Т.САЙХАН
Шүүхийн тухай хуулийн анхны хэлэлцүүлгийг хийж, зарчмын зөрүүтэй 137 саналаар санал хураалт явуулж дууслаа.
Энэ үеэр ХЗДХ-ийн сайд Х.Нямбаатар: Улсын дээд шүүхийн ерөнхий шүүгч Үндсэн хуульд заасан албан тушаалтан. Төслийн 27 дугаар зүйлд Улсын дээд шүүхийн ерөнхий шүүгчийн бүрэн эрхийг томьёолсон. Ажлын хэсгээс Улсын дээд шүүхийг аль нэг танхимд харьяалуулна гэсэн агуулгаар оруулж ирж байгаа. Би Улсын дээд шүүхийн ерөнхий шүүгч бол ерөнхий шүүгч гэдэг агуулгаар ажиллах ёстой гэж үзэж байгаа. Улсын дээд шүүхийн ерөнхий шүүгч аль нэг танхимдаа харьяалагдана. Тиймээс миний гаргасан саналыг дэмжээд кнопоо дарахгүй байвал энэ асуудал гарч ирнэ. Улсын дээд шүүхийн ерөнхий шүүгч гэдэг бол бэлгэдлийн шинж чанартай байна гэдэг агуулгыг ажлын хэсгийг оруулж ирээд байгаа.
УИХ-ын гишүүн Б.Энхбаяр: – Энэ хуулийн гол концепц бол нэгд, шүүх эрх мэдлийг улс төрийн нөлөөллөөс салгах, хоёрт, шүүхийн дотоодод байгаа дарга хэв шинжээс нь салгах. Өөрөөр хэлбэл, хонгилыг нураах. Хонгил томилсон албан тушаалтан буюу Ерөнхийлөгч түүний дор Монгол Улсын Улсын дээд шүүхийн ерөнхий шүүгч гэсэн пирамид тогтолцоогоор явж байгаа. Энэ тогтолцоог нураая гэхээр үүнийг эргэж амилуулна гээд л байх юм. Нэг гараараа хонгил нураах гэж байгаа ч юм шиг нөгөө гараараа хонгилыг нураалгахгүй гэх юм. Гаргаж байгаа санал нь хонгилыг нураалгахгүй гэсэн санал байна. Дээд шүүхийн Ерөнхий шүүгч дуртай хэрэг дээрээ орж хэрэг шийдэж байсан. Улсын дээд шүүхийн ерөнхий шүүгч байсан Зориг гэж хүн С.Зориг агсны хэргийг өөрөө орж удирдаад шийдчихсэн. Ерөнхий шүүгч гэдэг хүн дуртай танхимдаа ороод дуртай хэргээ шийддэг хаан биш. Адилхан шүүгч. Үүнийг хаан болгох гээд санал гаргаад байгааг ойлгохгүй байгаа. Тиймээс байнгын хорооны дэмжээгүй саналыг дэмжиж тийм гэсэн санал өгөхийг гишүүдээсээ хүсье.
Гишүүд үг хэлсний дараа санал хураалт явуулахад гишүүдийн 66.2 хувь нь тус саналыг дэмжиж санал хураалт дэмжигдсэн. Ингэснээр Хууль зүйн байнгын хорооны хуралдаан дээр гаргасан Х.Нямбаатар сайдын санал унаж ажлын хэсгийн санал дэмжигдсэн юм.
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کلردیازپوکساید یکی از بنزودیازپین
های پرمصرف است که در درمان اضطراب و بیخوابی مؤثر است.
کلردیازپوکساید یک بنزودیازپین است.
Chlordiazepoxide بر مواد شیمیایی مغز تاثیر
می گذارد که ممکن است در افراد با اضطراب
نامتعادل شود.
کلردیازپوکساید (Chlordiazepoxide) برای درمان اضطراب و ترک حاد الکل استفاده می شود.
همچنین برای رفع ترس و اضطراب قبل از
عمل استفاده می شود.
