Allunan Thrombo ACC Manuniya

Fitar sashi na sakin Thrombopol shine allunan da ke ciki mai launi: ruwan hoda, biconvex, zagaye (a cikin blisters na 10 inji., A cikin kwali na kwali na 3, 5 ko 6, a cikin blisters na 25 guda biyu., A cikin kwali na kwali na blisters 2).

Abun ciki 1 kwamfutar hannu:

  • abu mai aiki: acetylsalicylic acid - 75 ko 150 MG,
  • karin abubuwan taimako: sitaci masara, sitaci carboxymethyl sitaci, microcrystalline cellulose,
  • harsashi: hypromellose, acrylic Wata cakuda ne don Allunan mai rufi, abun da ke ciki shine sodium lauryl sulfate, hydrogen carbonate sodium, methaclates acid copolymer (nau'in C), talc, citethyl citrate, titanium dioxide, sillofon silicon dioxide, daskide mai ruwan wuta (Ponceau 4R).

Pharmacodynamics

Thrombopol yana ɗayan NSAIDs (magungunan anti-inflammatory marasa steroidal), wakilan antiplatelet.

Tushen aikin aikin acetylsalicylic acid shine abu mai hanawa na hana iska da ake shaƙawa na COX-1 (cyclooxygenase), wanda ke haifar da shinge a cikin haɗin thromboxane A2 da kuma tsangwama agaban platelet.

Sakamakon antiplatelet yana faruwa ko da bayan amfani da ƙananan allurai na miyagun ƙwayoyi, tsawon lokacin tasirinsa bayan sati ɗaya shine kwana 7. Ana iya amfani da Acetylsalicylic acid don bi da kuma hana cututtukan da ke biye: yanayin infarction na zuciya, rikitarwa na jijiyoyin varicose, cututtukan zuciya na zuciya.

Bugu da kari, sinadarin yana da aikin farfadowa, anti-inflammatory da antipyretic.

Sakamakon murfin katako na allunan, an fitar da acetylsalicylic acid a cikin yanayin alkaline mafi yawa na duodenum, wanda ke taimakawa rage tasirin sa mai ji haushi a jikin mucosa na ciki.

Pharmacokinetics

Cutar acetylsalicylic acid daga Thrombopol yana farawa awanni 3-4 bayan shan maganin (wannan yana tabbatar da ingantaccen toshewar rushewar allunan a cikin ciki). Cmax (matsakaici mafi yawa na abu) a cikin adadin ƙwayar plasma 6.72 da 12.7 μg / ml (don Allunan na 75 da 150 MG, bi da bi), lokacin da za a kai shi kusan awa 2-3. Shan maganin yana rage gaban abinci a cikin gastrointestinal fili.

AUC (yanki a ƙarƙashin ɓoye lokaci-lokaci) shine 56.42 da 108.08 μg × h / ml (don Allunan 75 da 150 MG, bi da bi).

Acetylsalicylic acid ya haɗu da sauri cikin raunin jiki da yawancin kyallen takarda. Matsakaicin abin da ya jingina ga furotin na plasma ya dogara ne da taro.

Rarraba dangi kusan 0.15-0.2 l / kg; yana haɓaka lokaci guda tare da haɓaka cikin taro na ƙwayoyin thrombopol a cikin jini.

Ba kamar sauran salicylates ba, a kan tushen tsarin kulawa da miyagun ƙwayoyi, acetylsalicylic acid wanda ba mai ruwa-ruwa ba ya tara a cikin ƙwayar jini.

Acetylsalicylic acid wani bangare ne wanda aka adaba yayin sha. Wannan tsari yana faruwa a ƙarƙashin rinjayar enzymes a cikin hanta. An samar da metabolites masu zuwa (wanda aka samo a fitsari da kyallen takarda da yawa): phenyl salicylate, glucuronide salicylate, da acid na salicyluric.

T1/2 (rabin-rayuwa) na acetylsalicylic acid daga plasma jini yana cikin kewayon daga mintuna 15 zuwa 20.

Kashi 1% na maganin baka kawai an keɓance shi da nau'in acetylsalicylic acid da ba a ruwa da ruwa ba ta hanyar kodan, sauran a matsayin salicylates da metabolites.

A cikin rashin aiki na rashi, kashi 80-100% na kashi daya ne kodan ke kwance cikin sa'o'i 24-72.

Tsarin metabolism a cikin mata yana da hankali (saboda ƙananan ayyukan enzymes a cikin ƙwayar jini).

A cikin marasa lafiya tare da gazawar koda, har ma a cikin mata masu juna biyu da jarirai, salicylates na iya kawar da bilirubin daga ƙungiyar tare da albumin, wanda ke ba da gudummawa ga bayyanar billarubin encephalopathy.

Alamu don amfani

  • m angina,
  • m taushin infarction (hanawa na ƙananan ƙananan cututtukan ƙwayar cuta a gaban haɗarin haɗari, musamman ga cututtukan ciwon sukari, cututtukan zuciya, hauhawar jini, kiba, shan sigari, a cikin tsufa, da kuma rigakafin infarction na myocardial),
  • bugun jini (rigakafi, gami da marasa lafiya da cututtukan cututtukan cututtukan zuciya na hanji),
  • na wani lokaci hadarin maisanci (rigakafin),
  • thromboembolism (rigakafin a cikin bayan aikin bayan da kuma bayan tsoma baki a kan tasoshin, musamman, jijiyoyin zuciya jiyya grafting, carotid artery endarterectomy, carotid artery angioplasty, shudewa arteriovenous),
  • thrombosis mai zurfi da thromboembolism na huhu da jijiyoyinta (rigakafin, ciki har da a cikin marasa lafiya bayan babban tiyata a cikin lokacin tsawan lokaci na hanawa).

Contraindications

  • exacerbation na erosive da ulcerative raunuka na gastrointestinal fili,
  • haɗuwa da asma, kwayar maimaituwa na ƙwayar paranasal sinuses / hanci da haƙuri zuwa ga acetylsalicylic acid,
  • basur na jini,
  • na ciki,
  • Amfani da lokaci guda tare da methotrexate a kashi na 15 mg a mako daya ko sama da haka,
  • masu kumburin kumburin kwakwalwa na hanji wadanda suka salwanta da kuma NSAIDs,
  • Ni da III watanni uku na ciki, da kuma lokacin shayarwa,
  • shekaru zuwa shekaru 18
  • mutum haƙuri da kowane ɓangare na miyagun ƙwayoyi, kazalika da sauran NSAIDs.

Dangantaka (Thrombopol an wajabta shi a ƙarƙashin kulawar likita):

  • polyposis na hanci,
  • gout
  • cututtuka na numfashi na kullum,
  • hawan jini
  • na koda / hanta gazawar,
  • tarihin cututtukan cututtukan ciki da na duodenal ko zubar jini na ciki,
  • asma,
  • hay zazzabi
  • rashin lafiyan kwayoyi
  • amfani da lokaci daya tare da magungunan kashe kwari,
  • Yin amfani da lokaci guda tare da methotrexate a cikin kashi har zuwa 15 MG a mako,
  • Sati na uku na ciki.

Side effects

  • tsarin narkewa: haɓaka ayyukan hanta na hanta, tashin zuciya, amai, gudawa, ƙwannafi, jin zafi a ciki, kumburi da hanji na ciki da na duodenum, gami da ɓacin rai, hauhawar ciki,
  • tsarin juyayi na tsakiya: tinnitus, dizziness,
  • tsarin numfashi: zuciya,
  • halayen rashin lafiyan mutum: Quincke's edema, urticaria,
  • tsarin hematopoietic: karuwar zubar jini, da wuya - anemia.

Yawan abin sama da ya kamata

Alamun farko na yawan yawan wuce gona da iri ana nuna su ta hanyar tashin zuciya, amai, tinnitus da saurin numfashi, bugu da ƙari, rikice-rikicen masu zuwa na iya haɓakawa: rauni na gani, rashin ji, tashin hankali, tashin hankali, ciwon kai, amai, hauhawar jini, tashin zuciya. Tare da mummunan maye, hargitsi a cikin ruwa-electrolyte da ma'aunin acid-base (bushewa da acidosis metabolic) na iya bayyana.

Kwayar cutar rashin maye / matsakaici mai maye ta faru bayan amfani da acid-300 mg / kg acetylsalicylic acid. Vereaukar hoto mafi ƙaranci yana haɓaka tare da kashi 300-500 mg / kg. Matsakaicin fiye da 500 MG / kg yana da haɗari mai mutuwa.

Babu takamaiman maganin rigakafi don thrombopol. A matsayin magani, don rage shaye shaye na miyagun ƙwayoyi, ana nuna matakan da ke gaba: haifar da amai da kurɓa cikin ciki. Wadannan matakan suna da tasiri don sa'o'i 3-4 bayan shan miyagun ƙwayoyi, a cikin lokuta na shan ƙwayar wuce kima, ana kara wannan lokacin zuwa 10 hours. Don rage shaye-shayen abu, ya zama dole don ɗaukar dakatarwar ma'adinin carbon mai kunnawa (kashi na balaga - 50-100 g, yara - 30-60 g), yayin da ake sa ido akan daidaita ma'aunin ruwa (idan ya cancanta, dole ne a sake cika shi a kan kari).

A cikin lura da acidosis kuma don hanzarta haɓakar acetylsalicylic acid ta hanyar kodan, an nuna kulawa da jijiya na sodium bicarbonate, dole ne a kula da pH a cikin kewayon 7-7.5.

A cikin yanayin maye mai tsananin gaske, ana nuna rashin lafiyar hemodialysis ko a cikin hanjin diyya.

Sakamakon yiwuwar rashin lafiyar acidosis, shan kwayoyi waɗanda ke hana tsarin juyayi na tsakiya (kamar barbiturates) haramun ne. A gaban cututtukan numfashi, ya zama dole a tabbatar da rashin kulawa a hanya da kuma iskar oxygen. Idan ya cancanta, yi intubation na intratracheal kuma ku samar da iska ta zama.

Umarni na musamman

Acetylsalicylic acid na iya haifar da bronchospasm, kazalika da haifar da harin asma da sauran halayen rashin lafiyar jiki. Babban abubuwan da ke haifar da haɗari sune tarihin asma, ƙonewar hay, zazzabin hanci, cututtukan hanji, rashin lafiyan ga wasu kwayoyi (alal misali fatar fata, ƙaiƙayi, amya).

Yin amfani da maganin acetylsalicylic acid na iya haifar da yawan zubar jini yayin / bayan ayyukan tiyata. A wannan batun, kwanaki 5-7 kafin aikin da aka gabatar, ya kamata a dakatar da maganin.

Hadarin zub da jini yana ƙaruwa tare da haɗarin thrombopol tare da maganin anticoagulants, inhibitors platelet, da magungunan thrombolytic.

Doarancin allurai na acetylsalicylic acid a cikin yanayin haɓaka (rage raguwar uric acid excretion) na iya haifar da gout.

Tare da haɗuwa da thrombopol tare da methotrexate, haɗarin halayen m daga gabobin hematopoietic yana ƙaruwa.

Babban allurai na acetylsalicylic acid yana haifar da sakamako na hypoglycemic, wanda yakamata a la'akari da marasa lafiya tare da masu ciwon sukari waɗanda ke karɓar kwayoyi tare da tasirin hypoglycemic.

Tare da yin amfani da glucocorticosteroids tare da thrombopol, ana rage raguwa a cikin jini, kuma bayan shafe glucocorticosteroids, yawan zubar da jini yana yiwuwa.

Amfani da kwanciyar hankali tare da ibuprofen ba da shawarar ba, tunda yana rage tasirin acetylsalicylic acid.

Haɗin acetylsalicylic acid da ethanol suna ƙaruwa da alama lalacewar ƙwayoyin mucous na hanji da na lokaci mai tsawo.

Yawan abin sama da ya kamata yana da ha ari musamman a cikin tsofaffi marasa lafiya. Saboda gaskiyar cewa a cikin marasa lafiya sama da shekaru 65, raguwa a aikin renal yana yiwuwa, wannan rukuni na marasa lafiya ya kamata a ba su thrombopol a rage yawan allurai.

Haihuwa da lactation

  • Ni da III trimesters na ciki: da miyagun ƙwayoyi ne contraindicated, da amfani da Thrombopol a cikin I trimester take kaiwa zuwa tsagawa daga cikin babba palate da lahani na zuciya, a cikin III trimester - don hana aiki, ƙulli na ductus arteriosus a tayin, ƙara yawan jini a cikin uwa / tayin, alƙawarin salicylates nan da nan kafin haihuwa zai iya haifar da zubar cikin ciki, musamman a jarirai,
  • Kashi na uku na ciki: Ana iya amfani da Thrombopol bayan cikakken bincike game da fa'idar / haɗarin,
  • lactation: da miyagun ƙwayoyi ne contraindicated.

Hulɗa da ƙwayoyi

Kwayoyi, sakamakon abin da aka haɓaka yayin haɗe shi da thrombopol:

  • methotrexate: yana da alaƙa da raguwa da warwarewar renal tare da raba shi daga sadarwa tare da sunadarai, haɗin yana haɓaka ko yana buƙatar taka tsantsan (lokacin amfani da allurai a sama ko har zuwa 15 MG a mako, bi da bi),
  • heparin da magungunan anticoagulants marasa daidaituwa: alaƙa da aikin platelet mara illa da kuma kawar da maganin rashin daidaituwa mara ma'ana daga sadarwa tare da sunadarai,
  • magungunan thrombolytic da magungunan tarin farashi (Ticlopidine),
  • digoxin: an danganta shi da raguwa a cikin ɗarin haɓakar kansa,
  • wakilai na hypoglycemic (insulin da abubuwan da ke haifar da sinadarin sulfonylurea): ana danganta shi da sifofin hypoglycemic na acetylsalicylic acid da kansa a cikin manyan allurai da kuma korawar abubuwanda suka samo asali daga abubuwan kariya,
  • valproic acid: saboda ƙaura daga haɗinsa da sunadarai,
  • NSAIDs
  • sulfonamides (gami da co-trimoxazole),
  • barbiturates
  • salts na gishiri.

Magunguna waɗanda tasirinsu ya ragu tare da amfani tare da thrombopol:

  • sulfinpyrazone, probenecid, benzbromaron da sauran magungunan anti-gout waɗanda ke haɓaka excretion na uric acid: hade da guguwar lalata turular acid,
  • jami'ai na rigakafi, ciki har da angiotensin suna canza masu hana enzyme,
  • masu maganin aldosterone (musamman spironolactone),
  • madauki diuretics (musamman furosemide).

