I-Voltaren (i-gel): ama-analogues, imiyalelo, ukusetshenziswa, ukuphikisana

Ngabe yikuphi ukwehlukana yimithi "i-Voltaren" (i-gel) enqunyiwe? Ama-analogues, izinkomba zokusetshenziswa kwalolu remedy, imiphumela yaso emibi kanye nokuphikisana kuzochazwa ngezansi. Futhi sizokutshela ngalokho ongayenza khona esikhundleni somuthi owethulwe, ukuthi ubiza kangakanani, ukuthi kufanele usetshenziswe kanjani, njalonjalo.

Ukwakhiwa nokupakisha

Yiziphi izingxenye ezibandakanya i-Voltaren (i-gel)? Ama-analogues ale agent yangaphandle kanye nomuthi ngokwawo ungaqukatha izinto ezihluke ngokuphelele, kodwa abe nomphumela ofanayo.

Ngokweziqondiso ezifakiwe, ukwakheka kwe-1% i-gel yokusetshenziswa kwangaphandle kuhlanganisa i-diclofenac diethylamine. Kuyinto esebenzayo efaka isandla ekuqedeni ubuhlungu be-syndromes.

Futhi, imithi ihlanganisa izingxenye ezisizayo njenge-carbomers, i-macrogol, i-cetostearate, i-caprate ye-capillar, i-diethylamine, i-isopropanol, i-paraffini, ukhilimu onephunga, i-propylene glycol namanzi.

Kukuphi okufakwayo i-Voltaren ekuthengisweni? I-Gel (inani layo libalwe ngezansi) linokuvumelana okuhambisanayo nokuhle. Lokhu kuvumela ukuthi kukhishwe ku-aluminium kanye namabhubhu aqoshiwe angu-10, 50, 20, 75 no-100 g.

Izici zezemvelo ze-agent yangaphandle

Iyini isidakamizwa "Voltaren" (gel)? Ama-analogues alo muthi kanye nomuthi ngokwawo yi-NSAID. Imithi enjalo ingase ibe nomphumela we-analgesic ne-anti-inflammatory effects.

Inqubo yokuvimbela ukungakhethi kwe-COX-2 ne-COX-1, lesi sidakamizwa siholela ekuphazanyeni kwe-metabolism ye-arachidonic acid.

Kumele kuqashelwe ukuthi lesi sidakamizwa sisetshenziselwa ukuqeda ubuhlungu be-syndromes nokunciphisa ukuvuvukala okuhlobene nezinqubo zokuvuvukala.

Izinkampani ze-Pharmacokinetic ze-agent yangaphandle Voltaren

Ingabe into esebenzayo yalesi sidakamizwa yamukele (i-diclofenac)? "I-Voltaren" isetshenziswa kuphela ngaphandle. Uma izilinganiso zinconywa udokotela, imithi ayitholi ngaphezu kuka-6%. Kodwa lokhu kuphela uma isikhumba esisetshenziswa kuso asinayo ukulimala namanxeba.

Izinkomba zokusetshenziswa

Kuziphi izifo i-"Voltaren" (i-gel) ekhethiwe? Izilinganiso zalesi sidakamizwa futhi yena ngokwakhe ujwayele ukusetshenziswa lapho:

• Ubuhlungu obubuyela emuva, kuhlanganise nezifo ezishisayo nezivuzayo zomgogodla (isibonelo, nge-radiculitis, i-osteoarthritis, i-lumbago, ne-sciatica);
• Ubuhlungu emajoyini, kufaka iminwe namadolo;
• I-osteoarthritis ne-rheumatoid arthritis;
• Ubuhlungu emisipha evukile ngenxa yokweqa ngokweqile, ukulimala, ukulimala kanye nokuvuthwa;
• Ukuvuvukala nokuvuvukala kwamalungu kanye nezicubu ezithambile ezivele ngenxa yokulimala okuhlukahlukene;
• Izifo ze-Rheumatic (isibonelo, nge-tendovaginitis, i-bursitis, izilonda zamathisimu angaphandle).

Ukungafani kokusetshenziswa

Uyazi ukuthi yiziphi izifunda ezingenakusebenzisa izinto ezisebenzayo njenge-diclofenac? I-Gel, inani eliphakeme kakhulu, alinconywa ngabantu abanomkhuba wokuhlakulela ukuhlaselwa kwe-asthma, ukukhwabanisa kakhudlwana, kanye nokusetshenziswa okukodwa kwe-acetylsalicylic acid nezinye i-NSAID.

Futhi kunqatshelwe ukusebenzisa imithi yangaphandle yokwephula ubuqotho besikhumba (esiteshini sesicelo), ku-trimester yesithathu yokukhulelwa, ngesikhathi sokukhulelwa, ebuntwaneni (kuze kube ngu-12) kanye nokuzwela kwesiguli ku-diclofenac noma ezinye izakhi zomuthi.

Ukusebenzisa ngokucophelela

Yiziphi izinyathelo zokuqapha okumelwe ziziwe ngaphambi kokusebenzisa into enjalo esebenzayo njenge-diclofenac? I-Gel, inani eliboniswa ekugcineni kwalesi sihloko, lihlelwe ngokuqapha okukhethekile kubantu abane-hepatic porphyria (ikakhulukazi esiteji esibucayi), kanye nezilonda ezinomsoco nezilonda zesisu sokugaya, isifo se-asthma, isifo esingapheli senhliziyo, isifo esinamandla nesibindi esinzima , Esigabeni sokuqala nesithathu sokukhulelwa kanye nokuguga.

Isilinganiso nokuphatha

"Diklak" i-analog ye "Voltaren". Ukusebenzisa kufanele kuqondiswe udokotela kuphela. Lokhu kungenxa yokuthi lezi zidakamizwa zingaba nemiphumela emibi kakhulu, izilinganiso nokuphikisana.

Ngakho-ke, ungayisebenzisa kanjani imithi "Voltaren"? Isidakamizwa sisetshenziswa kuphela ngaphandle. Abantu abadala kanye nezingane ezingaphezu kweminyaka engu-12 ubudala basebenza esikhumbeni izikhathi ezine ngosuku. Ngesikhathi esifanayo, kukhishwa kancane kancane.

Isibalo somuthi ocatshangelwayo sincike ebukhulu besimo esibuhlungu. Isilinganiso sesikhathi esisodwa ngokuvamile si-2-4 g. Ngokomthamo, lokhu kufaniswa nobukhulu be-cherry eyodwa noma i-walnut eyodwa. Ngemuva kokusebenzisa imithi, geza izandla ngokusanhlamvu kanye namanzi.

Isikhathi sokwelashwa sincike ekusebenzeni kwayo kanye nezinkomba. Ngendlela, ezinye izazi zincoma ukuzisebenzisa kanye nezinye izinhlobo ze "Voltaren" ngomphumela othuthukisiwe wezidakamizwa.

Ngemuva kokuphela kwamasonto amabili emva kokuqala kokwelapha, kubalulekile ukuhlola ukufaneleka kokusetshenziswa kwejel.

Imithetho yokusetshenziswa kwe-anesthetic

Kuncike emaphaketheni lapho kukhishwa khona i-gel, izindlela zokusebenzisa nazo ziyashintsha.

• Amabhubhu ahlutshiwe. Ukuze ususe i-membrane evikelayo kusukela ekulungiseleleni, sebenzisa i-cap screw (okungukuthi i-recess ne-projection engaphandle) njengesihluthulelo. Ngakho-ke, kuyadingeka ukuhlanganisa ukuphelelwa yisikhathi ngekhanda elivikelayo futhi wenze ukunyakaza kwendilinga.
  
  (Ngendlela, amashubhu aqoshiwe akhiqizwa kuphela ngesembozo esivamile, kodwa futhi anezinto ezintsha, ezinomumo wesigxathu. Le phakheji iyasiza kakhulu kulabo abagulayo abanokulinganiselwa ekuhambeni okuhlangene ngenxa ye-osteoarthritis noma ezinye izifo, ukulimala.)

