Antispasmodics yog ib pawg tshuaj uas muaj qhov zoo sib xws thiab muaj txiaj ntsig, qhov tseem ceeb ntawm qhov ntawd yog qhov ua tau zoo ntawm cov leeg leeg.
Ib qho tshuaj uas nrov tshaj plaws yog No-shpa thiab nws tus khub hauv tsev, Drotaverin.
Tus txheej txheem ntawm kev ua ntawm cov tshuaj thiab kev ntsuas rau kev siv
Ob qho tshuaj muaj ib qhov tshuaj yeeb dej caw. Lub tshuab ntawm kev txiav txim ntawm cov tshuaj no yog qhov ua tsis tiav ntawm cov enzyme phosphodiesterase 4, vim qhov kev ua rau muaj qhov txo qis hauv kev mloog zoo ntawm tus neeg sib kho - cyclic AMP.
Raws li qhov tshwm sim, cov leeg khov kho kom so. Cov antispasmodics muaj peev xwm los tawm tsam spasm ntawm cov leeg nqaij hauv cov hlab ntsha, cov hlab plawv thiab lub plab zom mov.
Drotaverin yog qhia rau kev kho mob ntawm:
- Cov kab mob ntawm biliary huam, uas nrog spasm.
- Cov leeg hauv cov genitourinary system vim yog mob thiab mob lub siab - nrog mob raum, nephrolithiasis, urolithiasis, cystitis, tso zis heev.
- Raws li kev kho mob ntxiv rau cov tsos mob, Tsis muaj-shpu thiab Drotaverin yog siv rau kev kho mob ntawm cov kab mob gynecological - dysmenorrhea, premenstrual thiab menopausal syndromes.
- Txhawm rau tiv thaiv mob taub hau los ntawm kev ntxhov siab, suav nrog thaum lub nkoj nyob hauv cov hlab ntawm taub hau thiab caj dab. Vim tias nthuav cov hlab ntsha, ntshav ntws mus rau lub hlwb zoo dua, thiab cov tsos mob xws li kiv taub hau, qaug zog thiab zoo li hnyav nyob hauv taub hau ploj.
Tsis tas li ntawd, qhov teebmeem ntawm cov tshuaj muaj xws li txhim kho cov ntshav ncig - vim yog kev nthuav dav ntawm cov hlab ntsha peripheral. Yog li ntawd, lawv tau ua haujlwm zoo rau kev tiv thaiv kab mob-vascular dystonia, uas nrog cov vasospasm thiab ntshav siab.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj nrog drotaverine tsuas yog muaj cov tsos mob tshwm sim thiab tuaj yeem veil qhov kev ceeb toom tsis zoo, uas tuaj yeem ua rau muaj kev mob hnyav.
Yog li, nyob rau ntawm qhov muaj mob hnyav, nws tsis pom zoo kom siv cov tshuaj pleev xim ua ntej tuaj txog ntawm pawg neeg kho mob, vim tias qhov no yuav ua rau cov kev kuaj mob uas ua rau mob hnyav ntxiv. Ib qho piv txwv tseem ceeb yog qhov mob nrog mob hnyuv tws thiab mob nraub qaum - thaum nws raug tshem tawm, nws dhau los ua qhov tsis paub tseeb tias thaj tsam ntawm lub plab mob tshwm sim, thiab palpation yooj yim tsis txaus rau kev kuaj mob.
Qhov twg yog qhov zoo dua Tsis-shpa lossis drotaverin?
Ob qho tshuaj muaj nyob hauv cov tshuaj txhaj thiab ampoules.
Cov ob lub tshuaj antispasmodics - thiab No-shpa, thiab Drotaverin muaj tib qho qub: cov tshuaj nquag yog drotaverine hydrochloride hauv ib koob tshuaj ntawm 40 mg. Qhov koob tshuaj neeg laus rau Drotaverin thiab No-shpa yog 40-80 mg (1-2 ntsiav tshuaj).
Ob qho tshuaj muaj qhov tsis zoo - qhov tsis muaj daim ntawv tso tawm uas yuav muaj cov koob tshuaj xav tau rau hnub, thiab qhov no yog 160 - 240 mg. Koj tuaj yeem noj tsis tshaj 6 ntsiav tshuaj hauv ib hnub.
Ob qho tib si tsis-shpa thiab Drotaverin nplij spasm, cov nyhuv ntawm qhov kis tau zoo ib yam, tab sis ntawm tus account ntawm qhov ceev ntawm qhov pib ntawm cov tshuaj, kev tshuaj xyuas txawv. Cov neeg hais tias muaj qhov sib txawv ntawm qhov ceev ntawm kev txiav txim. Raws li kev txheeb xyuas, thaum siv No-shpa, cov nyhuv tshwm sim li ntawm nees nkaum feeb, thiab Drotaverina pib ua haujlwm hauv ib nrab ib teev. Tab sis cov foos rau kev tswj hwm kev coj noj coj ua ua tau sai thiab muaj txiaj ntsig, tshem tawm qhov mob nyob hauv peb mus rau tsib feeb.
Cov kev qhia ua pov thawj tias cov khoom sib piv ntawm No-shpa Drotaverin muaj qhov sib npaug sib npaug:
- lub xub ntiag ntawm cov hlab ntsha hypotension, cardiogenic poob siab;
- cov kab mob hnyav ua rau daim siab thiab lub raum;
- mob cholecystitis thiab mob ua ke;
- muaj lub plawv thaiv.
Txhua qhov kev txwv rau kev siv cov tshuaj no cuam tshuam nrog kev txo ntshav siab, uas ua rau drotaverine hydrochloride, so cov hlab ntsha.
Tsis txhob hnov qab tias cov tshuaj muaj peev xwm tsis tuaj yeem muaj txiaj ntsig, qee zaum muaj kev phiv tshuaj.
Cov kev mob tshwm sim hauv qab no yog cov yam ntxwv ntawm Tsis-shpa thiab Drotaverin:
- Tsaus ntuj li tshav kub.
- Muaj hws ntau.
Yog tias cov tshuaj tau muab tso quav, cov kev mob tshwm sim tom qab no tuaj yeem tshwm sim:
- vau;
- arrhythmia;
- atrio-ventricular thaiv;
- blockage ntawm lub chaw ua pa.
Thaum sau tshuaj rau cov tshuaj antispasmodics raws li drotaverin, nws yuav tsum nco ntsoov tias cov tshuaj nquag no tuaj yeem cuam tshuam loj heev ntawm cov tshuaj tiv thaiv Parkinsonian - Levodopa. Tab sis qhov kev nqis tes ntawm lwm yam antispasmodics, xws li Papaverine, tuaj yeem txuas ntxiv dag zog. Kuj, phenobarbital npaj muaj peev xwm nce cov nyhuv antispasmodic ntawm drotaverin.
Tsis yog-spa yog ib qho txawv teb thiab kawm paub ntau yam tshuaj, thiab yog li ntawd qhov ntsuas rau nws siv hauv cov neeg muaj mob siab yog qhov dav. Tsis tas li, qhov sib txawv yog tias Drotaverin txwv tsis pub siv rau tus mob pancreatitis thaum cev xeeb tub, thiab Tsis pub muaj spa rau, tab sis tsuas yog raws li kws kho mob tau hais thiab nrog saib xyuas cov cim tseem ceeb hauv lub cev. Ob qho tshuaj puav leej raug txwv thaum pub niam mis.
Raws li rau menyuam yaus - Drotaverin tuaj yeem raug kho rau menyuam yaus txij li 2 xyoos, tabsis No-shpu tsuas yog txij thaum muaj hnub nyoog 6 xyoo. Thaum xub thawj siab ib muag, nws yuav zoo li tias qhov no yog qhov zoo ntawm Drotaverin, tab sis, qhov tseeb, qhov tseeb no yog vim kev tshawb nrhiav ntau dua ntawm No-shpa.
Nws tseem yuav tsum tau sau tseg tias tsis yog tus twg Tsis yog-shpu lossis Drotaverin tuaj yeem siv los ntawm cov neeg muaj kev tsis haum lactose.
Kev tsim khoom, txee lub neej thiab nqi tshuaj
Hloov chaw No-shpa Drotaverin tsis yog cov tshuaj qub, tab sis yog tsim los ntawm txawv teb chaws thiab cov tuam txhab pharmacological. Tab sis-shpa yog ib yam tshuaj txawv teb nrog cov pov thawj ntxiv mus.
Tsis yog-spa nyob hauv cov tshuaj lag luam rau lub sijhawm ntev dua, uas yog cov ntawv pov thawj tsis tu ncua rau nws cov hauj lwm zoo thiab kev nyab xeeb. Hauv kev sib piv, Drotaverin, vim tias nws tus nqi qis, tseem tau sim los ntawm ntau tus neeg mob thiab tsis muaj kev coj tsis zoo hauv lub cev.
Ib qho kev sib txawv loj ntawm No-shpa thiab Drotaverin yog tus nqi. Tus nqi siab ntawm No-shpa yog cuam tshuam tsis tsuas yog ua tau zoo, tab sis kuj nrog kev ua lag luam sib zog ua hauj lwm los txhawb cov tshuaj, nrog rau kev tshawb nrhiav qhov tseeb ntawm cov tshuaj pharmacological ntawm cov tshuaj.
Drotaverin, ntawm qhov tsis sib xws, muaj qis tus nqi. Tab sis vim yog qhov tseeb tias nws yog tsim los ntawm ntau cov tuam txhab, nws yog qhov nyuaj dua los taug qab nws txoj kev zoo.
Tshuaj sib txawv hauv txee lub neej.
Drotaverin txawv li cas ntawm No-shpa hauv qhov nam no? Cov ntim ntawm cov ntsiav tshuaj ntawm ob hom tshuaj no yog khaws cia rau peb xyoos, tab sis daim ntawv txhaj tshuaj ntawm Drotaverin hauv ampoules yuav tsum siv rau ob xyoos, thiab Tsis-shpa - rau peb xyoos.
Kev tsis sib haum xeeb yog muaj nyob rau xyoo tom qab xyoo - Drotaverin txawv ntawm No-shpa li cas? Tsis muaj qhov sib txawv tseem ceeb. Hauv kev xaiv ib cov tshuaj yuav tsum tau ua raws kev paub ntawm lawv tus kheej hauv kev siv. Rau qee qhov, nws yog qhov tseem ceeb tshaj plaws tias cov tshuaj tau kawm meej thiab muaj qhov nrawm ntawm cov nyhuv, thiab rau lwm tus, tus nqi teeb meem tseem ceeb dua. Yog tias Drotaverin ua yuav luag ib yam li No-shpa, thiab tib lub sijhawm muaj cov kev kho mob tib yam - tom qab cov lus nug tshwm sim, vim li cas them nyiaj ntxiv?
Hais txog kev npaj tsis-spa tau piav qhia hauv cov yeeb yaj kiab hauv tsab xov xwm no.
