Umuthi i-Vitagamma: imiyalo yokusebenzisa

IVitagamma iyinkimbinkimbi yemultivitamin eyenziwe ngamavithamini angama-B. Leli banga lezakhi zomzimba ezihlobene nomzimba linomphumela we-neurotropic emzimbeni. Ochwepheshe bezokwelapha basebenzisa lo muthi ezimweni ezinzima zokucasulwa ukwenziwa kokulimala kwama-neurons, kanye nezilonda ezihlasela umgogodla. Umuthi ufakwa ekwelashweni okuyinkimbinkimbi kokulimala kohlelo lwezinzwa oluphakathi.

Igama Lezwe elingafanele

I-Pyridoxine + Thiamine + Cyanocobalamin + [Lidocaine].

IVitagamma iyinkimbinkimbi yemultivitamin enamavithamini e-B.

I-ATX

A11DB.

Khipha amafomu nokwakheka

Umuthi uyatholakala ngesimo sesisombululo se-2 ml sokulimala kwe-intramuscular. Njengoba izinto ezisebenzayo yilezi:

• I-20 mg lidocaine hydrochloride;
• I-1 mg cyanocobalamin;
• i-pyridoxine hydrochloride 100 mg;
• thiamine hydrochloride 100 mg.

Ngokungabonakali kuwuketshezi olucacile ngaphandle kombala nephunga. Umuthi uqukethe izingilazi zeglasi zengilazi emnyama. Kunama-ampoule ama-5 ebhokisini le-1 lebhokisi.

Isenzo se-Pharmacological

I-multivitamin tata yeqembu B iyizingxube ze-organic ezihluka ngesakhiwo samakhemikhali nokwakheka kwamakhemikhali. Akukhiqizwa emzimbeni womuntu, yingakho zidliwa ngokudla futhi zidlala indima ebalulekile ekusebenzeni kohlelo lwezinzwa. Iqembu lamavithamini liyakwazi ukulawula imetabolism yamafutha, ama-carbohydrate namaprotheni ngenxa yokufakwa kwama-enzyme complexes.

Umuthi uqukethe izingilazi zeglasi zengilazi emnyama. Kunama-ampoule ama-5 ebhokisini le-1 lebhokisi.

Umphumela wokwelapha umuthi utholakala ngesenzo sezakhi zokwakheka:

1. I-Thiamine (i-Vitamin B1) emzimbeni iguqulwa ibe yi-pyrophosphate, ngemuva kwalokho kuthatha ingxenye esebenzayo ekwakhiweni kwama-asidi e-synticic synthesis ye-DNA. Kuyi-coenzyme ku-protein metabolism kanye ne-saccharide metabolism. Ngaso leso sikhathi, i-thiamine icindezela inqubo yamaprotheni glycosylation kanye ne-oxidative reaction of free radicals (ikhombisa umphumela we-antioxidant). Ngokwengxenye ilawula ukufakwa kwezinzwa ze-synaptic.
2. I-Pyridoxine (uvithamini B6) ubandakanyeka ekwakhekeni kwama-neurotransmitters akhuthaza ukwenziwa kwama-hormone (norepinephrine, dopamine). Kuyathinta isimo sokomoya somuntu. Inhlanganisela yamakhemikhali iyingxenye ye-transaminase ne-decarboxylase - ama-enzyme adingekayo ekwakhekeni okuvamile kwama-amino acid. Into esebenzayo isiza ukususa ukunqwabelana kwe-ammonia, ilawula imetabolism yamafutha, i-histamine. Ngenxa ye-pyridoxine, ukubuyiselwa kwezicubu zezinzwa kuyasheshiswa.
3. ICyanocobalamin (uvithamini B12) ibandakanyeka ekwakhekeni kwezicubu ze-myelin, isekela i-hematopoiesis ngaphakathi kwemikhawulo ejwayelekile. I-organic complication inciphisa ukugcwala kwe-plasma ye-cholesterol ne-triglycerides, okunomthelela ekujwayekeni kwe-metabolism.
4. I-Lidocaine ihlinzeka ngomphumela we-analgesic (analgesic) lapho umuthi ufakwa kwizicubu zemisipha.

Umuthi ukuvumela ukuthi ulawule ukusabela kwe-redox futhi ulondoloze i-homeostasis emzimbeni. Ngenxa yamavithamini we-B, i-carbohydrate metabolism iyathuthuka, i-lipid metabolism ihlala ijwayelekile. Inani le-LDL (low density lipoproteins) ne-cholesterol liyancipha.

Uma usebenzisa umuthi, izinqubo ezijwayelekile ze-metabolic zijwayelekile, ukuqina kohlelo lwezinzwa lwe-autonomic kuyathuthuka, futhi ukusebenza kwezinzwa zemizwa nezemoto kuyanda.

I-Pharmacokinetics

Ngokwethulwa komjovo, i-vitamin tata ivele iwele ezingxenyeni eziphambili.

Ngenxa yamavithamini B, i-carbohydrate metabolism iyathuthuka.

Ngemuva kokujova okungaphakathi kwe-thiamine, i-chloride ingena egazini. Ngemikhumbi, ikhemikhali ingena kwisibindi, lapho ama-hepatocytes aqala ukuguqula i-thiamine ngokwakhiwa kwemikhiqizo ye-metabolic (iphiramidi ne-carboxylic acid). Kukhishwe ngohlelo lwe-bile nolwelwesi. Iqoqo le-plasma lezakhi ze-thiamine esegazini ngu-2-4 μg / 100 ml. Ukuqedwa kwesigamu sempilo kungahlala kusuka ezinsukwini eziyi-10 kuye kwezingama-20.

Ukuphathwa kwabazali kwe-pyridoxine kukhiqizeka ngokuqhekeka ku-vitamers:

• i-pyridoxamine;
• i-pyridoxol;
• i-pyridoxal.

Vitamin B6 ifinyelela ekugxilweni okuphezulu kwe-6 μmol / 100 ml ku-plasma yegazi. Ishiya umzimba ungene ezinso ngendlela ye-4-pyridoxic acid. Ukuphila kwengxenye kuyizinsuku eziyi-15-20.

ICyanocobalamin ikhishwa kungakapheli izinsuku ezingama-20 nomchamo.

Izinkomba zokusetshenziswa

Umuthi ubekelwe ukwelashwa nokuvinjwa kwezifo zemvelo ye-neurological, kucasulwe ukuntuleka kwe-thiamine, i-pyridoxine, i-cyanocobalamin. Isixazululo seVitagamma sisetshenziswa njengezokwelapha izifo zezifo zomgogodla:

• imvelo yangemva kokuhlukumezeka;
• i-radiculitis;
• i-spondylolisthesis;
• I-Ankylosing spondylitis syndrome;
• i-spondylosis;
• i-osteochondrosis;
• ama-disc we-herniated;
• isifo sokuqaqamba kwamathambo;
• i-spondylitis;
• isifo samathambo;
• umgogodla stenosis.

Isixazululo se-Vitagamma sisetshenziswa njengezokwelapha i-rheumatoid arthritis.

Isixazululo seVitagamma sisetshenziswa njengezokwelapha zama-disc e-herniated.

Isisombululo se-Vitagamma sisetshenziswa njengokwelapha kwe-ankylosing spondylitis.

Isixazululo seVitagamma sisetshenziswa njengezokwelapha nge-spondylolisthesis.

Isisombululo se-Vitagamma sisetshenziswa njengezokwelapha i-radiculitis.

Isixazululo seVitagma sisetshenziswa njengezokwelapha i-osteochondrosis.

Isisombululo se-Vitagamma sisetshenziswa njengezokwelapha i-spenosis yomgogodla.

Umuthi usetshenziselwa ukugoba komgogodla, ukusheshisa ukuvuselelwa kabusha esikhathini sokuhlunyeleliswa ngemuva kokuhlinzwa ku-vertebrae, ohlelweni oluyisisekelo lwezinzwa.

Umuthi uhloselwe njengesijobelelo sokuqeda isithombe esibonisa izimpawu zezifo zesistimu yezinzwa yama-etiologies ahlukahlukene (i-neuralgia, i-polyneuritis elula, ehambisana nobuhlungu, i-peripheral paresis, i-neuropathy ngenxa yokudakwa kotshwala, i-retrobulbar neuritis).

Amavithamini eqembu B afaka isandla ekuthini i-metabolism yenzeke ngokwejwayelekile, yingakho uchwepheshe wezokwelapha angafaka umuthi njengethuluzi elengeziwe lokukhuluphala okungelona i-hormonal. Kulokhu, ukunciphisa umzimba ngokweqile kwenzeka ezimweni zokuzivocavoca okukhulu komzimba ngokumelene nesizinda sokudla okunempilo okulinganiselayo.

