Kodwa shpa

Kodwa shpa (okanye drotaverin) libhekisela kwiqela kweziyobisi spasmolytic. Ifuthe ichiza kusiwa inwebu kwezihlunu abaphuhlise ngenxa nokunciphisa ubungakanani ikhalsiyam ongena izihlunu. Oku kubangela inhibition of phosphodiesterase kunye nokwanda kwe elibujikele adenosine monophosphate.

Ngenxa yoko, kodwa shpa buthathaka isandi kwenkqubo dystrophy (izihlunu ingakumbi ogudileyo) kunye motility nesiqephu zesisu. Ukongeza shpa kodwa ebangela vasodilation ngaphandle kokuchaphazela inkqubo yawo kwaye luvo. Olu phawu uvumelekile ukuba asebenzise ichiza kwiimeko apho antispasmodics amanyathelo engundoqo (okt, esebenza kwinkqubo luvo) liyahlonyelwa contraindicated.

Xa kulawulwa yegazi, isiphumo uqala ukuphuhlisa kwisithuba imizuzu emibini ukuya kwemithathu, ubungnqongqo ubuninzi iwela ixesha layo - "isiqingatha seyure emva zolawulo iziyobisi."

Kodwa shpa uzayo ngohlobo injectable izisombululo, amacwecwe, njengezingxobo kunye camera neepilisi.

Njengoko antispasmodic kodwa shpa sele isicelo phantsi kwale miqathango ilandelayo: gastroduodenitis, spasm kwenkqubo dystrophy amalungu angaphakathi (xa duct, sezintso yokulunywa isisu, kunye zeDyskinesia le senyongo kunye iphecana excretory, cholecystitis), ukuqhina yiSpasticity, pyelitis, isifo isilonda Peptic.

Ngaphandle koku, kodwa shpa lisetyenziswa spasm of peripheral, kwakunye nemithambo yenhliziyo kunye nedumbe lengqondo. Oku kuchaza ukusebenza kodwa shpy intloko ebuhlungu, uhlobo yiSpasticity. Ezisebenzayo medical wenkundla uthole yayo zisetyenziswe kanye ne. Faka isicelo kunye ugrogriso kwezisu, ngaphambi kokuzalwa, algodismenoree, spasm of the os zayo ixesha elide elubala ngethuba lokubeleka, kwakunye ngenxa yoncedo lwe-post-partum kwesibeleko.

Kodwa shpa isebenza ngexesha ezinye iinkqubo zokuxilonga, ezifana cholecystocholangiography.

Xa isicelo lwaso nasiphi na isiyobisi lisenokuba iziphumo ebezingalindelekanga kunye nezenzo. Ngoko, xa isicelo kodwa shpy kunokwenzeka: iyangongoza, isiyezi, imvakalelo ubushushu, bemthoba uxinzelelo lwegazi, kwakunye ezahlukeneyo negazi lakho. Ekusebenziseni iziyobisi yegazi (ngamanye amazwi, xa inaliti yendlela yolawulo) kwangathi ukuwa kuphuhliso, arrhythmias, atrioventricular block, kwakunye yokuphefumla ukudakumba njengeziko.

Kodwa shpa: i libanda, beziyobisi. Wabonakaliswa uninzi amatyala nokunyhashwa Uhanjiso atrioventricular, ukunciphisa excitability kwemisipha kwentliziyo, nto leyo ekugqibeleni kunokukhokelela ukusilela intliziyo okanye ukushwabana iziko sokuphefumla.

Kukho inani elithile Izimo yokusetyenziswa arhente antispasmodic. E kakuhle kwezintso, hepatic okanye inhliziyo insufficiency; ibloko atrioventricular xa izidanga yesibini neyesithathu sandla, kunye hypotension kunye nokothuka cardiogenic. Kodwa musa ukusebenzisa zefula kunye yamafutha ebalulekileyo coronary, hyperplasia elihle prostatic kunye engile-ukuvalwa neglaucoma, ngexesha zisanyisa, kwaye kwithuba leenyanga ezintathu yokuqala yokukhulelwa.

Ekubeni kuthathelwe noshpu sokunene? Okokuqala, kufuneka ukhethe idosi echanekileyo beziyobisi, kuxhomekeka ngezifo. Umthamo kakhulu ezifanelekileyo ingqalelo: indlela ngomlomo, kuba abadala - ukususela amane ukuya asibhozo mg kathathu ngemini; intramuscular okanye ongama Ulawulo idosi - iyafana njengoko ubuninzi ukususela kumaxesha yokuqala ukuya kweyesithathu ukuze den.S kuhlasela nokudumba kwezintso, hepatic, okanye ezinye yokulunywa kodwa shpa ezilawulwa yegazi xa isixa-mali ka-40-80 mg. Inaliti Mhlawumbi intraarterial beziyobisi, ingakumbi spasm peripheral nemithambo.

Izikali (-ngaxesha lithile, idosi enye) kubantwana ukuya kwiminyaka emithandathu, ukusuka kwishumi ukuya mg idosi amabini ngosuku (ubuninzi kweli qela lobudala) - 120 mg; phakathi kweminyaka eli-ezintandathu ukuya kwezilishumi nedosi enye ye-mg-20 yonke imihla, bengamakhulu amabini mg. Ebantwaneni, ichiza lisetyenziswa kunye ubuninzi ngokuphindwe ezimbini ngosuku.