Izidakamizwa "Tramal": ukubuyekezwa, imiyalelo, izinkomba

analgesics opioid ngokuthi liphakathi ejenti oyibamba ezisetshenziswa eqinile ubuhlungu syndrome. Le mithi abe nomthelela othize ku isimiso sezinzwa esiyinhloko.

Kunemithi eminingi nge izakhiwo ezinjalo. Omunye wabo iyona "Tramal". Yokusetshenziswa, ukubuyekezwa, izici, izinkomba kanye nemiphumela engemihle zomuthi ethulwa ngezansi.

Ifomu, ukwakheka

I nomuthi "Tramal" izilinganiso ezingasetshenziswa ushiye ngamunye abe sebuningini izinhlobo Ukwakha: Drops kwezokuphatha temlomo, amaphilisi, suppositories, rectal futhi umjovo. Isithako asebenzayo we umuthi tramadol hydrochloride. Futhi imithi zihlanganisa izakhi asizayo (kuye ngokuthi isimo nomuthi).

izakhiwo kwemithi

Uyini izidakamizwa "Tramal"? Izibuyekezo babike ukuthi isidambisa-zinhlungu opioid. Anakho izakhiwo eziqinile analgesic, okuyinto alichaza imiphumela yayo agonist ku-receptor elise CNS.

Lokhu nomuthi kuyinto opioid (zokwenziwa). Kuyinto racemate ka isomers engemihle futhi omuhle okuyizinto ehilelekile isinyathelo analgesic ngandlela-thile.

isomer Positive - kuyinto emsulwa opioid yokwamukela agonist. Ngokuphathelene negative, khona-ke uyakwazi zivimbela kokuquleka (neuronal) norepinephrine, kanye kusebenze ukwehla central uhlelo noradrenergic. Lokhu ekugcineni kuholela ukuphazamiseka ukudluliselwa ubuhlungu amaza e ketshezi (gelatin) nomgogodla.

Bobabili isomers amelwa ngendlela synergistic.

izidakamizwa Okubukwe kubangela ukupholisa. Ngemithamo zokwelapha ke cishe akusho zivimbela ukusebenza umgudu wokuphefumula futhi akunamthelela hemodynamics.

Ngesikhathi reception elawulwa yizidakamizwa nokuncika ukuthuthukisa akuvamile. By endleleni, ngo ukusetshenziswa morphine iyiphi evelele.

kinetics

ngabe umuthi amuncwa "Tramal"? Izibuyekezo babike ukuthi lapho kuthathwe ngomlomo it is amuncwa 90%.

Ngemva kokuphathwa esicutshini emakamu isiqongo zomuthi egazini kwenzeka ngemva kwehora elilodwa.

nomuthi Okubukwe lingena isithiyo esinomhlapho futhi Bbb. Wabuye uyingqayizivele ubisi lukamama.

Ukuhoxiswa zomuthi ngokusebenzisa nezinso.

ubufakazi

Kwezinye izimo, imithi edingekayo "Tramal"? Ukubuyekezwa (in Oncology lokhu ukulungiselela lisetshenziswa kakhulu) uthi onganakanga izindlela kuboniswe ubuhlungu syndrome umfutho onamandla futhi isilinganiso imisuka ehlukahlukene:

• ukuhlukumezeka;
• ngesikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa;
• ngoba ubuhlungu ukuthi kwenzeka ngenxa isilethikusebenza;
• buhlungu uma ekusebenziseni izinqubo zokwelapha noma yokuhlola.

Izimo

Uma akufanele usebenzise imithi "Tramal"? ochwepheshe lezivakashi ukuphakamisa Izimo ezinjalo, njenge:

• ukusetshenziswa concomitant ka monoamine oxidase inhibitor, kanye amasonto amabili ngemuva ehoxile;
• izimo ukuthi ahambisana okusithiyayo okuphawulekayo CNS noma ukucindezeleka zokuphefumula (isib utshwala poisoning, analgesics opioid, psychotropic noma izidakamizwa okuyiluthayo kusho);
• ukwehluleka kwezinso, ezinzima ogeleza;
• ukuhoxiswa syndrome izidakamizwa;
• ukuhluleka ezinzima hepatic;
• hypersensitivity.

Zonke lezi zici kudingeka kucatshangelwe.

Izidakamizwa "Tramal": yokusetshenziswa

Imijovo, okuyinto libuyekeza izokwethulwa ngezansi, singasetshenziswa eyabelwe ngemithambo yegazi, phansi kwesikhumba noma intramuscularly.

Ngaphakathi lo muthi kufanele kuthathwe ngaphambi, ngesikhathi noma ngemuva kokudla. capsule Ezivamile beyihlanza ngamanzi, futhi isixazululo uyekiswe ungene ucezu ushukela noma buhlanjululwe in nomqulu omncane liquid.

Kepha suppository rectal iqondiswa phakathi ingemuva.

Umthamo zomuthi olucutshungulwayo kunqunywa kuye ukushuba ubuhlungu.

Kwezinye izimo, ukwenza imijovo "Tramal"? Izibuyekezo basikisela ukuthi leli fomu zomuthi esetshenziswa kuphela icala uma ufuna sifinyelele nomphumela okusheshayo analgesic.

side effects

Njengezinye analgesics, bebheka bonke izidakamizwa kungabangela ezihlukahlukene ohlangothini ukusabela ezifana:

• ububomvu kwesikhumba, isicanucanu nokuquleka-cerebral palsy, umlomo some, ahlale ekhathele, ukuhlanza;
• isiyezi, ubuhlungu besisu, okungajwayelekile inhliziyo isigqi, lesisu;
• ukushintsha ngesifiso, ukozela, ikhanda, tachycardia, izinguquko senjabulo, ukucindezeleka ukusabela kahle zokuziphatha, izinguquko umsebenzi, nenkinga yokugwinya amanzi;
• yokufikelwa, ukuba buthakathaka kwezicubu, ugoqe;
• ukuqubuka kwesikhumba, ukuqunjelwa, motor ubuthakathaka, ukudideka, ukujuluka.

izincomo ezithile

Ngokunakekela okukhulu izidakamizwa elibekelwe nabantu kahle isibindi umsebenzi nezinso at ephakeme ingcindezi intracranial, ubuhlungu besisu, kuhlasimulise okulimala ebuchosheni, iziguli isithuthwane, kanye iziyaluyalu umgudu wokuphefumula.

Ukuphuza utshwala ngesikhathi ukwelashwa nale ejenti kumele isuswe.

Izibuyekezo

Iziguli eziningi bathi lesi sidakamizwa "Tramal" kuyinto analgesic eqinile nezuzisayo opioid. Nanoma yiluphi uhlobo ke pretty masinyane kususa ngisho esiqine ubuhlungu syndromes, lula kakhulu isimo lesiguli.

I yokuntula lokhu imithi zihlanganisa inani elikhulu ukusabela ezingezinhle, kanye i uhlu umxhwele Izimo.