"Nalbuphine": wa'azi, description, abun da ke ciki, da sake dubawa

Yana zafi ... Yana zafi ... Akwai ba mutum daya wanda ba zai ce wadannan kalmomi. Lokacin da muke da shi da wani abu na ciwo, duk da wasu matsaloli da Fade cikin bango. A mafi muhimmanci kuma mafi muhimmanci a wannan lokaci - don yin ƙunci bace.

Modern Pharmacy ya shirya don bayar da abokan ciniki wata babbar kaya na m kwayoyi tare da daban-daban ka'idojin aikin. Wata irin wannan magani ne "nalbuphine." Umarni shirya shi a matsayin agonist da wani opioid tsoka mai amsa sigina antagonist, a narcotic analgesic, na kunshe a cikin jerin uku jerin narcotic kwayoyi.

Abun da ke ciki da kuma pharmacodynamics

Babban aiki sashi "Nalbuphine" ne nalbuphine hydrochloride. A miyagun ƙwayoyi ne wani analgesic opioid kungiyar (kwayoyi da samar da tasiri a kan wani jikin mutum, kama da mataki na opium). A manufa na mataki na miyagun ƙwayoyi "nalbuphine" wa'azi a kan aikace-aikace ce da wadannan: babban aiki sashi na damuarn riwayar zafi hasken dake fitowa tsakanin neurons a cikin juyayi tsarin. Da miyagun ƙwayoyi stimulates da hakan sassa na kwakwalwa, sa'an nan canza tunanin ji zafi.

Effect "Nalbuphine" a kan jikin mutum shi ne m tare da sakamako na "Morphine". Nalbuphine hydrochloride stimulates amai cibiyar, shi ne iya kashe da sharadi reflexes, yana da wani magani mai kantad da hankali sakamako. Magani cike da numfashi cibiyar, amma a kan wani yawa karami sikelin fiye da "Morphine", "Promedol" ko "Fentanyl".

Saki tsari da kuma sashi regimen

Masana'antun bayar da abokan ciniki da wani magani a vials "nalbuphine 10" da kuma "20 nalbuphine." Kowane ampoule - 1 ml na medicament. A farko ( "nalbuphine 10") cushe a cikin wani fakitin 10 vials, da kuma na biyu - to 5. "Nalbuphine" (bayani) umarnin don amfani, real kiwon lafiya kwararru bayar da shawarar sanya tsananin mutum makirci, dangane da jiki nauyi, tsananin zafi rakiya cututtuka.

A medicament iya gudanar intravenously, intramuscularly ko subcutaneously. A guda kashi na fara tasawa adam iya Range daga 100 .mu.g zuwa 1 MG da kg jiki nauyi. A farko kashi ga wani yaro - ba fiye da 300 g da 1 kg na jiki nauyi. A mita na aikace-aikace na medicament dogara a kan total na asibiti hoto. A lura hanya ya kamata ba šauki fiye 3-4 kwanaki, tun da miyagun ƙwayoyi ne a narcotic, da kuma na tsawon gwamnati na iya zama jaraba.

Alamomi ga yin amfani da "Nalbuphine"

"Nalbuphine" umurci manual ya bayar da shawarar da shan a karfi zafi syndromes cewa za a iya hade da postoperative zamani, gynecological m shisshigi da magani daga zuciya harin da ciwon daji.

Har ila yau, magani ake amfani da ko'ina a cikin hali na prednarkoznoy premedication (pre-miyagun ƙwayoyi shiri na haƙuri zuwa janar maganin sa barci da kuma tiyata). A gaskiya, babban manufar wannan hanya - rage matakin na tashin hankali a cikin haƙuri, kuma da tabbatarwa daga mataki na kwayoyi don maganin sa barci. A gaskiya, wannan shi ne babban yanki na aikace-aikace na nalbuphine hydrochloride.

Wa ya kamata dena shan?

"Nalbuphine" wa'azi, feedback da gwani shawara ake hana yarda da marasa lafiya da m hypersensitivity da babban aiki sashi. Inadmissible amfani medicament domin lura da marasa lafiya fama da dukan cututtuka na hanta da kuma kodan. Wannan shi ne saboda gaskiyar cewa metabolized "Nalbuphine" a cikin hanta. A farko nau'i na medicament aka excreted a cikin fitsari (70%) a cikin nau'i na Kalam excreted a cikin bile.

Babu magani gudanar don marasa lafiya da barasa da miyagun ƙwayoyi dogara. Ba tare da bukatar samar da magani ake ba da shawarar don amfani a yara. Tun "nalbuphine" yana da wani tasiri a kan mafi girma cibiyoyin na kwakwalwa, shi ba da shawarar a lokacin far haushi m marasa lafiya (ga psychosis, ciki da sauransu. N.).

Spillover sakamako "Nalbuphine"

"Nalbuphine", da yin amfani da abin da shi ne saboda tasirin narcotic a kan jikin mutum, na iya haifar da wasu illa daga daban-daban da kuma tsarin gabobin. Saboda haka, zuciya da jijiyoyin jini tsarin ne iya amsa ga aikace-aikace na medicament cin tachycardia, arrhythmias, jini hawa da sauka.

Daga cikin juyayi tsarin na iya haifar da ciwon kai, wani karfi magani mai kantad da hankali sakamako (lethargy), asar, sai murna. Akwai masu qwaqwalwa ne qwarai bayyananen kamar Hyperactivity, ta ƙara damuwa. Gastrointestinal fili iya tunatar da kanka bayyanuwar dyspepsia (bacin dukan).

A wasu lokuta, magani 'nalbuphine "(manual ƙunshi musamman umarnin) zai iya haifar da wani iri-iri na rashin lafiyan halayen (anaphylaxis hada).

Kuma, kamar yadda aka ambata a baya, "nalbuphine" - a narcotic miyagun ƙwayoyi, don haka zai iya sa jaraba.

wuce kima allurai

Sashi medicament tsananin akayi daban-daban ga kowane haƙuri kashi da aka zaba dangane da janar yanayin, tsananin zafi, nauyi da sauransu. N. Rarrabe da aikace-aikace ba tare da likita dubawa zai iya kai ga overdosing. A wannan yanayin, kamar yadda mai mulkin, akwai da wadannan cututtuka: ciki na tsakiya m tsarin, lethargy, dysphoria (da antonym na "asar, sai murna" morbidly tawayar yanayi, bayyana kansa a irritability, rashin jituwa ga sãshe, sauƙi na tsokana, m yanayi annobar cutar). Yawan abin sama na iya haifar da matsalar aiki na samfur na numfashi cibiyar.

Jiyya kunshi a cikin aikace-aikace na maganin guba (for "Nalbuphine", kamar yadda a mafi yawan opioids - shi ne "Naloxone"), na ciki da lavage da symptomatic far.

Expectant mums ...

Lokacin da ciki shi ne sanya "nalbuphine" wa'azi damar kawai tare da m alamomi. Tare da taka tsantsan shi ne wajabta magani ga wanda bai kai ba haihuwa da kuma a lokuta inda akwai tuhuma da fetal rashin ci gaba. Wadannan ayyuka suna da alaka da cewa "nalbuphine" isa readily wuce da placental shãmaki, kuma zai iya sa numfashi ciki a neonate.

Har ila yau sosai a hankali shawarar magani a lokacin shayarwa, ko da yake "Nalbuphine" da kuma kasaftawa da madarar uwarsa a kananan allurai, da ciwon ba na asibiti muhimmanci (kasa da kashi 1% na jimlar gudanar da miyagun ƙwayoyi). Duk da haka, babu bukatar a yi wa lahani yaro ba tare da wani tsanani dalilin.

musamman umarnin

A bayani ga allura dauke a cikin abun da ke ciki 10 MG / ml na nalbuphine hydrochloride ( "nalbuphine Farmeks"), manual ya bayar da shawarar sosai a hankali amfani a cuta na numfashi aiki, tun da shi ne iya rage adadin numfashi minti girma zuwa 25%. Karkashin iko da likita ya zama marasa lafiya shan "nalbuphine" kuma a layi daya zuwa na wahalar uremia kuma mai tsanani nau'i na tamowa, kazalika da tsofaffi.

Ga marasa lafiya da na koda, ko hanta insufficiency magani a hankali da kuma tsananin akayi daban-daban metered. Ya kamata ya zama zai yiwu m lõkacin fatara daga "Nalbuphine" domin wannan category na marasa lafiya.

Tare da taka tsantsan shi ne wajabta magani ga mutane da raunin da kwanyar, kamar yadda a can ne alama na tasowa na numfashi ciki tsari. A sosai kyawawa mu hada da yin amfani da "Nalbuphine" da sauran analgesics, saboda yiwu weakening na analgesia.

Karkashin m likita dubawa kuma a kananan allurai da miyagun ƙwayoyi da ake amfani a bango na narcosis, barci magunguna, anxiolytics, antidepressants da neuroleptics. Wannan "unguwa" iya tsokana wuce kima ciki na tsakiya m tsarin da kuma na numfashi ciki cibiyar na aiki.

Kariya "Nalbuphine" da ake sa ga liyafar na ambulatory marasa lafiya, wanda ba a kula da hanya, ko wa] anda aikin yi alaka da kudi na psychomotor halayen.

price kewayon

A price kewayon ne fadi da isa ga "nalbuphine" miyagun ƙwayoyi. Umurnai na amfani, da miyagun ƙwayoyi farashin su ne shaida da cewa da miyagun ƙwayoyi ne a bukatar a tsakanin masu amfani. Bugu da ƙari, analgesic ya kafa kansa a matsayin wani tasiri magani a ma'aikatan kiwon lafiya. Samfurin kunshin "nalbuphine 20" (5 vials) yana yiwuwa ya saya a Pharmacy Rasha for wani adadin a cikin kewayon daga 620 zuwa 810 rubles. "Nalbuphine 10" za kudin daga 650 zuwa 690 rubles (fakitin 10 vials).

A wasu Pharmacy za a iya gani a kan sale "Nalbuphine" a cikin sirinji (10 MG / 1 ml), aka yi nufi ga guda allura. The kudin na wannan nau'i na saki ne a kusa da 160 rubles.

Hulda da sauran kwayoyi

Kamar yadda aka ambata a baya, "Nalbuphine" (mai amfani ƙunshi bayanai wannan) tare da antidepressants, anxiolytics, neuroleptics, hypnotics, m jamiái, antihistaminic kwayoyi tare da wani magani mai kantad da hankali sakamako, kara habaka ethanol depressant sakamako a kan ta tsakiya m tsarin. Da ake ji analgesic layi daya da penicillin Kalam kuma phenothiazine zai iya sa karawa da tashin zuciya da kuma amai.

"Naloxone" (maganin guba) zai rage sakamako na daukan hotuna zuwa opioids da haka rage numfashi ciki da kuma CNS ayyuka aiwatar jawo "Nalbuphine".

"Naltrexone" muhimmanci gaggauta bayyanar cututtuka na sakewa a kan bango na miyagun ƙwayoyi buri ( "a duk da daukaka" bayyanar cututtuka iya bayyana bayan kawai 5 minti bayan gwamnati da miyagun ƙwayoyi, zai ci gaba har zuwa 48 hours). Symptomatology ne sosai a barga, shi ne quite wuya a cire.

A ra'ayi na masu amfani da kuma kiwon lafiya kwararru

Marasa lafiya magana game da "nalbuphine" kamar yadda wani fairly tasiri magani a cikin lokaci bayan m shisshigi a Oncology. Ko da yake illa ma quite na kowa da kuma yawanci bayyana a ciwon kai, drowsiness, apathy, narkewa kamar disturbances. A cewar likita kwararru, "nalbuphine" (Umarni, da abun da ke ciki na medicament, da manufa na tasiri aka bayyana a sama) ne mai kyau analgesic domin a isasshe tsanani cuta hade tare da ciwo mai tsanani.

Akwai wani category na miyagun ƙwayoyi masu amfani - miyagun ƙwayoyi addicts. A nan, tattaunawa da kuma sake dubawa an rage wa tambayar ko da mataki ne kama da "Nalbuphine" da "Morphine". Daga duk da cewa, kamar yadda evidenced wannan rukuni na masu amfani da, shi za a iya ƙarasa da cewa m ga miyagun ƙwayoyi addicts sa "nalbuphine" price (manual lissafi a irin wannan marasa lafiya da aka ba a karɓa). A miyagun ƙwayoyi ne m (mun gwada miyagun kwayoyi), shi za a iya saya a wani kantin magani, duk da haka, bisa ga girke-girke. Duk da haka, a nasu kalmomin, "high m, amma hutu-up da mafi real."

Daga cikin sama da shi za a iya kammala da cewa "nalbuphine," ba shakka, mai matukar tasiri analgesic. Duk da haka, shi ne sayar kawai a kan takardar sayen magani - da kuma gaskiya da haka. Tun lokacin da akayi zabi likita sashi da kuma yanayin na aikace-aikace - tabbacin cewa sakamakon da miyagun ƙwayoyi a haƙuri ta jiki zai kasance tabbatacce, kuma hadarin illa - m.