I-anticholinergics ne-antispasmodics (indlela yokwelapha ngomlomo, indlela yokwelapha nge-parenteral, indlela yokwelapha nge-rectal, indlela yokwelapha nge-transdermal)

Akineton, Artane, Bentyl, Cantil, Cogentin, Colidrops Pediatric, Cystospaz, Dartisla ODT, Detrol, Ditropan, Ed-Spaz, Enablex, HyoMax, HyoMax-DT, HyoMax-FT, HyoMax-SR, Hyosyne, IB-Stat, Levsinex, Neosol, Norflex, Nulev, Oscimin, Oscimin-SR, Oxytrol, Pamine, Pro-Banthine, Pro-Hyo, Robinul, Sanctura, Scopodex, Spacol T/S, Spasdel, Symax, Symax Duotab, Symmetrel, Toviaz, Transderm Scop, Urispas, Vesicare, Buscopan, Levsin, Pms-Trihexyphenidyl, Transderm-V

I-anticholinergics ne-antispasmodics yiyinhlanganisela yemithi ehlanganisa i-alkaloids yemvelo ye-belladonna (i-atropine, i-belladonna, i-hyoscyamine, ne-scopolamine) nemikhiqizo ehlobene. I-anticholinergics ne-antispasmodics zisetshenziswa ukunciphisa ukugqwala noma ukubamba kwesisu, amabele, kanye ne-bladder. Ezinye zisetshenziswa kanye ne-antacids noma eminye imithi ekwelapheni kwe-peptic ulcers. Ezinye zisetshenziswa ukuvimba isicanucanu, ukugabha, nokugula kokunyakaza. I-anticholinergics ne-antispasmodics zisetshenziswa nakwezinye izinqubo zokuthunga nezezimo eziphuthumayo. Ekusebenzeni, ezinye zinikwa ngokuqapha ngaphambi kokulala ukuze zikusise ukululama nokunciphisa ukukhishwa, njengokukhishwa komlomo. Phakathi kokulala nokuhlinzwa, i-atropine, i-glycopyrrolate, i-hyoscyamine, ne-scopolamine zisetshenziswa ukusiza ukugcina ukushaya kwenhliziyo kujwayelekile. I-scopolamine isetshenziswa futhi ukuvimba isicanucanu nokugabha ngemuva kokulala nokuhlinzwa. I-atropine inikwa futhi ngokuqapha ukuze isize ukululama isisu namabele kwezinye izinhlobo zezindlela. I-anticholinergics isetshenziswa ukwelapha ubuthi obubangelwa imithi efana ne-neostigmine ne-physostigmine, izinhlobo ezithile ze-mushrooms, negesi ze-“nerve” noma i-pesticides ye-organic phosphorous (eg, i-demeton [Systox®], i-diazinon, i-malathion, i-parathion, ne-ronnel [Trolene®]). I-anticholinergics ingasetshenziswa ekopha okuhlungu, ekopha ekhaleni, nasekuvimbeni ukuthamba ubusuku. I-anticholinergics ne-antispasmodics ziyatholakala kuphela ngomyalo we-doctor yakho. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa ezilandelayo:

Tshela udokotela wakho uma uke waba nokuthinta okungavamile noma uketshezi oluyimbangela yezidakamizwa kuleli qembu noma ezinye izidakamizwa. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zoketshezi, njengokudla imibala, izigcini, noma izilwane. Ngomkhiqizo ongenalo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Ukuthokoza okungavamile, ukukhathazeka, ukungakhululeki, noma ukucasuka, nobushushu obungavamile, ukumomotheka, nokubopha kwesikhumba kungenzeka kakhulu kubantwana. Abantwana bavame ukuba nomuzwa kakhulu wemiphumela ye-anticholinergics. Futhi, uma i-anticholinergics inikezwa kubantwana ngesikhathi sezulu esishisayo, ukwanda okusheshayo kokushisa komzimba kungenzeka. Ezinganeni nasezinganeni, ikakhulukazi ezinomkhuhlane we-spastic noma ukonakala kobuchopho, leli yona ingase ibe nomthelela omkhulu wokubangela imiphumela emibi. Ukufinyelela okufushane komoya noma ubunzima bokuqeda umoya kuye kwabonakala kubantwana abasebenzisa i-dicyclomine. Ukuphazamiseka noma ukulahleka kwenkumbulo; ukuvimbela; ukuthanda ukuthanda; ukulala; ukumomotheka komlomo, impumulo, umlomo, noma isikhumba; nokuthokoza okungavamile, ukukhathazeka, ukungakhululeki, noma ukucasuka kungase kube khona kakhulu kubantu abadala. Abadala bavame ukuba nomuzwa kakhulu kunabantu abadala abasebancane ngemiphumela ye-anticholinergics. Futhi, ubuhlungu amehlo bungase buvele, okungase kube uphawu lweglaucoma. Uma ukhulelwe noma uma ungase ukhulelwe, qiniseka ukuthi udokotela wakho uyazi uma imithi yakho inanoma yiluphi olulodwa okulandelayo: Nakuba le mi thi ingase idlule ubisi lwasebeletheni, ayibikwanga ukuthi ibangela izinkinga ezinganeni ezincelisayo. Noma kunjalo, ukugeleza kobisi lwasebeletheni kungase kunciphisiwe kwabanye abantu. Ukusetshenziswa kwe-dicyclomine akuvunyelwe futhi akufanele kusetshenziswe kumama abanyamaza ngoba kubikwe ukuthi kubangela izinkinga zokuphefumula ezinganeni. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo izidakamizwa ezimbili ezahlukene zingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingase zibe yadingeka. Uma uthatha noma yiluphi olulodwa lwale mi thi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma yiluphi olulodwa lwale mi thi olukhulunywe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa imithi kuleli qembu nanoma yiluphi olulodwa lwale mi thi elandelayo akuyona into enconywayo. Udokotela wakho angase anqume ukungakwelaphi ngemithi kuleli qembu noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa imithi kuleli qembu nanoma yiluphi olulodwa lwale mi thi elandelayo ngokuvamile akuyona into enconywayo, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangaki enye noma zombili izidakamizwa. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba nanoma yiluphi olulodwa lwale mi thi kungase futhi kubangele ukusebenzisana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungase kuthonye ukusetshenziswa kwemithi kuleli qembu. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi: