Kukonzekera kwa Somnol: malangizo ogwiritsira ntchito, kufanana, ndemanga

Ambiri a ife takhala tikugona nthawi imodzi m'moyo wathu. Ngati izi zakhala zachizoloŵezi kwa inu ndipo zimakulepheretsani moyo wanu wa tsiku ndi tsiku, mungathe kunena mosakayika kuti muli ndi matenda a chikhalidwe chakuthupi kuti mukhale mu boma ndi zochepa zomwe zimachitika mu ubongo ndi kufooka kwa dziko lozungulira. Chifukwa cha kusokonezeka kwa tulo , sikuti kugona tukuwonekera, komanso thanzi labwino ndi thanzi limachepa. Ngati muli ndi mavuto a chikhalidwe ichi, mudzathandizidwa ndi mankhwala "Somnol". Zizindikiro zogwiritsiridwa ntchito, kufotokozera za mankhwala, mankhwala a madokotala ndi odwala, komanso mafananidwe osakwanira a mankhwalawa akufotokozedwa m'nkhaniyi.

Fomu ya mlingo ndi zolemba

Mankhwalawa mumtundu wa pharmacies amabwera ngati mapiritsi oyera a biconvex mu chipolopolo, pambali yomwe pamakhala ngozi. Amapangidwira m'matumbo a zidutswa 10. Mu pulogalamu imodzi, "Somnol" ili ndi 7.5 mg yamapiclone, wowuma wa mbatata, magnesium stearate, anhydrous calcium hydrogen phosphate, sodium glycate, silika, aerosil, komanso povidone ndi daye.

Pharmacodynamics

Chinthu chachikulu chimene chili mbali ya "Somnol" ndi hypnotic, yomwe ili gulu la cyclopyrrolones. Zopiclone imakhala ndi chithunzithunzi, chitetezo, anticonvulsant, tranquilizing ndi miorelaksiruyuschee effect. Zotsatira za mankhwalawa zimachokera kuchitidwe cha chinthu chofunikira pa mapulogalamu a pakatikati a mitsempha.

Mukamamwa mankhwala, chinthu chachikulu chomwe chimapangidwira, chimachepetsa nthawi ya tulo komanso nthawi yowonongeka, nthawi yogona ndi kuwonjezeka kwabwino.

Ndi chithandizo chokhalitsa, kwa miyezi inayi, mankhwala "Somnol" sakhala osokoneza (malangizo a ntchito akuwonetsa izi).

Pharmacological action

Kusiyanitsa kwakukulu kwa "Somnol" kuchokera ku mankhwala ena osokoneza bongo ndiko kupezeka kwapangidwe kake kamene kamatchedwa zopiclone. Chida ichi chimachepetsa nthawi ya tulo, kumathandizira kugona atangoyamba kumene, popanda kuphwanya kusintha kwa gawo ndi khalidwe lake. Zotsatira za mankhwalawa zimatenga pakati pa theka la ora pambuyo pa kukhazikitsidwa kwake ndipo zimatha maola asanu ndi limodzi ndi asanu ndi atatu (8), zomwe zimagwirizana ndi nthawi yokhala ndi chikhalidwe chokwanira, kukhala ndi chikhalidwe chokhala ndi ubongo komanso kuchepa kwa zomwe zikuchitika pozungulira.

Mosiyana ndi mabotolo ndi benzodiazepine, palibe pafupifupi kugona ndi kufooka pamene mutenga "Somnol". Malangizo ogwiritsira ntchito amasonyeza kuti theka la moyo wa thupi salidutsa maola 3.5-6, ngakhale atagwiritsidwa ntchito nthawi yaitali, ma metabolite sali ophatikizidwa. Umboni umasonyeza kuti mankhwalawa amachotsa mitu, anthu omwe ali ndi mphumu amachepa pang'onopang'ono pozunzidwa usiku ndi m'mawa, komanso nthawi yawo komanso mphamvu zawo.

Kukonzekera kwa Somnol: malangizo, zizindikiro zogwiritsiridwa ntchito

Kodi mumagwiritsa ntchito mankhwala nthawi yanji? Malangizo akuti "Somnol" malangizo omwe amalimbikitsa kuti agwiritse ntchito pankhaniyi:

• Matenda oyambirira a kugona (mavuto ndi kugona tulo, kuwuka mowirikiza usiku, kugona tulo komanso kugona tulo).
• Mphuno yamphepete mwa nyanjayi, yomwe imadziwika ndi masana ndi usiku. Amatengedwa mogwirizana ndi Teofillin.
• Matenda apakati ogona a m'maganizo.

Kusankha ndi Utsogoleri

Kukonzekera "Somnol" kumatengedwa mkati (malangizo amasonyeza izi). Gwiritsani ntchito mankhwalawa akulimbikitsidwa kwa kanthawi kochepa, osapitirira masabata anayi, poganizira nthawi ya kuchepetsa mlingo. Ndizotheka kuonjezera nthawi ya mankhwala pokhapokha atayesedwa kachiwiri pa mkhalidwe wa wodwalayo.

Chithandizo chiyenera kuyambika ndi mlingo wosachepera, mosayenerera kuti chiyenera kupitirira chiwerengero chololedwa chololedwa.

Malangizo a mankhwala oti "Somnol" omwe amagwiritsidwa ntchito amagwiritsa ntchito makamaka kuti asanagone.

Ngati kusokonezeka kwa impso, mankhwala ayenera kuyamba ndi theka la piritsi (3.75 mg), ngakhale kuti kuponyedwa kwa opiclone ndi metabolites mu kupunduka kwa nyama sikudziŵika.

Odwala osakwanitsa zaka 65, malangizo a "Somnol" omwe amagwiritsa ntchito pulogalamu ya 7.5 mg amalimbikitsa kutenga kamodzi pa tsiku.

Ngati chiwindi chimasokonezeka, mankhwala amayamba ndi 3.75 mg nthawi zambiri kuposa kamodzi patsiku, chifukwa nthawi ya mankhwala ochotsera mankhwala mwa odwalawa amachepetsedwa. Ngati kuli koyenera, mlingowo ukhoza kuwonjezeka kufika pa 7.5 mg, pomwe munthu aliyense akudziwidwa ndi mankhwalawa.

Ndi kulephera kupuma, kuchipatala, komanso kudwala matenda a chiwindi, kumayamba ndi 3.75 mg osachepera kamodzi patsiku. Njira imeneyi imagwiritsidwanso ntchito kwa anthu oposa zaka 65, ngati n'koyenera, mlingowo ukhoza kuwonjezeka pang'onopang'ono.

Zomwe zilizonse zogwiritsira ntchito mankhwalawa "Somnol", mlingo wa tsiku ndi tsiku sayenera kukhala oposa 7.5 mg. Ndi kusowa kwadzidzidzi, chithandizo sichitha masiku asanu ndi asanu, komanso chifukwa chokhalapo - osapitirira masabata atatu. Ponena za mawonekedwe osalekeza, m'zochitika zoterezo njira yopatsirana imatsimikiziridwa ndi katswiri yekha.

Kuyanjana kwa Mankhwala

Pogwiritsa ntchito mankhwala osokoneza bongo omwewo, "Somnol" omwe amachititsa kuti munthu asagwiritsire ntchito mankhwala osokoneza bongo, mankhwala ena osokoneza bongo, antiticonvulsant ndi sedative, otetezera, anti-depressants, opioid analgesics, anesthetics kapena erythromycin.

Pochiza mankhwalawa m'magazi a magazi, trimipramine yayamba kuchepa ndipo zotsatira zake zimafooketsa.

Malangizo a "Somnol" omwe amagwiritsidwa ntchito amaletsa kugwiritsa ntchito nthawi imodzimodzi ndi ethanol, chifukwa izi zingachititse kuti chiwerengero chachikulu cha mankhwalawa apangidwe.

Zotsatira Zotsatira

Malinga ndi ndemanga za akatswiri ndi odwala, chithandizo ndi "Somnol" chingaperekedwe ndi zotsatira zotsatirazi zosayenera:

• Ndondomeko yamanjenje - kugona, kudzimva kusokonezeka pambuyo pokugona, kumutu, chizungulire, kupanikizika maganizo, kutaya mphamvu kukumbukira zochitika. Chifukwa chake, kugwiritsidwa ntchito kwa malingaliro ena nthawi zina kumakhala koyipa: kuwonjezereka kosavuta, komwe kungapangitse kukwiyitsa, kugwirizana kwa kayendetsedwe ka zinthu, kukumbukira kukumbukira, kuthamanga kwa malingaliro amachepetse, chidziwitso chimasokonezeka, kupweteka kumawonekera. Wodwala atasiya kumwa mankhwala "Somnol" (malangizo, zizindikiro zogwiritsiridwa ntchito zimaperekedwa mu nkhaniyi), akhoza kukhala ndi vuto la kugona kwa nthawi yayitali.
• Chidutswa cha m'mimba - ntchito yachibadwa ya m'mimba imasokonezeka, kulawa kwachitsulo kapena kowawa kumapezeka pakamwa.
• Zizindikiro za Laboratory - m'magazi a serum hepatic transaminases ndi alkaline phosphatase ali pamwamba .
• Matenda a chitetezo cha m'magazi - kutuluka kwa ming'oma kumaoneka ngati ming†™ oma, khungu loyera, nthawi zambiri - angioedema.

Zotsutsana za ntchito

Gwiritsani ntchito mankhwalawa "Chidziwitso cha Somnol" sichilola:

• Pamene hypersensitivity ndi zigawo zikuluzikulu.
• Kuima kwa usiku kwa kayendedwe ka kupuma.
• Matenda osakanikirana kapena oopsa a matenda osokoneza bongo.
• Kutupa, chiwindi kapena chidziwitso chodziletsa.
• Mimba.
• Pa lactation.

Kuwonjezera apo, kunyengerera uku kuli kutsutsana kwa ana osapitirira zaka 18.

Musaiwale kuti kumwa mankhwala kungayambitse kudalira, palinso chitukuko cha matenda ochotsera, choncho ndiletsedwa kuwonjezera mlingo ndi nthawi ya chithandizo popanda kufunsa katswiri wodziwa zambiri.

Kuchulukitsa

Zizindikiro zoposa mayendedwe ovomerezeka zimadalira kuchuluka kwake kwa dongosolo la mitsempha loletsedwa. Kaŵirikaŵiri pali kugona, nthawi zambiri munthu amagwera pansi. Pofuna kupereka chithandizo choyamba, wodwalayo ayenera kutsukidwa m'mimba, atenge makala, ngati kuli koyenera, gwiritsani ntchito mankhwala achizindikiro pamalo osungira. Hemodialysis ndi kupitirira malire kwa "Somnol" ilibe mphamvu. Monga mankhwala, mungagwiritse ntchito mankhwala kuchokera ku gulu la mankhwala osokoneza bongo - Flumazenil.

Malangizo apadera

Mankhwalawa "Somnol" (malangizo ogwiritsidwa ntchito, ndemanga ndizofotokozedwa mwatsatanetsatane), odwala omwe ali ndi matenda a impso ndi chiwindi ndi okalamba ayenera kusamala kwambiri. Pa nthawi ya chithandizo, kumwa mowa kumaletsedwa.

Mowa mwauchidakwa, chiwonongeko chikuwonjezeka. Kugwiritsidwa ntchito kwa mankhwalawa kumayambitsa kugona atadzuka, zomwe zimakhudza kwambiri kuyendetsa galimoto.

Kulandira "Somnol" kungayambitse chitukuko cha kudalira maganizo ndi thupi. Zikalata zoterezi ndizosowa kwambiri, pamene mankhwalawo sapitirira mwezi umodzi. Ngati mlingo ndi nthawi ya kumwa mankhwala mwadzidzidzi kunkawonjezeka, mwayi wa chitukukochi umakula.

