I-Milgma yesifo sikashukela: ukubuyekezwa kusidakamizwa

Iziguli eziningi ezinesifo sikashukela zizwile ngomuthi onjengeMilgamma. Kaningi, iziguli zibuza udokotela umbuzo wokuthi ngabe lo muthi ungathathwa unesifo sikashukela yini. Impendulo yalo mbuzo ayinangqondo - ayenzeki kuphela, kodwa futhi iyadingeka.

IMilgma yesifo sikashukela isetshenziswa uma umzimba ukhombisa izimpawu zokuqala zokuthuthuka kwezinkinga ekusebenzeni kohlelo lwezinhliziyo. Ukuthuthukiswa kwe-neuropathy yesifo sikashukela kuthinta ukusebenza cishe kwazo zonke izitho nezitho zomzimba.

Ukuthuthukiswa kwe-neuropathy yesifo sikashukela kuyisici esandisa ukuthuthukiswa konyawo lwesifo sikashukela kanye ne-gangrene emzimbeni. Endabeni yokuqhubeka kwesifo sikashukela, uhlelo lwezinzwa oluyingozi luvezwa imiphumela emibi.

Le nkinga yesifo sikashukela ihambisana nokugunda, izinyawo ezinyinyitheka nomuzwa ovuthayo.

Endabeni yokuthuthukiswa kwe-neuropathy yesifo sikashukela ku-mellitus yesifo sikashukela, kulimala izinzwa ezibucayi, okuboniswa ukwehla kokuzwela komuntu ogulayo nokuzwela kokushisa maqondana nemvelo yangaphandle.

Ngokuqhubeka kwesifo, ukubuyiselwa kobuzwelo akunakwenzeka. Ukuqhubeka kwezinkinga isikhathi eside kuholela ekubonakala kwesilonda somlenze sikashukela. Le nkinga ibonakala ngokulahleka kokuzwela kobuhlungu esikhunjeni nokubonakala kwe-microtrauma ebusweni be-integument yemikhawulo engezansi.

Ukwehla kokuzwela kwesikhumba ngohlobo lwesifo sikashukela 2 kubangela ukubonakala kwama-microtraumas ebusweni bezinyawo, okuthi ngokuhamba kwesikhathi kuphenduke izilonda nokugxila kokuvuvukala.

Ngaphezu kwalokho, ngokuqhubeka kwe-neuropathy yesifo sikashukela esigulini esinesifo sikashukela, ukubonakala nokuqhubeka kwesifo samathambo kuyabonakala, okuholela ekwehleni okungenzeka kwama-microtrauma nokuqhekeka kwamathambo acashile.

Ukusetshenziswa kwesidakamizwa kusiza ukwenza imisebenzi yemvelo ihambisane nemithambo yegazi, kuthuthukisa ukugxila, kuqeda ukushoda kwamavithamini we-B emzimbeni wesiguli.

Ukwakheka kweMilgamma nolwazi olujwayelekile mayelana nomuthi

IMilgamm iqukethe emithanjeni yokwelapha yama-vithamini eqembu B.

Ama-Vitamin complexes aqukethe amavithamini we-B ekwakhiweni kwawo asetshenziswa ekwelapheni ama-pathologies of izicubu zezinzwa nezifo zesistimu yezinzwa ezinesifo esihlukile sofuzo.

Ngokuthuthukiswa kwalezi zifo, izinqubo zokuvuvukala nezokuwohloka komzimba ziyavela kanye nenqubekelaphambili enciphisa ukuhamba kwezicubu zezinzwa.

Ukwakheka kwesidakamizwa iMilgamma kufaka phakathi izinto ezisebenzayo ezilandelayo:

• i-thiamine hydrochloride (uvithamini B₁);
• i-pyridoxine hydrochloride (uvithamini B₆ );
• i-cyanocobalamin (uvithamini B₁₂);
• lidocaine hydrochloride.

