Amaconsi e-Eye "Fotil Forte": izinkomba, imiyalelo yokusetshenziswa, ukubuyekezwa kwama-ophthalmologists

Amaconsi e-"Fotil Forte" abhekisela ekulungiseleleni okuhlangene ukwelashwa kwe-glaucoma. Iyindlela ephumelela kakhulu emithini efana nayo. Nciphisa futhi uvuselele ukucindezela kwe-intraocular ngokushesha. Kungasetshenziswa emva kokuhlinzwa ukuvimbela izinkinga ezingenzeka.

Ukwakhiwa kanye nefomu lokukhululwa

Amaconsi e-Eye "Fotil Forte" ayimvelo ebonakalayo, engenambala. Ku-1 ml yalesi sidakamizwa uqukethe cishe u-6.84 mg we-timolol maleate no-40 mg we- pilocarpine hydrochloride. Lezi yizinto ezibalulekile ezisebenzayo zomuthi. Ukuhlushwa kwabo lapha kubuye kabili kunkulu njengalokhu ku-analog yeFortila.

Izakhi ezengeziwe ekubunjweni kwemithi kwakuyi:

• I-Benzalkonium chloride;
• I-asidi ye-citric;
• I-citrate ye-sodium;
• I-Hypromellose;
• Amanzi achithekile.

Amaconsi amehlo awenziwe ngamabhodlela akhethekile-ama-droppers futhi agcwele amabhokisi amakhadibhodi. Impilo yesheluli yevali evuliwe yinsuku ezingu-30.

I-Pharmacology

Isidakamizwa esithi "Fotil Forte" siwukulungiselela ukulungiselela i-antiglaucoma uhlobo oluhlangene. Ihlanganisa izingxenye ezimbili ezisebenzayo - i-pilocarpine ne-timolol.

I-pilocarpine itholakala ku-m-holinomimetics. Emva kokuba efakwe ebusweni, ibangela i-miosis, okwenza kube lula ukuhlala. Ngokuphumelelayo ukunciphisa ingcindezi ye-intraocular ngenxa yokucindezelwa kwemisipha ye-ciliary kanye ne-iris ye-apparatus yeso. Lesi senzo sandisa i-angle yokubukwa ekamelweni langaphakathi le-retina. I-substance ivuselela kabusha isakhiwo senethiwekhi, bese kuqinisekiswa ukukhululwa kwamahlaya aqueous. Lesi senzo sihlala amahora angu-4-14.

Ingxenye esebenzayo kwi-timolol yezidakamizwa ingokwesigaba se-beta-blockers. Ivimbela uxhumano lwezinhlelo ze-neurotransmitters ezinezidakamizwa emzimbeni we-ciliary. Kunciphisa ukucindezela ngaphakathi kweso, kunciphisa okuqukethwe komswakama wamanzi. Umphumela we-hypotensive ubonakala ngemva kwemizuzu engamashumi amabili emva kokuthungathwa. Umphumela omkhulu ufika emahoreni amabili bese uhlala usuku.

I-Pilocarpine ikwazi ukungena ngaphakathi kwe-cornea. Ukugxila okuphezulu emkhathini omanzi kubonakala emva kwehafu yehora. Isidakamizwa sisebenzisana kakhulu nama-tissue amaningi e-apparatus yeso. Kuboniswa kungashintshi kanye ne-liquid ngaphakathi kweso. Ukuhlanganiswa kwalo ne-timolol kunciphisa ukwakheka kobumswakama obunamanzi, kuvimbela inqubo ye-excretion ye-pilocarpine.

I-Timolol ngesikhashana idlula i-cornea emvelweni wamanzi ekamelweni elingaphakathi leso. Cishe u-80% wezinto ezisebenzayo ezisetshenziselwa ngaphandle zifaka ukujikeleza kwesistimu. Ukugxila okuphezulu kwe-plasma kuza ihora ngemva kokuthungwa kweso. Ingxenye iyadalulwa yizinso.

