Preparart "Lucentis": martani da marasa lafiya da kuma likitoci, umarnin don amfani da

A wannan labarin, za mu magana game da magani samfurin "Lucentis". Umurnai, reviews, sashi - duk da wannan kuma fiye da za a tsarkake mu.

"Lucentis" amfani da ophthalmology domin lura da shekaru da alaka da macular degeneration (neovascular). Haka kuma an yi amfani da ciwon sukari macular edema don mayar da hangen nesa. Da miyagun ƙwayoyi ne an gudanar da allura a cikin vitreous jiki na ido.

Tsari da kuma abun da ke ciki

Yana da wani m, ko da dan kadan opalescent bayani shiri domin ciki gwamnati "Lucentis" (haƙuri ratings tabbatar da shi).

Babban aiki sashi daga cikin miyagun ƙwayoyi ne ranibizumab. Da abun ciki a cikin 1st miyagun ƙwayoyi vial ne 2.3 MG. Bugu da ƙari, cikin wadannan karin aka gyara an kunshe a "Lucentis":

• α-trehalose dihydrate.
• polysorbate.
• L-histidine hydrochloride monohydrate.
• ruwa.

Daya kartani da miyagun ƙwayoyi sun hada da:

• share gilashin kwalban, wani juz'i daga 0,23 ml, da miyagun ƙwayoyi.
• Allura da tace.
• A bakararre sirinji da allura.

Da miyagun ƙwayoyi da aka saki a Pharmacy da takardar sayen magani kawai.

shaidar

Sanya lamba na ophthalmic cututtuka "Lucentis". Shedu quite shubuha kamar yadda ya ingancinta - to wani da miyagun ƙwayoyi taimaka, yayin da wasu da wuya lura da aiki. Duk da haka, "Lucentis" wajabta ga wadannan cututtuka:

• rigar (neovascular) nau'i na shekaru da alaka da macular degeniratsii.
• Heart hangen nesa saboda ci gaban da m macular edema - a daya-lokaci amfani, ko a hade tare da Laser coagulation .
• rage hangen nesa saboda macular edema, wanda aka sa ta retinal jannayẽnsa occlusion.
• rage hangen nesa saboda choroidal neovascularization lalacewa ta hanyar pathological myopia.

contraindications

Akwai da dama daga contraindications dõmin ajalin da miyagun ƙwayoyi "Lucentis". Marasa lafiya comments kuma bayar da shawarar cewa da miyagun ƙwayoyi An wajabta ba ga kowa da kowa. Saboda haka, da miyagun ƙwayoyi da aka haramta don a yi amfani a cikin marasa lafiya:

• fama da cututtuka na ocular ko periocular yiwuwa dauke da kwayar cutar matakai sarrafawa.
• wanda aka kamu da "intraocular kumburi".
• nedostrigshim shekaru 18 na shekaru.
• wanda ya nuna hypersensitivity zuwa wani sashi daga cikin miyagun ƙwayoyi.

A miyagun ƙwayoyi kuma ba za a iya gudanar da su ciki da kuma lactating mata.

Da miyagun ƙwayoyi ne amfani da hankali a cikin marasa lafiya da wadannan Categories:

• Mutane da hypersensitivity. idan akwai wani hadarin bugun jini, da miyagun ƙwayoyi ne gudanar kawai bayan da wani kima da likitoci hadarin-amfanin "Lucentis".
• Marasa lafiya fama DMO saboda retinal jannayẽnsa occlusion ko CNV, wanda aka sa ta pathological myopia, gaban kwakwalwa ischemia ko bugun jini - da miyagun ƙwayoyi zai iya sa thromboembolism.
• Mutane da suka riga dauki kwayoyi da cewa aiki a kan jijiyoyin bugun gini endothelial girma.

A wasu lokuta, magani ne katse

Akwai ma lokuta inda wani gaggawa bukatar soke far kuma bai yi kokarin sabunta:

• canje-canje a intraocular matsin 30 mmHg ko fiye. Mataki na ashirin da.;
• rage a gani acuity ta 30 haruffa ko fiye idan aka kwatanta da na karshe ji.
• retinal hawaye.
• subretialnoe hemorrhage, shafi na tsakiyar rami, ko ya buge kan 50% na yankin.
• dauke da fitar intraocular tiyata.

sashi

Kawai a cikin nau'i na injections vitreous "Lucentis" aka mora. Shedu nuna cewa hanya kanta ne m.

Abinda ke ciki na daya kwalban nufin ne aka yi nufi kawai ga guda allura. Gabatar da miyagun ƙwayoyi iya kawai ophthalmologist tare da kwarewa a wannan hanyoyin.

Tun da magani ya shafi mahara injections, shi dole ne a tuna da cewa tsakanin su ya kamata a lura da tazara na akalla 1 watan. The shawarar kashi "Lucentis" daya allura - 0.5 MG. A lokacin jiyya na dindindin iko a kan sharpness ya kamata a yi na.

A nada da miyagun ƙwayoyi ga marasa lafiya girmi 65 shekaru na musamman kashi gyara ake bukata.

"Lucentis": umarnin don amfani da

Reviews kan shirye-shiryen da kuma aiki na likitoci sun ce da haƙuri shi ne dole ka saka idanu da shirye-shirye domin gabatarwar tsari don kauce wa malpractice.

Saboda haka, kafin gabatarwar da nufin zama dole don tabbatar da cewa da mafita daidai ne - da launi, irin zane, rashin laka. Lokacin da canza sautin ko gaban insoluble barbashi "Lucentis" haramta amfani.

Gabatarwa daga cikin shirye-shiryen da ya kamata faru a karkashin bakararre yanayi: paramedic hannuwa dole ne ayi kasafi abar kulawa. Kawai bakararre safar hannu aka yi amfani, kuma da ya zama bakararre Yana shãfe murfi speculum da dukan sauran kayayyakin aikin da za a yi amfani da.

Kafin allura ne da za'ayi disinfection na fata a kusa da idanu da kuma shekaru. Sa'an nan wani m drip da kuma gudanar antimicrobials. Yana dole ne a tuna da cewa anti-da ake dasu jamiái dole ne a shuka sau 3 a rana, kafin da kuma bayan hanya, har kwana uku.

Kawai a karkashin wadannan sharudda iya zama wani cin nasara jiyya ga "Lucentis". Feedback daga waɗanda suka riƙi shi, yana mai cewa akwai lokacin da likita abun da ake sakawa cikin miyagun ƙwayoyi zuwa biyu marasa lafiya na wannan allura. Irin wannan unacceptable kuma zai iya kai wa kamuwa da cututtuka da kuma daban-daban cututtuka kamar AIDS.

Drug kanta gudanar a cikin vitreous jiki ta hanyar sunã shiryarwa da tip na da allura wajen cibiyar da eyeball. M injections kamata a da za'ayi a cikin daya da rabi daga cikin sclera, wanda aka ba a shafi na farko allura.

Tun da sa'a guda bayan hanya, da intraocular matsa lamba na iya tashi, shi wajibi ne don sarrafa da kuma saka idanu da perfusion na na gani jijiya. A lokuta da larura bukatar samar da magani don rage matsa lamba.

Daya hanya da aka yarda su shigar da miyagun ƙwayoyi ne kawai a daya ido.

yawan abin sama

Mai haɗari yawan abin sama da aka lura a lokacin gwajinsu. Mafi na kowa bayyanar cututtuka da wannan ne:

• karfi da kuma kaifi zafi a cikin ido.
• ya karu intraocular matsa lamba.

Idan ka lura da irin bayyanar cututtuka na haƙuri dole ne karkashin kulawa na likita da sha da zama dole magani.

Hulda da sauran kwayoyi

Shi ba a san yadda tare da sauran kwayoyi da miyagun ƙwayoyi interactions "Lucentis". Reviews da marasa lafiya (mafi yawansu) kai ga ƙarshe cewa likitoci ba rubũta a "Lucentis" wani abin da sauran kwayoyi kuma anesthetics kuma anti-infective.

Wannan shi ne saboda gaskiyar cewa bincike a kan hulda da "Lucentis" tare da wasu kwayoyi ba a gudanar. Saboda haka, magani ya kamata a yi amfani da tare da tare da sauran mafita ko kwayoyi.

Pregnancy kuma lactation

An contraindicated a ciki, kuma lactating mata prick "Lucentis" (martani kuma tabbatar da wannan). Wannan shi ne saboda cewa da miyagun ƙwayoyi aka dauke su daya daga teratogenic da embryotoxic kwayoyi, wato, shi sa illa fetal girma.

Ga mata na haihuwa, da tazara tsakanin karshen jiyya da kuma ganewa kada ta kasance kasa da watanni 3 - a lokacin da lokacin ranibizumab cikakken kawo jiki. Har sai wannan lokacin, ya kamata ka yi amfani da abin dogara hana.

illa

Kuma zai iya sa a ke so effects harbe a cikin ido ( "Lucentis"). Reviews na marasa lafiya a wannan batun, yafi kyau - illa sosai rare. Duk da haka, biyu-shekara na asibiti karatu sun gano wadannan tsanani a ke so illa ga lafiya bayan da allura:

• endophthalmitis.
• retinal detachment .
• cataracts.
• ya karu intraocular matsa lamba;
• intraocular kumburi.

