"Hydrocortisone-Richter": yokusetshenziswa, analogs kanye nokubuyekeza

Kanjani ufuna ukwazi ukuthenga umuthi ngabe unomphela ukuxazulula zonke izinkinga ezikhona ne impilo. Kodwa ngenkathi akunakwenzeka. Futhi ukuze wonke umuntu ukuchitha isikhathi esiningi, imali namandla ukuze uthuthukise okuthile ukusekela nesimo sakho somzimba ezingeni adingekayo ukusebenza evamile umzimba. Ukucinga izinga izidakamizwa ezikhethekile kakhulu ngezinye izikhathi kuthatha Kusaphazwa isikhathi. Lesi sihloko kulotshiwe ukukusiza ukuba ugcine kancane ke. Okulandelayo ezocatshangelwa incazelo eningiliziwe izidakamizwa ngaphansi kwegama "Hydrocortisone-Richter", okuyinto ngenkuthalo lisetshenziswe imithi yesimanje ukuze silwe ezihlukahlukene nezifo. Kuzo zonke lezi zimo, lokhu imithi okumangalisayo ngempumelelo, njengoba uzokwazi ukwenza ngokuhamba ukufunda. Ubani can "Hydrocortisone-Richter"? Kufanele kusetshenziswe kanjani? Yiziphi Izimo ukusebenzisa kwayo? Ngokwazi kuphephile? Sikhona yini isidingo sokuya kudokotela noma ulwazi olwanele ukukhiqiza siqu ngabanye ukwelashwa lwemithi zabo? Ingabe kukhona okungenziwa esikhundleni sakho kubhekwe imithi? Konke lokhu namanye ezicashile izidakamizwa "Hydrocortisone Richter" ungafunda ngokufunda kulesi sihloko.

isakhiwo

Izingxenye ezisemqoka asebenzayo anabamemezeli Ukwakheka izidakamizwa "Hydrocortisone-Richter," kukhona acetate hydrocortisone e isamba eziyikhulu amabili nanhlanu angu futhi lidocaine hydrochloride monohydrate e imali amabili nesithupha kanye milligram nengxenye. Ukusekela izingxenye ngokuba nomuthi icatshangelwe ithi polysorbate 80; povidone; sodium fosat; tpropilparagidroksibenzoat; sodium dihydrogenphosphate; methyl parahydroxybenzoate; i-sodium chloride; dimethylacetamide; amanzi umjovo.

izakhiwo kwemithi

Ukulungiselela "Hydrocortisone Richter" eyisidalwa esinenkululeko glucocorticosteroid. Umthelela main lapho izidakamizwa kubhekwe ine phezu komzimba isiguli eqeda ukuvuvukala.

"Hydrocortisone-Richter," kuyadingeka ukwethula intra- noma periarticular noma umzila esicutshini.

Lidocaine kuyinto izinzwa ngempumelelo (wendawo izinzwa), okuyinto kuba nethonya ingxenye wayefisa emzimbeni ngaphakathi isikhathi esifushane kakhulu. Ingqikithi has a ulwelwesi eliletha ukuthula umphumela.

Endabeni le-ejenti iqondiswa intraarticular noma periarticular oyibamba izidakamizwa ngesikhathi esifushane ukufinyelela kwegazi. Izithako ezisebenzayo abonise ezingeni lelisetulu ukuzihlanganisa amaprotheni (lidlula amaphesenti ayisishiyagalolunye). isibindi izidakamizwa wesiguli zibe izinto ezilandelayo: tetragidrokortizon futhi tetrahydrocortisol. Kwakamuva ngefomu conjugated kuthiwa excreted nge nezinso.

Okubalulekile! Umuthi okubonakala kalula sihamba umgoqo esinomhlapho, ngakho-ke zingaba nomthelela embungwini.

Lidocaine futhi ludlulele ngaphakathi ubisi lwebele, okuyinto iyingozi ngoba ingane ngesikhathi ibele.

Ingxenye-ukuphila komyalelo wokungabi elilodwa kuya kwamabili.

ubufakazi

Lesi sifo esiyinhloko lapho izidakamizwa "Hydrocortisone-Richter," kukhona ehlombe periarthritis scapulohumeral, tendovaginitis, i-osteoarthritis inqobo synovitis (awusebenzi sokuqaqamba kwamalunga esithathelanayo), kanye bursitis, epicondylitis ne-rheumatoid arthritis.

