Mankhwala Sanovask: malangizo ogwiritsira ntchito

Sanovask ndi antiplatelet othandizira omwe amagwiritsidwa ntchito pazakuchita zamankhwala ngati analgesic ndi mankhwala ochepetsa malungo. Mankhwalawa amagwiritsidwa ntchito motsutsana ndi matenda opatsirana komanso kutupa. Mankhwalawa amapezeka mu mawonekedwe a piritsi.

Dzinalo Losayenerana

Acetylsalicylic acid.

Sanovask imagwiritsidwa ntchito motsutsana ndi matenda opatsirana komanso kutupa.

ATX

B01AC06

Kutulutsa mafomu ndi kapangidwe kake

Mankhwalawa amapezeka ngati mapiritsi okhala ndi mankhwala othiridwa. Monga chinthu yogwira, 100 mg ya acetylsalicylic acid imagwiritsidwa ntchito. Zigawo zothandizira zimaphatikizapo:

• colloidal silicon dioxide;
• ma cellcose a microcrystalline;
• lactose monohydrate;
• sodium carboxymethyl wowuma.

Mankhwalawa amapezeka ngati mapiritsi okhala ndi mankhwala othiridwa.

Chipolopolo chakunja cha mankhwalawa chimakhala ndi Copolymer wa methaconic acid, macrogol 4000, povidone, ethyl acrylate. Magawo a mankhwalawo ali ndi mawonekedwe ozungulira a biconvex ndipo amapentedwa oyera. Mapiritsi amatsekedwa zidutswa 10 m'matumba a chithuza cha zidutswa 10 kapena zitini za pulasitiki zamitundu 30, 60. Makatoni okhala ndi matuza 3, 6 kapena 9.

Zotsatira za pharmacological

Mankhwala ndi a gulu la mankhwala omwe si a antiidal. Limagwirira ntchito ndi chifukwa magwiridwe antchito a acetylsalicylic acid, omwe ali ndi anti-yotupa komanso antipyretic. Pake ya mankhwala ali ndi gawo lina la analgesic ndipo amachepetsa kutsatira gulu.

Chithandizo chogwira ntchito ku Sanovask chimalepheretsa cycloo oxygenase, kiyi yofunika mu kagayidwe ka arachidonic fatty acid, yomwe imachokera ku ma prostaglandins omwe amachititsa kupweteka, kutupa ndi kutentha. Ndi kuchepa kwa kuchuluka kwa ma prostaglandins, kusintha kwa matenthedwe kumawonedwa chifukwa cha kutuluka thukuta ndi vasodilation mu subcutaneous mafuta wosanjikiza.

An analgesic zotsatira zimachitika ndi kutsekemera kwa thromboxane A2. Mukamamwa mankhwalawa, kuphatikizika kwa mapulosi amachepetsa.

Mankhwalawa amachepetsa chiopsezo cha kufa chifukwa cha myocardial infarction komanso angina osakhazikika. Mankhwala amagwira ntchito ngati njira yolembera matenda amkatikati mwa magazi ndi minyewa yamtima. Acetylsalicylates, pamene adatenga 6 g, amalepheretsa kuphatikiza kwa prothrombin mu hepatocytes.

Mankhwalawa amathandiza kuchepetsa kuchuluka kwa kuphatikizika kwa magazi, kutengera katulutsidwe wa vitamini K. Mlingo wambiri, kuchepa kwa kwamikodzo asidi amawonedwa. Chifukwa cha kutsekeka kwa kapangidwe ka cycloo oxygenase-1, kuphwanya kumachitika mu mucosa wam'mimba, zomwe zimapangitsa kuti pakhale zilonda zam'mimba ndi magazi omwe amayamba kutuluka.

Mankhwala amagwira ntchito ngati njira yolembera matenda amkatikati mwa magazi ndi minyewa yamtima.

