Fendivia rukuni ne na masu ƙwaƙwalwar narkewa. Kamar yadda abu mai aiki ya ƙunshi opiate. Saboda wannan bangaren, ana bayar da raguwa a cikin tsananin ciwo mai raunin ciwo.
Sunan kasa da kasa mai zaman kansa
Fentanyl (a cikin Latin - Fentanyl).
Fendivia rukuni ne na masu ƙwaƙwalwar narkewa.
ATX
N02AB03.
Saki siffofin da abun da ke ciki
Ana gabatar da shiri a cikin hanyar samar da mafita don allura (ana gudanar da shi cikin ciki da intramuscularly). A kan sayarwa zaku iya samun facin kayan transdermal. Fentanyl yana aiki azaman aiki mai aiki. Ana ba da sigogin magani daban-daban. Yawan sashi na abu mai aiki na iya bambanta (mg): 1.38; 2.75; 5.5; 8.25; 11. Yawan sakin fentanyl shima ya bambanta (μg / h): 12.5; 25; 50; 75; 100.
An rufe facin tare da fim mai kariya; ya ƙunshi sauran abubuwa a cikin abun da ke ciki:
- dimethicone;
- dipropylene glycol;
- hauhawar jini.
Aikin magunguna
Babban abin da ke cikin abun da ke ciki shine rukuni na wakilai na opioid. Yana da tasiri na narkewa. Sakamakon kasancewar magungunan ƙwayoyin cuta, ana amfani da maganin a cikin tambaya tare da taka tsantsan gwargwadon tabbatattun alamun likitan. Aikin pharmacological ya dogara ne akan ikon farantawa masu karbar opiate na tsarin juyayi na tsakiya, kyallen, da kashin baya. A ƙarƙashin tasirin fentanyl, ƙarar zafi ta tashi, saboda wanda juriyar jiki ga abubuwan waje mara kyau da na ciki ke ƙaruwa.
Ana gabatar da shiri a cikin hanyar samar da mafita don allura (ana gudanar da shi cikin ciki da intramuscularly).
Wani karfin aikin mai aiki shine keta sarkar watsa abubuwan shakatawa zuwa ga hypothalamus, thalamus, amygdala hadaddun. Babban kaddarorin da miyagun ƙwayoyi: analgesic da magani mai kantad da hankali. Magungunan a lokaci guda yana rage yawan zafin jijiya kuma yana da sakamako mai kwantar da hankali tare da karuwar farin ciki da sauran alamun rashin damuwa.
A ƙarƙashin tasirin fentanyl, an lura da canji a cikin canza launin tunani. Bugu da ƙari, ana nuna magungunan bacci. Intensarfin tasirin aikin mai aiki akan mai haƙuri ya dogara da sashi na fentanyl da ƙimar jijiyar jiki. Wani lokaci, tare da maganin motsa jiki, sakamako mai shayarwa, cutar daji ta bayyana kanta. Duk lokacin da ake amfani da miyagun ƙwayoyi, to babbar haɗarin haɓakar juriya ga tasirin abubuwanda ke aiki. Bayan amfani da maimaitawa, dogara ga abu mai aiki na iya faruwa.
A ƙarƙashin tasirin fentanyl, halayen mara kyau suna haɓakawa: ana hana aikin numfashi, kuma wasu cibiyoyin (farji da amai), akasin haka, suna da daɗi. Wani mummunan haɗari shine karuwa cikin sautin jijiyoyin tsoffin ƙwayoyin jikin mahaifa da na urethra, har ma da mafitsara. Sakamakon haka, rikice-rikice na tsarin urinary ya bayyana. A lokaci guda, ana lura da haɓaka hanyoyin masu zuwa marasa kyau:
- jinkirin narkewa saboda raguwa a cikin yawan motsin hanji;
- karancin jini a cikin kodan;
- ruwa daga hanji yana shan karfi sosai;
- canji a cikin zuciya;
- jijiyoyin jini;
- maida hankali ne amylase, lipase a cikin jini yana ƙaruwa.
A ƙarƙashin tasirin fentanyl, magungunan bacci ana bayyana su bugu da .ari.
Pharmacokinetics
Ana samun mafi girman aiki a cikin sa'o'i 12-14 bayan karɓar kashi na miyagun ƙwayoyi. Tasirin warkewa yana ci gaba har tsawon kwanaki 3 masu zuwa. Idan ana amfani da miyagun ƙwayoyi akai-akai, ana kula da taro kan ci gaba. Lokacin da aka yi amfani da facin, adadin sashin da ke aiki a cikin plasma kai tsaye ya dogara da girman sa. A wannan yanayin, yawan tsotsa ma daban ne. Don haka, lokacin aiwatar da aikace-aikacen a cikin yanki na kirji, shaƙa ba shi da ƙarfi.
An lura da mahimmancin furotin a cikin jini - har zuwa kashi 84%. Haka kuma, fentanyl ya wuce zuwa cikin madarar nono, tayin yayin daukar ciki. Lokacin da ya shiga hanta, babban abun yana canzawa tare da sakewa ta gaba daga cikin kwayar mara aiki. Hanyar cire fentanyl daga jiki tana aiki bayan an cire facin. Rabin rayuwar shine 17 awanni, a cikin marassa lafiya a cikin yara - mafi tsawo. Tare da gudanarwa na ciki, ana cire abu cikin jiki da sauri.
Ana cire adadin mai yawa yayin urination. Ana cire karamin sashi na miyagun ƙwayoyi yayin motsin hanji. Babban aikin shine a cikin nau'i na metabolites.
Alamu don amfani
Babban manufar maganin shine kawar da alamu mara kyau a cikin yanayin cututtukan fata, idan suna tare da tsananin raɗaɗi. An tsara shi lokacin da ake buƙatar maganin opioid na dogon lokaci. Misali, Fendivia ana ɗauka don arthritis, neuropathy, chickenpox (patch).
Ana ɗaukar Fendivia don amosanin gabbai.
Yankin allurar yana daɗaɗɗa: ƙoshin lafiya na farko kafin tiyata, jin zafi na nau'ikan kwayoyin halitta (aikin rauni na zuciya, murmurewa daga tiyata, rauni, oncology), wanda ba ya bambanta da yanayin na kullum. Hakanan, ana iya ba da magani a cikin nau'in ruwa don maganin ƙwayoyin cuta.
Contraindications
Rashin ingancin wannan kayan aiki babban adadin tabbatattun hane-hane ne kan amfanin:
- mummunan aiki na mutum ga abu mai aiki;
- aikin nakuda mai rauni;
- lalacewa daga murfin waje da lokacin fitarwa, gami da (don facin);
- sako-sako da shimfiɗa a lokacin ƙwayoyin rigakafi tare da penicillins, cephalosporins, lincosamides;
- narkewa na cuta na yanayin mai guba;
- mummunan lalacewar tsarin juyayi na tsakiya.
Tare da kulawa
An lura da ƙuntatawa da yawa na dangi akan amfani:
- pressureara yawan matsa lamba na intracranial;
- cututtukan huhu na kullum;
- bradyarrhythmia;
- rauni na kwakwalwa ko kumburi;
- karuwa cikin karfin jini;
- colic a cikin hanta, kodan;
- samuwar kashin a cikin gallbladder;
- rikicewar thyroid (hypothyroidism);
- zafin ciki na etiology da ba a sani ba;
- benign hauhawar jini na kyallen kwayar cuta ta hanji.
- haɓaka yawan zafin jiki a cikin wani lokaci, wanda ke haifar da yawan zafi (alal misali, yayin ziyartar sauna);
- barasa ko shan kwayoyi;
- raguwa a cikin lumen na urethra;
- general mummunan yanayin haƙuri.
Yadda ake amfani da Fendivia
Sashi na aiki mai aiki an kaddara akayi daban-daban. Yawan fentanyl ya dogara da yanayin mai haƙuri, kasancewar / kasancewar ƙwarewa tare da farkon yin amfani da magungunan narkewa. Lokacin amfani da facin, ana tsabtace mahallin waje ya bushe. Bai kamata a yi amfani da abubuwa masu tsabta ba, ruwa mai tsabta ya isa. Kada fatar ta zama maras kyau.
Maganin farko shine 12.5 ko 25 MG. Sannan an kara shi da kowane sabon facin. Matsakaicin adadin fentanyl shine 300 MG. Idan ya zama dole a kara kashi, la'akari da kudi a cikin ruwa. Don guje wa alamun janyewa, ana bada shawara don rage adadin abu mai aiki a hankali.
A ina zan manne
Abunda yake aiki shine mafi kyawu a cikin babba na baya, makamai.
Yadda ake canzawa
Tsawon lokacin amfani da facin 1 shine 72 hours. Bayan wannan, ana sauyawa. Idan tasiri na warkewa yana da rauni, ana canza samfurin bayan awanni 48. Haka kuma, an sanya facin na gaba a cikin wani sabon wuri. Idan ba a la'akari da wannan shawarar ba, yawan fentanyl yana ƙaruwa. A kan aiwatar da cire facin, dole ne a ninka shi tare da m saman cikin ciki da zubar dashi.
