璩肩墿淇濋殰
鏀粯鏂瑰紡
閰嶉€佹湇鍕�(w霉)
鍞悗鏈嶅嫏(w霉)
闂�(gu膩n)浜庢垜鍊�
妯傜憺鍗★紙鏅憺宸存灄鑶犲泭锛変笉鑹弽鎳�(y墨ng)涓昏鐐洪牠鏆�銆佸棞鐫�銆佸叡婵熷け瑾�(di脿o)銆佹剰璀樻ā绯�銆佷箯鍔�銆佹€濈董鐣板父銆佽鐗╂ā绯�銆侀亱鍕曞け瑾�(di脿o)銆佸彛骞�銆佹按鑵�銆侀珨閲嶅鍔犲強"鎬濈董鐣板父"(涓昏鐐洪泦涓簿鍔涘洶闆�/娉ㄦ剰鍥伴洠)銆傛瘡鍊嬫偅鑰呭湪鐢ㄨ棩涔嬪悗鐨勫弽鎳�(y墨ng)涓嶅悓锛屽彲鑳界敘(ch菐n)鐢熺殑涓嶈壇鍙嶆噳(y墨ng)涔熺洝涓嶇浉鍚�锛屽洜姝ゅ湪鐢ㄨ棩閬庣▼瑕佽獚鐪熻娓嚜韬殑鍙嶆噳(y墨ng)锛岀暥(d膩ng)鍑虹従(xi脿n)涓婅堪鐨勭浉闂�(gu膩n)鐧ョ媭锛岃鍦ㄩ啱(y墨)鐢熺殑瀹夋帓涓嬬⿳妤靛幓铏曠悊锛屼笉瑕佺洸鐩敼璁婂姂閲忔垨鍋滆棩銆� 瑭虫儏
妯傜憺鍗★紙鏅憺宸存灄鑶犲泭锛夊彲鑸囬鐗╁悓鏅傛湇鐢�锛屼篃鍙柈鐛ㄦ湇鐢�銆傛湰钘ュ搧鎺ㄨ枽鍔戦噺鐐烘瘡娆�75鎴�150mg锛屾瘡鏃�2娆�锛涙垨鑰呮瘡娆�50mg鎴�100mg锛屾瘡鏃�3娆�銆傚钩鏅傛噳(y墨ng)澶氶棞(gu膩n)娉ㄧ窗绡€(ji茅)锛屾繁鍏ヤ簡瑙ｈ嚜宸辩殑鐥呮儏锛屽繀闋堝毚鏍兼牴鎿�(j霉)閱�(y墨)鐢熺殑鎸囧皫(d菐o)鎰忚渚嗚(gu墨)鑼冪敤钘ワ紝鐩￠噺娓涘皯涓嶅繀瑕佺殑鍓綔鐢�銆� 瑭虫儏
鏅憺宸存灄鑶犲泭鐢ㄤ簬绶╄В甯剁媭鐨扮柟鍚庣缍�(j墨ng)鐥�锛屼絾鍙兘寮曠櫦(f膩)澶氱ó涓嶈壇鍙嶆噳(y墨ng)锛屽寘鎷缍�(j墨ng)绯荤当(t菕ng)鐧ョ媭濡傞牠鏆�銆佸棞鐫�銆佸叡婵熷け瑾�(di脿o)绛�锛岃韩楂斿叾浠栨柟闈㈢櫏鐙€濡備箯鍔�銆佹€濈董鐣板父銆佽鐗╂ā绯婄瓑锛岄倓鏈夊彛骞层€佹按鑵�銆侀珨閲嶅鍔犵瓑銆傚嚭鐝�(xi脿n)涓嶈壇鍙嶆噳(y墨ng)鏅�锛岃嫢鐧ョ媭杓冭紩鍙瀵熷苟瑾�(di脿o)鏁村姂閲�锛屽毚閲嶆檪闇€绔嬪嵆鍋滆棩灏遍啱(y墨)锛屼笖鎮ｈ€呭嫏(w霉)蹇呭毚鏍奸伒閱�(y墨)鍥戠敤钘�銆� 瑭虫儏
