Rosucard ndi mankhwala ochokera ku gulu la ma statins, adayikidwa kuti achepetse cholesterol "yoyipa" m'madzi a m'magazi.
Maola asanu atatha kumwa mankhwalawa, ma statin amafikira magazi awo okwanira. Kugwiritsa ntchito Rosucard pafupipafupi sikuti kwamankhwala. Statin imalowa m'chiwindi, chifukwa ndi chiwalo chamunthu chomwe chimapanga cholesterol. Pamenepo amapitilizidwa pang'ono. Ponena za kuchotsedwa kwa mankhwalawa m'thupi, 10% yake imakhudzidwa ndi impso, ndipo 90% yotsala ndi matumbo.
Mphamvu yoyamba kugwiritsa ntchito mankhwalawa imatha kuonekera pakatha masiku asanu ndi limodzi chiyambireni chithandizo. Zotsatira zabwino kwambiri ndi mankhwala nthawi zonse zimatha kupezeka tsiku la 14 la maphunziro.
The zikuchokera mankhwala, kumasulidwa mawonekedwe, mtengo
Yogwira pophika mankhwala ndi rosuvastatin. Mwa zina zowonjezera, monohydrate-lactose, microcrystalline cellulose, croscarmellose sodium ndi magnesium stearate zitha kudziwika.
Titanium dioxide, macrogol, red oxide, talc ndi hypromellose amagwiritsidwa ntchito kupanga chipolopolo.
Rosucard imapezeka mwanjira yotsatirayi: ndi piritsi yotsekemera ya convex yokhala ndi notch. Zomwe zimapangidwira zimatha kukhala ndi mitundu yosiyanasiyana ya mapiritsi (10 ma PC, ma 30 ma PC, 60 ma PC ndi ma PC 90) ndi mulingo wa 10, 20 ndi 40 mg.
Kutengera ndi kuchuluka ndi kuchuluka kwa mapiritsi, mtengo wa mankhwalawo ukhoza kukhala:
- kulongedza zidutswa 30 ndi mulingo wa 10 mg - kuchokera ku ma ruble 550;
- kulongedza zidutswa 30 ndi mulingo wa 20 mg - kuchokera ma ruble 850;
- kuyikika kwa 60 zidutswa ndi mulingo wa 10 mg - kuchokera ku 1060 ma ruble;
- kulongedza zidutswa 90 ndi mulingo wa 10 mg - kuchokera ku 1539 rubles.
Sungani mankhwalawo pamalo osavomerezeka ndi ana, ndi kutentha kosaposa 25 digiri Celsius. Alumali moyo zosaposa miyezi 24. Ndi moyo wa alumali womwe watha ndikulephera kuvomereza.
Pogula mankhwalawa, ndikofunikira kudziwa kuti ndi yoyambirira, mulimonsemo idabweretsa zabwino, osati kuvulaza thupi. Momwe mungasiyanitsire - ndi zabodza kapena ayi? Nthawi zambiri, mankhwala odziwika komanso okonda nyengo amatsukidwa. Muyenera kugula mankhwala m'masitolo ogulitsa mankhwala ndikuwunika ma phukusi, zolakwika zoperewera, kugwiritsa ntchito mafayilo osiyanasiyana, komanso kusindikiza bwino sikuvomerezeka.
Zogulitsa zoyambirira nthawi zonse zimakhala ndi chidziwitso cha wopanga, nambala yolembetsa, barcode ndi tsiku lotha ntchito.
Malangizo ogwiritsira ntchito mankhwalawa
Rosucard imalembedwa panthawi yomwe njira zosagwiritsa ntchito mankhwala ochepetsa cholesterol sizigwiranso ntchito, zomwe ndi zolimbitsa thupi ndi kuchepa thupi, kapena sizingagwiritsidwe ntchito ndi wodwalayo. Mankhwalawa amagwira ntchito limodzi ndi mankhwala othana ndi lipid pokhapokha hypercholesterolemia, heterozygous hypercholesterolemia, atherosulinosis kuti achepetse kukula kwa matendawa komanso mtundu 4 hypertriglyceridemia. Rosucard imapangidwanso kuti izitha kupewa matenda a mtima, mikwingwirima, yomwe imapangitsa chidwi cha angina pectoris komanso zochizira matenda ena amtima.
Mankhwala ayenera kutsukidwa ndi madzi oyeretsedwa firiji. Nthawi yakutenga Rosucad sizikhudza zotsatira za kugwiritsa ntchito. Panthawi yamankhwala, wodwalayo ayenera kutsatira zakudya zapadera zomwe zimachepetsa lipid, zakudya zatsiku ndi tsiku ziyenera kukhala ndi zakudya zomwe zimakhala ndi cholesterol choyipa "chochepa."
Mlingo ndi nthawi yayitali ya chithandizo cha mankhwala zimaperekedwa ndi adokotala, kutengera mlingo wa cholesterol m'magazi a wodwala wina. Ngati vutolo silinyalanyazidwa kwambiri, nthawi zambiri imwani piritsi limodzi limodzi ndi 10 mg tsiku lililonse. Ngati ndi kotheka, mlingo wa mankhwalawa ukhoza kusinthidwa ndikuwonjezereka.
