Malangizo ntchito "Refortan" analogues wopanga

Pankhani ya imfa waukulu wa magazi chifukwa cha zovuta opaleshoni, zoopsa, zilonda zamoto, poyizoni ndi zifukwa zina, wodwala akusowa magazi. Komabe, zimenezi sizingatheke kuchita kwathunthu. Zikatero, pamodzi ndi magazi mwiniwake njira plasma ntchito. Mmodzi wa mankhwala awa ali, malinga ndi malangizo ntchito, "Refortan". Taonani chimene yogwira medicament.

Kufotokozera mankhwala

The njira "Refortan" - mankhwala zachipatala zokhudza plazmozameshchath njira. The yogwira pophika mankhwala ndi hydroxyethyl. Kuchipeza icho kuchokera mpunga, mbatata, tirigu ndi chimanga amylopectin. A mankhwala ndi wautali plasma-kwenikweni. Komanso bwino magazi m'thupi ndiponso katundu rheological.

The yogwira thunthu kukonzekera ndi hydroxyethyl. Yopangidwa medicament mu mawonekedwe a njira colloidal ntchito kulowetsedwa.

mbali zapadera mankhwala:

1. Mankhwala ali yaitali zotsatira plazmozamescheniya. zotsatira zake anakhalabe kwa maola 5-6.
2. Mankhwala kuli ndi ubwino pa clotting magazi.
3. Mwamsanga limabwezeretsa otaika magazi buku. Pankhaniyi, ndi mlingo waukulu sayambitsa kutupa.
4. Chida limabwezeretsa magazi chisokonezo.
5. Zilibe bwanji kugwira ntchito kwa ziwalo.
6. Mankhwala kumatha loitanirana wa erythrocytes, thrombocytes.
7. Medicament amachepetsa magazi kukhuthala.
8. Sayambitsa histamine kumasulidwa.
9. mankhwala imene'yi analekerera. ntchito zake kawirikawiri limodzi ndi zotsatira zoyipa.

Popeza mankhwala ali pabwino "Refortan" malangizo Buku. Mlengi wa mankhwala - kampani German, "Berlin-Chemie".

zikuonetsa

Mankhwalawa angagwiritsidwe ntchito ngati wothandizira achire kapena prophylactic. Akuti mu pathologies, zomwe ndi zochokera kuchepa mu Volume magazi kapena siudzalandilidwa ngathi lamulo la microcirculation ake.

Choncho, pogwiritsa ntchito "Refortan" mankhwala malangizo Buku akuonetsa mwina milandu zotsatirazi:

1. zinthu Hypovolemic chifukwa cha ntchito opaleshoni, amayaka, mabala, kuledzera, matenda opatsirana, imene malipiro zofunika za kufalitsidwa buku magazi (CBV).
2. Hemodilution (magazi dilution).
3. Mantha mantha, zilonda zamoto, khalidwe septic.
4. Hemodilution pa opaleshoni. Kutanthauza ntchito ngati anafunika kuchepetsa magazi.

mankhwala yakhala ikugwiritsidwa ntchito mwaluso kupewa matenda oopsa pa mankhwala, msana kapena epidural mtundu.

Mlingo wa mankhwala

lokonzekera ntchito inki ndege kapena kukapanda kuleka. Mlingo zimadalira alili.

pa ntchito "Refortan" Buku akuonetsa ntchito njira zotsatirazi:

1. Mlingo woyamba (10-20 ml) ayenera kuperekedwa pang'onopang'ono. Popeza wokonzeka kuthana zochita anaphylactoid sizingatheke mankhwala ntchito moyang'aniridwa ndi okhwima zachipatala.
2. Mu hemorrhagic mantha njira umayamba pa 20 ml ya / hr. Mu sepsis ndipo amayaka izo ankaganiza yobereka pang'onopang'ono ya mankhwala mu thupi.
3. Mlingo tsiku sayenera upambana 33 ml ya yankho 6% ndipo 20 ml ya - 10%.
4. Only dokotala ndi kudziwa mlingo wa oyamba medicament ndi mlingo wake pa nkhani ya imfa katundu magazi.
5. Pamene kufunika kuika mankhwala (hemodilution) tsiku mlingo wa ku 500 ml. Mankhwala anadzetsa thupi pasanathe masiku 3-5. Kudera ngati ali akulimbikitsidwa odwala amene magazi imfa Akuti monga pafupifupi. Mu zikhalidwe yadzaoneni mankhwala mlingo pamwamba kutumikiridwa kwa thupi kwa mwezi umodzi.
6. Zochizira hypovolemia analimbikitsa 10% njira. Mlingo ndi masamu alionse: 1 makilogalamu kulemera mtima - 20 ml ya yankho. Nthawi kumene amadalira alili ndipo watsimikiza potsatira dokotala.

