Milgamma tov rau txhaj tshuaj intramuscular muaj ntau yam tshuaj nquag. Tus txheem ntawm lub ampoules muaj xws li:
- lidocaine hydrochloride;
- cyanocobalamin;
- thiamine hydrochloride;
- pyridoxine hydrochloride.
Ntxiv rau, kev txhaj tshuaj ntawm cov tshuaj muaj cov khoom siv ntxiv:
- dej rau kev txhaj tshuaj;
- sodium polyphosphate;
- sodium hydroxide;
- poov tshuaj hexacyanoferrate;
- benzyl haus cawv.
Daim ntawv foos ntawm Milgamma muaj:
- ib nrab ntev-txuas glycerides;
- povidone K30;
- talc;
- microcrystalline cellulose;
- croscarmellose sodium;
- colloidal silicon dioxide anhydrous;
- pyridoxine hydrochloride;
- benfotiamine.
Milgamma compositum - tso tawm daim ntawv
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, dragees thiab ib qho kev daws uas tau txais tshuaj intramuscularly. Cov tshuaj vitamin yog ntim rau hauv 2 ml ampoules. Rau kev tsim cov ampoules, cov chaw tsim khoom siv cov iav hydrolytic xim av.
Txhua ampoule yog glued nrog cov ntawv sau thiab muaj cov teev dawb. Cov pob khoom yog 5 thiab 10 ampoules.
Daim foos cov ntawv yog coated thiab ntim hauv 30 thiab 60 daim.
Muaj lwm daim ntawv tso tawm - dragees, uas yog biconvex, puag ncig cov ntsiav tshuaj dawb. Ntim cov ntsiav tshuaj hauv lub xov tooj liab ntawm 15 daim. Cov thawv ntawv ntim tawm tuaj yeem ntim 2 lossis 4 lub hlwv.
Cov chaw muag tshuaj
Cov tshuaj Milgamma compositum, zoo ib yam li nws cov analogues, muaj cov vitamins neurotropic uas yog pab pawg B. Cov tshuaj siv rau hauv kev kho mob rau cov kab mob ntawm cov hlab ntsha thiab cov hlab ntaws, thaum tus neeg mob ua rau mob o thiab ua kom tsis zoo los yog ua rau lub hlwb tsis zoo.
Milgamma yog qhia rau cov neeg uas raug mob los ntawm cov kab mob ntawm cov leeg hlwb.
Ua tsaug rau Milgamma, uas muaj ntau cov vitamin B, nws thiaj ua tau kom txo cov kev mob siab heev, txhim kho kev ua haujlwm ntawm lub paj hlwb thiab cov ntshav tsim, thiab ua haujlwm microcirculation.
Ib zaug nyob hauv tib neeg lub cev, Vitamin B1 (thiamine) hloov pauv los ntawm phosphorylation rau thiamine diphosphate thiab cocarboxylase. Cocarboxylase, nyeg, koom nrog cov txheej txheem ntawm cov metabolism ntawm cov txha rog, txhim kho cov kev sib txuas ntawm cov hlab ntsha thiab kev ua haujlwm ntawm cov hlab ntsha thiab cov leeg.
Yog hais tias lub cev muaj qhov tsis txaus nyob hauv cov vitamin B1, cov khoom siv uas tsis muaj oxidized ntawm cov zaub mov carbohydrate tuaj yeem nce hauv cov ntaub so ntswg, yog li ua rau txhua yam kab mob pathological.
Thaum txiav txim siab qhov twg yog qhov zoo dua li Milgamma ntsiav tshuaj lossis kev txhaj tshuaj, nws yuav tsum tau nyob rau hauv lub siab tias cov ntsiav tshuaj muaj benfotiamine thiab tsis thiamine chloride. Benfotiamine yog thiamine rog-soluble thiamine derivative.
