"Ibuprom": malangizo ntchito kwenikweni

Nonsteroidal odana ndi yotupa mankhwala zimakhala amphamvu kutsogolera malo m'misika mankhwala a dziko. Zida izi ndi zotsatira zovuta kwa antipyretic, odana ndi yotupa ndi analgesic zotsatira pa thupi la munthu. mankhwala china "Ibuprom". Malangizo nthawi ngati mankhwala othandiza kwambiri zosiyanasiyana matenda.

pharmacodynamics mankhwala

"Ibuprom" akuimira phenylpropionic asidi otumphukira. limagwirira zachokera yimitsira wa ntchito chikoka Cox (enzyme, n'zofanana ndi prostaglandins, womwe kulamulira ndondomeko ya pathogenesis, chitukuko cha zomverera kowawa ndipo febrile). Mmene medicament Ndi mmene omwe sanali kusankha chopinga wa cyclooxygenase, mwachitsanzo "Ibuprom" mofanana kumabwezera mmbuyo ntchito za isoforms zonse za enzyme - .. Cox-1 ndi Cox-2.

Zotsatira analgesic wa mankhwala "Ibuprom" malangizo ntchito amachititsa zifukwa ziwiri - zotumphukira ndi pakati. Pevy kuwonetseredwa mwa njira zina mwa chopinga wa ndondomeko prostaglandin kupanga. Mmene limagwirira chachiwiri (chapakati) ndi kupondereza m'badwo wa prostaglandins mu zigawo chapakati ndi zotumphukira wa Na. Chifukwa kuchepetsa kutupa pano zamadzimadzi zinthu physiologically yogwira amachepetsa tilinazo maganizo zolandilira mankhwala zikuchitika. Mu ubongo imene imalamulira kutentha malo thermoregulation mu yimitsira wa prostaglandin kaphatikizidwe akutitsogolera kuti kuchepa thupi kutentha limati pamene thupi.

Komanso, "Ibuprom" mapiritsi (wosuta kukonzekera A lili mfundo zimenezi) kumlingo ziletsa loitanirana (mgwirizano) ya maselo othandiza magazi kuundana.

The zikuchokera ndi maonekedwe za kumasulidwa mankhwala

Ibuprofen - ndicho yogwira chigawo "Ibuproma". Monga zigawo wothandiza angatchedwe crospovidone, pakachitsulo dioxide, polyethylene glycol ndi chiwerengero cha zinthu (gelatine, wowuma, masamba mafuta, sucrose, ndipo m. P.).

Mitundu imene mankhwala yoperekedwa ogula kwambiri. chiphunzitso mwina kunyamulidwa mu sachets mu polyvinyl vial (mapiritsi 50) kapena matuza.

Malinga ndi buku la mbali yaikulu mu chiphunzitso ndi ndinanena za "Ibuprome" (200 mg wa ibuprofen pa piritsi) kapena medicament "Ibuprom Max '(400 mg ibuprofen). Koma si onse. Pa yofanana monga "Sprint Ibuprom Capps" malangizo limatiuza kuti medicament amapangidwa mu makapasulu a mg ndi 200 wa yogwira mankhwala pachimake uliwonse. "Owonjezera Ibuprom" nsembe kwa odwala makapisozi, ndi buku la mbali yaikulu iliyonse - 400 mg. Pa "Ibuprom nkusani" Buku ananena kuti mbali ya piritsi limodzi lili 200 mg a ibuprofen ndi 30 mg wa pseudoephedrine hydrochloride.

zikuonetsa

Kumasulira zizindikiro onse adzapatsidwa analandira pamene zotsatira zabwino, limapangidwa njira monga "Ibuprom" mapiritsi malangizo. The zikuchokera (medicament analogs ndi chinthu chomwecho yogwira adzakhala pafupifupi zotsatira yomweyo), kutanthauza kuti medicament amapereka zabwino mu zochizira matenda monga mavuto yotupa osachiritsika msana ndi mafupa. Nazonso nyamakazi (rheumatoid, rheumatoid, psoriatic), nyamakazi, ankylosing spondylitis. Perekani "Ibuprom" zofewa minofu kutupa ndi dongosolo minofu ndi mafupa chifukwa cha nsautso, radiculitis, bursitis, tendinitis. Komanso, medicament akhoza kuthana ndi kupweteka kwa dzino, neuralgia, myalgia, syndrome ululu matenda opatsirana ndi yotupa pa mundawo chapamwamba kupuma. Akuchipatala amachita za kusankha "Ibuproma" zinthu thupi kuchepetsa kutentha thupi, ndi ululu kumverera kukomoka kapena zolimbitsa kuwunikidwa ndi chiyambi osadziwika.

"Max Ibuprom" malangizo Buku akuonetsa kumwa pamaso zizindikiro zomwezo pamene mlingo chofunika wa medicament anatsindika. "Ibuprom Owonjezera" kudzakhala mogwira zizindikiro zimenezi.

"Ibuprom nkusani" (lofanana - "Ibuprom Sprint zisoti") nthawi zotchulidwa kupereka analgesic, antipyretic ndi odana ndi yotupa zochita, komanso kuchepetsa kutupa kwa mucous ya mphuno ndi sinuses paranasal. Kuti, mankhwala ungakhale wogwira mtima mankhwala symptomatic chimfine, matenda pachimake kupuma ndi fuluwenza limodzi ndi mutu, zilonda zapakhosi, minofu, malungo ndi kutupa kwa nembanemba mucous ya mphuno ndi sinuses paranasal.

ofunsira zotheka

"Ibuprom" (mapiritsi) malangizo Buku akuonetsa perekani munthu mmodzi wodwala aliyense malingana ndi mphamvu ya zizindikiro matenda a matenda. Muyezo kamwedwe ka mankhwala - mlingo umodzi mu buku la mg wa 200 800 pa intervals wa nthawi 3-4 tsiku. Kwa odwala wamng'ono mlingo amusankha malingana thupi - 20-40 mg wa pa kilogalamu ya kulemera kwa thupi (ichi ndi buku tsiku), ogaŵikana kangapo tsiku lonse. mankhwala zambiri kumatenga kwa masabata 2 3. The pazipita analekerera mlingo patsiku kwa mtima wamkulu - 2,4 ga analandira pa kapena kudya ndi kusamba pansi ndi pang'ono madzi. Gawani piritsi m'magulu osafunika.

"Max Ibuprom» ali paokha chakudya ndi kumwa pamafunika ndi mphamvu yokwanira madzi. Pa mbali ya kugawanika mapiritsi osafunika.

Koma "Sprint Ibuprom Capps", ndiye kuti odwala oposa 12 zaka mlingo umodzi ndi 1-2 makapisozi mawola 4-6 mosinthanasinthana. Tengani kuti chakudya pa kapena pambuyo. Kwa anthu achikulire mwapadera kusankha mlingo Sikuti, kupatula mu milandu zimaonekera kulephera kwa impso ntchito ndi chiwindi.

"Ibuprom Owonjezera" malangizo akulimbikitsidwa kutenga 1 kapisozi maola 4 aliwonse (akulankhula za odwala zaka zoposa 12), koma palibe oposa 3 makapisozi patsiku. Tengani mankhwala pambuyo chakudya, musati kutafuna. Kwa odwala achikulire mwapadera kusankha mlingo Sikuti.

"Ibuprom nkusani" watengedwa musanadye mapiritsi 1-2 ndi kuchapa izo pansi ndi madzi. Pafupipafupi - mawola 4-6. The pazipita tsiku chovomerezeka mapiritsi 6.

Contraindications mankhwala "Ibuprom"

"Ibuprom" (mapiritsi) pogwiritsa ntchito malangizo limaletsa amene ali kochulukira hypersensitivity kuti Ibuprofen kapena zosakaniza chilichonse chowonjezera. Asamve ntchito medicament kwa odwala matenda m'mimba thirakiti zotupa erosive-ulcerous chikhalidwe (makamaka mu gawo pachimake). Analetsanso chithandizo "Ibupromom" pamaso pa ndi aspirin wa ku , ndi matenda a mitsempha chamawonedwe. Yofanana mu dongosolo hemopoietic ntchito komanso ndi maziko omwe sanali kugwiritsa ntchito zida zilizonse ku gulu la NSAID. Osati kuchita cholinga cha mankhwala kwa odwala chimene amalembedwa monyanyira mu impso ndi chiwindi.

Ndi zosavomerezeka ndiponso kutsatira "Ibuproma" pamodzi ndi mankhwala ena a m'gululi zoletsa steroidal.

Koma mankhwala 'Ibuprom Max "mankhwala malangizo ntchito limaletsa pansi mavuto ofanana, monga amachita" Ibuprom ".

"Ibuprom Owonjezera", kuwonjezera pamwamba contraindications onse anafotokoza, alibe mankhwala pamaso pa hemorrhagic diathesis odwala ndi ntchito osakwanira mtima. Inu simungakhoze kutenga mankhwala kuphwanya madzi m'thupi chikwiyire kusanza, kutsekula m'mimba kapena osakwanira mowa madzimadzi.

Mu mankhwala "Ibuprom nkusani" zonse pamwamba contraindications imene inafotokozedwa. Ndiponso, si ntchito mphumu, matenda a shuga, chithokomiro (giperterioz) milingo apamwamba timadzi. Kodi contraindicated odwala pamaso pheochromocytoma (adrenal zotupa mu zimakhala), hyperplasia (adenoma) a prostate.

zochitika zoipa

"Ibuprom" monga analekerera? Buku kakunena pa kuthekera kwa ena zochitika chilango chochokera kwa magulu osiyanasiyana ndi ziwalo odwala kulandira mankhwala. Nambala yaikulu mayankho kugwiritsa ntchito NSAIDs zimawonedwa kwa mundawo m'mimba. Odwala kulankhula za nseru, kusanza, epigastric kusapeza, anorexia chitukuko cha zotupa erosive ulcerous wa mucous pa mundawo m'mimba.

CNS mavuto nthawi zambiri anaona mutu, chizungulire, mukubwadamuka, kuvutika kugona ndi njira zithunzi likukula. zochita zotheka mbali krovetvoryaschey dongosolo pa chiphaso cha medicament kwa yaitali - magazi m'thupi, thrombocytopenia, agranulocytosis.

Pali zinthu zosiyanasiyana siligwirizana ndi "Ibuprom". Mapiritsi (wosuta kakunena) imfayo zotupa angioneurotic edema. Nthawi zina kwambiri zikhoza meninjaitisi aseptic (a atengeke kwambiri ndi zimene anthu ndi matenda autoimmune), bronchospastic syndrome. Ngati kusonyezedwa m'dera odwala kunena za zotengeka yoyaka ndi kumva kulasalasa pakhungu, za kuchulukana kwa.

"Ibuprom nkusani", kuwonjezera pa zonse pamwamba pa maadiresi, zikhoza chitukuko cha dyspnea, tachycardia, okwera magazi, hyperhidrosis.

Kugwiritsa Mlingo: zikugwirira

Pankhani ya ambiri osokoneza mankhwala monga "Ibuprom" ndi "Max Ibuprom" malangizo Buku inatero zotheka chitukuko cha kunyansidwa ndi kusanza, kupweteka epigastric. Komanso, mu mkhalidwe wotere kumachitika kusinza, anamva kupweteka chizungulire, akhoza kuchepetsa kuthamanga kwa magazi ndi arrhythmias. Zikavuta zizindikiro kuoneka kagayidwe kachakudya acidosis kumachitika imfa ya chikumbumtima ndi ntchito mkhutu kupuma.

Wotere yovomereza mwamsanga chapamimba lavage ndi kuika mankhwala symptomatic. Ankaulula enterosorbents. Writhing syndrome anali kudzipatula kudzera "ntchito diazepam", "lorazepam".

Ndi ambiri osokoneza a "Ibuprom Sprint Capps," kupatula koposa zonse, pali mwina disorientation, khunyu, chikomokere. Zotheka chiwindi kukanika. Mu odwala mphumu akhoza kuvutika matenda.

ntchito yaitali mankhwala "Ibuprom nkusani" angachititse masinthidwe pathological mu magazi, monga hemolytic magazi m'thupi (kumatheka azingokhala maselo ofiira), granulocytopenia (kuchepetsa chiwerengero cha granulocytes), thrombocytopenia (yafupika kupatsidwa zinthu za m'mwazi achiyesa).

Kodi kulabadira?

"Ibuprom" mtsogoleri amalimbikitsa kumwedwa mosamala amene amasonkhana chiwindi matenda, matenda a impso, kulephera aakulu mtima. Ngati musanayambe mankhwala wodwalayo zizindikiro za dyspepsia, kapena wodwala monga opaleshoni, amafunika kuyamba chithandizo "Ibupromom" mosamala kwambiri. mbiri A a nkhani pa magazi a mtundu uliwonse wa matenda m'mimba, matupi awo sagwirizana mawonetseredwe, chithandizo zokhudzana nonsteroidal odana ndi yotupa mankhwala, ayenera kukhala ndi nthawi kuti mwatcheru chikhalidwe cha wodwalayo.

Pofuna kupewa ngozi, m'pofunika mu ntchito "Ibuproma" mosalekeza kuwunika ntchito aimpso ndi chiwindi, zotumphukira magazi chithunzi.

Ndipo "Ibuprom" ndi "Max Ibuprom" malangizo ali osavomerezeka ntchito 3 trimester mimba. Mu 1 ndi 2 trimesters ntchito NSAID yilungamitsidwa pokha pokha pamene kuyembekezera ubwino mayi n'kosangalatsa zotheka zotsatira zoipa mwanayo.

Ibuprofen - waukulu yogwira chigawo "Ibuproma" - mu Mlingo yaing'ono excreted mu mkaka wa m'mawere Koma kwa chithandizo cha ululu ndi zinthu thupi tanthauzo lake pa mkaka wa m'mawere ndi zotheka. Komabe, ngati pali funso mankhwala yaitali mothandizidwa ndi "Ibuproma" kapena pofuna kulandira Mlingo akuluakulu ayenera kukambirana ndi dokotala wanu funso chokana kuyamwitsa.

Kugwiritsa "Ibuproma nkusani" mu nthawi ya gestation mimba ndi kuyamwitsa zambiri contraindicated.

Mogwirizana ndi mankhwala ena

mtundu uliwonse "Ibuproma" ( "Ibuprom Max", "Sprint Ibuprom Capps," "Kuwonjezera Ibuprom") malangizo Buku limaletsa zikufanana ndi antihypertensives ndi okodzetsa monga furosemide, hydrochlorothiazide, monga mmene achire akhoza zayamba yafupika.

Ntchito "Ibuproma" mu tandem ndi antiplatelet ndi zoletsa kusankha serotonin kumaonjezera ngozi ya magazi LCD. Ndiponso, angathe kuonjezera NSAID glycosides okhutitsidwa madzi a m'magazi ndipo, chotero, chifukwa exacerbation kulephera congestive mtima. "Ibuprom" kuonjezera chikoka pa anticoagulants thupi. Pachifukwa chimenechi, n'kofunika nthawi zonse kuwunika magawo coagulation, T. Kwa. Ibuprofen kwambiri kumachepetsa kupatsidwa zinthu za m'mwazi loitanirana.

Mu ntchito zikufanana ndi mankhwala lifiyamu ndi "MTX" zayamba kuonjezera zili zinthu izi mu madzi a m'magazi. Mgwilizano ndi cyclosporine nephrotoxicity patsogolo kwa ponso otsiriza.

Kuphatikiza "Ibuproma" kukonzekera a digitalis (digitalis) angachititse chitukuko cha arrhythmias mtima. Kapena akhoza kutenga NSAID izi mu tandem ndi asidi acetylsalicylic (ndi aspirin), chifukwa pali kuthekera zoipa mbali phindu kuwonetseredwa.

Kuphatikiza quinolone wothandizila antibacterial, ndipo aliyense NSAID (ndi "Ibuproma" kuphatikizapo) kumaonjezera ngozi ya khunyu. A kuphatikiza ndi mankhwala, monga "Zinovudin" kumaonjezera ngozi ya haemarthrosis ndi hematoma odwala kachilombo ka HIV.

Maganizo odwala za mankhwala

Nonsteroidal PVA - izi ndi kukonzekera aakulu amakhala osiyanasiyana zotsatira. Choncho, mayankho a odwala pogwiritsa pali nthawi zonse zabwino ndi zoipa malangizo. Yotero ndi "Ibuprom".

Zambiri za anthu amene anali mankhwala, anasangalala ndi zotsatira zake. Ululu mwamsanga kudzatha ndipo kwa nthawi yaitali iko kokha amafanana. Mankhwala zatsimikiziridwa kusamba chowawa, mutu ndi myositis, neuralgia ndi myalgia pa.

Pa nthawi yomweyo, pali odwala amene wosasangalala ndi mphamvu ya mankhwala "Ibuprom". Malangizo watero chitukuko mofulumira zotsatira analgesic, koma ogula ambiri alibe anamva kanthu za mankhwala. Komanso, ambiri anadandaula zochita chowawa monga nseru ndi mutu.

A gulu lalikulu la anthu akudandaula kuti "Ibuprom" kuchotsedwa kwathunthu mano. Ngakhale kuti si koyenera kunena kuti mankhwala zoipa. chakuti Mwachitsanzo, mu pulpitis pachimake sikungakuthandizeni othetsa ululu ena kuposa jekeseni mwachindunji mu chingamu ndi aliyense. Pankhani ya la mano "Ibuprom" - ndi mwayi posachedwapa kuti ndi mano popanda ululu kwambiri.

Mulimonsemo, NSAIDs - izo obezvolivayuschie ndi mbadwo watsopano wa wothandizila odana ndi yotupa, mogwira osiyanasiyana kwambiri pathologies. Izi ndi maganizo a anthu ambiri ogula ndi zachipatala.