Odwala omwe ali pachiwopsezo - omwe ali ndi hypercholesterolemia yapamwamba komanso zovuta zovuta za mtima, amapatsidwa mlingo wokwanira wa mankhwalawa (mapiritsi anayi), ngati 20 mg tsiku lililonse sizitsogolera zotsatira zomwe mukufuna.
Makhalidwe ogwiritsira ntchito apadera amafunikira kwa odwala omwe ali ndi hepatic pathologies, omwe ali ndi zofunikira pamlingo wa Mwana-Pugh wofika mpaka 7 mfundo, mlingo womwe wapatsidwa sungasinthe. Ngati pali kufatsa kwa impso, ndiye kuti mankhwalawa amayenera kuyamba ndi 5 g, omwe ndi ofanana ndi theka la piritsi limodzi. Pakatikati mwa matendawa, mulingo wambiri ungafotokozedwe.
Ndi matenda oopsa, Rosucard ndi yoletsedwa kugwiritsa ntchito, ndipo ndi chizolowezi cha myopathy, mlingo waukulu suyenera kutumikiridwa.
Zotsatira zoyipa ndi contraindication
Phukusi lililonse la mankhwalawa limaperekedwa ndi buku loti lizigwiritsa ntchito.
Zotsatira zonse zoyipa zomwe zimagwiritsidwa ntchito ndi mankhwalawa zimafotokozedwera malangizo omwe angagwiritsidwe ntchito.
Kuphatikiza apo, malangizowa akuwonetsa mndandanda wazotsutsana.
Chithandizo cha Rosucard chitha kukhala ndi zotsatirapo zotsatirazi:
- Mitsempha ya Lymphatic ndi magazi: nthawi zina, zimatha kuyambitsa thrombocytopenia.
- Mchitidwe wamsempha: chizungulire komanso kupweteka mutu ndizofala kwambiri, nthawi zina zimapangitsa kuchepa kapena kuchepa kwa kukumbukira, zotumphukira za m'mitsempha. Nthawi zina pamakhala kukhumudwa, kusowa tulo, kusokonezeka kwa tulo komanso zolakwika.
- Matumbo ochita kuponderezana: kulimbana kwam'mimba, kudzimbidwa ndi mseru. Nthawi zina, kapamba, kusanza, kutsegula m'mimba.
- Ma dileke, ma chiwindi: m'malo osowa, kuchuluka kwa ALT ndi AST ntchito, kawirikawiri - jaundice ndi hepatitis.
- Impso ndi kwamikodzo thirakiti: proteinuria imakhala yofala, yomwe imatha kuchepa ngati sagwirizana ndi matenda a kwamikodzo ndi matenda a impso; hematuria ndi osowa kwambiri.
- Minofu ndi yolumikizana: pafupipafupi, myalgia imatha kuchitika, nthawi zambiri - rhabdomyolysis, myopathy; kawirikawiri - tendopathy ndi arthralgia.
- Khungu ndi minyewa yodutsa: urticaria ndi kuyabwa khungu, zotupa - osati kawirikawiri. Nthawi zina, matenda a Stevens-Johnson.
- Ntchito yoberekera ndi ma tezi a tezi: gynecomastia nthawi zina.
Ngati tikulankhula za contraindication, ndiye kuti ziyenera kuzindikiridwa kuti zonse sizigwirizana ndi mankhwala. Komanso, mankhwalawa sangathe kugwiritsidwa ntchito pochotsa impso ndi chiwindi, myopathy, pakati, komanso mankhwala a cyclosporin.
Njira zopewera kusamala ziyenera kumwedwa ndi anthu a Rosucard atatha zaka 70. Zomwezi zimagwiranso ntchito kwa anthu omwe ali ndi matenda a minofu ndi hypothyroidism. Komanso, chithandizo ndi ma statins awa sichingaphatikizidwe ndi ma fiber.
Kwa odwala omwe asokoneza kulolera kwa glucose, kugwiritsa ntchito Rosucard kungayambitse zizindikiro za matenda ashuga. Pankhani imeneyi, asanayambe maphunzirowa, dokotala adzafunika kuyerekeza kuopsa kogwiritsa ntchito mankhwalawo ndi kuchuluka kwa zomwe akuyembekezerazo.
Komanso, chithandizo chamankhwala chiyenera kuchitika mchipatala moyang'aniridwa ndi ogwira ntchito kuchipatala.
Mankhwala osokoneza bongo komanso malire ake
Wopanga sakusonyeza njira zapadera zothetsera mavuto obwera chifukwa cha mankhwala osokoneza bongo. Mwambiri, kuyankha kwa CPK ndi chiwindi kuyenera kuyang'aniridwa.
Ndikofunikira kuti odwala azimayi adziwe kuti mankhwalawa sayenera kumwa panthawi yomwe ali ndi pakati komanso podyetsa. Odwala azaka zakubala amatha kutenga njira ya Rosucard pokhapokha ngati amaletsa. Ngati mayi wapezeka ndi pakati pa mankhwala a statin, mankhwalawo ayenera kusiyidwa kapena wogwirizira woopsa ayenera kuyikidwa.
