"Choludexan": ntuziaka maka ojiji, n'ezie na ogbo

Gịnị mere m mkpa ọgwụ "Choludexan"? Ntuziaka maka ojiji nke ọgwụ ga-ọkọnọ na anyị nyochaa. Ọzọkwa, site na ihe ndị a n'isiokwu ị ga-amụta banyere ụdị ndị anyị na-atụle dị pụtara na otu nke ndị nọ na ya, nke ọ nwere contraindications, ọ bụrụ na ọ nwere ihe ọ bụla mmetụta na na.

Hapụ ụdị ọgwụ, ya nkwakọ na mejupụtara

Ọ bụrụ na ị na-ekpebi ịzụta a Erere "Choludexan", mgbe ahụ, ị ga-aga nke ọma. Mgbe ọgwụ ọjọọ a tọhapụrụ naanị n'ụdị capsules. Ha na-contoured mkpụrụ ndụ, nke n'aka nke na-enịm ke a kaadiboodu igbe. Onye ọ bụla mkpọ nwere 20 capsules.

"Choludexan" ọgwụ nwere ifịk mmewere dị ka ursodeoxycholic acid (na ego nke 300 mg).

The pharmacological e ji mara nke ọgwụ

Gịnị bụ ọgwụ "Choludexan"? Ntuziaka maka Iji na-ekwu na ọ bụ a hepatoprotective n'ụlọnga. Ọ bụ ike inye cholelitolitic, immunomodulatory, hypolipidemic, choleretic na cholesterol-ẹsụhọde mmetụta.

Na dịtụ elu pola Njirimara, na-arụsi ọrụ ike mgwa Capsule ụdị weere micelles (nontoxic) na-egbu egbu (apolar) bile asịd. Eziokwu a na-ebelata likelihood nke reflyuksezofagity na biliary reflux mgbu, nke mebiri emebi cell membranes.

Ọ kwesịkwara kwuru na ursodeoxycholic acid bụ ike nke na-akpụ a abụọ ụmụ irighiri ihe na ekemende webata membranes nke mkpụrụ ndụ (e.g., cholangiocytes, hepatocytes na epithelial sel nke eriri afọ), akawanye na-eme ka ha impervious ka mmetụta nke cytotoxic micelles.

Site ẹsụhọde ịta nke bile asịd na-egbu egbu na-imeju mkpụrụ ndụ na-akpali akpali cholepoiesis na bụ ọgaranya bicarbonate, na-arụsi ọrụ ike agwọ ọrịa mmewere enyere kpochapụ intrahepatic cholestasis.

Anyị apụghị ikwu na ọgwụ "Choludexan" bụ ike belata saturation nke bile na cholesterol. Nke a pụrụ isi kwuo ya na-ebilite n'ihi nke suppression nke absorption nke nọ n'ọrụ mgwa eriri afọ, nakwa dị ka usen secretion na bile njikọ na suppression na imeju.

Mgbe na-ewere ọgwụ ọjọọ n'ime ya accelerates decomposition nke cholesterol na bile, si otú na-akpụ ya na kristal (mmiri mmiri). Ọ kwesịkwara kwuru na ọgwụ bụ ike belata lithogenic index nke bile.

Mgbe ọgwụgwọ, ọgwụ "Choludexan" ndidi dissolving cholesterol calculi. Ọ pụtakwara na-egbochi e guzobere ọhụrụ nkume.

Pharmacokinetics nke ọgwụ

Ebe absorption nke ọgwụ "Choludexan"? Ntuziaka maka ojiji nke capsules e dere ozi banyere eziokwu ahụ bụ na ha n'ọrụ mgwa na-etinye obi gị dum na obere (90%) na ileum (10%).

The kacha ịta nke nọ n'ọrụ akụrụngwa na ọbara (na 50 mg) rụzuru mgbe banyere 1.2-3 awa.

Active ọgwụ penetrates na placental mgbochi. O nwere a dị nnọọ elu protein nkịtị (ruo 97-99%).

Ọgwụ metabolized na imeju. Egosipụta nkwadebe ọnụ na bile.

Egosi maka ojiji nke ọgwụ

Mgbe ụfọdụ, ọgwụ gosiri maka ojiji "Choludexan" nke Nyocha ga-ọkọnọ a obere n'ihu? Dị ka ntụziaka, ọgwụ gosiri maka ndị na-esonụ deviations:

• reflux esophagitis, gụnyere biliary;
• ọrịa sclerosing cholangitis (isi);
• cholelithiasis (adịghị mgbagwoju anya site ụdị);
• biliary dyskinesia ;
• ịba ọcha n'anya-adịghị ala ala ọrụ;
• biliary atresia (intrahepatic), na bile duct atresia congenital;
• na-egbu egbu imeju ọjọọ, tinyere mgbe ọgwụ;
• cystic fibrosis;
• Egbu ọrịa imeju;
• nonalcoholic steatohepatitis;
• biliary imeju (isi).

