"Midokalm": yini ewusizo, incazelo yesidakamizwa, ukuphikisana

Yini i-Medocalm? Yini ewusiza leli thuluzi? Izimpawu nezici zomuthi ozocatshangelwa kuzokwethula ngezansi. Futhi, uzofunda ukuthi ukwelapha kanjani lesi sidakamizwa, kungakanani okubiza nokuthi ngabe kubonakala kanjani.

Ifomu yokwelapha, iphakheji, incazelo, ukwakhiwa

Ngabe isiphi imithi "Midokalm" efika (okusiza le mithi, sizoxoxa ngezansi)? Lo mkhiqizo utholakala amaphilisi, kanye nesisombululo esenzelwe ukuphathwa kwabazali.

Amaphilisi ajikelezayo namhlophe "Midokalm", inani laso eliboniswe ngezansi, lihlanganisa i-tolperisone hydrochloride. Njengoba izithako ezengeziwe ekubunjweni kwezidakamizwa ezibuzwayo: i-anicidous colloidal silicone, i-citric acid monohydrate, isitashi samabele, i-stearin, i-hydroxypropylmethylcellulose 2910, i-talc, i-macrogol 6000, i-cellulose microcrystalline, idayisi, i-lactose monohydrate ne-titanium dioxide.

Ikhiqizwa ngamabhansela, afakwa emabhokisini ephepha.

Isixazululo esingenangqondo se "Midokalm" ku-ampoules sine-tolperisone hydrochloride ne-lidocaine. Ngaphezu kwalokho, lo muthi uhlanganisa lezi zakhiwo ezilandelayo: i-talc, i-citric acid monohydrate, i-lactose monohydrate, i-colloidal silicone e-anhydrous, i-macrogol 6000, i- cellulose microcrystalline, i- stearin, i- titanium dioxide, isitashi se-corn, i-black iron oxide, i-hydroxypropyl methylcellulose 2910, i-red iron oxide nephuzi I-ox oxide.

Isidakamizwa esithi "Midokalm" ku-ampoules siseziqukathi zepulasitiki, ezifakwa ebhokisini lekhadibhodi.

Izakhiwo Eziyisisekelo

Iyini "iMidokalm"? Yini ewusizo ngalesi sidakamizwa? Ngokweziqondiso, i-ejenti embuzweni ibhekisela ekuphumuleni kwemisipha yeqembu le-aminoketone, elinomphumela ophakathi.

Ukuphumelela kwalesi sidakamizwa kuhlotshaniswa nokulawulwa kwengxenye (caudal) yokwakheka kwangempela. Ukusetshenziswa kwale mithi kukhuthaza ukucindezelwa kokwanda kwe-reflex ye-spinal cord. Kuphinde kuthinte ukuphela kwezinzwa (umgogodla).

Izici zomuthi

Isidakamizwa "Midokalm" (ukuhambisana kwalesi sidakamizwa nabanye kuvunyelwe, kodwa ngaphansi kwezimo ezikhethekile) yi-H-anticholinergic. Isisetshenziswa saso esisebenzayo sinomthelela wokuzinzisa emagqabeni oyinhloko (aferent), kanye ne- neurons. Umphumela walesi sidakamizwa ungenxa yokuthi unamandla okuthonya umsebenzi we-reflex we-synapses yomgogodla.

Kumele kuqashelwe ukuthi lesi sidakamizwa siphinde sinciphise ukukhipha kwabaxhumanisi. Lokhu kungenxa yokuvimbela inqubo yokudla kwe-calcium ezakhiweni ze-synaptic ezisezintanjeni zesibindi.

Umphumela walesi sikhungo endleleni ye-reticulospinal ikhulunywa ngokukhethekile lapho izinqubo zokukhushulwa zihamba kancane. Ngokufanayo, isenzo se-anesthetic yendawo yomuthi sibonakalisiwe (ngenxa yokuqukethwe kwe-lidocaine kuyo).

