"Hydrocortisone-iRichter": imiyalelo ukusetyenziswa, analogs kunye nohlolo

Njani na ukuba nako ukuthenga ichiza ukuba kanye nabo bonke ukusombulula zonke iingxaki ezikhoyo kunye zempilo. Kodwa ngoxa akunakwenzeka. Yaye ngoko wonk 'ubani ukuchitha ixesha elininzi ixesha, imali kunye nomzamo ethile ukuxhasa sempilweni kwinqanaba elifunekayo ukuze eqhelekileyo yokusebenza komzimba. Ukufuna umgangatho iziyobisi ezizodwa kakhulu ngamanye amaxesha kuthatha imali elingu ixesha. Eli nqaku ibhalwe ukuba kukunceda ukuba ugcine kancinci kuwo. Ezi zinto zilandelayo ziya kuqwalaselwa inkcazelo eneenkcukacha ichiza phantsi igama "Hydrocortisone-iRichter", nto leyo eli kusetyenziswa amayeza namhlanje ukuba silwe iintlobo zezifo. Kwaye kuzo zonke ezi meko, le amayeza imangalisayo luyasebenza, njengoko uya kuba nako ukwenza ngexesha lokufunda. Ubani "Hydrocortisone-iRichter"? kufuneka ukuba isetyenziswe njani? Zeziphi Izimo ukuba ukusetyenziswa kwalo? Njengokuba kude njengoko ikhuselekile? Ingaba kuyimfuneko ukuba adibane nogqirha okanye ulwazi olwaneleyo ukuze bavelise ezabo irejimeni yonyango zabo? Ingaba kukho naziphi na ezinye ingqalelo amayeza? kulo lonke kunye namanye bokuqonda beziyobisi "Hydrocortisone Richter" uyakwazi ukufunda ngokufunda eli nqaku.

isakhiwo

Awona macandelo esebenzayo iphambili equka ukwakhiwa iziyobisi "Hydrocortisone-Richter," ezi acetate hydrocortisone xa kukho imali elinamanci mabini anantlanu milligrams, kwaye lidocaine hydrochloride monohydrate xa isixa ezingamashumi amabini anesithandathu kunye mlligrams enesiqingatha. Ukuxhasa amacandelo kuba medicament emayiqwalaselwe yile polysorbate 80; povidone; sodium fosat; tpropilparagidroksibenzoat; sodium dihydrogenphosphate; methyl parahydroxybenzoate; sodium chloride; dimethylacetamide; amanzi ngenaliti.

iipropati kwemithi

Ukulungiselela "Hydrocortisone Richter" i-arhente glucocorticosteroid. Impembelelo engundoqo apho ichiza ingqalelo ngayo umzimba isigulana anti-ukudumba.

"Hydrocortisone-Richter," kuyimfuneko ukwazisa obuvakalayo nokuba periarticular okanye indlela intramuscular.

Lidocaine yi ndindisholo olusebenzayo (ntlungu kufutshane nendawo leyo), onesiphumo kwi isabelo wacela umzimba ngexesha kakhulu elifutshane. Le nto iye inwebu kuzinze.

Kwimeko le arhente ilawulwa into acting intraarticular okanye periarticular ngexesha elifutshane ukufikelela kwegazi. Izithako ezisebenzayo ukubonisa inqanaba eliphezulu ukunxulumana iiprotheni (idlula alithoba ekhulwini). Yomguli isibindi kweziyobisi kuloo izinto zilandelayo: tetragidrokortizon kunye tetrahydrocortisol. Zakutshanje kwifomu conjugated kwazona nge nezintso.

Okubalulekileyo! Ichiza lula Kudlula isithintelo placental, ngoko zinokuba nefuthe ekukhuleni kosana olungekazalwa.

Lidocaine sidlula kwi ubisi lwebele, nto leyo eyingozi ukulungiselela usana ngexesha lokuncancisa.

Isiqingatha-bomi ngokomyalelo kweyure enye okanye ezimbini.

ubungqina

Isifo esingundoqo apho iziyobisi "Hydrocortisone-Richter," kukho igxalaba periarthritis scapulohumeral, tendovaginitis, osteoarthritis ukuba synovitis (hayi esebenzayo samathambo ezosulelayo), kunye bursitis, epicondylitis kunye isifo samathambo.

