"Ekskhol": phau ntawv qhia, xyuas, cov duab, tso tawm daim ntawv no, cov qauv

Nyob rau hauv peb lub cev muaj ib tug tshwj xeeb kev hloov uas muaj peev xwm ntawm kev txo - qhov no yog lub siab. Nyob rau hauv tus ntawm ntau yam unfavorable yam, qhov no hlau yog muaj enormous kev nyuaj siab, thiab nws cov hlwb tuag los yog degenerate rau hauv roj cov ntaub so ntswg. Nyob rau hauv cov kev kho mob ntawm daim siab yog siv ib tug xov tooj ntawm cov tshuaj, ib tug ntawm cov uas - "Ekskhol". Cov lus qhia rau kev siv ntawm cov tshuaj, indications, contraindications, tshwj xeeb tshaj yog txoj kev kho thiab lwm yam ntaub ntawv uas pab tau muaj nyob rau hauv no tsab xov xwm.

Tso daim ntawv thiab muaj pes tsawg leeg

Qhov no tshuaj yog muaj nyob rau hauv daim ntawv ntawm cov tshuaj, txhua tus uas muaj lub active tshuaj - ursodeoxycholic acid nyob rau hauv ib tug npaum li ntawm 250 mg, thiab koom haum pab Cheebtsam: silicon dioxide, magnesium stearate, calcium hydrogen phosphate dehydrate, povidone, lactose monohydrate, thiab lwm tus neeg.

Yuav ua li cas cov tshuaj ua hauj lwm zoo?

Nta ntawm lub pharmacologic los ntawm cov tshuaj "Ekskhol" phau ntawv qhia no qhia txog nyob rau hauv cov nram qab no txoj kev: nws yog ib tug hepatoprotective tshuaj nrog choleretic nyhuv. Lub active tshuaj muaj cov nram qab los:

• thiaj li synthesis ntawm cov roj uas txhaws nyob rau hauv lub siab, thiaj li nws haum nyob rau hauv cov hnyuv thiab cov ntsiab lus nyob rau hauv cov kua tsib;
• Nws tsub kom qhov zoo tshaj ntawm cov roj uas txhaws nyias mus nyias nyob rau hauv cov kua tsib feem system, stimulating lub tsim thiab secretion ntawm zuj zus lawm lawv lithogenicity;
• Nws nkoos tus sawv ntawm lub theem ntawm cov kua tsib acids;
• Nws tej lub tso pa tawm ntawm pais plab thiab pancreatic kua;
• Nws tsub kom cov kev ua ntawm lub lipolytic enzyme;
• Nws muaj hypoglycemic cov nyhuv;
• Nws nkoos ib nrab los yog tag nrho cov haum roj uas txhaws taus lub pob zeb xws li;
• thiaj li kev tsuas xyaus ntawm cov kua tsib nrog roj uas txhaws taus, hloov tej khoom muaj nws los ntawm lub pob zeb;
• Nws muaj immunomodulatory zog, tuav teb mechanisms nyob rau hauv lub siab;
• thiaj li muaj qhov kev qhia ntawm antigens, feeb meej nyob rau hauv hepatocyte membrane system;
• regulates lub xov tooj ntawm T-lymphocytes, interleukin-2;
• Nws thiaj li tus nqi ntawm cov elzinofilov.

Yuav ua li cas tshuaj ntawm cov tshuaj?

Kev npaj "Ekskhol" cov lus qhia rau kev siv ntawm uas yog tau piav nyob rau hauv no tsab xov xwm, ib tug high degree ntawm haum nyob rau hauv cov hnyuv thiab cov muaj peev xwm yuav hla lub tsho me nyuam. Qhov taw qhia makismalnaya concentration ntawm cov tshuaj nyob rau hauv cov ntshav yog tiav tom qab 1-3 teev thiab yog sib npaug zos rau 5.5 mmol / l. Ursodeoxycholic acid yog lom zem ntau bound rau ntshav cov nqaijrog thiab yog metabolized nyob rau hauv mob hlwb nyob rau hauv glycine thiab taurine conjugates ntawm daim ntawv, uas yog tso tawm rau hauv lub bile. khoom ntawm metabolism yog tas nyob hauv cov quav ntawm 50-70%. Ib tug me me npaum li cas ntawm unchanged active tshuaj nkag mus rau hauv cov hnyuv, qhov twg cov kab mob hloov mus rau hauv lithocholic acid, uas yog sulfated nyob rau hauv lub siab thiab tag tas hnyuv.

Yuav kom qhia ib koob tshuaj?

Direct zaj lus tim khawv rau hauv lub txais tos ntawm cov tshuaj "Ekskhol" phau ntawv qhia hais txog cov nram qab no tej yam kev mob:

• thawj biliary mob npuas paug yam nyob rau hauv lub qhaj ntawv ntawm decompensation;
• qhov yuav tsum tau rau txoj kev sib nrauj ntawm cholesterol pob zeb me me thiab mid-size, muab lub gallbladder;
• gastritis (biliary reflux);
• mob active kab mob siab hom;
• daim siab mob nyob rau hauv alcoholism;
• sclerosing cholangitis thawj zoo lawm;
• cystic fibrosis ntawm lub siab;
• nonalcoholic steatohepatitis xwm;
• diskenziya biliary ib ntsuj av.

Nyob rau hauv cov indications tsiav tshuaj thiab cov ntsiav tshuaj "Ekskhol" yog feem ntau tus kws kho los ntawm cov kws kho mob thiab qhia high efficiency.

Contraindications

Cov kev npaj uas muaj ursodeoxycholic acid, yog contraindicated rau cov nram qab no cov kab mob:

• xub ntiag ntawm npau taws me ntsis rau lub Cheebtsam ntawm lub tshuaj;
• tsis muaj dab tsi muaj nuj nqi, thiab empyema ntawm lub gallbladder ;
• xub ntiag ntawm lub pob zeb nrog ib tug loj kev faib ua feem ntawm calcium, kuaj tau los ntawm X-rays;
• fistula nyob rau hauv lub mob huam;
• tus kab mob siab hom;
• inflammatory plob tsis so tswj kab mob cim;
• cholecystitis, cholangitis los yog nyob rau hauv lub mob theem;
• decompensated mob npuas paug;
• kab mob ntawm lub gallbladder thiab nws ducts thiab cov hnyuv;
• Cev xeeb tub thiab lactation;
• Cov me nyuam nyob rau hauv 3 xyoos;
• raum thiab hepatic insufficiency;
• kua tsib huam rhuav txhua O.

Yog hais tias muaj yog contraindications cov ntaub ntawv yog tsis pom zoo rau cov neeg mob kev npaj "Ekskhol". Phau ntawv ntawd hais tias lub cuab tam tsis qhia phiv los rau hauv lub fetus nyob rau hauv cov kev tshawb fawb nyob rau hauv cov tsiaj, tab sis txaus cov kev tshawb fawb nyob rau hauv cev xeeb tub cov poj niam muaj tsis tau ua.

ceev faj

Qhia tshwj xeeb uas qhia ib co nuances uas tau txais txhais tau tias "Ekskhol" phau ntawv qhia. Cov kws kho mob hais txog kev npaj no yog zoo, tab sis lawv xyuam xim rau cov poj niam uas nyuam muaj hnub nyoog tias cov kev kho mob ntawm cov farmproduktom yuav tsum saib xyuas ntawm ntxiv pov. Nyob rau hauv tas li ntawd mus hormonal contraceptives, uas txo efficiency, siv ntawm barrier txoj kev ntawm kev tiv thaiv ntawm pliaj cev xeeb tub. Tsis pom zoo rau cev xeeb tub cov poj niam blindly muab tshuaj kho mob "Ekskhol". Phau ntawv ntawd hais tias nyob rau hauv cov ntaub ntawv no qhov uas yuav rau leej niam yuav tsum yuav ntau dua qhov uas yuav kom cov me nyuam hauv plab. Thaum zoo li no noj tshuaj lactating cov poj niam yuav tsum tsis txhob lactation.

Yog hais tias tus me nyuam yog 3 xyoo ntawm lub hnub nyoog, cov tshuaj "Ekskhol" tej zaum yuav raug muab tso rau nws yog tias tsim nyog. Cov lus qhia rau kev siv rau cov me nyuam hu rau ceev faj nyob rau hauv cov kev kho mob ntawm cov me nyuam mus txog rau 4 xyoo, raws li lawv tej zaum yuav muaj teeb meem nqos lub tsiav tshuaj.

Yuav ua li cas mus thov cov tshuaj?

Qhov zoo tshaj plaws phau ntawv qhia rau cov kev kho mob ntawm cov tshuaj "Ekskhol" - cov lus qhia rau kev siv. Cov duab no cov cuab tam yuav pab tau koj tiv thaiv koj tus kheej los ntawm yuav cuav.

