Wamehlo "Fotil Forte": Kubonakala, imiyalelo ukusetyenziswa, ophthalmologists ncomo

Amathontsi "Fotil Forte" kubhekisela ukulungiselela zinokudityaniswa ukuze ukunyanga iglaucoma agalelwa. Ingaba le ndlela isebenzayo phakathi amachiza afanayo. Kunokuba ngokukhawuleza ukucutha bunjani uxinzelelo intraocular. Ingasetyenziswa emva kotyando ukuthintela iingxaki kunokwenzeka.

Isakhiwo kunye Nokuhlanganiselwa

Eyedrops "Fotil Forte" zimele ulwelo ecacileyo enemibala. 1 ml yokulungiselela iqulethe malunga 6,84 mg timolol maleate 40 mg pilocarpine hydrochloride. Zizo ezo izinto eziphambili ebonakalayo ichiza. ingqalelo ngakumbi kabini kunaleyo ixesha kwiwotshi yamanani "Forte".

izinto ezongezelelweyo kuhlanganiselo ichiza baba:

• benzalkonium chloride;
• citric acid;
• sodium citrate;
• Valium;
• amanzi enkolo.

wamehlo ziveliswa flakonah- ekhethekileyo zize zifakwe ezibhokisini kwikhadibhodi. Ubude bethuba ubomi igutyana wavula ziintsuku ezingama-30.

Pharmacology

Drug "Fotil Forte" yi antiglaucoma uhlobo odityanisiweyo iziyobisi. Luhlanganisa izithako ezimbini ezisebenzayo - pilocarpine kunye timolol.

Pilocarpine kwanemvelaphi bobabo ukuya m-cholinomimetic. Emva instillation yalo yeso kuyo Uxhokonxwa amahlaba, ibangela spasm yokuhlala. Ngempumelelo kwandisa uxinzelelo intraocular ngenxa yindibanisela esihlunwini ciliary kunye iris zonke izixhobo iliso. Eli nyathelo u engile ukubuka egumbini ngaphambili retina iliso. Iziyobisi kuyayitshintsha isakhiwo meshwork trabecular ngaloo ndlela evumela uburharha zolwelo ngaphandle. ukusebenza iziyobisi ezifana sisaqhubeka iiyure 4-14.

Le esisebenza kakhulu ukwakhiwa ichiza Timolol bobabo kudidi beta-blocker. Ulumkisa uqhagamshelo neurotransmitters kunye receptors adrenergic emzimbeni ciliary. Kunciphisa uxinzelelo ngaphakathi iliso, lo uburharha zolwelo kunciphisa umxholo. ukusebenza iqinile kubonwa emva kwemizuzu engamashumi amabini emva instillation. Isiphumo esiphezulu lwenzeka kwisithuba seeyure ezimbini, yaye sihlala kangangeeyure.

Pilocarpine uyakwazi ndzulu inwebu. Ayithandi eliphezulu kwindawo efumileyo liyasetyenziswa emva sisiqingatha seyure. Le nto ke ngenkuthalo sokubambisana kunye izicwili ezininzi sefowuni ocular. Kubonakala ayitshintshanga kunye kulwelo ngaphakathi iliso. ile wayo timolol ekumisweni uburharha zolwelo kwehlisa, abangaphangeliyo inkqubo wokususa pilocarpine.

Timolol ngephanyazo udlula i inwebu ukuya medium zolwelo kwegumbi sobuKristu. Malunga nama-80% wenkqu esebenzayo isicelo ngokwemixholo ongena kwegazi. plasma Ayithandi eliphezulu kwenzeka malunga neyure emva kokuba instillation ibe liliso. Isiphumo ingxenye nezintso.

Ubungqina obubonakalayo buxela

Drug "Fotil Forte" yenzelwe ukunyanga iglaucoma agalelwa. Ingasetyenziswa xa ufuna ukwenza indibanisela timolol kunye pilocarpine. Ngokuqhelekileyo oku kwenzeka xa kukho open-engile glaucoma. Sebenzisa medicament esebenzayo xa kuvalwa neglaucoma nezasesekondari, kwakunye ukunyuka koxinzelelo intraocular emva kotyando kwiyunithi ocular (umz, cataract).

Izimo

Amathontsi glaucoma ukunika iziphumo emangalisa. Nceda ukuphucula imeko yesigulane, kodwa ingasetyenziswa xa kukho phambi kwamehlo uveitis. Vala ukusetyenziswa iyeza ikhonza sinus bradycardia, kwakunye AV-block sisidanga wesibini nowesithathu. Musa ukusebenzisa iziyobisi ngokusilela intliziyo, isifuba inyumoniya nokothuka cardiogenic. Contraindicated amayeza kwizigulane COPD, njengoko kunjalo awusebenzi kweminyaka elishumi elinesibhozo.