Ngaphezu kwezithako ezisebenzayo eziyinhloko, ukwakheka komuthi kufaka phakathi amakhompiyutha asizayo. Izakhi zamakhemikhali ezisizayo ezakha iMilgma yilezi:

1. utshwala be-benzyl;
2. i-sodium polyphosphate;
3. potasium hexacyanoferrate;
4. i-sodium hydroxide;
5. amanzi ngomjovo.

Isidakamizwa sisetshenziswa kwezokwelapha ekwelapheni uhlelo lwe-musculoskeletal kanye nokuphazamiseka kohlelo lwezinzwa oluvuswa ukukhula kwesifo sikashukela emzimbeni womuntu.

Ukusetshenziswa kwamavithamini we-B kungathuthukisa ukuhamba kwegazi emzimbeni futhi kuqinise nezinqubo zokwakheka kwegazi.

Ukwethulwa kwamavithamini we-B emzimbeni kuqinisa isistimu yezinzwa, kanti ukusetshenziswa kwama-amavithamini ayinkimbinkimbi kuthamo elikhulu kuholela ekukhululekeni kobuhlungu.

Umphumela wemithi yezakhi zomuthi kubantu

Ngemuva kokuthola i-thiamine (uvithamini B₁) iguqula ibe yi-cocarboxylase. Ngaphandle kwalesi simo esiphilayo, akunakwenzeka ukufeza ukusabela okujwayelekile kwe-carbohydrate metabolism. Ukwephulwa kwe-carbohydrate metabolism kuvusa ukuvela kokwehluleka ohlelweni lwezinzwa.

Ukushoda kwe-Thiamine kuholela ekuqongeleleni imikhiqizo ephakathi nendawo ye-carbohydrate metabolism emzimbeni. Ukuqongelelwa kwemikhiqizo ephakathi kukhuthaza ukubukeka kwezinhlobonhlobo zama-pathologies kubantu.

Uhlobo lwethebhulethi yenhlanganisela ekwakhekeni kwalo liqukethe esikhundleni se-thiamine enhlanganisela yamakhemikhali - i- benfotiamine. Le ngxenye yesidakamizwa ibuye ibambe iqhaza ekusetshenzisweni kokuphendula kwe-carbohydrate metabolism.

I-Pyridoxine iyinhlangano eyenzelwe amavithamini eqembu B. Leli khompiyutha libandakanyeka kakhulu ekusetshenzisweni kokuphendula kwe-amino acid metabolism.

Isakhiwo sisebenzisana ngenkani ekuhlanganiseni kwabalamuli abasebenzayo abanjengo:

• dopamine;
• i-adrenaline (imininingwane eminingi mayelana ne-adrenaline kushukela);
• i-serotonin;
• i-histamine.

Vitamin B₆ ibamba iqhaza ekuqinisekiseni inkambo ejwayelekile yezinqubo zokwenziwa kwe-hemoglobin emzimbeni.

Vitamin B₁₂ kuthinta umzimba njengophiko lwe-anti-anemic futhi inikezela inqubo yokuhlanganiswa kwezinto ezifana:

• i-choline;
• ama-nucleic acid;
• methionine;
• i-creatinine.

Vitamin B₁₂ ngenkuthalo ngentshiseko ekusebenzeni kwe-metabolism ezingeni lamaselula. Ngaphezu kwalokho, lokhu kuhlanganiswa emzimbeni kusebenza njenge-analgesic.

Ukuqedwa kwe-thiamine emzimbeni kwenziwa ngokusebenzisa izinso ngomchamo. Le khompiyutha esebenza ngokusebenzayo ayihlanganisi kumaseli wezicubu zomzimba.

ICyanocobalamin ibandakanyeka kakhulu ekwakhiweni kwezakhiwo ezinama-albhamu ngemuva kokungena kwayo kuyi-plasma yegazi. Umuthi ukwazi ukungena kalula kwisithiyo se-hematoplacental.

