Mankhwala "Potaziyamu Chloride"

Mankhwalawa "Potaziyamu Chloride" ndi mankhwala omwe amayenera kubwezeretsa kusowa kwa potaziyamu m'thupi. Mchere umenewu, womwe ulibe mtundu uliwonse kapena woyera, ukhoza kukhala ngati ufa, njira yothetsera kapena mapiritsi, ndipo umagwiritsidwanso ntchito popanga zinthu monga potaziyamu hydrochloride ndi carbonate ya potassium.

Ndi potaziyamu yomwe imayambitsa mavitamini osiyanasiyana, omwe amathandiza kwambiri popereka ntchito zosiyanasiyana za thupi. Izi zikuphatikizidwa pakuchita ndi kutumiza kwa ziwalo zosavomerezeka za mitsempha ya mitsempha, poyambitsa mitsempha ya mitsempha, kupitiriza kusokoneza mphamvu ya osmotic, komanso njira zina zambiri zamagetsi. Zimathandizanso kuchepetsa kapangidwe kamene kamakonzedwe ka myocardium, ndipo kupezeka kwake pamitengo yapamwamba imalepheretsedweratu.

Pambuyo pa mankhwalawa "Potassium Chloride" amamwa, pafupifupi 70 peresenti ya iyo imangotengekeka chifukwa chakuti pang'onopang'ono ndondomeko ya potaziyamu ili pamwamba kwambiri mu lumen ya m'mimba mwaching'ono kusiyana ndi mwazi. Mukati mwake ndi leamu, tizilombo toyambitsa tizilombo timene timatulutsidwa mu lumen ya m'matumbo, timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timeneti timatulutsidwa, ndipo kenako 10% imatulutsidwa pamodzi ndi bile.

Mankhwala "Potaziyamu Chloride" - mlingo wa mankhwala

Mlingo umodzi suyenera kupitirira 25-50 mEq ya potaziyamu, pamene mlingo wa tsiku ndi tsiku sungakhale wapamwamba kuposa 50-100m Eq ya potaziyamu. Njira yopangira chithandizo komanso kumwa mankhwalawa kumadalira zizindikiro. Ngati kuli koyenera kupereka "Potassium Chloride" mwakuya, mlingo wa mankhwala ndi mankhwala ochiritsira pazifukwa zonse zimatsimikiziridwa mosiyana.

Kuyanjana kwa Mankhwala

Ngati mumalola kugwiritsa ntchito pulogalamu yamchere m'malo mwa piritsi, potassium-sparing diuretics ndi ma potassium ena, ndiye kuti pali chiopsezo chachikulu cha hyperkalemia.

Ngati pali vuto loyambitsa mankhwalawa kwa mayi woyembekezera, m'pofunika kuti dokotala ayese zomwe amayembekezerapo kupindula kwa mayiyo ndi chiopsezo cha mwanayo. Mukamayamwitsa mwana, m'pofunikira kuti muyambe kudya musanagwiritse ntchito mankhwalawa.

Zotsatira zokayikitsa

Zizindikiro za hyperkalemia nthawi zambiri zimakhala zofooka, paresthesia m'munsi ndi kumtunda, arrhythmia, blockade ya mtima ndi kumangidwa kwake, chisokonezo.

Ngati mankhwalawa "Potassium chloride" amatengedwa pamlomo, kunyoza, kusanza ndi kutsekula m'mimba kumachitika. Nthaŵi zina, zilonda zam'mimba ndi m'mimba mwazing'ono zimapezeka, nthawi zambiri zimaphatikizapo kutuluka mwazi ndi kupuma, ndipo kenako zimakhazikitsidwa.

Pambuyo poyendetsa mankhwalawa, mankhwala amatha kukhala ndi vuto .

Zizindikiro zogwiritsidwa ntchito

Mankhwalawa "Potaziyamu Chloride" amalembedwa pamaso pa hypokalemia ya chiyambi chilichonse, kuphatikizapo atasanza kwambiri kapena kutsekula m'mimba, ndi polyuria komanso kusadziwika kwa chiberekero. Ikhoza kuyambanso chifukwa cha kayendedwe kake ka mankhwala ena, amatha kuledzeretsa kapena mankhwala a hypokolemic a paroxysmal myoplegia.

Zotsutsana za ntchito

Mankhwalawa sanagwiritsidwe ntchito potsutsana ndi ntchito yovuta ya impso, ndi kutseka kwathunthu kwa mtima. Komanso, sayenera kugwiritsidwa ntchito pa matenda a hyperkalemia, matenda a chiwombankhanga mu mawonekedwe a acidosis, hypovolemia ndi hyponatremia, pamaso pa matenda a m'mimba, omwe ali pangozi ya kuchulukitsa, ndipo ali ndi vuto losavomerezeka.

Pachilengedwe cha potaziyamu chloride, mlingo wakupha ndi oposa magalamu asanu, ngati n'koyenera, kupweteka kwa magazi pamene opaleshoni ikukwanira 100-150 mg ya mankhwala. Ngati mankhwalawa akuyendetsedwa mofulumira komanso mofulumira, ndiye kuti hyperkalemia imayamba, zomwe zingayambitse imfa ya wodwalayo. Pa nthawi yomweyi, munthu ayenera kudziwa kuti ikhoza kukula msanga komanso kusonyeza zizindikiro zakunja. Ngati mutatha kumwa mopitirira muyeso, muyenera kupeza njira yothetsera sodium chloride mkati kapena mkati mwa intravenously, kapena kuchokera pa 300 mpaka 500 milliliters a dextrose, mu 1000 ml yomwe imakhala ndi magawo 10-20 a insulini.