Kugwiritsa ntchito mankhwala Berlition kwa matenda ashuga kumalepheretsa kukula kwa polyneuropathy.
Matenda a diabetesic polyneuropathy ndi matenda omwe amapezeka mwa odwala kumayambiriro kwa chitukuko cha matenda a zamitsempha kapena kale zisanachitike chiwonetsero chake choyamba. Amadziwika ndi kuchepa kwa magazi m'deralo (ischemia), komanso kusokonezeka kwa metabolic mu mitsempha. Kuphatikiza pa kupewa polyneuropathy, mankhwalawa amathandizira kugwira ntchito kwa chiwindi, amateteza kagayidwe ka lipids ndi chakudya.
Munthu aliyense wachiwiri yemwe ali ndi matenda ashuga posachedwa amva kuchokera kwa dokotala zakukula kwa polyneuropathy syndrome. Anthu ambiri amaphunzira za kusowa kwa chiwindi, kuphatikizapo matenda oopsa (cirrhosis, hepatitis). Chifukwa chake, pakufunika kupewa matenda omwe amakumana ndi maziko a matenda ashuga.
Posachedwa, mitundu iwiri ya mankhwala yatchuka - Berlition ndi Thioctacid, omwe ali ndi vuto lofananilo popewa matenda ashuga a polyneuropathy. Nkhaniyi ikuthandizani kudziwa chomwe chiri bwino - Berlition kapena Thioctacid?
Pharmacological katundu wa mankhwala
Popeza mankhwalawa ndi ofanana, ali ndi gawo limodzi lomwelo - alpha lipoic acid (mayina ena - vitamini N kapena thioctic acid). Ili ndi katundu wa antioxidant.
Tiyenera kudziwa kuti alpha-lipoic acid ndi ofanana mu michere ya mavitamini a gulu B. Amagwira ntchito zofunika:
- Alpha lipoic acid amateteza kapangidwe ka khungu ku kuwonongeka kwa peroxide, amachepetsa mwayi wokhala ndi zovuta zazikulu pomanga ma radicals omasuka, ndipo nthawi zambiri amalepheretsa kukalamba msanga kwa thupi.
- Alpha lipoic acid amadziwika kuti ndi cofactor yemwe amatenga nawo gawo mu mitochondrial metabolism.
- Kuchita kwa thioctic acid kumapangidwa kuti muchepetse magazi, kuwonjezera glycogen m'chiwindi ndikugonjetsa insulin.
- Alpha lipoic acid amawongolera kagayidwe kazakudya zam'mimba, lipids, komanso cholesterol.
- Gawo lolimbikira limakhudza mitsempha yotumphera, kukonza magwiridwe antchito.
- Thioctic acid imathandizira ntchito ya chiwindi, kuteteza thupi ku zotsatira za mkati ndi kunja, makamaka mowa.
Kuphatikiza pa thioctic acid, Berlition imaphatikizanso zinthu zingapo zowonjezera: lactose, magnesium stearate, croscarmellose sodium, microcrystalline cellulose, povidone ndi hydrate silicon dioxide.
Mankhwala Thioctacid, kuphatikiza pa gawo lomwe limagwira, ali ndi mphamvu zochepa za hydroxypropyl cellulose, hydroxypropyl cellulose, hypromellose, magnesium stearate, macrogol 6000, titanium dioxide, quinoline chikasu, indigo carmine ndi talc.
Mlingo wa mankhwala
Choyamba, ziyenera kudziwika kuti kugwiritsa ntchito mankhwala mosaloledwa ndizoletsedwa. Mutha kungogula mankhwala malinga ndi mankhwala omwe dokotala wakupatsani atakambirana.
Dziko lopanga mankhwala a Berlition ndi Germany. Mankhwala amapangidwa mwa ma ampoules a 24 ml kapena mapiritsi a 300 ndi 600 mg.
Mapiritsi amatengedwa pakamwa, safunikira kutafunidwa. Mlingo woyambirira ndi 600 mg kamodzi patsiku, makamaka musanadye pamimba yopanda kanthu. Ngati wodwala yemwe ali ndi vuto la chiwindi ali ndi vuto la chiwindi, amapatsidwa mankhwala kuchokera ku 600 mpaka 1200 mg wa mankhwalawo. Mankhwala akaperekedwa kudzera mu mawonekedwe a yankho, amayamba kuchepetsedwa ndi 0,9% sodium chloride. Malangizo angagwiritsidwe ntchito amatha kupezeka mwatsatanetsatane ndi malamulo omwe kholo limagwiritsa ntchito. Kumbukirani kuti njira ya mankhwalawa singathenso kupitilira milungu inayi.
Mankhwala a Thioctacid amapangidwa ndi kampani yaku Sweden ya mankhwala a Meda Pharmaceuticals. Amapereka mankhwalawa m'njira ziwiri - mapiritsi a 600 mg ndi yankho la 24 ml jakisoni mu ma ampoules.
Malangizowo akuwonetsa kuti mlingo woyenera ungatsimikizidwe ndi katswiri yemwe wakupezekapo. Mlingo woyambirira wapakati ndi 600 mg kapena 1 muloule wa yankho lomwe limayendetsedwa kudzera m'mitsempha. Muzovuta kwambiri, 1200 mg kapena 2 ampoules amatha kukhazikitsa. Poterepa, njira yochizira imachokera milungu iwiri mpaka inayi.
