"Pūhaumāota Suxamethonium": matū whakaahuatanga, taha-pānga me arotake

I roto i te mahi hauora, ki te maha o te raau taero e hiahiatia hei tauira,, kawea te tinana o te manawanui ki te āhua e hiahiatia ana mō te hua pokanga. Etahi ngā tukanga hiahia āwenewene whakapataritari whakangā tino o te uaua. Hoki tenei whakaaro, te whakamahi ko maha tarukino "pūhaumāota suxamethonium" (te ingoa hokohoko o te hua - "Listeon"). Tenei raau nuinga whakamahia i roto i ngā pūtahi motuhake rata. He aha te mea te uho o tona mahi pharmacological? He mea kino ki te whakamahi o te moni? He aha kia rite ki te whakamahi o te taonga "pūhaumāota suxamethonium"? ka Whakaahuatanga o te faaineineraa, me etahi āhuatanga o tona tono kia kōrero i muri i roto i tenei tuhinga.

hanganga

whakaaro te taonga kaha matua o te faaineineraa te pūhaumāota suxamethonium. Ano te medicament ngā wae ngaahi houalotú pērā i te konutai pūhaumāota, waikawa ethylenediaminetetraacetic disodium tote (Trilon B), ranei disodium edetate, me he wai mo te werohia.

Puka tuku

"Suxamethonium pūhaumāota" e te nuinga o hua e kaiwhakanao i roto i te puka o te otinga (mo e rua intramuscular me rō-uaua).

pānga pharmacological

Kei te depolarizing medicament whakaaro uaua relaxant. He poto tōna mahi. Ko te wāhanga kaha o te tarukino whai hua i roto i ārai tuku uauaio.

Miorelaxation puta tonu i roto i te raupapa taua, he mea e tika ana ki te tango i ki pūkete te kaimahi hauora. Na, haamata te reira ki te uaua tau, atu pānga nga uaua masticatory me nga uaua o te maihao, kanohi, me nga wahi katoa. Na ka uaua whakangā tae te kaki, wātea nga uaua o te hoki, puku, me te aho waiata. huru Latest ki te mahi o te tarukino uaua intercostal me te HWM.

Ki te i whakahaere te raau intramuscularly, ka tangohia e te reira pānga i muri i rua - wha meneti, a ki te te rō-uaua - i muri i te meneti anake. puta whakangā uaua mōrahi i roto i toru meneti i muri i whakahaere tarukino. pumau tenei pānga mō te rima - tekau meneti, i runga i te horopeta o te taonga rānei.

Kei te kaupae tohaina te tarukino i roto i te wē toto me te inu wahopūtau tata i muri i whakahaere o te otinga (whakaratohia te whakahaere rō-uaua). Tata e iwa tekau ōrau hydrolyzed taonga, e whakaahua ana ki Matuorakouawai waikawa succinic ranei. Engari e te rongoa te kukū o cholinesterase i roto i te toto i te taumata rawaka, te hawhe-ora o te tarukino, ko te iwa tekau anake hēkona. Kei te tino excreted te rawa e nga whatukuhu (tae atu tekau ōrau - tonu).

Tuhinga

Whakaaro he tarukino whakamahia i roto i te wā ka te hiahiatia reira ki te hanga i te wawaotanga e titau te whakangā uaua oti. Taua tikanga ngā bronchoscopy, endoscopy, piere abdominanlnye mahi mai anō te, dislocations whakaiti me te endotracheal intubation.

dosing

Taonga "suxamethonium pūhaumāota" taea te whakahaerea e pâmuhia me intramuscularly (rite te maturuturu bolus ranei). Hoki te taua tikanga tono mā te whakamahi i 0.1% otinga o te taonga. Mahi horopeta ki nei he pūhaumāota suxamethonium me konutawa, mātanga takitahi whakaritea i roto i runga i te āhuatanga takitahi o te manawanui ngā, a te nuinga o, ka whakahaere pâmuhia ngā i 0.1 ki te 2 milligrams ia kirokaramu, me intramuscular - i 3 ki te 4 micrograms ia kg. I roto i te akoranga katoa o te maimoatanga mo e kore e nui ake te tapeke rōrahi o te rauemi kotahi rau me te rima tekau micrograms.

