"Promedol": tilmaamaha loo isticmaalo. foomka Release of daroogada, xeerarka iibka farmasiyada

Qaar ka mid ah cudurada lagu gartaa weeraro daran xanuun, kaas oo ma qaadi karaan qof kasta oo xanuun joojiyaha. Sidaa darteed, ku dhaqanka caafimaad waxaa si balaadhan looga isticmaalaa daawooyinka la xiriira analgesics opioid'ka, taas oo waxaa lagu gadaa oo keliya by qoro. Mid ka mid ah daroogada oo kale waa wakiilka ah "Promedol" fasax awood heer kasta ee habdhiska gudbinta aadanaha dhexe interneuronal ah falalkooda xanuun. agonist ka hadlayay diyaarinta receptor opioid'ka "Promedol" dhaqmo on qaybo ka mid ah maskaxda, la beddelo xanuun dareenka. By guryaha pharmacological la mid ah daroogada "morphine" medicament iyo "Fentanyl", waxaa sidoo kale si weyn u kordhiyaa ee marinka xanuun of aadanaha, leeyahay ah saamayn soporific celcelis ahaan iyo saamayn anada on hummaag shuruud. Si kastaba ha ahaatee, ka duwan diyaar garowga kor ku xusan daroogada "Promedol" yar tahay in ay keenaan waxyeelo sida matag iyo lallabo, yar depresses xarunta Neefta oo shchadjashche dheeraad ah oo saameyn spasmolytic ku ureter oo hawomareenno. Isla mar ahaantaana, waxay xoojinaysaa hawsha contractile qaar ka mid ah iyo midab of myometrium ah.

Foomamka Release "Promedol" daroogada iyo qaab-dhismeedka

Ka baxsan xanuunka gobolka our "Promedol" ayaa kale non-lahaansho magaca "hydrochloride trimeperidine" caalami ah, oo uu sida qayb firfircoon ee daawooyinka badan loo isticmaalo. Maanta in la sii daayo of daroogada waa la dhimay ilaa saddex nooc: kiniin, fijaan iyo tuubooyinka saliingaha. The ugu horeysay oo la soo baakadeeyey ee baakad 10 xabbadood oo qoro ee farmashiyaha, tan dambe ayaa waxaa sii kordheysa loo isticmaalay in goobaha caafimaadka ee la isku duro bukaanka. xal "promedol" The la soo saaray iyadoo uruuray of 1% iyo 2% oo ku jira 0.01 ama 0.02 g siday u kala horreeyaan trimeperidine. subcutant daroogada la isku duro, intramuscularly, iyo xaaladaha qaarkood daran intravenously. The silingaha-tuubooyinka loo isticmaalo in isbitaalada iyo guriga.

xanuunka "Promedol" waxaa laga yaabaa in loo magacaabo at cudurada maxay?

Si aad u iibsato daawada "Promedol" Cuntadani waxaa waa in la helaa ka dhakhtar kan kara inuu xisaabiyo qiyaasta saxda ah ee daawada iyo qorshe daaweyn noqon doonaa. Tilmaamayaasha for qaata daawada waxaa laga yaabaa in cudurro kala duwan oo ay la socdaan xanuun xooga xoog leh oo dhexdhexaad ah. Laga soo bilaabo nidaamka dheefshiidka waa a ulcer boog 12 boog dyspepsia iyo caloosha, pankreatit chronic, daloolin ee hunguriga. Waxay ahaan loogu talo galay daawada "Promedol" iyo dadka cudurka cudurada of nidaamka genitourinary ah, kuwaas oo, prostatitis ba'an, paranephritis, paraphimosis, ibta oo ba'an iyo hay'adaha ajnabiga ah ee kaadi mareenka iyo kaadi haysta. Tani waa mid aad wax ku ool xanuunka maandooriyaha iyo Wadnaxanuun myocardial, angina deganayn, thrombosis ee halbowlaha ah, cagaarshowga, dissecting aneurysm aortic, halbowlayaasha addinka lungemboli iyo halbowlayaasha pulmonary, Wadnaxanuun pulmonary, lungemboli hawada, pneumothorax lama filaan ah oo pleurisy ba'an. tallaabo wanaagsan "promedolom" saamaynta iyo xanuunka dadka qaba neuritis ba'an, causalgia, glaucoma, ronaanayaa, thalamic syndrome iyo vesiculitis ba'an. Sababo la xiriira saamaynta degdeg ah xanuunka daroogada waxaa loo isticmaalaa at xamilo dhibaato xoog leh, gubasho iyo kansarka.

Isticmaalka "Promedol" waxaa loola jeedaa in dhalmada

Codsatay this analoogga dardaro macnaheedu yahay "morphine" in habka diyaarinta ee bukaanka in noocyo kala duwan oo qalliin, iyo sidoo kale si kor loogu qaado shaqada. Ku-simaha sida a maroojiska awood badan, waxay dejineysaa afka ilmagaleenka, oon iska xanaajin la furay. Isla mar ahaantaana, daroogada saamayn ku ilmo-galeenka naagta uurka leh, qaar ka mid ah xoojinta ay hoos, sidaas darteed, dedejisaa hawlaha guud. Sida caadiga ah, daroogada waa "Promedol" dhalmada subcutant caadiga ah iyo intramuscularly in badhida, hip ama garabka. Kaliya xaalado gaar ah, marka saamiga nolosha ilmaha, dhalmada waxaa intravenously geli karto. saamayn xanuunka ka dib markii la isku duro muujiyey in 10-15 daqiiqo, ka dib markii ay naagtu ku bogsasho kartaa waxoogaa yar oo dhalaan ilmo si ammaan ah.

Cawaaqibka loo isticmaalin lacagaha xilliga dhalmada "Promedol"

Guud ahaan, tani xanuunka dardaro tixgeliyo ugu ammaansan hooyada iyo ilmaha inta lagu jiro foosha, laakiin ha iloobin shaqsi ee jidhka bini'aadamka. Sidaa darteed, dumarka qaarkood daliilka waxyeellooyinka dawooyinka this, sida lallabo, matag, iyo gaabis ah hummaag shuruud. Sidoo kale waa inaad xisaabta ku xaqiiqada ah in daawada "Promedol 'tilmaamaha loo isticmaalo waxaa la xaqiijiyay, waxaa aad si deg deg ah uu helo dhiiga, xataa marka subcutant maamulo, iyo ka-fiirsashada ugu badan la gaaro 2-2.5 saacadood ka dib. Sidaa darteed, mar hore 2-3 daqiiqo ka dib markii la isku duro of hooyadii ka dib markii ilmuhu helo xanuunka a maandooriyaha iyada oo halbowle ah xudunta, taas oo lagu soo bandhigi doonaa meydka 7 jeer ay gaabis ah ka badan ee hooyada. Ka dib markii ilmaha dhalashada waxaa si tartiib ah hoos u shaqo-mareenka, feejignaan xumo, caro, oo inta badan u diido inuu qaado naasaha. jajabka Kuwani maalmood ee ugu horreeya ee noloshooda u baahan neonatologists fiiro gaar ah, sida laga yaabaa in ay u baahan yihiin, tusaale ahaan, Neefta macmal ah ama tallaabooyin kale oo caadi ka ah geedi socodka nolosha.

Isticmaalka "Promedol" daroogada ee anaesthesiology

Dhinac kale oo daawo meesha daawo "Promedol" helay codsiga, iriddu waa weyn anesthesiology. Waayo, nin premedication waxaa maamula intramuscularly ama subcutant 1.2 ml of xal of suuxinta isku dhafan oo 0.5 mg ah ee daawada "atropine" qiyaas ahaan 30-40 daqiiqo ka hor qaliinka. Xaaladaha xad-dhaaf ah, marka bukaanka loo baahan yahay in si degdeg ah suuxin, daawooyinkan yihiin intravenously maamulo. Inta lagu guda jiro qalliinka qofka hoos suuxdinta, sida qiyaasood oo kala maamula daroogada this si kor loogu qaado Habka xanuun, kaas oo ku kordhinaya xasilinta cadaadiska dhiigga iyo yaraynaysaa tachycardia. Waayo, daawo guud iyo kuwa maxalliga ah suuxinta "Promedol" in ampoules isticmaalo anticholinergic, xasaasiyadda, iyo jirada dhimirka. isku darka used leh neuroleptics iyo medicament "Droperidol" Waayo, Habka xanuun dhexe. muddo Postoperative dadka bukaanka ah qaar ka mid ah ayaa sidoo kale lagu tiriyo ee aan isticmaalka maandooriyaha xanuunka subcutant ay maamusho si ay u yareyso xanuunka iyo sida protivoshokovoe adeegsanayo.

sababo

Isticmaal wixii daawooyin ah oo aan qoro waa khatar ah, daawooyin gaar ahaan maandooriyaha sida xanuunka "Promedol". arjiga ku of Guide suuxinta this badan oo sababo, kaas oo ay tahay in mar walba la akhriyi hor inta aadan bilaabin soo dhaweynta. Waa in la ogaadaa in isticmaalka for daaweynta daawada this loo baahan yahay ma aha inta aad uurka leedahay, nuujinta, dadka waayeelka ah iyo kiddies ilaa laba sano. Sidoo kale wuxuu qeexayaa liis dheer oo cudurro qabtay oo habka "Promedol" ma qaadan khatar ah oo keliya, laakiin gabi ahaanba ma karo. Si aad liiska waxa ka mid ah diidmo in daroogada, murugada neefsashada, cudurada, dhibaatooyinka xinjirta dhiigga, shuban sabab u colitis pseudomembranous sababa lincosamides, cephalosporins, benisiliinta ama kala firidhsan sun. Waa in ay joojiyaan qaadashada daroogada iyo inta lagu jiro daaweynta leh MAO, iyo sidoo kale 21 maalmood ka dib markii ay soo dhaweynta. Iyada oo taxaddar, daroogada this waa in la isticmaalaa oo xanuun caloosha ah etiology aan la garanayn, neefta bronki, arrhythmia, qalal, hypertension, neefta, wadnaha oo shaqadiisa gaba, myxedema, kelyaha, adrenal iyo cagaarshowga failure, hypothyroidism, murugada habdhiska, hypertension intracranial, caabuq daran cudurada mindhicirada.

