicylic acid, anticoagulants.
Muab thiab kev coj: Sab hauv (tom qab noj mov), hauv / hauv qeeb, hauv / m, s / c. Txog kev tiv thaiv: los ntawm qhov ncauj, rau cov neeg laus - 0.0125-0.025 g / hnub, rau cov menyuam yaus - 0.005-0.025 g / hnub.
Nrog pellagra: cov laus - los ntawm qhov ncauj, 0.1 g 2–4 zaug ib hnub rau 15-20 hnub lossis iv 0.05 g lossis i / m 0.1 g, 1-2 zaug hauv ib hnub rau 10– 15 hnub, rau cov menyuam yaus sab hauv, 0.0125-0.05 g 2-3 zaug ib hnub.
Nrog ischemic mob stroke: w / w, 0.01–0.05 g.
Nrog atherosclerosis: sab hauv, 2-3 g / hnub hauv 2-4 koob.
Thaum lipid metabolism tsis txaus siab: sab hauv, qhov koob tshuaj yog maj mam nce ntxiv (thaum tsis muaj kev mob tshwm sim) los ntawm 0.05 g ib hnub ib zaug rau 2-3 g / hnub hauv ob peb koob tshuaj, chav kawm ntawm kev kho mob yog 1 hlis lossis ntau dua, kev so yuav tsum nyob ntawm cov kev kawm tas mus.
Rau lwm yam kab mob: los ntawm qhov ncauj, rau cov laus - 0.02-0.05 g (txog 0.1 g) 2-3 zaug ib hnub, rau cov menyuam yaus - 0.0125-0.025 g 2-3 zaug hauv ib hnub.
Ceev faj: Thaum kho, lub siab ua haujlwm yuav tsum raug saib xyuas tsis tu ncua (tshwj xeeb yog thaum noj ntau dua). Txhawm rau tiv thaiv kab mob siab hepatotoxicity, nws yog ib qho tsim nyog yuav tsum muaj cov khoom noj uas muaj methionine (tsev cheese) hauv zaub mov, lossis methionine lossis lwm yam tshuaj lipotropic.
Siv nrog ceev faj nyob rau hauv cov ntaub ntawv ntawm hyperacid gastritis, peptic rwj ntawm lub plab thiab duodenum (nyob rau hauv kev zam txim) vim cov nyhuv tsis haum ntawm cov qog ua kua (noj loj yog contraindicated nyob rau hauv cov ntaub ntawv no). Kev noj tshuaj loj yog tseem cuam tshuam hauv cov kab mob siab, suav nrog kab mob siab, mob ntshav siab (muaj peev xwm ua rau hepatotoxicity), mob ntshav qab zib mellitus.
Nws yog qhov tsis tsim nyog siv los kho ntawm dyslipidemia hauv cov neeg mob ntshav qab zib mellitus.
Nws yuav tsum tau yug los hauv lub siab tias s / c thiab / m hno mob mob.
- Nicotinic acid (-)
- Tshuaj Xa Khoom
Lub Npe: Milgamma
Pharmacological kev txiav txim:
Milgamma muaj cov tshuaj neurotropic vitamins ntawm pab pawg B. Cov tshuaj kho tau siv rau cov kab mob ntawm cov hlab ntsha thiab cov hlab ntaws, nrog rau cov txheej txheem ua rau mob thiab ua kom tsis zoo thiab / lossis ua rau cov hlab ntsha tsis zoo. Lawv kuj tseem siv rau pathology ntawm cov leeg hlwb.Cov vitamins ntawm pab pawg B nyob rau hauv cov koob tshuaj loj pab txhawb kev mob siab, txhim kho microcirculation, ua kom lub zog ntawm cov leeg hlwb, txhim kho cov txheej txheem ntshav.
Vitamin B1 (thiamine) yog metabolized hauv lub cev mus rau cocarboxylase (thiamine diphosphate) thiab thiamine triphosphate los ntawm phosphorylation. Cocarboxylase ua cov enzymatic coenzyme koom nrog hauv cov saw hlau metabolism hauv txoj cai, uas yog qhov tseem ceeb rau kev ua haujlwm ntawm cov hlab ntsha tsis zoo thiab cov leeg. Txhim kho cov kev sib txuas ntawm cov hlab ntsha los ntawm kev cuam tshuam cov kis hluav taws xob. Qhov tsis txaus cov vitamins B1 (thiamine) yog nrog los ntawm kev sib txuam hauv cov ntaub so ntswg ntawm cov khoom siv uas tsis muaj kab mob ntawm cov khoom noj uas muaj cov khoom noj uas ua rau carbohydrate metabolism: pyruvic acid, lactic acid. Raws li qhov no, ib qho kev ua tsis zoo ntawm cov hlab ntsha poob siab tshwm sim nrog kev tsim ntawm ntau yam kab mob pathological.
Hauv cov ntsiav tshuaj ntawm milgamma thiamine chloride yog hloov los ntawm benfotiamine, uas yog rog-soluble derivative ntawm thiamine. Benfotiamine yog metabolized los ntawm phosphorylation rau thiamine pyruvate thiab thiamine triphosphate - cov tshuaj lom biologically. Lub luag haujlwm ntawm thiamine triphosphate yog nyob rau hauv kev koom tes ntawm carbohydrate metabolism (raws li coenzyme ntawm pyruvate decarboxylase enzymes, transketolase enzymes). Thiaminpyruvate hloov pauv aldehyde pawg hauv pentose-phosphate.
Vitamin B6 (pyridoxine) yog phosphorylated hauv lub cev cov ntaub so ntswg. Metabolism cov khoom yog coenzymes ntawm cov metabolism hauv tsis-oxidative ntawm yuav luag txhua cov amino acids. Coenzymes koom nrog rau hauv decarboxylation ntawm cov amino acids nrog kev tsim ntawm ntau tus kws kho mob kho mob lub cev - adrenaline, tyramine, dopamine, histamine, serotonin. Nws kuj tseem koom nrog hauv anabolism thiab catabolism ntawm cov amino acids los ntawm cov txheej txheem transamination. Vitamin B6 cuam tshuam cov metabolism hauv tryptophan, hauv nws cov cawv, catalysis ntawm α-amino-β-ketoadininic acid tshwm sim thaum tsim hemoglobin.
Vitamin B 12 (cyanocobalamin) muaj cov nyhuv antianemic, txhawb kev tsim cov tshuaj syntinine, choline, nucleic acids, methionine. Koom rau hauv cov txheej txheem ntawm cov metabolism hauv cellular. Nws yog ib qho analgesic.
Vitamin B1 (thiamine) yog dephosphorylated nyob rau hauv lub raum cov ntaub so ntswg. Ib nrab-lub neej yog 35 feeb. Hauv cov ntaub so ntswg ntawm lub cev tsis sib sau vim tias qhov yuav luag tsis tiav insolubility hauv cov rog. Metabolism ua tawm hauv cov zis.
Pyridoxine (vitamin B 6) tom qab phosphorylation txia mus ua pyridoxal-5-phosphate. Tom qab nkag mus rau cov ntshav ntshav, tom kawg khi rau albumin. Alkaline phosphatase hydrolyzes pyridoxal-5-phosphate, tom qab ntawd cov metabolite no tuaj yeem nkag mus rau ntawm tes.
Cyanocobalamin (vitamin B 12), thaum nws nkag rau hauv cov ntshav ntshav, khi rau cov protein nrog tsim ntawm txoj haujlwm thauj khoom. Hauv daim ntawv no, nws yog nqus tau los ntawm daim siab mob. Cyanocobalamin tseem tsub zuj zuj hauv cov pob txha pob txha, hla dhau ntawm cov hematoplacental teeb meem. Tom qab ua haujlwm nrog cov kua tsib, nws tuaj yeem rov qab rau hauv txoj hnyuv (mob plab hnyuv-mob ntshav).
Kev taw qhia rau kev siv:
Neuritis, neuralgia,
qhov xav tau rau kev ua kom dav dav,
radicular syndrome
polyneuropathies ntawm ntau lub hauv paus (cawv cawv, ntshav qab zib),
myalgia
retrobulbar neuritis,
herpes zoster thiab kev qhia ntawm lwm tus kab mob pob ua paug
paresis ntawm lub ntsej muag leeg.
Txoj kev siv:
Kev kho mob pib nrog 2 ml ntawm milgamma intramuscularly (tob heev rau hauv cov leeg) 1 lub sijhawm hauv ib hnub. Kho cov tshuaj - 2 ml milgamma 2-3 zaug hauv ib lub lim tiam. Los yog kev kho mob ntxiv yog ua tau nrog daim ntawv tso tawm (1 ntsiav tshuaj hauv ib hnub). Txog kev maj nrawm ntawm qhov mob, daim ntawv sau ntawm niam txiv milgamma lossis ntsiav tshuaj txog li 3 ib hnub (1 ntsiav tshuaj txhua) siv. Nrog polyneuropathies, ntau npaum 1 ntsiav tshuaj 3 r / s yog siv. Lub sijhawm tiv thaiv yog 1 hlis.
Phiv los sis:
Kev tsis haum tshuaj (tawm pob, Quincke's edema, anaphylactic shock, tawv nqaij khaus, ua tsis tau pa).
Cov kev rov ua haujlwm hauv lub cev (tawm hws, palpitations, arrhythmia, kiv taub hau, xeev siab, ua tsis taus pa).Cov tshuaj tiv thaiv kab mob hauv lub cev tsim nyob rau hauv kev tswj hwm sai heev ntawm cov tshuaj lossis thaum muaj peev xwm noj ntau dua cov tshuaj.
Cov Tshuaj Tiv Thaiv:
Lub plawv tsis ua haujlwm (mob hnyav lossis mob nyhav, lub plawv tsis ua haujlwm),
ua txhaum ntawm conduction ntawm lub plawv mob,
kev tiv thaiv tsis haum rau cov cheeb tsam ntawm milgamma,
hnub nyoog 16 xyoo.
Cev xeeb tub
Milgamma tsis raug siv thaum cev xeeb tub thiab lactation, vim kev tshawb fawb txog kev cuam tshuam ntawm cev xeeb tub thiab nkag mus rau niam mis tsis tau ua tiav.
Kev cuam tshuam nrog lwm cov tshuaj:
Thaum tov nrog sulfate daws, vitamin B1 ua tiav decomposes. Kev raug rau cov thiamine metabolism khoom, lwm cov vitamins tsis ua haujlwm. Thiamine (benfotiamine) yog cov tshuaj tiv thaiv tsis muaj cov tshuaj mercury chloride, acetates, carbonates, iodides, tannic acid, riboflavin, hlau ammonium citrate, penicillin (benzylpenicillin), metabisulfite thiab qabzib. Kev ua haujlwm Thiamine poob qis thaum muaj tooj liab (nce catalysis) thiab nce pH.
