"Ekskhol": diiwaanka, dib u eegista, photos, foomka sii daayo, qaab-dhismeedka

In jirkeena waxaa jira xubin gaar ah oo awood u leh yaraynta - taasi waa beerka. Under saameynta ay arrimo allifey oo kala duwan, bir tani waxaa la kulma stress weyn, iyo unugyada ay dhintaan ama goobood u galay unugyada baruurta. In lagu daaweyn jiray beerka waxaa loo isticmaalaa tiro ka mid ah daroogada, mid ka mid ah oo - "Ekskhol". Tilmaamaha loogu isticmaalo daroogada, tilmaamo, sababo, gaar ahaan daaweynta iyo macluumaad kale oo waxtar leh waxaa laga heli karaa in this article.

foomka Release iyo halabuurka

daroogada waxaa lagu heli karaa qaab kaabsoosha, kuwaasoo mid walba uu ka kooban walaxda firfircoon - acid ursodeoxycholic qadarkuu of 250 mg, iyo qaybaha kaabayaal: Silicon dioxide, milmahayn magnesium, calcium hydrogen biyuhu phosphate, povidone, laktosmonohydrat lactose, iyo kuwa kale.

Sidee shuqulladii daroogada?

Features of saamaynta pharmacologic ah "Ekskhol" Buuggan daroogada waxbarashada wuxuu qeexayaa in habka soo socda: waa daroogada hepatoprotective leh saamayn choleretic. walaxda firfircoon ayaa saamaynta soo socda:

• yaraynaysaa Avv oo kolestarool ah ee beerka, yaraynaysaa ay nuugista ee xiidmaha iyo content ee bile ah;
• Waxay kordhisaa tayada diridda kolestaroolka nidaamka Digo bile, madadaalo u ah formation iyo dheecaan of hoos ay lithogenicity;
• Waa dareen kaca ee heerka acids bile,
• Waxaa kor u dheecaan ah ee gastric iyo dheecaanka ganaca,
• Waxa uu kordhiyaa dhaqdhaqaaqa ee eulayska lipolytic;
• Waxay saamayn hypoglycemic;
• Waxaa kobciyaa nuugista qayb ahaan ama guud ee kolestaroolka dhagaxyo sida;
• yaraynaysaa robab ah ee bile leh kolestaroolka, waxay abaabulka ka dhagaxyo;
• Waxa uu ku immunomodulatory, taabato habab jawaab beerka;
• yaraynaysaa muujinta cudur, ku urursan on nidaamka xuub hepatocyte;
• dejisa tirada T-limfosaytis, interleukin-2;
• Waxay yaraynaysaa qadarka elzinofilov.

Maxaa pharmacokinetics daroogada?

Diyaarinta "Ekskhol" tilmaamaha isticmaalka kaas oo lagu qeexay in this article, Heer sare ah ee nuugista ee xiidmaha yar iyo awoodda in ay ka gudbaan mandheerta. Tusiyaha fiirsashada makismalnaya daroogada ee dhiigga waxaa lagu gaarayaa 1-3 saacadood ka dib oo waa loo siman yahay si 5.5 mmol / l. Ursodeoxycholic acid waa inta xidhxidhan u borotiinada plasma oo waxaa metabolized in unugyada beerka ee glycine iyo taurine conjugates foomka, kaas oo lagu sii daayo bile ah. waxyaabaha shiid waxaa raaca in saxaradu by 50-70%. Qaddar yar oo ah walaxda firfircoon beddelin galaa xiidmaha, halkaas oo bakteeriyada loo beddelaa acid lithocholic, kaas oo la sulfated beerka iyo xiidmaha si buuxda u raaca.

Si ay u muujiyaan qiyaas?

maragga Direct in ay soo dhaweynta ka mid ah daroogada "Ekskhol" diiwaanka loola jeedaa shuruudaha soo socda:

• nooca cirrhosis biliary hoose ay ka maqan yihiin decompensation;
• baahida loo qabo kala diridda oo dhagaxyo ah kolesteroolka ee yar yar iyo bartamihii-size, la siiyaa kaadi ah;
• gastritis (reflux biliary);
• nooca hepatitis firfircoon chronic;
• cudurka beerka ee khamriga,
• sclerosing cholangitis qaabka aasaasiga ah,
• cystic fibrosis beerka;
• dabeecadda steatohepatitis nonalcoholic;
• diskenziya mareenka biliary.

Meelahaas waxaa muujinaya kaabsoosha iyo kiniiniyada "Ekskhol" waxaa inta badan uu dhakhtarku soo qoro oo muujin hufnaan sare.

sababo

diyaarinta ka kooban ursodeoxycholic acid, waa u ee cudurada soo socda:

• joogitaanka of diidmo in qaybaha daroogada,
• la'aanta shaqo ee caadiga ah, iyo empyema ee kaadi ah ;
• joogitaanka of dhagax u tiro badan oo calcium, la ogaado by X-rays;
• fistula ee mareenka caloosha iyo mindhicirka,
• nooca hepatitis chronic;
• mindhicireed barar qof cudurka;
• cholecystitis, cholangitis ama wajiga ba'an;
• cirrhosis decompensated;
• infekshan ku dhaca kaadi haysta iyo marinnada iyo mindhicirrada daayee;
• Uurka iyo nuujinta,
• Carruurta ka yar 3 sano jir,
• kaafi kelyaha iyo cagaarshowga,
• xirma mareenka bile O.

Haddii ay jiraan sababo xogta laguma talinayo dadka bukaanka ah diyaarinta "Ekskhol". Buugga muujinaysaa in qalabka uusan waxyeello ka soo gaartey ilmaha caloosha ku jira waxbarashada on xayawaanka, laakiin waxbarashada oo ku filan in haweenka uurka leh oo aan ku soo sameeyey.

ganaaxyada

Si gaar ah ayaa muujinaya qaar ka mid ah Gudigga helo macnihiisu yahay "Ekskhol" diiwaanka. Dhakhaatiirta oo ku saabsan diyaarinta this fiican, laakiin ay bixiso in haweenka ku jira da'dii dhalmada in daaweyn jiray farmproduktom waa in is ogow of uurka dheeraad ah dareenka. Waxa intaa dheer in uurka hormoonnada ah, taas oo hoos u hufnaan, isticmaalka hababka kala ooday ilaalinta ee uurka aan la rabin. Aan lagula talinayaa haweenka uurka leh ku dhexwareeri qoro daaweynta daawada "Ekskhol". Buugga muujinaysaa in kiiskan halista hooyada waa in ay ka sii weyn tahay khatarta in ilmaha caloosha ku. Marka daawada this dumarka nuujinaya waa in ay joojiyaan nuujinta.

Haddii ilmuhu waa 3 sano jir, daroogada "Ekskhol" waxaa laga yaabaa in loo xilsaaray in ay haddii loo baahdo. Tilmaamaha loogu isticmaalo ee carruurta oo ku baaqay in taxadir in lagu daweeyo carruurta ilaa 4 sano ah, sida ay laga yaabaa in ay wax liqidda oo dhib kaabsulka ah.

Sida loo codsado daawada?

guide ugu wanaagsan ee daaweynta daawada "Ekskhol" - tilmaamaha loo isticmaalo. Photos of qalab idinka caawin doono inaad naftaada ka iibsan abuurka ah loo ilaaliyo.

Daawada waxaa maamula hadal, la doorbidayo saacadaha habeenkii. Calyanaqsiga kaabsoosha waxaa laguma talinayo, cabbaan biyo fiican in mugga yar. Haddii bukaanka miisaankiisu ka yar yahay 34 kg, waxaa fiican inaad doorato ganaax la walax la mid ah daroogada.

Qiyaasta ku xiran tahay da'da iyo himilooyinka daaweynta.

Iyada oo ujeedadu tahay in laga soosaaray qaybsama iyo marinnada "Ekskhol" qaataan qadar maalin kasta of 10 mg / kg 6-12 bilood iyo dhowr bilood ka dib markii natiijada for prophylaxis.

Haddii dhaqmo bukaanka reflux gastritis, uu maamulo hal kaabsal oo ah daawada hal mar maalintii, waayo, wareegga ah laba toddobaad ilaa lix bilood, oo marka baahi gaar ah - ilaa 24 bilood.

Daaweynta cirrhosis biliary soo saaray si waafaqsan nidaamka, maalin - 10-15 mg / kg la duration oo ah reer Maxlii dhakhtar ee.

Iyadoo cudurada kale ee ku jira liiska muujinaya gelitaanka, qiyaasta iyo muddada dhakhtar uu set gelitaanka shakhsiga ku saleysan.

Sidoo kale, hab gaar ah oo u baahan ballan carruurta iyo dhallinyarada "Ekskhol" daroogada. Tilmaamaha loogu isticmaalo carruurta ka wayn 3 sano ay u baahan yihiin in uu magacaabo qiyaasta a of 10-20 mg / kg ee miisaanka jidhka maalintii. xeerka saxda ah ee daroogada iyo mudada daaweynta waxaa lagu taagaa dhakhtarka si gaar ah.

Ma jiraan waxyeellooyin ka mid ah daaweynta iyo badinta?

In dhibaato laga yaabaa inuu dhaco inta aad qaadanaysid "Ekskhol" daroogada, sida:

• Xanuun dhabarka;
• cudurada dheefshiidka,
• transaminases beerka kororka dhaqdhaqaaq;
• xasaasiyad,
• damaysay ee laga soosaaray calcium,
• retsediv psoriasis,
• alopecia.

Haddii aad isku aragto cilad waa in aad joojisid qaadashada "Ekskhol" daroogada. Tilmaamaha loogu isticmaalo, oo sideeda oo ka mid ah taas oo kooban waxaa lagu soo bandhigay in this article soo jeedisay in xaaladaha daroogada iska badiyo ayaa la aqoonsaday. Si kastaba ha ahaatee, haddii bukaanka uu leeyahay calaamadaha sarkhaan lagama maarmaan ah in ay soo saaraan therapy astaamaha.

Isku dhafan oo daroogo kale

Co-maamulka la antatsianami alyuminiesoderzhaschimi iyo Beeyada sarrifka ra'iyi, yaraynta oolnimada of nuugista "Ekskhola". wakiilada la egyahay-hoos, estrogens neomtsin ama progestins gacan ka kordhaysa u damaysay ee kolestaroolka bile iyo in la yareeyo kala diridda ay dhagaxyadaas.

Features of habka qaata

Qoraalka waxa ugu horeeya waa in aad ku hor akhriyin qaadashada "Ekskhol" daroogada - tilmaamaha loo isticmaalo. foomka Release of daroogada ee kaabsoosha falalka ugu guulaha badan ee la xiriirta si buuxda dhagaxyo kolestaroolka kuwaas oo size kama badna 15-20 mm. Xaaladdan oo kale, kaadi haysta waa in la buuxiyey hay'adaha data ma ka badan kala badh, iyo xididada waa 100% la hadhay iyagoo function in ka kaxayntu ay of bile.

In koorsada of therapy si ay u milmaan kayd kolestaroolka, waxay u baahan yihiin in la xakameeyo dhaqdhaqaaqa ee falgalka beerka, transaminases, phosphatase xumadoodu, GGT iyo bilirubin. Mar 4 toddobaad kasta 3 bilood kasta ee daaweynta waa in la sameeyaa cholecystography. lixdii bilood ee kasta, bukaan-socodka waa in uu mari ultrasound beerka si loo qiimeeyo waxtarka daawada.

Marka dhamaystiran dhagaxyo qaybsama soo dhaweynta "Ekskhola" ayaa lagu go'an tahay in la sii muddo kale oo ay saddex bilood ka kala diridooda ku final oo ah dhagaxyo aan la arki karin iyo ka hortagga formation of kuwo cusub.

Haddii in ka bar-sano ee hore ee daaweynta aan arkay xitaa qayb ahaan ku milmi dhagaxyada, waa inexpedient in ay sii wadaan daaweyn sababta oo ah karti.

Analogs iyo micne ah

Haddii bukaan-socodka ah ee qaar ka mid ah sababaha Ujeedada aan la magacaabin "Ekskhol", waxaa lagu beddeli karaa by mid ka mid ah micne ah:

• Kaabsoosha "acid Ursodeoxycholic";
• Kaabsoosha "Ursol";
• Kaabsoosha "Ursosan";
• Kiniin-dahaarle "Ursodeks";
• Kaabsoosha "Kursorka Rompharm";
• kpsuly "Urdoksa";
• ganaax dhaweynta gudaha "Ursofalk";
• Kaabsoosha "Ursofalk";
• "Ursol" kaabsal,
• Kiniin-dahaarle "Livodeksa";
• "Grinterol" kaabsal

Haddii idiosyncrasy bukaanka ee ursodeoxycholic acid, ama waxa uu cadeeyay inuu yahay ugasii daaweynta, waxaa suurtagal ah si ay ugu bedesho daroogada on analog ah, taas oo ah qaab kiniin ah "Holenzim". daroogada Tani waa wakiilka isku dhafan oo ka kooban budada bile qalalan dihydrated unugyada ganaca iyo duufka mindhicirka xoolaha khafiif ah. In talaabo "Holenzim" waxa loola jeedaa Cholagogue. daroogada Tani waa u in diidmo, iyo sii daridda ba'an ee pankreatit chronic. Sida falcelinta kooxda ka qaadashada daroogada cadaanyo ku dhici kara foomka of finan inuu dillaaco, guduudasho, iyo maqaarka.

Qiimaha iyo bukaanka Kurtumm

daroogada waxaa soo saaray shirkadda dawooyinka ee gudaha Hao, "Kanofarma wax soo saarka", oo ku yaalla gobolka Moscow ee. Qiimaha xirmo "Ekskhola" celceliska in Russia waa 125 rubles. Bukaan badan odhan waxtarka daawooyinkaan ah, sahlanaato ee ay soo dhaweynta iyo qiimaha la awoodi karo. Dadka qaba cudurka beerka iyo marinka biliary xusay in natiijo fiican ayaa la gaadhay in daaweyn jiray "Ekskholom". Wada jir ah ula oolnimada bukaanka sheegay tolerability wanaagsan ee daroogada.

Waa in la ogaadaa in sharaxaad ka mid ah daroogada waa dhamaystirnayn. Wixii macluumaad ah oo ku saabsan balaariyay daroogada "Ekskhol" waa in la ogyahay tilmaamaha bixiyo baakadka daawada. Ujeedada qalab this waa kaliya ee ay wax la dhakhtarka xaadirka ah. Is-daawo ahaan karaan kuwo khatar ku tahay caafimaadkaaga.