Codeine wokwana mankwala: malangizo ntchito, analogs ndi ndemanga

Codeine wokwana wa mndandanda Opium alkaloids. Ambiri ntchito mankhwala monga mankhwala chifuwa. Zimatanthauza mankhwala pakati akuchita zomwe kawirikawiri amagwiritsidwa ntchito limodzi ndi zinthu zina, lomwe ndi terpin hydrate. Ndithu chidwi n'chakuti ntchito codeine wokwana angasonyeze zizindikiro za kuledzera mankhwala. Ananena ndi analgesic zotsatira. Pa nkhani imeneyi, codeine wokwana mankwala angagwiritsidwe ntchito ngati mankhwala ochititsa munthu, koma mosamalitsa ndi mankhwala.

mudziwe mwachidule

Mfundo ntchito ndi ofanana kwambiri ndi codeine wokwana kuti morphine. Komabe, zotsatira zake analgesic ndi penapake ofooka. Pamodzi ndi izi mankwala codeine wokwana (Latin lembali akunena chinthu monga codeinum) nazo kwambiri kutchulidwa luso malemeredwe center chifuwa kuchepetsa. Popitiriza chitsanzochi ndi morphine Mwachitsanzo, kuti kuli ogwetsa mpweya anthu, osati kwambiri kumabwezera mmbuyo ntchito pa mundawo m'mimba. Ngakhale izi, nthawi zambiri pali milandu kumene mankhwala kumakhudza popatsana pa thupi, kuteteza kusinza.

Codeine wokwana mankwala: malongosoledwe contraindications

Ngati mankhwala ena, codeine wokwana ali ndi mndandanda chidwi cha contraindications. Iwo ayenera ndithudi ndikudziwa musanayambe kugwiritsa thunthu. Pofuna kukonza maganizo anu, ife wodzipatula iwo mu mndandanda osiyana. Choncho, mankhwala ayenera kugwiritsidwa ntchito pamaso pa zifukwa zotsatirazi:

• Mkulu hypersensitivity;
• arrhythmia;
• kudzipha;
• mavuto matumbo, prostate ndi mkodzo;
• mimba kapena mkaka wa m'mawere;
• wachikulire kapena zaka ana;
• Potengera kupezeka kwa mankhwala mankhwala otchedwa codeine wokwana mankwala;
• m'mimba;
• mavuto ndi uchidakwa;
• dispensiya poizoni;
• pamaso pa matenda a mphumu bronchial;
• ubongo choipa, komanso impso kapena chiwindi kulephera.

Monga mukuonera, mndandanda waukulu ndithu. Ambiri, pamaso pa ntchito codeine wokwana ayenera kwenikweni dokotala anu. Iye mankhwala dongosolo zofunika ngati chikhalidwe cha thupi lanu limakupatsani kumwa mankhwalawa.

Codeine wokwana mankwala: mmene nanga Mlingo?

Pamene ntchito codeine wokwana mankhwala zolinga akhale makamaka kusamala pamene drafting mlingo zolondola wa zinthu, komanso nthawi ya anavomereza. Choncho, ngati ululu waukulu Ndi bwino kuti anthu akuluakulu kutenga 15-60 mg wa mawola 3-6. Pamene kutsekula m'mimba yafupika mlingo wa 30 mg wa kanayi pa tsiku. Potsiriza, pamene chifuwa khunyu ayenera kumwa 10-20 mg wa mankhwala nthawi 4 tsiku. Apamwamba tsiku mlingo codeine wokwana mankwala omwe (ndi kulemba mankhwala dokotala) ndi 120 mg.

Ana mlingo pang'ono osiyana. Childs, chiŵerengero ali 0.5 mg wa pa makilogalamu 1 thupi, pamene izo zifika kupondereza zowawa zosiyanasiyana. Pamene inu kutsokomola musamatenge oposa 15 mg. Pomaliza, ndi kutsekula m'mimba monga mlingo wake ndi 0.5 mg wa pa makilogalamu 1 thupi. Ponena pafupipafupi phwando, ndi, monga akulu, ayenera kukhala wolingana ndi nthawi 4-5 tsiku. Mwa njira, ana pansi kulandira codeine wokwana mankwala ali osavomerezeka zaka 2.

zotsatira pharmacological

Monga tanenera poyamba, codeine wokwana ndi pakati wochititsa antitussive. Adzaupereka kwa phenanthrene alkaloids wa mndandanda. Komanso, komanso anafotokoza kuti agonists opioid cholandilira kuti akhoza kwakukulukulu kuchepetsa excitability wa pakati chifuwa, chifukwa chopinga ake mwachindunji. ntchito Analgesic angauze thunthu kutsegula kwa maselo opiate kuti aonetse malemeredwe m'madera ambiri a chapakati mantha dongosolo. Plus, izo azisinthidwanso chiwerengero cha kuzindikira maganizo a ululu. Nthawi zambiri, zotsatira analgesic kumaonekera pambuyo Mphindi 10-45 pambuyo jekeseni, ndipo kudzera theka la ola ntchito mapiritsi codeine wokwana mankwala. Kutalika kanthu kumatenga za 4 maola.

zotsatira zoyipazi

Kumene, codeine wokwana mankwala ali zotsatira zake zam'mbali amene aliyense angasonyeze m'njira zosiyanasiyana. Monga zinachitikira contraindications, timapereka mndandanda wa zotsatira zambiri zimapezeka akachoka mankhwala:

• Mantha dongosolo akhoza kugonja kwa zimenezi: kuchuluka tulo, mutu ndi chizungulire (osowa), n'zotheka kuyerekezera zinthu m'maganizo kapena Musanyengedwe zithunzi, nkhawa, kutulo mu maloto, maganizo (a osowa yatsoka), komanso kukomoka. Pamene kumwa Mlingo kwambiri akhoza kuona inagwedezeka, kuwonongeka kwa mugwirizano galimoto ndi minofu chinthu chimodzimodzi.
• Mu dongosolo m'mimba, zotsatira izi: kunyansidwa ndi kusanza (kawirikawiri), kudzimbidwa, kupotokola m'mimba, pakamwa youma, n'zotheka anorexia, potsiriza, hepatotoxicity.
• Cardio mtima dongosolo: arrhythmia, mwadzidzidzi kuchepa kapena kukhala magazi.
• dongosolo kupuma: amphamvu chopinga wa pakati kupuma kapena atelectasis.
• Palinso mosavuta zotsatirazi thupi lawo siligwirizana: ziphuphu zakumaso, kutupa nkhope ndi khosi, kuyabwa, bronchospasm, laryngospasm, ndi urticaria.
• Zotsatira zina mbali pa ntchito codeine wokwana mankwala (mu Latin, poyamba zikumveka codeinum) monga thukuta kwambiri, pang'ono boma euphoric. Komanso kutenga kudalira ndi mawu yaitali ntchito (makamaka lalikulu zedi).

Kumene, ngozi za zotsatira tangotchulawo mbali yaing'ono. Inde, zambiri zimasiyana kanthu kanthu.

Zizindikiro cha mankhwala osokoneza bongo

monga zotsatirazi zochitika Zizindikiro cha mankhwala osokoneza bongo aakulu: kumasokoneza ubongo, chizungulire kwambiri, mantha ndi waukali, khunyu, ambiri kufooka kwa thupi ndi magazi madontho. Zikavuta, pali Mwina mkulu wa imfa ya chikumbumtima kapena chikomokere isanayambike. Bongo mankhwala kapena ambiri osokoneza kungakhale wautali ndi zovuta. Nthawi poyizoni azichapa kunja m'mimba, kubwezeretsa kupuma ndi ntchito mtima thandizo. Nthawi zina, ndithu zomveka naloxone jekeseni, umene ndi antagonist enieni analgesics opioid.

malangizo apadera pa chithandizo

Pamene pali kuchira ndondomeko pambuyo codeine wokwana ambiri osokoneza kapena mankhwala osokoneza wake, odwala sayenera kumwa mowa. mfundo ndi yakuti pa mankhwala anthu penapake khungu cholinga ndi liwiro mosiyanasiyana psychomotor. Mowa akhoza kukulitsa nkhaniyo wamphamvu. Ndipo akhoza kungasokoneze pa munthu mu ntchito ya zinthu zingakhale woopsawo.

Tiyenera mwapadera pa mimba mu akazi. Ndithudi, ntchito codeine wokwana zingachititse akuchedwa ossification, ndipo nthawizina yobereka mwamsanga - prolongation. Nthawi zambiri, nthabwala ndi zoipa. Kenako, tatchulazi, ana ambiri, sayenera kumwa codeine. Pankhaniyi, pali Mwina ndithu yatsoka mosiyanasiyana paradoxical, monga ana awonjezera kudziwa zotsatira za analgesics opioid.

kumbali

Mu Russia, kumeneko tsopano ndi ndalama, zogwirizana mankhwala osokoneza bongo codeine. Choncho, kugula pa mankhwala popanda mankhwala sangakhale. Posachedwapa, ntchito chikhalidwe codeine wokwana anayamba kuchenjeza anthu, monga kutchuka kwa mankhwala ikukula exponentially. Mu m'njira zambiri "mtengo" wa American m'chiuno siimakupiza amisiri amene nthawi zambiri amalimbikitsa ntchito Pepo Ataledzera - ndimwe wapadera munali mlingo waukulu wa codeine. manyuchi koteroko cheza chofiirira wofiirira hue, ndipo n'chifukwa chiyani kunali dzina zachilendo. Pambuyo kumwa madzi, mudzakhala kukumana ndi kumverera kwa euphoria wofatsa ofanana ndi kudabwa ndi opiates, chimenenso, amatanthauza codeine. Nyimbo rappers American mumakhalanso malemba, akuloza ntchito mwadongosolo Pepo Ataledzera. Mwa njira, mlengi wa gululi - Dj kagwere. Anamwalira ali ndi zaka 29 kuchokera ambiri osokoneza a codeine.

Iwo ayenera kukumbukira kuti codeine wokwana anapeza mankhwala ena, kuphatikizapo mitundu yonse ya malungo, protivomigrenoznye ndi ena. Pa nkhani imeneyi, mankhwala ambiri oletsedwa zogulitsa m'gawo la Russia. Ndipo yogawa oletsedwa ndi kugulitsa kungakhale kudzuka kwa zaka 12 m'ndende.

pomaliza

Codeine wokwana ali ndi kuchuluka zikuluzikulu, monga zotsatira zake pa thupi la munthu ndi wamphamvu kwambiri. Zimakhala mu mwachilungamo nthawi yochepa kusintha maganizo a thanzi la munthu. Mawonekedwe ambiri codeine wokwana (mankwala) - ufa omwe mosavuta sungunuka m'madzi. Chifukwa katundu, dzinali lakhala likugwiritsidwa ntchito kwambiri mankhwala. Komabe, monga zambiri zinachitikira opiates, thunthu seeped msanga kumakwalala, amene ali kungasokoneze anthu wonyeketsa izo, zotsatira zake omwe mwina ngakhale chakupha.