Reviews: "carbamazepine". Its efficacy uye nemishonga

Anticonvulsant mapiritsi "carbamazepine" inofambiswa zvatichatarisa nhasi vakanga synthesized ne kusvika hafu adarika. Kunyange zvazvo vanachiremba tsika sezvo vakawanda kupfuura ano, basa zvigadzirwa, ndakataura, uyezve, zvishoma nemishonga, akatumidza nzvimbo inoramba akakurumbira kwazvo pakati vanachiremba uye varwere rakachengetedzwa dzatangwa.

Mune zvimwe zviitiko, mushonga "carbamazepine"

Akadana piritsi - iri rakaisvonaka anticonvulsant uye marwadzo mushonga rinoshandiswa:

• sezvo chikuru nzira kurapa tsviyo nezvirwere zvakasiyana kurwiswa;
• panguva nemanic syndromes mu rikwanise chimiro;
• kudzivirira kudzikira yokuvamba maitikiro ose kuvhiringidzika nepfungwa, uyewo aivabatsira murwere ezvinhu panguva exacerbation;
• marwadzo pamwe chete shuga neuropathy;
• kuti zviite kuti zvakanaka varwere trigeminal neuralgia;
• uyewo doro kushaya, akaratidza kutya, hope zvirwere uye convulsive inoti.

Uyezve, maererano nenyanzvi, reviewers, "carbamazepine" iri vakabudirira kushandiswa pakurapa psychoses, schizophrenia, vanotyaira mamiriro vhunduka, uyewo Organic zvachinja uropi. Zvisinei, yeuka kuti kubudirira mushonga muzviitiko izvi kunobva chete kurapwa ruzivo sezvo Murabhoritari dzakati zvidzidzo havana inoitwa.

Mahwendefa zvinobatsira "carbamazepine" varwere vane pfari

In varwere nepfari akati mumiririri kunowedzera chichiburutswa nepfari pachikumbaridzo uye nokudaro kunoderedza ngozi mukurwisa itsva. Zvakava kugadzirira wakaisvonaka kuchinja kwemunhu kuchinja (somugumisiro nani hwokukurukura uye kuti aivabatsira munzanga kunaya varwere dzakadaro).

Varwere pauduku uye kushandiswa kwezvinodhaka vana kunoderedza kuora mwoyo, kusaziva, kutya uye utsinye. Asi zvinofanira kukurukurwa kuti kubata mushonga ari zvishande nerevane (ndangariro mamiriro kufambisa, kufunga, kutaura, mano okufunga, dzidziso, etc.) dzingasiyana zvichienderana chipimo chemushonga, uye munhu chaizvo!

Zvisinei, vamwe varwere, kusiya inofambiswa, "carbamazepine" anonzi mushonga kuti ane pasi kunyatsoshanda senzira kurwisa mwoyo, kana mune ezvinhu vakaremara mupfungwa. Ivo uzodze nzira, uye kuti kuramba kushandiswa chokushandisa ichi chinoreva fanira kuongorora nachiremba uye nguva dzose kuongorora uye inoongorora.

Fanira mitemo zvinodhaka

Chokwadi, tinofanira vanobvuma kuti mushonga akati ane zvikuru kunzwisisa migumisiro pamusoro womunhu. Ndokusaka pamberi rinoshandiswa zvinokosha kuona nyanzvi.

Uchishandisa piritsi "carbamazepine", zvakakosha kuyeuka mitemo inotevera.

• Varwere vari zvakanakisisa hwakatamisirwa kurapwa uyu mudziyo tichinyatsodzidza kuomerera uye nokushandisa zvose kunenge dzose kupinda chiremba, mune zvimwe zviitiko, mushonga kunogona kukonzera yakawanda nemigumisiro.
• Vasati kurapwa, yemanyorero kuzoongorora mamiriro murwere chiropa (kunyanya kana vakwegura kana ane muviri ichi chirwere). Kana kudya zvinodhaka kuonekwa kuti kudzikira, marapirwo anofanira vakarega pavo pakarepo.
• Pfungwa iri rwakabhadharwa kuna mamiriro intraocular kumanikidzwa murwere aibatwa mapiritsi "carbamazepine". Reviews vanachiremba varwere zvinodhaka izvi achiratidza kuti kushandiswa kwayo ungamutsa kunowedzerwa secretion pamusoro intraocular fluid izvo zvinozoita ari pangozi Kuipa kuona kushanda ziso.

zvinodhaka analogues

"Carbamazepine" Mahwendefa zvakafanana migumisiro nezvinodhaka. Izvi zvinosanganisira "Zagretol", "Karbalepsin kutadzisa", "Karbapin", "Mazepin", "Stazepin", "Tegretol", "Finlepsin", "Carbamazepine Nycomed" uye "Carbamazepine Acre". Reviews kuvarapi uye varwere vanenge zvavo kushandiswa uye migumisiro iri muviri yakafanana neiya anotaurwa anntotatsii kuna nevamiririri izvi.

Sezvo mushonga unoshandiswa

T

abletki "carbamazepine" anoshandiswa nomuromo pamberi kudya kana rapfuura. Bvumidzwa kushandisa zvinodhaka uye panguva kudya, saka zvinofanira kusukwa pasi nemvura.

Varwere tsviyo, kana zvichibvira, zviri zvisingadiwi kuti nokubatanidza mudziyo nevamwe.

Mukutanga mazuva kushanda "Carbamazepine" unowanikwa risingamboshandisi mari, hereinafter ari dose yakanga yawedzera kusvika pamwero panguva iyo aida mugumisiro kunokwanisika. Chete nzira yekushandiswa kuuyisa zvinodhaka ari zvaiitwa yatanga nedzimwe nzira. Cherechedza kuti wokutanga kwazvo inoshandiswa zvinodhaka regai kuderedza.

Chaiyo chipimo chemushonga zvinodhaka

• Vana makore mana ramakanzi zvinodhaka mune imwe mari 20 MG 60 MG pazuva, achiwedzera sezvo zvakafanira nenzira 20-60 MG ose mazuva maviri.
• Varwere vakura - kubva 100 kusvika 200 MG kamwe kana kaviri pazuva, kuwedzera, kana zvakakodzera, uwandu anosvika 400 MG maviri-katatu pazuva (dose haafaniri kupfuudza 2 g).
• Kana trigeminal neuralgia raitongwa 200 MG / zuva. kubvira pakutanga kurapwa, zvishoma nezvishoma vachiwedzera kuti kunonyanyisa nhamba - 400-800 MG pazuva, kusvikira kugumiswa marwadzo, ipapo kuderedza dose.
• doro kushaya chirwere ikarapwa 3 kanomwe pazuva pa neavhareji dose pamusoro 200 MG, uye kunyanya Muzviitiko zvakaipisisa, zvakawanda zvikava 400 MG. Pakutanga kurapika pamwe kunyaradza-hypnotics.
• Chenjera nemanic inoti inoda avhareji nezuva dose kubva 400 kusvika 1600 MG maviri kana matatu mishonga. Zvakare, dose ichiwedzerwa nokukurumidza.

Ndezvipi zviratidzo zvinodhaka ovhadhozi

Possible vachivavhiringidza uropi, ayo runoratidzwa nekuvhiri- ngika, vakadhakwa Kufambisa nemafambiro (semuna. N. Ataxia), simba, hope kana wokusagadzikana, fungidziro chitarisiko, anowira pasi pakoma pakoma. Studies achiitiswa vanachiremba kusimbisa kuti ovhadhozi kunonyanya kunokanganisa zvemwoyo, nechepakati huta uye kufema enyika muviri. Sezvo kwechokwadi vanachiremba vakasiya inofambiswa, "carbamazepine" ane ovhadhozi kunogona kuva nengozi zvikuru!

• Ovhadhozi zvainoita nhengo zvaakaratidzwa (murwere anoona pamberi ake "chifukidzo"), akacherechedza nystagmus (nokukurumidza arrhythmic kwebasa eyeballs), uye dilated vadzidzi.
• Pane vane kutaura zvinetso, psychomotor nenyonganiso, myoclonus (kungoerekana tsandanyama jerks).
• On chikamu kumwoyo angava tachycardia, yakasimba kuderera kana nokuwedzera BP uye kunyange mwoyo nokukundikana.

Kana vanofungidzirwa ovhadhozi anofanira gastric lavage neactivated charcoal nzira. Recommended muchipatara wevarwere uye mberi symptomatic kurapwa.

Drug "carbamazepine": nemishonga

Kamwe zvakare zvinofanira kucherechedzwa kuti mushonga unofanira chete kuitwa pasi wezvokurapa penhungamiro uye mishonga rakapiwa kwavari. Hazvina zvakafanira wayo chete ungwaru kushandura uwandu mahwendefa uye chitarisiko nemishonga kuva nechokwadi kubvunza nyanzvi kuti mamwe marapirwo zvaiitwa.

Kwakaomarara Zviratidzo ringaratidzwa muchimiro dzungu, hope, kunzwa kugara kuneta, nomusoro, tremor, kuravidza zvirwere, kuora mwoyo inoti uye kwakakasharara. Zvingakonzera kuda kurutsa, kurutsa uye muromo yakaoma.

Kurambidzwa kuti zvinoumba mushonga neutachiona.

Somugumisiro kugashira chishandiso aonawo kuratidzwa leukopenia uye thrombocytopenia zvingaitika folic iine acid kushaikwa, edema, kufuta, Urume chengetedzo uye hyponatremia (kuwanda ropa kudukupiswa yavaibvisa ions).

To contraindicated piritsi "carbamazepine"

The chinodhaka, pasinei refu mazita nemishonga iri kazhinji zvakanaka kuregerera. A murwere nemamiriro kazhinji dzinosiyana kuti nani dose rutapudzo kana kuchinja zano. Izvi zvinoratidzwa vakawanda wongororo.

"Carbamazepine" sezvo mushonga iri contraindicated mune boka duku varwere.

• Izvi zvinosanganisira varwere atrioventricular misa (kutyora kupararira tsinga zvairatidza munyika kumwoyo), uyewo chinovhiringidza kuti mwongo hematopoiesis.
• Usashandisa vari varwere hepatic porphyria.
• Panguva pamuviri uye uchiyamwisa iri akadzima.
• Vakabvumira kutora mushonga uyu pamwe Mao FIs uye kwemavhiki maviri pashure kurega kwavo.

The kukurukurirana pamusoro mushonga nedzimwe zvinodhaka

Asati kurapwa, musakanganwa kuudza chiremba wako pamusoro chero mishonga yauri kutora panguva. Nekuti concomitant Kushandisa zvinodhaka akadai "Diltiazem" "Fluoxetine", "Isoniazid" "Erythromycin", "Nicotinamide" and said. Kungawedzera mukana ovhadhozi.

Uyewo, regai kushandisa panguva pakurapa hormone nhumbu somupristi mukana uterine ropa.

Doro inowedzera inhibitory mugumisiro vamiririri pamusoro tsinga.