Thrombital thiab Cardiomagnyl: uas yog qhov zoo dua?

Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm cov zaj duab xis-ntsiav tshuaj: biconvex, puag ncig, zaj duab xis-coated thiab cov tub ntxhais ntawm ib ntu hla ntawm yuav luag dawb lossis dawb 30 lossis 100 pcs. nyob rau hauv lub thawv uas tsaus nti (amber) iav, ntim nrog lub hau ntswj-dawb lub hau ua los ntawm polyethylene nrog cov tshuaj ntsuab uas tshem tau nrog silica gel thiab lub nplhaib muab cov kev tswj hwm ntawm thawj qhib, hauv pob ntawv khoob ntawm 1 lub thawv thiab cov lus qhia rau kev siv ntawm kev muaj lub siab tawv.

1 ntsiav tshuaj muaj:

• cov tshuaj nquag: acetylsalicylic acid - 75 mg, magnesium hydroxide - 15,2 mg,
• cov tshuaj ntxiv: qos hmoov txhuv nplej siab, microcrystalline cellulose, hmoov txhuv nplej pob kws, magnesium stearate,
• zaj duab xis txheej: macrogol (polyglycol 4000), hypromellose (hydroxypropyl methylcellulose 15 cPs), talc.

Cov Tshuaj Hauv Tshuaj

Thrombital yog lub zog ua ke ntawm cov platelet aggregation. Cov tshuaj yeeb yaj kiab yog los ntawm kev tsuj ntawm thromboxane A ntau lawm hauv platelets₂ txo cov kev sib sau ua ke, platelet adhesion, thiab ntshav khov ntxiv. Tom qab txhaj ib koob tshuaj, cov tshuaj antiplatelet ntawm cov tshuaj tau pom zoo rau 7 hnub (hauv cov txiv neej, cov nyhuv yog tshaj tawm ntau dua li cov poj niam).

Tawm tsam cov keeb kwm yav dhau los ntawm qhov tsis txaus ntseeg angina, acetylsalicylic acid txo kev tuag thiab txoj kev pheej hmoo ntawm myocardial infarction, nws tseem pom qhov ua tau zoo ntawm kev tiv thaiv kab mob plawv, feem ntau myocardial infarction hauv cov txiv neej tom qab 40 xyoo, thiab qhia tau tias muaj txiaj ntsig zoo ntawm kev tiv thaiv kab mob ntawm myocardial infarction. Cov tshuaj muaj sia nyob hauv lub siab inhibits kev tsim tawm ntawm prothrombin, txhawb kev nce lub sijhawm prothrombin, nce ntxiv ntawm cov kev ua haujlwm ntawm fibrinolytic ntawm cov ntshav ntshav thiab txo qis hauv cov qib K vitamin depend-coagulation yam - II, VII, IX thiab X. Thaum muaj kev cuam tshuam ntawm kev phais mob, cov tshuaj tiv thaiv nquag ua rau muaj kev pheej hmoo ntawm hemorrhagic teeb meem, tawm tsam keeb kwm yav dhau los ntawm kev siv ua ke nrog anticoagulants tsub kom muaj feem los ntshav.

Thaum siv nyob rau hauv cov koob tshuaj siab, acetylsalicylic acid kuj pom cov tshuaj tiv thaiv, analgesic thiab antipyretic zoo, ua kom cov uric acid ua haujlwm (cuam tshuam cov txheej txheem ntawm nws cov reabsorption hauv cov hlaus plab). Hauv lub plab zom mov, qhov thaiv ntawm cyclooxygenase-1 (COX-1) ua rau inhibition ntawm gastroprotective prostaglandins, uas tuaj yeem ua rau ulceration ntawm mucosa thiab ntxiv kev txhim kho los ntshav.

Lub hydroxide nyob rau hauv kev sib xyaw ntawm cov magnesium thrombital muab kev tiv thaiv ntawm lub plab hnyuv mucosa (GIT) los ntawm qhov tsis zoo ntawm acetylsalicylic acid.

Cov Tshuaj Pharmacokinetics

Acetylsalicylic acid yog yuav luag yaim tawm los ntawm cov hnyuv. Ib nrab-lub neej (T_½) cov tshuaj yeeb dej caw yog kwv yees li 15 feeb, vim tias nyob rau hauv qhov kev ua ntawm enzymes nws sai sai hydrolyzes rau hauv salicylic acid hauv cov ntshav ntshav, daim siab thiab cov hnyuv. Salicylic acid T_½ yog kwv yees li 3 teev, tab sis tuaj yeem nce ntxiv nrog kev sib txig ntawm kev siv cov koob tshuaj ntau dua (ntau dua 3 g) ntawm acetylsalicylic acid vim kev saturation ntawm enzyme systems. Lub bioavailability ntawm acetylsalicylic acid yog 70%, tab sis tus nqi no tuaj yeem hloov pauv, vim qhov tseeb tias cov khoom siv tshuaj tiv thaiv yog metabolized los ntawm presystem hydrolysis (mob siab, mob plab hnyuv) nrog kev koom tes ntawm enzymes hauv salicylic acid, lub bioavailability ntawm uas yog 80-100%.

Cov koob tshuaj ntawm magnesium hydroxide siv tsis cuam tshuam rau qhov tsis tuaj yeem ntawm cov acetylsalicylic acid.

Kev ntsuas rau siv

• cov kev tiv thaiv ntawm cov hlab plawv, nrog rau kev mob plawv thiab mob plawv tsis ua hauj lwm, nrog cov kev pheej hmoo uas twb muaj lawm (piv txwv li mob ntshav siab, hyperlipidemia, ntshav qab zib mellitus, haus luam yeeb, rog dhau, hnub nyoog laus),
• kev tiv thaiv ntawm cov hlab ntshav thrombosis thiab myocardial infarction,
• kev tiv thaiv ntawm thromboembolism tom qab phais kev cuam tshuam rau cov hlab ntsha, xws li mob leeg ntshav ntawm txoj hlab ntshav hla ntawm kev hla pob txha, percutaneous transluminal coronary angioplasty,
• tsis ruaj khov angina pectoris.

Cov Yuav Tsum Tau Ua

• lub plab zom zaws, ua paug thiab mob tawm ntawm lub plab zom mov thaum lub caij ua haujlwm tsis zoo,
• mob ntshav roj,
• mob plawv tsis ua hauj lwm ntawm III - IV ua haujlwm chav kawm raws li NYHA kev faib tawm (New York Association of Cardiology),
• ib nrab lossis ua tiav ua ke ntawm kev rov ua dua ntawm cov mob rhinosinusitis thiab bronchial hawb pob nrog kev tsis nkag siab rau acetylsalicylic acid lossis lwm yam tshuaj tiv thaiv tsis haum tshuaj (NSAIDs), suav nrog cyclooxygenase-2 inhibitors (COX-2), suav nrog keeb kwm
• bronchial hawb pob vim kev ua kom muaj ntsev thiab lwm yam kab mob NSAIDs,
• predisposition rau los ntshav (hemorrhagic diathesis, thrombocytopenia, vitamin K tsis txaus),
• mob raum tsis ua haujlwm nrog creatinine kev tshem tawm (CC) qis dua 30 ml / min,
• mob rau daim siab hnyav (Me-Pugh chav B thiab C),
• piam thaj-6-phosphate dehydrogenase tsis txaus,
• Kuv thiab III txiav tawm cev xeeb tub thiab lub sijhawm pub mis,
• siv cov tshuaj methotrexate ntau kawg ntawm koob tshuaj 15 mg toj ib lis piam los yog ntau dua,
• hnub nyoog txog 18 xyoo
• muaj qhov tsis haum xeeb rau ib qho twg ntawm cov tshuaj thiab lwm yam tshuaj NSAIDs.