Thaum noj, cov vitamins B6 (pyridoxine) yog phosphorylated. Cov khoom lag luam ntawm nws qhov kev tshem tawm tau koom nrog hauv lub decarboxylation ntawm cov amino acids, vim qhov kev kho mob ntawm lub cev thiaj li ua rau hauv lub cev - serotonin, dopamine, tyramine, histamine, adrenaline. Ntxiv rau, cov vitamin B6 cuam tshuam cov metabolism hauv tryptophan.
Ob qhov vitamins thiab B1, thiab B6 muab lub zog ua kom tau txais txiaj ntsig ntawm ib leeg. Tias yog vim li cas Milkamma compositum ntsiav tshuaj, txhaj tshuaj thiab nws cov analogues muaj cov txiaj ntsig zoo rau txoj kev noj qab haus huv thiab kev noj qab haus huv ntawm cov neeg mob uas muaj cov kab mob ntawm lub cev muaj zog thiab cov hlab ntaws.
Cyanocobalamin - Vitamin B12:
- muaj cov nyhuv antianemic;
- qhib kev ua ke ntawm cov tshuaj methionine, creatinine, choline, nucleic acids;
- ua kom muaj zog nucleic acid metabolism;
- txo qhov mob tshwm sim los ntawm kev puas tsuaj rau lub paj hlwb peripheral;
- koom tes hauv cov txheej txheem hauv cov metabolism hauv cov hlwb.
Lidocaine yog qhov tshuaj loog hauv ib cheeb tsam thiab muaj kev tshuaj xyuas zoo.
Pharmacodynamics thiab pharmacokinetics
Cov lus qhia rau kev siv, nrog rau kev tshuaj xyuas tau qhia tias thiamine tom qab txhaj tshuaj intramuscular yog nqus tau sai thiab nkag mus rau hauv cov hlab ntshav. Hauv lub cev, cov khoom siv raug faib ua tsis sib luag. Txij li lub cev tsis muaj qhov tshwj xeeb thiamine, lub zog yuav tsum noj txhua hnub.
Thiamine tuaj yeem nkag mus rau hauv thaj chaw thiab ntshav-hlwb teeb meem, tawm ntawm lub cev los ntawm lub raum. Piv nrog rau lwm cov vitamins, thiamine ntau hauv cov nqaij thiab lub hlwb ua kom ntau dua.
Tom qab kev txhaj tshuaj ntawm pyridoxine, txoj kev daws teeb meem sai sai rau cov ntshav dav dav thiab sib kis thoob plaws lub cev. Li ntawm 80% ntawm cov vitamin khi rau cov protein ntau.
Cov tshuaj tuaj yeem hla lub tsho thiab hla mus rau hauv niam lub mis. Tom qab ntawd, nws oxidizes, tig mus rau 4-dioxic acid, uas tom qab 2-5 teev yog tawm los ntawm lub cev los ntawm lub raum.
Cyanocobalamin, nkag mus rau hauv tib neeg cov ntshav, khi rau cov protein, uas ua rau txoj kev tsim tsheb thauj khoom. Tom qab ntawd cov tshuaj yog nqus tau los ntawm daim siab mob thiab nthuav tawm hauv cov pob txha pob txha. Twb tau tom qab cyanocobalamin raug ntuav tawm hauv txoj hnyuv nrog cov kua tsib, nws tuaj yeem rov nqus tau.
Milgamma compositum - cim qhia rau kev siv
Cov ntsiav tshuaj thiab kev txhaj tshuaj yog tshuaj raws li ib feem ntawm cov kev kho mob nyuaj ntawm cov mob sib kis thiab cov kab mob ntawm cov hlab hlwb, uas muaj cov tshuaj sib txawv. Muaj qee qhov zoo li no rau kev siv Milgamma:
- plexopathy;
- neuropathy;
- dej cawv thiab ntshav qab zib polyneuropathy;
- tus kab mob ganglionitis herpes zoster;
- paresis ntawm lub ntsej muag leeg;
- retrobulbar neuritis;
- neuralgia;
- kev mob hlwb.
