ʻO ka hoʻonāukiuki i ke kahe koko i loko o nā moku o ka lolo, nā ʻōpū kūloko a me nā limahana e alakaʻi i nā ʻano neurological, cardiovascular, ophthalmic a me nā trophic. No ka mālamaʻana i kēia mau alahele, e hoʻohana ʻia nā mea lawelawe e hoʻomaikaʻi ana i ka microcirculation, vasodilator drug, anticoagulants, derivatives koko, a me nā lāʻau lapaʻau ʻē aʻe.
ʻO nā lāʻau lapaʻau kaulana loa i hoʻohana ʻia no ka maʻi neurological a me vascular ka mea o ka Trental a me Actovegin, a me ka analogues o kēia mau lāʻau.
Kāleʻa Trental
ʻO ka hana ikaika o ka lāʻau Trental ka pentoxifylline. Hoʻemi i ka hoʻoneʻe o ka calcium i loko o nā wahi, hoʻonoho i ka monophosphate cyclic adesin (AMP) a hoʻonui i ka nui o nā molekui o ka ikehu (ATP) i loko o nā puʻupuʻu. ʻO ka hopena antihypoxic (hoʻonui i ka hoʻoneʻe aku i ka oxygen ma loko o nā puʻuwai puʻuwai) ma muli o ka hoʻonuiʻia o nā wahī coronary. I ka hoʻonui ʻia ʻana o ka lumen o nā moku pulmonary a me ka hoʻonui ʻia ʻana o ke kani o ka hanu e hoʻoikaika nei i ka oxygenation o ke kahe koko.
ʻO ka hana ikaika o ka lāʻau Trental ka pentoxifylline.
Aia naʻe ʻo Pentoxifylline i kēia mau hopena:
- hoʻomaikaʻi i ke kahe koko, hoʻoneʻe i ka nānā i ke koko a me ke kōpana platelet;
- ho'ēmi i ka hopena o ka hoʻololi ʻana i ke koko ʻulaʻula;
- hoʻonui i ka minuke a me ka weliweli o ka koko i pīpī ʻia, me ka ʻole o ka hoʻopiʻi i ka puʻuwai o ka manawa;
- hopena maikaʻi ma ka hana bioelectric o ka wahī;
- hoopau i nā ʻeha a me nā ʻeha me ka stenosis vascular peripheral.
Nā hōʻailona no ka hoʻohana ʻana o Trental:
- ischemic stroke;
- ka pale ʻana o nā maʻi microcirculation ma ischemia lolo a me nā neuroinfections viral;
- encephalopathy;
- nā hana ʻino i ka hoʻokahe koko i ka maʻi ʻōpū coronary a me ka infarction myocardial;
- atherosclerosis cerebral;
- nā neuropathy o nā nerve optic, nā pilikia o ka trophism retinal a me ka microcirculation ma nā kīʻaha liʻiliʻi o nā maka me ka maʻi mellitus;
- nā hana degenerative a me ka sclerosis o ka pepeiao waena i ke kua o nā maʻi vascular i ka pepeiao o loko;
- nā pōʻino i loko o nā moku o nā haʻahaʻa haʻahaʻa haʻahaʻa (me ke ʻano claudication intermittent);
- ka hoʻoweliweli ʻana o nā ʻūlele peripheral i kahi kikino o ka poino o ka pōkole a me ka hernia o nā disc intervertebral;
- maʻi maʻi palaualelo kaulike;
- nā maʻi o ka hōʻoluʻolu o ka vascular etiology.
Loaʻa ka lāʻau lapaʻau i nā puka no ka hoʻokele waha a me ka makua. ʻO ka makeʻana o ka pentoxifylline i loko o nā papa he 100 mg, a i loko o ka hoʻonāʻau infusion - 20 mg / ml (100 mg ma 1 ampoule). Hoʻomaopopo ʻia ka trental i loko o ka leo, intramuscularly, intravenously a me intraarterially (drip, emi iki - i loko o kahi pūpū).
ʻO nā hoʻohālikelike i ka hoʻohana ʻana o ka lāʻau lapaʻau nā:
- hypersensitivity i ka hoʻonohonohoʻana o nā mea kikoʻī o pentoxifylline a me nā mea like o ka palapala;
- nā pilikia neʻe o ka naʻau a me ka ʻōnaehana waena o ka naʻau (myocardial infarction, hemorrhagic stroke);
- maʻi maʻi porphyrin;
- koko nui;
- hapai
- liilii;
- hemorrhage retinal;
- wale nō no ka lawelawe makua: ka arrhythmias cardiac, nā pilikia nui o ka atherosclerotic o nā arebula cerebral a me ka coronary, nā hoʻokūkū mau loa.
Me ka ulu ʻana i ka maʻi hypotension, gastric a me duodenal, pilikia ʻole o ke kino, ma ka hōʻola hou ʻana ma hope o ka hōʻoki ʻana a me nā mea maʻi ma lalo o ka 18 mau makahiki o ka maʻi, ua kau ʻia ʻo Trental me ka akahele.
ʻO nā hopena kūpono paha o ka lāʻau lapaʻau e komo:
- ʻeha, nā ʻōpū, nā puʻupuʻu;
- ʻike ʻole i ka nānā;
- hopohopo, dissomnia;
- kuolo;
- wāwā o nā kui;
- wili ana o ke alo a me ka umauma;
- ua hōʻemi i ka momona;
- kahe ʻana o ka holo pā, ka ate a me nā ʻāpana;
- hoonui ulu naau, arrhythmia, angina pectoris, hoemi i ke koko;
- o loko a o waho;
- kūlohelohe;
- mahuahua ka hopena anticoagulant o nā NSAID a me ka hana hypoglycemic o ka insulin.
Loaʻa nā hopena kūpono o ka ʻoihana Trental i ka ʻike maka ʻana.
Nā Actovegin ʻano
Hoʻokumu ʻia ka hopena pharmacological o Actovegin i loko o nā hopena antihypoxic a me ka metabolic o kāna hana ikaika - extracts (derivatives) mai ke koko o nā bipi.
Hoʻololi ʻia ka hemoderivative e ka dialysis a me ka kānalua o nā pālei me ke kaumaha molopeta e ʻoi aku ma mua o 5 tausani daltons.
Ke loaʻa nei ka hopena i ka hopena i ke kino:
- hoʻoikaika i ka lawe ʻana o ka oxygen i nā pūnaehana o ka nanea o ka naʻau, puʻuwai a me nā ʻiʻo peripheral;
- hoʻolaha i ka halihali a me ka hoʻohana pono ʻana i nā kaila, ke hoʻemi ʻana i ka ʻike o nā huahana o ka hoʻohuihui piha ʻana i nā glucose (lactates);
- hoʻopaʻa i nā membran cytoplasmic i nā kūlana o ka hypoxia;
- hoʻonui i ke kūlike o nā makroergs a me nā mea i hoʻopuka ai o ka huaʻala o ka glutamic, aspartic a me gamma-aminobutyric acid.
Kūkulu ʻia ka Actovegin no kēia mau ʻano:
- ka hana ʻole ʻana i ka ʻōnaehana olakino ma hope o ka pōʻino o ka pōkole a i ʻole ka cerebral infarction;
- he thrombosis o nā moku peripheral a me nā coronary, nā hopena o ka komo ʻana i nā arteri a me nā veins (e komo ana i nā ulia trophic);
- ka hōʻemi ʻana i ke koko i nā fibes nerve i nā maʻi o ka ute;
- hoʻōla lōʻihi i nā hōʻeha, nā ʻeha, ka ʻehaʻeha, ke ahi a me nā mea ʻeha ʻē aʻe i nā maʻi vascular, metabolic a me ka endocrine maʻi;
- hōʻeha o ka radiation ʻana o nā kino o loko, nā membrane a me ka ʻili.
I kekahi mau hihia, hoʻohana ʻia nā infusions hemoderivative no nā maʻi mākaʻi (ʻo ka loaʻa o ke koko ka maʻi me ka pēpē a me ka plasenta).
Loaʻa ka Actovegin i nā ʻano lāʻau lapaʻau aʻe:
- aila (50 mg / g);
- gel (200 mg / g);
- nā hopena no ka infusion (4 mg a i ʻole 8 mg i ka 1 ml);
- hoʻonā wai hoʻonā (4 mg, 8 mg, 20 mg a 40 mg i ka 1 ml);
- papa (200 mg).
Hōʻike ʻia ka lāʻau lapaʻau e ka hoʻokau maikaʻi ʻana me nā lāʻau lapaʻau antihypoxic a me nā metabolites, akā hikiʻole ke hoʻohui iā ia i loko o kahi pāheʻe hoʻokahi.
ʻO nā hoʻohālikelike i ka hoʻohana ʻana o ka lāʻau lapaʻau nā:
- hypersensitivity i nā derivatives koko;
- ʻaʻole hiki ʻole ke loaʻa i ka naʻau o ka naʻau;
- edema poloka;
- nā huehue i hoʻopā nū.
Pono e hoʻohana ʻia ka Actovegin me ka makaʻala i ka maʻi maʻi maʻi.
Me ka makaʻala, pono e hoʻohana ʻia ka lāʻau lapaʻau no ka maʻi mellitus no ka maʻi maʻi (ma muli o nā kikoʻī o ka dextrose i nā hopena o nā derivative), he keu aku ka nui o ka chlorine a me ka sodium.
Hiki ke ʻōleʻa i ka mīkini me nā hopena alia (pili i ke ʻano, ke ʻokeʻo, ʻulaʻula, ka ʻili o ka ʻili, a me nā mea) a me ka mālama ʻana o ke kino i loko o ke kino.
ʻO ka hoʻohālikelike o nā Trental a me Actovegin
Hoʻohana ʻia ka Actovegin a me nā Trental no nā hōʻailona like. Hāʻawi ʻia ke ʻano antihypoxic like ʻole e nā ʻano lāʻau lapaʻau like ʻole.
Hoʻohālike
Ka mea like me nā lāʻau lapaʻau ʻelua i ʻike ʻia i loko o kēia mau ʻano.
- ka hiki ʻana no ka hoʻopili i ka pōpilikia a me ka hoʻomohala ʻana i nā ʻano rheological o ke koko;
- nā hopena maikaʻi i nā kaʻina metabola i loko o nā pūnaehana, ka lawe ʻana o ka oxygen a me ka hōʻiliʻili ʻana o ATP;
- pilikia koʻikoʻi o ka edema i ka wā hana;
- ka nui o nā puka hoʻopiʻi a me ka makua.
Loaʻa ka Actovegin a me nā Trental i kahi hopena maikaʻi i nā kaʻina metabola i loko o nā pūlima.
Poke? I? O man?
Hoʻokaʻawale ʻia nā ʻokoʻa ma waena o Actovegin a me Trental i nā ʻano like me:
- ke kumu o ke ʻano ikaika;
- pono lāʻau;
- helu o nā contraindications a me nā hopena hopena;
- palekana no ka mea maʻi a me ka lactating.
Aia ia ka hapa?
ʻO ke kumu kūʻai o Actovegin mai 361 rubles. no 5 mau puʻu o ka hoʻonā, mai 1374 mau rubles. no na papa 50 a mai 190 rubles. no 20 g aila poni. Hoʻomaka ke kumu o ke Trental mai 146 mau rubles. no 5 mau ampoules a mai 450 rubles. no 60 papa.
ʻO wai ka mea maikaʻi: Trental a i ʻole Actovegin?
ʻO ka maikaʻi o Trental kona hōʻoia i ka hana pono. Ua hoʻomaʻamaʻa maikaʻi nā lāʻau lapaʻau a me nā pharmacokinetics o kēia lāʻau lapaʻau, kahi e hiki ai iā ʻoe ke koho i ke ʻano helu ma ka pololei me ka hiki ke kūlike ma ka hopena o ka maʻi a me nā ala pili.
ʻAʻole i hoʻokomo ʻia ka lāʻau Actovegin i nā protocols mālama i kekahi mau ʻāina ulu, akā he nui nā neurologists e ʻike i ka hopena maikaʻi o ka lālia ma ka microcirculation a me ka hōʻemi ʻana o nā lesi kiko o hypoxic. ʻOi aku ka palekana o nā hemoderivative solution a me nā papa i hiki ke hoʻohana ʻia i ka wā hāpai, lactation, nā maʻi o ka ʻōnaehana hematopoietic, nā maʻi hoʻololi pololi, a me nā mea ʻē aʻe.
Inā aia nā contraindications no ka lawe ʻana i ka Trental, Mexidol, Mildronate a me nā lāʻau lapaʻau ʻē aʻe e hoʻoulu ai i ke kahe koko i loko o nā moku o ka lolo, ka puʻuwai a me nā huakaʻi peripheral i hiki ke kuhikuhi pū ʻia me Actovegin.
Nā Hōʻike Hoʻomaʻi
Elena, 49 makahiki, ʻo Moscow
Mai ka lōʻihi e noho ana i mua o ka pale o ka kamepiula i hōʻike ʻia ka huki, ka ʻeha ma ke poʻo a me ka ʻāʻī. Ua hōʻike ka neurologist i ka osteochondrosis cervical a kuhikuhi i kekahi mau lāʻau, aia ʻo Trental. Ma hope o ka papa mua, neʻe ʻia nā hōʻailona, akā hele ʻia nā exacerbations mai kēlā me kēia manawa. ʻO 3 mau makahiki i hala aku nei, me ke ʻano o nā hōʻailona mua o ka exacerbation (migraines, pressure surges), ua lawe wau i kahi papa o 10 droppers me Trental, a laila ua lawe wau i nā paila no 1-2 mau mahina. Ma hope o kēia ala, nalowale nā hōʻailona no nā mahina 6-9.
ʻO ka nele o ka lāʻau lapaʻau - me ka hoʻolaki wikiwiki (ʻo ia hoʻi i ka wai), ke hina kaʻo o ke kahe a hoʻomaka i ka pīhoihoi.
Svetlana, 34 makahiki, Kerch
Ma hope o kahi hōʻeha pōpilikia traumatic, kuhikuhi ke kauka iā Actovegin. Lawe wau i kahi papa injections i kēlā me kēia mahina 4-6 (2 mau manawa i ka makahiki a i ʻole ke koi ʻia). Aia ma ka lā 2 - 3 lā o ka mālama ʻana, kuʻi ʻia a me nā dizziness, hoʻonui i ka hana hana, a nalo ka mauʻeha. Hoʻohui hou - i ka wā o ke ana o nā injections, e hoʻomaikaʻi ʻia ka hoʻōla ʻana o nā hōʻeha hou. I mea e pale aku ai i ka ʻāʻī, ʻoi aku ka maikaʻi e hoʻohana i kahi aila. ʻO kahi wale nō o ka lāʻau lapaʻau ka ʻeha o kahi hōʻeha, hikiʻole ke ʻae ʻia i ka hoʻopuka ʻana aku o 5 ml o kahi hopena.
ʻLelo a nā kauka e pili ana i nā Trental a me Actovegin
Tikushin EA, neurosurgeon, Volgograd
ʻO ka trental kahi mea hana e hoʻohana nui ʻia ai i ka neurology, cardiology, neurosurgery, angiology a me nā mahina ʻē aʻe. Neurosurgeons i kuhikuhi i nā mea maʻi me nā palaka o ka ʻōiwi lela o peripheral, nā hōʻeha craniocerebral a me ka maʻi radiculopathy e kū i ke kua o ka hōʻino ʻana i nā disc intervertebral.
Loaʻa ka lāʻau lapaʻau i kekahi mau ʻano, kūpono kēia no ka mea maʻi, no ka mea Hiki ke hoʻomau ʻia kahi papa pōkole o nā ʻōpala e ka lawe ʻana i nā pōpoki.
Birin M.S., neurologist, Ulyanovsk
ʻO ka Actovegin kahi lāʻau lapaʻau kūpono a kaulana loa no nā ʻano hanana vascular. ʻO kona hoʻohana nui ʻia ma o synthetic nā lāʻau palekana kiʻekiʻe a me ka haʻahaʻa o nā hopena maikaʻiʻole. ʻO ke kūpono a me ka nele o nā hopena lōʻihi o ka hoʻokele kanalua, no ka mea ʻaʻole i hōʻoia ka mea hana i ka pono o ka lāʻau lapaʻau i nā haʻawina loiloi. Eia kekahi, ʻo ka haʻahaʻa o ka hoʻomaʻemaʻe i ke kumuwaiwai i ka wā o ka hana e hopohopo kekahi.
