Isithunzi salesi sidakamizwa sixubekile. Ngakolunye uhlangothi, i-rimadil yezinja ilwa ngempumelelo nezifo zohlelo lwe-musculoskeletal, kepha ngakolunye uhlangothi, kuyingozi enkulu uma isetshenziswe ngokungahlakaniphile.
Yini iRimadil
Ihlukaniswa njengesidakamizwa esingelona i-steroidal anti-inflammatory esinqunyelwe ukudambisa ubuhlungu / ukuvuvukala ku-osteoarthritis noma ngemuva kokuhlinzwa... Ukwelashwa okusekelayo ngeRimadil (ngokuya ngemithetho) kungenzeka kukho konke ukuphila kwenja.
Umphumela wemithi
Isidakamizwa senzelwe ukuvimbela ukukhiqizwa kwe-cyclooxygenase, noma kunalokho i-COX-2, njengomqhubi wezenzo zokuvuvukala. Le enzyme (COX-2) ibandakanyekile ekwakhiweni kwama-prostaglandin, abandakanyeka enqubeni yokuvuvukala, edala ukuvuvukala nobuhlungu. Ngokufana nalokhu, i-rimadil yezinja cishe ayithinti i-COX-1, ngenxa yokuthi imisebenzi yomzimba yesilwane ihlala ingashintshi futhi umzimba usebenza njengokujwayelekile.
Umthelela we-rimadil ezithweni / kumasistimu wehlela emaphuzu ambalwa:
- ukuqedwa kobuhlungu;
- ukususwa kokuvuvukala;
- ukujwayelekile kokushisa (ngokwanda);
- ukuqedwa kwe-edema nezinye izimpawu zokuvuvukala.
Umkhawulo wezinto ezisebenzayo egazini ubonwa ngemuva kwamahora ama-1-3, kepha iningi lawo likhishwa emzimbeni wenja kanye nendle (80%) nomchamo emahoreni ayisishiyagalombili.
Ukwakheka
Iyehluka ngezindlela ezahlukahlukene zomthamo - ingaba yisixazululo somjovo we-intramuscular / subcutaneous noma amaphilisi ka-20/50/100 mg wesithako esisebenzayo. Lesi sakamuva sidlalwa yi-carprofen, ukugxila kwayo kwehluka kancane ngokuya ngenhloso. Yize kunjalo, i-rimadil (ebekwe etafuleni nasesisombululo) inenqubo eyodwa yokusebenza kanye nomshini ofanayo wemithi.
Amathebulethi
Angamaphilisi ansundu ayindilinga ano-R ngakolunye uhlangothi nomsele ohlukanisayo kolunye.... Umucu wenza umsebenzi ube lula uma kudingeka umthamo omncane kunalowo oqukethwe kuthebhulethi yonke.
Amaphilisi e-Rimadil wezinja, kanye ne-carprofen, afaka izithako ezisizayo njenge:
- ingulube yesibindi powder;
- isitashi sommbila;
- amaprotheni yemifino;
- i-lactose monohydrate;
- isiraphu noshukela;
- i-magnesium stearate;
- i-gelatin.
Amaphilisi afakwa emabhodleleni epulasitiki amhlophe (anelebula ethi Rimadyl R yezinja), anesihenqo sokuvikela izingane. Ebhodleleni lesikwele (eliqukethe izingcezu eziyi-14, 20, 30, 50, 60, 100 noma eziyi-180) igama nenhloso yomuthi, kanye nedatha yosuku lokukhiqizwa nosuku lokuphela kwalo, kuyakhonjiswa.
Ukujova
Unguketshezi olucacile olunombala ophuzi ophawuleka ngokungabonakali: kukhona into efanayo esebenzayo (i-carprofen), kepha awekho ama-flavour agents.
Okubalulekile! Ngemuva kokuthi ikepisi libhoboziwe, umuthi uvunyelwe ukusetshenziswa amasonto ama-4, bese kufanele ulahlwe.
Isixazululo sifakwa emabhodleleni engilazi ansundu (20 ml), ngalinye ligcwele ebhokisini futhi ligcwaliswe ngemiyalo.
