"Remeron": imiyalelo ukusetyenziswa, oogqirha yokwenene. analogue iziyobisi

Ekuhambeni kwexesha zethu ezinzima, kunye kunyaka ngamnye inani labantu abaneengxaki depressive. Kule meko, ukuba unenxaxheba ukungxamiseka ekhethekileyo mihla amachiza-yokunciphisa. Enye makamisele ngeyona nto intle la machiza yi "Remeron" umyalelo ngasandla inikezelwa kweli nqaku. Kubafundi abanomdla kwesi sihloko, kuya kuba umdla ukufunda malunga nokuqulunqwa ichiza, iimpahla zazo, indlela ukusetyenziswa kunye, ke, kwindlela oogqirha abasabela ngayo eli yeza.

Ukubunjwa ichiza nokumila

Iyeza ifumaneka emacwecweni yingqombela brown, imilo biconvex, ngalinye equlethe 15, 30 okanye 45 iigrem isithako -mirtazapina esebenzayo. Kwelinye icala amacwecwe ezikhoyo ukulabhula imigca enqamleze esiqwini Organon - ligama ichiza yomvelisi Dutch, kwelinye icala ungabona ikhowudi TZ / 5. Yonke le ingentla isingise kuphela ukuba yeQela ezithengiswe phantsi "Remeron" uphawu. Analogue amachiza, uluhlu zazo zingafundwa kwinqaku lethu usenokuba sisincoko kakhulu efana "Remeron"; kodwa igama nenkangeleko ziya kwahluka.

New-generation yeQela

Kutheni namhlanje yengqondo ukuba izigulane wabuyela kubo nokudakumba, ukushaya, njalo njalo. E., Badla uyakukumisela lona "Remeron"? Imiyalelo ukusetyenziswa ikuchaza ngokweenkcukacha indlela yayo yokusebenza, kodwa ngelishwa Uveze ukuba isizukulwana esitsha anti-nokudakumba, leyo kuphuhliso inani zinto zithathelwa ingqalelo liya kwenza neziyobisi ngempumelelo kangangoko kunokwenzeka, ngoxa kuncitshiswa iziphumo ebezingalindelekanga.

Kwinqaku lwenzululwazi mirtazapine - eyona nto ephambili esebenzayo, inxalenye "Remeron", ugqirha wezigulo zengqondo, ilungu le-Institute of ngokwaluphala of Kiev Burchinsky SG ubhala ukuba esi sixhobo unalo iimpawu ibalulekileyo ilandelayo:

• isiphumo lwezonyango emva kokuqalisa wolawulo isiyobisi lwenzeka kakhulu ngokukhawuleza (phantse kwiveki yokuqala ukusetyenziswa);
• anxiolytic kunye timoanalepticheskoe isenzo;
• okulalisa kuqheleke ubuthongo.

Isiphumo kwisakhiwo ubuthongo

"Remeron" uyakwazi ukuphembelela ngempumelelo iimpawu edakumbisayo ekunzima ukulungisa ezinye lakhula (disorder cyclothymic, lengqondo abazizidalwa, anhedonia). Oogqirha qaphela ukuba mirtazapine yi kakuhle kakhulu ufana unyango izigigaba zosulele edakumbisayo, kunye sikhokelo yokuxhasa unyango. Ingakumbi igxininisa ifuthe layo phezu kuqheleke ubuthongo.

Yinto eyaziwayo ukuba izifo edakumbisayo, ukuphazamiseka kokulala yenye iimpawu ezithile kwesi sifo, kwaye kukho phantse 90% yezigulane. Ezi ukuphazamiseka luqulathe zonke ezi ngxushungxushu xa ulele nokuvuka, kwakunye disorganization jikelele ukulala. Isisombululo sale ngxaki yinxalenye ebaluleke kakhulu ekuncedeni abantu abagulela kukudakumba. Uninzi lwabantu yiya esibhedlele, waphawula ubudlelwane obucacileyo phakathi yengxinano ukuphuthelwa ubukhali kunye neempawu Uthando.

Xa ukuphazamiseka kokulala efanayo kakhulu nzima ekuhambeni inkqubo zophendlo lwezifo kwaye ezandulela sifo yaye ukuba ahambe naye. Emva koko, baye kunokwandisa umngcipheko likakade. Ngenxa yoku kungasentla, sinokugqiba ukuba amanyathelo zonyango athathiweyo kuqheleke ubuthongo kwizigulane kunye nokudakumba kufuneka ibe ngaphantsi kwangumqondiso njengoko izifo. "Remeron", wadala ngokusekelwe mirtazapine, - omnye lakhula ezimbalwa ukuba ungakwazi ukulungisa iingxaki insomnicheskie ngempumelelo izigulane kunye nokudakumba.

Isicelo practice zamaxhego

Ngokutsho kokuma oogqirha, "Remeron 'Wanyamezela kakuhle kakhulu ngabantu abane yobudala oluphakathi kunye nabadala, nangona ukuba zisebenza kakuhle kakhulu kwaye siyingenelo kolu didi kwizigulane. Le plus kweziyobisi article iimpawu ezininzi eziyelelene ukuxinezeleka (anhedonia, ixhala, zokulala, njalo njalo. D.), ngakumbi abantu badla akujonge ebudaleni. Ngenxa yokuba kule ukusetyenziswa qela ubudala TCA (lakhula tricyclic) hayi yanconywa yobudala kwengqondo "Remeron" lisetyenziswa unyango phantse zonke iintlobo ukuphazamiseka depressive.

Ukulungiswa izifo ngokwesondo

Xa izifo ngokwesini ezifana anorgasmia, ukuchama ngokukhawuleza, sinciphise yobuntu , njalo-njalo, apho iifayile kunye kubonakaliswa kwezonyango kukudakumba ngesandla esinye, kwaye phezu kwelinye -. Amaxesha amaninzi kuthi njengoko iingxaki kwi unyango SSRIs (uyakhetha serotonin reuptake inhibitors), " Remeron "kunye analogs sawo luncedo olukhulu koogqirha. amachiza asekelwe mirtazapine ngokugqibeleleyo ulungise iindidi kwekhono ngokwesondo izigulane kunye nokudakumba. Noko ke, abazange nje ukwandisa impumelelo unyango, kodwa isebenze njenge ndlela othintelo nxamnye kuphuhliso ukuphazamiseka ngokwesini.

"Remeron": imiyalelo yokusebenzisa

Le faka elafikayo kunye neziyobisi, uthi imfuneko ukuthatha iyeza kanye ngosuku nje kokuba lokulala. Iyunithi idosi yemihla ngemihla inokwahluka ngaphakathi 15-45 mg, kunye hlengiso eyodwa ukulungiselela abantu abadala iyafuneka. Kubalulekile ukuthintela libanda, beziyobisi "Remeron". Baqinisekiswa mazingqine imiyalelo ebhaliweyo: libanda, ebangela akukho kuphuculwe, kwaye ukudideka kunye ukozela. Ngexesha unyango, kubalulekile ukuba ayeke ukusela utywala.

Yokukhulisa amanyathelo okulalisa nga kuxhokonxwa ulawulo ngaxeshanye beziyobisi kunye benzodiazepines. Ayikhuthazwa ukusela iipilisi "Remeron" - 30, 15 no-45 grams nge Mao inhibitors, kwakunye emva ukupheliswa zokugqibela iintsuku ezilishumi elinesine. therapy Medical ngoncedo "Remeron" manual incoma iyaqhubeka kwaye emva yokuduka ukudambisa; oku kufuneka kwenziwe iinyanga ezintandathu. Rhoxisa ichiza kufuneka wenziwe kancinci. Kubalulekile: ichiza kuthengiswa kwakunye neevenkile kuphela kagqirha!

Ubungqina obubonakalayo buxela

Xa oogqirha isindululo "Remeron"? Imiyalelo iifowuni ukusetyenziswa njengobungqina kulandela imeko ebuhlungu kubangelwa kukudandatheka:

• lengqondo ukukhubazeka;
• anhedonia;
• ukulahleka umdla ebomini;
• ugwayi;
• yokuzibulala;
• ukukhathazeka;
• syndromes buhlungu;
• isimo lability;
• Awakening ekuqaleni;
• ukuncitshiswa komzimba, njalo njalo. d.

Izimo

"Remeron" - ichiza engenakuphinde isetyenziswe ngabantu, ebonakala uvakalelo oluphezulu ukuya yayo engundoqo esebenzayo licandelo - mirtazapine kweziyobisi, kwaye nasiphi na isibonelelo amacandelo zeziyobisi. Le Izimo zilandelayo - ukukhulelwa sayo, zisanyisa, kwezintso okanye insufficiency hepatic. Kukho kwakhona Izimo isihlobo:

• hypertrophy prostatic;
• diabetes;
• ukuvalwa glaucoma;
• tachyarrhythmia atrial;
• hypotension ;
• angina;
• Ukwenzakala organic ubuchopho (ubuchopho);
• utyekelo kakubi iziyobisi psychoactive.

analogue iyeza

Ukuba ngenxa yaso nasiphi na isizathu akakwazi ukuzithenga kwi ekhemesti yi "Remeron" analogs buyisela kuye. Nanga amagama abo:

• "Mirzaten Ku-tab".
• "Calixtus".
• "Mirtalan".
• "Mirtazonal".
• "Esprital".
• "Noksibel".
• "Hexane Mirtazapine."

"Remeron": Ukubuyekezwa oogqirha

Iingcali kakhulu ukuqonda iimpawu iqapheleka kwezonyango esi sizukulwana esitsha yeQela. Ngaphambi kokuba amayeza yaba yinxalenye yezonyango ngemihla, inyathelo mirtazapine wafundela ngenyameko. Ngoko ke, kukho inqaku umqeshwa Moscow Scientific Centre for Mental iinkunzi zezimvu Health Morozovoy M. A., apho othetha iziphumo izifundo ezinjalo.

Ekulingweni, izigulane 63 inxaxheba nokudakumba oluphakathi esiqatha, kunye iinketho ezahlukeneyo ezichongiweyo ukuphazamiseka Uthando; Kuye wabandakanyeka kwizibhedlele 12 ngengqondo kwizixeko ezahlukahlukeneyo eRashiya. Njengenxalenye yomzamo, oogqirha amisele ukusebenzisa ukuba unyango zonke izigulane esibhedlele sixinezelekile, mirtazapine yedwa. Ubude lilonke unyango ngamachiza ukuba isigulane ngasinye iintsuku 42. Ngeli xesha, eli chiza liye kakuhle kakhulu.

Kukho kwakhona iziphumo zophando zonyango ezintsonkothileyo kwezigulane ukuxhomekeka utywala, nto leyo esebenzisa "Remeron". Oogqirha malunga intshukumo ye ichiza nayo iye yaba mihle. Izigulane nokuqaleka ezilawulwa ngokukhawuleza ukuze ayeke ukuba uphaphazele, ukuba nochuku, sokulibala, ukulungisa izinga lentliziyo kunye noxinzelelo lwegazi. Xa nokuzilungiselela luncedo kakhulu ekunciphiseni njengokufuna utywala kunye nokuzinziswa yemeko yengqondo lwezigulana kuxolelwa.

imiphumela emibi

Njengoko kubonakala kwisahluko esingaphambili, oogqirha kakhulu ukwazisa yeQela "Remeron". Izimvo izigulane bakude unanimity ezinjalo. Abanye abantu ezithatha ichiza kunokubangela nokube ezingafunekiyo. Nalu uluhlu lweziphumo ebezingalindelekanga kunokwenzeka kuluhlu imiyalelo.

1. Indlela yokwetyisa:

• isicaphucaphu;
• ome;
• nokuqunjelwa;
• amandla elandileyo transaminases isibindi;
• zokuphila;
• Ukhuliso lwe komzimba;
• ukuphalaza;
• iintlungu esiswini, kome em- ngomlomo.

2. Ukususela luvo:

• hypokinesia;
• ukozela;
• lafa;
• silale;
• yombono;
• utshintsho sengqondo kwisimo;
• hyperkinesis;
• myoclonus;
• yokususa;
• ukukhathazeka;
• depersonalization;
• nokunganaki;
• mania;
• ukuba nemibono;
• nesiyezi;
• ukungazinzi ngokweemvakalelo;
• vertigo;
• obungako;
• zesifo;
• hypersensitivity.

