Indlela yokubuyisela lesi sidakamizwa "Cha-shpa"? I-Analog "Ayikho-shpy" eshibhile futhi esebenzayo

Mhlawumbe, noma ngubani owake wabhekana nosizi nobuhlungu, ujwayelene nomuthi we-No-shpa. I-analogue yayo "Drotaverin", ephindaphinda ngokuphindaphindiwe lesi sidakamizwa ekubunjweni kwayo nasenzweni, aziwa wonke umuntu. Iningi labantu lithembele kakhulu ekukhangiseni kanye negama elijwayele, eliseminyakeni eminingi yokusebenzisa kakade liyisibonakaliso sokuqeda ubuhlungu. Abaningi bathatha i- "No-shpu" kunoma yiliphi i-spasm, bebeka lo muthi ngaphandle kokubonisana nodokotela. Kodwa, naphezu kwegama elihle lomkhiqizo kanye nokusebenza okuphezulu kwesidakamizwa, kunamaciniso amaningi nemiphumela emibi. Futhi ezimweni eziningi, uma udinga "Cha-shpa", i-analog yayo ikhetheka. Ukuze uqiniseke ukuthi ukuthatha lezi philisi kuzokusiza ngobuhlungu futhi ngeke kuholele ezinkingeni ezintsha, udinga ukwazi izici zesenzo sabo, izinkomba nokuphikisana nesicelo.

Umlando wokuthandwa kwezidakamizwa

Phakathi nekhulu le-19 isisetshenziswa esiphuthumayo se-analgesic sasihlukaniswe ne-opium. Wayebizwa ngokuthi i-papaverine. Ekuqaleni kwekhulu lama-20, ukukhiqizwa kwemithi yalesi sidakamizwa kwasungulwa. Le mithi yayingabizi futhi yayisetshenziselwa ukukhulula ubuhlungu kanye nezinselele ezifweni eziningi. Ngama-60s ukulungiselelwa kwathuthukiswa. Ngokusekelwe kulo, imithi emibili efana nayo yakhiqizwa. Inkampani yaseHungary imithi yakhiqiza le nhlobo i-No-shpa. I-analogue yayo ikhiqizwa eRussia futhi ibizwa ngokuthi "Drotaverina hydrochloride". "Ayikho i-shpa" ngokwayo ethandwa kakhulu ngenxa yegama lekhemisi laseHinoin. Kodwa eminyakeni yamuva, izidakamizwa sezibiza kakhulu, ngakho-ke akuwona wonke umuntu manje otholakala "Cha-shpa." I-analogue yaseRussia ye "Drotaverina hydrochloride" ibiza izikhathi ezingu-5 ezishibhile, futhi ayikho ngaphansi kokusebenza kuyo. Iziguli eziningi ezazama ukufaka esikhundleni se-"No-shpu" "I-Drotaverinom" inothi lokuthi abazange bazwe umehluko.

Imiphumela yesidakamizwa

Into esemqoka esebenzayo "Cha-shpy" - drotaverin. Kungenxa ye-antispasmodics yama-myotropic futhi iyathandwa ngenxa yokuthi ikhono layo lokususa masinya imisipha ephathekayo yezitho zangaphakathi. Lokhu kubonakala ngisho negama lomuthi, okuvela olimini lwesiLatini okuhunyushwa ngokuthi "akukho spasm". Ngakho-ke, zonke izidakamizwa ezisekelwe ku-drotaverine ziphumelela kakhulu ngokumelene nobuhlungu ezifweni ezihlukahlukene. Ngaphandle komphumela we-spasmolytic, bayakwazi ukuhlanza imithwalo yegazi kanye nezwi elincane lezitho zangaphakathi kuzo zonke izitho zangaphakathi, isibonelo emathunjini, ngaleyo ndlela banciphise i-peristalsis yayo. Kodwa emisebenzini yesimiso sezinzwa, lesi sidakamizwa asithathiwe, ngakho-ke ezimweni eziningi kungcono kwezinye izidakamizwa zobuhlungu. Isenzo se-drotaverin kanye nezidakamizwa ngesisekelo saso siphuthuma ngokushesha, ngokulawulwa kwe-intravenous - ngemizuzu engu-3-5. Umphumela wesifo somuthi uqhubeka isikhathi eside, ngakho amaphilisi angu-1-2 anele ukuvimba ukuhlasela.

