"Ekskhol": malangizo Buku, ndemanga, photos, mawonekedwe kumasulidwa, kapangidwe

Mu matupi athu pali limba wapadera angathe kuchepetsa - ichi ndi chiwindi. Mchikakamizo cha zinthu zosiyanasiyana akumane, chitsulo izi akupanikizika yaikulu, ndipo maselo amafa kapena pokhala minofu mafuta. Mankhwalawa chiwindi ntchito nambala ya mankhwala, mmodzi amene - "Ekskhol". Malangizo ntchito mankhwala, zizindikiro, contraindications, makamaka mankhwala ndi zina zothandiza mungazipeze m'nkhani ino.

mawonekedwe Ndinamasulidwa zikuchokera

Izi mankhwala akupezeka mu mawonekedwe a makapisozi, omwe uli ndi thunthu yogwira - asidi ursodeoxycholic mu kuchuluka kwa 250 mg, ndi mbali wothandiza: pakachitsulo woipa, magnesium stearate, calcium wa hydrogen mankwala dehydrate, povidone, lactose monohydrate, ndi ena.

Kodi ntchito mankhwala?

Features zotsatira pharmacologic wa mankhwala "Ekskhol" malangizo Buku limafotokoza njira zotsatirazi: ndi hepatoprotective mankhwala ndi zotsatira choleretic. Thunthu yogwira ali zotsatira izi:

• kumachepetsa kaphatikizidwe wa mafuta mu chiwindi, kuchepetsa mayamwidwe ake mu intestine ndi zomwe zili mu ya ndulu ya;
• Izo kumawonjezera khalidwe la mafuta kuvunda mu dongosolo ya ndulu excretion, zolimbikitsa mapangidwe ndi katulutsidwe wa kucheperachepera lithogenicity awo;
• Zimathandiza kuwuka kwa mlingo wa zidulo ya ndulu;
• Iwo timapitiriza katulutsidwe wa chapamimba ndi secretions pancreatic;
• Iwo kumawonjezera ntchito za enzyme lipolytic;
• Iwo ali zotsatira hypoglycemic;
• Zimathandiza ndi tsankho kapena okwana mayamwidwe miyala mafuta m'thupi monga;
• amachepetsa machulukitsidwe wa ya ndulu ndi mafuta, lolimbikitsa izo miyala;
• Iwo ali katundu immunomodulatory, wolunjika njira ayankhe mu chiwindi;
• amachepetsa mawu a antigens, anaikira pa hepatocyte dongosolo nembanemba;
• nthawi chiwerengero cha T-lymphocytes, interleukin-2;
• Amachepetsa chiwerengero cha elzinofilov.

Kodi pharmacokinetics mankhwala?

Kukonzekera "Ekskhol" malangizo ntchito amene akambidwa mu nkhani iyi, ndi digiri yapamwamba ya mayamwidwe mu intestine ang'ono ndi luso kuwoloka latuluka. Chizindikiro makismalnaya ndende ya mankhwala magazi zimatheka pambuyo maola 1-3 ndipo ndi wofanana 5.5 mmol / l. asidi Ursodeoxycholic mwachuluka womangidwa kwa mapulotini plasma ndipo zimapukusidwa maselo chiwindi glycine ndi taurine conjugates wa mawonekedwe, imatulutsidwa mu ya ndulu ya. mankhwala a kagayidwe ali excreted mu ndowe ndi 50-70%. A pang'ono mankhwala zikutsatiridwa yogwira amalowa matumbo, kumene mabakiteriya lidzasinthidwa asidi lithocholic, amene sulfated mu chiwindi ndi kwathunthu excreted intestine.

Kusonyeza mlingo?

umboni Direct ku phwando la mankhwala "Ekskhol" malangizo Buku amatanthauza zinthu zotsatirazi:

• chachikulu biliary mtundu matenda enaake, pakalibe decompensation;
• kufunika kwa nchito yanyumba miyala mafuta a ang'ono ndi m'ma kukula, anapereka ndulu;
• gastritis (biliary Reflux);
• aakulu yogwira chiwindi mtundu;
• chiwindi matenda chidakwa;
• matenda cholangitis mawonekedwe chachikulu;
• enaake fibrosis a chiwindi;
• nonalcoholic steatohepatitis chikhalidwe;
• diskenziya biliary thirakiti.

Mu zikuonetsa makapisozi awa ndi miyala "Ekskhol" nthawi zambiri zotchulidwa dokotala ndi kusonyeza Mwachangu mkulu.

contraindications

Kukonzekera munali asidi ursodeoxycholic, ndi contraindicated matenda otsatirawa:

• pamaso pa hypersensitivity kwa zigawo zikuluzikulu za mankhwala;
• kusowa kwa ntchito bwinobwino, ndipo empyema a ndulu ya ;
• pamaso pa miyala ndi chiwerengero chachikulu cha calcium, wapezeka ndi X-ray;
• fistula kapepala kakuti m'mimba;
• aakulu chiwindi mtundu;
• yotupa matumbo matenda khalidwe;
• cholecystitis, cholangitis kapena gawo pachimake;
• decompensated matenda enaake;
• matenda a ndulu ndi ducts zake, matumbo;
• Mimba ndi mkaka wa m'mawere;
• Ana osaposera zaka 3 wamsinkhu;
• aimpso ndi kwa chiwindi insufficiency;
• ya ndulu thirakiti kutsekeka O.

Ngati pali contraindications deta ali osavomerezeka chifukwa odwala kukonzekera "Ekskhol". Buku akusonyeza kuti chida sankafuna mavuto pa mwana wosabadwayo mu maphunziro pa nyama, koma maphunziro okwanira mu amayi apakati kuti sakhala.

Kusamala

Mwapadera limasonyeza ena mokoma kulandira amatanthauza "Ekskhol" malangizo Buku. Madokotala za kukonzekera izi ndi zabwino, koma iwo kulabadira akazi a msinkhu wobereka kuti mankhwala awa farmproduktom ayenera kusamalira kulera zina. Kuwonjezera kulera m'thupi, amene amachepetsa Mwachangu kugwiritsa ntchito njira chotchinga cha chitetezo cha mimba zapathengo. Osavomerezeka chifukwa amayi apakati mwachimbulimbuli mankhwala mankhwala "Ekskhol". Buku limasonyeza kuti mu nkhani iyi chiopsezo cha mayi ayenera kukhala woposa chiopsezo kwa mwana wosabadwayo. Pamene mankhwala lactating akazi ayenera kusiya mkaka wa m'mawere.

Ngati mwana ali ndi zaka 3 zakubadwa, mankhwala "Ekskhol" ingaperekedwe ngati zofunika. Malangizo ntchito ana kumafuna kusamala mankhwalawa ana kwa zaka 4, monga iwo angakhale ndi vuto Pomeza makapisozi a.

Kodi ntchito mankhwala?

Chitsogozo chabwino koposa zochizira mankhwala "Ekskhol" - malangizo ntchito. Photos of chida likuthandizani mudziteteze kugula achinyengo.

Mankhwala chikuyendetsedwera pakamwa, makamaka maola madzulo. Kutafuna makapisozi ali osavomerezeka, kumwa madzi bwino mu buku laling'ono. Ngati wodwala akulemera makilogalamu zosakwana 34, ndi bwino kusankha kuyimitsidwa ndi mankhwala mankhwala chomwecho.

Mlingo zimadalira msinkhu ndi zolinga za mankhwala.

Ncholinga gallstones akuwaza ndi ducts "Ekskhol" kutenga ndalama tsiku la 10 mg / kg pa miyezi 6-12 ndi miyezi yochepa zotsatirazi prophylaxis.

Ngati amachitira mtima Reflux gastritis, anali kuwalanga kapisozi mmodzi wa mankhwala kamodzi pa tsiku kwa mkombero wa masabata awiri kwa miyezi sikisi, ndipo pamene pakufunika yeniyeni - kwa miyezi 24.

Chithandizo biliary matenda enaake amapangidwa malinga chiwembu kuti: tsiku - 10-15 mg / kg pa ndi nthawi wanzeru dokotala wa.

Ndi matenda ena m'gulu mndandanda wa zizindikiro yopemphera, mlingo ndi nthawi ya wake dokotala chikuonetseratu anakhala pa paokhapaokha.

Komanso, njira yapadera liyenela kuikidwa kwa ana ndi achinyamata "Ekskhol" mankhwala. Malangizo ntchito ana okulirapo kuposa zaka 3 anatchulapo kufunika kuika mlingo wa 10-20 mg / kg pa thupi patsiku. Ndendende lamulo la mankhwala ndi nthawi ya mankhwala unakhazikitsidwa ndi dokotala payekha.

Kodi pali zovuta zilizonse za mankhwala ndi ambiri osokoneza?

Mu zochita chowawa kumachitika pamene akumwabe "Ekskhol" mankhwala, monga:

• ululu kumbuyo;
• matenda m'mimba;
• ntchito kuwonjezeka chiwindi transaminases;
• chifuwa;
• machulukitsidwe wa gallstones kashiamu;
• retsediv psoriasis;
• alopecia.

Ngati mwakumana ndi zotsatira muyenera kusiya kumwa "Ekskhol" mankhwala. Malangizo ntchito, zikuchokera imene mwachidule ali m'nkhani ino zikusonyeza kuti mankhwala ambiri osokoneza milandu akhala sakudziwika. Komabe, ngati wodwalayo ali ndi zizindikiro za kuledzera zofunika kutulutsa mankhwala symptomatic.

Limodzi ndi mankhwala ena

Co-makonzedwe ndi antatsianami alyuminiesoderzhaschimi ndi resins ion kuwombola, kuchepetsa dzuwa la mayamwidwe "Ekskhola". wothandizila zamadzimadzi-kutsitsa, estrogens neomtsin kapena progestins zimathandiza kuti kuwonjezeka machulukitsidwe wa ya ndulu mafuta ndi kuchepetsa kuwonongeka kwa miyala.

Features wa kutanthauza kulandira

Nkhani yoyamba kuti muyenera kuwerenga asanadye "Ekskhol" mankhwala - malangizo ntchito. mawonekedwe kutulutsidwa kwa mankhwala makapisozi zochita bwino kwambiri poyerekezera kwathunthu miyala mafuta amene kukula si upambana 15-20 mm. Pankhaniyi, ndulu ayenera kudzazidwa ndi mabungwe deta si oposa theka, ndi ducts 100% anapitiriza ntchito zawo kuti kuchotsa ya ndulu.

Mu njira ya mankhwala kupasuka madipoziti mafuta m'thupi, amafunika kulamulira ntchito za michere chiwindi, transaminases, phosphatase zamchere, GGT ndi bilirubin. Kamodzi pa masabata 4 pa miyezi 3 mankhwala ayenera kukhala cholecystography. Pakatha miyezi isanu ndi umodzi, wodwala ayenera kukayezetsa chiwindi ultrasound kuwunika efficacy chithandizo.

Pamene wathunthu akuwaza miyala phwando "Ekskhola" wakhala atathana ayenera anapitiriza kuti nthawi ina ya miyezi itatu kuwononga yomaliza ya miyala zosaoneka ndi kuteteza mapangidwe atsopano.

Ngati choyamba theka chaka cha mankhwala si anati ngakhale pang'ono kupasuka miyala ndi inexpedient kupitiriza mankhwala chifukwa cha inefficiency ake.

Analogs ndi ofanana

Ngati wodwala ena zifukwa cholinga sangathe anatumizidwa "Ekskhol", tingathe m'malo ndi wina wa ofanana ndi:

• Makapisozi "asidi Ursodeoxycholic";
• Makapisozi "Ursol";
• Makapisozi "Ursosan";
• filimu TACHIMATA mapiritsi "Ursodeks";
• Makapisozi "cholozera Rompharm";
• kpsuly "Urdoksa";
• kuyimitsidwa chifukwa phwando mkati "Ursofalk";
• Makapisozi "Ursofalk";
• "Ursol" kapisozi;
• filimu TACHIMATA mapiritsi "Livodeksa";
• "Grinterol" kapisozi

Ngati mbali yapadera asidi ursodeoxycholic wodwala, kapena watsimikizira kukhala operewera mu mankhwala, n'zotheka m'malo mankhwala pa analogi, chimene ndi piritsi mawonekedwe "Holenzim". Izi mankhwala ndi wothandizila kuphatikiza kupanga youma ya ndulu ufa dihydrated minofu pancreatic ndi mucous woonda ziweto m'matumbo. Mu kuchitapo "Holenzim" amatanthauza Cholagogue. Izi mankhwala contraindicated mu hypersensitivity, ndi pachimake exacerbation wa kapamba aakulu. Monga zochita mbali kuchokera kutenga mankhwala, thupi lawo siligwirizana kumachitika mu mawonekedwe a totupa womwetula, redness ndi khungu.

Mtengo ndi mtima umboni

Izi mankhwala opangidwa ndi zoweta kampani mankhwala ZAO "Kanofarma kupanga", limene lili m'chigawo Moscow. Mtengo wa phukusi "Ekskhola" ambiri Russia 125 rubles. odwala ambiri kuti mphamvu ya mankhwala, mayiko phwando ake ndi mtengo angagulidwe. Anthu ndi chiwindi matenda ndi kapepala biliary ananena kuti zotsatira zabwino anali akwaniritsa mankhwalawa "Ekskholom". Pamodzi ndi dzuwa la odwala lipoti tolerability wabwino wa mankhwala.

Tikumbukenso kuti malongosoledwe a mankhwala ndi chosakwanira. Kuti mudziwe kukodzedwa za mankhwala "Ekskhol" ayenera kuti tiyanjane ndi malangizo mu phukusi la mankhwala. Cholinga cha chida ichi ndi nkhawa ndi dokotala nawo. Self-mankhwala n'koopsa thanzi lanu.