Zempilo, Ukulungiselela
"Aminosol Neo": imiyalelo yokusetyenziswa, inkcazo nokuhlaziywa
Ngelishwa, ngenxa yezifo ezinzulu, izigulana zifuna ukondla kwe-parenteral. Kule ndlela kuphela umzimba unokufumana izondlo ezaneleyo. Ngokuqhelekileyo oku, amayeza anamhlanje asebenzisa isisombululo se-Aminosol Neo, esinceda ukugcina imisebenzi yeselul Kakade ke, izigulane zinomdla ngolwazi olongezelelweyo malunga neziyobisi.
Isiza "Aminosol Neo": ifoto, ukubunjwa kunye nefomu yokukhululwa
Enyanisweni, ukuqala ngoku kuyimfuneko ukuqonda ukubunjwa kunye nefom yeyeza. Yintoni i-Aminosol Neo? Inkcazo enikwe kwimigaqo esemthethweni ithi iyeza kusetyenziselwa isondlo se-parenteral kwaye iqukethe i-electrolytes kunye ne-amino acids eziyimfuneko kumzimba.
Ngokukodwa, kukho i-amino acids ngaphezu kwama-amino acids ngendlela ye-L-isomers, kuquka i-methionine, i-arginine, i-alanine, i-proline, i-histidine, i-tyrosine, i-phenylalanine, i-tryptophan, i-serine, i-leucine, i-valine, i-isoleucine, i-lysine monoacetate. Njengamacandelo ancedisayo, amanzi ahlambulukileyo kunye ne-glacial acetic acid asetyenziswa.
I-Aminosol Neo ifumaneka ngesimo sesisombululo sokulawulwa kwe-intravenous. Kucacile, akukhobala, kodwa ngamanye amaxesha unobumba obomvu okanye obomvu. Kwi-pharmacy ungayithenga iilisi kwiibhotile zeglasi, nge volume 500 ml.
Kwezinye iimeko, izigulane zinikezelwe isisombululo se-Aminosol Neo-E, ngaphandle kwe-amino acid complex complex iqulethe i-electrolytes isethi, kuquka i-sodium, i-calcium, i-potassium, i-chlorine, i-magnesium, i-glycerophosphate kunye nezinye ions.
Ngendlela, ungathenga iibhotile kunye nesisombululo kuphela kwizibhedlele zesibhedlele kwaye kuphela ukuba unemishanguzo evela kugqirha-ichiza alithengisi kwiindawo eziqhelekileyo ze-pharmacy. Yigcine ingcono ekamelweni elipholileyo, ukukhusela elangeni elichanekileyo (ukushisa okubalulekileyo kuthathwa njenge-15-25 ° C). Ubomi beShelf - iminyaka emi-2 ukususela kumhla wokuveliswa.
Kwiimeko ziphi izilwanyana ezisetyenziswayo: izibonakaliso
Njengoko sele kuthethwe ngaye, isilwanyana sisetyenziswa kakhulu kwiyeza zanamhlanje ngokutya okunomdla okanye okugqibeleleyo. Ngokukodwa, izibonakaliso zenkqubo:
- Iimeko ze-hymermetabolic, kubandakanywa nokuxakeka okukhulu, i-sepsis, ukutshisa okukhulu;
- Iifom ezinobungozi zesistim sokutya, kubandakanywa ne-pancreatitis, ubukho be-fistula kunye nokuvuvukala eludongeni lwamathumbu emathunjini, ukuphazamiseka, i-malabsorption, ngelizwi, ezo zimo apho ukutya okuqhelekileyo akunakwenzeka;
- Isilwanyana sisetyenziselwa ukuzalisa umzimba kunye nezinto ezincedo phambi kokungenelela kwongophala kunye nexesha lokuhamba emva;
- Izifo ze-ecological times also do not allow patients to eat.
Amachiza "Aminosol Neo": imiyalelo yokusetyenziswa
Ugqirha kuphela onokukhetha isilwanyana esifanelekileyo kwisigulane kwaye ugqibe umlinganiselo. Umyalelo oseburhulumenteni wezilwanyana "I-Aminosol Neo" iqulethe iingcebiso eziqhelekileyo, ezishiye emva kweengcali ezifanelekileyo ukulungisa irejimeni yonyango.
