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Category thandizo  

Vitrum kashiamu + Vitamini D3 mankhwala Malangizo Kufotokozera


2017-01-11 22:05:47

Name: Vitrum kashiamu + Vitamini D3 Vitrum kashiamu + Vitamini D3


Vitrum kashiamu + Vitamini D3 - kuipidwa mankhwala, amene angakhululukidwe machimo kwa akusowa kashiamu mu thupi ndi chifukwa kutsegula osiyana njira mu thupi nthawi kashiamu kagayidwe. Yokonza tichipeza awiri yogwira zosakaniza: kashiamu carbonate ndi Kolekaltsiferol vitamini D3. Pa akusowa wa zinthu mu thupi kukhala matenda monga rickets ndi kufooka kwa mafupa, amene kwambiri atengeke ana mu nyengo ya kukula ndi postmenopausal akazi, chifukwa thupi kusintha kwa thupi. Limagwirira zake ndi achire zotsatira za mankhwala zochokera pharmacological zimatha yogwira zosakaniza kapangidwe.

Kashiamu carbonate - mankhwala, kupanda kashiamu mu thupi. Kashiamu ayoni mbali yofunika zosiyanasiyana njira mu thupi, makamaka iwo nawo makhalidwe zikhumbo pamodzi mitsempha nyumba zonse magazi ndi magazi clotting. Komanso, calcium ayoni zimakhudzidwa kuchepetsa zosiyanasiyana minofu, kuphatikizapo mtima minofu. Mu mawonekedwe a kashiamu salt ndi gawo la fupa, ndipo pamodzi ndi mapuloteni oseinom ayenera kukhala kuuma ndi elasticity la pfupa. Kashiamu kumatanthauza mapangidwe mafupa ndi mano, amatithandiza kusungabe khungu labwino ndi mantha m`thupi.

Kolekaltsiferol vitamini D3 - kulamulira nzeru phosphorous ndi calcium mu thupi, antirahitichesky china. Kupanga Kolekaltsiferol ali yemweyo dongosolo ndi za amkati apanga mu chamoyo pansi pa zochita za dzuwa. Vitamini D3 amalimbikitsa yoyenera mapangidwe chigoba ndi mano kuchirikiza fupa yachibadwa mulingo wa calcium. Lamulo kashiamu ndi mankwala kagayidwe ndi chifukwa luso vitamini D3 pa kuchulukitsa mayamwidwe kashiamu mu m`mimba mundawo kuchepa mankwala excretion ndi impso. Kuchuluka kashiamu mayamwidwe mu wapotalikira yaing`ono intestine ndi chifukwa kukondoweza wa synthesis wa inayake kashiamu-amamanga mapuloteni kolekaltsiferola, ndi kuwonjezera cell nembanemba permeability wa matumbo epithelium. Choncho, pansi pa zochita za vitamini D3 opangidwa mkulu wa ndende kashiamu ayoni padziko matumbo mucosa ndi facilitates ndondomeko yogwira zoyendera kashiamu ayoni kudutsa nembanemba wa enterocytes. Yafupika amasulidwe phosphates ndi impso ndi chifukwa amatha kusintha kolekaltsiferola reabsorption wa mankwala m`kati glomerular kusefera. Vitamini D3 nthawi yogawa kashiamu ayoni mu madzi a m`magazi, fupa zofewa minofu facilitates adani kashiamu mu fupa minofu, potero kukhala zachilendo kashiamu bwino mu plasma ndi fupa. Normalization a ndende kashiamu ayoni mu plasma amatithandiza kusungabe kamvekedwe ka chigoba minofu ndi m`mnyewa wamtima contractility.
Kolekaltsiferol anafunika kusunga ntchito ya parathyroid tiziwalo timene timatulutsa, komanso mapangidwe sanali enieni chitetezo chokwanira ndipo adenozintrifosfatnoy asidi synthesis.

The pharmacokinetics ya mankhwala zochokera pharmacokinetic zimatha yogwira zosakaniza kapangidwe:
Mayamwidwe: Kolekaltsiferol pambuyo m`kamwa makonzedwe odzipereka waung`ono m`mimba. Kashiamu imatsala pambuyo m`kamwa makonzedwe mu proximal yaing`ono intestine, mmene kashiamu pakulewa mayamwidwe kumachitika kudzera D-vitaminzavisimyh zoyendera njira. The plasma ndi calcium Kolekaltsiferol womangidwa kwa plasma mapuloteni, ena mwa kashiamu ali mu ufulu wa ionized mawonekedwe. The ndende ya ionized kashiamu mu plasma ndi za 1,1-1,3mmol/l.
Kagayidwe: Kolekaltsiferol zimapukusidwa mu chiwindi ndi impso kupanga pharmacologically yogwira metabolite, amene anasonyeza ndi wofanana ndi wa nthawi zonse kolekaltsiferola. Hafu ya moyo wa vitamini D3 ndi maola 24.
Excretion: kashiamu mu ionized mawonekedwe excreted ndi impso, pamene tingadziwe reabsorption kashiamu mu aimpso tubules.



The mankhwala kutumikiridwa monga prophylactic, ndipo monotherapy kapena osakaniza mankhwala kwa kufooka kwa mafupa zosiyanasiyana etiology ndi mavuto mu odwala kufooka kwa mafupa.
Mankhwala amagwiritsidwanso ntchito kubwezeretsanso kashiamu akusowa ndi kolekaltsiferola odwala ndi kochulukira kufunika calcium, kuphatikizapo mankhwala akusonyeza kuti odwala kuchira ku kuvulala ndi fractures, kusintha kwa thupi ndi pambuyo kusintha kwa thupi, ndi akazi pa mimba ndi mkaka wa m`mawere ndi okalamba odwala.



Mankhwala akutengedwa pakamwa, Ndi bwino kumeza piritsi lonse popanda kutafuna kapena kuphwanya. Tikwaniritse pazipita achire zotsatira za mankhwala ayenera makamaka kumwedwa pamaso chakudya kapena pachakudya.
Kutalika kwa mankhwala ndi mlingo chimachititsa dokotala aliyense payekha kwa wodwala aliyense.
Akulu ndi achinyamata opitirira zaka 12 zaka prophylactic wothandizila nthawi zotchulidwa piritsi 1 1-2 pa tsiku.
Women pa mimba ndi mkaka wa m`mawere nthawi zotchulidwa piritsi 1 1-2 pa tsiku.

Akulu ndi achinyamata opitirira zaka 12 zaka zochizira kufooka kwa mafupa mlingo anatola payekha, motero m`pofunika kuganizira kuti pazipita tsiku mlingo mapiritsi 4.
Akulu ndi achinyamata opitirira zaka 12 zaka kupewa kufooka kwa mafupa nthawi zotchulidwa piritsi 1 2 pa tsiku. Time Inde kuteteza kufooka kwa mafupa mankhwala Vitrum kashiamu + Vitamini D3 zambiri pa 4 ndi 6 milungu. Ngati ndi kotheka, kubwereza Inde kangapo pa chaka.



Mankhwala ambiri bwino analekerera ndi odwala, ndi zina khateyo mavuto monga kuphwanya chopondapo, flatulence, epigastric ululu ndi nseru chifukwa dysmotility a m`mimba thirakiti. Komanso, nthawi yaitali ntchito mankhwala Vitrum kashiamu + Vitamini D3 pa achire Mlingo khateyo hypercalcemia ndi hypercalciuria negligible.



- Munthu hypersensitivity mankhwala;
- High zili kashiamu mu magazi, kuphatikizapo hypercalcemia pa okwera parathyroid ntchito.
- Hypercalciuria;
- The mankhwala contraindicated odwala ndi kwamikodzo mwala matenda, sarcoidosis ndi aakulu aimpso kuwonongeka;
- The mankhwala si anasonyeza kwa odwala ndi metastatic zotupa mu fupa;
- The mankhwala contraindicated ana osakwana zaka 8 zaka.

CHENJEZO ayenera analamula kuti odwala aimpso insufficiency, komanso ana a zaka 8 mpaka zaka 12 pazipita tsiku mlingo m`badwo uno gulu piritsi 1 chiphunzitso.



Woyembekezera, mankhwala ayenera kugwiritsidwa ntchito chimodzimodzi zinalembedwa ndi kuchitira dokotala, amene pamaso poika chofunika kupenda kaye ubwino kwa mayi ndi lingathe chiopsezo kwa mwana wosabadwayo. Pazipita tsiku mlingo kashiamu pa mimba ndi 1500mg, vitamini D3 - 600ME womwe ndi 3 miyala ya mankhwala Vitrum kashiamu + Vitamini D3.
Ngati ndi kotheka, ntchito pa mkaka wa m`mawere ayenera kuonana ndi dokotala.



Ndi munthawi yomweyo kugwiritsa ntchito mankhwala phenytoin ndi barbiturates chizindikiro kuchepa dzuwa kolekaltsiferola.
Mankhwala, pamene ntchito kumawonjezera mphamvu ya mtima glycosides, ngati n`koyenera kuphatikiza kugwiritsa ntchito mankhwala amenewa nthawi zonse tiyenera kuyan`ana ECG ndi matenda mmene wodwalayo.
Ophatikizana ntchito mankhwala kubweza mayamwidwe wa tetracyclines, salicylates, sulfonamides, mosadziwika anticoagulants ndi mankhwala a beta-blockers, ngati n`koyenera, munthawi yomweyo kugwiritsa ntchito mankhwala Vitrum kashiamu + Vitamini D3 ndi mankhwala ayenera kusunga ndi imeneyi pafupifupi 2 hours pakati kuwatengera.

Ndi munthawi yomweyo kugwiritsa ntchito mankhwala ndi thiazide okodzetsa kumaonjezera ngozi ya hypercalcemia.
Kugwiritsa ntchito mankhwala pa nthawi yomweyo kolestiraminom mankhwala otsegulitsa m`mimba ndi mankhwala chizindikiro kuchepa mayamwidwe kolekaltsiferola.



Pamene ntchito kwambiri Mlingo wa mankhwala akhoza kukhala odwala matenda a mtima dongosolo ndi impso. Kugwiritsa ntchito mankhwala Mlingo apamwamba kuposa analimbikitsa khateyo nseru, kusanza, kupweteka kwa mutu, kusowa chilakolako cha ndipo ambiri kufooka.
Ngati bongo ayenera kusiya kumwa mankhwala anasonyezanso chapamimba lavage ndi makonzedwe a yambiri zamchere madzi.
Odwala pambuyo mankhwala ambiri osokoneza bongo Vitrum kashiamu + Vitamini D3 ayenera kutsatira chakudya nkhawa calcium. Woopsa kuledzera mankhwala asonyeza corticosteroids.



Miyala ya 15 zidutswa mu chithuza, 1 chithuza mu katoni.
Mapiritsi a 30 kapena 60 zidutswa mu botolo la mapulasitiki, 1 botolo mu katoni.



Mankhwala ziyenera kusungidwa pa malo ouma kutali dzuwa pa kutentha pamwamba kuposa 30 digiri Celsius.
Alumali moyo - 3 zaka.



Kashiamu-D3 Nycomed forte.



Piritsi 1 lili:
Kashiamu carbonate kuchokera oyisitara zipolopolo mwa mawu koyera kashiamu - 500 mg;
Kolekaltsiferola - 200ME 5mkg;
Excipients.



Musanagwiritse ntchito mankhwala Vitrum kashiamu + Vitamini D3 , muyenera kufunsa dokotala. Malangizo ntchito anapatsidwa ufulu kutengerapo ndi cholinga pongofuna zambiri. Kuti mudziwe zambiri, lemberani Mlengi annotations.




Nkhani

  Fliksotid malangizo Mankhwala kufotokoza
  Stavudine Stavudine/Zerit Zerit
  Solpadein malangizo Mankhwala kufotokoza
  Pentaxim malangizo Mankhwala kufotokoza
 

Malowo ndi zoyankhulana Kutolere zipangizo ndi mphatso kuti ankachita masewera pazankhani ndi maphunziro gwero. Onse zambiri anachokera ku magwero pagulu. Utsogoleli sanafotokoze kuti analembedwa ndi zipangizo ntchito. Maufulu onse a eniake