Yog tias nws tsis tuaj yeem daws qhov mob los ntawm kev tswj hwm qhov ncauj ntawm cov tshuaj, ces siv cov tshuaj rau txhaj tshuaj "Caver". Cov lus qhia rau kev siv qhia txog kev txhaj tshuaj rau qhov mob ntawm qhov mob nruab nrab thiab qhov hnyav. Qhov no tej zaum yuav yog ib qho mob tom qab ntawm tus neeg mob, lub raum colic los yog mob lumbar.
Kev sib xyaw thiab kev tsim cov tshuaj
Hauv 1 ml ntawm kev txhaj tshuaj yog 25 mg ntawm cov tshuaj nquag - dexketoprofen. Cov khoom xyaw ntawm cov tshuaj muaj xws li 96% ethanol, sodium chloride, sodium hydroxide thiab dej rau txhaj tshuaj.
Cov tshuaj yog cov kua ntshiab, tsis muaj xim. Muab ntim rau hauv iav ampoules, uas tau muab ntim rau hauv ib lub thawv ntawv ntawm 5-10 daim. Txhua ampoule muaj 2 ml ntawm Caver.
Cov lus qhia rau kev siv cov tshuaj yog hais txog cov tshuaj uas tsis yog-steroidal anti-inflammatory thiab antirheumatic tshuaj uas yog derivatives ntawm propionic acid.
tshuaj muaj txiaj ntsig
Dexketoprofen trometamol (cov khoom xyaw nquag hauv cov tshuaj no) yog ntsev ntawm propionic acid. Nws yog yus muaj los ntawm analgesic, antipyretic thiab anti-inflammatory zog. belongs rau chav kawm ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory tshuaj, los yog NSAIDs.
Lub luag haujlwm ntawm kev ua haujlwm yog txhawm rau txo cov synthesis ntawm prostaglandins vim yog inhibition ntawm cyclooxygenase. Ntawd yog, kev hloov pauv ntawm arachidonic acid rau hauv endoperoxides PGG2 thiab PGH2 ntawm qhov xwm txheej yog qeeb. Ntawm cov no, nyob rau hauv lem, prostaglandins PGEi, PGE2, PGF2a, PGD2 yog tsim, nrog rau xws li ib tug tshuaj xws li prostacyclin PGI2, raws li zoo raws li thromboxanes TxAg thiab TxBr. Kev tshem tawm ntawm prostaglandin synthesis cuam tshuam rau impulses ntawm cov txheej txheem inflammatory, piv txwv li, kinins, uas cuam tshuam rau lub luag haujlwm tseem ceeb ntawm cov tshuaj. Cov nyhuv inhibitory ntawm dexketoprofen ntawm kev ua ntawm cyclooxygenase-1, cyclooxygenase-2 tau tshwm sim.
Kev soj ntsuam kev sim tau tsim cov tshuaj analgesic ntawm cov tshuaj nrog ntau qib ntawm qhov mob. Pom nws cov txiaj ntsig analgesic los ntawm kev txhaj tshuaj rau hauv. Kev tshuaj xyuas ntawm qhov mob hnyav ntawm qhov mob thaum lub sijhawm postoperative tau ua tiav. Cov no yog cov txheej txheem phais orthopedic thiab gynecological, nrog rau kev ua haujlwm ntawm lub plab kab noj hniav. Siv rau qhov sib txawv ntawm qhov mob ntawm tus txha nqaj qaum, cov tshuaj "Caver". Cov lus qhia rau kev siv pom zoo txhaj tshuaj rau lub raum colic.
Kev tshawb fawb tau pom tias cov khoom siv tshuaj ua haujlwm tam sim ntawd, thiab nws cov txiaj ntsig siab tshaj plawsmanifests nws tus kheej rau plaub caug-tsib feeb. Cov nyhuv analgesic ntawm lub cev kav ntev li yim teev, tab sis tsuas yog nyob rau hauv qhov xwm txheej uas tsawg kawg 50 mg ntawm Kaver tus neeg sawv cev (txhaj tshuaj) tau muab tshuaj. Kev piav qhia, cov lus qhia rau cov tshuaj - tag nrho cov no tseem ceeb heev rau kev kawm ua ntej siv.
Nrog rau kev txhaj tshuaj intramuscular ntawm dexketoprofen trometamol, qhov siab tshaj plaws tau pom tom qab li nees nkaum feeb. Nws muaj qib siab ntawm kev sib txuas ntawm cov ntshav plasma protein - 99%. Kev faib tawm ntawm dexketoprofen fluctuates nyob ib ncig ntawm 0.25 l / kg. Ib nrab-lub neej yog 0.35 teev. Tso tawm tom qab 1-2.7 teev.
Cov lus qhia rau kev siv tshuaj
Yuav tsum tau txhaj tshuaj intramuscularly lossis intravenously nyob rau hauv mob mob mob ntawm nruab nrab thiab siab siv, tshuaj "Caver". Cov lus qhia rau kev siv qhia kev txhaj tshuaj tsuas yog thaum kho qhov ncauj tsis pab. Nws raug nquahu kom siv lawv tom qab kev phais, thaum lub raum colic thiab mob hnyav hauv thaj tsam lumbar.
Contraindications rau kev siv
Muaj cov tshuaj "Caver" (txhaj tshuaj) indications thiab contraindications. Qhov thib ob suav nrog:
- hypersensitivity rau cov tshuaj nquag dexketoprofen thiab ntxiv rau cov tshuaj ntxiv;
- mob hawb pob thiab bronchospasms;
- mob rhinitis, nasal polyps, urticaria, angioedema;
- mob plab thiab los ntshav;
- plab hnyuvlos ntshav;
- Crohn's kab mob lossis kab mob plab;
- keeb kwm ntawm bronchial hawb pob;
- lub plawv tsis ua hauj lwm;
- mob raum mob hnyav;
- ntshav txhaws ntshav;
- mob siab mob siab;
- siv rau neuraxial (intrathecal lossis epidural) kev tswj hwm;
- cev xeeb tub, tshwj xeeb tshaj yog peb lub hlis twg;
- lub sijhawm lactation.
Tsis muaj ib qho ntawm cov xwm txheej no yuav tsum tau txo qis thaum muab tshuaj Caver (txhaj tshuaj). Cov lus qhia rau kev siv piav qhia tag nrho cov yam ntxwv ntawm kev siv cov tshuaj no kom raug.
Cov tshuaj no tsis yog tshuaj rau cov neeg mob hluas vim tsis muaj kev paub txog nws cov teebmeem rau menyuam yaus lub cev. Yuav tsum ceev faj los ntawm cov neeg laus.
Kaver tshuaj (txhaj tshuaj): cov lus qhia rau kev siv
Rau cov neeg laus, qhov pom zoo koob tshuaj yog 50 mg. Lub sijhawm nruab nrab ntawm kev txhaj tshuaj yuav tsum yog tsawg kawg 8-12 teev. Yog tias tsim nyog, kev txhaj tshuaj thib ob yog nqa tawm tom qab 6 teev. Qhov koob tshuaj txhua hnub yog 150 mg. Cov tshuaj yog siv rau ib lub sij hawm kho mob ntawm tus mob. Nws tsis yog siv ntau tshaj ob hnub ua ke. Tom qab pib qhov mob nyem, yog tias qhov xwm txheej tso cai, tus neeg mob raug xa mus rau cov tshuaj tua kab mob qhov ncauj.
Cov teebmeem ntawm lub cev raug txo los ntawm kev qhia qhov tsawg kawg nkaus tso cai. Tom qab kev phais, nrog rau qhov mob ntawm qhov hnyav thiab nruab nrab, cov tshuaj siv nruj me ntsis raws lilus tim khawv. Cov tshuaj ua tau zoo nrog opioid analgesics.
Tsis txhob kho cov koob tshuaj rau cov neeg laus. Tab sis txij li thaum cov txheej txheem metabolic hauv ob lub raum qeeb thaum lub hnub nyoog laus, nws tseem pom zoo kom txo qhov ntau npaum li cas. Qhov siab tshaj plaws tso cai koob tshuaj rau lub raum tsis zoo yog 50 mg.
Cov neeg mob lub siab mob (5-9 ntsiab lus ntawm Child-Pugh nplai) txo cov koob tshuaj txhua hnub rau 50 mg. Tom qab kev qhia txog cov tshuaj rau hauv lub cev, kev ua haujlwm ntawm lub cev yog ua tib zoo saib xyuas. Nrog rau theem mob hnyav dua, cov tshuaj tsis raug sau tseg (10-15 cov ntsiab lus ntawm Child-Pugh nplai).
Nrog raum mob me me (creatinine tshem tawm - 50-80 ml / min.), cov qauv niaj hnub yuav tsum tsis pub tshaj 50 mg. Nrog rau mob nruab nrab lossis mob raum tsis zoo, qhov kev tshem tawm creatinine yog < 50 ml / min, cov tshuaj raug txwv nruj me ntsis.
Kev txhaj tshuaj yog muab ob qho tib si intramuscularly thiab intravenously. Rau intramuscular manipulations, "Kaver" (txhaj tshuaj) yog txhaj maj mam thiab tob txaus.
Yuav ua li cas dilute cov tshuaj rau cov tshuaj intravenous
Cov kua hauv 2 ml ampoule rau txhaj rau hauv cov leeg yuav tsum tau diluted. Rau cov ntsiab lus ntawm ampoule, ntxiv 30-100 ml ntawm 0.9% sodium chloride, qabzib lossis Ringer's lactate tov. Cov kua rau txhaj tshuaj yog npaj nyob rau hauv sterile tej yam kev mob. Cov khoom npaj yuav tsum yog pob tshab thiab tsis muaj impurities. Lub infusion yog nqa tawm rau kaum mus rau peb caug feeb. Tsis txhob raug tshav ntuj thaum nruab hnubkev daws ob qho tib si thaum nws npaj thiab thaum lub sijhawm tswj hwm tshuaj.
"Caver" (txhaj tshuaj hauv ampoules) cov lus qhia pom zoo kom diluting rau kev sib xyaw nrog cov tshuaj narcotic. Ua li no, ntxiv 100 ml ntawm 0.9% sodium chloride rau 2 ml ampoule. Yog tias tsim nyog, cov tshuaj tuaj yeem diluted nrog piam thaj hauv tib qhov piv.
Nws yog txwv tsis pub muab Promethazine thiab Pentazocine hauv kev txhaj tshuaj nrog Caver tshuaj (txhaj tshuaj).
Kuv yuav siv tshuaj bolus li cas? Rau lub hom phiaj no, 2 ml tshuaj tsis yog diluted rau infusion. Ncuav sai sai, tsis pub dhau kaum tsib vib nas this. Lub sijhawm txhaj tshuaj no yuav tsum tsis txhob luv. Hauv cov koob tshuaj me me, kev sib xyaw ua ke ntawm "Caver" nrog cov tshuaj txhaj tshuaj xws li "Heparin", "Lidocaine", "Morphine" thiab "Theophylline" raug tso cai.
Tsis txhob muab cov tshuaj txhaj tshuaj me me ntawm Dopamine, Promethazine, Pentazocine, Pethidine thiab Hydrocortisone. Qhov no tau pom zoo vim tias muaj kev pheej hmoo ntawm cov nag lossis daus dawb, uas yog qhov tsis xav tau thaum lub sijhawm ua haujlwm.
Cov tshuaj tsis raug rau txawm tias qhov thib ob cia thiab yuav tsum tau muab tshuaj tam sim tom qab kuaj los ntawm lub khob ampoule. Cov tshuaj yuav tsum tau siv tam sim ntawd tom qab sib tov tag nrho cov tshuaj tsim nyog. Lub luag haujlwm rau qhov raug ntawm tus txheej txheem yog nyob ntawm tus neeg ua haujlwm kho mob nkaus xwb.
Kev txhaj tshuaj tom qab kev npaj khaws txhua yam khoom tsis hloov pauv txhua hnub. Cov xwm txheej no muaj peev xwm ua tau yog tias qhov kev npaj npaj tau raug tiv thaiv los ntawm nruab hnub nrig, thiab qhov ntsuas kub tsis tshaj 25 ° C.
Ampoule "Caver" yog tsim los rau kev txhaj tshuaj ib zaug. Cov seem ntawm cov tshuaj tau muab pov tseg tam sim ntawd. Tam sim ntawd ua ntej infusion, xyuas kom meej tias cov tshuaj yog ntshiab thiab tsis muaj xim. Yog tias muaj cov khoom me me, yuav tsum tsis txhob siv tshuaj.
Kev mob tshwm sim ntawm cov tshuaj
Tej zaum yuav muaj ntau yam tshwm sim tom qab kev qhia txog cov tshuaj "Caver" (txhaj tshuaj). Cov lus qhia muaj cov ntaub ntawv hais tias xws li phenomena xws li xeev siab thiab ntuav feem ntau tshwm sim. Muaj mob ntawm qhov chaw txhaj tshuaj, los ntshav, o thiab hematoma. Qee zaum anemia thiab insomnia, kiv taub hau, tsaug zog thiab mob taub hau tshwm. Tsis tshua muaj, kub taub hau thiab qaug zog, qhov muag tsis pom kev, ua daus no. Mob hauv plab, dyspepsia tau sau tseg. Tom qab txhaj tshuaj, raws plab lossis cem quav, ntuav nrog cov ntshav sib xyaw qee zaum tshwm sim. Ntau dhau dryness ntawm qhov ncauj kab noj hniav tau pom. Qee cov neeg mob yws yws ntawm dermatitis, khaus, pob khaus thiab tawm hws ntau dhau.
Hauv qee kis tsis tshua muaj, tau tshaj tawm hyperglycemia, hypertriglyceridemia thiab anorexia. Paresthesia thiab tsis nco qab tshwm sim. Cov neeg mob tau cuam tshuam los ntawm lub pob ntseg, extrasystole thiab tachycardia. Muaj tsawg zaus, cov tsos mob ntawm arterial hypertension, thrombophlebitis, bradypnea tau sau tseg. Muaj rwj, jaundice, urticaria, pob txuv, nqaij rigidity, pob qij txha. Cov tsos mob ntawm cramps nyob rau hauv cov nqaij ntshiv thiab mob nyob rau hauv lub nraub qaum yog sau tseg. Qee qhov pom muaj zis nce ntxiv, lub raum colic, acetonuria. tshwm simkev ua tsis tiav ntawm kev coj khaub ncaws thiab kev ua haujlwm ntawm cov qog prostate. Muaj cov leeg tremor, peripheral edema.
Hauv qhov tshwj xeeb, neutropenia thiab thrombocytopenia tau sau tseg hauv cov neeg mob. Ib qho piv txwv qhia txog cov tshuaj tiv thaiv anaphylactic, piv txwv li, anaphylactic shock. Tsis tshua muaj tshwm sim bronchospasm, ua pa luv. Pancreatitis thiab Stevens-Johnson syndrome, epidermal necrolysis yog qee zaum cuam tshuam. Cov neeg mob raug kev txom nyem tom qab txhaj tshuaj los ntawm angioedema, o ntawm lub ntsej muag, photosensitivity. Ib ntawm kaum txhiab tus neeg mob nephritis thiab nephrotic syndrome tau raug kaw.
Tsis muaj qhov tseeb tsim los ntawm kev siv tshuaj ntau dhau tau raug txheeb xyuas. Yog tias cov koob tshuaj pom zoo ntau dua, cov tshuaj tsis zoo cuam tshuam rau lub plab zom mov, ua rau ntuav, mob plab thiab anorexia. Drowsiness thiab disorientation nyob rau hauv qhov chaw, kiv taub hau, mob taub hau yuav tshwm sim. Yog tias pom tias muaj kev noj tshuaj ntau dhau, qee qhov kev ntsuas yuav tsum tau muab tam sim ntawd thiab cov tshuaj tshem tawm ntawm lub cev siv kev lim ntshav.
Tshuaj analogues
Cov tshuaj Kaver (txhaj tshuaj) yog qhov txawv ntawm tus nqi siab. Analogues ntawm cov tshuaj no muaj nyob rau hauv txhua lub tsev muag tshuaj. Cov tshuaj hauv qab no muaj tib txoj cai ATC thiab cov khoom xyaw nquag:
- Alfort Dexa.
- Decafene.
- "Delsangin".
- "Delsangin Inekt"
- "Depiofen".
- "Rastel".
- Sertofen.
Cov tshuaj qhia tau, yog tias tsim nyog, tag nrhohloov "Kaver" (txhaj tshuaj). Analogues thiab hloov pauv rau cov tshuaj no ua haujlwm zoo ib yam thiab muaj cov khoom xyaw zoo ib yam, tab sis lawv yuav tsum tsis txhob xaiv ntawm nws tus kheej. Ua ntej hloov ib qho tshuaj rau lwm tus, koj yuav tsum sab laj nrog koj tus kws kho mob uas yuav pab koj xaiv qhov kev xaiv tsim nyog tshaj plaws.
nqi kho mob
Tshuaj nyob rau hauv Ukraine, tshuaj "Caver" (txhaj tshuaj). Cov lus qhia pom zoo kom siv tsis tu ncua, tab sis tsuas yog qee zaus thiab tsis pub ntau tshaj ob hnub. Hauv tebchaws Russia, cov tshuaj no tsis tau siv dav thiab tsis muag hauv khw muag tshuaj, yog li tsuas yog tus nqi kwv yees tuaj yeem muab tau. Nws tau tsim nyob rau hauv kev txhais lus los ntawm hryvnia mus rau Lavxias teb sab ruble, coj mus rau hauv tus account lub official pauv tus nqi, uas yog tam sim no 1 hryvnia. sib npaug rau 3.21 rubles. Hauv Ukraine, cov tshuaj no tuaj yeem yuav rau 200 hryvnia. Hauv kev suav rov qab, tus nqi yuav sib npaug rau 640 Russian rubles.
txoj kev khaws cia thiab hnub tas sij hawm
Tsis tas yuav khaws cia ntau tshaj li ob xyoos txij li hnub tsim khoom tau teev tseg rau ntawm pob, kev npaj kho mob "Caver" (txhaj tshuaj). Cov lus piav qhia ntawm cov tshuaj sau tseg tias tom qab hnub tas sijhawm, cov tshuaj tsis tsim nyog rau kev siv. Nws yog ib qho tsim nyog yuav tsum khaws cov khoom hauv lub thawv qub ntawm qhov kub tsis siab tshaj + 25 ° C. Cov tshuaj yuav tsum tau khaws cia rau hauv qhov chaw txias kom deb ntawm cov menyuam yaus thiab tiv thaiv los ntawm tshav ntuj ncaj qha.
Muaj nyob rau hauv cov khw muag tshuaj nruj me ntsis raws li cov tshuaj. Cov chaw tsim khoom yog lub tuam txhab Ukrainian PAO Farmak.
Kaver yog ib qho tshuaj txhim khu kev qha thiab muaj txiaj ntsig zoo rau kev kho mob hnyav. Tsim los rausiv sijhawm luv. Tau tshwm sim nyob rau hauv kev ua lag luam kuj tsis ntev los no thiab tseem tsis tau muaj kev tswj kom yeej lub siab nyiam ntawm cov neeg siv khoom. Nws tuaj yeem yuav ob qho tib si los ntawm cov khw muag tshuaj online thiab los ntawm cov chaw muag tshuaj loj hauv nroog loj ntawm Ukraine.
