Drotaverine tau xav tau ntau ntawm cov neeg mob tau ntev. Kev ua haujlwm zoo ntawm cov tshuaj, ua pov thawj hauv ntau qhov kev sim tshuaj, tso cai rau nws siv los ua cov tshuaj sai thiab siv tau yooj yim. Txhais tau hais tias "Drotaverine" - txhaj tshuaj lossis ntsiav tshuaj - tuaj yeem siv ob zaug thiab ua ib feem ntawm kev kho mob rau ntau yam kab mob.
Creation
Hauv xyoo 1961, ib qho derivative ntawm "Papaverine" tau tsim - cov tshuaj "Drotaverine". Nyob rau hauv cov chav kawm ntawm kev soj ntsuam thiab pharmacological kev tshawb fawb, kev ua hauj lwm zoo ntawm cov tshuaj "Drotaverine" txheeb ze rau nws predecessor tau proven.
Cov tshuaj "Drotaverine" nrog nws cov metabolites tseem ceeb yog lub zog xaiv inhibitor ntawm cov leeg nqaij leeg, ua tsaug uas lawv tsis tsuas yog tau txais cov nyhuv analgesic, tab sis kuj ua tiav qhov txo qis hauv qhov mob thiabedema ntawm cov ntaub so ntswg puas, feem ntau, tau txais txiaj ntsig zoo ntawm kev ua haujlwm ntawm lub cev. Ntau tus neeg mob nug lawv tus kheej: "Drotaverin ntsiav tshuaj - puas yog" No-shpa "?" Yog lawm, cov tshuaj "No-shpa" yog nws cov analogue, thiab cov tshuaj "Drotaverine" tuaj yeem hloov tau los ntawm ntau cov tshuaj antispasmodic zoo ib yam li hauv cov khoom xyaw.
Means "Drotaverine": dab tsi pab
Kev tshem tawm ntawm spasm yog lub luag haujlwm tseem ceeb ntawm cov tshuaj, txawm li cas los xij, vim qhov mob tsuas yog cov tsos mob tshwm sim los ntawm lub cev nqaij daim tawv thiab cov leeg mob, nrog rau qee yam kab mob, nws txhais tau hais tias Drotaverine tau sau nrog rau lwm yam tshuaj. Kev tsis zoo ntawm cov ntshav ncig ntawm thaj chaw puas tuaj yeem ua qhov pib ntawm cov txheej txheem pathological.
Kev kho mob muaj ntau qhov xwm txheej uas yuav tsum tau siv Drotaverin, tab sis cov lus qhia tseem ceeb yog:
- Raws li tus neeg npaj npaj rau cov neeg mob raug xa mus rau ntau yam txheej txheem xws li catheteral catheterization.
- Raws li kev kho mob, thaum qhov mob yog tus yam ntxwv tseem ceeb nrog kev tshwm sim ntawm tus kab mob, tab sis tsis ua lub luag haujlwm tseem ceeb hauv nws cov kab mob.
Yuav ua li cas cov tshuaj ua haujlwm
Kev kho tau zoo ntawm Drotaverin yog raws li cov txiaj ntsig ntawm cov txheej txheem ntawm cov leeg nqaij. Thaum cov leeg nqaij mos so, qhov nro (lub suab) ntawm cov phab ntsa ntawm cov poj niam qhov chaw mos ntawm lub cev txo qis, qhov mob thaum cev xeeb tub yog qhov tsis muaj zog lossis tshem tawm tag nrho. Ua tsaug rau qhov ua tiavKev kho mob pab txhim kho cov ntshav mus rau phab ntsa ntawm lub cev.
Tsis zoo li lwm yam tshuaj loog, Drotaverine tsis tshem tawm cov tsos mob ntawm tus kab mob. Cov tshuaj "Drotaverine" tsis xav tau daim ntawv xaj rau nws qhov kev yuav khoom, nws tuaj yeem nthuav tawm ntau yam, kev teem caij uas yuav tsum tau txiav txim siab los ntawm tus kws kho mob tuaj koom:
- 2 ml ampoules muaj 40 mg ntawm cov khoom xyaw nquag Drotaverine.
- 40mg ntsiav tshuaj.
- Forte ntsiav tshuaj nrog nce ntxiv ntawm 80 mg ntawm cov tshuaj.
Means "Drotaverine": cov lus qhia tseem ceeb ntawm cov tshuaj
Hauv cov kab mob ntawm txoj hnyuv, cov tshuaj "Drotaverin" muaj cov txiaj ntsig zoo rau lub cev, uas ua rau cov leeg nqaij tsis muaj zog thiab ua kom muaj zog. Kev kho mob tuaj yeem pab tau zoo nrog cov kab mob hauv qab no:
- Colitis.
- YPancreatitis.
- Sphincter ntawm Oddi dysfunctions.
- Irritable bowel syndrome.
- Tsis yog ulcerative dyspepsia.
- YPeptic ulcers ntawm plab thiab duodenum.
- papillitis.
- YCholangitis.
- Pericholecystitis YPericholecystitis
- Cholecystitis.
- YCholelithiasis.
Kev tshawb fawb tau pom…
Cov tshuaj "Drotaverine": vim li cas nws thiaj li muaj txiaj ntsig, thiab nws qhov txiaj ntsig ntawm lwm yam tshuaj yog dab tsi? Thaum kuaj cov tshuaj thiab cov kev tshawb fawb soj ntsuam tsom rau kev kawm txog cov nyhuv ntawm cov tshuaj rau cov neeg mob kuaj pom tias muaj stenosis ntawm sphincter ntawm Oddi, ib qho tseem ceeb tsis muaj zog ntawm tus mob syndrome tau sau tseg hauv 60% ntawmtxhua yam xeem. Hauv qhov no, qhov txiaj ntsig zoo dua ntawm cov tshuaj "Drotaverine" txheeb ze rau lwm cov tshuaj tua kab mob tau raug pov thawj.
Nyob rau hauv cov neeg mob uas muaj mob plab hnyuv, nrog rau kev mob plab hnyuv siab raum, thaum lub sij hawm sim tshuaj, qhov zoo ntawm cov tshuaj tau pom zoo ib yam. Txoj kev tshawb no koom nrog 62 cov neeg mob uas muaj cem quav thiab IBS. Txhua hnub rau 2 lub lis piam, cov neeg kawm tau sau lawv cov lus tsis txaus siab ua ntej pib kho nws tus kheej, tom qab 2 lub hlis noj Drotaverin ntsiav tshuaj 3 zaug hauv ib hnub. Nrog rau kev kho mob nquag, muaj qhov txo qis hauv plab hauv 47% ntawm cov neeg mob. Thaum noj cov tshuaj "Drotaverin", lwm cov tsos mob ntawm plab hnyuv plab kuj txo.
Qhov kev txiav txim ntawm cov tshuaj "Drotaverine" ntawm lub cev thiab cov kabmob ntawm tib neeg lub cev
Raws li tau hais los saum toj no, cov tshuaj "Drotaverine" tsis pab dab tsi, nws tuaj yeem siv tau ntau yam kab mob.
- Nws muaj qhov nruab nrab sedative, tiv thaiv ischemic thiab coronary dilating nyhuv. Nws muaj qhov zoo sib txawv ntawm Papaverine, vim tias tom kawg tuaj yeem txo cov suab nrov, pab txo cov ntshav siab, kiv taub hau thiab hyperventilation.
- Nws ua rau cov ntshav ntws nce thiab txo qis vascular kuj zoo heev.
- Tsis cuam tshuam rau lub plawv dhia ntsuas, xyaum tsis hloov ntshav siab. Mob ntshav qab zib tsawg tuaj yeem nyob ib nrab ib teev tom qab noj, tsis muaj ntxiv.
- Nws tsis cuam tshuam rau kev cog qoob loopaj hlwb. Vim tias cov nyhuv ncaj qha ntawm Drotaverin ntawm cov leeg nqaij, nws tuaj yeem siv los ua tshuaj loog thaum siv cov tshuaj anticholinergics yog contraindicated - nrog prostatic hypertrophy lossis glaucoma.
- Tom qab kev tswj hwm sab hauv, cov tshuaj pib ua haujlwm tom qab 2-4 feeb, qhov siab tshaj plaws ntawm cov tshuaj tau pom tom qab ib nrab teev.
- Tsis tas li, cov tshuaj "Drotaverine" yog ib qho tseem ceeb hauv cov kab mob ntsws ntev, hemodynamics, muaj txiaj ntsig zoo rau kev ua haujlwm ntawm lub xeev kev ua haujlwm ntawm myocardial contractility.
- Nws tuaj yeem txhim kho cov ntshav mus rau cov ntaub so ntswg, vim nws muaj cov nyhuv vasodilating.
Thaum tsis muaj tshuaj "Drotaverin" hauv lub tsev muag tshuaj, nws cov analogues tuaj yeem xaiv tau raws li hauv qab no: "Spakovin", "Spazoverin", "Spazmonet Forte", "Spazmol", "Ple-spa", " Nosh-bra", "No-shpa."
Kev mob tshwm sim ntawm cov tshuaj
Nyob rau hauv cov hlab plawv:
- Nyob hauv siab.
- xav kub.
- Kev tswj hwm txoj hlab ntshav tuaj yeem txo cov ntshav siab.
- Kev txhim kho ntawm AV thaiv.
- Arrhythmia.
Nyob rau hauv txoj kev ua pa:
Nrog kev tswj hwm txoj hlab ntshav, kev nyuaj siab ntawm qhov chaw ua pa tau sau tseg
Ntawm lwm tus:
- ntxub tawm hws.
- kiv taub hau.
leej twg yuav tsum tsis txhob
tshuaj "Drotaverin", uas nwstsuas yog tsis pab, tab sis qee zaum, tus kws kho mob yuav txwv tsis pub siv. Contraindications rau kev siv cov tshuaj "Drotaverine" yog lub sij hawm ntawm cev xeeb tub thiab lactation. Tsis tas li ntawd, cov tshuaj raug muab tso tseg yog tias pom muaj qhov tsis haum rau cov khoom ntawm cov khoom xyaw.
Qhov muaj txiaj ntsig ntawm cov tshuaj rau tus poj niam cev xeeb tub tsis tau tsim. Kev teem caij ntawm "Drotaverin" tsuas yog ua tau tom qab kev tshuaj ntsuam xyuas ntawm qhov muaj feem cuam tshuam rau tus menyuam hauv plab thiab muaj txiaj ntsig zoo rau leej niam. Cov kev tshawb fawb soj ntsuam hauv lub sijhawm lactation tsis tau ua, yog li cov tshuaj noj thaum pub niam mis yog qhov tsis xav tau.
Ntau tshaj
Thaum noj cov tshuaj saum toj no cov qauv tsim, kev siv tshuaj ntau dhau tuaj yeem tshwm sim, nrog rau cov tsos mob hauv qab no:
- Kev mob plawv.
- Paralysis ntawm qhov chaw ua pa.
- AV block.
- Vascular insufficiency.
- Kev nyuaj siab ua pa.
- Ntaus.
- Vim.
- tawm hws ntau dhau.
- Ntxhais tawv nqaij.
Yog tias koj ntsib ib qho lossis tag nrho cov tsos mob saum toj no, hu rau koj tus kws kho mob tam sim.
Puas yog muab rau me nyuam
Ib koob tshuaj qhov ncauj yog 10-20mg rau cov menyuam yaus hnub nyoog qis dua 6 xyoo, 20mg rau cov menyuam yaus hnub nyoog 6-12 xyoos, nrog ntau zaus siv 1-2 zaug hauv ib hnub.
Nrog kev ceev faj ntxiv, cov tshuaj yuav tsum tau noj nrog arterial hypotension. Thaum lub sij hawm intravenously tswj cov tshuaj, tus neeg mob yuav tsum tau nyob rau hauv lub supine txoj hauj lwm, vim muaj kev phom sij.poob.
Lwm cov txiaj ntsig ntawm kev noj tshuaj
Qhov txiaj ntsig tuaj yeem txiav txim siab tias thaum noj tshuaj kho mob sab hauv, nws tsis muaj kev cuam tshuam rau kev tsav tsheb lossis lwm yam kev ua ub no txaus ntshai. Txawm li cas los xij, tom qab txhaj tshuaj ntawm cov tshuaj, nws tseem pom zoo kom tsis txhob tsav tsheb rau qee lub sijhawm, kwv yees li ntawm 1 teev.
Cov ntaub ntawv tshawb fawb tau luam tawm thiab cov kws kho mob cov kev soj ntsuam ua pov thawj tias cov tshuaj "Drotaverine" yog cov tshuaj tua kab mob zoo heev, tsim nyog rau kev siv ntau yam kev kho mob. Nyob ntawm qhov ntau npaum thiab daim ntawv tso tawm ntawm cov tshuaj "Drotaverin", tus nqi yuav txawv ntawm 10 mus rau 50 rubles.
