Mankhwalawa "Maprotilin": ndemanga, malangizo, zofanana

M'zaka zapitazi, mavuto monga mantha, kuvutika maganizo ndi kusowa tulo, anachiritsidwa makamaka ndi ansiliotics. Mankhwalawa ankawoneka othandiza, koma, mwatsoka, adadalira odwala. Kotero, mu 80 maiko m'mayiko ambiri a dziko lapansi kuchokera ku ntchito yawo anakana. Lero, mankhwala amtundu wodalirika kwambiri a kuvutika maganizo amaonedwa ngati mankhwala osankhidwa. Imodzi mwa njira zotchuka kwambiri za gulu lino, zomwe zinayenera ndemanga zabwino za odwala, ndi "Maprotiline". Dzina lina la tetracyclic ndilo "Ladomil". Mu pharmacies, amagulitsidwa kokha pa mankhwala.

Kulongosola kwachidule

Mapindu a mankhwalawa "Maprotiline", ndemanga za zomwe ziridi zabwino kwambiri, madokotala ndi odwala awo makamaka akuphatikizapo kuchuluka kwabwino koyambitsa matenda, nkhawa ndi zodetsa nkhawa. Pamene mankhwalawa atengedwa, nkhawa imachotsedwa mwa odwala, kusintha kwabwino, kusokonezeka kumachepa, kuchepa kwa maganizo kumatayika.

Momwe zimagwirira ntchito

Kulowera m'mimba, "Maprotiline" imayamba kuyamwa m'magazi ndipo 89% amamanga mapuloteni. Zomwe zimapangitsa kuti thupi lizizizira kwambiri m'magazi amangochitika patangotha maola 8 mpaka 9 mutatha kulamulira.

Mu thupi la wodwalayo, mankhwalawa amaletsa kulanda kwa serotonin ndi norepinephrine ndi neurons mu cerebral cortex. Kuphatikiza apo, mankhwalawa amachititsa ena mapulogalamu. Kumva thupi lonse kwathunthu. Komanso, makamaka zimagwiritsidwa ntchito. "Maprotiline" imachotsedwa mthupi pang'onopang'ono - kwa milungu itatu (ndi mkodzo ndi nyansi).

Zisonyezo

Kodi adokotala angapereke mankhwala otani kuti "Maprotilin" pa wodwalayo? Kugwiritsiridwa ntchito kwa mankhwalawa kumatengedwa kukhala olondola m'maganizo ambiri. Nthawi zambiri, zizindikiro zogwiritsira ntchito mankhwala ndizovuta:

• Zosasintha, kuphatikizapo kusintha;
• Psychogenic, kuphatikizapo ochita zinthu mwachangu ndi osowa;
• Somatogenic;
• Kusamba kwa nthawi.

Komanso, mankhwalawa nthawi zambiri amalembedwa ndi madokotala omwe ali ndi maganizo opsinjika maganizo omwe ali ndi nkhawa. Yankhani bwino za chida ichi, mwachitsanzo, okalamba. Nthawi zambiri amalemba mankhwalawa chifukwa cha kusamvera. Nthaŵi zina, chifukwa chokhalira mankhwala ndikumvetsa chisoni kapena dysphoria. Amatengedwanso ndi matenda osokonezeka chifukwa chovutika maganizo kapena mantha.

Kupanga

Chinthu chachikulu cha mankhwalawa ndi maprotiline - makina anayi. Malinga ndi mankhwala ake, amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Izi ndi zoyenera, choyamba, kumangidwe ake (makamaka pambali ya chingwe). Mofanana ndi tricyclic antidepressants, mankhwala "Maprotiline" amachititsa ntchito ya phenamine. Pochita zimenezi, zimachepetsa zotsatira zina za reserpine.