Tare da ciwon sukari, ana iya amfani da miyagun ƙwayoyi, amma kamar yadda likita ya umarta.
Shin zai yiwu a yanka
Don samun kyakkyawan sakamako, kada ku keta mutuncin pat ɗin.
Yawancin masu cutar daji suna zaune a Fendivia
Ana amfani da miyagun ƙwayoyi har sai an sami sakamako na warkewa. Lokacin da alamun haƙuri suka bayyana, an canza zuwa wani magani.
Amfani da cutar sankara
Za'a iya amfani da maganin, amma kamar yadda likitan ya umarta kuma ya bayar da cewa fata ba ta lalata.
Side effects
Kayan aiki yana ba da gudummawa ga haɓaka halayen da yawa marasa kyau.
Gastrointestinal fili
Ciwon ciki ya biyo bayan amai, ciwon ciki, tashin zuciya, rage narkewa, bushewar hancin bakin. Kwayar cutar hanji ba ta faruwa.
Shan Fendivia na iya haifar da asarar ci.
A bangaren metabolism da abinci mai gina jiki
Yawancin marasa lafiya suna nuna alamun cutar anorexia: asarar nauyi, asarar ci, ci gaban cututtukan gastrointestinal.
Tsarin juyayi na tsakiya
Damuwa, ciwon kai da farin ciki, makyarkyawar rawar jiki, ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa, baƙin ciki, rikicewa da sanyin gwiwa.
Daga tsarin urinary
Akwai bata lokaci a cikin urination.
Daga tsarin numfashi
Rage numfashi, karancin aikin numfashi; da kamawar numfashi da wuya yakan faru, isasshen iska sanannu yana bayyana.
A ɓangaren fata
Hyperhidrosis, itching, erythema, kumburi tafiyar matakai a kan fata, eczema.
Shan Fendivia na iya haifar da iskar jijiyoyi.
Daga tsarin kare jini
Rashin aikin jima'i.
Daga tsarin zuciya
Canji a cikin zuciya, kwanciyar hankali na m ciki.
Daga cikin tsarin musculoskeletal da nama mai hadewa
Muscle karkatarwa, maɗauri.
A wani ɓangaren hanta da ƙwayar biliary
Colic.
Cutar Al'aura
Allergic, lamba dermatitis. Bayyanar cututtuka: hyperemia, itching, kurji.
Tasiri kan ikon sarrafa abubuwan inji
Magungunan suna shafar wasu mahimman ayyukan jiki. A saboda wannan dalili, motocin ya kamata kada a fitar da su a yayin jiyya. Koyaya, babu takaddama mai tsauri.
Umarni na musamman
Ana amfani da miyagun ƙwayoyi a hade tare da wasu kwayoyi.
Ganin cewa miyagun ƙwayoyi suna shiga cikin madarar uwar kuma ta cikin mahaifa, haɗarin cutar bayyanar cututtuka mara kyau a cikin yaro yana da girma sosai.
Idan halayen da ba su dace ba game da abubuwan da aka gyara sun haɓaka, ya kamata a sa ido cikin haƙuri na sa'o'i 24 masu zuwa, saboda ƙarancin ƙarancin fentanyl.
Yi amfani da lokacin daukar ciki da lactation
An wajabta maganin, amma azaman makoma ta ƙarshe. Ana amfani dashi don dalilai na kiwon lafiya, lokacin da fa'idodi suke da tasiri sosai fiye da cutar da za ta iya faruwa. Tare da jiyya yayin daukar ciki, akwai haɗarin haɓaka cirewa cikin jariri bayan haihuwa.
Ganin cewa miyagun ƙwayoyi suna shiga cikin madarar uwar kuma ta cikin mahaifa, haɗarin cutar bayyanar cututtuka mara kyau a cikin yaro yana da girma sosai.
Alkawarin Fendivia ga yara
An yarda da miyagun ƙwayoyi don amfani. Yana halatta ayi hukunci daga shekaru 2. Yara sama da shekaru 16 zasu iya amfani da maganin girma. An tsara masu haƙuri da ke ƙarƙashin shekara 16 da miyagun ƙwayoyi idan an yi amfani da allurai na morphine a baki (aƙalla 30 MG kowace rana).
Yi amfani da tsufa
A lokacin jiyya, aikin kawar da fentanyl zai yi aiki a hankali. Wannan yana haifar da karuwa a hankali a hankali. A saboda wannan dalili, ya kamata a sake nazarin sashi. An yarda da miyagun ƙwayoyi don amfani kawai idan amfanin ya wuce cutar. Yakamata a fara jiyya tare da kashi 12.5 MG.
