Sodium nitroprusside: umarnin don amfani da

Akwai da yawa da kwayoyi da cewa suna da hypotensive effects. Kwayoyi da rage hawan jini, ana amfani da wani hadadden da kuma baje (1-2 sau yau da kullum). Kamar wancan ne bi da hauhawar jini. A wasu lokuta, mai yawan kwayoyi don rage hawan jini ba su shafi. Sa'an nan tambaya karfi magunguna kamar bayani 'sodium nitroprusside. " Wannan magani da ba a amfani tsare da kuma ba tare da wani tsanani da bukata. Ba shi da wani magani na da zabi ga magani daga hauhawar jini da kuma na kullum zuciya maye. Ana amfani ne kawai a lokuta da gaggawa, idan jikin mutum ba ya amsa wasu kwayoyi da rage hawan jini (diuretics, ACE hanawa). A bayani 'sodium nitroprusside "ba za a iya gudanar da shi kadai, ba tare da takardar sayen magani.

Abin da sakamako da miyagun ƙwayoyi yana a jiki?

Shiri "sodium nitroprusside" (dabara - C ₅ FeN ₆ Na ₂ Ya) tana nufin wani rukuni na gefe vasodilators. Yana dauke da abu duhu ja launi a cikin nau'i na lu'ulu'u ko foda. Amma shirye-shiryen diluted da ruwa da kuma amfani a cikin wani ruwa form. Saboda gaskiya cewa akwai wani nitroso kungiyar, da yin amfani da miyagun ƙwayoyi sa vasodilation a cikin abun da ke ciki na abu. Wannan na faruwa ne kamar haka: Wannan sunadarai fili a lokacin da ingested ne tuba zuwa cikin nitric oxide da activates da enzyme - guanylate cyclase. Bisa inganta samuwar cGMP wanda o ƙarin tabbatar da tara a jijiyoyin bugun gini m tsoka, kuma Yanã ta shakatawa. Haka kuma, da medicament "sodium nitroprusside" samar da wadannan effects da arterio venodilatiruyuschy da hypotensive. Ta hanyar wannan aikin na jijiyoyin bugun gini tsarin da aka fi samun da sauri. Bugu da kari, da mafita aiki bisa ga irin cardiac glycosides, Ina nufin rage tsokar oxygen bukatar. Wannan sakamako aka samu da xabi'a kuma afterload karu.

alamomi medicament

Ya kamata a yaba da cewa da miyagun ƙwayoyi da ake amfani da kawai a gaggawa lokuta da tsanani cututtuka da kuma juriya da kwayoyin zuwa wasu kungiyoyin na medicaments. Alamomi ga yin amfani da miyagun ƙwayoyi ne ake kira:

1. M zuciya rashin cin nasara. A musamman da muke da tuna ci gaban da na huhu edema (cardiac asma). A miyagun ƙwayoyi ne hanzari ya hana wannan jiha ba tare da wani sakamako na diuretics.
2. Kullum zuciya maye, mai tsanani. A karshe mataki na kullum zuciya maye (2b, 3) Ba ko da yaushe amsa magani. Saboda haka, a lokacin da juriya ga sauran kwayoyi da kuma dire yanayin haƙuri rubũta gefe vasodilators.
3. M jijiyoyin zuciya ciwo. A wasu lokuta, da miyagun ƙwayoyi ne a yi amfani da tsokar zuciya infarction, don rage matsin lamba a cikin jini na zuciya, kazalika don kauce wa ci gaban cardiogenic buga.
4. Baro wa gargajiya magani daga hauhawar jini. Vasodilators iya amfani da pheochromocytoma, paroxysmal crises, kazalika da ci gaba mai tsanani da rikitarwa lalacewa ta hanyar wani kaifi karuwa a jini (bugun jini, psychogenic cuta, ciwon zuciya).
5. Ergot guba. Wannan inji mai kaifi ne vasospasm, wanda zai iya raunana via medicament "sodium nitroprusside." Umarnin don amfani a kunshin abun da ake sakawa da ya kamata a fahimce shi sosai likitoci "motar asibiti" da kuma farfado da.

Contraindications da illa

Da miyagun ƙwayoyi kamata ba a yi amfani a hemorrhagic bugun jini, kazalika bayan shi. An contraindicated ga mutanen da fama da kullum koda cuta da hypothyroidism. an kuma ba da shawarar mutanen da ke da ƙãra intracranial matsa lamba. A amfani da magani an haramta ga yara, mata masu ciki da mutane a cikin tsufa. Wani contraindication ne m aiki wakili da ci gaban rashin lafiyan halayen.

Daga cikin illa daga yin amfani da "sodium nitroprusside" shiri ne don samar da wani m karu a jini (a wannan yanayin, shi wajibi ne don dakatar nan da nan gwamnatin), ya karu da zuciya rate, juwa ko jiri, tashin zuciya da kuma janar rauni.

Sunadarai dauki da sodium nitroprusside

Bugu da kari ya bayar da warkewa sakamako na sodium nitroprusside abu amfani da sinadaran halayen. Idan abin da ake gauraya da wani ketone jiki (acetone) da kuma sanya shi a cikin wani alkaline yanayi, za ka iya ganin wani ban mamaki canji a cikin launi daga cikin fili. Domin irin wannan rikirkida amfani 4 shambura. A kowane sanya daya kawai abu - sodium nitroprusside, acetone, Alkali, acetic acid. A cikin farko idan sakamakon bayani ya juya haske orange-ja dafa. Next, wannan fili da aka diluted tare da acetic acid. Launi sake canza, wannan lokaci da ruwa zama duhu ja ko shunayya.

Shiri "sodium nitroprusside": umarnin don amfani da

Don shigar da miyagun ƙwayoyi, shi ne zama dole a samu igiyar jini damar. Nan da nan kafin a fara da miyagun ƙwayoyi jiko, ya kamata a diluted a 5% glucose bayani. A saboda wannan dalili, 1 vial miyagun ƙwayoyi a wani sirinji da kuma diluted tare 5 ml na ruwa. A sakamakon cakuda da aka allura a cikin vial da 5% glucose soke sake. Bayan haka, karba ake so sashi. Yana daga jeri 0.3 zuwa 8 g da 1 kg na jiki nauyi. A jiko aka yi ta hanyar tsarin. Ya kamata a fara da low kashi da hankali kara da shi karkashin iko da muhimmanci ãyõyi (jini, zuciya rate, bugun jini). Shi ne kuma dole a saita wani m jiko rate daidai 2.5-3 MG / kg a 1 minti daya. A sashi dogara a kan lokaci na Drug Administration. Tsawo jiko dole saka idanu da matakin na cyanide-dauke da medicament a "sodium nitroprusside". Umurnai na yin amfani da miyagun ƙwayoyi ya kamata a fili kiyaye.

Hulda da sauran kwayoyi

Ba mu bayar da shawarar yin amfani da miyagun ƙwayoyi, da kuma sauran antihypertensive jamiái, a matsayin yiwu ci gaban a Jihar buga. Don Allah ku yi sani cewa yin amfani da baka hana rage tasiri na da miyagun ƙwayoyi. Lokacin hade tare da medicament miyagun ƙwayoyi "Dobutamine" ga m ãyõyi na haƙuri dole ne a hankali da sanya idanu (yiwu rage matsa lamba, wedging a cikin huhu tasoshin kazalika ya karu cardiac girma).