Umuthi "De-Nol ': izidakamizwa, imiyalelo, izinkomba, analogs kanye nokubuyekeza

Sikhishwe iqiniso lokuthi yesimanje isiko ukudla ungakuvumeli ukuba ukusebenza evamile ipheshana wokugaya ukudla, abantu abaningi ibhekene nezinkinga ezifana nezilonda noma kolwelwesi. Omunye imithi eminye esebenza ngempumelelo kakhulu ekwelapheni izifo wathi iyona "De-Nol". Ukwakheka izimali yakhelwe hhayi kuphela ukuqeda izimpawu, kodwa futhi kuthinte isizathu nokuhlanzeka kwangaphandle nokuziphatha kwabo.

On the ukulungiselela

Ukubunjwa amaphilisi "De-Nol" esekelwe subcitrate bismuth okuyinto uba ketshezi asebenzayo. Lesi sidakamizwa astringent esesikhundleni uhlu ebanzi izakhiwo. Ikakhulukazi uqaphele isenzo elwa namagciwane futhi gastrotsitoprotektornoe. Lokhu kungenxa umphumela elihlangene ku zonke izingxenye isilonda peptic no kolwelwesi. Uma emzimbeni, subcitrate bismuth kusheshisa amaprotheni ngu kumiswa izibopho chelate. Lokhu kukhipha igobolondo ovikelayo ezindongeni wokugaya ukudla.

Ochwepheshe inothi ziqondiswe izidakamizwa ukuchayeka "De-Nol." Ukwamukela Akhuthaza ukwakheka kwe-ifilimu zokuzivikela kuphela labo izingxenye izitho zangaphakathi, lapho izinguquko erosive uyalandelwa. Lokhu kusiza ukuqeda imiphumela of acid kanye nezinye izinto, futhi ngenxa yalokho izicubu nezibazi ishesha kakhulu. Ngakho, imvelo esidi isisu akusho obulimaza ezindaweni ezilimele, kodwa okunalokho - kuyinto imiphumela kulethe zomuthi.

Kuyasiza uthole ulwazi mayelana izidakamizwa "De-Nol" imfundiso. Ukwakheka yakhiwa izingxenye udumo zabonakala zikwazi ukunqanda Helicobacter pylori. Engena phakathi isakhiwo yeselula we silwanyana, amabhlogo izidakamizwa ukuvutshelwa, eyagcina siholela ekufeni kwamagciwane. Ngaphezu kwalokho, kukhona ukwehla ukuhamba namanye amagciwane. subcitrate bismuth kakhulu encibilikayo, ngakho ngokujulile ngempela ku le mucosa, engase iqukathe eziphilayo adala izifo. Ngakho, kukhona ukwelashwa hhayi kuphela, kodwa futhi nokuvimbela lokubuya kwesifo of peptic isilonda isifo. Kuze kube manje, ochwepheshe baye abaziwa zama-bacterium olumelana isithako esebenzayo zomuthi.

ukukhululwa Ifomu

Izibhebhe kukhishelwa ifomu "De-Nol". Ukwakheka kuphumela umbala omhlophe nge kancane obonakalayo ukhilimu umthunzi. Izibhebhe ziba yindilinga futhi izinhlangothi abe iqhubu at zombili. A uhlobo isivikelo manga izenzo iphethini ukuphokophela uhlobo isikwele nge ajikelezayo izinhlangothi discontinuous. Tablets abanalo ukunambitheka, kodwa kwezinye izimo kungaba nesinxi iphunga ammonia.

Umuthi "De-Nol ': Ukwakheka

Umenzi zomuthi uthi abaqukethwe izinto onganqoba hhayi nje izimpawu izilonda futhi kolwelwesi, kodwa futhi imbangela - Helicobacter pylori. Yilokhu kubange zindlela ezidumile "De-Nol." Ukwakheka kwalo simiswe ngalendlela lelandzelako:

• Bismuth tripotassium dicitratobismuthate ;
• oxide bismuth;
• corn isitashi;
• povidone;
• sodium polyacrylate;
• macrogol;
• magnesium stearate;
• Valium;
• macrogol.

mshini wezenzo

Libhekene kahle eliphezulu, "kusho uDe-Nol." Ukwemukelwa leli thuluzi lihlotshaniswa okuvela gastrotsitoprotektivnogo umphumela, okuyinto kubangelwa izinto ezifana:

• ukukhuthazwa ukukhiqizwa prostaglandin, ekhuthaza kumiswa izinto yakha phezu lwamafinyila ulwelwesi isithiyo;
• Ukuthuthukiswa wegazi microcirculation ku duodenum nasesiswini, esiza ukusheshisa cell ukuvuselelwa;
• ukunciphisa ukushuba ukukhiqizwa ohambelana hydrochloric acid nezindlala esiswini;
• Libhekene ezuziwe izidakamizwa umphumela kancane kancane yokuthi liphansi izinga asebenzayo egazini;
• Kusho excreted endleni yabantu abanaleli ngokuphelele.

izinkomba

Omunye izidakamizwa ethandwa kakhulu ekwelapheni kolwelwesi nezinye izifo emathunjini kuyinto "De-Nol." Izinkomba ukusetshenziswa kwalesi izidakamizwa zihlanganisa:

• isilonda esiswini noma duodenal efomini acute;
• kolwelwesi futhi gastroduodenitis efomini oyingozi noma ezingamahlalakhona;
• wamathumbu engaphathekile syndrome, kuba nokuphazamiseka ephelezelwa sezinyawo (uhudo);
• lesion we mucosa kanye odongeni esiswini emva isicelo non-steroidal ejenti eqeda ukuvuvukala;
• dyspepsia ukusebenza, okuyinto ongakaphathelani izinkinga zesisu.

Izimo main

Ngaphambi ukuphuza, "kusho uDe-Nol" kolwelwesi, kufanele siqinisekise ukuthi awunayo Izimo kule izidakamizwa. Imikhawulo enjalo kukhonjisiwe imiyalelo:

• ukwehluleka kwezinso;
• Nokukhulelwa kanye lactation;
• yobudala kuze iminyaka 4;
• ukungabekezelelani ezokusetjenziswa hypersensitivity kuya nabavoti yokulungiselela.

Ukusebenzisa izidakamizwa

Awu iphilisi efakazelwe "De-Nol." Umhlahlandlela uqukethe ulwazi eningiliziwe indlela yokusetshenziswa kanye umthamo. Ngakho, abadala kufanele uthathe 1 ithebhulethi kane ngosuku. Eyokuqala 3 ngemithamo aphethwe for isigamu sehora ngaphambi kokudla, kanti owokugcina uyoba ngo - ngaphambi kokulala. Futhi uhlelo osekuyisikhathi lapho kabili ngosuku baphuze amaphilisi 2 isigamu sehora ngaphambi kokudla.

Izingane ezingaphansi kweminyaka engu-12: amaphilisi 2 ukusetshenziswa nsuku zonke zomuthi. Njengasendabeni yabase langaphambilini, lesidlo kungenzeka isigamu sehora ngemva kokusetshenziswa kwezidakamizwa.

Esinye uhlelo lusebenza izingane kuze iminyaka 8. kuyinsakavukela Daily kuchazwa njenganoma 8 mg ngayinye amakhilogramu isidumbu sengane. Inombolo imizuliswano ilingane enanini amaphilisi (noma izingxenye yalo) ezihlangabezana ejwayelekile.

Ukwakheka izidakamizwa "De-Nol" sibeka ukuthi ukwelashwa kufanele kuhlale amasonto 4-8. Esikhathini 2 izinyanga ezilandelayo yokwelapha kungavunyelwa yimuphi omunye izidakamizwa, ukubunjwa equkethe bismuth. Ukuze alwe namagciwane abangela izifo, ingqondo izinguquko erosive, ephumelela kakhudlwana, kwamukelekile ukuhlanganisa "De-Nol" nge ejenti elwa namagciwane.

Okwedlulele umthamo Kunconywa

Kuphela uma ekuhambisaneni zonke izincomo kungenzeka umphumela omuhle eyamukelayo kusho "De-Nol." Umuthi kangangokuthi e ukweqisa izidakamizwa kungabangela eziningi izimpawu ezingezinhle. Iziqondiso okukhulunywa kokunikezwa kwe-izinso, ezingasetshenziswa zisuswe emva ukuqedwa zomuthi.

Ukuze angahlupheki izimpawu ukweqisa izidakamizwa, kuqala yakhetha lavage esiswini. Ngaphezu kwalokho, kuyinto yokwelapha lingaze. Ngakho, ezimweni eziningi, linqume chelators ezisiza ukubuyisela nokusebenza kwezinso. Uma Nokho, baphawula ukuthi kubantu kukhona ukwephulwa sína umsebenzi wabo, aye ayisebenzisa kaningi inqubo hemodialysis.

