Tshuaj "scopolamine hydrobromide": zog, indications thiab contraindications rau kev siv ntawm

"Scopolamine hydrobromide" - ib tug tshuaj uas yog dav siv nyob rau hauv niaj hnub tshuaj. Tab sis, ntawm chav kawm, cov neeg mob yuav tsum tau cov lus qhia ntxiv, nyob rau hauv particular lub zog ntawm cov yeeb tshuaj, indications thiab contraindications rau kev kho mob thiab thiaj li nyob. D.

Tshuaj "scopolamine hydrobromide": daim ntawv qhia, muaj pes tsawg leeg thiab rau hauv daim ntawv ntawm

Ua ntej, peb nrog cov tshuaj formulation. "Scopolamine hydrobromide" (daim ntawv qhia nyob rau hauv Latin - Scopolaminum Hydrobromicum) yog ib tug pob tshab tsis muaj kob muaju. Ntawm cov hoob kawm, nws feem ntau yuav pom nyob rau hauv daim ntawv ntawm crushed crystalline hmoov nrog ib tug yam ntxwv iab tsw. Cov tshuaj yeeb dej caw yog nkag soluble nyob rau hauv dej cawv thiab dej. Los ntawm txoj kev, qhov no compound belongs rau ib pab pawg neeg ntawm alkaloids - nws yog muab tau los ntawm cov tib tsob nroj raws li lub atropine - ib tug henbane, Scopoli, belladonna, datura.

Lub tsev muag tshuaj yuav tau muas nyob rau hauv cov hmoov daim ntawv no. Tab sis feem ntau ntawm cov tshuaj no yog siv nyob rau hauv daim ntawv ntawm 0.05% tshuaj - nws yog muag nyob rau hauv lub khob ampoules nyob rau hauv ib tug ntim ntawm 1 ml. Muaj vials ntawm 5 los yog 10 ml - tshuaj muaj xws li ib tug muaj pes tsawg leeg methylcellulose. Ampoules (los yog vials) yuav tsum tau muab cia rau hauv ib qhov chaw txias, nyob rau hauv uas ncaj qha tshav ntuj tsis poob. Txee lub neej - 5 xyoo ntawm hnub uas siv thiab ua.

Mechanism ntawm kev txiav txim ntawm cov tshuaj

Scopolamine hydrobromide yog zoo li atropine mechanism ntawm qhov kev txiav txim - nws yog active nyob rau hauv kev sib raug zoo mus rau lub cholinergic system. Piv txwv li, nyob rau hauv ib tug neeg mob tom qab noj cov tshuaj muaj ib tug ib ntus tuag tes tuag taw ntawm kev pab, muaj zog lub plawv dhia, ib tug txo nyob rau hauv lub tso pa tawm ntawm lub qog, raws li zoo raws li tus menyuam kawm ntawv dilation thiab so ntawm tus cov leeg.

Tiam sis nyob rau central lub paj hlwb nws ua txawv, nyob rau hauv ib feem los ntawm inhibiting txoj kev. Scopolamine cheeb qhov uas cov kis tau tus mob ntawm cov hlab impulses uas ua rau ib tug pyramidal huam lub cev muaj zog lug nyob rau hauv cov leeg nrob qaum. Tsis tas li ntawd, cov blocks holinoreaktivnye receptors nyob rau hauv lub reticular tsim. Uas yog vim li cas cov tshuaj muaj ib tug sedative (sedative) thiab sedative ntxim rau cov tib neeg lub cev - txo lub cev muaj zog ua si. Incidentally, ib tug ntawm cov yam ntxwv ntawm no substance yog hais tias tom qab cov thawj coj, raws li ib tug txoj cai, yog ib tug luv luv lub sij hawm amnesia - cov neeg tsis yog nco ntsoov dab tsi tshwm sim.

Nyob rau hauv tej rooj plaub, siv yeeb tshuaj siv? zaj lus tim khawv

Lub medicament siv nyob rau hauv ntau lub teb ntawm cov tshuaj:

• Raws li ib tug sedative thiab ib tug analgesic neeg sawv cev txhaj tshuaj siv nyob rau hauv kev phais thiab Obstetrics xyaum nyob rau hauv kev npaj rau tshuaj loog.
• Nyob rau hauv kev kawm txoj tib neeg lub hlwb yeej yuav tau txais cov tshuaj no yog postencephalitic parkinsonism thiab tuav tuag tes tuag taw.
• Ophthalmologists kuj siv tau cov tshuaj yeeb dej caw nyob rau hauv daim ntawv ntawm qhov muag dauv - thaum nws zoo iridotsiklitah thiab iritah. Tej yam me me ua ntawv thov thiab yog hais tias muaj yog ib tug yuav tsum tau mus cuag tus tub ntxhais kawm ntawm tus neeg mob (e.g., ua ntej diagnostic cov txheej txheem).
• Tshuaj pom nws daim ntawv thov nyob rau hauv Psychiatry, nyob rau hauv qhov tseeb ua raws li ib tug sedative.
• Nrog huab cua thiab lub hiav txwv kev mob kev nkeeg "scopolamine hydrobromide" yuav pab tau tiv nrog xeev siab, retching thiab nervousness. Siv cov tshuaj nyob rau hauv nyob tus yeees ntawm cov tshuaj "Aeron".

Txoj kev siv "scopolamine hydrobromide" yuav pab tau tiv nrog ntau cov teeb meem. Txawm li cas los, nws tsuas xaiv tus kws kho mob tom qab uas ua keeb kwm thiab tau txais daim ntawv tag nrho diagnostic cov ntaub ntawv.

Tshuaj "scopolamine hydrobromide": cov lus qhia rau kev siv

Raws li twb tau hais, lub medicament yog manufactured raws li ib tug tshuaj - yog xeem yog subcutaneously los yog intramuscularly. Therapeutic koob tshuaj ntawm cov tshuaj (nyob rau hauv cov ntaub ntawv ntawm subcutaneous tshuaj) yog hom twg los ntawm 0,0002 rau 0,0005 g ntawm scopolamine. Feem ntau, cov neeg mob yuav muab 0.5 los yog 1 ml ntawm ib tug 0.05% tshuaj - tshuaj yog muab ob los yog peb zaug ib hnub twg.

Thaum nws los txog rau lub qhov muag dauv, tus neeg mob muab 1-2 dauv nyob rau hauv txhua lub qhov muag. Tus txheej txheem yuav tsum tau rov qab 1-2 zaug ib hnub twg, siv ib tug 0.25% tshuaj. Nws yog to taub hais tias nws yog ib tug muaj zog tshuaj thiab nws autocratic, inept siv yuav ua tau kom tsis tshua muaj neeg txaus ntshai teeb meem. Tsuas yog ib tug kws kho mob yuav muab tshuaj, tshuaj, los mus txiav txim ntau npaum thiab ntev ntawm kev kho mob.

Puas muaj tej kev txwv thiab contraindications?

Tsis tag nrho cov neeg pawg nws yog advisable kom taw ib tug yeeb tshuaj "scopolamine hydrobromide"? Nyob rau hauv qhov tseeb, cov tshuaj no muaj ib co kev txwv. Nws yuav tsis tau muab rau cov neeg mob uas muaj organic kab mob ntawm cov hlab plawv system.

Mus rau daim ntawv teev cov contraindications kuj muaj xws li mob ntshav qab zib thiab glaucoma. Koj siv tsis tau cov tshuaj rau kev kho mob ntawm cov neeg mob kev txom nyem los ntawm cov kab mob ntawm lub qog caj pas, tshwj xeeb yog hyperthyroidism. Tus txiv neej nrog prostate hypertrophy active tshuaj kuj ua mob. Cov kev siv nyob rau hauv cov neeg laus yog ua tau, tab sis yuav ua li cas thiaj li yuav tsum tau ceev faj heev.

Tej kev phiv los ntawm txoj kev kho

Raws li statistics, cov tshuaj no zam lub txim rau nyob rau hauv feem ntau tus neeg mob zoo. Txawm li cas los, ib co neeg mob tsim phiv. Piv txwv li, tej zaum yuav muaj ib tug ua txhaum ntawm kev pab ntawm lub lens thiab pheej dilation ntawm cov tub kawm ntawv, uas cuam tshuam rau qhov rhiab heev mus rau lub teeb, thiab kev pom tseeb tseeb.

Ib txhia neeg tsis txaus siab ntawm tachycardia, palpitations palpable. Phiv tshua muaj xws li kiv taub hau, qhov ncauj qhuav, thiab urinary teeb meem. Tej zaum incorrectly xaiv koob tshuaj ib hom tshuaj - ib tug txiv neej yuav ntau tshee, delusions thiab hallucinations tshwm sim. Ntawm cov hoob kawm, cov tsos ntawm cov saum toj no mob yuav tau mus ntsib ib tug kws kho mob, raws li tej zaum yuav tsim teeb meem.