褰屽彲淇濈敳閳疯兒娉ㄥ皠娑蹭富瑕佺敤浜庢不鐧傚懆鍦嶇缍�(j墨ng)闅滅锛屽绯栧翱鐥呯缍�(j墨ng)闅滅銆佸鐧�(f膩)鎬х缍�(j墨ng)鐐庣瓑锛屽悓鏅傚皪鍥犵己涔忕董鐢熺礌 B12 寮曡捣鐨勫法骞肩磪绱拌優鎬ц钵琛€涔熸湁娌荤檪浣滅敤銆傞€氬父 500渭g / 娆�锛�1 鍛� 3 娆�锛屽彲閬告搰鑲屾敞鎴栭潨娉紝宸ㄥ辜绱呯窗鑳炴€ц钵琛€鎮ｈ€呮不鐧� 2 鍊嬫湀鍚庨渶鏀圭敤缍寔閲�锛屽叿楂斾娇鐢ㄥ姂閲忓拰闋荤巼闇€鐢遍啱(y墨)鐢熸牴鎿�(j霉)鎮ｈ€呮儏娉佸埗瀹�銆� 瑭虫儏
褰屽彲淇濈敳閳疯兒鐗囦富瑕佺敤浜庢不鐧傚懆鍦嶇缍�(j墨ng)鐥�锛屽儚绯栧翱鐥呭紩鐧�(f膩)鐨勫懆鍦嶇缍�(j墨ng)鐥呰畩銆佸潗楠ㄧ缍�(j墨ng)鐥涚瓑閮介仼鐢ㄣ€傛垚骞翠汉涓€鑸竴娆� 1 鐗囷紙0.5mg锛�锛屼竴鏃� 3 娆�锛屼笉閬庡叿楂旂敤閲忔渻鍥犲勾榻″拰鐧ョ媭涓嶅悓鑰岄厡鎯呰(di脿o)鏁淬€傞儴鍒嗘偅鑰呯敤钘ュ悗鍙兘鍑虹従(xi脿n)鑳冭吀閬撲笉閬╂垨閬庢晱鍙嶆噳(y墨ng)锛屼娇鐢ㄦ檪闇€澶氬姞鐣欐剰銆� 瑭虫儏
濂у姏瀵跺彲浠ョ敤浜庣硸灏跨梾鍛ㄥ湇绁炵稉(j墨ng)鐥呰畩鐨勬不鐧�锛屽湪娌荤檪鏈熼枔鐨勮〃鐝�(xi脿n)寰€寰€鏈冩湁鍊嬮珨涓嶅悓锛屼篃鎳�(y墨ng)瑭茶鏍规摎(j霉)閱�(y墨)鐢熺殑鎸囧皫(d菐o)鎰忚渚嗚檿鐞嗗壇浣滅敤銆傚ェ鍔涘鑲岃倝娉ㄥ皠鍋跺彲鍦ㄦ敞灏勯儴浣嶅嚭鐝�(xi脿n)灞€閮ㄨ畩鎱�(t脿i)鍙嶆噳(y墨ng)锛岃〃鐝�(xi脿n)鐐鸿晛楹荤柟鎴栨繒鐤�锛屼篃鍙兘鍑虹従(xi脿n)鍏ㄨ韩璁婃厠(t脿i)鍙嶆噳(y墨ng)锛屽毚閲嶈€呭彲鐧�(f膩)鐢熶紤鍏�銆傝嫢鐧�(f膩)鐢熶紤鍏嬶紝閱�(y墨)璀蜂汉鍝℃噳(y墨ng)鍙婃檪鎼舵晳銆� 瑭虫儏
鍦ㄩ啱(y墨)闄互鍙婅棩搴楃殑鍍规牸閮芥湁娉㈠嫊锛屽洜姝ゆ湁闇€瑕佺殑鎮ｈ€呮噳(y墨ng)鐣�(d膩ng)鍦ㄦ瑕�(gu墨)鐨勫钩鑷洪€茶鍜ㄨ銆傜缍�(j墨ng)濡ユ▊骞虫不鐧傝叞鐥涚櫏銆侀牳鑲╄厱缍滃悎鐧�銆佺櫏鐙€鎬х缍�(j墨ng)鐥涖€佺毊鑶氱柧?銆傤焹瑁剧潰銇︺伇?銆佽晛楹荤柟锛変即闅ㄧ殑鐦欑櫌銆侀亷鏁忔€ч蓟鐐�锛涗簽鎬ユ€ц绁炵稉(j墨ng)鑴婇珦鐥�(SMON锛歋ubacute-Myelo-Optico-Neruopathy)鍚庨伜鐧ョ殑鍐锋劅路鐤肩棝路鐣板父鐭ヨ鐧ョ媭銆� 瑭虫儏