Lub tshuaj no yog muab hais lus, dua li nyob rau hauv lub yav yuav tsaus ntuj. Zom cov tsiav tshuaj yog tsis pom zoo, haus dej haus zoo dua cov dej nyob hauv ib tug me me volume. Yog hais tias tus neeg mob tsis nyhav tshaj 34 kg, nws yog qhov zoo tshaj plaws los mus xaiv tus ncua kev kawm ntawv nrog rau cov tib tshuaj substance.

Ntau npaum nyob rau hauv lub hnub nyoog thiab lub hom phiaj ntawm txoj kev kho.

Nrog ib tug saib kom splitting gallstones thiab ducts "Ekskhol" coj ib tug txhua txhua hnub ntau npaum li cas ntawm 10 mg / kg rau 6-12 lub hlis thiab ib tug ob peb lub hlis tom qab qhov kev tshwm sim rau prophylaxis.

Yog hais tias tus neeg mob khoom Reflux gastritis, nws muab ib cov tshuaj ntsiav ntawm cov tshuaj ib hnub ib zaug rau ib lub voj voog ntawm ob lub lis piam mus rau lub hlis, thiab thaum twg ib tug kev xav tau - mus txog rau 24 lub hlis.

Kev kho mob biliary mob npuas paug ua raws li cov tswvyim: hnub - 10-15 mg / kg nrog ib tug ntev ntawm tus kws kho mob yam.

Nrog lwm yam kab mob muaj nyob rau hauv daim ntawv teev cov indications rau kev txais neeg kawm, ntau npaum thiab qhov ntev ntawm nws nkag set tus kws kho mob rau ib tug neeg zus.

Tsis tas li ntawd, ib tug tshwj xeeb ze yuav tsum tau lub sij hawm ntawm cov me nyuam thiab cov tub ntxhais hluas "Ekskhol" tshuaj. Cov lus qhia rau kev siv nyob rau hauv cov me nyuam loj tshaj 3 xyoos cov ntsiab lus rau qhov yuav tsum tau rau appoint ib tug ntau npaum ntawm 10-20 mg / kg ntawm lub cev hnyav ib hnub twg. Leej cai ntawm cov tshuaj thiab ntev ntawm txoj kev kho yog tsim los ntawm tus kws kho mob ib lub zuj zus.

Puas muaj tej kev phiv los ntawm cov kev kho mob thiab overdose?

Nyob rau hauv lub phiv tshuaj tej zaum yuav tshwm sim thaum noj "Ekskhol" yeeb tshuaj, xws li:

• mob nyob rau hauv lub rov qab;
• digestive mob;
• kev ua si nce siab transaminases;
• phiv tshuaj;
• saturation ntawm calcium gallstones;
• retsediv psoriasis;
• alopecia.

Yog hais tias koj muaj kev cov teebmeem uas koj yuav tsum tsis txhob noj "Ekskhol" tshuaj. Cov lus qhia rau kev siv, cov muaj pes tsawg leeg uas nyob rau hauv txoj kev yog nyob rau hauv no tsab xov xwm no qhia tias cov tshuaj overdose mob tau lawm tias. Txawm li cas los, yog hais tias tus neeg mob muaj cov tsos mob ntawm intoxication tsim nyog los tsim symptomatic txoj kev kho.

Thaum lawv tseem nrog lwm yam tshuaj

Co-thawj coj nrog alyuminiesoderzhaschimi antatsianami thiab ion pauv resins, kom txhob muaj cov efficiency ntawm haum "Ekskhola". Lipid tej kab mob, neomtsin estrogens los yog progestins ua rau kom ua saturation ntawm cov kua tsib cholesterol thiab txo lub xaus ntawm lub pob zeb.

Nta ntawm lub tau txais txhais tau tias

Tus thawj daim ntawv uas koj yuav tsum nyeem ua ntej noj "Ekskhol" tshuaj - cov lus qhia rau kev siv. Tso daim ntawv ntawm cov tshuaj nyob rau hauv tsiav tshuaj feem ntau muaj kev vam meej ua nyob rau hauv kev sib raug zoo mus rau ib tug tag nrho cov roj uas txhaws lub pob zeb uas nws loj tsis pub tshaj 15-20 hli. Nyob rau hauv cov ntaub ntawv no, lub gallbladder yuav tsum tau sau nrog cov ntaub ntawv chaw yog tsis ntau tshaj ib nrab, thiab lub ducts yog 100% khaws cia tseg lawv muaj nuj nqi rau qhov kev tshem tawm ntawm bile.

