Kugwiritsa ntchito Xenical kumaperekedwa kwa anthu omwe ali ndi thupi lolemera kwambiri. Chida ichi chimagwira pang'ono, chimathandizira kuchepetsa kuyamwa kwa mafuta mukamadya chakudya pochepetsa ntchito ya lipase yopangidwa ndi kapamba. Pankhaniyi, mankhwalawa, ngakhale atagwiritsidwa ntchito kwa nthawi yayitali, samayambitsa kuperewera kwa mapuloteni, mavitamini, mchere ndi zina zofunika.
Dzinalo
Dzina lamalonda lamankhwala ndi Xenical. Dzina Lachilatini la sing'anga ndi Xenical. Mankhwala omwe amagwiritsidwa ntchito mu Latin amatchedwa orlistat.
Xenical ndi mankhwala operekedwa kwa anthu onenepa kwambiri.
ATX
Mu gulu la ATX lapadziko lonse lapansi, malonda ake ali ndi code A08AB01.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwalawa amapezeka mu mawonekedwe a makapisozi. Chofunikira chachikulu cha mankhwalawa ndi orlistat. Chiboliboli chilichonse chili ndi 120 mg ya chinthuchi. Kuphatikiza apo, zinthu zotere zimaphatikizidwa ndi makapisozi:
- povidone;
- primogel;
- talc;
- MCC;
- sodium lauryl sulfate;
- gelatin.
Mankhwala osokoneza bongo a Xenical amapezeka m'mapiritsi, komwe chophatikizira chachikulu ndi orlistat.
Makapisozi amakhala ndi chipolopolo chamtundu wakuda wamtundu wa buluu wolembedwa ndi dzina la mankhwalawo pakhungu lakuda. Mkati mwake mumakhala zoyera. Atadzaza matuza 21 ma PC. Makatoni okhala ndi CD atha kukhala ndi matuza 1, 2 kapena 4.
Zotsatira za pharmacological
Yogwira pophika mankhwala ali ndi kulepheretsa zam'minyewa zam'mimba. Kuchiritsa kwamankhwala kumawonekera pokhapokha kudutsa m'mimba ndikulowerera m'matumbo aang'ono. M'derali, orlistat imalumikizana ndi gastric ndi pancreatic lipase.
Kuchepa kwa ntchito ya enzyme kumabweretsa kulephera kugwetsa mafuta, motero amaleka kuzilowa. Chifukwa chake, mankhwalawa amathandizira kuchepetsa kudya kwa zopatsa mphamvu. Komanso, mphamvu ya mankhwalawa imangoletsedwa ndi matumbo okha.
Mankhwala Xenical ali ndi kulepheretsa kwenikweni pamimba.
Zomwe zimagwira sizimayikidwa m'magazi, chifukwa chake, zilibe dongosolo mthupi la munthu. Mafuta osachiritsika amathandizidwa mu ndowe. Pankhaniyi, mphamvu ya mankhwalawa imayamba maola osachepera 24 mutatha kugwiritsa ntchito.
Achire zotsatira atakana kumwa mankhwalawa kumatenga maola 48 mpaka 72. Pankhaniyi, mankhwalawa siwowonjezera. Odwala omwe ali ndi index yolimba yamthupi, kugwiritsa ntchito mankhwalawa sikuti kumapangitsa kuti muchepetse kuwonda kwambiri.
Pharmacokinetics
Pa maphunziro a pharmacokinetic, zidapezeka kuti gawo lomwe siligwira silikumizidwa m'magazi ambiri. Magetsi ake a plasma ndi otsika kwambiri ndipo samapitirira 5 ng / ml.
Biotransformation imapezeka m'mimba khoma. Nthawi yomweyo, osachepera 95% ya kuchuluka kwa mankhwalawa amachotsedwa m'thupi ndi zam'mimba.
Mankhwala akatha, mankhwala a metabolic ndi zochulukirapo amachotsedwa mkodzo ndi ndowe.
Zizindikiro zogwiritsidwa ntchito
Makulidwe a Xenical amadziwika kuti ndi njira yayitali kwa anthu onenepa. Mankhwalawa ndi othandiza makamaka pochiza anthu omwe mapaundi ochulukirapo anawonekera motsutsana ndi chiyambi cha kuvutitsidwa kwa zakudya mwachangu ndi zakudya zina zopanda thanzi. Mankhwalawa, odwala amafunika kutsata zakudya zamagulu ochepa.
