Daawada "Sulpiride": dib u eegista, tilmaamo, analogs

Psychosis darraanta kala duwan la socday aadanaha weligiisba. In ka badan qarniyo badan waxaa la rumeysan yahay in jinniyada qabi by in qofka buka, oo sidaas daraaddeed "Daawo" dhibaatadan ayaa ku haboon. Ka hor inta abuurka ah ee gargaarka daawo neuroleptic ee cudurrada maskaxda soo saaray daawaynta dabiiciga ah horumariyo oo ku saleysan Belladonna, henbane, opiates. Dhaqma sida daawaynta la calcium (IV) iyo jirkuna bukaanka ee daroogada seexdo.

The chlorpromazine ugu horeysay ee waallida dajiya la odhan karaa, kaas oo si firfircoon loo isticmaalo daweynta bukaannada qaba dhibaatooyinka caafimaadka maskaxda tan iyo 1953. Currently, liiska daawooyinka ee waallida dajiya, jirada dhimirka si weyn u balaariyay. Mid ka mid ah daawooyinka loo kooxdan waa "Sulpiride". Kurtumm isaga ku tilmaami sida waallida dajiya aad atypical.

pharmacodynamics daroogada

saamayn Neuroleptic "sulpiride" antidofaminergicheskim la xidhiidha tallaabada, m E.. In ka blocks daroogada habdhiska dhexe inta badan receptors dopaminergic. Dopamine waa qayb muhiim ah oo ka mid ah "nidaamka abaal" ee maskaxda - dareen dareen ku farxay, dherginaya badan, oo iyana, saameeyaa habka waxbarashada iyo mintidnimada. In qiyaasood oo ku filan sare, soo saaray in geeddi-socodka oo waayo-aragnimo wax kasta oo wanaagsan (on opinion shakhsi ahaan qofka a) - dhaweynta ee cuntada delicious, galmo, ma dareenka jirka wacan. Iyada oo lacagta sii kordhaysa oo ah dopamine in habka dhexe ee neerfayaasha waxaa hagaagay raaxo nafsi ah, iyadoo hoos u dhac - horumariyo calaamadaha murugada.

Action "sulpiride" at dose ka badan 600 mg (lacagta maalinlaha ah ee daawada) waa nooca ah ee waallida dajiya. Haddii qaadashada ee ka yar 600 mg - qaadka badan yihiin iyo saameynta niyad jabka. Si kastaba ha ahaatee serotonicheskie, histamine, daroogada receptors adrenergic saamayn yar.

Daawooyinka - analogues

medicament The "Sulpiride" - neuroleptic atypical, tirsan kooxda benzamides bedelay - ayaa tiro ku filan badan oo daawooyinka in ay yihiin mid ah in Halabuurka iyo saamayn. Waxaa jira daawooyin u dhigma heerka code ATC 4aad. Kuwanu waa "Betamax", "tiaprid", "Eglonil". ka, kuwaas oo marka laga reebo, baahida ballaaran macaamiisha "Prosulpin", "Eglek" "nasasho leh" "Vero Sulpiride", "Sulpiride Belupo." Reviews daawooyinka oo dhan by macaamiisha yeelan karaan labada jiho togan iyo kuwa taban. Waxaa oo dhan waxay ku xiran tahay darnaanta gobolka bukaan-socodka ee caafimaadka, oo uu dareen in ay qayb weyn ee firfircoon - sulpiride, iyo qiyaasta daawada loo xilsaaray in ay helaan dhakhtar.

Tilmaamayaasha si aad u hesho daawo

Sam neuroleptic "Sulpiride", analogs ay leeyihiin gudbikaraa si caddaalad ah ballaaran oo saamayn iyo waxa lagu meelaynayaa kartaa si aad u hesho a cudurada ku filan u daran. Qaado in joogitaanka schizophrenia ku jira marxaladaha ba'an, iyo marka ay tahay chronic. Sulpiridsoderzhaschih xaq isticmaalka jirada dhimirka inta lagu guda jiro marxaladda ba'an ee horumarinta delirium (jirro maskaxeed ee dabiiciga ah, oo ay la socdaan qas ka mid ah miyir laga bilaabo wareer iyo xataa kooma). Marar badan daroogada la qoray, waayo, xanuunada kala duwan ka waalan oo aan niyad-jabka, iyadoo aan loo eegin ay asal ahaan.

