Da miyagun ƙwayoyi "Torcida": umarnin don amfani, description, abun da ke ciki da kuma sake dubawa. "Torcida": umarnin don amfani (Allunan)

A cikin 'yan shekaru, ta zamani, likitoci suna ƙara ya fara rubuta a marasa lafiya wannan magani kamar yadda "Torcida". Umurnai na amfani hada kawai na asali data bukata ga wani al'ada mutum shan miyagun ƙwayoyi, amma da yawa kafin sayen ko bayan da saye da kokarin koyi ƙarin bayani game da wannan kayan aiki.

pharmacodynamics

Wannan magani ne a saluretic. Shi ne ke da alhakin feedback hanawa koda reabsorption na sodium chloride, kuma ions, wanda aka located in hawa na Henle ta madauki, wanda aka nuna a cikin miyagun ƙwayoyi "torsida" umurci manual.

Pharmacokinetics

Mutumin, bayan igiyar jini gwamnati na kudi da sauri ya fara nuna diuretic sakamako. A wannan yanayin da iyakance sakamako daga cikin miyagun ƙwayoyi tasowa a cikin na farko 3 hours, daga baya kuma adana har 12 hours. A kan bango na wannan aikace-aikace na nufin diuresis kai tsaye dogara a kan kashi, wanda kuma ya nuna wa miyagun ƙwayoyi "torsida" umurci manual.

Torasemide mataki na dauri ga jini sunadarai a matsayin babban matsayin 99%, wanda shi ne mai kyau sakamakon, yayin da metabolites M1, M3 da M5 suna da nasaba da bi a 86,95 da kuma 97%. Matsakaicin yiwu kawar rabin-rai na torasemide da daban-daban metabolites a lafiya karatu, jere daga uku zuwa hudu hours, wanda aka gano a cikin shakka daga gwajinsu.

Total yarda da abu ne game da 40 ml / min., Yayin da na koda yarda kudi ne game da 10 ml / min. Metabolite M5 samar babu diuretic sakamako, yayin da a hade da metabolites M3 da M1 lissafta ga kamar 10% na pharmacodynamic mataki exerted a kan jikin mutum.

Features da miyagun ƙwayoyi a cikin mutane tare da cututtuka daban-daban

Idan haƙuri saukar na koda gazawar, shi ba ya shafar batutuwan yi na yarda da rabin-rai na torasemide, yayin da kara da zamani domin metabolites M5 da M3. A lokaci guda gaba daya adana farko pharmacodynamic halaye, amma tsawon lokaci da miyagun ƙwayoyi mataki na koda gazawar da kuma ba shi da wani tasiri, ko da kuwa da tsananin cutar.

A waɗannan marasa lafiya da suke fuskanci hanta tabarbarewa, ko da zuciya rashin cin nasara, sau da yawa ya karu metabolite tukar tumbi da torasemide da M5, wanda aka nuna a cikin miyagun ƙwayoyi "Torcida" umurci manual.

The adadin abu a cikin fitsari fitarwa ne kusan gaba daya yayi dace da adadin abin da lura a lafiya masu taimako, dangane da wanda yake shi kansa torasemide kuma ta metabolites ba cumulate.

shaidar

A mafi yawan lokuta, m aiki miyagun ƙwayoyi ne da aka ba da likitoci da magani daga daban-daban exudates ko edema bayyana dangane da zuciya rashin cin nasara. Ya kamata a lura cewa da miyagun ƙwayoyi "Torcida" umarnin don amfani (Allunan) ya nuna cewa shi an wajabta, idan ya cancanta, da misali far.

contraindications

Akwai wasu lokuta a cikin abin da yin amfani da wannan magani ne a ba da shawarar, ko haramta gaba ɗaya. Kwatanta su a haɗe zuwa da miyagun ƙwayoyi "Torcida" umarnin don amfani (Allunan - dauke da wani form), shi ne ya samar da wasu muhimman:

• gaban marasa lafiya da jijiya hypotension.
• wuce kima ji na ƙwarai to daban-daban karin ko aiki abubuwa, kazalika da sauran sulfonylureas.
• ba da shawarar ga marasa lafiya fama da koda gazawar da anuria.
• tare da m hanta ayyuka.
• kowane irin take hakki na ruwa-electrolyte balance tsarin.
• gout.
• idan haƙuri yana fama da tsananin cuta a cikin urinary tsarin.
• duk wani nau'i na kauce wa conductive babban mataki tsarin na zuciya;
• pathological canje-canje a cikin sauran hoto na jini da kuma acid-tushe matsayi na mutum;
• disturbances a cikin aiki na kodan sa ta nephrotoxic raunuka na daban-daban abubuwa.

Daga cikin abubuwan, shi ba da shawarar yin amfani da wannan kayan aiki ga matan da suka zauna a cikin tsawon ciki ko lactation.

Yadda aka yi amfani da?

Idan kana amfani da ruwa tsari, da wakili ya kamata a gudanar kawai intravenously da kuma sannu a hankali, kamar yadda evidenced da miyagun ƙwayoyi "Torcida" umurci manual. Farashin kayan aiki (daga ɗari biyar rubles) ne a fairly m, kuma haka mafi yawan mutane a can ya kamata ba matsaloli domin su yadda ya kamata cika da alamomi na da amfani.

Harufan guda kashi ne game da 10 MG da rana, Ina nufin 2 ml na wannan shiri. Idan akwai kadan asibiti amfani, sa'an nan da kashi za a iya ƙara sau biyu. Amma idan shi ne ba zai yiwu a cimma dace yadda ya dace, to, da kashi za a iya ƙara ko da sau biyu, amma magani ya kamata šauki a kalla kwanaki uku.

M huhu edema

Lokacin amfani da wannan wakili warkar da m na huhu edema, da farawa kashi ne 20 MG, yayin dangane da total na asibiti hoto na wannan kashi iya gudanar kowane awa daya da rabi. Ya kamata a lura da cewa a cikin irin wannan magani jimlar kashi kada wuce 100 milligrams da rana torsemide.

Domin follow-up magani bada shawarar a matsayin hanyar for fiye da mako guda, wanda kuma kiwon da miyagun ƙwayoyi "Torcida" umarnin don amfani da za a iya amfani da su canzawa zuwa baka gwamnati kamar yadda igiyar jini kamata ba a yi amfani. Price (reviews tabbatar da shi) a matsayin wani kwamfutar hannu da kuma wani ruwa abu ne mai samuwa ga mutane da yawa, don haka cikakken hanya na lura da wuya Yanã da wani wahala ba. A cikin wani hali, matsakaicin yiwu kullum kashi kada wuce 100 MG.

hanta gazawar

A cikin hali na nufin marasa lafiya da hanta hanawa bukatar amfani da shi tare da iyakar hankali, kamar yadda a cikin wannan hali akwai hadarin ya karu yawa na torasemide a cikin abun da ke ciki na jini jini. An lura dabam a da miyagun ƙwayoyi "torsida" (10 MG) a cikin umurci manual (kwamfutar hannu ko ruwa nau'i shiri - m).

tsofaffi

Domin lura da wadannan marasa lafiya ba samar da wani mutum tsarin kula a kashi selection. Shi ne ya kamata a lura da cewa babu wasu manyan asibiti karatu a kwatanta da hanyoyin da matasa da tsaffi magani ba za'ayi, sabili da haka shi ne ko da yaushe mafi alhẽri tuntubar kara da pre-m likita.

A bayani ga allura ya kamata a sannu a hankali gudanar intravenously, kuma haka shi ne a cikin wani hali ba intraarterially cewa ya jaddada dabam a da miyagun ƙwayoyi "torsida" umarnin don amfani (ampoules).

illa

Shi ne ya kamata a lura da cewa da m halayen iya shafar cikin shakka daga cikin daban-daban gabobin, don haka kowane hali za a yi la'akari daban:

• Zuciya da jijiyoyin jini tsarin. A wannan yanayin, yayin da shan miyagun ƙwayoyi iya zama ba daban-daban cuta na ruwa da kuma electrolyte balance, yayin da a wasu rare lokuta ma ya karu rayuwa alkalosis. Bugu da kari, a wasu Categories marasa lafiya ci gaba da rikice, thrombosis, hypotension, cerebral kuma cardiac ischemia, m tsokar zuciya infarction, angina kuma syncope.
• A juyayi tsarin. A rare lokuta, musamman a wani wuri mataki na jiyya, akwai iya zama ciwon kai, wuce kima gajiya, juwa ko jiri, kuma tsoka cramps.
• A narkewa kamar tsarin. A rare lokuta, yana iya zama ba cuta na narkewa kamar tsarin a aiwatar da yadda za a yi amfani da magani "Torcida". Umurnai na amfani Notes da wadannan illa: tashin zuciya, rashin ci, amai, zawo, ciki zafi. Yana iya kuma zama ba ɓarna, high matakan da hanta enzymes.
• A urinary tsarin. Marasa lafiya da suke fuskanci daban-daban disturbances a urination tsarin, akwai wani fairly m urination, wanda zai iya yiwuwa ya kai ga jinkirta, kuma ma da karfi stretch cikin mafitsara. A rare lokuta, shi iya gabatar inflated kudi na creatinine da urea a cikin jini.
• Metabolism. A rare lokuta, marasa lafiya da ke rubuce karuwa a cikin sauran matakai na uric acid, lipids, kuma glucose a cikin jini.
• jini tsarin. A musamman rare lokutta, rage adadin erythrocytes, leukocytes da platelets.
• Tsarin na rigakafi. A rare lokuta, a kurji, photosensitivity, pruritus. By miyagun ƙwayoyi "torsida" (injections) umarnin don yin amfani da nuna cewa a wasu lokuta bayan igiyar jini gwamnati na iya fara inganta m hypersensitivity halayen, inda haƙuri maximally azumi taimako da ya kamata a bayar. A wasu lokuta, ƙila fuskanci tsanani fata halayen.

Idan muka magana game da ƙasa da tasiri, da rare paraesthesia, da kuma bushe baki. Bugu da kari, musamman hankali ya kamata a biya su da cewa a sosai rare lokuta a cikin mutane akwai wasu na gani hanawa, kazalika da zargin tinnitus, ko cikakken asarar ji.

yawan abin sama

Hankula cututtuka a lokuta na miyagun ƙwayoyi yawan abin sama a lokacin ba a sani ba. Manual nuna cewa, a cikin taron na wani yawan abin sama na iya zama ba isasshe da karfi diuresis, da kuma hadarin mai tsanani asarar Wutan da ruwa, drowsiness da amential ciwo. Daga cikin abubuwan, wani yawan abin sama da ya faru zuciya da jijiyoyin jini gazawar, hypotension kuma daban-daban da cuta a cikin narkewa kamar fili.

Yadda za mu bi?

Duk wani takamaiman maganin guba domin lokacin ba a saukar. A mafi yawan lokuta, da cututtuka sakamakon maye, bace gaba daya bayan sashi rage ko cikakken kawar da yin amfani da wannan magani, kuma idan dace replenishing Wutan da ruwaye za a bayar, wadda ya kamata a da za'ayi a karkashin yanayi na matsakaicin iko. Torasemide ne a cikin wata hanya samu daga jini da hemodialysis.

Wannan shi ne ainihin bayani game da "Torcida" shiri (umarnin don amfani, price, reviews). Analogs na kayan aiki ( "Britomal", "Sutrilneo") a mafi yawan lokuta ya bambanta irin wannan mataki da illa, amma shi ne hanyar da likitoci sau da yawa sanya a matsayin daya daga cikin mafi tasiri a cikin kungiyar.