Kev ntxhov siab yog qhov txawv txav ntawm tib neeg lub cev rau kev cuam tshuam ntawm cov xwm txheej sab nraud, ob qho tib si zoo thiab tsis zoo. Niaj hnub no, txhua tus neeg raug kev nyuaj siab, ua rau muaj kev puas tsuaj loj rau kev noj qab haus huv. Tau kawg, nws nyuaj heev kom tshem tawm qhov cuam tshuam ntawm lwm yam, tab sis Cavinton yuav pab kom kov yeej lawv yam tsis muaj kev phom sij rau kev noj qab haus huv.
Form and composition
Cov tshuaj "Cavinton" yog tshuaj feem ntau rau kev mob ntawm lub paj hlwb, nrog rau kev ua kom cov txheej txheem circulatory.
Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm concentrates thiab ntsiav tshuaj raws li lub active tivthaiv ntawm cov nroj tsuag keeb kwm - vinpocetine, uas yog artificially synthesized. Cov tshuaj no ua raws li ib tug analogue ntawm lub ntuj tivthaiv - devinkan, uas yuav pom nyob rau hauv periwinkle paj. Ib lub paj tshwj xeeb uas tib neeg tau kawm kom tshem tawm ntau yam spasms.
Tom qab ntawd, cov tshuaj tau tsim los txo cov ntshav siab.siab. Los ntawm txoj kev, txo cov ntshav siab, cov tshuaj muaj ib tug sedative khoom. Tom qab lwm lub sijhawm, lawv muaj peev xwm taug qab cov txiaj ntsig zoo ntawm cov tshuaj ntawm cov ntshav ncig hauv cov hlab ntsha ntawm lub hlwb, thiab ntawm no pib tsim cov Cavinton.
Sab nraud, cov ntsiav tshuaj yog dawb, tsis muaj ntxhiab, puag ncig. Ib txoj kab sib cais khiav raws qhov chaw, thiab CAVINTON tau kos rau ntawm sab nraud. Lub pob muaj ob lub hlwv, txhua tus muaj 25 ntsiav tshuaj. Cov tshuaj muaj pes tsawg leeg ntawm 1 ntsiav tshuaj suav nrog cov tshuaj hauv qab no: 5 mg ntawm vinpocetine, lactose monohydrate - 140 mg, pob kws hmoov txhuv nplej siab - 96.25 mg, magnesium stearate - 2.5 mg, silicon dioxide - 1.25, talc.
Nyob rau hauv cov ntaub ntawv ntawm intolerance tag nrog lactose deficiency, cov tshuaj yog muab nyob rau hauv ib tug txawv daim ntawv ntawm kev tso tawm - ib tug concentrate rau kev npaj ib tug tov rau infusion. Hauv ib pob, raws li cov lus qhia rau kev siv "Cavinton", 10 ampoules - txhua qhov ntim ntawm 2 ml. Cov tshuaj yog ntshiab, tsis muaj xim los yog me ntsis ntsuab tint tej zaum yuav zam tau. ampoules yog ua los ntawm iav tsaus. 1 ml muaj: 5 mg vinpocetine, 0.5 mg ascorbic acid, 1 mg sodium disulfite, 10 mg tartaric acid, 10 mg benzyl cawv, 80 mg sorbitol thiab txog li 1 ml dej rau txhaj.
Nws tseem tsim nyog sau cia Cavinton Forte, uas zoo ib yam hauv cov ntsiab lus rau Cavinton. Qhov sib txawv tsuas yog tias cov ntsiav tshuaj hauv pob tau nce mus rau 30 lossis 90 daim, thiab cov tshuaj vinpocetine yog ob zaug ntau dua. Cov lus qhia "Cavinton" (10 mg) rau kev siv paub meej tias ib koob tshuaj nquagCov tshuaj muaj tsuas yog 1 ntsiav tshuaj. Txwv tsis pub, cov ntsiab lus tseem ceeb tsis hloov pauv.
