Noj qab haus huv, Npaj
"Gabagamma": cov lus qhia rau kev siv. "Gabagamma": xyuas ntawm kev npaj
Hais txog tus mob no, qaug dab peg, hnov los ntawm txhua leej txhua tus, tab sis tsis yog txhua tus to taub cov ua ntawm tus kab mob no. Txuas tus kab mob no nrog mob ntawm tus tib neeg lub hlwb muaj nuj nqi. Qaug dab peg neeg mob ntawm tag nrho cov muaj hnub nyoog uas muaj feem yuav mus rau ib tug ntau dua qhov twg, cov neeg neeg nyob rau hauv ib tsev neeg uas muaj tau ib tug manifestation ntawm tus kab mob. Tab sis qhov no tsis txhais hais tias qaug dab peg tsis hem cov neeg noj qab.
Tib neeg noj qab haus huv nyob ntawm seb ntawm txoj kev ua neej nws ua. Yog hais tias nws yog tam sim no feem ntau haus dej haus cawv, tshee ua si dhau heev, puas siab puas ntsws, ces lub qaug dab peg yuav tau nrhiav lub cim thiab manifested nyob rau hauv nees nkaum plaub caug thiab rau caum xyoo.
Txoj kev rau cov kev kho mob ntawm epileptic qaug dab peg
Niaj hnub no muaj yog tsis muaj lwm txoj rau cov kev kho mob kev kho mob ntawm qaug dab peg. Diagnosing cov kab mob ntawm lub paj hlwb yog tau siv niaj hnub mob cov khoom. Nyob rau hauv feem ntau tus neeg mob, kev kho yuav tus thawj coj ntawm cov tshuaj uas tsim kho lub hlwb cortex cov nyhuv ntawm attenuating vascular spastic lus.
Nyob rau hauv lub neej tshiab nimno era nyob rau hauv cov kev kho mob ntawm epilepsies ntawm ntau yam complexity, vim hais tias qaug dab peg yuav manifest nws tus kheej nyob rau hauv ntau txoj kev (ib xyoos ib zaug los yog ob peb zaug ib hnub twg), thov anti-epileptic, anti-qaug dab peg tshuaj. Lub ntsiab kos npe rau ntawm qhov pib ntawm qhov qaug dab peg - laim nqaij, ua txhaum ntawm lub digestive thiab urinary system, tsis nco qab, xaav ntawm kev muaj tiag, nco tsis tau, saj, lub rooj sib hais, lub xub ntiag.
Cov tshuaj yuav tiv thaiv tau cov menyuam uas yug ntxov txoj kev loj hlob ntawm qaug dab peg. Feem ntau cov feem ntau, cov kws kho mob hais tias cov tshuaj "Gabagamma" txhais tau tias. Cov lus qhia rau kev siv, analogs, tswvyim ntawm cov kws txawj thiab cov txheeb ze ntawm cov neeg mob nrog qaug dab peg tib neeg txog cov tshuaj no yuav tsum tau tham ib tug me ntsis rau yav tom ntej.
Medicament "Gabagamma": qhov kev tso tawm daim ntawv no, cov qauv
Yog li ntawd, cia saib tag nrho cov kev cai ntawm cov uas muaj xws li kev kho mob phau ntawv qhia. "Gabagamma" - ib tug nyuaj gelatin capsule ntawm dawb, daj los yog txiv kab ntxwv. Nws yog ib qho tseem ceeb kom paub hais tias cov xim ntawm lub ntxiv cov ntsiab lus mus rau lub ntau npaum ntawm lub ntsiab active tshuaj.
Yog li, tsiav tshuaj dawb gabapentin 100 mg, daj - 300 mg, txiv kab ntxwv - 400 mg. Thiaj li, nyob rau hauv txhua rooj plaub muab ib tug tej yam concentration ntawm cov tshuaj.
Tsis tas li ntawd, "Gabagamma" tshuaj muaj nyob rau hauv cov ntsiav tshuaj, zaj duab xis-coated. Miv nyuas siv zug ntawm cov tshuaj nyob rau hauv lub hlwb dab tsis nyob ntawm seb ntau npaum daim ntawv.
Manufactured tshuaj "Gabagamma" nyob rau hauv German kws lub tuam txhab Woerwag Pharma GmbH & Co KG. German tshuaj yog zoo. Yog li ntawd, yuav luag tsuas zoo yuav pom txog lub tshuaj ntsiav thiab "Gabagamma" ntsiav tshuaj xyuas.
Lub pharmacology ntawm cov tshuaj
Yuav kom to taub raws nraim li cas cov tshuaj yuav tsum tau kawm ua tib zoo tag nrho cov tswv yim pom zoo ntawm lub active ingredient, uas muaj cov lus qhia rau kev siv. "Gabagamma", raws li hais saum toj no, - antiepileptic tshuaj. Nws active ingredient yog zoo nyob rau hauv cov xwm mus rau lub blocker ntawm GABA - gamma-aminobutyric acid, siv nyob rau hauv cov kev kho mob ntawm lub hlwb cov kab mob. Txawm li cas los, lub mechanism ntawm qhov kev txiav txim ntawm cov tshuaj yog yus nyob rau lub physiological theem. Gabapentin tsis sau thiab qhia rau hauv lub cev ntawm GABA. Nws uake rau α2-δ-subunit ntawm voltage-dependent calcium channel, uas ib tug yuav txo tau nyob rau hauv lub khiav ntawm calcium ions, uas koom nyob rau hauv lub physiological dab generated neuropathic mob. Nyob rau hauv keeb kwm yav dhau ntawm qhov nce GABA synthesis, neurotransmitter tso tawm yog suppressed monoamine pab pawg neeg.
Qhov siab tshaj plaws concentration ntawm gabapentin nyob rau hauv cov ntshav yog mus txog tom qab ob peb teev tom qab thawj coj. Txais cov zaub mov tsis cuam tshuam rau haum cov tshuaj.
Raws li cov phau ntawv qhia, "Gabagamma" tas nyob rau hauv tsib mus rau xya teev, tsis hais txog ntawm ntau npaum concentration ob lub raum unchanged.
Cov neeg uas muaj lub siab thiab lub raum kab mob tshuaj outputted ntawm hemodialysis.
indications
Yuav kom taw ib tug yeeb tshuaj phau ntawv qhia?
"Gabagamma" tshuaj rau cov neeg laus cov neeg mob nyob rau hauv lub mob ntawm kev mob, uas tshwm sim thaum ntshav qab zib nephropathy, post-herpetic neuralgia. Thiab cov neeg laus thiab cov me nyuam los ntawm cov muaj hnub nyoog ntawm kaum ob thaum lub sij hawm lub complex txoj kev kho ntawm ib nrab qaug dab peg nrog theem nrab manifestation ntawm cov tsos mob ntawm generalization los yog tsis muaj lawv.
Raws li cov lus qhia rau kev siv, "Gabagamma" lug siv nyob rau hauv Pediatrics. Nws yog muab raws li cov tshuaj nyob rau hauv epileptic qaug dab peg nyob rau hauv cov neeg mob nyob rau hauv lub cev uas tsis muaj feem xyuam rau lwm antiepileptic kho cov neeg ua hauj.
Contraindications
"Gabagamma" Ntsiav tshuaj thiab tsiav tshuaj rau daim ntawv thov kev qhia ntawv tsis pom zoo kom ib tug rhiab heev rau lub Cheebtsam muaj nyob rau hauv nyob tus yeees ntawm cov tshuaj. Tsis tas li ntawd, mob ntawm mob pancreatitis, raws roj ntsha tsis muaj peev xwm galaktazy, lactase tsis muaj peev xwm, ua txhaum ntawm muaj sia dab uas piam thaj thiab galactose yog ib qho chaw khuam rau noj cov tshuaj.
Cev Xeeb Tub thiab kev pub niam mis rau cov poj niam yog tsis pom zoo kom noj cov tshuaj no noj tshuaj. Kuv kawm tau ib tug ntau ntawm cov mob, thaum, tom qab cov zaj uas lub antiepileptic tshuaj kho cev xeeb tub cov poj niam uas yug me nyuam nrog congenital lub cev txawv txav.
Cov me nyuam tus kws kho tsuas yog tom qab lub tua ntawm kaum ob xyoos!
