Kuru >> Zvinodhaka Info >> Chinyorwa chebharbiturates: Zvishandiso, zvakajairika zvigadzirwa, uye ruzivo rwekuchengetedza

Chinyorwa chebharbiturates: Zvishandiso, zvakajairika zvigadzirwa, uye ruzivo rwekuchengetedza

Zvinodhaka Info

Bharbiturates ave achishandiswa mumakiriniki ekurapa kweanopfuura makore zana. Mashandisiro avo ave akaganhurirwa mumakumi emakore apfuura nekuda kwekunetseka kwakabatana nemhedzisiro uye mukana wekushungurudzwa. Parizvino, mabarbiturate anonyanya kutaurwa nezvekushushikana kwekubata uye kushushikana kwemusoro, kazhinji muzviitiko kana dambudziko rekurapa risina kudzorwa zvakakwana nenzira dzakachengeteka. Iri gwaro rinosanganisira rondedzero yeanonyanya kuteedzerwa barbiturates uye ruzivo nezve kuchengetedzeka kwavo uye mutengo.

Chinyorwa chemabarbiturates
Zita remishonga	Avhareji yemari mutengo	SingleCare kuchengetedza	Dzidza ZVIMWE
Generic phenobarbital	$ 56 pa60, 16.2 mg mahwendefa	Tora phenobarbital coupons	Phenobarbital ruzivo
Bupap (butalbital-acetaminophen)	$ 234 pamakumi matatu, 50-325 mg mapiritsi	Tora Bupap coupons	Bupap ruzivo
Fioricet, Esgic, Bac, Zebutal, Vtol LQ (butalbital-acetaminophen-caffeine)	$ 162 pamakumi matatu, 50-300-40 mg capsules	Tora butalbital-acetaminophen-caffeine coupons	Butalbital-acetaminophen-caffeine ruzivo
Generic butalbital-aspirin-caffeine	$ 42 pamakumi matatu, 50-325-40 mg makapisi	Tora butalbital-aspirin-caffeine coupons	Butalbital-aspirin-caffeine ruzivo
Fioricet / Codeine (butalbital-acetaminophen-caffeine-codeine)	$ 437 pamakumi matatu, 50-300-40-30 mg makapisi	Tora Fioricet / Codeine coupon	Fioricet / Codeine ruzivo
Fiorinal / Codeine (butalbital-aspirin-caffeine-codeine)	$ 85 pamakumi matatu, 50-325-40-30 mg makapisi	Tora Fiorinal / Codeine coupons	Fiorinal / Codeine ruzivo

Mamwe mabarbiturates

Nembutal (pentobarbital) inoshandiswa pakubata kurapwa uye kunyaradza muzvirongwa zvechipatara.
Brevital (methohexital) uye Amytal (amobarbital) anoshandiswa kugarisa muchipatara.
Seconal (secobarbital) inoshandiswa kudzikamisa varwere vasati vavhiyiwa.

Chii chinonzi barbiturates?

Bharbiturates kirasi yemishonga, yakavakirwa pamubereki mubatanidzwa barbituric acid uye anoshandiswa kune yakashomeka nhamba yemitsipa mamiriro. Ivo vanoonekwa sevanonyaradza kana vanoora mwoyo, uye chivakwa ichi chinotsanangura zvimwe zvekushandisa kwavo pamwe nemhedzisiro yavo. Aya epakati nervous system (CNS) depressants yaishandiswa kune zvepfungwa mamiriro mukati meakawanda ekutanga uye epakati pezana ramakumi maviri emakore. Uku kushandiswa kwakadzikiswa apo matambudziko nevarwere vachiva vanovimba nebarbiturates yakazozivikanwa zvakanyanya. Iyi mishonga inogona kushungurudzwa nekuda kwavo kwekunyaradza-hypnotic mhedzisiro, iyo yakawedzera kudzikisira zvavakatemerwa.

Bharbiturates inoshanda sei?

Bharbiturates inoshanda nekunyaradza mashandiro emaseru emitsipa muuropi nekusunga kune inogamuchira uye nekuwedzera chiitiko cheuropi neurotransmitter GABA. Tsinga maseru anoshanda nekutumira masaini emagetsi kune mumwe nemumwe, uye mabhariti anoderedza mashandiro emagetsi emaseru aya. Nekudaro, iyi mishonga inogona kunyatso shandiswa kumamiriro ezvinhu kana maseru etsinga anyanyisa kushanda, senge pfari, uye nguva apo kuderedzwa kwehuropi chiitiko kunobatsira, senge panguva yekuvhiya sedation. Kunyangwe ivo vachigona kuve vanoshanda kwazvo, chinetso ne barbiturates ndechekuti iyo muyero uyo unogona kuve nemhedzisiro inobatsira kazhinji padyo nedosi iyo inogona kuve ine njodzi, uye zvinoenderana nemimwe mishonga kana mamiriro ehutano ane munhu, iwo madosi anogona zvinonetsa kufanotaura.

Chii chinonzi barbiturates chinoshandiswa?

Pfari : Phenobarbital inogona kushanda seyakareba-inoshanda anticonvulsant kune ese akajairwa uye akakosha kufenda. Pentobarbital inogona kushanda seyepfupi-inoshanda anticonvulsant munzvimbo yechipatara.
Kunetsekana musoro musoro: Butalbital makomputa anogona kushandiswa pachiratidzo ichi.
Kuvhiya anesthetic uye kwakakomba kuchengetedza sedation: Pentobarbital uye methohexital zvakashandiswa nenzira iyi.
Kuderedza zviratidzo zvekudzora zvinodhaka munzvimbo yepachipatara: Phenobarbital inoshandiswa zvisingaite pachinangwa ichi.

Ndiani anogona kutora barbiturates?

Vakuru: Vakuru vanogona kupihwa mishonga iyi kwenguva pfupi uye kwenguva refu kurapwa kwekugwinha uye kunetsekana musoro.

Vakuru: Nepo vakuru vakura vachigona kunyorerwa iyi mishonga zvakare, barbiturates akanyorwa seimwe yemishonga ine njodzi zvakanyanya kuzera iri. Iko kunetseka kunotenderedza njodzi yakakwidziridzwa yemhedzisiro. Iyo 2019 American Geriatric Society Beers Criteria yevakuru vakura inotaura kunetseka kukuru kwekusamira panyama, kushivirira kwekurara mhedzisiro, uye kuwandisa.

Vana: Vana vane pfari vanogona kunyorerwa barbiturates. Hyperactivity mhedzisiro ndeye kunetsekana kwevana. Iko kushandiswa kwemishonga iyi yevana vane kusagadzikana nemusoro kunowanzo dzivirirwa. Vacheche vachangobuda kubva kumaopiates kana zvimwe zvinodhaka vanogona kupihwa phenobarbital muchipatara.

Vakadzi vezera rekubereka: Vakadzi vane mukana wekubata pamuviri vanowanzopihwa mazano maererano nekudiwa kwekudzivirira kubata pamuviri pavanotora mabhariti kana kunyorera imwe nzira yekurapa.

Kune barbiturates yakachengeteka here?

Bharbiturates ane akawanda enjodzi dzinogona pamwe nekushandisa kwavo, kusanganisira zvese zvenguva pfupi-uye refu-refu huturu. Kushandiswa kwavo kwakachengeteka kunoda kutarisisa kwehutano hwemunhu hwakasarudzika hunosanganisira zera, mamwe mamiriro ehutano, nemimwe mishonga.

Kana phenobarbital iri kutorwa, kuongororwa kweropa kunoongororwa nguva dzese. Phenobarbital mazinga muropa anoongororwa kuti aone kana iyo dosing ichida kugadziriswa. Ropa masero kuverenga, kuyerwa kwechiropa, uye kuyedzwa kweitsvo kunoongororwa kutarisa mhedzisiro uye matambudziko anoenderana mamiriro ehutano. Mune zvimwe zviitiko zvekushandiswa kwebutbital, kuongororwa kweropa kunoitwawo kuongorora izvi mhedzisiro.

Kushandisa zvisizvo, kubvisa, uye kuwandisa

Barbiturates inogona kushungurudzwa. Nhoroondo, barbiturate kushungurudzwa kwave kwakapararira zvakakwana kuti uwane Seconal (secobarbital) uye Nembutal (pentobarbital) iwo mumugwagwa mazita madhimoni matsvuku uye ejaketi ejena. Iyi inodzvinyirira uye yekunyepedzera mishonga inozivikanwa sevanodzika pasi uye goofballs.

Kana mabarbiturate akatorwa nguva dzose obva amira kamwe kamwe, zvine ngozi kubvisa zviratidzo sekubatwa kunogona kuitika. Vanopa hutano vangakurudzira zvishoma nezvishoma kubva pamushonga.

Bharbiturate overdose inogona kuuraya, zvichibva pane zvainoita seyakaora moyo kune yekufema uye yemoyo masisitimu.

Kudyidzana

Bharbiturates inopindirana nerwendo rurefu rwemamwe madhiragi nekuda kwavo metabolism muchiropa. Mukugadzika kwekutora barbiturates uye mimwe mishonga, mimwe mhedzisiro yemishonga inogona kukwidziridzwa asi imwe ichideredzwa. Chero mushonga unokonzera kuneta kana kugadzikana ( semuenzaniso benzodiazepines, opioid, uye mapiritsi ekurara ), pamwe nezvinodhakwa zvisiri pamutemo nedoro, zvinogona kuva nenjodzi zvakanyanya kana zvikatorwa pamwe chete nebhariti. Izvo zvakasanganiswa sedative mhedzisiro zvinogona kuburitsa kutyisidzira hupenyu mukufema.

Kubva pane yavo tsika yekudzora calcium uye vhitamini D mazinga, barbiturates inogona kukonzera kushomeka kwemapfupa kana ichishandiswa kwenguva yakareba. Mune aya mamiriro, vatapi vezvehutano vanogona kukurudzira kuwedzerwa kudya kwecalcium uye vhitamini D.

Yambiro

Butalbital ndeimwe yemishonga yakawanda inosanganisirwa mumatafura akasanganiswa neacetaminophen, mushonga une nhema bhokisi yambiro kubva kune iyo FDA yezve mukana wekukundikana kwechiropa ne overdosage. Zvakawanda zvakajairika kukosora uye kutonhora mishonga mimwe mienzaniso yemishonga yekubatanidza iyo inosanganisira acetaminophen. Tylenol (acetaminophen) kudarika kwetsaona kunogona kuitika kana munhu akatora Tylenol pamwe nezvimwe zvigadzirwa zvine acetaminophen, senge barbiturate butalbital musanganiswa mapiritsi akafanana Fioricet uye Esgic .

Barbiturate anoyeuka

Mhuka uye zvemhuka mafomu e phenobarbital uye musanganiswa phenobarbital / amitriptyline (2/8/2018)

Kurambidzwa kweBarbiturate

Iyi mishonga haifanirwe kutorwa nevanhu vane nhoroondo yepamberi yekusagadzikana kweye barbiturates kana zvimwe zvikamu zvemapiritsi. Izvo zvinofanirwawo kudzivirirwa nechero munhu ane chirwere chakakomba chechiropa, kunetseka kufema, uye porphyria.
Kunyanya kunyevera kunodiwa kune varwere vane chero eanotevera mamiriro.
- Zvinetso zvechiropa
- Zvinetso zveitsvo
- Zvinetso zvemwoyo
- Anemia
- Utachiona hwakanyanya
- Kuderedza kusvinura kwepfungwa
- Kushungurudzika
- Chirwere cheshuga
- Isingashande adrenal glands
- Nhoroondo yekushandisa zvinodhaka
- Kunwa doro zvakanyanya
Vakadzi vane mukana wekubata pamuviri pamwe nevakuru vakuru vanowanzo yambirwa nezve kushandiswa kwe barbiturates.

Unogona here kutora barbiturates kana uine pamuviri kana kuyamwisa?

Mukuzvitakura, barbiturates inogona kukonzera kukuvadza kune fetus. Saizvozvowo, mamwe mishonga inowanzo kutsvaga. Mune mamwe mamiriro ezvinhu kana pasina imwe nzira inogamuchirwa iripo uye njodzi dzichinzi dzinogamuchirwa nemupi wezvehutano uye murwere, zano rekurapa rinogona kunge riri rekuenderera nemushonga webarbiturate.

Vanamai vanoyamwisa vanofanirwa kuziva kuti mabhariti anogona kuwanikwa mumukaka wemuzamu wamai vanotora mishonga iyi. Izvi zvinogona kuisa njodzi kumwana kusanganisira sedation. Mwana akafumurwa kwenguva refu kune mabhariti emukaka wemuzamu anogona kuona zviratidzo zvekudzoka kana amai vakangoerekana varega kutora barbiturate mishonga.

Mabarbiturates anodzorwa zvinhu here?

Ehe, mazhinji barbiturate mafomati ari zvinhu zvinodzorwa .

Secobarbital uye pentobarbital, uye DEA Chirongwa II zvinodhaka.
Butalbital inowanzo kuve DEA Chirongwa III chinodhaka, zvinoenderana nefomu yekubatana.
Phenobarbital uye methohexital ndiwo DEA Chirongwa IV zvinodhaka.

Zvakajairika mhedzisiro mhedzisiro yebarbiturates

Kushungurudza, kurutsa, kana kuvimbiswa
Yakaderedzwa mapfupa emagetsi nekushandisa kusingaperi
Hyperactivity, kunyanya muvana
Mapundu kana mikoko
Kurwadziwa
Kuzvimba
Kukanganiswa kwekurara
Dzungu
Kutemwa nemusoro
Kunzwisisa kwezuva
Mativi mhedzisiro yemishonga inouya yakasangana nemabarbiturate inofanira kucherechedzwa, kusanganisira acetaminophen , caffeine, asipurini , uye codeine

Yakakomba mhedzisiro mhedzisiro yebarbiturates

Kukotsira kana kuneta
Yakabatana, tendon, kana kukuvara kweganda
Kufuridzira kushushikana (kuderedzwa kufema)
Ropa maseru kusagadzikana
Pfungwa dzekuzviuraya
Kushungurudzika
Porphyria kuwedzera
Ropa rakavhara
Kukuvara kwechiropa
Kutsamira panyama pamushonga
Kuregera kana kwakamira kamwe kamwe mushure mekushandisa kusingaperi
Yakaderedzwa kurova kwemoyo kana BP, kunyanya nekushandisa intravenous
Allergic reaction, inogona kunge yakanyanya seStevens-Johnson Syndrome
Kuvhiringidzika kana kuona zvisizvo
Kufenda

Marii yakawanda sei yemabharbiturati?

Phenobarbital parizvino inowanikwa chete seyakajairika mushonga, uye yayo yepakati mari mutengo unowanzoita kunge $ 56. Medicare Chikamu D uye Medicare Kubatsira kufukidza uyu mushonga. Mutengo wacho unosiyana neinishuwarenzi yekuvhara. Coupons for phenobarbital anowanikwa kubva kuSingleCare. Paunenge uchishandisa SingleCare, unogona kubhadhara isingasvike $ 20 ye phenobarbital.

Iko kusanganiswa kwakasiyana-siyana kune butalbital kunowanikwa mune zvakajairika uye mafomu ezita-zita uye zvinowanzoita pakati pe $ 42 ne $ 437. Mamwe maMedare uye einishuwarenzi ehutano zvirongwa zvemishonga zvinogona kuvhara mishonga yebutalbital SingleCare inopa macouponi e Fioricet , Esgic , Tireyi , Zebutari , Vtol LQ , uye zvakajairika mafomati ebutalbital kubatsira mukutsvaga mutengo unodhura. Iwe unogona kuwana dhisikaundi inosvika ku80% neSingleCare. Vakasununguka Imwe kadhi inonyorwa yakaderedzwa kadhi inogona zvakare kubatsira nekuchengetedza kwezviuru zvemimwe mishonga yemishonga.