Imiyalo yokusebenzisa umuthi

Lapho usebenzisa iMilgamma, umthamo wokuqala kufanele ube ngu-2 ml. Isingeniso senziwa ngokujulile ngemisipha. Umuthi uphathwa kanye ngosuku.

Lapho usebenzisa ukwelashwa kokulungiswa, umthamo we-2 ml usetshenziswa kanye njalo ezinsukwini ezimbili. Ukwelashwa kwesondlo kufaka ukusetshenziswa kwhlobo lwethebhulethi lomuthi. Endabeni yamathebulethi, umthamo wansuku zonke yi-1 ithebhulethi ngosuku, umuthi uthathwa kanye.

Uma kuba nesidingo sokumisa ngokushesha ukuhlaselwa kobuhlungu obukhulu, kusetshenziswa umjovo we-intramuscular of umuthi noma kusetshenziswa indlela yepilisi yesidakamizwa. Amacwecwe kufanele asetshenziswe kanyekanye kathathu ngosuku.

Isikhathi sokusetshenziswa kweMilgamma yinyanga eyodwa.

Izinkomba zokusetshenziswa okwelashwa kweMilgamma yilezi:

• umphumela wokuqinisa ojwayelekile;
• ukuthuthukiswa kwe-neuritis neuralgia;
• ukuqhubeka kwe-polyneuropathy yemvelaphi yotshwala noma yesifo sikashukela;
• ukutheleleka ngegciwane le-herpes;
• ukuthuthukiswa kwe-paresis yezinzwa zobuso;
• ukuthuthukiswa kumuntu ogulayo we-radiculitis;
• ukuthuthukiswa kwe-myalgia.

Lapho usebenzisa umuthi esigulini, kungaba nemiphumela emibi elandelayo:

• ukulunywa
• ukuqhuma
• I-edema kaQuincke;
• i-dyspnea;
• anaphylaxis;
• i-bradycardia;
• ukujuluka
• Isiyezi
• iminyakazo
• isicanucanu

Lezi zimpawu ziwuphawu lokuphathwa ngokushesha kakhulu komkhiqizo womzimba emzimbeni wesiguli noma ngokweqile kwemithamo enconyiwe.

Contraindication lapho usebenzisa umuthi yile ndlela elandelayo:

1. Ukusetshenziswa kwalesi sidakamizwa akunconyelwe izingane nentsha engakafiki iminyaka eyi-16.
2. Ukuvela kwe-hypersensitivity kumavithamini we-B.
3. Ukwehluleka ezinqubweni zokusungulwa kwemisipha yenhliziyo.
4. Ukuba khona kokwehluleka kwenhliziyo esigulini.

Umuthi awunconyelwe ukusetshenziselwa ngesikhathi sokukhulelwa nangesikhathi sokuqunjelwa. Lokhu kungenxa yokuthi ucwaningo lwethonya lomuthi ezinganeni alukenziwa.
Ukuxhumana kanye nemiphumela yokwanda ngokweqile

Akunconyelwe ukusebenzisa umuthi kanyekanye ngemithi esekwe kwizisombululo ze-sulfate. Lokhu kungenxa yokuthi i-thiamine kule nhlanganisela ibola ngokuphelele.

Lapho i-thiamine metabolites ivela ekulungiseleleni, ukubola kanye nokufakwa amandla kuwo wonke amavithamini afakwe kulungiselelo oluyinkimbinkimbi kwenzeka.

Ukuqalwa kwesidakamizwa kwenzeka uma ukusetshenziswa okufanayo kanyekanye kweMilgamma kanyekanye nezihlanganiswa ezilandelayo:

• ama-acetates;
• ama-iodide;
• ama-carbonate;
• i-mercury chloride;
• i-ammonium citrate iron;
• i-riboflavin;
• i-tannic acid;
• ushukela.

Umsebenzi we-Thiamine wehla kakhulu nge-pH eyandayo kanye nokusetshenziswa kwamalungiselelo aqukethe ithusi.

