Jakisoni amene ali m'diso amapatsidwa matenda osiyanasiyana a ophthalmic. Ndondomeko iyenera kuchitidwa ndi katswiri, monga Kuthandizidwa kunyumba kungabweretse mavuto.
Dzinalo Losayenerana
Ranibizumab ndi dzina lomwe limagwiritsa ntchito mankhwalawa.
Lucentis, jakisoni m'maso amapatsidwa matenda osiyanasiyana a ophthalmic.
ATX
S01LA04.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala amapangidwa mu mawonekedwe a madzi a jekeseni wa intraocular.
Njira yothetsera vutoli imapezeka m'mbale. 1 ml ya mankhwalawa muli 10 mg yogwira ntchito. Syringe ndi singano yamafuta zimayikidwa mu phukusi.
Zotsatira za pharmacological
Chidachi chimachepetsa kuchuluka kwa mapangidwe amitsempha yamagazi pama cell a lathyathyathya omwe amakhala mkati mwa ziwiya. Pa mankhwala, njira yomwe ili pamwambapa imayendetsedwa pokhapokha kukonzanso minofu yowonongeka.
Kugwiritsa ntchito mankhwalawa sikukulepheretsa kukula kwa mitsempha yatsopano yamagazi, komanso kumalepheretsa kukula kwa matenda oyambitsidwa ndi matenda, omwe amadziwika ndi kuwonongeka kwa retina, capillaries.
Chidachi chimachepetsa kuchuluka kwa mapangidwe amitsempha yamagazi pama cell a lathyathyathya omwe amakhala mkati mwa ziwiya.
Pharmacokinetics
Ndi kukhazikitsidwa kwa yankho mu thupi la vitreous, theka la moyo wazovunda za runibizumab ndizoposa sabata.
Jakisoni wa mwezi uliwonse amathandiza kukwaniritsa kuchuluka kwa yogwira ntchito m'magazi am'magazi, yomwe imawonetsetsa kuti ichite zambiri.
Zizindikiro zogwiritsidwa ntchito
Chida chachipatala chimaperekedwa mu milandu yambiri yamankhwala:
- mapangidwe amitsempha yamagazi yama cellological yomwe imatulutsa timadzi mu minyewa ya diso, pansi pa macula kumbuyo kwa retina ya chida chowoneka (neovascular wet AMD in akulu);
- kuchepa kowoneka bwino, komwe kumayendetsedwa ndi zithunzi zosalala komanso mawonekedwe amalo amdima m'maso;
- matenda amaso owuma;
- kukhalapo kwa intraretinal cysts;
- myopia (myopia).
Contraindication
Osagwiritsa ntchito mankhwalawa milandu:
- Hypersensitivity kwa yogwira mankhwala;
- kutupa kwa ndulu ya lacrimal, yomwe imayendera limodzi ndi kufiira kwambiri, kutupa kwa eyelidi yapamwamba, komanso kumverera kowawa;
- njira zopatsirana m'maso.
Ndi chisamaliro
Ndikofunikira kuganizira izi:
- ngati odwala ali ndi chiwopsezo chachikulu cha stroke, ndiye kuti njira zakuchiritsira ziyenera kukhala zokwera kuposa chiwopsezo cha zovuta;
- ndi myopia pa maziko a ubongo ischemia, mankhwalawa angapangitse thromboembolism (kufalikira kwamtsempha wamagazi);
- Kufunsidwa kwa dokotala ndikofunikira ngati wodwala akutenga kale mankhwala omwe amachepetsa kukula kwa mtima.
Chithandizo chikasokonezedwa
Therapy iyenera kutha ngati zosintha zotsatirazi zizindikirika:
- kuchepa kowoneka bwino;
- chotupa cha retinal;
- hemorrhege
- atandichita opareshoni.
Momwe mungatenge Lucentis
Musanayambe kugwiritsa ntchito mankhwalawa, ndikofunikira kuphunzira malangizo mosamala kuti mupewe zotsatira zoyipa.
Nthawi zambiri, akamwa mankhwalawa, odwala amakumana ndi masanzi.
Kumwa mankhwala a shuga
Mankhwala amapatsidwa macular edema odwala hypoglycemia.
1 botolo la mankhwala lakonzedwa kuti 1 jakisoni. The ophthalmologist imayambitsa kukhazikitsidwa kwa 0,5 mg yogwira ntchito ndi pafupipafupi 1 nthawi pamwezi.
Kutalika kwa chithandizo kumatsimikiziridwa payekhapayekha, kutengera chithunzi cha matendawa ndi machitidwe a thupi.
Zotsatira zoyipa za Lucentis
Mankhwala amatha kuyambitsa mavuto ambiri, chifukwa chake muyenera kugwiritsa ntchito mosamala mosamala.
Matumbo
Nthawi zambiri odwala amakhala akusanza.
Hematopoietic ziwalo
Matenda ofala ndi magazi m'thupi.
Pakati mantha dongosolo
Nthawi zambiri, odwala amakhala ndi mutu komanso nkhawa.
Nthawi zina kutsokomola kumachitika mankhwala.
Pa mbali ya gawo la masomphenyawo
Zotsatira zotsatirazi ndizotheka:
- kuzungulira kwa retinal;
- jekeseni malo hemorrhage;
- kutupa kwa conjunctival;
- khungu
- madipoziti a ziphuphu;
- kupweteka m'diso ndi kufupika kwa matope.
Kuchokera ku kupuma
Nthawi zina kutsokomola kumachitika.
Pa khungu
Ndi kusalolera kwambiri kwa yogwira, zotupa ndi zotheka, limodzi ndi kuyabwa.
Kuchokera ku minculoskeletal system
Arthralgia (kupweteka m'malo olumikizirana mafupa) sikuchitika kawirikawiri.
Nthawi zina, odwala amatha kudandaula za urticaria.
Matupi omaliza
Odwala amatha kudandaula za urticaria.
Zokhudza mphamvu pakuwongolera njira
Mukamalandira chithandizo, kuwonongeka kowonekera sikumayikidwa pambali, zomwe zimawononga molakwika kuyendetsa galimoto. Chifukwa chake, ndikofunikira kuchepetsa ntchito zomwe zimagwirizanitsidwa ndi chidwi chowonjezeka kufikira mawonekedwe atakhala kale.
Malangizo apadera
Ndikofunika kulabadira malingaliro angapo pakugwiritsa ntchito mankhwalawa.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Munthawi ya kubereka mwana komanso poyamwitsa, kugwiritsa ntchito mankhwalawa kumatsutsana.
Kukhazikitsidwa kwa Lucentis kwa ana
Kulowa sikulimbikitsidwa kwa odwala omwe ali ndi zaka zosakwana ambiri.
Munthawi ya bere, kugwiritsa ntchito mankhwala kumatsutsana.
Gwiritsani ntchito mu ukalamba
Palibe kusintha kwa mankhwalawa kwa odwala azaka zopitilira 65.
The ntchito aimpso kuwonongeka
Polephera kwa aimpso, upangiri waukatswiri umafunika.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Palibe chifukwa chosinthira kuchuluka kwa gawo logwira ntchito ngati chiwindi chayamba kugwira ntchito.
Mankhwala osokoneza bongo a lucentis
Kupweteka kwakuthwa m'maso ndikotheka kuti kuchulukitsa kuchuluka kwa gawo lothandizidwa, ndikuwonjezeka kwa kukakamizidwa kwa intraocular kumawonedwanso. Zikatero, chithandizo chamankhwala chimachitika.
Kuchita ndi mankhwala ena
Kuphatikiza kugwiritsa ntchito mankhwala osokoneza bongo sikuchepetsa.
Polephera kwa aimpso, upangiri waukatswiri umafunika.
Kuyenderana ndi mowa
Kumwa zakumwa zoledzeretsa kumapangidwa sabata yatha ndondomeko isanachitike komanso munthawi ya mankhwala.
Analogi
Palibe fanizo la mankhwalawa.
Kupita kwina mankhwala
Nthawi zambiri, mankhwala a dokotala amafunikira.
Kodi ndingagule popanda kulandira mankhwala?
Ndizosatheka kugula yankho pamsika waulere.
Mtengo wa Lucentis
Mtengo wa mankhwalawa ndi oposa rubles 46,000.
Zosungidwa zamankhwala
Chogwiritsidwacho chikuyenera kusungidwa mufiriji.
Tsiku lotha ntchito
Kwa zaka zitatu, mankhwalawa amakhalanso ndi machiritso.
Wopanga
Izi zimapangidwa ndi kampani yaku Swiss Novartis Pharma Stein AG.
Ndemanga za Lucentis
Pali mayankho osalimbikitsa komanso okhudzana ndi kugwiritsa ntchito mankhwalawa.
Madokotala
Mikhail, wazaka 55, Moscow
Mankhwalawa ndi kachidutswa kamankhwala othandizira kuti pakhale mphamvu ya kukula kwa mtima. Choipa cha njirayi ndikuti jakisoni akuyenera kuchitidwa ndi katswiri wodziwa ntchito kuti apewe kutukula matenda oyambukira. Simungathe kulowetsa yankho m'maso onse awiri, chifukwa mavuto akhoza kuchitika.
Alexander, wazaka 46, St. Petersburg
Ndikofunikira kumutsimikizira wodwala kaye poyambitsa upangiri wamaganizidwe, monga mchitidwewu ukuwonetsa kuti chopinga chachikulu mu njirayi ndikuwopa kupweteka. Kwa nzika zaku Moscow, pamakhala magawo azamankhwala, omwe amasintha masomphenya a anthu omwe ali ndi chuma chambiri pansipa.
Palibe kusintha kwa mankhwalawa kwa odwala azaka zopitilira 65.
Odwala
Maxim, wazaka 38, Omsk
Lutsentis adalembedwa ma ampoules a matenda a shuga. Jakisoni sakhala wopanda ululu, kotero kuti mankhwala oletsa ululu m'mayendedwe amaso anali okwanira. Koma ululuwo udachitika patatha maola awiri atatha. Ndinakhutira ndi zotsatira za mankhwalawo. Njira yochizira idatenga miyezi itatu.
Katerina, wazaka 43, Moscow
Ali ndi jekeseni wam'maso. Ngakhale ndi vuto laimpso, sizinachitike pakukhudza thupi kosafunikira.
Maria, wazaka 60, Izhevsk
Imasokoneza mtengo wokwera wa mankhwalawo ndi njira yotsatirira. Koma mnzake adawona kusintha kwamasomphenya pambuyo pa jakisoni 1. Anakumana ndi chizungulire kwakanthawi atamaliza njirayi, koma adotolo anati izi sizabwino.
