Actovegin® (Actovegin®)
txheej ntsiav tshuaj.
1 cov ntsiav tshuaj coated muaj:
Qaum: yam tshuaj: cov khoom xyaw ntshav: deproteinized hemoderivative ntawm ntshav nyuj - 200.0 mg rau hauv tsab ntawv ntawm Actovegin ® granulate * - 345.0 mg, tus zam: magnesium stearate - 2.0 mg, talc - 3.0 mg,
Plhaub: acacia ntawm cov pos hniav - 6.8 mg, roob glycol siv quav ciab - 0.1 mg, hypromellose phthalate - 29.45 mg, diethyl phthalate - 11,8 mg, zas quinoline daj kua roj vanish - 2.0 mg, macrogol-6000 - 2 , 95 mg, povidone-K 30 - 1.54 mg, sucrose -52.3 mg, talc - 42,2 mg, titanium dioxide - 0.86 mg.
* Actovegin ® granulate muaj: cov tshuaj lom neeg: cov khoom xyaw ntshav: cov roj ntsha tiv thaiv tsis txaus - 200.0 mg, cov tsis muaj mob: povidone-K 90 - 10.0 mg, microcrystalline cellulose - 135.0 mg.
puag ncig biconvex ntsiav tshuaj, coated nrog lub plhaub ntawm greenish-daj xim, ci iab.
Pharmacological kev txiav txim
Cov Tshuaj Hauv Tshuaj
Actovegin ® yog qhov tshuaj tiv thaiv kev tiv thaiv uas muaj peb yam cuam tshuam: metabolic, neuroprotective thiab microcirculatory. Actovegin ® tsub kom qhov nqus thiab siv cov pa oxygen, uas yog ib feem ntawm inositol phospho-oligosaccharides, muaj kev cuam tshuam zoo rau kev thauj mus los thiab siv cov kua nplaum, uas ua rau kev txhim kho lub zog metabolism hauv hlwb thiab txo qis ntawm kev tsim cov lactate hauv ischemic.
Ntau txoj hauv kev ntawm kev siv lub neuroprotective mechanism ntawm kev ua ntawm cov tshuaj yog txiav txim siab.
Actovegin ® inhibits kev txhim kho ntawm apoptosis ntxias los ntawm amyloid beta peptide (AP25-35).
Actovegin modulates cov kev ua ntawm qhov ua tau zoo ntawm nuclear factor kappa B (NF-kB), uas yog lub luag haujlwm tseem ceeb hauv kev tswj hwm ntawm apoptosis thiab mob hauv nruab nrab thiab txuas ntawm lub paj hlwb.
Lwm qhov kev ua haujlwm ntawm kev ua yog txuam nrog nuclear enzyme poly (ADP-ribose) -polymerase (PARP). PARP ua lub luag haujlwm tseem ceeb hauv kev tshawb nrhiav thiab kho kev puas tsuaj rau cov kab mob DNA ua ib leeg, txawm li cas los xij, kev ua haujlwm ntau dhau ntawm cov enzyme tuaj yeem ua rau cov kev tuag ntawm tes hauv cov kev mob xws li kab mob cerebrovascular thiab ntshav qab zib polyneuropathy. Actovegin ® inhibits cov haujlwm ntawm PARP, uas ua rau muaj kev ua haujlwm zoo thiab txhim kho ntawm lub xeev ntawm lub hauv nruab nrab thiab cov hlab hlwb.
Cov txiaj ntsig zoo ntawm Actovegin ® cuam tshuam rau microcirculation thiab endothelium yog qhov nce ntawm capillary ntshav khiav nrawm, qhov txo qis hauv thaj chaw pericapillary, qhov txo qis ntawm myogenic laus ntawm precapillary arterioles thiab capillary sphincters, txo qis ntawm cov ntshav ntawm cov hlab ntsha ua haujlwm nrog cov ntshav tawm hauv cov hlab ntsha ua haujlwm. nitric oxide, cuam tshuam rau microvasculature.
Hauv chav kawm ntawm ntau cov kev tshawb fawb, nws pom tias cov nyhuv ntawm cov tshuaj Actovegin ® tshwm sim tsis pub dhau 30 feeb tom qab nws tswj hwm. Qhov siab tshaj plaws tau pom yog 3 teev tom qab niam txiv thiab 2-6 teev tom qab kev tswj hwm qhov ncauj.
