Mwa mavuto a mtima ndi mtima, madokotala nthawi zambiri amatipatsa mankhwala malinga ndi acetylsalicylic acid (ASA), wowonda magazi. Mankhwalawa akuphatikizapo Thrombo ACC kapena Aspirin Cardio. Awa ndi ma analogu awiri omwe amachokera pakupangika komweku, komwe kumachitika mu pharmacological ku vuto la matendawa. Koma amakhalanso ndi kusiyana komwe muyenera kudalira mukamasankha mankhwala.
Kodi Thrombo ACC imagwira ntchito bwanji?
Mankhwalawa omwe si a steroidal ochokera ku gulu la NSAID (NSAID) amagwira ntchito ngati mankhwala a analgesic, anti-yotupa komanso antipyretic. Imapezeka mu mapiritsi okhala ndi gawo logwirira ntchito (ASA), ndi zina zowonjezera:
- colloidal silicon dioxide (sorbent);
- lactose monohydrate (disaccharide yokhala ndi mamolekyulu amadzi);
- microcrystalline cellulose (fiber fiber);
- wowuma mbatata.
Thrombo ACC ndi mankhwala osakhala a steroidal ochokera ku gulu la NSAID (NSAIDs).
Kuphimba kwa enteric kumaphatikizapo zakudya zopatsa thanzi:
- Copolymers a methaconic acid ndi ethyl acrylate (binders);
- triacetin (plasticizer);
- talcum ufa.
Kugwiritsa ntchito kwa mankhwalawa ndikosasintha kosasintha kwa amodzi mwa mitundu ya cycloo oxygenase enzyme (COX-1). Izi zimabweretsa kuponderezana ndi kaphatikizidwe kazinthu zolimbitsa thupi, monga:
- ma prostaglandins (omwe amathandizira pazinthu zotsutsana ndi kutupa);
- thromboxanes (kutenga nawo mbali pakuwonjezera magazi m'magazi, kumathandizira pakuchita opaleshoni ndikuthandizira kutupa);
- prosthipclins (kuteteza kupangika kwa magazi kuundana ndi vasodilation, kuchepetsa kuthamanga kwa magazi).
Kugwira ntchito kwa acetylsalicylic acid m'maselo am'magazi, omwe amaletsa mapangidwe a magazi, ali ndi njira zotsatirazi:
- kuphatikiza kwa thromboxane A2 kumayima, kugwirizanitsa kwa mapulateleti kumachepa;
- kuchuluka fibrinolytic ntchito ya plasma zigawo zikuluzikulu;
- kuchuluka kwa mavitamini obwera chifukwa cha mavitamini K amachepetsa.
Acetylsalicylic acid, yomwe ndi gawo la mankhwalawa, imalepheretsa mapangidwe azigazi m'mitsempha.
Ngati mukugwiritsa ntchito mankhwalawa Mlingo wochepa (1 pc. Patsiku), ndiye kuti pali chitukuko cha zochita za antiplatelet, chomwe ngakhale mutamwa kamodzi kumatenga sabata. Katunduyu akuwonetsetsa kuti mankhwalawa agwiritsidwa ntchito popewa komanso kuchepetsa mavuto a matenda otsatirawa:
- mitsempha ya varicose;
- ischemia;
- vuto la mtima.
ASA pambuyo kumeza kwathunthu odzipereka kwa m'mimba thirakiti, metabolizing yogwira chiwindi. Salicylic acid imaphwanyidwa kukhala phenyl salicylate, salicyluric acid ndi salicylate glucuronide, yomwe imagawidwa mosavuta m'thupi, ndipo imatsitsidwa ndi impso pambuyo pa masiku 1-2.
Makhalidwe a Aspirin Cardio
Mapangidwe a mitundu ya piritsi ndi acetylsalicylic acid ndi zina zowonjezera:
- cellulose (glucose polymer);
- wowuma chimanga.
Yogwira pophika mankhwala amakhalanso acetylsalicylic acid.
Kuphimba kwa enteric ndi:
- methaconic acid Copolymer;
- polysorbate (emulsifier);
- sodium lauryl sulfate (sorbent);
- ethacrylate (binder);
- triethyl citrate (okhazikika);
- talcum ufa.
Mfundo zoyendetsera zomwe zimagwiritsidwa ntchito ndi mankhwala onsewa ndizofanana. Chifukwa chake, zisonyezo zakugwiritsa ntchito ndizofanana. Ndipo chifukwa chakuti Aspirin Cardio amagwira ntchito ngati wochotsa kutentha ndi anti-kutupa, imagwiritsidwanso ntchito monga:
- nyamakazi;
- nyamakazi;
- chimfine ndi chimfine.
Monga mankhwala opangira njira zodzitetezera, mankhwalawa akuwonetsedwa atakalamba ndi chiopsezo choyambira:
- matenda a shuga;
- kunenepa
- lipidemia (milingo yayikulu ya lipid);
- myocardial infaration.
Kuyerekeza kwa Thrombo ACC ndi Aspirin Cardio
Mankhwalawa ali ndi zofanana zochizira, okhala ndi mawonekedwe ofanana. Koma kuti mumvetsetse zomwe zili zoyenera kwa wodwalayo, chidule chophatikizidwa pamapiritsi ndi malingaliro a katswiri zingathandize.
Kufanana
Mankhwalawa amagulitsidwa pa counter. Amapezeka mu mapiritsi okhala ndi membrane wa enteric, omwe amachepetsa kuyamwa kwa mucosa, ndipo amamugwiritsa ntchito:
- pakamwa;
- musanadye;
- kutsukidwa ndi madzi osatafuna;
- njira yayitali (nthawi yayitali ya mankhwala ndi dokotala).
Mankhwalawa onse ali m'gulu la antiplatelet agents (antithrombotic mankhwala) komanso osakhala mankhwala (mankhwala okhala ndi anti-yotupa, antipyretic ndi decongestant zotsatira), omwe ali ndi zofananira zofananira:
- kupewa mikwingwirima ndi mtima;
- angina pectoris;
- pulmonary embolism;
- mitsempha yakuya;
- postoperative zinthu ndi mtima kulowerera;
- kuzungulira kwa ubongo.
Kumwa mankhwala kumapangidwa m'njira zotere:
- ziwengo zosiyanasiyana;
- kukokoloka ndi zilonda zam'mimba ndi duodenum;
- kutulutsa magazi m'mimba;
- hemophilia (kutsitsa magazi m'magazi);
- mphumu ya asipirini (ndipo akaphatikizidwa ndikuchepetsa polyposis);
- hemorrhagic diathesis;
- chiwindi ndiimpso kukanika;
- hepatitis;
- kapamba
- thrombocytopenia;
- leukopenia;
- agranulocytosis;
- zaka mpaka 17;
- oyambilira oyamba ndi atatu;
- kuyamwa
- mogwirizana ndi methotrexate (mankhwala a antitumor).
Njira zopewera zimakhazikitsidwa pazochitika zotsatirazi:
- gout
- hay fever;
- Hyperuricemia
- matenda opweteka a ziwalo za ENT.
Zotsatira zoyipa poika mankhwala:
- mutu
- kusowa kwa chakudya;
- kutulutsa;
- zotupa pakhungu (urticaria);
- kuchepa magazi
Kupatula matenda a mtima ndi mitsempha yamagazi muukalamba, mankhwalawa amaikidwa mu gulu la 100 mg.
Pa mankhwala, ndikofunikira kuwongolera mfundo za pH za magazi kuti asatayike kupita kumalo achilengedwe (bongo limachotsedwa ndi sodium bicarbonate).
Kodi pali kusiyana kotani?
Ngakhale zikuwonetsa zomwezo ndi ma contraindication omwewo, pali zosiyana pakati pa awa omwe si a steroidal. Amasiyana m'magulu azokongoletsa. Pali zosiyana zina zomwe zimapatsa wodwala ufulu wosankha voliyumu yosavuta kwambiri pakumwa mankhwala.
Ngakhale amagwiritsidwa ntchito zomwezi, kapangidwe kake kamakhala kosiyanasiyana munthawi ya opeza.
Kwa Trombo ACC:
- mapiritsi a 50, 75, 100 mg;
- ma CD - mu paketi imodzi ya 14, 20, 28, 30, 100 ma PC .;
- kampani yopanga - G. L. Pharma GmbH (Austria).
Kwa Aspirin Cardio:
- kuchuluka kwa acetylsalicylic acid patebulo limodzi. - 100 ndi 300 mg;
- ma CD - m'matumba a matuza 10 ma PC, kapena m'mabokosi 20, 28 ndi 56;
- wopanga - kampani ya Bayer (Germany).
Chotsika mtengo ndi chiyani?
Mtengo wa mankhwalawa umatengera mlingo komanso kuchuluka kwa mapiritsi omwe agulidwa.
Mtengo wapakati wonyamula Trombo ACC:
- 28 tabu. 50 mg iliyonse - ma ruble 38; 100 mg - 50 ma ruble;
- Ma PC 100 50 mg - ma ruble 120., 100 mg - 148 ma ruble.
Pogwiritsa ntchito mtengo, Aspirin Cardio ndiokwera mtengo kwambiri kuposa Trombo ACCA.
Mtengo wa Aspirin Cardio:
- 20 tabu. 300 mg aliyense - 75 ma ruble;
- 28 ma PC. 100 mg - ma ruble 140;
- 56 tabu. 100 mg iliyonse - 213 ma ruble.
Poyerekeza mtengo wawo, mutha kuwona kuti mankhwala achiwiri ndi okwera mtengo kwambiri maulendo 2.
Ubwino wa Thrombo ACC ndi Aspirin Cardio ndi chiyani?
Mwa mankhwala awa a analog, akale ali ndi zabwino zotsatirazi: mlingo wotsika (50 mg) ndi mtengo wotsika (mtengo wa phukusi lomwe lili ndi mapiritsi 100 ndiwotsika mtengo kwambiri). Mlingo wa 50 mg wa mankhwalawa ndiwothandiza chifukwa:
- osagawa piritsi pagawo zingapo;
- Chipolopolo cha contour sichidawonongedwa;
- pali kuthekera kwa chithandizo chakanthawi.
Koma mankhwala aliwonse, ngakhale omwe ali ndi mawonekedwe ofanana, sayenera kumwa okha. Ndikofunikira kufunsa upangiri kuchokera kwa dokotala.
Ndemanga za Odwala
Maria, wazaka 40, Moscow.
Thromboass adalembedwa kuti akhale mayi pambuyo pa microstroke ngati prophylactic motsutsana ndi kubwereranso kwawo. Mapiritsi ndiokwera mtengo, motero, amapezeka kwa nzika zapamwamba. Ndipo tsopano tiyenera kuzitenga nthawi zonse. Komabe, ndinamva za kuopsa kwa acetylsalicyl pamimba. Chowonadi ndi chakuti mapiritsi a acetylsalicylic acid opanda chipolopolo choteteza, ndipo mankhwalawa ali nawo, ndiye otetezeka kuchokera pamalingaliro awa.
Lidiya, wazaka 63, mzinda wa Klin.
Aspirincardio adalembera ischemia. Ndisanalandire, ndidafunsa mayendedwe kuti ndimaye magazi m'magazi, zimapezeka kuti m'chipatalamo simumapezeka viscometer. Maso amtundu wam magazi - maunitsi asanu. (malinga ndi Ado), ndili ndi chisonyezo chowonjezera (chinali magawo 18) chifukwa chogwiritsa ntchito mankhwala ambiri, kuphatikizapo maantibayotiki. Nditenga mankhwala owonda pakadali pano, ndipo sindikudziwa ngati ndingathe kuchita izi popanda mayeso. Ndikufuna kupita ku Tromboass, ndikotsika mtengo. Koma adotolo sanavomereze. Sizikudziwika chifukwa chake.
Alexey, wazaka 58, Novgorod.
M'mbuyomu, adangotenga Aspirin, adathandizira ndi chimfine, kukakamiza, kutopa ndi thanzi labwino. Koma panali zovuta pamimba (amadwala madzulo, ngakhale sanatenge zoposa 1 pc. Patsiku). Wopangayo adalangiza kuti asinthane ndi mapiritsi a Aspirincardio, popeza amakutidwa ndi zokutira. Tsopano nditha kupitiliza kutenga ASA mosamala. Ingomvetsani chifukwa chake Aspirin yopanda zokutira chotchingira ndi yotsika mtengo, komanso ndi chipolopolo kakhumi mtengo. Kupatula apo, chochita chachikulu chimachitidwa ndi zomwe zili mkati, osati kunja.
Simungathe kudzilimbitsa nokha ndi mankhwala, muyenera kufunsa dokotala kuti akupatseni malangizo.
Madokotala amawunika Trombo ACC ndi Aspirin Cardio
M.T. Kochnev, Phlebologist, Tula.
Ndikupangira Terombo Ass popewa matenda a thrombosis, kuwonda kwa magazi, atachitidwa opaleshoni ya miyendo. Mapiritsi ndiokwera mtengo, osakhala ndi vuto lililonse m'mimba, komwe ndikofunikira kwa wodwala. Musanagwiritse ntchito pawokha, ndikofunikira kuphunzira contraindication - ichi ndi gastritis ndi zilonda zam'mimba
S.K. Tkachenko, katswiri wa zamtima, Moscow.
Cardioaspirin imagwiritsidwa ntchito kwambiri mu mtima kuti muchepetse mtima. Kugwiritsa ntchito nthawi yayitali kumalimbikitsidwa; Palibe zosiyana kuchokera ku Thromboass, kupatula zosakaniza zothandizira. Mutha kupita kwa iwo, makamaka chifukwa otsika mtengo.
N.V. Silantyeva, wothandizira, Omsk.
Muzochita zanga, Cardioaspirin ndizosavuta kwa odwala kuvomereza, chithandizo chochepa chomwe chimakhala ndi zizindikiro zoyipa, zotsatira zabwino. Popeza kupikisana kwakukulu ndi anthu okalamba, kuchuluka kwa 100 mg ndizomwe zimakhala bwino kwambiri, pansipa sikofunikira. Ndimasankha maphunziro - milungu itatu m'milungu itatu.
