Phapang ke efe pakeng tsa milgamma le nicotinic acid?

Milgamma le Nicotinic acid ke litokisetso tsa livithamini tsa B. Leha ho le joalo hore lintho tsena ke livithamini tse qhibilihang ka metsing mme li teng ka sebopeho sa tse tsoang 'meleng oa motho, lingaka ha li fuoe hore li ka enta Milgamma le nicotinic acid ka nako e le' ngoe. Haeba mokuli a laetsoe lithethefatsi ka bobeli, joale, e le molao, nako ea ho sebelisa meriana le mefuta ea bona ea litekanyetso li fapane.

Ho lumellana

A na nka nka Milgamma ka Nicotinic acid? Ho latela litaelo, ho ne ho se na likarolo tsa tšebelisano ea lithethefatsi lipakeng tsa meriana ena, 'me ha ho na matšoao a ho se lumellane ha taolo ea bona ka nako e le' ngoe. Empa, kaha Milgamma le Nicotinic acid li fumaneha e le li-arhente tse arohaneng, ha ho ratehe ho etsa ente e le 'ngoe ka motsoako oa lithethefatsi tsena.

Likarabo tsa lingaka mabapi le taolo e tšoanang ea meriana ena li fapana: ba bang ba eletsoa ho fana ka liente ka nako e le 'ngoe hoseng le ka shoalane, ba bang - ho fana ka liente ka nako e le ngoe ea letsatsi. Kaha baetsi ba lithethefatsi ha ba bonts'e litšoaneleho tse tsamaeang le Milgamm le Nicotinic acid, ho li nka ka nako e tšoanang ea letsatsi hoa lumelloa.

Vidal: https://www.vidal.ru/d drug/milgamm_compositum__3201
Radar: https://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGu>

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Kamoo Milgammar e Sebetsang Kateng

E na le motsoako oa livithamini tse 3 - B1, B6 le B12. Motsoako o mong o sebetsang ke analgesic lidocaine hydrochloride.

Pharmacology ea lithethefatsi e tšoauoa ka tse latelang:

1. Vithamine B1 e ama ka botlalo metabolism ea carbohydrate. E nka karolo mokolokong oa li-acic tricarboxylic acid, sebopeho sa thiamine pyrophosphate le adenosine triphosphoric acid, e leng mohloli oa matla a tšebetso ea biochemical 'meleng.
2. Vitamin B6 e ama metabolism ea protheine, 'me ho isa tekanyong e itseng, e potlakisa metabolism ea lik'habohaedreite le mafura.
3. Vithamine B12 e khothalletsa ho theha mali, e khothaletsa ho thehoa ha sheath ea methapo ea methapo. E ntlafatsa metabolism ea "nucleic" ka ho susumetsa folic acid.
4. Lidocaine e na le litlamorao tsa tlhaho tsa meriana.

Milgammama ke lithethefatsi tse nang le livithamini tse 3 tsa B1, B6 le B12.

Metsoako ea vithamine e na le phello ea neurotropic. Ka lebaka la tšusumetso ea phallo ea mali le phello e ntle tsamaisong ea methapo, sethethefatsi se ntlafatsa boemo ka mafu a mpefatsang le a sa foleng a lisebelisoa tsa motor.

Liente li sebelisoa maemong a kang:

• neuralgia
• paresis ea sefahleho
• neuritis
• ganglionitis ka lebaka la shingles,
• neuropathy, polyneuropathy,
• multiple sclerosis
• Tšenyo ea methapo ea kutlo,
• mesifa ea mesifa
• osteochondrosis.

Li-vithamine ka bobeli li tiisa tšebetso ea e mong, ho ntlafatsa boemo ba methapo le methapo ea methapo ea kutlo.

Maemong a sa tloaelehang, moriana o ka baka ponahalo ea ho kulisa, ho tsekela, tachycardia, ho hlatsa, kapa ho tsitsipana.

Foromo ea letlapa la ho lokolloa e bonts'oa ke ho ba sieo ha vithamine B12 ka sebopeho le litaba tsa derigative ea thiamine. E rekisoa tlasa lebitso la khoebo Milgamm Composite. Ka paketeng ea matlapa a 30 kapa 60. Foromo ena e na le mefuta e fokolang ea ho bala. E sebelisoa bakeng sa khaello ea livithamini tsa B1 le B6 khahlanong le semelo sa methapo ea methapo ea kutlo.

Milgamm ka sebopeho sa letlapa le khetholloa ke ho ba sieo ha vithamine B12 sebopeho.

Thepa ea Nikotinic Acid

Ntho ena e boetse e bitsoa vithamine B3, kapa niacin. Ha e se e le 'meleng, e tšeloa nicotinamide. Ntho ena e lumellana le li-coenzymes tse tsamaisang hydrogen. E ntlafatsa metabolism ea mafura, motsoako oa li-amino acid, liprotheine, li-purines.E ntlafatsa boleng ba ho phefumoloha ha lisele, glycogenolysis, synthesis ea sele.

Matla a amang 'mele a bonahala ka:

1. Phetisetso ea ho haella ha niacin.
2. Ketso ea antipellagric.
3. Tsitsitseng ea lipoprotein.
4. Ho theola cholesterol (litekanyetso tse phahameng).
5. Matla a vasodilating.

Ho potoloha ka methapong e nyane ea mali (ho kenyeletsa le bokong) hoa ntlafala. Ntho ena e na le litlamorao tse tlatselletsang.

Ho entoa ka sethethefatsi ho etsoa ho ntlafatsa lits'ebetso tsa metabolic ho ruruha le neuralgia:

• osteochondrosis,
• multiple sclerosis
• methapo ea kutlo ea sefahleho
• phallo ea mali e sa senyeheng,
• hemorrhoids, varicose methapong,
• Lefu la Hartnup
• lefu la tsoekere
• hypovitaminosis,
• gastritis (acidity e tlase),
• mafu a ka mpeng nakong ea tšoarelo,
• prick
• mafu a tšoaetsanoang
• ho phahamisa maqeba butle,
• metabolism e sa sebetseng,
• chefo ea joala.

Papiso ea Milgamma le Nicotinic Acid

Meriana e hlahisoa ke lik'hamphani tse fapaneng tsa meriana. Setlhare se rarahaneng se nang le lidocaine se hlahisoa ke moetsi oa Jeremane, mme acid ea Nicotinic e hlahisoa ke lik'hamphani tsa Russia.

Lithethefatsi li na le lintho tse tšoanang ka foromo ea litekanyetso (tharollo le litafole), hammoho le lintlha tse 'maloa tsa tšebeliso. Lithethefatsi ka bobeli ke karolo ea sehlopha sa litokisetso tsa livithamini.

Phapang ke efe?

Meriana e fapana ka sebopeho, ntho e sebetsang. Likarolo tsa ketso ea lithethefatsi li fapana:

1. Milgamma e na le neuroprotective, analgesic athari, e amang lits'ebetso tsa metabolic. E sebelisoa e le moemeli oa pathogenetic le matšoao kalafong ea mafu a tsamaiso ea methapo ea methapo e fapaneng ea methapo. E sebelisoa bakeng sa mafu a bakoang ke blockade ea phetisetso ea neuromuscular.
2. Niacin e tšoauoa ka ketso ea vasodilating le antipellagric. E sebelisoa e le angioprotector le repaator ea methapo ea mali.

Boitokisetso ba Milgam, thupelo. Neuritis, neuralgia, radicular syndrome

Milgamm e tšoauoa ka pono e pharalletseng ea litlamorao 'meleng le boholo ba kalafo ea methapo ea methapo. Lithethefatsi ha se li-analogue, hobane li fapana ka boholo ba ts'ebetso ho methapo ea methapo.

Litlhahiso mabapi le ho nka meriana nakong ea bokhachane le pelehi e fapana. Bukeng ea Milgamma, maemo ana a bitsoa litlolo tsa molao. Ts'ebeliso ea moriana o mong e etsoa ka hlokolosi 'me ke feela joalokaha ho laetsoe ke ngaka maemong a khaelloang.

E leng theko e tlase

Litšenyehelo tse tloaelehileng tsa Milgamm ho ampoules tse nang le tharollo li maemong a fapaneng a li-ruble tse 250 ho isa ho tse 1200. ho latela bongata ba tsona ka har'a sephutheloana. Ka mokhoa oa dragee, sethethefatsi se bitsa li-ruble tse 550 ho isa ho tse 1200.

Asiti ea Nicotinic e theko e tlaase. Litsenyehelo tse tloaelehileng tsa matlapa a 50 ke li-ruble tse 30-50, li-ampoules - ho tloha ho li-ruble tse 30 ho isa ho tse 200.

Ke eng se betere Milgamma kapa Niacin

E 'ngoe le e' ngoe ea lithethefatsi e na le litšobotsi tsa eona. Sebakeng ka seng, ngaka e khetha moriana o hlokahalang ka bonngoe.

Ho ba le sebopeho se fapaneng, ba a tlatsana, ka hona, hangata ba abeloa ka nako e le 'ngoe. Leha ho le joalo, regimen ea moriana o khothalelitsoeng e lokela ho tsotelloa le ho nka nako le nako lipakeng tsa lithethefatsi, joalo ka ha li tsamaisane hantle. Nicotinamide e ntlafatsa lifoto, 'me livithamini tse ling ha li sebetse ke ketso ea lihlahisoa tse bolileng tsa thiamine.

Motsoako ona o u lumella ho fumana litholoana tse lakatsehang kapele 'me li u fe phello e telele ea kalafo.

Molao-motheo oa tšebetso

Diclofenac (diclofenac) ke sethethefatsi se seng khahlanong le ho hlasela se mali. Ketso ea eona e etselitsoe ho thibela ts'ebetso ea ts'ebetso ea ho ruruha maemong a lithane, ho fokotsa matšoao a feberu, ho tlosa bohloko bo boholo. Mokhoa oa lik'hemik'hale oa Diclofenac ke sehlahisoa sa ts'ebetso ea phenylacetic acid, ka hona, ho latela ts'ebetso ea kalafo, Diclofenac e matla haholo ho feta acetylsalicylic acid, eo ho fihlela morao tjena e neng e le setlhare se sebetsang ka ho fetisisa se khahlanong le ho ruruha.

Combilipen (combilipen) - sethethefatsi seo e leng sa sehlopha sa lihlahisoa tse kopaneng tsa li-vithamine. E sebelisoa ka mafolofolo kalafo ea maloetse a bakang tšenyo ea metso ea methapo. Combilipen e eketsa molumo oa 'mele, e tsosa ho hanyetsa ha eona tlhaselo e mpe ea ka ntle le ea ka hare. Foromo ea eona e na le livithamini tse tharo (B1, B6 le B12). Katleho ea motsoako o joalo nakong ea kalafo le ho nchafatseng mafu a lebisang tšenyo ea lithane tsa methapo e netefalitsoe ke lilemo tse ngata tsa ho sebelisa lithethefatsi.

Combilipen e ntlafatsa ts'ebetso ea ts'usumetso ea methapo, e thusa ho ntlafatsa ts'ebetso ea ts'ebetso ea methapo e bohareng. Ente e le 'ngoe ea livithamini e ka fokotsa bohloko bo bakoang ke neuritis kapa osteochondrosis.

Empa haeba tšenyo ea likarolo tsa tsamaiso ea methapo e hlaha, e tsamaisana le lits'ebetso tse buuoang tsa ho ruruha (mohlala, acatica sciatica), letlapa le le leng la Combilipen le ke ke la thusa. Maemong ana, ngaka e ka fana ka thuto ea ente 'me ea kenyelletsa Combilipen hammoho le Diclofenac ho regimen ea kalafo.

Khetho ena e u lumella hore u ka nako e le 'ngoe:

• ho fokotsa edema ea ho ruruha,
• nolofalletsa livithamini ho tšehetsa lisele tse amehang.

Kaha bobeli ba Diclofenac le Combilipen ba na le phello ea bo botle, mokhoa o kopaneng oa ts'ebeliso o fokotsa bohloko kapele. Ka letsatsi la bohlano la kalafo, e feta ka botlalo, e ntlafatsang haholo bophelo ba mokuli. Diclofenac le liente tsa Combibipen li laeloa feela haeba lefu le le maemong a hlobaetsang. Li etsoa ho tloha matsatsing a 5 ho isa libekeng tse peli (thupelo e latela botebo ba setšoantšo sa kliniki). Ebe ba fetohela ts'ebelisong ea matlapa.

U ka etsa ente joang?

Na hoa khoneha ho enta Diclofenac le Combilipen ka nako e le 'ngoe? Phekolo e joalo e a khonahala, empa hang-hang u ke ke ua nka lithethefatsi ka bobeli ka har'a siling e le ngoe. Sesebelisoa se seng le se seng se na le moralo oa sona oa ho amohela. Diclofenac e kenngoa hang ka letsatsi (tekanyetso e 'meli e fanoa feela tlasa tlhokomelo ea bongaka). Ho khothalletsoa ho kenella ka letsatsi, tsamaiso e matla le ho feta e ama mosebetsi oa pampiri ea mpa. Liente li nooa matsatsi a sa feteng matsatsi a mabeli, ebe mokuli o fetisetsoa mefuteng e meng ea kalafo.

Liente tsa Combibipen li etsoa habeli ka letsatsi, bakeng sa beke, li-2 ml tsa moriana li bokelloa ka sehokelong se le seng. Qetellong ea thupelo ea matsatsi a supileng, mokuli a ka tsoela pele ka liente, empa a tla fuoa makhetlo a 2-3 ka beke.

Joale ho ka kenella lithethefatsi tse hlalositsoeng sehloohong seo joang? Mohope o mong le o mong o khethoa ka thoko 'me o tsamaisoa ka methati ka nako le nako. Ha u hloka ho sebelisa analgesic e matla haholoanyane, ho sebelisoa analog ea Diclofenac - Ketorol ea lithethefatsi. E boetse e tsamaea hantle le Combilipen.

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Kombilipen - litaelo tsa tšebeliso

Setlhare ke sa manonyeletso a mangata a ts'ebetso ea methapo ea methapo, e sebelisetsoa ho phekola methapo ea methapo. Li-vithamine tsa Combilipen li etselitsoe:

• eketsa phallo ea mali,
• ntlafatsa metabolism
• felisa ho ruruha ha methapo ea kutlo,
• lokisa lithane tse senyehileng tsa likhoele tsa methapo,
• fokotsa bohloko bo bakiloeng ke tšenyo ea tsamaiso ea methapo ea kutlo,
• normalization of methapo ea kutlo,
• ho matlafatsa ho itšireletsa ha mmele, ho eketsa ho itšireletsa ha mmele ho itšireletsa linthong tse seng ntle: khatello ea maikutlo, ho tsuba, tšebeliso ea joala.

Kameho e rarahaneng ea liente e fanoa ke lintho tse sebetsang tseo e leng karolo ea Combilipen ka li-ampoules: benfothiamine (mofuta o sa qhibilihang oa vithamine B1) - 100 mg, pyridoxine hydrochloride (vithamine B6) - 100 mg, cyanocobalamin (vithamini B12) - 1000 μg, lidocaine hydrochloride - 20 mg. Tharollo ea ente e na le li-excipients:

• sodium ketolyphosphate,
• sodium hydroxide
• potasium hexacyanoferrate,
• benzyl joala
• metsi bakeng sa ente.

Fomu ea tokollo

Combilipen ea lithethefatsi e fumaneha ka mokhoa oa litafole le tharollo ea ente ka ampoules.Sebopeho sa litafole se fapane hanyane le liente. Li-tab tsa Kombilipen tse tsoang linthong tse sebetsang ha li na lidocaine, 'me ho tsoa linthong tse ling karolo ea matlapa e kenyelletsa:

Lijana ke mokelikeli o mmala o pinki o nang le monko o tobileng. Kombilipen in ampoules e na le li-millilitere tse peli tsa ente. Liente li kenngoa ka har'a mekotla ea sele ea likarolo tse 5 kapa tse 10. Sekoahelo se beoa ka lebokoseng le kantle haeba ho se na licheke kapa lintlha tsa ho phunya ka har'a ampoules. Setlhare se fanoa ka setsing sa litlama ka taelo ea ngaka. Hoa hlokahala ho boloka li-ampoules ka mocheso oa likhato tse 8 ka ntle ho khanya ea letsatsi. Bophelo ba sefuba sa lithethefatsi ke lilemo tse 2.

Pharmacodynamics le pharmacokinetics

Ketso ea lithethefatsi e fanoa ke motsoako o sebetsang oa livithamini tsa B, tse khetholloang ka phello e ntle tsamaisong ea methapo ea motho, bokhoni ba ho nchafatsa le ts'ebetsong ea ho ruruha le ho senyeha methapong ea methapo le tsamaiso ea methapo. Ntho e ka sehloohong e sebetsang ke thiamine (vithamini B1), livithamini B6 le B12 li matlafatsa phello ea eona mme li bapala karolo ea bohlokoa lits'ebetsong tsa metabolic. Phello ea pharmacological ea Combibipen e fihlella ka lebaka la thepa e latelang ea lintho tse sebetsang:

1. Vithamine B1. Pele e ne e bitsoa Anevrin, hobane ho sibolloa ha eona ho amana le lefu la methapo ea methapo - nka. Lefu lena le tšoauoa ke mokhathala, ho fokotseha bokhoni ba kelello, bohloko ka sebaka sa methapo ea methapo, le ho holofala. Ntho ena e khona ho khutlisa ts'ebetso ea lisele tsa methapo ho lefu le boletsoeng esale pele, ka ho longoa ke bokong le kholo ea kholofalo. Karolo ea bona ke ho fana ka glucose ho lisele tse tloaelehileng tsa methapo. Ka khaello ea glucose, ba haelloa, e leng se lebisang ho ts'ebetso e sa sebetseng - boits'oaro ba tšusumetso. Thiamine e fana ka mokokotlo oa mesifa ea pelo.
2. Vithamine B6. Hoa hlokahala bakeng sa metabolism e nepahetseng, hematopoiesis e tloaelehileng, ka thuso ea lintho tse pepisang le lits'ebetso tsa thibelo li etsahala, phetiso ea litšusumetso libakeng tsa ho kopana le methapo ea methapo. E fana ka tlhahiso ea lihormone norepinephrine le adrenaline, ho tsamaisoa ha sphingosine - ntho eo e leng karolo ea membrane ea methapo. Ka thuso ea vithamine, ho etsoa ha serotonin, e ikarabellang bakeng sa boroko, takatso ea lijo le maikutlo a motho.
3. Vithamine B12. E kena 'meleng ka lijo tsa tlhaho ea liphoofolo. E nka karolo ho biosynthesis ea acetylcholine, e ikarabellang bakeng sa ho tsamaisa litšusumetso tsa methapo. Ho hlokahala hematopoiesis e tloaelehileng, ka thuso ea ntho ea lisele tse khubelu tsa mali tse hanyetsanang le hemolysis li thehoa. E ikarabella bakeng sa motsoako oa myelin - karolo ea methapo ea kutlo. E bohlokoa bakeng sa metabolism ea folic acid. E nka karolo mofuteng oa li-amino acid - thepa ea moaho bakeng sa lisele tsa epithelial, e laola tlhahiso ea lihormone ke liphatsa tsa lefutso. E eketsa bokhoni ba ho ntlafatsa litho tsa 'mele, e liehisa botsofali ba' mele. E khona ho theha phello ea li-analgesic le ho eketsa phello ea li-anesthetics, ho etsa hore khatello ea mali e be le maemo.
4. Lidocaine. E lula maemong a mahareng lipakeng tsa lintho tse sebetsang le tse thusang. Ha e sebetse ho livithamini, ke mokhoa o thethefatsang maikutlo. Ka lebaka la ntho ena, ente e fetoha e se nang bohloko. Ntle le moo, motsoako ona o sebetsa ka ho eketseha ha methapo ea mali mme o thusa 'mele ho monya livithamini.

Ente tsa Kombilipen - se laetsoeng

Bokhoni ba ho itukisetsa li-vithamine ho ama ka nepo ts'ebetso ea methapo, ho khutlisa lisele tsa methapo le ts'ebetso ea tsona, ho fokotsa bohloko nakong ea ts'ebetso ea ho ruruha le ho senyeha ha methapo ea methapo le tsamaiso ea masculoskeletal e sebelisetsoa ho phekola:

• mafu a tsamaiso ea masculoskeletal,
• bohloko ba sefahleho
• neuralgia e harellang le ea boraro
• polyneuropathies ea joala, lefu la tsoekere,
• lumbar ischialgia,
• syndrome ea bohloko, e bakoang ke liphetoho tse mpefatsang methapo ea mokokotlo, cervicobrachial le lumbar spine (osteochondrosis).

Joalo ka boitokisetso ba multivitamin, liente tsa Kombilipen li na le phello e matlafatsang ka kakaretso. Liphetho tse ntle li bonoa ha ho fanoa ka ente ho bakuli nakong ea ts'ebetso ea ts'ebetso. Moriana o fumane litlhahlobo tse ntle ho tsoa ho bakuli ba phekotsoeng. Kamora ho phethela kalafo, bakuli ba hlokometse ntlafatso maemong a letlalo, ho phahama ha matla le ho fokotseha ha mokhathala.

Diclofenac le Combilipen: mokhoa oa ts'ebeliso

• anti-inflammatory (thibela kholo ea ho ruruha boemong ba lisele tsa lehae),
• antipyretic (imolla feberu, e amang setsi sa thermoregulation bokong)
• painkiller (felisa bohloko, bo ama methapo le methapo ea kholo ea kholo ea eona).

Ka lebaka la ho ba teng ha litlamorao tsena, lithethefatsi tse seng khahlanong le 'mele oa ho thibela mafu li boetse li bitsoa lithethefatsi tse seng tsa narcotic (li-painkillers) le li-antipyretic.

