Umuthi 'Strattera ": ukubuyekezwa, izincazelo, yokusetshenziswa

Iyini imithi "Strattera"? Izibuyekezo abazali kanye nezifundiswa ngalokhu nomuthi aboniswa ngezansi. Siphinde ngikuxoxele kanjani isidakamizwa kufanele kubhekwe futhi yini wonke kunesidingo.

Ukwakheka, incazelo ukuma

It bathengisa umuthi "Strattera" ngayiphi indlela? Izibuyekezo Umthengi bathi leli thuluzi kungatholakala Pharmacy ngesimo amaphilisi anemibala ehlukene, okuyinto kuncike okuqukethwe isisindo isithako esebenzayo.

nomuthi Okubukwe kuhlanganisa isithako esebenzayo ezifana atomoxetine hydrochloride ngefomu. Ibuye ibe izingxenye ezengeziwe njengoba dimethicone prezhelatinizirovanogo isitashi, ama-titanium dioxide, gelatin, colorants futhi sodium lauryl sulfate.

kwemithi

Bewazi yini ukuthi "Strattera" kukhona amaphilisi? Izibuyekezo lodokotela abonisa ukuthi izidakamizwa kungokwalabo iqembu sympathomimetic, okuyinto abe isenzo emaphakathi futhi ube isithako enjalo enamandla kakhulu esebenzayo atomoxetine. Phela, lo yokugcina kuyinto inhibitor of abathutha (presynaptic) ka norepinephrine.

nomuthi Kubhekwe kuyahluka ziyezwana esincane nezinye receptor uhlelo noradrenergic noma abathutha ka neurotransmitters.

Ukulungiselela "Strattera" izilinganiso ezikhonjiswe lapha, akuyona ejenti ingqondo, futhi akusebenzi amphetamine esuselwe. Ngo zokwelapha lezi imithi yokwelapha yokukhansela zingaholelanga izimpawu ezingezinhle noma zokubonisa ngcono isifo.

I kinetics zomuthi

kanjani ukumuncwa lesi sidakamizwa "Strattera"? Izibuyekezo ibika ukuthi i-elementi ngomlomo asebenzayo lokhu lesifishane ngokushesha futhi cishe matasa ngokugcwele pheshana emathunjini. The esiphezulu plasma lokuhlushwa atomoxetine egazini kuye kwaphawulwa emva kwemizuzu 60-110.

Ukusatshalaliswa lokhu umuthi ngempela ebanzi emzimbeni womuntu. It is kahle nakanjani plasma amaprotheni, ikakhulukazi-albumin.

Umzimba Atomoxetine (primary) esibindini ngu isoenzyme CYP2D6.

Lapho amaphilisi temlomo Atomoxetine kusho isigamu-ukuphila kubantu nge kokudla ilingana amahora 3.5, futhi in iziguli imisiwe - amahora 21.

Umzila eyinhloko excretion zomuthi lihlelo kwezinso. I pharmacokinetics zomuthi ezinganeni abaneminyaka engu-6 kufana pharmacokinetics abantu abadala.

ubufakazi

Kwezinye izimo, umuthi ephumelela kunazo iziphatha "Strattera"? Uphenyo abadala libike ukuthi le imithi ilungele iziguli zeminyaka 6 nge ukungakwazi ukugxilisa hyperactivity sifo.

Uvala ukusetshenziswa

Ingabe kukhona Izimo kule izidakamizwa "Strattera"? Ukubuyekezwa (izingane le imithi kufanele libekwe kuphela udokotela abanolwazi) zithi ukwenqatshelwa ngokuphelele ukuze uthole le izidakamizwa kukhona uthi ezilandelayo:

• Ukuvalwa ukufiphala;
• ezinzima isifo senhliziyo;
• Hypersensitivity ukuze atomoxetine nezinye izakhi zomuthi;
• kuze iminyaka 6;
• ukwelashwa ngesikhathi esifanayo mao inhibitor.

kadokotela Special

Izidakamizwa "Strattera", ukubuyekezwa zazo akhayo ngokwezinga elikhulu ebekiwe ngokuqapha ku:

• nomfutho wegazi ophezulu;
• ukwelashwa psychostimulants;
• tachycardia;
• izifo zenhliziyo;
• umsebenzi ezihlobene fiznagruzki esindayo;
• okungazelelwe ukufa inhliziyo emlandweni ukuquleka;
• ukwephula ubuchopho kwegazi.

Amaphilisi Abonayo "Strattera" (imithi): Imiyalelo

Izibuyekezo Ochwepheshe abonisa ukuthi thuluzi lokubika lakhelwe kuphela abaphathi temlomo, isikhathi esingu-1 ngosuku.

Ukwelashwa nale izidakamizwa kumele kwenziwe kuphela ngaphansi kweso udokotela owelapha ngokukhethekile ekwelapheni abantu abane-ADHD.

Lapho waphawula imiphumela emibi esimweni esisodwa-ukusebenzisa amaphilisi nsuku zonke Kunconywa Isikali ihlukaniswe 2 ngemithamo (mhlawumbe njalo ngemva kwamahora angu-12).

Khansela lokhu kusho cishe akwenzeki kuholele emiphumeleni izimpawu ezingezinhle, ngakho ukwelashwa kudinga kancane kancane umthamo ukunciphisa.

isilinganiso umthamo watusa lokhu imithi nsuku zonke izingane nesisindo 70 kg kuba 500 mg / kg. Ngemva kwalokho, inani kumele lenyuke kuze kube zokwelapha okuyinto 1.2 mg / kg (kuka 3 izinsuku).

In the ukungabikho umphumela ezanele zokwelapha kungase kwandise umthamo 1.8 mg / kg, kodwa emva kwezinsuku ngaphambili kuka 15-30 Ukuqalwa yokwelapha.

isilinganiso umthamo letiphakanyisiwe izingane enesisindo phakathi 70 kg kanye nabantu abadala kuyinto 40 mg. Esikhathini le nombolo elandelayo ophakanyiswe umthamo zokwelapha, owawungumnyaka 80 mg kodwa hhayi ngaphambi kwezinsuku 3. In the ukungabikho umphumela oqabulayo izidakamizwa umthamo senyuselwa mg 120 (cishe 2-4 amasonto).

Ephambi kwezinduna imali esezingeni isibindi zokugula uhlamvu ngokulinganisela olucutshungulwayo nomuthi Ingxenye engezansi, futhi ukubonakaliswa okukhulu - ezine.

Yiziphi side effects okungukuthi lesi sidakamizwa "Strattera"? Izibuyekezo abazali

Banezingane ezineminyaka engu-6 ubudala ababesebenzisa izidakamizwa kubhekwa ekwelapheni ADHD, bathi umongo izilaleli zakhe izingane zabo wavela kaningi ubuhlungu besisu futhi angafuni kudla. Ngokuvamile, lezi zimpawu yayingeyesikhashana futhi wayengafuni ukuba ukuqedwa yokwelapha.

Ngenxa ukungakuthandi ukudla, ekuqaleni ukwelashwa, abanye abantu baphawula ukulahlekelwa okuncane esisindo, okuyinto luyanda nge amazinga okukhishwa ejenti.

Yimaphi amanye ukusabela ezingezinhle kubangela "Strattera" (imithi)? Nobufakazi bathi lokhu izidakamizwa kuphakamisa isicanucanu nokuhlanza, ikakhulukazi phakathi ngenyanga yokuqala ukwelashwa. Futhi, ezinye abazali bathi kokuthatha lesi izidakamizwa kwandisa isilinganiso kwenhliziyo ka 6 amabhithi ngeminithi, futhi kwandisa diastolic nokucindezelwa systolic-2 mm HG. Art.

Imiphumela engemihle e abadala

In iziguli omdala, iziguli ethola izidakamizwa kubhekwe izenzakalo evamise waphawula enqabayo elihlobene ne pheshana urogenital kanye ipheshana wokugaya ukudla. Lezi imiphumela engathandeki zihlanganisa ukuqwasha, ukungakuthandi ukudla, isicanucanu futhi ngikhishwe ukoma emlonyeni.

Futhi abadala babonakala:

• kwehle libido, isiyezi, ukuncipha emzibeni, lesisu ubuhlungu, ekuseni wake up ekuseni;
• tide (igazi), ukuphazamiseka kokulala nekhwalithi, nobunzima uchama;
• tachycardia, ukuqunjelwa, itheku ikhanda, hyperhidrosis, palpitations, ukozela, ubuthakathaka;
• nokugcinwa urinary, Ukugodola, dysmenorrhea, dyspepsia, ukubuyisa;
• dermatitis, shift nomjikelezo wokuya esikhathini, ukuntuleka noma ukwakhiwa kahle futhi ejaculation, ukuphazamiseka orgasm, prostatitis;
• uzizwa abandayo nasemilenzeni Raynaud Syndrome, ukwakhiwa ezibuhlungu.

izincomo odokotela '

Ingqikithi asebenzayo izimali - atomoxetine kungase kubangele ubuhlungu kwezitho ezibukwayo. Ngakho-ke, uma nabo ulwelwesi lwamafinyila esweni kumele ngokushesha siyakazwe ngamanzi, bese yokubika inkinga kudokotela. Futhi, amanzi kuyadingeka ukuze ugeze zonke wadalula atomoxetine ebusweni isikhumba.

Lapho lesi siguli kufanele libekwe umuthi "Strattera"? Ukubuyekezwa (izingane ne-ADHD kufanele ngomshini kudorhodere) ochwepheshe ukubika ukuthi ukuzimisela khona isifo kwenziwe ngokuhambisana nenqubo ICD-10. Izimpawu okukhulunywa syndrome ukwehluleka manifest yokugxilisa ingqondo, distractibility njalo, ukuntula isineke ngokweqile, impulsiveness, disorganization, ukungahlaliseki, nezinye izifo ezifanayo endleleni yabantu yokuziphatha.

Kusolakala nodokotela bezingane, phakathi prima "Strattera" kwezinye izingane nentsha bangezwa nemicabango yokuzibulala. Ngakho-ke, ngalesi ukwelashwa isiguli kudinga ukugadwa ekhethekile.

Esimeni ukuquleka, ezithinta ingekho enye incazelo, kufanele ngokushesha ayeke ukuthatha amaphilisi "Strattera". Ngokucophelela okukhulu, lokhu izidakamizwa kufanele libekwe uma ithola abantu babe nesimo sokuquleka emlandweni.

Kufanele kuphawulwe ukuthi ngokuqaphelisisa kanye ethize indlela yokwelapha kudinga iziguli zikhala uvalo, ukukhathazeka, ukuyaluza, impulsiveness, ukuqwasha, akathisia, kanye nobuhlungu.

Phakathi ukwelashwa nale abantu izidakamizwa eduze izingane nentsha ingaphansi kwesibopho sokulalela ematfuba elivela kuzo izimpawu ngenhla futhi kokuzibulala, ukuze ngesikhathi esifanele wazise udokotela.

Ukuphepha nokusebenza ngempumelelo ekutholeni "Strattera 'awazange wafunda kwasebekhulile.

Uma usebenzisa lokhu imithi abadala kufanele siqaphe lapho enza umsebenzi omuhle noma oyingozi, kanye lapho ushayela.

Izibuyekezo kodokotela abathengi

Yini iziguli uthi ngemithi enjalo, njengoba "Strattera"? Izibuyekezo sokulungiselela ushiye eziningi abantu abazinika ke wena noma iziguli qapha (kuhlanganise nezingane).

Ngokusho ochwepheshe, avame ke kusho okunqunywe ukuba izingane ukungakwazi ukugxilisa ingqondo. Kufanele kuqashelwe ukuthi abazali abaningi abafuni ukunika lolu imithi izingane zabo. Ngokuvamile lokhu kungenxa ukukhathazeka kwabo siqu. Phela, noma ubani akuyona imfihlo ukuthi zonke imithi inemiphumela ethile engemihle. Naphezu kwakho konke lokhu, abanye abazali namanje wavuma ukunikeza izidakamizwa ukuze ingane yakho "Strattera", futhi abazange ukudanisa okulindele. Zithi lokhu izidakamizwa isibe iyithuluzi elibalulekile e ukujwayeza izingane zabo ekuphileni okuvamile.

Ngaphezu okubuyayo phezu luhlobo samanje, kunemiyalezo ezimbi. Bakhuluma mayelana ezihlukahlukene emibi, okuyinto Uvame ukuzithola ekuqaleni ukwelashwa. Odokotela bathi ukusabela okunjalo angadingi ukuqedwa ukwelashwa, kodwa abanye abazali abanawo nokukhuthazela okwanele futhi kudinga ukubekezela ukuze unqobe lo hlobo esiteji ezincwadini zezinkondlo ingane yabo yokwelapha. Nakuba kwezinye izimo izidakamizwa kungahlali eceleni zithathwe izingane.

Kulokhu osekushiwo kungaba ngokuphepha ngokubhuduzela ngokuthi, e atomoxetine jikelele kusiza abazali ngesikhathi esithile empilweni yengane yabo. Abantu abaningi abadlule uze uwaqede yokwelashwa, bajabula kakhulu nge isinyathelo sakhe. Ngaphezu kwalokho, bathi "Strattera" okungukuthi kuphela eyodwa lanamuhla isikhathi ephumelelayo imithi ukwelapha-ADHD.

Njengoba for ochwepheshe, bese kulaba abahlanu zithatha oyedwa uhlangothi noma omunye imibono yabazali ngalokhu nokulungiselela, kanye ngamaphesenti ayikhulu isiqinisekiso ukuphepha noma ukusebenza yayo ngoba ingane ethile, ngeke baze bakwazi ukuwenza. Lapho ukuthi sitholakele ADHD kungaba inikelwe kuphela odokotela abanekhono kakhulu ngubani, eqinisweni, azimisele zemithi.