Pyridoxine nyob rau hauv kev siv tshuaj kho mob tuaj yeem txo cov tshuaj levodopa (antiparkinsonian nyhuv) vim tias muaj qhov peripheral decarboxylation ntau ntxiv, yog li cov vitamins B6 tsis siv nrog levodopa thiab cov tshuaj muaj levodopa. Cyanocobalamin tsis ua haujlwm nyob rau hauv muaj cov ntsev ntawm cov hlau loj.
Noj ntau dhau
Nrog kev noj tshuaj ntau dhau ntawm milgamma, kev nce ntxiv hauv cov tsos mob tshwm sim rau kev phiv tshwm sim. Yog tias muaj kev noj ntau dhau, yuav tsum kho syndromic thiab tsos mob kom zoo.
Daim ntawv tso tawm:
Milgamma muaj nyob rau hauv daim ntawv foos niam txiv (kev daws teeb meem rau kev tswj hwm intramuscular hauv 2 ml ampoules) thiab hauv cov qauv ntsiav tshuaj.
Cia rau cov neeg mob:
Hauv qhov chaw qhuav thiab tsaus ntawm cov menyuam, ntawm qhov kub li 15 ° C.
Muaj pes tsawg leeg:
Milgamma - kev daws rau kev tswj hwm hauv kev ua haujlwm:
Cov khoom xyaw nquag: thiamine hydrochloride 100 mg hauv 2 ml ampoule, pyridoxine hydrochloride 100 mg hauv 2 ml ampoule, cyanocobalamin - 1000 μg hauv 2 ml ampoule.
Ntu cov khoom siv: benzyl cawv, lidocaine hydrochloride, sodium hydroxide, sodium polyphosphate, potassium hexacyanoferrate tertiary, dej rau kev txhaj tshuaj.
Milgamma - ntsiav tshuaj rau siv sab hauv:
Cov khoom xyaw nquag: benfotiamine - 100 mg, pyridoxine hydrochloride - 100 mg.
Ntu cov khoom siv: talc, anhydrous colloidal silicon dioxide, croscarmellose sodium, microcrystalline cellulose, glycerides ib nrab ntev-sib dhos, povidone.
Yeem:
Milgamma tuaj yeem siv tau los ntawm cov tsav tsheb thiab cov neeg ua haujlwm nrog cov txheej txheem nyuaj.
Saib xyuas!
Ua ntej siv cov tshuaj Milgamma koj yuav tsum sab laj ib tus kws kho mob. Cov lus qhia rau kev siv nyob hauv phau ntawv txhais lus pub dawb thiab npaj rau kev ua xov xwm nkaus xwb. Xav paub ntau ntxiv, thov hu rau cov khw muag khoom ntim ntawv.
Dab tsi yog teev tseg thiab yuav siv li cas Kev txhaj tshuaj Combilipen kom raug
Sau los siv kev sib xyaw ua ke ntawm cov vitamins B, ib txoj kev ntseeg tau ua kom muaj kev ua haujlwm ntawm cov leeg hlwb thiab txhim kho cov metabolism hauv lub zog yog hu ua Combibipen. Thaum twg thiab rau dab tsi Kombilipen kev txhaj tshuaj tau sau tseg: cov lus qhia rau kev siv, puas muaj ib qho tshuaj yeeb yaj kiab ntawm cov tshuaj, nws tus nqi, thiab kev tshuaj xyuas tus neeg mob?
Yuav txhaj tshuaj nicotine li cas
Yog tias mob nraub qaum yog coj los ntawm kev tsis txaus siab, peb tig mus rau tus kws paub tshwj xeeb kom pab. Ua ib feem ntawm txoj kev kho mob nyuaj, cov vitamins ntawm pawg B feem ntau yog kws kho, tshwj xeeb, Combilipen. Qhov kev npaj ua ke no muaj ib lub sijhawm so, analgesic thiab anti-inflammatory, uas feem ntau tshwm sim tom qab txhaj koob thib ob.
Cov lus qhia Kombilipen rau kev siv tus nqi thiab kev hloov pauv
Combilipen yog ib hom tshuaj uas yog multivitamin. Nws yog tsim nyob rau hauv Russia thiab feem ntau yog siv rau kev kho mob ntawm cov kab mob neurological, raws li kev tiv thaiv kev kho mob sib xyaw.Cov lus qhia rau kev siv tshuaj tuaj yeem sib txawv, thiab nws tseem ceeb tsis yog tsuas yog cia siab rau kev tshuaj xyuas txog kev txhaj tshuaj thiab kev noj tshuaj, tab sis kuj tseem ceeb rau kev xav ntawm kws kho mob.
Cov tshuaj hno - yuav ua li cas txau?
Nicotinic acid, lossis vitamin B3, yog tsim los ntawm cov tuam txhab tshuaj txawv teb chaws thiab txawv teb chaws. Lub hauv paus tseem ceeb ntawm cov tshuaj yog nicotinic acid, thaum nyob hauv txhua txhua milliliter ntawm cov tshuaj muaj 10 milligrams ntawm cov vitamin no, thiab cov ntsiav tshuaj muaj 0.05 grams ntawm lub ntsiab feem.
- lus piav qhia, rau cov kab mob ntawm tus txha nqaj qaum
Niacin yog dej-soluble vitamin los ntawm pawg B, tseem hu ua nicotinamide, niacin, B3, lossis PP. Qhov tshuaj muaj nyob rau hauv paub tias nws yog kev kho mob rau pellagra, uas tshwm sim hauv kev haus cawv thiab cov neeg uas noj pob kws, uas yog, cov neeg uas nyob hauv cov tebchaws txom nyem heev thiab tsis tuaj yeem noj nqaij. Tsis tas li, thaum siv rau kev siv tshuaj, cov vitamin ua rau lub ntsej muag tingling ntawm daim tawv nqaij thiab lub ntsej muag liab, vim hais tias cov khoom siv yog vasodilator muaj zog thiab dilates cov hlab ntsha, yog li txhim kho ntshav ncig thiab leach plaques.
Cov tshuaj tau qhia nyob rau hauv cov xwm txheej zoo li no:
- Kev ntshav khiav tsis zoo thiab cov hlab ntshav tawg
- Cerebrovascular kev huam yuaj
- Nrog hemorrhoids thiab varicose veins
- Pob txha caj qaum osteochondrosis
- Hartnup Kab Mob
- Hypovitaminosis, mob ntshav qab zib
- Kis tau cov kab mob
- Ua rau mob zoo
- Cawv qaug cawv
- Gastritis nrog qis acidity
- Kev ua txhaum ntawm cov rog metabolism thiab lwm tus.
Tshwj xeeb tshaj yog nthuav yog siv cov nicotinic acid hauv osteochondrosis. Cov tshuaj yog txhawm rau txhim kho cov txheej txheem metabolic, zoo li nyob rau hauv muaj mob thiab pinching, vim hais tias nws muaj peev xwm tawm tsam lawv thiab txo tus mob ntawm tus neeg mob. Qhov cuam tshuam zoo ntawm daim ntawv thov:
- Ua kom tsis muaj teeb meem hauv lub cev
- Pab txhawb cov nqaij ntshiv puas tsuaj los ntawm kev txhim kho cov ntshav ncig
- Tiv thaiv cov hlwb los ntawm kev puas tsuaj los ntawm cov dawb radicals
- Txhim kho cov txheej txheem hauv lub cev hauv lub cev, yog li cov tshuaj tsis huv yog dhau sai dua
- Cov cuab yeej tseem ceeb tshaj plaws ntawm cov vitamins hauv cov kab mob no yog tias nws tau kho cov txheej txheem neural, vim qhov twg cov hlab ntsha hloov tshiab thiab tawm tsam cov txheej txheem mob.
Ua ke nrog niacin, milgamma feem ntau yog kws kho mob - sib xyaw ntawm lidocaine, thiamine, pyridoxine thiab B12 hauv ib qho tshuaj ampoule, tab sis cov tshuaj no tsis sib xws nrog nicotinamide, vim tias cov vitamins no tau rhuav tshem ntawm lawv tus kheej. Yuav ua li cas tom qab ntawd los muab txhua yam los sib xyaws ua ke?
- kev piav qhia thiab kev sib txuas ua ke
Milgamma yog kev sib xyaw ntawm peb cov vitamins B thiab ua kom loog kom tus thawj coj ntawm cov tshuaj tsis muaj mob. B1, B6 thiab B12 lawv tus kheej kuj tsis sib xws, tab sis tus stabilizer, potassium hexacyanoferrate, tau ntxiv los ua tus pabcuam, uas ua rau cov lus qhia ntawm peb yam. No peb lub vitamins tseem ceeb rau kev kho mob ntawm cov kab mob ntawm cov hlab ntaws, thaum lub cev tsis sib haum xeeb ntawm cov hlab ntsha hauv txoj hlab ntshav los yog kev ua paug tsis zoo uas feem ntau tshwm sim hauv osteochondrosis.
Feem ntau, tus kws kho mob mus koom yuav piav qhia qhov zoo tshaj plaws los txhaj tshuaj Movalis, Milgamma thiab Niacin. Yog tias tsis muaj kev pom zoo, tom qab ntawd koj yuav tsum paub kom meej meej tias milgamma tsis sib haum nrog nicotinic acid. Nws yog qhov zoo tshaj rau txhaj tshuaj niacin thaum sawv ntxov, tsiv mus ncig thaum tav su, thiab milgamma thaum hmo ua ntej yuav mus pw. Ntawm cov sijhawm ntawd, tsis muaj kev sib cav sib ceg yuav sawv los. Hauv kev kho ua txoj siv tau, tag nrho peb cov tshuaj muab ib qho txiaj ntsig zoo.
Cerinat
Lub npe Latin: Cerinat
Pharmacological pawg:
Muaj pes tsawg leeg thiab daim ntawv tso tawm: 1 ntsiav tshuaj muaj tus brewer poov xab autolysate 390 mg, hauv lam fwj ntawm 60 lossis 120 pcs.Brewer cov poov xab autolysate muaj: vitamin B1 (thiamine), B5 (pantothenic acid), B6 (pangamic acid), PP (nicotinic acid), H (biotin), D (calciferol), A (nyob rau hauv daim ntawv ntawm beta-carotene), C ( ascorbic acid), E (alpha-tocopherol), cov ntsiab lus, cov protein yooj yim zom, cov amino acids tseem ceeb.
Muab thiab kev coj: Sab hauv, tsis tas yuav zom, ntxau tshuaj kom tsis muaj kua txaus, 1 ntsiav tshuaj. 2 zaug hauv ib hnub nrog kev sib nrug ntawm 12 teev, kom ua tiav cov nyhuv siab tshaj plaws - 3 ntsiav tshuaj.
