Ichiza "caver": imiyalelo zokusetyenziswa (izitofu)

Xa ususa intlungu wolawulo yomlomo beziyobisi akwenzeki, sebenzisa i "caver" ngenaliti. Usetyenziso Guide icebisa iinaliti ntoni xa intlungu syndrome eliphakathi kunye nobukhulu eliphezulu. Oku kuba ngumqathango postoperative yomguli, yokulunywa sezintso nezisezantsi iqolo.

Ukubunjwa kunye nefomu yokhululo iziyobisi

Ngowe-1 ml isisombululo isitofu yi-25 mg esisebenza - dexketoprofen. Izithako abancedisayo ziquka ethanol kweziyobisi mali ka-96% sodium chloride, sodium hayidroksayidi kunye namanzi ngenaliti.

Amalungiselelo yi ulwelo ecacileyo enemibala. Zahlanganiswa ezineengqayi iglasi, leyo afakwe kwibhokisi yekhadibhodi ngamaqhosha 5-10. isitsha nganye iqulethe ml 2 "caver" iziyobisi.

Imiyalelo yokusebenzisa lwezitofu inxulumene arhente non-steroidal antiinflammatory kwaye antirheumatic ke nezakhi of propionic acid.

iipropati kwemithi

Dexketoprofen trometamol (into esebenzayo yokulungiselela) i ityiwa propionic acid. iintlungu esibonakala, antipyretic kunye neempawu anti-ukudumba. It kokwabo kwiklasi of non-steroidal amachiza anti-ukudumba, okanye NSAIDs.

Indlela yokusebenza ijolise ekunciphiseni Yindibanisela prostaglandins evela inhibition of cyclooxygenase. Oko kukuthi, sehlise ukuguquka kwazo CD waya endoperoxides PGG2 kunye PGH2 uhlobo nokungazinzi koqoqosho. Kwezi, yena, kwasekwa prostaglandins PGEi, PGE2, PGF2a, PGD2, kuquka izinto ezifana prostacyclin PGI2, thromboxane kunye ThAg kunye ThVg. Nokupheliswa prostaglandin amagama kuchaphazela la zenkqubo kwiintetho ezikralayo, ezifana kinins, echaphazela imisebenzi esisiseko ye medicament. Dexketoprofen wachaza ukusebenza inhibitory kwi umsebenzi Cox-1, Cox-2.

Izilingo onyango ziye zasekwa ifuthe iintlungu beziyobisi namaqondo iintlungu. Sifumene iimpahla zazo iintlungu ngokusungula isicombululo inaliti. Uhlalutyo lwaqhutywa kwi ngefuthe iintlungu obukhulu kwixesha postoperative zongenelelo ngoncedo. Oku Iinkqubo zotyando amathambo kunye yamanina, kwakunye utyando esiswini. Isetyenziswa xa namaqondo awohlukeneyo intlungu umnqonqo iziyobisi "caver". Imiyalelo yokusebenzisa iinaliti icebisa ukwenza kunye yokulunywa kwezintso.

Uphononongo lubonise ukuba kwiziko lonyango wenza ngoko nangoko, kunye nokusebenza yayo ubuninzi wabonakalaliswa ngexesha imizuzu engamashumi amane anesihlanu. ukusebenza iintlungu kwi ephilayo kuthatha malunga ezisibhozo iiyure, kodwa kuphela phantsi komqathango olwaziswe ubuncinane 50 mg lithetha "caver" (izitofu). Inkcazelo ebonisa ukuba ichiza - oko konke kubaluleke kakhulu ukufunda phambi kokuba uyisebenzise.

Ngabaphethe intramuscular of dexketoprofen trometamol xi liphezulu iqatshelwe imizuzu engamashumi amabini. Umchiza unezinga eliphezulu iiproteni plasma yegazi - 99%. Andise dexketoprofen ngonyaka malunga 0.25 l / kg. poluraspredeleniya ixesha leeyure 0,35. Kuboniswa emva kweeyure 1-2,7.

Iimpawu zibonisa ukuba ukusetyenziswa kweziyobisi

Kufuneka sinikezwe intramuscularly okanye butofelwe ngenxa syndrome lumngcungcuthekise, aphakathi kunye "caver" emandla iziyobisi eliphezulu. Imiyalelo malunga nokusetyenziswa lwezitofu ucetyiswe ukuba wenze kuphela xa unyango ngomlomo awabancedi. Kufuneka kusetyenziswe emva kotyando, kwimeko kwesisu sezintso, kunye neentlungu ibinamandla kulo mmandla empontshwa.

Izimo

It has iziyobisi "caver" (kuqhume) okukhomba kunye Izimo. Iqela lesibini ziquka:

• hypersensitivity ku deksketoprofenu into esebenzayo kunye namacandelo ezongezelelweyo yezisombululo;
• ukuhlaselwa isifuba kunye aqaqambayo inyumoniya;
• nokuthimliswa etsolo, polyp ngeempumlo, urticaria, nokudumba angioneurotic;
• izilonda kwegazi;
• ukopha zesisu ;
• Crohn ukuba isifo okanye wenze umsebenzi;
• imbali yesifuba inyumoniya;
• Ukungaphumeleli intliziyo;
• izifo sezintso lesibini ukuya kakhulu;
• ukuphazamiseka ukopha;
• isifo hepatic yayinzima;
• Sebenzisa i neuraxial (intrathecal okanye ebulewe) ulawulo;
• ukukhulelwa, ingakumbi III ezintathu;
• zisanyisa.

Akukho mfuneko ukuze uchithe nayiphi na yezi meko ukuqeshwa "caver" (kuqhume) beziyobisi. Imiyalelo yokusebenzisa ichaza zonke iinkalo ukusetyenziswa ngokufanelekileyo ichiza.

Ichiza nto yenziwa izigulane ngenxa nesithokothoko encinci ifuthe layo emzimbeni yomntwana. Amanyathelo akubekele kunye nabantu abadala.

Drug "caver" (iinaliti): imiyalelo yokusetyenziswa

Kuba abadala, ithamo elicetyiswayo yi 50 ulawulo mg. Isithuba phakathi iinaliti kufuneka ungabi ngaphantsi kweeyure ezingama 8-12. Ukuba kuyimfuneko, inaliti yesibini yenziwa emva kweeyure ezintandathu. Ithamo imihla 150 mg. Ichiza sisetyenziselwa isiqabu ngexesha elinye-ahlekise. Oku ayisetyenziselwa ngaphezulu kweentsuku ezimbini ngokulandelelana. Emva unyango lokuqala intlungu, ukuba imeko iyasivumela, isigulane wasiwa iintlungu ngomlomo.

iziphumo ezibi zomzimba ngokunciphisa ubuncinane ukuba ulawulo idosi. Emva kotyando for iminqweno iintlungu izidanga olomeleleyo avareji nobukhali iziyobisi ezisetyenziswayo kubonisiwe ngokungqongqo. ukuhambelana lweziyobisi olunokubakho kunye analgesics opioid.

Abadala musa ukunyenyisa idosi. Kodwa njengoko iinkqubo pathways kwi izintso isantya kwi ubudala nangaphezulu, solo kucetyiswa ukunciphisa izinga. Le eliphezulu yedosi kuvunyelwa kunye encinane ukujongana kidney yi-50 mg.

Izigulane ababeneziphene zesibindi (5-9 amanqaku kwi-Child-Pugh) idosi yemihla ngemihla kuncitshiswa ku-50 mg. Emva ulawulo ichiza emzimbeni esweni ngenyameko umsebenzi kulo mzimba. Kwezifo ezinzima ngakumbi Isigaba isibindi ichiza ukuba ilawulwa (amanqaku 10-15 kwi-Child-Pugh).

Xa isifo inobulali, (ukucoca creatinine. - 50-80 ml / min) sezintso idosi yemihla ngemihla mayingadluli kuma-50 mg. Ukuba eliphakathi okanye kakhulu kwekhono kwezintso, apho sobume creatinine ye <50 ml / min, ichiza akuvumelekanga ngokungqongqo.

Inaliti ilawulwa njengoko iindlela intramuscular kunye efakwa. Xa ufakwe zazo intramuscularly ngokucothayo kakhulu ngokwaneleyo 'caver "(izitofu).