AmaKinetics wemithi

I-agent ixhumane kahle emathunjini. Ukuhlushwa kwalo (esiphezulu) egazini kufinyelelwa ngemva kwemizuzu engama-65 ngemuva kokungenisa. I-metabolism yesidakamizwa ivela ezinso nasesibindi. Izinhlobonhlobo ze-topperisone zinyunyiswa kanye nomchamo.

Inkambo ephindaphindiwe ye "Midokalma" ayinayo umphumela emsebenzini wezinso nesibindi, kanye nenqubo ye-hematopoiesis.

Lesi sidakamizwa sinciphisa ukuqina okuhloswe ngokulinganayo kanye nomfutho wegazi ophezulu wezicubu zomzimba. Izakhiwo zokwelashwa zalesi sidakamizwa zisetshenziselwa ukunciphisa ukuqina kwemisipha kanye ne-hypertonia ye-pathological, ehlobene nezifo ezingaphezu kwe-extrapyramidal.

Kumele kuqashelwe ukuthi lo muthi ukhuthaza umsebenzi womuntu (ukunyakaza kwakhe). Ngaphezu kwalokho, ayinamthelela ku-cortex ye-cerebral, ngokugcina ngokugcwele izinga lokuvuka kwesiguli.

Ngokwemiyalelo, ukwelashwa nge "Midokalm" kubangela imiphumela emincane ye-spasmolytic kanye ne-adrenoblocking. Ngenxa yalokhu, ukumiswa kwe-tishu kuthuthukisa.

Njengoba kuqhutshwa izifundo zokwelashwa zesikhathi eside, lesi sidakamizwa asizange sibe nomthelela omkhulu kwi-hematopoiesis nokusebenza kwezinso.

Isidakamizwa "Midokalm": kusuka kulokho okusizayo?

Leli thuluzi liboniswa ukusetshenziswa kwamacala alandelayo:

• Ngomkhuba wezingane ngenhloso yokwelapha isifo sika-Little (okusho ukukhubazeka okwenziwe nge-spastic). Ngaphezu kwalokho, lesi sidakamizwa sisetshenziselwa ukukhathazeka komunye umvelaphi onomlando we- muscular dystonia.
• Ezimweni ezihambisana ne-hypertension ye-pathological ye-muscle tissue tishuthuka ekhulayo ngenxa ye-pathologies (i-neurological) yemvelaphi engokwemvelo (isibonelo, nge-multiple sclerosis, i-encephalomyelitis, i-myelopathy, izimo ezihleliwe zezinkinga eziyingozi ze-cerebrovascular, izilonda ze-pyramidal pathway).
• Ezimweni ezivele ngenxa yomonakalo ekungeneni kwemithambo yegazi (isib., Ku-acrocyanosis, i-angioedema, imvelo ephakathi).
• Nge-hypertension yama-muscular, ukuvumelanisa kwemisipha ehambisana nezifo zezinyathelo zokuhamba (isibonelo, i-spondylosis, i-arthrosis yezintambo, ama-knee namaqhinga ase-hip, i-spondylarthrosis, i-lumbar ne-syndromes yomlomo wesibeletho).
• Ngenkinga yokuthungathwa kwe-thrombotic ye-veous blood flow kanye ne-lymphodynamics.
• Njengokwelashwa kokubuyisela emuva kokuvuselela emzimbeni wama-orthopedic and traumatological.
• I-ulcers ye-trophic eyakhiwe emlenzeni wezansi, i-angiopathy (kuhlanganise nesifo sikashukela), isifo se-angiosclerosis kanye ne-thromboangiitis, kanye nezifo ze-autoimmune (nge-Raynaud's disease kanye ne- systemic scleroderma).

Ukuvimbela ukusebenzisa

Kuziphi izimo ezingenakunqunywa amaphilisi nama-injection "we-Midokalm"? Ukusetshenziswa kwale mithi kuyaphikisana lapho:

• I-Myasthenia gravis;
• Hypersensitivity kuya tolperisone kanye nokuzivocavoca eyaziwa yi-lidocaine;
• Lapho uneminyaka eyizinyanga ezintathu (kubhekwe ithebulethi kuze kube unyaka owodwa).

