Tab sis shpa

Tab sis shpa (los yog drotaverin) yog hais txog ib tug pab pawg neeg ntawm spasmolytic tshuaj. Cov nyhuv ntawm cov tshuaj yog faib nyob rau hauv cov nqaij cov ntaub so ntswg thiab tsim raws li ib tug tshwm sim ntawm kev txo tus nqi ntawm cov calcium nkag mus rau hauv cov nqaij. Qhov no nyob rau hauv lem ua rau inhibition ntawm phosphodiesterase thiab tsub zuj zuj ntawm cyclic adenosine monophosphate.

Raws li ib tug tshwm sim shpa tab sis attenuates lub suab nrov ntawm lub licas (tshwj xeeb yog cov smooth nqaij), thiab hnyuv kom. Nyob rau hauv tas li ntawd shpa tab sis ua vasodilation tsis muaj cuam tshuam rau lub autonomic thiab central lub paj hlwb. Qhov no feature yog tso cai rau siv cov tshuaj nyob rau hauv tus neeg mob qhov twg antispasmodics central kev txiav txim (ie, kuj nyob rau hauv central tshee system) yog txhob.

Thaum muab intravenously, cov nyhuv pib los tsim tsis pub dhau ob mus rau peb feeb, lub siab tshaj plaws heev ntog rau nws timeslot - "ib nrab ib teev tom qab cov thawj coj ntawm cov tshuaj."

Tab sis shpa tawm nyob rau hauv daim ntawv ntawm cov tshuaj daws teeb meem, ntsiav tshuaj, tsiav tshuaj thiab coated ntsiav tshuaj.

Raws li antispasmodic tab sis shpa muaj lawm hos raws li nram qab no: gastroduodenitis, nqaij spasm nrog hloov khoom nruab nrog tshuab (rau cov kua tsib, plab hnyuv thiab raum Colic, thaum dyskinesia gallbladder thiab excretory huam, cholecystitis), spastic cem quav, pyelitis, peptic rwj.

Dhau li no, tab sis shpa siv nyob rau hauv ib tug spasm ntawm peripheral, raws li zoo raws li coronary thiab cerebral cov hlab ntsha. Qhov no piav txog cov hauj lwm zoo, tiam sis shpy mob taub hau, spastic xwm. Active kho mob tshuaj yeeb dej caw thiab pom nws siv nyob rau hauv Obstetrics thiab Gynecology. Thov nws nrog cov kev hem thawj ntawm nchuav menyuam, ntxov ntxov yug, algodismenoree, spasm ntawm cov os thiab nws protracted qhia tawm thaum lub sij hawm yog tau me nyuam, raws li tau zoo raws li rau qhov nyem ntawm post-partum lus.

Tab sis shpa siv thaum lub sij hawm ib co diagnostic cov txheej txheem, xws li cholecystocholangiography.

Nyob rau hauv daim ntawv thov ntawm cov tshuaj tej zaum yuav tsim kev phiv thiab tshua. Yog li, daim ntawv thov tab sis tej zaum yuav shpy: palpitations, kiv taub hau, zoo nkaus li thaum tshav kub kub, txo cov ntshav siab, raws li tau zoo raws li ntau yam tsis haum. Nyob rau hauv ua ntawv thov cov tshuaj intravenously (i.e., thaum txhaj tshuaj lawv cov koom haum saib xyuas) tej zaum yuav cev qhuav dej kev loj hlob ntawm, arrhythmias, atrioventricular thaiv, raws li zoo raws li ua pa nyuaj siab center.

Tab sis shpa: ib tug overdose ntawm cov tshuaj. Manifested nyob rau hauv feem ntau ntawm cov mob nyob rau hauv kev ua txhaum ntawm atrioventricular conduction, txo lub excitability ntawm lub plawv mob, uas thaum kawg yuav ua tau kom lub plawv tsis ua hauj lwm los yog tuag tes tuag taw ntawm lub pa chaw.

Muaj yog ib tug tej yam muaj pes tsawg tus ntawm contraindications rau kev siv ntawm antispasmodic agents. Nyob rau hauv lub raum, hepatic los yog mob insufficiency; atrioventricular thaiv thaum lub thib ob thiab thib peb degrees ntawm heev, nrog hypotension thiab cardiogenic poob siab. Tab sis tsis txhob thov silos thiab tseem ceeb coronary atherosclerosis, benign prostatic hyperplasia thiab lub-kaw glaucoma, thaum lub sij hawm lactation, thiab nyob rau hauv thawj peb lub hlis uas cev xeeb tub.

Txij li thaum noj noshpu txoj cai? Firstly, koj yuav tsum tau xaiv qhov tseeb ntau npaum ntawm cov tshuaj, nyob ntawm seb lub pathology. Cov feem ntau tsim nyog npaum no yog: lub qhov ncauj txoj kev, rau cov neeg laus - los ntawm plaub caug rau eighty mg peb lub sij hawm ib hnub twg; intramuscular los yog subcutaneous thawj coj ntau npaum - yog tib yam li cov multiplicity ntawm los ntawm ib mus rau peb lub sij hawm nyob rau hauv kev txiav txim den.S edema nres lub raum, hepatic, los yog lwm yam Colic tab sis shpa muab intravenously nyob rau hauv ib tug npaum li ntawm 40-80 mg. Tej zaum intraarterial txhaj tshuaj ntawm cov tshuaj, tshwj xeeb tshaj yog nyob rau hauv lub peripheral vascular spasm.

Ntau npaum (ib-lub sij hawm, tib koob tshuaj) rau cov me nyuam mus txog rau lub xyoo, xws li ntawm kaum mus rau nees nkaum mg hnub koob tshuaj (lub siab tshaj plaws rau lub hnub nyoog no pawg) - 120 mg; ntawm cov muaj hnub nyoog ntawm rau mus rau kaum ob zaug xwb koob tshuaj ntawm 20 mg ib hnub twg, ob tug puas mg. Nyob rau hauv cov me nyuam, cov tshuaj no yog siv nrog lub multiplicity ntawm mus txog ob zaug ib hnub twg.