The daroogada "chlorpromazine": dib u eegista dhakhaatiir, tilmaamaha loo isticmaalo, halabuurka iyo description

daawooyinka ee waallida dajiya - a daawooyinka psychotropic, kuwaas oo loogu talagalay daaweynta xanuunada waallida. Waa in la ogaadaa in magaca dhaqanka ee daawooyin sida - neuroleptics. Daawooyinkan waxaa ku ool ah saamayn ku yeelan karaan calaamado sida dhibaatooyinkooda, saarneyn, dhalanteed, cudurka fikirka, cadhoodaan waallida, disorder anshaxa , iyo wixii la mid ah. D. Ka dhig daawooyinkan kaliya noqon karaa dhakhtarkaaga.

The daroogada ee waallida dajiya ugu caansan dhaqmo "chlorpromazine". Tilmaamaha loogu isticmaalo, qiimaha, dib u eegista, analogs, contra-tilmaamo iyo daroogada waxaa lagu hoos lagu soo bandhigay.

Curiska, sharaxaad, foomka

Waa maxay foomka waa asalka ah ee daroogada "chlorpromazine"? Tilmaamaha, dib u eegista sheegaan in daroogada taas waxaa loo iibiyey in qaab kiniini brownish-pink, iyo sidoo kale xal maamulka xididka iyo muruqyada dhexdooda. walaxda firfircoon ka dhigan tahay xogta waa hydrochloride chlorpromazine. Sidoo kale, waxay ku xiran tahay foomka fasaxa ay ku jiraan noocyo kala duwan oo dheeraad.

Tilmaamo pharmacological

Waa maxay daawada cajiib ah "chlorpromazine"? Tilmaamaha loogu isticmaalo, jawaabaha ayaa tilmaamaya in this waa wakiilka ah ee waallida dajiya, kaas oo ay kooxda pharmacological loola jeedaa neuroleptics. Waxay leedahay a hypotensive, antiemetic iyo saamaynta antihistamine.

Walaxda firfircoon ee daroogada tani waa derivative ah phenothiazine. Waxa intaa dheer in guryaha medicament firfircoon leeyahay ku dejinaysaa, hypothermic daciif ah, ee waallida dajiya, diiqayo maxaliga ah, vasodilating iyo saamaynta dhexdhexaad ah M-anticholinergic.

saamayn waallida dajiya of qalab ah waxaa lagu gaarayaa by xanibeen dopamine D ₂ receptors iyo nidaamyada mesolimbic Mesocortical. Sababo la xiriira guryaha sida daroogada waa inay awoodaan inay tirtiraan dhalanteed, khayaaliga iyo calaamado kale wax soo saar ee psychosis.

Waa in la sidoo kale xusay in "chlorpromazine", dib u eegista ah kuwaas oo hoos ku qoran, oo Fayda Xumaanta noocyada kala duwan ee cadhoodaan psychomotor, colaad iyo yareysaa darnaanta cabsi waallida.

saamayn ku dejinaysaa daroogada waxaa lagu gaarayaa by xanibeen farmashiyaha adrenergic reticular in yaalaan jiridda maskaxda ah.

sifooyinka daroogada

Waa maxay guryaha soo jireenka ah ee medicament ah "chlorpromazine"? Reviews ayaa soo wariyay in daroogada this saamayn nixiyay ku saabsan shaqada reflex shuruud, waxay dejineysaa muruqyada lafaha, waxay yaraysaa dhaqdhaqaaqa motor lama filaan ah, yaraynaysaa dareen ku meersan qoomiyadda iyo exogenous caqligaaga oo joogto ah. Isticmaalka qaadasho badan oo daroogada sababa hurdo aad u daran.

Go'doominta ee dareemaha vagus in mareenka iyo _D2 dopamine ee receptors caloosha ku yaalla aagga keebka emetic xarunta waxay siisaa saamaynta antiemetic of daroogada. Sidoo kale waa in la ogaadaa in xarunta this saameyn yar ku receptors M-cholinergic. Waxaa intaa dheer, ay saamayn ugu hadlay arkay for receptors Alfa-adrenergic.

tallaabo ee daroogada

daroogada "chlorpromazine" Sidee u shaqeeyaan? Reviews ayaa sheegaya in qalab this waa ay awoodaan in ay gabi ahaanba ka takhaluso saamaynta la sababa epinephrine ah. Its saamaynta hypothermic ay sabab u tahay Go'doominta ee receptors dopamine in yaalaan hypothalamus ah.

daroogada viewed hoos u cadaadiska dhiigga, wadnaha heerka korodhka, waxay leedahay saamayn antihistaminic daciif ah iyo ficil kataleptogennoe muujiyay, iyo sidoo kale yareyneysa permeability ee derbiyada gaddoonka ah.

Waayo, maamulka muruqyada dhexdooda medicament ee sababa suuxin lagu jiro saacadaha ¼, iyo ka dib markii maamulka afka - ka dib markii 120 daqiiqo. dulqaad Bukaanka inay ku dejinaysaa iyo hypotensive saamaynta uu yeeshay ku saabsan hal todobaad.

Marka aad hesho daawo this galay guryaha uu waallida dajiya leeyihiin saamayn on maalintii 4-tii ama 7-dii. Saamaynta daweynta of daroogada socdaa ku saabsan 2-6 bilood.

The pharmacokinetics daroogada

"Chlorpromazine" ma la nuugo? Reviews ayaa sheegay in hadal chlorpromazine dhakhso ah laakiin aan si buuxda u nuugo ka soo nidaamka dheefshiidka. Its uruureen dhiig peak gaaray ka dib markii 4 h.

daroogada Tani Oo Qaliin ugu horeysay dhex maraya beerka. Sidaas daraaddeed fiirsashada ee dhiiga ka dib markii maamulka afka waa wax badan ka yar fiirsashada kadib markii maamulka muruqyada dhexdooda.

Daawada waxaa metabolized in beerka si taagayo firfircoonayn oo firfircoon.

Chlorpromazine ayaa bond sare borotiinka plasma. Waxaa si weyn loo qaybiyey waa in jirka ah ee bukaanka, cabaar dhex BBB ah.

Half-nolosha ka mid ah walxaha firfircoon ee daroogada waa ilaa 30 daqiiqo. Sayidka tirtirista taagayo ay laga yaabaa in waqti dheer.

medicament soo bandhigay wada tixgeliyaa la kaadida iyo bile.

Drug "chlorpromazine": muujinaya in loo isticmaalo

Reviews ayaa soo wariyay in daawada waxaa si balaadhan looga isticmaalaa in ku dhaqanka dhimirka. Waxaa lagu qoray in daaweyn jiray cadhoodaan in nin qaba cudurka dhimirka. Sidoo kale, daroogada this waxaa loo isticmaalaa in chronic psychosis, ba'an dalalka dhalanteed, farax hypomanic, hurdo la'aan, psychopathy, cudurada dhimirka, welwelka, cabsida iyo walwalka.

Waxa intaa dheer in shuruudaha ku qoran muujinaya isticmaalka daroogada this waa: dhibaatooyin joogto ah, psychosis khamriga, matag la koontarooli karin iyo lallabo daran. Haddii uu jiro xanuun daroogada wanaajisaa saamaynta analgesics.

Sidoo kale waa in la ogaadaa in hab loo qoondeeyey loo arkaa in cudurada kuwaas oo la socda kordhay midab muruqa ah, tetanus (sida therapy isku dhafan ee lala barbiturates) iyo ka dib rabshooyin kala duwan ee wareegga cerebral.

dheer ma si ka hor, daroogada this waxaa loo isticmaalaa hypothermia macmal ah ka kooban isku lytic. In anesthesiology daawo waxa ay inta badan loogu suuxin iyo potentiation suuxinta guud.

In dhaqanka maqaar "chlorpromazine" (jawaabaha dadka bukaanka ah oo ku saabsan daawada inta badan waa qof wanaagsan) loo isticmaalaa in cuncun dermatoses. Intaa waxaa dheer, waxa loo isticmaali karaa in lagu daaweeyo qof porfyri oo ba'an.

sababo

Xaaladaha qaarkood, ma qori "chlorpromazine" waallida dajiya? Reviews dhakhaatiir sheegay in qalab this in aan loo isticmaalin dalalka suuxsan meel kasta, iyo sidoo kale in bukaanada qaba dulmi daran ee habka dareemayaasha jirka, qalbiga cudur daran iyo dulqaad vascular inay maal firfircoon, cudur horusocod ah oo ka mid ah maskaxda iyo dabeecadda spinal systemic ee maskaxda, lesions kolit of mareenka caloosha iyo mindhicirka iyo inta lagu jiro naasaha quudinta.

In view of khatarta sare ee reactions hepatotoxic, waxa ay la micno qoray la taxaddar in Khamriga. Isla sidaas waxa dhabta ah ee kansarka naasaha, dyscrasias dhiig, kelyaha ee qanjirka 'prostate', glaucoma, qaab xidhay, cudurka Parkinson, qalalka, myxedema, matag, cachexia, Reye syndrome iyo dadka waayeelka ah.

Drug "chlorpromazine": tilmaamaha loo isticmaalo

Kiniiniga ratings kuwaas oo halkan lagu soo bandhigay, isticmaalay ku dhaqanka dhimirka ee laga bilaabo maalin qiyaasta loo siman yahay 25-100 mg. Lacagtani u qaybsan yahay 1-4 qaadasho. Waqti ka, la kordhiyo qiyaasta afar maalmood oo kasta 25 ama 50 mg si loo gaaro saamaynta ay ku doonay.

Iyada oo walaac cabniinka daroogada preoperatively firfircoon 2-3 saacadood.

The dose ugu badnaan hal of wakiilka tani waa 300 mg, oo maalin walba ah - 1,5 g

Iyadoo la tixgelinayo in xalka, waxaa maamula intravenously ama intramuscularly. qiyaasta hore ee daroogada tani waa 25-50 mg.

Ka hor maamulka ka mid ah daroogada taas waxaa loo qasi jiray 2.5 ml oo xal sodium chloride ama procaine. Cirbadaha samayn duridda qoto dheer.

The dose ugu badnaan hal of wakiilka tani waa 150 mg oo maalin walba ah - 1 g Sida ee maamulka xididka, qiimayaashan u dhigma 100 iyo 250 mg.

Waxyeellooyin

U keenida waxyeellooyin "chlorpromazine" (kiniin)? Reviews ayaa sheegay in marxaladaha hore ee daaweynta daawada taasi waxay u keeni kartaa afka oo qalala, paresis hoyga, frigidity, hurdo kordhay, calool, hurdo xumo, dawakhaad, rabitaanka cuntada oo yaraada, tachycardia, foomka of hypotension orthostatic, haynta kaadida, awoodba dhimay, xasaasiyadda iyo dayrta muujiyay cadaadiska dhiigga.

therapy dheer la daroogada this sababa murqo xanuun qoorta iyo af, arrin niyad jab Akinetes-adag neuroleptic, xanuunada extrapyramidal, amenorrhea, akathisia, dareen-celinta dib u meersan kala duwan, hypercoagulability, matag, isbedelka maskaxda, arrhythmia wadnaha, midabka maqaarka, Iscelin of lafaha hematopoiesis dhuux , gynecomastia, joonis cholestatic, galactorrhea, giperplolaktinemiyu, oliguria, shuban, iyo neuroleptic syndrome malignant. Iyada oo phlebitis xididka galiyey sameeyay iyo muruqyada dhexdooda - dhexgalay.

talooyin gaar ah

Therapy qalab this u baahan gacanta si taxadir ah cadaadiska dhiigga, garaaca wadnaha, hawlgalka ee kelyaha iyo beerka.

daroogada Tani waxay sababi kartaa photosensitivity, oo sidaas daraaddeed waqtiga uu gelitaanka lagu talinayaa in la ilaaliyo soo-gaadhista.

Analogs iyo kharashka

Qiimaha daawada taasi ku xiran tahay qaab la sii daayo. Baako ee 10 fijaan oo laga iibsan karaa 60 rubles, halka tiro ka mid ah kaniiniyada ku saabsan yahay 150 rubles.

By analogues daroogada waxaa ka mid ah "hydrochloride chlorpromazine" iyo "Tisercinum".

Reviews

Sida laga soo xigtay khubaro loo arkaa medicament waxay leedahay saameyn waallida dajiya awood, ay ka saareen oo dhan calaamadaha cadhoodaan psychomotor. Si kastaba ha ahaatee, waxaa la ogaadaa in taasi ka dhigan tahay dib u eegista ay yihiin kuwo kala duwan.

Bukaanjiifka qaar ayaa sheegaya in daroogada taas waa wax ku ool ah Alzheimers cudurka, schizophrenia, psychosis, qalalka, iyo sidoo kale-oo Fayda Xumaanta walaaca iyo walbahaarka. Qaar kale waxay leeyihiin macaamiisha aaminsan yihiin in daawo loo arkaa dhirfinaya horumarinta suuxdintu, gacanta gariireen, xanuunada shaqsiyad kala duwan ee gobolka iyo hurdo xad-dhaaf ah.

Si kastaba ha ahaatee, daawaynta waa in kaliya la isticmaalo sidii loogu talagalay iyo iyada oo ay kormeerayaan dhakhtar ka dhigata.