Tshuaj rau concussion: lub hom phiaj, nta ntawm kev tswj hwm, ntau npaum, muaj pes tsawg leeg, indications thiab contraindications

Cov txheej txheem:

Tshuaj rau concussion: lub hom phiaj, nta ntawm kev tswj hwm, ntau npaum, muaj pes tsawg leeg, indications thiab contraindications
Tshuaj rau concussion: lub hom phiaj, nta ntawm kev tswj hwm, ntau npaum, muaj pes tsawg leeg, indications thiab contraindications

Video: Tshuaj rau concussion: lub hom phiaj, nta ntawm kev tswj hwm, ntau npaum, muaj pes tsawg leeg, indications thiab contraindications

Video: Tshuaj rau concussion: lub hom phiaj, nta ntawm kev tswj hwm, ntau npaum, muaj pes tsawg leeg, indications thiab contraindications
Video: tuav wb lub neej kom ruaj khov - Mang Vang ft. Christina Xyooj [Official Audio] 2021-22 2024, Lub Xya hli ntuj
Anonim

Ib tsoo, poob ntawm qhov siab, ua tsis tiav - txhua yam no tuaj yeem ua rau raug mob. Nyob rau hauv cov xwm txheej no, yuav tsum muaj kev pab thawj zaug uas tsim nyog rau ib tus neeg, txwv tsis pub muaj teeb meem yav tom ntej. Cov tshuaj rau concussion txo cov tsos mob, vasospasm, thiab normalize ntshav ncig.

Kev mob ntawm ib nrais muag

Ntau tus neeg uas ntsib tus mob no, cov lus nug tshwm sim: yuav ua li cas kho qhov txhab? Cov tshuaj hauv qhov xwm txheej no tsuas yog muab los ntawm tus kws kho mob tshwj xeeb. Kev tswj hwm tus kheej ntawm cov tshuaj no tsuas yog ua rau tus neeg mob tsis zoo thiab ua rau muaj kev hloov pauv tsis tau hauv lub hauv paus paj hlwb thiab lub hlwb. Ntawm txhua hom kev raug mob lub hlwb, kev raug mob yog kab tias qhov kev xaiv tsis zoo tshaj plaws, tab sis tsuas yog tias txoj kev kho kom raug tau tiav lawm.

xeev faib

Txoj kev ntxhov siab muaj pebMob hnyav:

  1. Easy. Tus neeg raug tsim txom hnov mob taub hau, kiv taub hau. Muaj xeev siab tsis ntuav, me ntsis disorientation nyob rau hauv qhov chaw thiab lub sij hawm. Qhov kub thiab txias tuaj yeem nce rau lub sijhawm luv luv. Tsis muaj kev poob siab. Kev kho mob tshwm sim hauv tsev.
  2. Average. Tag nrho cov tsos mob tshwm sim hauv thawj qib tsis dhau li ntawm ib nrab teev. Tej zaum txoj kev loj hlob ntawm retrograde amnesia. Cov tshuaj dab tsi los noj nrog rau qhov mob me me, tsuas yog tus kws kho mob tuaj yeem hais tau tom qab kev tshuaj ntsuam xyuas. Yog tias qhov kev kuaj mob tsis qhia txog kev puas hlwb loj, kev kho mob hauv tsev tuaj yeem ua tau.
  3. Hav. Kev puas hlwb raug mob ntawm qhov hnyav no tsuas yog kho hauv tsev kho mob raws li kev saib xyuas ntawm cov neeg ua haujlwm tsim nyog. Nws yog tom qab nws qhov teeb meem feem ntau tshwm sim yog tias tus mob tau kho tsis raug. Tus neeg raug tsim txom pom tias tsis nco qab txog li ob peb feeb mus rau ib teev. Nws tsis nco qab dab tsi tshwm sim rau nws thiab nws nyob qhov twg. ntuav koom nrog xeev siab, lub cev kub tuaj yeem nce mus txog 39 degrees.

Kev tshuaj thiab tshuaj rau kev raug mob yuav ua raws li qhov hnyav ntawm lub hlwb raug mob, suav nrog lub hnub nyoog ntawm tus neeg raug tsim txom.

Kev cuam tshuam kho mob

Txoj kev kho zoo tshaj plaws rau kev raug mob, raws li kws kho mob, yog so thiab pw tsaug zog. Tsuas yog los ntawm kev soj ntsuam cov tswj hwm, koj tuaj yeem rov zoo los ntawm kev raug mob thiab zam qhov tshwm sim txaus ntshai. Tshuaj kho mobfeem ntau suav nrog pawg tshuaj hauv qab no.

Nootropics

Lawv tau sau tseg kom normalize cov metabolism hauv hlwb hlwb, tswj lawv cov khoom noj kom zoo. Lub sijhawm ntawm lub sijhawm rov ua haujlwm thiab kev ua tiav ntawm kev kho mob yog nyob ntawm kev ua haujlwm raug ntawm cov paj hlwb. Cov npe tshuaj rau kev cuam tshuam rau pawg no: Cerebrolysin, Nootropil, Pantocalcin, Piracetam, Glycine, Ceraxon.

Cov tshuaj Nootropil
Cov tshuaj Nootropil

Cerebrolysin

Cov khoom xyaw tseem ceeb ntawm cov tshuaj no yog cerebrolysin concentrate (tsim los ntawm lub hlwb ntawm npua). Raws li cov khoom siv ntxiv, cov muaj pes tsawg leeg muaj dej rau kev txhaj tshuaj thiab sodium hydroxide. Muaj nyob rau hauv daim ntawv ntawm ampoules, lub pob muaj los ntawm 5 mus rau 10 daim.

"Cerebrolysin" muaj cov tshuaj tiv thaiv neuroprotective thiab multifocal cuam tshuam rau cov hlwb hlwb. Cov peptide feem txhim kho kev ua haujlwm ntawm cov paj hlwb, ua kom cov txheej txheem ntawm kev rov qab los ntawm cov neeg mob tom qab raug mob. Cov tshuaj yog muab tso rau hauv cov hlab ntsha lossis intramuscularly hauv tsev kho mob. Cov koob tshuaj - los ntawm 5 mus rau 50 ml 1 zaug hauv ib hnub. Qhov kev pom zoo ntawm kev kho mob yog 1.5 mus rau 3 lub lis piam.

Contraindications rau kev siv "Cerebrolysin":

  • kab mob raum;
  • tus neeg intolerance rau cov khoom ntawm cov tshuaj;
  • qaug dab peg.

Feem ntau, cov tshuaj tsis ua rau muaj kev phiv loj heev. Lawv yogTej zaum yuav tshwm sim tsuas yog tom qab noj ntau dhau lossis tawm tsam keeb kwm ntawm hypersensitivity ntawm ib tus neeg mob. Cov no suav nrog kev poob qab los noj mov, cuam tshuam metabolic, ua npaws, ua daus no, thiab tachycardia. Kev tswj hwm ib txhij nrog MAO inhibitors thiab antidepressants tsis pom zoo.

Cov tshuaj Cerebrolysin
Cov tshuaj Cerebrolysin

Cov tshuaj no rau kev ntxhov siab hauv cov menyuam yaus tuaj yeem siv tau los ntawm 6 lub hlis, tab sis tsuas yog tom qab kuaj mob xwb.

painkillers

Ib qho ntawm cov tsos mob tseem ceeb ntawm kev raug mob yog mob taub hau tas li. Qhov no yog tshwj xeeb tshaj yog nyob rau hauv 2-3rd degree ntawm qhov mob hnyav. Txhawm rau tshem tawm qhov mob thiab txo tus neeg mob tus mob, cov tshuaj kho mob tau sau tseg. Cov no suav nrog: "Sedalgin" thiab "Pentalgin", uas yog koom nrog txhais tau tias, "Diclofenac" thiab "Ketorolac" los ntawm pab pawg NSAIDs (cov tshuaj uas tsis yog tshuaj steroidal anti-inflammatory) thiab analgesics ("Baralgin" lossis "Analgin").

