Kokarnit kev txhaj tshuaj: kev qhia

Cov tshuaj Kokarnit ua raws cov vitamins thiab coenzymes, los ntawm kev ua haujlwm hauv cov metabolism hauv cov ntaub so ntswg thiab cov hlwb hauv lub cev tau zoo tuaj. Cov tshuaj muaj cov teebmeem xws li neurometabolic thiab analgesic, thiab tseem muaj cov yam ntxwv zoo rau hauv lub siab kev xav chaw ib puag ncig. Dab tsi yog cov tshuaj Kokarnit, nrog rau cov yam ntxwv ntawm nws siv, peb yuav xav txog hauv cov khoom siv.

Pharmacological kev txiav txim ntawm cov tshuaj

Cov tshuaj Kokarnit tau nthuav tawm nyob rau hauv daim ntawv ntawm ib txoj hauv kev ntawm cov khoom siv hauv lub cev thiab cov vitamins ntawm cov pab pawg sib txawv. Cov tshuaj sib xyaw ua ke ntawm cov tshuaj Kokarnit muaj cov tshuaj xws li nicotinamide, uas yog vitamin ua cov qauv uas nws nyob ze rau nicotinic acid. Los ntawm cov tshuaj no, cov yeeb yam hauv qab no tshwm sim:

• Kev ua kom rov ua haujlwm ntawm redox hauv tib neeg lub hlwb thiab cov ntaub so ntswg.
• Nws hloov tawm kev txhim kho hauv cov pa metabolism.
• Kev nqus ntawm atherogenic lipoproteins uas muaj nyob hauv cov ntshav yuav txo qis.
• Cov nyhuv tiv thaiv kev ua xua yog tsim.

Lub cocarboxylase uas muaj nyob hauv cov tshuaj Kokarnit yog coenzyme los ntawm ib pawg ntawm cov enzymes sib xyaw hauv lub cev. Xws li cov enzymes yog qhov tseem ceeb hauv cov txheej txheem ntawm cov kev ua kom muaj cov carbohydrate thiab rog rog, thiab ntxiv rau, txhim kho cov piam thaj ntxiv, kev thauj mus los ntawm cov muaj txiaj ntsig zoo thiab kev noj haus tib neeg cov ntaub so ntswg. Yog hais tias xws li enzyme nyob rau hauv lub cev raws li cocarboxylase yog tsis txaus, ces muaj qhov ntse nce qib ntawm cov kua qaub thiab lactate hauv cov ntshav. Qhov no ua rau kev txhim kho ntawm cov kua qaub-lub hauv paus tsis sib xws ua ke.

Cyanocobalamin nthuav tawm ua cov khoom noj muaj txiaj ntsig uas muaj cov cobalt. Rau cov kev ua haujlwm tsis zoo ntawm tib neeg lub cev, kab kawm no tseem ceeb heev. Tus lej ntawm nws cov haujlwm tseem ceeb muaj xws li:

1. Nquag kev koom tes hauv cov protein, rog thiab carbohydrate metabolism. Ntxiv rau, cov kab keeb kwm kev ua kom cov txheej txheem tsim dua tshiab hauv cov ntaub so ntswg.
2. Nws ua kom qis dua ntawm cov roj (cholesterol) hauv cov ntshav plasma, thiab kuj tshem tawm cov teeb meem hauv cov roj ntau hauv lub siab.
3. Nws muaj cov txiaj ntsig zoo ntawm kev ua haujlwm ntawm daim siab thiab lub siab.

Ib qho tseem ceeb ntxiv uas ua rau Kokarnit yog disodium adenosine. Nws cov khoom muaj xws li:

• Txo cov ntshav siab.
• Txhab cov hlab ntsha.
• Txo kev tshwm sim ntawm arrhythmias.

Cov tshuaj Kokarnit tsuas yog ua tau yog los ntawm kev hno tshuaj. Nws muaj cov hmoov pom ntawm cov xim liab dawb, uas yuav tsum tau yaj ua ntej txhaj tshuaj. Cov khoom siv yog nrog cov kuab tshuaj, thiab cov lus qhia rau kev siv. Cov nplua nuj muaj pes tsawg leeg ntawm cov tshuaj pub rau koj muab cov kev kho mob nyhuv rau cov neeg muaj kab mob ntau yam. Cov kab mob twg yog siv cov tshuaj kho mob, peb kawm paub ntau ntxiv.

Kev ntsuas rau siv

Kev txhaj tshuaj Kokarnit yog tsim rau siv nyob rau hauv muaj ib qho ntawm cov kab mob hauv qab no:

• Kev noj qab haus huv pathologies ntawm ib qho kev sib kis.
• Mob tuag tes tuag taw.
• Mob leeg mob.
• Mob symptomatology, manifested li ntawm vascular compression.
• Ntse qis dua nraub qaum mob.
• Coronary mob plawv.
• Cov txheej txheem o uas tsim tawm hauv lub siab nqaij.

Nyob rau hauv muaj ib qho ntawm cov kab mob saum toj no, koj tuaj yeem rov qab mus rau kev siv tshuaj Kokarnit, tab sis tsuas yog tom qab kev teem caij ntawm tus kws tshaj lij lossis sab laj nrog nws. Koj tuaj yeem muab kev txhaj tshuaj ntawm Kokarnit tom tsev, yog tias tib lub sijhawm muaj kev paub txaus thiab kev coj ua ntawm cov txheej txheem.

Nyob rau hauv dab tsi yam mob yog kev siv cov Cocarnit contraindicated

Cov lus qhia rau kev siv Kokarnit hais tias kev qhia ntawm tshuaj tiv thaiv yog raug txwv tsis pub muaj xwm txheej thaum tus neeg mob muaj cov kab mob no:

• lub plawv tsis ua hauj lwm
• txo lub plawv dhia,
• myocardial infarction
• mob stroke
• bronchial hawb pob,
• mob qog
• lub plab zom mov,
• mob ntshav qab zib

Kev siv cov tshuaj yog contraindicated yog tias tus neeg mob muaj qhov tshwm sim zoo ntawm lub cev rau ib qho twg ntawm cov tshuaj. Txhawm rau tshem tawm txoj kev txhim kho ntawm kev fab tshuaj tsis haum, yuav tsum tau kuaj thawj zaug. Tsis tas li, cov kws kho mob tsis pom zoo kom nrhiav kev pab los ntawm cov tshuaj no rau cov poj niam lub caij nyoog yug menyuam, nrog rau lub sijhawm pub niam mis. Yog tias yuav tsum tau siv cov tshuaj noj thaum lub sijhawm lactation, tom qab ntawd tus menyuam yuav tsum tau tsiv mus nyob ib ntus rau kev pub mis.

Cov yam ntxwv ntawm kev siv tshuaj kho mob

Cov tshuaj muaj pes tsawg leeg ntawm yeeb tshuaj Kokarnit suav nrog cov khoom siv xws li lidocaine. Ua ntej yuav mus rau txoj kev siv cov tshuaj, nws yog ib qho tsim nyog yuav tsum paub tseeb tias tus neeg mob tsis ua xua. Yog tias cov tshuaj tiv thaiv rau cov tshuaj muaj pes tsawg leeg zoo, ces kev qhia ntawm cov tshuaj yuav tsum tau cais tawm.

Nws yog ib qho tseem ceeb kom paub! Yog tias muaj qhov ua xua tshwm sim, cov tsos mob xws li khaus, liab ntawm daim tawv nqaij, tawm pob, ua pa sai, thiab ua rau lub cev tsis zoo. Kev phom sij ntawm kev ua xua tshwm sim yog tias ib qho tshuaj tuaj yeem ua rau mob anaphylactic kev poob siab, nrog kev txhim kho uas tus neeg tuaj yeem tuag taus.

Cov tshuaj yog npaj tsuas yog siv rau kev tswj hwm intramuscular. Ua ntej siv cov tshuaj, koj yuav tsum qhib lub ampoule nrog cov kuab tshuaj, tom qab ntawd ntaus tus nqi uas yuav tsum tau txhaj rau hauv cov koob txhaj, thiab tom qab ntawd ntxiv nws rau qhov sib xyaw ntawm cov tshuaj. Tom qab kev daws teeb meem tau ntxiv rau hauv lub raj mis nrog qhov sib tov qhuav, koj tsis tas yuav tshem cov koob txhaj tshuaj nrog rab koob ntawm lub khob. Cov tshuaj sib xyaw ua ke ntawm cov tshuaj yuav tsum tau muab sib xyaw kom huv kom txog thaum muaj qhov sib luag ntawm qhov sib xws, thiab tom qab ntawd muab tso rau hauv cov koob txhaj tshuaj.

Ua ntej txhaj cov tshuaj rau hauv cov leeg, qhov chaw txhaj tshuaj yuav tsum tau haus dej cawv. Kev txhaj tshuaj tuaj yeem tso rau hauv gluteus, tab sis ntev rab koob xav kom ncav cov leeg nqaij ncaj qha. Cov tshuaj yog txhaj kom maj mam dhau los cais qhov tsim ntawm kev cog lus nyob hauv qhov tuab ntawm daim ntaub so ntswg adipose.

Tus nqi niaj hnub ntawm kev tswj hwm ntawm cov tshuaj yuav tsum tsis pub ntau tshaj 4 ml, uas yog, ob lub ampoules. Lub sijhawm ncua ntawm kev tshem tawm cov tsos mob mob tuaj yeem yog 9 hnub, tab sis tsis muaj ntxiv. Nyob rau txhua kis, koj yuav tsum hu rau tus kws tshaj lij uas yuav sau cov kev kawm tshwj xeeb rau kev siv cov tshuaj. Yog tias cov cuab yeej tsis pab txhawb nqa kev tshwm sim ntawm qhov muaj txiaj ntsig zoo, ces tus kws kho mob txiav txim siab txog kev teem caij ntawm cov tshuaj muaj zog ntau dua.

Ntau tshaj thiab cuam tshuam

Cov neeg tsim khoom lag luam tsis pom zoo kom tswj cov tshuaj hauv ib qhov ntau dua li qhia hauv cov lus qhia. Cov tshuaj ntau dhau heev yuav tsis ua kom tus neeg mob tus mob. Thiab nws yuav ua rau muaj qhov tshwm sim ntawm kev siv dhau lawm. Cov tsos mob ntawm kev haus ib qho zuj zus yog vim kev loj hlob ntawm cov tsos mob hauv qab no:

• qhov tshwm sim ntawm mob taub hau
• kiv taub hau
• qaug zog,
• tsis nco qab
• Lub ntsws lim ntshav,
• asphyxia
• txos cov ntshav siab
• txo nyob rau hauv nrig txog kev pom tseeb,
• coma.

Yog tias, tom qab tswj hwm kev siv tshuaj, ib qho ntawm cov tsos mob saum toj no tshwm sim, nws yog qhov yuav tsum tau kom koj tsis txhob siv Cocarnit thiab hu rau kev kho mob kub ceev. Cov tshuaj tiv thaiv rau kev noj tshuaj ntau dhau ntawm Kokarnit tsis muaj nyob, yog li ntawd, kev pab tsim nyog rau tus neeg mob yuav muab raws li cov tsos mob tshwm sim.

Cov lus qhia tseem ceeb rau kev siv cov tshuaj

Tom qab npaj ntawm cov tshuaj, txhaj tshuaj yuav tsum tau muab tswj tam sim ntawd. Lub sijhawm ntev khaws cia ntawm cov tshuaj npaj tau txo cov txiaj ntsig zoo ntawm qhov ua haujlwm zoo. Tom qab npaj qhov kev txhaj tshuaj, nws cov xim yuav tsum liab. Yog tias, tom qab npaj, cov xim ntawm kev txhaj tshuaj tsis haum rau tus qauv, tom qab ntawd siv cov khoom lag luam raug txwv. Tsuas yog ib tus neeg ua haujlwm tsim nyog yuav tsum ua tus tswj kev noj tshuaj, tab sis yog tias muaj kev paub zoo los ntawm kev paub dhau los, kev qhia ntawm cov tshuaj raug tso cai rau tus neeg tsis muaj kev kawm kho mob (tus kwv tij lossis tus phooj ywg ntawm tus neeg mob).

Ua ntej kev qhia ntawm cov tshuaj, nws yog ib qho tsim nyog los ntxuav cov tawv nqaij ntawm qhov chaw txhaj tshuaj. Nrog huab ceev faj, nws yog ib qho tsim nyog yuav tsum tau siv cov tshuaj nyob rau hauv tej yam mob:

• txo lub plawv dhia,
• cov kab mob ua pa
• postoperative lub sijhawm
• quav cawv
• raum tsis ua haujlwm thiab lub siab ua haujlwm,
• leeg ntshav siab.

Kev siv cov tshuaj ntawm ib qho ntawm cov xwm txheej saum toj no tuaj yeem ua rau muaj kev rau txim loj heev. Yog tias koj siv cov tshuaj noj mus ntev, tom qab ntawd txoj kev loj hlob mob siab mob siab tsis raug tshem tawm. Txhawm rau tshem tawm qhov tsim ntawm hom kev cuam tshuam no, thaum kev siv cov tshuaj uas tau hais tseg rau 9 hnub, cov khoom noj uas muaj tshuaj methionine yuav tsum tau qhia rau hauv cov khoom noj.

Thaum kev kho mob yog nqa tawm nrog kev pab ntawm Kokarnit, cov cim tseem ceeb hauv qab no yuav tsum raug saib xyuas yam tsis muaj qhov tsis swb:

1. Qib qab zib qib.
2. Poov tshuaj thiab magnesium nyob rau hauv lub cev.
3. Lactate hauv cov ntshav.

Rau cov neeg nyiam kas fes, koj yuav tsum txo tus nqi ntawm nws txoj kev siv thaum lub sij hawm siv cov tshuaj kom tsawg kawg nkaus.

Kev cuam tshuam nrog lwm yam tshuaj

Kev txiav txim siab tseem ceeb yuav tsum tau muab rau ib qho xwm txheej no thaum muaj kev sib cuam tshuam ntawm cov yeeb tshuaj nrog lwm cov tshuaj. Cov tuam txhab tsim khoom thiab cov kws tshaj lij tsis pom zoo siv Kokarnit nrog lwm hom tshuaj, vim qhov no pab txhawb rau cov kab hauv qab no:

1. Nce kev pheej hmoo ntawm hyperkalemia. Xws li tus kab mob pathology yog tias cov tshuaj sib koom tes nrog tshuaj nrog diuretics.
2. Cov kev siv nyuaj ntawm glycosides pab txhawb rau qhov tshwm sim ntawm pathologies, ntxiv rau cov kev mob tshwm sim ntawm cov kab mob plawv.
3. Txo cov nyiaj ntawm lidocaine hauv ntshav plasma los ntawm kev siv ua ke ntawm Petidine thiab Quinidine.
4. Nrog kev siv morphine kev sib xyaw ua ke, nws muaj peev xwm ua rau inhibition ntawm lub ntsws ua haujlwm.
5. Nce kev pheej hmoo los ntshav yog hais tias ua ke nrog anticoagulants.
6. Kev sib xyaw ua ke nrog cov tshuaj inhibitors pab txo cov ntshav siab.
7. Koj tsis tuaj yeem siv Cocarnit nrog rau Xanthinol, txij li tom kawg txo txoj kev cuam tshuam zoo ntawm cov qub.