Cov lus qhia rau kev siv
Zoo li txhua yam tshuaj, "Cavinton" yuav tsum tau siv los ntawm tus neeg mob tsuas yog muaj cov tsos mob tsim nyog rau nws siv thiab tsuas yog tom qab kev pom zoo los ntawm tus kws kho mob tshwj xeeb. Cov tshuaj tau txais nyob rau hauv ntau yam tshuaj:
- Neurology - nrog rau qhov tshwm sim ntawm cov poj niam cev xeeb tub, nrog rau kev puas siab puas ntsws thiab kev puas siab puas ntsws (kev nco thiab kev hais lus tsis zoo, ntau yam kev txav tsis zoo, kiv taub hau), thaum mob hnyav thiab mob tsis ua haujlwm (ischemia, stroke, atherosclerosis, kev paub tsis meej, vertebrobasilar insufficiency.).
- Ophthalmology - glaucoma (tom qab raug mob, post-inflammatory, post-thrombotic), ntau yam kab mob ntawm retina, hlab ntsha thiab macula, nrog rau ntau yam kev tsis pom kev uas tshwm sim los ntawm atherosclerosis, embolism, angiospasm lossis thrombosis.
- Otolaryngology - Meniere's syndrome (ib kab mob ntawm pob ntseg sab hauv, vim tias qhov ntim ntawm cov kua hauv cov kab noj hniav nce), tinnitus, hnov lus tsis hnov lus (senile), neuritis, hnov lus tsis hnov lus vim mob vascular tshwm sim los ntawm kev siv tshuaj thiab Lwm tus.
Contraindications rau kev siv
Muaj ntau tus kab mob pathological thiab physiological contraindications, uas suav nrog:
- hom mob hnyav ntawm arrhythmia;
- kab mob coronary mob hnyav tshwm sim los ntawm cov ntshav tsis txaus hauv lub plawv cov leeg;
- mob stroke characterized by hemorrhage;
- hypersensitivity rau cov tshuaj nquag ntawm cov tshuaj lossis cov khoom pabcuam ntawm cov muaj pes tsawg leeg;
- lactose malabsorption;
- thaum lactation thiab cev xeeb tub (txhua lub sijhawm);
- tus neeg mob qis dua 18.
Ua ntej pib txoj kev kho mob nrog cov tshuaj no, koj yuav tsum xyuas kom meej tias cov npe contraindications tsis tuaj.
Cov lus qhia rau kev siv "Cavinton"
Cov koob tshuaj tsuas yog muab los ntawm tus kws tshaj lij tshwj xeeb tom qab kuaj xyuas thiab txheeb xyuas cov laj thawj vim li cas rau kev qhia tshuaj. Tsis muaj ib qho algorithm rau cov lus qhia rau kev siv, txij li txhua tus kab mob muaj nws tus kheej tshwj xeeb. Tsuas yog tus kws kho mob tuaj yeem txiav txim siab txog kev kho mob thiab ntau npaum li cas. Tab sis, zoo li txhua yam tshuaj muaj nws cov lus qhia yooj yim, yog li Cavinton, nyob ntawm daim ntawv tso tawm.
Cov ntsiav tshuaj tau muab rau hauv qhov ncauj tom qab noj mov, 5-10 mg 3 zaug hauv ib hnub (yam tsawg kawg ib hnub - 15 mg, siab tshaj - 30 mg). Feem ntau cov chav kawm raug muab rau lub sijhawm 1 txog 3 lub hlis. Yog tias muaj teeb meem, chav kawm tuaj yeem nce mus txog 8 lub hlis - raws li tau hais hauv cov lus qhia rau kev siv Cavinton. Cov lus qhia txog kev siv tshuaj tau lees paub tias tom qab ib lub lim tiam, cov neeg mob hnov cov txiaj ntsig zoo ntawm nws cov teebmeem.
Rau qee qhov laj thawj, tus neeg mob yuav raug txhaj tshuaj. Nws tsim nyog xav txog ntawm no tias cov tshuaj muaj qhov sib txawv kiag li. Ua ntej siv, cov tshuaj yuav tsum tau diluted nrog lub cev los yog kua qabzib (20 mg ntawm cov tshuaj ib 500-1000 ml ntawm kev daws),uas tuaj yeem thov hauv 3 teev.
Muaj cov lus piav qhia ntawm cov lus qhia rau kev siv "Cavinton": kev txhaj tshuaj yog muab tso rau hauv cov hlab ntsha, ntws thiab tsis nrawm (qhov siab tshaj plaws tuaj yeem yog 80 tee ib feeb). Qhov koob tshuaj txhua hnub (nruab nrab) yog 35 mg rau 60 kg ntawm lub cev hnyav. Qhov siab tshaj plaws ntim ntawm cov tshuaj yog mus txog 1 mg rau 1 kg. Lub sij hawm ntawm chav kawm yog muab los ntawm 10 hnub mus rau 3 lub lis piam, nyob ntawm seb qhov mob hnyav npaum li cas.
Thov nco ntsoov tias hauv cov lus qhia rau kev siv cov ntsiav tshuaj Cavinton muaj lus ceeb toom txog kev txo qis hauv cov tshuaj thaum kawg ntawm kev kho mob hauv 3 hnub. Yog hais tias chav kawm tau ua tiav nrog kev daws teeb meem, ntxiv rau kev txo cov koob tshuaj txhaj tshuaj, kev hloov pauv ntxiv mus rau cov ntsiav tshuaj ntawm cov tshuaj yog tsim nyog - 10 mg 3 zaug hauv ib hnub.
Raws li cov lus qhia rau kev siv Cavinton Forte analogue, nws piav qhia txog tib lub tswv yim: tom qab noj mov, qhov ncauj. Lub sijhawm thiab ntau npaum li cas ntawm kev kho mob tsuas yog muab los ntawm kws kho mob. Nco ntsoov pib nrog 15 mg - koob tshuaj txhua hnub, tom qab ntawd nce mus rau qhov siab tshaj plaws ntawm 30 mg ib hnub.
Note: cov npe ntawm cov tshuaj tsuas yog tsom rau nws qhov kev hloov kho tshiab. Txwv tsis pub, cov lus qhia rau kev siv "Cavinton Forte" zoo ib yam li cov analogue, mus txog rau kev phiv thiab kev cia khoom.
Side effects
Kev siv "Cavinton", txiav txim los ntawm cov lus qhia, muaj tsawg zaus, tab sis tseem tuaj yeem ua rau lub cev tsis zoo, xws li:
- qhov ncauj qhuav, xeev siab thiab kub siab;
- pw tsis tsaug zog - qaug zog ntau dhau lossis ua rau lwm tusinsomnia;
- qaug zog, kiv taub hau, mob taub hau;
- ntau yam kev tsis haum: pob khaus, khaus khaus, khaus tawv nqaij;
- mob ntawm cov leeg (phlebitis);
- lub plawv dhia ceev (tachycardia);
- arterial hypotension.
Txawm hais tias tag nrho cov lus qhia tau piav qhia hauv cov lus qhia rau kev siv, kev tshuaj xyuas ntawm Cavinton paub meej tias Quincke's edema (loj ntawm lub ntsej muag lossis nws qhov chaw thiab ceg tawv) thiab txawm tias anaphylactic shock tuaj yeem tshwm sim. Qee tus neeg mob tau pom tias muaj hws ntau ntxiv.
Yog tias cov tsos mob no tshwm sim los yog lwm yam tshwm sim, koj yuav tsum sab laj nrog kws kho mob kom txo qis cov tshuaj lossis kom tshem tawm cov kev kho mob tag nrho.
Pharmacological action
Cia peb xav txog cov tshuaj pharmacodynamics ntawm cov tshuaj. Raws li cov lus qhia rau kev siv Cavinton, cov tshuaj nquag yog vinpocetine, uas muaj cov nyhuv nyuaj rau lub cev, normalizing hlwb metabolism thiab ntshav ncig.
Cov tshuaj txo qhov hnyav ntawm cov tshuaj tiv thaiv cytotoxic los ntawm kev txhawb nqa cov amino acids, thiab yog li yuav ua tiav cov txiaj ntsig neuroprotective. Qhov no ua rau lub hlwb cov ntaub so ntswg pib noj oxygen thiab qabzib ntau dua.
Thaiv hypoxia los ntawm kev ua kom ruaj khov ntawm cov neurons. Tib lub sijhawm, AMP thiab cGMP qib nce. Tsis tas li ntawd nyob rau hauv cov ntaub so ntswg ntawm lub paj hlwb muaj kev nce hauv qhov concentration ntawm ATP thiab qhov piv ntawm ATP rau AMP. Txo cov txheej txheem ntawm gluing hlwb ua ke, nce ntshav viscosity. Qhov kev txiav txim ntawm adenosine yog txhim kho, thiab deformability ntawm erythrocytes nce, kev siv ntawm adenosine raug thaiv. Tib lub sijhawm, kev sib pauv ntawm serotonin thiab norepinephrine nce.
Cov cim qhia ntawm cov kab mob hauv lub cev tseem nyob ruaj khov, txawm tias qhov nce hauv cov ntshav ntws (cerebral) thiab txo qis ntawm cov hlab ntsha hauv hlwb.
Pharmacokinetics yog dab tsi?
Cov tshuaj tau nqus sai: hauv 1 teev tom qab noj cov ntsiav tshuaj, qhov siab tshaj plaws hauv cov ntshav tau mus txog. Cov txheej txheem nqus nws tus kheej yuav siv qhov chaw hauv plab hnyuv. Tsis ua rau cov kab mob metabolic thaum txav mus los ntawm txoj hnyuv.
Ntawm qhov ntau npaum li cas, qhov concentration yog mus txog 2-4 teev tom qab noj. Tus cwj pwm linear tshwm sim nrog kev rov ua dua ntawm cov tshuaj hauv koob tshuaj 5-10 mg. Cov tshuaj tau tawm ntawm lub cev hauv 4.83 ± 1.29 teev, los ntawm cov quav thiab zis hauv qhov piv ntawm 2: 3.
Analogues
Vinpocetine txhim kho cov ntshav ncig hauv tib neeg lub hlwb, raws li tau hais hauv cov lus qhia rau Cavinton. Kev siv cov analogues ntawm cov tshuaj yog txwv tsis pub, qhov tseem ceeb tshaj plaws yog lub xub ntiag ntawm lub active tshuaj nyob rau hauv muaj pes tsawg leeg. Piv txwv li:
- "Vinpocetine" - ntxiv rau kev txhim kho cov metabolism thiab cov ntshav ncig hauv lub hlwb, txo cov platelet adhesion, thauj oxygen. Daim ntawv tso tawm: ntsiav tshuaj, tshuaj rau txhaj tshuaj.
- "Bravinton" - txhim kho cov txheej txheem metabolic hauv lub hlwb, thaum muaj cov nyhuv antispasmodic. Cov tshuaj tuaj yeem siv los tiv thaiv kiv taub hau,nrog mob taub hau thiab nco tsis meej. Daim ntawv tso tawm: ntsiav tshuaj, tshuaj rau txhaj tshuaj.
- "Korsavin" - txhim kho cov ntshav khiav thiab paj hlwb, nthuav dav thiab so cov hlab ntsha ntawm lub hlwb, txo cov kev pheej hmoo ntawm ischemia thiab mob stroke. Daim ntawv tso tawm: ntsiav tshuaj.
- "Cinnarizine" - siv rau tinnitus, kiv taub hau, xeev siab, ntuav thiab mob labyrinth. Daim ntawv tso tawm: ntsiav tshuaj.
- "Actovegin" - txhawb cov txheej txheem rov tsim dua tshiab, thauj thiab khaws cov piam thaj thiab oxygen, txhim kho cov txheej txheem metabolic thiab trophism. Daim ntawv tso tawm: ntsiav tshuaj, tshuaj rau txhaj tshuaj.
- "Mexidol" - ib qho tshuaj kho hauv tsev rau kev txhim kho cov ntshav ncig hauv hlwb. Daim ntawv tso tawm: ntsiav tshuaj, tshuaj rau txhaj tshuaj.
Tau kawg, tus thawj tau txais nws lub koob meej vim muaj kev ua kom huv huv siab thaum lub sijhawm tsim khoom. Txawm li cas los xij, tau kawm cov lus qhia rau kev siv Cavinton Forte, peb tuaj yeem hais tias qhov no yog qhov zoo ib yam ntawm cov thawj. Qhov txawv ntawm lawv tsuas yog nyob rau hauv tus nqi ntawm cov tshuaj nquag.
Koj yuav tsum tau ua tib zoo mloog rau Cavinton Comfort, cov lus qhia rau kev siv uas tam sim ntawd qhia koj txog qhov sib txawv tseem ceeb thiab qhov zoo ntawm cov analog: cov khoom tawg ntawm cov ntsiav tshuaj, uas yog, muaj peev xwm yaj hauv qaub ncaug thiab dej. Hauv lwm lo lus, yog tias tus neeg mob muaj qhov ua tsis taus ntawm nqos, ces qhov analogue no yuav raug muab rau nws.
Yog tias qee qhov laj thawj muaj kev kawm ntawm kev noj ib qho ntawm Cavinton analogues, cov lus qhia rau kev siv uas yog qhov tseeb heev.zoo sib xws, koj yuav tsum tau mus ntsib kws kho mob. Tsuas yog ib tus kws kho mob tshwj xeeb yuav tuaj yeem txiav txim siab tus kheej txhua qhov zoo thiab qhov tsis zoo rau koj lub cev thaum kho nrog cov tshuaj no.
Cov lus qhia tshwj xeeb
Tshuaj muaj lactose. Nws yuav tsum raug coj mus rau hauv tus account yog tias intolerance rau cov tshuaj uas 1 ntsiav tshuaj muaj 41.5 mg ntawm lactose.
Kuj, yog tias muaj lactose intolerance, cov tshuaj nquag, vinpocetine, yuav tsum zam.
Tsis cuam tshuam rau lub raum ua haujlwm. Cov tshuaj rau lub raum kab mob yog nqa tawm nyob rau hauv tus qauv koob tshuaj, tso cai rau kev kho mob ntev.
Tsis cuam tshuam rau lub siab ua haujlwm. Cov tshuaj rau cov kab mob siab yog nqa tawm hauv cov koob tshuaj, tso cai rau kev kho mob ntev.
ECG kev soj ntsuam yuav tsum tau muaj nyob rau ntawm lub sijhawm QT syndrome thiab nws lub sijhawm ncua ntev.
Tshuaj tsis muaj txiaj ntsig rau kev tsav tsheb, nrog rau kev tswj hwm ntawm ntau lub tshuab.
tshuaj muaj txiaj ntsig
Kev siv tshuaj sib xyaw nrog cov tshuaj uas muaj cov nyhuv antihypertensive, "Methyldopa", tuaj yeem ua rau txo qis ntshav siab (BP). Nrog rau kev sib xyaw ntawm cov tshuaj no, nws yog ib qho tsim nyog los tswj cov ntshav siab.
Tsis muaj kev cuam tshuam nrog kev siv tshuaj ib txhij nrog beta-blockers.
Thaum tsis muaj ntaub ntawv hais txog kev sib cuam tshuam, nws raug pom zoo nrog nce ntxivnoj Cavinton nrog ceev faj thaum ua ke nrog cov tshuaj uas muaj kev cuam tshuam rau lub hauv nruab nrab lub paj hlwb thiab nrog antiarrhythmics.
Ntau tshaj
Ntau cov ntaub ntawv tau sau txog kev noj tshuaj ntau dhau. Nyob rau hauv cov ntaub ntawv ntawm ntau tshaj qhov siab tshaj plaws niaj hnub koob tshuaj nyob rau hauv kev kho mob, nws yog tsim nyog los ntxuav lub plab thiab hnyuv. Tom qab ntawd, koj yuav tsum tau noj cov hnyuv sorbents, piv txwv li, activated charcoal thiab lwm yam.
Cov xwm txheej thiab txee lub neej ntawm cov tshuaj
Cov tshuaj, txawm tias yuav tso tawm li cas (kev daws teeb meem, ntsiav tshuaj), yuav tsum muab khaws cia rau hauv qhov chaw tiv thaiv los ntawm tshav ntuj thiab tawm ntawm cov menyuam yaus. Nyob rau tib lub sijhawm, qhov ntsuas kub ntawm cov tshuaj yog los ntawm 15 txog 30 degrees.
Lub neej txee - 5 xyoos txij li hnub tsim khoom. Cov ntaub ntawv zoo li no tau qhia rau ntawm lub pob ntawm cov tshuaj.
Reviews
Tau kawm cov tshuaj xyuas txog cov tshuaj "Cavinton", peb tuaj yeem xaus tias cov neeg mob paub tseeb tias qhov tshwm sim, uas tau tshaj tawm los ntawm cov chaw tsim khoom. Hauv ntau tus neeg mob, mob taub hau tas mus li ploj tom qab chav kawm vim vasoconstriction. Tinnitus, kiv taub hau thiab qhov muag tsis pom kev kuj rov qab, thiab qhov tshwm sim yog pom tau tom qab siv ob lub lis piam.
Tsis tas li kev tshuaj xyuas zoo txog Cavinton analogues, cov lus qhia rau kev siv uas tsuas yog lees paub tias qhov zoo sib xws ntawm cov tshuaj yog raws li cov khoom tseem ceeb ntawm cov tshuaj muaj pes tsawg leeg - vinpocetine. Nws yog nws leej twg, los ntawm nws lub hwj chim, pab kho cov txheej txheem metabolic hauv qee qhov ntawm tib neeg lub hlwb tom qab ischemia.
raug ntauzoo-paub analogues ntawm cov tshuaj muaj xws li Cavinton Forte thiab Cavinton Comfort. Lawv kuj tsis raug tshem tawm ntawm kev tshuaj xyuas, uas ib zaug lees paub qhov ua tau zoo ntawm cov tshuaj. Ntau tus neeg mob ntshav qab zib tau lees paub qhov kev nyab xeeb ntawm cov tshuaj thiab nws cov analogues, tsis hais txog ntawm daim ntawv tso tawm (cov ntsiav tshuaj / kev daws teeb meem).
Txawm hais tias nyob rau hauv cov xwm txheej ntawm kev xa tawm los ntawm cov khw muag tshuaj nws tau sau tseg "los ntawm cov tshuaj" hauv cov lus qhia rau kev siv Cavinton Forte, cov kev tshuaj xyuas tau lees paub qhov tsis sib xws, thiab cov kws kho mob lawv tus kheej hais tias kev muag tshuaj yog ua tau yam tsis muaj daim ntawv sau tshuaj, tab sis tsis txhob tso tseg tus kws kho mob cov tshuaj. Tseem, cov tshuaj muaj, ntxiv rau cov lus qhia rau kev siv, ib tug xov tooj ntawm contraindications uas yuav muab qhov opposite nyhuv.
Cov neeg mob lawv tus kheej lees lawv qhov kev ua yuam kev hauv kev kho tus kheej uas tsis tswj hwm tus kheej. Piv txwv li, hais txog qhov tsis saib xyuas cov lus qhia rau kev siv Cavinton Comfort, cov kev tshuaj xyuas tau lees paub qhov pom ntawm cov kev mob tshwm sim thiab ntau dua. Sudden rho menyuam tau pom vim muaj cov tshuaj siab hauv plab. Qee cov neeg mob, tsis txuas qhov tsim nyog tseem ceeb rau cov ntaub ntawv hais txog kev muaj lactose hauv cov tshuaj, tau txais flatulence. Muaj cov xwm txheej thaum tib neeg lub cev pom tias muaj kev tsis haum tshuaj nyob rau hauv daim ntawv ntawm Quincke's edema. Thiab nrog kev sib xyaw ua ke ntawm lub paj hlwb tsis ruaj khov thiab hypotension, kev kho tshuaj muab qhov kev poob qis tshaj plaws hauv siab.
Yog li, kev noj qab haus huv yog kab tias qhov kev ntshaw tshaj plaws ntawm txhua tus neeg. Thiab rau qhov no nws yog ib qho tsim nyog los tswj peb cov ntshav ncig hauv lub hlwb. Cov tshuaj "Cavinton" thiab nws cov analogues yuav pab txhua tus neeg xav tau kev tiv thaiv lawv cov hlab ntsha tawg. Tab sis nws tsim nyog nco ntsoov tias kev siv tsis tswj tautxhua yam tshuaj tsuas tuaj yeem ua rau lub cev hnyav dua. Tsuas yog tus kws kho mob thiaj li tuaj yeem nkag siab txog qhov kev txhim kho ntawm ib qho kev kho mob ib tus neeg, nrog rau kev sau tshuaj thiab cov txheej txheem rau kev noj Cavinton vasodilator.
