Izvo zvakaoma kuwana chirongwa chekutanga chekubatsira pasina mishonga inorwadza. Kana chimwe chinhu chichikuvadza, kazhinji chinoshandiswa kune zvinodhaka zvinodhaka. Asi, sezvakaratidzwa neongororo yezvokurapa, boka iri rezvinodhaka haisi sengozi sezvazvinoratidzika, uye kubvisa marwadzo kunogona kutungamirira kune zvinetso zvakakomba.
Aina dze analgesics
Nechimiro chemishonga inoshandiswa, mishonga iyi inogoverwa kuva opioid (narcotic action) uye isiri opioid (isiri narcotic action).
Misiyano pakati pemhando idzi ndeyokuti mishonga yemuboka rekutanga inobatsira pauropi uye pakati pehutano hwemagetsi. Zvinotengeswa chete pamutemo uye zvinoshandiswa mukurwadziwa kwakanyanya semugumisiro wemabasa makuru, kukuvadzwa nezvimwe zvirwere. Mukuwedzera, argesics opioid inodhakwa. Boka rechipiri remishonga rinoshanda kuburikidza nehutachiona hwemagetsi ehurumende, inosunungurwa pasina mishonga. Izvi zvinoreva kuti mishonga isiri yetsvina inodzvinyirira chirwere chemarwadzo bedzi panzvimbo yekwakabva uye haisi kukonzera kusvuta. Pakati pevanorgeji vasiri opioid, kune maverengi akawanda ane maitiro ezvimwe zviitiko pamuviri, zvakadai sokuderedza kupisa uye kupisa kwekushisa kwemuviri. Zvinonzi kwete-steroidal anti-inflammatory drugs (NSAIDs) uye dzinoshandiswa zvakanyanya kune marudzi akasiyana-siyana ekutambudzika.
Ndeipi njodzi yea analgesics?
Pasinei nokuti mishonga isiri-steroid haisi mungozi kune hurongwa hwehutano uye huropi, dzine zvinokonzerwa nemigumisiro yakashata:
- kukanganisa kugadzirisa zvirwere (chiropa, hono, mudumbu);
- kuwedzerwa ropa;
- ruzha munzeve ;
- gastric bleeding;
- matumbo emukati;
- zvinyorwa zvemashizha emakisi muitsvo;
- kukanganisa migraines;
- ganda rashes;
- kuderedza mukugadzirwa kweeukocyte;
- kudzvinyirirwa kwebasa rinowanikwa mumashonga emapfupa;
- kushushikana kwekutya.
Dambudziko rinotyisa zvikuru remishonga
Nzvimbo yekutanga munyaya iyi inotorwa naAntergin. Mushonga uyu wakagara wakarambidzwa kubva kushandiswa munyika dzakagadzikana nekuda kwemigumisiro yaro ine ngozi. Analgin haigoni kushandiswa panguva yekuzvitakura, pamwe chete nelactation. Mukuwedzera, inokonzera kukuvadza kukuru mumuviri wemwana. Izvi zvinoderedza simba rekudzivirirwa nekudzivirirwa kwezvirwere, sezvo inoderedza kushandiswa kweeukocytes.
Aspirin haisiwo izvozvi:
- kunowedzera kuwedzera;
- inowedzera ropa coagulability;
- inokonzera kukanganisa kumudumbu uye mumatumbo.
Kushandiswa kwechirwere ichi mukurapa kwevana kunogona kutungamirira pakuvandudzwa kweReye's syndrome.
Paracetamyl-containing analgesics hachina ngozi kudumbu, asi inokonzera zvirwere zvinoramba zvichiri zveizinso nechiropa. Mukuwedzera, pamwe chete newaini, Paracetamol inotungamirira kunyanya kuderedza gastric juice, izvo zvisingatauri zvinotungamirira kukurudzirwa kwezvironda zvepamuviri uye kuonekwa kwezvakangoita mu mucosa.
Ibuprofen, iyo inowanzosimbiswa nemishonga yapfuura, inowanzoshandiswa kupedza misoro. Nhengo huru yechirwere ichi nemishandisirwo yenguva dzose (mazuva gumi kana gumi pamwedzi mumwechete) inzvimbo yayo inokonzera migraine kurwiswa kwepamusoro.
Mishonga inonyanyisa inonyanya kuwanikwa mune zvisiri-steroidal analgesic boka ndeyeMeclofenamate, Indomethacin, Ketoprofen uye Tolmetin. Kana pane kukanganisa kwemitemo yekutora kana kudarika maitiro ekukurudzirwa emishonga iyi, edemas inovandudza, kushungurudzika kunooneka, kubuda kwemukati kunowanikwa uye rufu inowanikwa.