Isisombululo senziwa ngokufakelwa kwamanye emithanjeni. Isixa sincike kwiimeko ezininzi, kubandakanywa ukuxinwa kwezilwanyana ngokwawo kunye nesisindo somzimba wesigulane. Ukuba ngumbuzo wokusebenzisa isisombululo se-10%, i-dose yemihla ngemihla i-10-20 ml nganye kilogram yomzimba (20 ml kunye ne dose evumeleke kakhulu). Kunconywa ukuba ujobe umbane kwisantya se-20-35 ngamanzi ngomzuzu (kungekukhawuleza).
Xa isisombululo kunye nesisombululo se-15% sisetyenziswe, umthamo wemihla ngemihla ngowama-6.7-13.3 ml nganye ngeekhigram yesimo somzimba wesigulane. Abantu, ubunzima bomzimba buyi-70 kg, ngokuqhelekileyo bangena kusuka kwi-470 ukuya ku-930 ml yesisombululo ngemini kwisantya se-16 ngemitha ngomzuzu.
Umntu ogulayo kufuneka abe phantsi kwengqalelo yonyango okanye umongikazi. Kwizigulane ezinokuphelelwa ngumlomo, ukuguqulwa kwesilinganiselo - malunga no-6-10 ml yesisombululo ngosuku (nganye ngeekhilogram yomzimba) uboniswa. Kubantu abanokuphelelwa ngamandla, iprothini imfuneko iphantsi - ilawulwa ukususela kwi-8 ukuya kwi-11 ml nganye ngekg.
Ukungqinelana kwonyango
Ngaba zonke izigulana zingabelwa isisombululo se-Aminosol Neo? Umyalelo uthi ezinye izithintelo zikhoyo. Nalu uluhlu lwabo:
- Iifom ezinobungozi be-hepatic ne-renal insufficient;
- Ukutshixa;
- I-acidosis ye-metabolic;
- Ukusilela kwe-oksijini;
- Isigaba sokunciphisa intliziyo.
Esi sibisi asimiswanga kubafazi ngexesha lokuxhaswa kunye nokunyusa umntwana (ukuba kukho isidingo sokusebenzisa isisombululo kwi-lactation, ukuncelisa imfuyo kufuneka imiswe okwesikhashana).
Unemithi kunye nemingcele yeminyaka. Isiphumo sawo asizange sifundwe kwiqela labantwana kunye nentsha engaphantsi kweminyaka eyi-18, ngoko imiphumo yonyango ayiyazi. Ngesifo sikashukela, isifo sesibindi, uxinzelelo lwexilongwane kunye ne-sepsis, isilwanyana singasetyenziselwa, kodwa ngokucophelela-isigulane kufuneka sibe phantsi kweliso lokugcinwa kwabasebenzi bezonyango.
Ziziphi iziphumo ezichaphazelayo?
Njengoko kubonakaliswe ukuphononongwa koogqirha, inkunkuma "i-Aminosol Neo" kwiimeko ezininzi ziyakunyamezela ngumzimba. Impendulo engalunganga, njengomthetho, ivela ngesilinganisi esingalunganga okanye ukungathobeli imithetho yolawulo.
Ukuba isisombululo silawulwa ngokukhawuleza, izigulane zifumana i-tachycardia, i-nausea, ukuhlanza, ukunyuka okukhulu. Kuloo meko xa kunye neli gciwane isigulane sinokuthi sithatha amalungiselelo aminodi, ukuphendulwa kwemizimba, kuquka ukubonakala kwesikhumba kunye nokutshaya, i-dyspnea kunye ne-bronchial spasm. Iimiphumo ziyancipha ngokukhawuleza kwixinzelelo legazi (ukuya kutshatyalaliswa kwimeko).
Zonke iimpawu ezingentla ziphela xa unyango lugqityiwe. Ngokuchasene nemvelaphi yonyango, kukho rhoqo ukuhla kwezinga lomntu emzimbeni, ngoko ke izigulane zihlala ziqhotyoshelwe kwi-folic acid.
Xa ijojiswe kwisitya se-peripheral, ukucatshulwa kweendonga zayo kunokwenzeka. Kukho ukusuleleka kwintsholongwane eshiywe emva kokungena, ngoko kuyimfuneko ukugcina yonke imimiselo ye-hygiene kunye nokubeka iliso imeko yesigulane.
Ukugqithisa kunye nemiqondiso yayo
Iziganeko zokudlula ngaphezulu ziyaziwa. Ukuqaliswa kwesisombululo esininzi kuhamba kunye nesicathulo esikhulu, esivame ukuphumela ekuhlanjeni. Ezinye iimpawu ziquka ukunyuka okuthe ngqo kumbindi we-body, kunye ne-tachycardia. Kwezinye izigulane kukho ukuphulwa kwe-electrolyte ukwakheka kweplasma.
Kufuneka kuthi ngokukhawuleza ukuba iziphazamiso ezingentla zibuyiselwa. Ukupheliswa kweyeza okanye ukunciphisa inani leziyobisi kubangela ukunyamalala kwayo yonke impawu. Kwezinye iimeko, unyango olungumqondiso lwenziwa ngokuxhomekeka kwiingxaki ezikhoyo.
Ulwazi olongezelelweyo
Isisombululo akufanele sixutywe kunye nezinye iziyobisi kwaye zilawulwe ngokufanayo. Kubalulekile ukuba uqaphele ukuba ukusebenzisana kweziyobisi kunokwenzeka. Ngokomzekelo, isilwanyana "Aminosol Neo" asihambelani ne- soopental sodium. Ngexesha elifanayo lokusebenzisa i-arginine (isisigxina seziyobisi) kunye ne-spironolactone kwizigulane, ukuphuhliswa kwe-hyperkalemia enamandla kubonwa.
Ngexesha elifanayo ukufumana isilwanyana kunye ne-aminophylline kunye nezinye i-diuretics inqanaba le-insulin egazini liphakamisa. Ukuba uthatha i-oral oral hormonal contraceptive, oku kufuneka kuxelelwe ugqirha wakho, kuba ulawulo lwentsebenziswano lungabangela ukwanda kwindleko ye-hormone yokukhula eyenziweyo.
Ukuba sithetha ngonyango lwezigulane zesifo sikashukela, ngoko isondlo se-parenteral kunye nesisombululo, izigulane zifuna ukulawula i-insulin-oku kusebenza kubantu abini kunye nohlobo lwesibini lwesifo sikashukela (nangona ngaphambi kokuba imfuneko yokusetyenziswa kwe-insulin yintsebenziswano ayikho).
Amaxabiso analogalo kunye namachiza
Ayikho lonke unyango olufanelekileyo ngokusetyenziswa kwe-Aminosol Neo isisombululo. Iziganeko zezidakamizwa, kunjalo, zikhona. Oogqirha abaninzi banikezela izixazululo zesondlo sokubeleka njenge-"Aminoven" kunye ne "Aminol" njengenxalenye. Ukufana okufanayo kufakwa kwakhona ngokuthi "Aminosteril", "Gepasol", "Kabiven", "Infhechol". Zininzi zazo zisetyenziselwa kwizigulana zonyango lweintsana ezingaphambi kwexesha.
Kakade, ukukhethwa kwesinye indawo kunokuthi ugqirha-ukusetyenziswa ngokuzimeleyo kwanoma iziphi izisombululo ezinokondla kunokulimaza kuphela.
Ngokumalunga neendleko, i-bhotile yesisombululo iya kuxabisa ama-ruble ayi-650-800, kuxhomekeke kwindawo yokuthenga kunye nomenzi.
Iingenelelo kunye nokungalunganga kweyeza: ukuphononongwa kweengcali kunye nezigulane
Yintoni oogqirha abathi ngayo ngo-Aminosol Neo? Ukuphononongwa kukuhle kakhulu. Isisombululo sinceda ngokwenene ukugcina ukusebenza ngokuqhelekileyo komzimba wesigulane, ukubuyisela ukulinganisela kwe-electrolytes. Ulwaphulo oluqhelekileyo lusetyenziswa kakuhle, ngaphandle kweengxaki, kwaye akukho zininzi ezingqinelanayo.
Izigulana ziyaqaphela nokuba akukho miphumo yecala kunye nokuphazamiseka ngexesha lokunyuka. Ngelishwa, indleko yonyango iphakamileyo, kwaye ukugqiba ikhosi epheleleyo, kufuneka iibhotile ezininzi, ezinokuthi zithathwa ngenxa yokungaphumeleli kweyeza. Kodwa kukho imiphumo emihle yonyango, kwaye impilo iyabiza kakhulu kunanoma yimaphi imali. Kwimeko nayiphi na imeko, kwiimeko ezinzima, apho isigulane sidinga ukondla kwe-parenteral, zonke iingcomo zonyango lophando kufuneka zilandelwe ngqo.
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