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Натрия гиалуронат в организме представляет собой естественную составную часть синовиальной жидкости, которая в суставах служит смазкой для хрящей и связок, а также является поглотителем ударных нагрузок. Известно, что синовиальная жидкость в пораженных суставах, имеет более низкую вязкость и эластичность, чем синовиальная жидкость в здоровых суставах. 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Подкожное введение лидокаина или аналогичного местного анестетика может быть рекомендовано до введения Средства для замещения синовиальной жидкости.","Запрещается использовать Средство для замещения синовиальной жидкости, если блистерная упаковка вскрыта или имеет признаки повреждения. Запрещается использовать изделие после истечения его срока годности, указанного на упаковке.","При подготовке к применению и при самом применении медицинского изделия, требуется строгое соблюдение правил асептики.","При необходимости (в случае наличия) удалите суставной выпот перед введением Средства для замещения синовиальной жидкости.","Необходимо снять винтовой колпачок шприца и колпачок наконечника иглы с соблюдением всех правил асептики. Введение Средства для замещения синовиальной жидкости в сустав необходимо осуществлять при помощи иглы соответствующего размера (подбирают с учетом размера сустава). Игла в комплект упаковки изделия не входит."]}},{"type":"paragraph","data":{"text":"Вводите в каждый сустав требуемый объём Средства для замещения синовиальной жидкости. Если имеется врачебное предписание, предполагающее введение в несколько суставов, для каждого сустава необходимо использовать свой отдельный шприц."}},{"type":"paragraph","data":{"text":"Средство для замещения синовиальной жидкости является ОДНОРАЗОВЫМ МЕДИЦИНСКИМ ИЗДЕЛИЕМ (ПОВТОРНОЕ ИСПОЛЬЗОВАНИЕ ЗАПРЕЩЕНО)."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Средство для замещения синовиальной жидкости отличается хорошей переносимостью. Возможные побочные эффекты включают кратковременную проходящую боль в месте инъекции, ощущение жара, кровоподтёк, покраснение и (или) припухлость. Как правило, подобные реакции проходят бесследно в течение 2-3 дней и никак не влияют на эффективность лечения. Случаи аллергических и анафилактических реакций редки. При несоблюдении мер предосторожности при внутрисуставном введении в очень редких случаях может возникнуть септический артрит."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"Меры предосторожности"}},{"type":"list","data":{"style":"ordered","items":["Безопасность и эффективность инъекционного введения данного изделия параллельно с проведением других внутрисуставных инъекций не изучены.","Эффективность установлена только при соблюдении минимального рекомендованного курса лечения.","Средство для замещения синовиальной жидкости следует использовать с осторожностью у больных с признаками нарушения венозного или лимфатического оттока в нижних конечностях.","При двустороннем лечении следует использовать отдельные шприцы для каждого коленного или тазобедренного сустава.","Не следует использовать местные обезболивающие средства, если известно, что у больного имеется аллергия или повышенная чувствительность к местным анестетикам.","Не следует проводить инъекцию в тазобедренный сустав под рентгенологическим контролем и с использованием рентгенконтрастных веществ, если известно, что у пациента имеется аллергия или повышенная чувствительность к рентгенконтрастным веществам.","СТЕРИЛЬНОЕ СОДЕРЖИМОЕ. Предварительно заполненный шприц предназначен для однократного применения. Содержимое шприца необходимо использовать немедленно после того, как контейнер вскрыт. Любое неиспользованное количество Средства для замещения синовиальной жидкости следует утилизировать.","Необходимо проверять дату истечения срока годности и целостность индивидуальной упаковки (шприца) перед использованием медицинского изделия. Запрещается использовать по истечении срока годности, а также в случае открытой или поврежденной упаковки."]}},{"type":"paragraph","data":{"text":"Риски применения"}},{"type":"paragraph","data":{"text":"Производителем определены риски для пациента, связанные с возникновением каждого типа опасных факторов и наступления их последствий. Рассчитаны параметры снижения рисков при применении мер по предотвращению наступления условий для проявления опасных факторов или наступления их последствий."}},{"type":"paragraph","data":{"text":"Установлено, что после внедрения мер по контролю рисков новых рисков не возникает, а общий остаточный риск признается приемлемым; от состава и вида упаковки медицинского изделия риски при производстве не меняются."