Kukonzekera "Kalimin": malangizo othandizira, ndemanga

Myasthenia gravis ndi matenda wamba. Zimasonyeza ngati asthenic bulbar paralysis. Amadziwika ndi kufooka ndi kutopa mwamsanga kwa minofu. Pakadwala matendawa, mbali iliyonse ya thupi ikhoza kukhudza, koma milomo, lilime, pharynx ndi khosi zimakhala zovuta kwambiri. Matendawa amafunikira chithandizo cha akatswiri. Imodzi mwa mankhwala omwe amavomereza ndi apamwamba kuti azitsata myasthenia gravis ndi mankhwala "Kalimin". Malangizo ogwiritsidwa ntchito ali mu phukusi ndi mapiritsi.

Makhalidwe a mankhwala

Wothandizira "Kalimin" akuonedwa kuti ndi choletsedwa cha cholinesterase. Mapiritsi ndi oyera, osakaniza pang'ono. Iwo ali ndi mawonekedwe oblong okhala ndi ziphuphu zazing'ono. Pakati pa piritsiyi yagawidwa ndi mzere. Chinthu chachikulu chomwe chimapangidwa ndi pyridostigmine bromide mu mlingo wa 60 mg. Zida zothandizira za mankhwala ndi microcrystalline mapadi, chimanga wowuma, silicon dioxide, polyvidone, glutamic acid hydrochloride, madzi oyera, magnesium stearate.

Mankhwalawa amapangidwa mu mitsuko yamdima, mapiritsi 100 aliyense. Ngakhale kuti mapiritsi "Kalimin" amaperekedwa popanda mankhwala, malangizo oti agwiritse ntchito ayenera kuyesedwa asanayambe kumwa mankhwala.

Zochita za mapiritsi a "Kalimin"

Mankhwalawa amachepetsa mitsempha ndi minofu yopatsirana, amachititsa kuti ziwalo za m'mimba zikhale zowonongeka, zimapangitsa mphamvu ya chikhodzodzo, bronchus, kutsekemera kwa matenda a endocrine. Zimayambitsa kansalu kofiira, yofooka miosis, malo osowa pokhala. Zomwe zimachitika pamtheradi waukulu mu thupi ziyenera kuyembekezedwa mu maola awiri. Kupezeka kwa mankhwalawa ndi 20%.

Kutenga mankhwala pamodzi ndi chakudya sikuchepetsa kuchepetsa ubwino, koma kumatalikitsa nthawi kuti izikhala ndi maola 1.5. Wothandizira salowa mkati mwachinsinsi cha magazi. Mankhwalawa sagwirizana kwambiri ndi plasma. Muyeso inayake, imagwiritsidwa ntchito mophiphiritsira m'chiwindi, imapanga ma metabolites osagwira ntchito pambuyo pa kulumikiza. Mankhwala "Kalimin" amasokonezeka ndi impso zosasintha. Umboni, umboni, mlingo woyenera - ndi zonsezi muyenera kuziwerenga musanayambe chithandizo.

Zisonyezo ndi zotsutsana

Chizindikiro cha kugwiritsa ntchito mankhwala ndi myasthenia gravis. Osati mankhwalawa chifukwa cha matenda a mphumu ya bronchial ndi matenda obstructive bronchitis. Matenda opatsirana a biliary ndi urinary tract also contraindication. Musamamwe mapiritsi pazinyalala zamatumbo, myotonia. Kusiyanitsa kugwiritsidwa ntchito kwa mankhwala ndi mimba ndi lactation, zaka zaka 18. Powonjezera kutengeka kwa zigawo zikuluzikulu za mapiritsi, sayenera kutengedwa.

Mosamala, ndi bwino kugwiritsa ntchito njira yothetsera anthu omwe amatha kuchitapo kanthu. Ndikofunika kudziwa kuti pang'onopang'ono kupanikizika, impso ndi mtima kulephera, mankhwalawa amalembedwa pansi pa kuyang'anitsitsa kwa dokotala. Pa nthawi ya mankhwala, m'pofunika kuyang'anira kuthamanga kwa magazi. Ndibwino kuti mukugwiritsa ntchito mapiritsi a shuga, chilonda cha m'mimba ndi duodenum, ndi hyperthyroidism, atatha opaleshoni m'mimba.

Asanayambe kulandira chithandizo, ndi bwino kuwerenga mosamalitsa zotsutsana ndi kugwiritsa ntchito "Kalimin". Malangizo ogwiritsira ntchito, ndemanga - zonsezi ndizofunikira kwa odwala.

