Cov tshuaj noj ntawm cov tshuaj "Phenazepam" txawv ntawm cov ntsiav tshuaj. Cov tshuaj muaj ib tug pronounced anxiolytic, nrog rau cov leeg nqaij so thiab hypnotic nyhuv. Phenazepam txhaj tshuaj tuaj yeem tsim teeb meem yog tias siv tsis raug. Cov tshuaj muaj ib tug impressive daim ntawv teev cov contraindications, raws li zoo raws li muaj kev pheej hmoo ntawm kev phiv (tshwj xeeb tshaj yog yog hais tias tus neeg mob ua txhaum txoj cai noj tshuaj).
Kev sib xyaw thiab kev tsim cov tshuaj
Cov tshuaj yog tsim nyob rau hauv ob hom kev tso tawm - ntsiav tshuaj rau kev tswj qhov ncauj thiab kev daws rau kev txhaj tshuaj intravenous thiab intramuscular. Hauv tsev kho mob, cov tshuaj Phenazepam feem ntau siv. Hauv Latin, daim ntawv qhia qhia nws lub npe: Bromdihydrochlorphenylbenzodiazepinum lossis Phenazepamum. Qee tus kws kho mob nyiam siv daim ntawv txhaj tshuaj tsuas yog hauv tsev kho mob, thiab tom qab ntawdkev kho mob tom tsev sau ib daim ntawv ntsiav tshuaj. Yog li ntawd, cov ntsiav tshuaj yog qhov xav tau ntawm cov neeg mob ntau dua li cov tshuaj.
"Phenazepam" hauv cov tshuaj thiab hauv cov ntsiav tshuaj yog cov tshuaj nruj me ntsis, yog nyob rau hauv chav kawm ntawm cov tshuaj psychoactive, tuaj yeem ua rau cov tsos mob ntawm kev siv tshuaj thiab kev puas siab puas ntsws yog siv tsis raug. Daim ntawv tshuaj uas siv tau los ntawm tus kws kho mob hlwb lossis tus kws kho mob hlwb yuav tsum muaj cov ntaub ntawv hauv qab no:
- stamp ntawm lub tsev kho mob uas tus kws kho mob ua haujlwm;
- hnub tshuaj tshuaj;
- F. Lub npe thiab hnub nyoog ntawm tus neeg mob;
- F. Tus kws kho mob;
- tshuaj kho mob hauv Latin (qee tus kws kho mob sau lub npe ntawm cov tshuaj nquag, qee qhov - lub npe ntawm cov tshuaj);
- Qhia tus kws muag tshuaj txog qhov tshwj xeeb ntawm kev muab tshuaj rau tus neeg mob - pes tsawg ntsiav tshuaj lossis ampoules muag tau;
- tus kws kho mob kos npe, tus kheej thiab lub koom haum foob.
Cov tshuaj hauv Latin rau cov tshuaj "Phenazepam" (nws yog qhov yuav tsum tau nkag mus rau hauv daim ntawv xaj rau kev yuav tshuaj ntawm lub tsev muag tshuaj) yog raws li hauv qab no: Amp. Phenazepamum 0, 001 No. 10. Cov ntaub ntawv no txhais tau hais tias tus kws kho mob pom zoo yuav ib pob nrog kaum ampoules ntawm cov tshuaj, 0.001 mg txhua.
Cov ntawv ntim khoom tiav nrog kaum lub ampoules ntawm "Phenazepam" tov (txhua qhov yog 1 ml), lub caws pliav thiab cov lus qhia rau kev siv tshuaj. Yog tias muaj kev txawj hauv kev txhaj tshuaj, ces tus neeg mob tuaj yeem txhaj nws tus kheej hauv tsev. Txawm li cas los xij, feem ntau cov tshuaj Phenazepam yog siv hauv tsev kho mob. Qhov kev ceev faj no yog vim qhov tseeb tias cov ntsiav tshuaj nyuaj rau overdose. Thiab nrog rau qhov tsis txaus ntseeg amateurish siv cov tshuaj Phenazepam txhaj tshuaj, qhov tshwm sim rau tus neeg mob tus mob tuaj yeem ua rau poob siab heev.
