Mankhwala Vitagamm: malangizo ntchito

Vitagamma ndi mtundu wa multivitamin wopangidwa ndi mavitamini a B. Akatswiri azachipatala amagwiritsa ntchito mankhwalawa pachimake chovutitsidwa ndi kupweteka kwamitsempha, ndimatumbo am'mimba. Mankhwala amaphatikizidwa ndi zovuta kuchitira mankhwala kuwonongeka kwa chapakati mantha dongosolo.

Dzinalo Losayenerana

Pyridoxine + Thiamine + Cyanocobalamin + [Lidocaine].

Vitagamma ndi mtundu wa multivitamin wopangidwa ndi mavitamini a B.

ATX

A11DB.

Kutulutsa mafomu ndi kapangidwe kake

Mankhwala amapezeka mu mawonekedwe a yankho la 2 ml ya jekeseni wa mu mnofu. Monga yogwira zinthu ndi:

• 20 mg ya lidocaine hydrochloride;
• 1 mg cyanocobalamin;
• pyridoxine hydrochloride 100 mg;
• thiamine hydrochloride 100 mg.

Mowoneka ndimadzimadzi omveka popanda mtundu ndi fungo. Mankhwalawa ali m'magalasi amdima agalasi. Pali ma ampoules 5 m'bokosi lama cartoni 1.

Zotsatira za pharmacological

Kuphatikizika kwa multivitamin kwa gulu B ndizinthu zachilengedwe zomwe zimasiyana mosiyanasiyana pakupanga kwamapangidwe amaselo ndi mankhwala. Sizimapangidwa m'thupi la munthu, ndichifukwa chake amadyedwa ndi chakudya ndikuchita mbali yayikulu pakugwira ntchito kwamanjenje. Gulu la Vitamini limatha kuyendetsa kagayidwe ka mafuta, chakudya komanso mapuloteni chifukwa chophatikizidwa ndi ma enzyme complexes.

Mankhwalawa ali m'magalasi amdima agalasi. Pali ma ampoules 5 m'bokosi lama cartoni 1.

The achire zotsatira za mankhwala zimatheka mwa zochita zigawo zikuluzikulu:

1. Thiamine (Vitamini B1) m'thupi amasinthidwa kukhala pyrophosphate, pambuyo pake amatenga gawo lolimba pakupanga ma syntic acid ac synthesis a DNA. Ndi coenzyme mu metabolism ya protein ndi saccharide metabolism. Nthawi yomweyo, thiamine imachepetsa njira ya mapuloteni glycosylation komanso oxidative zochita zama radicals (akuwonetsa antioxidant effect). Mwapang'onopang'ono amawongolera kukhudzika kwa mitsempha ya synaptic.
2. Pyridoxine (vitamini B6) amatenga nawo mbali popanga ma neurotransmitters omwe amalimbikitsa kupanga mahomoni (norepinephrine, dopamine). Zimakhudza momwe munthu akumvera. Pawiri pawiri ndi gawo la transaminase ndi decarboxylase - michere yofunikira pa kapangidwe kake ka amino acid. Zomwe zimagwira zimathandizira kuchotsa kudzikundikira kwa ammonia, limayendetsa kagayidwe ka mafuta, histamine. Chifukwa cha pyridoxine, kubwezeretsa minofu ya mitsempha kumathandizira.
3. Cyanocobalamin (Vitamini B12) amagwira ntchito popanga minofu ya myelin, amathandizira hematopoiesis mkati mwa malire. Tinthu tamoyo timachepetsa plasma ndende ya cholesterol ndi triglycerides, zomwe zimapangitsa kuti kagayidwe kazikhala.
4. Lidocaine imapereka zotsatira za analgesic (analgesic) pamene mankhwalawa amalowetsedwa m'matumbo a minofu.

Mankhwala amakulolani kuwongolera zochita za redox ndikukhala ndi homeostasis m'thupi. Chifukwa cha mavitamini a B, kagayidwe kazinthu zina kamasintha, lipid metabolism imasintha. Chiwerengero cha LDL (low density lipoproteins) ndi cholesterol amachepetsa.

Mukamagwiritsa ntchito mankhwalawa, kagayidwe kake ka kagayidwe kake kamakhala kofanana, kayendedwe kazinthu zamagetsi kamakhala bwino, ndipo kugwira ntchito kwa ma sensor ndi ma motor neurons kumawonjezeka.

Pharmacokinetics

Ndi kuyambitsa jakisoni, mavitamini ovuta amapezeka pazinthu zazikulu.

Chifukwa cha mavitamini a B, metabolism ya carbohydrate imayamba kuyenda bwino.

Pambuyo pa jekeseni wamitsempha ya thiamine, chloride imalowa m'magazi. Kudzera m'matumbo, mankhwala ophatikizira amkati amalowa m'chiwindi, pomwe hepatocytes amayamba kusintha thiamine ndikupanga zinthu za metabolic (piramidi ndi carboxylic acid). Adapukusa kudzera mu bile ndi kwamikodzo dongosolo. Kuphatikizika kwa plasma kwa zigawo za thiamine m'magazi ndi 2-4 μg / 100 ml. Kutha kwa theka moyo kumatha kuyambira masiku 10 mpaka 20.

Parereral makonzedwe a pyridoxine zimapukusidwa ndi kugawanika mu vitamers:

• pyridoxamine;
• pyridoxol;
• pyridoxal.

Vitamini B6 imafika m'magazi ambiri a 6 μmol / 100 ml mu madzi a m'magazi. Amasiya thupi kudzera mu impso mu 4-pyridoxic acid. Hafu ya moyo ndi masiku 15-20.

Cyanocobalamin amachotseredwa pakatha masiku 20 ndi mkodzo.

Zizindikiro zogwiritsidwa ntchito

Mankhwalawa adapangidwa kuti apereke mankhwalawa komanso kupewa matenda amitsempha, amakwiya chifukwa chosowa thiamine, pyridoxine, cyanocobalamin. Njira yothetsera Vitagamm imagwiritsidwa ntchito ngati mankhwala a matenda a msana:

• chikhalidwe chammbuyo;
• radiculitis;
• spondylolisthesis;
• Ankylosing spondylitis syndrome;
• spondylosis;
• osteochondrosis;
• ma disc a herniated;
• matenda a mafupa;
• spondylitis;
• nyamakazi;
• msana stenosis.

Vitagamm solution imagwiritsidwa ntchito ngati chithandizo cha nyamakazi.

Vitagamma yankho imagwiritsidwa ntchito ngati mankhwala a herniated discs.

Vitagamm solution imagwiritsidwa ntchito ngati chithandizo cha ankylosing spondylitis.

Vitagamm solution imagwiritsidwa ntchito ngati mankhwala a spondylolisthesis.

Vitagamm solution imagwiritsidwa ntchito ngati mankhwala a radiculitis.

Vitagamm solution imagwiritsidwa ntchito ngati mankhwala a osteochondrosis.

Vitagamm solution imagwiritsidwa ntchito ngati mankhwala a spinal stenosis.

Mankhwalawa amagwiritsidwa ntchito popindika msana, kuti apititse patsogolo kukonzanso pambuyo poti achitidwe opaleshoni ya vertebrae, mkati mwa mantha.

Mankhwalawa adapangidwa ngati chothandiza kuti athetse chithunzi cha matenda amanjenje yama etiology osiyanasiyana (neuralgia, polyneuritis yosavuta, yotsatana ndi ululu, zotumphukira paresis, neuropathy chifukwa cha kuledzera.

Mavitamini a gulu B amathandizira kuti metabolism ikhale yachilendo, ndichifukwa chake katswiri wazachipatala akhoza kuphatikiza mankhwalawa monga chida chowonjezera cha kunenepa kwambiri kwamafuta. Pankhaniyi, kuchepa thupi kwambiri kumachitika mwa zolimbitsa thupi motsutsana ndi maziko olimbitsa thupi.

Contraindication

Mwapadera, mankhwalawa osavomerezeka kapena ophatikizidwa kuti mugwiritse ntchito:

• vuto la mtima
• kuthamanga kwa magazi;
• erythremia ndi erythrocytosis;
• magazi akulu;
• thromboembolism, thrombosis.

Chipangizocho chimaletsedwa kugwiritsidwa ntchito pamaso pa chiwopsezo cha minyewa yokhala ndi zigawo zina za mankhwala.

Mankhwalawa ali contraindified mu thromboembolism.

Mankhwala ndi contraindised mu kuthamanga kwa magazi.

Mankhwalawa akuphatikizidwa ndi vuto la mtima.

Mankhwala ali contraindised mu erythremia.

Mankhwala ndi contraindicated mu kwambiri magazi.

Ndi chisamaliro

Chenjezo tikulimbikitsidwa otsatirawa:

• anthu azaka zopitilira 65;
• ndi kuchuluka kwa thrombosis;
• ndi Wernicke encephalopathy;
• ndi mawonekedwe a mawonekedwe oyipa ndi oyipa;
• pa kusintha kwa akazi mu akazi;
• ndi aakulu angina pectoris.

Odwala omwe amakonda kuwonetsedwa ndi anaphylactic, tikulimbikitsidwa kuti kuyesedwa kwa ziwengo kusanayambe mankhwala.

Momwe mungatenge Vitagamm

Mankhwalawa adapangira kuti azigwiritsa ntchito mu mnofu. Zingwe zimayikidwa pa singano za ⅔ m'dera la gluteus kapena minofu yolimba. Woopsa matenda kapena pamaso pa kupweteka kwambiri, tikulimbikitsidwa kuyambitsa 2 ml patsiku. Pambuyo pochepetsa chizindikiro chododometsa ndi mitundu yofatsa yamatenda, mankhwalawa amatumizidwa katatu kwa masiku 7, 2 ml.

Ndi matenda ashuga

Pogwiritsa ntchito matenda a shuga a insulin komanso osadalira insulini, kufunikira kwa mavitamini B1 ndi B6 kumawonjezeka, motero kumwa mankhwalawa ndikuloledwa.

Pogwiritsa ntchito matenda a shuga a insulin komanso osadalira insulini, kufunikira kwa mavitamini B1 ndi B6 kumawonjezeka, motero kumwa mankhwalawa ndikuloledwa.

Kusintha kwa Mlingo wowonjezera sikofunikira - mankhwala omwe ali ndi kuchuluka kwa 4-6 ml pa sabata adzakhala othandiza pakulipira matenda a shuga.

Zotsatira zoyipa za Vitagamm

Zokhudza mphamvu pakuwongolera njira

Munthawi yamankhwala omwe mumalandira, ndikofunikira kuti musayendetse kuyendetsa galimoto, kugwiritsa ntchito njira zovuta, komanso zochitika zina zomwe zimafuna kuyankhidwa mwachangu ndi kuphatikizira. Ndi kukhazikitsidwa kwa jakisoni a Vitagamm, pamakhala chiopsezo chosinthana ndi dongosolo lamanjenje lamkati.

Zotsatira zoyipa kuchokera ku mankhwalawa zimawonetsedwa ngati redness ndi kuyabwa.

Zotsatira zoyipa kuchokera ku mankhwalawa zimawonetsedwa mwa kugona.

Zotsatira zoyipa za mankhwala zimawonekera mu mawonekedwe a phlebitis.

Zotsatira zoyipa za mankhwala zimawonetsedwa mu mawonekedwe a arrhythmias.

Zotsatira zoyipa za mankhwalawa zimawonetsedwa ngati thukuta likukula.

Zotsatira zoyipa kuchokera ku mankhwalawa zimawonetsedwa mu mawonekedwe a arthralgia.

Zotsatira zoyipa kuchokera ku mankhwalawa zimawonetsedwa m'matumbo.

Malangizo apadera

Chenjezo limalangizidwa mukamagwiritsa ntchito zovuta za multivitamin, chifukwa pamakhala chiwopsezo chokhala ndi hypervitaminosis.

Gwiritsani ntchito mu ukalamba

Anthu opitilira zaka zopitilira 65 amalangizidwa kuti azisamala mukamamwa mankhwala. Mukakalamba, kutha kwa zovuta za mankhwalawa kumawonjezeka.