Namuhla ngokwethukela kusetshenziswa kakhulu kubhekwa umuthi ulwe ezihlukahlukene izifo ushise imigudu yomoya, amalaka nomphimbo (laryngitis, isifuba somoya, ukucinana kwemigudu yokuphefumula, sinusitis, rhinitis, nokunye okunjalo), kanye izindlebe (otitis kobukhulu obuhlukahlukene).

isicelo

Ukuze sibhekane ngokuphumelelayo nalezi zifo ENT, sebenzisa "Hydrocortisone-Richter" ngoba lapho ephefumula. ekusetshenzisweni imfundo izimali, ngakho silula. Kubalulekile ukuqala ukuze ujike umuntu abanekhono bazokwazi ezomisa umthamo sakugcina umuthi kungaba ngempumelelo kule ndaba. Lokhu kwenzelwa ukuqinisekisa ukuthi ukusetshenziswa "Hydrocortisone-Richter" kwezidakamizwa ephefumula kwase kuphephile ngempela. Ukuze enze izinqumo ezinjalo bebodwa kungaba kakhulu kabi belulekwa. Kubalulekile futhi ukuthi udokotela oqokwe ngezabelo ukulungiselela isixazululo ukusebenzela inqubo okukhulunywa ngakho. Uma ulandela kahle izincomo ezivela uchwepheshe, ukusetshenziswa kwezidakamizwa "Hydrocortisone-Richter" ngoba ephefumula kuyoba esindisa impilo ngempela ekulweni impilo enhle.

Sebenzisa nomuthi kubhekwe futhi otitis. Ezimweni ezinjalo kunconywa iconsa ezimbili namamililitha solution "Hydrocortisone-Richter" endlebeni. Phinda inqubo kufanele kube kathathu kuya kwamane ngosuku. Lapho ukuqokwa udokotela ukuba khona zingahlangana leli thuluzi necebo we-antibiotic efanelekayo esigulini.

Futhi "Hydrocortisone Richter" (incwadi yeziyalezo kungase iqukethe ulwazi) ingasetshenziswa ngqo ukwelapha izifo amalunga omzimba. Kulokhu, lesi sidakamizwa iqondiswa naphakathi-articular noma periarticular. Emini yokukhalaza "Hydrocortisone-Richter" (Ukumiswa) akufanele kufakwe amalunga omzimba angaphezu kwamathathu. Umjovo elilandelayo zingenziwa ngemva kwamasonto amathathu kuphela kulowo odlule.

Joint efanayo zingavezwa kumkhiqizo "Hydrocortisone-Richter" (Ukumiswa) akuyona izikhathi ezingaphezu kwezintathu ngonyaka. Lokhu kungenxa imiphumela emibi isidakamizwa uqwanga hyaline.

Ngayiphi ngemithamo kuleli cala, kufanele usebenzise "Hydrocortisone-Richter"? Yokusetshenziswa ukhuthaza abadala ukungena kusukela angu ezinhlanu mahlanu efana kuye inkulu kangakanani nokuthi esindayo isifo ngokuhlanganyela kwenzeka. umthamo ezingane ivela angu emihlanu kuya amathathu. Nokho, inani kufanele ihlukaniswe bentando eziningana ngosuku.

Acinene kumele ilungise ekhethekile amaconsi eziyinkimbinkimbi. Kuyadingeka ukuba uhlanganise umfuma "dioksidina", "phenylephrine" bese kubhekwa izidakamizwa kanye Shake. Ngaphezu kwalokho Bury lokhu isixazululo nge izidakamizwa "Hydrocortisone Richter" impumulo (amathonsi ezimbili kathathu ngosuku).

Ukuzelapha akuyona njalo ngempumelelo futhi kungaba yingozi ngisho. Futhi akuxhomekile kulokho wena uhlushwa - ne otitis, samathambo, sinusitis, noma ufuna ukusebenzisa "Hydrocortisone-Richter" ngoba lapho ephefumula. Imiyalelo iqukethe imithamo kuphela isilinganiso esibekiwe. Inani eqondile efana izidakamizwa futhi indlela elisebenza ngayo wesifunda ungabekwa ngamunye icala ngabanye, udokotela kuphela adla.

