"Heptral" intravenously: cov lus qhia rau kev siv, indications thiab contraindications, ua, tshuaj xyuas

Cov txheej txheem:

"Heptral" intravenously: cov lus qhia rau kev siv, indications thiab contraindications, ua, tshuaj xyuas
"Heptral" intravenously: cov lus qhia rau kev siv, indications thiab contraindications, ua, tshuaj xyuas

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Video: Mus ua nyab rau yim hmoob tsis zoo 7/27/2017 2024, Hlis ntuj nqeg
Anonim

Y Siv intravenously los yog intramuscularly, "Heptral" nyob rau hauv daim ntawv ntawm kev txhaj tshuaj, nrog rau cov ntsiav tshuaj uas tsim nyob rau hauv lub npe no, yog ib tug zoo txhais tau tias ntawm ntxuav lub cev. Cov tshuaj yog nyob rau hauv chav kawm ntawm daim siab tiv thaiv thiab yog siv rau cirrhosis, tiv thaiv keeb kwm ntawm ib tug depressive syndrome los yog cawv lom. Cov lus qhia suav nrog cholestasis hauv daim siab thaum cev xeeb tub, nrog rau cov kab mob zoo sib xws uas nrog lossis ua ntej cirrhosis.

Indications thiab contraindications

Cov tshuaj tau qhia rau cov kab mob hauv qab no thiab cov tsos mob:

  • fatty siab;
  • cholangitis;
  • kab mob siab ntev;
  • ncephalopathy;
  • mob lub siab puas tsuaj ntawm ntau yam etiologies, suav nrog cawv, kab mob, tshuaj;
  • cirrhosis ntawm daim siab;
  • mob chronic acalculous cholecystitis;
  • kev nyuaj siab.
  • intrahepatic cholestasis thaum cev xeeb tub;

Contraindications:

  • Txiv neejCov teeb meem cuam tshuam rau lub voj voog methionine thiab / lossis ua rau homocystinuria thiab / lossis hyperhomocysteineemia.
  • rhiab rau ib qho ntawm cov tshuaj ntawm cov tshuaj;
  • Nyob rau 18 xyoo.

Rules of application

Ua raws li cov lus qhia rau "Heptral", cov tshuaj tso rau hauv cov hlab ntsha yog muab rau cov neeg muaj hnub nyoog raug cai nkaus xwb. Feem ntau, kev txhaj tshuaj tsuas yog muab rau thawj lub sijhawm ntawm kev kho mob, tom qab ntawd tus neeg mob raug xa mus rau cov ntsiav tshuaj version ntawm cov tshuaj.

Nyob rau hauv cov ntaub ntawv ntawm kab mob siab, cov tshuaj yog muab rau ob lub lis piam nyob rau hauv tus nqi ntawm 0.4-0.8 g ib hnub twg. Txhawm rau kom muaj kev ruaj ntseg, tus neeg mob tau pom tias muaj kev kho mob txuas ntxiv nrog cov ntsiav tshuaj: los ntawm ob mus rau plaub ntsiav tshuaj ib hnub.

Yog tias lub sijhawm teem tseg yog cuam tshuam nrog kev nyuaj siab, thawj ob mus rau peb lub lis piam cov tshuaj tau muab rau hauv tus nqi ntawm 0.4 g ib hnub rau hauv cov leeg lossis cov leeg, tom qab ntawd tus neeg mob tau hloov mus rau cov ntsiav tshuaj version ntawm cov tshuaj. Ib koob tshuaj 2-3 ntsiav tshuaj yuav raug sau rau ib hnub. Lub sijhawm ntawm kev kho mob yog nyob ntawm cov tsos mob, qhov hnyav ntawm tus mob. Hauv txhua kis, tus kws kho mob txiav txim siab seb qhov kev kho mob yuav kav ntev npaum li cas thiab tus neeg mob xav tau tshuaj npaum li cas.

Nuances of some case

Txog tam sim no, tsis muaj kev tshawb fawb tshawb fawb los txiav txim siab seb nws zoo npaum li cas los sau rau cov neeg mob laus, tsim tawm hauv Heptral ampoules. Intravenous drip tej zaum yuav tsis yog ib txwm muab rau cov neeg laus. Tsis muaj kev soj ntsuam voluminous soj ntsuam ntawm cov tshuaj no. Yog tias tsim nyog xaiv chav kawm rau cov neeg laus,Nws yog qhov zoo los pib nrog qhov tsawg tshaj plaws tau noj. Nws yog ib qho tseem ceeb uas yuav tsum tau coj mus rau hauv tus account comorbidities, kab mob ntawm lub siab, ob lub raum thiab lub plawv. Thaum tsim ib chav kawm ntawm kev kho tshuaj, koj yuav tsum tau xyuam xim rau lwm cov tshuaj siv los ntawm tus neeg mob.

