"Kutiveyt" (tshuaj pleev) - cov lus qhia rau kev siv. Hauj lwm ntawm cov kev npaj

Nyob rau hauv thiaj li yuav siv cov tshuaj "Kutiveyt" (qab zib)? Cov lus qhia rau kev siv cov yeeb tshuaj, nws analogues, nyeem ntawv, tso tawm cov ntaub ntawv thiab muaj pes tsawg leeg yuav tau piav nyob rau hauv no tsab xov xwm. Los ntawm nws koj yuav kawm tau ntau npaum li cas nws cov nqi yog ib lub cuab tam uas nws muaj contraindications, yog muaj tej yam kev tshwm sim thiab thiaj li nyob. D.

Muaj pes tsawg leeg, hauv daim ntawv ntawm qhov teeb meem, kev piav qhia thiab ntim

Yuav ua li cas Cheebtsam muaj xws li tshuaj "Kutiveyt" (qab zib)? Cov lus qhia rau kev siv hais tias daim ntawv no ntawm active neeg sawv cev formulation ua fluticasone propionate. Nws kuj muaj xws li sorbitan sesquioleate, kua paraffin thiab microcrystalline ciab.

Translucent thiab niaj hnub tshuaj pleev yog npaj rau lwm siv. Nws muaj ib tug dawb los yog yuav luag dawb. Drug muag nyob rau hauv txhuas hlab (15 g), uas yog nyob rau hauv cartons.

Nyob rau hauv dab tsi lwm yam hauv daim ntawv ntawm cov tshuaj tso tawm "Kutiveyt"?

Qab zib rau lwm siv (0.05%) muaj ib tug uniform thiab mos ntxhib los mos, thiab kuj dawb los yog ze li ntawm dawb. Lub active tivthaiv ntawm daim ntawv no kuj ua fluticasone propionate. Tsis tas li ntawd, cov kev npaj muaj adjuvants xws li sodium phosphate, kua paraffin, cetostearyl cawv, isopropyl myristate, propylene glycol, ketomakrogol, imidurea, citric acid monohydrate, thiab lim dej.

Cov tshuaj no yog marketed nyob rau hauv txhuas hlab (15 g), muab tso rau hauv cov duab los qhia pob.

Dhau li ntawm tus ob saum toj no-hais ntaub ntawv ntawm cov tshuaj nyob rau hauv lub khw muag tshuaj koj yuav tau nrhiav lwm yam txhais tau tias "Kutiveyt" - qhov ntswg tshuaj tsuag thiab aerosol nqus tau pa. Lub active tshuaj hais tshuaj yog cov tib yam li hais tias ntawm lub tshuaj pleev cream. Txawm li cas los, lawv lub hom phiaj yog sib txawv dog dig.

pharmacological yam ntxwv

Yuav ua li cas yog cov tshuaj "Kutiveyt"? Hormonal los yog tsis tshuaj no? Raws li cov kws txawj, cov tshuaj no yog ib tug glucocorticosteroid neeg sawv cev nrog cim anti-inflammatory nyhuv.

Raws li hais saum toj no, tag nrho cov ntaub ntawv ntawm qhov kev siv yeeb tshuaj nyob rau hauv kev saib xyuas muaj tus nquag tivthaiv xws li fluticasone propionate. Nws glucocorticosteroid neeg sawv cev. Thaum ua ntawv thov topically, nws eliminates burning, lossis puas liab liab thiab khaus, tab sis kuj ho thiaj li cov kev siv ntawm cov uas twb muaj lawm o.

Rau lwm siv kev npaj muaj ib tug qhia tau anti-edema thiab anti-kev tsis haum cov nyhuv. Nws tsis yog sau tseg tus tsis zoo feem ntawm lub hais tias neeg sawv cev nyob rau hauv lub plawv, ua pa thiab tshee systems.

tshuaj

Seb tshuaj yog absorbed "Kutiveyt" (qab zib)? Cov lus qhia rau Siv hais tias nyob rau hauv sab nraum zoov daim ntaub ntawv rau lub bioavailability ntawm fluticasone propionate yog heev tsawg. Qhov no yog vim nws tsuas siv haum ntawm daim tawv nqaij, raws li zoo raws li lub metabolic tus nqi thaum dhau los ntawm lub siab.

