"Alfacalcidol": aʻo no ka hoʻohana 'ana, i ke kalaʻana aku palapala, hōʻike manaʻo, kiʻi, laʻau heluna, analogs

Ka nele o ka wikamina D3 i pilikia nui. No nā keiki i kēia nele ka fraught me ka hooulu ana o rickets, oiai i loko o nā mākua mea e pono ia i ka nele o ke kumu o ka osteoporosis a me ka like pilikia.

ʻO kēia makeke o Medicine kaumaha ana i kona nā mea kūʻai mai i ka laulā o ka laau, e hoʻopau i ka deficiency o keia wikamina. Kekahi e like me ka lapaʻauʻia ka "Alfacalcidol." Na Ke Kumu no ka hoʻohana characterizes ka mea, e like me ka ka hoʻokō kumu e normalize i ka wikamina-mea pōhaku koena.

pharmacodynamics

Kēia medicament ka wikamina D3 kaila palapala. I ka rula o ka wehe aʻe o ka nui mea pōhaku i huiʻia, e like me phosphorus a me ka kalipuna, mea i nui ka hiʻona o ka lāʻau "Alfacalcidol." E ho ohana ana i ka lāʻau 'mea mana ma ka noho haumāna kahi iwi ho okumu. Ma kona kauoha komo māhuahua omo o ke kalipuna, a phosphorus i loko o ka naʻau liʻiliʻi a me ka hakuʻala. Eia hou, ua k maoli he iwi mea pōhaku nuʻa, a ma ka mea ia manawa ho'ēmi i kā ka nui o ka maʻiʻo ma ke koko PTH. E like me ia i kaʻilihune, "Alfacalcidol" ua antirahitichnoe hopena, a kōkua emi i ka helu ana o fractures.

Inā i ka lāʻau 'mea e lawe papa, laila, ma lalo o kona keiki hou ōhumu, hoemiia iwi a me ka Muscle eha (a mea i kaʻilihune o ka naha o ka kalipuna-phosphorus pūnao).

Ma kekahi mau hihia, hoomaikai aku la lakou i ka hoʻohana 'ana i ka waiʻona?

"Alfakltsidol" kauoha no ka hoʻohana a me ke alakaʻi o ka 'inikua poe akamai i haawiia'ku ia i koi' ia ma ka manawa, kahi o ka mōʻaukala o ka 'ike e pili ana i osteodystrophy, maʻiʻaʻa puʻuwai ole ke kahua. Eia, ka mea, ua hoʻohana 'ia i loko o hypoparathyroidism. Ke kumu no ka mea, o ka mea rickets, osteomalacia (ka leo ka ho'ēmiʻana o ka iwi'aʻaʻa) a me ka iwi i hoopalupaluia,, i ke ano o ka a i e loaʻokoʻa. Osteoporosis - he steroid, senile, postmenopausal - i ana ia me "Alfacalcidol" 'ana.

I ka hana o ka hoakaka ana i ka lāʻau ma ka hihia ma ka hoʻomanawanui ua loaa mai kaʻaʻa puʻuwai acidosis, a me ka mōʻaukala o ka mea, ua Fanconi maʻi pale (he luna 'maʻi, me kaʻaʻa puʻuwai acidosis, e hali ana i hereditary, nephrocalcinosis, rickets a hiki hypophyseal maʻi pale).

Me kēia mau pilikia a pau, "Alfacalcidol" hiki i ka hoʻokō kōkua.

I ka wā e hoomanawanui mai ka loaa ana?

Ka papa inoa o nā contraindications i ka lāʻau 'he "Alfacalcidol" manual. Reviews 'Oihana papa aku e lawe i ka lāʻau a me ka puke moʻolelo o ka' ike hypercalcemia, hyperphosphatemia (koe ka wā ulu hyperparathyroidism), gipermagnemii. Mai ka hoʻohana i kēia k ma ka hihia o ka intoxication o ka meaola pili me excessive ka maʻiʻo o ka wikamina D3. He unacceptable e hāʻawi aku "Alfacalcidol" poe mums.

Ua pono, hoʻokaumaha i ka olelo, e hiki ole lawe laau i kanaka me kanaka hypersensitivity i ka lāʻau eiiiiiaiou.

Noi a me ka laʻau heluna

Ka loa piha 'ike ma luna o ana i ka hana a kekahi mau dosing no ka lāʻau "Alfacalcidol" manual. Product palapala (capsules o 0,25 mg a 1), i ka mahele lāʻau a me ka lōʻihi like 'ole o ka pākōlea papa kahuna lapaau i koho pākahi ke kaumaha ma muli o ka oolea o ka hoʻomanawanui ka ana a me ke ano o ka maʻi.

