"Zyprexa": umarnin don amfani. "Zyprexa": reviews, analogs da contraindications

The mutum juyayi tsarin ne da umurnin cibiyar na dukan kwayoyin. Idan kana da matsaloli da ka iya tsayar sabawa a ci gaba, da jiki da kuma a tunaninsu, da kuma wajen tunani. A halin yanzu, akwai wata babbar dama da kwayoyi da zai iya aiki da abubuwan al'ajabi da kuma taimake ka ka magance da yawa cututtuka. Daya daga cikinsu - "Zyprexa". A labarin da za a yi la'akari da wannan magani umurci manual. "Zyprexa" - wani magani da cewa sau da yawa wajabta munanan a cikin juyayi tsarin.

Pharmacological kaddarorin da miyagun ƙwayoyi

Wannan magani nasa ne da rukuni na neuroleptics tare da sakamako a kan m bakan da yawa tsoka mai amsa sigina tsarin. Gudanar da yawa karatu a cikinsa an gano cewa, olanzapine, da aiki sashi daga cikin miyagun ƙwayoyi, yana da abotar zuwa serotonin, dopamine, kuma cholinergic rabe.

Har ila yau, ya gano cewa, olanzapine rage excitability na mesolimbic dopaminergic neurons kuma yana da kadan sakamako a kan striatal na tsarin jijiya tafarkin da cewa suna da hannu a cikin tsari na mota ayyuka.

The aiki sashi daga cikin miyagun ƙwayoyi kara habaka da anti-tashin hankali sakamako a lokacin anxiolytic gwajin.

Medicine "Zyprexa" zo a cikin biyu siffofin:

• A cikin irin Allunan, film-mai rufi.
• Lyophilizate ga shirye-shiryen da mafita ga allura.

Babban aiki sashi a cikin shirye-shiryen da qunshi olanzapine. Karin aka gyara a cikin alluna ne:

• Crospovidone.
• magnesium stearate.
• Lactose monohydrate.
• Cellulose.
• Giproloza.

A abun da ke ciki na film shafi Allunan ne fari colorant, abinci blue tawada, kakin carnauba da hypromellose.

A abun da ke ciki na wani lyophilisate for bayani ga allura hada da, baicin da babban aiki abu, lactose monohydrate da tartaric acid.

A abin da fom sanya wani maganin mai haƙuri, da likita dole ne yanke shawara kawai.

Alamomi ga yin amfani da miyagun ƙwayoyi

Drug "Zyprexa" yana da m alamomi don amfani, mafi sau da yawa shi ne wajabta a cikin wadannan yanayi:

• Schizophrenia a cikin m form.
• Jijiya cuta tare da masifa, ainihin hallucinations, tunani cuta.
• Bayyana rashin jituwa da tuhuma ga m cuta.
• Wani tunanin ko zamantakewa janye.
• Affective cututtuka wanda raya kan bango na schizophrenia.
• A matsayin prophylactic wakili don schizophrenia dakwai, komowan cutar.
• Gigin-tsufa.

Ba lallai ba ne ya nada kansa da miyagun ƙwayoyi ba tare da tuntubar da gwani, irin wannan magani ne fraught tare da tsanani sakamakon.

Students miyagun ƙwayoyi jiyya

Menene wannan wa'azi manual? "Zyprexa" da aka sanya a farkon magani daga schizophrenia a cikin m sashi. A farko, zai kasance isa ya dauki 10 MG da miyagun ƙwayoyi sau daya a rana. A tasiri na lura da abinci ci ba zai yi tasiri.

A warkewa sashi daga cikin miyagun ƙwayoyi iya bambanta daga 5 zuwa 20 MG, amma shi an saita akayi daban-daban ga kowane haƙuri a cikin ra'ayi na ta jiha. Bayan duk bincike, idan haƙuri tolerates da miyagun ƙwayoyi kashi za a iya ƙara, amma kawai a karkashin likita dubawa.

A gaban tsananta mania "Zyprexa" kwamfutar hannu gudanar a wani adadin na 15 MG sau daya a rana. A lokacin far shi wajibi ne don saka idanu da yanayin da haƙuri da kuma sashi gyara kamar yadda ya cancanta.

Idan haƙuri yana fama da hanta ko koda insufficiency, ya wajabta da miyagun ƙwayoyi "Zyprexa" 5 MG, idan jihar ne na al'ada da kuma nufin da kyau jure, da kashi za a iya ƙara hankali.