Tus txheeb ze (noj cov tshuaj thrombital nrog kev ceev faj heev):

• keeb kwm mob hnyuv los ntshav los sis sab hauv thiab lub plab zom mov tsis zoo,
• hnov mob raum ua si (CC saum toj 30 ml / min),
• daim siab ua rau lub siab (Tus Me Nyuam-Pugh chav A),
• mob ntshav qab zib mellitus
• cov kab mob ua pa ntev, mob ntsws hawb pob, mob qhov ntswg polyposis, kub taub hau, ua xua, ua xua, nrog rau cov tshuaj tiv thaiv ua kom tawv nqaij, khaus, urticaria (vim tias acetylsalicylic acid tuaj yeem ua rau bronchospasm, zoo li ua rau mob ntsws ntawm bronchial hawb pob lossis kev txhim kho ntawm lwm cov kev tsis haum pauv),
• gout, hyperuricemia, vim hais tias acetylsalicylic acid, noj hauv koob tshuaj me me, txo qhov kev tsis haum ntawm uric acid,
• Lub hlis thib ob ntawm cev xeeb tub,
• qhov kev tsis txaus siab txog kev phais mob (suav nrog qee yam me me xws li rho tawm hniav), txij li mob plab hnyuv tuaj yeem ua rau ntshav los tau ntau hnub tom qab noj nws,
• hnub nyoog siab heev
• ua ke siv nrog cov tshuaj hauv qab no: NSAIDs thiab noj tshuaj salicylic acid ntau ntxiv, digoxin, valproic acid, anticoagulants, antiplatelet / thrombolytic agents, methotrexate ntawm ib koob hauv qab 15 mg rau ib lim tiam, insulin thiab qhov ncauj hypoglycemic agents (sulfonylurea-rho tawm los, serotonin uptake, ethanol (suav nrog cawv uas muaj cawv), ibuprofen, cov kab ke glucocorticosteroids (GCS), kev npaj lithium, carbonic anhydrase inhibitors, sulfonamides, tshuaj RP G analgesics.

Kev tawm tsam, cov lus qhia rau kev siv: txoj kev thiab ntau npaum li cas

Cov tshuaj thrombital yog noj qhov ncauj, ntxuav nrog dej, 1 zaug hauv ib hnub. Yog tias koj muaj teeb meem nqos ib ntsiav tshuaj tag nrho, koj tuaj yeem zom nws lossis zuaj nws ua hmoov.

Cov tshuaj pom zoo kom noj kiag ntawm thrombital:

• cov kab mob plawv, suav nrog thrombosis thiab mob plawv tsis ua hauj lwm nrog cov kev pheej hmoo txaus rau kev tiv thaiv: thawj hnub - 2 ntsiav tshuaj, tom qab ntawd 1 ntsiav tshuaj ib hnub,
• thromboembolism tom qab phais mob vascular, rov ua myocardial infarction thiab cov hlab ntshav thrombosis rau lub hom phiaj ntawm kev tiv thaiv: hauv ib hnub ntawm 1-2 ntsiav tshuaj,
• qhov tsis txaus ntseeg tsis khov: nyob rau hauv ib koob tshuaj txhua hnub 1-2 ntsiav tshuaj, rau kev nqus sai, thawj ntsiav tshuaj ntawm tshuaj yog pom zoo kom zom.

Thrombital yog npaj rau kev siv lub caij nyoog ntev, qhov tshuaj ntawm cov tshuaj thiab lub sijhawm siv kho yog txiav txim los ntawm tus kws kho mob koom nrog.

Noj cov tshuaj yog yuav tsum tau tsuas yog nyob rau hauv cov koob tshuaj saum toj no nyob rau hauv raws li cov cim.

Sab sij huam

• cov leeg mob hauv plab: feem ntau - pw tsis tsaug zog, mob taub hau, ua tsis txaus ntseeg - tsaug zog, kiv taub hau, tsis tshua muaj - tinnitus, mob ntshav tawm ntawm lub cev, nrog ib tus tsis paub tseeb - hnov ​​pob ntseg (tej zaum yog lub cim ntawm kev siv tshuaj ntau dhau),
• hematopoietic system: ntau zaus - muaj ntshav ntau ntxiv (cov pos hniav los ntshav, txhaws ntswg, hematomas, los ntshav los ntawm genitourinary tus mob), tsis tshua muaj - ntshav txhaws, tsis tshua muaj tshwm sim - thrombocytopenia, hypoprothrombinemia, aplastic anemia, neutropenia, eosinophilia, agranulocytosis, nrog ib qho tsis paub ntau zaus - Muaj cov ntaub ntawv tshaj tawm hais txog kev muaj mob hnyav los ntshav (piv txwv, xws li lub plab zom zaws thiab txoj hlab ntaws ntshav, tshwj xeeb tshaj yog rau cov neeg mob ntshav siab uas tsis tau mus txog ntshav siab thiab / lossis tau txais kev kho mob nrog cov tshuaj anticoagulant), nyob rau qee qhov muaj tus cwj pwm ua rau muaj sia, los ntshav tuaj yeem ua rau muaj kev txhim kho tsis xws luag lossis mob ntshav tsis txaus / mob ntshav tom qab ntshav (piv txwv li, vim yog los ntshav) nrog cov kev soj ntsuam thiab kuaj pom thiab cov tsos mob (pallor) , asthenia, hypoperfusion), nyob rau hauv cov neeg mob uas muaj cov ntaub ntawv hnyav ntshav qabzib-6-phosphate dehydrogenase tsis txaus, cov neeg mob ntawm hemolysis thiab hemolytic anemia tau tshaj tawm,
• cov kab mob ua pa: ntau zaus - bronchospasm,
• cov zis hauv lub cev: nrog ib qho tsis paub tseeb - tsis pom kev raum thiab kev mob raum tsis zoo,
• plab zom mov: feem ntau - kub siab, ntau zaus - ntuav, xeev siab, ntaj ib ce - mob hauv plab, mob plab thiab duodenal mob, nrog rau mob plab, perforated (tsis tshua muaj) los ntshav, tsis tshua muaj - ntau ntxiv kev ua haujlwm ntawm daim siab enzymes, tsis tshua muaj neeg pom - stomatitis, erosive lesions ntawm lub plab hnyuv sab sauv, nruj, hlab pas, mob plab, voos voos voos, nrog rau kev tsis paub heev - tsis qab los noj mov, raws plab,
• kev ua xua: feem ntau - urticaria, Quincke's edema, ua tsis xws luag - anaphylactic kev tsis haum, suav nrog angioedema, nrog kev tsis paub ntau zaus - tawv nqaij ua pob khaus, khaus, o ntawm lub qhov ntswg mob, rhinitis, cardiorespiratory kev nyuaj siab, muaj kev tsis haum, suav nrog anaphylactic ceeb Cov.

Nyob rau hauv qhov xwm txheej / kev ua phem ntawm cov kev piav qhia saum toj no uas tsis xav tau lossis muaj qhov tshwm sim ntawm lwm qhov kev ua txhaum, nws yog qhov yuav tsum tau sab laj nrog cov kws tshaj lij.

Noj ntau dhau

Kev noj tshuaj ntau dhau ntawm qhov mob plab zuv tuaj yeem pom ob qho tib si tom qab ib qho kev txhaj tshuaj ntau, thiab nrog kev kho mob ntev. Nrog rau ib koob tshuaj acetylsalicylic acid ntawm ib koob tshuaj hauv qis dua 150 mg / kg, mob lom hnyav yog suav tias yog mob me, ntawm ib koob tshuaj 150-300 mg / kg - mob hnyav, thiab thaum siv ntau dua - hnyav.

Cov tsos mob ntawm kev siv ntau tshaj ntawm cov tshuaj los ntawm mob sib khuav mus rau mob hnyav xws li: pom kev tsis hnov ​​lus, hnov ​​lus tsis zoo, hnov ​​mob taub hau, mob plab, kiv taub hau, nce hws, ntuav, xeev siab, hyperventilation, tachypnea, tsis meej pem, ua pa ua pa. Nrog rau kev txhim kho ntawm cov tsos mob no, lawv tau txiav txim siab ua rau ntuav thiab yuam cov alkaline diuresis, rov siv cov roj carbon cov roj carbon ntau, thiab kev ntsuas tau coj los ua kom rov qab los ntawm cov dej-electrolyte sib npaug thiab cov kua qaub-lub xeev.