Ib qho ntxiv, kev txhaj tshuaj yog raug rau cov tib neeg uas muaj kev mob hlwb ntawm tus txha nqaj qaum, txhaws hmo ntuj. Yuav ua li cas Milgamma thiab nws cov tshuaj noj coj ua raws li ib feem ntawm kev kho mob dav, thiab vim li cas nws cov kev txhaj tshuaj tseem xav tau, koj tuaj yeem nrhiav qhov no thiab ntau ntxiv ntawm koj tus kws kho mob.
Cov Lus Sib Tham Milgamma
Zoo li lwm yam tshuaj, Milgamma muaj nws cov contraindications rau kev siv:
- decompensated lub plawv tsis ua haujlwm;
- kev ntsuas siab ntawm cov neeg tsis haum rau cov tshuaj;
- cov menyuam hnub nyoog;
- cev xeeb tub
- lactation lub sijhawm.
Raws li txoj cai, phiv los ntawm cov tshuaj tshwm sim hauv qee qhov tsis zoo:
- Tej leeg ib ce nkees: kiv taub hau, tsis nco qab zoo.
- Kev siv tshuaj tiv thaiv: ua xua.
- Lub plab zom mov: ntuav.
- Kev tiv thaiv thiab nqaij musculoskeletal: cramps.
- Daim tawv nqaij: khaus, tawm hws, mob ntxau.
- Kab mob plawv: arrhythmia, tachycardia, bradycardia.
Tseem Ceeb! Qee zaum tom qab Milgamma raug tso ntshav, tus neeg mob yuav muaj kev voos nyob ntawm qhov chaw txhaj tshuaj. Qhov tshwm sim ntawm cov kev tawm tsam yog pom tsuas yog tias muaj kev noj ntau dhau lossis nrog kev qhia sai heev. Qhov no yog pov thawj los ntawm kev tshuaj xyuas ntawm cov tshuaj.
Yog tias muaj lwm cov kev mob tshwm sim tam sim ntawd los yog cov tau piav qhia saum toj saud ntxiv, koj yuav tsum qhia rau tus kws kho mob tam sim ntawd uas yuav hloov cov tshuaj nrog lwm tus lossis muab cov lus pom zoo txog kev tswj hwm kom raug.
Cov lus qhia rau siv - txoj kev thiab koob tshuaj
Cov lus qhia rau kev siv tshuaj Milgama compositum yuav tsum tau pom meej meej los ntawm tus neeg mob. Ua ntej, kev txhaj tshuaj yog ua kom tob rau cov leeg nqaij 1 zaug hauv ib hnub, 2 ml rau 5-10 hnub. Yog tias cov tshuaj lossis nws cov tshuaj tiv thaiv zoo tau kho rau kev kho kom zoo, koj yuav tsum coj nws mus rau hauv cov qauv tshuaj, 1 daim ib hnub.
Cov lus qhia rau kev siv tshuaj thiab tshuaj xyuas txog nws qhia tau tias nws zoo dua siv kev txhaj tshuaj kom tshem tawm qhov mob sai sai. Ntsiav tshuaj thiab dragees pib ua yeeb yam ntau tom qab.
Lub sijhawm ntawm kev kho mob nrog Milgamma yuav nyob ntev li 1 lub hlis. Hauv qhov xwm txheej no, lub xeev kev noj qab haus huv ntawm tus neeg mob yuav tsum tau saib xyuas los ntawm cov kws kho mob koom txhua lub lim tiam.
Kev kawm ntawm kev txhaj tshuaj tuaj yeem txuas ntxiv yog tias tus kws kho mob pom tias nws tsim nyog. Ib qho ntxiv, nws yuav qhia koj tias daim ntawv tso tawm twg yuav tsum nyiam nyob rau hauv ib kis tshwj xeeb thiab seb yuav tso cov tshuaj ntau npaum li cas.