Pom zoo ntau npaum
Los ntawm cov tshuaj "Gabagamma" phau ntawv qhia txog kev rau lub fact tias nws muaj peev xwm yuav ib txhij noj nrog lwm cov antiepileptic tshuaj, thiab nws tsis muaj feem xyuam rau cov hauj lwm zoo ntawm qhov ncauj contraceptives, tshwj xeeb tshaj yog cov uas muaj nyob rau hauv nws muaj pes tsawg leeg ntawm norethindrone los yog ethinyl estradiol. Tsis tas li ntawd, nws yog tsis txaus ntshai rau noj cov tshuaj nrog cov neeg ua hauj uas inhibit qhov kev tso zis gabapentin los ntawm ob lub raum.
antacid tshuaj pab pawg neeg bioavailability index txo gabapentin, txawm li cas los nws yog tau txais tsis pub dhau ob xuab moos tom qab thawj coj.
Tshuaj "Gabagamma" phau ntawv qhia xav kom nyob rau hauv raws li nrog ib tug tej koob, uas muaj peev xwm nkaus xwb yuav kho los ntawm cov kws kho mob. Ntsiav tshuaj thiab tshuaj yog tsis khi rau cov zaub mov kom tsawg, cov tseem ceeb tshaj plaws - lub multiplicity ntawm tau txais qhov kev ntxiv thiab kev hwm ntawm koob tshuaj lub sij hawm los mus tiv thaiv overdosing tshuaj.
Hauv qab no yog pleev xim rau, yuav ua li cas coj cov tshuaj "Gabagamma" indications rau kev siv yog qhia tsis tau hloov.
Nyob rau hauv neuropathic mob neeg laus kws kho rau hnub thawj coj ntawm 900 mg gabapentin. Qhov no tshuaj yog muab faib rau ib tug ntau yam ntawm peb lub sij hawm thiab coj tu ncua tsis tau siab tshaj 12 teev. Yog hais tias tsim nyog, lub koob tshuaj yuav tsum maj mam nce mus txog 3600 mg ib hnub twg.
Thaum manifested ib nrab qaug dab peg rau cov neeg laus thiab cov me nyuam laus tshaj kaum ob xyoos yog muab tib koob tshuaj - 900 mg rau 3600 mg, muab faib los ntawm lub peb-lub sij hawm txais tos thaum hmo ntuj.
txo cim qhia raws li QC (ml / min) nyob rau hauv lub raum tsis ua hauj lwm. Yog hais tias nws nce mus txog:
- ntau tshaj 80, lub gabapentin koob tshuaj - 900-3600 mg;
- 50-79, lub saws 600-1800 mg;
- 30-49, ntau npaum ntawm 300-900 mg;
- 15-29 pom zoo 150-600 mg;
- tsawg tshaj li 15, yog li ntawd, 150-300 mg gabapentin.
Hemodialysis neeg mob tus kws kho koob "Gabagamma" 300mg, phau ntawv qhia kom plaub teev tom qab txhua purification cov txheej txheem kab mob tus neeg mob mus rau noj 200 mg ntawm gabapentin. Cov tshuaj yog nrog los ntawm ib tug kws kho mob saib xyuas.
Kev npaj "Gabagamma" phau ntawv tso cai thiab critically mob cov neeg mob uas me me lub cev loj, tom qab niaj nyuab surgeries muab nyob rau hauv ib koob tshuaj ntawm 100 mg.
Sab tshua tshwm sim los ntawm cov tshuaj
Nyob rau sab los ntawm cov tshuaj tsom tshwj xeeb mloog "Gabagamma" phau ntawv qhia. Ntsiav tshuaj uas muaj gabapentin, yog tsis muaj kev nyab xeeb rau kev kho mob. Lawv yuav ua loj heev deviations lub cev noj qab haus huv.
Ntawm no yog ib daim ntawv teev ntawm lawv taw tes qhia mus rau yeeb tshuaj "Gabagamma" qhia ntawv nyob rau daim ntawv thov, xyuas cov ntau cov neeg mob thiab lawv cov tsev neeg:
- zaub ntawm tej yam tshwm sim ntawm tus kab mob cov kab mob, mob ntsws, genitourinary system, otitis;
- thrombocytopenia, leukopenia;
- tsis haum sawv pob los yog khaus;
- nce qab los noj mov los yog nws poob, ua rau anorexia;
- nervousness, aggression, hallucinations, tsis meej pem, tsis muaj kev xav, kev puas hlwb kev ntshawv siab;
- tshee, tsis muaj zog, nkees nkees, mob taub hau, tsaus muag, tsis muaj reflex kos npe rau, nco tsis tau;
- txo lub teb pom;
- ringing nyob rau hauv lub pob ntseg;
- lub plawv palpitations, ntshav siab;
- rhinitis, bronchitis, pharyngitis;
- xeev siab, mob plab thiab mob plab, raws plab, jaundice;
- o ntawm lub cev, pob txuv tag nrho cov thoob lub cev;
- txha thiab mob ib ce thoob plaws lub cev;
- urinary incontinence;
- txiv neej impotence, poj niam gynecomastia;
- jumps nyob rau hauv cov ntshav qab zib ntau ntau rau cov diabetics;
- mob pancreatitis;
- cov me nyuam txoj kev txhoj puab heev coj tus cwj pwm thiab hyperkinesia.
