Papaverine pamapiritsi. Mlingo wa amphaka ndi 1-2 mg pa kilogalamu imodzi ya kulemera kwa nyama, mkamwa kawiri pa tsiku.
Papaverine mu ma ampoules a jakisoni. Mlingo wa amphaka ndi 1-2 mg pa kilogalamu imodzi ya kulemera kwa nyama, subcutaneily / intramuscularly 2 pa tsiku.
Papaverine rectal suppository. Mlingo wa amphaka 1-2 mg pa 1 kg ya kulemera kwa nyama, mu rectum, 2 kawiri pa tsiku
Mlingo wa agalu
Papaverine pamapiritsi. Mlingo wa agalu 1-3 mg pa 1 makilogalamu kulemera kwa nyama, mkamwa kawiri pa tsiku.
Papaverine mu ma ampoules a jakisoni. Mlingo wa agalu ndi 1-3 mg pa kilogalamu imodzi ya kulemera kwa nyama, subcutaneily / intramuscularly 2 pa tsiku.
Papaverine rectal suppository. Mlingo wa agalu 1-2 mg pa 1 makilogalamu kulemera kwa nyama, mu rectum, 2 kawiri pa tsiku
Mafotokozedwe ambiri
An antispasmodic amapangidwa mwa mitundu ingapo ya mulingo:
- Kubaya. Transparent fluid imakhala ndi ma galasi osindikizidwa osindikizidwa. Opanga ena amagwiritsa ntchito mabotolo okhala ndi kapu ya pulasitiki. Amawerengedwa kuti ndi osavuta kugwiritsa ntchito, popeza palibe chiopsezo chovulazidwa ndi galasi mukatseguka. 1 ml yankho nthawi zambiri amakhala ndi 20 mg ya papaverine hydrochloride. Kuphatikizikako kumaphatikizaponso madzi oyeretsedwa ndi zinthu zina.
- Mapale. Mapiritsi oyera ozungulira ali ndi matumba a contour a 10 zidutswa. Mankhwala amabwera mumagawo awiri - 10 kapena 40 mg yogwira ntchito akhoza kukhala piritsi limodzi. Kuphatikiza apo, malembawa amaphatikizapo wowuma wa mbatata, talc, stearic acid ndi zinthu zina zomwe zimagwira ntchito yothandiza chabe.
- Makandulo ounikira. Makandulo akuluakulu ang'onoang'ono amadzaza mbale za PVC. Ndende ya yogwira mankhwala mwa iwo ndi 20 mg. Omwe amadzola mafuta ndi mafuta olimba, emulsifier komanso stearin yodzikongoletsa.
Kwa amphaka, Papaverine amagwiritsidwa ntchito kwambiri jakisoni. Njira yothetsera vutoli imachitapo kanthu mwachangu, koma mapiritsiwa ndi ochepa mphamvu. The yogwira popanga, "amagwira" pa thupi theka lokha (bioavailability - 54% okha). Makandulo a nyama amagwiritsidwa ntchito nthawi zina.
Zimagwira bwanji?
Mankhwalawa ali ndi mphamvu ya antispasmodic, ndiye kuti, amatha kuthana ndi spasms. Komanso, mankhwalawa amachepetsa ululu womwe umayenda ndi ma spasms, ndikuchepetsa magazi. Mphamvu ya mankhwalawa imachitika chifukwa chakuti chinthu chomwe chimagwira chimalepheretsa kuphatikiza kwa ma enzymes, chifukwa chomwe kamvekedwe ka minofu yosalala kamene kamapanga m'mimba, chikhodzodzo, impso ndi ziwalo zina zamkati zimachepa.
Pamene kamvekedwe ka minofu yosalala kamakula kwambiri, kupindika kumachitika, komwe nthawi zambiri kumakhala limodzi ndi kupweteka kwambiri. Mothandizidwa ndi Papaverine, minofu ya ziwalo zamkati zimapumula, kamvekedwe kacheperachepera. Komanso, mankhwalawo amathandizira kukulitsa mitsempha yamagazi, chifukwa chomwe hypotensive zotsatira zimapezekanso (kutsitsa kuthamanga kwa magazi). Komanso, mankhwalawa amatha kugwedeza kwamkati mwa dongosolo lamanjenje. Motere, mukamagwiritsa ntchito Papaverine, nyama zimakhazikika, siyani kuwonetsa nkhawa.
Zindikirani! Mankhwalawa amatha kukhudza ntchito zamtima, motero sikuletsedwa kugwiritsa ntchito ziweto popanda veterinarian.
Mukasankhidwa
Malangizo ogwiritsira ntchito mankhwalawa alembedwa anthu, koma Papaverine amagwiritsidwa ntchito amphaka omwe ali ndi mavuto omwewo. Nthawi zambiri amalembedwa:
- ndi matumbo colic oyambitsidwa ndi matenda ndi zinthu zina,
- ndi matenda am'mimba, ophatikizidwa ndi kupweteka kwambiri,
- ndi matenda opatsirana a genitourinary system,
- ndi cystitis yoyambitsidwa ndi hypothermia, tizilombo toyambitsa matenda ndi zina,
- ndi pylorospasm,
- ndi cholecystitis,
- ndi bronchospasm, etc.
Komanso, mankhwalawa nthawi zambiri amagwiritsidwa ntchito pa amphaka ndi amphaka okhala ndi urolithiasis ndi kuyang'anira kwamikodzo chifukwa cha zinthu zina. Lemberani mankhwala kuti muchepetse kupsinjika, ululu ndi zizindikiro zina zofanana. Mwachitsanzo, ndi urolithiasis kapena cystitis, Papaverine amalowetsedwa mumphaka kuti amuchotsere kwamikodzo. Mothandizidwa ndi mankhwalawa, chikhodzodzo ndi zimbudzi zimapuma, motero nyamayo imayamba kudziyimira payokha.
Nthawi zambiri, antispasmodic imaphatikizidwa ndi mankhwala ena, zomwe zimapangitsa kuti zithetse zomwe zimayambitsa matenda, osati zizindikiro. Sankhani mankhwala ophatikiza ayenera kukhala a veterinarian.
Zindikirani! Papaverine ali ndi zotsutsana zingapo ndipo amatha kuyambitsa mavuto ngati agwiritsidwa ntchito molakwika. Pankhaniyi, kugwiritsidwa ntchito kwake kwa nyama kumaloledwa pokhapokha ngati adokotala adauza.
Mtengo
Anthu ena amasankha papaverine pochiritsa amphaka chifukwa cha mtengo wake. Mtengo wa wokwanira kamodzi pa 2 ml umayambira ku ma ruble 5, ndikuyika mapiritsi kuchokera ku ruble 15. Mankhwalawa amapezeka m'masitolo onse amtundu wa anthu, chifukwa chake, amafufuza pakasaka kugula pomwe sipapezeka.
Mutha kuwona mtengo wapano wa mankhwalawo ndikugula pano:
Momwe mungagwiritsire ntchito
Mlingo wa mankhwalawa amawerengedwa potengera kulemera kwa nyamayo. Mosasamala kanthu kuti mapiritsi kapena jakisoni amagwiritsidwa ntchito, pa kilogalamu iliyonse ya kulemera kwa petroli, 1-2 mg ya chinthu chomwe chikugwira ntchito ndiyofunikira, koma adokotala akuyenera kudziwa kuchuluka kwake kwa mankhwalawo, poganizira kukula kwa matendawo ndi zina. Mankhwalawa amatengedwa 1-2 pa tsiku. Kutalika kwa mankhwalawa kumatsimikiziridwa ndi dokotala kutengera mtundu wa thanzi, mawonekedwe a matendawa, ndi zina zambiri.
Zofunika! Njira ya antispasmodic sayenera kupitirira masiku 7. Ndi pokhapokha ngati nthawi zambiri mukuyang'aniridwa ndi dokotala ndikuvomerezedwa kwa nthawi yayitali.
Zingwe
Papaverine nthawi zambiri amalowetsedwa ndimatumba. Kuti muchite izi, kokerani khungu lanu kufota, kulibaya ndi singano yosalala pa syringe osati mwachangu kwambiri. Kubayira sikuli kovuta kuchita, motero ambiri omwe amakhala ndi ziweto amatero. Kuti mupeze jakisoni, ndibwino kugwiritsa ntchito syringe ya insulin. Imakhala ndi singano yopyapyala, yomwe imapangitsa kuti ikhale yosavuta kubaya khungu lakuda pakufota kwa mphaka.
Mgwirizano wamankhwala mankhwala amaloledwa. Ndi njirayi, jakisoni amatha kupweteka, chifukwa kusapeza kumachitika pamene singano kapena yankho likakhala pa nsempha wamanjenje. Popanda maluso oyenerera, vuto lofananalo limafala.
Mapiritsi ndi makandulo
Mapiritsi amatha kubisidwa muzakudya, koma amakoma kwambiri, chifukwa amphaka nthawi zambiri amawatulira. Pankhaniyi, ndibwino kuti mupatse mankhwalawo mwamphamvu. Kuti izi zitheke, mapiritsi amayenera kuyikidwa pamizu ya lilime, kuti mutu wa chiweto uzikweza. Nthawi zambiri mankhwala amtunduwu amaperekedwa m'mawa komanso madzulo.
Makandulo amayikiridwa mu anus mogwirizana ndi malangizo omwe angagwiritse ntchito, koma mawonekedwe awa a nyama ndi osowa kwambiri.
Contraindication
Mapiritsi a Papaverine ndi mitundu ina ya kumwa silingagwiritsidwe ntchito pochiza amphaka milandu iyi:
- ndi glaucoma
- ndi vuto la chiwindi,
- ndikuphwanya misempha ya adrenal,
- ngati mungadabwe,
- atapanikizika kwambiri
- ndi kuvulala kwaubongo
- ndi kulephera kwa aimpso.
Mosamala, muyenera kugwiritsa ntchito mankhwalawa tachycardia kapena mavuto ena a mtima, komanso kuthamanga kwa magazi. Pankhaniyi, nyamayo iyenera kuyang'aniridwa ndi veterinarian pazithandizo zonse. Mankhwalawa amakhalanso amisala.
Zofunika! Simungathe kugwiritsa ntchito mankhwalawa kwa ana apakati pa miyezi isanu ndi umodzi.
Zotsatira zoyipa zomwe zingachitike
An antispasmodic angayambitse zotsatirazi zovuta amphaka:
- mseru ndi kusanza (kugwiritsa ntchito mapiritsi, kuperewera kwamatumbo kumachitika),
- kugona ndi ulesi,
- thukuta lalikulu
- kutsitsa magazi
- kutentha kwa mtima
- kudzimbidwa.
Popeza mankhwalawa amagwira pakatikati wamanjenje, kuchepa kwa makutu kapena kuwona, kuchepa kwa chidwi kungachitike. Kuopsa kwa zotsatira zoyipa kumawonjezeka pamene mlingo watha, chifukwa chake, kuonana ndi dokotala musanagwiritse ntchito ndizovomerezeka.
Ndemanga za eni
Nina, wolusa wa mphaka wazaka 3:
"Pamene mphaka wathu Timothy adakula, adayenera kuwachotsa, pomwe amphaka ena awiri amakhala mnyumbamo. Pakapita kanthawi, adapezeka kuti anali ndi urolithiasis, chithandizo, moyenera. Pambuyo pa miyezi ingapo, kuukira kunachitika - mphaka sanathe kupita kuchimbudzi, ndipo zitheka, mkodzo unali ndi magazi. Ndinayeneranso kupita ku chipatala. Dokotala adapereka papaverine ndi mankhwala ena. Pakupita masiku angapo, mphaka adayamba kukhala bwino. Tsopano mavuto a kukodza ayambanso kale. ”
Dmitry, mwini galu wa ku Persia:
"Paka panga sipatulika kunja, kutalika kwake kumatha kuyenda pawindo. Ngakhale izi, kwinakwake kunagwira cystitis. Ndidawona kuti amakhala nthawi yayitali mu thireyi, ndipo madontho ochepa okha ndiwo adatuluka. Nthawi yoyamba kuti mkodzo uchotsedwe pogwiritsa ntchito catheter, ndiye kuti Papaverine adabayidwa. Mphaka anali kumva bwino, anayamba kukodzera yekha. Mankhwalawa ndi otsika mtengo komanso ogwira ntchito. "
Ndemanga zanyama
Elena, veterinarian wa ku chipatala "Avet":
"Papaverine ndi mankhwala konsekonse, omwe amayenera kukhala m'nyumba yothandizira nyumba zonse. Imakhala yoyenera anthu ndi nyama. Nthawi zambiri, ndimapereka malangizo pokonzekera kukodza, ngakhale kuti nthawi zina amathandiza kuchotsa Zizindikiro za kapamba ndi mavuto ena ammimba. ”
Andrey, veterinist wazaka 12 wazaka:
"Papaverine, ngakhale ndi mankhwala amunthu, amagwiritsidwa ntchito nthawi zambiri ngati mankhwala a Chowona. Yotsika mtengo, koma yothandiza kwambiri, ngakhale siyabwino kugwiritsa ntchito mankhwala osalandira. Kugwiritsidwa ntchito molakwika sikungapindule, koma kumakulitsa matenda. ”
Mankhwala
Papaverine amagwiritsidwa ntchito amphaka kupumula minofu yosalala ya makhoma a ziwalo zopanda kanthu (chikhodzodzo ndulu ndi zina) ndi milomo ya thupi (ureters, urethra ndi zina zotere), zomwe zimawonjezera kukula kwawo. Ulusi wa minofu yosalala umapezekanso m'matumbo a ubweya monga mitsempha ndi ma arterioles, omwe amapumulanso pansi pa zochita za papaverine. Poterepa, pali kuchepa kwa kuphipha komanso kupweteka m'thupi, komanso kusinthika kwa magazi ake. Chifukwa chake, papaverine imagwira ntchito m'matenda amphaka monga cholecystitis, cholangitis, urolithiasis, papillitis, cholecystolithiasis ndi zina zina zofananira.
Malangizo ogwiritsira ntchito
Papaverine amphaka amapezeka mu mawonekedwe a yankho la jakisoni, mawonekedwe a piritsi, komanso mawonekedwe a supplementories a rectal. Mlingo wokhazikika ndi 1-2 mg yogwira ntchito pa kilogalamu ya kulemera kwa nyama. Mphaka ayenera kulandira mankhwalawa kawiri patsiku. Ndibwino kuti mukutulutsa thukuta pang'onopang'ono kufinya kwa mphaka.
Zofunika! Fotokozani mankhwala ayenera kukhala dokotala wa Chowona Chowona Zanyama. Kudzilamulira nokha pa mankhwalawo, komanso kusintha kosavomerezeka kwa mankhwalawa kumatha kubweretsa zotsatira zoyipa komanso ngakhale kuphedwa kwa chiweto.
Njira zopewera
Papaverine amamva kupweteka komanso kupindika kwa minofu yosalala ya amphaka amphaka, koma ndi mankhwala oopsa kwambiri. Ngati bongo wambiri, mikhalidwe yoopsa imatha kukhalapo osati thanzi la chiweto, komanso moyo wake. Mikhalidwe yotereyi ndi mtima wa arrhasmia ndi njira zingapo zophatikizira zamkati pamtima. Chifukwa chake, mankhwalawa amagwiritsidwa ntchito pokhapokha atasankha payekha ndi dokotala wa Chowona Chowona Zanyama zamtundu uliwonse wa mphaka ndi mphaka.
Zotsatira zoyipa
- Kusokonezeka kwa mipendero ya mtima (arrhythmias),
- Kuphwanya phokoso (chodzitchinga),
- Kusanza, kusanza,
- Mavuto osakhalitsa a CNS (mu mankhwala a Chowona Chanyama, pamakhala zochitika zina pamene amphaka akanakhala kuti sanamve kapena samva kwa maola angapo atabaya jekeseni wa papaverine. Zinthu ngati izi zinachitika mwa odwala ang'onoang'ono a fluffy omwe ali ndi vuto la aimpso),
- Khalidwe lochizira kudzimbidwa kwa papaverine,
- Eni ake amazindikira kuti mphaka umakhala wowopsa ndipo umagona pafupifupi nthawi yonse.
Zofunika! Ngati pakachitika zovuta m'phaka, siyani kugwiritsa ntchito mankhwalawo mwachangu ndikuwonana ndi veterinarian.
Ndemanga za papaverine
Lily:
“A Timosha adayamba kukhala ndi vuto pokodza atagona. Sanathe kupita kuchimbudzi kwa masiku angapo. Zinali zoonekeratu kuti zimayamba bwanji pamaso pathu. Anapwetekedwa. Tinapita kwa vet. Tidawuzidwa kuti zinali zofunika kutanthauzira, kuti sipangakhale zomveka kuchokera ku mphaka.
Kodi mungagone bwanji tulo lanu lokondedwa? Ndinaganiza zopita kwa veterinari wina ndikumvera malingaliro ake. Anatipatsa ntchito yoti tisambe papaverine kuti tisambe kufota kwa sabata limodzi. Ndinadabwa kuti mankhwalawa ndi otsika mtengo komanso ogwira ntchito! Pambuyo pa jekeseni woyamba, Timosha adakhalanso ndi moyo tikuona! Adapita kuchimbudzi, ndikudya, adayamba kuyenda kuzungulira nyumba! Chimwemwe changa sichimadziwa malire. Ndipo tsopano zabwino zanga zimakhala mosangalala. Nthawi zina milandu yofananayi imakhalapo (imayambiranso, zimawoneka), koma njira ya papaverine imatithandizanso nthawi zonse! ”
Osalakwa.
“Ndinkakhala ndi vuto lalikulu lotchedwa pancreatitis (matenda opatsirana a kapamba). Mphaka idazunzidwa, kupezedwa. Zomveka, ndizomveka, kukokana kotero m'thupi. Nthawi yomweyo ndinapita naye kwa katswiri. Anamulembera chithandizo, kuphatikizapo kuthetsa kupweteka kwapapaverine ndi baralgin. Dokotala wofufuza za nyama adandichenjeza kuti papaverine imatha kuyambitsa mavuto ndipo adandipempha kuti ndikhale mu veterinarian kwa ola limodzi kuti tiwonetsetse kuti mphaka imalola jekeseni.
Anamuyambitsa iye kufota. Vader (mphaka wanga) sanakonde jakisoni, koma patapita kanthawi adamasulidwa. Ndimamva izi nditakhala naye kuchipatala. Anatsitsimutsa m'mimba mwake! Dotolo adayang'ana ife, adati tsopano mutha kubayitsa mosamala mankhwala omwe mumalandira kwa sabata limodzi kenako ndikupangana naye. Chifukwa chake mankhwalawa, Vader ngakhale adagona, adapumula. Zotsatira zake, ndikuthokoza adotolo ndi papaverine wokhala ndi baralgin, nkhope yofiira, yopanda pake imayendayenda nyumba yanga! "
Marianne.
“Paka panga panali matenda a impso. Ndinawerenga kwinakwake kuti ndi aimpso colic, omwe amachitika ndi urolithiasis, samapereka sh-shpa. Ndinakwera pa intaneti. Zawerengedwa pamabwalo kuti no-shpa (drotaverine mu chilankhulo chachipatala) nthawi zambiri zimayambitsa mavuto amphaka ndipo amphaka amasiya kuyenda. M'malo mwake, adalemba kuti amagwiritsa ntchito papaverine. Mankhwalawa amalowetsedwa ndikufota. Ndinaganiza zoyesa kubala zida zanga.
Zotsatira zake, adapita thovu kuchokera mkamwa, samatha kupumira bwinobwino! Ndinalamula taxi mu mantha ndikuthamangira kuchipatala cha vet. Ndidadzudzulidwa kwambiri kumeneko chifukwa choyambira kudzilimbitsa. Zikuwoneka kuti sindinawerenge za zovuta zake. Ndimafuna kupulumutsa madokotala. Zotsatira zake, ndalipira zochulukira. Chifukwa chake mwina papaverine ndi mankhwala abwino, koma simuyenera kugwiritsa ntchito mankhwalawa popanda dokotala. Ndibwino kulipira kwa veterinarian kuti muwone ngati ziweto zanu ndi ziweto. "
Ivan Alekseevich, dokotala wazachipatala:
"Ndakhala ndikugwira ntchito kuchipatala kwazaka 15. Nthawi zambiri amphaka amatibweretsera matenda a impso colic ngati mwachitika urolithiasis, yomwe imayamba atachitidwa opaleshoni. Tsoka ilo, izi sizachilendo. Ndipo nthawi zambiri timayesa kubaya jakisoni wotseka (m'njira yosavuta kufota) wa papaverine. Ndi zowawa kwambiri, titha kuwonjezera analgin kapena baralgin.
Mlingowo umawerengeredwa mosamalitsa aliyense payekhapayekha wa odwala athu.Zotsatira zoyipa zomwe zimachitika mwanjira ya mseru komanso kusanza kumachitika, ngakhale sizikhala zambiri. Chifukwa chake, madokotala onse a chipatala chathu salola eni ake kuti azipita kwawo ndi ma wodi awo, kuti titha kupereka thandizo pazotsatira zosayenera. Eni ake ambiri amadziwa kuti ziweto zawo zimagona kwambiri pambuyo pobayidwa. Ndilimodzi mwazotsatira zoyipa.
Zikhala zosangalatsa:
Chowonadi ndi chakuti papaverine mwanjira inayake imachepetsa mphamvu yamanjenje ndipo amphaka amamva tulo. Zimachoka, simuyenera kudandaula nazo. Koma tisanalowetse jakisoni wa papaverine, timayang'ana magawo amomwe am'magazi (urea, creatinine, ndi ena) kuti atsimikizire kuti mphaka kapena mphaka alowetsa jakisoni. Pakulephera kwa impso, timayesetsa kuti tisamagwiritse ntchito papaverine. Mwambiri, mankhwalawa amagwira ntchito bwino ndikuthandizira kukhalapo kwa odwala athu amiyendo inayi, koma kugwiritsa ntchito kwake kuyenera kuthandizidwa mosamala kwambiri.
Papaverine hydrochloride ali ndi antispasmodic zotsatira, zomwe zimaphatikizapo kupumula kwa zowawa. Nyama imayamba kukhala yosavuta itayigwiritsa ntchito. Komabe, ndikofunikira kukumbukira kuti simuyenera kudzimangirira nokha, chifukwa izi zitha kuyambitsa kuvulaza mphaka wanu wokondedwa. Ndi matenda aliwonse a ziweto, muyenera kulankhulana ndi veterinarian kuti akuthandizeni mwapadera. ”
Pamene papaverine imagwiritsidwa ntchito
minofu yosalala yotupa yomwe imayamba chifukwa cha matenda am'mimba (cholecystitis, cholangitis, cholangiolithiasis, cholecystolithiasis, pericholecystitis, papillitis),
spasms ya yosalala minofu ya kwamikodzo thirakiti ndi cystitis, uro- ndi nephrolithiasis, pyelitis, tenesmus wa chikhodzodzo.
Kuphatikiza pa chithandizo chachikulu, mankhwalawa amatha kugwiritsidwa ntchito pothandiza kuphipha kwa minofu yosalala yoyambitsidwa ndi matenda am'mimba ndi matumbo. Zisonyezero zogwiritsidwa ntchito ndi: zilonda zam'mimba, mawonekedwe am'mimba a spastic colitis, komanso IBS yodzimbidwa, pyloric spasms ndi Cardia.
Pharmachologic kwenikweni
Myotropic antispasmodic ndi antihypertensive mankhwala.
Imalepheretsa phosphodiesterase ndipo imapangitsa kuchuluka kwa cyclic 3 ', 5'-AMP mu cell ndikuchepa kwa Ca2 +.
Imachepetsa kamvekedwe ndikutsitsimutsa minofu yosalala ya ziwalo zamkati (m'mimba, kupuma komanso genitourinary system) ndi mitsempha yamagazi.
Zimayambitsa kuchuluka kwamitsempha yamagazi, kumathandizira kuwonjezeka kwa magazi, kuphatikiza mitsempha.
Mlingo waukulu, umachepetsa kusefukira kwa minofu ya mtima ndikuchepetsa kuchepa kwa intracardiac.
Mphamvu ya chapakati yamitsempha samayankhidwa bwino (mulingo waukulu umakhala ndi mphamvu yosintha).
Pharmacokinetics
Mlingo wa mayamwidwe ndi wokwera, bioavailability ali pafupifupi -54%. Kumangiriza mapuloteni a plasma - 90%, amapanga ma protein omwe ali ndi serum albin.
Imagawidwa m'matupi amthupi, imalowa mu zotchinga za histoeticological.
Wopangidwira m'chiwindi.
Kuthetsa theka-moyo ndi 0.5-2 maola (atha kupitilira maola 24). Amapukusidwa makamaka ndi impso mu mawonekedwe a metabolites.
Amachotsedwa kwathunthu ndimagazi pa hemodialysis.
Bongo
Zizindikiro: Hypotension, kusawona bwino (kuwona kawiri), kufooka, kugona, kutsika magazi, kupweteka mutu, nseru, kudzimbidwa, thukuta, thupi lonse siligwirizana. Ngati mwangozi mwalandira waukulu Mlingo wa papaverine, poizoni mphamvu ya mankhwala mu mawonekedwe a arrhythmias, kwathunthu kapena pang'ono atrioventricular block ndikotheka.
Chithandizo: kusiya mankhwala, chithandizo chamankhwala. Fotokozerani zotumphukira za m'mimba, kumwa ma enterosorbents, kukhalabe ndi magazi.
Kuyanjana kwa mankhwala osokoneza bongo
Pogwiritsa ntchito munthawi yomweyo ndi anticholinergics, ndizotheka kuwonjezera zotsatira za anticholinergic.
Amakhulupirira kuti ngati tikugwiritsa ntchito pamodzi ndi alprostadil pakulamulira kwanyumba, pamakhala chiwopsezo cha chidwi champhamvu.
Pali malipoti akucheperachepera kwa levodopa pogwiritsa ntchito munthawi yake.
Imachepetsa kukhathamiritsa kwa methyldopa.
Kuphatikiza ndi barbiturates, mphamvu ya antispasmodic ya papaverine imatheka. Akaphatikizidwa ndi mankhwala oletsa kuponderezana, trainidide, reserpine, quinidine, chiwopsezo cha papaverine chimatheka.
Mlingo
Mkati - 40-60 mg 3-5 nthawi / tsiku.
Mwapadera - 20-40 mg 2-3 nthawi / tsiku.
Pamene i / m, s / c kapena iv, mlingo umodzi wa akulu ndi 10-20 mg, nthawi yayitali pakati pa oyang'anira ndi osachepera maola 4. Kwa odwala okalamba, mlingo umodzi woyamba si woposa 10 mg. Kwa ana azaka 1 mpaka 12, mlingo umodzi wokhazikika ndi 200-300 mcg / kg.
Cholinga, katundu ndi mfundo zofunikira za Papaverine
Papaverine ndi mankhwala omwe ali ndi antispasmodic. Ili ndi dzina lake kuchokera ku papavere wa Chilatini - "poppy", chifukwa kuchokera ku opium komwe katswiri wazachipembedzo wa ku Germany dzina lake George Merck adayimitsa alkaloid iyi mu 1848.
Ikamamwa, papaverine imapuma minofu yosalala. Zotsatira zake zimatheka popewa phosphodiesterase, cycloadenosine monophosaft imadziunjikira mumaselo, ndipo calcium, mmalo mwake, imachepa. Zonsezi zimabweretsa kuchepa kwa kamvekedwe ka minofu yosalala ya ziwalo zamkati ndi mitsempha yamagazi. Mitsempha imakulitsa, kuthamanga kwa magazi kumayenda bwino, kuphatikizapo ubongo, ndipo kuthamanga kwa magazi kumachepa. An antispasmodic amatha kukhala ndi mphamvu yosinthira mphamvu yamanjenje akamagwiritsa ntchito waukulu.
Zizindikiro zogwiritsidwa ntchito
Matenda omwe amagwiritsidwa ntchito ndi Papaverine:
- cholecystitis - kutukusira kwa ndulu,
- cholangitis - kutupa kwa ma ducts a bile,
- ndulu ndi ndulu, impso, chikhodzodzo,
- papillitis ndi njira yotupa papillae yam'mimba,
- cystitis - kutupa kwa chikhodzodzo,
- zilonda zam'mimba
- zotupa zam'mimba.
Kodi kuthana ndi mphaka ndi mankhwala?
Papaverine amapezeka m'mitundu iwiri: mapiritsi ndi jakisoni. Njira yothetsera vutoli imathiridwa m'magalasi awiri a 2 mm, omwe amaikidwa mu zidutswa 10. mmatumba. Mapiritsi a 40 mg amapezeka m'mapaketi osiyanasiyana, omwe amasiyanasiyana kuchuluka kwake. Kuphatikiza apo, pali mitundu ina yama 20 mg, koma ya mankhwala azowona sawgwiritsira ntchito pochiritsa amphaka.
Mapiritsi: Mlingo, pafupipafupi pakukhazikitsa, nthawi ya chithandizo
Mlingo wa mankhwalawa amawerengedwa ndi veterinarian kutengera kulemera kwa nyamayo. Nthawi zambiri, makilogalamu 1 amafunikira mankhwala 2 mg kawiri pa tsiku. Nthawi zambiri, njira ya mankhwalawa imatenga osaposa masiku 7, koma kutalika kwake kumadalira matenda komanso mkhalidwe wa chiweto.
Mapiritsi nthawi zambiri amaperekedwa m'mawa ndi madzulo, asanagone. Mankhwalawa ali ndi kukoma kowawa, motero mphaka angakane kumeza. Ngati chiwetocho sichabwino, ndiye kuti mutha kuyika tebulo pafupi ndi mbale kapena kuwaza ndikusakaniza ndi chakudya. Komabe, amphaka ambiri amatha kukana chakudya kuposa kudya mankhwala owawa.
Ngati palibe chomwe chimathandiza, ndipo sizotheka kudyetsa piritsi kwa mphaka, mankhwalawa amaperekedwa mokakamiza. Amagwira chiweto m'manja, natsegula pakamwa pawo ndikuyika Papaverine momwe angathere pakulankhula. Chifukwa cha kumeza kosaka, mphaka alibe lingaliro koma kumeza piritsi. Kuphatikiza apo, chipangizo chapadera chimatha kukupulumutsani - cholembera piritsi.
Mitundu ya "Papaverine" yamphaka
Pali mitundu itatu yamankhwala omwe amamasulidwa:
- jakisoni wa jakisoni, mphamvu ya antispasmodic yomwe imatenga maola asanu ndi limodzi mpaka asanu ndi atatu, imayikidwa m'magalasi mamililita awiri, ndipo ma ampoules khumiwo amayikidwa m'bokosi limodzi.
- Mapiritsi amagwiritsidwa ntchito pafupipafupi chifukwa chakuti analgesic mphamvu imachedwa kwambiri, 40 mg m'maphukusi osiyana,
- rectal suppositories (ma milligram makumi awiri aliyense) amagwiritsidwa ntchito ngati sizotheka jekeseni ndipo sizotheka kupereka chinyama piritsi.
Zachilengedwe zimatha mankhwala
Mankhwalawa amachititsa kaphatikizidwe ka phosphodiesterase, omwe amathandiza kuchepetsa kuchuluka kwa calcium mu minofu minofu, ndikuthandizira kuchepetsedwa kowawa. Chifukwa chake, minyewa imatha kupumula ndipo siyoyambitsidwa, zopweteka kwambiri, mphamvu yake.
Kuphipha kumalepheretsa zochitika zamkati zilizonse, chifukwa cha zomwe zimachitika mu magazi, ululu, nkhawa. Zowawa zikachepa, magazi amayenda bwino ndipo mphaka amalandiratu nthawi yayitali.
Komanso phunzirani momwe mungagwiritsire ntchito Drotaverin kwa mphaka.
Moyo wa alumali ndi malo osungira
Alumali moyo wa mankhwala, kutengera mtundu wa kumasulidwa:
- yankho - zaka 2,
- mapiritsi - Zaka 5,
- zowonjezera - zaka 2.
Papaverine safuna firiji kuti isungidwe - mankhwalawa amasungidwa m'malo amdima pa kutentha 25 25 C kwa alumali yonse.
Matenda onse am'mimba kapena njira ya genitourinary ayenera kuthandizidwa mokwanira, koma choyamba muyenera kuchepetsa ululu kuti nyama isavutike. Papaverine ndi wabwino chifukwa cha izi.
Kutulutsa mawonekedwe ndi kapangidwe ka mankhwala
Mankhwala palibe-spa amapezeka m'mitundu iwiri:
- Mapale. Ali ndi mtundu wachikaso chopepuka, mthunziwo ungakhale wa lalanje kapena wobiriwira. Fakitoli lolemba "Spa" likuwonetsedwa mbali imodzi ya phale. Mu phukusi, mulingo wosiyanasiyana wa mankhwalawo, kuyambira 6 mpaka 100 zidutswa.
- Njira Zothetsera. 2 ml wokukira galasi wokwanira. Atayikidwa mu kabokosi katoni mkati pulasitiki. Chiwerengero cha ma ampoules omwe amapezeka phukusi limodzi zimatha kukhala 5 kapena 25.
No-shpa (drotaverinum)
Zomwe zimagwira ndi drotaverine hydrochloride (40 mg).
Mankhwala okhala ndi antispasmodic, vasodilator, hypotensive zotsatira
No-spa antispasmodic. Zowonjezera: magnesium stearate (3 mg), povidone (6 mg), talc (4 mg), chimanga wowuma (35 mg), lactose monohydrate (52 mg).
Mankhwala a papaverine amatha kupezeka m'mitundu itatu:
Mphaka wa Papaverine wokhala ndi cystitis. Papaverine jekeseni wa mphaka
Mphamvu yogwira yomwe ili ndi dzina lomweli "Papaverine chloride" imatanthawuza ma alkaloids olimba kwambiri omwe amalimbikitsa kupumula kwa minofu yonse ndi ziwalo zamkati popanda kusiyanitsa, komwe kumakupatsani mwayi wodutsa ululu wamankhwala ululu posachedwa.
Chifukwa chakufooka pakhungu pa makonzedwe, Papaverine amalembedwa kwa mphaka nthawi zambiri kuposa Nosh-Pa, yomwe imanenanso za antispasmodics yolimba, komanso chifukwa palibe zovuta zomwe zidalembedwa chifukwa chogwiritsa ntchito. Mwachilengedwe, chidziwitso ichi ndi chofunikira pokhapokha ngati mulingo woyenera wa Papaverine wamphaka umawonedwa, womwe ungathe kulembedwa ndi dokotala, kutengera mtundu wa matenda ndi kuchuluka kwa momwe zimakhalira. Ponena za kusankha pakati pa antispasmodic ndi chikhalidwe cha Nosh-Pa, ambiri amakonda Papaverine amphaka pazifukwa zosavuta kuti sizimayambitsa kupendekera kwakanthawi kwa miyendo yakumbuyo ya nyamayo.
Zowonadi, powerenga mzerewu, padzakhala anthu ambiri omwe amakana kutengapo gawo kwa Nosh-Pa pamavuto otere. Komabe, ziwerengero zikuwonetsa zosiyana ndi izi ndipo ndizotheka kuti tikulankhula za kuphipha kwakanthawi kwa minyewa chifukwa cha kupweteka kwapweteka, komwe nyamayo imakumana nayo pakadutsa m'chiuno. Mulimonsemo, mukamagwiritsa ntchito Papaverine amphaka, mulingo womwe umagwirizana ndi kulemera kwa nyamayo, zotsatira zoyipa, ngakhale zazifupi, sizinawoneke.
Komabe, munthu sayenera kuganiza kuti antispasmodic iyi ilibe vuto lililonse ndipo sangathe kuyipsa kwambiri nyamayo. Chifukwa chake, tsankho, kulephera kwa chiwindi, komanso mavuto amtima (kutanthauza kupendekera kwake) zitha kukhala zotsutsana pakugwiritsa ntchito Papaverine Chloride. Kuphatikiza apo, ndibwino kupewa kugwiritsa ntchito mankhwalawa kapena kuyigwiritsa ntchito moyang'aniridwa mosamala kuti muwonetsetse kuti ikuyang'anitsitsa nyamayo, kapena m'malo mwake, ngati ili ndi vuto lalikulu ndi impso ndi gren adrenal.
Kuphatikiza apo, sikulimbikitsidwa kupaka jekeseni Papaverine mu chiweto chomwe chikukumana ndi kupsinjika kwambiri kapena mwadzidzidzi. Tisaiwale za zovuta zomwe zingachitike ngakhale titamwa mankhwala mwachizolowezi.
Chifukwa chake, kugona, tachycardia, mseru mpaka kusanza, komanso kuchepa kwakukulu kwa kuthamanga kwa magazi kumatha kukhala zotsatira za makina a Papaverine Chloride (chizindikiro ichi chitha kuchuluka pamene mlingo watha). Chifukwa chake amalimbikitsidwa kuchitapo kanthu potsatira malangizo, komanso bwino malinga ndi malangizo a dokotala. Malinga ndi zomwe zalembedwazo, "Papaverine" kwa mphaka (mtundu wa kutulutsidwa ukutanthauza kuti mamililita 2 mamililita onse) uyenera kuthandizidwa mosadukiza. Kuphatikiza apo, jakisoni imodzi yamphaka iyenera kuphatikizapo 0,01 mpaka 0,05 magalamu a mankhwalawa.
Kuti mumvetsetse molondola kuchuluka kwa "Papaverine" kwa mphaka (mlingo), ndikofunikira kuwongoleredwa ndi kuchuluka kwa kuchuluka kwa nyama komanso mtundu wa matenda ake. Nthawi zina mankhwalawa amagwiritsidwa ntchito molumikizana ndi ma analgesics ena, omwe amathandizira kuchepetsa ululu wammbuyo wamkati pakanthawi kochepa, komwe ndikofunikira kwambiri kwa urolithiasis ndi cystitis, pomwe nyamayo imalephera kukodza mwachizolowezi. Nthawi yomweyo, musaiwale za chinthu chofunikira kwambiri monga nthawi ya Papaverine Hydrochloride, yomwe nthawi zambiri simapitilira maola 5-6.
Monga mukudziwira, amphaka omwe adakakamizidwa kuponyedwa m'thupi amagwera gulu loopsa, ndipo nthawi zambiri ngakhale hypothermia imakhala yokwanira kuti ipangitse cystitis. Zikatero, mkodzo umachedwa (nthawi zina kusowa kwawo kwathunthu), komanso voliyumu yake yaying'ono yokhala ndimagazi ndimakokedwe kawirikawiri. Mwachiwonekere kuti chizindikiro chotere chimayambitsa matenda opweteka kwambiri, ndikupangitsa kuvutika kwambiri kwa nyamayo, chifukwa chake, njira yoyamba yopezera matenda a nyama yodwala ndiyo kuchulukitsa kwa ngalande yake. Ndipo ngati catheter waikidwa pansi pa opaleshoni wamba, ndiye mtsogolo ndimankhwala enieni monga Papaverine omwe amathandizira kuchotsa zopweteka.
Chifukwa chake, nthawi zambiri "Papaverine" amphaka amagwiritsidwa ntchito masiku atatu oyamba (kawiri patsiku m'njira ndi jakisoni imodzi mpaka ma milliliters 0.5) motsatana ndi ndalama zoyesedwa kuti asachotsere ululu, koma mwachindunji pochiza matendawa.
Chizindikiro chabwino chimawerengedwa ngati kusowa kwa ululu pakukodza pambuyo pakuletsa kugwiritsa ntchito mankhwalawa. Pankhani ya catheterization, magawo omwe ali pamwambapa amatha kuwonjezeredwa ndi masiku angapo.
Papaverine ndi mankhwala odziwika bwino a antispasmodic osati mwa anthu, komanso machitidwe a Chowona (makamaka, pokhudzana ndi mamembala achifwamba).
Kuthekera kwa bongo
Simungagwiritse ntchito "Papaverine" popanda kufunsira komanso kupereka veterinarian!
Chifukwa cha kuwerengera molakwika kwa kuchuluka kwa mankhwalawa pa kulemera kwa nyama, bongo limatha kuchitika. Zotsatira zake zitha kukhala:
- kutayika kwamaso (kwakanthawi kapena kosatha),
- arrhasmia,
- masoka operewera (kusangalatsa),
- mutu, nseru,
- paresis wa miyendo yakumbuyo,
- mphamvu sedation
- kutsika kwa kusefukira kwa minofu ya mtima.
Pankhani ya mankhwala osokoneza bongo, ndikofunikira kusiya kugwiritsa ntchito mankhwalawa ndipo, pakatha nthawi pang'ono, chotsani m'thupi ndikuwonetsetsa kuti magazi amayenda. Kutaya kwa m'mimba kumayikidwa (mukamamwa mapiritsi) komanso kumwa ma enterosorbents.Musalole kuti nyama idye mpaka itayesedwa ndi katswiri.
Zomwe zili bwino kuposa jakisoni kapena mapiritsi
Nthawi zambiri, mankhwalawa amawonetsedwa ngati ma jakisoni, ndipo izi zimadzetsa mkwiyo pakati pa eni tambala. Amakhulupirira kuti drotaverine mu mawonekedwe a yankho la jakisoni amachititsa kuti nyamayo imalize kapena ziwalo pang'ono zamiyendo yakumbuyo. Anthu ena amaganiza kuti ndibwino kugwiritsa ntchito Papaverine, koma sichoncho ayi, chifukwa mankhwalawa alinso a antispasmodics, ndipo amakhudzanso chimodzimodzi ndi amphaka.
Ngakhale mankhwalawa atha kuperekedwa, nyamayo imatha kukhala yoleza kuyamwa, yothandizirana, komanso minyewa.
Kuphatikiza apo, jakisoni wa No-Shpy ndiwowawa kwambiri, ndipo nyamayo ikhoza kugwedezeka. Pakachulukitsidwa kochepa ka mankhwala a "No-Shpy", mphaka imatha kukhala ndi zovuta zina zoyipa.
Ena mwa veterinarians amamulembera mankhwalawa mu mapiritsi. Koma ndi iye, si zonse zomwe zimakhala zosalala. Mapiritsiwo ali ndi zonunkhira zonyansa, zowawa, ndipo palibe mphaka amene angameze icho. Koma kuwawidwa mtima kuli bwino kuposa zotsatira za jakisoni.
Mlingo wa mankhwala
Mililita imodzi ya mankhwalawa imakhala ndi milligram makumi awiri a zomwe zimagwira (papaverine hydrochloride), madzi apadera a jekeseni, D, L-methionine ndi disodium edetate. Mlingo nthawi zonse umasankhidwa ndi adokotala okha. Amachita izi molingana ndi chithunzi cha matenda amphaka, mawonekedwe a kumasulidwa kwa mankhwalawa, zaka komanso kulemera kwa nyamayo.
- Mwanjira ya jakisoni, amphaka amalangizidwa kuti azigwiritsa ntchito 0,01-0.05 magalamu okha, subcutaneally, intramuscularly, kawiri pa tsiku.
- Ngati anaganiza kuti agwiritse ntchito mapiritsi, amawagwiritsa ntchito mililita 1.2-1,5 pa kilogalamu ya kulemera kwa nyama, pakamwa, kawiri pa tsiku.
- Makandulo (mamiligalamu awiri kapena awiri pa kilogalamu imodzi ya kulemera), kawiri pa tsiku, koma amaloledwa kugwiritsa ntchito zidutswa zinayi patsiku.
Kuti ndi kuti?
Mutha kulowa mankhwalawo mozungulira (patafota), kudzera m'mitsempha ndi mu mnofu (pa ntchafu).
Dokotala amayenera kubayitsa jakisoni kuchipatala chamankhwala kuti nyama isavutike chifukwa cha jakisoni wosalondola ndipo mwini wake akuopa kubayitsa jakisoni yemweyu, komanso kupewa kuvulala kwa chiweto.
Kuchipatala, amphaka amachita zinthu modziletsa ndikuwapatsa zofunikira, ndipo kunyumba, akazindikira kuti munthu akumumvera chisoni, amatha kuthawa m'manja mwake ndi singano m'thupi mwake kapena ngakhale kuwugwadira, zomwe zingayambitse kuvulala kwa nyamayo.
Jakisoni wosalakwika amatha kuvulaza chiweto chanu, kotero kukhazikitsidwa kwake kuyenera kuyang'aniridwa mosamala komanso mozama.
Njira yamankhwala nthawi zonse imatsimikiziridwa kokha ndi owona veterinary. Kutalika kwa mankhwalawa kumatengera zinthu zambiri, zomwe gawo lawo la matenda ndi zovuta zake. Nthawi zambiri, kugwiritsidwa ntchito kwa mankhwalawa sikupita masiku asanu ndi awiri, koma pali milandu yambiri pamene nthawi ya mankhwalawa imachuluka.
Mankhwalawa ali ndi chiwerengero chochuluka chotsutsana ndi zoyipa. Onetsetsani kuti mwawerengera musanawagwire ndi chiweto. Simungagwiritse ntchito "Papaverine" ndi:
- kulephera kwa chiwindi
- glaucoma
- kugwedezeka ndi kupsinjika,
- kuphwanya adrenal ntchito.
Mosamala, amaloledwa kugwiritsa ntchito ndi arrhythmias ndi arrhythmias, koma pambuyo pa kutsata, nyamayo iyenera kuyang'aniridwa. Osamagwiritsa ntchito ukalamba ndi ana amphaka (mpaka miyezi isanu ndi umodzi).
Nthawi zambiri nyama zimalekerera zinthu za antispasmodic chinthu ichi, koma pamakhala zochitika za tsankho za munthu payekha komanso zovuta zina mwanjira zoyipa.
Zotsatira zoyipa:
- nseru,
- mphwayi, tulo,
- kudzimbidwa
- kupsa mtima ndi kuchuluka kwamanjenje,
- thukuta lalikulu
- zosokoneza pa ntchito ya mtima,
- kutsitsa magazi.
Nthawi zambiri, zotsatira zoyipa zimawonedwa pokhapokha ngati zikuchulukitsa mlingo. Nthawi zina, mankhwalawa sagwirizana ndi nyamayo, koma palibe chifukwa choonekera. Poterepa, muyenera kufunsa veterinarian wokhudza kusintha kwa mankhwalawo ndi wina wokhala ndi zinthu zina zomwe zingagwire ntchito.
Zotsatira zoyipa
Mankhwalawa amaloledwa ndi amphaka. Koma mankhwala osokoneza bongo amatha kuyambitsa mavuto ena, omwe amafotokozedwa ndi nseru, kusanza, kugona, ulesi. Chifukwa cha kuthekera kwa mankhwalawa kukhudza mkhalidwe wamanjenje, zovuta zamakanthawi pakumva ndi kuwona ndizotheka.
Panthawi ya chithandizo, ndikofunikira kuyang'anira chiweto. Zizindikiro zosasangalatsa zikaonekera, muyenera kusiya mankhwalawo ndikutengera nyamayo kwa katswiri. Ngati mukulephera kupita kuchipatala chanthawi yotsatira kwa maola 2-3, muyenera kutsuka m'mimba mwa mphaka ndi yankho lochepa la potaziyamu mulatinso ndikupatsanso makala kapena makala ena. Asanayang'anitsidwe ndi veterinarian, chiweto sichiyenera kudyetsedwa.
Momwe mungapewere jakisoni, jekeseni
Kuti muchepetse kusokonezeka kwa thupi, singano iyenera kuyikiridwa mozama momwe mungathere, ndipo mankhwalawo amayenera kuperekedwa pang'onopang'ono. Mlingo wofunikira pano. "Ayi-Shpa" mu ma ampoules amphaka ndi njira yocheperako, koma ngati veterinary wovomereza jakisoni, pali zifukwa zake.
0,1 mg wa yankho amawerengedwa pa kilogalamu ya nyama. Amodzi mwa "No-Shpy" ampoule omwe ali ndi 2 ml, osati 0 - uku ndikulakwitsa kwa eni nzeru zambiri amphaka omwe azidzabayira nyama koyamba. Nthawi zambiri, jakisoni imachitika kawiri pa tsiku ndi nthawi ya maola 12. Koma komabe mulingo wofanana, kuchuluka kwa jakisoni patsiku ndi nthawi yovomerezeka kudzayikidwa ndi adokotala okha.
Zokhudza mankhwalawa cystitis amphaka, mlingo wa mankhwalawa ukhoza kukhala waukulu - 0,5 mg pa kilogalamu ya kulemera kwa nyama. Koma "No-Shpa" si mankhwala okhawo omwe amafotokozedwera matendawa, mankhwalawa amagwiritsidwa ntchito povuta. Mankhwala omwe afotokozedwawo amachepetsa mkhalidwe wa chiweto, amachepetsa, kuchepetsa kapena kuthetsa ululu konse.
Mlingo ndi njira yoyendetsera
Mankhwalawa sayenera kuperekedwa ngati:
- Kulephera kwina
- Glaucoma,
- Ukalamba wa nyama, pakhoza kukhala matenda oopsa,
- Zaka mpaka miyezi itatu
- Nyama imakhala ndi chidwi chachikulu ndi papaverine,
- Kuvulala kumutu
- Kulephera kwina
- Hypothyroidism,
- Hyperplasia
- Tachycardia.
Musanagwiritse ntchito mankhwalawa, muyenera kufunsa dokotala wofufuza mifesa, simuyenera kupereka chithandizo chanokha.
Muyeneranso kupitiriza mndandanda woyeserera kuti mudziwe chomwe chimayambitsa matenda a chiweto.
Antispasmodic mwanjira yama suppositories
Mfundo zofunika
1. Mphaka idadwala mgalimoto kapena chiwonetsero, wokondedwayo adang'amba khutu lake, kuthamangitsa mbewa, koma zida zothandizira zoyendetsedwere zimasungidwa kunyumba mufiriji - ndikugwiritsa ntchito chiyani? Kupita paulendo ndi mphaka, makamaka ngati kulibe zipatala zamankhwala panjira, nthawi zonse muyenera kupita ndi zida zanu zothandizira.
2. Kuphatikiza pazotsatirazi, zida zanyama zamphaka ndi malo osungira chikwatu ndi zotsatira za mayeso omwe achita kale, maphikidwe ndi zolemba zamankhwala, pasipoti ya Chowona Chanyama ndi zolembedwa zina. Kuti muwongolere ntchito ya adotolo, mapepala awa afunika kuti atenge nanu. Koma sizothandiza kwa mwini wake: matenda ambiri amakonda kubwereranso, amphaka ena amakonda kunyambita ena “okonda kwambiri”, ena amamenya nkhondo nthawi zonse. Ndiye kuti, mikhalidwe imakonda kubwerezedwa, ndipo mu nkhani iyi, kupereka chithandizo choyamba kwa amphaka ndikosavuta ngati muli ndi njira yakale yokhala ndi mayina ndi Mlingo wa mankhwala omwe ali nawo. Inde, muyenera kuwona dokotala mulimonse, makamaka pakakhala matenda osachiritsika. Koma kukhala ndi kaphikidwe kakale komwe kali pafupi, kuthandizira, kuimitsa kuukira kwa ICD, kuletsa kufalikira kwa ureter - kuphatikiza kwakukulu mu gululo la nkhumba ya amene ali ndi udindo.
Ndikofunikira kuti zida zoyambira zanyama ziyenera kugwiritsidwa ntchito. Tikutenga chikhomo: pali miyezi itatu yatsala kuti nthawi isanathe - ikani mafuta pachikuto kapena pafupi ndi dzinalo
Kuthandizira kwadzidzidzi amphaka - zomwe zimachitika nthawi zambiri zimakhala zovuta, mutha kuyiwala kuyang'ana ma CD. Ndipo powona chizindikirocho, mwini wakeyo azikumbukira za njira zachitetezo ndikuyang'ana tsiku lomwe apange mankhwalawo.
4. Nthawi zambiri, chithandizo choyamba kwa mphaka chimakhazikitsidwa pomwe wamanjenje amayenda uku akung'ung'udza m'bokosi lodzala ndi mitsuko, mabotolo, matuza, machubu, kuwerenga mayina ndikukumbukira zomwe zili. Popewa izi, mankhwalawa amayenera kukonzedwa m'mabokosi ang'onoang'ono, kusaina chikuto: painkiller, sedative, heestatic, etc. Ndipo kenaka ikani mabokosi awa m'bokosi lalikulu la nsapato, mwachitsanzo.
5. Pa chivundikiro cha bokosi pamalembedwe mafoni a veterinarians, mwa omwe ayenera kukhala manambala a omwe amagwira ntchito nthawi yonseyo. Mwadzidzidzi, "kuchedwa kufa kuli ngati" (kutuluka magazi kwambiri, chinthu chachilendo pakhosi, kuwopsa kwa chifuwa), adotolo amafotokozera pafoni momwe angaperekere chithandizo choyamba kwa mphaka. Izi ndizofunikira kwambiri ngati mwininyumbayo alibe nzeru komanso amangodziwa momwe, mwachitsanzo, kubaya kapena kusanza.
Kodi No-Shpa ndi chiyani?
Ichi ndi antispasmodic wamphamvu, yemwe ndi wotchuka kwambiri komanso wodalirika. Mankhwalawa amapangidwira anthu, koma amagwiritsidwa ntchito kwambiri monga Chowona Zanyama. Mankhwalawa ndi wamphamvu kwambiri, ndipo simungathe kudzipatsa wekha nyama yanu. Palibe mankhwalawa a No-Shpy omwe amalembedwa pakatikati pa bukuli, kupatula katswiri palibe amene angawerengere bwino. Chomwe chikuopseza ziweto zochuluka bwanji? Zowonjezeranso pamenepo, koma tsopano tiyeni tiwone mawonekedwe a mankhwalawa.
Mtengo ndi fanizo
Mitengo ya mankhwala amasiyanasiyana. Ndondomeko yamitengo imadalira kuchuluka kwa mapiritsi omwe ali paphukusi komanso phukusi lokha. Mapiritsi amatha kugula kuchokera ku ruble 67 mpaka 500. Papaverine ndi wotsika mtengo, mtengo wotsika ndi ma ruble 10 (mapiritsi 10).
Ngati mukufuna kusintha no-shpu kapena papaverine, mutha kusankha ma analoge:
Pomaliza, ndikufuna kunena kuti nthawi zonse ndikofunikira kusamalira chiweto chanu chokondedwa. Ngati mukuwona mavuto, muyenera kulankhulana ndi veterinarian wodziwa bwino ntchito yake. Ngati mulibe mwayi wotere, ndiye kuti ndi bwino kupereka mapiritsi pokhapokha ngati mwaphunzira bwino mankhwalawa.
Kusankhidwa kwa No-Shpy kwa nyama
Nthawi zambiri amphaka a "No-Shpu" amakhala ndi:
- cystitis
- matenda amitsempha
- urolithiasis,
- matenda a impso ndi ena ambiri.
Mankhwalawa moyenera komanso mwachangu amachotsa ma spasms osalala a ziwalo, ndikupatsanso kupweteka kwamankhwala. Nthawi zambiri, mankhwalawa amagwiritsidwanso ntchito pamatumbo am'mimba (gastritis, zilonda, colitis, kudzimbidwa kapena kutsegula m'mimba).
Pa zowawa zilizonse komanso mwanjira iliyonse, mlingo wa No-Shpy wamphaka uyenera kuwerengedwa payokha, ndipo wodziwa zanyama yekha ndi amene angachite izi! Zikuwoneka kwa munthu kuti mankhwalawo alibe vuto, ndipo ndizovuta kumamwa mopitirira muyeso. Pali mapiritsi ambiri amphaka, ndipo mankhwala osokoneza bongo amatha kupha nyama.
Chithandizo
Ngati mphaka uli ndi matenda otsegula m'mimba chifukwa cha zakudya zosafunikira, ndiye kuti ziyenera kusiyidwa ndi chakudya. Ndikofunikira kupatsa chiwetocho malo omasuka. Patsiku loyamba la chithandizo, mphaka ziyenera kusungidwa pakudya panjala, tsiku lachiwiri mutha kupatsa pang'ono chakudya. Patsani mosalekeza madzi oyera, oyera. Zakudya ziyenera kutsatiridwa kwa pafupifupi mwezi umodzi.
Mankhwala
Pofuna kuchiza m'mimba, mutha kupatsa ana anu ziwiya. Phindu labwino limaperekedwa kwa ana a smecta, enterosgel, ana aofofilil (kuyimitsidwa), kaboni yodziyimira. Matenda amphaka amatha kuthandizidwa ndi yankho la Regidron kapena madzi pang'ono amchere (8,5% solution), pogwiritsa ntchito yankho m'malo mwa madzi. Ngati chiweto chikakana kumwa chokha, mutha kuthira yankho ndi syringe.
Maantibayotiki ndi sulfonamides sayenera kuperekedwa ngati matenda am'mimba aliwonse. Mankhwala a antibacterial amatha kubweretsa zovuta, chifukwa amawononga microflora yamatumbo.
Monga mankhwala, ma probiotic amatha kuperekedwa mwachitsanzo, bifidobacteria, lactobacilli. Mankhwala abwino a homeopathic Elvestin, oyenera ana ang'onoang'ono: amateteza kugaya ndipo amathandizanso kulimba. Bifidumbacterin ndi Vetom ndioyeneranso kwa makanda.
Zithandizo za anthu
Mutha kuwiritsa amphaka ndi decoctions, kuwapanga kuchokera ku mpunga, flaxseed, khungwa la oak kapena oatmeal. Kukhala kofunikira kumwa tiyi wa pet ndi chamomile kapena hypericum. Pambuyo pochiza kutsekula m'mimba, mwana wa mphaka ayenera kupatsidwa chakudya choyesa kwa mwezi umodzi. Mutha kugula zakudya zamankhwala zopangidwa kale, zomwe zili mu mzere kuchokera kwa onse opanga, kapena muzipanga kuchokera ku zinthu zatsopano.
Pomaliza
No-shpa amphaka ndimankhwala osokoneza. Zimathandiza wina, winawake - zimayambitsa mavuto. Komabe, ngati pali mwayi wotere, ndibwino kuti muyese kaye mankhwala ena. Ndipo pokhapokha ngati sangathandize, gwiritsani ntchito "No-Shpa"
Zimachitika kuti wothandizira wazamenyedwayo atapereka njira yothandizira wodwala wamiyendo inayi, mwini wakeyo amakhala pansi kutsogolo kwa kompyuta, kotero ... kambiranani za kusankhidwa kwake ... ndipo amachita nazo mantha chifukwa cha zomwe amaphunzira kuchokera kwa omwe amadziwa "ndikuwunikira", pepani, eni luso nyama.
Ndipo zitatha izi, kuchiza m'mimba ndimankhwala omwe adauzidwa ndi adotolo ... dzanja silimera ... Koma palibe amene ali ndi vuto lothandizira chiweto chanu, kupatula inu ndi adotolo "oyipawo", pazifukwa zina simukufuna kudzipulumutsa nokha.
Ndipo mwini wotere "pakati pa Scylla ndi Charybdis" amachepera ... Ndipo alangizi adachita mantha ndikusiya, ndipo adotolo akuwopa kale kuti akhulupirire.
Mu zida zathu, tiyesa kufotokoza kutsutsana komwe mungakhale nako pakati pazomwe dokotala mwalandira ndikuwonetsa malingaliro pakati pa okonda nyama "odziwa"
Lero tikulankhula za malingaliro wamba pakati paokonda mphaka (komanso akatswiri odziwa za ziweto) kuti kugwiritsa ntchito kukonzekera kwa No-Shpa kumatsutsana ndi amphaka. Ndipo mosasamala, kukambirana kumakhala kokhudza mawonekedwe a jakisoni.
Chifukwa chiyani amatsutsana?
Ndidzalemba mayankho pafupipafupi a omwe amatsutsa kugwiritsa ntchito mankhwala a No-Shpa amphaka:
- Miyendo ya kumbuyo ya mphaka imachotsedwa kwa iye
- Mphaka itatha jakisoni wa No-shpa, inadumphadumpha ngati nsanza ndipo kungodzipulumutsa kokha
- Mphaka pambuyo pa No-shpy ukhoza kukhalabe wolumala
- Palibe spa yomwe imayambitsa kupindika kwa miyendo ndi manja
- Mphaka wanga adalowetsedwa ndi No-shpu - pomwepo adayamba kuyenda ndikuyenda momasuka kwa nthawi yayitali
Monga mukuwonera, zomwe zimatchulidwa kwambiri ndikuphwanya kwa kugwiritsa ntchito miyendo ya m'chiuno pambuyo pakubayidwa kwa mankhwala a No-Shpa kapena mawonekedwe ake omwe ali ndi Drotaverin hydrochloride.
Ndipo monga analogues, imaperekedwa mwachangu ngati analog "yotetezeka kwambiri" - Papaverine hydrochloride.
Chifukwa chake, poyambira, tiyesera kupeza kusiyana kwakukulu pakati pa mankhwalawa kuti timvetsetse chifukwa chake amakhulupirira kuti Papaverine hydrochloride ndiwotetezeka kwambiri amphaka kuposa Drotaverina hydrochloride (No-shpa). Mwa njira, kuyambira pano ndizogwiritsa ntchito dzina lenileni la kukonzekera kwa No-Shpa - Drotaverina hydrochloride. Zikhala zolondola kwambiri.
Kuyerekeza katundu wa Papaverine ndi Drotaverin hydrochloride (mankhwala a No-Shpa)
Chidziwitso cha mbiri yakale: Drotaverina hydrochloride adapangidwa pa chomera cha Khinoin mu 1961 pamaziko a chomera chachikulu chotchedwa Papaverine. Chifukwa chake komwe mankhwalawa amapezeka.
Kapangidwe ka antispasmodic kanthu: mwa onse a Papaverine ndi Drotaverin, mphamvu ya antispasmodic imakhazikitsidwa ndi kuyimitsidwa kwa puloteni ya PDE-phosphodiesterase, kugwiritsidwa ntchito komwe m'misempha kumatsimikizira kuyendetsedwa kwa Drotaverin ndi Papaverine muzochita zamankhwala. Mothandizidwa ndi zoletsa za PDE, kuchuluka kwa cAMP (cycloadenosine monophosphate) mu cell kumawonjezeka ndipo kuchuluka kwa calcium ions kumachepa.Ndipo mchere wocheperako wa calcium mu cell, umachepetsa mwayi wa kufinya kwamisempha. Zotsatira zake ndikuchepa kwa kamvekedwe ka mawu ndi mota kwa minofu yosalala ya ziwalo zamkati, zomwe zimatsogolera pakutha kwa kuphipha kwawo.
Kutalika ndi mphamvu ya antispasmodic kanthu: ku Drotaverin, theka la moyo ndi maola 7-12, ndipo ku Papaverine, ndi 1.5 - 2 maola okha. Nthawi yomweyo, kupendekera kwa minofu yosalala ku Drotaverinum kumakhala kokwirikiza kasanu kuposa kwa Papaverine.
pH yankho la jakisoni: kuchuluka kwa acidity ya njira yovomerezeka ya Papaverine ndi Drotaverin ndi 3-4.5, zomwe zikuwonetsa kuthekera kwaderalo ndi makonzedwe a intramuscular and subcutaneous.
Kutupa kwa mankhwala: Mankhwalawa onse amaphatikizidwa m'chiwindi ndikuwachotsa impso ngati metabolites - Papaverine kwathunthu, Drotaverin - oposa 50% (pafupifupi 30% amatsitsidwa ndi matumbo ndi bile).
Kulowera mu minofu: Papaverine amawoloka chotchinga chamagazi ndi ziwalo zonse, Drotaverin samalowa mkatikati mwa mantha amthupi ndipo samakhudza dongosolo lamanjenje la autonomic, amapitilira pang'ono potengera chotchinga.
Monga momwe tikuwonera poyerekeza, zina mwa mankhwalawa Papaverine hydrochloride ndi Drotaverin hydrochloride ndi oyandikana kwambiri, ndipo kusiyana komwe kulipo kumatsimikizira mawonekedwe amomwe munthu angagwiritsire ntchito mankhwala ena ake.
Komabe, ngati tikulankhula za limagwirira lomwe limayambitsa mphamvu ya antispasmodic, mawonekedwe a kagayidwe ndi kayendetsedwe kake ka minofu yosalala ya ziwalo zamkati ndi mitsempha yamagazi, ndiye kuti ali ofanana mu mankhwala onsewo. Izi zikutanthauza kuti palibe chifukwa chonenera kuti mankhwala amodzi (Drotaverin) angayambitse kusintha kwamakati omwe sangayambitse chifukwa cha mankhwala ena (Papaverine).
Kodi pali kusiyana kotani pakati pa amphaka pakuyamwa kwa mankhwala?
Zonse zimatengera mfundo zingapo zofunika mthupi ndi mphaka wa mphaka wina:
- Munthu aliyense amamva chidwi ndi mankhwala
- Mphaka wam'mbuyomu asanalowe jakisoni wa antispasmodic
- Zomwe zimachitika mdera lanu popereka mankhwala.
Tiyeni tiwone mwatsatanetsatane mfundo izi:
Kuzindikira kwa mphaka kwa mankhwala
Monga tanena kale, ma phosphodiesterase enzyme (PDE) ochulukirapo m'thupi la chinyama, mphamvu ya antispasmodic ya mankhwala aliwonse idzakhala - osachepera Papaverine, ngakhale Drotaverin, koma Papaverine angachite izi mwachidule kasanu.
Zomwe zimapangitsa kuti chamoyo chizigwira bwino ntchito ndikumayamwa mankhwala zimapezeka mosasamala mtundu wa nyama komanso mtundu wa mankhwalawo.
Kuphatikiza apo, palibe amene wachotsa kudabwitsa kwa thupi la mphaka (monga magazi aliwonse ofunda) pakukhazikitsa mankhwala ALIYENSE. Nthawi zambiri, mwachitsanzo, amphaka omwe amayamba ndi mankhwala (mu mnofu kapena wamitsempha) amayamba "chithovu".
Kuchuluka kwazinthu zopaka mkamwa kuchokera pakamwa kumatha kulumikizidwa ndi nkhawa zomwe zimachitika pakatundu wam'chipatala chamankhwala ndi chithandizo chamankhwala chokha, komanso mphamvu ya mankhwala pakhungu la mphaka.
Kutulutsidwa kwa thovu kuchokera mkamwa mwa mphaka kupita kukamwa mankhwala, kudzera mkamwa ndi jakisoni, zimatha kukhala zovuta kwambiri pakamachitika mantha am'kati chifukwa cha njira zochizira.
Ndi kukhazikitsidwa kwa Papaverine, zoterezi zimatha kufooka kwambiri (pafupifupi nthawi 5) zofowoka komanso zazifupi, chifukwa cha kutsika kwa mankhwalawa, kupezeka kwa mphamvu ya Papaverine komanso moyo wina wa Papaverine wambiri mwachangu poyerekeza ndi Drotaverinum hydrochloride.
Eni ake nthawi zina amatcha izi "zofewa" za Papaverine poyerekeza ndi zomwe Drotaverin adachita.
Mphaka wam'mbuyomu asanalowe jakisoni wa antispasmodic
Eni ake ambiri samaganizira kuti kupweteka kwakanthawi, komwe kumayendetsedwa ndi malovu am'mimba (matumbo, chikhodzodzo), nthawi zambiri amasunga dongosolo lamanjenje la chiwerewere bwino ngakhale pafupifupi "zigawo zonse" za thupi zimatopa kale (gawo lokhalitsa lazovuta).
Izi ndizowona makamaka kwa nyama ndi nyama zopanda thupi zomwe zimakhala ndi hypoglycemia. Matenda a ululu akangotaya kolimba kwambiri chifukwa cha jakisoni wa antispasmodic, gawo lodzidzimutsa lakuyamba kupweteka limayamba: chopinga chachikulu cha zizindikilo zonse zamanjenje, zomwe zimaponya kutsika (kugwa). Nyama imapumira kwambiri (ikulendewera ndi chala), mayendedwe ake kukunjenjemera kwambiri, kupsinjika kumatsika kwambiri, komwe kumapangitsa magazi kulowa mu ubongo ndipo nthawi zambiri simungathe kuchita popanda kutulutsa.
Monga momwe tikuwonera pofotokozera, izi sizotsatira zoyipa za antispasmodic, koma njira yokhazikika ya pathogenetic ya chitukuko cha kupweteka kwapadera.
Izi zimawonedwa kawirikawiri ndi urethral feline syndrome (ngati mkodzo umayenda mosakhalitsa kwa tsiku limodzi) komanso ndi mitundu ina ya matumbo osokoneza, pakakhala ma spasms akuthwa komanso kupindika matumbo chifukwa chakupanga kwa mpweya.
Ndiye chifukwa chake mankhwala omwe amadzipaka okha omwe ali pachiwopsezo chambiri ndi osavomerezeka, chifukwa nthawi zambiri mwininyumbayo sangathe kulingalira zinthu zonse zomwe zimagwira mthupi la wodwala wovuta.
Kudzipatsa nokha mankhwala omwe ali pachiwopsezo chachikulu, makamaka pogwiritsa ntchito antispasmodics ndi analgesics ndikosavomerezeka!
Zomwe zimachitika mdera lanu popereka mankhwala
Monga tafotokozera pamwambapa, mayankho onse a Drotaverin ndi Papaverine ali ndi asidi. Chifukwa cha izi, ndikosayenera kwambiri kuti amphaka apereke mankhwalawa mu minofu yamafuta kapena intramuscular (interfascial) yamafuta. Zotsatira za jakisoni wotereyu ndizovuta kupweteketsa malo a jekeseni mpaka kupanga mapangidwe olowa mkati.
Papaverine ndi Drotaverinum ndi oyenera kulowa kwambiri.
Koma zimachitika kuti chifukwa cha minyewa yaying'ono kwambiri komanso yosakhazikika bwino (mwachitsanzo, mumphaka), mankhwalawo adalowa minofu yamafupipafupi, yamafupipafupi kapena yamafupa. Poterepa, zimachitika m'deralo zomwe zimakhala pafupi ndi yankho la acidic zimachitika. Kufupika kwakanthawi ndi kotheka, komwe kumayendetsedwa ndi lameness, komanso kukula kwa yotakasira yotupa.
Kulowetsedwa koteroko kumakhala kowawa kwambiri ngati kumazungulira nthambi yamitsempha kapena kutsatira khoma lamitsempha, komwe kumakhala zolandilira zowawa zambiri. Komanso, ngati tilingalira za kuchepa mosavuta (kuyamwa) komanso kutha kwa theka la mankhwalawo, zidzadziwika kuti zochita za Drotaverin zitha kukhala zowala komanso zazitali kuposa Papaverine.
