Mapiritsi a mutu ndi chimodzi mwa mankhwalawa omwe nthawi zonse amapezeka kuchipatala cha amayi, ndipo amayi ena amawasunga m'thumba. Pachifukwa ichi, si onse omwe amaganiza kuti ululu pamutu ukhoza kukhala wosiyana, ndipo analgesic iyenera kusankhidwa kulingalira chifukwa cha vuto.
N'chifukwa chiyani mutu wanga umapweteka?
Zonse zomwe zimayambitsa mutu zimagawidwa m'magulu akulu awiri:
- choyambirira - ngati n'zotheka kusiyanitsa zokhazokha zokha, ndipo chifukwa cha mkati sichiri bwino;
- chachiwiri (zozizwitsa) - pamene pali matenda aakulu, chimodzi mwa mawonetseredwe omwe ali ululu wa malo awa.
M'gulu la ululu waukulu pamutu ndikumva kupwetekedwa mtima, komwe kumadziwika ndi kukondweretsa, njira ziwiri zowunikira, kuunika kapena kupitirira. Nthawi zambiri maganizo oterewa amakhala ovuta, osasangalatsa, amachititsa kuti:
- maganizo;
- kusowa kapena kupitirira tulo;
- muscular overstrain;
- zithunzi zosavuta.
Mtundu wachiwiri ndi migraine, womwe umadziwika ndi ululu wamkati womwe umakhalapo komanso zizindikiro zofanana ndizo (kusunthira, kusanza, kukhudzidwa kwa mawu, kuwala, kununkhira). Kaŵirikaŵiri, kugwidwa kwa migraine kumabweretsa mavuto 2-3 pa mwezi, ndipo akhoza kukwiyitsidwa ndi zinthu izi:
- chisokonezo;
- zakudya zina, mowa, khofi;
- kusintha kwa nyengo;
- Mitsempha yambiri;
- kupitirira thupi.
Zomwe zimachititsa kuti mutu wachiwiri ukhale wamtundu ndizo zizindikiro za thupi:
- zotsatira za vuto lachisokonezo;
- kusinthasintha kwa magazi;
- matenda a atherosclerosis;
- chisokonezo;
- chiberekero osteochondrosis;
- kugonjetsedwa kwa mgwirizano wa temporomandibular;
- kuledzera thupi;
- ENT matenda;
- chotupa cha ubongo;
- kupweteka;
- encephalitis;
- matenda a hormoni.
Bwanji ngati mutu wanga upweteka?
Ndizosavuta komanso zosavuta kuimitsa mutu kupatula mankhwala osokoneza bongo. Ndikofunika kukumbukira kuti mankhwala onse opweteka amathandiza kuthetsa chifukwa cha malaise. Madokotala amachenjeza kuti ngati munthu oposa awiri pa sabata ayenera kumwa mapiritsi a mutu, ndipo kupweteka kumalepheretsa kugwira ntchito bwino ndikugwira ntchito, izi ziyenera kukhala chifukwa choitanitsa dokotala mwamsanga.
Malingana ndi zomwe zimayambitsa zowawa, katswiri amatha kunena kuti pulogalamu iti imwe kuchokera pamutu pamsana wotsatira. Pamene matendawa apangidwa, mtundu wa ululu, malo ake, nthawi, komanso nthawi ndizofunika. Kuti mudziwe zifukwa, kawirikawiri njira zoterezi monga ubongo wa MRT, kutuluka m'mimba mwa msana wa chiberekero, kawirikawiri zotengera za mitu ndi mutu zimatchulidwa.
Mitundu ya opweteka
Mapiritsi ochokera kumutu, mndandanda wa zomwe zimaperekedwa ku mankhwala alionse, amachititsa chidwi ndi kusamvera kwake, sangathe koma kusokoneza wodwalayo kutali ndi mankhwala. Nthawi zambiri kuti mumvetsetse mapiritsi ochokera kumutu wopwetekedwa m'maganizo ndi zomveka zogwiritsira ntchito pa izi kapena choncho, tiyeni tione mitundu yambiri ya zilembo zamtunduwu, zosiyana ndi mitundu ya zigawo zikuluzikulu.
Mankhwala otsutsana ndi zotupa
Mapepala osagwiritsa ntchito mankhwala ophera kutupa amatha kutchulidwa kuti amagwiritsidwa ntchito kwambiri ndi mankhwala osokoneza bongo, omwe amagwiritsidwa ntchito osati kuthetsa zowawa zosiyana siyana. Mankhwalawa amatha kupereka kuponderezana kwa machitidwe otupa ndi kuchepa mu kutentha kwa thupi komwe kumagwirizanitsidwa ndi njira zosiyanasiyana za matenda. Izi zimapindulidwa mwa kupondereza ntchito ya cyclooxygenase enzyme yomwe imayambitsa kuyambitsa zonsezi.