Nws yog ib qho tseem ceeb kom paub! Ua ntej siv cov tshuaj, koj yuav tsum hu rau tus kws kho mob tshwj xeeb uas yuav qhia koj qhov kev xav tau ntawm kev siv.

Tus nqi thiab cia cov nta

Koj tuaj yeem yuav cov tshuaj Kokarnit tsuas yog rau qhov laj thawj tsim nyog los ntawm koj tus kws kho mob. Tus nqi ntawm cov tshuaj hauv hno yog 720 rubles rau 3 ampoules. Cov tshuaj yog tsim los ntawm ntau cov tuam ntxhab, yog li ntawv cog lus tus nqi yuav txawv txav. Txhawm rau kom tsis txhob poob rau qhov cuav, koj yuav tsum yuav cov tshuaj noj hauv khw muag tshuaj uas muaj ntawv pov thawj.

Khaws tshuaj nyob rau hauv qhov chaw tsaus xwb uas muaj kev txwv rau menyuam yaus. Qhov tsis zoo khaws cia ntawm cov tshuaj yuav ua rau nws siv tsis tau, tom qab uas nws siv yog nruj me ntsis txwv tsis pub. Feem ntau, lub txee ua haujlwm ntawm cov tshuaj los ntawm hnub tim uas tsim tawm yog 3 xyoos nrog kev khaws cia. Thaum yuav tshuaj, nco ntsoov them sai sai rau hnub tso tawm. Tom qab hnub tas sijhawm, cov tshuaj no raug pov tseg.

Nws yog ib qho tseem ceeb kom paub! Kev siv cov Cocarnitus yog contraindicated rau cov menyuam yaus uas muaj hnub nyoog qis dua 18 xyoo.

Hauv kev xaus, nws yuav tsum raug sau tseg tias cov tshuaj muaj analogues, yog li yog tias nws tsis tshwm hauv lub tsev muag tshuaj Kokarnit, ces nws tuaj yeem hloov los ntawm: Cardonate, Actovegin, Vitaxone, Milgamma.

Tso tawm daim ntawv, ntim tshuaj thiab nws muaj pes tsawg leeg

Daim ntawv dab tsi yog cov tshuaj Kokarnit muag? Cov lus qhia tau tshaj tawm tias cov tshuaj no yog nyob hauv daim ntawv ntawm lyophilisate rau kev npaj ntawm kev daws, nrog rau ib qho hnyav (lidocaine) hauv ampoules.

Muaj pes tsawg leeg ntawm tus neeg sawv cev no suav nrog nicotinamide, cocarboxylase, cyanocobalamin thiab adenosine triphosphate. Raws li cov khoom sib ntxiv, glycine, propyl parahydroxybenzoate thiab methyl parahydroxybenzoate siv.

Cov yam ntxwv ntawm Pharmacodynamic

Dab tsi yog qhov cuab yeej peb xav tau? Cov lus qhia hais txog nws li cas? Kokarnit yog cov txheej txheem ntawm cov vitamins thiab tshuaj uas cuam tshuam rau cov metabolism. Nws muaj cov nyhuv ntawm neurometabolic thiab analgesic, thiab tseem cuam tshuam rau txoj kev xav-noj zaub.

Qhov ua tau zoo ntawm cov tshuaj no yog vim nws muaj pes tsawg leeg. Xav txog cov yam ntxwv ntawm txhua yam ntawm cov tshuaj nyob rau hauv ntau dua.

Nicotinamide cuam tshuam zoo rau kev cuam tshuam txog carbohydrate thiab nitrogen metabolism, koom nrog hauv cov txheej txheem redox, thiab kuj txhawb nqa qhov kev thauj ntawm ATP rau hauv cov hlwb. Tsis tas li, cov khoom no muaj cov yam ntxwv sedative. Hauv qhov no, nws tau ua haujlwm zoo rau kev mob neuropsychiatric tsis meej, kev nyuaj siab, ntxhov siab thiab poob siab.

Cocarboxylase yog coenzyme uas ua lub luag haujlwm tseem ceeb hauv cov metabolism hauv kev ua kom yuag, cuam tshuam cov synthesis ntawm nucleic acids, txhim kho trophism ntawm cov ntaub so ntswg, lipids thiab cov protein, thiab tseem yuav txhawb kev nqus ntawm cov piam thaj.

Adenosine triphosphate yog ib qho kev tso dag ntawm adenosine. Txoj haujlwm no txhawb cov txheej txheem metabolism. Nws yog lub zog tseem ceeb substrate ntawm hlwb. Nrog rau cov kab mob ntawm cov hlab ntshav, ib qho kev ua kom tsis muaj zog ntawm lub zog, uas tuaj yeem txo qis vim adenosine triphosphate. Nws txoj kev thauj mus los rau cov hlwb tshwm sim vim yog nicotinamide. Adenosine triphosphate muaj peev xwm tshaj tawm cov txiaj ntsig antiarrhythmic, hypotensive thiab vasodilating cuam tshuam.

Raws li rau cyanocobalamin, nws synthesizes thiab tsub zuj zuj protein, ua kom cov metabolism ntawm carbohydrates thiab cov rog. Qhov tshwm sim ntawm qhov kev ua no yog qhov txo qis hauv cov cholesterol, nrog rau kev tiv thaiv cov rog hepatosis.

Nws tseem yuav tsum tau sau tseg tias cyanocobalamin tsub kom lub hlwb rov ua dua tshiab, uas yog qhov tsim nyog rau kev ua haujlwm ntawm cov ntshav-ua haujlwm ntawm cov kabmob, mob siab thiab leeg hlwb.

Cov kab mob dab tsi uas tau sau ntawv kom siv cov tshuaj xws li Kokarnit? Cov lus qhia rau kev siv (txhaj tshuaj yuav tsum tau nqa tawm tsuas yog tus kws paub txog kev noj qab haus huv) qhia tau tias qhov ntsuas ntawm cov cuab yeej no yog:

• kev mob hlwb
• neuralgia ntawm ntau lub hauv paus,
• sciatica, lumbago, sciatica,
• myalgia, tendonitis, bursitis,
• neuropathy (suav nrog ntshav qab zib),
• myocardiopathy, ischemic mob plawv, myocarditis.

Nws tseem yuav tsum tau hais tias thaum cev xeeb tub cov tshuaj no tsuas yog siv yog tias cov txiaj ntsig rau leej niam yav tom ntej yog siab dua qhov kev pheej hmoo rau tus menyuam hauv plab.

Cov Yuav Tsum Muaj

Thaum twg koj yuav tsum tsis txhob sau daim ntawv tshuaj "Kokarnit"? Cov kev qhia hais tias cov tshuaj no yog contraindicated hauv:

• kev tiv thaiv tsis haum
• daim ntawv tshwj xeeb ntawm txoj kev mob ntshav hauv lub ntsws, nrog rau hypotension,
• erythrocytosis, erythremia,
• psoriasis
• ua txhaum ntawm kev txiav txim siab thiab ua rau lub plawv khiav tsis zoo,
• myocardial infarction hauv lub sijhawm mob ceev.

