Thrombital da Cardiomagnyl: Wanne ya fi kyau?

Ana samar da miyagun ƙwayoyi a cikin nau'ikan allunan da aka sanya fim ɗin: biconvex, zagaye, fim mai rufi da ainihin kan ɓangaren giciye na kusan fari ko farar 30 ko 100 inji mai kwakwalwa. a cikin gilashin gilashi mai duhu (amber), an rufe shi da wani farin kyandir mai walƙiya da aka yi da polyethylene tare da ginanniyar capsule mai cirewa tare da silica gel da zobe yana ba da iko na farkon buɗewa, a cikin kwali na kwalin 1 gilashi da umarni don amfani da thrombital.

Kwamfutar hannu 1 ya ƙunshi:

• abubuwa masu aiki: Acetylsalicylic acid - 75 mg, magnesium hydroxide - 15.2 mg,
• substancesarin abubuwa: sitaci dankalin turawa, celclose microcrystalline, sitaci masara, magnesium stearate,
• shafi fim: macrogol (polyglycol 4000), hypromellose (hydroxypropyl methylcellulose 15 cPs), talc.

Pharmacodynamics

Thrombital shine mai hadewar hadewar platelet. Magungunan a sakamakon murkushe thromboxane Samarwa a cikin platelet₂ yana rage yawan haɗuwa, ƙyallen platelet, da kuma haɗuwar jini. Bayan kashi ɗaya, ana lura da tasirin rigakafin magungunan na kwana 7 (a cikin maza, ana bayyana sakamako sosai fiye da mata).

A kan bango na rashin daidaituwa na angina pectoris, acetylsalicylic acid yana rage mace-mace da haɗarin infarction myocardial, yana kuma nuna tasiri a cikin rigakafin rigakafin cutar cututtukan zuciya, akasarin cututtukan ƙananan ƙwayoyin cuta a cikin maza bayan shekaru 40, kuma yana nuna kyakkyawan sakamako a cikin rigakafin sakandare na infarction na zuciya. Wannan abu mai aiki a cikin hanta yana hana samar da prothrombin, yana haɓaka haɓakawa a cikin lokacin prothrombin, haɓakawa a cikin aikin fibrinolytic na plasma jini da raguwa a cikin abubuwan da ke tattare da bitamin K-dogara ga coagulation - II, VII, IX da X. A yayin ayyukan tiyata, bangaren mai aiki yana ƙara haɗarin rikicewar basur, a gaba da hadewar amfani da magungunan anticoagulants na kara yiwuwar zub da jini.

Lokacin da aka yi amfani dashi a cikin allurai masu yawa, acetylsalicylic acid shima yana nuna anti-mai kumburi, farfadowa da tasirin antipyretic, yana kunna uric acid excretion (yana hana tsarin sake amfani dashi a cikin tubules na koda). A cikin mucosa na ciki, toshewar cyclooxygenase-1 (COX-1) yana haifar da hana aikin gastroprotective prostaglandins, wanda zai haifar da cutar da mucosa da kuma ci gaba da zub da jini.

A hydroxide wanda aka haɗo a cikin abun da ake kira magnesium thrombital yana ba da kariya ga mucosa gastrointestinal mucosa (GIT) daga mummunan tasirin acetylsalicylic acid.

Pharmacokinetics

Acetylsalicylic acid an kusan tattara shi daga narkewa. Rabin rayuwar (T_½) abu mai aiki kusan mintuna 15 ne, saboda a ƙarƙashin aikin enzymes yana da sauri hydrolyzes cikin salicylic acid a cikin jini, hanta da hanji. Salicylic acid T_½ kusan awanni 3 ne, amma yana iya ƙaruwa sosai tare da amfani da babban allurai (fiye da 3 g) na acetylsalicylic acid saboda haɗuwa da tsarin enzyme. Rashin bioavailability na acetylsalicylic acid shine 70%, amma wannan darajar zata iya canzawa sosai, saboda gaskiyar cewa abu mai aiki yana metabolized ta hanyar tsabtace ruwa (hanta, ƙwayar ciki) tare da halartar enzymes a cikin salicylic acid, bioavailability wanda shine 80-100%.

Maganin magnesium hydroxide da aka yi amfani da shi baya tasiri bioavailability na acetylsalicylic acid.

Alamu don amfani

• rigakafin farko na cututtukan cututtukan zuciya, ciki har da thrombosis da rauni na zuciya, tare da abubuwan haɗari (misali, tashin zuciya, hauhawar jini, ciwon suga, yawan shan siga, yawan kiba, tsufa),
• rigakafin thrombosis da jini na infarction myocardial,
• rigakafin thromboembolism bayan abubuwan tiyata a kan tasoshin, kamar na jijiyoyin zuciya jijiya grafting, percutaneous transluminal na jijiya angioplasty,
• m angina pectoris.

Contraindications

• na ciki, jijiyoyin jiki da rauni na ciki na jijiyoyin zuciya yayin tashin hankali,
• basur,
• naƙasasshiyar zuciya a cikin III - IV aikin aji bisa ga tsara NYHA (Yorkungiyar New York na Cardiology),
• bangare ko cikakkiyar haɗuwa na maimaitawar rhinosinusitis na polyposis na yau da kullum da kuma asma tare da rashin jituwa ga acetylsalicylic acid ko wani magungunan anti-mai kumburi (NSAIDs), gami da cyclooxygenase-2 inhibitors (COX-2), gami da tarihi
• bronchial fuka saboda ci na salicylates da sauran NSAIDs,
• sanadiyyar zubewar jini (basur mai narkewar jini, thrombocytopenia, karancin Vitamin K),
• mai tsanani gazawar koda tare da keɓantaccen keɓancewar creatinine (CC) a ƙasa 30 ml / min,
• mai tsanani hanta (Yara-Pugh azuzuwan B da C),
• rashin ƙarfi na glucose-6-phosphate,
• Ni da III watanni uku na ciki da lokacin shayarwa,
• amfani da methotrexate a kashi na 15 mg a mako daya ko sama da haka,
• shekaru zuwa shekaru 18
• hypersensitivity ga kowane ɓangare na magungunan ƙwayoyi da sauran NSAIDs.

