Omez ndi antiulcer mankhwala opangidwa ndimapangidwe. Chofunikira chachikulu ndi omeprazole, zothandiza ndi madzi osabala, sucrose, sodium phosphate, sodium lauryl sulfate. Kutulutsa Fomu - lyophilisate yokonza njira ndi makapisozi a gelatin. M'mapulogalamu omwe sapezeka.
Makapisozi ndi olimba, amakhala ndi thupi lowonekera. Pazigawo zonse ziwiri za piritsi pali zolembedwa - "OMEZ". Kudzaza - magawo ang'onoang'ono kwambiri amithunzi yoyera, muthumba limodzi la zidutswa 10 kapena 30.
The yogwira pophika mankhwala ali antiemetic kwenikweni, kumathandiza kuwonjezera kamvekedwe ka sphincter wa Oddi, imathandizira kutsitsa kwachilengedwe kwa matumbo motsutsana ndi maziko a kutsekemera kwa njirayi.
Zotsatira za mankhwalawa zimachitika ola limodzi mutatha kugwiritsa ntchito. Kukula kwakutali kumatenga mpaka maola 24, kuphatikiza. Ganizirani izi: Omez adalamulira chiyani, malamulo ogwiritsa ntchito ndi fanizo.
Zotsatira za pharmacological
Malinga ndi mawuwo, Omez ndi mankhwala othandizira omwe ali m'gulu la proton pump zoletsa. The yogwira mankhwala mu mawonekedwe a omeprazole, anaikidwa gelatin makapisozi, amalimbikitsa zoletsa za hydrochloric acid, omwe amatsogolera makamaka pa michere ya chapamimba maselo.
Chingwechi chimakwiyitsa gawo lomaliza la hydrochloric acid. Chidacho chimagwira ntchito mosasamala mtundu wa chomwe chikukwiyitsa. Kuchepa kwa zochitika zapansi ndi zoyeserera kumawonedwa.
Mapiritsiwo amayamba kuchita mphindi 60 atatha kugwiritsa ntchito. Kutalika kwa zotsatira zochizira ndi maola 24. Mankhwala atatha, ntchito zachinsinsi za zotulutsa m'mimba za m'mimba zimabwezeretseka mkati mwa masiku 3-6.
Omeprazole ali ndi gawo loti azilowetsedwa m'matumbo mofulumira. Popeza mankhwalawa amapezeka m'mankhwala osagwirizana ndi asidi, amamwetsedwa kokha m'matumbo amunthu. Mu kwachilengedwenso madzimadzi, zomwe zimapangitsa kuti pakhale yogwira zimawonedwa pambuyo pa mphindi 60. Mlingo wa bioavailability ndi 40%. Mankhwala zimapukusidwa mu chiwindi.
Ndi kuyambitsa kuyimitsidwa, chopinga cha chapamimba chimapezeka, mulingo wake umatsimikiziridwa ndi Mlingo. Iwonetsedwa pambuyo pokonzekera mtsempha kwa pafupifupi mphindi 40.
Zizindikiro, contraindication ndi mavuto
Zizindikiro ntchito - zilonda zam'mimba za duodenum 12, m'mimba; zilonda kapena mawonekedwe a esophagitis; zilonda zam'mimbazi chifukwa cha mankhwala osapweteka a anti-yotupa.
Dokotala atha kukulemberani mankhwala a zilonda zam'mimbazi, omwe amayamba chifukwa cha kupsinjika kwa mankhwalawa, zochizira kapamba, kachitidwe ka mastocytosis. Ngati wodwala sangathe kutenga makapisozi, ndiye kuti zomwe zimagwira zimayenera kuperekedwa kudzera m'mitsempha.
Tasanthula Omez, chifukwa chomwe chikufunikira, tapeza kuti contraindication ikugwiritsidwa ntchito: sayenera kumwedwa panthawi yomwe amayi ali ndi pakati, ndi mkaka wa m`mawere. Osati mankhwala kwaubwana. Mosamala kwambiri, musatengere kumbuyo komwe kumayambitsa impso ndi chiwindi. Milandu iwiriyi imafunikira munthu payekha, kumwa mankhwalawa komanso kuyang'aniridwa kawirikawiri kuchipatala.
Mankhwala amaloledwa ndi odwala, koma amatha kuyambitsa mavuto.
- Ululu pamimba, nseru, kusokonezeka kwam'mimba khunyu - kutsegula m'mimba, kufalikira, kuchuluka kwa mpweya, kusokonezeka kwa malingaliro, kuchuluka kwa michere ya chiwindi.
- Kuchokera kuzungulira kwa magazi, leukopenia kapena thrombocytopenia angachitike.
- Mutu, chizungulire, komanso kupsinjika maganizo ndi zina zomwe zimayambitsa kuphwanya kwamanjenje.
- Myalgia ndi arthralgia.
- Thupi lawo siligwirizana monga zotupa, kuyabwa pakhungu, hyperemia, mapapu.
Makamaka sikuti pamakhala kuphwanya kwamawonedwe owoneka, malaise (kufooka, mphwayi, kulephera kudya), kuchuluka thukuta.
Ntchito malangizo Omez
Makapisozi a Gelatin amayenera kumwedwa pakamwa, sangathe kutsegulidwa, kutafunidwa, kuphwanyika m'njira zina. Ndi matenda a zilonda zam'mimba amatenga 20 mg patsiku. Gwiritsani ntchito musanadye.
Kutalika kwa chithandizo ndi masiku 14. Nthawi iyi ndikwanira kuti zilonda zam'mimba zichiritse. Ngati izi sizingachitike, ndiye kuti muyenera kuwonjezera njira zochiritsira masabata ena awiri. Mu zojambula zambiri, chithandizo chimatha masiku 30.
Zochizira Zollinger-Ellison syndrome, 60 mg patsiku tikulimbikitsidwa. Muzidya musanadye. Mphamvu yapamwamba imawonedwa patadutsa milungu ingapo - imadziwonetsera yokha mwa kuchepa kwa zizindikiro zoipa. Mlingo wokonza umaperekedwa payekhapayekha.
Kutalika kwa ntchito kwa gastritis pafupifupi masiku 14. Cholinga cha mankhwalawa ndikuchotsa chizindikiro cha m'mimba chomwe chakwiya. Tenga kapisozi 1 patsiku. Kuphatikiza apo, mankhwalawa amaperekedwa.
Zida zamankhwala a kapamba ndi Omez:
- Omez amalimbikitsidwa pokhapokha ngati ali ndi chithandizo chokwanira komanso mankhwala ena. Amathandizira kuchepetsa ululu, amachepetsa kutentha kwa mtima, amachepetsa katundu pa kapamba.
- Mawu akuti chithandizo chachitika chifukwa cha kuvuta kwa chithunzi cha chipatala.
- Pakachulukitsa, mapiritsi awiri ayenera kumwedwa.
- Zizindikirozi zikayamba kufooka, wodwalayo amasamutsidwira ku kosi yokonza - 1 kapisozi pa maola 24.
Intravenous makonzedwe amachitika pazifukwa zovuta zamankhwala. Mlingo umasiyana malinga ndi matenda ena ake komanso kuuma kwa chipatalachi - 40-80 mg patsiku. Ngati mlingo ndi 60 mg, nthawi zambiri amagawidwa pawiri. Pambuyo pochotsa zisonyezo zowopsa, amasinthana ndi piritsi lamankhwala. Kusunga kwa kuyimitsidwa okonzedwa - osaposa tsiku.
Mankhwalawa atha kugulidwa ku malo ogulitsira, mtengo umatengera kuchuluka kwa makapisozi ndi wopanga mankhwalawo. Mtengo wa Omez (mapiritsi 10) ndi ma ruble 70 (wopanga India), mtengo wamapiritsi 30 ndi ruble 200. Ufa wa kuyimitsidwa umawononga ma ruble 70-90.
Malangizo apadera
Pancreatitis imatchulidwa malinga ndi zovuta, zovuta ndi zina, ndi dokotala yekhayo amene amapereka mankhwala. Omez adapangidwa kuti apangitse kuti muchepetse chidwi, kuchepetsa kukula kwa zizindikiro zowopsa.
Kuchulukitsa Mlingo wa mankhwalawa kumabweretsa kukula kwa zizindikiro zoyipa, sizikuwopseza moyo wa wodwalayo. Mankhwala osokoneza bongo amawonetsedwa ndi kuwonongeka kwa pakamwa, pakamwa pouma, kugona kwambiri, kupweteka mutu komanso tachycardia.
Mankhwalawa kulibe. Hemodialysis sichithandiza kuthetsa nkhawa. Chithandizo chokhacho chothandizira chifukwa cha chiwonetsero chazachipatala ndizofunikira.
Mawuwo akuwonetsa kuyanjana kwa Omez ndi mankhwala ena. Ngati mankhwala odana ndi zilonda zam'mimba ndi a Ketoconazole, Intraconazole (mankhwala othandizira matenda oyamba ndi fungus) amagwiritsidwa ntchito nthawi yomweyo, ndiye kuti mphamvu yotsirizira imawululidwa. Kugwiritsira ntchito pamodzi kwa kufananitsa kwa matenda a ascithromycin kumabweretsa kuwonjezeka kwa achire zotsatira za mankhwalawa.
Malangizo ena apadera:
- Omez monga kupewa kuchulukitsa kwa kapamba sikulimbikitsidwa.
- Malangizowo akuwonetsa kuti mankhwalawa amayenera kumwa asanadye. Komabe, kudya ndi chakudya kapena mukatha kudya sikuwonetsedwa - mphamvu ya mankhwalawa sikuchepa.
- Musanayambe kumwa makapisozi kapena kugwiritsa ntchito mafupa, muyenera kuwunika ngati pali zovuta zoyipa.
- Mukamaliza kapamba, mutha kuyendetsa galimoto, kuchita zinthu zomwe zimafunikira kuti anthu azisamalira bwino.
- Mankhwalawa sanatchulidwe kwa ana osakwana zaka 12, chifukwa palibe mayeso azachipatala omwe amachitidwa pazokhudza ana.
Malangizowo alibe zambiri zokhudzana ndi mowa. Komabe, samamwa mowa osavomerezeka, chifukwa ethanol imakhudza maselo owonongeka a pancreatic, zomwe zimapangitsa kukulitsidwa kwa chithunzi cha chipatala.
Pakubala kwa mwana ndi kuyamwitsa, mankhwalawa sagwiritsidwa ntchito. Zitha kutumikiridwa pokhapokha pazisonyezo zofunika. Onetsetsani kuti mukuganizira zabwino zomwe zingakhale zake kwa mayi, zomwe zingavulaze mwana.
Ngati mukufunika kutenga theka la kapisozi, chitani motere: tsegulani kapisozi, zomwe zili mkati ndizophatikizana ndi apulosi (1 supuni). Mwanjira ina, theka la mapiritsiwo silingamwe.
Mitu ya mankhwalawa
Gulu la mankhwala limakupatsani mwayi wophatikiza mankhwala Omez ndi Diaprazole pagulu limodzi la mankhwala. Diaprazole yemwenso amagwira ntchito, amapatsidwa mankhwala a zilonda zam'mimba. Kutulutsa mawonekedwe - ufa wa dilution wa yankho ndi mapiritsi.
