Mankhwala amapezeka mu mawonekedwe a madzi, mapiritsi, makapisozi ndi ma ampoules a mu mnofu wothandizira komanso wamkati. Musanagwiritse ntchito mankhwalawa, wodwalayo ayenera kuphunzira momwe angagwiritsire ntchito ndikuyang'anitsitsa chidziwitso cha zovuta zake.
Dzinalo Losayenerana
Meldonium.
ATX
C01EV.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala omwe akufunsidwa ndi zinthu za metabolic zomwe zimagulitsidwa ngati ma kapisozi oyera olimba. Mankhwalawa ali ndi hygroscopic crystalline ufa wopanda fungo lotchulidwa.
Mankhwalawa amapezeka mu mawonekedwe a makapisozi ndi ma ampoules a mu mnofu wothandizira komanso wamkati.
Makapu onse amakhala ndi:
- gawo logwira ndi meldonium dihydrate (500 mg);
- zotuluka: wowuma wa mbatata, calcium owonda ndi colloidal silicon dioxide.
Thupi ndi chivindikiro chazopangidwazo zimapangidwa ndi gelatin ndikuphatikiza ndi mpweya wochepa wa titaniyamu.
Burliton 600 - malangizo ogwiritsira ntchito.
Mankhwala Chitosan: zikuonetsa ndi contraindication.
Zomwe mungagwiritsire ntchito ndi momwe mungagwiritsire ntchito Narine - werengani m'nkhaniyi.
Zotsatira za pharmacological
Maselo amthupi amakhala ndi chinthu chogwiritsa ntchito m'thupi - gamma-butyrobetaine. Meldonium ndi analogue ya chinthu ichi ndipo imagwira ntchito ngati mankhwala omwe amachepetsa kuchuluka kwa kusintha kwa mankhwala. Mankhwala amakonza kagayidwe kachakudya njira, zimakhudza zoyendera ndi kuchuluka kwa mafuta acid.
Mu njira za ischemic, mankhwalawa amalepheretsa kuchepa kwa mpweya m'maselo, kubwezeretsa kudya kwa adenosine triphosphoric acid - gwero lamphamvu pazinthu zonse zamitundu mitundu.
Nthawi yomweyo, mankhwalawa amathandizira kusintha kwa glucose oxidation ndikuwongolera kaphatikizidwe ka gamma-butyrobetaine, komwe ndikofunikira kwambiri kukulitsa lumen ya mitsempha yamagazi.
Pharmacokinetics
Pambuyo pakukonzekera kwa pakamwa, zomwe zili m'mabotolo zimatengedwa mwachangu ndikuyang'aniridwa mu plasma ya wodwalayo mu maola 1-2.
Pakukonzekera kwa metabolism, ma metabolites awiri amapangidwa m'chiwindi, omwe pambuyo pake amathandizidwa ndi impso mkati mwa maola 3-6.
Kodi mankhwalawa ndi ati?
Chifukwa cha zomwe zidatchulidwa pamankhwala, mankhwalawa amagwiritsidwa ntchito:
- kuchepetsa katundu pamtima ndi kukonza njira zama metabolic mu myocardium;
- kutsegula kwa minofu ndi chinyezi chitetezo chokwanira;
- mankhwalawa pathologies a fundus ziwiya;
- kusintha makumbukidwe, kuwonjezera kukana kwa kupsinjika kwa thupi ndi kwamthupi
- kupewa matenda oopsa;
- Kuchepetsa mapangidwe a minda ya necrotic;
- kusintha magazi mu ubongo ndi magazi kutaya nthawi ischemia;
- Chithandizo cha matenda a magazi;
- Kuchepetsa nthawi ya kukonzanso pambuyo pa sitiroko ndi matenda a cerebrovascular (CVB);
- kukonza zofunika mthupi ndi kuthetsa zizindikiro za kutopa kwambiri:
- onjezerani kugwira ntchito kwakuthupi ndi kwamaganizidwe.