Dhibaatooyinka ay keento daroogada

Iyada oo la tixgelinayo shaqsi ee jidhka bini'aadamka, waa ammaan in la yidhaahdo in kasta oo, xitaa dawada ugu ammaanka badan waxay sababi kartaa noocyo kala duwan oo dhibaato. Oo haddii aan ka fiirsan xanuunka "Promedol" karinayo maandooriyaha taas oo keliya waxaa laga heli karaa dhaqtarka, uu liiska sababo xitaa dheer. Sayidka, falcelinta of mareenka caloosha iyo mindhicirka si daroogada this waa dabac of mareenka biliary, matag, yalaalugo, afka oo qalala, calool, anorexia. Haddii qofku cudurka bararka ba'an ee nidaamka dheefshiidka, liiska kor ku xusan waxaad ku dari kartaa a ileus ninkii curyaanka ahaa, cagaarshow iyo megacolon sun. Dadka qaar qaata daroogada, "mucaaradka" dareemi laga yaabaa in xubnaha iyo habka dareemayaasha jirka. Calaamadaha waxaa ku jiri kara aragti cawlan, dawakhaad, diplopia, madax-xanuun, garaac, foosha muruqa khasabka ah, gariir, wareer, la qabsi, rayn, jaahwareer, murugada, tinnitus, cadhoodaan wada socda, iyo cudura kale. Dulmi daroogada "Promedol" neefsashada ayaa sidoo kale si weyn u saamayn kartaa gobolka bukaan-socodka ee caafimaadka iyo keeni gobolada kala duwan ee dhibaatada, xitaa kooma. Bukaanjiifka qaar kuwaas oo loo isticmaalo daroogada dib u eegista "Promedol" tusi muujinta la arki karo ee arrhythmia, iyo sidoo kale isbedbedelka fiiqan ee cadaadiska dhiigga. Rididda inta aad qaadanaysid habka daroogada iyo kaadida in muujin karin in hoos wax soo saarka kaadida iyo haynta kaadida ah. In dhaqanka caafimaad, sidoo kale waxaa jira kiisas waxyeelo codsanaya macnihiisu yahay "Promedol" ogaado qaab dareen diidmo oo xasaasiyadeed sida laryngospasm, finan maqaarka ah, barar, bronchospasm, iyo kuwa kale. Xataa in kiisaska reaction ee kor ku xusan ee u shaqeeyo aan la muujiyey, inta aad qaadanaysid daawada "Promedol" diiwaanka qabanayaa muuqaalka dhibaatooyinka soo raaca pulmonary sida lallabo, matag, iyo tabar guud ee jirka.

Iska badinta iyo cawaaqibka isticmaalka khaldan ee daawada "Promedol"

Marka codsigaaga aan sax ahayn sida daroogada ama qaadasho aan sax ahayn loo xisaabiyaa tixgelinayo oo dhan sifooyinka of bukaanka natiijadu waxay noqon kartaa mid aad u la saadaalin karin. In dhaqanka caafimaad waxaa jiray kiisas markii xad dhaafka ah waxaa kordhay ma aha oo kaliya darnaanta waxyeellooyin, laakiin bukaan-socodka waa murugada miyir, cudurka xanuun ba'an.

tallaabada saxda ah ee xad dhaafka ah

Hawlaha ugu muhiimsan ee dib u soo celinta badinta aadanaha "Promedol" daroogada waa in loo isticmaalaa si ay u taageeraan hawlaha pulmonary ku filan isku dhafan oo therapy astaamaha. Si arrintan loo sameeyo, intramuscularly bukaanka ama faleebo maamula in a antagonist opioid'ka daroogada "Naloxone" gaar ah, kaas oo waa in si degdeg ah loo soo celiyo xarunta neefsashada. Haddii 2-3 daqiiqo ka dib tarin ayaa dhacay, duray labaad.

Terms of iibinta daroogada iyo xaaladaha kaydinta

Leave daroogada farmasiyada dadka dhacdaa kaliya in tirada cuntada sida in aan ka badnayn hal koorso buuxda oo daaweyn ah. Sida ee lagu kaydin jiray oo xanuunka maandooriyaha "Promedol" diiwaanka si cad u qeexayaa waafaqsan shuruudaha oo dhan. Gaar ahaan xaqiiqada ah in daawada waa in ay carruurtu gaari karin ku xiran heerkulka ma ka sareeyaa + 15 ° C.