Nyob rau hauv lub chav kawm ntawm kev kho yaj cholesterol deposits, yuav tsum tswj cov kev ua ntawm daim siab enzymes, transaminases, alkaline phosphatase, GGT thiab bilirubin. Thaum txhua txhua 4 lub lis piam txhua txhua 3 lub hlis ntawm kev kho mob yuav tsum tau ua cholecystography. Txhua rau lub hlis, tus neeg mob yuav tsum yauv mus ua siab ultrasound rau kev ntsuam xyuas kev kho mob miv nyuas siv zug.

Thaum ua tiav splitting lub pob zeb txais tos "Ekskhola" tau lawm tsau yuav tsum tau mus ntxiv rau lwm lub sij hawm ntawm peb lub hlis mus rau qhov kawg xaus ntawm pom pob zeb thiab tiv thaiv kom txhob tsim ntawm sawv daws yuav tshiab.

Yog hais tias nyob rau hauv thawj ib nrab-xyoo ntawm kev kho mob yog tsis cai txawm cov yaj lub pob zeb, nws yog inexpedient mus ntxiv kev kho mob vim hais tias ntawm nws cov inefficiency.

Analogs thiab txhais

Yog hais tias tus neeg mob rau tej lub hom phiaj vim li cas muaj peev xwm tsis raug muab tso "Ekskhol", nws yuav hloov los ntawm ib tug ntawm cov lus ua:

• Tsiav tshuaj "Ursodeoxycholic acid";
• Tsiav tshuaj "Ursol";
• Tsiav tshuaj "Ursosan";
• zaj duab xis-coated ntsiav tshuaj "Ursodeks";
• Tsiav tshuaj "Cursor Rompharm";
• kpsuly "Urdoksa";
• ncua kev kawm ntawv rau hauv kev txais tos "Ursofalk";
• Tsiav tshuaj "Ursofalk";
• "Ursol" capsule;
• zaj duab xis-coated ntsiav tshuaj "Livodeksa";
• "Grinterol" capsule

Yog hais tias tus neeg mob idiosyncrasy ntawm ursodeoxycholic acid, los yog nws tau muaj pov thawj kom pab tsis tau nyob rau hauv cov kev kho mob, nws yog ua tau los hloov cov tshuaj rau ib tug analog, uas yog lub ntsiav tshuaj daim ntawv "Holenzim". Qhov no tshuaj yog thaum lawv tseem neeg sawv cev muaj qhuav kua tsib hmoov dihydrated pancreatic cov ntaub so ntswg thiab qog ua kua nyias tsiaj nyeg plab. Nyob rau hauv kev txiav txim "Holenzim" yog hais txog Cholagogue. Qhov no tshuaj yog ua rau meem kev txhawj xeeb, thiab mob exacerbation ntawm tus kab mob pancreatitis. Raws li sab tshua los ntawm kev noj cov tshuaj tsis haum tshuaj loj tej zaum yuav tshwm sim nyob rau hauv daim ntawv ntawm cov tearing, lossis puas liab liab, thiab daim tawv nqaij ua pob ua xyua.

Nqi thiab tus neeg mob testimonials

Qhov no tshuaj yog ua los ntawm domestic kws lub tuam txhab ZAO "Kanofarma lawm", uas yog nyob rau hauv lub Moscow cheeb tsam. Tus nqi ntawm lub pob "Ekskhola" nruab nrab nyob rau hauv Russia yog 125 rubles. Muaj ntau cov neeg mob hais cov hauj lwm zoo ntawm cov tshuaj, qhov yooj yim ntawm nws txais tos thiab tus nqi pheej yig. Cov neeg uas muaj daim siab mob thiab biliary ib ntsuj av tau sau tseg hais tias zoo tau raug tiav nyob rau hauv cov kev kho mob ntawm "Ekskholom". Ua ke nrog cov efficiency ntawm cov neeg mob qhia zoo tolerability ntawm cov tshuaj.

Nws yuav tsum tau muab sau tseg tias hauj lwm ntawm cov tshuaj yog tsis tag. Rau txhab ntaub ntawv hais txog cov tshuaj "Ekskhol" yuav tsum tau paub cov lus qhia yog muab nyob rau hauv lub pob ntawm cov tshuaj. Lub hom phiaj ntawm qhov cuab tam tsuas yog muaj kev txhawj xeeb nrog lub mus kawm tus kws kho mob. Self-tshuaj yuav ua tau txaus ntshai rau koj noj qab haus huv.