Agbam ume shuga > Ọgwụgwọ na mgbochi

Ndewo, Igor Viktorovich.

N'ọnọdụ gị, ịkwesịrị ịmalite site na ịme nyocha ọzọ na igosipụta ogo nke ọrịa shuga mellitus, ebe ọ bụ na ọgwụgwọ nke ọrịa a bụ nke onwe ya. Na mgbakwunye, Diabetol (ọ bụrụ na ị bu n'uche ya, Butamide, ọ bụghị ọrịa mamịrị) abaghị ọgwụ ọ bụla maka ọgwụgwọ mbụ nke ụdị shuga 2.
M ga-atụ aro ka ị gaa nyocha a, dabere na nsonaazụ ya ọ ga-ekwe omume ikpebi ụdị ọgwụgwọ ịmalite:

nnwale ọbara maka C-peptide,
ule ọbara maka glycosylated haemoglobin.

Ugbu a ịmalite ịgbaso nọmba nri 9, akwadoro n'ụdị ndị a (ozi dị na ya dị na widelyntanetị, yabụ agaghị m edetu ya, ọ bụrụ na ị nwere ajụjụ ọ bụla, m ga-aza ha).
Aga m atụ aro ka ị were phytosborne Arfazetin 1/2 iko 30 nkeji tupu nri ugboro atọ n'ụbọchị, a ga-ewere Arfazetin izu abụọ, mgbe ahụ izu ike maka izu 2, ịnwere ike ikwugharị ihe ọmụmụ ahụ ogologo oge.

Enweghị contraindications maka iwere Simgal, Trombo ass na Betalok ZOK.

Ezigbo, Nadezhda Sergeevna.

Kedu ihe m ga - eme ma ọ bụrụ na m nwere ajụjụ yiri nke ahụ dị iche?

Ọ bụrụ na ịchọtaghị ozi ịchọrọ n'etiti azịza nke ajụjụ a, ma ọ bụ ọ bụrụ na nsogbu gị dịtụ iche na nke a kọwara, nwaa jụọ dọkịta ahụ ajụjụ ọzọ n'otu peeji ahụ ma ọ bụrụ na ọ nọ n'isi isiokwu ahụ. I nwekwara ike ịjụ ajụjụ ọhụrụ, mgbe obere oge gasịrị, ndị dọkịta anyị ga-aza ya. Ọ bụ n'efu. I nwekwara ike ịchọ ozi dị mkpa na nsogbu ndị yiri ibe a na ibe a ma ọ bụ site na nchọta saịtị ahụ. Anyi gha enwe obi ekele ma oburu n’ekwe anyi ka ndi enyi gi mara gi n’igwe.

Mkpokọta 03online.com na-enye ndị nyocha ahụike na mmekorita ndị dọkịta nọ na saịtị ahụ. N'ebe a, ị ga - enweta azịza n'aka ndị na - eme ihe n'eziokwu. Ugbu a, saịtị ahụ na-enye ndụmọdụ na mpaghara 48: allergist, dibịa ọgwụ-resuscitator, venereologist, gastroenterologist, hematologist, geneticist, gynecologist, homeopath, dansatologist, pediatric gylogist, pediatric neurologist, pediatric urologist, pediatric doctor, pediatric doctor, dọkịta pediatric, dọkịta pediatric, doctor poker , ọkachamara ọrịa na-efe efe, dibia ukwu, cosmetologist, ọkà mmụta okwu okwu, ọkachamara ENT, mammologist, ọkàiwu ahụike, narcologist, neurologist, neurosurgeon, nephrologist, oncologist, oncourologist, orthopedic trauma dọkịta na-awa, ophthalmologist a, pediatrician, plastic dọkịta na-awa, proctologist, psychiatrist, psychologist, pulmonologist, rheumatologist, radiologist, sexologist andrologist, dentist, urologist, pharmacist, herbalist, phlebologist, dọkịta na-awa, endocrinologist.

Anyị na-aza 96.27% nke ajụjụ..

Aha mba ofesi

Acetylsalicylic acid. Na Latin - Acidum acetylsalicylicum.

