"Nimesulide" huaale. Na Ke Kumu no ka hoʻohana 'ana, maoli counterparts

Pain - mea heʻano o ka hoao ana o ke kino, e,ʻo ka noonoo ana o ke kanaka, e kahea aku no ke kōkua. No laila, hewa i kekahi mea "i loko o ka Denemaka aupuni", a me ka waiwai o ke kino mea,ʻaʻole i lawa ke koho i ka pilikia, kākoʻo mai ke waho mākou e pono ai.

Consumer mea lāʻau lapaʻau market o ka Russian Hui a hooku iho la na haneri o ka ai ', e kōkua kanaka Makuakane me ka eha. All lapaau kekahi haku mele 'ana, a me ka laulāʻano papa hana o ke keiki. Kekahi o ka loa ka hoʻokō i ka ai 'o ka pae mai o ole-steroidal Anati-hoʻoʻino ai'. I waena o ia mea i ka wehe a me ka papa "Nimesulide".

'Ole a me ka haku mele' ana

A papa i ka lenticular shape. I ka waihoʻoluʻu paha e haikea yellow paha wale yellow. I ka papa kuhikuhiEʻeleu ke keʻena - he waiwai Nimesulide i loko o kēlā me kēia papa - 100 mg. Mai ka helu hiki ke kapaʻia nā microcrystalline kelulose, pia (maize), paʻakai pia glycolate, colloidal silikone'okikene lua.

Eia hou, i ka lāʻau ua kaumaha aku ai i nā mea kūʻai mai i loko o ka palapala a me ka pauka, no ka wehe ' "Nimesulide." Haku mele 'ana o ka mea like me ia o nā papa, kēlā 100 mg sachet ka papa kuhikuhiEʻeleu ke keʻena.

pharmacodynamics

Nimesulide selectively inhibits cyclooxygenase-2, cyclooxygenase-1, kona hookoia mea i ka nui uuku loa. Ma keia manao, o ka inhibition o prostaglandins hoʻololi kemikala malama hoʻonāukiuki hoʻoʻino naoh. Naʻe, i ke kahua o ka prostaglandin-type hoʻokonukonu nimesulide ka lawe māhunehune perceptible hookoia, kūpono ma ka palena haʻahaʻa collateral hoike ana mai o ka digestive nenoaiu.

Eia hou, na ka hoʻokō 'ana o ka nimesulide hoike aku i loko o inhibition o ke kahua o ka noa radicals. Eia naʻe,ʻo keʻano o ka hanaʻana o ka hemostasis a me ka phagocytosis aole e ae aku i ka hopena o keia waiwai. Keʻano papa hana o Anati-hoʻoʻino ia ka lawe 'ana medicament ninoaaeyao nui makahiki a me kona hiki, e uhi i ke kala o ka myeloperoxidase (i loko o na mea he nui hoʻoʻino maʻi hiki i'aʻaʻa pōʻino, ka mea, o kekahi o ka loa pololei PalekanaEND_LINK ano hōʻike o Loaʻaʻia pilikia o ka naau kaua a hahau).

Nāʻikepili no ka hoʻohana

Laulā lawa laulā o ka lāʻau "Nimesulide". Ma ka hana keia k? No ka mea, o ka lāʻau i ma luna o ke kanaka luna 'ia - antioxidant, analgesic, antipyretic a me Anati - laila ka mea, ua häʻawi mai i ka helu o ka hoʻoʻino ka maʻi. Pono ka lāʻau, a ma ka alo o ka osteoarthritis (maʻi ami maʻi i loko o ka wahi mua ua luku articular cartilage), tendinitis (li nui o ka tendon a me ka'aʻaʻa degeneration), bursitis (li nui o ka mucous mau eke, ka i lanakila ma na ami).

Good hualoaʻa Hōʻike "nimesulide" i loko o ka iapaau ana o rheumatoid arthritis, keu-articular rheumatic maʻi. Ana e kaua ana ia infectious maʻi e komo pū ma ka hoʻoʻino keʻano o ka hanaʻana. Muli o kona kulana pinepine, "Nimesulide" papa hoʻohana ma gynecology, ka iapaau ana o nā palapū o kekahi kumu. Nā mea maʻi i aku nei au i ka pono ka hoʻopau o ka eha ma postoperative hoʻopulapula.

Contraindications "nimesulide"

Mai ka medicament pili ia i kekahi pūʻulu o kēia National Meeting Square, ka mea, ua hala loa ka nui papa inoa o contraindications. "Nimesulide" (mai ka mea kōkua i ka lapaau - ua, ua kūkākūkā mua) e ole lawe kanaka me ka hypersensitivity i kekahi ke keʻena i loko o kona haku mele 'ana. No k lawelawe i ka poe hoʻomanawanui iki mai i ka mōʻaukala ikea hepatotoxic reactions a me hypersensitivity reactions like rhinitis, bronchospasm, urticaria (me ka aspirin 'ole' ē aʻe NSAIDs ka poeikohoia o ka pae).

