Yuav ua li cas kuv thiaj li yuav muaj peev xwm yuav tshuaj uas tuaj yeem ua ib zaug thiab daws txhua yam teeb meem kev noj qab haus huv uas twb muaj lawm. Tab sis txog tam sim no tsis tau. Thiab yog li ntawd, txhua leej txhua tus raug yuam kom siv sijhawm ntau, nyiaj txiag thiab kev siv zog los tswj lawv lub cev lub cev ntawm qib tsim nyog rau kev ua haujlwm ntawm lub cev. Nrhiav tau cov tshuaj zoo tshwj xeeb qee zaum yuav siv sij hawm tsis txaus ntseeg. Kab lus no yog sau los pab koj txuag nyiaj. Hauv qab no peb yuav xav txog cov lus piav qhia ntxaws txog cov tshuaj hu ua "Hydrocortisone-Richter", uas yog siv rau hauv cov tshuaj niaj hnub los tawm tsam ntau yam kab mob. Thiab nyob rau hauv tag nrho cov no, qhov kev kho zoo kawg no yog siv tau, raws li koj tuaj yeem pom hauv chav kawm nyeem ntawv. Leej twg yog qhia "Hydrocortisone-Richter"? Yuav tsum siv li cas? Dab tsi yog contraindications rau nws siv? Nws muaj kev nyab xeeb npaum li cas? Kuv puas yuav tsum tau mus ntsib kws kho mob lossis kuv tus kheej kev paub txaus txaus los tsim cov txheej txheem kho tus kheej? Puas muaj ib qho kev hloov pauv rau cov tshuaj hauv nqe lus nug? Tag nrhoKoj tuaj yeem paub qhov no thiab qee qhov nuances ntawm kev siv tshuaj "Hydrocortisone Richter" los ntawm kev nyeem cov kab lus no.
Composition
Cov khoom xyaw tseem ceeb uas tsim cov tshuaj "Hydrocortisone-Richter" yog hydrocortisone acetate ntawm ib puas thiab nees nkaum tsib milligrams, nrog rau lidocaine hydrochloride monohydrate hauv tus nqi nees nkaum rau thiab ib nrab. milligrams. Cov khoom siv pabcuam rau cov tshuaj hauv nqe lus nug yog polysorbate 80; povidone; sodium phosphate; tpropyl parahydroxybenzoate; sodium dihydrogen phosphate; methyl parahydroxybenzoate; sodium chloride; dimethylacetamide; dej rau txhaj.
tshuaj muaj txiaj ntsig
Cov tshuaj "Hydrocortisone-Richter" yog ib tus neeg sawv cev glucocorticosteroid. Cov txiaj ntsig tseem ceeb uas cov tshuaj hauv nqe lus nug muaj rau tus neeg mob lub cev yog tshuaj tiv thaiv.
"Hydrocortisone-Richter" yuav tsum tau txhaj tshuaj intra- lossis periarticularly lossis intramuscularly.
Lidocaine yog ib qho tshuaj tua kab mob zoo (tso tshuaj loog hauv zos) uas muaj kev cuam tshuam rau thaj chaw xav tau ntawm lub cev hauv lub sijhawm luv luv. Cov tshuaj kuj tseem muaj cov nyhuv ua kom ruaj khov.
Nyob rau hauv qhov xwm txheej uas tus neeg sawv cev no tau tswj hwm intra-articularly lossis periarticularly, cov tshuaj nquag nkag mus rau hauv lub cev hauv lub sijhawm luv luv. Cov khoom xyaw nquagUa kom pom kev sib txuas ntawm cov protein ntau (nws tshaj cuaj caum feem pua). Nyob rau hauv tus neeg mob lub siab, cov tshuaj lov mus rau hauv cov nram no tshuaj: tetrahydrocortisone thiab tetrahydrocortisol. Cov tom kawg nyob rau hauv ib daim ntawv conjugated yog tawm los ntawm lub cev nrog kev pab los ntawm ob lub raum.
