Amaphilisi angu-10 angcono kakhulu omsindo ekhanda nasezindlebeni
Ingabe kuye kwadingeka ubhekane nomsindo ekhanda nasezindlebeni zakho? Uma lokhu kwenzeka kuyaqabukela, asikho isizathu sokukhathazeka. Kodwa-ke, uma ukukhala nomsindo kukukhathaza njalo, kufanele uthintane nodokotela ozohlola futhi akunikeze ukwelashwa.

Umsindo ekhanda noma ezindlebeni yisimo esivamile. Emithi, inegama layo - i-tinnitus.1. Ngokusho kwe-Russian Association of Otolaryngologists, kusukela ku-35 kuya ku-45% yabantu bathola uphawu olufanayo. 

Ezimweni eziningi, umsindo ekhanda nasezindlebeni kwenzeka ngezikhathi ezithile. Kwezinye izimo ezingu-8%, umsindo uhlala unomphela, futhi i-1% yeziguli ibhekana nokuhlupheka okukhulu kule nkinga. Njengomthetho, i-tinnitus ikhathaza kakhulu abantu abaneminyaka engu-55-65 futhi inama-degree angu-4 obunzima.2

1 degreeUmsindo awukhathazeki kangako, kulula ngokwanele ukuwujwayela
2 degreeumsindo uyaphinyiswa, kodwa hhayi njalo, uyanda ebusuku
3 degreeumsindo oqhubekayo, ukuphazamisa ebhizinisini, ukulala okuphazamisayo
4 degreekanzima ukuthwala umsindo, ukuphazamiseka njalo, ukuphazamisa ukusebenza

Kunezizathu ezimbalwa impela ezibanga umsindo ekhanda nasezindlebeni. Lezi yizifo ze-ENT, i-osteochondrosis yomgogodla wesibeletho, i-anemia, i-atherosclerosis, umfutho wegazi ophakeme, isifo sikashukela, i-vegetovascular dystonia, ukulimala, i-neurosis, i-meningitis, isifo sohlangothi nokunye okuningi.2. Ngakho-ke isiphetho - amaphilisi omhlaba wonke omsindo ekhanda nasezindlebeni awekho. Izidakamizwa zingaba ngamaqembu ahlukene e-pharmacological, kuye ngokuthi izimbangela ze-tinnitus. Kubalulekile ukukhumbula ukuthi ukuzelapha kuleli cala akwamukelekile futhi ukubonisana nodokotela kuyadingeka.

Isilinganiso samaphilisi ayi-10 aphezulu angabizi futhi asebenzayo omsindo wasekhanda nasezindlebeni ngokusho kwe-KP

Isizathu esivame kakhulu somsindo ekhanda umfutho wegazi ophezulu. Kunezidakamizwa eziningi ezinciphisa umfutho wegazi: ama-diuretics, ama-beta-blockers, ama-antihypertensives akhethekile. Izidakamizwa ze-diuretic zisebenza kakhulu ku-hypertension engaveziwe. 

1. Veroshpiron

I-Veroshpiron iyi-potassium-sparing diuretic, etholakala ngendlela yamaphilisi namaphilisi ane-enteric coating. Akubangeli ukulahlekelwa kwamaminerali adingekayo emsebenzini wenhliziyo. Umuthi unciphisa ukugcinwa kwamanzi ne-sodium emzimbeni, futhi umphumela we-diuretic uvela ngosuku lwe-2-5th lomuthi. Ekhemisi, umuthi ungathengwa ngentengo yama-ruble angama-200-220 ngamaphilisi angama-30.

Ukungafani: ukwehluleka okukhulu kwezinso, i-hyperkalemia ne-hyponatremia, ukukhulelwa nokuncelisa, isifo sika-Addison. Ngokuqapha, kufanelekile ukuthatha umuthi wesifo sikashukela kanye nasebudaleni.

umphumela omnene, awususi i-potassium, intengo ethengekayo.
kune-contraindications eminingi, ayiqali ukwenza ngokushesha.

2. I-Triampur

I-Triampur ingeye-diuretics ehlanganisiwe, ngenkathi yehlisa umfutho wegazi futhi inikeza umphumela we-diuretic. Umuthi usebenza ngokushesha okukhulu: ngemuva kwamahora ama-2, umphumela uvela, obonakaliswa kakhulu ngemuva kwamahora ama-4. Kubalulekile ukuthi ngomfutho wegazi ojwayelekile, i-Triampur ayiwunciphisi. Izindleko zomuthi zingama-ruble angama-450 ngamaphilisi angama-50.

Ukungafani: ukungasebenzi kahle kwezinso noma kwesibindi, i-glomerulonephritis ebabazekayo, i-anuria, ukungasebenzi kahle kwezindlala ze-adrenal, ukukhulelwa nokuncelisa, ubudala obufika eminyakeni eyi-18.

isenzo esihlangene, asikwehlisi umfutho wegazi ojwayelekile, umphumela osheshayo.
contraindications eziningi, amanani aphezulu.

Enye imbangela yomsindo ekhanda kungaba i-vegetovascular dystonia (VSD). Imithi yokwelapha i-VVD iphephile kakhulu, ithuthukisa ukujikeleza kobuchopho, kodwa isadinga incwadi kadokotela.

3. I-Vinpocetine

I-Vinpocetine iqukethe isithako esisebenzayo segama elifanayo. Lona mhlawumbe umuthi ongabizi kakhulu othuthukisa ukujikeleza kobuchopho. Ngaphezu kwalokho, i-Vinpocetine ithuthukisa imetabolism futhi inciphisa i-viscosity yegazi. Umuthi unciphisa ukumelana kwemikhumbi yobuchopho ngaphandle kokushintsha umfutho wegazi, ukushaya kwenhliziyo, ithoni ye-vascular peripheral. Enye yezinkomba zokuthatha umuthi i-tinnitus. Izindleko zeVinpocetine cishe zingama-ruble ayi-110 amaphilisi angama-50.

Ukungafani: ukukhulelwa kanye ne-lactation, ubudala kuze kufike eminyakeni engu-18.

ubuncane be-contraindication, umphumela omuhle, intengo ethengekayo.
akufanele isetshenziswe ngesikhathi sokukhulelwa kanye ne-lactation.

4. Ginkoum

I-Ginkoum iyilungiselelo elinokwakheka kwe-herbal eklanyelwe ukuthuthukisa ukujikeleza kwegazi ebuchosheni futhi inikeze umoya-mpilo kanye neglucose. Ukukhishwa kweqabunga le-Ginkgo kuthuthukisa ukugeleza kwegazi, kunciphisa ukuhlangana kweplatelet futhi kuvimbele ukwakheka kwama-radicals mahhala.

Izinkomba eziyinhloko zokusetshenziswa kwesidakamizwa: umsindo ezindlebeni nasekhanda, ingozi ye-cerebrovascular, ukukhubazeka kwenkumbulo, ukwehla kokusebenza kwengqondo. Umuthi ubiza kunethiwekhi yekhemisi mayelana nama-ruble angama-350 ngamaphilisi angama-30.

Ukungafani: ukushuba kwesilonda se-peptic, ukunciphisa ukujiya kwegazi, ukukhulelwa nokuncelisa, ingozi yobuchopho, izingane ezingaphansi kweminyaka engu-12 ubudala. 

ukwakheka kwe-herbal ngokuphelele, impendulo enhle evela kodokotela neziguli, intengo ethengekayo.
ine-contraindication, ingabangela ukungezwani komzimba.
bonisa okuningi

I-osteochondrosis yomlomo wesibeletho idlala indima ebalulekile ekubukeni kwe-tinnitus. Kulokhu, ukwelashwa kwezidakamizwa kuhloswe kakhulu ukukhulula ukuvuvukala nokuthuthukisa ukujikeleza kwegazi kuma-intervertebral discs.

5. I-Meloxicam

I-Meloxicam iyisidakamizwa esingeyona i-steroidal anti-inflammatory (NSAID). Umuthi une-anti-inflammatory, analgesic kanye nemiphumela ye-antipyretic.

Umehluko omkhulu phakathi kwesidakamizwa namanye ama-NSAID ukuthi usebenza lapho kunenqubo yokuvuvukala. Ihlanganiswe namaprotheni e-plasma yegazi, i-Meloxicam ingena oketshezini oluhlangene ngisho nangemva kokusetshenziswa okukodwa. Umphumela uvela emahoreni angama-5-6 ngemuva kokuthatha futhi uhlala usuku. Izindleko zomuthi: ama-ruble ayi-130 amaphilisi ayi-10.

Ukungafani: ukwehluleka kwenhliziyo, isibindi nezinso, ukuvuvukala kwamathumbu, ukukhulelwa nokuncelisa, ukwanda kwesilonda se-peptic.

isenzo esisebenzayo, intengo ethengekayo.
Uhlu olubanzi lwe-contraindication.

6. I-Teraflex

Ukwakhiwa kwesidakamizwa i-Teraflex kuqukethe izinto ezisebenzayo njenge-chondroitin ne-glucosamine, okusheshisa ukubuyiselwa kwezicubu ze-cartilage. Bahileleke ekuhlanganisweni kwezicubu ezixhumene futhi bavimbele ukubhujiswa kwe-cartilage, futhi bakhulise ukuminyana koketshezi oluhlangene. Ukusiza ekwelapheni i-osteochondrosis yomlomo wesibeletho, lesi sidakamizwa sisiza futhi ukunciphisa umsindo nokukhala ekhanda nasezindlebeni.

