Ngezinkinga zenhliziyo nezemithambo, odokotela bavame ukunquma imishanguzo esekelwe ku-acetylsalicylic acid (ASA), umuntu onciphile igazi. Le mithi ifaka phakathi i-Thrombo ACC noma i-Aspirin Cardio. Lezi yizimpawu ezimbili ezisuselwa kusithako esifanayo esisebenzayo, esifana nasekhempeleni yenkinga yesifo. Kodwa futhi banokunye umehluko okudingeka uncike kukho lapho ukhetha umuthi.
Ngabe isebenza kanjani iStrombo ACC?
Lesi sidakamizwa esingeyona i-steroidal eqenjini le-NSAID (NSAID) sisebenza njengomuthi we-analgesic, anti-inflammatory and antipyretic spectrum of action. Iyatholakala ngesimo samathebulethi aqukethe isakhi esisebenzayo (i-ASA), nezinye izithako ezingeziwe:
- i-colloidal silicon dioxide (i-sorbent);
- i-lactose monohydrate (i-disaccharide enama-molecule amanzi);
- i-microcrystalline cellulose (i-fiber yokudla);
- isitashi samazambane.
I-Thrombo ACC isidakamizwa esingeyona le-steroidal eqenjini le-NSAID (NSAIDs).
Ukuhlanganiswa okuhlanganayo kufaka izithasiselo zokudla okunempilo:
- ama-Copolymers we-methaconic acid ne-ethyl acrylate (binders);
- i-triacetin (ipulasitiki);
- i-talcum powder.
Isenzo somuthi ukungasebenzi okungenakuguqulwa kolunye lwezinhlobo ze-cycloo oxygenase enzyme (COX-1). Lokhu kuholela ekucindezelweni kokuhlanganiswa kwezinto ezisebenzayo ngokomzimba, njengoku:
- i-prostaglandins (ukufaka isandla ezenzweni zokulwa nokuvuvukala);
- ama-thromboxanes (ukubamba iqhaza ezinqubweni zokuhlangana kwegazi, okufaka isandla ku-anesthesia futhi kunciphise ukuvuvukala);
- ubufebe (ukuvimbela ukwakheka kwezigaba zegazi nge-vasodilation, ukunciphisa umfutho wegazi).
Ukusebenza kwe-acetylsalicylic acid kumaseli egazi, okuvimbela ukwakheka kwezigaba zegazi, kuqukethe izinqubo ezilandelayo:
- I-thromboxane A2 synthesis iyayeka, izinga lokuhlanganiswa kweplatelet liyancipha;
- ukwanda komsebenzi we-fibrinolytic wezakhi ze-plasma;
- inani lezinkomba zokuncipha kwe-vitamini K-kunciphisa.
I-Acetylsalicylic acid, okuyingxenye yesidakamizwa, ivimbela ukwakheka kwezigaba zegazi emithanjeni.
Uma usebenzisa lo muthi ngemithamo emincane (1 pc. Ngosuku), khona-ke kukhona ukwakhiwa kwesenzo se-antiplatelet, okuthi ngisho nangemva kokuba umthamo owodwa uqhubeke ngesonto. Le mpahla iqinisekisa ukusetshenziswa komuthi ukuvimbela kanye nokukhulula izinkinga kulezi zifo ezilandelayo:
- imithambo ye-varicose;
- i-ischemia;
- ukushaya kwenhliziyo.
I-ASA ngemuva kokungenwa igxishwe ngokuphelele emgudwini wesisu, i-metabolizing into esebenzayo esibindini. I-salicylic acid iphuliwe ibe yi-phenyl salicylate, i-salicyluric acid ne-salicylate glucuronide, okusatshalaliswa kalula emzimbeni wonke futhi okungu-100% okukhishwe izinso ngemuva kwezinsuku eziyi-1-2.
Isimo se-Aspirin Cardio
Ukwakheka kwezindlela zethebhulethi kufaka i-acetylsalicylic acid nezinye izithako ezingeziwe:
- i-cellulose (i-glucose polymer);
- isitashi sommbila.
Into esebenzayo yesidakamizwa nayo i-acetylsalicylic acid.
Ukuhlanganiswa kwe-enteric kuqukethe:
- methaconic acid Copolymer;
- i-polysorbate (emulsifier);
- i-sodium lauryl sulfate (sorbent);
- i-ethacrylate (i-binder);
- i-triethyl citrate (stabilizer);
- i-talcum powder.
Isimiso sethonya sengxenye esebenzayo yazo zombili izidakamizwa ziyefana. Ngakho-ke, izinkomba zokusetshenziswa ziyefana. Futhi ngenxa yokuthi i-Aspirin Cardio isebenza njenge-ejenti ekhipha ukushisa nokulwa nokuvuvukala, nayo isetshenziselwa:
- isifo samathambo;
- isifo sokuqaqamba kwamalunga
- umkhuhlane kanye nomkhuhlane.
Njengomuthi wezinyathelo zokuthintela, umuthi uboniswa usegugile ngobungozi bokuqalisa:
- isifo sikashukela mellitus;
- ukukhuluphala
- i-lipidemia (amazinga aphezulu we-lipid);
- i-myocardial infarction.
Ukuqhathaniswa kweThrombo ACC ne-Aspirin Cardio
Le mishanguzo inomphumela ofanayo wokwelapha, in ekwakhiweni kwawo into efanayo eyisisekelo. Kepha ukuqonda ukuthi yikuphi okulungele isiguli, isichasiselo esinamathiselwe ezibhebheni kanye nezincomo zochwepheshe kuzosiza.
Ukufana
Le mishanguzo ithengiswa ngaphezulu kwekhawunta. Kutholakala ngesimo samathebulethi ane-membrane ye-enteric, enciphisa ukucasuka kwe-mucosa yesisu, futhi ibekelwe ukusetshenziswa:
- ngomlomo;
- ngaphambi kokudla;
- ukugezwa ngamanzi ngaphandle kokuhlafuna;
- inkambo ende (isikhathi sokwelashwa sinqunywa ngudokotela).
Zombili lezi zidakamizwa zingezigaba zama-antiplatelet agents (izidakamizwa ze-antithrombotic) nezama-non-steroid (izidakamizwa ezinemiphumela yokulwa nokuvuvukala, ye-antipyretic ne-decongestant), enezinkomba ezifanayo zokusetshenziswa:
- ukuvimbela imivimbo kanye nokuhlaselwa yisifo senhliziyo;
- angina pectoris;
- i-pulmonary embolism;
- i-vein thrombosis ejulile;
- izimo zomsebenzi ngemuva kokungenelela kwemithambo;
- ukuphazamiseka kokujikeleza kobuchopho.
Ukuthatha umuthi kuphambaniswe kulezo zimo:
- ukwehlukaniswa kwezakhi;
- ukuguguleka kanye ne-gastric ulcer ne-duodenum;
- ukopha kwesisu;
- i-hemophilia (ukuncipha kwegazi okwandisiwe);
- i-asthma ye-aspirin (futhi uma ihlanganiswa nokwehlisa i-polyposis yamakhala);
- i-hemorrhagic diathesis;
- ukungasebenzi kahle kwe-hepatic ne-renal;
- i-hepatitis;
- i-pancreatitis
- i-thrombocytopenia;
- i-leukopenia;
- i-agranulocytosis;
- iminyaka efinyelela eminyakeni eyi-17;
- ama-trimesters okuqala nokukhulelwa;
- ukucaphuka
- ukusebenzisana ngokubambisana ne-methotrexate (isidakamizwa se-antitumor).
Izindlela zokuqapha zibekiwe emacaleni alandelayo:
- gout
- hay fever;
- i-hyperuricemia
- izifo ezingamahlalakhona zezitho ze-ENT.
