Yuav ua li cas yog phenobarbital? Indications thiab tshuaj analogs

Tam sim no ob peb cov neeg paub tias dab tsi phenobarbital, txawm tias qhov no yam khoom uas yog muaj nyob rau hauv ntau nrov tshuaj. Muaj coob tus neeg noj xyoo "Corvalol" los yog "Valocordin", tsis paub txog dab tsi cov khoom xyaw muaj cov tshuaj no. Tom qab tsis ntev los no phenobarbital ntaus nqi mus rau txaus ntshai tshuaj thiab txwv nyob rau hauv tej lub teb chaws. A nyiaj raws li nws maj mam pib ploj ntawm lub lag luam. Tam sim no cov tshuaj "Phenobarbital" thiab nws cov analogues yog tsuas yog siv rau cov tshuaj. Tom qab tag nrho, qhov no yog ib tug ntawm qhov zoo tshaj anticonvulsants thiab sedatives.

Yuav ua li cas yog phenobarbital

Qhov no cov ntaub ntawv uas los ntawm cov pab pawg neeg ntawm barbiturates. Nws thiaj li excitability ntawm neurons nyob rau hauv lub hlwb thiab kis ntawm cov hlab impulses nyob rau hauv qaug dab peg. Thaum nws cov nyhuv tsub kom cov ndlwg ntawm calcium ions rau hauv lub cell, uas muaj txhawb mus rau ib tug txo nyob rau hauv lub cev muaj zog ua si thiab txo tus nqaij laus.

Thawj tau no cov ntaub ntawv uas nyob rau hauv thaum ntxov 20th xyoo pua nyob rau hauv lub teb chaws Yelemees. Muag phenobarbital TSHWM hu ua "Luminal". Nws yog tus nrov tshaj plaws pw tsaug zog pab, tau tseem tsis tau sawv los ntawm cov pab pawg neeg ntawm benzodiazepine tshuaj. Nyob rau hauv xyoo tsis ntev los, ntau lub teb chaws muaj banned zus tau tej cov phenobarbital. Nyob rau hauv Russia npaj raws li nws yog kev muag khoom, tab sis tsuas yog nyob rau tus kws kho mob tshuaj.

Tam sim no mas siv "Phenobarbital" nyob rau hauv cov kev kho mob ntawm qaug dab peg. Thiab nws analogs txhais tau tias muaj ib yam khoom uas nyob rau hauv me me, yuav tsum muab nyob rau hauv tsis mob hnyav tej yam kev mob, xws li insomnia los yog overexcitation.

Narcotic nyhuv ntawm no substance yog tshwj xeeb: nws tsis ua zoo siab, nkees nkees thiab apathy xwb. Nyob rau hauv tas li ntawd, lub txais tos ntawm phenobarbital ua rau ib tug muaj zog heev dependence. Tab sis lub koob meej ntawm nws junk li cov tshuaj yog vim lub cheapness thiab txaus.

Npaj rau lub hauv paus ntawm phenobarbital

Ib tug yeeb tshuaj nrog tib lub npe yog paub mas nyob rau hauv cov neeg mob uas convulsive mob los yog mob loj heev pw tsaug zog ntshawv siab. Tab sis koj muaj peev xwm yuav cov tshuaj, uas muaj xws li Phenobarbital. Nto moo tshaj plaws yog cov "Corvalol" thiab "Valokorin". Lawv yog cov pheej yig thiab nrov heev raws li ib tug hypnotic thiab sedative, tshwj xeeb tshaj yog nyob rau hauv cov laus tiam.

Tsawg nrov muaj xws li tshuaj:

• "Lavokordin" tsuas yog phenobarbital, muaj valerian extract, peppermint roj thiab hops.
• "Neo-Teofedrin" - yog antispasmodic, siv nyob rau hauv bronchial hawb pob, nws muaj theophylline, caffeine, ephedrine, paracetamol.
• "Paglyuferal" - antiepileptic tshuaj rau lub hauv paus ntawm phenobarbital.
• "Pentalgin-N" - narcotic analgesic.
• "Piralgin" - lub neej coj uas tsis yog-tshuaj anti-inflammatory tus neeg saib xyuas.
• "Tetralgin" - ib tug analgesic thiab antispasmodic tshuaj.
• "Andipal" - yog siv raws li ib tug vasodilator nyob rau hauv tawg.