Izindleko zama-capsules angu-60 zingama-ruble angu-1300, okubiza kakhulu, kodwa i-Teraflex ine-analogues eshibhile kanye nezithako zokudla.

Ukungafani: ukukhulelwa kanye ne-lactation, ukwehluleka kwezinso, iminyaka kuze kufike eminyakeni engu-15.

umphumela liphinyiselwe, ubuncane be-contraindications.
intengo ephezulu.
bonisa okuningi

Esinye isimo esingabangela i-tinnitus nomsindo wekhanda ukuntuleka kwe-iron anemia. Ukuze ukwelashwa kwayo, izidakamizwa ezinokuqukethwe okuphezulu kwe-iron ne-folic acid zisetshenziswa.

7. Ferretab

IFerretab iqukethe i-ferrous fumarate ne-folic acid, futhi inesenzo eside. Lapho uthatha umuthi, kukhona ukugcwala ngokushesha kwegazi ngosawoti wensimbi futhi inqubo yokwakheka kwamangqamuzana egazi abomvu iyanda. Izindleko zomuthi zingama-ruble angama-550 ngephakethe lama-capsules angama-30.

Ukungafani: ungawuthathi umuthi uma kwenzeka ukwephulwa kwezinqubo zokumuncwa kwensimbi emzimbeni noma ezifweni ezibangela ukunqwabelana kwayo.

cishe awekho ama-contraindications, umphumela oveziwe, i-capsule eyodwa ngosuku yanele.
Ingabangela i-dyspepsia (ukucasuka kwesisu).

8. I-Ferrum lek

Lesi sidakamizwa sitholakala njengamaphilisi ahlafunwayo noma isiraphu futhi asidingi amanzi. I-ayoni eku-Ferrum Lek ifana ngangokunokwenzeka ne-ferritin (inhlanganisela yayo yemvelo) futhi ngenxa yalokho imuncwa kuphela emathunjini ngokumuncwa okusebenzayo. I-Ferrum Lek inxephezela ngokufanelekile ukulahleka kwe-iron futhi inobuncane bezimpawu zokuphikisana nezidakamizwa kuleli qembu. Izindleko zomuthi zingama-ruble angama-275 ngephakethe lamaphilisi angama-30.

Ukungafani: okuqukethwe kwensimbi ngokweqile emzimbeni, i-anemia engahlotshaniswa nokuntuleka kwensimbi, ukuzwela okukhulu ezingxenyeni zomuthi.

igcwalisa ngokushesha ukuntuleka kwe-iron, ubuncane be-contraindication, intengo ethengekayo.
kungase kubangele i-dyspepsia.

Ngaphezu kwemithi ye-tinnitus, ama-multivitamin kufanele athathwe. Kungcono ukukhetha i-multivitamin complex equkethe insimbi, amavithamini B, i-nicotinic acid kanye nezakhi zokulandelela. Qinisekisa ukuthi uthintana nodokotela wakho kuqala, ngoba amavithamini amaningi angathinta kakhulu impilo yakho kunokuntuleka kwawo.

9. I-Ferroglobin B-12

I-Feroglobin iqukethe inkimbinkimbi yamavithamini abalulekile nama-microelements, okuhlanganisa iqembu le-B12, insimbi ne-folic acid. Umuthi uthuthukisa kakhulu i-hematopoiesis, unxephezela ukuntuleka kwensimbi namaminerali.

I-Feroglobin B-12 isho izithasiselo zokudla, futhi ivunyelwe ukusetshenziswa ngabesifazane abakhulelwe nabancelisayo. Izindleko zomuthi zingama-ruble angama-650 ngephakethe lamaphilisi angama-30.

Ukungafani: isifo sikashukela, izimo lapho amalungiselelo e-iodine ephikisana.

izidakamizwa eziyinkimbinkimbi, zingasetshenziswa ngesikhathi sokukhulelwa kanye ne-lactation.
intengo ephezulu.
bonisa okuningi

10. Nootropic

I-Nootropic iyilungiselelo eliyinkimbinkimbi eliqukethe amavithamini B, i-Ginkgo Biloba ne-Gotu Kola leaf extract, i-glycine, i-vitamin K1. I-nootropic ithuthukisa ukujikeleza kwe-cerebral, ibuyisela isimo sengqondo-ngokomzwelo, ithuthukise ukusebenza kwengqondo nokulala.