Raws li koj tau pom, cov tshuaj "Gabagamma" tsis yog cov tshuaj uas yuav tsum tau noj tsis muaj tus tshuaj ntawm tus kws kho mob. Heev loj physiological malfunctions yuav tau yog hais tias nws tus kheej-medicate epilepsies.
Cov tshuaj Group antiepileptic tshuaj: uas yog zoo dua?
Nyob rau hauv niaj hnub lub sij hawm tus kws tuam txhab uas muag ua ib tug ntau yam ntawm anti-epileptic tshuaj. Tej zaum lawv yuav muaj xws li nyob rau hauv nws muaj pes tsawg leeg ntawm gabapentin los yog lwm yam active tshuaj uas muaj ib tug zoo ntxim rau cov physiological dab noj qhov chaw nyob rau hauv lub hlwb.
Ntawm lawv, nws yog tsis yooj yim sua kom paub qhov txawv zoo los phem. Txhua epileptic cov ntaub ntawv yog txawv los ntawm nws thiab ua rau tag nrho cov kws kho mob muab tshuaj rau ib tug kev tshuaj los kho ib tug neeg mob.
Drug analogues "Gabagamma" yog cov nram qab no tshuaj: "Neyrotin" tsiav tshuaj (lub teb chaws Yelemees), "Gapentek" (Russia), "Tebantin" (Hungary), "Topiromat" (Russia), "Katena" (Croatia).
Zoo li cov nyob rau hauv pharmacological tsiav tshuaj featured yog "Algerika", "lyrics", muaj ib tug muaj pes tsawg leeg ntawm pregabalin ntsiav tshuaj "Vimpat" nrog lakosamidom ntsiav tshuaj "Levitsitam" nrog levetiracetam ntsiav tshuaj "Paflyugeral".
Tshuaj "Gabagamma": cov kws kho mob 'tswv yim
Los ntawm ib tug ntev daim ntawv teev cov anti-epileptic tshuaj, kws kho mob tseem feem ntau tua tau lawv cov neeg mob lub capsule "Gabagamma". Yog vim li cas, yog tias lub tsev muag tshuaj rhawv koj yuav nrhiav tau ib tug ntau ntawm pheej yig dua cov tshuaj los hloov lawv?
Qhov no yog hais tias nws yog ib ntsiav tshuaj "Gabagamma" xyuas ntawm cov kws kho mob yog yus ua ib tug high-zoo thiab siab tshaj plaws efficiency. Dua li ntawm qhov loj ntawm daim ntawv teev tau heev muaj mob loj tshua rau tus neeg mob lub kho nrog tshuaj no, kom tso tseg nws daim ntawv thov tsis muab ib qho impressive tus nqi rov qab mus rau lub neej zoo.
Raws li rau tus kws kho mob tseem ceeb zoo sib ntawm rov qab muaj tej pawg ntseeg, tus thawj koom ruam twb muab tso rau hauv ib tug yeeb tshuaj ua nyob rau hauv lub teb chaws Yelemees, txawm hais tias nws thiab txoj kev. Tshwj xeeb tshaj yog cov kws kho mob pom zoo kom nws siv nyob rau hauv Pediatrics.
Lawm, lub sab los ntawm cov tshuaj tej zaum yuav tshwm sim tsis nyob rau hauv tag nrho cov. Tab sis feem ntau cov kws kho mob hais tias lawv cov neeg mob tsaug tsaug zog nco qab, kev nyuaj siab, thiab mob taub hau. Feem ntau, cov tsos mob ploj tom qab ib tug thaum kawg ntawm kev kho mob nrog gabapentin.
Kev mloog yog them rau tus kws kho mob cov kev kho mob ntawm qaug dab peg nyob rau hauv cov me nyuam. Yuav teem caij tuaj ntsib kws kho mob soj ntsuam tag nrho cov duab ntawm tus me nyuam lub xeev kev kho mob, thiaj li tsis mus thab nws twb problematic los yog ze rau ib qho tseem ceeb mob.
