Izinqubo eziyinkimbinkimbi kakhulu ze-biochemical zihlala zenzeka emzimbeni womuntu, okuhloswe ngazo ukukhiqizwa kwezinto ezidingekayo ekusebenzeni okujwayelekile. Ukusebenzisana kwazo zonke lezi zinto kungenzeka kuphela ngokuhlanganyela kwamavithamini. Ezisebenza kakhulu kuzo zihlanganisa amavithamini e-B, ngakho-ke udinga ukugcina izinga lazo. Ama-Multivitamin complexes, ahlanganisa i-Neuromultivit noma i-Combilipen, asiza ukubuyisa amavithamini.
Isimo seNeuromultivitis
Umkhiqizo wamavithamini ukhiqizwa yinkampani yezokwelapha uLannacher Heilmittel GmbH (Austria). Amafomu okukhulula:
- amaphilisi - ama-20 ama-PC. kwiphakeji;
- amaphilisi - ama-60 ama-PC. kwiphakeji;
- Isixazululo somjovo we-intramuscular - 2 ml we-5 ampoules ebhokisini;
- Isixazululo somjovo we-intramuscular - 2 ml we-10 ampoules ebhokisini.
Ama-Multivitamin complexes, ahlanganisa i-Neuromultivit noma i-Combilipen, asiza ukubuyisa amavithamini.
Ifomu lethebhulethi lifaka amavithamini:
- I-B1 - 100 mg ye-thiamine kuthebhulethi eyi-1;
- B6 - 200 mg we-peroxidine ku-umthamo;
- B12 - 200 mg we-cyanocobalamin.
Isixazululo somjovo we-v / m uqukethe:
- I-B1 ne-B6 - 100 mg ngayinye;
- B12 - 1 mg;
- diethanolamine (emulsifier);
- amanzi ahlanziwe.
Ngenxa yezimpawu zokwakheka kwalo muthi:
- kuthuthukisa uhlelo lwangaphakathi lwezinzwa;
- neqhaza emsebenzini obalulekile wamangqamuzana ezinzwa;
- ivuselela imisebenzi ye-metabolic;
- inomphumela olinganiselayo we-analgesic.
I-Neuromultivitis ichazwa njengengxenye yokwelashwa okuyinkimbinkimbi kwama-pathologies we-neurological alandelayo:
- i-neuralgia;
- i-neuritis
- i-radicular syndrome;
- i-polyneuropathy;
- i-sciatica;
- ukuvuvukala kwamalunga;
- i-encephalopathy;
- i-osteochondrosis yezimpawu ze-neurological.
Ukuxhaswa kwezinqubo zokwenziwa kabusha ekwelapheni i-osteochondrosis kuqukethe imisebenzi elandelayo:
- ukungatheleleki kuyaqiniswa;
- i-cartilage kanye nemicu yezinzwa iyabuyiselwa;
- i-conduction of nerve impulses iyathuthuka;
- ukuzwela kokuphela kwezinzwa kubuyiselwa;
- inqubo yokuwohloka iyamiswa.
Kunqunywe umuthi wama-1-3 ama-PC. ngosuku; inkambo yokwelashwa iyinyanga eyi-1. Imijovo iphathwa kuphela nge-intramuscularly ku-1 injekishini ngosuku (nezinkomba ezibuthakathaka zesifo - zonke ezinye izinsuku) kuze kube yilapho izinhlungu ziqabulekile. Ukuthatha ukwakheka okwelashwa ngaphandle kokuyalelwa ngudokotela akunconywa.
Izici zikaCombilipene
Umkhiqizo wamavithamini uyatholakala ngesimo samathebhulethi (ama-30 noma ama-60 ama-PC.) Noma ngemijovo (2 ml ku-1 ampoule, ama-5 noma ama-10 ama-pcs.). Umkhiqizi - i-JSC Pharmstandard Ufa VITA (Russia).
Ukwakheka kwamafomu aqinile kufaka phakathi izithako ezisebenzayo ezilandelayo:
- I-B1 ne-B6 - 100 mg ngayinye;
- B12 - 2 mcg.
Imijovo ye-Intramuscular ifaka:
- I-B1 ne-B6 - 50 mg;
- B12 - 0.5 mg;
- i-lidocaine (i-anesthetic) - 10 mg.
Ngendlela yemijovo iCombilipen inqunywe intramuscularly.
Izinkomba ezisetshenziswayo:
- i-polyneuropathy yotshwala noma yesifo sikashukela;
- lumbago;
- i-radicular syndrome ebangelwa ushintsho oluwohloka emgogodleni;
- i-ischalgia;
- i-trigeminal neuralgia;
- ukuvuvukala izinzwa zobuso;
- ukucasulwa kwemicu yangaphakathi.
Amacwecwe we-enteric-coated awafaki i-sucrose, ngakho-ke umuthi ufanele labo abanesifo sikashukela. Bathatha ama-1-3 ama-PC. ngosuku (kunconywa udokotela) isikhathi esiyizinsuku ezingama-30. Ngendlela yemijovo, umuthi unqunywe nge-intramuscularly. Umthamo wansuku zonke ngu-2 ml ngokuhamba kwezinsuku ezingama-5-10. Ukwelashwa okusekelayo kufaka i / m ukuphatha umuthi zonke ezinye izinsuku.
Ukuqhathanisa kweNeuromultivitis neCombilipen
Ukwakheka kwalezi zinhlanganisela ezi-2 zevithamini kuyafana kwizakhi eziyinhloko (B1, B6 no-B12), kepha kuyahluka ngesilinganiso sazo kumthamo owodwa. Umehluko onjalo enanini elilodwa noma elinye lamavithamini ancishisiwe noma, ngakolunye uhlangothi, wandise umphumela wawo kulesi sifo. Lokhu yilokho udokotela akubheka lapho enquma umuthi.
Ukuthatha i-Neuromultivitis ngaphandle kwemithi kadokotela akunconywa.
Ukufana
I-Neuromultivitis neCombilipen zinesenzo esifanayo sezinto ezisebenzayo:
- I-B1 ivuselela ukwenziwa kabusha kwe-carboxylase, ebhekele ukusebenza kwamafutha nama-carbohydrate. Lapho ngaphakathi emzimbeni, ama-thiamines aguqulwa abe ama-triphosphates, avuselela ukuqhutshwa kokufakwa kwezinzwa, ukuvimbela ukwakheka kwezinqubo ze-oxidation, kubambezela ukuthuthukiswa kokulimazeka kwe-pathological. I-Vitamin ithuthukisa ukujikeleza kwamaseli wegazi futhi inesibopho sokutholakala kwamapharamitha ayo wokuphamba (fluidity). Ngaphandle kwe-thiamine, imicu yezinzwa ishabalaliswa yi-acid (ama-pyruvates nama-lactates), aqongelela emzimbeni futhi abangele nobuhlungu obukhulu.
- I-B6 iyadingeka ekwakhiweni kwama-neurotransmitters (ama-hormone ama-ubuchopho adlulisa imininingwane phakathi kwama-neurons), i-histamine (i-neurotransmitter yokuphendula ngokushesha kwe-allergic) kanye ne-hemoglobin (iprotheni ebhekene nokunikezela oksijini kusuka emaphashini iye emzimbeni kanye ne-carbon dioxide ebuyela emaphashini). Iqinisa amasosha omzimba nezinzwa, ikhuthaza ukusebenza kwemithambo yegazi nenhliziyo, inakekela ukulingana kwemithamo kaNa no-K (lokhu kuqeda ukugcwala koketshezi emzimbeni, kunciphise ukuvuvukala). Isiza ukusheshisa ukuvuselelwa kwezicubu ukwakha amaseli amasha.
- I-B12 ibaluleke kakhulu ekuvinjelweni kwe-anemia, ilawula umfutho wegazi, ibamba iqhaza ezinqubweni zokwakheka kwegazi, ithuthukise ukulala, futhi intube uhlelo lwezinzwa. I-Cyanocobalamin ibandakanyeka ekwakhekeni kwama-neurotransmitters (izinto ezibhekene nokudalwa nokuqongelela izinsiza zamandla, ukuthuthukisa inkumbulo, ukugxilisa ingqondo nokunaka). Umthamo owanele we-vithamini uzovikela ekuhlanyeleni kwe-senile, ukhuphule ukukhuthazela, futhi usize ukuletha izisusa ekuphethweni kwezinzwa. I-B12 iyi-hepatoprotector enamandla engavikela isibindi ekuqongeleleni amafutha.
Le mishanguzo ine-contraindication efanayo. Ababelwe:
- amakhokho;
- ezimweni ezinzima zemithambo yegazi;
- abesifazane ngesikhathi sokukhulelwa nokuqunjelwa;
- ebuntwaneni;
- nge-hypersensitivity kuzithako ezakha umuthi.
Imiphumela emibi evela ngokweqile kwamavithamini nayo iyafana:
- i-tachycardia;
- dyspepsia (ukuphazamiseka kwamathumbu);
- urticaria.
Uyini umehluko
Umehluko wokuqala ngumenzi. Umuthi wasekhaya, okhiqizwa ngendlela yesisombululo esenziwe ngomumo, ufaka i-anesthetic (lidocaine). Leli khwalithi lenza lithandeke kakhulu phakathi kwabathengi.
I-Combilipen inezimpawu ezengeziwe uma kungenzeka kusetshenziswe ngokweqile:
- ukuvuvukala
- ukwethuka kwe-anaphylactic;
- induna;
- ukukhuphuka kokujuluka (hyperhidrosis).
Ngenxa yokusabela okwengeziwe okungekuhle, ukuqokwa kwama-Vitamin ukwakheka ngakunye esigulini ngasinye. Akunakwenzeka ukusebenzisa ukwakheka kwezokwelapha kanye namafomu ngokwawo, ngoba kudingeka ngempumelelo izeluleko zezokwelapha ezifanele.
Futhi umehluko intengo. Izindleko ezimaphakathi zezidakamizwa zincike esifundeni sokuthengisa, ifomu, umthamo wokufakwa. Kepha ozakwethu wasekhaya uzoba ushibhile.
Yikuphi okushibhile
Amanani eNeuromultivit:
- Ama-20 ama-PC. - ama-ruble angama-310 .;
- Ama-60 ama-PC. - ama-ruble angama-700 .;
- Ama-ampoules ama-5 (2 ml) - ama-ruble ayi-192;
- I-ampoules eyi-10 (2 ml) - ama-ruble angama-354.
Amanani eCombilipen:
- Ama-30 ama-pcs - ama-ruble angama-235 .;
- Ama-60 ama-PC. - Ama-ruble angama-480 .;
- Ama-ampoules ama-5 (2 ml) - ama-ruble ayi-125;
- I-ampoules eyi-10 (2 ml) - ama-ruble angama-221.
I-NeuromultivitisKombilipen
Yikuphi okungcono: Neuromultivitis noma Combilipen
Kunzima ukwenza ukukhetha phakathi kwale mishanguzo, ngoba yizijobelelo. Lapho unquma imijovo, kungcono ukugxila kumuthi ongenazinhlungu wasekhaya, ngoba kufaka phakathi i-anesthetic. Ngaphezu kwalokho, iCombilipen ishibhile.
Kepha izindlela ezisetshenzisiwe ze-Neuromultivitis ziqukethe amavithamini amaningi we-B12 - lokhu kufanele kubhekwe uma kunezinkinga zokwenziwa kwegazi kanye nasezigulini ezihlushwa:
- i-polyneuritis;
- ihepatitis
- Isifo se-Down;
- Isifo sikaBotkin;
- ukugula kwemisebe;
- i-neurodermatitis;
- i-trigeminal neuralgia.