Pharmacokinetics

Mankhwala amatengedwa pakamwa, mwachangu, ndipo timadziwikiratu timatumbo toberekera komanso pang'ono m'mimba. Kudya kumachepetsa kuyamwa kwa mankhwalawa. Acetylsalicylic acid imasinthidwa mu hepatocytes kukhala salicylic acid, yomwe ikalowa mu kayendedwe kazinthu, imangiriza mapuloteni a plasma ndi 80%. Chifukwa cha kupangika komwe kumapangidwira, ma khementi amomwe amayamba kugawa pamisempha ndi madzi amthupi.

60% ya mankhwalawa amachotsedwa mu mawonekedwe ake oyamba kudzera mu mkodzo. Hafu ya moyo wa acetylsalicylate ndi mphindi 15, ma salicylates - maola 2-3. Mukamwa mankhwala ambiri, theka la moyo limawonjezeka mpaka maola 15-30.

Zizindikiro zogwiritsidwa ntchito

Mankhwala anagwiritsidwa ntchito pochiza komanso kupewa njira zotsatirazi:

• ululu matenda osiyanasiyana etiologies ofatsa pang'ono zolimbitsa (neuralgia, mafupa minofu ululu, mutu);
• ngozi ya cerebrovascular pamaso pa malo a ischemic;
• malungo motsutsana ndi kutupa kwamatenda opatsirana;
• matenda ndi matupi myocarditis;
• rheumatism;
• thrombosis ndi thromboembolism;
• mtima minofu kulowetsedwa.

Sanovask imatengedwa kuti ichotse mankhwalawa kumbuyo kwa matenda opatsirana omwe amakhala ndi matenda opatsirana.

Mankhwalawa amagwiritsidwa ntchito pochiza mutu.

Pankhani ya ngozi ya cerebrovascular pamaso pa ischemic madera, Sanovask ndi mankhwala.

Senovask cholinga chake ndi mankhwalawa rheumatism.

Ndi vuto la mtima la minofu yamtima, Sanovask imayikidwa.

Mu immunology ndi allergology, mankhwalawa amagwiritsidwa ntchito popanga mankhwala kuti athetse pririn triad ndi mapangidwe a minofu omwe amakana ma NSAIDs mwa odwala mphumu. Mankhwala amagwiritsidwa ntchito pang'onopang'ono kuchuluka kwa tsiku lililonse.

Contraindication

Mankhwala ndi oletsedwa kugwiritsidwa ntchito potsatira milandu:

• zilonda zam'mimba matenda am'mimba ndi duodenum mu pachimake siteji;
• Asipirin atatu;
• kuchuluka kwa tiziwalo tating'onoting'ono to NSAIDs;
• stratified aortic aneurysm;
• magazi m'matumbo;
• kuchuluka kwa portal pamagazi;
• kusowa kwa vitamini K ndi glucose-6-phosphate dehydrogenase;
• Matenda a Reye
• hemorrhagic diathesis;
• lactose tsankho ndi malabsorption a monosaccharides.

Kusamala kumalimbikitsidwa kwa anthu omwe ali ndi mphumu ya bronchial, magazi ochulukirapo komanso kuwonongeka kwa magazi. Mankhwalawa ali osavomerezeka kwa odwala omwe ali ndi vuto loleza mtima kapena gawo lochotsa matendawa.

Mankhwalawa amaletsedwa kuti azigwiritsidwa ntchito ndi kuchuluka kwa portal pamagazi.

Mankhwalawa ali osavomerezeka kwa odwala omwe ali ndi vuto la mtima kulephera gawo.

Sizoletsedwa kutenga Sanovask ndi hemorrhagic diathesis.

Ndi matenda a Reye, Sanovask ndi oletsedwa.

Ndi chironda chachikulu komanso matenda am'mimba, Sanovask ndi oletsedwa.

Ndikulimbikitsidwa kusamala mukamamwa mankhwala a Sanovask a anthu omwe ali ndi mphumu ya bronchial.

Momwe mungatenge Sanovask

Mankhwala ndi mankhwala tsiku lililonse 150 mg mpaka 8 g. Mankhwala tikulimbikitsidwa kumwa 2-6 kawiri pa tsiku, kotero mlingo limodzi ndi 40-1000 mg. Chiwerengero chatsiku ndi tsiku chimakhazikitsidwa kutengera ndi kafukufuku wa ma labotore ndi chithunzi cha matendawa.

Ndi matenda ashuga

Mankhwala amalimbikitsa mphamvu ya mankhwala a hypoglycemic, koma samakhudzana ndi zochitika za kapamba ndipo samayang'anira kuchuluka kwa shuga m'magazi.

Zotsatira zoyipa Sanovaska

Zotsatira zoyipa kuchokera ku ziwalo ndi machitidwe zimatha kuchitika ndi kugwiritsa ntchito mankhwala osokoneza bongo komanso osagwirizana ndi malingaliro azachipatala. Nthawi zina, kukula kwa matenda a Reye kungachitike.

Poyerekeza ndi chithandizo cha nthawi yayitali, pamakhala chiwopsezo cha zizindikiro za mtima Kulephera.

Matumbo

Nthawi zambiri, vuto loipa limadziwoneka lokha mseru, kusanza ndi kusowa chilala, mpaka kukulitsa vuto la kugona. Kupweteka kwa epigastric ndi kutsekula m'mimba kumatha kuchitika. Mwina chitukuko cha magazi m'mimba, chiwindi chakhumudwitsa, mawonekedwe a zilonda zam'mimba.

Hematopoietic ziwalo

Pali chiopsezo chochepetsetsa pazomwe zimakhala m'magazi, makamaka ma cellelo ndi maselo ofiira am'magazi, omwe amatsogolera ku thrombocytopenia ndi hemolytic anemia.

Pakati mantha dongosolo

Ndi kugwiritsa ntchito mankhwalawa kwa nthawi yayitali, chizungulire komanso kupweteka mutu. Nthawi zina, pali kuphwanya kwamaso kwakanthawi, tinnitus ndi aseptic meningitis.

Ndi chithandizo cha nthawi yayitali ndi Sanovask, aseptic meningitis nthawi zambiri.

Kuchokera kwamikodzo

Pankhani ya kuwonjezeka kwa nephrotoxic zotsatira za mankhwala pa impso, pachimake kukanika kwa ziwalo izi ndi nephrotic syndrome.

Kuchokera pamtima

Mwina chitukuko cha hemorrhagic syndrome ndi kuchuluka kwa magazi nthawi.

Matupi omaliza

Odwala omwe amakonda kuwonetseredwa kwa thupi lawo siligwirizana, zotupa pakhungu, bronchospasm, anaphylactic, ndipo Quincke edema imayamba. Nthawi zina, pamakhala kuphatikizika kwa munthawi imodzi kwa polyposis ya m'mphuno ndi minyewa yamphongo yokhala ndi mphumu ya bronchial.

Zokhudza mphamvu pakuwongolera njira

Chifukwa cha chiwopsezo cha mavuto obwera kuchokera ku ubongo, chisamaliro chimayenera kuthandizidwa poyendetsa galimoto ndikugwiritsa ntchito njira zovuta zomwe zimafuna kuyankhidwa mwachangu ndi kupsinjidwa.

Chifukwa cha zovuta zoyambira ku kutenga Sanovask, chisamaliro chiyenera kutengedwa mukamayendetsa.

Malangizo apadera

Acetylsalicylate imatha kuchepetsa kutulutsa kwa uric acid mthupi, ndichifukwa chake wodwalayo amatha kukhala ndi vuto lotaya. Ndi chithandizo cha nthawi yayitali cha NSAIDs, ndikofunikira kuwunika pafupipafupi kuchuluka kwa hemoglobin, kuchuluka kwa magazi, ndi kuyesedwa kuti mupeze magazi obisika.

Opaleshoni isanachitike, tikulimbikitsidwa kuleka kutenga Sanovask patatha masiku 5-7 isanachitike. Izi ndizofunikira kuti muchepetse magazi.

Kutalika kwa mankhwalawa sikuyenera kupitirira masiku 7 popereka mankhwala ngati mankhwala osokoneza bongo. Ngati mankhwalawa amagwiritsidwa ntchito ngati antipyretic, ndiye kuti chithandizo chokwanira ndicho masiku atatu.

Gwiritsani ntchito mu ukalamba

Akuluakulu safuna kuwonjezeranso njira zina.

Kupatsa ana

Kufikira zaka 15 muubwana ndi unyamata, pali mwayi wokulira wa matenda a Reye pamtenthe wambiri, womwe wabwera chifukwa cha matenda opatsirana kapena kachilombo. Chifukwa chake, kuyika kwa mankhwalawa kwa ana ndikuloledwa. Zizindikiro za matendawa zimaphatikizapo pachimake encephalopathy, kusanza kwa nthawi yayitali, komanso kuchuluka kwa chiwindi.

Kukhazikitsidwa kwa Sanovask kwa ana osakwana zaka 15 ndi koletsedwa.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere

Mankhwala ndi oletsedwa kugwiritsidwa ntchito mu I ndi III trimesters ya embryonic. Mu trimester II, Sanovask imaloledwa kugwiritsidwa ntchito mosamalitsa malinga ndi malangizo ndi malingaliro azachipatala. Contraindication ndi chifukwa cha teratogenic mphamvu ya yogwira gawo.

Kuyamwitsa mankhwalawa Sanovask kusiya.

The ntchito aimpso kuwonongeka

Chenjezo limaperekedwa pamaso pa matenda a impso. Kutenga mankhwalawo kumbuyo kwa kukanika kwa limba ndizoletsedwa.

Gwiritsani ntchito ntchito yolakwika ya chiwindi

Pamaso pa matenda a chiwindi, ndikofunikira kumwa mankhwala mosamala.

Sanovask siyikulimbikitsidwa poika anthu omwe ali ndi vuto la chiwindi.

Mankhwalawa sakulimbikitsidwa poika anthu omwe ali ndi vuto la chiwindi.

Mankhwala osokoneza bongo a Sanovask

Ndi gawo limodzi la mlingo waukulu, zizindikiro za bongo zimayamba kuonekera:

1. Kuledzera kofatsa komanso kosakhazikika kumadziwika ndi kukulitsa zotsatira zoyipa m'magazi amanjenje (chizungulire, chisokonezo ndi kusokonezeka kwa chikumbumtima, kumva makutu, kulira m'makutu), kupuma thirakiti (kupuma kwambiri, kupuma kwa alkalosis). Mankhwalawa cholinga chake ndikobwezeretsa kuchuluka kwa mchere wamchere ndi homeostasis m'thupi. Wovutitsidwa ndi mankhwala angapo adsorbent kudya ndi chapamimba lavage.
2. Kuledzera kwambiri, kupsinjika kwa CNS, kutsika kwakanema kwa magazi, asphyxia, arrhythmia, kuchuluka kwa labotale (hyponatremia, kuchuluka kwa potaziyamu, kuperewera kwa glucose metabolism), ugonthi, ketoacidosis, chikomokere, minyewa cham'mimba komanso zina.

M'malo moimitsidwa ndi kuledzera kwambiri, chithandizo chadzidzidzi chimachitika - m'mimba mumatsukidwa, hemodialysis imachitidwa ndipo zizindikilo zofunika zimasungidwa.

Kuchita ndi mankhwala ena

Ndi kugwiritsa ntchito pamodzi kwa Sanovask ndimankhwala ena, kupanga njira zotsatirazi kumawonedwa:

1. Acetylsalicylic acid imapititsa patsogolo njira zochizira zosagwiritsa ntchito mankhwala osokoneza bongo a anti-yotupa (NSAIDs), methotrexate (kuchepa kwa impso), insulin, anticoagulants, mankhwala antidiabetes ndi phenytoin. Nthawi yomweyo, NSAIDs imawonjezera mavuto.
2. Mankhwala okhala ndi golide amathandizira kuwonongeka kwa hepatocytes. Pentazocine kumawonjezera nephrotoxic zotsatira za Sanovask.
3. Chiwopsezo cha ulcerogenic kwenikweni mukamamwa glucocorticosteroids imachulukitsidwa.
4. Kuchepa mphamvu kwa achire mphamvu ya okodzetsa kumawonedwa.
5. Kuchepa kwa magazi kumawonjezereka ndikuphatikizira ndi mankhwala omwe amatchinga kubisala kwa impso ndikuchepetsa kuchoka kwa calcium kuchokera mthupi.
6. Mafuta a acetylsalicylate amachepetsa mukamamwa maantiacid ndi mankhwala okhala ndi mchere wa aluminium ndi magnesium, pomwe zotsatira zotsutsana zimawonedwa mukamagwiritsa ntchito khofi. Kuchuluka kwa plasma kwa yogwira pawiri kumawonjezera pogwiritsa ntchito metoprolol, dipyridamole.
7. Mukamamwa Sanovask, mphamvu ya uricosuric mankhwala imachepa.
8. Alendronate sodium amakhumudwitsa kukula kwa esophagitis.

Kuyenderana ndi mowa

Pa mankhwala ndi Sanovask tikulimbikitsidwa kuti musamwe mowa. Ethanol popanga zakumwa zoledzeretsa zimakwiyitsa kukula kwa vuto lamanjenje, kumayambitsa kusokonekera kwa mtima komanso kumapangitsa kuti ma pathologies a chiwindi apangidwe.

Analogi

M'malo mwa mankhwalawa, omwe ali chimodzimodzi mu kapangidwe ka mankhwala ndi mankhwala.

• Acecardol;
• Thrombotic ACC;
• Aspirin Cardio;
• Acetylsalicylic acid.

Kudziyambitsa nokha ndikulimbikitsidwa. Musanamwe mankhwala ena, muyenera kufunsa dokotala.

Kupita kwina mankhwala

Mankhwala amagulitsidwa ndi mankhwala.

Kodi ndingagule popanda kulandira mankhwala?

Chifukwa cha chiwopsezo chowonjezereka cha zotsatira zoyipa kapena mankhwala osokoneza bongo mukamamwa Sanovask popanda zowonetsa zachipatala mwachindunji, kugulitsa kwaulere kwa mapiritsi kumakhala kochepa

Mtengo

Mtengo wapakati wa mankhwala umafika ku ruble 50-100.

Zosungidwa zamankhwala

Mankhwalawa amasungidwa m'malo owuma, otetezedwa ku chinyezi ndi kuwala kwa dzuwa, kutentha mpaka +25 ºС.

Sanovask iyenera kusungidwa m'malo owuma, yotetezedwa ku chinyezi ndi dzuwa.

Tsiku lotha ntchito

Zaka zitatu

Wopanga

OJSC "Irbit Chemical Farm", Russia

Ndemanga

Anton Kasatkin, wazaka 24, Smolensk

Dokotalayo adauza amayi a Sanovask mapiritsi okhudzana ndi matenda amtima kuti achepetse magazi. Zimachitika pafupipafupi.Chifukwa cha kukhalapo kwa kuphatikizira kwapadera pamapiritsi, palibe zoyipa zomwe zidachitika. Piritsi imayamba kusungunuka m'matumbo okha, osasweka pansi pa zochita za asidi m'mimba.

Natalia Nitkova, wazaka 60, Irkutsk

Ukalamba wapanga kudzimva ndi kuwonjezeka kwa matenda amtima. Komanso, ndili ndi chibadwa champhamvu chokhudzana ndi matenda amtima komanso minyewa. Pambuyo pa vuto la mtima, madokotala adalemba piritsi 1 la Sanovask musanagone kuti muchepetse kukula kwa magazi. Mosiyana ndi acetylsalicylic acid, mankhwalawa samavulaza m'mimba, chifukwa chake ndimalimbikitsa.