"Maprotiline": ndemanga za odwala za mankhwala

Odwala ambiri amapeza mankhwalawa mogwira mtima. Odwala atayamba kumwa madziwo, amayamba kutuluka ndipo zizindikiro zambiri za kuvutika maganizo zimatha. Kwa odwala ambiri, poganizira ndemanga zomwe zilipo, mankhwalawa amathandiza kwambiri kuthana ndi nkhawa komanso ngakhale mantha. Odwala ena omwe amamwa "Maprotiline," onani kuti potsiriza iwo anali ndi chidwi pa moyo.

Ndemanga zabwino za mankhwala awa sizipezeka kwa odwala akulu okha. Mutamandeni iye ndi makolo a ana, komanso achinyamata omwe akudwala matenda.

Zoipa za mankhwalawa "Maprotiline" ("Ludomil"), zomwe zowonongeka ndizo, mwatsoka, osati zabwino zokha, odwala ambiri amanena kuti phwando lake lingayambitse zotsatira zovuta kwambiri. Mwachitsanzo, odwala ena amadandaula kuti atalandira mankhwalawa adayamba kuchira mwamsanga komanso mofulumira. Komanso, odwala ena amadziwa kuti mankhwalawa amachititsa kuchedwa kwa mkodzo kapena kuyambitsa tsitsi. Chinthu chosasangalatsa kwambiri cha zotsatira za odwala awa akuganiza kuti ndi owuma pakamwa. Odwala ena omwe amawamwa amatha kukhala ndi mavuto ndi chifuwa.

Inde, ngakhale kuti mankhwalawa ndi othandiza kwambiri ndipo ndi "kuwala" ("Maprotiline"), ayenera kutengedwa pokhapokha kuyang'aniridwa ndi dokotala. Odwala ena, sagwira ntchito konse. Odwala ena amaona, mwatsoka, ngakhale kuwonongeka kwa matenda awo.

Maganizo a madokotala

Madokotala amalandira ndemanga zabwino kwambiri za "Maprotilin". Madokotala ambiri-am'aganizo amakhulupirira kuti amachotsa bwino kwambiri alasi. Pankhani iyi, malinga ndi akatswiri, zotsatira za mankhwala "Maprotiline" ndi zochepa kuposa mu tricyclic AD. Monga odwala, madokotala amakhulupirira kuti zotsatira zopweteka kwambiri za kumwa mankhwalawa ndizomwa pakamwa ndipo zimakhala zolemera kwambiri. Kwa zochepetsera za mankhwalawa, pakati pazinthu zina, akatswiri amatanthauzanso kuti zingayambitse matenda.

Pankhani yopezeka, palibenso malipoti abwino okhudza mankhwala "Maprotiline" ochokera kwa madokotala. M'zipatala, ndizochepa. Zimakhala zovuta kuzipeza m'ma pharmacy. Poyamba, mankhwalawa anagulitsidwa kawirikawiri. Koma, monga madokotala ena amanenera, asanatuluke ku masamulo a mankhwala, zatsala pang'ono kukhala ndi zotsatira zabwino pa thanzi la odwala. Mwina, opanga mankhwalawa anali ndi mavuto ndi kupanga kwake.

Contraindications

Inde, mankhwala "Maprotiline" (ndemanga amalola kuti aweruze mogwira mtima) sangathe kuwuzidwa kwa odwala onse omwe akudwala matenda. Zotsutsana ndi ntchito zake ndi izi:

1. Khunyu. Choletsedwacho chikuwonjezeka pa nthawiyi komanso nthawi ya anamnesis.
2. Hypersensitivity.
3. Myocardial infarction. Mankhwalawa sanagwiritsidwe ntchito pa nthawi yovuta ya matendawa.
4. Glaucoma ndi chikhalidwe chobisika.
5. Wodwalayo ali ndi vuto ndi kupititsa patsogolo.
6. Mowa kapena mowa mwauchidakwa.
7. Kuloledwa kwa odwala omwe ali ndi mankhwala akuluakulu.

Musamapereke mankhwala awa kwa odwala omwe amachedwa kuchepetsa, chiwindi kapena impso kulephera. Ndiponso, kutsutsana ndi ntchito yake ndi mimba ndi lactation.

