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- Tu anamnezSi gaqvT epilefsiuri Setevebi- Tu bolo dros gadaitaneT miokardiumis infarqti (gulis Seteva), an TugaqvT gulis SegubebiTi ukmarisoba, an arakontrolirebadi hipertenzia(maRali wneva)am situaciaSi mkurnaloba unda Catardes mkacri meTvalyureobis qveS daregularulad Sefasdes alcebas klinikuri sargebeli Tqveni eqimis mier.Tu gaqvT Tirkmlis ukmarisoba (Tirkmlis problemebi), Tqvenma eqimma mkacrad undaakontrolos Tirkmelebis funqcia da saWiroebis SemTxvevaSi Sesabamisaddaareguliros memantinis dozebi.Tavidan unda iqnas acilebuli preparatebis - amantadinis (gamoiyeneba parkinsonisdaavadebis samkurnalod), ketaminis (ZiriTadad gamoiyeneba saanesTezio saSualebissaxiT), deqstrometorfanis (ZiriTadad gamoiyeneba xvelis samkurnalod) da sxva N-meTil-D-asparatis receptorebis antagonistebis erTdrouli gamoyeneba.alceba ar aris rekomendirebuli bavSvebsa da 18 wlamde asakis mozardebSigamosayeneblad.sxva preparatebTan urTierTqmedebagTxovT acnoboT eqims, an farmacevts Tu iRebT, an bolo dros iRebdiT raime sxvasamkurnalo saSualebas ureceptod gasacemi preparatebis CaTvliT.alcebam gansakuTrebiT SesaZloa Secvalos Semdegi preparatebis efeqti da maTidozis regulireba unda moxdes eqimis mier:amantadini, ketamini, deqstrometorfan dantroleni, baklofen cimetidini,ranitidini, prokainamidi, qinidini, qinini, nikotin hidroqloroTiazidTan (annebismieri kombinacia hidroqloroTiazidebTan), antiqolinerguli saSualebebi(substanciebi, romlebic ZiriTadad gamoiyeneba moZraobis darRvevebis, annawlavebis spazmis samkurnalod), antikonvulsantebi (substanciebi, romlebicgamoiyeneba Setevebis prevenciisa da SemsubuqebisaTvis), barbituratebi(substanciebi, romlebic ZiriTadad gamoiyeneba Zilis mosawesrigeblad),dopaminerguli agonistebi (iseTi substanciebi rogorebicaa L-dopa,bromokriptini), neirolefsurebi (substanciebi, romlebic gamoiyeneba mentaluridarRvevebis samkurnalod), peroralurad misaRebi antikoagulantebi.Tu waxvalT saavadmyofoSi acnobeT Tqvens eqims, rom iRebT alcebas.alcebas miReba sakvebTan da sasmelTan erTadTqven unda acnoboT eqims Tu bolo dros SecvaleT, an apirebT arsebiTadSecvaloT dieta (mag. normaluri dietidan gadadixarT vegetarianul dietaze), anTu gaqvT Tirkmlis tubuluri acidozi (Tirkmlis disfunqciis gamo sisxlSimJavas warmomqmneli substanciis gadasvla (Tirkmlis ukmarisoba)), an saSardegzebis mwvave infeqciuri daavadebebi, radgan Tqvenma eqimma SesaZloa saWirodCaTvalos preparatis dozis Secvla.orsuloba da ZuZuTi kvebanebismieri preparatis miRebamde hkiTxeT rCeva eqims, an farmacevts.uTxariT eqims Tu xarT orsulad, an Tu apirebT daorsulebas. memantinisgamoyeneba ar aris rekomedirebuli orsulobisas.alcebas miRebis dros qalebma Tavi unda aaridon ZuZuTi kvebas.
satransporto saSualebebis marTva da meqanizmebTan muSaobaeqimi getyviT Tqveni daavadebidan gamomdinare SeiZleba Tu arasatransporto saSualebebis marTva da meqanizmebTan muSaoba usafrTxod.aseve alcebam SesaZloa Secvalos Tqveni reagirebis unari. satransportosaSualebebis marTva da meqanizmebTan muSaoba ar aris mizanSewonili.3. rogor gamoviyenoT alcebayovelTvis miiReT alceba eqimis daniSnulebis Sesabamisad. Tu ar xarT raimeSidarwmunebuli mimarTeT eqims, an farmacevts.dozirebaalcebas rekomendirebuli doza mozardebsa da xandazmul pacientebSi Seadgens20mg erTjer dReSi. gverdiTi movlenebis gamovlenis riskis Sesamcireblad esdoza miiRweva TandaTanobiT mkurnalobis Semdegi sqemis Sesabamisad:kvira 1kvira 2kvira 3kvira 4 da Semdeg0.5 x 10mg tableti10mg tableti1.5 x 10mg tableti2 x 10mg tableti erTxel dReSiCveuli sawyisi doza aris naxevari tableti erTxel dReSi (1 x 5mg) pirveli kvirisganmavlobaSi. es doza izrdeba erT tabletamde (1 x 10mg) meore kviras erTjerdReSi da mesame kviras iniSneba erTnaxevari tableti erTjer dReSi. meoTxekviridan doza Seadgens 2 tablets erTjer dReSi (1 x 20mg).dozireba Tirkmlis ukmarisobis mqone pacientebSiTu gaqvT Tirkmlis ukmarisoba Tqveni eqimi miiRebs gadawyvetilebas TqvenTvissaWiro dozis Sesaxeb. am SemTxvevaSi eqimma garkveuli intervalebiT undaawarmoos Tirkmlis funqciis monitoringi.miRebaalceba unda miiRoT peroralurad erTjer dReSi. preparatis efeqtisgamosavlenad is unda miiRoT yoveldRiurad erTidaimave dros. tabletebsmiayoleT cotaodeni wyali. preparatis miReba SeiZleba rogorc sakvebTan erTad,ise misgan damoukideblad.mkurnalobis xangrZlivobamiiReT alceba TqvenTvis saWiro efeqtis gamovlenamde. Tqvenma eqimmaregularulad unda Seafasos mkurnaloba.Tu miiReT alcebas saWiroze meti doza- zogadad alcebas dozis gadaWarbeba ar iwvevs raime saxis zians. SesaZloamomatebulad gamovlindes nawilSi 4 - “SesaZlo gverdiTi movlenebi” -aRwerili gverdiTi movlenebis simptomebi.
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