Dicinon: cov lus qhia rau kev siv, cim, ntau npaum li cas thiab analogues
Dicinon yog ib qho tshuaj kho mob hauv tsev, yog nyob rau hauv pab pawg ntawm cov neeg sawv cev hemostatic, kev ua kom muaj zog ntawm kev tsim ntawm thromboplastin. Nquag khoom xyaw - Ethamsylate.
Cov tshuaj pab ua rau nce qhov tsim ntawm qhov loj ntawm mucopolysaccharides uas tiv thaiv cov protein ua ke los ntawm kev puas tsuaj hauv cov phab ntsa ntawm capillaries. Tsis tas li ntawd, nws tso cai rau normalize permeability ntawm capillaries, nce lawv ruaj khov, thiab kuj txhim kho microcirculation.
Dicinon yog tus mob hemostatic, antihemorrhagic thiab angioprotective, nws normalizes permeability ntawm phab ntsa vascular, txhim kho microcirculation.
Nws tsis muaj cov khoom hypercoagulant, tsis ua rau mob thrombosis, tsis muaj vasoconstrictor siv. Txheeb sij hawm hloov kho pathologically hloov ntshav. Nws tsis muaj dab tsi cuam tshuam qhov ib txwm tsis ua haujlwm ntawm kab mob hemostatic.
Dicinon cov kev coj ua tsis cuam tshuam rau qhov sib xyaw ntawm cov ntshav peripheral, nws cov protein thiab lipoproteins. Me ntsis nce cov ntsiab lus ntawm fibrinogen. Qhov erythrocyte sedimentation tus nqi yuav poob qis me ntsis. Cov tshuaj normalizes los yog txo pathologically nce permeability thiab fragility ntawm capillaries.
Tom qab kev tswj hwm iv, cov tshuaj pib ua tom qab 5-15 feeb, qhov siab tshaj plaws pom tau tom qab 1 teev, lub sijhawm ua haujlwm yog 4-6 teev.
Kev ntsuas rau siv
Dab tsi pab Dicinon? Raws li cov lus qhia, cov tshuaj yog tshuaj hauv cov kis hauv qab no:
- Parenchymal (nrog rau kev puas tsuaj rau tus po, mob ntsws, ob lub raum, mob siab) thiab capillary (nrog kev puas tsuaj rau cov hlab ntsha me) los ntshav,
- Kev los ntshav thib ob rau cov keeb kwm yav dhau los ntawm thrombocytopathy (kev paub tsis zoo ntawm cov qe ntshav) thiab thrombocytopenia (txo hauv platelet suav hauv cov ntshav),
- Hematuria (muaj ntshav nyob hauv cov zis), hypocoagulation (ncua ntshav coagulation), mob ntshav hlab plawv,
- Epistaxis ntawm keeb kwm ntawm ntshav siab,
- Hemorrhagic vasculitis (ntau yam microthrombosis thiab mob rau sab hauv phab ntsa ntawm microvasculature) thiab hemorrhagic diathesis (nyiam cov ntshav ua kom muaj ntshav ntau dua),
- Ntshav qab zib microangiopathy (kab mob capillary hauv ntshav qab zib mellitus).
Cov lus qhia rau siv Dicinon, ntau npaum ntawm cov ntsiav tshuaj thiab ampoules
Cov koob tshuaj txhua hnub ntawm cov tshuaj thiab lub sijhawm ntawm cov chav kawm ntawm kev kho yog txiav txim los ntawm tus kws kho mob nyob ntawm lub cev qhov hnyav thiab mob hnyav los ntshav.
Cov ntsiav tshuaj tau nqos tag nrho, ntxuav nrog dej huv. Raws li cov lus qhia rau kev siv Dicinon, qhov ntau tshaj ib zaug tshuaj yog 3 ntsiav tshuaj. Qhov ntau npaum li cas txiav txim tau txiav txim siab los ntawm tus kws kho mob nyob ntawm hom kev los ntshav.
Txhawm rau tiv thaiv qhov kev loj hlob ntawm los ntshav nyob rau hauv lub sijhawm postoperative, cov neeg laus tau sau tseg 1-2 ntsiav tshuaj txhua 6 teev, kom txog rau thaum tus mob.
Txoj hnyuv thiab ntshav txhaws - 2 ntsiav tshuaj ib hnub rau 5-10 hnub. Yog tias xav tau los txuas ntxiv rau chav kawm ntawm txoj kev kho, qhov tshuaj tsuas txo.
Dicinon rau kev coj khaub ncaws - 3-4 ntsiav tshuaj ib hnub twg rau 10 hnub - pib 5 hnub ua ntej hnub coj khaub ncaws thiab xaus rau hnub 5 ntawm kev coj khaub ncaws. Txhawm rau kom ua tiav cov nyhuv, ntsiav tshuaj yuav tsum tau coj raws li cov txheej txheem thiab 2 mus ncig.
Cov me nyuam tau sau tseg nyob rau hauv ib koob tshuaj txhua hnub yog 10-15 mg / kg hauv 3-4 koob.
Cov neeg mob uas mob rau daim siab los yog mob raum yuav tsum tau siv nrog ceev faj.
Dicinon hno
Ib qho tshuaj kho ntawm cov tshuaj rau feem ntau txhaj rau 0.5 lossis 1 ampoule, yog tias tsim nyog, 1.5 ampoules.
Rau cov laj thawj prophylactic ua ntej kev phais mob: 250-500 mg ntawm etamsylate los ntawm kev tso ntshav lossis txhaj tshuaj rau 1 teev ua ntej kev phais mob
Neonatology - kev txhaj tshuaj Dicinon ntawm koob tshuaj 10 mg / kg lub cev hnyav (0.1 ml = 12.5 mg). Txoj kev kho yuav tsum pib ua ntej thawj 2 teev tom qab yug. Txhaj cov tshuaj txhua 6 teev rau 4 hnub rau tag nrho cov koob tshuaj 200 mg / kg lub cev hnyav.
Yog tias cov tshuaj tov nrog dej qab ntsev, tom qab ntawd yuav tsum tau muab tshuaj sai sai.
Cov ntawv thov pleev
Dicinon tuaj yeem thov pleev cov ntsiab lus (daim tawv nqaij txhuam cov leeg, cov hniav rho tawm) siv daim ntaub huv huv lub cev ua cov noo nrog tshuaj.
Tej zaum muaj kev sib xyaw ua ke ntawm kev siv lub qhov ncauj ntawm cov tshuaj nrog cov tswj hwm kev tswj hwm.
Cov lus qhia tshwj xeeb
Ua ntej pib kev kho mob, lwm yam ua rau los ntshav yuav tsum tau txiav txim siab.
Cov tshuaj yuav tsum tsis txhob raug tshuaj rau cov neeg mob uas muaj cov ntshav qab zib ua tsis haum, lapp lactase deficiency (lactase tsis haum rau qee cov neeg qaum teb) lossis cov ntshav qabzib-galactose malabsorption syndrome.
Yog tias txoj kev daws teeb meem tshwm sim rau kev tswj hwm ntawm cov dej khov thiab cov ntshav khov, nws tsis tuaj yeem siv.Qhov kev daws teeb meem no tsuas yog siv rau hauv tsev kho mob thiab chaw kho mob.
Sab sij huam
Cov kev qhia ceeb toom txog qhov ua tau los ntawm kev txhim kho cov kev mob tshwm sim tom qab thaum sau ntawv Dicinon:
- Los ntawm sab hauv nruab nrab ntawm lub hauv nruab nrab lub paj hlwb thiab lub hlwb sib faib: mob taub hau, kiv taub hau, txha caj qaum ntawm qis qis dua.
- Los ntawm lub plab zom mov: xeev siab, kub siab, hnyav rau hauv thaj chaw epigastric.
- Lwm yam: kev fab tshuaj tsis haum, hyperemia ntawm daim tawv nqaij ntawm lub ntsej muag, txo systolic ntshav siab.
