"Melbek": yokusetshenziswa, analogs kanye nokubuyekezwa of odokotela

izinqubo ukuvuvukala kule ezithambile izakhiwo kwezicubu, ngokuhlanganyela futhi bone Ngokuvamile ubonakaliswa isimo sengqondo ubuhlungu, ezingasetshenziswa ukubhekana ezihlukahlukene izidakamizwa. Medicine "Melbek" imfundo okuzokwenziwa wachaza ngokuningiliziwe kulesi sihloko, kuyinto non-steroidal ejenti eqeda ukuvuvukala, akagcini ngokuba namandla ukuqeda ubuhlungu, kodwa kungadambisa ukuvuvukala emisipheni. Kanjani leli thuluzi usebenza? Yiziphi izinhlobo Isikali zomuthi kungatholakala Pharmacy ukuzisebenzisa? Sifunda ngakho manje.

Ukwakheka, isakhiwo

Izidakamizwa "Melbek" manual uchaza njengoba eqeda ukuvuvukala kanye analgesic. Umuthi itholakala amaphilisi kanye ngesimo isixazululo umjovo. Bobabili ukwakhiwa equkethwe isithako efanayo esebenzayo - meloxicam. Ngo isixazululo, iqukethe amaphilisi 15 mg "Melbek Forte" - esilinganayo. ivolumu mncane lokhu kwakwakhe kuqukethwe amaphilisi "Melbek" - 7.5 mg.

izinto engeziwe kufakwe ekwakhiweni for reception temlomo, afakiwe ohlwini esezingeni izingxenye ezivumela meloxicam ukufinyelela ingashintshiwe esiswini namathumbu. Lokhu-lactose, magnesium stearate, aerosil, sodium citrate futhi povidone. I meloxicam isixazululo umjovo kwalokho luqukethe amanzi, i-sodium chloride kanye sodium hydroxide, glycine futhi glikofurfurol.

Incazelo amafomu Isikali

Tablets "Melbek" manual uchaza lokhu okulandelayo: round ukukhanya umbala ophuzi kanye Valium kwenye evele. Kungokufanayo ngomthamo ifomu, kodwa nge wokuqukethwe lelisetulu isithako esisebenzayo ( "Melbek Forte") bheka okufanayo, umehluko nje wukuthi amaphilisi abekwa izingozi ezimbili ngesimo esiphambanweni. Zombili lezi zinhlobo zezindlu amaphilisi zihlanganiswe amabhamuza yizicucu 10 ngamunye.

Isixazululo for umjovo imfundo Lichaza njengoba uketshezi esobala aphuzi, equkethe kungekho inclusions angaphandle. Wawathela ku esobala ingilazi izitsha eziyisikhombisa 1.5 ml ngayinye. Omunye Iphakheji liqukethe ayibi ngaphezu kuka-3 izitsha eziyisikhombisa ikhambi.

imiphumela kwemithi

I engavamile we asebenzayo isimiso "Melbek" ukulungiselela imfundo ubiza nezikwazi ukuthonya synthesis prostaglandins izikhungo ezingeni lesibili (Cox-2), cishe ngaphandle kokuphazamisa Cox-1. Ngakho, izidakamizwa hhayi cishe baxabane omubi isimiso sokugaya ukudla bungene iziguli.

Ugxile kusukela ipheshana yesisu akuyona esingaphansi 89% we ketshezi esebenzayo. amazinga nzile meloxicam siyenzeka emva kwezinsuku ezintathu kusukela ekuqaleni ukwelashwa "Melbek". Yokusetshenziswa nazo liqukethe ulwazi ukuthi eside imithi (ngisho nangaphezu kwalabo abangamashumi 1 unyaka), akukho umphumela ekuqongeleleni izinto asebenzayo futhi metabolites yabo emisipheni.

Ngo umzimba meloxicam sekubola cishe ngokuphelele abapholile ukuba izinto ezilula ukuthi excreted ngaphakathi ngosuku, ezingeqi kwezingu ezimbili. Kwesikhathi isigamu-ukuphila amahora 20.

ubufakazi

Tablets "Melbek" futhi "Melbek Forte" imfundo yokusebenza liyala ukwamukela lezi zifo ezilandelayo:

• rheumatoid arthritis (yokwelapha lingaze);
• osteoarthritis, arthrosis nezinye izifo esiwohlozayo apharathasi articular (njengoba isidambisa-zinhlungu);
• myalgia, dorsalgia, lumbago kanye sciatica.

Ngaphezu kwalokho, izidakamizwa ngempumelelo enqanda ngezinyo, ikhanda kanye muscle futhi aqede iziguli noma ukuhlukumezeka nasezinkingeni ezilandela ngemva kokuhlinzwa.

Kunconywa ukuba asebenzise "Melbek" isixazululo kulezi zimo efanayo. Imijovo imfundo, odokotela yangempela kanye neziguli kubhekwa ngempumelelo kakhulu ngokumelene ubuhlungu yanoma yimuphi umsuka, kodwa kukhona ezinye izici isicelo sabo. Lokhu kuzoxoxwa ngakho kamuva, engxenyeni ku nokushintsha kokudla nokufakwa "Melbek" izidakamizwa.

Umthamo izidakamizwa nezindlela reception

Indlela ukuncoma ukusetshenziswa kwezidakamizwa "Melbek" yokusetshenziswa? Tablets ngezilinganiso 7.5 mg wabonisa ekwelapheni ubuhlungu esiwohlozayo ngokuhlanganyela ukuvuvukala Dynamics. Inani amaphilisi ngelanga kumele singeqi 1 izingcezu yesibili. Kuphela ngaphansi okukhulu ubuhlungu okuqhubekayo kungandisa umthamo wansuku zonke kuya ku-15 mg.

Ngo-rheumatoid arthritis ngendlela efanele usaqala yokwelashwa umthamo nsuku zonke 15 mg. Ngemva sinjalo isiguli ke kuyehla ngesigamu, kuya cishe 7.5 mg ngosuku.

Tablets "Melbek" Umhlahlandlela uncoma isiphuzo uketshezi oluningi, okungcono amanzi. Ukudla akuphazamisi ukumuncwa ketshezi asebenzayo. Nokho, ochwepheshe ukweluleka ukuphuza amaphilisi ngemva kokudla. Ngakho kungenzeka ukugwema ukucasuka we mucosa esiswini.

Yini uthi mayelana nendlela yokusebenzisa "Melbek" imiyalelo isixazululo ukusetshenziswa? Imijovo kumelwe ibekwe kuphela ezinsukwini zokuqala yokwelapha. Ngemva umphumela analgesic zomuthi ukuba esimeme, kubalulekile ukuba ukushintsha ifomu Isikali ngomlomo. Ukuze kuzuzwe nomphumela omuhle kubalulekile ukuthi ikhambi kufakwa izingqimba ezijulile imisipha.

esiphezulu I umthamo zonke izinsuku we lokhu ekwakhiweni, njengoba kunjalo nge amaphilisi, 15 mg.

ukusabela ezingezinhle

Imiphumela engemihle uma nithatha "Melbek" izidakamizwa kubhekwe ukuba ejwayelekile zonke izidakamizwa bohlanga non-steroidal izidakamizwa eqeda ukuvuvukala. Basuke izimpawu liyithinta ngokuqondile omubi ulwelwesi lwamafinyila we isisu pheshana emathunjini iyonke. Ngakho, izidakamizwa ezivamile ekwelapheni "Melbek" ukusabela ezingezinhle ngendlela iziyaluyalu dyspeptic, isicanucanu, ukuhlanza, ubuhlungu besisu futhi ukuvuvukala. Yokukhulisa lezi zimpawu kuze ulceration emathunjini kwenzeka endabeni non-ukuhambisana imithamo letiphakanyisiwe imfundo.

