Kiwon lafiya, Shirye-shirye
Epinephrine hydrochloride: umarnin don amfani, bayanin irin shirye-shiryen da
A kaifi karu a jini a sakamakon allergies, magani overdoses ko wasu haddasawa iya kai ga babu ja sakamakon a cikin jiki har ma da mutuwa. Don kwanan wata, da al'adar magani don cire haƙuri daga wannan jiha da ake amfani da adrenaline hydrochloride. Shi, dangane da wuya daga cikin halin da ake ciki, marasa lafiya suna gudanar subcutaneously, intramuscularly ko intravenously, kuma a mafi tsanani lokuta - intracardiac.
pharmacological effects
Babban sakamako daga cikin miyagun ƙwayoyi ne kai tsaye alaka da tasiri a kan DUNIYA, kuma b-adrenergic rabe, da kuma a cikin da yawa hanyoyi shi ne kama da jijiya fiber zumudi effects. Lokacin gudanar zuwa epinephrine hydrochloride inganta vasoconstriction duk na ciki gabobin da kuma partially kwarangwal tsokoki. Saboda irin wannan raguwa a lumen jini tashoshi auku karuwa a jini.
Duk da haka, ya kamata a lura da cewa sakamakon da adrenalin tasiri a jiki, saboda da tasiri a kan b-adrenergic rabe, kasa akai idan aka kwatanta da noradrenaline. A halin canje-canje na zuciya aiki ne sosai hadaddun. Bayan ruri daga adrenergic rabe taimaka wa mafi m kuma Ya ƙãra zuciya rate, kuma a lokaci guda, a lokacin da jini ta fito, da cibiyar ne m vagus jijiya, wanda inhibits da aiki na zuciya. Wannan shi ne dalilin da ya sa a lokacin hypoxia gudanarwa ta da miyagun ƙwayoyi zai iya sa arrhythmia.
Bugu da kari, da miyagun ƙwayoyi sa almajiri dilation, shakatawa na tsokoki na hanji da kuma bronchi. An tabbatar da cewa marasa lafiya suna kara nama metabolism da kuma glucose yakan a cikin jini bayan guda kashi na wani kayan aiki irin su epinephrine hydrochloride. Umarnin don amfani da ƙunshi bayani game da cewa magani ya mayar da aikin ikon da kwarangwal tsoka nama, ciki har da tare da gajiya.
Game da tsakiya m tsarin, da warkewa kashi na miyagun ƙwayoyi, a matsayin mai mulkin, ba su da wani pronounced sakamako a kan shi.
Don nuna da miyagun ƙwayoyi?
Amfani da epinephrine hydrochloride tare da kaifi karu a jini (irin likita yanayin da haƙuri kira rushewar). Tashi irin wannan rikicin na iya haifar da wani mutum yawan abin sama magani, cizon kwari da kuma m rashin lafiyan halayen.
Wani nuni ga miyagun ƙwayoyi - qarancin ruwa, wanda ya auku a lokacin da wani yawan abin sama na insulin. A wannan jiha, da mãsu haƙuri ne hanzari faduwa jini ba kawai yi, amma kuma da matakin da jini sugar.
A ophthalmology magani wajabta wa marasa lafiya tare da ƙara intraocular matsa lamba (glaucoma). A ENT yi shi ne amfani da wata vasoconstrictor.
Bugu da kari a wadannan alamomi, epinephrine hydrochloride aka gudanar ga marasa lafiya da na ramin zuciya fibrillation.
dosing tsarin da kuma Hanyar yin amfani
Dangane da cutar da kuma ta mai tsanani miyagun ƙwayoyi zuwa haƙuri za a iya nuna subcutaneously, intramuscularly da intravenously. Kamar wancan ne ta amfani da 0.1% bayani daga 0.2 / 0.3 / 0.5 ko 1 ml. Marasa lafiya da m sakamakon bugun zuciya gudanar 1 ml na cikin shirye-shiryen, wannan kashi da aka yi amfani da, da kuma na ramin zuciya fibrillation. Ya kamata a lura da cewa dispensing kewaye ance kawai da likita domin kowane hali.