این دارو متعلق به دسته ای از داروهای بنزودیازپینها است که بر روی مغز
و اعصاب (سیستم عصبی مرکزی) عمل میکنند تا اثر آرام بخش داشته
باشند.
این دارو با افزایش اثرات یک ماده شیمیایی طبیعی خاص در بدن (GABA) کار میکند.
Chlordiazepoxide برای درمان اختلالات اضطراب به کار می
رود. کلردیازپوکساید ممکن است برای درمان اضطراب که ممکن است قبل
از جراحی داشته باشد، به کار رود.
Chlordiazepoxide نیز برای درمان اضطراب و یا
ترک اعتیاد به الکل استفاده
میشود.
کلردیازپوکساید ممکن است برای اهداف فهرستشده در این
راهنمای دارویی استفاده شود.
در ادامه با کلینیک اعصاب و روان هیربد همراه باشید.
گروه دارویی درمانی:
بنزودیازپینها
اشکال دارویی:
TAB: 10 , 5 mg
این قرص در دو دوز ۵ و ۱۰ میلی گرم
(کلردیازپوکساید ۵ و کلردیازپوکساید
۱۰) در داروخانهها موجود میباشد.
مکانیسم اثر داروی کلردیازپوکساید
مانند سایر بنزودیازپین ها به عنوان آگونیستهای گیرنده بنزودیازپین بر
روی غشای سلولهای عصبی اثر کرده و باعث تسهیل
ورود یا افزایش عمل GABA شده و ورود
یون کلر را به سلولها افزایش
می دهد.
مصرف برحسب اندیکاسیون:
اختلالات اضطرابی و علایم
اضطرابی گذرا، اسپاسم عضلانی ,
سندرم ترک الکل , اضطراب پیش از جراحی
کلردیازپوکساید خودکشی :
کلردیازپوکساید ۵
کلردیازپوکساید ۵
کلردیازپوکساید خود دارویی برای جلوگیری از خودکشی می باشد .
اما ممکن است که باعث فکر کردن به ایجاد
صدمه به خود یا خودکشی شود.
نحوه استفاده از قرص کلردیازپوکساید
قبل از شروع مصرف کلردیازپوکساید و هر بار که دوباره تمدید مصرف میکنید، راهنمای دارویی را
که توسط داروساز تهیه شده است بخوانید.
اگر سؤالی دارید، از پزشک خود یا
داروخانه سؤال کنید.
این دارو را طبق دستور پزشک از طریق دهان مصرف
کنید.
دوز مصرفی به سن، وضعیت پزشکی و پاسخ
به درمان بستگی دارد.
حتماً این دارو را دقیقاً همانطور که تجویز شده مصرف کنید.
دوز خود را افزایش ندهید، آن را به طور زود زود
و مکرر و یا برای مدت زمان طولانی تر از مقدار تجویز مصرف
نکنید، چرا که میتواند باعث ایجاد عادت شود.
همچنین اگر برای مدت زمان طولانی استفاده میشود، بدون تأیید پزشک به
طور ناگهانی مصرف این دارو را قطع نکنید.
ممکن است با قطع ناگهانی دارو برخی از
بیماریها بدتر شوند.
برای جلوگیری از عوارض جانبی مانند تشنج ممکن است نیاز
باشد که دوز شما به تدریج کاهش یابد.
در صورت استفاده طولانی مدت،
این دارو نیز ممکن است اثر نکند
و ممکن است به دوزهای مختلفی نیاز داشته باشد.
اگر این دارو در بدن شما به خوبی جواب نداد،
با پزشک خود مشورت کنید.
