Glaucoma hauv peb lub sijhawm raug kev txom nyem los ntawm cov neeg coob, tshwj xeeb tshaj yog thaum laus. Tus kab mob yog tus cwj pwm los ntawm kev nce siab hauv lub cev thiab ua haujlwm tsis pom kev.
Txoj kev kho mob ntawm glaucoma, hmoov tsis, tsis tuaj yeem pab nrog tus kab mob no, nws tsuas yog ua tau kom txo qis cov txheej txheem tsis pom kev. Txawm li cas los xij, kev kuaj mob ntxov thiab kev siv tshuaj tsis tu ncua raws li cov lus qhia thiab cov kws kho mob tuaj yeem tswj xyuas qhov kev ua haujlwm ntawm lub qhov muag tau ntev.
Qhov muag poob "Combigan": cov lus qhia rau kev siv
Kho mob glaucoma thiab txo cov tsos mob, ntau cov tshuaj tau tsim, ib qho ntawm cov tshuaj kho qhov muag niaj hnub "Combigan". Cov lus qhia muaj nyob rau hauv txhua pob.
Qhov no yog ib qho tshuaj tiv thaiv glaucoma uas tsim los txo qhov muag siab. Cov khoom xyaw tseem ceeb ntawm cov tshuajua hauj lwm ua ke thiab txhim kho ib leeg cov txiaj ntsig.
Nyob rau hauv tsab xov xwm no peb yuav tham txog yuav ua li cas siv cov tshuaj kom raug, seb puas muaj contraindications rau kev siv los yog phiv.
Kev qhia
Cov lus qhia rau kev sau tshuaj no yog cov xwm txheej xws li:
- Open-ended glaucoma nyob rau theem pib (ib kab mob uas lub siab intraocular siab tas li, ua rau maj mam atrophy ntawm lub paj hlwb thiab cuam tshuam rau cov khoom noj khoom haus rau lub qhov muag).
- Intraocular hypertension (nyob rau hauv tus mob no, intraocular siab yog siab, tab sis tsis muaj kev puas tsuaj rau lub paj hlwb).
- Ua ntej thiab tom qab phais mob glaucoma.
Ntxiv rau, cov tshuaj tau pom zoo siv thaum siv cov tshuaj beta-adrenergic blockers hauv zos tsis muab cov txiaj ntsig xav tau. Raws li cov lus qhia, Kombigan qhov muag tee tsis pom zoo kom siv ntawm lawv tus kheej, tus kws kho qhov muag yuav tsum tau sau cov tshuaj tom qab tsim kev kuaj mob kom raug.
KOJ
Cov tshuaj tau pom zoo siv los ntawm cov neeg laus, suav nrog cov neeg laus. Cov tshuaj yog instilled rau hauv lub qhov muag ib tee 2 zaug ib hnub twg. Nruab nrab ntawm cov koob tshuaj yuav tsum noj tsawg kawg 12 teev. Nws yog qhov zoo dua ua qhov no thaum sawv ntxov thiab yav tsaus ntuj.
Txhawm rau txo qhov kev nkag mus ntawm cov tshuaj mus rau hauv cov kab ke hauv lub cev, tom qab tso dej, nias rau ntawm lub kaum sab xis ntawm lub qhov muag lossis nruj nreemkaw koj daim tawv muag. Cov tshuaj no hauv txoj kev kho mob zoo kawg nkaus ua ke nrog lwm cov tshuaj ophthalmic uas txo qhov muag siab.
Thaum siv ntau yam tshuaj hauv kev kho mob, yuav tsum muaj sijhawm tsawg kawg tsib feeb ntawm lawv cov koob tshuaj. Qhov no tau lees paub los ntawm cov lus qhia rau kev siv thiab tshuaj xyuas ntawm "Kombigan" hauv tee.
Kev sib sau thiab tso tawm daim ntawv
Cov tshuaj tau piav qhia yog qhov muag poob ua rau hauv daim ntawv ntawm cov tshuaj tsis huv nrog cov xim ntsuab-daj. Cov tshuaj yog ntim rau hauv lub raj mis yas ntawm 3 los yog 5 ml, uas yog nruab nrog ib tug built-in dropper. Cov tshuaj tiv thaiv glaucoma "Combigan" muab tso rau hauv ib lub thawv ntawv nrog cov lus qhia rau kev siv.
Cov khoom xyaw tseem ceeb ntawm cov tshuaj yog timolol maleate thiab brimonidine tartrate. Brimonidine yog ib qho adrenergic agonist. Nws potentiates lub outflow ntawm intraocular kua los ntawm uveoscleral kwj dej, thiab timolol slows down tus txheej txheem ntawm nws tsim. Lawv cov nyhuv sib xyaw ua ke muaj cov nyhuv hypotensive ntau dua li kev siv cov tshuaj no ib tus zuj zus.
Cov khoom siv pabcuam yog sawv cev los ntawm benzalkonium chloride, sodium hydroxide, sodium dihydrophosphate monohydrate, sodium hydrogen phosphate heptahydrate, dej.
Cov khoom ntawm cov tshuaj hauv ib qho me me nkag mus rau hauv lub cev thiab tawm hauv lub cev nrog kev pab ntawm lub raum. Tab sis txawm tias me me no tuaj yeem ua rau muaj kev phiv.
tshuajkev sib tham
Kev siv ua ke ntawm Kombigan qhov muag tee (cov lus qhia lees paub qhov no) nrog rau lwm cov tshuaj tsis tau kawm tshwj xeeb, yog li tsis muaj cov ntaub ntawv ntxaws txog qhov no. Txawm li cas los xij, muaj ib pawg tshuaj uas cov chaw tsim khoom ceeb toom txog kev cuam tshuam nrog, cov no yog MAO inhibitors. Kev siv tib lub sijhawm ntawm cov tshuaj no yog contraindicated.
Cov tee no yuav tsum tau siv nrog ceev faj nrog cov tshuaj uas cuam tshuam rau cov metabolism, vim tias muaj kev pheej hmoo ntawm kev cuam tshuam ntau ntxiv rau cov tshuaj uas cuam tshuam cov haujlwm ntawm tib neeg lub paj hlwb.
Thaum noj ib txhij nrog tshuaj loog, cov khoom xyaw nquag ntawm Kombigan tuaj yeem ua rau ntshav siab. Nws kuj tsis pom zoo kom muab nws nrog epinephrine, vim nws muaj peev xwm ua rau muaj kev loj hlob ntawm mydriasis. Cov ntsiab lus ntawm cov tshuaj no hauv cov ntshav nce nyob rau hauv kev cuam tshuam ntawm ethanol, cimetidine thiab hydralazine.
Ntxiv mus, yuav tsum ceev faj thaum noj tshuaj kom txo cov ntshav siab tib lub sijhawm.
YContraindications
Raws li cov lus qhia, daim ntawv teev cov contraindications rau Kombigan qhov muag tee yog dav heev, zoo li feem ntau thaum siv cov tshuaj muaj zog.
Cov tshuaj no tsis yog tshuaj rau kev ua xua rau ib qho khoom ntawm cov tee, mob hawb pob, ua xua rau lub qhov txhab, bronchial obstruction lossis mob ntsws loj. Tsis tas li ntawd, cov kab mob ntawm cov hlab plawv kuj yog ib qho contraindications, nrog rau cov hnub nyoog txog li 18 xyoo. Qhov no tshuajcov khoom no tsis pom zoo rau cov poj niam cev xeeb tub thiab lactating. Nrog ceev faj, "Combigan" yog siv thaum:
- lub raum lossis lub siab tsis ua haujlwm;
- Raynaud's syndrome, kev nyuaj siab, hypotension, thromboangiitis;
- mob ntshav qab zib nrog hypoglycemia;
- acidosis (metabolic);
- pheochromocytoma, uas tsis kho. Hauv qhov no, nws yuav tsum tau sab laj nrog kws kho mob txog qhov yuav tsum tau siv Kombigan qhov muag te, cov lus qhia thiab tshuaj xyuas kom paub meej qhov no.
Side effects
Cov kev mob tshwm sim feem ntau suav nrog o ntawm lub qhov muag ntawm qhov muag thiab qhov kub hnyiab ntawm cov mucous membrane. Feem ntau, cov tsos mob me me thiab tsis tas yuav tsum tau txiav cov tshuaj.
Qhov no yog qhia los ntawm cov lus qhia rau Kombigan qhov muag tee. Tus nqi thiab analogues yuav qhia hauv qab no.
Tsis tas li, cov kev mob tshwm sim tuaj yeem qhia tau raws li:
- pob txha yaig, mob hauv qhov muag, pom qhov muag tsis pom, khaus ntawm daim tawv nqaij, folliculosis, mucous membranes qhuav, blepharitis;
- hypertrophy, kev nyuaj siab;
- mob taub hau, tsaug zog;
- nce ntshav siab;
- xav kom lub plawv dhia;
- qhov ncauj qhuav, rhinitis;
- tseem tsis taus;
- dermatitis, asthenia;
- arrhythmias, ntshav siab, tachycardia. Qhov no tau lees paub los ntawm kev qhia thiab tshuaj xyuas ntawm Kombigan qhov muag tee. Coob leej txaus siab rau tus nqi.
Cov khoom xyaw nquag timolol kuj muaj lwm yam kev mob tshwm sim xws li:
- ptosis, hloov pauv hauv kev cuam tshuam;
- txo qis libido;
- pw tsis tsaug zog (ntau tus yws tias lawv npau suav phem);
- nco tsis tau ib ntus, ischemia, paresthesia, tinnitus;
- mob plawv;
- Raynaud's syndrome, hnoos, ua tsis taus pa;
- mob plab thiab xeev siab;
- alopecia, psoriasis;
- Peyronie's disease, peripheral edema, mob hauv siab. Lwm cov lus qhia rau kev siv rau Kombigan qhov muag dauv piav qhia dab tsi?
Thaum muaj kev sib tsoo ntawm cov tshuaj hauv ntau npaum li cas, cov tsos mob hauv qab no tuaj yeem tshwm sim: apnea, kev nyuaj siab ntawm lub hauv paus paj hlwb, kiv taub hau, txo cov ntshav siab, bronchospasm, mob taub hau, mob plawv.
Thaum muaj kev noj tshuaj ntau dhau lawm, yuav tsum tau mus pw hauv tsev kho mob tam sim, thaum tus neeg mob yuav tsum tau ntxuav tawm ntawm lub plab thiab muab activated charcoal. Kev siv tshuaj ntau dhau yuav tsum tau kho cov tsos mob xwb.
Cia
Kev khaws cov tshuaj no yog nqa tawm ntawm qhov kub txog li 30 degrees Celsius hauv qhov chaw qhuav, tsaus thiab tawm ntawm qhov chaw me nyuam yaus. Lub txee lub neej ntawm cov tshuaj yog 1 xyoo thiab cuaj lub hlis. Nws tsis tso cai rau khaws cia ntau tshaj 28 hnub ib pob qhib ntawm cov tshuaj "Kombigan" (tee) cov lus qhia rau kev siv. Cov neeg siv tshuaj xyuas paub meej qhov no.
"Kombigan", qhov muagpoob: cov lus qhia, analogues
Combigan muaj ntau yam analogues, ntawm cov hauv qab no:
- "Fotil". Nws muaj cov khoom muaj txiaj ntsig zoo ib yam - timolol maleate.
- "Trusopt". Lub ntsiab ntawm cov tshuaj yog dorzolamide.
- "Kosopt". Cov tshuaj no muab ob yam khoom xyaw ua ntej: timolol thiab dorzolamide.
- "Pilocarpine". Qhov no yog cov tshuaj analogue pheej yig tshaj plaws.
- "Azarga". Muaj brinzolamide thiab timolol.
- "Timolol". Lub ntsiab tseem ceeb, raws li lub npe qhia, yog timolol.
- "Betoptik". Cov muaj pes tsawg leeg ntawm cov tshuaj no yog dominated by betaxolol.
- "Travatan". Cov khoom xyaw tseem ceeb yog travoprost.
-
Xalathan. Cov khoom xyaw nquag ntawm cov tshuaj yog latanoprost.
combigan qhov muag tee cov lus qhia nqe tshuaj xyuas
Ua ntej siv cov tshuaj, koj yuav tsum tshem cov looj ntsej muag. Nws yuav tuaj yeem nruab lawv rov qab tsis pub dhau 15 feeb. Qhov no yog vim qhov tseeb tias cov tshuaj muaj cov ntsiab lus siab ntawm benzalkonium chloride, uas tuaj yeem rhuav tshem cov lo ntsiab muag thiab ua rau qhov muag khaus.
Lub sijhawm no, nws yog qhov zoo dua tsis txhob tsav tsheb lossis koom nrog lwm yam dej num uas yuav tsum tau ua kom muaj zog, vim tias cov tshuaj tuaj yeem ua rau qaug zog, tsis pom kev thiab tsis muaj zog.
Cov tshuaj muaj peev xwm nkag mus rau hauv cov kua mis, yog li tus kws kho mob tau sau ntawv siv "Combigan",Kev pub niam mis yuav tsum zam thaum tab tom kho.
Cov tshuaj no tsuas muaj nyob rau ntawm daim ntawv tshuaj. Thaum instilled rau hauv lub qhov muag, tsis txhob kov lub cornea nrog lub hau ntawm lub vial. Dej cawv yuav tsum zam thaum kho.
Thaum tshem tawm cov tshuaj, tsis txhob noj cov tshuaj yuav tsum maj mam maj mam, txwv tsis pub yuav muaj kev cuam tshuam hauv kev ua haujlwm ntawm lub plawv, thiab tseem muaj kev pheej hmoo ntawm myocardial infarction.
Reviews about tshuaj
Cov neeg mob uas siv cov tshuaj no nco ntsoov tias nws muaj txiaj ntsig zoo tiv thaiv glaucoma, thiab cov kev mob tshwm sim los ntawm nws tshwm sim tsawg zaus. Muaj tseeb, qee cov neeg mob nyiam cov analogues pheej yig dua vim lawv cov nqi qis. Tsis tas li ntawd, ntau tus neeg mob tau sau tseg qhov tseeb tias lub raj mis tshuaj tsis muaj ib qho yooj yim dropper, uas cuam tshuam nrog instillation.
Combigan tee muaj cov txiaj ntsig zoo thiab siv tau zoo los kho cov mob uas cuam tshuam nrog kev nce siab hauv lub paj hlwb. Kev siv cov khoom siv tshuaj yuav tsum ua raws li qhov kev kuaj mob tsim nyog thiab ua raws li kev saib xyuas kev kho mob nkaus xwb.
Zaj lus tau nthuav tawm rau qhov muag tee "Combigan" cov lus qhia.
Price
Cov tshuaj yog kim heev - 750-780 rubles ib pob. Yog li ntawd, ntau yam hloov nws nrog pheej yig dua analogues. Cov khoom xyaw nquag hauv lawv cov muaj pes tsawg leeg thiab lub hauv paus ntsiab lus ntawm kev ua yog zoo tib yam. Tab sis cov tshuaj ntawm cov tshuaj yog nqa tawm tsuas yog los ntawm cov neeg tuaj koomtus kws kho mob.