Izinkomba zokusetshenziswa

Isidakamizwa esithi "Fotil Forte" senzelwe ukwelashwa kwe-glaucoma. Ingasetshenziswa futhi lapho kusetshenziselwa inhlanganisela ye-timolol ne-pilocarpine. Ngokujwayelekile kwenzeka uma kukhona i-glaucoma evulekile. Sebenzisa le mithi nge-glaucoma evaliwe kanye neyesibili, kanye nokucindezela kwangaphakathi kwe-intraocular, ngemuva kokuhlinzwa emadivayisini eso (isibonelo, nge-cataracts).

Ukungafani

Ukwehla nge-glaucoma kunika umphumela omangalisayo. Basiza ukuthuthukisa isimo sesiguli, kodwa ngeke basetshenziswe uma kune- uveitis yangaphakathi yeso. Ukuvinjelwa kokusebenzisa lesi sidakamizwa kuyi-sinus bradycardia, kanye ne-AV-blockade ngezinga lesibili nelesithathu. Ungasebenzisi lesi sidakamizwa ngenhloso yokuhluleka kwenhliziyo, isifo se-bronchial and shock cardiogenic. Ukuqhathaniswa kweziguli ezine-COPD, futhi ayisetshenzisiwe eneminyaka eyishumi nesishiyagalolunye.

Ungasebenzisi amaconsi amehlo emva kokuhlinzwa kwe-ophthalmic kanye ne-pathologies ye-eye lapho ukugxilwa kweso kungaholela emiphumeleni eminingi emibi.

Ungayisebenzisi imithi phambi kwe-hypersensitivity ezakhiweni zayo.

Isidakamizwa siqaphela ngokuhluleka kwenhliziyo, lapho kunezinkinga zemisipha, kanye nokuthi kune-diabetes mellitus ne-hypoglycemia. Iziguli ezine-retinal detachment, iziguli ezine-thyrotoxicosis kanye ne-myopia kufanele zibe ngaphansi kokulawula okukhethekile. Lokhu kufaka phakathi abantu abazohlinzwa ngokuhlinzeka nge-anesthesia jikelele.

Indlela yokusebenzisa, umthamo

Ngaphambi kokuba uphonse amehlo akho, kufanele wazi ukuthi ukuhlonza kahle kahle futhi uqondise kanjani ukwelashwa nodokotela wakho. Uma kungenalo imithi ethile, khona-ke umuthi ujojwe umcibisholo owodwa esweni eligula kabili ngosuku.

Kukhona iziguli ezisebenzisa lesi sidakamizwa "Fortil" hhayi ngokushesha, kodwa emva kwamasonto ambalwa ukwelashwa. Uma, ukulinganisa ingcindezi ngaphakathi kweso ngemva kwenyanga yokusebenzisa lesi sidakamizwa, akukho ukuthuthukiswa, kanti ukwelashwa kunconywa ukuba kuqhubeke "Fortil Forte". Ukuthunjwa kule nkinga, udinga ukwenza izikhathi ezimbili ngosuku, uphonsa owodwa.

Mayelana nendlela yokubamba amehlo akho, imininingwane eyengeziwe izotshela imiyalelo yokusetshenziswa, ezayo iphelele nomuthi.

Imiphumela emibi

Ukwehla ku-glaucoma kunamanye amacala kungabangela ukusabela okubi. Phakathi kwabo, umbono obonakalayo, ukuvutha, okusheshayo ngokwanele, emva kokusungulwa kwesidakamizwa. Ngezinye izikhathi kukhona ukucasuka nobuhlungu emehlweni, ukukhukhuka okwandayo, isifo se-iso esomile singase sibonakale. Kwezinye izimo, i-eyelid dermatitis, i-ciliary muscle spasm, i-myopia, iyancipha ebusweni obubonakalayo, okungenzeka uma kungekho ukukhanya okwanele egumbini, ikakhulukazi, ngenxa ye-miosis.