Kuphatikiza apo, mankhwalawa ndi chida chothandiza pochiza matenda amitsempha yamagulu amanjenje, kuphatikiza zizindikiro zochotsa zakumwa zoledzeretsa.
Kugwiritsa ntchito kwa Mildronate pamasewera
Mankhwalawa ali ndi zotsatira zabwino paumoyo wa othamanga munthawi yopikisana ndi maphunziro, kukulitsa mphamvu ya thupi yogwiritsa ntchito zinthu zanu mwachangu ndikusintha mwachangu pazovuta.
Mankhwalawa samachulukitsa minofu, koma imathandizira njira yokonza minofu.
M'mbuyomu, mankhwalawo anali ogwiritsidwa ntchito mokwanira m'masewera onse: kuthamanga, kupalasa njinga, tenisi, kulimbitsa thupi, kusewera, kusambira, masewera olimbitsa thupi. Koma lero, kugwiritsa ntchito mankhwalawa kuwonjezera chikondwerero pakuchita maphunziro ndi mpikisano ndizoletsedwa.
Contraindication
Mankhwala amaletsedwa kwa odwala omwe ali ndi zotsatirazi:
- tsankho limodzi ndi zigawo zikuluzikulu za mankhwala;
- mimba ndi mkaka wa m`mawere;
- kuchuluka kwachulukidwe ka intracranial komwe kumachitika chifukwa cha kupezeka kwa chotupa kapena kusokonekera kwa venous.
Ndi chisamaliro
Kugwiritsa ntchito mankhwalawa matenda amchiwindi kapena impso kumatheka pokhapokha kuyang'aniridwa ndi adokotala.
Momwe mungatenge Mildronate 500
Mlingo ndi nthawi yayitali ya njira yochiritsira imakhazikitsidwa ndi katswiri wazachipatala atachita mayeso ofunikira.
Kugwiritsa ntchito kapisozi:
- Kuti muwonjezere mphamvu, komanso ngati mukupanikizika kwambiri m'mthupi ndi m'maganizo - 500 mg kawiri pa tsiku kwa masabata awiri. Kugwiritsa ntchito mankhwalawa mobwerezabwereza kungafunike pambuyo pa masabata 2-3.
Kwa othamanga - 500 mg kapena 1 g 2 pa tsiku musanaphunzitsidwe kwa masabata awiri. Pa mpikisano - osaposa masiku 14. - Mu zakumwa zoledzeretsa ndi zizindikiro zosiyanitsa - 500 mg 4 pa tsiku kwa masiku 7-10. Kugwiritsa ntchito mankhwalawa kumayikidwa limodzi ndi mankhwala ena.
- Ndi angina pectoris, myocardial infarction ndi kulephera kwa mtima - 500 mg kapena 1 g patsiku la 1 kapena 2 waukulu kwa masabata a 4-6.
- Ndi menopausal cardiomyopathy - 500 mg patsiku kwa masiku 12. Kuchiza kumaphatikizapo kuphatikiza mankhwala.
- Mu vuto la magazi mkodzo wa subacute ndi mawonekedwe osakhazikika, 500 mg patsiku kwa 1 kapena 2 waukulu kwa masabata a 4-6. Pambuyo pa stroko kapena ndi cerebrovascular syndrome, mankhwala amaperekedwa limodzi ndi mankhwala ena ndipo amawagwiritsa ntchito kumapeto kwa maphunziro a jakisoni. Ngati ndi kotheka, mobwerezabwereza chithandizo (osapitirira 2-3 pachaka), mlingo umayikidwa ndi dokotala, kutengera mawonekedwe ake.
Mankhwalawa ali ndi zotsatira zosangalatsa, kotero kugwiritsa ntchito makapisozi sikuyenera kupangidwa pasanathe maola 17:00.
