"Melbek": malangizo ntchito, analogs ndi ndemanga madokotala

njira yotupa mu zofewa nyumba zimakhala, olowa ndi fupa kawirikawiri anaonetsa ululu, omwe akhoza kuthana ndi zosiyanasiyana mankhwala. Medicine "Melbek" malangizo amene adzakhale anafotokoza m'nkhani ino, ndi sanali steroidal odana ndi yotupa wothandizira, akhoza osati kuthetsa ululu, komanso kutupa m'malo olumikizirana mafupa mu zimakhala ndi. Kodi chida ichi ntchito? Kodi mlingo mitundu ya mankhwala angapezeke mu pharmacies ndi mmene kuwatsatira? Timaphunzira za izo pakali pano.

Zikuchokera, kapangidwe

Mankhwala "Melbek" Buku limafotokoza odana ndi yotupa ndi analgesic. Mankhwala alipo mapiritsi ndi mu maonekedwe a njira jekeseni. formulations onse zili chimodzimodzi yogwira pophika - meloxicam. Mu njira, Lili 15 mg "Melbek forte" - chimodzimodzi kuchuluka. Pang'ono ang'onoang'ono buku la pawiri umenewu uli mapiritsi "Melbek" - 7.5 mg.

zinthu zina m'gulu chiphunzitso cha phwando m'kamwa, omwe amakhala mu mndandanda muyezo wa zigawo zikuluzikulu kuti kulola meloxicam kufika zikutsatiridwa m'mimba ndipo matumbo. Izi lactose, magnesium stearate, aerosil, ndi sodium citrate ndi povidone. Jekeseni njira Kuwonjezera meloxicam lili madzi, sodium kolorayidi ndi sodium wochuluka hydroxide, glycine ndi glikofurfurol.

Kufotokozera za mitundu mlingo

Miyala "Melbek" Buku limafotokoza zotsatirazi: wozungulira kuwala mtundu wachikasu ndi Valium pa imodzi pamalo a. Yemweyo mlingo mawonekedwe, koma ndi wokhutira mkulu wa yogwira pophika ( "Melbek forte") amaoneka mofanana, kusiyana kokha ndi miyala ndi chiwembu kuopsa awiri mu mawonekedwe a mtanda. Onse mitundu ya mapiritsi ali odzaza mu matuza zidutswa 10 aliyense.

A njira chilangizo jekeseni Limafotokoza ngati madzi mandala chikasu, lomwe liribe inclusions yachilendo. Nawatsanulira mu mandala Mbale galasi 1.5 ml lililonse. phukusi uli osapitirira 3 mbale ndi njira.

zotsatira pharmacological

The peculiarity wa yogwira mfundo "Melbek" kukonzekera malangizo mafoni luso kutsogoleredwa kaphatikizidwe wa prostaglandins chachiwiri mlingo malo (Cox-2), pafupifupi popanda okhudza Cox-1. Choncho, mankhwala si pafupifupi chifukwa zochita chowawa mu dongosolo m'mimba odwala.

Odzipereka kwa mundawo m'mimba si zosakwana 89% ya mankhwala yogwira. misinkhu khola la meloxicam zimawonedwa patapita masiku atatu kuyambira pa chiyambi cha mankhwala "Melbek". Malangizo ntchito amagwiritsidwa lili ndi mfundo zimene yaitali mankhwala (ngakhale zoposa 1 chaka), palibe zotsatira za kudzikundikira yogwira zinthu ndi awo metabolites mu zimakhala.

Mu kagayidwe wa meloxicam izo linawola pafupifupi mwathunthu ofooka zinthu zophweka kuti excreted mkati mwa tsiku, munthu pazipita awiri. Awo nthawi theka moyo maola 20.

umboni

Miyala "Melbek" ndi "Melbek forte" opaleshoni malangizo amalangiza kuvomereza matenda otsatirawa:

• nyamakazi (monga mankhwala symptomatic);
• nyamakazi, arthrosis ndi matenda ena osachiritsika a articular zida (monga analgesic ndi);
• myalgia, dorsalgia, lumbago ndi sciatica.

Komanso, mankhwala bwinobwino combats dzino, kupweteka kwa minofu ndi relieves odwala kapena postoperative zoopsa.

akulimbikitsidwa kugwiritsa ntchito "Melbek" njira zinthu zomwezi. Majekeseni malangizo, madokotala weniweni ndi odwala imatengedwa kwambiri ndi ululu wa chiyambi aliyense, koma pali zina za ntchito yawo. Tikambirana kenako mu gawo pa dosing "Melbek" mankhwala.