Mankhwala osokoneza bongo a Xenical ndi njira yothandiza kwambiri yokhudza kunenepa kwambiri.
Mankhwalawa amalembedwa kwa anthu omwe ali ndi matenda osachiritsika omwe amakhala chifukwa chakulemera msanga. Kafukufuku wachipatala wasonyeza kugwiritsidwa ntchito kwa mankhwalawa mankhwalawa mtundu wa matenda a shuga 2, ngakhale munthawi yomweyo kugwiritsa ntchito mankhwala a hypoglycemic.
Contraindication
Mankhwalawa sangathe kugwiritsidwa ntchito pochiza kunenepa kwambiri mwa anthu omwe ali ndi vuto lililonse payekha. Kuphatikiza apo, kugwiritsa ntchito Xenical ndizoletsedwa kwa odwala omwe ali ndi matenda osachiritsika a malabsorption. Mankhwala osavomerezeka ngati wodwala ali ndi cholestasis.
Kutenga?
Makapisozi a Xenical ndi oyendetsa pakamwa.
Kuti muchepetse mapaundi owonjezera, muyenera kugwiritsa ntchito chipangizochi kwa nthawi yayitali.
Mankhwalawa amatchulidwa muyezo wa makapisozi atatu patsiku. Muyenera kumwa mankhwalawa kwa mphindi 15 musanadye. Wodwala akaduka chakudya, muyenera kusiya kugwiritsa ntchito Xenical, chifukwa sipangakhale chithandizo. Kuphatikiza apo, mulingo wa mankhwalawa suyenera kupitilira: izi sizipangitsa chidwi chake.
Matenda a shuga
Kwa odwala akuluakulu omwe ali ndi matenda a shuga a 2, mankhwalawa amapatsidwa mlingo 1 wa kapisozi musanadye chakudya chachikulu chilichonse. Kuphatikiza komwe kungatheke ndi mankhwala a hypoglycemic. Xenical siyikulimbikitsidwa kuchiza anthu omwe ali ndi matenda a shuga 1.
Mtundu woyamba wa matenda a shuga, Xenical siyabwino.
Zotsatira zoyipa
Mphamvu yogwira ya mankhwala sikuti nthawi zonse imavomerezedwa ndi wodwala. Chida ichi chimatha kuyambitsa zovuta zingapo kuchokera ku ziwalo ndi machitidwe osiyanasiyana. Mwa akazi, kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumayambitsa kuphwanya kwa msambo.
Kuphatikiza apo, mankhwalawa amatha kubweretsa nkhawa komanso kuvutika mtima.
Zotsatira zoyipa zikamachitika mukumwa mankhwalawa, upangiri wowonjezera wa kuchipatala umafunikira kuti mupeze kufunika kowonjezereka kwa mankhwalawa. Nthawi zina, mavuto obwera chifukwa chomwa mankhwalawo amazimiririka pambuyo pa masiku 5-7 akuwongolera, ndipo mwa ena amalimbikira.
Matumbo
Mankhwala nthawi zambiri amabweretsa zoyipa m'mimba. Anthu omwe amamwa mankhwalawa nthawi zambiri amakhala osasangalala komanso akumva kupweteka kwam'mimba. Kuphatikiza apo, mawonekedwe a zotulutsa zamafuta ochokera ku rectum.
Nthawi zina odwala amakhala ndi zodandaula zakunyumba.
Mukamatenga, kutsekula m'mimba komanso kuwonjezeka kwa matumbo kumatha kuonedwa.
Makamaka zovuta, kupweteketsa mano komanso dzino, fecal kusakhalitsa ndi kupweteka kwapakati pamimba ndikotheka.
Hematopoietic ziwalo
Popeza mutamwa mankhwala othandizira, Xenical imatsala pang'ono kulowa m'magazi, mankhwalawo alibe mphamvu pa magazi.
Pakati mantha dongosolo
Nthawi zambiri, odwala omwe amamwa mankhwalawa amamva kuchepa kwa shuga m'magazi, omwe angayambitse kugona komanso kuchepa kwa ntchito. Mutu umatheka.
Mutu ndimavuto am'munsi mwa Xenical mwa gawo lamkati lamanjenje.
Kuchokera kwamikodzo
Kulandilidwa kwa Xenical kumalimbikitsa kuwoneka kwamatenda amkodzo thirakiti.
Kuchokera ku kupuma
Kugwiritsa ntchito mankhwalawa kumawonjezera chiopsezo cha matenda apamwamba a kupuma thirakiti.
Matupi omaliza
Thupi lawo siligwirizana. Nthawi zambiri, amasonyezedwa ndi kuyabwa khungu, totupa ndi urticaria. M'mavuto akulu, anaphylaxis ndi edincke's edema amawoneka.
Malangizo apadera
Kugwiritsira ntchito mankhwalawa kuyimitsidwa ngati, mutatha kudutsa maphunziro a miyezi 3, thupi la wodwalayo silinatsike ndi oposa 5%.
Chochita chake chimapangidwira kuti chigwiritsidwe ntchito kwa nthawi yayitali, ndiye kuti, osati kungochepetsa thupi, komanso kuichisamalira pamlingo wofunikira.
Kugwiritsa ntchito mankhwalawa kumaloledwa pochiza anthu omwe ali ndi matenda oopsa komanso zina zomwe sizachilendo kwa odwala omwe ali ndi kunenepa kwambiri.
Kuyenderana ndi mowa
Kuopsa kwa mavuto omwe mumakumana nawo mukamamwa mowa sikunatchulidwe. Ndikulimbikitsidwa kuti mowa usiyidwe mu mankhwalawa kunenepa kwambiri.
Mukamamwa Xenical, ndikofunikira kuti musamamwe mowa.
Zokhudza mphamvu pakuwongolera njira
Popeza mphamvu ya mankhwalawa yochepetsera glucose wamagazi, chiwopsezo cha kuwonongeka pamlingo wochitikira chimakhala chambiri, chifukwa chake, mkati mwa milungu yoyamba ya 2-4, chisamaliro chapadera chikuyenera kuthandizidwa poyendetsa galimoto.
Gwiritsani ntchito panthawi yoyembekezera komanso mkaka wa m`mawere
Pa nthawi yobereka komanso mkaka wa m'mawere, kuchepetsa thupi ndi Xenical kumatha kukhala koopsa kwa mwana. Munthawi izi, kugwiritsa ntchito mankhwalawa sikulimbikitsidwa.
Kupangira Xenical kwa Ana
Kugwiritsa ntchito mankhwalawa kwa ana onenepa kumayikidwa kuyambira azaka 12.
Ana onenepa amatchulidwa a Xenical kuyambira azaka 12.
Gwiritsani ntchito mu ukalamba
Mankhwalawa amatha kuthandizidwa kwa okalamba pakalibe matenda a chiwindi ndi impso.
Bongo
Milandu yama bongo osokoneza bongo sinafotokozedwe.
Kuchita ndi mankhwala ena
Izi kunenepa kumachepetsa mayamwidwe mavitamini-osungunuka.
Zomwe zimagwira sizimakhudza kugwira ntchito kwa ma fiber, biguanides, kulera kwamlomo.
Mankhwala amachepetsa mphamvu ya cyclosporin, desethylamiodarone ndi amidorone.
Kuphatikizana sikulimbikitsidwa
Kugwiritsa ntchito Xenical nthawi imodzi ndi mankhwala omwe ali ndi anticonvulsant angayambitse kugwidwa, chifukwa chake kuphatikiza sikulimbikitsidwa.
Ndi chisamaliro
Kusamala makamaka ndikofunikira popereka mankhwala kwa anthu omwe akuchitiridwa anticoagulant.
Analogi
Kukonzekera komwe kumathandizanso ndi Xenical kumaphatikizapo:
- Allie
- Orsoten;
- Orlistat;
- Xenalten
- Orlimax.
Orlistat ndi amodzi mwa fanizo la Xenical yofanana.
Kupita kwina mankhwala
Chipangizocho chitha kugulidwa ku pharmacy pokhapokha ngati mwalandira mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Kugula mapiritsi osagwiritsa ntchito mankhwala, ndikotheka kuti mutenge chinthu chomwe chatha ntchito kapena zabodza.
Kodi Xenical imawononga ndalama zingati?
