Koma shpa

Koma shpa (kapena drotaverin) amatanthauza gulu la mankhwala spasmolytic. Zotsatira za mankhwala ndi anagawira mu mnofu minofu ndi akufotokozera chifukwa cha kuchepetsa kuchuluka kashiamu akulowa minofu. Izi nayenso amachititsa chopinga wa phosphodiesterase ndipo kudzikundikira ozungulira adenosine monophosphate.

Chifukwa shpa koma attenuates kamvekedwe ka dongosolo minofu ndi mafupa (makamaka minofu yosalala), ndipo m'mimba motility. Komanso shpa koma amachititsa vasodilation popanda okhudza dongosolo autonomic mantha ndi chapakati. Mbali imeneyi amaloledwa kugwiritsa ntchito mankhwala pa nthawi imene MANKHWALA OLETSA VUTOLI chapakati kanthu (ie, kumvera chapakati mantha dongosolo) ndi contraindicated.

Pamene kutumikiridwa m'nsinga, mmene iyamba kukhala mkati mphindi ziwiri kapena zitatu, choopsa pazipita imagwera pa timeslot ake - "theka la ola pambuyo utsogoleli wa mankhwala."

Koma shpa akatulutsidwa mu mawonekedwe a njira m'jekeseni, mapiritsi, makapisozi ndi miyala lokutidwa.

Monga antispasmodic koma shpa wakhala ntchito pa zinthu izi: gastroduodenitis, minofu kuphipha machitidwe mkati limba (chifukwa ya ndulu, matumbo ndi aimpso colic, pamene dyskinesia ndulu ndi kapepala excretory, cholecystitis), chonsechi kudzimbidwa, pyelitis, chironda chachikulu.

Kuphatikiza apo, koma shpa ntchito mu kuphipha wa zotumphukira, komanso inatsekeratu ndi oziziritsa mitsempha. Ikufotokoza mphamvu koma shpy mutu, chonsechi chikhalidwe. Yogwira mankhwala mankhwala ndipo anapeza ntchito zake obstetrics ndi matenda achikazi. Ikani ndi kuopseza padera, kubadwa masiku asanakwane algodismenoree, kuphipha cha Os ndi Kuwulura ake yaitali motero pobereka, komanso thandizo la contractions pambuyo partum.

Koma shpa likukhudza pamene ena ndondomeko matenda monga cholecystocholangiography.

Mu ntchito mankhwala aliwonse angathe mavuto ndi zotsatira zake. Choncho, ntchito koma shpy: palpitations, chizungulire, kumverera kwa kutentha, yafupika magazi, komanso zochita osiyanasiyana awo sagwirizana. Kugwiritsa ntchito mankhwala m'nsinga (i.e., pamene jekeseni njira ya utsogoleli) Mwina kusokonekera chitukuko, arrhythmias, kuletsa atrioventricular, komanso kupuma pakati maganizo.

Koma shpa: ndi ambiri osokoneza mankhwala. Akuwonetseredwa mu ambiri a milandu ya kuphwanya conduction atrioventricular, kuchepa excitability wa minofu mtima, zomwe pamapeto pake kungayambitse matenda a mtima kapena ziwalo za pakati kupuma.

Pali ena chiwerengero cha contraindications kugwiritsa ntchito wothandizila antispasmodic. Mu aimpso, kwa chiwindi kapena insufficiency mtima; atrioventricular chipika pamene lachiwiri ndi lachitatu la madigirii mwamphamvu, ndi hypotension ndi cardiogenic mantha. Koma sizikhudza nkhokwezi ndi chidwi inatsekeratu atherosclerosis, otchedwa benign prostatic hyperplasia oyenerera-kutsekedwa khungu, pa mkaka wa m'mawere, ndi trimester mimba.

Popeza kutenga noshpu bwino? Choyamba, muyenera kusankha mlingo yolondola ya mankhwala, malinga kudwala lapansi. Mlingo zoyenerera amaonedwa: njira m'kamwa, akuluakulu - kuchokera makumi makumi asanu ndi atatu mg wa katatu pa tsiku; mu mnofu kapena subcutaneous makonzedwe mlingo - n'chimodzimodzi ndi multiplicity wa ku nthawi imodzi atatu kuti den.S edema kuukira aimpso, kwa chiwindi kapena colic ena koma shpa kutumikiridwa m'nsinga mu kuchuluka kwa 40-80 mg. Mwina intraarterial jekeseni wa mankhwala, makamaka zotumphukira mtima kuphipha.

Mlingo (kamodzi, umodzi mlingo) ana kwa zaka zisanu ndi chimodzi, kuyambira khumi ndi ziwiri mg ndi tsiku mlingo (pazipita gulu m'badwo) - 120 mg wa; zapakati pa sikisi khumi mlingo umodzi wa 20 mg wa tsiku ndi tsiku, mazana awiri mg. Ana, mankhwala ntchito ndi multiplicity nthawi awiri patsiku.