Koma nthawi zambiri timadzipulumutsa tokha chifukwa cha kupwetekedwa mtima komanso kupweteka kwa msambo. Koma, monga mankhwala aliwonse, No-shpa ali ndi zizindikiro zingapo zogwiritsiridwa ntchito, komanso zotsutsana. Ngakhale kutchuka ndi kupezeka pafupifupi pafupifupi mankhwala onse apakhomo, sizowonjezereka ndipo sikuthandiza pazochitika zonse.
Koma-shpa - mawonekedwe ndi mawonekedwe a kumasulidwa
Mankhwalawa amapezeka m'mapiritsi komanso ngati njira yothetsera jekeseni wa intravenous and intramuscular.
Mapiritsi No-shpy ndi ang'onoang'ono, achikasu, ogulitsidwa amabwera m'mabotter kapena mabotolo apulasitiki a 20, 24, 60 kapena 100 zidutswa phukusi. Pulogalamu imodzi ili ndi 40 mg ya drotaverine hydrochloride, komanso zothandizira:
- magnesium stearate - 3 mg;
- talcum - 4 mg;
- povidone - 6 mg;
- chimanga cha chimanga - 35 mg;
- lactose monohydrate - 52 mg.
Njira yothetsera jekeseni - yonyezimira, yobiriwira, imapezeka m'ma ampulles a 2 ml. Mmodzi wa buloule ali ndi:
- drotaverina hydrochloride 40 mg;
- sodium disulfide - 2 mg;
- ethanol 132 mg;
- madzi a jekeseni.
Pakutha mankhwalawa, zotsatira za zotsatira zimayambira pambuyo pa mphindi 4-5, ndipo zotsatira zake zimakhala mkati mwa mphindi 30. Pogwiritsira ntchito palibe-shpa m'mapiritsi, mankhwalawa ayamba kuchitapo kanthu pakatha mphindi 15-20, ndipo msinkhu wa mankhwalawo umapezeka pambuyo pa mphindi 45-60.
Koma-shpa - zizindikiro zogwiritsiridwa ntchito
Choyamba, tiyenera kukumbukira kuti No-shpa sichikutanthauza kuti analgesics, koma kwa antispasmodics. Drotaverin, yomwe imagwiritsidwa ntchito kwambiri ndi mankhwala, imachepetsa minofu yowongoka, imachepetsa kutuluka kwa ayuni ya calcium m'maselo, imachepetsa ziwiyazo. Pa nthawi yomweyi, mankhwalawa sakhudza mtundu wa vegetative ndi pakatikati wamanjenje.
Choncho, kugwiritsiridwa ntchito kwa No-shpa kumapangitsa ululu umene ukhoza kuyambitsidwa chifukwa chokhala ndi mitsempha yambiri ya kumwezi, nthawi zambiri kumutu, koma, mwachitsanzo, sipadzakhalanso zotsatira ndi mano, ndipo ndi bwino kutenga analgesic.
Nthawi yomwe ntchito za No-shpa zikuwonetsedwa, ziphatikizapo:
- mutu;
- kupweteka kwa kusamba;
- ululu mu impso, bile, chikhodzodzo;
- cystitis ;
- kudzikweza;
- biliary ndi renal colic (palibe-shpa imagwiritsidwa ntchito mu ampoules, monga jekeseni);
- cholecystitis , gastroduodenitis;
- mu zovuta mankhwala a chapamimba chilonda ndi duodenal chilonda.
Ponena za kugwiritsidwa ntchito kwa No-shpa pa nthawi ya mimba, malingaliro a madokotala amasiyana. M'mayiko ena a ku Ulaya, kugwiritsira ntchito mankhwalawa panthawi yoyembekezera kumatsutsana. Komabe, vuto lovulaza mwana silovomerezedwa, ndipo mankhwalawa akuwonetsa kwambiri mphamvu yowonetsera chiberekero. Choncho, pakadali pano, kugwiritsira ntchito ntchito palibe-shpa kungathe kukhazikitsidwa ndi dokotala.
Kuwonjezera pa matendawa, kugwiritsidwa ntchito kwa No-shpa limodzi ndi analgin ndi njira imodzi yowonjezera kuchepetsa kutentha kwa thupi mu kutentha kwakukulu.
Kodi mungatenge bwanji No-shpu?
Akulu amatenga mapiritsi 1-2 mankhwala 2-3 pa tsiku. Mlingo wa tsiku ndi tsiku usapitirire mapiritsi 6 (40 mg aliyense). Kwa ana osapitirira zaka 6, mlingo wa tsiku ndi tsiku umachokera ku mapiritsi a 1 mpaka 3, ogawidwa mu 2-4 kulowa, ali ndi zaka 6 - mapiritsi 4 pa tsiku.
Kugwiritsa ntchito mankhwala osokoneza bongo kumakhala kochitidwa ndi dokotala, ngati pali zizindikiro zoyenera, koma ziwerengero zosamalidwa zimasungidwa (osati oposa 80 mg ya mankhwala yogwira ntchito pa mlingo).
Ndibwino kuti wodwala azitha kumagona nthawi yowiramo ndipo nthawi ina itatha.