Uhlaziya: "carbamazepine." ukusebenza kunye ecaleni layo neziphumo

iipilisi Anticonvulsant "carbamazepine" impendulo apho siza kuqwalasela namhlanje baye bafaka phantse isiqingatha senkulungwane eyadlulayo. Nangona yezonyango ukusukela inani elininzi iimveliso mihla, kakuhle, ukuba, ngaphezu koko, iziphumo ebezingalindelekanga ezimbalwa, ngokuba le ndawo uhlala zithandwa kakhulu phakathi oogqirha kunye nezigulane iye yaziswa.

Kwezinye iimeko, ichiza "carbamazepine"

Ebizwa pill - oko yamnandi anticonvulsant kunye iintlungu kweziyobisi esetyenziswa:

• njengendlela yokuqala ngokuba ukunyanga isifo oluneentlobo ezahlukeneyo zokuhlaselwa;
• e syndromes manic kwifomu oyingozi;
• ukuthintela ukugxagxiseka ziyenzeka izigaba ukuphazamiseka ngokwenene, kwakunye ukuququzelela imeko yomguli ngexesha exacerbation;
• iintlungu eyayihamba kunye peripheral abaneswekile;
• ukuba kube lula kwimpilo-ntle kwezigulane trigeminal neuralgia;
• kwakunye zokurhoxa utywala, wavakalisa uvalo, zokulala kunye namazwe convulsive.

Ukongezelela, ngokutsho iingcali, kubahleli, "carbamazepine" lisetyenziswa ngempumelelo kuba unyango lwe kwengqondo, schizophrenia, urhulumente silwe, ukushaya, kwakunye notshintsho komgquba isicwili sobuchopho. Nangona kunjalo, khumbula ukuba ukusebenza beziyobisi kwezi meko ezisekelwe kuphela kumava onyango njengoko izifundo laboratory protocol azikhange kuqhutywa.

Amacwecwe ziluncedo "carbamazepine" izigulana sokuwa

Xa izigulane sokuwa uthe arhente kwandisa nokuhlutha embundwini uvikivwa oko kunciphisa amathuba yokuhlaselwa entsha. Yangqineka ukulungiselela esihle nendlela yomntu utshintsho (ngenxa yokuba izakhono zonxibelelwano eziphuculiweyo kunye nokuququzelela kwimo yentlalo zezigulane ezinjalo).

Izigulane ebutsheni kunye nokusetyenziswa eyoonyana ichiza kunciphisa uxinezeleko, ukungaqiniseki, uvalo kunye ndlongo. Kodwa kufuneka iqwalaselwe ukuba ifuthe nesiyobisi umsebenzi kwengqondo (lememori, ulungelelwaniso, ingqalelo, intetho, amandla okucinga, uhlenga, njl) inokwahluka ngokuxhomekeke idosi, kwaye ngamanye kakhulu!

Noko ke, ezinye izigulane, eshiya impendulo, "carbamazepine" ubizwa ngokuba ichiza othe ukusebenza phantsi njengendlela yokulwa ukudakumba, okanye kwiimeko abakhubazeke ngengqondo. Bona uthambise endleleni, nokuba isicelo ukuqhubeka kwalo sixhobo ithetha esweni okunyanzelekileyo ngugqirha kunye nophando rhoqo kwaye ahlalutye.

imithetho olufunekayo ichiza

Ewe, kufuneka uvume ukuba iyeza wathi lineziphumo ngendlela entsonkothileyo emzimbeni womntu. Kungenxa yoko le nto phambi kokuba isetyenziselwe kunyanzelekile ukuba adibane yincutshe.

Ukusebenzisa ipilisi "carbamazepine", kubalulekile ukukhumbula le migaqo ilandelayo.

• Izigulane elihlolwa ngcono idluliselwe unyango le sixhobo kunye ukubambelela ngenyameko yaye isicelo zonke izindululo gqirha ukuya, kwezinye iimeko, ichiza kungabangela ezininzi iziphumo ezibi.
• Ngaphambi kokuba kunyango, ngokokuqhelekileyo kuhlola imeko kwesibindi yomguli (ingakumbi ukuba abadala okanye esi sifo lomzimba). Ukuba ukuthathwa ichiza kubonakala imandundu, unyango kufuneka kupheliswa ngoko nangoko.
• ingqalelo ekhethekileyo ihlawulwe kwi imeko yengcinezelo intraocular yesigulana uphathwa iipilisi "carbamazepine". Ukuphonononga amagqirha echaza eli chiza ukubonisa ukuba ukusetyenziswa wayo ukukhuthaza secretion ngcono kolwelo intraocular, nto leyo umngcipheko imandundu umsebenzi olubonakalayo iso.

analogue iziyobisi

"Carbamazepine" Ezipilisi neziphumo ezifanayo kumachiza. Ezi ziquka "Zagretol", "Karbalepsin kunamandla", "Karbapin", "Mazepin", "Stazepin", "Tegretol", "Finlepsin", "Carbamazepine Nycomed" yaye "Acre Carbamazepine". Izimvo oogqirha nezigulane malunga nokusebenzisa kwabo kunye neziphumo emzimbeni ayafana nalawo ekubhekiswe kuyo anntotatsii kwezi arhente.

Njengokuba kusetyenziswa ichiza

T

abletki "carbamazepine" lisetyenziswa ngomlomo phambi kokutya okanye emva kwayo. ukusetyenziswa kuvumelekile kweziyobisi xa kutyiwa, kuya kufuneka ihlanjwe phantsi ngamanzi.

Izigulane sokuwa, ukuba kunokwenzeka, oko ayinqweneleki ukudibanisa isixhobo kunye nabanye.

Ngemihla yakudala isicelo "Carbamazepine" yenzeka ngesixa esincinci, apha ithamo lanyuka ukuya kwinqanaba apho iziphumo ezinqwenelekayo kuyaphunyezwa. Isicwangciso ofanayo ukusetyenziswa kunye nokuqaliswa beziyobisi kwirejimeni niqale ngezinye iindlela. Qaphela ukuba inani lokuqala amachiza asetyenziswa musa ukwehlisa.

Oyidlayo ngqo ichiza

• Abantwana abaneminyaka emine emiselweyo iziyobisi isixa mg-20 ukuya kuma-60 mg ngosuku, esongeza eyimfuneko 20-60 mg zonke iintsuku ezimbini.
• Izigulane ebudaleni - ukususela mg 100 ukuya-200 kanye okanye kabini yonke imihla, ukwandisa, ukuba kuyimfuneko, imali ukuya ku 400 mg ezimbini-kathathu ngosuku (ithamo kufuneka ngaphezu 2 g).
• Xa trigeminal neuralgia elawulwa 200 mg / ngosuku. ukususela ekuqaleni konyango, ngokuthe ngcembe ukwandisa inani eliphezulu - 400-800 mg ngosuku, de ukupheliswa intlungu, isinciphise idosi.
• utywala Nhoza syndrome iphathwa kwi i idosi avareji ye-200 mg ka-3 ngosuku, yaye kwiimeko ingakumbi kakhulu, uyandiswa ku 400 mg. Ekuqaleni unyango ngamachiza kudityaniswe umthomalalisi-hypnotics.
• ithi Acute manic kufuna umlinganiselo idosi yemihla ngemihla mg 400 ukuya 1600 ngamanyathelo amabini okanye amathathu. Ngaphezu koko, ithamo inyuswe ngokukhawuleza.

Ziintoni iimpawu libanda, iziyobisi

ezazinokuphazamisa zobuchopho, leyo zibonakaliswa nokudideka, kuququzelelo kakuhle kweentshukumo (okt. N. Ataxia), ukutyhafa, ukozela okanye ukungahlaliseki, nemibono inkangeleko, Esiwaphantsi isiqaqa okanye ukuba khokhoma. Studies olwenziwe ziingcali ukuqinisekisa ukuba libanda kakhulu kuchaphazela iinkqubo sentliziyo, luvo kunye nokuphefumla umzimba. Njengoko kuqinisekiswa yi oogqirha ekhohlo ingxelo, "carbamazepine" i libanda, kunokuba yingozi kakhulu!

• ukusebenza libanda, enyama yombono (isigulane ubona phambi kwamehlo akhe 'isigqubuthelo "), awayezibona nystagmus (intshukumo ngokukhawuleza arrhythmic le amehlo), kunye nabafundi inimba.
• Kukho onokugula intetho, ukuphazamiseka lengqondo, myoclonus (uphakamisa kwezihlunu ngesiquphe).
• Ngomhla inxalenye yegazi abe tachycardia, ukuhla eyomeleleyo okanye ukunyuka koxinzelelo lwegazi yaye ukusilela intliziyo.

Kwimeko libanda olukrokrelwayo kufuneka Isele lavage lusebenze indlela wamalahle. esibhedlele okunikezelwe zezigulane unyango ngakumbi nomqondiso.

Drug "carbamazepine": ziziphumo ebezingalindelekanga

Kwakhona kufanele kuphawulwe ukuba ichiza kufuneka kwenziwe kuphela phantsi kweliso zonyango kwaye ngokwemithamo ababewunikiwe. Akukho mfuneko ngokubona kwayo ukutshintsha inani amacwecwe kunye ukubonakala iziphumo ebezingalindelekanga qiniseka ukuba adibane oyingcali ukuba irejimeni olunye unyango.

Iimpawu Ezingalunganga ukuze luboniswe ngokohlobo nesiyezi, ukozela, imvakalelo ukudinwa rhoqo, intloko ebuhlungu, lafa, ukuphazamiseka incasa, ithi edakumbisayo kunye nokuziphatha ndlongo. Kungabangela isicaphucaphu, ukugabha kunye umlomo owomileyo.

Ukunganyamezelani ukuba izakhi ze-ziyabagulisa iziyobisi.

Ngenxa yokuba efumene isixhobo kwakhona babebone ukubonakaliswa leukopenia kunye thrombocytopenia kunokwenzeka folic acid izivuka, nokudumba, ukutyeba, ukugcinwa kunye hyponatremia fluid (uxinzelelo lwegazi nciphisa ion sodium).

Ukuze contraindicated pill "carbamazepine"

Ichiza, nangona uluhlu olude yeziphumo ebezingalindelekanga into ukunyamezeleka jikelele kakuhle. imeko Isigulana zidla kuyahlukana ekunciphiseni idosi ngcono okanye ukutshintsha le nkqubo. Oku kuboniswa ncomo ezininzi.

"Carbamazepine" njengeyeza into contraindicated kwiqela elincinane kwizigulane.

• Ezi ziquka izigulane ibloko atrioventricular (ukunyhashwa yokosulela kwe ngokwentshukumisa luvo kwi yegazi), kwakunye inhibition ezinomongo wethambo hematopoiesis.
• Musa ukuyisebenzisa xa izigulane porphyria hepatic.
• Ngexa lokukhulelwa kunye nencum-lokutyisa irhoxisiwe.
• Avumelekile ukuthatha le amayeza kunye Mao inhibitors kunye iiveki ezimbini emva kokuba zokurhoxa zabo.

Ukusebenzisana beziyobisi kunye namanye amachiza

Ngaphambi kokuba kunyango, musa ukulibala ukuxelela ugqirha wakho malunga naziphi na amayeza owasebenzisayo ngalo mzuzu. Ngenxa yokuba ukusetyenziswa ebonakalayo iziyobisi ezifana "Diltiazem" "Fluoxetine", "i-isoniazid" "Erythromycin", "Nicotinamide" et al. Ngamana kwandisa umngcipheko libanda.

Kwakhona, akawasebenzisi ngexesha unyango lokucwangcisa hormone njenge emngciphekweni omkhulu zesibeleko ukopha.

Utywala kwandisa isiphumo inhibitory-arhente luvo.