Milgamma
Lub npe Latin: Milgamma
Pharmacological pawg: Cov vitamins thiab zoo li txhais tau tias
B02 Tinea versicolor. G50.0 Neuralgia ntawm trigeminal hlab ntsha. G51 Txhab ntawm lub ntsej muag leeg. G54.9 Cov lus tsis pom tseeb rau cov qhov txhab ntawm cov hlab ntsha thiab plexuses G58 Lwm cov nyiaj txiag mononeuropathies. G62 Lwm cov polyneuropathies. G62.1 Cawv polyneuropathy muaj cawv. G63.2 Cov kab mob ntshav qab zib mob siab H46 Optic neuritis. M79.1 myalgia M79.2 Neuralgia thiab neuritis, tsis pom tseeb R52 Qhov Mob, tsis yog lwm qhov kev cais
Muaj pes tsawg leeg thiab daim ntawv tso tawm:
hauv qhov ncauj tawm 15 pcs., nyob rau hauv ib lub thawv 2 lossis 4 lub hlwv.
nyob rau hauv ib lub thawv ntawm 5 ampoules ntawm 2 ml.
Pharmacological kev txiav txim:Mob taub hau, txhim kho cov ntshav ncig, txhawb kev tsim dua tshiab ntawm cov hlab ntaws Cov. Neurotropic cov vitamins ntawm pab pawg B muaj cov txiaj ntsig zoo hauv kev kho mob thiab cov kab mob tsis zoo ntawm cov hlab ntsha thiab lub cev muaj zog, nyob rau hauv cov koob tshuaj siab lawv muaj cov nyhuv ua kom loog, pab txhawb kev ntshav nce ntxiv thiab ua kom cov haujlwm ntawm cov hlab ntsha thiab cov txheej txheem ntshav tsim.
Kev Taw Qhia: Kab mob ntawm cov hlab ntsha ntawm ntau yam keeb kwm: mob neuropathy (mob ntshav qab zib, haus dej cawv, thiab lwm yam), mob neuritis thiab polyneuritis, suav nrog retrobulbar neuritis, peripheral paresis, suav nrog cov leeg ntawm lub ntsej muag, neuralgia, suav nrog trigeminal hlab ntsha thiab intercostal qab haus huv, mob (radicular, myalgia, herpes zoster).
Cov Tshuaj Tiv Thaiv: Hypersensitivity (suav nrog rau ib qho ntawm ib leeg), cov qauv mob hnyav thiab mob tsis ua haujlwm ntawm lub plawv tsis ua haujlwm, lub sijhawm tsis ua haujlwm (tshwj xeeb tshaj yog cov menyuam tsis tau yug) (daws d / hauv).
Nrog rau qhov koob tshuaj niaj hnub ntawm cov vitamins B6 txog 25 mg, tsis muaj cov tshuaj contraindications rau siv thaum cev xeeb tub thiab lactation. Dragees thiab kev daws teeb meem muaj 100 mg ntawm cov tshuaj, thiab yog li ntawd hauv cov rooj plaub no lawv tsis pom zoo.
Phiv los sis: Kev tawm hws, mob tachycardia, mob ntxau, lwm yam kev tsis muaj zog (rd d / hauv. Nrog kev qhia sai heev), kev tawm tsam: tawv nqaij ua pob, urticaria, khaus, bronchospasm, Quincke's edema, anaphylactic shock.
Kev sib cuam tshuam: Thiamine ua txhua yam nyob rau hauv kev daws teeb meem muaj sulfites. Dr. cov vitamins yog inactivated nyob rau hauv muaj cov khoom lag luam vitamin B1 tawg. Levodopa tshem tawm cov txiaj ntsig ntawm kev kho tshuaj ntawm cov vitamin B6.
Muaj peev xwm sib cuam tshuam nrog cycloserine, D-penicillamine, adrenaline, norepinephrine, sulfonamides.
Tsis sib haum nrog cov tshuaj redox, ntxiv rau phenobarbital, riboflavin, benzylpenicillin, qabzib, metabisulfite, ntsev ntawm cov hlau hnyav. Tooj liab ua rau nrawm tawg ntawm thiamine, ntxiv rau, thiamine poob nws cov nyhuv ntawm pH ntawm ntau dua 3.
Muab thiab kev coj: Sab hauv. Rau 1 ntsiav tshuaj txog 3 zaug hauv ib hnub nrog tus nqi txaus kua, rau ib hlis twg.
Thaum muaj mob hnyav thiab mob hnyav, ib qho kev txhaj tshuaj (2 ml) roj tob tob yog qhov xav tau txhawm rau txhawm rau nce qib tshuaj nyob hauv ntshav. Tom qab exacerbation tau dhau los thiab hauv cov ntawv mob sib khuav xwb, 1 txhaj 2-3 zaug hauv ib lub lim tiam yog xav tau. Yav tom ntej, txuas ntxiv kev kho mob, noj 1 lub tshuaj txhua hnub.
Phauj +
Lub npe Latin: Corrida +
Pharmacological pawg: Kev Noj Qab Haus Huv
Nosological kev faib tawm (ICD-10): F17.2 kev quav yeeb quav cawv
Muaj pes tsawg leeg thiab daim ntawv tso tawm: 1 ntsiav tshuaj hnyav 0.5 g muaj hmoov ntawm rhizomes ntawm calamus hav iav, mint nplooj hmoov thiab kev noj haus fiber ntau raws li tau ua kom huv MCC, hauv hwj ntawm 150 pcs.los yog hauv contour bezjacheykovy ntim ntawm 10 pcs.
Nta: Kev noj zaub mov ntxiv nrog lub calamus tseem ceeb roj cov ntsiab lus ntawm tsawg kawg 1.5 mg rau ib ntsiav tshuaj.
Pharmacological kev txiav txim:Kev ua rau lub cev zom zaub mov zoo, tonic dav dav, tiv thaiv kev ntxhov siab, tiv thaiv tawm tsam .
Kws tshuaj: Cov roj tseem ceeb, hloov pauv, alkaloids, glycosides, tannins tshem tawm txoj kev xav haus luam yeeb, ua rau muaj kev haus luam yeeb rau cov pa luam yeeb, vitamins, organic acids, macro- thiab microelements pab rov qab cov metabolism hauv ib txwm, insoluble kev noj haus fiber ntau (MCC), kis los ntawm kev zom zaub mov, khi co toxins thiab co toxins ua rau lawv cov kev tshem tawm sai ntawm lub cev ntawm cov haus luam yeeb.
Kev Taw Qhia: Kev quav yeeb yaj kiab Nicotine (los txo qis kev haus luam yeeb thiab txiav tawm ntawm nws), tiv thaiv SARS.
Muab thiab kev coj: Sab hauv kev quav tshuaj muaj yees: yog tias koj xav haus luam yeeb - 1 tab. (khaws hauv qhov ncauj kom txog thaum resorbed kiag li). Nyob ntawm seb nws nyiam haus luam yeeb npaum li cas, noj li 5 ntsiav tshuaj ib hnub. thiab ntau dua. Qhov siab tshaj plaws niaj hnub noj tshuaj yog txog li 30 ntsiav tshuaj. Lub sijhawm ntawm kev nkag yog 5 lub lis piam. Nrog rau qhov kev xav txo qis rau kev haus luam yeeb, cov naj npawb ntawm cov ntsiav tshuaj noj tau txo kom tsawg. Yog tias muaj teeb meem me me, 10 ntsiav tshuaj muaj txaus. ib hnub (rau 7 lub lis piam). Nws raug nquahu kom koj ib txwm muaj ntsiav tshuaj nrog koj rau 7 lub limtiam kom ncav sijhawm kom lub siab xav haus luam yeeb, kom txog thaum lub cev tsis muaj kev quav yeeb dawb huv.
Raws li prophylactic, tus neeg sawv cev kho neeg mob: cov tsis haus luam yeeb - 1-2 rooj. 3-4 zaug hauv ib hnub rau kev tiv thaiv khaub thuas (nyob rau lub caij nplooj ntoo hlav thiab lub caij nplooj zeeg los yog thaum lub sijhawm ua rau lub cev tsis zoo).
Ceev faj: Nws yuav tsum tau yug los rau hauv lub siab tias thaum koj sim haus luam yeeb thaum noj tshuaj, koj yuav ntsib kev tsis xis nyob (tawm hws txias, kiv taub hau, mob taub hau, thiab lwm yam), qhov hloov pauv ntawm saj, thiab xeev siab. Hauv qhov no, koj yuav tsum tso tseg kev haus luam yeeb tam sim ntawd, siv ob peb tus pa thiab tso pa tawm, thiab haus ib qho ntxiv 1 lub tshuaj.
Mebicar
Lub npe Latin: Mebicarum
Pharmacological pawg: Kev Mob Nkeeg
Nosological kev faib tawm (ICD-10):
Pharmacological kev txiav txim
Siv thaum cev xeeb tub thiab lactation:
Muab thiab kev coj:
Mebix
Lub npe Latin: Mebix
Pharmacological pawg: Kev Mob Nkeeg
Nosological kev faib tawm (ICD-10): F10.2 Cawv Cawv Cawv F17.2 kev quav yeeb quav cawv F28 Lwm yam kev mob puas siab ntsws F40 Phobic ntxhov siab vim tsis meej. F41 Lwm cov kev ntxhov siab F43 Teb rau qhov kev nyuaj siab loj thiab qhov tsis haum. F48 Lwm cov teeb meem neurotic. F48.0 Neurasthenia. R07.2 Mob hauv cheeb tsam hauv plawv. R45.0 Kev Puas Siab Ntsws. R45.4 Txhaum tsis yooj yim thiab ntsim siab
Pharmacological kev txiav txim
Cov khoom xyaw nquag (INN) Mebicar (Mebicar)
Thov: Neurosis thiab neurosis-zoo li tej yam kev mob uas ua rau muaj kev npau taws, ua lub siab xav, ntxhov siab, ntshai (suav nrog rau cov neeg mob quav dej cawv thaum muaj kev zam txim), kev mob siab tsis nco qab thiab kev ntxhov siab tsis muaj qhov txhaum tag nrho ntawm kev coj cwj pwm thiab kev ntxhov siab psychomotor (suav nrog kev ntxhov siab paranoid syndrome nyob rau hauv schizophrenia, nrog kev tsis txaus siab thiab leeg ntshav hlwb), cov kab mob tom qab mob hlwb nrog rau cov tsos mob ntawm kev nyob tsis tus thiab muaj cov tsos mob muaj txiaj ntsig, cov lus ua rau lub cev ntev. h cov keeb kwm organic, kev tshem tawm cov nicotine (ua ib feem ntawm txoj kev kho hnyav).
Cov Tshuaj Tiv Thaiv: Kev tsis haum lub cev, kev xeeb tub (kuv xeeb menyuam).
Siv thaum cev xeeb tub thiab lactation: Contraindicated nyob rau hauv cev xeeb tub (Kuv plaub hlis).
Phiv los sis: Cov mob ntshav siab, tsis muaj zog, kiv taub hau, mob hypothermia (ntawm 1-1.5 ° C), cov tsos mob dyspeptic, kev fab tshuaj (pruritus).
Kev sib cuam tshuam: Txhim kho cov nyhuv ntawm tshuaj tsaug zog.
Muab thiab kev coj: Sab hauv, tsis hais txog kev noj zaub mov, 0.3-0.6-0.9 g 2-3 zaug ib hnub.Qhov siab tshaj plaws ntau npaum li cas yog 3 g, txhua hnub - 10 g. Chav kawm ntawm kev kho mob yog los ntawm ob peb hnub rau 2-3 lub hlis, rau kev puas siab ntsws - txog 6 lub hlis, rau kev tshem tawm nicotine - 5-6 lub lis piam.
Ceev faj: Nws yuav tsum tsis txhob siv thaum cov tsav tsheb thiab cov neeg uas muaj kev cuam tshuam los ntawm kev saib xyuas ntau ntxiv.
Nicotinic Acid
Lub npe Latin: Nicotinic acid
Pharmacological pawg:
Nosological kev faib tawm (ICD-10):
Pharmacological kev txiav txim
kua qaub (Nicotinic acid)
Thov:
Txwv tsis pub siv:
Siv thaum cev xeeb tub thiab lactation:
Muab thiab kev coj:Txog kev tiv thaiv:
Nrog pellagra:
Nrog ischemic mob stroke: w / w, 0.01–0.05 g.
Nrog atherosclerosis:
Rau lwm yam kab mob:
- Nicotinic acid
Niacin MS
Lub npe Latin: Acidum nicotinicum MC
Pharmacological pawg: Angioprotectors thiab microcirculation correctors. Cov vitamins thiab cov khoom lag luam zoo li vitamin. Nicotinates
Nosological kev faib tawm (ICD-10): E52 Nicotinic acid tsis muaj pellagra. E78.5 Hyperlipidemia, tsis paub meej G46 Lub cev tsis muaj ntshav txha caj qaum nyob rau hauv cov kab mob cerebrovascular. G93.4 Encephalopathy, tsis pom tseeb I20 Angina pectoris angina pectoris. I25 Mob ischemic mob plawv mus ntev. I25.2 Yav dhau los myocardial infarction I69 Qhov yuav tshwm ntawm kab mob cerebrovascular. I70 Atherosclerosis. I70.2 Atherosclerosis ntawm nqua leeg. I73 Lwm yam kab mob vascular. I73.0 Raynaud's syndrome. I73.1 Thromboangiitis obliterans Buerger's kab mob. I77.1 Nquag ntawm cov hlab ntsha. I99 Lwm yam thiab tsis hais txog ntawm cov kev mob lub cev. K29 Kev mob caj dab thiab mob duodenitis. K52 Lwm yam uas tsis kis ua mob rau hauv plab thiab kem plab. R07.2 Mob hauv cheeb tsam hauv plawv. T14.1 Qhib lub qhov txhab ntawm qhov tsis pom tseeb ntawm thaj chaw ntawm lub cev
Pharmacological kev txiav txim
Cov khoom xyaw ua si nquag (INN) Nicotinic acid (Nicotinic acid)
Thov: Kev tiv thaiv thiab kev kho mob ntawm pellagra (vitamin deficiency PP), atherosclerosis, hyperlipidemia (suav nrog hypercholesterolemia, hypertriglyceridemia), peripheral vascular spasm, suav nrog obliterating endarteritis, Raynaud tus kab mob, mob taub hau, cerebrovascular kev sib tsoo, suav nrog ischemic stroke (txoj kev kho mob), mob angina pectoris, mob Hartnup, hypercoagulation, ntsej muag neuritis, intoxication, ntev kho qhov txhab, kiav txhab, kab mob sib kis, mob plab hnyuv.
Cov Tshuaj Tiv Thaiv: Kev kub siab lub cev tsis zoo, mob rwj ntawm lub plab thiab duodenum (hauv qib mob hnyav), muaj cov kab mob siab rau lub siab, gout, hyperuricemia, mob hnyav ntawm kev mob ntshav siab thiab atherosclerosis (iv).
Txwv tsis pub siv: Cev xeeb tub, pub niam mis.
Siv thaum cev xeeb tub thiab lactation: Nrog ceev faj thaum cev xeeb tub thiab lactation (koob tshuaj siab yog contraindicated).
Phiv los sis: Vim tias raug tso tawm ntawm histamine: liab ntawm daim tawv nqaij, incl. lub ntsej muag thiab sab saud ib nrab ntawm lub cev nrog kev hnov mob tingling thiab hlawv lub siab, maj tawm ntawm cov ntshav mus rau lub taub hau, kiv taub hau, mob ntshav qab zib, mob ntshav txha caj qaum (nrog rau kev tswj hwm ceev ceev), muaj kev zais zais ntawm lub plab ua kua, khaus, dyspepsia, urticaria.
Nrog kev siv ntev ntawm kev noj tshuaj ntau: kev mob plab zom mov, tsis nco qab, ntuav, ua haujlwm tsis txaus siab hauv lub siab, ua kom lub siab rog, ua rau lub plab zom mov, mob plab, mob plab, mob ntshav qab zib, txo cov ntshav qabzib, hyperglycemia, hloov zuj zus hauv AST, LDH, alkaline phosphatase, mucosal irritation. hnyuv daim nyias nyias.
Kev sib cuam tshuam: Potentiates qhov kev txiav txim ntawm cov kab mob fibrinolytic, tshuaj antispasmodics thiab mob glycosides, ua rau cov dej cawv lom ua rau lub siab. Txo kev nqus ntawm cov kua tsib acid sequestrants (qhov luv ntawm 1.5-2 teev ntawm koob tshuaj yog qhov tsim nyog) thiab cov nyhuv hypoglycemic ntawm cov tshuaj tiv thaiv kab mob. Muaj peev xwm sib cuam tshuam nrog kev siv tshuaj tiv thaiv kab mob siab, acetylsalicylic acid, anticoagulants.
Muab thiab kev coj: Sab hauv (tom qab noj mov), hauv / hauv qeeb, hauv / m, s / c. Txog kev tiv thaiv: los ntawm qhov ncauj, rau cov neeg laus - 0.0125-0.025 g / hnub, rau cov menyuam yaus - 0.005-0.025 g / hnub.
Nrog pellagra: cov laus - los ntawm qhov ncauj, 0.1 g 2–4 zaug ib hnub rau 15-20 hnub lossis iv 0.05 g lossis i / m 0.1 g, 1-2 zaug hauv ib hnub rau 10– 15 hnub, rau cov menyuam yaus sab hauv, 0.0125-0.05 g 2-3 zaug ib hnub.
Nrog ischemic mob stroke: w / w, 0.01–0.05 g.
Nrog atherosclerosis: sab hauv, 2-3 g / hnub hauv 2-4 koob.
Thaum lipid metabolism tsis txaus siab: sab hauv, qhov koob tshuaj yog maj mam nce ntxiv (thaum tsis muaj kev mob tshwm sim) los ntawm 0.05 g ib hnub ib zaug rau 2-3 g / hnub hauv ob peb koob tshuaj, chav kawm ntawm kev kho mob yog 1 hlis lossis ntau dua, kev so yuav tsum nyob ntawm cov kev kawm tas mus.
Rau lwm yam kab mob: los ntawm qhov ncauj, rau cov laus - 0.02-0.05 g (txog 0.1 g) 2-3 zaug ib hnub, rau cov menyuam yaus - 0.0125-0.025 g 2-3 zaug hauv ib hnub.
Ceev faj: Thaum kho, lub siab ua haujlwm yuav tsum raug saib xyuas tsis tu ncua (tshwj xeeb yog thaum noj ntau dua). Txhawm rau tiv thaiv kab mob siab hepatotoxicity, nws yog ib qho tsim nyog yuav tsum muaj cov khoom noj uas muaj methionine (tsev cheese) hauv zaub mov, lossis methionine lossis lwm yam tshuaj lipotropic.
Siv nrog ceev faj nyob rau hauv cov ntaub ntawv ntawm hyperacid gastritis, peptic rwj ntawm lub plab thiab duodenum (nyob rau hauv kev zam txim) vim cov nyhuv tsis haum ntawm cov qog ua kua (noj loj yog contraindicated nyob rau hauv cov ntaub ntawv no). Kev noj tshuaj loj yog tseem cuam tshuam hauv cov kab mob siab, suav nrog kab mob siab, mob ntshav siab (muaj peev xwm ua rau hepatotoxicity), mob ntshav qab zib mellitus.
Nws yog qhov tsis tsim nyog siv los kho ntawm dyslipidemia hauv cov neeg mob ntshav qab zib mellitus.
Nws yuav tsum tau yug los hauv lub siab tias s / c thiab / m hno mob mob.
- Niacin MS (Acidum nicotinicum MC)
Nicotinic acid - Darnitsa
Lub npe Latin: Nicotinic acid
Pharmacological pawg: Angioprotectors thiab microcirculation correctors. Cov vitamins thiab cov khoom lag luam zoo li vitamin. Nicotinates
Nosological kev faib tawm (ICD-10): E52 Nicotinic acid tsis muaj pellagra. E78.5 Hyperlipidemia, tsis paub meej G46 Lub cev tsis muaj ntshav txha caj qaum nyob rau hauv cov kab mob cerebrovascular. G93.4 Encephalopathy, tsis pom tseeb I20 Angina pectoris angina pectoris. I25 Mob ischemic mob plawv mus ntev. I25.2 Yav dhau los myocardial infarction I69 Qhov yuav tshwm ntawm kab mob cerebrovascular. I70 Atherosclerosis. I70.2 Atherosclerosis ntawm nqua leeg. I73 Lwm yam kab mob vascular. I73.0 Raynaud's syndrome. I73.1 Thromboangiitis obliterans Buerger's kab mob. I77.1 Nquag ntawm cov hlab ntsha. I99 Lwm yam thiab tsis hais txog ntawm cov kev mob lub cev. K29 Kev mob caj dab thiab mob duodenitis. K52 Lwm yam uas tsis kis ua mob rau hauv plab thiab kem plab. R07.2 Mob hauv cheeb tsam hauv plawv. T14.1 Qhib lub qhov txhab ntawm qhov tsis pom tseeb ntawm thaj chaw ntawm lub cev
Pharmacological kev txiav txim
Cov khoom xyaw ua si nquag (INN) Nicotinic acid (Nicotinic acid)
Thov: Kev tiv thaiv thiab kev kho mob ntawm pellagra (vitamin deficiency PP), atherosclerosis, hyperlipidemia (suav nrog hypercholesterolemia, hypertriglyceridemia), peripheral vascular spasm, suav nrog obliterating endarteritis, Raynaud tus kab mob, mob taub hau, cerebrovascular kev sib tsoo, suav nrog ischemic stroke (txoj kev kho mob), mob angina pectoris, mob Hartnup, hypercoagulation, ntsej muag neuritis, intoxication, ntev kho qhov txhab, kiav txhab, kab mob sib kis, mob plab hnyuv.
Cov Tshuaj Tiv Thaiv: Kev kub siab lub cev tsis zoo, mob rwj ntawm lub plab thiab duodenum (hauv qib mob hnyav), muaj cov kab mob siab rau lub siab, gout, hyperuricemia, mob hnyav ntawm kev mob ntshav siab thiab atherosclerosis (iv).
Txwv tsis pub siv: Cev xeeb tub, pub niam mis.
Siv thaum cev xeeb tub thiab lactation: Nrog ceev faj thaum cev xeeb tub thiab lactation (koob tshuaj siab yog contraindicated).
Phiv los sis: Vim tias raug tso tawm ntawm histamine: liab ntawm daim tawv nqaij, incl. lub ntsej muag thiab sab saud ib nrab ntawm lub cev nrog kev hnov mob tingling thiab hlawv lub siab, maj tawm ntawm cov ntshav mus rau lub taub hau, kiv taub hau, mob ntshav qab zib, mob ntshav txha caj qaum (nrog rau kev tswj hwm ceev ceev), muaj kev zais zais ntawm lub plab ua kua, khaus, dyspepsia, urticaria.
Nrog kev siv ntev ntawm kev noj tshuaj ntau: kev mob plab zom mov, tsis nco qab, ntuav, ua haujlwm tsis txaus siab hauv lub siab, ua kom lub siab rog, ua rau lub plab zom mov, mob plab, mob plab, mob ntshav qab zib, txo cov ntshav qabzib, hyperglycemia, hloov zuj zus hauv AST, LDH, alkaline phosphatase, mucosal irritation. hnyuv daim nyias nyias.
Kev sib cuam tshuam: Potentiates qhov kev txiav txim ntawm cov kab mob fibrinolytic, tshuaj antispasmodics thiab mob glycosides, ua rau cov dej cawv lom ua rau lub siab. Txo kev nqus ntawm cov kua tsib acid sequestrants (qhov luv ntawm 1.5-2 teev ntawm koob tshuaj yog qhov tsim nyog) thiab cov nyhuv hypoglycemic ntawm cov tshuaj tiv thaiv kab mob. Muaj peev xwm sib cuam tshuam nrog kev siv tshuaj tiv thaiv kab mob siab, acetylsalicylic acid, anticoagulants.
Muab thiab kev coj: Sab hauv (tom qab noj mov), hauv / hauv qeeb, hauv / m, s / c. Txog kev tiv thaiv: los ntawm qhov ncauj, rau cov neeg laus - 0.0125-0.025 g / hnub, rau cov menyuam yaus - 0.005-0.025 g / hnub.
Nrog pellagra: cov laus - los ntawm qhov ncauj, 0.1 g 2–4 zaug ib hnub rau 15-20 hnub lossis iv 0.05 g lossis i / m 0.1 g, 1-2 zaug hauv ib hnub rau 10– 15 hnub, rau cov menyuam yaus sab hauv, 0.0125-0.05 g 2-3 zaug ib hnub.
Nrog ischemic mob stroke: w / w, 0.01–0.05 g.
Nrog atherosclerosis: sab hauv, 2-3 g / hnub hauv 2-4 koob.
Thaum lipid metabolism tsis txaus siab: sab hauv, qhov koob tshuaj yog maj mam nce ntxiv (thaum tsis muaj kev mob tshwm sim) los ntawm 0.05 g ib hnub ib zaug rau 2-3 g / hnub hauv ob peb koob tshuaj, chav kawm ntawm kev kho mob yog 1 hlis lossis ntau dua, kev so yuav tsum nyob ntawm cov kev kawm tas mus.
Rau lwm yam kab mob: los ntawm qhov ncauj, rau cov laus - 0.02-0.05 g (txog 0.1 g) 2-3 zaug ib hnub, rau cov menyuam yaus - 0.0125-0.025 g 2-3 zaug hauv ib hnub.
Ceev faj: Thaum kho, lub siab ua haujlwm yuav tsum raug saib xyuas tsis tu ncua (tshwj xeeb yog thaum noj ntau dua). Txhawm rau tiv thaiv kab mob siab hepatotoxicity, nws yog ib qho tsim nyog yuav tsum muaj cov khoom noj uas muaj methionine (tsev cheese) hauv zaub mov, lossis methionine lossis lwm yam tshuaj lipotropic.
Siv nrog ceev faj nyob rau hauv cov ntaub ntawv ntawm hyperacid gastritis, peptic rwj ntawm lub plab thiab duodenum (nyob rau hauv kev zam txim) vim cov nyhuv tsis haum ntawm cov qog ua kua (noj loj yog contraindicated nyob rau hauv cov ntaub ntawv no). Kev noj tshuaj loj yog tseem cuam tshuam hauv cov kab mob siab, suav nrog kab mob siab, mob ntshav siab (muaj peev xwm ua rau hepatotoxicity), mob ntshav qab zib mellitus.
Nws yog qhov tsis tsim nyog siv los kho ntawm dyslipidemia hauv cov neeg mob ntshav qab zib mellitus.
Nws yuav tsum tau yug los hauv lub siab tias s / c thiab / m hno mob mob.
- Nicotinic Acid-Darnitsa Acid (Nicotinic ac>)Nicotinic acid
Lub npe Latin: Acidum nicotinicum
Pharmacological pawg: Angioprotectors thiab microcirculation correctors. Cov vitamins thiab cov khoom lag luam zoo li vitamin. Nicotinates
Nosological kev faib tawm (ICD-10): E52 Nicotinic acid tsis muaj pellagra. E78.5 Hyperlipidemia, tsis paub meej G46 Lub cev tsis muaj ntshav txha caj qaum nyob rau hauv cov kab mob cerebrovascular. G93.4 Encephalopathy, tsis pom tseeb I20 Angina pectoris angina pectoris. I25 Mob ischemic mob plawv mus ntev. I25.2 Yav dhau los myocardial infarction I69 Qhov yuav tshwm ntawm kab mob cerebrovascular. I70 Atherosclerosis. I70.2 Atherosclerosis ntawm nqua leeg. I73 Lwm yam kab mob vascular. I73.0 Raynaud's syndrome. I73.1 Thromboangiitis obliterans Buerger's kab mob. I77.1 Nquag ntawm cov hlab ntsha. I99 Lwm yam thiab tsis hais txog ntawm cov kev mob lub cev. K29 Kev mob caj dab thiab mob duodenitis. K52 Lwm yam uas tsis kis ua mob rau hauv plab thiab kem plab. R07.2 Mob hauv cheeb tsam hauv plawv. T14.1 Qhib lub qhov txhab ntawm qhov tsis pom tseeb ntawm thaj chaw ntawm lub cev
Pharmacological kev txiav txim
Cov khoom xyaw ua si nquag (INN) Nicotinic acid (Nicotinic acid)
Thov: Kev tiv thaiv thiab kev kho mob ntawm pellagra (vitamin deficiency PP), atherosclerosis, hyperlipidemia (suav nrog hypercholesterolemia, hypertriglyceridemia), peripheral vascular spasm, suav nrog obliterating endarteritis, Raynaud tus kab mob, mob taub hau, cerebrovascular kev sib tsoo, suav nrog ischemic stroke (txoj kev kho mob), mob angina pectoris, mob Hartnup, hypercoagulation, ntsej muag neuritis, intoxication, ntev kho qhov txhab, kiav txhab, kab mob sib kis, mob plab hnyuv.
Cov Tshuaj Tiv Thaiv: Kev kub siab lub cev tsis zoo, mob rwj ntawm lub plab thiab duodenum (hauv qib mob hnyav), muaj cov kab mob siab rau lub siab, gout, hyperuricemia, mob hnyav ntawm kev mob ntshav siab thiab atherosclerosis (iv).
Txwv tsis pub siv: Cev xeeb tub, pub niam mis.
Siv thaum cev xeeb tub thiab lactation: Nrog ceev faj thaum cev xeeb tub thiab lactation (koob tshuaj siab yog contraindicated).
Phiv los sis: Vim tias raug tso tawm ntawm histamine: liab ntawm daim tawv nqaij, incl. lub ntsej muag thiab sab saud ib nrab ntawm lub cev nrog kev hnov mob tingling thiab hlawv lub siab, maj tawm ntawm cov ntshav mus rau lub taub hau, kiv taub hau, mob ntshav qab zib, mob ntshav txha caj qaum (nrog rau kev tswj hwm ceev ceev), muaj kev zais zais ntawm lub plab ua kua, khaus, dyspepsia, urticaria.
Nrog kev siv ntev ntawm kev noj tshuaj ntau: kev mob plab zom mov, tsis nco qab, ntuav, ua haujlwm tsis txaus siab hauv lub siab, ua kom lub siab rog, ua rau lub plab zom mov, mob plab, mob plab, mob ntshav qab zib, txo cov ntshav qabzib, hyperglycemia, hloov zuj zus hauv AST, LDH, alkaline phosphatase, mucosal irritation. hnyuv daim nyias nyias.
Kev sib cuam tshuam: Potentiates qhov kev txiav txim ntawm cov kab mob fibrinolytic, tshuaj antispasmodics thiab mob glycosides, ua rau cov dej cawv lom ua rau lub siab. Txo kev nqus ntawm cov kua tsib acid sequestrants (qhov luv ntawm 1.5-2 teev ntawm koob tshuaj yog qhov tsim nyog) thiab cov nyhuv hypoglycemic ntawm cov tshuaj tiv thaiv kab mob. Muaj peev xwm sib cuam tshuam nrog kev siv tshuaj tiv thaiv kab mob siab, acetylsalicylic acid, anticoagulants.
Muab thiab kev coj: Sab hauv (tom qab noj mov), hauv / hauv qeeb, hauv / m, s / c. Txog kev tiv thaiv: los ntawm qhov ncauj, rau cov neeg laus - 0.0125-0.025 g / hnub, rau cov menyuam yaus - 0.005-0.025 g / hnub.
Nrog pellagra: cov laus - los ntawm qhov ncauj, 0.1 g 2–4 zaug ib hnub rau 15-20 hnub lossis iv 0.05 g lossis i / m 0.1 g, 1-2 zaug hauv ib hnub rau 10– 15 hnub, rau cov menyuam yaus sab hauv, 0.0125-0.05 g 2-3 zaug ib hnub.
Nrog ischemic mob stroke: w / w, 0.01–0.05 g.
