"Ekskhol": mirayiridzo manual, ongororo, mapikicha, kusunungurwa chimiro, mamiriro

Mumiviri yedu pane yakasiyana nhengo inokwanisa kuderedza - ndiwo chiropa. Nokupesvedzera siyana vanoshorwa zvinhu, simbi iri kusangana zvikuru mupfungwa, uye masero ayo kufa kana kukwegura kupinda mafuta tishu. Pakurapa chiropa rinoshandiswa dzakawanda zvinodhaka, mumwe iro - "Ekskhol". Mirayiridzo kushandiswa kwezvinodhaka, zviratidzo, contraindications, kunyanya kurapa uye mamwe mashoko anobatsira anogona kuwanikwa munyaya ino.

Release chimiro uye sezvamunoita

mushonga uyu rinowanika muchimiro capsules, rimwe nerimwe rine basa fuma - ursodeoxycholic asidhi mune imwe mari 250 MG, uye ebetsero zvinoriumba: nesilicon dioxide, magnesium stearate, karusiyamu rehydrogen phosphate dehydrate, povidone, lactose monohydrate, uye vamwe.

Sei mushonga mabasa?

Mamiriro Akaita pharmacologic zvinokonzerwa zvinodhaka "Ekskhol" mirayiridzo Chinyorwa rinotsanangura zvinotevera nzira iri hepatoprotective mushonga chete choleretic kushanda. The kushingaira fuma ine zvinotevera migumisiro:

• kunoderedza kwetunhu remafuta akawandisa ari chiropa, kunoderedza Absorção de Água yaro ura uye zviri muna bile;
• Kunowedzera unhu remafuta akawandisa nemukuparadzwa munyika bile excretion ino, anotokonya paumbwe uye secretion kuti kudzikira lithogenicity yavo;
• Kunomutsa kuwedzera padanho bile acids;
• It runogonesa kuti secretion kuti gastric uye pancreatic secretions;
• It anowedzera basa lipolytic enzayemu;
• It ane hypoglycemic nomugumisiro;
• Kunomutsa ari kukwana kana zvachose Absorção de Água kuti remafuta akawandisa matombo akadai;
• akazoita saturation kuti bile pamwe remafuta akawandisa, pakuunganidza kubva mabwe;
• Chine immunomodulatory ehupfumi, unonyatsoruramisa mhinduro zvigadziriswe ari chiropa;
• akazoita kutaura maantigen, yakaomerera hepatocyte Kamudzira hurongwa;
• anoita uwandu T-lymphocytes, interleukin-2;
• It kunoderedza uwandu elzinofilov.

pharmacokinetics zvinodhaka chii?

Kugadzirira "Ekskhol" mirayiridzo kushandiswa inorondedzerwa munyaya ino, yakakwirira mwero Absorção de Água ari ura diki uye anokwanisa kuyambuka placenta. Chokukomborerwa makismalnaya wevasungwa zvinodhaka muropa kunoitwa pashure maawa 1-3 uye akaenzana 5,5 mmol / l. Ursodeoxycholic asidhi kunonyanya vakasungwa mapuroteni eplasma uye rinoita mu chiropa masero ari glycine uye taurine verlauf pamusoro chimiro, ayo akabudiswa mugomba bile. zvibereko muviri vari yabudiswa muna mutsvina yadzo achishandisa 50-70%. A shoma kuchinja vanoshingaira fuma anopinda muura, apo utachiona tinoshandurirwa lithocholic acid, riri sulfated muna chiropa uye yabudiswa chose ura.

Kuti aratidze munhu dose?

uchapupu Direct kuti negashiro zvinodhaka "Ekskhol" mirayiridzo Chinyorwa rinoreva zvinotevera ezvinhu:

• chikuru biliary cirrhosis mhando pasina decompensation;
• kudiwa pokufa remafuta akawandisa mabwe diki uye pakati-kukura, akapa gallbladder;
• gastritis (biliary reflux);
• chisingaperi achishingaira nehepatitis mhando;
• chiropa chirwere ari kudhakwa;
• chinonzi sclerosing cholangitis chikuru chimiro;
• cystic fibrosis chiropa;
• nonalcoholic steatohepatitis nechisikirwo;
• diskenziya biliary turakiti.

In izvi zvairatidza capsules uye mahwendefa "Ekskhol" rinowanzoshandiswa chairayirwa chiremba uye vanoratidza dzakakwirira kunyatsoshanda.

Contraindications

Kugadzirira ine ursodeoxycholic acid, iri contraindicated nokuti zvinotevera zvirwere:

• pamberi hypersensitivity kuti zvinoumba zvinodhaka;
• kushaya kwomuzvarirwo basa, uye empyema pamusoro gallbladder ;
• Kuvapo mabwe ane guru inorwara calcium, dzakaonekwa nokuda maekisirei;
• fistula ari nemudumbu;
• chisingaperi nehepatitis mhando;
• anogumbura bowel chirwere unhu;
• cholecystitis, cholangitis kana iri rikwanise chokutambudzika;
• decompensated cirrhosis;
• hweHIV of gallbladder kwayo ducts ura;
• Pamuviri uye lactation;
• Children pasi 3 nemakore;
• renal uye hepatic insufficiency;
• bile turakiti mhingaidzo O.

Kana pane contraindications Data havana pachii varwere gadziriro "Ekskhol". Manual kunoratidza kuti mudziyo haana kuratidza nemigumisiro pamusoro azvarwa muzvidzidzo mhuka, asi ongororo yakakwana vakadzi vane pamuviri hamuna.

Zvokungwarira

Zvikuru inoratidza zvimwe nuances kugamuchira rinoreva "Ekskhol" mirayiridzo Chinyorwa. Doctors pamusoro gadziriro ino akanaka, asi ivo kuteerera vakadzi zera rokubereka kuti mishonga idzi farmproduktom vanofanira kutarisira zvimwe pamuviri. Kuwedzera hormone pamuviri, izvo zvinoderedza kushanda, kushandisa chipingamupinyi nzira kudzivirira kubata pamuviri pamusingadi. Not akakurudzira kuvakadzi vane mimba tinongoita varayire zvinodhaka kurapwa "Ekskhol". Manual zvinoratidza kuti ichi kana ngozi amai vanofanira kuva mukuru pakaoma kuti azvarwa. Kana mishonga iyi lactating vakadzi vanofanira kurega lactation.

Kana mwana ari 3 nemakore, mushonga "Ekskhol" vangaendeswa pazviri kana zvakakodzera. Mirayiridzo dzokushandisa vana kunoda kungwarira pakurapa vana anosvika 4 Makore, sezvo vave dambudziko pakuparadza ari capsules.

How kushandisa mushonga?

The yakanakisisa kutungamirira kuti kurapwa zvinodhaka "Ekskhol" - mirayiridzo kushandiswa. Photos of chokushandisa ichi kuchakubatsira uzvidzivirire kutenga yokunyepera.

The mushonga chinotarisirwa nemuromo kunyanya manheru. Dzinodzeya capsules zvisina varumbidzwa, kunwa mvura nani mune vhoriyamu duku. Kana murwere anoyera asingasviki 34 makirogiramu, zvakanakisisa vasarudze kuturika pamwe chete zvinodhaka fuma.

Chipimo chemushonga zvinoenderana nezera uye zvinangwa yokurapa.

Aine maonero kuti kukamurwa matombo omunduru uye ducts "Ekskhol" tora zuva nezuva huwandu 10 MG / makirogiramu nokuda 6-12 mwedzi uye mwedzi mishomanana pashure zvawanikwa prophylaxis.

Kana murwere inobata reflux gastritis, iye dzakabatwa imwe Kamudzira zvinodhaka kamwe pazuva kutenderera vhiki mbiri mwedzi mitanhatu, uye kana munhu yakananga kudiwa - kusvika 24 mwedzi.

Treatment biliary cirrhosis yakabereka maererano anorimwa: zuva - 10-15 MG / makirogiramu ane nguva chiremba wacho kungwara.

Zvimwe zvirwere kuiswawo pakati pemazita ose zvinoratidza kuti vapinde, kuti chipimo chemushonga uye nguva yake kubvuma yakatarwa chiremba nomunhu.

Uyewo, chaiyo nzira kunoda kugadzwa nevana uye kuyaruka "Ekskhol" chinodhaka. Mirayiridzo zvokushandisa vana vakura kupfuura 3 years panotaura kudiwa kugadza chipimo chemushonga pamusoro 10-20 MG / makirogiramu kurema muviri pazuva. Chaiwo mutemo zvinodhaka uye paanowedzera kurapa chinosimbiswa chiremba nomumwe.

Pane divi migumisiro mishonga uye ovhadhozi?

Mugore nenjodzi zvingaitika apo nokutora "Ekskhol" chinodhaka, akadai:

• marwadzo kumashure;
• nomudumbu;
• basa kuwedzera chiropa transaminases;
• Kurwara;
• saturation calcium matombo omunduru;
• retsediv psoriasis;
• alopecia.

Kana mukawana Migumisiro izvi unofanira kurega nokutora "Ekskhol" chinodhaka. Mirayiridzo kushandiswa, murwiyo izvo zviri muchidimbu zviri munyaya ino kunoratidza kuti mushonga ovhadhozi zviitiko zvave kuzivikanwa. Zvisinei, kana murwere ane zviratidzo kudhaka zvakakodzera kuti pave symptomatic kurapa.

Pamwe nemamwe zvinodhaka

Co-Kutarisirwa pamwe alyuminiesoderzhaschimi antatsianami uye Ion Exchange Inogadzirwa nemasiridzi anobuda mumiti, kuderedza kushanda kuti Absorção de Água "Ekskhola". Lipid-richikwidibira nevasori, neomtsin estrogens kana progestins kubatsira kuwedzera saturation pamusoro bile remafuta akawandisa uye kuderedza kuparadzwa yematombo.

Zviri kugamuchira zvinoreva

gwaro rokutanga kuti unofanira kuverenga usati nokutora "Ekskhol" zvinodhaka - mirayiridzo kushandiswa. Release chimiro mushonga mu capsules akabudirira zvikuru mabasa pachinhu imwe zvakazara remafuta akawandisa matombo vane saizi hakuiti kupfuudza 15-20 mm. Panyaya iyi, iyo gallbladder inofanira kuzadzwa date masangano haasi kupfuura hafu, uye ducts tiri 100% zvabatwa basa ravo kubviswa bile.

Nokufamba kurapwa kukurumidza remafuta akawandisa deposits, vanofanira kudzora nezvebasa chiropa makemikari, transaminases, alkaline phosphatase, GGT uye bilirubin. Kamwe ose 4 pemavhiki 3 months kurapwa kunofanira kuitwa cholecystography. mwedzi mitanhatu ose, murwere unofanira kumbotambudzika chiropa Ultrasound kuongorora kurapwa efficacy.

Kana zvakakwana kukamurwa matombo kugamuchira "Ekskhola" wagadzirirwa inofanira mberi kwemamwe nguva mitatu kusvika kwokupedzisira pokufa matombo asingaoneki uye kudzivirira paumbwe vatsva.

Kana rokutanga-gore nehafu kurapwa haina kuchengetwa kunyange zvishomanana kuiparadza mabwe, ndiye inexpedient kunorapwa nokuda kwayo inefficiency.

Analogs uye anoreva zvakafanana

Kana murwere vamwe chinangwa nezvikonzero haagoni kupiwa "Ekskhol", izvozvo zvinogona kutsiviwa nomumwe anoreva zvakafanana:

• Capsules "Ursodeoxycholic asidhi";
• Capsules "Ursol";
• Capsules "Ursosan";
• film-zvemapuranga mahwendefa "Ursodeks";
• Capsules "Cursor Rompharm";
• kpsuly "Urdoksa";
• kuturika nokuti munyika kugamuchira "Ursofalk";
• Capsules "Ursofalk";
• "Ursol" Kamudzira;
• film-zvemapuranga mahwendefa "Livodeksa";
• "Grinterol" Kamudzira

Kana murwere idiosyncrasy pamusoro ursodeoxycholic acid, kana zviri rakaratidza kuva basa mukurapa, zvinokwanisika kutsiva mushonga riri analoginen, inova pahwendefa chimiro "Holenzim". mushonga Uyu mubatanidzwa mumiririri dzine yakaoma bile upfu dihydrated pancreatic zvinyama uye mucous chitete nezvipfuwo dumbu. In chiito "Holenzim" rinoreva Cholagogue. mushonga Izvi contraindicated mu hypersensitivity, uye rikwanise exacerbation echirwere pfungwa nomuviri zvemwana asati. Sezvo divi siyana kutora zvinodhaka neutachiona kunogona kuitika muchimiro kubvambura, akatsvuka, uye ganda rashes.

Kwaunoita uye anoshivirira uchapupu

mushonga Izvi zvinoberekwa mumhuri mishonga kambani ZAO "Kanofarma kugadzirwa", riri munzvimbo Moscow mudunhu. Mari pasuru "Ekskhola" avhareji mu Russia ndiyo 125 rubles. Varwere vakawanda vanoti kubudirira zvinodhaka, nyore waro kugamuchirwa oornag mutengo. Vanhu vane chiropa chirwere uye biliary turakiti yakati kuti migumisiro yakanaka dzakanga kubudirira pakurapa "Ekskholom". Pamwechete kunyatsoshanda wevarwere yakashuma tolerability zvinodhaka zvakanaka.

Zvinofanira kucherechedzwa kuti rondedzero zvinodhaka ndiko kukwana. Nokuti rakawedzerwa mashoko pamusoro zvinodhaka "Ekskhol" zvinofanira Aingoziva mirayiridzo inopiwa iri pasuru zvokurapa. Chinangwa chokushandisa ichi hanya chete kupinda chiremba. Self-mishonga inogona ngozi utano hwako.