Cov tsos mob ntawm kev siv ntau tshaj ntawm Thrombital los ntawm kev mob mus rau qhov hnyav kuj muaj xws li: lub cev kub heev (hyperpyrexia), ua pa alkalosis nrog kev tiv thaiv metabolic acidosis, hyperventilation, ua pa nyuaj siab, tsis-cardiogenic pulmonary edema, asphyxia, txo ntshav siab, lub plawv dhia tsis xws luag, vau, mob plawv , mob ncauj plab, los ntshav, lag ntseg, lag ntseg, hyperglycemia, mob ntshav qab zib (feem ntau yog menyuam yaus), ketoacidosis, lub cev qhuav dej, lub cev tsis muaj zog (los ntawm oliguria txog Nia raum insufficiency, hyper- thiab hyponatremia sib txawv, hypokalemia), inhibition ntawm lub hauv paus poob siab system (nkees nkees, qaug dab peg, puas siab puas ntsws tsis meej pem, coma), tshuaj lom encephalopathy, haematological mob (tsuj ntawm platelet aggregation rau coagulopathy, hypoprothrombinemia, ib tug elongation ntawm prothrombin lub sij hawm).

Yog tias mob loj tsawv lossis hnyav tshaj, yuav tsum tau mus pw hauv tsev khomob tamsid. Lub plab zom zaub mov, rov ua dua ntawm kev siv lub tshuab hluav taws xob thiab laxatives yog nqa tawm, nrog salicylates ntau dua 500 mg / l, cov zis yog alkalized los ntawm kev tso ntshav (iv) Txoj kev lis ntshav ntawm sodium bicarbonate (88 meq hauv 5% glucose daws ntawm ib koob ntawm 1 l, ntawm tus nqi ntawm 10 l –15 ml / kg / h). Diuresis raug ntxias thiab qhov ntim ntawm cov ntshav khov yog rov qab los (los ntawm ob lossis peb zaug tso cov leeg ntawm sodium bicarbonate hauv tib lub koob). Nws yuav tsum tau yug los hauv lub siab tias kev tso dej siab ntau ntxiv rau cov neeg laus yuav ua rau mob ntsws qhuav. Acetazolamide rau kev tso zis ntawm cov zis tsis pom zoo, vim tias nws tuaj yeem ua rau mob plab zom mov thiab ua kom muaj kuab lom ntawm salicylates.

Thaum ua cov alkaline diuresis, nws yuav tsum ua kom tau pH qhov tseem ceeb ntawm 7.5 thiab 8. Hemodialysis yog tsim rau cov ntshav ntau ntawm salicylates hauv cov ntshav ntau dua 1000 mg / l, thiab hauv cov neeg mob uas muaj mob lom - 500 mg / l lossis tsawg dua yog tias qhia (zuj zus zuj zus, refractory acidosis, lub raum tsis ua hauj lwm, lub ntsws raum, qhov loj ntawm lub paj hlwb txoj kev puas tsuaj). Tawm tsam keeb kwm yav dhau los ntawm pulmonary edema, kev ua pa tawm ntawm lub ntsws nrog kev sib xyaw nrog cov pa oxygen yog ua tiav, nrog cerebral edema - hyperventilation thiab osmotic diuresis.

Qhov kev hem thawj ntawm kev qaug dab peg ntev zuj zus hauv cov neeg laus thaum siv thrombital rau ob peb hnub ntawm kev noj ntau dua 100 mg / kg ib hnub. Hauv cov neeg mob ntawm cov pab pawg hnub nyoog no, theem ntawm salicylates hauv cov ntshav yuav tsum tau txiav txim siab tsis tu ncua, vim tias lawv tsis ib txwm txiav txim siab cov tsos mob ntawm tus mob salicylism, xws li pom kev tsis hnov ​​lus, ua kom mob hlwb, xeev siab, ntuav, ntuav, mob taub hau, kiv taub hau, kiv taub hau.

Cov lus qhia tshwj xeeb

Mob plab yuav tsum noj raws li kws kho mob qhia.

Kev noj tshuaj Acetylsalicylic acid hauv kev muab tshuaj kho ntau dua, qhov kev pheej hmoo ntawm kev txhim kho lub plab zom mov yog aggravated.

Tawm tsam keeb kwm yav dhau los ntawm kev noj tshuaj acetylsalicylic acid lub sijhawm thiab / lossis tom qab kev phais mob, los ntshav ntawm ntau qib ntawm kev mob hnyav yog ua tau. Hauv cov neeg mob uas tau txais cov tshuaj acetylsalicylic acid tsawg, ob peb hnub ua ntej npaj kev phais mob, nws yog qhov yuav tsum tau soj ntsuam qhov txaus ntshai los ntshav piv nrog kev hem thawj ntawm ischemic cov teeb meem. Nrog txoj kev pheej hmoo txaus los ntshav, cov tshuaj yuav tsum raug muab tso tseg ib ntus.

Nrog rau kev siv lub cev muaj zog nrog cawv, qhov kev pheej hmoo ntawm cov plab hnyuv tws thiab lub caij nyoog los ntshav ntxiv.

Thaum lub sij hawm kho ntev nrog cov tshuaj, ib qho kev kuaj ntshav dav dav thiab fecal occult ntshav yuav tsum tau ua ntu zus.

Cev xeeb tub thiab lactation

Hauv I thiab III trimesters ntawm cev xeeb tub, kev siv ntawm Thrombital yog contraindicated, vim nws muaj cov nyhuv teratogenic. Hauv thawj peb lub hlis thaum cev xeeb tub, kev siv cov tshuaj tuaj yeem ua rau lub ntsej muag ntawm lub ntsej muag sab qaum hauv lub cev, thiab nyob rau lub sijhawm thib peb, mus rau kev txwv tsis pub ua haujlwm (kev txwv ntawm prostaglandin synthesis), kev mob ntsws rau txoj hlab ntshav thiab kev mob ntshav hauv lub ntsws ntsig, ua ntej kaw ntawm txoj hlab ntshav hauv lub plab.

Salicylic acid dhau los ntawm qhov tsis sib haum xeeb. Hauv II lub sijhawm cev xeeb tub, kev noj tshuaj yog ua tau tsuas yog pom tias muaj txiaj ntsig rau leej niam muaj txiaj ntsig ntau tshaj qhov kev hem thawj uas yuav muaj rau tus me nyuam hauv plab.

Acetylsalicylic acid, zoo li nws cov khoom ua rog, kis mus rau niam cov kua mis. Lub sijhawm siv kev muaj plab, kev pub mis rau menyuam yuav tsum tsis ua mus ntxiv.

Qhov zoo sib xws ntawm Thrombital thiab Cardiomagnyl Tebchaw

Cov no yog ob qho khoom lag luam. Nquag cov khoom xyaw hauv lawv cov lus: acetylsalicylic acid (75-150 mg), magnesium hydroxide (15.2 lossis 30.39 mg).

Ib qho txiaj ntsig zoo yog muab vim qhov tshwm sim ntawm platelets. Cov tshuaj kho cov tshuaj thaiv txoj kev ua ke ntawm thromboxane A2, uas txo lub peev xwm ntawm platelets los ua raws li cov phab ntsa ntawm cov hlab ntsha. Nyob rau tib lub sijhawm, muaj kev ua kom qeeb ntawm txoj kev los khi cov ntshav ntawm no mus rau ib leeg, kev teeb tsa cov ntshav khov tiv thaiv, thiab cov leeg ntshav kuj yog qhov qhia tau rau kev siv. Antithrombotic cov cuab yeej yog manifested li 7 hnub. Txhawm rau kom ua tiav cov txiaj ntsig no, nws txaus los noj 1 koob.

Lwm cov cuab yeej ntawm acetylsalicylic acid yog lub peev xwm los ua kom muaj txiaj ntsig zoo ntawm cov hlab plawv. Nrog rau kev kho mob nrog cov tshuaj yeeb tshuaj no, muaj txo qis kev pheej hmoo ntawm kev tuag hauv myocardial infarction. Cov tshuaj pab tiv thaiv txoj kev loj hlob ntawm cov kab mob pathological no thiab ntau yam kabmob ntawm cov hlab plawv.

Thaum lub sij hawm kho cov tshuaj, prothrombin lub sijhawm nce ntxiv, kev siv ntau ntxiv ntawm cov txheej txheem prothrombin ntau lawm hauv daim siab hloov qis. Tsis tas li ntawd, muaj qhov txo qis hauv cov ntsiab lus ntawm coagulation yam (tsuas yog cov vitamin K-dependant).