Imiphumela emibi ukuqokwa kwezidakamizwa:
- ikhanda
- ukuntuleka kokudla;
- ukuqhakaza;
- ukuqubuka kwesikhumba (urticaria);
- i-anemia
Ngaphandle kwezifo zenhliziyo nemithambo yegazi yobuchopho esemdala, le mishanguzo ibekelwa umthamo we-100 mg.
Ngesikhathi sokwelashwa, kuyadingeka ukulawula amanani we-pH wegazi ukuze kuvinjelwe ukuphuma kwawo endaweni eyi-acidic (i-overdose isuswa nge-sodium bicarbonate).
Uyini umehluko?
Ngaphandle kwezinkomba ezifanayo kanye ne-contraindication, kunomehluko phakathi kwalawa ma-non-steroidal agents. Ziyahluka kusethi yabazuzi. Kunokunye umehluko onikeza isiguli ilungelo lokukhetha ivolumu elula kakhulu yokuthatha izidakamizwa.
Naphezu kwento efanayo esebenzayo, amalungiselelo ahlukile kusethi yabazokuthola.
Ye-Trombo ACC:
- amaphilisi we-50, 75, 100 mg;
- ukufakwa - kwiphakethe elilodwa le-14, 20, 28, 30, ama-pcs ayi-100 .;
- inkampani yezokukhiqiza - G. L. Pharma GmbH (Austria).
Ye-Aspirin Cardio:
- inani le-acetylsalicylic acid etafuleni eli-1. - 100 no-300 mg;
- ukufakelwa - kwiphakethe elinezinhlungu lama-10 ama-pcs., noma emabhokisini amaphilisi angama-20, angama-28 kanye nama-56;
- umenzi - Inkampani iBayer (Germany).
Yikuphi okushibhile?
Intengo yalezi zidakamizwa incike kumthamo kanye nenani lamathebulethi athengiwe.
Izindleko ezimaphakathi zokupakisha i-Trombo ACC:
- 28 ithebhu. I-50 mg ngayinye - ama-ruble angama-38; ama-ruble ayi-100 - ama-ruble angama-50;
- Ama-pcs ayi-100 I-50 mg - ama-ruble ayi-120., 100 mg - ama-ruble ayi-148.
Ngokwezinga lentengo, i-Aspirin Cardio ibiza kabili njengeTrombo ACCA.
Intengo emaphakathi ye-Aspirin Cardio:
- 20 ithebhu. I-300 mg ngayinye - ama-ruble angama-75;
- 28 ama-pcs. I-100 mg - ama-ruble ayi-140;
- Ithebhu engu-56. I-100 mg ngayinye - ama-ruble angama-213.
Uma uqhathanisa izindleko zazo, ungabona ukuthi umuthi wesibili ubiza kakhulu izikhathi ezi-2.
Yini engcono iTorombo ACC ne-Aspirin Cardio?
Kulezi zidakamizwa ze-analog, eyokuqala inezinzuzo ezilandelayo: umthamo ophansi (50 mg) kanye nezindleko eziphansi (intengo yephakheji equkethe amaphilisi ayi-100 ishibhile ikakhulukazi). Umthamo we-50 mg walo muthi ulula kulokho:
- akudingeki ukuthi uhlukanise ithebhulethi izingxenye eziningi;
- igobolondo le-contour alibhujiswa;
- kungenzeka ukuthi kungelashwa isikhathi eside.
Kodwa noma yiziphi izidakamizwa, ngisho nalezo ezinesici esilinganayo sezenzo, akufanele zithathwe zodwa. Kuyadingeka ukufuna izeluleko kudokotela wakho.
Ukubuyekezwa kweziguli
UMaria, oneminyaka engama-40, eMoscow.
