The mushonga "Almiba": mirayiridzo kushandiswa, analogs, akafanana uye wongororo

Ndezvipi ehupfumi kuri muna medicament "Almiba"? Mirayiridzo yokushandisa, analogs, akafanana uye zvechadenga zvinodhaka zvichakurukurwa pazasi.

Form, Kuronga medicament

Chii mushonga "Almiba"? Mirayiridzo dzokushandisa inoti kuti chinhu injectable mhinduro asunungurwa muna 5 Rine mamiririta ampoules. The kushingaira chinhu pamusoro chokushandisa L-carnitine. Uyewo, nezvibereko rine zvinotevera ebetsero zvokubikisa: mvura jekiseni, 10% hydrochloric acid.

Pharmacology zvinoreva

Zvakaita nzvimbo yacho mishonga "Almiba"? Mirayiridzo yokushandisa, wongororo vanoti kuti iri metabolic mumiririri. Its chiito chaikosha chinhu dzinongoitika venhumbi ine zvakafanana ne mavhitaminzi B.

gadziriro iyi unotora ose metabolic kwendangariro. Nokudaro L-carnitine mabasa sezvo mutakuri mafuta acids kuburikidza musero Kamudzira kubva cytoplasm kusvikira mitochondria. Vari pasi iine acid Beta-oxidation, zvichiguma yakawanda metabolic simba.

Zvinoumba metabolic rinoreva

The mushonga chinoshamisa "Almiba" (p / p Int.)? Instructions pamusoro pokushandisa rinoti chokushandisa ichi anokwanisa normalizing mafuta uye mapuroteni exchanges, uyewo kudzorera ropa alkaline kuchengeterwa, tunodzivisa anaerobic glycolysis uye paumbwe keto acids, vanogonawo kuchiderera mwero lactic acidosis, wakawedzera gwenya basa uye kuvandudza muviri shiviriro. Zvinofanira kucherechedzwa kuti akati zvinodhaka anoponesa zvinodyiwa uye anowedzera glycogen reserves ari chiropa.

Ndezvipi zvimwe zvivako kuri mumashoko medicament ichi? Zvinoratidza kuti anabolic zvazviri uye kupa zvishomanana antagonist thyroxine, normalizes chichiwedzera muviri ari hyperthyroidism. Uyezve, ichi chinomirira zvinoita kuti tava kuderera kuti kuora pamusoro carbohydrate uye mapuroteni mamorekuru, uye kweiyi gastric asidhi secretion.

Kugamuchira mushonga akati kunoderedza muviri uremu murwere (zvakawandisa), zvinoderedza uwandu mafuta ari tsandanyama, kuchititadzisa kukura apoptosis ane neurotrophic zvazviri anodzosa sechivako etsinga rinenge uye ichikutadzisa maronda avo mapazi.

The kinetics zvinodhaka

Sei Absorção de Água zvinodhaka "Almiba"? Mirayiridzo dzokushandisa inoshuma kuti pamusoro parenteral kwokubatsira kwezvinodhaka izvi kwazvo chinopinda kunyika nyama dzose muviri. yakakwirira chaizvo kuwanda nevasori vari myocardium uye skeletal tsandanyama.

Yabudiswa itsvo mushonga sezvo acyl esters. Saka vakasununguka carnitine reabsorbed.

Zvairatidza kuti kushandiswa kugadzirisa

Under chii ezvinhu murwere ushandiswe mishonga "Almiba"? Mirayiridzo yokushandisa (zvairatidza chokushandisa ichi chichange dzakanyorwa izvozvi) rinoti mushonga ari kushingaira kushandiswa (kusanganisira chiremba):

• usimbe unomwa dzepanguva duku kufuta;
• ekuvarera preterm vacheche, uyewo vaya vakatambura asphyxia kana kubereka kunotevera;
• kushomeka Kugadzirwa kwepfungwa uye gwenya basa, ungaderedza tsandanyama matauriro;
• hypotension, kushaya zvokudya zvinovaka muviri, kushaya simba;
• kukakanganiswa kukura mune kuyaruka pasi pemakore 16, nyoro muchimiro hyperthyroidism, exogenous yepamutemo kufutisa, shuga polyneuropathy;
• kufema nenhamo chirwere vachangoberekwa;
• cardiomyopathy, myocarditis, ischemic mwoyo chirwere, chenjera myocardial infarction, post-infarction inoti;
• neanorexia, dementia, ndangariro vanotaura, penga nokuda kokuchembera mwoyo, chirwere chepfungwa ischemia, panyama kuneta, ischemic sitiroko, zvinorwadza uye vascular encephalopathy;
• chetsinga kuratidzwa dzechimwe, chepfu uye vascular maronda uropi;
• chisingaperi gastritis pamwe yadzikira secretion pamusoro hydrochloric acid, chisingaperi pfungwa nomuviri zvemwana asati, hepatic zvirwere;
• mamiriro aine kurasikirwa kudya, kuneta uye uremu;
• zvikuru muviri;
• pashure kuvhiya nezvirwere zvakasiyana siyana;
• zvirwere chokuita carnitine kushaikwa, uyewo yaro rakawedzera kurasikirwa;
• zvakakomba uye Kuramba kwetsandanyama;
• mukuru muutera, kuchinja mararamiro;
• myopathy kana tsandanyama simba;
• cardiomyopathy;
• kupererwa, rinoda guru mishonga kubva erythropoietin;
• psoriasis, seborrheic dermatitis, scleroderma, discoid lupus erythematosus.

Kurambidzwa kushandiswa kugadzirisa

Pane contraindications iri zvinodhaka "Almiba"? Murayiridzo kuti mushonga rakaiswa, anoti chokushandisa ichi hazvigoni kushandiswa chete kana hypersensitivity kuti yenhengo dzayo. Mune zvimwe zviitiko, mushonga hauna contraindicated.

Drug "Almiba": mirayiridzo kushandiswa

Mutengo mari haisi yakakwirira chaizvo.

medicament Izvi zvinogona kupiwa nomutsinga kana intramuscularly. Muchiitiko chokutanga, zvinonzi akadurura zvishoma nezvishoma bolus kana aizomupa. Saka zviri ampoule vakanga unoparara 0,9% yavaibvisa chloride mune imwe mari 100-190 Rine mamiririta.

The chipimo chemushonga uye nguva kurapwa pamwe chokushandisa iyi yakaiswa nomunhu (zvichienderana uchapupu).

The daily dose kurapwa kwemakore kuyaruka kubva makore 12 uye vakuru ndiyo 1-3 magiramu muzana 3 sumo.

Kids pasi makore 12 schema ARV akatara yakavakirwa murwere uremu.

Kana chenjera cerebrovascular zvirwere unhu medicament chinotarisirwa mune imwe mari 1 g pazuva kwemazuva 3, uye 0.5 ipapo d - kwevhiki.

Mushure memazuva 10-13 kurapa zvinogona kudzokororwa.

Panguva kupora uye subacute nguva, uyewo pfungwa maronda uye vascular encephalopathy mhinduro raitongwa varwere pa mwero 0.5-1 g pa zuva nomutsinga kana intramuscularly (jekiseni 3).

Kana postinfarction angina ezvinhu uye mishonga ushandiswe nezvezvinhu mune zuva dose pakati 2-6 risati dosing saka zviri chinu vari zvazvichanyungudutswa girazi remvura uye vatora zvisinei zvokudya yaunodya.

In vachiberekwa metabolic zvinetso chipimo chemushonga zvinodhaka kunobva yakananga chirwere chacho kunotoda nekuomarara panguva kurapwa.

Duration of parenteral mishonga pamwe mumiririri uyu anofanira kuva asina asingasviki 3 months, sezvo panguva iyi anodzorerwa dzose pamwero rusununguko carnitine mune tsandanyama.

The kuchirapa efficacy zvinodhaka anofanira dzaongororwa vachiongorora atsililirovannogo uye vakasununguka carnitine mumatunhu ari yeplasma parameters, uye nokudzidza rinomutsa kunotoda kurapwa zviratidzo.

Zviito ne-hunhu

"Almiba" mushonga, mirayiridzo kushandiswa iyo yave kukurukurwa apa, chaizvo kashoma kunokonzera Migumisiro. Tichifunga mukuru nenhanho simba rakabudiswa nedanho kurapwa ichi zvinoreva murwere anogona kutanga kushaya hope. Kuti adzivise kutanga yakadaro, murwere vanofanira L-carnitine pamberi zvemasikati.

Kana iwe uri hypersensitive carnitine, munhu anogona kuona kuda kurutsa, nomusoro, kana kutyora nechigaro.

chaicho mashoko

At yakakwirira shuga Utilisation chinangwa vaiona chirwere cheshuga mushonga pavarwere nemumuromo hypoglycemic kurapa kana kwokubatsira jekiseni kunogona kuvandudza nyore yomuropa.

Efficacy uye vakachengeteka nomumukanwa L-carnitine haangakwani dzinoongororwa vanhu vane itsvo kukundikana. Mazhinji Kushandiswa dzakakwirira mishonga yacho mushonga mu renal chirwere hemodialysis kungaita kuti kuunganidza TMA, chepfu metabolites uye trimethylamine-N-oxide, sezvo vanoonekwa vari weti. Nyaya dzakadaro hapana intramuscular kana intravenous jekiseni levocarnitine.

Price, ongororo, zvinodhaka analogues

Zvino iwe une pfungwa chii "Almiba". Mirayiridzo yokushandisa, mutengo, akaongororazve pamusoro mushonga dziri munyaya ino.

Mari zvinodhaka anenge 150 rubles. Kana waida, rinogona kutsiva mishonga yakadai se "Agvantar", "Karniel", "Karnivit", "Karnith", "Steatel", "Lekarnita", "Geptral", "Gepadif", "Stimol".

Panyaya nevatengi ongororo, ivo havasi vazhinji kwazvo. Kubva Mishumo dziripo, tinogona zvakachengeteka kugumisa kuti mushonga mu mubvunzo zvinobatsira chaizvo uye vakarongeka metabolic mumiririri.

Zvakanakira kurapwa ichi zvinosanganisira chokwadi kuti rinogona kushandiswa kwete chete kune vakuru asi kune vacheche. The chikuru chinhu pamwe ichi - kutevedza zvose chipimo chemushonga chairayirwa chiremba, uye shandisa zvakakodzera zvikuru nzira chourongwa.

Zvinofanira kucherechedzwa kuti rikwanise vanoda mishonga iyi inogona ushandiswe vakadzi vane pamuviri uye lactating. Zvisinei, muchiitiko ichi, nguva dzose unofanira bvunza chiremba wako uye kutevedzera mirayiridzo akanyudzwa.