Marka vertigo asal ahaan kala duwan ku talinaysaa qaadashada "Sulpiride" diiwaanka. Reviews bukaanka iyo shaqaalaha caafimaadka ay si fiican u gartaa medicament daaweynta neuritis vestibular, marka nooca failure vertebrobasilar-basilar la otitis media ah iyo kuwa dhimirka cranial, la cudurka Meniere ee (kordhay mugga dareeraha in saabka dhegta gudaha, taasoo cadaadis saarta xagga unugyada ka mas'uul ah dayactirka hoganaya jidhka iyo hanuuninta in meel bannaan).

Sida a "Sulpiride" qayb ka mid ah daaweynta dhamaystiran oo loo isticmaali karo hawlaha daweynta cudurka boog ulcer iyo Irritable Bowel Syndrome.

Yaa waa in ay iska ilaaliyaan qaadashada daroogada ee waallida dajiya ku saleysan sulpiride?

Neuroleptics "Sulpiride" analogues daroogada ah qayb weyn ee firfircoon liiska gaarka ah ee sababo. Ha u qaadan in dadka qaba diidmo in sulpiridu oo ka cabanaya hyperprolactinemia (si weyn Qolol heerarka prolactin hormone ee dhiigga). Iyadoo la raacayo, daroogada this lagu qorin kasoobaxyo prolactin ku tiirsan (kansarka naasaha, prolactinoma qanjirka pituitary , iwm).

Dheeraad ah, "Sulpiride" (muujinaya kor lagu sharaxay) waxa uu mamnuucayaa barashada pheochromocytoma (burooyin cell chromaffin hormonally firfircoon), psychosis manic oo kala duwan xanuunada affective la qalalka gardarada dabeecadda. Ha isticmaalin sulpiridsoderzhaschih dawadan la tixraacayo sarkhaan ba'an khamriga, khubad daawooyin, daawooyinka hypnotic iyo analgesics maandooriyaha.

Ma tusay waa isticmaalka neuroleptic bukaanka "Sulpiride" da'doodu ka yar tahay 18 sano iyo dumarka inta lagu jiro nuujinta.

Cilladaha

dhibaato in ay isaga iyo analogues neuroleptic "sulpiride" Kurtumm bukaanka iyo shaqaalaha caafimaadka ee sifaha sida ku filan oo halis ah, oo si weyn u sii xumaanaysa xaaladda bukaannada. Waxaa macquul ah in hyperprolactinemia noocyo kala duwan oo noocyo (gynecomastia, dysmenorrhea, frigidity, awoodba dhimay, galactorrhea, korodhka miisaanka jidhka).

muujinta dheeraad suurto galka ah ee syndrome ee extrapyramidal, kaas oo lagu muujiyey by xanuunada bahal ah oo ka mid ah tirada iyo tayada dhaqdhaqaaqa lama filaan ah soo saaray murqaha lafaha, bedesho qarsan ee muruqa. Si kastaba ha ahaatee, curyaannimo ma aha calaamad u ah in Xaqiijiyay In xaqiiqda ah ee extrapyramidal syndrome.

Sida kooxda jawaab celinta "Sulpiride" analogs neuroleptic, laga yaabaa inuu dhaco gariirka, akathisia (kari waayeen in ay ku nastaan), Tardive, hurdo la'aan, hurdo, walaaca excitability sare, caro. muujin karaa calaamadaha syndrome malignant neuroleptic, lagu gartaa aan caadi ahayn autonomic, caddaan maqaarka, hyperthermia.