Imithetho yokuqokwa
I-Rimadyl yezinja yenzelwe ukuvimbela / ukuvimba ukuvuvukala noma ukudambisa izinhlungu ezimweni ezilandelayo:
- ngezifo ezingamahlalakhona zesistimu yemisipha (kaningi esigabeni esibi);
- ngezifo ezihlangene (kufaka phakathi i-bursitis ne-osteoarthritis), ikakhulukazi ngendlela ebucayi;
- ngokulimala (kufaka phakathi ukukhwabanisa, ukukhwabanisa, ukuphuka, ukuqhekeka nokulimala);
- ngemuva kokuhlinzwa.
Njengoba umsebenzi omkhulu womuthi ukuvimba ama-receptors kanye ne-anesthesia ejwayelekile, esimweni sesifo esingelapheki, i-rimadil inqunyelwe isikhashana (ukunciphisa izimpawu).
Kuzothakazelisa futhi:
- Ukungezwani komzimba nezinja
- Isifo sikashukela enja
- I-dysplasia ehlangene ezinjeni
- Ukuphefumula enjeni
Ngesikhathi esifanayo, udokotela uqhuba ukwelashwa okuhlose ukulwa nomthombo oyimbangela walesi sifo.
Imiyalo yokusetshenziswa
I-Rimadil isetshenziswa ngokuya ngesimo sokukhishwa kwayo, futhi umthamo ubalwa ngokususelwa kunesisindo senja... Imvamisa, kune-4 mg ye-carprofen nge-1 kg yesisindo.
Amathebulethi
Ifomu lethebhulethi lithandwa kakhulu. Amathebulethi anqunyiwe ngokususelwa ekugxileni kwe-carprofen kuwo: isibonelo, inja enesisindo esingu-12.5 kg izodinga ama-50 mg.
Lapho usebenzisa amaphilisi, landela le mithetho elula:
- hlukanisa umthamo wansuku zonke womuthi ube ngamanani ama-2;
- ukunciphisa umthamo ngesigamu uma ukwelashwa kubambezelekile (njengoba kunconyiwe ngudokotela);
- uma umuthi ungaphuzwa ngesikhathi esifanele, ukuwudla kuqhutshwa ngokushesha ngangokunokwenzeka, kuqhubeke ngokohlelo;
- nikeza amaphilisi anokudla ukunciphisa imiphumela yamathumbu.
Amaphilisi awabangeli ukwaliwa ezilwaneni, njengoba kukhipha iphunga elimnandi lesibindi ngephunga lenja. Uma inja ilahlekelwa i-rimadil ejwayelekile, ukusebenza kwayo kuyancipha.
Ukujova
Leli fomu lomthamo livame ukufuneka kakhulu ngemuva kokuhlinzwa ukuze kuthulwe izinhlungu futhi kuvimbele ukuvuvukala okungenzeka.
Okubalulekile! Imijovo inikezwa ngokunqamula noma ngemithambo. Umjovo owodwa - 1 ml ka-5% we-rimadil nge-12.5 kg yesisindo senja. Ngokuya ngesimo sakhe, inqubo iyaphindwa ngemuva kwamahora angama-24.
Ngokuzayo, uma udokotela ebona kunesidingo, imijovo ishintshwa ngamaphilisi.
Izimo
I-Rimadil (isisombululo namaphilisi) ayivunyelwe ukunikeza izinja ezimweni eziningana:
- ngezifo zomgudu wamathumbu, kufaka phakathi i-gastritis;
- ngezifo eziningi ezingapheli zenhliziyo, izinso nesibindi;
- ngesikhathi sokukhulelwa kanye ne-lactation;
- ngezifo zokujikeleza kwegazi;
- esemncane (umdlwane);
- ngokungabekezelelani kwe-carprofen / izinto ezingeziwe.
Uhlu lokuphikisana lwenziwa ngudokotela wezilwane ohlola inja futhi azi amaphuzu ayo abuthakathaka... Kodwa-ke, ekhaya, kufanele uqaphele ngokucophelela ukusabela kwesilwane esithola i-rimadil okokuqala: lokhu kuzogwema izinkinga futhi kunikeze usizo ngokushesha.
Izinyathelo zokuzivikela
Emtholampilo, inja ihlolwa ngokuphelele (ngezivivinyo eziningi) ukuze ibe nesithombe esinenhloso yesimo senhliziyo, isibindi nezinso.
Ulwazi Udokotela Wezilwane Okufanele Alazi:
- isilwane has anomaly ezihlobene nohlelo hematopoietic, isibonelo, isifo von Willebrand;
- noma ngabe isilwane sinezifo zesifo sezinso noma sesibindi esizalwe naso;
- ukuthi inja (ikakhulukazi esikhathini sokugcina) ibinokuphazamiseka kokugaya ukudla nohudo / ukuhlanza;
- ukubekwa kwenja ekuziphatheni okweqile;
- noma ngabe ukwelashwa kwezidakamizwa kuyenziwa njengamanje, kufaka phakathi ukwelashwa okulwa nokuqhekeka kwegciwane;
- uke waqaphela noma yimiphi imiphumela emibi ngenkathi uthatha umuthi;
- ukuthi inja ibamba iqhaza ekuhlanganyeleni okuhleliwe (maduzane).
Ngemuva kokuthatha isinqumo ngokuqokwa kwe-rimadil, udokotela uzokukhumbuza ukuthi amaphilisi awaze anikezwe esiswini esingenalutho.... Odokotela abaningi beluleka ukuvikela isisu sesilwane ngaphambi kovalo lwe-jelly / iphalishi.
Okubalulekile! Awukwazi ukuhlanganisa i-rimadil nezinye izidakamizwa ezingezona ukuvuvukala, futhi unikeze izidakamizwa ze-nephrotoxic kuze kudlule usuku ngemuva kokuthatha i-rimadil. Ukwephula ukwenqatshelwa kugcwele imiphumela emibi emzimbeni..
Lapho usebenza noRimadil wezinja ekhaya, ungazinaki izindlela zokuhlanzeka komuntu siqu nemithetho elula yokuphepha esungulelwe ukuphatha izidakamizwa zezilwane.
Gqoka amagilavu okuhlinza futhi ugweme ukudla / amanzi lapho uphatha i-rimadil. Ngemuva kokuphothula inqubo, geza izandla zakho ngamanzi (mhlawumbe kufudumele) nensipho.
Okuqhamuka uma udla imishanguzo
Ngaphandle kokuqiniseka okuphelele komkhiqizi ekuphepheni kwe-rimadil yezinja, empeleni, abafuyi kanye nabafuyi bezinja bavame ukuqiniseka ngokuhlukile. Ngakolunye uhlangothi, okuhlangenwe nakho kukhombisile ukuthi imiphumela emibi ngemuva kokusetshenziswa kwe-rimadil ivame ukuhlotshaniswa nokungabi namandla okwanele kukadokotela noma nobudedengu bomnikazi wenja.
Ngokusetshenziswa kokunganaki nokunganaki komuthi, ukusabela okulandelayo kungenzeka:
- ukuntula / ukwanda kwesifiso sokudla noma ukulangazelela okungadliwayo;
- isicanucanu noma ukuhlanza;
- ukuqunjelwa / uhudo (ikakhulukazi ngokuphuma kwegazi);
- ukuphuzi kolwelwesi lwamafinyila, amhlophe wamehlo nesikhumba;
- ukuchama kaningi nokuningi;
- ukoma okwandisiwe;
- ubomvu be-epidermis, kufaka phakathi ukubonakala kwezilonda noma izinkamba (ikakhulukazi ngemuva kokujova kwe-rimadil);
- isimilo esixakile (ulaka, ukuxhumana okungahambi kahle, ukwanda / ukwehla komsebenzi).
Okubalulekile! Imiphumela emibi kakhulu ukuphuma kwegazi emathunjini, kanye nezilonda ezijulile (ezingapholi kahle) zezilonda.
Uma udokotela wezilwane engaziboni izinso / isibindi esinesifo, lezi zitho (ngemuva kokuphathwa kwe-rimadil) zingahluleka. Ngisho nemiphumela emibi emincane kufanele ibe yisiginali yokuyeka lesi sidakamizwa. Kulokhu, udokotela uvame ukusikisela izimpawu kanye nama-antihistamine.
Izindleko
Intengo ye-rimadil yezinja ayithonywa kuphela ifomu lomthamo lapho ikhishwa khona, kodwa futhi nenombolo yamathebulethi ebhodleleni kanye nenqubomgomo yentengo yesitolo. Isixazululo somjovo esingu-20 ml "siluma" ngaphezu kwakho konke: basicela kusuka kuma-ruble angu-1,740 kuya ku-3,080. Izindleko eziphansi kakhulu kuzoba ibhodlela lamaphilisi angama-20 ane-20 mg yesithako esisebenzayo - ama-ruble angama-479-488. Inani elifanayo lamathebulethi anama-50 mg we-carprofen azobiza ama-ruble angama-527-575, futhi nge-100 mg ye-carprofen - ama-ruble angama-755-870 asevele ekhona.