Contraindication

Ezimweni ezikhethekile, lo muthi awunconywa noma awuphuliwe ukuze usetshenziswe:

• ukushaya kwenhliziyo
• umfutho wegazi ophakeme;
• i-erythremia kanye ne-erythrocytosis;
• ukopha kakhulu;
• i-thromboembolism, i-thrombosis.

Ithuluzi lelo livinjelwe ukusetshenziswa lapho kukhona ukusakazeka okuthe xaxa kwezicubu ezingxenyeni zezakhi zomuthi.

Umuthi uphambaniswe ne-thromboembolism.

Umuthi uphambaniswe nomfutho wegazi ophakeme.

Umuthi uphambaniswe nokuhlaselwa yinhliziyo.

Umuthi uphambaniswe ne-erythremia.

Umuthi uphambaniswe ukopha kakhulu.

Ngokunakekela

Ukuqapha kunconywa emacaleni alandelayo:

• abantu abangaphezulu kweminyaka engama-65;
• ngamathuba akhulayo we-thrombosis;
• nge-Wernicke encephalopathy;
• nge-neoplasm yesimo esingenangqondo nesilimazayo;
• ngesikhathi sokuya esikhathini kubantu besifazane;
• nge-angina pectoris enzima.

Iziguli zithambekele ekubonakalisweni kokuphendula kwe-anaphylactic, kunconywa ukuthi kwenziwe ukuhlolwa kwe-allergy ngaphambi kokuqala ukwelashwa kwezidakamizwa.

Ungayithatha kanjani i-Vitagamma

Umuthi uhloselwe ukuphathwa kwe-intramuscular. Ukufakwa kufakwa izinaliti eziyi-⅔ esifundeni se-gluteus noma umsipha obudonsile. Ezimweni ezinzima zalesi sifo noma lapho kukhona khona ubuhlungu obukhulu, kunconywa ukuthi kungeniswe i-2 ml ngosuku. Ngemuva kokudambisa isithombe esibonisa futhi ngezindlela ezibucayi zenqubo ye-pathological, umuthi uphathwa amahlandla ama-2 ngezinsuku eziyi-7, 2 ml.

Ngoshukela

Nge-mellitus encike kakhulu futhi engafakeli i-insulin, isidingo sevithamini B1 ne-B6 siyakhuphuka, ngakho-ke ukuthatha umuthi kuleli cala uvunyelwe.

Nge-mellitus encike kakhulu futhi engafakeli i-insulin, isidingo sevithamini B1 ne-B6 siyakhuphuka, ngakho-ke ukuthatha umuthi kuleli cala uvunyelwe.

Ukulungiswa komthamo owengeziwe akudingekile - umuthi osesilinganisweni sama-4-6 ml ngeviki uzoba owusizo ekwelapheni isifo sikashukela.

Imiphumela emibi yeVitagamma

Umthelela ekhonweni lokulawula izindlela

Ngesikhathi sokulashwa kwezidakamizwa, kunconywa ukwenqaba ukushayela, ukusebenzisana nezinqubo eziyinkimbinkimbi, nakweminye imisebenzi edinga ukuphendula okusheshayo nokuxineka. Ngokwethulwa kwemijovo yeVitagma, kunengozi yokuvela okungatheni kusuka kuhlelo lwangaphakathi lwezinzwa.

Imiphumela emibi yesidakamizwa ibonakala ngesimo sokubomvu nokulunywa.

Imiphumela emibi evela kumuthi ibonakala ngesimo sokudakwa.

Imiphumela emibi yesidakamizwa ibonakala ngesimo se-phlebitis.

Imiphumela emibi yesidakamizwa ibonakala ngendlela yama-arrhythmias.

Imiphumela emibi yesidakamizwa ibonakala ngendlela yokujuluka kokujuluka.

Imiphumela emibi yesidakamizwa ibonakala ngendlela i-arthralgia.

Imiphumela emibi yesidakamizwa ibonakala ngendlela yohudo.

Imiyalo ekhethekile

Ukuqapha kuyelulekwa lapho usebenzisa i-multivitamin tata, ngoba kunengozi yokuthuthukisa i-hypervitaminosis.

Sebenzisa ebudaleni

Abantu abaneminyaka engaphezu kwengu-65 ubudala bayalulekwa ukuba baqaphele lapho bethatha umuthi. Ebudaleni, amathuba emiphumela yezidakamizwa ayanda.