Cov tshuaj uas tau nkag mus hauv lub mauj kev tom qab daim ntawv thov rau ntawm daim tawv, sai sai kev mob ua npaws. Nyob rau hauv no hais txog, nws yog tsawg heev mauj mob.

Lub ntsiab txoj kev ntawm yeeb tshuaj metabolism yog lub hydrolysis mus rau lub carboxylic acid. Educated metabolite muaj ib tug ncaj tsis muaj zog glucocorticoid kev ua si. Lub active tshuaj tshuaj tsis khi rau melanin thiab accumulates nyob rau hauv cov ntaub so ntswg.

Fluticasone propionate heev sai tas thiab muaj ib tug heev metabolic clearance.

Indications rau daim ntawv thov ntawm cream thiab tshuaj pleev

Nyob rau hauv tej rooj plaub, muab hormonal tshuaj "Kutiveyt" (qab zib)? Cov lus qhia rau kev siv qhia tus neeg mob tias lub cuab tam yog siv los kho tus mob daim tawv nqaij kab mob.

Yog li, indications rau kev siv ntawm hais tias medicament ntaub ntawv yog cov nram qab no variations:

• atopic dermatitis;
• eczema;
• seborrheic dermatitis ;
• psoriasis;
• erythroderma (nyob rau hauv tas li ntawd mus mauj txoj kev kho);
• hu rau dermatitis;
• Lichen planus;
• neyrodermatozy, xws li Lichen simplex;
• discoid lupus erythematosus;
• kab tom.

Cov kev tsis haum dermatosis tso cai qab zib treat nyob rau hauv cov me nyuam laus tshaj ib xyoo. Raws li rau lub tshuaj pleev, ces qhov no daim ntawv ntawm cov tshuaj yuav tsum tau muab tus me nyuam yog 6 lub hlis.

Indications rau kev siv ntawm ib tug ntswg tsuag los sis aerosol

Nyob rau hauv tej rooj plaub, tus neeg mob cov tshuaj tsuag "Kutiveyt" yuav raug muab tso? Guest cov kws txawj hais tias txhais tau hais tias zoo khoom ntswg tsis haum txhaws ntswg. Raws li rau lub aerosol, nws yog nquag siv rau kev tiv thaiv ntawm exacerbations mob hawb pob.

Contraindications rau kev siv ntawm tag nrho cov ntaub ntawv ntawm cov tshuaj

Yog hais tias muaj tej yam txawv txav, tsis txhob siv cov tshuaj "Kutiveyt" (lee, tshuaj pleev, tshuaj tsuag, aerosol)? Raws li cov kev qhia ntawv, tag nrho cov ntaub ntawv ntawm cov nyiaj yuav siv tsis tau thaum:

• liab pob txuv;
• Ordinary pob txuv;
• nyob rau hauv cov me nyuam mus rau ib xyoo rau lub qab zib kom txog li 6 lub hlis rau ointments thiab mus txog rau 4 xyoo rau cov tshuaj tsuag;
• perioral dermatitis;
• kab thiab fungal kab mob ntawm daim tawv nqaij;
• perianal thiab qhov chaw mos khaus khaus;
• npau taws me ntsis tus neeg saib xyuas tshuaj.

Nws yuav tsum tau muab sau tseg tias cov kev pab no yuav tsum nrog huab ceev faj nyob rau hauv cev xeeb tub thiab thaum lub sij hawm lactation.

Txoj kev ntawm daim ntawv thov ntawm ointments thiab cream

Yuav ua li cas kuv yuav tsum tau siv lwm kev npaj "Kutiveyt"? Kev siv cov tshuaj pleev thiab cream yuav tsum tsuas yog muab los ntawm ib tug kws kho mob. Nyob rau hauv cov kev kho mob ntawm tus kab mob thiab mob dermatoses medicament yog thov rau cov cheeb tsam nrog ib tug nyias txheej ob zaug ib hnub twg. Lub caij ntawm kev siv ntawm hormonal tshuaj yog ob lub lis piam.