Thaum noj lub plab thiab cardiomagnyl, lub peev xwm ntawm platelets los ua raws li cov phab ntsa ntawm cov hlab ntsha poob qis.

Muaj ob peb lub ntsiab lus sib kis, nyob rau hauv muaj cov tshuaj uas tuaj yeem tsim kev puas tsuaj:

• mob ntshav roj,
• ntshav txhaws,
• exacerbation ntawm pais plab rwj,
• qhov tshwm sim ntawm tus mob ntsws bronchial thaum kho nrog NSAIDs,
• mob raum khiav tsis zoo,
• cev xeeb tub hauv qib 1 thiab thib 3,
• kev pub mis
• ua kom lub cev tsis haum rau cov tshuaj,
• hnub nyoog txog 18 xyoo
• lub raum tsis ua hauj lwm
• methotrexate kev kho.

Tshuaj yuav tsum tau nrog ceev faj heev vim muaj peev xwm tsim kev phom sij nyob rau hauv cov nram no:

• mob gout
• nce kev ua si ntawm daim siab enzymes,
• hyperuricemia
• keeb kwm ntawm lub plab ua txhab thiab los ntshav,
• bronchial hawb pob,
• polyposis hauv lub qhov ntswg,
• ua xua
• cev xeeb tub 2 trimesters.

Muaj qee kis, kev noj cov tshuaj yuav ua rau muaj kev phom sij, yog li ntawd, thaum txheeb xyuas contraindications, lawv yuav tsum tsis txhob quav ntsej. Yog tias muaj cov txheeb ze sib xyaw, kev txiav txim siab hauv kev pom zoo nkag mus yuav tsum yog tus kws kho mob ua.

Dua li ntawm qhov tseeb tias cov tshuaj muaj txiaj ntsig los ntawm cov kab mob ntawm lub plawv thiab cov hlab ntsha, txhim kho kev ua haujlwm ntawm lub plawv, yog tias cov tshuaj ntau dua, lawv yuav ua rau muaj kev phom sij. Qhov loj heev ntawm kev haus luam yeeb ntau tau txwv kom yog:

1. Nruab Nrab. Muaj xeev siab thiab ntuav, tinnitus, hematopoietic system cuam tshuam - nce los ntshav, ua kom ntshav khov. Hnov cov lus tsis zoo, tsis meej pem thiab kiv taub hau tshwm sim. Tus neeg mob tau ntxuav nrog lub plab thiab qhov tsim nyog ntawm cov roj carbon activated yog raug qhia. Txoj kev kho yog nyob ntawm ntawm daim duab hauv chaw soj ntsuam tawm tsam kev noj ntau dhau.
2. Hnyav. Kub taub hau, coma, ua pa thiab hlab plawv tsis txaus, muaj ntshav qab zib tsawg teev. Kev kho mob yog nqa tawm hauv tsev kho mob. Tus neeg mob tau qhia siab kho mob, uas suav nrog kev qhia txog cov kev daws teeb meem tshwj xeeb, kev tsim cov diuresis thiab lub plab zom mov, hemodialysis.

Nyob rau hauv cov ntaub ntawv ntawm kev overdose ntawm thrombital, xeev siab thiab ntuav, tinnitus yog pom.

Cov tshuaj no txhim kho cov nyhuv ntawm qee yam tshuaj, qhia tias lawv siv ua ke:

1. Methotrexate. Txo cov pob txha ua kom tsis muaj ntshav, ua kom cov pob zeb puas tsuaj nrog cov protein.
2. Heparin thiab tua kabmob tsis ncaj. Platelets hloov lawv txoj haujlwm. Anticoagulants raug yuam kom tawm ntawm lawv cov nyiaj nrog cov protein.
3. Antiaggregant thiab hypoglycemic tus neeg sawv cev - ticlopidine.
4. Cov tshuaj uas muaj ethanol.
5. Cov tshuaj insulin thiab cov tshuaj hypoglycemic.
6. Digoxin. Muaj ib qho kev txo qis hauv lub raum kev ua haujlwm.
7. Valproic acid. Yuam nws tawm ntawm nws cov nyiaj nrog cov nqaijrog.

Nyeg, tshuaj kho qhov txiav txim:

• uricosuric tus neeg sawv cev
• antacids thiab colestyramine.

Qhov txiaj ntsig ntawm cov tshuaj no raug txo thaum noj nrog Ibuprofen.

Yeeb tshuaj sib cuam tshuam

Nrog rau kev siv ua ke ntawm acetylsalicylic acid txhim kho kev ua ntawm cov tshuaj / tshuaj yeeb tshuaj vim kev txhim kho ntawm cov teebmeem hauv qab no:

• Digoxin - nws lub raum ua kom poob qis,
• methotrexate - txo lub raum kev tu lub cev, thiab cov khoom no tau hloov chaw los ntawm kev sib txuas lus nrog cov protein, qhov kev sib txuam no ua rau muaj qhov tshwm sim ntawm qhov tshwm sim tsis zoo los ntawm cov ntshav tsim cov plab hnyuv siab raum,
• cov tshuaj tiv thaiv kab mob hauv lub qhov ncauj (sulfonylurea derivatives) thiab cov tshuaj insulin - acetylsalicylic acid nyob rau hauv cov qib siab ua kom pom cov nyhuv hypoglycemic, sulfonylurea derivatives tau hloov chaw los ntawm kev sib txuas lus nrog ntshav ntshav plasma protein,
• heparin thiab anticoagulants tsis ncaj - platelet muaj peev xwm ua tsis tau zoo, tsis siv neeg anticoagulants tau tawg los ntawm kev sib txuas lus nrog plasma protein,
• valproic acid - cov khoom no tau hloov los ntawm kev sib txuas lus nrog cov ntshav protein,
• narcotic analgesics, lwm yam NSAIDs, thrombolytic, antiplatelet thiab anticoagulant agents (ticlopidine) - ceev faj yuav tsum tau siv nrog kev sib xyaw no.

Thaum acetylsalicylic acid yog ua ke nrog qee yam tshuaj / tshuaj, cov teebmeem hauv qab no tuaj yeem pom:

• barbiturates thiab lithium ntsev - lub plasma qhov siab ntawm cov neeg sawv cev nce ntxiv,
• ibuprofen - cardioprotective cuam tshuam ntawm acetylsalicylic acid txo thaum nws siv nyob rau hauv cov koob tshuaj txog li 300 mg vim qhov ua kom tsis muaj zog ntawm cov nyhuv antiplatelet, nyob rau hauv qhov muaj kev pheej hmoo ntawm cov kab mob plawv, qhov kev sib xyaw no tsis pom zoo,
• anticoagulants, thrombolytics, antiplatelet agents - kev pheej hmoo ntawm los ntshav yog aggravated,
• GCS, ethanol thiab ethanol-muaj cov tshuaj - cuam tshuam tsis zoo ntawm lub plab hnyuv mucosa nce, thiab kev pheej hmoo ntawm lub plab zom mov nce ntxiv,
• cicicosteroids systemic - kev tshem tawm cov salicylates yog txhim kho, thiab lawv cov nyhuv ua kom tsis muaj zog, tom qab tshem tawm ntawm kev siv cov corticosteroids ua lag luam, kev pheej hmoo ntawm kev noj tshuaj salicylates nce,
• ethanol - lub sij hawm lom ntawm cov tshuaj no rau hauv nruab nrab lub paj hlwb nce,
• colestyramine, antacids - qhov nqus ntawm acetylsalicylic acid yog txo,
• kev npaj ua uricosuric (probenicide, benzbromaron) - lawv cov nyhuv tsis muaj zog vim yog kev sib tw ntawm kev rov qab ua haujlwm ntawm lub raum tsis ua haujlwm los ntawm uric acid,
• angiotensin-converting enzyme inhibitors - qhov tshuaj tiv thaiv kab mob txo qis hauv glomerular pom tau vim yog inhibition ntawm prostaglandins, nthuav tawm cov vasodilating nyhuv thiab, vim li ntawd, qhov txo qis hauv cov nyhuv hypotensive,
• diuretics (ua ke nrog cov koob tshuaj ntawm acetylsalicylic acid) - qhov txo qis ntawm glomerular pom vim qhov txo qis hauv kev tsim cov prostaglandins hauv lub raum yog ua tau.

