Ukuhlanganiswa kwemithi emi-2, iMidokalm neCombilipen, kuchazwe izinqubo zokuvuvukala zohlelo lwe-musculoskeletal. Yize iqiniso lokuthi izidakamizwa zingamaqembu e-pharmacological ahlukene (eyokuqala neye-non-steroidal anti-inflammatory drug, nelesibili kuyinkimbinkimbi yamavithamini), ukusetshenziswa kwabo ngokuhlangana kugcwalisa ngempumelelo umphumela wokwelapha womunye nomunye.
Isimilo se-Midokalm
Into esebenzayo ye-Midokalm (tolperisone hydrochloride) iyisampula yokuvuselela izicubu zomgomo oyisisekelo wokusebenza. Umuthi unqunyelwe i-neurological syndrome ehambisana nokwanda kwezwi lemisipha nge-arthrosis ne-osteochondrosis kanye ne-pain syndrome ehambisana nayo. Umuthi ubekezelelwa kahle ngumzimba, kanye:
- kunomphumela wokubulala izinzwa;
- igxilisa imithambo yegazi;
- kuthuthukisa ukuhamba kwegazi.
Ithuluzi likhishwa ngesimo se:
- I-50 mg amaphilisi;
- amaphilisi we-150 mg;
- imijovo (ku-1 ampoule ye-1 ml) equkethe isakhi esisebenzayo ne-lidocaine.
I-Midokalm ibekelwa i-neurological syndrome ehambisana nokwanda kwezwi lemisipha nge-arthrosis ne-osteochondrosis kanye ne-pain syndrome ehambisana nayo.
Ngabe uCombilipen usebenza kanjani
Umuthi ukhishwa ngendlela yokulimala (2 ml ngayinye) noma ngesimo samacwecwe eCombilipen-Tabs. Umuthi uyinkimbinkimbi yamavithamini ama-3 eqembu B (njengengxenye yefomu eliqinile) ngokufakwa kwe-anesthetic (njengengxenye yesisombululo).
Umgomo wokusebenza kwezithako:
- I-B1 (thiamine) - ihlinzeka ukwabiwa kokufakwa kwezinzwa futhi kusekela umsebenzi wenhliziyo;
- I-B6 (pyridoxine) - ibandakanyeka ezinqubweni ze-hematopoiesis, emsebenzini wesistimu yezinzwa ephakathi nendawo.
- I-B12 (cyanocobalamin) - iyadingeka ekukhuleni kwe-epithelium, i-folic acid metabolism, isusa izimpawu zokushoda kwe-nucleotide kanye ne-myelin;
- I-lidocaine iyi-anesthetic yendawo ekhuthaza ukumuncwa kwamavithamini.
Umphumela wokuhlangana
Ukuhlanganiswa kwezidakamizwa ezi-2 kususa lonke uhla lwezinkinga.
I-Midokalm inomphumela osheshayo ekugxileni kokuvuvukala, futhi amavithamini afaka isandla ekuqhubekeni kwesidakamizwa eduze kwezindawo ezinobuthi bezinzwa, okuhlinzeka impumuzo ebuhlungu uma kulimala izinzwa.
Imithi ehlanganayo iyasusa:
- izinzwa ezicindezelwe;
- ukwephulwa kwe-nerve conduction;
- izicubu zomsipha;
- ukungezwani endaweni yomonakalo kwikholamu yomgogodla.
Umuthi uyinkimbinkimbi yamavithamini ama-3 eqembu B.
Izinkomba zokusetshenziswa ngasikhathi sinye
Le yinkimbinkimbi ikhonjelwe i-pathologies enjalo yesistimu ye-musculoskeletal:
- ukuvuvukala okubangela ukukhubazeka komgogodla (spondylitis);
- ukubhujiswa kwamalunga we-intervertebral (spondylarthrosis);
- ushintsho oluwohlokayo kwezicubu ze-cartilage (osteochondrosis);
- ukwehliswa kwezimpawu ezithambile ze-intervertebral pulp in the wesibeletho somlomo wesibeletho (cervical osteochondrosis);
- ukucindezelwa kwezinzwa eziphakathi nendawo (neostgia neuralgia);
- ukuthunyelwa kwama-disc we-intervertebral disc (ngenxa yalokhu, i-intervertebral hernias).
