Allergy isibhamu "Diprospan": isicelo kanye nokubuyekeza

Kanjani ukwenza komzimba isibhamu "Diprospan"? Impendulo yalo mbuzo okusesihlokweni esithi. Liqukethe ulwazi mayelana lokho iziguli ukusho mayelana imithi, uma unanoma yimiphi imiphumela emibi, Izimo, nokunye. D.

Ukwakheka, incazelo kanye emaphaketheni

Allergy isibhamu "Diprospan" angathengwa ngasiphi ekhemisi. Umuthi iyatholakala njengendlela ukumiswa kancane viscous, obala futhi kungekho nto enemibala emihle (kungenzeka kancane ezinemibala ngombala ophuzi), esetshenziselwa umjovo.

Imithi iqukethe izinto kalula suspendable omhlophe noma awube mhlophe. Kuyinto mahhala kusuka ukungcola, futhi yakha ketshezi eyohlobo ezinzile ngaphansi ukuyaluza.

Uyini Ukwakheka has yokungezwani komzimba isibhamu "Diprospan"? I asebenzayo izidakamizwa izinto kukhona betamethasone sodium phosphate futhi betamethasone dipropionate. Lihlanganisa amanzi distilled, i-sodium ne-hydrogen phosphate dihydrate, hydrochloric acid, i-sodium chloride, macrogol, disodium edetate, sodium carmellose, polysorbate 80, propyl parahydroxybenzoate, Gcoba i-Benzyl utshwala, methyl parahydroxybenzoate.

Ngo iphakheji ungathenga yokungezwani komzimba isibhamu "Diprospan"? Nobufakazi bathi lokhu izidakamizwa okuthengiswa ingilazi ampoules, okuyinto ezibekwe inqwaba amakhadibhodi. Futhi, nomuthi angathengwa imijovo alahlwayo ngengilazi kungekho nto enemibala emihle (2 isethi kukhona izinaliti oyinyumba). I imijovo ezibekwe nezipakupaku ezisebusweni amaphakheji amakhadibhodi.

izakhiwo kwemithi

Yini izakhiwo babe yokungezwani komzimba isibhamu "Diprospan"? Regulations lebhalwe sikhungo, uthi isidakamizwa kuyinto glucocorticoid. It has mineralocorticoid azinakwa nomsebenzi eliphezulu glucocorticoid. Imithi has immunosuppressive, anti-iguliswa futhi eqeda ukuvuvukala umphumela. Wabuye liphinyiselwe nomthelela zonke izinhlobo umzimba.

izakhiwo pharmacokinetic

Uyini umthelela umzimba womuntu yokungezwani komzimba isibhamu "Diprospan"? ochwepheshe lezivakashi bathi phosphate betamethasone sodium kuyinto encibilikayo kakhulu. Ngemva ujove esicutshini ka izidakamizwa ngokushesha ngempela hydrolyzed futhi wafunda ngokushesha. Lokhu ngesilinganiso ukumuncwa inikeza nomphumela omuhle zokwelapha.

Umuthi siqedwa ngosuku olulodwa ngokuphelele.

Kepha betamethasone dipropionate ke amuncwa umzimba kancane (kusukela edepho). Ingqikithi is akheka kancane. Leli qiniso inquma nangemiphumela yesikhathi eside zomuthi. Ibonisa into phakathi kwezinsuku ezingu-10.

Ukuxhumana betamatezona ukuze plasma amaprotheni cishe 62%. umzimba wayo esibindini Kwenziwa kumiswa metabolites esingasebenzi. Ukuhoxiswa izidakamizwa nezinso.

izinkomba

Asho izidakamizwa "Diprospan"? Imijovo ku joint (izilinganiso izokwethulwa kamuva) kanye nezinye izingxenye zomzimba asetshenziselwa ukwelapha izifo kanye nezimo lapho glucocorticoid uvumele ukufeza umphumela esiphezulu zokwelapha. Akufanele sibakhohlwe ukuthi kwezinye yokwelapha ngeziphambeko leli thuluzi ozikhethela, hhayi omunye oyinhloko.

Ngakho lokho okushiwo yokungezwani komzimba isibhamu "Diprospan"? a Amalungiselelo anjalo isetshenziswa:

• izifo kwezicubu ezithambile kanye lwamathambo imisipha izinhlelo;
• komzimba;
• izifo dermatological;
• letindzala izifo zezinzwa izicubu;
• komdlavuza hematological;
• lesibili noma eyinhloko esingamahlalakhona adrenocortical;
• Ezinye izifo kanye nezimo sokugembula ezidinga ukwelashwa, corticosteroids letindzala.

Izimo

Ngaphambi kokwenza dubula "Diprospan", kufanele ufunde imiyalelo ngokucophelela. Lithi izidakamizwa akufanele isetshenziswe kulezi zimo ezilandelayo:

• e mycosis letindzala;
• I-ongama kanye nokuphathwa emthanjeni;
• kwezokuphatha kwamanzi onegciwane;
• ukuze ishuthekwe isikhala intervertebral;
• I-naphakathi-articular abaphathi (e engazinzile sokuqaqamba kwamalunga ehlanganyelwe noma esithathelanayo);
• ezinganeni kuze kube iminyaka emithathu (ngenxa yokuba khona utshwala lichaza ekwakheni izidakamizwa);
• hypersensitivity kuya izidakamizwa izidakamizwa;
• hypersensitivity kwamanye glucocorticoids.

Ukusetshenziswa kwesivuno ngokuqikelela izidakamizwa

Kwezinye izimo nge ngokwedlulele ngokuqapha prescribers "Diprospan"? Imijovo ku joint (izibuyekezo ngalokhu izidakamizwa okuxubile) nezinye izingxenye zomzimba kufanele kwenziwe ngaphansi kokuqondisa esiqinile udokotela uma:

• izifo yisinanakazana futhi esithathelanayo webhaktheriya, fungal noma egazini umsuka;
• immunodeficiency;
• yezifo ipheshana wokugaya ukudla;
• pathologies izitsha inhliziyo negazi;
• izifo endocrine;
• ukungakhuli kwezinso noma hepatic okukhulu (ezingamahlalakhona) ukwehluleka;
• purpura thrombocytopenic;
• hypoalbuminemia nemibandela kubenza bavame ukuba ivela khona;
• ukukhuluphala, ukukhumuzeka kwamathambo letindzala, izifo iso kubangelwa herpes, lactation, myasthenia gravis, poliomyelitis, sengqondo acute, evulekile-no-Ukuvalwa ukufiphala nokukhulelwa;
• kwaba ngemva kwezikhathi zokulotshwa-ngokugoma.

Kufanele kuqashelwe ukuthi, ngokuba naphakathi-articular nokuphathwa izidakamizwa ezinqunyiwe ngokucophelela isimo jikelele isiguli nezenzo ayizwakali we kabili odlule.

Izidakamizwa "Diprospan": isitatimende

Shots, ukubuyekezwa zazo kungabonakala kulesi sihloko asetshenziselwa esicutshini, okolosustavnogo, naphakathi-articular, intradermal, intrabursalnogo, intralesional kanye nokuphathwa interstitial.

Ubukhulu ezincane asebenzayo izidakamizwa izinto ukuvumela ukusebenzisa ubukhulu ubuncane yenaliti. Kufanele ngokushesha kuqashelwe ukuthi nomuthi ayenzelwanga ekuphathweni emthanjeni noma ongama.

Imijovo lufanele lwenteke kulamazinga lalandzelako ngo bawuhloniphe ngayo yonke imithetho asepsis.

Indlela yokuphathwa kanye nokushintsha kokudla nokufakwa umbuso isethiwe umuntu ngamunye, kuye ngobucayi inkomba yesifo nayo impendulo lesiguli.

Ngokuvamile, umthamo kokuqala kohlelo lokulungiselela 1-2 ml. ekuphathweni okuphindaphindiwe kwenziwe njengoba kudingekile.

imijovo esicutshini ukwenza ngokujulile, ngokukhetha imisipha emikhulu nokugwema kwezinye izicubu.

Ake sithi, in the kwabathinta isithende. "Diprospan" kuleli cala, futhi lapho esebenzisa umjovo intraarticular at umthamo 0.5-2 ml. Yilokho ngokwanele lokunciphisa izinhlungu futhi asuse komkhawulo ukuhamba ngokuhlanganyela.

izifo dermatological ngempela ngempumelelo kusiza intradermal umjovo we izidakamizwa.

Ngemva kokufinyelela udokotela zokwelapha umphumela kumelwe ukhethe asekelayo umthamo ngu elokhu enciphisa umthamo kokuqala.

Esimeni usongo esimweni esicindezelayo, okuyinto ongakaphathelani sifo, kungase kudingeke ukwandisa izidakamizwa.

Ekupheleni ukwelashwa eside noma ukusetshenziswa kwezidakamizwa ebulilini, ukuqapha isiguli kumele kwenziwe okungenani ngonyaka.

Ukulungiselela "Diprospan" (imijovo): Effects Side

izidakamizwa Okubukwe kubangela inombolo kahle esikhulu yemiphumela emibi:

• Hypernatremia, uketshezi nokugcinwa emisipheni, lipomatosis, kukhuphuke potassium excretion, anda excretion calcium, ukwanda isisindo, alkalosis hypokalemic.
• igazi Ukwandiswa ingcindezi, ukuhluleka kwenhliziyo (zezifo ezingelapheki).
• Ubuthakathaka bemisipha, myopathy steroid, ukulahlekelwa yemisipha, ukukhumuzeka kwamathambo, Ukunganaki ohlanganyelwayo, ukwa kokucindezelwa yomgogodla, umsipha ukudabuka.
• izilonda Erosive noma esidalwa yizilonda emathunjini sibe yokusetshenziswa pheshana emathunjini ne ukopha kungenzeka noma perforation, ukubuyisa, pancreatitis, hiccups.
• Ukwephula isilonda sisheshe siphole, petechiae, isikhumba thinning futhi yoma, ecchymosis, dermatitis, ukujuluka yanda, striae, induna steroid, propensity ukuthuthukisa pyoderma futhi candidiasis.
• Ukuquleka, iziyaluyalu ubuntu, kukhuphuke intracranial ingcindezi, isiyezi, ukucasuka, ikhanda, ukucindezeleka, bajabula, ukuqwasha kanye nemizwa eshintshashintshayo.
• Ukuphazamiseka kokuya esikhathini umjikelezo, isifo sikashukela, ukuthomba imisiwe ekuthuthukisweni izingane nokukhula.
• Posterior ngwengwezi subcapsular, ubumpumputhe, waqinisa intraocular futhi glaucoma exophthalmos.
• ukusabela Anaphylactic, edema angioneurotic, ukushaqeka, hypotension.
• Rush wegazi ebusweni, arthropathy neurogenic.
• Skin futhi yoma ongama, hyper- noma hypopigmentation, abscesses aseptic.

nobufakazi

Iziguli eziningi ukubika ukuthi lesi sidakamizwa "Diprospan" inikeza ngempumelelo okusezingeni eliphezulu ekwelapheni articular, dermatological futhi izifo nomzimba. Nokho, abantu abaningi bakhononda ngokuthi imijovo nesicelo of wathi izindlela ibuhlungu kakhulu. Ngaphezu kwalokho, ngemva imijovo ezimbalwa ngokuvamile kwenzeka ohlangothini ukusabela. Leli qiniso kwenza kwaba nzima ukulandela-up ukunakekelwa, ephoqa iziguli ukubona udokotela futhi ukuthenga imithi emisha. Njengoba sazi ukuthi umuntu umfuma lesi sidakamizwa "Diprospan" kubiza ruble mayelana 200, waiver yokwelapha eminye kakhulu hit phezu isikhwama.