Когевиск Раствор, шприц, 1 шт, 0.8 мл, 1.6 %

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Натрия гиалуронат распределяется убиквитарно по тканям организма и присутствует в наибольших концентрациях в стекловидном теле, синовиальной жидкости и пуповине. Натрия гиалуронат выполняет функцию тканевой смазки и призван играть главную роль в модулировании взаимосвязей между примыкающими тканями."}},{"type":"paragraph","data":{"text":"Он также может служить вязкоупругой субстанцией, облегчающей разделение тканей. Натрия гиалуронат, изготовленный из разных материалов, может различаться по молекулярному весу, но иметь одинаковое химическое строение."}},{"type":"paragraph","data":{"text":"Натрия гиалуронат с защитными свойствами можно получить из бактерий определенного вида."}},{"type":"paragraph","data":{"text":"Натрия гиалуронат, входящий в состав изделия Когевиск, представляет собой высокоочищенный продукт ферментации бактерий. Его средний молекулярный вес составляет более 1 000 000 дальтон, он не является антигеном, апирогенен, не вызывает побочных реакций на чужеродные тела и не раздражает слизистую оболочку глаза. Изделие Когевиск не препятствует естественному процессу заживления раны."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"Когевиск предназначен для применения в офтальмологии при хирургических вмешательствах на переднем и заднем отрезках глаза:"}},{"type":"paragraph","data":{"text":"• экстракция катаракты"}},{"type":"paragraph","data":{"text":"• трансплантация роговицы"}},{"type":"paragraph","data":{"text":"• операции при глаукоме"}},{"type":"paragraph","data":{"text":"• операции при отслойке сетчатки"}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"Индивидуальная гиперчувствительность к натрия гиалуронату"}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"Нет данных о безопасности применения раствора Когевиск во время беременности и в период грудного вскармливания."}},{"type":"paragraph","data":{"text":"Применение во время беременности и в период грудного вскармливания возможно по усмотрению врача-офтальмолога."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Перед началом применения охлажденный раствор Когевиск следует выдержать при комнатной температуре (в течение 20-60 минут в зависимости от объема)."}},{"type":"paragraph","data":{"text":"Операция по экстракции катаракты и имплантация интраокулярной линзы"}},{"type":"paragraph","data":{"text":"Необходимое количество раствора Когевиск вводят с помощью канюли в переднюю камеру глаза. Это создает защитный слой для сохранения тканей глаза и обеспечивает легкость маневренности микроинструментов. Раствор Когевиск облегчает контроль над процессами введения, разворачивания и занятия стабильного положения интраокулярной линзы. При необходимости раствор Когевиск можно вводить, чтобы облегчить проведение хирургических процедур."}},{"type":"paragraph","data":{"text":"Трансплантация роговицы"}},{"type":"paragraph","data":{"text":"При удалении роговичного диска реципиента передняя камера глаза заполняется раствором Когевиск до уровня поверхности роговицы. Трансплантат из роговицы донора помещается поверх раствора Когевиск и подшивается к оставшейся периферической части роговицы реципиента."}},{"type":"paragraph","data":{"text":"При необходимости раствор Когевиск можно вводить, чтобы облегчить проведение хирургических процедур."}},{"type":"paragraph","data":{"text":"Хирургическое лечение глаукомы"}},{"type":"paragraph","data":{"text":"Раствор Когевиск вводится через парацентез для восстановления и поддержания объема передней камеры во время проведения гипотензивных операций. При необходимости раствор Когевиск можно вводить, чтобы облегчить проведение хирургических процедур."}},{"type":"paragraph","data":{"text":"Неиспользованное до конца средство не подлежит хранению."}},{"type":"paragraph","data":{"text":"Порядок работы со шприцем"}},{"type":"paragraph","data":{"text":"1. Вскройте контурную ячейковую упаковку/пакет в асептических условиях."}},{"type":"paragraph","data":{"text":"2. Открутите колпачок с кончика шприца (колпачок насажен плотно)."}},{"type":"paragraph","data":{"text":"3. Наполните втулку канюли до верха раствором офтальмологическим ирригационным."}},{"type":"paragraph","data":{"text":"4. Выдавите воздух через кончик шприца, держа одной рукой цилиндр, а другой плавно нажимая на поршневой шток. Следите за тем, чтобы не выдавить раствор."}},{"type":"paragraph","data":{"text":"5. Накрутите канюлю на шприц до тех пор, пока она не пройдет путь резьбы и не сядет плотно."}},{"type":"paragraph","data":{"text":"6. Убедитесь, что втулка канюли завинчена до конца."}},{"type":"paragraph","data":{"text":"7. Снимите пластиковый чехол с канюли прямым движением."}},{"type":"paragraph","data":{"text":"Следите за тем, чтобы не открутить канюлю. Выдавите остатки воздуха из системы, держа одной рукой цилиндр шприца, а другой плавно нажимая на поршневой шток, пока на кончике иглы не появится раствор Когевиск."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Натрия гиалуронат – это компонент, находящийся в тканях организма и легко переносимый слизистой оболочкой человеческого глаза. Обзор клинических исследований изделий аналогичного состава показал, что в редких случаях отмечались послеоперационные воспалительные реакции."}},{"type":"paragraph","data":{"text":"В связи с этим назначалось пероральное и локальное применение стероидов. В связи с тем, что молекулы натрия гиалуроната не вызывают воспалений, любые воспалительные процессы относят к реакциям, вызванным хирургическим вмешательством. Как уже отмечалось выше, использование натрия гиалуроната на переднем отрезке глаза после хирургических вмешательств может привести к увеличению внутриглазного давления. В редких случаях отмечались послеоперационные воспалительные реакции, отек и декомпенсация роговицы. 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