Ukusetshenziswa okuhlangene kwe-amitriptyline ne-phenazepam kuvame ukusetshenziswa kwezokwelapha. Ukuhlanganiswa kwemiphumela yezidakamizwa ezahlukile kungathuthukisa ukusebenza kahle kokwelashwa ngenkathi kususwa ukuphazamiseka kwemizwelo nengqondo.
I-Amitriptyline isetshenziswa kaningi nge-phenazepam.
Isici se-Amitriptyline
Umuthi umuthi ngomuthi ohambelana nezimo zezengqondo (i-psychotropic) ongoweqembu lama-antidepressants ama-tricyclic. Lapho usetshenziswa, umuthi unikeza umphumela wokuthoba, we-hypnotic ne-anticonvulsant.
Umuthi uthinta ngqo amaseli obuchopho. Ngesikhathi sokuthuthukiswa kwesimo sokucindezela, ukukhishwa kwe-serotonin ne-norepinephrine, ebhekele ukuthuthukisa isizinda semizwa, kuyancipha. I-Amitriptyline ayikuvumeli ukuphindwa kwezinto zalezi zinhlayiya ezingqamuzaneni zobuchopho.
Umuthi wokwelapha uqeda ukukhathazeka nokwesaba, usiza ukuthuthukisa isimo somoya. Umphumela wokusetshenziswa kwomuthi ubonwa ezinsukwini ezingama-20-30 ngemuva kokuqala kwenkambo yokwelashwa.
I-Amitriptyline inomphumela we-hypnotic.
Ngabe isebenza kanjani i-phenazepam?
Ukulungiswa kuqukethe i-izidakamizwa esebenzayo ye-bromodihydrochlorophenylbenzodiazepine, enomphumela we-anxiolytic. I-tranquilizer inomphumela wokuthoba emzimbeni, yenza kube lula ukulala, ivuselele futhi inciphise ukucindezela.
Umuthi udambisa kahle ukuthokozela kwezakhiwo zobuchopho (i-thalamus, i-hypothalamus, i-limbic system).
Umphumela ohlangene we-amitriptyline ne-phenazepam
Ngenxa yokusetshenziswa kanyekanye kwezidakamizwa emzimbeni, kwenzeka izinguquko ezinhle:
- injabulo enkulu nokukhathazeka kususwa:
- umuzwa wokukhathazeka nokwesaba uthambile;
- ukwethuka kokuphazamiseka kudlula;
- indlela yokulala ubuthongo yenzelwe ukuthi yenziwe;
- izicubu ziphumule;
- imicabango emibi iyaqedwa;
- umuzwa wokukhathala uyancipha;
- umoya uyathuthuka.
Ukwabelana ngezidakamizwa kuthuthukisa imizwa.
Izinkomba zokusetshenziswa ngasikhathi sinye
Lokhu kuphazamiseka okulandelayo yisizathu sokusetshenziswa kanyekanye kwezidakamizwa ekwelashweni kwezengqondo:
- izimo ezifana ne-neurotic ne-neurosis-like, ezihambisana nokungahambi kahle kokukhathazeka, ukungezwani kwemizwa, ukwesaba, ukubalwa okungokomzwelo;
- psychoses asebenzayo;
- Ukudana
- ukuphazamiseka kokulala;
- ukuba khona kwezimpawu zokuhoxa nesithuthwane;
- i-schizophrenia enkulu kanye nokuxolelwa.
Contraindication ku-amitriptyline ne-phenazepam
Le mishanguzo kayemukelwa ukuthi isetshenziswe ngalezi zinkinga ezilandelayo zempilo:
- ukusebenza kokuphazamiseka kwezinso nezinso;
- i-pathology ye-prostate gland;
- ukukhuphuka kwengcindezi ye-intraocular;
- ukuba khona kwezilonda ezi-ulcerative ipheshana emathunjini;
- ukudangala okukhulu;
- umfutho we-arterial we-3 degrees;
- ukuphazamiseka okukhulu emsebenzini wenhliziyo;
- i-myasthenic syndrome.