Mlingo amenewa amaikidwa kukhala odwala wamkulu ndi ana. Komabe, kudziwa chindiletsa mankhwala "Refortan" malangizo Buku. Ana, amene zaka sizinawakhudze zaka 12, thupi akadali kupangidwa. Choncho, Mlengi si kulengeza ntchito njira kwa ana.

contraindications

The njira, monga mankhwala aliwonse, angapo zofooka. Malinga ndi malangizo, contraindications mankhwala mankhwala ali limati awa:

• munthu tilinazo;
• aimpso kulephera;
• Ana kwa zaka 12;
• intracranial okwera kuthamanga;
• edema m'mapapo mwanga;
• kwa chiwindi kulephera;
• intracranial kukha mwazi;
• Mkulu ndi sodium okhutitsidwa madzi ndi;
• magazi matenda;
• hypokalemia;
• kuchuluka mankhwala enaake zili mu madzi a m'magazi.

Kodi chovomerezeka ntchito mankhwala "Refortan" malangizo ntchito pa mimba? Mmenemonso, amafuna mkulu kusamala pamene ntchito mankhwala.

Madokotala zimapeweratu ntchito njira mu trimester. Ndithudi, nthawi imeneyi mankhwala kungayambitse wakuswa chitukuko embryonic wa mwana wosabadwayo.

kukonzekera akhoza tikuyivomereza mu wachiwiri kapena wachitatu trimester. Komabe, mimba ndiyo njira yoikidwa pokhapokha ngati kuli kofunika kuti mayi ndi mwana wosabadwayo sikukuvulaza.

zotsatira zoyipazi

kukwiya pamene ntchito medicament zimachitika infrequently. Komabe, odwala ena mwina zimachitika. Izi zikuonekera bwino ndi malangizo ntchito.

"Refortan" angathe kuutsa mavuto, anawonetseredwa mu mawonekedwe:

1. thupi lawo siligwirizana, urticaria, kuyabwa, dermatitis, angioneurotic edema, syndrome chimfine, nkhope hyperemia chivundikiro tachycardia.
2. Kuphwanya ntchito pa mundawo m'mimba: nseru, kusanza, m'mimba magazi, kutsekula m'mimba.
3. Mavuto a m'thupi: hypoproteinemia, mantha, kuwonjezera ntchito amylase magazi.
4. CNS matenda: neuralgia, litsipa, myalgia, chizungulire, kukomoka, chikomokere.
5. Mavuto a dongosolo mtima: arrhythmia, kumangidwa mtima, mtima kulephera maonekedwe.

ambiri osokoneza wa mankhwala

Ndi buku lalikulu la madzimadzi jekeseni mu mtima mwina ali ndi zizindikiro zoipa. Iwo yodziwika ndi ambiri osokoneza mankhwala. pa ntchito "Refortan" Buku amalimbikitsa pogwiritsa ntchito pa mlingo tafotokozazi. Izi kuteteza wodwalayo mavuto.

Ambiri osokoneza akusonyeza zizindikiro amenewa:

• hemodynamic Kusakhazikika;
• mavuto a clotting magazi.

Zochizira wotere analimbikitsa discontinuation atangochimwa kulowetsedwa lapansi. Zolinga achire Kwalamulidwa okodzetsa.

Kusamala

Nkofunika kuganizira mogwirizana kwa mankhwala "Refortan" ndi mankhwala ena. Ngati izi zitanthauza kutumikiridwa ndi aminoglycosides, zikuoneka kuti mankhwala adzaona zotsatira mtima nephrotoxic.

Sizimayenderana mankhwala "Refortan" ndi njira zina kulowetsedwa. N'zotheka pharmacological zosagwirizana ndalama izi. Zimenezi zingachititse kuti zotsatira zoipa kwambiri.

Anzawo chachikulu

Kodi pali mankhwala ndi zizindikiro zofanana ndipo pomaliza zotsatira chomwecho pa thupi, zimene zikusonyeza mankhwala "Refortan" malangizo ntchito? Analogs kuti akhoza kupikisana ndi wothandizila poyambirira kunyamula yekha kupezeka dokotala amaganizira za mmene wodwalayo ndi makhalidwe munthu wa chamoyo.

Sinthanitsani mankhwala "Refortan" angathe mankhwala amenewa:

• "Venofundin".
• "Hemodez".
• "Voluven®".
• "Infukol".
• "Reopoligljukin".
• "Stabizol".
• "Volemkor".
• "Ceruloplasmin".
• "Volek."

Maganizo za mankhwala

mankhwala akadali ntchito ana, ngati pali zizindikiro lalikulu ili. Madokotala mankhwala kwa ana zikutanthauza ngakhale ali osavomerezeka mankhwala "Refortan" malangizo Buku. Ana (ndi ndemanga umboni) kwambiri osowa zochita chowawa zimachitika. Pochita zimenezi, iwo sali osiyana mavuto amene amakhalapo pa odwala wamkulu.

Nthawi zambiri kusiya ndemanga za mankhwala amayi oyembekezera ndi preeclampsia amawapeza mu masiteji pang'ono kapena kwambiri. Malinga mankhwala mankhwala amalola chabwino kuthetsa hypovolemia, interstitial edema, ndipo kwambiri kumachepetsa katundu pa mtima.