"Promedol": malangizo ntchito. mawonekedwe amasulidwe mankhwala, malamulo a malonda mu pharmacies

Ena matenda yodziwika ndi kuukira choopsa cha ululu, omwe angathe kugwira si aliyense othetsa ululu. Choncho, zochiritsira chimagwiritsidwa ntchito mankhwala zokhudzana analgesics opioid, omwe amagulitsidwa yekha ndi mankhwala. Mmodzi mankhwala monga nthumwi "Promedol" wodekha yopuma pa magulu osiyanasiyana a anthu chapakati mantha dongosolo interneuronal kufala kwa zikhumbo ululu. Kulankhula agonist opioid cholandilira kukonzekera "Promedol" amachita mbali ya ubongo imene kusintha kupweteka kwa m'maganizo. Ndi katundu pharmacological ofanana ndi medicament mankhwala "morphine" ndi "Fentanyl", komanso kwambiri kumawonjezera ululu pakhomo la anthu, ali ndi pafupifupi soporific zotsatira ndipo zimakhudzanso inhibiting pa bongo wabwino. Komabe, mosiyana tatchulawa kukonzekera mankhwala "Promedol" zokayikitsa kuyambitsa zotsatira zoyipa monga akusanza ndiponso nseru, kupatula depresses pakati kupuma ndi zambiri shchadjashche lili ndi zotsatira spasmolytic pa ureter ndi bronchi. Pa nthawi yomweyo, kumalimbikitsa ena ntchito contractile ndi mmene myometrium lapansi.

Kumasulidwa mitundu "Promedol" mankhwala ndi matabwa ake

Kunja kwa boma analgesic wathu "Promedol" ali lina lonse sanali kampani dzina "trimeperidine hydrochloride", imene anagwiritsa ntchito monga pophika yogwira mankhwala osokoneza bongo ambiri. amasulidwe mankhwala lero yafupika mitundu itatu: mapiritsi, mbale ndi machubu syringe. Woyamba mmatumba mu mapaketi zidutswa 10 ndi mankhwala mu pharmacies, yotsirizira ochuluka ntchito mu zipatala jekeseni odwala. The njira "promedol" amapangidwa ndi ndende ya 1% ndi 2% ndi uli 0.01 kapena 0,02 ga ankalemekeza trimeperidine. Jekeseni mankhwala subcutaneously, intramuscularly, ndi ena Zikavuta m'nsinga. The syringe-machubu ntchito mu zipatala ndi kunyumba.

analgesic "Promedol" Akhozanso kusankha pa matenda?

Kuti kugula mankhwala "Promedol" Chinsinsi ziyenera kuwapeza dokotala amene adzatha kuwerengetsa mlingo woyenerera wa mankhwala a mankhwala ndi kupanga dongosolo mankhwala. Zikuonetsa kulandira mankhwala akhoza kukhala matenda osiyanasiyana limodzi ndi ululu amphamvu ndi sing'anga mwamphamvu. Ku dongosolo m'mimba ndi chironda chachikulu 12 mmatumbo chilonda ndi m'mimba, aakulu kapamba, perforation la kholingo. Iwo akhoza kupatsidwa mankhwala "Promedol" ndipo anthu amene amapezeka matenda a dongosolo genitourinary, ndicho pachimake prostatitis, paranephritis, paraphimosis, pachimake dysuria ndi matupi zakunja mu mkodzo ndi chikhodzodzo. Izi zimathandiza kwambiri chomwa mankhwalawa analgesic ndi m'mnyewa wamtima infarction, wosakhazikika angina, thrombosis a mtsempha wamagazi ndi kwa chiwindi, kugaŵa kung'ambika aneurysm, embolism nthambi mitsempha ndi mitsempha m'mapapo mwanga, infarction m'mapapo mwanga, embolism mpweya, mowiriza pneumothorax ndi pachimake pleurisy. Zabwino kanthu "promedolom" kwenikweni ndi ululu anthu ndi neuritis pachimake, causalgia, khungu, sciatica, matenda thalamic ndi pachimake vesiculitis. Chifukwa mofulumira zotsatira analgesic mankhwala ntchito pa mabvuto amphamvu, amayaka ndipo khansara.

