"Keyver" shiri: umarnin don amfani (injections)

Idan ba za a iya cire ciwon ta hanyar maganin maganin miyagun ƙwayoyi ba, to, ana amfani da bayani don allura "Keyver". Umurnai don yin amfani da hotuna suna ba da shawara su yi tare da ciwon ciwo na matsanancin matsakaici da matsananci. Wannan na iya kasancewa a matsayin mai kwakwalwa, mai yaduwa ko kuma lumbar zafi.

Abun ciki da nau'i na shiri

A cikin 1 ml na bayani don allura ne 25 MG na aiki abu - dexketoprofen. A karin sinadaran hada da ethanol abu a cikin wani adadin 96% sodium chloride, sodium hydroxide da ruwa ga allura.

Wannan shiri shine fili marar lahani. An cika shi cikin gilashin gilashi, wanda aka sanya a cikin akwatin katako na 5-10. Kowane ampoule ya ƙunshi 2 ml na miyagun ƙwayoyi "Keiver".

Umarni ga aikace-aikace na allurar tana nufin wadanda basu da magungunan steroidal da kwayoyi antirheumatic, wadanda suke da kwayoyin propionic acid.

Pharmacological Properties

Dexketoprofen trometamol (abu mai amfani da wannan magani) shine gishiri na acid propionic. An halin analgesic, antipyretic da anti-inflammatory Properties. Yayi la'akari da wani nau'i na kwayoyin cutar anti-inflammatory, ko NSAIDs.

Hanyar aikin aiki shine don rage kira na prostaglandins saboda sakamakon hana cyclooxygenase. Watau, musayar albarkatun arachidonic zuwa PGG2 da PGH2 endo-peroxides na yanayi ne na cyclic. Daga cikin wadannan, bi da bi, prostaglandins PGEi, PGE2, PGF2a, PGD2 an kafa su, ciki har da irin wannan abu kamar PGI2 na prostacyclin, da thromboxanes TxAg da TxBg. Rashin muryar kira na prostaglandins yana rinjayar tasirin da ke cikin kumburi, alal misali, a kan abin da ya shafi tasirin miyagun ƙwayoyi. An bayyana sakamakon sakamako na dexketoprofen kan aikin cyclooxygenase-1, cyclooxygenase-2.

Gwajen gwajin gwaji sun kafa mummunan sakamako na miyagun ƙwayoyi a nau'o'in nau'i na ciwo mai tsanani. An gano magungunan da aka samu ta hanyar rigakafi ta hanyar injecting bayani a ciki. An yi nazari game da tasiri mai tsanani a kan jin zafi a lokacin da ake sa ido. Wadannan su ne dabarar daji da kuma maganin gynecology, da kuma tiyata na ciki. Yi amfani tare da nau'i daban-daban na ciwo a cikin miyagun ƙwayoyi mai suna "Keiver". Umurnai don yin amfani da injections ya bada shawarar yin aiki tare da haɗin gwal.

Nazarin ya nuna cewa na'urar likita tana aiki a lokaci-lokaci, kuma mafi girman tasiri ya bayyana a minti arba'in da biyar. Hanyoyin da ake yi akan jiki yana kimanin awa takwas, amma idan an kalla 50 MG na "Keyver" (injections) an allura. Bayani, alamomi ga miyagun ƙwayoyi - duk wannan yana da matukar muhimmanci a yi karatu kafin amfani da shi.

Tare da tsarin intramuscular na dexketoprofen trometamol, mafi tsinkaye a cikin kimanin minti ashirin. Yana da haɗin haɗin haɗin sunadaran plasma - 99%. Yaduwar dexketoprofen ya bambanta a yankin 0.25 l / kg. Rabin rarraba lokaci shine 0.35 hours. Nuna bayan kwanaki 1-2.7.

Indiya don amfani da miyagun ƙwayoyi

Ya kamata a allura shi cikin intramuscularly ko a cikin intravenously tare da ciwon ciwo mai tsanani na matsakaici da matsayi mai girma na miyagun ƙwayoyi "Keiver". Umurnai don yin amfani da hotuna suna ba da shawarar yin kawai a yayin da bita ba ta taimaka ba. Yana da kyau a yi amfani da su bayan yin amfani da shi, tare da bayyanar kwararru da kuma ciwo mai tsanani a cikin yankin lumbar.

Contraindications don amfani

Yana da magani "Keyver" (nyxes) alamomi da contraindications. Na biyu sun haɗa da:

• Hypersensitivity ga aiki abu dexketoprofen da kuma ƙarin sassan da bayani;
• Harkokin bala'i da mashahuran ƙwayoyi;
• Rhinitis m, nasal polyps, hives, angioedema;
• Buga da zub da jini;
• gastrointestinal zub da jini ;
• Crohn ta cutar ko ulcerative colitis;
• Bronchial fuka a cikin anamnesis;
• Zuciyar zuciya;
• Kwayoyin cututtuka na matsananciyar matsananciyar tsanani;
• Cutar cutar;
• Babban cutar hanta;
• Yi amfani dashi ga gwamnatin da ba ta dace ba (intrathecal or epidural);
• Tashin ciki, musamman III na uku;
• Lactation lokacin.

Kada ku kaskantar da wasu daga cikin waɗannan dalilai a lokacin sanya wajan miyagun ƙwayoyi "Keiver" (injections). Umurnai don amfani sun bayyana dukkan fasalulluran amfani da wannan magani.

Ba a umarci miyagun ƙwayoyi ga kananan marasa lafiya ba saboda rashin sanin yadda tasirin ya shafi jikin yaron. Tare da hankali ya kamata ya kai wa tsofaffi.

Da miyagun ƙwayoyi "Keiver" (nyxes): umarnin don amfani

Ga tsofaffi, yawan shawarar da gwamnati ke da ita shine 50 MG. Dogon lokaci tsakanin injections ya zama akalla 8-12 hours. Idan ya cancanta, an yi amfani da inji na biyu bayan sa'o'i shida. Kwanan rana yana da 150 MG. Ana amfani da miyagun ƙwayoyi don saurin lokaci guda na ciwo mai tsanani. Ba a yi amfani dashi ba fiye da kwana biyu a jere. Bayan jinya na farko, idan yanayin ya ba da izinin, an yi haƙuri zuwa ga masu ba da launi.

Ana rage cututtukan lalacewa a jiki ta hanyar gabatar da ƙananan karɓan karɓa. Bayan aikin, tare da jin dadi mai tsanani na karfi da matsakaici, an yi amfani da miyagun ƙwayoyi bisa ga alamu. Matsaloli da ka iya dacewa da miyagun ƙwayoyi tare da maganin analysics na opioid.

Ga tsofaffi, ba a gyara kashi ba. Amma tun da tsarin matakan da ke cikin kodan cikin tsofaffi suna jinkirin saukarwa, har yanzu ana bada shawara don rage sashi. Matsakaicin izini tare da ƙananan rushewar kodan shine 50 MG.

Marasa lafiya tare da ciwon hanta (maki 5-9 akan ƙananan yara-Pugh) kowace rana sun rage zuwa 50 MG. Bayan gabatar da miyagun ƙwayoyi cikin jiki, aikin kula da wannan kwayar halitta ana kulawa da hankali. A wani yanayi mafi tsanani na cutar hanta, ba a sanya miyagun ƙwayoyi (maki 10-15 akan ƙananan yara-Child).

Tare da m koda cuta (Halitta yarda - 50-80 ml / min.), Yawan yau da kullum kada ya wuce 50 MG. Tare da matsakaici ko matsananciyar dysfunction ta tsakiya, wanda aka ƙaddamar da creatinine shine <50 ml / min, an hana miyagun ƙwayoyi sosai.

Maganin maganin allurar da ake gudanarwa a cikin intramuscularly da intravenously. Lokacin da aka fara amfani da maniyyi na intramuscular sannu a hankali kuma mai zurfi sosai, "Kiwo" (injections).

Yadda za a gina magungunan ƙwayoyi don jigilar intravenous

Da ruwa a cikin ampoule na 2 ml don gabatarwa a cikin kwayar ya kamata a diluted. Don da abun ciki na ampoule wajibi ne don ƙara 30-100 ml na 0.9% sodium chloride, glucose ko lactate Ringer ta bayani. Ana shirya ruwa don ƙwayar intravenous a karkashin yanayin bakararre. Abin da aka tanadar dole ne ya zama cikakke kuma ba shi da wani tsabta. Ana yin jiko domin minti goma zuwa talatin. Kada ka bari hasken rana hasken rana don shigar da bayani yayin a lokacin shirye-shiryensa da kuma tsawon lokacin mulkin miyagun ƙwayoyi.