Qhov tseem ceeb! Cov tshuaj dawb hla lub placental barrier, yog li nws tuaj yeem cuam tshuam rau tus menyuam hauv plab.
Lidocaine kuj nkag mus rau hauv cov kua mis, uas ua rau muaj kev pheej hmoo rau tus menyuam thaum pub niam mis.
Lub neej ib nrab yog li ntawm ib mus rau ob teev.
Kev qhia
Cov kab mob tseem ceeb hauv kev siv tshuaj "Hydrocortisone-Richter" tau qhia yog scapulohumeral periarthritis, tendovaginitis, osteoarthritis, raug rau lub xub ntiag ntawm synovitis (tsis siv rau kev mob caj dab), nrog rau bursitis, rheumatoid mob caj dab thiab epicondylitis.
Hnub no, cov tshuaj hauv nqe lus nug tau siv ntau ntxiv los tawm tsam ntau yam kab mob ntawm txoj hlab ntsws, lub ntsws thiab nasopharynx (laryngitis, hawb pob, bronchitis, sinusitis, kua ntswg, thiab lwm yam), nrog rau pob ntseg (otitis media of txawv qhov hnyav).
Daim ntawv thov
Txhawm rau tiv nrog ENT kab mob, siv "Hydrocortisone-Richter" rau kev nqus pa. Cov lus qhia rau kev siv cov cuab yeej hauv nqe lus nug, yog li ntawd, yog qhov yooj yim heev. Nws yog ib qho tseem ceeb rau thawj zaug hu rau tus kws kho mob tshwj xeeb uas muaj peev xwm sau tau qhov tsawg kawg nkaus ntawm cov tshuaj uas yuav siv tau rau qhov tshwj xeeb no. nwsNws yog ib qho tsim nyog rau kev siv tshuaj "Hydrocortisone-Richter" rau kev nqus pa kom muaj kev nyab xeeb tiag tiag. Nws yuav ua pob khaus heev los txiav txim siab rau koj tus kheej. Nws tseem yog ib qho tseem ceeb uas tus kws kho mob tuaj koom sau cov feem ntawm kev npaj cov kev daws teeb meem rau cov txheej txheem hauv nqe lus nug. Yog tias koj ua tib zoo ua raws li cov lus pom zoo tau txais los ntawm tus kws tshaj lij, tom qab ntawd kev siv tshuaj "Hydrocortisone-Richter" rau kev nqus pa yuav txuag tau tiag tiag hauv kev sib ntaus sib tua kom noj qab haus huv.
Cov tshuaj hauv nqe lus nug kuj yog siv rau kev mob otitis media. Hauv cov xwm txheej zoo li no, nws raug nquahu kom drip ob milliliters ntawm Hydrocortisone-Richter tov rau hauv pob ntseg. Cov txheej txheem yuav tsum tau rov ua peb mus rau plaub zaug hauv ib hnub. Raws li kws kho mob tau sau tseg, koj tuaj yeem muab cov tshuaj no nrog cov tshuaj tua kab mob uas haum rau tus neeg mob.
Kuj "Hydrocortisone-Richter" (cov lus qhia rau kev siv muaj cov ntaub ntawv zoo li no) tuaj yeem siv ncaj qha rau kev kho mob sib koom ua ke. Hauv qhov no, cov tshuaj tau muab tshuaj intraarticularly lossis periarticularly. Thaum nruab hnub, "Hydrocortisone-Richter" (kev ncua) yuav tsum tsis txhob txhaj rau ntau tshaj peb pob qij txha. Kev txhaj tshuaj tom ntej tuaj yeem ua tau tsuas yog peb lub lis piam tom qab ib qho dhau los.
Tib qhov sib koom ua ke tuaj yeem raug rau cov tshuaj "Hydrocortisone-Richter" (kev ncua) tsis pub ntau tshaj peb zaug hauv ib xyoos. Qhov no yog vim qhov tsis zoo ntawm cov tshuaj no ntawm hyalinepob txha mos.