Kugwiritsa "Promedol" amatanthauza pobereka

Ntchito analogue izi kupanga amatanthauza "morphine" mu ndondomeko yokonza wodwalayo zosiyanasiyana zikunena opaleshoni, komanso kupititsa patsogolo ntchito. Wokhala wamphamvu antispasmodic, izo pansi pa khomo pachibelekeropo, potero n'zothandiza kutsegula ake. Pa nthawi yomweyo, mankhwala kumakhudzanso chiberekero cha mayi woyembekezera, ena kulimbikitsa kuchepetsa ake Choncho, Iyamba ntchito generic. Childs, mankhwala ndi "Promedol" pobereka mwachizolowezi subcutaneously ndi intramuscularly mu thako, m'chiuno kapena paphewa. Pokha pokha kwapadera, pamene moyo wa mwana pamtengo, akubereka akhoza kulowa kudzera m'mitsempha. Analgesic zotsatira pambuyo jekeseni akuwonetseredwa mu mphindi 10-15, kenako mkazi akhoza Kukuthandiza Anthu Odwala pang'ono ndi kubereka mwana bwinobwino.

Zotsatira za ntchito ndalama pobereka "Promedol"

Ambiri, izi analgesic kupanga ankaona otetezeka kwa mayi ndi mwana pa ntchito, koma musaiwale za payekha m'thupi la munthu. Choncho, akazi ena ndi maonekedwe a mphamvu ya mankhwala, monga nseru, kusanza, ndi liwiro la bongo wabwino. Muyeneranso kuganizira mfundo yakuti mankhwala "malangizo Promedol 'ntchito zikutsimikiziridwa, ndi mofulumira kwambiri limalowera mu magazi, ngakhale pamene kutumikiridwa subcutaneously, ndi ndende pazipita kukufika pambuyo maola 2-2.5. Choncho, kale pambuyo mphindi 2-3 pambuyo jekeseni wa mayi ndi mwana wapatsidwa analgesic chomwa mankhwalawa mwa mtsempha wamagazi umbilical, umene kuwonetsedwa mu thupi la nthawi yake 7 pang'onopang'ono kusiyana ndi mayi. Pambuyo ana kubadwa pang'onopang'ono yafupika ntchito kupuma, ulesi, irritability, ndipo ambiri amakana kutenga bere. Izi nyenyeswa m'masiku oyambirira a moyo wawo ayenera neonatologists mwapadera, pamene iwo angafunike Mwachitsanzo, kupuma yokumba kapena njira zina kuti normalization wa zamoyo.

Kugwiritsa "Promedol" mankhwala anaesthesiology

Mbali ina ya mankhwala kumene mankhwala "Promedol" anapeza tanthauzo lake lonse ndi opaleshoni. Pakuti mwamuna premedication chikuyendetsedwera intramuscularly kapena subcutaneously 1.2 ml ya njira ya mankhwala ochititsa ndi osakaniza 0.5 mg wa mankhwala "atropine" pafupifupi 30-40 Mphindi asanayambe opaleshoni. Zikafika poipa, pamene wodwala amene akufunika thandizo sedation, mankhwala awa kutumikiridwa m'nsinga. Pa opaleshoni munthu pansi mankhwala, monga Mlingo osiyanasiyana kutumikiridwa mankhwala kumapangitsanso analgesia, lomwe limathandiza ziziyenda magazi ndipo kumachepetsa tachycardia. Mwawamba ndi makonsolo ochititsa dzanzi mankhwala "Promedol" mu ampoules ntchito ndi anticholinergic, mankhwala, ndi antipsychotics. ntchito limodzi ndi neuroleptics ndi medicament "Droperidol" Pakuti analgesia chapakati. Postoperative nthawi zina odwala komanso akudutsa popanda kugwiritsa ntchito chomwa mankhwalawa analgesic kutumikiridwa subcutaneously kuti kupweteka ndi monga njira protivoshokovoe.

contraindications

Gwiritsani ntchito mankhwala popanda mankhwala ndi oopsa, mankhwala makamaka chomwa mankhwalawa monga analgesic "Promedol". pa ntchito imeneyi Guide mankhwala ochititsa ali zambiri contraindications, amene nthawi zonse kuwerenga musanayambe phwando. Tikumbukenso kuti ntchito zochizira mankhwala Sikuti woyembekezera, mkaka wa m'mawere, anthu okalamba ndi ana mpaka zaka ziwiri. Limanenanso mndandanda wa matenda amene kudzera mwa "Promedol" kutenga si owopsa okha, koma mwamtheradi sindingakhoze. Pamndandanda uwu monga hypersensitivity kuti mankhwala, maganizo kupuma, matenda, mavuto ndi clotting magazi, matenda otsekula m'mimba chifukwa matenda a m'matumbo pseudomembranous chifukwa cha lincosamides, cephalosporins, penicillin kapena kupezeka poizoni. Kodi siyani kumwa mankhwalawo ndipo nthawi chithandizo ndi Mao zoletsa, komanso kwa masiku 21 pambuyo phwando awo. Mosamala kwambiri, mankhwala ayenera kugwiritsidwa ntchito ululu pamimba wa etiology wosadziwika, bronchial mphumu, arrhythmia, khunyu, matenda oopsa, kulephera kupuma, kulephera mtima, myxedema, impso, adrenal ndi kwa chiwindi kulephera, hypothyroidism, CNS maganizo, intracranial oopsa, kutupa chaukali matenda matumbo.

Zotsatira zoyipa za mankhwala

Mogwirizana payekha thupi la munthu, tikhoza kunena kuti, ngakhale mankhwala otetezeka zingachititse zosiyanasiyana chokhwima. Ndipo ngati tikulingalira chomwa mankhwalawa analgesic "Promedol" Chinsinsi amene akhoza analandira ndi dokotala, mndandanda wa contraindications kuposerapo. Motero, zochita za kapepala m'mimba kwa mankhwala ndi kuphipha wa kapepalako biliary, kusanza, pakamwa youma, kudzimbidwa, matenda a anorexia. Ngati munthu anapezeka ndi pachimake kutukusira kwa dongosolo m'mimba, kuti mndandanda wa pamwamba inu mukhoza kuwonjezera manjenje ileus, matenda a chikasu ndiyo ndipo megacolon poizoni. Anthu ena amene mankhwala, "wopanduka" angayambe kuona ziwalo ndi wamanjenje dongosolo. Zizindikiro zingaphatikizepo kusawona bwino, chizungulire, diplopia, kupweteka kwa mutu, kupweteka, contractions musanaganizire minofu, kenaka utentha mamba, chisokonezo, kugona, euphoria, disorientation, maganizo, tinnitus, paradoxical mukubwadamuka, ndi matenda ena. Kuponderezedwa mankhwala "Promedol" dongosolo kupuma akhoza kusokoneza kwambiri ukupeza wodwalayo ndi kutsogolera m'maboma osiyanasiyana vuto, ngakhale chikomokere. Odwala ena amene ntchito mankhwala "Promedol" ndemanga kusonyeza kuonekera chiwonetsero cha arrhythmia, komanso kusinthasintha lakuthwa magazi. Posachedwa tikadwala mankhwala ndi mkodzo dongosolo zimenezi angasonyeze mu kucheperachepera mkodzo linanena bungwe ndi posungira mkodzo. Mu yochizira matenda, komanso pali milandu kumene mavuto kutsatira njira "Promedol" wapezeka mu mawonekedwe a thupi lawo siligwirizana monga laryngospasm, ziwengo, edema, bronchospasm, ndi ena. Ngakhale pa nthawi imene pamwamba anachita chamoyo chiri chosaoneka, pamene akumwabe mankhwala "Promedol" malangizo Buku adzatenge maonekedwe zotsatira m'mapapo mwanga mbali monga nseru, kusanza, ndipo ambiri kufooka kwa thupi.

Ambiri osokoneza ndi zotsatira za ntchito molakwika mankhwala "Promedol"

Pamene ntchito pachithunzichi mankhwala kapena Mlingo zolakwika Calculated kutenga nkhani makhalidwe onse wodwala zotsatira zake zingakhale sizimadziwika kwambiri. Mu zochiritsira panali milandu pamene ambiri osokoneza ndi kuchuluka osati mwamphamvu mavuto, koma wodwala maganizo a chikumbumtima, anapezeka ndi omangana pachimake.

The kanthu zoyenera ambiri osokoneza

zinthu zazikulu za kubwezeretsedwa kwa anthu ambiri osokoneza "Promedol" mankhwala ayenera kugwiritsidwa ntchito kuti lithandizire m'mapapo mwanga ntchito mokwanira limodzi ndi mankhwala symptomatic. Kuchita izi, intramuscularly mtima kapena m'nsinga kutumikiridwa ndi yeniyeni opioid antagonist mankhwala "Naloxone", amene ayenera mofulumira kubwezeretsa pakati kupuma. Ngati mphindi 2-3 anthu a mtima sichinachitikepo, jakisoni chachiwiri.

Terms of kugulitsa mankhwala ndi zinthu yosungirako

Kusiya mankhwala pharmacies mmodzi kumachitika kokha chiwerengero cha maphikidwe kuti musalumphe wina kwathunthu mankhwala. Koma kusungiramo analgesic chomwa mankhwalawa "Promedol" malangizo Buku bwino imalongosola kugwilizana ndi zinthu zonse. Makamaka mfundo yakuti mankhwala ayenera kukhala patali ndi ana nkhani kutentha osati kuposa + 15 ° C.