Wamehlo "Nevanak": izimvo kunye nemiyalelo yokusebenzisa, analogs

Yintoni eyedrops kwakuthetha "Nevanak"? Izimo ukuba basisebenzise esi sixhobo kunye nemiyalelo yayo ukusetyenziswa, iziphumo ebezingalindelekanga nokubonakaliswa kuya kuxoxwa ngazo izinto kweli nqaku. Ukongeza, siza kukuxelela indlela kubiza ichiza, esiye isakhiwo nento abacinga ngayo iingcali ngayo.

Ukubunjwa ichiza kunye nefom yayo ukukhululwa kunye nokupakishwa

Eye "Nevanak" amathontsi na ngokorhwebo ziyafumaneka njenge 0.1% ukunqunyanyiswa, ongase ube tyheli luthuthu okanye isibonda-orenji.

1 ml medicament iqulethe 1 mg nepafenaka. Njengoko ngokuba excipients, ekuqulunqeni yenziwa macandelo alandelayo: 50% solution benzalkonium chloride, isodiyam hayidroksayidi, tyloxapol, mannitol, carbomer, disodium edetate, sodium chloride kunye namanzi okuhlamba.

Eyedrops "Nevanak" zingathengwa dropper igutyana, ezenziwe polyethylene loxinano eliphantsi. Ngokuqhelekileyo, ichiza ibekwe kwibhokisi yekhadibhodi.

iimpawu amayeza we ichiza

Uwisa "Nevanak" ngeso uhlobo etyalike a non-steroidal nechiza elichasene-ezithintela ukosuleleka kunye iintlungu kunye namanyathelo anti-ukudumba.

Emva element mlonyeni medicament esebenzayo ingena ngalo inwebu umzimba optic. Apho, ngoncedo hydrolases, Nguwuphi wayo amfenac. Le element abangaphangeliyo sisenzo cyclooxygenase, oko kukuthi i-enzayimi kubalulekile ukuba imveliso prostaglandins.

Ngexesha ukusetyenziswa kwale kudumba lwemithi inwebu iliso ngonyuka lifinyele, size ekugqibeleni zonke syndromes iintlungu. Kufuneka kuqatshelwe ukuba eli chiza alunasiphumo okhethekileyo uxinzelelo (intraocular).

Pharmacokinetics beziyobisi

Koda kube wendele iziyobisi "Nevanak" (wamehlo)? Iingcali Guest bathi le ichiza kakhulu ezabalazela ngokukhawuleza ngalo inwebu welungu olubonakalayo.

Nge instillation ngemihla ichiza izihlandlo ezithathu ngokusebenzisa iiyure 2 kutyhilwa ephantsi lamanani plasma ukwimo esebenzayo.

Isicelo lendawo ichiza phantsi kweempembelelo hydrolases intraocular sokubambela element ufakwa lwephanyazo haydrolisis amfenac. Emva koko, umzimba wayo ophuma phakathi hydroxylation le ring enuka kamnandi. Kamva, oku kukhokelela udibaniso kunye glucuronic acid.

Asinako ukuba iliso lihla "Nevanak", hayi kanye mandithi, ubusingele esebenzayo ukhutshwa kuphela nezintso. Kodwa xi kunye amfenac efanayo nepafenaka kwi ungakwazi umchamo kuba kanye ezinokubalwa.

Ukulungiselela "Nevanak" (wamehlo) yemiyalezo

Thina kucingwa indlela kufuneka isetyenziswe kuphela ekuhlaleni. Phambi ukusebenzisa, igutyana-dropper ezingenakuzanyazanyiswa ngamandla. Ngoko, ukuba kuvulwe enye idrophu ithe yawa ukuya sac conjunctival. Kwenze oku kathathu ngemini.

Ngokubanzi, unyango kunye eli chiza ekuqaleni ukuya kanye ngenye imini phambi utyando, ekufuneka lwenzelwa ukususwa kwamehlo. Ukongeza, le unyango kuthetha kuqhubeka ngethuba kwiiveki zokuqala ezimbini kwexesha postoperative, kuquka ngemini operation ngokwayo. Ngendlela imizuzu 60-120 phambi kotyando Kucetyiswa ukuba athontsize nethontsi amayeza engaphezulu.

Ubungqina obubonakalayo buxela ukuba ukusebenzisa amathontsi

Yintoni amathontsi kwakuthetha "Nevanak"? Xa ezikude kunye ukubona emiselweyo zabo kuphela xa ogulayo ukudumba owenzeka sizoku lwisana utyando ukususa cataract. Kwakhona, eli chiza isetyenziselwa nokuthintela kunye nokunyanga syndromes intlungu postoperative.

Izimo ukusetyenziswa ngamathontsi

Kwezinye iimeko, awukwazi ukusebenzisa wamehlo "Nevanak"? Analogue yale arhente kunye ichiza ngokwayo kufuneka Izimo zilandelayo:

• yobudala nomonde eyi-18 (ukusebenza kunye nokhuseleko ichiza ebantwaneni khange kufundwe);
• Okubuhlungu nokuthimliswa, urticaria kunye asthma okubangelwa NSAID okanye aspirin;
• uvakalelo oluphezulu kwiziqalelo kunye neendlela kwezinye NSAIDs.

Libanda kabi

Amatyala libanda, "Nevanak" ichiza namhlanje ukuyityhilelwa. Iliso kweziyobisi ngaphezu kwemfuneko ipurwe ngamanzi ashushu.

imiphumela emibi

Ziziphi imiphumela emibi wamehlo "Nevanak"? Ngokutsho imiyalelo, iqhotyoshelwe kule ndawo, eli chiza inani elikhulu kakhulu yeziphumo ezibi. Ngoko ke, ngaphambi kokuba isicelo ukuba isigulane kufuneka kusoloko ubonane nogqirha.

Ngoko ke yintoni na iziphumo ebezingalindelekanga wamehlo "Nevanak"? Analogs, kwaye kanye ingqiqo kuthetha ngamanye amaxesha ukuba abasabela ilandelayo:

• basabele Local. Kwezinye iimeko, izigulane ezisebenzisa eli chiza, kukho intlungu ukurhawuzelela lwalo, kwakunye punctate keratitis, kome conjunctival, ukungaboni, ukhokho kwi kungqameko iinkophe kunye imvakalelo nomzimba amazwe. Kwakhona, esi sixhobo nga negalelo ekuveleni iritis, keratitis, iidipozithi kwenwebu yamehlo, yanobhobhozo oluphuma emehlweni, effusion choroidal, photophobia, ukutyabuka iliso, conjunctivitis negazi, ukuphazamiseka le iinkophe, ubuhlungu emehlweni, lacrimation eyonyukileyo kunye hyperemia conjunctival.
• iziphumo ebezingalindelekanga zeNkqubo. Maxa wambi, izigulane osebenzisa esi sixhobo, kukho intloko ebuhlungu, kunye noxinzelelo lwegazi, isicaphucaphu, sinusitis, ukugabha, umlomo owomileyo, ubuzaza eyonyukileyo kunye stretchability ulusu (okt dermatohalazis).

Ziziphi ezinye iziphumo ebezingalindelekanga kunokubangela iziyobisi "Nevanak" (eye amathontsi)? Iingcali Ukubuyekezwa bathi ukuba ichiza enjalo maxa wambi iba unobangela keratitis okwenziwa sisilonda sikabhobhosi, siphene kwenwebu epithelial okanye izifo, ukwenzakala kwenwebu yamehlo, ukuyilwa infiltrate yokukrala okwenzeka egumbini phambi esweni. Ngapha koko, le sixhobo, kungaba kubi inkqubo impiliso kwenwebu kunye nokunciphisa acuity olubonakalayo igalelo opacification kwenwebu.

Kufuneka wenze ntoni xa kwimeko yeziphumo ebezingalindelekanga?

Ukuba emva kokufaka iliso lihla phambi kwethu Ndilibonakalisile ziziphumo ebezingalindelekanga, kucetyiswa ukuba nangoko ayeke ukusebenzisa iziyobisi. Ukongeza, amayeza kuyo nayiphi na imeko ingenakusetyenziswa kulophulo kwabo izigulane kuye kukho ubungqina umonakalo inwebu.