"Hydrocortisone-Richter" yuav tsum siv li cas rau qhov no? Cov lus qhia rau kev siv pom zoo kom cov neeg laus txhaj tshuaj ntawm tsib mus rau tsib caug milligrams ntawm cov tshuaj, nyob ntawm seb qhov sib koom ua ke loj npaum li cas thiab tus kab mob hnyav npaum li cas. Cov koob tshuaj rau menyuam yaus yog tsib mus rau peb caug milligrams. Txawm li cas los xij, cov nyiaj no yuav tsum tau muab faib ua ntau qhov kev txhaj tshuaj thaum nruab hnub.
Rau kev kho mob ntawm qhov ntswg, cov tshuaj tshwj xeeb yuav tsum tau npaj. Nws yog tsim nyog los sib tov txhua ampoule ntawm "Dioxidin", "Mezaton" thiab cov tshuaj nyob rau hauv nqe lus nug thiab co kom huv si. Tom ntej no, koj yuav tsum tso cov tshuaj no nrog cov tshuaj "Hydrocortisone-Richter" rau hauv lub qhov ntswg (ob tee peb zaug ib hnub twg).
Kev noj tshuaj rau tus kheej tsis tas yuav ua tau zoo thiab tuaj yeem ua rau muaj kev phom sij. Thiab nws tsis yog nyob ntawm seb koj tab tom tawm tsam li cas - otitis media, mob caj dab, sinusitis, lossis koj xav siv "Hydrocortisone-Richter" rau kev nqus pa. Cov lus qhia tsuas muaj qhov nruab nrab pom zoo noj ntau npaum li cas. Tus nqi npaum li cas ntawm cov tshuaj thiab cov txheej txheem ntawm kev siv nws tuaj yeem tsim nyob rau hauv txhua tus neeg mob tshwj xeeb los ntawm tus kws kho mob.
YContraindications
Muaj qee qhov xwm txheej nyob rau hauv uas tsis muaj teeb meem koj yuav tsum siv cov tshuaj rau kev txhaj tshuaj lossis tee "Hydrocortisone-Richter". Yog li, koj yuav tsis tuaj yeem siv cov tshuaj hauv nqe lus nug yog tias koj muaj kab mob sib koom ua ke, teeb meem nrog cov leeg Achilles, muaj kev nyiam rauntshav txhaws, Itsenko-Cushing's syndrome, kab mob tsis muaj kev kho mob tshwj xeeb, nrog rau tus neeg intolerance rau ib los yog lwm yam khoom siv ntawm cov tshuaj.
Tsis tas li, cov tshuaj tau txwv tsis pub noj thaum lub sijhawm yug menyuam (tshwj xeeb, hauv thawj peb lub hlis twg). Hauv peb lub hlis thib ob thiab thib peb, cov tshuaj yuav tsum tau noj tsuas yog yog tias qhov txiaj ntsig rau leej niam muaj ntau zaus ntau dua qhov kev pheej hmoo rau tus menyuam hauv plab. Thiab kev siv cov tshuaj "Hydrocortisone Gedeon Richter" muaj kev cuam tshuam tsis zoo rau kev loj hlob ntawm tus menyuam hauv plab. Hauv particular, nws provokes ib tug lag nyob rau hauv kev loj hlob. Nws tseem raug txwv tsis pub siv tshuaj thaum pub niam mis.
Tsis txhob siv tshuaj intra-articularly yog tias muaj kab mob los ntshav, mob caj dab, mob pob txha pob txha, pob txha pob txha tsis muaj synovitis, pob txha puas, kab mob periarticular, periarticular osteoporosis, sib koom ua ke deformity, tsis ruaj khov, yav dhau los arthroplasty.
Nws yog ib qho tseem ceeb uas yuav tsum tau ua raws li kev saib xyuas ntawm tus kws kho mob yog tias tus neeg mob laus lossis muaj cov kab mob hauv qab no: ntshav qab zib mellitus, duodenal lossis gastric ulcer, osteoporosis, herpes, tuberculosis, epilepsy, glaucoma, qhua pias, arterial. hypertension, mob plawv tsis ua hauj lwm.
