Tebantin rukuni ne na magungunan antiepilepti. Yana da sakamako mai illa. Ana amfani dashi musamman don maganin cututtukan cututtukan cututtukan cututtukan zuciya, da yanayin rikicewar cuta, da rikitarwa. Bugu da ƙari, wannan magani yana kawar da wasu alamun, irin su jin zafi. Magungunan sun shiga cikin tsarin kwayoyin halittar jikin mutum. Sau da yawa wannan yana nufin haɓaka yawan sakamako masu illa.
Sunan kasa da kasa mai zaman kansa
Gabapentin (a cikin Latin - Gabapentin).
Tebantin rukuni ne na magungunan antiepilepti.
ATX
N03AX12 Gabapentin
Saki siffofin da abun da ke ciki
Ana samar da miyagun ƙwayoyi a cikin nau'i na capsules. Suna da kwasfa gelatin, yanayi mai tsayayyen tsari, a ciki yana ɗauke da sinadarai masu ƙarfi. Babban fili wanda ke nuna aikin anticonvulsant shine gabapentin. Yawan sashi ya bambanta: 100, 300 da 400 MG (a cikin 1 capsule). Compoananan mahadi waɗanda ba sa aiki:
- magnesium stearate;
- talc;
- pregelatinized sitaci;
- lactose monohydrate.
Kunshin ya ƙunshi blisters 5. Jimlar adadin capsules na iya zama daban: 50 da kwamfutoci guda 100.
Ana samar da miyagun ƙwayoyi a cikin nau'i na capsules.
Aikin magunguna
An lura da kamannin tsarin wannan magani da gamma-aminobutyric acid. Bangaren mai aiki yana ɗaukar mafi girman canji. Wannan ya faru ne saboda gaskiyar cewa kayan abinci ne na lipophilic. Duk da kamanceceniya, magungunan da ake tambaya ba sa hannu a cikin kama gamma-aminobutyric acid. Akwai rashin tasiri na Tebantin akan metabolism na wannan abun.
Wani fasalin aikin magungunan ƙwayar cuta shine ikon yin hulɗa tare da abubuwan alpha2-gamma subunits na alli tubules, wanda aka tabbatar da shi ta hanyar nazarin asibiti. Karkashin tasirin Tebantin, ana hana motsi kwararar ions alli. Sakamakon wannan tsari shine raguwa da yawaitar zafin neuropathic.
A lokaci guda, maganin yana taimakawa rage mutuwar jijiyoyi. A ƙarƙashin tasirinsa, ƙaruwar aikin gamma-aminobutyric acid yana ƙaruwa. Bugu da kari, yayin gudanar da aikin Tebantin, an lura da hanawar kwantar da jijiyoyin kai na rukunan monoamine. Duk waɗannan abubuwan suna haɗuwa tare da raguwa da tsananin zafin raunin neuropathic.
Amfanin magungunan da ake tambaya shine rashin iya hulɗa tare da masu karɓar wasu magunguna da ake amfani dasu wajen maganin cututtukan fata. Bugu da ƙari, bambancin Tebantin shine rashin yiwuwar haɗarin haɗarin tubules sodium.
Pharmacokinetics
Lokacin da babban abu ya shiga narkewa, ana lura da babban adadin sha. Idan ana amfani da miyagun ƙwayoyi a karo na farko, matakin aiki yana ƙaruwa a hankali kuma ya kai kololuwa bayan sa'o'i 3. Tare da maimaita yin amfani da miyagun ƙwayoyi, mafi girman taro na aiki yana kai da sauri - cikin awa 1.
Cikakken cire kayan aiki mai aiki daga jiki (musamman daga plasma) ana samunsa ta hanyar hemodialysis.
Siffar da miyagun ƙwayoyi da ake tambaya shine dangantakar gwargwadon iko tsakanin adadin mai aiki wanda mai haƙuri da bioavailability suke ɗauka. Wannan alamar yana raguwa tare da karuwa a cikin adadin ƙwayoyi. Cikakken ilimin halittar maganin shine kashi 60%.
Babban aiki mai aiki kusan baya daure wa garkuwar plasma. Hankalin gabapentin a cikin ƙwayar cerebrospinal bai wuce kashi 20% na matakan plasma ba. Lokacin kawar da babban fili shine awa 5-7. Darajar wannan mai nuna alama an daidaita kuma baya dogaro da sashi na ƙwayoyi.
Wani fasalin gabapentin shine excretion canzawa. Cikakken cire kayan aiki mai aiki daga jiki (musamman daga plasma) ana samunsa ta hanyar hemodialysis.