Awukwazi ukusebenzisa wamehlo emva utyando eye yenziwa kwaye ngezifo iso xa iliso umfundi constriction okungathetha eziliqela neziphumo ezibi.

Musa ukusebenzisa iziyobisi phambi hypersensitivity ezithile alo.

Ichiza evuzela ngobunono ukusilela intliziyo, phambi ukuphazamiseka cerebrovascular, kwaye kananjalo ukuba kukho isifo seswekile kunye hypoglycemia. Phantsi kolawulo ezizodwa kufuneka ukuba izigulane kunye ngamehlo semehlo wona, izigulane hyperthyroidism kunye ukubona. Oku kuquka abantu abaza utyando phantsi Ukubulawa jikelele.

A indlela yokusebenzisa, idosi

Phambi kwamehlo drip, ufanele wazi ngqo ukuba afunyaniswe isifo kwaye afumane unyango kuyimfuneko ukuba uyavumelana kwagqirha. Ukuba akukho seto ngamnye, ichiza ilawulwa enye idrophu kulo iliso ezichaphazelekayo kabini ngemini.

Kukho izigulane abasebenzisa iziyobisi "Forte" unika isiphumo ngokukhawuleza, kodwa emva kweeveki ezimbalwa zonyango. Xa yokulinganisa uxinzelelo ngaphakathi iliso emva kokuba inyanga usebenzisa amayeza, akukho ukuphucuka kwenzeke, unyango kufuneka baqhubeka "Forte Forte." Instillation kulo mzekelo kufuneka kwenziwe kabini ngosuku yolahlo.

Ukuze ufumane inkcazelo engakumbi athontsize njani iliso, ndithi kuni imiyalelo engakumbi isicelo oluza izikhwebu ne mveliso.

imiphumela emibi

Kuncipha glaucoma kwezinye iimeko, kunokubangela basabele embi. Phakathi kwabo, ukungaboni umbono, ukutshisa imvakalelo omkayo ngokukhawuleza ngokwaneleyo emva ngenaliti. Ngamanye amaxesha kukho ukungavisisani kunye neentlungu emehlweni, ukwanda lacrimation, iliso owomileyo syndrome zinokwenzeka. Kwezinye iimeko, kukho dermatitis ngenkulungwane, inkantsi ciliary imisipha, ukubona, ukuncitshiswa acuity olubonakalayo, apho kunokuthi kwenzeke kwiimeko ekukhanyeni low kwelo gumbi kunye, sigcine, ngenxa miosis.

Kwezinye iimeko, le inwebu ulahlekelwa uvakalelo yayo livela punctate keratitis, Blepharoconjunctivitis negazi, ptosis kunye diplopia. Kwezinye izigulane kukho lamabutho kwiretina ndakutywina iris ngqongqo, cataract.

Phakathi iimpawu systemic isicaphucaphu waphawula, ukuvuza izinkcwe kakhulu kwaye ukubila, urhudo, uxinzelelo lwegazi, isifuba exacerbation. Kwakhona waphawula ukusilela intliziyo, arrhythmia, bradycardia. intloko, ukuxinana ngeempumlo yabonakala kwaye kukho nerhashalala yesikhumba.

Timolol engaphakathi njengomqobo segazi lobuchopho zingachaphazela inkqubo luvo.

Ukuba isigulane unesifo ukusilela intliziyo, kungenxa kwimiphumo timolol ukuze babe isicaphucaphu, asthenia syndrome, ixhala, isiyezi, nemibono, ukudandatheka, kunye neentlungu entloko.

oyi

Vula-angle neglaucoma kunye nezinye izifo iliso musa ukuba siyinyamezele kwakhona ukusetyenziswa ngaxeshanye kweziyobisi eziliqela kunye beta-blocker. Ezinye amathontsi kufuneka asiyeki ukusebenza ngomhla phambi kokuba ukusebenzisa iziyobisi ngasentla.

Rhoqo kwiiveki ezine kufuneka ukuba nazo zizivandlakanye indlela isiphumo ukuba kwenzeka unyango lwezifo ocular (neglaucoma kunye open-ukuvalwa) "Fortilom Forte". Ingakumbi xi yolawulo kufuneka ibe phakathi iliso.

Ichiza kwi yokuqamba benzalkonium chloride, nto leyo yenza apha ukubola, kwaye ichiza kufuneka ingasetyenziswa xa enxibe lenses contact. Cwangcisa lens okanye susa ngazo kungaba imizuzu elishumi elinesihlanu emva instillation yokusithwa emehlweni.

Le into esebenzayo kuhlanganiselo amathontsi - timolol - kwezinye iimeko ifihla hypoglycemia yosizi abantu abanesifo seswekile. Unako ayaliquma Impendulo hyperfunction lengqula ndlala.

