ʻO Lunaldin ke kolu o ke kolu o ka "ʻāpana o ka hoʻoweliweli o ka ʻeha." ʻO kēia ka mau analcics narcotic ikaika loa i hoʻohana ʻia e hōʻoluʻolu i ke kaumaha nui.
Inoa Kūʻai ʻole honua
Fentanyl.
![](http://img.diabetesentity.com/img/sayd-2020/1303/preparat-lunaldin-instrukciya-po-primeneniyu.jpg)
ʻO Lunaldin ke kolu o ke kolu o ka "ʻāpana o ka hoʻoweliweli o ka ʻeha."
ATX
ATX Code - N02AB03 - Fentanil.
E hoʻokuʻu i nā palapala a me ka ʻano
Loaʻa i ke ʻano o sublingual (no ka palu ʻana ma lalo o ka alana) nā papa o nā ʻāpana like ʻole (mcg) a me nā ʻano:
- 100 - hoʻopuni;
- 200 - ovoid;
- 300 - triangular;
- 400 - rhombic;
- 600 - semicircular (D-like);
- 800 - capsular.
Hoʻokahi papa papa i ka waiwai ikaika - fentanyl citron micronized a me nā mea kōkua hui.
Ke hana lāʻau lapaʻau o Lunaldin
Aia ka lāʻau lapaʻau i ka pūʻulu o opioid analgesics. Hoʻopili ka mea i nā mea hōʻemi µ-opioid, ka mea e hoʻokau ai i ka supraspinal (µ1 -ʻōlelo i ka hoʻomohala ʻana i ka hana o ka lolo) a me nā kuʻi (µ2-mana i ka hoʻoponopono o ka nano o ka mākeke) nā analgesia (ka hōʻemi o ka hōʻeha ʻana i ke kaumaha me ke kōkua o nā lāʻau lapaʻau).
Hoʻopili ka waiwai me ka synthesis o adenylate cyclase (AC) a me ka cyclic adenosine monophosphate (cAMP), kahi e hoʻopili ai i nā hōʻailona ma waena o nā synapses o nā kinipola nerve. Hoʻopilikia ka Fentanyl i ka polarization o nā membranes, ke hana o nā ʻāpana ion, e alakaʻi ana i ka hoʻoemi ʻana i ka hoʻokuʻu ʻana o nā palahalaha ʻeha.
ʻO ka mea ʻona nā ʻae ʻono, ʻaʻole wale i loko o ka lolo a me ka piʻi, akā, ma nā huakaʻi peripheral, nā lāʻau lapaʻau.
- kāpae i ka hana o ke kikowaena papa;
- hoʻonui i ke kani o nā hana humuhumu kikoʻī o ka urinary system, hoʻonui a pale paha i ka urination;
- nā kumu hele o ke kahe o ka tractary;
- hoʻonui i ka puʻuwai o ke aʻalake palupalu o ka gastrointestinal tract, e hoʻemi ana i ka pono o nā palu;
- hoʻōla i nā ipu peripheral;
- hoʻonāukiuki i ka hypotension a me ka bradycardia.
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Ua alakaʻi kēia hana i ke hoʻohana ʻana i ka lāʻau i loko o ka analgesic therapy o nā kūlana pathological, i hele pū ʻia me ka ʻeha a me ka hoʻomanawanui ʻole.
Lapaʻau lāʻau
Ua haʻi ʻia ka lāʻau lapaʻau i ka hydrophobicity, no laila e pāloʻi wikiwiki ʻia ana i ka waha wahaheʻe ma mua o ke kaomi ʻana o ka huina. Mai ka pae sublingual, e hoʻoiho ʻia i loko o 30 mau minuke. ʻO Bioavailability ʻo 70%. Loaʻa ka ʻike koʻikoʻi i ke koko o ka fentanyl me ka hoʻopuka ʻana o 100-800 μg o ka lāʻau ma hope o 22-24 mau minuke.
