Tam sim no, tsawg tus neeg paub tias phenobarbital yog dab tsi, txawm hais tias cov tshuaj no yog ib feem ntawm ntau cov tshuaj nrov. Ntau tus neeg tau noj Corvalol lossis Valocordin tau ntau xyoo tsis paub tias cov tshuaj no muaj dab tsi. Tseeb tiag, tsis ntev los no phenobarbital tau muab cais ua tshuaj txaus ntshai thiab txwv tsis pub nyob hauv qee lub tebchaws. Thiab cov nyiaj raws li nws pib maj mam ploj ntawm kev muag khoom. Tam sim no cov tshuaj "Phenobarbital" thiab nws cov analogues tsuas yog siv nyob rau hauv cov tshuaj. Tom qab tag nrho, qhov no yog ib qho zoo tshaj plaws anticonvulsants thiab sedatives.
YDab tsi yog phenobarbital
Qhov no yog ib yam khoom los ntawm pawg barbiturates. Nws txo qhov excitability ntawm hlwb neurons thiab propagation ntawm paj hlwb impulses nyob rau hauv qaug dab peg. Thaum raug rau nws, qhov ntws ntawm calcium ions mus rau hauv lub cell nce, uas pab txo lub cev muaj zog thiab txo cov suab nrov ntawm cov leeg nqaij.
Cov tshuaj no yog thawj zaug tau txais thaum pib ntawm lub xyoo pua 20th hauv Tebchaws Yelemees. Phenobarbital tau tshwm sim ntawm kev muag khoom raws li lub npe "Luminal". Nws yog cov tshuaj tsaug zog tshaj plawstsis muaj tshuaj los ntawm pawg benzodiazepines. Nyob rau hauv xyoo tas los no, ntau lub teb chaws tau txwv kev tsim cov phenobarbital. Nyob rau hauv Russia, kev npaj raws li nws yog muag, tab sis tsuas yog los ntawm tshuaj.
Phenobarbital tam sim no tsuas yog siv hauv kev kho mob vwm. Nws cov analogues thiab cov khoom uas muaj cov tshuaj no hauv cov khoom me me tuaj yeem raug tshuaj rau cov mob hnyav, xws li overexcitation lossis insomnia.
Cov nyhuv narcotic ntawm cov tshuaj no yog tshwj xeeb: nws tsis ua rau euphoria, tsuas yog tsaug zog thiab apathy. Tsis tas li ntawd, kev noj phenobarbital ua rau muaj kev quav yeeb quav tshuaj ntau heev. Tab sis nws qhov chaw tsis zoo li tshuaj yog vim nws pheej yig thiab muaj.
YPhenobarbital-based tshuaj
Ib tshuaj nrog lub npe no paub zoo rau cov neeg mob convulsive syndrome lossis pw tsaug zog tsis zoo. Tab sis koj tuaj yeem yuav cov tshuaj uas suav nrog phenobarbital. Cov nto moo tshaj plaws yog Corvalol thiab Valokorin. Lawv yog cov pheej yig thiab nrov heev li cov tshuaj tsaug zog thiab sedatives, tshwj xeeb tshaj yog cov laus tiam.
Cov tshuaj tsis tshua muaj npe yog:
- "Lavocordin", ntxiv rau phenobarbital, muaj cov extract ntawm valerian, mint roj thiab hops.
- "Neo-Teofedrin" yog ib qho tshuaj tua kab mob, siv rau kev mob ntsws asthma, muaj theophylline, caffeine, ephedrine, paracetamol.
- Pagluferal yog ib qho tshuaj tiv thaiv kab mob raws li phenobarbital.
- Pentalgin-N yog tshuaj tua kab mob.
- Piralgin yog ib qho tshuaj uas tsis yog-steroidal tshuaj tiv thaiv kab mob.
- Tetralgin yog ib qho tshuaj analgesic thiab antispasmodic.
- "Andipal" - siv los ua vasodilator rau ntshav siab.
Txoj Kev Ua Haujlwm
tshuaj Phenobarital tau ntev tau siv los ua tshuaj. Lawv raug muab tshuaj rau cov menyuam yaus, vim lawv muaj cov khoom tshwj xeeb. Nrog qee qhov pathologies, tsuas yog nrog lawv cov kev pab tuaj yeem pab tus neeg mob. Qhov kev txiav txim ntawm phenobarbital tsuas yog txuas mus rau cov leeg du thiab neurons, tsis cuam tshuam rau cov hlab plawv. Tom qab noj cov tshuaj no sab hauv, pom cov teebmeem hauv qab no:
- qhov kev siv ntawm cov txheej txheem metabolic txo me ntsis;
- lub cev muaj zog txo qis;
- lub suab ntawm cov nqaij ntshiv ntawm lub plab zom mov txo qis;
- nce lub siab ua haujlwm ntawm lub siab;
- qhov concentration ntawm bilirubin hauv cov ntshav txo qis.
Phenobarbital yog siv dav hauv cov tshuaj vim qhov tseeb tias nws muaj cov tshuaj tiv thaiv kab mob, sedative, hypnotic thiab antispasmodic teebmeem. Nws yog siv thaum muaj xwm txheej ceev, raws li kev siv mus sij hawm ntev yog qhov muaj yees heev.
Phenobarbital: cov lus qhia rau kev siv
Tam sim no cov tshuaj raws li nws tsuas yog siv rau qhov mob hnyav xwb. Lawv tsis raug sau tseg rau kev pw tsaug zog zoo li qub. Cov lus qhia rau kev siv cov tshuaj no yog cov hauv qab no:
- mob vwm txhua yam;
- ntau yamconvulsions;
- chorea;
- meningitis, tetanus;
- dej cawv thim;
- pastic paralysis;
- mob hnyav insomnia;
- ntau yam kev puas siab puas ntsws;
- re-arousal, ntxhov siab vim xeev.
YContraindications
Txawm tias muaj qhov tseeb tias Phenobarital muaj cov cim qhia hnyav heev, tsis yog txhua tus neeg mob tuaj yeem tau txais kev kho mob zoo li no. Noj tshuaj raws li cov tshuaj no yog contraindicated nyob rau hauv xws li mob:
- muaj kev ua txhaum loj ntawm lub siab thiab lub raum;
- myasthenia gravis;
- ntshav qab zib;
- mob ntshav qab zib;
- kev nyuaj siab;
- thaum lub cev tsis muaj zog;
- bronchial hawb pob;
- yuav haus cawv;
- tus neeg tsis kam lees;
- thaum cev xeeb tub thiab lactation.
Side effects
Kev npaj muaj phenobarbital yog cais raws li cov tshuaj narcotic. Ntxiv nrog rau kev muaj yees, txawm tias siv sijhawm luv luv, cov kev mob tshwm sim tuaj yeem ua tau:
- kev qaug zog, kiv taub hau, asthenia;
- retarderation, impaired hais lus;
- xov xwm, npau suav phem;
- kev nyuaj siab;
- pw tsis tsaug zog;
- txo qis hauv qhov pom kev pom;
- qhov ncauj qhuav, xeev siab, ntuav, plob tsis so tswj;
- thrombocytopenia, anemia;
- palpitations, plawv tsis ua hauj lwm;
- txo qis ntshav siabsiab;
- pob, o, mob dermatitis, pruritus;
- ua tsis taus pa.
Cov lus qhia rau kev siv
"Phenobarbital" thiab cov tshuaj zoo sib xws hauv cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj ntawm 100 thiab 50 mg rau cov neeg laus thiab 5 mg rau menyuam yaus. Raws li cov lus qhia thiab hom kev tswj hwm, tus kws kho mob sau ntau npaum li cas. Raws li cov tshuaj hypnotic, koj yuav tsum haus 100 mg ib teev ua ntej yuav mus pw. Yog tias "Phenobarbital" tau muab tshuaj rau kev siv tsis tu ncua los ntawm tus neeg mob uas muaj mob vwm, nws raug pom zoo 50-100 mg ob zaug ib hnub. Raws li sedative, kev npaj raws li cov tshuaj no yog noj ntawm ib koob ntawm 50 mg 2-3 zaug ib hnub twg. Kev txo koob tshuaj yog pom zoo rau cov neeg laus, nrog rau cov neeg mob uas muaj lub siab tsis zoo thiab lub raum ua haujlwm.
Cov Me Nyuam "Phenoarital" tau sau tseg raws li cov lus qhia nruj. Cov koob tshuaj yog txiav txim los ntawm tus kws kho mob nyob ntawm lub hnub nyoog thiab tus mob ntawm tus neeg mob. Muab cov tshuaj ib nrab teev ua ntej noj mov 2 zaug hauv ib hnub. Cov koob tshuaj feem ntau yog raws li hauv qab no: mus txog 6 lub hlis, 5 mg, mus txog rau ib xyoos - 10 mg, 1-2 xyoos - 20 mg, mus txog 4 xyoos - 30 mg, mus txog 7 xyoo - 40 mg, 7-10 xyoo - 50 mg, mus txog 14 xyoo - 75 mg. Tom qab lub hnub nyoog no, qhov ntau npaum ntawm cov tshuaj twb yog ib tug neeg laus.
Yog noj tsis tu ncua, nres kev kho mob maj mam. Nrog rau kev tshem tawm sai sai ntawm cov tshuaj raws li phenobarbital, kev nyuaj siab, insomnia, thiab mob taub hau feem ntau tshwm sim. Kev vam meej tshwm sim tom qab ob lub lis piam ntawm kev siv tas li, yog li nws tsis pom zoo kom siv nws ua tshuaj tsaug zog thiab sedative rau ntau tshaj 10 hnub.
cov lus qhia tshwj xeeb rau kev siv
Ntau tus tsis paub tias phenobarbital yog dab tsi, tab sis lawv maj mam noj tshuaj raws li nws. Qee tus ntawm lawv raug muag yam tsis muaj kws kho mob tshuaj, thiab tib neeg tsis paub txawm tias lawv siv tshuaj loj npaum li cas. Yog li ntawd, nws raug nquahu kom kawm txog qhov muaj pes tsawg leeg thiab cov lus qhia ua ntej siv txhua yam tshuaj. Thaum siv cov tshuaj uas muaj phenobarbital, nws yog ntshaw kom coj mus rau hauv tus account cov nram qab no nta:
- cov khoom no khaws cia hauv lub cev thiab ua kom muaj yees;
- kev kho nrog cov tshuaj no yuav tsum tau maj mam tso tseg, vim tias "kev tshem tawm tus mob" feem ntau tshwm sim;
- nrog kev siv tas li, koj tsis tuaj yeem tsav tsheb thiab koom nrog cov haujlwm uas xav tau kev saib xyuas thiab cov tshuaj tiv thaiv zoo;
- thaum noj ib txhij nrog cov tshuaj tiv thaiv qhov ncauj, tshuaj tua kab mob thiab tshuaj tua kab mob, lawv cov txiaj ntsig tau txo qis;
- cov tshuaj no kuj txo qhov nqus ntawm glucocorticosteroids, anticoagulants, salicylates thiab estrogens;
- thaum noj ib txhij nrog cawv lossis tshuaj tiv thaiv kev ntxhov siab, kev nyuaj siab ntawm kev ua haujlwm ntawm lub paj hlwb hauv nruab nrab tuaj yeem txhim kho;
- cov tshuaj no txhim kho cov nyhuv ntawm cov tshuaj tua kab mob, cov leeg nqaij so thiab sedatives;
- cov nyhuv hypnotic ntawm phenobarbital txo qis thaum noj ib txhij nrog belladonna npaj, atropine, thiamine, nicotinic acid thiab psychostimulants;
- nws yog txwv tsis pub noj cov tshuaj no thaum cev xeeb tub, tshwj xeeb tshaj yog nyob rau thawj peb lub hlis, vim qhov no ua rau muaj kev ua txhaum ntawm cov ntshav txhaws hauv tus menyuam thiab qhov tshwm sim.los ntshav;
- Kev siv phenobarbital thaum lactation ua rau muaj kev nyuaj siab ntawm lub paj hlwb hauv tus menyuam.
Analogues ntawm cov tshuaj
Tsawg tus neeg paub tias Phenobarbital yog dab tsi hauv cov ntsiav tshuaj. Feem ntau, cov analogues ntawm cov cuab yeej no yog siv. Cov nto moo tshaj plaws ntawm lawv tau ntev tau Luminal. Tab sis tsis ntev los no nws tau siv tsawg thiab tsawg. Cov hauv qab no txhais tau tias tam sim no ntau dua:
- Topirol.
- Zeptol.
- Barbital.
- "Doxylamine".
- Y"Etaminal-sodium".
- Orfirill.
- Gabagamma.
- "Depakin".
- Y"Phenazepam".
Phenobarbital tshuaj xyuas
Cov kws kho mob feem ntau tawm tsam kev sau tshuaj no rau cov menyuam yaus hnub nyoog qis dua 6 xyoo. Tab sis phenobarbital tseem siv ntau zaus txawm tias muaj hnub nyoog no. Kev tshuaj xyuas txog kev kho mob zoo li no yog qhov tsis sib xws. Coob leej nco txog ntau yam kev mob tshwm sim. Piv txwv li, nyob rau hauv cov neeg mob nco phem zuj zus, kev nyuaj siab tshwm sim. Lwm tus hais lus zoo txog cov tshuaj, ntseeg tias qhov tseem ceeb tshaj plaws yog ua raws li kev noj tshuaj thiab ua raws li txhua tus kws kho mob cov lus pom zoo. Cov neeg mob zoo li cov tshuaj raws li phenobarbital yog pheej yig (ib pob nqi kwv yees li 20 rubles), thiab lawv muaj cov nyhuv hypnotic zoo. Tab sis cov tshuaj no tau muab los ntawm cov tshuaj.