"Deksilant": imiyalelo, izinkomba, analogs, ukubuyekezwa

Kuyini umuthi wezokwelapha, njengoba "Deksilant"? Imiyalelo, analogs, kanye izici eziyinhloko yalesi izidakamizwa sizobuye kubhekwe. Futhi, uzofunda indlela futhi ngaphansi kwaziphi izifo ukhombe kusho futhi abakushoyo ngaye iziguli.

ulwazi oluyisisekelo mayelana isifo

Yikuphi ephatha izifo imithi "Deksilant"? Ngokusho imiyalelo, kubhekwe ziphephile izidakamizwa okusezingeni eliphezulu kusebenta zokwelapha e GORD, isb gastroesophageal Reflux isifo. Kuyinto kakhulu isifo esingelapheki wokugaya ukudla bese kwenzeka ngenxa Reflux, ukuthi njalo okuphindaphindiwe asakazwe okuqukethwe emphinjeni noma esiswini duodenum. Ngenxa yalokho yenqubo sokugembula kwenzeka ngomphimbo umonakalo mucosal eziyishumi nemitshingo ngezinye izikhathi umfula, kuhlanganise pharynx, amalaka, kuqhoqhoqho kanye bronchi.

Izimpawu eyinhloko lesi sifo

Yiziphi izimpawu Gerd? Izimpawu (ekwelapheni lesi sifo kufanele libekwe gastroenterologist abanolwazi kuphela) zokugula enjalo ihlale ifana. Ngokuvamile isiguli ekhononda ka isilungulela, belching igesi noma acid, ubuhlungu acute emphinjeni, ingcindezi esiswini, okuyinto eyenzeka ngemva kokudla, futhi ubuhlungu esiswini, ukugebenga esebenzisa isihluku ngemuva kokudla.

enye Ungayibona kanjani Gerd nge esophagitis? Ukwelashwa yalesi sifo ngokuvamile ziqala emva okuvela regurgitation of Bile nge ukudla uquqaba isigamu-kugaywe. Kufanele kuphawulwe ukuthi ngezinye izikhathi iziguli ukuthi nginesifo wathi zikhona izimpawu ezifana ukuhlanza nezifiso zakhe, umuzwa wokuthanda ingcindezi esifubeni, ngamathe kakhulu futhi dysphagia. Ngaphezu kwalokho, abantu esophagitis kungase esekhala ubuhlungu besifuba, ukunikeza ehlombe, ingalo, emqaleni nasemhlane.

Kuleso simo, uma uye wayibona okungenani omunye izimpawu nekwetfula, kufanele usheshe uye emtholampilo ngoba lapho ngihlolwa ephelele.

Ukwakheka izidakamizwa, zichazele kahle ngokuzokwenzeka ifomu bese Imikhiqizo

Yikuphi izidakamizwa ndlela iphumelela kakhulu lapho Gerd (izimpawu, ukwelapha lesi sifo kuthiwa okuxoxwe ngazo kulesi sihloko)? Ngokuvamile ukwelapha lesi sifo, kanye nokuqedwa ephelele izimpawu zayo zokwelapha, ochwepheshe batusa ukuthi ngiphuza imithi "Deksilant". It iza ngesimo amaphilisi, ukushintshwa-ukukhululwa, kodwa futhi nge-opaque grey umzimba futhi isivalo okwesibhakabhaka okuyinto logo isicelo «TAP».

Okuqukethwe amaphilisi - elimbudumbudu simhlophe noma awube mhlophe. isithako wabo asebenzayo izenzo dekslansoprazol. Futhi izidakamizwa kuhlanganisa lezo zigaba ezihambisana njengoba giproloza, ushukela oluthile lokudla, macrogol 8000, i-magnesium carbonate, polysorbate 80, sucrose, colloidal Silicon dioxide, giproloza ephansi ukufaka endaweni, triethyl citrate, hypromellose, a copolymer ka methyl methacrylate futhi methacrylic acid, talc, ukuhlakazeka methacrylic acid, titanium dioxide.