Da miyagun ƙwayoyi ne sau da yawa gudanar ga marasa lafiya da allura. Kafin ka yi allura, kana bukatar ka yadda ya kamata ta soke da lyophilisate. Don yin wannan, da abinda ke ciki na vial an narkar da a 2 ml na ruwa ga allura. A shirye bayani ya zama bayyanannu, kuma da rawaya launi.

Yadda za a yi? "Zyprexa", kamar yadda aka ambata riga, aka sanya wa wani gwani. Saboda haka, lura regimen, idan far ne da za'ayi a gida, ya kamata a tattauna tare da likita.

Lokacin da shirya da mafita ga allura kamata a tuna da:

• "Zyprexa" za a iya narkar da a bakararre ruwa kawai.
• Yana ba za a iya gauraye a cikin wannan sirinji da miyagun ƙwayoyi da kuma "Diazepam".
• Fili "Zyprexa" da "Haloperidol" kaiwa zuwa weakening na mataki na farko miyagun ƙwayoyi.

Idan likita ya furta wani magani "Zyprexa", sashi zai dogara ne a kan cutar. Alal misali, a schizophrenia na farko kashi ne 10 MG sau daya a rana. A miyagun ƙwayoyi ya kamata a gudanar kawai intramuscularly. Idan da ake bukata da haƙuri da yanayin, na biyu soka magunguna iya yi, amma ba a baya fiye da sa'o'i biyu bayan na farko da allura.

Mazan marasa lafiya da kuma gaban wasu kullum cututtuka miyagun ƙwayoyi gudanar a wani sashi na 2.5-5 MG.

Shan la'akari da cewa gabatarwar "Zyprexa" iya tsokana a fall a jini a lokacin allura ne mafi alhẽri a cikin wani kwance matsayi, musamman idan akwai bayan allura drowsiness da juwa. Wajibi ne ya yi ƙarya, muddin likita bayan jarrabawa ba zai gyara rashin raguwa a jini da kuma bradycardia.

Ya kamata kuma a tuna cewa na kauda tashe "Zyprexa" kamata a da za'ayi a hankali, kamar yadda shi ne hali na miyagun ƙwayoyi karbo ciwo. Ya kamata ka ko da yaushe tattauna wannan tare da likita.

Tsawo far "Zyprexa" wasu lokaci daga baya allura maye gurbin Allunan a wani sashi na 5 zuwa 20 MG da rana. A likita ake bukata don bayyana su daki-daki yadda da miyagun ƙwayoyi "Zyprexa" dogon dole ne a karɓa. Wannan ya bi da wajen da kuma abin da yake da magani makirci, mun duba, amma dole ne mu manta game da maras so effects.

Side effects da miyagun ƙwayoyi

Kusan duk kwayoyi domin lura da juyayi tsarin cuta alaka da kungiyar, wanda aka shawarar ba dauki ba tare da tuntubar likita. Wannan ba wani togiya ga "Zyprexa" saboda miyagun ƙwayoyi yana da wani m m jerin illa:

• A juyayi tsarin iya amsa ciwon kai da kuma dizziness, janar wani rauni da rashin barci, ɓacin hankali da kuma daban-daban phobias. Tremors da tsoka stiffness ne ma zai yiwu. Sau da yawa akwai tinnitus, wani nauyi, zafi a cikin idanu, dandano tashin hankali.
• A wani ɓangare na zuciya da jijiyoyin jini tsarin iya zama tachycardia, sauke a jini, canje-canje a ECG, cyanosis. Ƙididdiga iya nuna neutropenia, eosinophilia, leukocytosis, thrombocytopenia. A tsanani lokuta, zai yiwu sakamakon bugun zuciya.
• Akwai wani hadarin rhinitis, pharyngitis, laryngitis, tari karu. Zai iya worsen fuka, barci apnea ne mai hadarin.
• Seizures ƙara ci ko bulimia, ƙishirwa da kuma rashin ruwa a cikin baka rami.
• Tashin zuciya da kuma amai.
• Exacerbation na gastritis da gastroenteritis.
• Take hakkin da kujera da kuma flatulence.
• Rayuwa cuta iya tabbatar da nauyi canji, ci gaban ciwon sukari, ciwon sukari coma.
• Urinary incontinence, cystitis, igiyar ciki fibrosis, amenorrhea da kuma ci gaban urinary fili cututtuka ne ma a ke so bayyanuwar ingestion.
• Umurnai na Amfani ( "Zyprexa", kamar yadda muka gani, da wani magani da cewa zai iya sa da dama maras so illa) yayi kashedin cewa zai yiwu ci gaban amosanin gabbai, bursitis, cramps a cikin maraƙi tsokoki da kuma zafi a cikin kasusuwa.
• Skin iya amsa bayyanar wuce kima rashin ruwa, dermatitis, miki tsarin.
• urticaria faruwa akai-akai.
• Sauran cututtuka iya lura da zazzabi, jin sanyi, mura-kamar jihar.

