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(молекулярная масса составляет не менее 3\nМДа). Гиалуроновая кислота – необходимый компонент экстрацеллюлярного матрикса,\nприсутствует в высоких концентрациях в составе хряща и синовиальной жидкости. Гиалуроновая\nкислота обеспечивает вязкость и эластичность синовиальной жидкости, а также она\nнеобходима для формирования хряща. При остеоартрозе отмечаются дефицит и\nкачественные изменения гиалуроновой кислоты в составе синовиальной жидкости и\nхряща. Внутрисуставное введение гиалуроновой кислоты приводит к улучшению\nфункционального состояния сустава. При использовании средства Армавискон при\nостеоартрозе коленного сустава отмечается улучшение клинического течения\nостеоартроза до шести месяцев с момента применения, наблюдается\nпротивовоспалительный и анальгетический эффект за счет восполнения объема и\nвосстановления вязкости и эластичности синовиальной жидкости, которая заполняет\nполость сустава и выполняет роль внутрисуставной смазки. Она предотвращает\nтрение суставных поверхностей, что позволяет устранить болевые ощущения и\nвоспаление, а также защищает от преждевременного изнашивания и разрушения\nгиалинового хряща, обеспечивает подвижность, имеет амортизационные способности\n(гасит внешние удары, защищая компоненты сустава от повреждения)."}},{"type":"paragraph","data":{"text":"Раствор натрия гиалуроната распределяется местно в\nполости сустава, где он подвергается локальным преобразованиям, оказывая\nсмазывающее действие."}},{"type":"paragraph","data":{"text":"Извлечение или замена средства неприменима, так как он\nнеотделимо смешивается с синовиальной жидкостью сустава."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"·              \nдля увеличения подвижности сустава и\nустранения боли, обусловленной дегенеративно-дистрофическими или\nпосттравматическими изменениями суставов;"}},{"type":"paragraph","data":{"text":"·              \nдля реабилитации после артроскопии;"}},{"type":"paragraph","data":{"text":"·              \nдля лечения пациентов, имеющих повышенные\nфизические нагрузки и регулярно нагружающих пораженный сустав."}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"·              \nповышенная чувствительность к компонентам\nсредства;"}},{"type":"paragraph","data":{"text":"·              \nналичие инфекции или повреждений кожного\nпокрова в области инъекции;"}},{"type":"paragraph","data":{"text":"·              \nострый синовит;"}},{"type":"paragraph","data":{"text":"·              \nдетский возраст до 18 лет (по причине\nотсутствия клинических данных)."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"Не рекомендуется применять средство при\nбеременности и в период грудного вскармливания по причине отсутствия\nклинических данных. Назначение средства во время беременности и в период\nгрудного вскармливания на усмотрение хирурга-ортопеда.\u003cb\u003e\u003c/b\u003e"}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Внутрисуставно. В\nколенный сустав содержимое одного заполненного шприца - 2 мл (20 мг)\nследует вводить 1 раз в неделю, курсом из 5 инъекций по описанной ниже\nстандартной методике. Обычно для коленного сустава используется игла 1,5 дюйма\n21G,\nдля других суставов рекомендуется использовать иглу необходимого размера (от 17G до 22G) в зависимости от сустава."}},{"type":"paragraph","data":{"text":"\u003ci\u003eМетодика\nвведения\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Средство должно вводиться только\nмедицинским персоналом, прошедшим специальное обучение. Режим введения в суставы и\nоколосуставное пространство  определяется врачом индивидуально с учетом\nтяжести дегенеративных или травматических изменений в суставе. Рекомендуется\nвыполнять инъекции в тазобедренный и др. суставы под ультразвуковым или\nрентгеноскопическим контролем. Средство перед применением рекомендуется нагреть\nдо комнатной температуры. Вводить средство следует точно в полость