Side effects
Cov kev mob tshwm sim dab tsi tuaj yeem tshwm sim los ntawm kev noj tshuaj "Hydrocortisone-Richter" (kev ncua)? Cov lus qhia muaj cov ntaub ntawv hais txog qhov tsis zoo hauv qab nocov tshuaj tiv thaiv uas tuaj yeem tshwm sim thaum kho nrog tus neeg sawv cev hauv nqe lus nug. Ntawm lawv:
- stunting;
- steroid ntshav qab zib mellitus;
- YItsenko-Cushing syndrome;
- txo qis hauv qabzib siab;
- kev tsim txom ntawm adrenal ua haujlwm;
- nausea;
- hypokalemia;
- hiccup;
- thromboembolism;
- flatulence;
- peptic ulcer;
- lub plawv tsis ua hauj lwm;
- ntshav;
- Yperipheral vasodilation;
- ntua;
- nce ntshav siab;
- chim siab;
- pancreatitis;
- insomnia;
- esophagitis;
- kev tshaib plab;
- mob taub hau;
- xov xwm;
- hnyav nce;
- euphoria;
- kev puas hlwb;
- pob txha ulceration;
- xov xwm;
- tawm hws ntau dhau;
- kev xav;
- cataract;
- kev puas tsuaj rau lub paj hlwb;
- qhov muag kab mob;
- Pseudotumor ntawm cerebellum, glaucoma;
- kev nyuaj siab;
- kiv taub hau;
- parnoia;
- kev tsis sib haum;
- delirium;
- mob taub hau;
- arthralgia;
- myalgia;
- osteoporosis;
- kev loj hlob qeeb;
- txo qis hauv cov leeg nqaij;
- muscle spasm;
- faus;
- steroid myopathy;
- hypernatremia;
- kev raug mob;
- kab mob kis tau zoo;
- arrhythmia;
- ncuakua;
- nce qaug zog;
- pob khaus;
- kev kis kab mob ntau ntxiv (nrog rau tus kab mob latent tuberculosis);
- xav;
- folliculitis;
- anaphylactic shock;
- ecchymosis;
- steroid pob txuv;
- telangiectasia;
- tawv nqaij atrophy;
- paresthesia;
- hirsutism;
- daim tawv nqaij o;
- necrosis ntawm cov ntaub so ntswg ib puag ncig;
- adrenal insufficiency;
- leukocytosis;
- malaise.
Yog tus neeg mob laus lawm, qhov kev pheej hmoo ntawm cov kev mob tshwm sim no yuav nce ntxiv.
Tsis tas li, ntau qhov kev tshwm sim saum toj no tuaj yeem tshwm sim vim ntau tshaj li qhov tau sau tseg lossis noj cov tshuaj ntev dhau. Raws li cov xwm txheej zoo li no rau kev siv Hydrocortisone-Richter, cov lus qhia qhia txog kev kho mob, vim tam sim no tsis muaj tshuaj tua kab mob tshwj xeeb.
Ntse
Nws yog ib qho tseem ceeb rau kev tswj hwm cov tshuaj hauv nqe lus nug, suav nrog txhua txoj cai ntawm tshuaj tua kab mob, uas yuav pab kom tsis txhob kis kab mob nrog cov kab mob pathogenic.
Nws txwv tsis pub txhaj tshuaj tiv thaiv tus neeg mob thaum kho nrog cov tshuaj no. Qhov no yog vim muaj peev xwm inhibition ntawm antibody synthesis.
Thaum siv cov tshuaj "Hydrocortisone-Richter" (kev ncua), cov lus qhia rau kev siv pom zoo kom koj ua raws li qee yam kev noj haus. Sodium cov ntsiab lus hauvKev noj zaub mov yuav tsum raug txo kom tsawg, thaum cov ntsiab lus potassium yuav tsum tau nce ntxiv. Koj kuj yuav tsum tau noj cov protein kom txaus.