Achinyamata ali ndi zizoloŵezi zodzipha, monga zina zambiri zowonongeka, mapiritsi "Maprotiline" amachititsa munthu kudzipha. Kawirikawiri mankhwalawa samakhudza akuluakulu achikulire.

Okalamba, mankhwalawa amatchulidwa kawirikawiri pa kuchepa kwa mlingo.

Malangizo ogwiritsidwa ntchito

Kawirikawiri, odwala omwe ali ndi mankhwalawa "Maprotilin", omwe ndemanga zawo ndi zabwino chifukwa chosavuta kugwiritsa ntchito, zimaperekedwa m'mapiritsi. Imwani, monga pafupifupi wina aliyense, wotsatira ndi madzi. Mapiritsi a Chew ndi osavomerezeka. Kwa achinyamata ndi okalamba, mankhwalawa amatchulidwa pa 10 mg katatu patsiku. Ngati chokhumbacho sichikuchitika, kuchuluka kwa mankhwala omwe amatengedwa nthawi zambiri kumawonjezeka kufika 25 mg. Malingana ndi yankho la wodwalayo, nthawi zina, mlingo umodzi wa 75 mg ukhoza kulamulidwa.

Kwa akuluakulu, mlingo umatsimikiziridwa payekha. Kwa matenda ochepa, odwala odwala matenda opatsirana nthawi zambiri amapatsidwa 25 mg ya mankhwala "Maprotiline" 1 nthawi pa tsiku. Mu chipatala, odwala amapatsidwa 25 mg ya mankhwala nthawi zambiri katatu patsiku. Pazoopsa kwambiri, mlingowo ukhoza kuwonjezeka kufika 150 mg patsiku. Mankhwala oterowo amaonedwa kuti ndi ovomerezeka tsiku lililonse.

Nthawi zina mankhwala opatsirana pogwiritsa ntchito mankhwala "Maprotiline" sathandiza odwala. Pachifukwa ichi, dokotala akhoza kulamula kuti anthu azitsatira. Pochiza wodwalayo amaika pansi pa mankhwalawa ndipo jekeseni 25-100 mg kwa maola 1.5-2 kamodzi patsiku. Kuyamba koyamba kwa odwala omwe amatha "Maprotiline", kawirikawiri amawoneka mkati mwa masabata awiri kapena atatu.

Zotsatira Zotsatira

Choncho, mosavuta kwa mankhwala a "Maprotiline" omwe angagwiritsidwe ntchito. Zomwe zimakambitsirana zimakhalanso zabwino. Komabe, zotsatira za zotsatira za mankhwalawa, monga kale zinali zotheka kulingalira, pali zambiri. Kuwonjezera pa pakamwa pakamwa ndi phindu lolemera, kugwiritsa ntchito mankhwalawa, molingana ndi wopanga, kungapangitse zotsatira zoipa ngati:

• Matenda a khunyu;
• Dysarthria;
• Kufooka;
• Lethargy ndi kutopa;
• Hallucinations ndi mikhalidwe ya manic;
• Kusokonezeka;
• Kumva kufooka;
• Kuphwanya kukoma.

Komanso odwala omwe amamwa mankhwalawa amatha kuona:

• Nausea;
• Kutsekula kapena kutsekula m'mimba;
• Zomwe zimayambitsa matendawa ngati ming†™ oma kapena kuyabwa;
• Edema.

Pali zotsatirapo za kumwa mankhwalawa ndi zosiyana siyana za kugonana.

Mankhwala "Maprotilin": ofanana

Mu mankhwala osokoneza bongo, mankhwalawa amapezeka, monga tawatchula, osati nthawi zonse. Komabe, ngati kuli kotheka, ikhoza kubwezeretsedwa ndi mankhwala ena ndi mankhwala omwewo. Mankhwala a mankhwala "Maprotilin" ndi, mwachitsanzo:

• "Melipramine."
• Ixell.
• "Amitriptyline."
• "Imizin".

Nthawi zina, mukhoza kutsata "Maprotiline" ndi "Clofranil" ndi "Saroten".