"DuoTrav" ngeso lehla: imfundo, ukufundwa, ukusetshenziswa, side effects kanye nokubuyekeza

Ngokuthi ingcindezi intraocular, okuyinto eyenzeka phakathi igobolondo yeso nokuqukethwe. Ngaphansi leli gama ngokuvamile ibhekisela umuzwa ukugcwala embonweni futhi ukusinda emizimbeni yabo. Nge ukulondolozwa eside lokhu isimo singaxoxa ngemvelaphi yalesi sifo, ezifana-glaucoma. Futhi kubangela isigqugquzeli ingcindezi intraocular.

Omunye imiphumela emibi kakhulu glaucoma kuyinto eyinhloko yobumpumputhe. Mayelana kubaluleke kangaka lokhu ngesikhathi kuqubuka isifo uthintane kudokotela wezifo zamehlo.

izimpawu

Njengoba ubona, ukufiphala kwamehlo kungenzeka ngenxa yezizathu ezihlukahlukene. Yingakho wonke umuntu kufanele bazazi izimpawu isifo, ukuze sikubone esikhathini.

Ngeshwa, lapho kusaqalwa lo isifo esikhohlisayo angase nhlobo show. Kwenzeka ukuthi umuntu isikhathi eside engazizwa yimuphi kabi. Futhi lokhu kwenzeka nje lesi sifo engalethi ingozi embi.

Abantu abaningi abanale ukuluma kwamehlo livela, omiswe yabo futhi ububomvu, ucabanga ukuthi lokhu kumane nje uphawu ukukhathala. Kule ndaba, akukho senzo ukuze alungise leso simo, abazamukeli.

Kwabanye abantu, kukhona ubuhlungu emehlweni. Bathoma usukhathele ngokushesha okukhulu. Kukhona ukungakhululeki eside futhi ikhanda. ngokuvamile Amehlo abomvu. Nokho, isiguli usakholwa ukuthi lena akuyona lutho kodwa uphawu yokukhathala.

Nge ukuqhubeka kwesifo kwenzeke ezinkingeni ezinkulu. Ubuhlungu umqondo womuntu afana migraine. Kukhona ukuwohloka ezibucayi umbono. Ikakhulukazi amadoda amabi iqala ukuhlukanisa izinto ebumnyameni. Ngaphambi amehlo ngokuvamile babonakala imibuthano futhi "fly" izimpukane. Kukhona ukuwohloka kukubuka lateral. Konke lokhu kuwubufakazi bokuthi aphakeme ingcindezi intraocular (izimpawu), futhi ukwelashwa kufanele kuqaliswe ngokushesha. Phela, isimo esinjalo sivame ukubangela ukuhlaselwa oyingozi. Kubantu, kukhona ubuhlungu obuhlabayo asekhanda lakhe namehlo, isicanucanu liphuma khona.

ukuhlola

Uma zonke izimpawu basikisela ukuthi isigqugquzeli ingcindezi intraocular (izimpawu), futhi ukwelashwa waqala ngokushesha, bese ukubhekana ngempumelelo inkinga uchwepheshe kumele ukusungula izimbangela, ngenxa okuyinto kwakukhona egunjini lokuhlolwa kwezifo.

Ukuxilongwa kwalesi sifo kuye kwaba ophthalmologist. Nokho, isiguli kuzodingeka ukuya ukwamukela kwamanye Ochwepheshe. Lokhu kuzosiza uqede zonke izimbangela zokuhlupheka glaucoma zibangelwa iziyaluyalu kwezitho zangaphakathi.

Ukuqokwa iso amaconsi

Ukuqeda isiguli kusuka glaucoma sisebenzisa izindlela ezahlukahlukene. Ukukhetha yabo kuzoncika nesigaba lesi sifo. In the ukungabikho ukushayisana ukusebenza iso baqokwa izindlela elula. Bahlanganisa ezilandelayo:

- ukukhishwa evamile ye yokuzijwayeza kwamehlo;
- amafutha akhethekile ngeso amaconsi;
- I-Goggles;
- zilinganisela isikhathi asichitha ebukela i-TV ne-computer;
- ukwenqaba imisebenzi ehlobene voltage ngqo emehlweni;
- ngaphandle amakilasi ezemidlalo okuzofakwa kuyo awokuthi ukulimala emehlweni.

nomthelela omuhle isimo amehlo liyokhanyisa umzimba Gymnastic uhambe, ngaphandle ephelele.

Ngaphezu kwalezi zindlela zokwelashwa kungaba kuqukathe e ukuthatha imithi futhi izinguquko yokuphila. Uchwepheshe uqoka ekhethekile antiglaucoma amathonsi. Siyabonga kubo, ekwindla ka imizimba izakhi kanye outflow uketshezi kwenzeka.

Impendulo ezigulini, ngeso lehla kwi-glaucoma kanye ingcindezi ocular has usizo olukhulu kusaqalwa ekwelapheni isifo. Lezi amalungiselelo ziningi. Kodwa iyodwa it is hhayi Kunconywa ukuthenga kubo. Ukuzelapha kungabangela exacerbation lesi sifo kuphela. Yingakho ukuqokwa kumele idluliselwe kudokotela wezifo zamehlo.

izidakamizwa ekhona

Eye amaconsi kusukela glaucoma kanye ingcindezi ocular zenzelwe ukuqeda izimpawu ka-glaucoma. Kulokhu, izidakamizwa ekhona njengamanje bafinyelele imigomo yabo ngezindlela ezahlukahlukene. On mshini umthelela bahlukene ngezigaba ezintathu. Eyokuqala yalezi siqukethe amaconsi, okuyinto kujwayeleke umfutho izinhlaka umbono ngenxa outflow uketshezi futhi sithuthukise ukugeleza kwegazi. Leli qembu izidakamizwa libizwa miotikami. Kuhlanganisa izinhlobo eziningana iso amaconsi, izimpawu kungani leso senzo sabo kwemithi.

Lokhu kulandelwa izindlela okuyinto yokunciphisa izingcindezi intraocular ukunciphisa inani ukukhiqizwa uketshezi.

Iqembu lesithathu lihlanganisa izidakamizwa ezinethonya elihlangene. Abenzi kuphela ukwehlisa ukukhiqizwa ewuketshezi, kodwa futhi ukuthuthukisa flow yayo.

La mathuluzi zihlanganisa izidakamizwa ezifana kusuka glaucoma ngokuthi "Fotil", "Proksofilin", "Ksalakom" futhi "Kosopt".

"DuoTrav"

Lezi amathonsi iso zibizwa miotikov iqembu. Ziyakwazi umuthi likhandelwe ekwelapheni glaucoma.

Ayini izinto asebenzayo afakiwe kulo mkhiqizo "DuoTrav" (iso amaconsi)? imiyalelo ukusetshenziswa kwaso wethula ukubunjwa lokhu miotikami. izingxenye zalo eziyinhloko ephilayo timolol futhi travoprost. Ngenxa ingxenye yokuqala emehlweni ukukhiqizwa ukuncipha aqueous amahlaya outflow futhi icacisa ke. Konke lokhu kuholela ukwehla ingcindezi intraocular.

Eyesibili izidakamizwa - travoprost - simele zokwenziwa ingxenye. Ngenxa nemiphumela yayo izitho ezibukwayo futhi kwenzeka ngenkuthalo futhi umswakama outflow kuyehla ingcindezi zangaphakathi esweni. Nokho, ukuhlanganiswa kwezici travoprost awukho umphumela.

Isikhathi sokuphumula ngemuva kwalokho izidakamizwa iqala ukwenza "DuoTrav" (iso amaconsi)? Umhlahlandlela uxwayisa ngokuthi umphumela izidakamizwa kwenzeka ekupheleni ihora 2nd emva uhlelo lwayo lokusebenza. Umthelela esiphezulu amathonsi ziqala ukuba cishe amahora ayishumi nambili.

Ithini inombolo izinto abaphuma njalo seliphindeke izikhathi laqanjwa "DuoTrav" (iso amaconsi) zomuthi? Ukufundiswa ubonisa ukuthi 1 ml ukulungiselela kuhlanganisa 40 mg travoprost futhi 5 mg timolol. Ngaphezu kwalokho, iso amaconsi futhi ezinye adjuvants, okuyilezi:

- E 421 (mannitol);
- polikvad;
- boric acid;
- propylene glycol;
- i-sodium chloride;
- uwoyela ocolisekileyo;
- sodium hydroxide;
- amanzi hlamba.

Isikali Ifomu kanye Packaging

Ukulungiswa kuyinto iconsi iso, ezihlobene eqenjini kwemithi "antiglaucoma izidakamizwa miotics."

Prepacked ecacile, isixazululo kungekho nto enemibala emihle e amabhodlela weThrojani, plastic, kokuba ivolumu 2.5 ml.

izinkomba

Ubani uqokwa izidakamizwa "DuoTrav" (iso amaconsi)? Imiyalelo ukusetshenziswa kwezimali ibonisa ukuthi kunconywa kulabo abahlushwa kusukela IOP (ingcindezi intraocular). Ubonisa neziguli omdala nomfutho wegazi ophezulu ocular noma evulekile-engela glaucoma, okuyinto, nahlulele by ukubuyekezwa, abakutholanga umphumela oyifunayo ekwelapheni analogue prostaglandin, noma i-beta-blocker

Izimo

Eye lehla "DuoTrav" alisetshenziswa uma isiguli:

- somoya;
- itheku barikardii;
- inhliziyo block;
- ezinzima izifo zamaphaphu obstructive, okwakuthatha ifomu ezingamahlalakhona;
- sokuwohloka corneal;
- ezingamahlalakhona ukumelwa inhliziyo, decompensated elise;
- nokukhulelwa;
- lactation;
- ukushaqeka cardiogenic;
- ezinzima rhinitis iguliswa.

Amaconsi kuthiwa contraindicated izingane, intsha kanye nabantu nge hypersensitivity emuthini.

Pharmacokinetics

Ukulungiselela "DuoTrav" ivumela kujwayeleke isigqugquzeli ingcindezi intraocular. ingabe usithinte kanjani emzimbeni? Lapho abancela ngokusebenzisa travoprost cornea ester, okuyinto abazalwa a prodrug, ketshezi sihamba inqubo gidrodizatsii. Ngenxa yalokho, umzimba izenzo ifomu asebenzayo esemazweni - acid.

Ngo izifundo zokwelapha wabonisa ukuthi izidakamizwa has a degree eliphansi kobukhulu isinyathelo letindzala. Ngakho, ezimbili kuzo abantu abathathu okwaxoxwa esiphezulu plasma lokuhlushwa ejenti kwaba esingaphansi 0.01 ng / ml. Ngaphezu kwalokho, okuqukethwe izidakamizwa siyenzeka kuphela emva isigamu sehora ngemva kokuphathwa. omunye iziguli ezintathu kuphela wahlola lesi silinganiso kufinyelelwe amagugu 0,052 ng / ml.

Inqubo isixazululo isigamu-ukuphila oketshezini olungenambala lwegazi ihlala cishe 45 imizuzu. Futhi ngemva kwehora elilodwa travoprost akunakwenzeka ukuthola ukuthi ukutholakala abacwaningi izindlela laboratory.

Futhi, ngokuvumelana zokwelapha, emakamu lomcebo asebenzayo ekulungiseleleni plasma phakathi ngosuku lokuqala futhi lesikhombisa Yiqiniso zamanje, ayinakho umehluko. Lokhu kubonisa ukuntula ekuqongeleleni appreciable nempumelelo okusheshayo umthamo edingekayo. Izidakamizwa umzimba kwenzeka kumaseli ngasebenzi okuyinto zihlobene ngokuvamile nezinso e Bile kwengoma.

Isikali

Indlela bangcwabe amehlo izidakamizwa "DuoTrav" iziguli omdala, kuhlanganise nasebekhulile? Isikali sokuba iziguli enjalo ingenye Iconsi imali, okumele awela sac conjunctival esweni eshile glaucoma. Inqubo wenziwa kanye ngosuku ekuseni noma ntambama. Umuntu kumelwe amane ukukhumbula ukuthi ukusetshenziswa kwezidakamizwa kufanele ibe esifanayo. Uma inqubo iye uphuthelwe, ngosuku olulandelayo, kabili Isikali ayidingekile.

ukwelashwa iso abathintekayo kumele kwenziwe ngokulandela eziqinile ne imiyalelo. Sebenzisa iconsi umthamo ezingaphezu kweyodwa akufanele kube.

