Kuwombera ku zovuta zowonjezera "Diprospan": ntchito ndi ndemanga

Kodi ndibwino bwanji kuti mupange jekeseni kuchokera ku zovuta "Diprospan"? Yankho la funso ili likufotokozedwa m'nkhaniyi. Lili ndi zokhudzana ndi zomwe odwala amanena ponena za mankhwala, kaya ali ndi zotsatira, zotsutsana, ndi zina zotero.

Kupanga, kufotokozera ndi kuika

Kuwombera ku zovuta zowonjezera "Diprospan" kungagulidwe pa pharmacy iliyonse. Mankhwalawa amapezeka ngati kutsekemera pang'ono, kosaoneka ndi kopanda mtundu (kungakhale kofiirira kwambiri), komwe kumagwiritsidwa ntchito jekeseni.

Mankhwalawa ali ndi zoyera zosautsa kapena zoyera. Sili ndi zonyansa zakunja, ndipo pamene zimagwedezeka zimapanga madzi ofanana, ofanana.

Kodi ndi chiani chomwe chawombera kuchokera ku "Diprospan" zovuta? Zinthu zokhudzana ndi mankhwala ndi betamethasone sodium phosphate ndi betamethasone dipropionate. Amaphatikizapo madzi osungunuka, sodium hydrogen phosphate dihydrate, hydrochloric acid, sodium chloride, macrogol, disodium carmellose, polysorbate 80, propyl parahydroxybenzoate, benzyl alcohol ndi methyl parahydroxybenzoate.

Kodi ndingapeze chiani kuchokera ku zovuta zowonjezera "Diprospan"? Ndemanga za odwala zimanena kuti mankhwala oterewa akupitirirabe kugulitsidwa m'magalasi ampoules, omwe amaikidwa mu mapaketi a makatoni. Komanso mankhwalawa angagulidwe mu sirinji yosakanizika yopangidwa ndi galasi lopanda mtundu (singano ziwiri zopanda kanthu zikuphatikizidwa). Mipiringiyi imayikidwa muzitsulo zamapulasitiki, zomwe zili mu makatoni.

Pharmacological katundu

Kodi mankhwala a jekeseni ndi otani "Diprospan"? Malangizo omwe amapezeka pa mankhwala akuti mankhwalawa ndi glucocorticoid. Ali ndi mineralocorticoid yochepa komanso ntchito yaikulu ya glucocorticoid. Mankhwalawa ali ndi matenda osokoneza thupi, odana ndi opweteka komanso odana ndi zotupa. Amakhalanso ndi zotsatira zogwiritsira ntchito mitundu yonse ya metabolism.

Pharmacokinetic katundu

Kodi jekeseni wa "Diprospan" zovuta zimakhudza bwanji thupi la munthu? Akatswiri amati betamethasone sodium phosphate imatha bwino kwambiri. Pambuyo pa jekeseni wamakono, mankhwalawa amadziwidwa mofulumira kwambiri ndipo nthawi yomweyo amamwa. Kuchuluka kotereku kumapereka mankhwala othandiza kwambiri.

Mankhwalawa amatulutsidwa kwathunthu mkati mwa tsiku limodzi.

Ponena za betamethasone dipropionate, imatengeka pang'onopang'ono (kuchokera ku dothi). Thupili limayambitsidwa pang'onopang'ono. Izi zimapangitsa kuti atenge mankhwalawa nthawi yaitali. Chinthuchi chikuwonetsedwa kwa masiku khumi.

Ubwenzi wa betamatezone ndi mapuloteni a plasma pafupifupi 62%. Matenda ake pachiwindi amapangidwa ndi mapangidwe a metabolites omwe alibe mphamvu. Mankhwalawa amasokonezeka makamaka ndi impso.

Zizindikiro zogwiritsidwa ntchito

Kodi cholinga cha mankhwala "diprospan" ndi chiyani? Majekeseni omwe ali nawo (owonetsedwa pambuyo pake) ndi ziwalo zina za thupi amagwiritsidwa ntchito pochiza matenda ndi zinthu zomwe glucocorticoids zingakwanitse kupeza mankhwala opambana. Sitiyenera kuiwala kuti ndi njira zina zothandizira mankhwalawa ndi zina, osati yaikulu.

Nanga cholinga cha jekeseni chifukwa chiyani? "Diprospan"? Mankhwala awa amagwiritsidwa ntchito pamene:

• Matenda a matenda ofewa, mafupa ndi minofu;
• Kusokonezeka;
• Matenda a m'mimba;
• Matenda owopsa a mawonekedwe ogwirizana;
• Kuthamanga;
• Kuchuluka kwapadera kapena koyambirira kwa adrenal cortex;
• Matenda ena ndi matenda omwe amafunikira mankhwala ndi systemic GCS.

Zotsutsana za ntchito

Musanachite jekeseni wa "Diprospana", muyenera kuphunzira mosamala malangizo. Limanena kuti mankhwalawa sangagwiritsidwe ntchito pazifukwa zotsatirazi:

• Ndi mycoses;
• Kwa kayendedwe kakang'ono kamene kakang'ono;
• Kumayambiriro kwa malo opatsirana;
• Poyambira mu malo osokoneza;
• Kwa ma intraarticular administration (ndi matenda osagwirizana kapena odwala matenda opatsirana);
• Kwa ana osakwanitsa zaka zitatu (chifukwa cha kumwa mowa);
• Ndikumvetsetsa kochulukira kwa mankhwala;
• Ndikumveka kochuluka kwa maglucocorticoids ena.

Kugwiritsa ntchito mankhwala mosamala

Ndi nthawi ziti zomwe zimakhala ndi mankhwala oyenera "Diprospan"? Pricks mu mgwirizano (ndemanga zokhudzana ndi mankhwala ndi zosavuta) ndi ziwalo zina za thupi ziyenera kuchitika pansi pa kuyang'aniridwa kolimba kwa dokotala pamene:

• Matenda a parasitic ndi opatsirana a bakiteriya, fungal kapena mavairasi;
• Matenda a immunodeficiency amati;
• Matenda a m'magazi;
• Matenda a mtima ndi mitsempha ya magazi;
• Matenda a Endocrine;
• Kuchuluka kwamtambo kapena kupweteka kwachilendo (matenda);
• Thrombocytopenic purpura;
• Hypoalbuminemia ndi zinthu zomwe zimapangitsa kuti zichitike;
• Kunenepa kwambiri, machitidwe odwala matenda osooporosis, matenda a maso omwe amayamba chifukwa cha herpes, lactation, myasthenia gravis, polio, psychosis, yotseguka ndi yotsekemera angle glaucoma, mimba;
• Pakapita nthawi katemera.

Tiyeneranso kukumbukira kuti poyendetsa bwino mankhwalawa, mankhwalawa amaperekedwa mosamalitsa mu chikhalidwe chachikulu cha wodwala komanso kusagwira ntchito kwa jekeseni ziwiri zapitazo.

Mankhwalawa "Diprospan": malangizo

Majekeseni, omwe amawoneka m'nkhani ino, amagwiritsidwa ntchito pazinthu zowonongeka, nthawi zina, intraarticular, intradermal, intra-m'mimba, intralesional ndi interstitial administration.

Kukula kwake kwakukulu kwa zinthu zokonzekera kumaphatikizapo kugwiritsa ntchito singano zochepa m'mimba mwake. Izi ziyenera kuzindikiridwa kuti mankhwala sali opangidwa ndi intravenous and subcutaneous administration.

Majekeseni ayenera kuchitidwa mosamalitsa malamulo onse a asepsis.

Njira yothandizira kukonzekera ndi kayendedwe ka mlingoyo imakhazikitsidwa payekha, malinga ndi kuopsa kwa matendawa, zizindikiro komanso momwe wodwala amachitira.

Kawirikawiri, mlingo woyamba wa mankhwalawa ndi 1-2 ml. Utsogoleri wochulukanso umachitika ngati pakufunika.

Jekeseni wa m'mimba imapangidwa mwakuya, posankha minofu yayikulu ndikupewa tizirombo tina.

Tiyeni tinene jekeseni chitende. "Diprospan" panopa, komanso injection ya intra-articular, imagwiritsidwa ntchito mlingo wa 0.5-2 ml. Ndalamayi ndi yokwanira kuti athetse ululu ndikuchotsa zochepa za ziwalozo.

Ndi matenda a dermatological, intradermal administration wa mankhwala ndi othandiza kwambiri.

Atatha kuchiza, dokotala ayenera kusankha mlingo wokonzanso pang'onopang'ono kuchepetsa mlingo woyambirira.

Ngati pali vuto linalake losagwirizana ndi matendawa, chiwerengero cha mankhwalawa chiyenera kuwonjezeka.

Pakutha kwa mankhwala osokoneza bongo kwa nthawi yaitali kapena kugwiritsa ntchito mankhwala osokoneza bongo, mkhalidwe wa wodwalayo uyenera kuyang'aniridwa kwa chaka chimodzi.

Mankhwalawa "Diprospan" (jekeseni): zotsatirapo

Mankhwalawa amachititsa zotsatira zambiri:

• Matenda a hypernatremia, kusungunuka kwa madzi m'thupi, lipomatosis, kutulutsa potaziyamu, kuchuluka kwa calcium, kupweteka, hypokalemic alkalosis.
• Kuwonjezeka kwa magazi, mtima wosagonjetsa (matenda).
• Kufooka kwa mitsempha, steroid myopathy, kuperewera kwa minofu ya minofu, kufooka kwa mafupa, kusagwirizana, kuphatikizika kwa msana, kupweteka kwa mitsempha.
• Matenda owopsa kapena odwala zilonda m'magazi omwe amatha kutuluka m'magazi kapena kutuluka magazi, kupweteka, kupsepuka, kuphulika.
• Kupweteka kwa machiritso a zilonda, petechia, kupukuta khungu ndi atrophy, ecchymosis, dermatitis, thukuta kwambiri, striae, steroid acne, chizolowezi chopanga candidiasis ndi pyoderma.
• Kusokonezeka, kusokonezeka kwa umunthu, kupanikizika koopsa, chizungulire, kukhumudwa kochuluka, kupweteka mutu, kupweteka, kupuma, kusowa tulo komanso kusinthasintha maganizo.
• Chiwawa pa msambo, shuga, kuchepetsa kukula kwa kugonana ndi kukula kwa ana.
• Chitsimikizo chamtundu wa cataract, ubongo, kuwonjezeka kwa intraocular, exophthalmos ndi glaucoma.
• Machitidwe a Anaphylactic, angioedema, mantha, amadzimadzi ozungulira.
• Kuthamanga kwa magazi kumaso, kuthamanga kwa magazi.
• Khungu ndi subcutaneous atrophy, hyper- kapena hypopigmentation, aseptic abscesses.

Zotsatira Zopirira

Odwala ambiri amadziwa kuti mankhwalawa "Diprospan" amagwira bwino kwambiri pochiza matenda ophatikizana, a dermatological ndi oopsa. Komabe, anthu ambiri akudandaula kuti jekeseni ndi kugwiritsa ntchito mankhwalawa ndi zopweteka kwambiri. Komanso, pambuyo pa jekeseni zingapo, machitidwe ena amapezeka nthawi zambiri. Izi zimapangitsa kuti mankhwalawa asatheke, omwe amachititsa odwala kubwerera kwa dokotala ndikugula mankhwala atsopano. Popeza kuti mankhwalawa amatchedwa "Diprospan" amawononga pafupifupi ruble 200, kukana kulandira chithandizochi kumawomba pa chikwama.