"Cerukal": ukubuyekezwa. "Tserukal" - kusuka kuphi? Izinkomba zokusetshenziswa, okufanayo

Amalungiselelo amaningi akhiqizwa embonini yanamuhla, kunezibuyekezo ezinhle kakhulu. "I-Tserukal" - imithi ephikisana ne-emetic yesenzo esiphakathi - ifakiwe kwinombolo yabo.

Isimiso sokusebenza komuthi

Into esemqoka eyingxenye yesidakamizwa "Cerucal" i-metoclopramide hydrochloride. Ukulungiswa kwamanzi "I-Cerucal" ngaphezu kwe-metoclopramide iqukethe i-disodidium edetate, i-chloride ne- sodium sulphite, kanye namanzi. Amaphilisi afaka i-lactose monohydrate, i-gelatin, isitashi sezambane kanye ne-magnesium stearate. Ekwahlulelwa ngempendulo ngaye, "Cerucal" inomusa kakhulu isusa uphawu lokuhlanza futhi isebenza kahle ngesisu nasemathunjini. Isimiso sokusebenza kwalesi sidakamizwa sisekelwe ekutheni i-metoclopramide ivimbele i-serotonin ne-dopamine receptors. Ngenxa yalokho, kunciphisa ukuzwela kwamangqamuzana obuchopho obuchosheni obhekene nokudluliselwa kwemizwa evela esikhungweni sokuhlanza esise-medulla oblongata kuya ku-duodenum.

Ngaphezu kwalokho, izidakamizwa "i-Cerucal" zivuselela amakhono emoto engxenyeni engenhla yegciwane lesisu futhi zivame ukuveza ithoni yezindonga zesisu namathumbu. Ngaphezu kwalokho, lo muthi uyakwazi ukuvimbela ukuthuthukiswa kwesifo njengesifo se-cholestatic jaundice. Ukwamukelwa kwawo kukuvumela ukuba uqede izimpawu zedyskinesia ye-gallbladder. Ngaphezu kwalokho, imithi ethi "Cerucal" ingasiza ekuhlukaniseni i-bile.

Yakhiwa ngaziphi izinhlobo

Isidakamizwa sikhiqizwa ezibhebheni eziboshwe nge-enteric, enemibala emhlophe. Ngaphezu kwalokho, kukhona "i-Cerucal" ehloselwe ukujova. Ama-ampoules asetshenziselwa ukuphathwa kwe-intravenous and intramuscular.

Isikhathi sesenzo somuthi

Isidakamizwa esithi "Tserukal" emaphilisi okuhlushwa okukhulu egazini afinyelela ihora ngemva kokungenisa. Umphumela walokhu kugcinwa amahora ayishumi nambili. Umthelela omkhulu ngemuva kokujola kwe-intramuscular of the form liquid of the izidakamizwa kubonakala ngehora lesishiyagalombili emva kokujola. Ngomjovo obomvu - emva kwemizuzu engu-3.

Kuziphi izifo okudingekayo ukuba uthathe imithi "Cerukal"

Ukuvota kanye nesicanucco kwanoma imuphi umsuka kuyimpawu eziyinhloko zokuthatha i-Cerulkal. Yini le mithi ingasiza okwamanje? Thatha futhi, isibonelo, ngokuqothulwa njalo. Uma kwenzeka ushukunyiswa emotweni noma ngesitimela, ungathatha iphilisi ngaphambi kohambo. Ngaphezu kwalokho, lo muthi unqunyelwe i-reflux-esophagitis, i-dyskinesia ye-biliary tract kanye ne-atony yamathumbu nesisu.

Ungathatha kanjani

Uma ukuhlanza nokufiphala, ngokuncoma kukadokotela, ihora elilodwa ngaphambi kokudla kufanele kuthathe isidakamizwa "Cerucal". Imiyalo (inani lemithi liyi-ruble ayi-100 emaphilisi) lilula kakhulu ukusebenzisa. Abantu abadala ngokuvamile bathatha izikhathi ezingu-3-4 ngosuku for tablet eyodwa. Kubantu abavela eminyakeni eyishumi nane-ngesigamu noma yonke ithebulethi izikhathi 2-3 ngosuku. Isidakamizwa sinconywa ukuthi sihlanzwe ngamanzi. Ungathenga le mithi kuphela ngomuthi. Ngokuvamile, inkambo yokwelapha iphela inyanga nengxenye. Kodwa kwezinye izimo leli gama lingadlulela ezinyangeni eziyisithupha.

Ukungafani kokusetshenziswa

Mayelana nalesi sidakamizwa kukhona, njengoba sekushiwo, izibuyekezo ezinhle kakhulu. "Cerucal", noma kunjalo, kwezinye izimo, akunconywa ukuthatha. Awukwazi, isibonelo, ukuthatha amaphilisi bese wenza imijovo ekuthomeni kokuqala kokukhulelwa. Ngemuva kwalokho, thatha izidakamizwa ngokuqapha. Izingane ezineminyaka engaphansi kwengu-14 ubudala azikwazi ukusebenzisa le mithi kumaphilisi. Ngaphezu kwalokho, ukuphikisana kungabandakanya:

1. Pheochromocytoma.
2. Ukuguqulwa kwezindonga zamathumbu nesisu.
3. Ukuvimbela emathunjini.
4. Isisu esincike ku-prolactin.
5. Isisu se- pylorus yesisu.
6. Ukufa kwesifo.
7. Ukusuka kwamathumbu.
8. Izinkinga zokuhamba nge-extrapyramidal.
9. Ukungaboni ngaso sonke isikhathi izingxenye zomuntu ngamunye.