Bronchial fuka cropped Drug Administration subcutaneously a 0.3 - 0.5 - 0.7 ml. Amma kamar yadda warkewa allurai epinephrine mafita ga parenteral amfani, sa'an nan, matsayin mai mulkin, suna tsara don adult marasa lafiya 0.3 - 0.5 - 0.75 ml. Babe, idan ya cancanta da aikace-aikace na wannan medicament bisa ga shekaru ana gudanar 0.1-0.5 ml.
A abun da ke ciki na miyagun ƙwayoyi
Epinephrine hydrochloride a m nau'i ne dan kadan ruwan hoda ko fari crystalline foda. Ƙarƙashin rinjayar oxygen da kuma haske mai iya canza shi. Duk da haka, a cikin wannan tsari, cikin shirye-shiryen da aka ba kawota ga mabukaci. Kafin shi za a iya amfani likita yi a aseptic yanayi a cikin Pharmaceutical masana'antu shi ne diluted tare da wani bayani da hydrochloric acid. A amfani harhada magunguna a matsayin magungunan adana sodium metabisulphite da chlorobutanol.
Kawai bayan da cewa a cikin Pharmacy, marasa lafiya na iya saya epinephrine hydrochloride bayani, cikakken shirye don amfani.
Saki nau'i na da miyagun ƙwayoyi
A ranar, da miyagun ƙwayoyi ne samuwa ne kawai ga mabukaci a cikin nau'i na 0.1% bayani wanda shi ne samuwa a vials da ampoules. Da farko Volume na 30 ml, amma na biyu - kawai 1 ml. Ampoules na 6 inji mai kwakwalwa. kunsasshen a kartani akwatin.
A bayyanar shi yayi kama da bayani ne gaba daya m ruwa, babu precipitate da nerastvoronnyh daban-daban abubuwa.
Wannan magani an contraindicated?
Idan muka yi la'akari da cewa babban nuni ga yin amfani da kwayoyi - karuwa a jini saboda takaita da jini, shi ne ma'ana cewa shi da cikakken ba za a iya amfani da hawan jinni da marasa lafiya.
Ba m epinephrine hydrochloride kuma a lokacin m ayyukan, cyclopropane ko halothane maganin sa barci.
Ya kamata kuma a lura da cewa da miyagun ƙwayoyi ne tsananin haramta a lokacin daukar ciki da kuma lactation. Kuma a tare da tare da miyagun ƙwayoyi "Oxytocin" miyagun ƙwayoyi take kaiwa zuwa ƙãra yawan guba.
illa
Duk da cewa a da yawa ailments da miyagun ƙwayoyi iya ajiye haƙuri da rai, kamar yadda m, kuma zai cuce idan ba ka yi la'akari da mutum halaye na haƙuri ko ƙetare canja kashi.
Saboda haka, ko da amfani sosai, magunguna mutum iya jin juwa ko jiri, tashin hankali, tremors, juyayi da kuma janar rauni. Bugu da kari, a haƙuri bayan gwamnati da miyagun ƙwayoyi za a iya lura pallor (saboda vasoconstriction), sweating da kuma mai shudewa karuwa a jini. Duk da haka, da m bayyanar cututtuka, saboda ta short duration, ba ya bukatar wani likita gyara ko cikakken yarjejeniyoyin da miyagun ƙwayoyi.
Wadanda nuna adrenaline hydrochloride, umurci manual yayi kashedin game da yiwu ci gaban cardiac arrhythmias, tachycardia, mai kaifi Yunƙurin a jini. A marasa lafiya da jijiyoyin zuciya jijiya cuta da suka yi amfani da miyagun ƙwayoyi kara hadarin angina harin.
yawan abin sama
Kowa ya sani cewa da magani magunguna sa ran za a yi amfani da daidai sashi da kuma kawai a kan takardar sayen magani. In ba haka ba, da mãsu haƙuri ta kiwon lafiya shi ne mummunan hatsari. Kuma epinephrine hydrochloride ba wani togiya.