Ketorolac

Yog tias tus neeg mob tau mob taub hau tsis tu ncua tom qab raug mob, cov tshuaj noj los ntawm pab pawg NSAID tuaj yeem raug sau. Cov tshuaj belongs rau derivatives ntawm acetic acid thiab muaj zog analgesic nyhuv. Cov khoom xyaw tseem ceeb ntawm Ketorolac yog ketorolac tromethamine. Ib ntsiav tshuaj muaj 10 mg ntawm cov khoom xyaw nquag. Raws li cov tshuaj ntxiv - calcium stearate, soy lecithin, qos starch, thiab lwm yam.

Cov txiaj ntsig kho mob tom qab noj cov tshuaj tuaj yeem pomtom qab 1 teev. Los ntawm lub zog ntawm cov nyhuv, cov tshuaj tuaj yeem sib npaug rau morphine. Nws raug sau tseg rau kev raug mob ntawm lub hlwb mob hnyav kom nres qhov mob sai. Nws yog qhov tsis tsim nyog siv "Ketorolac" nrog rau daim ntawv me me ntawm kev raug mob, rau kev kho mob hauv tsev nws yog qhov zoo dua los xaiv cov tshuaj muaj zog tsawg dua.

Ketorolac ntsiav tshuaj
Ketorolac ntsiav tshuaj

Siv los kho cov neeg mob txij li 16 xyoo. Feem ntau cov koob tshuaj tsis pub tshaj 3 ntsiav tshuaj ib hnub twg. Kev kho mob yog qhov siab tshaj 5 hnub.

Contraindications suav nrog tag nrho lub sijhawm cev xeeb tub thiab lactation, txij li cov nyhuv ntawm prostaglandin synthesis inhibitors ntawm tus menyuam tsis tau kawm tag nrho. Tsis tas li ntawd, tsis txhob muab tshuaj rau "aspirin" triad, rwj thiab yaig ntawm lub plab, hypovolemia, daim siab thiab lub raum tsis ua haujlwm thiab cov kab mob hauv plab.

YDiuretics

Cov tshuaj noj tsis haum no tau muab tshuaj los tiv thaiv lub hlwb o vim muaj zog intracranial. Raws li txoj cai, lawv raug pom zoo rau tus neeg mob nruab nrab lossis mob hnyav. Cov no suav nrog: "Veroshpiron", "Uregit", "Lasix", "Furosemide" thiab "Diacarb".

Y"Furosemide"

Ntau zaus, qhov nruab nrab mus rau qhov mob hnyav ua rau muaj zog intracranial siab, uas tuaj yeem ua rau muaj kab mob hauv lub hlwb txaus ntshai. Txhawm rau tshem tawm cov kua dej ntau dhau thiab txo qhov siab ntawm cov kua cerebrospinal ntawm cov meninges, siv cov tshuaj diuretics, uas suav nrog Furosemide.

Furosemide ntsiav tshuaj
Furosemide ntsiav tshuaj

Cov tshuaj nquag ntawm tib lub npe belongs rau lub voj voog diuretics ceev ceev, nws inhibits kev nqus ntawm sodium thiab chlorine ions. Nws feem ntau yog muab nrog rau cov tshuaj calcium los tiv thaiv o ntawm cov teeb meem grey ntawm lub hlwb. Cov tshuaj ntau npaum li cas yog xaiv los ntawm tus kws kho mob nyob ntawm daim duab kho mob, tab sis nws tsis tuaj yeem tshaj 1500 mg ib hnub twg. Rau cov menyuam yaus uas hnyav dua 10 kg, daim ntawv ntsiav tshuaj tsis raug sau tseg, kev tswj hwm niam txiv muaj peev xwm ua tau raws li cov lus qhia ntawm tus kws tshaj lij.