Nrog atherosclerosis: sab hauv, 2-3 g / hnub hauv 2-4 koob.
Thaum lipid metabolism tsis txaus siab: sab hauv, qhov koob tshuaj yog maj mam nce ntxiv (thaum tsis muaj kev mob tshwm sim) los ntawm 0.05 g ib hnub ib zaug rau 2-3 g / hnub hauv ob peb koob tshuaj, chav kawm ntawm kev kho mob yog 1 hlis lossis ntau dua, kev so yuav tsum nyob ntawm cov kev kawm tas mus.
Rau lwm yam kab mob: los ntawm qhov ncauj, rau cov laus - 0.02-0.05 g (txog 0.1 g) 2-3 zaug ib hnub, rau cov menyuam yaus - 0.0125-0.025 g 2-3 zaug hauv ib hnub.
Ceev faj: Thaum kho, lub siab ua haujlwm yuav tsum raug saib xyuas tsis tu ncua (tshwj xeeb yog thaum noj ntau dua). Txhawm rau tiv thaiv kab mob siab hepatotoxicity, nws yog ib qho tsim nyog yuav tsum muaj cov khoom noj uas muaj methionine (tsev cheese) hauv zaub mov, lossis methionine lossis lwm yam tshuaj lipotropic.
Siv nrog ceev faj nyob rau hauv cov ntaub ntawv ntawm hyperacid gastritis, peptic rwj ntawm lub plab thiab duodenum (nyob rau hauv kev zam txim) vim cov nyhuv tsis haum ntawm cov qog ua kua (noj loj yog contraindicated nyob rau hauv cov ntaub ntawv no). Kev noj tshuaj loj yog tseem cuam tshuam hauv cov kab mob siab, suav nrog kab mob siab, mob ntshav siab (muaj peev xwm ua rau hepatotoxicity), mob ntshav qab zib mellitus.
Nws yog qhov tsis tsim nyog siv los kho ntawm dyslipidemia hauv cov neeg mob ntshav qab zib mellitus.
Nws yuav tsum tau yug los hauv lub siab tias s / c thiab / m hno mob mob.
- Nicotinic acid (m nicotinicum)
Cov khoom xyaw ua si nquag (INN) Nicotinic acid (Nicotinic acid)
Thov: Kev tiv thaiv thiab kev kho mob ntawm pellagra (vitamin deficiency PP), atherosclerosis, hyperlipidemia (suav nrog hypercholesterolemia, hypertriglyceridemia), peripheral vascular spasm, suav nrog obliterating endarteritis, Raynaud tus kab mob, mob taub hau, cerebrovascular kev sib tsoo, suav nrog ischemic stroke (txoj kev kho mob), mob angina pectoris, mob Hartnup, hypercoagulation, ntsej muag neuritis, intoxication, ntev kho qhov txhab, kiav txhab, kab mob sib kis, mob plab hnyuv.
Cov Tshuaj Tiv Thaiv: Kev kub siab lub cev tsis zoo, mob rwj ntawm lub plab thiab duodenum (hauv qib mob hnyav), muaj cov kab mob siab rau lub siab, gout, hyperuricemia, mob hnyav ntawm kev mob ntshav siab thiab atherosclerosis (iv).
Txwv tsis pub siv: Cev xeeb tub, pub niam mis.
Siv thaum cev xeeb tub thiab lactation: Nrog ceev faj thaum cev xeeb tub thiab lactation (koob tshuaj siab yog contraindicated).
Phiv los sis: Vim tias raug tso tawm ntawm histamine: liab ntawm daim tawv nqaij, incl. lub ntsej muag thiab sab saud ib nrab ntawm lub cev nrog kev hnov mob tingling thiab hlawv lub siab, maj tawm ntawm cov ntshav mus rau lub taub hau, kiv taub hau, mob ntshav qab zib, mob ntshav txha caj qaum (nrog rau kev tswj hwm ceev ceev), muaj kev zais zais ntawm lub plab ua kua, khaus, dyspepsia, urticaria.
Nrog kev siv ntev ntawm kev noj tshuaj ntau: kev mob plab zom mov, tsis nco qab, ntuav, ua haujlwm tsis txaus siab hauv lub siab, ua kom lub siab rog, ua rau lub plab zom mov, mob plab, mob plab, mob ntshav qab zib, txo cov ntshav qabzib, hyperglycemia, hloov zuj zus hauv AST, LDH, alkaline phosphatase, mucosal irritation. hnyuv daim nyias nyias.
Kev sib cuam tshuam: Potentiates qhov kev txiav txim ntawm cov kab mob fibrinolytic, tshuaj antispasmodics thiab mob glycosides, ua rau cov dej cawv lom ua rau lub siab. Txo kev nqus ntawm cov kua tsib acid sequestrants (qhov luv ntawm 1.5-2 teev ntawm koob tshuaj yog qhov tsim nyog) thiab cov nyhuv hypoglycemic ntawm cov tshuaj tiv thaiv kab mob. Muaj peev xwm sib cuam tshuam nrog kev siv tshuaj tiv thaiv kab mob siab, acetylsalicylic acid, anticoagulants.
Muab thiab kev coj: Sab hauv (tom qab noj mov), hauv / hauv qeeb, hauv / m, s / c. Txog kev tiv thaiv: los ntawm qhov ncauj, rau cov neeg laus - 0.0125-0.025 g / hnub, rau cov menyuam yaus - 0.005-0.025 g / hnub.
Nrog pellagra: cov laus - los ntawm qhov ncauj, 0.1 g 2–4 zaug ib hnub rau 15-20 hnub lossis iv 0.05 g lossis i / m 0.1 g, 1-2 zaug hauv ib hnub rau 10– 15 hnub, rau cov menyuam yaus sab hauv, 0.0125-0.05 g 2-3 zaug ib hnub.
Nrog ischemic mob stroke: w / w, 0.01–0.05 g.
Nrog atherosclerosis: sab hauv, 2-3 g / hnub hauv 2-4 koob.
Thaum lipid metabolism tsis txaus siab: sab hauv, qhov koob tshuaj yog maj mam nce ntxiv (thaum tsis muaj kev mob tshwm sim) los ntawm 0.05 g ib hnub ib zaug rau 2-3 g / hnub hauv ob peb koob tshuaj, chav kawm ntawm kev kho mob yog 1 hlis lossis ntau dua, kev so yuav tsum nyob ntawm cov kev kawm tas mus.
Rau lwm yam kab mob: los ntawm qhov ncauj, rau cov laus - 0.02-0.05 g (txog 0.1 g) 2-3 zaug ib hnub, rau cov menyuam yaus - 0.0125-0.025 g 2-3 zaug hauv ib hnub.
Ceev faj: Thaum kho, lub siab ua haujlwm yuav tsum raug saib xyuas tsis tu ncua (tshwj xeeb yog thaum noj ntau dua). Txhawm rau tiv thaiv kab mob siab hepatotoxicity, nws yog ib qho tsim nyog yuav tsum muaj cov khoom noj uas muaj methionine (tsev cheese) hauv zaub mov, lossis methionine lossis lwm yam tshuaj lipotropic.
Siv nrog ceev faj nyob rau hauv cov ntaub ntawv ntawm hyperacid gastritis, peptic rwj ntawm lub plab thiab duodenum (nyob rau hauv kev zam txim) vim cov nyhuv tsis haum ntawm cov qog ua kua (noj loj yog contraindicated nyob rau hauv cov ntaub ntawv no). Kev noj tshuaj loj yog tseem cuam tshuam hauv cov kab mob siab, suav nrog kab mob siab, mob ntshav siab (muaj peev xwm ua rau hepatotoxicity), mob ntshav qab zib mellitus.
Nws yog qhov tsis tsim nyog siv los kho ntawm dyslipidemia hauv cov neeg mob ntshav qab zib mellitus.
Nws yuav tsum tau yug los hauv lub siab tias s / c thiab / m hno mob mob.
- Nicotinic acid (-)
- Tshuaj Xa Khoom
Hauv kev kho mob ntawm cov kab mob ntawm cov leeg mus ntawm lub cev, cov vitamins B yog qhov tseem ceeb.Lawv muaj cov txiaj ntsig zoo ntawm lub paj hlwb. Milgamma thiab nicotinic acid yog cov kev npaj vitamin uas tau sau tseg hauv cov xwm txheej zoo li no.
Nws muaj cov txheej txheem ntawm 3 cov vitamins - B1, B6 thiab B12. Lwm cov tshuaj ua kom nquag plias yog qhov analgesic lidocaine hydrochloride.
Lub chaw muab tshuaj ntawm cov tshuaj yog tus cwj pwm hauv qab no:
- Vitamin B1 cuam tshuam cuam tshuam txog cov metabolism hauv cov metabolism. Koom nrog lub voj voog ntawm tricarboxylic acids, tsim ntawm thiamine pyrophosphate thiab adenosine triphosphoric acid, uas yog lub zog ntawm lub zog ntawm biochemical tshua hauv lub cev.
- Vitamin B6 cuam tshuam rau cov protein metabolism, thiab rau qee yam, ua kom nrawm cov metabolism ntawm carbohydrates thiab cov rog.
- Vitamin B12 txhawb kev tsim cov ntshav, txhawb kev tsim cov hnab riam ntawm cov hlab ntsha leeg. Txhim kho nucleic metabolism los ntawm kev ua kom muaj cov tshuaj folic acid.
- Lidocaine muaj cov nyhuv tshuaj loog.
Cov vitamin complex muaj cov nyhuv neurotropic. Vim tias kev tsa los ntawm cov ntshav ntws thiab muaj txiaj ntsig zoo ntawm cov leeg poob siab, cov tshuaj kho txhim kho cov mob muaj kev cuam tshuam thiab cov kabmob ntawm lub cev muaj zog.
Txhaj tshuaj yog siv rau hauv qhov xwm txheej xws li:
- neuralgia
- paresis ntawm lub ntsej muag hlab ntsha,
- cov leeg mob hlwb
- ganglionitis vim yog tus mob shingles,
- neuropathy, polyneuropathy,
- ntau yam sclerosis
- kev puas tsuaj rau cov hlab ntsws plexus,
- mob leeg
- osteochondrosis.
Cov vitamins mus sib ntxiv rau txhua tus ua, txhim kho cov mob ntawm lub plawv thiab lub hlwb tsis muaj zog.
Muaj qee zaus, cov tshuaj yuav ua rau muaj kev tsis haum tshuaj, kiv taub hau, tachycardia, ntuav, lossis ua kom qaug dab peg.