Xyuas ntawm cov tshuaj
Ib tug ntau ntawm cov neeg mob uas muaj qaug dab peg mob ntawm cov neeg uas tau ua neej nyob dhau ib tug tus kheej kev noj qab nyob ntsiav tshuaj "Gabagamma". Xyuas ntawm cov neeg thiab tham txog sab tsis xis nyob, thiab tshuaj siv.
Cov txheeb ze tu tus neeg mob, hais tias lawv nkees nco qab, muaj ntau yam kev tsis txaus siab ntawm mob taub hau, xeev siab, co thiab kiv taub hau, impaired zog yog tsis muaj exception. Tab sis amid qhov kev kawm ntawm no tsis xis nyob yog tseem cai nyob rau hauv txo lub zaus ntawm qaug dab peg.
Manifested lub xeev ntawm kev nyuaj siab thiab txhoj puab heev cwj pwm nyob rau ntawm zuj zus lawm cov tshuaj tsawg. Yam tshuaj no yog ib tug gradual, ntsis los ntawm lub cev, thiaj li tsis xav tias yuav maximize cov nyhuv uas cov thawj koob tshuaj. yuav tsum yauv mus ua ib lub chav kawm ntawm kev kho mob rau ua zoo hloov. Cov kev tshwm sim ntawm txoj kev siv ntawm "Gabagamma" tshuaj txaus txhiab ntawm cov neeg mob. Tshwj xeeb tshaj yog xav thov ua tsaug rau cov German kws lub tuam txhab rau qhov zoo ntawm cov tshuaj, cov niam txiv ntawm cov me nyuam nrog ib tug mob ntawm qaug dab peg. Tom qab tag nrho, lub sij hawm yuav txaus siab rau ib tug tag nrho noj qab nyob zoo lub neej yuav tsum rau txhua leej txhua tus, tshwj xeeb tshaj yog rau cov hluas tiam.
Qhov tsab xov xwm soj ntsuam lub thaj chaw ntawm antiepileptic, anticonvulsant "Gabagamma", uas qhia hais tias qhov no tshuaj tau ua rau nws tau mus zoo nrog lub insidious kab mob ntawm cov tib neeg lub hlwb. Cov hauj lwm zoo rau hauv lub kho neeg sawv cev yog paub tseeb hais tias los ntawm ib tug heev impressive statistic rov qab tus neeg mob, whereas nees nkaum xyoo dhau los txog qaug dabpeg hais li ib tug incurable kab mob.
Nyob rau hauv peb lub sij hawm, muaj peev xwm, ua tsaug rau tus ua hauj lwm ntawm kev kho mob lub cev, los ua pov thawj hais tias epileptic qaug dab peg yuav tsum tswj zoo, tiv thaiv lawv tshwm sim, yog tias noj zoo tshuaj.
Qhov no tshuaj yog tsis hom kab mob. German tshuaj yooj yim muaj peev xwm yuav yuav nyob rau hauv tej lub tsev muag tshuaj thiab domestic tsis kam lawv cov txheeb ze thiab hlub sawv daws yuav nyob rau hauv zoo, kev cia siab ntawm ib tug zoo tshwm sim ntawm cov kev kho mob.
Raws li rau nws cov phooj ywg, nyob rau hauv lawv kuj heev npaum li cas tsim nyog ntawm cov tshuaj. Uas tseem yog tus tshuaj no yog tshuaj rau ib tug neeg mob xaiv tsis rau tus neeg mob nws tus kheej thiab nws tsev neeg, thiab lub tus kws kho mob. Tshwj xeeb tshaj yog thaum nws tawm los rau xws li ib tug loj heev mob zoo li qaug dab peg.
Feem ntau, ib yam dab tsi uas ib tug yog txiav txim los ntawm kev piv txwv thiab kev kawm txog zoo tiam sis ntawm rov qab. Cov tshuaj "Gabagamma" yog ib tug zoo thawj coj, tab sis hais tias tsis tau txhais hais tias yog lwm yam tshuaj yuav tsis tau qaug dab peg.
Nyob rau hauv niaj hnub lub sij hawm nws muaj kev tswj los kho "coj txawv txawv kab mob" vim hais tias ntawm ib tug ntau yam ntawm kev tshuaj ua los ntawm cov kws tuam txhab uas muag ob domestic thiab txawv teb chaws.
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