Isabelo sezingane

Umuthi uvunyelwe izingane ezingaphansi kweminyaka engu-18.

Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba

Akunconywa ukusebenzisa umuthi ngesikhathi sokukhula kombungu. Ngenxa yokuntuleka kwedatha kwikhono lezinhlanganisela zamakhemikhali ukunqamula isithiyo se-placental, umuthi usetshenziswa kuphela ezimweni ezibucayi, lapho ingozi empilweni yowesifazane okhulelwe idlula engcupheni yokukhula kwengane esibelethweni.

Ngesikhathi sokulashwa kwezidakamizwa, kunconywa ukumisa i-lactation. Akwaziwa ngokuqongelelwa kwesidakamizwa emithanjeni yezilwane ezincelisayo nangokubulawa kobisi lwebele.

Ukweqisa kweVitagamm

Uma usebenzisa kabi isidakamizwa, kukhona ingozi yokweqisa:

• ukuphazamiseka kwemizwa (ukunambitheka kokunambitha, iphunga);
• izicubu zomsipha;
• Ubuhlungu be-epigastric;
• ukuqunjelwa, ukulunywa;
• ukuphazamiseka kwesibindi;
• ukulahleka kokulawulwa yimizwelo, ukuguquguquka kwemizwelo;
• Ubuhlungu enhliziyweni.

Akukho-ejenti ethile yokulwa, ngakho-ke ukwelashwa kuhloselwe ukuqeda izimpawu zomuthi okweqisayo.

Uma usebenzisa kabi umuthi, kunengozi ye-overdose ngendlela yokuqunjelwa kwemisipha.

Uma usebenzisa kabi umuthi, kunengozi ye-overdose ngendlela yobuhlungu benhliziyo.

Ngokusebenzisa kabi izidakamizwa, kunengozi ye-overdose ngendlela yokwephulwa kwesibindi.

Ngokusebenzisa kabi izidakamizwa, kunengozi ye-overdose ngendlela yokushintshwa kwemizwelo.

Uma usebenzisa kabi umuthi, kunengozi ye-overdose ngendlela yobuhlungu esifundeni se-epigastric.

Ukuxhumana nezinye izidakamizwa

Ngokusebenzisa kanyekanye iVitagamma neminye imithi, lokhu okulandelayo kumele kubhekwe:

1. I-Thiamine ibunjiwe kuzixazululo ngokuqukethwe okuphezulu kwama-sulfites (usawoti wesibabule). Ukuphila kwesigamu se-vithamini B1 kusheshiswa ngama-ion wethusi nge-pH ngenhla kwe-3.
2. Umphumela wokwelapha we-pyridoxine ufikelwa buthaka yi-levodopa.
3. ICyanocobalamin ne-thiamine zibhujiswa ngesenzo sezinsimbi ezisindayo nosawoti wazo. Ukulungiselela okuqukethe insimbi kusiza ukuvimbela ukuhlukana kwezakhi zomzimba ezisebenzayo.

Ukuhambisana notshwala

I-multivitamin tata ayihlangani ne-ethanol ngokuphendula okuqondile kwamakhemikhali, kepha kunconyelwa ukwenqaba ukuphuza utshwala ngesikhathi sokwelashwa kwezidakamizwa. I-ethyl alcohol kanye nezinto ezisebenzayo zomuthi zitholakala kusibindi. Ngaphansi kwezimo zokunyuswa komthwalo, ama-hepatocytes awanaso isikhathi sokuqeda ubuthi obuqoqwe ku-cytoplasm futhi afe ngokushesha. Izindawo ze-Necrotic zithathelwa indawo yizicubu ezithintekayo, ezifaka isandla ekuthuthukisweni kokwehla kwamafutha kwesibindi.

Ama-Analog

Le mithi elandelayo ingeka-analogues wesakhiwo weVitagamma:

• IVitaxone;
• Milgma
• ICompligam B;
• I-Binavit

Ngaphambi kokubuyisela esikhundleni kuyadingeka ukubonisana nodokotela wakho.

I-analogue yesidakamizwa iCompligam B

Analogue yesidakamizwa iMilgamma.

I-analogue yesidakamizwa yiVitaxone.

I-analogue yesidakamizwa iBinavit.

Imibandela yekhefu lekhemisi

Umuthi uthengiswa ngomuthi onikezwe wona.