Cov ntsiav tshuaj daim ntawv ntawm kev tso tawm yog tsiag ntawv los ntawm qhov tsis muaj vitamin B12 hauv qhov muaj pes tsawg leeg thiab cov ntsiab lus ntawm thiamine derivative. Nws muag hauv qab cov npe lag luam Milgamma Composite. Hauv ib pob ntawm 30 lossis 60 ntsiav tshuaj. Daim foos no muaj ntau txoj kev nyeem tsawg dua. Nws yog siv rau qhov tsis muaj cov vitamins B1 thiab B6 tiv thaiv keeb kwm ntawm cov hlab ntsha neurological.
Combilipen injections intramuscularly - noj, tshuaj kho, contraindications thiab kev txheeb xyuas
Lub paj hlwb tau ua lub luag haujlwm tseem ceeb hauv txoj cai thiab ua kom sib haum ntawm kev ua haujlwm ntawm txhua yam hauv nruab nrog cev thiab kab ke ntawm lub cev. Muaj cov tshuaj uas pab tswj lub hauv nruab nrab cov hlab ntsha hauv qhov chaw zoo kom ntseeg tau tias tib neeg lub neej tag nrho. Lub tshuab siv dab tsi siv los tiv thaiv cov hlab ntsha tsis ua haujlwm, uas ntu ntawm cov nqaj qaum muaj qhov muaj txiaj ntsig Combiben kev txhaj tshuaj rau kev tswj hwm intramuscular, peb yuav sim ua kom pom tseeb.
Leej twg tau txhaj tshuaj nicotinic acid thiab combilipene?
Kuv tsis nkag siab tias qhov tshuaj tiv thaiv tsis zoo tom qab 5 feeb tom qab txhaj tshuaj, hnov zoo ib ce thoob plaws lub cev, kub, pob ntseg ua burgundy ncaj) saj hauv lub qhov ncauj thiab lub qhov ntswg hnia ntawm lub combilipen no ncaj.
Nws kav txog 5 feeb thiab txhua yam dhau mus ..
qhov no yog qhov tshuaj tiv thaiv ntawm cov nicotine, thawj zaug koj yuav tsum qhia 1 ml, hnub tom qab nws twb muaj 2 raws li nws yuav tsum, yog li tus kws kho mob tau qhia kuv. thiab kombilipen yog cov vitamins, yuav tsis muaj qhov tshuaj tiv thaiv nws.
yog tias nws tsis yog qhov tsis pub leej twg paub, koj kho dab tsi?
Lub ncauj tsev menyuam yog pinched los ntawm ib tug neurologist hais ..
Lub cev siv tshuaj thiab zaws tshuaj tam sim no kuv muaj
mus ua txiv ntoo! yog li txhua yam loj heev ... los, los! Yog lawm, nws tshwm sim rau kuv ib yam nkaus. zaws pab
Movalis - lus piav qhia
Movalis yog cov tshuaj uas tsis yog-steroidal los tiv thaiv cov lus Mev, kev tsim tawm los ntawm Italian nrog cov tshuaj nquag - meloxicam. Meloxicam yog hais txog kev siv tshuaj kho mob niaj hnub no, uas ntau dua xaiv COX-1 piv rau COX-2. Qhov no muab nws ua qhov zoo ntawm kev nyab xeeb - kev phiv los cuam tshuam txoj hnyuv, vim muaj kev cuam tshuam tsawg dua ntawm lub plab hnyuv, tshwm sim ntau tsawg dua. Cov tshuaj tsis cuam tshuam rau platelet kev sib sau, uas ua rau nws muaj kev nyab xeeb rau cov neeg mob uas muaj lub siab nyiam ua kom cov ntshav tsis sib haum. Nws tau tshaj tawm cov tshuaj tua kabmob thiab tawm tsam ua rau muaj kev sib piv nrog cov nyhuv analgesic, uas ua rau nws xaiv thawj zaug rau cov txheej txheem ua mob hauv cov nqaij sib txuas.
Txij li osteochondrosis ntawm txha nraub qaum yog kev puas tsuaj ntawm pob txha mos, tom qab los ntawm kev puas tsuaj rau intervertebral discs, vertebrae. Kev phom sij ntawm tus kab mob no yog qhov tseeb tias cov pob txha mos tsis tuaj yeem rov ua dua, cov txheej txheem tsis zoo tsuas yog ua kom qeeb qeeb, tab sis nws tsis muaj peev xwm los rov ua thawj zaug kev noj qab haus huv lub xeev ntawm cov ntaub so ntswg txuas. Nyob rau ntawm qhov muaj tus kab mob no, qhov kev hloov pauv thiab mob tshwm sim, yog li ntawd, nws tau txav mus los thiab kho lub zog ua rau mob hnyav thiab tshem tawm qhov mob tsis kaj siab. Hauv cov mob hnyav, qhov kev txhaj tshuaj yog muab tshuaj rau intramuscularly, ib hnub ib zaug. Ib qho ampoule muaj qhov tshuaj ntau kawg txhua hnub ntawm 15 mg. Lub sijhawm kho mob yuav tsum tsis pub ntau tshaj tsib hnub.Kawm txog kev sib cuam tshuam, muaj lwm qhov ntxiv - cov tshuaj tsis nkag mus rau hauv qhov hloov pauv lossis tsis zoo nrog B vitamins thiab lidocaine.
Cov kev qhia rau nicotinic acid
Nicotinic acid muaj cov txiaj ntsig zoo ntawm lub cev. Nws normalizes txheej txheem metabolic, cuam tshuam rov qab ntawm cov neural qauv. Cov tshuaj muaj peev xwm rov qab txhim kho cov ntshav tsis txaus rau lub hlwb thiab qee qhov ntawm lub cev. Nicotine tau sau tseg thaum haus cawv, rau lom ntawm qhov xwm txheej txawv, vim nws muaj cov nyhuv ua kom detoxifying.
Rau cov hom phiaj kho, nws yog siv rau txha nraub qaum, mob cerebrovascular, tinnitus, atherosclerosis, ua rau cov ntshav tsis txaus mus rau sab hauv qis, ntau yam kev nkag mus rau mob, kab mob siab, mob rwj, thiab tsis pom kev zoo. Raws li lub hom phiaj prophylactic, nicotinic acid yog siv los txhim kho lub zeem muag thiab lub cim xeeb, nrog gastritis muaj cov kua qaub qis, kom tshem tawm cov kev mob tshwm sim, nrog kev txo qis ntawm kev noj cov roj fatty acids hauv lub cev, thiab rau kev tiv thaiv qog noj ntshav.
Niacin txhawb kev ua vasodilation thiab ua rau cov pa oxygen thiab cov roj ntsha hauv lub cev ua haujlwm.
Niacin muaj nyob hauv thiab. Ib qho ampoule muaj 1 ml ntawm 1% kev daws teeb meem ntawm nicotinic acid. Cov tshuaj tau sau tawm ib ampoule 1-2 zaug hauv ib hnub. Nws muab tshuaj subcutaneously lossis intravenously. Intramuscular thiab intracutaneous kev txhaj tshuaj ntawm cov nicotinic acid yog qhov mob siab. Tom qab txhaj tshuaj rau cov ntshav, lub ntsej muag liab yuav tshwm sim, uas yog ib txwm muaj tshwm sim hais tawm ntawm lub cev. Qhov tsis muaj lub ntsej muag liab qhia tau hais tias muaj cov kev mob hauv lub cev.
Niacin raug tso cai 1-2 zaug peb zaug hauv ib hnub, nyob ntawm lub cev qhov hnyav thiab qhov mob hnyav ntawm tus kab mob. Thaum noj cov tshuaj, koj yuav tsum qhia txog tsev cheese thiab lwm cov khoom muaj methionine ntau ntau rau hauv cov khoom noj. Qhov tshuaj yeeb tshuaj no pab tiv thaiv daim siab ua haujlwm. Yog tias lub plab zom mov muaj cov kua qaub ntau ntxiv, hauv qhov no, nicotinic acid yog tshuaj tom qab noj mov, thiab nws yuav tsum tau ntxuav nrog kom ntau cov mis sov thiab dej ntxhia. Nicotinic acid ntsiav tshuaj tau pom zoo nyob rau lub caij nplooj ntoo hlav thiab lub caij nplooj zeeg rau cov neeg uas muaj kev mob ntshav hauv qis qis. Hauv cov rooj plaub no, cov tshuaj yuav tshwm sim hauv 30 hnub.
Nyob rau hauv lub xub ntiag ntawm thrombophlebitis thiab venous tsis txaus, nicotinic acid yuav tsum tau kawm nyob rau hauv kev kawm ntev.
Nicotinic acid tsuas yog noj raws li kws kho mob qhia. Nws tsis pom zoo rau siv thaum lub sij hawm exacerbation ntawm lub plab zom mov, mob rau daim siab, nrog rau cov hlab ntshav siab, ib leeg nkag rau hauv vitamin PP. Nws yog nruj me ntsis txwv tsis pub sau ntawv rau nicotinic acid rau los ntshav thiab hemorrhage hauv lub hlwb.
Qhov sib txawv ntawm nicotinamide thiab nicotinic acid (niacin)
Dab tsi yog qhov txawv ntawm nicotinamide thiab?
Raws li peb tau hais lawm, niacin yog nicotinic acid, lub ntsiab tseem ceeb ntawm cov tshuaj, thiab nicotinamide yog ib qho derivative ntawm nws. Ob qhov tshuaj ua ke, tab sis muaj kev cuam tshuam ntawm lub cev.
Niacin yog siv rau cov kab mob ntawm cov hlab plawv cov ntshav. Nws muaj cov nyhuv vasodilating. Nws siv yog nrog los ntawm kev hnov ntawm "nrawm" ntawm cov ntshav mus rau lub taub hau, liab ntawm daim tawv nqaij.
Nicotinamide tsis muaj cov kev mob tshwm sim no. Cov khoom tsis nthuav tawm cov hlab ntsha, tab sis kuj tsis pab txhawb kom txo cov roj ntshav siab, xws li niacin. Nws yog siv nyob rau hauv kev kho mob thiab tiv thaiv hom I mob ntshav qab zib thiab osteoarthritis. Lwm lub npe rau lub caw yog niacinamide.
Pharmacological kev txiav txim
Koom nrog cov metabolism hauv cov rog, cov protein, amino acids, purines, lub ntsws ua pa, glycogenolysis. Nws tsis muaj suab tshaj tawm vasodilating siv tau.
Substrate stimulates lub synthesis ntawm nicotin adenine dinucleotide (NAD) thiab nicotin adenine dinucleotide phosphate (NADP). Hauv daim ntawv ntawm NAD thiab NADP, nws lees txais thiab hloov cov protons hauv kev rov ua ntau, ua kom ntseeg tau qhov kev ua haujlwm ntawm ntau hom metabolism, suav nrog lub zog.
Nicotinamide txhim kho lub hlwb ua haujlwm thiab kev tsim cov txiv neej cov tshuaj hormones, tswj cov qib ntawm cov piam thaj hauv ntshav ntshav. Nws muaj cov nyhuv pellagric.
Tsuas tshuaj thiab tswj hwm
Cov tshuaj hauv daim ntawv ntawm cov ntsiav tshuaj yog siv qhov ncauj, hauv ampoules - subcutaneously, intramuscularly, leeg.
Kev noj tshuaj ntau npaum li cas tau sau tseg rau ib tus zuj zus, muab qhov tsis txaus ntawm vitamin deficiency PP.
Nrog pellagra - 50-100 mg 3-4 zaug nyob rau ib hnub, rau 15-20 hnub, rau kev tiv thaiv rau cov neeg laus - 15-25 mg, rau cov menyuam yaus - 5-10 mg 1-2 zaug ib hnub.
Rau lwm yam kab mob, cov laus - 20-50 mg, menyuam yaus - 5-10 mg 2-3 zaug ib hnub.
Hauv / hauv, hauv / m thiab s / c - 1-2 ml ntawm 1%, 2.5%, 5% kev daws 1-2 zaug ib hnub nrog kev ceev ntawm kev tswj hwm tsis ntau tshaj 2 mg / min.
Txhawm rau txo cov kev mob siab rau lub plab zom zaub mov nrog lub qhov ncauj tswj hwm, nws raug nquahu kom haus cov tshuaj nrog mis.
Hauv qhov xwm txheej twg yog cov txhaj tshuaj los ntawm osteochondrosis
Lawv muab cov tshuaj pleev xim, tshuaj tiv thaiv kab mob thiab tshuaj los tiv thaiv, vim tias lawv tsis tsuas yog tshem tawm qhov mob, tab sis kuj cuam tshuam qhov ua rau ntawm nws cov tsos.
Ib qho tseem ceeb rho tawm ntawm cov tshuaj no pab cuam tshuam rau lub plab hnyuv plab hnyuv. Feem ntau siv cov NSAIDs ua rau muaj kev txhim kho lossis txav tau lub plab zom mov. Kev tswj hwm hauv tsoomfwv qee qhov txo qee qhov kev pheej hmoo ntawm cov tshwm sim tsis zoo.
Feem ntau feem ntau, rau kev kho mob ntawm osteochondrosis yog kev kho mob:
- Ketonal - muaj cov lus hais txog qhov ua kom loog, tiv thaiv kev tiv thaiv thiab antipyretic zoo yog qhov tsawg tshaj tawm. Cov kev cuam tshuam tsis zoo cuam tshuam cov mucous daim nyias nyias ntawm lub plab thiab cov hnyuv, provokes los ntshav. Qhov kev txiav txim kav ntev txog 6 teev.
- Movalis - muaj cov lus hais tawm los tiv thaiv kev mob, analgesic thiab antipyretic nyhuv yog tsawg tshaj tawm. Nws tsis cuam tshuam tsim cov mob hauv plab thiab duodenum, tsis cuam tshuam rau cov ntshav coagulation. Siv tau ntev txog 24 teev, uas tso cai rau koj kom nkag mus rau hauv cov tshuaj ib hnub ib zaug.
- - zoo tshem tawm cov tshuaj tiv thaiv mob hauv cov ntaub so ntswg, antipyretic thiab analgesic cov teebmeem muaj tsawg tshaj tawm. Nws cuam tshuam zoo rau lub plab zom mov thiab lub siab, yog li ntawd, nws tuaj yeem siv tsuas yog nyob rau hauv kev coj ua ntawm cov tshuaj uas txo qis cov kua qaub hauv lub plab. Qhov kev txiav txim kav ntev txog 12 teev.
Pob Taum Pleev
Hauv kis uas tshuaj los tiv thaiv tsis tuaj yeem mob nraub qaum, tus kws kho mob tau sau ntawv rau analgesics:
- Analgin - nyob rau pawg ntawm NSAIDs, tab sis kev xyaum tsis muaj qhov tshwm sim tawm tsam. Yuav tshem tawm qhov mob sai sai, txhaj tshuaj rau hauv qhov quav lossis mus rau hauv cov leeg nqaij 2-3 zaug ib hnub.
- Tramadol yog qhov ua kom loog uas ua rau cov opioid receptors hauv lub hlwb thiab muaj cov nyhuv analgesic zoo heev. Cov nyhuv pib zoo li hauv ib nrab ib teev tom qab kev tswj hwm thiab kav ntev li 6 teev. Nrog rau siv ntev, nws muaj yees, tab sis rau ntau qhov tsawg dua li morphine.
- Nov yog cov tshuaj sib txuam, uas suav nrog tshuaj loog (lidocaine) thiab cov vitamins B 1, B 6 thiab B 12. Lidocaine muaj cov tshuaj loog hauv zos, thaiv kev sib kis ntawm cov hlab ntaws tawm los ntawm cov tshuaj tiv thaiv mob. Cov nyhuv loj hlob sai, tab sis kav ntev txog ib teev.
Cov vitamins B tau koom nrog cov metabolism hauv ntawm cov hlab hlwb. Milgamma hno ua kom zoo ntawm lub hauv paus txha caj qaum txhaws txhaws. Muaj kev kho dua tshiab ntawm nws lub plhaub sab nraud thiab lub paj impulse dawb hla hauv txoj hauv kev.
Lub plab pinched ua rau txoj kev xav loog, goosebumps, mob mob rau thaj chaw ntawm nws sab hauv. Milgamma restores qhov hlab ntsha xaus, ua rau tshem tawm cov tsos mob tsis zoo no.
Cov tshuaj raug txhaj rau hauv cov leeg li 7-10 hnub ib hnub ib zaug.
Chondoprotective
- Cov tshuaj uas tiv thaiv thiab rov qab intervertebral discs.
Lawv suav nrog cov tshuaj uas muaj nyob hauv pob txha mos. Lawv txhawb kev tsim kho ntawm lub disc, tshem tawm qhov mob thiab txo cov mob hauv qhov sib koom ua ke.
Rau kev kho mob ntawm osteochondrosis siv:
Lawv muab xeem rau cov tshuaj ib hnub ib zaug lossis ntau zaus hauv ib as thiv. Txoj kev kawm no kav ntev li ob peb lub lis piam.
Chondroprotectors tuaj yeem siv thaum lub sijhawm kho kom tsis txhob txhawm rau txhawm rau txhim kho thiab txhim kho cov mob ntawm intervertebral disc.
Kev kho cua sov
Paravertebral blockade yog kev qhia txog cov tshuaj tshuaj ncaj qha rau lub hauv paus leeg. Rau nws siv, kev daws teeb meem ntawm cov tshuaj loog hauv zos (novocaine, procaine, trimecaine) hauv kev sib xyaw nrog cov tshuaj tiv thaiv kab mob (hydrocortisone) yog siv.
Blockade tshem tawm qhov mob nyob rau hauv cov teeb meem ntawm ob peb feeb, thiab hydrocortisone muaj txiaj ntsig zoo txo cov mob hauv cov ntaub so ntswg. Qhov no tso cai rau koj kom txuas ntxiv qhov kev ua ntawm kev txhaj tshuaj ntxiv mus txog ob peb hnub. Blockades tau nqa tawm hauv ib chav kawm ntawm 3-5 cov txheej txheem hauv 2-3 hnub.
Tsis muaj xwm txheej dab tsi, koj tuaj yeem nqa tawm li kev txhaj tshuaj. Cov kev thaiv rau kev thaiv yog:
- intolerance rau lub zos loog
- furunculosis ntawm daim tawv nqaij ntawm nraub qaum,
- abscesses, abscesses, phlegmon hauv lub tshav pob ntawm kev thaiv,
- mob kis tau yooj yim.
Vitamin
Ntxiv rau cov vitamins B, rau osteochondrosis, cov vitamins A, E, C yog tshuaj rau hauv hom kev txhaj tshuaj. Lawv txo cov ntaub so ntswg ua kev puas tsuaj, ua kom cov txheej txheem tsim ua tshiab hauv cov hlab ntaws thiab cov pob qij txha, thiab txhim kho microcirculation. Sau tshuaj noj kom muaj vitamins nyob rau lub sij hawm ncua kev muaj mob.
Cov vitamins A thiab E yog cov roj-cov roj, yog li ntawd, lawv tau tso tawm hauv cov roj hauv kev daws teeb meem. Koj tuaj yeem nkag mus rau lawv tsuas yog intramuscularly, cov chav kawm ntawm kev kho mob kav ob peb lub lis piam.
Vitamin C raug tso tawm nyob rau hauv daim ntawv ntawm cov kua aqueous rau kev txhaj tshuaj rau cov leeg ntshav thiab leeg ntshav. Lub sijhawm kawm kom raug txiav txim los ntawm tus kws khomob tuaj koom.
Dab tsi yog tshaj tawm rau kev kho mob ntawm lub ncauj tsev menyuam
feem ntau ua rau muaj mob nyob rau hauv lub taub hau, xub pwg thiab ceg siab.
Qhov mob tshwm sim yog mob me, thiab thawj qhov chaw muaj kev ua txhaum ntawm ntshav ncig, tsis muaj zog ntawm cov leeg ntawm tes, ib qho kev xav ntawm goosebumps thiab loog.
Yog li ntawd, kev txhaj tshuaj yuav pom tias:
- Milgamma lossis B vitamins,
- nicotinic acid
- anti-inflammatory siv yeeb siv tshuaj.
Lub vertebrae hauv lub plab thoracic yog qhov loj dua hauv lub ncauj tsev menyuam. Raws li, lawv cov discs tau loj tuab thiab thaj chaw. Lawv qhov kev rhuav tshem ua rau mob hnyav thaum lub zog txav, yog li kev txhaj tshuaj ntawm chondroprotectors yog tshuaj yam tsis muaj qhov tsis ua tiav.
Feem ntau, thoracic osteochondrosis yog pom los ntawm qhov mob raws tus tav, txij li ib tug txheej txheem ntawm tus txha caj qaum tau khiav raws nws sab hauv. Yog li ntawd, rau kev kho lawv siv blockade, txhaj tshuaj tiv thaiv analgesics thiab anti-inflammatory tshuaj.
Milgamma thiab vitamin txhaj tshuaj yuav ua kom rov zoo tuaj.
Pob tsuas
Lub lumbar vertebrae yog qhov loj thiab lawv cov disc yog qhov loj tshaj plaws. Ntawm no osteochondrosis ua rau pinching ntawm lub sciatic hlab ntsha nrog irradiation ntawm mob hauv perineum thiab ceg. Kev mob hnyav yog mob hnyav, yog li cov tshuaj pleev xim, tshuaj tiv thaiv thiab milgamum yog cov tshuaj.
Chondroprotectors pab kho lub disc thiab txo qhov mob teb. Qhov blockade feem ntau yog ua tiav yog tias kho nrog analgesics tsis muaj qhov ua kom ntev ntev.