Ukuxhumana nezinye izidakamizwa

Kufanele kube ezinye ngokuqapha, ngokuhlanganisa nezinye izidakamizwa imithi "De-Nol." Ukubunjwa ukulungiswa kuwukuthi uyakwazi ukuvimba ukumuncwa tetracycline. Noma yimuphi omunye izidakamizwa, ukudla kanye iziphuzo (ikakhulukazi antacids, izithelo, imikhiqizo yobisi) kakhulu ona ukuphumelela "De-Nol". Ngakho, ngokusebenzisa isikhawu isigamu sehora kumele kube khona.

Umuthi "De-Nol ': side effects

Ngaphambi kokusebenzisa umkhiqizo, kudingeka ufunde ngokucophelela imiyalelo. Ngakho, ngaso leso sikhathi izibhebhe "De-Nol" kubangela okulandelayo ohlangothini ukusabela:

• isicanucanu nokuhlanza;
• izigqiki njalo;
• ukuqunjelwa;
• ukulunywa;
• ukuqubuka kwesikhumba;
• encephalopathy.

Lezi zimpawu zingezesikhashana futhi kubangelwa ekuqongeleleni ketshezi asebenzayo emzimbeni. Ezimweni eziningi, izimpawu ezingemnandi zinyamalale ngokushesha, ngokushesha nje lapho isiguli siyeke ukwelashwa nge izidakamizwa.

Ukuze uthole ukwaziswa okwengeziwe,

Isici esiyinhloko ukuthi inquma ukuphumelela kwalesi izidakamizwa eziyingozi, njengezinto "De-Nol '- ingxenye. Yokusetshenziswa iqukethe ulwazi olulandelayo ezengeziwe:

• akuvumelekile ukusetshenziswa eside zomuthi amasonto angaphezu kuka-8;
• musa idlule umthamo Kunconywa nsuku zonke (lokhu awasebenzi kuphela izingane kodwa futhi abadala);
• izidakamizwa akufanele kuthathwe neminye imithi aqukethe ukubunjwa yayo, i-bismuth;
• ngesikhatsi ukwelashwa kungase ibala elimnyama sezinyawo;
• Ngezinye izikhathi kukhona ukuhwalala kancane ulimi;
• okwamanje ayikho idatha umphumela "De-Nol 'ekhonweni ukushayela izimoto;
• ngesikhatsi ukwelashwa, "kusho uDe nolom" is hhayi Kunconywa ukuba uphuze utshwala;
• ezikhishwe ekhemisi ngaphandle kadokotela.

ukwelashwa multimodality

Ngokuvamile ekwelapheni izilonda futhi kolwelwesi kudinga indlela eqotho. "De-Nol", "Amoxicillin" kanye nezinye izindlela kuthathwe ndawonye ukunikeza umthelela olunzulu inkinga. Ngakho, eziyinkimbinkimbi ukuphathwa kohlelo kungenzeka kanje:

• kabili ngosuku for isigamu sehora ngaphambi isiphuzo sakusihlwa "De-Nol";
• kabili ngosuku udinga baphuze 500 mg "Clarithromycin";
• ngokwesimiso sansuku efanayo, kodwa 1,000 mg kuthathwe "Amoxicillin".

Ngezinye izikhathi, i-ekwelapheni izilonda futhi kolwelwesi isebenzisa uhlelo eziningana ezahlukene:

• kabili ngosuku for isigamu sehora ngaphambi isiphuzo sakusihlwa "De-Nol";
• kane ngosuku, thatha 500 mg "tetracycline";
• e umthamo ofanayo, kodwa kathathu ngosuku, baphuze "metronidazole";
• "Omeprazole" "lansoprazole" noma ezinye inhibitor proton futha ngokuvumelana ukwamukela iziyalezo.

Uma unqume ukuba kudlule ukwelashwa olunzulu usebenzisa izidakamizwa "De-Nol", imithi kufanele kuqhutshwe amasonto 1-2. ukwelashwa complex abakwazi evele ayeke. Lapho sebephothulile yokwamukela "De-Nol" lungaboniswa amaviki angu-8. Lokhu kuzokwenza kusheshiswe ukukhishwa ulwelwesi lwamafinyila.