Yog tias, rau qee qhov laj thawj, kev tso cai ntau dhau ntawm cov tshuaj tau tso cai, tus neeg mob yuav muaj cov tsos mob uas muaj nyob hauv cov npe ntawm kev phiv, yog li ntawd kev kho mob kuj tseem siv nyob rau hauv cov xwm txheej no.
Yuav ua li cas Milgamma thiab nws cov analogues sib cuam tshuam nrog lwm yam tshuaj
Thaum muab cov vitamin B1 nrog cov tshuaj sulfate, nws tau tawg tag nrho.
Qhov ploj ntawm thiamine kev ua si yog pom thaum lub sijhawm sib cuam tshuam:
- nrog metabisulfite;
- nrog penicillin;
- nrog ammonium citrate;
- nrog tannic acid;
- nrog riboflavin;
- nrog carbonates;
- muaj mercury chloride;
- nrog acetates.
Hauv kev siv tshuaj kho, pyridoxine tuaj yeem txo qhov levodopa, yog li ntawd, pyridoxine tsis siv nrog nws thiab nrog kev npaj ntawm uas nws yog ib feem. Kev sib cuam tshuam nrog isoniazid, penicillamine, cycloserine tseem tau sau tseg.
Cyanocobalamin nyob rau hauv muaj cov ntsev ntawm cov hlau loj poob nws cov haujlwm. Riboflavin muaj kev cuam tshuam rau kev puas tsuaj rau ib qho khoom (tshwj xeeb thaum pom nrog lub teeb).
Milgamma cov tshuaj thiab cov tshuaj daws tuaj yeem yuav ntawm lub khw muag tshuaj muag tshuaj los ntawm cov tshuaj noj.
Milgamma thiab nws cov analogues yuav tsum tau muab cia rau hauv qhov chaw tsaus kom tsis txhob nkag rau cov menyuam yaus ntawm qhov kub tsis dhau 15. Chaw txee lub neej yog 2 xyoos.
Cov lus qhia tshwj xeeb rau kev siv
Cov kev qhia tau hais tias cov tshuaj no tsuas yog ua haujlwm ntawm intramuscularly. Yog tias, dhau los ntawm kev tsis saib xyuas, Milgamma tau muab tshuaj rau hauv siab, tus neeg mob yuav tsum muaj kev kho mob ntawm kev mob tshwm sim thiab kev saib xyuas mob.
Tsis muaj kev txheeb xyuas qhov cuam tshuam ntawm cov tshuaj ntawm qhov muaj peev xwm tsav lub tsheb thiab ua haujlwm nrog cov txheej txheem phom sij, kev qhia yog ntsiag to txog qhov no. Yog tias koj kawm Wikipedia, koj tuaj yeem nrhiav hauv nws cov ntaub ntawv uas cov tshuaj siv rau hauv cov tsiaj kom kho tsiaj los kho cov tsiaj.
Txhawm rau kom lub cev rov qab los, cov tshuaj tom qab haus dej cawv kom qaug. Tab sis nws txoj kev siv ua ke nrog cawv yog nruj me ntsis txwv tsis pub. Dua li ntawm qhov tseeb hais tias tsis muaj kev txheeb xyuas ntawm kev cuam tshuam zoo li no, nws yeej yuav tshem tawm txhua qhov kev ua tau zoo los ntawm kev kho nrog tshuaj.
Kev sib xyaw ua ke ntawm cawv thiab lidocaine tuaj yeem ua rau ntau yam kev mob tshwm sim: ntxhov siab, tsaug zog, mob taub hau.
Cev xeeb tub thiab lactation
Cov tshuaj tsis tau sau tseg rau cov poj niam thaum lub cev xeeb tub thiab lactation. Qhov no yog vim muaj qhov tseeb tias tseem tsis muaj cov ntaub ntawv txaus ntawm cov nyhuv ntawm nws cov feem nyob rau hauv cov menyuam hauv plab thiab cov kua mis.
Ua ntej pib kev kho mob, koj yuav tsum tau mus ntsib kws kho mob, nyeem cov lus qhia thiab kev tshuaj xyuas tus neeg mob.