Daga duk na sama za mu iya cewa "Zyprexa" illa mai tsanani ne isa, don haka shan magani ne kawai a kan likita na shawara.

bayyanar cututtuka na yawan abin sama

Idan haƙuri ba ya cika tare da likita shawarwari ga sashi daga cikin miyagun ƙwayoyi, akwai hadarin na yawan abin sama, wanda aka bayyana da wadannan cututtuka:

• Tachycardia.
• Wuce kima irritability da mutunci.
• Jawabin cuta.
• Illa sani.
• Convulsions.
• Neuroleptic ciwo.
• Hanawa na aiki na numfasawa.
• Tsalle a jini.
• Arrhythmia.
• A tsanani lokuta, sakamakon bugun zuciya, da kuma numfashi.

A farko alamar yawan abin sama wajibi ne a wanke fitar da ciki, kai gawayi. Symptomatic magani ne da za'ayi a daidai da na asibiti manifestations, kuma kullum saka idanu da aiki na muhimmanci gabobin.

Contraindications da amfani da miyagun ƙwayoyi

Don kauce wa maras so bayyananen bayan shan "Zyprexa" wajibi ne a ci gaba da binciken jerin contraindications. Don wadanda sun hada da:

1. Karuwan ji na ƙwarai to miyagun ƙwayoyi.
2. Mawuyacin na juyayi tsarin.
3. Coma.
4. Age har zuwa shekaru 18.
5. Tare da babban kula ya kamata a wajabta da miyagun ƙwayoyi "Zyprexa" a cikin wadannan cututtuka da kuma yanayi:

• Koda kuma hanta gazawar.
• Glaucoma.
• Epilepsy.
• Prostatic hyperplasia.
• Myelosuppression.
• Phenylketonuria.
• Shanyayyen ileus.
• Pregnancy.
• A lokacin shayarwa.

Idan haƙuri yana da akalla daya daga cikin wadannan cututtuka, ko yanayin da ya kamata ka shakka sanar da likita.

Shan da miyagun ƙwayoyi a lokacin daukar ciki da kuma nono

Idan mace ciyarwa far da "Zyprexa" da kuma zama da ciki, ya kamata ka sanar da likita. Da miyagun ƙwayoyi a lokacin da gestation na yaro ya yi kawai a lokacin da amfani zuwa ga uwar marasa yuwuwar gagarumin hadarin da bunkasa baby.

"Zyprexa" - antipsychotic, wanda shi ne iya shiga cikin ƙirjinka madara, don haka a lokacin da miyagun ƙwayoyi far kamata ba ci gaba da ciyar da jariri, shi ne mafi alhẽri canzawa zuwa wucin gadi ciyar.

Specific shawarwari a lokacin far

Psychiatrists sau da yawa dakatar da zabi a kan miyagun ƙwayoyi "Zyprexa", farashin wanda, da rashin alheri, shi ne quite high. Saboda haka, daya fakitin kwayoyi (. 5 MG, 28 guda) zai kudin 2500 rubles, kuma daya vial ga allura -. 239 goga.

Kusan duk kwayoyi na wannan kungiyar ne iya fararwa da ci gaban neuroleptic ciwo, da kuma "Zyprexa" ne ba togiya. A lokacin miyagun ƙwayoyi jiyya dole ne ka mai da hankali, da kuma idan akwai m bugun jini ko tachycardia, arrhythmia, ko sweating, ta ƙara jiki zafin jiki, ya kamata ka gaya your likita.

Clinical manifestations neuroleptic m ciwo na bukatar cewa da miyagun ƙwayoyi da aka nan da nan soke.

Gudanar da asibiti karatu a cikinsa an gano cewa, tsawon lokaci far "Zyprexa" yana da wuya tare da dyskinesia, wanda zai bukatar likita shiga tsakani. Amma kar ka manta da cewa akwai hadarin na baya ci gaban wannan yanayin.

