Sanovask yog ib qho tshuaj tiv thaiv kab mob (antiplatelet) uas siv rau hauv kev siv tshuaj kho mob raws li cov tshuaj tiv thaiv kev ua kom tsis haum thiab ua npaws. Cov tshuaj yog siv tawm tsam kis thiab kis kab mob. Cov tshuaj muaj nyob hauv ntsiav tshuaj daim ntawv yooj yim rau kev tswj hwm.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Acetylsalicylic acid.
Sanovask yog siv tawm tsam kev kis mob thiab mob.
ATX
B01AC06
Tso cov ntawv thiab cov nyob ua ke
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm enteric-coated ntsiav tshuaj. Raws li cov tshuaj nquag, 100 mg ntawm acetylsalicylic acid yog siv. Ntu Cheebtsam muaj xws li:
- colloidal silicon dioxide;
- microcrystalline cellulose;
- lactose monohydrate;
- sodium carboxymethyl hmoov txhuv nplej siab.
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm enteric-coated ntsiav tshuaj.
Lub plhaub sab nraud ntawm cov tshuaj muaj copolymer ntawm methacrylic acid, macrogol 4000, povidone, ethyl acrylate. Cov chav nyob ntawm cov tshuaj muaj puag ncig biconvex duab thiab yog pleev xim dawb. Cov ntsiav tshuaj muab ntim rau hauv 10 daim hauv hlwv pob ntawm 10 daim los yog ntim hauv hnab yas ntawm 30, 60 daim. Cov thawv ntawv cardboard muaj 3, 6 lossis 9 lub hlwv.
Pharmacological kev txiav txim
Cov tshuaj yog rau cov pab pawg ntawm cov tsis-steroidal anti-inflammatory tshuaj. Lub tshuab ua haujlwm ntawm qhov kev txiav txim siab vim yog qhov haujlwm ua haujlwm ntawm acetylsalicylic acid, uas muaj cov khoom ua haujlwm tiv thaiv thiab tawm tsam. Cov tshuaj lom neeg lub cev muaj cov nyhuv analgesic ib nrab thiab txo cov platelet adhesion.
Cov khoom xyaw nquag hauv Sanovask inhibits cyclooxygenase, qhov tseem ceeb enzyme hauv cov metabolism hauv arachidonic fatty acid, uas yog ib qho kev tso tawm ntawm prostaglandins uas ua rau kom mob, o thiab kub cev. Nrog ib qho kev poob qis hauv qib ntawm prostaglandins, qhov kub ntawm lub cev yog ib txwm tau pom vim muaj kev tawm hws ntau ntxiv thiab vasodilation nyob rau hauv txheej subcutaneous rog txheej.
Cov nyhuv analgesic tshwm sim nrog qhov thaiv ntawm thromboxane A2. Thaum noj cov tshuaj, platelet adhesion poob qis.
Cov tshuaj txo txoj kev pheej hmoo ntawm kev tuag vim myocardial infarction thiab tsis khov lub siab tsis ncaj. Cov tshuaj muaj txiaj ntsig raws li kev tiv thaiv kab mob rau cov kab mob ntawm cov ntshav ncig thiab mob plawv lub plawv. Acetylsalicylates, thaum noj ntau dua 6 g, inhibit synthesis ntawm prothrombin hauv hepatocytes.
Cov tshuaj pab txhawm rau txo qis kev txiav txim siab ntawm cov ntshav coagulation yam, nyob ntawm qhov zais ntshis ntawm cov vitamin K. Hauv kev txhaj tshuaj siab, txo qhov tso zis tso zis tso zis. Vim qhov thaiv ntawm lub cev hluav taws xob ua ke ntawm cyclooxygenase-1, kev ua txhaum cai tshwm sim nyob rau hauv lub plab zom mov, uas tuaj yeem ua rau kev txhim kho ntawm qhov txhab txhab ntxiv nrog rau tom qab los ntshav.
Cov tshuaj muaj txiaj ntsig raws li kev tiv thaiv kab mob rau cov kab mob ntawm cov ntshav ncig thiab mob plawv lub plawv.