Dangi (shan allunan thrombital tare da taka tsantsan):

• Tarihi na jini ko gudawa da lahani na koda,
• lalacewa aiki na renal (CC sama da 30 ml / min),
• hancin hanta (aji-Pugh aji A),
• ciwon sukari mellitus
• cututtukan numfashi na yau da kullun, asma, da polyposis hanci, zazzabin ƙwararru, yanayin rashin lafiyan, halayen ƙwayoyi, ciki har da nau'in halayen fata, ƙaiƙayi, cutar urticaria (tunda acetylsalicylic acid na iya haifar da bronchospasm, kazalika da tayar da kumburin fuka-fuka ko ci gaba da sauran rashin hankalin halayen),
• gout, hyperuricemia, saboda acetylsalicylic acid, wanda aka ɗauka a cikin ƙananan allurai, yana rage haɗarin uric acid,
• Kwana uku na ciki,
• da maganin tiyata da aka ce (gami da karami kamar hakar hakori), tunda thrombital na iya haifarda zubar jini kwanaki da yawa bayan shan shi,
• tsufa
• haɗe tare da magunguna masu zuwa: NSAIDs da magunguna masu ɗauke da sinadarai mai ɗorewa mai ƙarfi, digoxin, valproic acid, anticoagulants, antiplatelet / thrombolytic jamiái, methotrexate a kashi a ƙasa 15 MG a mako, insulin da na bakin jini hypoglycemic jami'in (sulfonylurea-samo asali, Serotonin uptake, ethanol (wanda ya hada da abubuwan sha na ethanol), ibuprofen, tsarin glucocorticosteroids (GCS), shirye-shiryen lithium, inhibitors na carbonic anhydrase, sulfonamides, kwayoyi RP G analgesics.

Thrombital, umarnin don amfani: hanyar da sashi

Ana ɗaukar allunan Thrombital a baki, a wanke da ruwa, sau 1 a rana. Idan kuna fuskantar wahala haɗiye kwamfutar hannu gaba ɗaya, zaku iya tauna shi ko kuma ku murƙashe shi da foda.

Shawarwarin lokacin magani na thrombital:

• cututtukan zuciya, ciki har da thrombosis da ciwon zuciya mai rauni tare da abubuwan haɗari don rigakafin farko: a ranar farko - Allunan 2, sannan kwamfutar hannu 1 a kowace rana,
• thromboembolism bayan tiyata na jijiyoyin bugun jini, maimaitawar myocardial infarction da thrombosis na jini don manufar rigakafin: a cikin kullun na allunan 1-2,
• angina mai gushewa: a cikin kullun na 1-2 Allunan, don ɗaukar sauri, ana ba da shawarar kwamfutar hannu ta farko da tauna.

Thrombital an yi niyya don amfani da tsawanta, kashi na magani da tsawon lokacin magani ana ƙaddara ta likita mai halartar.

Theauki magani ana buƙatar kawai a cikin allurai na sama daidai da alamun.

Side effects

• tsarin juyayi: sau da yawa - rashin bacci, ciwon kai, marassa galibi - yawan bacci, farin ciki, da wuya - tinnitus, zubar jini a cikin jijiya, tare da ƙarancin lokacin da ba a sani ba - asarar ji (yana iya zama alama ta yawan ƙwayar ƙwayar cuta),
• tsarin hematopoietic: sau da yawa - yawan zubar jini (goms na zubar jini, hanci hanci, hematomas, zub da jini daga kwayoyin halittar jini), da wuya - anemia, rare rare - thrombocytopenia, hypoprothrombinemia, aplastic anemia, neutropenia, eosinophilia, agranulocytosis, with a ba'a sani ba - An sami rahotannin manyan maganganu na zub da jini (alal misali, kamar zubar jini ko na hanji da gudawa, musamman ma a cikin marassa lafiyar da ke fama da cutar hawan jini wanda bai kai su ba) hauhawar jini da / ko karɓar magani tare da magungunan anticoagulant), a wasu yanayi suna da dabi'ar haɗari, zubar jini zai iya haifar da haɓaka rashin ƙarfi ko rashin ƙarfi na baƙin ƙarfe / postemorrhagic anemia (alal misali, saboda tsawan tsafe-tsafe) tare da alamomin asibiti da alamomin gwaji da alamu (pallor , asthenia, hypoperfusion), a cikin marasa lafiya da mummunan siffofin gubar glucose-6-phosphate dehydrogenase, lokuta na hemolysis da hemolytic anemia sun ba da rahoton,
• tsarin numfashi: sau da yawa - bronchospasm,
• tsarin urinary: tare da wani saurin da ba a sani ba - yana aiki sosai game da aiki na fyaɗe da gazawar m game da,
• tsarin narkewa: sau da yawa - ƙwannafi, sau da yawa - amai, tashin zuciya, maras-wuya - jin zafi a cikin ciki, na ciki da duodenal raunuka, ciki har da na ciki, daɗaɗɗen rauni (da wuya) zub da jini, da wuya - ƙaruwar aiki na enzymes hanta, da wuya sosai - stomatitis, cututtukan erosive na babba na ciki, tsaurara, esophagitis, colitis, ciwon hanji mai narkewa, tare da yanayin da ba a sani ba - rage yawan ci, zawo,
• halayen rashin lafiyan jiki: sau da yawa - urticaria, edema na Quincke, na lokaci-lokaci - halayen anaphylactic, ciki har da angioedema, tare da yanayin da ba a sani ba - fatar fata, ƙaiƙayi, kumburi na hanci, rhinitis, cututtukan zuciya na zuciya, mummunan halayen, ciki har da anaphylactic shock .

A yayin bayyanar / ɓacin rai na abubuwanda aka bayyana abubuwanda ba'a bayyana ba ko kuma wasu abubuwan da suka faru, ya zama tilas a nemi likita.

Yawan abin sama da ya kamata

Za'a iya lura da yawan zubar da jini na thrombital duka bayan kashi ɗaya na babban kashi, kuma tare da tsawan magani. Tare da kashi ɗaya na acetylsalicylic acid a wani kashi a ƙasa da 150 mg / kg, ana ɗaukar mummunan guba, mai ƙima sosai, na kashi 150-300 mg / kg - matsakaici, kuma lokacin amfani dashi a allurai mafi girma - mai tsanani.

Bayyanar cututtukan da suka shafi yawan ƙwayoyi daga rauni zuwa ƙarancin matsakaici sun haɗa da: rauni na gani, rashin jin magana, ciwon kai, tinnitus, tsananin farin ciki, haɓaka mai yawa, amai, tashin zuciya, hauhawar jini, tachypnea, rikicewa, alkalo na numfashi. Tare da haɓakar waɗannan alamun, ana wajabta su tsokanar amai da tilasta alkaline diuresis, sake amfani da carbon wanda aka kunna, kuma ana ɗaukar matakan dawo da daidaiton ruwa-electrolyte da jihar acid-base.