сустава по\nстандартным методикам, учитывая анатомические особенности. Перед введением\nсредства следует удалить выпот из суставной сумки. Для удаления выпота и\nвведения средства может использоваться одна и та же игла, однократно введенная\nперед аспирацией. При этом шприц со средством присоединяется к освобожденной от\nшприца игле. Для подтверждения нахождения иглы в полости сустава следует\nаспирировать доступное количество синовиальной жидкости перед медленным\nвведением. Следует соблюдать правила асептики и антисептики при выполнении\nпроцедуры. Введение средства в полость сустава должно быть прекращено при\nпоявлении боли во время инъекции. При введении иглы, особенно для осуществления\nинъекций в тазобедренный сустав рекомендуется применение местной анестезии. Следует\nизбегать попадания воздуха в шприц."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНеиспользованное\nдо конца средство не подлежит хранению.\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Продолжительность терапевтического эффекта – до 6\nмесяцев. При необходимости возможно проведение повторного курса инъекций после\nконсультации с врачом."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Возможно\nвозникновение умеренной болезненности, отека, повышение температуры и\nпокраснение в области инъекции, увеличение содержания экссудата в полости\nсустава. Вышеуказанные симптомы носят преходящий характер и обычно исчезают\nспустя 24 ч. При возникновении указанных симптомов рекомендуется разгрузить\nпораженный сустав и приложить лед."}},{"type":"paragraph","data":{"text":"Крайне редко могут\nнаблюдаться аллергические реакции."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Армавискон не следует назначать\nодновременно с другими внутрисуставными инъекциями ввиду отсутствия\nзначительного опыта."}},{"type":"paragraph","data":{"text":"Не следует применять\nдезинфицирующие средства, содержащие четвертичные аммониевые соединения,\nпоскольку гиалуроновая кислота осаждается в присутствии этих веществ."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"Натрия гиалуронат получен путем\nферментации бактерий Streptococcus equi и тщательно очищен. Тем не менее, врач\nдолжен учитывать потенциальный риск, связанный с инъекционным введением любых\nбиологических веществ."}},{"type":"paragraph","data":{"text":"Экстраартикулярное введение Армавискона в\nкапсулу сустава или синовиальные ткани не допускается. Это может вызвать\nлокальные побочные эффекты. Недопустимо попадание средства в кровеносные сосуды."}},{"type":"paragraph","data":{"text":"В течение первых 2 суток после проведения\nпроцедуры рекомендуется не перегружать сустав, особенно следует избегать длительной\nнагрузки. "}},{"type":"paragraph","data":{"text":"Армавискон не влияет на способность\nчеловека управлять автотранспортом, заниматься другими потенциально опасными\nвидами деятельности, требующими повышенной концентрации внимания и быстроты\nпсихомоторных реакций."}},{"type":"paragraph","data":{"text":"Больным с воспалительными заболеваниями, в\nчастности, с болезнью Бехтерева и ревматоидным артритом, Армавискон не\nназначают."}},{"type":"paragraph","data":{"text":"Не предназначен для детей."}},{"type":"paragraph","data":{"text":"Только для однократного применения."}},{"type":"paragraph","data":{"text":"В комплект может входить 2 иглы\nинъекционных одноразовых стерильных для возможности выбора врачом иглы\nнеобходимого калибра/размера в зависимости от сустава, в который будет\nвводиться средство."}},{"type":"paragraph","data":{"text":"Обязательно обращайте внимание на срок\nгодности иглы, указанный на ее этикетке."}},{"type":"paragraph","data":{"text":"Для безопасного использования и ликвидации\nиспользованных игл соблюдайте общегосударственные и региональные правила и\nнормы."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"По 2 мл в шприцы.