Peb tsis tuaj yeem hais tias cov tshuaj hauv cov lus nug yog ua tib zoo pom zoo rau cov neeg muaj mob caj dab, mob plab, mob gout thiab mob siab. Tsis muaj ntaub ntawv qhia txog kev siv hom tshuaj no rau menyuam yaus.

Ntxiv rau, thaum sau daim ntawv hais txog kev noj tshuaj, cov lus hauv qab no contraindications rau cov kuab tshuaj rau hauv daim ntawv ntawm 0.5% lidocaine yuav tsum tau coj mus rau hauv tus account: Adams-Stokes syndrome, sinus node tsis muaj zog syndrome, angina pectoris, Wolf-Parkinson-White syndrome, myasthenia gravis, epileptiform convulsions cuam tshuam nrog lidocaine lub raum mob loj heev thiab cov pob qij txha.

Kokarnit kev txhaj tshuaj: kev qhia

Xyuas txog cov cuab yeej no yuav piav qhia hauv qab no.

Raws li cov lus qhia, cov tshuaj no yuav tsum muab tshuaj intramuscularly hauv 1 lossis 2 ampoules txhua hnub. Qhov hno tau ua tiav hauv chav kawm. Lawv lub sijhawm yog nyob ntawm qhov mob hnyav ntawm tus kabmob.

Cov tshuaj daws teeb meem siv tam sim ntawd tom qab npaj. Ntxiv mus, nws yuav tsum liab. Yog tias cov xim tsis tau hloov, ces kev siv cov tshuaj tiv thaiv raug txwv.

Siv cov tshuaj Kokarnit, cov lus qhia ntawm uas tau muab ntim rau hauv pob ntawv los ntawm cov duab los qhia, cov ntshav liab thiab cov plasmaets, lub sijhawm txhaws, uric acid, bilirubin thiab transaminases yuav tsum tau soj ntsuam tas li.

Sab sij huam

Dab tsi yog qhov tsis zoo thaum tom qab siv Kokarnit? Cov lus qhia rau kev siv qhia tau tias cov tshuaj no tuaj yeem ua rau:

• tachycardia
• mob taub hau
• urticaria
• tsis muaj zog
• hws
• kiv taub hau
• daim tawv nqaij ua pob,
• anaphylactic kev poob siab,
• khaus
• zawv plab
• peripheral vascular thrombosis,
• pulmonary edema.

Nws tseem yuav tsum tau sau tseg tias cov neeg mob uas muaj qhov tsis txaus siab ua ntej kev sib qhia ntawm cov tshuaj nqa tawm ib qho kev sim intradermal.

Tshuaj ntau dhau

Yuav muaj dab tsi tshwm sim nrog kev siv tshuaj ntau dhau ntawm Kokarnit tshuaj? Cov lus qhia rau kev siv (kev txhaj tshuaj yuav tsum yog tsuas yog tshwj xeeb los ntawm cov kws tshaj lij) hais tias yog tias cov tshuaj noj ntawm qhov ncauj tsis zoo, tshuaj lom mob tshwm sim, uas tau hais tawm los ntawm daim tawv nqaij, khaus, xeev siab, mob taub hau, ntuav lossis kub siab.

Rau kev siv tshuaj kho mob ntev zuj zus, kev nce qib ntawm uric acid thiab qabzib, nrog rau cov tsos mob ntawm lub plab hauv duodenum, yog tus yam ntxwv.

Kev cuam tshuam nrog lwm yam tshuaj

Kuv puas tuaj yeem siv cov tshuaj Kokarnit (tshuaj) nrog lwm cov tshuaj? Cov kev qhia tau qhia tias cocarboxylase, uas yog ib feem ntawm cov tshuaj, muaj peev xwm txhim kho cov nyhuv cardiotonic ntawm cov mob glycosides.

Raws li rau nicotinamide, nws potentiates cov tshuaj anticonvulsant ntawm cov tshuaj antiepileptic (piv txwv li, Diazepam, Carbamazepine, Valproate).

Adenosine triphosphate ua ke nrog potassium-sparing diuretics, npaj poov tshuaj thiab ACE inhibitors tsub kom muaj kev pheej hmoo ntawm hyperkalemia. Nws tseem txhim kho qhov kev txiav txim (antianginal) ntawm nitrates thiab beta-blockers.

Thaum noj tshuaj nrog Dipyridamole, nws cov vasodilating nyhuv tau kho kom zoo.

Xanthinol nicotinate txo qis kev ua haujlwm ntawm adenosine triphosphate, thiab Carbamazepine, ntawm qhov tsis sib thooj, txhim kho nws cov nyhuv.

Ua ke nrog "Theophylline" thiab muaj caffeine antagonism yog manifested.

Qhov nqus ntawm cov tshuaj yog txo los ntawm cov poov tshuaj npaj, cyanocobalamin aminoglycosides, cov tshuaj antiepileptic, salicylates thiab Colchicine.

Qhov kev nqus ntawm cyanocobalamin yog txo thaum siv nrog "Polymyxin", "Kanamycin", "Neomatsin" thiab "Tetracycline."

Cyanocobalamin yog tsis sib xws nrog ascorbic acid, Riboflavin, Pyridoxine thiab ntsev ntawm cov hlau nyhav.

Qhov kev tiv thaiv ntawm qhov ncauj txo qhov kev nyeem ntawm cyanocobalamin nyob rau hauv cov ntshav.

Nqi thiab analogues

Qhov tshuaj ntau npaum li cas "Kokarnit"? Cov lus qhia rau kev siv yuav tsis muab lus teb rau lo lus nug. Koj tuaj yeem nrhiav nws tsuas yog hauv lub tsev muag tshuaj. Raws li txoj cai, tus nqi ntawm cov khoom no rau peb ampoules sib txawv ntawm 120-150 rubles.

Dab tsi tuaj yeem hloov cov Kokarnit metabolic tov? Cov lus qhia, kev txheeb xyuas hais tias tsis muaj cov yam ntxwv ntawm cov tshuaj no. Yuav kom hloov nws nrog cov txhais tau tias zoo sib xws, koj yuav tsum tau sab laj nrog kws kho mob (feem ntau lawv pom zoo Ismizhen, Venohepanol, Threw, Orcipol, Sterillium, Dioflan, Collomac, Chondrosamine, Endofalk, " Secnidox ").

Tam sim no koj paub txoj ntsiab cai ntawm kev ua ntawm yeeb tshuaj "Kokarnit." Cov lus qhia, ib qho piv txwv ntawm cov tshuaj no tau hais saum toj no.

Feem ntau cov cuab yeej no, siv rau hauv kev siv cov neurological, cardiosurgical thiab neurosurgical. Cov kws tshaj lij nco txog tias cov tshuaj no muaj peev xwm txo cov qhov txhab ua paug, zoo li tshem tawm qhov mob caj dab.

Nws tseem yuav tsum tau sau tseg tias cov tshuaj hauv cov lus nug tau ua pov thawj nws tus kheej hauv txoj kev kho mob nyuaj rau cov neeg mob nrog discogenic lumbosacral radiculitis. Hauv qhov no, cov tshuaj yuav tsum tau siv intramuscularly ntawm 2 ml ib hnub rau 2-3 lub lis piam.

Cov neeg mob tsis tshaj tawm cov kev mob tshwm sim nrog cov tshuaj no.

Tso tawm daim ntawv thiab muaj pes tsawg leeg

Kokarnit muaj nyob rau hauv daim ntawv ntawm lyophilizate rau kev npaj ntawm kev daws rau intramuscular (i / m) kev tswj hwm: cov paj yeeb lyophilized loj, tom qab rov ua dua lub teeb liab ntshiab (187.125 mg txhua qhov hauv qhov tsaus iav ampoule, 3 ampoules nrog lyophilisate thiab 3 ampoules hauv blister pack) 2 ml nrog cov kuab tshuaj, hauv daim duab los qhia 1 pob).

1 ampoule muaj:

• cov khoom xyaw nquag: cocarboxylase - 50 mg, cyanocobalamin - 0.5 mg, triphosadenine disodium trihydrate - 10 mg, nicotinamide - 20 mg,
• Cov khoom ua haujlwm pabcuam: propyl parahydroxybenzoate, glycine, methyl parahydroxybenzoate.

Cov kuab tshuaj tsuas yog lidocaine hydrochloride, dej rau txhaj.

Cov Tshuaj Hauv Tshuaj

Qhov kev ua ntawm Kokarnit yog vim muaj cov yam ntxwv ntawm ib qho kev xaiv rationally complex ntawm cov tshuaj yeeb dej caw.

Cocarboxylase yog coenzyme uas tau tsim los ntawm thiamine (vitamin B₁) Nws yog qhov sib xyaw ntawm carboxylase enzyme, uas catalyzes lub carboxylation thiab decarboxylation ntawm alpha-keto acids. Nws ncaj qha cuam tshuam rau kev coj ua ntawm nucleic acids, lipids thiab proteins. Txhawb txoj kev nqus ntawm cov piam thaj, txo qis cov ntsiab lus ntawm cov kab mob lactic thiab pyruvic hauv lub cev, txhim kho trophism ntawm cov leeg.

Trifosadenin yog ib qho kev tso zis ntawm adenosine, muaj ib qho metabolic, antiarrhythmic, hypotensive, vasodilating effect. Nyob hauv qhov kev cuam tshuam ntawm ATP (adenosine triphosphoric acid), cov leeg du yog cov so, cov ntshav siab (BP) tsawg dua, thiab cov leeg puas siab ntsws tau zoo dua. Pab txhim kho cov metabolism thiab lub zog ntawm cov nqaij. Cov vasodilating siv tau muaj txiaj ntsig nrog nrog rau cov kev mob ntshav txhaws thiab ntshav hlab hlwb.

Cyanocobalamin - Vitamin B₁₂, uas tom qab nkag mus rau hauv lub cev hloov mus rau hauv ob hom coenzyme: 5-deoxyadenosyl cobalamin thiab methyl cobalamin. Methylcobalamin ua lub luag haujlwm tseem ceeb hauv kev tseem ceeb ntawm cov khoom noj ntawm lub cev purine thiab pyrimidine, piv txwv, hauv kev hloov pauv ntawm homocysteine ​​rau methionine thiab S-adenosylmethionine. Qhov tsis txaus cov vitamins hauv cov tshuaj tiv thaiv no tuaj yeem them taus los ntawm methyltetrahydrofolate acid, vim tias qhov no muaj kev ua txhaum ntawm cov tshuaj folic metabolism. 5-deoxyadenosyl cobalamin koom nrog qhov tshuaj tiv thaiv ntawm carbohydrate thiab lipid metabolism, ua lub cofactor hauv isomerization ntawm L-methylmalonyl coenzyme A rau succinyl coenzyme A. Qhov tsis txaus ntawm vitamin B₁₂ nyob rau hauv lub cev ua rau muaj kev ua txhaum ntawm kev tsim ntawm myelin sheath ntawm neurons, nthuav tawm sai ntawm faib cov epithelial hlwb thiab cov nqaij mos hematopoietic.

Nicotinamide - ib daim ntawv ntawm cov vitamin PP, koom nrog cov txheej txheem redox hauv lub cell. Regulates nqaij ua pa, txhim kho carbohydrate thiab nitrogen metabolism.

Cov Tshuaj Pharmacokinetics

Tom qab kev tswj hwm hauv tsoomfwv, trifosadenin nkag mus rau hauv cov kabmob ntawm cov kabmob. Muaj, nws tau tawg rau hauv adenosine thiab inorganic phosphate nrog kev tso tawm ntawm lub zog. Kev rho tawm cov khoom lag luam tom qab tau koom rau hauv ATP resynthesis.

Qhov nqus ntawm cocarboxylase nrog i / m tswj hwm tshwm sim sai hauv lub cev nrog kev nkag mus rau hauv cov ntaub so ntswg feem ntau. Kev txo qis ntawm cov khoom noj khoom haus uas ua rau lub cev tsuas yog tshwm sim los ntawm lub raum.

Tom qab kuv / m tswj hwm, cyanocobalamin yog sai thiab tag nrho nqus. Nws txoj kev xa khoom mus rau cov ntaub so ntswg yog nqa los ntawm transcobalamin I thiab II, nrog rau nws khi rau hauv cov ntshav. 0.9% ntawm cov koob txhaj tshuaj khi rau cov ntshav plasma protein. Tom qab i / m tswj hwm, qhov siab tshaj plaws nyob rau hauv cov ntshav tau mus txog tom qab 1 teev. Sau tsuas yog nyob rau hauv daim siab. Nws yog tawm los ntawm cov kua tsib los ntawm daim siab rau hauv cov hnyuv, qhov uas nws rov nkag rau hauv cov ntshav. Kev tshem tawm ib nrab-lub neej yog 500 hnub. Hauv kev ua haujlwm rau lub raum, 7–10% yog tawm los ntawm lub raum thiab li 50% los ntawm txoj hnyuv. Thaum muaj mob raum tsis ua haujlwm, 0-7% yog tawm los ntawm lub raum, 70-100% - los ntawm cov hnyuv. Cyanocobalamin hla kev tso cov nyom ntawm mis thiab tso rau hauv niam mis.

Kev faib cov nicotinamide hauv txhua cov ntaub so ntswg tshwm sim sai, cov khoom muaj peev xwm hla qhov chaw ntawm lub cev thiab nkag rau hauv niam mis. Raws li qhov tshwm sim ntawm cov metabolism hauv lub siab, nicotinamide-N-methylnicotinamide tsim. Kev nqhis dej ntawm cov quav tau tshwm sim los ntawm ob lub raum. Kev tshem tawm ib nrab-lub neej yog kwv yees li 1.3 teev.

Qhov ntim faib tawm yog kwv yees li 60 l, tag nrho kev tshem tawm ntawm cov ntshav ntshav yog kwv yees li 0.6 l / min.

Cov lus qhia rau kev siv Cocarnit: txoj kev thiab ntau npaum li cas

Kev daws tiav ntawm cov tshuaj yog npaj rau kev txhaj tshuaj intramuscular (tob rau hauv cov leeg gluteal).

Tom qab tov cov lyophilisate nrog cov kuab tshuaj, cov kua uas tshwm sim yuav tsum yog xim paj yeeb. Yog tias cov xim ntawm cov xim daws tsis zoo, nws tsis tuaj yeem siv.

Kev daws tau npaj ua ntej tswj hwm kev siv tshuaj.

Tsis txhob khaws cov tshuaj tiav ntawm cov tshuaj!

Tus kws kho mob sau tseg lub sijhawm kho thiab qhov ntau zaus ntawm kev coj ntawm Kokarnit coj mus rau hauv tus account qhov thiab mob hnyav ntawm tus kabmob.

• kev mob hnyav ntawm polyneuropathy: 1 ampoule 1 zaug hauv ib hnub, lub sijhawm siv rau txo cov tsos mob tshwm sim yog 9 hnub,
• cov tsos mob me me ntawm mob polyneuropathy: 1 ampoule 1 zaug hauv 2-3 hnub. Tus hens ntawm kev kho mob yog nyob ntawm seb tus mob hnyav npaum li cas thiab tuaj yeem muaj li ntawm 3 txog 9 koob nyob rau ncua sijhawm 14-21 hnub.

