Preparart "Lucentis": mayankho a odwala ndi madokotala, malangizo ntchito

M'nkhani ino tikambirana za mankhwala mankhwala "Lucentis". Malangizo, ndemanga, mlingo - zonsezi ndi mochuluka liyeretsedwe ife.

"Lucentis" ntchito pochiza matenda a maso zochizira obwera ndi ukalamba macular alibe (neovascular). Amagwiritsidwanso ntchito pa matenda ashuga macular edema kubwezeretsa masomphenya. mankhwala chikuyendetsedwera jekeseni mu thupi vitreous diso.

Kapangidwe ndi Kaonekedwe

Ndi mandala kapena pang'ono opalescent njira pokonzekera makonzedwe mkati "Lucentis" (mavoti mtima kutsimikizira izo).

Waukulu yogwira pophika mankhwala ndi ranibizumab. wokhutira mu 1 vial mankhwala ndi 2.3 mg. Komanso, izi zigawo wothandiza aphatikizidwa "Lucentis":

• α-trehalose dihydrate;
• polysorbate;
• L-histidine hydrochloride monohydrate;
• madzi.

katoni imodzi ndi mankhwala monga:

• bwino galasi botolo, buku la 0,23 mL, mankhwala;
• singano ndi fyuluta;
• A syringe wosabala ndi singano.

mankhwala adzamasulidwa ku pharmacies ndi mankhwala okha.

umboni

Perekani angapo matenda ophthalmic "Lucentis". Umboni ndithu osokoneza kuti nchito zake - wina mankhwala kumathandiza, pamene ena nkomwe amaona ntchito zake. Komabe, "Lucentis" analamula kuti matenda otsatirawa:

• yonyowa (neovascular) mawonekedwe a zaka zokhudzana degeniratsii macular;
• kusawona bwino chifukwa chitukuko cha matenda ashuga macular edema - ntchito kamodzi kapena pamodzi ndi laser coagulation ;
• yafupika masomphenya chifukwa macular edema, amene amayamba ndi retinal mtsempha occlusion;
• yafupika masomphenya chifukwa neovascularization choroidal chifukwa cha myopia pathological.

contraindications

Pali zingapo contraindications wonse woika mankhwala "Lucentis". Odwala ndemanga komanso amati mankhwala Kwalamulidwa si aliyense. Choncho, mankhwala ndikoletsedwa kuti ntchito odwala:

• akudwala matenda opatsirana a ocular kapena periocular sachedwa matenda njira kutanthauzira;
• amene anapezeka ndi "kutupa intraocular";
• nedostrigshim zaka 18;
• amene amaonetsa hypersensitivity kuti pophika iliyonse ya mankhwala.

mankhwala simungakhoze kuperekedwa kwa akazi apakati ndi lactating.

mankhwala ntchito mosamala odwala ndi magulu otsatirawa:

• Anthu hypersensitivity; ngati pali chiopsezo cha sitiroko, mankhwala ndi pambuyo poti munthu ziyenera a madokotala ngozi athandize "Lucentis".
• Odwala matenda DMO chifukwa retinal mtsempha occlusion kapena CNV, amene amayamba ndi myopia pathological, pamaso pa ubongo ischemia kapena kachigawo - mankhwala zingachititse thromboembolism.
• Anthu amene kale kutenga mankhwala zinthu pa kukula mtima za indofeliyamu.

Nthawi zina, chithandizo ndi linasokonekera

Palinso nthawi imene Akufunika pakamwa mankhwala ndipo sanayese adzikonzenso:

• kusintha kuthamanga intraocular kuti mmHg 30 kapena kuposa. Article.
• ndichepe mu acuity zithunzi ndi zilembo 30 kapena kuposa poyerekeza ndi kayesedwe otsiriza;
• retinal kuichotsa;
• subretialnoe kukha mwazi zokhudza una chapakati, kapena kunakhudza pa 50% a m'derali;
• Pogwira opaleshoni intraocular.

mlingo

Only mu mawonekedwe a jekeseni vitreous "Lucentis" ntchito. Umboni kusonyeza kuti ndondomeko pakokha sabweretsa chisoni.

Nkhani za botolo limodzi kudzera cholinga yekha jekeseni imodzi. Atchule mankhwala angakhoze kokha maso wodziwa njira zimenezi.

Popeza mankhwala amatenda kubayidwa, ayenera kukumbukira kuti pakati pa iwo uyenera kuchitika imeneyi ya mwezi osachepera 1. The mlingo "Lucentis" jekeseni imodzi - 0.5 mg. Pa matenda a ulamuliro okhazikika pa sharpness ikhale ya.

Poika mankhwala odwala zaka zoposa 65 zosautsa wapadera mlingo chofunika.

"Lucentis": malangizo ntchito

Ndemanga pa kukonzekera ndi ntchito ya madotolo kuti wodwala n'kofunika kuti aziona kukonzekera kumayambiriro kwa ndondomekoyi kupewa malpractice.

Choncho, pamaso kukhazikitsa njira zofunika kuonetsetsa kuti njira ndi yolondola - mtundu, kapangidwe, kusowa kwa chitayiko. Pamene kusintha kamvekedwe kapena pamaso pa particles insoluble "Lucentis" choletsedwa ntchito.

Chiyambi lokonzekera ayenera kutenga malo pansi wosabala: manja anthu pangozi ayenera moyenera agwira; Only magolovesi wosabala ntchito, komanso kukhala wosabala Pochotsa chivindikiro speculum ndi zipangizo zina zonse zimene ntchito.

Atangotsala pang'ono jekeseni wa ikuchitika disinfection wa khungu kuzungulira maso ndi m'badwo. Kenako kukapanda kuleka mankhwala ochititsa ndi kutumikiridwa antimicrobials. Kumbukirani kuti wothandizila odana ndi tizilombo tating'onoting'ono ayenera anaika 3 zina tsiku pambuyo pa ndondomeko masiku atatu.

Only pansi malamulo amenewa kungakhale mankhwala bwino kwa "Lucentis". Feedback anthu amene anatenga izo, nanena kuti pali nthawi zina pamene dotolo amaika mankhwala odwala awiri a singano chomwecho. Zoterezi n'kosayenera kungachititse kuti matenda a matenda osiyanasiyana ndi matenda monga AIDS.

Mankhwala wokha sukhalira kutumikiridwa mu thupi vitreous ndi kukutsogolerani nsonga ya singano kwa mzinda wa mwana wa m'diso la. jakisoni wotsatira ayenera idzachitika mu theka la sclera, yemwe si anakhudzidwa ndi jekeseni choyamba.

Popeza kwa ola pambuyo ndondomeko, kuthamanga intraocular kukwera, m'pofunika kulamulira ndi kuyan'ana perfusion ya mitsempha chamawonedwe. Nthawi mokakamiza ayenera kupereka chithandizo kuchepetsa zoipazi.

Ndondomeko wina amaloledwa kulowa mankhwala okha diso limodzi.

ambiri osokoneza

Mwangozi ambiri osokoneza akhala anati m'mayesero matenda. Zizindikiro ambiri awa:

• wamphamvu ndi lakuthwa ululu diso;
• kuchuluka intraocular kuthamanga.

Ngati inu mungazindikire zizindikiro ngati wodwalayo ayenera kukhala kuyang'aniridwa ndi dokotala ndi kuti alandire chithandizo kutero.

Mogwirizana ndi mankhwala ena

Sizikudziwika mmene ndi mankhwala ena ankachita mankhwala "Lucentis". Reviews odwala (ambiri a iwo) kukachititsa kunena kuti madokotala si mankhwala a "Lucentis" lirilonse mankhwala ena pambali dzanzi ndi odana infective.

Ichi ndi chifukwa chakuti kafukufuku mogwirizana kwa "Lucentis" ndi mankhwala ena osati amaphunzira. Choncho, mankhwala ayenera kugwiritsidwa ntchito molumikizana ndi njira zina kapena mankhwala osokoneza bongo.

Mimba ndi mkaka wa m'mawere

Kodi contraindicated mu akazi apakati ndi lactating pokha "Lucentis" (mayankho komanso kutsimikizira izi). Ichi ndi chifukwa chakuti mankhwala ali imodzi ya mankhwala teratogenic ndi embryotoxic, ndiko kuti, amachititsa mkhutu kukula yoopsa.

Kwa amayi a msinkhu wobereka ndi imeneyi pakati pa mapeto a mankhwala ndi lingaliro sayenera miyezi yosakwana 3 - panthawi imeneyi ranibizumab kwathunthu kubweretsa thupi. Mpaka nthawi imeneyo, muyenera kugwiritsa ntchito kulera odalirika.

zotsatira zoyipazi

Ndipo mulole kuyambitsa zotsatira osafunika kuwomberedwa mu diso ( "Lucentis"). Reviews odwala pankhaniyi makamaka zabwino - mavuto n'zochepa kwambiri. Komabe, zaka ziwiri maphunziro matenda apeza zotsatira mavuto osafunika thanzi pambuyo jekeseni wa:

• endophthalmitis;
• retinal detachment ;
• ng'ala;
• kuthamanga intraocular;
• intraocular kutupa.

Komanso, anaona ndi zochepa oopsa zotsatira za ntchito "Lucentis" zokhudzana ndi ziwalo pamaso:

• kutukusira kwa thupi vitreous ndi intraocular;
• vitreous detachment;
• amaona masomphenya;
• retinal kukha mwazi;
• ululu maso;
• conjunctival kukha mwazi;
• blepharitis;
• diso mkwiyo;
• madzi maso;
• youma diso syndrome;
• iritis;
• uveitis;
• utachepa zithunzi acuity;
• Kukwera Iris;
• njira osachiritsika mu diso;
• redness diso.

Komanso anakumana ndi zotsatira zotsatirazi mbali:

• nasopharyngitis;
• fuluwenza;
• nkhawa;
• magazi m'thupi;
• mutu;
• sitiroko;
• kutsokomola;
• nseru;
• kuyabwa ndi zidzolo;
• arthralgia.

Komabe, zotsatirapo zimenezi ndi osakwana 2% a milandu amatanthauza "Lucentis" ntchito. Reviews, makamaka amasonyeza zosayembekezereka ndi kawirikawiri redness ndi ululu. Komabe, zizindikiro zikawoneka m'malo mofulumira.

zinthu yosungirako

"Lucentis" ziyenera kusungidwa pa 2 mpaka 8 madigiri Celsius, koma Mulimonsemo musati amaundana. Zikutanthauza zofunika kusunga mu mdima ndi youma pomwe ana si kulumikiza. Alumali moyo wa mankhwala ndi zaka 3 kuchokera tsiku kupanga. Musagwiritse ntchito anatsirizika "Lucentis".

Kusamala

Pamene ntchito "Lucentis" zingakhale zosangalatsa matenda osiyanasiyana zithunzi kuti kusokoneza kuthekera wodwalayo kuti ntchito njira zosiyana ndi kulamulira galimoto. Choncho, ngati zizindikiro zimenezi zimaonekera, simukhala kumbuyo gudumu la galimoto kapena kusintha limagwirira mpaka nthawi monga chisokonezo onse zithunzi kutha.

Komanso osavomerezeka kuyendetsa galimoto yomweyo pambuyo jekeseni, ngakhale ngati mulibe kalikonse poyamba sanali zindikirani. Zotsatira zake zoyipa angagwe pambuyo Mwachitsanzo pambuyo atapita mankhwala ochititsa lapansi.

'Lucentis': ndemanga madokotala

'Lucentis' kawirikawiri analimbikitsa ndi zotchulidwa madokotala chifukwa amaona kuti imathandiza mankhwala. Komano, si nthawi zonse wodwala ndalama zolipirira chofunika kuchuluka kwa jekeseni: "Lucentis" - chida m'malo okwera mtengo. Nthawi imeneyi, madokotala amati m'malo ndi wofanana mtengo - "Avastin". Komabe, yotsirizira silinakwaniritsidwe ankafufuza mu digiri moyenera, kotero umboni woyambirira wa madokotala ndi nthawi anayesedwa "Lucentis". Ophthalmologists akhala bwino chida ichi, inu mukudziwa zomwe zotsatira zake tingayembekezere ndi kuzindikira nchito zake.

umboni

Tsopano tiyeni tikambirane zimene odwala okha ndikuganiza za mankhwala mankhwala "Lucentis". Reviews amati mankhwala sikuti ndi zotsatira ankafuna. Komabe, ambiri odwala amene akhala akukonza ananena kuti masomphenya bwino kwambiri kapena idaleka kutha. Iwo amatchuka zotsatira ngati alumali ngati ululu ndi pakutchulidwa matenda, koma mosavuta kupirira mankhwala. Komanso, ambiri odwala ndi chikhulupiriro kuti zotsatira osafunika awa ndi zotsatira.

Komabe, palinso milandu pamene mankhwala anasonyeza operewera. chakuti 'Lucentis' amathandizanso osati 100% milandu, iwo amati, ndi madokotala okha. Ngakhale sangathe kwambiri odwala amakhulupirira kuti - mtengo wa ndalama. Osati aliyense angakwanitse kuchita zonse za jekeseni angapo.

Mwa ubwino kwambiri, kuwonjezera dzuwa, ntchito sabweretsa chisoni amatchedwa "Lucentis" (ndemanga pa nkhani izi zigwirizana). The sangathe yekha ndi kusapeza pamaso oyendetsa pambuyo. Komabe, iwo ali wololera ndithu, ndipo anabaya yekha sadamve. Pambuyo kuchotsa mankhwala, pali ululu yaing'ono.

Komabe, "Lucentis" anati chida wokongola ogwira pambuyo ntchito imene odwala Nazo bwino masomphenya.