Rashin damuwa na tsarin juyayi, raunin psychotic, lalata kwakwalwa ta asalin asali yana buƙatar haɗaɗɗiyar hanyar kula da jiyya. Sabili da haka, likita, a cikin tsarin da ya dace da maganin jijiyoyin jiki, ya tsara ba wai kawai magungunan nootropic da ke mayar da aikin kwakwalwar mai haƙuri ba, har ma da magungunan antipsychotic.
Ana daukar Finlepsin magani ne na wannan rukunin.
Carbamazepine sunan duniya ne na maganin, wanda kamfanin Isra’ila Teva (Teva Pharmaceutical Industries) kera shi.
ATX
Dangane da magungunan anatomical Therapeutic Chemical (kasa da kasa na kasa-mai warkewa-sunadarai), an sanya maganin ne lambar N03AF01.
Finlepsin yana taimakawa tare da rikice-rikice na tsarin juyayi, rikicewar psychotic, lalatawar kwakwalwa na asali daban-daban.
Saki siffofin da abun da ke ciki
Ana samar da wannan magani a cikin nau'ikan alluna masu launi iri-iri na launin shuɗi-fari. Akwai chamfer a farfajiyar su. A gefe guda, allunan suna da hutu.
Abubuwan da ke aiki da maganin shine carbamazepine.
Componentsarin abubuwan haɗin maganin sune:
- magnesium stearate;
- Solutab;
- gelatin.
Ana samar da wannan magani a cikin nau'ikan alluna masu launi iri-iri na launin shuɗi-fari.
Kwatin kwandon ya hada da blister 2, 3 ko 5, kowannensu yana dauke da allunan 10 na magani.
Kowace kwamfutar hannu ta ƙunshi 200 MG na ƙwayar aiki mai suna Carbamazepinum.
Baya ga daidaitattun, samar da Allunan na tsawan aikin (Retard). Sun ƙunshi 400 MG na kayan aiki mai aiki.
Yaya aiki?
Magungunan da aka gabatar da su ba kawai antipsychotic ba, amma har ma da sakamako na analgesic. Hakanan yana haifar da ingantaccen sakamako na maganin tari.
Don fahimtar waɗanne hanyoyi ne tushen aikin wannan ƙwayar cuta, yadda suke aiki, wanda suke da alhakinsu, ya wajaba a yi la’akari da magungunansa na dalla-dalla.
Pharmacokinetics
Magungunan na da ƙarancin sha na babban abu a cikin jini.
Shan maganin bayan cin abinci yana rage jinkirin daukar nauyin kayan aikinsa.
Cikakken shan kayan bayan shan maganin farko na maganin yana faruwa bayan sa'o'i 10-12.
Mataki na karshe na metabolism na abu mai aiki carbamazepine yana gudana a cikin hanta. Abubuwan da ke cikin lalacewa sune metabolite kamar 9-hydroxymethyl-10-carbamoyl acridane.
Magungunan na da ƙarancin sha na babban abu a cikin jini.
Sakamakon samfurin na rayuwa yana barin mai haƙuri ta hanyar hanji da hanjin kansa kwana ɗaya bayan ɗaukar kashi na miyagun ƙwayoyi (tare da feces da fitsari).
Arshe rarrabewar ɗaukacin ƙwayar sinadaran aiki a cikin jini yana faruwa bayan kwanaki 7-14. Ingancin rarrabawa ya dogara ba kawai kan takamaiman matakan tafiyar matakai na jikin mai haƙuri ba, har ma a tsawon lokacin da aka yi amfani da shi, a kan sashi na ƙwayoyi da kuma ƙarfin ci gaba da cutar.
Abinda ya taimaka
An tsara maganin da aka gabatar dashi a yanayin mai zuwa:
- mai da hankali ga mamayewa game da cutar sankara, gami da almara tare da hadaddun gungun alamomin;
- lalata lalacewa ta tara na jijiya na tara, tare da jin zafi a cikin kunne, maƙarƙashiya da harshe;
- alama hadaddiyar cuta tare da janyewar barasa akan asalin maye na jiki;
- kumburi trigeminal;
- zafi tare da trigeminal neuralgia;
- raguwa a cikin matakin kwantar da hankali na Achilles da tsinkayewar girgiza kai dangane da asalin cutar sankarau;
- catatonia tare da schizophrenia na maimaituwa;
- jijiyar tsoka da kuma lalura na wahalar numfashi akan asalin cutar sanyin fata (idiopathic etiology);
- ƙafafun kafa;
- psychoses, dysfunctions na tsarin limbic;
- seizures a lokacin bacci na tsarin halittar jiki;
- rushewar bangarori daban-daban na thalamus;
- glossopharyngeal neuralgia;
- ciwon tsoka, raunin da ya shafi tsokoki na fuskoki yayin rushewar kwakwalwa;
- paresthesia na etiologies daban-daban.
An wajabta magunguna na tsawaitawa don abubuwan da suka gabata na asibiti, a matsayin maganin hana haihuwa, da kuma kawar da rashin jin daɗi a cikin haɗakar maganin cututtukan ƙwaƙwalwa irin su encephalopathy da ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta mai narkewa (tare da migraine-like ko cluster ciwon kai) a matsayin tasiri na analgesic.
Hakanan an wajabta shi don osteochondrosis, ɓacin rai da neurosis.
Contraindications
Ba a sanya magani ba a cikin yanayi kamar:
- ƙananan farin ƙwayar farin jini;
- yaduwa da kayan haɗin haɗin nama na gabobin ciki na mummunar yanayi;
- take hakkin metabolment na pigment akan asalin tafarkin porphyria;
- mutum rashin haƙuri a cikin abubuwan da ke yin magungunan tricyclic;
- karancin kwayoyin cutar kansa;
- bugun zuciya na atrioventricular;
- hyponatremia;
- take hakkin tsarin na numfashi;
- mummunan halayen da ke haifar da rigakafi (rikicewa, damuwa, damuwa, hawan jini da wasu mutane);
- huhu da rashin lafiyan ciwon huhu;
- karancin baƙin ƙarfe;
- take hakkin al'ada aikin tsarin bashin jini.
An ba da shawarar sosai don ɗaukar miyagun ƙwayoyi tare da hana ƙin jini na jini, tare da hanta mai aiki da koda, tare da ƙara matsa lamba cikin jijiya.
Yadda ake ɗauka
A cikin haɗuwa da maganin cututtukan ƙwayar cuta, neuralgia da sauran cututtuka, likitan ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa ya ƙaddara shi bisa sakamakon cikakken binciken haƙuri, yin la'akari da tasirin asibiti na miyagun ƙwayoyi.
Magungunan da aka gabatar don cututtukan fata ana ɗauka ta baki tare da karamin ruwa, a cikin sashi mai zuwa: 200-400 mg na carbamazepine kowace rana bayan abinci.
Idan magani a cikin wannan ƙimar ba ta da tasirin maganin da ya dace, to, an daidaita sashi: an tsara marasa lafiyar manya 800-1200 MG na kayan mai aiki sau 3 a rana bayan abinci.
A matsayin ɓangare na lura da alamun cirewa a kan asalin maye na barasa, an wajabta mai haƙuri 200 MG na carbamazepine sau 2-3 a rana don 1 mako.
Tare da idiopathic glossopharyngeal neuralgia da sauran nau'in neuralgia, sashi yana faruwa kamar haka: ana ɗaukar maganin daga 200-400 mg na abu mai aiki a kowace rana, sannu a hankali yana ƙara kashi zuwa 800 MG na ƙwayar aiki mai aiki a kowace rana.
A matsayin ɓangare na lura da alamun cirewa a kan asalin maye na barasa, an wajabta mai haƙuri 200 MG na carbamazepine sau 2-3 a rana don 1 mako.
Har yaushe ze dauka?
Yawan bayyana bayyanuwar tasirin magani ya dogara da nau'in cutar da tsananin kwayar ta. Misali, sakamakon asibiti na wannan magani a cikin lura da neuralgia na etiologies daban-daban an bayyana shi a minti 60-90 bayan shan kashi na farko (matsakaicin sa'o'i 3-4).
Don fayyace wannan bayanin, dole ne ka nemi likitanka don cikakken shawarwari.
Soke
Yanke shawarar yanke shawarar dakatar da wannan magani shine mai ilimin kwantar da hankali.
Misali, lokacin da aka cire cututtukan fata, ana soke maganin a hankali, rage kashi na sashin jiki mai aiki a tsakanin watanni 6-12 bisa ga makircin da likitan ya kirkiro dangane da duk halaye na mutum na mai haƙuri (shekaru, kasancewar sauran cututtukan cututtukan fata, nauyi, da sauransu).
Yanke shawarar yanke shawarar dakatar da wannan magani shine mai ilimin kwantar da hankali.
A lokaci guda, suna bincika matakin aiki a kwakwalwar ɗan adam a kai a kai ta yin amfani da electroencephalography don tantance ingantaccen tasirin ilimin halittu.
Ana tattauna cikakken bayani game da cirewar magunguna tare da halartar likitan kowane ɗayan.
Jin zafi a cikin masu ciwon suga
Tare da neuropathies na masu ciwon sukari, ana rubanya 200 M na kayan aiki mai aiki sau 2-3 a rana. Matsakaicin izini na yau da kullun na wani abu don kawar da jin zafi shine 1.2 g.
Side effects
Akwai halayen da yawa da ba a so daga tsarin kwayoyin saboda amsa shan magani.
Yi la'akari da nau'ikan sakamako masu illa da halayen mai guba cikin cikakkun bayanai.
Tare da neuropathies na masu ciwon sukari, ana rubanya 200 M na kayan aiki mai aiki sau 2-3 a rana.
Gastrointestinal fili
Sakamakon sakamako daga tsarin narkewa ya haɗa da:
- ƙarancin ƙaruwa a yawan enzymes na pancreatic;
- vomiting, yawan haɓakar ɗanyen abinci, canji na ɗanɗano;
- m sako-sako da
- zafin epigastric;
- fashewar cututtukan cututtukan cututtukan fata;
- cin zarafin hanta, ilimin cututtukan kwayoyin halitta (alal misali, haɓaka yaduwar hepatic).
Hematopoietic gabobin
Daga cikin halayen da ake samu daga gungun jini sune:
- karuwa da yawan eosinophils;
- karuwa a girman girman saifa;
- raguwa cikin ƙididdigar platelet;
- take hakkin aiki na jini;
- leukopenia da sauransu
Daga tsarin zuciya
Tasirin sakamako daga tsarin zuciya da jijiyoyin jini sun hada da:
- take hakkin aiwatarwar zuciya;
- samuwar suturar jini a cikin jijiya ta jini;
- raguwa mai kaifi a cikin karfin jini;
- toshewar wani jirgi da ke kan bangon zuciya, sanye da jini.
Daga tsarin urinary
Abubuwan da ba a so daga tsarin urinary sun hada da:
- tafiyar matakai masu kumburi a cikin kashin yara;
- riƙewar fitsari;
- ƙara yawan urea a cikin jini;
- rashi mai aiki;
- m, profuse urination;
- rage iko.
Daga tsarin endocrine da metabolism
Daga cikin raunin da ya faru daga tsarin endocrine da metabolism sune:
- girma gashi a farfajiyoyin jiki, kan fuskar mata;
- kumburi
- hargitsa mahaifa (tashin hankali barcin);
- rage karfin kashi;
- matsanancin nauyi;
- kumburi kumburi.
Cutar Al'aura
Allergic halayen da ke faruwa bayan shan miyagun ƙwayoyi sun haɗa da:
- urticaria;
- angioedema;
- erythema;
- itching
- jan launi na fata;
- kumburi ganuwar jijiyoyin jini da wasu.
Umarni na musamman
Domin kada ya tsokane faruwar haɗarin haɗari, yana da mahimmanci don sanin kanka tare da umarni na musamman kafin ɗaukar Finlepsin.
Amfani da barasa
Ba za ku iya shan barasa ba yayin shan magani don cutar tare da wannan magani.
Tasiri kan ikon sarrafa abubuwan inji
Motsa motoci da shiga cikin ayyukan da ke buƙatar ƙara yawan jan hankali yayin shan magani haramun ne.
Yi amfani da lokacin daukar ciki da lactation
Likita ya tanadi wannan magani ga mata masu juna biyu da masu juna biyu idan fa'idarsa ta wuce yuwuwar haɗarin rikitarwa a cikin yarinta da uwa.
Likita ya tanadi wannan magani ga mata masu juna biyu da masu juna biyu idan fa'idarsa ta wuce yuwuwar haɗarin rikitarwa a cikin yarinta da uwa.
A lokaci guda, likita ya ba da shawarar cewa duka mata masu shayarwa da jarirai suna shan bitamin K.
Gudanar da Finlepsin ga yara
Likita na da 'yancin rubuta magunguna ga yara.
Yana halatta a murƙushe kwamfutar hannu kuma a haɗu da ruwa idan yaron bai iya cinye duka ba.
Ga yara daga shekara 1 zuwa 5 tare da neuralgia da amai, 100-150 MG na abu mai aiki a kowace rana bayan abinci an tsara shi sosai a ƙarƙashin kulawar likitan halartar.
An tsara yara daga 5 zuwa 10 masu shekaru 200 MG na abu a rana.
An tsara yara daga 10 zuwa 15 da shekaru 15 na maganin carbamazepine kowace rana.
Idan ya cancanta, likita ya kara sashi don cimma sakamako mafi girman asibiti.
Likita na da 'yancin rubuta magunguna ga yara.
Yi amfani da tsufa
Ga tsofaffi, halartar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa yana ba da izini ga miyagun ƙwayoyi a cikin sashi mai zuwa: 100 mg na abu mai aiki sau 2 a rana tare da karamin ruwa (bayan cin abinci).
Yawan damuwa
Lokacin ɗaukar babban allurai na wannan magani, mai haƙuri yana da irin halayen da ba a so kamar:
- cramps na ƙasan ƙananan baya da na babba;
- disorientation a cikin yanayin;
- raunin gani;
- wahalar numfashi
- amai da gudawa;
- kumburi
- suma
- zuciya tashin hankali.
Yin hulɗa tare da wasu kwayoyi
Yi la'akari da daidaituwa da ƙayyadaddun haɗakar wannan maganin tare da magunguna daban-daban.
Haɗin ba da shawarar ba
Gudanarwa na lokaci guda na hana masu amfani da kungiyoyi daban-daban tare da carbamazepine yana haifar da haɗarin haɗari na tasirin da ba'a so.
Ba za ku iya ɗaukar magani tare da Felbamate ba, saboda yana rage adadin abu mai aiki a cikin jini. Saboda wannan dalili, an hana shan magani tare da magunguna masu ɗauke da lithium.
Shan magani tare da magani mai guba da magungunan shaye-shaye na haifar da rudani.
Tare da haɗakar magungunan da aka gabatar tare da acid na valproic, mai haƙuri na iya fada cikin rashin lafiya.
Shan magani tare da magani mai guba da magungunan shaye-shaye na haifar da rudani.
Tare da kulawa
Tunda wannan magani yana haɓaka metabolism na cututtukan cututtukan hormonal daban-daban, ya zama dole a nemi likita kafin fara karatun magani.
Shan magungunan da aka gabatar tare da wasu magungunan anticonvulsants suna haifar da amai, gudawa, da tsalle cikin karfin jini.
Analogs
Dangane da kaddarorin da sakamako na asibiti, an bambanta jerin magungunan analogues na miyagun ƙwayoyi. Mafi kyawun su:
- Lyricswaƙwalwa (abu mai aiki shine pregabalin);
- Tegretol (farashi mai araha, abu mai aiki shine carbamazepine);
- Carbamazepine (farashinsa yayi ƙasa da na wasu ƙwayoyin cuta).
Magunguna kan bar sharuɗan
Yi la'akari da yadda kuma a wane farashi zaka iya siyan wannan magani a cikin kantin magani.
Ana sayar da maganin a cikin kantin magani daidai gwargwadon aikin likita.
Zan iya siye ba tare da takardar sayan magani ba
Ana sayar da maganin a cikin kantin magani daidai gwargwadon aikin likita.
Farashin Finlepsin
Matsakaicin farashin maganin shine 250 rubles.
Yanayin ajiya na miyagun ƙwayoyi Finlepsin
An adana maganin a wani wuri wanda aka kiyaye shi daga yara, dabbobi da hasken rana, a zazzabi da bai wuce + 30 ° C ba.
Finlepsin
Ana iya amfani da wannan maganin tsawon shekaru 3 daga ranar da aka ƙera shi.
Shaidun likitoci da marasa lafiya game da Finlepsin
Anastasia, ɗan shekara 20, Mai ban tsoro: "Magungunan na taimaka wajen kawar da ciko da ciwon kai lokacin tashin hankali na encephalopathy. Na dau tsawon lokaci ina ɗauka. Akwai illa.
David, dan shekara 44, masanin ilimin halittu, Arkhangelsk: “A matsayina na masanin ilimin halittar mahaifa, zan iya cewa miyagun ƙwayoyi ba kawai halayen kirki ba ne. Babban tasirinsa yana tabbatar da sakamako masu yawa .. Misali, yana dawo da jijiyoyin jiki a cikin makonni 1.5-2. sakamako mai kyau.
