Milgamma yankho la jekeseni wamitsempha imakhala ndi zinthu zingapo zogwira ntchito. Zomwe zili pamapulogalamuwa ndi monga:
- lidocaine hydrochloride;
- cyanocobalamin;
- thiamine hydrochloride;
- pyridoxine hydrochloride.
Kuphatikiza apo, jakisoni wa mankhwala ali ndi zina zowonjezera:
- madzi a jakisoni;
- sodium polyphosphate;
- sodium hydroxide;
- potaziyamu hexacyanoferrate;
- mowa wa benzyl.
Piritsi la Milgamm lili:
- glycerides pang'ono
- povidone K30;
- talc;
- ma cellcose a microcrystalline;
- croscarmellose sodium;
- colloidal silicon diokosijeni osokoneza bongo;
- pyridoxine hydrochloride;
- benfotiamine.
Milgamm compositum - fomu yotulutsira
Mankhwala amapezeka mu mawonekedwe a mapiritsi, dragees ndi yankho lomwe limayendetsedwa intramuscularly. Mavitamini atapangidwa amadzaza mu ma ampoules a 2 ml. Popanga ma ampoules, wopangayo amagwiritsa ntchito galasi la bulauni la hydrolytic.
Mbale iliyonse imakhala ndi chikwangwani ndipo imakhala ndi kadontho koyera. Mapaketi ndi ma 5 ndi 10 ampoules.
Fomu ya piritsiyo imapangidwa ndikunyengedwa mu zidutswa 30 ndi 60.
Pali mtundu wina wamasulidwe - dragees, omwe ndi biconvex, mapiritsi oyera ozungulira. Mapiritsi okhala ndi matuza muma cell a 15 zidutswa. Katemera wa makatoni amakhala ndi matuza awiri kapena anayi.
Mankhwala
Mankhwala a Milgamma compositum, monga mawonekedwe ake, ali ndi mavitamini a neurotropic omwe ali m'gulu B. Mankhwalawa amagwiritsidwa ntchito pothandizidwa ndi mankhwalawa matenda am'mitsempha ndi minyewa yamitsempha, pomwe wodwalayo ali ndi phenomena yotupa komanso yoipa.
Milgamma akuwonetsedwa kwa anthu omwe ali ndi matenda a musculoskeletal system.
Chifukwa cha Milgamm, chomwe chili ndi Vitamini B wambiri, zidapangitsa kuti mawonedwe akumva kuwawa, kusintha magwiridwe antchito amanjenje ndi magazi, komanso kuyambitsa njira zama cellcirculation.
Kamodzi m'thupi la munthu, Vitamini B1 (thiamine) amasinthidwa ndi phosphorylation kukhala thiamine diphosphate ndi cocarboxylase. Cocarboxylase, amatenga nawo mbali pama metabolism a carbohydrate, kukonza kukhuthala kwa mitsempha ndikudziwonjezera ntchito yamitsempha ndi minyewa yamitsempha.
Ngati thupi lilibe vitamini B1, zinthu zokhala ndi oxidrate zomwe zimapangidwira minyewa imatha kudzikundikira mu minyewa, potero zimapangitsa mitundu yonse yamikhalidwe yodwala.
Mukamasankha kuti ndi bwino kuposa mapiritsi kapena jakisoni a Milgamma, ziyenera kukumbukiridwa kuti mapiritsiwa ali ndi benfotiamine osati thiamine chloride. Benfotiamine ndi mafuta osungunuka a thiamine.
Mukamamwa, vitamini B6 (pyridoxine) amakhala phosphorylated. Zogulitsa za cleavage zake zimakhudzidwa ndi decarboxylation ya amino acid, chifukwa chomwe oimira olimbitsa thupi amapangika m'thupi - serotonin, dopamine, tyramine, histamine, adrenaline. Kuphatikiza apo, vitamini B6 imakhudza kagayidwe ka tryptophan.
Onse mavitamini ndi B1, ndi B6 amapereka kuthekera kwa kukopa kwa wina ndi mnzake. Ichi ndichifukwa chake mapiritsi a Milkamma compositum, jakisoni ndi mawonekedwe ake ali ndi phindu labwino pabwino ndi mkhalidwe waumoyo wa odwala omwe ali ndi matenda amagetsi a zida zamagetsi ndi dongosolo lamanjenje.
Cyanocobalamin - Vitamini B12:
- ali ndi antianemic zotsatira;
- imayendetsa kaphatikizidwe wa methionine, creatinine, choline, acid acid;
- imayendetsa metabolic acid;
- amachepetsa kupweteka chifukwa cha kuwonongeka kwa zotumphukira zamanjenje;
- amatenga nawo mbali kagayidwe kachakudya maselo.
Lidocaine ndiwopatsa chidwi ndipo amawunikanso bwino.
Pharmacodynamics ndi pharmacokinetics
Malangizo ogwiritsira ntchito, komanso kuwunika kumawonetsa kuti thiamine pambuyo pa jekeseni wamitsempha imagwiridwa mwachangu ndikulowa m'magazi. Mu thupi, chinthucho chimagawidwa mosiyanasiyana. Popeza thupi lilibe mphamvu zopangira thiamine, mankhwalawa amayenera kumeza tsiku lililonse.
Thiamine amatha kulowa mkati mwa chotchinga ndi ubongo wamagazi, chomwe chimatuluka mthupi ndi impso. Poyerekeza ndi mavitamini ena, thiamine imadziunjikira mu minofu ndi maselo ochepa.
Pambuyo mu jakisoni wamkati wa pyridoxine, njira yothetsera vutoli imalowa mwachangu m'magazi amtundu wonse ndikufalikira thupi lonse. Pafupifupi 80% ya mavitamini omwe amamangidwa ndi mapuloteni a plasma.
Thupi limatha kudutsa chimbudzi ndikudutsa mkaka wa mayi woyamwitsa. Pambuyo pake, imatulutsa, imasanduka 4-dioxic acid, yomwe pambuyo pa maola 2-5 imatulutsidwa ndi impso.
Cyanocobalamin, yomwe imalowa m'magazi amunthu, imamangiriza kumapuloteni, zomwe zimapangitsa kuti pakhale njira yoyendera. Kenako chinthucho chimatengekedwa ndi minyewa ya chiwindi ndikudziunjikira m'mongo. Pambuyo poti cyanocobalamin itapukusidwa m'matumbo ndi bile, imatha kuyamwa.
Milgamm compositum - zikuonetsa kuti mugwiritse ntchito
Mapiritsi ndi jakisoni amaikidwa ngati gawo la zovuta la syndromes ndi matenda amanjenje, omwe ali ndi maumbidwe osiyanasiyana. Pali zizindikiro zotere za kagwiritsidwe ntchito ka Milgamm:
- kuchuluka;
- neuropathy;
- mowa ndi matenda ashuga polyneuropathy;
- ganglionitis herpes zoster;
- paresis a nkhope yamitsempha;
- retrobulbar neuritis;
- neuralgia;
- neuritis.
Kuphatikiza apo, jakisoni amaperekedwa kwa anthu omwe ali ndi vuto la minyewa ya msana wa osteochondrosis, kukokana kwa usiku. Momwe Milgamm ndi zofananira zimakhalira ngati gawo limodzi la chithandizo chokwanira, komanso chifukwa chake ma jakisoni amafunikirabe, mutha kudziwa izi ndi zina zambiri kuchokera kwa dokotala.
Contraindication Milgamma
Monga mankhwala ena aliwonse, Milgamm ili ndi zotsutsana zake kuti zigwiritsidwe:
- mtima wosakhazikika;
- kuthamanga kwamphamvu kwa magawo a mankhwala;
- zaka za ana;
- mimba
- Nthawi yonyamula mkaka.
Monga lamulo, zotsatira zoyipa za mankhwala zimachitika kawirikawiri:
- Mchitidwe wamsempha: chizungulire, kusokonezeka kwa chikumbumtima.
- Matenda owononga:
- Matumbo:
- Zolumikizika ndi minofu yam'mimba: kukokana.
- Khungu: kuyabwa, thukuta kwambiri, ziphuphu.
- Mtima wamtima: arrhythmia, tachycardia, bradycardia.
Zofunika! Nthawi zina pambuyo pokoka magazi a Milgamm, wodwalayo amatha kukumana ndi vuto la jakisoni. Kuwonetsera kwamachitidwe amachitidwe kumawonedwa pokhapokha ngati pali mankhwala osokoneza bongo kwambiri kapena poyambitsa kwambiri. Izi zikuwonetsedwa ndi kuwunika kwa mankhwalawa.
Ngati zovuta zina zikuwoneka mwadzidzidzi kapena zomwe zafotokozedwa pamwambapa zikukulira, muyenera kudziwitsa dokotala yemwe adzachotse mankhwalawo ndi wina kapena apatseni malangizo oyenera pakukonzekera koyenera.
Malangizo ntchito - njira ndi mlingo
Malangizo ogwiritsira ntchito mankhwala a Milgama compositum ayenera kuwonedwa bwino ndi wodwala. Choyamba, jakisoni amachitidwa mozama mu minofu 1 kamodzi patsiku, 2 ml kwa masiku 5-10. Ngati mankhwalawa kapena mapangidwe ake amakonzedwa kuti akonze mankhwala, muyenera kumwa monga mapiritsi, 1 piritsi tsiku lililonse.
Malangizo ogwiritsira ntchito mankhwalawa ndikuwunika za iwo akuwonetsa kuti ndibwino kugwiritsa ntchito jakisoni kuti muchepetse mwachangu ululu wammbuyo. Mapiritsi ndi ma drage amayamba kuchita pambuyo pake.
Njira ya mankhwala ndi Milgamm imatha mwezi umodzi. Pankhaniyi, thanzi la wodwalayo liyenera kuyang'aniridwa ndi adokotala sabata iliyonse.
Njira ya mankhwala a jakisoni imatha kuwonjezeredwa ngati dokotala akuwona kuti ndi koyenera. Kuphatikiza apo, akuwuzani mtundu wa kumasulidwa womwe uyenera kusankhidwa pankhani inayake komanso kuti mankhwalawo ayenera kuperekedwa kangati.
Ngati pazifukwa zina mankhwala osokoneza bongo amaloledwa, wodwala amatha kuona zomwe zimaphatikizidwa mndandanda wazotsatira zoyipa, chifukwa chake, chithandizo chamankhwala chimagwiritsidwanso ntchito pamenepa.
Momwe Milgamma ndi analogi zimalumikizirana ndi mankhwala ena
Mukasakaniza vitamini B1 ndi mayankho a sulfate, imasweka kwathunthu.
Kuwonongeka kwa ntchito ya thiamine kumawonedwa pakukhudzana:
- ndi metabisulfite;
- ndi penicillin;
- ndi ammonium citrate;
- ndi tannic acid;
- ndi riboflavin;
- ndi ma carbonates;
- ndi mankhwala enaake a chloride;
- ndi ma acetate.
Pazithandizo zochizira, pyridoxine imatha kuchepetsa mphamvu ya levodopa, chifukwa chake, pyridoxine sagwiritsidwa ntchito nawo komanso pokonzekera yomwe ili gawo. Kuchita ndi isoniazid, penicillamine, cycloserine amadziwikanso.
Cyanocobalamin pamaso pamchere wazitsulo zolemetsa limataya ntchito. Riboflavin imatha kuwononga chinthu (makamaka ikayatsidwa ndi kuwala).
Mapiritsi a Milgamm ndi yankho lake zitha kugulidwa ku malo ogulitsa mankhwala ndi mankhwala.
Milgamm ndi fanizo ziyenera kusungidwa m'malo amdima osapezekera kwa ana kwa kutentha kosaposa 15. Moyo wa alumali ndi zaka ziwiri.
Malangizo apadera ogwiritsa ntchito
Malangizowo akuti mankhwalawa amaperekedwa kokha kudzera m'mitsempha. Ngati, mwa kusasamala, Milgamm idaperekedwa kudzera m'mitsempha, wodwala amayenera kupatsidwa chithandizo chamankhwala odwala ndi kuwayang'anira.
Palibe ndemanga pa momwe mankhwalawo amathandizira kuyendetsa galimoto ndikugwiritsa ntchito njira zowopsa, ndipo malangizo sakhala chete pankhaniyi. Ngati muphunzira Wikipedia, mutha kupeza zidziwitso kuti mankhwalawa amagwiritsidwa ntchito ngati mankhwala a Chowona pofuna kuchiritsa ziweto.
Pofuna kubwezeretsa thupi, mankhwalawa amadziwitsidwa pambuyo pa kuledzera. Koma kugwiritsa ntchito kamodzi ndi mowa sikuletsedwa. Ngakhale kuti palibe kuwunikiridwa kwa kuyanjana koteroko, kumathetsanso zabwino zonse pamankhwala.
Kuphatikizidwa kwa mowa ndi lidocaine kumapangitsanso mavuto ambiri: nkhawa, kugona, kupweteka mutu.
Mimba komanso kuyamwa
Mankhwalawa sanalembedwe azimayi panthawi yoyembekezera komanso mkaka wa m'mawere. Izi ndichifukwa choti palibe chidziwitso chokwanira chokhudzana ndi zomwe zimapangidwa pazakhudzana ndi mwana wosabadwayo ndi mkaka wa m'mawere.
Musanayambe chithandizo, muyenera kupita kuchipatala, kuwerenga malangizo ndi kuwunika odwala.
