"Gistak": cov lus qhia rau kev siv, kev piav qhia thiab kev txheeb xyuas

Mus rau tus kws kho mob rau kev txais tos cov neeg uas muaj ntau tsis txaus siab. Heev feem ntau, nws yog vim teeb meem nyob rau hauv txoj hnyuv ib ntsuj av. Cov neeg nyob rau hauv hnub no tus muaj num ntau lub sij hawm ntev kom khiav ntawm dab tsi lawv noj, raws li ib tug tsim nyog tau, raug kev txom nyem los ntawm cov kab mob uas siv los tshwm sim ntau npaum li cas tsawg zaus. Niaj hnub nimno khoom noj khoom haus, ceev ceev khoom noj khoom haus, thiab tag nrho cov xaiv ntawm daim tawv nyias thiab crackers muaj ib tug ntau ntawm cov khoom noj dyes, additives thiab lwm yam tsis zoo siv nyob rau hauv lub plab cov khoom xyaw. Raws li ib tug tshwm sim, muaj gastritis los yog peptic rwj kab mob. Ib tug ntawm cov feem ntau cov tshuaj tshuaj rau kev kho mob ntawm pathologies ntawm cov hnyuv yog ib tug "Gistak". Cov lus qhia rau kev siv, analogs thiab tawm tswv yim txog cov tshuaj no yuav muab suav hais tias ntxiv.

Yuav ua li cas puas cov tshuaj

Txuas mus rau txhua pob ntawm cov tshuaj "Gistak" phau ntawv qhia. Lub yees duab hauv qab no qhia tau hais tias seb nws zoo li cov thawj lub ntim ntawm cov tshuaj.

Kev npaj "Gistak" yog hais txog ib cov tshuaj uas ua rau ntxias ib tug txo zus tau tej cov pais plab kua txiv, proportionally txo cov kev ua si thiab tus nqi ntawm cov pepsin. Lub active tshuaj ntawm cov kev npaj - ranitidine - yog hais txog mus rau lub parietal cell histamine H2 receptor. Nws yog tau inhibit qhov kev acid secretion nyob rau hauv lub plab qog, thiaj li mob. Manifestation ntawm kub siab thiab nws zaus ntawm tshwm sim txo ho. Cov txheej membrane nyob rau hauv lub plab activates nws tiv thaiv zog, kho ulcerative txhab, ib txwm suab nrov ntawm lub sab Gastroesophageal sphincter.

Action "Gistak" tshuaj txuas ntxiv rau kaum ob teev. Thaum koj muaj npaum li cas cov tshuaj, lub siab tshaj plaws concentration ntawm active tshuaj yog tiav cia tsis cuam tshuam rau haum ntawm "Gistak" npaj nyob rau hauv ob peb lub sij hawm, nrog rau cov pluas noj.

Feem ntawm cov tshuaj los ntawm lub cev yog nqa tawm los ntawm ob lub raum. Ib tug me me feem yog tso tawm nyob rau hauv daim ntawv ntawm metabolic khoom, nws yog hais txog 8%. Hais txog 40% yog tas nyob hauv cov zis, yog hais tias tus yeeb tshuaj yog dhau ntawm ncauj, thiab 70% thaum muab parenterally. Tus so yog tawm los ntawm quav.

Nws yuav tsum tau muab sau tseg tias thaum coj tsis tu ncua teem tshuaj nyob rau hauv ntau npaum rau 4-6 lub lis piam lub rwj zoo tshwm sim. Ib tug txais tos txij nkawm dosing thaum hmo ntuj thiaj li tsis tshua mob heev ntawm tus kab mob.

Yuav kom muab cov tshuaj "Gistak"

Cov lus qhia rau kev siv thiab qhia ib tug kab mob xeev uas lub tshuaj no yog muab rau cov kev kho mob thiab kev tiv thaiv:

• Ulcerative txhab ntawm ntau yam hnyuv ib ntsuj av.
• Ulcers tshwm sim los nyob rau hauv lub postoperative lub sij hawm.
• Rau cov kev kho mob ntawm reflux oesophagitis thiab nyem ntawm tus kab mob mob.
• Gastroesophageal reflux tus kab mob.
• Ellison - Zollinger.
• Epigastric mob los yog retrosternal.
• Ntshav nyob rau hauv lub plab thiab cov hnyuv.
• Peptic, los ntshav ulcers thiab recurrent los ntshav.

Tsis tas li ntawd cov tshuaj siv ua ntej tshuaj loog rau cov neeg mob uas muaj ib tug yuav muaj qhov kev tso tawm ntawm acidic plab txheem.

Tsis tag nrho koj ua tau kom coj "Gistak"? Cov lus qhia rau kev siv cov kev qhia rau contraindications. Cia peb kawm lawv hauv qab no.

Leej twg yuav tsum tsis txhob coj "Gistak"

Ua ntej koj yuav pib siv tshuaj, nws yog tsim nyog los xyuas txog txoj kev txoj kev. Qhov no kuj siv rau cov kev npaj "Gistak". Cov lus qhia rau kev siv cov contra-qhia cov nram qab no:

• Npau taws me ntsis rau tej muaj ntawm cov tshuaj.
• Tsis tau tso cai rau noj tshuaj rau cov me nyuam nyob rau hauv lub hnub nyoog ntawm kaum ob.
• Nrog zoo saib xyuas tus neeg saib xyuas los siv rau cov neeg mob uas muaj hepatic mob npuas paug thiab lub raum tsis ua hauj lwm.

Tshuaj kho thaum lub sij hawm cev xeeb tub thiab lactation

Thaum kawm active ingredient ranitidine nws twb pom hais tias nws muaj peev xwm mus txeem lub tsho me nyuam. Thaum lub sij hawm uas cev xeeb tub nyob rau hauv kho siv ntawm cov tshuaj tsis muaj ib tug tsis zoo feem on ua hauj lwm thiab me nyuam hauv plab kev loj hlob. Kev siv cov tshuaj "Gistak" rau cev xeeb tub cov poj niam yog ua tau, tab sis yog tias tsim nyog cov kev pab cuam yuav outweigh lub peev xwm uas yuav muaj rau lub fetus.

Tsis tas li ntawd, cov tshuaj yog tau ua (albeit nyob rau hauv me me) nyob rau hauv niam cov kua mis. Thaum lub sij hawm ntawm kev kho mob "Gistakom" caiv los ntawm kev pub niam mis.

Yuav ua rau cov nram qab no xaus: mus muab ib tug yeeb tshuaj "Gistak" cev xeeb tub thiab lactating tau tsuas yog nyob rau hauv cov ntaub ntawv ntawm huab yuav tsum muaj.

Ntau npaum cov ntaub ntawv thiab kev siv yeeb tshuaj

Kev npaj "Gistak" muaj nyob rau hauv cov ntsiav tshuaj daim ntawv. Lawv yog cov dawb, me ntsis convex zoo, coated, cim rau ntawm ib sab HISTAC 150, nyob rau lwm yam -storony RANBAXY. Ib tug ntsiav tshuaj muaj ranitidine hydrochloride 150 mg.

Mus rau yeeb tshuaj tsis ua mob noj qab haus huv, nws yuav tsum tau kawm ua ntej yuav noj "Gistak" phau ntawv qhia. Cov tshuaj ntawm cov tshuaj yog muab ib tug kws kho mob, thiab muaj peev xwm tsis ntau tshaj nws.

Ntsiav tshuaj kho rau cov neeg laus nyob rau hauv cov nram no noj tshuaj npaum cas: 150 mg nyob rau hauv lub yav sawv ntxov thiab yav tsaus ntuj. Nyob rau hauv lub xub ntiag ntawm ulcers duodenum 12 tau ib daim ntawv thov ntawm 300 mg thaum mus pw.

Hoob no ntawm kev kho mob ntawm peptic rwj kab mob no yog feem ntau hais txog 4 lub lis piam. Yog hais tias tsis muaj txoj kev txhim kho no tshwm sim, lub tshuaj repetition tus nqi.

Nyob rau hauv recurrent peptic rwj tshuaj yog tshuaj raws li ib tug tiv thaiv kev ntsuas tom qab cov kev kho mob tau txais, raws li qhia los ntawm cov tshuaj "Gistak" phau ntawv qhia. Ntsiav tshuaj yuav tsum tau noj ib zaug ib hnub twg, thaum mus pw, nyob rau hauv ib tug npaum li ntawm 150 mg. Prophylactic koob tshuaj thaum lub sij hawm caij nyoog exacerbation ntawm pais plab kab mob thiab 150 mg ib hnub twg.

Reflux esophagitis erosive esophagitis thiab feem ntau yuav tsum tau loj noj tshuaj npaum cas mus txog rau 150 mg plaub zaug ib hnub twg. Cov kev kho mob kav mus txog rau ob lub hlis.

Zollinger - Ellison kuj yuav tsum tau ib tug muaj zog tshuaj - 150 mg 3 lub sij hawm ib hnub twg. Yog hais tias tsim nyog, lub koob tshuaj yuav tau nce. Kev tshawb fawb tau qhia tias cov neeg mob noj qhov kev npaj ntawm 6 g ib hnub twg (nyiaj pab ntau tshaj pub koob tshuaj), nws twb zoo taus.

Ua ntej koj yuav muaj mus rau hauv lub tshuaj loog, los mus tiv thaiv Mendelson lub syndrome, coj "Gistak" - 150 mg ib hnub ua ntej yuav phais, nyob rau hauv lub yav tsaus ntuj, thiab ob teev ua ntej phais.

Cov me nyuam muaj peev xwm coj cov tshuaj nrog ib tug 12-xyoo-xyoos, ntau npaum yog raws li nyob rau hauv lub cev hnyav:

• Peptic rwj - los ntawm 4 mus rau 8 mg ib kilogram lub cev hnyav ib hnub twg.
• Gastroesophageal reflux kab mob - los ntawm 5 mus rau 10 mg rau ib kilogram ntawm lub cev hnyav ib hnub twg.

Yog hais tias muaj yog kev txawv txav nyob rau hauv lub raum pom zoo koob tshuaj yog 150 mg ib hnub twg.

Tshwm sim los ntawm cov tshuaj

Koj yuav tsum paub dab tsi yuav ua tau tsis yuav los thaum peb noj lub tshuaj "Gistak". Cov lus qhia rau kev siv ntawm lub sab los ntawm cov tshuaj piav raws li nram no:

• Leukopenia, agranulocytosis, thrombocytopenia rov qab.
• Cov kev tsis haum.
• Nkees nkees, txob taus, qaug zog, tinnitus.
• Mob taub hau.
• Vasculitis, bradycardia, asystole.
• Zawv plab, quav, qhov ncauj qhuav.
• Reversible kab mob siab.
• Daim tawv nqaij ua pob ua xyua.
• Mob nephritis, myalgia, tsis xis nyob nyob rau hauv lub mis.

Nws yuav tsum tau muab sau tseg tias feem ntau ntawm cov tshuaj yog heev zoo taus los ntawm cov neeg mob. Nyob rau hauv cov ntaub ntawv ntawm cov tshuaj phiv cov txheej xwm tsim nyog ntau npaum yuav txo tau los yog tsis kam muab kev tshuaj thiab lub cev muaj nuj nqi rov qab los.

tshuaj overdose

Tsis txhob noj tshaj qhov pom zoo koob "Gistak" tshuaj. Cov lus qhia rau kev siv (tshuaj piav qhia saum toj no) ceeb toom ntawm ib tug ua tau overdose. Nyob rau hauv xws li ib tug cov ntaub ntawv tejzaum nce phiv cov txheej xwm. Nws yog pom zoo kom hu rau ib tug kws kho mob. Raws li ib tug adjunct mus rau kev kho mob pom zoo kom ua hemodialysis.

Raws li "Gistak" ua num ua ke nrog lwm yam tshuaj thiab haus dej haus cawv

Cov tshuaj yuav txo los sis kom lawv ua hauj lwm zoo, raws li tau zoo raws li rau neutralize lub kev txiav txim ntawm ib co tshuaj. Ib tug yuav tsum tau ceev faj, kev noj nyob rau hauv nrog lwm yam tshuaj "Gistak". Cov lus qhia rau kev siv ntawm ib co nta qhia ib tug yeeb tshuaj sis:

• Action "Gistaka" tsis nce los yog yuav txo nyob rau hauv lub sib koom ntawm cov hauv qab no tshuaj: "Diazepam" "lidocaine," "Theophylline".
• Prothrombin lub sij hawm twb hloov thaum lub ob leeg kev kho mob ntawm coumarin anticoagulants. Nws yog tsim nyog los ua tib zoo tswj nws.
• Tib mus siv ntawm ranitidine nrog procainamide thiab nws cov active metabolite yuav txo tau lawv feem. Qhov no yuav entail ib qho kev nce ntawm no substance nyob rau hauv ntshav.
• Nce haum thaum siv ua ke nrog lub "Gistakom" li nram qab no tshuaj: «triazolam», "Midazolam", "Glipizide".
• Txo haum nram qab no tshuaj: "Delavirdine," "Ketoconazole", "atazanavir", "Gefitinib."
• "Sucralfate" nyob rau hauv ib tug ntau npaum tshaj 2 g, yuav tsum noj nrog ib tug caij nyoog ntawm 2 xuab moos mus rau tsis txo cov hauj lwm zoo ntawm ranitidine.
• Cov tshuaj uas suppress lub hlwb pob txha, tsub kom kev pheej hmoo ntawm neutropenia.

Yog hais tias concomitant siv cawv thiab "Gistaka" cov ntshav dej cawv theem ntawm lub nce. Miv nyuas siv zug yog txo lub sij hawm kev haus luam yeeb.

Tshwj xeeb cov lus qhia rau kev siv ntawm cov tshuaj

• Thaum tau txais "Gistak" tshuaj nws yuav tsum caiv txhob ua hauj lwm uas yuav tsum tau saib xyuas thiab kev tswj ntawm thauj thiab mechanisms.
• Thaum pib ntawm kev kho mob yuav tsum tau soj ntsuam thiab kav tawm cancer ntawm lub plab, raws li cov tshuaj qhov ncauj qhov ntswg cov tsos mob. Nws yuav tsum tau tshwj xeeb xim lub hom phiaj noj tshuaj kom cov neeg laus cov neeg mob thiab tau kev zoo raum muaj nuj nqi.
• Nyob rau hauv cov neeg laus cov neeg mob uas twb muaj lawm kev kho mob tej yam kev mob xws li mob ntshav qab zib, mob ntsws, tej zaum yuav tsim mob ntsws dej.
• Ceev faj prescribers cov neeg mob uas impaired siab muaj nuj nqi, raws li "Gistak" metabolized nyob rau hauv lub cev.

Drug analogues "Gistak"

Rau ntau yog vim li cas, ib co neeg mob yog yuam kom siv cov tshuaj nrog tib yam pes tsawg leeg. Los ntawm analogues muaj xws li:

• "Zoran".
• "Ranitidine".
• "Zantac".
• "Atsilok".
• "Ulran".
• "Ranitidine-Agos".
• "Ranitidine-Verein".
• "Ranitidine-Lect."

Ua ntej koj yuav hloov lub tseem cia nrog rau nws cov analog, koj yuav tsum tham nrog koj tus kws kho mob.

Xyuas ntawm kev npaj

Cov tshuaj no feem ntau yog cov kws kho qhov kws kho mob rau ob leeg kev tiv thaiv thiab kev kho mob ntawm pais plab kab mob. Mus cuag tej yam kho nyhuv thiab tiv thaiv kom txhob undesirable tshua ua ntej yuav siv "Gistak" npaj phau ntawv qhia, cov tswv yim yuav tsum tau suav hais tias. Yog li, tus neeg mob tau qhia hais tias cov tshuaj yog tsis muaj nyob rau hauv daim ntawv teev cov kim, tab sis nws ua hauj lwm zoo heev.

Muaj ntau hais tias tau tshem ntawm cov rwj siv cov tshuaj no. Cov kev tshwm sim zoo, muaj tsis muaj kev phiv cov txheej xwm. Cov tshuaj txee yog yeej ib txwm muaj nqis khaws cia cov tshuaj no.

Cov neeg mob siv cov tshuaj rau kev kho mob ntawm gastritis thiab soj ntsuam kuj nyob twj ywm txaus siab. Phiv txheej xwm tsis tshua muaj. Cov tshuaj no muaj nyob rau. Thiab koj muaj peev xwm siv rau kev tiv thaiv. Raws li ib tug tshwm sim, tus xov tooj ntawm rov ntawm tus kab mob yog zoo heev txo.

Tsis txhob noj cov tshuaj yam tsis tau kev noj kev haus koj tus kws kho mob. Qhov no muaj tseeb txawm nyob rau hauv lub feem ntau innocuous thaum xub thawj siab ib muag. Health - yog lub feem ntau tshaj plaws ib tug txiv neej muaj peev xwm muaj, yuav tu nws.