Musanadye kapena musanadye
Kuti muchepetse kuthamanga kwa kapisozi, mankhwalawa ayenera kugwiritsidwa ntchito mphindi 20-30 musanadye.
Ndingamwe kangati
Mlingo woyenera wovomerezeka wa mankhwalawa tsiku lililonse ndi g. 1. Pogwiritsa ntchito makapisozi 2, nthawi yolumikizidwa pakati pa Mlingo ndi maola 12, ndipo ngati mukugwiritsa ntchito mankhwalawa kamodzi pa tsiku - maola 24.
Mlingo wa matenda ashuga
500 mg 2 kawiri pa tsiku.
Zotsatira zoyipa za Mildronate 500
Nthawi zina, ndi pakamwa kugwiritsa ntchito mankhwalawa odwala, zotsatirapo zoyipa zimawonedwa:
- zilonda zapakhosi ndi kutsokomola;
- kupuma movutikira: ziphuphu zakumaso kapena dyspnea;
- kuphwanya ntchito za m'mimba; kutaya chilakolako, kutsegula m'mimba, kusanza, kusanza, kukomera kwazitsulo mkamwa;
- kuchuluka kukopa;
- kuchuluka kwa mtima;
- kuchuluka kapena kuchepa kwa kuthamanga kwa magazi;
- kuchuluka kwa ma eosinophils;
- thupi lawo siligwirizana: zotupa pakhungu, urticaria, kuyabwa, edi ya Quincke;
- kukondwerera kwakukulu;
- Kukulira kwa ambiri: kufooka, kugona, kusowa tulo, kumva kuzizira kapena kutentha, kupweteka kwa mutu komanso chizungulire.
Zokhudza mphamvu pakuwongolera njira
Kugwiritsa ntchito mankhwalawa sikuti kuphwanya ufulu wodzigwiritsa ntchito mankhwalawa. Komabe, ngati izi zikuchitika, muyenera kukana kuyendetsa magalimoto.
Malangizo apadera
Kulemba a Mildronate kwa Ana 500
Mankhwalawa amalembedwa kwa odwala azaka zopitilira 18.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Zotsimikizika.
Gwiritsani ntchito mu ukalamba
Kwa odwala okalamba, mlingo wa mankhwalawa umaperekedwa payekhapayekha. Nthawi zambiri, katswiri wa zamankhwala amachepetsa mlingo woyenera kwa munthu wamkulu.
Mankhwala ochulukirapo a Mildronate 500
Ngati bongo, mankhwala otsatirawa amawonetsedwa mwa odwala:
- kuwonongeka kwakukulu;
- mutu
- kutsitsa magazi;
- tachycardia.
Ndi kugwiritsa ntchito mankhwala mopitilira muyeso, chithandizo chokhazikika chimayatsidwa kuti muchepetse zizindikiro. Pankhani ya bongo wambiri, kuyang'anira magwiridwe antchito a chiwindi ndi impso ndikofunikira.
Kuchita ndi mankhwala ena
Mankhwalawa omwe amafunsidwa amalimbikitsa mphamvu ya mankhwala omwe amachepetsa kuthamanga kwa magazi, kukulitsa mitsempha yaying'ono ndi mitsempha, ndi blocka beta-blockers. Mankhwala amathandizanso kugwiritsidwa ntchito kwa mankhwala omwe amaphatikiza nifedipine ndi nitroglycerin.
Zotsatira zabwino za mankhwalawo adadziwikanso ndi kugwiritsa ntchito pamodzi kwa Meldonium ndi Lisinopril.
Mankhwalawa amaloledwa kuphatikizidwa ndi mankhwala omwe amakhudza kukhudzika kwa mpweya wa okosijeni, kupewa magazi ndikuwonongeka kwa mitsempha ya mtima. Mankhwalawa angagwiritsidwe ntchito molumikizana ndi ma bronchodilators ndi okodzetsa.