Gululi likuphatikizapo mankhwala awa:
- Ibuprofen;
- Indomethacin ;
- Analgin;
- Aspirin;
- Diclofenac;
- Cepoprofen;
- Naproxen.
Chifukwa cha zovuta za mapiritsi awa pamakoma a m'mimba, iwo akulimbikitsidwa kudya pambuyo pa chakudya. Kupweteka kwapweteka kumapindula pambuyo pa maola awiri-2-2 ndipo kumatha maola 4-6. Pogwiritsa ntchito mankhwala osokoneza bongo omwe sagwidwa ndi zotupa, ayenera kuganiziridwa kuti angayambitse magazi m'mimba, ndipo ndi kuvomereza mwatsatanetsatane - chifukwa cha kuwonongeka kwa chiwindi.
Spasmolytics pamutu
Mankhwala otchedwa myotropic antispasmodics ndi mankhwala omwe angathe kuthetsa kuwonjezeka kwa mitsempha. Mankhwala oterewa akulimbikitsidwa kuti agwiritsidwe ntchito pamene ululu pamutu umayambitsidwa ndi spasmodic vascular ubongo. Mapiritsiwa amagwiritsidwa ntchito ku migraine ndi kumutu komwe kumayambitsidwa ndi kuthamanga kwa magazi, osteochondrosis, kupanikizika, kupambanitsa.
Tikulemba oimira gulu ili la mankhwala a analgesic:
- Drotaverine ;
- Papaverine;
- Dibazol;
- Cinnarizine ;
- Midsummer.
Chotsatira pambuyo pa kugwiritsa ntchito spasmolytic chikhoza kuyembekezera pambuyo pa mphindi 15-20. Njira zowonongekazi sizingathetsedwe ndi kuphwanya kwakukulu m'chiwindi, impso, mtima, glaucoma komanso hypotension. Kuwonjezera apo, muyenera kuganizira kuti kusuta fodya, kuchepa kwa antispasmodics, ndibwino kukana chizoloŵezi ichi ndi kudziteteza ku kusuta fodya.
Malingaliro a mutu
Mankhwala osokoneza bongo ndi mankhwala osokoneza bongo omwe amatha kuthetsa kupweteka kapena kuchepetsa kupweteka kwake pochepetsa kuchepa kwa chipinda chopweteka kwambiri, kumapangitsa kuti phokoso likhale lopweteketsa komanso kulepheretsa opanga mavitamini a prostaglandin kutupa. Chifukwa cha izi, mankhwalawa amaperekabe zotsutsana ndi zotupa komanso antipyretic zotsatira.
Pali mitundu yambiri ya mankhwala osokoneza bongo, omwe amaphatikizapo mapiritsi ambiri ammutu omwe amasiyana ndi mtundu wa mankhwala othandizira (ena mwa iwo ndi gulu la mankhwala osagwiritsa ntchito mankhwala omwe sali otero):
- mankhwala ochokera ku salicylic acid (Aspirin, sodium salicylate);
- zochokera ku pyrazolone (Analgin, Butadion, Amidopyrin);
- mankhwala a aniline (phenacetin, paracetamol);
- zochokera ku alkanoic acid (Ibuprofen, Diclofenac, Flurbiprofen);
- anthranilic acid derivatives (mefenamic ndi flufenamic acid);
- Zina (Dimexide, Piroxicam, Chlotazol).
Tiyenera kukumbukira kuti mankhwala onse-analgesics pamtingo wina ali ndi zolakwika za thupi, zomwe zimapangitsa kuti:
- chosemphana;
- nephro- ndi hepatotoxicity;
- zilonda zam'mimba (zomwe zimayambitsa zilonda zam'mimba).
Mipiritsi yabwino kwambiri ya mutu
Tiyenera kumvetsetsa kuti pofuna kusankha mapiritsi osagula koma ogwira mtima, musaganizire mayina a mankhwala, koma mankhwala omwe amapangidwa. Zida zambiri zimakhala ndi mafananidwe ambiri omwe ali ndi malingaliro ofanana. Pezani mapiritsi abwino a mutu, oyenera aliyense, n'zosatheka, chifukwa thupi la munthu aliyense ndilokhakha, ndipo zomwe zimayambitsa ululu zimasiyana. Taganizirani mankhwala ena otchuka amene amafunsidwa ku pharmacies.
