Ukukhuluphala sekuyinkinga enkulu yesikhathi sethu. Ukuphikisana nesizinda sezinto ezahlukahlukene, kunemiphumela efanayo: izinkinga zempilo, ukwanda kwesifo kwezifo ezimbi, ubunzima bomsebenzi, nokuningi.
Yingakho kwezokwelapha kunezidakamizwa eziningi zokulwa nokukhuluphala.
Vele, ngenkathi zisetshenziswa, akekho owakhanselwa umsoco ofanele kanye nemidlalo, kodwa futhi kunezimo lapho umuntu engenamandla omzimba wokwenza impilo esebenzayo, bese izidakamizwa ezinjalo ziyindlela enhle yokulwa nokukhuluphala.
Isibonelo, isidakamizwa esinjalo yiMeridia, nayo enezimpawu eziningi. Kuzocatshangelwa kulesi sihloko.
Isenzo se-Pharmacological
IMeridia isidakamizwa esetshenziselwa ukwelapha ukukhuluphala. Umphumela wayo ubonakala ngokuthinta umuzwa wokugcwala, okwenzeka ngokushesha kunangaphambi kokusebenzisa umuthi.
Meridia Ukudla Amapilisi 15 mg
Lokhu kungenxa yesenzo sama-metabolites ahlobene nama-amines aphansi nasesekondari, angamakhompiyutha wokuphinda kuqalwe kabusha kwe-dopamine, i-serotonin ne-norepinephrine.
Izinkomba zokusetshenziswa
IMeridia ibekelwa iziguli ezinenkinga yokukhuluphala nge-BMI engama-30 kg / m2 noma ngaphezulu, kanye ne-BMI engama-27 kg / m2 noma ngaphezulu, nge-mellitus ne-dyslipoproteinemia engavunyelwe yi-insulin.
Imithamo nokuphatha
Kunconywa ukuthatha amaphilisi we-Meridia ekuseni ngevolumu eyanele ye-ketshezi. Kodwa-ke, azikwazi ukuhlafunwa. Ungadla ngesisu esingenalutho noma ngokuhlanganiswa nesidlo.
Inkambo yokwelashwa akufanele idlule isikhathi esiyizinyanga ezintathu ezigulini ezihluleka ukuthola ukwehliswa okuyisisindo okungenani okungu-5% wenani lokuqala ngalesi sikhathi.
Futhi, ungathathi umuthi uma, ngemuva kokulahlekelwa isisindo, waqala ukukhuphuka ngo-3 noma ngaphezulu kg. Ngokuvamile, inkambo yokuthatha iMeridia ayinakwedlula unyaka owodwa.
Umthamo unqunyelwa uqobo esigulini ngasinye, kuyilapho ukunakwa kudonswa ekubekezelelekeni nasekusebenzeni ngokomtholampilo. Umthamo ojwayelekile ungaba ngu-10 mg kanye ngosuku. Uma ukungabekezeleli kungabhekwa, kepha akukho mphumela obonakalayo obonwa, umthamo ukhuphuka ufike ku-15 mg ngosuku.
Imiphumela emibi
Imiphumela emibi ejwayelekile evela kumuthi uMeridia ivela ngenyanga yokuqala yokwamukelwa. Isenzo sabo sivame ukuba lula futhi siphinde siguqulwe.
Imiphumela emibi elandelayo yethulwa njengoba imvamisa yokuboniswa incipha:
- ukuqunjelwa
- ukuqwasha
- umlomo owomile
- ikhanda
- i-paresthesia;
- ushintsho ekunambithekeni;
- Ukukhathazeka
- Isiyezi
- umfutho wegazi ophakeme;
- i-tachycardia;
- isicanucanu
- umjuluko ophakeme;
- i-thrombocytopenia;
- i-fibrillation ye-atrial;
- ukungahambi kahle komzimba;
- ukuphazamiseka kwengqondo;
- ukunganaki
- ukozela
- Psychosis
- ukuhlanza
- ukoma
- i-alopecia;
- ukugcinwa komchamo;
- i-rhinitis;
- i-sinusitis
- Ubuhlungu emhlane;
- ukwephulwa kwe-orgasm / ejaculation;
- ukopha kwesibeletho.
Contraindication
IMeridia inokuphikisana okulandelayo:
- izimbangela zezinto eziphilayo zokukhuluphala;
- i-anorexia nervosa;
- bulimia amanosa;
- Ukugula kwengqondo
- chronic generalized tic;
- isifo se-cerebrovascular;
- isifo senhliziyo;
- i-thyrotooticosis;
- ukwephulwa okukhulu kwesibindi nezinso;
- i-arterial hypertension;
- i-benign prostatic hyperplasia;
- iminyaka engaphansi kuka-18 noma ngaphezulu kweminyaka engama-65;
- isikhathi sokuncelisa;
- ukukhulelwa
- ukungabekezelelani kwe-lactose;
- hypersensitivity kuzakhi zomuthi.
Ukweqisa
Imvamisa kakhulu uma kwenzeka kusetshenziswa i-overdose:
- i-tachycardia;
- ikhanda
- Isiyezi
- umfutho wegazi ophakeme.
Ukubuyekezwa
Ngokusho kokubuyekezwa kokuncipha kwesisindo, ukuthatha umuthi iMeridia, ungahlulela ukusebenza kwawo.Iningi likhuluma ngokuncipha okukhulu kwesisindo, kodwa futhi nangokuqashwa kwayo okuvame ukwenzeka emva kokuyeka umuthi.
Futhi, umphumela olimazayo wesidakamizwa emzimbeni ngokusetshenziswa isikhathi eside kanye nenani eliphakeme leMeridia livame ukushiwo.
Ama-Analog
Izidakamizwa zohlobo lweMeridia zinez okulandelayo:
- Lindax;
- IGoldline;
- Slimia
- I-Reduxin;
- ISibutramine.
Lindax
ULindax umuthi wokwelapha ukukhuluphala. Kusetshenziswa emacaleni afanayo neMeridia. Ngokuya ngendlela yokuphatha kanye nomthamo, zombili lezi zidakamizwa nazo ziyafana.
Imiphumela emibi yenzeka phakathi nenyanga yokuqala yokusetshenziswa futhi ivame ukubonakaliswa ngokulandelayo:
- isifiso esiphansi sokudla ukudla;
- ukuqunjelwa
- umlomo owomile
- ukuqwasha
Kwesinye isikhathi, kuguqulwa ukushaya kwenhliziyo, ukukhuphuka kwengcindezi yegazi, idyspepsia, ukudangala, ikhanda, ukujuluka, kuyabonakala.
Contraindication ukusetshenziselwa yilezi:
- ukukhubazeka kwenhliziyo yokuzalwa;
- i-tachycardia ne-arrhythmia;
- I-CHF esigabeni sokubuyiselwa kwemali;
- I-TIA nemivimbo;
- hypersensitivity kuzakhi zomuthi;
- ushintsho ekuziphatheni kokudla;
- izimbangela zezinto eziphilayo zokukhuluphala;
- ukuphazamiseka kwengqondo;
- umfutho wegazi ongalawulwa;
- ukuthatha ama -hibhi e-MAO, i-Tryptophan, ama-antipsychotic, ama-antidepressants;
- ukungasebenzi kwe-yegilo;
- iminyaka engaphansi kweminyaka engu-18 nangaphezulu kwengama-65;
- ukukhulelwa
- inkathi yokuncelisa.
Amacala okusebenzisa ngokweqile uma usebenzisa uLindax awenzekanga. Ngakho-ke, kukhuphuka kuphela kwezimpawu zemiphumela emibi kulindeleke.
IGoldline
IGoldine isidakamizwa esisetshenziselwa ukwelapha ukukhuluphala. Izinkomba zokusetshenziswa ziyafana neMeridia. Indlela yokusebenzisa iyafana, kepha umthamo ungangezelela ku-10 no-15 mg futhi u-5 mg wokungabekezelelani ompofu.
Amatafula we-Light Light
Imiphumela emibi yenzeka ngenyanga yokuqala yokwelashwa futhi imvamisa kakhulu ilandelayo:
- ukuphazamiseka kokulala;
- umlomo owomile
- ukuqunjelwa
- ukulahleka kwesifiso
- isicanucanu
- ukukhuphuka kokujuluka.
Akuvamile ukuba kube khona: ukudangala, i-paresthesia, ikhanda, i-tachycardia ne-arrhythmia, umfutho wegazi okhuphukayo, ukukhukhumala kwama-hemorrhoids, isiyezi, ukufiphala kwesikhumba, isicanucanu kanye nokujuluka kokujuluka.
Imithetho ye-Goldline iphikisana nalezi ezilandelayo:
- umsebenzi wokulimala we-renal kanye we-hepatic;
- izimbangela zezinto eziphilayo zokukhuluphala;
- Ukugula kwengqondo
- imikhaza ejwayelekile;
- ukwehluleka kwenhliziyo;
- ukukhubazeka kwenhliziyo yokuzalwa;
- i-thyrotooticosis;
- ukukhulelwa nokuqunjelwa;
- iminyaka engaphansi kweminyaka engu-18 nangaphezulu kwengama-65;
- umfutho wegazi ongalawulwa;
- ukuthatha i-MaO inhibitors nezinye izidakamizwa ezisebenza ohlelweni lwezinzwa oluphakathi;
- hypersensitivity kuzakhi zomuthi.
Slimia
ISliema isidakamizwa ukulwa nokukhuluphala, inezinkomba ezifanayo nezikaMeridia. Indlela yokufaka isicelo nayo iyafana.
Imiphumela emibi eyenzeka kaningi:
- ukuqunjelwa
- ukuphazamiseka kokulala;
- ikhanda kanye nesiyezi;
- ukopha.
Imiphumela yokungezwani komzimba, ubuhlungu emuva nasesiswini, ukwanda kwesifiso sokudla, ukoma okhuphukayo, isifo sohudo, isicanucanu, umlomo owomile, ukozela, nokucindezelwa kuyaqabukela.
Isidakamizwa Slimia
Contraindication for the drug Slimia yile:
- hypersensitivity kuzakhi zomuthi;
- i-anorexia yengqondo;
- umfutho wegazi ongalawulwa;
- ukukhulelwa nokuqunjelwa;
- ukuthatha i-MAO inhibitors;
- iminyaka engaphansi kweminyaka engu-18 nangaphezulu kwengama-65.
I-Reduxin
I-Reduxin iyi-analogue yeMeridia, nayo eyisidakamizwa ekwelapheni ukukhuluphala. Indlela yokuphatha iReduxine umuntu ngamunye futhi ingahle ichazwe kusuka ku-5 mg kuye ku-10 mg. Kuyadingeka ukuthatha umuthi ekuseni kanye ngosuku, ngaphandle kokuhlafuna nokuphuza ngamanzi anele.
UReduxin uvunyelwe ku:
- nge-anorexia nervosa noma i-bulimia amanosa;
- phambi kokugula kwengqondo;
- nesifo sikaGilles de la Tourette's;
- nge-pheochromocytoma;
- nge-prostatic hyperplasia;
- ngomsebenzi wokuphazamiseka wezinso;
- nge-thyrotooticosis;
- nezifo zenhliziyo;
- ukwephulwa okukhulu kwesibindi;
- nokusetshenziswa kanyekanye kwama-inhibitors e-MAO;
- nge-hypertension ye-arterial engalawulwa;
- ngesikhathi sokukhulelwa;
- eneminyaka engaphansi kuka-18 nangaphezulu kweminyaka engama-65;
- ngokuxhuga;
- phambi kwe-hypersensitivity ezingxenyeni zomuthi.
I-Reduxin 15 mg
Imiphumela emibi ingendlela elandelayo:
- umlomo owomile
- ukuqwasha
- ikhanda, elingase lihambisane nesiyezi kanye nomuzwa wokukhathazeka;
- izinhlungu emuva
- ukungahambi kahle;
- ukwephulwa ohlelweni lwezinhliziyo;
- ukulahleka kwesifiso
- isicanucanu
- ukujuluka
- ukoma
- i-rhinitis;
- thrombocytopenia.
Uma kwenzeka kweqa ngokweqile, isiguli sithuthukise imiphumela emibi.
ISibutramine
ISibutramine, iMeridia yizidakamizwa ezenzo zazo okuhloswe ngazo ukwelapha ukukhuluphala. Indlela yokulawulwa kweSibutramine ichazwe kumthamo we-10 mg no-5 mg ongasetshenziswa ezimweni zokubekezelela okungahambi kahle. Uma leli thuluzi linokusebenza okuphansi, kunconywa ukuthi ngemuva kwamaviki amane umthamo wansuku zonke wenyuselwe ku-15 mg, futhi isikhathi kusukela esikhathini sokwelashwa singunyaka owodwa.
Isidakamizwa uSibutramine sinezindlela eziningi zokwephulwa:
- i-neurotic anorexia ne-bulimia;
- izifo ezahlukahlukene zengqondo;
- Isifo sikaTourette's;
- hypersensitivity;
- phambi kwezifo zenhliziyo;
- umsebenzi wokulimala we-renal kanye we-hepatic;
- ukukhulelwa nokuqunjelwa;
- iminyaka engaphansi kweminyaka engu-18 nangaphezulu kwengama-65.
Ukuba khona kwanoma iyiphi imiphumela emibi kakhulu akubonwa. Imiphumela emibi engaba khona:
- isicanucanu
- ukuphefumula
- ukuhlanza
- izinhlungu esifubeni
- ukujuluka.
Amavidiyo ahlobene
Mayelana nomqondo wokusetshenziswa kwamaphilisi wokudla uSibutramine Reduxin, Meridia, Lindas:
IMeridia iyindlela ephumelelayo yokwelapha ukukhuluphala. Inezindleko ezibizayo, njengama-analogues ayo amaningi. Ngokuvamile kuthinta kabi umzimba. Kodwa-ke, ukukhetha okungcono: I-Meridia noma i-Riduxin, noma ezinye izifanekiso zomuthi, iyadingeka ngokusekelwe kuzimpawu zomuntu.