Pharmacological kev txiav txim ntawm cov tshuaj "Phenazepam"
Cov tshuaj, tsis hais txog ntawm daim ntawv tso tawm, feem ntau yog muab los ntawm pawg tshuaj ntawm anxiolytics. Txawm li cas los xij, tsis zoo li feem ntau ntawm nws "cov neeg nyob ze" hauv pawg kws tshuaj, "Phenazepam" muaj ntau qhov zoo. Ntxiv rau qhov anxiolytic (sedative), cov tshuaj muaj cov khoom nram qab no:
- tshuaj tsaug zog (cov neeg mob nco ntsoov tias lawv tsaug zog yuav luag tam sim tom qab noj cov tshuaj uas xav tau, vim li no, cov tshuaj Phenazepam yuav tsum tau muab los ntawm tus kws kho mob, kev tswj tus kheej tsis tuaj yeem ua tau);
- muscle relaxant action, i.e. so ntawm cov leeg ntawm lub cev;
- antineurotic (cov nyhuv sedative muaj zog heev uas cov hlab ntsha tawg ploj thaum noj, tus neeg mob lub siab puas siab ntsws rov zoo li qub).
Qee tus kws kho mob ntseeg tias "Phenazepam" yog ze rau hauv kev ua yeeb yam ntawm cov chav kawm ntawm cov tshuaj tranquilizers. Txawm li cas los xij, cov tshuaj tau raug suav tias yog kev ntxhov siab txij li lub sijhawm Soviet, txawm tias qhov tseeb tias nws qhov kev ua tau muaj zog ntau dua li feem ntau cov tshuaj anxiolytics, uas tau lees paub txawm tias cov lus qhia siv.
Kev daws rau kev txhaj tshuaj "Phenazepam"Raws li lub ntsiab active ingredient muaj bromdihydrochlorophenylbenzodiazepine ntawm ib tug concentration ntawm 0.001%. Cov tshuaj tau tsim los ntawm cov kws muag tshuaj Soviet thiab thawj xyoo tom qab kev sib txuas tau siv tshwj xeeb hauv kev puas siab puas ntsws raws li lub zog tranquilizer. Txawm li cas los xij, dhau sij hawm nws tau pom tseeb tias kev siv ntau npaum li cas ntawm bromdihydrochlorophenylbenzodiazepine ua rau muaj qhov tshwm sim tsis zoo, thiab cov tshuaj uas tshwm sim muaj ntau cov kev mob tshwm sim. Yog li ntawd, dhau sijhawm, cov tshuaj tau pib siv rau hauv cov koob tshuaj me me thiab kawm luv luv ua tus neeg sawv cev txhawb nqa. Yog li ntawd, nws yog ib qho kev cai los faib "Phenazepam" tsis yog ib qho tranquilizer, tab sis raws li anxiolytic. Txawm li cas los xij, cov tshuaj raug muag nruj me ntsis raws li cov tshuaj.
Cov tshuaj "Phenazepam", thaum noj intramuscularly lossis intravenously, nkag mus rau hauv cov ntshav kom sai li sai tau, tom qab ntawd ua haujlwm ntawm amygdala complex ntawm lub hlwb visceral (limbic system). Thaum ntau npaum li cas, nws ua rau euphoria, ces pw tsaug zog nrog cov yeeb yuj tsis pom kev. Hauv qee tus neeg mob, ntawm qhov tsis sib xws, muaj qhov tshwm sim ntawm kev ua phem thiab nce hauv kev puas siab puas ntsws.