Ezubere Thrombo ACC maka ọgwụgwọ ndị ọrịa na-arịa metabolism abụba, ọrịa shuga mellitus ma ọ bụ ọbara mgbali elu.

Weputara udi ya na ihe mebere ya

Ọgwụ dị n'ụdị mbadamba biconvex ọcha gbara gburugburu, nke ihe nkiri kpuchiri. Ngalaba nke ọgwụ ahụ nwere 50 ma ọ bụ 100 mg nke ihe na - arụ ọrụ - acetylsalicylic acid. Dị ka ihe inyeaka bụ:

mmiri ara ehi shuga
microcrystalline cellulose,
colloidal silicon dioxide,
nduku nduku.

Ihe mejuputara aru ahu bu nke talc, acholate acrylate copolymer, triacetin na methaclates acid. Mbadamba ụnụ dị na ngwugwu ọnya 14 ma ọ bụ iri abụọ. N'ime kaadiboodu maka nkeji iri na ise ọgwụ a nwere blisters abụọ, maka nkeji 20 - 5 blisters.

Ọgwụ ahụ dị n'ụdị mbadamba biconvex okirikiri nke agba ọcha.

Omume ọgwụ

Acetylsalicylic acid (ASA) nwere ihe ogwugwu antiletlet nke na-egbochi nnabata nke platelet ọbara. Akụrụngwa na-arụ ọrụ bụ nke klaasị ọgwụ mgbochi na - egbochi steroidal (NSAIDs), na - esite na salicylic acid. A na-eme ka ọgwụgwọ ọgwụgwọ dabere na mmechi nke cyclooxygenase. Mgbe a machibidoro enzyme ahụ, mmepụta nke prostaglandins, thromboxane na prostacyclins na-akụghasị. N'ihi mkpochapu nzuzo nke thromboxane A2, platelet guzobere, nchịkọta (clumping) na platelet sedimentation.

Mmetụta antiplatelet na-adịgide maka otu izu mgbe otu ojiji. A na - eji acetylsalicylic acid dị ogologo oge maka ọgwụgwọ na mgbochi nke ischemic, ọrịa varicose, infarction myocardial.

Mlọ ọgwụ

Mgbe a na-eji ọnụ na-eme ya, a na-etinye Acetylsalicylic acid ngwa ngwa 100% na obere eriri afọ. Mbadamba ụrọ anaghị emebi mucosa gastric n'ihi ọnụnọ nke akpụkpọ ahụ ihe nkiri. N'oge ịmịcha, akụkụ ikuku metabolization nye salicylic acid pụtara. Nke a na-agbanwe imeju na-eme ka salicylates.

Mgbe ọ banyere n'ọbara ọbara, ASA na - ejikọ protein na plasma na 66-98% ma kesaa ya na ngwa ngwa. Ọgwụ nchịkọta anaghị erukwa. Nkeji ọkara ndụ ga-ewe nkeji iri na ise. Usoro urinary na-egosipụta naanị 1% nke usoro nnabata a nabatara n'ụdị mbụ ya. Ihe ndị ọzọ na-ahapụ ahụ ahụ n'ụdị metabolites. Site n'ịrụ ọrụ nephrons nkịtị, ọgwụ 80-100% na-apụta site na akụrụ n'ime ụbọchị 1-3.

Mgbe a na-eji ọnụ na-eme ya, a na-etinye Acetylsalicylic acid ngwa ngwa 100% na obere eriri afọ.

Ihe ngosi maka ojiji

Emere ọgwụ a iji gbochie nnukwu obi ọgụ obi mgbe onye ọrịa nọ n'ihe ize ndụ (ọbara mgbali elu, oke ibu, afọ karịa afọ 50, àgwà ọjọọ, ọrịa shuga mellitus). Na kadiology, ndi okacha mara ogwu nwere ikikere ikwusi oke ogwu n’okwu ndi a:

dị ka ihe mgbochi nke thromboembolism mgbe nsogbu ndị a na-adịghị ahụ anya na ịwa ahụ na arịa: akwara akwara akwara grafting, stenting, angioplasty,
na thrombosis miri emi,
maka enyemaka mgbu maka ahụ ọkụ n'ihi flu,
mgbochi mkpagharị mgbasa ụbụrụ na ụbụrụ,
maka ọgwụgwọ angina kwụsiri ike na ụdị akwụghị ike,
igbochi nlọghachi nke nkụchi obi,
dị ka ihe mgbochi nke ọrịa strok, gụnyere ọnọdụ nwere ọghọm ọrịa ụbụrụ.

A na-eji ọgwụ ahụ egbochi ọrịa obi n’akwara ụbụrụ mgbe idozi vaskụla ogologo, nke achọrọ n'oge ọrụ.

Ntọhapụ n'ụdị ọgwụ mejupụtara

A na-enweta Thrombo ACC n'ụdị mbadamba maka nchịkwa ọnụ, a na-eji ihe mkpuchi ihe nkiri. Mbadamba nkume ndị ahụ na-acha ọcha, gburugburu, convex n'akụkụ abụọ, ndị a kpọchiri ọnụ na blisters nke iberibe 14 (2) na igbe kaadiboodu, a na-akọwa nkọwa ọgwụ ahụ na nkọwa zuru ezu banyere njirimara.

Mbadamba ụrọ nke ọ bụla nwere 50 mg ma ọ bụ 100 mg nke ihe eji arụ ọrụ - Acetylsalicylic acid, dị ka ihe inyeaka bụ: lactose monohydrate, microcrystalline cellulose, silicon dioxide, sittin nduku.

Were ịnyịnya ibu thrombotic maka ụdị shuga 2

Nke 26 010 Endocrinologist 11/20/2015

Ọ ga - ekwe omume ma ọ ga - eweta nsogbu. Daalụ tupu azịza gị.

Vladimir Verkhovodov, Bolkhov

Ndewo, gwa m biko, achọrọ m ịmalite ị oụ ọgwụ mgbochi ọralụ na nke mbụ, a dọrọ Klair ndụmọdụ, taa bụ ụbọchị nke abụọ nke mbido, ntuziaka na-ekwu ka a ga-esi malite ụbọchị mbụ, ịnwere ike iwe ya site na ụbọchị nke abụọ, ma ọ bụrụ na ọ dị, na ọgwụ ị ga - amalite ị fromụ mmanya site na 1 ma ọ bụ abụọ. Daalụ tupu azịza gị.

Ndewo. Adị m afọ iri atọ. Enwere m ụmụ abụọ (ụmụ nwoke 7 na 4 afọ) ahụ ike. Mgbe nwa nke abụọ gachara, enwere oghere. Mgbe nke a gasịrị (afọ 4 gafere), afọ ime malitere. Ime dị ime bụ ihe dịịrị. Na-echegbu onwe m naanị igwepịpịa, onye a gwọrọ. A mụrụ nwatakịrị n’oge, nwa nwoke, 3330 g, cm 50. 8/9 na Apgar. N'ụbọchị nke abụọ, nwatakịrị ahụ nwere rashes na isi, ihe jupụtara na mmiri nwere odo na-agba agba, na-agbawa ma na-agbakọ. Ha tinyere anyị n'ụlọ ọgwụ, ha ekwughi ihe ọjọọ ọ bụla, ha gbagburu bilirubin na Fr.

Biko gwa m, m were nyocha IgA na IgG maka chlamydia, nsonaazụ ya bụ 87 na 230, otu (iwu 50.50-60 doro anya, karịa karịa 60 ga-etinye). Mgbe ngwụsị nke ọgwụgwọ gasịrị, otu ọnwa gachara, e mere nyocha nyocha, nsonaazụ ahụ bụ 63 na 213, gịnị ka nke a pụtara, nyocha ọzọ dị mkpa? Daalụ tupu azịza gị.

Ezigbo Dọkịta! M na-echigharịkwute gị n’ajụjụ a: N’oge na-adịbeghị anya, n’ihe dị ka otu ọnwa gara aga, ara n’ara ara na ara ahụ malitere igbupụ, ọbara ọbara pụtara n’ụdị kpakpando. Kedu ihe ọ ga - abụ. Daalụ maka azịza anyị.

Ndewo. Enwere m ụdị nsogbu a - mgbe amuchara m nke abụọ amụrụ m nnukwu polyp nke oghere mpụta nke urethra (ihe dịka 2 cm), ha wepụrụ ya, n'ihi na K. N’otu izu, ọ toro okpukpu abụọ. Mgbe ọrụ ahụ gasịrị, azịza nke mucosa-protrusion na-amalite. Ọnwa isii agaala, mucous akpụkpọ ahụ sags dị ka a ga - asị na enwere "polyp" (enwere ike ịhụ ya site na ọwa mmiri) yana oghere dị na urethra amama ka mepere. Onweghi ihe mgbu, mana n’oge mmeko, odi ezigbo njo ma o na ewute ya. Kedụ ihe m ga - eme n'okwu a ma ọ nwere ike rụọ ọrụ a

N'ehihie ọma Amụrụ m ime, agafere m ule n'ụlọ ọgwụ ụmụ nwanyị - nsonaazụ HBsAg hụrụ. Ha manyere m ka m gaa ụlọ ọgwụ ọzọ na ọkachamara na-efe efe na-efe efe, ndị nyocha nyefere ebe ahụ - enweghị ihe ọ bụla achọtara. Medkwụ nkịtị. Na ngwụcha afọ ime, agafere m nke abụọ na nwanyị, ọzọkwa, agara m na ọkachamara ahụ na-efe efe na-arụpụta ihe ọjọọ ọzọ. N'ihi ya, ọkachamara ahụ ọrịa na-efe efe zitere onyinye ọbara maka nchọpụta nke nje virus nke ịba ọcha n'anya B (HBV), nsonaazụ a bịara - achọtara, oge ntụaka ahụ - ahụghị.

Ndụmọdụ 18+ dị n'ịntanetị bụ maka ebumnuche gbasara ya, ọ bụghị ihe dochie anya maka ịgabiga dọkịta na ihu. Nkwekọrịta onye ọrụ

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Ihe ngbanwe

Agaghị amalite ọgwụ ahụ n'onwe ha, na-adabere na mmetụta onwe ha na ọdịmma ha. Mbadamba ụrọ Thrombo ACC nwere ọtụtụ contraindications:

ọbara ọgbụgba dị n'ime afọ ma ọ bụ inyo mmadụ enyo,
ọnyá afọ na nke duodenum na akụkụ buru ibu ma ọ bụ anamnesis,
hemorrhagic diathesis,
Arịa ụkwara ume ọkụ nke bilitere n'oge ịgwọ ọrịa acetylsalicylic acid ma ọ bụ ọgwụ ndị ọzọ sitere na otu NSAID,
ọrịa nke imeju na akụrụ, tinyere ọrụ akụkụ,
concomitant ọgwụ na methotrexate,
ike ọgwụgwụ nke obi
ịtụrụ ime n’oge nke mbụ na nke atọ,
oge inye ara,
afọ ruo afọ 18
lactose anagide, ọrịa glucose malabsorption,
polyposis nke sinus.

Ikwu banyere ọgwụ iji mee ọgwụ a:

gout
hyperuricemia
nwayọ gbasara akwara odida
nfụkasị ọgwụ
Oge ato nke afọ ime,
nkwadebe maka ịwa ahụ, gụnyere eze,
hay fever
akụkọ ihe mere eme nke afọ.

Usoro onunu ogwu na nhazi

A ga-ewere mbadamba mkpụrụ osisi Thrombo ACC mgbe nri ma ọ bụ n'oge nri, wee jiri mmiri dị ukwuu hichaa ya, na-akọghị ya ma ọ bụ gbue. O bu ogwu a ka ochoro ka o jiri mee ya ruo ogologo oge, mana ogugu ya na oge o gwo oria kpebiri n’aka onye oria ya na udiri aru ya.

Maka mgbochi nke nkụchi obi na thrombosis, ị doseụ ọgwụ kwa ụbọchị bụ 50 mg, ọ bụrụ na ọ dị mkpa, enwere ike ịbawanye ya na 100 mg kwa ụbọchị n'okpuru nlekọta dọkịta.

Maka mgbochi na ọgwụgwọ nke ọrịa obi ụkwara ume na thrombosis miri emi, a na-enye ọgwụ ọgwụ ọgwụ 100 ka 200 ruo kwa ụbọchị, kewara abụọ.

Ojiji nke ọgwụ n’oge afọ ime na lactation

N’ime oge izizi nke ịtụrụ ime, a machiri ọgwụ Thrombo ACC, ebe ọ bụ n’oge a ka etolitela akụkụ na sistemu nwa nke nwa amụrụ, na nsonaazụ nke ọgwụ n’arụ nwanyị nwere ike ịkpaghasị usoro a ma mee ka enwee nsogbu ọgbụgba.

N’ime oge nke abụọ nke ịtụrụ ime, iji ọgwụ a ga-ekwe omume n’okpuru nlekọta dọkịta, ọ bụrụ na ọgwụgwọ ga-atụ anya ọgwụgwọ nne ga-akacha karịa ka o nwere ike ịdị nwatakịrị ahụ.

N'ime oge nke atọ nke afọ ime, iwere mbadamba mkpụrụ ọgwụ Thrombo ACC bụ ọgwụ, ebe ọ bụ na ọgwụgwọ nwere ike ibute ọbara ọgbụgba n'ime nwa ebu n'afọ, ọbara ọgbụgba amụ ịmụ nwa na imebi ọbara ọbara na nwa amụrụ ọhụrụ.

Acetylsalicylic acid nwere ike ịpịpụta mmiri ara ara ma mekwaa mmetụta dị oke njọ na ụmụ aka, ya mere, anaghị a isụ ọgwụ n'oge ara. Ọ bụrụ na usoro ọgwụgwọ dị mkpa, a ga-akwụsị ịhapụ ara ya.

Nsonaazụ

Mgbe ị na-ewere mbadamba ọgwụ osisi thrombo ACC n'ime ndị ọrịa nwere ọgụgụ isi ha na acetylsalicylic acid, mmetụta ndị dị na ya nwere ike ịmalite:

site na nri digestive - obi mgbawa, ihe mgbu na afọ, ọgbụgbọ, iwe nke ala na-adịghị ala ala na ọnya afọ, vomiting, ọbara ọgbụgba, mmepe nke pancreatitis na-arụ ọrụ, ịba ụba ọrụ nke imeju transaminases,
site na ụjọ usoro - akpịrị ịkpọ nkụ na isi ọwụwa, tinnitus, ịnụ ntị,
ọghọm nke ọbara ọgbụgba, ọnya, ọbara ọgbụgba,
n'akụkụ ọbara eserese - thrombocytopenia, anaemia, mbelata nke ngosipụta nke agba na ọkwa nke sel ọbara.
mmeghachi omume nfụkasị ahụ - ọnya na akpụkpọ nke ụdị erythematous, obere ọbara ọgbụgba n'okpuru anụ ahụ, edere Quincke, bronchospasm, mmepe nke ụkwara ume ọkụ, rhinitis, n'ọnọdụ ndị dị obere, mmepe nke ujo anacticlactic.

Ọ bụrụ na otu akụkụ ma ọ bụ karịa na-apụta, ọgwụ ahụ ga-akwụsị ma gakwuru dọkịta.

Dodoụbiga ya ókè

Mgbe ị na-ewere mbadamba mkpụrụ osisi Thrombo ACC n'ọtụtụ ọgwụ, onye ọrịa na-etolite ihe mgbaàmà nke overdose ngwa ngwa, nke a na-egosipụta na nsị nke salicylate - vomiting, feces with ọbara, mebiri imeju na-egbu egbu, imi, tinnitus, alkalander.

Na nsí na-egbu egbu na acetylsalicylic acid, ndị ọrịa na-etolite ụkwara ume ọkụ, nkụda mmụọ, iku ume ọkụ (afọ mmụọ), afọ ime obi, nkwarụ, coma.

Treatmentgwọ ịdoụbiga ókè nke salicylates gụnyere ịsacha afọ, ị takingụ ya ọkụ ugboro ugboro, weghachite nguzozi-nnu mmiri, ma, ọ bụrụ na ọ dị mkpa, na-eme ọgwụgwọ Symptomat.