Nta ntawm kev txiav txim

fenobaritala raws li npaj tau ntev tau siv nyob rau hauv cov tshuaj. Prescribers txawm yog me nyuam, vim hais tias lawv muaj cim zog. Nyob rau hauv tej yam pathologies xwb lawv muaj peev xwm yuav siv tau los pab tus neeg mob. Action phenobarbital siv tsuas yog nyob rau tus nqaij thiab neurons tsis muaj cuam tshuam cov hlab plawv system. Thaum txais tau cov tshuaj hauv zoo li no los muaj cai:

• me ntsis txo cov kev siv ntawm metabolic dab;
• poob cev muaj zog ua si;
• Nws txo lub tonus ntawm tus nqaij ntawm tus mob huam;
• nce detoxification muaj nuj nqi ntawm lub siab;
• txo lub concentration ntawm bilirubin nyob rau hauv cov ntshav.

Phenobarbital lug siv nyob rau hauv cov tshuaj vim lub fact tias nws muaj anticonvulsant, sedative, hypnotic thiab spasmolytic nyhuv. Nws yog siv nyob rau hauv tus neeg mob ntawm thaum muaj xwm ceev, raws li thaum lub sij hawm mob thawj coj nws yog ib co hom.

Phenobarbital: indications rau kev siv

Tam sim no cov tshuaj raws li rau nws yog tsuas yog siv nyob rau hauv loj heev zaum. Lawv tsis tshuaj dog dig insomnia. Lub indications rau kev siv ntawm lub cuab tam muaj xws li lub xeev:

• qaug dab peg nyob rau hauv tej daim ntawv;
• txawv fits;
• chorea;
• meningitis, tetanus;
• cawv tshem;
• spastic tuag tes tuag taw;
• mob loj heev insomnia;
• ntau yam kev puas hlwb kev ntshawv siab;
• perevobuzhdenie, ntxhov siab vim.

Contraindications

Txawm tias muaj tseeb hais tias "Fenobarital 'zaj lus tim khawv yog heev loj heev, tsis tag nrho cov neeg muaj peev xwm tau txais xws kev kho mob. Txhob koom haum saib xyuas ntawm cov tshuaj raws li cov teeb meem no nyob rau hauv cov nram no mob:

• loj siab thiab raum;
• myasthenia Heavy kev;
• anemia;
• mob ntshav qab zib;
• kev nyuaj siab;
• lub weakening ntawm lub cev;
• bronchial hawb pob;
• alcoholism;
• ib tug neeg intolerance;
• thaum lub sij hawm cev xeeb tub thiab lactation.

phiv

Npaj muaj phenobarbital, xa mus rau narcotic tshuaj. Nyob rau hauv tas li ntawd, lawv yog co hom, txawm nrog luv luv-term siv ntawm lawv tej kev phiv:

• general tsis muaj zog, kiv taub hau, asthenia;
• tsis meej pem, hais lus tsis meej;
• hallucinations, npau suav phem;
• kev nyuaj siab;
• pw tsaug zog mob;
• tsis nrig txog kev pom acuity;
• qhov ncauj qhuav, xeev siab, ntuav, impaired plob tsis so tswj muaj nuj nqi;
• thrombocytopenia, anemia;
• palpitations, mob insufficiency;
• txos cov ntshav siab;
• pob, o, dermatitis, pruritus;
• ua tsis taus pa.

Cov lus qhia rau kev siv

"Phenobarbital" thiab cov kev npaj los yog zoo ib yam li nyob rau hauv muaj pes tsawg leeg yog manufactured nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj ntawm 100 thiab 50 mg rau cov neeg laus thiab 5 mg rau cov me nyuam. Nyob rau hauv lub yeej thiab txais hom tus kws kho mob prescribes ib tug txawv npaum li cas. Raws li ib tug hypnotic tshuaj yuav tsum tau haus 100 mg rau ib teev ua ntej yuav mus pw. Yog hais tias "Phenobarbital" tau raug muab tso rau cov kev kom tsawg ntawm ib tug neeg mob nrog, qaug dabpeg, nws yog pom zoo kom 50-100 mg ib hnub ob zaug. Raws li sedative npaj rau lub hauv paus ntawm lub substance muab nyob rau hauv ib tug ntau npaum ntawm 50 mg 2-3 zaug ib hnub twg. Txo koob tshuaj pom zoo rau cov laus dua cov neeg thiab cov neeg mob uas tsis hnov lub siab thiab lub raum zog.

Cov me nyuam "Fenoarital" taw nruj indications. Cov tshuaj yog txiav txim los ntawm tus kws kho mob nyob rau hauv lub hnub nyoog thiab mob ntawm tus neeg mob. Muab cov tshuaj rau ib nrab ib teev ua ntej noj mov 2 lub sij hawm ib hnub twg. Cov tshuaj no feem ntau yog xws li: 6 lub hlis mus rau 5 mg, mus txog ib lub xyoo - 10 mg, 1-2 xyoo - 20 mg, mus txog rau 4 xyoo - 30 mg, mus txog 7 xyoo - 40 mg, 7-10 xyoo - 50 mg, thiab 14 xyoo - 75 mg. Tom qab no muaj hnub nyoog, ntau npaum ntawm cov tshuaj yog zus.

Nrog kev siv yuav tsum maj mam nres kev kho mob. Thaum lub ceev tshem tawm nyob rau hauv lub hauv paus ntawm phenobarbital tshuaj feem ntau tsim kev nyuaj siab, insomnia, mob taub hau. Nyob tos npaj tom qab ib tug ob-lub lim tiam ib txwm nkag, nws yog tsis pom zoo kom siv raws li ib tug pw tsaug zog pab thiab sedative ntev tshaj li 10 hnub.

Tshwj xeeb cov lus qhia rau kev siv

Muaj coob tus neeg tsis paub dab tsi phenobarbital, tab sis ntsiag to noj tshuaj raws li rau nws. Ib txhia ntawm lawv yog muag tsis muaj ib tug tshuaj, thiab coob tus twb tsis paub yuav ua li cas loj cov tshuaj lawv siv. Yog li ntawd, nws yog ntshaw kom ib txwm kawm pes tsawg leeg thiab cov lus qhia ua ntej txhua tshuaj daim ntawv thov. Thaum siv ib npaj muaj phenobarbital, nws yog ntshaw kom xav txog tej nta:

• lub substance accumulates nyob rau hauv lub cev thiab yog hom;
• txhob muab kev kho mob nrog rau cov tshuaj yuav tsum tau gradual, vim hais tias feem ntau muaj yog ib tug "ntsoos ntsoos";
• Thaum noj tsis tu ncua yuav tswj tsis tau lub tsheb thiab koom nyob rau hauv kev ua ub no uas yuav tau saib xyuas thiab zoo tshuaj tiv thaiv kev ua si;
• thaum uas tau txais nrog qhov ncauj contraceptives, tshuaj tua kab mob, noj cov neeg ua hauj txo lawv efficiency;
• Qhov no tshuaj kuj thiaj li digestibility glucocorticosteroids, anticoagulants, salicylates thiab estrogens;
• thaum uas tau txais dej caw los yog antidepressants tej zaum yuav tsim inhibition ntawm lub hauv paus poob siab system;
• Qhov no tshuaj tsub kom cov teebmeem ntawm analgesics, nqaij hnaiv thiab sedatives;
• phenobarbital txo hypnotic nyhuv, thaum noj ua ke nrog rau cov belladonna tshuaj atropine, thiamine, nicotinic acid thiab psycho-hom txhais tau tias;
• Nws yog txwv tsis pub nqa mus siv rau cov tshuaj nyob rau hauv cev xeeb tub, tshwj xeeb tshaj yog thaum lub sij hawm thawj peb lub hlis, raws li qhov no ua rau muaj kev cuam tshuam ntawm cov ntshav txhaws nyob rau hauv tus me nyuam thiab mus rau lub tsos ntawm ntshav;
• tau txais phenobarbital lactation ua inhibition ntawm poob siab system ntawm tus me nyuam.

tshuaj analogues

Ob peb cov neeg paub tias dab tsi "Phenobarbital" nyob rau hauv cov ntsiav tshuaj. analogs uas cov nyiaj yog siv ntau feem ntau. Lub nto moo tshaj plaws ntawm lawv tau ntev tau ib tug "Luminal". Tab sis lately, nws tsis tshua muaj siv. Nws yog ntau tam sim no xws nyiaj:

• "Topirol".
• "Zeptol".
• "Barbital".
• "Doxylamine."
• "Etaminal sodium."
• "Orphir".
• "Gabagamma".
• "Depakine."
• "Phenazepam".

Xyuas ntawm pentobarbital

Feem ntau cov kws kho mob tawm tsam lub sij hawm ntawm cov tshuaj rau cov me nyuam nyob rau hauv 6 lub xyoo. Tab sis tseem feem ntau siv, txawm nyob rau hauv no muaj hnub nyoog ntawm phenobarbital. Xyuas los ntawm tej kev kho mob yog inconsistent. Muaj ntau hais tias ib tug loj tus naj npawb ntawm cov kev phiv. Piv txwv li, cov neeg mob deteriorating nco, kev nyuaj siab tsim. Lwm tus hais lus txog qhov zoo tshuaj, ntseeg hais tias lub tseem ceeb tshaj plaws - mus soj ntsuam cov koob tshuaj thiab ua raws li tag nrho cov tswv yim pom zoo ntawm tus kws kho mob. Cov neeg mob zoo li hais tias nyob rau hauv lub hauv paus ntawm pheej yig tshuaj phenobarbital (pob nqi txog 20 rubles), thiab lub hypnotic nyhuv ntawm lawv zoo. Tab sis xws li cov ntsiav tshuaj yog dispensed los ntawm cov tshuaj.