Idan akwai wani bayyanar cututtuka na psoriasis, shi wajibi ne don daidaita kashi a cikin shugabanci na ta raguwa.

A gaban ganewar asali "hanta gazawar" magani ya kamata a dauka tare da matsananci hankali, musamman da karuwa na AST da Alt. Idan Figures isa wani mawuyacin matakin, shi wajibi ne don rage sashi na "Zyprexa."

Wannan magani ya kamata a dauka tare da taka tsantsan, idan wani tarihi na haƙuri sun farfadiya seizures ko a kai a kai da fallasa su abubuwan da runtse kãmun bakin kofa.

Idan wani m gwaje-gwaje sun nuna rage yawan farin jini Kwayoyin ko neutrophils, da hanyar da "Zyprexa" kamata a da za'ayi a karkashin likita dubawa da kuma lokaci-lokaci saka idanu na jini sigogi. Saboda haka ya nuna umarnin don amfani. "Zyprexa" kuma bukatar yarda da kula na musamman a lokacin jiyya da shi idan:

• Akwai alamun na zalunci ko take hakkin mai guba bargo.
• A gaban concomitant cututtuka wanda hana bargo aiki.
• Idan tarihi na haƙuri da radiotherapy, ko jiyyar cutar sankara.
• A gaban hypereosinophilia.

A lokacin gwaji nazarin Mafia "Zyprexa" yana da wuya tare da anticholinergic illa, amma da gwaninta na yin amfani da wannan magani a marasa lafiya tare da concomitant cututtuka ne kananan, don haka magani, idan ya cancanta, ya kamata a yi hankali da kawai a karkashin likita dubawa.

ileus da rufaffiyar kwana glaucoma ne ma dalilin da hankali lura da miyagun ƙwayoyi "Zyprexa". A mataki na miyagun ƙwayoyi a tsakiya m tsarin bukatar yarda tare da taka tsantsan, idan ya cancanta a hade tare da sauran kwayoyi kama effects.

Da miyagun ƙwayoyi ba a hade tare da barasa, don haka a lokacin far kamata ba sha giya.

Ganin cewa a lokacin da magani daga "Zyprexa" na iya haifar da drowsiness, to, wannan lokaci shi ne mafi alhẽri ga dena daga tuki a abin hawa, kazalika da yi na aikin bukata wuce kima taro.

Yadda za a hada "Zyprexa" tare da wasu kwayoyi

Metabolism da babban aiki sashi daga cikin miyagun ƙwayoyi iya sha canje-canje a ƙarƙashin rinjayar hanawa ko inducers na cytochrome P450, wanda exert su aiki da CYP1A2. Clearance "Zyprexa" ne ma ya karu a cikin marasa lafiya da suke da al'ada kamar shan taba, kazalika da shan miyagun ƙwayoyi "Carbamazepine".

Clinical karatu sun nuna cewa idan akwai wani guda kashi na "Zyprexa" far "warfarin", "theophylline", "diazepam", "Imipramine", da latest dakushe metabolism aka kiyaye.

Lokaci daya gwamnati da miyagun ƙwayoyi da barasa ne fraught tare da inganta magani mai kantad da hankali kaddarorin da miyagun ƙwayoyi, wanda zai iya haifar da wani weakening na taro.

Co-gwamnati tare da "Zyprexa" "fluoxetine" qara matsakaicin maida hankali na aiki abu olanzapine. Amma a dukan marasa lafiya, wannan factor iya daban-daban maganganu, don haka da sashi ne gyara a kan mai tsananin mutum.

Idan "Zyprexa" halitta gudanar intramuscularly a tare da benzodiazepines, shi ne shawarar da za su gudanar da wani sosai jarrabawa na asibiti yanayin haƙuri dangane da hanawa na numfashi tsarin da kuma zuciya tsoka. Asibiti karatu na wannan magani hade bai kasance, don haka idan zai yiwu ya kamata a kauce masa.

A gabatarwar da miyagun ƙwayoyi ne fraught tare da ci gaban bradycardia ko ƙananan jini, sabili da haka, irin far ya kamata a yi sosai matsa a hankali a marasa lafiya da suke da matsaloli a cikin zuciya da jijiyoyin jini tsarin, da kuma syncope aka lura kaifi drop a matsa lamba.

