Ntau tus neeg mob ntshav qab zib mob siab txog hom tshuaj ntshav qab zib uas lawv yuav tsum tau noj.
Txij li qee cov tshuaj txo cov ntshav qab zib tsis sib xws nrog cov tshuaj pleev xim, qhov teeb meem no yog qhov txaus siab rau cov neeg mob uas kuaj pom no.
Tsab ntawv xov xwm no yuav nthuav tawm cov ntsiab lus tseem ceeb ntawm cov tshuaj pleev xim, lawv qhov kev siv tshuaj kho mob thiab cov kev phais.
Thaum twg koj noj tshuaj pleev xim?
Tus neeg mob ntshav qab zib yuav tsum paub tias kev ua raws li txhua cov lus pom zoo ntawm tus kws kho mob thiab koom nrog kev noj qab haus huv yog qhov tseem ceeb ntawm kev kho kom zoo.
Nrog hom 1 tus kab mob, kev kho mob insulin yog qhov tseem ceeb, thiab nrog hom 2 mob ntshav qab zib, kev noj zaub mov zoo, kev tawm dag zog, thiab qee zaum noj tshuaj hypoglycemic. Muaj qee kis, cov ntshav qab zib tau nrog lwm cov kab mob sib kis, piv txwv:
- hlab plawv (qhov tshwm sim ntawm hlab ntsha tawg lossis plawv nres);
- pom cov khoom hauv nruab nrog cev (retinopathy, cataract, glaucoma);
- cov roj ntsha tsim nyog rau cov lipid, vim cov rog dhau;
- cov kab mob endocrine;
- lub plab zom mov tsis xis nyob.
Tab sis lub neej ntawm cov ntshav qab zib tsis yog ntau ntau txawv ntawm lub neej ntawm tus neeg noj qab haus huv. Ib tug neeg uas muaj ntshav qab zib muaj peev xwm kis mob kis tau yooj yim, ua kom doog ntshav, raug mob, hnov mob taub hau thiab mob hniav. Tus pojniam uas muaj mob ntshav qab zib tuaj yeem yug menyuam. Thaum zoo li no, yuav tau siv tshuaj loog.
Txog hnub no, txoj kev ua lag luam pharmacological muaj ntau yam tshuaj analgesic. Muaj ntau pab pawg ntawm cov tshuaj uas sib txawv hauv tshuaj lom neeg muaj txiaj ntsig, kho cov nyhuv, hom kev ua kom zoo los ntawm tib neeg lub cev, thiab lwm yam ntxwv. Feem ntau yog cov tshuaj hu ua NSAIDs thiab tshuaj antispasmodics. Tab sis hom tshuaj twg yog qhov zoo dua rau siv? Tus kws paub hauj lwm pab zov me nyuam yuav pab koj paub txog cov no.
Kev siv cov NSAIDs
NSAIDs raug txiav tawm los ua cov tshuaj uas tsis yog tshuaj steroidal anti-inflammatory. Cov tshuaj no yog siv nruj kho tus kheej. Ntawm lub tsev muag tshuaj, tus kws muag tshuaj tuaj yeem muab ntau cov tshuaj los ntawm pab pawg muag tshuaj no. Lawv koom siab los ntawm cov yam ntxwv zoo li no:
- lawv inhibit cov biosynthesis ntawm prostaglandins;
- uncouple oxidative phosphorylation;
- cuam tshuam rau cov leeg pituitary-adrenal.
Vim tias cov txheej txheem no, muaj qis qis mob taub hau, mob hniav, sib koom tes thiab mob leeg. Tsis tas li, pab pawg ntawm cov tshuaj no muaj qhov ua los tiv thaiv thiab kub-txo cov nyhuv. Hauv qhov no, txhua hom salicylates siv:
- Analgin yog ib qho tshuaj uas tshem tawm qhov mob ntawm ntau lub hauv paus, tshwj xeeb tom qab kev phais mob, thiab tseem muaj mob hyperthermic syndrome. Cov tshuaj yuav tsum tau siv kom zoo zoo nyob rau hauv kev saib xyuas ntawm kws kho mob rau cov neeg mob ntshav qab zib nrog lub raum tsis zoo, kev ua xua, kev mob plab hnyuv, suav nrog Crohn's mob thiab mob plab, mob ntshav khov thiab lwm yam kev tawm tshiab.
- Acetylsalicylic acid yog siv rau ntau qhov mob syndromes, rheumatism, rheumatoid kev mob caj dab, mob pericarditis, mob sib kis myocarditis. Cov tshuaj no yog contraindicated nyob rau thawj peb lub hlis ntawm cev xeeb tub, pub niam mis, nrog pathologies ntawm ob lub raum, mob siab, lub plab zom mov thiab lub tshuab ua pa, venous stasis, ntshav txhaws thiab qee yam kab mob.
- Citramon siv ntau yam cuam tshuam ib zaug - analgesic, antipyretic, psycho-stimulating thiab anti-inflammatory. Koj tsis tuaj yeem siv cov cuab yeej zoo li no thaum thawj ib thiab peb lub hlis ntawm cev xeeb tub, thaum lactation, hauv menyuam yaus, nrog lub siab lossis lub raum tsis ua haujlwm, mob gout, vitamin tsis txaus thiab lwm yam kev ua pathologies.
Ntawm cov tshuaj pleev xim no, peb tuaj yeem paub qhov txawv uas tshem tawm cov tsos mob mob cuam tshuam nrog mob rheumatism, mob caj dab, mob pob txha thiab mob pob txha-articular pathologies. Cov no suav nrog Voltaren, Ibuprofen, Indomethacin thiab Ortofen.
NSAIDs muaj cov nyhuv hypoglycemic rau cov neeg mob insulin-tiv thaiv thiab hom ntshav qab zib hom 2.
Tab sis muaj tseeb npaum li cas cov ntaub ntawv no, ib tug tsuas yog twv tau.
Kev siv cov tshuaj antispasmodics rau qhov mob
Cov sawv cev no tseem siv los tshem tawm cov mob syndromes. Lawv tsis inhibit qhov kev ua haujlwm ntawm lub paj hlwb, lawv cov kev ua haujlwm ntawm lub zog tswj hwm yog ua kom cov leeg nqaij ntshiab ntawm lub plawv thiab lub hlwb, cov hlab ntsws, ntsws thiab txoj hnyuv.
Cov tshuaj no tau tsim tawm rau ib qho kev mob ntsws me lossis, yog tias tsim nyog, txhawm rau so cov leeg. Cov tshuaj no suav nrog:
- Tsis muaj-spa - ntsiav tshuaj siv rau kev spasm ntawm cov nqaij ntshiv pathologies ntawm biliary thiab zis. Lawv kuj tseem siv tshuaj ntxiv rau kev coj khaub ncaws, mob taub hau thiab txha caj qaum ntawm lub plab zom mov. Lub ntsiab contraindications yog cov menyuam yaus hnub nyoog qis dua 6 xyoo, lub plawv, lub raum thiab lub siab tsis ua haujlwm, lactation, rhiab rau cov tshuaj ntawm cov tshuaj thiab qee yam. Thaum cev xeeb tub, cov tshuaj no tuaj yeem siv, tab sis nyob rau hauv kev saib xyuas ntawm kws kho mob.
- Papaverine yog cov tshuaj tsim los so lub leeg nqaij ntawm cov hlab ntshav thaum tus mob cholecystitis, mob gallstone, pathologies ntawm txoj hnyuv, raum, mob txeeb zig, bronchi, thiab nrog lub suab nrov ntxiv ntawm lub tsev menyuam thaum lub sijhawm xeeb tub. Koj tuaj yeem siv tsis tau cov tshuaj no rau menyuam yaus hnub nyoog qis dua 6 hli, mob tsis nco qab, nrog lub raum tsis ua haujlwm, tus neeg laus thiab tsis ua haujlwm ntawm atrioventricular conduction.
- Drotaverine yog yeeb tshuaj uas tau siv rau spasm ntawm cov nqaij leeg ntawm cov plab hnyuv siab raum. Lub ntsiab contraindications yog cov tib neeg rhiab, cardiogenic ceeb, glaucoma, hlab ntsha hypotension, lub raum thiab lub siab tsis ua hauj lwm, cov menyuam yaus hnub nyoog qis dua peb xyoos, lactation. Cov kev mob tshwm sim tuaj yeem suav cov mob taub hau, kiv taub hau, ua xua, caj pas, xeev siab, ntuav, hypotension, cem quav. Xws li cov cuab yeej tuaj yeem cuam tshuam qhov kev mloog zoo, yog li ntawd, thaum siv cov tshuaj no, cov tsav tsheb yuav tsum tsis kam tswj hwm nws.
Cov tshuaj thaiv ntawm cholinergic receptors, uas suav nrog cov tshuaj - Besalol, Bellastesin thiab Platifillin, kuj muaj cov nyhuv antispasmodic pom tseeb.
Lawv feem ntau siv rau thaum mob plab ua hauj lwm nrog pathologies ntawm lub plab zom mov.
Npaj rau kev phais mob
Ua ntej kev phais mob rau tus neeg mob ntshav qab zib, nws yog qhov yuav tsum tau txiav txim siab txoj kev siv tshuaj loog thiab tshuaj loog.
Ua ntej thov kev ua kom loog, kev npaj ua ntej yuav tsum tau ua.
Lawv suav nrog:
- Kev soj ntsuam tag nrho ntawm lub cev kom kuaj tau cov kab mob uas yuav tsum tau hloov kho hauv kev siv tshuaj tua kab mob thiab kev phais mob. Cov no suav nrog cov kab mob plawv, pathologies cuam tshuam nrog cov ntshav ncig, mob txeeb zig thiab lub raum. Yuav tsum kho cov kab mob viral los yog kis tau yooj yim.
- Txo cov concentration ntawm cov piam thaj hauv cov ntshav hauv txhua txoj kev uas haum rau tus neeg mob, txawm tias nws yog insulin txoj kev kho lossis noj tshuaj hypoglycemic.
- Kev tiv thaiv thiab kho mob ntawm kev puas siab puas ntsws ntawm lub paj hlwb.
Cov kev npaj ua ntej no yuav ua rau pom qhov zoo tshaj plaws thiab tsis muaj kev phom sij txog qhov kev phais neeg. Yog li no, ua ntej lub sijhawm ua haujlwm, koj yuav tsum tsis txhob zais cov kab mob tseem ceeb los yog cov cim tsis txaus siab uas tus neeg mob mob ntawm tus kws kho mob.
Kev zais cov ntaub ntawv tseem ceeb tuaj yeem ua rau muaj kev cuam tshuam tsis zoo thiab tsis tuaj yeem.
Kev siv cov tshuaj loog thaum yug menyuam thiab haujlwm
Qhov teeb meem no tshwm sim rau cov poj niam muaj ntshav qab zib uas muaj cov txheej txheem yug menyuam los sis phais - phais plab. Cov lus qhia tseem ceeb yuav muaj raws li hauv qab no:
- Nws yog txwv tsis pub siv cov tshuaj tua kab mob analgesics.
- Qhov kev xaiv zoo tshaj plaws yog kev siv tshuaj loog rau epidural, uas yog, kev qhia ntawm kev ua kom loog mus rau tus txha caj qaum. Hauv qhov no, koj yuav tsum nruj ua raws li cov cai ntawm kev siv tshuaj tiv thaiv kab mob, vim tias nyob hauv tus poj niam muaj ntshav qab zib, kev tiv thaiv kab mob feem ntau raug txo qis, thiab tawm tsam cov keeb kwm yav dhau los no, ntau cov kab mob thiab cov kab mob feem ntau txhim kho.
- Yog tias rau qee qhov laj thawj nws tsis tuaj yeem siv tshuaj loog epidural, siv txoj kev thib ob yog siv - npog tshuaj loog.
Hauv cov neeg mob ntshav qab zib uas yuav raug phais, cov kws kho mob ua raws li cov cai no:
- Thaum xaiv tshuaj loog, koj yuav tsum tsom rau neuroleptoanalgesia, fluorotan lossis nitrous oxide tshuaj loog. Cov tshuaj xws li Viadryl thiab barbiturates kuj yog haum. Qhov kev xaiv ntawm cov tshuaj no yog vim muaj qhov tseeb tias lawv yuav tsis ua rau muaj suab thaj thiab tso tawm cov tshuaj hormones uas yuav tawm tsam cov tshuaj insulin.
- Nrog lub sijhawm ua haujlwm ntev, nws tsis pom zoo kom tswj hwm ntau ntau ntawm cov tshuaj loog, vim tias qhov no tuaj yeem ua rau lub xeev ntawm lub qog ntshav qab zib.
- Nrog cov kev phais mob luv luv lossis qis dua kev raug mob, tshuaj loog yuav tuaj yeem siv nrog kev siv tshuaj loog hauv zos lossis epidural.
Lub luag haujlwm tseem ceeb tom qab kev khiav haujlwm tiav hauv cov neeg mob ntshav qab zib yog tswj kev noj qabzib li qub. Thaum phais, cov kws kho mob tshawb xyuas cov piam thaj hauv qab txhua teev, vim nws tuaj yeem hloov pauv tau ntau vim yog tso qee yam tshuaj hormones. Qhov no tshwm sim vim tus neeg mob kuaj cov kev ntxhov siab thaum lub sijhawm ua haujlwm.
Hauv lub sijhawm postoperative, nws yog ib qho tseem ceeb heev uas yuav tsum xaiv cov tshuaj haum ntawm cov tshuaj insulin thiab tshuaj pleev xim. Lawv yuav tsum tshem tawm cov kev mob tshwm sim rau qhov siab tshaj plaws, txwv tsis pub muaj suab thaj yuav hloov, thiab cov teeb meem xws li microcirculation teeb meem hauv qhov muag, raum, plawv thiab lwm yam hauv lub cev yuav tshwm sim.
Rau cov hom phiaj no, qhov cuab yeej siv ua kom loog, piv txwv li, Ketorol thiab Ketoprofen, qee zaum Tramadol, central tshuaj opioid lossis tshuaj pleev ib cheeb tsam. Feem ntau, tus kws kho mob, ntsuas txog qib ntawm cov piam thaj hauv cov ntshav thiab qhov mob ntawm cov kab mob, txiav txim siab seb cov tshuaj twg uas cov neeg mob yuav tsum tau noj. Yog tias tsim nyog, tus kws kho mob xaiv yuav ua li cas txhawm rau txo qis ntawm cov piam thaj hauv cov ntshav hauv qee kis.
Cov tshuaj pleev xim tau muab faib ua ob hom loj - NSAIDs thiab tshuaj antispasmodics, uas muaj qhov sib txawv ntawm tib neeg lub cev, tshem tawm cov mob mob. Ua ntej noj cov tshuaj no, koj yuav tsum nyeem nws cov lus qhia, thiab nws yog qhov zoo tshaj plaws los sab laj nrog tus kws tshaj lij uas yuav qhia koj tias puas muaj peev xwm noj cov tshuaj no rau cov ntshav qab zib. Txog thawj cov cim qhia txog ntshav qab zib, yeeb yaj kiab hauv kab lus no yuav qhia.