Kupatsa ana

Mankhwalawa amaletsedwa kwa ana osakwana zaka 18.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere

Iwo ali osavomerezeka kugwiritsa ntchito mankhwalawa pakukula kwa embryonic. Chifukwa cha kusowa kwa chidziwitso pakutha kwa mankhwala opangika kuti adutse chotchinga, mankhwalawa amagwiritsidwa ntchito pokhapokha, pamene chiwopsezo ku moyo wa mayi wapakati chikuwonjezeka pachiwopsezo cha kukula kwa mwana wosabadwayo.

Pa mankhwala, tikulimbikitsidwa kusiya kuyamwa. Sizikudziwika za kuchuluka kwa mankhwalawa m'matumbo a mammary komanso kutuluka kwa mkaka wa m'mawere.

Mankhwala ochulukirapo a Vitagamm

Ngati mumwa mankhwala osokoneza bongo, pamakhala chiopsezo cha bongo wambiri:

• zovuta zamavuto (kukoma kwa kukoma, kununkhiza);
• minofu kukokana;
• kupweteka kwa epigastric;
• zotupa, kuyabwa;
• zosokoneza mu chiwindi;
• kutayika kwa malingaliro, kusinthasintha;
• kupweteka mumtima.

Palibe wothandizirana nawo mwachindunji, choncho chithandizo chamankhwala ndicholinga chothetsa zizindikiro za bongo.

Ngati mugwiritsa ntchito mankhwalawa mankhwala osokoneza bongo, pamakhala chiopsezo cha mankhwala osokoneza bongo osokoneza bongo.

Ngati mumagwiritsa ntchito mankhwalawa mankhwalawa, pamakhala chiopsezo cha mankhwala osokoneza bongo mopitirira muyeso wamtima.

Pogwiritsa ntchito mankhwala osokoneza bongo, pamakhala chiwopsezo cha bongo mopitirira muyeso wakuphwanya chiwindi.

Ndi mankhwala osokoneza bongo, pamakhala chiopsezo cha mankhwala osokoneza bongo osinthika.

Ngati mumagwiritsa ntchito mankhwalawa mankhwalawa, pamakhala chiopsezo cha mankhwala osokoneza bongo mopitirira muyeso wa epigastric.

Kuchita ndi mankhwala ena

Pogwiritsa ntchito nthawi yomweyo Vitagamm ndi mankhwala ena, zotsatirazi ziyenera kukumbukiridwa:

1. Thiamine imapangidwa kuti ithepeze mayankho omwe ali ndi mankhwala ambiri a sulfite (salfa salt). Hafu ya moyo wa vitamini B1 imathandizira ndi ma ayoni amkuwa ndi pH pamwambapa 3.
2. The achire zotsatira za pyridoxine limafooka ndi levodopa.
3. Cyanocobalamin ndi thiamine amawonongeka ndi machitidwe azitsulo zolemera ndi mchere wawo. Kukonzekera kwazitsulo kumathandizira kupewa kuwonongedwa kwa mankhwala achilengedwe.

Kuyenderana ndi mowa

Kuphatikizika kwa multivitamin sikumagwirizana ndi ethanol kudzera pakukhudzana ndi mankhwala mwachindunji, koma tikulimbikitsidwa kuti tisamamwe mowa panthawi ya mankhwala. Mowa wa Ethyl ndi zinthu za mankhwala zomwe zimapangidwa mu chiwindi. Pazinthu zowonjezereka, hepatocytes alibe nthawi yochotsa poizoni yemwe amapezeka mu cytoplasm ndikufa msanga. Madera a Necrotic amasinthidwa ndi minyewa yolumikizana, yomwe imathandizira kuti mafuta a chiwindi azitha.

Analogi

Mankhwala otsatirawa ndi amodzi mwa mawonekedwe a Vitagamm:

• Vitaxone;
• Milgamma
• Compligam B;
• Binavit

Musanalowe m'malo ndikofunikira kufunsa dokotala.

Analogue ya mankhwala a Compligam B.

Analogue ya mankhwala Milgamm.

Analogue ya mankhwalawo ndi Vitaxone.

Analogue ya mankhwala Binavit.

Kupita kwina mankhwala

Mankhwala amagulitsidwa ndi mankhwala.

Kodi ndingagule popanda kulandira mankhwala?