Ukubuyekeza
U-Irina, eMoscow:
“Ngisebenze njengodokotela wezilwane iminyaka engaphezu kwengu-20 futhi ngiyalela uRimadil ngemuva kokuhlinzwa nasezifweni ezihlangene, njengoba ngikholwa ukuthi isebenza kahle. Ngezwa ngokufa okuvela kwabanye abantu, kepha ekwenzeni kwami kwakungekho ukufa okuvela ku-rimadil, yize ngikuvuma ngokuphelele ukusongela ezilwaneni uma kuthathwe ngokungalungile.
Yingakho ngihlala ngitshela amaklayenti ngokuningiliziwe ukuthi benzeni uma kuvela imiphumela emibi engafuneki. Ngikholwa ukuthi ukusebenza komuthi kunqunywa yiziqu zikachwepheshe kanye nokuhamba ngezinyawo kwabanikazi. "
U-Olga, uNizhny Novgorod:
“Into enkulu engayikhipha ngemuva kokwazana neRimadil yezinja kwakuwukuqonda okucacile ngobuhle bayo, ngenkathi ngilandela izincomo zochwepheshe. Inja yami, eneminyaka engu-2,5 ubudala, yayihlala igijima kakhulu - okungenani amakhilomitha ayi-10-12 nsuku zonke, futhi ngokungazelelwe ngemuva kuka-3-4 km yaba nokuxega okubonakalayo. Kwaphela izinyanga eziyisithupha sizama ukuzelapha sisodwa, sathenga i-calcium, amavithamini nama-chondroprotectors.
Ukuzelapha akuzange kuholele kunoma yiziphi izinguquko ezinhle, futhi saphendukela kudokotela. I-X-ray yokuqala ikhombisile ukuthi inja inamalunga amahle kakhulu. Ngemuva kwalokho udokotela wasibeka phambi kokunye - ukuqala ukuthatha i-rimadil (ukwazisa ngokuningiliziwe "ngemiphumela engemihle" yayo) noma ukuhlola isilwane ngokuqhubekayo.
Sakhetha ukhetho lwesibili, senza ukuhlolwa kwegazi okuningiliziwe futhi sabheka umgudu wamathumbu. Ngokuthula kwethu kwengqondo, sikhombise ama-X-ray kweminye imitholampilo embalwa: nalapha, odokotela basiqinisekisa ukuthi inja inamalunga amahle. Sibuyele kudokotela wethu wezilwane, okwathi ngaphambi kokuchaza i-rimadil, waphenywa ngokulutha mayelana nokungajwayelekile emgodini wamathumbu we-canine. Siqinisekisile ukuthi inja ayinazinkinga kule ndawo, ngemuva kwalokho sathola imininingwane eningiliziwe hhayi ngomlomo kuphela, kodwa nangemiyalo ebhaliwe.
Amaphuzu asemqoka alo mbhalo, esiwanamathele ngokuqinile:
- nikeza i-omez (isigamu sehora kuya kwehora ngaphambi kokudla) izinsuku ezingama-2-3 ngaphambi kokuqala kwesifundo se-rimadil;
- landela ngokuqinile umthamo kanye nomthamo wesilinganiso obekwe ngudokotela;
- nikeza i-rimadil kuphela ngemuva kokudla;
- ngenkathi uyithatha, futhi unikeze i-ome isigamu sehora noma ihora ngaphambi kokudla;
- uma kwenzeka kukhona ukuphazamiseka kwamathumbu, ngaphandle kwe-rimadil, nikeza i-venter bese uthintana nodokotela ngokushesha;
- qeda ukuthatha i-rimadil ekugcineni kwenkambo (kithi bekuyizinsuku eziyi-7).
Ezinsukwini ezingama-5 ngemuva kokuthola i-rimadil, inja yami yandizela ehlathini futhi, kepha asizange siyiphoqe inqubo futhi manje sesiyibuyisela imithwalo kancane kancane. Nsuku zonke sinqoba amakhilomitha ayi-7 ngaphandle kokuncanyana kokuxhuga. Futhi ngalokhu kuphulukiswa ngiyabonga kuRimadil nodokotela wethu onomthwalo wemfanelo. "
