Eye lehla "Nevanak": ukubuyekezwa kanye yokusetshenziswa, analogs

Kuyini eyedrops lalisho ukuthi "Nevanak"? Izimo ukusetshenziswa kwaleli thuluzi futhi iziqondiso zalo ukusetshenziswa, side effects kanye izinkomba kuzoxoxwa ngakho mathiriyeli lo sihloko. Ngaphezu kwalokho, thina uzokutshela mayelana ukuthi kubiza malini izidakamizwa, yini isakhiwo it has futhi lokho abakucabangayo ochwepheshe ke.

Ukwakheka izidakamizwa futhi ifomu ikhishwe futhi emaphaketheni

Eye "Nevanak" amathonsi ayatholakala okudayiswayo njengoba 0.1% ukumiswa, ongase ube ugodo ephuzi noma ogodweni-olintshi.

1 ml nomuthi iqukethe 1 mg nepafenaka. Ngokuqondene excipients, ekwakhiweni yakhiwa izingxenye ezilandelayo: 50% isixazululo benzalkonium chloride, i-sodium hydroxide, tyloxapol, mannitol, carbomer, disodium edetate, i-sodium chloride namanzi ahlanzekile.

Eyedrops "Nevanak" angathengwa weThrojani isitsha, eyenziwe ongaphakeme ukuminyana polyethylene. Ngokuvamile, izidakamizwa ibekwe ebhokisini amakhadibhodi.

izici kwemithi zomuthi

Drops "Nevanak" iso kukhona ifomu abakhuthele of non-steroidal izidakamizwa eqeda ukuvuvukala ne analgesic futhi isenzo eqeda ukuvuvukala.

Ngemva nezokusigcoba isici asebenzayo nomuthi lingena ngokusebenzisa i-cornea komzimba optic. Lapho, ngosizo hydrolases, Ukuguqulwa yayo ku amfenac. Lo msuka kuvimbela isenzo cyclooxygenase, okungukuthi i-enzyme ukuthi kubalulekile ukukhiqizwa prostaglandins.

Phakathi ukusetshenziswa kwalesi ukuvuvukala izidakamizwa ijwabu abahlukene kuyehla, kanti zinyamalale zonke syndromes ubuhlungu. Kumele kuqashelwe ukuthi le izidakamizwa akunamthelela okhethekileko ingcindezi (intraocular).

Pharmacokinetics zomuthi

Kuyoze ugxile izidakamizwa "Nevanak" (ngeso amaconsi)? ochwepheshe lezivakashi bathi lokhu izidakamizwa ngempela ngokushesha bumuncwa cornea isitho ezibukwayo.

Nge instillation nsuku zonke zomuthi kathathu nge 2 amahora wembula ongaphakeme plasma lokuhlala ketshezi asebenzayo.

Isicelo sendawo zomuthi bedle hydrolases intraocular isici esebenza is phansi leso hydrolysis amfenac. Ngemva kwalokho, umzimba walo wabe ngokusebenzisa hydroxylation esiyingini elimnandi. Ngemva kwalokho, le kuholela conjugate nge glucuronic acid.

Asinakusho ukuthi ngeso lehla "Nevanak", noma kunalokho, nempahla yabo asebenzayo isuselwe kuphela ngokusebenzisa nezinso. Kodwa ngesikhathi esifanayo okuhlushwa amfenac nepafenaka umchamo hhayi kungaba ngokuqondile quantifiable.

Ukulungiselela "Nevanak" (ngeso amaconsi) imfundo manual

Sicabanga indlela okufanele isetshenziswe endaweni kuphela. Ngaphambi ukusebenzisa, lo isitsha-weThrojani ezinyakaziswayo ngamandla. Khona-ke, uyivule futhi iconsi uyekiswe ukuba sac conjunctival. Kwenze izikhathi ezintathu ngosuku.

Ngokuvamile, ukwelashwa ngalo muthi isiqala ncamashi usuku olulodwa ngaphambi ukuhlinzwa, okuyinto okufanele iqhutshwe ku nokususa ulwelwesi esweni. Ngaphezu kwalokho, le ndlela yokwelapha kusho ukuqhubeka phakathi namasonto amabili okuqala kwesikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa, kuhlanganise usuku ukusebenza ngokwalo. By endleleni imizuzu 60-120 ngaphambi kokuba uhlinzwe Kunconywa iconsa iconsi imithi eyengeziwe.