ʻO ka hapa nui o fentanyl (80-85%) e hoʻopaʻa ai i nā protein plasma, kahi e hana ai i kona hopena pōkole. ʻO ka nui o ka hoʻonuiʻana i ka lāʻau i ka waiwai, ʻo ia ka 3-6 l / kg.
ʻO ka biotransformation koʻikoʻi o ka fentanyl e hana ana ma lalo o ka mana o nā kinipola hepatic. ʻO ke ala nui o ka hoʻopuka ʻana mai ke kino me ka urine (85%) a me ka bile (15%).
ʻO ka hapalua hapalua o nā mea mai ke kino, mai 3 a 12,5 mau hola.
Nā hōʻailona no ka hoʻohana ʻana o Lunaldin
ʻO ka hōʻailona nui no ka hoʻohana ʻana iā Lunaldin ʻo ka lapaʻau maʻi ʻana i kahi hōʻailona hōʻeha i ka maʻi maʻi maʻi maʻi e loaʻa ana ka lāʻau opioid maʻamau.
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ʻO ka hōʻailona nui no ka hoʻohana ʻana iā Lunaldin ʻo ka lapaʻau maʻi ʻana i kahi hōʻailona hōʻeha i ka maʻi maʻi maʻi maʻi e loaʻa ana ka lāʻau opioid maʻamau.
Nā Hoʻohui
Hoʻopiʻi ka lāʻau ma:
- nā kūlana i hele pū me ka ʻeha hanu koʻikoʻi;
- maʻi maʻi pulmonary;
- ka hoʻokolohua ʻana i kahi lāʻau lapaʻau me nā monoamine oxidase (MAO) blockers a me kāna lawelawe hoʻomalu no ka manawa o ka haʻahaʻa ma mua o 2 mau pule ma hope o ka hopena o ka hopena;
- ka lawe ʻana i nā lāʻau i hui ʻia - antagonist a me agonists o nā ʻĀpio opioid;
- ahonui a hiki i 18 makahiki;
- kahi hopena kūlohelohe i nā mea kiko;
- ka nele o ka lāʻau opioid ma mua.
Me ka mālama pono
Manaʻo ʻia ka mālama aka ʻana i ka wā e kuhikuhi ai iā Lunaldin i nā mea maʻi e hoʻōli i nā hōʻike intracranial nui loa i ka nui o ka CO₂ i ke koko:
- hoʻonui mahihuahua intracranial;
- koma;
- pupule i maopopo;
- neoplasms o ka ʻōpala.
Pono e mālama nui ʻia i ka hoʻohana ʻana i ka lāʻau lapaʻau i ka mālama ʻia ʻana o ka poʻe me nā hōʻeha poʻo, nā mea hōʻike o bradycardia a me tachycardia. I ka poʻeʻelemakule a hoʻonāukiuki i nā mea maʻi, ka lawe ʻana i ka lāʻau lapaʻau hiki ke hoʻonui i ka hapalua o ke ola a me ka hoʻonui nui ʻana i nā mea kanu. Ma kēia pūʻulu o nā mea maʻi, pono ia e nānā i ke hōʻike ʻana o nā hōʻailona o ka hoʻohālikelike a hoʻoponopono i ka wī i lalo.
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I ka poʻe maʻi me ka maʻi emalela a me ka maʻi hepatic, hiki i ka lāʻau lapaʻau ke hōʻeha i ka nui o ka fentanyl i loko o ke koko (ma muli o ka hoʻonui o kona bioavailability a me ka pale ʻana o ka wehe). Pono e hoʻohana ʻia ka lāʻau lapaʻau me ka mālama nui loa i nā mea maʻi me ka:
- ka hypervolemia (hoʻonui i ka nui o ka plasma i loko o ke koko);
- haʻi maʻi
- nā hanaʻino a me ka hana ʻana o ka mukosa waha.
Ka helu ʻaina o Lunaldin
Hāʻawi i nā mea maʻi i ka hoʻomanawanui i nā opioids, e lawe ana i 60 mg o ka morphine a i ʻole a 25 μg / h o ka fentanyl. Hoʻomaka ka lāʻau lāʻau i ka hapa o 100 mcg, e hoʻonui mālie i ka nui. Inā pono i loko o 15-30 mau minuke. ma hope o ka lawe ʻana i kahi papa 100 microgram, ʻaʻole e pau ka ʻeha, a laila e lawe i kahi lua kekona me ka nui o ka waihona ikaika.
Hōʻike ka papa i nā ala hoʻohālike e pili ana i ka titration o kahi pāʻina o Lunaldin, inā ʻaʻole lawe ʻia ka hopena mua:
ʻO ka helu mua (mcg) | ʻO ka lua ʻaina (mcg) |
100 | 100 |
200 | 100 |
300 | 100 |
400 | 200 |
600 | 200 |
800 | - |
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Hoʻomaka ka lāʻau lāʻau i ka hapa o 100 mcg, e hoʻonui mālie i ka nui.
Inā ma hope o ka lawe ʻana i ka nui o ka hopena therapeutic, ʻaʻole i hoʻokō ʻia ka hopena analgesic, a laila ua kuhikuhi ʻia kahi pulu waena (100 mcg). Ke koho nei i kahi maʻa ma ka papaʻina o ka titration, mai hoʻohana i nā mea hou aʻe ma mua o 2 papa me kahi hōʻeha hoʻokahi. ʻO nā hopena ma ke kino o ka fentanyl i loko o kahi ana ma mua o 800 mcg e loiloi ʻia.
Me ka hōʻike ʻana o nā eha ʻehā mau eha o ka hōʻeha ʻeha i kēlā me kēia lā, e mau ana ma mua o 4 mau lā mau, he hoʻoponopono hoʻohālikelike ʻana i nā lāʻau lapaʻau o nā hana opioid hana lōʻihi. Ke hoʻololi nei mai kekahi analgesic i kekahi, hoʻoili ʻia ke ʻano hoʻokaʻina hou o ka nui ma lalo o ka mākaʻi ʻana o ke kauka a me kahi loiloi laboratorium o ke ʻano o ka mea maʻi.
Me ka haʻalele ʻana o ka ʻeha paroxysmal, ua hoʻokuʻu ʻia ʻo Lunaldin. Hoʻopau ʻia ka lāʻau lapaʻau, hoʻoiho i ka dosage i ʻole e waiho i ka helehelena o ka maʻi withdrawal.
Me ka maʻi diabetes
Me nā analgesia Lunaldin, ua ʻōlelo pū ʻia nā mea maʻi me ka maʻi maʻi e hoʻohana pū ʻia ana e hoʻohana me Propofol a me Diazepam.
Kahi ʻia ka nānā ʻana o nā lāʻau lapaʻau.
Nā hopena hopena
I ka wā mālama, ʻike pinepine ʻia nā hopena ʻehā:
- luhi;
- hiamoe
- hōʻeha a me ka ʻeha;
- hyperhidrosis;
- ninini
Me nā like ʻole, ua hōʻike ʻia nā hopena ʻino mai nā ʻōnaehana like o ke kino ma kahi e kulu ʻia ai nā mea ʻalaʻawa.
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ʻŌpala Gastrointestinal
Hiki i ka lāʻau lapaʻau ke loaʻa kahi hopena pale i ka motility intestinal a lilo i constipation. Eia kekahi, ua hilahila ʻia nā mea aʻe:
- ka malo maloʻo
- ʻeha ma loko o ka ʻōpū;
- nā maʻi kūlohelohe;
- ʻeha nā huapuni;
- ke kālai;
- ka puka ʻana o nā ʻōpala ma ka mucosa waha;
- kuʻe o ka hana o ke ʻai;
- anorexia.
ʻOi ka maʻamau ka nui o ka hoʻomoʻi ʻana i ka mīkiniea, hoʻoili i ka pua a me ka lemulewa.
Pūnaehana pīhoihoi waena
Mai ka pūnaehana neʻe i waena pinepine:
- asenaiia;
- Hōʻikeʻike
- ʻōpala
- kuʻe o ka hoʻāʻo, ʻike ʻia, ʻike noʻonoʻo;
- nā hana hoʻonaninani;
- delirium;
- pupule o ka ike;
- nā po;
- kahi hoʻololi mālie i ka helehelena;
- ua hoʻonui nui i ka hopohopo.
ʻOi aku ka liʻiliʻi o ka ʻike ʻike.
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Mai ka pūnaehana urinary
ʻO ka hopena o Lunaldin ma ka urinary system receptors e hoʻonui i ka leo o nā ʻalika palupalu, ka mea i hele pū ʻia e ka maʻi o ka urination - hoʻonui ʻia a hoʻohemo paha i ka hopena o ka urine, spasm o ka pākahi, oliguria.
Mai ka papa huhū
Hoʻomaopopo pinepine ʻia:
- ʻo ke koʻi;
- ihu holoole;
- pharyngitis.
Hōʻai pinepine, maʻamau ka bronchial asthma, hypoventilation o nā māmā, hopu i ke ea, hemoptysis.
Mai ka pūnaehana cardiovascular
Hiki i nā mea pili ke kulekele:
- orthostatic collaps;
- ka hoʻomaha iki ʻana o nā pā o nā kahe koko (vasodilation);
- Nā kuikahi;
- helehelena ʻulaʻula;
- arrhythmia.
Hiki i ke kūleʻa o nā helehelena ke hōʻike iā lākou iho he mau hypotension arterial, contractoc myocardial incaired, sinus rhythm of the heart (bradycardia) a i ka hoʻonui pinepine ʻana o ka naʻau (tachycardia).
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Allergies
Hiki ke ʻano o ka ʻano maʻi me ka ʻaha o ka:
- nā ʻike kino - ʻeha, ka ʻeha;
- ʻulaʻula a me ka ʻūhū ʻana ma ka wahi ʻōlelo.
I nā maʻi me nā pilikia o ka pūnaehana hypobiliary, colary biliary, kahi hōʻino o ka puka ʻana o ka bile, hiki ke hoʻomaopopo ʻia. Me ka hoʻohana lōʻihi, hoʻomohala ʻia, ka manaʻo noʻonoʻo a me ka pili kino (hiki i ke ʻano). Hiki ke hopena maikaʻi aʻe i ke kino i ka hōʻeha a me ka hoʻohaʻahaʻa i ka libido.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
Hiki i ka lāʻau lapaʻau ke hoʻopilikia kino i ka pūnaehana neʻe o loko a me nā ʻōpū o nā naʻau, no laila i ka wā mālama e pono ai ʻo Lunaldin e hōʻole i ka lawe ʻana i nā kaʻa, ka hana me nā hana a me nā hana hana e pono ai ka makaʻala, wikiwiki ka hoʻoholo i nā hoʻoholo a me ka hana ʻike.
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Hiki i ke lāʻau lapaʻau ke hoʻopilikia kino i ka ʻoihana sentral a me nā ʻōpū huna, no laila, i ka wā o ka ʻoihana me Lunaldin, pono ʻoe e hōʻole i ka hoʻokele i nā kaʻa.
Nā ʻōlelo kikoʻī
Me ka lōʻihi o ka lāʻau me ka opioid analgesics, pono e mālama ʻia nā ʻōkuhi i hāʻawi ʻia i nā ʻōlelo no ka lāʻau lapaʻau. Pono e aʻo ʻia nā poʻe mālama i ka mea maʻi i nā hiʻohiʻona o ka hopena o ka lāʻau lapaʻau ma nā ʻōnaehana like ʻole a me ka hiki o ka overdose. Pono lākou e hāʻawi i ke kōkua mua i ka hihia o nā hoʻohālikelike.
Hoʻohana i ka wā kahiko
I ka poʻe o nā makahiki holomua (ma muli o ka emi o ka nui o ka metabolic a me ka hoopau ʻana i ka lāʻau), hiki ke nānā ʻia nā hōʻailona o ka inu. No laila, i ka wā e kuhi nei i kahi hapa o ka lāʻau lapaʻau, pono ia e noʻonoʻo i ka kūlana o ke kino a me nā ʻano o nā makahiki.
Koha i na keiki
ʻAʻole i kuhikuhi ʻia no nā keiki ma lalo o ka makahiki 18, ʻoiai ʻo ia ma waho, no ka mālama ʻana i ka maʻi ʻehaʻeha, ʻoi ʻia ka fentanyl e hoʻohana ʻia mai ka makahiki 1 ka makahiki.
Hoʻohana i ka wā hāpai a me ka lactation
ʻO ka lawe ʻana i kahi lāʻau lapaʻau e pono ai i kahi hoʻoholo kaulike. ʻO ka lōʻihi o ka lāʻau me ka lāʻau lapaʻau i ka wā hapai hiki ke hoʻihoʻi i ka hānai. Hoʻomaopopo ka lāʻau lapaʻau i ka pale o ka placental, a me kāna hoʻohana i ka wā hānau o ka hānau ʻana he mea pōmaikaʻi no ka hana ʻana i ka maʻi o ka pūpū a me ka pēpē.
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Loaʻa ka lāʻau lapaʻau i ka umauma umauma. No laila, ʻo kāna koho i ka wā o ka umauma hiki ke alakaʻi i ka hāʻule ʻana o nā mea hanu o ka pēpē. ʻO ka lāʻau lapaʻau i ka lactation a me nā manawa gestational i kuhikuhi wale nō i ka wā o nā pono o kāna hoʻohana e ʻoi aku ma mua o nā pilikia no ke pēpē a me ka makuahine.
Ke noi no ka hana renal haukapole
Ma muli o ke ala nui o ka ʻāʻī o ka lāʻau lapaʻau a me kāna mau metabolites me ka urine, inā paha ka hopena o ka renal functioning, kahi hoʻolōʻihi i kona ʻāʻī ʻana, hōʻiliʻili i ke kino, a me ke hoʻonui ʻana i ka wā hana. Pono kēlā mau maʻi e kaohi o ka puna plasma o ka lāʻau a me ka hoʻoponopono o ka nui me ka hoʻonui ʻana i kāna nui.
Hoʻohana no ka hana lawelawe lēwa
Ua hoʻōla ʻia ka lāʻau lapaʻau me ka hua bile, no laila, me ka pathology ate, he colic hepatic, ka lōʻihi o ka hana o ka waiwai e hiki mai, a inā e hāhai i ka papa hana o ka lāʻau lapaʻau, hiki ke kau i kahi overdose. No kēlā mau mea maʻi, pono e mālama ʻia ka lāʻau lapaʻau me ka akahele, ka nānā ʻana i ke ʻano o ka manawa a me ka dosis i helu ʻia e ke kauka, a me ka hoʻomaʻamaʻa maʻamau.
Ke keu
Ma kahi o kahi overdose o Lunaldin, nui nā hopena o ka hypotension a me ka hanu kaumaha loa, a hiki i kona hoʻopau. ʻO ke kōkua mua no ka overdose ka:
- hoʻomaikaʻi a me ka hoʻomaʻemaʻe ʻana o ka waha waha (sublingual space) mai nā koena o ka papa;
- ka loiloi o ka hiki ʻana o ka mea maʻi;
- hoʻomaha ʻana i ka hanu, a hiki i ka intubation a me ka hoʻoili kino ʻana i nā māmā;
- ka mālama ʻana i ke ʻano kino;
- ka hoʻolauna ʻana i ka wai e hana ai no kona nalowale.
The antidote to opioid analgesics ʻo Naloxone. Akā hiki ke hoʻohana ʻia i ka hoʻopau ʻana i ka overdose i loko o nā poʻe i hoʻohana ʻole i nā opioids ma mua.
Me ka hypotension koʻikoʻi, mālama ʻia nā lāʻau hoʻoliʻi i ka wai e hoʻomaʻamaʻa i ke koko.
![](http://img.diabetesentity.com/img/sayd-2020/1303/preparat-lunaldin-instrukciya-po-primeneniyu-63.jpg)
The antidote to opioid analgesics ʻo Naloxone.