Izingane ezineminyaka emibili kuya kweyishumi nane ubudala, umuthi "Cerucal" unqunywe kuphela ngendlela yokujola ngenhloso yokufaka imithi efanele.

Imiphumela emibi yesidakamizwa

Ezinye iziguli zinikeza ngale mithi futhi hhayi izibuyekezo ezinhle kakhulu. "I-Cerucal", njengezidakamizwa eziningi zanamuhla, ngezinye izikhathi kubangele zonke izinhlobo zezinhlangothi ezingajabulisayo. Abesifazane, isibonelo, bangase babe nomjikelezo wokuya esikhathini. Ngemuva kokuthatha amaphilisi noma ukuphanga ngokuvamile kunomile emlonyeni. Ngaphezu kwalokho, lo muthi ungabangela isifo sohudo noma ukuqothulwa. Abanye abantu abathwala izidakamizwa "i-Cerucal", baqale isizungu noma izinsizwa. Ukukhathazeka, ukulala, ukusabalala kwe-facial muscle, tinnitus, ukucindezeleka, i-Parkinsonism - futhi kubhekisela emiphumeleni emibi yalo muthi. Ngaphezu kwalokho, ukulungiselela "i-Cerucal" kungabangela:

1. I-Galaktarey, i-gynecomastia.
2. I-hypotension noma i-hypertension, kanye ne-tachycardia engaphezulu.
3. Agranulocytosis.
4. Ukubamba, ukuvuthwa, ukuqhuma.

Ukuhambisana neminye imithi

Isidakamizwa esithi "Cerucal", esinezijova ezingavimbela ukuhlanza, kuqinisa umphumela wokuphuza utshwala nazo zonke izinhlobo zemithi yengqondo. Akudingekile ukuthatha izidakamizwa ze-anticholinergic ngesikhathi esifanayo, ngoba zinganciphisa isenzo se-metoclopramide. Ngaphezu kwalokho, izidakamizwa "i-Cerucal" zithuthukisa ukumuncwa kwezinhlobonhlobo zama-antibiotic. Ngeke ukwazi ukuthatha izidakamizwa ze-neuroleptic ngesikhathi esifanayo, ngoba kulokhu ingozi ye-extrapyramidal disorders iyanda.

Isidakamizwa "Cerucal". Ama-analogues

Kukhona okunye okuningi okufana nale mithi. Umphumela ofanayo we-antiemetic utholakala ngemithi Domstal, Domet, Motinor, imithi iMetoclopramide, i-Damelyum, njll. Esikhundleni se-Cerucal, ungathatha, isibonelo, umuthi Owenziwe. Ngaphezu komphumela we-antiemetic lo muthi uyakwazi ukuqeda ukushaya kwenhliziyo. Imiphi imithi ingabe indawo yokulungiselela i-"Cerucal" ingasuswa? Ama-analogs alo, njenge, isibonelo, izidakamizwa "Motilak", nazo ziyinhloko yokuthola imithi. Imithi ye-"Motilak" isiza ngokuhlanza nesicanucanu futhi ikhulula isibonakaliso ezifana nokuvimbela. Ngaphezu kwalokho, kuyasiza nge-belching kanye ne-heartburn. Ku-trimester yokuqala yokukhulelwa, kanye ne-lactation, kungathathwa, ngokungafani nokulungiselela "i-Cerucal", kodwa kuphela ekuguleni udokotela.

Isidakamizwa esithi "Motilak" singabangela ukukhwabanisa isikhumba nemisipha. Kulokhu kufana kakhulu nesidakamizwa "Cerukal", okufana kwazo okufana nesenzo esifanayo kungabiza okungenani. Ngakho-ke, lesi sidakamizwa "Motilak" sithengiswa kuma-pharmacy cishe ama-ruble ayi-100-150. Futhi intengo ye- "Itomed" ingafinyelela kuma-ruble angu-300.

Izimpawu zokudlula ngokweqile

Endabeni yokusetshenziswa okungalawulwa kwesidakamizwa "Tserukal", izimpawu ezinjengokucasula, ukudideka, ukulala, ukwehla noma ukwanda kwengcindezi, ukukhathazeka, bradycardia, ukuphazamiseka kwemoto kungavela. Ukungaphumeleli kokudlula ngokweqile cishe usuku olulodwa ngemuva kokuhoxiswa kwesidakamizwa kuphele. Isiguli kumele sibe ngaphansi kokuqondiswa udokotela ngalesi sikhathi.

Uma kwenzeka ukuthi izidakamizwa ze-extrapyramidal ziphawulwe, ngezinye izikhathi udokotela ubeka umuthi "Biperiden". Kodwa-ke, ukungenela okunjalo kungenziwa kuphela esimweni sesibhedlela. Uma isibonakaliso sokudlula ngokweqile njengokukhathazeka noma ukucasula kubonakala, isiguli sinqunywe umuthi "Diazepam". Uma kwenzeka isiguli sithatha imithi eminingi "ye-Cerucal", kukhishwa isisu esiswini.

Isidakamizwa esithi "Cerucal", ngaleyo ndlela, singabhekwa njengokusebenza kahle. Kodwa-ke, ukuthatha ngaphandle kokuqokwa kukadokotela akudingeki.