Esikhundleni kanye analogue "kenalogom": ukubuyekezwa kanye ukuqhathanisa

Kuyasiza ukususa ukuvuvukala, ekubhekaneni izikhathi ezinzima imithi yokungezwani komzimba "Kenalog." It is kabanzi kwezokwelapha. Umuthi kuyinto glucocorticoid-hormone okuthiwa i-ejenti, kodwa ngokungafani lezi izidakamizwa, ayivamile ukubangela imiphumela emibi. Uma Nokho, sinombono ukusetshenziswa kwaleli thuluzi kunoma iyiphi abantu basabele ngendlela embi, le analogs ebekiwe, "Ketalog" kuleli cala amankeyane.

Ukwakheka kanye uhlobo ukukhiqizwa

Ukulungiselela "Kenalog" ikhiqizwa ngendlela amaphilisi kanye ukumiswa kwezokuphatha nemijovo.

Omunye ithebhulethi liqukethe izidakamizwa triamcinolone 4 mg isithako esisebenzayo. Njengoba izinto asizayo ezihilelekile: magnesium stearate, isitashi, monohydrate lactose, talc, povidone.

I ampoule bungabi 10 mg noma 40 mg triamcinolone acetonide. Njengoba izithako engeziwe yasetshenziswa: utshwala Gcoba i-Benzyl, polysorbate, sodium carboxymethylcellulose, i-sodium chloride, namanzi senzelwe umjovo. Hhayi njalo aqukethe izakhi efanayo analogue izidakamizwa.

"Kenalog" akhiqizwa Slovenia Krka. Uma umkhulula ifomu tablet in iphasela single iqukethe amaphilisi 50. Uma izidakamizwa e ampoules, ebhokisini amakhadibhodi isamba izingcezu ezinhlanu. Ampoules ukukhiqiza 10 noma 40 ml.

Izindleko izibhebhe kuyinto ruble 250-300, ampoules - ruble mayelana 450-500. Ingabe nozakwabo ngaso sonke isikhathi ishibhe ngo-. "Kenalog", isibonelo, uma kuqhathaniswa "diprospanom" ebiza ngaphansi.

Izinkomba kanye contraindications

Analogs "Kenalog" njalo okungathatha indawo yalokho uma kunesidingo. Ukulungiswa ezinqunyiwe shock zasezindaweni ezihlukahlukene. Lokhu kungaba ukushaqeka cardiogenic, kuyashaqisa, ukusha, imisebenzi, noma ayingozi. Kulokhu, "Kenalog" lisetshenziswa lapho ukwelashwa zamanje kwanhlanga zimuka nomoya.

I nomuthi "Kenalog" (analogue nokusetshenziswa kwazo ekwelapheni izifo of the system zemisipha inika yi ukusiqondisisa) ebekiwe yokungezwani komzimba kuyoshaya e ifomu ezinzima. Prescribers nge ukusabela anaphylactoid, kuhlanganise ukumpontshelwa igazi futhi ukushaqeka anaphylactic. Inkomba ukusetshenziswa isimo somoya, isifo samathambo ne-somoya.

Umuthi elisetshenziswa letindzala zezinzwa izicubu pathologies. Inhloso crisis thyrotoxic futhi isigaba okukhulu esingamahlalakhona adrenal. Odokotela zisebenzisa "Kenalog" e-hepatitis oyingozi futhi equlekile hepatic, futhi ukudakwa nge cauterizing uketshezi. Ncoma izindlela nokuvimbela kumiswa isibanda nokuminyaniseka kanye nokunciphisa ukulimala kwamathambo.

I nomuthi esetshenziswa intraarticularly yezifo ezifana synovitis, tendonitis, samathambo kuhlasimulise futhi bursitis.

Umuthi isetshenziselwa ukuphatha esicutshini futhi intradermal lapho Alopecia inani Alopecia, ulele planus, keloids, psoriasis, granuloma annulare, futhi neurodermatitis elinganiselwe.

Izimo ukusetshenziswa kwezidakamizwa "Kenalog" (analogue nokusetshenziswa kwawo zokwelapha kuvunyelwe, esikhundleni wathi izidakamizwa uma mithandazo asibekezeleleki kahle yisiguli) kukhona kwengqondo acute sigaba elise ukulahlekelwa amandla okukhumbula. Akufanele imithi ebekiwe esigabeni asebenzayo isifo sofuba, ezinsaneni, okuyinto kuhambisana ezihlukahlukene izimila ne metostazov ukubukeka, isilonda 12 isilonda duodenal nasesiswini, diverticulitis, umfutho wegazi ophakeme. Ungasebenzisi izidakamizwa ngesikhathi pituitary syndrome - Cushing syndrome, thrombosis, isifo sikashukela, ukuhluleka kwezinso futhi emboli ise anamnesis.

Ban ukusetshenziswa kuba kwamathambo, ahlukahlukene esicashile ezithathelwanayo foci, ugcunsula, futhi amyloidosis. It is hhayi Kunconywa ukusebenzisa izidakamizwa e khona izifo fungal, izifo ezibangelwa ama-virus, kuhlanganise Varicella zoster, I-Herpes simplex. Izimo yilezi ukutheleleka amebic, samathambo gonococcal sofuba, poliomyelitis. Ban ukusetshenziswa kwezidakamizwa ziyinkathi yokugoma izilonda zesikhumba, egqoke uhlamvu elinegciwane, kanye lymphadenitis ukuthi ukuvela ngemva BCG ngokugoma.

Umuthi aluboniswa izingane kuze iminyaka engu-16 uma kungekho amacala isidingo oyingozi. Musa ukuyisebenzisela nezinyanga ezinhlanu zokuqala zokukhulelwa. ukusetshenziswa isikhathi eside "kenalogom" ngesikhathi sokukhulelwa engabambezela ukukhula nokuthuthuka ezingenzeka embungwini, kubangele yoma we nezindlala adrenal umntwana ongakazalwa. Umuthi ludlulele ngaphakathi ubisi lwebele. Ngakho-ke, ukwelashwa kufanele ayeke ibele.

"Kenalog": yokusetshenziswa

Analogs, kanye "Kenalog" kufanele aqokwe udokotela kanye kuphela ezimweni ayedinga ngazo usizo ngokuphuthumayo, njengoba lezi mithi hormone. "Kenalog" imithi unomzimba ukukhululwa ezimbili: ukumiswa for umjovo imijovo kanye amaphilisi.

Tablets engabelwe abadala 4-16 mg ngosuku. Lokhu umthamo ihlukaniswe 2 noma 3 ngemithamo. Ngemva ekuthuthukiseni isimo Isikali isiguli kancane kancane sehla 1-2 mg zonke izinsuku ezingu-2-3. Ngakho, ukuze ufinyelele asekelayo ukusetshenziswa ukulungiswa 1 mg knock, bese uqede ngokuphelele izidakamizwa.

Ngaphambi ukusetshenziswa, ampoules "Kenalog" (analogs babe okufanayo futhi kufanele isicelo efanayo scheme) kufanele ayonyakaziswa kahle. Umuthi akufanele iqondiswa ngemithambo yegazi futhi phansi kwesikhumba.

Lapho izinkomba lingaze iqondiswa intramuscularly ukuba abadala ekumisweni kwe-40 mg. Lokhu Isikali isetshenziswa ekuqaleni emithini yokuselapha. Umjovo iqondiswa kancane, kanye njalo emasontweni amane. Uma isiguli wahlupheka umjovo wokuqala kahle, ekwakhiweni okwengeziwe bafake njalo emavikini 2-4 at 40-80 mg. Uma kudingekile, umthamo owodwa kungase kukhule ku mg 100. Ukuze ugweme yoma ongama, umuthi iqondiswa ku izicubu imisipha ngokujulile. Ngemva umjovo sisetshenziswa kusayithi umjovo ne utshwala usula.

imfiva kwesizini nezinye izifo iguliswa ukuqeda kanye ngonyaka, umjovo owodwa we-40 mg ngenkathi impova. Uma kukhona isidingo imijovo eziningi, iphathwa at ngesonto ngezikhawu ezine.

Isilinganiso esithathwa umjovo intraarticular kunqunywa kwemigomo ngokuhlanganyela nokugasela ngamandla kwalesi sifo. Kubantu abadala kanye nezingane abangaphezu kweminyaka engu-iminyaka eyishumi nambili ubudala, umthamo sithathwa emalungeni encane afika ku-10 mg, kokuphakathi - kuya ku-20 mg, ezinkulu - kufike ku-20 noma-40 mg. Uma amalunga omzimba eziningana abathintekayo, inani izidakamizwa kwandile ku-80 mg. Ukuze ususe ngokushesha izimpawu zesifo, "Kenalog 'ingasatshenziswa nge izinzwa wendawo equkethe azibambeki vasoconstrictor. Imijovo ukubeka ukuze ayakhekanga umuthi idepho nezicubu ongama adipose. Ukwethulwa kwe izidakamizwa kufanele bube magciwane egcwele. Ngaphambi umjovo articular kwesikhumba ibhalwe ngendlela efanayo njengoba ngokuba ukuhlinzwa. Phinda usebenzise imithi kungaba ngemva kwamasonto amabili.