Cov duab ntxiv ntawm Trombital yog: Cardiomagnyl, Trombital Forte, ThromboMag, Phasostabil.

Tshuaj Ntsuam Xyuas

Kev txheeb xyuas txog Trombital yog qhov zoo dhau heev. Cov neeg mob sau tseg txog qhov ua tau zoo ntawm tus neeg sawv cev antiplatelet thaum nws raug siv rau kev tiv thaiv cov kab mob plawv, rov qab tawm tsam ntawm myocardial infarction thiab thromboembolism tom qab kev phais mob ntawm cov hlab ntsha, nrog rau kev tiv thaiv kom txhob mob angina. Raws li kev txheeb xyuas, tom qab kho nrog cov tshuaj muaj cov txiaj ntsig zoo tau tshwm sim tas mus li. Tsis tas li, cov neeg mob nco ntsoov tus kheej tag nrho ntawm cov tshuaj no nrog txawv teb chaws Cardiomagnyl, tab sis tus nqi ntawm cov tshuaj Lavxias yog me ntsis qis dua nws cov neeg sawv cev, uas yog qhov tseem ceeb rau cov neeg mob thaum kho mob ntev.

Qhov tsis zoo ntawm cov tshuaj muaj xws li cov npe loj ntawm cov kev tiv thaiv thiab kev phiv tshuaj. Txhawm rau kom txo qhov tsis tsim nyog ntawm lub plab zom mov, ntau tus neeg mob pom zoo kom noj tom qab noj mov tag.

Lub Cim Yug

Chaw Tsim Tshuaj - Pharmstandard (Russia). Daim ntawv tso tawm ntawm cov tshuaj yog cov yeeb yaj kiab-coated ntsiav tshuaj. Nov yog qhov khoom siv ob-sib xyaw. Cov khoom xyaw nquag hauv nws cov muaj pes tsawg leeg: acetylsalicylic acid (75-150 mg), magnesium hydroxide (15.20 lossis 30.39 mg). Qhov ntau ntawm cov khoom sib xyaw no yog qhia rau 1 ntsiav tshuaj. Cov khoom tseem ceeb ntawm cov tshuaj:

• anti-aggregation,
• antithrombotic.

Txhawm rau txiav txim siab seb qhov twg zoo dua, mob nrawm lossis cardiomagnyl, nws yog qhov tsim nyog los ntsuas qib kev ua haujlwm ntawm cov tshuaj.

Ib qho txiaj ntsig zoo yog muab vim qhov tshwm sim ntawm platelets. Cov tshuaj inhibits kev sib txuas ntawm thromboxane A2, uas txo lub peev xwm ntawm platelets los ua raws li cov phab ntsa ntawm cov hlab ntsha. Nyob rau tib lub sijhawm, muaj kev qeeb qeeb hauv cov txheej txheem los khi cov qe ntshav no rau ib leeg, kev teeb tsa cov ntshav txhaws. Antithrombotic cov cuab yeej yog manifested li 7 hnub. Txhawm rau kom tshwm sim no, nws txaus los noj 1 koob tshuaj.

Nyeem ntxiv txog txhua yam tshuaj nyob rau hauv cov kab lus:

Lwm cov cuab yeej ntawm acetylsalicylic acid yog lub peev xwm los ua kom muaj txiaj ntsig zoo ntawm cov hlab plawv. Nrog rau kev kho mob nrog cov tshuaj yeeb tshuaj no, muaj txo qis kev pheej hmoo ntawm kev tuag hauv myocardial infarction. Cov tshuaj pab tiv thaiv txoj kev loj hlob ntawm cov kab mob pathological no thiab ntau yam kabmob ntawm cov hlab plawv.

Nrog kev kho mob thrombital, lub sijhawm prothrombin nce ntxiv, kev siv ntau ntxiv ntawm cov txheej txheem prothrombin ntau lawm hauv daim siab poob qis. Tsis tas li ntawd, muaj qhov txo qis hauv cov ntsiab lus ntawm coagulation yam (tsuas yog cov vitamin K-dependant).

Antithrombotic cov cuab yeej yog manifested li 7 hnub. Txhawm rau kom tshwm sim no, nws txaus los noj 1 koob tshuaj.

Kev kho mob ntawm lub plab me yuav tsum tau ua nrog ceev faj yog tias lwm yam tshuaj tiv thaiv kom tsis haum nyob rau tib lub sijhawm. Kev pheej hmoo ntawm cov teeb meem nce ntxiv, los ntshav yuav qhib.

Tsis tas li ntawd, lwm cov khoom muaj ntawm acetylsalicylic acid kuj tau pom: tiv thaiv, mob, antipyretic, analgesic. Vim tias qhov no, thrombital tuaj yeem siv los txo qhov kub ntawm lub cev, rau qhov mob ntawm ntau yam etiologies, tawm tsam tom qab ntawm kev txhim kho vascular. Lwm cov cuab yeej ntawm cov tshuaj yog lub peev xwm leeb kev pom ntawm uric acid.

Qhov tsis zoo ntawm cov tshuaj muaj xws li kev tsis zoo nyob rau hauv mucous daim nyias nyias ntawm lub plab hnyuv plab hnyuv plab hnyuv plab zom mov. Txo cov nyhuv ntawm acetylsalicylic acid thiab tiv thaiv kev txhim kho ntawm cov teeb meem, lwm qhov ntxiv tau nkag mus rau qhov muaj pes tsawg leeg - magnesium hydroxide. Kev qhia rau kev siv ntawm thrombital:

• kev tiv thaiv lub plawv thiab mob ntshav thiab tiv thaiv lub plawv tsis ua haujlwm,
• kev tiv thaiv cov ntshav txhaws,
• kev tiv thaiv ntawm thromboembolism tom qab phais mob ntawm cov hlab ntsha,
• txo txoj kev pheej hmoo ntawm kev rov txhim kho myocardial infarction,
• angina pectoris tsis khov.

Cardiomagnyl Nkaus

Cardiomagnyl yog tsim los ntawm Takeda GmbH (Lub Tebchaws Yelemees).

Daim ntawv noj tshuaj: enteric-coated tablets.

Cov khoom xyaw nquag: acetylsalicylic acid - 75/150 mg, magnesium hydroxide - 15.2 / 30.39 mg.

Cov muaj mob: microcrystalline cellulose, pob kws nplej siab, hmoov txhuv nplej siab, magnesium stearate.

Plhaub: methylhydroxyethyl cellulose, propylene glycol, talc.

Dab tsi yog qhov sib txawv thiab zoo sib xws ntawm Thrombital thiab Cardiomagnyl?

Cov tshuaj yog qhov zoo ib yam hauv qhov ntau npaum ntawm cov tshuaj nquag - acetylsalicylic acid (ASA), thiab antacid - magnesium hydroxide. Tus txheej txheem ntawm kev ua ntawm cov tshuaj no yog ua raws kev koob tshuaj koob tshuaj qhov cuam tshuam ntawm ASA ntawm lub cev.

Hauv kev siv tshuaj me me, acetylsalicylic acid nthuav tawm cov khoom antiplatelet, i.e. muaj peev xwm nyias cov ntshav.

ASA ntawm ib qho tshuaj ntawm 30-300 mg / hnub. irreversibly nplawm lub enzymes cyclooxygenase (COX), uas koom rau hauv kev tsim ntawm thromboxane A2. Cov cuab yeej no ntawm ASA siv los tiv thaiv cov hlab plawv cuam tshuam nrog kev nce ntshav ntxiv: thromboembolism, ischemic strokes thiab myocardial infarction.

Ntawm cov kev phiv ntawm ASA, qhov kev hem thawj loj tshaj plaws yog qhov kev pheej hmoo ntawm kev yaig thiab mob rau ntawm phab ntsa ntawm lub plab thiab duodenum. Qhov txiaj ntsig tsis haum yog cuam tshuam nrog kev cuam tshuam ntawm cytoprotective thaj chaw ntawm peripheral cov ntaub so ntswg thaum thaiv cov pa roj carbon monoxide COX, uas koom nrog tsis tsuas yog nyob rau hauv synthesis ntawm thromboxane A2, tab sis kuj nyob rau hauv kev tsim prostaglandins (PG). Kev txwv tsis pub GHG synthes feem ntau hais tau thaum siv tshuaj loj ntawm ASA (4-6 g), tab sis kev cuam tshuam cov ntaub so ntswg cytoprotection pom zoo thaum siv me me.

Txhawm rau tiv thaiv cov phab ntsa ntawm lub plab zom mov, cov ntsiav tshuaj ntawm Trombital thiab Cardiomagnyl yog them nrog cov txheej txheej enteric film, cov muaj pes tsawg leeg muaj qhov sib txawv uas tsis cuam tshuam rau lawv cov khoom tiv thaiv.

Cov tshuaj ua kom nquag plias ntawm cov tshuaj tsis muaj qhov sib txawv hauv kev muaj pes tsawg leeg lossis ntau npaum li cas, yog li ntawd, kev qhia rau kev noj cov tshuaj no zoo ib yam:

1. Thawj qhov kev tiv thaiv cov mob thrombosis thiab mob plawv tsis ua rau muaj kev pheej hmoo (ntshav qab zib mellitus, hyperlipidemia, kub siab, rog rog, haus luam yeeb, muaj hnub nyoog tshaj 50 xyoo).
2. Kev tiv thaiv ntawm theem nrab myocardial infarction thiab thrombosis.
3. Kev tiv thaiv ntawm thromboembolism tom qab phais vascular.
4. Tsis ruaj tsis khov angina pectoris.

Cov tshuaj tiv thaiv kev siv tshuaj no yog:

• tsis haum rau NSAIDs, tshwj xeeb ASA,
• peptic rwj hauv qhov mob theem lossis hauv pob qij txha,
• nyiam los ntshav hauv cov hnyuv,
• bronchial hawb pob,
• polyposis ntawm lub ntswg ntswg,
• hemophilia
• hemorrhagic diathesis,
• hypoprothrombinemia,
• stratified aortic aneurysm.

Uas yog pheej yig dua?

Rau kev sib piv, lub rooj qhia cov nqi ntawm cov tshuaj ntawm cov ntawv sib txawv ntawm kev tso tawm:

Kev Raug Mob Hauv Lub Tebchaws yog pheej yig dua tus neeg sawv cev tiv thaiv kab mob zoo dua li nws cov neeg ua haujlwm German.

Puas yog nws tuaj yeem hloov pauv thrombital nrog cardiomagnyl?

Cov tshuaj no tuaj yeem sib hloov thaum lub sijhawm tiv thaiv kev kho mob, vim tias lawv tsis muaj qhov sib txawv ntawm cov khoom siv nquag. Kev ntsuas rau kev siv thiab contraindications yeej zoo ib yam.

Krasko A. V., kws kho plawv, Tatishchevo: "Nrog rau kev tswj hwm tib lub sij hawm ntawm kev npaj muaj cov tshuaj acetylsalicylic acid, lawv cov tshuaj hepatotoxicity zoo dua. Cov tshuaj no yuav tsum yog kws kho los ntawm tus kws kho mob, thiab chav tiv thaiv yuav tsum tau ua hauv kev saib xyuas kev kho mob (kev soj ntsuam, OAK)."

Marinov M. Yu., Tus Kws Kho Mob, Verkhoyansk: "Muaj ntau cov tshuaj no, ntawm ib sab tes, nws yog qhov zoo rau tus neeg mob, tab sis ntawm qhov tod tes, nws nce qhov kev pheej hmoo ntawm qhov tsis raug ntawm cov kev siv tshuaj rau tus kheej. Cov tshuaj kuj tseem siv los daws cov mob ntawm cov neeg mob uas muaj ntshav ntau los yog cerebrovascular. "Kev ua tiav ntawm cov chav kawm prophylactic yuav tsum tshwm sim maj mam thiab nyob rau hauv kev saib xyuas ntawm kws kho mob.

Alina, 24 xyoo, Moscow: "Ob qho tshuaj yog qhov hloov pauv tau zoo rau cov ntsiav tshuaj Acetylsalicylic acid yooj yim - cov cuab yeej pheej yig, tab sis tsis zoo siv los ua kom cov ntshav nyias nyias. Cov qog ua tau zoo tiv thaiv lub plab, tshem tawm cov txiaj ntsig tseem ceeb."

Olga, hnub nyoog 57 xyoo, Barnaul: "Kuv xaiv Cardiomagnyl rau kuv tus kheej thaum pib ua pov thawj. Tab sis tom qab ntawd kuv hloov nrog Trombital. Kuv tsis xav tias muaj qhov txawv. Kuv tsis pom muaj kev phiv dab tsi. Muaj ntau yam tshuaj ntawm cov tshuaj no hauv cov khw muag tshuaj."

Dab tsi yog qhov sib txawv ntawm Thrombital thiab Cardiomagnyl

Thrombital yog tsim nyob rau hauv cov ntsiav tshuaj coated, uas txo cov neeg kawm ntawv ntawm txoj kev tsis zoo ntawm lub plab. Cardiomagnyl muaj nyob rau hauv cov ntsiav tshuaj tsis muaj txheej txheem, yog li ntawd, acetylsalicylic acid ua rau lub plab zom zaub mov.

Qhov sib txawv hauv tus nqi yog me me. Ib pob ntawm Trombital (30 ntsiav tshuaj) raug nqi txog 115 rubles, Cardiomagnyl - 140 rubles.

Cov tshuaj sib xyaw thiab ntau npaum li cas ntawm cov tshuaj yog tib yam, yog li lawv muaj cov cim qhia zoo sib xws thiab sib kis. Kev mob plab yog qhov zoo dua hauv kev kho mob plawv vim yog zaj duab xis txheej ntawm ntsiav tshuaj.

Cov kws kho mob tshuaj xyuas txog Trombital thiab Cardiomagnyl

Dmitry, kws phais nqaij ntshav, Moscow

Mob ntsws yog tas li rau cov neeg mob vascular pathology. Tsuas noj - 75 mg ib hnub ib zaug rau pluas su tom qab noj mov. Zoo thiab tsis tshua muaj yeeb tshuaj. Cov tshuaj yog txoj hauv kev phais plawv. Txhua tus neeg mob txaus siab nrog tus nqi thiab qhov zoo ntawm cov tshuaj.

Vladimir, kws kho plawv, St. Petersburg

Cardiomagnyl muaj qhov tshuaj ntau npaum li 75 mg, uas yog qhov tsawg kawg nkaus ua tau txiaj ntsig ntawm kev txo qis myocardial infarction thiab mob stroke. Qhov qis dua ntawm ASA cov ntsiab lus nyob rau hauv cov tshuaj, qhov qis dua qhov phom sij uas yuav los ntshav. Yog li 75 mg yog qhov zoo dua hauv qhov no tshaj 100 mg. Hauv qhov xwm txheej no, Cardiomagnyl tsuas tuaj yeem txhim kho qhov kwv yees ntawm cov neeg mob.

Igor, phlebologist, Vladivostok

Tus nqi qis ntawm cov tshuaj, cov peev txheej ntau hauv kev sib raug zoo rau kev tiv thaiv cov kab mob plawv thiab lawv cov kev mob tshwm sim, qhov tsawg kawg nkaus ntawm qhov tsis zoo, ib koob tshuaj thaum nruab hnub. Cardiomagnyl yog qhov tshuaj tsis tuaj yeem ua haujlwm hauv kev phais mob vascular, uas tau raug tshaj tawm rau txhua tus neeg mob 50+ uas mob vascular pathology hauv kev tiv thaiv kab mob txhaws, mob plawv thiab mob ntsws.

Cardiomagnyl muaj nyob rau hauv cov ntsiav tshuaj tsis muaj txheej txheem, yog li ntawd, acetylsalicylic acid ua rau lub plab zom zaub mov.

Kev Ntsuam Xyuas Rau Neeg Mob

Marta, 34 xyoo, Yaroslavl

Nws coj Trombital Forte (nrog qhov kev siv tshuaj ntau tshaj plaws). Cov kev tsis zoo tshwm sim: pw tsaug zog, ntxhov siab, kiv taub hau, xeev siab. Kuv hloov mus rau Trombital nrog kev txhaj tshuaj yam tsawg kawg ntawm cov khoom sib txuas loj. Nws tau muaj kev kho mob yam tsis muaj teeb meem.

Alena, 36 xyoo, Nizhny Novgorod

Kuv tau haus Cardiomagnyl rau ntau tshaj 3 xyoos. Tsis muaj tshuaj los ntawm cov tshuaj no. Lub raj mis ntev li 3 lub hlis. Kuv haus 1 ntsiav tshuaj ib hnub, yuav ib pob tshuaj 100 ntsiav tshuaj, nrog ib koob tshuaj 75 mg. Nws yuav tsum haus cawv tsis tu ncua, vim tias kuv mob hemodialysis, muaj lub fistula, yog tias koj tsis haus nws, cov ntshav txhaws tuaj yeem tsim. Tom qab ntawd nws yuav tsis yooj yim sua kom ua tus txheej txheem hemodialysis. Tsuas yog tias koj tso lub raj yas, tab sis nws tseem tuaj yeem tiv thaiv. Yog li ntawd, Kuv haus nws tas li, nws pab, yog ib qho tshuaj zoo.

Victoria, 32 xyoo, Volgograd

Cov tshuaj no tau noj thaum cev xeeb tub, vim tias cov placenta tau txais kev pab tsis zoo nrog cov ntshav thiab lub sijhawm yug menyuam ntxov tuaj yeem pib, ntawm lub sijhawm tau muab tshuaj ntawm 75 mg ib hnub ib zaug tom qab noj hmo rau 2 hlis. Nyob rau lub sijhawm no, tsis muaj teebmeem dabtsi nyob rau ntawm lub plab, tsuas yog txham ntswg tau los ua ntau dua. Tab sis txij li kev txhim kho tau pom ntawm ultrasound, ces tawm hauv lub qhov ntswg rau lub hom phiaj ntawm tus menyuam tuaj yeem tiv taus.

Cov yam ntxwv ntawm Thrombital thiab Cardiomagnyl

Cov nquag ua haujlwm ntawm Cardiomagnyl yog acetylsalicylic acid. Kev nkag mus rau hauv cov ntshav, nws txwv cov khoom lag luam thromboxane (platelets lo ua ke nyob rau hauv tus neeg ntawm enzyme no, uas ua rau muaj thrombosis).

Ib qho kev sib xyaw ntxiv hauv cov lus muaj pes tsawg leeg yog magnesium hydroxide. Nws yog tshuaj antacid (ib yam khoom uas txo cov kua qaub hauv lub plab).

Nrog rau kev sib xyaw ntawm acetylsalicylic acid nrog magnesium hydroxide, nws tsis qhia nws cov khoom muaj teeb meem thiab tsis ua kev puas tsuaj ntawm cov leeg. Ib qho tseem ceeb tau txais txiaj ntsig yog qhov tsis muaj kev cuam tshuam ntawm cov Cheebtsam, vim yog qhov kev ywj pheej uas lawv muaj peev xwm nkag mus rau cov ntshav.

Cov muaj pes tsawg leeg ntawm Trombital suav nrog tib lub qub. Cov nyhuv ntawm kev noj cov tseem muaj ntxiv rau ib lub lim tiam tom qab tswj hwm. Tseem Ceeb! Cov tshuaj ua kom nquag plias txo qhov kev pheej hmoo ntawm myocardial infarction progression. Lawv muab thiab ua haujlwm zoo ntawm kev tiv thaiv mob stroke. Hauv qhov siab heev, lawv muaj cov tshuaj tua-mob thiab analgesic zoo.

Piv: zoo sib xws thiab sib txawv

Cov tshuaj hauv cov lus nug muaj qhov dav dav ntawm kev ua. Kev ntsuas rau lawv siv yog li nram no:

1. Kev tiv thaiv thiab kho mob ntawm thrombosis.
2. Kev kho mob ntawm thromboembolism tom qab phais mob vascular.
3. Lub xub ntiag tsis khov tsis txaus ntseeg lub angina.

Yuav tsum nco ntsoov! Yog tias ib qho ntawm cov kev kho kom haum tsis haum rau tus neeg mob, nws yog qhov tsis tsim nyog los hloov nws nrog kev ntsuas. Txwv tsis pub, qhov ua kom tsis haum lub siab yuav tshwm sim.

Cov txheej txheem rau kev siv yog raws li nram no:

1. Los ntshav thiab txhaws qa.
2. Keeb kwm muaj mob hawb pob.
3. Mob raum tsis ua haujlwm.

Saib xyuas! Nws raug txwv tsis pub siv cov tshuaj no rau cov neeg mob hnub nyoog qis dua 18 xyoo. Nws yog tsim nyog tso tseg lawv siv nyob rau thawj peb thiab peb lub hlis ntawm cev xeeb tub, vim hais tias tom qab ntawd qhov tsim los ntawm cov kabmob ntawm cov menyuam hauv lub neej tom ntej tshwm sim (salicates tabkaum cov txheej txheem).
Cov poj niam siv tau mis yuav siv tau cov tshuaj no rau lub sijhawm luv luv, vim tias salicates nkag rau hauv cov mis.

Cov kev sib txawv muaj teev nyob hauv lub rooj:

Cov koob tshuaj pom zoo los ntawm kws kho mob yuav tsum raug saib xyuas kom tsis txhob noj ntau dhau, nrog kev ntuav, tinnitus. Thaum cov tsos mob no tshwm sim, koj yuav tsum yaug koj lub plab.

Dab tsi yog qhov zoo dua Cardiomagnyl lossis Thrombital

Thaum xaiv cov khoom lag luam, koj yuav tsum xav txog qhov xav tau ntawm kev sib tsoo ua ntej siv. Yog tias muaj qhov xav tau ntawd, nws yog qhov zoo los xaiv Cardiomagnil, vim tias nws muaj kev pheej hmoo.

Ob yam tshuaj puav leej muaj suab thaj dawb. Yog li lawv tuaj yeem siv los ntawm cov neeg mob ntshav qab zib. Tseem Ceeb! Cov khoom xyaw suav nrog hauv lawv cov muaj pes tsawg leeg txhim kho kev ua ntawm Heparin thiab Digoxin. Nws tsis pom zoo kom muab tshuaj nrog cov tshuaj anticoagulants. Txwv tsis pub, los ntshav yuav pib tuaj.

Txheeb xyuas qhov ua tau zoo ntawm cov lus tawm tswv yim los ntawm cov neeg siv thiab cov kws kho mob yuav pab.

Los ntawm angina pectoris, tus kws kho mob qhia Cardiomagnil. Kuv zoo siab tias nws tsis tsuas yog tshem tawm cov tsos mob ntawm tus kab mob, tab sis kuj tsis muaj suab thaj (Kuv muaj keeb kwm mob ntshav qab zib).

Dab tsi yog qhov sib txawv ntawm tus tub ceev xwm thiab tus neeg tshawb nrhiav: dab tsi yog haujlwm, sib txawv. Saib cov ntaub ntawv ntawm no.

Los ntawm mob plab, tus kws kho mob sau tawm ua kom lub plab loj. Nws cov txiaj ntsig tseem ceeb yog tus nqi pheej yig thiab ua tau zoo hauv kev kho thiab tiv thaiv cov kab mob plawv.

Txog kev kho cov kab mob plawv, Kuv tau sau daim pib Trombital lossis Cardiomagnil rau cov neeg mob. Lub xub ntiag ntawm contraindications rau siv yog offset los ntawm tus nqi pheej yig thiab ua haujlwm tau zoo.

Saib cov lus qhia ua video rau kev npaj “Cardiomagnyl”:

Qhov sib txawv ntawm Trombital thiab Cardiomagnyl

Thaum xaiv Trombital lossis Cardiomagnyl npaj, koj yuav tsum xub paub koj tus kheej nrog lawv cov yam ntxwv, cov yam ntxwv dav dav thiab qhov sib txawv. Hauv qhov no, txoj kev xaiv tshuaj yuav tsum yog los ntawm tus kws kho mob saib xyuas.

Thaum xaiv Trombital lossis Cardiomagnyl npaj, nws yog ib qhov tsim nyog yuav tau paub lawv tus kheej nrog lawv cov yam ntxwv, cov yam ntxwv thiab kev sib txawv.

Dab tsi yog qhov sib txawv thiab kev sib thooj ntawm Trombital thiab Cardiomagnyl?