Thenga "Deksilant" amaphilisi kungaba amabhodlela epulasitiki, okuyinto ezibekwe inqwaba amakhadibhodi.

Zokwelapha izidakamizwa ejenti ikakhulukazi (amaphilisi)

Yiziphi lezo amaphilisi okwelapha ngokuthi "Deksilant"? Izimpendulo libike ukuthi izidakamizwa kuyinto inhibitor proton futha (PPI). It uyakwazi ukucindezela uketshezi of wokugaya ukudla isitho juice main ngokusebenzisa okusithiyayo K + / H + -ATPase ise parietal amaseli isisu. Futhi, ngemva kokuthola imithi ivinjelwe sokugcina uketshezi acid.

Kanjani lesi sidakamizwa "Deksilant"? Umhlahlandlela uthi ngemuva kokuthola capsule ngaphakathi disintegrates esiswini kudedela izinhlobo ezimbili ezahlukene granules, okuyinto camera nge enamathela enteric. Ngakho, indaba kumila ithuluzi iqala nomphumela walo asebenzayo kuye pH ezingxenyeni ezihlukahlukene emathunjini amancane.

Ngenxa igobolondo capsule nokuqukethwe ukulungiselela luyimbudumbudu "Deksilant" imfundo enikezwa ngezansi, has a action isikhathi eside futhi kuyasiza nasekubeni sibe ukunciphisa okuphawulekayo uketshezi of juice esiswini phezu kuthathe isikhathi eside.

Izinkomba ukuthola amaphilisi okwelapha

Kwezinye izimo, isiguli ekunike umuthi, njengoba "Deksilant" (intengo capsule okwelapha siphakeme ngokwanele)? Ngokusho imiyalelo kuboniswe kulesi sikhungo ukuthola:

• esophagitis erosive nanoma yimuphi kobukhulu (ngoba impatho);
• erosive esophagitis futhi isilungulela lula ukubonakaliswa (yokwelapha yesondlo emva kokwelashwa);
• gastroesophageal Reflux isifo, kuhlanganise nalabo non-erosive Reflux isifo (njengendlela yokwelapha lingaze).

Uvala ukuqokwa amaphilisi ngomlomo

Kungaphansi kwaziphi hhayi izimo ungasebenzisa izidakamizwa "Deksilant"? Umhlahlandlela ibika ukuthi Izimo ezilandelayo Uthola le mali:

• yobudala ezincane;
• High-luvelo enye yezingxenye imithi;
• ukusetshenziswa ngesikhathi esifanayo inhibitor ka-protease HIV;
• isikhathi sokukhulelwa;
• ibele.

Asinakusho ukuthi imithi ibhekwa iqukethe sucrose. Ngakho-ke, ukusetshenziswa kwalo hhayi Kunconywa abantu zikashukela-galactose malabsorption ukungabekezelelani (lezinceku) ka fructose, kanye ukwehluleka saharazno-izomaltaznoy.

enquma Careful

Ngokulungiselela ngokucophelela "Deksilant" (izidakamizwa analogue ahlelwe ekupheleni isihloko) inikezwa lomshado asifane:

• "Tacrolimus".
• Inhibitors ka isoenzyme CYP2C19.
• "Warfarin".
• "Methotrexate".

Imithi "Deksilant": yokusetshenziswa

Kubhekwe efiselekayo ukuthatha imithi kuphela ngemva kokuthintana nge gastroenterologist abanolwazi. Amaphilisi Abonayo iqondiswa ngomlomo ngesimo lonke, kungakhathaliseki isikhathi sakusihlwa.

Uma kudingeka, ungakwazi ukuvula igobolondo capsule. Ngakho nokuqukethwe kwalo kufanele ugcwalise isipuni, azihlanganise nonacidic apula puree ke ngokushesha kugwinywe ngaphandle ukuhlafuna.

Indlela esiphatha ngayo esophagitis erosive iyiphi kobukhulu? Lapho ezifana nesifo izidakamizwa "Deksilant" (60 mg) saphathwa kanye ngosuku. Inkambo yokwelashwa nge leli thuluzi esingamasonto ayisishiyagalombili.

ukunakekelwa abasekelayo emva ekwelapheni esophagitis erosive futhi for lula ukubonakaliswa isilungulela kudinga ethola 30 mg izidakamizwa kanye ngosuku. Kulesi ikhambi kufanele kube cishe izinyanga eziyisithupha.

Ephambi kwezinduna esophagitis erosive futhi ezinzima ngokulinganisela nomuthi umthamo Kunconywa 60 mg ngosuku. yokwelapha yesifo ezinjalo kumele kutsatse sikhatsi lesingaba tinyanga letisitfupha.

Njengoba ukwelashwa siyefana Gerd noma Nerd? Ukulungiselela "Deksilant" (30 mg) ngesikhathi leso sifo letimisiwe capsule kanye ngosuku. Inkambo ukwelapha izifo ezinjalo kufanele kuhlale okungenani amaviki amane.

Ngo abantu nge kahle umsebenzi sesibindi ngokulinganisela umthamo nsuku zonke ngaphansi ukucatshangelwa izimali akufanele idlule 30 mg. idatha Clinical ku yokwamukelwa zomuthi by abantu abanokukhubazeka okunzima kuze kube manje, cha.

Ukulungiswa lwemithi nokushintsha kokudla nokufakwa ezigulini esezikhulile kanye nalabo ukungakhuli kwezinso nesibindi omnene ayidingekile.

izimpawu Negative emva izidakamizwa abaphathi (amaphilisi)

Iziphi izinkinga zokwelashwa kungabangela "Deksilant" capsule? Izibuyekezo bathi ngemva kokudla imithi kubhekwa iziguli ekuthuthukiseni eziningi abantu basabele ngendlela embi. Phakathi kwabo is ikakhulukazi ukugqamisa lokhu okulandelayo:

• uhudo, isifo sokusha kwesibindi kohlobo izidakamizwa olubangelwa, ukubuyisa, ukushaqeka anaphylactic, ubuhlungu besisu, ukuqunjelwa, ukucanuzela kwenhliziyo;
• epidermal necrolysis, ukuhlanza, dermatitis exfoliative, ezinobuthi, zokuphefumula ipheshana izifo (elingenhla), hypersensitivity;
• hyponatremia, ukusabela anaphylactic, pruritus, abulalayo erythema exudative (Stevens - Johnson), hypomagnesemia, candidiasis ngomlomo;
• ukwehluleka oyingozi izinso, izinhlungu nokuphatheka kabi besisu, isifuba nomlomo owomile, amawala, ukuvuvukala umlomo, vasculitis leukocytoclastic, pancreatitis;
• Izinguquko Ezenzeka kokusebenza kwesibindi, ukuqubuka generalized, sokuhlasela kwamasosha omzimba anaemia hemolytic, waphuka, ukukhwehlela;
• komzimba, edema laryngeal, kukhuphuke blood pressure, yobunzima emphinjeni, ubuhlungu bekhanda, idiopathic purpura thrombocytopenic;
• isiyezi, angaboni kahle, dysgeusia, paresthesia, ukulahlekelwa ukuzwa, ukuquleka;
• unhlangothi, inzululwane, lezivakashi kuhlasela ischemic, angaboni kahle, ukusangana sokuzwa, edema ebusweni, ukuqwasha, ushintsho esesuthi, ukucindezeleka, ubuthakathaka kanye nokunye.

Izimpawu ukweqisa izidakamizwa

Yiziphi imiphumela emibi zenzeka lapho okweqa ngemithamo ezinconyiwe udokotela izidakamizwa "Deksilant"? Kuze kube manje, Kuye kwabikwa kungekho amacala ukweqisa izidakamizwa abalulekile imiyalezo okubangelwa ukusetshenziswa kwalesi izidakamizwa. Ngakho ochwepheshe bathi isicelo esisodwa nomuthi ngesikhathi umthamo 120 noma 300 mg iyiphi ezinzima side effects musa kuphakama. Mayelana kokuthatha lesi imithi mg 60 kabili ngosuku, indlela enjalo kubangela ukwenyuka blood pressure 140/90 mm HG. Art.

