Cov txiaj ntsig ntawm thrombo ACC hauv ntshav qab zib
Nyob zoo, Igor Viktorovich.
Hauv koj qhov xwm txheej, koj yuav tsum pib los ntawm kev soj ntsuam ntxiv thiab tsim kom muaj qhov hnyav ntawm cov ntshav qab zib mellitus, txij li kev kho tus mob no yog tus neeg tsis tshua muaj neeg. Ib qho ntxiv, Diabetol (yog tias koj txhais tau nws, Butamide, tsis yog Diabeton) yog tsis muaj tshuaj rau kev kho mob thaum pib ntawm kev mob ntshav qab zib hom 2.
Kuv xav kom koj yauv mus kuaj raws li hauv qab no, raws li nws pom nws tuaj yeem txiav txim siab txog hom kev pib kho:
- kuaj ntshav rau C-peptide,
- kuaj ntshav rau glycosylated hemoglobin.
Kuv kuj xav kom koj noj phytosborne Arfazetin 1/2 khob 30 feeb ua ntej noj mov 3 zaug hauv ib hnub, Arfazetin yuav tsum noj 2 lub lis piam, tom qab ntawd so li 2 lub lis piam, koj tuaj yeem rov kawm cov chav kawm ntev.
Koj tsis muaj contraindications rau noj Simgal, Trombo lub nroog Yeiuxalees thiab Betalok ZOK.
Ua Tsaug, Nadezhda Sergeevna.
Kuv yuav ua li cas yog tias kuv muaj qhov nug zoo sib xws tab sis txawv?
Yog tias koj tsis pom cov ntaub ntawv tseem ceeb ntawm cov lus teb rau lo lus nug no, lossis yog tias koj qhov teeb meem me ntsis txawv ntawm qhov tau hais hauv no, sim nug tus kws kho mob nug ntxiv rau tib nplooj ntawv yog tias nws nyob ntawm lub ncauj lus nug tseem ceeb. Koj tuaj yeem nug cov lus nug tshiab, thiab tom qab ib ntus peb cov kws kho mob yuav teb nws. Nws yog pub dawb. Koj tseem tuaj yeem tshawb cov ntaub ntawv tsim nyog ntawm cov teeb meem zoo sib xws ntawm nplooj ntawv no lossis dhau ntawm tus xaib nplooj ntawv tshawb. Peb yuav zoo siab heev yog tias koj pom zoo peb rau koj cov phooj ywg hauv kev tes hauj lwm.
Medportal 03online.com muab kev sab laj kho mob hauv kev sib kis nrog cov kws kho mob hauv lub xaib. Ntawm no koj tau txais cov lus teb los ntawm cov kws qhia tiag tiag hauv koj thaj teb. Tam sim no lub chaw muab tswv yim rau 48 thaj chaw: cov kws kho mob kev tsis haum tshuaj, kws kho qhov muag-rov mob dua qub, kws kho mob plab, kws kho mob plab, kws kho mob ntshav, tshuaj tua kab mob, kws kho mob hauv tsev, kws kho mob hauv plab, kws kho mob phais, pediatric kws phais neeg, pediatric kws phais neeg, kws kho mob phais, pediatric pais , tus kab mob kis tshwj xeeb, kws kho plawv, kws kho mob, kws hais lus, ENT tus kws tshaj lij, kws kho tsiaj, kws lij choj, kws kho mob, kws kho hlwb, kws kho hlwb, kws kho hlwb, kws kho mob, kws kho mob, kws kho pob ntseg, kws kho pob txha a, kws kho menyuam yaus, kws kho mob yas, kws tshaj lij tshuaj, kws kho mob hlwb, kws saib xyuas kev mob hlwb, kws kho mob ntsws, kws kho pob txha, kws xoo hluav taws xob, tus kws kho mob, kws tshaj lij, kws kho mob, kws kho mob, kws tshuaj, kws kho mob, kws txaij, kws phais, endocrinologist.
Peb teb 96.27% ntawm cov lus nug..
Lub npe thoob ntiaj teb
Acetylsalicylic acid. Hauv Latin - Acidum acetylsalicylicum.
Thrombo ACC yog npaj rau kev kho mob ntawm cov neeg mob kev txom nyem los ntawm cov roj metabolism tsis txaus, mob ntshav qab zib mellitus lossis ntshav siab.
Tso cov ntaub ntawv thiab cov nyob ua ke
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm puag ncig biconvex dawb ntsiav tshuaj, zaj duab xis-coated. Chav tsev ntawm cov tshuaj muaj 50 lossis 100 mg ntawm cov tshuaj nquag - acetylsalicylic acid. Raws li cov ntu muaj:
- mis nyuj qab zib
- microcrystalline cellulose,
- colloidal silicon dioxide,
- cov hmoov txhuv nplej siab.
Cov txheej txheej enteric muaj xws li talc, ethyl acrylate copolymer, triacetin thiab methacrylic acid. Cov ntsiav tshuaj muaj nyob hauv cov hlwv pob ntawm 14 lossis 20 daim. Hauv ib daim ntawv qhia cardboard rau 14 units ntawm cov tshuaj muaj 2 lub hlwv, rau 20 ntsuas - 5 lub hlwv.
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm puag ncig biconvex ntsiav tshuaj ntawm cov xim dawb.
Pharmacological kev txiav txim
Acetylsalicylic acid (ASA) muaj cov cuab yeej tshuaj tiv thaiv kev tiv thaiv kab mob uas tiv thaiv qhov ua kom tsis haum rau cov ntshav ntshav. Lub chaw nquag koom nrog cov chav kawm uas tsis yog tshuaj steroidal anti-inflammatory tshuaj (NSAIDs), yog raug tsim los ntawm salicylic acid. Kev kho mob ua kom zoo yog nyob ntawm qhov tsis paub txog kev thim rov qab ntawm cyclooxygenase. Thaum cov enzyme yog tshuaj tiv thaiv, kev tsim tawm ntawm prostaglandins, thromboxane thiab prostacyclins cuam tshuam. Raws li kev tawm tsam kev zais cia ntawm thromboxane A2, platelet tsim, kev sib koom ua ke (clumping) thiab platelet sedimentation yog txo.
Cov nyhuv antiplatelet tseem ua rau lub lim tiam tom qab siv ib zaug. Xws li lub sijhawm ua haujlwm ntev ntawm acetylsalicylic acid yog siv rau kev kho thiab tiv thaiv ntawm ischemic, kab mob varicose, myocardial infarction.
Cov Tshuaj Pharmacokinetics
Thaum muab tshuaj ntawm qhov ncauj, acetylsalicylic acid nrawm nrawm 100% hauv cov hnyuv me. Cov ntsiav tshuaj tsis ua rau lub plab zom mov vim qhov muaj ua ntawm daim nyias nyias. Thaum lub sij hawm nqus, qhov kev kho me ntsis ib feem rau salicylic acid tshwm sim. Qhov tshuaj no hloov mus rau hauv daim siab ua daim ntawv ua salicylates.
Thaum nws nkag rau hauv cov hlab ntshav, ASA khi rau 66-98% nrog cov plasma protein thiab tau faib ceev rau cov ntaub so ntswg. Ntshav kis tsis tshwm sim. Qhov kev tshem tawm ib nrab-lub neej mus txog 15-20 feeb. Kev tso zis mob tsuas yog 1% ntawm cov tshuaj uas tau lees rau hauv nws thawj daim ntawv. Tus so tawm hauv lub cev hauv daim ntawv ntawm metabolites. Nrog rau kev ua haujlwm li qub ntawm nephrons, 80-100% ntawm cov tshuaj tau txaws los ntawm ob lub raum hauv 1-3 hnub.
Thaum muab tshuaj ntawm qhov ncauj, acetylsalicylic acid nrawm nrawm 100% hauv cov hnyuv me.
Kev ntsuas rau siv
Cov tshuaj yog npaj los tiv thaiv mob plawv ntawm lub plawv mob thaum tus neeg mob muaj kev pheej hmoo (mob ntshav siab, rog dhau, muaj hnub nyoog laus dua 50 xyoo, ua tsis zoo, mob ntshav qab zib mellitus). Hauv kev kho plawv, cov kws kho mob tshwj xeeb muaj cai sau tshuaj rau hauv cov teeb meem hauv qab no:
- raws li kev ntsuas ntawm kev tiv thaiv ntawm thromboembolism tom qab kev tiv thaiv tsis zoo thiab phais kev ua haujlwm ntawm cov hlab ntsha: mob hlab ntshav o hla kev sib tsoo, stenting, angioplasty,
- nrog txoj hlab ntshav sib sib zog nqus,
- kom mob qhov mob rau qhov kub taub hau vim mob khaub thuas,
- tiv thaiv kev hloov chaw nyob hauv lub hlwb,
- rau kev kho mob ntawm hom mob angina ruaj khov thiab tsis khov kho,
- txhawm rau tiv thaiv kom tsis txhob mob ntxiv tshwm sim ntawm lub plawv nres,
- raws li kev tiv thaiv mob stroke, suav nrog cov xwm txheej nrog cerebrovascular kev sib tsoo.
Cov tshuaj yog siv los tiv thaiv pulmonary embolism tom qab lub sijhawm ntev vascular fixation, uas tau ua nyob rau hauv lub sijhawm tom qab cev tas.
Tso tawm daim ntawv thiab cov tshuaj muaj pes tsawg leeg
Thrombo ACC muaj nyob rau hauv cov qauv hauv cov ntsiav tshuaj rau kev tswj hwm qhov ncauj, coated nrog zaj duab xis enteric txheej. Cov ntsiav tshuaj yog xim dawb, puag ncig, convex ntawm ob sab, ntim rau hauv lub hlwv ntawm 14 daim (2) hauv cov thawv ntawv cardboard, ib qho ntim sib txuas nrog cov tshuaj nrog cov ncauj lus qhia ntxaws ntxaws ntawm cov yam ntxwv.
Txhua lub ntsiav tshuaj muaj 50 mg lossis 100 mg ntawm cov tshuaj nquag - Acetylsalicylic acid, raws li cov khoom siv pabcuam yog: lactose monohydrate, microcrystalline cellulose, silicon dioxide, qos hmoov txhuv nplej siab.
Siv thrombotic lub nroog Yeiuxalees rau ntshav qab zib hom 2
No. 26 010 Endocrinologist 11/20/2015
Puas yog nws muaj peev xwm thiab seb nws yuav coj teeb meem. Ua tsaug ua ntej rau koj kev teb.
Vladimir Verkhovodov, Bolkhov
Hnub Tim | Lo lus nug | Cov xwm txheej |
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11.11.2012 |