Ma Antispasmodics ndi gulu la mankhwala omwe ali ndi zotsatira komanso zofanana, tanthauzo lake lomwe limapangitsa minofu yosalala.
Chimodzi mwa mankhwala odziwika bwino ndi No-shpa ndi mnzake wapakhomo, Drotaverin.
Limagwirira a zochita za mankhwala ndi zikuonetsa ntchito
Mankhwala onse awiriwa ali ndi chinthu chimodzi chogwira ntchito. Makina ochitapo kanthu mwa mankhwalawa ndi inactivation ya enzyme phosphodiesterase 4, chifukwa chomwe kuchepa kwamphamvu kwa mkhalapakati - cyclic AMP.
Zotsatira zake, minofu yosalala imapuma. Ma antispasmodicswa amatha kuthana ndi kuphipha kwa minofu yosalala mumitsempha yamagalasi, zam'mimba komanso zam'mimba.
Drotaverin akuwonetsedwa zochizira:
- Matenda am'mimba, omwe amaphatikizidwa ndi kuphipha.
- Kukokana mu genitourinary dongosolo, chifukwa cha kutupa ndi makina nkhawa - ndi aimpso colic, nephrolithiasis, urolithiasis, cystitis, pafupipafupi kupweteka pokodza.
- Monga chithandizo chowonjezereka, No-shpu ndi Drotaverin amagwiritsidwa ntchito pochiza matenda amisala - dysmenorrhea, premenstrual ndi menoparance syndromes.
- Pofuna kuthana ndi kupweteka kwa mutu chifukwa cha kupsinjika, kuphatikiza pakuphatikizika kwamatumbo a mutu ndi khosi. Chifukwa cha kuchuluka kwa mitsempha yamagazi, kuthamanga kwa magazi kupita ku ubongo kumayenda bwino, ndipo zizindikilo monga chizungulire, kutopa ndi kumverera kolemetsa kumutu kumatha.
Komanso, zotsatira za mankhwalawa zimaphatikizapo kukonza kayendedwe ka magazi - chifukwa cha kuchuluka kwa ziwiya zotumphukira. Chifukwa chake, amagwira ntchito mu micros-vascular dystonia, yomwe imayendetsedwa ndi vasospasm komanso kuthamanga kwa magazi.
Ndikofunika kukumbukira kuti mankhwala omwe ali ndi drotaverine amangokhala ndi zisonyezo ndipo amatha kuphimba zizindikiro zowopsa, zomwe zingayambitse zovuta zazikulu.
Chifukwa chake, pamaso pa kupweteka kwambiri, sikulimbikitsidwa kuti mutenge opaletoni asadafike gulu la ambulansi, chifukwa izi zimapangitsa kuti azindikire matenda omwe adadzetsa ululu. Chitsanzo chodabwitsachi ndimapweteka ndi appendicitis ndi pancreatitis ya pachimake - ikathetsedwa, sizimveka bwino komwe kumayambira kupweteka kwam'mimba, ndipo palpation yosavuta siyokwanira kuzindikira.
Ndibwino kuti No-shpa kapena drotaverin?
Mankhwala onse awiriwa amapezeka mu mapiritsi a jakisoni ndi ma ampoules.
Maantispasmodics awiri awa - ndi No-shpa, ndi Drotaverin ali ndi mawonekedwe omwewo: chinthu chogwira ntchito ndi drotaverine hydrochloride mu mlingo wa 40 mg. Mlingo wachikulire wa Drotaverin ndi No-shpa ndi 40-80 mg (mapiritsi 1-2).
Mankhwalawa onse ali ndi zovuta - kusapezeka kwa mawonekedwe omwe amasulidwe omwe angakhale ndi mlingo wa mankhwalawa ofunikira tsiku, ndipo ndi 160 - 240 mg. Simungatenge mapiritsi oposa 6 patsiku.
Onse a No-shpa ndi Drotaverin amathandizira kuphipha, momwe zimawonekera ndizofanana, koma chifukwa cha kuthamanga kwa mankhwalawa, ndemanga zimasiyana. Anthu amati pali kusiyana kwakukulu pakuthamanga kwa kuchitapo kanthu. Malinga ndi ndemanga, mukamagwiritsa ntchito No-shpa, zotulukazo zimachitika pakadutsa mphindi makumi awiri, ndipo Drotaverina amayamba kugwira ntchito theka la ola. Koma mitundu ya makonzedwe a makolo imagwiranso ntchito mwachangu komanso moyenera, kuchotsa ululu mkati mwa mphindi zitatu mpaka zisanu.
Malangizowo akuwonetsa kuti analogue ya No-shpa Drotaverin ali ndi zotsutsana zomwezo:
- kukhalapo kwa ochepa hypotension, cardiogenic mantha;
- kwambiri decompensated matenda a chiwindi ndi impso;
- pachimake cholecystitis ndi kapamba;
- kupezeka kwa chipika cha mtima.
Kuletsa konse kogwiritsa ntchito mankhwalawa kumalumikizidwa ndi kuchepa kwa kuthamanga kwa magazi, komwe kumayambitsa drotaverine hydrochloride, kumasuka ziwiya.
Musaiwale kuti mankhwala sangakhale opindulitsa nthawi zonse, nthawi zina pamakhala zovuta zoyipa.
Kwa No-shpa ndi Drotaverin, zotsatirazi ndizotsatira:
- Kumva kutentha.
- Kuchulukitsa thukuta.
Ngati mankhwalawa amaperekedwa kudzera m'mitsempha, zotsatirazi zingachitike:
- kugwa;
- arrhythmia;
- atrio-ventricular block;
- kufalikira kwa malo opumira.
Mukamapereka mankhwala a antispasmodics zochokera ku drotaverin, ziyenera kukumbukiridwa kuti chinthu chogwiritsa ntchitochi chingalepheretse kwambiri zomwe anti-Parkinsonia mankhwala - Levodopa. Koma zochita za antispasmodics zina, monga Papaverine, zitha kulimbikitsanso. Komanso kukonzekera kwa phenobarbital kumatha kuwonjezera mphamvu ya antispasmodic ya drotaverin.
No-spa ndi mankhwala ochokera kunja komanso ophunziridwa kwambiri, chifukwa chake magwiritsidwe ake ogwiritsidwa ntchito pambiri ndi ambiri. Komanso, kusiyana kwake ndikuti Drotaverin amaletsedwa kugwiritsa ntchito kapamba pa nthawi ya pakati, ndipo No-spa imaloledwa, koma pokhapokha ngati adokotala adawunikira komanso kuyang'anira zofunikira za fetal. Mankhwala onse awiriwa ndi oletsedwa.
Ponena za ana - Drotaverin amatha kulembedwa kwa mwana kuyambira wazaka 2, koma No-shpu kuyambira wazaka 6 zokha. Poyang'ana koyamba, zitha kuwoneka kuti ndi mwayi wa Drotaverin, koma, kwenikweni, izi zimatheka chifukwa cha kafukufuku wambiri wa No-shpa.
Tiyeneranso kudziwa kuti palibe-shpu kapena Drotaverin amene angagwiritsidwe ntchito ndi anthu omwe ali ndi vuto lactose.
Kupanga, moyo wa alumali ndi mtengo wa mankhwala
Sukulu ya No-shpa Drotaverin si mankhwala oyamba, koma amapangidwa ndi mayiko osiyanasiyana ndi makampani opanga mankhwala. But-shpa ndi mankhwala ochokera kunja omwe ali ndi umboni wolimbikira.
No-spa ili pamsika wamafuta kwa nthawi yayitali, yomwe ikuchitira umboni mwamphamvu kuti ikuyenda bwino komanso kutetezeka. Mosiyana ndi izi, Drotaverin, chifukwa cha mtengo wotsika, adayesedwanso ndi odwala ambiri ndipo sakhala otsika polimbana ndi thupi.
Kusiyana kwakukulu pakati pa No-shpa ndi Drotaverin ndiye mtengo. Mtengo wokwera wa No-shpa umalumikizidwa osati kokha ndi mawonekedwe apamwamba, komanso ntchito yotsatsa yolimba kuti mulimbikitse mankhwalawo, komanso maphunziro ozama a pharmacological a mankhwala.
Drotaverin, m'malo mwake, ali ndi mtengo wotsika. Koma chifukwa chakuti amapangidwa ndi makampani ambiri, zimakhala zovuta kwambiri kutsatira mtundu wake.
Mankhwala osokoneza bongo amasiyanasiyana m'moyo wa alumali.
Kodi Drotaverin amasiyana bwanji ndi No-shpa pankhaniyi? Kukhazikitsa kwa mapiritsi a mankhwalawa kawiri kumasungidwa zaka zitatu, koma mawonekedwe a jekeseni a Drotaverin mu ampoules ayenera kugwiritsidwa ntchito zaka ziwiri, ndipo No-shpa - kwa zaka zitatu.
Mikangano imachitika chaka ndi chaka - Drotaverin amasiyana bwanji No-shpa? Palibe kusiyana kwakukulu. Posankha mankhwala ayenera kuwongoleredwa ndi zomwe adakumana nazo pakugwiritsa ntchito. Kwa ena, ndikofunikira kwambiri kuti mankhwalawa amawerengedwa mwatsatanetsatane ndikuthamanga kwambiri, ndipo kwa ena, nkhani yamitengo ndiyofunika kwambiri. Ngati Drotaverin amachita mofulumira ngati No-shpa, ndipo nthawi yomweyo amakhala ndi njira yofanana yothandizira - ndiye funso limabuka, bwanji kulipira zambiri?
Za kukonzekera kwa No-spa akufotokozedwa mu kanema m'nkhaniyi.
