Mankhwala "Vigantol": malangizo ntchito, analogs ndi ndemanga

N'chifukwa chiyani tiyenera mankhwala amenewa, monga "Vigantol"? Malangizo ntchito ndi analogues wa mankhwala Adzaperekedwa pansipa. Komanso, ife angakuuzeni zimene mawonekedwe mankhwala alipo, momwe ndalama, ngati ali zovuta zilizonse ndi contraindications.

Zikuchokera, ma CD, mawonekedwe, malongosoledwe

ndi "Vigantol" ndi chiyani? Malangizo ntchito, zaikidwa mankhwala, ndiye kuti mankhwala nthawi kashiamu ndi phosphorous kagayidwe mu thupi. Lilipo monga bwino njira wochuluka kwa wambiri. The medicament ali ndi mtundu pang'ono chikasu ndi viscous kugwirizana.

1 ml ya mankhwala munali 500 ug kolekaltsiferola ndi auxiliaries monga triglycerides srednetsepochnyh. mankhwala ndi akugulitsa 10 ml Mbale la galasi mdima ndi kukhala pulagi-dropper.

Pharmacodynamics medicament

Kodi mankhwala "Vigantol"? Malangizo ntchito limasonyeza kuti yogwira chiphunzitso ali ndi malamulo kashiamu ndi phosphorous kagayidwe pharmacological kanthu. Pa nthawi yomweyo amapanga kuchepa kwa vitamini D _3, kumaonjezera kashiamu mayamwidwe kapepala kakuti m'mimba ndi impso reabsorbs phosphates.

Kuwonjezera pa pamwamba pa onse, ndi medicament "Vigantol" amalimbikitsa fupa mineralization, umene uli wofunika kwa kugwira ntchito za masiku onse zopangitsa za parathyroid.

The pharmacokinetics chipangizo dokotala

Kodi mayamwidwe chikuchitika "Vigantol" mankhwala? Malangizo ntchito zikusonyeza kuti mayamwidwe ndalama ikuchitika ku mundawo m'mimba. Mkati mwa anthu chamoyo yogwira wothandizila chimamanga kuti α2-globulins komanso mbali ina - ndi albumin.

Kolekaltsiferol amasonkhana mu chiwindi, adipose minofu ndi mafupa, komanso minofu chigoba, impso, zopangitsa adrenal ndi myocardium.

Akufika ndende apamwamba yogwira pophika mu zimakhala anaona pambuyo maola 4-5. Kenako, ndi pang'ono yafupika Komabe, kwa nthawi yaitali anakhalabe pa mlingo anafuna chithandizo.

Akatswiri apezeka kuti Kolekaltsiferol amatha umalowa mu nsengwa. Iwo anaonanso kuti thunthu adzamasulidwa pamodzi ndi mkaka mayi, kotero osavomerezeka ntchito pa mkaka wa m'mawere.

Chifukwa cha biotransformation mu impso ndi chiwindi anapanga ngati wofooka ndi yogwira metabolites monga digidroksikolekaltsiferol, kaltsifediol ndi calcitriol.

Anasonyeza mankhwala kwa thupi limodzi ndi ya ndulu zochepa - limodzi ndi mkodzo.

Kodi ntchito?

Tsopano inu mukudziwa chomwe katundu wa mankhwala "Vigantol". The zizindikiro zazikulu matenda awa ndi ntchito zache;

• spazmofiliya;
• rickets;
• osteomalacia.

Ziletso ntchito mankhwala

Ngati pali contraindications kwa mankhwala monga "Vigantol" (mtengo wake kutchulidwa basi pansipa)? Iwo ali osavomerezeka kutenga njira m'mikhalidwe zotsatirazi:

• hypercalcemia;
• kuchuluka kudziwa miyambo ya chiphunzitso ndi;
• hypercalciuria;
• sarcoidosis;
• pamaso pa miyala impso (laimu);
• immobilization.

Kodi kutenga "Vigantol"? Njira ndi mlingo

Tengani mankhwala tiyenera kuziganizira yekha mankhwala. Komanso, musanagwiritse ntchito m'pofunika kuphunzira malangizo akachita mosamala. Iwo ananena kuti mankhwala "Vigantol" akhanda anapangana ndi mkaka wa m'mawere kapena madzi ena aliwonse. Kuti athandizidwe ndi njirayi ali osokonezeka mu kuchuluka kwa chakudya mwanayo mu supuni yaing'ono.