Cov Tshuaj Pharmacokinetics
Siv cov txheej txheem pharmacokinetic, nws tsis tuaj yeem kawm txog cov kev cai pharmacokinetic ntawm Actovegin ®, vim nws tsuas muaj cov ntsiab lus ntawm lub zog hauv lub cev uas feem ntau muaj nyob hauv lub cev.
Raws li ib feem ntawm txoj kev kho:
- Cov kev kho mob uas cuam tshuam nrog kev puas siab ntsws, nrog rau kev puas siab ntsws tom qab lub hlwb khiav tsis zoo thiab dementia.
- Cov kev kho mob ntawm cov mob puas ncig thiab lawv lub txim.
- Kev kho mob ntawm tus mob ntshav qab zib polyneuropathy (DPN).
3D duab
Kev daws rau kev txhaj tshuaj | 1 amp (2 ml) |
yam tshuaj: | |
Actovegin ® mloog zoo (hauv kev txiav deproteinized hemoderivative ntawm ntshav nyuj) 1 | 80 mg |
tus zam txim: dej rau kev txhaj tshuaj - txog li 2 ml |
Kev daws rau kev txhaj tshuaj | 1 amp (5 ml) |
yam tshuaj: | |
Actovegin ® mloog zoo (hauv kev txiav deproteinized hemoderivative ntawm ntshav nyuj) 1 | 200 mg |
tus zam txim: dej rau kev txhaj tshuaj - txog 5 ml |
Tsuas tshuaj thiab tswj hwm
Kuv / O, Kuv / O (suav nrog hauv daim ntawv ntawm Txoj kev lis ntshav), hauv / m.
Nyob rau hauv kev sib txuas nrog lub peev xwm rau kev txhim kho ntawm anaphylactic kev hloov kho, nws raug nquahu kom ntsuas rau qhov muaj qhov tsis txaus siab rau qhov tshuaj ua ntej pib lub infusion.
Kev zom zaub mov thiab leeg ntshav kev cuam tshuam ntawm lub hlwb. 5-25 ml (200-1000 mg ntawm yeeb tshuaj) ib hnub i / v txhua hnub rau 2 lub lis piam, tom qab ntawd hloov mus rau daim ntawv ntsiav tshuaj.
Ischemic mob stroke. 20–50 ml (800–2000 mg ntawm cov tshuaj) hauv 200-300 ml ntawm 0.9% sodium chloride tov lossis 5% iv dextrose tov kua nrog rau 1 lub lim tiam, tom qab ntawd 10-20 ml (400-800 mg ntawm cov tshuaj) ) iv drip - 2 lub lis piam nrog kev hloov mus txuas ntxiv rau daim ntawv ntsiav tshuaj.
Peripheral (arterial thiab venous) mob ntshav hlab ntsha thiab lawv cov txim. 20-30 ml (800–1200 mg ntawm cov tshuaj) nyob rau hauv 200 ml ntawm 0.9% sodium chloride tov lossis 5% rau cov tshuaj tov nrog rau cov tshuaj pleev ib hnub rau 4 lub lis piam.
Ntshav qab zib polyneuropathy. 50 ml (2000 mg ntawm cov tshuaj) ib hnub quav rau 3 lub lis piam nrog kev hloov mus tom qab rau daim ntawv ntsiav tshuaj - 2-3 ntsiav tshuaj. 3 zaug ib hnub twg rau tsawg kawg 4-5 lub hlis.
Qhov nqaij mob zoo. 10 ml (400 mg ntawm cov tshuaj) iv lossis 5 ml IM ib hnub lossis 3-4 zaug hauv ib lub lis piam, nce raws li cov txheej txheem kho. Tej zaum siv ua ke nrog nrog cov ntawv ntawm Actovegin ® rau siv sab nraud.
Kev tiv thaiv thiab kho mob hluav taws xob ua rau cov tawv nqaij thiab lub qog ua pa thaum kho hluav taws xob. Qhov nruab nrab koob tshuaj yog 5 ml (200 mg) iv txhua hnub thaum muaj kev cuam tshuam hluav taws xob.
