Qhov tseem ceeb ntawm "Tramadol" ntawm tib neeg lub cev hauv oncology yog tshuaj loog. Cov tshuaj belongs rau cov chav kawm ntawm opioid analgesics, nws muaj kev sib xyaw ua ke. Nws muaj ib tug central efficiency mechanism. Cov cuab yeej muab cov nyhuv analgesic tshaj tawm, vim tias nws siv tau dav hauv cov neeg mob qog noj ntshav nrog cov ntaub ntawv tsis zoo ntawm pathology.
cov ntaub ntawv dav dav
Tramadol (cov ntsiav tshuaj, txhaj tshuaj) tau sau tseg rau oncology yog pom zoo yog tias qhov mob mob tau raug ntsuas raws li qhov nruab nrab thiab hnyav hnyav. Cov tshuaj tuaj yeem siv tsis tau tsuas yog nyob rau hauv cov ntaub ntawv ntawm qhov mob txuam nrog cov txheej txheem malignant, tab sis kuj nrog qhov mob ntawm qhov sib txawv etiology. Feem ntau, kev kho mob yog muab rau cov neeg uas txhawj xeeb txog qhov mob syndrome tiv thaiv keeb kwm ntawm kev raug mob lossis kev phais. Yog tias kev kho mob lossis kev kuaj mob xav tias yuav ua rau tus neeg mob tsis xis nyob, cov tshuajtuaj yeem siv los ua ib qho kev daws teeb meem thaum lub sijhawm ua haujlwm.
Hais txog kev noj tshuaj Tramadol ntau npaum li cas hauv oncology, pes tsawg ntsiav tshuaj noj ib hnub twg thiab lub sijhawm twg, tus kws kho mob uas sau cov tshuaj no yuav qhia rau koj thaum lub sijhawm teem tseg. Qhov ntau npaum yog ib txwm xaiv nruj me ntsis ntawm tus kheej. Yuav tsum xav txog qhov mob dab tsi, lawv muaj zog npaum li cas.
About dosage
Thaum muab tshuaj Tramadol rau oncology, tus kws kho mob yuav suav nrog pawg hnub nyoog thiab cov yam ntxwv ntawm tus neeg mob noj qab haus huv. Yog tias tus neeg muaj hnub nyoog qis dua 14 xyoos, qhov mob mob tau raug ntsuas raws li qhov nruab nrab, 1 ml ntawm cov tshuaj tau muab rau hauv ib txoj kev, uas sib haum rau 50 mg ntawm hydrochloride ntawm cov tshuaj nquag. Yog tias tom qab ib nrab teev lossis ib teev qhov mob tsis txo qis, kev txais tos rov qab.
Yog qhov mob hnyav, koj tuaj yeem siv tshuaj nrog plaub teev sib nrug ntawm koob tshuaj. Ib koob tshuaj ib zaug nce mus txog 0.5 g. Yog tias qhov kev xaiv no tau xaiv, nws yog ib qho tsim nyog los tswj tus neeg mob tus mob, zoo dua nrog kev pab los ntawm cov cuab yeej siv niaj hnub no.
Txoj Kev Ua Haujlwm
Tramadol, dav siv hauv kev kho mob rau oncology thiab metastases, yog tshuaj los txo qhov mob los ntawm cov txheej txheem pathological. Kev ntsuam xyuas tau pom tias cov nyhuv analgesic tau pom hauv 4-8 teev. Feem ntau, nws raug nquahu kom siv tsis pub ntau tshaj 0.4 g ntawm cov tshuaj ib hnub twg, tab sis kev mob qog noj ntshav thiab kev phais ntawm tus neeg mob tso cai rau kev nce koob tshuaj raws li kev txiav txim siab ntawm tus kws kho mob.
Yog xav tau kom ua tiavcov nyhuv analgesic tshaj tawm nyob rau hauv cov ntaub ntawv thaum tus neeg mob lub hnub nyoog laus dua ib xyoos, tab sis tsawg dua 14 xyoo, ib koob tshuaj raug xaiv raws li qhov hnyav ntawm tus neeg mob. Nws raug nquahu kom noj 1-2 mg ntawm cov tshuaj rau txhua kilogram. Nws yog ntshaw kom siv tus neeg sawv cev hauv daim ntawv rau kev txhaj tshuaj. Txhawm rau dilute cov ntsiab lus, cov dej huv uas npaj rau kev txhaj tshuaj yog siv.
Rules of application
Ua hauv ampoules, "Tramadol" hauv oncology tau muab tshuaj los txo qhov mob los ntawm cov txheej txheem malignant thiab xaiv txoj kev kho mob. Txhawm rau kom cov tshuaj pom cov txiaj ntsig xav tau, nws yuav tsum tau muab tshuaj kom raug. Yog tias cov tshuaj tau txhaj rau hauv cov hlab ntsha, yuav tsum tau ua haujlwm qeeb. Nws raug tso cai txhaj tshuaj analgesic rau hauv cov leeg nqaij thiab subcutaneously.
Nws tuaj yeem muab "Tramadol" yog tias tus neeg mob muaj lub raum lossis lub siab tsis ua haujlwm. Tus mob no yuav tsum tau txhaj tshuaj tshwj xeeb. Txoj hauv kev zoo ib yam li cov laus. Yog tias qhov mob hnyav, Tramadol yog siv ib zaug ib hnub lossis tsawg dua. Hauv kev mob mob ntev, qhov ncua sij hawm ntawm koob tshuaj yuav tsum tau ua kom ntev li ntev tau, txij li ib nrab lub neej ntawm cov tshuaj nce ntxiv, muaj kev pheej hmoo ntawm cov txiaj ntsig zoo.
Yog tus neeg mob laus dua 75 xyoo, txawm tias muaj kev ua haujlwm ntawm lub siab thiab ob lub raum, nws yuav tsum tau muab tshuaj Tramadol nrog lub sijhawm ntev tshaj plaws ntawm koob tshuaj.
Pab los tsis yog?
Txog siv thaum twgoncology thiab metastases "Tramadol" tshuaj xyuas los ntawm cov neeg mob yuav luag tsis pom. Raws li txoj cai, nrog rau qhov kev kuaj mob zoo li no, kev kho mob tau sau tseg nyob rau theem plaub, thaum tus neeg mob tus mob twb tsis zoo lawm. Koj tuaj yeem ua tau raws li cov lus teb ntawm cov neeg uas saib xyuas cov neeg mob zoo li no. Ntau tus paub tias "Tramadol" thaum xub thawj muaj qhov muaj zog, hais tau zoo, tab sis nws lub sijhawm luv luv, yog li koj yuav tsum siv cov tshuaj ntau zaus. Cov kws kho mob tau sau tseg tias nyob rau hauv rooj plaub ntawm cov txheej txheem oncological hnyav, Tramadol yuav tsum tau siv rau hauv cov koob tshuaj zoo li no thiab nrog cov zaus uas nws txo qhov mob - uas yog, xaiv tus kheej, tswj tus neeg mob tus mob.
Raws li tuaj yeem pom los ntawm kev tshuaj xyuas, kev txhaj tshuaj ntawm "Tramadol" hauv oncology tuaj yeem txhim kho lub neej zoo ntawm tus neeg mob, ua rau theem kawg ntawm tus kab mob uas tsis tuaj yeem mob tsawg. Thaum cov tshuaj tsis pom qhov xav tau, nws tau ua ke nrog lwm cov tshuaj tua kab mob. "Tramadol" yog suav hais tias yog txoj hauv kev kawg ntawm kev kho mob hauv cov neeg mob qog noj ntshav. Tsuas yog "Promedol" muaj cov txiaj ntsig zoo dua, uas tau sau tseg yog tias "Tramadol" tso tseg, qhov mob yuav khaus heev.
Tsis xav tau qhov tshwm sim
Raws li tuaj yeem txiav txim siab los ntawm kev tshuaj xyuas, nrog oncology "Tramadol" (cov ntsiav tshuaj, txhaj tshuaj) tuaj yeem ua rau tsis xav tau kev phiv los ntawm tus neeg mob lub cev. Ntau tus nco ntsoov tias lub taub hau mob thiab tig, cov quav yuav cuam tshuam thiab xeev siab. Qee zaum cov neeg mob ntuav. Nws muaj peev xwm ua rau khaus ntawm daim tawv nqaij, asthenia thiabdyspepsia. Qee tus muaj cov tsos mob ntawm psychostimulation, ua haujlwm ntau dhau ntawm cov qog hws, raws plab. Tej zaum yuav muaj qhov hnov ntawm cov mucous qhuav hauv lub qhov ncauj.
Nyob rau hauv 5% ntawm cov neeg mob, ntshav siab poob qis, qhov hnyav poob, tachycardia tsim. Kwv yees li tib zaus ntawm cov neeg mob ntawm paresthesia, tshee, mob plab, qhov muag tsis pom kev. Muaj kev pheej hmoo ntawm kev hnov lus thiab txo qis diuresis. Qhov tshwm sim ntawm qhov tshwm sim ntawm cov kev mob tshwm sim yuav siab dua yog tias koj siv Tramadol rau ib lub sijhawm ntev, ntawm qhov ntau npaum li cas. Thaum noj tshuaj ntau, muaj peev xwm siv tau rau kev kho mob.
Safety First
Yog tias Tramadol tau ua rau muaj kev cuam tshuam tsis zoo hauv oncology uas tsis tau piav qhia hauv cov lus qhia rau kev siv nrog tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob. Qhov no tej zaum qhia tau hais tias tsis zoo rau tus neeg sawv cev los ntawm lub cev. Tus kws kho mob yuav xaiv ib qho analogue lossis qhia koj kom tso tseg cov tshuaj tag.
Tramadol yuav tsum tsis txhob siv yog tias tus neeg mob siv MAOI, thiab hauv ob peb lub lis piam tom qab tso tseg cov kev kho mob. Cov tshuaj yog txwv tsis pub rau cov poj niam cev xeeb tub thiab lactating. Nyob rau hauv cov ntaub ntawv ntawm lactation, ib qho kev zam yog ua tau yog hais tias tus neeg mob cov cim tseem ceeb yuav tsum tau. Cov tshuaj tsis siv rau cov menyuam yaus hnub nyoog qis dua ib xyoos.
Raws li tuaj yeem pom los ntawm kev tshuaj xyuas, hauv oncology, Tramadol tau muab tshuaj los txo qhov mob, thaum txoj kev kho mob yog fraught nrog kev pheej hmoo ntawm kev tsim cov tshuaj tiv thaiv hypersensitivity. Xws li manifestations yog ib tug categorical contraindication rau kev kho mob ntxiv. KujCov kev txwv yog cov xwm txheej uas ua haujlwm ntawm lub hauv paus paj hlwb, qhov chaw ua pa yog kev nyuaj siab. Qhov no ua tau nrog cawv lom, siv tshuaj tsaug zog ntau dhau, psychotropic, narcotic analgesic tshuaj muaj pes tsawg leeg.
teeb meem kev nyab xeeb
Raws li kev tshuaj xyuas, nrog oncology, "Tramadol" yog qee zaum tsim nyog los xaiv cov neeg uas muaj lub siab lossis lub raum tsis ua haujlwm, nrog rau cov neeg uas raug mob taub hau, cov neeg mob qaug dab peg. Qee lub sij hawm nws yuav tsum tau muab tshuaj rau cov neeg uas muaj zog intracranial siab, nrog rau cov neeg uas muaj kev vam meej ntawm cov tshuaj opioid. Tag nrho cov teeb meem no yuav tsum tau siv cov tshuaj tua kab mob nruj me ntsis raws li kev saib xyuas ntawm tus kws kho mob, ua tib zoo xyuas thiab kuaj xyuas lub cev tsis tu ncua.
Ua tib zoo ua tib zoo, tsuas yog tuaj yeem saib xyuas tus neeg mob tas li, "Tramadol" tau muab tshuaj tiv thaiv keeb kwm yav dhau los ntawm cov tshuaj loog, psychotropic thiab hypnotic compounds. Kev sib xyaw nrog cov tshuaj tua kab mob narcotic yuav tsum zam vim qhov kev coj ua no ua rau muaj kev pheej hmoo siab ntawm kev sib cuam tshuam ntawm cov tshuaj uas tsis tuaj yeem kwv yees.
Hais txog kev sib txuas thiab kev pheej hmoo
Raws li tuaj yeem pom los ntawm kev tshuaj xyuas, hauv oncology, Tramadol qee zaum raug muab rau cov neeg xav tau cov tshuaj uas muaj carbamazepine. Nrog rau cov kev kho mob nyuaj, qhov ua tau zoo ntawm cov tshuaj tua kab mob yuav txo qis.
Cawv yuav tsum zam thaum siv tshuaj tua kab mob.
Thaum siv tshuaj tua kab mobNws yog ib qho tsim nyog yuav tsum tsis txhob tsav tsheb, cov khoom siv, cov cuab yeej siv uas yuav tsum tau muaj cov tshuaj tiv thaiv ntxiv thiab kev saib xyuas tshwj xeeb. Ua haujlwm raws li cov xwm txheej no yuav tsum zam.
Tsis yog ntau dhau?
Raws li tau pom los ntawm kev tshuaj xyuas, hauv oncology, "Tramadol" yog siv los txo qhov mob ntawm nruab nrab thiab siab zog, thiab nws raug nquahu kom xaiv qhov zaus ntawm kev siv tus kheej, suav nrog cov yam ntxwv ntawm rooj plaub. Vim li no, muaj kev pheej hmoo ntawm kev siv tshuaj ntau dhau. Cov xwm txheej zoo li no tuaj yeem xav tias tus neeg mob convulsions thiab kev nyuaj siab ntawm qhov chaw ua pa.
Txhawm rau muab kev pab thawj zaug rau tus neeg mob, nws yog ib qho tsim nyog los xyuas kom meej qhov cua ntawm lub ntsws. Kev mus pw hauv tsev kho mob ceev hauv chav saib xyuas mob hnyav tau raug pom zoo nrog kev sib txuas nrog cov cuab yeej tshwj xeeb thiab kev teem sijhawm ntawm cov nyiaj pab rau kev txo cov tsos mob tshwm sim hauv ib kis. Ntshav lim ntshav tsis muab qhov xav tau. Nrog convulsions, koj tuaj yeem sau tshuaj "Diazepam". Kev siv "Naloxone" yog qhov ua tsis tau zoo, vim nws tsis tso cai kom tso tseg cov tsos mob ntawm cov tshuaj lom neeg, ntxiv rau, nws ua rau muaj kev pheej hmoo ntawm convulsions.
Mutual influence
Yog tias tus neeg mob tau pom cov tshuaj uas ua rau lub hauv siab hauv lub paj hlwb, kev sib xyaw ntawm cov tshuaj no nrog "Tramadol" tuaj yeem ua rau muaj kev sib koom ua ke ntawm kev cuam tshuam hauv nruab nrab. Tib txheej txheem yog pom thaum haus cawv. Qhov tshwm sim ntawm inhibition ntawm kev ua pa ntawm lub cev nce. Nws yog paub tias nyob rau hauv tsawg zaus nyob rau hauv cov neeg mob uas siv neuroleptics tawm tsam keeb kwm ntawmtshuaj loog nrog Tramadol, qaug dab peg tshwm sim. Raws li kev cuam tshuam ntawm carbamazepine, lub sij hawm ntawm kev ua tau zoo ntawm cov tshuaj analgesic hauv nqe lus nug yog txo, nws cov nyhuv analgesic tsis muaj zog.
Kev sib xyaw nrog MAOIs yog nrog los ntawm kev pheej hmoo ntawm kev tsim CNS cov xwm txheej uas cuam tshuam rau tus neeg mob lub neej. Muaj peev xwm inhibition ntawm kev ua pa ua pa thiab ua tsis taus pa.
Txhua qhov sib txawv ntawm kev sib xyaw ua ke ntawm cov tshuaj sib xyaw ua ke tuaj yeem txhim kho ob qho tib si nrog kev siv ntev, thiab nyob rau lub sijhawm luv, ib koob tshuaj.
Siv: ntse thiab nyob nruab nrab
Hauv tshuaj, muaj ntau qhov kev vam khom rau cov tshuaj opioid. Ntawm lwm cov tshuaj uas tuaj yeem ua rau muaj kev quav tshuaj, Tramadol ua rau muaj kev phom sij. Txawm hais tias feem ntau nws tau sau tseg rau cov neeg mob qog noj ntshav, thiab cov neeg uas tau siv cov tshuaj analgesic rau lub sijhawm ntev lees paub tias tsis muaj kev vam khom, kev siv tsis ncaj ncees ntawm cov tshuaj hloov mus rau hauv cov tshuaj. Qhov no siv rau kev siv tsis yog kho mob.
Kev tsim txom ntawm "Tramadol" yog nrog los ntawm kev ua txhaum ntawm kev coj cwj pwm thiab kev tsim ntawm kev puas siab puas ntsws. Raws li txoj cai, cov tshuaj no tsis yog nyob rau hauv daim ntawv teev cov tshuaj narcotic, tab sis yog cais raws li ib tug muaj zog formulation. Kev siv ntau dhau yog cais nyob rau hauv kev cai lij choj kev tshawb fawb raws li kev siv yeeb tshuaj.
xav paub
Yav dhau los, Tramadol tau koom nrog hauv chav kawm ntawm cov tshuaj tua kab mob. Kev kho dua ntawm cov tswv cuab tau ua tiavRaws li ntau cov ntaub ntawv tshawb fawb qhia tau hais tias ntawm cov neeg mob opiate, cov neeg uas muaj kev quav tshuaj Tramadol yog tsawg heev. Tsis tas li ntawd, kev ua siab ntev rau cov tshuaj sib xyaw ua ke ntawm cov tshuaj tsuas yog tsim nrog qhov tsawg kawg nkaus ntawm qhov tshwm sim.
Tam sim no, "Tramadol" yog ib qho ntawm cov tshuaj pheej yig. Hauv cov khw muag tshuaj, cov tshuaj tau muab tshuaj nruj me ntsis nrog cov ntawv sau los ntawm tus kws kho mob uas tuaj koom. Ib pob nqi me ntsis ntau tshaj li ib puas rubles, uas ua rau cov tshuaj analgesic muaj rau cov pej xeem - raws li koj paub, oncology tsis txawv ntawm cov neeg mob uas muaj ntau yam nyiaj tau los.