Osamaika ana ndi organic tsankho. Mosamala kwambiri, amathandizidwa pochotsa kulephera kwaimpso ndi chiwindi. Zotsatira zoyipa za chimbudzi nthawi zambiri zimayamba - kutsegula m'mimba, kunyansidwa, kupweteka pamimba, kupindika kwambiri.
Zofanizira zina za Omez pamankhwala othandizira zimaphatikizapo Omeprazole, Crismel, Omecaps, Gastrozole, Omeprazole-Darnitsa (mankhwala osokoneza bongo). Zochizira kapamba, ma analogu nthawi zambiri amaphatikizidwa ndi mankhwala a enzyme.
Odwala ambiri amafunsa kuti ndibwino, Omez kapena Nolpaza? Mankhwala omaliza amakhalanso ndi njira yofanana yochizira, amathandizira kuchepetsa kuchuluka kwa hydrochloric acid mthupi, amathandizanso kutsegula m'mimba. Kapangidwe kake kamakhala ndi chinthu china - pantoprazole. Izi zimachitika mwachangu kuposa omeprazole.
Tiyeni tiganizire za fanizo mwatsatanetsatane:
- Makapisozi a Ultop amalimbikitsidwa zochizira zilonda zam'mimba komanso kupsinjika, chifuwa chachikulu, zilonda zam'mimba za etiology iliyonse. Ndi chololedwa kugwiritsa ntchito kutentha kwa kutentha ndi zina mwa mawonekedwe a dyspeptic. Ikani ngati prophylaxis wa zilonda zam'mimba mukamamwa mankhwala omwe si a antiidal. Osatenga pa mimba, motsutsana ndi maziko a kwambiri pathologies a impso ndi chiwindi, ndi cholowa fructose tsankho.
- Omeprazole ndi proton inhibitor. Fomu ya Mlingo - ufa wa kuyimitsidwa ndi mapiritsi. Mu chifuwa chachikulu cha pancreatitis, chimayikidwa nthawi zonse, chifukwa chimachepetsa kuthamanga mkati mwa ma pancreatic ducts, chimalepheretsa kubisalira kwa michere, yomwe imalola kuchepetsa katundu kuchokera ku kapamba. Mankhwalawa amathandizanso kupweteka kwam'mimba, kutentha kwa pamtima, kununkhira wowawasa mkamwa ndi zizindikiro zina zomwe zimatsatana ndi kutupa.
- Gastrozole. Chosakaniza chophatikizacho ndi chofanana ndi Omez. Amapezeka mu kapisozi kapamwamba. Ndi kapamba, 20-30 mg patsiku amatengedwa. Mlingo umasankhidwa payekha, monga momwe alili chithandizo. Kuchenjeza mavuto ndi impso ndi chiwindi, sikuchitidwa pakubala kwa mwana.
Pali anzanga ambiri a Omez omwe ndi ovuta kuwamvetsetsa. Anthu ena amadabwa kuti ndi mankhwala abwino kwambiri ati. Ranitidine siwosiyana ndi mankhwalawo omwe amafunsidwa, chifukwa chake zonse zimatengera kusankha kwa dokotala. Pariet ali ndi chinthu china chogwira ntchito, koma samasiyana pochizira, chifukwa chake amalimbikitsidwa pochiza matenda apakhungu.
De Nol amawoneka ngati chida champhamvu kwambiri poyerekeza ndi Omez. Nthawi zambiri amalimbikitsidwa zochizira matenda akuluakulu a pancreatic kutupa. Koma ali ndi zotsutsana zambiri, nthawi zambiri zimakhala zoipa, zomwe zimapangitsa kuti kuthe.
Kusiyana pakati pa Omez ndi Omez D ndi kapangidwe kake, njira zochizira sizosiyana. Mankhwala okhala ndi prefix "D" alibe omeprazole okha, komanso domperidone - zinthu zomwe zimalimbikitsana wina ndi mnzake.
Omez akufotokozedwa mu kanema munkhaniyi.