Tlhahiso ea litlhare Combilipen, Midokalm le Movalis (Arthrosan, Meloxicam, Amelotex)

• e fokotsa molumo o eketsehileng oa tishu ea mesifa,
• e kokobetsa bohloko
• e eketsa mesifa ea mesifa e potileng sebaka se senyehileng sa lesapo la mokokotlo,
• ntlafatsa phallo ea mali a phallo.

Movalis (lebitso la machaba meloxicam) ke setlhare se seng sa antiidalidal se nang le litlamorao 'me ka lebaka lena seoelo se bakang mathata a hlahala a sehlopha sena sa litokisetso tsa bongaka tse tsoang ka mpeng ea gastrointestinal.

Hobaneng ha Combilipen le Alflutop ba hlophisitsoe?

• e thibela ho senngoa ha lisele tsa masapo le a lefufuru maemong a hanyane ka hanyane,
• e susumetsa ts'ebetso ea ho nchafatsa,
• e na le lintho tse hlokahalang bakeng sa ho nchafatsa lisele tse senyehileng.

Motsoako oa Combilipen le Alflutop o sebetsa ka ho khetheha bakeng sa osteochondrosis. Alflutop e emisa lits'ebetso tse mpefatsang mokokotlong, 'me Combilipen e khutlisa lisele tse senyehileng tsa methapo.

Ente Combilipen le nicotinic acid: litaelo tsa hore li sebelisoe

• methapo ea kutlo ea sefahleho
• tšenyo ea lisele tsa methapo ho osteochondrosis,
• likotsi tse mpe le tse sa foleng tsa ho nyekeloa ke pelo
• lefu la methapo ea methapo ea methapo e ka hare le e poteletseng e amanang le tahi e ka hare le kantle (lefu la tsoekere, joala, joalo-joalo).

Ka kopanyo ena, nicotinic acid e etsa mosebetsi oa ho tlosa detoxification, e sireletsa lithapo tsa methapo matsatsing a mefuta-futa - e tla ka molapo oa mali, e thehiloe mohopolong oa ho ruruha kapa liseleng tse senyehileng ka ho fetisisa tsa mokokotlo, mme Combilipen e fepa lisele tsa methapo, e kenya letsoho pholisong ea bona e potlakileng.

U ka etsa ente ea nicotinic acid le combilipene, na li ka etsoa ka nako e le 'ngoe? Ngaka e laetse liente tse 10 ho e 'ngoe le e' ngoe ka mor'a lijo, empa ha ea ka ea hlalosa hore na e ka etsoa joang - khefutsa hammoho ka nako e le ngoe kapa ka linako tse fapaneng (mohlala, hoseng le mantsiboea), kapa qala ka ho etsa e 'ngoe kamora moo. Kea tseba hore li ke ke tsa tsoakoa ka syringe e le 'ngoe. O thahasella hore na ho ka etsahala hore a etse liente tse peli ho tsoa lisirting tse fapaneng ka nako e le ngoe, haeba ho ka etsahala hore na e tla nepahala ho feta joang - ho kenya liente ka bobeli halofo e le 'ngoe, e ngoe ho e ngoe?

Lithethefatsi tsa Combilipen le Nicotinic acid li sebetsa hantle bakeng sa mafu a fapaneng a tsamaiso ea methapo ea methapo: dorsopathies, radiculopathies, osteochondrosis, neuralgia e fapaneng le neuropathies.

Ho "Combibipene" ho na le motsoako oa livithamini tsa B (B1, B6, B12) le lidocaine, Nicotinic acid kapa vithamini "PP". Motsoako o motle oa lithethefatsi tsena ho latela morero:

Letsatsi le leng le le leng la x 1 ka letsatsi ho kenella lithethefatsi tsena ka lisyndareng tse fapaneng, o ka khona ho etsa ntho e le 'ngoe e haufi le ona, o ka sebelisa li-buttocks tse fapaneng,' me ka tsela e fapaneng. U ke ke ua siea nale ka har'a mesifa e boreleli haeba u entše sethethefatsi se le seng, 'me syringe e nang le sethethefatsi se seng ka nale e tšoanang.

Hopola hore ka ente ea nicotinic acid ho ka ba le bofubelu ba sefahleho, matsoho, molala oa letlalo, ho hlohlona ha letlalo.Hangata litla-morao tsena, ka lebaka la phello e potlakileng ea vasodilator, kapele li fela ka mor'a metsotso e seng mekae. Sena ha se karabelo ea mefuta eohle!

Letsatsi le leng le le leng, ke. alternating drug ha e na kelello, hobane li tsoa lihlopheng tse fapaneng. Ho joalo, kalafo ea "smear" ea matsatsi a 20 ha e na thuso.

Mokhoa oa ho enta nicotinic acid le combilipene?

Lingaka, li theha mofuta oa kalafo, li khetha lithethefatsi ho ntlafatsa phello ea kalafo, eo mekhoa ea eona e ntlafatsang ketso ea e mong. Phello e ntle ka ho fetisisa kalafong ea li-syndromes tsa bohloko tse hlahisoang ke mafu a tlhaho ea neuralgic e bonts'a ho lumellana ha Combilipen le Diclofenac. Motsoako ona o u lumella ho fumana litholoana tse lakatsehang kapele 'me li u fe phello e telele ea kalafo.

Tlhahlobo mabapi le lithethefatsi Combilipen: litla-morao le likotsi

Kombilipen ke litokisetso tsa livithamini. E na le livithamini tsa sehlopha B (B1, B6, B12) le lidocaine hydrochloride. Combilipen e sebelisoa ka katleho bakeng sa kalafo ea maloetse a methapo (neuritis, neuralgia), hammoho le maloetse a fapaneng a mpefatsang a lesapo la mokokotlo - joalo ka lumbar, sefubeng, osteochondrosis, joalo-joalo hangata e kenyelletsoa kalafong e rarahaneng, empa ka linako tse ling e sebelisoa e le monotherapy.

Li-ente tsa Kombilipen intramuscularly - litaelo tsa tšebeliso

Ak'u mpolelle, liente li ne li laetsoe: 1. Diclofenac 3.0 i / m, No. 5 2. Niacin 2.0 i / m, No. 10 3. Combillipen 2.0 i / m, No. 10 Mokhoa oa ho kenya liente, o ka kopanya ho e le 'ngoe syringe kapa che? Ho entela hang-hang tse tharo kapa e le ngoe motšehare? Hlalosa hore na ke mang ea laetseng lithethefatsi tse? Ho roka ho lokela ho ba ka lisyndareng tse fapaneng. Diclofenac ea matsatsi a mahlano ho ampoule e le 'ngoe ea methapo, le nicotine to-tu le combilipen ho kenella matsatsi a leshome. O ka kenya ente tse tharo ka nako.

Litaelo tsa ente ea Nikotine bakeng sa ts'ebeliso: likarolo ...

Ho kenngoa liente tsa nicotinic acid (nicotine) bakeng la maloetse a fapaneng. Taba ke hore e ama mmele ka tsela tse fapaneng le mafu a itseng. Setlhare sena ke sa sehlopha sa livithamini. e tloaetse ho potoloha ha mali libakeng tse itseng le 'meleng kaofela.

Motsoako oa nicotinic acid o sebetsana joang le livithamini tse ling

'Mele oa motho o bua ka mokhoa oa tšebeliso, ke khoebo e kholo ea lik'hemikhale, lebenkeleng moo lits'ebetso tse fapaneng li etsahalang ka nako e le ngoe. Mosebetsing ona o tsoelang pele, ho na le likarolo tse ngata tse ikhethang - lik'habohaedreite, mafura, liprotheine, livithamini, liminerale. E le hore 'mele ea rona e khone ho amohela habonolo le ho e sebelisa kaofela, o hloka ho tseba hore na ke lintho life tse kopantsoeng le tse ling tse sa amaneng. Ho sebelisana ha nicotinic acid le livithamini tse ling ho ama ka kotloloho mohato oa ho monya. Ka tsela, haeba livithamini li kopane hantle, matla a bona a ntlafatsoa ka mokhoa o hlakileng. Asiti ea Nicotinic e lumellana hantle le livithamini B2, B6 le N. Ho ba teng ha koporo le vithamine B6 ho ntlafatsa ho nkeloa ha eona ke 'mele.

Ho hlahisa potso ea hore na nicotinic acid e kopantsoe le livithamini tse ling, ho lokela ho hlokomeloa hore ntho ena e hlakola ketso ea thiamine ka botlalo. Vitamin B3 e senya feela vithamine B1. Vithamine B12 e boetse e bonts'a ho tsamaisana hantle le nicotinic acid. Tlas'a ketso ea eona, cyanocobalamin e lahleheloa ke ts'ebetso. Ho utloisisa hore na nicotinic acid e sebelisana joang le livithamini tse ling, o ka eketsa ts'ebetso ea lithethefatsi mme o qoba liphoso tse amanang le ho kopanya lintho tse sa sebetseng.

Sehlooho se seng seo re lokelang ho se ela hloko ke hore na vithamine B3 e ka jeoa ka lithethefatsi tse thata tse sirelelitsoeng. Ka ho khetheha, ba bangata ba thahasella bothata ba khokahano ea Combilipene le nicotinic acid. Khafetsa, lingaka li beha meriana ena kalafong ea maloetse a fapaneng a methapo. Ka tandem e joalo, vithamine PP e nka ts'ebetso ea detoxification, 'me Combilipen e ikarabella bakeng sa phepo e nepahetseng ea lisele tsa methapo, tse potlakisang ho hlaphoheloa ha tsona.

Ke lithethefatsi life tse ling tse tsamaellanang le acid ea nicotinic.

Pele a fana ka vithamine PP ho mokuli, ngaka e lokela ho hlakisa hore na e sebelisa meriana efe.

• Ka tšebelisano ea nicotinic acid e nang le neomycin, sulfonamides, barbiturate, lithethefatsi tse khahlano le lefu la TB, ho eketsoa hoa phello e chefo.
• Se ke oa nka vithamine ea B3 ka nako e ts'oanang le li-aspirin, li-anticoagulants, lithethefatsi tse felisang kalafo, e le hore li se ke tsa eketsa kotsi ea litlamorao.
• Asiti ea Nicotinic ha e sebetse hantle le lithethefatsi tsa antidiabetes, kaha e fokotsa phello ea tsona ea kalafo.
• Haeba u nka vithamine B3 ka lithethefatsi tse fokotsang lipid, menyetla ea ho lematsa bophelo ba sebete e ea eketseha.
• Ntle le moo, o hloka ho ba hlokolosi ha o kopantsoe le pelo glycosides, fibrinolytics, antispasmodics, hobane phello ea lithethefatsi tsena e tla ntlafatsoa.

Na nicotinic acid e tsamaisana le joala?

Ha re se re hlakisitse mokhoa oa ho kopanya livithamini le nicotinic acid, re tla ama sehlooho sa eona se amanang le joala. Ho latela litaelo, ho ke ke ha khoneha ho nka vithamine B3 ka nako e le ngoe le joala kapa lithethefatsi tse nang le ethanol. Ho kopanya ha tsona ho ka lebisa ho fokotseha ho kengoeng ha li-sequine tsa bile tsa acid, hammoho le keketseho ea phello e chefo ho sebete. Ka nako e ts'oanang, nicotinic acid ka boeona e na le tšusumetso e matla ea tahi. E khothaletsa ho tlosoa hoa ts'ebetso ea lintho tse chefo 'meleng, ho tlama li-radicals tsa mahala. Ke ka lebaka leo vithamine B3 e sebelisoang ho imolla khatello e matla ea hangover 'me e sebelisoa e le karolo ea kalafo bakeng sa joala le tahi ea lithethefatsi. Contraindication Ka melemo eohle ea nicotinic acid, ho na le maemo ha ts'ebeliso ea eona e hanyetsanoe ka thata.

• Ho se mamellane, ho hlaseloa ke lintho tse itseng ho ntho,
• Ho eketseha ha mafu a ka mpeng le duodenum, ho kenyeletsa le peptic ulcer,
• Tlolo ea sebete,
• Atherossteosis (ts'ebeliso e kenelletseng ea methapo),
• Gout
• Mefuta e matla ea khatello ea mali,
• Ho eketsa uric acid maling.

Litsebi li eletsa tlhokomeliso ha u sebelisa vithamine B3 ho batho ba nang le mafu a latelang:

• Lefu la tsoekere
• Gastritis e nang le acidity e ngata,
• Hemorrhage,
• Hepatitis
• Glaucoma

Tlas'a taolo e ikhethang ea lingaka - basali nakong ea kemero le ho nyeka. Hoa tsebahala hore nicotinic acid e etselitsoe bo-mme ba ka moso maemong a ho ima hangata, ka li-pathologies tse senotsoeng tsa sebete le lefu la biliary, ka ts'ebeliso ea lithethefatsi, ka ho kheloha ts'ebetsong ea placenta. Niacin e khona ho ntlafatsa phallo ea mali le ho fokotsa ponahalo ea mali, e thibelang ho thehoa ha methapo ea mali le ho fokotsa kotsi ea ho koaloa ha lijana tsa placenta. Re ka re sesebelisoa se sebetsa e le thibelo ea bokhachane pele ho nako le mathata a ka bang teng. Nakong ea kanyeso, vithamini A e kanna ea khethoa ho matlafatsa lactation.

Lumela. Ha u ntse u sebelisa meriana, tataisoa ke litaelo tsa bona tsa bongaka le li-contraindication bakeng sa ts'ebeliso ea bona. Litaelong tsa meriana ena ha ho na thibelo tšebeliso ea bona ka nako e tšoanang. Omnic e ka etsahala nakong ea ts'ebeliso ea lithethefatsi tsena. Ha e le molao, nakong ea ketelo ea ngaka e felletseng, meriana eohle e nkuoeng e boleloa ke mokuli mme ngaka e etsa hore nako ea hae e nahane ka sena. Kamehla ho na le ts'oaetso ea lithethefatsi tse nngoeng mme ho ka se khonehe ho bolela esale pele hore na 'mele oa hau o tla arabela joang litlhare tse itseng, ke tsela ea litla-morao. Ka ts'ebetso, nicotinic acid ha e mamelloe ke bakuli bohle.

1. Niacin: Likhatello
Liente tsa entravenous li hanyetsanoa ka mefuta e matla ea khatello ea mali (keketseho e tsoelang pele ea khatello ea mali) le atherosclerosis.
Batho ba nang le hypersensitivity ho nicotinic acid ba lokela ho fuoa nicotinamide, ntle le haeba nicotinic acid e sebelisoa e le vasodilator.
Re lokela ho hopola hore tšebeliso ea nako e telele ea litekanyetso tse kholo tsa nicotinic acid e ka lebisa nts'etsong ea sebete. Ho thibela bothata bona, ho kgothaletswa ho kenyelletsa lijo tse nang le methionine - ea bohlokoa / e sa kopanyeng amino acid / lijong, kapa ho fana ka methionine le li-lipotropic tse ling (ka mokhoa o ikhethileng o sebelisang mafura).

2. Milgamma: contraindication: Tharollo ea ente

Hypersensitivity ho likarolo tsa lithethefatsi, tlolo ea molao e matla ea pelo le mokhoa o matla oa ho hloleha ha pelo. Vitamin B1 e hanyetsanoa le mefuta ea lintho tse sa tšoaneng tse etsahalang. Vitamin B6 e hanyetsanoa haeba ho na le lehlaba le mpeng ka mpeng (kaha ho ka etsahala ho eketsa acidity ea lero la gastric). Vitamin B12 e hanyetsitsoe hore e sebelisoe ho erythremia, erythrocytosis, thromboembolism.

Lidocaine. Hypersensitivity to lidocaine kapa anesthetics ea lehae ea litheko, nalane ea ho ts'oaroa ha sethoathoa ha o nka lidocaine, bradycardia e matla, hypotension e matla ea methapo, ho thothomela ha pelo, mefuta e matla ea ho fokola ha pelo (II - III degree), sinus node bofokoli , Adams-Stokes syndrome, AV blockade ea litsi tsa II le III, hypovolemia, hepatic / renal imensionment, porphyria, myasthenia gravis.

Ketso ea thiamine ha e hlahisoe ke fluorouracil, kaha ea bobeli e le tlholisano a thibela thiamine phosphorylation ho thiamine pyrophosphate. Liopture tsa loop, joalo ka furosemide, inhibiting reaborption ea tubular, ka kalafo ea nako e telele li ka baka keketseho ea thiamine excretion, ka ho etsa joalo e theola boemo ba eona.

Tšebeliso e kopanetsoeng levodopa e hanyetsitsoe, hobane vithamine B6 e ka fokotsa botebo ba phello ea antiparkinsonia ea levodopa. Tšebeliso e kopanetsoeng le li-antagonists tsa pyridoxine (mohlala, isoniazid, hydralazine, penicillamine kapa cycloserine), lithibela-pelehi tsa molomo li ka eketsa tlhokahalo ea vithamine B6.

Ho nwa lino tse nang le sulfite (joalo ka veine) ho eketsa ho senyeha ha thiamine.

Lidocaine e ntlafatsa phello ea inhibitory setsing sa phefumoloho ea anesthetics (hexobarbital, thiopental sodium iv), lipilisi tsa ho robala le metsoako, e fokolisa phello ea cardiotonic ea digitoxin. Ka tšebeliso e tšoanang ka li-hypnotics le sedatives, ho ka khoneha ho eketsa phello ea inhibitory tsamaisong ea methapo e bohareng. Ethanol e ntlafatsa phello ea inhibitory ea lidocaine ho phefumoloha.

Adrenoreceptor blockers (ho kenyelletsa le propranolol, nadolol) e liehisa metabolism ea lidocaine sebeteng, e ntlafatsa litlamorao tsa lidocaine (ho kenyeletsa le chefo) mme e eketsa kotsi ea ho ba le bradycardia le hypotension.

Lithethefatsi tse kang Curare - hoa khoneha ho tebisa ho phomola ha mesifa (ho holofatsa mesifa ea ho hema).

Norepinephrine, mexiletine - eketseha ka chefo ea lidocaine (tumello ea lidocaine ea fokotseha).

Isadrine le glucagon - tumello e eketsehileng ea lidocaine.

Cimetidine, midazolam - e eketsa bongata ba lidocaine ho plasma ea mali. Cimetidine e leleka meeli hore e se ke ea tlama liprotheine ebile e liehisa ho kenella ha lidocaine ho sebete, e lebisang kotsing e eketsehileng ea litlamorao tse eketsehileng tsa lidocaine. Midazolam ka tekano e eketsa tsitsipano ea lidocaine maling.

Li-anticonvulsants, barbiturates (ho kenyelletsa phenobarbital) - hoa khoneha ho potlakisa metabolism ea lidocaine ho sebete, ho fokotseha ha khatello ea mali.

Lithethefatsi tsa antiarrhythmic (amiodarone, verapamil, quinidine, aymalin, disopyramide), li-anticonvulsants (tse hlahisoang ke hydantoin) - ts'ebeliso ea methapo ea pelo e matlafalitsoe, ts'ebeliso e tšoanang le amiodarone e ka lebisa nts'etsopele ea ho ts'oaroa.

Novocaine, Novocainamide - ha e kopantsoe le lidocaine, li-excuse tsa CNS le ho hlaha hoa hallucinations ho ka etsahala.

Li-inhibitors tsa MAO, chlorpromazine, buvicain, amitriptyline, nortriptyline, imipramine - ha li kopantsoe le lidocaine, menyetla ea ho ba le hypotension e eketseha le litlamorao tsa lehae tsa ts'ebeliso ea lidocaine li tsoelepele.

Narcotic analgesics (morphine, jj) - ha e kopantsoe le lidocaine, phello ea li-analgesic tsa narcotic analgesics ea eketseha, 'me khatello ea maikutlo ea ho hema ea eketseha.

Prenylamine - e eketsa kotsi ea ho ba le li-ventricular arrhythmias tse kang pirouette.

Prongezaenone - keketseho ea nako le ho teba ha litlamorao ho tsoa ho tsamaiso ea methapo ea kutlo ho ka khoneha.

Rifampicin - ho fokotseha ho hoholo ha kopanyo ea lidocaine maling ho ka khoneha.

Polymyxin B - Ts'ebetso ea boipelaetso e lokela ho beoa leihlo.

Procainamide - hallucinations li ka etsahala.

Cardlyc glycosides - ha e kopantsoe le lidocaine, phello ea pelo ea methapo ea pelo e fokola.

Digitalis glycosides - khahlano le semelo sa botaoa, lidocaine e ka eketsa botebo ba AV block.

Vasoconstrictors (epinephrine, methoxamine, phenylephrine) - ha e kopantsoe le lidocaine, ba theola ho kenngoa ha lidocaine le ho lelefatsa phello ea eona.

Guanadrel, guanethidine, mecamylamine, trimethafan - le ts'ebeliso e kopaneng ea anesthesia ea lesapo la mokokotlo le lefu la mokokotlo, menyetla ea ho ba le khatello ea mali e matla le bradycardia e eketseha.

Β-adrenergic receptor blockers - ha e kopantsoe, ba theola metabolism ea lidocaine ka har'a sebete, litlamorao tsa lidocaine (ho kenyeletsa le tse chefo) li matlafatsoa, ​​mme kotsi ea ho ba le bradycardia le arterial hypotension e eketseha. Ka tšebeliso e tšoanang ea "β-adrenergic receptor blockers le lidocaine, ho hlokahala ho fokotsa tekanyetso ea monyaolo.

Acetazolamide, thiazide le loop diuretics - ha e kopantsoe le lidocaine, matla a morao a fokotseha ka lebaka la nts'etsopele ea hypokalemia.

Li-anticoagulants (ho kenyelletsa ardeparin, dalteparin, danaparoid, enoxaparin, heparin, warfarin, jj) - ha li kopantsoe le lidocaine, menyetla ea ho tsoa mali e eketseha.

Li-anticonvulsants, barbiturates (phenytoin) - ha li kopantsoe le lidocaine, ho potlakisa metabolism ea lidocaine ho sebete, ho fokotseha ha khatello ea mali, le keketseho ea phello ea khatello ea pelo e ka etsahala.

Lithethefatsi tse bakang blockade ea phetisetso ea neuromuscular - ha li kopantsoe le lidocaine, phello ea lithethefatsi tseo boemo ba li-transmit tsa phepelo ea methapo e ea matlafatsoa, ​​hobane tse ling li fokotsa ts'ebetso ea litšusumetso tsa methapo.

Ho se lumellane. Pyridoxine ha e lumellane le lithethefatsi tse nang le leododopa, hobane tšebeliso ea nako e tšoanang, "decipboxylation ea morao-rao" e matlafalitsoe, ka hona, botebo ba phello ea eona ea antiparkinsonia e fokotsehile.

Thiamine ha e lumellane le li-oxidizing le ho fokotsa likhomphutha: zebaki ea chloride, iodide, carbonate, acetate, tannic acid, ammonium iron citrate, hammoho le sodium phenobarbital, riboflavin, benzylpenicillin, glucose le metabisulfite, kaha e sa khoneha. Copper e potlakisa ho bola ha thiamine, ho feta moo, thiamine e lahleheloa ke ts'ebetso ea eona ka pH e ntseng e eketseha> 3. Vitamin B12 ha e lumellane le letsoai la tšepe e boima.

Ho bonolo ho e fumana likhoebong

E ipapisitse le maikutlo a 3

Milgamm e sebelisetsoa ho phekola ho ruruha ha lisele tsa methapo, ho thibela liphetoho le ho ntlafatsa ts'ebetso ea methapo. E na le mefuta e 'maloa ea vithamini ea B. Hangata e laeloa mafu a methapo le methapo. . Li-vithamine tsa Milgamma li ntlafatsa phallo ea mali, li ama methapo e ntle, hape li na le thepa e ka etsang hore motho a hlonephisoe.

Mabapi le sethethefatsi

Joalokaha sengoloa se bolela, Milgamma ke ea sehlopha sa livithamini (mme eseng lithibela-mafu, joalo ka ha ba bang ba bolela). Lithako tse ka sehloohong tse sebetsang ke thiamine (B1), pyridoxine (B6), cyanocobalamin ().

Kamora ho kenella mesifa, thiamine e fetisoa ka potlako le ka mokhoa o sa lekanang 'meleng oohle. Ha e hlahisoe ke 'mele, ka hona, e tlameha ho fanoa ka ntle letsatsi le letsatsi ka bongata bo lekaneng. Ka bofokoli ba eona, hypovitaminosis e hlaha. E hloekisoa ke liphio. E kenella ka har'a sethopo sa placental.

Botsa ngaka ea hau ea methapo ea hau potso ea hau mahala

Irina Martynova. Ke fumane lengolo le tsoang Univesithing ea Bongaka ea Bongaka ea Voronezh. N.N. Burdenko. Tleliniki ea bongaka le setsebi sa methapo BUZ VO "Moscow Polyclinic ".

Pyridoxine e na le thepa e ts'oanang le thiamine, empa e fetisoa ka mokhoa o lekanang le 'mele kaofela, kamora nako e itseng e hlahisoa ke lipeo ka karolelano ea lihora tse 3. E feta ka sehikeng sa placental, e pepesitsoeng lebeseng la matsoele.

Cyanocobalamin e kena ka har'a sebete le moko oa masapo, ea bokellana. E kanna ea nchafatsoa ke mala ka lebaka la bile.

Sebopeho sa moriana

• lidocaine hydrochloride,
• cyanocobalamin,
• pyridoxine hydrochloride,
• thiamine hydrochloride,
• potasium hexacyanoferrate,
• sodium polyphosphate,
• benzyl joala
• sodium hydroxide
• metsi bakeng sa ente.

Matlapa a na le:

• pyridoxine hydrochloride,
• benfotiamine,
• sodium hammart
• talcum phofo
• glycerides
• silicon diokselia e haellang colloidal,
• phospholle cellulose,
• povidone K30.

Matšoao a ho sebelisoa

Milgamma e laetsoe ho kokobetsa matšoao le ho phekola maloetse a methapo ea mokokotlo le mokokotlo, ho kenyelletsa:

• Plexopathy. Ho senyeha ha likarolo tsa mokokotlo, mokokotlo, kapa lumbosacral tsamaisong ea methapo ka lebaka la hlahala, kalafo ea radiation, khatello ea maikutlo kapa khatello ea maikutlo. Lebitso le leng hape ke plexitis.
• Retrobulbar neuritis. Tšoaetso ea methapo ea kutlo.
• Polyneuropathy. Liso tse ngata tsa methapo ea kutlo e atisang ho sebetsa, hangata e tsamaisana le ho sithabela ha maikutlo le ho holofala ha litho.
• Neuropathy. Lesapo le sa koaheleng la mokokotlo kapa sehlopha sa methapo.
• Neuritis. Boloetse ba methapo ea kutlo bo kenang ka tlhaho. E tsamaisana le ho holofala, paresis le ho fokotseha hoa kutlo.
• Li-Ganglionites. Liso tse fapaneng tsa methapo ea methapo, li na le matšoao a fapaneng, ho latela hore na ke methapo efe ea methapo e amehileng.
• Neuralgia. Ho ruruha ha methapo eo ho eona eona matšoao feela a bohloko.
• Mesifa ea mesifa bosiu. Maqhubu a leoto a tšohanyetso a bonahala haholo bosiu. Ka bobona, ha ba kotsi, empa ba kena-kenana le boroko bo tloaelehileng 'me ba ka tšoaea boteng ba bokuli bo tebileng haholo.
• Paresis ea mokokotlo oa sefahleho. Ho honyela mafu a methapo ea sefahleho e potlakileng ka pele ho lebisa ho asymmetry ea bona.
• Lumbar ischialgia. Ho utloa bohloko mokokotlong o ka tlase, ho fihla ho leoto le leng kapa ka bobeli. Ka tloaelo, sesosa sa bohloko ke lesion ea methapo ea kutlo.
• Radiculopathy (sciatica). Ho senya metso ea mokokotlo ka lebaka la ho ruruha, ho lemala kapa ho pona.
• Li-syndromes tsa mesifa. Khohlano ea nako e telele le e bohloko ea mesifa, hangata e bakoa ke osteochondrosis.

Contraindication

Contraindication bakeng sa ts'ebeliso e tjena:

• Ho hloleha ha pelo, phokolo ea mali, ho nyekeloa ha mesifa ea pelo.
• Bana le bohlankana.
• Bokhachane le pelehi.
• Hypersensitivity ho livithamini tsa B, ho fihlela ho qeta ho hloka mamello.

Tekanyetso le ts'ebeliso

Litekanyetso li lokela ho beoa ke ngaka. Tlhahisoleseling e ka tlase e fumaneha feela.

Litaelo tsa tšebeliso ea lithethefatsi Milgamm nahana ka liente, matlapa le lipilisi.

Ente: ha u phekola le Milgamma, ho kenngoa liente ka sekhahla sa ampoule e le 'ngoe (2 mg) hang ka letsatsi. Nako ea kalafo e tsoa matsatsing a 5 ho isa ho a 10. Bakeng sa kalafo ea tlhokomelo, ho hlokahala hore ho kenngoe e le 'ngoe ka matsatsi a mabeli ka mor'a matsatsi a mang le a mang. Ho kokobetsa tlhaselo e bohloko ea bohloko, Milgamma e kenngoa hang. Lenaliti le tlameha ho kenngoa ka botebo mohloling, ebe le tobetsa butle ka poleiti ea syringe.

Matlapa: matlapa a sebelisetsoa kalafo ea tlhokomelo le ho kokobetsa bohloko bo boholo. Ka kalafo ea tlhokomelo, sebelisa pompo e le 1 ea 1 ka letsatsi. Ho kokobetsa bohloko - 1 letlapa makhetlo a 3 ka letsatsi.

Dragee: e sebelisetsoa kalafo ea ho lokisa, ho fihlela matlapa a 3 ka letsatsi.

Ka mofuta ofe kapa ofe oa phekolo, tsela ea kalafo ha ea lokela ho feta khoeli e le 'ngoe.

Kantle ho moo ho ka etsahala feela joalo ka ha u laetsoe ke ngaka ea hau.

Litla-morao le ho sebelisa overdose haholo

Litla-morao li kenyelletsa tachycardia, ho fufuleloa ho eketsehileng, hives, ho hlohlona, ​​makhopho, ho ruruha ho matla ha mokokotlo (mokokotlo oa anaphylactic, edema ea Quincke).

Haeba ho na le overdose matšoao a tsoang lenaneng la litla-morao a bonoa th.

Ha matšoao a bosholu bo hlaha, moriana o felisitsoe, kalafo ea matšoao e beoa tlasa taolo ea ngaka.

Ho sebelisana le meriana e meng

Thiamine e lahleheloa ke katleho kapa e timetsoa ke koporo, acidity e phahameng (pH ho feta 3), sulfites. Ha e lumellane le metsoako eohle e fokotsang kapa e nang le oxidizing: phenobarbital, dextrose, acetates, ammonium citrate, iodide, riboflavin, tannic acid, li-carbonates, disulfites, benzylpenicillin.

Cyanocobalamin E na le tšebelisano e ntle le nicotinamide, empa ha e lumellane le riboflavin, letsoai la tšepe tse boima le li-antioxidants.

Pyridoxine e sebelisana le penicillamine, isoniazid, cycloserine, e fokolisa phello ea levodopa.

Lidocaine e fumanehang ka har'a ampoules, e eketsa mojaro pelong, haeba e sebelisoa hammoho le epinephrine le norepinephrine. Litšebelisano le sulfonamides li hlokometsoe.

Ho matlafatsa ts'ebetso e ntle, meriana ea Midokalm, Movalis le Milgamm hangata e laetsoe. Le ha ho sebelisa lithethefatsi tsena ha hoa lokela ho tsoakooa ka syringe e le 'ngoe, ho khothalletsoa ho li profa ka mekotla e fapaneng.

Milgamma e tsamaellana le Alflutop - ho rarahana hona hangata ho laeloa ke setsebi sa bongaka ho fihlella phello e phahameng ea kalafo.

Milgamma le vithamine ea b3 (nicotinic acid) e lumellana haholo, mokhoa oa ts'ebeliso o lokela ho hlahlojoa le ngaka ea hau.

Milgamma e tsamaellana le Voltaren .

Milgamm ha ea lokela ho sebelisoa ka nako e le ngoe le Kompligamom , kaha lithethefatsi li na le sebopeho se tšoanang.

Ts'ebeliso ea bona e kopaneng e ka baka overdose.

Likarolo tsa ts'ebeliso

Haeba moriana o ne o ka sebelisoa ka phoso ka methapo, mokuli o lokela ho fetisetsoa ho ngaka ho ea sepetlele, ho ipapisitse le matšoao a ho kula.

Bongaka e ka se fuoe bana , basali baimana le ba anyang. Ha ho na data ea kotsi e tlalehiloeng ho batho ba baholo ba baholo.

Setlhare ha se ame ho mamela le ho tsepamisa mohopolo, ka tšebeliso ea sona o ka khanna koloi.

Milgamma ka linako tse ling e sebelisoa ho hatella matšoao a ho khaotsa ho phekola joala. Ntle le sena, tsamaiso e tšoanang ea lithethefatsi le joala ha e ratehe, hobane tsa morao-rao li ka etsa hore tšebeliso ea lithethefatsi e be e ntle.

Boloka Milgamma ka mocheso oa 2-8 ° C, ka lefifi 'me hole le bana .

Bophelo ba Shelf ke lilemo tse 3.

Matsatsi a phomolo a tsoang litlolong tsa meriana

Setlhare se fanoa ho litlhare tsa litlama ka lengolo la ngaka .

Litšoantšiso tse ka sehloohong tsa Milgamma ke le .

Sebopeho sa Neuromultivitis ka ampoules se tšoana hantle le sebopeho sa Milgamma, empa lidocaine ha e kenyelelitsoe ho eona. Ente ea Neuromultivitis e bohloko, empa e sireletsehile ho li-cores le bana.

Kombilipen ke motsoako o mong oa vithamine. Hoa tšoana le ka sebopeho sa Milgamma, empa se hlahisoa Russia. E theko e tlase, hobane li-ampoules tse 5 tsa Combilipen u tla tlameha ho lefa li-ruble tse 120-150, li-ampoules tse 10 li tla bitsa li-ruble tse ka bang 230. Haeba maemo a lichelete a sa lumelle ho senya chelete ho lithethefatsi tse tsoang kantle ho naha, joale Combilipen e lokela ho khethoa, kaha ena ke eona feela sebaka sa theko e tlaase sa Marussia bakeng sa Milgamma.

Ivan Sergeevich, neuropathologist : “Hangata ke sebelisa Milgammella kalafong ea ka ea bongaka. O iponahatsa hantle kalafong e rarahaneng ea methapo ea methapo, hobane e fa mmele livithamini tseo o li hlokang haholo. Ho joalo, sethethefatsi ha se hantle: motho a le mong ho bakuli ba mashome a mabeli o na le allergy, 'me ente ha se bohloko ka ho fetesisa. Empa melemo ea kalafo le ea thibelo e bohlokoa. ”

Anna Nikolaevna, rheumatologist : “Setlhare se nepahetse hobane se ka sebelisoa ka mekhoa e mengata - ho tloha matšoao a bang teng ha motho a e-ea ho mafu a bokong. Motsoako oa livithamini o tebile haholo, o bakoang ke livithamini tse shebahalang tse tloaelehileng tsa qala ho sebetsa ka tsela e fodisang. Ho na le maemo a itseng a amanang le lidocaine, empa o hloka ho lefella ente e ntle. ”

Sergey ea lilemo tse 42 o na le mamello : “Ke ile ka fumana hemiparesis e ka lehlakoreng le letona ka mor'a ho otloa ke stroke. Ka nako e telele ba ne ba batla moriana o loketseng, ho fihlela mosali oa hae a feta Milgamma. Ho buisana le ngaka, ho ile ha qala ho enta. Kamora beke, ke ile ka fola hanyane kapa hanyane. Ente e bohloko le ho feta, meriana ka boeona e nkha hampe. Empa hoa bohlokoa. Likhoeling tse 'maloa, re tla pheta thuto eo. ”

Alla, ea lilemo tse 31 : “'M'ae o ile a hlaseloa ke polyneuropathy. Ho opeloa ke bohloko hohle 'meleng, haholo maotong. Ngaka e ile ea beha sehlopha sa lithethefatsi, har'a tsona e ne e le Milgammia. Kamora matsatsi a 4, bohloko ha boa ka ba fela, empa ba kokobetsa. Lelapa lohle le ile la phomola. Ha ke tsebe hore na Milgamm o thusitse kapa lithethefatsi tse ling, empa ho hlile ha hobe hobe hobe ka ho e sebelisa. ”

Potso - karabo

Milgama le joala li sebelisana joang?

Litaelo tsa semmuso ha li bue ka joala, empa ho ts'oana ha tsona ho belaela haholo, haholo ha Milgamma e fuoa ente. Li-vithamine tse tlasa tšusumetso ea joala li ka senyeha kapa tsa ananeloa hampe le ho feta, 'me lidocaine hammoho le mojaro oa joala bo tsamaisa pelo le tsamaiso ea methapo ea kutlo, e lebisang litlamorao tse kotsi.

Milgamma e sebetsa hantle hakae ka li-osteochondrosis, ho kenyeletsa le cervical le lumbar?

Ponahatso e sa thabiseng ka ho fetesisa ea osteochondrosis ke bohloko bo boholo karolong e itseng ea lesapo la mokokotlo. Bakeng sa ho emisa letšoao lena, ngaka e beha lithethefatsi tse matla ka ente, 'me Milgamma ke e' ngoe ea tsona.

Setlhare se fanoa ka nako mang?

Diclofenac ke mokhoa o matla oa ho kokobetsa bohloko. Hammoho le Milgamma ba emisa litlhaselo tse matla. Hangata Diclofenac le Milgamm li sebelisoa hammoho le osteochondrosis.

Phapano ke efe pakeng tsa Milgamma le Mexicoidol?

- antioxidant. Ketso ea eona ha e na kotlo, e etselitsoe sehlopha se pharaletseng sa maloetse. Milgamma e sebetsa ka ho khetheha tsamaisong ea methapo.

Ho utloisa bohloko ho bohloko hakae?

Ente ea Milgamma e bobebe, empa e na le lidocaine, e fokotsang ho hloka thabo.

E ka rojoa hangata hakae?

Ntle le ha ngaka e laetsoe ka tsela e 'ngoe, ketsahalo ea Milgamm e ke ke ea kotuloa nako e fetang 1 ho likhoeli tse 3.

Ke k'hamphani efe le naha efe e hlahisang lithethefatsi tse?

Moetsi: Solufarm Farmatsoitshe Ertsoyagnisse GmbH. Naha: Jeremane.

Ke efe e betere - Milgamma kapa Compligam?

Li tšoana ka sebopeho, phapang lipakeng tsa tsona bakeng sa mokuli ea itseng e hloka ho fumaneha ho ngaka e eang.

Seo u lokelang ho se khetha - Neurobion kapa Milgammu?

Lithethefatsi tsena ke tsa sehlopha se le seng, empa ha ho na anesthetic ho Neurobion. Haeba o sa kuliswe ke lidocaine, ho molemo ho khetha Milgamm.

Setlhare se ama hernia ea methapo joang?

E fokotsa mats'oao a bohloko mme e khothaletsa ntlafatso ea lisele tsa methapo. Ho batla ho le thata ho phekola hernia ka botlalo, empa Milgamm e tla thusa ho bona matšoao le ho potlakisa ts'ebetso ea matšeliso.

Ho na le livithamini tse kae ho Milgamma?

B1 (thiamine), B6 ​​(pyridoxine), B12 (cyanocobalamin).

Mokhoa oa ho phekola makhopho ka mor'a ho sebelisa lithethefatsi?

Makhopo, joalo ka ho hlohlona, ​​ke litla-morao tse tla nyamela kamora hore thupelo e felile kapa ha sethethefatsi se felisitsoe.

Li-syringes life li molemo ka ho fetisisa bakeng sa ente?

Bakeng sa taolo e lokolohileng ea moriana, ho molemo ho sebelisa lisirakha tse nang le molumo oa 2-10 ml.

Ke hofe ho loketseng ho hlaba - hoseng kapa mantsiboea?

Kaha sethethefatsi sena ke mofuta oa vithamine e thata, ho molemo ho e printa hoseng, ha metabolism e sebetsa ka mafolofolo. Ho entoa ha livithamini hoseng hona ho ka thabisa mokuli.

Shebella video e mabapi le lithethefatsi

Milgamma ke mofuta oa livithamini o reretsoeng ho thibela le ho alafa mafu a amanang le tsamaiso ea methapo le methapo. E ka sebelisoa ho imolla bohloko.E teng ka har'a mofuta oa liente, matlapa le dragees.

Hangata lingaka li beha Milgamm hammoho le lithethefatsi tse ling bakeng sa kalafo e rarahaneng ea maloetse, kaha a na le ts'epo ea hore e sebetsa hantle.

0"> Odara ka: Moetso oa morao-rao oa Tlhahlobo e Ntle ka ho fetisisa e Ntle haholo

Ho bonolo ho e fumana likhoebong

Ho bonolo ho e fumana likhoebong

Cerinat
Lebitso la Latin: Cerinat
Lihlopheng tsa meriana:
Sebopeho le mofuta oa tokollo: Letlapa le le leng le na le "brewer's yeast autolysate 390 mg", ka libotlolong tsa 60 kapa 120 likhomphutha. Brewer's yeast autolysate e na le: vithamine B1 (thiamine), B5 (pantothenic acid), B6 ​​(pangamic acid), PP (nicotinic acid), H (biotin), D (calciferol), A (ka sebopeho sa beta-carotene), C ( ascorbic acid), E (alpha-tocopherol), lintho tse senoloang, liprotheine tse chefuang habonolo, li-amino acid tsa bohlokoa.

Tekanyetso le tsamaiso: Ka hare, ntle le ho hlafuna, o hlatsoa ka metsi a lekaneng, Letlapa le le leng. Makhetlo a 2 ka letsatsi le karohanyo ea lihora tse 12, ho fihlela katleho e kholo - matlapa a 3.

Milgamma
Lebitso la Latin: Milgamma
Lihlopheng tsa meriana: Meetso ea livithamini le Meetso e kang Vitamin
B02 Tinea versicolor. G50.0 Neuralgia ea methapo ea kutlo ea boraro. Mefuta ea lesapo la molala oa G51. G54.9 lesion e sa hlalosoang ea metso ea methapo le li-plexuse G58 Mononeuropathies tse ling. G62 Metsi a mang a polyneuropathies. G62.1 Alcoholic polyneuropathy. G63.2 Lefu la tsoekere la lefu la tsoekere H46 Optic neuritis. M79.1 myalgia M79.2 Neuralgia le neuritis, tse sa hlalosoang Bohloko ba R52, eseng libakeng tse ling tse khethiloeng
Sebopeho le mofuta oa tokollo:
ka har'a lithutsoana tse 15 tsa likhomphutha., lebokoseng la marang-rang a 2 kapa a 4.

ka lebokoseng la li-ampoules tse 5 tsa 2 ml.

Ketso ea pharmacological:Painkiller, e ntlafatsa phallo ea mali, e thusa ho nchafatsa lisele tsa methapo ea kutlo . Li-vithamine tsa Neurotropic tsa sehlopha sa B li na le phello e molemo ho mafu a methapo ea methapo le ea methapo ea methapo, litekong tse phahameng li na le phello ea li-analgesic, li kenya letsoho ho eketseheng ha phallo ea mali le ho etsa hore ts'ebetso ea ts'ebetso ea methapo le tsamaiso ea mali e sebetse hantle.

Matšoao: Mathata a tsamaiso ea methapo ea methapo e fapaneng: neuropathy (lefu la tsoekere, joala, joalo-joalo), neuritis le polyneuritis retrobulbar neuritis, peripheral paresis, ho kenyelletsa methapo ea sefahleho, neuralgia, ho kenyelletsa trigeminal nerve and vagostal nerve, pain (radicular, myalgia, herpes zoster).

Contraindication: Hypersensitivity (ho kenyelletsa le likarolo tsa motho ka mong), mefuta e matla le e matla ea ho hloleha ha pelo, nako ea ho nyekeloa (haholo masea a tlang pele ho nako) (tharollo ea d / in).

Ka tekanyetso ea letsatsi le letsatsi ea livithamini tsa B6 ho isa ho 25 mg, ha ho na li-contraindication bakeng sa tšebeliso nakong ea kemaro le lactation. Li-dragees le tharollo li na le 100 mg ea moriana, ka hona maemong ana ha li khothalletsoe.

Litlamorao: Ho ts'oaroa, tachycardia, makhopho, liphetoho tse ling tsa systemic (rd d / in. Ka kenyelletso e potlakileng haholo), litla-morao tsa mmele: lekhopho la letlalo, urticaria, ho hlohlona, ​​bronchospasm, edincke's edema, anaphylactic.

Tšebelisano: Thiamine e bola ka botlalo ka tharollo e nang le sulfites. Dr. li-vithamine ha li na tšebeliso ea lihlahisoa tsa tlolo ea Vitamin B1. Levodopa e tlosa phello ea litekanyetso tsa kalafo tsa vithamine B6.
Tšebelisano e ka bang teng ka cycloserine, D-penicillamine, adrenaline, norepinephrine, sulfonamides.
Ha e lumellane le lintho tsa redox, hammoho le phenobarbital, riboflavin, benzylpenicillin, tsoekere, metabisulfite, letsoai la tšepe tse boima. Copper e potlakisa ho phatloha ha thiamine, ho feta moo, thiamine e lahleheloa ke phello ea eona ho pH e fetang 3.

Tekanyetso le tsamaiso: Ka hare. Letlapeng le le leng ho fihlela makhetlo a 3 ka letsatsi le metsi a lekaneng, bakeng sa khoeli.
Maemong a tebileng le mahlaba a bohloko haholo, ente e le 'ngoe (2 ml) e tebileng ka oli e ea hlokahala ho eketsa sekhahla sa moriana maling. Kamora hore lefu lena le eketsehe le mefuta e fokolang ea lefu lena, ente e le 'ngoe makhetlo a mabeli ka beke ea hlokahala.Nakong e tlang, ho tsoela pele kalafo, nka Letlapa le le leng la 1 ka letsatsi.

Bullfight
Lebitso la Latin: Corrida +
Lihlopheng tsa meriana: Lisebelisoa tsa phepo e nepahetseng
Sehlopha sa Nosological (ICD-10): F17.2 Bokhoba ba Nikotine
Sebopeho le mofuta oa tokollo: Letlapa le le leng le boima ba 0,5 g le na le phofo ea li-rhizomes tsa swampus tsa makhopho, mint ea makhasi a makhasi le fiber ea lijo e thehiloeng ho MCC e hloekisitsoeng haholo, ka libotlolong tsa li-pcs tse 150. kapa ka har'a polokelo ea li-contour bezjacheykovy tsa li-pcs tse 10.

Tšobotsi: Phepelo ea phepo e nang le lethathamo la oli ea bohlokoa ea koluoa ​​ea bonyane 1.5 mg ka ho pepa.

Ketso ea pharmacological:Normalizing mekhahlelo ea metabolic, tonic, anti-khatello ea maikutlo, anti-tlosa .
Khemisi: Lioli tsa bohlokoa, tse sa tsitsang, li-alkaloids, li-glycosides, tse hatisang takatso ea ho tsuba, li baka ho tsuba koae, livithamini, asiti ea manyolo, li-macro- le li-microelements li thusa ho khutlisa metabolism e tloaelehileng, "fiber" ea Moll e senang metsi chefo le chefo li kenya letsoho ho tloseng ha tsona kapele ho tsoa 'meleng oa motho ea tsubang.

Matšoao: Bokhoba ba Nikotine (ho fokotsa takatso ea ho tsuba le ho khoesoa), thibelo ea SARS.

Tekanyetso le tsamaiso: Ka hare temallo ea kelello: haeba u lakatsa ho tsuba - 1 tabo. (boloka molomong ho fihlela o hlakoloa ka botlalo). Ho latela takatso ea ho tsuba, nka litafole tse 5 ka letsatsi. le tse ling. Tekanyo e phahameng ea letsatsi le letsatsi e fihla ho matlapa a 30. Nako ea kamohelo ke libeke tse 5. Ka ho fokotseha ha takatso ea ho tsuba, palo ea matlapa a nkiloeng e fokotseha ka ho lekana. Tabeng ea ho itšetleha ka bonolo, matlapa a 10 a lekane. ka letsatsi (bakeng sa libeke tse 7). Ho khothalletsoa hore o lule o e-na le matlapa ka libeke tse 7 ho hatella takatso ea ho tsuba ho fihlela mmele o se na lekhoba la nicotine ka linako tsohle.
Joaloka prophylactic, moemeli oa pholiso: bao eseng ba tsubang - litafole tsa 1-2. Makhetlo a 3-4 ka letsatsi bakeng sa thibelo ea sefuba (nakong ea selemo le hoetla kapa nakong ea ho senyeha ha bophelo bo botle).

Litlhokomelo: Re lokela ho hopola hore ha u leka ho tsuba ha u ntse u sebelisa moriana ona, u ka ba le pherekano (mofufutso o batang, ho tsekela, ho hlapoloha, joalo-joalo), phetoho ea tatso le ho nyekeloa. Maemong ana, o lokela ho khaotsa ho tsuba hang-hang, ho hema ka thata le ho ntša moea o mong mme o nke letlapa le le leng la 1.

Mebicar
Lebitso la Latin: Mebicarum
Lihlopheng tsa meriana: Melemo
Sehlopha sa Nosological (ICD-10):
Ketso ea pharmacological

Sebelisa nakong ea bokhachane le pelehi:

Tekanyetso le tsamaiso:

Mebix
Lebitso la Latin: Mebix
Lihlopheng tsa meriana: Melemo
Sehlopha sa Nosological (ICD-10): F10.2 Letšoao la ho itšepa joala ka tahi F17.2 Bokhoba ba Nikotine F28 Mathata a mang a amanang le tšenyo ea kelello F40 Phobic pherekano ea ho tšoenyeha. F41 Mathata a mang a ho tšoenyeha F43 Ho arabela likhatellong tse matla le ho feto-fetoha ha maemo. F48 Mathata a mang a neurotic. F48.0 Neurasthenia. R07.2 Bohloko sebakeng sa pelo. R45.0 Bohloko. R45.4 Ho teneha le ho koata
Ketso ea pharmacological

Motsoako o sebetsang (INN) Mebicar (Mebicar)
Tšebeliso: Li-Neuroses le neurosis-like state e tsamaeang le ho se ts'oanehe, ho sebetsa maikutlong, matšoenyeho, tšabo (ho kenyeletsa le ho bakuli ba noang joala nakong ea ho ikoahlaela), maemo a bobebe a hypomanic le maemo a ho tšoenyeha ntle le tlolo e mpe ea boitšoaro le ho ferekana kelellong (ho kenyeletsa le matšoenyeho) paranoid syndrome ho schizophrenia, e nang le maiketsetso le methapo ea kelello), maemo a setseng kamora hore a sebetse haholo maikutlong a nang le matšoao a ho hloka botsitso le matšoao a setseng a tlhahiso, a hallucino e sa foleng ea mantsoe. H asili ea tlhaho, ho ntša nikotine (e le karolo ea kalafo e rarahaneng).

Contraindication: Hypersensitivity, boimana (ke trimester).

Sebelisa nakong ea bokhachane le pelehi: E amana le ho ima (I trimester).

Litlamorao: Hypotension, bofokoli, ho tsekela, hypothermia (ka 1-1.5 C), matšoao a dyspeptic, allergic reaction (pruritus).

Tšebelisano: E ntlafatsa phello ea lipilisi tsa ho robala.

Tekanyetso le tsamaiso: Kahare, ho sa tsotelehe lijo tse jang, 0,3-0.6-0.9 g makhetlo a 2-3 ka letsatsi. Tekanyetso e le 'ngoe e phahameng ke 3 g, letsatsi le leng le le leng - g g. Tsela ea kalafo e tsoa matsatsing a' maloa ho isa ho likhoeli tse 2-3, bakeng sa bokuli ba kelello - ho fihlela likhoeli tse 6, bakeng sa ho tlosoa ha nikotine - libeke tse 5-6.

Litlhokomelo: Ha ea lokela ho sebelisoa ha bakhanni ba likoloi le batho bao mosebetsi oa bona o amanang le tlhokomelo e eketsehileng.

Nicotinic Acid
Lebitso la Latin: Nicotinic acid
Lihlopheng tsa meriana:
Sehlopha sa Nosological (ICD-10):
Ketso ea pharmacological

asiti (acid ea Nicotinic)
Tšebeliso:

Lithibelo mabapi le tšebeliso ea:

Sebelisa nakong ea bokhachane le pelehi:

Tekanyetso le tsamaiso:Ho thibela:
Le pellagra:
Ka lefu la ischemic: w / w, 0.01-00.05 g.
Le atherosulinosis:

Bakeng sa maloetse a mang:

• Nicotinic acid

Niacin MS
Lebitso la Latin: Acidum nicotinicum MC
Lihlopheng tsa meriana: Angioprotectors le li-ukulungisa tsa microcirculation. Li-vithamini le lihlahisoa tse tšoanang le vithamine. Li-Nicotinates
Sehlopha sa Nosological (ICD-10): E52 Nicotinic acid e haella pellagra. E78.5 Hyperlipidemia, e sa hlalosoang G46 Vascular cerebrovascular syndromes ho mafu a amanang le lefu la pelo. G93.4 Encephalopathy, e sa hlalosoang I20 Angina pectoris angina pectoris. Lefu la pelo ea I25 e sa foleng. I25.2 infarction ea nakong e fetileng ea myocardial Liphetho tsa I69 tsa lefu la ho ferekanya kelello. I70 Atherosclerosis. I70.2 Atherosclerosis ea methapo ea methapo. I73 Maloetse a mang a ruruhang a methapo. I73.0 Lefu la Raynaud. I73.1 Thromboangiitis obliterans lefu la Buerger. I77.1 Ho sisinyeha ha methapo ea methapo. I99 Likoluoa ​​tse ling hape tse sa hlalosoang tsa potoloho ea mali. K29 Gastritis le duodenitis. K52 Mefuta e meng e sa tšoaetsang ea gastroenteritis le colitis. R07.2 Bohloko sebakeng sa pelo. T14.1 Leqeba le bulehileng la sebaka se sa hlalosoang sa 'mele
Ketso ea pharmacological

Motsoako o sebetsang (INN) Nicotinic acid (acid ea Nicotinic)
Tšebeliso: Thibelo le kalafo ea pellagra (khaello ea vithamine PP), atherosclerosis, hyperlipidemia (ho kenyeletsa hypercholesterolemia, hypertriglyceridemia), leqhubu la methapo ea methapo. endopteritis endarteritis, lefu la Raynaud, migraine, kotsi ea mokokotlo, ho kenyelletsa le ischemic stroke (phekolo e rarahaneng), angina pectoris, lefu la Hartnup, hypercoagulation, neuritis ea sefahleho, ho taoa, maqeba a ho folisa a nako e telele, liso, mafu a tšoaetsanoang, mafu a ka mpeng.

Contraindication: Hypersensitivity, peptic ulcer ea mala le duodenum (sethaleng se matla), ho se sebetse hantle ha sebete, gout, hyperuricemia, mefuta e matla ea methapo ea methapo ea methapo le methapo ea methapo ea methapo (iv).

Lithibelo mabapi le tšebeliso ea: Bokhachane, ho anyesa.

Sebelisa nakong ea bokhachane le pelehi: Ka hlokolosi nakong ea kemolo le ho lactation (tekanyetso e phahameng e hanyetsitsoe).

Litlamorao: Ka lebaka la ho lokolloa ha histamine: bofubelu ba letlalo, incl. sefahleho le halofo e kaholimo ea mmele o nang le maikutlo a ho tepella le maikutlo a tukang, ho potlaka ha mali ho fihla hloohong, ho tsekela, hypotension, orthostatic hypotension (ka tsamaiso ea methapo e potlakileng), secretion e eketsehileng ea lero la ka mpeng, ho hlohlona, ​​dyspepsia, urticaria.
Ka tšebeliso ea nako e telele ea litekanyetso tse kholo: lets'ollo, ho ipolaisa tlala, ho hlatsa, ho senyeha hoa ts'ebetso ea sebete, mafura a sefahleho, ho ruruha ha mucosa ea gastric, arrhythmia, paresthesia, hyperuricemia, ho fokotsa mamello ea glucose, hyperglycemia, keketseho ea nakoana ea AST, LDH, alkaline phosphatase. lera la ka mpeng.

Tšebelisano: E susumetsa ts'ebetso ea li-agents tsa fibrinolytic, antispasmodics le pelo glycosides, phello e chefo ea joala ho sebete. E fokotsa ho kenngoa ha li-sequine tsa bile acid (nako ea lihora tse 1.5-2 pakeng tsa tekanyetso ea hlokahala) le phello ea hypoglycemic ea lithethefatsi tsa antidiabetes.Tšebelisano e ka khonehang le lithethefatsi tsa antihypertensive, acetylsalicylic acid, anticoagulants.

Tekanyetso le tsamaiso: Ka hare (kamora ho ja), ka / ka hanyane butle, ka / m, s / c. Ho thibela: ka molomo, bakeng sa batho ba baholo - 0.0125-0.025 g / letsatsi, bakeng sa bana - 0.005-0.025 g / letsatsi.
Le pellagra: batho ba baholo - ka molomo, makhetlo a 0,25 g, ka letsatsi matsatsi a 1520 kapa iv 0.05 g kapa i / m 0,1 g, makhetlo a 1-2 ka letsatsi bakeng sa 10- Matsatsi a 15, bakeng sa bana ka hare, 0.0125-0.05 g makhetlo a 2-3 ka letsatsi.
Ka lefu la ischemic: w / w, 0.01-00.05 g.
Le atherosulinosis: ka hare, 2-3 g / letsatsi ka makhetlo a 2-5.
Maemong a mathata a metabolism ea lipid: kahare, tekanyetso e ntse e eketseha butle-butle (ka ho se be le litla-morao) ho tloha ho 0,05 g hang ka letsatsi ho isa ho 2-3 g / letsatsi ho litekanyetso tse 'maloa, nako ea phekolo e le khoeli e le' ngoe kapa ho feta, likhefu li hlokahala pakeng tsa lithuto tse phetoang.
Bakeng sa maloetse a mang: ka molomo, bakeng sa batho ba baholo - 0,02-0.05 g (ho fihla ho 0,1 g) makhetlo a 2-3 ka letsatsi, bakeng sa bana - 0,0125-0.025 g makhetlo a 2-3 ka letsatsi.

Litlhokomelo: Nakong ea kalafo, ts'ebetso ea sebete e lokela ho beoa leihlo khafetsa (haholo-holo ha u nka tekanyetso e phahameng). Ho thibela hepatotoxicity, ho hlokahala hore ho kenyeletsoa lijo tse nang le methionine (chisi ea cottage) lijong, kapa methionine kapa lithethefatsi tse ling tsa lipotropic.
Sebelisa ka hlokolosi haeba ho na le hyperacid gastritis, peptic ulcer ea ka mpeng le duodenum (ka ts'oarelo) ka lebaka la phello e halefisang ea membrane ea mucous (ho nka tekanyetso e kholo ho hanoa ho sena). Ho nka tekanyetso e kholo ho boetse hoa hanyetsoa ho mafu a sebete, ho kenyeletsoa hepatitis, cirrhosis (monyetla oa hepatotoxicity), lefu la tsoekere.
Ho fosahetse ho sebelisa bakeng sa khalemelo ea dyslipidemia ho bakuli ba nang le lefu la tsoekere.
Re lokela ho hopola hore liente tsa s / c le / m li bohloko.

• Niacin MS (Acidum nicotinicum MC)

Nicotinic acid - Darnitsa
Lebitso la Latin: Nicotinic acid
Lihlopheng tsa meriana: Angioprotectors le li-ukulungisa tsa microcirculation. Li-vithamini le lihlahisoa tse tšoanang le vithamine. Li-Nicotinates
Sehlopha sa Nosological (ICD-10): E52 Nicotinic acid e haella pellagra. E78.5 Hyperlipidemia, e sa hlalosoang G46 Vascular cerebrovascular syndromes ho mafu a amanang le lefu la pelo. G93.4 Encephalopathy, e sa hlalosoang I20 Angina pectoris angina pectoris. Lefu la pelo ea I25 e sa foleng. I25.2 infarction ea nakong e fetileng ea myocardial Liphetho tsa I69 tsa lefu la ho ferekanya kelello. I70 Atherosclerosis. I70.2 Atherosclerosis ea methapo ea methapo. I73 Maloetse a mang a ruruhang a methapo. I73.0 Lefu la Raynaud. I73.1 Thromboangiitis obliterans lefu la Buerger. I77.1 Ho sisinyeha ha methapo ea methapo. I99 Likoluoa ​​tse ling hape tse sa hlalosoang tsa potoloho ea mali. K29 Gastritis le duodenitis. K52 Mefuta e meng e sa tšoaetsang ea gastroenteritis le colitis. R07.2 Bohloko sebakeng sa pelo. T14.1 Leqeba le bulehileng la sebaka se sa hlalosoang sa 'mele
Ketso ea pharmacological

Motsoako o sebetsang (INN) Nicotinic acid (acid ea Nicotinic)
Tšebeliso: Thibelo le kalafo ea pellagra (khaello ea vithamine PP), atherosclerosis, hyperlipidemia (ho kenyeletsa hypercholesterolemia, hypertriglyceridemia), leqhubu la methapo ea methapo. endopteritis endarteritis, lefu la Raynaud, migraine, kotsi ea mokokotlo, ho kenyelletsa le ischemic stroke (phekolo e rarahaneng), angina pectoris, lefu la Hartnup, hypercoagulation, neuritis ea sefahleho, ho taoa, maqeba a ho folisa a nako e telele, liso, mafu a tšoaetsanoang, mafu a ka mpeng.

Contraindication: Hypersensitivity, peptic ulcer ea mala le duodenum (sethaleng se matla), ho se sebetse hantle ha sebete, gout, hyperuricemia, mefuta e matla ea methapo ea methapo ea methapo le methapo ea methapo ea methapo (iv).

Lithibelo mabapi le tšebeliso ea: Bokhachane, ho anyesa.

Sebelisa nakong ea bokhachane le pelehi: Ka hlokolosi nakong ea kemolo le ho lactation (tekanyetso e phahameng e hanyetsitsoe).

Litlamorao: Ka lebaka la ho lokolloa ha histamine: bofubelu ba letlalo, incl.sefahleho le halofo e kaholimo ea mmele o nang le maikutlo a ho tepella le maikutlo a tukang, ho potlaka ha mali ho fihla hloohong, ho tsekela, hypotension, orthostatic hypotension (ka tsamaiso ea methapo e potlakileng), secretion e eketsehileng ea lero la ka mpeng, ho hlohlona, ​​dyspepsia, urticaria.
Ka tšebeliso ea nako e telele ea litekanyetso tse kholo: lets'ollo, ho ipolaisa tlala, ho hlatsa, ho senyeha hoa ts'ebetso ea sebete, mafura a sefahleho, ho ruruha ha mucosa ea gastric, arrhythmia, paresthesia, hyperuricemia, ho fokotsa mamello ea glucose, hyperglycemia, keketseho ea nakoana ea AST, LDH, alkaline phosphatase. lera la ka mpeng.

Tšebelisano: E susumetsa ts'ebetso ea li-agents tsa fibrinolytic, antispasmodics le pelo glycosides, phello e chefo ea joala ho sebete. E fokotsa ho kenngoa ha li-sequine tsa bile acid (nako ea lihora tse 1.5-2 pakeng tsa tekanyetso ea hlokahala) le phello ea hypoglycemic ea lithethefatsi tsa antidiabetes. Tšebelisano e ka khonehang le lithethefatsi tsa antihypertensive, acetylsalicylic acid, anticoagulants.

Tekanyetso le tsamaiso: Ka hare (kamora ho ja), ka / ka hanyane butle, ka / m, s / c. Ho thibela: ka molomo, bakeng sa batho ba baholo - 0.0125-0.025 g / letsatsi, bakeng sa bana - 0.005-0.025 g / letsatsi.
Le pellagra: batho ba baholo - ka molomo, makhetlo a 0,25 g, ka letsatsi matsatsi a 1520 kapa iv 0.05 g kapa i / m 0,1 g, makhetlo a 1-2 ka letsatsi bakeng sa 10- Matsatsi a 15, bakeng sa bana ka hare, 0.0125-0.05 g makhetlo a 2-3 ka letsatsi.
Ka lefu la ischemic: w / w, 0.01-00.05 g.
Le atherosulinosis: ka hare, 2-3 g / letsatsi ka makhetlo a 2-5.
Maemong a mathata a metabolism ea lipid: kahare, tekanyetso e ntse e eketseha butle-butle (ka ho se be le litla-morao) ho tloha ho 0,05 g hang ka letsatsi ho isa ho 2-3 g / letsatsi ho litekanyetso tse 'maloa, nako ea phekolo e le khoeli e le' ngoe kapa ho feta, likhefu li hlokahala pakeng tsa lithuto tse phetoang.
Bakeng sa maloetse a mang: ka molomo, bakeng sa batho ba baholo - 0,02-0.05 g (ho fihla ho 0,1 g) makhetlo a 2-3 ka letsatsi, bakeng sa bana - 0,0125-0.025 g makhetlo a 2-3 ka letsatsi.