钘ョ墿閹�(zh猫n)鐥涚殑姗熷埗鑸囧叾鎴愬垎鏈夐棞(gu膩n)锛屾牴鎿�(j霉)瑾槑鏇镐粙绱瑰彲鐭ョ墰鐥樼柅鑻楁帴绋鍏旂値鐧ョ毊鑶氭彁鍙栫墿娉ㄥ皠娑茬殑閹�(zh猫n)鐥涗綔鐢ㄦ槸閫氶亷灏嶄腑妯炵缍�(j墨ng)绯荤当(t菕ng)鍏�(n猫i)閹�(zh猫n)鐥涙鍒朵箣涓€鐨勪笅琛屾€ф姂鍒剁郴绲�(t菕ng)鐢�(ch菐n)鐢熺殑婵€娲讳綔鐢ㄥ緱浠ュ鐝�(xi脿n)鐨�銆� 瑭虫儏
閱�(y墨)鐢熼€氬父琚憡瑾℃嚪瀛曟湡闅庢鐨勫コ鎬ц鎱庣敤钘�锛屽洜鐐哄皻鏈⒑绔嬪濞犳湡闁撲互鍙婂摵涔虫湡闁撶郸绁炵稉(j墨ng)濡ユ▊骞冲畨鍏ㄦ€х殑鍟忛锛屾墍浠�锛屽皪瀛曞│銆佹湁鎳峰瓡鍙兘鐨勫│濂�锛屼互鍙婂摵涔虫湡濠﹀コ锛屽儏鍦ㄥ垽鏂锋不鐧備笂鐨勬湁鐩婃€уぇ浜庡嵄闅€х殑姊濅欢涓嬫柟鍙湇鐢�銆� 瑭虫儏
绁炵稉(j墨ng)濡ユ▊骞筹細閫氬父鎴愪汉姣忔棩1娆￠€氶亷鐨笅銆佽倢鑲夋垨鑰呴潨鑴堝収(n猫i)娉ㄥ皠3.6鍊嬬缍�(j墨ng)濡ユ▊骞冲柈浣嶏紙1鏀級锛涚蹇岋細灏嶆湰鍔戞湁閬庢晱鍙嶆噳(y墨ng)鏃㈠線鍙茬殑鎮ｈ€呯鐢�锛屽悇浣嶇敤钘ョ殑鏅傚€欎竴瀹氳灏囩敤娉曠敤閲忎簡瑙ｆ竻妤�锛岃鎸夎(gu墨)瀹氭搷浣滐紝鑰屼笖灏嶇敤钘ョ蹇屼篃鎳�(y墨ng)瑭茶獚鐪熼伒瀹堟敞鎰忎笉瑕佸挤琛屼娇鐢ㄨ嚜宸变笉閬╁悎鐨勮棩鍝�銆� 瑭虫儏
寰堝钘ョ墿閮芥渻鍑虹従(xi脿n)鍓綔鐢�锛岀敳閳疯兒娉ㄥ皠娑蹭笉鑹弽鎳�(y墨ng)鏄湪绺界梾渚�2872渚嬩腑锛�13渚嬶紙0.45%锛夊嚭鐝�(xi脿n)鍓綔鐢ㄣ€傦紙鍒板啀瀵╂煡绲�(ji茅)鏉熸檪锛�1.鍤撮噸鍓綔鐢紙闋诲害涓嶆槑锛夐亷鏁忕櫏鍙嶆噳(y墨ng)锛氭渻寮曡捣琛€澹撲笅闄�銆佸懠鍚稿洶闆ｇ瓑閬庢晱鐧ュ弽鎳�(y墨ng)銆傛澶�锛屾偅鑰呬篃闇€闂�(gu膩n)娉ㄨ棩鐗╃殑姝ｇ⒑浣跨敤鏂规硶銆佸姂閲忓拰鏈嶇敤鏅傞枔銆備緥濡傦紝鎶楃櫜鐧囪棩鎳�(y墨ng)鎸夋檪鏈嶇敤锛屼互淇濊瓑琛€钘ユ績搴︾董鎸佸湪鍚堢悊鑼冨湇鍏�(n猫i)锛岄伩鍏嶅洜婕忔湇寮曠櫦(f膩)鐨勭櫜鐧囩櫦(f膩)浣�銆� 瑭虫儏
