"Portalak": cov lus qhia rau kev siv, nqe, xyuas

Thaum twg kuv siv cov tshuaj "Portalak"? Cov lus qhia rau kev siv, raws li tau zoo raws li indications rau kev kho mob nrog cov tshuaj no yuav tsum tau nthuav tawm nyob rau hauv cov ntaub ntawv ntawm qhov tsab xov xwm. Nyob rau hauv tas li ntawd, peb yuav qhia rau koj txog nyob rau hauv dab tsi daim ntawv no muaj nyob rau ntawm cov nyiaj uas yog nws cov tswv cuab, seb puas los yog tsis cov tshuaj phiv thiab contraindications.

Ntim yeeb tshuaj, nws cov qauv thiab kev zoo

koj muaj peev xwm yuav cov tshuaj "Portalak" Nyob rau hauv dab tsi daim ntawv no? Cov lus qhia rau kev siv hais tias lub cuab tam yog ua tau tsuas yog nyob rau hauv daim ntawv ntawm ib tug khov thiab tseeb phoov yellowish xim av (yuav tsum tau tsis muaj kob). Lub ntsiab yam khoom uas ntawm cov tshuaj no yog lactulose. Raws li koom haum pab hais siv xwb lim dej.

Lub medicament yog dispensed rau ib lub hnab yas los yog iav raj mis (500 thiab 250 ml) yog muab tso rau hauv cov duab los qhia thawv.

pharmacological yam ntxwv

Koj puas paub tias dab tsi yog ib tug yeeb tshuaj "Portalak"? Cov lus qhia rau kev siv yuav tau qhia rau cov neeg mob txog dab tsi nws cov tshuaj ntaus cev. Nws active tivthaiv nyob rau hauv qhov kev txiav txim ntawm plab hnyuv microflora muaj cuab kav mus tawg ua me me nyob rau hauv cov nyuv yuav tsis tshua muaj molecular yuag organic acid. Tom qab, lawv txoj kev kawm lowers tus pH ntsiab lus ntawm lub plab hnyuv ib ntsuj av tau, raws li zoo raws li lub active ua hauj lwm ntawm nws peristalsis. Nyob rau hauv tas li ntawd, lub syrup kom tsawg tsub kom qhov ntim ntawm quav thiab txhawb lawv softening.

Nws yuav tsum tau muab sau tseg tias nyob rau hauv tus ntawm cov tshuaj no ho tsis tus tsim ntawm tej yam tshuaj lom nyob rau hauv cov nyuv, los yog es, nyob rau hauv nws cov proximal ib feem. Tsis tas li ntawd, hais tias cov ntsiab txo absorbability mus rau hauv lub mauj kev, kho kom zoo tsiv teb tsaws ammonium ions los ntawm cov ntshav mus rau hauv lub plab hnyuv ib ntsuj av.

tshuaj

Xyaum qhia tau hais tias cov nyhuv ntawm cov nyiaj tshwm sim tom qab txog 20-40 teev tom qab thawj coj ntawm phoov hauv. Nws yuav tsum tau muab sau tseg rau hauv lub fact tias cov lactulose (active tshuaj tshuaj) yog xyaum tsis absorbed los ntawm cov hnyuv (haum tsis ntau tshaj li 3% ntawm cov tshuaj).

zaj lus tim khawv

Yog hais tias tej deviations yuav raug muab tso rau ib tug kws kho mob tshuaj "Portalak" (kua syrup)? Cov lus qhia rau kev siv, tiag tiag cov kws txawj qhia tias qhov no lub cuab tam muaj cov nram qab indications:

• hepatic encephalopathy;
• cem quav;
• hepatic coma thiab precoma (siv rau ob qho tib si kev kho mob thiab kev tiv thaiv).

Contraindications

Nyob rau hauv tej yam kev mob nyob rau hauv txhua rooj plaub yuav tsum tsis txhob muab cov tshuaj "Portalak"? Cov lus qhia rau kev siv muaj cov nram qab no contraindications:

• Ntsuas ntawm los ntshav (ntawm txawv keeb kwm).
• Ileus.
• Thiab ileo-colostomy.
• Nce rhiab heev rau tus neeg mob lactulose, thiab lwm yam suab thaj (e.g., galactose los yog lactose).
• Sijhawm twg los ntawm ib tug kub lug appendix.

Cov tshuaj ntaus cev "Portalak": dosing thiab Administration

Yog hais tias cem quav tshuaj ntau npaum yog tom, nyob ntawm seb muaj hnub nyoog ntawm tus neeg mob:

• Cov neeg laus - los ntawm 15 mus rau 45 ml los yog 1-3 loj diav rau thawj 3 hnub ntawm kev kho mob thiab los ntawm 15 mus rau 30 ml los yog 1-2 loj diav nrog cov txuas ntxiv txoj kev kho.
• Cov me nyuam 7-14 xyoo - 15 ml los sis 1 loj diav rau thawj 3 hnub ntawm kev kho mob thiab 10 ml ntawm 2 los yog khoom qab zib yeem nrog txuas ntxiv txoj kev kho.
• Cov me nyuam 1-6 xyoo - los ntawm 5 mus rau 10 ml los yog 1-2 khoom qab zib yeem nyob rau hauv lub thawj 3 hnub ntawm kev kho mob thiab los ntawm 5 mus rau 10 ml los yog 1-2 khoom qab zib yeem nrog txuas ntxiv txoj kev kho.
• Cov me nyuam mos - 5 ml los yog 1 me me dia rau tus thawj 3 hnub ntawm kev kho mob, raws li tau zoo raws li ib tug zoo xws li cov xov tooj ntawm phoov nrog txuas ntxiv txoj kev kho.

Raws li nrog rau hepatic los yog thiaj li hu ua portal encephalopathy siv yeeb tshuaj "Portalak" (kua syrup)? Cov lus qhia rau kev siv hais tias xws li mob txhais tau hais tias pom tau hais tias muab nyob rau hauv ib tug npaum li ntawm 35-45 ml los yog 2-3 loj dia peb zaug ib hnub twg.

Thaum pib ntawm cov kev kho mob ntawm cov tshuaj tej zaum yuav muab nyob rau hauv ib tug ntau npaum ntawm 35-45 ml txhua txhua ob teev. Qhov no yog tsim nyog nyob rau hauv thiaj li yuav ua tau ceev tau, nws yog ib tug es plob tsis so tswj zog. Tom qab, cov tshuaj yuav tsum tau mus xaiv ib tug neeg hauv paus, nyob rau hauv thiaj li yuav tau ib tug mos mos lub rooj zaum peb lub sij hawm ib hnub twg.

Saib cov tshuaj noj tom qab noj mov nrog dej.

overdose

Yuav tshwm sim tsos mob ntawm overdose yog siv tsis, "Portalak" tshuaj? Cov lus qhia rau kev siv (tus nqi ntawm no lub cuab tam yuav tsum tau nthuav tawm ib tug me ntsis rau yav tom ntej) muaj cov lus qhia hais txog dab tsi no tshuaj yuav ua tau rau ua rau lub tsos ntawm xws tsos mob li mob raws plab (nrog rau cov tsis electrolytes thiab haus dej), hypokalemia thiab hypernatremia. Txawm li cas los, cov tsos mob no tshwm sim xwb nyob rau hauv rooj plaub yog hais tias tus yeeb tshuaj twb mus nce koob tshuaj.

Raws li cov kev kho mob ntawm overdose, kws txawj pom zoo xwb tsis txhob noj cov tshuaj.

Sis nrog lwm yam tshuaj

Thaum lub sij hawm txoj kev siv cov lub syrup "Portalak" (nyob rau hauv kho koob tshuaj) kom deb li deb tsis tau cai clinically tseem ceeb kev sib tshuam nrog lwm yam tshuaj. Tab sis, dua li no, nws yog tsis pom zoo kom noj cov tshuaj tsis pub dhau 2 teev ntawm kev noj cov lwm yam yeeb tshuaj.

Tib mus thawj coj ntawm lactulose yuav inactivate tus neeg saib xyuas rau kev tso tawm nyob rau hauv cov hnyuv uas yog generated yog tsis heev dej siab puag ncig (e.g., ib tug yeeb tshuaj uas muaj ib tug mesalazine).

phiv

Puas muaj tus tshwm sim los ntawm cov tshuaj "Portalak"? Cov lus qhia rau kev siv, paub daws teeb, xyuas qhia tias cov kev txais tos ntawm cov nyiaj yeej yuav ua ib unintended txim. Txawm li cas los, nyob rau hauv Feem ntau, sab los yog reversible thiab bland cim. Ntxiv mus, lawv tsuas yog ib tug tsim nyog tau kev tau siab tshaj lub tshuaj.

• Digestive system: mob plab mog, tu-sauv, flatulence (kis ib tug ob peb hnub), tsis xis nyob, raws plab (tshem tawm los ntawm tej lub koob). Nws yuav tsum tau muab sau tseg tias cov suab thaj saj ntawm cov tshuaj nyob rau hauv ib co neeg mob tej zaum yuav ua rau xeev siab thiab ntuav.
• Metabolism hauv: nrog heev siv nyob rau hauv siab noj tshuaj npaum cas ntawm medicament tej zaum yuav tsis hnov ntsha thiab dej tshuav nyiaj li cas.
• Lwm yam: daim tawv nqaij pob.

ceev faj

Yuav ua li cas hom ntawm cov nta txhais tau tias koj yuav tsum paub ua ntej koj noj cov tshuaj "Portalak" (neeg siv, daim ntawv thov, tawm tswv yim nyob rau hauv no tsab xov xwm)?

Vim muaj cov suab thaj nyob rau hauv cov tshuaj lub tsheb (15 ml ntawm formulation muaj txog 1.6 g ntawm galactose thiab lactose txog 1 g) yog yuav tsum tau yuav tsum tau ceev faj nyob rau hauv lub sij hawm ntawm lub medicament rau cov neeg mob muaj ntshav qab zib.

Cov tshuaj no yuav tsum tau noj nrog huab ceev faj nyob rau hauv cov neeg mob uas gastrocardiac syndrome. Nyob rau hauv xws mob kev kho mob phoov "Portalak" pib nrog me me koob tshuaj, thiab ces maj mam tsa lawv, thiaj li kom tsis txhob tsam plab.

Tsis txhob xaiv ib tug yeeb tshuaj xam tau tias yog tiv thaiv lub keeb kwm ntawm xeev siab, mob plab thiab ntuav.

Thaum lub sij hawm txoj kev kho ntawm hepatic encephalopathy (tshwj xeeb tshaj yog thaum pib ntawm kev kho mob) yuav tsum tsis txhob siv lwm yam tshuaj ntaus cev. Nws yog kev cob cog rua nrog lub fact tias ntau zog plob tsis so tswj taw muaj peev xwm heev yooj yim ua rau kom cov yuam kev kho mob xaus hais tias tiav ib qho txaus ntau npaum rau cov kev kho mob ntawm hais tias tus kab mob.

Nyob rau hauv appointing cov tshuaj tus kws kho mob yog yuam ua hauj lwm yuav qhia rau nws tus neeg mob uas yog hais tias cem quav mob tsawv rau ob peb hnub tom qab tau txais phoov los yog nws tus mob worsens dua tom qab discontinuation ntawm cov tshuaj, nco ntsoov nrog koj tus kws kho mob.

Koj laxative kom tsawg muaj feem xyuam rau cov muaj peev xwm tsav ib lub tsheb thiab kev khiav lag luam machinery? Raws li tus kws kho los ntawm cov kws kho mob txhaj koob tshuaj ntawm cov tshuaj "Portalak" muaj tsis ntxim rau cov uas muaj npe muaj peev xwm.

Cia lub sij hawm thiab tej yam kev mob

Raws li yog lub npe hu, cov tshuaj "Portalak" tso tawm nyob rau hauv pharmacies tsis muaj ib tug tshuaj. Lub medicament nyob rau hauv lub khob vials yuav tsum tau muab cia rau hauv ib tug kub ntawm los ntawm 12 ° rau 22 ° C. Nrog kev xav txog cov kev npaj, uas yog muag nyob rau hauv hnab yas ntim, nws yog zoo tshaj plaws muab cia rau hauv ib tug kub tsis siab tshaj 25 ° C.

Xam tias yog ib tug yeeb tshuaj nyob rau hauv txhua txoj kev yuav raug mus rau kev soj ntsuam xyuas. Txwv tsis pub, tau crystallization ntawm lactulose. Khaws cov tshuaj yuav tsum tau tawm hauv lub ncav cuag ntawm cov me nyuam. Lub txee lub neej ntawm 3 xyoo. Tom qab no lub sij hawm, siv lub lam phoov yog heev undesirable.

Nqe thiab analogues tshuaj

Yuav ua li cas npaum li cas yog ib tug yeeb tshuaj "Portalak"? Cov lus qhia rau kev siv (qhov kev kho no lub medicament yuav tsum tau ua xwb los ntawm cov tshuaj) tsis muaj tej ntaub ntawv. Nyob rau hauv no kev twb kev txuas, nrhiav kom paub txog cov nqi ntawm phoov koj ua tau tsuas yog nyob rau hauv lub tsev muag tshuaj. Nws feem ntau yog hom twg 290-310 Lavxias teb sab rubles (250 mL).

Qhov no puas noj tshuaj analogs? Ntawm cov hoob kawm, tsis muaj. Ntawm lawv, kuv xav mus rau ntsiab li nram qab no tshuaj: "Duphalac", "Romfalak", "Normase", "Prelaksan", "Lizalak", "Livolyuk-PB", "Goodluck", "Lactulose" thiab "Legendal".

Xyuas ntawm medicament

Xyuas ntawm cov tshuaj ntaus cev "Portalak" yog cov tsis tshua zoo. Cov neeg mob hais tias cov tshuaj no yog heev ceev ceev thiab zoo txhawb plob tsis so tswj zog. Nyob rau hauv lub plab yog tsis muaj zoo tsis muaj tsis xis nyob.

Txawm li cas los, nws yuav tsum tau muab sau tseg tias, txawm lub siab cov hauj lwm zoo ntawm no lub cuab tam, feem ntau cov neeg mob hais tias tus nqi yog txhob txwm siab. Muab hais tias txhua txhua hnub laus yuav tsum tau haus dej haus 45 ml phoov, ib vial ntawm medicament (250 ml) yog txaus xwb rau 5 hnub. Txawm tias cov kws txawj hais tias xws li ib tug txoj kev kho lub sij hawm yuav tsum tau los mus daws cov teeb meem.