Namhlanje isetyenziswa kakhulu ingqalelo ichiza yokulwa iintlobo zezifo yomoya, kwingqula nomqala (laryngitis, isifuba, iphika, sinusitis, nokuthimliswa, kwaye ezifana), kunye iindlebe (otitis ezishiyanayo ubungnqongqo).

isicelo

Ukuze ukumelana nezifo ENT, sebenzisa "Hydrocortisone-iRichter" ukuze inhalation. ngokusetyenziswa kwemali myalelo, ngoko elula kakhulu. Kubalulekile ukuqala ukuba umntu ofanelekileyo oya kuba nako ukuqesha idosi amancinane isiyobisi ukuba ngempumelelo kule meko. Oku kukuqinisekisa ukuba ukusetyenziswa kwe "Hydrocortisone-iRichter" kweziyobisi ngenxa inhalation ukhuselekile ngokwenene. Ukuze enze izigqibo ezinjalo ngokwazo uya kuba emabi kakhulu ukucetyiswa. Kwakhona kubalulekile ukuba ugqirha elimisiweyo olinganise ukulungiselela isicombululo sabasebenzi ukulungiselela inkqubo umbuzo. Ukuba ulandela ngenyameko iingcebiso ezivela ingcali, ukusetyenziswa kweziyobisi "Hydrocortisone-iRichter" kuba inhalation iya kuba ngokwenene zisindisa ubomi kumlo impilo entle.

Sebenzisa i medicament ingqalelo kunye otitis. Kwiimeko ezinjalo kucetyiswa ukuba athontsize ngeemililitha ezimbini isisombululo "Hydrocortisone-iRichter 'endlebeni. Phinda inkqubo kufuneka ibe izihlandlo ezithathu ukuya kwezine ngosuku. Phezu nesikhundla gqirha kokuya zizidibanise esi sixhobo kunye nesisombululo umntu olwa ezifanelekileyo umguli.

Kwakhona "Hydrocortisone Richter" (umyalelo manual iqulathe iinkcukacha) zinokusetyenziswa ngqo ukunyanga izifo namalungu. Kulo mzekelo, ichiza ilawulwa intra-articular okanye periarticular. Emini njengendlela "Hydrocortisone-iRichter" (ukunqunyanyiswa) akufunekanga wangena kwamalungu ezingaphezu kwezintathu. Le naliti elandelayo zingenziwa iiveki ezintathu kuphela emva kokuba ezidlulileyo.

Ilunga efanayo ukuba lungakhuseleki kwi imveliso "Hydrocortisone-iRichter" (ukunqunyanyiswa) ayikho amaxesha ngaphezulu kwe kathathu ngonyaka. Oku ngenxa yeziphumo ezibi beziyobisi kwi intlala hyaline.

Ziziphi amathamo kulo mzekelo, kufuneka usebenzise i "Hydrocortisone-iRichter"? Imiyalelo yokusebenzisa ikhuthaza abantu abadala kungena milligrams ezintlanu ukuya amahlanu ukwimo ngokuxhomekeke mkhulu ngayo nendlela enzima kwenzeka esi sifo ehlangeneyo. ithamo Pediatric uvela milligrams ezintlanu ukuya ezingamashumi amathathu. Nangona kunjalo, imali kufuneka yahlulwe zolawulo eziliqela phezu imini.

Ngeempumlo kufuneka ilungise okhethekileyo zamathontsana ezintsonkothileyo. Kuyimfuneko ukuxuba igutyana "dioksidina", "phenylephrine" kwaye igqalwa ichiza kunye Shake. Ngaphezu Gqiba le isisombululo kunye ichiza "Hydrocortisone Richter" impumlo (amathontsi ezimbini kathathu ngemini).

Self-iyeza akusoloko olusebenzayo kwaye nokuba yingozi. Ke ukunyulwa komntu akuxhomekekanga ekuzithandeleni ngoko ubunzima - kunye otitis, samathambo, sinusitis, okanye ufuna ukusebenzisa "Hydrocortisone-iRichter" ukuze inhalation. Imiyalelo iqulathe iidosi acetyiswayo avareji kuphela. Imali ngqo ukwimo neziyobisi ukujikeleza kwalo isicelo lingamiselwa kwimeko nganye ngamnye, kuphela ugqirha khona.

Izimo

Kukho ezinye iimeko, ubukho apho naluphi na kwenzeka zingasetyenziswa ngenaliti okanye ashiye "Hydrocortisone-iRichter". Ngoko ke, awukwazi ukusebenzisa ichiza phantsi ingqalelo, ukuba une joint sifo, iingxaki kunye umsipha, utyekelo ukuze zenze amahlwili igazi, Cushing engqondweni, usuleleko systemic ngaphandle unyango oluthile kuthwalelwa phandle, kwakunye nobuhlanga ngamnye ngayo usemthethweni ethile candelo zeziyobisi.

Kwakhona kuthetha esalelweyo ukuthatha ixesha lokumitha umntwana (ingakumbi ezintathu lokuqala). Xa trimesters yesibini neyesithathu ka ichiza kufuneka kwenziwe kuphela kwimeko ukuba iinzuzo unina uya kuba amaxesha amaninzi mkhulu umngcipheko olungekazalwa. Nokusetyenziswa ichiza "Hydrocortisone kaGidiyon Richter" nefuthe elibi kakhulu kwi Palsy. Ngokukodwa, oko kudale kophuhliso. Ebudeni bexesha webele-ukondla ukusebenzisa ichiza ngayo kananjalo akuvumelekanga.

Agent ayikwazi kwenziwa intra-articularly, ukuba kukho wopha ngokungaqhelekanga, samathambo ezosulelayo, ithambo intraarticular, osteoarthritis ngaphandle synovitis, ukutshatyalaliswa ithambo, usuleleko periarticular, juxta-articular kwamathambo, ukukhubazeka edibeneyo, ngokudibeneyo ukutshabalala, kwiCEMIS arthroplasty.

Kubalulekile ukuba ihlale phantsi kweliso ugqirha, ukuba isigulana abadala okanye ezi zifo zilandelayo: isifo seswekile, isilonda duodenal okanye isisu, kwamathambo, i-herpes, isifo sephepha, isifo sokuwa, glaucoma, imasisi, lwegazi, ukusilela intliziyo esinganyangekiyo.

imiphumela emibi

Yintoni iziphumo ebezingalindelekanga kunokubangela ichiza "Hydrocortisone-iRichter" (ukumiswa)? Manual iqulathe ulwazi malunga reactions ezingalunganga ilandelayo, ukuze ngokumandla zenzeke ngexesha unyango lwe-mali. Phakathi kwabo:

• abazizidalwa ngokukhula;
• diabetes steroid;
• syndrome Cushing kaThixo;
• nokunyamezela glucose othile;
• ingcinezelo adrenal;
• isicaphucaphu;
• hypokalemia;
• hiccups;
• thromboembolism;
• flatulence;
• isilonda Peptic;
• Ukungaphumeleli intliziyo;
• ukopha;
• vasodilatation neuropathy;
• ukuphalaza;
• uxinzelelo lwegazi oluphezulu;
• ucaphuka;
• pancreatitis;
• ugwayi;
• esophagitis;
• zokuphila;
• intloko ebuhlungu;
• ukukhathazeka;
• umzimba;
• ibenza;
• abagula ngengqondo;
• zizilonda kwenwebu;
• sinemincili;
• ndiyabila;
• ukuba nemibono;
• cataract;
• umonakalo luvo optic;
• of izifo amehlo;
• pseudotumor kwiCerebellum, glaucoma;
• ukudana;
• nesiyezi;
• kunukwa;
• nokudideka;
• waphazamiseka;
• yombono epileptiform;
• arthralgia;
• myalgia;
• kwamathambo;
• abazizidalwa ngokukhula;
• ukuncipha mass imisipha;
• spasm imisipha;
• nokudinwa;
• myopathy steroid;
• hypernatremia;
• umonakalo imisipha;
• usulelo olungenelelayo ;
• arrhythmia;
• ukugcinwa fluid;
• ukwanda yobuthathaka;
• ufunga kwesikhumba;
• exacerbation losulelo (kuquka isifo afihlakeleyo);
• ukulunywa;
• folliculitis;
• yashiya anaphylactic;
• ecchymosis;
• induna steroid;
• telangiectasia;
• yoma kwesikhumba;
• paresthesia;
• hirsutism;
• tissue ukudumba;
• necrosis izicwili ezingqongileyo;
• insufficiency adrenal;
• leukocytosis;
• umkhuhlane.

Ukuba isigulana abadala, umngcipheko naziphi na iziphumo ebezingalindelekanga odwelisiweyo linyuke kakhulu.

Kwakhona kukho inani abasabela zingasentla yenzeke ngenxa idosi kwemfuneko ababelwe mhlawumbi elide kakhulu amayeza. Phantsi kweemeko ezinjalo, ukusetyenziswa kwemali "Hydrocortisone-iRichter" manual ucebisa ukwenza unyango kwangumqondiso njengokuba okwangoku ayisekho naliphi na iyeza elithile.

iimpawu

Kubalulekile ukuba kungafundiswa ichiza phantsi ingqalelo, kuthathelwe ingqalelo yonke imithetho magciwane eziya kunceda ukunqanda ukusuleleka yi na gciwane.

Akuvunyelwe ukuphumeza ugonyo isigulane ngexesha unyango elinikiweyo iziyobisi. Oku kungenxa inhibition of omzimba yokuqaphela kunokwenzeka.

Ngexesha isicelo ichiza "Hydrocortisone-iRichter" (ukunqunyanyiswa) imiyalelo ukusetyenziswa kufuneka waphawula ukudla okuthile. Isiqulatho sodium ukutya osetyenzisiweyo kufuneka licuthwe, kanti isiqulatho potassium - landa kakhulu. Kuyimfuneko ukuba ukusebenzisa iiprotini ngokwaneleyo.

Kubalulekile ukuba esweni rhoqo ezi mpawu zilandelayo: coagulation igazi, umchamo imveliso, xiyimiso glucose egazini, uxinzelelo lwegazi kunye nomzimba weight. Oku kuya kunceda ukuba babone ngexesha nokuphambuka kunokwenzeka ukususela nanjengokwesimo kwaye ulungise irejimeni yonyango.

iziyobisi kujongwa lingancipha kakhulu phansi inkqubo yokukhula kunye nophuhliso lwabantwana nabafikisayo. Ngoko ke, kubalulekile ukuba inkqubo yonyango liyincutshe onamava. Ngaba ngokuqhelekileyo abelwa pamo iphantsi kunokwenzeka ukuba ngexesha nje elingephi.

Intsebenziswano kunye namanye amachiza

glycosides wentliziyo isicelo ngaxeshanye ichiza kuqwalaselwa ukuba ayityhefu kakhulu ukusebenza kwisigulana.

Ichiza ikhawulezisa kakhulu phezulu kukhuthaza acetylsalicylic acid.

ukusetyenziswa ngaxeshanye kunye izitofu eziphilayo kuphakamisa uphuhliso zizifo ngenxa ukusebenza iintsholongwane.

It ibalekisa yokucolwa kwezinto ezifana mexiletine kunye isoniazid. Ngenxa yoko, ingqondo yabo plasma liyehla kakhulu.

It kwandisa umngcipheko isiphumo inetyhefu kakhulu paracetamol ophezu kwesibindi lomguli.

ngeedosi eziphezulu beziyobisi ethathelwa ingqalelo ezikhawulezileyo kwesiphumo hormone somatropin.

arhente Hypoglycemic kwizigulane abafumana isixhobo kwakhona ayisasebenzi.

Ukwanda uxinzelelo intraocular kungenxa isicelo ngaxeshanye kunye antihistamines kunye nemithi yokunciphisa tricyclic.

analogs

Ukuba ngenxa yaso nasiphi na isizathu (umzekelo, ubukho Izimo ezithile) aninako ukusebenzisa ichiza "Hydrocortisone-iRichter," bekuya kuba bubulumko ukufumana ulwazi malunga lokunye, ukufumana iyeza efanelekileyo kuwe. Ngoko ke, ngokutsho analogs eziphambili esisebenza zijongwa zokumiswa iziyobisi "Kortef" yaye "Solu-Kortef". Indlela efanayo Lentshukumo uyazimela nemixube zilandelayo: "prednisolone" (ngamafutha ukwenzela ukusetyenziswa wangaphandle); "Kenalog" (zokumiswa); "Deksapos" "Prenatsid" "Maksideks" "Ozurdeks" (eye mafutha); "Polkotrolon" "Medopred" "Megadeksan" "Flosteron" "Ivapred" (oluludaka). Kubalulekile ukukhumbula ukuba sihlandlo ngasinye kwezi mveliso uneempawu zawo kunye namatyala ezizodwa xa kufuneka usetyenziswe. Ngoko ke bekuya kuba kusengqiqweni ukuvumela ingcali ukufumana analogu efanelekileyo imali eyayiza kuba ngempumelelo ityala lakho, akavuma kakubi umzimba wakho.

reviews

Yintoni abantu bayathetha ngayo ukusebenza ichiza phantsi ingqalelo? Kwi yokulungiselela "Hydrocortisone-iRichter" ncomo ekhohlo zombini izigulane kunye kumagqirha. Uninzi ngumlomo ukusebenza kwayo ngokungagungqiyo, iziphumo kakhulu kwixesha elifutshane unyango, kwakunye umphumela ohlala (akukho mfuneko yokuba aphinde ikhosi izihlandlo ezininzi). Ezi iimpendulo zibonisa ukuba ichiza uthembeke ngokwenene yaye kufuneka sinikele ingqalelo kuye.

Kodwa ke, kukho elinye icala le ngqekembe. Ezizezi ngamanye amaxesha izigulane akhalaze yeziphumo ebezingalindelekanga ezibi emva kokuba isicelo medicament ingqalelo. Ngamanye amaxesha bakufikise eninzi ngokuphazamiseka kwaye zifuna unyango oluthile. Ngamanye amaxesha, kukho kakhulu ngakumbi iimpawu, ezifana ukulibaziseka kuphuhliso umntwana. Nangona kunjalo, zonke ezi ziphumo inokuphetshwa xa uhlolisisa ngenyameko imiyalelo ukusebenzisa iziyobisi. Kubonisa ngokucacileyo zonke iziphumo ebezingalindelekanga kunokwenzeka, kwaye igxininisa kweliso zonyango imfuneko. Ukuba ukrokrela ukungabikho kolawulo igqirha nokuya yesigulana (ingakumbi ukuba umntwana wakho), ube uzilungiselele ukuba uhlangabezane imiphumo ebuhlungu. Kulungile na ukuba le meko zokuphuhlisa ngendlela efanayo uze unike ingqalelo eyaneleyo ukuthobela zonke iingcebiso. Self-amayeza ingqalelo engamkelekanga kwaye iyingozi.

Ngoku wena axhobileyo ngokupheleleyo. Emva kokufumana inkcazelo eneenkcukacha malunga ichiza "Hydrocortisone-Richter," uyakwazi ukuthatha izigqibo ezisekelwe kulwazi ngokwenene ukuba ngaba ukulusebenzisa kwimeko zakho. Kodwa ukuba ujika ukuba kanye oko kufuneka ngoku, musa sukela ukuba nayo kwaye usebenzise iyeza le nto. Thatha ixesha lokuba kuxoxwe olu hlobo unyango kunye nogqirha wakho. Uya kukwazi ukwakha isicwangciso sonyango kuthathelwa ingqalelo zonke bokuqonda ze akuncede uphephe zonke imigibe, apho kukho ezininzi usebenzisa ichiza ingqalelo. Ngapha koko, nangona impumelelo engenakuphikwa, "Hydrocortisone-Richter" wehlelwa ziziphumo ebezingalindelekanga, nto leyo ithetha nemiphumo emibi kakhulu. Kuphephe uphuhliso lwabo kunokumnceda umntu kuphela elinobuchule phantsi kabani kweliso kucetyiswa unyango kunye eli chiza. Kuphela kulo mzekelo, olu hlobo unyango uya kukuzisela wena gqitha, balahle iimpawu ezingentle sifo. Ukuchitha ixesha encinane ngecebo gqirha ukuya, ungagcina eninzi imali eyakhe ngokweemvakalelo emzimbeni amandla abo, nto leyo kungenjalo kuya kufuneka ichithwe ekulweni reactions ezibi kunye iingxaki. I abazi ngakumbi Uvakalelwa njani impilo umzimba wakho, kokukhona umbulelo uya kuhlangana nawe iminyaka ezayo.

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