3. yegazi:

• hypotension intolerance;
• ukwehlisa wegazi.

4. enzala:

• seTrojan;
• zinciphisa amandla.

5. Inkqubo hematopoietic:

• agranulocytosis;
• igazi aplastic;
• granulocytopenia;
• thrombocytopenia;
• neutropenia;
• eosinophilia.

6. ziyabagulisa: urticaria.

7. Eminye imiphumela emibi:

• nokudumba syndrome;
• umkhuhlane syndrome;
• myalgia;
• umoya;
• dysuria;
• iqolo;
• ukurhoxiswa.

Nangona zonke ezi ngasentla, phakathi oogqirha "Remeron igqalwa omnye amachiza likhuselekileyo kudidi kweziyobisi ngenxa unyango ngokudandatheka. Ngokomzekelo, xa kuthelekiswa lakhula tricyclic, oko akuthethi ukuba " serotonin syndrome ", phantse akanalo cardiotoxicity kunye imiboniso ezincinane iimpawu anticholinergic, ezifana ukuqunjelwa kunye umlomo owomileyo. Ezinye iziphumo ebezingalindelekanga (ukozela, isiyezi, ukulalisa, zokuphila, njalo njalo. d.) kwenzeka kuphela ekuqaleni unyango, yaye kamva yahlolwa kungekho ukutya.

Libanda, beziyobisi "Remeron"

Manual ibonisa ukuba mpawu zilandelayo kungenzeka libanda:

• silale;
• nokudideka;
• ukozela;
• tachycardia.

Kwiimeko ezinjalo, unyango kwenziwa wamalahle iyasebenza, lavage esiswini, oxygenation kunye umoya, ngokunjalo isicelo unyango nomqondiso.

oyi

Bucala "Remeron" kunokubangela zokuzuza izigulane ngesifo iimpawu ngengqondo. Ngexesha unyango kwesigaba edakumbisayo eguquguqukayo psychosis ngokwenene inversion kunokwenzeka kuchaphazela imbonakalo mania. Kulo mzekelo, xa kukho utyekelo ukuzibulala, isigulane Kucetyiswa ukuba akhuphe inani eliqingqiweyo iziyobisi. Ukuba isigulane - umfazi yokuzala, ukuqeshwa kwezi tablets kuphela oluqhutywa phaya imiqathango isicelo oko kukhulelwa oluthembekileyo.

ukurhoxiswa ngokukhawuleza beziyobisi, elandela emva ukusetyenziswa elide, kungabangela ukubonakala isicaphucaphu, intloko ebuhlungu, ukwanda kokungazinzi impilo jikelele. Reception "Remeron" kufuneka ayekiswe ukuba uneempawu zaso nasiphi na izifo ezosulelayo, senyongo okanye utshintsho egazini. Ngelo xesha ichiza omiselwe izigulane ukuba balumke ngakumbi xa uqhuba imoto, kwakunye nezinye iindidi iintlobo ezinokuba yingozi ngemisebenzi kunye nemisebenzi efuna isantya lengqondo kunye nokwanda ingqalelo nitrogen.

isiphelo

Ukusuka inqaku ingentla wagqiba kwelokuba "Remeron" - iipilisi ezinokusinceda nkqu nokuphazamiseka edakumbisayo engqondweni olomeleleyo. Kwangaxeshanye, bakude nabungozi, yaye kufuneka isetyenziswe kuphela ummiselo zonyango phantsi kweliso wakhe osenyongweni. Abantu abaninzi kule minyaka uphethwe kukudakumba baphathwa yi iintlobo yazo iziyobisi kwaye ufumane isiphumo oyifunayo. Okwangoku, kwanele ukuba utyelele i yobungcali onamava ukufumana amayeza ukuthenga isiyobisi olusebenzayo ngokwenene, ezifana nale, yintoni i "Remeron" iziyobisi. Musa ukulibala tyelelo kugqirha. Abe sempilweni entle kwaye wonwabe!