Pogwiritsa ntchito meldonium, limodzi ndi mankhwala omwe amathandizira kuchiza matenda a immunodeficiency syndrome, pali lingaliro labwino pothana ndi zizindikiro za Edzi.
Zotsatira zabwino za mankhwalawo adadziwikanso ndi kugwiritsa ntchito pamodzi kwa Meldonium ndi Lisinopril. Chifukwa chake, pakuyenda kovuta kwa mankhwala, kuwonjezeka kwa mphamvu ya mitsempha yamagazi, kuwonjezeka kwa magazi, komanso kuchotsedwa kwa zotsatira za thupi kapena zamaganiza kwambiri.
Kuyenderana ndi mowa
Kumwa mowa panthawi yamankhwala kumakulitsa mavuto.
Analogi
Mwa zofananira zamankhwala, zopangidwa ngati makapisozi, izi ndizodziwika:
- Vasomag;
- Cardionate;
- Meldonium;
- Mildronate 250 mg;
- Medatern;
- Mildroxin;
- Meldonius-Eskom;
- Midolat.
Kupita kwina mankhwala
Ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Pali milandu yokhudza kupezeka kwa mankhwala popanda kuikidwa ndi dokotala. Komabe, kudzipereka nokha kumabweretsa mavuto, ndipo izi, zimayambitsa mavuto osaneneka.
Mtengo wa Mildronate 500
Mtengo wa Mildronate 500 ku Russia ndi ma ruble 500-700, kutengera malo ogulitsa.
Zosungidwa zamankhwala
Mankhwalawa amayenera kusungidwa pamalo otetezedwa ku chinyezi, kutentha osaposa 25 ° C. Ana atha kulandira mankhwalawo ayenera kukhala ochepa.
Tsiku lotha ntchito
Zaka 4 kuyambira tsiku lotulutsa.
Wopanga
Grindeks AO.
Mildronate 500 Ndemanga
Omvera zamtima
Igor, wazaka 47, Irkutsk
Pagulu, mankhwalawa amadziwika kuti ndi othandiza pochiza matenda a mtima. Mankhwalawa ali ndi zotsatirapo zabwino, koma palibe chifukwa choikidwiratu kwa ma cores. Poterepa, tisaiwale kuti mankhwalawa ali ndi zotsatira zoyipa zambiri.
Lily, wazaka 38, Saratov
Chifukwa cha mawu a pakamwa, odwala enieniwo amabweretsa mankhwalawa ku ofesi ya adotolo kuti akawonetsetsetsetse ngati ali ndi mankhwala. Pochiza matenda a mtima, mankhwalawa amagwira ntchito, koma mothandizana ndi pathogenetic.
Odwala
Olesya, wazaka 29, Kursk
Ndinayamba kumwa mankhwala monga adanenera dokotala. Ndikuda nkhawa ndi kugona, ulesi, tinnitus wa nthawi ndi nthawi. Ndinkamwa makapisozi 500 mg kwa masabata awiri ndipo ndimamva mphamvu zambiri. Ngakhale kumayambiriro kwa maphunzirowo sindinawone kusintha kulikonse.
Ilya, wazaka 30, Kolomna
Pausinkhu wanga ndimadwala angina pectoris. Ataphunzira za matendawa, adayamba kuphunzira momwe mankhwalawa amathandizira. Kugwiritsa ntchito intaneti, ndipo zidawopsa kugwiritsa ntchito chida ichi. Anthu amalemba za zoyipa: kusuta, chizungulire, mseru, matenda am'mimba, mavuto ndi kukakamiza. Ndidayang'ana kwa dotolo, adandiwerengera malangizo oti agwiritse ntchito kwa ine ndipo samasiyanitsa zomwe zidawonjezera. Kenako ndinadalira ndipo tsopano sindikudandaula. Mankhwalawa amagwira ntchito, ali ndi phindu pa thanzi. Simungakhulupirire zomwe amalemba, ngakhale pali milandu yosiyana.