Kwezinye izimo, i-cornea ilahlekelwa ukuzwela kwayo, kukhona i-pinpoint keratitis, i-blegroconjunctivitis ye-allergen, i-ptosis ne-diplopia. Kwamanye iziguli, isithinteli se-retinal senzeke, ubunzima be-iris, i-clouding ye-lens yalungiswa.

Phakathi kwezibonakaliso zesistimu kwakukhona ukucabangela, ukwehlisa ngokweqile nokujuluka, ukuhuda, ukunciphisa ukucindezelwa kwegazi, ukuqhuma kwesifo sokuphefumula kwesifo sofuba. Ukuhluleka kwenhliziyo, i-arrhythmia, ne-bradycardia nakho kwaphawulwa. Ukukhwehlela ikhanda, ukungqubuzana komzimba kanye nokuqhaqha kwavela esikhumbeni.

I-Timolol egciniwe ngokuvinjelwa kwegazi-ingqondo ingathinta isimiso sezinzwa zomphakathi.

Uma isiguli sibhekene nokuhluleka kwenhliziyo, angase ahlaselwe yisisulu, i-asthenic syndrome, ukukhathazeka, isizungu, ukucabangela, isimo sokucindezeleka kanye nesifo sekhanda ngenxa yokuchayeka kwe-timolol.

Imiyalo ekhethekile

I-glaucoma evulekile nezinye izifo zamehlo azibekeli ukusebenzisana ngesikhathi esisodwa kwezidakamizwa eziningana nge-beta-blockers. Amanye amaconsi kufanele akhishwe ngosuku ngaphambi kokuba isisetshenziswa esingenhla sisetshenziswe.

Njalo emavikini amane, umphumela okwenzeka lapho ukwelapha izifo zamehlo (i-glaucoma evulekile-angle ne-closed-angle) "I-Fortil Forte" kufanele ihlolwe. Ikakhulukazi ekulawuleni kumele kube yinkinga ngaphakathi kweso.

Lesi sidakamizwa sinomsebenzi we- benzalkonium chloride, osebenza njengomlondolozi lapha, ngakho-ke isidakamizwa akufanele sisetshenziswe uma sigqoka amalensi okuxhumana. Faka i-lens noma uyisuse kungase kube ngemva kwemizuzu eyishumi nesishiyagalolunye emva kokugxilwa kwamaconsi esweni.

Isithako esisebenzayo emaconsi - i-timolol - kwezinye izimo kufihla ukuqala kwe-hypoglycemia kubantu abanesifo sikashukela. Angakwazi futhi ukufihla ukusabela kwe-hyperthyroidism.

Ngaphambi kokuhlinzwa, okuzokwenziwa ngaphansi kwe-anesthesia jikelele, i-Fortil Forte ikhanseliwe izinsuku ezimbili ngaphambi kwalesi senzakalo, ngoba umuthi ungathuthukisa umphumela we-anesthesia nokuziphumukisa kwemisipha emzimbeni.

Isakhiwo se-miotic samaconsi ngamehlo angakha umuzwa wokubheka eduze, okuthinta ukushayela kwezokuthutha. Ngakho-ke, ngesikhathi se-Fortile Forte therapy, kufanele kuthathwe ukunakekelwa lapho ushayela imoto, kanye nalapho usebenza namadivaysi okudinga ukugxila kokunakwa.

Abesifazane ngesikhathi sokukhulelwa kanye ne-lactation bangasebenzisa lesi sidakamizwa uma inzuzo kumama idlulela engozini engaba khona enganeni.

Izindleko zamaconsi

Isidakamizwa esithi "Fotil Forte" (imfundo ifika ephelele nalesi sidakamizwa futhi kufanele ifundwe ngaphambi kokwelapha) idinga ama-ruble angu-150, kanye nesilwane sayo esithi "Fortil" - ama-ruble angu-200.