Pakuti kupewa matenda monga rickets, wathanzi ndi ana zonse yaitali kuyambira miyezi iwiri Kwalamulidwa tsiku 1 dontho lokonzekera. Tengani mankhwala kwa masiku asanu. kupanga masiku awiri yopuma patapita nthawi mwasankha.

Ana zaka limodzi kapena awiri ali osavomerezeka kupereka mankhwala M'miyezi ya chilimwe.

Kwa ana msanga ndi masiku 10 pa moyo Kwalamulidwa mlingo wa madontho 2 (tsiku lililonse). Mankhwalawa ayenera anapitiriza tsiku lonse, kupanga masiku awiri yopuma. Kupatula chithandizo zimenezi ndi miyezi yotentha.

Monga zochizira rickets ntchito mankhwala "Vigantol"? Madontho mu nkhani iyi kutenga mu mlingo waukulu. Mwachitsanzo, ana kwa masiku 10 pa moyo saloledwa tsiku lililonse kupereka pa 2-8 madontho.

"Vigantol" akuluakulu komanso amasankhidwa ndi dokotala nawo. Pre-mtima amaloŵamo Kupenda mankhwala, imene mlingo udzakhazikitsidwe vitamini D akusowa _H. Mwa njira, mlingo wake nthawi zonse kuunikira pa chithandizo lonse.

An ambiri osokoneza mankhwala

Kodi zizindikiro cha mankhwala osokoneza bongo zimachitika ngati yosayenera kulandira mankhwala monga "Vigantol"? Analogs za mankhwala ndi mankhwala momwe ntchito ku mlingo wina, umene anatchulidwa dokotala nawo.

Kawirikawiri izi zikutanthauza milandu cha mankhwala osokoneza bongo kugwirizana ndi mfundo yakuti mu thupi, kuphatikizapo mwana, kudziunjikira wambirimbiri vitamini D _W. Zimachitika hypervitaminosis D ₃ pa boma. Zizindikiro zake zikuphatikiza kudzimbidwa kapena m'mimba, pollakiuria, mutu, ludzu, kusanza, anorexia, nocturia, nseru, polyuria, kufooka ambiri, zachitsulo kukoma m'kamwa ndi zina zotero.

Kuwonjezera zinthu izi, wodwala angathe zovuta kwambiri ndi zipolowe mu mawonekedwe a ululu fupa, turbidity mkodzo, kuthamanga kwa magazi, pruritus, myalgia, conjunctival hyperemia, arrhythmia, etc.

Pansi pa zikhalidwe izi akuvutika mankhwala kutumikiridwa osauka hypercalcemia. Chiwembu pochiza matenda zimadalira kusalekerera lapansi.

Choncho, mwambo zizindikiro overdosage mankhwala kugubuduza, ndipo wodwala Kwalamulidwa wozama kashiamu zakudya, vitamini E, kumwa yambiri madzi, ascorbic asidi, thiamine, retinol, riboflavin ndi asidi pantothenic.

Koma Zikavuta, imafunika makonzedwe mtsempha wa 0,9% sodium kolorayidi njira, calcitonin, furosemide, electrolytes ndi hemodialysis.

Pofuna kupewa ndi ambiri osokoneza ayenera nthawi zonse kuwunika ndende kashiamu m'magazi.

zosiyanasiyana chokhwima

Ambiri, "Vigantol" mavitamini analekerera bwino. Nthawi zina, wodwala angathe zotsatirazi zotsatira osafunika:

• hypercalciuria;
• nseru;
• hypercalcemia;
• arrhythmia;
• ndi mafunsidwe kashiamu mu zikuchokera kwa zimakhala zofewa;
• kusanza;
• thupi otsika kulemera;
• kuphwanya maganizo ndi chikumbumtima;
• urolithiasis;
• utachepa kudya, polyuria ndi ludzu.

Mwanjira mankhwala

Mankhwala "Vigantol" zingakhudze zakudya mankhwala ena. Choncho, asanayambe ntchito, onetsetsani kukaonana ndi dokotala anu ndi kuwerenga malangizo. Mwa njira, otsiriza anatchula makhalidwe awa a medicament ndi:

• Ntchito "phenytoin", komanso wothandizira wachokera barbiturates gulu kumawonjezera mlingo kusinthika kwachilengedwenso kuti kumawonjezera kufunika kwa thupi la munthu kwa vitamini D _3.
• Kuphatikiza medicament "Vigantol" ndi bisphosphonate "calcitonin" ndi "plicamycin" woyamba amachepetsa Mwachangu ndi. Iwo ayenera kukumbukira kuti "Colestipol" ndi "Kolestiramin" kuchepetsa mayamwidwe m'mimba wa mavitamini mafuta-sungunuka. Zimenezi zimafuna kuwonjezera mlingo awo.
• Dongosolo munthawi yomweyo mankhwala ndi Mankhwalawa ayenera kumwedwa kuti muli zotayidwa ndi magnesium particles (makamaka pa nthawi yaitali), mwina kuonjezera maganizo awo mu magazi, komanso kusunga chiopsezo kuledzera.
• A kuphatikiza vitamini D _3, analogues kapena metabolites. Komabe, zimenezi ziyenera kuchitidwa pokha pokha wapadera. M'pofunika mosamalitsa kulamulira mlingo kashiamu m'magazi.
• Tikaphatikiza mankhwala a glycosides mtima kuonjezera angathe poizoni mankhwala chifukwa hypercalcemia. odwala Tiyenera kuchita ECG, komanso kuchepetsa mlingo wa kashiamu ndi kusintha mlingo wa glycosides mtima. Chiopsezo hypercalcaemia angadwale benzodiazepine ofanana nawo.
• Kuchepetsedwa mphamvu ya mankhwala ankaona zimawonedwa mu imodzi mankhwala "isoniazid wa" ndi "Rifampicin". Ichi ndi chifukwa chakuti iwo amatha mlingo wa biotransformation.
• Akatswiri anapeza kuti okodzetsa thiazide, calcium excretion kubweza ndondomeko mu mkodzo. kukhudzana koteroko kumalimbikitsa zosayembekezereka wa hypercalcemia, chimene chimafuna polojekiti zonse kashiamu m'magazi.

Price ndi analogues wa mankhwala

Kodi mukudziwa momwe ndalama "Vigantol"? Mtengo wa mankhwala akhoza kukhala osiyana ndi zimadalira zopezera pharmacies, komanso malo okhala a wodwalayo. Nanga phindu la chida ichi? Ugule mungathe kwa 200-220 rubles.

Mu nthawi imeneyo inu sanathe kupeza mankhwala amenewa mu mzinda, akhoza m'malo ngati. The Anzawo waukulu amaonedwa mankhwala zotsatirazi njira: "Videhol", "Akvadetrim", "Vitamini D", "cholecalciferol", "Kolekaltsiferol" ndi ena.

Poyerekeza mankhwala awa, anthu ambiri akudabwa amene ali bwino.

Monga, pofuna kupewa chitukuko cha rickets achinyamata amene akudwala chibadwire anayamba kulemba mankhwala kuti kuonjezera kuchuluka kwa vitamini D m'magazi. Nthawi zambiri, madokotala amati kugwiritsa ntchito mankhwala monga "Vigantol" ndi "Akvadetrim". Iwo zimathandiza kwambiri. Komabe, akatswiri amalangiza makolo kufufuzidwa ndi madokotala, kutanthauza m'pofunika kutenga mwana wawo. Inde, zina, wodwalayo ndi bwino kupereka wochuluka, pamene ena - njira amadzimadzi.

Reviews kwa mankhwala mankhwala "Vigantol"

About "Vigantol" kukonzekera pali zambiri ndemanga osiyana. Kwenikweni, iwo sadziwa makolo a ana aang'ono. Ndipotu, mankhwala nthawi zambiri zotchulidwa ana ndi kusowa kwa vitamini D _3.

Motero kudzera ndemanga makolo kugawana za ntchito mankhwala, ndipo amakayikira ngati izo lathandiza ana ena.

Malinga ndi ambiri, madokotala amakonda kulemba Ana Vigantol ". Amagwiritsidwanso ndi amadzimadzi njira ya "Akvadetrim". Nthawi zonse, ana anaona azimuth positive. Childs, izi zimachitika pambuyo kwathunthu wa mankhwala.

Malinga ndi makolo, ntchito yokonza wochuluka makamaka yabwino kwa ana akhanda. Pambuyo mankhwala sanaulule kuvutika aliyense mu dongosolo fupa.

Iwo ayenera kukumbukira kuti, ngakhale chiopsezo zosiyanasiyana yamkuntho milandu mavuto odwala kulandira "Vigantola" anali sanalembedwepo. Mwa njira, pali zambiri maganizo abwino kwa anthu odwala, omwe amasangalala ndi mtengo wochepa wa mankhwala.