Ya kamata kuma a lura da cewa, gwamnati na kunna gawayi ko antacid shirye-shirye muhimmanci rage tsotsa aiwatar "Zyprexa" a cikin hanji fili, wanda zai iya adversely shafi magani dace.

shirinsu a lokacin far "Zyprexa"

Idan akwai abubuwan da taimakawa ga hankali metabolism na olanzapine, ya kamata ka rage sashi. Don Wadannan dalilai sun hada da:

• Mace.
• A gaban cutarwa halaye kamar shan taba.
• Tsufa.

Duk da cewa sau da yawa sosai gudanar "Zyprexa" wannan far bukatar kulawa ta musamman ga marasa lafiya da suke yi, ko kuma yana da kunar nufi.

A lokacin far kamata saka idanu na ayyuka na hanta transaminases, wannan Gaskiya ne, a cikin marasa lafiya da na hanta hanawa.

Marasa lafiya, wanda kwararren aiki da ake dangantawa da tuki ko ko yin ayyuka da cewa bukatar kulawa ta musamman da kuma natsuwa, da miyagun ƙwayoyi An wajabta tare da taka tsantsan. Idan zai yiwu, shi ne maye gurbinsu da wani magani.

Idan akwai alamun neuroleptic m ciwo a cikin nau'i na zazzabi, tachycardia, tsoka tashin hankali, ya kamata ka daina shan miyagun ƙwayoyi.

Tun da far motor restlessness "Zyprexa" na iya haifar da restlessness, m so su matsa, shi wajibi ne don rage sashi kadan da kuma sanya antiparkinsonian jamiái.

miyagun ƙwayoyi analogues

"Zyprexa" analogues yana da kungiyoyin biyu:

1. Kamancin, watau, da ciwon da wannan aiki abu. Wannan kungiyar hada da wadannan magunguna: "Zalasta," "Olanzapine", "Parnasan", "Olaneks", "Normiton".
2. Na biyu kungiyar hada da miyagun kwayoyi da suke da a kan jikin mutum kama pharmacological effects, kamar "Azaleptin", "Viktoel", "Ketilept", "Kutipin", "Lakvel", "Nantarid", "Safris" da sauransu.

Idan likitan ka ya ya wajabta a matsayin far magani "Zyprexa", analogues ya kamata ba rush zuwa zabi, domin ba za ka iya samun ake so warkewa sakamako. Kawai wani likita zai iya taimaka warware wannan batu. The so don maye gurbin da miyagun ƙwayoyi misalin ne wajaba, saboda miyagun ƙwayoyi "Zyprexa" Farashin ne quite high, amma ingancinta ne har yanzu daraja da kudi.

Sharhi kan shirye-shiryen

A halin yanzu, kusan a kowace haƙuri kafin ka je kantin magani domin magani wajabta ta likita, tabbata a tambaye game da ra'ayin wadanda suka riga jurewa magani. "Zyprexa" martani sau da yawa yana da kyau. Marasa lafiya da suke sha far da miyagun ƙwayoyi, ta high dace batu. Ko bayan da babban hanya na lura, mafi yawan marasa lafiya ce cewa tabbatarwa allurai da miyagun ƙwayoyi ba da damar cutar dawo da komowan cutar kusan ba ya wanzu. Good yaki da miyagun ƙwayoyi da ciki, daga wanda bayan wani hanya na far ne ba wata alama da ya rage, da kuma akwai wani marmarin zuwa rayuwa.

Ya kamata kuma a lura da cewa, duk da cewa "Zyprexa" yana da kyau sake dubawa, da yawa marasa lafiya lura bayyanuwar illa. Musamman sau da yawa yakan faru a sakamakon wannan far kiba, gaji da damuwa metabolism, wasu sun ce restlessness da sha'awar kullum yi wani abu.

Popular sau da yawa, marasa lafiya kuma koka da ma babban kudin da miyagun ƙwayoyi, wanda ba zai yale shi ya dauki wani segments na al'ummar jihar.

A halin yanzu, daya daga cikin cuta a cikin arsenal na likitoci akwai babban adadin kwayoyi, amma bayan cikakken jarrabawa, likita zai iya ficewa ga daya daga cikinsu. Saboda haka ba dole ba da da kansa sanya wani far, wannan magani iya daban-daban effects a kan marasa lafiya. A duk ya dogara da halaye na wani kwayoyin, da janar yanayin da hanya da cuta. Wannan da farko ya shafi shirye-shirye domin lura da cututtuka na juyayi tsarin. Ki kula da kanki da kuma zauna lafiya!