Lokacin wucewa halatta sashi bayani (ko da gudanar subcutaneously) a haƙuri nan da nan tasowa cikin sauri mydriasis kuma Ya ƙãra jini. Bugu da kari, muhimmanci rãyar da zuciya rate, wanda a wasu lokuta ci gaba zuwa na ramin zuciya fibrillation. Kuma idan haƙuri karfi kara da hydrostatic matsa lamba a cikin karami jini da kuma permeability na huhu capillary bango, na iya ci gaba na huhu edema kyallen takarda.
Yadda za a toshe cikin illar da miyagun ƙwayoyi?
Fafitikar da wani yawan m ayyuka na adrenalin antagonistically aiki via α- da β-blockers. Wadannan sun hada da "Inderal" kwayoyi "Tropafen", "Phentolamine" da sauransu. Sau da yawa likitoci cire sakamakon adrenaline da sauri amfani nitrites. Duk da haka, yin amfani na sama kungiyoyin na magunguna ne kawai inganci idan haske Forms jerin illa irin wannan hanyar kamar yadda adrenaline hydrochloride (dabara ne: 1-1- (3,4-dihydroxyphenyl) -2-methylaminoethanol hydrochloride).
Idan haƙuri a lokacin da yin amfani da wannan magani ya lura mafi tsanani da rikitarwa kamar na ramin zuciya fibrillation ko mai yawa na huhu edema, high-gudun aikace-aikace na nitrite da isasshen daban-daban blockers. Domin ceton marasa lafiya a cikin wadannan lokuta, likitoci sun soma wani hadadden far, wanda zai iya hada ko da lantarki defibrillation na zuciya.
Yanayi na samar da miyagun ƙwayoyi
Shi ne kawai ma'ana cewa magani ne magani bisa adrenaline haramta free to sayar da ƙarshen mai amfani. Bayan kai yana nufin data iya kai ga mummunan sakamakon nauyi ko da tare da tsananin yarda da dosing tsarin. Bugu da kari, wasu marasa lafiya da gabatarwar a kananan adadin wani adrenaline hydrochloride (sanarwa ya shaida wannan) tsanani rashin lafiyan dauki iya faruwa.
miyagun ƙwayoyi interactions
Kowane likita ya san cewa amfani da adrenaline tare da daban-daban symptomatology ne tsananin haramta. Bayan duk, irin mai hade yana da wani ƙari sakamako da take kaiwa zuwa maye.
Kada ka yi amfani da wannan magani domin lura da marasa lafiya da suke yi barci kwayoyi da kuma narcotic analgesics. Bugu da kari, allergies, wanda tsare amfani antihistamines, wani likita, kuma, bai yarda ya rubuta takardar sayen magani. Adrenaline hydrochloride a cikin wannan yanayin ne ba kawai wani kiwon lafiya Hazard - shi iya zama m.
Ba a halatta hade da miyagun ƙwayoyi da inhalation m, kamar yadda wannan na iya haifar da ci gaban da hadaddun cardiac cuta a cikin wani haƙuri.
analogues magani
Saboda gaskiya cewa masana kimiyya ba su daina a kan samu sakamakon da ci gaba da yin aiki a kan halittar sabon kwayoyi a cikin hanyar epinephrine hydrochloride for yau riga yana da wani m jerin analogues. Duk da haka, da zabi na kwayoyi, irin wannan, a mataki tare da adrenaline, yana da za'ayi na musamman da halartar likita. A wannan yanayin, da gwani a shiryar da shi ba kawai da tsari da kuma tsanani daga cikin haƙuri ta cuta, amma kuma daukan la'akari da mutum halaye.
Duk da ban sha'awa jerin takwarorinsu, wanda ya kamata ba zaton cewa za su iya zama musu kyauta saya a kantin magani. By sayen adrenaline hydrochloride, takardar sayen magani a Latin ake bukata don nuna harhaɗa magunguna. A wannan ake bukata idan ana so a saya da wani na sama magunguna.
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