Phakathi imiphumela emibi izidakamizwa ukwelashwa "Melbek" futhi "Melbek Forte" Umhlahlandlela ukhuluma ukwephulwa ohlelweni hematopoietic, isimiso sezinzwa esiyinhloko, izitho sezinzwa kanye ukuphefumula. Ngaphezu kwalokho, izidakamizwa kwezinye izimo kungabangela-high blood pressure. Iziguli ingase futhi ziphazamisa ukuvuvukala, palpitations futhi uzizwa nje hawu igazi ekhanda ubuso.

Kwezinye izimo, kwazeke umthelela ongemuhle zomuthi esikhumbeni. Ikakhulukazi, cishe i-1% of the iziguli wahlupheka photosensitivity futhi ukuqubuka nomzimba. Ezimweni ezingavamile kakhulu lapho ithola yimaphi amafomu Isikali "Melbek" ukulungiselela kungenzeka ukusabela kabi komzimba kuze kube ukushaqeka anaphylactic.

Izimo

Medicine "Melbek" is hhayi Kunconywa uma isiguli kwake kwaba namacala ziyabagulisa ifomu yesifuba somoya, urticaria futhi angioedema ukuba nonsteroidal ejenti eqeda ukuvuvukala, futhi ikakhulu, ku-aspirin. Ngaphezu kwalokho, esimisiwe ngokucophelela amaphilisi ngesikhathi izifo erosive ulcerous isisu kanye duodenum 12 esigabeni oyingozi. Futhi, ningawenzi linqume izidakamizwa abantu nge izinkinga zesibindi nezinso. It kubhekwa a contraindication sina kanye nobudala lesiguli iminyaka engu-15.

Isicelo bekhulelwe nangenkathi bencelisa

In iziguli eziningi, kukhona umbuzo nge syndrome ubuhlungu mayelana nokuthi ukusetshenziswa imithi ngesikhathi sokukhulelwa, "Melbek" kuvumelekile. Yokusetshenziswa, imijovo kanye amaphilisi okuyinto zichazwe ngokuningiliziwe, iqukethe ukwaziswa ngesikhathi ukuzalwa kokubili ukwakhiwa kungcono hhayi ukuyisebenzisa. Iqiniso lokuthi esebenzayo isithako izidakamizwa ingena phakathi uketshezi lwamalunga futhi kuyalinqoba isithiyo esinomhlapho. Naphezu kweqiniso lokuthi imiphumela teratogenic e izifundo laboratory sezihlonziwe, ingozi embungwini sisalokhu siphakeme.

Izixwayiso

Inani izifo kanye nezimo okudingeka ukuba anake kakhulu umthamo we izidakamizwa. Kwezinye izimo, kungase kudingeke ukuba khansela "Melbek" izidakamizwa. Ngokwesibonelo, izidakamizwa udinga ukukhansela ngokushesha ngangokunokwenzeka isengozini enkulu ebangela ukopha kwenzeka ipheshana wokugaya ukudla. Kuyefana nasendleleni iziguli kahle umsebenzi kwezinso, ikakhulukazi enciphile ukugeleza kwegazi amazinga kulezi zitho. Ngempatho ukuqhubeka, "Melbek" imithi Umhlahlandlela uxwayisa kungenzeka ekuthuthukiseni ukwehluleka oyingozi kwezinso.

Ochwepheshe ukuthi ukungasebenzi kwezinso futhi ivame ukubonakala in iziguli isibindi sibe sesomile, congestive senhliziyo ifomu nalabo ngokuqondene izifo concomitant kufanele athathe isisu.

ukwelashwa isikhathi eside ngomuthi "Melbek" is contraindicated iziguli ukuguga.

ukweqisa izidakamizwa

Uma weqa ngemithamo Kunconywa izimpawu kungenzeka ezigulini ezifana nalezo ezichazwe esigabeni mayelana engemihle. izidakamizwa Specific, aqede elinobuthi, alikho, ngakho ochwepheshe batusa lavage esiswini, kanye absorbents ngaphakathi reception. Ngaphezu kwalokho, ukusebenza okuhle kunikeza yokwelapha lingaze. Nokho, odokotela bathi isebenzisa umshini wezinso nezinye izindlela zokususa uketshezi emzimbeni, kuhlanganise diuresis ophoqelelwe, meloxicam ukweqisa izidakamizwa akukuniki yimuphi umphumela. Into kuphela ezingakusiza ukususwa okusheshayo kusuka emzimbeni uxhumano - izidakamizwa "Cholestyramine".