Indlela umbe iso izidakamizwa, uma kukhona ukushayisana ukusebenza nezinso isibindi? Iziguli ezinjalo ukuze ulungise inani lemali akudingekile.

ukweqisa izidakamizwa

Lapho injected sac conjunctival iconsi isidingo nakakhulu hashaza ngamanzi iso. Ngokombono ezinye iziguli kulezi zimo, kwadingeka uhlushwa ukucasuka kwamehlo, barikardii, ukwehlisa umfutho wegazi, ububomvu amehlo nezinye imiphumela emibi. Idinga ukuqhuba ukwelashwa lingaze.

nokushintsha kokudla nokufakwa

Ngokuba ukulungiswa ukulungiselela inqubo kanye ibhodlela, ukususa emaphaketheni zokuzivikela. Udinga qaphela ingamthinti ichopho ibhodlela iyiphi evele ukuvimbela ukutheleleka yesixazululo kanye tip weThrojani.
Ngaphambi inqubo, kumele ukhiphe iringi zokuzivikela. Itholakala kwi ibhodlela yakhelwe ukulawula ukuvulwa kuqala.

Ngemva instillation zomuthi okudingekayo kwamaminithi ambalwa ukuvala Isivalo noma chofoza endaweni izimbobo nasolacrimal. Lezi zenzo kuzonciphisa letindzala side effects kanye ukwandisa umsebenzi izindlela zendawo.

Esimeni lapho ophthalmologist ngaphandle izidakamizwa "DuoTrav" abamiselwe nezinye iso iconsi ikhefu kwisicelo sabo akumelwe kube ngaphansi kuka-5 imizuzu.

Ngaphambi kokusebenzisa izindlela isiguli kumele asuse contact lens akhona sizigqoke imizuzu eyishumi nanhlanu kuphela ngemva kokuhlinzwa.

ukusabela ezingezinhle

Yokusetshenziswa zomuthi "DuoTrav" kubonisa ematfuba ukusabela ezingezinhle yomzimba, okungaba:

- ububomvu esweni;
- punctate keratitis;
- angaboni kahle;
- izinyembezi;
- photophobia;
- ukuluma kwamehlo;
- angaboni kahle;
- ekhulwini erythema;
- anda lacrimation;
- ukuvuvukala Isivalo;
- nokuqiniswa ukukhula eyelashes.

Extraocular side effects kungase kubonakaliswe ukubukeka angina ubuhlungu besifuba, futhi uma kwenzeka isifo sokucindezeleka futhi isebenze izinkinga zesisu, ukuwohloka ku wendlala nekhanda, incontinence urinary, futhi sinusitis.

Lezi enqabayo ukusabela Kubikwa 1-5 iziguli aphume 100.

Lokho okwakudingeka ukuze kukhokhwe izidakamizwa

Yiqiniso, umuthi ngempumelelo kakhulu ngokumelene glaucoma kuyindlela yokuthola "DuoTrav." Nokho, intengo, onganelisekile bonkhe batsengi. Pharmacy Russian lezi amathonsi zidayiswa ruble ibhodlela ngayinye 700 kuya ku-800. Ngakho-ke, abantu abanale isigqugquzeli ingcindezi intraocular, musa ukufuna ukuthola 'DuoTrav. " Analogs yalezi amathonsi iso kukhona intengo kwamukeleke kangconywana. Uhlu eshibhile, kodwa ngesikhathi esifanayo, nahlulele by ukubuyekezwa iziguli izidakamizwa ngokwanele ngempumelelo yilezi ezilandelayo:

- "timolol";
- "Azopt";
- "Kossopt";
- "Travatan";
- "Xalatan";
- "Okumed";
- "Fotil".

Nokho, kuyinto kukhunjulwe kuwufanele ukuthi sinquma indlela "DuoTrav" udokotela, futhi nguye kuphela ukuncoma isiguli uzakwabo eshibhile, abayoba ukulwa futhi ngempumelelo lesi sifo, kanye miotikami. Ngokuzimela ukushintsha imithi kufakwe imithi oyinikiwe is hhayi Kunconywa.