"Ekskhol": yesikhokelo, ncomo, iifoto, uhlobo ukukhululwa, isakhiwo

Xa imizimba yethu kukho ilungu elikhethekileyo ekwaziyo lokunciphisa - oku isibindi. Phantsi yempembelelo imiba eyahlukeneyo ntle, le intsimbi lifumana uxinzelelo olukhulu, neseli ukufa okanye zibe izihlunu ngamanqatha. Xa unyango kwesibindi kusetyenziswa inani iziyobisi, enye yazo - "Ekskhol". Imiyalelo zokusetyenziswa ichiza, kubonakala, Izimo, ingakumbi unyango kunye nenye ingcaciso eluncedo zifumaneka kweli nqaku.

ifomu Release komsindo

Eli chiza ifumaneka ngohlobo njengezingxobo, nganye iqulathe into esebenzayo - ursodeoxycholic acid kwi-mali ka-250 mg, kunye namacandelo abangabancedani: lesilicon dioxide, nemagnesium stearate, calcium hydrogen phosphate emzimbeni, povidone, monohydrate lactose, kunye nabanye.

Indlela imisebenzi iziyobisi?

Iimpawu yeziphumo pharmacologic beziyobisi "Ekskhol" yemiyalezo ikuchaza ngale ndlela ilandelayo: ukuba sisiyobisi hepatoprotective ukususela choleretic. Le into esebenzayo unalo ziphumo zilandelayo:

• kunciphisa Yindibanisela cholesterol esibindini, kunciphisa kukufakwa yalo emathunjini kunye nomxholo enyongweni;
• It kwandisa umgangatho cholesterol wokupheliswa kwinkqubo inyongo zinomgutyulo, zivuse kusekwe kwaye secretion yokunciphisa lithogenicity yabo;
• Kukhuthaza ukwanda kwinqanaba asidi enyongweni;
• It kwandisa secretion of esiswini kunye netuwa pancreatic;
• It kwandisa umsebenzi enzyme lipolytic;
• It has ukusebenza hypoglycemic;
• Kukhuthaza kukufakwa buso okanye lilonke amatye cholesterol ezifana;
• kunciphisa Ukwanda inyongo kunye cholesterol, nekhuthaza evela amatye;
• Kuye iipropati immunomodulatory, yokuphatha iindlela impendulo esibindini;
• kunciphisa ibinzana antigen, wanikel 'ingqalelo kwindlela ndizayo hepatocyte;
• ilawula inani T-lymphocyte, interleukin-2;
• Kwehlise umthamo elzinofilov.

Ziziphi pharmacokinetics ka iziyobisi?

Ukulungiselela "Ekskhol" imiyalelo ngokusebenzisa ichazwa kweli nqaku, iqondo eliphezulu kukufakwa kwi emathunjini amancinci kunye nesakhono ukuwela ngumkhaya. Isalathisi makismalnaya lwee- kweziyobisi egazini kwenziwa emva kweeyure 1-3 kwaye ilingana no 5.5 mmol / l. Ursodeoxycholic acid ihlobene kakhulu kwiiproteni plasma kwaye umzimba kwizisele sesibindi glycine kunye taurine conjugates le fomu, leyo zikhutshelwa enyongweni. iimveliso emzimbeni kwazona endleni nge 50-70%. A imali encinci into esebenzayo lingatshintshanga Asikokungena amathumbu, apho ibhaktiriya similise lithocholic acid, nto leyo sulfated esibindini nakumathumbu kwazona ngokupheleleyo.

Ukubonisa umthamo?

ubungqina ngqo ukwamkela ichiza "Ekskhol" umyalelo ncwadi ibhekisa kwale miqathango ilandelayo:

• zamabanga uhlobo kwesibindi biliary engekho decompensation;
• imfuno zokuchithwa amatye cholesterol of amancinci kunye ubungakanani-phakathi, ngaphandle senyongo;
• gastritis (reflux biliary);
• uhlobo ezingapheliyo esebenzayo kwesibindi;
• isifo sesibindi butywala;
• sclerosing cholangitis imilo ephambili;
• abanesigulo esinganyangekiyo kwesibindi;
• uhlobo steatohepatitis nonalcoholic;
• diskenziya elithi biliary.

Kwezi njengezingxobo ezibonisa kunye tablets "Ekskhol" lidla emiselwe ngugqirha uze ubonise ukusebenza eliphezulu.

Izimo

Amalungiselelo equlethe ursodeoxycholic acid, into contraindicated ngenxa zifo zilandelayo:

• phambi hypersensitivity ukuya amacandelo ichiza;
• ukungabikho komsebenzi wesiqhelo, kwaye empyema le senyongo ;
• ubukho matye inani elikhulu calcium, ukubonwa yi-X-reyi;
• fistula kwisiqwenga zesisu;
• uhlobo kohlobo;
• yesisu yokukrala ubuntu izifo;
• cholecystitis, cholangitis okanye kwisigaba oyingozi;
• ukuqina decompensated;
• usulelo senyongo kunye imibhobho ayo namathumbu;
• Ukukhulelwa ne zisanyisa;
• Abantwana abangaphantsi kweminyaka emi-3 ubudala;
• insufficiency uxabane hepatic;
• bile isiqephu kokuphazamiseka O.

Ukuba kukho Izimo data akukhuthazwa ukuba izigulane ukulungiselela "Ekskhol". Manual ibonisa ukuba isixhobo akazange ukubonisa iziphumo ezibi osadaleka uphononngo kwizilwanyana, kodwa izifundo ezifanelekileyo xa abasetyhini abakhulelweyo zange lwenziwe.

oyi

Ngokukodwa ibonisa ezinye bokuqonda abafumana lithetha "Ekskhol" umyalelo manual. Oogqirha ngale ukulungiselela ezi HIV, kodwa ingqalelo namakhosikazi aselekhulile yokuzala ukuba unyango kwezi farmproduktom kufuneka uthathe unonophelo yokucwangcisa olongezelelweyo. Ukongeza izicwangcisi hormone, leyo kunciphisa ukusebenza, ukusetyenziswa iindlela umqobo yokukhusela ukukhulelwa okungafunekiyo. Akukhuthazwa ukuba abasetyhini abakhulelweyo lifuna ukuba ukumisela unyango ngamachiza "Ekskhol". Manual libonisa ukuba kule meko lomngcipheko unina kufuneka libelikulu umngcipheko olungekazalwa. Xa olu nyango abafazi phindeke kufuneka ayeke zisanyisa.

Ukuba umntwana uneminyaka-3 ubudala, ichiza "Ekskhol" ukuze eyabelwe kuyo xa kuyimfuneko. Imiyalelo zokusetyenziswa abantwana kufuneka silumke kunyango zabantwana ukuya kutsho kwiminyaka-4, njengoko babe ingxaki yokuginya i njengezingxobo.

Indlela yokwenza isicelo iyeza?

Esi sikhokelo ilungileyo yonyango yamachiza "Ekskhol" - imiyalelo ukusetyenziswa. Amafoto esi sixhobo kuya kukunceda ukuba uzikhusele ngokwakho ithenge zomgunyathi.

Ichiza ilawulwa ngomlomo, ekukhethwa ukuba ngokuhlwa. Kwezetyisa njengezingxobo akunconywa, usele amanzi engcono zibe ngumqulu encinane. Ukuba isigulane ubunzima ngaphantsi kwama-34 kg, kungcono ukukhetha ukunqunyanyiswa kunye kweziyobisi ziyobisi.

Oyidlayo kuxhomekeke yobudala kunye neenjongo unyango.

Ngenjongo enyongweni kukwahlukana kunye imibhobho "Ekskhol" thatha yonke imihla ka-10 mg / kg iinyanga 6-12 kwiinyanga ezimbalwa emva kokuba iziphumo prophylaxis.

Ukuba ephatha nomonde reflux gastritis, yena elawulwa omnye philisi beziyobisi kanye ngosuku kumjikelo weeveki ezimbini ukuya kwiinyanga ezintandathu, kwaye xa kukho imfuneko ethile - ukuya kwiinyanga ezingama-24.

Treatment kwesibindi biliary eziveliswe ngokwale nkqubo: imini - 10-15 mg / kg zethuba le Ngokwesigqibo lukagqirha.

Kunye nezinye izifo ziqukwe kuluhlu kwakuthethwa isicelo sokwamkelwa, oyidlayo kunye nobude ugqirha yakhe yokwamkelwa iseti qho ngamnye.

Kwakhona, indlela ekhethekileyo kufuna ukuqeshwa abantwana abafikisayo "Ekskhol" iziyobisi. Imiyalelo ukusetyenziswa kubantwana abadala ngaphezu kweminyaka-3 ibonisa imfuneko anyule umthamo 10-20 mg / kg ubunzima bomzimba ngosuku. ulawulo ngqo ichiza kunye nexesha uthomalaliso esekwe ugqirha ngabanye.

Ingaba kukho naziphi na iziphumo ebezingalindelekanga unyango kunye libanda?

In abasabela ezingalunganga kunokwenzeka ngexesha uthatha "Ekskhol" kweziyobisi, ezifana:

• intlungu umva;
• esiswini;
• transaminases zesibindi ukwanda umsebenzi;
• komzimba;
• Ukwanda enyongweni calcium;
• retsediv ukhwekhwe;
• alopecia.

Ukuba ngaba wehlelwa ezi ziphumo kufuneka uyeke ukuthatha "Ekskhol" iziyobisi. Imiyalelo zokusetyenziswa, ukwakhiwa kweengongoma ezahlukileyo ze apho isishwankathelo inikwa kweli nqaku sibonisa ukuba amatyala ichiza libanda, aye aqatshelwa. Nakuba kunjalo, iimpawu ukuba ogulayo kunxilwe afunekayo ukuvelisa unyango nomqondiso.

Kolimo namanye amachiza

Co-lezolawulo antatsianami alyuminiesoderzhaschimi kunye nentlaka ion wotshintshiselwano, ukunciphisa ukusebenza ukufunxeka "Ekskhola". agents Lipid-yandisa, estrogen neomtsin okanye progestins igalelo ekwandiseni Ukwanda duct cholesterol kunye nokunciphisa sokuchitha ngamatye.

Iimpawu ze indlela abafumana

Eyokuqala Uxwebhu ukuba kufuneka ufunde phambi kokuthatha "Ekskhol" chiza - imiyalelo ukusetyenziswa. uhlobo Ukukhutshwa beziyobisi njengezingxobo izenzo ezininzi impumelelo ngokunxulumene ngokupheleleyo amatye cholesterol ubungakanani ogama ayidluli 15-20 mm. Kulo mzekelo, senyongo kufuneka sigcwaliswe naMaziko data azikho ngaphezu kwesiqingatha, kwaye imibhobho 100% ukugcina umsebenzi wabo nokususwa inyongo.

Ekuhambeni unyango ukunyibilika iidipozithi cholesterol, kufuneka ukulawula umsebenzi enqanda zesibindi, transaminases, phosphatase obrak, GGT kunye yibilirubin. Xa zonke iiveki 4 qho kwiinyanga ezi-3 unyango kufuneka zenziwe cholecystography. Rhoqo emva kweenyanga ezintandathu, isigulane kufuneka bangenele isibindi ultrasound ukuvavanya ukusebenza unyango.

Xa epheleleyo amatye kukwahlukana lolwamkelo esikolweni "Ekskhola" liye ezisisigxina kufuneka kuqhube omnye isithuba seenyanga ezintathu ukuya ngokuchithwa lokugqibela amatye ezingabonakaliyo nokuthintela ukuyilwa ezintsha.

Ukuba ke intlahlela kunyaka isiqingatha unyango akuxhomekekanga ngisho ngokuyinxenye kubenze amatye, oko inexpedient ukuqhubeka unyango ngenxa kakuhle kwayo.

Analogs kunye Izithethantonye

Ukuba isigulana ukuba ezinye izizathu Injongo na linokukwenziwa "Ekskhol", oko kutshintshwa kuze kufakwe omnye izithetha-ntonye:

• Njengezingxobo "Ursodeoxycholic acid ';
• Njengezingxobo "Ursol";
• Njengezingxobo "Ursosan";
• Amacwecwe film-camera "Ursodeks";
• Njengezingxobo "Isalathisi Rompharm";
• kpsuly "Urdoksa";
• ukunqunyanyiswa ukwamkela yangaphakathi "Ursofalk";
• Njengezingxobo "Ursofalk";
• "Ursol" capsule;
• Amacwecwe film-camera "Livodeksa";
• "Grinterol" capsule

Ukuba isici nomonde ursodeoxycholic acid, okanye kungqineke ukuba angasebenzi kweli kunyango, kungenzeka ukuba indawo nesiyobisi analog, nto leyo azipilisi "Holenzim". Le ichiza yiarhente ludibaniso eliquka owomileyo powder inyongo dihydrated inyama pancreatic kwakunye nomkhwinya ubhityile nakwa KwaZulu imfuyo. Xa isenzo "Holenzim" libhekisela Cholagogue. Le ichiza contraindicated e hypersensitivity, kunye exacerbation nokoyika pancreatitis ezigulo ezondeleyo. Njengoko reactions ebezingalindelekanga ezivela ezithatha ichiza negazi kungenzeka ngohlobo irhashalala ukukrazula, ukuba bomvu, nesikhumba.

Ixabiso nomonde angqina

Eli chiza lukhutshwe kwinkampani zoxubo yasekhaya "imveliso Kanofarma" ZAO, nto leyo imi kummandla eMoscow. Indleko yempahla ye "Ekskhola" avareji eRashiya engange-125. Izigulane ezininzi zithi ukusebenza iziyobisi, kube lula reception yalo kunye nexabiso nezifikelelekayo. Abantu abanesifo sesibindi kunye phecana biliary kuqatshelwe ukuba iziphumo ezilungileyo ziphunyezwe unyango "Ekskholom". Kunye ngobuchule izigulane ingxelo tolerability ezilungileyo ichiza.

Kufuneka kuqatshelwe ukuba inkcazelo ichiza ayigqitywanga. Ukuze ufumane inkcazelo eyandisiweyo malunga ichiza "Ekskhol" kufuneka baqhelane imiyalelo enikwe kwiphakheji yamayeza. Injongo yale sixhobo uxhalabile kuphela gqirha khona. Self-kungaba yingozi empilweni yakho.