{"id":7,"date":"2024-04-04T03:58:02","date_gmt":"2024-04-04T00:58:02","guid":{"rendered":"https:\/\/sisu.ut.ee\/tervisest\/sissejuhatus-ravimite-manustamine\/"},"modified":"2024-04-18T12:19:26","modified_gmt":"2024-04-18T09:19:26","slug":"sissejuhatus-ravimite-manustamine","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/tervisest\/sissejuhatus-ravimite-manustamine\/","title":{"rendered":"Sissejuhatus: ravimite manustamine"},"content":{"rendered":"<p style=\"text-align: left;\" align=\"center\">Ravimi m\u00e4\u00e4ramisel v\u00f5tab arst arvesse, kas haigus on \u00e4ge (pigem \u00fchekordne ja kiirelt tekkinud n\u00e4htus) v\u00f5i krooniline (perioodiliselt ja tihti esinev n\u00e4htus) ning kas esinevad enam \u00fched v\u00f5i teised s\u00fcmptomid. Samuti peab arst silmas haige vanust, sugu ja teatud juhtudel ka muutunud v\u00f5i isikup\u00e4rast tundlikkust ravimi suhtes. Samuti peab ta arvestama ravimi otseseid omadusi. P\u00e4rast seda kirjutab arst haigele retsepti, millele on m\u00e4rgitud ravimi tarvitamise viis ehk kuidas, millal, kui sageli ja kui palju tuleb ravimit v\u00f5tta. Kas arsti poolt kirjutatud ravim on efektiivne v\u00f5i mitte, s\u00f5ltub suurel m\u00e4\u00e4ral sellest, kas haige tarvitab seda \u00f5igesti.<\/p>\n<p>Erinevad ravimite manustamise viisid:<\/p>\n<ul>\n<li>suu kaudu;<\/li>\n<li>p\u00e4rasoole kaudu;<\/li>\n<li>naha alla s\u00fcstimine;<\/li>\n<li>lihasesse s\u00fcstimine;<\/li>\n<li>veeni s\u00fcstimine;<\/li>\n<li>selgrookanalisse s\u00fcstimine;<\/li>\n<li>sissehingamine;<\/li>\n<li>naha peale m\u00e4\u00e4rimine;<\/li>\n<li>naha sisse h\u00f5\u00f5rumine.<\/li>\n<\/ul>\n<p>K\u00f5ige levinum on suukaudne manustamine (pulbrid, tabletid, vesilahused ning lisaks teised vedelad ravimid).<\/p>\n<p>Sageli m\u00e4rgib arst, kas ravimit tuleks manustada p\u00e4rast v\u00f5i enne s\u00f6\u00f6ki. Tihti tekib inimestel k\u00fcsimus, kas n\u00e4rida tablett puruks v\u00f5i neelata tervelt alla. Kindlasti tuleb neelata tervelt alla, kuna tabletil on kaitsev kiht nagu ka kapslil. M\u00f5ningatel juhtudel v\u00f5ib kapsli avamisel ravimi toime kaduda ning sees oleva pulbri manustamine magu ja s\u00f6\u00f6gitoru kahjustada.<\/p>\n<p>Tablett tuleks sisse v\u00f5tta p\u00fcsti seistes. Lamades v\u00f5i istudes v\u00f5ib see j\u00e4\u00e4da s\u00f6\u00f6gitorusse pidama ning seda kahjustada, tekitades valu ja k\u00f5rvetisi.<\/p>\n<p>Kindlasti tuleb ravimeid manustades juua \u00e4ra pool klaasi leiget vett ning seej\u00e4rel seista v\u00f5i k\u00f5ndida kuni 10 minutit. Ravimite peale ei maksa juua muid vedelikke, kuna need v\u00f5ivad preparaadi m\u00f5ju muuta.<\/p>\n<p>N\u00e4iteks piim blokeerib laiatoimeliste antibiootikumide (n\u00e4iteks tetrats\u00fckliini) imendumist. Ka puu- ja juurviljamahlad v\u00e4hendavad m\u00f5ningate antibiootikumide toimet, magus siirup limonaadides ja teistes magusates jookides takistab rohtude imendumist.<\/p>\n<p>Kahte ravimit v\u00f5i mitut ravimit koos v\u00f5ttes peab konsulteerima arstiga, kuna tegu v\u00f5ib olla lubamatu kombinatsiooniga.<\/p>\n<p>Mitmeid ravimeid s\u00fcstitakse, et hoida \u00e4ra ravimite lagundamine seedetraktis. Penitsilliini s\u00fcstitakse seep\u00e4rast, et see laguneb happelises maomahlas. M\u00f5ned ravimid ei imendu seedetraktis ja neid peab manustama s\u00fcstimise teel. Ravimeid s\u00fcstitakse ka n\u00e4iteks juhul, kui soovitakse ravida konkreetset haiguskollet. Nii n\u00e4iteks s\u00fcstitakse n\u00e4rvihaiguste puhul aineid selgrookanalisse. Nahale ja limaskestale kantud salvid, pulbrid ja plaastrid avaldavad enamasti lokaalset mikroorganismide, p\u00f5letiku- v\u00f5i valuvastast toimet. Nahale manustatud ravimid imenduvad rasu- ja higin\u00e4\u00e4rmete ning karvan\u00e4\u00e4psude kaudu. Nende imendumine suureneb tunduvalt, kui nahk on vigastatud.<\/p>\n<p>Allikas:<\/p>\n<ul>\n<li>Nestor, Reilika. 2014. Ravimite manustamine. Leitav aadressil:\u00a0<a href=\"http:\/\/www.femini.ee\/artikkel\/ravimite-manustamine#.WlziENBl-70\" target=\"_blank\" rel=\"noopener\">http:\/\/www.femini.ee\/artikkel\/ravimite-manustamine#.WlziENBl-70<\/a>. Viimati vaadatud 04.09.2017<\/li>\n<\/ul>\n<p><span style=\"font-size: x-large;\" data-mce-mark=\"1\"><strong>S\u00d5NAVARA\u00a0<\/strong><\/span><\/p>\n<table class=\"table table-hover\" border=\"1\">\n<tbody>\n<tr>\n<td>Arvesse v\u00f5tma, arvesse v\u00f5tta, v\u00f5tab arvesse + mille? mida?<\/td>\n<td>\u0431\u0440\u0430\u0442\u044c\u0432\u0440\u0430\u0441\u0447\u0435\u0442\u044c<\/td>\n<td>take into consideration<\/td>\n<\/tr>\n<tr>\n<td>Happeline, happelise, happelist<\/td>\n<td>\u043a\u0438\u0441\u043b\u043e\u0442\u043d\u044b\u0439<\/td>\n<td>acidic<\/td>\n<\/tr>\n<tr>\n<td>H\u00f5\u00f5ruma, h\u00f5\u00f5ruda, h\u00f5\u00f5rub + mida?<\/td>\n<td>\u043d\u0430\u0442\u0438\u0440\u0430\u0442\u044c,<br>\n\u0442\u0435\u0440\u0435\u0442\u044c<\/td>\n<td>to rub<\/td>\n<\/tr>\n<tr>\n<td>Imenduma, imenduda, imendub + kuhu?<\/td>\n<td>\u0432\u043f\u0438\u0442\u044b\u0432\u0430\u0442\u044c<\/td>\n<td>absorb in<\/td>\n<\/tr>\n<tr>\n<td>Isikup\u00e4rane, isikup\u00e4rase, isikup\u00e4rast<\/td>\n<td>\u0438\u043d\u0434\u0438\u0432\u0438\u0434\u0443\u0430\u043b\u044c\u043d\u044b\u0439<\/td>\n<td>personal<\/td>\n<\/tr>\n<tr>\n<td>Kahjustama, kahjustada, kahjustab + mida?<\/td>\n<td>\u0432\u0440\u0435\u0434\u0438\u0442\u044c<\/td>\n<td>harm<\/td>\n<\/tr>\n<tr>\n<td>Karvan\u00e4\u00e4ps, karvan\u00e4\u00e4psu, karvan\u00e4\u00e4psu<\/td>\n<td>\u0432\u043e\u043b\u043e\u0441\u044f\u043d\u043e\u0439\u00a0\u0444\u043e\u043b\u043b\u0438\u043a\u0443\u043b<\/td>\n<td>hair follicle<\/td>\n<\/tr>\n<tr>\n<td>Kiht, kihi, kihti<\/td>\n<td>\u0441\u043b\u043e\u0439<\/td>\n<td>layer<\/td>\n<\/tr>\n<tr>\n<td>K\u00f5rvetised, k\u00f5rvetiste, k\u00f5rvetisi<\/td>\n<td>\u0438\u0437\u0436\u043e\u0433\u0430<\/td>\n<td>heartburn<\/td>\n<\/tr>\n<tr>\n<td>Lagundama, lagundada, lagundab + mida?<\/td>\n<td>\u0440\u0430\u0437\u043b\u0430\u0433\u0430\u0442\u044c<\/td>\n<td>break down into<\/td>\n<\/tr>\n<tr>\n<td>Leige, leige, leiget<\/td>\n<td>\u0442\u0435\u043f\u043b\u043e\u0432\u0430\u0442\u044b\u0439<\/td>\n<td>lukewarm (moderately warm)<\/td>\n<\/tr>\n<tr>\n<td>Lihas, lihase, lihast<\/td>\n<td>\u043c\u044b\u0448\u0446\u0430<\/td>\n<td>muscle<\/td>\n<\/tr>\n<tr>\n<td>Limaskest, limaskesta, limaskesta<\/td>\n<td>\u0441\u043b\u0438\u0437\u0438\u0441\u0442\u0430\u044f \u043e\u0431\u043e\u043b\u043e\u0447\u043a\u0430<\/td>\n<td>mucosa<\/td>\n<\/tr>\n<tr>\n<td>Magu, mao, magu<\/td>\n<td>\u0436\u0435\u043b\u0443\u0434\u043e\u043a<\/td>\n<td>stomach<\/td>\n<\/tr>\n<tr>\n<td>Maomahl, -mahla, -mahla<\/td>\n<td>\u0436\u0435\u043b\u0443\u0434\u043e\u0447\u043d\u044b\u0439 \u0441\u043e\u043a<\/td>\n<td>gastric juice, acid<\/td>\n<\/tr>\n<tr>\n<td>Manustama, manustada, manustab + mida?<\/td>\n<td>\u0432\u0432\u043e\u0434\u0438\u0442\u044c,\u00a0\u043f\u0440\u0438\u043d\u0438\u043c\u0430\u0442\u044c<\/td>\n<td>inject<\/td>\n<\/tr>\n<tr>\n<td>M\u00e4\u00e4rama, m\u00e4\u00e4rata, m\u00e4\u00e4rab + mille?\/mida?<\/td>\n<td>\u043d\u0430\u0437\u043d\u0430\u0447\u0430\u0442\u044c,\u00a0\u043f\u0440\u043e\u043f\u0438\u0441\u0430\u0442\u044c<\/td>\n<td>prescribe<\/td>\n<\/tr>\n<tr>\n<td>M\u00e4\u00e4rima, m\u00e4\u00e4rida, m\u00e4\u00e4rib + mida?<\/td>\n<td>\u043c\u0430\u0437\u0430\u0442\u044c<\/td>\n<td>to grease<\/td>\n<\/tr>\n<tr>\n<td>N\u00e4rima, n\u00e4rida <em>puruks, <\/em>n\u00e4rib mille puruks?\/n\u00e4rib + mida?<\/td>\n<td>\u0440\u0430\u0437\u0436\u0435\u0432\u044b\u0432\u0430\u0442\u044c<\/td>\n<td>to chew<\/td>\n<\/tr>\n<tr>\n<td>N\u00e4\u00e4re, n\u00e4\u00e4rme, n\u00e4\u00e4ret<\/td>\n<td>\u0436\u0435\u043b\u0435\u0437\u0430<\/td>\n<td>gland<\/td>\n<\/tr>\n<tr>\n<td>P\u00e4rasool, p\u00e4rasoole, p\u00e4rasoolt<\/td>\n<td>\u043f\u0440\u044f\u043c\u0430\u044f \u043a\u0438\u0448\u043a\u0430<\/td>\n<td>rectum<\/td>\n<\/tr>\n<tr>\n<td>Seedetrakt, seedetrakti, seedetrakti<\/td>\n<td>\u043f\u0438\u0449\u0435\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0439 ~ \u0436\u0435\u043b\u0443\u0434\u043e\u0447\u043d\u043e-\u043a\u0438\u0448\u0435\u0447\u043d\u044b\u0439 \u0442\u0440\u0430\u043a\u0442<\/td>\n<td>digestive tract<\/td>\n<\/tr>\n<tr>\n<td>Selgrookanal, -kanali, -kanalit<\/td>\n<td>\u043f\u043e\u0437\u0432\u043e\u043d\u043e\u0447\u043d\u044b\u0439 \u043a\u0430\u043d\u0430\u043b<\/td>\n<td>spinal canal<\/td>\n<\/tr>\n<tr>\n<td>Silmas pidama, silmas pidada, peab silmas \u00a0+ mida?<\/td>\n<td>\u0443\u0447\u0438\u0442\u044b\u0432\u0430\u0442\u044c<\/td>\n<td>keep in mind<\/td>\n<\/tr>\n<tr>\n<td>S\u00f6\u00f6gitoru, s\u00f6\u00f6gitoru, s\u00f6\u00f6gitoru<\/td>\n<td>\u043f\u0438\u0449\u0435\u0432\u043e\u0434<\/td>\n<td>oesophagus<\/td>\n<\/tr>\n<tr>\n<td>Tundlikkus, tundlikkuse, tundlikkust<\/td>\n<td>\u0447\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0441\u0442\u044c<\/td>\n<td>sensitivity<\/td>\n<\/tr>\n<tr>\n<td>\u00c4ge, \u00e4geda, \u00e4gedat<\/td>\n<td>\u043e\u0441\u0442\u0440\u044b\u0439<\/td>\n<td>acute<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Ravimi m\u00e4\u00e4ramisel v\u00f5tab arst arvesse, kas haigus on \u00e4ge (pigem \u00fchekordne ja kiirelt tekkinud n\u00e4htus) v\u00f5i krooniline (perioodiliselt ja tihti esinev n\u00e4htus) ning kas esinevad enam \u00fched v\u00f5i teised s\u00fcmptomid. Samuti peab arst silmas haige vanust, sugu ja teatud juhtudel &#8230;<\/p>\n","protected":false},"author":116,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-7","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/tervisest\/wp-json\/wp\/v2\/pages\/7","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sisu.ut.ee\/tervisest\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sisu.ut.ee\/tervisest\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/tervisest\/wp-json\/wp\/v2\/users\/116"}],"replies":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/tervisest\/wp-json\/wp\/v2\/comments?post=7"}],"version-history":[{"count":3,"href":"https:\/\/sisu.ut.ee\/tervisest\/wp-json\/wp\/v2\/pages\/7\/revisions"}],"predecessor-version":[{"id":156,"href":"https:\/\/sisu.ut.ee\/tervisest\/wp-json\/wp\/v2\/pages\/7\/revisions\/156"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/tervisest\/wp-json\/wp\/v2\/media?parent=7"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}