Ukubuyekezwa kweziguli
USvetlana, oneminyaka engama-29, uTomsk
Udokotela unikeze ingane eneminyaka emihlanu ubudala u-Kombilipen Tabs, kodwa wafunda kwisichasiselo ukuthi akufanele inikezwe izingane. Ngaphinde ngaphendukela kudokotela (osevele ehlukile) - naye wavumela. Ngakho-ke kungani bebhala emiyalweni abangayibeki izingane - omama bakhathazeka ngeze. Ngaphezu kwalokho, lawa ngamavithamini kuphela.
USergey, oneminyaka engama-43 ubudala, u-Irkutsk
Umuthi osekhaya awusizanga nhlobo nge-polyneuritis yotshwala, nalowo ongenisiwe wasiza. Bengifuna ukonga. Ngakho-ke zihlukile, futhi inani lamavithamini asebenzayo lidlala indima.
UMaria, oneminyaka engama-37, uPodolsk
UKombilipen wabekelwa imijovo ebuhlungwini be-periodic back (leli iphuzu lami elibuthakathaka). Ngisho ne-lidocaine, umjovo ubuhlungu. Ungabekezelela, kodwa ngajabula lapho ngishintshela ezibhebheni. Ngemuva kwezinsuku ezi-5 zokujova (isikhathi esisodwa ngosuku) ngaphuza amanye amasonto ama-2 amaphilisi (1 pc njalo ngolunye usuku). Umzimba udinga amavithamini, khona-ke uyokwazi ukubhekana nawo.
Ukwakheka kwezindlela ezifakwe nge-Neuromultivitis kuqukethe amavithamini B12 amaningi.
Ukubuyekezwa kodokotela kweNeuromultivitis neCombilipene
P.N. UTyutyaev, udokotela wamathambo, uTula
I-Kombilipen isidakamizwa esihle. Ngiqoka kanye ne-Diclofenac ukuthi ithathwe kanye nezinkinga zamalunga nokuhlangana kwesistimu ye-musculoskeletal. Futhi imijovo idinga ukwenziwa ngaphakathi kwezicubu zomzimba, ngoba ungathenga inaliti eyiqiniso. Kodwa-ke, iziguli zivame ukukhononda hhayi ngobuhlungu (wonke umuntu unobuhlungu obuhlukile bokukhanda), kodwa ngemiphumela emibi: kubantu abasha - induna, kubantu asebekhulile - i-tachycardia. Uma lokhu kuvela kuvela, kungcono ukubuyisa leyo mishanguzo.
I-S.F. UKrivtsov, udokotela wezifo zemizwa kwengane, uDmitrov
Lezi zakhiwo zingabhekelwa izingane, kodwa kuphela emva kokubonisana nochwepheshe. Ngemuva kweminyaka eyi-12, ungazithatha ngokwakho, njengomuntu okhulile. Umzimba obuthakathaka udinga amavithamini. Futhi uma ingekho imiphumela emibi, khona-ke ungakhathazeki, udokotela uyazi ukuthi wenzani. Imijovo eyenziwe yizingane ayibekezeleleki kakhulu, futhi amaphilisi afakwa ngaphakathi entweni angadakwa ngaphandle kwezinkinga.
A.K. I-Kanaeva, isazi sezokwelapha, iSt
Qhathanisa ama-2 la mathuluzi awenzi mqondo. Bonana nodokotela futhi ungazenzisi. Amavithamini alungile ekwelashweni okuyinkimbinkimbi, ngakho-ke uchwepheshe kuphela oyonikeza ukwelashwa okulungile, ngoba ngaphezu kwezakhi zeqembu B, ezinye izidakamizwa zizodingeka. Njengesilinganiso sokuvimbela, yebo, ungaphuza amavithamini ngokwehlukana. Kepha ngokusebenzisa okungalawulwa ngisho nezithasiselo zevithamini, ungathola futhi ukusakaza okuzoba nzima ukukususa.