浣跨敤绁炵稉(j墨ng)濡ユ▊骞虫檪闇€鍤存牸閬靛惊閱�(y墨)鍥�锛岀缍�(j墨ng)濡ユ▊骞崇墰鐥樼柅鑻楁帴绋鍏旂値鐧ョ毊鑶氭彁鍙栫墿鐗囬仼鐢ㄤ簬鑵扮棝鐧ャ€侀牳鑲╄厱缍滃悎寰�銆佽偐鍛ㄧ値鍜岃畩褰㈡€ч棞(gu膩n)绡€(ji茅)鐐�锛岀偤鐒¤壊娣￠粌鑹茬殑婢勬槑娑查珨锛岀劇鍛虫垨绋嶆湁寰緵鍛�銆傛偅鑰呭湪骞虫檪瑕佸鏀濆叆瀵屽惈缍敓绱燘鏃忕殑椋熺墿锛屾湁鍔╀簬缍寔绁炵稉(j墨ng)绯荤当(t菕ng)鐨勬甯稿姛鑳�銆� 瑭虫儏
妯傜憺鍗★紙鏅憺宸存灄鑶犲泭锛夊彲鑳藉紩璧峰鍛ㄦ按鑵�锛屽績鍔熻兘III鎴朓V绱氱殑鍏呰鎬у績琛版偅鑰呮噳(y墨ng)鎱庣敤銆傛湰钘ュ搧鐩搁棞(gu膩n)鐨勯牠鏆堝強鍡滅潯鍙兘褰遍熆椐曢鎴栨搷浣滄姊扮殑鑳藉姏銆傛不鐧傛湡闁撴偅鑰呮噳(y墨ng)淇濇寔鐨扮柟閮ㄤ綅鐨勬竻娼旇垏骞茬嚗锛岄伩鍏嶇辜鐧�(f膩)鎰熸煋銆傚叾娆�锛岀┛钁楁煍杌�銆侀€忔埃鐨勮。鐗�锛屾笡灏戝皪鐨啔鐨勬懇鎿﹀拰鍒烘縺锛屼篃瑕佹敞鎰忓浼戞伅锛岄２椋熻(gu墨)寰嬬瓑浜嬮爡銆� 瑭虫儏
妯傜憺鍗★紙鏅憺宸存灄鑶犲泭锛夊彲鑸囬鐗╁悓鏅傛湇鐢紝涔熷彲鍠崹鏈嶇敤銆傜敤钘ヤ箣鍓嶆偅鑰呭彲浠ュ弮鑰冭鏄庢浉鐩搁棞(gu膩n)淇℃伅锛屾寜鐓ф纰虹殑鏂瑰紡渚嗙敤钘�锛屽悓鏅傝卜铏曟柟钘ヨ瑷樺緱鎲戝€熻檿鏂瑰柈锛屽湪姝ｈ(gu墨)娓犻亾渚嗚臣璨�锛屽鍙伕鎿囩泭钘ュ悍寰锋▊澶ц棩鎴跨恫(w菐ng)涓婂钩鑷烘垨绶氫笅瀵﹂珨搴椼€� 瑭虫儏
妯傜憺鍗★紙鏅憺宸存灄鑶犲泭锛夋敞鎰忎簨闋咃細妯傜憺鍗″彲鑳藉紩璧峰鍛ㄦ按鑵�锛屽績鍔熻兘III鎴朓V绱氱殑鍏呰鎬у績琛版偅鑰呮噳(y墨ng)鎱庣敤銆傛▊鐟炲崱鐩搁棞(gu膩n)鐨勯牠鏆堝強鍡滅潯鍙兘褰遍熆椐曢鎴栨搷浣滄姊扮殑鑳藉姏銆傛▊鐟炲崱瑾槑鏇搁噷闈㈤櫎浜嗕粙绱逛簡钘ョ墿鐨勬敞鎰忎簨闋咃紝鐣�(d膩ng)鐒朵篃瑭崇窗璎涜В浜嗚棩鐗╃殑浣滅敤浠ュ強钘ョ墿鐨勭敤娉曞拰鐢ㄩ噺锛屽缓璀版偅鑰呰鐪嬫竻妤氶€欎簺鍩烘湰淇℃伅锛岀洝閲忔牴鎿�(j霉)涓绘不閱�(y墨)甯瑳瑙ｇ殑鏂规硶閫茶钘ョ墿鐨勪娇鐢�銆� 瑭虫儏
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鐢ㄨ棩鍏ㄧ▼鎸囧皫(d菐o)
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瀹夊叏鏀惧績 闅辩閰嶉€�
