Preparart "Lucentis": mhinduro wevarwere uye vanachiremba, mirayiridzo kushandiswa

Munyaya ino tichataura pamusoro somushonga chigadzirwa "Lucentis". Instructions, ongororo, chipimo chemushonga - achatipa izvi zvose uye zvakawanda ngaritsveneswe.

"Lucentis" akashandiswa ophthalmology nokuda mabatiro wezera-chokuita macular degeneration (neovascular). Rinoshandiswawo nokuda chirwere cheshuga macular edema rokudzorera zvaakaratidzwa. The mushonga chinotarisirwa nokuda jekiseni munzvimbo vitreous mutumbi ziso.

Mamiriro uye Kuronga

Zviri pachena kana zvishoma opalescent mhinduro kugadzirira munyika kutarisira "Lucentis" (murefu ratings ngaadarowo).

The chikuru vanoshingaira wemafuta zvinodhaka riri ranibizumab. kugutsikana raro 1st zvinodhaka chinu iri 2.3 MG. Uyezve, zvinotevera webetsero zvinoriumba hunoumba "Lucentis":

• α-trehalose dihydrate;
• polysorbate;
• L-histidine hydrochloride monohydrate;
• mvura.

Imwe atorwa pamwe mushonga zvinosanganisira:

• negirazi rinoonekera bhodhoro, mumwe Vhoriyamu 0.23 ML, mushonga;
• tsono ane firita;
• A chena sirinji uye tsono.

The mushonga ukasunungurwa Pharmacies kubudikidza mushonga chete.

umboo

Rongera dzinoverengeka ophthalmic zvirwere "Lucentis". Testimonials zvikuru zvakawanda sezvo kubudirira kwayo - kuti munhu mushonga kunobatsira, apo vamwe zvakaoma anoona oparesheni kwayo. Kunyange zvakadaro, "Lucentis" nachiremba zvinotevera zvirwere:

• nyoro (neovascular) muchimiro zera-chokuita macular degeniratsii;
• madzerere nokuda kukura chirwere cheshuga macular edema - imwe-nguva kushandisa kana pamwe Laser coagulation ;
• akaderedza chiratidzo nokuda macular edema, izvo zviri kukonzerwa retinal tsinga occlusion;
• akaderedza chiratidzo nokuda choroidal neovascularization kunokonzerwa pathological myopia.

Contraindications

Kune akawanda contraindications kugadzwa zvinodhaka "Lucentis". Varwere mashoko zvakare vanoti mushonga uyu ushandiswe kwete vose. Saka, mushonga hakubvumidzwi kushandiswa varwere:

• kutambura nezvirwere zviri ocular kana periocular asingatani kutapuriranwa maitiro localization;
• akabatwa chirwere "intraocular kuzvimba";
• nedostrigshim makore 18;
• vanoratidza hypersensitivity chero wemafuta chezvinodhaka.

The mushonga zvakare hazvigoni raitongwa vakadzi vane pamuviri uye lactating.

The mushonga rinoshandiswa kungwarira varwere zvinotevera Categories:

• Persons pamwe hypersensitivity; kana pane ngozi sitiroko, mushonga chinotarisirwa chete pashure ane tinyatsonzwisisa kuvarapi njodzi-kubatsira "Lucentis".
• Varwere kutambura DMO yakafanira retinal tsinga occlusion kana CNV, izvo zviri kukonzerwa pathological myopia, kuvapo uropi ischemia kana sitiroko - mushonga kunogona kukonzera thromboembolism.
• Vanhu vanotova zvinodhaka kuti vaite vascular endothelial kukura.

Mune zvimwe zviitiko, kurapwa iri kuvhiringidzwa

Panewo nyaya apo yaida kuti vasavhiringidza kurapa uye havana kuedza idzva:

• kuchinja intraocular kumanikidzwa kuti mmHg 30 kana kupfuura. Article.
• dzikira ari mumufananidzo acuity netsamba 30 kana kupfuura zvichienzaniswa rokupedzisira kuyerwa;
• retinal misodzi;
• subretialnoe ropa, kukanganisa musimboti buri, kana akatema anopfuura 50% of nzvimbo;
• tichiita intraocular kuvhiyiwa.

chipimo chemushonga

Chete ari muchimiro majekiseni vitreous "Lucentis" rinoshandiswa. Testimonials anoratidza kuti nzira pachayo nyarara.

Zviri imwe Bhodhoro kunoreva rinotarisirwa chete nokuda chete jekiseni. Kusuma mushonga anogona chete ophthalmologist noruzivo maitirwo ezvinhu akadaro.

Sezvo kurapwa kunosanganisira akawanda majekiseni, zvinofanira kurangarirwa kuti pakati pavo inofanira kuchengetwa penguva kanenge 1 mwedzi. Zvavakabvumirana dose "Lucentis" mumwe jekiseni - 0.5 MG. Panguva kurapwa rokudzora zvachose pamusoro hasha zvinofanira kuitwa.

In agadza mushonga varwere vanopfuura makore 65 chaiwo dose kuchinja kunodiwa.

"Lucentis": mirayiridzo kushandiswa

Reviews pamusoro kugadzirira uye basa vanachiremba vanoti kuti murwere zvakafanira kuongorora kugadzirira kutanga kwacho kudzivisa malpractice.

Saka, asati pakatanga zvinodiwa nechokwadi chokuti mhinduro rakarurama - noruvara, magadzirirwo, kushaya emadhaka. Kana kuchinja inzwi kana kuvapo insoluble nezvimedu "Lucentis" arambidzwa kushandisa.

Nhanganyaya rekugadzirira anofanira kutora nzvimbo pasi chena ezvinhu: maoko Man playing zvinofanira zvakakodzera ubatwe; magiravhusi chena chete anoshandiswa, uyewo kuva chena ndokupisika muvharo speculum nezvimwe zvokushandisa dzichashandiswa.

Just pamberi jekiseni rinoitwa disinfection ganda akapoteredza meso uye zera. Zvadaro rufimbi donhwe uye chinotarisirwa tupukanana. Zvinofanira kurangarirwa kuti Anti-microbial yomuchipatara zvinofanira vakaroverera 3 kanomwe pazuva pamberi uye pashure nzira kwamazuva matatu.

Chete pasi mitemo izvi zvingava kubudirira kurapwa kuti "Lucentis". Feedback nevaya vakarikunda, vachiti kuti pane nguva apo chiremba inoisa mushonga varwere maviri chete tsono. Akadaro zvisingagamuchirwi uye kungaita kuti chirwere kutapukirwa siyana uye zvirwere zvakadai seAIDS.

Drug pacharwo chinotarisirwa kupinda vitreous muviri kumutungamirira muromo tsono nechepakati yeziso. Tevera majekiseni yaifanira mune imwe hafu sclera, izvo haana kukanganiswa wokutanga jekiseni.

Sezvo kweawa pashure nzira, iyo intraocular kumanikidzwa anogona simuka, zvinokosha kudzora uye kuongorora perfusion ari optic etsinga. Muzviitiko nekurovererwa vanofanira kupa kurapwa kuti kudzibatsira.

Imwe nzira anobvumirwa kupinda mushonga chete ziso rimwe.

ovhadhozi

Netsaona ovhadhozi yakaonekwa mumiedzo zvekuchipatara. Vakawanda Zviratidzo izvi ndiwo:

• simba uye marwadzo muziso;
• yakawedzera intraocular kumanikidzwa.

Kana ukaona zviratidzo murwere zvakadaro vanofanira kuva pasi pokudzora nachiremba uye achindireverera anodiwa kurapwa.

Kudyidzana nevamwe zvinodhaka

Hazvizivikanwi sei nevamwe zvinodhaka zvinodhaka mukukurukurirana "Lucentis". Reviews wevarwere (vazhinji vavo) kutungamirira pakugumisa kuti vanachiremba havana taurira munhu "Lucentis" chero chipi zvimwe zvinodhaka kunze dzokutindivadza uye Anti-infective.

Izvi imhaka yokuti pakutsvakurudza pamusoro kukurukurirana pamusoro "Lucentis" nevamwe zvinodhaka havana inoitwa. Saka, mishonga inofanira kushandiswa pachiimbwa dzimwe mhinduro kana zvinodhaka.

Pregnancy uye lactation

Chiri contraindicated vakadzi vane pamuviri uye lactating anobaya "Lucentis" (mhinduro uyewo kusimbisa ichi). Izvi imhaka yokuti mushonga anoonekwa kuva mumwe zvinodhaka teratogenic uye embryotoxic, kureva zvakunokonzera havachanyatsogoni fetus kukura.

Nokuti vakadzi zera rokubereka, kuti chinguva pakati kuguma kurapwa uye pamuviri havafaniri kuva zvishoma pane 3 months - munguva ranibizumab zvakazara kuuya muviri. Kusvikira nguva, unofanira kushandisa yakavimbika pamuviri.

nemishonga

Uye kungaita zvisingadiwi migumisiro vapfurwa ziso ( "Lucentis"). Reviews wevarwere panyaya iyi kunyanya zvakanaka - divi Marwadzo mashoma chaizvo. Kunyange zvakadaro, kwemakore maviri zvekuchipatara zveBhaibheri kuziva zvinotevera chakakomba zvisingadiwi migumisiro kuti utano mushure jekiseni:

• endophthalmitis;
• retinal yokuzviparadzanisa ;
• tsanga;
• rikakura intraocular kumanikidzwa;
• intraocular kuzvimba.