Ngati ndi kotheka, pambuyo panjira ya mankhwala, kupuma pamwezi kumachitika, kenako wodwalayo amasinthira pakamwa, momwe mlingo wa tsiku ndi tsiku ndi 600 mg.
Contraindication ndi zoyipa
Thioctacid ndi Berlition amagwiritsidwa ntchito pochiza mowa ndi matenda ashuga a polyneuropathy, kuledzera ndi mchere wazitsulo, kuphwanya chiwindi ntchito (cirrhosis, hepatitis), pofuna kupewa coronary atherosulinosis ndi hyperlipidemia.
Nthawi zina kugwiritsa ntchito ndalama kumakhala kosatheka chifukwa cha zovuta zina kapena zoyipa. Chifukwa chake, anthu omwe ali ndi chidwi ndi magawo a mankhwalawa, amayi apakati ndi amayi oyamwitsa amaletsedwa kugwiritsa ntchito Thioctacid kapena Berlition. Ponena za ubwana, maphunziro pazokhudza momwe mankhwalawo amakhudzidwira thupi laling'ono sanachitidwe, motero kumwa mankhwala amaloledwa kuchokera wazaka 15 zokha.
Nthawi zina kugwiritsa ntchito mankhwala molakwika kapena pazifukwa zina, zotsatira zoyipa zimachitika. Popeza mankhwalawa Thioctacid ndi Berlition ndi ofanana pachithandizo chawo, amathanso kuyambitsa zotsatirapo zomwezo:
- zokhudzana ndi dongosolo lamkati lamanjenje: diplopia (masomphenya operewera, "chithunzi chowiri"), kupweteka kwakomoka, kupweteka;
- zogwirizana ndi chitetezo chamthupi: ziwombolo, zowonetsedwa ndi zotupa pakhungu, kuyabwa, urticaria, komanso kuwopsa kwa anaphylactic (osowa kwambiri);
- mogwirizana ndi hematopoietic dongosolo: hemorrhagic zidzolo, thrombocytopathy kapena thrombophlebitis;
- zokhudzana ndi kagayidwe: kuchepa pang'ono kwa shuga m'magazi, nthawi zina kukula kwa hypoglycemia, kuwonetsedwa ndi thukuta lomwe limakulirakulira, kupweteka mutu, chizungulire, masomphenya osasangalatsa;
- zimakhudzana ndi zimachitika m'deralo: zotentha moto m'dera mankhwala
- Zizindikiro zina: kuchuluka kwazovuta zamkati komanso kufupika kwa mpweya.
Monga mukuwonera, kugwiritsa ntchito mankhwala nthawi zonse kumakhala ndi chiopsezo chotenga zovuta zazikulu. Ngati wodwala wazindikira chimodzi mwazizindikirozi, ayenera kupita kuchipatala mwachangu.
Potere, adotolo amawunika momwe wodwala amathandizira ndikusintha zina.
Makhalidwe oyerekeza mankhwala
Ngakhale kuti mankhwalawa ali ndi alpha lipoic acid komanso amathandizanso chimodzimodzi, ali ndi zina zosiyana. Zitha kusintha zomwe adotolo komanso wodwala wake akuchita.
Pansipa mutha kudziwa zazinthu zazikulu zomwe zikukhudza kusankha kwa mankhwala:
- Kukhalapo kwa zida zowonjezera. Popeza makonzedwewo ali ndi zinthu zosiyanasiyana, amatha kulekerera ndi odwala m'njira zosiyanasiyana. Kuti mudziwe kuti ndi mankhwala ati omwe alibe vuto lililonse, ndikofunikira kuyesa onse mankhwalawa.
- Mtengo wamankhwala umathandizanso kwambiri. Mwachitsanzo, mtengo wamba wa Berlition (ma ampoules 5 a 24 ml aliyense) ndi ma ruble 856 aku Russia, ndipo Thioctacid (5 ampoules of 24 ml iliyonse) ndi ma ruble 1,559 aku Russia. Zowonekeratu kuti kusiyana ndikofunikira. Wodwala yemwe wapeza ndalama zochepa komanso zochepa amakhala ndi chidwi chofuna kusankha mankhwala otsika mtengo omwe amakhalanso ndi zotsatira zake.
Mwambiri, zitha kudziwika kuti mankhwalawa Thioctacid ndi Berlition ali ndi zotsatira zabwino pa thupi la munthu ndi matenda amtundu wa 1 komanso mtundu wa 2. Mankhwala onsewa amalowetsedwa kunja ndipo amapangidwa ndi makampani olemekezeka kwambiri azamankhwala.
Musaiwale za contraindication ndi zovuta zomwe zingayambitse mankhwala. Musanawatenge, muyenera kukakamizidwa ndi dokotala.
Mukamasankha njira yabwino kwambiri, muyenera kuyang'ana pazinthu ziwiri - mtengo ndi kuyankha pazinthu zomwe zimapanga mankhwala.
Kugwiritsidwa ntchito moyenera, thioctacid ndi zipatso zingathandize kupewa kukula kwa matenda ashuga okha, komanso zovuta zina zoopsa za mtundu 2 komanso mtundu wa matenda a shuga 1 ogwirizana ndi ntchito ya chiwindi ndi ziwalo zina. Kanemayo munkhaniyi akukamba za zabwino za lipoic acid.