Bayyanar cutar rashin jini ta Thrombital daga matsakaici zuwa mai tsanani na iya haɗawa da: zazzabi jiki mai ƙarfi (hyperpyrexia), ƙwalƙwalwar numfashi tare da rashi metabolos acidosis, hauhawar jiki, rashin damuwa, rashin jijiyoyin zuciya, rashin kumburi, rashin jini, tashin zuciya, tashin zuciya, tashin zuciya, raunin zuciya. , zubar jini na ciki, tinnitus, kururuwa, hyperglycemia, hypoglycemia (galibi a cikin yara), ketoacidosis, rashin ruwa, aikin nakasa mara kyau (daga oliguria zuwa Nia koda insufficiency, hyper- da hyponatremia daban-daban, hypokalemia), hanawa na tsakiya m tsarin (drowsiness, seizures, shafi tunanin mutum da rikice, coma), mai guba encephalopathy, haematological cuta (danniya na platelet tari zuwa coagulopathy, hypoprothrombinemia, wani elongation na prothrombin lokaci).

Idan ya kasance cikin matsakaicin matsakaici / mummunar ƙwayar cuta, ana buƙatar asibiti cikin gaggawa don magani na gaggawa. Lavage ciki, ana maimaita gudanar da aikin gawayi da laxatives, tare da salicylates fiye da 500 MG / l, fitsari yana maganin alkinta (iv) jiko na sodium bicarbonate (88 meq a cikin 5% maganin glucose a kashi na 1 l, a cikin kudi na 10 l –15 ml / kg / h). Diuresis an jawo shi kuma an sake dawo da karfin yaduwar jini (ta hanyar jiko sau biyu ko sau uku na sodium bicarbonate a cikin kashi daya). Ya kamata a ɗauka a hankali cewa ƙwayar cuta mai saurin kamuwa da ƙwayar cuta zuwa tsofaffi marasa lafiya na iya haifar da cutar huhu. Acetazolamide don alkalin fitsari ba a bada shawarar ba, tunda yana iya tsokanar cutar kwayar cuta da kuma inganta tasirin guba na salicylates.

Lokacin yin alkaline diuresis, ana buƙatar samun ƙimar pH tsakanin 7.5 da 8. An tsara hemodialysis don ƙwayar plasma na salicylates a cikin jini fiye da 1000 mg / l, kuma a cikin marasa lafiya tare da guba na kullum - 500 mg / l ko ƙasa idan an nuna (ci gaba da haɓaka, refractory acidosis, na koda, gazawar hanji, huhun ciki, lalacewar tsarin jijiya mai rauni). A bango na huhun huhun ciki, ana yin iska ta huhun huhu tare da cakuda sinadarin oxygen, tare da cututtukan cerebral edema - hauhawar jini da osmotic diuresis.

Barazanar maye mai guba na ta ƙaruwa cikin tsofaffi lokacin amfani da thrombital na kwanaki da yawa akan kashi fiye da 100 mg / kg kowace rana. A cikin marasa lafiya na wannan rukunin na wannan zamani, yakamata a ƙayyade matakin salicylates a cikin plasma lokaci-lokaci, tunda ba koyaushe suke ƙayyade alamun farkon salicylism ba, kamar raunin gani, tinnitus, tashin zuciya, amai, matsananciyar ƙarfi, ciwon kai, tsananin farin ciki.

Umarni na musamman

Ya kamata a dauki Thrombital kamar yadda likita ya umarce shi.

Game da shan Acetylsalicylic acid a allurai da suka fi karfin warkewa, hadarin yaduwar jijiyoyin jini yayi yawaita.

A ƙarshen tushen ɗaukar Acetylsalicylic acid a lokacin da / ko bayan tiyata, ci gaban zubar jini daban-daban mai yuwuwar mai yiwuwa ne. A cikin marasa lafiya waɗanda ke karɓar ƙananan allurai na acetylsalicylic acid, 'yan kwanaki kafin aikin tiyata da aka shirya, ya zama dole don tantance haɗarin zubar jini idan aka kwatanta da barazanar cututtukan ischemic. Tare da babban haɗarin zub da jini, ya kamata a yi watsi da maganin na ɗan lokaci.

Ta yin amfani da thrombital a lokaci guda tare da barasa, haɗarin lahanin mucosal na ciki da tsawan jini na ƙaruwa.

Yayin tsawan lokacin jiyya tare da miyagun ƙwayoyi, yakamata a yi gwajin jini gaba ɗaya da gwajin jinin fitsarin jini lokaci-lokaci.

Haihuwa da lactation

A cikin watanni uku na ciki na I da III, amfani da Thrombital an hana shi, tunda yana da tasirin teratogenic. A farkon watanni uku na ciki, yin amfani da miyagun ƙwayoyi na iya haifar da share farfajiya na babba a cikin tayin, da kuma a cikin uku na uku, zuwa hana aiki (hanawar prostaglandin synthesis), kumburin jijiyoyin zuciya da hauhawar jini a cikin jijiyoyin ƙwayoyin cuta, ƙwanƙwasawar hanji na tayin a cikin tayin.

Acikin salicylic acid yakan ratsa katangar cikin mahaifa. A cikin sati na II na ciki, shan miyagun ƙwayoyi zai yiwu ne kawai idan amfanin da ake tsammanin zai yiwa mahaifiya fiye da barazanar tayi wa tayi.

Acetylsalicylic acid, kamar metabolites dinsa, ya shiga cikin madarar nono. Yayin amfani da thrombital, ya kamata a daina shayar da jarirai nono.

Abubuwan haɗuwa na Thrombital da Cardiomagnyl

Waɗannan samfura biyu ne. Abubuwan da ke aiki a cikin abubuwan da ke tattare da su: acetylsalicylic acid (75-150 mg), magnesium hydroxide (15.2 ko 30.39 mg).

Ana bayar da ingantaccen sakamako saboda tasirin samfurori. Magunguna suna hana aikin thromboxane A2, wanda ke rage ikon platelet don ɗauka bangon tasoshin jini. A lokaci guda, akwai raguwa a cikin aiwatar da ɗaurin waɗannan ƙwayoyin jini ga juna, an hana kirkiro ƙwayoyin jini, kuma jijiyoyin varicose ma alama ce don amfani. Dukiyar Antithrombotic yana bayyana cikin kwanaki 7. Don cimma wannan sakamakon, ya isa ya ɗauki kashi 1.

Wani mallaki na acetylsalicylic acid shine ikon samun tasiri mai kyau akan tsarin zuciya. Tare da magani tare da wannan abu, akwai raguwa a cikin hadarin mutuwa a cikin infarction myocardial. Magungunan yana taimakawa hana ci gaban wannan yanayin cututtukan cuta da cututtuka daban-daban na tsarin zuciya.

Yayin maganin maganin ƙwayar cuta, lokacin prothrombin yana ƙaruwa, yawan aiwatar da aikin prothrombin a cikin hanta yana raguwa. Bugu da ƙari, akwai raguwa a cikin haɗakar abubuwan coagulation (kawai bitamin K-dogara).

Lokacin ɗaukar thrombital da cardiomagnyl, ikon platelet don biye bangon jijiyoyin jini yana raguwa.

Akwai manyan magunguna da yawa, a gaban waɗanda kwayoyi zasu iya haifar da lahani:

• basur,
• karancin platelet,
• kumburin ciki na ciki,
• abin da ya faru na asma a lokacin jiyya tare da NSAIDs,
• mai rauni daskararction,
• ciki a cikin na farko da na uku,
• lactation
• rashin ƙarfi ga abubuwan da magunguna,
• shekaru zuwa shekaru 18
• na gazawar
• maganin methotrexate.

Ya kamata a sha kwayoyi tare da taka tsantsan saboda lahanin cutarwa a lamura masu zuwa:

• gout
• activityara ayyukan hanta na hanta,
• hawan jini
• tarihin ciwon ciki da zubar jini,
• asma,
• polyposis a hanci,
• rashin lafiyan mutum
• ciki 2 trimesters.

A wasu halaye, shan kwayoyin na iya zama mai cutarwa, sabili da haka, lokacin gano alamun hana haihuwa, bai kamata a yi watsi da su ba. Idan akwai abubuwanda suka sabawa juna, likitan ya yanke shawarar da ya dace da shigarwar cikin sauki.

Duk da cewa magungunan suna amfana daga cututtuka na zuciya da jijiyoyin jini, haɓaka aiki da ƙwaƙwalwar zuciya, idan adadin ya wuce, suna iya haifar da lahani ga lafiya. Rarrabar yawan yawan cutar yawan maye shine

1. Matsakaici. Akwai tashin zuciya da amai, matsanitus, rikicewar tsarin ƙwaƙwalwar jini - karuwar zubar jini, tashin zuciya. Sauraron ji, rikicewa da damuwa da faruwa. An wanke mai haƙuri tare da ciki kuma an wajabta cikakken isasshen ƙwayar carbon mai aiki. Jiyya ya dogara da hoton asibiti akan abin da ya wuce kima.
2. Mai nauyi. Zazzabi, coma, numfashi da kuma rashin lafiyar zuciya, rashin lafiyar haila mai mahimmanci. Ana gudanar da jiyya a asibiti. An nuna wa mai haƙuri jiyya mai zurfi, wanda ya haɗa da gabatarwar mafita na alkaline na musamman, gudanar da tsarin diuresis da lalacewar ƙwayar ciki, hemodialysis.

Idan akwai yawan yawan ƙwayoyin cuta na jini, tashin zuciya da amai, ana lura da tinnitus.

Wadannan kwayoyi suna inganta tasirin wasu magunguna, muddin ana amfani dasu tare:

1. Methotrexate. Rage izinin keɓaɓɓen ɗan adam, lalata shaidu tare da sunadarai.
2. Heparin da maganin rashin daidaituwa. Filatoci suna canza aikinsu. Anticoagulants an tilasta su daga cikin shauran su tare da sunadarai.
3. Magungunan rigakafi da wakilai na hypoglycemic - ticlopidine.
4. Shirye-shirye wanda ya ƙunshi ethanol.
5. Insulin da magungunan hana daukar ciki.
6. Digoxin. Akwai raguwa a cikin harafin koda
7. Acid din acid din. Fitar da shi daga ɗaurinsa tare da sunadarai.

Bi da bi, magunguna kashe aikin:

• wakilai mai hana ruwa a jiki
• antacids da colestyramine.

Fa'idodin waɗannan magungunan suna raguwa lokacin ɗauka tare da Ibuprofen.

Hulɗa da ƙwayoyi

Tare da yin amfani da acetylsalicylic acid yana haɓaka aikin na kwayoyi / abubuwa masu zuwa sakamakon haɓaka sakamako masu zuwa:

• digoxin - renarasa na haɓaka yana raguwa,
• methotrexate - raguwar kariyar koda, kuma wannan kayan yana watsewa daga sadarwa tare da sunadarai, wannan hade yana haifar da karuwa game da halayen halayen da suka shafi kwayoyin halittar jini,
• antidiabetic oral jami'ai (abubuwan da suka samo asali na sulfonylurea) da insulin - acetylsalicylic acid a cikin allurai yana nuna tasirin cutar hypoglycemic, abubuwan da ke haifar da maganin sulfonylurea sun watse daga sadarwa tare da sunadarai na jini.
• heparin da maganin rashin daidaituwa - aikin platelet ba shi da kyau, anticoagulants na kaikaice daga sadarwa tare da sunadaran plasma,
• sinadarin valproic acid - an cire wannan sinadaran daga sadarwa tare da kariyar plasma,
• narcotic analgesics, sauran NSAIDs, thrombolytic, antiplatelet da magungunan anticoagulant (ticlopidine) - ya kamata a yi taka tsantsan tare da wannan haɗin.

Lokacin da aka haɗu da acetylsalicylic acid tare da wasu kwayoyi / abubuwa, ana iya lura da sakamakon masu zuwa:

• barbiturates da gishiri na lithium - yawan plasma na waɗannan jami'ai yana ƙaruwa,
• ibuprofen - cututtukan zuciya na acetylsalicylic acid an rage su yayin da ake amfani da su a allurai har zuwa 300 MG saboda rauni na tasirin antiplatelet, a gaban haɓakar haɗarin cutar cututtukan zuciya, wannan haɗin ba da shawarar ba,
• magungunan anticoagulants, thrombolytics, jami'ai na antiplatelet - hadarin zubar da jini yana ta karuwa,
• Magungunan GCS, ethanol da ethanol - suna da mummunan tasiri akan mucosa na ciki na haɓaka, kuma haɗarin zubar jini na haɓaka,
• systemic corticosteroids - kawar da salicylates yana inganta, kuma tasirin su ya raunana, bayan sokewa amfani da tsarin corticosteroids, haɗarin yawan abin haɓaka na salicylates yana ƙaruwa,
• ethanol - tasirin mai guba na wannan abu akan tsarin juyayi na tsakiya yana ƙaruwa,
• colestyramine, antacids - an rage yawan acid acetylsalicylic,
• shirye-shiryen uricosuric (probenicide, benzbromaron) - ana raunana tasirin su sakamakon gasawar da akeyi na zakari ta hanyar hakar uric acid,
• angiotensin-juyar da enzyme mai hanawa - ana rage raguwar-yawan kumburi a dunkulewar duniya saboda ƙin karuwar prostaglandins, yana nuna tasirin vasodilating kuma, sakamakon hakan, raguwa cikin tasirin lalata,
• diuretics (a hade tare da babban allurai na acetylsalicylic acid) - raguwa a cikin ƙirar fillo na glomerular saboda raguwa a cikin samar da prostaglandins a cikin kodan mai yiwuwa ne.