Contraindications i ka hoʻohana 'ana i ka medicament mea e i kekahi erosive-ulcerous lesions o ka digestive'ōnaehana, i ka welelau o ka hoʻomōhala kahe ana ke koko o kekahi kumu (' ole. E. likeʻole i loko o ka functioning o ke koko clotting).

Medicine "Nimesulide" aʻo ua papa nā mea maʻi me kaʻaʻa puʻuwai, hepatic, cardiac insufficiency. Hoʻomanawanui iki mai me "aspirin" asthma, ka waiʻona a me ka lāʻau kaukaʻi a me ka mai e lawe i ka waiʻona.

Mai i koi 'ia ka lapaʻauʻia i loko o ia mau hihia a pau, ina ua mahuahua ka hoʻomanawanui kino mahana' ole 'ē aʻe maʻi palū-e like symptoms i malama. Eia hou kekahi, ia mea unacceptable e lawe "Nimesulide" keiki, hapai a me ka lactating wahine.

Hikiʻaoʻao reactions "nimesulide"

Noi o ka medicament hiki i ka helu o kaʻaoʻao 'ole mai o nā nā loko likeʻole a me ka nenoai o kanaka kino.

Ka loa, he pono ole reactions i kākauʻia e ka digestive'ōnaehana, a me ka mea i hoikeia aku ai e nausea, ka luaʻi, diarrhea, flatulence, a me ka hooulu ana o ka gastritis. Emi pinepine ana gastrointestinal kahe ana ke koko, ulcers a perforation. Kēlā wā i kēia wā oe e lohe e pili ana i dyspepsia, stomatitis, abdominalʻeha.

Hiki i "nimesulide"ʻaoʻao hana ma ka hepatobiliary'ōnaehana, ka hapanui pinepine hoikeia ma mahuahua ake'ūhū pae, ma ka liʻiliʻi loa - i loko o ka ulu ana o ka hepatitis (me fulminant ..), Cholestatic jaundice.

Ma ka naoh o ka mea'ōnaehana mānowai koko'ōnaehana ke i aku nei au, ina he mea kekahi napoo ala i loko o ke koko,, e hoomanawanui i kākaʻikahi nui kou manaʻo e pili ana i ka naau palpitations, hemorrhage, flushing, ke koko, Lele.

Urinary'ōnaehana ke pane i ka helehelena o ka edema (ʻaʻole pinepine), kākaʻikahi - urinary ka mālama, hematuria, dysuria. Loa kākaʻikahi ka mea, e hoʻoikaika iʻaʻa puʻuwai e hemahema, interstitial nephritis, oliguria.

Hiki reactions o ka CNS ua loa pinepine hoikeia aku ai e pōniuniu, malaise, asthenia. Emi pinepine hiki ke lohe e pili ana i headaches, somnolence? Acaeoey (similarity hypnotic hiamoe), Reye ka maʻi pale (encephalopathy), hypothermia (kino ana wela emi ma lalo o ka 'ilikai koi' ia e malama maʻamau pūnao). Kēlā wā i kēia wā oe e lohe e pili ana i na reactions "Nimesulide", like nervousness, uunu nui, loaʻa kūpono.

Me ka pili ana i ka lymphatic'ōnaehana a me ka hematopoietic nenoaia, "Nimesulide" (Instruction, paramedics hōʻike manaʻo hōʻoia i kēia 'ike) ke kākaʻikahi hoʻonāukiuki anaemia, eosinophilia, aole nae emi paha e hoʻomōhala thrombocytopenia purpura pantsitopenicheskaya.

Kākaʻikahi ka, akā, e hiki lohe e pili ana i ka metabolic haunaele (hyperkalemia),'ōnaehana paleʻea nenoaiu (hypersensitivity, anaphylaxis), na nā loko o ka hihio (blurred hihio, clouding o nā mahinaʻai), naehana hanu, mediastinum (dyspnea, bronchospasm, asthma ho'āhewa wale). Noho iho la na reactions o ka ili a me ka subcutaneous'aʻaʻa (sweating, ka ohane, dermatitis, urticaria, erythema, loa kākaʻikahi -ʻawahia epidermal necrolysis, Stevens-Johnson maʻi pale).

dosing a me ka noi aku a puni 'ano paha

Kanaka makua hoʻomanawanui iki mai o na papa io "nimesulide" i ka manao e lawe kekahi i ka manawa (100 mg) palua kela la i keia. He e ahoʻia e hana ai ma hope o kaʻai, a inu i ka nui o ka wai no ka daimonio. Inā ia mea he lepo no ka wehe, laila kahi o kekahi sachet ua nāu kekahi i loko o 100 ml o ka wai. Adolescents no 12 makahiki o ka makahiki, aole he pono e hoʻololi i ka mahele lāʻau, a me nā keiki i kēia lāʻau e loaa hookapu. Ma ka hihia o ka iapaau ana o ka poʻeʻelemākule hoʻomanawanui iki mai i kekahi mahele lāʻau hoʻoponopono 'ole' ia.