Izimo

Kukhona ezinye izimo, khona okuyinto kunoma yiliphi icala ayikwazi ukusetshenziswa umjovo noma lehla "Hydrocortisone-Richter". Ngakho, awukwazi ukusebenzisa izidakamizwa ngaphansi ukucatshangelwa, uma une-ngokuhlanganyela elinegciwane, izinkinga Achilles umsipha, ukuthambekela yakha amahlule, Cushing Syndrome, ukutheleleka letindzala ngaphandle oluthile lokwelapha kwenziwe, kanye nokubandlululwa ngalinye abamelwe ethile yabaphathi izidakamizwa.

Futhi kusho esenqatshelwe ukuthatha isikhathi esesibelethweni wengane (ikakhulukazi senyanga yokuqala). Esikhathini trimesters izidakamizwa lesibili nelesithathu kufanele athathwe kuphela uma uma izinzuzo unina kuyoba izikhathi eziningi mkhulu kunezinhliziyo ingozi embungwini. Futhi ukusetshenziswa kwezidakamizwa "Hydrocortisone Gédéon Richter" nomthelela omubi kakhulu ku kwengane esiswini. Ikakhulu, kuphakamisa nokungathuthuki. Ngesikhathi ukuncelisa ukusebenzisa izidakamizwa libuye akuvumelekile.

Agent ayikwazi iqondiswa naphakathi-articularly, uma kukhona ukopha normal, samathambo ezithathelwanayo, intraarticular imigqa ephezulu nephansi, i-osteoarthritis ngaphandle synovitis, ithambo ekubhujisweni, ukutheleleka periarticular, juxta-articular kwamathambo, deformity ngokuhlanganyela, ngokuhlanganyela engazinzile, idluliselwe arthroplasty.

Kubalulekile njalo ngaphansi kokuqondisa udokotela, uma isiguli sifuna asebekhulile noma has lezi zifo ezilandelayo: isifo sikashukela, isilonda duodenal noma esiswini, ukukhumuzeka kwamathambo, i-herpes, isifo sofuba, isifo sokuwa, ukufiphala kwamehlo, isimungumungwana, umfutho wegazi ophakeme, ezingamahlalakhona yokumelwa yinhliziyo.

side effects

Iziphi izinkinga zokwelashwa angabangela izidakamizwa "Hydrocortisone-Richter" (Ukumiswa)? Manual liqukethe ulwazi mayelana ukusabela elandelayo ezingezinhle, ezingase engase yenzeke phakathi nenkathi ekwelapheni izimali. Phakathi kwabo:

• retardation ukukhula;
• sikashukela steroid;
• Cushing Syndrome;
• kahle glucose ukubekezelelana;
• baqedwe adrenal;
• isicanucanu;
• hypokalemia;
• hiccups;
• thromboembolism;
• ukubuyisa;
• isilonda peptic;
• ukuhluleka kwenhliziyo;
• ukopha;
• vasodilatation neuropathy;
• ukuhlanza;
• umfutho wegazi ophakeme;
• ukucasuka;
• pancreatitis;
• ukuqwasha;
• esophagitis;
• anda esesuthi;
• ikhanda;
• ukukhathazeka;
• kwesisindo;
• Isasasa;
• yezifo zengqondo;
• ulceration corneal;
• ukwesasa kuphela;
• ajulukayo;
• ukusangana;
• ngwengwezi;
• ukulimala emsipheni optic;
• ka izifo zamehlo;
• pseudotumor cerebellum, ukufiphala;
• nokucindezeleka;
• isiyezi;
• uhlanyiswa;
• disorientation;
• delirium;
• epileptiform Ukudlikizela;
• arthralgia;
• myalgia;
• kwamathambo;
• retardation ukukhula;
• ehle yemisipha;
• imisipha spasm;
• ukukhathala;
• myopathy steroid;
• hypernatremia;
• ukulimala imisipha;
• izifo ezingosomathuba ;
• arrhythmia;
• Ukugcinwa kwamanzi emigodini;
• anda ngenxa yobuthakathaka;
• ukuqubuka kwesikhumba;
• exacerbation ukutheleleka (okubalwa kuzo nesifo sofuba esicashile);
• ukulunywa;
• folliculitis;
• ukushaqeka anaphylactic;
• ecchymosis;
• induna steroid;
• telangiectasia;
• isikhumba yoma;
• paresthesia;
• hirsutism;
• izicubu ukuvuvukala;
• necrosis kwezicubu ezizungezile;
• esingamahlalakhona adrenal;
• leukocytosis;
• umkhuhlane.

