"Diclofenac." Ukufundisa, amajojo

Isidakamizwa esithi "Diclofenac" sichaze ukulwa nokuvuvukala, i-analgesic, futhi ukulinganisela izakhiwo ze-antipyretic. Ukulungiswa kukhiqizwa ngendlela yama-gels (ama-5% no-1% ema-tubes), amafutha (i-1% emigodini), amaconsi (0.1%, emathinini namabhodlela), isisombululo (25 mg / ml ku-ampoules), i-suppository (100 Mg no-25 mg), amaphilisi (100 mg no-50 mg ngamunye). Lesi sidakamizwa sibhekisela kwizidakamizwa ezingezona ukuvuvukala okungezona-steroid - lokhu kulandisa umuthi "I-Diclofenac". Izijovo, njengezinye izinhlobo zezidakamizwa, ziyasebenza futhi ziyi-antirheumatic, antipyretic ne-analgesic.

Isidakamizwa ku-ampoules senzelwe kuphela izijovo ze-intramuscular. Awukwazi ukuphathwa ngaphakathi-ngakho-ke ixwayisa uma usebenzisa umuthi "I-Diclofenac". Lezi zijovo zifakwe ngaphansi kwegceke elingaphandle elingaphandle lamagqabha, hhayi kaningi ngaphezu kwe-1 isikhathi ngosuku futhi hhayi isikhathi esingaphezu kwezinsuku ezimbili. Ngemuva kwalokho, bashintshela kwezinye izinhlobo zomuthi ofanayo (amafutha, ama-gel, amaphilisi noma i-suppositories). Ngokungafani, ezimweni ezimbi kakhulu, kwenziwa ama-injection amabili, ahlukaniswe isikhathi esithile samahora amaningana, ngosuku olufanayo, ngenkathi ekhumbula ukuthi ayifake engxenyeni ethile engxenyeni ethile. Ukulinganisa nokuphathwa kwezidakamizwa zokusetshenziswa kwamathambo kumele kwenziwe ngokuya kwemiyalelo, ezinye izicubu noma izishukela endaweni yomjovo zingalimala.

I-Diclofenac e-ampoules, ehloselwe ukujola okunjalo, iyinhlangano engenamanzi ngaphandle kombala nezinhlayiya ezibonakalayo. Ingasetshenziswa njengendlela yokwelapha kokuqala yezifo eziphuthumayo ze-rheumatic and inflammatory, kanye nokwelashwa kwezifo, ngokuphathelene nokuvuvukala ngaphandle kwemvelaphi yesifo se-rheumatic. Izinkomba zokusetshenziswa yizinhlungu ezibuhlungu, kufaka phakathi i-renal colic, ukukhuphuka kwamathambo noma isifo samathambo. Ukwelashwa "Diclofenac" kunqunywe ubuhlungu obukhulu ngemuva, ukuhlaselwa okumangalisayo kwe-gout, ukulimala okubuhlungu kanye nokuhlukunyezwa, ubuhlungu be-postoperative. Isilinganiso salesi sidakamizwa sincike eminyakeni yobudala, imvelo nokuqina kwesi sifo futhi kunqunywe udokotela.

Imiphumela emibi kanye nezinyathelo zokuqapha kubonisa nemithi yokwelapha "Diclofenac". Ama-injection, amaphilisi, noma ama-suppository angabangela i-nausea ne-diarrhea, ikhanda lokushaya ikhanda, ukukhala ezindlebeni, noma ukuzondwa kweziguli. Kukhona futhi ukusabela komzimba ngendlela ye-edema nokubonakala kwe-rash noma i-eczema esikhumbeni. Isimiso sezinzwa esiphezulu siphinde siphendule "i-diclofenac" ngendlela yemiphumela emibi, njengokukhathala, ukuleleka, ukwesaba, ukucindezeleka noma ukucasula. Kungase kube nokukhubazeka okubukwayo nokunye ukuphendula kwamehlo. Kuncike ekuzweleni kwesiguli kumuthi, ukusabela okunjenge-bronchospasm, i-anaphylactic noma i-anaphylactoid systemic reaction, noma ukwanda kwezinga le-transaminases, i-jaundice, i-hepatitis, ukuhluleka kwe-renal, ne- nephrotic syndrome kungenzeka . Kungase kube neukopenia, thrombocytopenia, i-aplastic anemia kanye ne-erythema.

Iziguli eziphethwe yisifo senhliziyo, isifo senhliziyo noma isifo senhliziyo kufanele zihlolwe ngokucophelela ngaphambi nangesikhathi sokwelashwa - lokhu kudinga imithi "Imfundo ye-Diclofenac". Ama-injection, amaphilisi, ama-gel kanye namafutha okugcoba ngalokhu okusebenzayo kufanele kubekwe ngokuqapha okukhulu, futhi umthamo ungancishiswa kubantu asebekhulile. Kubalulekile ukucabangela ikhono lesidakamizwa ukuholela ekugcineni komzimba emzimbeni, ukwandisa izinkinga zokuhluleka kwenhliziyo. Ngesikhathi ukwelashwa kwesikhathi eside nge-injection ye-Diclofenac, ukuhlolwa kwegazi, ukulawulwa kwezinso nezinso zesibindi kuboniswa njengezinyathelo zokuqapha.

Uma uthatha i- "Diclofenac" kanye nezidakamizwa ezineziqu ze-lithium noma i-digoxin, ukuhlushwa kwabo ku-plasma kwanda. Ukusetshenziswa okufanayo kwemithi emibili noma engaphezulu ye-non-steroidal elwa nokuvuvukala kungabangela ukuba kube nemiphumela emibi. Ngakho-ke, kulezi zimo, kuphela isidingo esikhulu kakhulu esibekwe "Diclofenac ampoules". Imfundo ichaza inqubo yesicelo sabo, ingasetshenziswa ngaphakathi ngaphakathi esibhedlela ngaphansi kokuqondiswa udokotela. Ukuqedwa kwezinto ezisebenzayo ezivela e-plasma kubonakala ngokuphila kwengxenye, okuyihora elilodwa ukuya emahoreni amabili. Ngaphansi kwe-% yomuthi osebenzayo ususwe izinso zingashintshi. I-60% yesidakamizwa esijojelwe izoqedwa yizinso ngendlela yama-metabolites, okunye kuphethwe ngamanoni.