Aglan 15 - alamomi, contraindications, sashi, sakamako masu illa

Tabbatar da abun ciki

Aglan 15, mai aiki sashi wanda shi ne meloxicam, nasa ne na kungiyar marasa steroidal anti-kumburi kwayoyi (NSAIDs). Hakanan yana da tasirin analgesic da antipyretic, kuma yana samuwa akan takardar sayan magani.

Aglan 15 - menene wannan magani?

Aglan 15 magani ne wanda ba steroidal anti-inflammatory ba. Hakanan yana da tasirin analgesic da antipyretic. Abinda yake aiki shine meloxicam, wanda ke hana ayyukan cyclooxygenases, galibi cyclooxygenase-2 (COX-2) da cyclooxygenase-1 (COX-1).

Agalan 15 - nuni don amfani

Ana amfani da shirye-shiryen da farko don kula da tsofaffi, mutanen da suka ji rauni, ma'aikatan blue-collar da tsoffin 'yan wasa. Alamun amfani da Agalan 15 sune cututtuka kamar:

1. rheumatoid amosanin gabbai cuta ne na yau da kullun. Ya haɗa da gabobi da haɗin gwiwa. Idan ba a kula da maganin rheumatoid amosanin gabbai, lalacewar haɗin gwiwa kuma a wasu lokuta ma mutuwa zai haifar. Cutar na faruwa ne ta hanyar cutar jijiyoyin jijiya, tendons, kasusuwa da guringuntsi. Haka kuma cutar tana faruwa ne ta dalilin kwayoyin halitta, rashin aiki na tsarin rigakafi da kuma wani lokacin matsi mai tsanani.
2. Ankylosing spondylitis cuta ce mai saurin kumburin kashin bayanta, wanda alamunta sune kyphosis da nakasa. Duk da haka, yanayin yana iya shafar kwatangwalo, kafada, idanu, zuciya da huhu. Wataƙila abin da ke haifar da cutar shine cututtukan ƙwayoyin cuta, ƙwayoyin rigakafi, muhalli da ƙwayoyin cuta. Alamomin farko na cutar sune ƙananan ciwon baya wanda ke haskakawa zuwa gindi.
3. Osteoarthritis yana daya daga cikin cututtukan da aka fi sani da tsarin locomotor. Ana haifar da shi ta hanyar rashin lafiya na guringuntsi na articular - duka dangane da inganci da yawa. Alamomin cutar sune zafi da ƙumburi na haɗin gwiwa, wanda ke karkatar da kwatancensa kuma yana iyakance motsi. Sakamakonsa shine nakasa da tabarbarewar rayuwa.

Aglan 15 - aiki

Abubuwan da ke aiki na Aglan 15, kamar sauran magungunan anti-mai kumburi, suna hana biosynthesis da prostaglandins. Cikakkiyar sha yana faruwa ne bayan allurar cikin tsoka. Meloxicam yana ɗaure da sunadaran plasma kuma yana shiga cikin ruwan synovial, inda ya kai kusan rabin abin da ke cikin plasma.

Gaban da ke da alhakin sarrafa abubuwan da ke aiki na miyagun ƙwayoyi shine hanta. Ana fitar da Melkosicam duka a cikin hanta da a cikin najasa, duka a cikin adadi ɗaya. Yana da kyau a sha daga sashin narkewar abinci. Bayan gudanar da baki, ana samun matsakaicin maida hankali a cikin jini a cikin sa'o'i 5-6 bayan gudanarwa, kuma a cikin kwanaki 3-5 na amfani da shirye-shiryen.

Aglan 15 - contraindications

Kada a dauki Aglan 15 ga mutanen da ke da:

1. hypersensitivity zuwa meloxicam,
2. hypersensitivity ga abubuwa kama da meloxicam,
3. hare-haren fuka
4. polypy hanci,
5. angioedema,
6. ciwon kai bayan shan NSAIDs,
7. bayan shan acetylsalicylic acid,
8. cututtuka na hemostatic,
9. shan anticoagulants,
10. zubar jini na ciki
11. uku trimester na ciki.

Contraindications zuwa shan Aglan 15 suma:

1. cututtukan peptic ulcer - abu mai aiki na shirye-shiryen bai kamata a yi amfani da shi ba da mutanen da ke fama da cututtukan cututtukan peptic ulcer. Rashin yin haka na iya harzuka rufin ciki ko duodenum, yana haifar da zafi mai zafi a cikin ciki wanda ke fitowa daga kirji zuwa cibiya. Yana faruwa ne ta hanyar acid ɗin ciki yana haɗuwa da wani miki ko rauni a cikin ciki. Yin amfani da Aglan 15 a cikin wannan yanayin na iya haifar da mummunan sakamako ga lafiya.
2. Rashin gazawar hanta mai tsanani - yana bayyana ta hanyar lalacewa kwatsam a cikin aikin hanta. Yana iya faruwa a sakamakon kamuwa da cuta tare da HBV, HAV, HCV, saboda guba na miyagun ƙwayoyi kuma a matsayin amsawar jiki ga ciwon hanta ko cututtuka na tsarin jiki. Rashin gazawar hanta ba koyaushe ake saurin ganowa ba saboda sau da yawa ba shi da zafi.
3. Rashin gazawar koda mai tsanani a cikin marasa lafiya da ba a yin dialysis - alamar cutar ita ce rashin aikin hanta kwatsam. Sa'an nan kuma akwai karuwa a cikin ƙwayar creatinine na jini. Mai haƙuri ya fara raguwar fitsari, yana da amai, zawo, ya bushe kuma yana ƙonewa. Rashin gazawar koda yakan faru ne sakamakon bala'o'i daban-daban, misali yaƙe-yaƙe, girgizar ƙasa. Dalilinsa na iya zama cututtuka tare da nephritis. Bugu da kari, shi ma za a iya lalacewa ta hanyar wadanda ba steroidal anti-kumburi kwayoyi da na ganye shirye-shirye na dubious quality.
4. Mummunan ciwon zuciya marar karewa wani yanayi ne inda zuciya ke fitar da jini kadan zuwa wasu gabobin. A sakamakon haka, gabobin ba su da isasshen iskar oxygen kuma ba za su iya aiki yadda ya kamata ba. Wannan yanayin yana faruwa da sauri. Abubuwan da ke haifar da su yawanci cututtuka daban-daban na tsarin zuciya da jijiyoyin jini, mafi yawancin cututtukan jini na ischemic.

Aglan 15 - sashi

Ana gudanar da miyagun ƙwayoyi azaman allura. Adadin da aka ba da shawarar shine 7,5-15 mg / rana. A cikin cututtuka irin su rheumatoid arthritis ko ankylosing spondylitis, shawarar da aka ba da shawarar shine 15 MG / rana. Ana yin alluran zurfafa cikin tsoka zuwa babban ɓangaren gindin gindi. Ana amfani da alluran a madadin - watau sau ɗaya a hagu kuma sau ɗaya a gindin dama. Don sciatica, magani na iya ƙara zafi a lokacin farkon allurai.

Har ila yau, adadin maganin ya dogara da shekarun majiyyaci. Ƙungiyoyin marasa lafiya na musamman sune tsofaffi, mutanen da ke da ciwon koda, mutanen da ke fama da ciwon hanta da yara. Bisa ga shawarwarin masana'anta, adadin maganin da za a iya ba wa tsofaffi shine 7,5 MG; marasa lafiya waɗanda suka fi dacewa da haɓaka sakamako masu illa ana iya ba su 7,5 MG kowace rana.

Adadin marasa lafiya na dialysis tare da raunin koda mai tsanani bai kamata ya wuce rabin ampoule ba. Bugu da ƙari, marasa lafiya da ke fama da rashin lafiya mai tsanani bai kamata a ba da shiri ba. Sabanin haka, lokacin da rashin isasshen koda ya kasance matsakaici, bai kamata a rage yawan adadin ba. Ya kamata a tuntuɓi yanke shawara game da girman adadin da kuma yiwuwar canje-canje a cikin ƙimarsa tare da ƙwararren da ya dace. Bugu da ƙari, babu wani binciken da zai tabbatar da aminci da tasiri na gudanar da Aglan ga yara 15 da matasa har zuwa shekaru 18.

Aglan 15 - illa

Aglan 15 na iya haifar da halayen fata. Marasa lafiya da aka yi amfani da su tare da meloxicam na iya haɓaka ciwon Stevens-Johnson. Hakanan an sami rahotannin necrolysis na epidermal. Sabili da haka, kafin fara jiyya tare da shirye-shiryen, ya kamata a sanar da mai haƙuri cewa irin wannan hali na iya faruwa. Yana da daraja ƙara da cewa yiwuwar ciwon Stevens-Johnson da rabuwa na epidermal shine mafi girma a cikin makonni na farko na jiyya.

Aglan 15, kamar sauran NSAIDs, na iya ƙara ƙwayar transaminosis. Haka kuma, yana iya canza alamun aikin hanta. Lokacin da canje-canjen da ke haifar da shi ya tabbatar da zama na dogon lokaci, to, ya kamata a dakatar da maganin kuma a yi gwajin da ya dace. Abubuwan da ke haifar da lahani na iya zama matsala musamman ga mutanen da ke da raunin tsarin garkuwar jiki da kuma mutanen da ke da sauƙin gina jiki.

