Sodium Thiopental - mode ntchito

"Sodium Thiopental" ndi youma porous misa enaake achikasu mtundu. Amasungunula mosavuta m'madzi. A njira ya mankhwala yomweyo asanayambe ntchito yake.

"Sodium Thiopental" ntchito mankhwala, ndipo zimatheka monga makonzedwe mtsempha wa mankhwala, ndipo pa yoyang'anira thumbo. Komanso, kumiza munthu mu mkhalidwe ochititsa dzanzi kunatheka chifukwa cha kumayambiriro izi intramuscularly chida, koma njira imeneyi ntchito kwambiri kawirikawiri.

Ngati ntchito molondola, "Sodium Thiopental," Munthu umalowa mu khalidwe la mankhwala ochititsa dzanzi n'zosavuta ndi kudya, ndi kusanza ndi chisangalalo pafupifupi sizidzachitikanso. Ngati mankhwala ochititsa dzanzi ntchito opaleshoni, wodwalayo palibe corneal ndi tendon bongo, akhoza pang'ono mwapang'ono ana, koma nthawi zambiri kukhala mtengo zachilendo, eyeballs ndi lokhazikika. Komanso, pali zosangalatsa a minofu pharynx, lilime limalephera wotsikirapo kuthamanga ndi amachepetsa pafupipafupi ndi kuya kupuma. Dziwani kuti, ngakhale pamene mankhwala oletsa ululu kwambiri, amene amayamba ndi oyamba mankhwala, ndi zosangalatsa wathunthu minofu ya khoma m'mimba zimachokeradi odwala onse.

"Thiopental ndi sodium" m'malo mofulumira kuchotsedwa thupi, ndipo mwa nthawi wake ntchito mankhwala ochititsa dzanzi akulowa munthu kwa mphindi 20-25. Chikadzangotha akudzuka zotsatira analgesic mankhwala ndi ndinayima.

Zikuonetsa ntchito mankhwala

Zimagwiritsa ntchito adati kudzera pa ndondomeko lalifupi opaleshoni. Ndiponso ntchito kupatsidwa ulemu wa mankhwala oletsa ululu akutsatiridwa ndi ntchito ya mankhwala opha amphamvu. mankhwala amene amagwiritsidwa ntchito molumikizana ndi relaxants minofu, ngati makina mpweya wabwino.

"Sodium Thiopental": malangizo ntchito

Kwa odwala wamkulu kukonzekera 2 kapena 2.5% njira ya mankhwala, ndi ana, odwala okalamba kapena debilitated angagwiritse ntchito 1% njira. Ngati "Thiopental ndi sodium" ntchito kupatsidwa ulemu wa mankhwala ochititsa dzanzi kapena opaleshoni zazing'ono ngati njira yokha narkotiziruyuschee, m'pofunika kulowa 20-30 ml m'nsinga. Mlingo pazipita 2% njira ya mankhwala, amene ingagwiritsidwe ntchito akulu ndi 50 ml, anati njira umayamba pang'onopang'ono, poyamba mlingo kakang'ono, ndipo pambuyo masekondi 30 onse otsala.

Kawirikawiri mankhwala ndi zomveka mphindi 25, koma zimatengera osati kuchuluka kwa iwo analowa, komanso maonekedwe munthu wa munthu aliyense.

Ndikafuna mankhwala ochititsa dzanzi zofunika mankhwala ntchito kwa ana amene ali ndi nkhawa, komanso anthu akuvutika thyrotoxicosis. Mu milandu, nthawi zambiri ntchito 5% njira 'wa sodium wochuluka thiopental ", umene unali mkangano kwa 32-35 ° C ndi jekeseni rectally, makamaka osati mu chipinda cha opareshoni, ndipo mwachizolowezi zinthu zambiri kwa wodwalayo. Ana osaposera zaka zitatu rectally kutumikiridwa pa 0,04 ga, ndi ana kwa zaka zisanu ndi ziwiri ziletso pa 0,05 ga pa chaka moyo.

contraindications

N'zosatheka ntchito chida cha anthu amene asunga matenda organic a chiwindi, impso, amene shuga, anthu akudabwa. Komanso, mankhwala sizikhudza ngati pali kutupa m'mphuno, matenda a magazi, anthu amene ali mu mkhalidwe thupi.

chingachitike mbali:

- maonekedwe a chifuwa;

- yatsoka laryngospasm, bronchospasm ndi hypersalivation;

- maganizo kupuma ndi hypotension.

Kuteteza zosayembekezereka matendawo, amene chifukwa chakuti kumawonjezera kamvekedwe ka mitsempha vagus, isanafike utsogoleli wa mankhwala oletsa ululu n'kofunika kulowa "Metacin" kapena "atropine". A njira ya mankhwala sangathe wothira njira zothetsera mavuto "chlorpromazine", "pentamine", "ditilina" "Promethazine" ndi "arfonad".