contraindications

Ētahi kore tūroro i roto i tetahi take e whakahaerea faaineineraa "suxamethonium pūhaumāota". Tohutohu mō te whakamahi o rite ki te contraindications e whai ake nei mō te whakamahi o te raau taero te tarukino: hypersensitivity takitahi ki tetahi kai o te medicament, gravis myasthenia, huangō arahau, koki-katinga papahewa, edema pūkahukahu, hyperkalemia, tūāhuruiti mārere, whakapeka iti hoki ate, congenital me dystrophic myotonia, ngoikoretanga, cholinesterase, te mēmeke uaua Duchenne, te whara aunoa kanohi. Hoki whakaaro E rāhuitia i te whakamahi i te tarukino ki ngā tamariki i raro i te tau kotahi, me mo te wahine i roto i te whanautanga tamariki ū ranei.

pānga taha

I roto i te wā onge, "pūhaumāota suxamethonium" (Rongoā mō werohia) Ka taea e meinga he maha o ngā tohu kino, me te i ngā pūnaha tinana. I roto ia ratou he maha nga wehewehenga o mate pāwera (hei tauira, bronchospasm me te ru anaphylactic), pāpāngia o uaua romahā (puta ki te reira he ira mate o te hanganga o te serum cholinesterase), arrhythmia, myalgia, kirika, bradycardia, hyperkalemia, hypersalivation, ru cardiogenic, tukupu pēhanga toto, abnormalities āriponga, nui haere pēhanga intraocular. Ki te karo i te i runga ake raruraru reira ko nui ki tino whai te tūtohutanga i runga i te te whakamahi o te raau taero "suxamethonium pūhaumāota." analogues Drug (i te iti rawa etahi o ratou) i tawhiti iti pānga taha. Na reira, i ētahi wā he tika kia ata ki te tono i te reira ki a ratou.

tuwhena rawa

I roto i te take o te taikaha whanga āta ranei o te horopeta tūtohutia o te tarukino kia puta etahi pānga houhou i runga i te tinana o te manawanui. Ko te kino te nuinga o enei ko te mutunga o te manawa. I roto i tenei take, kahore te awhina o ngaio kore e taea te mahi i te kore kia arahi ki te mate. Me ventilation akiaki. I te tahi taime makaka tino taumata cholinesterase serum. tūtohu ētahi tohunga ki te hamani tenei huru te huhu o te toto hou, i te mea maha he haumaru tarukino-whakakapi ranei.

tohutohu motuhake

E tūtohutia ana ki te whakauru i-te kounga teitei kore depolarizing-relaxants uaua mo te meneti i mua i whakahaere tarukino "suxamethonium pūhaumāota." Kei rauemi Whakaahuatanga mōhiohio e faaore taua pāhekoheko te mōrea o te whanaketanga o te myalgia me uaua twitches muri. Te reira i ko nui ki te whakamahi i te raau taero anake i roto i motuhake tari o rata pūtahi, ngohengohe ki te wātea o te tika taputapu (whai wāhi taputapu hoki tāwhaiwhai respiration) me mātau ngā kaimahi taea ki te tika te whakamahi i tenei tikanga, me te hanga whakatau i roto i taumaha ngā horopaki. Mai kia meinga tono whakaaro tikanga bradycardia manawanui, e tūtohu ana ki te whakauru i te tarukino ki te manawanui "atropine" i mua i te whakamahi "pūhaumāota suxamethonium".

Ka taea te ngā ki ētahi atu medicaments

A, no te te whakamahi i te tahi atu rongoā i te wa ano whakaaro te tarukino kia whakarongo ki ahakoa whakaaetia taua pāhekoheko te. e kore e "Suxamethonium pūhaumāota" ā-ako tūtohu te whakamahi i whakarara ki antimiastenicheskimi taka rite tino whakaiti te whai huatanga o ratou mahi. whakatairanga hoki medicament whakaaro nga pānga ho'oraa o glycosides. I roto i tetahi take e kore e taea te whakamahi "pūhaumāota suxamethonium" tukutahi ki te toto kaituku, rite whakapataritari paparetanga tauhohe, i tetahi hua toto, rongoā alkali me rongoā o te barbiturates (whakatairanga hohenga).