Ngati tiganizira kuti, monga lamulo, jakisoni ku amphaka amachitidwa ndendende m'chiuno ndi m'chiuno, ndiye zimamveka chifukwa chake wodwalayo, atatha masiku angapo chithandizo ndi jakisoni wa antispasmodic, angakane kuyenda ndi miyendo, kayendedwe kalikonse kamene kamayambitsa kupweteka.
Vutoli litha kuchepetsedwa pogwiritsa ntchito kutentha kwa dzuwa kuti liwonjezere mphamvu yotsitsimuka pambuyo pake.
Ndi mankhwala ati omwe mungakonde?
Kuti musankhe moyenera komanso mofunitsitsa zomwe mungagwiritse ntchito pa mphaka ngati antispasmodic, ndikofunikira kulingalira mfundo zazikuluzonse ndi kusiyana machitidwe a Drotaverin ndi Papaverin, omwe akuwonetsedwa pamwambapa.
Zomwe ndikulangizani kuti muziganizira:
- Nthawi yofunikira ya antispasmodic kanthu
- Kukhalapo ndi mphamvu ya ululu musanayambe kugwiritsa ntchito antispasmodic
- Zotsatira zazikulu zomwe zimyembekezeredwa ndikugwiritsa ntchito mphaka wa antispasmodic
- Zotsatira za mphaka kumbuyomu kugwiritsa ntchito antispasmodics
Tsopano lingalirani zolemba zonse mwatsatanetsatane:
Nthawi yofunikira ya antispasmodic kanthu
Ngati kuphipha kumakhala kofatsa komanso / kapena kwakanthawi, ndiye kuti jakisoni wa papaverine ndi wokwanira kuimitsa.
Ngati antispasmodic yokhala ndi mphamvu yayitali pakukhudzidwa kwapakati pa dongosolo lamanjenje ndikofunikira, ndiye kuti ndizomveka kusankha Drotaverin hydrochloride (No-shpa)
Chifukwa chake, ngati mukusowa kuyanʻanila kwamatumbo ang'onoang'ono chifukwa cha matenda opatsirana kapena owononga (makamaka pa kitten), ndimakonda kugwiritsa ntchito Papaverine, komanso ululu wosaneneka chifukwa cha poyizoni, idiopathic cystitis kapena urolithiasis ndi urethral cat syndrome, ndikusankha Drotaverine hydrochloride.
Kukhalapo ndi mphamvu ya ululu musanayambe kugwiritsa ntchito antispasmodic
Mokulira kuchuluka kwa kupweteka kwa wodwalayo komanso kutalika kwa ululuwu, zowonjezera zina zomwe ndingachite kuti ndisadabwe kwambiri. Ndisanayambe kugwiritsa ntchito antispasmodic, ndimayesa mitsempha kuti ndiyamwe mankhwalawa ndikulimbikitsa kupanikizika, kenako ndikugwiritsa ntchito antispasmodic yomwe ndimaona kuti ndiyofunikira kutengera zomwe tafotokozazi. Ngati zovuta zomwe zili pakatikati kwamanjenje ndizosayenera, zomwe ndimakonda ndizapatsidwa kwa Drotaverin.
Zotsatira zazikulu zomwe zimyembekezeredwa ndikugwiritsa ntchito mphaka wa antispasmodic
Ngati ndidzagwiritsa ntchito antispasmodic pokhapokha ngati nditha kupulumutsa chinyama chamoyo chopanda matenda, ndimangoyang'ana nthawi yofunikira ya antispasmodic kanthu. Ngati antispasmodics akagwiritsidwa ntchito mu nyama yomwe ili ndi matenda angapo osachiritsika, ndiye kuti kugwiritsa ntchito mankhwala a antispasmodics kumayamba kuchepetsedwa ndi kuthekera kwa wodwala kupereka mankhwalawo.
Poganizira kuchuluka kwa mankhwalawa omwe amafunsidwa m'chiwindi, kwa nyama yokhala ndi matenda okayikitsa a chiwindi, ndingakonde kupereka mankhwala a Papaverine, kutsika pang'ono mu kagayidwe kamomwe kamakhudza thupi la wodwala wanga m'malo moipa. Pankhani ya Drotaverin, kutsika pang'onopang'ono kwa kagayidwe kamankhwala kumatha kukhala kowopsa kwa wodwalayo chifukwa chosungidwa nthawi yayitali mthupi ndipo, potero, pamakhala chiopsezo chochulukirapo.
Zotsatira za mphaka kumbuyomu kugwiritsa ntchito antispasmodics
Ndime iyi, zikuwoneka ngati ine, ilibe ndemanga pang'ono. Zachidziwikire kuti ngati zomwe zidachitika kale ndi izi kapena kuti antispasmodic sizinaphule kanthu, ndiye kuti nthawi ina mutagwiritsanso ntchito mankhwala ena ndipo ndikukhulupirira kuti thupi la wodwalayo lidzayankhanso mogwirizana ndi ziyembekezo zabwino zomwe dokotala ndi mwini wake angachite.
Nthawi zina zimachitika kuti kungosintha momwe mankhwalawo amathandizira kapena jakisoni wa jakisoni amasintha kwambiri zomwe zimachitika pakati pakuwongolera mankhwalawo. Ndipo izi, nazonso, ziyenera kuganiziridwa pokonzekera chithandizo cha wodwala.
Pomaliza
Tikukhulupirira kuti zida zathu zakuwonetsa, owerenga okondedwa, ndi zinthu zingati zomwe muyenera kuziganizira mukamasankha mankhwala ochizira wodwala wina.
Chifukwa chake, ngati ndinu mwini wa nyama ndipo zikuwoneka kuti ndi zovomerezeka kapena zowopsa kwa ziweto zanu, funsani dokotala kuti akuthandizeni kukhazikikapo kwa mankhwala. Ndizotheka kuti pambuyo pofotokozera za zamankhwala, chilichonse sichikhala chowopsa, koma choyenera. Ndipo ngati china chake chayamba, kulumikizana ndi dokotala kumathandizira kumveketsa zovuta zomwe zatulukira ndikusintha mankhwalawo mwachangu kapena njira yogwiritsira ntchito.
Onetsetsani kuti mukukambirana ndi dotolo nkhawa zanu zonse komanso nkhawa zanu pakamwa mankhwala enaake.
Izi ndizabwino koposa kumvetsera kwa dokotala mwakachetechete, kenako ndikudziyimira pawokha, paupangiri wa intaneti, sinthani chithandizo pangozi yanu ndikuyika pachiwopsezo kapena kukalipira dokotala wosalakwa chifukwa cha zomwe sizingachitike ngati malingaliro onse atsatiridwa.
Ngati ndinu veterinarian, ndiye, popereka izi kapena mankhwalawa, musatsatire nthano ndi mantha, koma chidziwitso cha pharmacology, pathophysiology ndi zamankhwala zamankhwala.
Tidzakhala okondwa ngati mukufuna kukambirana zida zathu m'makalata, ndemanga pazomwe zili patsamba kapena m'magulu athu!
Natya Troshina, Wanyama Wanyama (DVM)
Zambiri zokhudzana ndi mankhwala:
Timazindikira matenda am'mimba - mitundu
Kuzindikira kutsekula m'mimba kumatha kuchitika mwaokha ndi mitundu ya ndowe, kusasinthika, kukhalapo kwa ntchofu ndi kusanza.
Mkhalidwe ndi mtundu wa ndowe | Choyambitsa |
Wachikasu | -chakudya sichigonjetsedwa bwino. |
lalanje | - bilirubin owonjezera, matenda a chiwindi. |
Ndowe zobiriwira, kusanza | - njira zowonongeka zimachitika m'matumbo, zomwe zimapangitsa kuti pakhale poizoni. |
Kuterera kwakuda | - kutaya magazi kumtunda kwa m'mimba. |
Choyera | -Bile sililowa m'matumbo, popeza njirazo ndi zotsekeka. |
Tizilombo toyamwa magazi | - magazi m'matumbo. |
Kupezeka kwa ntchofu | - kutupa m'matumbo akulu. |
Limbani imvi | - kuphwanya mayamwidwe ndi chimbudzi. |
Zofewa, zopindika | - Kuchulukitsa, kupezeka kwa zakudya za fiber yambiri. |
Zopusa | - toyambitsa matenda. |
Mafuta | - kuwonongeka kwa kapamba yemwe amayambitsa malabsorption. |
Popeza tazindikira chifukwa chomwe chimayambitsa matenda am'mimba, ndipo ndiyenera kuchitira chithandizo choyenera. Ngati mphaka uli ndi thukuta lotayirira komanso kusanza kwa sabata lopitilira, chifukwa chake pamakhala matenda osachiritsika: Mwachitsanzo, colitis, kutupa m'mimba, matenda opatsirana.
Pepani, pakadali pano palibe mavoti omwe alipo.
Kufotokozera kwa mankhwalawa
Papaverine ndi wa gulu la myotropic antispasmodics. Chifukwa chakuchepetsa kamvekedwe ndi ntchito ya minofu yomwe ili m'makoma a ziwalo zamkati, mankhwalawa amakhala ndi mphamvu pakukula kwamitsempha yamagazi, kupangitsa magazi kutuluka.
Mankhwala amakhalanso ndi zinthu zina - analgesic, anticonvulsant, kutsitsa magazi. Izi ziyenera kuganiziridwa popereka mankhwala kwa ziweto.
Kupanga ndi mawonekedwe a kumasulidwa
Gawo lomwe limagwiritsa ntchito mankhwalawa ndi papaverine hydrochloride, yomwe imapangitsa antispasmodic. Izi ndi alkaloid zopangidwa kuchokera ku opium poppy. Kuphatikiza apo, kapangidwe ka mankhwalawa kamaphatikizanso zigawo zina. Kupezeka kwawo kumatsimikiziridwa ndi mawonekedwe a kumasulidwa.
Opanga amapereka mitundu yambiri ya papaverine. Zoyenera kwambiri ziweto ndi:
- Kubaya.
Ndiwisi yabwino. Kutengera wopanga, imatha kunyamula m'manda osindikizidwa kapena mabotolo apulasitiki. 1 ml ya mankhwala okhala ndi 20 mg yogwira ntchito. Chinthu china chowonjezera ndi madzi oyeretsedwa. - Mapale.
Papaverine mu mawonekedwe amtunduwu amaperekedwa mu 2 Mlingo - 10 ndi 40 mg. Kuphatikiza apo, stearic acid, wowuma, etc. akuphatikizidwa. - Ma suppositories a rectal management.
Ma suppositories ndi ochepa mu kukula kwake ndi mawonekedwe a mawonekedwe. Muli 20 mg yogwira ntchito. Zowonjezera zina - mafuta olimba, stearin, etc. Mankhwalawa amamuika m'mbale yama polyvinyl chloride.
Zizindikiro ndi contraindication kuti mugwiritse ntchito
Mankhwalawa amamulembera amphaka zotsatirazi:
- Intestinal colic ndi kupweteka pachimake chifukwa cha zosiyanasiyana matenda. Nthawi zambiri atadya chakudya chochuluka, mphaka amavutika ndi zowawa ndipo amayesera kukopa chidwi cha mwini ndi meow. Piritsi ya Papaverine imathandizira kupumula minofu ndikuchepetsa kuphipha.
- Matenda a genitourinary system oyambitsidwa ndi matenda. Kusungidwa kwina kwamtunduwu kumatha kuyambitsa zotsatirapo zoyipa, ndiye kuti simungakayike. Zikatero, veterinarians amalimbikitsa jakisoni wa Papaverine.
- Cystitis kuchokera koyambirira kulikonse, kuphatikiza adayamba chifukwa cha hypothermia ya pet.
- Pylorospasm (kupindika kwa sphincter). Izi matenda sapezeka mu amphaka. Makandulo amathandizira kuchepetsa ululu.
- Cholecystitis. Spasms yomwe imachitika ndi cholecystitis, nyama zotulutsa. Ndikofunikira kuchotsa ululuyo posachedwa. Izi zimachitika ndi jakisoni.
Nthawi zambiri, mankhwalawa amatchulidwa ngati gawo la zovuta zovuta limodzi ndi mankhwala omwe amachotsa zomwe zimayambitsa matenda.
