Dab tsi yog tshuaj zoo li "Elkar"? Cov ntaub ntawv ntawm kev tso tawm ntawm cov tshuaj no, nws cov yam ntxwv pharmacological, cov lus qhia rau kev siv, contraindications thiab indications rau kev siv, nrog rau cov kev phiv tshwm sim tau piav qhia hauv qab no.
Means piav qhia, daim ntawv, muaj pes tsawg leeg
Cov tshuaj Elcar tau muag hauv daim ntawv twg? Muaj ntau hom kev tso tawm ntawm cov tshuaj no. Feem ntau nws yog muas nyob rau hauv daim ntawv ntawm qhov ncauj tov (tee). Cov tshuaj no yog cov kua ntshiab, tsis muaj xim lossis xim me ntsis nrog cov ntxhiab tsw.
Cov khoom xyaw nquag ntawm cov tshuaj hauv nqe lus nug yog levocarnitine (carnifit). Nws tseem muaj cov khoom siv hauv qab no: methyl parahydroxybenzoate, citric acid monohydrate, dej huv thiab propyl parahydroxybenzoate.
Daim ntawv qhia txog kev tso tawm ntawm "Elkar" yog muag hauv cov iav tsaus nti cov fwj, uas tau ntim rau hauv cov thawv ntawv. Nyob ntawm qhov ntim ntawm lub thawv, ib rab diav lossis lub khob ntsuas nrog rau kev npaj.
Tshuaj "Elkar" hauv daim ntawv txhaj tshuajtshuaj yog muab rau cov neeg mob nkaus xwb nyob rau hauv tshwj xeeb mob. Cov cuab yeej zoo li no tuaj yeem siv tau rau ob qho tib si hauv kev txhaj tshuaj thiab intramuscular.
Cov tshuaj tau muab tso rau hauv cov iav tsis muaj xim nrog lub nplhaib lossis qhov tawg. Lawv tau ntim rau hauv ib pob nrog cov khoom siv los yog muab tso rau hauv ib lub pob hlwv ua los ntawm polyvinyl chloride zaj duab xis. Lub active tivthaiv ntawm cov tshuaj txhaj tshuaj yog levocarnitine (carnifit). Raws li rau excipient, tsuas yog dej rau txhaj tshuaj raws li nws.
tshuaj muaj txiaj ntsig ntawm cov tshuaj
Qhov ncauj thiab tshuaj daws "Elkar" yog cov tshuaj npaj rau kev kho cov txheej txheem metabolic.
Cov khoom nquag ntawm cov nyiaj no yog L-carnitine. Raws li cov kws tshaj lij, qhov no yog ib yam khoom uas muaj feem cuam tshuam ncaj qha rau cov vitamins B, xws li cov khoom siv ua haujlwm hauv cov txheej txheem metabolic. Nws yog cov cab kuj ntawm cov saw ntev fatty acids (xws li palmitic acid) hla cov cell membranes los ntawm cytoplasm mus rau mitochondria, qhov chaw uas lawv tom qab ntawd mus rau beta-oxidation los tsim acetyl-CoA thiab ATP.
Lwm yam tshuaj muaj zog
Ob qho tib si nthuav tawm cov ntaub ntawv ntawm Elkar tso tawm pab txhim kho cov protein thiab rog metabolism, ua kom lub zais zis thiab ua haujlwm enzymatic ntawm txoj hnyuv thiab plab hnyuv, txhim kho kev zom zaub mov, txo qis lub cev hnyav thiab txo cov rog hauv cov leeg nqaij. Tsis tas li ntawd, kev siv cov tshuaj no nce ntxivTib neeg tsis kam mus rau lub cev kev ua si, txo cov qib ntawm lactic acidosis, muaj kev nyuaj siab rau kev tsim cov anaerobic glycolysis thiab keto acids, txuag glycogen noj thiab nce nws cov reserves nyob rau hauv xws li cov khoom nruab nrog cev xws li daim siab thiab cov leeg.
Ob hom Elcar tso tawm (qhov ncauj thiab txhaj tshuaj) muaj cov teebmeem lipolytic thiab anabolic. Ua tsis yog ib qho ncaj qha inhibitor ntawm cov thyroid ua haujlwm, tab sis ib qho peripheral antagonist ntawm cov thyroid hormones, cov tshuaj no normalizes basal metabolism hauv lub xub ntiag ntawm hyperthyroidism. Lawv kuj pab txhawb kev txhim kho cov metabolism thiab lub zog rau ntau cov ntaub so ntswg.
Pharmacokinetic nta
Tom qab kev tswj hwm qhov ncauj, cov khoom nquag ntawm Elcar yog nqus tau zoo hauv cov hnyuv. Nws qhov siab tshaj plaws nyob rau hauv cov ntshav tau mus txog tom qab peb teev, thiab cov tshuaj kho tau raug tuav rau cuaj teev. Cov tshuaj no nkag mus rau hauv daim siab thiab myocardium, nrog rau cov leeg nqaij. Nws raug tso tawm los ntawm lub raum system (raws li acyl esters).
Kev txhaj tshuaj "Elkar" yuav luag tag nrho tawm ntawm cov ntshav tom qab peb teev. Cov tshuaj no kuj yooj yim nkag mus rau myocardium, daim siab thiab (me ntsis qeeb) cov leeg.
Cov lus qhia rau kev siv
Elcar siv tau li cas? Cov lus qhia rau cov neeg laus thiab menyuam yaus tshaj tawm tias cov tshuaj no yog siv los ua ib feem ntawm kev sib xyaw ua ke rau:
- kab mob,uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm qhov tsis muaj carnitine lossis nws qhov poob siab (xws li myopathy, cardiomyopathy, kab mob mitochondrial, hereditary pathologies nrog concomitant mitochondrial insufficiency);
- mob siab rau kev xav thiab lub cev ua si (kom ua kom muaj zog thiab ua haujlwm, nrog rau txo qis qaug zog, suav nrog cov neeg laus);
- kev kho mob nyuaj ntawm tus mob pancreatitis ntev, nrog rau exocrine insufficiency, nrog rau kev mob plab ntev, nrog rau kev txo qis ua haujlwm;
- kho dua tshiab tom qab phais mob, mob hnyav, raug mob (kom nrawm cov ntaub so ntswg rov qab);
- kev kho mob ntawm daim tawv nqaij (xws li psoriasis, focal scleroderma, seborrheic eczema, discoid lupus erythematosus);
- neurological manifestations nyob rau hauv lub hlwb mob ntawm traumatic, vascular thiab tshuaj lom keeb kwm;
- mild hyperthyroidism;
- anorexia nervosa syndrome.
Tsis tas li, cov tshuaj hauv nqe lus nug tau nquag siv hauv cov tshuaj kis las, nrog kev tawm dag zog lub cev thiab kev cob qhia hnyav, nrog lub hom phiaj ntawm:
- txhim kho kev sib koom tes ntawm kev txav thiab ntsuas nrawm-lub zog;
- tiv thaiv kev mob tom qab ua haujlwm (uas yog, txhawm rau ua kom cov txheej txheem rov qab sai sai tom qab kev tawm dag zog lub cev);
- txo cov rog thiab cov leeg nce;
- nrawm ntawm cov leeg pob txha hauv kev raug mob.
Hauv kev kho menyuam yaus, Elkar yog siv rau cov menyuam yaus hauv tee. Cov lus qhia qhia tias cov tshuaj zoo li no rau cov menyuam yaus hnub nyoog qis dua peb xyoos tsuas yog muab tau raws li kev saib xyuas ntawm tus kws tshaj lij. Qhov kev kho no feem ntau yog muab rau cov menyuam yaus:
- poob ceeb thawj;
- nrog lub sluggish nqus reflex;
- nrog txo cov leeg nqaij;
- rau cov menyuam mos yug ntxov ntxov, nrog rau cov neeg uas muaj asphyxia lossis kev raug mob thaum yug;
- nrog kev loj hlob tsis txaus ntawm lub hlwb thiab lub cev muaj zog;
- nrog stunted kev loj hlob thiab kev loj hlob.
Contraindications rau kev siv
Thaum twg nws tsis tuaj yeem siv tshuaj "Elcar" (hauv tee)? Qhov tsuas yog contraindication rau kev siv ntawm cov tshuaj no yog tus neeg intolerance ntawm nws cov tshuaj. Raws li rau cov tshuaj rau intramuscular thiab intravenous tswj, cov hauv qab no yog txwv tsis pub siv: cev xeeb tub, ib tug neeg intolerance, pub niam mis.
Khaub tshuaj rau cov neeg laus
Yuav ua li cas noj Elcar rau cov neeg laus? Cov tshuaj no yuav tsum tau noj ib nrab ib teev ua ntej noj mov, pre-diluted nrog dej.
Nrog kev xav-kev xav thiab lub cev ua haujlwm ntev, cov tshuaj tau muab tshuaj ntawm 750 mg rau 2.25 g peb zaug ib hnub.
Thaum rov kho dua tom qab raug mob, kev phais mob thiab kab mob, nrog rau kev mob anorexia nervosa, cov tshuaj noj 1.5 g ob zaug ib hnub rau 2.hli.
Hauv kev kho mob plab thiab mob pancreatitis, cov tshuaj tau pom zoo kom siv 375 mg ob zaug ib hnub rau 1-1.5 lub hlis.
Kev kho mob ntawm daim tawv nqaij - 750 mg ib zaug rau 2-4 lub lis piam.
Rau lub hlwb puas - 750 mg ib hnub twg rau 3-5 hnub.
Nrog me me hyperthyroidism - 250 mg 2 lossis 3 zaug hauv ib hnub. Lub sijhawm kho yog 20 hnub.
Nyob rau hauv cov xwm txheej nrog rau qhov tsis txaus ntawm carnitine, cov tshuaj tau muab tshuaj ntawm 50-100 mg ib kg ntawm lub cev hnyav (2 lossis 3 zaug hauv ib hnub rau 3-4 lub hlis).
xov tshuaj rau me nyuam
Rau cov menyuam mos, cov tshuaj Elkar ntxiv rau cov tais diav qab zib (compote, jelly, kua txiv hmab txiv ntoo).
Cov tshuaj noj ntawm cov tshuaj no rau cov menyuam yaus yog teem rau ib tus zuj zus (ib koob tshuaj ntawm 100 mg txog 300 mg).
Yuav siv cov tshuaj txhaj li cas
Cov tshuaj "Elkar" yog muab tshuaj intramuscularly lossis intravenously (kwj lossis drip maj mam). Ua ntej kev tswj hwm IV, cov tshuaj tov nrog 100-200 ml ntawm cov kuab tshuaj (5% dextrose lossis 0.9% sodium chloride).
Side effects
Thaum noj Elcar ntawm qhov ncauj, tus neeg mob (los ntawm lub plab zom mov) tuaj yeem ntsib cov teebmeem tsis zoo xws li gastralgia thiab dyspepsia. Myasthenia gravis thiab kev tsis haum tshuaj kuj tuaj yeem ua rau cov neeg muaj uremia.
Raws li kev txhaj tshuaj, thaum nws tau muab tshuaj, kev tsis haum tshuaj thiab cov leeg tsis muaj zog kuj tuaj yeem tsim. Nrog rau cov tshuaj sai sai ntawm cov tshuaj, qhov mob yuav tshwm sim raws li cov leeg,uas feem ntau daws tau tom qab tus nqi txo qis.
Kev sib tham nrog lwm cov tshuaj
Ua ntej siv tus neeg sawv cev hauv nqe lus nug, koj yuav tsum tsis tsuas yog sab laj nrog tus kws tshaj lij, tab sis kuj nyeem cov lus qhia txuas ntxiv. Cov tom kawg tau hais tias kev siv ib txhij ntawm glucocorticosteroids tuaj yeem ua rau cov tshuaj sib xyaw hauv cov ntaub so ntswg (tshwj tsis yog lub siab). Nws tseem yuav tsum tau muab sau tseg tias noj lwm yam anabolics tuaj yeem txhim kho cov nyhuv ntawm Elkar.
Cov neeg mob ntau dhau
Thaum noj Elkar ntau dhau lawm, cov neeg mob yuav ntsib cov tsos mob xws li dyspeptic thiab myasthenic mob. Txhawm rau tshem tawm cov xwm txheej zoo li no, yuav tsum tau ua kom lub plab zom mov, nrog rau kev noj cov activated charcoal.
Tseem tsis tau muaj tus mob ntau dhau nrog daim ntawv txhaj tshuaj ntawm cov lus nug txog niaj hnub no.
Tshuaj "Elkar": tshuaj xyuas cov neeg laus thiab kws kho mob
Kev tshuaj xyuas ntawm cov kws tshaj lij txog cov tshuaj no muaj cov ntaub ntawv hais tias nws muaj txiaj ntsig zoo rau cov metabolism. Cov cuab yeej zoo li no tso cai rau koj los ua kom lub cev ua haujlwm ntawm lub plab zom mov, thiab tseem ua cov tshuaj kho kom zoo tom qab muaj mob hnyav, thaum lub sijhawm txo qis, thaum lub sij hawm nyuaj siab, lub hlwb thiab lub cev qaug zog.
Raws li rau cov neeg mob, qhov txiaj ntsig tseem ceeb ntawm cov tshuaj hauv nqe lus nug yog tias lawv tuaj yeem tshem tawm qhov hnyav dhau. Txawm li cas los xij, kev tshuaj xyuas txog kev poob phaus yog qhov teeb meem heev.tus cwj pwm. Qee tus neeg thov tias nws yuav ua tsis tau kom ua tiav cov txiaj ntsig zoo yam tsis muaj Elkar, thaum ib tus neeg, ntawm qhov tsis sib xws, tshaj tawm cov txiaj ntsig xoom.
Tsis tas li, qhov zoo ntawm cov nyiaj tau hais suav nrog nws tus nqi pheej yig. Hauv khw muag tshuaj Lavxias, cov tshuaj "Elkar" hauv tee tuaj yeem yuav tau rau 300-320 rubles, thiab hauv daim ntawv txhaj tshuaj - rau 450-500 rubles.