Ana amfani da alamun Trombital sune: Cardiomagnyl, Trombital Forte, ThromboMag, Phasostabil.

Nasihun Trombital

Reviews game da Trombital ne da gaske tabbatacce. Marasa lafiya sun lura da tasiri na wakilin antiplatelet lokacin da ake amfani da shi don rigakafin cututtukan zuciya, da maimaita kai harin na myocardial infarction da thromboembolism bayan tsoma bakin tiyata a kan jiragen, har ma da rigakafin cututtukan angina. Dangane da sake dubawa, bayan magani tare da miyagun ƙwayoyi akwai ingantaccen sakamako mai kyau. Hakanan, marasa lafiya suna lura da cikakken asalin wannan magani tare da Cardiomagnyl na ƙasashen waje, amma farashin magungunan Rasha ya ɗan ɗan ƙasa fiye da takwaransa, wanda yake da mahimmanci ga marasa lafiya yayin maganin na dogon lokaci.

Rashin kyawun maganin ya haɗa da babban jerin abubuwan contraindications da halayen m. Don rage tasirin narkewa kamar narkewa, yawancin marasa lafiya suna ba da shawarar shan thrombital bayan abinci.

Halin Haɓaka Trombital

Mai masana'anta - Ma'aikatar magunguna (Russia). Nau'i na sakin miyagun ƙwayoyi shine allunan da aka rufe fim. Wannan kayan aiki ne mai abubuwa biyu. Abubuwan da ke aiki a cikin abun da ke ciki: acetylsalicylic acid (75-150 mg), magnesium hydroxide (15.20 ko 30.39 mg). An nuna maida hankali ne ga waɗannan abubuwan ga kwamfutar hannu 1. Babban kaddarorin miyagun ƙwayoyi:

• anti-tarawar,
• maganin ƙwayar cuta.

Don sanin wanda ya fi kyau, thrombital ko cardiomagnyl, wajibi ne don kimanta matakin ingancin magungunan.

Ana bayar da ingantaccen sakamako saboda tasirin samfurori. Magungunan yana hana kwaro na thromboxane A2, wanda ke rage iyawar platelet don bin bangon jijiyoyin jini. A lokaci guda, akwai raguwa a tsarin aiwatar da wadannan kwayoyin halittar jini ga juna, an hana samuwar makullin jini. Dukiyar Antithrombotic yana bayyana cikin kwanaki 7. Don cimma wannan sakamakon, ya isa ya ɗauki kashi 1 na magani.

Karanta ƙari game da kowanne ƙwayoyi a cikin labaran:

Wani mallaki na acetylsalicylic acid shine ikon samun tasiri mai kyau akan tsarin zuciya. Tare da magani tare da wannan abu, akwai raguwa a cikin hadarin mutuwa a cikin infarction myocardial. Magungunan yana taimakawa hana ci gaban wannan yanayin cututtukan cuta da cututtuka daban-daban na tsarin zuciya.

Tare da maganin thrombital, lokacin prothrombin yana ƙaruwa, ƙaruwa kan aiwatar da aikin prothrombin a cikin hanta yana raguwa. Bugu da ƙari, akwai raguwa a cikin haɗakar abubuwan coagulation (kawai bitamin K-dogara).

Dukiyar Antithrombotic yana bayyana cikin kwanaki 7. Don cimma wannan sakamakon, ya isa ya ɗauki kashi 1 na magani.

Ya kamata a gudanar da aikin maganin thrombital tare da taka tsantsan idan an tsara sauran magungunan anticoagulants a lokaci guda. Hadarin rikitarwa yana ƙaruwa, zub da jini na buɗe.

Bugu da ƙari, sauran kaddarorin acetylsalicylic acid an kuma bayyana su: anti-mai kumburi, antipyretic, analgesic. Saboda wannan, ana iya amfani da thrombital don rage yawan zafin jiki, don jin zafi na daban-daban illolin, a bango na haifar da kumburi na jijiyoyin jiki. Wani mallakin magungunan shine ikon hanzarta fitar da uric acid.

Rashin kyawun maganin yana haɗa da mummunan sakamako akan ƙwayoyin mucous na gabobin ciki. Don rage tasirin acetylsalicylic acid da hana haɓaka rikice-rikice, an gabatar da wani sashi a cikin abun da ke ciki - magnesium hydroxide. Alamu don amfanin thrombital:

• rigakafin zuciya da cututtukan jijiyoyin jiki da hana bugun zuciya,
• rigakafin jini clots,
• rigakafin thromboembolism bayan tiyata a kan tasoshin,
• Rage haɗarin sake haɓaka daga lalacewa ta hanyar ɓoyewar,
• angina pectoris m.

Aikin Cardiomagnyl

Takaddal GmbH (Jamus) ne ya ƙera da Cardiomagnyl.

Nau'i na sashi: allunan da ke shiga ciki.

Abubuwan da ke aiki: acid na acetylsalicylic - 75/150 mg, magnesium hydroxide - 15.2 / 30.39 mg.

Waɗanda suka ƙware: celclose microcrystalline, sitaci masara, sitacin dankalin turawa, magnesium stearate.

Harsashi: methylhydroxyethyl cellulose, propylene glycol, talc.

Menene bambance-bambance da kamance tsakanin Thrombital da Cardiomagnyl?

Magungunan suna da kama sosai a gwargwadon yawan aiki - acetylsalicylic acid (ASA), da antacid - magnesium hydroxide. Hanyar aiwatar da waɗannan magunguna ta dogara ne da yanayin dogaro-daƙari na sakamakon cutar ASA a jiki.

A cikin ƙananan allurai, acetylsalicylic acid yana nuna kaddarorin antiplatelet, i.e. iya bakin ciki da jini.

ASA a sashi na 30-300 mg / rana. irreversibly ya toshe enzymes cyclooxygenase (COX), wanda ke cikin haɓakar thromboxane A2. Ana amfani da wannan kadarar ta ASA don hana cututtukan zuciya da ke tattare da haɗuwa da hauhawar jijiyoyin jini: thromboembolism, shanyewar ischemic da infarction na myocardial.