Indlela yokusebenza

Uhlelo lokusetshenziswa kwalolu thuluzi lubekwe udokotela kuye ngokuthi yiliphi lesi sifo, kanye nokubekezela komuthi.

Kubantu abadala, imithi inqunywe ngesamba sika 150-450 mg (umthamo wansuku zonke) ngezilinganiso ezintathu ezihlukene. Isilinganiso sokuqala salo mithi i-50 mg kathathu ngosuku. Ngekhono elanele, landa.

Ukuze uthole izijovo ze-intramuscular, lesi sidakamizwa sisetshenzisiwe ngesamba sika 200 mg ngosuku (emiphakathini emibili), futhi sine-intraveous - 100 mg (kanye ngosuku). Esimweni sesibili, ukumnika okuncane kakhulu komuthi kuyadingeka.

Kubantwana abaneminyaka engaphezu kwezinyanga ezintathu (kuze kube yiminyaka engama-6), umthamo wemithi ubalwa ngokulandela uhlelo olulandelayo: 5-10 mg ngekgesi yesisindo somzimba (izikhathi ezintathu ngosuku). Ngomntwana oneminyaka engu-7-14 ubudala, kunconywa ukuthi usebenzise amaphilisi ngosuku olulodwa lwe-2-4 mg ngegciwane lomzimba (kathathu ngosuku).

Ukwamukela ngomlomo "Midokalma" kumele kuhlanganiswe nokudla.

Imiphumela emibi

Ukuthatha izidakamizwa nge-hypersensitivity ngayinye kungabangela ubuthakathaka emisipha, izimpawu zesifo (i-nausea, ukungakhululeki nokuhlanza), kanye nezinsizwa.

Ngokunciphisa okusheshayo kwe-solution ye-solution, ukwehla kwengcindezi yegazi kungenzeka.

Ngokungaboni ngaso linye kwezidakamizwa, ukuphendulwa kwe-allergen kukhula. Njengomthetho, ngokunciphisa umthamo wesidakamizwa, imiphumela emibi ivela ngokushesha kakhulu.

Ukusebenzisana kwezidakamizwa

Imininingwane mayelana nokuxhumana, okuvimbela ukusetshenziswa kwezidakamizwa ezibuzwayo, ayitholakali. Kodwa-ke, kufanele kuqashelwe ukuthi i-toperperone inegalelo kwisistimu ye-nervous central. Kulesi simo, lesi sidakamizwa asibangeli ubuthongo, ngakho-ke singahlanganiswa nama-hypnotics nezidakamizwa, kanye nemithi equkethe i-ethanol.

Ukwamukelwa ngesikhathi esisodwa kwe "Midokalm" kuthuthukisa umphumela we-niflumic acid. Uma kudingekile ukuhlanganisa izimali ezinjalo, ukunciphisa umthamo wesimanje kungadingeka.

Imisipha yokuphumula yemisipha, izidakamizwa ze-anesthesia jikelele kanye nezidakamizwa ze-psychotropic, kanye ne "Clonidine" zithuthukisa ukusebenza kwe-toperperone.

Izindleko nokuphendula

Kubiza malini uMidokalm? Inani leli thuluzi lingama-ruble angu-185.

Ukubuyekezwa kweziguli kusho ukuthi imithi ebuzwayo iphumelela kakhulu, ikakhulukazi ngezifo ezihlangene. Ngaphezu kwalokho, le nqubo iyasiza kakhulu uma kwenzeka ukujikeleza kwegazi okwephutha ebuchosheni, kuhlanganise nalabo abavela ngemva kokulimala koguquko.

Phakathi kokubuyekezwa okungalungile kungabonakala kulabo abathi kulo muthi "Midokalm" akuyona i-panacea. Ngokuvamile le mithi isetshenziselwa ukwelashwa okusekelayo.