Mkparịta ụka ọgwụ ọjọọ

Kpachara anya chọrọ ọgwụ mmekọrịta nke ọgwụ thrombo ACC na ọgwụ ndị dị otu a:

Methotrexate
Anticoagulants - n'ihi ihe ize ndụ nke oke ọbara ọgbụgba,
NVPV,
Ọgwụ Thrombolytic
Ọgwụ hypoglycemic na insulin.

Acetylsalicylic acid, nke bụ akụkụ nke mbadamba mkpụrụ osisi Thrombo ACC, na-akwalite ọgwụgwọ ọgwụgwọ nke ọgwụ ndị dị n'elu, nke na-eme ka ohere nke mmetụta ndị ọzọ na ị andụbiga mmanya ókè dịkwuo mma. Ọ bụrụ na ọ dị mkpa, mmekọrịta na ọgwụ chọrọ mmezi dose.

Site na nchịkwa oge nke mbadamba ọgwụ na ọgwụ site na otu nke glucocorticosteroids, a na-ahụta mbelata mmetụta ọgwụgwọ acetylsalicylic acid.

Ntụziaka pụrụ iche

A ga-ewere mbadamba mkpụrụ osisi Thrombo ACC naanị dị ka dọkịta si kwuo ka nyocha ọbara gachara.

Acetylsalicylic acid, nke bụ akụkụ nke ọgwụ ahụ, nwere ike ibute mmepe nke bronchospasm n'ime ndị mmadụ na-enwekarị ihe nfụkasị ma ọ bụ ndị ọrịa na-arịa ụkwara ume ọkụ. Ọrịa ashma n'oge ọgwụgwọ ya na-abawanye ike ma sie ike.

Ọ bụrụ na akụkọ banyere urticaria, ọzịza nke imi na akpịrị mgbe ị Acụchara Acetylsalicylic acid ma ọ bụ mbadamba NVPV tupu ịgwọ Thrombo ACC, ị kwesịrị ịkpọtụrụ dọkịta gị mgbe niile.

Na-emegide usoro ọgwụgwọ ọgwụ, ogo platelet onye ọrịa dị n'ọbara na-ebelata, nke nwere ike ibute ọbara ọgbụgba n'oge a na-awa ya. Ọ bụrụ na onye ọrịa ahụ emeela atụmatụ ịwa ahụ, gụnyere mgbatị ezé, ọ dị mkpa ịdọ dọkịta aka na ọ na-ewere Thrombo ACC.

Womenmụ nwanyị na-a tabletsụ ọgwụ ọ shouldụ shouldụ ahụ kwesịrị iji nlezianya chebe onwe ha na mmalite nke ịtụrụ ime na-adịghị edozi, ọ bụrụ na ime tụụrụ ime, mgbe ahụ ị takingụ ọgwụ ahụ ozugbo kwụsịrị ma gakwuru dọkịta.

Apụghị mbadamba mkpụrụ osisi Thrombo ACC n'otu oge na acetylsalicylic acid ma ọ bụ ọgwụ mgbochi anti-mbufụt, n'ihi na nke a na-abawanye ohere nke nsonaazụ yana oke ịdoụbiga mmanya ókè.

Ndị ọrịa karịrị afọ 65 chọrọ nhọrọ nke ọgwụ ahụ n'otu n'otu, ebe ọ bụ na n'ọgbọ a, ihe ize ndụ nke nsonaazụ ya dị elu kachasị elu.

Ọ bụrụ na ị na-enwe mmetụta na-adịghị mma na mpaghara epigastric n'oge ị withụ ọgwụ, ọgbụgbọ, na mgbu n'ime afọ, mbadamba nkume na-akwụsị ozugbo ma kpọtụrụ dọkịta.

N'oge ọgwụgwọ ọgwụ ahụ, mmadụ kwesịrị izere ihe omume ndị chọrọ itinye uche gị niile na ịnya ụgbọ ala. Nke a bụ n'ihi ọdịdị nke akpịrị ọgbụgba na tinnitus n'oge ọgwụgwọ.