Cov lus qhia rau kev siv "Phenazepam"
Peb ceeb toom rau koj tias tsuas yog tus kws kho mob tuaj koom yuav tsum txiav txim siab txog qhov kev tawm tswv yim ntawm kev noj cov tshuaj no. Kev tswj hwm tus kheej raug txwv. Cov lus qhia rau kev siv rau cov tshuaj "Phenazepam" qhia tias cov tshuaj yog siv rau cov nram qab no kev kuaj mob thiab tej yam kev mob:
- pseudo-neurotic thiab neurotic xeev thaum lub sijhawmexacerbations;
- psychopathy ntawm ntau yam etiologies;
- ceeb ntshai, ntshai, ntxhov siab heev;
- insomnia;
- reactive psychosis;
- hypochondriac syndrome;
- cawv delirium (raws li ib feem ntawm txoj kev kho mob);
- temporal thiab myoclonic qaug dab peg;
- xov nplawm;
- dyskinesia;
- kev ntxhov siab-kev nyuaj siab;
- rho tawm hauv cov neeg muaj tshuaj lom neeg;
- muscle stiffness;
- lability ntawm lub paj hlwb autonomic.
Nyob rau hauv kev sib txuas nrog rau kev tsim tshuaj thiab kev puas siab puas ntsws dependence ntawm cov tshuaj, koj yuav tsum nruj me ntsis soj ntsuam cov ntau npaum li cas los ntawm tus kws kho mob thiab lub sij hawm ntawm kev kho mob. Cov lus qhia rau cov tshuaj Phenazepam qhia tias yog cov kev phiv tshwm sim nyob rau hauv thawj hnub, ces cov tshuaj yuav tsum tau halved. Yog tias tom qab ntawd qhov mob hnyav ntawm cov kev mob tshwm sim tsis tsawg dua, ces koj yuav tsum tsis txhob noj cov tshuaj thiab xaiv cov tshuaj analogue nrog cov tshuaj sib txawv.
Muaj kev phiv tshwm sim
Cov lus qhia rau kev siv tshuaj txhaj "Phenazepam" qhia tias cov kev mob tshwm sim hauv qab no tuaj yeem tshwm sim thaum siv:
- Los ntawm ib sab ntawm lub paj hlwb - ataxia, tsis pom kev, teeb meem nrog lub peev xwm mloog zoo, tsis txaus siab, qeeb qeeb ntawm lub cev muaj zog, mob taub hau, tshee tshee, nco tsis taus, dystonic extrapyramidal mob. Overdose hauv qee cov neeg mobeuphoria txhim kho, lwm tus ua kev nyuaj siab.
- Ntau zaus, cov kev mob tshwm sim tau pom los ntawm lub vestibular apparatus - tus neeg mob staggers, tsis tuaj yeem taug kev hauv txoj kab ncaj nraim, nws ua rau kiv taub hau hnyav. Hauv qhov no, cov tshuaj "Phenazepam" feem ntau yog siv hauv tsev kho mob, thaum muaj xwm txheej hnyav - hauv tsev kho mob ib hnub.
- Nyob rau qee zaus, thaum noj cov tshuaj, tus neeg mob qhia kev chim siab, npau taws, npau taws, ntxhov siab heev. Hauv qhov no, tus kws kho mob tuaj koom yuav tsum txiav txim siab kho cov tshuaj uas tau sau tseg. Feem ntau, rau ib tus neeg mob tshwj xeeb, qhov ntau npaum li cas siv me me, nws yog qhov tsim nyog los nce nws.
- Ntawm ib feem ntawm cov kab mob hematopoietic thaum kho nrog cov tshuaj, cov kev mob tshwm sim hauv qab no yuav raug pom: qhov txo qis ntawm cov leukocytes, erythrocytes, platelets. Muaj tsawg zaus, tawm tsam keeb kwm yav dhau los ntawm kev kho mob, qhov txo qis hauv hemoglobin tau pom.
- Cov kev mob tshwm sim hauv qab no tuaj yeem tshwm sim los ntawm kev zom zaub mov: cem quav, mob plawv, xeev siab (tshwj xeeb tshaj yog thaum txhaj rau ntawm lub plab khoob), nce qib ntawm alkaline phosphatase hauv cov ntshav. Tsis tas li, ntau tus neeg mob qhia qhov ncauj qhuav tas li thaum kho.
- Cov tshuaj tsis haum yuav tshwm sim - khaus tawv nqaij, eczema, dermatitis, thiab lwm yam.
Kev quav tshuaj thiab tshem tawm
Cais, nws tsim nyog hais txog cov kev mob tshwm sim los ntawm tus neeg mob uas muaj kev vam khom rau cov tshuaj. Thaum sim txwv tsis pub noj, tus neeg tau ntsib cov hauv qab noxwm txheej:
- txo qis ntshav siab;
- qaug zog, tsis txaus siab, txo qis kev ua haujlwm;
- poob ceeb thawj;
- tsis qab los;
- kev npau taws tas li, khaus khaus;
- teeb meem pw tsaug zog hnyav txog insomnia ob peb hnub.
Qhov muaj cov tsos mob no qhia tau tias qhov tsos mob ntawm kev tshem tawm. Tau kawg, qhov feem pua ntawm cov tshuaj Phenazepam yog me me - 0.1%, thiab qhov tshwm sim ntawm kev txhim kho kev vam meej yog qhov tsawg heev. Tab sis yog tias qhov kev daws teeb meem no tau siv txhua hnub rau ntau tshaj ob lub hlis, yuav luag txhua tus neeg mob yuav tsim kev quav tshuaj.
Yuav ua li cas tuav Phenazepam tshem tawm syndrome? Nws nyuaj heev ua qhov no hauv tsev. qee tus neeg mob txawm raug yuam mus rau hauv tsev kho mob kom tshem tau cov tsos mob ntawm kev vam khom tshuaj. Raws li txoj cai, cov tshuaj tranquilizers me, kho lub cev, thiab kev kho mob ntawm tus kheej yog siv rau hauv kev kho mob.
Contraindications rau kev siv tshuaj
Cov lus qhia rau kev siv rau "Phenazepam" qhia tias muaj cov nram qab no contraindications rau nws siv:
- shock or coma;
- myasthenia gravis;
- angle-kaw glaucoma;
- COPD;
- lub sijhawm cev xeeb tub thiab lactation;
- under 18s;
- hypersensitivity rau lub Cheebtsam ntawm cov tshuaj.
Nws yuav tsum tau muab sau tseg tias cov tshuaj tuaj yeem ua rau muaj kev nce ntxivua pa tsis ua hauj lwm.
Pom zoo noj ntau npaum li cas thiab txoj kev tswj hwm
"Phenazepam" nyob rau hauv daim ntawv ntawm kev daws yog npaj rau kev txhaj tshuaj rau hauv cov leeg lossis cov leeg los ntawm txoj kev dav hlau lossis drip. Ib koob tshuaj ib zaug yog los ntawm 0.0005 mus rau 0.001 g. Qhov siab tshaj plaws koob tshuaj yog 0.01 g.
Cov tshuaj noj hauv qab no raug pom zoo nyob ntawm tus neeg mob tus mob thiab kev kuaj mob:
- Txhawm rau txo cov kev puas siab puas ntsws thiab kev ntxhov siab uas tsis tuaj yeem nrog kev ua phem thiab hnov qab - los ntawm 0.003 txog 0.005 g, uas sib haum rau 3-5 ml ntawm 0.1% tshuaj. Raws li kev txiav txim siab ntawm tus kws kho mob tuaj koom, qhov ntau npaum li cas yuav raug ntau dua 1.5 npaug.
- Rau mob qaug dab peg, cov tshuaj tau muab tshuaj ntawm ib koob ntawm 0.0005 g lossis ntau dua, nyob ntawm tus kws kho mob kuaj pom.
- Thaum lub sijhawm tshem tawm cov tsos mob tshwm sim los ntawm kev haus dej cawv ntev ntev lossis kev quav yeeb tshuaj, qhov koob tshuaj ntawm cov tshuaj yog los ntawm 0.0025 txog 0.005 g.
- Yog tias tsim nyog los npaj tus neeg mob rau kev siv tshuaj loog, ces cov tshuaj yuav tsum tau maj mam muab tso rau hauv cov hlab ntsha ob peb teev ua ntej kev phais ntawm koob tshuaj sib npaug ntawm 0.003 txog 0.004 g.
Lub sijhawm nruab nrab ntawm kev kho mob nrog "Phenazepam" yog ob lub lis piam. Qee zaum, ntawm kev txiav txim siab ntawm tus kws kho mob tuaj koom, chav kawm yuav kav peb lossis plaub lub lis piam. Tab sis nyob rau hauv cov ntaub ntawv no, nws yog ib qho tsim nyog yuav tau kho qhov ntau npaum li cas qhov kev pheej hmoo ntawm kev tsim tshuaj dependence yog txo.
Tseeb ntawm kev siv tshuaj ntau dhau
Koj yuav tsum pib nrog cov koob tshuaj qis tshaj plaws kom tsis txhob ua rau cov tsos mob ntau dhau. Lawv tshwm sim raws li hauv qab no:
- kiv taub hau, poob kev sib koom tes;
- qee zaum kev hnov lus pib (nyob ntawm tus kheej tus yam ntxwv ntawm tus neeg mob thiab ntau npaum li cas tau tshaj);
- pw tsaug zog ntawm verge of coma;
- kev ua haujlwm tsav;
- akathisia;
- limb tremor;
- mob taub hau;
- xeev siab thiab ntuav spasms.
Yog tias qhov tshuaj ntau dhau los ntawm kev txhaj tshuaj, ces Enterosgel lossis lwm yam tshuaj adsorbing yuav tsum tau noj. Yog tias noj tshuaj ntau dhau los ntawm kev noj tshuaj, ces koj yuav tsum ntuav ntuav lossis ntxuav lub plab koj tus kheej nrog dej ntau lossis hu rau lub tsheb thauj neeg mob.
Pom zoo analogues ntawm Phenazepam tshuaj
Yog tias yog vim li cas lossis lwm yam tshuaj no tsis haum rau tus neeg mob, ces koj yuav tsum tau saib xyuas nws cov analogues:
- "Diazepam" yog ib lub zog sedative, daim ntawv tso tawm yog ntsiav tshuaj thiab ampoules rau kev txhaj tshuaj, muag nruj me ntsis raws li cov tshuaj, raws li nws muaj peev xwm narcogenic (tej zaum yuav ua rau muaj kev quav yeeb quav tshuaj).
- "Seduxen" kuj muaj nyob rau hauv cov ntsiav tshuaj thiab ampoules rau kev txhaj tshuaj, muaj zog hypnotic thiab sedative nyhuv.
- "Grandaxin" muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, lub ntsiab active ingredient yog tofisopam, belongs rau cov chav kawm ntawm tranquilizers thiab antidepressants.
- "Nozepam" muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, belongs rau cov chav kawm ntawm tranquilizers ntawm benzodiazepine series, muaj ib tug haib sedative nyhuv.
- "Lorazepam" muaj nyob rau hauv daim ntawv ntawm ampoules rau txhaj tshuaj thiab ntsiav tshuaj rau qhov ncauj siv. belongs rau chav kawm ntawm tranquilizers. Muag nruj me ntsis raws li tshuaj, muaj peev xwm narcotic.
Kev tshuaj xyuas ntawm kev siv tshuaj rau kev pw tsaug zog
Teeb meem pw tsaug zog qee zaum tuaj yeem dhau los ua teeb meem tiag tiag thiab ua rau tib neeg lub neej nyuaj. Tsis muaj kev pw tsaug zog ib txwm cuam tshuam rau lub xeev ntawm kev ua haujlwm siab dua. Tus neeg yuav ua tsis taus pa, inattentive. Kev ua haujlwm muaj peev xwm txo qis, lub siab xav sib txuas lus lossis koom nrog kev nyiam ua haujlwm ploj mus. Feem ntau tus neeg mob yuav zoo siab tau pw txaus - tab sis hmo tom ntej hloov mus ua npau suav phem thiab tsis muaj peev xwm txawm tias so me ntsis.
Siv cov tshuaj Phenazepam lossis txhaj tshuaj pab kom tsis nco qab txog teeb meem pw tsaug zog. Cov neeg mob nco ntsoov tias txawm tias tom qab noj qhov tsawg kawg nkaus ntawm cov tshuaj, kaum feeb tom qab ntawd muaj kev tsaug zog loj heev thiab muaj zog thiab tsaug zog ntev. Txawm li cas los xij, nws tsis tuaj yeem sib cav tias insomnia tuaj yeem kho tau los ntawm kev noj Phenazepam. Ib tus kws kho mob hlwb uas muaj peev xwm, ua ntej yuav muab cov tshuaj no lossis cov tshuaj ntawd, yuav tsum sim tshawb nrhiav qhov ua rau muaj teeb meem pw tsaug zog thiab ua qhov tseeb. Koj tuaj yeem noj "Phenazepam" rau ob lub lis piam, tsis yog lawm. Thaum lub sij hawm no, nws yog ib qho tsim nyog yuav tau kuaj xyuas tus neeg mob kom ntau li ntau tau thiab sau cov kev kho mob dav dav uas yuav pab tshem tawm qhov tshwm sim ntawm cov teeb meem tshwm sim.pw tsaug zog.
"Phenazepam" (kev daws): tshuaj xyuas ntawm cov neeg mob uas muaj dej cawv delirium
Cov neeg uas haus cawv ntev ntev feem ntau muaj kev puas siab puas ntsws, muaj kev ntxhov siab ntau ntxiv, thiab delirium tshwm sim nrog kev haus dej ntau. "Phenazepam" hauv ampoules (feem pua ntawm cov tshuaj - 0, 1) yog siv ob qho tib si hauv kev tshem tawm cov tsos mob thiab hauv cov mob puas siab puas ntsws uas tau tsim los ntawm kev haus cawv.
Kev tshuaj xyuas ntawm cov neeg mob qhia tias kev txhaj tshuaj "Phenazepam" yuav luag tam sim ntawd txo lub xeev ntawm kev tshem tawm mob hnyav. Ib tug neeg tsaug zog, chim siab thiab aggression dhau. Muaj tseeb tiag, tom qab kev txhaj tshuaj, cov neeg mob nco ntsoov qee qhov qaug dab peg thiab apathy. Nws tsis pom zoo kom rov qab lub log thiab ua haujlwm lub luag haujlwm thaum lub sijhawm kho cov tsos mob tshem tawm.
Qhov xwm txheej nyuaj dua yog tias delirium raug kho nrog Phenazepam txhaj tshuaj. Cov mob no nyuaj heev, thiab ib qho tshuaj yuav tsis txaus rau kev kho. Ib tus kws kho mob uas paub txog kev puas siab puas ntsws feem ntau tau sau cov kev kho mob nyuaj rau tus neeg mob uas muaj kev puas siab puas ntsws dej cawv lossis leej twg nyob rau hauv delirium. Qhov kev ntsuas tseem ceeb ntawm kev kho mob yog tsis noj tshuaj lossis txhaj tshuaj, tab sis tsis haus cawv. Txwv tsis pub, tus mob yuav nce thiab dhau sijhawm, cawv encephalopathy, piv txwv li, dementia, tuaj yeem txhim kho. Tsis muaj ib yam dab tsi yuav tsum tau sim ua kom kho tus kheej nrog Phenazepam - cov neeg uas muaj kev quav dej caw yuav luag tau lees tias yuav tau txais kev quav yeeb tshuaj vim qhov kev sim no.
