"Deksilant": imiyalelo, izalathiso, analogs, ncomo

Yintoni na ichiza lwezonyango, njengoko "Deksilant"? Imiyalelo, analogs, kwaye iimpawu eziphambili kweli chiza ziya kuqwalaselwa ngakumbi. Kwakhona, uya kufunda indlela kwaye phantsi kweziphi izifo amisele oko kuthetha noko bathi ngayo izigulane ngaye.

ulwazi olusisiseko malunga nesifo

Lokunyanga izifo amayeza "Deksilant"? Ngokutsho imiyalelo, ingqalelo avuleke ichiza ukusebenza eliphezulu kwezonyango e GORD, ngamanye gastroesophageal isifo reflux. Yeyona sifo ziqatha kwinkqubo yokwetyisa kwaye kwenzeka ngenxa reflux, oko kukuthi rhoqo umxholo eyahlulayo emphinjeni okanye isisu duodenum. Ngenxa yenkqubo zophendlo lwezifo lwenzeka umonakalo mucosal esophageal kwaye amalungu ngamanye amaxesha zenyuse, kuquka pharynx, kwingqula, uqhoqhoqho kunye bronchi.

Eyona engundoqo Iimpawu zesi sifo

Ziintoni iimpawu GERD? Iimpawu (unyango lwesi sifo kufuneka imiselwe kuphela gastroenterologist onamava) kusoloko loo ngezifo iyafana. Amaninzi isigulane ikhalazela of heartburn, belching igesi okanye acid, iintlungu etsolo emqaleni, uxinzelelo esiswini, olwenzeka emva kokutya, kunye nobunzima nesisu, mandundu emva kokutya.

Yiyiphi enye indlela ukuchonga GERD nge esophagitis? Unyango lwesi sifo ngokuqhelekileyo kuqalisa emva kokuvela regurgitation we bile duct ne isiqingatha-zifunxe a iingqimba ukutya. Kufuneka kuqatshelwe ukuba ngamanye amaxesha izigulane kwafunyaniswa ukuba uthe kukho iimpawu ezifana ukugabha kunye neminqweno kuye, imvakalelo xi esifubeni, amathe lweenkcukacha kunye dysphagia. Ukongezelela, abantu esophagitis usenokukhalaza iintlungu esifubeni, ukuze libanike egxalabeni, ingalo, intamo kunye umva.

Xa kunjalo, ukuba sele sibonile ubuncinane enye yezi mpawu nokunikezela, kwaoko kufuneka uye ekliniki ukuze axilongwe epheleleyo.

Ukubunjwa ichiza, inkcazelo eneenkcukacha ifomu Iimveliso

Yeyiphi isiyobisi kakhulu ngempumelelo xa GERD (iimpawu, unyango lwesi sifo kuxutyushwa kweli nqaku)? Kaninzi ukuba unyango lwesi sifo, kwakunye nokuphelisa epheleleyo iimpawu zayo lwezonyango, iingcali Sicebisa ukuthatha amayeza "Deksilant". Ivela ngohlobo njengezingxobo, silungiswe-ukukhululwa, kodwa ne umzimba gray ngaphaya nesivalo blue apho logo isicelo «TAP».

Iziqulatho iipilisi - granules umhlophe okanye phantse emhlophe. isithako yabo esebenzayo izenzo dekslansoprazol. Kwakhona eli chiza iquka amacandelo encedisayo ezifana giproloza, umgrayo iswekile, macrogol 8000, nemagnesium carbonate, polysorbate 80, sucrose, colloidal lesilicon dioxide, giproloza osezantsi endaweni, triethyl citrate, hypromellose, a copolymer of imethyl eqobekayo बिट्स kunye methacrylic acid, talc, kwiintsali methacrylic acid, titanium dioxide.

Thenga "Deksilant" njengezingxobo banokuba zeebhotile zeplastiki, ezithi zibekwe imfumba kwikhadibhodi.

agents drug therapeutic ngakumbi (njengezingxobo)

Yintoni abo njengezingxobo amayeza njengoko "Deksilant"? Iimpendulo ingxelo ukuba ichiza inhibitor pump Proton (PPI). Liyakwazi ukucinezela secretion digestive umbutho juice iphambili ngenxa inhibition ye K + / H + -ATPase ibekwe iiseli Parietal esiswini. Kwakhona, emva kokuba efumene iyeza iyabhlokwa inyathelo lokugqibela secretion acid.

Njani ichiza "Deksilant"? Guide ithi emva kokufumana philisi ngaphakathi disintegrates esiswini kwaye ukhupha iintlobo ezahlukeneyo ezimbini granules, leyo isale i ukutyabeka ama. Ngoko ke, izinto isiseko zesixhobo iqala ukusebenza kwayo esebenzayo ngokuxhomekeke pH kwiindawo ezahlukeneyo emathunjini amancinci.

Ngenxa iqokobhe philisi kunye nolungiselelo granular isiqulatho "Deksilant" umyalelo abunikiweyo ngezantsi, kukho amanyathelo elide kwaye inegalelo kunciphiso ebalulekileyo secretion yejusi esiswini ngaphezu ixesha elide.

Iimpawu ngokufumana njengezingxobo amayeza

Kwezinye iimeko, isigulana emiselweyo ichiza, njengoko "Deksilant" (ixabiso philisi amayeza liphezulu ngokwaneleyo)? Ngokutsho imiyalelo kubonisiwe kweli ziko ukufumana:

• esophagitis ilunga nayo nayiphi ubucaka (unyango);
• ilunga esophagitis kunye heartburn ebhexeshayo obubonakala (njengoko unyango yesondlo emva konyango);
• isifo reflux gastroesophageal, kubandakanywa nabo nesifo reflux non-ilunga (njenge unyango lingaze).

Siphelisa ukuqeshwa njengezingxobo yomlomo

Kuphantsi kwaziphi iimeko abakwazi ukusebenzisa iziyobisi "Deksilant"? Iingxelo nesiKhokelo Izimo ilandelayo kokufumana le mali:

• yobudala minor;
• High-ubuntununtunu naliphi na kumacandelo amayeza;
• usebenzisa of inhibitors of protease HIV;
• kokumitha;
• ibele.

Asikwazi ukuba yeza ingqalelo iqulethe sucrose. Ngoko ke, ukusetyenziswa kwayo akukhuthazwa kubantu abane glucose-galactose malabsorption ukunganyamezelani (ilifa) of fructose, kwakunye ukusilela saharazno-izomaltaznoy.

ebeka Ukuhlolisisa

Ulungiselele ngenyameko "Deksilant" (analogue iziyobisi zidweliswe ekupheleni kweli nqaku) yabelwa ulwamkelo parallel:

• "Tacrolimus".
• Inhibitor of isoenzyme CYP2C19.
• "Warfarin".
• "Methotrexate".

Imithi "Deksilant": imiyalelo yokusebenzisa

Ingqalelo Kuyancomeka ukuthatha amayeza kuphela emva kokudibana kunye gastroenterologist onamava. Njengezingxobo ezilawulwa ngomlomo ngendlela yonke, nokuba ixesha sidlo.

Ukuba kuyimfuneko, ungenza ukuvula iqokobhe philisi. Ngoko umxholo wayo kufuneka ugcwalise icephe, mix kunye nonacidic apile okubizwa, ngoko nangoko kuginywe ngaphandle ukuhlafuna.

Indlela yokuphatha esophagitis ilunga na ubukhulu? Xa loo iziyobisi sifo "Deksilant" (60 mg) nolwathi kanye ngemini. Ikhosi konyango nesi sixhobo ziiveki ezisibhozo.

care inkxaso emva kokuba usebenze esophagitis ilunga kunye nokuququzelela obubonakala heartburn ufuna ukufumana 30 mg kweziyobisi kanye ngemini. Kule unyango kufuneka ube malunga neenyanga ezintandathu.

Phambi esophagitis ilunga nephakathi medicament idosi kakhulu esiconywayo 60 mg ngosuku. unyango konwaywa sifo kufuneka elinokuthatha ukuya kuma kwiinyanga ezintandathu.

Njengoko unyango kwangumqondiso GERD okanye nerd? Ukulungiselela "Deksilant" (30 mg) kwi sifo emiselweyo philisi enye kanye ngemini. Ikhosi ye unyango lwezifo ezifana kufuneka kuhlala ubuncinane iiveki ezine.

Xa abantu ngokwenzakala umsebenzi isibindi okuphakathi idosi yemihla ngemihla phantsi mali ingqalelo mayingagqithi-30 mg. data lwezonyango ukwamkelwa ichiza ngokuthi abantu abangeva kakuhle kakhulu ukuza kuthi ga ngoku, akukho.

ingafuneki Adjustment ye nomthamo kwirejimeni kubaguli abadala kunye nabo ongaboniyo kwezintso zesibindi wobulali.

Iimpawu ezimbi emva ulawulo drug (njengezingxobo)

Yintoni iziphumo ebezingalindelekanga kunokubangela "Deksilant" capsule? Ukuphonononga bathi emva ukuthatha amayeza kuqwalaselwa izigulane ekuphuhliseni eninzi yokusabela kabi. Phakathi kwabo ngokukodwa ukuqaqambisa ezi zilandelayo:

• utyatyazo, hepatitis-wayenga iziyobisi, flatulence, ukothuka anaphylactic, iintlungu esiswini, ukuqhina, isicaphucaphu;
• epidermal necrolysis, ukugabha, dermatitis exfoliative, ityhefu, izifo iphecana ngokuphefumla (phezulu), hypersensitivity;
• hyponatremia, ukusabela anaphylactic, pruritus, erythema exudative amabi (Stevens - Johnson), hypomagnesemia, candidiasis ngomlomo;
• ukusilela etsolo kidney, iintlungu kuhlolwe esiswini, izigxala, umlomo owomileyo, irhashalala, ukudumba emlonyeni, vasculitis leukocytoclastic, pancreatitis;
• Utshintsho umsebenzi kwesibindi, irhashalala nolahlo ngokubanzi, igazi samathambo hemolytic, kwizaphuko, ukhohlokhohlo;
• ukukhanya Hot, nokudumba laryngeal, ukwanda koxinzelelo lwegazi, yengxinano emqaleni, intloko ebuhlungu, purpura idiopathic thrombocytopenic;
• isiyezi, ukungaboni, dysgeusia, paresthesia, ilahleko ukuva, ukuxhuzula;
• nobetho, vertigo, zezomzuzwana kobuchopho, ukungaboni, nemibono ezikhalayo, nokudumba yobuso, sokulibala, utshintsho ukutya, ukudakumba, yokuswela amandla, njalo njalo.

Iimpawu libanda

Iyini imiphumela emibi zenzeka xa elingaphaya amathamo acetyiswayo zikaGqirha zeziyobisi "Deksilant"? Ukuza kuthi ga ngoku, akukho amatyala libanda ebalulekileyo lemiyalezo ezivela ekusetyenzisweni kweli chiza Kuye kwabikwa. Ngoko ke iingcali zithi ukuba isicelo olunye medicament kwi umthamo mg 120 okanye 300 naziphi na iziphumo ebezingalindelekanga ezinzima musa kuvuka. Malunga ngokuthatha lo amayeza ukuya kuma-60 mg kabini ngemini, indlela enjalo ibangela ukunyuka koxinzelelo lwegazi 140/90 mm HG. Art.

Indlela ukuphelisa imiqondiso yokuba libanda? Phambi ukwenza izinto zonyango unyango nomqondiso. Kufuneka kuqatshelwe ukuba dekslansoprazol aziboniswa yi olugqitha esikhumbeni.

imithi

Njengoko kunye nezinye iziyobisi abasebenzisana dekslansoprazol? Ngokutsho imiyalelo, le nto elinokunikwa izigulane abo bathabatha "Clopidogrel", kungekho nawuphi na umngcipheko intsebenziswano. Kwimeko parallel ukwamkelwa esebenzisa uthe imo ulungiso ingafuneki.

Kwakhona waphawula ukungabi yentsebenziswano ngokwezonyango ebalulekileyo kunye namayeza njenge "diazepam" "theophylline" yaye "Phenytoin".

Ebandakanyekayo ukusetyenziswa dekslansoprazola kungachaphazela kukufakwa iziyobisi, bioavailability leyo ixhomekeke pH esiswini (umz, iityuwa intsimbi, esters of ampicillin, "digoxin" "ketoconazole" yaye "erlotinib").

ukwamkelwa ngaxeshanye "Deksilanta" ne "Tacrolimus" kwandisa lwee- yokugqibela egazini, ingakumbi abantu emva abohlukeneyo.

Xa isicelo engumzekelo eli chiza with "fluvoxamine" kukho amathuba okuba eliphezulu eyandileyo sesichengeni lwenkqubo yemfundo yokuqala.

ukusetyenziswa ngaxeshanye methotrexate kunye dekslansoprazola wande, ngokunjalo nokulondolozwa xi eliphezulu lokuqala okanye metabolite yayo serum egazini. Ukuba ufuna ukuthatha ithamo methotrexate eliphezulu, kucetyiswa ukuba ayeke okwethutyana ukuthatha dekslansoprazola.

Ixesha lokwaphusa kunye kokumitha

Ngaba ngexesha yokumitha ezithatha ichiza "Deksilant" kunokwenzeka? Ngokutsho iingxelo leengcali, amayeza ngexesha lokukhulelwa into contraindicated.

Ukuba ufuna ukwabela indlela bathi lweehagu unina, ufanele uyeke ukuluncancisa.

ulwazi oluthile

Yiyiphi inkcazelo kufuneka inikwe isigulane phambi kokunika iziyobisi "Deksilant"?

Phambi unyango dekslansoprazolom lokulawula phandle yobubi e isigulane, kuba ulwamkelo ithathwa ichiza bunokufihla iimpawu kwaye isenokuyilibazisa uxilongo echanekileyo.

Ukuba zonke iimpawu zesi sifo ekhoyo iqhubeka naphezu ihambo olwaneleyo unyango, kubalulekile ukuqhuba iimvavanyo ezongezelelweyo.

Xa ukusetyenziswa inhibitors pump Proton, leyo, enyanisweni, ubalisa dekslansoprazol kwandisa ingozi yezigulo emathunjini kunye sorhudo kusitsho, apho arhente kukho iintsholongwane ezahlukeneyo, kuquka sodidi difficile zeClostridium. Ezi izifo ezixhaphakileyo kwizigulana esibhedlele. Oku kufuneka ithathelwe ingqalelo xa imeko yomntu akukho iye yaphando ukunyanga isifo sorhudo. Kulo mzekelo, izigulane bacetyiswa ukuba basebenzise i olusebenzayo dekslansoprazola liphantsi ithamo ngexesha unyango elifutshane.

Abantu abafumana idosi ephakamileyo yokulungiselela yesifundo, okanye unyango elide kunye nempompo Proton inhibitors iinyanga ezilishumi elinambini okanye ngaphezulu kakhulu kwandisa umngcipheko Ukophuka osteoporotic iibhrashi amathambo inyonga ikholam vertebral. Ngenxa yoko, izigulane abasemngciphekweni ukwenzela Ukophuka osteoporotic ngokuqinisekileyo kufuneka anamathele ugqirha nesilinganiso ekhuthazwayo.

Ngamanye amaxesha, xa izigulane abafumana ichiza phantsi kovavanyo, izigulane kufuneka hypomagnesemia nazimpawu kunye nomqondiso. Njengomgaqo, kuvela ezinjalo ithi kwisithuba apho inkqubo unyango "Deksilantom" yathatha iinyanga ezintathu ubuncinane. Kufuneka ukhumbula ukuba iimpawu hypomagnesemia ezi arrhythmias, tetany kunye yombono. Amayeza imeko enjalo kufuna wemvula wemagniziyam kwaye urhoxisele ulwamkelo pump Proton inhibitors.

Abantu abafuna unyango lwexesha elide okanye PPI ukuthatha ngaxeshanye kunye digoxin okanye namanye amachiza ezinokubangela hypomagnesemia (kubandakanywa womchamo) kufuneka basoko belwakhele umkhanya igazi uyondelelwano lwee- wemagniziyam (njengoko phambi unyango kunye ngethuba kuyo).

Ngenxa amathuba eliphezulu nesiyezi kunye ukungaboni ebantwini ngexesha unyango "Deksilantom" kufuneka uyeke izithuthi ukuqhuba kunye nezinye iindlela ezifuna ingqalelo ekhethekileyo evela mntu.

Drug "Deksilant": isasetyenziswa, nokubuyekezwa iindleko

Yintoni kuqwalaselwa endaweni ichiza? Iingcali zithi ukuba analogs iphambili kweli chiza zimi ngolu hlobo lulandelayo:

• "Veloz" - indlela ephumelelayo sokusingathwa ukunyhashwa asidi. icandelo layo esebenzayo abangaphangeliyo ngokukhawuleza kwimveliso acid ngokugqithiseleyo, ukwenza kube lula yaye ukuphelisa intlungu.
• "Barolo" - ezineempawu ezifanayo kakhulu kwi "Deksilantom".
• "Geerdin" - ngokukhawuleza abuyisele iasidi, kuthintela ukutshatyalaliswa kweendonga isisu, kwakunye nokuphelisa heartburn.

Kwakhona, analogs yathi iziyobisi ziquka iziyobisi "Omez". Yeyiphi engcono - "Omez" okanye "Deksilant"? Thelekisa ezi mali akakwazi, kuba inezinto ezahlukeneyo ngokupheleleyo, nangona zombini zenzelwe ukunciphisa ubumuncu yejusi esiswini.

Ngamanye amaxesha, ngokuba unyango leengcali sifo reflux gastroesophageal Sicebisa usebenzise amayeza "Nexium". Ngelo xesha, izigulane uyazibuza ukuba ukhethe - "Nexium" okanye "Deksilant"? Oogqirha bathi ukuba iiarhente ezimbini kuyichaza ukumelana kakuhle umsebenzi. Noko ke, xa ukhetha chiza ethile kufuneka iqwalaselwe ukuba ichiza lokuqala ibanga iziphumo ebezingalindelekanga ezimbalwa.

Ingaba yimalini "Deksilant 'capsule? Ixabiso le iyeza kuxhomekeke bangenazimvo kothungelwano ekhemesti. I-avareji yeendleko kwemali ye malunga 900 engange.

Yintoni abantu bathi ngayo izigulane medicament? Abantu abaninzi ukuthatha eli yeza, ukubanga ukuba iye overpriced. Noko ke, iingcali ingxelo ukuba eli chiza lusebenza kakhulu. Yena isenzo elide yaye ngokukhawuleza ukubuyisela ubumuncu yejusi esiswini. Ngoko oogqirha ikhankanya ukuba "Deksilant" kungabangela ezinye iziphumo ebezingalindelekanga, kodwa ngokuqhelekileyo ziyaphela xa ngokulungisa idosi zemihla ngemihla.

Kufuneka kwakhona wathi self-ulawulo amayeza akuvumelekanga. Le nyaniso kungenxa yokuba ukuqeshwa kwakhe kufuneka ithathelwe ingqalelo xa isigulane onesifo wesibindi nezintso, kwakunye nobudala yesigulane.