Izidakamizwa "Trileptal": ukubuyekezwa, yokusetshenziswa

Omunye ephumelela kunazo izidakamizwa anticonvulsant muva nje ube "Trileptal." Izimpendulo ngaye bathi ngcono tolerability kuqhathaniswa ngaphambilini ezivamile "finlepsin". Lokhu kungenxa izici of action lesi sakhiwo esisha - ke kuzole le izinzwa ngu ezivimbela overstimulation yabo futhi normalizing ukudlula emsipheni amaza kagesi sibe imisipha. Lesi sidakamizwa ekhiqizwa eSwitzerland ngokusebenzisa amathekhiniki yakamuva. Ngakho-ke, kungcono kunokusebenzisa ngezinye izindlela. zako lihlanganise yokuthi kungcono kubekezelelwe futhi kungase kuthathe isikhathi eside. Iziguli eziningi baye baqaphela impumuzo ephelele isithuthwane ngemva konyaka okwelashwa, "Trileptalom".

izici umkhiqizo

"Trileptal" kuyinto ekwakhiweni main izidakamizwa esebenzayo oxcarbazepine. It ikhiqizwa ngesimo amaphilisi noma ukumiswa ababiziweyo isiraphu ngenxa ukunambitheka kwalo amnandi. Kuyinto kuleli fomu kungcono ukunikeza "Trileptal" izingane. Uphenyo iziguli kanye nodokotela bathi ngenkathi usebenzisa kulula ukubona Isikali lesifanele. Ngempela, esinye isibhebhe sibonisa iqukethe kusuka 300 kuya 600mg oxcarbazepine, futhi lokhu umthamo abadala. Ngaphezu kwalokho, ukumiswa has a ukunambitheka amnandi futhi ezimnandi elinuka ukunambitheka.

Njengoba izenzo izidakamizwa

Uma eyodwa kuphela - e isithuthwane - incoma ukuthatha "Trileptal" imfundo manual. Izibuyekezo bathi kahle yaso ephezulu uma kuqhathaniswa nezinye izidakamizwa antiepileptic. Lo mshini wezenzo izidakamizwa esekelwe ukuvinjelwa iziteshi sodium. Lokhu kuholela ukuzinza we ishayela futhi kuqiniswa sezinzwa. Ngaphezu kwalokho, oxcarbazepine kuholela ukusebenza elincane iziteshi calcium. Isici esikhethekile sale izidakamizwa ukuthi akunamthelela izinzwa ingqondo.

Ubuningi esiphezulu esebenzayo isithako "Trileptal" lomcoka oketshezini olungenambala lwegazi waphawula ngemva kwamahora angu-4-6. Futhi emini it is excreted kusukela umzimba ngokuyinhloko nezinso. Ngakho-ke kuyinto eyanele kubaluleke kakhulu njalo zomuthi oveza nomphumela oqabulayo.

izinkomba

Isifo sokuwa e abadala nezingane ngokuvamile okunqunyiwe "Trileptal." Uphenyo odokotela ukusho okuningi kakhulu ngempumelelo kanye ibekezelelwe uma kuqhathaniswa nezinye izindlela ezifanayo. Izidakamizwa isicelo njengoba monotherapy, noma ngokuhlanganyela neminye imithi. Yabela it kunoma yiluphi uhlobo lokusebenzelana isithuthwane futhi khona ukuquleka Jacksonian. "Trileptal" Ngempumelelo nge ngokwengxenye zesifo sokuwa, kanye generalized nokuquleka tonic-clonic.

Ngaphezu lokuvimbela esiqoshiwe sokuwa okunye okubonisa ukusetshenziswa zomuthi "Trileptal" - neuralgia. Uphenyo odokotela bathi kulokhu kungcono kunokusebenzisa izidakamizwa esetshenziswa ngaphambilini. Coma ka pereparat normalizes state ngokwengqondo kwe-nesineke. It iqeda senhliziyo kwemizwelo futhi kuvimbela ukuthuthukiswa zokucindezeleka.

"Trileptal": yokusetshenziswa

Uphenyo odokotela mayelana izidakamizwa uqaphele isidingo sokuphuza isilinganiso esengeziwe somuthi ngqo. Kunconywa ukuthatha elingekho ngaphezu kuka 10 angu amakhilogramu esisindo ngamunye ngosuku. Kubantu abadala, kubonakala kuyinto isilinganiso amaphilisi 2. Yingakho izingane kufanele anikwe "Trileptal" isiraphu. Umhlahlandlela uncoma nithintithe isitsha ngaphambi kokusetshenziswa futhi ngokushesha kukalwe edingekayo izidakamizwa nesibhamu ekhethekile. Eyezingane ezincane, kuyinto efiselekayo hhayi ukwandisa umthamo. Yamukela ukumiswa kungaba ngokuqondile isipetu noma ukuba alulaze ngamanzi. Vula isitsha zingagcinwa hhayi ningi than 2 izinyanga.

Thatha "Trileptal" izikhathi 2 ngosuku. Ungakwazi ukuwaphuza noma ungadlile, kodwa okungcono nsuku zonke ngesikhathi esifanayo, njalo ngezikhathi ezithile. Umthamo kokuqala abadala ngokuvamile ngesigamu esibhebheni kabili ngosuku. Kamuva kuvunyelwe kancane kancane ukwandisa umthamo kuya 1-2 amaphilisi reception ngayinye. Kodwa lapho kuhlangene yokwelapha kuyadingeka ukuze ulungise umthamo ezinye izidakamizwa.

Lesi sidakamizwa is contraindicated

Leli thuluzi iqondiswa izingane kusukela ngenyanga 1. Kodwa kuze kube iminyaka engu-3 isetshenziswa kuphela "Trileptal" ukumiswa. Ukufundiswa amanothi ibekezelelwe kahle futhi zisebenze kahle kakhulu ezimweni lapho nezinye izidakamizwa ungazange kwasiza. Kodwa "Trileptal" hhayi zonke iziguli nesifo sokuwa zingafundwa. Ukuphathwa kanjalo is contraindicated ngesikhathi sokukhulelwa futhi ngenkathi ibele. Kuye kwafakazela ukuthi oxcarbazepine kubangela kombungu ezinzima ezinsaneni kuleli cala.

Kufanele kuthathwe izinyathelo lomshado "Trileptal" abantu imisebenzi kwesibindi nezinso kanzima kahle. Musa linqume izidakamizwa kanye neziguli kanye ukungabekezelelani ngabanye kule ketshezi. Ngakho-ke kubalulekile ukuba ayeke ukuthatha "Trileptal" ukusabela Lapho nomzimba. Analogue ngakho kulesi simo, ukusiza ukhethe udokotela.

Sebenzisa izingane

Okwakubaluleke ngokukhethekile ukunikeza "Trileptal" izingane. Izibuyekezo ithi ibekezelelwe kahle ejenti umthamo efanele. Kunconywe ukuqala 8 mg izidakamizwa kilogram of isisindo sengane ngamunye ngosuku. Kancane kancane Isikali "Trileptal" zingandiswa, landa 30 mg kilogram per. Kodwa lapho ukusetshenziswa ngokuhlanganyela neminye imithi antiepileptic ukuthi ukufinyelela umthamo watusa akukho ngaphambili kuka 2 amaviki.

It kuvela ukuthi izingane zinikwa ngemithamo kunangendlela Trileptal abadala '. " Izibuyekezo abazali aveze ukuthi akuwona wonke umuntu uqonda kahle ukuthi kungani. Empeleni, lo lokuhlushwa izithako ezisebenzayo zomuthi kancane kancane kwandisa ngeminyaka. Ngakho-ke, ukuze kuzuzwe oyifunayo nomphumela oqabulayo, izingane ezidinga umthamo owengeziwe. Lokhu kungenxa isici ukusebenza isibindi nezinso ezinganeni.

Izici ukusetshenziswa kwezidakamizwa kwasebekhulile

Ukulungiswa "Trileptal" ngemithamo Kungase kudingeke izinhlelo zokuphepha iziguli abaneminyaka engama-65. Ngalesi ubudala, umsebenzi kwezinso is kwakuvame. Ngakho-ke, lapho ithola "Trileptal" ukunciphisa mhlawumbe ezinqala sodium egazini. Ezigulini olunjalo ludinga esiqinile Isilawuli yezokwelapha njalo ihlolwe sodium ezingeni. Ngakho-ke, ukwelashwa it is kuyaqabukela asetshenziswa, ukugwema ukweqisa izidakamizwa kanye nemiphumela engemihle. Kodwa izikhathi eziningi "Trileptal 'ebekezelele ngokubhekakade kahle futhi isicelo lesifanele kusiza kakhulu isimo lesiguli ngasiphi yobudala. Ngaphezu kwalokho kwaba ukukhululeka amajaqamba, kungaba ukunciphisa ubuhlungu bekhanda ezenzeka ngenxa zibe semithambo, kuvimbela amahlule, okuthuthukisa ukusebenza, aqede ukucindezeleka futhi kuthuthukisa nekusebenta umsebenzi ngokwengqondo.

