Laakiin shpa

Laakiin shpa (ama drotaverin) waxaa loola jeedaa koox ka mid ah daroogada spasmolytic. Saamaynta daroogada la qaybiyey unugyada muruqa iyo horumarisa oo sabab u ah yareynta qadarka calcium gala murqaha. Tani waxa ay noqonaysaa sababa Iscelin of phosphodiesterase iyo raasamaal ee monophosphate adenosine xilliile ah.

Sida shpa natiijo laakiin attenuates ohyahay nidaamka muruqyada (gaar ahaan murqaha siman), iyo motility caloosha iyo mindhicirka. In shpa Intaa waxaa dheer, laakiin sababa vasodilation aan saameeya habdhiska ku autonomic iyo bartamaha. Habkaani waxaa loo ogol yahay in ay isticmaalaan daroogada ee kiisaska antispasmodics tallaabo dhexe (ie, ku simaha on habka dhexe ee neerfayaasha) waa u.

Marka intravenously maamula, saamaynta bilaabmaa si ay u horumariyaan laba ilaa saddex daqiiqo gudahood, darnaanta ugu badan ku dhacaa ay timeslot - "nus saac ka dib markii maamulka of daroogada."

Laakiin shpa saaray qaab xal isku duro, kiniin, kaabsoosha iyo kiniiniyada dahaarka leh.

Sida maroojiska laakiin shpa ayaa codsatay hoos shuruudaha soo socda: gastroduodenitis, adkaashada murqaha qaababka xubnaha gudaha, (waayo, bile, calool xanuun xiidmaha iyo kelyaha, marka kaadi mareenka Tardive iyo excretory, cholecystitis), caloosha oo caydi, pyelitis, boog ulcer.

Ka sokow taas, laakiin shpa loo isticmaalo in dabac ah durugsan, iyo sidoo kale halbowleyaasha wadnaha iyo maskaxda. Tani waxay fasireysaa waxtarka laakiin shpy madax xanuunka, dabeecadda caydi. alaabadooda iyo caafimaad Active helay adeegsigeeda dhalmada iyo dumarka. waxa ka codsan la halista dhicin, dhalashada dhicis ah, algodismenoree, dabac ah os iyo siidaynta muddada xilliga dhalmada, iyo sidoo kale gargaarka ee foosha post-bax dhalmo.

Laakiin shpa khusaysaa inta lagu guda jiro qaar ka mid ah hababka ogaanshaha, sida cholecystocholangiography.

In codsiga ah daroogo kasta waxaa laga yaabaa in la horumariyo waxyeelo iyo jawaab. Sayidka, codsiga laakiin shpy kara: wadno, dawakhaad, dareen kulaylka, cadaadis dhiig oo hoos u, iyo sidoo kale dareen diidmo oo xasaasiyadeed kala duwan. In codsanaya daroogada intravenously (i.e., marka wadada la duray maamulka) way dumi karaan horumarinta, garaaca, block atrioventricular, iyo sidoo kale xarun murugada neefsashada.

Laakiin shpa: badinta daroogada. Muujiyey in inta badan ee xaaladaha xad gudub ku ah tabinta atrioventricular, hoos u excitability ee muruqa wadnaha, kaas oo ugu dambeyntii keeni kara in ay wadnaha ama curyaannimo ee xarunta neef mareenka.

Waxaa jira tiro ka mid ah qaar ka mid ah sababo isticmaalka wakiilada maroojiska. In kelyaha, cagaarshowga ahaan ama wadnaha, block atrioventricular markii darajo labaad iyo saddexaad ee darnaanta, la hypotension iyo shoog cardiogenic. Laakiin ma khuseeyaan Fididda iyo atherosclerosis weyn wadnaha, kelyaha Prostatic benign iyo gulukooma xagal-xidho, inta lagu guda jiro nuujinta, iyo in bilaha ugu horreeya uurka.

Tan iyo markii uu noshpu sax ah? Marka hore, waxaad u baahan tahay in ay doortaan qiyaasta saxda ah ee daawada, ku xiran tahay cudurada ku. The qiyaasta ugu habboon waxaa loo tixgeliyaa: wadada afka, ee dadka waaweyn - ka afartan si siddeetan mg saddex jeer maalintii, muruqyada dhexdooda ama qiyaasta maamulka subcutaneous - waa isku mid sida badnaanta isku hal ilaa saddex jeer si den.S kelyaha weerar bararka, cagaarshowga, ama calool xanuun kale laakiin shpa maamula intravenously qadarkuu of 40-80 mg. Waxaa laga yaabaa in la isku duro intraarterial of daroogada, gaar ahaan in dabac ka durugsan vascular.

Qiyaasta (hal mar, dose hal) ee carruurta jirta ilaa lix sano, laga bilaabo toban ilaa labaatan mg dose maalin walba (ugu badnaan ee da 'kooxeedyada this) - 120 mg, u dhexeeya da'da lixda ilaa laba iyo toban dose hal ka mid ah 20 mg maalin kasta, iyo laba boqol mg. In carruurta, daroogada loo isticmaalo la badnaanta ilaa laba jeer maalintii.