No ka laʻana, makua nā mea maʻi i rickets, kena ae la ma kekahi deficiency o ka wikamina D3, pilikia a me ka gastrointestinal'āpana, e kau ana no ka lā i loko o ka mahele lāʻau nui o ka 1 i 3 mg. A maikaʻi result me ka Inc no hypoparathyroidism e hoʻokuleana i mai 2 me 4 mg o ka lāʻau no ka lā. Kela la i keia leo ma ka hoʻokō 'ole a me kaʻaʻa puʻuwai osteodystrophy aayoaeuiinoe e ole oi aku ka nui o ka medicament i 2 microgram. Fanconi maʻi pale a me kaʻaʻa puʻuwai acidosis ka pono paha ua malamaia lakou nei, "alfacalcidol" hoomanawanui e loaa ana i kela la i keia mahele lāʻau i loko o ka buke o 2,6 micrograms. Ma ke alo o nā mea maʻi me ka hypophosphatemic rickets a me osteomalacia ka hoʻokō kela la i keia laʻau heluna dala make i ka 4 i ka 20 micrograms.

Kauka Paipai 'hoʻomaka lapaau me ka haahaa mahele lāʻau, i ho'ākāka' ana i kēlā me kēia mau maʻi. Ka iapaau ana Pono e ua hoʻonānā i ka wai koko o ka oihana mua e like me ka pōhaku a me ka phosphorus (ma ka liʻiliʻi 1 manawa i keia hebedoma). Laʻau heluna "alfacalcidol" ana mahuahua ma ole hou aku 0.5 micrograms no ka lā. A hiki i ka palena iki pono ka laʻau heluna ua loaʻa, i ka maʻiʻo o kalipuna i loko o ke koko e e ole e emi hooponopono ma mua o kela 3-5 pule.

undesirable 'ole

Like kekahi ka lapaʻauʻia, aia no he papa inoa o kaʻaoʻao 'ole, a' o ia hoʻi "Alfacalcidol." Na Ke Kumu no ka hoʻohana (synonymous, incidentally, kekahi i ka mea ia ia) e lawe i ka noonoo ana o ka hoʻomanawanui iki mai i ka lāʻau 'ke pane koke i ka digestive nenoaiu. Ma ka hapanui o hoopii, nausea, ka luaʻi, epigastricʻeha, constipation a diarrhea, heartburn, aloha o ka dryness o mucous membranes i loko o ka waha. Hiki hou anorexia.

CNSʻaoʻao waiwai kānāwai mau nawaliwali, a me ka drowsiness, luhi, a me ka headaches pōniuniu. I kekahi manawa nā mea maʻi i aku nei au e pili ana i ka hooulu ana o ka tachycardia (kokololio naʻau kōmi) a me ka uku paneʻe i loko o ke koko,. Dermatologic reactions kānāwai me maneo a me rashes ma luna o kaʻili,ʻaʻole loa mālama nui kūpono 'ana o ka iwi, Muscle a me ka olelo mau eha. E oko i kekahi mau mea keʻena hoʻokolohua aiee i oi kiʻekiʻe-pa apŘ lipoproteins. Aia He He manawa kūpono o ka hypercalcemia, hyperphosphatemia (ka poe e loaa ana mai abnormalities i loko o ka functioning o nā puʻupaʻa).

Excessive nā māhele

A helu o ioʻike manaʻo e e malama i ka hanana i loa ana no ka lāʻau "Alfacalcidol" laʻau heluna. Na Ke Kumu no ka hoʻohana cautions nā mea maʻi e pili ana i ka pilikia o ka ulu hypervitaminosis D. I overdose symptoms i ke kumu ma ka hypercalcemia. Mai ka brightest Kahiāuli Ho'ā kekahi hiki gastrointestinal reactions, Muscle eha, he mea hao ho'āʻoʻana i loko o ka waha, tiredness.

I ka maʻi intoxication nā mea maʻi hoʻokaʻaʻike mai drowsiness a me headaches kānāwai nawaliwali, irritability, Kanikani'āʻula, iaiyoe hoʻopilikia, a me ka hōʻemi iki ulu i loko o ke koko,. Ma o ka haku mele 'ana o ke koko i kekahi manawa he koena dala o ka naikokene a me ka creatinine. Aia He He pilikia o conjunctival hyperemia, calcification o ka hakuʻala, akemāmā,ʻaeʻae'aʻaʻa a me ke koko ipu, ho okumu ana o concretions i loko o nā puʻupaʻa. Aia hiki e pilikia me ka leo (hoarseness).

To hoʻopau i ka hopena o ka overdose o ka lapaʻauʻia e e hoopau, opu holoi, E hoʻomana aku, ke kaumaha ma luna o nā symptoms o loop diuretics, bisfofonaty, hemodialysis hoʻohana hoohaahaa i kia pāʻoihana o ke kalipuna.

Hoʻokau 'o ka lāʻau

Aia nō i ka helu o ka maʻi i loko o i ia mea e pono ke lawe mālama "Alfacalcidol." Na Ke Kumu no ka hoʻohana e paipai, e akahele mai i ko lakou noho ana o ke ola i nā mea maʻi e loaa ana mai ka atherosclerosis, sarcoidosis ( 'ole kekahi' ē? Ueony granulomatosis), pulmonary tuberculosis (ʻeleu ke kahua), naau ka hoʻokō 'ole a me kaʻaʻa puʻuwai insufficiency aayoaeuiinoe (maʻi ano). E wary i hoʻokohu 'ia "Alfacalcidol" ina ka hoʻomanawanui nefrourolitiaza symptoms. Keiki a me ka poʻeʻelemākule hoʻomanawanui iki mai no hoi eia ma kamepiula (ka hope lāʻau ke haawi impetus i ke kūpono 'ana o ke atherosclerosis).

Hāpai keiki, a lactation

Like no ka hapai keiki o na wahine a me ka poe makuwahine, i ka "Alfacalcidol" aʻo e leie aku e pili wale ma ka hihia ma ka manao maikaʻi hope no ka makuahine, ma mua o ka pilikia a hiki i ka bebe i ka ola kino a me ka ulu ana.

Hypercalcemia i loko o ka expectant makuahine, hoʻonāukiuki akula ma ka lōʻihi-makahiki hoʻohana "alfacalcidol," ke haawi aku i ka pahu aku ai i no ka hooulu ana i ka helu o ka pilikia i loko o ka fetus. O na maʻi loa ia mea i loko o unborn keiki hiki ke kapaia hypersensitivity i ka wikamina D, i ka luhi o ka functioning o ka parathyroid gland, aortic stenosis, noʻonoʻo retardation, ilepili elfopodobnoy paia waho maʻi pale.

Eia hou kekahi, "Alfacalcidol" ma ka puke hiki i lactation excreted ma ka umauma o ka waiu uuku. E pale i ka pilikia o ka hypercalcemia symptoms i loko o ke keiki, ia mea pono e systematically lawe i ka lapaʻauʻia me ka mālama nui.

AaOIeIOUIeXAOAaIN a me nā waiwai

"Alfacalcidol" hoʻohana noi paipai ole eʻae ia laua me ka anticonvulsant (barbiturates, phenytoin, a no laila, ma luna o. D.) Ma nānaina o ka hoʻoulu kona ( "alfacalcidol") pūnao. Ka mea ku pono ole nā mea kūpale. Noi o ka medicament i loko o ka huipūʻana me nā Luna i loaʻa ka digitalis, hiki hoʻonāukiuki ulu o arrhythmias.

Ālai 'emi omo "alfacalcidol" ma ka laua i kona komo ana i albumin, antacids, mea pōhaku aila, colestipol, colestyramine, sucralfate.

I ka hoʻohuiʻia o ka makanekiuma-i loaʻa ka laxatives paha antacids, maoli ka likelihood o gipermagniemii a giperalyuminemii. I ana i ka "alfacalcidol" me ka lapaʻauʻia, ka i loko o kona haku mele 'ana wikamina D a me kekahi o kona nā mea loaʻa, maoli i ka pilikia o ka hypercalcemia.

ʻawahia 'ole "alfacalcidol" ua nunui hoemi ma ka laua me ia i ka noi o tocopherol, ascorbicʻakika a me pantothenicʻakika, thiamin, riboflavin, wikamina A. ke kanawai o ka waiū "alfacalcidol" Ua emi haʻi ma ke alo o nā mea loaʻa a me ka etindronoy pamidronicʻakika, glucocorticoids, kaltsitona. Eia hou, ua k stimulates ke omo o ka phosphorus-i loaʻa ka mea, i maoli i ka pilikia o ka ulu hyperphosphatemia.

like ai '

kaiāulu i loaʻa no ka lāʻau "Alfacalcidol" analogues i loko o ka mea lāʻau lapaʻau kuai ana o ka aina. Na Ke Kumu no ka hoʻohana he 'ike ma luna o ka loa ka hoʻokō poʻe. Mau nā ai ' "Etalfa", "Alpha-D3 Teva", "Ca-Alfadol", "alfa-Wang", "Oksidevit", "Tevabon".

Mau ai 'Manufacturers kaumaha i nā mea kūʻai mai i loko o ka likeʻole ma o nā' ano apau loa: o na papa io a me ka gelatin capsules, paka ua a me he lepo lā, pāʻoihana no intravenous infusion.

Reviews o ka la hoomalolo "Alfacalcidol"

I kekahi lāʻau, he kākoʻo a me nā hoa paio, e like me ka ka ina me ka hoʻomākaukau "Alfacalcidol." Na Ke Kumu no ka hoʻohana 'ana, kiʻi o nā mea maʻi i mea maona i ke keiki ka lawe' ana ma luna o ke kino, e ka mea ike i ka nā mea kūʻai mai i ka lāʻau 'ke me ka nui loa hoʻoikaika' ana i kekahi kanaka i ka mea e like ai o ke ola a me ka helu o ka maʻi pili i ka deficiency o nā wikamina a me nā minelala hao, ke kalipuna-phosphorus pūnao. Eia hou kekahi, "Alfacalcidol" Ua hiki ia wale hoʻoikaika i ke ano o ka lauoho, a kui, i mea i nui.

Kekahi nā mea maʻi i hauʻoli i ka mea e "Alfacalcidol" hiki ole ke kuai ma ka hamama ana o ka makeke, e like me ka mea pono i kuhikuhi mai i ke kauka. Eia naʻe, ola 'Oihana i o ka manao i na mea kaumaha hoomakaukau, a ina ole e ole i ka a pau.