Mtengo wa mankhwalawa ku Ukraine ndi Russia ndi ofanana. Mapiritsi apachiyambi a mankhwala sangakhale otsika mtengo. Kuchuluka kwa mankhwalawa kumatengera kuchuluka kwa mapiritsi mum paketi. Mtengo wa mankhwala umasiyanasiyana kuchokera ku 850 mpaka 4050 rubles.
Yosungirako mankhwala Xenical
Mankhwalawa amayenera kusungidwa pamalo abwino, owuma pa kutentha osaposa + 25 ° C.
Tsiku lotha ntchito
Ndizoyenera osapitilira zaka 3 kuyambira tsiku lomwe adatuluka.
Ndemanga za Xenical
Mankhwalawa agwiritsidwa ntchito ngati mankhwala ochizira anthu onenepa, motero, ali ndi ndemanga zambiri kuchokera kwa akatswiri onse komanso kuwonda.
Madokotala
Oksana, wazaka 40, Orenburg
Ndakhala ndikugwira ntchito yopatsa thanzi kwa zaka zoposa 15 ndipo nthawi zambiri ndimakumana ndi anthu omwe ali ndi kunenepa kwambiri machitidwe anga. Kugwiritsa ntchito nthawi yayitali kwa Xenical kumapangitsa kuti odwala asamavutike kupeza zakudya zabwino komanso kuti asafulumire kulemera kwenikweni, ngakhale atasweka. Ndi njira yophatikizidwa, kuchepa kwamphamvu kwa makilogalamu 3-7 kumawonedwa m'mwezi umodzi wokha.
Gregory, wazaka 38, Sochi
Nthawi zambiri ndimalimbikitsa kugwiritsa ntchito Xenical odwala omwe ali ndi matenda ashuga a 2. Kuchepetsa thupi ndi matenda awa ndi ntchito yovuta, chifukwa odwala nthawi zambiri amawonetsa kudalira chakudya. Kugwiritsa ntchito Xenical kumapangitsa kuti zisakhale zovuta kuthana ndi mapaundi owonjezera kwa anthu odwala matenda a shuga.
Chochita chake chimapangidwira kuti chigwiritsidwe ntchito kwa nthawi yayitali, ndiye kuti, osati kungochepetsa thupi, komanso kuichisamalira pamlingo wofunikira.
Odwala
Kristina, wazaka 30, Moscow
Kuyambira ndili mwana ndinayamba kunenepa kwambiri. Ndinatembenukira kwa dotolo, yemwe ananyamula chakudya ndikumupatsa Xenical. Ndidatenga chaka chimodzi. Mothandizidwa ndi chida ichi komanso zakudya, adataya makilogalamu 30. Tsopano kulemera kumasungidwa chimodzimodzi. Panalibe othandizira.
Svetlana, wa zaka 32, Novosibirsk
Xenical idalembedwa ndi dokotala. Gwiritsani ntchito chida chokha masabata awiri. Zotsatira zoyipa zakumana ndi moyo; ndinayenera kusiya kugwiritsa ntchito mankhwalawa. Adotolo adatola chakudya ndikulamula kuti azichita masewera olimbitsa thupi, chifukwa chake ndidakwanitsa kuchepetsa kunenepa.
Kuchepetsa thupi
Angelina, wazaka 27, Krasnoyarsk
Atabereka pafupifupi zaka 4, adalimbana ndi vuto limodzi ndi 20 kg yolemera kwambiri yomwe adapeza panthawi yomwe ali ndi pakati. Atayamba kumwa Xenical miyezi 4 yapitayo, anali atataya kale 8 kg. Sinditsatira zakudya, koma anakana kudya nditatha 6 pm. Zotsatira zoyipa zimawonedwa kwa masabata awiri oyambilira, koma kenako zidasowa, ndiye kuti ndikumwabe mankhwalawo.
Maria, wazaka 42, Voronezh
Ndidayesera zakudya zambiri komanso njira zina kuti ndichepetse thupi, zomwe zimafika pa 120 kg. Nditatopa kuthana ndekha vuto, ndidatembenukira kwa asing'anga. Adotolo adatola chakudya ndikumupatsa Xenical kuti achepetse kulemera kwambiri kwa thupi. Ndakhala ndikugwiritsidwa ntchito kwa miyezi yopitilira 3. Zotsatira zake ndi zabwino. Sindinapeze zovuta zilizonse ndipo ndidatha kale kutaya 18 kg.
