"Asentra": yokusetshenziswa, kobufakazi nesineke, analogs, isithombe. Indlela "Asentra"?

isifo sokuphazamiseka kwengqondo okuthiwa ukucindezeleka kubangela umuzwa njalo yokudabuka, ngokuvamile kuholela ukungasathandi empilweni uqobo. isimo esinjalo kubathinta kabi ukuziphatha ngemicabango yomuntu. Kungaba umthombo ezihlukahlukene iziyaluyalu eziningi ezingokomzimba nezingokomzwelo. Ngeshwa, inkinga enjalo akakwazi ingaxazululwa ngokuthi amandla kuphela. Ukucindezeleka idinga ukuba eside futhi ukwelashwa okufanele.

Umuthi okungukuthi ukwazi ukubhekana akujabulisi ingumuthi "Asentra". Yokusetshenziswa uchaza ithuluzi njengenhlangano antidepressant kakhulu. Cabanga imithi kabanzi.

incazelo imithi

Imithi kuyinto antidepressant ngempumelelo. Kusukela izidakamizwa ibekwe "Asentra" imfundo manual. Photo imithi ezibalwe ngezansi.

Umuthi kuyinto inhibitor ethile reuptake ka-serotonin izinzwa. Nokho, anakho bungabathinti umzimba Dopamine futhi norepinephrine. Ngo imithamo zokwelapha amabhlogo izidakamizwa ekuthumbeni inqubo platelet-serotonin.

Lokho likhuluma 'Asentra "imiyalelo ukulungiselela ukusetshenziswa? Lokhu kusho akukho sine ivuselela, umphumela anticholinergic emzimbeni womuntu.

engayitholi njalo izidakamizwa kunomphumela omuhle impilo isiguli. kunemiphumela emihle kakhulu wazizwa ekupheleni 2 amaviki. Ngakho ukuchaza izidakamizwa "Asentra" kobufakazi zabantu ngendlela yokuthi nemithi awusasebenzi useqokwe. Nakuba-ke uyazi ukuthi umphumela esiphezulu zokwelapha kwenzeka kuphela ngemva kwamasonto 6 reception njalo izindlela.

Ukwelashwa nale izidakamizwa ayikhuphuki mass umzimba, okuyinto sici tricyclic antidepressant. Kwezinye izimo, kunalokho, kukhona kwesisindo. Nomuthi "Asentra" akakubangeli kwencika ngokomzimba noma ngokwengqondo.

imithi Itholakala ifomu iphilisi. I asebenzayo izidakamizwa zithutha kuyinto sertraline hydrochloride. Kuye ngokwalokho ekuqukethe ukukhiqiza 2 izinhlobo nemithi:

• Iphilisi, ezazihlanganisa 55,95 izidakamizwa eziyisisekelo mg (lokhu okulingana 50 ml sertraline).
• Ithebhulethi lapho esebenzayo isithako 111,90 mg (100 mg sertraline).

izinkomba ngoba

Naphezu kweqiniso lokuthi umuthi antidepressant ephumelela kakhulu, ungathathi leli thuluzi uwedwa. Self thukela inikeza imiphumela oyifunayo. Ngokuvamile indlela yokwelapha, akhethwa ngaphandle udokotela, ophela ukuthuthukiswa eziningi kwezimo ezingemnandi.

Ngaphambi kokuqala ukwelashwa, kufanele uxhumane onguchwepheshe, kulungile yini noma cha lesi sidakamizwa "Asentra".

Yokusetshenziswa Kunconywa ukuthatha imithi ngenxa kwale mibandela elandelayo:

• Ukucindezeleka omsakazo ahlukahlukene (ngezinjongo zokwelapha kanye zokuvimbela);
• esilawulayo-kuphoqeleke disorder (OCD);
• ukucindezeleka ukucindezeleka kwangemva kwenhlekelele disorder (PTSD);
• uvalo sifo.

Umthamo lwemithi

Khumbula ukuthi kuphela udokotela, ikhumbula zokugula, isifo esiteji kanye nobudala nesineke, angabeka elungile ukwelashwa lwemithi. Futhi manje, bhekani, ebhala cishe "Asentra" ukusetshenziswa Umhlahlandlela izidakamizwa. Kanjani ukuthatha leli imithi?

Abstract unikeza izincomo ezilandelayo ukuze Isikali:

• Kubantu abadala kanye OCD nokucindezeleka watusa kokuqala umthamo 50 mg zomuthi. Phuza umuthi kanye ekuseni noma kusihlwa. Kancane kancane, lo umthamo kungenziwa lenyuke. Nokho, ukuzivivinya kungenzeka kuphela ngemuva 1 iviki ekutholeni izimali. Ukwandisa umthamo lingafika ku 200 mg ngosuku.
• Uma iziguli omdala babe PTSD futhi bethukile disorder, ngaleso sikhatsi bafundza bacala ukwelashwa nge umthamo owodwa we-25 mg ngelanga imithi. Futhi, musa ukudlala indima, kuyothiwa ukuthatha iphilisi kusihlwa noma ekuseni. Ngemuva kweviki elilodwa umthamo avunyelwe ukwandisa. Manje-ke sekuzoba mg 50. Uma kudingeka, it ovunyelwe ukwandisa izinsuku ngisho nangemva 7. Nokho, umuntu kufanele akhumbule ukuthi izinga eliphelele zomuthi - 200 mg ngosuku.

Nge imiphumela yokuqala eyanelisayo iziguli nazo, ngokuvamile ngosuku 7th ngemuva kokuqala ukusetshenziswa kwezidakamizwa "Asentra". Izibuyekezo abonisa ukuthi ngalesi sikhathi lo mkhuba yokuqala omuhle. Nokho, ukuze sifinyelele umphumela esiphezulu zokwelapha, kubalulekile ukuthatha njalo izidakamizwa amasonto 2-4.

Kubantu abonile ROC, leso sikhathi mude. Umphumela omuhle yokwelashwa iza ngokuvamile amasonto 8-12 yokwelapha.

Umuntu esegugile musa ukukhethwa ekhethekile umthamo zidinga.

Iziguli ngobugebengu kokusebenza kwesibindi kufanele uthathe ithuluzi ngokuqapha anda. Endabeni esindayo pathologies umthamo noma yimuphi umuthi udokotela uyoncoma ukunciphisa noma ukwandisa isikhawu phakathi Ukweqiwa.

Lapho iziyaluyalu izinso asikho isidingo ukuze ulungise inani imithi wathola noma ukwelashwa isikimu.

Izici ekwelapheni izingane

Kungenzeka yini ukunikeza izidakamizwa izingane? Futhi indlela yokwenza? "Asentra" ngempela ovunyelwe ukusebenzisa izingane abaye neminyaka engu-6 ubudala. lokhu imithi contraindicated imvuthu abasebasha.

imiyalelo ukulungiselela ukuchaza indlela yokwenza:

• "Asentra" izingane eminyakeni 6-12 ababelwe kuzo njengoba kulandela: umthamo kokuqala nomuthi - 25 mg. Kunconywa ukuthatha isikhathi esingu-1 emini. Ungasebenzisa imithi ekuseni noma kusihlwa. Uma kudingekile, udokotela batusa ukwandisa umthamo ukuze mg 50. Nokho, njengoba abadala, kukhuphula lizinga kuphela ngemva 1 iviki yokwelashwa.
• Ukuze 12-17-ngonyaka abaneminyaka umthamo wansuku zonke kuyinto mg 50. Ngemva kwezinsuku ezingu-7, uma kunesidingo, udokotela uyoncoma ukwandisa inani izidakamizwa wathola. Nokho, qaphela ukuthi lezi izingane umthamo esiphezulu kumele singeqi 200 mg zomuthi usuku lonke.

Ngesikhathi esifanayo, okwandisa umthamo izingane, kubalulekile acabangele ezincane isisindo sengane maqondana nomuntu omdala. Ngakho-ke, ezincoma fuza ningi of izidakamizwa, odokotela bayazi ukuthi lesi sigaba iziguli kudingeka ziqashwe uma kusaqalwa ukwelashwa. ukuqapha olunjalo olwenza ukugwema izimpawu yokweqisa.

side effects

Lokho kusho mayelana nemiphumela engemihle, "Asentra" imiyalelo ukulungiselela ukusetshenziswa? Izibuyekezo zabantu ababekwa ejenti, abonisa ukuthi ukuthuthukisa ngesikhathi yokwelapha ezinye ukusabela ezingezinhle. Into engcono mayelana zonke izimpawu ephakamayo ngokushesha wazise udokotela wakho. Lokhu kuzovumela ngesikhathi ukuze ugweme ukuhlawuliswa umtholampilo ezimbi.

Abstract libuye lixwayise ngokuthi kungenzeka ngesikhathi yokwelapha imithi "Asentra" side effects:

• isimiso sokugaya ukudla bungene. Iziguli ebhekene nomlomo owomile, kwehle esesuthi, ngezinye izikhathi isimo iza nokuzincisha ukudla. Ngokuvamile ubonakaliswa isimo sengqondo iziyaluyalu dyspeptic ezifana isicanucanu, ukuhlanza, sezinyawo engazinzile noma isifo sohudo, ukubuyisa, ukuqunjelwa. Ngezinye izikhathi kukhona ubuhlungu besisu noma cramping. Umuthi kungase kubangele ukuthuthukiswa kwesibindi, pancreatitis, jaundice, yokwehluleka kwesibindi.
• Isimiso sezinzwa. Umuthi kungadala ukozela, liqhaqhazela, ikhanda, ukuqwasha, isiyezi. Ezinye iziguli uqaphela ukuvela nokukhathazeka, ukuyaluza, akathisia, paresthesia, hypomania, mania. Umuthi kungaholela ekucindezelekeni, ubudlova, excitation, sengqondo, ukuhhema. Ngezinye izikhathi lapho iziyaluyalu extrapyramidal, Gait nasiphazamiso, ukuquleka, dyskinesias. Movement iziyaluyalu, njengoba kufakazelwa phezu imithi "Asentra" libuyekeza odokotela kaningi waphawula in iziguli umlando izimpawu ezinjalo zenzeka.
• uhlelo Genito-urinary. ukubonakaliswa Okungenzeka ezifana ejaculation imisiwe, Erectile Dysfunction, libido encishisiwe, anorgasmia, gynecomastia, ukwehluleka menstrual cycle, priapism, galactorrhoea, hyperprolactinaemia.
• uhlelo zokuphefumula. Ezinye iziguli esekhala kokuziklinya noma ecindezela umuzwa sternum.
• Isimiso senhliziyo nemithambo yegazi. Imithi kungaholela palpitations inhliziyo, ubuhlungu besifuba, umfutho wegazi ophakeme noma hypotension. Kungase kube ukuvuvukala, faintness. Kakhulu akuvamile ukuthuthukisa tachycardia.
• Imiqondo. Phakathi imithi zingaphazamisa umbono. Ezinye iziguli bathi ukubona isithombe usongene.
• ukubonakaliswa nomzimba. Umuthi kungabangela lezi zimpawu ezingemnandi: ububomvu, ukuvuvukala ebusweni, nezinkophe noma izindebe, isifuba ukulunywa generalized, ukuqubuka kwesikhumba, i-erythema multiforme.
• Okunye ukuphendula. Phakathi ukwelashwa, ungase nazo ukopha oqabukelayo, i-hypothyroidism, ukujuluka kakhulu, kwesisindo. Ezinye iziguli zizizwe khona ubuthakathaka, Yawning njalo, emisa ingxenye igazi ezindaweni ebusweni.

Izimo yokwelapha

Njenganoma yimuphi umuthi izidakamizwa, izidakamizwa ezinye ukulinganiselwa. Doctor kusho bokunikeza isiguli inikezwe liyadingeka sizibambele akhawunti.

Cabanga ngalokho elikushoyo contra izidakamizwa "Asentra" imfundo manual. Lezi zihlanganisa:

• ukusetshenziswa ngesikhathi esifanayo of monoamine oxidase inhibitor (futhi eminye ezingu-14 ngemva zokuqaleka);
• isithuthwane engazinzile;
• reception ngesikhathi esisodwa "fenfluramine" noma "Tryptophan";
• Izingane size sifike eminyakeni 6;
• ukuzwela umuntu;
• ukhulelwe;
• lactation.

Ezinye izigaba iziguli adinga ukunakekelwa okukhethekile phakathi ukwelashwa. Cabanga, njengoba batusa ukusetshenziswa kwezidakamizwa "Asentra" imfundiso. Uphenyo odokotela uqinisekise isidingo ukuqapha isimo abantu bathole:

• iziyaluyalu zezinzwa;
• retardation sengqondo;
• isithuthwane;
• ukuhluleka hepatic;
• mania;
• ukwehluleka kwezinso;
• somzimba;
• Izingane abaneminyaka engama 6.

ukweqisa izidakamizwa wezokwelapha

Kubalulekile ukuqaphela ukuthi kuphela udokotela painted scheme, ungakwazi ukuthatha imithi "Asentra". Izibuyekezo ekubulaleni iziguli ezigulela banamathela zokwelapha Kunconywa, abonisa ukuthi izimpawu ngokweqile kulokhu engekho. Kodwa, ngeshwa, hhayi sonke sinamathela imithetho enjalo.

Kulabo ezithi basebenzisa budedengu imithi "Asentra" isitatimende kubangela eziningi izimpawu Indlela ngokweqile:

• serotonin syndrome;
• ukucanuzela kwenhliziyo, ukuhlanza,
• hypersomnia;
• tachycardia;
• ukuyaluza;
• isiyezi;
• lengqondo ukuyaluza ;
• isifo sohudo,
• ukujuluka kakhulu;
• myoclonus;
• hyperreflexia.

Sinzima isithombe emitholampilo ye izidakamizwa akakubangeli, ngisho noma ethathwe ebulilini. Nokho, kufanele sinake inhlanganisela lokhu izidakamizwa kanye neminye imithi. Kwezinye izimo (isibonelo, reception kanyekanye kwezimali ezivela ethanol) zingavela izimpawu ezinamandla ubuthi. isimo okunjalo kungaholela ekufeni.

sinqobe Specific kuya nomuthi alikho. Ngakho-ke, ukwelashwa kuhlanganisa iziqondiso ezilandelayo:

• An yokwelapha olunzulu;
• ukuqapha imisebenzi ebalulekile;
• reception ocushiwe carbon zithutha (lena indlela esebenza kahle ezingaphezu kuka lavage esiswini noma ukuhlanza);
• ukusekela umgudu.

Njengoba sertraline isakazwa wonke umzimba e esiningi, ukuba nazo zelashwe, ophoqelelwe diuresis, haemoperfusion, futhi ukumpontshelwa igazi abanayo ingaphelele.

Izixwayiso

Ngaphambi ukwelashwa nge "Asentra" kubalulekile ukuba simazi nabathile izici zomuthi:

• Elawulwa izifundo ukuphepha ukusetshenziswa kwezidakamizwa ngesikhathi sokukhulelwa akubanga. Ngakho-ke, lokhu kusho ngokuphelele hhayi Kunconywa ukuba zisebenze omama esizayo. Okuwukuphela isimo abesifazane uma izinzuzo kakhulu kunemiphumela emibi edlula ingozi usana.
• Ngesikhathi lactation "Asentra" ithebhulethi ngokuphelele contraindicated, ngoba sertraline itholakala ngobisi lwebele.
• Abesifazane abaseseminyakeni yokuthola abantwana ngesikhathi yokwelapha nale ejenti kumele usebenzise zokuvimbela inzalo ngempumelelo.
• Emtholampilo, kwatholakala ukuthi lesi sidakamizwa iphephile futhi ewusizo ekwelapheni ukucindezeleka in iziguli angina engazinzile noma isilethikusebenza.
• I nomuthi ingasatshenziswa iziguli sebethole sikashukela. Ngenxa yalesi sigaba iziguli izidakamizwa iphephile ngokuphelele. Lokhu kuqinisekiswa izifundo zokwelapha.
• Izidakamizwa "Asentra" nhlobo ukuhlanganisa utshwala!
• Abantu ababeka ezikhonjwe ukucindezeleka basengozini ngoba imizamo yokuzibulala. Lo mkhuba liyagcinwa kuze isikhathi ezifana akukho ukuthethelelwa. Yingakho iziguli nokucindezeleka adinga ukuqapha yezokwelapha njalo. Lokhu okwashiwo yilo mlobi uyaqhubeka kuze umuntu ufinyelela evamile isimo ngokwengqondo.
• Ngingathola beshayela ngesikhathi yokwelapha? Kuyaziwa ukuthi sertraline aliholeli kuwukwephula lengqondo imisebenzi. Kodwa inhlanganisela lokhu izidakamizwa nezinye imithi avuse ukulahlekelwa ukubambisana, kwehle ukunakwa. Ngakho-ke, iziguli ngesikhatsi ukwelashwa ngemithi "Asentra" kangcono uyeke umsebenzi obalulekile.

analogue imithi

Kuthiwani uma izidakamizwa unqabela "Asentra" yokusetshenziswa? Analogue izidakamizwa iyoba yinto ehlukile kakhulu ekwelapheni. Kodwa ungakhohlwa ukuthi umkhiqizo yasekuqaleni futhi esikhundleni saso uyakuba owakhethwa kuphela ngudokotela wakho.

Ngakho, iziphi izidakamizwa baye "Asentra" nozakwabo?

Pharmacologists ukunikeza ohlwini olulandelayo izidakamizwa:

• "Stimuloton";
• "Zoloft";
• "Serenata";
• "Torino";
• "Serlift";
• "Aleval".

Ngokusho odokotela mayelana izidakamizwa

Yini ukucabanga lokhu kusho ukuthi abantu abaye inikezwa ikhambi? Futhi kangakanani odokotela emuthini?

Odokotela ukholelwa ukuthi izidakamizwa okunengqondo izindlela eziphephile. Lokhu kusenza ukuncoma amaphilisi ngeziguli eziningi. Odokotela aqaphelisise Dynamics yokwelapha izidakamizwa "Asentra" wafinyelela esiphethweni ukuthi umuthi ngempumelelo ngokwanele. Kuyasiza ukuze sibhekane nokucindezeleka, sengqondo aqede, aqede isiguli yokukhathazeka okusezingeni eliphezulu.

Eluqhathanisa antidepressant ezivamile, njengoba "Zoloft", odokotela baye zihlangana endaweni okwakwenzeke umbono ukuthi kusebenze kakhulu zonke izidakamizwa efanayo "Asentra". Izibuyekezo lodokotela abonisa ukuthi emhlabeni ekupheleni kwesonto lesibili, iziguli baqale kakhulu ukuzola aphendule ngayo ezimweni ezihlukahlukene ezicindezelayo.

Yini iziguli uthi?

Futhi ngokubona iziguli ngemithi akuyona inkinga njalo omuhle. Nakuba, uzokwenza, mangisho ukuthi Izibuyekezo ezingezinhle awavamile. Abantu abaningi bathi imithi eyabasiza ezimweni ezithile.

Iziguli amaphilisi isikhathi eside, ukuqinisekisa ngokugcwele umbono odokotela mayelana izidakamizwa "Asentra". Nobufakazi abonisa ukuthi umuthi aqede kakhulu ukukhathazeka, ukwesaba, ukushaywa uvalo ngaphandle uthi. ithuluzi eliphumelelayo ekulweni kwengqondo. Abantu bangase baphikise ngokuthi imithi uyobuyisela ajabule, kuqinise isimo.

Nokho, ukunakekelwa okukhethekile ikhokhelwa isiguli amandla isitoreji izidakamizwa. Ngempela, abantu abaningi abaqala ukwelashwa nale imithi, osho ukuthi "Asentra" amaphilisi musa asize. Iziguli zizizwe imiphumela emihle ekwelapheni, abonisa ukuthi imiphumela yokuqala kuphela azizwa kanjani ngemva 2 amaviki. Futhi abanye abantu ngemva kwesikhathi eside kakhulu. Phela, iningi inkinga okwandayo Isikali isinqunyiwe emva 2 amaviki. Lokhu kukuvumela ukuba ugweme lokhu esimweni esingajabulisi, njengoba ukweqisa izidakamizwa.

Ekhuluma ngayo ukulungiselela, ngeke siyeke phezu kwemiphumela engemihle. Iziguli zibonisa ukuthi phakathi ukwelashwa ngempela zingavela imiphumela engathandeki. Hlobo luni side effects kuyovela - kanzima ukusho. It kuncike umzimba. Kodwa-ke kumele aqondwe ngokucacile ukuthi ngenkathi ukwelashwa kungase kubonakale kahle ukusabela ezingezinhle. Akufanele ulinde kuze kube yilapho izimpawu babonakalise ezisohlwini isifinyezo. Ephambi kwezinduna izimpawu zokuqala negative qiniseka kudokotela.