Qhov kev xav tau rau cov chav kawm ntxiv yog txiav txim los ntawm tus kws kho mob.

Cov lus qhia tshwj xeeb

Yog tias muaj qhov tshwm sim tsis zoo tshwm sim, sab laj nrog kws kho mob.

Nrog hais qhov xwm ntawm cov kev mob tshwm sim, Kokarnit yuav tsum tau muab tshem tawm.

Yog tias tom qab 9 hnub ntawm kev siv tshuaj tsis muaj tshuaj kho lossis qhov kev txom nyem ntawm cov tsos mob ntawm tus kab mob tau pom, nws yog ib qho tsim nyog yuav tau xav txog kev kho ntawm chav kawm ntawm kev kho mob.

Thaum lub sijhawm siv los ntawm Kokarnit rau kev tswj hwm kom txaus rau hauv chav kawm ntawm cov mob ntshav qab zib mellitus, nws yog qhov yuav tsum tau kho cov koob tshuaj hypoglycemic.

Kev cuam tshuam rau kev muaj peev xwm tsav tsheb thiab cov txheej txheem nyuaj

Thaum kho, kev saib xyuas yuav tsum tau ua thaum ua haujlwm uas muaj kev phom sij txaus ntshai. Cov neeg mob hauv kev noj cov Kokarnit ua rau kiv taub hau, tsis meej pem lossis lwm yam kev cuam tshuam ntawm lub paj hlwb yuav tsum tsis txhob koom nrog tsav tsheb thiab cov txheej txheem.

Yeeb tshuaj sib cuam tshuam

Nrog tib lub sijhawm siv cov tshuaj Kokarnit:

• hypoglycemic cov neeg sawv cev uas muaj cov tshuaj metformin tuaj yeem cuam tshuam qhov kev nqus ntawm cyanocobalamin thiab ua rau txo qis hauv nws cov concentration hauv cov ntshav,
• riboflavin, ascorbic acid, thiamine bromide, thiamine, ntsev hlau hnyav, pyridoxine, folic acid, cov ntshav txhaws, chloramphenicol - tsis tuaj yeem siv vim kev tsis sib xyaw nrog cyanocobalamin,
• aminoglycosides, tshuaj antiepileptic, salicylates, colchicine, cov tshuaj potassium npaj txo qhov nqus ntawm cyanocobalamin,
• dipyridamole txhim kho nws cov vasodilating nyhuv thiab muaj txiaj ntsig ntawm trifosadenin,
• caffeine, theophylline (purine derivatives) yuav ua rau qee qhov kev cuam tshuam rau yeeb tshuaj,
• cov koob tshuaj loj ntawm cov hlab plawv glycosides tuaj yeem ua rau muaj kev pheej hmoo tsis zoo los ntawm cov kab mob plawv
• xanthinol nicotinate txo cov nyhuv tshuaj,
• antihypertensives thiab sedatives, kev ua kom haum siab nyob rau hauv kev cuam tshuam ntawm nicotinamide txhim kho lawv cov nyhuv kho kom zoo.

Cov Lus Cim ntawm Cocarnit yog Thiamine Chloride thiab Cocarboxylase.

Xyuas txog Kokarnite

Kev kuaj xyuas ob peb zaug ntawm Kokarnit ua tim khawv rau qhov ua tau zoo ntawm cov tshuaj hauv kev kho mob ntshav qab zib polyneuropathy. Cov neeg mob uas mob ntshav qab zib sau txog kev txiav txim siab ceev ntawm cov tshuaj, thaum mob ceg thiab radiculitis ploj mus tom qab ob peb hno tshuaj. Tsis muaj kev tsis txaus siab ntawm qhov ua tsis tau zoo thiab muaj kev phiv thaum lub sijhawm kho.

Txij li thaum lub Cheebtsam ntawm cov tshuaj muaj cov kev kho mob dav dav, feem ntau muaj kev tshuaj xyuas zoo ntawm cov neeg mob siv cov tshuaj rau cov kabmob xws li osteochondrosis, hlab plawv pathologies, neuralgia ntawm lub lumbosacral qaum. Ntxiv nrog rau qhov tseem ceeb analgesic nyhuv, ib qho kev txhim kho ntawm kev noj qab nyob zoo thiab lub luag haujlwm ntawm lub siab ua haujlwm tau sau tseg. Cov tshuaj txo qis ntshav siab thiab cov roj cholesterol, muaj cov nyhuv antiarrhythmic thiab vasodilator.

Cocarnit hauv ampoules: cov yam ntxwv ntawm cov tshuaj

Kokarnit txhais tau tias - hno hauv ampoules. Tsuas muaj nyob hauv lyophilisate rau kev txhaj tshuaj. Tsis muaj nyob hauv ntsiav tshuaj, ncua kev kawm, thiab lwm daim ntawv. Nws muaj cov vitamins metabolic thiab cov tshuaj uas pab txhawb kev nrawm ntawm cov metabolism.

Qhov kev txiav txim ntawm cov tshuaj muaj xws li:

• ua kom cov txheej txheem hauv oxidative hauv lub cev,
• txhim kho ntawm cov metabolism hauv nitrogen,
• antiallergic zoo,
• txo qis hauv atherogenic lipoproteins hauv ntshav,
• vasodilation,

Cov tshuaj zoo li lub hmoov pinkish, rau kev txhaj tshuaj nws yuav xav tau kom yaj. Cov kuab tshuaj rau hmoov los ua kom tiav nrog cov tshuaj hauv ib pob.

Tsis txhob sim thiav Kokarnit hmoov nrog "improvised" txhais tau tias - nruj me ntsis ua raws li cov lus qhia, siv cov kuab tshuaj uas tau thov los ntawm cov neeg tsim tshuaj.

Cov lus qhia rau kev siv Cocarnit hauv ampoules yog ntau yam. Kev txhawb nqa metabolism yog yuav tsum muaj rau ntau yam kabmob thiab thaum rov ua haujlwm hauv lub cev.

Yog tias koj xav tsim kho lub plab zom mov, koj tus kws kho mob tuaj yeem sau tshuaj Cocarnit. Koj tsis tuaj yeem "sau ntawv" nws tus kheej.

Cov neeg txhawb nqa tus neeg sawv cev

Lub cev ua kom lub cev muaj zog ntawm cov tshuaj yog muab los ntawm nws cov ntxhia thiab vitamin muaj pes tsawg leeg. Nws suav nrog cov tshuaj xws li:

• trifosadenin (10 mg),
• cocarboxylase (50 mg),
• cyanocobalamin (0.5 mg),
• nicotinamide (20 mg),
• 5-deoxyadenosylcobalamin,
• excipients (dej, lidocaine, glycine).

Txhua yam khoom hauv qhov muaj pes tsawg leeg ua nws txoj haujlwm. Trifosadenin thiab cyanocobalamin txhawb cov metabolism, thiab cocarboxylase pab lub cev tsim cov acids, protein, lipids, txhim kho kev ua kom qabzib. 5-deoxyadenosylcobalamin kuj tseem nquag koom nrog cov kev hloov pauv hauv lub cev. Thiab nicotinamide muaj cov txiaj ntsig zoo ntawm cov ntaub so ntswg, ua ib qho kev sib txuas ntawm cov vitamins PP.