Hluav taws xob cystitis. Transurethrally, txhua hnub, 10 ml txhaj tshuaj (400 mg) nrog kev siv tshuaj tua kab mob. Tus nqi tswj hwm yog li 2 ml / min.
Lub sijhawm tiv thaiv ntawm kev kho mob yog txiav txim siab ntawm tus kheej raws li cov tsos mob thiab qhov mob ntawm tus kab mob.
Cov lus qhia rau kev siv cov ampoules nrog so taw tes
1. Tshaj tawm qhov hau ntawm ampoule nrog tus taw tes tawg.
2. Maj mam npuaj tes nrog tus ntiv tes thiab co ntawm ampoule, cia cov tshuaj kom ntws tawm los ntawm lub taub hau ntawm ampoule.
3. Txhaum tawm cov taub ntawm ampoule ntawm qhov txhaum taw qhia los ntawm kev txav deb ntawm koj.
Daim ntawv tso tawm
Txhaj tshuaj, 40 mg / ml.
Kev tsim khoom thiab ntim khoom ntawm Takeda Austria GmbH, Austria:
2, 5, 10 ml ntawm cov tshuaj hauv cov xim tsis muaj iav ampoules nrog tus taw tes tawg. 5 amp txhua. hauv cov hlwv yas sawv hlwv ntim. 1, 2 lossis 5 blister pob rau hauv ib pob ntawv los qhia. Transparent round protection stickers nrog holographic inscriptions thiab thawj qhib kev tswj xyuas yog lo rau lub pob.
Kev tsim khoom thiab / lossis ntim ntawm LLC Takeda Pharmaceuticals, Russia:
2, 5, 10 ml ntawm cov tshuaj hauv cov xim tsis muaj iav ampoules nrog tus taw tes tawg. 5 amp txhua. hauv cov yas blister sawb ntim ua ntawm polystyrene zaj duab xis lossis PVC zaj duab xis. 1, 2 lossis 5 blister pob rau hauv ib pob ntawv los qhia. Transparent round protection stickers nrog holographic inscriptions thiab thawj qhib kev tswj xyuas yog lo rau lub pob.
Chaw tsim tshuaj paus
Cov Chaw Tsim Tshuaj / cov ntim / cov ntawv luam tawm kom zoo: Takeda Austria GmbH, Austria.
Kos duab. Peter Strasse 25, 4020 Linz, Austria.
"Takeda Austria GmbH, Austria." Peter-Strasse 25, 4020 Linz, Austria.
Los yog LLC Takeda Cov Tshuaj, 150066, Russia, Yaroslavl, ul. Technopark, 9.
Xov Tooj: (495) 933-55-11, fev: (495) 502-16-25.
Los yog CJSC PharmFirma Sotex. 141345, Russia, thaj av Moscow, Sergiev Posad lub tsev kawm hauv nroog, chaw nyob deb nroog Bereznyakovskoe, pos. Belikovo, 11.
Tel./fax: (495) 956-29-30.
Lub koom haum kev cai lij choj nyob rau hauv nws lub npe sau npe ntawv pov thawj muab tshuaj: Takeda Pharmaceuticals LLC. 119048, Russia, Moscow, ul. Usacheva, 2, p. 1.
Xov Tooj: (495) 933-55-11, fev: (495) 502-16-25.
[email protected], www.takeda.com.ru, www.actovegin.ru
Kev thov cov neeg tau txais kev pabcuam yuav tsum raug xa mus rau qhov chaw nyob ntawm cov neeg muaj cai hauv lawv lub npe cov ntawv pov thawj sau npe: Takeda Pharmaceuticals LLC, Moscow, Russia.
Sab sij huam
Qhov ntau zaus ntawm cov kev mob tshwm sim tau txiav txim siab raws li kev faib tawm ntawm Council of International Medical Scientific Organisations (CIOMS): ntau zaus (≥ 1/10), feem ntau (≥ 1/100 rau ® tsis qhia txog kev phiv lom txawm tias qhov koob tshuaj yog 30-40 npaug siab dua li koob tshuaj pom zoo siv rau hauv tib neeg Tsis tau muaj qee tus mob ntawm kev noj ntau dua nrog Actovegin ®.