\u003cb\u003e\n\u003c/b\u003e"}},{"type":"paragraph","data":{"text":"По 1 шприцу в\nпакете или контурной ячейковой упаковке. Допускается вложение 1\nили"}},{"type":"paragraph","data":{"text":"\n2 игл в пакет или контурную ячейковую упаковку."}},{"type":"paragraph","data":{"text":"По 1 пакету или контурной ячейковой\nупаковке и 1 или 2 иглы инъекционные одноразовые стерильные (если иглы не\nвкладываются в пакет или контурную ячейковую упаковку) или без них или по 2\nпакета или контурные ячейковые упаковки и 2 или 4 иглы инъекционные одноразовые\nстерильные (если иглы не вкладываются в пакет или контурную ячейковую упаковку)\nили без них вместе с инструкцией по применению в пачке из картона."}},{"type":"paragraph","data":{"text":"Допускается вложение игл одинакового или\nразличного размера. Информация о размере вложенной иглы (вложенных игл) указана\nна потребительской упаковке."}},{"type":"paragraph","data":{"text":"18G 1 ½ (1,2×40 мм) и 21G\n1 ½ (0,8×40 мм) – для коленного сустава; 18G 2 (1,2×50 мм), 21G 2 (0,8×50 мм), 18G 4 (1,2×100 мм), 21G\n4 ¾ (0,8×120 мм) и 21G 4 (0,8×100 мм) – для тазобедренного сустава."}},{"type":"paragraph","data":{"text":"Допускается вложение в пачку из картона\nэтикетки слежения в количестве 3 шт."}},{"type":"paragraph","data":{"text":"\n(для 1 шприца) или 6 шт. (для 2 шприцев)."}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"Хранить при\nтемпературе от + 2 °С до + 25 °С."}},{"type":"paragraph","data":{"text":"Не замораживать."}},{"type":"paragraph","data":{"text":"Хранить в\nнедоступном для детей месте. "}}]},{"id":20,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"3 года."}},{"type":"paragraph","data":{"text":"Не применять после\nокончания срока годности!"}}]},{"id":22,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"ООО «Гротекс», Россия"}},{"type":"paragraph","data":{"text":"195279, Санкт-Петербург, Индустриальный\nпр., д. 71, корп. 2, лит. А"}},{"type":"paragraph","data":{"text":"Тел.: +7 812 385 47 87"}},{"type":"paragraph","data":{"text":"Факс: +7 812 385 47 88"}},{"type":"paragraph","data":{"text":"\u003ca href=\"http://www.solopharm.com\"\u003ewww.solopharm.com\u003c/a\u003e"}},{"type":"paragraph","data":{"text":"www.armaviskon.ru\u003cb\u003e\u003c/b\u003e"}}]}],"source":null},"description_toggle":false,"short_description":"Средство оказывает анальгезирующее, корректирующее действие на метаболизм костной и хрящевой ткани. Армавискон представляет собой стерильный вязкий раствор натриевой соли гиалуроновой кислоты (натрия гиалуроната) высокой степени очистки, высокомолекулярный (молекулярная масса составляет не менее 3 МДа). Гиалуроновая кислота – необходимый компонент экстрацеллюлярного матрикса, присутствует в высоких концентрациях в составе хряща и синовиальной жидкости. Гиалуроновая кислота обеспечивает вязкость и эластичность синовиальной жидкости, а также она необходима для формирования хряща. При остеоартрозе отмечаются дефицит и качественные изменения гиалуроновой кислоты в составе синовиальной жидкости и хряща. Внутрисуставное введение гиалуроновой кислоты приводит к улучшению функционального состояния сустава. При использовании средства Армавискон при остеоартрозе коленного сустава отмечается улучшение клинического течения остеоартроза до шести месяцев с момента применения, наблюдается противовоспалительный и анальгетический эффект за счет восполнения объема и восстановления вязкости и эластичности синовиальной жидкости, которая заполняет полость сустава и выполняет роль внутрисуставной смазки. Она предотвращает трение суставных поверхностей, что позволяет устранить болевые ощущения и воспаление, а также защищает от преждевременного изнашивания и разрушения гиалинового хряща, обеспечивает подвижность, имеет амортизационные способности (гасит внешние удары, защищая компоненты сустава от повреждения). Раствор натрия гиалуроната распределяется местно в полости сустава, где он подвергается локальным преобразованиям, оказывая смазывающее действие. 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