کلردیازپوکساید ۵
کلردیازپوکساید ۵
دوزبندی در بزرگسالان:
اضطراب :
خفیف تا متوسط : ۵ تا ۱۰ میلی گرم خوراکی هر ۶
تا ۸ ساعت
شدید : ۲۰ تا ۲۵ میلی گرم خوراکی هر ۶ تا ۸
ساعت
در سالمندان : ۵ میلی گرم
خوراکی ۲ تا ۴ بار در روز
اضطراب قبل از عمل جراحی :
۵ تا ۱۰ میلی گرم خوراکی هر ۶ تا ۸ ساعت از چند روز
پیش از عمل
و یا ۵۰ تا ۱۰۰ میلی گرم عضلانی ۱ ساعت قبل از عمل
تسکین علایم محرومیت از الکلیسم
حاد :
ترجیح در استفاده از فرم تزریقی
برای شروع است ولی اگر از فرم خوراکی در ابتدا استفاده شود ۵۰ تا ۱۰۰ میلی
گرم در ابتدا و سپس تکرار دوز تا هنگامی
که برانگیختگی فرد کنترل شود. حداکثر دوز ۳۰۰
میلی گرم در روز است.
کودکان بالای ۶ سال
• اضطراب :
۵ میلی گرم ۲ تا ۴ بار در روز
که ممکن است در صورت نیاز به ۱۰ میلی گرم
۲ تا ۴ بار در روز افزایش یابد .
کلردیازپوکساید5
کلردیازپوکساید ۵
کلردیازپوکساید و لاغری
هنوز به نتایجی نرسیده ایم که به صورت
قطعی بگوییم کلردیازپوکساید باعث
لاغری می شود یا خیر .
اما دسته بنزودیازپین ها معمولا با
چاقی همراه است .
پیشنهاد می کنیم با پزشک خویش مشورت
نمایید .
کلردیازپوکساید و ریزش مو
یکی از عوارض قرص کلردیازپوکساید
می تواند ریزش مو باشد .
هر چند که به ندرت این اتفاق می
افتد
کلردیازپوکساید و میگرن
از این دارو برای مدت کوتاهی باید استفاده شود، چون در مصرف طولانی
میتواند وابستگی ایجاد کند.
هر چه وابستگی به مصرف آن بیشتر باشد، حذف یا کاهش دوز آن با عوارض شدیدتری همراه خواهد بود.
مصرف این دارو در پیشگیری یا کاهش سردرد ناشی از
حمله های میگرنی که در اثر اضطراب ایجاد شده است میتواند موثر باشد؛ اما درمانکننده میگرن
نیست.
کلردیازپوکساید ۱۰
کلردیازپوکساید ۱۰
گرچه هنوز ارتباط مستقیمی بین کلردیازپوکساید و میگرن شناسایی نشده، اما به نظر میرسد قطع مصرف آن در برخی از مبتلایان به میگرن ممکن است باعث افزایش سردرد و علائم آن شود.
توصیه میشود مصرف این دارو را تحت
نظر پزشک شروع کنید و پس از
درمان، به تدریج مصرف آن را کاهش دهید.
کلردیازپوکساید یا پروپرانول
تداخل نگران کننده ای با مصرف این داروها اتفاق نمی
افتد.
اما بهتر است هرگونه تغییر یا اضافه شدن دارو با مشورت با روانپزشک معالج تان صورت گیرد.
درمان میگرن عصبی
از این دارو برای مدت کوتاهی باید استفاده شود، چون در
مصرف طولانی میتواند وابستگی ایجاد کند.
هر چه وابستگی به مصرف آن بیشتر باشد، حذف یا کاهش
دوز آن با عوارض شدیدتری همراه خواهد بود.
مصرف این دارو در پیشگیری یا کاهش سردرد ناشی از حمله های میگرنی که در اثر اضطراب ایجاد شده است میتواند
موثر باشد؛ اما درمانکننده میگرن نیست.
کلردیازپوکساید ۱۰
کلردیازپوکساید ۱۰
قرص کلردیازپوکساید برای معده
استرس موجب تحریک عصب معده و در نتیجه
التهاب آن می شود.
استرس مهم ترین عامل تحریک و ترشح هورمون هایی است که موجب
التهاب معده و در نتیجه ورم معده می شود.
احساس پری، درد، نفخ معده، سیری زودرس و حتی گاهی احساس گرسنگی بیش از حد از علائم این بیماری محسوب میشود.