Le nkimbinkimbi yemvelo iphumelela ikakhulukazi emiphumeleni enobuthi yotshwala, ukuphazamiseka kwenkumbulo kanye nokuphazamiseka kwe-vegetative-vascular. Izindleko zephakheji lama-capsules angu-48 zingama-ruble angu-400.

Ukungafani: ukukhulelwa nokuncelisa, i-hypersensitivity ezingxenyeni zomuthi.

isenzo esisebenzayo, contraindications ubuncane, intengo ezingabizi.
kungase kubangele ukungezwani komzimba.
bonisa okuningi

Indlela yokukhetha amaphilisi omsindo ekhanda nasezindlebeni

Ukukhethwa kwamaphilisi omsindo ezindlebeni nasekhanda kufanele kwenziwe ngudokotela. Njengoba izizathu ezihlukahlukene zingabangela lesi simo, futhi ukwelashwa okungalungile kuzokwandisa isimo. Udokotela ngeke nje enze ukuxilongwa okulungile, kodwa futhi anqume ukuthi yiziphi izidakamizwa okufanele zibekwe esimweni esithile. Khona-ke usuvele wenze ukukhetha kwakho, unake umenzi, ukuqwashisa ngomkhiqizo, ukubuyekezwa kanye namanani entengo.

Ukubuyekezwa kodokotela mayelana namaphilisi omsindo ekhanda nasezindlebeni

Ngokusho kodokotela abaningi, awukho umuthi osebenza emhlabeni wonke ongasusa umsindo ekhanda nasezindlebeni. Noma yikuphi ukwelashwa kuwukuqedwa nje kwezimpawu zesifo esiwumsuka.

Imibuzo nezimpendulo ezidumile

Uyini umsindo ezindlebeni nasekhanda, nokuthi ungayisusa kanjani ngokwakho ekhaya? Lena imibuzo esiyibuze uchwepheshe wethu - udokotela jikelele Mikhail Lystsov.

Uvelaphi umsindo osekhanda nasezindlebeni?

Umsindo ezindlebeni nasekhanda kuwuphawu oluvamile lwezifo, ikakhulukazi ezihlotshaniswa nokuphazamiseka kokujikeleza kobuchopho. Lesi simo singenzeka ngenxa yezizathu eziningi, kusukela ezifweni ze-ENT kuya ku-stroke. Isizathu esiqondile singanqunywa kuphela ukuhlolwa kwesiguli ngudokotela kanye neqoqo lezifundo ezikhethekile.

Kungenzeka yini ukwelapha i-tinnitus nekhanda ngamakhambi esintu?

Ukwelashwa ngamakhambi esintu kuwukwengeza okukhulu ekunakekelweni kwezokwelapha. Ezinye zazo, yiqiniso, zizosiza ukwehlisa umfutho wegazi, ukuthuthukisa ukugeleza kwegazi ebuchosheni, noma ukunciphisa ukuvuvukala. Nokho, azikwazi ukuqeda imbangela eyinhloko. Kuphela ngokuhlanganiswa nezindlela zesimanje zokwelapha, ungathola umphumela oyifunayo.

Ingabe kukhona ukuvivinya umzimba okusiza ukususa umsindo ekhanda nasezindlebeni?

Akuvamile ezimeni lapho imithi iyodwa ingenele i-tinnitus. Ukwengeza, i-physiotherapy kanye ne-massage inganqunywa. Ukwengeza okuhle kulokhu kungaba izivivinyo zokukhulula imisipha futhi kuqedwe izinsimbi zemisipha. Ukuzivocavoca okunjalo kufanele kwenziwe ngokucophelela, futhi okokuqala - njalo ngaphansi kokuqondisa kukachwepheshe.
  1. I-tinnitus. Divya A. Chari, MD; Charles J. Limb, MD. Umnyango we-Otolaryngology / Head and Neck Surgery, University of California San Francisco, 2233 Post Street, 3rd Floor, San Francisco, CA 94115, USA. http://pro-audiologia.ru/images/Tinnitus_RU.pdf
  2. Izici zomtholampilo kanye ne-neurophysiological ezigulini ezine-tinnitus. Ukwelashwa kusondele. Gilaeva AR, Safiullina GI, Mosikhin SB Bulletin of new medical technologies, 2021
  3. Umsindo ezindlebeni: ukufana kokuxilonga. Kolpakova EV Zhade SA Kurinnaya EA Tkachev VV Muzlaev GG Innovative medicine of Kuban, 2018. https://cyberleninka.ru/article/n/shum-v-ushah-diagnosticheskie-paralleli/viewer
  4. Irejista yemithi yaseRussia. https://www.rlsnet.ru/

shiya impendulo