Cov tshuaj muaj tshuaj muaj sib npaug thiab ua ntau npaum li cas, vim li ntawd lawv ua rau tib cov kev mob tshwm sim. Kev taw qhia thiab kev txwv ntawm kev siv tshuaj yeeb kuj zoo ib yam.

Cov tshuaj Trombital muaj nyob rau hauv hom ntsiav tshuaj. Hauv qhov no, cov ntsiav tshuaj tau coated nrog lub plhaub tiv thaiv, vim qhov kev pheej hmoo ntawm kev cuam tshuam tsis zoo rau lub qog ua kua ntawm lub plab hnyuv plab hnyuv plab hnyuv txhaws raug txo qis.

Cardiomagnyl tshuaj kho mob tsis muaj daim nyias nyias zaj duab xis, yog li ntawd cov tshuaj acetylsalicylic acid, tawm tsam cov keeb kwm yav dhau los ntawm lawv txoj kev siv, muaj kev cuam tshuam ntau dua ntawm cov hnyuv.

Lub tswv yim ntawm cov kws kho mob

Igor (phlebologist), 38 xyoo, Syktyvkar

Cov tshuaj no ua rau cov ntshav thim thiab tiv thaiv txoj kev loj hlob ntawm cov hlab plawv. Feem ntau cov feem ntau, Kuv sau cov tshuaj kom mob plab, vim hais tias cov ntsiav tshuaj no tau lo nrog cov txheej tshwj xeeb, uas ua rau lawv txoj kev kho mob zoo dua. Cardiomagnyl yog pheej yig dua. Txawm li cas los xij, Kuv yuav tsis qhia kev txuag ntawm kuv tus kheej kev noj qab haus huv. Ntxiv mus, tus nqi sib txawv me me.

Dmitry (kws phais neeg), hnub nyoog 40 xyoo, Vladimir

Ob qho tshuaj yeeb tshuaj no muaj lub zog ua haujlwm ntau. Lawv muaj tib qho sib txawv - muaj nyob ntawm ib zaj duab xis membrane nyob rau hauv cov tshuaj Trombital. Cardiomagnyl tsis muaj nws, yog li nws yuav tsum tau coj nrog kev saib xyuas tshwj xeeb thiab nyob rau hauv kev saib xyuas ntawm tus kws kho mob. Cov kev kho mob no tau txais txiaj ntsig zoo los ntawm cov neeg mob ntshav qab zib thiab cov neeg laus laus. Cov kev phiv tshuaj tsis tshwm sim yog tias koj ua raws li cov lus qhia khomob thiab qhov yuav tsum tau ua ntawm cov lus qhia.

Kev taw qhia thiab contraindications rau siv

Lub hom phiaj ntawm kev kho mob nrog cov tshuaj no yog txhawm rau txhim kho kev ua haujlwm ntawm cov kabmob ntawm cov hlab plawv, kom tiv thaiv kev tsim cov ntshav txhaws.

Cov tshuaj yog tawm rau lub hom phiaj tiv thaiv txhawm rau kom zam kev tshwm sim nyob rau hauv cov neeg mob koom nrog pawg muaj kev pheej hmoo (kev mob rog, mob ntshav qab zib mellitus, mob ntshav tawm ntawm lub cev, nrog rau cov laus hnub nyoog thiab cov neeg haus luam yeeb).

Cov tshuaj yog tshuaj rau thrombosis

Raws li kev ntxiv rau cov kev kho mob tseem ceeb, cov tshuaj tuaj yeem raug txiav txim tom qab kev phais mob (suav nrog cov leeg hlab ntshav bypass grafting). Kev siv cov tshuaj kom tsis tu ncua sij hawm pab txhawb qhov tseem ceeb txo qis ntawm qhov tshwm sim muaj tshwm sim ntawm thrombosis.

Kev tswj hwm lub cev yog qhia rau cov neeg mob:

• nrog tsis khov taub hau,
• los tiv thaiv kev tsim ntawm thrombosis tom qab ua haujlwm,
• nrog thawj txoj kev loj hlob ntawm cov kev mob plawv thiab leeg ntshav,
• txhawm rau tiv thaiv kev tsim ntawm myocardial infarction,
• tawm tsam keeb kwm ntawm lub plawv tsis ua haujlwm ntawm qhov mob tsis meej,
• los tiv thaiv kev tsim cov ntshav txhaws hauv cov hlab ntsha.

Lub cuab yeej muaj qee qhov kev txwv ntawm kev siv. Nws tsis pom zoo kom siv cov ntsiav tshuaj rau cov neeg uas muaj lub siab xav hemorrhage (tawm tsam keeb kwm ntawm thrombocytopenia, qhov tseem ceeb tsis txaus cov vitamin K, hemorrhagic diathesis).

Nws yog txwv tsis pub noj cov neeg mob nrog intolerance rau cov tshuaj aspirin, tsis-steroidal anti-inflammatory tshuaj, zoo li ib qho ntxiv ntawm cov tshuaj. Cov cuab yeej no tsis siv rau hauv kev kho mob hauv plab, nws tsis haum rau menyuam yaus.

Ntxiv rau, qhov cuab yeej tsis tuaj yeem ua tiav thaum muaj xwm txheej zoo li no:

• cerebral ntshav poob
• ntshav poob rau hauv lub plab lossis plab hnyuv,
• lub plawv tsis ua haujlwm 3 thiab FC, ntws hauv ib hom mob,
• hepatic thiab lub raum tsis ua haujlwm,
• bronchial hawb pob nrog los ntawm kev tsis pom-ntawm acetylsalicylic acid,
• kab mob ntawm ulcerative etiology nyob rau hauv cov plab hnyuv siab raum ntawm digestive system ntawm tus mob huam,
• poj niam lub sij hawm muaj me nyuam thiab hauv cov txheej txheem kev pub niam mis.

Cov lus qhia rau kev siv

Txais tos yuav tsum tau nqa tawm los ntawm qhov ncauj txheej txheem ib hnub ib zaug. Yog tias koj muaj teeb meem nqos tag nrho cov tshuaj, koj tuaj yeem zom nws los yog zom ua ntej siv.

Qhov tau noj ntawm cov tshuaj yog vim lub hom phiaj uas nws tau tshuaj thiab tau piav qhia hauv qab no:

Tseem Ceeb! Kev kho txoj sia ntawm txoj kev kho mob ntev ntev yog siv sijhawm ntev, tus lej thiab lub sijhawm rau kev kho mob yuav tsum txiav txim siab los ntawm tus kws kho mob koom nrog.

Nws yog ib qho tsim nyog yuav tsum tau siv cov tshuaj, nruj me ntsis tsom kwm cov lus pom zoo kho mob.

Thrombital thiab Cardiomagnyl: dab tsi yog qhov txawv

Raws li cov khoom sib txuam, ntau npaum ntawm cov khoom xyaw, kev qhia thiab sib kis rau kev siv, mob plab thiab cardiomagnyl yog cov qauv duab (analogues). Tab sis vim yog qhov tseeb tias cov ntsiav tshuaj ntawm Trombital muaj cov tiv thaiv cov yeeb yaj kiab tiv thaiv, lawv nyiam kom muaj qhov sib piv nrog Cardiomagnyl hauv kev kho cov kab mob ntawm cov kabmob hauv cov hlab plawv, vim lawv cuam tshuam rau lub plab zom mov tsawg dua.

Cov nqi thiab cov cai ntawm cov hnub so hauv cov khw muag tshuaj

Koj tuaj yeem yuav tshuaj thrombital hauv yuav luag txhua lub tsev muag tshuaj yam tsis muaj daim ntawv yuav los ntawm kws kho mob. Tus nqi ntawm cov tshuaj yog vim nws qhov ntau npaum li cas thiab cov naj npawb ntawm cov ntsiav tshuaj hauv pob, thiab yog kwv yees li 92-157 rubles.

Qhov ua tau zoo ntawm Trombital kho cov teeb meem mob plawv thiab rau lub hom phiaj tiv thaiv yog pom los ntawm kev txheeb xyuas ntau yam ntawm cov neeg uas tau siv cov tshuaj no. Cov cuab yeej pab txo qis kev pheej hmoo, ua kom lub xeev ua haujlwm ntawm cov hlab plawv, tiv thaiv kev txhim kho myocardial infarction hauv tib neeg muaj kev pheej hmoo.