"Promedol": imiyalelo ukusetyenziswa. uhlobo Ukukhutshwa ichiza, imithetho zentengiso ezikhemisti

Ezinye izifo ngemikhuba yokuhlasela kakhulu intlungu, leyo ukuphatha wonke umntu ntlungu. Ngoko ke, xa kusenziwa zonyango ngokubanzi kusetyenziswa amayeza ezinxulumene analgesics opioid, apho kuthengiswa kuphela ngokumiselwa. Enye isiyobisi ezinjalo i-arhente "Promedol" uqhawulo ekwaziyo kuwo onke amanqanaba oluntu central system luvo ukudluliselwa interneuronal neemvakalelo intlungu. Ukuthetha agonist receptor opioid ukulungiselela "Promedol" enza iinxalenye ingqondo, ukutshintsha intlungu ngokweemvakalelo. Ngeempawu amayeza efanayo ichiza "icaffeine" medicament yaye "Fentanyl", oko kwandisa kakhulu umbundu intlungu zabantu, Unazo umlinganiselo isiphumo soporific kunye nesiphumo ziyibuyisela kwi ingqondo conditioner. Nakuba kunjalo, ngokungafaniyo amalungiselelo drug-zikhankanywe ngasentla "Promedol" ngaphantsi esingenakubangela iziphumo ebezingalindelekanga ezifana nokugabha kunye isicaphucaphu, ngaphantsi depresses iziko nokuphefumla kunye shchadjashche ngaphezulu ukusebenza spasmolytic kwi ureter kunye bronchi. Kwangaxeshanye, kuqinisekisa ethile umsebenzi contractile kunye nethoni le myometrium.

Iifom Release "Promedol" iziyobisi kunye nesakhiwo sayo

Ngaphandle iintlungu zethu karhulumente "Promedol" inomnye non-wezindlu igama "trimeperidine hydrochloride" ngamazwe, apho kusetyenziswa njengempembelelo esebenzayo amachiza amaninzi. Namhlanje ukukhululwa ichiza lancitshiswa iintlobo ezintathu: tablets, ezineengqayi kunye neetyhubhu isirinji. Eyokuqala zahlanganiswa iipakethe amaqhosha 10 kunye kagqirha ezikhemisti, ngelakamva liya kusetyenziswa izibonelelo zonyango ukuba isitofu kwizigulane. Isisombululo "promedol" kuveliswe kunye iqela-1% ne-2% kwaye iqulathe 0,01 okanye 0,02 g ngokulandelelanayo trimeperidine. Zifakwa kwesikhumba iziyobisi, intramuscularly, kwaye kwezinye iimeko ezinzima yegazi. Le ngesirinji-iityhubhu ezisetyenziswa ezibhedlele kwakunye ekhaya.

iintlungu "Promedol" banokuthi banyulwe koko izifo?

Ukuze ukuthenga ichiza "Promedol" iresiphi kufuneka ifunyenwe evela kugqirha oya kuba nako ukubala idosi echanekileyo ichiza kwaye wenze isicwangciso sonyango. Izinto ezibonisa ngokufumana ichiza inokuba zizifo ezahlukahlukeneyo kukhatshwe iintlungu ngobunzulu eyomeleleyo kunye neziphakathi. Kwinkqubo kokudla a Peptic isilonda 12 isilonda duodenal kunye nesisu, pancreatitis ezondeleyo, perforation ye emphinjeni. Inokubuyiselwa eyabelwe ichiza "Promedol" kunye nabantu abafunyenwe izifo nkqubo genitourinary, oko kukuthi, prostatitis etsolo, paranephritis, paraphimosis, dysuria etsolo kunye namaqumrhu angaphandle kweli urethra kunye isinye. Oku kuphumelela kakhulu iintlungu ezidakumbisayo kunye iposi engabalulekanga, angina ezingazinzanga, thrombosis kwemithambo hepatic, sokuhlaziya kwemithambo aortic, kwemithambo Embolism lomzimba kunye imithambo pulmonary, iposi yemiphunga, Embolism umoya, pneumothorax ezizenzekelayo kunye unepleurisy oyingozi. HIV isenzo "promedolom" isiphumo kunye neentlungu abantu neuritis etsolo, causalgia, glaucoma, sciatica, thalamic syndrome kunye vesiculitis oyingozi. Ngenxa isiphumo ngokukhawuleza iintlungu beziyobisi lisetyenziswa kwi unxinzelelo ngamandla, ukutsha kunye nomhlaza.

Besebenzisa "Promedol" uthetha ekukhulelweni

Isicelo le analogu eyenziweyo lithetha "icaffeine" kwinkqubo kulungiselelwa umguli ezininzi zokungenelela zotyando, kwakunye nokukhuthaza abasebenzi. Ukwenza njenge antispasmodic enamandla, oko buyasikhulula wesibeleko, ngaloo ndlela ingqondo sisithethi sembeko. Kwangaxeshanye, ichiza ichaphazela isibeleko yomfazi okhulelweyo, ezinye ekuqiniseni ukuncitshiswa layo, ngoko, ibalekisa imisebenzi generic. Ngokuqhelekileyo, ichiza "Promedol" nokuzalwa kwesikhumba njengesiqhelo kwaye intramuscularly kwi ezinqeni, hip okanye negxalaba. Kuphela kukwiimeko ezizodwa kakhulu, xa emhandzini ubomi bomntwana, ukuzala xi nga yegazi ukungena. ukusebenza iintlungu emva isitofu ebonakalaliswe imizuzu eli-10-15, emva koko loo mfazi ahlaziyeke kancinci kancinci uze uzale umntwana ngokukhuselekileyo.

Le iziphumo zokusetyenziswa kwemali xa bezala "Promedol"

Ngokubanzi, oku iintlungu eyenziweyo ingqalelo eyenzwe umama kunye nomntwana ngexesha yabasebenzi, kodwa musa ukulibala malunga ngamnye umzimba womntu. Ngoko ke, abanye abafazi baye abonakalisa yeziphumo ebezingalindelekanga olu nyango, isicaphucaphu, ukugabha, kunye linyuke ngayo ingqondo conditioner. Kufuneka uthathe ingqalelo into yokuba eli chiza "imiyalelo Promedol 'ukuba ukusetyenziswa iya kuqinisekiswa, oko ngokukhawuleza kakhulu ungena egazini, naxa elawulwa kwesikhumba, nengqwalaselo ubuninzi ekufikelelwe kuso emva kweeyure 2-2.5. Ngoko, kakade emva kwemizuzu 2-3 emva isitofu umama womntwana ifumana iintlungu ezidakumbisayo ngokusebenzisa kwemithambo yosana, nto leyo eza kuboniswa kwi umzimba amaxesha ayo 7 ingacota kunendlela kwi unina. Emva iintsana kokuzalwa kancane kunciphise umsebenzi yokuphefumla, silale, ukuba nochuku, yaye ngokufuthi abavuma ukuyithabatha incum. Ezi imvuthuluka ngemihla yokuqala yobomi babo kufuneka neonatologists ingqalelo ekhethekileyo, njengoko kufuneka, umzekelo, nokuphefumla ngumntu okanye amanye amanyathelo ukuze kuqheleke kwiinkqubo zobomi.

Besebenzisa "Promedol" iziyobisi anaesthesiology

Enye indawo yamayeza apho amayeza "Promedol" wafumana isicelo yayo ibanzi anesthesiology. Ngokuba umntu premedication ilawulwa intramuscularly okanye kwesikhumba 1.2 ml nesisombululo okuphelisa iintlungu nodibaniso 0.5 mg of "atropine" iziyobisi malunga 30-40 imizuzu phambi uqhaqho. Kwiimeko ezigqithisileyo, xa isigulana zifuna ukulalisa, la machiza zoshwankathelo zilawulwe yegazi. Ngexesha utyando umntu phantsi zomzimba, njengoko amathamo ahlukene ezilawulwa eli chiza ukuphucula analgesia, nto leyo inegalelo ukuzinzisa uxinzelelo lwegazi ze yehlise tachycardia. Ngokuba iyeza zomzimba jikelele nabeengingqi "Promedol" xa ampoules ezakusetyenziswa anticholinergic, antihistamines, kunye antipsychotics. ile babesebenzisa neuroleptics kunye medicament "Droperidol" Kuba analgesia engundoqo. ixesha Postoperative ukuba ezinye izigulane sidlula ngaphandle kokusebenzisa ezidakumbisayo iintlungu kwesikhumba elawulwa kuphele iintlungu kwaye protivoshokovoe njengendlela.

Izimo

Sebenzisa naluphi na amayeza ngaphandle kokumiselwa inobungozi, iziyobisi ingakumbi ezidakumbisayo ezifana iintlungu "Promedol". kwi sicelo kwalo ndindisholo Guide aman- ye Izimo, leyo kufuneka kusoloko ufundwe phambi kokuba ulwamkelo. Kufuneka kuqatshelwe ukuba ukusetyenziswa ngenxa unyango kule iyeza akuyomfuneko ngexesha lokukhulelwa, zisanyisa, abantu abadala kunye Kiddies ukuya kwiminyaka emibini. Kwakhona uchaza uluhlu olude kwezifo apho indlela 'Promedol "Musa yingozi kuphela, kodwa ayikwazi neze. Kolu luhlu ziquka hypersensitivity ukuba ichiza, ukudakumba yokuphefumla, izifo, iingxaki igazi ekunqandeni, urhudo ngenxa yokudumba okwenziwa pseudomembranous ezibangelwa lincosamides, cephalosporins, penicillins okanye usasazeko ityhefu. Ukuba uyeka ezithatha ichiza nasebudeni unyango nge Mao inhibitors, kunye iintsuku ezingama-21 emva kokufunyanwa kwazo. Ngononophelo kakhulu, eli chiza kufuneka isetyenziswe kunye neentlungu esiswini ngenxa umyalezo ongaziwayo, isifuba inyumoniya, arrhythmia, ukuxhuzula, lwegazi, ukusilela yokuphefumla, ukusilela intliziyo, myxedema, zezintso, ukusilela adrenal kunye hepatic, hypothyroidism, CNS ukudakumba, lwegazi intracranial, nangokurhala kakhulu izifo emathunjini.

