Substitutes uye analogues "kenalogom": wongororo uye kuenzanisa

Zvinobatsira kubvisa kuzvimba, kutsungirira kwazvo tichibatwa mishonga chisimbwa "Kenalog." Vakawanda inoshandiswa mukurapa. The mushonga chinhu glucocorticoid kemikari mumiriri, asi kusiyana zvinodhaka izvi, kashoma kunokonzera nemigumisiro. Kana, zvisinei, tikafunga kushandiswa chokushandisa ichi chero akaipa siyana, kuti ushandiswe analogs, "Ketalog" iyi Akawisira.

Murwiyo uye chimiro kugadzirwa

Kugadzirira "Kenalog" anogadzirwa chimiro mahwendefa uye suspensions kuti injectable yaitonga.

Rimwe hwendefa rine mishonga triamcinolone 4 MG kuti basa chirungiso. Ebetsero zvinhu unobatanidzwa: magnesium stearate, starch, lactose monohydrate, talc, povidone.

The ampoule angava 10 MG kana 40 MG kuti triamcinolone acetonide. Sezvo mamwe zvinhu zvaishandiswa: benzyl doro, polysorbate, yavaibvisa carboxymethylcellulose, yavaibvisa chloride, uye mvura dzaizopiwa jekiseni. Kwete nguva dzose ane zvakafanana zvinoumba nefuma analogues.

"Kenalog" anobudiswa muSlovenia Krka. Kana mukasunungura Hwendefa chimiro chimwe chete pasuru rine mapiritsi 50. Kana mushonga mu ampoules, vari makadhibhokisi bhokisi zvacho zvidimbu shanu. Ampoules kubereka 10 kana 40 Rine mamiririta.

Mari mahwendefa ndiyo 250-300 rubles, ampoules - vanenge 450-500 rubles. Ko nguva dzose isingadhuri dzomuzana. "Kenalog" Somuenzaniso, zvichienzaniswa kune "diprospanom" Takauyira zvishoma.

Zvairatidza uye contraindications

Analogs "Kenalog" anogona nguva dzose kuritsiva kana zvakakodzera. Kugadzirira iri ushandiswe nokuda kwandakatanga siyana mavambo. Izvi zvingava cardiogenic kuvhunduka, zvinorwadza, kutsva, kushandiswa, kana chepfu. Muchiitiko chino, "Kenalog" rinoshandiswa kana kuitika kurapwa pasina.

The medicament "Kenalog" (analogues kwavo kushandisa mukurapa zvirwere zvetsandanyama nemapfupa ezvinhu anopa rebei mugumisiro) nezvaro chisimbwa anomuitira kwazvo chimiro. Prescribers pamwe anaphylactoid siyana, kusanganisira ropa uye anaphylactic kuvhunduka. The chiratidzo kushandiswa iri asthmatic chinzvimbo, dzinonzi rheumatoid arthritis, uye asima.

The mushonga inoshandiswa systemic connective tishu pathologies. Chinangwa ndechokuti thyrotoxic dambudziko uye rikwanise padanho adrenal insufficiency. Vanachiremba vanoshandisa "Kenalog" iri rikwanise kuzvimba chiropa uye hepatic pakoma, uye kudhaka pamwe cauterizing mvura. Recommend zvinoreva kuti kudzivirira paumbwe vanga constrictions uye kuderedza kuzvimba.

The medicament kushandiswa intraarticularly mu zvirwere zvakadai synovitis, tendonitis, dzechimwe chearthritis uye bursitis.

The mushonga rinoshandiswa kuti intramuscular uye intradermal yaitonga apo zvachose alopecia uye alopecia, lichen planus, keloids, psoriasis, granuloma annulare, uye dzisina neurodermatitis.

Contraindications pakushandisa zvinodhaka "Kenalog" (analogues dzavo kushandiswa okurapa anobvumirwa, panzvimbo vakati zvinodhaka kana yokupedzisira haisi zvakanaka kuzoregwa murwere) vari chakasimba psychoses Vanoratidzira iri kukanganwa. Havafaniri kupiwa mushonga ari kushingaira padariro tibhii, muna vacheche, izvo pamwe siyana anomera pamwe chitarisiko metostazov, urikanwi 12 duodenal urikanwi uye dumbu, diverticulitis, BP. Havashandisi mushonga ari chirwere pituitary - Cushing urwere, thrombosis, chirwere cheshuga, renal kukundikana uye emboli riri anamnesis.

Kurambidza kushandiswa iri osteoporosis, siyana Isimba rakadini rinogona kubudiswa kutapuriranwa foci, njovhera, uye amyloidosis. Hazvina yakarumbidza kushandisa mushonga pamberi fungal zvirwere, zvirwere zvinokonzerwa nemavhairasi, kusanganisira Varicella zoster, kupisa nokuvava simplex. Contraindications vari amebic chirwere, gonococcal chearthritis uye chorurindi, poliomyelitis. Kurambidza kushandiswa kwezvinodhaka ndiyo nguva kubaya maronda ganda, akapfeka ane utachiona hunhu, uyewo lymphadenitis kuti kwakaratidzwa pashure BCG kubaya.

The mushonga hakuratidzwi vana makore 16 kana pasina nyaya rikwanise kudiwa. Usashandisa nayo kwemwedzi mishanu pamuviri rokutanga. Refu Kushandisa "kenalogom" panguva pamuviri anogona kuderedza kukura ari mudumbu, kukonzera atrophy of adrenal mumasero mwana asati aberekwa. The mushonga zvinoenda zamu mukaka. Naizvozvo, marapirwo vanofanira kurega achiyamwa.

"Kenalog": mirayiridzo kushandiswa

Analogs, uyewo "Kenalog" inofanira kugadzwa kuva chiremba uye chete vanenge kukurumidza, sezvo mishonga ava hormone. "Kenalog" mushonga une mbiri kusunungurwa fomu: kuturika kuti jekiseni majekiseni uye mahwendefa.

Mahwendefa nachiremba vakuru 4-16 MG pazuva. dose rino rakakamurwa 2 kana 3 mishonga. Mushure kuvandudza mamiriro murwere chipimo chemushonga iri zvishoma nezvishoma yakaderera kusvika 1-2 MG ose 2-3 mazuva. Saka, kusvika kutsigira kushandiswa kwegadziriro 1 MG kugogodza, uye ipapo ubvise zvachose zvinodhaka.

Asati kushandiswa, ampoules "Kenalog" (analogs vane matanho zvakafanana uye zvakafanana chikumbiro zano) vanofanira zvakanaka kuzununguswa. The mushonga hakufaniri wakawanda nomutsinga uye subcutaneously.

Kana symptomatic zvairatidza raitongwa intramuscularly kune vakuru kuturika 40 MG. chipimo chemushonga ichi rinoshandiswa patangira kurapika. Jekiseni chinotarisirwa zvishoma nezvishoma, kamwe ose masvondo mana. Kana murwere akatambura jekiseni chekutanga zvakanaka, kuti idzidziso zvakare baya jekiseni ose 2-4 mavhiki pa 40-80 MG. Kana zvakakodzera, chete dose anogona ngazviwedzerwe 100 MG. Kuitira kudzivisa subcutaneous atrophy, mushonga chinotarisirwa kupinda tsandanyama tishu zvikuru. Pashure jekiseni rinoshandisirwa jekiseni nzvimbo pamwe doro ndokupisika.

Pamwaka nefivha uye zvimwe zvirwere sema kubvisa kamwe pagore, rimwe jekiseni 40 MG panguva mukume mwaka. Kana paine chikonzero vakawanda majekiseni, vari dzakabatwa mana vhiki zvikamu.

The chipimo chemushonga nokuti intraarticular jekiseni pakutsvaga parameters ari muhudyu uye kukomba kwechirwere chacho. For vakuru nevana pamusoro makore zera gumi nemaviri, ari dose chinobviswa duku Hudyu anosvika 10 MG nokuti svikiro - 20 MG, guru - kusvika 20 kana 40 MG. Kana majoini akawanda sei, chitsama zvinodhaka ichiwedzerwa 80 MG. Nokukurumidza kubvisa zviratidzo chacho, "Kenalog 'anogona kupiwa aine rufimbi womunharaunda ane hapana vasoconstrictor fuma. Majekiseni akaisa zvokuti haana kuumbwa chitoro mushonga ari subcutaneous adipose tishu. Musumo zvinodhaka kunofanira panguva zvizere disinfection. Asati articular jekiseni ganda rinogadzirirwa saizvozvo zvichaitawo kuvhiyiwa. Re-kushandiswa mishonga inogona vhiki mbiri gare gare.

