"No-shpa" thaum cev xeeb tub, 3rd trimester: qhia, noj, tshuaj xyuas

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:25

Nws tsis pom zoo kom noj tshuaj thaum cev xeeb tub, tab sis qee zaum koj tsis tuaj yeem ua yam tsis muaj tshuaj. Hauv cov xwm txheej zoo li no, kws kho mob tuaj yeem sau tshuaj rau tus poj niam uas muaj kev cuam tshuam tsawg kawg nkaus rau tus menyuam hauv plab. Ntawm cov tshuaj no yog "No-shpa". Txawm li cas los xij, peb puas tuaj yeem paub tseeb tias kev siv "No-shpa" thaum cev xeeb tub hauv peb lub hlis thib 3 yuav tsis ua mob rau tus menyuam? Cia peb kawm saib.

Thaum twg "No-shpu" siv?

Txhua tus paub tias "No-shpa" los ntawm mob taub hau thaum cev xeeb tub tau siv sijhawm ntev. Txawm li cas los xij, nws puas muaj txiaj ntsig zoo? Cov tshuaj no feem ntau siv li cas?

Cov tshuaj nquag ntawm cov tshuaj yog drotaverine. Nws yog muag hauv daim ntawv ntshiab. Nws txoj haujlwm yog txhawm rau tshem tawm spasm ntawm cov leeg, txo cov suab nrov ntawm cov leeg nqaij, txo lawv cov kev ua haujlwm ntawm lub cev muaj zog thiab muaj kev nthuav dav ntawm cov hlab ntsha.nkoj.

"No-shpa" los ntawm mob taub hau thaum cev xeeb tub yog nquag pom zoo los ntawm kws kho mob. Txawm li cas los xij, tsis yog txhua tus neeg xav tias nws muaj kev nyab xeeb rau leej niam thiab tus menyuam hauv plab. Muaj pov thawj tias tom qab noj cov tshuaj, toxicosis nce, qab los noj mov tsis zoo, tsis muaj zog thiab lub plawv dhia nce. Cov kws tshaj lij xaus lus tias yuav tsum tau ceev faj heev thaum noj cov tshuaj no.

Action "No-shpy"

Kev siv "No-shpy" thaum cev xeeb tub hauv 3rd peb lub hlis twg yuav yog vim qhov xav tau los txo qhov excitability ntawm lub tsev menyuam. Tsis tas li ntawd, cov tshuaj no yog siv los txo lub ncauj tsev menyuam thaum yug menyuam.

Cov tshuaj ntawm lub cev ntawm tus poj niam cev xeeb tub yog raws li nram no:

• txo qis hauv uterine tone;
• txo qis kev ua haujlwm ntawm cov leeg nqaij uterine;
• normalization ntawm cov ntshav mus rau lub cev.

Txawm li cas los xij, kev siv "No-shpa" thaum cev xeeb tub tsis txwv rau gynecological indications. Feem ntau nws raug sau tseg kom txo tau qhov mob ntawm cov kab mob ntev ntawm txoj hnyuv hauv qhov mob hnyav, nrog rau kev ua txhaum ntawm cov kua tsib thiab cov hlab ntsha.

Qhov kev pheej hmoo ntawm kev noj tshuaj thaum cev xeeb tub yog vim muaj kev hloov pauv hauv cov tshuaj hormonal, uas, dhau los, tuaj yeem ua rau tus poj niam mob hnyav dua. Qhov no kuj tuaj yeem tshwm sim los ntawm kev hloov pauv ntawm qhov chaw ntawm lub cev hauv nruab nrog cev vim qhov loj ntawm tus menyuam hauv plab.

"No-shpa" thaum ntxov cev xeeb tub

Kev xeeb tub ntxovqee tus poj niam tau muab tshuaj rau hauv daim ntawv txhaj tshuaj. Tsis-shpy txhaj tshuaj pab txo cov suab nrov ntawm lub tsev menyuam, uas tau pom thaum muaj kev hem thawj ntawm kev nchuav menyuam. Yog li, cov tshuaj no pab kom cov leeg nqaij, thiab qhov no, dhau los, yog qhov txaus ntshai nyob rau lub sijhawm tom qab, vim nws tuaj yeem ua rau lub cev tsis muaj zog.

Ntawm lwm yam mob mob, Tsis-shpy txhaj yog siv rau cov kab mob hauv qab no:

• cholecystitis;
• cholangitis;
• gastritis;
• colitis;
• plab hnyuv thiab duodenal rwj;
• enterocolitis;
• cystitis;
• jade;
• pyelitis.

Nyob rau hauv cov kab mob no, kev noj tshuaj raws li tshuaj loog tsuas yog ua tau tom qab kev sab laj nrog kws kho mob. Tom qab tag nrho, kev tshem tawm cov tsos mob tuaj yeem, ntawm qhov tsis sib xws, ua rau cov duab kho mob hnyav dua.

"No-shpa" thaum cev xeeb tub

Txawm hais tias muaj kev phom sij ntawm kev siv tshuaj nyob rau theem tom ntej, nws tseem raug tshuaj rau qee qhov xwm txheej. Piv txwv li, "No-shpa" thaum cev xeeb tub ua ntej yug me nyuam pab npaj cov kwj dej yug me nyuam rau kev kis tus menyuam los ntawm lawv. Nws muaj cov nyhuv so ntawm cov leeg ntawm lub tsev menyuam, uas ua rau nws qhib sai dua thiab ua kom yooj yim rau cov txheej txheem.

Qee tus kws tshaj lij ntseeg tias qhov kev txiav txim ntawm "No-shpa" ua ntej yug menyuam yuav pab txo qis qhov mob ntawm kev sib kis, ua rau lub sijhawm yug me nyuam luv thiab tiv thaiv qhov tshwm sim ntawm qhov khoob. Tag nrho cov noNws yooj yim rau txoj hauj lwm ntawm tus me nyuam thiab pab nws hla tus kwj dej yug me nyuam tsis mob.

"No-shpa" thaum cev xeeb tub hauv peb lub hlis thib 3 muaj lwm yam siv. Feem ntau, ze rau lub hnub yug, tus poj niam yuav muaj kev cob qhia contractions. Kom paub meej tias cov kev xav no tsis tseeb thiab tsis muaj tseeb, nws raug nquahu kom noj ob peb ntsiav tshuaj No-shpy.

Tom qab qee lub sijhawm nws yuav nkag siab qhov tseeb ntawm kev cog lus. Yog tias lawv tau kawm, ces qhov mob yuav ploj mus. Tab sis yog tias cov no yog mob hnyav, ces noj tshuaj yuav tsis hloov qhov xwm txheej.

Tablet form

Nyob rau hauv cov lus qhia rau kev siv rau No-shpe, qhov ntau npaum ntawm cov ntsiav tshuaj yog qhia los ntawm 80 mus rau 240 mg ib hnub twg. Cov koob tshuaj zoo tshaj yog txiav txim los ntawm tus kws kho mob. Feem ntau muab 1-2 ntsiav tshuaj peb zaug hauv ib hnub.

Hauv cov lus qhia rau kev siv, qhov ntau npaum li cas ntawm "No-shpy" hauv cov ntsiav tshuaj sib txawv nyob ntawm qhov mob uas yuav tsum tau ua kom tsis zoo. Qhov ntau npaum li cas yog 80 mg, yog li 2 ntsiav tshuaj feem ntau noj (40 mg yog muaj).

Kev txhaj tshuaj

Feem ntau, kom muaj txiaj ntsig sai dua, tshwj xeeb tshaj yog thaum muaj xwm txheej ceev, "No-shpu" yog siv rau hauv daim ntawv txhaj tshuaj. Cov lus qhia rau kev txhaj tshuaj No-shpy hais tias daim ntawv ntau npaum no haum rau cov neeg mob uas muaj lactose intolerance. Nws yog nws uas muaj nyob rau hauv cov ntsiav tshuaj daim ntawv ntawm cov tshuaj.

Hauv cov lus qhia rau kev txhaj tshuaj Tsis-shpy, qhov koob tshuaj intramuscular ntawm cov tshuaj tau qhia los ntawm 40 txog 240 mg ib hnub. Txawm hais tias qhov ntau npaum li cas ntawm kev txhaj tshuaj tsis txawv ntawmntau npaum li cas ntawm cov ntsiav tshuaj, cov nyhuv ntawm cov tshuaj muab intramuscularly tshwm sim sai npaum li cas. Qhov no ua lub luag haujlwm tseem ceeb hauv cov xwm txheej xwm txheej ceev, xws li kev hem thawj nchuav menyuam lossis ua haujlwm sai.

Feem ntau, thaum lub sijhawm ua haujlwm, 40 mg ntawm cov tshuaj raug muab ua ib zaug. Yog tias tsim nyog, qhov kev tswj hwm no rov ua dua tom qab ob peb teev. Hauv qee cov neeg mob, cov nyhuv so ntawm "No-shpa" pab txhawb kom qhib lub ncauj tsev menyuam sai dua. Tsis tas li ntawd, cov txheej txheem nws tus kheej tsis tshua mob, uas tso cai rau koj txuag lub zog rau lub sijhawm txiav txim siab.

Thaum cov leeg tau so nyob rau hauv qhov kev txiav txim ntawm antispasmodic, qhov tshwm sim ntawm cov ntaub so ntswg thiab cov mucous membrane ruptures yog tsawg dua.

Qhov kev poob qis ntawm kev siv "No-shpy" hauv kev txhaj tshuaj yog tsim los ntawm cov ntsaws ruaj ruaj, uas yog hu ua "infiltrates". Lawv tshwm sim ntawm qhov chaw txhaj tshuaj, txij li cov tshuaj tau muab tshuaj intramuscularly. Txawm li cas los xij, tsis txhob txhawj, vim tias cov infiltrates daws tsis pub dhau ob peb lub hlis.

Lub sijhawm tshem tawm cov khoom tawm ntawm lub cev

Zoo li lwm yam tshuaj, "No-shpa" raug tshem tawm ntawm lub cev tom qab qee lub sijhawm. Absorbed sai sai. Tom qab li ib teev, qhov concentration ntawm cov tshuaj hauv cov ntshav nce mus txog qhov siab tshaj plaws.

Cov tshuaj nquag "No-shpy" tuaj yeem khi rau plasma proteins. Tsis tas li ntawd, cov tshuaj yog metabolized nyob rau hauv daim siab. Lub sijhawm rau kev tshem tawm tag nrho cov metabolites los ntawm lub raum yog 72 teev.

"No-shpa" kav ntev npaum li cas? Txij li cov tshuajabsorbed sai txaus, nws pib ua tom qab 10-15 feeb.

Nyob rau hauv fetus

"No-shpa" thaum cev xeeb tub hauv lub peb hlis ntuj 3 tuaj yeem muaj qee yam cuam tshuam rau tus menyuam, tab sis cov tshuaj no ua rau tus niam muaj mob ntau dua. Los ntawm txoj kev, hauv qee lub tebchaws nyob sab Europe, cov tshuaj no feem ntau txwv tsis pub.

Kev tshawb fawb tau tshawb pom tias nrog kev siv tshuaj ntev ntev hauv cov menyuam yaus, kev loj hlob qeeb tau pom. Qhov tshwm sim tsis zoo tshaj plaws yog teeb meem hais lus hauv cov menyuam mos.

Kev siv "No-shpy" thaum cev xeeb tub hauv 3rd peb lub hlis twg hauv kev tshuaj xyuas cov poj niam tau qhia tias yog ib txoj hauv kev muaj txiaj ntsig. Cov poj niam uas siv cov tshuaj no raws li kws kho mob tau sau tseg tias nws txo qhov mob ntawm ntau yam etiologies zoo. Txawm li cas los xij, nws yuav tsum tau ceev faj thiab tsuas yog tom qab sab laj nrog kws kho mob.

Puas No-shpa mob?

Cov tshuaj no, zoo li lwm yam, muaj nws cov contraindications rau kev siv.

• "No-shpa" thaum cev xeeb tub tuaj yeem ua rau yug ntxov ntxov.
• Yog tus poj niam muaj teeb meem nrog rau lub raum, lub plawv, siab, lossis ntshav siab (tshwj xeeb, yog tias nws txo qis), ces tsis pom zoo siv tshuaj.
• Cov tshuaj tsis haum rau cov tshuaj nquag ntawm cov tshuaj lossis cov khoom siv pabcuam tuaj yeem tshwm sim.

Vim muaj cov contraindications uas tau teev tseg saum toj no, qhov ntau npaum ntawm "No-shpy" thaum cev xeeb tub hauv lub peb hlis ntuj 3 yog teem los ntawm kws kho mob nkaus xwb. Nws kuj txhaisqhov tsim nyog ntawm kev siv cov tshuaj no hauv txhua kis.

Ntxiv rau qhov tseeb tias thaum lub sijhawm yug menyuam, cov tshuaj no tuaj yeem ua rau muaj toxicosis, txo qis qab los noj mov, ua rau tsis muaj zog thiab mob plawv, qee zaum nws tuaj yeem ua rau mob ntshav qab zib. Yog li ntawd, kev siv "No-shpy" los yog drotaverine nyob rau hauv nws daim ntawv ntshiab thaum lub sij hawm ua hauj lwm yog undesirable los yog yuav tsum tau nyob rau hauv kev saib xyuas tas li ntawm ib tug kws kho mob. Vim lub peev xwm ntawm cov tshuaj los so kom cov leeg du ntawm lub cev, lub tsev menyuam tsis cog lus tom qab yug menyuam, uas ua rau tsis xav los ntshav hauv lub sijhawm tom qab yug menyuam.

Kev tshawb fawb tau pom tias cov tshuaj tsis muaj qhov cuam tshuam tsis zoo rau tus menyuam hauv plab thaum cev xeeb tub. Txawm li cas los xij, qee lub tebchaws nyob sab Europe tsis xyaum siv cov tshuaj thaum lub sijhawm yug menyuam - lawv cov kev tshawb fawb qhia tau hais tias hauv cov menyuam yaus muaj kev ncua ntawm kev hais lus yav tom ntej. Cov kws tshawb fawb hauv tsev tsis muab cov ntaub ntawv no.

Lwm qhov zoo ntawm cov tshuaj yog nws lub peev xwm los ua kom tus menyuam lub plawv ua haujlwm. Cov poj niam uas tau kuaj pom tias muaj tachycardia nyob rau hauv lub fetus, cov tshuaj no yog siv nyob rau hauv daim ntawv ntawm kev txhaj tshuaj. Raws li kev soj ntsuam ultrasound, pathology tau neutralized.

Side states

Yog tias tus poj niam cev xeeb tub tsis tau pom qhov tshwm sim tsis zoo hauv nws tus kheej tom qab noj "No-shpa", tom qab ntawd nrog qhov pib ntawm cev xeeb tub, txhua yam tuaj yeem hloov pauv. Yog li ntawd, nws yog ib qho tseem ceeb kom paub tias muaj kev phiv dab tsi tuaj yeem ua tauua rau cov tshuaj noj. Ntawm lawv:

• hypotension (tso ntshav siab);
• palpitations (tachycardia);
• lub plawv dhia tsis zoo (arrhythmia);
• kiv taub hau;
• mob taub hau;
• insomnia lossis tsaug zog;
• digestion disorders (xws li, ntuav, cem quav, raws plab);
• cov tshuaj tiv thaiv tawv nqaij (khaus khaus, ua pob khaus, khaus);
• angioneurotic edema (tsawg kawg).

"No-shpa" thiab "Papaverine": siv ua ke

Yog li, nws twb tau hais saum toj no ntev npaum li cas "No-shpa" ua haujlwm. Txhawm rau txhim kho nws cov txiaj ntsig, cov tshuaj feem ntau raug sau ua ke nrog Papaverine.

Ob leeg "No-shpa" thiab "Papaverine" yog cov tshuaj paub zoo thiab siv tau zoo. Lawv tau nyob rau saum toj kawg nkaus ntawm cov npe rau kev kho mob.

"No-shpa" yog myotropic antispasmodic, uas yog, nws cuam tshuam rau cov leeg nqaij. Los ntawm kev tshem tawm lawv thiab so cov leeg du, nws thiaj li tshem tawm qhov mob. Nws ua haujlwm sai heev, tab sis tseem, qee zaum, nws siv tau nrog kev noj "Papaverine".

Ntau zaus, cov poj niam cev xeeb tub tau muab tshuaj ntxiv rau hauv cov tshuaj suppositories, vim qhov no yog txoj hauv kev nyab xeeb tshaj plaws rau kev tswj hwm. Tsis tas li ntawd, thaum siv lub qhov quav suppositories, qhov nqus ntawm cov tshuaj zoo dua thiab sai dua. Tib lub sijhawm, "No-shpu" yog sau rau hauv cov ntsiav tshuaj lossis txhaj tshuaj. Undoubtedly qhov kev txiav txim sai tshaj plaws los ntawm kev txhaj tshuaj.

Raws li qhov ntau npaum li cas, feem ntau yog 2 "No-shpy" ntsiav tshuaj 3 zaug hauv ib hnub thiab ib qho tshuaj tua kab mob "Papaverine" kuj mus txog peb zaug hauv ib hnub. Compatibility ntawm cov tshuaj tsuas yog ntsuas los ntawm kws kho mob. Kev tswj hwm tus kheej tuaj yeem tsim kev puas tsuaj rau leej niam thiab tus menyuam. Qhov tshwm sim tsis zoo tshaj plaws yog kev ua haujlwm ua ntej lub sijhawm lossis, ntawm qhov tsis sib xws, ua haujlwm qeeb dhau vim yog cov nyhuv ntawm cov tshuaj tiv thaiv spasmodics ntawm lub ncauj tsev menyuam.

Analogues ntawm "No-shpy" thaum cev xeeb tub

Txhua tus poj niam sib txawv, thiab kev kam rau tshuaj yog txawv rau txhua tus. Qhov no tuaj yeem cuam tshuam qhov tshwj xeeb ntawm kev kho tshuaj rau qhov mob syndrome. Txawm tias muaj tseeb hais tias "No-shpa" yog ib tug universal tshuaj uas suits yuav luag txhua leej txhua tus, tsis tshua muaj rov tshwm sim. Nyob rau hauv cov xwm txheej zoo li no, nws yog ib qho tsim nyog los hloov cov tshuaj. Haum rau qhov no:

• "Drotaverine".
• "Droverine".
• "Spasmol"
• "Bioshpa".
• "Spascoin".
• Y"Vero-Drotaverine".
• "Nosh Bra".

Yog tias "No-shpa" yog cov tshuaj uas tau ua pov thawj xyoo dhau los thiab tsis ua rau muaj kev phom sij rau tus poj niam cev xeeb tub, ces cov tshuaj uas tau teev tseg saum toj no yuav tsum tau noj tsuas yog tom qab sab laj nrog kws kho mob. Kev hloov tshuaj tsis raug tso cai yam tsis tau sab laj nrog kws kho mob tshwj xeeb, tshwj xeeb tshaj yog tias tus poj niam xav tau tus menyuam - hauv qhov xwm txheej no nws txaus ntshai heev.

Reception "Tab sis-shpy" tsis yog ib qho teratogenic thaum cev xeeb tub, vim li ntawd, cov tshuaj muaj ntau heev hauv kev kho mob, txawm li cas los xij, yog tias nws tuaj yeem txo qhov mob yam tsis tau noj tshuaj, nws yog qhov zoo dua los siv nws.

Yog hais tias ib tug poj niam tsis muaj contraindications rau kev noj cov tshuaj no, ces nws yuav tsum tau muaj kev nyab xeeb tom qab sab laj tus kws kho mob uas yuav sau cov tshuaj uas tsim nyog. Feem ntau nyob rau hauv thawj peb lub hlis twg, nws raug sau tseg raws li ib feem ntawm kev kho mob los tswj kev xeeb tub. Txawm li cas los xij, nws kuj tseem siv tau rau kev tshem tawm cov tsos mob ntawm tus hniav lossis mob taub hau. Tab sis kev siv tshuaj, pib txij li lub peb hlis ntuj thib ob ntawm cev xeeb tub, feem ntau yog nqa tawm hauv tsev kho mob nkaus xwb. Qhov no yog qhov tsim nyog los tiv thaiv qhov tshwm sim tsis zoo thiab ceev ceev ceev xwm txheej ceev.