Don kawar da ciwo mai ɗorewa kuma yayin wasu ayyukan tiyata, yin amfani da Fentanyl ya halatta. Wannan magani ya kasance ga rukuni na roba opioid narcotic analgesics, sabili da haka, yana iya samun tasirin narcotic kuma yana haifar da dogaro. Yin amfani da miyagun ƙwayoyi na iya zama haɗari, saboda haka ana amfani dashi na musamman kamar yadda likita ya umurce shi a cikin adadin da bai wuce ƙimar da aka ƙayyade ba a cikin umarnin.
Suna
INN da alamar sunan miyagun ƙwayoyi shine Fentanyl. Sunan magani a Latin shine Fentanyl.
Don kawar da ciwo mai ɗorewa kuma yayin wasu ayyukan tiyata, yin amfani da Fentanyl ya halatta.
ATX
A cikin rarrabawa na duniya na ATX, wannan magani yana da lambar N01AH01.
Saki siffofin da abun da ke ciki
Ana samun magungunan a cikin nau'ikan sashi 2 - faci (tsarin warkewa na transdermal) da kuma mafita don gudanarwar ciki da jijiyoyin jini. Babban sinadaran aiki na Fentanyl shine mahaɗan sunan iri ɗaya.
An samar da maganin a cikin nau'ikan sashi na 2, ɗayansu shine facin (tsarin transramal na warkewa).
Monohydrate, citric acid da kuma ruwan da aka shirya an haɗa su a cikin maganin allura. Abubuwan faci sun hada da faranti, mai gogewa, da fim mai kariya. Ana samun maganin Fentanyl 0.005% a cikin ampoules na 2 da 10 ml. Katin ya ƙunshi ampoules 5 ko 10. Ana samun faci tare da yankin lamba na 4.2 cm² zuwa 33.6 cm². A cikin kwali na kwali, an gabatar dasu a guda 5.
Aikin magunguna
Ayyukan aikin analgesic na fentanyl a cikin kashi na 0.1 MG daidai yake da aikin 10 MG na morphine. Abubuwan da ke aiki da wannan ƙwayar suna shafar masu karɓa na opioid na tsarin juyayi na tsakiya da ƙananan jijiyoyin jijiya. Magunguna yana hanzarta ƙoshin jin zafi, saboda yana hana yaduwar raɗaɗin mai raɗaɗi tare da ƙwayoyin jijiya zuwa ƙwayoyin jijiya na tsakiya wanda ke da alhakin binciken su.
Magunguna yana hanzarta ƙara ƙarfin jin zafi, saboda yana hana yaduwar abubuwa tare da ƙwayoyin jijiya zuwa ƙwayoyin tsakiya na tsakiya.
Wannan maganin opioid yana canza tsinkaye game da ciwo. Magungunan suna da sakamako mai laushi. Magungunan ba wai kawai ana nuna shi ta hanyar farfadowa da sakamako mai guba ba, yana iya haifar da jin euphoria, saboda haka yana yiwuwa haɓaka dogaro na jiki da na tunani. Bugu da ƙari, tare da sake amfani da miyagun ƙwayoyi, haƙuri ga abu mai aiki na Fentanyl na iya faruwa.
Pharmacokinetics
Aiki mai guba na miyagun ƙwayoyi shine mai narkewa. Rarraba magungunan bayan gudanarwar ba a daidaita yake ba, kuma da farko ana samo alamunsa a cikin kodan, hanta da sauran gabobin da ke cikin wadatar jini. Bayan haka, sai ya cika sauran kasusuwa na jikin mutum. An riga an lura da mafi girman magunguna a cikin jini tuni mintuna 3 bayan allura a cikin jijiya, kuma lokacin da aka saka shi cikin tsoka, ya kai matsayinsa mafi girma cikin rabin sa'a.
Lokacin da aka saka shi cikin tsoka, maida hankali ga kayan ya kai babban matsayin shi a cikin rabin sa'a.
Babban matakin tattara magunguna a cikin jini na kimanin awa 2. A wannan lokacin, ana lura da sakamako masu narkewa. Metabolism na abu mai aiki yana faruwa a cikin hanta. An cire miyagun ƙwayoyi musamman tare da fitsari. Har zuwa 10% na kashi an cire shi ba a canzawa. Bayan an yi amfani da guda, ana amfani da maganin a cikin awa 6-12. Lokacin amfani da facin, ana aika da abu mai aiki zuwa tsarin juyayi na tsakiya da jijiyoyin gefe na akalla awanni 72.
Wannan hanyar kulawa da magunguna tana ba ku damar kula da maida hankali a cikin jini a matakin daidai tsawon lokaci.
Alamu don amfani
Mafi mahimmancin nuni ga amfani da fentanyl shine neuroleptanalgesia. Wannan hanya ce ta maganin motsa jiki wanda ke cikin mara lafiya a cikin hankali, amma baya jin zafi kuma baya jin motsin rai. Ana amfani da irin wannan hanyar don jinƙan azaba don kewayon hanyoyin bincike da tiyata, gami da akan gabobin ciki.
Ana amfani da miyagun ƙwayoyi don maganin kutse.
Don maganin sa barci na gida, ana amfani da faci sau da yawa. Za'a iya amfani da maganin don maganin rashin lafiyar mutane da ke shan maganin hana haihuwa da kwanciyar hankali, gami da Droperidol da Xanax. Bugu da ƙari, tare da gabatarwar mai haƙuri a cikin maganin sa barci, haɗin Fentanyl da Propofol mai yiwuwa ne.
Sau da yawa ana amfani da Fentanyl don kawar da ci gaba da jin zafi a kan oncology a cikin manya da yara. Tare da ciwace-ciwacen daji wanda ba za'a iya kawar da shi ta hanyar radiation da chemotherapy ba, ana iya amfani da wakilin a cikin facin. Bugu da ƙari, an ba shi izinin amfani da magani don kawar da ciwo mai zafi tare da infarction na myocardial. Yin amfani da Fentanyl ya halatta don kawar da ciwo mai raɗaɗi a cikin cututtukan cututtuka daban-daban, idan ba zai yiwu a sami sakamako mai kyau ba ta hanyar yin amfani da wasu kwayoyi.
Yin amfani da Fentanyl ya halatta don kawar da ciwo na kullum, idan amfani da wasu magunguna bai taimaka ba.
Contraindications
Amfani da Fentanyl ba shi da karbuwa don lura da mutanen da ke fama da asma da kuma cututtukan da ke fama da numfashi. Ba za ku iya amfani da kayan aikin ba idan masu haƙuri suna da halayyar halayen halayen rashin lafiyan mutum da ƙin jin ƙai ga abubuwan haɗin maganin. Yin amfani da Fentanyl azaman maganin maye don maganin tiyata ba a bada shawarar ba.
Ba'a ba da shawarar yin amfani da miyagun ƙwayoyi don lura da mutanen da ke da kwayoyi masu ƙwaya da rashin lafiyar ƙwayoyi.
Yadda ake ɗaukar fentanyl?
Kimanin mintina 15 kafin a yiwa mai haƙuri sakin jiki kafin tiyata, ana amfani da maganin iv a cikin sashi na 0.05 zuwa 0.1 MG a kilogiram na nauyin jikin. A lokacin tiyata, ana gudanar da aikin jiyya a cikin kashi 0.05 zuwa 0.2 MG a kilogiram na nauyin jiki kowane minti 30. Don maganganu tare da raɗaɗi mai raɗaɗi, ana amfani da facin Fentanyl, waɗanda aka haɗe zuwa fata don awanni 72.
Don maganganu tare da raɗaɗi mai raɗaɗi, ana amfani da facin Fentanyl, waɗanda aka haɗe zuwa fata don awanni 72.
Tare da ciwon sukari
A lokacin maganin sa barci a cikin marasa lafiya da masu ciwon sukari na mellitus, maganin rashin ƙarfi yana nuna amfanin Fentanyl a hade tare da Propofol da Diazepam. An zabi kashi daban daban.
Side effects
Sau da yawa, a kan asalin amfani da miyagun ƙwayoyi, ana lura da rudani da raguwar hauhawar jini. A cikin mafi yawan lokuta, saboda aikin wannan miyagun ƙwayoyi, kamawar zuciya yana faruwa. Hakanan za'a iya samun sakamako daga wasu bangarori da tsarin.
A cikin mafi yawan lokuta, saboda aikin Fentanyl, kama zuciya yana faruwa.
Gastrointestinal fili
Bayan amfani da maganin, da yiwuwar haɓaka biliary colic yana da yawa. Bugu da kari, ana fuskantar rikicewar yanayi, tashin zuciya, da amai.
Hematopoietic gabobin
Rashin farin ciki da wuya
Tsarin juyayi na tsakiya
Lokacin amfani da Fentanyl, haɓakar matsin lamba intracranial da matsanancin ciwon kai yana yiwuwa. Bugu da kari, rashin nutsuwa, yanayin cutar hanji da kuma rauni na gani na iya zama sakamako mai illa.
Daga tsarin urinary
Da wuya, marasa lafiyar da ke fuskantar shan jijiyoyin cutar Fentanyl.
Daga tsarin numfashi
Magungunan yana lalata cibiyar numfashi a cikin kwakwalwa, don haka kamawar numfashi yana yiwuwa.
Cutar Al'aura
Dukansu tare da yin amfani da mafita kuma tare da yin amfani da faci, fatar jiki da itching na iya faruwa. A cikin halayen da ba a sani ba, laryngospasm da edema na Quincke suna faruwa.
Lokacin amfani da mafita, haka kuma lokacin amfani da facin fata, fatar jiki da itching na iya faruwa.
Umarni na musamman
Yin amfani da facin fentanyl yana buƙatar cikakken ƙin yarda da hanyoyin sunbathing. Daga ziyartar sauna da wanka shima yakamata a bar shi. Ba za ku iya amfani da wannan magani don maganin rashin ƙarfi ba idan babu yanayi don samun iska ta inji.
Amfani da barasa
Yayin aikin jiyya tare da Fentanyl, yakamata a zubar da giya.
Tasiri kan ikon sarrafa abubuwan inji
Fitar da mota yayin da ake ci gaba da magani tare da Fentanyl ya kamata a watsar da shi.
Yi amfani da lokacin daukar ciki da lactation
Jiyya tare da Fentanyl ba abu ne da za a yarda da shi ba a lokacin daukar ciki, tunda hadarin ga tayin yana da matuƙar ƙarfi saboda yuwuwar ci gaba da cututtukan cututtukan fata. Idan mace ta sha wannan magani lokacin haihuwar jariri, jariri na iya bayyanar da bayyanar alamun cirewa. Idan kana buƙatar amfani da maganin bayan haihuwa, dole ne ka ƙi shayar da jariri nono.
Za'a iya amfani da kayan aikin don maganin tsofaffi cikin rashin raunin ƙwayoyin cuta na tsarin numfashi, kodan da hanta.
Adana Fentanyl ga Yara
A cikin aikin tiyata na yara, ana amfani da maganin a cikin sashi na 0.002 mg / kg. A lokacin tiyata, za'a sanya a cikin magani na jijiya a cikin kashi 0.1 zuwa 0.15 a kowace kilogiram. Gudun cikin wucin gadi a cikin kashi na 0.15 zuwa 0.25 MG mai yiwuwa.
Yi amfani da tsufa
Za'a iya amfani da kayan aikin don maganin tsofaffi cikin rashin raunin ƙwayoyin cuta na tsarin numfashi, kodan da hanta.
Yawan damuwa
Idan kayi amfani da magani mai yawa sosai na kwayoyi, gazawar numfashi na iya faruwa. Kari akan haka, a wasu majinyata dangane da asalin wannan yawan opiate, hypotension da matsanancin spasm tsoka sun lura. A cikin mawuyacin hali, haɓaka waƙoƙi, rashi da ruwan ɗorawa yana yiwuwa.
Idan kayi amfani da magani mai yawa sosai na kwayoyi, gazawar numfashi na iya faruwa.
Yin hulɗa tare da wasu kwayoyi
Yin amfani da fentanyl tare da wasu magunguna waɗanda ke da tasirin nutsuwa, sakamako mai narkewa, kamar yadda yake tare da opioids, yana ƙara haɗarin sakamako masu illa. Idan mai haƙuri yayi amfani da inhibitors na CYP3A4 lokacin amfani da Fentanyl, za a ƙara yawan tattarawar ƙarshen a cikin jini, wanda zai ƙara tsawon lokacin tasirin. Lokaci guda na gudanar da CYP3A4 inducer yana haifar da raguwa game da tasiri na opiate.
Analogs
Magunguna waɗanda suke da irin wannan sakamako tare da Fentanyl sun haɗa da:
- Durogezik.
- Fentadol
- Fendivia.
- Dolforin.
- Lunaldin.
Rikicin maganin yana iya zama Lunaldin.
Magunguna kan bar sharuɗan
Ana ba da maganin a magunguna ta hanyar takardar sayan magani.
Zan iya siye ba tare da takardar sayan magani ba
Lokacin sayen kuɗi daga masu siyar da kaya ba tare da izini ba, akwai yuwuwar samun magungunan karya ko karewa.
Farashin Fentanyl
A cikin Rasha, farashin Fentanyl shine daga 125 zuwa 870 rubles. Kudin patch din daga 1800 zuwa 4700 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Mafi kyawun yanayin zafin jiki na magani shine 25 ° C.
Ranar karewa
Kuna iya adana miyagun ƙwayoyi bai wuce shekaru 4 ba.
Fentanyl Reviews
Oksana, 29 years old, Murmansk
Fentanyl faci suna da mahimmanci kawai don tallafawa mutanen da ke fama da cutar kansa. Mahaifiyata tana da matsalolin rashin lafiya. Ba za a iya jure zafin ba. Sai bayan an yi maganin wannan maganin, sai ta samu damar yin bacci kullum sai ta fara ci. Farashin faci yana da girma, amma samfurin yana ba da sakamako mai kyau.
Grigory, dan shekara 45, Moscow
Bayan na shiga cikin haɗari Ina da manyan matsaloli tare da kashin baya. Magungunan marasa amfani da ƙwayoyi ba su rage jin zafi ba. Rayuwa ta zama ba za a iya jurewa ba. Gyaran ya kasance mai wahala. Ya samu sauki ne kawai bayan likitan ya ba da umarnin facin magungunan Fentanyl. An yi amfani da kayan aikin fiye da wata daya. Bayan dakatar da amfani da wannan magani. Ban ji wani alamun jaraba ba.