imiphumela emibi ichiza

Thathela ingqalelo ngamnye umzimba womntu, kukhuselekile kuthi na, nkqu amayeza ikhuselekileyo kunokubangela ezahlukahlukeneyo abasabela ezibi. Ukuba sicinga ezidakumbisayo iintlungu "Promedol" iresiphi leyo zingafumaneka kuphela kunye nogqirha, uluhlu lwakhe Izimo nangaphezulu. Ngenxa yoko, indlela abasabela ngayo iphecana zesisu kule ichiza spasm ye phecana biliary, ukugabha, isicaphucaphu, umlomo owomileyo, ukuqhina, unesifo. Ukuba ngaba umntu une yokukrala zale nkqubo yokwetyisa, ukuya luhlu lungentla ungadibanisa ileus onedumbe, senyongo kunye megacolon ityhefu. Abanye abantu athatha ichiza, "bavukele" basenokuziva amalungu kunye luvo. Iimpawu kungabandakanya ukungaboni, isiyezi, diplopia, intloko ebuhlungu, unditsho, zokurhwaqela kwezihlunu ihlale kuyo, iingcangcazela, ukudideka, ukozela, imincili, nokudideka, ukudakumba, ukuduma, ukuphazamiseka ngamazwi, kunye nezinye izifo. iziyobisi "Promedol" isixokelelwano sokuphefumla ingcinezelo kunokuba negalelo kakhulu imeko yomguli lezempilo kwaye kungakhokelela ezahlukeneyo ithi ingxaki, nkqu ukuba khokhoma. Ezinye izigulane basebenzisa iziyobisi "Promedol" ncomo zibonisa kubonakaliswa esibonakalayo arrhythmia, kwakunye ukuhla elibukhali uxinzelelo lwegazi. Fail ngexesha uthatha inkqubo neziyobisi wokuchama oko ngazo ngokunciphisa imveliso umchamo kunye nokugcinwa womchamo. Xa yezonyango, ngokunjalo kukho iimeko apho iziphumo ebezingalindelekanga nokusebenzisa lithetha "Promedol 'ibonakele ngohlobo negazi ezifana laryngospasm, irhashalala, nokudumba, bronchospasm, kunye nabanye. Kwiimeko apho indlela ngasentla kumzimba lo mthetho, lo gama ezithatha ichiza "Promedol" yemiyalezo ithatha ukubonakala iziphumo ebezingalindelekanga yemiphunga isicaphucaphu, ukugabha, yaye ubuthathaka jikelele umzimba.

Libanda, kunye neziphumo ukusetyenziswa ngokungafanelekanga beziyobisi "Promedol"

Xa isicelo olungachanekanga ichiza okanye ngeedosi ezingachanekanga kubalwa kuthathelwa ingqalelo zonke iimpawu isigulane imiphumo inokuba ukwazeka kakhulu. Xa yezonyango kwakukho amatyala xa libanda inyuswe nje ubungqongqo ziziphumo ebezingalindelekanga, kodwa isigulana uxinezeleko osezingqondweni, unesifo amahlaba bukhali.

Inyathelo elifanelekileyo in libanda

Eyona misebenzi iphambili ukuze kubuyiselwe libanda yabantu "Promedol" ichiza kufuneka isetyenziselwe ukuxhasa umsebenzi olwaneleyo yemiphunga zidityaniswe kunye kunyango nomqondiso. Ukuze benze oku, lo intramuscularly nomonde okanye butofelwe kulawula ukuba ichiza "Naloxone" ezithile ochasene opioid, ekufuneka ukubuyisela ngokukhawuleza iziko sokuphefumla. Ukuba emva kwemizuzu 2-3 nezo ziphumo zinqwenelekayo lwenzeke, inaliti yesibini.

Imigaqo intengiso ichiza kunye neemeko yogcino

Shiya ichiza ezikhemisti ukuya labemi kwenzeka kuphela inani zokupheka musa ukudlula ikhosi enye epheleleyo yonyango. Njengoko ukugcinwa iintlungu ezidakumbisayo "Promedol" yemiyalezo uchaza ngokucacileyo ukuthobela zonke iimeko. Ingakumbi into yokuba ichiza kufuneka sibe apho abantwana ngokuxhomekeke lobushushu hayi ngaphezulu kwe + 15 ° C.