No ka poʻe e loaa ana mai ka hepatic insufficiency, creatineʻae ma ka laulā o 30-80 ml / min., Ka laʻau heluna mea i pololei. Inā ke anakahi ua kuu iho (30 ml / min a emi.) - papaia e loaa medicament.

Mau mea i ka papa kuhikuhiE koi no ka hiki aku o ka lāʻau "Nimesulide". Ka laʻau heluna Ua wae minimally pono, a no ka mea shortest hiki wā, a e loa kń i ka pilikia o adverse loa. I kā mākou papa o Inc me ka hoʻohana 'ana o "Nimesulide" e ole mamua o 15 lā.

Excessive laʻau heluna: Symptoms, lapaʻau

Lālau aʻela ia i ka Akala a "Nimesulide", ia mea pono e hoopili aku i na nā māhele e waiho ia ma ka olelo a koho ma ka hele kauka. Pakiko-aaieieno? O medicament, a (ole) kona kipi ana ke ka hopena i overdose. Ka loa pinepine malama i ke kēia symptoms: nausea, ka luaʻi, kahe ana ke koko, gastrointestinal'āpana, drowsiness, lethargy, hypertension (kiʻekiʻe ke koko,), inhibition o ka ÷ naehana hanu hana, huʻiʻaʻa puʻuwai ole.

Lapaʻau i ka hihia o ka overdose symptomatic, ua kākoʻo külana. Antidote nimesulide ua a ianoiyuaa a nalowale. Inā mai overdosing a lawe i ka kiʻekiʻe mahele lāʻau o ka medicament ua ole i hala oi aku mamua o 4 hola, i ke ahonui o ka haukapila gastric lavage paipai? Eaia absorbent (e laʻa me, ho'ā 'kalapona ma o ka nui o 60-100 mg no ka makua) a me kekahi mauʻano o osmotic laxative lāʻau.

Iloko o ka holoʻokoʻa wā o ka lapaʻau E e akahele ua hoʻonānā e ola 'Oihana e hana ana i ake a me ka hakuʻala. Information e pili ana i ka manawa kūpono o ka wehe 'ia o ka nimesulide mai ke kino ma ka hemodialysis mea,ʻaʻole i loaʻa. No ka mea, o ka degere kiʻekiʻe o ka lāʻau 'paa ana i nā polokina, hoʻoikaika ihola diuresis mea i kona mana.

Special ao

"Nimesulide" e loaʻa iā ia kekahi i kuhikuhi mai keʻena kūʻai lāʻau lapaʻau i mea ole koi, nae, E e ia me ka mālama nui. Pale ia laua noi o ka medicament a me kekahi 'ē' ole-steroidal Anati-hoʻoʻino konohiki, analgesics kahu. Me ka hooulu ana o na symptoms o nā mea maʻi, akepaʻa pōʻino ano (nausea, ka luaʻi, anorexia, pouli mimi) a hoomahuahua i ka nui o hepatic transaminases palapala noi "nimesulide" E ke haalele. Inā he mea he kuni paha maʻi palū-e like symptoms, Inc E e hele koke.

Lehulehu i kona hoʻomanawanui iki mai e ia i loko o laua me ka "Nimesulide" lawe lapaʻauʻia e hoomahuahua i ka pilikia o gastrointestinal ulcers a me kahe ana ke koko. Kaiapuni hoakaka ia lāʻau no ka poʻe i hana eha iaʻi mai ulcerative colitis a Crohn ka maʻi, ulcers me ka mōʻaukala o ka poʻeʻelemākule nā mea maʻi.

Mea pono e lawe "Nimesulide" a me ka aspirin ma cardiac nā māhele pono e hāʻawi hoʻohui pū Inc me gastroprotectives.

Ka hoʻohana o "Nimesulide" ( 'ole kekahi' ē aʻe NSAID) i ka nui mea, a ma luna o ka wā lōʻihi o ka manawa e hiki aku ai i ka meaʻuʻuku mahuahua i loko o ka pilikia o ka thromboembolic he ulia pakalaki (hahauʻana, myocardial infarction, a no laila, ma luna o. N.).

