Tambaqos wevis mitoveba da prevencia - Treatobacco.net
Tambaqos wevis mitoveba da prevencia - Treatobacco.net
Tambaqos wevis mitoveba da prevencia - Treatobacco.net
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nikotinis Semcveli plastiri, rimonabandi <strong>da</strong> vareniklini <strong>da</strong> 2 ZiriTadimeore rigis preparati – klonidini <strong>da</strong> notriptilini.2008 wlis meta-analizis mixedviT (Eisenberg MJ et al., 2008), Se<strong>da</strong>rebul iqna 7nebaTarTuli farmakologiuri intervencia nikotin<strong>da</strong>mokidebulebissamkurnalod. ganixiles 69 placebo-kontrolirebadi, ormagi-brma meTodiTCatarebuli randomizebuli kontrolirebadi kvleva sul 32 908 pacientiT.6 intervencia 7-<strong>da</strong>n CaiTvala placeboze efeqturad: vareniklini, nikotinisnazaluri sprei, bupropioni, transdermaluri nikotini, nikotinis abi <strong>da</strong>nikotinis saReWi rezini. nikotinis inhalatoris maCvenebeli SansebisTanafardobis mixedviT aRematebo<strong>da</strong> placebos (2.17), Tumca es rezultatiar iyo ga<strong>da</strong>mwyveti, radgan sarwmuno intervali moicav<strong>da</strong> erTeuls (95%sarwmuloebis intervali 0.95-5.43). kvlevam <strong>da</strong>adgina, rom vareniklinisefeqturoba aRemateba bupropionisas (OR 2.18, 95% CrI 1.09‐4.08). mkvlevarebiaskvnian, rom vareniklini, bupropioni <strong>da</strong> <strong>da</strong>narCeni 5 nikotinisCanacvlebiTi Terapia aris placeboze efeqturi mo<strong>wevis</strong> Tavis <strong>da</strong>nebebisTvalsazrisiT 6-<strong>da</strong>n 12 Tvemde.aRniSnuli preparatebi gamoiyeneba rogorc monoTerapiis saxiT (erTimedikamentiT mkurnaloba), ise 2-is an metis kombinaciiT. umjobesiamkurnaloba eqimis <strong>da</strong>niSnulebiT. meore rigis preparatebi iniSneba imSemTxvevaSi, roca pirveli rigis preparatebi ver gamoiyeneba maTiukuCvenebis an gverdiTi movlenebis gamo, an maTi moxmareba araefeqturigamodga.Cveulebriv, <strong>Tambaqos</strong> moxmarebis SewyvetisaTvis medikamenturimkurnaloba gamoiyeneba rogorc erT-erTi komponenti mkurnalobis mTliankursSi; medikamentebi ZiriTa<strong>da</strong>d amsubuqebs <strong>Tambaqos</strong> ga<strong>da</strong>gdebis Semdgomsimptomebs <strong>da</strong> amgvarad aadvilebs mis Sewyvetas, magram mTlianobaSimo<strong>wevis</strong> ga<strong>da</strong>gdebisaTvis mxolod preparatebis miReba sakmarisi ar aris.rekomen<strong>da</strong>ciebi calkeuli medikamentebis Sesaxeb:pirveli rigis medikamentebipirveli rigis medikamentebs miekuTvneba iseTi medikamentebi, romlebicusafrTxoa <strong>da</strong> maRal-efeqturi nikotinze <strong>da</strong>mokidebulebis samkurnalod<strong>da</strong> maTi gamoyeneba kanonmdeblobiT aris <strong>da</strong>Svebuli (wamlis registracia).pirveli rigis medikamentebis gamoyeneba rekomendebulia yovelTvis, gar<strong>da</strong>im SemTxevevebisa, rodesac isini ukunaCvenebia an pacienti gansakuTrebuljgufs ganekuTvneba (mag.: orsulebi, msubuqi mwevelebi, mozardebi, agreTve,pirebi, romlebic <strong>Tambaqos</strong> sxva formiT iyeneben – ara mo<strong>wevis</strong> saxiT),romlebisTvisac ar aris sakmarisi mtkicebulebebi am medikamentebisgamoyenebis efeqturobis Sesaxeb.bupropionibupropioni-SR (gaxangrZlivebuli moqmedebis) antidepresantia. amcirebsnikotinis aRkveTis sindroms. ar Seicavs nikotins. moqmedebs tvinis imreceptorebze, romlebic nikotinis “moTxovnaze” arian pasuxismgebelni.26
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