Uma umuthi injected ngqo lesion (isibonelo, bursitis, exostosis futhi isimo sokuvuvukala periosteum), abadala futhi izingane kusukela eminyakeni eyishumi nambili ukuthatha umthamo mg 10 kuya 40. It kuncike endaweni ethintekile kanye indawo egunjini lokuhlolwa kwezifo. Lapho iqondiswa nomuthi e imali engaphansi kuka-10 ml, ukusetshenziswa ampules "Kenalog" 10 mg. Ukulungiswa u buhlanjululwe isixazululo sodium chloride futhi ibekwe endaweni fan-like ngesisa esiphezulu. Kuyadingeka ukuba ugweme ekwakhekeni imithi ezinkulu edepho. Ivunyelwe uhlanganise "Kenalog" nge izinzwa wendawo.

Therapy, umuthi iqondiswa exostoses cannula obukhulu, emva inqubo kanye nokuqukethwe ngqo izinhlumba ukuncela isikhala. OKUVUMELEKILE yokusetshenziswa kabusha umjovo emva amasonto amabili.

Uma isayithi umjovo endaweni izilonda ongama, ikhambi u buhlanjululwe 40 mg izinzwa zendawo ngaphandle isakhi vasoconstrictive. Umjovo wafakwa nendawo ibe indawo etholakala phakathi isikhumba kanye ungqimba ongama. Lokhu kwenziwa ukukhiqiza kokuziphatha izinzwa. Isikali ekhethiwe 1 mg ngayinye 1 ^cm2 kwesikhumba ethintekile. Uma bobabili iphathwa foci amaningi, umthamo owodwa kumele singeqi 30 mg abadala kanye 10 mg izingane.
Lapho keloids ukulungiselela umthamo 40 ml, undiluted, iqondiswa ngqo rumen. Awukwazi ukubeka phansi kwesikhumba izidakamizwa. Ukunikeza isicelo kungenzeka ngemva kwamasonto amabili. Isikhathi impatho nomuthi luncike kobukhulu isifo, kanye nentuthuko yayo ngokuvamile kunqunywa udokotela.

Umuthi lingasetshenziswa njengoba umthamo owodwa (hay fever), futhi kwaphela iminyaka eminingana (somoya e esiteji okunzima ukuthuthukiswa). Uma kungabonakali zimpawu zokuthuthuka ngemva 3-5 imijovo, umuthi ilale akunikeze imithi esikhundleni "Kenalog" analogue e ampoules noma amaphilisi.

Izibuyekezo mayelana izidakamizwa 'Kenalog'

Uphawula ukuthi isidingo ukusebenzisa izidakamizwa "Kenalog" yokusetshenziswa kuphela kadokotela. Ukubuyekezwa (analogue uma kunesidingo kuyohlale ukukusiza ukuba ukhethe udokotela ekwelapheni) wagomela ukuthi izidakamizwa ancibilikisa nezibazi ongama, kusiza ukususa chalazion (ayanyamalala ngemva kwamasonto 1-2 emva umjovo), silondoloza ebuhlungwini beqolo, ubuhlungu bamalunga nesiphanga eqandisiwe. Imijovo nge "kenalogom" ukwenza lapho sangaleso isithende kanye somoya bronchial.

Phakathi izici ezingezinhle waphawula Ukwakheka kwama-hormone ngesikhathi 'Kenalog' Izibuyekezo izidakamizwa (analogue nemiphumela efanayo futhi aqukethe hormone). Iziguli bathi izidakamizwa kungabangela lesizalo ukopha ngingqongqotha umjikelezo wokuya esikhathini. Ngemva ukusetshenziswa kwalo kukhona yisisu, isilungulela nesicanucanu. Akukona ukunikeza umphumela oyifunayo abanomzimba ongezwani nezinto ezithile zonyaka.

analogs

Uma kwelashwa kuye anisondelanga lesi sidakamizwa "Kenalog" analogue e amaphilisi kanye amaphilisi kalula esikhundleni salo. I esikhundleni ethandwa kakhulu zihlanganisa imithi ezilandelayo:

• "Flosteron". Ikhishwa eSlovenia ngesimo ukumiswa kwezokuphatha nemijovo. izitsha eziyisikhombisa Five abiza ruble mayelana 200.
• "Depo-Medrol." Made in Belgium ngesimo ukumiswa kwezokuphatha nemijovo. Intengo elilodwa ibhodlela ruble 70-100.
• "Solu-Medrol." Ikhishwa e-USA e ngesimo lyophilisate ukulungiswa isixazululo umjovo. Intengo ibhodlela 250 ml ne kuphela - ruble 400.
• "Dexamethasone". It ikhiqizwa ngesimo amaphilisi, iso amaconsi, kanye nekhambi wokulungiselela imijovo. amaphilisi lalishumi abelwe kubhala ruble mayelana 40, ngeso amaconsi 10 ml - ruble angu-60, futhi ruble 4 kuya ku-1 ml ampoules -130-140. Umuthi ikhiqizwa Belarus, Ukraine, eRussia kanye Slovenia.
• "Polkortolon". It ikhiqizwa ngesimo amaphilisi kanye yokugcoba. amaphilisi amahlanu abiza ruble 350-400. Made in Poland.
• "Triakort". Made in Russia ngesimo amafutha. Tube 10G kubiza ruble 100.
• "Ftorokort". Made in Hungary. Wamafutha. Kuyinto ruble 150 200.
• "Medrol." Izwe Lokudabuka - Italy. Itholakala amaphilisi. Amathathu amaphilisi kuwufanele ruble 150.
• "Kortef". Made in Canada. Tablets. Intengo amaphilisi eziyikhulu ruble 400.
• "Diprospan". Made in Belgium ngesimo ampoules ngoba umjovo e owodwa ukusetshenziswa imijovo. Inani elilodwa ampoule ruble 200.

Lezi kanye nezinye izidakamizwa kungaba okunye iphila izidakamizwa "Kenalog." Analogs futhi esikhundleni kumelwe ukhethe udokotela, ngemva ukuhlolwa ngokucophelela isimo lesiguli.

Analogue "Solu-Medrol"

ngaso sonke isikhathi sikulungele esikhundleni imithi "analogue Kenalog 40 'nge ukubukeka ukusabela ezingezinhle. Omunye izidakamizwa ezifana izenzo "Solu-Medrol." Ingqikithi asebenzayo imithi methylprednisolone. Ikhishwa izidakamizwa e ngesimo lyophilisate isixazululo ngoba umjovo.

Prescribers at ezinzima endocrine neziyaluyalu, pathologies rheumatism letindzala zezinzwa izifo izicubu nezifo zesikhumba. Kuyasiza abanomzimba ongezwani nezinto ezithile ezinzima futhi izinqubo ukuvuvukala ezihilela izilonda iso. Effective izifo yaleli pheshana emathunjini bese zokuphefumula ipheshana pathologies. Umuthi enezinto eziningi nezinye izinkomba.

kudivayisi Medical has Izibuyekezo omuhle kuphela. Iziguli bathi "Solu-Medrol" kusiza ezimweni esingenathemba kakhulu, njenge-multiple sclerosis, i-rheumatoid arthritis kanye nabanye. Ngemuva kwesicelo yayo ubuhlungu sihamba ngokushesha.

Ngo eziningi isimo sclerosis ngcono ngemva kweviki elilodwa kwesicelo nsuku zonke zomuthi. Othile uthi ekusebenziseni njalo umphumela hormone hhayi njengoba esebenza kahle njengoba okokuqala, kodwa namanje kuyasiza.

Yini engcono, "Solu-Medrol" noma "Kenalog," kusho udokotela, ekuhloleni isimo lesiguli zempilo.

I-Russian okulingana "Triakort"

Izidakamizwa "Triakort" kwezinye izimo kungase kuthathe indawo imithi "Kenalog" (analogue isinyathelo ngendlela efanayo, futhi ngezinye izikhathi kuphumelele kangcono kunendlela ithuluzi). Ingqikithi asebenzayo imithi - acetonide triamcinolone. Kuphela ngesimo amafutha.

"Triakort" has a eqeda ukuvuvukala, antiallergic futhi antipruritic izakhiwo evelele. Asetshenziswa izifo zesikhumba ezifana eczema, dermatitis, psoriasis, ukubonakaliswa nomzimba. Kungaba kuphela sisetshenziswe ngaphandle, njengoba kuqhathaniswa "Kenalog", okuyinto has a ezahlukene ebanzi kwezicelo futhi isetshenziswa ihlelwe ngokulandelana kwezihloko hhayi kuphela, kodwa futhi intramuscularly, naphakathi-articularly.

Iziguli umbono omuhle lokhu nokulungiselela. Kuthiwa ezinsukwini ezimbalwa uyakwazi ukususa dermatitis nomzimba. Kuyasiza nge eczema futhi psoriasis. "Kenalog" ungayithola enye isikhumba pathologies "Triakort".

Analogue (izidakamizwa Isikali esikhundleni "Kenalog", kufanele kukhethwe udokotela) ungaba ezahlukene ifomu ukukhululwa. Uma esikhundleni imithi "Kenalog 'isidingo izidakamizwa esetshenziswa ngomlomo noma umjovo, i-" Triakort "ngeke isebenze, uzodinga ukhethe imithi ehlukile.

Obambele "Polkortolon"

Ungashintshanisa izidakamizwa "Kenalog 40" kumakhophi, uma kunesidingo. "Polkortolon" libhekisela ezivamile. Ukulungiswa kufana "kenalogom" we ketshezi esebenzayo. Iyatholakala ngesimo aerosol yokugcoba kanye amaphilisi. I nomuthi lisusiwe umjovo. Lena umehluko yayo eyinhloko "kenalogom".

Izinkomba ukusetshenziswa kukhona komzimba, izifo kohlelo endocrine, izifo of the system zemisipha. Sebenzisa imithi izifo zesikhumba, rheumatism, izifo ezicutshini nezinye pathologies. "Polkortolon" kanye "Kenalog" has a ezahlukene kwezicelo.

Iziguli libike ukuthi sidakamizwa sisiza ukuba sibhekane ngokuphumelelayo eczema, dermatitis nezinye ukuqubuka nomzimba. Iziguli somoya zithatha le imithi njalo. Kunabantu, wokugubha ukuvela amathuba okuba nemiphumela engemihle ngemva kokusebenzisa "Polkortolona".

"Diprospan"

"Kenalog" imithi - ama-Analogue of "Diprospan". Bobabili mithi zokwenziwa ejenti hormone. izithako ezahlukene iyasebenza, "Diprospan" isithako - betamethasone dipropionate. "Kenalog" khambi yesizukulwane odlule, it has zinhlayiya ezinkudlwana, lapho ukusetshenziswa njalo ongabhubhisa uqwanga. Ekwelapheni okufanayo "Diprospan" isifo inikeza kuphumelela ngaphezu "Kenalog," kodwa kuhle kuyabiza.

Medicine "Diprospan" yenziwa kuphela ngesimo ukumiswa for umjovo. Zahlanganiswa ngo ingilazi izitsha eziyisikhombisa nezipetu zalutho. Izinkomba ziyefana ukuthi we "kenalogom".

I nomuthi ine anti-iguliswa, immunosuppressive, desensitizing, antiinflammatory, antishock futhi izakhiwo antitoxic. Khishiwe emakhemisi kuphela kadokotela. It is kahle ibekezelelwe, kodwa ngezinye izikhathi kungase kubangele ukusabela ezingezinhle.

Iziguli eziningi weneliseka ukuphumelela kwalesi imithi. Isetshenziselwa ethimulisayo, dermatitis, psoriasis, eczema, i-rheumatoid arthritis, isithende sangaleso, arthrosis. Abantu baxwayisa ngokuthi ukusetshenziswa isikhathi eside imithi kungaba nemiphumela engemihle. Kulezi zimo, ke esikhundleni "Kenalog 40". Analogue "Diprospan" ivumela okwengeziwe qhubekani ukwelashwa kuqalile.

"Dexamethasone" - afaka elithi "kenalogom"

Analogs "Kenalog" (umyalelo kulesi izidakamizwa kuvimbela mayelana contraindications imiphumela engemihle) uye bethengisa, kuthiwa cishe kuwo wonke ikhemisi. Ngokuvamile, odokotela linqume kubo. Izidakamizwa "Dexamethasone" engathatha isikhundla sale imithi. Kusho akhiqizwa ngendlela amaphilisi, iso-amaconsi futhi ifomu nemijovo. I asebenzayo izidakamizwa - dexamethasone. Uqukethe athomu sasekhaya. immunosuppressive libhekene, eqeda ukuvuvukala, desensitizing futhi isenzo eqeda nomzimba.

Umuthi kahle ikubekezelele iziguli. Kuvame alternated nge "kenalogom" futhi "diprospanom". Ngumuphi ngokubona kwakho kulaba izidakamizwa ukuzixazulula kangcono ekwelapheni udokotela. "Dexamethasone" isetshenziswa iziguli conjunctivitis, kuhlanganise nezingane. Imithi engabelwe multiple sclerosis, urticaria, angioedema, nesimungumungwane nomzimba. kungaqedwa Sebenzisa kusho lapho abandayo, izinga lokushisa eliphakeme, futhi lapho nezinye izidakamizwa abanamandla. Kuyinto esisemqoka iziguli isifuba somoya, eczema.