Isidakamizwa esithi "Melipramine": ukubuyekezwa. "I-Melipramine": imiyalelo yokusetshenziswa, okufanayo

Ngeshwa, izimo ezicindezelayo, ukuphazamiseka kwengqondo yizinkinga ezivamile. Akunakwenzeka ukuthi banganqatshwa noma banganakiwe, njengoba befuna ukwelashwa, kaningi nangokwemithi. Kukhona isidakamizwa esiza ukubhekana nezinkinga eziningi ezingokomzwelo, okungenani, lokhu kuboniswa yizibuyekezo. "I-Melipramine" imithi ethandwa kakhulu ekukhuleni kwengqondo nakwamanye amagatsha omuthi. Ngakho kuthinta kanjani umzimba?

Yini ehlanganisiwe ekubunjweni? Incazelo yefomu lokukhululwa

Kunezinhlobo ezimbili lapho kulungiselelwa khona ukulungiselela "Melipramine", amaphilisi kanye nesisombululo sokuphathwa kwangaphakathi. Into esemqoka yokusebenza kwezidakamizwa i-imipramine. Ithebhulethi ngayinye iqukethe i-25 mg yalesi sigaba, kanye nenani lezinto ezihamba phambili, okufaka i-dimethicone, i-lactose monohydrate, i-stearate ye-magnesium, kanye ne-oxide yensimbi, i-crospovidone ne-hypromellose.

Ngokuqondene nesisombululo, i-1 ml iqukethe u-12.5 mg we-imipramine, kanye nezinsimbi ezisizayo, ikakhulukazi i-sodium chloride, i-sodium disulfite, i-ascorbic acid, i-sodium sulfate yama-anhydrate namanzi ahlanzekile njengesizinda.

Incazelo yezindawo eziyinhloko zemithi

Lesi sidakamizwa singumuthi omuhle kakhulu wokucindezeleka, ngokucwaninga nangempendulo. Ngaphezu kwalokhu, "i-Melipramine" nayo inezinye izakhiwo, ikakhulukazi i-analgesic ne-sedative. Isidakamizwa sisebenza njengesifo sokulwa ne-antidiuretic.

Ingxenye esebenzayo yalesi sidakamizwa ikhulisa ukuhlushwa kwe-norepinephrine ku-synapses, futhi iphinde ikhulise izinga le-serotonin emahlakheni wesistimu yezinzwa eziphakathi. Isidakamizwa sinciphisa ukuqhutshwa kwe-ventricular, okwenza ukuthuthukiswa kwe-arrhythmia. Futhi, into esebenzayo ivimbela ama-H2 receptors of histamine emaqenjini amathisimusi esiswini, anciphisa ukufihla kwe-asidi, ene-antiulcer effect.

Njengomthetho, okokuqala amaphilisi adala umphumela wokudambisa, owathi, njengoba ukwelashwa kudlula, kuyanyamalala.

Uhlu lwezinkomba zokungena

Kunezimo eziningi lapho lo muthi ongasiza khona, okuqinisekiswa yizibuyekezo. "I-Melipramine" inqunyelwe iziguli ezitholwa ngezinkinga ezilandelayo:

• Izimo ezidabukisayo zomsuka wokugcina;
• Ukucindezeleka, okuvela ngemuva kwezinzwa, ukucabangela kwengqondo, izinguquko ezinzulu;
• I-asthenodepressive syndrome;
• Ukucindezeleka okusebenzayo;
• Ukususwa kwe-syndrome ngokuyeka ukusebenzisa izidakamizwa ezine-cocaine;
• Izifo zokuziphatha ;
• Isiyaluyalu senhliziyo;
• I-Migraine;
• Ukucindezeleka ngokweqile;
• Ukuhlukumeza;
• I-neuropathies eyenzeka ngokumelene nesizinda sesifo sikashukela mellitus;
• I-neuralgia yangemva kwesikhashana;
• Ubuhlungu obukhulu bemvelo engapheli;
• Izinsizwa ezinzima ezingenakwelashwa neminye imithi;
• Bulimia nervosa;
• Ezinye izinhlobo ze-enuresis.

Ukulungiselela "Melipramin": imiyalelo yokusetshenziswa

Njengoba ubona, umuthi unamandla kakhulu, ngakho-ke awukwazi ukuwusebenzisa ngokusemthethweni. Ochwepheshe kuphela emva kokuxilongwa ngokugcwele angachaza isiguli imithi "Melipramine". Imiyalo yokusetshenziswa iqukethe ulwazi oluthe xaxa kuphela.

Uma sikhuluma ngokuphathwa kwabantu abadala, umthamo wansuku zonke uqala kusuka ku-75 ukuya ku-200 mg wezinto ezisebenzayo, kuye ngesimo sesiguli. Uma umphumela wokwelashwa odingekayo awutholakali, umthamo ukhula kancane kancane ube ngu-200-300 mg. Lesi silinganiso semithi sihlukaniswe ngama-3-4 amanani.

Ungathatha kanjani "i-Melipramine"? Odokotela bancoma ukuthi baphuze amaphilisi ekuseni kanye nasemini. Uma wenza lokhu kusihlwa, umuthi ungabangela ubuthongo. Inkambo yokwelapha ivela emavikini angu-4 kuya kwangu-6. Esikhathini esizayo, ukwelashwa kwezokunakekela kuyadingeka, okuhlala cishe ngesikhathi esifanayo, kodwa isiguli kancane kancane sinciphise umthamo.

Yiziphi izici zokwelapha izingane nomuthi "Melipramine"? Amathebulethi athathwa futhi ekuseni nangesikhathi sasemini, kodwa umthamo uhlukile ngokwemvelo. Inani lokuqala lezithako ezisebenzayo li-10 mg, emva kwalokho liye landa kancane kancane libe ngu-20 (izingane ezineminyaka engu-6-8), 25 (8-14 kweminyaka) noma 50-100 mg (izingane ezingaphezu kweminyaka engu-14 ubudala).

Ingabe kukhona ukuphikiswa kokungeniswa?

Kwezinye izimo, ukuthatha isidakamizwa kungase kungabi nakulungile noma kuyingozi. Nasi uhlu lwezingqinamba zokwelapha:

• Ukuziphendulela komzimba kuya ezingxenyeni zomuthi;
• Ukuthatha imithi - MAO inhibitors;
• Ukudakwa ngokweqile komzimba nge-ethyl alcohol;
• Ukuzitika ngokweqile ngezidakamizwa;
• Ukucindezeleka kwesistimu yezinzwa eziphakathi;
• Ubuthi nge hypnotics;
• Isikhathi sokukhulelwa kanye ne-lactation;
• Ukuphazamiseka kokuqhutshwa ngaphakathi kwe-ventricles yenhliziyo;
• I-infarction ye-myocardial;
• I-glaucoma ye-Angle-closure;
• Unyaka wezingane (kuze kube yiminyaka engu-6).

Isidakamizwa singathathwa nge-asthma, ukuphuza ngokweqile, ukuhluleka kwezinso, isifo senhliziyo, kodwa ezimweni ezinjalo, udinga ukuqapha ngokucophelela isimo sesiguli. Ukuphikisana okuhlobeneyo kuhlanganisa nokushaya kwesifo, ukuphazamiseka kwemisipha, izinkinga ze-hematopoiesis, ukwephulwa kwe-motility ye-digestive tract, kanye ne-pheochromocytoma, isithuthwane, ukwehluleka kwesibindi, i-schizophrenia, i-prostatic hyperplasia, i-thyrotoxicosis ne- bipolar disorders.

Uhlu lokusabela okungahambi kahle

Ezinye iziguli zakha imiphumela emibi lapho ithatha amaphilisi:

• Kusukela ohlelweni lokugaya ukudla: ukoma komlomo we-oral mucosa, ukuguquka kwenhliziyo, ukuqothulwa, ukuhlanza;
• Kusukela ezingeni lomqondo: ukwehla ekucaceni kombono, i-paresis yokuhlala, i-glaucoma, ukwephulwa kokubona ukunambitheka, izintambo;
• Kusuka enhliziyweni nasezindlini zegazi: tachycardia, arrhythmia, izinguquko ze-ECG;
• Kusukela ohlelweni lwezinzwa kanye ne-psyche: ukuxoshwa komuntu, ukudideka, ukushaywa indiva, ukuleleka, ukucindezeleka kwengqondo, izimo ze- hypomanic , ukuhlukumezeka ukuvuthwa, ukucubungula, izinkinga zokuhlushwa, ikhanda, i-asthenia, ukulala, ukuphazamiseka kwengqondo, ukukhathazeka kwengqondo, ukunyuka kwengcindezi, isizungu;
• Phakathi kwezinye izinkinga ezingase zibandakanye i-hyperhidrosis, ushintsho olubucayi kwesisindo somzimba, ukwehla kwe-potency, i-jaundice ye-cholestatic, i-urticaria, ukuphazamiseka kwamagciwane, ukuvuvukala ema-testes emadodeni.

Kungakhathaliseki ukuthi yiziphi izinguquko oziqaphele ngemuva kokuqala kokwelapha, uma unesifo sokukhathazeka, kufanele nakanjani uthintane nodokotela.

Ukulungiselela "Melipramine": ezifanayo

Akuzona zonke iziguli ezifanele le mithi. Kufanele kuqaphele ukuthi imakethe yanamuhla inikeza ukhetho oluningi lwezidakamizwa ezinempahla efanayo. Ngesinye isikhathi udokotela angakhipha izidakamizwa ezinjenge Imizin noma Printmin. Lona uhlobo lwegama elifanayo eliqukethe into efanayo esebenzayo. Uhlu lwamagama afanayo lubizwa nangokuthi "i-Apo-Imipramin" ne "Priogan-25".

Enye iphuzu elibalulekile leziguli yindleko yemithi "Melipramine". Intengo yayo ayithengi kakhulu. Ukupakisha amaphilisi angu-50 kuzodinga cishe ama-ruble angu-360-450, okungekho okuningi, ikakhulukazi uma kuqhathaniswa namanye ama-analogues.

Ukubuyekezwa kweziguli kanye nochwepheshe mayelana nomuthi

Yiqiniso, abantu abaningi banesithakazelo ngombono odokotela nabantu abaye bazama kakade emithini yabo. Pho kuthiwani ngokubuyekezwa kwakhe? "I-Melipramine" ibhekwa njengethuluzi elihle, kusiza kakhulu ukukhulula izimpawu zokuphazamiseka kwemizwa nokukhathazeka ngokomzwelo, ukunciphisa ubuhlungu obungapheli futhi, ngokuhambisana nezinye izinyathelo zokwelapha, ngisho nokuqeda ngokuphelele lesi sifo. Iziguli nazo zinelisekile ngomphumela, ngoba umphumela wokuqala uqala ukuzibonakalisa emva kwezinsuku ezimbalwa zokwelapha. Futhi-ke, ungakhohlwa ngenye inzuzo yesidakamizwa esithi "Melipramine": intengo yalo yenza imithi ingabizi.