Mlingo wa mankhwala

Pulogalamuyi imatengedwa pamlomo. Ndi bwino kumwa ndi madzi ambiri. Kuti tipeze kufulumira, ndi bwino kugwiritsa ntchito wothandizira pazomwe zilibe kanthu. Kumayambiriro kwa matendawa mumamwa mankhwala okwanira kamodzi kapena kawiri patsiku. Pa milandu yambiri ya myasthenia gravis, amalamulidwa kutenga mapiritsi imodzi kapena atatu patsiku. Mankhwala ovomerezeka kwambiri chifukwa chotenga tsiku ndi mapiritsi 12. Mlingo wamakono ndi nthawi yake ya chithandizo imatsimikiziridwa ndi dokotala payekha. Zachilendo za thupi ndi kukula kwa matendawa zimaganiziridwa.

Odwala odwala matenda a impso ayenera kumwa mankhwala pang'onopang'ono. Tiyenera kukumbukira kuti Kalimin akhoza kuwononga zotsatira zake. Malangizo ogwiritsidwa ntchito ali ndi chidziwitso chokhudzana ndi mankhwala omwe amachititsa mavuto.

Kuchulukitsa

Pamene kumwa mankhwala osokoneza bongo kumawonjezereka kwambiri, kutuluka thukuta, kugwedeza glands. Wodwala amakhala wofiira, wofooka amawoneka, masomphenya ndi ovuta. Kusakaniza mwadzidzidzi ndi kuthamangitsidwa kungachitike. Wodwala akudandaula chifukwa chodandaula, kusanza, kupanikizika kumachepa, bronchospasm imakula. Panthawi yovuta kwambiri, kumangidwa kwa mtima kumatha kuchitika, kumapangitsa kuti afe. Matendawa amafunika kuthandizidwa mwamsanga. Ma antipode a "Kalimin" mapiritsi ndi "Atropine". Iyenera kuchitidwa intravenously mlingo wa 2 ml.

Komanso, malingana ndi momwe wodwalayo aliri, mukhoza kubwereza kayendedwe ka mankhwala pambuyo pa maola atatu. Ndibwino kuti musambe m'mimba ndikupatsani mankhwala. Wodwala ayenera kuyang'aniridwa ndi ogwira ntchito zachipatala kuti kupuma kuime. Malingana ndi zizindikirozo, nkofunikira kukonzanso njira. Zotsatira zopweteka zoterezi zowonjezereka zingakhale ndi mankhwala otchedwa "Kalimin". Maphunziro amasonyeza kuti zotsatira zoyipa ziyenera kuyembekezera ngati mankhwalawa agwiritsidwa ntchito molakwika.

Kuyanjana ndi magulu ena osokoneza bongo

"Atropine" amachepetsa zotsatira za mankhwalawa "Kalimin", koma samakhudza mitsempha ya chigoba. Pyridostigmine bromide, yomwe ili mbali ya mapiritsi, imapangitsa kuti "Morphine" ndi mabakiteriya azitsatira. Mankhwalawa sagwirizana kwenikweni ndi ethanol. Kuchepetsa zotsatira za mankhwalawa "Quinidine", ganglion blockers, antidepressants, antiepileptic ndi anti-Parkinsonics.

Pamene mimba ndi kuyamwitsa sikuvomerezeka kupereka mankhwala. Mu miyezi yotsiriza ya mimba, amatha kubereka msanga. Mukamadyetsa, mankhwalawa amalowa mumkaka, omwe amachititsa kuti mwana wakhanda akhale ndi mankhwala "Kalimin". Malangizo ogwiritsira ntchito ayenera kuphunziridwa kuti athe kupewa zotsatira zosasangalatsa za mankhwala.

Ndemanga za mankhwala

Odwala omwe amadwala matenda a myasthenia, avomereze za mankhwalawa "Kalimin." Malangizo ogwiritsira ntchito amudziwitsa wodwalayo ndi zotsutsana ndi zizindikiro mu mawonekedwe ofikirika. Mapiritsi mufupikitsa amakhala ndi chithandizo chabwino, odwala amadziwa. Mankhwalawa ali ndi mtengo wotsika mtengo ndi khalidwe labwino.

Mankhwalawa samakhala osokoneza bongo ndipo nthawi zambiri amalekerera bwino. Komabe, zochitika zazikulu zowawa zimadziwika.