Eye anosiya "Nevanak": nhoroondo uye mirayiridzo kushandiswa, analogs

Chii chinorehwa eyedrops "Nevanak"? Contraindications pakushandisa ichi chombo chacho mirayiridzo kushandiswa, marwadzo uye zvairatidza ichakurukurwa zvinhu ino. Uyezve, isu vachakuudza pamusoro zvakadini tinorasikirwa chinodhaka, chii mamiriro rine uye zvavanofunga pamusoro nyanzvi pazvo.

The Kuronga zvinodhaka uye ayo vasunungurwe chimiro uye kavha

Ziso "Nevanak" madonhwe vari kutengeswa sezvo 0.1% kuturika, izvo vangava akacheneruka yero kana akacheneruka-orenji.

1 ml ari medicament rine 1 MG nepafenaka. Kana Excipients, kuti idzidziso unotora zvinotevera zvinoriumba: 50% benzalkonium chloride mhinduro, yavaibvisa hydroxide, tyloxapol, mannitol, carbomer, disodium edetate, yavaibvisa chloride uye mvura Yakanatswa.

Eyedrops "Nevanak" anogona kutengwa dropper chinu, akaita yakaderera arambe achirema polyethylene. Kazhinji, mushonga anoiswa mukati makadhibhokisi bhokisi.

Pharmacological zvechadenga zvinodhaka

Anosiya "Nevanak" ziso vari kushingaira muchimiro asiri steroidal Anti-anogumbura zvinodhaka pamwe unonyaradza marwadzo uye Anti-anogumbura chiito.

Pashure kukamura uchishandisa medicament vanoshingaira maatomu akafanana chinopinda kuburikidza cornea ari optic muviri. Ikoko, achibatsirwa hydrolases, Kushandurwa yawo amfenac. chaikosha ichi kuchititadzisa kuitwa cyclooxygenase, kuti chinhu enzayemu kuti kunokosha kuti pagadzirwe prostaglandins.

Munguva kushandisa ichi zvinodhaka mumatenhere ziso rinenge riri chaizvo ipfupi, uye kupera zvose marwadzo syndromes. Zvinofanira kucherechedzwa kuti zvinodhaka izvi hakuna chinokosha zvainoita kumanikidzwa (intraocular).

Pharmacokinetics zvinodhaka

Nguva yakadini woga zvinodhaka "Nevanak" (ziso anodonhedza)? Nyanzvi Guest vanoti mushonga uyu zvikuru nokukurumidza woga kuburikidza cornea ari kutarisana nenyere.

With instillation daily zvinodhaka katatu kuburikidza 2 maawa yakaratidza pasi yeplasma kuwanda yezviri fuma.

The dzemo pokushandisa zvinodhaka pasi pokudzora intraocular hydrolases kuita chinhu ari pasi nguva imwe hydrolysis amfenac. Zvadaro, ayo muviri zvakabuda kuburikidza hydroxylation pamusoro anonhuhwirira mhete. Zvadaro, izvi zvinotungamirira munhu Conjugate pamwe glucuronic acid.

Hatigoni kutaura kuti ziso anodonhedza "Nevanak", kana kuti, avo vanoshingaira nenhumbi Rinobva chete kuburikidza neitsvo. Asi panguva imwe pfungwa uye amfenac nepafenaka ari weti haagoni kuva chaizvoizvo quantifiable.

Kugadzirira "Nevanak" (ziso anodonhedza) kudzidziswa Chinyorwa

Tiri kufunga nzira inofanira chete kushandiswa muungano. Vasati kushandisa, chinu-dropper chakazunguzirwa zvakasimba. Zvadaro, rinofanira kuzarurwa uye rimwe donhwe akadonhedza kune conjunctival zai. Zviite katatu pazuva.

Kazhinji, kurapwa pamwe zvinodhaka uyu uchitanga kune chaizvo rimwe zuva pamberi avhiyiwa, izvo zvinofanira kuitwa pamusoro kubviswa tsanga. Uyezve, kurapwa ichi zvinoreva mberi muvhiki mbiri postoperative nguva yokutanga, kusanganisira pazuva oparesheni pachayo. Nenzira kwemaminitsi 60-120 asati kuvhiyiwa inokurudzirwa kuti kuchadonha kuderera mamwe mushonga.

Zvairatidza yokushandisa madonhwe

Chii chinorehwa madonhwe "Nevanak"? Kana Kuona zviri mberi uye nearsightedness dzavo ushandiswe chete kana murwere ane kuzvimba kuti kwakaitika pamusoro colour wokuvhiya nokuda cataract rokubvisa. Uyewo, mushonga uyu rinoshandiswa kuti kudzivirirwa uye vabatwe postoperative marwadzo syndromes.

Contraindications pakushandisa samadonhwe

Mune zvimwe zviitiko, haugoni kushandisa Madonhwe ziso "Nevanak"? Analogues kuti mumiriri ichi uye zvinodhaka pachayo vane zvinotevera contraindications:

• murwere makore 18 (kushanda uye kuchengeteka mushonga muvana haina kudzidza);
• chenjera rhinitis, urticaria uye asima anokonzerwa NSAID kana asipurini;
• soro aikanganiswa okunze uye nenzira dzimwe NSAIDs.

Ovhadhozi zvinodhaka

Zviitiko ovhadhozi "Nevanak" mushonga nhasi haina kuratidzwa. Ziso mushonga rakawandisa kuti wosukurudzwa kubuda nemvura inodziya.

nemishonga

Chii divi Marwadzo ziso anodonhedza "Nevanak"? Maererano mirayiridzo, iyo wanamatira chivako ichi, mushonga une hwakanyatsorwisa vakawanda Migumisiro. Saka, asati kushandisa kuti murwere nguva dzose inofanira bvunza chiremba.

Saka chii vari kurutivi Marwadzo ziso anodonhedza "Nevanak"? dzimwe nguva Analogs, uye pfungwa iyoyo zvinoreva kukonzera zvinotevera siyana:

• Local siyana. Mune zvimwe zviitiko, varwere kuti kushandisa zvinodhaka ichi, hapana marwadzo uye kuvaviwa ziso, uyewo punctate keratitis, conjunctival kuoma, madzerere, crusting pamusoro yehombodo namafungiro uye isiri muviri manyawi. Uyewo, chokushandisa ichi kunogona kukonzera chimiro iritis, keratitis, corneal deposits, zvinoyerera kubva pameso, choroidal effusion, photophobia, ziso nokushatiriswa sema conjunctivitis, kusagadzikana namafungiro, kusagadzikana mumaziso, ikawanda lacrimation uye conjunctival hyperemia.
• Systemic nemishonga. Apo neapo, varwere kushandisa bhuku iri, kune musoro, uye ikawanda BP, kuda kurutsa, sinusitis, kurutsa, muromo yakaoma, vakawedzera nehanya uye stretchability ganda (kureva dermatohalazis).

Ndezvipi zvimwe nemishonga inogona kukonzera zvinodhaka "Nevanak" (ziso Madonhwe)? Reviews vanamazvikokota vanoti yakadaro zvinodhaka dzimwe nguva yava kukonzera maronda keratitis, corneal epithelial kuremara kana chirwere, corneal kukuvara, kuti anogumbura nda inotungamirwa kuti anowanika pamberi mukamuri ziso. Uyezve, chokushandisa ichi inogona kuipa kuti corneal apore uye kuderedza kutarisana acuity kukonzera corneal opacification.

Zvokuita kana nemishonga?

Kana pashure kushandisa ziso anodonhedza pamberi pedu vakaratidza nemishonga, Zvinokurudzirwa kuti pakarepo kurega kushandisa zvinodhaka. Mukuwedzera, mishonga chero zvazvingava hazvigoni kushandiswa avo varwere ane uchapupu kuvadza cornea.

Hatigoni kutaura kuti zvakaitika kushandisa NSAIDs yomunzvimbo kunoratidza kuti varwere yematambudziko anotevera ophthalmic kuvhiyiwa, zviparare ari corneal epithelium, denervation pamusoro cornea, chirwere cheshuga, dzinonzi rheumatoid arthritis, uyewo zvomene ziso zvirwere kana kudzokororwa zvomusejari akavhiyiwa kuti vakanga wakaitwa kwenguva pfupi nguva tine mikana yakawanda nemishonga kubva cornea. Zviya, chokwadi ichi chinogona dzinotyisidzira chaicho zvaakaratidzwa kurasikirwa.

Aiita zvimwe zvinodhaka

Maererano zvidzidzo, apo kushandisa "Nevanak" eyedrops nevamwe zvinodhaka kashoma migumisiro yakaipa.

Uyezve, mashoko pamusoro mawa kushandiswa kwezvinodhaka pamberi pedu uye prostaglandin analogues havasi aripo. Asi, akapa nzira kuita zvinodhaka izvi, ivo mumwe-nguva chikumbiro iri zvikuru kunaka.

In chenjera vanoda eyedrops "Nevanak" anogona kushandiswa akabatana nevamwe zvinodhaka (ophthalmic), izvo dzaizopiwa kukamura uchishandisa kushanda. Panyaya iyi, iyo penguva pakati ichivaviga kunge kwemaminitsi mashanu.

Lactation uye pamuviri

Ndinogona kushandisa panguva pamuviri anodonhedza "Nevanak" (nokuti nearsightedness kana Kuona zviri mberi)? On mubvunzo uyu nyanzvi anopa mhinduro chaiwo. Panguva pamuviri, kushandisa ichi nemishonga hakubvumidzwi. Uyezve, kana madonhwe akapiwa amai vechiduku panguva lactation, kuti uchiyamwisa inofanira pakarepo vakarega.

Miedzo mu murabhoritari mhuka vakaratidza dzokubereka toxicity zvinoreva pamberi pedu. Kunyatsodzidza matambudziko yezviri fuma iri nhengo dzokubereka nadzo kuti mbeva kugamuchira chepfu mishonga (anopfuura 10 MG / kg) nguva neimwe zvakatungamirira dystocia uye kunowedzerawo uwandu kwatangwa pamuviri, richikwidibira body mass uye kukura tuvana uye kuderedza kupona kwavo.

Hatigoni kutaura kuti mune pamuviri tsuro kugamuchira zvinodhaka izvi yakaderera-chepfu mishonga (30 MG / kg) dzose nguva zvakakonzera kuwedzera malformations tsuro.

nhungamiro chaiwo pakushandisa samadonhwe ziso

Ndingawana kupi kutenga ziso anodonhedza "Nevanak"? In Grodno nemamwe maguta Belarus, uyewo munyika yedu zvinodhaka izvi wenyama anenge ose chezvinodhaka.

varwere vaya vakanzi mushonga uyu, unofanira vasangoramba zuva chokupfeka.

Kushandiswa non-steroidal yomuchipatara (local) kungaita zvikuru nyore kuti keratitis. Mune vamwe varwere kubatwa ne kushandisa mishonga iyi refu kunokonzera corneal rive dete, atsamwira masero epithelial, uyewo Kuparara ari cornea, perforation uye ulceration. Kwakadaro nemishonga inogona kukonzera zvaakaratidzwa kurasikirwa. Varwere zviratidzo discontinuity epithelial masero hwobva kurega kushandisa zvinodhaka. Uyewo, vanofanira kuva pasi pakuomerera zvokurapa achitarisirwa.

Kushandiswa non-steroidal zvinodhaka (local) pachiimbwa ophthalmic Kuvhiya kunogona kukonzera zvikuru ropa, kusanganisira gifemu. Naizvozvo, izvi madonhwe ziso kunge nokungwarira kunyanyisa mune varwere vaya vane tsika achingobuda ropa. Izvi zvinoshandawo varwere vari mishonga kuti vawedzere kweropa nguva.

Nyaya pamberi pedu medicament chine zvisaora akadai benzalkonium chloride. Maererano nenyanzvi, zvinogona kukonzera kutsamwa ako, uyewo atindivare kunyorerana lenses. Nenzira, akatakura okupedzisira haina yakarumbidza panguva yacho postoperative nguva (mushure cataract). Uyewo, kuonana lenses hazvigoni kushandiswa panguva kurapwa rinoreva "Nevanak".

Hazvibviri kuona chokwadi chokuti benzalkonium chloride, inova chikamu gadziriro, anogona kukonzera murwere chepfu maronda keratitis uye punctate keratitis. Panyaya iyi, refu-refu uye kushandisa kakawanda kurapwa kunoda anokosha zvokurapa nokuongororwa wevarwere.

Kushandiswa vomunharaunda vasiri steroidal mumiririri kunogona kudzivisa nenguva kuziva zviratidzo chakasimba ocular zvirwere, sezvo vasina inorwisa utachiona ehupfumi. Kana chirwere chete-nguva kushandisa kwakadaro NSAIDs pamwe antibacterial yomuchipatara zvinofanira chinozoiswa achiita zvaidiwa zvose kuchengeteka zviyero.

Kana kushandisa nepafenaka pane mukana muchinjikwa aikanganiswa phenylacetic asidhi nomukaka, acetylsalicylic asidhi uye nevamwe vasiri steroidal nevamiririri.

Panguva kushandiswa kwezvinodhaka ichi haina yakarumbidza kubata muromo bhotoro mushonga upi pamusoro kudzivisa utachiona. Mushure kushandiswa, chinu inofanira zvakanaka kuvharwa.

Analogs, uye mutengo mishonga

How zvikuru ndivo ziso anodonhedza "Nevanak" (Belgium)? Pharmacies Moscow nemamwe maguta nyika yedu mushonga ari Vhoriyamu 5 ML zvinogona kutengwa nemari 500-600 rubles Russian. Kana chipi chikonzero haugoni kuwana mishonga, zvinofanira kutsiviwa ane analoginen. In "Nepafenak" ziso inodonha inogona mushonga wakadaro.

Anosiya "Nevanak": nyanzvi mafungiro uye anoshivirira uchapupu

Vanamazvikokota vakawanda vari pfungwa kuti pasina ziso "Nevanak" anosiya kuita kuvhiyiwa cataract rokubvisa kunaka. Saka, mushonga uyu kakawanda ushandiswe varwere vane akati chirwere, kunyanya kana kuvhiyiwa kuri kurongwa munguva yemberi iri pedyo.

Kana vanhu vaya vanga ushandiswe madonhwe izvi, havana kuchengeta zvinooneka kushanda pavari. Uyezve, shandisa kwenguva refu zvinodhaka ichi hunokonzera kumbonyanya vazhinji nemishonga. Somuenzaniso, vamwe varwere vakanyunyutira utsi mumaziso, uye mumwe - uri simba rinopfuta manyawi.

Maererano mirayiridzo, kana kutaurwa divi migumisiro madonhwe zvinofanira pakarepo kurega, riri varwere zhinji kuvarwadza zvikuru. Pashure pezvose, mumwe chinu mushonga inodhura kwazvo.

Terms uye zvemupiro kuchengetera mushonga

Chengeta ziso inodonha "Nevanak" desirably panguva tembiricha kuti 5-8 madhigirii pasigasvikirwi vana vaduku. The pasherefu upenyu chigadzirwa ichi 2 years. To zvakazara kushandisa mushonga uyu anofanira kuva kwevhiki ina pashure kuzarura dropper bhodhoro. Mushure expiry musi yakaratidza pamusoro pasuru, havashandisi nemishonga iri mubvunzo.