Izidakamizwa "maprotiline": ukubuyekezwa, imanyuwali yomsebenzisi, analogue

Ekhulwini leminyaka eledlule, yokuphazamiseka kwemikhuba kwemizwa efana ukukhathazeka, ukucindezeleka futhi ukuqwasha kwase baphathwe ansiliotikami ngokuyisisekelo kuphela. le mithi abhekwa ngempumelelo, kodwa, ngeshwa, kubangele isiguli ukuba abe umlutha. Ngakho-ke, kule minyaka engu-80 kwesicelo sabo unqabile emazweni amaningi. Namuhla, uhlobo othembisayo kakhulu ekwelapheni ukucindezeleka abhekwa izidakamizwa zikhethe. Omunye izidakamizwa ethandwa kakhulu kuleli qembu efanelwe Izibuyekezo ezinhle iziguli kuyinto "maprotiline." Enye igama laleli antidepressant ukukhanya tetracyclic - "Ladiomil". Pharmacy ukuthengisa kuphela kadokotela ke.

incazelo jikelele

Izinzuzo "maprotiline" izidakamizwa, okuyinto Izibuyekezo zinhle ngempela, odokotela kanye neziguli zabo zibizwa kwasekuqaleni ibanga nokunomsoco ebanzi sine anxiolytic futhi isenzo antidepressant. Uma uthola lo imithi ezigulini aqede ukukhathazeka, ukushintshashintsha ethuthukisiwe, ukukhathazeka encishisiwe, lengqondo retardation iphele.

kanjani

Uma esiswini, "maprotiline" iyaqala kancane angena egazini, futhi abangu-89% amaprotheni eboshiwe. okuhlushwa sayo esiphezulu e-plasma laligujwa kuphela amahora 8-9 ngemva kokuphathwa.

Emzimbeni wesiguli izidakamizwa ngokukhetha kuvimbela reuptake ka-serotonin futhi norepinephrine izinzwa we- cortex cerebral. Ngaphezu kwalokho, ezinye amabhlogo izidakamizwa la mangqamuzana. It is amuncwa esebenzisa umzimba ngokuphelele. Futhi, it is kakhulu akheka. Ekhombisa "maprotiline" kusukela umzimba kancane kakhulu - cishe 3 amaviki (umchamo kanye endleni).

ubufakazi

Kwezinye izimo, udokotela angaqokwa ukuba isiguli ethola 'maprotiline "izidakamizwa? Ukusetshenziswa kwalesi imithi onesizathu iziyaluyalu eziningi engqondo. Ngokuvamile, izinkomba ukusetshenziswa zomuthi abacindezelekile:

• endogenous, kuhlanganise involution;
• psychogenic, kuhlanganise esisheshayo futhi Neurotic;
• somatogenic;
• climacteric.

Futhi, lolu izidakamizwa ngokuvamile ebekwe odokotela lapho ecindezelekile oluxube ukukhathazeka. Awu aphendule ngalokhu thuluzi futhi, isibonelo, abadala. Zivame ebekiwe lokhu izidakamizwa lapho ukunganakwa. Kwezinye izimo, isizathu enquma mithi ukucasuka noma dysphoria. It ephatha kuyindlela neziyaluyalu ukuphathwa kwabathintwayo kubangelwa ukucindezeleka noma ukwesaba.

isakhiwo

The main isithako zomuthi kuyinto maprotiline - chetyrehtsiklicheskoe uxhumano. Ngu izakhiwo kwemithi kubhekwa eduze tricyclic antidepressant. Lokhu kungenxa ngokuyinhloko oyiyo (ikakhulukazi ohlangothini chain). Thanda tricyclic antidepressant, imithi "maprotiline" sithuthukisa umphumela amphetamine. Ngesikhathi esifanayo luba buthaka ezinye imithelela reserpine.