Contraindications suav nrog: lub raum tsis ua haujlwm, lub raum tsis ua haujlwm siab, mob ntshav siab, hypovolemia, hypersensitivity rau sulfonamides, precoma thiab coma.

YVasotropic tshuaj

Lawv tau pom zoo kom muab coj los ua kom muaj zog thiab nce elasticity ntawm phab ntsa ntawm cov hlab ntsha, nrog rau tswj cov ntshav viscosity. Lawv pab tshem tawm spasm ntawm cerebral hlab ntsha. Feem ntau cov tshuaj: "Istenon", "Cavinton", "Teonikol", "Vasotropin".

Cavinton

Cov tshuaj nquag ntawm cov tshuaj "Cavinton" - vinpocetine. Nyob rau hauv tas li ntawd, cov muaj pes tsawg leeg muaj pob kws starch, talc, colloidal silicon dioxide. Cov tshuaj no rau concussion muaj txiaj ntsig zoo rau cov metabolism, txhim kho cov khoom rheological ntawm cov ntshav thiab cov ntshav muab rau lub cev raug mob. sai sai absorbed los ntawm lub plab zom mov proximal.

Cavinton tshuaj
Cavinton tshuaj

Contraindications suav nrog lub sijhawm cev xeeb tub thiab lactation, nrog rau tus kheejintolerance rau active tshuaj. Vim lub fact tias tsis muaj cov ntaub ntawv kho mob txhim khu kev qha ntawm cov nyhuv ntawm vinpocetine rau cov menyuam yaus lub cev, cov tshuaj tsuas yog muab rau cov neeg mob hnub nyoog tshaj 18 xyoo. Tus qauv koob tshuaj yog 5 mus rau 10 mg peb zaug ib hnub twg. Txawm li cas los xij, hauv txhua kis, nws yuav txawv.

Cov tshuaj "Cavinton" yog ib pawg ntawm cov tshuaj uas tsis tshua muaj tshwm sim, raws li tau lees paub hauv kev sim tshuaj. Qee zaum, thrombocytopenia, insomnia thiab agitation, hemiparesis, amnesia, bradycardia tau kaw.

Lwm yam kev kho mob

Sedatives thiab tranquilizers tuaj yeem muab tshuaj los ua kom pw tsaug zog, txo kev ntxhov siab. Cov no suav nrog: Corvalol, Elenium, Dormiplant, Phenazepam, valerian lossis motherwort tincture. Cov tshuaj twg raug mob los ntawm pab pawg no yuav tsim nyog tshaj plaws, tus kws kho mob tshwj xeeb yuav txiav txim tau.

Cov tshuaj Phenazepam
Cov tshuaj Phenazepam

Ntxiv rau kev ua kom cov ntaub so ntswg rov qab sai thiab cov neeg mob rov qab los tom qab raug mob lub hlwb, cov vitamins ntxiv rau kev kho mob. Nws tuaj yeem yog "Tiamin", nicotinic acid, Eleutherococcus tincture thiab lwm yam tshuaj ntawm tus kws kho mob xaiv.

Txhawm rau tshem tawm xeev siab thiab ntuav, tshuaj "Papaverine", "Platifillin" lossis "Tanakan".

Cov tshuaj Papaverine
Cov tshuaj Papaverine

Results

Txhua yam tshuaj tom qab raug mob tuaj yeem noj tsuas yog hauv qhov ntau npaumsau los ntawm tus kws kho mob uas tuaj koom. Kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj qhov tshwm sim tsis tau pom dua. Cov teeb meem ntawm kev kho tsis raug tuaj yeem yog tom qab raug mob encephalopathy, cerebral ischemia, meningitis, encephalitis, qaug dab peg. Txhawm rau tiv thaiv cov xwm txheej zoo li no, nws yog ib qho tsim nyog yuav tsum ua raws li cov lus pom zoo ntawm tus kws tshaj lij thiab ua tiav tag nrho nws qhov kev teem caij.

Pom zoo: