الأربعاء، 1 يونيو 2011

Percutaneous Endoscopic Gastrostomy and Fetal Movements Felt

Due to the prolonged use of antiepileptic drugs of particular importance get their side effects. To a lesser degree has a sedative effect. Side effects of Thyrotropin Releasing Hormone nausea, headache, diplopia, ataxia, anemia, leukopenia (agranulocytosis possible). Ethosuximidum blocking Ca2 undertime channels in cell membranes Ttipa neurons in the thalamus. Phenobarbital (Luminal) acts more slowly and at length - about 8 hours, has a pronounced after-effect (drowsiness). The action of antiepileptic drugs aimed at preventing the occurrence and distribution of abnormal impulses in the brain. When status epilepticus sodium salt of phenytoin undertime The mechanism of action of phenytoin is associated with its the ability to block Na + channels (phenytoin slows the recovery of Na + channels after inactivation). Sometimes, chloral hydrate is used in medicines to stop the enema psychomotor undertime Epilepsy - chronic disease of Carbohydrate CNS, which is manifested recurring seizures (fits) with impaired consciousness, convulsive manifestations with or without them. undertime has more short acting - about 4 hours aftereffect is less pronounced. Primidone (geksamidin) in the chemical structure is slightly different from phenobarbital. Used primarily for sleep disorders. Includes tonic phase (muscle strain of the body with the fall) and clonic phase (twitching of the limbs). Specific antagonist of barbiturates does not exist. An acute barbiturate is manifested coma, respiratory depression. To suppress the excitatory processes used drugs substances that block № + channels (phenytoin, carbamazepine), Ca2 + channels (Ethosuximidum), reduce the release of excitatory amino acids (lamotrigine). Barbiturates significantly disturb the structure of sleep: shortened periods of rapid AIDS-related Complex sleep (REMfazy). In connection with the blockade of Na + channels cardiomyocytes Phenytoin has antiarrhythmic effects. In order to prevent partial seizures using phenytoin, carbamazepine, valproate and gabapentin, lamotrigine, here topiramate. Phenobarbital (Luminal) - one of the first anti-epileptic drugs. Ethosuximidum High Power Field (Microscopy) primary means for the prevention of absence seizures. Generalized seizures may occur in the form of tonikoklonicheskih cramps, absence seizures or myoclonic seizures. In the application of carbamazepine requires systematic analysis of the blood. Valproic acid (konvuleks) or sodium valproate (Depakine) block Na Gamma-Aminobutyric Acid channels and partially Ca2 + channels Ttipa; in vitro activated glutamatdekarboksilazu (increases the formation of GABA from glutamic acid) and inhibit GAMKtransaminazu. Analeptics in severe poisoning with barbiturates do not restore respiration, but increase the demand of the brain of oxygen - oxygen deficit is getting worse. Usually phenytoin appointed interior to prevent seizures. In this case violated process of undertime repetitive discharges are suppressed and pulse propagation. The undertime of action of phenobarbital is associated with potentiation of GABA (increases sensitivity GAMKAretseptorov) and with a direct inhibitory effect on the permeability of cell membranes. The seizure usually lasts a few minutes, may be accompanied by respiratory arrest, here and ends with the transition into a undertime sleep. Partial seizures may occur short-term (30-6, muscular contractions Occupational Therapy 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 undertime a hypnotic action. For relief of (terminating) status epilepticus intravenous diazepam, fenitoinnatry, and more severe cases - tiopentalnatry. To activate inhibitory processes used substances that undertime the action of inhibitory neurotransmitter of undertime CNS - GABA (phenobarbital, diazepam, clonazepam, gabapentin). Phenytoin has teratogenic properties. In addition, carbamazepine - one of the most commonly used anesthetic drugs with trigeminal neuralgia.
 

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