}},{"type":"paragraph","data":{"text":"Информация для пациентов"}},{"type":"list","data":{"style":"ordered","items":["Как и в случае любых инвазивных процедур, проводимых на суставах, пациенту рекомендуется избегать любых физических нагрузок, а также продолжительных (длящихся в течение более чем 1 часа) видов деятельности, связанных с несением весовых нагрузок (это касается, например, занятий оздоровительным бегом и теннисом) в течение 48 часов после внутрисуставного введения изделия.","Безопасность и эффективность применения Средства для замещения синовиальной жидкости у женщин в период беременности и лактации, а также у детей до 18 лет, не установлена."]}},{"type":"paragraph","data":{"text":"Стерильность"}},{"type":"paragraph","data":{"text":"Изделие поставляется стерильным. Параметры стерилизации: паровой метод стерилизации в соответствии с требованиями ГОСТ Р ИСО 17665-1."}},{"type":"paragraph","data":{"text":"Повторная стерилизация изделия запрещена. Повторное применение запрещено."}},{"type":"paragraph","data":{"text":"Биодеградация медицинского изделия в организме пациента"}},{"type":"paragraph","data":{"text":"Защитная плёнка, образовавшаяся после введения Средства для замещения синовиальной жидкости, сохраняет свои свойства эластичности в течение 6 месяцев."}},{"type":"paragraph","data":{"text":"По истечении 6 месяцев Средство для замещения синовиальной жидкости распадается под воздействием группы тканевых ферментов, называемых гиалуронидазами на продукты разложения: олигосахариды и низкомолекулярные гиалуронаты, которые в дальнейшем выводятся из организма естественным метаболическим путем."}},{"type":"paragraph","data":{"text":"Извлечение или замена Средства для замещения синовиальной жидкости невозможны, т.к. оно неотделимо смешивается с синовиальной жидкостью сустава."}},{"type":"paragraph","data":{"text":"Производитель гарантирует соответствие качества изделия требованиям технических условий при соблюдении условий применения, целостности упаковки, условий транспортирования и хранения в соответствии с инструкцией по применению производителя. Гарантийный срок при хранении в упаковке – 3 года от даты производства (упаковывания). По истечении гарантийного срока изделие подлежит утилизации."}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"Медицинское изделие используется в помещении при температуре окружающей среды от 2°С до 25°С."}},{"type":"paragraph","data":{"text":"Транспортирование должно производиться всеми видами транспорта, в закрытых транспортных средствах, в соответствии с правилами перевозки грузов, действующими на данном виде транспорта."}},{"type":"paragraph","data":{"text":"Транспортировать Средство для замещения синовиальной жидкости необходимо в упаковке предприятия-производителя при температуре от 2°С до 25°С и относительной влажности от 30 до 75% без конденсации влаги."}},{"type":"paragraph","data":{"text":"Хранить Средство для замещения синовиальной жидкости необходимо в упаковке предприятия-производителя, в защищённом от воздействия прямых солнечных лучей, тепла и замораживания месте, при температуре от 2°С до 25°С и относительной влажности от 30 до 75% без конденсации влаги."}}]}],"source":null},"description_toggle":false,"short_description":"Средство для замещения синовиальной жидкости представляет собой стерильный, бесцветный и прозрачный вязкий раствор высокоочищенного натрия гиалуроната, получаемого по методу биоферментации. Изделие содержит натрия гиалуронат в концентрации 10 мг/мл натрия дигидрофосфат, динатрия гидрофосфат, натрия хлорид 0,9 % раствор для инфузий. Натрия гиалуронат – это натриевая соль гиалуроновой кислоты. Он широко представлен в экстрацеллюлярном матриксе как у животных, так и у человека. Молекулярная масса натрия гиалуроната, применяемого при изготовлении Средства для замещения синовиальной жидкости должна быть не менее 3 МДа. Натрия гиалуронат принадлежит к небольшой группе веществ, которые одинаковы для всех живых организмов. Натрия гиалуронат является естественным полисахаридом, который входит в состав всех тканей организма, при этом в особенно большой концентрации натрия гиалуронат содержится в синовиальной жидкости и коже. Средство для замещения синовиальной жидкости состоит из произведенного биосинтетическим способом и очищенного натрия гиалуроната. Натрия гиалуронат в организме представляет собой естественную составную часть синовиальной жидкости, которая в суставах служит смазкой для хрящей и связок, а также является поглотителем ударных нагрузок. Известно, что синовиальная жидкость в пораженных суставах, имеет более низкую вязкость и эластичность, чем синовиальная жидкость в здоровых суставах. Введение натрия гиалуроната в сустав с целью восстановления вязкости и эластичности может уменьшить боль и восстановить подвижность в суставе. 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