Yuav kom txo tau cov tsis tshua mob heev los ntawm tej kab mob, xws li tsis haum dermatosis, tom qab tau zoo ib tug kho nyhuv thiab lub zaus ntawm daim ntawv thov ntawm tshuaj pleev kua txo. Nyob rau hauv cov ntaub ntawv no, cov tshuaj yuav tsum tau siv ib zaug xwb yog ob zaug ib lub lim tiam. Yog li occlusive cov ntaub qhwv yuav tsum tau zam.

Nws yuav tsum tau muab sau tseg tias cov tshuaj pleev thiab kua yuav tsum tau ua ntawv thov rau tag nrho cov yav tas los cuam tshuam daim tawv nqaij, raws li zoo raws li cov neeg uas muaj tus kab mob tej zaum yuav tshwm sim.

Dosing thiab dosing tsuag thiab aerosol

Yuav ua li cas kuv yuav tsum tau siv lub zos tshuaj "Kutiveyt" (txhais tau tias tus nqi sawv cev ib tug me ntsis rau yav tom ntej)? Cov neeg laus qhov ntswg tsuag yog pom zoo kom siv cov thaum sawv ntxov ntawm 100 mcg ib nostril, thiab cov me nyuam nyob rau hauv 12 xyoo - 50 micrograms.

Nrog rau kev hwm mus aerosol rau inhalation, qhov nruab nrab bronchial hawb pob, me me thiab mob tshuaj nyob rau hauv daim ntawv tshuaj ib hnub ob zaug 250-500 ug 100-250 ug thiab 500 ug, ntsig txog. Cov me nyuam hluas nyob rau hauv 16 lub xyoos ntawm hnub nyoog yuav tsum tau siv ib tug txhais tau tias ntawm 50-100 micrograms.

overdose

Qhov ntau yam ntawm mob overdose ntawm cov nyiaj yog tsis tshua muaj tsis tshua muaj. Tab sis, yog hais tias siv incorrectly los yog mob overdose, tus neeg mob tej zaum yuav tsim cov tsos mob ntawm Cushing. Nyob rau hauv cov ntaub ntawv no, kev siv ntawm cov tshuaj yuav tsum tau sai li sai tau txiav. Txawm li cas los, lub abolition ntawm cov tshuaj yuav tsum tau nqa tawm maj, nyob rau hauv lub saib xyuas ntawm ib tug kws kho mob (yuav tsum tsis txhob yuav raug kev nyuaj siab lag luam ntawm lub adrenal cortex).

Sab los tom qab qhov kev siv ntawm ointments thiab cream

Puas muaj tus tshwm sim los ntawm cov tshuaj "Kutiveyt"? Guest cov kws txawj qhia tias nyob rau hauv tej rooj plaub, cov tshuaj ua tau txhawb cov tsos ntawm cov nyom tshua. Ntawm lawv yog cov hauv qab no:

• Local tshua: atrophic daim tawv nqaij hloov (hypertrichosis, thinning, dilation ntawm cov hlab ntsha, hypopigmentation thiab striae), khaus, kub nov ntawm nqaij tawv, aggravation ntawm cov tsos mob dermatosis, kev loj hlob kev sib cuag thiab tsis haum dermatitis, raws li zoo raws li theem nrab kab mob (raws li qhov daim ntawv thov ntawm occlusive cov ntaub qhwv).
• Mauj tshua: symptomatic hypercortisolism (nrog heev siv thaum muaj kev kub noj tshuaj npaum cas ntawm cov tshuaj, raws li zoo raws li ib tug sab nraud tus neeg saib xyuas thov kom nws kim heev qhov chaw ntawm daim tawv nqaij). Feem ntau cov feem ntau, qhov no sab nyhuv cai nyob rau hauv cov me nyuam mos thiab cov me nyuam yaus, raws li zoo raws li cov kev siv ntawm occlusive cov ntaub qhwv. Heev tsis tshua siv ntawm ointments thiab cream muaj peev xwm ua rau txoj kev loj hlob ntawm pustular psoriasis.

Sab los tom qab qhov kev siv ntawm lub tshuaj txau thiab aerosols

Qhov ntswg tsuag feem ntau ua rau qhov ntswg voos, qhov ntswg septum perforation, raws li zoo raws li lub siab ntawm saj thiab tsw. Nrog rau kev hwm mus aerosol rau inhalation, xws li ib tug hauv daim ntawv ntawm cov tshuaj txhawb mus rau lub tsos ntawm lub qhov ncauj Candidiasis, txhaws qa thiab kev loj hlob ntawm paradoxical bronchoconstriction.

ceev faj

Ntev siv tshuaj pleev thiab cream nyob rau hauv siab koob, tshwj xeeb tshaj yog yog hais tias tus tshuaj twb thov kom nws kim heev qhov chaw ntawm daim tawv nqaij (tshwj xeeb tshaj yog nyob rau hauv cov me nyuam) tej zaum yuav ua rau hluav ntawm adrenocortical muaj nuj nqi.

High haum ntawm sab nraud npaj nyob rau hauv cov me nyuam tshwm sim ntau tshaj nyob rau hauv cov neeg laus. Yog li ntawd, lawv muaj ntau susceptible mus mauj teebmeem ntawm cov tshuaj. Nyob rau hauv no hais txog, xws li ib tug txhais tau tias yuav tsum tau siv nyob rau hauv me me koob tshuaj, uas muab ib tug kho nyhuv.

Thaum luag hauj lwm sab nraum zoov daim ntaub ntawv atrophic hloov feem ntau tshwm sim nyob rau hauv lub ntsej muag. Qhov tseeb yuav tsum raug xam tias yog thaum lub sij hawm kev kho mob ntawm xws deviations li discoid lupus erythematosus, psoriasis thiab mob eczema.

Thaum ua ntawv thov tshuaj pleev thiab cream rau puas yuav tsum tau kom tsis txhob tau txais cov tshuaj rau hauv lub ob lub qhov muag, raws li qhov no yuav ua glaucoma los yog hauv zos voos.

Tshwj xeeb kev kho mob tshuaj tsuag rau nqus tau pa yog kws kho rau pulmonary tuberculosis. Nyob rau hauv cov ntaub ntawv no, kev kho mob yuav tsum tsis txhob tso tseg dheev.

Qhov ntswg tsuag yuav tsum tau siv tu ncua.

Tshuaj "Kutiveyt": analogs thiab tus nqi

Analogs ntawm cov nyiaj yog cov nram qab no cov tshuaj: "Nazarel", "Valium", "Flixonase" "Fluticasone" thiab "Fliksotid".

Yuav ua li cas npaum li cas yog ib tug txhais tau tias ntawm "Kutiveyt"? Nqe nyob rau hauv ntau yam ntaub ntawv ntawm cov tshuaj yuav txawv ho. Piv txwv li, lub tshuaj pleev yuav raug muas 290 Lavxias teb sab rubles, thiab cov cream - rau 330.

Hais txog qhov kev tib tus nqi yog qhov ntswg tshuaj txau thiab aerosols rau nqus tau pa.

Xyuas ntawm lub tsheb

Tshuaj "Kutiveyt" yog ib tug hormonal neeg sawv cev. Qhov tseeb yog heev ntshai cov neeg mob uas nws tau raug tsa. Txawm li cas los, tom qab thawj zaug kev siv, lawv nco ntsoov nws cov high efficiency.

Raws li cov lus teb ntawm cov neeg mob, tshuaj pleev thiab kua es sai sai kho tag nrho cov hom ntawm cov tshuaj tsis haum dermatoses. Raws li zoo tiv nrog lub hauj lwm, thiab tsuag aerosol.

Txawm li cas los, nws yuav tsum tau muab sau tseg hais tias muaj kuj yog xws li ib pab pawg ntawm cov neeg uas tsis txaus siab txog cov emergence ntawm ib tug loj tus naj npawb ntawm cov kev phiv. Nyob rau hauv cov ntaub ntawv no, tus neeg mob yog pom zoo kom rho tus siv ntawm cov tshuaj thiab siv ib tug ntau ruaj ntseg sib npaug.