"Koyarwa" (injections in ampoules) yana bada shawara don hade da kwayoyin narcotic don tsara. Don yin wannan, ƙara 100 ml na 0.9% sodium chloride zuwa ampoule na 2 ml. Idan ya cancanta, za a iya tsinke miyagun ƙwayoyi tare da glucose a cikin wannan rabo.

An haramta haramta "Prometazine" da "Pentazocine" tare da magungunan "Keyver" (injections) a cikin maganin maganin injections.

Yaya za a yi amfani da magani tare da allurar ƙuƙwalwa? A karshen wannan, ba a tsaftace maganin miliyon 2 don jiko ba. Zuba cikin sauri, don hutu guda goma sha biyar. Bai kamata a rage wannan lokacin gwamnati ba. A cikin ƙananan allurai, haɗuwa da "Kiwo" tare da irin waɗannan magunguna kamar "Heparin", "Lidocaine", "Morphine" da "Theophylline" an yarda.

Kada ku haɗu da ruwa mai inuwa tare da kananan kwayoyin "Dopamine", "Promethazine", "Pentazocine", "Petidin" da "Hydrocortisone." An bada shawarar saboda wannan hadarin farin ciki, wanda ba shi da kyau a lokacin hanya.

Magungunan ba shi da mahimmancin ajiya na biyu kuma ya kamata a gudanar da shi nan da nan bayan an samo shi daga gilashin gilashin gilashi. Dole ne a yi amfani da maganin nan da nan bayan an haxa dukkan magungunan likita. Matsayin da ake yi daidai da wannan hanya shi ne wanda ke aiki.

Maganin inura bayan dafa abinci ya kiyaye dukan dukiya marar canzawa a ko'ina cikin yini. Wannan yanayin zai yiwu idan an shirya shirye-shiryen shirye-shiryen daga hasken rana, kuma tsarin zazzabi bai wuce 25 ° C ba.

An tsara "Keiver" mai ƙwanƙwasa don ƙura guda. Ana samun wannan bayani a nan da nan. Nan da nan kafin jiko, tabbatar cewa bayani ya bayyana kuma babu launi. A gaban dukkanin ƙananan ƙwayoyin cuta, ba za'a iya amfani da miyagun ƙwayoyi ba.

Sakamakon sakamakon miyagun ƙwayoyi

Za a iya samun yawan sakamakon lalacewa bayan gwanin miyagun ƙwayoyi "Keiver" (injections). Umurnin ya hada da bayanin da sau da yawa akwai irin abubuwan da suka faru a matsayin tashin hankali da zubar da jini. Akwai ciwo a cikin shafin injection, zub da jini, kumburi da hematoma. Wasu lokuta akwai anemia da rashin barci, damuwa, damuwa da ciwon kai. Rawanci da aka zazzabi da karuwar wahala, rashin lafiyar jiki, bala'i. Akwai zafi a ciki, dyspepsia. Bayan nyxis, cututtukan zuciya ko rikice-rikice wani lokaci yakan auku, da zubar da jini. An lura da bushewa mai zurfi na kogin na bakin ciki. Wasu marasa lafiya sunyi damuwa da dermatitis, ƙwaƙwalwa, raguwa da ƙetare kisa.

A wasu lokuta, akwai hyperglycemia, hypertriglyceridemia da anorexia. Akwai fariya da rashin fahimta. Magungunan da ke fama da baƙin ciki suna kunnuwa a kunnuwa, extrasystole da tachycardia. A lokuta masu yawa, alamun cutar hauhawar jini, thrombophlebitis, da bradypnoe an rubuta su. Akwai wani ciwo, jaundice, urticaria, damuwa da kuraje, ƙwaƙwalwar tsokoki, tsummoki na gado. Bayyana tsofaffin ƙwayoyin tsoka da ciwo a cikin baya. An lura da hankali ƙarar urination, gwargwadon rahoto, acetonuria. Akwai matsala ta hanyar sakewa da aiki na prostate. Muscle tremors, an yi amfani da harshen ede.

A lokuta masu ban mamaki, an lura da neutropenia a marasa lafiya, da thrombocytopenia. Mutane daya-daya misalai nuna anaphylactic halayen, msl, anaphylaxis. Very rare ne bronchospasm, dyspnea. Rikici a wasu lokuta pancreatitis da cututtukan Stevens-Johnson, epidermal necrolysis. Marasa lafiya suna shan wahala bayan injection daga injections daga angioedema, edema fuskar, photosensitization. Ya ruwaito daga daya zuwa goma dubu a yanayin da cutar nephritis da nephrotic ciwo.

Ba a gano ainihin abubuwan da aka tabbatar da su ba. Bayan cike da maganin rigakafi, ƙwayar miyagun ƙwayoyi suna tasiri da ƙwayar narkewa, haifar da zubar da ciki, ciwo na ciki da anorexia. Akwai damuwa da kyamarar yanayi a sararin samaniya, damuwa, ciwon kai. Lokacin da yake nuna gaskiyar abin da ya kamata, ya kamata ya dauki matakan da sauri ya janye miyagun ƙwayoyi daga jikinsa tare da taimakon dialysis.

Analogues na magani

Magunguna "Keyver" (injections) an bambanta da wani babban farashin. Ana iya samun analogs na wannan magani a kowace kantin magani. Lambar ATC da siginar aiki sun kasance daidai ga magunguna masu zuwa:

• "Alfort na Dex."
• "Decafene".
• "Delsangin."
• «Delsangin Kunsa»
• "Depiophene".
• "Rastel".
• "Sertofen".

Wadannan kwayoyi zasu iya, idan ya cancanta, maye gurbin "Kowa" (injections). Analogues kuma maye gurbin wannan miyagun ƙwayoyi suna aiki da irin wannan hanya kuma suna da nau'in abu guda ɗaya, amma ba za a zabi su da kansa ba. Kafin maye gurbin wata magani tare da wani, ya kamata ka tuntuɓi likita wanda zai taimake ka ka zaɓar zaɓi mafi dace.

Kudin magani

An shirya shirye-shirye "Keiver" (injections) a Ukraine. Umarnin yana bada shawarar yin amfani da shi ba a kai a kai ba, sai dai a kan kararrari-batu kuma ba fiye da kwana biyu ba. A Rasha, wannan magani ba a yi amfani dashi ba kuma ba a sayar dasu a cikin kantin magani, don haka zaka iya kiran kusan farashin. An kafa shi a cikin fassarar daga Hryvnia zuwa rukuni na Rasha, tare da la'akari da lissafin kuɗin, wanda a halin yanzu akwai UAH. Ya daidaita da 3.21 rubles. A cikin Ukraine, wannan magani za a iya saya don 200 hryvnia. A rikicewa, kudin zai zama 640 Rasha rubles.

Hanyar ajiya da rayuwa mai shiryayye

Kada ka adana shirye-shirye na likita "Kulle" (injections) fiye da shekaru biyu daga lokacin yin sana'a, aka nuna akan kunshin. Bayani na miyagun ƙwayoyi ya lura cewa bayan kwanan wata ƙarancin miyagun ƙwayoyi bai dace ba don amfani. Ajiye samfur a akwatin asali a cikin yanayin zafin jiki bata wuce + 25 ° C ba. Ya kamata a kiyaye miyagun ƙwayoyi a wuri mai sanyi wanda ba zai yiwu ba ga yara kuma za'a kiyaye su daga hasken rana kai tsaye.

An sake shi a cikin kantin magani daidai bisa ga takardun magani. Kamfanin ne kamfanin PJSC Farmak na kasar Ukrain.

"Keiver" - magani ne wanda ke da tasiri wanda ya dace don sayan mummunan ciwo. An tsara don amfani kaɗan. An fito a kasuwa da kwanan nan kwanan nan kuma bai riga ya gudanar da nasara don cin nasara ga masu amfani ba. Ana iya sayan ta ta hanyar labarun kan layi, kuma ta hanyar manyan magunguna na manyan garuruwan Ukraine.