Xyuas: "carbamazepine". Nws miv nyuas siv zug thiab kev phiv

Anticonvulsant tshuaj "carbamazepine" tswv yim uas peb yuav xav txog niaj hnub no tau tsim los ntawm yuav luag ib nrab xyoo dhau los. Txawm hais tias kev kho mob xyaum txij li thaum ib tug txiav txim tus naj npawb ntawm ntau niaj hnub, npaum cov khoom, tau, tshaj tej ntawm, tsawg phiv, hu ua lub chaw tshua nrov heev ntawm cov kws kho mob thiab cov neeg mob nws twb tau ua tswvcuab.

Nyob rau hauv tej rooj plaub, ib tug yeeb tshuaj "carbamazepine"

Hu ntsiav tshuaj - nws yog ib qho zoo heev anticonvulsant thiab analgesic tshuaj uas yog siv:

• raws li cov thawj txhais tau tias rau cov kev kho mob ntawm qaug dab peg nrog ntau hom kev tawm tsam;
• ntawm manic syndromes nyob rau hauv mob daim ntawv;
• los mus tiv thaiv deterioration tshwm sim theem ntawm affective mob, raws li tau zoo raws li mus pab txhawb rau tus neeg mob tus mob thaum lub sij hawm ntawm exacerbation;
• mob nrog nrog lub ntshav qab zib neuropathy;
• los pab txhawb lub zoo ntawm cov neeg mob nrog trigeminal neuralgia;
• raws li zoo raws li haus dej haus cawv ntsoos ntsoos, qhia nervousness, pw tsaug zog mob thiab convulsive lub xeev.

Nyob rau hauv tas li ntawd, raws li kws txawj, reviewers, "carbamazepine" yog ntse siv rau cov kev kho mob ntawm psychoses, schizophrenia, lub txhoj puab heev lub xeev, ceeb tsam, raws li zoo raws li organic hloov nyob rau hauv lub hlwb cov ntaub so ntswg. Txawm li cas los, nco ntsoov hais tias cov hauj lwm zoo ntawm cov tshuaj nyob rau hauv cov neeg mob raws li tsuas yog nyob rau kev soj ntsuam raws li kuaj raws tu qauv kev tshawb fawb tsis tau ua.

Cov ntsiav tshuaj no yog cov pab "carbamazepine" rau cov neeg uas tau qaug dab peg

Nyob rau hauv cov neeg mob uas tau qaug dab peg hais tias tus neeg saib xyuas yuav tsub kom lub nws txo qis qaug dab peg pib thiab yog li thiaj li muaj cov kev pheej hmoo ntawm ib tug tshiab nres. Nws muaj pov thawj yuav tsum tau zoo rau kev npaj rau kev haum ntawm tus neeg hloov (raws li ib tug tshwm sim ntawm zoo sib txuas lus thiab pab txhawb cov kev sib raug kev ncaj ncees ntawm tej neeg mob).

Cov neeg mob nyob rau hauv cov tub ntxhais hluas thiab cov me nyuam txoj kev siv ntawm cov tshuaj thiaj li nyuab siab, paub tsis meej, nervousness thiab aggression. Tab sis nws yuav tsum tau xav hais tias cov nyhuv uas cov tshuaj rau kev txawj ntse muaj nuj nqi (nco raws li txoj cai, kev sib koom tes, mloog, hais lus, xav muaj peev xwm, orientation, etc.) tej zaum yuav txawv nyob ntawm seb ntau npaum, thiab nws yog ib tug neeg!

Txawm li cas los, ib co neeg mob, tawm hauv lub tswv yim, "carbamazepine" yog xa mus rau raws li ib tug tshuaj uas muaj ib tug tsis tshua muaj efficiency raws li ib tug txhais tau tias kom tshwj kom txhob muaj kev nyuaj siab, los yog nyob rau hauv lub sijhawm muaj kev puas hlwb kev tsis taus. Lawv pleev tshuaj rau lub txoj kev, thiab hais tias lub txuas ntxiv daim ntawv thov ntawm no lub cuab tam implies yuav tsum tau xyuas los ntawm ib tug kws kho mob thiab cov kev tshawb fawb thiab ntsuam.

Yuav Tsum cai ntawm cov tshuaj

Yog, peb yuav tsum pom zoo hais tias cov hais tias cov tshuaj muaj heev los ntawm cov tib neeg lub cev. Uas yog vim li cas ua ntej nws yuav siv nws yog ib qho tseem ceeb mus tham ib tug tshwj xeeb.

Siv cov ntsiav tshuaj "carbamazepine", nws yog ib qho tseem ceeb rau koj nco ntsoov cov cai nram qab no.