izidakamizwa ekuhlanganyeleni

On the reception ngokuhlanganyela neminye imithi imithi "Melbek" Iziyalezo yokusetshenziswa belulekwa ukuthi basebenzise ukunakekelwa okukhethekile, ngoba kwezinye izimo inhlanganisela izimali kungase kungabi evumayo kakhulu impilo isiguli. Nazi izibonelo ezimbalwa ezibonisa indlela yokwamukela izidakamizwa eziningana, kuhlanganise "Melbek" kungase kuthinte isimo iziguli:

1. Anticoagulants, njengokuthi "heparin" futhi "Ticlopidine", lihambisana meloxicam kunciphisa igazi ekunqandeni futhi kungabangela ukopha sina.
2. Lithium-aqukethe amalungiselelo reception kanyekanye "MELBEK" kungabangela ukweqisa izidakamizwa of lithium.
3. Alpha-blocker, kanye namanye amanxusa analgesic, kuthathwe kanye meloxicam abe nekghono ephansi.
4. Isisu zithathwa phakathi ukwelashwa izidakamizwa "Melbek" angasebenza kangangokuba kakhulu kwandisa ingozi amanzi emzimbeni futhi ukwehluleka oyingozi so-renal.
5. Ukuphumelela amadivayisi intrauterine umuthi reception yabo ngokuhlanganyela lesi sidakamizwa "Melbek" incipha, ngakho-ke kubalulekile ukuba sithathe izinyathelo ezengeziwe ukuvikela ukukhulelwa okungafunwa.
6. Cyclosporine lihambisana "Melbek" imithi kungabangela nekusita nephrotoxicity ngomphumela yokugcina.

Uma sicabanga ngakho konke lezi zici, kubalulekile sina ukusondela daba ka enquma, kanye izindlela "Melbek" ngesimo amaphilisi kanye isixazululo umjovo. Ochwepheshe ukweluleka njalo uyibeke yokwesabela reception ahlangene izidakamizwa ehlukahlukene.

analogs

Analogue ukulungiselela "Melbek" ngokuba asebenzayo (lamanje) izidakamizwa kukhona izidakamizwa ezilandelayo: "meloxicam" (kuhlanganise "Meloxicam-PRAM" futhi "Meloxicam DS"), "Movalis" "Moccasin" futhi "Mesipol". Le mishanguzo uma kwenzeka isidingo esikhundleni izidakamizwa "Melbek". Sinenkosi izinkomba esifanayo, side effects kanye contraindications.

Analogue yesenzo kubhekwa ezilethwa nezinye nonsteroidal eqeda ukuvuvukala agents nge senzo anti-rheumatism, hhayi equkethe meloxicam. Lezi zihlanganisa izidakamizwa "Ketanov", "Ambene" futhi "Faspik". Ukusebenzisa kwabo ulungisiswa uma isiguli ine meloxicam ukungabekezelelani.

Uphenyo odokotela

Ochwepheshe bezifo, lesi sidakamizwa "Melbek" ingenye imithi engcono asize ekudambiseni ubuhlungu yezifo ezifana nesifo sokuqaqamba kwamalunga kanye arthrosis. Ngaphezu kwalokho, qaphela ukuthi uma siqhathanisa nabanye izidakamizwa ezingekho steroidal anti-inflammatory lo muthi ayinayo nomphumela evelele omubi isimiso sokugaya ukudla bungene, ngisho nokuphathwa ezingamahlalakhona. It ubhekwa iphuzu elibalulekile ekumisweni ama-NSAID Inkambo yokwelashwa.

Kuqhathaniswa eside ukusetshenziswa "Melbek" imiyalelo ukulungiselela, amazwana kusukela ochwepheshe aveze ukuthi kungathatha izinyanga ezimbalwa. Kubalulekile njalo okuphawulwe udokotela ngesikhathi ukuhlonza ukusabela abangazidingi izidakamizwa.