The mushonga "Ukrliv": mirayiridzo kushandiswa, description, akafanana uye wongororo

Kazhinji, vanachiremba ano mune zvimwe zvirwere zvavo varwere kuti taurira mushonga "Ukrliv". Mirayiridzo nzira iri kunosanganisira zvikuru zvizhinji anobatsira Data uye vakawanda inomiririra kukosha mashoko. Asi ichi hachisi zvose zvakarurama ngaanzwisise zvakanyorwa imomo, uye kuti makapiwa, ari kure gurupu mashoko pamusoro zvinodhaka ichi.

kushanda

Ursodeoksiholievaya asidhi ari Ruzhinji rwakapindura dzacho dzose miduku iri bile kwevanhu. Kana isu kutora zvokuvataurira nomuromo, rwunotanga kuderedza zvinonyatsorehwa mwero saturation kuti bile pamwe remafuta akawandisa maererano kuderera ari Absorção de Água kwayo mukati ura duku uyewo kuderedza secretion munhu akapiwa chinhu ari bile. Zviri pachena kuti nokuda yokupararira Organic yeimwe uye paumbwe nemvura sekristaro anotanga aoma kuiparadza cholelithic remafuta akawandisa, iro kunobatsirawo pamusoro zvinonyatsorehwa mamiriro dzemuviri.

Maererano ruzivo ano zvinofungidzirwa kuti asidhi ursodeoksiholievaya kana zvirwere zvakasiyana-siyana chiropa kana cholestatic zvirwere zvinogona kuzadzisa mugumisiro nokuda hama yokutsiva lipophilic akafanana detergents hunokachidza bile acids pamusoro hydrophilic non-chepfu cytoprotective ursodeoksiholievuyu acid, uye zvadaro anyatsoona kuvandudzika secretory shanda gepotatsitov uye siyana immunoregulatory kwendangariro.

Kana rinoshandiswa?

By zvinodhaka "Ukrliv" mirayiridzo kunoratidza kuti vanachiremba varayire nayo kazhinji ndiyo nyaya kana murwere remafuta akawandisa matombo omunduru varipo vane dhayamita haasi kupfuura 15 mm. Izvi zvinoreva kakawanda zvinobetsera pauri varwere kutoitwa gallbladder unoshanda zvisinei kuvapo imomo mumwe kana kupfuura matombo omunduru. Kunyanya, kuti mushonga "Ukrliv" Chinyorwa anoti chokushandisa ichi kunoita kuti chose kuiparadza rentgenaktivnye remafuta akawandisa matombo omunduru.

Uyezve, kushandisa zvinodhaka izvi kazhinji chinotarisirwa yakakwana kana zvakakodzera symptomatic kurapwa chinonyanya biliary cirrhosis, tisina decompensated cirrhosis.

Pharmacokinetics

Mushure kutora mushonga kunotanga ursodeoksiholievaya asidhi zvakakwana nokukurumidza kunakidzwa ura duku uye zviri chokumusoro munzvimbo ileum kubudikidza pusa kuchinjwa, uye yokupedzisira mupanda pamusoro ileum kubudikidza chinoshingaira senga. Kazhinji, munhu zvinobetsera kuchasvika Absorção de Água inobva 60% 80%, sezvinoratidzwa zvinodhaka "Ukrliv" mirayiridzo. Pashure Absorção de Água zvakakwana bile asidhi zvinovhiringidzika kutopedza hepatic conjugation pamwe amino acids taurine uye glycine, nokudaro chose zvachose pamwe bile. Zvinokosha kucherechedza kuti chinonyanya Clearance ndima achishandisa chiropa indekisi rinosvika 60%.

Nokupesvedzera siyana intestinal bacteria kunoitika kune haasaruri kudzikisirana uye lithocholic 7-ketolithocholic acid. Muchiitiko chino, lithocholic asidhi anoita se gepototoksicheskogo fuma uye kukonzera siyana kukuvara hepatic parenchyma dzimwe mhando mhuka. Muvanhu, chete akanyatsonzwisisa mumwe rutivi venhumbi sulfated zvachose chiropa uye detoxified vasati yabudiswa muna mutsvina yadzo uye bile.

How kushandisa mishonga iyi munguva pamuviri

Women pazera rokubereka, unogona kushandisa mushonga chete chiitiko kuti vari kushandiswa zvakarurama yakavimbika pamuviri. Asati kurapwa, zvinokosha kuti asava zvachose zvichiita pamuviri. Kuti nechokwadi kunonyanyisa yakachengeteka kurapwa chero zvazvingava hakufaniri kuitwa panguva trimester akazvitakura rokutanga. By zvinodhaka "Ukrliv" (Mahwendefa) Mashoko aya kuti kunze inopiwa muchimiro pacho, kana chiremba achifunga kuti zvakanakira kushandisa mari kukasapfuura zvinogoneka njodzi.

Hapana chaiwo zvekuchipatara Data maererano nokushandiswa ursodeoksiholievoy asidhi vakadzi panguva uchiyamwisa, uye saka kushandisa mari yose muchikwata ichi wevarwere haina inokurudzirwa.

Contraindications

By zvinodhaka "Ukrliv" (Mahwendefa) mashoko akataura contraindications akawanda zvikuru pakushandisa chokushandisa ichi:

• kuvapo chenjera kuzvimba bile mutsinga dzinofamba nemukaka kana nduru dundira;
• kuvapo murwere kuti kunyanyisa aikanganiswa zvimwe zvinhu zviri murwiyo rekugadzirira;
• bile mutsinga dzinofamba nemukaka occlusion (pano zvinosanganisira kwakakurumbira mutsinga dzinofamba nemukaka clogging, uye vakaparadzana chisimbiso dundira);
• cirrhosis chiropa, decompensated uchigara.

Uyezve, zvinokosha kuziva kuti chokushandisa ichi rirege ushandiswe varwere nenduru dundira, usina mufanidziro kushandisa radiographic unyanzvi, uyewo varwere havachanyatsogoni contractility pamusoro nduru dundira pamwe calcified matombo kana vaya kupa kakawanda biliary colic , sezvinoratidzwa zvinodhaka "Ukrliv" (kuturika) kudzidziswa. Reviews vanachiremba uyewo kusimbisa chokwadi ichi, nekuti nyanzvi regai taurira mumiriri iri pamusoro apa.

nemishonga

Panguva negashiro zvinodhaka izvi zvingaita zvinotevera nemishonga:

• siyana hadzina kufambiswa zvakanaka mune nemudumbu;
• mu zvisingawanzoitiki chaizvo nyaya panguva Mabatirwo chikuru biliary cirrhosis varwere vachimuka ndakasimba abdomialnaya marwadzo zvakarurama hypochondrium;
• muna kurapwa zveBhaibheri, kwakati kwatemwa kuti mumwe boka wevarwere vakasimuka anongoremberera zvituru kana manyoka panguva kurapwa uchishandisa ursodeoksiholievoy asidhi;
• siyana hadzina kufambiswa zvakanaka munduru dundira uye chiropa;
• Zvakare, muna zvisingawanzoitiki chaizvo nyaya panguva kurapwa pamwe kwezvinodhaka iri calcification kuti matombo omunduru;
• panguva mushonga dzakabudirira muzvikamu zvikuru biliary cirrhosis, muna zvisingawanzoitiki ezvinhu, varwere vaivapo decompensated cirrhosis, izvo zvishoma regressed pashure kurapwa kwakaregwa.

Uyezve, vanachiremba kakawanda munyaya wongororo yavo kuti parutivi migumisiro kutora mari iyi kungaratidzwa zvose zvemarudzi hypersensitivity siyana kana rashes. Vanhu kubatira Kurwara renyevero anofanira kushandiswa.

Kuishandisa?

Hapana zera kurambidzwa kubvuma zvinodhaka hakuwaniki, sezvinoratidzwa zvinodhaka "Ukrliv" (Mahwendefa) kudzidziswa. Mutengo chokushandisa ichi, ukuwo, ndiye chete zvisinei nomunhu boka varwere inoda kurapwa.

Varwere kuva muviri uremu asingasviki 47 makirogiramu kana zviomere pakuparadza pamahwendefa, mukana kushandisa zvinodhaka ichi riri muchimiro kuturika, iri kazhinji n'anga zvikuru waivapo. Zvichienderana dzakananga anoratidza kupinda chiremba inopa mukana kushandisa zvinodhaka izvi zvinotevera mishonga.

Pokufa biliary remafuta akawandisa mabwe

• Weight: 47 kusvika 60 makirogiramu. Mahwendefa maviri pazuva.
• Weight: 61 kusvika 80 makirogiramu. Mahwendefa matatu zuva.
• Weight: 81 kusvika 100 makirogiramu. Mahwendefa Four pazuva.
• Weight: kupfuura makirogiramu 100. mapiritsi mashanu pazuva.