Izinkomba ukusetshenziswa amathonsi

Kuyini amathonsi lalisho ukuthi "Nevanak"? Lapho ezikude futhi ukubona eduze ebekiwe zabo kuphela uma isiguli ukuvuvukala elafika ngaphansi kwesimo uhlinzwe ukuze kwelashwe cataract ukususwa. Futhi, lolu izidakamizwa isetshenziselwa nokwelashwa nasezinkingeni ezilandela ngemva kokuhlinzwa ubuhlungu syndromes.

Izimo ukusetshenziswa amathonsi

Kwezinye izimo, awukwazi ukusebenzisa iso amaconsi "Nevanak"? Analogue lokhu ejenti kanye izidakamizwa ngokwayo ibe Izimo ezilandelayo:

• yobudala nesineke kwengu-18 (ukuphumelela nokuphepha zomuthi ezinganeni engakaze wafunda);
• rhinitis oyingozi, urticaria kanye somoya kubangelwa NSAID noma aspirin;
• sensitivity high izakhi futhi izindlela ezinye ama-NSAID.

Overdose kwezidakamizwa

Amacala ukweqisa izidakamizwa "Nevanak" izidakamizwa namuhla ayivezi. Eye izidakamizwa ngokweqile ukuba engahashazanga out ngamanzi afudumele.

side effects

Yini imiphumela emibi ngeso lehla "Nevanak"? Ngokusho imiyalelo, okuyinto unamathele kulesi sikhungo, umuthi linenani elikhulu nemiphumela engemihle. Ngakho-ke, ngaphambi kokufaka isicelo ukuze isiguli kufanele ngaso sonke isikhathi uxhumane nodokotela.

Ngakho iziphi imiphumela emibi ngeso lehla "Nevanak"? Analogs, futhi kakhulu umqondo kusho ngezinye izikhathi kubangele ukusabela ezilandelayo:

• ukusabela Local. Kwezinye izimo, iziguli ezisebenzisa lokhu izidakamizwa, kukhona ubuhlungu kanye ukulunywa esweni, kanye punctate keratitis, kome conjunctival, angaboni kahle, crusting egama-Isivalo kanye umuzwa nomzimba angaphandle. Futhi, leli thuluzi kungaba nomthelela ukubukeka iritis, keratitis, imali corneal, osenyameni evela amehlo, effusion choroidal, photophobia, ukuluma kwamehlo, conjunctivitis nomzimba, iziyaluyalu Isivalo, ukungakhululeki emehlweni, lacrimation anda hyperemia conjunctival.
• Lefundo engemihle. Ngezikhathi ezithile, iziguli abasebenzisa leli thuluzi, kukhona ikhanda, futhi ngakhula blood pressure, isicanucanu, sinusitis, ukuhlanza, nomlomo owomile, ukuzwela anda stretchability kwesikhumba (ie dermatohalazis).

Yiziphi ezinye imiphumela emibi kungabangela izidakamizwa "Nevanak" (iso amaconsi)? Izibuyekezo ochwepheshe bathi ngezinye izikhathi umuthi onjalo iba imbangela keratitis izilonda emathunjini, isici corneal EPITHELIAL noma isifo, ukulimala corneal, lo ukuvuvukala INGENA ISINYENYELA kumiswa okwenzeka ekamelweni phambi iso. Ngaphezu kwalokho, leli thuluzi kungaba isimo sibe sibi corneal ukuphulukiswa inqubo nokwehlisa acuity ezibukwayo neqhaza opacification corneal.

Okufanele ukwenze uma imiphumela emibi?

Uma ngemva kokufaka iso lehla phambi kwethu batjengise side effects, kutuswa ngokushesha ayeke ukudla izidakamizwa. Ngaphezu kwalokho, imithi noma kunjalo ayikwazi ukusetshenziswa kulabo iziguli okukuyo ubufakazi lokulimala cornea.

Asinakusho ukuthi isipiliyoni sokusebenzisa ama-NSAID sendawo luveza ukuthi iziguli ezine-yezinkinga elandelayo nokuhlinza amehlo, izici epithelium corneal, denervation we-cornea, isifo sikashukela, isifo samathambo kanye olukha phezulu iso iziyaluyalu noma okuphindiwe imisebenzi kuhlinzwa ezazingaphansi aphethwe isikhathi esifushane sengozini enkulu yemiphumela emibi evela cornea. By the way, leli qiniso kungaba iwusongo lwangempela umbono ukulahlekelwa.

Ukusebenzisana neminye imithi

Ngokocwaningo olwenziwa, ngesikhathi kufakwa "Nevanak" eyedrops nezinye izidakamizwa kuyimiphumela singenakwenzeka ezimbi.

Ngaphezu kwalokho, ulwazi ukusetshenziswa ngesikhathi esisodwa izidakamizwa phambi kwethu futhi prostaglandin analogue awatholakali okwamanje. Kodwa, unikezwa izindlela isinyathelo lezi izidakamizwa, zingabantu isicelo yesikhathi esisodwa kuba engathandeki kakhulu.

Ngo-acute kudingeka eyedrops "Nevanak" lingasetshenziswa lihambisana namanye izidakamizwa (amehlo), okuyinto zenzelwe isicelo nezokusigcoba. Kulokhu, isikhawu phakathi engcwaba kubo kumele kube amaminithi okungenani eziyisihlanu.

Lactation nokukhulelwa

Ngingakwazi ukusebenzisa ngesikhathi sokukhulelwa lehla "Nevanak" (I-ukubona eduze noma ezikude kuphela)? On lo mbuzo ochwepheshe ukunika izimpendulo eziqondile. Phakathi nenkathi yokukhulelwa, le ukusetshenziswa imithi akuvunyelwe. Ngaphezu kwalokho, uma amathonsi wabelwe umama osemncane ngesikhathi lactation, le ibele kufanele ngokushesha ayisekho.

Nezivivinyo izilwane zokucwaninga yabonisa ubuthi zokuzala kusho phambi kwethu. Ukuyitadisha ngokucophelela le ncwadi umthelela we ketshezi asebenzayo in the Izitho zokuzala amagundane ethola ngemithamo anobuthi (ngaphezu kuka-10 mg / kg) isikhathi ngasinye kwaholela dystocia futhi siphinde sikhulise isibalo kwezisu nokuguqulwa, ukwehlisa umzimba mass nokukhula zemibungu bese ukunciphisa ziphile.

Asinakusho ukuthi onogwaja abakhulelwe Uthola le izidakamizwa ngemithamo ephansi anobuthi (30 mg / kg) ngaso sonke isikhathi kwaholela ekwandeni e kombungu onogwaja.

isiqondiso Specific on ukusetshenziswa iso amaconsi

Ngingalutholaphi ukuthenga ngeso lehla "Nevanak"? Ngo Grodno neminye imizi Belarus, kanye ezweni lethu lokhu izidakamizwa okuthengiswa cishe njalo ikhemisi.

Labo iziguli ababelwa le imithi, kufanele ugweme isikhathi eside elangeni.

Ukusetshenziswa ejenti non-steroidal (sendawo) ungakwazi ngempela kalula kuholele keratitis. Kwezinye iziguli singangena nge ukusetshenziswa kwesikhathi eside lezi imithi kubangela corneal thinning, ukudabuka amangqamuzana EPITHELIAL, kanye ukuguguleka cornea, perforation futhi ulceration. uhlangothi okunjalo imiphumela elimazayo ingase ingasheshi ukunikelela embonweni ukulahlekelwa. Iziguli izimpawu lamaseli discontinuity EPITHELIAL kufanele ngokushesha ayeke ukudla izidakamizwa. Futhi, kudingeka babe ngaphansi kweso lwezokwelapha esiqinile.

Ukusetshenziswa kwezidakamizwa ezingekho steroidal (sendawo) ngokuhlanganyela nokuhlinza amehlo kungabangela ukopha okukhulu, kuhlanganise gifemu. Ngakho-ke, lezi amathonsi iso kumele kube ngokucophelela okukhulu kulezo ziguli ukuthambekela opha. Kuyefana nasendleleni iziguli ukuthatha imithi ukuthi ukwandisa isikhathi igazi ekunqandeni.

