Asi shpa

Asi shpa (kana drotaverin) rinoreva boka spasmolytic zvinodhaka. Kubata zvinodhaka riri richiparadzirwa munyika tsandanyama rinenge uye vanova somugumisiro kuderedza uwandu calcium anopinda netsandanyama. Izvi zvinozoita kunokonzera chinovhiringidza ose phosphodiesterase uye kuunganidza cyclic adenosine monophosphate.

Somugumisiro shpa asi attenuates mataurire zvetsandanyama nemapfupa ino (kunyanya kumeso tsandanyama), uye gastrointestinal motility. Mukuwedzera shpa asi anoita vasodilation pasina kukanganisa autonomic uye nechepakati tsinga. Nyaya iyi iri kubvumidzwa kushandisa mushonga muzviitiko apo antispasmodics nechepakati chiito (kureva, kuita pamusoro nechepakati tsinga) iri contraindicated.

Kana achiita nomutsinga, mugumisiro kachitanga mukati maviri matatu maminitsi, ayo kunonyanyisa mashoko aiva timeslot - ". Hafu yeawa pashure kwokubatsira mushonga"

Asi shpa asunungurwa muchimiro injectable zvinogadzirisa, mapiritsi, capsules uye Coated mahwendefa.

Sezvo antispasmodic asi shpa raiswa pasi zvinotevera ezvinhu: gastroduodenitis, tsandanyama spasm rekambani nenhengo dzawo (nokuti bile, intestinal uye renal colic, kana dyskinesia gallbladder uye excretory turakiti, cholecystitis), spastic kupatira, pyelitis, peptic urikanwi.

Kunze kwaizvozvo, asi shpa kushandiswa spasm kuti peripheral, uyewo coronary uye chepfungwa arteries. Izvi rinotsanangura kubudirira asi shpy nemusoro, spastic zvisikwa. Active wezvokurapa fuma uye vakawana kushandiswa kwayo Obstetrics and Gynecology. Yoashandisa nengozi kubva pamuviri, magadzirira kubereka algodismenoree, spasm of Os yayo kuramba tichishanda Kuziviswa pakusununguka, uyewo zvakazorodza post-partum sunga.

Asi shpa inoshanda panguva imwe chirwere dzokuvhiya, akadai cholecystocholangiography.

In pokushandisa chero mushonga anogona kuva nemishonga uye nezviito. Saka, kushanda asi anogona shpy: palpitations, dzungu, kunzwa kupisa, akaderedza BP, uyewo siyana neutachiona. In kushandisa zvinodhaka nomutsinga (i.e., kana jekiseni nzira chourongwa) anogona richaparara kutanga, arrhythmias, atrioventricular chidhina, uyewo kufema mwoyo centre.

Asi shpa: ane ovhadhozi zvinodhaka. Runoonekwa vakawanda vanenge zvaipesana atrioventricular conduction, kuderera ari excitability kwomwoyo tsandanyama, iro pakupedzisira zvinogona kutungamirira mwoyo kutadza kana kuoma kufema Centre.

Pane imwe nhamba contraindications pakushandisa antispasmodic nevamiririri. In renal, hepatic kana cardiac insufficiency; atrioventricular misa apo rechipiri nerechitatu inosiyana zvakaoma kwazvo, pamwe hypotension uye cardiogenic kuvhunduka. Asi regai kushandisa silos uye kukosha coronary atherosclerosis, prostatic hyperplasia isiri yekenza uye angled-kuvhara yemaziso, panguva lactation, uye trimester akazvitakura rokutanga.

Sezvo kutora noshpu zvakanaka? Chekutanga, unofanira kusarudza chipimo chemushonga zvinodhaka, zvichienderana zvokurwara. The zvakakodzera zvikuru chipimo chemushonga vanonzi: dzaiita zvokutaurwa nzira, nokuti vakuru - kubva mana kusvika makumi masere MG katatu pazuva; intramuscular kana subcutaneous Kutarisirwa chipimo chemushonga - zvakangofanana sezvo multiplicity inobva imwe katatu kuitira den.S edema Kurwisa renal, hepatic, kana zvimwe colic asi shpa raitongwa nomutsinga mune imwe mari 40-80 MG. Zvichida intraarterial jekiseni zvinodhaka, kunyanya peripheral vascular spasm.

Chipimo chemushonga (imwe-nguva, chimwe dose) vana makore matanhatu, kubvira gumi kusvika makumi maviri MG nezuva dose (kufadza nezera iri boka) - 120 MG; pakati pemakore matanhatu kusvika gumi chete dose 20 MG nezuva, mazana maviri MG. In vana, mushonga rinoshandiswa pamwe multiplicity nguva anosvika maviri pazuva.