Tshuaj "Tramal": xyuas, cov lus qhia, indications

Opioid analgesics hu ua centrally acting agents uas yog siv nyob rau hauv muaj zog mob syndrome. Cov tshuaj muaj ib tug tej yam nyob rau hauv lub hauv paus poob siab system.

Muaj ntau ntau cov tshuaj nrog xws li lub zog. Ib tug ntawm lawv yog cov "Tramal". Cov lus qhia rau kev siv, xyuas, nta, indications thiab tshwm sim los ntawm cov tshuaj yog hais hauv qab no.

Form, muaj pes tsawg leeg

Lub medicament "Tramal" kev uas yuav tawm mus txhua tus yuav tau ib tug plurality cov ntaub ntawv ntawm Siv thiab ua: Ncos rau qhov ncauj cov thawj coj, tsiav tshuaj, suppositories, qhov quav thiab txhaj tshuaj. Lub active ingredient ntawm cov tshuaj yog tramadol hydrochloride. Tsis tas li ntawd cov tshuaj xws li koom haum pab hais (nyob ntawm seb daim ntawv ntawm cov medicament).

pharmacological

Yuav ua li cas yog cov tshuaj "Tramal"? Xyuas tau qhia hais tias nws yog ib qho opioid analgesic. Nws muaj ib tug muaj zog analgesic zog, uas yog piav los ntawm nws agonist los rau receptors nyob rau hauv Cns.

Qhov no medicament yog opioid (hluavtaws). Nws yog ib tug racemate ntawm tsis zoo thiab zoo isomers uas yog nyob rau hauv ib txoj kev muab kev koom tes nyob rau hauv analgesic kev txiav txim.

Zoo isomer - yog ib tug dawb huv opioid receptor agonist. Nrog hais txog qhov tsis zoo, ces nws tau inhibit qaug dab peg (neuronal) norepinephrine, raws li zoo raws li qhib lub nqis central noradrenergic system. Qhov no thaum kawg ua rau yus muaj kev cuam tshuam ntawm cov kis ntawm cov mob impulses nyob rau hauv lub tshuaj (gelatin) txha caj qaum.

Ob isomers yog sawv cev los ntawm ib tug synergistic yam.

Saib cov tshuaj ua rau kom loog. Nyob rau hauv kho koob tshuaj nws xyaum tsis inhibit lag luam ntawm lub pa system thiab twb tsis muaj ntxim rau hemodynamics.

Thaum lub txais tos tswj tshuaj tiv thiab quav tsim tsis tshua. Los ntawm txoj kev, nyob rau hauv kev siv ntawm morphine tej yam ntau pronounced.

kinetics

seb cov tshuaj yog absorbed los ntawm lub "Tramal"? Xyuas tau qhia hais tias thaum noj ntawm ncauj nws yog absorbed los ntawm 90%.

Tom qab intramuscular thawj coj lub ncov concentration ntawm cov tshuaj nyob rau hauv cov ntshav no tshwm sim tom qab ib teev.

Saib medicament penetrates rau hauv lub placental barrier thiab BBB. Nws kuj stands nrog leej niam cov kua mis.

Tshem ntawm cov tshuaj los ntawm ob lub raum.

zaj lus tim khawv

Nyob rau hauv tej rooj plaub, tshuaj yog yuav tsum tau "Tramal"? Xyuas (nyob rau hauv Oncology kev npaj no yog siv ntau heev) hais tias ntshai txhais tau tias muaj nyob rau hauv lub mob syndrome muaj zog thiab nruab nrab kev siv ntawm ntau yam keeb kwm:

• kev poob plig;
• thaum lub sij hawm lub postoperative lub sij hawm;
• rau qhov mob uas tshwm sim vim myocardial infarction;
• heev thaum siv tshuaj los yog diagnostic cov txheej txheem.

Contraindications

Thaum koj yuav tsum tsis txhob siv ib yam tshuaj "Tramal"? Guest cov kws txawj hais tej contraindications, xws li:

• concomitant siv ntawm monoamine oxidase inhibitors, raws li zoo raws li ob lub lis piam tom qab lawv tshem;
• tej yam kev mob uas nrog cim inhibition ntawm Cns los yog ua pa nyuaj siab (e.g., haus dej cawv lom, opioid analgesics, psychotropic los yog hypnotic tshuaj txhais tau tias);
• raum tsis ua hauj lwm, mob ntws nyob rau hauv;
• ntsoos ntsoos syndrome ntawm cov tshuaj;
• mob loj heev hepatic tsis ua hauj lwm;
• npau taws me ntsis.

Tag nrho tej yam yuav tsum tau muab los xav.

Tshuaj "Tramal": cov lus qhia rau kev siv

Tshuaj, uas xyuas yuav tsum tau muab nthuav hauv qab no, yuav raug muab tso rau intravenously, subcutaneously los yog intramuscularly.

Hauv tshuaj no yuav tsum tau noj ua ntej, thaum lub sij hawm los yog tom qab ib tug noj mov. Pa tshuaj ntsiav ntxuav cia nrog dej, thiab kev daws twb poob mus rau ib daim ntawm qab zib los yog diluted nyob rau hauv ib tug me me volume ntawm cov kua.

Raws li rau qhov quav suppository yog muab rau hauv lub qhov quav.

Cov tshuaj ntawm cov tshuaj nyob rau hauv kev saib xyuas yog txiav txim nyob ntawm cov kev siv ntawm qhov mob.

Nyob rau hauv tej rooj plaub, ua tshuaj "Tramal"? Xyuas hais tias daim ntawv no ntawm cov tshuaj tsuas yog siv nyob rau hauv rooj plaub yog tias koj xav kom ua tau ib tug sai analgesic nyhuv.

phiv

Raws li nrog rau lwm cov analgesics, suav hais tias cov tshuaj yuav ua rau ib tug ntau yam ntawm sab kev tshua xws li:

• lossis puas liab liab ntawm daim tawv nqaij, xeev siab, mob qaug dab peg, qhov ncauj qhuav, qaug zog, ntuav;
• kiv taub hau, mob plab, lus plawv atherosclerosis, mob plab;
• hloov nyob rau hauv qab los noj mov, nkees nkees, mob taub hau, tachycardia, kev hloov nyob rau hauv ob peb vas, kev nyuaj siab, impaired kev coj cwj pwm tshua, kev hloov nyob rau hauv cov kev ua, teeb meem nyob rau hauv nqos dej;
• tsaus muag, cov nqaij tsis muaj zog, cev qhuav dej ces;
• daim tawv nqaij sawv pob, cem quav, lub cev muaj zog tsis muaj zog, tsis meej pem, tawm hws.

tej tswv yim pom zoo

Nrog zoo saib xyuas cov tshuaj kho rau cov neeg uas impaired siab muaj nuj nqi thiab lub raum ntawm kom intracranial siab, mob plab, puas hlwb raug mob, qaug dab peg cov neeg mob, raws li tau zoo raws li mob ntawm lub pa system.

Haus dej haus cawv thaum lub sij hawm kev kho mob nrog rau qhov no neeg sawv cev yuav tsum muab deleted.

Xyuas

Feem ntau cov neeg mob hais tias cov tshuaj "Tramal" yog ib tug heev muaj zog thiab zoo opioid analgesic. Tej daim ntawv ntawm nws zoo nkauj sai sai tshem tawm txawm tus muaj zog tshaj mob syndromes, zoo heev yooj yim rau tus neeg mob tus mob.

Qhov tsis zoo ntawm cov tshuaj no muaj xws li ib tug loj tus naj npawb ntawm cov nyom tshua, raws li zoo raws li ib tug impressive daim ntawv teev cov contraindications.