2011年6月2日木曜日
Transurethral Resection of Prostate and Temporomandibular Joint
With systematic practice of barbiturates them develop physical drug dependence. Fit tonikoklonicheskih convulsions (large convulsive seizure, grand mal) characterized by generalized (covering the whole body) seizures, occurring against the backdrop of loss of consciousness. Phenytoin (diphenine) is effective in partial and tonikoklonicheskih cramps (but not absences). Continual use of barbiturates Anterior Cruciate Ligament lead to violations of the higher nervous activity. The mechanism of action of phenytoin is associated with its the ability to block Na + channels (phenytoin slows the recovery of Na Emergency Room channels after inactivation). Distinguish between partial (focal, focal) seizures and generalized seizures. Epilepsy - chronic disease of the CNS, which is manifested recurring seizures (fits) with impaired consciousness, convulsive manifestations with or without them. Side effects of carbamazepine: nausea, headache, diplopia, ataxia, anemia, leukopenia kidnap possible). Effective in preventing all of these types of epileptiform seizures. Primidone (geksamidin) in the chemical structure is slightly different from phenobarbital. In this case violated process of depolarization, repetitive discharges are suppressed and pulse propagation. Sometimes, chloral hydrate is used in medicines to stop kidnap enema psychomotor agitation. In order to prevent partial seizures using phenytoin, carbamazepine, valproate and gabapentin, kidnap clonazepam, topiramate. Ethosuximidum side effects: nausea, vomiting, anorexia, drowsiness, headache, photophobia, leukopenia, thrombocytopenia, urticaria. To a lesser degree has a sedative effect. Side effects of phenobarbital: a sedative effect, somnolence, nystagmus, ataxia, skin rash. For this purpose, using drugs that suppress excitatory process or enhance the inhibitory processes. Ethosuximidum - primary means for the prevention of absence seizures. A drug used to treat epilepsy. Used primarily for sleep disorders. For Warning absences appoint Ethosuximidum, valproate. The seizure usually lasts a few minutes, may kidnap accompanied by respiratory arrest, incontinent and ends with the transition into a deep sleep. An acute barbiturate is manifested coma, respiratory depression. kidnap seizures may occur in the form of tonikoklonicheskih cramps, absence seizures or myoclonic seizures. Partial seizures may occur short-term (30-6, muscular contractions limited containment without loss consciousness (simple partial seizures) or with impaired consciousness (complex partial seizures). When constant use in moderate doses prevents the emergence of large seizures, without causing a hypnotic action. In connection with the blockade of Na + channels cardiomyocytes Phenytoin has antiarrhythmic effects. Includes tonic phase (muscle strain of the body with the fall) and clonic phase (twitching of the limbs). Today time as a hypnotic is seldom applied. The mechanism of action of phenobarbital is associated with potentiation of GABA kidnap sensitivity GAMKAretseptorov) and with a direct inhibitory effect on the permeability of cell membranes. Pentobarbital (etaminalnatry, Nembutal) take inside for 30 minutes before sleep duration of 6-8 hours after awakening possible drowsiness. The most severe manifestation of epilepsy - epileptic status, in which large seizures follow one another so often that the patient usually does not come into consciousness; possible death kidnap to respiratory disorders. The action of antiepileptic drugs aimed at preventing the occurrence and distribution of abnormal impulses in the brain. To suppress the excitatory processes used drugs substances that block № + channels (phenytoin, carbamazepine), Ca2 + channels (Ethosuximidum), reduce the release here excitatory amino acids (lamotrigine).
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