Cov lus qhia tshwj xeeb
Cov ntaub ntawv soj ntsuam
Hauv ARTEMIDA multicenter, randomized, ob qhov muag tsis pom kev, qhov kev tshawb pom cov tshuaj placebo (NCT01582854), uas tsom mus rau kev kawm txog kev kho mob ntawm Actovegin ® ntawm kev puas hlwb hauv 503 cov neeg mob ischemic mob stroke, tag nrho cov xwm txheej ntawm kev mob tshwm sim tsis zoo thiab kev tuag yog tib yam hauv ob pawg kho mob. Txawm hais tias qhov tuab zaus ntawm kev tso ischemic cwj nrag tau nyob hauv thaj tsam xav tau rau cov neeg mob no, ntau dua ntawm cov neeg raug kaw nyob rau hauv pawg neeg Actovegin compared piv nrog cov pab pawg placebo, tab sis qhov sib txawv no tsis yog qhov tseem ceeb. Cov kev sib raug zoo ntawm cov mob ntawm kev mob stroke thiab cov tshuaj tshawb tsis tau tsim los.
Siv rau hauv cov neeg mob hlwb
Tam sim no, cov ntaub ntawv hais txog kev siv yeeb tshuaj Actovegin ® hauv cov menyuam yaus tseem tsis tau muaj, yog li ntawd nws qhov kev siv ntawm pawg neeg no tsis pom zoo.
Cuam tshuam rau kev muaj peev xwm tsav tsheb loj thiab lwm yam txheej txheem
Tsis ntsia.
Pob / Tshaj Tawm Kev Tswj Xyuas Zoo
Takeda G MBH, Lub Tebchaws Yelemees
Lenitzstrasse 70-98, 16515 Oranienburg, Lub Tebchaws Yelemees
Takeda GmbH, Lub Tebchaws Yelemees
Lehnitzstrasse 70-98, 16515 Oranienburg, Lub Tebchaws Yelemees
lossis
"Takeda Austria G MBH", Austria.
Kos duab. Peter Strasse 25, 4020 Linz, Austria
Takeda Austria GmbH, Austria
St. Peter-Strasse 25, 4020 Linz, Austria
lossis
LLC Takeda Cov Tshuaj Kho Mob
Russia, 150066, Yaroslavl, ul. Technopark, d.9,
lossis
CJSC PharmFirma Sotex
Russia, 141345, Cheeb Tsam Moscow,
Sergiev Posad Lub Nroog Cheeb Tsam,
cov neeg nyob deb nroog sib hais Bereznyakovskoe, pos. Belikovo, 11.
Tso cov ntaub ntawv thiab cov nyob ua ke
Ampules nrog cov kua ntshiab los sis daj me ntsis rau kev txhaj tshuaj.
Lub cev nquag ua haujlwm: deproteinized hemoderivative, 40 mg / ml.
Ua los ntawm kev lim ntshav, cais nyias thiab cais ntawm cov ntshav ntawm cov tsiaj hluas, pub mis rau cov mis nyuj nkaus xwb.
Cov khoom siv ntxiv: dej rau kev txhaj tshuaj.
Nws tuaj yeem tsim los ntawm cov chaw muag tshuaj Takeda Austria GmbH (Austria) lossis Takeda Pharmaceuticals LLC (RF). Ntim rau hauv 2 ml, 5 lossis 10 ml hauv cov xim tsis muaj iav ampoules ntawm 5 pcs. hauv contour corrugated ntim tau ua los ntawm cov yas. Ntim 1, 2 lossis 5 contour hlwb hauv thawv ntawv thawv.
Cov tshuaj yog nyob rau pawg ntawm antihypoxants.
Ntawm txhua pob ntawm cov duab los qhia yuav tsum muaj daim kab ntawv puag ncig nrog tus sau ntawv holographic thiab kev tswj hwm ntawm thawj qhib.
Vim li cas nws thiaj li raug tshuaj
Actovegin 40 muaj nrog rau kev kho mob nyuaj:
- kev txawj ntse ntawm ntau yam kev txawj ntse,
- peripheral vascular dysfunctions thiab cerebrovascular kev raug mob,
- peripheral angiopathy,
- uas mob ntshav qab zib neuropathy
- cov ntaub so ntswg ua kom rov qab (poob plig, phais, mob nqaij hlav rau sab hauv qis dua, thiab lwm yam),
- kev rau txim ntawm kev siv hluav taws xob.
Tsis tas li, siv daim ntawv qhia no ntau npaum li cas, mob plab, mob voos mob plab thiab duodenum kho tau.
Actovegin 40 yog ib feem ntawm txoj kev kho mob zoo rau cerebrovascular kev huam yuaj.
Cov tshuaj yog muab rau cov ntshav qab zib mob neuropathy.
Siv daim ntawv no ntau npaum lub sijhawm, mob tawm tsam ntawm lub plab thiab duodenum kho tau.
Actovegin yog siv los kho cov teebmeem ntawm kev siv hluav taws xob.
Yuav ua li cas coj Actovegin 40
Lub sijhawm, noj ntau npaum licas thiab kev kho mob yog txiav txim siab raws tus yam ntxwv ntawm cov txheej txheem pathological. Nws yog txiav txim siab ib tus zuj zus. Nws yog tshuaj kho hauv intraarterially, intravenously thiab intramuscularly.
Hauv kev kho mob ntawm cov kab mob metabolic thiab leeg tshav ntawm lub paj hlwb, thaum pib kho mob, 10-20 ml ntawm iv lossis iv raug txhaj txhua hnub. Tom qab ntawd, raws li kev kho mob kiag li, 5 ml iv lossis IM nrog qeeb infusion.
Hauv ischemic stroke nyob rau theem mob, cov tshuaj kho mob.
Hauv ischemic stroke nyob rau theem mob, qhov infusions tau ua. Rau qhov no, ib qho tshuaj (10-50 ml) tau ntxiv rau 200-300 ml ntawm cov isotonic muaj pes tsawg leeg (5% piam thaj lossis sodium chloride tov). Tom qab qhov no, qhov kev hloov kho tau hloov pauv coj daim ntsiav tshuaj ntawm cov tshuaj.
Rau kev kho mob ntawm cov xwm txheej tshwm sim los ntawm vascular cuam tshuam ntawm lub hlwb, cov tshuaj no tau raug sau iv lossis iv (20-30 ml ntawm cov tshuaj yog ua ke nrog 200 ml ntawm isotonic muaj pes tsawg leeg).
Txhawm rau tshem tawm cov tsos mob ntawm tus mob ntshav qab zib polyneuropathy, 50 ml iv yog txhaj. Tom qab ntawd kho cov teebmeem hloov mus rau kev siv Actovegin hauv ntsiav tshuaj.
Nrog rau / / tswj hwm, txog li 5 ml yog siv. Sau maj mam.
Noj cov tshuaj rau ntshav qab zib
Hais txog cov tshuaj uas pab txhawb rau cov metabolism hauv lub cev li qub. Yog li, nws yog qhov yuav tsum tau ua hauv kev kho mob ntshav qab zib.
Cov tshuaj yuav tsum nyob rau hauv txoj kev kho mob ntshav qab zib.
Noj ntau dhau
Tsis muaj cov xwm txheej tshwm sim ntawm kev siv nyiaj ntau dhau ntawm Actovegin.
Nws yog siv rau hauv kev kho thiab tiv thaiv hypoxic thiab ischemic kev cuam tshuam ntawm cov plab hnyuv siab raum thiab cov nqaij hauv cov neeg mob hnub nyoog.
Muaj tus yam ntxwv ntxiv rau qhov tshwm sim ntawm kev phiv.
Kev cuam tshuam nrog lwm yam tshuaj
Tsis muaj qhov tshwm sim zoo los ntawm kev sib txuam tshuaj.
Nws yog sib haum nrog cov tshuaj noj cov ntaub ntawv siv nyob rau hauv txoj kev kho mob ntawm ischemic stroke (piv txwv, nrog Mildronate).
Tsis tas li ntawd, nws tau dav siv nyob rau hauv kev sib xyaw ua ke nrog cov tshuaj siv los tshem tawm venous thiab placental tsis muaj txhij txhua, hauv kev kho mob ntawm thrombosis (piv txwv li, nrog Curantil).
Tej kev sib txuam uas xav tau ceev faj
Kev sib xyaw nrog ACE inhibitors (Enalapril, Lisinopril, Captopril, thiab lwm yam), nrog rau cov tshuaj potassium npaj yuav tsum ceev faj.
Actovegin hloov chaw yog:
- Vero-Trimetazidine,
- Curantil-25,
- Cortexin
- Cerebrolysin, thiab lwm yam.
Curantil-25 yog ib qho lus piav qhia ntawm Actovegin.
Nqe Actovegin 40
Tus nqi nruab nrab yog nyob ntawm qhov ntim ntawm ampoules thiab lawv tus lej hauv pob. Yog li, piv txwv, hauv Lavxias, tus nqi ntawm Actovegin (txhaj tshuaj rau 40 mg / ml ampoules ntawm 5 ml 5 pcs.) Muaj kev sib txawv los ntawm 580 txog 700 rubles.
Hauv Ukraine, ib pob khoom zoo ib yam raug nqi li 310-370 UAH.
Tus nqi nruab nrab ntawm cov tshuaj yog nyob ntawm lub ntim ntawm ampoules thiab lawv tus lej hauv pob.
Kev tshuaj xyuas ntawm cov kws kho mob thiab cov neeg mob ntawm Actovegin 40
Cov tswv yim ntawm cov kws kho mob thiab cov neeg mob hais txog kev siv, ua haujlwm zoo thiab kev nyab xeeb nws txawv.
Vasilieva E.V., kws kho mob hlwb, Krasnodar
Actovegin yeej tsis muaj cov kev mob tshwm sim thiab zoo raug zam. Nws tuaj yeem siv tau ob qho tib si hauv monotherapy thiab hauv txoj kev kho mob nyuaj. Xaiv cov kab mob pathologies ntawm cov kab mob vascular thiab cov metabolism tsis ua haujlwm. Kuv pom zoo rau kuv cov neeg mob feem ntau.
Marina, 24 xyoo, Kursk
Lawv tau txhaj tshuaj thiab hno qis thaum cev xeeb tub txhawm rau txhawm rau cov ntshav khiav hauv lub tsho. Tsis phiv. Tom qab kev kho mob, cov ntshav ntws rov mus rau qhov qub, thiab qaug zog thiab kiv taub hau ploj mus nrog qhov kev tsis taus. Kuv qhia tag nrho cov poj niam cev xeeb tub.
Nefedov I.B., 47 xyoo, Oryol
Txawm tias muaj tseeb tias cov tshuaj no tau raug txwv los ntawm FDA (Asmeskas Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg), nws tau siv dav hauv tebchaws Russia thiab CIS. Antigen txawv teb chaws. Kuv tsis cia siab rau cov tshuaj, cov lus qhia rau cov uas pom tias nws tsis tuaj yeem ntsuas nws cov khoom pharmacokinetic.
Afanasyev P.F. ultrasound kws kho mob, St. Petersburg
Ib qho tshuaj zoo antihypoxic nrog khaws cov tshuaj kho kom zoo rau 3-6 lub hlis. Cov cuab yeej no yog siv dav hauv peb lub tsev kho mob hauv Lub Tsev Tshawb Fawb. Ankylosing spondylitis rau kev tshem tawm cov tsos mob ntawm cerebrovascular thiab discirculatory encephalopathy, qhov cuam tshuam ntawm mob hlab ntsha tawg thiab mob hlwb. Pab tshem kev mob taub hau, mob taub hau, mob siab ntxhov siab, txhim kho kev ua haujlwm ntawm lub hlwb, thiab lwm yam.
Kev Taw Qhia Actovegin ®
Raws li ib feem ntawm txoj kev kho:
- kev puas hlwb, nrog rau kev puas siab ntsws tom qab lub hlwb khiav tsis zoo thiab dementia,
- peripheral circulatory ntshawv siab thiab lawv lub txim,
- mob ntshav qab zib polyneuropathy.
ICD-10 code | Kev taw qhia |
F01 | Mob vascular dementia |
F03 | Tsis pom tseeb dementia |
F07 | Tus cwm pwm thiab kev coj cwj pwm vim muaj mob, puas tsuaj, lossis ua rau lub hlwb khiav tsis zoo |
G45 | Lub cev hloov mus mus los tsis ntev ischemic nres tawm tsam thiab cuam tshuam nrog cov syndromes |
G63.2 | Ntshav qab zib polyneuropathy |
I63 | Cerebral infarction |
I69 | Lub txim ntawm cerebrovascular mob |
I73.0 | Raynaud's Syndrome |
I73.1 | Thromboangiitis obliterans Berger's mob |
I73.8 | Lwm qhov kab mob ntsig txog mob vascular |
I73.9 | Tsis pom tseeb kev mob siab rau cov leeg ntshav (tsis ntwm sib deev) |
I79.2 | Peripheral angiopathy nyob rau hauv cov kab mob txwv lwm qhov chaw (suav nrog mob ntshav qab zib angiopathy) |
I83.2 | Varicose leeg ntawm cov leeg qis nrog nrog mob rwj thiab o |
Kev noj tshuaj ntxiv
Cov tshuaj siv rau hauv / a, hauv / hauv (suav nrog hauv daim ntawv ntawm Txoj kev lis ntshav) thiab / m.
Ua raws li qhov mob hnyav ntawm cov duab saib mob, koj yuav tsum xub nkag 10-20 ml ntawm cov tshuaj hauv / hauv lossis ib hnub, tom qab ntawd 5 ml hauv / hauv lossis / m maj mam, txhua hnub lossis ob peb zaug hauv ib lub lim tiam.
Rau kev lis ntshav, los ntawm 10 txog 50 ml ntawm cov tshuaj yuav tsum tau ntxiv rau 200-300 ml ntawm cov tshuaj tseem ceeb (isotonic sodium chloride tov lossis 5% kua nplaum). Txoj kev lis ntshav ntawd yog li 2 ml / min.
Rau cov v / m txhaj tshuaj, tsis txhob siv ntau tshaj 5 ml ntawm cov tshuaj, uas yuav tsum tau muab qeeb qeeb, vim tias kev daws yog hypertonic.
Hauv lub sijhawm lub sij hawm mob ischemic mob stroke (pib ntawm 5-7 hnub) - 2000 mg / hnub hauv / nrog nrog txog 20 lub qe kev kho mob nrog kev hloov pauv mus rau ib daim ntawv ntawm 2 ntsiav tshuaj. 3 zaug / hnub (1200 mg / hnub). Lub sijhawm tag nrho ntawm kev kho mob yog 6 lub hlis.
Nrog rau dementia - 2000 mg / hnub hauv / nrog. Lub sijhawm kho yog txog 4 lub lis piam.
Thaum muaj teeb meem peripheral ncig thiab lawv lub txim - 800-2000 mg / hnub hauv / ib lossis hauv / nrog kua. Lub sijhawm kho yog txog 4 lub lis piam.
Hauv kev mob ntshav qab zib polyneuropathy - 2000 mg / hnub iv / nqus dej ntawm 20 infusions nrog kev hloov mus rau daim ntawv ntsiav tshuaj ntawm 3 ntsiav tshuaj. 3 zaug / hnub (1800 mg / hnub). Lub sijhawm tiv thaiv yog los ntawm 4 txog 5 hli.
Cov lus qhia rau kev siv cov ampoules nrog so taw tes
Tso lub taub ntawm ampoule taw tes rau.
Maj mam npuaj tes nrog tus ntiv tes thiab co ntawm ampoule, cia cov tshuaj kom ntws tawm los ntawm qhov taub ntawm ampoule.
Tuav cov ampoule nyob rau hauv ib txhais tes nrog qhov taub nce, nrog lwm sab tes, tsoo tawm qhov ntxeev ntawm ampoule ntawm qhov txhaum.
Cov Yuav Tsum Tau Ua
- hypersensitivity rau cov tshuaj Actovegin ®, zoo ib yam li cov tshuaj lossis lwm tus neeg,
- decompensated lub plawv tsis ua haujlwm,
- Lub ntsws lim ntshav,
- oliguria, anuria,
- kua khaws cia hauv lub cev,
- cov menyuam yaus thiab tub ntxhais hluas hnub nyoog qis dua 18 xyoo.