گلوبوس یک احساس است که فرد به
صورت اشتباه تصور میکند که یک لقمه در گلویش گیر کرده و هرچه قورت می دهد هم از بین نمیرود، اما این احساس بر اثر برگشت
اسید به داخل حنجره به وجود می آید.
این بیماری در همه سنین رخ میدهد، اما شیوع آن در
کودکان کمتر بوده و در بزرگسالان نیز شیوع
آن در سنین میانسالی است.
زنان به علت زودرنج بودنشان بیشتر
در معرض تحریک عصب معده قرار دارند.
برای درمان و تخفیف در علائم
این بیماری، در مرحله اول باید از استرس و تشویش دوری کرد؛ چراکه یکی
از فاکتورهای مهم ایجاد بیماری استرس است.
همچنین این بیماری دوره درمانی مشخصی ندارد.
یکی از شایع ترین داروهایی که برای درمان تجویز میشود قرص کلردیازپوکساید به همراه داروهای
ضد اسید است.
کلردیازپوکساید برای کودکان
باید درمان در کودکان با پایین ترین
دوز آغاز شود و در صورت نیاز دوز دارو افزایش پیدا کند.
در ابتدا برای کودکان 5 میلی گرم، 2 تا 4 بار در روز در نظر گرفته می شود
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به 10 میلی گرم، 2 تا 3 بار در روز افزایش پیدا
کند.
استفاده از این دارو برای کودکان زیر 6 سال توصیه نمی
شود.
این دارو موجب اختلال در هوشیاری ذهنی کودکان نیز
میشود.
کلردیازپوکساید ۱۰
کلردیازپوکساید ۵
قرص کلردیازپوکساید برای چیست
درمان اضطراب و بی خوابی و همچنین، عوارض ترک
اعتیاد به الکل و اضطرابِ پیش
از عمل جراحی کاربرد دارد.
کلردیازپوکساید دارویی چندکاربردی است
که ارزش و کارایی آن در تسکین اضطراب ثابت شده است.
فلوکستین یا کلردیازپوکساید
این دو دارو در درمان های مشابه تجویز می شود بهتر یک مورد مصرف شود گرچه اختلالی هم
ایجاد نمی شود .
کلردیازپوکساید و سیتالوپرام
این دو داروی کلردیازپوکساید و
سیتالوپرام تداخلی ندارند .
عوارض جانبی:
احساس خواب آلودگی، ضعف یا سبکی سر در اثر مصرف این دارو ایجاد می شود که می تواند در تمام طول روز ادامه
داشته باشد .
برای کنترل این عارضه از رانندگی و انجام
کارهایی که نیاز به تمرکز و احتیاط دارند خودداری نمایید و از مصرف الکل بپرهیزید.
احساس فراموشی و گیجی از عوارض این دارو می باشد که در صورت شدید بودن آن ها
باید با پزشک خود صحبت کنید .
در برخی از افراد تغییر خلق و خو و عصبانیت بیش از حد در مدت مصرف این دارو ممکن
است رخ دهد. در این صورت با پزشک خود مشورت نمایید .
مصرف طولانی مدت این دارو، ایجاد وابستگی می کند
لذا دارو را تحت نظر پزشک و برای مدت
کوتاه مصرف نمایید .
در صورت بروز تب و ضعف، علائم شبیه به آنفولانزا و بروز
زخم های دهانی فوراً به پزشک مراجعه نمایید
قرص کلردیازپوکساید در عرض چند ساعت اول پس از مصرف باعث ایجاد سرگیجه و خواب آلودگی میشود.
مصرف این دارو باعث ایجاد عوارض جانبی شایعی میشود که عبارتند
از:
خواب آلودگی
خشکی دهان
گرفتگی بینی
یبوست
تاری دید
سرگیجه
نفخ
لرزش یا تیک اعضای بدن
اختلال نعوظ
گیجی
کلردیازپوکساید ۱۰
کلردیازپوکساید ۵
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سرم تراپی در منزل
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