Litlhokomelo: Nakong ea kalafo, ts'ebetso ea sebete e lokela ho beoa leihlo khafetsa (haholo-holo ha u nka tekanyetso e phahameng). Ho thibela hepatotoxicity, ho hlokahala hore ho kenyeletsoa lijo tse nang le methionine (chisi ea cottage) lijong, kapa methionine kapa lithethefatsi tse ling tsa lipotropic.
Sebelisa ka hlokolosi haeba ho na le hyperacid gastritis, peptic ulcer ea ka mpeng le duodenum (ka ts'oarelo) ka lebaka la phello e halefisang ea membrane ea mucous (ho nka tekanyetso e kholo ho hanoa ho sena). Ho nka tekanyetso e kholo ho boetse hoa hanyetsoa ho mafu a sebete, ho kenyeletsoa hepatitis, cirrhosis (monyetla oa hepatotoxicity), lefu la tsoekere.
Ho fosahetse ho sebelisa bakeng sa khalemelo ea dyslipidemia ho bakuli ba nang le lefu la tsoekere.
Re lokela ho hopola hore liente tsa s / c le / m li bohloko.

Nicotinic Acid-Darnitsa Acid (Nikotinic ac)Nicotinic acid
Lebitso la Latin: Acidum nicotinicum
Lihlopheng tsa meriana: Angioprotectors le li-ukulungisa tsa microcirculation. Li-vithamini le lihlahisoa tse tšoanang le vithamine. Li-Nicotinates
Sehlopha sa Nosological (ICD-10): E52 Nicotinic acid e haella pellagra. E78.5 Hyperlipidemia, e sa hlalosoang G46 Vascular cerebrovascular syndromes ho mafu a amanang le lefu la pelo. G93.4 Encephalopathy, e sa hlalosoang I20 Angina pectoris angina pectoris. Lefu la pelo ea I25 e sa foleng. I25.2 infarction ea nakong e fetileng ea myocardial Liphetho tsa I69 tsa lefu la ho ferekanya kelello. I70 Atherosclerosis. I70.2 Atherosclerosis ea methapo ea methapo. I73 Maloetse a mang a ruruhang a methapo. I73.0 Lefu la Raynaud. I73.1 Thromboangiitis obliterans lefu la Buerger. I77.1 Ho sisinyeha ha methapo ea methapo. I99 Likoluoa ​​tse ling hape tse sa hlalosoang tsa potoloho ea mali. K29 Gastritis le duodenitis. K52 Mefuta e meng e sa tšoaetsang ea gastroenteritis le colitis. R07.2 Bohloko sebakeng sa pelo. T14.1 Leqeba le bulehileng la sebaka se sa hlalosoang sa 'mele
Ketso ea pharmacological

Motsoako o sebetsang (INN) Nicotinic acid (acid ea Nicotinic)
Tšebeliso: Thibelo le kalafo ea pellagra (khaello ea vithamine PP), atherosclerosis, hyperlipidemia (ho kenyeletsoa lehypercholesterolemia, hypertriglyceridemia), ho ruruha ha methapo ea methapo, ho kenyeletsa endopteritis endarteritis, lefu la Raynaud, migraine, kotsi ea mokokotlo, ho kenyelletsa le ischemic stroke (phekolo e rarahaneng), angina pectoris, lefu la Hartnup, hypercoagulation, neuritis ea sefahleho, ho taoa, maqeba a ho folisa a nako e telele, liso, mafu a tšoaetsanoang, mafu a ka mpeng.

Contraindication: Hypersensitivity, peptic ulcer ea mala le duodenum (sethaleng se matla), ho se sebetse hantle ha sebete, gout, hyperuricemia, mefuta e matla ea methapo ea methapo ea methapo le methapo ea methapo ea methapo (iv).

Lithibelo mabapi le tšebeliso ea: Bokhachane, ho anyesa.

Sebelisa nakong ea bokhachane le pelehi: Ka hlokolosi nakong ea kemolo le ho lactation (tekanyetso e phahameng e hanyetsitsoe).

Litlamorao: Ka lebaka la ho lokolloa ha histamine: bofubelu ba letlalo, incl. sefahleho le halofo e kaholimo ea mmele o nang le maikutlo a ho tepella le maikutlo a tukang, ho potlaka ha mali ho fihla hloohong, ho tsekela, hypotension, orthostatic hypotension (ka tsamaiso ea methapo e potlakileng), secretion e eketsehileng ea lero la ka mpeng, ho hlohlona, ​​dyspepsia, urticaria.
Ka tšebeliso ea nako e telele ea litekanyetso tse kholo: lets'ollo, ho ipolaisa tlala, ho hlatsa, ho senyeha hoa ts'ebetso ea sebete, mafura a sefahleho, ho ruruha ha mucosa ea gastric, arrhythmia, paresthesia, hyperuricemia, ho fokotsa mamello ea glucose, hyperglycemia, keketseho ea nakoana ea AST, LDH, alkaline phosphatase. lera la ka mpeng.

Tšebelisano: E susumetsa ts'ebetso ea li-agents tsa fibrinolytic, antispasmodics le pelo glycosides, phello e chefo ea joala ho sebete. E fokotsa ho kenngoa ha li-sequine tsa bile acid (nako ea lihora tse 1.5-2 pakeng tsa tekanyetso ea hlokahala) le phello ea hypoglycemic ea lithethefatsi tsa antidiabetes. Tšebelisano e ka khonehang le lithethefatsi tsa antihypertensive, acetylsalicylic acid, anticoagulants.

Tekanyetso le tsamaiso: Ka hare (kamora ho ja), ka / ka hanyane butle, ka / m, s / c. Ho thibela: ka molomo, bakeng sa batho ba baholo - 0.0125-0.025 g / letsatsi, bakeng sa bana - 0.005-0.025 g / letsatsi.
Le pellagra: batho ba baholo - ka molomo, makhetlo a 0,25 g, ka letsatsi matsatsi a 1520 kapa iv 0.05 g kapa i / m 0,1 g, makhetlo a 1-2 ka letsatsi bakeng sa 10- Matsatsi a 15, bakeng sa bana ka hare, 0.0125-0.05 g makhetlo a 2-3 ka letsatsi.
Ka lefu la ischemic: w / w, 0.01-00.05 g.
Le atherosulinosis: ka hare, 2-3 g / letsatsi ka makhetlo a 2-5.
Maemong a mathata a metabolism ea lipid: kahare, tekanyetso e ntse e eketseha butle-butle (ka ho se be le litla-morao) ho tloha ho 0,05 g hang ka letsatsi ho isa ho 2-3 g / letsatsi ho litekanyetso tse 'maloa, nako ea phekolo e le khoeli e le' ngoe kapa ho feta, likhefu li hlokahala pakeng tsa lithuto tse phetoang.
Bakeng sa maloetse a mang: ka molomo, bakeng sa batho ba baholo - 0,02-0.05 g (ho fihla ho 0,1 g) makhetlo a 2-3 ka letsatsi, bakeng sa bana - 0,0125-0.025 g makhetlo a 2-3 ka letsatsi.

Litlhokomelo: Nakong ea kalafo, ts'ebetso ea sebete e lokela ho beoa leihlo khafetsa (haholo-holo ha u nka tekanyetso e phahameng). Ho thibela hepatotoxicity, ho hlokahala hore ho kenyeletsoa lijo tse nang le methionine (chisi ea cottage) lijong, kapa methionine kapa lithethefatsi tse ling tsa lipotropic.
Sebelisa ka hlokolosi haeba ho na le hyperacid gastritis, peptic ulcer ea ka mpeng le duodenum (ka ts'oarelo) ka lebaka la phello e halefisang ea membrane ea mucous (ho nka tekanyetso e kholo ho hanoa ho sena). Ho nka tekanyetso e kholo ho boetse hoa hanyetsoa ho mafu a sebete, ho kenyeletsoa hepatitis, cirrhosis (monyetla oa hepatotoxicity), lefu la tsoekere.
Ho fosahetse ho sebelisa bakeng sa khalemelo ea dyslipidemia ho bakuli ba nang le lefu la tsoekere.
Re lokela ho hopola hore liente tsa s / c le / m li bohloko.

• Nicotinic acid (m nicotinicum)

Motsoako o sebetsang (INN) Nicotinic acid (acid ea Nicotinic)
Tšebeliso: Thibelo le kalafo ea pellagra (khaello ea vithamine PP), atherosclerosis, hyperlipidemia (ho kenyeletsa hypercholesterolemia, hypertriglyceridemia), leqhubu la methapo ea methapo.endopteritis endarteritis, lefu la Raynaud, migraine, kotsi ea mokokotlo, ho kenyelletsa le ischemic stroke (phekolo e rarahaneng), angina pectoris, lefu la Hartnup, hypercoagulation, neuritis ea sefahleho, ho taoa, maqeba a ho folisa a nako e telele, liso, mafu a tšoaetsanoang, mafu a ka mpeng.

Contraindication: Hypersensitivity, peptic ulcer ea mala le duodenum (sethaleng se matla), ho se sebetse hantle ha sebete, gout, hyperuricemia, mefuta e matla ea methapo ea methapo ea methapo le methapo ea methapo ea methapo (iv).

Lithibelo mabapi le tšebeliso ea: Bokhachane, ho anyesa.

Sebelisa nakong ea bokhachane le pelehi: Ka hlokolosi nakong ea kemolo le ho lactation (tekanyetso e phahameng e hanyetsitsoe).

Litlamorao: Ka lebaka la ho lokolloa ha histamine: bofubelu ba letlalo, incl. sefahleho le halofo e kaholimo ea mmele o nang le maikutlo a ho tepella le maikutlo a tukang, ho potlaka ha mali ho fihla hloohong, ho tsekela, hypotension, orthostatic hypotension (ka tsamaiso ea methapo e potlakileng), secretion e eketsehileng ea lero la ka mpeng, ho hlohlona, ​​dyspepsia, urticaria.
Ka tšebeliso ea nako e telele ea litekanyetso tse kholo: lets'ollo, ho ipolaisa tlala, ho hlatsa, ho senyeha hoa ts'ebetso ea sebete, mafura a sefahleho, ho ruruha ha mucosa ea gastric, arrhythmia, paresthesia, hyperuricemia, ho fokotsa mamello ea glucose, hyperglycemia, keketseho ea nakoana ea AST, LDH, alkaline phosphatase. lera la ka mpeng.

Tšebelisano: E susumetsa ts'ebetso ea li-agents tsa fibrinolytic, antispasmodics le pelo glycosides, phello e chefo ea joala ho sebete. E fokotsa ho kenngoa ha li-sequine tsa bile acid (nako ea lihora tse 1.5-2 pakeng tsa tekanyetso ea hlokahala) le phello ea hypoglycemic ea lithethefatsi tsa antidiabetes. Tšebelisano e ka khonehang le lithethefatsi tsa antihypertensive, acetylsalicylic acid, anticoagulants.

Tekanyetso le tsamaiso: Ka hare (kamora ho ja), ka / ka hanyane butle, ka / m, s / c. Ho thibela: ka molomo, bakeng sa batho ba baholo - 0.0125-0.025 g / letsatsi, bakeng sa bana - 0.005-0.025 g / letsatsi.
Le pellagra: batho ba baholo - ka molomo, makhetlo a 0,25 g, ka letsatsi matsatsi a 1520 kapa iv 0.05 g kapa i / m 0,1 g, makhetlo a 1-2 ka letsatsi bakeng sa 10- Matsatsi a 15, bakeng sa bana ka hare, 0.0125-0.05 g makhetlo a 2-3 ka letsatsi.
Ka lefu la ischemic: w / w, 0.01-00.05 g.
Le atherosulinosis: ka hare, 2-3 g / letsatsi ka makhetlo a 2-5.
Maemong a mathata a metabolism ea lipid: kahare, tekanyetso e ntse e eketseha butle-butle (ka ho se be le litla-morao) ho tloha ho 0,05 g hang ka letsatsi ho isa ho 2-3 g / letsatsi ho litekanyetso tse 'maloa, nako ea phekolo e le khoeli e le' ngoe kapa ho feta, likhefu li hlokahala pakeng tsa lithuto tse phetoang.
Bakeng sa maloetse a mang: ka molomo, bakeng sa batho ba baholo - 0,02-0.05 g (ho fihla ho 0,1 g) makhetlo a 2-3 ka letsatsi, bakeng sa bana - 0,0125-0.025 g makhetlo a 2-3 ka letsatsi.

Litlhokomelo: Nakong ea kalafo, ts'ebetso ea sebete e lokela ho beoa leihlo khafetsa (haholo-holo ha u nka tekanyetso e phahameng). Ho thibela hepatotoxicity, ho hlokahala hore ho kenyeletsoa lijo tse nang le methionine (chisi ea cottage) lijong, kapa methionine kapa lithethefatsi tse ling tsa lipotropic.
Sebelisa ka hlokolosi haeba ho na le hyperacid gastritis, peptic ulcer ea ka mpeng le duodenum (ka ts'oarelo) ka lebaka la phello e halefisang ea membrane ea mucous (ho nka tekanyetso e kholo ho hanoa ho sena). Ho nka tekanyetso e kholo ho boetse hoa hanyetsoa ho mafu a sebete, ho kenyeletsoa hepatitis, cirrhosis (monyetla oa hepatotoxicity), lefu la tsoekere.
Ho fosahetse ho sebelisa bakeng sa khalemelo ea dyslipidemia ho bakuli ba nang le lefu la tsoekere.
Re lokela ho hopola hore liente tsa s / c le / m li bohloko.

• Acid ea Nicotinic (-)

• Bofokoli ba lithethefatsi

Lebitso: Milgamma

Ketso ea pharmacological:
Milgamma e na le livithamini tsa neurotropic tsa sehlopha sa B. Motsoako oa phekolo o sebelisoa bakeng sa mafu a methapo ea kutlo le methapo ea kutlo, o tsamaisana le ts'ebetso ea ho ruruha le ho senyeha le / kapa ho senyeha ha methapo ea methapo. Li boetse li sebelisoa bakeng sa pathology ea musculoskeletal system.Li-vithamine tsa sehlopha B ka tekanyetso e kholo li thusa ho imolla bohloko, ho ntlafatsa bonyenyane, ho tsitsisa ts'ebetso ea methapo, ho ntlafatsa mekhoa ea ho theha mali.

Vitamin B1 (thiamine) e tšelisoa 'meleng ho ea ho cocarboxylase (thiamine diphosphate) le thiamine triphosphate ka phosphorylation. Cocarboxylase e le enzymatic coenzyme e ameha mokokotlong oa carbohydrate metabolism, e bohlokoa bakeng sa ts'ebetso e tloaelehileng ea methapo le methapo ea methapo. E ntlafatsa tlhahiso ea methapo ka ho susumetsa phetiso ea synaptic. Khaello ea vithamine B1 (thiamine) e tsamaisana le ho bokellana ha lihlahisoa tsa lihlahisoa tse tsoang ka tlase ho oxid tsa metabolism ea carbohydrate: pyruvic acid, lactic acid. Ka lebaka la sena, ho se sebetse hantle ha lisele tsa methapo ho etsahala ka ho boptjoa ha maemo a fapaneng a pathological.
Mo matlapeng a milgamm thiamine chloride e nkeloa sebaka ke benfotiamine, e leng tharollo ea mafura ea thiamine. Benfotiamine e thehiloe ke phosphorylation ho thiamine pyruvate le thiamine triphosphate - lintho tse sebetsang. Karolo ea thiamine triphosphate ke ho nka karolo ha motsoako oa carbohydrate (joalo ka coenzyme ea enzymes ea pyruvate decarboxylase, transketolase enzymes). Li-Thiaminpyruvate li fetisetsa lihlopha tsa aldehyde ka potoloho ea pentose-phosphate.

Vitamin B6 (pyridoxine) e entsoe ka bongata linthong tsa 'mele. Lihlahisoa tsa metabolism ke li-coenzymes tsa metabolism e se nang oxidative ea hoo e batlang e le li-amino acid tsohle. Li-coenzymes li ameha ho decarboxylation ea li-amino acid ka sebopeho sa babuelli ba bangata ba mafolofolo ba mmele - adrenaline, tyramine, dopamine, histamine, serotonin. E kenelletse ho anabolism le catabolism ea liamino acid ka mekhoa ea transamination. Vithamine B6 e ama metabolism ea tryptophan, tlasa tšusumetso ea eona, catalysis ea α-amino-β-ketoadininic acid e etsahala nakong ea ho etsoa ha hemoglobin.

Vitamin B 12 (cyanocobalamin) e na le phello ea antianemic, e khothaletsa motsoako oa creatinine, choline, acid acid, methionine. E nka karolo lits'ebetsong tsa metabolism ea cellular. Ke ea lipatlisiso.

Vitamin B1 (thiamine) e dephosphorylated liseleng tsa menoana. Bophelo ba halofo ke metsotso e 35. Liseleng tsa 'mele ha li bokelle ka lebaka la ho hloka botsitso ho felletseng mafatseng. Metabolism e hloeletsoe ka har'a moroto.

Pyridoxine (vithamine B 6) kamora phosphorylation e fetotsoe pyridoxal-5-phosphate. Kamora ho kenella ka plasma ea mali, e kenella ho albin. Alkaline phosphatase hydrolyzes pyridoxal-5-phosphate, ka mor'a moo metabolite ena e ka kena ka seleng.

Cyanocobalamin (vithamine B 12), ha e kenella ka har'a lero la mali, e kopana le liprotheine ka sebopeho sa mochini oa tsamaiso. Ka mokhoa ona, e kenngoa ke lisele tsa sebete. Cyanocobalamin e boetse e bokellana mokhoabong oa masapo, e feta har'a mokoallo oa hematoplacental. Kamora ho hlapoloha ka bile, e ka kenngoa hape ka mpeng (ho potoloha ka mpeng).

Matšoao a sebeliso:
Neuritis, neuralgia,
tlhokeho ea ketso e matlafatsang ka kakaretso
radicular syndrome
polyneuropathies ea limelo tse fapaneng (lino tse tahang, lefu la tsoekere),
myalgia
regobulbar neuritis,
herpes zoster le lipontšo tsa tšoaetso ea vaerase ea herpes,
paresis ea methapo ea sefahleho.

Mokhoa oa ts'ebeliso:
Phekolo e qala ka 2 ml ea milgamm intramuscularly (e kenella haholo ka har'a mesifa) nako e le 1 ka letsatsi. Phekolo ea tlhokomelo - 2 ml milgamm makhetlo a 2-3 ka beke. Kapa kalafo e tsoelang pele e ka etsahala ka mokhoa oa molomo oa ho lokolla (Letlapa le le leng ka letsatsi). Bakeng sa pholiso ea bohloko bo potlakileng, ho sebelisoa mofuta oa "milgma" kapa "matlapa" ho isa ho a mararo ka letsatsi (pilara e le 'ngoe). Ka polyneuropathies, sekala sa 1 letlapa 3 r / s se sebelisoa. Nako ea kalafo ke khoeli e le 'ngoe.

Litlamorao:
Boitšoaro bo kulisang (rash, edema ea Quincke, ho ts'oaroa hoa anaphylactic, pruritus, dyspnea).
Boitlhotlhollo ba systemic (ho fufuleloa, palpitations, arrhythmia, kizungu, ho nyekeloa hoa pelo, lefu le hlasimollang).Boitšoaro ba systemic bo hlaha nakong ea ts'ebetso ea moriana e potlakileng haholo kapa maemong a fetang tekanyetso.

Contraindication:
Ho nyekeloa ke pelo (ho hlobaela kapa ho kula ho sa feleng, ho hloleha ha pelo),
tlolo ea methapo ea pelo,
hypersensitivity ho likarolo tsa milgamma,
lilemo tse 16.

Boimana
Milgamm ha e sebelisoe nakong ea kemolo le ho lactation, hobane lithuto mabapi le litlamorao tsa ho ima le ho kenella ka lebeseng la matsoele ha li e-so tšoaroe.

Ho sebelisana le lithethefatsi tse ling:
Ha e kopantsoe le litharollo tsa sulfate, vithamini ea B1 e bola ka botlalo. Ho latela boteng ba lihlahisoa tsa metabolite tsa thiamine, livithamini tse ling ha li sebetse. Thiamine (benfotiamine) e inactivated boteng ba mercury chloride, acetate, carbonates, iodide, tannic acid, riboflavin, iron ammonium citrate, penicillin (benzylpenicillin), metabisulfite le glucose. Ts'ebetso ea Thiamine e fokotseha boteng ba koporo (ho eketseha ha catalysis) le keketseho ea pH.

Pyridoxine ka tekanyetso ea kalafo e ka fokotsa phello ea levodopa (antiparkinsonia athari) ka lebaka la eketseha ha decarboxylation ea peripheral, kahoo Vitamin B6 ha e sebelisoe ka levodopa le lithethefatsi tse nang levodopa. Cyanocobalamin ha e sebetse boteng ba letsoai la tšepe tse boima.

Bongata
Ka overgose ea milgamm, ho eketseha ha matšoao a tsamaellanang le litla-morao ho hlaha. Haeba ho hlokahala hore ho sebelisoe lithethefatsi tse ngata haholo, kalafo ea syndromic le ea matšoao.

Foromo ea tokollo:
Milgamm e fumaneha ka sebopeho sa botsoali (tharollo ea tsamaiso ea methapo ho li-ampoules tse 2 ml) le sebopehong sa letlapa.

Maemo a polokelo:
Sebakeng se omileng, se lefifi hole le bana, ka mocheso oa hoo e ka bang ka 15 ° C.

Moetso:
Milgamma - tharollo bakeng sa tsamaiso ea batsoali:
Lisebelisoa tse sebetsang: thiamine hydrochloride 100 mg ka ampoule ea 2 ml, pyridoxine hydrochloride 100 mg ka ampoule ea 2 ml, cyanocobalamin - 1000 μg ka ampoule ea 2 ml.

Likarolo tse thusang: joala ba benzyl, lidocaine hydrochloride, sodium hydroxide, sodium polyphosphate, potasium hexacyanoferrate tertiary, metsi bakeng sa ente.
Milgamma - matlapa a ts'ebeliso ea ka hare:
Lithako tse sebetsang: benfotiamine - 100 mg, pyridoxine hydrochloride - 100 mg.

Likarolo tse thusang: talc, anhydrous colloidal silicon diode, croscarmellose sodium, cellcose ea microcrystalline, li-glycerides tse 'maloa tsa ketane e telele, povidone.

Boikhethelo:
Milgamma e ka sebelisoa ke bakhanni le batho ba sebetsang ka mekhoa e rarahaneng.

Hlokomela!
Pele o sebelisa lithethefatsi Milgamma o lokela ho bona ngaka. Litaelo tsena bakeng sa tšebeliso li fanoa phetolelong ea mahala mme li etselitsoe merero ea tlhahisoleseling feela. Bakeng sa tlhaiso-leseling e batsi, ka kopo sheba litlhaloso tsa moetsi.

Ho laetsoe le ho sebelisa liente tsa Combilipen hantle

E entsoe ka ho kopanya livithamini tsa B, e rarahaneng e netefatsang hore ts'ebetso ea methapo e sebetsa hantle le ho ntlafatsa metabolism ea matla e bitsoa Combibipen. Lijo tsa Kombilipen li ngotsoe neng hona bakeng sa eng?

Mokhoa oa ho tsuba nicotine

Haeba bohloko ba morao bo nkuoa ka tšohanyetso, re retelehela ho setsebi bakeng sa thuso. E le karolo ea kalafo e rarahaneng, livithamini tsa sehlopha B hangata li fanoa, haholoholo, Combilipen. Litokisetso tsena tse kopaneng li na le phello ea ho phomola, analgesic le anti-inflammatory, hangata e hlaha kamora ente ea bobeli.

Litaelo tsa Kombilipen tsa theko le li-analogues

Combilipen ke setlhare seo e leng multivitamin. E hlahisoa Russia 'me e sebelisoa haholo bakeng sa kalafo ea mafu a methapo, e le karolo ea kalafo e kopaneng.Matšoao a ts'ebeliso ea lithethefatsi a ka fapana, 'me ho bohlokoa eseng feela ho itšetleha ka litlhahlobo mabapi le liente le matlapa, empa haholoholo ka maikutlo a ngaka.

Liente tse boletsoeng - o ka li ja joang?

Nicotinic acid, kapa vithamine B3, e hlahisoa ke lik'hamphani tse peli tsa kantle ho naha le tsa meriana. Motsoako o ka sehloohong oa lithethefatsi ke nicotinic acid, ha mililita e ngoe le e ngoe ea moriana o na le limiligrame tse 10 tsa vithamine ena, 'me matlapeng ana ho na le ligrama tse 0,05 tsa motsoako o ka sehloohong.

- Tlhaloso, bakeng sa maloetse a lesapo la mokokotlo

Niacin ke vithamine e qhibilihang ka metsing e tsoang sehlopheng sa B, seo hape se bitsoang nicotinamide, niacin, B3, kapa PP. Ntho ena e tsejoa ka hore ke pheko ea pellagra, e fumanehang ho batho ba lemaletseng tahi le batho ba jang haholo poone, ke hore, ba lulang linaheng tse futsanehileng haholo 'me ba sa khone ho reka nama. Hape, ha e sebelisoa molemong oa bongaka, vithamine e baka maikutlo a nyarosang letlalong le bofubelu ba sefahleho, hobane ntho ena ke vasodilator e matla ebile e hlapolla methapo ea mali, ka ho etsa joalo e ntlafatsa phallo ea mali le leaching ea cholesterol.

Lithethefatsi li bontšoa maemong a joalo:

• Ho potoloha ha mali le litšelo tsa mali
• Kotsi ea methapo
• Ka li-hemorrhoids le methapo ea varicose
• Spinal osteochondrosis
• Lefu la Hartnup
• Hypovitaminosis, lefu la tsoekere
• Mafu a tšoaetsanoang
• Maqeba a folisang hampe
• Botaoa ba joala
• Gastritis e nang le acidity e tlase
• Ts'ebetso ea metabolism ea mafura le ba bang.

Ho khahlisang haholo ke ts'ebeliso ea nicotinic acid ho osteochondrosis. Moriana o laetsoe ho ntlafatsa lits'ebetso tsa metabolic, hammoho le boteng ba ho ruruha le ho penya, hobane ho ka a loants'a le ho fokotsa boemo ba mokuli. Liphetho tse ntle tsa kopo:

• Ho phethela ho hloka taba 'meleng
• E fepa linama tse senyehileng ka ho ntlafatsa phallo ea mali
• E sireletsa liseleng hore li se ke tsa senyeha ka li-radicals tsa mahala
• E ntlafatsa lits'ebetso tsa metabolic 'meleng, e le hore lintho tse kotsi li ntšoa ka potlako
• Thepa ea bohlokoa ka ho fetisisa ea vithamini ho lefu lena - e khutlisetsa sebopeho sa neural, e le hore lisele tsa methapo li ntlafatsoe 'me li hanyetsane le ts'ebetso ea ts'oaetso.

Ha e kopana le niacin, milgamm hangata e laetsoe - motsoako oa lidocaine, thiamine, pyridoxine le B12 ka ampoule e le 'ngoe, empa sethethefatsi sena ha se lumellane le nicotinamide, hobane livithamini tsena li felisitsoe ka botsona. Joale u ka kopanya tsohle joang?

- Tlhaloso le metsoako

Milgammere ke motsoako oa livithamini tse tharo tsa B le analgesic e le hore tsamaiso ea lintho ha e kula. B1, B6 le B12 ka boeona ha e lumellane, empa stabilizer, potasium hexacyanoferrate, e kentsoe e le karolo e thusang, e etsang hore ho hlahisoe likarolo tsohle tse tharo. Li-vithamine tsena tse tharo tsa bohlokoa li hlokahala bakeng sa kalafo ea mafu a methapo ea methapo, haeba ho e-na le mathata a methapo ea kutlo ea methapo kapa methapo ea kutlo e atisang ho hlaha hangata ho "osteochondrosis".

Ka tloaelo, ngaka e eang e tla u hlalosetsa hore na ho molemo hakae ho enta Movalis, Milgamm le Niacin. Haeba ho ne ho se na likhothaletso, joale u lokela ho tseba ka ho hlaka hore milgamm ha e tsamaisane le nicotinic acid. Ho molemo ho enta niacin hoseng, ho potoloha nako ea lijo tsa mots'eare le Milgamm ka shoalane pele ho robala. Linakong tse joalo, ha ho likhohlano tse ka bang teng tse ka hlahang. Ka kalafo e rarahaneng, litlhare tsohle tse tharo li fana ka litholoana tse ntle haholo.

Cerinat
Lebitso la Latin: Cerinat
Lihlopheng tsa meriana:
Sebopeho le mofuta oa tokollo: Letlapa le le leng le na le "brewer's yeast autolysate 390 mg", ka libotlolong tsa 60 kapa 120 likhomphutha.Brewer's yeast autolysate e na le: vithamine B1 (thiamine), B5 (pantothenic acid), B6 ​​(pangamic acid), PP (nicotinic acid), H (biotin), D (calciferol), A (ka sebopeho sa beta-carotene), C ( ascorbic acid), E (alpha-tocopherol), lintho tse senoloang, liprotheine tse chefuang habonolo, li-amino acid tsa bohlokoa.

Tekanyetso le tsamaiso: Ka hare, ntle le ho hlafuna, o hlatsoa ka metsi a lekaneng, Letlapa le le leng. Makhetlo a 2 ka letsatsi le karohanyo ea lihora tse 12, ho fihlela katleho e kholo - matlapa a 3.

Milgamma
Lebitso la Latin: Milgamma
Lihlopheng tsa meriana: Meetso ea livithamini le Meetso e kang Vitamin
B02 Tinea versicolor. G50.0 Neuralgia ea methapo ea kutlo ea boraro. Mefuta ea lesapo la molala oa G51. G54.9 lesion e sa hlalosoang ea metso ea methapo le li-plexuse G58 Mononeuropathies tse ling. G62 Metsi a mang a polyneuropathies. G62.1 Alcoholic polyneuropathy. G63.2 Lefu la tsoekere la lefu la tsoekere H46 Optic neuritis. M79.1 myalgia M79.2 Neuralgia le neuritis, tse sa hlalosoang Bohloko ba R52, eseng libakeng tse ling tse khethiloeng
Sebopeho le mofuta oa tokollo:
ka har'a lithutsoana tse 15 tsa likhomphutha., lebokoseng la marang-rang a 2 kapa a 4.

ka lebokoseng la li-ampoules tse 5 tsa 2 ml.

Ketso ea pharmacological:Painkiller, e ntlafatsa phallo ea mali, e thusa ho nchafatsa lisele tsa methapo ea kutlo . Li-vithamine tsa Neurotropic tsa sehlopha sa B li na le phello e molemo ho mafu a methapo ea methapo le ea methapo ea methapo, litekong tse phahameng li na le phello ea li-analgesic, li kenya letsoho ho eketseheng ha phallo ea mali le ho etsa hore ts'ebetso ea ts'ebetso ea methapo le tsamaiso ea mali e sebetse hantle.

Matšoao: Mathata a tsamaiso ea methapo ea methapo e fapaneng: neuropathy (lefu la tsoekere, joala, joalo-joalo), neuritis le polyneuritis retrobulbar neuritis, peripheral paresis, ho kenyelletsa methapo ea sefahleho, neuralgia, ho kenyelletsa trigeminal nerve and vagostal nerve, pain (radicular, myalgia, herpes zoster).

Contraindication: Hypersensitivity (ho kenyelletsa le likarolo tsa motho ka mong), mefuta e matla le e matla ea ho hloleha ha pelo, nako ea ho nyekeloa (haholo masea a tlang pele ho nako) (tharollo ea d / in).

Ka tekanyetso ea letsatsi le letsatsi ea livithamini tsa B6 ho isa ho 25 mg, ha ho na li-contraindication bakeng sa tšebeliso nakong ea kemaro le lactation. Li-dragees le tharollo li na le 100 mg ea moriana, ka hona maemong ana ha li khothalletsoe.

Litlamorao: Ho ts'oaroa, tachycardia, makhopho, liphetoho tse ling tsa systemic (rd d / in. Ka kenyelletso e potlakileng haholo), litla-morao tsa mmele: lekhopho la letlalo, urticaria, ho hlohlona, ​​bronchospasm, edincke's edema, anaphylactic.

Tšebelisano: Thiamine e bola ka botlalo ka tharollo e nang le sulfites. Dr. li-vithamine ha li na tšebeliso ea lihlahisoa tsa tlolo ea Vitamin B1. Levodopa e tlosa phello ea litekanyetso tsa kalafo tsa vithamine B6.
Tšebelisano e ka bang teng ka cycloserine, D-penicillamine, adrenaline, norepinephrine, sulfonamides.
Ha e lumellane le lintho tsa redox, hammoho le phenobarbital, riboflavin, benzylpenicillin, tsoekere, metabisulfite, letsoai la tšepe tse boima. Copper e potlakisa ho phatloha ha thiamine, ho feta moo, thiamine e lahleheloa ke phello ea eona ho pH e fetang 3.

Tekanyetso le tsamaiso: Ka hare. Letlapeng le le leng ho fihlela makhetlo a 3 ka letsatsi le metsi a lekaneng, bakeng sa khoeli.
Maemong a tebileng le mahlaba a bohloko haholo, ente e le 'ngoe (2 ml) e tebileng ka oli e ea hlokahala ho eketsa sekhahla sa moriana maling. Kamora hore lefu lena le eketsehe le mefuta e fokolang ea lefu lena, ente e le 'ngoe makhetlo a mabeli ka beke ea hlokahala. Nakong e tlang, ho tsoela pele kalafo, nka Letlapa le le leng la 1 ka letsatsi.

Bullfight
Lebitso la Latin: Corrida +
Lihlopheng tsa meriana: Lisebelisoa tsa phepo e nepahetseng
Sehlopha sa Nosological (ICD-10): F17.2 Bokhoba ba Nikotine
Sebopeho le mofuta oa tokollo: Letlapa le le leng le boima ba 0,5 g le na le phofo ea li-rhizomes tsa swampus tsa makhopho, mint ea makhasi a makhasi le fiber ea lijo e thehiloeng ho MCC e hloekisitsoeng haholo, ka libotlolong tsa li-pcs tse 150.kapa ka har'a polokelo ea li-contour bezjacheykovy tsa li-pcs tse 10.

Tšobotsi: Phepelo ea phepo e nang le lethathamo la oli ea bohlokoa ea koluoa ​​ea bonyane 1.5 mg ka ho pepa.

Ketso ea pharmacological:Normalizing mekhahlelo ea metabolic, tonic, anti-khatello ea maikutlo, anti-tlosa .
Khemisi: Lioli tsa bohlokoa, tse sa tsitsang, li-alkaloids, li-glycosides, tse hatisang takatso ea ho tsuba, li baka ho tsuba koae, livithamini, asiti ea manyolo, li-macro- le li-microelements li thusa ho khutlisa metabolism e tloaelehileng, "fiber" ea Moll e senang metsi chefo le chefo li kenya letsoho ho tloseng ha tsona kapele ho tsoa 'meleng oa motho ea tsubang.

Matšoao: Bokhoba ba Nikotine (ho fokotsa takatso ea ho tsuba le ho khoesoa), thibelo ea SARS.

Tekanyetso le tsamaiso: Ka hare temallo ea kelello: haeba u lakatsa ho tsuba - 1 tabo. (boloka molomong ho fihlela o hlakoloa ka botlalo). Ho latela takatso ea ho tsuba, nka litafole tse 5 ka letsatsi. le tse ling. Tekanyo e phahameng ea letsatsi le letsatsi e fihla ho matlapa a 30. Nako ea kamohelo ke libeke tse 5. Ka ho fokotseha ha takatso ea ho tsuba, palo ea matlapa a nkiloeng e fokotseha ka ho lekana. Tabeng ea ho itšetleha ka bonolo, matlapa a 10 a lekane. ka letsatsi (bakeng sa libeke tse 7). Ho khothalletsoa hore o lule o e-na le matlapa ka libeke tse 7 ho hatella takatso ea ho tsuba ho fihlela mmele o se na lekhoba la nicotine ka linako tsohle.
Joaloka prophylactic, moemeli oa pholiso: bao eseng ba tsubang - litafole tsa 1-2. Makhetlo a 3-4 ka letsatsi bakeng sa thibelo ea sefuba (nakong ea selemo le hoetla kapa nakong ea ho senyeha ha bophelo bo botle).

Litlhokomelo: Re lokela ho hopola hore ha u leka ho tsuba ha u ntse u sebelisa moriana ona, u ka ba le pherekano (mofufutso o batang, ho tsekela, ho hlapoloha, joalo-joalo), phetoho ea tatso le ho nyekeloa. Maemong ana, o lokela ho khaotsa ho tsuba hang-hang, ho hema ka thata le ho ntša moea o mong mme o nke letlapa le le leng la 1.

Mebicar
Lebitso la Latin: Mebicarum
Lihlopheng tsa meriana: Melemo
Sehlopha sa Nosological (ICD-10):
Ketso ea pharmacological

Sebelisa nakong ea bokhachane le pelehi:

Tekanyetso le tsamaiso:

Mebix
Lebitso la Latin: Mebix
Lihlopheng tsa meriana: Melemo
Sehlopha sa Nosological (ICD-10): F10.2 Letšoao la ho itšepa joala ka tahi F17.2 Bokhoba ba Nikotine F28 Mathata a mang a amanang le tšenyo ea kelello F40 Phobic pherekano ea ho tšoenyeha. F41 Mathata a mang a ho tšoenyeha F43 Ho arabela likhatellong tse matla le ho feto-fetoha ha maemo. F48 Mathata a mang a neurotic. F48.0 Neurasthenia. R07.2 Bohloko sebakeng sa pelo. R45.0 Bohloko. R45.4 Ho teneha le ho koata
Ketso ea pharmacological

Motsoako o sebetsang (INN) Mebicar (Mebicar)
Tšebeliso: Li-Neuroses le neurosis-like state e tsamaeang le ho se ts'oanehe, ho sebetsa maikutlong, matšoenyeho, tšabo (ho kenyeletsa le ho bakuli ba noang joala nakong ea ho ikoahlaela), maemo a bobebe a hypomanic le maemo a ho tšoenyeha ntle le tlolo e mpe ea boitšoaro le ho ferekana kelellong (ho kenyeletsa le matšoenyeho) paranoid syndrome ho schizophrenia, e nang le maiketsetso le methapo ea kelello), maemo a setseng kamora hore a sebetse haholo maikutlong a nang le matšoao a ho hloka botsitso le matšoao a setseng a tlhahiso, a hallucino e sa foleng ea mantsoe. H asili ea tlhaho, ho ntša nikotine (e le karolo ea kalafo e rarahaneng).

Contraindication: Hypersensitivity, boimana (ke trimester).

Sebelisa nakong ea bokhachane le pelehi: E amana le ho ima (I trimester).

Litlamorao: Hypotension, bofokoli, ho tsekela, hypothermia (ka 1-1.5 C), matšoao a dyspeptic, allergic reaction (pruritus).

Tšebelisano: E ntlafatsa phello ea lipilisi tsa ho robala.

Tekanyetso le tsamaiso: Kahare, ho sa tsotelehe lijo tse jang, 0,3-0.6-0.9 g makhetlo a 2-3 ka letsatsi.Tekanyetso e le 'ngoe e phahameng ke 3 g, letsatsi le leng le le leng - g g. Tsela ea kalafo e tsoa matsatsing a' maloa ho isa ho likhoeli tse 2-3, bakeng sa bokuli ba kelello - ho fihlela likhoeli tse 6, bakeng sa ho tlosoa ha nikotine - libeke tse 5-6.

Litlhokomelo: Ha ea lokela ho sebelisoa ha bakhanni ba likoloi le batho bao mosebetsi oa bona o amanang le tlhokomelo e eketsehileng.

Nicotinic Acid
Lebitso la Latin: Nicotinic acid
Lihlopheng tsa meriana:
Sehlopha sa Nosological (ICD-10):
Ketso ea pharmacological

asiti (acid ea Nicotinic)
Tšebeliso:

Lithibelo mabapi le tšebeliso ea:

Sebelisa nakong ea bokhachane le pelehi:

Tekanyetso le tsamaiso:Ho thibela:
Le pellagra:
Ka lefu la ischemic: w / w, 0.01-00.05 g.
Le atherosulinosis:

Bakeng sa maloetse a mang:

• Nicotinic acid

Niacin MS
Lebitso la Latin: Acidum nicotinicum MC
Lihlopheng tsa meriana: Angioprotectors le li-ukulungisa tsa microcirculation. Li-vithamini le lihlahisoa tse tšoanang le vithamine. Li-Nicotinates
Sehlopha sa Nosological (ICD-10): E52 Nicotinic acid e haella pellagra. E78.5 Hyperlipidemia, e sa hlalosoang G46 Vascular cerebrovascular syndromes ho mafu a amanang le lefu la pelo. G93.4 Encephalopathy, e sa hlalosoang I20 Angina pectoris angina pectoris. Lefu la pelo ea I25 e sa foleng. I25.2 infarction ea nakong e fetileng ea myocardial Liphetho tsa I69 tsa lefu la ho ferekanya kelello. I70 Atherosclerosis. I70.2 Atherosclerosis ea methapo ea methapo. I73 Maloetse a mang a ruruhang a methapo. I73.0 Lefu la Raynaud. I73.1 Thromboangiitis obliterans lefu la Buerger. I77.1 Ho sisinyeha ha methapo ea methapo. I99 Likoluoa ​​tse ling hape tse sa hlalosoang tsa potoloho ea mali. K29 Gastritis le duodenitis. K52 Mefuta e meng e sa tšoaetsang ea gastroenteritis le colitis. R07.2 Bohloko sebakeng sa pelo. T14.1 Leqeba le bulehileng la sebaka se sa hlalosoang sa 'mele
Ketso ea pharmacological

Motsoako o sebetsang (INN) Nicotinic acid (acid ea Nicotinic)
Tšebeliso: Thibelo le kalafo ea pellagra (khaello ea vithamine PP), atherosclerosis, hyperlipidemia (ho kenyeletsa hypercholesterolemia, hypertriglyceridemia), leqhubu la methapo ea methapo. endopteritis endarteritis, lefu la Raynaud, migraine, kotsi ea mokokotlo, ho kenyelletsa le ischemic stroke (phekolo e rarahaneng), angina pectoris, lefu la Hartnup, hypercoagulation, neuritis ea sefahleho, ho taoa, maqeba a ho folisa a nako e telele, liso, mafu a tšoaetsanoang, mafu a ka mpeng.

Contraindication: Hypersensitivity, peptic ulcer ea mala le duodenum (sethaleng se matla), ho se sebetse hantle ha sebete, gout, hyperuricemia, mefuta e matla ea methapo ea methapo ea methapo le methapo ea methapo ea methapo (iv).

Lithibelo mabapi le tšebeliso ea: Bokhachane, ho anyesa.

Sebelisa nakong ea bokhachane le pelehi: Ka hlokolosi nakong ea kemolo le ho lactation (tekanyetso e phahameng e hanyetsitsoe).

Litlamorao: Ka lebaka la ho lokolloa ha histamine: bofubelu ba letlalo, incl. sefahleho le halofo e kaholimo ea mmele o nang le maikutlo a ho tepella le maikutlo a tukang, ho potlaka ha mali ho fihla hloohong, ho tsekela, hypotension, orthostatic hypotension (ka tsamaiso ea methapo e potlakileng), secretion e eketsehileng ea lero la ka mpeng, ho hlohlona, ​​dyspepsia, urticaria.
Ka tšebeliso ea nako e telele ea litekanyetso tse kholo: lets'ollo, ho ipolaisa tlala, ho hlatsa, ho senyeha hoa ts'ebetso ea sebete, mafura a sefahleho, ho ruruha ha mucosa ea gastric, arrhythmia, paresthesia, hyperuricemia, ho fokotsa mamello ea glucose, hyperglycemia, keketseho ea nakoana ea AST, LDH, alkaline phosphatase. lera la ka mpeng.

Tšebelisano: E susumetsa ts'ebetso ea li-agents tsa fibrinolytic, antispasmodics le pelo glycosides, phello e chefo ea joala ho sebete. E fokotsa ho kenngoa ha li-sequine tsa bile acid (nako ea lihora tse 1.5-2 pakeng tsa tekanyetso ea hlokahala) le phello ea hypoglycemic ea lithethefatsi tsa antidiabetes. Tšebelisano e ka khonehang le lithethefatsi tsa antihypertensive, acetylsalicylic acid, anticoagulants.

Tekanyetso le tsamaiso: Ka hare (kamora ho ja), ka / ka hanyane butle, ka / m, s / c. Ho thibela: ka molomo, bakeng sa batho ba baholo - 0.0125-0.025 g / letsatsi, bakeng sa bana - 0.005-0.025 g / letsatsi.
Le pellagra: batho ba baholo - ka molomo, makhetlo a 0,25 g, ka letsatsi matsatsi a 1520 kapa iv 0.05 g kapa i / m 0,1 g, makhetlo a 1-2 ka letsatsi bakeng sa 10- Matsatsi a 15, bakeng sa bana ka hare, 0.0125-0.05 g makhetlo a 2-3 ka letsatsi.
Ka lefu la ischemic: w / w, 0.01-00.05 g.
Le atherosulinosis: ka hare, 2-3 g / letsatsi ka makhetlo a 2-5.
Maemong a mathata a metabolism ea lipid: kahare, tekanyetso e ntse e eketseha butle-butle (ka ho se be le litla-morao) ho tloha ho 0,05 g hang ka letsatsi ho isa ho 2-3 g / letsatsi ho litekanyetso tse 'maloa, nako ea phekolo e le khoeli e le' ngoe kapa ho feta, likhefu li hlokahala pakeng tsa lithuto tse phetoang.
Bakeng sa maloetse a mang: ka molomo, bakeng sa batho ba baholo - 0,02-0.05 g (ho fihla ho 0,1 g) makhetlo a 2-3 ka letsatsi, bakeng sa bana - 0,0125-0.025 g makhetlo a 2-3 ka letsatsi.

Litlhokomelo: Nakong ea kalafo, ts'ebetso ea sebete e lokela ho beoa leihlo khafetsa (haholo-holo ha u nka tekanyetso e phahameng). Ho thibela hepatotoxicity, ho hlokahala hore ho kenyeletsoa lijo tse nang le methionine (chisi ea cottage) lijong, kapa methionine kapa lithethefatsi tse ling tsa lipotropic.
Sebelisa ka hlokolosi haeba ho na le hyperacid gastritis, peptic ulcer ea ka mpeng le duodenum (ka ts'oarelo) ka lebaka la phello e halefisang ea membrane ea mucous (ho nka tekanyetso e kholo ho hanoa ho sena). Ho nka tekanyetso e kholo ho boetse hoa hanyetsoa ho mafu a sebete, ho kenyeletsoa hepatitis, cirrhosis (monyetla oa hepatotoxicity), lefu la tsoekere.
Ho fosahetse ho sebelisa bakeng sa khalemelo ea dyslipidemia ho bakuli ba nang le lefu la tsoekere.
Re lokela ho hopola hore liente tsa s / c le / m li bohloko.

• Niacin MS (Acidum nicotinicum MC)

Nicotinic acid - Darnitsa
Lebitso la Latin: Nicotinic acid
Lihlopheng tsa meriana: Angioprotectors le li-ukulungisa tsa microcirculation. Li-vithamini le lihlahisoa tse tšoanang le vithamine. Li-Nicotinates
Sehlopha sa Nosological (ICD-10): E52 Nicotinic acid e haella pellagra. E78.5 Hyperlipidemia, e sa hlalosoang G46 Vascular cerebrovascular syndromes ho mafu a amanang le lefu la pelo. G93.4 Encephalopathy, e sa hlalosoang I20 Angina pectoris angina pectoris. Lefu la pelo ea I25 e sa foleng. I25.2 infarction ea nakong e fetileng ea myocardial Liphetho tsa I69 tsa lefu la ho ferekanya kelello. I70 Atherosclerosis. I70.2 Atherosclerosis ea methapo ea methapo. I73 Maloetse a mang a ruruhang a methapo. I73.0 Lefu la Raynaud. I73.1 Thromboangiitis obliterans lefu la Buerger. I77.1 Ho sisinyeha ha methapo ea methapo. I99 Likoluoa ​​tse ling hape tse sa hlalosoang tsa potoloho ea mali. K29 Gastritis le duodenitis. K52 Mefuta e meng e sa tšoaetsang ea gastroenteritis le colitis. R07.2 Bohloko sebakeng sa pelo. T14.1 Leqeba le bulehileng la sebaka se sa hlalosoang sa 'mele
Ketso ea pharmacological

Motsoako o sebetsang (INN) Nicotinic acid (acid ea Nicotinic)
Tšebeliso: Thibelo le kalafo ea pellagra (khaello ea vithamine PP), atherosclerosis, hyperlipidemia (ho kenyeletsa hypercholesterolemia, hypertriglyceridemia), leqhubu la methapo ea methapo. endopteritis endarteritis, lefu la Raynaud, migraine, kotsi ea mokokotlo, ho kenyelletsa le ischemic stroke (phekolo e rarahaneng), angina pectoris, lefu la Hartnup, hypercoagulation, neuritis ea sefahleho, ho taoa, maqeba a ho folisa a nako e telele, liso, mafu a tšoaetsanoang, mafu a ka mpeng.

Contraindication: Hypersensitivity, peptic ulcer ea mala le duodenum (sethaleng se matla), ho se sebetse hantle ha sebete, gout, hyperuricemia, mefuta e matla ea methapo ea methapo ea methapo le methapo ea methapo ea methapo (iv).

Lithibelo mabapi le tšebeliso ea: Bokhachane, ho anyesa.

Sebelisa nakong ea bokhachane le pelehi: Ka hlokolosi nakong ea kemolo le ho lactation (tekanyetso e phahameng e hanyetsitsoe).

Litlamorao: Ka lebaka la ho lokolloa ha histamine: bofubelu ba letlalo, incl. sefahleho le halofo e kaholimo ea mmele o nang le maikutlo a ho tepella le maikutlo a tukang, ho potlaka ha mali ho fihla hloohong, ho tsekela, hypotension, orthostatic hypotension (ka tsamaiso ea methapo e potlakileng), secretion e eketsehileng ea lero la ka mpeng, ho hlohlona, ​​dyspepsia, urticaria.
Ka tšebeliso ea nako e telele ea litekanyetso tse kholo: lets'ollo, ho ipolaisa tlala, ho hlatsa, ho senyeha hoa ts'ebetso ea sebete, mafura a sefahleho, ho ruruha ha mucosa ea gastric, arrhythmia, paresthesia, hyperuricemia, ho fokotsa mamello ea glucose, hyperglycemia, keketseho ea nakoana ea AST, LDH, alkaline phosphatase. lera la ka mpeng.

Tšebelisano: E susumetsa ts'ebetso ea li-agents tsa fibrinolytic, antispasmodics le pelo glycosides, phello e chefo ea joala ho sebete. E fokotsa ho kenngoa ha li-sequine tsa bile acid (nako ea lihora tse 1.5-2 pakeng tsa tekanyetso ea hlokahala) le phello ea hypoglycemic ea lithethefatsi tsa antidiabetes. Tšebelisano e ka khonehang le lithethefatsi tsa antihypertensive, acetylsalicylic acid, anticoagulants.

Tekanyetso le tsamaiso: Ka hare (kamora ho ja), ka / ka hanyane butle, ka / m, s / c. Ho thibela: ka molomo, bakeng sa batho ba baholo - 0.0125-0.025 g / letsatsi, bakeng sa bana - 0.005-0.025 g / letsatsi.
Le pellagra: batho ba baholo - ka molomo, makhetlo a 0,25 g, ka letsatsi matsatsi a 1520 kapa iv 0.05 g kapa i / m 0,1 g, makhetlo a 1-2 ka letsatsi bakeng sa 10- Matsatsi a 15, bakeng sa bana ka hare, 0.0125-0.05 g makhetlo a 2-3 ka letsatsi.
Ka lefu la ischemic: w / w, 0.01-00.05 g.
Le atherosulinosis: ka hare, 2-3 g / letsatsi ka makhetlo a 2-5.
Maemong a mathata a metabolism ea lipid: kahare, tekanyetso e ntse e eketseha butle-butle (ka ho se be le litla-morao) ho tloha ho 0,05 g hang ka letsatsi ho isa ho 2-3 g / letsatsi ho litekanyetso tse 'maloa, nako ea phekolo e le khoeli e le' ngoe kapa ho feta, likhefu li hlokahala pakeng tsa lithuto tse phetoang.
Bakeng sa maloetse a mang: ka molomo, bakeng sa batho ba baholo - 0,02-0.05 g (ho fihla ho 0,1 g) makhetlo a 2-3 ka letsatsi, bakeng sa bana - 0,0125-0.025 g makhetlo a 2-3 ka letsatsi.

Litlhokomelo: Nakong ea kalafo, ts'ebetso ea sebete e lokela ho beoa leihlo khafetsa (haholo-holo ha u nka tekanyetso e phahameng). Ho thibela hepatotoxicity, ho hlokahala hore ho kenyeletsoa lijo tse nang le methionine (chisi ea cottage) lijong, kapa methionine kapa lithethefatsi tse ling tsa lipotropic.
Sebelisa ka hlokolosi haeba ho na le hyperacid gastritis, peptic ulcer ea ka mpeng le duodenum (ka ts'oarelo) ka lebaka la phello e halefisang ea membrane ea mucous (ho nka tekanyetso e kholo ho hanoa ho sena). Ho nka tekanyetso e kholo ho boetse hoa hanyetsoa ho mafu a sebete, ho kenyeletsoa hepatitis, cirrhosis (monyetla oa hepatotoxicity), lefu la tsoekere.
Ho fosahetse ho sebelisa bakeng sa khalemelo ea dyslipidemia ho bakuli ba nang le lefu la tsoekere.
Re lokela ho hopola hore liente tsa s / c le / m li bohloko.

Nicotinic Acid-Darnitsa Acid (Nikotinic ac)Nicotinic acid
Lebitso la Latin: Acidum nicotinicum
Lihlopheng tsa meriana: Angioprotectors le li-ukulungisa tsa microcirculation. Li-vithamini le lihlahisoa tse tšoanang le vithamine. Li-Nicotinates
Sehlopha sa Nosological (ICD-10): E52 Nicotinic acid e haella pellagra. E78.5 Hyperlipidemia, e sa hlalosoang G46 Vascular cerebrovascular syndromes ho mafu a amanang le lefu la pelo. G93.4 Encephalopathy, e sa hlalosoang I20 Angina pectoris angina pectoris. Lefu la pelo ea I25 e sa foleng. I25.2 infarction ea nakong e fetileng ea myocardial Liphetho tsa I69 tsa lefu la ho ferekanya kelello. I70 Atherosclerosis. I70.2 Atherosclerosis ea methapo ea methapo. I73 Maloetse a mang a ruruhang a methapo. I73.0 Lefu la Raynaud. I73.1 Thromboangiitis obliterans lefu la Buerger. I77.1 Ho sisinyeha ha methapo ea methapo. I99 Likoluoa ​​tse ling hape tse sa hlalosoang tsa potoloho ea mali. K29 Gastritis le duodenitis. K52 Mefuta e meng e sa tšoaetsang ea gastroenteritis le colitis. R07.2 Bohloko sebakeng sa pelo. T14.1 Leqeba le bulehileng la sebaka se sa hlalosoang sa 'mele
Ketso ea pharmacological

Motsoako o sebetsang (INN) Nicotinic acid (acid ea Nicotinic)
Tšebeliso: Thibelo le kalafo ea pellagra (khaello ea vithamine PP), atherosclerosis, hyperlipidemia (ho kenyeletsa hypercholesterolemia, hypertriglyceridemia), leqhubu la methapo ea methapo. endopteritis endarteritis, lefu la Raynaud, migraine, kotsi ea mokokotlo, ho kenyelletsa le ischemic stroke (phekolo e rarahaneng), angina pectoris, lefu la Hartnup, hypercoagulation, neuritis ea sefahleho, ho taoa, maqeba a ho folisa a nako e telele, liso, mafu a tšoaetsanoang, mafu a ka mpeng.

Contraindication: Hypersensitivity, peptic ulcer ea mala le duodenum (sethaleng se matla), ho se sebetse hantle ha sebete, gout, hyperuricemia, mefuta e matla ea methapo ea methapo ea methapo le methapo ea methapo ea methapo (iv).

Lithibelo mabapi le tšebeliso ea: Bokhachane, ho anyesa.

Sebelisa nakong ea bokhachane le pelehi: Ka hlokolosi nakong ea kemolo le ho lactation (tekanyetso e phahameng e hanyetsitsoe).

Litlamorao: Ka lebaka la ho lokolloa ha histamine: bofubelu ba letlalo, incl. sefahleho le halofo e kaholimo ea mmele o nang le maikutlo a ho tepella le maikutlo a tukang, ho potlaka ha mali ho fihla hloohong, ho tsekela, hypotension, orthostatic hypotension (ka tsamaiso ea methapo e potlakileng), secretion e eketsehileng ea lero la ka mpeng, ho hlohlona, ​​dyspepsia, urticaria.
Ka tšebeliso ea nako e telele ea litekanyetso tse kholo: lets'ollo, ho ipolaisa tlala, ho hlatsa, ho senyeha hoa ts'ebetso ea sebete, mafura a sefahleho, ho ruruha ha mucosa ea gastric, arrhythmia, paresthesia, hyperuricemia, ho fokotsa mamello ea glucose, hyperglycemia, keketseho ea nakoana ea AST, LDH, alkaline phosphatase. lera la ka mpeng.

Tšebelisano: E susumetsa ts'ebetso ea li-agents tsa fibrinolytic, antispasmodics le pelo glycosides, phello e chefo ea joala ho sebete. E fokotsa ho kenngoa ha li-sequine tsa bile acid (nako ea lihora tse 1.5-2 pakeng tsa tekanyetso ea hlokahala) le phello ea hypoglycemic ea lithethefatsi tsa antidiabetes. Tšebelisano e ka khonehang le lithethefatsi tsa antihypertensive, acetylsalicylic acid, anticoagulants.

Tekanyetso le tsamaiso: Ka hare (kamora ho ja), ka / ka hanyane butle, ka / m, s / c. Ho thibela: ka molomo, bakeng sa batho ba baholo - 0.0125-0.025 g / letsatsi, bakeng sa bana - 0.005-0.025 g / letsatsi.
Le pellagra: batho ba baholo - ka molomo, makhetlo a 0,25 g, ka letsatsi matsatsi a 1520 kapa iv 0.05 g kapa i / m 0,1 g, makhetlo a 1-2 ka letsatsi bakeng sa 10- Matsatsi a 15, bakeng sa bana ka hare, 0.0125-0.05 g makhetlo a 2-3 ka letsatsi.
Ka lefu la ischemic: w / w, 0.01-00.05 g.
Le atherosulinosis: ka hare, 2-3 g / letsatsi ka makhetlo a 2-5.
Maemong a mathata a metabolism ea lipid: kahare, tekanyetso e ntse e eketseha butle-butle (ka ho se be le litla-morao) ho tloha ho 0,05 g hang ka letsatsi ho isa ho 2-3 g / letsatsi ho litekanyetso tse 'maloa, nako ea phekolo e le khoeli e le' ngoe kapa ho feta, likhefu li hlokahala pakeng tsa lithuto tse phetoang.
Bakeng sa maloetse a mang: ka molomo, bakeng sa batho ba baholo - 0,02-0.05 g (ho fihla ho 0,1 g) makhetlo a 2-3 ka letsatsi, bakeng sa bana - 0,0125-0.025 g makhetlo a 2-3 ka letsatsi.

Litlhokomelo: Nakong ea kalafo, ts'ebetso ea sebete e lokela ho beoa leihlo khafetsa (haholo-holo ha u nka tekanyetso e phahameng). Ho thibela hepatotoxicity, ho hlokahala hore ho kenyeletsoa lijo tse nang le methionine (chisi ea cottage) lijong, kapa methionine kapa lithethefatsi tse ling tsa lipotropic.
Sebelisa ka hlokolosi haeba ho na le hyperacid gastritis, peptic ulcer ea ka mpeng le duodenum (ka ts'oarelo) ka lebaka la phello e halefisang ea membrane ea mucous (ho nka tekanyetso e kholo ho hanoa ho sena). Ho nka tekanyetso e kholo ho boetse hoa hanyetsoa ho mafu a sebete, ho kenyeletsoa hepatitis, cirrhosis (monyetla oa hepatotoxicity), lefu la tsoekere.
Ho fosahetse ho sebelisa bakeng sa khalemelo ea dyslipidemia ho bakuli ba nang le lefu la tsoekere.
Re lokela ho hopola hore liente tsa s / c le / m li bohloko.

• Nicotinic acid (m nicotinicum)

Motsoako o sebetsang (INN) Nicotinic acid (acid ea Nicotinic)
Tšebeliso: Thibelo le kalafo ea pellagra (khaello ea vithamine PP), atherosclerosis, hyperlipidemia (ho kenyeletsa hypercholesterolemia, hypertriglyceridemia), leqhubu la methapo ea methapo. endopteritis endarteritis, lefu la Raynaud, migraine, kotsi ea mokokotlo, ho kenyelletsa le ischemic stroke (phekolo e rarahaneng), angina pectoris, lefu la Hartnup, hypercoagulation, neuritis ea sefahleho, ho taoa, maqeba a ho folisa a nako e telele, liso, mafu a tšoaetsanoang, mafu a ka mpeng.

Contraindication: Hypersensitivity, peptic ulcer ea mala le duodenum (sethaleng se matla), ho se sebetse hantle ha sebete, gout, hyperuricemia, mefuta e matla ea methapo ea methapo ea methapo le methapo ea methapo ea methapo (iv).

Lithibelo mabapi le tšebeliso ea: Bokhachane, ho anyesa.

Sebelisa nakong ea bokhachane le pelehi: Ka hlokolosi nakong ea kemolo le ho lactation (tekanyetso e phahameng e hanyetsitsoe).

Litlamorao: Ka lebaka la ho lokolloa ha histamine: bofubelu ba letlalo, incl. sefahleho le halofo e kaholimo ea mmele o nang le maikutlo a ho tepella le maikutlo a tukang, ho potlaka ha mali ho fihla hloohong, ho tsekela, hypotension, orthostatic hypotension (ka tsamaiso ea methapo e potlakileng), secretion e eketsehileng ea lero la ka mpeng, ho hlohlona, ​​dyspepsia, urticaria.
Ka tšebeliso ea nako e telele ea litekanyetso tse kholo: lets'ollo, ho ipolaisa tlala, ho hlatsa, ho senyeha hoa ts'ebetso ea sebete, mafura a sefahleho, ho ruruha ha mucosa ea gastric, arrhythmia, paresthesia, hyperuricemia, ho fokotsa mamello ea glucose, hyperglycemia, keketseho ea nakoana ea AST, LDH, alkaline phosphatase. lera la ka mpeng.

Tšebelisano: E susumetsa ts'ebetso ea li-agents tsa fibrinolytic, antispasmodics le pelo glycosides, phello e chefo ea joala ho sebete. E fokotsa ho kenngoa ha li-sequine tsa bile acid (nako ea lihora tse 1.5-2 pakeng tsa tekanyetso ea hlokahala) le phello ea hypoglycemic ea lithethefatsi tsa antidiabetes. Tšebelisano e ka khonehang le lithethefatsi tsa antihypertensive, acetylsalicylic acid, anticoagulants.

Tekanyetso le tsamaiso: Ka hare (kamora ho ja), ka / ka hanyane butle, ka / m, s / c. Ho thibela: ka molomo, bakeng sa batho ba baholo - 0.0125-0.025 g / letsatsi, bakeng sa bana - 0.005-0.025 g / letsatsi.
Le pellagra: batho ba baholo - ka molomo, makhetlo a 0,25 g, ka letsatsi matsatsi a 1520 kapa iv 0.05 g kapa i / m 0,1 g, makhetlo a 1-2 ka letsatsi bakeng sa 10- Matsatsi a 15, bakeng sa bana ka hare, 0.0125-0.05 g makhetlo a 2-3 ka letsatsi.
Ka lefu la ischemic: w / w, 0.01-00.05 g.
Le atherosulinosis: ka hare, 2-3 g / letsatsi ka makhetlo a 2-5.
Maemong a mathata a metabolism ea lipid: kahare, tekanyetso e ntse e eketseha butle-butle (ka ho se be le litla-morao) ho tloha ho 0,05 g hang ka letsatsi ho isa ho 2-3 g / letsatsi ho litekanyetso tse 'maloa, nako ea phekolo e le khoeli e le' ngoe kapa ho feta, likhefu li hlokahala pakeng tsa lithuto tse phetoang.
Bakeng sa maloetse a mang: ka molomo, bakeng sa batho ba baholo - 0,02-0.05 g (ho fihla ho 0,1 g) makhetlo a 2-3 ka letsatsi, bakeng sa bana - 0,0125-0.025 g makhetlo a 2-3 ka letsatsi.

Litlhokomelo: Nakong ea kalafo, ts'ebetso ea sebete e lokela ho beoa leihlo khafetsa (haholo-holo ha u nka tekanyetso e phahameng). Ho thibela hepatotoxicity, ho hlokahala hore ho kenyeletsoa lijo tse nang le methionine (chisi ea cottage) lijong, kapa methionine kapa lithethefatsi tse ling tsa lipotropic.
Sebelisa ka hlokolosi haeba ho na le hyperacid gastritis, peptic ulcer ea ka mpeng le duodenum (ka ts'oarelo) ka lebaka la phello e halefisang ea membrane ea mucous (ho nka tekanyetso e kholo ho hanoa ho sena). Ho nka tekanyetso e kholo ho boetse hoa hanyetsoa ho mafu a sebete, ho kenyeletsoa hepatitis, cirrhosis (monyetla oa hepatotoxicity), lefu la tsoekere.
Ho fosahetse ho sebelisa bakeng sa khalemelo ea dyslipidemia ho bakuli ba nang le lefu la tsoekere.
Re lokela ho hopola hore liente tsa s / c le / m li bohloko.

• Acid ea Nicotinic (-)

• Bofokoli ba lithethefatsi

Molemong oa ho phekola maloetse a musculoskeletal system, livithamini tsa B li bohlokoa haholo .. Li na le phello e ntle tsamaisong ea methapo. Milgamma le nicotinic acid ke litokisetso tsa vithamine tse boletsoeng maemong a joalo.

E na le motsoako oa livithamini tse 3 - B1, B6 le B12. Motsoako o mong o sebetsang ke analgesic lidocaine hydrochloride.

Pharmacology ea lithethefatsi e tšoauoa ka tse latelang:

1. Vithamine B1 e ama ka botlalo metabolism ea carbohydrate. E nka karolo mokolokong oa li-acic tricarboxylic acid, sebopeho sa thiamine pyrophosphate le adenosine triphosphoric acid, e leng mohloli oa matla a tšebetso ea biochemical 'meleng.
2. Vitamin B6 e ama metabolism ea protheine, 'me ho isa tekanyong e itseng, e potlakisa metabolism ea lik'habohaedreite le mafura.
3. Vithamine B12 e khothalletsa ho theha mali, e khothaletsa ho thehoa ha sheath ea methapo ea methapo. E ntlafatsa metabolism ea "nucleic" ka ho susumetsa folic acid.
4. Lidocaine e na le litlamorao tsa tlhaho tsa meriana.

Metsoako ea vithamine e na le phello ea neurotropic. Ka lebaka la tšusumetso ea phallo ea mali le phello e ntle tsamaisong ea methapo, sethethefatsi se ntlafatsa boemo ka mafu a mpefatsang le a sa foleng a lisebelisoa tsa motor.

Liente li sebelisoa maemong a kang:

• neuralgia
• paresis ea sefahleho
• neuritis
• ganglionitis ka lebaka la shingles,
• neuropathy, polyneuropathy,
• multiple sclerosis
• Tšenyo ea methapo ea kutlo,
• mesifa ea mesifa
• osteochondrosis.

Li-vithamine ka bobeli li tiisa tšebetso ea e mong, ho ntlafatsa boemo ba methapo le methapo ea methapo ea kutlo.

Maemong a sa tloaelehang, moriana o ka baka ponahalo ea ho kulisa, ho tsekela, tachycardia, ho hlatsa, kapa ho tsitsipana.

Foromo ea letlapa la ho lokolloa e bonts'oa ke ho ba sieo ha vithamine B12 ka sebopeho le litaba tsa derigative ea thiamine. E rekisoa tlasa lebitso la khoebo Milgamm Composite. Ka paketeng ea matlapa a 30 kapa 60. Foromo ena e na le mefuta e fokolang ea ho bala. E sebelisoa bakeng sa khaello ea livithamini tsa B1 le B6 khahlanong le semelo sa methapo ea methapo ea kutlo.

Ente tsa Kombilipen intramuscularly - litekanyetso, kalafo kalafo, contraindication le litlhahlobo

Tsamaiso ea methapo e bapala karolo ea bohlokoa ho tsamaiso le khokahano ea tšebetso ea litho tsohle le litsamaiso tsa 'mele. Ho na le lithethefatsi tse thusang ho boloka tsamaiso ea methapo e maemong a matle ho netefatsa bophelo ba motho ka botlalo. Ho sebelisoa mochine o fe ho thibela ts'ebetso ea sele ea methapo, eo likarolo tsa lesapo la mokokotlo li nang le melemo ea liente tsa Combilipene bakeng sa tsamaiso ea methapo, a re lekeng ho e fumana.

Ba fuoeng liente tsa nicotinic acid le combilipene?

Ha ke utloisise hore na karabelo e tloaelehile kamora metsotso e 5 ka mor'a ho kenngoa ka ente, ho ts'oha ho utloahala hohle 'meleng, ho chesa, litsebe li fetoha "burgundy straight" tatso molomong le nko ea nko ea sena combilipen e otlolohile.

E nka metsotso e ka bang 5 mme ntho e ngoe le e ngoe e feta ..

hona ke karabelo ho nicotine, lekhetlo la pele ha o hloka ho hlahisa 1 ml, ka le hlahlamang e se e le 2 ka moo e lokelang, ka hona ngaka e ile ea nk eletsa. mme kombilipen ke livithamini, ho ke ke ha ba le karabelo ho eona.

haeba ha se lekunutu, u alafa?

Mofets'e oa "cervical nerve" o phethoa ke setsebi sa methapo ..

Lijo tsa 'mele tsa' mele le lipilisi tsa mesifa hona joale

tsamaea linate! ka hona tsohle li bohlokoa ... tloo, tloo! E, ho etsahetse le ka nna. ho silila ho thusitse

Movalis - tlhaloso

Movalis ke lithethefatsi tse seng khahlanong le ts'oaetso tsa Maseru tsa Spain, tlhahiso ea Setaliana e nang le ntho e sebetsang - meloxicam. Meloxicam e bua ka meriana ea sejoale-joale e utloisang bohloko, eo ka ho khetheha e hatellang COX-1 ha e bapisoa le COX-2. Sena se mo fa monyetla mabapi le polokeho - litla-morao ho tšilo ea lijo, ka lebaka la phello e nyane ho mucosa ea gastric, ha e hlahe hangata. Moriana ona ha o ame ho kopana ha liplatelete, e leng se etsang hore ho be bonolo bakeng sa bakuli ba nang le tloaelo ea ho se sebetse hantle ka mali. E phatlalalitse thepa ea antipyretic le anti-inflammatory ha e bapisoa le phello ea analgesic, e e etsang hore e be khetho ea pele bakeng sa ts'ebetso ea ho ruruha liseleng tse sebetsanang.

Kaha osteochondrosis ea lesapo la mokokotlo ke tšenyeho ea lefufuru, le lateloang ke tšenyo ea li-disc tsa intervertebral disc, vertebrae. Kotsi ea lefu lena e teng hobane taba ea hore linama tsa lefufuru li ke ke tsa khutlisoa, lits'ebetso tsa ho fokola li ka fokotsoa feela, empa ha li sa khona ho khutlisa boemo ba bophelo bo botle ba lithane tse amanang. Ka boteng ba lefu lena, ts'ebetso ea ho ruruha le bohloko bo hlaha, ka hona, e ile ea susumetsoa mme ea laeloa ho kokobetsa ho ruruha ho matla le ho tlosa letšoao le bohloko le sa thabiseng. Maemong a hlobaetsang, ente e tsamaisoa ka intramuscularly, hang ka letsatsi. Ampoule e le 'ngoe e na le litekanyetso tse phahameng tsa letsatsi le letsatsi tsa 15 mg. Nako ea kalafo ha ea lokela ho feta matsatsi a mahlano.Ho ithuta tšebelisano, ho na le kopanyo e 'ngoe hape - moriana ha o kenelle ka mokhoa o fapaneng kapa oa ho etsa hampe ka livithamini tsa B le lidocaine.

Matšoao a nicotinic acid

Asiti ea Nicotinic e na le phello e ntle 'meleng. E tloaeleha ts'ebetso ea metabolic, e ama ho tsosolosoa ha meaho ea neural. Moriana o khona ho khutlisetsa phepelo e mpe ea mali bokong le dikarolong tse itseng tsa 'mele. Nikotine e laeloa ha e nooa joala, bakeng sa chefo ea mofuta o fapaneng, kaha e na le phello ea detoxifying.

Bakeng sa phekolo, e sebelisoa bakeng sa lesapo la mokokotlo, kotsi ea mokokotlo, tinnitus, atherosclerosis, phepelo ea mali e sa sisinyeheng ho ea lipheletsong tse tlase, tahi e fapa-fapaneng, mafu a sebete, liso tsa trophic, le phokotso ea pono. E le merero ea prophylactic, nicotinic acid e sebelisoa ho ntlafatsa pono le mohopolo, bakeng sa gastritis e nang le acidity e tlase, ho tlosa lipontšo, ka tekanyo e fokotsang ea ho ja mafura a 'mele' meleng le ho thibela mofetše.

Niacin e khothalletsa vasodilation mme e tloaetse metabolism ea oksijene le liphetoho tse nang le oksijene 'meleng.

Niacin e fumaneha kahare ho. Ampoule e le 'ngoe e na le 1 ml ea tharollo ea 1% ea nicotinic acid. Moriana o fuoa apoule e le 'ngoe makhetlo a 1-2 ka letsatsi. E tsamaisoa ka mokhoa o ikhethileng kapa ka methati. Lijana tsa methapo ea kutlo le ea methapo ea kutlo ea nicotinic acid e bohloko haholo. Kamora ho entetsoa kahare, letlalo le ka fetoha botala, e leng karabelo e tloaelehileng ea 'mele. Ho ba sieo ha bofubelu ho bontša hore ho na le mathata a ho potoloha 'meleng.

Niacin o laetsoa makhetlo a 1-2 makhetlo a mararo ka letsatsi, ho latela boima ba 'mele le ho teba ha lefu lena. Ha u ntse u sebelisa moriana ona, ho hlokahala hore o kenye chisi ea chisi le lihlahisoa tse ling tse nang le methionine e ngata lijong. Ntho ena e thusa ho sireletsa lisele tsa sebete. Haeba lero la gastric le na le acidity e eketsehileng, ka sena, nicotinic acid e laetsoe ka mor'a lijo, mme e lokela ho hlatsuoa ka lebese le futhumetseng le metsi a liminerale. Matlapa a Nicotinic acid a khothalletsoa nakong ea selemo le hoetla bakeng sa batho ba nang le mathata a potoloha libakeng tse tlase. Maemong ana, sethethefatsi se nooa matsatsing a 30.

Ha ho na le thrombophlebitis le venous insufficiency, nicotinic acid e lokela ho nkoa lithutong tse telele.

Acid ea Nikotinic e nkuoa feela joalo ka taelo ea ngaka. Ha e khothalletsoe hore e sebelisoe nakong ea ho mpefala ha liso tsa ka mpeng, le mafu a sebete, ka lebaka la maemo a holimo, ho se mamellane ha vithamine PP. Ho thibetsoe ka thata ho fana ka acid e nicotinic bakeng sa phallo ea mali le hemorrhage bokong.

Phapang pakeng tsa nicotinamide le nicotinic acid (niacin)

Phapang ke efe pakeng tsa nicotinamide le?

Joalokaha re se re boletse, niacin ke nicotinic acid, mofuta oa mantlha oa ntho ena, le nicotinamide e tsoa ho eona. Ka bobeli meriana ena e etsa, empa e na le phello e fapaneng 'meleng.

Niacin e sebelisetsoa mafu a methapo ea pelo le pelo. E na le phello ea vasodilating. Tšebeliso ea eona e tsamaisana le maikutlo a "potlakileng" oa mali hloohong, bofubelu ba letlalo.

Nicotinamide ha e na litla-morao tsena. Ntho ha e hlapatse methapo ea mali, empa hape ha e kenye letsoho ho theoleng cholesterol ea mali, joalo ka niacin. E sebelisoa kalafo le thibelo ea lefu la tsoekere la Mofuta oa lefu la tsoekere le lefu la manonyeletso. Lebitso le leng la ntho ena ke niacinamide.

Ketso ea pharmacological

E nka karolo ho metabolism ea mafura, liprotheine, li-amino acid, purines, ho phefumoloha ha lisele, glycogenolysis. Ha e na phello e phatlalalitsoeng e le vasodilating.

Substrate e hlohlelletsa ho hlophisoa ha nicotin adenine dinucleotide (NAD) le nicotin adenine dinucleotide phosphate (NADP). Ka sebopeho sa NAD le NADP, e amohela le ho fetisetsa liprotheine maemong a mangata a redox, e netefatsa mokhoa o tloaelehileng oa mefuta e mengata ea metabolism, ho kenyelletsa matla.

Nicotinamide e ntlafatsa ts'ebetso ea boko le tlhahiso ea lihormone tsa thobalano, e laola boemo ba glucose ho plasma ea mali. E na le phello ea anti-pellagric.

Tekanyetso le tsamaiso

Lithethefatsi ka mokhoa oa litafole li sebelisoa ka molomo, ka ampoules - subcutanely, intramuscularly, intravenly.

Litekanyetso tsa moriana li fanoa ka bonngoe, ho fanoa ka botebo ba khaello ea vithamine PP.

Ka pellagra - 50-100 mg makhetlo a 3-4 ka letsatsi, bakeng sa matsatsi a 15-20, bakeng sa thibelo ho batho ba baholo - 15-25 mg, bakeng sa bana - 5-10 mg makhetlo a 1-2 ka letsatsi.

Bakeng sa mafu a mang, batho ba baholo - 20-50 mg, bana - 5-10 mg makhetlo a 2-3 ka letsatsi.

Ho / in, in / m and s / c - 1-2 ml ea 1%, 2,5%, tharollo ea 5% makhetlo a 1-2 ka letsatsi ka lebelo la tsamaiso e seng ho feta 2 mg / min.

Ho fokotsa phello e halefisang mucosa ea ka mpeng ka tsamaiso ea molomo, ho kgothaletswa ho nwa moriana ona ka lebese.

Maemong ao ho fanoe ka liente tsa ente e tsoang ho osteochondrosis

Li kopanya li-analgesic, antipyretic le anti-inflammatory, ka lebaka la tsona ha li felise bohloko feela, empa li ama le sesosa sa ponahalo ea eona.

Bonyane ba bohlokoa ba sehlopha sena sa lithethefatsi ke tšusumetso e mpe mokhoeng oa ka mpeng. Khafetsa ho nka li-NSAID ho lebisa ho holiseng le ho mpefala ha lesapo la mpeng. Tsamaiso ea botsoali ho isa bohōleng bo itseng e fokotsa kotsi ea karabelo e mpe.

Hangata, bakeng sa kalafo ea osteochondrosis e laetsoe:

• Ketonal - e na le phello e phatlalalitsoeng ea "analgesic", anti-inflammatory le antipyretic ha e hlahisoe hanyane. Ka tsela e fosahetseng ama lera la ka mpeng le ea ka mpeng, le halefisa mali. Ketso e nka lihora tse 6.
• Movalis - e na le phello e phatlalalitsoeng ea anti-inflammatory, analgesic le antipyretic ha e hlahisoe hanyane. Ha e halefise sebopeho sa liso ka mpeng le duodenum, ha e ame ho ruruha hoa mali. E sebetsa ho fihlela lihora tse 24, e u lumellang ho kena morieng hang ka letsatsi.
• - e felisa ka botlalo karabelo ea ho ruruha liseleng, litlamorao tsa antipyretic le li-analgesic ha li hlahisoe haholo. E ama hampe mokhoa oa "gastrointestinal" le "sebete", ka hona, e ka sebelisoa feela tlasa tataiso ea lithethefatsi tse fokotsang tlhahiso ea asiti ka mpeng. Ketso e nka lihora tse 12.

Barekisi ba lipilisi

Maemong moo lithethefatsi tse khahlanong le ho ruruha li sa khone ho sebetsana le bohloko ba morao, ngaka e beha li-analgesics:

• Analgin - ke ea sehlopha sa NSAIDs, empa ha e na mokhoa oa ho hanyetsa. Tlosa bohloko kapele, o bo kenelle kahare kapa ka har'a mesifa makhetlo a 2-3 ka letsatsi.
• Tramadol ke analgesic e sebetsang ho li-opioid receptors bokong 'me e na le phello e matla ea analgesic. Phello e ba teng ka nako ea halofo ea hora kamora tsamaiso mme e nka lihora tse 6. Ka tšebeliso ea nako e telele, e ea lemalla, empa ka tekanyo e tlase haholo ho feta morphine.

- Sena ke sethethefatsi se kopaneng, se kenyeletsang anesthetic (lidocaine) le livithamini B 1, B 6 le B 12. Lidocaine e na le ts'oaetso ea ho bolaea lithethefatsi sebakeng ka seng, e thibela phetiso ea methapo ea kutlo ho tsoa li-receptor tsa bohloko. Matla a hlaha kapele, empa a nka hora.

Li-vithamine tsa B li kenella ho metabolism ea lisele tsa methapo. Liente tsa Milgamma li kenya tšebetsong pholiso ea motso o ferekaneng oa mothapo oa lesapo la mokokotlo. Ho khutlisetsoa khetla ea eona ea kantle mme ts'usumetso ea methapo e feta ka mokhoa o nepahetseng.

Mofuta o koetsoeng o lebisa ho letsoalo, lits'oants'o, bohloko bo tukang sebakeng sa bolulo ba eona. Milgammia e khutlisa khatello ea methapo, ka tsela eo e felise matšoao ana a seng monate.

Setlhare se kenngoa ka har'a mesifa bakeng sa matsatsi a 7-10 hang ka letsatsi.

Chondoprotective

- lithethefatsi tse sireletsang le ho tsosolosa li-disc tsa intervertebral.

Li kenyelletsa lintho tse fumanehang ho lefufuru. Li susumetsa ho khutlisetsa disc, li tlosa bohloko le ho kokobetsa ho ruruha ho kopaneng.

Bakeng sa kalafo ea ts'ebeliso ea osteochondrosis:

Tsamaiso ena e fanoa ka makhetlo a 'maloa letsatsi le letsatsi kapa makhetlo a' maloa ka beke. Thupelo ena e nka libeke tse 'maloa.

Chondroprotectors e ka sebelisoa nakong ea tšoarelo ho thibela exacerbations le ho ntlafatsa maemo a discvertebral discs.

Phekolo ea blockade

Paravertebral blockade ke ho kenyelletsa ntho ea kalafo ka ho toba motso oa methapo. Bakeng sa ts'ebeliso ea eona, ho sebelisoa tharollo ea anesthetic ea lehae (novocaine, procaine, trimecaine) ka motsoako le moemeli oa anti-inflammatory (hydrocortisone).

Blockade e tlosa bohloko ka mor'a metsotso e seng mekae, mme hydrocortisone e thusa ho imolla ho ruruha liseleng. Sena se o lumella ho eketsa ketso ea ente ho fihlela matsatsi a 'maloa. Li-blockade li etsoa nakong ea mekhoa ea 3-5 ka matsatsi a 2-3.

Eseng ka tsela efe kapa efe, o ka phetha ente e joalo. Contraindication ho blockade ke:

• mamello ho lithibela-mafu tsa lehae,
• furunculosis ea letlalo la mokokotlo,
• abscesses, abscesses, phlegmon lebaleng la blockade,
• mafu a tšoaetsanoang a hlobaetsang.

Vitamin

Ntle le livithamini tsa B, bakeng sa osteochondrosis, livithamini A, E, C li ngotsoe ka mokhoa oa liente. Ba fokotsa tšenyo ea lisele tsa mmele, ba kenya tšebetsong lits'ebetso liseleng tsa methapo le manonyeletso, 'me ba ntlafatsa methapo e mengata. Fana ka livithamini nakong ea mohato o boima haholo.

Li-vithamini A le E ha li qhibilihe mafura, ka hona, li lokolloa ka mokhoa oa tharollo ea oli. O ka li kenya feela ka mokhoa oa intramuscularly, nako ea kalafo e nka libeke tse 'maloa.

Vitamin C e tsoa ka mokhoa oa tharollo ea metsi bakeng sa ente ea methapo le methapo. Nako ea thupelo e khethoa ke ngaka e eang.

Ke eng e laetsoeng kalafo ea lesapo la mokokotlo

hangata ho lebisa ho bohloko hloohong, mahetla le liphaka tse holimo.

Lefu la ho opeloa ke ntho e leka-lekaneng, 'me sebakeng sa pele ho na le tlolo ea tsamaiso ea mali, bofokoli ba mesifa ea letsoho, maikutlo a ho hlatsa le ho akheha.

Ka hona, ho tla bontšoa liente:

• Li-vithamine tsa Milgamm kapa B,
• nicotinic acid
• litlhare tse thibelang mafu.

Li-vertebrae tse mokokotlong oa thoracic li kholo ho feta mokokotlong. Ka hona, li-disc tsa bona li na le botenya bo boholo le sebaka. Tšenyo ea bona e lebisa ho bohloko bo boholo nakong ea ho sisinyeha, ka hona, liente tsa chondroprotectors li laetsoe ntle le phoso.

Hangata, osteochondrosis ea thoracic e bonahatsoa ke bohloko bohareng ba likhopo, kaha ts'ebetso ea methapo ea mokokotlo e tsamaea kahare ho eona. Ka hona, bakeng sa kalafo eo ba e sebelisang li-blockades, liente tsa analgesics le lithethefatsi tse khahlanong le ho ruruha.

Liente tsa Milgamma le vithamine li tla fola kapele.

Lumbar

Li-vertebrae tsa lumbar li kholo ebile li-disc tsa tsona ke tsona tse kholo. Mona osteochondrosis e lebisa ho phunyeletsa ha methapo ea kutlo ea sciatic ka methapo ea bohloko ho perineum le leoto. Bohloko bo boima, ka hona, li-painkiller, liente tse khahlanong le ho ruruha le seterata li laetsoe.

Li-chondroprotectors li thusa ho khutlisa disc le ho fokotsa karabelo ea ts'oaetso. Hangata, blockade e etsoa haeba kalafo ka li-analgesics e sa fane ka phello e tšoarellang.