Drug "Tramal": wongororo, mirayiridzo, zviratidzo

Opioid analgesics anonzi centrally nokuita yomuchipatara izvo zvinoshandiswa simba kurwadziwa syndrome. zvinodhaka izvi vane imwe kukanganisa epfungwa.

Kune mishonga yakawanda pamwe ehupfumi yakadaro. Mumwe wavo ari "Tramal". Mirayiridzo yokushandisa, ongororo, features, zviratidzo uye divi Migumisiro zvinodhaka dzinoturwa pazasi.

Form, akafanana

The medicament "Tramal" ratings chinogona kusiya mumwe vane muzvizhinji siyana gadzira: madonhwe nokuda nemumuromo kutarisira capsules, suppositories, rectal uye jekiseni. The kushingaira wemafuta zvinodhaka ndiko tramadol hydrochloride. Uyewo mishonga zvinosanganisira ebetsero zvinhu (zvichienderana chimiro medicament).

pharmacological ehupfumi

Chii chinodhaka "Tramal"? Reviews akashuma kuti chinhu opioid unonyaradza marwadzo. Ane simba unonyaradza marwadzo ehupfumi, izvo akatsanangura ayo agonist kubatsira receptors yaiva CNS.

medicament Iri opioid (chakaita zvokugadzirwa). Zviri racemate yakaipa uye zvakanaka isomers vari vamwe nzira munyaya unonyaradza marwadzo chiito.

Positive isomer - chinhu wakachena opioid Kanotokonya agonist. Panyaya kunaka, zvino anogona tunodzivisa nezvokubvuta (neuronal) norepinephrine, uyewo Activate ari achiburuka nechepakati noradrenergic hurongwa. Izvi pakupedzisira inotungamirira nokuvhiringidzirwa nokupfuuridzirwa marwadzo nomunhu ari fuma (gelatin) musana.

Both isomers vari hunomiririrwa synergistic nenzira.

Viewed mushonga kunokonzera nyaradzo. In kuchirapa mishonga kwayo kushanda asingaiti tunodzivisa nokushanda kufema emuviri uye haana chinomuwira hemodynamics.

Pamabiko dzinodzorwa kushandisa zvinodhaka uye vajairira kutanga kashoma. Panzira, pakushandisa morphine zvakare raidudzwa.

kinetics

kana mushonga wefodya ne "Tramal"? Reviews akashuma kuti kana ikatorwa nomuromo nayo wefodya 90%.

Mushure intramuscular Kutarisirwa yepamusoro wevasungwa zvinodhaka muropa kunoitika pashure awa rimwe.

Viewed medicament kupinda munharaunda yacho placental mechidziro BBB. Naiyewo anomira panze naamai vake mukaka.

WIthdrawal zvinodhaka kuburikidza neitsvo.

umboo

Mune zvimwe zviitiko, mishonga kunodiwa "Tramal"? Reviews (mu oncology gadziriro ino rinoshandiswa kakawanda) rinoti vaiona nzira inoratidzwa marwadzo chirwere simba uye paavhareji kusimba siyana mavambo:

• kunotevera;
• munguva postoperative kumwedzi;
• nokuti marwadzo kuti kunoitika nokuda myocardial infarction;
• rwadza kana pakutevedzera kuchirapa kana chirwere dzokuvhiya.

Contraindications

Kana iwe haufaniri kushandisa mushonga "Tramal"? Guest nyanzvi dzinoti contraindications zvakadai, yakadai se:

• concomitant kushandiswa kwezvinhu monoamine oxidase FIs, uyewo mavhiki maviri pashure kurega kwavo;
• zvinhu izvo pamwe nemuumbi chinovhiringidza pamusoro CNS kana kufema mwoyo (semuenzaniso, doro chepfu, opioid analgesics, psychotropic kana zvinodhaka hypnotic zvinoreva);
• renal kukundikana, yakanyanya kuyerera;
• WIthdrawal chirwere zvinodhaka;
• zvakakomba hepatic kukundikana;
• hypersensitivity.

Zvose izvi zvinoda kuti aendeswe nezvazvo.

Drug "Tramal": mirayiridzo kushandiswa

Majekiseni, iyo akaongororazve zvichakurukurwa pazasi, anogona kupiwa nomutsinga, subcutaneously kana intramuscularly.

Inside mushonga uyu zvinofanira kutorwa kare, panguva kana pashure zvokudya. Kwakajairika Kamudzira kushambidzwa pasi nemvura, uye mhinduro akadonhedza pana chimedu shuga kana rakasanganiswa duku vhoriyamu emura.

Kana rectal suppository chinotarisirwa kupinda mugaranhoko.

The chipimo chemushonga zvinodhaka pasi kufunga akatsunga zvichienderana kusimba marwadzo.

Mune zvimwe zviitiko, kuti majekiseni "Tramal"? Reviews zvinoratidza kuti chimiro ichi mushonga chete kushandiswa munyaya kana uchida kuwana nokukurumidza unonyaradza marwadzo kushanda.

nemishonga

Kufanana nevamwe analgesics, vaiona zvinodhaka kungaita zvakasiyana-siyana divi siyana akadai:

• akatsvuka ganda, kuda kurutsa, chepfungwa nezvipusha, muromo yakaoma, kurukutika, kurutsa;
• dzungu, abdominal marwadzo, mugari mwoyo mutinhimira, abdominal;
• kuchinja mu Nzara, hope, kutemwa nomusoro, tachycardia, kuchinja manzwiro, kuora mwoyo, havachanyatsogoni maitiro siyana, kuchinja basa, dzikatadza pakuparadza mvura;
• kufenda, tsandanyama simba, richaparara;
• ganda mapundu, kupatira, gwenya simba, kuvhiringidzika, vangadikitira.

chaizvo kurumbidza

With kutarisira mukuru mushonga waakaudzwa kuti vanhu vane havachanyatsogoni chiropa nerevane itsvo panguva yakakwirira intracranial kumanikidzwa, abdominal marwadzo, dzechimwe kukuvara uropi, varwere pfari, uyewo zvinetso ari kufema hurongwa.

Kunwa doro munguva kurapwa pamwe mumiririri uyu anofanira kubviswa.

Reviews

Varwere vakawanda vanoti mushonga "Tramal" ane simba chaizvo uye inoshanda opioid unonyaradza marwadzo. Chero chimiro rakakurumidza runako anobvisa kunyange akasimba marwadzo syndromes, kufambisa zvikuru murwere ezvinhu.

Zvazvakashatira mishonga iyi zvinosanganisira vazhinji nenjodzi, uyewo anoyevedza mazita contraindications.