"Maprotiline": Izibuyekezo nesineke imithi

Iziguli eziningi ukuthola lokhu izidakamizwa siyasebenza ngempela. Uma iziguli ziqala ukuba baphuze, futhi angenze kwemizwa kanye ubalekela izimpawu kakhulu zokucindezeleka. Iziguli eziningi, nahlulele kusukela ukubuyekezwa, lo muthi kusiza ukuba babhekane kahle nokukhathazeka ngisho ukushaywa uvalo ngaphandle kwesizathu. Ezinye iziguli abaphuza "maprotiline" uphawu futhi iqiniso lokuthi ekugcineni babe nogqozi lokuphila.

Izibuyekezo Good ngalokhu imithi akuzona kuphela iziguli omdala. Wancoma abazali bakhe nezingane kanye intsha esikhulakhulile anokugula okuthile engqondweni.

Yokuntuleka kwemali "maprotiline" ( "Lyudiomil"), ukubuyekezwa zazo, ngeshwa, ezinhle, iziguli eziningi hhayi kuphela okubhekiselwa ukuthi reception yakhe kungadala engemihle imiphumela ngokwanele. Ngokwesibonelo, ezinye iziguli bakhononda ngokuthi ngemva ukuqashwa kukaNksz udokotela baqala kakhulu futhi ngokushesha alulame. Futhi, ezinye iziguli ukubika ukuthi lokhu izidakamizwa kungadala nokugcinwa urinary zibangele ngisho nezinwele. Ngokuyinhloko okufanayo engemihle imiphumela yalesi izidakamizwa, iziguli zizizwe nomlomo owomile. Ezinye iziguli abaphuza kuwo, ngisho nezinkinga izinsini.

Yiqiniso, naphezu kweqiniso lokuthi kule izidakamizwa ngempela ngempumelelo kakhulu futhi kuqhathaniswa "lula" ( "maprotiline"), kufanele kuthathwe kuphela ngaphansi kweso lwezokwelapha. Kwezinye iziguli ke engathathi isinyathelo ngaso sonke. Ezinye iziguli uthi, ngeshwa ngisho eziya ziba zimbi yesimo sabo.

imicabango yabantu odokotela

Kusukela odokotela futhi uthola "maprotiline" Izibuyekezo ikakhulukazi okuhle. bengqondo abaningi bakholelwa ukuthi ukukhathazeka kwakhe Kuphendula kahle. Ngesikhathi esifanayo, ngokusho kongoti, imiphumela emibi evela maprotiline izidakamizwa ' "angaphansi ka AD tricyclic. Njengoba iziguli, odokotela bakholelwa ukuthi imiphumela engasi mihle kokuthatha lesi izidakamizwa eziyinhloko nomlomo owomile, futhi isisindo somzimba. I yokuntula lokhu imithi, phakathi kwezinye izinto, ochwepheshe bathi yonke le qiniso ukuthi kungabangela nokuquleka.

Mayelana nokutholakala kanye azikho ezinhle kakhulu mayelana imithi "maprotiline" impendulo evela kodokotela. Esikhathini umtholampilo, kuziwa ngempela ezingavamile. Kunzima ukuyithola e drugstores. Ngaphambili lo izidakamizwa wakhululwa isendalini kaningi. Kodwa, njengoba kwaphawula u-odokotela abathile phambi kwalasha ne emashalofini Pharmacy, uye cishe zaphela nethonya elihle ku-impilo iziguli. Mhlawumbe abakhiqizi yalesi izidakamizwa lapho khona ezinye izinkinga yokukhiqiza yayo.

Izimo

Yiqiniso, maprotiline le prescribers ' "(izibuyekezo asivumela omahlulelayo njengendlela ephumelela ngempela) kungaba kude akubona bonke iziguli okuthile engqondweni. Izimo ukusetshenziswa kwalo yilezi:

1. Isifo sokuwa. Ban osebenza kuleli cala futhi inkathi emlandweni.
2. Hypersensitivity.
3. isilethikusebenza. Alinikeziwe lokhu izidakamizwa esikhathini acute lesi sifo.
4. I-glaucoma Ukuvalwa uhlamvu.
5. Uma isiguli izinkinga nge conduction intraventricular.
6. Utshwala noma izidakamizwa ukudakwa.
7. Ukwamukelwa iziguli imithamo emikhulu amaphilisi elele.

Alinikeziwe le imithi iziguli njengoba e nokugcinwa urinary, hepatic noma esingamahlalakhona kwezinso. Futhi contraindication ukusebenzisa kwayo i-nokukhulelwa kanye lactation.

Izingane Ezisathomba nge kokuzibulala, kanye nezinye antidepressant eziningi, "maprotiline" amaphilisi Ingabangela nemicabango yokuzibulala. On abadala nomphumela ofanayo lo muthi akuyona ngokuvamile enikeziwe.

iziguli esezikhulile, lokhu izidakamizwa uvame iqondiswa ngemithamo ongaphakeme.

Yokusetshenziswa

Ezimweni eziningi, iziguli lesi sidakamizwa "maprotiline", ukubuyekezwa zazo zinhle futhi ngenxa lula ukusetshenziswa, esiyakuqokwa amaphilisi. Phuza kubo, kanye cishe kunoma iyiphi enye, kufanele kube amanzi. amaphilisi Chewable akulungile. Intsha kanye nabantu abadala le imithi ngokuvamile inikezwa at 10 mg 3 izikhathi ngosuku. Uma nomphumela ofiselekayo ingekho, inani imali abayithole ngokuvamile lakhuphuka lafika ku-25 mg. Kuya impendulo nesineke, ethola yesikhathi esisodwa 75 mg kungenzeka iqondiswa kwezinye izimo.

Ezigulini omdala kunqunywa ngamunye Indlela yokukala umuthi. Lapho wamaphaphu iziyaluyalu esibhedlela kukhishelwa ngokuvamile 25 mg izidakamizwa "maprotiline" 1 isikhathi ngosuku. Ngo iziguli esibhedlela ngokuvamile eyabelwe 25 mg zomuthi kathathu ngosuku. Ezimweni ezimbi kakhulu, umthamo kungenziwa lenyuke 150 mg ngosuku. isamba okunjalo zomuthi ubhekwa le sangemihla ovumelekile.

Ngezinye izikhathi ukwelashwa setemlomo asebentisa "maprotiline" kusho isiguli akusizi. Kulokhu, lo Udokotela angase anikeze isiguli ekuphathweni emthanjeni. Ukuze ekwelapheni isiguli lufakwa drip yaphinde yaphathwa 25-100 mg amahora 1.5-2 kanye ngosuku. Ubungcono kuqala iziguli ukuthatha "maprotiline" ngokuvamile lubonakale emva amasonto amabili kuya kwamathathu.

side effects

Ngakho, ngo-elilula "maprotiline" ukulungiselela imfundo manual. Izibuyekezo ngakho, kukhona okuhle ngempela. Nokho, imiphumela emibi kusukela kule imithi njengoba kwakunokwenzeka ukuqagela kakade, kunezindlela eziningi. Ngaphezu ome umlomo nesisindo ukwanda, ukusetshenziswa kwezidakamizwa, ngokuvumelana umkhiqizi, kungabangela imiphumela enjalo ezingemnandi, njenge:

• ukuquleka;
• dysarthria;
• ngenxa yobuthakathaka;
• ukucobeka nokukhathala;
• ukubona imibono engekho mania;
• ukudideka;
• ukulahlekelwa kukuzwa;
• dysgeusia.

Futhi, iziguli ukuthatha lokhu imithi bangezwa:

• isicanucanu;
• ukuqunjelwa noma isifo sohudo;
• komzimba ezifana urticaria noma ukulunywa;
• ukuvuvukala.

Bheka imiphumela emibi lesi izidakamizwa nazo zonke izinhlobo zezinsimbi ngeziphambeko ngokobulili.

Medicine "maprotiline": nozakwabo

Pharmacy, izidakamizwa etholakele, njengoba sekushiwo, ngaso sonke isikhathi. Nokho, uma kunesidingo, kube Yiqiniso, kungase kufakwe amanye izidakamizwa nge efanayo isenzo kwemithi. Analogue "maprotiline" ejenti, isibonelo:

• "Melipraminum".
• "Ixel".
• "Amitriptyline".
• "Imipramine".

esikhundleni "maprotiline" unga izidakamizwa "Klofranil" futhi "Saroj" Kwezinye izimo.