"Truksal": wongororo. "Truksal": mirayiridzo kushandiswa, nemishonga

Upenyu hwakaoma uye hwakasiyana. Murume wemazuva ano anogara mumutambo wakazara: kubvira mangwanani kusvika usiku anoshanda nekugadzirisa matambudziko akasiyana-siyana, akaoma uye kwete zvikuru, kukurukurirana nevanhu vazhinji (uye kwete nguva dzose nzira yekukurukurirana inoenda zvakanaka uye pasina kuwedzera). Kurongeka kwakadaro kwezviitiko, zuva rimwe nerimwe kwemazuva mazhinji, rinokwanisa kuunza hurongwa hwemunhu hwekuora. Uye zvino, kubva kune munhu akadzikama uye ane mutsa, munhu wacho akazovhunduka uye akaputika, kupikisa kunetseka kwakaderera zvikuru.

Kubuda munharaunda yakaipa yakadaro hakuzobudiriri. Zvichida, kushandiswa kwevana neuroleptics, kunyanya, mishonga Truksal, inogona kudiwa.

Neuroleptics: chii ichocho

Neuroleptics zvinoreva mishonga ine antipsychotic. Zvinyorwa zvese, mishonga iyi inogona kuderedza zvakanyanya kana kuti kubvisa zviratidzo zvekubereka kwehutano hwepfungwa. Chizhinji chezvinodhaka-neuroleptics, pamwe nemabasa ayo makuru, zvinogona kunge zvichinyengera (sedative, hypnotic) uye anxiolytic (anti-anxiety) zvinokonzera.

Ikozvino misika yemishonga yemishonga yakagadzirira kupa varwere vayo uye nyanzvi dzezvehutano sarudzo yakanyanya kudarika yemishonga yakadaro seyeuroleptics. Chikamu chemishonga iyi ndotevera. Mishonga inogona kugoverwa boka rezviitiko zvinowanzoshandiswa nemishonga inopesana nemasikirwo kana kuti neboka revanhu varipo. Boka rokutanga rinosanganisira phenothiazines (aliphatic, piperidine uye piperazine derivatives), butyrophenones uye thioxanthenes.

Atypical group inosanganisira tricyclic antipsychotics yakabva sulfonylbenzamide, indole (reserpine). Chikamu chekupedzisira cheboka ndeche diphenylbutylpiperidine.

Mukuwedzera kune boka rakadaro, madhiragi aya (mishonga ye-neuroleptic) inorondedzerwa maererano nebasa rechiito ichi maererano nemigumisiro yakaitwa mumuviri womunhu neraminazine. Panogona kunge kune maboka mana:

- Mishonga ine simba risina simba;

- midhi-simba remishonga, inenge yakafanana neaminazine;

- mishonga inowedzera neuroleptic basa;

- ane simba antipsychotics.

Nzvimbo yekushandiswa kwezvinodhaka-neuroleptics - ndiko kurapwa nekudzivirira schizophrenia, zvimwe zvirwere zvepfungwa. Mukuwedzera, mishonga iyi inowanzoshandiswa sevanorwara. Pane chiito chekushandisa neuroleptics mukurapa kwekuzvidya mwoyo-psychotic kukurumidza, kuonekwa kwezviratidzo zve delirium uye mazano. Kubudirira kwakapiwa nemishonga mukurapa uye kugadziriswa kwevarwere vakawana chirwere chinonzi craniocerebral trauma. Zvinonyanya kuitika uye zvinowanzoitika migumisiro yechirwere zvinoratidzwa masikati masoro, kutenda, kusafarira.

Chii chinonzi Truksal?

"Truksal" mishonga yeuroptic, iyo inorayirwa neyanyanzvi vezvehutano kuitira kurapwa kwemarudzi akasiyana-siyana ehutano hwepfungwa. Izvi zvingave zvipingamupinyi zvenguva pfupi, zvinokonzerwa nekunze kwezvinhu, uye zvisingaoneki zvinogona kurapwa mukugadzirwa kwekugadzirwa kwenheyo yenheyo.