Chifukwa cha chiwopsezo chowonjezereka cha zotsatira zoyipa, kugulitsa kwaulere kwa mtundu wa multivitamin ndizochepa.

Mtengo wa Vitagammu

Mtengo wapakati wa ma ampoules 5 a mankhwala amasiyana kuchokera ku 200 mpaka 350 ma ruble.

Zosungidwa zamankhwala

Ndikulimbikitsidwa kuti mankhwalawo akhale m'malo owuma, ochepa kuchokera pakulowerera dzuwa, pamatenthedwe mpaka + 15 ° C.

Tsiku lotha ntchito

Zaka 2

Wopanga

CJSC Bryntsalov-A, Russia.

Ndemanga za Vitagamm

Ndemanga zabwino pamabungwe opezeka pa intaneti zikuwonetsa kugwira bwino ntchito kwa mankhwalawa komanso kulekerera bwino. Zotsatira zoyipa zimawonekera ndikugwiritsa ntchito molakwika mankhwalawo.

Madokotala

Julia Barantsova, wamisala, Moscow

Kukonzekera kozikidwa pa mavitamini a gulu B kwadzikhazikitsa pamsika ngati chida chothandiza ndi mtengo wotsika. Amathandizira ndi neurosis, neuralgia ndi matenda ena omwe amagwirizana ndi ma pathological mu neva. Imathandizira chithunzi chazizindikiro pakugwidwa kwa msana, imathandizira kubwezeretsa ulusi wamitsempha pambuyo pakuchita opaleshoni.

Anton Krysnikov, neurosurgeon, Ryazan

Mankhwala abwino, okwera mtengo.Ndimagwiritsa ntchito momwe metabolism amagwiritsidwira ntchito mwa thupi pambuyo pogwira ntchito ku ubongo kapena msana. Mavitamini amathandizanso kukonza mitsempha. Odwala amadzidalira, mtima wawo umadzuka. Zotsatira zoyipa sizikupezeka.

Kukwiya kumatha kudziwoneka ngati mbali yotsatira ya kumwa mankhwala.

Odwala

Irina Zhuravleva, wazaka 34, St. Petersburg

Anabaya Vitagamm pambuyo pa opaleshoni, pomwe adagona mu mitsempha. Sindinazindikire zotsatira zamphamvu, chifukwa kwa ine manambala omwe amawunikira sikukutanthauza chilichonse. Koma anazindikira kusintha kwa momwe mukumvera. Chisoni chinazimiririka, bata linawonekera. Panalibe kubwereranso kumatenda, komanso mavuto. Kutulutsidwa kuchipatala ndimathanzi.

Adeline Khoroshevskaya, wazaka 21, Ufa

Jekeseni adalembedwa mogwirizana ndi neurobulbar. Ndinadabwa kuti sanapereke jakisoni tsiku lililonse, koma atatha tsiku malinga ndi malangizo. Lidocaine sanapweteke. Zotsatira zoyipa, ndimatha kusiyanitsa chizungulire pang'ono, koma ndine wokondwa ndizotsatira zake. Kutupa kunali kugona ndikuwona bwino.

Kuchepetsa thupi

Olga Adineva, wazaka 33, Yekaterinburg

Mankhwalawa adalembedwa mogwirizana ndi kunenepa kwambiri monga cholumikizira ndi malingaliro angapo a moyo wathanzi. Zotsatira zake zinali zoyenera kuzunzidwa. Kulakalaka kunachepa limodzi ndi mapaundi owonjezera, adayamba kumva kupepuka, kusintha kwake kudakwera. Kutsegula m'mimba, komwe kunawoneka tsiku lachiwiri, kunali kopindulitsa kwa ine.

Alexander Kostnikov, wazaka 26, Ufa

Jekeseni ya Vitagamma yolemetsa chifukwa cha kunenepa kwambiri. Adotolo adati mavitaminiwo amathandizira kukonza kagayidwe. Sindinakonde kuti mankhwalawa samapezeka mwanjira ya mapiritsi. Ndinafunika kufunsa namwino kuti apereke jakisoni. Panalibe mavuto. Zotsatira zake zimakhala zazitali. M'mwezi umodzi zinangotenga 4 kg.