Valvir tshuaj ua haujlwm li cas? Koj tuaj yeem nrhiav kev tshuaj xyuas txog cov tshuaj no hauv cov ntaub ntawv ntawm kab lus. Nws kuj muaj cov lus qhia rau kev siv cov tshuaj no, nws cov kev mob tshwm sim, contraindications, thiab ntau dua.
Kev sib xyaw, ntim tshuaj thiab daim ntawv
Cov tshuaj "Valvir" tsim nyob rau hauv daim ntawv twg? Cov kev tshuaj xyuas hais tias cov tshuaj no tuaj yeem yuav hauv daim ntawv dawb oval biconvex film-coated ntsiav tshuaj. Cov tshuaj nquag ntawm cov tshuaj no yog valaciclovir hydrochloride hydrate. Microcrystalline cellulose thiab povidone yog siv los ua cov khoom ntxiv ntawm cov tshuaj hauv nqe lus nug.
Raws li lub plhaub zaj duab xis, nws muaj hyprolose, opadra dawb, titanium dioxide, hypromellose thiab macrogol.
Valvir tshuaj, tshuaj xyuas uas tau teev tseg hauv qab no, mus muag hauv cov ntawv txhuas txhuas thiab PVC hlwv, uas tau muab tso rau hauv cov thawv ntawv.
tshuaj kho mob
Valvir muaj dab tsi? Kev tshuaj xyuas ntawm cov kws kho mob hais tias qhov no yog ib qho tshuaj tiv thaiv kab mob. Nkag mus rau tib neeg lub cevvalacyclovir tam sim ntawd hloov mus rau L-valine thiab acyclovir. Qhov no tshwm sim nyob rau hauv kev cuam tshuam ntawm valacyclovir hydrolase.
Cov tshuaj hauv nqe lus nug nthuav tawm cov haujlwm tshwj xeeb tiv thaiv kab mob herpes simplex, kab mob qhua pias, cytomegalovirus, thiab lwm yam.
Acyclovir muaj peev xwm ua kom qeeb ntawm kev sib txuas ntawm cov kab mob DNA, nrog rau hloov acyclovir triphosphate rau hauv daim ntawv nquag. Cov tshuaj no tau koom ua ke rau hauv cov kab mob DNA, uas tom qab ntawd ua rau muaj kev tawg tag hauv nws cov saw thiab thaiv kev rov ua dua ntawm tus kab mob.
YPharmacokinetics
Tom qab noj cov tshuaj, valaciclovir sai sai nqus los ntawm txoj hnyuv. Ib koob tshuaj ib zaug (0.25-2 g) nce mus txog qhov siab tshaj plaws hauv cov ntshav tom qab 1-2 teev. Tib lub sijhawm, bioavailability ntawm cov tshuaj yeeb tshuaj yog 54%, tsis hais txog kev noj zaub mov.
Kev koom tes ntawm acyclovir nrog ntshav ntshav yog qis ntawm kwv yees li 15%. Cov tshuaj no tau tawg sai heev thoob plaws txhua qhov nqaij. Nws tuaj yeem pom hauv daim siab, ob lub raum, cov leeg thiab lub ntsws. Acyclovir kuj nkag mus rau hauv cov kua cerebrospinal, qhov chaw mos tso zis thiab herpetic vesicles.
Hauv cov neeg uas lub raum ua haujlwm ib txwm muaj, cov tshuaj no muaj ib nrab-lub neej ntawm 3 teev. Valaciclovir tau tawm hauv cov zis.
Cov lus qhia rau kev siv
Koj puas paub lub hom phiaj uas Valvir (cov ntsiav tshuaj) tau sau tseg? Kev tshuaj xyuas ntawm cov kws tshaj lij tshaj lij qhia txog cov lus qhia hauv qab no:
- shingles;
- labial herpes;
- rov tshwm sim ntawm cov kab mob mucosaldaim nyias nyias thiab daim tawv nqaij (kev tiv thaiv thiab kev kho mob) uas tau tshwm sim los ntawm tus kab mob herpes simplex (xws li rov tshwm sim dua thiab tshiab qhov chaw mos herpes);
- kab mob cytomegalovirus (kev tiv thaiv) uas tshwm sim thaum hloov khoom nruab nrog cev.
Tsis tas li, cov tshuaj hauv nqe lus nug tau raug sau tseg kom txo tau tus kab mob ntawm tus khub noj qab haus huv nrog rau qhov chaw mos herpes thaum muaj kev sib deev. Txawm li cas los xij, nws yuav tsum tau coj los ua kev kho mob nrog rau lwm yam kev tiv thaiv (cov hnab looj tes, thiab lwm yam).
Contraindications rau kev siv
Cov neeg mob twg tsis tau tshuaj Valvir? Cov lus qhia, tshuaj xyuas ntawm cov kws kho mob hais txog contraindications hauv qab no:
- pob txha pob txha hloov;
- daim ntawv kho mob ntawm tus kab mob HIV;
- meej;
- raum hloov;
- hypersensitivity rau acyclovir, valaciclovir thiab lwm yam tshuaj.
Nrog kev ceev faj heev, cov tshuaj tau muab rau cov neeg mob siab (tshwj xeeb yog cov koob tshuaj ntau), raum tsis ua haujlwm, thaum cev xeeb tub thiab thaum pub niam mis.
Tshuaj "Valvir": cov lus qhia rau kev siv
Peb yuav txiav txim siab saib cov tshuaj no hauv qab no.
Kuv yuav tsum noj tshuaj tiv thaiv kab mob li cas? Cov tshuaj yog muab rau cov neeg laus nyob rau hauv. Nws qhov ntau npaum li cas nyob ntawm hom thiab qhov hnyav ntawm tus kab mob.
- YHerpes zoster -1000 mg peb zaug ib hnub twg rau ib lub lis piam.
- YHerpes simplex - 500mg ob zaug ib hnub. Nrog kev rov qab los, chav kawm tuaj yeem kav 3-5 hnub, thiab nrog thawj ntu - txog 10 hnub.
- Labial herpes - 2 g 2 zaug ib hnub twg. Qhov koob thib ob yuav tsum tau noj 12 teev tom qab.
- Kev tiv thaiv kev rov tshwm sim ntawm tus kab mob tshwm sim los ntawm tus kab mob herpes simplex, hauv cov neeg uas muaj kev tiv thaiv ib txwm - 500 mg ib hnub ib zaug, nrog kev rov ua dua tshiab - 250 mg ob zaug ib hnub, rau cov neeg laus uas muaj kev tiv thaiv kab mob - 500 mg ob zaug ib hnub. Lub sijhawm kho yog 5-12 lub hlis.
- Tiv thaiv kab mob cytomegalovirus hauv cov tub ntxhais hluas hnub nyoog tshaj kaum ob xyoos thiab cov neeg laus - ob grams plaub zaug hauv ib hnub. Lub sijhawm kho yog peb lub hlis.
Yuav ua li cas noj tshuaj "Valvir" (1500) los ntawm herpes los tiv thaiv tus khub noj qab haus huv? Kev tshuaj xyuas ntawm cov kws tshaj lij hais tias cov neeg uas muaj kev tiv thaiv kev tiv thaiv, nrog rau kev rov qab ua haujlwm tsis tu ncua, cov tshuaj tau muab rau hauv tus nqi ntawm 500 mg ib hnub ib zaug rau ib xyoos. Nrog kev sib deev tsis tu ncua, cov tshuaj yuav tsum pib peb hnub ua ntej.
koob tshuaj yuav tsum txo rau cov neeg mob lub raum tsis ua haujlwm.
Cov tshuaj ntau dhau ntawm cov tshuaj
Cov tsos mob dab tsi tshwm sim thaum noj Valvir tsis raug? Cov kws kho mob cov lus hais qhia cov tsos mob hauv qab no ntawm kev noj tshuaj ntau dhau: xeev siab, tsis meej pem, ntuav, txhim kho lub raum tsis ua haujlwm, mob taub hau, nce ntshav creatinine concentration, hnov qab, convulsions, ntxhov siab, coma.
Cov neeg raug tsim txom yuav tsum nyob rau hauv kev saib xyuas kev kho mob tas li rau cov tsos mob ntawm kev raug mob lom.
Hemodialysis tso cai rau koj tshem tawm acyclovir los ntawm cov ntshav.
Side effects
Cov kev phiv dab tsi tuaj yeem tshwm sim thaum noj tshuaj "Valvir" (500 mg). Kev tshuaj xyuas cov neeg mob tshwj xeeb tshaj yog feem ntau tham txog cov teebmeem tsis zoo xws li xeev siab thiab mob taub hau. Tsis tas li, cov tshuaj hauv nqe lus nug tuaj yeem ua rau muaj kev cuam tshuam loj heev nyob rau hauv daim ntawv ntawm thrombotic thrombocytopenic purpura, mob raum tsis ua haujlwm, hemolytic-uremic syndrome thiab neurological ntshawv siab.
Ntxiv rau qhov saum toj no, cov kws tshaj lij kuj tham txog cov teebmeem hauv qab no:
- plab tsis xis nyob;
- leukopenia, thrombocytopenia;
- anaphylaxis;
- ntxhov siab, kiv taub hau, ntxhov siab, kev nyuaj siab, tsis meej pem, cov tsos mob ntawm kev puas siab puas ntsws, hnov lus, encephalopathy, kev puas siab puas ntsws, dysarthria;
- dyspnea;
- tawm pob, photosensitivity, khaus;
- angioedema, urticaria;
- kev cuam tshuam hauv lub raum ua haujlwm;
- pom qhov tsis pom kev;
- neutropenia, leukoplastic vasculitis, aplastic anemia, thrombocytopenic thrombotic purpura;
- erythema multiforme;
- hypercreatininemia, txo hemoglobin;
- kab mob ua pa, dysmenorrhea, tachycardia, arthralgia, qaug zog, nasopharyngitis, lub cev qhuav dej, lub ntsej muag o, kub taub hau, nce ntshav siab,rhinorrhea.
Cov lus qhia tshwj xeeb rau kev noj tshuaj "Valvir" (yuav noj li cas: ua ntej noj mov lossis tom qab noj mov)?
Kev tshuaj xyuas ntawm cov kws kho mob hais tias bioavailability ntawm cov tshuaj no tsis nyob ntawm kev noj zaub mov. Yog li ntawd, koj tuaj yeem noj nws ob qho tib si thaum noj mov thiab tom qab noj mov. Qhov tseem ceeb tshaj plaws yog saib xyuas qhov sib npaug ntawm qhov noj txhua hnub.
Nws kuj yuav tsum tau muab sau tseg tias cov neeg laus tsis tas yuav hloov koob tshuaj tshwj tsis yog muaj teeb meem raum loj.
Tsis muaj kev kho mob nrog tshuaj rau cov menyuam yaus. Yog li, nws tsis pom zoo kom sau cov tshuaj no rau cov menyuam yaus hnub nyoog qis dua 12-14 xyoo.
tshuaj tshuaj xyuas
Herpes yog tus kab mob uas txhawj xeeb ntau tus neeg thoob ntiaj teb. Yog li ntawd, cov tshuaj "Valvir" yog nyob rau hauv kev thov nyob rau hauv lub khw muag tshuaj. Raws li cov neeg mob tshuaj xyuas, cov tshuaj no pab tshem tawm cov kab mob herpetic sai sai, nrog rau kev txhim kho tus neeg mob txoj kev noj qab haus huv.
"Valvir" tsis yog siv rau kev kho tus kab mob no nkaus xwb, tab sis kuj yog rau kev tiv thaiv. Ntau tus neeg tshaj tawm tias thaum noj cov tshuaj no, qhov zaus ntawm tus kab mob herpes tau txo qis.
Nws tsis tuaj yeem hais tias, yog tias txhua txoj cai ntawm kev noj tshuaj raug pom zoo, nws yuav luag tsis ua rau muaj kev phiv. Txawm li cas los xij, nws yuav tsum tau muab sau tseg tias nrog rau kev tshuaj xyuas zoo, cov tshuaj no kuj muaj qhov tsis zoo. Feem ntau ntawm lawv yog txuam nrog cov nqi siab.tshuaj kho mob. Tam sim no, kaum ntsiav tshuaj (500 mg) ntawm Valvira tuaj yeem yuav tau rau 600-680 rubles.
