Ukubuyekeza: "carbamazepine". ngempumelelo futhi imiphumela engemihle

amaphilisi Anticonvulsant "carbamazepine" impendulo esizokucabangela namuhla kwemiqondo pheze ngesiquntu eminyakeni eyikhulu edlule. Nakuba kwezokwelapha kusukela inani elikhulu ngaphezulu yesimanje, imikhiqizo kahle, baye, ngaphezu kwalokho, ayinayo imiphumela eminingi engemihle ngokuthi sikhungo useyinto ethandwa kakhulu phakathi kodokotela neziguli liye kwethulwa.

Kwezinye izimo, umuthi "carbamazepine"

Ngokuthi iphilisi - ke indawo enhle kakhulu anticonvulsant kanye analgesic izidakamizwa esetshenziswa:

• njengendlela eyinhloko for ekwelapheni isithuthwane nezinhlobo ezahlukene ukuhlaselwa;
• ngesikhathi syndromes ukwenama ngefomu acute;
• ukuvimbela ukuwohloka okwenzeka izigaba iziyaluyalu affective, kanye lula isimo lesiguli ngesikhathi exacerbation;
• ubuhlungu ephelezelwa ne-peripheral sikashukela;
• ukuba lula inhlalakahle kweziguli trigeminal neuralgia;
• kanye notshwala ukuhoxiswa, wazwakalisa ukwethuka, izinkinga zokulala futhi uthi convulsive.

Ngaphezu kwalokho, ngokusho kongoti, ababuyekezi, "carbamazepine" is ngempumelelo esetshenziselwa ukwelapha kwengqondo, ukusangana, isimo nolaka, ukushaywa uvalo ngaphandle kwesizathu kanye nezinguquko organic nezicubu ingqondo. Nokho, khumbula ukuthi ukuphumelela izidakamizwa kula amacala isekelwe kuphela isipiliyoni emitholampilo njengoba laboratory olandelwayo izifundo ungazange sezenziwe.

Izibhebhe ziwusizo "carbamazepine" iziguli isithuthwane

In iziguli nesifo sokuwa uthe ejenti kwandisa kwehlisa kokuquleka embundwini futhi ngaleyo ndlela kunciphisa ingozi ukuhlaselwa ezintsha. It wazibonakalisa ukulungiselela esihle kakhulu ukulungiswa izinguquko ngamunye (ngenxa ngcono amakhono okuxhumana futhi lula nokuvuselelwa yezenhlalakahle iziguli anjalo).

Iziguli ebusheni nokusetshenziswa zezingane zomuthi kunciphisa ukucindezeleka, ukungaqiniseki uvalo nolaka lwabantu. Kodwa-ke kumele kubhekwe ukuthi umphumela isidakamizwa umsebenzi engqondweni yethu (Izinga lememori, ukuhlobanisa izinto, ukunaka, ikhono inkulumo, ukucabanga, ukuzikhethela, njll) ingase yehluke kuye ngesistimu umthamo, futhi ikakhulukazi kumuntu nomuntu!

Nokho, ezinye iziguli, ushiya impendulo, "carbamazepine" ubizwa ngokuthi umuthi has a ukusebenza kahle ongaphakeme njengendlela ulwe ukucindezeleka noma ezimweni abakhubazeke ngokwenqondo. Bona ugcobe endleleni, nokuthi isicelo ukuqhubeka kwaleli thuluzi kusho ukuqapha saziso ngudokotela nezinhlolovo njalo futhi ihlaziya.

imithetho okuphoqelekile izidakamizwa

Yebo, akufanele uvume ukuthi umuthi wathi kunemiphumela ngempela eziyinkimbinkimbi emzimbeni womuntu. Yingakho ngaphambi kokuba isetshenziswa kubalulekile uthintane onguchwepheshe.

Ukusebenzisa iphilisi "carbamazepine", kubalulekile ukukhumbula imithetho elandelayo.

• Iziguli engcono idluliselwe ekwelapheni leli thuluzi nalawo ukunamathela ngokucophelela nokusebenzisa zonke izincomo udokotela ukuba khona, kwezinye izimo, izidakamizwa kungabangela eziningi imiphumela emibi.
• Ngaphambi ukwelashwa, ngokuvamile ahlole isimo isibindi lesiguli (ikakhulukazi uma abantu abalupheleko namtjhana inalesifo umzimba). Uma edonsa izidakamizwa avele ukuwohloka, ukwelapha kufanele inqanyulwe kubo ngokushesha.
• Ngokukhethekile ikhokhelwa kuze isimo ingcindezi intraocular isiguli belashwa amaphilisi "carbamazepine". Izibuyekezo odokotela enquma lokhu izidakamizwa ukuze ukhombise ukuthi ukusetshenziswa kwalo kusukumisa uketshezi ethuthukisiwe uketshezi intraocular, nakho kuyinto ingozi Ukuwohloka umsebenzi okubonakalayo iso.

izidakamizwa analogue

"Carbamazepine" Tablets nemiphumela efanayo ku izidakamizwa. Lezi zihlanganisa "Zagretol", "Karbalepsin kuthiye ukukhula", "Karbapin", "Mazepin", "Stazepin", "Tegretol", "Finlepsin", "Carbamazepine Nycomed" futhi "Acre Carbamazepine". Uphenyo kodokotela neziguli mayelana nokusebenzisa kwabo nemiphumela emzimbeni zifana okukhulunywa ngayo anntotatsii zale ejenti.

Njengoba izidakamizwa isetshenziswa

T

abletki "carbamazepine" wasebenzisa ngomlomo ngaphambi kokudla noma ngemva kwalo. ukusetshenziswa kuvunyelwe kwezidakamizwa ngesikhathi sakusihlwa, ngaleyo ndlela-ke kufanele wageza phansi ngamanzi.

Ukuze iziguli isithuthwane, uma kungenzeka, engathandeki ukuhlanganisa ithuluzi nabanye.

Ezinsukwini zokuqala isicelo "Carbamazepine" kuvela inani eliphansi, ngemuva kwalokhu umthamo Kwandiswa ezingeni lapho elamukelekile abayifunayo. Indlela efanayo ukusetshenziswa kanye nokwethulwa izidakamizwa eziyalezweni kuqalile ngezinye izindlela. Qaphela ukuthi ubukhulu lokuqala izidakamizwa esetshenziswa musa ukwehlisa.

Umthamo esiqondile izidakamizwa

• Izingane ezivela iminyaka emine ebekwe izidakamizwa e isamba 20 mg kuya ku-60 mg ngelanga, unezela ngokuthi kunesidingo by 20-60 mg zonke izinsuku ezimbili.
• Iziguli lapho usukhulile - kusukela mg 100 200 kanye noma kabili ngelanga, okwandisa, uma kunesidingo, inani kuze kube izikhathi 400 mg ezimbili kathathu ngosuku (umthamo kumele singeqi 2 g).
• Lapho trigeminal neuralgia iqondiswa 200 mg / usuku. kusukela ekuqaleni ukwelashwa, kancane kancane zandise izinto kunombolo - 400-800 mg ngosuku, kuze ukuqedwa ubuhlungu ke ukunciphisa umthamo.
• utshwala ukuhoxiswa sifo baphathwe i umthamo isilinganiso 200 mg izikhathi 3 ngosuku, futhi ezimweni ezinzima kakhulu, it luyanda mg 400. Ekuqaleni ukwelashwa izidakamizwa kuhlangene sine-hypnotics.
• Acute uthi ukwenama adinga umthamo avareji nsuku zonke kusuka mg 400 kuya 1600 ngemithamo ezimbili noma ezintathu. Ngaphezu kwalokho, umthamo lakhula ngokushesha.

Ziyini izimpawu kwezidakamizwa ukweqisa izidakamizwa

iziphazamiso ezazingase zibe khona zobuchopho, okuyinto obonakaliswe disorientation, kusebentisana kahle ukunyakaza (isb. N. Ataxia), ubuthakathaka, ukozela noma hyperactivity, ukuhhema ukubukeka, ukuwela equlekile futhi equlekile. Ucwaningo olwenziwa ochwepheshe ukuqinisekisa ukuthi ukweqisa izidakamizwa ngokuyinhloko kuthinta, izinhlelo senhliziyo sezinzwa futhi zokuphefumula zomzimba. Njengoba ukuqinisekisile odokotela kwesokunxele impendulo, "carbamazepine" ukweqisa izidakamizwa kungaba yingozi!

• umphumela Overdose ezithweni umbono (isiguli ubona phambi kwamehlo akhe "umgubuzelo"), waqaphelisisa nystagmus (ukunyakaza okusheshayo arrhythmic we zamehlo), futhi abafundi osuke usuvulekile.
• Kube kufanele inkulumo neziyaluyalu, lengqondo thuthuva, myoclonus (imisipha okungazelelwe jerks).
• On the ingxenye esimiso senhliziyo nemithambo yegazi kungenzeka tachycardia, ukwehla eqinile noma ukwanda wegazi ngisho yokumelwa yinhliziyo.

Endabeni ka ukweqisa izidakamizwa okusolakala kumelwe esiswini lavage futhi isebenze namalahle indlela. esibhedlela ezinconyiwe iziguli kanye okunye ukwelashwa lingaze.

Izidakamizwa "carbamazepine": side effects

Nalapha futhi, kufanele kuqashelwe ukuthi izidakamizwa kufanele kuphela kwenziwe ngaphansi kweso lwezokwelapha kanye ngemithamo abanike kona. Akubalulekile kwalo yedwa ukushintsha inani amaphilisi kanye ukubukeka side effects qiniseka uthintane kuchwepheshe ukuze eminye ukwelashwa lwemithi.

izimpawu ezingathandeki singawathola ngesimo isiyezi, ukozela, umuzwa ukutubeka, ikhanda elibuhlungu, liqhaqhazela, ukunambitheka neziyaluyalu, uthi futhi bacindezeleke futhi ekuziphatheni okunobudlova. Kungadala isicanucanu, ukuhlanza nomlomo owomile.

Ukungabekezelelani ukuze imibuso eyakha lo izidakamizwa komzimba.

Ngenxa yalokho ekutholeni ithuluzi futhi babebone ukubonakaliswa leukopenia futhi thrombocytopenia kungenzeka i-folic acid ukuntuleka kwamavithamini, ukungezwani edema, isisindo somzimba, nokugcinwa uketshezi hyponatremia (lokuhlala egazini ancipha sodium ion).

Ukuze contraindicated iphilisi "carbamazepine"

Umuthi, naphezu uhlu olude side effects ngokuvamile kahle ibekezelelwe. isimo A lesiguli ngokuvamile kuyahlukahluka ukuba ngcono umthamo zincishiswe noma zishintshe kohlelo. Lokhu kuboniswa izibuyekezo eziningi.

"Carbamazepine" njengoba ikhambi is contraindicated ecenjini lelincane iziguli.

• Lezi zihlanganisa iziguli sokuvimba atrioventricular (kokunikezwa kwe-ukudluliswa yisifiso ezinzwa esimiso senhliziyo nemithambo yegazi), kanye okusithiyayo of umnkantsha hematopoiesis.
• Ungayisebenzisi in iziguli porphyria hepatic.
• Ngesikhathi ekhulelwe kanye nokuncelisa ibele ikhanseliwe.
• Ivunyelwe kokuthatha lesi imithi nge mao inhibitor futhi amasonto amabili ngemuva ehoxile.

Ukuxhumana zomuthi nezinye izidakamizwa

Ngaphambi ukwelashwa, ungakhohlwa ukuthi utshele udokotela wakho mayelana oyiphuzayo uphuza okwamanje. Ngenxa yokuthi ukusetshenziswa concomitant izidakamizwa ezifana "Diltiazem" "Fluoxetine", "i-Isoniazid" "Erythromycin", "Nicotinamide" et al. Kwangathi kwandisa ingozi yokweqisa.

Futhi, ungayisebenzisi ngesikhathi ekwelapheni izinto zokuvimbela inzalo hormone njengoba ingozi eliphezulu lesizalo ukopha.

Utshwala kwandisa umphumela inhibitory amanxusa ku isimiso sezinzwa.