I-Thromboass yanqunywa kumama ngemuva kwe-microstroke njenge-prophylactic ngokumelene nokuphindeka kwayo. Amapilisi awabizi, ngenxa yalokho, atholakala kwizakhamizi ezindala. Futhi manje kufanele sizithathe njalo. Kodwa-ke, ngizwe ngobungozi be-acetylsalicyl esiswini. Iqiniso ukuthi amaphilisi we-acetylsalicylic acid ngaphandle kwegobolondo elivikelayo, futhi lo muthi unawo, ngakho-ke uphephile kuleli phuzu lokubuka.
ULydia, oneminyaka engama-63 ubudala, uyidolobha laseKlin.
I-Aspirincardio yanqunyelwa i-ischemia. Ngaphambi kokuyithatha, ngacela izinkomba zokulinganisa ukubukeka kwegazi, kuvela ukuthi akukho-viscometer (viscosity analzer) emtholampilo. Ukubonakala kwegazi okujwayelekile - amayunithi ama-5. (ngokusho kwe-Ado), nginezinkomba ezandayo (kwakungamayunithi angama-18) ngenxa yokusetshenziswa kwezidakamizwa eziningi, kufaka phakathi nemithi elwa namagciwane. Ngizothatha umuthi onciphile manje, futhi angazi ukuthi ngingakwazi yini ukwenza lokhu njalo ngaphandle kokuhlolwa. Ngifuna ukuya eTromboass, kushibhile. Kepha udokotela akazange ancome. Akukacaci ukuthi kungani.
U-Alexey, oneminyaka engama-58, uNovgorod.
Phambilini, ubemane athathe i-Aspirin, asize ngamakhaza, ingcindezi, ukukhathala nempilo engeyinhle. Kepha kube nezinkinga ngesisu (wayegula kusihlwa, yize engathathanga i-1 pc. Ngosuku). Umeluleki weluleke ngokushintshela kumathebhulethi we-Aspirincardio, ngoba embozwe ngengubo yokuvikela. Manje sengingaqhubeka nokuthatha i-ASA ngendlela ephephile. Vele ungaqondi ukuthi kungani i-Aspirin ngaphandle kokugibela kokuvikela ishibhile, futhi ngegobolondo ibiza kakhulukazi 10. Ngemuva kwakho konke, isenzo esikhulu senziwa yilokho okungaphakathi, hhayi ngaphandle.
Awukwazi ukuzindla ngezidakamizwa, kufanele uthintane nodokotela ukuze uthole izeluleko.
Odokotela babuyekeza i-Trombo ACC ne-Aspirin Cardio
M.T. Kochnev, Phlebologist, Tula.
Ngincoma i-Thrombo Ass ekuvinjelweni kwe-thrombosis, ukuncipha kwegazi, ngemuva kokuhlinzwa kwethambo lomlenze. Amaphilisi awabizi, awanawo umthelela omubi emgodini wokugaya ukudla, okuyilokho okudingwa yisiguli. Ngaphambi kokusetshenziswa okuzimele, kubalulekile ukutadisha ama-contraindication - lokhu kuyi-gastritis nesilonda esiswini
S.K. Tkachenko, udokotela wezifo zenhliziyo, eMoscow.
I-Cardioaspirin isetshenziswa kabanzi kwi-cardiology ukunciphisa i-vascular thrombosis. Ukusetshenziswa kwesikhathi eside kuyanconywa; lokhu kudinga ukubhekwa njalo kwamapharamitha we-biochemical. Akukho mehluko kusuka ku-Thromboass, ngaphandle kwezithako ezisizayo. Ungaya kubo, ikakhulukazi njengoba beshibhile.
N.V. Silantyeva, udokotela ophilayo, u-Omsk.
Kumkhuba wami, i-Cardioaspirin kulula ukuthi iziguli zibekezelele, ukwelashwa okumbalwa okunezimpawu eziseceleni, umphumela ongcono. Njengoba okuphikisana okukhulu kungabantu asebekhulile, umthamo we-100 mg uyinto evamile kakhulu kubo, ngezansi akudingekile. Ngiqoka izifundo - amaviki ama-3 emasontweni ama-3.