Nws yog ib qho tseem ceeb kom tsis tu ncua saib xyuas cov ntsuas hauv qab no: ntshav txhaws, diuresis, ntshav qabzib concentration, ntshav siab thiab lub cev hnyav. Qhov no yuav pab txheeb xyuas qhov sib txawv ntawm cov qauv hauv lub sijhawm thiab kho cov txheej txheem kho mob.
Cov tshuaj hauv nqe lus nug ua rau qeeb qeeb thiab kev loj hlob ntawm cov menyuam yaus thiab cov tub ntxhais hluas. Yog li ntawd, nws yog ib qho tseem ceeb uas txoj kev kho mob yog kos los ntawm tus kws tshaj lij kev paub. Raws li txoj cai, cov koob tshuaj qis tshaj plaws tau muab rau lub sijhawm luv tshaj plaws.
Kev sib tham nrog lwm yam tshuaj
Cardiac glucosides, siv tib lub sijhawm nrog cov tshuaj hauv nqe lus nug, muaj kev cuam tshuam ntau ntxiv rau tus neeg mob lub cev.
Cov tshuaj no ua rau kom lub cev tawm ntawm acetylsalicylic acid.
Parallel siv nrog cov tshuaj tiv thaiv muaj sia ua rau muaj kev loj hlob ntawm kev kis kab mob vim ua kom cov kab mob.
Ceev cov metabolism ntawm cov tshuaj xws li mexiletine thiab isoniazid. Yog li ntawd, lawv cov concentration hauv cov ntshav plasma txo qis heev.
Kev pheej hmoo ntau ntxiv ntawm kev tsim cov tshuaj lom ntawm paracetamol ntawm tus neeg mob lub siab.
Cov tshuaj ntau ntau hauv nqe lus nug neutralize cov nyhuv ntawm somatropin kev loj hlob hormone.
Cov tshuaj hypoglycemic thaum noj cov tshuaj no kuj ua tsis tau zoo. Ntauintraocular siab vim siv ib txhij nrog antihistamines thiab tricyclic antidepressants.
Analogues
Yog tias yog vim li cas (piv txwv li, muaj qee yam contraindications) koj tsis tuaj yeem siv cov tshuaj "Hydrocortisone-Richter", nws yuav yog ib qho zoo los nrhiav cov ntaub ntawv ntawm nws cov tshuaj hloov mus nrhiav cov tshuaj zoo. rau koj. Yog li, raws li lub ntsiab active tshuaj, cov analogues ntawm cov tshuaj nyob rau hauv nqe lus nug yog suspensions "Cortef" thiab "Solu-Cortef". Ib qho kev ua haujlwm zoo sib xws yog cais los ntawm cov tshuaj hauv qab no: "Prednisolone" (cov tshuaj pleev rau kev siv sab nraud); "Kenalog" (kev ncua); Dexapos, Prenacid, Maxidex, Ozurdex (cov tshuaj pleev qhov muag); "Polkotrolon", "Medopred", "Megadexan", "Flosteron", "Ivapred" (kev ncua). Nws yog ib qho tseem ceeb kom nco ntsoov tias txhua yam ntawm cov tshuaj no muaj nws tus yam ntxwv thiab cov xwm txheej tshwj xeeb thaum nws yuav tsum tau siv. Yog li ntawd, nws yuav yog qhov tsim nyog tshaj plaws los muab lub sijhawm rau tus kws tshaj lij los xaiv qhov tsim nyog analogue ntawm tus neeg sawv cev hauv nqe lus nug, uas yuav siv tau rau koj rooj plaub thiab yuav tsis ua mob rau koj lub cev.
Reviews
Cov neeg hais li cas txog qhov ua tau zoo ntawm cov tshuaj hauv nqe lus nug? Txog cov tshuaj "Hydrocortisone-Richter" kev tshuaj xyuas yog sab laug los ntawm ob tus neeg mob thiab cov kws kho mob. Feem coob tshaj tawm nws cov txiaj ntsig tsis muaj xwm txheej, cov txiaj ntsig zoo kawg nkaus hauv lub sijhawm luv ntawm kev kho mob, nrog raucov nyhuv kav ntev (tsis tas yuav rov ua cov chav kawm ntau zaus). Cov kev tshuaj xyuas no qhia tias cov tshuaj muaj kev ntseeg siab tiag tiag thiab koj yuav tsum ua tib zoo saib xyuas nws.