A cikin tsufa, an yarda da miyagun ƙwayoyi don amfani kawai idan amfanin ya wuce lahani.
Game da illa mai aiki na renal
Akwai haɗarin haɓakar yawan ƙwayoyin fentanyl. A saboda wannan dalili, kashi na farko na magani a lokacin jiyya shine 12.5 MG.
Tare da nakasa aikin hanta
Ana amfani da kayan aiki tare da taka tsantsan, tunda maida hankali akan abu mai aiki a cikin jini yana ƙaruwa. Hanyar lura yana farawa da adadin ƙwayar - 12.5 MG.
Tare da cutar zuciya
An yarda da kayan aiki don amfani, amma ana buƙatar kulawa na musamman.
Yawan damuwa
Idan adadin sashin aiki mai aiki ya haɓaka da muhimmanci, an cire facin, ana gudanar da wani abu wanda ya kasance ɗan adawa (naloxone). Maganin farko shine 0.4-2 mg (a cikin jijiya). Idan ya cancanta, ana ci gaba da jiyya ta hanyar maimaita aikin nuna adawa ga kowane minti 3. Wani madadin shi ne isar da maganin naloxone da digo (2 g na wannan abun ana hade da 500 ml na sodium chloride 0.9%).
Wani madadin shi ne isar da maganin naloxone da digo (2 g na wannan abun ana hade da 500 ml na sodium chloride 0.9%).
Yin hulɗa tare da wasu kwayoyi
Concentarfafa taro mai aiki yana ƙaruwa ƙarƙashin rinjayar masu hana cytochrome P450 3A4. Kuma amfani da intocers na cytochrome, akasin haka, yana taimakawa rage abun da ke cikin miyagun ƙwayoyi.
Kada ku yi amfani da magungunan MAO, hana agonists da antagonists, magungunan serotonergic tare da Fendivia.
Amfani da barasa
Kada ku sha giya-mai-ruwan sha lokacin jiyya tare da miyagun ƙwayoyi a tambaya.
Analogs
Magunguna masu tasiri:
- Dolforin;
- Durogezik;
- Fentanyl.
Yanayin hutu Fendivia daga kantin magani
Magunguna magani ne.
Game da cututtukan zuciya, an yarda da samfurin don amfani, amma ana buƙatar kulawa na musamman.
Zan iya siye ba tare da takardar sayan magani ba
A'a.
Farashin Fendivia
Farashin ya bambanta daga 4900 zuwa 6400 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Yaran da aka bayar da shawarar zazzabi: + 25 ° С.
Ranar karewa
Rayuwar shiryayye na miyagun ƙwayoyi shine shekaru 2 daga kwanan wata.
Masana'antar Fendivia
LTS Lohmann Therapie-Systeme, Jamus.
Ra'ayoyi game da Fendivia
Valuididdigar masu siye da kwararru zai ba ku damar yin cikakkiyar ra'ayi game da ƙwayoyi.
Likitoci
Danilov I.I., likitan kan dabbobi, dan shekara 49, Vladivostok
Kayan aiki yana aiwatar da aikinsa - yana kawar da ciwo. Rashin daidaituwa ya haɗa da ƙananan hanzari na aiki, tun da aka saki fentonil a hankali: da farko ya ratsa tsarin mahaɗar waje sannan kawai sai ga jini. Duk da siffarta, wannan magani na iya zama haɗari saboda raunin tsarin rigakafi (halayen anaphylactoid yana haɓaka).
Verilova A.A., likitan tiyata, mai shekara 53, St. Petersburg
Ina amfani da magani akai-akai saboda yanayin da ba a daidaita ba. Yana aikatawa a hankali. Bugu da kari, farashin ya yi yawa. Idan muka yi la’akari da manyan kaddarorinta, to fa amfanin wannan kayan aikin baya ƙasa da analogues a wasu siffofin.
Marasa lafiya
Eugene, shekara 33, Penza
Magungunan suna da haɗari sosai, kamar yawancin opiates. Wani lokaci bayan farkon farawar, ya daina taimakawa. Na karanta game da yiwuwar haɓakar haƙuri ga abu mai aiki, amma ban yi zaton mai narkewar narkewa zai iya hanzarta daina aikinsa ba. Dole ne in canza zuwa analog.
Veronika, 39 years old, Moscow
Tare da oncology, yana taimakawa mara kyau. Sakamakon ɗan gajeren lokaci ne, bayan wannan ya zama dole don sauya facin ɗan tun farko, wanda matsala ce, saboda ana iya amfani da shi sama da 1 lokaci a cikin sa'o'i 48. A saboda wannan dalili, likita ya ba da wani magani.