Ngingakwazi ukuthenga ngaphandle kadokotela

Ngenxa yengozi eyandayo yokusabela okuphambene, ukuthengiswa kwamahhala kwenkimbinkimbi ye-multivitamin kukhawulelwe.

Intengo yeVitagammu

Izindleko ezijwayelekile zama-ampoules ama-5 womuthi ziyehluka kusuka kuma-ruble angama-200 kuye kwangama-350.

Izimo zokugcina zomuthi

Kunconywe ukugcina isidakamizwa sisendaweni eyomile, sinqunyelwe ekungeneni kokukhanya kwelanga, emazingeni okushisa afinyelela ku + 15 ° C.

Isikhathi sokuphelelwa yisikhathi

Iminyaka emi-2

Umkhiqizi

I-CJSC Bryntsalov-A, eRussia.

Ukubuyekezwa mayelana neVitagamm

Ukuphawula okuhle kwizithangami eziku-inthanethi kukhombisa ukusebenza kahle kwezidakamizwa nokubekezelelana okuhle. Imiphumela emibi ibonakaliswe ngokusetshenziswa kabi kwesidakamizwa.

Odokotela

UJulia Barantsova, udokotela wezifo zemizwa, eMoscow

Ukulungiselela okusekelwe kumavithamini eqembu B kuye kwasungulwa emakethe njengethuluzi elisebenzayo elinentengo ephansi. Isiza nge-neurosis, i-neuralgia nezinye izifo ezihambisana nezinqubo ze-pathological ohlelweni lwezinzwa. Inika isithombe esibonakalayo ekushayweni komgogodla, isiza ukubuyisela imicu yezinzwa ngemuva kokuhlinzwa.

U-Anton Krysnikov, neurosurgeon, uRyazan

Umuthi omuhle, ongabizi.Ngisebenzisa ukuguqula izinqubo ze-metabolic emzimbeni ngemuva kokusebenza kobuchopho noma intambo yomgogodla. Amavithamini abamba iqhaza ekulungiseni izinzwa. Iziguli zizizwa zizethemba ngokwengeziwe, imizwa yazo iyakhuphuka. Imiphumela emibi ayikho.

Ukufutheka kungabonakala njengemiphumela emibi yokuphuza umuthi.

Iziguli

U-Irina Zhuravleva, oneminyaka engama-34 ubudala, eSt

Bafaka i-Vitagamma ngemuva kokuhlinzwa, lapho belele ku-neurology. Angibonanga umphumela onamandla, ngoba kimi izinombolo ezikuhlaziyo azisho lutho. Kepha kuphawule ukuthuthuka kwemizwa. Ukudangala kunyamalale, kwavela ukuthula. Kwakungekho ukubuyela emuva kwalesi sifo, kanye nemiphumela emibi. Sikhishwe esibhedlela siphilile.

Adeline Khoroshevskaya, 21 weminyaka, Ufa

Kufakwa imijovo ngokuhlobene ne-retrobulbar neuritis. Kwangimangaza ukuthi abaze banikeze imijovo nsuku zonke, kodwa ngemuva kosuku ngokwemiyalo. ILidocaine ayilimalanga. Emiphumela emibi, ngiyakwazi ukwahlukanisa isiyezi esincane, kodwa ngijabule ngomphumela. Ukudumba kwakulele futhi umbono wathuthuka.

Ukulahlekelwa isisindo

U-Olga Adineva, oneminyaka engama-33, eYekaterinburg

Isidakamizwa sanqunywa maqondana nokukhuluphala njengento edonsa ngokuhambisana nezincomo eziningi zendlela yokuphila enempilo. Umphumela wawukufanele ukuhlukunyezwa. Isifiso sokudla sinciphile kanye namaphawundi angeziwe, waqala ukuzizwa elula, imizwa yakhe yaphakama. Isifo sohudo, esivele ngosuku lwesibili, sasinenzuzo kimi.

U-Alexander Kostnikov, oneminyaka engama-26, u-Ufa

Imijovo ye-Vitagma enqunyiwe ngenxa yesisindo eseqile. Udokotela uthe i-Vitamin tata isiza ukuthuthukisa imetabolism. Angithandanga ukuthi umuthi awutholakali ngohlobo lwezibhebhe. Bekumele ngicele umhlengikazi ukuthi akhiphe umjovo. Kwakungekho miphumela emibi. Umphumela uba mude. Ngenyanga kwathatha ama-4 kg kuphela.