Me ake amfani dashi?
An ba da shawarar yin amfani da miyagun ƙwayoyi a tambaya a cikin waɗannan lambobin:
- yanayi mai rikitarwa (tare da samar da sakandare), tare da raunin motsa jiki, tunani, raunin kansa;
- Raunin neuropathic a cikin marasa lafiya fiye da shekaru 18 da haihuwa.
An lura cewa yayin rubuta magani don kawar da alamun cututtukan hankula, ana yin la’akari da shekarun mai haƙuri. Don haka, tsofaffi da yara daga shekaru 12 ana yaba su don amfani da wannan kayan aikin duka tare da maganin taɓotherapy, kuma a zaman wani ɓangare na kulawa mai wahala. Lokacin da ya zama dole don kawar da alamun rashin lafiyar dake cikin marasa lafiya daga shekaru 3 zuwa 12, amfani da Tebantin yana yiwuwa kawai tare da wasu magunguna.
An ba da shawarar yin amfani da miyagun ƙwayoyi a cikin tambaya idan akwai jin zafi na neuropathic a cikin marasa lafiya fiye da shekaru 18 da haihuwa.
Contraindications
An bambanta yanayin cututtukan ƙwaƙwalwar ƙwayar cuta wanda ba a wajabta magunguna a ciki ba Wadannan sun hada da:
- amsawar mutum yayin da babban bangaren ya shiga jiki;
- maganin cututtukan ƙwayar ƙwayar ƙwayar cuta a cikin m lokaci;
- mummunar amsa ga lactose, rashi lactase, glucose-galactose malabsorption, wanda ya kasance saboda abun cikin lactose a cikin ƙwayoyi.
Tare da kulawa
Marasa lafiya tare da gazawar koda suna buƙatar daidaita sashi na fili mai aiki. Wannan ya faru ne saboda gaskiyar cewa tare da irin wannan ilimin, ana cire hancin babban abu a hankali, zai iya zama awanni 52.
Halin da ke tattare da cututtukan cututtukan ciki wanda ba a sanya magani a cikin tambaya ba shine pancreatitis a cikin m lokaci.
Yadda ake ɗaukar Tebantin?
Cin abinci baya tasiri sha da aiki na miyagun ƙwayoyi. Bai kamata a tauna Capsules ba, saboda wannan, sakamakon Tebantin na iya ƙaruwa.
Mafi qarancin hutu tsakanin allurai na magunguna shine awanni 12. Umarnin don amfani a cikin yanayi daban-daban na cututtukan cuta:
- M cramps. Yawan maganin manya da yara shine 900-1200 MG kowace rana. Fara farawa na magani tare da mafi ƙarancin adadin (300 mg). Yaran da ke da shekaru 3 zuwa 12 ana wajabta maganin, suna la'akari da nauyin jikin mutum. Isasshen adadin ƙwayar yana ɗauka yana cikin kewayon 25-35 mg / rana. A wannan yanayin, an tsara maganin tare da sauran magungunan antiepileptic. Ya kamata a rarraba kashi na yau da kullun zuwa kashi 2-3.
- A cikin lura da raunin neuropathic, an ƙaddara adadin abu mai aiki akayi daban-daban. Matsakaicin warkewa a cikin wannan yanayin shine 3600 mg / rana. Hanyar jiyya tana farawa da mafi ƙarancin adadin aiki (300 MG). Ana rarraba kashi na yau da kullun zuwa kashi 2-3.
Sashi don marasa lafiya da ciwon sukari
Ya kamata a ɗauka a cikin zuciya cewa ƙwayar tana da tasiri kan matakin glucose a cikin jiki. Saboda wannan, ana buƙatar daidaita sashi na fili mai aiki. Adadin magungunan ga marasa lafiya da ke dauke da cutar siga an wajabta daban.
Adadin magungunan ga marasa lafiya da ke dauke da cutar siga an wajabta daban.
Har yaushe za a ɗauka?
Tsawon lokacin hanya ya bambanta da dalilai da yawa: shekarun mai haƙuri, hoto na ɗabi'a, tsananin bayyanar cututtuka, nau'in cuta, cututtukan da ke da alaƙa da ke haifar da haɓakar kwafin aiki. Koyaya, an lura cewa a mafi yawan lokuta, tsawon lokacin magani shine makonni 1-4. Haka kuma, taimako yana zuwa kwanaki 1-2 bayan fara warkewa.
Side effects
Babban hasara na miyagun ƙwayoyi shine adadin adadin halayen marasa kyau. Intensarfafawar tasirin sakamako yana dogara da yanayin jikin mutum a lokacin warkarwa.
Gastrointestinal fili
Alamun cututtukan gastrointestinal:
- tashin hankali a cikin ciki;
- haɓaka ko, daɗi, ƙara ci;
- canza canji;
- anorexia;
- rashin tsoro;
- cututtukan hakori;
- lalacewar hanta (hepatitis);
- jaundice
- maganin ciwon huhu
Alamar cututtukan gastrointestinal shine jaundice.
A ɓangaren fata
An lura da bayyanar rashes.
Hematopoietic gabobin
Pathologies kamar su thrombocytopenia, leukopenia suna haɓaka.
Tsarin juyayi na tsakiya
Akwai cin zarafin yanayin psychoemotional (rashin jin daɗi, tashin zuciya, da sauransu), bayyanar ƙaiƙayi da ciwon kai. Wasu lokuta tics, rawar jiki suna faruwa, amnesia na iya haɓaka. Akwai cin zarafin tunani (rikicewa ta bayyana kanta), hankali (paresthesia), bacci, motsa jiki.
Daga tsarin numfashi
Wadannan cututtuka da alamu na gaba suna haɓaka:
- rhinitis;
- pharyngitis.
Tare da shan wasu magungunan kashe cututtukan cututtukan cututtukan mahaifa, huhun huhu yana tasowa kuma tari ya tashi.
Daga tsarin kare jini
Akwai take hakkin aiwatar da fitar fitsari, aikin jima'i na maza, yawan cutar koda, cututtukan gynecomastia. Hakanan glandan dabbobi masu shayarwa zasu iya yawaita.
Daga tsarin kulawa, gynecomastia yana haɓaka.
Daga tsarin zuciya
Wasu lokuta tsokoki masu santsi suna natsuwa a bangon jijiyoyin jini, waɗanda ba su da illa ga aikin zuciya. A lokaci guda, akwai karuwa a cikin jini. Bugu da kari, maganin yana shafar bugun zuciya.
Daga tsarin musculoskeletal
Don magani tare da magungunan antiepilepti, yanayin cututtukan da ke biyo baya sune halayyar: arthralgia, myalgia, karaya sun zama mafi yawan lokuta.
Cutar Al'aura
Itching, fashin baki, da alamun urtikaria an lura dasu. Oftenarancin lokaci, yawan zafin jiki yakan tashi, angioedema yakan faru. A cikin maganin cututtukan cututtukan cututtukan cututtukan ƙwayar cuta, akwai yuwuwar haɓakar erythema da yawa da yawa.
An lura da alamun cutar urticaria.
Umarni na musamman
Idan babu kwayar cuta, ba a amfani da hanyar da za a tantance maida hankali kan kwayoyi a cikin plasma. Ga marasa lafiya da aka tabbatar da ciwon sukari, ana bada shawarar kula da glucose. A cikin manyan nau'ikan cututtukan cututtuka, an dakatar da amfani da miyagun ƙwayoyi.
Haramun ne a soke maganin nan take. An rage sashi a hankali (a cikin mako 1). Idan ka kwantar da miyagun ƙwayoyi da sauri, za a iya kamuwa da cutar sanyiniya. Idan alamun cutar yawan maye ya faru, an dakatar da maganin.
A mafi yawan lokuta, sashi na warkewa na miyagun ƙwayoyi yana ƙaruwa da 300 MG kowane lokaci. Ya halatta ga marassa lafiyar da suka shiga cikin kwayoyin halitta don kara yawan maganin a kowace rana ta 100 MG.
An yi imani da cewa maganin da ake tambaya magani ne. Wannan kuskure ne, saboda Tebantin yana da ƙa'idar aiki daban-daban, ba jaraba bane.
Idan ka kwantar da miyagun ƙwayoyi da sauri, za a iya kamuwa da cutar sanyiniya.
Tasiri kan ikon sarrafa abubuwan inji
Magungunan yana da mummunar tasiri a cikin juyayi, tsarin zuciya, jijiyoyin gani (hangen nesa, ji). Zai iya tsokani da cigaban rikice rikice. A saboda wannan dalili, yakamata ku ki fitar da motoci har sai an kammala aikin tiyata.
Yi amfani da lokacin daukar ciki da lactation
Ba a ba da shawarar yin amfani da miyagun ƙwayoyi don amfani a lokacin gestation ba. Wannan shi ne saboda karancin bayanai akan tasirin tayin. Koyaya, idan akwai bukatar gaggawa, har yanzu ana wajabta magani idan amfanin ya wuce cutar da zai yiwu.
