"Poliglyukin": tohutohu mō te whakamahi, contraindications, arotake

"Poliglyukin" - whakahaere antishock plazmozameshchath medicament whakakīkī anō o Ph. Ka rite ki te hua, araia te whakamahi o te raau taero e i adhesion o platelets me pūtau toto whero.

Composition ngā "polyglukin"

Ko te pūtake o te tarukino - dextran. I roto i te pounamu karaihe roto 200 me 400 ml o te faaineineraa i roto i te puka o te wairewa. Kei roto i te hanganga tarukino konutai pūhaumāota me te wai mo te werohia.

pharmacodynamics

"Poliglyukin" ako i runga i te whakaaturanga rite he he antiagregatnym rongoa me ngā pānga hemodynamic. Ko te tarukino he wai here hukarau hydrophilic. I muri te whakamahi i rongoā ph faaho'ihia mai i roto i te wā poto o te wā e tika ana ki te meka e absorbs reira nui te wai.

Ko te wāhanga hohe kua he taimaha rāpoi ngā nui, na i roto i te bloodstream he hakari hoki te wa roa i te reira, a i te whāngai āta haere i roto i te taiepa oko. Āhuatanga o te tarukino ki te whakapiki ake i hohoro a roa ki te pupuri i te pēhanga toto noa. "Poliglyukin" whakaiti kiko edema, whakahokia mai e Ph faaore spasm, e puta i roto i te oko piringa.

ake whakatārewatanga pūmautanga te toto i muri i maimoatanga "Poliglyukin" ako tohu e te raau hanga te toto iti Kaore. I roto i te tangata, whika tonu o, pakaru e tika ana ki te whanaketanga o te ru: microcirculation, rere toto ki te kopa.

Pharmacokinetics

Excretion o medicament whakaputaina i te tinana te nuinga i nga whatukuhu. kawea tango Motunga te roto i roto i te ra. "Poliglyukin" nekehia tonu, wahi iti o reira tomo te pūtau o te pūnaha reticuloendothelial me te takoto ki reira āta puta wāwāhi medicament. Nā ki tenei tukanga, kua hua kūhuka, e kore e nei i whakaaro rite te puna o te pūngao. whiwhi iti "polyglukin" ki te wahi kūnatu.

iteraa papû

taea "Poliglyukin" ako i runga i te tono ki a koe tautapa ka pakaru rere toto capillary. Ko te tarukino e tika ana mō te maimoatanga o āhua o ru, me te Prevention (ru ero, paitini, weranga, ngā mahi, pāmamae). He raau whakamahia i roto i te mate toto whakapeka e puta i roto i te hapū i te pūkano, whanau rite ki te hua o te whētuki ki hohoro whakahoki te Ph ranei. Rongoā He hypovolemia, i te mea he putanga o te wē leakage (wehenga syndrome, weranga). kitea te tōtika o te raau taero i roto i te whakatinanatanga o āraihia e hāngai ana te ārai Embolism (te pokanga, postoperative).

contraindications

I mua maimoatanga he mea e tika ana ki te whakarongo ki contraindications, e kei he whareāpiti ki te whare "Poliglyukin" ako ā-ringa. Contraindications mō te maimoatanga me te ārai o tenei faaineineraa ko e whai ake:

• patunga kaka;
• High ICP;
• āhua i roto i nei te whakataki o wai i roto i ngā rahinga nui he houhou;
• mate tahi e te mate tākihi (anuria, oliguria);
• takawhita nui;
• rahunga ngakau;
• disorders o homeostasis, coagulation;
• tonu toto ā-(okotahi - pēhanga toto i raro 60 mm HG ..).

maimoatanga inenga

He otinga mō te whakahaere rō-uaua. I roto i te wā i reira whakaaro ngaronga toto te whakapeka, tukua ana e ia te whakamahi o te raau taero kōtuitui-matua. whakaritea te tere o te whakahaere tarukino te takitahi me te tei runga i te huru whānui o te manawanui, auau tona ngakau, pēhanga toto me te hematocrit.

Na roto i te āhua e hikitia taunaki whakahaere "Poliglyukin" ā-ako bolus ara rō-uaua. E kore te mea te horopeta kotahi hiahiatia o māngai i roto i ngā take pērā i iti iho i te 400, engari e kore e neke atu i te 1200 ml. I roto i ētahi wā he mea e tika ana ki te whakapiki ake i te horopeta o rongoā ki runga ki te 2000 ml. Ki te i taea e ki te kawe ki noa, he whakawhitinga ki te whakataki o nga rūrūtia tarukino te mahi o BP rite te hua o te whakahaere o te tarukino.

Ki te mate nui toto, e ōrite ana ki te 500 ml me te ake, me rite ki te aroaro o anemizatsii nui anake te whakamahi i whakamana "polyglukin" otinga te huhu. Ka rite ki te mehua ārai ki te ārai i ru i roto i tarukino tafa whakahaere ki te maturuturu ina kua hinga te pēhanga - jet. Te heke koi i roto i te pēhanga toto ki 60 mm HG. Art. a raro titau te introduction o "polyglukin" i roto i te buka e kore nui ake i 400 mL intraarterially. I muri te raveraa i ngā mahi mā te whakamahi i tenei rongoa ārai hua, tuku ki te ārai i te whanaketanga o te ru.

Kei te nuinga whakamahia otinga i te kukū o te 6% taonga kaha, engari tano "Poliglyukin 33" i roto i ētahi wā. Tohutohu mō te whakamahi whakaatu e te waihanga ki te kukū o te dextran ko te kaiwhakahohe pŭpŭ tauturu, no te taki i te hototahi o te kaiwhiwhi, me te kaituku.

A, no te mea e tika ana ki te whakakore i wera ru, te ra tuatahi whakahaere te pakeke te i 2 mano. Mano ki te 3. otinga ML, kua tono i te rua o nga ra o te kore neke atu i te 1.5 mano. ML faaineineraa. I roto i aua wā, ina he tika te ru ki te tango i te tamaiti, kei te tuatahi reira whakahaerea 40-50 tikanga ml / kg, i te rua o nga ra heke te horopeta ia manokaramu taimaha tinana te ki te 30 ml. Ka rite ki te mehua ārai, ki te whakakore i te taea o te ru, whakamōhio nga tamariki maturuturu ara rō-uaua. Ko te horopeta hiahiatia hoki te tamaiti awhe i te 10 ki te 15 ml / kg "Poliglyukin" faaineineraa. Tohutohu mō te whakamahi mo te kararehe, rawa, hanga ana e ia taea ki te tono i te maimoatanga, e hāngai ana i runga i te whakataki "polyglukin". Hoki enei take i te horopeta otinga o te 15 ki te 20 ml / kg. whakaritea te horopeta tino tika o te raau taero e te tākuta.

pānga taha

I mua i te whakamahi i te hua "Poliglyukin 'tohutohu mō te whakamahi, e ākina urupare ki te arotake i te pānga taha taea. Ko te tikanga e kore fifi e whakatika, a te whakautu pai te tinana o te tūroro ki te tarukino. I te tahi taime e taea te kite te reira i roto i te puka o tauhohe mate pāwera o ru anaphylactic, puku, minamina me te hikaka. I roto i te tahi mau tūroro, te whaturei reira ko te mana'o o te kōpeketanga, i reira he mamae. Kia reira kirika, pēhanga toto iti, te whakaterenga o te auau ngakau. kia whai koe raruraru ki manawa, whanoke me te whanaketanga aroaro acrocyanosis. Ka rite ki te tuwhena rawa ngā kawea anō kawenga i runga i te ngakau, opani nui te horopeta tūtohutia tikanga "Poliglyukin" ā-ako. Papa, me te tahi atu ngā rongoā e te tango i te manawanui, e taea whakapōrearea i te mahi o te otinga.

arotake Analogs

Whakauru medicament taea "HyperHAES", "Reoglyumanom" ranei "Hai-horomata". Hoki rongoā e kua whakamahia hoki te whakaaro ano rite te "Poliglyukin" ngā "Sterofundin", "Reopoligljukin", "Stabizol".

Whakakapia "Poliglyukin" tohutohu mō te whakamahi i tuku i roto i te wā i reira e kore e te manawanui uru tenei whare. Hoki e taea te whakamahi monoraa i "gelofusin", "Refortan N», «Sorbilakt". Ka taea te hurihia ei te pānga rite "Albunormom" me "Neorondeksom".

whakaatu Reviews e tauturu te nuinga tarukino i roto i te whakakore i te raruraru. Ko mai te mea rerekē i ia take, kia nga hua o tona whakahaere rerekē. He nui tei runga i te huru o te manawanui. Iwi i mōrearea o kahore ki te whakamahi i "Poliglyukin" i runga i to ratou ake, e tika ana ki te mōrea o te whakahaere ta'etotonu o pūtea me te whanaketanga o ngā pānga taha.

Ko tōna otinga mahi "Poliglyukin" mahi, engari ki te maimoatanga, me te te whakatinanatanga o te ārai, e kore i reira whai hua, me te kua arahina ki ētahi atu raruraru, ko te horopeta o te tarukino kia whiriwhiria e te tākuta takitahi. he mātanga anake e taea te whakahaere i te tarukino rite kore e he tangata tonu e taea ki te tika te whakatau i te horopeta e hiahiatia ana me te ara e tika ana o te whakahaere o te rongoā. pota nui o taero he mōrearea hoki te ngakau, kia kore e tangohia tūponotanga, me ki whaiaro medicate-.