Uyewo, akacherechedza uye zvisinganyanyi ngozi migumisiro kushandisa "Lucentis" chokuita nhengo nokuona:

• kuzvimba vitreous muviri uye intraocular;
• vitreous yokuzviparadzanisa;
• madzerere;
• retinal ropa;
• marwadzo mumaziso;
• conjunctival ropa;
• blepharitis;
• ziso bundu;
• mvura-mvura meso;
• yakaoma ziso chirwere;
• iritis;
• uveitis;
• ungaderedza chinooneka acuity;
• Spike Iris;
• chinopedza pezvakaitwa ari the retina;
• akatsvuka ziso.

Ezvo vakasangana zvinotevera nemishonga:

• nasopharyngitis;
• bembo;
• kufunganya;
• kupererwa neropa;
• nomusoro;
• Kurohwa;
• kukosora;
• svoto;
• kuvaviwa uye upundu;
• arthralgia.

Zvisinei, izvi divi Marwadzo pe2% dzokushungurudzwa rinoreva "Lucentis" kushandiswa. Reviews, kunyanya, zvinoratidza hwakanyatsorwisa kakawanda panowanikwa akatsvuka uye kurwadziwa. Zvisinei, Zviratidzo izvi zvapfuura asi nokukurumidza.

chengetedzo mamiriro

"Lucentis" dzinofanira kuchengetwa pana 2 kusvika 8 Celsius, asi chero zvakadaro havana -oma. Zvinoreva zvakakodzera kuramba ari murima uye yakaoma nzvimbo vana havagoni kuwana. The pasherefu upenyu zvinodhaka ndiko makore 3 kubvira musi gadzira. Usashandisa apera "Lucentis".

Zvokungwarira

Kana kushandisa "Lucentis" vanogona siyana ziso nepfungwa kuti kukanganisa murwere anogona kushanda zvigadziriswe siyana uye kudzora motokari. Naizvozvo, kana zviratidzo izvi anovonekwa, havawani seri vhiri motokari kana konzera kuti mashandiro kusvikira nguva akadai zvose ziso vachivavhiringidza apere.

Uyewo haana varumbidzwa kutyaira motokari pakarepo mushure jekiseni, kunyange kana musingadi kunzwa chinhu pakutanga havana cherechedzai. Marwadzo zvingaitika paya, somuenzaniso pashure yapfuura yacho rufimbi.

'Lucentis': wongororo vanachiremba

'Lucentis' rinowanzoshandiswa rakarumbidzwa uye ushandiswe navanachiremba nokuti vaiona kuti kunobatsira chaizvo zvinodhaka. Ukuwo, haisi nguva dzose murwere anogona kubhadhara mari inodiwa huwandu jekiseni: "Lucentis" - a nani zvinodhura chokushandisa. Muzviitiko izvi, vanachiremba vanoti kuritsiva aine isingadhuri ishamwari - "Avastin". Zvisinei, yokupedzisira asati kuongororwa mune zvakakodzera, saka kutanga dzinoenda kuvarapi ndiyo nguva-wakaedza "Lucentis". Ophthalmologists vagara vanoziva chokushandisa ichi, iwe unoziva chii zvaitika angatarisirwa uye kuziva kubudirira kwayo.

Testimonials

Ikozvino ngatitaurei pamusoro chii varwere pachavo funga pamusoro somushonga chigadzirwa "Lucentis". Reviews zvinoratidza kuti mushonga hapasi vane zvinozoita. Kunyange zvakadaro, ruzhinji varwere vanenge inini, anoti kuti chiono akavandudzika zvikuru kana vakarega kuramba. It rinozivikanwa zvakadaro pasherefu migumisiro akafanana marwadzo uye panowanikwa utachiona, asi rinogona kurarama nyore chete nemishonga. Uyezve, vakawanda varwere vane chivimbo chokuti izvi pasingadiwi migumisiro ndiwo mugumisiro.

Zvisinei, pane zviitiko kana mushonga zvakaratidza isashande. Chokwadi chokuti 'Lucentis' anobatsira kwete 100% nyaya, vanoti, uye vanachiremba pachavo. Kunyange zvazvo rinonyatsooneka zvakaipira varwere vanodavira kuti - mari mari. Haasi wose anogona kutenga zvizere nenzira majekiseni akawanda.

Pakati zvinokosha zvazvakanakira, kunze kunyatsoshanda, nyarara kushanda inonzi "Lucentis" (wongororo iri mumagazini ino vanobvumirana). The chete chinetso ndiyo kusanzwa pamberi kutarisira uye pashure. Zvisinei, vava kuregerera, uye kubaya pachake haina akanzwa. Pashure kugumiswa yokutindivadza, pane marwadzo diki.

Kunyange zvakadaro, "Lucentis" akadaro mumwe akanaka kunobatsira pashure kushanda izvo varwere nokusangana nani chiratidzo.