Ma analgesics omwe amadziwika kuti achire amatha nthawi zambiri amagwiritsidwa ntchito pochotsa ululu kwa odwala khansa. Mankhwalawa amayambitsa zovuta zambiri zosagwirizana.
Dzinalo Lopanda Padziko Lonse
Nthawi zambiri dokotala amalembera kalata yofunsira mankhwala m'Chilatini. Phentanylum (fentanyl) - dzina la yogwira mankhwala.
Durogezik ndi amodzi mwa mankhwala omwe ali ndi zotsatira za analgesic komanso sedative.
ATX
N02AB03 - code for anatomical-achire mankhwala-mankhwala.
Tulutsani mafomu ndi mawonekedwe ake
Mankhwalawa amapangidwa mwa mawonekedwe a chigamba chamkati ndi ma gel oonekera omwe ali momwemo.
Kapangidwe ka mankhwala kumaphatikizira fentanyl. Mlingo wa kumasulidwa kwa chinthu cha psychotropic ndi 25 μg / h ndi 50 μg / h.
Mankhwalawa amapangidwa mwa mawonekedwe a chigamba chamkati ndi ma gel oonekera omwe ali momwemo.
Zotsatira za pharmacological
Pali zinthu zingapo izi:
- Durogezik ndi amodzi mwa mankhwala omwe ali ndi zotsatira za analgesic komanso sedative. Gawo logwira ntchito la analgesic limasokoneza kutumiza kwa mitsempha kuchokera ku zolandilira kupita ku ubongo.
- Chidacho chimatsutsa kupindika kwa anal sphincter ndi minofu yosalala ya chikhodzodzo.
- Mankhwalawa amayambitsa kukondweretsedwa ndikuthandizira kuyamba kugona.
- Mphamvu ya analgesic imatha pafupifupi maola makumi awiri ndi awiri.
Pharmacokinetics
Pulogalamu yogwira imapangidwa m'chiwindi, ndipo zinthu zowola za fentanyl zimachotsedwamo limodzi ndi mkodzo komanso pang'ono ndi ndowe.
The pazotheka ambiri ndende yogwira zimachitika mu madzi am`magazi masana.
Zizindikiro zogwiritsidwa ntchito
Mankhwala amagwiritsidwa ntchito ngati zizindikiro zotsatirazi zikuwonetsedwa:
- Kupweteka kwambiri pamaso pa chotupa cha khansa.
- Ululu wa Neuropathic womwe umachitika chifukwa cha ma sclerosis ambiri komanso matenda ashuga polyneuropathy (kusintha kwazomwe zimachitika mu minyewa ya mitsempha).
- Phantom ululu matenda a musculoskeletal system.
Contraindication
Mankhwala sangathe kugwiritsidwa ntchito pazotsatira zotsatirazi:
- Ndi tsankho la payekha pophika.
- Odwala ochepera zaka 18.
- Ndi kusagwira ntchito pakumapeto.
- Panthawi ya ululu wambiri mu postoperative nthawi.
- Pa mimba iliyonse trimester komanso yoyamwitsa.
Simungagwiritse ntchito mankhwalawa pamaso pa zotupa zazing'ono pakhungu.
Ndi chisamaliro
Sitikulimbikitsidwa kugwiritsa ntchito chigamba cha transdermal nthawi zingapo:
- Pamaso pa matenda am'mapapo.
- Pankhani yowonjezera kukhudzidwa kwa intracranial.
- Ndi kuchepa kwa kuthamanga kwa magazi.
- Ndi aimpso kulephera kapena kwa chiwindi kukanika.
Dyurogezik imagwiritsidwa ntchito kupweteka kwa neuropathic chifukwa cha sclerosis yambiri ndi matenda ashuga polyneuropathy (kusintha kwazomwe zimachitika mu minyewa ya mitsempha).
Mankhwala amapatsidwa mankhwala opweteka kwambiri pamaso pa chotupa cha khansa.
Durogezik tikulimbikitsidwa vuto la phantom ululu matenda a musculoskeletal system.
Durogezik simalimbikitsidwa kuti igwiritsidwe ntchito pamaso pa matenda am'mapapo.
Chigamba sichimagwiritsidwa ntchito ngati pakuwonjezera kukakamizidwa kwa intracranial.
Durogezik simalimbikitsidwa kuti muchepetse kuthamanga kwa magazi.
Momwe mungatenge Durogezik
Ndikofunikira kutsatira malangizo ogwiritsira ntchito mankhwalawa kuti mupeze mawonekedwe abwino pakuchotsa zizindikiro.
Nthawi zambiri, kusankha kwa kuchuluka kwa fentanyl kumatengera mlingo womwe umalimbikitsidwa pakamwa pa ma opioid ena.
Kumata
Choyenereracho chiyenera kuyikidwacho pouma pakhungu la thunthu kapena pamapewa. Ndikofunikira choyamba kumeta tsitsi pakhungu. Simungagwiritse ntchito zodzoladzola zingapo musanagwiritse ntchito chigamba kuti mupewe kugunda kapena kuchepetsa mphamvu ya mankhwala.
Sikulimbikitsidwa kumata chigamba pamalo omwewo pakhungu, osayang'anira nthawi yayitali (osapitilira masiku 5-7).
Kutalika kwa nthawi
Mankhwalawa ali ndi vuto la analgesic kwa masiku atatu.
Ndi matenda ashuga
Dokotalayo ndi amene amawona muyezo wa ntchito yogwira mtima, chifukwa cha zovuta za matenda ashuga a polyneuropathy ndi mawonekedwe a thupi.
Zotsatira zoyipa Durogezika
Pali zovuta zingapo pakulimbikitsa odwala omwe ali ndi Durogesic.
Pakati mantha dongosolo
Matenda okhumudwa nthawi zambiri amakula. Kusowa tulo ndi khalidwe.
Choyenereracho chiyenera kuyikidwacho pouma pakhungu la thunthu kapena pamapewa.
Kuchokera ku kupuma
Kufunikira kwa mapapo. Nthawi zina, kupuma movutikira kumachitika.
Matumbo
Kusungunula kumawonedwa nthawi zambiri mwa odwala, koma matenda a stool samachitika kawirikawiri.
Matupi omaliza
Chotupa chopakidwa ndi kuyimitsidwa ndi khalidwe.
Zokhudza mphamvu pakuwongolera njira
Ndikofunikira kusamala mu odwala omwe ntchito yawo imagwiridwa ndi kasamalidwe ka zovuta ndikuwonjezera chidwi.
Malangizo apadera
Ndikofunika kulingalira zinthu zingapo mukamagwiritsa ntchito mankhwalawa kuti mupewe kuwonongeka.
Gwiritsani ntchito pa nthawi yoyembekezera
Kugwiritsa ntchito kwachigamba kwamankhwala kumakhala kwa amayi apakati. Kugwiritsa ntchito mankhwala pa nthawi yoyamwitsa kungayambitse kuletsa kupuma kwa mwana.
Kugwiritsa ntchito kwachigamba kwamankhwala kumakhala kwa amayi apakati.
Kupangira Durogesic kwa ana
Osagwiritsa ntchito chigamba asanafike zaka.
Gwiritsani ntchito mu ukalamba
Odwala a zaka zopitilira 65, hypersensitivity yogwira mankhwala imayang'aniridwa, ndipo kuchuluka kwa yogwira mankhwala mu seramu yamagazi kumakulanso.
The ntchito aimpso kuwonongeka
Mosamala, mankhwala amaperekedwa chifukwa cha kulephera kwa impso.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Mlingo wocheperako wa fentanyl umalimbikitsidwa akapezeka ndi vuto la kusokonekera kwa magazi.
Mankhwala ochulukirapo a Durogesic
Ndi kuwonjezeka kwa mlingo woyesedwa ndi adotolo, pali kuchepa kwa kuthamanga kwa magazi ndi ziphuphu (kumangidwa kwa kupuma).
Kuchita ndi mankhwala ena
Ndikofunikira kuganizira izi:
- Pogwiritsa ntchito opaleid analgesics (Codeine ndi Petidine) munthawi yomweyo, chiopsezo chochepetsa kuthamanga kwa magazi chimawonjezeka.
- Ngati mankhwala a antihypertensive atengedwa limodzi ndi Durogesic, kuwonjezeka kwa njira zochizira kumayang'aniridwa.
- Mphamvu ya zotsatira za analgesic Buprenorphine imachepa pomwe ntchito Durogesic.
Kuyenderana ndi mowa
Kumwa mowa pa opioid mankhwala sikulimbikitsidwa.
Kumwa mowa pa opioid mankhwala sikulimbikitsidwa.
Analogi
Fentadol Matrix ndi Fendivia ali ndi fentanyl.
Kupita kwina mankhwala
Mankhwala sangathe kugulidwa ku malo ogulitsa mankhwala ku Russia.
Kodi ndingagule popanda kulandira mankhwala?
Chipangizocho chitha kugulidwa pokhapokha ngati mwalandira mankhwala ogulitsa kuzipatala.
Zochuluka motani
Mtengo wa mankhwalawa ndi ma ruble 6,000.
Zosungidwa zamankhwala
Sungani kutentha kwanyumba pamalo otetezedwa ndi dzuwa. Ndikofunika kuti ana azitha kupeza mankhwalawa.
Tsiku lotha ntchito
Chigamba chimasunganso katundu wake wochiritsa kwazaka ziwiri kuyambira tsiku lopangidwa.
Wopanga
Mankhwalawa amapangidwa ndi kampani yaku Belgian Janssen Pharmaceutica N.V.
Mankhwalawa amapangidwa ndi kampani yaku Belgian Janssen Pharmaceutica N.V.
Ndemanga za Durogezik
Katerina, wazaka 34, Moscow
Ndakhala ndikugwira ntchito ngati dokotala kwa zaka 10. Mu oncology, Durogesic imakhala yofala, makamaka ikafika pakulimbana kowawa kwambiri komwe wodwala sangathe kuyimirira. Nthawi zambiri amakumana mu zachipatala ndi kusanza kwa odwala ndi ochepa hypotension. Ndinali wotsimikiza kuti anthu omwe adagwiritsa kale Morphine samakumana ndi zovuta akamagwiritsa ntchito chigamba.
Olga, wazaka 40, St. Petersburg
Mwanayo adagwiritsa ntchito mankhwalawa kuchepetsa ululu pa gawo lachitatu la chitupa chotupa. Mankhwalawa anali ndi zabwino. Koma popita nthawi, kudalira kwa analgesic kumeneku kunapangitsa kuti zinthu ziwonjezeke.
Mikhail, wazaka 51, Omsk
Posachedwa chigamba ichi. Dokotala adapereka mankhwalawa akapezeka ndi matenda ashuga a polyneuropathy. Ululu unatha kuvutitsa maola 5 mutatha gluing malonda. Koma zotupa zinatuluka pamalo ogwiritsira ntchito, zomwe zinayambitsa kuyabwa kwambiri. Ma antihistamines sakanakhoza kugwiritsidwa ntchito. Koma ndinali wokhutira ndi zotsatira za chithandizo, chifukwa Tsopano ndimagona usiku, osamva kuwawa. Ndikupangira mankhwalawa kwa aliyense.