Zotsatira pa kutenga Papaverine:
- kulephera kwa chiwindi,
- mavuto ndi ndulu za adrenal,
- kugwedezeka kapena kupsinjika kwa chiweto,
- zaka mpaka miyezi 6
- kusalolera payekha pazinthu zomwe zimapanga mankhwala.
Tachycardia ndi arrhythmia sikuti kuphwanya kumwa mankhwalawa, koma panthawi ya chithandizo, nyamayo iyenera kuonedwa ndi katswiri.
Malangizo ndi mlingo
Kugwiritsa ntchito mankhwalawa kumatengera mtundu wa mankhwalawa amasulidwe.
Jekeseni ndi papaverine tikulimbikitsidwa kuti zizichitidwa mosazindikira. Njirayi siili yovuta ngakhale kwa eni eni ziweto zosadziwa. Kupaka mankhwalawa kuyenera kukhala syringe yotayika pakufota. Kuti muchite izi, kokerani khungu, kulibowoleza pang'ono, popanda kuthamangira, Lowani mankhwalawo.
Khungu pamafinya amphaka limakhala lakuda. Zitha kukhala zovuta kubaya, chifukwa chake veterinarians amakulangizani kuti mugwiritse majakisoni a jakisoni wa insulin (ali ndi singano zowonda).
Papaverine angathe kutumikiridwa kudzera m'mitsempha. Koma majakisoni oterewa amakhala opweteka ngati amachitidwa ndi munthu wopanda nzeru. Kuphatikizika kwa singano kapena mankhwala kumatha kulowa pamalo omwe ali ndi ulusi wamitsempha, womwe umapangitsa kupweteka. Mavuto ngati amenewa nthawi zambiri amakumananso ndi omwe amachitira nyama kunyumba.
Ndikovuta kupereka mapiritsi, chifukwa amphaka sakonda mankhwala. Mankhwala azachipatala amapereka zida zapadera - oyambitsa (aphunzitsi apiritsi). Ndi thandizo lawo, mutha kulowa mankhwalawo pamizu ya lilime.
Popanda chida chotere, muyenera kugwiritsa ntchito njira yokakamizidwa. Ndikofunikira kukakamiza pakamwa pa mphaka ndi kuyika piritsi pamalilime. Mutha kulola kuti chiweto chizichoka, apo ayi chingavule mankhwalawo. Ndikofunikira kuti mugwire mutu wake pamalo owukitsidwa kwakanthawi, mpaka mphaka itenga sip. Amaloledwa kupera mankhwalawa ndikusakaniza ndi chakudya.
Kukonzekera kwamlomo wamankhwala kumalimbikitsidwa pakudya. Mimba yopanda kanthu imakana mankhwalawo.
Ma suppositories ndiovuta kwambiri kupirira, kotero akatswiri azamalamulo amapereka fomu iyi mwazotheka. Ngati mukuyenera kutenga Papaverine mwanjira yamakandulo, muyenera kuwerenga mosamala malangizo ndikuchita mogwirizana ndi. Mankhwalawa amapaka pakati pa anus.
Mlingo wa papaverine wogwiritsidwa ntchito pochiza amphaka amatsimikiziridwa ndi veterinarian. Katswiriyu amatenga chithunzi cha matenda, momwe ziliri ndi nyama, kuchuluka kwake. Mankhwala omwe agwiritsidwa ntchito zimadalira kulemera kwa mphaka. Pa 1 makilogalamu a kulemera kwa chiweto, 1-2 mg yogwira ntchito imalimbikitsidwa.
Kutalika kwa mankhwala kumatsimikizidwanso ndi adokotala. Koma ngati mphakayu sanakhale bwino mkati mwa masiku 7, mankhwalawa amaleka. Pazinthu zochepa chabe zomwe papaverine angalembedwe kuti agwiritsidwe ntchito kwakanthawi. Nthawi zambiri, veterinarian amasankha njira ina yothandizira.
Makandulo ounikira
Mtundu wa mankhwala othandiza kwambiri komanso wachangu kwambiri ndi ma supplicories a rectal, omwe amaperekedwa kwa pet mu rectum, pomwe amasungunuka mwachangu ndikumamwa. Mabulosi okhala ndi supplementories khumi a 20 mg amapezeka.
Kudzilamulira nokha pa mankhwalawo, komanso kusintha kosavomerezeka kwa mankhwalawa kumatha kubweretsa mavuto osaneneka komanso kufa chifukwa cha chiweto
Ndi matumbo colic
Mukatha kudya zakudya zolemetsa, kupweteka kumatha kuchitika m'mimba kapena m'matumbo, chifukwa chomwe nyamayo sapeza malo ndipo ndi meow imakopa chidwi cha mwini. Potere, mutha kuthandiza chiwetocho pomupatsa pakamwa Piritsi ya Papaverine, yomwe imapumitsa minofu yosalala yamatumbo ndikuchepetsa kuphipha.
Papaverine amamva kupweteka komanso kupindika kwa minofu yosalala ya amphaka amphaka, koma ndi mankhwala oopsa kwambiri
Ndi pathologies a m'mimba dongosolo
Mavuto am'mimba amatha kuthana nawo makandulo omwe amapereka msanga zizindikiro zopweteka. Zikatero, nyamayo imayenera kugwira mwamphamvu, kapena kuyambitsa kufulumira. Kusokonezeka kwa m'mimba thirakiti kumafuna kulowererapo mwachangu, komwe kumatha kupereka ziwonetsero zapakati.
Ndi matenda opatsirana a genitourinary system
Matenda omwe amasungidwa kwamkodzo kapena matenda ena amtundu wa genitourinary amathandizidwa ndi chithandizo chamkati, pamene simungakayikire, ndipo thanzi ndi moyo wa chiweto zili pachiwopsezo. Zikatero, Papaverine amagwiritsidwa ntchito jakisoni. Jakisoni amachitidwa pofota, ndipo kuti apange, nyamayo imagwira "kunenepa kwa khosi" ndikuigwira mwamphamvu mpaka kumapeto kwa mankhwala.
Ndi pylorospasm
Sphincter spasm sindiwo matenda ofala kwambiri amphaka, koma zimachitika nthawi zina. Mwachiwonekere, ndikofunikira kuchotsa zizindikiro za kupweteka kwanuko, pogwiritsa ntchito rectal suppositories. Iyenera kulowetsedwa mosamala ndikusunga chiweto kwakanthawi kuti makandulo asazime pamene akusuntha.
Kuphatikiza pa zowonjezera, mapiritsi amatha kuwonjezeredwa ku chakudya, chifukwa ma suppositories amatha kutsitsimuka ndi contractions ya sphincter yoyipa.
Ndi cholecystitis
Cholecystitis amathandizidwa ndi kuphatikiza kwa mankhwala. Kuyala "No-shpa", "Papaverine" kapena fanizo lake. Zonsezi zimayambitsidwa kuti muchepetse kupweteka mwachangu ndi kukokana komwe kumatha kutulutsa chiweto. Mtsogolomo, kukokana kukasowa, mutha kupitiliza ndi chithandizo chamankhwala a urolithiasis ndi cholelithiasis.
Malangizo ogwiritsira ntchito ndi mlingo
Malinga ndi malangizo ogwiritsira ntchito Papaverine, mulingo woyenera ndi 1-2 mg patsiku. Ndikwabwino kugawa muyeso muyezo waukulu kuti musayambitse mankhwala tsiku ndi tsiku.
"Papaverine" ungagwiritsidwe ntchito ndi mitundu ina ya analgesics
Mlingo umatengera mtundu wa kumasulidwa ndi zomwe ali nazo:
- yankho - 10-50 mg,
- makandulo - 1-2 mg pa 1 makilogalamu kulemera kwa nyama. Mutha kugwiritsa ntchito mpaka zidutswa 4 patsiku,
- mapiritsi - kuchuluka kosaposa 1.5 mg pa 1 makilogalamu amphaka.
Papaverine ayenera kugwiritsidwa ntchito pa amphaka motere:
- Njira yothetsera jekeseni imabowedwa pang'onopang'ono komanso mosamala pansi pa kufota.
- makandulo amayikidwa mu rectum popanda kuthamanga kwambiri,
- mapiritsi amaphwanyidwa ndikuwonjezera chakudya.
Ndemanga za ogwiritsa ntchito pa Network
ZOFUNIKIRA: Zowawa kwambiri
Ine, monga dokotala, komanso wodwala, komanso ngati "mayi" wa chiweto chofewa, nthawi zambiri ndimadwala urolithiasis, wa antispasmodics ndimakonda kwambiri papaverine. Ndipo ndimamukonda pazifukwa zotsatirazi: + kuphweka pakuwerengera mlingo + mwachangu antispasmodic zotsatira + zopanda pake palimodzi ndi analgin monga othandizira antipyretic + amaloledwa mosavuta ndi anthu komanso nyama (mosiyana ndi no-shpa) + ndi yotsika mtengo. Ndipo "bufus" ndizosangalatsa kwambiri chifukwa chophweka chotsegulira ma puloules apulasitiki. Palibe chifukwa chakuwonera kapena kuthyola kalikonse, kuwopa kudula kapena kuthyola chikwanje. Ndi pulasitiki, chilichonse ndichabwino. Pali buku la malangizo pabokosi. Mwa zoperewera, ndikanatulutsa imodzi - papaverine ndi jakisoni wodwala kwambiri! Ndipo ngati idalowetsedwa molakwika, ndiye kuti yankho likalowa mu minyewa ya mitsempha, mwendo umangochotsedwa ku zowawa zosapweteka kwakanthawi. Monga antispasmodic ina iliyonse, papaverine imatsitsimutsa minofu yosalala yamkati, zomwe zikutanthauza kuti ziyenera kugwiritsidwa ntchito mosamala ndi mitundu yambiri ya mtima kupewa miseche yovunda pamtima. Pakadali pano ndikugwiritsa ntchito papaverine kuchiza mphaka wanga kuchokera ku vuto lina la cystitis, lomwe limayendera limodzi ndi kusungika kwamikodzo. Mlingo pa 0,05 ml pa 1 kg yolemera. Kuyambitsa intramuscularly mu ntchafu. Kugwiritsa ntchito bwino kwa mankhwalawa kumawonetsedwa pakukweza masheya a chikhodzodzo ndi urethra, pambuyo pake amphaka amakula. Kuchitikaku kumachitika kuyambira mphindi 30 mpaka ola limodzi. Amagwiritsidwa ntchito onse ngati gawo la maphunziro ovuta a chithandizo, komanso chisamaliro chodzidzimutsa ma spasms osiyanasiyana. Palibe zoyipa zomwe zikuwoneka pano. Chonde!
Kubaya
Kodi ndikufunika kubaya mankhwala kuti ndimphaka? Papaverine amatha kubayidwa intramuscularly komanso subcutaneally. Kunyumba, ndikosavuta kupanga jakisoni wofikira. Pa izi, nyamayo imakhazikika pamimba, ndikofunikira kuti wina athandizire kuyisunga. Khungu lomwe limafota limakokedwa ndi zala ziwiri kuti khola limakhala lalitali, ndipo singano imayikidwa moyofanana ndi msana. Sizoletsedwa kubaya mankhwalawo pakona kapena pang'onopang'ono kwa thupi.
Syringe ndi singano ziyenera kukhala zosabala. Musanalowetse mankhwalawa, mankhwalawa amayenera kutenthetsedwa pang'ono m'manja mwanu, chifukwa chake nyamayo imalekerera kupweteka kuchokera kubaya. Popeza tatenga madzi mu syringe, ayenera kugwedezeka ndipo thovu lomwe limapangidwa litulutsidwa.
Jakisoni wam'mimbamo amapangidwa m'chiuno cha kumbuyo. Jakisoni oterewa ndiwowawa kwambiri, makamaka ngati amaperekedwa ndi veterinarian kapena munthu yemwe ali ndi vuto lofananalo. Ndi jakisoni wa mu mnofu, singano imayenera kukhala yowonekera mpaka minofu.