Chiopsezo chimaperekanso ndi kuikidwa kwa chithunzithunzi kwa anthu omwe ali ndi kusintha kwa umunthu komanso pamaso pa anamnesis zolemba za kumwa mopitirira muyeso mowa ndi kudalira mankhwala ena. Kuima kwadzidzidzi kwa kutenga mapulogalamu ogona kwa odwala omwe ali ndi chizoloŵezi chowongolera kungachititse kuti chitukuko chikhale chonchi, chowoneka ngati mantha, kupwetekedwa mutu komanso kupweteka kwa minofu, chisokonezo, kuthamanga kwa mkati. Nthawi zambiri, kusintha kwa umunthu kumachitika, miyendo imakhala yocheperako, kukhumudwa ndi kuwonetsa.

Pambuyo pa kusamalidwa chithandizo, kuyambiranso kwa kugona kochepa, kuphatikizapo chimodzi mwa zizindikiro za kutaya matenda, n'zotheka. Choncho, muyenera kumaliza mankhwalawa pang'onopang'ono.

Ngati, atachiritsidwa, "Somnol" akadakali ndi vuto la kugona kapena kusokoneza usiku kuti asamawoneke ngati aterograde amnesia, ndi bwino kuti atenge kachilombo nthawi yomweyo asanakagone.

Ntchito pa nthawi yoyembekezera

Kulephera kwa deta zachipatala ndi chifukwa chachikulu chokana kutenga "Somnol" m'zaka zitatu zoyambirira za mimba. Ngati ndi kotheka, ndiloledwa kugwiritsira ntchito mankhwalawa m'miyezi yotsiriza yobereka mwana, koma pokhapokha muyezo wochepa.

Zopiclone, yomwe ili gawo la "Somnol", m'kati mwa magawo atatu a mimba ingayambitse mwanayo kukhala ndi zizindikiro za hypothermia ndi hypotension, ziyeneranso kudziwika kuti ndizotheka kupumula maganizo ndi kugona kwambiri. Ndipo mwa khanda mu masiku oyambirira a moyo, pakhoza kukhala chisonyezero cha zizindikiro za kuchotsa.

Ngati mankhwalawa atumizidwa kwa amayi a msinkhu wobereka, ayenera kudziwa kufunikira kopempha uphungu wa katswiri kuti asankhe ngati akusiya mankhwala panthawi ya kulera.

Popeza mankhwala omwe amagwira ntchito "Somnola" amatulutsidwa mu mkaka wa amayi, kumwa mankhwalawa pamene akuyamwitsa kukhoza kufooketsa ndi kuchepetsa mphamvu kwa mwana wakhanda.

Malamulo osungirako ndi kusiya ma pharmacies

Sungani mankhwala osokoneza bongo m'malo owuma, osati malo obwera kwa ana, komwe dzuwa silingathe kufika pomwe komwe kutentha kwa mpweya sikudutsa madigiri 25.

Mukhoza kugula mankhwala pamasamba 200 a ruble ndipo ngati muli ndi mankhwala kwa dokotala, sikuti mukugwiritsira ntchito payekha.

Kukonzekera "Somnol": malangizo ogwiritsidwa ntchito, ofanana

Maphunziro a mapiritsi ogona amatsutsana. Ena amanena kuti akamamwa mankhwala, amatha kuthetsa kugona, kupweteka mutu komanso nthawi zambiri. Odwala ena amakhulupirira kuti mankhwalawa sanawathetse mavuto omwe alipo kale.

Mulimonsemo, ngati mankhwala achotsedwa pamalangizo a dokotala, motsatira malangizowo momveka bwino, mankhwalawa "Somnol" amakumana bwino ndi kusowa tulo. Malemba, zizindikiro zomwe zingagwiritsidwe ntchito mosiyana, sizikhala zochepa. Kukonzekera kwamakono kwambiri kwa mankhwala ndizo:

• Sonovan;
• "Imovan";
• Andante;
• "Selofen";
• Zopiclone;
• "Adorma";
• "Normason";
• Chithunzi;
• Donormil;
• "Piklon".