Nā mea maʻi a me nā mea'ōnaehana mānowai koko pilikia "Nimesulide"'ōnaehana i e hoonohoia wale ina ke kakali ana i pomaikai aku i ka pilikia o kaʻaoʻao loa.

Ke medicament i ka hopena ma luna o ka degere o ka platelet hope. Kēia 'ikepili He nui no nā mea maʻi e loaa ana mai ka hemorrhagic diathesis. Hanahana loa lesions o ka ili loa pinepine hoʻomōhala iloko lōʻihi-makahiki hoʻohana "nimesulide". Once ili rashes hou, i appreciable poino i mucous membranes 'ole kekahi' ē paa hoikeana o intolerance, ka lapaʻauʻia Inc E e hele aku.

Ka hoʻohana o "Nimesulide" hapai wahine ke kāhea panina arterial leki uea mua ka mea, ua pono, hoemi i ka buke o amniotic loli. Hiki mahuahua pilikia o intrauterine kahe ana ke koko, i mea hoʻonāwaliwali maoli o ka hana, ke ano o ka edema. No kēia mau kumu, expectant makuwahine i ka mua a me ka lua o ka trimesters o ka hāpai keiki? Eaia "Nimesulide" ua i paipai.

Ua pono ia i pane i ka ninau ana o ka mea, ua hiki ke lawe i ka "Nimesulide" ka poʻe a me ka waiʻona, ka mea, ua maopopo: e like me ka hoʻohui pū ua i aeia!

analogs

Ma lalo o analogs "nimesulide" pili ia ai 'mai ka NSAID pūʻulu i loaʻa me ka papa kuhikuhiEʻeleu' Oponopono nimesulide (kumukuai no ia, e oscillate i ka hola o ka ia huahelu akā iki ma lalo ia). I ka loa i ikeia, a mau hoakaka 'inikua koʻokoʻo analogs ioiinyony ai' "Naiz" (tuko pīlali, na leia-i, ka wehe), "Nimesil" (me ka pauka,) "Niemiec" (papa) 'nimulid "(tuko pīlali, papa, wehe papa no keikihipa omo) .

All analogs lilo lawa ka hoʻokōʻana a me ka häʻawi mai ai iä hana me ka laulā huahelu o illnesses, hoʻoʻino ua hoʻokomoʻia külana.

kuai laulā

Prices no ka iho "Nimesulide" a me kona analogs i ka ia o ka hola, aole makou manao lāʻau kāki hou ole i ke ākea laulā o nā kānaka kūʻai mai. Papa "Nimesulide" (20 pcs. Ma ka pack) e loaʻa 85-90 rubles no pack. ʻO ia ka helu o ka papa "Naiza" e loaʻa 110-140 rubles, "Niemiec" (kekahi 20 pcs.) - i loko o ka 115-134 rubles. 'ōpala "nimulid" o 30 huaale na koina 180-220 rubles. Ka buke maʻiʻo o ka papa hana 'Oponopono (Nimesulide) i loko o nā mea a pau analogs hookahi - 100 mg.

Kahi o na papa io "Nimesulide" (haahaa kāki) hiki ke loaa, no ka laʻana, he slurry "Naiz" koina 200-300 rubles 60 ml a "nimulid" - 75-105 rubles no ka hookahi dala o ka lāʻau. I loaʻa no ka laulā huahelu o nā mea kūʻai mai lozenges "nimulid": 20 mau hakina ma ke kumu kuai 130-155 rubles no pack.

Paha ka loa pipiʻi ano o ke kalaʻana o ka lāʻau 'me ka nimesulide me ka papa kuhikuhiE ke keʻena - he lepo lā' Nimesil ". 30 mauʻeke (AEeAaOA) e loaʻa i ka Customer i loko o ka nui o ka mai 560 a hiki i 645 rubles.

No ka topical noi i ka hoʻokō gels me ka nimesulide. Penei, "Naiz" e loaʻa 120-145 rubles no ka Tube o 20 g. 'Ole 215-275 rubles (50 g). Tuko pīlali "nimulid" wahi ho'ēmi: 115-150 rubles no şarkı ka leo o ka 30 g.

Ma ka hopena au makemake makemake, e olelo aku i ka eia. I ka olelo hooholo, e hoʻohana "nimesulide", i kekahi mea like 'ole kekahi' ē aʻe NSAIDs e e ia ma ka hele kauka. Wale i ke ola kino 'oihana hiki pono Loiloi i ka oolea o ke ola o ko lākou nā mea maʻi, e noonoo i nā maʻi, koho i ka lāʻau laʻau heluna e wae a hoʻomohala i ka hana papahana ma ka mea e loa kń i ka likelihood o kaʻaoʻao mau waiwai, a me ke kiʻi i ka loa maikaʻi hopena.