Uma isiguli abadala, ingozi noma yiziphi efakwe ohlwini side effects luyanda kakhulu.

Futhi eziningi ukusabela ngenhla kungenzeka ngenxa umthamo ngokweqile eyabelwe noma isikhathi eside kakhulu imithi. Ngaphansi kwezimo ezinjalo, ukusetshenziswa kwezimali "Hydrocortisone-Richter" manual weluleka lokufeza ukwelashwa lingaze njenganoma yikuphi yokuvimbela ethize ayikasekeli khona.

Izici

Kubalulekile ukwethula izidakamizwa ngaphansi ukucatshangelwa, ikhumbula zonke imithetho isinqandakuvunda azosiza kugwenywe yinoma yimuphi lwegciwane.

Akuvunyelwe ukuba afeze yokugoma isiguli ngesikhathi yokwelapha inikezwe izidakamizwa. Lokhu kungenxa okusithiyayo kungenzeka lwamasosha omzimba oluvame zamagama.

Phakathi isicelo zomuthi "Hydrocortisone-Richter" (Ukumiswa) yokusetshenziswa kufanele libukwe ukudla ukudla okuthile. Okuqukethwe sodium we ukudla washisa ukuba encishisiwe, kuyilapho okuqukethwe potassium - lenyuka kakhulu. Kuyadingeka ukudla amaprotheni ngokwanele.

Kubalulekile ukuqapha njalo izinkomba ezilandelayo: igazi coagulation, umchamo okukhipha, lokuhlushwa glucose egazini, blood pressure kanye umzimba isisindo. Lokhu kuzosiza ukuba ngesikhathi esifanele ukubona ngeziphambeko kwenzeke kuyinsakavukela futhi ulungise lwemithi yokwelapha.

izidakamizwa Okubukwe kakhulu kubambezela inqubo yokukhula kanye nokuthuthukisa izingane nentsha. Ngakho-ke, kubalulekile ukuthi icebo yokuyelapha uchwepheshe abanolwazi. Ingabe ngokuvamile unikwa aphansi umthamo kungenzeka kuze kuphele isikhathi esifishane.

Ukuxhumana nezinye izidakamizwa

glycosides senhliziyo isicelo kanyekanye ne izidakamizwa kubhekwe ukuba nethonya enobuthi kakhulu kogulayo.

Umuthi kakhulu kuyasheshiswa excretion of acetylsalicylic acid.

ukusetshenziswa ngesikhathi esifanayo ne yokugoma bukhoma kuphakamisa ukuthuthukiswa izifo ngenxa ukusebenza amagciwane.

It ngesivinini umzimba izinto ezifana mexiletine futhi isoniazid. Ngenxa yalokho, ingqondo ku-plasma is kakhulu ziyancipha.

It kwandisa ingozi umphumela enobuthi-paracetamol kwesibindi isiguli.

ebulilini izidakamizwa ngaphansi ukucatshangelwa negate umphumela ozokusebenzisa somatropin.

ejenti hypoglycemic e seziguli ezithola ithuluzi futhi babe ayisasebenzi.

Ukwandiswa ingcindezi intraocular kungenxa isicelo kanyekanye ne antihistamine kanye tricyclic antidepressant.

analogs

Uma nganoma isiphi isizathu (isibonelo, khona Izimo ezithile) awukwazi ukusebenzisa izidakamizwa "Hydrocortisone-Richter," kungaba ukuhlakanipha ukuthola ulwazi mayelana lokunye, ukuthola ikhambi ofanele ngawe. Ngakho, ngokuvumelana main esebenzayo isithako analogs ezibhekwa izidakamizwa ukumiswa "Kortef" futhi "Solu-Kortef". A indlela efanayo isinyathelo ahlukanisa kusukela ukwakhiwa esilandelayo: "prednisolone" (wamafutha ukusetshenziswa nangaphandle); "Kenalog" (Ukumiswa); "Deksapos" "Prenatsid" "Maksideks" "Ozurdeks" (iso wamafutha); "Polkotrolon" "Medopred" "Megadeksan" "Flosteron" "Ivapred" (slurry). Kubalulekile ukukhumbula ukuthi ngamunye wale mikhiqizo has izici zayo siqu futhi amacala eyingqayizivele lapho kufanele lisetshenziswe nini. Ngakho-ke kuyoba enengqondo kunazo ukuvumela uchwepheshe ukuthola Analogue efanelekayo yemali kungaba ngempumelelo esimweni sakho futhi ngeke ukulimaza umzimba wakho.

