Chimwe chezvinetso zvakajairika zvakaongororwa nevarapi vezvepfungwa ndezvekuora mwoyo. Izvi zvinogona kukura mushure mekurasikirwa nemunhu waunoda, kusangana nemamiriro ezvinhu anonetseka mubasa, semagumisiro emamwe matambudziko epfungwa uye emuviri (somuenzaniso, chirwere chakakomba). Zviratidzo zvepfungwa zvekuora mwoyo ndezvi:
- kuora mwoyo;
- kuzvidya mwoyo;
- kutsamwa;
- kushungurudza kwekufunga;
- kurasikirwa kwechido mune zvose zviri kuitika uye muupenyu hupenyu hwose;
- kutengesa motokari, nezvimwewo.
Kurapa kwekuora mwoyo kwakaoma, kusanganisira, kutanga kwezvose, kurapwa kwepfungwa uye kupora mishonga.
Kushandisa zvinodhaka kunosanganisira kutora antidipressants - psychotropic zvinodhaka, izvo zvinorondedzerwa maererano nekugadzirisa kwechiito mumakirasi akawanda. Mumwe wevamiririri vekirasi ye tricyclic vanodzvinyirira ndeyeAmitriptyline. Zvisinei, mushonga uyu, kufanana nezvimwe zvinodhaka, zvinokurudzirwawo kune zvimwe zvinetso. Funga kuti ndiani anoratidzwa kushandiswa kwemapiritsi eAmitriptyline, kuti anoshanda sei, uyewo chii chinoshandiswa pakutora ichi chirwere.
Zviratidzo zvekushandisa mapiritsi emamitriptyline
Amitriptyline inorayirwa kune zvinotevera zvirwere:
- kushungurudzika kwe etiology dzakasiyana-siyana (kusagadzikana, kupindira, mishonga, kugadzirisa, kushungurudzika neurosis inobatanidza nehupombwe hwehupombwe kana doro), kunyanya kuendeswa nekuzvidya mwoyo, kushungurudzika kwekurara, kutaura kana motokari kunetseka;
- schizophrenic psychoses;
- kushungurudzika mupfungwa kwevanhu vakavhenganiswa;
- kukanganisa kwekutarira uye basa;
- bedwetting (kunze kwevatachiona vane chirwere chekuvhara ropa);
- bulimia nervosa ;
- anorexia nervosa;
- phobic disorders;
- chronic pain syndrome (zvinoramba zvichirwadziwa zvinorwadza nevarwere vane kenza, migraine, zvirwere zverheumatic, peripheral neuropathy - mushure mekupedzisira, chirwere cheshuga, nezvimwewo);
- Chironda chepondach uye duodenal ulcer (sechikamu chetachiona chakaoma);
- migraine (senzira yekudzivirira).
Maitiro uye pharmacological action yaAmitriptyline
Nhengo inoshandiswa yemishonga iyi amitriptyline hydrochloride. Zvimwe zvinobatsira:
- microcrystalline cellulose;
- lactose monohydrate;
- pregelatinized starch;
- silicon dioxide;
- magnesium stearate;
- talcum powder.
Mukuwedzera kune zvakakonzera kupora mwoyo zvinogadziriswa nekudzivisa reuptake yeurourotransmitters (noradrenaline, serotonin, nezvimwewo), mushonga unobudisa zvinotevera:
- mark sedation;
- hypnotics;
- anti-anxiety;
- antihistamine;
- anesthetizing;
- nyore kumutsa;
- light psychoenergetic;
- antiulcer.
Somugumisiro wekushandiswa kwemapiritsi eAmitriptyline kune varwere:
- manzwiro anovandudza;
- kuderedza kana kubvisa kurega;
- kuderedza kuzvidya mwoyo, kushungurudzika mupfungwa;
- kurara uye chido chinowedzera.
Nzira yekushandisa mahwendefa amitriptyline
Ichi chinodhaka chinoshandiswa pakarepo mushure mekudya pasina cheku. Nhamba uye nguva yakawanda yekugamuchirwa kunosarudzwa mumwe nomumwe, zvichienderana nehutachiona uye kuoma kwechiitiko chacho, pamwe nezera remurwere. Sezvo mutemo, kurapwa kunotanga nemadiki madhodzi, zvishoma nezvishoma kuwedzera. Mumatambudziko akaoma, amitriptyline inopiwa nenzira yezvirwere zvepramuscular kana intravenous pamwe nekushandura kune fomu yepefomu.
Nguva yenguva yekurapa inotsamira mumamiriro emurwere, kubudirira kwerapi uye kushivirira kwechirwere. Kazhinji, nzira yekurapa inotangira kubva pamwedzi kusvika pagore.