Hoʻopili pū me nā lāʻau ʻē aʻe
Hoʻomomi ka lāʻau lāʻau e nā enzyme o ka naʻau, no laila nā lāʻau lapaʻau e hoʻopilikia ai i kā lākou hana (Erythromycin, Ritonavir, Itraconazole) e hoʻonui i ka bioavailability o ka lāʻau a alakaʻi i kahi lōʻihi o ka hopena.
ʻO ka hui pū me nā analgesics, antipsychotics, nā pōkole hiamoe a me nā sedatives e hōʻeuʻeu i ka hopena o ka pale ʻana a me ka hopena hoʻomaha, hana i ka hana hanu, kahi hāwau o ke koko. No laila, ua hoʻohana nui ʻia kā lākou hui me ka mālama nui.
ʻAʻole kūkākūkā e lawe i nā antagonist / agonists o nā ʻĀpio opioid i ka manawa like me ka lāʻau lapaʻau, no ka mea i nā poʻe maʻi e hoʻohana nei i kēia lāʻau lapaʻau i ka manawa lōʻihi, ʻo kēia hui pū kekahi e hoʻihoʻi i nā hōʻailona haʻalele.
Hoʻolaha ka waipuna
Hoʻonui ka huaʻai Ethyl i ka hopena sedative o ka lāʻau, no laila, ʻaʻole i ʻōlelo ʻia ka hoʻohui ʻana i ka lāʻau lapaʻau me nā mea inu ʻawaʻawa.
Nā kuʻina
ʻO ka hoʻohālikelike ʻana o Lunaldin:
- Dolforin;
- Fentavera;
- Matrifen;
- Kauika
- ʻOkiʻoki.
Waihue huaʻōlelo waiho nā huaʻōlelo
Ma ke kumu.
Hiki iaʻu ke kūʻai me ka loaʻa ʻole o ka hōʻailona?
ʻAʻohe.
Uila no Lunaldin
I Lūkini, kahi kumukūʻai lāʻau mai 4000 rubles. no 10 mau papa Helu 100, 4500 rub. no ka welu no 200 a me 5000 mau rubles. no ka helu 300.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Aia ka lāʻau lapaʻau ma ka papa inoa o A A, a pono e mālama ia i loko o kahi keʻena pani paʻa, kahi mamao loa mai nā keiki i ke kūmaha lumi.
ʻO ka lā kau
ʻAʻole iʻoi aku i nā makahiki 3.
![](http://img.diabetesentity.com/img/sayd-2020/1303/preparat-lunaldin-instrukciya-po-primeneniyu-64.jpg)
Mālama ʻia ka lāʻau lapaʻau no ʻaʻole ʻoi aku o 3 mau makahiki.
Mea hana
"Recipharm Stockholm AB", Suetena.
Hoike e pili ana iā Lunaldin
ʻO Tatyana Ivanova, 45 makahiki, Pskov: "He mākaukau maikaʻi loa. Ua kōkua maikaʻi ʻo ia ma hope o ka hana ʻana. He ikaika loa nā hōʻeha a ʻaʻohe mea nāna i kōkua. ʻO ka lawe wale ʻana iā Lunaldin ua hoʻopakele iaʻu i ka ʻeha."
ʻO Mikhail Prokopchuk, 48 makahiki, emerovo: "Hana wau ma ke ʻano he mea hoʻohālike i ka hale haukapila liʻiliʻi. Ma kaʻu hana, pinepine wau i ka hoʻohana ʻana i ka anesthesia me Lunaldin. He lāʻau lapaʻau maikaʻi ka mea i hōʻoia ai i kona palekana a me ka hana pono. "
ʻO Ekaterina Filippova, 36 makahiki, ʻo Kostroma: "Ua hōʻeha nui koʻu makuahine i ka ʻeha ma ka ʻōpū ʻana o ka colorectal. A hiki i ka lā hope loa, hoʻopakele wale ʻia nā make o Lunaldin. ʻAʻohe pono no ka inikua, kahi paila ma lalo o ka alelo, a wikiwiki ke kaumaha."