Daga cikin cututtukan da ke tattare da cutar ASA, babbar haɗari ita ce ƙarancin haɗarin lalata da raunuka a jikin bangon ciki da duodenum. Wannan tasirin da ba a so yana da alaƙa da hanawar kayan aikin cytoprotective na sel na ɓoye lokacin da ke toshe enzymes na COX, wanda ya ƙunshi ba kawai a cikin haɗin thromboxane A2 ba, har ma da ƙirƙirar prostaglandins (PG). Inhibation of GHG synthesis an bayyana shi sosai lokacin ɗaukar manyan allurai na ASA (4-6 g), amma ana iya ganin cytoprotection mai ƙarancin nama yayin amfani da ƙananan allurai.

Don kare ganuwar gastrointestinal fili, allunan Trombital da Cardiomagnyl an shafe su tare da murfin fina-finai na ciki, abun da ke ciki wanda ke da bambance-bambance waɗanda ba su shafi abubuwan kariyarsu.

Abubuwan da ke amfani da magungunan ba su da bambance-bambance a cikin kayan aiki ko sashi, don haka alamomi na shan wadannan magunguna duka iri daya ne:

1. Prophylaxis na farko na thrombosis da rauni na zuciya a gaban abubuwan haɗari (ciwon sukari mellitus, hyperlipidemia, hauhawar jini, kiba, shan taba, shekaru fiye da 50).
2. Yin rigakafin infarction na biyu na myocardial infarction da thrombosis.
3. Yin rigakafin thromboembolism bayan tiyata na jijiyoyin jini.
4. Babu matsala angina pectoris.

Contraindications don shan waɗannan magunguna sune:

• rashin jituwa ga NSAIDs, musamman ASA,
• peptic ulcer a cikin m lokaci ko a cikin anamnesis,
• hali na zub da jini a cikin narkewa,
• asma,
• polyposis na hanci mucosa,
• hawan jini
• basur na jini,
• hypoprothrombinemia,
• sassauci aortic aneurysm.

Wanne ne mafi arha?

Don kwatantawa, tebur yana nuna farashin waɗannan kwayoyi na nau'ikan saki:

Thrombital cikin gida shine wakili mai ƙarancin antiplatelet fiye da takwaransa na Jamusanci.

Shin zai yiwu a maye gurbin thrombital tare da cardiomagnyl?

Wadannan magungunan za a iya musayar su a yayin aikin jiyya na rigakafi, tunda ba su da bambance-bambance a cikin abubuwanda ke aiki. Alamu don amfani da contraindications iri ɗaya ne.

Krasko A. V., likitan zuciya, Tatishchevo: "Tare da gudanar da shirye-shiryen lokaci daya na shirye-shiryen dauke da acetylsalicylic acid, an inganta haɓakar jikinsu. Waɗannan magungunan ya kamata likita ya tsara su, kuma ya kamata a aiwatar da hanyoyin yin rigakafi a karkashin kulawa na likita (gwaje-gwaje, OAK)."

Marinov M. Yu., Likita, Verkhoyansk: “Samun wadatar wadannan magunguna, a gefe guda, yana da kyau ga mara lafiya, amma a daya bangaren, yana kara hadarin kurakurai a cikin magungunan kai.Yana kuma ana amfani da magungunan don rage yanayin marasa lafiya da ke dauke da cutar ta varicose ko kuma cututtukan cerebrovascular. "Kammala aikin prophylactic ya kamata ya faru a hankali kuma a ƙarƙashin kulawar likita. Tare da ƙin yarda da kwayoyi, akwai haɗarin haɓakar thrombosis."

Alina, mai shekara 24, Moscow: "Duk magungunan biyu suna da kyau a madadin sauki allunan Acetylsalicylic acid - kayan aiki mai arha ne, amma ba shi da sauƙin amfani da shi don zubar da bakin jini. Girman membrane yana kare lafiyar ciki, yana kawar da babban tasirin sakamako."

Olga, 57 years old, Barnaul: "Na zabi Cardiomagnyl wa kaina a farkon farawa. Amma daga baya na maye gurbin shi da Trombital. Ban ji wani banbanci ba ban ga wata illa ba. Akwai wasu magungunan analogues na wadannan kwayoyi a cikin kantin magunguna."

Mene ne bambanci tsakanin Thrombital da Cardiomagnyl

An samar da Thrombital a cikin allunan mai rufi, wanda ke rage matakin mummunan tasirin akan ciki. Cardiomagnyl yana samuwa a cikin allunan da ba a sanya su ba, sabili da haka, acetylsalicylic acid yana da ƙarfi sosai akan mucosa na ciki.

Bambanci kan farashi karami ne. Kunshin Trombital (Allunan 30) farashin kimanin rubles 115, Cardiomagnyl - 140 rubles.

Abun da ke tattare da magunguna iri daya ne, saboda haka suna da alamomi iri ɗaya da maganin hana haifuwa. Thrombital an fi son shi a cikin cututtukan cututtukan zuciya saboda fim ɗin rufe allunan.

Nazarin likitocin game da Trombital da Cardiomagnyl

Dmitry, likitan jijiyoyin bugun jini, Moscow

An tsara maganin thrombital koyaushe ga marasa lafiya da cututtukan jijiyoyin jini. Sashi - 75 MG sau ɗaya kowace rana don abincin rana bayan abinci. Babban magani kuma mara tsada. Maganin da ya dace a cikin tiyata. Dukkanin marasa lafiya sun gamsu da farashin da ingancin maganin.

Vladimir, likitan zuciya, St. Petersburg

Cardiomagnyl yana da sashi na 75 MG, wanda shine mafi ƙarancin tasiri wanda ke tasiri don rage haɗarin infarction myocardial da bugun jini. Lowerarin ƙananan abun ciki na ASA a cikin ƙwayar cuta, ƙananan haɗarin yiwuwar zub da jini. Don haka 75 MG ya fi kyau a wannan batun fiye da 100 MG. A wannan yanayin, Cardiomagnyl zai iya inganta hangen nesa kawai a cikin marasa lafiya.

Igor, likitan fata, Vladivostok

Costarancin kuɗin magani, ingantaccen aiki dangane da rigakafin cututtukan zuciya da rikitarwarsu, ƙaramin adadin mummunan sakamako, kashi ɗaya a rana. Cardiomagnyl magani ne da ba makawa a cikin tiyata, wanda aka wajabta ga duk marassa lafiya 50+ da ke da jijiyoyin jijiyoyin jiki don hana bugun jini, bugun zuciya da kuma gudawa.