Aglan 15 - kariya

Yin amfani da NSAIDs yana ƙara haɗarin zub da jini na gastrointestinal, cututtukan ulcer ko perforation - mafi girman adadin maganin, mafi girman yiwuwar zubar jini. Mutanen da ke cikin wannan rukunin haɗarin ya kamata koyaushe su tuntuɓi likitan su game da duk wani yanke shawara game da amfani da miyagun ƙwayoyi. Ana ba da shawarar wannan rukunin marasa lafiya da yawa don ɗaukar mafi ƙarancin yuwuwar kashi na Aglan 15.

Idan wani sakamako mai illa ya bayyana yayin jiyya, tuntuɓi likita nan da nan. Ya kamata a yi taka tsantsan ga majinyatan da ke shan magungunan hade-hade wanda zai iya kara haɗarin ciwon ciki ko zubar jini. corticosteroids na baka, anticoagulants, zaɓaɓɓen masu hana sake dawo da serotonin ko magungunan antiplatelet.

Mutanen da ke da hauhawar jini ya kamata su sha kulawa ta musamman a lokacin jiyya tare da miyagun ƙwayoyi. Akwai haɗarin cewa shan wasu NSAIDs na iya ƙara haɗarin bugun zuciya ko bugun jini, musamman a cikin masu amfani na dogon lokaci. Mutanen da ke fama da cututtuka kamar:

1. Ciwon zuciya na jijiyoyin jini (cututtukan jijiyoyin jini) - wannan yanayin ne wanda zuciya ba ta wadatar da iskar oxygen. Dalili kuwa shi ne kunkuntar arteries na jijiyoyin jini, wadanda ke da alhakin samar da abubuwan gina jiki ga tsokar zuciya. Cututtukan jijiyoyin jini yawanci atherosclerotic ne. Ita ce cutar da ta fi kamari a cikin kasashen da suka ci gaba sosai.
2. hauhawar jini wanda ba a sarrafa shi ba - dalilin cutar shine hawan jini na jini akan bangon arteries. A sakamakon haka, akwai lalacewa ga tasoshin kuma don haka ga cututtukan zuciya. Yawan hawan jini ya dogara ne akan adadin jinin da aka jefa a cikin arteries da kuma juriya na tasoshin. Cutar na iya zama asymptomatic na dogon lokaci, kuma wasu daga cikinsu sun haɗa da ciwon kai mara nauyi, juwa da zubar da hanci.
3. cututtukan jijiya na gefe – yanayin da ke sa jijiyoyin ku kunkuntar da toshewa, yana haifar da raguwar kwararar jini. Yana faruwa ne sakamakon tarin tarin kitse a cikin arteries. Alamomin cutar sun hada da kasala da rauni a kafafu, ciwon kafa, jijiyar kafafu, tauyewa a hannu da kafafu, sanyin fata da kuma canza launin fata.
4. Cerebrovascular cuta - rukuni ne na cututtuka waɗanda alamar su ta lalace jini zuwa wasu sassan kwakwalwa. Wadannan cututtukan sune, alal misali, bugun jini, zubar jini na subarachnoid, aneurysms na kwakwalwa, atherosclerosis na cerebral na yau da kullun, thrombosis na cerebral, embolism na kwakwalwa. Cututtuka na iya zama m. Abubuwan da ke haifar da samuwar su sune: hawan jini, yawan cholesterol da kiba.

Aglan 15 - hulɗa tare da wasu kwayoyi

Yin amfani da Aglan 15 tare tare da wasu NSAIDs na iya taimakawa ga ciwon ciki da zubar jini. Har ila yau, ba a ba da shawarar shan magungunan da ba na steroidal anti-inflammatory da kuma na baki anticoagulants a lokaci guda.

Aglan 15, kamar sauran NSAIDs, na iya rage tasirin diuretics da magungunan antihypertensive. Barazana ga lafiya, musamman ga tsofaffi da mutanen da ke fama da rashin aikin koda, shine amfani da lokaci ɗaya na, misali, masu hana ACE da wakilai masu hana cyclooxygenase. Ya kamata majinyatan da ke shan waɗannan magunguna musamman su kasance cikin ruwa.

Yin amfani da Aglan 15 tare da magungunan antihypertensive shima yana da illa. A sakamakon haka, beta-adrenergic blocker na antihypertensive ba ya da tasiri. NSAIDs a wasu lokuta suna haɓaka nephrotoxicity na cyclosporine saboda tasirin su akan prostaglandins na koda. Mutanen da ke shan miyagun ƙwayoyi ya kamata su kasance ƙarƙashin kulawar likita akai-akai - wannan musamman ya shafi tsofaffi.