Popular analogue "De-Nol"

I ethile eyinhloko izidakamizwa ikhangiswe - amba eqolo. I izici ezibaluleke kakhulu imali, "kusho uDe-Nol '- izidakamizwa. Analogue nge izingxenye ezifanayo kungaba ishibhile. Ukuphumelela okufanayo sisalokhu siphakeme. Ngakho, esikhundleni ezidume kakhulu "De-Nol" zingamathuluzi ezifana:

• "Misoprostol" - a Analogue zokwenziwa of prostaglandin, okuyizinto izinto ama-hormone like. Isenzo kwaleli thuluzi senzelwe ukuvikela isisu kusukela izinguquko erosive ngokunciphisa isibalo ezivezwa juice esiswini. Futhi, ukukhiqizwa isikhwehlela futhi Bicarbonate kakhulu anda. Futhi ngcono ukugeleza kwegazi.
• "Carbenoxolone" - umuthi ngesisekelo licorice impande. isenzo sayo kuhloswe ukuba uqinise isikhwehlela uketshezi futhi ukwandisa viscosity yayo, okuyinto nakanjani kuthinta isimo odongeni esiswini.
• "Novobismol" - kubhekwa Analogue yasekhaya zomuthi, okuyilona elisebenzayo futhi wenza ngesisekelo bismuth. Lokhu anti-isilonda izidakamizwa esesikhundleni astringent, esigubuzele futhi isenzo elwa namagciwane. Lona omunye ontanga ambalwa abafana "De Nola" kuvimbela Helicobacter pylori. Naphezu kweqiniso lokuthi i-ejenti has a ukwakheka efanayo ekuqaleni, kokukhululwa kwakhe kwenziwa kuphela kadokotela. Lokhu kungenxa lemali obanele of excipients okuyinto nokunciphisa umthelela Isakhi esiyinhloko.
• "Ulkavis" efanayo "De Nola" ngokuya lokuhlushwa izidakamizwa esebenzayo eyinhloko. Leli thuluzi futhi inikeza esigubuzele, Lentulo nomphumela elwa namagciwane. Umuthi iyatholakala ngaphandle kadokotela, kodwa kuyatuseka ukukhiqiza therapy ngaphansi kweso lwezokwelapha, ngakho njengoba emakamu okweqa izidakamizwa egazini kungaholela ukuthuthukiswa encephalopathy. Ngokuvamile, izidakamizwa kuwufanele eshibhile izikhathi 2 "De-Nol", kodwa hhayi zingaphansi kwakhe ngekhwalithi.
• "Ventrisol 'kubhekisela esenzakalweni esiyisimangaliso izidakamizwa gastroprotective. Like "De Nola" imithi isebenza ngokukhetha esebenza kuphela izicubu. Kulezo zindawo lapho kungekho izicubu EPITHELIAL, ingxenye esebenzayo wasithukuthelela amaprotheni, ukwakha ungqimba zokuzivikela ukuvimbela umonakalo, futhi ukuvuselelwa okwalandela.
• "Vis-Nol" - ukulungiselela ngesisekelo colloidal bismuth subcitrate. Izidakamizwa zisekelwe kumiswa ifilimu ovikelayo, ezokwenza lula inqubo nezibazi.
• "Vikalin" - ukulungiselela yasekhaya, ezazihlanganisa izithako zemvelo inqobe. Ngaphezu isibopho kanye nomthelela isinqandakuvunda, futhi has a action spasmolytic futhi laxative. Kuyaqapheleka futhi ukwehliswa kwenani acid.
• "Ventrisol" --ejenti Polish esekelwe bismuth tripotassium dicitrate. Kunciphisa asidi izimpi ngokumelene Helicobacter pylori. Active ishukumise ukukhiqizwa isikhwehlela, esebenza ukwakha igobolondo zokuzivikela.

wokubuyekezwa okuvumelekile

Yiqiniso, ngaphambi kokusebenzisa noma yimuphi umuthi kufanele uthintane ochwepheshe. Nokho, ngokuvamile i-udokotela ubhala kadokotela, isekelwe kuphela idatha ukukhangisa hhayi ngendaba ukusetshenziswa. Ngakho, ngaphambi reception oyifunayo ukufunda imibono umsebenzisi. Ngakho, kwi-ukulungiselela ukuzwa imibono lokhu okuhle okwenzekile:

• ngesikhathi izidakamizwa ukwelashwa asithinti nje kuphela izinguquko erosive, kodwa futhi obulala microflora pathogenic esiswini;
• emva lithathelwe izidakamizwa, ngaphandle kokuba nemiphumela engemihle kukhanselwa;
• naphezu kweqiniso lokuthi izidakamizwa obulala amagciwane esiswini, it is hhayi ezihlobene imithi elwa namagciwane, futhi ngakho-ke ngeke ephelezelwa izinkinga reception ejwayelekile kuleli qembu izidakamizwa;
• ngemuva kokuphumelela uze uwaqede yokuxazulula le nkinga ye Helicobacter pylori, okuyinto siqinisekiswe yimiphumela yokuhlolwa ezifanele ngaphambi nangemva izidakamizwa abaphathi;
• ukuze bazivikele ukuthenga elinegazi, ungabiza hotline umenzi, okuzokwenza ukuqinisekisa noma ukuphikisa ubuqiniso inombolo batch libhalwe isembozo;
• Kunciphisa izinga asidi ukuthi hhayi kuphela kunomthelela inqubo yokunciphisa, kodwa futhi aqede isilungulela;
• Ithuthukisa isimiso sokugaya ukudla bungene wonkana;
• iningi weziguli wabika tolerability ezinhle;
• sikhombisa umdwebo ukwelashwa eziyinkimbinkimbi belungiselela imfundo.

Izibuyekezo ezingezinhle

Ukwelashwa zomuthi efanayo kungaba nomphumela ezahlukene iziguli. Ngakho, mayelana nokulungiselela "De-Nol" Kukhona eziningi Izibuyekezo ezingezinhle. ebaluleke kakhulu yilezi ezilandelayo:

• yi kwenzeka hhayi ngokushesha, kodwa impumuzo enkulu siyenzeka kuphela ngemva kwezinyanga ezingu-2 kusukela ekuqaleni reception;
• uma izinkinga ezinkulu ipheshana yesisu uqobo, "kusho uDe-Nol" kungenzeka nokungabi idinga ukwengeza kokuthola imithi kulokulukhuni
• yokuqala 5-10 izinsuku ukwelashwa angezwa imiphumela ecaleni njengoba kuchaziwe imiyalelo;
• Ezinye iziguli ukubika ukunambitheka metallic emlonyeni;
• Izindleko eziphezulu;
• Yiqiniso eside ukwelashwa;
• ithebhulethi sinqamukile ngesigamu, futhi kunzima ingxenye encane yini edingekayo ekwelapheni izingane ezincane, kodwa ngoba imithi nje sidilike futhi ziwohloka;
• unikezwa zibiza futhi ukuthandwa izidakamizwa emakethe eziningi elinegazi;
• kwezinye izimo kungase kudingeke izifundo 2 noma ngaphezulu ukwelashwa umuntu alulame ngokugcwele;
• ayakhekanga amasosha omzimba ngokumelene bathelelane Helicobacter pylori;
• ngesikhatsi ukwelashwa, "kusho uDe nolom" akakwazi ukudla imikhiqizo yobisi.

isiphetho

Kwaphela isikhathi eside, izifo ezifana kolwelwesi kanye nezilonda, kunzima ukuyelapha. Isinyathelo esibalulekile phambili kwaba kokutholakala igciwane Helicobacter pylori, okuvamise ukuthi kube yimbangela zalezi zinkinga. Ngokwesibonelo, muva nje omunye izidakamizwa ethandwa kakhulu futhi ngempumelelo "De-Nol." Leli thuluzi libhekene elwa namagciwane hhayi kuphela, kodwa futhi astringent futhi Lentulo umsebenzi. Ngakho, "kuhlasela" phezu nezifo zesisu kwenzeka "izimpi" eziningana evumela ukuba ukuxazulula ngokuphelele le nkinga.

Noma kunjalo, ukwamukela kuphela eyodwa "De Nola" akwanele ukwelapha ngokuphelele kolwelwesi kanye nezilonda. Kunconywa ukuqedela ukwelashwa nge eziningi nezinye izidakamizwa (kuhlanganise antibiotic). Ngaphezu kwalokho, indlela yokwelapha ngokuvamile yinde, ukuthi kuncike kakhulu degree yentuthuko isifo. Kodwa uma ucabangela izindleko aphezulu izidakamizwa, ngoba izifundo ezigcwele kungadinga izindleko ngemali okukhulu. Nokho, umkhuba, azikho analogue eyaziwa okwamanje abakwazi ukuqhosha ukusebenza efanayo ophakeme ngokuthi "De-Nol."