Contraindication
Indawo yezidakamizwa ayisetshenziswa uma:
- i-hypersensitivity izidakamizwa (imijovo ithathelwa indawo ngamathebule ezinzwa yi-lidocaine);
- i-myasthenia gravis;
- ukwehluleka kwenhliziyo;
- ukuphazamiseka kwe-hormonal;
- ukukhulelwa nokuqunjelwa;
Zombili lezi zidakamizwa azikhonjiswanga izingane (Midokalm - kuze kube unyaka 1, Combilipen - ngenxa yokushoda kwemininingwane).
Ungayithatha kanjani iMidokalm neCombilipen
Ngomthelela omncane kakhulu wezidakamizwa ku-mucosa yesisu, izidakamizwa zivame ukubekwa ngendlela yemijovo. Ukwelashwa kokulimala kunikeza umphumela oyifunayo ngokushesha okukhulu.
Ukusetshenziswa kwenkimbinkimbi kuyakhonjiswa:
- njengoba 1 injekishini yansuku zonke;
- Inkambo yezinsuku ezi-5;
- intramuscularly (ngokujulile).
Ngezifo zohlelo lwe-musculoskeletal
Ekuvuvukeni okukhulu kohlelo lwe-musculoskeletal (osteochondrosis, i-osteoarthrosis, i-intervertebral hernia), ushintsho ohlelweni lokwelashwa kungenzeka:
- umthamo we-Midokalm ungakhushulwa ube yimijovo emi-2 ngosuku (ama-ampoules ama-2 ml);
- Ezinsukwini ezi-5 ngemuva komjovo, ukwelashwa kungaqhubeka ngezindlela eziqinile noma imijovo ngazo zonke izinsuku;
- ukunwetshwa kokwelashwa kuvunyelwe kuze kufike kumaviki amathathu.
Udokotela oholayo kuphela okufanele anqume ukwelashwa, kuye ngesimo somuntu ngamunye kanye nobunzima besifo.
Imiphumela emibi yeMidokalm neCombilipen
I-Midokalm ingavusa amandla:
- ikhanda
- isicanucanu
- ukungakhululeki esiswini;
- ubuthakathaka bemisipha;
- ukwanda kwengcindezi.
Ukusetshenziswa kweCombibipen kungadala ukuvela kwe:
- ukukhuphuka kokujuluka;
- i-urticaria;
- induna;
- arrhythmias;
- I-edema kaQuincke;
- ukwethuka kwe-anaphylactic.
Umbono wodokotela
Ngokusho kodokotela:
- le mishanguzo ibekezelelwa kahle, futhi imiphumela emibi izohamba ngokwayo uma wehlisa umthamo;
- amafomu omjovo awakwazi ukuxutshwa kwisirinji eyodwa;
- kule nhlanganisela iKombilipen ingathathelwa indawo yinkimbinkimbi efanayo ye-Milgamma Vitamin, kepha lokhu kunqunywa kuphela uchwepheshe;
- Ngaphambi kokulungisa umthamo nokukhetha ama-analogues, kuyadingeka ukuthi ubonane nodokotela, kwenqatshelwe ukunquma irekhodi lomthamo ngokwakho.
Ukubuyekezwa kweziguli mayelana neMidokalm neCombilipene
UNikolay, oneminyaka engama-55, eMoscow
Ihlolwe i-sciatica sciatic nerve, yabhekana nobuhlungu obungabekezeleleki, obunamalungu omzimba. Lokho akuzange kuthathe, njalo kuma-painkillers (uKetorol, Diclofenac). Ngifunde ngeMidokalm kwi-Intanethi. Waqala ukuthatha (ezibhebheni). Ngemuva kokuqala (i-150 mg) izinhlungu zaba zincane, ngemuva kwesibili kwacishe kwaphela. I-Midokalm ingisindisile, akubanga namiphumela emibi.
U-Ana, oneminyaka engama-40, uKamsk
Isicubu se-piriformis esidonsekile. Uqokwe uM Midokalm-Richter. Imiphumela emibi yavela cishe ngokushesha ngesimo se-palpitations yenhliziyo kanye nengcindezi eyandayo. Qaphela lesi sidakamizwa.
UNina, oneminyaka engama-31 ubudala, uNorilsk
Ubuhlungu emuva. Angikwazanga ukukhohlisa le nhlanganisela, ukungezwani komzimba kubonakale ngesimo sokuqubuka emzimbeni. Bengicabanga ukuthi ngeza amavithamini, kepha kwavela kuMidokalm. Udokotela wamfaka esikhundleni seKetonal Duo (amaphilisi). Le nhlanganisela ingifanele.
