Yintoni phenobarbital? Iimpawu kunye analogs neziyobisi

Ngoku abambalwa abantu bazi ukuba phenobarbital, nangona lo mgubo ifumaneka amachiza amaninzi ethandwayo. Abantu abaninzi kuthatha iminyaka "Corvalol" okanye "Valocordin", bengazi ukuba izithako ziqulathe la machiza. Emva kutshanje phenobarbital kubalelwa iziyobisi eziyingozi zavala kwamanye amazwe. A mali esekelwe kuyo ngcembe waqalisa shwaka emarikeni. Ngoku ichiza "Phenobarbital" kunye analogue kuyo zisetyenziselwa kuphela kagqirha. Ngapha koko, le yenye yezona anticonvulsants eziphumelela nadlamkisayo.

Yintoni phenobarbital

Le izinto ukusuka kwiqela barbiturates. Oku kunciphisa excitability zemithambo-luvo esengqondweni kunye nokwanda neemvakalelo kuhlangana ukuxhuzula. Xa isiphumo yayo kwandisa ukuhamba ion calcium kulo iseli, nto leyo inegalelo ekuthotyweni kumsebenzi motor nokunciphisa kwezihlunu egudileyo.

Okokuqala wafumana le zokufunda kule nkulungwane yama-20 ekuqaleni eJamani. Sales phenobarbital wavela ngokuba "Luminal". Yaba uncedo ukulala kakhulu ethandwa, akakafiki yavela kwiqela amachiza benzodiazepine. Kwiminyaka yakutshanje, amazwe amaninzi ziyekisiwe imveliso phenobarbital. In Russia amalungiselelo ezisekelwe kuyo ukuthengisa, kodwa kuphela kagqirha kagqirha.

Ngoku ubukhulu becala kusetyenziswa "Phenobarbital" kwi unyango ukuxhuzula. Kunye analogs zalo kuthetha equlethe into ngezixa ezincinane, ibe liqhutywa phantsi kweemeko ngaphantsi kakhulu, ezifana efuna okanye overexcitation.

ukusebenza ezidakumbisayo weli ngokhethekileyo: ayithethi ukuba imincili, ukozela nokunganaki kuphela. Ukongeza, nangokwamkela phenobarbital kukhokelela uxhomekeke kakhulu kunene. Kodwa ukuthandwa junk bakhe ichiza kungenxa cheapness nokufumaneka.

Amalungiselelo ngokusekelwe phenobarbital

A Ichiza enegama elifanayo uyiqhelile kakhulu izigulane nokuphazamiseka convulsive okanye ukuphazamiseka kakhulu ubuthongo. Kodwa unako ukuthenga iziyobisi, eziquka Phenobarbital. Eyona idumileyo ke "Corvalol" yaye "Valokorin". Bona sitshiphu kwaye ethandwa kakhulu nje thile kwaye sine, ingakumbi abo badala.

ethandwayo Ngaphantsi iziyobisi ezifana:

• "Lavokordin" ngaphandle phenobarbital, iqulathe valerian luthathe, ioli inxina kunye galo.
• "Neo-Teofedrin" - na antispasmodic, esetyenziswa somoya inyumoniya, oko iqulethe theophylline, caffeine, ephedrine, paracetamol.
• "Paglyuferal" - isiyobisi antiepileptic ngokusekelwe phenobarbital.
• "Pentalgin-N" - iintlungu ezidakumbisayo.
• "Piralgin" - edityanisiweyo non-steroidal arhente anti-ukudumba.
• "Tetralgin" - iintlungu namayeza antispasmodic.
• "Andipal" - esetyenziswa vasodilator in lwegazi.

Iimpawu of action

amalungiselelo fenobaritala ezisekwe kudala kusetyenziswa amayeza. Prescribers nkqu nabantwana, ngenxa yokuba iipropati ezizodwa. Xa ezimbi athile kuphela zingasetyenziswa ukunceda isigulane. Action phenobarbital usebenza kuphela imisipha gingxi kunye luvo ngaphandle kokuchaphazela nemithambo yegazi. Emva kokufumana iziyobisi ezifana ngaphakathi iziphumo ezifana kuyagcinwa:

• kancane ngobunzulu okanye amandla iinkqubo metabolic;
• yehle umsebenzi motor;
• Oku kunciphisa ukuba ufe zihlunu kakuhle iphecana zesisu;
• ukwanda umsebenzi detoxification kwesibindi;
• kunciphisa uyondelelwano lwee- yibilirubin egazini.

Phenobarbital ngokubanzi kusetyenziswa amayeza ngenxa yokuba oko anazo anticonvulsant, sine thile nesiphumo spasmolytic. Oku kusetyenziswa kwiimeko ezingxamisekileyo, njengoko ngexesha ulawulo ezingapheliyo ayiyekeki.

Phenobarbital: ezibonisa zokusetyenziswa

Ngoku iziyobisi ezisekelwe kuyo zisetyenziswa kuphela kwiimeko kakhulu. azisayi lalathelwe ukuphuthelwa zesiqhelo. Yayibubungqina zokusetyenziswa isixhobo abanjalo ithi:

• sokuwa kulo naluphi na uhlobo;
• uyazihlonipha ezahlukeneyo;
• chorea;
• meningitis, ngqi;
• ekubalekeni utywala;
• ekukhubazekeni yiSpasticity;
• ugwayi kakhulu;
• nokuphazamiseka kwengqondo ezahlukeneyo;
• perevobuzhdenie, ixhala.

Izimo

Nangona isibakala sokuba "ubungqina Fenobarital 'kunobuzaza kakhulu, hayi zonke izigulane azikwazi ukufumana unyango olunjalo. ulawulo Contraindicated zamachiza ezisekelwe lo mba ezi meko zilandelayo:

• sesibindi kakhulu kwaye kuhle;
• myasthenia gravis;
• igazi;
• diabetes;
• ukudana;
• ukuba buthathaka kwamajoni omzimba;
• isifuba inyumoniya;
• utshwala;
• nobandlululo ngabanye;
• ngethuba lokukhulelwa zisanyisa.

imiphumela emibi

Amalungiselelo eziqulathe phenobarbital, zithetha izinto ezidakumbisayo. Ukongeza, ukuba ayiyekeki, nkqu ukusetyenziswa elifutshane elide nemiphumela kunokwenzeka:

• ubuthathaka jikelele, isiyezi, asthenia;
• ukudideka, nentetho engekho mgaqweni;
• saka, amabi;
• ukudana;
• zokulala;
• yehle acuity ebonwayo;
• umlomo owomileyo, isicaphucaphu, ukugabha, umsebenzi yesisu kakuhle;
• thrombocytopenia, igazi;
• iyangongoza, insufficiency intliziyo;
• hliswa wegazi;
• irhashalala, ukudumba, dermatitis, pruritus;
• uphelelwa umoya.

Imiyalelo yokusebenzisa

"Phenobarbital" kwaye amalungiselelo ezifanayo kumafa zenziwa ngohlobo lwe kumacwecwe 100 no-50 mg kubantu abadala kunye 5 mg abantwana. Kuxhomekeka ebonisa kunye imo ukwamkelwa ugqirha ubeka balawule eyahlukileyo. Njengoko ichiza thile kufuneka usele 100 mg ngeyure nganye phambi lokulala. Ukuba 'Phenobarbital "sele inyuliwe inani rhoqo umguli kunye sokuwa, kucetyiswa 50-100 mg kabini yonke imihla. Njengoko amalungiselelo okulalisa ngokususela iziyobisi ezibanjiswe umthamo 50 mg 2-3 amaxesha ngemini. Nciphisa umthamo Kucetyiswa ukuba abantu abadala kunye nezigulane kunye nemisebenzi wesibindi nezintso kakuhle.

Abantwana "Fenoarital 'alimisele zikhombisa engqongqo. Idosi ichanekile emiselwe ngugqirha ngokuxhomekeke kubudala kunye kwimeko yomguli. Makaxele ichiza kangangesiqingatha seyure phambi kokuba izidlo amaxesha 2 ngosuku. Umthamo idla ezinjalo: kwiinyanga ezi-6 ukuya ku-5 mg, ukuya kunyaka - 10 mg, kwiminyaka 1-2 - 20 mg, ukuya kwiminyaka-4 - 30 mg, ukuya kwiminyaka esi-7 - 40 mg, iminyaka 7-10 - 50 mg, kunye neminyaka 14 - 75 mg. Emva kwale ubudala, lo umthamo ichiza likhule.

Kunye nokusetyenziswa rhoqo kufuneka ngokuthe uyeke unyango. Xa kurhoxiswe ngokukhawuleza ngokusekelwe iziyobisi phenobarbital badla kukudakumba, efuna, intloko. Ukuxhomekeka emva kokwamkelwa seeveki ezimbini-rhoqo, ayikhuthazwa ukuba ungayisebenzisa njengendlela uncedo nokulala kunye sine ngaphezu kweentsuku ezingama-10.

imiyalelo Special ukuba ukusetyenziswa

Abantu abaninzi abazi ukuba phenobarbital, kodwa cwaka iziyobisi ezisekelwe kuyo. Ezinye zazo ithengiswa ngaphandle kagqirha, kunye nabantu musa nokuba lwazi ukuba ichiza abayisebenzisayo. Ngoko ke, kungakuhle ukuba kusoloko bafunde ubume kunye imiyalelo ngaphambi kokuba isicelo ngasinye iziyobisi. Xa usebenzisa phenobarbital kulungiselelwa equlathe, kungakuhle ukuba siqwalasele iimpawu ezinjalo:

• iziyobisi oluhlala emzimbeni kwaye umkhuba;
• unyango kuliyeka ngala machiza kufuneka ngcembe, ngenxa yokuba kaninzi kukho "yokuyeka";
• xa kuthathelwa rhoqo akakwazi ukulawula imoto yaye zenze izinto ezifuna ingqwalaselo kunye nomsebenzi asabela elungileyo;
• ngexesha kokufumana kunye zokucwangcisa ngomlomo, imithi, arhente nokubola kunciphisa ukusebenza kwawo;
• Le Impahla kunciphisa glucocorticosteroids digestibility, anticoagulants, salicylates kunye estrogen;
• xa efumana utywala okanye yokunciphisa inokuphuhlisa inhibition kwenkqubo luvo;
• Le into kwandisa iimpembelelo analgesics, relaxants kwezihlunu kunye nadlamkisayo;
• phenobarbital kwanciphisa ukusebenza thile, xa ethatyathwe kunye iziyobisi Belladonna atropine, hydrochloride, nicotinic acid kunye neendlela yezengqondo-ivuselela;
• Oku akuvumelekanga ngokungqongqo ukuba uthathe la machiza ngexesha lokukhulelwa, ingakumbi ngexesha kwiinyanga ezintathu zokuqala, njengoko oku kukhokelela ekuphazanyisweni kwenkqubo igazi amahlwili kwi umntwana kunye ukubonakala ukopha;
• abafumana zisanyisa phenobarbital ebangela inhibition e-nervous system wosana.

analogue iziyobisi

Bambalwa abantu bazi ntoni "Phenobarbital" emacwecweni. analogs ukuba iimali zisetyenziswa kakhulu. Eyona idumileyo sele kudala ibe "Luminal". Kodwa kamva, wasebenzisa kunqabile. Kuyinto eqhelekileyo ngakumbi mali ngoku ezifana:

• "Topirol".
• "Zeptol".
• "Barbital".
• "Doxylamine."
• "Sodium Etaminal."
• "Orphir".
• "Gabagamma".
• "Depakine."
• "Phenazepam".

Izimvo pentobarbital

oogqirha abaninzi banxamnye ukuqeshwa ichiza kubantwana abangaphantsi kwiminyaka emi-6. Kodwa isoloko isetyenziswa, nkqu kweli xesha phenobarbital. Izimvo ukuphathwa ezinjalo azingqinelani. Abaninzi bathi inani elikhulu yeziphumo ebezingalindelekanga. Umzekelo, izigulane ukuwohloka inkumbulo, ukudakumba kuphuhliswa. Abanye bathetha kakuhle ngalo ichiza, ekholelwa ukuba eyona nto ibalulekileyo - ukujonga ithamo kwaye silandele zonke iingcebiso gqirha. Iziguli ukuba isiseko cheap amachiza phenobarbital (pack Ibiza malunga 20 engange), kunye nesiphumo thile yabo emihle. Kodwa tablets ezo okunikelwa kagqirha.