Reviews: "carbamazepine". efficacy ndi mbali zotsatira zake

mapiritsi Anticonvulsant "carbamazepine" ndemanga imene tikambirane lero anali apanga ndi pafupifupi theka zaka zapitazo. Ngakhale kuti mwambo wa zachipatala chifukwa ambiri ndithu kwambiri masiku ano, mankhwala imayenera kuti Komanso zotsatira ochepa mbali, otchedwa malo akhala wotchuka kwambiri pakati pa madokotala ndi odwala kuti wakhala anayambitsa.

Nthawi zina, mankhwala "carbamazepine"

Otchedwa piritsi - ndi wabwino anticonvulsant ndi analgesic mankhwala ntchito:

• monga njira chachikulu mankhwala a khunyu ndi mitundu yosiyanasiyana kuukira;
• pa syndromes wosangalala monyanyira mu mawonekedwe pachimake;
• kuteteza kuwonongeka zikuchitika magawo matenda affective, komanso kuti magawowa alili pa nthawi ya exacerbation;
• ululu limodzi ndi neuropathy ashuga;
• magawowa bwino odwala ndi trigeminal neuralgia;
• komanso kusuta mowa, anasonyeza mantha, matenda kugona ndi limati convulsive.

Komanso, malinga ndi akatswiri, opereka ndemanga, "carbamazepine" ali bwinobwino ntchito zochizira psychoses, misala, boma aukali, kuukira, komanso kusintha organic mu minofu ubongo mantha. Komabe, tizikumbukira kuti mphamvu ya mankhwala mu milandu akutsatira zinachitikira matenda monga maphunziro zasayansi protocol sizinachitike maphunziro.

miyala ndi wofunika "carbamazepine" odwala ndi khunyu

Odwala ndi khunyu anati wothandizila kumawonjezera adatchithisira kulanda pakhomo chotero amachepetsa ngozi za matenda atsopano. Analidi kukonzekera kwambiri kuti asinthe za kusintha kwa aliyense payekha (chifukwa cha luso bwino kulankhulana ndi magawowa konzanso chikhalidwe cha odwala amenewa).

Odwala unyamata ndi ntchito ana mankhwala kuchepetsa maganizo, njakata, mantha ndi mokwiya. Koma ayenera kuonedwa kuti zotsatira za mankhwala pa ntchito chidziwitso (udindo kukumbukira, kuyenda, chidwi, kulankhula, kulingalira, lathu, etc.) zingasiyane malingana ndi mlingo, ndipo munthu kwambiri!

Komabe, odwala ena, kusiya maganizo, "carbamazepine" amatchedwa kuti mankhwala amene ali ndi dzuwa otsika monga njira kuthetsa maganizo, kapena mavuto olumala maganizo. Iwo kudzoza njira, ndi kuti ntchito Anapitiriza chida limeneli kuvomerezedwa polojekiti ndi dokotala ndiponso kafukufuku zonse ndi kusanthula.

malamulo kuvomerezedwa mankhwala

Inde, tiyenera kugwirizana kuti mankhwala anati mavuto zovuta kwambiri pa thupi la munthu. N'chifukwa chake musanagulitse ntchito pamafunika kukaonana ndi katswiri.

Ntchito mapiritsi "carbamazepine", ndikofunika kukumbukira malamulo otsatirawa.

• Odwala yabwino kunditumiza ku mankhwala a chida ichi ndi kutsatira mosamala ndi ntchito za malangizo onse a dokotala nawo, nthawi zina mankhwala zingachititse kwambiri za mavuto.
• Isanafike mankhwala, ambiri kuyendera dziko la chiwindi wodwalayo (makamaka ngati ndi wokalamba kapena matenda thupi). Ngati zakudya mankhwala kuoneka wa kuwonongeka, mankhwala ayenera anasiya iwo pomwepo.
• chidwi linaperekedwa kwa boma la kuthamanga intraocular wodwalayo kuchitiridwa mankhwala "carbamazepine". Reviews madokotala kupereka mankhwala akusonyeza kuti ntchito yake ungawonjeze katulutsidwe kuzikonzanso wa madzimadzi intraocular, womwe ndi chiopsezo cha kuwonongeka kwa ntchito zithunzi diso.

analogues mankhwala

"Carbamazepine" Mapale ndi mavuto ofanana pa mankhwala. Zikuphatikizapo "Zagretol", "Karbalepsin achigonjetse", "Karbapin", "Mazepin", "Stazepin", "Tegretol", "Finlepsin", "Carbamazepine Nycomed" ndi "Carbamazepine ekala". Reviews madokotala ndi odwala za ntchito yawo ndi mmene thupi ofanana ndi amene amatchulidwa mu anntotatsii kuti nthumwi izi.

Monga mankhwala ntchito

T

abletki "carbamazepine" ntchito pakamwa musanadye kapena pambuyo. Chovomerezeka ntchito mankhwala ndi akamadya, motero tiyenera kutsukidwa pansi madzi.

Kwa odwala khunyu, ngati n'kotheka, ndi osafunika kuphatikiza chida ndi zina.

Mu masiku oyambirira ntchito "Carbamazepine" amapezeka mu osachepera kuchuluka, hereinafter mlingo anali ziwonjezeke kwa mlingo pa zimene mukufuna zimatheka. Njira yomweyo ntchito ndi kuyambitsa mankhwala mu chakudya cha wayamba mwa njira zina. Onani kuti kuchuluka loyamba la mankhwala ntchito chiyani Sakuchepetserani.

Yeniyeni mlingo wa mankhwala

• Ana kwa zaka zinayi zotchulidwa mankhwala kuchuluka 20 mg wa ku 60 mg pa tsiku, kuwonjezera ngati kuli kofunika ndi 20-60 mg wa masiku awiri.
• Odwala akula - kuchokera mg ndi 100 mpaka 200 kamodzi kapena kawiri pa tsiku, kuwonjezeka, ngati n'koyenera, kuchuluka kwa maulendo 400 mg awiri katatu patsiku (mlingo sayenera upambana 2 g).
• Pamene trigeminal neuralgia kutumikiridwa 200 mg / tsiku. kuyambira chiyambi cha mankhwala, pang'onopang'ono kuwonjezeka kwa chiwerengero pazipita - 400-800 mg wa pa tsiku, mpaka kuchotsa ululu, ndiye kuchepetsa mlingo.
• mowa achire matenda amaliona pa mlingo avareji 200 mg 3 pa tsiku, ndipo nthawi kwambiri, ndi kuchuluka kwa 400 mg. Pa chiyambi cha mankhwala pamodzi ndi sedative-hypnotics.
• Pachimake limati wosangalala monyanyira amafuna avareji tsiku mlingo ku mg wa 400 1600 pa mlingo awiri kapena atatu. Komanso, mlingo anawonjezeka mofulumira.

ndi zizindikiro za mankhwala ambiri osokoneza bongo Kodi

wosokoneza ubongo, amene afotokozedwa mu disorientation, chakhungu kugwirizana kayendedwe (ie. N. Ataxia), kufooka, kugona kapena ofuntha, kuyerekezera zinthu m'maganizo maonekedwe, kugwera chikomokere ndi chikomokere. Studies wochitidwa ndi akatswiri kutsimikiza kuti ambiri osokoneza kwenikweni zimakhudza mtima, pakati machitidwe mantha ndi kupuma kwa thupi. Monga anatsimikizira ndi madokotala kumanzere zotsatilazi, "carbamazepine" mankhwala osokoneza bongo zikhoza kukhala zoopsa kwambiri!

• Ambiri osokoneza zotsatira pa ziwalo masomphenya (wodwala amaona akuona "chophimba"), anaona nystagmus (mofulumira arrhythmic kayendedwe ka eyeballs), ndipo ana dilated.
• Pali kuvutika kulankhula, psychomotor zipolowe, myoclonus (jerks mwadzidzidzi minofu).
• Pa mbali ya dongosolo mtima kungakhale tachycardia, kuchepa amphamvu kapena kukhala magazi ndipo ngakhale kulephera mtima.

Ngati amaganiziridwa ambiri osokoneza ayenera chapamimba lavage ndi adamulowetsa njira makala. Analimbikitsa hospitalization odwala ndi chithandizo zina symptomatic.

Mankhwala "carbamazepine": mavuto

Apanso tiyenera kukumbukira kuti mankhwala ayenera kuchitidwa moyang'aniridwa ndi achipatala ndi Mlingo imene anawapatsa. Sikuti nzeru zake yekha kusintha chiwerengero cha miyala ndi maonekedwe mavuto onetsetsani kukaonana ndi katswiri mankhwala zina chakudya.

Zizindikiro Kulanga lofotokozeredwa m'njira mawonekedwe a chizungulire, tulo, kumverera kwa kutopa nthawi zonse, mutu, kugwedeza, matenda kukoma limati mukakhala ndi makhalidwe aukali. Zikhoza nseru, kusanza ndi pakamwa youma.

Kusagwirizana kwa zigawo zikuluzikulu za mankhwala awo sagwirizana zochita.

Chifukwa cha kulandira chida adawona mawonetseredwe leukopenia ndi thrombocytopenia kumachitika pakumwa folic acid akusowa, edema, kunenepa kwambiri, madzimadzi posungira ndi hyponatremia (woipa magazi ndichepe ndi sodium ayoni).

Kuti contraindicated mapiritsi "carbamazepine"

Mankhwala, ngakhale mndandanda wa zotsatira zoyipa zambiri bwino analekerera. Choyenera wodwalayo zambiri zimasiyanasiyana kuti kuchepetsa bwino mlingo kapena kusintha chiwembu cha. Zimenezi zikusonyezedwa ndi ndemanga zambiri.

"Carbamazepine" monga mankhwala ali contraindicated mu kagulu ka odwala.

• Zikuphatikizapo odwala atrioventricular chipika (kuphwanya kufala kwa mitsempha mopupuluma mu dongosolo mtima), komanso chopinga a mafupa hematopoiesis.
• Musagwiritse ntchito odwala ndi porphyria kwa chiwindi.
• Pa mimba ndi kuyamwitsa sinyamukanso.
• Anandilola kumwa mankhwala ndi Mao zoletsa ndi masabata awiri pambuyo achire awo.

Mogwirizana kwa mankhwala ndi mankhwala ena

Pamaso chithandizo, musaiwale auzeni adokotala za mankhwala aliwonse mukutenga pa mphindi. Chifukwa concomitant ntchito mankhwala monga "Diltiazem" "Fluoxetine", "Isoniazid" "mankhwalawa", "Nicotinamide" neri Al. Tiyeni azitaya cha mankhwala osokoneza bongo.

Komanso, musati ntchito pa matenda a kulera m'thupi monga chiopsezo magazi uterine.

Mowa kumaonjezera zotsatira ochepetsera wa wothandizila pa wamanjenje dongosolo.