Paracetamol kwa mutu
Mapiritsi otsika mtengo oterewa amayamba kusankhidwa ngati gulu la mankhwala osagwiritsa ntchito steroidal, koma akatswiri adatsimikiza kuti mphamvu yake yotsutsa kutupa inali yopanda phindu. Pa nthawi imodzimodziyo, mankhwala a antigreetic ndi antipyretic ndi ofunikira, komabe kukonzekera kumakhala ndi chitetezo chokwanira komanso chabwino kulekerera. Kuyamba kwachitidwe kumachitika patatha theka la ora mutatha kulamulira, mlingo umodzi wa 500-1000 mg.
Citramoni kuchokera kumutu
Mapiritsi awa operewera ammutu ndi ophatikizana omwe amagwiritsidwa ntchito ndi awa:
- Acetylsalicylic acid - amachepetsa ululu ndi malungo, amathetsa kutupa, amatsitsa magazi;
- paracetamol - amachepetsa ululu, amachepetsa kutentha;
- Cafineine - imachititsa kuti mitsempha ya pakati, imachepetse mitsempha ya mitsempha.
Ndibwino kuti mugwiritse ntchito mapiritsiwa pokhapokha ngati muli ndi vuto lopwetekedwa mtima, ndikumva ululu chifukwa cha matenda opatsirana ndi matenda a ubongo, ndi matenda opatsirana, kuwonjezeka kwapadera. Zotsatira za mankhwalawa ziwonetseredwa patapita mphindi 35-45 mutagwiritsidwa ntchito, mlingo umodzi - mapiritsi 1-2.
Spazmalgon kuchokera kumutu
Kwa omwe akuyembekezera, mapiritsi ammutu amathandiza bwanji munthu wodwalayo, kuthamanga kwa magazi, kuthamanga kwambiri, nthawi zambiri amalimbikitsidwa kulandira Spazmalgon. Mankhwala awa ali ndi zowonjezera zitatu zomwe zimagwira ntchito:
- mankhwala a metamizole sodium - mankhwala osagwiritsa ntchito mankhwala oletsa kutupa;
- pituopenone - antispasmodic;
- fenpiverinia bromide - ili ndi m-anticholinergic kanthu.
Spazmalgon imathandiza pa ululu wachisinkhu komanso mwamphamvu kwambiri. Pambuyo kumwa mapiritsi, kupweteka koopsa kungathetsedwe mu mphindi 20. Mlingo umodzi wokha suyenera kupitirira piritsi imodzi. Chithandizochi sichiri chovomerezeka chifukwa cha mutu umene umayambitsidwa ndi matenda, matenda ozunguliridwa ndi ubongo, kuwonjezeka kwapopeni.
Nyaz kuchokera kumutu
Chinthu chogwiritsira ntchito mankhwalawa ndi nimesulide, mankhwala osagwiritsidwa ntchito poletsa kutupa. Mankhwalawa amachepetsa kupweteka, kuchiritsa kutupa, kuchepetsa msinkhu wa histamine, ali ndi zotsatira zotsutsana ndi antioxidant. Mapiritsi oterewa amatuluka mwamsanga ndipo amathetsa mavuto osasangalatsa, kuphatikizapo omwe amagwirizana ndi chiberekero cha osteochondrosis. Mlingo umodzi wokhazikika ndi 100 mg.
Chizindikiro cha mutu
Tempalgin - mapiritsi okhudzana ndi kupweteka mutu ndi kupweteka kwamtundu wina, kuphatikizapo mankhwala oterewa:
- metamizole sodium - mankhwala osagwiritsidwa ntchito ndi anti-inflammatory;
- Tempidone ndi yodetsa nkhaŵa ndi yotchedwa sedative effect.
Thandizani mapiritsiwa pamutu waukulu, ndikuchotsa nkhawa, mantha, mantha. Komanso, mankhwalawa amathandiza kuchepetsa kuthamanga kwa magazi. Kawirikawiri amalimbikitsidwa ndi ululu wokhudzidwa ndi zochita zolakwika, ndi migraines. Mlingo wa nthawi imodzi - piritsi 1.
Mapiritsi ochokera kumutu pamene ali ndi mimba
Mutu ndi chizindikiro chofala kwa amayi pazochitikazo, koma chifukwa cha chiopsezo chobala chipatso, choipa chosiya icho ndi mankhwala omwe amavomerezedwa pokhapokha m'milandu yapadera. M'zaka zitatu zoyambirira ndizofunika kuiwala konse za ophera mankhwala osagwiritsira ntchito mankhwala osokoneza bongo:
- khalani pamalo opanda bata komanso m'chipinda chokhala ndi mpweya wokwanira;
- kugona;
- kudzikongoletsera kwa akachisi;
- pogwiritsa ntchito ozizira.
Tiyeni tiwone zomwe mapiritsi amutu amatha kutenga pakati pa 2 ndi 3 trimesters ndi mapiritsi a mutu pamene akuyamwitsa:
- Koma-shpa;
- Paracetamol;
- Ibuprofen .