Njengoko kulungiselelwa plant ukumnika efakwa

Ulwelo kwi ml ampoule 2 ulawulo kulo vein kufuneka axutywe namanzi. Ukuze umxholo ampoule kuyimfuneko ukongeza 30-100 ml 0.9% sodium chloride, iswekile okanye zincancise isisombululo Ukukhala kaThixo. Ulwelo ukuba isitofu efakwa salungiswa phantsi kweemeko abawaziyo. I into uzilungiselele kufuneka ibe selubala ngokupheleleyo yaye akukho ukungcola. Nokubandakanywa lwenziwa imizuzu elishumi ukuya kumashumi amathathu. Musa ukubeka namhla yelanga njengoko isisombululo ngexesha lokulungiselela wayo, kwaye ngexesha inaliti.

"Caver" (zitofu e ampoules) manual lithethelela ukuba ukuhlanganiswa ngeziyobisi ithuba lokwanda. Ngenxa yesi-2 ml ampoule aniswele ukongeza 100 ml ka 0.9% sodium chloride. Xa kuyimfuneko, ichiza na exutywe ne glucose kwi ratio efanayo.

Oku akuvumelekanga ukuba zidibene isisombululo ukuba isitofu "Promethazine" yaye "Pentazocine" a medicament "caver" (izitofu).

Indlela yokusebenzisa le bolus amayeza? Ukuza kuthi ga ngoku, kukho umthamo isisombululo ukumnika ml 2 zingaxutywanga. Galela ngokukhawuleza, ngaphakathi imizuzwana elinesihlanu. Eli lixesha wolawulo kufuneka lincitshiswe. Indibaniso amathamo ophantsi "caver" ulwelo injectable ezifana "lweeHedfowuni", "Lidocaine", "icaffeine" yaye "Theophylline".

Akukho mfuneko ukuxuba kulwelo inaliti kunye igcuntswana leyeza ekuthiwa "dopamine", "Promethazine", "pentazocine", "pethidine" yaye "Hydrocortisone". Kuyacetyiswa ngenxa umngcipheko kwenze emhlophe, nto leyo ayinqweneleki kakhulu ngexesha nkqubo.

akufuneki sibe yokugcina amandla yesibini Ichiza kwaye kufuneka uqhutywe ngoko nangoko emva ingqokelela yezinto kokuba ampoule yeglasi. Isisombululo kufuneka isetyenziswe ngoko nangoko emva ukuxubana zonke iziyobisi eziyimfuneko. Uxanduva ukuchaneka nkqubo iwela ngqo kwi umsebenzi wezempilo.

Inaliti emva ukupheka ugcina zonke iipropati kakuhle ngexesha lasemini. Le meko yanelisekile ukuba ichiza uzilungiselele olukhuselwe ngokupheleleyo iimeko imini kunye lobushushu elingadluliyo 25 ° C.

Ampoule "caver" yenzelwe inaliti enye. isisombululo kusala nangoko irisayikilishwe. Nangoko, phambi kokuba iimela, qiniseka ukuba isisombululo sikhanya kwaye akukho bala umbala. Ukuba ayikwazi wasebenzisa enye amayeza izinto ezithile.

imiphumela emibi ichiza

inani ziziphumo ebezingalindelekanga emva kokuba ukuqaliswa "caver" (kuqhume) beziyobisi singabonakala. Umyalelo luquka ulwazi rhoqo kuvela izenzakalo isicaphucaphu nokugabha. Kukho intlungu inaliti, ukopha, nangokurhala, hematoma. Ngamanye amaxesha kubonakala anaemia, sokulibala, isiyezi, ukozela kunye intloko ebuhlungu. umkhuhlane Ayifane esisigxina nokudinwa, ukungaboni, kuthibaza. Kwakukho iintlungu esiswini, ukuqunjelwa. Emva kokuba isitofu ngamanye amaxesha unesisu esihambisayo, okanye ukuqhina, ukugabha igazi. kome kakhulu emlonyeni kwaqatshelwa. Ezinye izigulane dermatitis ukhathazekile, ukurhawuzelela, irhashalala kunye umbilo ngokugqithiseleyo.

Kwiimeko ezinqabe kakhulu, kukho hyperglycemia, hypertriglyceridemia kunye anorexia. Paresthesia babonakala zingqondweni. Zabagula izigulane ukuduma, ibetha ngaphambi kwexesha tachycardia. Kwiimeko ezinqabe kakhulu, iimpawu lwegazi, thrombophlebitis, bradypnea zirekhodwe. Kwakukho izilonda, nenyongo, irhashalala, amaqhakuva oluvunjululweyo, ukuqina kwezihlunu, ukuqina ngokudibeneyo. Ukubonakala amahlaba izihlunu kunye buhlungu ngasemva. Ngokupheleleyo waphawula ukwanda ukuyilwa umchamo, yokulunywa sezintso, acetonuria. Kwakukho iintsilelo sexesheni kunye nokusebenza kwidlala lesinyi. Kwakukho eloyikayo izihlunu, nokudumba neuropathy.

Kwiimeko ezingaqhelekanga wawuqhutywa kwizigulane neutropenia kunye thrombocytopenia. imizekelo ngamnye abonisa reactions anaphylactic, umz, anaphylaxis. kunqabile kakhulu ubonakala bronchospasm, dyspnea. Aphazamise maxa wambi pancreatitis kunye Stevens-Johnson syndrome, epidermal necrolysis. Izigulane ubunzima emva nolawulo isitofu angioedema, nokudumba yobuso, photosensitivity. Kubikwe ukusuka kwelinye ukuya angamawaka alishumi, kwimeko nephritis sifo kunye nephrotic syndrome.

iinyani ngokusemthethweni emisiweyo libanda, ziye zachongwa. Xa edlula ngokwemithamo abawacebisayo medicament kuchaphazela kakubi wokugaya, ibangela ukugabha, iintlungu esiswini, nokuba unesifo. Angavela ukozela nokudideka, isiyezi, kunye nentloko ebuhlungu. Ekuchongeni Enyanisweni libanda, kufuneka ngoko nangoko ukuthatha amanyathelo ezithile ndirhoxise ichiza ukusuka nenyama yi dialysis.

analogue iziyobisi

Amaxabiso aphezulu ichiza yohlukile "caver" (izitofu). Analogs kweli chiza inokufumaneka na ekhemesti. ATC ikhowudi efanayo kunye icandelo esebenzayo evela amayeza zilandelayo:

• "Alfort codex."
• "Dekafen".
• "Delsangin".
• "Delsangin Inekt"
• "Depiofen".
• "Rastel."
• "Sertofen".

La machiza indawo ngokupheleleyo i "caver" (izithonga), ukuba kukho imfuneko. Analogs nawethutyana besenzo kweziyobisi ngendlela efanayo yaye ncam into efanayo esebenzayo, kodwa musa uyichole ngokwabo. Ngaphambi kokubuyisela omnye komnye iyeza kufuneka udibane nogqirha oza kukunceda ukhethe ukhetho kakhulu ifanelekileyo.

Iindleko amayeza

Made in Ukraine iziyobisi "caver" (kuqhume). Manual icebisa ukusetyenziswa akukho rhoqo, kodwa ke ngamanye amaxesha kuphela, hayi ngaphezu kweentsuku ezimbini. ERashiya, eli chiza asibhidlanga kwaye azithengiswa ezikhemisti, ngoko ungafowunela kuphela ixabiso luqikelelo. Lasekwa ngo translation ukusuka hryvnia ukuya engange Russian, kuthathelwa ingqalelo izinga lotshintshiselwano esemthethweni okwangoku 1 UAH apho. ilingana no 3.21 engange. E Ukraine, eli chiza zingathengwa 200 hryvnia. Ngokwemiqathango iindleko iya kulingana 640 engange Russian.

Indlela yokugcina kwithala ubomi

Akukho mfuneko ukugcina ngaphezu kweminyaka emibini ukususela ngexesha lokuveliswa eprintiweyo kumqulu, amayeza "caver" (kuqhume). Inkcazelo ichiza waphawula ukuba ekupheleni ithuba lokugcinwa beziyobisi ayikho alungele ukusetyenziswa. Ugcino kuthetha kuyimfuneko kwibhokisi original kwiqondo lobushushu elingadluliyo 25 ° C. Imithi kufuneka kwindawo epholileyo ingafikeleleki kubantwana mayikhuselwe elangeni ngqo.

Kuthengiswa drugstores ngqongqo kagqirha. Umenzi yinkampani PJSC Ukrainian "Farmak".

"Cavers" - a dlyakupirovaniya iintlungu ethembekileyo kakuhle kakhulu abukhali. Yenzelwe ukusetyenziswa elifutshane. Kubonakele kwimarike ngokwentelekiso kutshanje kwaye kodwa wakwazi ukwenza indawo abathengi. Kokuba uthenge ngokusebenzisa ezikhemisti intanethi, ngokunjalo naxa ezikhemisti ezinkulu kwizixeko ezinkulu Ukraine.