"Trileptal" ngesikhathi sokukhulelwa

Oxcarbazepine kuyinto ngokushesha kweqa isithiyo esinomhlapho, ngakho elisebenzisa abesifazane nomntwana, is contraindicated. Umuthi kungabangela kwasekuzalweni tyaelyh ingane, ngokuvamile aluhambisani nawo ekuphileni. Mhlawumbe ukuthuthukiswa olwangeni emfantwini, lip emfantwini. Lokhu kungaba ngenxa nje kuphela ngomthelela omubi oxcarbazepine. "Trileptal" kubangela ukwehla ezingeni i-folic acid, okuyinto kancane ngakho ngesikhathi sokukhulelwa - kungabangela sengozini.

Ngakho-ke, abesifazane kufanele belulekwe yalokho okungase kulandele sokuthatha izidakamizwa ngaphambi akhulelwe ngesikhathi abantwana. Kubalulekile ekwelapheni "Trileptalom" wasebenzisa ukuvimbela ukukhulelwa akuyona sokuzalwa isilawuli amaphilisi, ukuphumelela okuyinto kunciphisa kakhulu ushukunyiswa yiwo, kanye nezinye izindlela.

imiphumela emibi izidakamizwa

ukusabela Ngaphezu kwalokho umzimba uxabane nawo, lapho ukususwa edingekayo izidakamizwa, 10% eziguli ahlupheke nezinye imiphumela emibi ekwelapheni. Yini ebangela "Trileptal" side effects? Izibuyekezo bathi lovamise waphawula imiphumela emibi:

• isiyezi, umbono double, nystagmus, angaboni kahle;
• ubuthakathaka, ukukhathala, ukozela;
• ikhanda;
• isicanucanu, ukuhlanza, ubuhlungu besisu, izinkinga emathunjini;
• ukunganakwa, ukucindezeleka, kwemizwelo ukuwohloka;
• lokukhohlwa, kwehle okuhlushwa;
• ukuqubuka, induna esikhumbeni, nezinwele.

izidakamizwa ekuhlanganyeleni

Lesi sidakamizwa kungenziwa athathwe ngokungathi sína ngokuqinile ulandele iziyalezo ezikuyo ngemva kwesikhathi udokotela. Kubalulekile ngokuqinile ulandele umthamo kanye kukungaphazamisi ukwelashwa. Kuyefana nasendleleni ukusetshenziswa nezinye imithi ezigulini ukuthatha "Trileptal." Imiyalelo unaka kakhulu kukho, kusukela edilini ezikanye imithi ethile oxcarbazepine Ungashintsha wesenzo noma yabo.

• It is hhayi Kunconywa ukuba basebenzise izinto zokuvimbela inzalo ngomlomo seziguli ezithola "Trileptal." Izibuyekezo abonisa ukuthi le izidakamizwa kunciphisa ukusebenza kahle kwezimali ngesisekelo ethinyl estradiol noma levonorgestrel. Ngakho-ke, ngesikhatsi ukwelashwa Kunconywa ukuba asebenzise ezinye izindlela zokuvimbela inzalo.
• Lapho ukuphatha kanyekanye "Trileptal" amalungiselelo esekelwe phenobarbital, phenytoin noma carbamazepine digestibility yayo incipha. Ngakho-ke, kulesi simo-ke kuyadingeka ukuba ulungise umthamo imithi ongazange sawohloka nekusebenta wesenzo.
• izidakamizwa zakhe ezinjengethi, "Felodipine" noma "Verapramil", futhi analogue yabo Ungase futhi zilulaza digestibility "Trileptal".
• Lesi sidakamizwa ithuthukisa kakhulu umphumela okulalisayo utshwala kanye amalungiselelo utshwala ezisekelwe.