Lub Kokarnit complex siv li cas

Ntawm cov neeg mob uas raug radiculitis thiab mob leeg, Cocarnit tshwj xeeb tshaj yog. Yog tias qhov mob ntsws mob tshwm sim heev, ib qho tshuaj ntawm ampoule tau muab rau tus neeg mob ib hnub (qhov ntau npaum li cas yuav nce ntxiv raws li kws kho mob pom zoo). Qhov nruab nrab tus nqi tsis ntau tshaj 9 hnub. Dilute cov hmoov tsuas yog nrog txoj kev daws teeb meem los nrog nws. Qhov kev txhaj tshuaj yog qhov mob, txawm hais tias lidocaine hauv qhov muaj pes tsawg leeg, tab sis cov leeg mob vim yog los ntawm kev txum tim rov qab los ntawm metabolism.

Qhov nruab nrab kev kho mob hauv chav kawm ntawm Kokarnit suav nrog los ntawm 3 txog 9 txhaj tshuaj kom txo cov neeg mob tus mob.

Yog tias qhov tsos mob mob tsis txaus siab, tab sis qhia tau nws tus kheej, cov tshuaj tau sau tseg hauv 2-3 koob ntawm ib lub tshuaj ampoule hauv ib lub lis piam rau 2-3 lub lis piam.

Cov txheej txheem kev kho yog raug saib xyuas los ntawm kws kho mob. Nws tsim nyog muab tshuaj rau cov neeg uas paub tias yuav ua li cas. Yog tias koj thiab tus neeg koj hlub tsis muaj kev txawj tshwj xeeb, hu rau tus kws tu neeg mob hauv tsev kho mob uas koj tab tom kho, nws yuav pab txhawm rau txhaj tshuaj.

Cov tshuaj zoo sib xws

Analogues ntawm cov tshuaj, uas muaj cov txiaj ntsig zoo sib xws, tuaj yeem siv yog tias nws tsis tuaj yeem yuav Cocarnit (lossis muaj contraindications thiab ib tus neeg tsis kam txais). Koj tuaj yeem tshawb xyuas nrog koj tus kws kho mob uas kho tau qhov haum rau koj ua qhov hloov.

Ntawm cov tshuaj zoo sib xws, koj tuaj yeem nrhiav cov tshuaj pheej yig dua Kokarnit, uas ampoules raug nqi ib ncig 600 rubles. Tab sis muaj cov tshuaj thiab cov nqi kim dua, tab sis tib lub sij hawm muaj txiaj ntsig lossis haum tshwj xeeb hauv koj kis. Sab laj nrog kws kho mob ua ntej koj yuav cov tshuaj no.

Kokarnit kev txhaj tshuaj

Cov metabolism hauv kev txhim kho tshuaj yeeb tshuaj Cocarnit (Cocarnit) ntxiv rau cov roj ntsha ua kom tshiab ntawm cov hlab ntaws tsis zoo. Cov tshuaj yog tsim los ntawm lub tuam txhab Egyptian E.I.P.I.Co, belongs rau cov pab pawg ntawm cov khoom siv roj ntsha ua haujlwm raws kev ua haujlwm ntawm cov khoom siv nquag ntawm nicotinamide, cyanocobalamin, cocarboxylase thiab adenosine triphosphate.

Ampoules muaj cov tshuaj thiab cov pabcuam pabcuam hauv qab no:

Paj yeeb cov hmoov, npaj tiav tov, pob tshab, paj yeeb

Qhov concentration ntawm trifosadenine disodium trihydrate, mg / ml

Qhov concentration ntawm cocarboxylase, mg / ml

Qhov concentration ntawm cyanocobalamin, mg / ml

Nicotinamide concentration, mg / ml

Ntu ntu ntawm cov khoom siv

Glycine, methyl thiab propyl hydroxybenzoate

Dej, lidocaine hydrochloride

3 ampoules ntawm 187 mg hmoov nrog 3 ampoules ntawm cov kuab tshuaj 2 ml ib pob

Thaum cev xeeb tub

Cov kws kho mob tuaj yeem sau ntawv rau Kokarnit kev txhaj tshuaj thaum cev xeeb tub, qhia tias cov kev cia siab pab rau leej niam ntau dua qhov muaj feem yuav ua rau muaj menyuam hauv plab. Hauv lwm qhov xwm txheej, kev siv cov tshuaj thaum nqa tus menyuam yaus raug txwv. Thaum pub niam mis, kev siv cov tshuaj yog txwv tsis pub, vim tias cov khoom ua kom lub cev muaj zog nkag mus rau hauv niam mis thiab tuaj yeem cuam tshuam rau tus menyuam.

Hauv thaum yau

Txoj kev siv cov tshuaj yog contraindicated rau hauv cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 18 xyoo. Qhov no vim yog qhov tseeb tias cov kev tshawb fawb tsis tau ua rau qhov kev ua haujlwm zoo thiab kev nyab xeeb ntawm kev siv tshuaj hauv cov pab pawg hnub nyoog no. Kev siv cov kev txhaj tshuaj yam tsis tau txais kev tso cai los ntawm kws kho mob tuaj yeem ua rau muaj kev tsis tuaj yeem tshwm sim los ntawm lub hauv nruab nrab thiab lub paj hlwb.

Cov Tshuaj Txhab ntawm Cocarnith

Tsis muaj cov qauv ntawm cov yeeb yaj kiab sib xyaw ua ke ntawm cov tshuaj muaj pes tsawg leeg. Qhov hloov tau ze rau cov tshuaj yog:

• Thiamine chloride - ib daim ntawv txhaj tshuaj ntawm vitamin B1, tau koom nrog hauv cov metabolism ntawm cocarboxylase, hloov kho qhov tsis haum ntawm cov tshuaj,
• Cocarboxylase - txhaj tshuaj rau coenzyme kev txiav txim siab thiab cov cuab yeej ntawm normalizing carbohydrate metabolism,
• Cardonate - tsiav tshuaj raws cocarboxylase,
• Vitaxone yog hloov rau cov tshuaj kho. Nws yog siv los kho neuralgia.

Nqi Kokarnita

Koj tuaj yeem yuav Kokarnit hauv Moscow los ntawm cov khw muag tshuaj lossis cov chaw online. Tus nqi ntawm cov tshuaj yog nyob ntawm seb lub tsev muag tshuaj thiab qib ntawm cov lag luam tau txais. Tus nqi kwv yees rau cov tshuaj thiab nws cov analogues yuav:

Tus nqi them tshuaj kho, cov nqi kho mob

Cocarnit, ampoules nrog cov kuab tshuaj 3 + 3 ml

Thiamine hydrochloride 1 ml 10 ampoules

Cocarboxylase, 50 mg 5 ampoules

Margarita, 39 xyoos Kuv niam mob radiculitis. Nws yog twb tsis yooj yim los daws qhov mob nrog cov ntsiav tshuaj sib tov, yog li peb siv cov tshuaj Kokarnit. Nws raug tshuaj los ntawm peb cov kws kho mob. Tom qab kev txhaj tshuaj rau hauv cov leeg nqaij gluteal, leej niam hais tias qhov mob caj dab mob zuj zus, nws yuav yooj yim rau nws taug kev. Tseem ceeb tshaj, kev npaj cov vitamin tsis ua rau muaj kev mob tshwm sim, yog lub siab zoo tiv thaiv.

Ruslan, 66 xyoo.Qhov yeeb tshuaj Kokarnit tau sau tseg rau kuv tom qab kev kuaj mob ntawm neuralgia. Kuv sab nraub qaum yog li kuv tuaj yeem taug kev tsis tau, txhua yam kev ua rau mob hnyav. Cov kws kho mob tuaj rau kuv lub tsev, txhaj tshuaj. Tom qab txhaj ob zaug, nws tau yooj yim dua rau kuv, thiab tom qab ib lub lim tiam kuv tau npaj khiav - Kuv tsis raug mob.