Sauran hulɗa mai yiwuwa:

  • barasa: ƙari sakamako,
  • glucocorticosteroids don amfani da tsari: raunana aikin thrombopol.

A takaice dai bayanin maganin

Thrombo ACC ana yin shi azaman ƙaramin farin-zagaye mai launin fari waɗanda suke mai rufin launi mai haske wanda yake narkewa cikin hanzari. Rayuwar shiryayye na miyagun ƙwayoyi bai wuce shekaru uku ba, kuna buƙatar adana kunshin tare da ita daga hasken rana. Abun da magani:

  • abu mai aiki: acid acetylsalicylic, gwargwadon maida hankali, Allunan 50 ne ko 100 MG,
  • karin abubuwan taimako.

Ana bayar da maganin a cikin cibiyar sadarwar kantin magani ba tare da takardar sayan magani ba. Koyaya, dole ne a yi amfani dashi a hankali kuma a cikin allurai da aka bada shawarar. Doa'idodin overdoses musamman marasa amfani ga tsofaffi.

Tasirin magungunan ƙwayar cuta ya dogara da mahimman halaye na asali - salicylic acid: raguwa a cikin hanyoyin kumburi, raguwa a cikin zafi, da kuma sakamako na analgesic. Earfin ether dinsa yana rage kira na thromboxane A2 a cikin platelet, don haka yana taimakawa hana haɓakar ɗaukar jini. Sakamakon ya bayyana kanta nan da nan bayan amfani da Thrombo ACC kuma yana kasancewa a cikin kwanaki 7 bayan shan kwamfutar hannu guda.

Alamu don tsara magunguna

Sakamakon da aka lura da aikin babban ɓangaren maganin yana ba da izinin a sanya shi don maganin prophylaxis da magani (duka monotherapy kuma a hade tare da wasu hanyoyi) na infarction na tsokar zuciya, ischemia, da kuma veins da veins. Babban alamun abin da aka wajabta wa Trombo ACC:

  • gaban angina pectoris,
  • rigakafin firamare da sakandare a cikin hadaddun lura da cututtukan zuciya daga abin da ya faru na infassation myocardial, musamman idan an gano mai haƙuri da ciwon sukari na mellitus, yawan kiba, kyawawan halaye (nicotine da jarabar giya), tsayayyen shekaru,

Amfani da Thrombo ACC a hade tare da wasu magunguna yana halatta ne kawai bayan tattaunawa tare da likitan halartar: Allunan suna inganta tasirin babban ɓangaren shirye-shiryen likita (gami da waɗanda aka yi niyya don warkar da zuciya), saboda wannan sakamakon irin wannan magani na iya zama wanda ba a iya faɗi ba.

Umarnin don daidaitawa na Thrombo ACC

Allunan ya kamata a sha rana ko maraice, kafin abinci da wanke ƙasa da ruwa mai yawa. An tsara Thrombo a matsayin hanya, tsawon lokacin da ya kamata likita ya ƙayyade dangane da cutar. Idan magani yana taimakawa kuma baya haifar da alamun cututtuka, to, za a iya ƙara yawan lokacin gudanarwa.

Shan Trombo ACC akan komai a ciki haramun ne!

Yawancin maganin da aka saba dashi shine 50-100 MG kowace rana. Sesa'idodin allurai (har zuwa 200 MG) an wajabta don maganin prophylactic na zurfin jijiya thrombosis da thromboembolism.

Yawancin magungunan ƙwayar cuta yana da ɗanɗano, tunda allunan suna ɗauke da ƙaramin taro na kayan aiki.

A cikin mutane masu tsufa, yin amfani da adadin ƙwayar ƙwayar cuta na iya tsokani sakamako mai illa:

  • mai rauni hankali da daidaituwa na motsi,
  • tsananin tashin zuciya da amai,
  • janar gaba daya
  • zuciya tashin hankali da kuma saukar karfin jini,
  • mai illa na renal da hepatic aiki.

A matakin farko na yawan abin sama da ya kamata, ya isa ya dauki gawayi, da tsabtace ciki da mayarda ma'aunin ruwa da magunguna da / ko magunguna. Game da babban mataki mai tsanani, asibiti cikin gaggawa tare da diuresis, hemodialysis, lalacewar ciki da hanji, maido da ma'aunin acid-base da kuma kula da lafiyar kulawa ya zama dole.

Magungunan magunguna na Thrombo ACC

Thrombo ACC yana da zaɓi mai yawa na analogues, don haka zaɓin ingantaccen magani bisa ga halaye, hanya ta gudanarwa, sashi da iyakancewar yiwuwar ba zai zama da wahala ba.

Dangane da alamomi don shigaA cewar bangaren na yanzuTa hanyar rukunin magunguna (jami'in rigakafi)
1. Jiyya da rigakafin ischemia:
acorta
Mai aiki
acecardol
vasocardine
warx,
dilaprel,
tsoka
rom Mrom rom
holletar
Mai daidaitawa.
2. Jiyya da rigakafin bugun jini da hare-haren ischemic:
agrenox,
Glycine canon
cardionate
dabariba
Marevan
annann,
3. Jiyya na rashin tsayayyen angina pectoris:
arikstra,
maganin asfirin
Clititax
Coromax
plogrel
fraxiparin.
  • agrenox,
    aspikor
    maganin asfirin
    Iralgesic
    cardiomagnyl
    sanvask
    thrombopol
    UPSA UPSA,
    tsitrapak.
  • tara
    agrenox,
    aducil
    maganin asfirin
    acecardol
    ventavis
    Sylt
    ilomedin,
    Clititax
    clopidex
    dabariba
    danniya
    plethazole
    manufa
    tiklo
    effient.

Lokacin maye gurbin Thrombo ACC tare da wasu kwayoyi, ya kamata ka nemi likitanka don dacewa da wasu kwayoyi.

Mai masana'anta, nau'i na saki, abun da ke ciki, sashi, bayanin

Kamfanin Thrombo ACC shine kamfanin kamfanin sarrafa magunguna na Austriya GL. Pharma GmbH, wanda tsire-tsire suke a cikin birnin Pannach. A Rasha, wakilin masana magunguna na Austrian shine kamfanin "Valeant", wanda yake a adireshin: 115162, Moscow, st. Shabolovka, gidan 31, gini 5. Yana a wannan adireshin ne zaku iya aikawa da dukkan ƙararrakin game da miyagun ƙwayoyi.

Ana samun Thrombo ACC a cikin tsarin sashi guda - shi allunan bakatauraron dan adam mai rufin fim. Allunan an cika su cikin blister (konvalyutki) da aka yi da aluminium da polyvinyl chloride, wanda, a biyun, ana sanya shi cikin akwatunan kwali tare da takaddun ganye tare da umarnin amfani. A cikin kwalaye - Allunan guda 14 ko 20.

Allunan Thrombo ACC suna dauke da acetylsalicylic acid azaman sashin aiki mai aiki, wanda aka fi sani da Aspirin. Amma ba kamar Aspirin na al'ada tare da sakamako na antipyretic da analgesic ba, abun da ke ciki na Trombo ACC ya ƙunshi acetylsalicylic acid a cikin ƙananan sashi, wanda ke ba shi sigar bambanci kaɗan, watau sakamako na antiplatelet. Don haka, a cikin allunan Thrombo ACC, acetylsalicylic acid yana cikin sashi guda biyu - 50 MG ko 100 MG. Dukansu magungunan sunada yawa, sabili da haka ana iya amfani da miyagun ƙwayoyi don kawai, kamar yadda mutane suka ce, "Sakamakon jini", kuma ba don rage zafi da rage yawan zafin jiki ba. Tabbas, idan kuna so, zaku iya amfani da Thrombo ACC don rage zafin jiki, amma saboda wannan dole ne ku ɗauki Allunan biyar nan da nan, wanda zai yi daidai da sashi zuwa kwamfutar hannu ɗaya na Aspirin na yau da kullun. Kuma wannan mara amfani ne kuma mara amfani ne.

Amma don maye gurbin Trombo ACC tare da Asfirin na yau da kullun yana yiwuwa sosai, tunda abu mai aiki iri ɗaya ne. Amma a wannan yanayin kawai kwamfutar hannu Aspirin dole ne a rarrabu zuwa bariki ko dare don samun sashi na acetylsalicylic acid a cikin 50-100 mg.

A matsayin abubuwan taimako, Allunan tare da sashi na 50 MG da 100 MG suna ɗaukar abubuwa guda: microcrystalline cellulose, lactose monohydrate, colloidal silicon dioxide da sitaci dankalin turawa. Harshen ƙwayar 100 MG da allunan 50 MG kuma sun hada da abubuwa guda, wato: talc, triacetin, copolymer na methaclates acid da ethyl acrylate (1: 1) (Eudragit L).

Allunan biyu allurai (50 MG da 100 MG) da kansu suna fenti fari, suna da yanayin yin zagaye, fuska mai laushi ko ƙasa mai laushi.

Thrombo ACC 100 da 50

Mafi sau da yawa, a cikin maganganun yau da kullun, don dacewa, ana ƙara lambobi zuwa sunayen magunguna waɗanda ke nufin sigogi na abu mai aiki. Irin wannan ginin sababbin “suna” ana karɓar gabaɗaya, saboda haka masana magunguna, likitoci, da marasa lafiya da kansu sun fahimce su. Wannan ya shafi cikakke ga Thrombo ACC, lokacin da sabbin suna "Thrombo ACC 100" da "Thrombo ACC 50" suna ma'ana ne kawai da allunan kwayoyi iri ɗaya.

Babu wani bambanci, ban da sashi na abubuwan aiki, tsakanin Thrombo ACC 50 da Thrombo ACC 100, saboda haka ba za mu yi la’akari da magani ɗaya daban da magunguna daban ba. Akasin haka, a cikin rubutun da ke ƙasa, duk bayanan da aka bayar za su shafi Thrombo ACC a kowane sashi - duka 50 MG da 100 MG. Kuma idan ya zama dole a karfafa kowane takamaiman alamomi ko fasalin wani takamaiman sashi, to zamuyi shi da gangan, amma in ba haka ba duk bayanin zai shafi Trombo ACC a duka allurai.

Tasirin warkewa

Thrombotic ACC yana da tasirin antiplatelet, wanda ya ƙunshi rage rage tasirin platelet da sel jini. Haka kuma, hada jikin abubuwan da suka kirkira na jini yana raguwa a tsakanin su da kuma bango na hanyoyin jini. Sakamakon wannan, jinin ya zama mai ruwa, ba haka ba viscous, mafi sauƙi kuma mafi kyawu yana gudana ta cikin tasoshin, baya tsayawa, baya haifar da shinge. Tasirin antiplatelet na Thrombo ACC saboda haɓaka abubuwan da ke gudana na jini kuma yana hana samuwar ƙwayar jini a cikin tasoshin daban-daban, wanda, bi da bi, yana aiki don hana yanayi daban-daban masu lalacewa ta hanyar toshewar jijiyoyin jini ta hanyar bugun jini (bugun zuciya, bugun jini, thromboses, embolism na huhu, da sauransu).

Acetylsalicylic acid, wanda shine ɓangare na Thrombo ACC azaman sashi mai aiki, yanzu yana ɗaya daga cikin abubuwan da ake amfani da su na yau da kullun. Tasirin antiplatelet din ya kunshi wasu bangarori da dama. Don haka, acetylsalicylic acid yana shafar aikin aikin enzymes daban-daban waɗanda ke haɓaka samar da wasu abubuwa kuma suna hana wasu.

Baya ga tasirin antiplatelet, acetylsalicylic acid shima yana da tasirin fibrinolytic, wanda ya haɗu da narke ƙwanƙwasa jini wanda ya riga ya kirkira da kuma watsa ƙwayoyin jan jini mai narkewa. Acetylsalicylic acid kuma yana rage yawan haɗuwa da abubuwan coagulation II, VII, IX, da X a cikin jini, wanda kuma yana rage haɓakar thrombus.

Don haɓakar fibrinolytic da antiplatelet mataki, ana ɗaukar acetylsalicylic acid a cikin ƙananan allurai - 75 - 325 mg kowace rana. Wannan shine dalilin da ya sa allunan Trombo ACC dauke da 50 MG ko 100 MG na acetylsalicylic acid. Tasirin antiplatelet ya ci gaba har sati guda bayan kashi ɗaya na Thrombo ACC.

Abubuwan da aka bayyana sune na acetylsalicylic acid waɗanda ake amfani da su don hanawa da magance cututtukan zuciya, cututtukan zuciya na zuciya, rikicewar jijiyoyin varicose da sauran cututtukan da ke da haɗari don ƙirƙirar ƙwayoyin jini.

Lokacin da aka ɗauki thrombo, ana tunawa ACC da sauri kuma gaba daya. Godiya ga shafi mai shigar da kayan ciki, kwamfutar hannu ba ta da mummunar illa da lalacewa a cikin mucosa na ciki. Bayan shiga cikin jini, acetylsalicylic acid ya juya zuwa acid na salicylic, wanda ke haifar da tasirin sa. Furtherari, salicylic acid an keɓanta a cikin hanta tare da samuwar phenyl salicylate, salicylate glucuronide da salicyluric acid, wanda, biyun, ana rarraba shi ga dukkanin gabobin da kyallen takarda. Acid Salicylic ya shiga cikin nono kuma ya wuce cikin mahaifa. A cikin mata, juyar da acetylsalicylic acid a cikin jiki yayi hankali fiye da na maza saboda ƙananan saurin enzymes.

Acetylsalicylic acid an kewatsa shi da sifofin koda daga cikin kodan cikin sa'o'i 24 zuwa 72. Ko da tare da maimaita gudanarwa, magani ba ya tarawa a cikin jinin jini.

Yadda za a ɗauka?

Ya kamata a dauki allunan Thrombo ACC 50 MG da 100 MG nan da nan kafin abinci, a wanke da ruwa mai yawa - aƙalla gilashi (200 ml). Ka tuna cewa ba za ku iya shan Thrombo ACC akan komai a ciki ba, saboda wannan na iya haifar da hangula da ciwon ciki. Tabbatar cin abinci nan da nan bayan thrombotic ACC. A lokaci guda, kalmar "ci" ba yana nufin hadaddiyar abincin rana ba, amma amfani da ƙarancin abinci wanda zai cika ciki. Misali, bayan ɗaukar Thrombo ACC ya isa yaci abinci kamar ayaba, sandwich, ƙaramar dumin gyada, salatin, da sauransu, kuma wannan zai isa ya hana cutarwar da ƙwayar cuta a ciki.

Allunan Trombo ACC kansu yakamata a hadasu gabaɗaya, ba a murƙushe su ba, ba su ci, ba a ɗanɗana su, ko an murƙushe su ko kuma a wata hanya.

A matsayinka na mai mulkin, ana ɗaukar thrombo ACC sau ɗaya a rana a cikin kullun. Yana da kyau a sha maganin a kowace rana a kusan lokaci guda - don wannan kawai kawai za a zabi wani takamaiman lokacin yayin rana kuma a koyaushe shan maganin a wannan lokacin. Ya dace da yawa su ɗauki Thrombo ACC kafin karin kumallo, yayin da wasu suka fi son yin wannan da yamma kafin lokacin barci. Lokaci na ɗaukar allunan ya dogara da sauƙin haƙuri ga mai haƙuri. Amma ya kamata a tuna cewa duk lokacin da magani ya bugu, nan da nan bayan haka kuna buƙatar cin abinci kaɗan.

Allunan Thrombo ACC an yi niyyar su na tsawan lokaci, kuma takaddara takamaiman lokacin karatun ne likita ya ƙaddara. An tsara wani ya ci gaba da ɗaukar nauyin Thrombo ACC na tsawon watanni shida ko ma shekaru masu yawa, kuma wani yana ba darussan watanni uku tare da hutu na makonni 2 zuwa 4 tsakanin su. Bayan gudanar da ayyukan, ana iya tsara Thrombo ACC kawai na wata daya. Amma gaba ɗaya, sau da yawa ana sanya Trombo ACC rayuwa don rayuwa, tunda idan mutum yana da haɗarin thrombosis da clogging arteries daban-daban tare da thrombi, to, ba zai shuɗe ya zauna har zuwa mutuwarsa ba. Don hana samuwar cututtukan jini da toshewar hanyoyin jini wanda ake ɗaukar thrombo ACC na dogon lokaci, sai dai idan, ba shakka, mutum yana da haɗarin thrombosis.

Dosages na cututtuka daban-daban

Sashin maganin thrombotic ACC ya dogara da dalilin da yasa aka sha maganin.

Don haka, don rigakafin infarction na asali da maimaitawa, ya kamata a ɗauki Thrombo ACC 50-100 MG kowace rana (1 kwamfutar hannu 50 MG ko kwamfutar hannu 1 mg 100 sau ɗaya a rana).

A cikin lura da angina mai tsayayye da kwanciyar hankali, thrombo ACC an kuma bada shawarar shan 50-100 MG kowace rana. Don haka, kuna buƙatar sha kwamfutar hannu guda ɗaya na 50 MG ko 100 MG sau ɗaya a rana.

Don rigakafin bugun jini da haɗarin jijiyoyin ƙwayar jijiyoyin ƙwayar cuta, Thrombo ACC an bada shawarar shan 50-100 MG kowace rana (1 kwamfutar hannu 50 MG ko kwamfutar hannu 1 mg 100 sau ɗaya a rana).

Yin rigakafin thromboembolism bayan kowane tiyata da kuma bayan tsoma baki na jijiyoyin hannu ya ƙunshi ɗaukar Thrombo ACC a 50 - 100 MG kowace rana (1 kwamfutar hannu na 50 MG ko kwamfutar hannu 1 na 100 MG sau ɗaya a rana).

Don hana zurfin jijiya thrombosis da thromboembolism na huhu da kuma rassansa, An ba da shawarar Thrombo ACC ya ɗauki 100-200 MG kowace rana (1 ko 2 Allunan 100 na 100 sau ɗaya a rana).

Yi amfani yayin ciki da shayarwa

Yin amfani da acetylsalicylic acid a farkon watanni ukun farko na ciki na iya haifar da lahani na haɓakawa a cikin tayi, kamar tsinkewa babba ("cleft palate"), lahani na zuciya, da sauransu. Wannan shine dalilin da ya sa shan magungunan da ke ɗauke da acetylsalicylic acid, gami da Thrombo ACC, suna cikin kwanciyar hankali a cikin farkon makonni goma sha uku na ciki.

Samun shirye-shiryen Acetylsalicylic acid a cikin allurai na fiye da 300 MG kowace rana daga makon 27th na ciki kuma kafin haihuwar ta tsokani hana aiki, karin zubar jini a cikin mahaifiya da tayin, da kuma yawan kumburin budewar bakin ciki na budewar zuciya a tayin. Amincewa da Acetylsalicylic acid kai tsaye kafin haihuwa tayi na iya tsokanar da cutar mahaifa a cikin jariri, musamman idan tayin yayi da wuri. Abin da ya sa keɓaɓɓen ƙwayoyi tare da acetylsalicylic acid a cikin watanni uku na ciki an haramta.

A lokacin watanni na biyu na ciki, watau daga 14th zuwa 26th mako, m, Trombo ACC za a iya ɗauka kawai akan tabbatattun alamun, lokacin da yake da mahimmanci ga mahaifiyar mai tsammani, kuma idan amfanin ya wuce duk haɗarin da zai yiwu. A cikin tsaka-biyu na ciki na ciki, ya halatta yin amfani da thrombo ACC cikin gajerun darussa.

Acetylsalicylic acid da ire-irensa sun shiga madarar nono. Amma kulawar haɗari na acetylsalicylic acid yawanci ba sa haifar da sakamako ko rikice-rikice a cikin jarirai, sakamakon wanda aka yarda da thrombo ACC lokacin shayarwa. Koyaya, idan an dauki Trombo ACC na dogon lokaci, to, shayar da mama har yanzu ya zama mafi kyau don sokewa da canja wurin yaran zuwa gaurayar wucin gadi.

Yin hulɗa tare da wasu kwayoyi

Thrombotic ACC, lokacin amfani dashi tare, yana inganta tasirin magungunan masu zuwa:

  • Methotrexate (rage damuwa daga methotrexate da kodan),
  • Anticoagulants (Heparin, Warfarin, da sauransu), thrombolytics (Urokinase, Fibrinolysin, da dai sauransu) da sauran wakilan antiplatelet (Clopidogrel, Curantil, da sauransu). Lokacin da aka ɗauke shi tare da Trombo ACC, lahanin lalacewar a cikin mucous membranes na ciki da hanji yana ƙaruwa, kuma haɗarin zubar jini yana ƙaruwa,
  • Zazzabin serotonin reuptake inhibitors (Fluoxetine, Venlafaxine, Elicea, Valdoxan, Flunisan, Oprah, da dai sauransu) - haɗarin zubar jini daga ciki da huhun ciki yana ƙaruwa,
  • Digoxin - Nesa ta rage daga hanta, hakan na iya haifar da yawan zubar da jini,
  • Abubuwan da aka samo na sulfonylureas don rage sukarin jini (Glibenclamide, Glycvidone, Glyclazide, Glimepiride, Glipizid, Chlorpropamide, Buformide, Nateglimide, da dai sauransu) - matakin glucose na iya raguwa sosai, tunda Thrombo ACC shima dan kadan yana rage yawan maida hankali,
  • Shirye-shiryen acid naproproic (Konvuleks, Depakin, Dipromal, Valparin XP, da dai sauransu) - mai guba na karuwar valproate,
  • Giya-da giya-giya da kwayoyi dangane da barasa - hadarin lalacewar mucous membrane na ciki da hanji yana ƙaruwa, kuma lokacin zubar jini yana tsawaita,
  • Magungunan anti-inflammatory Nonsteroidal (Diclofenac, Nimesulide, Indomethacin, Meloxicam, da dai sauransu) da sauran cututtukan salicylates (Salofalk, da sauransu) - haɗarin haɓakar cututtukan ciki da cututtukan duodenal da hauhawar jini.

Ganin cewa aikin magungunan da ke sama suna haɓaka yayin ɗaukar su tare da Thrombo ACC, kuna buƙatar la'akari da rage yawan sashi yayin da aka ɗauke su tare da Thrombo ACC.

Yin amfani da Thrombo ACC lokaci guda tare da kwayoyi masu zuwa suna rage tasirin su (sabili da haka, haɓaka adadinsu na iya zama dole):

  • Duk wani magungunan diuretic (a ƙarƙashin aikin Thrombo ACC, ƙaddara yawan yin fitsari da ƙodan ya ragu),
  • Masu hana magunan angiotensin-mai canza enzyme (Captopril, Kapoten, Perineva, Prenessa, Enalapril, da dai sauransu) - sakamakon masu hana masu haɓaka hawan jini ya ragu kuma tasirin cutar zuciyarsu yana rauni. Yawanci, ana ganin raguwa a cikin tsananin zafin aikin angiotensin-wanda ke juyar da enzyme inhibitors yayin da aka ɗauke su tare da Thrombo ACC a cikin kashi sama da 160 MG kowace rana,
  • Magunguna waɗanda ke haɓaka haɓakar uric acid (Probenecid, Benzbromaron) - tasirin su yana raguwa saboda raguwar kodan,
  • Tsarin kwayoyin glucocorticoid na tsari (prednisone, dexamethasone, da sauransu) - an inganta haɓakar thrombo ACC sosai, kuma tasirin su yana rauni.

Side effects

Thrombo ACC yawanci ana jure shi sosai kuma, saboda ƙarancin ƙwayar Acetylsalicylic acid, baya haifar da sakamako masu illa. Koyaya, a cikin yanayin da ba a saba da shi ba, thrombo ACC har ila yau yana iya tayar da haɓaka halaye daban-daban masu zuwa daga gabobin daban-daban da tsarin:

1. Daga cikin jijiyoyin mahaifa:

  • Ciwon ciki
  • Amai
  • Burnwannafi
  • Ciwon ciki
  • Ciki na ciki ko duodenal ulcer,
  • Jinjirin ciki
  • Abun wucin gadi yana aiki tare da karuwar aspartate aminotransferase (AcAT) da alanine aminotransferase (AlAT).
2. Daga tsakiya mai juyayi:
  • Dizziness
  • Rashin ji
  • Tinnitus.
3. Daga tsarin jinin haiatopo:
  • Yawan zubar jini yayin da kuma bayan tiyata,
  • Mutuwar hematoma akai-akai,
  • Yawan hanci
  • Maganin zubar jini
  • Zubar jinni
  • Cutar cututtukan ciki na ciki (akwai babban hatsari a cikin marassa lafiyar da ke shan Warfarin ko wasu magungunan kashe kansa a lokaci guda, ko kuma ba su kula da karfin hawan jini ba, amma yawanci yakan tashi),
  • Cutar cuta mai zafi ko taushi ko rashin ƙarfi na baƙin ƙarfe sakamakon zubar jini na sihiri.
4. Daga gefen tsarin rigakafi:
  • Fashin fata
  • Fatar fata
  • Urticaria,
  • Rubutun 'Quincke's edema,
  • Allergic rhinitis
  • Kumburi daga hanci (hanci hanci),
  • Bronchospasm (tsauraran ƙarfi na ƙwayar bronchi tare da abin da ya faru na wani shaɗan firikwensin),
  • Cutar zuciya da jijiyoyin jiki,
  • Murmushi Anaphlactic.

Yadda ake ɗaukar ACCrombo ACC - kafin ko bayan abincin?

Bayan ziyartar likita, mai haƙuri ya gano sabon suna don miyagun ƙwayoyi a cikin jerin magunguna. Na gaba, yawanci, an haɗu da ɗan gajeren sharhi, yana bayar da rahoton yawan adadin ƙwayoyi guda ɗaya, yana ƙaruwa da adadin allurai kowace rana. A wasu halaye, wannan bayanin ya isa sosai, amma ba kawai lokacin da kake buƙatar ɗaukar TromboASS ba.

Tabbas, zaku iya gani a cikin umarnin yadda za'a ɗauki Allunan Thrombo ACC don zub da jini, kodayaushe akwai ɓangaren ɓangaren - “hanyar amfani”, yana nuna lokacin yin wannan, kafin ko bayan abincin. Amma ba don wulakanta mahaɗan ba, irin wannan koyarwar an tsara ta ne ga matsakaicin ɗan ƙasa da ba shi. Bayan haka, jerin abubuwan dake biye da juna, inda kusan kowa ke samun akalla daya daga cikin “ciwon”.

Bayan wannan, gunaguni game da rashin kulawar, har ma da sakaci na likita mai halartar, fara. Musamman masu fushi sune “ventricles,” kuma da kansu canzawa zuwa analogues waɗanda basu da acid.

Don haka wanene ba daidai ba? Likita? Ko kuma ƙwararren da ya tsara takardar tare da maganin? Ana iya samun amsar ta hanyar magana zuwa umarnin a cikin ɓangaren inda aka bayyana abun da keɓaɓɓen kwamfutar hannu ɗaya daki-daki.

Menene haɗa cikin shiryewar thromboass?

Babban adadin wannan magani, ba shakka, shine acetylsalicylic acid. Wannan shi ne abin da marasa lafiya da ke fama da cututtukan ciki da cututtukan ciki ba su yarda da su ba.

Amma kar mu manta cewa, sabanin yadda aka saba ASK ana siyarwa a kantin magani, allunan jini na TromboAX ana lika su tare da harsashi wanda a ciki ake yin talc da eudragit.

sc name = "info2 ″ rubutu =" A cikin girman talc, wanda shine bangare na harsashi, akwai sinadarin magnesium - wani abu wanda ke magance tasirin lalata na ASA a cikin kwayar ciki. "

Eudragits sune abubuwan asalin polymerization na acrylic acid. Suna yin ayyukan jigilar magunguna zuwa wani takamaiman ɓangaren ƙwayar hanji, suna kiyaye shi daga tasirin ƙwayar ciki da yawan sha.

Amma har yanzu, girmamawa kan contraindications ya zama dole. Wannan shi ne "yanayin inshora" lokacin da mai haƙuri, ya ɓace, "ba a kan komai a ciki ba" kuma "ba tare da tauna ba", tafiye-tafiye "tare da taka tsantsan" kuma "ba a ba da shawarar ba."

Tsarin saki, abun da aka shirya da marufi

Allunan-thrombopol allunan, mai ruwan hoda a launi, suna dauke da sinadaran aiki mai suna Acidum acetylsalicylicum. Dangane da sake dubawa na Trombopol, an gabatar da magani mai siffar zagaye a cikin sashi mai zuwa - saba'in da biyar da ɗari da ɗari da hamsin. A matsayin kayan masarufi, masu kera suna amfani da sitaci na masara, MCC, atria amylopectin glycolate. Shell ɗin ya ƙunshi abubuwa da yawa - Hypromellosum, cakuda na musamman don rufe maganin tare da E553b, ƙarin abinci na E171, triethyl citrate, batun canza launi, Silicii dioxydum colloidale, Natrii hydrocarbonas, sodium lauryl sulfate. Matsakaicin farashin Trombopol shine 51 rubles. Ana iya samun bayanai game da kasancewar magungunan ta waya ko kan gidan yanar gizon masu rarraba kayan aikin.

Glancing karkashin kwasfa, zaku iya gani cewa ban da ACS, abun da ke ciki mai aiki ya haɗa da:

  • lactose
  • cellulose
  • silicon
  • dankalin turawa, sitaci.

Lactose yana haifar da wurin kiwo don lactobacilli, yana daidaita yanayin microflora na hanji. Cellulose yana wanke hanji na gubobi. Silicon yana ɗaure kuma yana cire bilirubin daga jiki, ta hakan yana zub da jini. Dankali ta dankali ta rage acidity da haɓaka rigakafi.

sc name = "info2 ″ rubutu =" A zahiri, abubuwan da ke cikin wadannan abubuwan a cikin kwamfutar hannu guda kadan ne. Amma idan aka ba da cewa an sanya miyagun ƙwayoyi, a matsayin mai mulkin, na dogon lokaci, ana taƙaita adadin a kai a kai kuma ya riga ya damu. "

Bayan mun bayyana dalilin dukkanin abubuwan da ke tattare da miyagun ƙwayoyi, za mu koma kan babbar tambaya. Yadda ake shan thromboass, kuma yana da mahimmanci lokacin da za'a ɗauki magungunan - kafin ko bayan abinci?

Shin tasirin kwayayen kan dogaro kan yawan, inganci da lokacin cin abinci?

Nazarin da aka gudanar kan wannan lamari ya nuna:

  1. Babban ɓangaren ASA yana cikin ƙananan hanji, ko kuma akasin haka, a ɓangarensa na sama.
  2. Lokacin shashi bai dogara da matsayin cikakken ciki ba.
  3. Antacids wanda ke rage acidity na ruwan 'ya'yan itace na ciki ba ya haifar da saurin ragewa jikin jikin maganin. Haka za'a iya faɗi game da madara da sauran samfuran dauke da kitsen dabbobi.

Har yanzu, mun juya ga umarnin, inda aka faɗi cewa ya kamata a ɗauki allunan Thrombo ACC kafin abinci, amma ba a kan komai a ciki ba. Tare da cewa abinci ba ya tsoma baki tare da ayyukan da miyagun ƙwayoyi, an ware.

Ya rage fahimtar abin da "ba a kan komai a ciki ba" yake nufi?

Kada ku sha Allunan nan da nan bayan barci. Hakanan ciki yana buƙatar lokaci don samun aiki. Idan, saboda wasu dalilai, rabin farkon rana shine mafi kyawun zaɓi don shan magani, to ya kamata ku fara cin wani abu. Bari ya zama mafi ƙarancin abinci, amma zai yi aiki da ciki a matsayin umarni - “fara”.

Thromboass don bakin jini, wanda aka dauka akan “ciki mai kauri,” ba tare da cin abinci mai zuwa ba, hadarin zai iya narkewa a ciki. Tare da ƙara yawan acidity na muhalli, babban ɓangaren ASA zai kasance cikin maganin acid, yana inganta tasirin haushi akan ƙwayoyin epithelial. Tare da rage yawan acidity na ciki, ASA yana shiga cikin ganuwar ƙwayar narkewa kuma ya tara cikin sel na mucous membrane, wanda ba shi da ƙima ko kaɗan.

sc sunan = "bayani" rubutu = "Kuna buƙatar ɗaukar Tromboass a wani matsakaici, wanda ba za a iya faɗi cewa" bayan cin abinci "bane, ko" a gabani. "

Kamar yadda zaku iya fahimta, duk waɗannan rigakafin suna da alaƙa, don mafi yawan bangare, tare da kariya daga tsarin narkewa, daga mummunan tasirin ASA, kuma baya tasiri tasirin ƙwayar cuta.

Ta yaya magani na bakin ciki yake aiki?

An shiga cikin ganuwar karamin hanjin, abubuwa masu amfani da magunguna suna shiga cikin jini kuma suna daure a jikin sunadaran ta. ASA ana nuna shi ta hanyar sanyawa a waje da sel. Amma kuma yana da alaƙa da furotin, baya asara ayyukanta.

ASA tana cire thromboxane - wani enzyme da aka toshi ta hanyar platelet mai aiki, wanda zai zama alama ce ta kunna sauran platelet. Rashin farantin farashi, har zuwa ƙarshen rayuwar rayuwarsu, sun rasa ikon haɗuwa, wanda ke taimaka wa bakin jini.

Abubuwan da ke da ban sha'awa na ASA da ke cikin maganin shine cewa bazai iya gano magungunan kwata-kwata a cikin jini (ko kuma an gano shi da ƙima sosai). Amma, duk da haka, tasiri mai aiki akan aikin platelet zai bayyana cikakke.

sc name = "info" rubutu = "Kasancewa cikin matsanancin hanta a cikin hanta, ASA ta kafa" 'yan' kwano "akan platelet anan. "Tsarin yaduwar ƙwayar cuta yana ɗaukar su a nan, inda aka fallasa su ga cikakkiyar magunguna."

A waje na tushen raguwa a matakin thromboxane, abun ciki na prostacyclin, wanda yake adawa da enzyme platelet, yana tashi cikin jini. Don haka, ana samun sakamako mai mahimmanci kuma ana tsammanin - jinin thinning.

Tunda an ba da shawarar ɗaukar Thrombo ACC don yin bakin jini, wanke saukar da Allunan tare da ruwa mai yawa ko wani ruwa, wannan yana nuna lokacin aikin - kafin abinci, kuma ba bayan. Abinci, tare da babban daidaitaccen abu na ruwa, yana rikitar da aikin ciki da kuma raɗaɗɗa a ciki na dogon lokaci.

A matsayinka na mai mulki, likita ya ba da izini guda na maganin, tare da shawarar don maraice. A cikin wannan, mutum bai kamata ya nemi wani ɓoye na dogaro akan ƙananan ilimin jikin mutum ko wasu dalilai na zahiri ba.

Lokacin maraice, kafin cin abincin dare, ya fi mahimmanci daga yanayin tunani. Wannan shine lokacin da damuwa na yau da kullun, rush, lalai an riga an rinjaye su. Jiki, ciki har da kwakwalwa, yana samun ɗan gajeren hutu daga damuwa na waje kuma yana iya mayar da hankali kan kansa. Wannan shine yanayin da yafi dacewa don shan magungunan daidai.

sc name = "info2 ″ rubutu =" An bayar da cewa an lura da duk jerin abubuwan, magungunan ba wai kawai ba su da wani illa da ake so a jiki, amma za a cire duk kayan lalata.

Idan mai haƙuri yana da wata shakka game da mahimmancin maganin. Idan yayin bayyanar cututtuka na jin zafi yana bayyana a cikin ciki, tashin zuciya, farin ciki, rashi ƙarfi. Ya kamata ku tuntuɓi likitanku nan da nan.

A kowane hali, bai kamata ku canza yanayin magani ba da kansa ba ko kuma maye gurbin ThromboASS ba tare da analogues ba. Wannan shine prerogative na kwararru waɗanda suke da ainihin bayani game da yanayin yanayin jikin haƙuri, wanda aka tattara akan tushen bincike da bincike, la'akari da duk abubuwan haɗari.

Aikin magunguna

Nazarin asibiti ya nuna cewa, kamar analogues dinsa, thrombopol yana samun cikakke daga hanzari daga narkewa. Acidum acetylsalicylicum yana da mallakar da za'a canza shi zuwa acid phenolic. Matsakaicin adadin acetylsalicylic acid a cikin plasma na jini an yi rikodin shi a kan matsakaici na mintina goma sha biyar bayan shan miyagun ƙwayoyi, metabolite mai aiki yana ɗaukar matsakaicin ɗauka a cikin minti talatin zuwa ɗari da ashirin da minti. Saboda karuwar kwanciyar hankali na kwarin kwamfutar hannu, kwantar da tushen aikin maganin yana faruwa a cikin hanji. Wannan kayan da yake bayarwa yana ba da gudummawa ga ƙarin jinkirin ɗaukar kayan aiki - daga 180 zuwa 360 minti. Dukansu bangaren da ke aiki da metabolite mai aiki suna da dukiyar da zata daure wa garkuwar plasma. Hakanan, abubuwan da aka lissafa ana san su ta hanyar rarrabuwar hanzari a cikin kyallen takarda. 2-hydroxybenzoic acid na da mallakar abin da ke keɓe a cikin madara. Sakamakon gwaje-gwajen ya nuna cewa metabolite ya ratsa ta cikin shinge na jini. Fadarta ta dogara ne akan aikin da aka tsara. Tare da mafi ƙarancin ƙwayoyi, rabin-rayuwa yana ɗaukar minti 120 zuwa 180. A babban sashi, T1 / 2 shine awa goma sha biyar. Fitsarar da salicylic acid yakan faru ne ta hanjin kodan. Kuna iya yin oda na thrombopol daga nesa. Bangaren mai aiki yana da waɗannan abubuwa: • yana hana haɗuwar platelet, • yana hana haɗin thromboxane A2. Hakanan akwai wasu shawarwari na wasu hanyoyin yin Acidum acetylsalicylicum akan tafkin platelet, don haka ana amfani da daskararren abu don magance cututtukan jijiyoyin jiki daban-daban. NSAIDs suna cikin su, kuma acetylsalicylic acid yana da sakamako mai rikitarwa: • yana sauƙaƙa ciwo, • yana sauƙaƙa zafi, • yana kawar da kumburi. Babban taro na mai aiki, kamar yadda aka bayyana shi a cikin bayanin, ana amfani da shi don matsanancin ƙwayar cuta na huhun ciki, da mura don magance cututtukan da ke biyo baya: • jin zafi, • ciwo a cikin gidajen abinci da tsokoki, • a cikin cututtukan da ke tattare da tsarin kumburi a cikin matsananciyar yanayin ko rashin lafiya, ciki har da amosanin gabbai. da cutar sikandar bakin jini na anklosing spondylitis.

Thrombopol, kamar yadda umarnin ya nuna, an wajabta wa marasa lafiya da cututtukan masu zuwa: • angina pectoris na rukunin da ba su da tabbas, • a matsayin maganin bugun jini, musamman a cikin marasa lafiya da kewaya rikice-rikice na kwakwalwa, a cikin jigilar kai, • don hana AMI, musamman idan tarihin yana da ɗayan abubuwan da ke haifar da damuwa - ciwon sukari, hawan jini, mummunan halaye, ciki har da shan sigari, ga marasa lafiya na ƙungiyar tsufa (daga shekaru 65), dyslipidemia, maimaitawar MI, • prolact ka m blockage na wani jini jirgin ruwa da wani thrombus, to karya daga wurin da suke na ilimi, musamman ma bayan m ko cin zali jijiyoyin bugun gini, na huhu embolism • rigakafin, • rigakafin m-farko cuta a cikin kwakwalwa aiki na jijiyoyin bugun gini asalin, bayyana da hankali, cerebral ko gauraye bayyanar cututtuka.

Sashi da gudanarwa

Trombopol don amfani ne da baka. Maƙerin ya ba da shawarar ɗaukar miyagun ƙwayoyi a cikin nau'in kwamfutar hannu bayan abinci, ba tare da lalata amincinsa ba. Sashi, kazalika da tsarin kulawa, an ƙaddara shi gwargwadon tarihin mai haƙuri da tsananin cutar: 1. Idan mutum ya yi zargin MI a cikin lokacin mummunan, an tsara shi zuwa milligram ɗin ɗari da hamsin zuwa ɗari uku na abu mai aiki. Maƙerin ya ba da shawarar ɗanɗano kwamfutar hannu ta farko lokacin da alamun farko suka bayyana. Rashin membrane na kayan maye zai hanzarta sakamakon maganin. Sama da wata mai zuwa, marassa lafiya yakamata su dauki milliyan 75 zuwa 300 a rana. Bayan irin wannan hanyar warkewa, likitocin da ke halartar ya kamata suyi la'akari da buƙatar ƙarin aikin kulawa da miyagun ƙwayoyi, don hana sababbin lokuta na cutar. 2. Ga marasa lafiya da suka kamu da cutar MI, don rage haɗarin ƙwayar cuta, da kuma sakamako mai yuwuwar mutuwa, ana tsara adadin maganin a cikin adadin mil 75-300. 3. Tare da abin da ake kira angina pectoris na tsayayyen yanayi mai tsayayye, zaka buƙaci daga milligrams na saba'in da biyar zuwa ɗari uku na rana. 4. Marasa lafiya da ke cikin haɗari don ci gaban alamun MI a cikin mummunan yanayin tare da ciwon sukari, hawan jini, kiba, kuma a cikin tsufa ana ba da shawarar ɗaukar milligram na ɗari da hamsin na aiki mai aiki a kowace rana ko milligram ɗari uku kowace rana. 5. Don hana ci gaban sakandare na bugun jini, za ku buƙaci daga milligram na milligram saba'in da biyar zuwa ɗari na aiki. 6. Ana amfani da sashi iri ɗaya na yau da kullun don maganin marasa lafiya da bayyanar cututtuka na iskemic na rauni, kazalika da yanayin bugun jini da kuma azaman propelaxis don ƙwanƙwasa ƙwayar jini ta hanyar jinin jini wanda ya fita daga wurin da aka kafa bayan tiyata da hanyoyin cutarwa. 7. Kuna iya hana DVT da thromboembolism tare da Trombopol a sashi na 75 zuwa 200 na milligram a rana. Hakanan ana yarda da wani nau'in magani, ta amfani da milligram ɗari uku kowace rana. Sanya shi, a matsayin mai mulkin, bayan manyan tiyata. A cikin marasa lafiya da nakasa aiki na ƙodan da hanta a cikin tsari mai sauƙi da matsakaici, ana buƙatar daidaita sashi na maganin.Kuna iya siyan Trombopol a cibiyar kasuwancin dillalan magunguna da hukumomin kan layi.

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