Imithi ayisetshenziswa lapho kukhona ukungabekezelelani komuntu ngamunye kwezakhi zokwelapha zomuthi, utshwala obukhulu kanye nokudakwa kwezidakamizwa, kanye nokuncipha kwemisebenzi yokuphefumula.
Izidakamizwa azivunyelwe ukwelashwa ngesikhathi sokukhulelwa kanye ne-lactation. Azisetshenziswa ekwelapheni kwezingane.
Ungayithatha kanjani i-amitriptyline ne-phenazepam
Amathebhulethi e-Amitriptyline athathwa ngaphambi kokulala. Umthamo wokuqala wokwelapha ungama-25-50 mg. Ngomphumela onganele, umthamo uyandiswa, kepha akufanele udlule i-300 mg.
Isixazululo somuthi siphathwa nge-intramuscularly izikhathi ezingama-2-3 ngosuku ngenani lama-50-100 mg. Ezimweni ezinzima, i-400 mg yomuthi ivunyelwe.
IPhenazepam ichazwe ngaphakathi / ku, ku / m nangaphakathi. Umthamo unqunywa udokotela uqobo futhi kuya ngohlobo lokuphazamiseka kwengqondo kanye nobucayi bayo.
Imiphumela emibi
Ngesikhathi sokulashwa ngemithi, ukubonakala kwemiphumela engathandeki kungenzeka, phakathi kwalokhu:
- ukuthuthukiswa kwe-atony yamathumbu;
- umuzwa wobuthakathaka nokukhathala;
- ukungasebenzi kahle kwesigqi senhliziyo;
- isifiso sokudla;
- ukuphazamiseka kwesistimu yokugaya;
- ushintsho ekwakhekeni kwegazi elingakanani;
- ukubonakala kokuqubuka komzimba;
- buthaka isifiso sobulili;
- ukukhubazeka kwenkumbulo;
- ukwephulwa kwemisebenzi yezimoto neyokukhuluma.
Ukusetshenziswa kwezidakamizwa isikhathi eside kungakha ukuncika kwezidakamizwa.
Umbono wodokotela
Ngokulashwa kwenhlanganisela nge-phenazepam ne-amitriptyline, kusebenza kahle kakhulu ukwelashwa. Abasebenza ngokuzimela banaka ukutholakala kwezidakamizwa ngenxa yentengo yazo ephansi.
Izidakamizwa eziningi zemithi yezengqondo zidingiswa enkambweni yokwelashwa ukuze kuqedwe ukuhlaselwa ngokomqondo, ukukhathazeka, ukuqwasha, ukuphazamiseka kotshwala.
Kodwa odokotela bakhomba isidingo sokwelashwa ngezidakamizwa ngaphansi kokuqashwa kukachwepheshe, njengoba imithi ibangela imiphumela emibi eminingana. Ngesikhathi sokulashwa, umlutha wento esebenzayo kungenzeka futhi, ngakho-ke kunconyelwa ukungasebenzisi imithi izinyanga ezingaphezu kwezingu-3.
Ukubuyekezwa kweziguli
ULarisa, oneminyaka engama-34, uKaluga
Ngemuva kwesehlukaniso, isimo sezinzwa sasisibi. Ngayeka ukulala, ngaphelelwa yisifiso sokudla, kwaba nokwesaba okunamandla, ukungazweli. Ngokwesincomo somngane, ngenza isikhathi sokubonisana nodokotela wezengqondo. Udokotela wayefaka iPhenazepam ne-Amitriptyline ngenkathi belashwa. Ngisebenzise imithamo emincane, kepha izidakamizwa zaqala ukusiza kusukela ezinsukwini zokuqala. Sonke isikhathi besingaphansi kokuqashwa ngudokotela, ngoba Imithi ekhethekile, itholakala kuphela ngokubhaliwe.
U-Olga, oneminyaka engama-41, uKemerovo
Ngiphuza imithi ngezikhathi ezithile ngenxa ye-neurosis. Kudala ngigula. Izindlela zisiza ukudambisa ukwanda okungaphatheki kahle kanye nokucasuka, ukuthuthukisa ukulala, ukuqeda umuzwa wokukhathala okungapheli. Udokotela ubeka inkambo yanyanga zonke yokwelashwa engathuthukisa impilo yengqondo nemizwa.