Ngaphambi kokuba ahlinzwe oza kwenziwa phantsi zomzimba jikelele "Forte Forte" rhoxisa kwiintsuku ezimbini phambi kokuba isiganeko, njengendlela ekwaziyo ukuphucula iziphumo zomzimba kunye izihlunu relaxants emzimbeni.

impahla Mioticheskih ukuya wamehlo unako ukuvelisa ingqiqo elifutshane bisayo, echaphazela ukuqhuba yezothutho. Ngoko ke, ebudeni unyango, "Forte Forte" Isilumkiso kufuneka lusetyenziswe xa uqhuba naxa usebenza izixhobo ezifuna ingqalelo oluphuculweyo.

Abasetyhini ngethuba lokukhulelwa lokwaphusa angasebenzisa eli chiza xa isibonelelo ukuya unina komonakalo ingozi olungekazalwa.

Amathontsi Iindleko

Drug "Fotil Forte" (imiyalelo ezifakwe imveliso kwaye kufuneka ifundwe phambi kokuqala unyango) ibekwe ngaphakathi engange-150, kunye nogxa walo "Forte" - malunga 200 engange.

ophthalmologists umbono

Azisebenzisayo practice yakhe, aba wamehlo yonke zamehlo. Izimvo oogqirha bacinga kakuhle ichiza. Kuthiwa ngokukhawuleza ukuzinzisa uxinzelelo intraocular kukho ukunyamezeleka kakuhle zizigulane. Kuyanceda ukuphucula imeko ukunyanga iglaucoma agalelwa kweentlobo ezahlukeneyo.

Phantse wonke zamehlo (buyekezwa abanye abantu bathi eli chiza inceda ukuthintela utyando eye) usebenzisa ezi amathontsi okwenziwayo kwakhe utyando. Beshiya izigulane zabo izixhobo ezibonwayo ukunciphisa imveliso ulwelo intraocular kunye nokwandisa ukuphuma kwayo. Ubude Ikhosi post-operative yokusebenzisa "Forte Forte" ziintsuku ezine.

baqinisekiswa

Antiglaucoma iziyobisi yabangela ingxelo ubukhulu becala HIV. Abasebenzisi bathi ichiza kulula ukuyisebenzisa, ezifumaneka ixabiso layo. Kubangele uxinzelelo oluqhelekileyo intraocular. Ngayo, izigulane ezininzi baqala ukubona ngcono kwaye uphephe uqhaqho.

Kukho izigulane awanikeleyo ichiza yabangela iziphumo ebezingalindelekanga ezifana intloko, isicaphucaphu, kuthibaza, kome kakhulu emlonyeni, ukuba nesiyezi. Aba bantu kwafuneka ukuba bashiye ukusetyenziswa kwale iyeza, yaye uyitshintshe ufake enye.

Iimpawu abanale and Treatment

Sebenzisa nethontsi data iliso kunye kwamehlo. Yinto eyaziwayo ukuba esi sifo singanyangekiyo kakhulu, kwisiqalo yokwehla elubala lens kwaye kucutha ndikho okuqonda olubonakalayo.

Cataract ivela kwiimeko ezininzi ngesiquphe kwaye kungekho zimpawu. Ixesha lokuqala izigulane lokudada "aphaphazele 'emehlweni, silhouettes aqale ukukhula kubini, kweso, kwaye kukho mnyama okungephi izixhobo ezibonwayo. Xa ufunda, le ncwadi kulingana distinguishable, zidityaniswe, ezilahlekileyo acuity zokubonwayo kwimbono yehlabathi ezingqongileyo.

Yandisa sifo elide ixesha ngokwaneleyo ukuya kwiminyaka eli-15. Njengomgaqo, kuphela umhlala ubudala cataract (Iimpawu kunye noNyango ziya kunceda ekufumaniseni amagqirha ukuya, ingakumbi unyango ngexesha) yeyona iqapheleka kakhulu kwaye zintsonkothile.

Kumanqanaba okuqala sifo emiselweyo unyango endala. Akuncedi nto ukuba ukubuyisela elubala lens, kodwa kuthintela inkqubela kwesi sifo. Kwiimeko ezininzi kakhulu, ophthalmologists zinika ukusebenza, oluqhutywa indawo ilens yendalo kunye omnye ngumntu.

Kungenxa kwimeko yokugqibela, ukusetyenziswa "Forte Forte" tsakisi gqitha. Ichiza emva kotyando idriphu kwiliso isigulana. Kuyanceda ukunciphisa ukuveliswa ulwelo intraocular kudaleke ukuphuma kwayo. Le ndlela ivumela ukuba uphephe zonke iintlobo iingxaki kwaye bancede amehlo achache ngokufanelekileyo.