Kana mushonga wacho jekiseni zvakananga kupinda lesion (somuenzaniso, bursitis, exostosis uye anogumbura ezvinhu periosteum), nokuti vakura uye vana makore gumi tora dose 10 kusvika 40 MG. It zvinoenderana njodzi nzvimbo uye nzvimbo zvokurwara. Kana achiita medicament mune imwe mari asingasviki 10 Rine mamiririta, kushandiswa ampules "Kenalog" 10 MG. Kugadzirira akanga rakasanganiswa yavaibvisa chloride mhinduro uye akaisa mune dzinoshandisa-kufanana nharaunda pamwe kunonyanyisa nounyoro. Zvakakosha kudzivisa paumbwe guru chakazara mishonga a. Kubvumirwa kusanganisa "Kenalog" ane munharaunda rufimbi.

In mushonga, asi mushonga chinotarisirwa exostoses gobvu cannula, mushure nzira uye zviri zvakananga kupinda kubvisa nzvimbo cysts. Bvumidzwa shandisazve jekiseni pashure pevhiki mbiri.

Kana jekiseni nzvimbo mune subcutaneous maronda, mushonga wakange rakasanganiswa 40 MG vemo rufimbi pasina chikamu vasoconstrictive. The jekiseni akaiswa yakatambarara kupinda mapazi riri pakati ganda uye subcutaneous rukoko. Izvi zvinoitwa kubudisa yokutindivadza infiltration. Yasarudzwa chipimo chemushonga 1 MG pa 1 ^cm2 pakati njodzi ganda. Kana vaviri vari kubatwa multiple foci, chete dose haafaniri kupfuudza 30 MG kuti vakuru uye 10 MG vana.
Kana keloids gadziriro iri dose 40 Rine mamiririta, undiluted, chinotarisirwa zvakananga kupinda rumen. Haukwanisi kuisa mushonga subcutaneously. Re-chikumbiro zvinogoneka pashure pevhiki mbiri. Duration kurapwa kuti medicament runotsamira kwokuomerwa chirwere, uye kukura kwayo unowanzoonekwa pakutsvaga nachiremba.

The mushonga kungashandiswa se rimwe dose (nouswa), uye kwemakore akawanda (asima kwazvo padanho pakukura). Kana pasina zviratidzo uvandudze pashure 3-5 majekiseni, mushonga akapidigura uye mishonga pane "Kenalog" analogues mu ampoules kana pamahwendefa.

Reviews pamusoro mushonga 'Kenalog'

Iye anoti aifanira kushandisa zvinodhaka "Kenalog" mirayiridzo kushandiswa chete mushonga. Reviews (analogues kana zvakakodzera achagara kusarudza pakurapa chiremba) vakati mushonga urwa subcutaneous scarring, kunobatsira kubvisa chalazion (ivo inonyangarika pashure 1-2 mavhiki pashure jekiseni), anoponesa kubva yakaderera musana marwadzo, kurwadza kwemajoini uye nechando papfudzi. Majekiseni ne "kenalogom" ita kana chitsitsinho chaitika uye Árbol asima.

Pakati zvinhu zvisingafadzi akataura hormone Kuronga zvinodhaka 'Kenalog' wongororo (analogues zvakafanana migumisiro uye dzinewo mahormone). Varwere vanoti mushonga anogona kukonzera uterine ropa ndichigogodza kumwedzi. Pashure kushandiswa kwayo pane dumbu kurwadziwa, chirungurira uye svoto. It Haapi zvinozoita pamwe pamwaka Kurwara.

analogs

Kana marapirwo asina kuchigaro zvinodhaka "Kenalog" analogues mu capsules uye mahwendefa zvinogona kutsiva nyore nayo. Zvikuru nevakawanda Sevamiririri zvinosanganisira zvinotevera mishonga:

• "Flosteron". Yakabudiswa muSlovenia muchimiro suspensions kuti injectable yaitonga. Five ndiro mari vanenge 200 rubles.
• "Depo-Medrol." Made muBelgium muchimiro suspensions kuti injectable yaitonga. Mutengo mumwe nehomo 70-100 rubles.
• "Zvekutengesa-Medrol." Anogadzirwa USA ari muchimiro lyophilisate achigadzirira jekiseni mhinduro. Mutengo dende 250 Rine mamiririta pamwe solvent - 400 rubles.
• "Dexamethasone". It anogadzirwa muchimiro mapiritsi, madonhwe ziso, uye kuitwa kugadzirira majekiseni. Mahwendefa gumi vanenge 40 rubles, ziso anodonhedza 10 Rine mamiririta - 60 rubles, uye 4 1 Rine mamiririta ampoules -130-140 rubles. The mushonga anogadzirwa Belarus, Ukraine, Russia uye Slovenia.
• "Polkortolon". It anogadzirwa chimiro mahwendefa nezvizoro. Mahwendefa makumi mashanu varasikirwe 350-400 rubles. Made kuPoland.
• "Triakort". Takasikwa Russia muchimiro okuzora. Tube 10g inenge 100 rubles.
• "Ftorokort". Made muHungary. Mafuta. Zviri kubva 150 kusvika 200 rubles.
• "Medrol." Kunyika kwayakabva - Italy. Available pamahwandefa. mapiritsi matatu ukoshi 150 rubles.
• "Kortef". Made in Canada. Mahwendefa. PRICE zana capsules pamusoro rubles vanenge 400.
• "Diprospan". Made muBelgium muchimiro ampoules kuti jekiseni iri chete-kushandiswa syringes. Price mumwe ampoule 200 rubles.

Izvi uye zvimwe zvinodhaka zvingava zvimwe pane mushonga "Kenalog." Analogs uye Sevamiririri vanofanira kusarudza chiremba, pashure nokungwarira tinyatsonzwisisa murwere ezvinhu.

Analogue "zvekutengesa-Medrol"

nguva dzose vakagadzirira kutsiva mushonga "Kenalog 40 'analogues pamwe chitarisiko nenjodzi. Mumwe mushonga akadaro anoita "zvekutengesa-Medrol." The vanoshingaira fuma kurapwa methylprednisolone. Yakabudiswa mushonga ari muchimiro lyophilisate kuti mhinduro kuti jekiseni.

Prescribers panguva chakakomba kwemakemikari anobudiswa zvinetso, rheumatic pathologies systemic zvirwere connective zvinyama, uye ganda zvirwere. Zvinobatsira zvakaoma. Kurwara uye anogumbura pezvakaitwa chokuita ziso maronda. Abudirire zvirwere nemudumbu uye kufema turakiti pathologies. The mushonga ane zvimwe zviratidzo.

mudziyo Medical ane wongororo chete akanaka. Varwere vanoti "zvekutengesa-Medrol" rinobatsira iri rinonyanya tariro ezvinhu akadai multiple sclerosis, dzinonzi rheumatoid arthritis uye nevamwe. Mushure kushandisirwa marwadzo inomhanya.

In nemultiple sclerosis ezvinhu anovandudza pashure vhiki rimwe zuva pokushandisa zvinodhaka. Mumwe anoti ari kakawanda kushandiswa kemikari nezvinozoitika kwete basa sezvo kekutanga, asi nanhasi zvinobatsira.

Chii nani, "zvekutengesa-Medrol" kana "Kenalog," anodaro mumwe chiremba, dzinoongorora murwere mamiriro utano.

The Russian nerokuti "Triakort"

Drug "Triakort" mune zvimwe zviitiko zvinogona kutsiva mushonga "Kenalog" (analogues kuita nenzira yakafanana, uye dzimwe nguva zvikuru kupfuura chishandiso). The vanoshingaira fuma mishonga - triamcinolone acetonide. Chete muchimiro okuzora.

"Triakort" ane raidudzwa Anti-anogumbura, antiallergic uye antipruritic zvivako. Anoshandiswa ganda zvirwere zvakadai eczema, dermatitis, psoriasis, sema anokuzviratidza. Unogona chete kushandiswa externally, kusiyana "Kenalog", iro rine vakwanise siyana mafomu uye rinoshandiswa kwete chete topically, asiwo intramuscularly, intra-articularly.

Varwere pfungwa rokugadzirira ichi zvakanaka. Zvinonzi kuti mumazuva mashomanana anokwanisa kubvisa sema dermatitis. Zvinobatsira pamwe eczema uye psoriasis. "Kenalog" inogona kutsiviwa ganda pathologies "Triakort".

Analogues (zvinodhaka chipimo chemushonga kutsiva "Kenalog", zvinofanira kusarudzwa chiremba) anogona kuva zvakasiyana kusunungurwa chimiro. Kana yokutsiva mishonga "Kenalog 'vanoda zvinodhaka kushandiswa nomuromo kana jekiseni, asi" Triakort "hakushandi, unofanira kusarudza mishonga yakasiyana.

Okutsiva "Polkortolon"

Anogona kutsiva zvinodhaka "Kenalog 40" dzomuzana, kana zvichidikanwa. "Polkortolon" rinoreva rakajairika. Kugadzirira zvinofanana "kenalogom" yezviri fuma. Available muchimiro aerosol, mafuta uye mahwendefa. The medicament harishandiswi kuti jekiseni. Izvi kwayo musiyano mukuru kubva "kenalogom".

Zvairatidza kuti kushandiswa vari neutachiona, zvirwere kwemakemikari anobudiswa gadziriro, zvirwere zvetsandanyama nemapfupa hurongwa. Shandisa mushonga ganda zvirwere, rheumatism, zvirwere connective zvinyama nezvimwe pathologies. "Polkortolon" uyewo "Kenalog" ane zvakasiyana-siyana mafomu.

Varwere akashuma kuti mushonga unobatsira kutsungirira eczema, dermatitis nezvimwe sema rashes. Varwere asima vari mushonga uyu akaramba. Kune vanhu, zvichiratidza kwaita nemishonga pashure kushandisa "Polkortolona".

"Diprospan"

"Kenalog" mushonga - the analogue kuti "Diprospan". Both mishonga chakaita zvokugadzirwa hormone zvatinoda. Siyana unorapa, asi "Diprospan" rinoita chirungiso - betamethasone dipropionate. "Kenalog" ndiwo mushonga okupedzisira chizvarwa, ine crystals makuru, iyo, kana kakawanda kushandiswa anogona kuparadza shwashwa. In pakurapa "Diprospan" chirwere chete anopa zvikuru kupfuura "Kenalog," asi izvozvo zviripo zviri anodhura.

Medicine "Diprospan" chinoitwa chete muchimiro kuturika kuti jekiseni. Mumapepa ari girazi ndiro uye chenhando syringes. Zvinoratidza zvakafanana kuti ari "kenalogom".

The medicament ane Anti-sema, immunosuppressive, desensitizing, antiinflammatory, antishock uye antitoxic zvivako. Asunungurwa kubva Pharmacies chete mushonga. Zvinonyatsozivikanwa akashivirira, asi dzimwe nguva kukonzera nenjodzi.

Vakawanda varwere vanogutsikana nekubudirira kwemishonga. Iyo inoshandiswa pamakemikari kumapenene, dermatitis, psoriasis, eczema, rheumatoid arthritis, chitsitsinho chinopisa, arthrosis. Vanhu vanonyevera kuti nekushandisa kwenguva refu kwemishonga kunogona kukonzera kukanganisika kwemigumisiro. Muzviitiko izvi, zvinotsiviwa ne "Kenalog 40". Nhoroondo ye "Diprospan" inobvumira kuramba ichirapa yakatangwa.

"Dexamethasone" - chinotsiva "Kenalog"

Analogues "Kenalog" (murayiridzo uyu mishonga unonyevera pamusoro pezvinyorwa uye zvinogona kuitika), zvinotengeswa munenge mishonga yose yemishonga. Semurairo, ivo vanosarudzwa navanachiremba. Mushonga we "Dexamethasone" unogona kutora mushonga uyu. Chigadzirwa chacho chinowanika mune mahwendefa, madonhwe emeso uye mujecha rejodzi. Iyo inoshandiswa chinhu chinonzi dexamethasone. Iine atomu ye fluorine. Inoratidzirwa ne immunosuppressive, anti-inflammatory, deensitizing uye anti-allergenic action.

Mushonga wacho unobvumirwa zvakanaka nevarwere. Anowanzochinjwa ne "Kenalog" uye "Diprospan". Ndeipi yemishonga iyi iri nani, chiremba anosarudza paanenge achirapa. "Dexamethasone" varwere vanoshandiswa mu conjunctivitis, kusanganisira vana. Mishonga inorayirwa kune multiple sclerosis, mikoko, allergenic rashes uye angioedema. Shandisa mushonga wekutonhora, high fever, uye kana mamwe mishonga isina simba. Hazvireviki kune vanorwara vane chirwere chinonzi bronchial asthma, eczema.