Udaba phambi kwethu nomuthi iqukethe uyakulondoloza ezifana benzalkonium chloride. Ngokusho kochwepheshe, kungaba ngalesi siyingi kubangele ubuhlungu kwamehlo, kanye ichaza ukushintsha kombala contact lens. By the way, bethwele zokugcina it is hhayi Kunconywa ngesikhathi kwesikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa (ngemva cataract). Futhi, contact lens ayikwazi ukusetshenziswa ngesikhatsi ukwelashwa kusho "Nevanak".

Akunakwenzeka ukuba uqaphele yokuthi benzalkonium chloride, oyingxenye lokulungisela kungadala isiguli anobuthi esidalwa yizilonda emathunjini sibe keratitis futhi punctate keratitis. Kule ndaba, yesikhathi eside kanye nokusebenzisa njalo imithi idinga ukubhekwa ekhethekile zokwelapha iziguli.

Ukusetshenziswa yendawo ejenti non-steroidal olungavimba ukuhlonza izimpawu esifike izifo sibi ocular, ngoba abanayo izakhiwo elwa namagciwane. Endabeni isifo ukusetshenziswa okunjalo kwesikhathi esisodwa kwama-ama-NSAID nge ejenti elwa namagciwane lufanele lwenteke kulamazinga lalandzelako kuhambisana zonke zokuphepha.

Lapho usebenzisa i-nepafenaka kukhona kungenzeka cross-luvelo phenylacetic acid okunye, acetylsalicylic acid namanye amanxusa-non-steroidal.

Phakathi isicelo sale izidakamizwa is hhayi Kunconywa ukuba uthinte ichopho ibhodlela imithi kunoma iyiphi indawo ukuze ugweme ukungcoliswa. Ngemva ukusetshenziswa, isitsha kufanele ivalwe kahle.

Analogs, futhi izindleko imithi

Kungakanani kukhona iso lehla "Nevanak" (Belgium)? Amakhemini eMoscow nakwamanye amadolobha wezwe lakithi izidakamizwa volume of 5 ml angathengwa 500-600 ruble Russian. Uma nganoma isiphi isizathu ungayitholi imithi, kufanele kufakwe i-analog. Ngo "Nepafenak" iso iconsi singasebenza njengesisekelo esiqinile sokufinyelela izidakamizwa ezinjalo.

Drops "Nevanak": umbono uchwepheshe kanye kobufakazi nesineke

Izazi eziningi zinombono wokuthi ngaphandle iso "Nevanak" lehla ukuqhuba uhlinzwe ukuze kwelashwe cataract ukususwa ayiphephile. Ngakho-ke, lokhu izidakamizwa ngokuvamile ebekiwe iziguli uphethwe wathi, ikakhulukazi uma ukusebenza sihlelelwe esikhathini esizayo esiseduze.

Njengoba for labo abantu okumele zikhokhwe lezi amathonsi, bona awuligubhi umphumela ebonakalayo kubo. Ngaphezu kwalokho, ukusetshenziswa eside lokhu izidakamizwa kubangela inombolo kahle esikhulu amathuba okuba nemiphumela engemihle. Ngokwesibonelo, ezinye iziguli esekhala nentuthu emehlweni, kanye nezinye - ku uvutha ukuzwa eqinile.

Ngokusho imiyalelo, lapho okukhulunywa imiphumela engemihle amathonsi kufanele ngokushesha ayeke, okuyinto kucasula kakhulu iziguli eziningi. Phela, eyodwa umfuma umuthi ngempela eqolo.

Imigomo nemibandela isitoreji izidakamizwa

Hlala iconsi iso "Nevanak" desirably ezingeni lokushisa 5-8 degrees aphume kufinyelela khona izingane ezincane. Impilo eshalofini lokhu mkhiqizo engu-2. Ukuze ukwazi ukufaka isicelo ngokugcwele lokhu remedy kufanele kube amasonto amane ngemuva kokuvula ibhodlela weThrojani. Emva kosuku lokuphelelwa yisikhathi eboniswa ku iphakethe, ungasebenzisi imithi embuzweni.