Txawm li cas los xij, muaj lwm sab ntawm lub npib. Namely: qee zaum cov neeg mob yws ntawm qhov tsis zoo tshwm sim tom qab siv cov tshuaj hauv nqe lus nug. Qee zaum lawv ua rau tsis xis nyob thiab xav tau kev kho mob tshwj xeeb. Qee lub sij hawm muaj cov tsos mob hnyav dua, xws li ncua kev loj hlob ntawm tus menyuam. Txawm li cas los xij, tag nrho cov txiaj ntsig no tuaj yeem zam tau yog tias koj ua tib zoo tshuaj xyuas cov lus qhia rau kev siv tshuaj. Nws qhia meej txog txhua yam kev mob tshwm sim thiab hais txog qhov xav tau kev saib xyuas kev kho mob. Yog tias koj lees txais qhov tsis muaj kev tswj hwm ntawm tus kws kho mob tuaj koom rau tus neeg mob tus mob (tshwj xeeb tshaj yog tias nws yog koj tus menyuam), npaj siab ntsib qee qhov tsis zoo. Nws yog qhov zoo dua kom tsis txhob cia qhov xwm txheej no tshwm sim thiab ua tib zoo mloog kom txaus rau kev ua raws li tag nrho cov lus pom zoo. Kev noj tshuaj rau tus kheej nrog cov tshuaj hauv nqe lus nug yog qhov tsis txaus ntseeg thiab txaus ntshai.
Tam sim no koj muaj riam phom tag nrho. Tom qab tau txais cov ntaub ntawv ntxaws ntxaws txog cov tshuaj "Hydrocortisone-Richter", koj tuaj yeem txiav txim siab paub tseeb tias nws tsim nyog siv nws hauv koj tus kheej li cas. Tab sis txawm tias nws hloov tawm tias qhov no yog qhov koj xav tau tam sim no, tsis txhob maj kom tau txais thiab siv cov tshuaj. Xav tias dawb tham txog hom kev kho mob no nrog koj tus kws kho mob.kws kho mob. Nws yuav muaj peev xwm tsim tau ib txoj kev kho mob coj mus rau hauv tus account tag nrho cov nuances uas twb muaj lawm thiab pab koj mus txog tag nrho cov pitfalls uas muaj nyob rau hauv thaum siv cov tshuaj nug. Tom qab tag nrho, txawm tias tag nrho cov txiaj ntsig tsis tau lees paub, "Hydrocortisone-Richter" muaj ntau yam kev mob tshwm sim uas ua rau muaj qhov tshwm sim loj heev. Tsuas yog ib tus kws tshaj lij tshwj xeeb tuaj yeem pab kom zam dhau lawv txoj kev loj hlob, nyob rau hauv kev saib xyuas nws raug pom zoo los ua kev kho mob nrog cov tshuaj no. Tsuas yog nyob rau hauv rooj plaub no, hom kev kho no yuav ua rau koj muaj txiaj ntsig zoo, txo cov tsos mob tsis zoo ntawm tus kab mob. Siv sij hawm me ntsis nrog koj tus kws kho mob tuaj yeem txuag koj nyiaj ntau thiab koj tus kheej lub siab lub ntsws thiab lub cev lub zog, uas tsis yog yuav tsum tau siv los daws cov teeb meem tsis zoo thiab teeb meem. Yog koj paub ntau ntxiv txog kev noj qab haus huv ntawm koj lub cev, qhov ua tsaug ntau nws yuav teb koj ntau xyoo tom ntej.
Ib txwm xaiv qhov kev kho mob zoo tshaj plaws rau koj thiab koj tsev neeg! Nyob zoo rau koj os!