Yuav thov kom raug li cas?

txhaj tshuaj
txhaj tshuaj

Ua ntej tswj hwm Heptral diluted hauv saline los ntawm txoj hlab ntshav, koj yuav tsum nyeem cov lus qhia muab los ntawm cov chaw tsim khoom nrog cov khoom. Nws yog ib qho tseem ceeb los npaj cov khoom rau kev tswj hwm. Dilute cov hmoov uas muaj nyob rau hauv sterile ampoules tam sim ntawd ua ntej siv. Tag nrho cov kev xaiv tso tawm tsis yog tsuas yog hmoov, tab sis kuj yog cov kua tshwj xeeb uas nws yuav tsum tau diluted. Cov tshuaj npaj yuav tsum tau txhaj rau hauv tus neeg mob cov hlab ntsha hauv tee. Cov txheej txheem ntev, qhov nrawm nrawm heev.

Raws li cov lus qhia rau kev siv nrog Heptral ampoule, tsuas yog cov khoom uas tau npaj tshiab tuaj yeem siv rau hauv cov hlab ntsha. Yog tias qee qhov ntawm cov tshuaj tseem tsis tau siv, nws raug muab pov tseg. Kev khaws cov tshuaj yog txwv nruj heev. Tsis txhob siv cov khoom yog tias cov xim ntawm cov hmoov tau hloov thaum lub sij hawm cia. Nws tsis raug tso cai los sib xyaw cov tshuaj thiab cov tshuaj alkaline, nrog rau cov kua dej nrog calcium ions.

Txoj kev kawm

Raws li kev tshuaj xyuas, "Heptral" yog muab tso rau hauv cov hlab ntsha nkaus xwb rau thawj ob peb hnub lossis lub lis piam ntawm kev kho mob, tom qab ntawd tus neeg mob tau hloov mus rau hauv daim ntawv ntsiav tshuaj. Kev siv cov ntsiav tshuaj yog qhov yooj yim heev. Cov chaw tsim khoom ceeb toom tias txhua ntsiav tshuaj yuav tsum yognqos tag nrho, tsis ua txhaum kev ncaj ncees ntawm lub plhaub. Cov txheej txheej txheej yog tsim los tiv thaiv cov khoom nquag ntawm lub plab ib puag ncig thiab cov tshuaj lom neeg muaj zog hauv lub cev. Lub plhaub yaj thaum nws dhau los ntawm txoj hnyuv, thiab nws nyob ntawm no tias cov ntsiab lus tseem ceeb raug tso tawm, tawg sai sai los ntawm cov mucous ntawm cov hnyuv.

Yuav kom kev nqus tau zoo li qhov ua tau, thiab cov tshuaj kom pom qhov ua tau zoo tshaj plaws, nws yog qhov tsim nyog los siv nws thaum noj mov. Cov ntsiav tshuaj raug tshem tawm ntawm lub hlwv sai ua ntej noj mov. Yog tias qhov ntxoov ntxoo ntawm cov tshuaj tau hloov pauv, cov khoom raug muab pov tseg - koj yuav tsum tsis txhob siv nws, nws yuav tsis zoo.

Qhov tshwm sim tsis zoo: dab tsi ua tau

Raws li cov lus qhia rau kev siv thiab tshuaj xyuas rau Heptral, cov tshuaj txhaj tshuaj tuaj yeem ua rau lub cev tsis xav tau. Txhawm rau kom paub meej cov txiaj ntsig zoo li no, 22 txoj kev tshawb fawb tau raug teeb tsa. Qhov nruab nrab, qhov tshwm sim ntawm qhov tshwm sim tsis zoo yog kwv yees li ntawm 7.2%. Kev xeev siab thiab quav quav, qhov mob hauv plab tau tshwm sim ntau dua.

Muaj qhov kev xav tias "Heptral" tuaj yeem yog qhov ua rau qee qhov tsis xav tau cov lus teb ntawm lub cev, tab sis thaum lub sijhawm kev kawm nws tsis tuaj yeem tsim kom muaj kev sib txuas ntawm tus mob thiab chav kawm tshuaj. Cov lus teb no muaj xws li kev kis kab mob ntawm cov zis, pw tsaug zog, tsis meej pem, mob taub hau thiab kiv taub hau, paresthesia. Piv txwv li, cov tshuaj tuaj yeem ua rau kub kub, phlebitis, flatulence, dryness hauv kab noj hniavqhov ncauj, los ntshav thiab kev ua haujlwm ntawm lub plab zom mov. Qee zaum, muaj cov laj thawj xav tias muaj kev sib txuas ntawm cov tshuaj thiab cirrhosis, pob khaus, khaus ntawm daim tawv nqaij, cov leeg nqaij. Muaj kev pheej hmoo ntawm cov tsos mob xws li mob khaub thuas, o, ua npaws, ua daus no.

Ntau zaus pom qhov tsis zoo tshwm sim hauv zos, ntawm qhov chaw txhaj tshuaj. Lawv tau tshaj tawm yog tias cov tshuaj tau siv tsis tu ncua, tsis ua raws li cov cai rau kev tswj hwm txoj hlab ntshav ntawm Heptral.

Tsis pub dhau

Kev qhia txog "Heptral" intravenously, intramuscularly, nrog rau cov ntsiav tshuaj daim ntawv ntawm cov tshuaj yog nruj me ntsis txwv tsis pub yog hais tias tus neeg mob muaj hypersensitivity rau ib yam ntawm cov tshuaj muaj nyob rau hauv cov tshuaj muaj pes tsawg leeg. Tsis txhob siv cov muaj pes tsawg leeg yog tias ib qho ntawm nws cov khoom ua rau muaj kev tsis haum rau lub cev.

Cov tshuaj raug txwv yog tias tus neeg mob tus mob muaj xws li caj ces tsis xws luag uas ua rau hyperhomocysteineemia, homocystinuria - ib qho ntawm cov mob no lossis ob qho tib si tib lub sijhawm.

"Ntuj Nqis" txoj haujlwm

Kev sim tau ua nrog kev teem caij tshuaj rau cov poj niam cev xeeb tub. Kev siv cov tshuaj nyob rau hauv peb feem ntawm lub sij hawm, txawm nyob rau hauv ib tug ntau npaum li cas, tsis ua rau ib tug undesirable teb ntawm lub cev. Hauv thawj ob peb lub hlis twg, cov khoom xyaw yuav tsum tau siv tsuas yog tias muaj cov ntsiab lus tseem ceeb.

Thaum lactation, kev siv Heptral intravenously, mus rau hauv cov leeg nqaij lossis hauv qhov ncauj tsuas yog tso cai yog tias qhov txiaj ntsig pom tseeb ntawm chav kawm tshuaj siab dua qhov muaj peev xwm txaus ntshai raume nyuam.

cev xeeb tub txhaj
cev xeeb tub txhaj

sijhawm tshwj xeeb

Kev sim tau ua nrog kev koom tes ntawm cov neeg tuaj yeem pab dawb, nrog rau cov neeg uas muaj kab mob siab rau lub siab. Kev tshawb fawb ntawm cov txiaj ntsig tau pom tias cov tshuaj pharmacological kinetics ntawm cov tshuaj tsis txawv ntawm cov neeg mob thiab cov neeg noj qab haus huv. Yog tias hyperammonemia tau tsim nyob rau theem ua ntej cirrhosis, nrog rau theem cirrhotic, nws raug qhia kom tsis tu ncua xyuas cov ntsiab lus ntawm ammonia hauv lub cev. Qhov no tseem ceeb tshwj xeeb tshaj yog thaum noj cov ntsiav tshuaj, tab sis qhov tseeb tsis raug mob thaum txhaj tshuaj.

Nrog ceev faj, kev siv "Heptral" intravenously tawm tsam keeb kwm ntawm lub raum tsis ua haujlwm raug tso cai. Txog tam sim no, tsis muaj kev sim ua haujlwm tau raug teeb tsa los lees paub qhov ua tau zoo thiab kev nyab xeeb ntawm cov khoom siv sib txuas rau cov neeg mob hauv pawg no. Piv txwv li, cov tshuaj muaj kev nyab xeeb heev, yog li lub raum tsis ua haujlwm tsis yog qhov tsis txaus ntseeg, tab sis yuav tsum tau saib xyuas tus neeg mob tus mob.

Tam sim no tseem tsis tau sau cov ntaub ntawv qhia txog kev siv tshuaj los ntawm cov neeg laus, tab sis cov tshuaj yog nruj me ntsis txwv tsis pub rau menyuam yaus.

tshuaj rau lub siab
tshuaj rau lub siab

Ntxhais lub xeev ntawm lub cev

Rau cov txiaj ntsig zoo dua, nws yog qhov zoo dua los txhaj "Heptral" rau hauv cov hlab ntsha. Raws li cov lus qhia, nws raug nquahu kom siv cov tshuaj sib xyaw nrog kev siv folic acid thiab vitamin B12. Tsis tshua muaj siab ntawm cov ntsiab lus hais tuaj yeem ua rau txo qis hauv cov ntsiab lus ntawm ademetionine, uas yog raws li Heptral, uas yuav ua rau kev siv.tshuaj tsis zoo.

Tawm tsam keeb kwm ntawm kev puas siab puas ntsws bipolar, cov tshuaj hauv nqe lus nug tsis pom zoo. Muaj kev sib cais ntawm kev hloov pauv ntawm kev nyuaj siab rau hauv hypomania, mania tawm tsam keeb kwm ntawm kev siv tshuaj.

Kev ua tau zoo hauv kev nyuaj siab tau raug pov thawj hauv ntau qhov kev tshawb fawb luv luv. Cov kev pab cuam tau siv sijhawm li peb mus rau rau lub lis piam, nrog rau cov tshuaj siv tshuaj intravenously. Hauv cov lus qhia rau "Heptral" koj tuaj yeem nrhiav tsis tau cov ntaub ntawv hais txog kev ua haujlwm ntawm kev nyuaj siab yog tias nws raug sau rau ib chav kawm tshaj li rau lub lis piam - officially tsis muaj cov ntaub ntawv zoo li no.

Tus neeg mob yuav tsum paub: yog tias qhov tshwm sim ntawm kev nyuaj siab tsis zoo los yog qhov mob hnyav zuj zus, tus kws kho mob yuav tsum ceeb toom tam sim txog qhov no. Depressive syndrome yog ib qho laj thawj rau kev faib tus neeg mob raws li tus neeg mob uas nws tus mob cuam tshuam nrog kev pheej hmoo tshwj xeeb. Nws ntseeg tau tias rau cov neeg no qhov txaus ntshai ntawm kev sim tua tus kheej yog siab dua, uas txhais tau hais tias nws yuav tsum tau saib xyuas tus neeg mob tas li thiab muab kev pab tsim nyog rau nws raws li xav tau. Txoj hauv kev no pab txhawm rau taug qab qhov ua tau zoo ntawm chav kho mob.

teeb meem kev nyab xeeb

Raws li hauv qab no los ntawm kev tshuaj xyuas ntawm kev siv cov tshuaj Heptral, qee zaum cov neeg mob tau kiv taub hau. Txawm hais tias xws li cov tshuaj tiv thaiv tsis tshua muaj, txhawm rau txhawm rau ua kom muaj kev nyab xeeb siab tshaj plaws, nws yog qhov tsim nyog kom tsis kam tsav tsheb, cov tshuab ua haujlwm siab, thaum muaj kev pheej hmoo ntawm kev tsis txaus siab tshwm sim. Koj yuav tsum tsis txhob ua tej yam txaus ntshai thiab txhua yam kev ua ub ua no uas yuav tsum tau ua kom tus neeg ua kom ceevcov tshuaj tiv thaiv.

Tau heev

Hauv cov lus qhia rau kev siv "Heptral" intravenously drip (nrog rau kev txhaj tshuaj rau hauv cov leeg lossis hauv qhov ncauj), tsis muaj cov ntaub ntawv hais txog kev noj ntau dhau. Txawm hais tias cov xwm txheej zoo li no tau tshwm sim hauv kev kho mob, lawv tsis tshua muaj. Cov chaw tsim khoom pom zoo tias thaum kuaj pom tias muaj kev noj tshuaj ntau dhau, ua tib zoo saib xyuas tus neeg mob txoj kev noj qab haus huv thiab xyaum kev txhawb nqa kev kho mob, tsom mus rau qhov tshwj xeeb ntawm kev noj qab haus huv.

Kev nyab xeeb: tshwj xeeb thaum muaj kev nyuaj siab

Kev sib xyaw ntawm ademetionine thiab clomipramine tuaj yeem ua rau serotonin syndrome. Txog tam sim no, nws tseem tsis tau paub meej tias lub luag haujlwm ntawm ademetionine zoo npaum li cas hauv qhov no. Tam sim no, nws raug nquahu kom siv cov tshuaj no nrog ceev faj txog keeb kwm yav dhau los ntawm qhov xav tau noj tshuaj los ntawm SSRI chav kawm, nrog rau cov tshuaj tricyclic antidepressants. Nws ntseeg tau tias serotonin syndrome tuaj yeem ua rau muaj kev sib xyaw ntawm ademetionine thiab tshuaj uas muaj tryptophan.

Dynamics

Txog yuav ua li cas thiab vim li cas lub siab tiv thaiv raws li ademetionine ua haujlwm, cov chaw tsim khoom piav qhia meej hauv cov lus qhia nrog rau kev siv Heptral. Intravenously, mus rau hauv cov leeg nqaij, qhov ncauj siv muaj pes tsawg leeg tau hais cov teebmeem: choleretic, cholekinetic. Cov tshuaj muaj cov yam ntxwv ntawm antioxidant, neuroprotector. Cov cuab yeej belongs rau cov pab pawg neeg ntawm antifibrosing, detoxifying, activates regenerative txheej txheem thiab ua rau tsis muaj ademetionine nyob rau hauv lub cev, nyob rau tib lub sij hawm activating tiam ntawm cov tshuaj no. Kev ua tau zoo tshaj plawsCov concentrations tau pom nyob rau hauv lub hlwb, daim siab.

Qhia ua raws li cov lus qhia rau kev siv intravenously "Heptral" pab kom stabilizes metabolic tshua. Cov tshuaj nquag ntawm cov tshuaj yog koom nrog ntau cov txheej txheem biochemical, suav nrog kev hloov pauv, transsulfation, transmethylation.

heptral cov lus qhia rau kev siv ntawm ampoule intravenously
heptral cov lus qhia rau kev siv ntawm ampoule intravenously

Biology thiab chemistry: lub subtleties ntawm cov txheej txheem

Yog tias koj nkag mus rau "Heptral" intravenously, tus neeg sawv cev ua kom cov txheej txheem ntawm transmethylation, ua tus pub dawb ntawm pawg methyl rau kev tsim cov membrane phospholipids hauv hlwb. Cov ntsiab lus muab cov tshuaj rau lub cev kuj yog koom nrog hauv cov tshuaj tiv thaiv ntawm tsim cov proteins, hormonal thiab nucleic compounds, neurotransmitters.

Transsulfation vim cov tshuaj nkag mus rau hauv lub cev ua haujlwm kom raug, vim ademetionine yog lub hauv paus rau kev tsim cov cysteine, glutathione, taurine.

Yog tias koj nkag mus rau "Heptral" intravenously drip, cov khoom xyaw nquag ua rau kom cov ntsiab lus ntawm taurine, cysteine, glutamine hauv cov ntshav. Lub plasma concentration ntawm methionine txo qis, cov txheej txheem metabolic nyob rau hauv daim siab hlwb stabilizes. Tom qab dhau theem decarboxylation, cov khoom ua ib qho tseem ceeb ntawm aminopropylation, ua ntej polyamines. Qhov no siv rau cov tebchaw suav nrog hauv cov qauv ribosomal. Nyob rau hauv tag nrho, cov nyhuv no txo qhov kev pheej hmoo ntawm fibrosis. Tsis tas li ntawd, cov tshuaj qhia tau hais tias muaj cov nyhuv choleretic.

Reactions and their meaning

Ntsig Heptralpab kom ruaj khov ntawm cov phosphatidylcholine (cov tshuaj tiv thaiv yog nyob rau hauv hepatocytes), vim hais tias cov membrane fluidity thiab polarization nce. Kev ua haujlwm ntawm kev thauj mus los cuam tshuam nrog hepatocyte membranes nce. Cov tshuaj qhia tau hais tias muaj txiaj ntsig zoo hauv cholestasis hauv daim siab - hauv lobules thiab nruab nrab ntawm lawv. Cov nyhuv tshuaj lom ntawm cov kua tsib acid txo qis, cov tshuaj tiv thaiv sulfation thiab kev sib txuas yog qhib. Nrog rau kev koom tes ntawm taurine, lub peev xwm ntawm nruab nrab kom yaj cov kua tsib acids thiab tshem tawm ntawm lub hlwb nce.

Sulfation ntawm cov kua qaub ua kom yooj yim thiab ua kom lub cev tawm ntawm cov tebchaw los ntawm ob lub raum. Sulfated acids yog ib feem ntawm kev tiv thaiv cellular system. Lawv txo cov teebmeem ntawm cov tshuaj uas tsis yog-sulphated nyob rau hauv daim siab nyob rau hauv siab nyob rau hauv cholestasis.

Tawm tsam keeb kwm yav dhau los ntawm cov kab mob siab hauv siab nrog cholestasis hauv daim siab, tso tshuaj Heptral pab txo qis cov concentration ntawm cov tshuaj bilirubin ncaj qha, txo qhov khaus, normalizes cov haujlwm ntawm aminotransferases. Kev ua tau zoo ntawm txoj kev kho yog pom nyob rau hauv peb lub hlis tom qab kawm tiav chav kho mob tseem ceeb.

Nuances of the effect

Intravenously tswj "Heptral" yog pom zoo rau hepatopathy txuam nrog tshuaj lom rau lub siab. Tawm tsam keeb kwm yav dhau los ntawm kev quav tshuaj opioid thiab kab mob siab, kev siv cov muaj pes tsawg leeg ua rau nws muaj peev xwm ua kom tau txais kev pab los ntawm kev tshem tawm cov tsos mob. Lub siab pib ua haujlwm zoo dua, microsomal oxidative tshua stabilize.

Kev ua tau zoo hauv kev nyuaj siab ntxhov siab nce zuj zus. Thawj qhov tshwm sim tuaj yeem pom nyob rau hauv thawj zauglub lim tiam ntawm kev kho mob, tab sis kev ruaj ntseg tsuas yog ua tiav los ntawm qhov kawg ntawm qhov thib ob. Qhov tshwm sim tshaj plaws ntawm kev kho mob yog nyob rau hauv daim ntawv ntawm neurotic mob, rov tshwm sim endogenous. Cov tshuaj raug sau tseg yog tias tus neeg mob lub cev pom tias tsis kam mus rau amitriptyline. Cov txiaj ntsig tau raug pov thawj hauv kev nyuaj siab rov qab los - "Heptral" tuaj yeem cuam tshuam nws sai sai.

Qhia intravenously "Heptral" thiab osteoarthritis. Xws li ib chav kawm tso cai rau txo qhov mob tshwm sim thiab qhib lub cim ntawm proteoglycans. Cov kev hloov pauv no txhawb cov txheej txheem rov tsim dua tshiab, cov ntaub so ntswg pob txha tau rov ua dua ib nrab.

Txoj kev teeb meem

Cov hmoov npaj rau kev taw qhia rau tus neeg mob lub cev yuav tsum tau tov nrog cov tshuaj tshwj xeeb hauv ampoule ua ntej siv. Cov lus qhia rau kev siv "Heptral" intravenously muaj tag nrho cov npe ntawm cov tshuaj muaj nyob rau hauv cov tshuaj. Lub ntsiab yog ademethionine nyob rau hauv daim ntawv ntawm butane disulfonate. Tsis tas li ntawd, cov chaw tsim khoom siv lysines, sodium hydroxide. Ib pob muaj tsib ampoules nrog Heptral rau kev siv cov hlab ntsha thiab cov lus qhia. Peb yuav saib xyuas cov tshuaj hauv qab no.

Safety First

Hauv cov lus qhia rau kev siv, cov chaw tsim khoom kos xim rau cov nyhuv tonic ntawm cov tshuaj. Nws yuav tsum zam tsis ntev ua ntej yuav mus pw. Muaj cov xwm txheej ntawm kev muaj zog ntxiv ntawm cov neeg mob tawm tsam keeb kwm yav dhau los ntawm kev kho mob. Cov xwm txheej no tuaj yeem ua tiav. Raws li txoj cai, qhov no tsis yuam kom cov chav kawm raug tshem tawm, tab sis nyob rau qee lub sijhawm tus mob no ploj mus thaum cov tshuaj txo qis lossis cov tshuaj raug tso tseg tag nrho.nyiaj.

Kev siv cov tshuaj tuaj yeem kho cov txiaj ntsig ntawm kev sim homocysteine - nws muaj peev xwm los txiav txim siab qhov siab ntawm cov tshuaj no hauv cov ntshav. Yog tias tus neeg mob raug yuam kom siv Heptral, thaum ua qhov kev ntsuam xyuas tsim nyog, ib tus yuav tsum siv txoj hauv kev uas tsis yog tshuaj tiv thaiv kab mob - lawv yuav muab qhov tseeb dua.

Kuv yuav tsum siv nws? Tshuaj xyuas

Koj tuaj yeem pom ntau cov lus tawm tswv yim txog kev kho mob - ntawm lwm cov tshuaj tiv thaiv daim siab, nws yog Heptral uas yog nrov tshwj xeeb. Cov neeg uas siv cov tshuaj no nco ntsoov nws cov txiaj ntsig. Ib feem me me ntawm cov neeg mob tau ntsib kev tsis zoo. Nyob rau tib lub sijhawm, koj tuaj yeem nrhiav ntau cov ntaub ntawv tseem ceeb txog kev xaiv sib txawv rau kev siv, tshwj xeeb, hais txog kev qhia txog cov tshuaj - uas yog qhov zoo dua: intravenously lossis intramuscularly. "Heptral", raws li tau pom los ntawm cov lus qhia, tuaj yeem siv tshuaj txhaj tshuaj thiab yog li ntawd, thiab tus kws kho mob hauv txhua rooj plaub xaiv qhov kev xaiv zoo tshaj plaws. Nws tuaj yeem pom los ntawm kev tshuaj xyuas: cov neeg feem coob tau qhia kom txhaj tshuaj rau hauv cov hlab ntsha, txij li txoj kev no qhia tau hais tias muaj txiaj ntsig zoo dua thiab muaj zog dua.

heptral nyob rau hauv intravenously
heptral nyob rau hauv intravenously

Cov neeg mob uas tau txais kev kho mob zoo li no paub txog qhov ua tau zoo ntawm cov tshuaj thaum siv kom raug. Muaj tseeb, koj yuav tsum tau siv cov kev kho mob raws li kev saib xyuas ntawm tus kws kho mob, txwv tsis pub muaj kev pheej hmoo ntawm qhov tsis zoo ntawm qhov tshwm sim, koj yuav ntsib qhov xwm txheej tsis txaus ntseeg. "Heptral" yog kim heev, los ntawm ib tug thiab ib nrab txhiab rau ib pob nrog tsib ampoules, tab sis cov neeg uas tau txais nws thov hais tias cov tshuaj tag nrho justifies nws.nqe.

Muaj peev xwm hloov tau: dab tsi tuaj yeem hloov tau?

Cov lus hauv qab no yog cov analogues ntawm "Heptral":

  • Ademetionin-Vial.
  • Geparetta.
  • Heptor.
  • "Heptrazan".

Lwm hom ntawv muaj nyob rau hauv ob lub ntsiav tshuaj thiab hmoov daim ntawv rau kev kho dua tshiab thiab txhaj tshuaj ntxiv.

Qhov zoo tshaj plaws analogues: "Ademetionin-Vial"

Cov tshuaj muaj nyob rau hauv qeb ntawm daim siab tiv thaiv, muaj cov tshuaj tiv thaiv kev nyuaj siab. Kev siv cov ntsiav tshuaj daim ntawv tso cai rau koj los ntxuav lub cev ntawm cov tshuaj lom neeg lub cev, txhawb kev tsim cov ntaub so ntswg, tiv thaiv cov hlwb ntawm lub paj hlwb, thiab txhawb cov ntaub so ntswg nrog antioxidants. Cov tshuaj muaj cov teebmeem: antifibrosing, choleretic, cholekinetic.

"Ademetionin-Vial" raug pom zoo rau kev mob ntshav siab thiab nws cov mob ua ntej, nrog rau cov kab mob nrog rau cov teeb meem ua haujlwm siab zoo sib xws. Koj tuaj yeem siv tshuaj los daws kev nyuaj siab thiab kab mob siab los ntawm kev haus dej cawv. Lub hepatoprotector yog raws li cov khoom sib xyaw uas muab nws lub npe: ademetionine. Cov khoom no muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, them nrog ib tug tshwj xeeb zaj duab xis nyob rau sab saum toj, soluble tsuas yog nyob rau hauv cov hnyuv. Qhov no tso cai rau koj los tiv thaiv lub active compound los ntawm kev txhoj puab heev ntawm lub plab ib puag ncig. Nws yog txwv tsis pub noj cov muaj pes tsawg leeg yog tias hypersensitivity, ib qho kev tsis haum tshuaj rau ib yam khoom uas muaj nyob rau hauv cov khoom lag luam raug kuaj pom. Koj tsis tuaj yeem siv "Ademetionin-Vial" thaum muaj hnub nyoog me thiab nrog qee yam caj cesteeb meem uas cuam tshuam lub voj voog methionine. Cov tshuaj yog contraindicated nyob rau hauv cov ntaub ntawv ntawm ib tug tsis muaj cystathion beta synthase nyob rau hauv lub cev, ua txhaum ntawm metabolic cov tshuaj tiv thaiv nrog cyanocobalamin.

Kev siv tshuaj thaum muaj hnub nyoog laus, tawm tsam keeb kwm ntawm kev puas siab puas ntsws bipolar, nrog rau lub raum tsis txaus yuav tsum zam.

heptral txhaj tshuaj
heptral txhaj tshuaj

Usage rules

"Ademetionin-Vial" yuav tsum tau siv qhov ncauj, nqos cov tshuaj tag nrho. Koj tsis tuaj yeem zom nws, ua txhaum kev ncaj ncees ntawm lub plhaub hauv lwm txoj kev. Cov ntsiav tshuaj yuav tsum tau noj ntawm cov pluas noj thaum sawv ntxov, vim tias lawv muaj cov txiaj ntsig zoo. Cov koob tshuaj zoo tshaj yog suav los ntawm tus kws kho mob. Cov chaw tsim khoom pom zoo kom tsom mus rau qhov hnyav ntawm tus neeg mob. "Ademetionin-Vial" yog tshuaj nyob rau hauv tus nqi ntawm 10-25 mg ib kilogram ntawm qhov hnyav. Nrog cholestasis hauv daim siab thiab kev nyuaj siab, qhov koob tshuaj txhua hnub sib txawv ntawm 0.8-1.6 g. Lub sijhawm ntawm qhov kev pab cuam yog xaiv los ntawm tus kws kho mob, tsom rau tus neeg mob tus mob thiab lub cev teb rau kev kho mob..

"Ademetionine-Vial" tiv thaiv daim siab thiab muaj cov nyhuv antidepressant, tso cai rau koj los them nyiaj rau qhov tsis muaj ademetionine, thiab tseem ua rau cov khoom tsim tawm hauv tib neeg cov ntaub so ntswg. Cov tshuaj pib thiab stabilizes transmethylation. Raws li nws cov cawv, qhov concentration ntawm glutamine nyob rau hauv daim siab hlwb nce. Cov ntshav ntshav muaj ntau taurine, cysteine, cov ntsiab lus ntawm methionine txo. Metabolism rov zoo li qub ntawm qib cellular hauv siab.

Daim ntawv thov nta

Raws li kev ntsuas tau pom, "Ademetionine-Vial" tuaj yeem ua rau quav quav, xeev siab. Qee cov neeg mob tau mob taub hau thaum noj tshuaj. Muaj kev pheej hmoo ntawm kev tsis haum tshuaj, kab mob ntawm cov zis, nrog rau cov tshuaj tiv thaiv hauv zos. Cov tawv nqaij tej zaum yuav khaus, tej zaum yuav txo qis, phlebitis thiab kub flashes, kev ntxhov siab, kev ntxhov siab, mob plab. Qee lub sij hawm, thaum noj tshuaj, cov neeg mob tau txhawj xeeb txog dyspepsia, ntau lub plab hnyuv gases thiab cov leeg nqaij.

Vim muaj cov nyhuv tonic, nws raug nquahu kom tsis txhob siv cov ntsiav tshuaj Ademetionin-Vial sai ua ntej yuav mus pw. Yog tias nws tsim nyog siv cov tshuaj muaj pes tsawg leeg ntev, nws yog qhov tsim nyog yuav tsum tsis tu ncua kuaj ntshav txhawm rau txiav txim siab qib creatinine, urea concentration. Nrog kev puas siab puas ntsws bipolar, nws tsim nyog tso tseg cov tshuaj ntawm ademetionine. Kev siv cov muaj pes tsawg leeg yog txuam nrog kev pheej hmoo ntawm kiv taub hau, yog li ntawd, thaum lub sijhawm kho, ib tus yuav tsum tsis kam tsav tsheb thiab cuam tshuam nrog cov khoom siv uas yuav tsum muaj cov tshuaj tiv thaiv siab thiab kev txav mus los.

Qhov zoo tshaj plaws analogues: "Heptor"

Cov tshuaj yog qhia rau siv hauv cholestasis, kev nyuaj siab syndrome. Nrog cholestasis hauv daim siab, cov tshuaj yuav pab tau thaum lub sijhawm yug menyuam, nrog rau cov kab mob siab thiab lwm yam mob cuam tshuam nrog kev ua txhaum ntawm kev ua haujlwm ntawm lub cev. Hauv cov kab mob hepatic ntev, muaj qhov tsis ua tiav ntawm kev tshem tawm, tsim cov kua tsib acids. Kev siv "Heptor" tiv thaiv keeb kwm yav dhau los ntawm cov kev qhia no tau ua tib zoo kawm nrog kev koom tes ntawm cov neeg uas muaj ntau yam kab mob ntev. Cov tshuaj tau sau tseg rau biliary cirrhosis, hepaticCov kab mob ntawm cov keeb kwm yav dhau los ntawm cov tshuaj cuam tshuam, sclerosing cholangitis, cholestasis vim kev tswj hwm ntawm cov as-ham. Siv "Heptor" tawm tsam keeb kwm ntawm daim siab mob vim kev haus cawv thiab lwm yam laj thawj.

heptral intramuscularly lossis intravenously zoo tshaj plaws
heptral intramuscularly lossis intravenously zoo tshaj plaws

Thaum cev xeeb tub tiv thaiv keeb kwm yav dhau los ntawm cholestasis, tso zis, intramuscular, qhov ncauj siv cov tshuaj tso cai rau koj los txo cov tawv nqaij khaus, ua kom cov tshuaj biochemical hauv lub cev. Nrog kev nyuaj siab syndrome "Heptor" yog pom zoo kom siv nyob rau hauv tus nqi ntawm 0.2-1.6 g ib hnub twg. Cov tshuaj yog qhia rau ntau hom thiab hom kev nyuaj siab, nrog rau kev puas siab puas ntsws, unipolar. Kev ua tau zoo ntawm cov tshuaj yog ze rau qhov tshwm sim ntawm kev siv tricyclic antidepressants.

Pom zoo: