Los ntawm ntau pab "Monural"? Nta ntawm daim ntawv thov, cov lus qhia, contraindications, thiab kev xyuas txog cov kev npaj

Los ntawm ntau pab "Monural"? Ob peb cov poj niam paub cov lus teb rau lo lus nug no. Nyob rau hauv no hais txog, nyob rau hauv lub tam sim no tsab xov xwm, peb txiav txim siab los qhia rau koj hais txog dab tsi siv hais tias medicament, raws li zoo raws li yuav ua li cas muaj ntau yam nws ua, yog hais tias nws muaj tej yam contraindications thiab thiaj li nyob.

Ntim, muaj pes tsawg leeg, zoo

Hais txog hais tias, yuav ua li cas muaj ntau yam pab "Monural" yuav muaj nyob rau hauv cov lus qhia uas tuaj nrog cov tshuaj. Nws yog muab tso rau hauv ib lub cardboard lub thawv, uas muaj cov multi-txheej laminated hnab nrog yeeb tshuaj substance.

Saib kev npaj yog marketed li dawb granules nrog mandarin tsw. Lawv yog tsim rau cov kev npaj ntawm qhov ncauj tov.

Lo lus teb rau lo lus nug ntawm yuav ua li cas muaj ntau yam pab "Monural" yog zoo txog rau nws cov muaj pes tsawg leeg. Lub active ingredient ntawm lub medicament yog fosfomycin trometamol. Nws kuj muaj ntxiv cheebtsam hauv daim ntawv ntawm cov saccharin, txiv kab ntxwv soob thiab txiv kab ntxwv flavoring thiab sucrose.

pharmacological characterization

Muaj ntau cov neeg mob uas tau raug tsa los cov tshuaj no, yog xav tsis tau tsuas yog rau lo lus nug ntawm yuav ua li cas muaj ntau yam siv tau "Monural", tab sis kuj hais txog seb nws yog ib tug antibacterial neeg sawv cev.

Raws li cov lus qhia, xam tau tias yog ib yam tshuaj yog ib tug niaj hnub broad-spectrum tshuaj tua kab mob. Nws yog siv nyob rau hauv cov kev kho mob ntawm cov kab mob inflammatory plurality urinary system.

Ua ntej teb cov lus nug ntawm yuav ua li cas muaj ntau yam pab "Monural", peb yuav tsum hais tias nws yog ib tug derivative ntawm phosphonic acid. Qhov no tshuaj yog tau pheev ib tug bactericidal nyhuv vim inhibition ntawm synthesis ntawm cell phab ntsa ntawm cov kab mob.

Raws li analog phosphoenolpyruvate, lub active tshuaj reacts nrog cov enzyme N-acetyl-glucosamine-3-o-enolpiruvil-transferase. Raws li ib tug tshwm sim, nws tshwm sim irreversible, xim thiab tej inhibition, uas saib kuas hais tias tsis muaj tus ntoo khaub lig kuj nrog rau lwm cov tshuaj tua kab mob, thiab tau synergy nrog lawv.

"Monural" yog active tiv thaiv ntau Gram-zoo kab mob thiab feem ntau Gram-tsis zoo microorganisms. Nws active neeg sawv cev thiaj li muaj cov adhesion ntawm cov kab mob rau mob txeeb zig epithelial txheej.

tshuaj

Yuav ua li cas muaj ntau yam hauj lwm "Monural"? Lub active ingredient ntawm cov tshuaj yuav luag tam sim ntawd tom qab haus yog absorbed los ntawm cov hnyuv ib ntsuj av. Nyob rau tib lub sij hawm nws sai sai ua li nyob rau hauv cov zis.

Thaum ib tug tib daim ntawv thov ntawm cov tshuaj tov nws bioavailability yog 35-65%. Lub active tshuaj yam khoom uas yog tsis ua txhua yam rau ntshav cov nqaijrog, tab sis nyob rau hauv tib neeg lub cev yog dissociated rau hauv trometamol thiab fosfomycin, thiab ntau yog tsis metabolized.

Thaum tau txais ib zaug xwb koob tshuaj "monural" nyob rau hauv ib tug npaum li ntawm 3 g ntawm nws nyob rau hauv concentration zis nce mus txog ib theem siab (99%) bactericidal tiv thaiv ntau pathogens ntawm mob txeeb zig.

Yog li ntawd ntau npaum li cas lub sij hawm ntawm kev pab "Monural"? Raws li cov kev qhia ntawv, nws cov nyiaj pab ntau tshaj concentration yog mus txog tom qab txog 120-160 feeb. Tom qab no lub sij hawm ntawm lub sij hawm cov tshuaj pib mus coj ib tug active kev txiav txim.

Tso tawm kom pom medicament nyob rau hauv ib tug unmodified daim ntawv (hais txog 95%) los ntawm ob lub raum. Nyob rau tib lub sij hawm hauv cov zis cim nws siab tshaj plaws concentration. Thiab 5% ntawm active tshuaj ua ke nrog cov kua tsib tso zis.

Lub ib nrab-lub neej ntawm ib tug tshuaj tua kab mob yog plaub teev.

Pharmacokinetic tsis nyob rau hauv tshwj xeeb mob

Yuav ua li cas ntev yuav "Monural" cov neeg mob uas muaj mob loj tsawv txo nyob rau hauv lub raum muaj nuj nqi? Nyob rau hauv pawg neeg ntawm cov neeg txiav txim ntawm cov tshuaj no kuj muab sau tom qab ob teev. Nws yog thaum lub sij hawm no lub sij hawm ntawm lub sij hawm cov tshuaj achieves END nyob rau hauv cov ntshav. Txawm li cas los, nyob rau hauv cov neeg mob no ib nrab-lub neej ntawm ntshav fosfomycin nce me ntsis.

Los ntawm ntau pab "Monural" cystitis? Ob hnub yog txaus kom ntseeg tau tias tus neeg mob tsim pheej kho nyhuv.

indications

Raws li hais saum toj no, lub medicament yog siv rau kev kho mob ntawm txawv cov kab mob ntawm lub urinary system. Nyob rau hauv kev, cov tshuaj yuav pab nrog:

• mob tawm tsam ntawm recurrent kab mob cystitis;
• mob kab mob cystitis;
• asymptomatic loj heev bacteriuria nyob rau hauv cev xeeb tub cov poj niam;
• postoperative mob txeeb zig;
• kab mob uas tsis yog-kev urethritis.

Nws yuav tsum raug sau tseg hais tias kev daws rau qhov ncauj thawj coj yog feem ntau siv raws li ib tug prophylactic tiv thaiv mob txeeb zig nyob rau hauv lub chav kawm ntawm kev tshawb fawb thiab tshawb nrhiav transurethral thaum phais.

Contraindications

Raws li cov ntaub ntawv uas muaj nyob rau hauv qhov suav hais tias kev lag luam kws product (tshuaj "Monural") xyuas, cystitis khiav lag luam nws heev zoo. Tab sis tsis txhob hnov qab tias tag nrho cov tshuaj muaj contraindications. Raws li cov lus qhia, cov tshuaj no yog tsis pom zoo yog hais tias:

• mob loj heev raum insufficiency;
• npau taws me ntsis ntxiv thiab yooj yim tshuaj medicament;
• raws li zoo raws li rau kev kho mob ntawm cov me nyuam nyob rau hauv tsib lub xyoos.

Tshuaj "Monural": yuav ua li cas coj li cas?

Cystitis thiab lwm yam mob txeeb zig cov kab mob ntawm tus txheem ntawm ib sachet yuav tsum ua neej nyob hauv 1/3 khob ntawm dej dawb. Cov uas ua cov tshuaj yuav tsum tau muab rau 2 teev ua ntej ib tug noj mov los yog tom qab 120 feeb. Siv yeeb tshuaj qauv thaum lub sij hawm noj mov yog tsis pom zoo, raws li nws ho qeeb nws haum nyob rau hauv lub cev.

Raws li cov lus qhia, kev noj nyob rau hauv saib xyuas cov tshuaj dua thaum hmo ntuj. Qhov no yuav tsum tau ua tom qab muab nchuav lub zais zis.

Ib hoob ntawm kev kho mob tsuas yog ib lub hnab nrog rau cov tshuaj. Nws yuav tsum tau muab sau tseg hais tias nws yog txwv tsis pub muab "Monural" nrog rau cov tshuaj raws li "metoclopramide". Qhov no yog vim lub fact tias cov ua ke ntawm cov tshuaj mas siv yuav txo tau cov fosfomycin concentration nyob rau hauv cov ntshav thiab zis. Raws li ib tug tshwm sim, cov nyhuv ntawm txoj kev kho koj yeej tsis tau nyob qhov twg.

Cov neeg uas raug kev txom nyem los ntawm cov ntshav qab zib, koj yuav tsum nqa mus rau hauv tus account tias ib feem ntawm cov tshuaj "Monural" yog sucrose. Nws yuav tsum raug sau tseg hais tias thaum lub sij hawm ntawm nws kev txais neeg kawm yog txwv tsis pub siv tej yam dej cawv haus.

Cov tshuaj ntawm cov tshuaj rau cov neeg laus

"Monural" cystitis (contraindications thiab tshuaj daim ntawv thov tau piav saum toj no), raws li zoo raws li lwm yam kab mob rau cov neeg laus yuav tsum tau noj nyob rau hauv ib tug ntau npaum ntawm 3 g (ib hnub ib zaug). Thaum cov tshuaj no yog siv singly.

Yog hais tias tsim nyog, tus kws kho mob yuav muab tshuaj rau nws tus neeg mob re-noj cov tshuaj, tab sis tsuas yog tom qab ib hnub twg.

Feem ntau, xws kho yuav tsum tau ntawm recurrent kab mob kab mob, mob loj thaum lub sij hawm (e.g., nyob rau hauv lub qhaj ntawv ntawm kom tshwm sim tom qab ib tug tib txais txhais tau tias), thiab nyob rau hauv cov neeg laus.

Rau kev tiv thaiv los ntawm ntau yam mob txeeb zig thaum lub sij hawm urological pab los yog mob tseem dhia medicament muab ob zaug. Cov tshuaj yog muab rau peb teev ua ntej lub tswv yim npaj manipulations los yog tej kev kho mob kev tshawb fawb. Nyob rau hauv no luv tom qab thawj koob yuav tsum yuav tsum 24 teev.

Cov neeg uas muaj mob raum tsis ua hauj lwm tshuaj "Monural" yuav tsum tau siv nrog huab ceev faj. Tej cov neeg mob yuav tsum ua kom lub sij hawm luv ntawm koob tshuaj ntawm cov tshuaj los yog cov tshuaj tsawg.

Yog nws tau muab rau cov me nyuam?

Qhov no tshuaj yuav muab rau cov me nyuam, tab sis tsuas yog cov uas tau mus txog lub hnub nyoog ntawm 5. Cov me nyuam mos yuav tsum tau mus noj cov tshuaj ib zaug nyob rau hauv ib tug npaum li ntawm 2 mus rau hais tias tus me nyuam muaj hnub nyoog "Monural" tsis muab vim unformed raum muab khaws tseg system (i.e., tus me nyuam tseem insufficiently tsim nyob rau hauv lub raum pom system).

Cev xeeb tub thiab pub niam mis

Thaum lub sij hawm cev xeeb tub, lub fairer poj niam txiv feem ntau txhawj xeeb cystitis. Cov tshuaj "Monural" zoo ua zoo rau cov kab mob thiab tsis ua kom muaj kev txawv txav nyob rau hauv lub fetus.

Qhov loj tshaj kom zoo dua ntawm cov khoom no yog nws ib koob tshuaj, thaum feem ntau tshuaj tua kab mob yuav tsum tau siv tsawg kawg yog 5-7 hnub. Tsis tas li ntawd nco ntsoov tias cov tshuaj no muaj zoo tsis muaj kev phiv thiab contraindications. Raws li ib tug txoj cai, nws yog zoo zam los ntawm tus neeg mob. Txawm li cas los xaiv ib tug txhais tau tias rau cev xeeb tub cov poj niam yuav tsuas yuav tej kws kho mob tom qab ib txhij txhua xeem. Tseeb, muaj ntau cov kws txawj paub tias lub active tshuaj "monural" yooj yim kis tus placental barrier. Yog li ntawd, nyob rau hauv thawj peb lub hlis uas cev xeeb tub yog noj nws tsis tshua undesirable.

Raws li rau lactation, xav txog cov tshuaj siv nyob rau hauv kev yog txwv tsis pub lub sij hawm no lub sij hawm. Nyob rau hauv lub mob yuav tsum tau rau nws txaus pub niam mis yuav tsum tau txiav li fosfomycin tau txais mus rau hauv cov mis nyuj.

"Monural" cystitis: cov hauj lwm zoo thiab xyuas ntawm kev npaj

Tshuaj "Monural" rau cov kev kho mob ntawm cystitis yog zoo tshaj plaws haum. Tshwj xeeb tau qhia hais tias qhov no tshuaj yog zoo tiv thaiv ntau cov kab mob uas ua rau tus kab mob no.

Tsis tas li ntawd, cov txhais tau tias muaj bactericidal zog, nws yog tseem ho thiaj li muaj peev xwm ntawm kab mob yuav tsum tau tsau rau ntawm phab ntsa ntawm lub zais zis.

Kev kho mob ntawm mob cystitis yuav tsum pib tam sim ntawd. Qhov no yog tsim nyog nyob rau hauv thiaj li yuav tiv thaiv tau cov kev hloov ntawm tus kab mob mus rau hauv ib tug mob daim ntawv.

Raws li rau mob exacerbations mob cystitis, lub tshuaj tua kab mob yuav tsum tau npaum li cas nyob rau thawj hnub. Cov tshuaj siv ib zaug xwb koob tshuaj teev saum toj no.

Muaj ntau ntau txheeb xyuas txog kev npaj no li "Monural". Feem ntau cov neeg mob tawm ntawm nws tsuas zoo lus, thaum tsis zoo cov lus teb yuav muaj nyob puav.

Yog li, raws li lub tswv yim, qhov zoo sab ntawm cov tshuaj no yog nws cov high efficiency - cov muaj cai tom qab ib tug tib koob tshuaj tov. Nyob rau hauv cov ntaub ntawv no, nws yog yuav luag yeej tsis ua kom kev phiv.

Tus txheej txheem ntawm kev kho qhov no txhais tau ntau cov neeg mob raug xa mus rau lub feem ntau yooj yim thiab tus nqi - heev tau.

Cov tsis zoo xyuas qhia tias cov tshuaj yog tsis zoo. Tab sis nyob rau tib lub sij hawm, cov neeg mob tsis hais nyob rau hauv dab tsi thiab thaum twg cov lus tim khawv ntawm "Monural" yog hais tias tus ntau npaum yog respected, seb tsa nws tus kws kho mob los yog tus neeg mob rau nws tus kheej-medicate.