Okungenzeka izidakamizwa ukweqisa izidakamizwa

"Trileptal" ke kubhekwe ephephile Kunconywa ngemithamo zokwelapha. Izibuyekezo uqaphele ukuthi izimo ukweqisa izidakamizwa ezingajwayelekile kakhulu. Ukuze wenze lokhu, kudingeka baphuze eziningi amaphilisi ngesikhathi esisodwa. Kodwa inani kungenzeka antiepileptics ukweqisa izidakamizwa lapho ukwelashwa nokwamukela "Trileptal" ukuze esiphezulu umthamo kungenzeka. Kuthiwani uma lokhu kungenzeka?

• amanzi siphazamisekile futhi electrolyte ibhalansi, okuholela ukuntula sodium nosawoti.
• Uyahlupheka ukungaboni: kukhona diplopia, esilufifi, nystagmus.
• Aphazamise wokugaya ukudla, isiguli uzizwa ukucanuzela kwenhliziyo, ukuhlanza kungaba.
• Ngokuvamile buthaka, ukukhathala, ukuqwasha, isiyezi, kunciphisa umfutho wegazi.
• ukudideka kungenzeka, kusebentisana kahle ukunyakaza, ukuvela ulaka kanye nobuhlungu.
• Emacaleni angu-olunzima, ukuhlukumeza umgudu wokuphefumula, Ukudlikizela, nokulahlekelwa ukwazi ngisho equlekile.

Uma kwakuba khona kokudla izidakamizwa, lavage esiswini kufanele kwenziwe. Inikezwe ngu- adsorbents, ezifana carbon isebenze. Ukuze ugweme lokhu, kudingeka utadishe ngaphambi kokufaka isicelo "Trileptal" ukulungiselela mathupha.

Analogue lokhu ejenti

Akukho okuningi kwemithi eliqukethe isithako ezisebenzayo ezifanayo "Trileptal." Empeleni, lena kuphela "Oxcarbazepine."

Ngakho-ke, fanekiso kuya "Trileptal" izidakamizwa bacabangele nezinye izidakamizwa antiepileptic:

• "Finlepsin".
• "Tegretol".
• "Gabapentin".
• "Carbamazepine."
• "Phenytoin".
• "Valproate".

Izibuyekezo sokulungiselela

"Trileptal" kubhekwa omunye anticonvulsants engcono. Iziguli isithuthwane kunzima kakhulu ukuthola ukwelashwa okuphumelelayo. Futhi ngokuvamile iqala nezinye izidakamizwa. Kuphela uma konke okunye yehluleka, ukuya "Trileptal." Izibuyekezo ngalokhu thuluzi, odokotela ikakhulukazi omuhle. Bona wazi ngempumelelo eliphezulu futhi tolerability ezinhle. Kuphela kukuhle kakhulu Ukudlikizela generalized nge nokulahlekelwa ukwazi. Ngakho-ke, sebenzisa it njengoba ngokuvamile.

Ngaphezu kwalokho, iziguli eziningi futhi yabika ukuthi ngemva kokushaywa kwathatha "Trileptal" waqala ukuzizwa engcono. Uma kuqhathaniswa nezinye izinto izidakamizwa antiepileptic ke siphumelela ngokwengeziwe futhi ibekezelelwe kangcono, okubangela ayinayo imiphumela eminingi engemihle. Abantu nokubhala, ukuthi ekugcineni badlula ikhanda wanyamalala nokuhlasela ebusuku. Futhi ngenxa yokuthi imiphumela emibi izidakamizwa avame ekhonjiwe ukozela. Ngaphezu kwalokho, iziguli eziningi bathi izindleko zalo okusezingeni eliphezulu - cishe ingxenye eyodwa nengxenye ayizinkulungwane amaphilisi 50 mg 600.

Esinye isici esibangela ukusetshenziswa ngempumelelo lesi sidakamizwa "Trileptal" - izinzwa trigeminal. Izibuyekezo ekwelapheni neuralgia yayo wazi ukuthi ngokuvamile kuphela uyakwazi ukubhekana ngokushesha nobuhlungu. Kanye nezinye izimpawu zalesi sifo.

Liphinde ngempumelelo wasebenzisa "Trileptal" abantwanyana. Izibuyekezo abazali ngokuvamile aqukethe incazelo kahle kanjani ingane waqala ukuzizwa ngemva kokwelashwa. Lesi sidakamizwa sisiza ukuba sibhekane ngokuphumelelayo ukuhlaselwa ebusuku kanye nemizwelo kujwayeleke. Ngisho yokwelapha eside akusho akuvamile ukubangela lutho sokukhaphela sasisibi ngaphezu ukozela.