Izibuyekezo

Yini abantu bathini mayelana ukuphumelela izidakamizwa ehilelekile? On the ukulungiselela "Hydrocortisone-Richter" Izibuyekezo kwesokunxele kokubili iziguli nodokotela. Iningi uthi ukusebenza kahle yayo ngaphandle kwemibandela, imiphumela okukhulu esikhathini esifushane yokwelashwa, kanye nomphumela nehlala njalo (asikho isidingo ukuphinda Yiqiniso izikhathi eziningana). Lezi izimpendulo abonisa ukuthi izidakamizwa sithembekile ngempela futhi kufanele sinake zabo phezu kwalo.

Nokho, kukhona esinye uhlangothi kuya uhlamvu lwemali. Okungukuthi ngezinye izikhathi iziguli esekhala enqabayo side effects emva isicelo nomuthi kubhekwe. Ngezinye izikhathi kubangele eningi ngokuphazamisa futhi zidinga ukwelashwa ethize. Ngezinye izikhathi, zikhona izimpawu zokugula okungathí sina kakhulu, njenge-ukubambezeleka ekukhuleni kwengane. Nokho, kungaba zonke lezi imiphumela ukube ulihlola ngokucophelela yokusetshenziswa zomuthi. Ibonisa kahle kakhulu zonke imiphumela engemihle, abese egcizelela isidingo kweso lwezokwelapha. Uma usola ukuntula ukulawula udokotela ukuba khona isiguli (ikakhulukazi uma ingane yakho siqu), kumelwe kulungiselelwe ukuba uhlangabezane nemiphumela ebuhlungu. Kungcono ukuba singavumeli isimo ukuthuthukisa ngendlela efanayo futhi anake ngokwanele ekuhambisaneni zonke izincomo. Ukuzelapha amukelwe futhi iyingozi.

Manje zihlome ziyizingovolo. Emva kokuthola ulwazi mayelana izidakamizwa "Hydrocortisone-Richter," ungathatha isinqumo unolwazi ngempela ukuthi zinjalo yini ukuyisebenzisa uma yakho ngabanye. Kodwa ngisho noma kuvela ukuthi yilokhu kanye kudingeka manje, musa ukusheshe ukuthola bese usebenzisa imithi. Thatha isikhathi sokuxoxa lolu hlobo ukwelashwa nodokotela wakho. Uyokwazi ukwakha indlela yokwelashwa ikhumbula zonke umehluko wemisindo nemiqondo yamagama futhi kukusize ugweme zonke izingibe, zazo zikhona eziningi usebenzisa izidakamizwa kubhekwe. Phela, naphezu ukusebenza elingenakuphikwa, "Hydrocortisone-Richter" has a lot of side effects, okuyinto kwakuhilelani nemiphumela kuyindaba eqakathekileko. Gwema ukuthuthukiswa kwazo lungasiza kuphela umuntu okufanelekelayo uba ngaphansi kokuphatha kukabani kweso Kunconywa ukwelashwa nale izidakamizwa. Kuphela kuleli cala, lolu hlobo yokwelapha kuyokulethela eliyigugu, balahle izimpawu ezingemnandi lesi sifo. Ukuchitha isikhathi esincane ngeseluleko udokotela ukuba khona, ungagcina imali eningi futhi amandla abo ezingokomzwelo nezingokomzimba siqu, okuyinto ngenye kwakuzodingeka esichithwa ekulweni sina ukusabela ezingezinhle kanye nezinkinga. I baqaphela ngokwengeziwe Uzizwa impilo umzimba wakho, aba maningi ukubonga Sizohlangana iminyaka eminingi ezayo ngenxa yalokhu.

Hlala njalo ukhetha kuphela arcade ukunakekelwa bona kanye nemindeni yabo! Okumhlophe!