Koma-spa ndi yotchuka kwambiri ndi antispasmodic, yomwe imapezeka pafupifupi pafupifupi mankhwala alionse a mayi. Amapulumutsidwa ndi kupweteka mutu, kupweteka m'mimba, kupweteka ndi msambo. Ndiponso No-shpa amagwiritsidwa ntchito kwambiri kuti achepetse kamvekedwe ka chiberekero pa nthawi ya mimba. Komabe, ziribe kanthu kuti mankhwalawa akugwiritsidwa ntchito moyenera komanso otetezeka bwanji, No-shpa akadali mankhwala omwe amatsutsana ndi zotsatira zake zambiri.
Palibe nsapato
Koma-shpa ndi mankhwala ochokera ku gulu la myotropic antispasmodics, chomwe chimagwiritsidwa ntchito kwambiri ndi drotaverine hydrochloride. Mankhwalawa amachepetsa minofu ya minofu yosalala, amaikonzanso, amawonjezera zitsulo, chifukwa chogwiritsira ntchito mankhwalawa. Pankhani iyi, mankhwalawa alibe mphamvu pa dongosolo la manjenje.
Koma-shpa imagwiritsidwa ntchito pochiza ndi kuteteza kupweteka kwa minofu ya m'mimba (chiwindi, impso, m'mimba yamkati), kuchepetsa kupweteka kwa zilonda zam'mimba ndi m'mimba (monga gawo la mankhwala ovuta), matenda a chikhodzodzo ndi kupweteka kwa mkodzo, mutu ndi kusamba .
Koma-zotsatira - zotsatira
Zotsatira zogwiritsira ntchito palibe-shpy ndizosowa kwambiri, pafupifupi 1%
- Kuchokera m'mimba ya m'mimba - kudzimbidwa, kunyoza;
- kuchokera ku mtima wa mtima - kuthamanga mofulumira, kuthamanga kwa magazi;
- kuchokera ku zamanjenje dongosolo - chizungulire, kuphwanya tulo;
- Zomwe zimagwirizana ndi mankhwala kapena zigawo zake - kumverera kwa kutentha, ming'oma, phokoso, kuyabwa.
Mankhwalawa atapitirira kale (makamaka ndi ma intravenous administration), mwadzidzidzi arrhythmia, kuchepa kwakukulu m'magazi (mpaka kugwa), kukhumudwa kwa malo opuma ndi chitukuko cha atrioventricular blockade.
Koma-spa - zotsutsana ndi ntchito
Mankhwala samaloledwa ngati pali zinthu zotsatirazi:
- kusagwirizana kwa mankhwala kapena zigawo zake;
- chotupa chachikulu, chowopsa ndi cholephera mtima ;
- AV blockade II ndi III digiri;
- kusokoneza maganizo.
Popeza No-shpa m'mapiritsi ali ndi lactose, imatsutsana ndi anthu omwe ali ndi galactoseemia, lactose, kapena matenda a glucose / galactose omwe amatha kutaya matenda.
Kugwiritsiridwa ntchito kwa No-shpa mu ampoules kumatsutsana ndi odwala matenda opatsirana ndi anthu omwe akudwala mphumu, chifukwa ali ndi bisulphite, zomwe zingayambitse vutoli, mpaka anaphylactic asokonezeka.
Kuonjezera apo, pali zifukwa zingapo zomwe kugwiritsa ntchito mankhwala sikukutsutsana, koma kumafuna kusamala. Zikakhala choncho, No-shpa imagwiritsidwa ntchito molingana ndi momwe adokotala akulembera komanso pamene kupindula kwake kumapindulitsa kuposa momwe zingakhalire zovulaza:
- ana osapitirira zaka 6 (m'mapiritsi) ndi zaka 16 (jekeseni);
- matenda a atherosclerosis a mitsempha yamakono;
- mimba ndi nthawi yakuyamwitsa;
- glaucoma ;
- hyperplasia wa prostate.
Koma-spa - zotsutsana ndi mimba
Ponena kuti Nosha akhoza kuvulaza mwana wamtsogolo, maganizo a madokotala amasiyana. M'mayiko ena ku Ulaya ndiletsedwa
Kumbali ina, No-shpa ndi antipasmodic yothandiza, yomwe imathandiza kuchepetsa kukula kwa chiberekero ndikupewa kutaya pathupi, kotero madokotala nthawi zambiri amauza amayi kuti azitenga mimba yoyamba.
Choncho, ngati palibe matenda a chiwindi, impso kapena zosiyana siyana, kutenga No-shpa mu mapiritsi a amayi apakati n'kotheka, koma kokha mwa chiwerengero cha dokotala komanso mankhwala ake.