Cardiomagnyl yana samuwa a cikin allunan da ba a sanya su ba, sabili da haka, acetylsalicylic acid yana da ƙarfi sosai akan mucosa na ciki.

Neman Mai haƙuri

Marta, ɗan shekara 34, Yaroslavl

Ta dauki Trombital Forte (tare da matsakaicin adadin abubuwan aiki). Sakamakon mara kyau ya bayyana: tashin hankali na barci, ciwon kai, tsananin farin ciki, tashin zuciya. Na canza zuwa Trombital tare da ƙaramin kashi na manyan abubuwan haɗin. Ta yi hanyar magani ba tare da wahala ba.

Alena, mai shekara 36, ​​Nizhny Novgorod

Na kasance ina shan Cardiomagnyl fiye da shekaru 3. Babu wasu sakamako masu illa daga wannan maganin. Kwalban na tsawon watanni 3. Ina shan kwamfutar hannu 1 a rana, saya sikelin na Allunan 100, tare da kashi 75 na MG. Dole ne ya bugu koyaushe, saboda ina kan cutar sankara, akwai fistula, idan ba ku sha shi ba, ƙwayar jini na iya kasancewa. Sannan ba zai yiwu ba a gudanar da tsarin hemodialysis. Idan kawai kun saka catheter, amma kuma za'a iya katange shi. Sabili da haka, Ina shan shi koyaushe, yana taimaka, magani mai kyau.

Victoria, mai shekara 32, Volgograd

An sha magungunan yayin daukar ciki, saboda ba a samar da marassa kyau cikin jini kuma haihuwa ta fara farawa, a lokacin da aka tsara na 75 MG sau daya a rana bayan abincin dare na watanni 2. A wannan lokacin, babu matsaloli a ɓangare na ciki, kawai hanci hanci ya zama mafi m. Amma tunda abubuwan haɓaka sun kasance a bayyane a kan duban dan tayi, to, za'a iya jure tururuwa a hanci don kare kanka.

Halayyar Thrombital da Cardiomagnyl

Abubuwan da ke aiki da Cardiomagnyl shine acetylsalicylic acid. Shiga ciki cikin jini, yana toshewar haɓakar thromboxane (platelet sun haɗu a ƙarƙashin ƙarƙashin wannan enzyme, wanda yake haifar da thrombosis).

Additionalarin kayan aiki a cikin abun da ke ciki shine magnesium hydroxide. Abu mai narkewa ne (abu ne da ke rage girman acid din ciki).

Tare da haɗakar acetylsalicylic acid tare da magnesium hydroxide, ba ya nuna abubuwan da ke tattare da shi kuma ba ya lalata membrane. Wani amfani mai mahimmanci shine rashin ma'amala tsakanin abubuwan da aka gyara, sakamakon wanda suke shiga jini cikin yardar rai.

Abun da aka haɗa na Trombital ya ƙunshi kayan haɗin guda ɗaya. Tasirin amfani ya ci gaba har sati daya bayan gudanarwa. Mahimmanci! Abubuwan da ke aiki suna rage haɗarin ci gaban myocardial infarction. Suna bayar da tasiri a cikin rigakafin bugun jini. A cikin babban kashi, suna da anti-mai kumburi da analgesic effects.

Kwatantawa: kamanci da bambance-bambance

Magungunan da ake tambaya suna da rawar gani iri-iri. Alamu don amfanin su kamar haka:

1. Yin rigakafi da magani na thrombosis.
2. Maganin maganin thromboembolism bayan tiyata na jijiyoyin jini.
3. Kasancewar angina mara tsayayye.

Dole ne a tuna! Idan ɗayan magungunan bai dace da mai haƙuri ba, ba a son maye gurbin shi da analog. In ba haka ba, rashin hankali zai inganta.

Contraindications don amfani sune kamar haka:

1. Zubda jini da suturar mara nauyi.
2. Tarihin asma.
3. Mai tsananin rashin aiki na koda.

Hankali! Haramun ne a yi amfani da irin wadannan magunguna ga marasa lafiya ‘yan kasa da shekara 18. Zai fi kyau barin amfani da su a cikin farkon na uku da na uku na ciki, domin a lokacin ne samuwar gabobin gaban mahaifa ke faruwa (zai yi hanin hana aiwatar).
Mata masu shayarwa na iya amfani da waɗannan magungunan na ɗan gajeren lokaci, saboda salicates ya shiga cikin madara.

Bambance-bambance aka jera su a cikin tebur:

Yankin da likita ya bada shawara dole ne a lura dashi don gujewa yawan yawan zubar jini, tare da amai, tinnitus. Lokacin da waɗannan alamun suka bayyana, kuna buƙatar shafa hanjin ku.

Menene mafi kyawun Cardiomagnyl ko Thrombital

Lokacin zabar samfurin, kuna buƙatar la'akari da buƙatar niƙa kafin amfani. Idan akwai irin wannan buƙatar, zai fi kyau a zaɓi Cardiomagnil, saboda yana da haɗari.

Duk magunguna biyu ba su da sukari kyauta. Don haka za a iya cinye su ta hanyar marasa lafiya da masu ciwon sukari. Mahimmanci! Abubuwan haɗin da aka haɗa a cikin abubuwan haɗin su suna haɓaka aikin Heparin da Digoxin. Ba'a ba da shawarar haɗakar da magunguna tare da maganin rigakafi. In ba haka ba, zub da jini na iya bunkasa.

Tabbatar da tasiri na sakamakon daga masu amfani da likitoci zasu taimaka.

Daga angina pectoris, likita ya shawarci Cardiomagnil. Na yi farin ciki cewa ba kawai da sauri ba ta kawar da alamun cutar, amma kuma ba ta da sukari (Ina da tarihin ciwon sukari).

Mene ne bambanci tsakanin wani jami'in tsaro da mai bincike: menene aikin, bambance-bambance. Duba bayani anan.

Daga thrombosis, likita ya ba da umarnin thrombital. Babban fa'idodin shi ne farashi mai araha da tasiri a jiyya da hana cututtukan zuciya.

Don lura da cututtukan zuciya, na wajabta Trombital ko Cardiomagnil ga marasa lafiya. Kasancewar contraindications don amfani ana amfani da shi ta hanyar farashi mai araha da tasiri.

Duba umarnin bidiyo don shiri “Cardiomagnyl”:

Bambanci tsakanin Trombital da Cardiomagnyl

Lokacin zabar shirye-shiryen Trombital ko Cardiomagnyl, dole ne ka fara sanin kanka da abubuwan su, halaye na gaba ɗaya da bambance-bambance. A wannan yanayin, zaɓin magani ya kamata ya zama mai halartar likita ya halarci.