I-Pyridoxine inciphisa kakhulu ukusebenza kwezidakamizwa ze-antiparkinsonia, ngokwesibonelo, isidakamizwa esinjengeLevodopa. Ukusetshenziswa kwezidakamizwa zaleli qembu neMilgamma kufanele kuhlukaniswe ngesikhathi. Ukuba khona kukasawoti wezinsimbi ezisindayo emzimbeni kuholela ekuqanjweni kwe-cyanocobalamin, ikhemikhali eyingxenye yeMilgamma.

Lapho kwenzeka ukwanda kwe-overdose, izimpawu ezihambisana nemiphumela emibi ziyanda. Uma kwenzeka kweqa ngokweqile kanye nokuvela kwezimpawu zokuqala zesimo, ukwelashwa okubonakalayo kuyenziwa.

Ukusetshenziswa kwesidakamizwa akuchaphazeli ijubane lokuphendula, ngenxa yalesi sizathu ukusetshenziswa komuthi kuvunyelwe kulezo zimo lapho umuntu othatha umuthi efuna ukuhlukunyezwa nesivinini esikhulu sokusabela kwe-psychomotor.

Lapho uthatha umuthi, uvunyelwe ukuphatha izimoto.

Ukubuyekezwa mayelana nomuthi, ama-analogues, izindleko nezimo zokubekisa

Ifomu lethebhulethi lesidakamizwa kanye ne-ampoules yomjovo kufanele ligcinwe endaweni emnyama engatholakali ezinganeni. Izinga lokushisa endaweni yokubeka akufanele lidlule ama-15 degrees Celsius.

Ukukhishwa komuthi kwenziwa kuphela ngokubhalwa ngomuthi, kungakhathalekile ukuthi hlobo luni lokwenza umuthi.

Ukusetshenziswa kwalesi sidakamizwa kukuvumela ukuthi uvumelanise ukusebenza kwamaseli wezinzwa futhi kuvimbela ukulimala kwezicubu zomlenze, kuvimbela ukubukeka kwezinguquko eziwohlokayo kuzo.

Naphezu kokusebenza kwayo okuphezulu, ikhambi, ukwahlulela ngokubuyekezwa kweziguli ezazilisebenzisile, alinalo ulaka futhi lingahlanganiswa ngokuphelele nezidakamizwa eziningi ezisetshenziswa ekwelapheni isifo sikashukela. Ukwehla komthamo wokuthatha umuthi, umuthi uvunyelwe ukuthathwa ngabesifazane abakhulelwe futhi ababelethayo ngaphandle kokwesaba impilo yengane.

UMilgama, okwahlulela ngokubuyekezwa kodokotela neziguli, uthuthuka kahle kakhulu izimpawu zesifo sikashukela sikashukela, ngoba amakhambi esifo sabantu abanesifo sikashukela abanesifo sikashukela awukwazi ukufezekisa njalo imiphumela oyifunayo esikhathini esithile. Ukusetshenziswa kwayo kufanelekile zombili ngesikhathi sokwelashwa kanye nasekuvinjelweni kwezinkinga ngesikhathi sokuqhubeka kwesifo sikashukela kubantu.

Ama-analogues athandwa kakhulu ngomuthi yile elandelayo:

1. I-Neuromultivitis.
2. Neurobion.
3. I-Binavit
4. Kombilipen.
5. I-Milgamma Compositum.

Izindleko zomuthi kanye nezifanekisombuso zawo eRussian Federation kuncike kumkhiqizi kanye nesifunda sezwe.

I-Milgamma kuma-ampoules we-2 ml wokujova, ngamaphakethe ama-5 lilinye, inezindleko ngokuya ngesifunda sezwe kusuka kuma-ruble angama-219 kuya kwangama-428.

Ifomu lethebhulethi lesidakamizwa lithengiswa emaphaketheni amathebulethi angama-30 futhi libiza kusukela ebangeni ukusuka kuma-ruble angama-300 kuye kwangama-557. Futhi ividiyo ekulesi sihloko izoqhubeka nesihloko somuthi.