Dhibaatooyinka ay keento ka mareenka caloosha iyo mindhicirka waxaa laga yaabaa in dareen ah qallayl ee afka, horumarinta laab, muuqaalka lallabo, retching, calool. hawshooda u suurtogalka ah ee transaminases, cagaarshowga iyo phosphatase xumadoodu.

codsiga nidaamka wadnaha "sulpiride" jawaabi karaan in la kordhiyo cadaadiska dhiigga (dhif - hoos u dhac in dhiig karka, dawakhaad), garaaca wadnaha oo kordhay, kor u QT-bareeg. Aad ha u yaraatee, laakiin waxaad maqli karo in on jawaab daroogada "Sulpiride" ka dhakhaatiirta ayaa tilmaamaya nooca torsadedepointes horumarinta arrhythmia.

daliilka xasaasiyad sida finan maqaarka ah, pruritus, lesions eczematous. Mararka qaarkood waxaad maqli karo oo ku saabsan xad-gudub ah ee toosan muuqaal ah.

kacmaha iyo circuit codsiga mode

Sida laga soo xigtay tilmaamaha loo isticmaalo ee medicament ah, bukaan caadi ahaan dadka waaweyn ee ku xiran qiyaasta cudurka qoray of 100-300 mg maalintii (qaybsan 2-3 qaadasho). xal Oral maamula in qiyaasta kala duwan: 100-800 mg maalintii maamulka muruqyada dhexdooda (inta aan la isticmaalin ay daruuri tahay rux). Qiyaasta ugu badan dulqaadan dadka waaweyn waa 1.6 g

Haddii ay lagama maarmaan noqoto inuu ku meeleeyo "sulpiride" in ay carruurta ka yar da'da 18 sano, qiyaasta waa in loo xisaabiyaa tixgelinayo miisaankiisu ku saleysan 5 mg halkii kiilo ee miisaanka jidhka.

Haddii bukaanku leeyahay xaalad Waallida ee marxaladda daran ama joogtada, therapy caadi bilaabataa maamulka muruqyada dhexdooda (400-800 maalin mg). Xaaladaha intooda badan, muddada daawaynta waa ugu yaraan 2 todobaad. Sida ugu dhakhsaha badan ee caafimaadka ee bukaan-socodka, by duridda wareejiyay dhaweynta "sulpiride" ah kiniin gudaha. Neuroleptic "Sulpiride" dib u eegista bukaanka lagu qeexo sida daawo wax ku ool ah. Duration dabcan ka mid ah therapy la go'aamin karaa oo bedelay oo kaliya uu dhakhtarka xaadirka ah.

xaddi badan

Wax calaamado gaar ah oo tilmaamaysa xaqiiqda ah ee aad iyo aad u qaadasho la ogolaan karo ugu badnaan kor ku xusan, ma. Sida caadiga ah ku jira xaaladahaas, waxaa jira dhiig karka soo kordha, aragga indhaha oo isku darsamay. Waxaa laga yaabaa in horumarka suuxintii (xakamaynta miyir xanaajiyeen by daroogada, dabacsan saamayn, halka qaadasho sare - hypnotic). Xaaladaha intooda badan, saamaynta daroogada "Sulpiride" Kurtumm bukaan ayaa muujinaya muuqaalka kore ee lallabo, afka oo qalala, dhidid kordhay, matag. Marar dhif ah waxay yeeshaan calaamado extrapyramidal, gynecomastia dhici karaan bukaan lab (wayneeyo naasaha). Aad ayay u yar ka hadlo parkinsonism fahmayaan, kooma.

Sida daawo xushay for "sulpiride" offline, daaweynta calaamadaha lagu talinayaa, waxay ku xiran tahay xaaladda bukaanka. Xaaladaha qaarkood, codsan tallaabo dhexe holinoblokatory.

On waxa ay lacag bixisid si aad fiiro?

Absolutely alaabta oo dhan group waallida dajiya (oo ay ku jiraan sulpiridsoderzhatsie "Betamax", "Vero Sulpiride", "Prosulpin", "Sulperid Belupo", "Eglonil", "Sulpiride") dib u eegis ku takhasusay iyo tilmaamaha hawlgalka iyo mamnuucayaa asalka ah cabitaanka khamriga. Waayo, bukaanka qaba qallalka lagu talinayaa in la sameeyo daraasado shaybaar iyo elektarooniga ah ayaa la sulpiride waxaa hoos baxayay marinkii hawl qabashada. Haddii daroogada la concomitantly loo isticmaalo daawooyinka in ay kordhiyaan halista baarutaan ventricular, bukaanka sida waxay u baahan tahay la socodka joogtada ah ee wadnaha ku. Kordhinta QT-bareeg ku xiran qiyaasta.

Haddii inta lagu guda jiro daawaynta, "sulpiride" ahaayeen calaamadaha hyperthermia (xaqiiqo ah in farta horumarinta neuroleptic syndrome malignant), by isticmaalka daroogada waa in la joojiyo.

joojinta lama filaan ah therapy "sulpiride" cadhaysiinina karaan astaamaha u-barashada. Maltitol joogo ee daroogada ka dhigaysa wax aan macquul ahayn in la isticmaalo by dadka ka cabanaya dulqaad fructose.

Inta lagu jiro muddada daawaynta oo dhan waa in ay ka digtoonaadaan baabuurta iyo hirgelinta hawlaha maamulka u baahan psychomotor jawaab degdeg ah iyo ka-fiirsashada sare.

daawooyinka Sulpiridsoderzhaschie iyo uurka

Haweenka inta ay uurka leedahay "dib u eegista Sulpiride 'tagay jihada ugu wanaagsan. dose la oggol ugu badan ee haweenka uurka leh waa 200 mg maalin kasta ma ha ka cadhaysiinina saamaynta teratogenic (darbo horumarka SNMna). The qaadasho xad badan oo daroogada ah ee haweenka uurka leh macluumaadka lagama hayo. Sidoo kale, ma jiraan wax xog ah oo ku saabsan saameynta ku iman karta ee daroogada-jirada dhimirka on koritaanka maskaxda ilmaha.

Guud ahaan, shaqaalaha caafimaadka door bidaan in aadan isticmaalin "Sulpiride" oo lagu daweeyo haweenka uurka leh, marka laga reebo xaalado saamayn togan loogu tala galay dumarka ahaaday badan halista ka iman karta in ilmaha caloosha ku. Xaaladaha noocaas ah, "Sulpiride" edbinta (ambalaasta dib u eegista xaqiijiyay) ku talinaysaa in maamulo ee qaadasho hooseeya ee suuragalka ah iyo haddii ay suuragal tahay in la yareeyo muddada daawaynta.

In ilmaha ay dhaleen dumarka qaadashada inta lagu guda jiro daawooyin sulpiridsoderzhaschie uurka mararka qaar lagu arkay calaamado iyo mindhicirka (dibiro, iyo wixii la mid ah. N.) saamayn atropinopodobnye Associeted of neuroleptics. Mararka qaarkood waxaad maqli karo oo ku saabsan extrapyramidal syndrome. Inta lagu jiro naas soo dhaweynayaa "sulpiride" ahaan uu u.

Opinion bukaanka "sulpiride"

Inta badan bukaanka on daroogada dib u eegista "Sulpiride" baxo jihada wanaagsan. Neuroleptic filan wax ku ool ah iyo inuu xaq yahay sifooyinka dhawaaqay. Dadka qaadashada "Sulpiride" ama analogues ay calaamadaha dhimirka inta lagu guda jiro boog gastric ama boog dyspepsia, sidaana waxa hoos u dhac in xoogga calool xanuun iyo horumar in xaaladda guud.

Muga yar oo medicament (50 ilaa 300 mg maalintii) waxaa inta badan qoray bukaanlayda qaadato cabashooyinka ee soo noqnoqda wareer timi sababo kala duwan. Inta badan bukaanka, kuwaas oo ahaa ku qanacsan natiijooyinka daaweynta.

qaadasho Large "sulpiride" (in ka badan 600 mg maalintii), ee ra'yi ah ee shaqaalaha caafimaadka si ay u bixiyaan saamayn waallida dajiya wax ku ool ah oo ku saabsan bukaanka. Qiyaas ka yar 600 mg, iyo ra'yiga ah dhakhaatiirta iyo bukaanka, qaadeen madadaalo iyo saamaynta lidka diiqadda.

Waxaa jira koox ka mid ah bukaanka ka tagay "sulpiride" si xun. shakhsiyaadka Ha horumarinta lallabo, farax, Dawakhaad. Calaamado xun waayay ka dib markii joojiyo oo ka mid ah "sulpiride".