Cov Tshuaj Pharmacokinetics
Thaum noj ntawm qhov ncauj, cov tshuaj nquag muaj nqus sai rau hauv microvilli ntawm qhov sib thooj me me ntawm txoj hnyuv thiab qee qhov hauv lub plab kab noj hniav. Noj ua rau kom lub zog nqus tsawg dua ntawm cov tshuaj. Acetylsalicylic acid yog hloov pauv hauv hepatocytes rau hauv salicylic acid, uas, thaum nws nkag mus rau hauv cov kab ke hauv lub cev, khi rau cov ntshav plasma li 80%. Ua tsaug rau qhov tsim los ntawm cov txheej txheem, cov tshuaj lom neeg lub cev pib faib rau cov ntaub so ntswg thiab lub cev ntawm lub cev.
60% ntawm cov tshuaj tawm hauv nws cov qauv qub los ntawm kev tso zis. Ib nrab-lub neej ntawm acetylsalicylate yog 15 feeb, salicylates - 2-3 teev. Thaum noj qhov ntau ntawm cov tshuaj, lub ib nrab lub neej nce rau 15-30 teev.
Kev ntsuas rau siv
Cov tshuaj yog npaj rau kev kho mob thiab tiv thaiv ntawm cov txheej txheem hauv qab no:
- mob cov tsos mob ntawm ntau txoj kev mob me me mus rau mob hnyav (neuralgia, mob pob txha mob, mob taub hau);
- cerebrovascular kev raug mob nyob rau hauv lub xub ntiag ntawm ischemic qhov chaw;
- kub taub hau tawm tsam cov kab mob ntawm ib qho kis;
- myocarditis kis thiab ua xua;
- rheumatism;
- thrombosis thiab thromboembolism;
- mob plawv infarction.
Hauv kev tiv thaiv kab mob thiab kev ua xua, cov tshuaj siv hauv kev kho mob kom tshem tawm cov tshuaj aspirin triad thiab kev tsim cov ntaub so ntswg tiv thaiv NSAIDs hauv cov neeg mob aspirin hawb pob. Cov tshuaj yog siv nrog cov tshuaj tiv thaiv zuj zus txhua hnub.
Cov Yuav Tsum Muaj
Cov tshuaj yog txwv rau siv nyob rau hauv cov ntaub ntawv hauv qab no:
- nrog ulcerative erosive kab mob ntawm lub plab thiab duodenum nyob rau hauv mob mob theem;
- tshuaj aspirin triad;
- nce kev cuam tshuam ntawm cov ntaub so ntswg mus rau NSAIDs;
- stratified aortic aneurysm;
- los ntshav hauv txoj hnyuv huam;
- portal nce rau hauv cov ntshav siab;
- tsis muaj cov vitamins K thiab piam thaj-6-phosphate dehydrogenase;
- Reye tus kab mob
- hemorrhagic diathesis;
- lactose intolerance thiab malabsorption ntawm monosaccharides.
Xyuam xim pom zoo rau cov neeg muaj mob ntsws asthma, ntshav ntau ntxiv thiab ntshav khov coagulation. Cov tshuaj tsis pom zoo rau cov neeg mob kev txom nyem los ntawm kev mob plawv hauv ntu sai lossis ua rau lub siab tsis zoo.
Yuav noj Sanovask li cas
Cov tshuaj yog sau tseg nyob rau hauv ib koob tshuaj txhua hnub ntawm 150 mg rau 8 g. Cov tshuaj pom zoo kom haus 2-6 zaug hauv ib hnub, yog li qhov tshuaj nrog ib zaug yog 40-1000 mg. Qhov tseeb ntawm tus nqi txhua hnub yog teem raws li cov ntaub ntawv ntawm kev tshawb fawb thiab lub chaw kuaj mob ntawm tus kabmob.
Nrog ntshav qab zib
Cov tshuaj txhim kho cov nyhuv ntawm cov tshuaj hypoglycemic, tab sis tsis cuam tshuam rau cov kev ua ntawm lub txiav thiab tsis tswj cov ntshav qab zib kom qis.
Sab Rov Los Sanovaska
Cov kev xav tsis zoo los ntawm cov nruab nrog cev thiab kab ke tuaj yeem tshwm sim nrog kev quav yeeb tshuaj thiab tsis ua raws li cov lus qhia khomob. Hauv qee kis, kev txhim kho tus mob Reye's syndrome tau muaj.
Tawm tsam keeb kwm ntawm kev kho mob ntev, muaj kev pheej hmoo ntawm cov cim qhia ntawm lub plawv tsis ua haujlwm.
Kev kho mob txoj hnyuv
Feem ntau, qhov tshwm sim tsis zoo tshwm sim rau nws tus kheej ntawm qhov tsis zoo, ntuav thiab tsis qab los, ua rau tsis nco qab. Epigastric mob thiab raws plab yuav tshwm sim. Tej zaum qhov kev loj hlob ntawm los ntshav hauv lub plab zom mov, mob siab rau lub siab, qhov zoo li pom ntawm qhov txhab txhab.
Hematopoietic plab hnyuv siab raum
Muaj kev pheej hmoo ntawm txo qis hauv kev ua kom muaj zog ntawm cov qe ntshav, tshwj xeeb tshaj yog cov platelets thiab cov ntshav liab, uas ua rau thrombocytopenia thiab hemolytic anemia.
Nruab nrab hauv lub paj hlwb
Nrog rau kev siv sijhawm ntev ntawm cov tshuaj, kiv taub hau thiab mob taub hau tshwm sim. Muaj qee zaus, muaj kev ua txhaum ntawm qhov pom ntawm lub neej ib ntus, tinnitus thiab aseptic meningitis.
Nrog kev kho mob ntev nrog Sanovask, mob pob txha caj qaum yog ib qho tsis tshua muaj mob.
Los ntawm cov kab mob zis
Nyob rau hauv cov ntaub ntawv ntawm kev nce nyob rau hauv nephrotoxic nyhuv ntawm cov tshuaj rau ob lub raum, mob tsis txaus ntawm cov kab mob thiab cov tsos mob nephrotic yuav tshwm sim.
Los ntawm cov hlab plawv system
Tej zaum qhov kev txhim kho cov ntshav hemorrhagic syndrome thiab nce sijhawm hauv los ntshav.
Kev ua xua
Hauv cov neeg mob ntxim rau qhov tshwm sim ntawm kev fab tshuaj, ua pob ntawm daim tawv nqaij, bronchospasm, anaphylactic ceeb, thiab Quincke edema yuav tshwm sim. Tsis tshua muaj tshwm sim, muaj kev sib txuas ua ke ntawm polyposis ntawm cov ntswg qhov ntswg thiab cov hlab pas txhaws nrog mob ntsws asthma.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Vim tias muaj kev pheej hmoo ntawm cov kev mob tshwm sim los ntawm lub hlwb, kev saib xyuas yuav tsum tau coj thaum tsav tsheb thiab ua haujlwm nrog cov txheej txheem nyuaj uas yuav tsum muaj kev teb ceev thiab kev xav.
Vim muaj kev phiv los ntawm kev noj Sanovask, kev saib xyuas yuav tsum tau noj thaum tsav tsheb.
Cov lus qhia tshwj xeeb
Acetylsalicylate muaj peev xwm txo qis kev muaj mob ntawm uric acid los ntawm lub cev, uas yog vim li cas tus neeg mob yuav muaj gout nrog ib qho kev tsim nyog. Nrog rau kev kho mob ntev ntawm NSAIDs, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas ntu tsis tu ncua ntawm hemoglobin, cov mob ntawm cov ntshav, thiab kuaj cov quav ntawm lub ntsej muag kom pom cov ntshav zais.
Ua ntej txoj kev npaj phais mob, nws raug nquahu kom thim kev noj tshuaj Sanovask 5-7 hnub ua ntej kev kho. Qhov no yog qhov tsim nyog los txhawm rau txo cov ntshav txaus ntshai.
Lub sijhawm tiv thaiv ntawm kev kho yuav tsum tsis pub dhau 7 hnub thaum sau ntawv muab tshuaj los ua kom loog. Yog tias cov tshuaj siv los ua tshuaj pleev, ces qhov siab tshaj plaws ntawm kev kho yog 3 hnub.
Siv rau lub sijhawm qub
Cov neeg laus tsis tas yuav tsum tau muaj kev txhim kho ntxiv ntawm kev noj tshuaj ntxiv.
Txiag tej menyuam
Muaj li 15 xyoos ntawm kev muaj menyuam yaus thiab thaum tiav hluas, tseem tshuav txoj kev pheej hmoo ntawm kev txhim kho tus mob Reye rau ntawm qhov kub nce, tshwm sim los ntawm keeb kwm ntawm kev kis mob lossis kis tus kab mob. Yog li, kev teem caij cov tshuaj rau cov menyuam yaus yog txwv tsis pub. Cov tsos mob ntawm tus mob muaj xws li mob caj dab ntev, ua kom ntuav ntev, thiab hypertrophic o ua rau lub siab.
Kev teem caij ntawm Sanovask rau cov menyuam yaus hnub nyoog qis dua 15 xyoos txwv tsis pub muaj.
Siv thaum cev xeeb tub thiab lactation
Cov tshuaj txwv tsis pub siv rau ntawm I thiab III txiav tawm ntawm txoj kev loj hlob ntawm embryonic. Hauv lub hlis thib ob, Sanovask raug tso cai siv nruj me ntsis raws li cov lus qhia thiab kev pom zoo kho mob. Contraindication yog vim teratogenic nyhuv ntawm lub nquag tivthaiv.
Kev pub mis niam hauv kev kho mob Sanovask nres.
Daim ntawv thov rau lub raum khiav tsis zoo
Ceev faj yog qhia nyob rau hauv muaj pathology nyob rau hauv ob lub raum. Kev noj cov tshuaj tawm tsam ntawm keeb kwm ntawm kev ua haujlwm hauv lub cev ua mob hnyav tau txwv.
Siv rau lub siab ua haujlwm tsis zoo
Nyob rau hauv muaj cov kab mob siab, nws yog ib qho tsim nyog yuav tsum tau noj tshuaj nrog ceev faj.
Sanovask tsis pom zoo rau kev teem caij rau cov tib neeg uas muaj lub siab ua haujlwm.
Cov tshuaj tsis pom zoo rau kev teem caij ntawm cov tib neeg uas muaj lub siab ua haujlwm.
Noj tshuaj dua ntawm Sanovask
Nrog rau ib zaug txhaj koob tshuaj rau siab, cov tsos mob overdose pib tshwm sim:
- Kev qaug cawv me me thiab mob nyhav yog tsim los ntawm kev txhim kho cov kev mob tshwm sim hauv nruab nrab lub paj hlwb (kiv taub hau, tsis meej pem thiab tsis nco qab, hnov qhov ntsej muag, hnov lub suab nrov hauv pob ntseg), ua pa tawm (ua pa ntxiv, ua pa ua pa). Qhov kev kho mob txhawm rau kho lub cev dej-ntsev kom sib npaug thiab kev kho mob hauv tsev lub cev. Tus neeg raug teeb meem tawm ntau yam adsorbent kom tsawg thiab pais plab lavage.
- Hauv kev nkag ua mob hnyav, CNS kev nyuaj siab, poob qis hauv cov ntshav siab, asphyxia, arrhythmia, ntsuas cov teeb meem kuaj ntshav tsis txaus (hyponatremia, nce poov tshuaj kom tsis muaj zog, ua rau cov ntshav qabzib metabolism), lag ntseg, ketoacidosis, coma, mob leeg thiab lwm yam kev mob tshwm sim.
Nyob rau hauv chaw haujlwm nrog kev qaug cawv hnyav, kev kho mob xwm txheej ceev yog nqa tawm - lub plab kab noj hniav tau ntxuav, hemodialysis tau ua thiab cov cim tseem ceeb tau raug tswj hwm.
Kev cuam tshuam nrog lwm yam tshuaj
Nrog rau kev siv Sanovask tib lub sij hawm nrog lwm cov tshuaj, kev txhim kho ntawm cov txheej txheem hauv qab no tau pom:
- Acetylsalicylic acid ua rau kev kho mob tsis zoo ntawm cov tshuaj tsis haum steroidal (NSAIDs), methotrexate (txo qis raum), insulin, indirect anticoagulants, tshuaj tiv thaiv kab mob thiab phenytoin. Tib lub sijhawm, NSAIDs nce ntxiv cov kev mob tshwm sim.
- Cov tshuaj muaj kub ua rau muaj kev puas tsuaj rau cov hepatocytes. Pentazocine tsub kom cov nyhuv nephrotoxic ntawm Sanovask.
- Txoj kev pheej hmoo ntawm cov nyhuv ulcerogenic thaum noj glucocorticosteroids ntau zog.
- Kev qaug zog ntawm txoj kev kho kom zoo ntawm diuretics yog pom.