Contraindications iji ọgwụ ọjọọ eme

N'okpuru dịghị pathologies bụla ikpe ikpenyeneke ọgwụ "Choludexan"? Ntuziaka, kwuru ndị ọkachamara na-ekwu na a ọgwụ nwere a ukwuu nke contraindications:

• ụmụ afọ (ruo afọ atọ);
• gallstones rentgenpolozhitelnye (elu calcium);
• empyema nke ńsí eriri afo ;
• dysfunction nke gallbladder;
• gastro-biliary fistula;
• hepatic ma ọ bụ gbasara akụrụ insufficiency (owụt agwa);
• nnukwu cholecystitis;
• na-efe efe (ọtụtụ nkọ), opi mgbailu, eriri afọ na ńsí-eriri afo;
• biliary mgbochi;
• nnukwu cholangitis;
• imeju (karịsịa decompensation nzọụkwụ);
• hypersensitivity ọgwụ ahụ.

Akọ welcome ọgwụ

Na ihe mgbe a ga-kenyere ọgwụ "Choludexan" ihe ókè ịkpachara anya? Nyocha nke dọkịta na-ekwu na ya nọ n'ọrụ mgwa enweghị afọ mgbochi. Otú ọ dị, oké ịkpachara anya capsules nyere ụmụ noo 3.5-4 afọ, n'ihi na o na-esiri ha ike-elo ihe.

Agwọ ọrịa "Choludexan": ntuziaka maka ojiji

The nke anyị n'ihu bụ nanị n'ime ọgwụ na nri.

Na nke a jụrụ ajụ ka reflux mgbu, gụnyere biliary, ọgwụ na-kenyere otu ugboro kwa ụbọchị na alakpu ụra. The ọgwụgwọ nwere ike mbio 10-16 ụbọchị 6 ọnwa (ma ọ bụrụ na ọ dị mkpa, ruo afọ 2). Ọ bụrụ na onye ọrịa ọnọde na asị ibe ọrịa imeju, na dose ama ọkọri 3 capsules kwa ụbọchị.

Na-adịghị ala ala hepatic pathologies, na cholelithiasis agwọ ọrịa e nọgidere ruo ogologo oge (ọnwa ma ọ bụ ọbụna ọtụtụ afọ) na ego nke si 2 5 capsules kwa ụbọchị. Duration ndibọbọ pụtara mgbasa nkume bụ ọnwa 3.

N'ihi mgbochi nke nlọghachite nke cholelithiasis (karịsịa mgbe cholecystectomy) ọgwụ kenyere otu Capsule ugboro abụọ n'ụbọchị ruo ọtụtụ ọnwa.

Mgbe imeju mmebi (na-egbu egbu, na-aba n'anya na ọgwụ), nakwa dị ka biliary atresia agwọ ọrịa ka a na a olu nke 3-5 capsules a ụbọchị n'ihi na ọnwa isii ma ọ bụ karịa. Otu onunu ogwu na-echekwara na isi biliary imeju, nonalcoholic steatohepatitis, bụ isi ọrịa sclerosing cholangitis.

mmetụta

Gịnị bụ mmetụta nke ọgwụ na-"Choludexan"? Ntuziaka maka ojiji, reviews nke agwọ ọrịa na-ekwu na mgbe ya ojiji na ọrịa nwere ike na-enwe azụ mgbu, afọ ọsịsa, exacerbation nke psoriasis, ọgbụgbọ, afọ ntachi, vomiting, na-abawanye na imeju transaminases (-akwụsị akwụsị), alopecia na calcining nkume (bile).

Mgbe mpụta ìhè nke ndị a deviations kwesịrị ozugbo kwụsị ịṅụ ọgwụ ọjọọ na ịkpọ onye dọkịta.

Mmekọrịta ndị ọzọ ọgwụ ọjọọ eme ihe

Antacids na-ebu ion mgbanwe resins na aluminum, ike nke na-ewedata absorption nke ọgwụ. Lipid-ẹsụhọde ọgwụ ọjọọ dịkwuo saturation nke bile na cholesterol, nke nwere ike ekemende belata ike nke ọgwụ igbari gallstones.

Anyị nwere ike ikwu na anyị na-atụle n'aka enhances ọgwụgwọ mmetụta nke hypoglycemic ọgwụ maka onu ochichi.

Oge nke gestation na lactation

Women toruworo ịmụ nwa na oge nke ngwa nke ọgwụ na-atụ aro iji na-abụghị mmiri ọgwụ mgbochi afọ.

Ursodeoxycholic acid oge nke gestation-ekwe omume nanị ma ọ bụrụ na a tụrụ anya na uru nwaanyị nnọọ nwere ihe ize ndụ ka nwa.

Ugbu a, ozi na oke nke ursodeoxycholic acid na-enweghị mmiri ara. Ọ bụrụ na ị chọrọ a n'ikuku e nyere n'oge lactation, ọ dị mkpa iji tụlee nke nchupu ara na nwa gị.

Specific ntuziaka maka ojiji nke ọgwụ

Mgbe anata ọgwụ igbari nkume-esonụ na ọnọdụ a ga-kwuru, sị: calculi kwesịrị roentgen (cholesteric). nkume size ekwesịghị gafere 1.5-2 cm. N'ihi ya gallbladder ga na-arụ ọrụ nke ọma ma na-jupụtara concrements karịa ½ akụkụ. Ke adianade, ọ dị mkpa na permeability ndị nkịtị bile na cystic duct na a zọpụtara.

Mgbe ogologo oge ọgwụ (ihe karịrị otu ọnwa) 4 ọ bụla izu, onye ọrịa a ga-rụrụ Biochemical analysis of ọbara. Nke a na-chọrọ iji chọpụta ọrụ nke imeju transaminases.

Nlekota irè nke ọgwụgwọ na-atụ aro na-ebu n'ọnwa 6 ọ bụla. Iji mee nke a, jiri X-ray na ultrasound.

Mgbe na mgbasa nke nkume onye ọrịa ga-ọgwụ maka a n'ihu 3 ọnwa.

Ọ bụrụ na mgbe ọnwa isii mgbe mmalite nke ọgwụgwọ nke ele mmadụ anya n'ihu na mgbasa nke nkume emeghị, o yikarịghị ka n'ihu ọgwụ ga-adị irè.

Drug "Choludexan": ogbo na-eri

Ugbu a, ọgwụ "Choludexan" ike zụrụ na a na-ere ọgwụ maka 550-600 Russian rubles (20 capsules). Ọ bụrụ na anyị na-atụle na ọgwụ ga-a ruo ogologo oge, ọ dị mfe ịghọta na ọgwụgwọ na-aga dị oké ọnụ. Dị mwute ikwu na, na-eji dochie ọgwụ na dị ọnụ ala karịa analogues ị ga-esi. Nke a bụ n'ihi na eziokwu na ndị ọzọ gepatoprotektory nwere dịtụ elu na-eri.

Ma ihe ma ọ bụrụ na ị na-apụghị ịzụta ọgwụ "Choludexan"? Analogs nke a ọgwụ nwere ike dị na bụla ahịa ọgwụ. N'etiti ha bụ ndị na-eso ụzọ: "Ursodeks", "Ursoprim", "Livodeksa", "cursor Rompharm", "Urdoksa", "cursor na", "Ursosan", "Ursol", "Ursodez", "Ekskhol", " ursofalk "," Ursol "na na.

Nyocha nke agwọ ọrịa

Ihe ndị mmadụ na-ekwu banyere ọgwụ "Choludexan"? Nyocha nke a agwọ ọrịa na-ekwu na nke a bụ otu n'ime ndị kacha mma gepatoprotektorov. Ọrịa na-ekwu na mgbe na-ewere ọgwụ ọjọọ na mgbaàmà nke ọrịa na-aga nnọọ ngwa ngwa, n'ihi na onye ahụ na-adị nnọọ mma.

Na imeju nke imeju ọgwụ na obere okwu enyemaka mma nke ndụ nke ọrịa na-enye olileanya maka na nọworo mgbake.

Ọkachamara na-ekwu na mgbe na-ewere ọgwụ ọjọọ na (na na njedebe nke mbụ izu nke ọgwụgwọ) na ọrịa na-apụ n'anya kpamkpam mgbaàmà ndị dị otú ahụ dị ka nrekasi obi, ọgbụgbọ, na epigastric mgbu. Nyocha nke ndị nwetara ihe anyị na-atụle ọgwụ maka onwe gị, na-akwado ndị dị otú ahụ ozi. Otú ọ dị, ndị dọkịta adịghị ike ikwu zuru ọgwụ ozugbo enyemaka nke onye ọrịa. Mgbe niile, ka inokota results, ọ dị mkpa na-ọgwụ ruo ọtụtụ ọnwa.