Ganglioplegic (tshuaj): indications, cov lus qhia rau kev siv, mechanism ntawm qhov kev txiav txim

Nyob rau hauv tas li ntawd mus rau lub central lub paj hlwb nyob rau hauv tib neeg lub cev muaj cov autonomic lub paj hlwb, uas tswj lub chaw ua hauj lwm ntawm ntau hauv nruab nrog cev. Kuj ntev los no, zaum tau coj ib tug tshiab pawg ntawm cov tshuaj lub npe hu ua lub "ganglionic". Npaj ntawm no pab pawg neeg yuav saib xyuas kev kawm ntawm lub autonomic lub paj hlwb, ua kom tus neeg mob tus mob nyob rau hauv ntau cov kab mob.

cov ntaub ntawv

Tsaug rau cov heev heev paj txoj, autonomic system ntawm lwm yam uas cov kev ua ub ntawm yuav luag tag nrho cov hauv nruab nrog cev (lub ntsws, lub plawv, hnyuv thiab thiaj li nyob. D.). Cov hauj lwm feem ntau ntawm cov autonomic lub paj hlwb yog tswj los ntawm lub paj hlwb. Kis ntawm cov hlab impulses yog nqa tawm los ntawm txoj kev tshwj xeeb tshuaj. Nyob rau hauv ib co kev soj ntsuam lub sijhawm nws tej zaum yuav tsim nyog los thaiv cov kis ntawm cov hlab impulses, i.e. kom muab ncua tseg cov ntau lawm ntawm cov tshuaj no. Xws li ib tug teeb meem yuav daws tau ganglioplegic.

Lub formulations tej zaum yuav luv luv, medium thiab ntev-acting. Thov xws nyiaj nyob rau hauv tshuaj loog, rau cov kev kho mob ntawm complex mob ntawm gestational toxicosis, tawg. Txawm li cas los, cov nyhuv ganglioblokatorov tsis yeej ib txwm zoo, thiab tej zaum yuav tsum tau nrog los ntawm tshwm sim. Yog li ntawd, siv cov tshuaj no tsis muaj kev noj kev haus ib tug kws kho mob, koj yuav tsum tsis txhob. Feem ntau cov tshuaj yog tsis tau tso tawm nyob rau hauv lub tsev muag tshuaj tsis muaj ib tug tshuaj.

"Gigrony"

Cov tshuaj no muaj nyob rau hauv cov hmoov daim ntawv no rau kev npaj ntawm cov tshuaj. Qhia txog lub medicament ntawm kev txhaj tshuaj intravenously los yog intramuscularly. Koj muaj peev xwm tsis tsuas yuav tom lub tsev muag tshuaj "gigrony". Daim ntawv qhia yuav tsum muab tus kws kho mob. Vim ganglioblokiruyuschimi kev txiav txim ntawm cov tshuaj siv nyob rau hauv tshuaj loog, thaum tsim nyog los tswj lub siab ntawm tus neeg mob. Tsis tas li ntawd, cov tshuaj no yog siv nyob rau hauv obstetric xyaum. Nrog nws cov kev pab nws yog ua tau kom tsis txhob tawm tsam ntawm eclampsia.

"Gigrony" muaj ib tug xov tooj ntawm contraindications. Qhov no tej zaum yuav muaj xws li thrombosis, hypotension, mob theem ntawm myocardial infarction, raum los yog hepatic tsis ua hauj lwm. Nyob rau hauv cov neeg laus (65 xyoo) noj tshuaj siv nrog ceev faj. Ib txhia neeg tej zaum yuav tsim meem kev txhawj xeeb.

Ganglioblokiruyuschimi nyhuv tau tau cai rau 5 feeb tom qab cov thawj coj ntawm tso dej tshuaj thiab kav rau 15-20 feeb. Qhov no yog txaus rau short-term tswj ntawm cov ntshav siab (rau tej yam yooj yim phais cov txheej txheem).

"Azametoniya bromide"

Cov tshuaj yog ib lub hwj chim ganglioplegic. Active tivthaiv xyua blocks autonomic paj receptors. "Azametoniya bromide" yog dav siv nyob rau hauv hypertensive crises, mob hawb pob, mob ntsws edema, thiab lub hlwb. Nrog cov tshuaj tsis tswj ntshav siab nyob rau hauv tshuaj kom tsaug zog, ua rau ib txwm lub xeev cev xeeb tub cov neeg mob kev txom nyem los ntawm eclampsia.

Lub medicament siv nyob rau hauv daim ntawv ntawm cov kev txhaj tshuaj (intramuscularly los yog intravenously). Pes tsawg npaum txiav txim los ntawm ib tug kws kho mob raws li tus neeg mob tus kab mob, tus neeg yam ntxwv ntawm tus kab mob. Nyob rau hauv cov ntaub ntawv no, nco ntsoov nqa mus rau hauv tus account contraindications. Cov no muaj xws li nram qab no hais tias: lub kaum sab xis-kaw glaucoma, kab mob ntawm lub hauv paus poob siab system, teeb ntawm lub raum thiab lub siab mob theem ntawm myocardial infarction. Nrog ceev faj siv cov tshuaj nyob rau hauv cov neeg laus thiab nyob rau hauv cov neeg mob kev txom nyem los ntawm bronchial hawb pob, thrombophlebitis.

"Gangleron"

Vim autonomic thaiv pulses tshuaj muaj kev ua kom loog thiab antispasmodic kev txiav txim. txhais tau tias "gangleron" yog lug siv rau lub plab ulcers thiab duodenal ulcers. Phau ntawv qhia tias cov tshuaj yuav tsum tau muab tsa raws li angina, kom mob ntawm tus mob huam. Lub tshuaj no yog muab intramuscularly los yog subcutaneously. Cov tshuaj yog txiav txim los ntawm tus kws kho mob.

Tshuaj nws muaj nws contraindications, raws li zoo li lwm yam ganglioplegic. Npaj ntawm no hom tsis yog siv rau hypotension, nyob rau hauv lub xub ntiag ntawm degenerative hloov nyob rau hauv lub central lub paj hlwb. npau taws me ntsis rau lub active ingredient zaum yuav tshwm sim nyob rau hauv tsawg tus neeg mob. Nyob rau hauv tsis muaj kev tshwm sim yuav tsum tsis txhob muab cov tshuaj intravenously. Qhov no tej zaum yuav ua rau ib tug ntse txo nyob rau hauv cov ntshav siab.

"Benzogeksony"

Txhais tau tias yog suav tias yog ib qho ntawm feem nrov nyob rau hauv cov kev kho mob ntawm kub siab. hypertensive ntsoog "benzogeksony" tso cai rau ceev ceev txaus kom tsis txhob. Cov lus qhia rau kev siv qhia tias cov tshuaj tej zaum kuj yuav raug tsa los ua mob gastritis, ib co ntaub ntawv ntawm cov mob hawb pob, pais plab rwj thiab duodenal rwj. "Benzogeksony" Ntsiav tshuaj yog siv rau cov kev kho mob ntawm pulmonary ntshawv siab. Cov lus qhia rau kev siv ntawd hais tias cov tshuaj no yog tso tawm nyob rau hauv daim ntawv ntawm cov tshuaj rau cov kev txhaj tshuaj.

Cov tshuaj siv kom txo tau cov ntshav siab nyob rau hauv phais xyaum (kev ua kom loog nyhuv). Nyob rau hauv cov ntaub ntawv no, cov tshuaj no yog siv nyob rau hauv cov tshuaj daim ntawv no, nws yog xeem intravenously. Rau cov kev kho mob ntawm pais plab mob tej zaum yuav muab siv rau cov intramuscular thawj coj tshuaj.

Prem tsis yog medicament yuav ua tau kom mob tshwm sim (nkees, kiv taub hau, qhov ncauj qhuav). deterioration ntawm kev noj qab nyob vim muaj ib tug ntse txo nyob rau hauv cov ntshav siab. Kev siv lub tshuaj no yog pom zoo nyob rau hauv lub tsev kho mob qhov chaw, qhov chaw uas tus neeg mob tej zaum yuav muab raws sij hawm kev pab nyob rau hauv cov ntaub ntawv ntawm ib tug cev qhuav dej.

"Pentamin"

Cov tshuaj muaj ib tug cim hypotensive nyhuv. Lug siv nyob rau hauv hypertensive crises tshuaj "Pentamin". Instruction ntawd hais tias nws yog nyob rau hauv daim ntawv ntawm ib tug tov rau intramuscular los yog tso dej raws leeg txhaj tshuaj. Raws li ib tug active ingredient ua azometoniya bromide.

Lub medicament yog siv nyob rau hauv lub tsev kho mob thiab yuav tsum muab cov nram qab no pathological dab: cerebral edema, pulmonary edema, ib tug ntse sawv nyob rau hauv cov ntshav siab, mob tawm tsam ntawm bronchial hawb pob, plab hnyuv chua, raum Colic. tej zaum kuj yuav siv nyob rau hauv tshuaj kom tsaug zog txhais tau tias "Pentamin" rau tswj hypotension. Phau ntawv qhia tias cov tshuaj yog tso tawm tsuas yog tshuaj.

Contraindications tshuaj muaj tib yam li rau lwm yam ganglionic. Qhov no yog ib myocardial infarction, hypotension, thrombophlebitis, lub kaum ntse ntse-kaw glaucoma.

"Imehin"

Cov tshuaj ua tau ib lub cim hypotensive nyhuv, raws li zoo li lwm yam ganglionic. Tshuaj nyob rau hauv pab pawg neeg no yog lug siv nyob rau hauv kev phais kev xyaum, thiab tseem rau kev tshem tawm ntawm hypertensive crises. Txawm li cas los, kom tshem tawm cov kub siab siv cov tshuaj no nyob rau hauv tsev tsis. Tshuaj yog tsuas yog siv nyob rau hauv kev kho mob saib xyuas. Txhais tau hais tias "Imehin" kuj yog siv los kho o ntawm lub paj hlwb thiab lub ntsws, nyem ntawm mob hawb pob.

Cov tshuaj muaj ntau yam tshwm sim. Ib tug ntawm lawv yog orthostatic cev qhuav dej, uas yog yus muaj los ntawm ib tug ntse txo nyob rau hauv cov ntshav siab thaum hloov lub cev txoj hauj lwm (los ntawm ntsug rau kab rov tav). Nyob rau hauv tas li ntawd, nyob rau hauv lub chav kawm ntawm kev kho, tus neeg mob tej zaum yuav tsis txaus siab ntawm qhov ncauj qhuav, kev tsis muaj zog, heev kiv taub hau.

"Temehin"

Qhov no ganglion-thaiv cov hlab neeg uas sawv cev muaj nyob rau hauv cov ntsiav tshuaj daim ntawv. Cov tshuaj yog qhia rau Raynaud lub syndrome, pais plab ulcers thiab duodenal ulcers, arterial tawg. Active tivthaiv ua ib tug qhia tau analgesic nyhuv. Ntsiav tshuaj yog pom zoo kom noj tom qab ib tug noj mov. Cov tshuaj thiab ntev ntawm txoj kev kho yog txiav txim los ntawm lub chav kawm tus kws kho mob.

Contraindications muaj xws li mob theem ntawm myocardial infarction, hypotension, daim siab thiab lub raum, kaw glaucoma. Tshuaj yog tsis haum rau nws tus kheej-tshuaj. Yuav ntsiav tshuaj yuav tsum tau tsuas yog los ntawm cov tshuaj.

tshwm sim

Ganglioblokiruyuschie cov cuab yeej yog indispensable nyob rau hauv ntau qhov chaw ntawm cov tshuaj. Txawm li cas los, cov kev siv ntawm cov tshuaj ntawm no pab pawg neeg yuav tsum tau zoo saib xyuas los ntawm ib tug tshwj xeeb. Overdosing yuav ua tau kom kev phiv loj heev, xws li kev tuag. Yog li ntawd ganglioplegic siv nyob rau hauv lub tsev kho mob los yog nyob rau hauv kev kho mob kub ceev. Ntawm nws tus kheej siv cov tshuaj txawm tom qab ceev faj txoj kev tshawb no ntawm cov lus qhia yuav ua tsis tau.