Indlela ukuqeda izimpawu ngokweqile? Phambi ukubonakaliswa emitholampilo ukwelashwa lingaze. Kufanele kuphawulwe ukuthi dekslansoprazol hhayi esaboniswa hemodialysis.

izidakamizwa ekuhlanganyeleni

Njengezinye izidakamizwa uxhumana dekslansoprazol? Ngokusho imiyalelo, lokhu isithako kumele inikwe iziguli ukuthatha "Clopidogrel", ngaphandle ingozi nokuxhumana. Endabeni parallel eyamukelayo esebenzisa wathi ukulungiswa imodi ayidingekile.

Futhi waphawula ukungabi oluphelele ukuxhumana emtholampilo abalulekile nomuthi kubhekwe "diazepam" "theophylline" futhi "Phenytoin".

Okuhambisanayo ukusetshenziswa dekslansoprazola kungathinta ukumuncwa izidakamizwa, le bioavailability zazo kuncike pH esiswini (isib yensimbi nosawoti, esters ka ampicillin, "Digoxin" "ketoconazole" futhi "erlotinib").

reception Kanyekanye "Deksilanta" nge "Tacrolimus" kwandisa lokuhlushwa yokugcina egazini, ikakhulukazi kubantu ngemva ukufakelwa.

Ngo isicelo parallel yalesi izidakamizwa nge "fluvoxamine" kukhona amathuba eliphezulu anda ukuchayeka letindzala wokuqala.

ukusetshenziswa ngesikhathi esisodwa methotrexate futhi dekslansoprazola wande, kanye nokongiwa emakamu eliphezulu lokuqala noma metabolite yayo kule serum igazi. Uma ufuna ukuthatha okusezingeni eliphezulu umthamo methotrexate, kutuswa zizoyeka ukuthatha dekslansoprazola.

Lactation nongqi sokukhulelwa period

Ingabe kungenzeka ngesikhathi sokukhulelwa ngokuthatha izidakamizwa "Deksilant"? Ngokusho imibiko wezazi, imithi ngesikhathi sokukhulelwa is contraindicated.

Uma ufuna ukwabela izindlela wathi kanina yokudla, kufanele ayeke ibele.

ulwazi oluthile

Yiluphi ulwazi kumele inikezwe isiguli ngaphambi kokunika izidakamizwa "Deksilant"?

Ngaphambi ukwelashwa dekslansoprazolom wokuthi yadalwa umdlavuza e isiguli, ngoba reception kubhekwa izidakamizwa kungase kufihle izimpawu futhi uyephuza uphethwe yini.

Uma zonke izimpawu zesifo ekhona iqhubeka naphezu kwayo ezanele ukwelashwa ukuziphatha, kubalulekile ukuqhuba ukuhlolwa eyengeziwe.

Ngo ukusetshenziswa proton futha inhibitor, okuyilokho, eqinisweni, uyalandisa dekslansoprazol kwandisa ingozi izifo emathunjini sohudo ihambisana, okuyinto ejenti amabhaktheriya esifo ezihlukahlukene, kuhlanganise uhlobo lwe difficile Clostridium. Lezi izifo okuvame kakhulu iziguli esibhedlela. Leli qiniso kufanele kunakwe uma isimo somuntu akubi ngcono nge ekwelapheni isifo sohudo. Kulokhu, iziguli belulekwa ukusebenzisa aphansi ngempumelelo umthamo dekslansoprazola ngesikhatsi ukwelashwa yesikhashana.

Abantu abathola umthamo omkhulu ukulungiselela isifundo, noma ukwelashwa isikhathi eside ne-proton futha inhibitor izinyanga eziyishumi nambili noma ngaphezulu kakhulu ingozi yezinye waphuka osteoporotic emabhulashini amathambo hip futhi ikholomu vertebral. Ngakho-ke, iziguli engozini ngoba osteoporotic waphuka kufanele nakanjani anamathele udokotela umthamo Kunconywa.

Ngezinye izikhathi, iziguli ethola izidakamizwa kokubuyekezwa, iziguli hypomagnesemia asymptomatic futhi lingaze. Njengomthetho, kuphakama uthi enjalo uma kwenzeka ukuthi inqubo yokwelashwa "Deksilantom" lwathatha izinyanga okungenani ezintathu. Kumele wakhumbula ukuthi izimpawu hypomagnesemia kukhona arrhythmias, tetany kanye nokugoqana komzimba. Engamakhambi simo sidinga replenishment magnesium khansela yokwamukela proton futha inhibitor.

Abantu abadinga ukwelashwa eside noma parallel ethatha PPIs nge digoxin noma ezinye izidakamizwa kungabangela hypomagnesemia (kuhlanganise isisu) kufanele sihlale njalo siqaphele lokuhlushwa igazi magnesium (njengakuqala ukwelashwa kanye phakathi ke).

Ngenxa awokuthi isiyezi kanye angaboni kahle kubantu ngesikhatsi ukwelashwa "Deksilantom" kufanele uyeke izimoto ukushayela nezinye izindlela ezidinga ukunakwa umuntu.

Izidakamizwa "Deksilant": kumakhophi, ukubuyekezwa izindleko

Yini kubhekwe ukuba esikhundleni izidakamizwa? Ochwepheshe bathi analogs esemqoka yalolu izidakamizwa zimi kanje:

• "Veloz" - indlela ephumelelayo ekubhekaneni ukwephula asidi. ingxenye yayo iyasebenza kuvimbela ngokushesha ukukhiqiza acid ngokweqile, okwenza kube lula futhi ekuqedeni ubuhlungu.
• "Barolo" - ezinezici efana "Deksilantom".
• "Geerdin" - ngokushesha ubuyisela asidi, kuvimbela ukubhujiswa izindonga emathunjini, kanye aqede isilungulela.

Futhi, analogs ka wathi izidakamizwa ahlanganisa izidakamizwa "Omez". Yikuphi okungcono - "Omez" noma "Deksilant"? Qhathanisa lezi zimali bengayi, ngoba ziqukethe izinto ezahlukene ngokuphelele, yize bobabili zenzelwe ukunciphisa asidi of juice esiswini.

Ngezinye izikhathi, ukuze kwelashwe Reflux gastroesophageal isifo ochwepheshe batusa besebenzisa imithi "Nexium". Ngesikhathi esifanayo, iziguli sizibuza ukuthi ukhethe - "Nexium" noma "Deksilant"? Odokotela bathi amaphoyisa amabili okukhulunywa kahle lapho zibhekene nomsebenzi. Nokho, lapho ekhetha izidakamizwa ethile kumele kubhekwe ukuthi izidakamizwa kuqala kubangela ayinayo imiphumela eminingi engemihle.

Kungakanani kukhona "Deksilant" capsule? Intengo yale imithi incike eziseceleni inethiwekhi ekhemisi. Izindleko isilinganiso izimali ruble mayelana 900.

Yini abantu bathini mayelana iziguli nomuthi? Abantu abaningi abathatha lesi ikhambi, athi kuye overpriced. Nokho, ochwepheshe ukubika ukuthi lokhu izidakamizwa siyasebenza kakhulu. Anakho isenzo isikhathi eside futhi ngokushesha kujwayeleke asidi of juice esiswini. Ngakho odokotela icacisa ukuthi "Deksilant" kungase kwenze abanye imiphumela emibi, kodwa ngokuvamile zinyamalale lapho ukulungisa umthamo yayo yansuku zonke.

Kufanele ukuthi self-nokuphathwa imithi akuvunyelwe. Leli qiniso kungenxa yokuthi e nokuqokwa kwakhe kufanele kucatshangelwe uma isiguli isifo sezinso futhi isibindi, kanye yobudala lesiguli.