Kugwiritsa ntchito kwa amitriptyline ndi phenazepam nthawi zambiri kumagwiritsidwa ntchito pazachipatala. Kuphatikizidwa kwa zotsatira za mankhwala osiyanasiyana kumatha kupititsa patsogolo chithandizo chamankhwala pochotsa zovuta m'maganizo ndi m'malingaliro.
Amitriptyline nthawi zambiri amagwiritsidwa ntchito ndi phenazepam.
Makhalidwe a Amitriptyline
Mankhwala ndi psychotropic mankhwala omwe ali m'gulu la antidepressants atatu. Mukagwiritsidwa ntchito, mankhwalawa amathandizira kuti muchepetse nkhawa.
Mankhwalawa amakhudza mwachindunji maselo aubongo. Pakutukuka kwa mkhalidwe wopsinjika, kumasulidwa kwa serotonin ndi norepinephrine, yemwe ali ndi udindo wopititsa patsogolo malingaliro, amachepa. Amitriptyline salola kubwezeretsedwanso kwa zinthuzi m'maselo a m'mitsempha muubongo.
Mankhwala othandizira amachotsa nkhawa komanso mantha, amathandizanso kuti musinthe. Mphamvu ya kugwiritsa ntchito mankhwalawa imawonedwa patadutsa masiku 20-30 atangoyamba kumene chithandizo.
Amitriptyline imakhala ndi hypnotic.
Kodi phenazepam imagwira ntchito bwanji?
Kukonzekera kumakhala ndi yogwira chinthu bromodihydrochlorophenylbenzodiazepine, womwe umakhala ndi nkhawa. Khola lamkuwa limachepetsa thupi, limasinthasintha kugona, limapumula komanso limathandizanso kupsinjika.
Mankhwala bwino amachepetsa kusefukira kwa subcortical zigawo za ubongo (thalamus, hypothalamus, limbic system).
Kuphatikiza kwa amitriptyline ndi phenazepam
Chifukwa cha kugwiritsa ntchito mankhwala munthawi yomweyo mthupi, zosintha zabwino zimachitika:
- kuchuluka excitability ndi mavuto amachotsedwa:
- kumverera kwa nkhawa ndi mantha kumachepa;
- mantha amatha;
- limagwirira kugona;
- minofu kumasuka;
- malingaliro oyipa amachotsedwa;
- kumva kutopa kumachepa;
- machitidwe amakhala bwino.
Kugawana mankhwala kumathandizanso kuti tisinthe.
Zizindikiro zogwiritsidwa ntchito munthawi yomweyo
Mavuto otsatirawa ndi chifukwa chogwiritsira ntchito nthawi yomweyo mankhwala osokoneza bongo:
- Mitsempha ya mitsempha ndi mitsempha yofanana, yokhala limodzi ndi kuwonjezereka kwa kukwiya, mavuto amanjenje, mantha, kutengeka mtima;
- yogwira psychoses;
- Kukhumudwa
- chisokonezo cha kugona;
- kukhalapo kwa zizindikiro zochoka ndi khunyu;
- pachimake schizophrenia ndi chikhululukiro.
Contraindication kuti amitriptyline ndi phenazepam
Mankhwalawa saloledwa kuti agwiritsidwe ntchito ndi zovuta zotsatirazi:
- kugwira ntchito kwa impso ndi chiwindi;
- matenda a prostate gland;
- kuchuluka kwapakati pa intraocular;
- kukhalapo kwa zilonda zam'mimba zam'mimba thirakiti;
- kukhumudwa kwambiri;
- ochepa matenda oopsa 3 madigiri;
- kusokonezeka kwakukulu muntchito ya mtima;
- myasthenic syndrome.
Mankhwala sagwiritsidwa ntchito pamaso pa munthu kuleza mtima kwa ziwalo zina za mankhwalawa, kumwa kwambiri mowa ndi kuledzera kwa mankhwala, ndikuchepetsa ntchito ya kupuma.
Mankhwala saloledwa kulandira chithandizo mukamayamwa komanso mkaka wa m'mawere. Samagwiritsidwa ntchito pochiza ana.
Momwe mungatengere amitriptyline ndi phenazepam
Mapiritsi a Amitriptyline amatengedwa asanagone. Mankhwala oyamba ndi 25-50 mg. Ndi osakwanira kwenikweni, mlingo umachulukitsidwa, koma sayenera kupitirira 300 mg.
Njira yothetsera mankhwalawa imaperekedwa intramuscularly katatu patsiku kuchuluka kwa 50-100 mg. Woopsa milandu, 400 mg ya mankhwala amaloledwa.
Phenazepam adalembedwa mkati / mu, mu / m ndi mkati. Mlingo watsimikiza ndi dokotala payekhapayekha ndipo zimatengera mtundu wamavuto amisala komanso kuuma kwake.
Zotsatira zoyipa
Pa mankhwala ndi mankhwala, kuwoneka kosakonzekera ndizotheka, komwe:
- chitukuko cha matumbo a m'mimba;
- kumverera kwa kufooka ndi kutopa;
- zolakwika mu mtima mungoli;
- chilala;
- matumbo dongosolo;
- kusintha kwa kuchuluka kwa magazi;
- kuoneka kwa zotupa;
- kufooketsa chilakolako chogonana;
- kusokonezeka kwa kukumbukira;
- kuphwanya magalimoto ndi zolankhula.
Kugwiritsa ntchito mankhwala kwa nthawi yayitali kumatha kupanga kudalira mankhwala.
Malingaliro a madotolo
Kuphatikiza mankhwala ndi phenazepam ndi amitriptyline, chithandizo chokwanira kwambiri chimadziwika. Ochita ntchito amalabadira kupezeka kwa mankhwalawa chifukwa cha mtengo wotsika.
Mankhwala ambiri amisala yodwala matenda amisala amayambitsidwa munjira yoperekera chithandizo kuti athane ndi mavuto amisala, nkhawa, kusowa tulo, mavuto amowa.
Koma madotolo anena za kufunika kwa mankhwala omwe amayang'aniridwa ndi katswiri, monga Mankhwala amayambitsa mavuto ambiri. Munthawi yamankhwala, kusiya mankhwala omwe amagwira ntchito ndikothekanso, choncho tikulimbikitsidwa kuti musagwiritse ntchito mankhwala kwa miyezi yopitilira 3.
Ndemanga za Odwala
Larisa, wazaka 34, Kaluga
Pambuyo pa chisudzulo, mkhalidwe wamanjenje udali wowopsa. Ndinaleka kugona, ndinasiya kudya, panali mantha akulu, kusachedwa. Pondilimbikitsidwa ndi mzanga, ndinapangana ndi a psychotherapist. Dotolo adaphatikizira Phenazepam ndi Amitriptyline pamankhwala. Ndinagwiritsa ntchito Mlingo wocheperako, koma mankhwalawa anayamba kuthandiza kuyambira masiku oyamba. Nthawi yonseyi amayang'aniridwa ndi dokotala, chifukwa mankhwala apadera, amapezeka pokhapokha ngati mwalandira mankhwala.
Olga, wazaka 41, Kemerovo
Ndimamwa mankhwala nthawi ndi nthawi chifukwa cha neurosis. Ndakhala ndikudwala kwa nthawi yayitali. Njira zimathandizira kuchepetsa kukwiya ndi kusokonekera, kukonza kugona, kuthetsa kumangokhala kutopa. Dokotalayo amatipatsa chithandizo chamankhwala chomwe chingathandize kuti mukhale wathanzi.
