Enye yeengxaki eziqhelekileyo ezifunyaniswe ngabagula ngengqondo zixinzelelo. Isi simo sengqondo singakhula emva kokulahlekelwa ngumntu othandekayo, ngokubhekiselele kwimvelaphi yesimo esicinezelayo emsebenzini, ngenxa yenye ingozi yokugula ngengqondo (umzekelo, isifo esibi). Izimpawu eziqhelekileyo zokudakumba zi:
- ukudandatheka;
- uxhalaba;
- ukucaphuka;
- ukuphazamiseka kokucinga;
- ukulahlekelwa ngumdla kuyo yonke into eyenzekayo kunye nobomi ngokubanzi;
- ukulahlwa kwemoto, njl
Unyango lwexinzelelo luyinkimbinkimbi, kubandakanya, okokuqala, unyango lweengqondo kunye nokuthatha amayeza.
Ukusetyenziswa kweziyobisi kubandakanya ukuthatha i-anti-depressants - iziyobisi ze-psychotropic, ezichazwe ngokwemigangatho yesenzo kwiiklasi eziliqela. Omnye wabameli abakhulu beklasi ye-tricyclic anti-depressants yi-drug Amitriptyline. Nangona kunjalo, le nyeza, njengenye i-antidepressants, isinconywa nakweminye ingxaki. Cinga ukuba ngubani oboniswa ukusetyenziswa kwamacwecwe e-Amitriptyline, indlela esebenza ngayo, kunye nokuba yiyiphi impawu yokuthatha le nkunkuma.
Iimpawu zokusetyenziswa kwamacwecwe amitriptyline
I-Amitriptyline imiselwe ezi zilandelayo:
- ukuxinezeleka kwe-etiology eyahlukeneyo (i-endogenous, i-presenilic, i-drug, i-reactive, i-neurosis ephazamisayo ehambelana nomonakalo wengqondo yomzimba okanye utywala), ngokukodwa ihamba nexhala, ukuphazamiseka kokulala, inkulumo okanye ukuxhalaba kweemoto;
- schizophrenic psychoses;
- ukuphazamiseka kwengqondo yomhlobo odibeneyo;
- ukuphulwa kwengqalelo kunye nomsebenzi;
- ukulala (ngaphandle kwezigulane ezine-hypotension);
- bulimia nervosa ;
- i-anorexia nervosa;
- izifo zengqondo;
- isifo esibuhlungu esingapheliyo (iintlungu eziqhubekayo ezigulisa izigulane ezine-cancer, migraine, izifo ze-rheumatic, i-peripheral neuropathy - i-postherpetic, isifo sikashukela, njl.);
- Isilonda sesisu nesilonda sesibini (njengenxalenye yonyango oluyinkimbinkimbi);
- i-migraine (njenge-arhente yokukhusela).
Ukubunjwa kunye nesenzo samachiza se-Amitriptyline
Into esebenzayo yeziyobisi yi-amitriptyline hydrochloride. Izixhobo ezincedisayo:
- cellulose microcrystalline;
- lactose monohydrate;
- isitashi esandulela;
- i-silicon dioxide;
- i-magnesium stearate;
- i-talcum powder.
Ukongeza kwisiphumo sokuxhatshazwayo esiphumelelweyo ngokuthintela ukubuyiswa kwakhona kwama-neurotransmitters (i-noradrenaline, i-serotonin, njl. Njl), iyeza livelisa umphumo olandelayo:
- ukuguqulwa kwamanqaku;
- hypnotics;
- ukuxhalabisa;
- antihistamine;
- i-anesthetizing;
- kulula ukuvuselela;
- ukukhanya kwengqondo;
- antiulcer.
Njengomphumo wokusetyenziswa kwamacwecwe e-Amitriptyline kwizigulane:
- isimo sengqondo siphucula;
- ncitshisiwe okanye isuswe;
- kunciphise ukuxhalaba, ukukhathazeka kwengqondo;
- ukulala nokutya kuyabonakala.
Indlela yokusebenzisa amacwecwe e-Amitriptyline
Esi sidakamizwa sisetyenziswa ngokukhawuleza emva kokutya ngaphandle kokuhlafuna. Isisindo kunye nexesha lokumkela likhethwe ngabanye, kuxhomekeke ekuxilongweni nasekuxininiseni kwimeko, kunye nobudala beminyaka. Njengomthetho, unyango luqala ngamanani amancinci, ngokunyuka kancinci. Kwiimeko ezibuhlungu, i-amitriptyline inikezwa nge-injection okanye i-injection engena-intravenous kunye nokutshintshelwa kwiphepha lethebhulethi.
Ubude bexesha lokunyanga lusekelwe kwimeko yesigulane, ukuphumelela kwonyango kunye nokunyamezela kweziyobisi. Ngokuqhelekileyo, inkqubo yokwelapha ihlala kwinyanga ukuya kunyaka.