• Cov neeg mob yuav zoo tshaj plaws pauv mus rau cov kev kho mob ntawm qhov cuab tam nrog ceev faj ua raws li thiab daim ntawv thov ntawm tag nrho cov tswv yim pom zoo ntawm cov kws kho mob, nyob rau hauv lwm tus neeg mob, cov tshuaj yuav ua rau ib tug ntau ntawm phiv los.
• Ua ntej rau kev kho mob, feem ntau los tshawb xyuas lub xeev ntawm tus neeg mob lub siab (tshwj xeeb tshaj yog yog hais tias nws yog neeg laus los yog muaj lub cev kab mob). Yog hais tias lub kom tsawg ntawm cov tshuaj yuav tshwm sim ntawm deterioration, cov kev kho mob yuav tsum tau txiav lawv sai li sai tau.
• Kev mloog yog them mus rau lub xeev ntawm lub intraocular siab ntawm tus neeg mob raug kho tshuaj "carbamazepine". Xyuas cov kws kho mob muab tshuaj tshuaj no yuav qhia tau tias nws siv yuav hnia enhanced secretion ntawm intraocular kua, uas nyob rau hauv lem yog ib tug uas yuav ntawm deterioration ntawm nrig txog kev pom muaj nuj nqi ntawm lub qhov muag.

tshuaj analogues

"Carbamazepine" Ntsiav tshuaj muaj zoo xws li cov teebmeem ntawm cov tshuaj. Cov no muaj xws "Zagretol", "Karbalepsin retard", "Karbapin", "Mazepin", "Stazepin", "Tegretol", "Finlepsin", "Carbamazepine Nycomed" thiab "Carbamazepine EVKAWJ". Xyuas ntawm cov kws kho mob thiab cov neeg mob txog lawv cov kev siv thiab los ntawm lub cev yog zoo li cov uas raug xa mus rau nyob rau hauv anntotatsii rau cov tshuaj mas siv.

Raws li cov tshuaj no yog siv

T

abletki "carbamazepine" siv lus ua ntej noj mov los yog tom qab nws. Permissible siv ntawm cov tshuaj thiab thaum lub sij hawm noj mov, yog li nws yuav tsum tau ntxuav nrog dej.

Rau qaug dabpeg cov neeg mob, yog tias ua tau, nws yog ib undesirable rau muab lub cuab tam nrog rau lwm yam.

Nyob rau hauv thaum ntxov hnub daim ntawv thov "Carbamazepine" tshwm sim nyob rau hauv ib tug tsawg kawg nkaus npaum li cas, hereinafter cov tshuaj twb tau nce mus rau ib theem uas cov yam tshwm sim yog tiav. Cov tib zoo ntawm kev siv thiab cov kev taw qhia ntawm cov tshuaj nyob rau hauv lub regimen pib los ntawm lwm yam txhais tau tias. Nco ntsoov hais tias cov thawj kom muaj nuj nqis ntawm siv tshuaj tsis txo.

Lub caij nyoog ntau npaum ntawm cov tshuaj

• Cov me nyuam los ntawm plaub lub xyoos tshuaj tshuaj nyob rau hauv ib tug npaum li ntawm 20 mg rau 60 mg ib hnub twg, muab raws li tsim nyog los ntawm 20-60 mg txhua txhua ob hnub.
• Cov neeg mob nyob rau hauv adulthood - los ntawm 100 mus 200 mg ib zaug los yog ob zaug ib hnub, nce, yog tias tsim nyog, tus nqi mus txog rau 400 mg ob-peb zaug ib hnub twg (koob tshuaj yuav tsum tsis txhob ntau tshaj 2 g).
• Thaum trigeminal neuralgia muab 200 mg / hnub. los ntawm thaum pib ntawm kev kho mob, maj nce mus rau lub siab tshaj plaws pes tsawg tus - 400-800 mg ib hnub twg, kom txog thaum lub txiav ntawm lub mob, ces cov tshuaj tsawg.
• cawv tshem syndrome yog kho nyob rau ntawm ib tug nruab nrab koob tshuaj ntawm 200 mg 3 lub sij hawm ib hnub twg, thiab nyob rau hauv tshwj xeeb loj heev zaum, nws yog ntau zog rau 400 mg. Thaum pib ntawm yeeb tshuaj ua ke nrog sedative-hypnotics.
• Mob manic lub xeev yuav tsum tau ib tug nruab nrab txhua hnub koob tshuaj los ntawm 400 mus 1600 mg nyob rau hauv ob los yog peb koob tshuaj. Ntxiv mus, lub koob tshuaj yog nce sai heev.

Yuav ua li cas yog cov tsos mob ntawm tshuaj overdose

Tau teeb ntawm lub paj hlwb, uas yog qhia nyob rau hauv tsis meej pem, tsis hnov kev sib koom tes ntawm taw (ie. N. ataxia), tsis muaj zog, nkees nkees los yog hyperactivity, hallucinations tsos, ntog mus rau hauv ib tug coma thiab coma. Kev tshawb fawb ua los ntawm cov kws tshwj xeeb kom paub meej tias tias cov overdose feem ntau raug rau cov kab, central tshee thiab ua pa tshuab ntawm lub cev. Raws li paub tseeb hais tias los ntawm cov kws kho mob tshuav tswv yim, "carbamazepine" ib tug overdose yuav ua tau heev txaus ntshai!

• Overdose ntxim rau cov hauv nruab nrog cev uas tsis pom kev (tus neeg mob pom ua ntej nws ob lub qhov muag "daim ntaub thaiv"), nws pom nystagmus (sai arrhythmic zog ntawm tus eyeballs), thiab dilated cov menyuam kawm ntawv.
• Muaj hais lus ntshawv siab, psychomotor ua cuam tshuam, myoclonus (cia li nqaij jerks).
• Nyob rau hauv ib feem ntawm cov hlab plawv system tej zaum yuav tachycardia, ib tug muaj zog txo los yog nce nyob rau hauv cov ntshav siab thiab txawm lub plawv tsis ua hauj lwm.

Nyob rau hauv cov ntaub ntawv ntawm overdose xav tias yuav tsum pais plab lavage thiab tshuab txais hluav ncaig txoj kev. Pom zoo pw tsev kho mob ntawm cov neeg mob thiab ntxiv symptomatic kev kho mob.

Tshuaj "carbamazepine": phiv

Ib zaug ntxiv nws yuav tsum tau muab sau tseg tias cov tshuaj yuav tsum tsuas yog ua nyob rau hauv kev kho mob saib xyuas thiab cov koob tshuaj muab rau lawv. Nws yog tsis tsim nyog nyob rau hauv nws cov tib tug yam hloov tus xov tooj ntawm cov ntsiav tshuaj thiab cov tsos mob tshwm sim yuav tsum tau mus tham tau ib tug kws rau ntxiv kev kho mob regimen.

Phiv cov tsos mob tej zaum yuav qhia nyob rau hauv daim ntawv ntawm cov kiv taub hau, nkees nkees, zoo nkaus li ntawm qhov nkees, mob taub hau, co, saj mob, depressive lub xeev thiab txhoj puab heev coj tus cwj pwm. Tej zaum ua rau xeev siab, ntuav thiab lub qhov ncauj qhuav.

Intolerance rau lub Cheebtsam ntawm cov tshuaj tsis haum.

Raws li ib tug tshwm sim uas tau txais lub cuab tam kuj tau pom ces leukopenia thiab thrombocytopenia zaum yuav tshwm sim folic acid deficiency, edema, koj qhov hnyav nce, kua tuav thiab hyponatremia (ntshav ntau txo sodium ions).

Yuav kom txhob ntsiav tshuaj "carbamazepine"

Cov tshuaj, txawm ntev daim ntawv teev cov kev phiv yog feem ntau zoo taus. Ib tug neeg mob tus mob feem ntau mas nws txawv mus zoo koob tshuaj yuav txo tau los yog kev hloov ntawm cov tswvyim. Qhov no yog qhia los ntawm cov coob zus tuaj xyuas.

"Carbamazepine" raws li ib tug tshuaj rau yog ua rau ib tug me me pab pawg neeg ntawm cov neeg mob.

• Cov no muaj xws cov neeg mob uas atrioventricular thaiv (ua txhaum ntawm cov kis ntawm ib tug hlab ntsha lam ua nyob rau hauv cov hlab plawv system), raws li zoo raws li lub inhibition ntawm pob txha hematopoiesis.
• Tsis txhob siv rau cov neeg mob nrog hepatic porphyria.
• Thaum lub sij hawm uas cev xeeb tub thiab pub niam mis lawm.
• Pub noj cov tshuaj no nrog Mao inhibitors thiab ob lub lis piam tom qab lawv ntsoos ntsoos.

Lub sis ntawm cov tshuaj nrog lwm yam tshuaj

Ua ntej kev kho mob, tsis txhob hnov qab mus qhia rau koj tus kws kho mob txog tej yam tshuaj uas koj noj thaum lub caij. Vim hais tias concomitant siv xws cov tshuaj raws li "Diltiazem" "Fluoxetine", "Isoniazid" "Erythromycin", "Nicotinamide" thiab al. Tej zaum ua rau kom txoj kev pheej hmoo ntawm overdose.

Tsis tas li ntawd, tsis txhob siv thaum lub sij hawm kev kho mob ntawm hormonal contraceptives raws li ib tug yuav muaj uterine los ntshav.

Haus dej cawv tsub kom lub inhibitory nyhuv ntawm cov kab mob nyob rau hauv lub paj hlwb.