Ganin cewa, yayin shayarwa, abu mai aiki a cikin wani adadin ya shiga cikin madarar uwar, ya kamata a iyakance amfanin maganin. An wajabta don lactation kawai idan amfanin ya wuce cutar da yaro.
Tebantin an wajabta don lactation kawai idan amfanin ya wuce lahanin ɗan.
Adana Tebantin ga yara
Ba a yarda da amfani da miyagun ƙwayoyi don magance marasa lafiya waɗanda ba su cika shekaru 3 ba. Ga marasa lafiya daga 3 zuwa 12 shekara, ana iya ba da maganin da ake tambaya a matsayin wani ɓangare na hadadden magani, saboda maganin yana da matukar tayar da hankali.
Yi amfani da tsufa
Ganin cewa ficewar kwayar halitta daga jikin marasa lafiya a wannan rukunin yana raguwa, an tsara wannan magunguna daban-daban kuma ana yin la’akari da tsabtacewar kwayar halitta.
A cikin tsufa, ana wajabta magunguna daban-daban kuma suna yin la'akari da tsabtacewar creatinine.
Yawan damuwa
Babu wasu lokuta na rashin maye na jiki lokacin amfani da allurai da yawa na miyagun ƙwayoyi (har ma da gabatarwar 49 g). Koyaya, bayyanar mummunan halayen tare da wuce haddi na adadin maganin da aka bada shawara an lura dashi:
- matsaloli tare da magana;
- Dizziness
- take hakkin sitadi (zawo);
- bari;
- nutsuwa
- raunin gani (ninki biyu a idanu).
Tare da shan maye na marasa lafiya tare da gazawar renal, an wajabta hemodialysis. A wasu halayen, ana nuna magani.
An lura da bayyanar mummunan halayen tare da matsakaicin matsakaicin adadin adadin maganin da aka lura: raunin gani (yana ninka idanu).
Yin hulɗa tare da wasu kwayoyi
Lokacin da ake tsara maganin a cikin tambaya, ana kimanta tasiri da aminci yayin amfani da shi tare da sauran magunguna.
Amfani da barasa
Abin sha mai ɗauke da giya yana inganta tasirin miyagun ƙwayoyi akan tsarin mai juyayi na tsakiya.
Abubuwan haɗin gwiwa
Antacids yana taimakawa rage bioavailability na miyagun ƙwayoyi da ake tambaya.
Ba da shawarar haɗuwa ba
Zai fi kyau kada a yi amfani da Morphine yayin shan Tebantin.
Zai fi kyau kada a yi amfani da Morphine yayin shan Tebantin.
Haɗuwa yana buƙatar taka tsantsan
Amfani da miyagun ƙwayoyi da ake tambaya da sauran magungunan antiepileptik an yarda dashi. An ba shi izinin amfani da wannan magani tare da cimetidine, probenecid.
Analogs
Kuna iya amfani da kudaden ta fannoni daban-daban: allunan, alli. Nau'in magungunan gama-gari na Tebantin:
- Wakar
- Neurontin;
- Gabagamma
- Gabapentin.
Magunguna kan bar sharuɗan
Magunguna magani ne.
Farashin Tebantin
Farashin ya bambanta daga 700 zuwa 1500 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Zazzabi na karɓa a cikin abin da yake adana abubuwan da ke cikin magani: har zuwa + 25 ° C.
Ranar karewa
Ana amfani da miyagun ƙwayoyi na shekaru 5 daga ranar saki.
Mai masana'anta
"Gideon Richter", Harshen Hungary.
Shaidun likitoci da marasa lafiya game da Tebantin
Tikhonov I.V., likitan dabbobi, dan shekara 35, Kazan.
Dole ne in rubuta magani don ciwon neuropathic. Sakamakon yana da kyau, taimako yana zuwa a ranar farko. Dangane da ra'ayoyin marasa lafiya, zan iya yin hukunci game da ci gaban da ake samu akai-akai na tasirin sakamako daga tsarin juyayi na tsakiya.
Galina, 38 years old, Pskov.
An wajabta magunguna don maganin herine (akwai ciwo mai zafi). Kama shi bisa ga tsarin. Ba a sami sakamako masu illa ba. Haka kuma, kashi ya kasance babba - 2535 MG kowace rana.
Veronica, dan shekara 45, Astrakhan.
An sanya magunguna don yaro na. Shekaru karami ne (shekaru 7), don haka kashin ya kasance kadan (daidai da nauyin jikin mutum). Tare da taimakon Tebantin, ya zama mai yiwuwa a hana bayyanar ɓarkewa, tare da ƙara haɓaka tsakanin su.
