"Voltaren" ndi pulasitala yomwe imachepetsa ululu kumbuyo, minofu ndi ziwalo. Malangizo ogwiritsidwa ntchito

"Voltaren" (pulasitiki) ndi mankhwala ndi diclofenac, yomwe imathandiza kuchepetsa ululu m'magulu, mmbuyo, minofu. Ili ndilo pulasitiki yoyamba, yomwe si mankhwala, koma mankhwala.

Pharmacological action

Mankhwalawa ndi amtengo wapatali umene amamanga okhala ndi diclofenac-NSAID akhala akugwiritsidwa ntchito kwa zaka zambiri zomwe zimagwiritsidwa ntchito pofuna kuthandiza kuchepetsa kupweteka, kuuma ndi kutukumula m'matenda otentha, osteoarthrosis, rheumatism ndi kupsinjika kwa matenda ofewa, ululu wammbuyo. Chogwiritsira ntchito chimalepheretsa kaphatikizidwe ka prostaglandins, kotero kuti zotsatira zotsutsa ndi zotupa zimapezeka. Kumalo ogwiritsira ntchito, matenda a ululu amachotsedwa, kutupa komwe kumakhudzana ndi kutupa kumachepetsedwa. Komanso, Voltaren (pulasitala) imathandiza kwambiri kupweteka (pambali iyi, kupambana kwake kuli bwino kuposa kugwiritsa ntchito chigamba "Indomethacin", chomwe chimatsimikiziridwa ndi ndemanga).

Pharmacokinetics

Diclofenac, yomwe ilipo pamtanda wosanjikizika, imalowa mkati mwa khungu kupita ku gwero la ululu mkati mwa maora makumi awiri ndi anayi. Kusungunuka mu minofu ya mitsempha ya chogwiritsira ntchito popanga "Voltaren" chigamba chidzakhala chimodzimodzi ndi kugwiritsa ntchito galasi ya Voltaren Emulgel. Choncho, tinganene kuti mankhwalawa ndi bioequivalent. 99.7% ya diclofenac imamanga mapuloteni a seramu, kuphatikizapo 99.4% ya albumin. Moyo wa hafu ya mankhwala yogwira ntchito ndi ola limodzi kapena awiri. Moyo wa theka wa metabolites ndi ola limodzi kapena atatu. Chisangalalo chimapangidwa ndi mkodzo.

Kwa odwala omwe ali ndi vuto lopweteka kwambiri, palibe kuphatikiza kwa diclofenac ndi metabolites. Kwa anthu omwe ali ndi matenda a chiwindi osagwiritsidwa ntchito mosavuta, matenda a chiwindi, maselo ndi kinetics a chigawo chogwira ntchito zimachitika mofanana ndi anthu omwe alibe matenda a chiwindi.

Zizindikiro zogwiritsidwa ntchito

Ndi matenda ambiri a zida zamagetsi adzakhala mankhwala othandiza "Voltaren." Chigwiritsirochi chimagwiritsidwa ntchito popweteka kumbuyo pokhapokha ngati matendawa amatha kupwetekedwa ndi kutupa kwa msana (ndi osteoarthritis, sciatica, radiculitis, lumbago), kupweteka kwa minofu chifukwa cha kupweteka kwambiri , kuvulazidwa, kupweteka, kupweteka, ndi kupweteka m'magulu a osteoarthritis, nyamakazi ya nyamakazi. Zina mwa zinthuzi, zimagwiritsidwa ntchito kuthetsa kudzikuza ndi kutupa kwa ziwalo ndi zofewa zofewa m'matenda a rheumatic (bursitis, tendovaginitis, zilonda zamkati zamkati).

Fomu ya mlingo ndi zolemba

Chigambachi chili ndi mapangidwe ozungulira omwe ali ndi mapepala, omwe amakhala ndi mapuloteni omwe amawoneka mofanana ndi fungo lokhazika mtima pansi (mtundu wa zomatira pamtunduwu ukhoza kukhala wopanda mtundu wachikasu). Mzere wosakanikirana pamwamba umatetezedwa ndi filimu yotetezedwa ya polyethylene filimu ndi ziwiri zozungulira (pa imodzi ya mzere). Firimuyi ili ndi chithunzi chomwe chikuwonetsera momwe mungachichotsere pamtanda.

Pali mitundu yambiri ya mankhwala ofotokozedwa amatanthauza "Voltaren". Chigambacho chingakhale ndi mamiligalamu 15 kapena 30 a sodium diclofenac. Pachifukwa ichi, mankhwalawa, kuphatikizapo 15 mg wa zowonjezera, amapanga 70 x 100 millimeters, kuphatikizapo 30 mg ndi 100 x 140 millimeters. Zosakaniza zachiwiri ndi methylpyrrolidone, chingamu chodziwika bwino, citric acid, levomenthol, polyisobutylene, propylene glycol esters ya mafuta acids, isoprene-styrene copolymer, butylhydroxytoluene, polyester fiber base, mercaptobenzimidazole, parafini yamadzi, filimu yoteteza polyester.

Momwe mungagwiritsire ntchito chigamba "Voltaren"? Malangizo. Mtengo:

Chigambachi chimagwiritsidwa ntchito khungu mwa mawonekedwe a ntchito. Iyenera kuyendetsedwa kumalo opweteka osati kuchotsedwa mkati mwa maora makumi awiri ndi anayi. Chinthu chimodzi chokha chimaloledwa kwa tsiku limodzi. Malinga ndi chiwerengero cha deta, Valtaren mankhwala ochiritsira amatchuka kwambiri pakati pa odwala. Malingaliro a iwo omwe amawagwiritsira ntchito, monga ubwino, poyamba ndi onse akuwonetseredwa mosavuta kuchitidwa ndi kuchotsedwa. Komanso, odwala amasangalala kuti chigambacho sichitha kuoneka pansi pa zovala (chifukwa chakuti opanga apanga kukhala akuda kwambiri ndi a mtundu wa thupi). Ngati malo owonongeka ali ochulukirapo, muyenera kugwiritsa ntchito mankhwala olemera 140 x 100 millimeters. Pofuna kulandira zovulala zofewa, chigambacho chiyenera kugwiritsidwa ntchito masiku osachepera khumi ndi anayi, matenda ophatikizana komanso osokonezeka - osapitirira masiku makumi awiri ndi limodzi (kupatulapo dokotala atakhazikitsa dongosolo losiyana). Ngati patatha masiku asanu ndi awiri (7) mankhwalawa asasinthike kapena akufalikira, m'pofunika kuimitsa kugwiritsa ntchito mankhwalawa ndikufunsani katswiri kuti awathandize pazochita zina.

Chipindacho chimamasulidwa m'ma pharmacies m'matembenuzidwe angapo. Motero, zopangidwa ndi mamiligita 15 a diclofenac zimagulitsidwa phukusi la zidutswa ziwiri kapena zisanu. Poyamba, mtengowo umasinthasintha kuyambira pa 125 mpaka 145 rubles, m'chiwiri - kuchokera pa ruble 270 mpaka 315. Chigamba chokhala ndi mamiligita 30 cha diclofenac chikugulitsidwa m'matangadza a awiri. Mtengo wa pharmacies osiyana umasiyana ndi ruble 205 mpaka 220. Zida zonse zili mkati mwazitsulo zopangidwa ndi aluminium, zomwe zimayikidwa mu makatoni. Kupereka mankhwala ogulira mankhwalawa sikufunika.

Zovuta zochitika

Zowononga zomwe zingayambike kumbuyo kwa kugwiritsiridwa ntchito kwa "Voltaren" chigamulo zimachepetsedwa kuti ziwonetsedwe zochepa mu malo ogwiritsira ntchito (monga lamulo, zimafotokozedwa mofulumira komanso mofulumira). Choncho, odwala ena ali ndi mapepala, modzikongoletsa, kuyabwa, zovala, erythema, kupukuta, kuthamanga, dzuwa. Nthawi zambiri, ng'ombe zamphongo zimapezeka . Kwa anthu amodzi (makamaka kawirikawiri) chifukwa chogwiritsira ntchito chigambachi, panali zophulika za pustular, zochitika za photosensitivity, kuthamanga kwa khungu, kutuluka kwa khungu pamtundu wa masoka a asthma, bronchospasm, urticaria, angioedema.

Contraindications

Pamaso pa hypersensitivity kwa diclofenac kapena zigawo zina zomwe zilipo pakugwiritsidwa ntchito, mankhwalawa sayenera kugwiritsidwa ntchito. Komanso sizingalimbikitse kugwiritsa ntchito chigamba kwa anthu omwe amatha kudwala matenda a mphuno, kutupa kwa mphumu, kupweteka khungu, kuchita mankhwala ndi acetylsalicylic acid kapena zina za NSAID. Kugwiritsiridwa ntchito kwa mankhwalawa ndi ana osakwana zaka khumi ndi zisanu. Sikoyenera kumangiriza chigamba pa malo omwe umphumphu umasweka. Amagwiritsidwa ntchito mosamala pamaso pa zilonda za m'mimba zowonongeka, zilonda za mtima, kulephera kwakukulu kwa impso kapena chiwindi, chiwindi porphyria (panthawi yovuta).

Gwiritsani ntchito panthawi yoyembekezera ndi lactation

Malinga ndi kusowa kwa chidziwitso kuti ngati "Voltaren" chigamulo chingasokoneze mwana wamwamuna panthawi yomwe ali ndi mimba, ndipo ngati chimalowa mkaka wa m'mawere, amayi omwe ali ndi pakati ndi omwe akukakamiza sayenera kuzigwiritsa ntchito.

Kuwonjezera pa mankhwala ndi kuyanjana ndi mankhwala ena

Chifukwa chakuti pogwiritsira ntchito mankhwalawa kwa mawonekedwe a mankhwala osokoneza bongo ndi otsika kwambiri, kuwonjezera pa zovuta kumachotsedwa.

Ndi kugwiritsira ntchito panthawi yomweyo patch ndi mankhwala omwe amachititsa zithunziensitivity, zotsatira za wotsirizira zingakulitsidwe. Kuyanjana ndi mankhwala ena okhudzana ndi kuchipatala sikunenedwa.

Malangizo apadera

Musalole kuti zogwiritsidwa ntchito zikupezeka muzitsulo zowonjezeramo kuti zilowe muziwalo kapena maso. Chogulitsidwacho chimaloledwa kukamatira pazowonjezera zopanda pake, ntchito yake kumadera okhala ndi mabala otseguka sichivomerezeka. Mukamagwiritsa ntchito chigawo chotchedwa "Voltaren" kwa nthawi yayitali, pali chiopsezo choyipa. Ngati mankhwala ena omwe ali ndi diclofenac amagwiritsidwa ntchito pamodzi ndi mankhwala omwe akufotokozedwa, m'pofunikira kuganizira zomwe zilipo pagawoli ndipo osadutsa mlingo wake wochuluka woyenera (tsiku lililonse ndi 150 milligrams). Kafukufuku wasonyeza kuti liwiro la kusintha kwa maganizo pogwiritsa ntchito njira ndi kuyendetsa galimoto, mtundu uwu wa mankhwala "Voltaren" alibe mphamvu. Moyo wamatabwa wothandizira, ngati utasungidwa m'mapangidwe oyambirira ndi kutentha kwa madigiri osachepera 25 Celsius, ndi zaka ziwiri.