Asinako ukuba amava usebenzisa NSAIDs zasekuhlaleni icebisa ukuba izigulane kunye iingxaki ilandelayo notyando lwamehlo, iintsilelo le epithelium kwenwebu yamehlo, denervation le inwebu, isifo seswekile, isifo samathambo, kwakunye ukuphazamiseka iliso phezulu okanye okuphindwayo imisebenzi zotyando ezibe liba- ixesha elifutshane ngexesha sengozini enkulu yeziphumo ebezingalindelekanga ezivela inwebu. Hi ndlela leyi, le yobunyani yingozi ukuba ulahlekelwe mbono.

Unxibelelwano namanye amachiza

Ngokutsho izifundo, ngelixa nokusebenzisa "Nevanak" eyedrops kunye nezinye iziyobisi ngabo iziphumo amathuba negative.

Ukongeza, iinkcukacha malunga nokusetyenziswa ngaxeshanye ichiza phambi kwethu kunye analogue prostaglandin azifumaneki okwangoku. Kodwa ke, ngenxa ezisebenza amanyathelo kula machiza, ukuba isicelo ngexesha elinye-a ayinqweneleki kakhulu.

Xa yondele kufuneka eyedrops "Nevanak" zingasetyenziswa zidityaniswe namanye amachiza (lwamehlo), eyenzelwe ukuba isicelo mlonyeni. Kulo mzekelo, lekhefu phakathi ubangcwabayo kufuneka imizuzu emihlanu ubuncinane.

Zisanyisa nokukhulelwa

Ndingasebenzisa ngexesha lokukhulelwa sihlisa "Nevanak" (ngokuba ukubona okanye ezikude)? Kulo mbuzo iingcali ukunika impendulo ethile. Ngexesha lokukhulelwa, oku ukusebenzisa iyeza akuvumelekanga. Ngaphezu koko, ukuba amathontsi sele yabelwe umama oselula ngexesha zisanyisa, isikhuselo-lwebele kufuneka ngoko nangoko yayekwa.

Iimvavanyo izilwanyana zaselebhu wabonisa zinetyhefu ekuzaleni kuthetha phambi kwethu. Ukuyifundisisa kakuhle ifuthe into esebenzayo amalungu okuzala yeempuku abafumana amathamo eziyityhefu (ngaphezu kwama-10 mg / kg) ngexesha ngalinye kwakhokelela dystocia yaye zikwandisa inani kwezisu zidityaniswe, ubunzima bomzimba kunye nokukhula iimbumba uhle nokunciphisa ukuphila kwabo.

Asikwazi nithi kwemivundla abakhulelweyo abafumana eli chiza ngeedosi ezisezantsi-ityhefu (30 mg / kg) lonke ixesha kwakhokelela ekwandeni malformations imivundla.

isikhokelo ngqo malunga nokusetyenziswa wamehlo

Ndisenako ukuthenga phi wamehlo "Nevanak"? In Grodno kunye neminye imizi Belarus, ngokunjalo kwilizwe lethu eli chiza kuthengiswa phantse yonke ekhemisti.

Abo izigulane zaye zabelwa kule amayeza, kufuneka uphephe elangeni ixesha elide.

Ukusetyenziswa kwe-arhente non-steroidal (local) kungaba lula kungakhokelela keratitis. Kwezinye izigulane singangena kunye nokusetyenziswa ixesha elide ezi amayeza ebangela kwenwebu ukuxozwa, komsipha iiseli epithelial, kwakunye ukukhusele inwebu, perforation kunye zizilonda. ziphumo bezingalindelekanga elolu negalelo ilahleko mbono. Izigulane iimpawu discontinuity epithelial iiseli kufuneka ngoko nangoko uyeke ukusebenzisa iziyobisi. Kwakhona, kufuneka babe phantsi kweliso zonyango olungqongqo.

Ukusetyenziswa kweziyobisi non-steroidal (local) libambisene kunye notyando lwamehlo kunokubangela ukopha kakhulu, kuquka gifemu. Ngoko ke, ezi wamehlo kufuneka ngononophelo kakhulu kuloo izigulane anento exesheni. Kukwasebenza kwanjalo kwizigulane abo ukuthatha amayeza ukwandisa ixesha ekunqandeni igazi.

Umba phambi kwethu medicament iqulethe ukubola ezifana benzalkonium chloride. Ngokutsho kweengcali, oko kubangele ubuhlungu yamehlo, kwakunye kombala lenses contact. Hi ndlela leyi, bethwele yokugqibela ayikhuthazwa ngexesha xesha postoperative (emva cataract). Kwakhona, lenses zoqhagamshelwano ayikwazi ingasetyenziswa ngexesha unyango lithetha "Nevanak".

Akunakwenzeka ukuba uqaphele into yokuba benzalkonium chloride, eyinxenye ye yokulungiselela, luwuphuphumise isigulana zinetyhefu sisilonda keratitis kunye punctate keratitis. Kulo mba, ixesha elide kunye nokusetyenziswa rhoqo iyeza kufuna esweni eyodwa zonyango kwizigulane.

Ukusetyenziswa kwe-arhente zendawo ezingezo-steroidal kungavimbela imiqondiso yokuchonga kwangethuba izifo ezihlasela zosulele ocular, ekubeni azinayo iipropati elwa. Kwimeko enjalo isifo ngexesha elinye nokusetyenziswa NSAIDs kunye arhente antibacterial kufuneka luphunyezwe ukuthotyelwa onke amanyathelo okhuseleko.

Xa usebenzisa nepafenaka kukho amathuba cross-uvakalelo avela acid phenylacetic, acetylsalicylic acid kunye nezinye arhente non-steroidal.

Ngexesha isicelo kweli chiza ayikhuthazwa ukuba angamchukumisi incam ibhotile amayeza nawuphi na umgangatho ukunqanda ungcoliseko. Emva ukusetyenziswa, igutyana kufuneka ivalwe kakuhle.

Analogs, kwaye indleko amayeza

Kangakanani na wamehlo "Nevanak" (Belgium)? Pharmacy eMoscow nakwezinye izixeko zelizwe lethu beziyobisi ngumqulu ml 5 kuthengelwa 500-600 engange Russian. Ukuba nangasiphi na isizathu awukwazi ukufumana amayeza, kufuneka kufakwe kunye analog. In "Nepafenak" iliso drop ayanceda isiyobisi enjalo.

Uwisa "Nevanak": uluvo ingcali yakhe namaxwebhu angqina ngaye nomonde

Iingcali ezininzi banoluvo lokuba ngaphandle iliso "Nevanak" kusithwa ukuqhuba utyando ukuze ukususwa cataract ayikhuselekanga. Ngoko ke, eli chiza kudla emiselweyo ukuba izigulane isifo wathi, ingakumbi ukuba umsebenzi icwangciswe kwixa elizayo.

Njengokuba abo bantu abaye kumiselwe ezi amathontsi, yokuba bengawugcini ukusebenza ebonakalayo kubo. Ngaphezu koko, sebenzisa ixesha elide eli chiza ibangela iqela elikhulu yeziphumo ebezingalindelekanga. Ngokomzekelo, ezinye izigulane ezikhala umsi emehlweni, kunye nezinye - phezu yakhawuleza olomeleleyo otshisayo.

Ngokutsho imiyalelo, xa iziphumo ebezingalindelekanga okhankanywe yokusithwa kufuneka ngoko nangoko, leyo ecaphukisayo kakhulu izigulane ezininzi. Ngapha koko, omnye igutyana ichiza imali eninzi kakhulu.

Imigaqo nemiqathango nokugcinwa ichiza

Gcina i drop iliso "Nevanak" desirably kubushushu degrees 5-8 ingafumaneki abantwana abancinane. Ithuba lokugcinwa yalo imveliso kwiminyaka emi-2. Ukuze isicelo ngokupheleleyo eli iyeza kufuneka iiveki ezine emva kokuvula i-ibhotile dropper. Emva komhla wokuphelelwa eziboniswe iphakheji, musa ukusebenzisa amayeza kuthethwa.