Cov Yuav Tsum Tau Ua
Dicinon yog contraindicated nyob rau hauv cov teeb meem hauv qab no:
- mob siab rau plooj (porphyria)
- hemoblastosis hauv cov menyuam yaus (mob qog nqaij hlav thiab mob myeloid los ua ntshav, osteosarcoma),
- mob ntsws vwm
- thromboembolism
- ua kom lub cev tsis haum rau cov tshuaj thiab sodium sulfite,
- pub niam mis
- cov tshuaj tiv thaiv sodium sulfite (kev daws rau iv thiab / m tswj hwm).
Siv thaum cev xeeb tub yog ua tau tsuas yog nyob rau hauv cov xwm txheej uas muaj peev xwm muaj txiaj ntsig ntawm kev kho rau leej niam outweighs qhov kev pheej hmoo rau tus me nyuam hauv plab.
Noj ntau dhau
Cov ntaub ntawv ntau dhau tsis piav qhia hauv cov lus qhia. Cov tsos mob lossis siv zog ntawm cov kev mob tshwm sim yog ua tau.
Analogs Ditsinon, tus nqi hauv cov khw muag tshuaj
Yog tias tsim nyog, Dicinon tuaj yeem hloov nrog ib qho analogue ntawm cov tshuaj nquag - cov no yog cov tshuaj:
Zoo li hauv qhov kev txiav txim:
- Tranexam
- Aminocaproic acid
- Vikasol
- Alfit-8.
Thaum xaiv cov analogues, nws yog ib qho tseem ceeb kom nkag siab tias Dicinon cov lus qhia rau kev siv, nqi thiab tshuaj xyuas tsis siv rau cov tshuaj ntawm cov nyhuv zoo sib xws. Nws yog ib qho tseem ceeb kom kws kho mob sab laj thiab tsis txhob hloov pauv cov tshuaj ywj siab.
Tus nqi hauv khw muag tshuaj ntawm Russia: Ditsinon ntsiav tshuaj 250 mg 100 pcs. - los ntawm 377 txog 458 rubles, tus nqi ntawm ampoules Dicinon tov 125 mg / ml 2 ml 1 pc - los ntawm 12 rubles, 100 pcs. - los ntawm 433 rubles, raws li 693 lub tsev muag tshuaj.
Khaws kev tiv thaiv los ntawm lub teeb thiab noo noo, kom deb ntawm cov menyuam yaus ntawm qhov kub tsis tshaj 25 ° C. Txee lub neej yog 5 xyoos.
Qhov xwm txheej ntawm kev faib tawm los ntawm cov khw muag tshuaj yog los ntawm cov tshuaj noj.
4 kev txheeb xyuas rau “Dicinon”
Kuv raug txhaj nrog Dicinon tom qab phais. Kuv nkag siab tias yuav txo qhov feem yuav los ntshav. Cov kev kho mob tau tiv thaiv zoo li niaj zaus. Cov kev txhaj tshuaj yog qhov tsis muaj mob. Tawm tsam keeb kwm yav dhau los ntawm qhov mob hauv qhov chaw xaws, Kuv tsis xav tias muaj kev siv tshuaj txhua.
Xyoo tsis ntev los no, Kuv tau raug tsim txom los ntawm CD ntau, tshwj xeeb yog hnub thib ob thiab peb, tab sis hnub ntawd feem ntau txaus ntshai. Cov tshuaj ua sai sai. Zoo heev! Rua kuv. Kuv tsis paub dab tsi yuav muaj tshwm sim yog tsis muaj lawv.
Kuv muaj ntau lub sijhawm thiab kuv haus Ditsinon 5 hnub ua ntej pib kom tsis txhob muaj ntshav ntau.
Txog cov hnub ntawd, kuv noj ascorutin, thaum nws ua tiav lawm. Pheej yig thiab cov nyhuv yog tib yam. Dicinon tsis tau sim, txawm hais tias kuv hnov ntau yam zoo txog lawv.
Dicinon thaum cev xeeb tub - cov lus qhia rau kev siv
Hauv cov theem thaum ntxov ntawm cev xeeb tub, Dicinon raug tshuaj yog tias tsis muaj kev phom sij rau lub cev ntawm pob txha, tsuas yog hauv cov ntsiav tshuaj thiab hauv qab kev saib xyuas ntawm kws kho mob. Hauv qib thib ob thiab thib peb tus lej nws tau siv:
- Txhawm rau tshem tawm kev los ntshav me.
- Thaum ua tiav ntawm cov ntsiab ntawm cov paib.
- Txhawm rau tiv thaiv qhov ntswg ntshav ntswg.
Cov lus qhia rau kev siv hauv qhov xwm txheej dav dav
- Txog kev tiv thaiv thiab nres ntawm cov leeg ntshav txhaws thiab ntshav hlab ntaws hauv otolaryngology nrog kev kho mob phais,
- Hauv kev phais mob ophthalmology rau keratoplasty, tshem tawm thiab tawm kev kho tus mob glaucoma,
- Nrog ntswg ntawm lub keeb kwm yav dhau los ntawm txoj hlab ntshav siab,
- Hauv kev kho hniav thaum lub sijhawm kev phais mob,
- Hauv kev phais mob kub ceev kom tsis txhob mob plab hnyuv thiab mob ntsws los ntshav, hauv kev mob paj hlwb - nrog cov ischemic stroke,
- Qhov qhia tau yog hemorrhagic diathesis (suav nrog tus kab mob Werlhof, Willebrand-Jurgens kab mob, thrombocytopathy),
- Ntshav qab zib microangiopathy,
- Kev mob hauv plab rau cov menyuam yug tshiab thiab menyuam ntxov.
Cov yam ntxwv ntawm kev thov hauv gynecology:
Dicinon rau kev txiav tawm lub cev ntas yog qhov tshuaj uas muaj zog heev thiab siv tau zoo, tab sis nws yuav tsum tau siv kom tsis txhob hnyav hnyav tsuas yog thaum kawg, thiab tsuas yog tom qab sab laj nrog kws kho mob thiab muaj qhov taw qhia ncaj qha rau kev nkag mus.
Hauv qee kis xwm txheej, Dicinon yuav tsum tau noj nrog los ntshav los ntawm kev siv tshuaj tiv thaiv sab hauv - cov pob txha. Tom qab tshem tus kauv nrog kev siv Dicinon, los ntshav nres.
Yuav siv li cas Dicinon, noj ntau npaum li cas
Tshuaj rau cov laus:
Cov txheej txheem niaj hnub tshuaj ntawm Dicinon yog 10-20 mg / kg lub cev qhov hnyav, muab faib ua 3-4 koob tshuaj. Feem ntau, ib koob tshuaj ib zaug yog 250-500 mg 3-4 zaug / hnub.
Hauv qee qhov tshwj xeeb, ib koob tshuaj yuav raug nce ntxiv rau 750 mg 3-4 zaug / hnub.
Dicinone nrog lub sijhawm hnyav tau sau tseg 2 ntsiav tshuaj ntawm 250 mg peb zaug ib hnub thaum noj mov. Cov kev kho mob yuav mob ntev txog 10 hnub, pib tsib hnub ua ntej pib los ntshav.
Hauv sijhawm tom qab lub sijhawm ua haujlwm siab, cov tshuaj tau tawm hauv ib koob ntawm 250-500 mg txhua 6 teev kom txog thaum muaj kev pheej hmoo los ntshav ploj.
Hemorrhagic syndrome: peb zaug hauv ib hnub, 6-8 mg / kg, lub sijhawm tau nkag mus txog ob lub lim tiam, raws li kev qhia, ib lub chav kawm yuav rov ua ib lub lis piam.
Cov kab mob sab hauv: cov lus pom zoo kom noj 2 lub tshuaj Dicinon 250 mg 2 rau 3 zaug hauv ib hnub (1000-1500 mg) nrog zaub mov noj, nrog me ntsis dej huv.
Ntau npaum li cas rau haus Dicinon? Ntev thiab ntev npaum li cas nws yuav siv sij hawm haus cov ntsiav tshuaj yuav tsum yog tus kws kho mob sau tseg, kev kho mob txheem yog ntev txog 10 hnub.
Tshuaj rau me nyuam yaus (muaj hnub nyoog tshaj 6 xyoo):
Kev noj tshuaj txhua hnub ntawm Dicinon rau cov menyuam yaus yog 10-15 mg / kg hauv 3-4 koob. Lub sijhawm siv nyob ntawm qhov muaj qhov cuam tshuam ntawm cov ntshav poob thiab thaj tsam li 3 mus rau 14 hnub txij li lub sijhawm ntshav los nres. Cov ntsiav tshuaj yuav tsum tau noj thaum lub sijhawm lossis tom qab noj mov.
Tsis muaj cov kev tshawb fawb txog kev siv Dicinon ntsiav tshuaj rau hauv cov neeg mob uas ua rau lub siab lossis lub raum tsis ua haujlwm. Hauv cov pab pawg neeg mob no, siv cov tshuaj nrog ceev faj.
Cov lus qhia Dicinon rau kev siv - kev txhaj tshuaj rau cov laus
Qhov noj tshuaj zoo txhua hnub yog 10-20 mg / kg, muab faib ua 3-4 v / m lossis iv (qeeb) kev txhaj tshuaj.
Kev mob ntshav qab zib microangiopathy (hemorrhage): txhaj tshuaj intramuscular ntawm 0.25 grams 3 zaug ib hnub, txhaj rau 3 hlis.
Hauv kev phais mob, lawv tau tiv thaiv nrog IV lossis IM 250-500 mg 1 teev ua ntej kev phais mob. Thaum lub sijhawm ua haujlwm, I / O raug tswj hwm 250-500 mg. Tom qab kev ua haujlwm tiav, 250-500 mg ntawm Dicinon muab tshuaj txhua txhua 6 teev kom txog thaum muaj kev pheej hmoo los ntshav ploj.
Ditsinon - kev txhaj tshuaj rau menyuam yaus
Qhov koob tshuaj rau txhua hnub yog 10-15 mg / kg ntawm qhov hnyav ntawm lub cev, muab faib ua 3-4 koob.
Hauv cov neontology: Dicinon muab rau hauv / m lossis hauv / hauv (qeeb qeeb) ntawm koob tshuaj 12,5 mg / kg (0.1 ml = 12.5 mg). Txoj kev kho yuav tsum pib ua ntej thawj 2 teev tom qab yug.
Cov Yuav Tsum Muaj
Kev siv ntawm ob ntsiav tshuaj thiab kev txhaj tshuaj ntawm Dicinon yog contraindicated hauv:
- ua kom lub cev tsis haum rau cov tshuaj nquag lossis cov khoom siv hauv cov tshuaj,
- thrombosis thiab thromboembolism,
- mob siab rau plooj (porphyria).
Siv nrog ceev faj thaum muaj ntshav tawm tsam keeb kwm ntawm kev siv tshuaj ntau dhau ntawm cov tshuaj anticoagulants.
Sab Tshuaj Dicinon
- mob taub hau
- kiv taub hau
- khaus thiab liab ntawm daim tawv nqaij,
- xeev siab
- paresthesia ntawm ob txhais ceg.
Cov kev xav zoo li no rau Dicinon yog hloov thiab me me.
Muaj pov thawj tias hauv cov menyuam yaus mob lympho- thiab mob myelogenous leukemia, osteosarcoma, etamzilate, tau siv los tiv thaiv los ntshav, ua rau mob nqaij ntshiv.
Tom qab txhaj tshuaj, liab thiab khaus khaus tuaj yeem tshwm ntawm thaj chaw txhaj tshuaj, Quincke's edema yog qhov tsis tshua pom muaj, mob hawb pob txha muaj kabmob ntau. Qee qhov xwm txheej loj, ib tus neeg yuav muaj qhov teeb meem anaphylactic.
Analogs Dicinon, npe
Dicinon analogs raws li lub hauv paus ntsiab lus ntawm kev ua:
- Etamsylate
- Mononine
- Octanine F
- Lub kaum hli ntuj
- Cov tshuaj sulfate
- Revolade
Thov nco ntsoov - cov lus qhia rau kev siv cov khoom noj khoom haus, tus nqi thiab tshuaj xyuas cov analogues tsis haum. Nyob rau hauv qee kis, lawv tsis tuaj yeem siv los ua tus qauv qhia rau kev siv thiab ntau npaum li cas ntawm analogues! Thaum saib seb puas muaj dab tsi los hloov Dietion, koj yuav tsum sab laj tus kws kho mob tsim nyog.