Dosing wa mankhwala ndi njira ya phwando

Kodi kulengeza ntchito mankhwala "Melbek" malangizo ntchito? Mapiritsi mu mlingo wa 7.5 mg wa anasonyeza zochizira ululu osachiritsika olowa kutupa mphamvu. Number miyala patsiku sayenera upambana 1 chachiwiri zidutswa. Only pansi kwambiri kupitirirabe ululu angadwale mlingo tsiku 15 mg.

Mu nyamakazi pa siteji oyambirira mankhwala mlingo tsiku ndi 15 mg. Pambuyo olimba a wodwalayo kuti yafupika ndi theka, pafupifupi 7.5 mg wa pa tsiku.

Miyala "Melbek" mtsogoleri akuonetsa kumamwa kowirikiza madzi, makamaka madzi. Chakudya wambiri sikumangotikhudza mayamwidwe wa chinthu yogwira. Komabe, akatswiri amalangiza kumwa mapiritsi mukatha kudya. Choncho n'zotheka kupewa mkwiyo wa mucosa muzituluka.

Kodi limanena za kugwiritsa ntchito njira "Melbek" malangizo ntchito? Majekeseni ayenera kuyikidwa yekha m'masiku oyambirira a mankhwala. Pambuyo zotsatira analgesic mankhwala wene, m'pofunika kusintha mlingo mawonekedwe ya pakamwa. Kukwaniritsa zotsatira zabwino ndi zofunika kuti njira zimalowa zigawo kuya kwa minofu.

The pazipita tsiku mlingo wa chiphunzitso ichi, monga momwe zilili ndi miyala, 15 mg.

zosiyanasiyana chokhwima

Zotsatira zake zoyipa pamene mukumwa "Melbek" mankhwala ankaona kuti lililonse kwa mankhwala tonse a gulu la anthu omwe sanali steroidal mankhwala odana ndi yotupa. Iwo yodziwika ndi mwachindunji zoyipa pa Kakhungu mucous ya m'mimba ndi thirakiti m'mimba wonse. Choncho, mankhwala ambiri mankhwalawa "Melbek" zochita chowawa mu mawonekedwe a matenda dyspeptic, nseru, kusanza, kupweteka m'mimba ndi bloating. Amveke bwino zizindikiro izi mpaka ulceration m'mimba kumachitika mu nkhani ya sanali kugwilizana ndi analimbikitsa Mlingo malangizo.

Mwa mavuto wa mankhwala mankhwala "Melbek" ndi "Melbek forte" mtsogoleri anatchula kuyan'anila za dongosolo hematopoietic, chapakati mantha dongosolo, ziwalo kwenikweni ndi kupuma. Komanso, mankhwala zina zingachititse kuthamanga kwa magazi. Odwala komanso kusokoneza kutupa, palpitations ndi kumverera liwiro la magazi kwa mutu ndi nkhope.

Mu zina, anaona kungasokoneze mankhwala pa khungu. Makamaka, pafupifupi 1% odwala anavutika photosensitivity ndi matupi awo sagwirizana totupa. Nthawi zina pamene kulandira njira iliyonse mlingo "Melbek" kukonzekera kumachitika zochita aakulu mpaka mantha anaphylactic.

contraindications

Medicine "Melbek" ali osavomerezeka pamene wodwala ali kale matenda a thupi lawo siligwirizana mu mawonekedwe a mphumu, urticaria ndi angioedema ndi wothandizila nonsteroidal odana ndi yotupa, ndipo makamaka kwa aspirin. Komanso mosamala yoikikayo mapiritsi pa matenda erosive ulcerous za m'mimba ndi duodenum 12 mu gawo pachimake. Komanso, musati mankhwala mankhwala kwa anthu ndi chiwindi ndi impso matenda. Iwo ankaona contraindication aakulu ndi zaka wodwala kwa zaka 15.

Kugwiritsa mimba ndi yoyamwitsa

Odwala ambiri, pali funso ndi ululu wa matenda ngati ntchito mankhwala woyembekezera, "Melbek" kuloledwa. Malangizo ntchito, jakisoni ndi miyala amene anafotokoza mwatsatanetsatane, lili ndi mfundo zimene pa Kubereka formulations onse ndi bwino ntchito. chakuti yogwira pophika mankhwala likulowerera mu madzimadzi synovial ndi chililaka chotchinga placental. Ngakhale kuti zotsatira teratogenic mu maphunziro zasayansi akhala amadziŵika, kutenga mwana wosabadwa akhala mkulu.

Kusamala

chiwerengero cha matenda ndi mavuto tiyenera kukhala tcheru kwambiri mlingo wa mankhwala. Nthawi zina, mungafunike kuletsa "Melbek" mankhwala. Mwachitsanzo, mankhwala ayenera kuletsa posachedwapa pa chiopsezo magazi kumachitika kapepala kakuti m'mimba. N'chimodzimodzinso odwala ndi mkhutu ntchito aimpso, makamaka milingo kungachepetse magazi mu ziwalo zimenezi. Ndi mankhwala anapitiriza, "Melbek" mankhwala kalozera amachenjeza kuti n'zotheka kukhala pachimake aimpso kulephera.

Akatswiri amanena kuti impso ayi komanso zimachitika odwala ndi matenda enaake chiwindi, congestive mtima kulephera mawonekedwe ndi anthu mogwirizana ndi matenda concomitant kutenga okodzetsa.

chithandizo yaitali ndi mankhwala "Melbek" ali contraindicated odwala mu ukalamba.

ambiri osokoneza

Ngati inu olumpha mlingo analimbikitsa zizindikiro kumachitika odwala ofanana ndi amene anafotokozedwa gawo za mavuto. mankhwala enieni, kumatha poizoni, kulibe, kotero Akatswiri amalangiza chapamimba lavage, komanso absorbents mkati phwando. Komanso, umapangitsa amapereka mankhwala symptomatic. Komabe, madokotala nenani kuti dialysis ndi zina njira yochotsa madzimadzi kwa thupi, kuphatikizapo simuchita diuresis, ambiri osokoneza meloxicam sapereka iliyonse chifukwa. Chinthu chokha chimene chingatithandize kuchotsa mofulumira kuchokera mu thupi la kugwirizana - mankhwala "Cholestyramine".

Mwanjira mankhwala

Pa phwando limodzi ndi mankhwala ena mankhwala "Melbek" Malangizo Ntchito analangiza kuti uzichita mwapadera, chifukwa nthawi zina osakaniza ndalama si yabwino kwambiri ku thanzi la wodwalayo. Nazi zitsanzo zingapo za mmene phwando mankhwala osiyanasiyana, kuphatikizapo "Melbek" zingakhudze chikhalidwe cha odwala:

1. Anticoagulants, monga "heparin" ndi "Ticlopidine", osakaniza ndi meloxicam amachepetsa magazi clotting ndi zingachititse magazi kwambiri.
2. Lifiyamu munali kukonzekera pa phwando munthawi yomweyo ndi "MELBEK" kungachititse ambiri osokoneza wa lifiyamu.
3. Alpha-blockers, ndi atumiki analgesic, anatengedwa pamodzi ndi meloxicam ndi dzuwa m'munsi.
4. Okodzetsa akutengedwa pa mankhwala "Melbek" akhoza kuchita mwakuti kwambiri kumaonjezera ngozi ya madzi m'thupi ndi pachimake kulephera aimpso.
5. Mphamvu ya zipangizo intrauterine kulera zosiyanasiyanazi pa phwando awo limodzi ndi mankhwala "Melbek" amachepetsa, kotero ndikofunika njira zina kuti adziteteze ku mimba zapathengo.
6. Cyclosporine osakaniza "Melbek" mankhwala zingachititse kuwongola wa nephrotoxicity cha mphamvu masika.

Poganizira zonsezi zimachititsa Nkofunika kwambiri njira nkhani ya kupereka, pamodzi ndi njira "Melbek" mu maonekedwe a mapiritsi ndi njira jekeseni. Akatswiri nthawizonse kuziika kwa kuthekera kwa phwando anzake a mankhwala osiyanasiyana.

analogs

Analogues kukonzekera "Melbek" kwa yogwira (panopa) mankhwala ndi mankhwala zotsatirazi: "meloxicam" (kuphatikizapo "Meloxicam-PRAM" ndi "Meloxicam DS"), "Movalis" "Moccasin" ndi "Mesipol". Izi mankhwala mu chochitika zosowa m'malo mankhwala "Melbek". Ali ndi zizindikiro zomwezo, mavuto ndi contraindications.

Analogues wa kanthu ankaona kuti anagwira ndi zina nonsteroidal odana ndi yotupa wothandizila ndi kanthu odana enaake ophwanya, osati munali meloxicam. Zikuphatikizapo mankhwala "Ketanov", "Ambene" ndi "Faspik". ntchito zawo yilungamitsidwa ngati wodwalayo ali ndi tsankho meloxicam.

Reviews madokotala

Malinga ndi akatswiri, mankhwala "Melbek" Ndi mmodzi wa bwino mankhwala kuthetsa ululu matenda monga nyamakazi arthrosis. Komanso, dziwani kuti poyerekezera ndi mankhwala ena omwe si steroidal odana ndi yotupa mankhwala awa alibe kutchulidwa zoyipa pa dongosolo m'mimba, ngakhale ndi makonzedwe aakulu. Amaona kuti mfundo yofunika kwambiri poika NSAIDs Inde mankhwala.

Ndi yaitali ntchito "Melbek" kukonzekera malangizo, ndemanga akatswiri amanena kuti zimatenga kwa miyezi ingapo. Nkofunika nthawi zonse akuoneni dokotala nthawi kudziwa zochita osafunika ndi mankhwala.