Vadim, 57 xyoo. Myocarditis tau tshawb pom xyoo tas los. Nws yog qhov nyuaj los ua cov haujlwm ib txwm - kuv lub siab mob, ntxiv rau, ua tsis taus pa, ua tsis taus pa pib. Tom qab exacerbation ntawm tus kab mob, Kuv xaus hauv tsev kho mob. Muaj Kuv tau raug samfwm kom txog kev txhaj tshuaj ntawm Kokarnit. Thaum txhaj tshuaj mus rau hauv lub pob tw, nws mob, tab sis kuv tso nrog nws rau qhov tshwm sim. Thaum kuv tab tom kho.

Cyanocobalamin

Hauv cov ntshav, cyanocobalamin khi rau transcobalamin I thiab II, uas thauj nws mus rau cov ntaub so ntswg. Nws yog tso tsuas yog nyob rau hauv daim siab. Kev sib txuas lus nrog cov ntshav plasma protein - 90%. Sai sai thiab ua kom tiav zoo tom qab kev tswj hwm intramuscular thiab subcutaneous. Qhov siab tshaj plaws tom qab txhaj tshuaj intramuscular yog ua tiav tom qab 1 teev.

Nws yog tawm los ntawm daim siab los ntawm bile rau hauv txoj hnyuv thiab rov nqus mus rau hauv cov ntshav. Kev tshem tawm ib nrab-lub neej yog 500 hnub. Nws yog tawm nrog lub raum tsis zoo - 7-10% los ntawm ob lub raum, li 50% - los ntawm txoj hnyuv. Nrog rau lub raum txo qis - 0-7% los ntawm ob lub raum, 70-100% - los ntawm cov hnyuv. Nkag tau los ntawm qhov chaw tso cov nyom mus rau niam mis.

Nicotinamide

Nws muab faib sai sai hauv txhua cov ntaub. Nkag tau los ntawm thaj chaw tiv thaiv hniav dawb thiab hauv niam mis. Nws yog metabolized hauv daim siab nrog kev tsim cov nicotinamide-N-methylnicotinamide. Nws yog tawm los ntawm lub raum.

Lub plasma ib nrab-lub neej yog txog 1.3 teev, qhov chaw faib chaw tau ntau yog li ntawm 60 litres, thiab kev tshem tag nrho yog li 0.6 l / min.

Tsuas tshuaj thiab tswj hwm

Cov tshuaj yog txhaj rau tob intramuscularly (rau hauv cov nqaij gluteus).

Thaum muaj mob hnyav, yuav tsum tau pib kho nrog kev txhaj tshuaj ntawm 1 ampoule (2 ml) ib hnub twg kom txog thaum cov tsos mob zoo tuaj. Lub sijhawm siv yog 9 hnub.

Tom qab kev txhim kho cov tsos mob los yog cov tsos mob me ntsis ntawm polyneuropathy: 1 ampoule 2-3 zaug hauv ib lub lis piam rau 2-3 lub lis piam. Cov kev pom zoo ntawm txoj kev kho yog 3-9 txhaj tshuaj, nyob ntawm qhov mob hnyav ntawm tus kab mob.

Lub sijhawm ntawm kev kho mob thiab rov ua dua kawm yog txiav txim los ntawm tus kws kho mob nyob ntawm seb qhov xwm txheej thiab mob hnyav ntawm tus kab mob.

Tshaj tsos mob

Trifosadenin: ntau tshaj qhov ntau tshaj qhov kev noj tshuaj txhua hnub (li 600 mg rau cov neeg laus) tuaj yeem ua rau kev txhim kho ntawm cov tsos mob hauv qab no: kiv taub hau, ntshav tsawg, poob ntawm lub siab luv, tsis nco qab, tsis nco qab, atrioventricular block II thiab III degree, asystole, bronchospasm, ventricular disturbances, sinus bradycardia thiab tachycardia.

Cocarboxylase: Cov tsos mob hauv qab no tau tshaj tawm tom qab siv cov koob tshuaj uas tau ntau tshaj 100 zaus cov koob tshuaj pom zoo: mob leeg, mob leeg tsis muaj zog, tuag tes tuag taw, dhia tsis xwm yeem.

Cyanocobalamin: tom qab kev tswj hwm los ntawm kev siv tshuaj ntau dua, eczematous tawv nqaij muaj teeb meem thiab pom daim tawv nqaij ntev. Thaum siv cov koob tshuaj siab, nws yog qhov tsim nyog los tsim hypercoagulation, tsis hnov ​​lus purine metabolism.

Nicotinamide: thaum siv cov koob tshuaj loj, hyperpigmentation, daj ntseg, daj, tsis muaj zog, exacerbation ntawm peptic rwj ntawm lub plab thiab duodenum tau pom. Nrog rau kev siv sijhawm ntev, kev txhim kho ntawm steatohepatosis, kev nce siab ntawm cov tshuaj uric acid nyob rau hauv cov ntshav, tsis hnov ​​qab cov suab thaj tsis txaus siab tau sau tseg.

Cov qhia ntawm cov tshuaj yog tam sim ntawd nres, kev kho mob yam ntxwv yog kho, nrog rau desensitizing.

Kev cuam tshuam nrog lwm yam tshuaj

Hauv cov neeg mob siv hypoglycemic cov neeg sawv cev ntawm cov pab pawg biguanide (metformin), vim yog kev nqus tsis tau ntawm cyanocobalamin los ntawm kev mob plab, qhov txo qis hauv cov concentration ntawm cyanocobalamin hauv cov ntshav yuav raug soj ntsuam. Nrog rau lwm cov kab mob hypoglycemic, kev sib txuam tshuaj tsis tau piav qhia.

Cyanocobalamin yog sib xyaw nrog ascorbic acid, ntsev ntawm cov hlau nyhav, thiamine, thiamine bromide, pyridoxine, riboflavin, folic acid.

Koj tsis tuaj yeem siv ib txhij cyanocobalamin nrog cov tshuaj uas ua rau kom ntshav coagulation.

Ntxiv rau, kev siv tib lub sij hawm cyanocobalamin nrog chloramphenicol yuav tsum zam.

Aminoglycosides, salicylates, tshuaj antiepileptic, colchicine, cov tshuaj potassium npaj txo qhov nqus ntawm cyanocobalamin.

Nrog kev siv sib xyaw ua ke ntawm cov tshuaj uas muaj trifosadenin nrog dipyridamole, cov nyhuv ntawm dipyridamole yog kho kom zoo, tshwj xeeb tshaj yog cov nyhuv vasodilating.

Dipyridamole txhim kho cov nyhuv ntawm trifosadenin.

Qee qhov kev tawm tsam yog pom nrog kev sib xyaw ua ke ntawm kev siv tshuaj nrog purine derivatives (caffeine, theophylline).

Koj tsis tuaj yeem nkag mus ib txhij nrog cov mob glycosides nyob rau hauv cov koob tshuaj loj, txij li kev pheej hmoo ntawm kev phiv los ntawm cov hlab plawv nce ntxiv.

Nrog rau kev siv ua ke nrog xanthinol nicotinate, cov nyhuv ntawm cov tshuaj raug txo kom tsawg.

Nicotinamide potentiates cov nyhuv ntawm sedatives, tranquilizers, thiab cov tshuaj antihypertensive.