Ngabe iziphi izidakamizwa ezisetshenziswayo

Isebenza kahle kakhulu "Ayikho i-shpa" ebuhlungu obuvela emvelaphi ehlukile, ikakhulukazi leyo ebangelwa ukuphazamiseka kwemithambo yegazi noma imisipha. Inqunywe odokotela ngezifo eziningi. Futhi abanye abantu, abavame ukuzwa ubuhlungu, bathathe lesi sidakamizwa ngisho nangaphandle kokubonisana nodokotela, okuyinto engathandeki, ngoba udinga ukwazi ukuthi yikuphi ukubonwa kwe "No-shpy" okuboniswayo. Iqokwa:

- nge-colitis spastic, ukuqotshwa, isisu somzimba, i-gastroduodenitis nezilonda;

- ngokuya esikhathini esibuhlungu;

- ukuvimbela ukubeletha ngaphambi kwesikhathi, ukunciphisa ithrekhi yesisu bese ususa umsebenzi we-postpartum;

- nge colic renal, cholecystitis kanye dyskinesia of buc ducts;

- nge-urolithic ne-cholelithiasis;

- ngekhanda elibangelwa i-vasospasm;

- ngezicucu ezijulile, imisipha elula nokulimala.

Amafomu okukhululwa "Cha-shpy"

1. Lesi sidakamizwa siyaziwa kakhulu ngesipelisi ezincane ezijikelezayo zombala ophuzi. Kulowo nalowo kufanele ucindezelwe ukubhala "spa". Amaphakheji akhishwe "Ayikho i-shpy" iyinto elula kakhulu: i-vial encane equkethe amaphilisi angu-100 ifakwe indlela ekhethekile yokulandelela. Ngezinhlungu ezibuhlungu kulula kakhulu. Uma ucindezela isembozo, ithebhulethi eyodwa yehla entendeni yesandla sakho. Ithebhulethi ngayinye iqukethe 40 mg we drotaverin - lokhu kuyinani elilodwa elilinganiselwe lomuntu omdala. Kukhona futhi i- "No-shpa Forte", eyenzelwe ukuphatha ubuhlungu obunzima, ngoba amaphilisi awo ngalinye aqukethe 80 mg we-drotaverine. Ngaphezu kwalokho, zonke amaphilisi afaka i-lactose, i-talc ne- magnesium stearate.

2. Isixazululo sokujola emagqumeni noma emigqumeni sisetshenziselwa izikhungo zezokwelashwa noma ukuphathwa kwe-colic eqondile kanye nezinselele. I-ampoule eyodwa iqukethe nesilinganiso esisodwa se-drotaverin - ama-milligram angu-40. Leli fomu lezidakamizwa lihanjiswa kusuka kuma-pharmacy kuphela odokotela, kanti lisetshenziselwa kakhulu izikhungo zezokwelapha.

Imiphumela emibi

Isidakamizwa singabangela imiphumela elandelayo engathandeki:

I-palpitations yenhliziyo;

- ukunciphisa ukucindezelwa;

- umkhuhlane kanye nokujuluka okukhulu;

- isizungu, ukulala;

- Ukudabuka, ukuqothulwa;

- Ukuphendula okwehla.

Okuyingozi kakhulu isingeniso sangaphakathi se-"No-shpy." Kungabangela i-arrhythmia, ukwehla kokucindezela ngisho nokucindezeleka kokuphefumula. Ngakho-ke, ngokuvamile ukusetshenziselwa ngaphandle kwesikhungo sezokwelapha kuqokwa ngomlomo "Cha-shpa" (amaphilisi).

Imiyalo yokusetshenziswa

Amathebulethi "Awu-shpy" kufanele adakwe izikhathi ezingu-2-3 ngosuku. Isikhathi sokwamukelwa sincike kuncomo yodokotela. Uma kwakudingeka uthathe isidakamizwa ngaphandle kokuqokwa kochwepheshe, akufanele uphuze isikhathi esingaphezu kwezinsuku ezimbili. Futhi akukona ukuthi kungabangela imiphumela emibi. "Ayikho i-shpa" ekhululeka kakhulu ekuphuculeni ubuhlungu, okungaba uphawu lokugula okungathí sina. Lokhu kungavimbela ukuxilongwa kwesokudla ngesikhathi. Isilinganiso salesi sidakamizwa sincike eminyakeni yobugulane, isimo sempilo yakhe kanye nemvelo yobuhlungu. Ngokuvamile ubeke amaphilisi angu-1-2 "Cha-shpy" ekwamukelwa. Futhi umthamo wansuku zonke akufanele udlule u-240 mg wezinto ezisebenzayo, futhi lezi amaphilisi ayisithupha. Nge-spasms ezinzima, "Ayikho i-shpa" inqunywe nge-intramuscularly. Izijovo zenziwa esilinganisweni esifanayo - kufika ku 240 mg ngosuku, futhi ngokuvunyelwe kuvunyelwe ukuphatha okungaphezu kwama-80 mg. Izingane ezineminyaka engama-6 kuya kwengu-12 zinconywa ukuba zinganiki amaphilisi angaphezu kwamabili ngosuku, futhi emva kweminyaka engu-12 - amaphilisi amane.

Ubani ongafanele athathe lesi sidakamizwa

"Ayikho i-shpu" ayikhuthazwa ukusetshenziswa kweziguli ezinjalo:

- iziguli ezinomsoco obunzima nokuqineka kwe-hepatic;

- abesifazane ngesikhathi se-lactation;

- izingane ezingaphansi kweminyaka eyisithupha;

- iziguli ezinokungaboni ngaso sonke isikhathi ku-drotaverine;

- ngokuhluleka kwenhliziyo okukhulu;

- nge-asthma ye-bronchial;

- abantu abanomfutho wegazi ophansi;

- labo abanomlando wokungabekezeleli kwe-lactose.

"Cha-shpa" ekukhulelwe

Manje ngokuvamile odokotela abaningi basebenzisa izidakamizwa ezisekelwe ku- drotaverine ngesikhathi sokukhulelwa. Ngokuyinhloko nge-obstetrics ukusheshisa ukuvulwa komlomo wesibeletho. Kodwa nganoma yisiphi isikhathi sokukhulelwa, ungathatha lesi sidakamizwa "Cha-shpa" (amaphilisi). Imfundo iphakamisa ukwenza lokhu kuphela ngaphansi kokuqondiswa kukadokotela, nakuba kukholelwa ukuthi lesi sidakamizwa asinayo imiphumela emibi ekuthuthukiseni ingane. Ngakho-ke, nganoma yisiphi ubuhlungu esiswini esingaphansi, abesifazane abakhulelwe batuswa ukuba bathathe iphilisi "No-shpy". Phela, iningi labaphikisayo kule nkathi liphikisana, futhi ubuhlungu kule nkathi kuvame ukubangelwa ama-muscle spasms, futhi yilokho okushiwo umuthi. Ukuphumula imisipha ebushelelezi yesibeletho kungavimbela ukuphuma kwesisu noma kumane kunciphise isimo somama olindele. Ngokuvamile kaningi "Akukho-shpa". I-analogue "Drotaverin" ayinamandla kakhulu futhi ayinayo isenzo eside kangaka. Ngaphezu kwalokho, kukholelwa ukuthi kubekezeleleke kakhulu. Kodwa ukwamukelwa kwe- "No-shpy" kufanele kube nokuqapha, ngoba lesi sidakamizwa singabangela ukuvulwa kwangaphambi kwesibeletho.

Ngingayifaka kanjani "No-shpu"

Akuwona wonke umuntu otholakala lo muthi, nakuba kungabizi kakhulu - ukupakisha kwamathebulethi kubiza cishe ama-ruble angu-200. Kodwa abaningi basebenzisa izidakamizwa ezishibhile. Ngaphezu kwalokho, akuwona wonke futhi hhayi nanoma yiziphi izinhlungu ezisiza "Ayikho i-shpa". Ama-analogs ashibhile ngezinye izikhathi ayasebenza kakhulu. Kodwa ukuze ukhethe kahle i- anesthetic drug, udinga ukwazi izici zesenzo sayo, kanye nemvelaphi nemvelo yobuhlungu. Zonke izidakamizwa ezisekelwe ku-drotaverine zisiza kuphela nge-spasms yegazi noma imisipha. Ngenalutho, bayoba nezinhloko zezimviva kanye ne-migraine. Kulezi zimo, izidakamizwa ezikhethekile zibekiwe. Kungaba "i-Paracetamol" noma "i-Analgin". Njengoba ubuhlungu obubangelwa ukuvuvukala, kungcono ukuthatha izidakamizwa ezingezona izidakamizwa eziphikisayo: Ibuprofen, Pentalgin, nabanye. Izinhlungu zamazinyo zisuswe kangcono "Ketoprofen." Kodwa umbuzo walokho ongashintsha esikhundleni se- "No-shpu" ungaxazululwa kuphela nodokotela. Uma uchwepheshe eqokwe noma ekhethile lokhu kulungiselelwa, lokho kusho ukuthi, ubuhlungu bubangelwa ukuphazamiseka kwemikhumbi noma ukuqhutshwa komzimba. Kulesi simo, yiyona "Ayi-shpa" ezokusiza kakhulu. I-analogue ingathathwa esikhundleni sayo, kodwa hhayi njalo lezi zidakamizwa ziyasebenza, futhi umphumela wabo kungenzeka ukuthi awube isikhathi eside kakhulu. Lokhu kungabangelwa izinto ezengeziwe ekubunjweni, ukungathembeki kwabakhiqizi noma umthamo we-drotaverine.

"Cha-shpa" - ama-analogues

Intengo yezidakamizwa ezihlukahlukene isukela kuma-ruble angu-50 kuya ku-200, kuye ngokuthi idumela lomkhiqizi, inani lamathebulethi kuphakheji kanye nendlela yokukhululwa kwemithi. Izindlela ezibiza kakhulu ezivela kuleli qembu ziyi-"No-shpa Forte" futhi empeleni "Ayikho i-shpa". Ama-analogue ashibhile - lawa amalungiselelo aseRussia asekelwe ku-drotaverine noma i-papaverine. Lokhu kufaka:

- "Drotaverina hydrochloride";

- "Drotaverin Forte";

- "Papaverin";

- Spazmol;

- "Spasmonet";

- "I-Noch-Bra".

Ngaphezu kwalokho, inguqulo ye-Indian ye-"Spaspeverin" kanye ne-anesthetic enamandla kakhulu - "Akukho-shpalgin" - nayo yakhiwe. Isidakamizwa sokugcina, ngaphezu kwe-drotaverine, iqukethe i-codeine ne-paracetamol futhi ithengiswa kuphela emtholampilo.

Okudingayo ukwazi uma uthatha amaphilisi

1. Zonke izidakamizwa ezinjalo, isibonelo, "No-shpa", "Analgin" nabanye, abaphatheli lesi sifo, kodwa bavele babambe izimpawu. Lokhu kuyiqiniso ngokukhethekile ngezidakamizwa ezisekelwe ku-drotaverine. Bakhulula ama-spasms futhi ngokushesha basize ngobuhlungu obunzima. Kodwa kungaba ubufakazi bokuthuthukiswa kwesisu noma ukuqala kwesifo esibi kakhulu. Ngakho-ke, akunconywa ukuba baphuze "No-shpu" izinsuku ezingaphezu kwezinsuku ezimbili ngaphandle kokubonisana nodokotela.

Ngaphambi kokuthatha noma yikuphi izidakamizwa ezisekelwe ku-drotaverine, udinga okuthile okudliwayo. Lesi sitho esiswini esingenalutho siphumelele kakhulu, futhi kulokhu kunamathuba amaningi okuthuthukiswa kwemiphumela emibi.

3. Uma ngemuva kokuthola ubuhlungu bokuthi "Ayikho-shpy" akuzange yehle ngemva kwemizuzu engu-20 kuya ku-30 noma kube nesisulu sokunganaki, ubuthakathaka kanye nosizi, kubalulekile ukuphawula ngokuthatha lesi sidakamizwa.

4. Ezinye izidakamizwa, isibonelo "i-Phenobarbital" nezinye izici ze-antispasmodics, zingathuthukisa isenzo se- "No-shpy", kodwa ukusetshenziswa okuhlangene kwemithi ehlukene kungenzeka kuphela ngokusho komuthi kadokotela.