"Kutiveyt" (ioli) - imiyalelo yokusetyenziswa. Inkcazo yokulungiselela

Ziziphi iindlela zokusetyenziswa kweziyobisi "Kutiveyt" (ioli)? Imiyalelo yokusetyenziswa kwamachiza, iifaneli zayo, izibonakaliso, uhlobo lokukhululwa kunye nokubunjwa kuya kuchazwa kweli nqaku. Ukususela kuyo uza kufunda kwakhona malunga neendleko zokulungisa, yintoni na ukuchasene ngayo, nokuba ingaba nemiphumo emibi, njl njl.

Ukubunjwa, uhlobo lokukhululwa, inkcazo kunye nokupakishwa

Ziziphi iinqununu ezibandakanya "i-Kutiveyt" (amafutha)? Imiyalelo yokusetyenziswa ithi into esebenzayo yale fomu yesilwanyana i-fluticasone propionate. Kwakhona kubandakanya i-sorbitan sesquioleate, i-parafini yamanzi kunye ne-microcrystalline wax.

Ioli eguquguqukayo kunye neyobuxhakaxhaka yintsebenziswano yangaphandle kuphela. Unombala omhlophe okanye umbala omhlophe. Isilwanyana sithengiswa kwiibhubhu ze-aluminium (15 amagremu), ezipakethe zekhadibhodi.

Ziyiphi enye indlela abavelisa ngayo isilwanyana "Kutiveyt"?

I-khilimu yokusetyenziswa kwangaphandle (0.05%) ine-uniform and soft softness, kunye nomhlophe okanye umbala omhlophe. I-fluticasone propionate yindawo esebenzayo yale fomu. Ukongezelela, ukulungiselela kubandakanya izinto ezincedisayo ezifana ne- sodium phosphate, i-parafini yamanzi, i-cetostearyl utywala, i-isopropyl myristate, i-propylene glycol, i-ketomacrogol, i-imidourea, i-citric acid i-monohydrate kunye namanzi acocekileyo.

Isilwanyana sithengiswa kwiibhubhu ze-aluminium (15 g), zibekwe kwiipakethi zekhadibhodi.

Ukongeza kwiifom ezimbini ezibhaliweyo zezilwanyana, unokufumana ezinye iintlobo ze "Kutiveyt" - i-spray spray kunye ne-aerosol yokufuthwa kwii-pharmacy. Izinto ezisebenzayo zala maqhinga zifana neyunxalenye yeoli. Nangona kunjalo, injongo yabo ihlukile.

Iimpawu ze-Pharmacological

Iyiphi imithi ye-Kutiveyt? I-hormonal okanye ingekho le chiza? Ngokweengcali, eli lonyango li-agent ye-glucocorticosteroid eneempembelelo ezichasayo ezichasayo.

Njengoko kukhankanywe ngasentla, zonke iifom zezilwanyana ezikulo mbuzo ziqukethe isithako esisebenzayo, njenge-fluticasone propionate. Ixabiso le-glucocorticosteroid. Ngokusetyenziswa kwesicatshulwa kuphelisa ukutshisa, ubomvu kunye nokubetha, kwaye kunciphisa kakhulu ubukhulu bokuvuvuka okukhoyo.

Ngokusetyenziswa kwangaphandle, isichengiselwano sinomlomo ochasayo kunye nokuchasene nempembelelo. Ngelo xesha, akukho miphumo emibi ye-ejenti ekhankanywe kwi-cardiovascular, respiratory and nervous systems.

Pharmacokinetics

Ingaba isichengululo "i-Kutiveyt" (ioli) ithabatha? Umyalelo wokusetyenziswa uthi xa usetyenziselwa ngaphandle, ukufumaneka kwe-fluticasone propionate kuncinci. Oku kubangelwa ukunyanzeliswa kwayo ngokukhawulelana ngesikhumba, kunye nesifo se-metabolism esinamandla ngelixa esadlula esibindi.

Amachiza, angena kwi-systemic circulation emva kokusebenza kwesikhumba, asebenze ngokukhawuleza. Kule nkalo, impembelelo yayo yinkqubo encinci.

Indlela eyona ndlela yokusetyenziswa kwe-metabolism ye-drug is hydrolysis kwi-acid carboxylic. I-metabolite efundisiweyo inomsebenzi obuthathaka kakhulu we-glucocorticoid. Into esebenzayo yeziyobisi ayibopheli kwi-melanin kwaye ayifuni kwiifom.

I-fluticasone propionate isuswe ngokukhawuleza, kwaye isinegunya eliphezulu kakhulu.

Iimpawu zokusetyenziswa kwe-cream kunye neoli

Kwiimeko ziphi i-hormone yokulungiselela "Kutiveyt" (ioli) echazwe? Imiyalelo yokusetyenziswa ikwazisa izigulane ukuba le ndlela isetyenziselwa ukuphatha izifo zesikhumba.

Ngaloo ndlela, izibonakaliso zokusetyenziswa kwezi fom zonyango zilandelayo:

• Aermic dermatitis;
• Eczema;
• Sebrrheic dermatitis ;
• Psoriasis;
• U-Erythroderma (ngaphezu kwonyango lwenkqubo);
• Ukudibanisa i-dermatitis;
• Uluhlaza obomvu obomvu;
• I-Neurodermatosis, kuquka i-lichen elula;
• Lupus erythematosus discoid;
• Inambuzane ibetha.

I -ergergic dermatosis ivumelekile ukuba iphathwe ngekhilimu kubantwana abaneminyaka engaphezu komnye. Ngokuphathelele ioli, le fom yesichengisisi inokumiselwa iintsana ezivela ezintandathu kwiinyanga.

Izibonakaliso zokusetyenziswa kwe-nasal spray ne-aerosols

Ziziphi iimeko apho isigulane singabelwa ukuba siphumelele "i-Kutiveyt"? Ukuphononongwa kweengcali zithi i-agent engumntu iyaphatha kakuhle i-rhinitis ye-allergen. Ngokuphathelele i-aerosol, isetyenziselwa ukukhusela ukuqhuma kwe-asthma ye-bronchial.

Ukungqinelana nokusetyenziswa kwazo zonke iifom

Ukuba kukho nayiphi na ukuphambuka, kuvunyelwe ukusebenzisa "i-Kutiveyt" imishanguzo (ukhilimu, amafutha, i-spray, i-aerosol)? Ngokomyalelo, zonke iifom zendawo azikwazi ukusetyenziswa xa:

• Pinkheads;
• I-acne ejwayelekile;
• Ngomntwana ukuya komnye unyaka we-ukhilimu, ukuya kwiinyanga ezi-6 ukwenzela i-ointments kunye nokufika kwiminyaka engama-4 ukupakisha;
• Perioral dermatitis;
• Iintsholongwane zentsholongwane enesifo esiyintsholongwane;
• Ukubetheka kweperiyali kunye nesisu;
• Ukuxhotyiswa kwamanzi kwintsimbi.

Kufuneka kwakhona kuqaphele ukuba iziyobisi ekuthethwa ngazo kufuneka zisetyenziswe ngokuqaphela ngokukhulelwa kunye ngexesha lokukhulelwa.

Iindlela zokusebenzisa amafutha kunye nekhefu

Ndingayisebenzisa njani ilungiselelo langaphandle "Kutiveyt"? Ukusetyenziswa kwamathambo kunye nekhilimu kufuneka kwenziwe kuphela ngo-odokotela. Xa unyango lwe-dermatoses engapheliyo kwaye enesifo, isicatshulwa sisetyenziselwa kwindawo echaphazelekayo kunye nobuncinci obuncinane kabini ngosuku. Ubuninzi bokusetyenziswa kweziyobisi ze-hormone iiveki ezimbini.

Ukunciphisa ukuphindaphinda kwesifo esinjalo njengesifo se-dermatosis, emva kokuphumelela kwefuthe lokunyanga, ukuvama kwamafutha kunye nesicelo se-cream kunciphisa. Kule meko, isilwanyana kufuneka sisetyenziswe kanye kabini ngeveki. Kule meko, ukugqoka okuqhelekileyo makufakwe ngaphandle.

Kufuneka kwakhona kuqaphele ukuba i-ointment kunye ne-cream kufuneka isetyenziswe kuzo zonke iindawo ezichaphazelekayo ngaphambili kwesikhumba, kunye nalawo apho isifo singabonakalisa khona.

Izindlela zesicelo kunye nesilinganisi sefraysi ne-aerosol

Ndingayisebenzisa njani ilungiselelo lendawo "Kutiveyt" (ixabiso lemveliso linikezelwe ngokufutshane)? Kubantu abadala, i-spray spray isinconywa ukuba isetyenziswe kusasa kwi-100 mcg nganye kwikhosi nganye, kunye nabantwana abangaphantsi kweminyaka eyi-12 ubudala-50 mcg.

Ngokuphathelele i-aerosol yokufuthwa kwe-aerosol, kwi-asthma ye-bronchial ephakathi, enobunzima kwaye enzima kakhulu isilwanyana kule fomu imiselwe kabini ngosuku ukuya kuma-250-500 μg, i-100-250 μg kunye ne-500 μg, ngokulandelanayo. Abantwana abaneminyaka engaphantsi kwe-16 ubudala kufuneka basebenzise izilwanyana ezingama-50-100 μg.

Ukugqithisa

Ubunzima bokugqithisa ngokugqithiseleyo ngeendlela ezicatshangelwayo ziphantsi kakhulu. Kodwa ngesicelo esifanelekileyo okanye esingapheliyo, isigulane sinakho ukuvelisa iimpawu zokuxhatshazwa. Kule meko, ukusetyenziswa kweyeza kufuneka kumiswe ngokukhawuleza. Nangona kunjalo, ukurhoxiswa kwesilwanyana kufuneka kwenziwe ngokuthe ngcembe, phantsi kweliso loogqirha oya kwiindawo (ukuphepha ingozi yokucinezelwa kwe-correx ye-adrenal).

Imiphumo emva kokusebenzisa amafutha kunye nekhefu

Ngaba isicatshulwa esisisigxina "Kutiveyt"? Impendulo yeengcali ikwazisa ukuba kwezinye iimeko le nkunkuma ifake inxaxheba ekubonakala kwezinto ezingathandekiyo. Phakathi kwazo zilandelayo:

• Ukuphendula kwendawo: ukuguquka kwesikhumba (i-hypertrichosis, i-thinning, imithwalo yegazi ehlanjululwayo, i-hypopigmentation kunye ne-striae), ukutshisa, ukutshisa, ukunyuka kweempawu ze-dermatosis, ukuphuhliswa koqhagamshelwano kunye ne-dermatitis ye-allergen, kunye nokusuleleka kwezilwanyana (kunye nokugqoka okuqhelekileyo).
• Ukuphendulwa kwemiqondiso: i-hypercortis symptomatic (kunye nokusetyenziswa ixesha elide leziyobisi kumanqanaba aphezulu, kunye nokusebenzisa i-arhente yangaphandle kwiindawo ezinkulu zolusu). Uninzi lwamaxesha amaninzi, le mpembelelo yecala iyabonwa kubantwana baselula kunye nabancinci, kunye nokusebenzisa iingubo eziqhelekileyo. Inqabile kakhulu, ukusetyenziswa kwamathambo kunye ne-cream kungabangela ukuphuhliswa kweefom ye-pustular ye-psoriasis.

Imiphumo emva kokusebenzisa i-spray ne-aerosols

I-spray ye-nasal idla ngokubangela ukucaphukisa i-nasopharynx, i- perforation ye-nasum ye-nasum, kunye nomva we-aftertaste kunye nephunga elimnandi. Ngokuphathelele i-aerosol yokufuthwa, le fomu yesilwanyana ikhuthaza ukubonakala kwe-candidiasis yomlomo we-oral mucosa, ukunyaniseka kwezwi kunye nokuphuhliswa kwe-bronchospasm.

Imiyalelo ekhethekileyo

Ukusetyenziswa kwamanzi amaninzi kunye nekhefu kumadayire aphezulu, ingakumbi ukuba iyeza lisebenza kwiindawo ezinkulu zesikhumba (ingakumbi kubantwana), kunokubangela ukunyanzelwa komsebenzi we-correnx.

Ukunyuswa okukhulu kweziyobisi zangaphandle kubantwana kubonwa ngokuphindaphindiweyo kunabantu abadala. Ngako oko, baxhomekeke ngakumbi kwimiphumo ye-systemic. Ngokumalunga nalokhu, isilwanyana esinjalo kufuneka sisetyenziswe kumanani amancinci, anika umphumo wokwelapha.

Ngokusetyenziswa kwangaphandle kwexesha elide, utshintsho oluthile luvame ukubonakala ebusweni. Eli qiniso kufuneka liqwalaselwe ngexesha lokunyanga okungaqhelekanga njenge- discoid lupus erythematosus, i- psoriasis kunye ne-eczema enkulu.

Xa usebenzisa i-ointment kunye ne-cream kwi-klipper, kufuneka ugweme ukufumana unyango emehlweni, njengoko oku kunokubangela i-glaucoma okanye ukucasuka kwendawo.

Ngononophelo olukhethekileyo, i-aerosol yokuphalaza imiselwe isifo sofuba sesifo sofuba. Nangona kunjalo, unyango alungafanele lupheliswe ngokukhawuleza.

I-spray nasal kufuneka isetyenziswe rhoqo.

Ukulungiselela "Kutiveyt": amafanane kunye namaxabiso

Imiba yezidakamizwa ezicatshangelwayo ngamachiza alandelayo: iNazarel, iFluticasone propionate, iFliksonase, i-Fluticasone kunye neFliksotid.

Ixabiso lexabiso elithi "Kutiweit" libiza malini? Ixabiso leendlela ezahlukeneyo zeziyobisi zinokuhluka kakhulu. Ngokomzekelo, amafutha angathengwa ngama-ruble angama-290 aseRussia, kunye ne-cream-ye-330.

Phantse amaxabiso afanayo anefuthe lomzimba kunye ne-aerosol yokufumba.

Uphononongo malunga nesixhobo

Isilwanyana "i-Kutiveyt" sisilwanyana se-hormonal. Le nyaniso iyatshisa kakhulu izigulane kuye wamiselwa. Nangona kunjalo, emva kokusetyenziswa kokuqala, baqaphela ukusebenza kwayo ephezulu.

Ngokutsho kweengxelo zezigulane, i-ointment kunye ne-cream khathaza ngokukhawuleza zonke iintlobo zesifo se-dermatosis. Kwakhona ujonge kakuhle umsebenzi kwaye uphefute nge-aerosol.

Nangona kunjalo, ku funeka kuqatshelwe ukuba kukho uluhlu lwabantu abakhalazayo ngokubakho kwenani elikhulu lemiphumo emibi. Kule meko, izigulane zicetyiswa ukuba zikhansele ukusetyenziswa kweziyobisi kwaye zisebenzise i-analogue ephephile.