Lokacin zabar shirye-shiryen Trombital ko Cardiomagnyl, ya wajaba don sanin kansu da abubuwan su, halaye da bambance-bambance.

Menene banbancin Trombital da Cardiomagnyl?

Magunguna suna da tsari iri ɗaya kuma sun sha magani, don haka suna haifar da sakamako iri ɗaya. Alamomi da hani game da amfani da kwayoyi ma daidai suke.

Akwai magungunan Trombital na kwayar cuta a cikin tsarin kwamfutar hannu. A wannan yanayin, allunan an lullube su da kwaskwarimar kariya, saboda abin da ke tattare da haɗarin mummunan tasiri akan ƙwayoyin mucous na gabobin gastrointestinal.

Allunan magani na Cardiomagnyl basu da membrane na fim, saboda haka acetylsalicylic acid, a ƙarshen bangon amfani dasu, yana da mummunar tasiri akan tsarin narkewa.

Ra'ayin likitoci

Igor (likitan fata), 38 years old, Syktyvkar

Wadannan kwayoyi suna da tasiri sosai ga jini kuma suna hana ci gaba da cututtukan zuciya. Mafi sau da yawa, Ina yin maganin thrombital, saboda waɗannan kwayoyin an shafe su tare da takaddama na musamman, wanda ke sa jiyyarsu mafi aminci. Cardiomagnyl mai rahusa ne. Koyaya, ba zan ba da shawara ajiyar lafiya ba. Haka kuma, bambancin farashin karami ne.

Dmitry (likitan tiyata), dan shekara 40, Vladimir

Dukansu magunguna suna da babban matakin tasiri. Suna da bambanci ɗaya kawai - kasancewar fim ɗin membrane a cikin ƙwayar Trombital. Cardiomagnyl bashi da shi, don haka ya kamata a ɗauka tare da kulawa ta musamman kuma a ƙarƙashin kulawar likita. Wadannan magunguna suna jure haƙuri da masu ciwon sukari da kuma tsofaffi marassa lafiya. Abubuwan da ba su dace ba ya bayyana idan kun bi umarnin likita da kuma buƙatun umarnin.

Manuniya da contraindications don amfani

Dalilin magani tare da wannan magani shine inganta aikin gabobin tsarin zuciya, don hana samuwar ƙwayoyin jini.

An wajabta maganin don dalilai na rigakafi don guje wa sakamakon da zai yiwu a cikin marasa lafiya na ƙungiyar masu haɗari (fama da kiba, ciwon sukari, tashin zuciya, da kuma tsofaffin ƙungiyar da masu shan sigari).

An wajabta magunguna don thrombosis

Sakamakon ƙari ga babban maganin, ana iya tsara magunguna bayan tiyata (gami da jijiya mara jijiyoyi ta hanyar bugun zuciya). Yin amfani da magunguna na lokaci don dalilai na warkewa yana ba da gudummawa ga raguwa mai yawa a cikin yiwuwar aukuwar cutar sankarar jijiya.

An nuna kulawar trombital ga marasa lafiya:

• tare da m angina,
• don hana samuwar thrombosis bayan aikin,
• tare da babban haɓaka bugun zuciya da cututtukan jijiyoyin bugun gini,
• domin a hana samuwar karairayar cuta daga myocardial,
• a kan tushen zuciya rashin cin nasara m hanya,
• don hana samuwar jini a cikin jiragen.

Kayan aiki yana da wasu ƙuntatawa akan amfani. Ba'a ba da shawarar yin amfani da allunan don mutanen da ke da sha'awar zubar jini (a kan asalin cutar thrombocytopenia, ƙarancin rashin bitamin K, basur basur).

An hana shi sosai don ɗaukar marasa lafiya da rashin haƙuri ga asfirin, magungunan anti-steroidal anti-inflammatory, da kowane ɓangaren maganin. Ba'a amfani da wannan kayan aikin ilimin likitancin yara ba, bai dace da yara ba.

Bugu da ƙari, ba za a iya ɗaukar kayan aiki a gaban waɗannan yanayin ba:

• asarar jini
• asarar jini a ciki ko hanji,
• bugun zuciya 3 da FC, suna gudana a wani yanayi,
• mai tsanani hepatic da na koda, gazawar,
• bronchial fuka tare da rashin hangen nesa na acetylsalicylic acid,
• cututtuka na ulcerative etiology a cikin gabobin na narkewa kamar tsarin na m hanya,
• mata yayin haihuwar jarirai da kuma lokacin shayarwa.

Umarnin don amfani

Dole ne a yi amfani da karɓa ta hanyar maganin baka sau ɗaya a rana. Idan kuna fuskantar wahala haɗiye maganin duka, zaku iya tauna shi ko niƙa shi kafin amfani.

Sashin maganin yana faruwa ne saboda dalilin da yasa aka wajabta shi kuma aka bayyana shi a cikin teburin da ke ƙasa:

Mahimmanci! Thrombital far ya shafi tsawan amfani, yawan likitan da likitan halartar ya kamata ya ƙayyade adadin da tsawon lokacin kulawa.

Wajibi ne a yi amfani da maganin, lura da shawarwarin likita.

Thrombital da Cardiomagnyl: menene bambanci

Dangane da abubuwan da ke ciki, yawan abubuwan da ke aiki, alamomi da contraindications don amfani, thrombital da cardiomagnyl sune analogues. Amma saboda gaskiyar cewa allunan Trombital suna da ƙwayar kariya ta fim, an fi son su idan aka kwatanta su da Cardiomagnyl a cikin cututtukan cututtukan gabobin a cikin tsarin zuciya, tunda suna shafar tsarin narkewa da ƙasa da ƙarfi.

Farashi da yanayin hutu a cikin kantin magani

Kuna iya siyan maganin thrombital a kusan duk wani kantin magani ba tare da takardar izini daga likita ba. Kudin maganin yana faruwa ne saboda yawan maganinsa da adadin allunan da ke cikin kunshin, kuma kusan 92-157 rubles ne.

Ingantaccen ingantaccen bincike na mutanen da suka yi amfani da wannan magani yana tabbatar da ingancin Trombital a cikin maganin matsalolin zuciya da dalilai na kariya. Kayan aiki yana taimakawa rage haɗarin thrombosis, inganta yanayin aiki na tsarin zuciya da jijiyoyin jini, hana haɓakar infarbarewa a cikin mutane masu haɗari.