Mahwendefa inofanira kushandiswa kamwe pazuva, unofanira kumedza navo wose uye kunwa uwandu emura duku. By zvinodhaka "Ukrliv" (Mahwendefa) kudzidziswa Chinyorwa inoti kuti zvakanaka kushandisa mudziyo ichi manheru vasati varara, apo nokugamuchirwa inofanira kugara kuitira kuti vabudirire zvinozoita.

Features

The nguva inodiwa kuti zvakakwana pokufa matombo omunduru, kazhinji zviri zvakanaka kubva 6 kusvika 24 mwedzi. Pakadaro, kana zvinoderedza zvinonyatsorehwa kukura matombo omunduru haina kuchengetwa pashure pemwedzi 12 vanoshingaira negashiro mari, akaramba kurapa haisi inokurudzirwa.

By zvinodhaka "Ukrliv" (manyuchi) mashoko akati kuti kubudirira mishonga inofanira kuongororwa ose 6 mwedzi tichibatsirwa X-ray kana Ultrasound. More tsvakurudzo anofanira kuitwa musi kuti hazviitiki kana murwere calcification yamabwe yawapiwa. Kana izvi zvaitika, ipapo kurapwa nzira inofanira kumiswa zvachose.

Symptomatic nokurapa PBC

Kana murwere chinonyanya biliary cirrhosis murwere uremu zvakananga zvakunoita sei zvinodhaka zvakawanda kushandiswa "Ukrliv". Instruction anoti zvichienderana uremu zuva nezuva dose dzinosiyana 3 kusvika 7 Mahwendefa.

Mumwedzi mitatu yokutanga yokurapa, hwendefa inofanira kushandiswa yose zuva, apo nezuva yaunodya zvinofanira kuparadzirwa pasi mumatanho akawanda. Pakadaro, kana chiropa tsika pamusoro iyi vave nani, zvichiita kuti zuva nezuva dose kamwe chete manheru.

Mahwendefa zvinofanira kumedzwa rose, vanofanira kunwa mvura, uye panguva imwe chete iyi nyaya Zvinokoshawo kuti vachengete kakawanda. Zvinofanira kucherechedzwa kuti kune mushonga "Ukrliv" (kuturika) kudzidziswa Chinyorwa rinoti kushandiswa kwayo zvinoitirwawo murwere chinonyanya biliary cirrhosis inopiwa pamusoro kwenguva yakareba, kana zvichidiwa panguva kurapwa.

Features

Zvinokosha kucherechedza kuti varwere chirwere ichi kokutanga, muna zvisingawanzoitiki zviitiko zvingaitika nokuderera kunotoda kurapwa zviratidzo, uye, zvikurukuru, vamwe kwakawedzera kuvaviwa kunoitika. Sezvinoratidzwa zvinodhaka "Ukrliv" mirayiridzo, kuturika kana mahwendefa iyi inofanira kushandiswa hereinafter, asi rinofanira kuderedza nezuva dose, pashure nguva zvinonzi kuwedzera zvishoma nezvishoma kusvikira achida ukoshi. Saka, zvakakodzera mumwe vhiki kuwedzera nezuva dose kusvikira nguva kusvikira zvinodiwa chipimo chemushonga zvaiitwa kunokwanisika.

ovhadhozi

Zvikuru pasi ngozi ovhadhozi vanotsamwisa chero chakakomba nemishonga. Kunyanya, mukana panowanikwa manyoka, apo inokurudzirwa zvikuru kuti nguva nenguva kuongorora chikuru zviratidzi kuti chiropa chaitika. Kana manyoka vanofanira kuderedza uwandu husingakuvadzi, uye kana asingadi kubatsira kumisa zvachose kushandisa chokushandisa ichi, sezvinoratidzwa zvinodhaka "Ukrliv" mirayiridzo Chinyorwa. Mutengo midziyo (kubvira 460 rubles., Zvichienderana mhando chigadzirwa) inobvumira anenge munhu kurishandisa zvakarurama chipimo chemushonga.

No countermeasures dzakananga iyi haina kunodiwa, uye chero migumisiro manyoka anofanira kubatwa chete symptomatically, apo kunyatsoongorora pamusoro pakuenzanisa electrolytes uye zvinwiwa. Izvi zvikuru kukosha kuitira kuti vawane kunonyanyisa chaizvoizvo pamwe chakazara mwero vakachengeteka.