Umbono wama-ophthalmologists

Kusebenza emisebenzini yabo, lawa amaconsi amehlo abo bonke ophthalmologist. Ukubuyekezwa odokotela kubheka ukuthi le mithi iphumelele. Kuthiwa ukuthi iqinisa ngokushesha ukucindezelwa kwe-intraocular, ibekezelela kahle iziguli. Isiza ukuthuthukisa isimo ne-glaucoma yezinhlobo ezahlukene.

Cishe zonke i-ophthalmologist (ukubuyekezwa kwabanye abantu bathi lesi sidakamizwa sisiza ukugwema ukuhlinzeka emehlweni) isebenzisa lawa manzi emisebenzini yakhe yokuhlinzwa. Ziyekezwa ezigulini ezithombeni ezibukwayo ukunciphisa ukukhiqizwa kwe-intraocular fluid kanye nokuthuthukisa ukuphuma kwayo. Ubude be-postoperative yokusetshenziswa kwe-Fortil Forte yizinsuku ezine.

Ukubuyekezwa kwesineke

Ukulungiselela i-antiglaucoma kubangele ukubuyekezwa okuningi okuhle. Abantu bayaqaphela ukuthi lesi sidakamizwa sikulungele ukusebenzisa, esingabizi ngentengo yaso. Ibuyisela emuva ukucindezela kwe-intraocular. Ngosizo lwaso, iziguli eziningi zaqala ukubona ukungenelela okungcono nokugwema ukuhlinzwa.

Kukhona iziguli lapho izidakamizwa zenza imiphumela emibi ngesimo sekhanda, isicanucanu, amahlumela, ukuma ngokweqile emlonyeni, isizungu. Laba bantu kwakudingeka bayeke ukusebenzisa le mithi bese beyibuyisela enye.

Izimpawu zeCataract kanye nokwelapha

Sebenzisa amaconsi wedatha ngamehlo nangama-cataracts. Njengoba uyazi, lesi sifo siphutha kakhulu, ngokumelene nesizinda saso ukukhanya kwe-lens kuyancipha futhi ubunzima bokubukwa kwembono buyancipha.

I-Cataract ivela ezimweni eziningi ngokungalindelekile futhi ingabonakali kahle. Isikhathi sokuqala ezigulini siyazibhukuda "izimpukane" emehlweni, izigqoko ziqala ukuphinda kabili, zifiphaza futhi kukhona ukukhanya okuncane emshini ebonakalayo. Uma ufunda, izinhlamvu ziba, azihlukanisi kahle, zihlanganisa, ubuciko bokubukwa kwezwe elizungezile bulahlekile.

Lesi sifo sihlala isikhathi eside, kuze kube ngu-15. Njengomthetho, kuphela emcimbini wokuhlala umhlalaphansi (izimpawu kanye nokwelapha kuzosiza ekusunguleni odokotela abaya khona, ikakhulukazi nge ukwelashwa okufika ngesikhathi) kukhulunywa kakhulu futhi kuyinkimbinkimbi.

Ezimweni zokuqala zalesi sifo, ukwelashwa okulindelekile kunqunywe. Akusizi ukubuyisela ukukhanya kwe-lens, kodwa kuvimbela ukuqhubeka kwesifo. Ezimweni ezimbi kunazo zonke, ama-ophthalmologists akhombisa ukuhlinzwa lapho i-lens yemvelo ishintshwe khona ngenye yezakhiwo.

Kusekugcineni ukuthi ukusetshenziswa kwamaconsi "Fortil Forte" kuyigugu kakhulu. Isidakamizwa siwela emehlweni emva kokuhlinzwa. Kuyasiza ukunciphisa ukukhiqizwa kwe-intraocular fluid futhi kuvuselele ukuphuma kwayo. Le ndlela igwema zonke izinkinga futhi ingasiza amehlo ukuba alulame kahle.