Ngati Rosuvastatin ayenera kulembedwa kwa mayi panthawi yoyamwitsa, ndiye kuti muteteze mwana ku zotsatirapo zoipa, lingaliro limachitika kuti ayimitse mkaka wa m`mawere. Ndipo asanafike zaka 18, ma statin nthawi zambiri amakhala oletsedwa.
Odwala omwe ali ndi cholesterol yokwanira chifukwa cha nephrotic syndrome kapena hypothyroidism ayenera kuthandizidwa ndi matenda oyambitsawo asanayambe chithandizo cha Rosucard.
Ngati zizindikiro monga kufooka kwa minyewa, kupweteka ndi kupindika kumawonekera, makamaka zomwe zimayendera ndi kutentha thupi komanso kuuka kwambiri, muyenera kufunsa dokotala.
Rosucard - mawonekedwe a mankhwala ndi mtengo wawo
Ena akukumana ndi funso - kugwiritsa ntchito Rosucard kapena ndi Rosuvastatin? Zomwe zimayenda bwino? M'malo mwake, rosuvastatin ndizomwe zimagwiritsidwa ntchito ndi mankhwala. Mankhwalawa ndi ofanana ndipo ali ndi kapangidwe kofanana ka mankhwala.
Chifukwa chakuti Rosucard nthawi zambiri imalembedwa kwa odwala okalamba, ndipo mtengo wa mankhwalawo ndiwotchipa osati aliyense, funso limakhalapo chifukwa chokhala ndi zotsika mtengo zamtundu wamtunduwu, chifukwa kusiyana kwa mtengo nthawi zina kumakhala kofunika kwambiri.
Mwamwayi, pali mankhwala okwanira omwe ali ndi zinthu zomwezo; mankhwala opangidwa ndi Russian akugulitsidwa. Analogue yotsika mtengo kwambiri ku Rosucard ndi mankhwala a ku Russia Atorvastatin, mtengo wake uli pamndandanda wa ma ruble a 130-600. Chenjezo liyenera kumwedwa ndi uchidakwa wambiri ndi chidakwa cha kapamba. Zotsatira zoyipa zimaphatikizapo urticaria, anorexia, ndi thrombocytopenia.
Komanso Rosuvastatin-SZ idzakhala yotsika mtengo pamtengo wake, mtengo wake umachokera ku 330 mpaka 710 rubles. Wopanga ndi kampani yanyumba yotchedwa North Star. Chiwerengerochi chimaperekedwa kwa mitundu ya Hypercholesterolemia 2a ndi 2b. Osatengera ana ndi achinyamata.
Atoris amathanso kutumizidwa kuti achepetse cholesterol, mankhwalawa kuchokera ku kampani Krka amatenga ndalama kuchokera ku ma ruble 360 mpaka 1070, akagula ku pharmacy. Liprimar, yomwe imapangidwa ndi Pfizer, imakhalanso yotchuka. Zidzagula ndalama zambiri, mkati mwa ma ruble 740-1800.
Akorta, mankhwalawa amapezeka mu mlingo wa 10 mg ndi 20 mg, mtengo wake umachokera ku 500 mpaka 860 rubles. Zizindikiro zakugwiritsa ntchito ndizofanana ndi za Rosucard. Amagwiritsidwanso ntchito ngati njira yolepheretsa matenda a mtima. Mwa zina zoyipa ndikofunikira kudziwa kupweteka kwa mutu, myalgia, pharyngitis ndi nseru.
Pakati pazofanizira zina, ndikofunikira kuzindikira Crestor, imapangidwa ku UK ndi Puerto Rico. Mtengo wapakati umayamba kuchokera ku ma ruble 520. Mankhwalawo amagulitsidwa monga mapiritsi okhala ndi filimu. Ndizotchuka kwambiri komanso ndizowunika zabwino kuchokera kwa odwala.
Torvacard, mankhwalawa amapangidwa ndi kampani yaku Czech ndipo amalowa m'malo mwa Rosucard. Mtengo wake uli mumitundu yama ruble 300-1100, kutengera kuchuluka kwa mapiritsi omwe ali phukusi. Sizoletsedwa kuti azigwiritsa ntchito azimayi oyembekezera komanso oyembekezera, ana ndi achinyamata. Iyenera kugwiritsidwanso ntchito mosamala kwa anthu omwe ali ndi vuto la uchidakwa, matenda a metabolic ndi endocrine, khunyu, mbiri ya matenda a chiwindi.
Tevastor ndi analogue yotsika mtengo kwambiri, mtengo wake umachokera ku ruble 350 pazinthu 30 mpaka ma ruble 1,500 pama mapiritsi 90. Mphamvu ya mankhwalawa imadziwika pambuyo pa sabata limodzi, zotsatira zabwino zimatha kuwonekera sabata lachinayi la maphunzirowo ndikugwiritsa ntchito pafupipafupi zidzasamalidwa.
Katswiri mu kanema mu nkhaniyi adzalankhula za ma statins.
