Umuthi 'Midrimaks ": imfundo manual, izibuyekezo, izithombe, analogue

Ngayiphi umthamo ezinqunyiwe isidakamizwa "Midrimaks"? Yokusetshenziswa, isithombe lomutsi izokwethulwa ngezansi. Kulesi sihloko sizofunda ngokuthi singakugwema kanjani indlela ithengiswe, wathi izindlela, uma waba esikhundleni, lapho izimo ezinqunyiwe ukuthi uthini ngaye kwaze kwangenelela ezinye iziguli.

Ubujamo, emabhokisini Ukwakheka

Ngo iphakheji sithengiswa "Midrimaks"? Ukufundiswa ukusetshenziswa is ebiyelwe ebhokisini amakhadibhodi. Ibuye ibe futhi Dropper ngivalele ngalolu ketshezi izidakamizwa.

Ikhishwa izidakamizwa esebenzayo ngesimo iso amaconsi. izingxenye zalo ephilayo tropicamide futhi phenylephrine hydrochloride. Mayelana izithako elisizayo, ukuthi njengoba zisebenzisa i-sodium metabisulfite, disodium edetate, benzalkonium chloride, hypromellose, sodium hydroxide, amanzi distilled futhi hydrochloric acid.

Izici we nomuthi zamehlo

Uyini izidakamizwa "Midrimaks"? Yokusetshenziswa, odokotela yangempela bathi amathonsi enjalo kunenjongo zokuxilonga. Lezi zingxenye asebenzayo lula ekuvimbeni receptor m-cholinergic imisipha ciliary kanye iris sphincter. Ngenxa kuzichaya kwenzeka ukukhubazeka kuhlala futhi mydriasis.

Umthelela izidakamizwa ocular iza ngokushesha okukhulu futhi kwenzeka ngemizuzu engaba ngu-5-12. esiphezulu sayo isifinyelele emva kwemizuzu 47.

Umthelela lokhu izidakamizwa nakuba okusheshayo, kodwa imfushane kakhulu. Umthelela umuthi amahora 1-2.5 kuphela.

Ukuze kuzuzwe ububanzi kokuqala balezi zingane, isiguli kuzodinga cishe 6 amahora.

Amapharamitha pharmacokinetic zezinto asebenzayo

Yini izidakamizwa anezakhi pharmacokinetic "Midrimaks"? Manual ithi bobabili isithako zomuthi kwenzeke izindlela ezihlukene kakhulu.

Phenylephrine kulula kakhulu ukuba ukungena zonke izicubu iso. Isiqongo plasma yayo lokuhlushwa siyenzeka cishe 10-20 imizuzu emva isicelo nezokusigcoba. Ngakho it is aqedwa izinso (cishe 20%) e ifomu ithuthuke noma metabolites njengelisebenzayo.

Kepha tropicamide, ubuye ukwazi ukungena izicubu esweni. Le into ngokushesha kakhulu angena kwegazi. Ubuningi esiphezulu we ketshezi plasma siyenzeka emva kwemizuzu 5.

izinkomba

Bewazi yini ukuthi lokho kuyadingeka "Midrimaks" (iso amaconsi)? Umhlahlandlela ibika izimpawu ezilandelayo ukusetshenziswa kwaleli thuluzi:

• ngoba uphethwe ngo umkhuba amehlo;
• ukusebenza laser kanye nokusebenza kuhlinzwa.

Izimo

Yikuphi uthi lokwenqabela ukusetshenziswa kwanoma isiguli lehla "Midrimaks"? Yokusetshenziswa ithi Izimo ezilandelayo:

• futhi ayibanzi-engela-Ukuvalwa ukufiphala;
• hypersensitivity kuya izakhi zamabanga aphansi naphezulu imoto;
• thayipha sikashukela 1;
• izifo kohlelo eziphathelene nenhliziyo (isb, angina, arrhythmias, crisis abanomfutho wegazi ophakeme noma koronaroskleroza);
• iqembu lobudala (abantu ngaphansi engu-18 ubudala);
• i-hyperthyroidism;
• bekhulelwe nangenkathi bencelisa,
• ukusetshenziswa monoamine oxidase inhibitor, futhi inyanga eyodwa ngemuva ukuqedwa mao.

wamukelekile baqaphe

Nge imithi ukunakekelwa okukhulu "Midrimaks" (Umyalelo, analogue zazo ezichazwe kulesi sihloko) ezinqunyiwe:

• thayipha sikashukela 2;
• asebekhulile engozini enkulu yokuba ventricular arrhythmias, futhi isilethikusebenza.

Drops "Midrimaks": yokusetshenziswa

Imithi kufanele isetshenziswe conjunctival.

Ukuze kwandiswe umfundi ukuqhuba ukuhlinzwa ophthalmological noma ukuhlola e sac conjunctival kudingekile ukugxilisa 1-2 amathonsi (esweni ngalinye). Ukuze afeze lezi izinqubo kuyatuseka ukuba isigamu sehora ngaphambi ukuhlinzwa noma uphethwe.

Ukuze kuncishiswe ingozi letindzala side effects emva izidakamizwa instillation (imizuzu mayelana 1-2) ku lacrimal sac endaweni ezisemagumbini engaphakathi amehlo ukuba ucindezele kalula iminwe.

amacala ukweqisa izidakamizwa

Yini ezingase ziphakame izibonakaliso yokweqisa ekusebenziseni akwemukeleki imithi "Midrimaks"? Imiyalelo, amazwana kusukela ochwepheshe ukubika ukuthi uma izidakamizwa siwela umzimba ngephutha, isiguli bangezwa palpitations, kome nolwelwesi lwamafinyila kanye isikhumba, komzimba, Ukudlikizela, abafundi osuke usuvulekile, ukuyaluza, ikhoma nokucindezeleka isikhungo zokuphefumula.

Ukuqeda ngeziphambeko enjalo nesineke lavage esiswini wenziwa kanye absorbents ebekiwe.

Ukuze ususe komzimba okukhulu, ochwepheshe batusa ukusetshenziswa ukulibopha ezibandayo. Ukuze esiqoshiwe letindzala ukuchayeka phenylephrine ukusetshenziswa ~ α-blocker.

Endaweni side effects

Yini side effects wendawo angabangela izidakamizwa "Midrimaks" (amathonsi)? Imiyalelo usazise mayelana nemiphumela ezilandelayo ezingaba:

• komzimba;
• lezivakashi kwehle umbono futhi ubuhlungu;
• photophobia;
• waqinisa intraocular;
• evutha amehlo;
• keratitis;
• ukukhululwa kwe-sombala;
• hyperemia conjunctival;
• amehlo zamanzi;
• jet amajaqamba, ikakhulukazi ngemva isicelo sokuqala, futhi esikhathini esizayo - akuyona kakhulu liphinyiselwe mydriasis (ngokuvamile kubonakala asebekhulile).

Lefundo side effects

Lefundo side effects yalesi izidakamizwa ahlanganisa namazwe elandelayo:

• umuzwa ukoma emlonyeni;
• paleness noma ububomvu kwesikhumba;
• ukuphathwa ikhanda;
• xhumana dermatitis;
• umfutho wegazi ophakeme;
• ekuthuthukiseni arrhythmia, bradycardia noma tachycardia, embolism yamaphaphu, isilethikusebenza;
• imisipha rigidity;
• occlusion ventricular kwemithambo yegazi yenhliziyo;
• tachycardia noma ukuchama kunzima;
• nokuncipha ithoni bese asebenze pheshana emathunjini, kuhlanganise motility (kungaholela ukuqunjelwa);
• ukungasebenzi isimiso sezinzwa esiyinhloko;
• isiyezi kanye nokuhlanza.

izidakamizwa ekuhlanganyeleni

Kuphela udokotela angakunika umuthi isiguli "Midrimaks". Iziyalezo ukusetshenziswa iso amaconsi - Ukufundwa edingekayo. Liqukethe ulwazi olulandelayo mayelana izidakamizwa ekuhlanganyeleni yalesi izidakamizwa:

• ukusetshenziswa ngesikhathi esisodwa blocker (isb, "guanethidine") futhi monoamine reuptake inhibitor nge compounds phenylephrine ungakwazi ngempela kalula nje ubangele i-esibucayi abanomfutho wegazi ophakeme. Kule ndaba, kuhlanganiswe lezi ejenti is hhayi Kunconywa.
• Vasoconstrictor phenylephrine umphumela bungathuthukiswa lihambisana β-blocker. Lokhu kungenxa okusithiyayo kwabo vasodilation.
• Emakiwe potentiation imiphumela agonists m-holinoblokatorami, tricyclic antidepressant futhi "methyldopa".
• instillation owandulelayo ukubulala izinzwa engxenyeni ethile ingase ithuthukise ukumuncwa letindzala we ezisebenzayo futhi uzandise mydriasis.

izincomo oluthize srdstva ukusetshenziswa

Ngokusho imiyalelo "Midrimaks" iso amaconsi zihlanganisa nezivimbelakuvunda. Leli qiniso lingasiza neqhaza okuvela ukuluma kwamehlo, ikakhulukazi uma egqoke contact lens.

Ngenxa yokuthi nezivimbelakuvunda basuke kalula amuncwa contact lens elithambile, kufanele basuswe ngokushesha ngaphambi instillation zomuthi futhi ukugqoka ngemva kwehora ¼.

Ngenxa ukunciphisa okuphawulekayo umfundi dilator imizuzu 45 emva kokufakwa zomuthi ekamelweni umswakama anterior ngokuvamile atholakala sombala izinhlayiyana ezivela ungqimba sombala iris.

Slurry ekamelweni kufanele ingafani kusukela umswakama engena phakathi amaseli weengazi noma ukubonakaliswa uveitis anterior.

Umthelela abashayeli nabantu ubuchwepheshe ukusebenza

Ngenxa yoshintsho ububanzi umfundi kanye yokuhlala emva ukusetshenziswa eyedrops acuity nangesineke kungase wehlise kakhulu. Ngakho-ke, zisebenzise lokhu izidakamizwa akuvunyelwe nakancane ngenkathi ushayela. Futhi, asikwazi esetshenziswa abantu omsebenzi wakhe lihlobene operation yingozi elidinga ukunakekelwa okukhethekile nesivinini lengqondo ukusabela.

Analogs, futhi izindleko iso amaconsi

Thenga ngeso lehla "Midrimaks" kunzima Pharmacy ezivamile. Ngakho abantu abaningi owabathenga e-World Wide Web.

Kumele kuqashelwe ukuthi le ekwakhiweni has ahlukahlukene analogue. I efanayo kakhulu (ngokuvumelana nesimiso yesenzo) zihlanganisa ukuthaka imithi ngendlela elandelayo: ". Atropine sulfate" "Tsiklomed", "Midrum", "Midriatsil" Tropikamid "

Miselela "Midrimaks" ukudluliswa kweemali kufanele kube kuphela emva kokubonisana udokotela. Lokhu kungenxa yokuthi ungaba imithamo ehlukene kakhulu, kanye side effects kanye contraindications.

Bangaki kubhekwe izidakamizwa izindleko? intengo yayo impela high. Omunye isitsha-weThrojani 5 ml izidakamizwa ungathola for 370-450 ruble Russian.

Nobufakazi of iso amaconsi

Ngenxa yokuthi lokhu izidakamizwa isetshenziselwa kuphela ukuxilonga izifo ezihlukahlukene iso, kanye ngaphambi nje kokuba ahlinzwe futhi laser ukuhlinzwa, ukubuyekezwa ngakho kungenzeki njalo.

Nakakhuluma ngalabo okuthunyelwe aseleyo phezu izidakamizwa "Midrimaks" iziguli, singaphetha kahle ukuthi ithuluzi eliphumelelayo zamehlo, okuyinto iyashesha futhi uphumule kahle imisipha iso.

Abanye ochwepheshe bangase baphikise ngokuthi ukusetshenziswa lokhu imithi ngeke nje ukuze bafeze imisebenzi, kanye ezihlukahlukene izindlela zokuxilonga, kodwa ngaphansi kwezimo ezithile. Ngokwesibonelo, evame ukunikezwa iziguli amathonsi anjalo esikhathini khona ezomile iso syndrome. Nokho, kulesi simo, umuthi kufanele lisetshenziswe imithamo ezincane kuno ethulwa ngenhla.