- Qhov ntxim nyiam ntawm kev los ntshav ntau ntxiv ua ke nrog cov tshuaj uas thaiv cov leeg ntawm lub raum thiab ua rau cov pob txha hauv lub cev tsis ua haujlwm qeeb.
- Qhov kev nqus ntawm acetylsalicylate qeeb qeeb thaum noj cov tshuaj antacids thiab cov tshuaj uas muaj txhuas thiab ntsev ntsev, thaum lub zog tsis raug pom tshwm sim thaum siv caffeine. Lub plasma concentration ntawm cov nquag sib txuas ntxiv nce nrog kev siv metoprolol, dipyridamole.
- Thaum noj Sanovask, cov nyhuv ntawm cov tshuaj uricosuric tsawg dua.
- Alendronate sodium provokes kev loj hlob ntawm cov hlab pas mob heev.
Cawv tau zoo
Thaum lub sijhawm kho nrog Sanovask nws raug nquahu kom tsis pub haus cawv. Ethanol nyob rau hauv kev sib xyaw ntawm cov dej cawv ua rau lub ntsej muag ua rau muaj kev txhim kho ntawm qhov tsis zoo ntawm qhov chaw ntawm lub paj hlwb, ua rau muaj kev cuam tshuam ntawm cov hlab plawv thiab ua rau muaj tshwm sim ntawm pathologies hauv lub siab.
Analogs
Txhawm rau hloov cov tshuaj, zoo sib xws hauv cov qauv hauv cov qauv chemical thiab cov chaw muag tshuaj, suav nrog:
- Acecardol;
- Thrombotic ACC;
- Tshuaj aspirin Cardio;
- Acetylsalicylic acid.
Kev pom tus kheej ntawm cov tshuaj tsis raug pom zoo. Ua ntej noj lwm yam tshuaj, koj yuav tsum sab laj nrog tus kws kho mob.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Cov tshuaj yog muag los ntawm tshuaj.
Kuv tuaj yeem yuav yam tsis tas yuav tshuaj
Vim tias qhov pheej hmoo ntawm cov kev mob tshwm sim los yog noj ntau tshaj thaum noj Sanovask yam tsis muaj kev qhia txog kev kho mob, kev muag cov ntsiav tshuaj dawb yog txwv.
Nqi
Qhov nqi nruab nrab ntawm ib cov tshuaj nce mus txog 50-100 rubles.
Cia rau cov neeg mob rau cov tshuaj
Cov tshuaj yog khaws cia rau hauv qhov chaw qhuav, tiv thaiv los ntawm noo noo thiab tshav ntuj, ntawm qhov kub txog li +25 ºС.
Sanovask yuav tsum tau muab cia rau hauv qhov chaw qhuav, tiv thaiv los ntawm noo noo thiab tshav ntuj.
Hnub tas sij hawm
3 xyoos
Chaw tsim tshuaj paus
OJSC "Irbit Tshuaj Ua Liaj Ua Teb", Russia
Xyuas
Anton Kasatkin, 24 xyoos, Smolensk
Tus kws kho mob tau hais rau leej niam Sanovask ntsiav tshuaj hauv kev sib txuas nrog cov hlab plawv kom nyias cov ntshav. Ua ntu zus.Vim tias muaj cov tshuaj pleev ib ce tshwj xeeb hauv cov ntsiav tshuaj, tsis muaj kev phiv tshuaj tshwm sim. Cov ntsiav tshuaj pib yaj tsuas yog hauv cov hnyuv, yam tsis muaj kev sib cais ntawm kev ua si ntawm cov kua qaub hauv lub plab.
Natalia Nitkova, 60 xyoo, Irkutsk
Lub hnub nyoog laus tau ua nws tus kheej los ntawm kev nce hauv cov kab mob plawv. Ntxiv rau, Kuv muaj ib qho keeb kwm kab mob rau kev mob plawv thiab mob nkees. Tom qab mob plawv nres, cov kws kho mob tau sau 1 ntsiav tshuaj ntawm Sanovask ua ntej yuav mus pw kom tiv thaiv kev txhim kho cov ntshav txhaws. Tsis zoo li cov tshuaj ntshiab acetylsalicylic acid, cov tshuaj no tsis ua mob rau lub plab, yog li kuv xav nws.