Ko te pānga i runga i te kaha ki te aro (taraiwa me tikanga matatini)

"Suxamethonium pūhaumāota" kua he pānga nui i runga i te kaha ki te arotahi me te mau tonu te aro. tikanga o tēnei e i roto i te tikanga ki te karo i ngā aituā ki te karo i taraiwa me tetahi atu mahi e tū he riri ki te ora te tangata, me te hauora, me te rapu utu kukū tiketike me tauhohe tere, me te tonu whakatau-hanga i roto i te ra tuatahi i muri i te mutunga o te raau taero whakaaro.

tikanga rokiroki me te ora papa

Store "suxamethonium pūhaumāota" taea e i raro i ngā āhuatanga tino tautuhia. Ara, i te pāmahana rokiroki kia ngā i rua ki te waru degrees. kia te tarukino kia whakanohoia ki waho te taea o ngā tamariki. Te ora papa mōrahi o te tarukino ko e toru nga tau i te rā o te whakanao. I muri i tenei wā e kore e te whakamahi o te raau taero tūtohu, no te mea i roto i tenei take ngaro reira ona āhuatanga painga, me taea e mōrearea mo te manawanui.

haumaru manawanui, te haumaru o tona ora - ko reira te kawenga o taote e kua mahi i roto i tona maimoatanga. Na reira, ko te mea nui e tangohia e nga kau taki o ngā pūtahi rata tiaki ki te kaimahi e mātau i roto i te tono o te raau taero enei pūtahi, pānga taha o enei āpiha, tikanga o te whakakore i tetahi tauhohe kino. Waihoki, kia whai kaimahi hōhipera te mōhiotanga e tika ana, me ngā pūkenga ki te whakamahi i tika te taputapu e wātea ana e taea te whakaora i te ora o te manawanui. E pā ana ngā tenei ki teuteu nei pea ngā pānga taha kia whakawehi te tīmatanga o te mate. Ko reira ki tenei rōpū o raau taero ngā "suxamethonium pūhaumāota." Na reira, kia whakamahia reira anake i roto i te kaupapa e i roto i te tukanga i reira he ngaio mātau ahei ki te whakamahi i te ventilator. kia tika tenei ka pērā i hopu romahā he tauhohenga taha. I roto i tenei take, ruruku o ngā mahi o ngā tākuta, me ratou mātau ngaio ka hei āhuatanga tino hira e whakatau e ora ranei te manawanui.

I te tahi taime tākuta mo etahi take (ki te reira e te tahi mau contraindications) whakatau ki te whakamahi i te relaxant uaua - tairitenga "pūhaumāota suxamethonium" (hei tauira, "Ditilin" e kore e taea te tono anake i roto i te aroaro o te papahewa). He mea nui ki te whakawhirinaki i te whakaaro mana o tohunga i runga i tenei take. Na reira, kia waiho koutou mohio o te matatau ngaio o ngā tākuta ki nei mahi koe.

I mua i te whakaputa koe mo te waihanga reira kia ako katoa e pā ana ki te mea "pūhaumāota suxamethonium": ingoa hokohoko, analogs, contraindications, ngā pānga taha taea, te whakamahinga, me te inenga tūtohutia. Te manawanui me ako ano hoki i nga taura, ko te aha te huru o te rongoā whakahaerea ia. "Listenon" ( "pūhaumāota suxamethonium") - te ingoa o te taonga i roto i te pātai hokohoko. Na reira, ka rongo koe i te ngutu o tenei ingoa te tākuta, ka waiho koutou pai mōhio o pehea e mahi i te reira i roto i to koutou tinana. Ko te tika tenei matauranga i roto i te tikanga ki te karo maka ana to ratou oraraa i te tūpono faufaa. He mea nui ki te kia rite tupato rite ki te mea rongoä e whakaurua koe i roto i te maimoatanga.

Whakawhirinaki hauora koutou anake ki ngaio, te whiriwhiri i te maimoatanga kounga teitei me te hua pai! Kia tupato o koe!