• Izigaxa ze-Aluminium. Ngaphambi kokusebenzisa le mithi, i-membrane evikelayo kufanele ihlatshwe besebenzisa i-protrusion ekhethekile ngaphandle kwe-cap screw.

Izimpawu zokudlula ngokweqile

Ukwehlisa okuncane kakhulu kwe-systemic yezinto ezisebenzayo zalesi sidakamizwa kwenza ukuthi ukudlula ngokweqile kungenzeki. Kodwa ngokusetshenziswa kwamagremu angu-100 we-gel, okulingana no-1000 mg we-diclofenac, isiguli singase senze ukusabela okungafuneki, okufana nemiphumela emibi. Kulesi simo, ukwelashwa ngesiguli kuyadingeka.

Imiphumela emibi

Ukusabela okungathandeki okuvela ngemuva kokusebenzisa i-gel ngaphandle, kubonakala ngokubonisa ngokulinganisela, kanye nokudlula kwesikhumba ukubonakaliswa. Ngokuvamile, iziguli zine-erythema, i-eczema ne-dermatitis, kufaka phakathi othintana nabo kanye ne-dermatitis enezinyosi. Ngezinye izikhathi, ukuqhuma kwe-pustular, ukuhlukumeza okujwayelekile kanye nokuphendula okwenziwe okwenziwe njenge-urticaria kungenzeka esikhumbeni.

Futhi, lesi sidakamizwa singabangela ama-angioedema, ukusabela kwe-photosensitivity, ukusabela kwe-bronchospastic nokuhlaselwa kokuphelelwa amandla.

Izincomo Ezikhethekile

I-Gel "i-Voltaren" ingathuthukisa umphumela wezindlela ezibangelwa i-photosensitivity. Ngakho-ke, ukuhlanganisa izidakamizwa ezinjalo akukhuthazwa.

Sebenzisa imithi kuphela ezindaweni ezikhulayo zesikhumba, ugweme ukuya emanxebeni ahlukahlukene. Ngemuva kokusebenzisa lesi sidakamizwa, akunconywa ukusebenzisa i- bandage evamile.

Izidakamizwa ezifanayo

Namuhla kunenombolo enkulu yezilinganiso zomuthi onjalo njenge "Voltaren". Phakathi kwezintandokazi kunazo zonke okulandelayo: Diclofenac, Rapidus, Diclac, Rapten 75, Almiral, Asephil, Diclobert, Aertal, Dicloran, Actinac, Diclo Duo, Dolex, Diclo-F, Diclocaine, Diclotol, Dicloreum, Blokium B12, Diclobru, Ketanov, Olfen, Indomethacin, Naklofen, Ketalgin, Orthofen, Ketolak, Feloran, Bol-Run, Diklovit.

I-gel "Voltaren" nayo yonke imikhiqizo ehlongozwayo ngokushesha isusa izinhlungu zesifo, ngcono kakhulu isimo sesiguli.

Intengo yomkhiqizo wangaphandle

Kungakanani umuthi "Voltaren" (gel)? Inani lalo liphakeme kakhulu. 50 g wezidakamizwa ongayithengela ama-ruble angu-300. Uma udinga umthamo omkhulu, ungathenga ithubhu engu-100-g noma i-gel 2%. Izindleko zabo zingama-320 nama-ruble angu-560 ngokulandelana.

Ukubuyekeza mayelana nomuthi

Okuningi ukubuyekezwa mayelana ne-gel Voltaren kuhle. Iziguli zithi emva kokusetshenziswa kokuqala kwemizwa yezihlungu ezidakamizwa zibonakala zingabonakali. Ngesikhathi esifanayo, ukukhukhumeza kunciphisa, okubonakaliswa njengomphumela wokulimala.

Impendulo kuphela yale mithi yindleko ephezulu. Kodwa-ke, ochwepheshe bathi ngisho nethubhu encane enejelisi yanele ukwelashwa konke.