Pasi pesimba rekushanda kwekushanda kwechirwere-chlorprotixen - kuenzaniswa kwemukati uye runyararo kunobudirira zvakajeka, hurumende inogona kunyanya kuvandudzwa mune zvinetso zvakakomba zvepfungwa.

Nheyo yekuita ndeyekugona kudzivisa kushanda kwe dopamine receptors (inobatanidzwa mukudzidza, kukurudzira, kuwirirana kwemhando dzakanaka dzemotokari). Mapiritsi "Truksal" ane ruzivo rwezvemagetsi ane zviratidzo zvakakwana zvakakwana uye kuvapo kwezvirwere zvinokonzera, izvo zvinokonzera kukwanisa kwechirwere kubvisa basa reAdrenoreceptors (receptors for adrenergic substances) mu brain brain.

Mukuwedzera kune chinhu chikuru chinobata, chimiro che "Truksala" chinosanganisira rubatsiro: lactose, corn starch, microcrystalline cellulose, 85 muzana glycerin, talc, copovidone, magnesium stearate.

Zviratidzo uye kupesana kwekutora mushonga

"Truksal" murayiridzo wekushandisa unotsanangura sechirwere chezera rakakura zvakakwana nevarwere, kwete chete nehutano hwehutano hwakaperekedzwa huchiendeswa nehutano hwepfungwa, kushungurudzika uye kuzvidya mwoyo. Iyi mishonga inogonawo kukurudzirwa schizophrenia, neuroses dzakasiyana-siyana, uye kuora kunenge kwave kuchira kwenguva refu. Kubudirira "Truksal" nekuregererwa kwechirwere chekusiya (doro nemishonga), mukurapa kwehutano hwehupfungwa, nekusungwa kwekuratidzwa kwepfungwa, iyo inogona kuendeswa nezvirwere zvakasiyana-siyana zvemuviri (mukati, kusuruvara, kushushikana).

Mukuwedzera, Truksal ine zviratidzo zvekushandiswa uye, kana pane zvirwere zvakadai sekuputika uye oligophrenia, zvinobudirira kubvisa marwadzo ehurwere, kusimbisa chiito cheanargesics. Muvatano vakwegura, mushonga unobudirira kubvisa kusagadzikana zvakanyanya, kusagadzikana, kushushikana, kushungurudzika kwepfungwa. Mune zvimwe zviitiko, vana vane makore anopfuura matatu vangave vakanyorerwa nehutano hwekuzvibata uye kurara, kuvapo kwekunyatsorongeka kwekudzivirira kwepfungwa, maitiro emagumisiro epakati (GIT).

Kunyange zvakadaro, sezvinoitwa mamiriro ehurumende, "Truksal" inogona kusarudzwa neyanyanzvi vezvehutano mumazuva ekupedzisira, vasati vatora mishonga yakawanda yakasimba, nekurwadza kwakanyanya.

Sezvo nemishonga chero ipi zvayo, Truksal ine mazita ezvinyorwa zvinopesana. Sezvo nyaya yechokwadi - kusagadzikana kweumwe munhu wekushanda zvakanyanya-chlorprotixen. Uyezve, mushonga we "Truksal" unopesana nevarwere vane kudengenyeka kwepakati (kuora mwoyo kunokonzera kupera, coma) uye vanhu vane chimwe chezvinhu zvekunze zvinokanganisa nehutano hwehutano hwemagetsi (kutora doro, zvinodhaka, nezvimwewo).

Chimwe chezvinhu zvinotyisa zvinopesana ndezvimwe zvirwere zveropa, myasthenia gravis (kukurumidza kuneta kwemisungo yakarova), pheochromocytoma (tumarara yeAAPUD system, inogona kuva yakaipa uye yakaipa), kuvapo kwekuvharwa angular glaucoma.

Vana kusvika pamakore matatu, mushonga wacho unopesanawo.

Paunofanirwa kuchenjerera

Mukuwedzera kune zvinyorwa zvisinganzwisisiki zvekushandisa kwechirwere cheTruksal, mirayiridzo yekushandiswa inoratidza zvirwere nemamiriro ezvinhu apo kugamuchirwa kunobvira, asi nekuchenjerera, sezvinorayirwa nachiremba uye pasi pekutarisirwa kwake. Zvirwere zvakadaro zvinosanganisira kushungurudzika kwepfungwa, zvinetso zvepfungwa dzemwoyo, hypertrophy yeprostate, kuiswa kwekugadzirwa kwekugadzirwa kwe glaucoma.

Kana uchitarisa chero kushungurudzwa mubasa reimpso uye chiropa, Truksal inofanirawo kutorwa nokungwarira, kuburikidza nekugadzirisa chirwere chacho uye nguva dzose kuongorora mamiriro ehutachiona. Kunyatsoteerera mamiriro avo ega vanofanira kuva vakwegura vakwegura, vanhu vane hutano husina kunaka hunokonzerwa nefivha kana zvirwere zvinotapukira. Kuvapo kwemimba kana duodenal ulcer, kunonoka kubvongodza, zvakare, chikonzero chakanaka chekubata nehanya nemushonga.

Nemahwendefa okuchenjerera "Truksal" mirayiridzo inorayira kuti avo vari mukugadzirwa kwehutano kune dzimwe zvirwere vanofanira kutora maitiro makuru emishonga yakasimba.

Zvinogona kuitika nemigumisiro uye kusangana nemimwe mishonga

Kungofanana nekugadzirira kupi zvoutano, kunogona kukonzera "Truksal" migumisiro yakabva kune nhengo dzakasiyana nemitemo. Semuenzaniso, chirwere chetsitsi chinogona kuita mishonga nekuonekwa kwekudzivisa, akathisia (kusakwanisa kwomunhu kuti arambe asina kusimba, chido chekugara achichinja kuchinja kwake, kufamba), dutu, dystonic reactions (kusadzora kutenderera).

Kugadzikana kwemwoyo yematokari kunogona kuzviratidza mu tachycardia (yepamwoyo yepamusoro kupfuura 90 kurova paminiti) kana hypotension (kuwedzerwa muropa redu). Kana iwe ukadzidza kugadziriswa kwevatengi, "Truksal" dzimwe nguva zvinogona kukonzera kukanganisa mukushanda kwezvikamu zvekuona. Kune migumisiro yechiratidzo pane chikamu chekudya kwekudya. Muzviitiko zvisingawanzoitiki, kukanganisa kubva hemopoietic, urinary uye endocrine zvirongwa zvinogona kuonekwa.

Kurapa kwezviitiko zvinotambudza chiratidzo. Kana pane kuchinja kunotyisa hupenyu hwomurwere, zvakakosha kusuka dumbu, zvino tora mukana wepamusoro unogona kuvhara (kazhinji unoshandiswa marara) uye kubata zvose zvinoratidzira.

Kana tichitaurirana nemimwe mishonga, tinogona kutaura pamusoro pezvimwe zvemaitiro akazarurwa. Mushonga we "Truksal" unogona kusimbisa kukanganisa kwemishonga inoderedza hutano hwehutano, doro uye zvinodhaka. Kubvumirana pamwe chete nemishonga inowedzera kukonzerwa kweropa, inogona kusimbisa migumisiro yemishonga iyi. Zvinodhaka zvinoderedza kushanda kweropa zvinogona kunge zvisina kukwana. Maitiro anokonzerwa neuroleptics pamwe chete ne "Truksalom" anogona kukuvadza kudhakwa kweuropi. Antihistaminic yemiti yemishonga inogona kuderedza simba rekudhakwa pamuviri.

Kupfuurira chiremu chinotenderwa

Chirwere ichocho chinogona kutorwa mukati mezuva, chinobva kune 15 kusvika 300 mg, zvichienderana nehutano hwehutano. Kuwedzeredza kwechirwere "Truksal" mirayiridzo yekushandisa inotsanangura nhengo dzakasiyana-siyana dzine zviratidzo zvakakodzera. Zvichienderana nehuwandu hwemishonga inotorwa, kuchinja kwekushisa kwemuviri, kurara, kuvhiringidzika, uye kusakwanisa kuisa pfungwa pazvinhu zvose zvinogoneka. Mumatambudziko akaoma, kutanga kwekutyisidzika, kugumburwa, kukonzera (chirwere chinotyisa upenyu). Mwoyo yehutano, sezvinoonekwa nemigumisiro, kudarika kudarika kunogona kupindura nekuwedzera kwemwoyo, kuderedza ropa.

Kuti urege kuva mubatwa kune mamiriro ezvinhu akaipa, apo "Truksal" inotorwa pamwe chete nemimwe mishonga, zvinokosha kufunga nezvimwe mavara. Kana chiremba ichidarika, chirongwa che dialysis hachizobvumiri mhinduro chaiyo. Hazvibvumirwi kutora mishonga pamwechete ne epinephrine. Kushungurudza mamiriro ezvinhu nyanzvi dzinokurudzira kubvisa chirwere "Diazepam". Iyo mishonga "Truksal" haina kukurudzirwa kutora mukuita kwekuita chero basa ripi neripi (kutyaira, kukwirira kwakakwirira kushandiswa, nezvimwewo)

Kuberekwa uye marariya

Nyanzvi dzinokurudzira, kana zvichibvira, kuderedza kushandiswa kwe "Truksala" munguva yekudzivirira nekupa mwana nemukaka wemvere. Zvisinei, kana pane mamiriro ezvinhu apo chidimbu chekurapa chinodarika zvinokonzerwa nengozi yemigumisiro, ipapo "Truksal" (mirayiridzo yekushandiswa inotsanangura chirongwa chinogamuchirwa uye nguva yekudya) inogona kutorwa. Muchiitiko ichi, vana vanenge vachangoberekwa pakutanga vanogona kunge vasina hanya kana kuti, zvisinei, hyperexcitable. Penguva yakajeka, vana ava vanogona kunge vasina hanya nekuzviremekedza.

Kana iwe uchida kutora "Truksala" munguva yeactation (mune zvakadzama zvinogona kuitika), muwandu wemishonga mumukaka wemunhu unogona kusvika 2% yemushandi wezuva nezuva.

Mhando yekutora uye mutengo wekutengesa

Parizvino, mugadziri akagadzirira kupa vatengi "Truksal" mumitatu mitatu yezvakabuda. Mu pharmacy, unogona kutora mahwendefa e 5 mg, akaputirwa uye mune imwe mapuranga makumi mashanu. Iyo mishonga mu mahwendefa e 25 mg (akavharwawo) inotengeswa mumapatendi zana. Uye mishonga iri mumapiritsiti akavharwa e 50 mg akaiswa mubhokisi rezvikamu makumi mashanu.

Mari yekutakura mapiritsi makumi mashanu e 5 mg inobva ku 380 rubles kusvika ku 470. Zvinofanira kuonekwa kuti pakapaka idzi hazviwanzowanike pamusika. Pakati yemapiritsi makumi mashanu 50 mg ichabhadhara mutengi muchiyero che 435 kusvika ku520 rubles. Mahwendefa zana e 25 mg anogona kutengwa ku 375-465 rubles.

Mishonga-zvakafanana

Zvose zvakafanana zvekugadzirira Truksal ndiyo chete "Chlorprothixen" inowanikwa kune vakawanda vakashandisa. Zvese zvinodhaka, Truksal pachayo, uye Chlorprothixen, zvine zvimwe zviyero zvemishonga inonzi chlorprotixen.

Iwe usati wasarudza pamusoro pemishonga pachayo pachayo kana kuti yakafanana nayo, zvakakodzera kuzviziva iwe nehuwandu uye hunodiwa hweClorprothixen. Ichi chienzanidzo chechirwere che "Truksal" mutengo wakaderera kupfuura weiyo mushonga mukuru. Mu mahwendefa, mishonga inogona kupiwa kune vatengi muyero ye 15 mg mumapakiti emakumi matatu nemakumi mashanu uye zvikamu zve 50 mg uye mumapakiti makumi matatu nemakumi mashanu. Mutengo wemari ndeyotevera:

Nhamba (mg)	Nhamba yemapiritsi mumapuranga (zvidimbu)	Mari yekutakura (kubha.)
15th	30	165-230
15th	50	250-310
50	30	250-310
50	50	400-450

"Chlorprotixen" haisunungurwi muyero ye 5 mg. Panewo kusiyana kwakasiyana-siyana kwekusunungurwa kwezvinodhaka, izvo zvinonzi "Chlorprothixen" inopiwa kune vashandi kwete muhwendefa chete, asiwo nenzira yejojo.

Kune mukadzi ane pamuviri uye amai vanoyamwisa, Truksal inofadza. Izvi zvichida nekuda kwekuvapo kwemapiritsi mashanu. Zvakanaka, sezvinotsanangurwa zvinotsanangurwa, "Truksal" ine chirwere chisingaiti chetachiona kupfuura chechikwata.

Maonero evarwere uye nyanzvi

Maererano nemhinduro pamusoro pe "Truksale", unogona kuziva zvimwe zvezvakawanda uye zvekushandisa kwechirwere. The plus is the fact that the results of the course of treatment can be called satisfactory, having positive dynamics. Zvichida kusarudzwa kwemazuva anotevera uye amai vanoyamwisa, vana. Zvimwe zvikanganiso hazviwanzoitiki.

Zvinhu zvisina kunaka zvinosanganisira chokwadi chokuti pane analogue yemishonga "Truksal", iyo ine mutengo yakaderera pane iyo yemishonga inokosha. Mukuwedzera, nyanzvi dzakasiyana-siyana dzinobata pfungwa yemagetsi anogamuchirika zvakasiyana.

Boka rakasiyana revanhu rakaronga nzira yekurapa inoshandisa Truksala kuvana vavo. Vakawanda vevabereki vakataura vachifarira chiremba mupfungwa yokuti vana vakava nyore kwazvo kudzidza kuchikoro, kuzvipira kuita basa rechikoro. Vose pamwe chete neizvi, vana vakawanda vanoita kuti "kurara-kumuka" kuve kwakaitika.

Zvisinei, maererano nezera remwana, zvinhu zvose ndeyega. Kunyange zvazvo "Truksal" ine uchapupu hwekushandiswa kwevana, vamwe vabereki vakanga vasina kugutsikana nemigumisiro. Mumwe wevaduku vaduku akave akadzivirirwa zvikuru, uye apo chiremba akagadzwa kuti atore Truksal pamwe chete nemishonga yeGlycine neAdaptol, mwana wacho akawedzera kusagadzikana uye kusagadzikana.

In vanachiremba wongororo vane siyanei chikuru. Vanachiremba vanodavira kuti mushonga anogona kuunza zvikuru vanobudirira zvabuda kana murwere ane kodzero sei. Nokuti kurapwa ichi chinofanira kuitwa kufanana dzose bvunzo uye kuongorora kuti usarudze Zvakanyanya Kunaka Panguva Yepamuviri dose zvinodhaka. Kazhinji, pakati vanamazvikokota zvinodhaka vane nyaya dzinovaka. "Truksal" zvikuru kutsanya uye vakarongeka nzira hwokubata neurotic, mwoyo uye schizophrenic inoti. Maererano vanachiremba, unorema kurutivi migumisiro iri psychogenic. Kana chirwere zviratidzo havasi inopenya chaizvo, uye ayo kukura haasi mukuru zvikuru, zvakanaka kutanga kutora mushonga shoma mishonga.

Akapiwa chokwadi chokuti "Truksal" haasi kukwanisa kukonzera zvinodhaka nedoro kana muropa zvazviri, yoashandisa kubata chirwere chepfungwa zhinji zvingasava nyore kwenguva yakareba. Zvisinei, izvi hazvirevi kuti unogona basa nayo yoga. Chero kumeso Unhu anogona kupa shamwari nevavakidzani, mushonga "Truksal" (mutengo murayiridzo panyaya dzakadaro havasi kutsoropodza), mushonga uyu (sezvo, zvirokwazvo, uye zvimwe zvinodhaka zvose, antipsychotics) inofanira kutorwa pasi zvachose wezvokurapa achitarisirwa uye chete mvumo yake.