Bugu da kari, da lura da kuma kasa kawo hadari sakamakon na yin amfani da "Lucentis" alaka da gabobin da gani:

• kumburi da vitreous jiki da kuma intraocular.
• vitreous detachment.
• Heart hangen nesa.
• retinal hemorrhage.
• zafi a cikin idanu.
• conjunctival hemorrhage.
• blepharitis.
• ido hangula.
• na ruwa idanu.
• bushe ido ciwo.
• iritis.
• uveitis.
• rage na gani acuity.
• Karu Iris.
• degenerative matakai a cikin ido duka.
• redness na ido.

Kuma ma ya gana da wadannan illa:

• nasopharyngitis.
• mura;
• tashin hankali.
• anemia.
• ciwon kai.
• bugun jini.
• tari.
• tashin zuciya.
• itching da kurji.
• arthralgia.

Duk da haka, wadannan illa ne kasa da 2% daga cikin lokuta na nufin "Lucentis" amfani. Reviews, musamman, nuna mun gwada m faru na redness da kuma zafi. Duk da haka, wadannan cututtuka bace wajen sauri.

ajiya yanayi

"Lucentis" ya kamata a adana a 2 zuwa 8 digiri Celsius, amma a cikin wani akwati ba daskare. Yana nufin dole a ci gaba a wani duhu da kuma bushe wuri inda yara ba zai iya samun damar. A shiryayye rai da miyagun ƙwayoyi ne shekaru 3 daga ranar yi. Kada ka yi amfani kare "Lucentis".

tsõratar

Lokacin amfani "Lucentis" iya samun daban-daban na gani cuta cewa adversely shafi haƙuri ta ikon aiki a kan daban-daban sunadaran da kuma sarrafa abin hawa. Saboda haka, idan wadannan cututtuka su ne, bayyananne ba su samu a baya da dabaran a mota ko amfani da inji, har irin wannan lokaci kamar yadda duk na gani disturbances bace.

Kuma ba da shawarar ya fitar da wani abin hawa nan da nan bayan da allura, ko da idan ba ka jin wani abu a farko bai lura. Side effects na iya faruwa daga baya, misali bayan karewa na m.

'Lucentis': reviews likitoci

'Lucentis' ne sau da yawa shawarar da wajabta ta likitoci domin an dauke su quite tasiri miyagun ƙwayoyi. A daya hannun, ba ko da yaushe haƙuri iya iya biya da ake bukata adadin allura: "Lucentis" - a wajen tsada kayan aiki. A cikin wadannan lokuta, likitoci bayar da shawarar sauya shi da wani mai rahusa takwaransa - "Avastin". Duk da haka, da karshen ya ba tukuna aka bincika a dace mataki, don haka na farko shawarwarin da likitoci ne a lokaci-jarraba "Lucentis". Ophthalmologists sun dade saba da wannan kayan aiki, ka san abin da sakamakon za a iya sa ran kuma gane ingancinta.

shedu

Yanzu bari mu magana game da abin da marasa lafiya da kansu tunani game da magani samfurin "Lucentis". Reviews bayar da shawarar cewa da miyagun ƙwayoyi ba ko da yaushe suna da so sakamako. Duk da haka, mafi yawan marasa lafiya da suke halartar, ta bayar da hujjar cewa hangen nesa da ya inganta da yawa ko daina samun koma baya. An lura da irin wannan shiryayye effects kamar zafi da abin da ya faru da cututtuka, amma shi iya jimre maganin rigakafi. Bugu da kari, mafi yawan marasa lafiya masu m cewa wadannan maras so effects ne sakamakon.

Duk da haka, akwai ma lokacin da lokuta da miyagun ƙwayoyi tabbatar m. Gaskiyar cewa 'Lucentis' taimaka ba a 100% na lokuta, suka ce, da kuma likitoci da kansu. Ko da yake mafi muhimmanci hasara da marasa lafiya yi imani da cewa - kudin kudi. Ba kowa ba ne zai iya iya cikakken hanya na dama injections.

Daga cikin muhimman abũbuwan amfãni, ban da yadda ya dace, m aikace-aikace da ake kira "Lucentis" (reviews a wannan batun yarda). The kawai hasara ne da rashin jin daɗi da gwamnati da kuma bayan. Duk da haka, suna quite m, da kuma soke kansa ba ji. Bayan ƙarshe na maganin sa barci, akwai kananan sha raɗaɗin.

Duk da haka, "Lucentis" ya ce wani kyawawan tasiri kayan aiki bayan da aikace-aikace na wanda marasa lafiya kwarewa inganta hangen nesa.