Urografine: malangizo ogwiritsiridwa ntchito, mafananidwe, ndemanga, kutsutsana. Urografin 76%: malangizo ogwiritsidwa ntchito

Kuti apange kafukufuku pamtundu, njira zochokera pazitsulo za X-ray zimagwiritsidwa ntchito. Mawu oyamba mu thupi la munthu wothandizira osiyana amachititsa kuti munthu adziŵe matenda. Kuwonjezera maamolekoni a iodin kwa mankhwalawo kumawonjezera zotsatira zake.

Kufotokozera

Mankhwalawa akuti "Urografine" omwe amagwiritsidwa ntchito ngati njira yothetsera matenda a ionic. Imayikidwa mu zotengera ndi zikhomo.

Mankhwalawa amatanthauza njira zowonongeka, zimapezeka ngati zomveka bwino, zopanda mtundu kapena zobiriwira.

Kupanga

Mu mankhwala akuti "Urografine" malangizo ogwiritsira ntchito sankhani zigawo zikuluzikulu zomwe zimachokera ku asidi 3,5-bis (acetylamido) -2,4,6-triiodobenzoic. Zowonjezera zikuphatikizapo mchere wake awiri: sodium ndi meglumine. Pali miyezo iwiri ya mankhwala pa 60 ndi 76 peresenti.

Mmodzi wa mililiter wa mankhwalawo akhoza kukhala ndi 0.292 g kapena 0.370 g wa particod. Chiwerengero cha meglumine amidotrizoate mu ampoule ndi 10.4 g kapena 13.2 g, ndi sodium amidotrizoate ndi 1.6 g kapena 2 g. Mchere woyamba mu milliliter imodzi ndi 0.52 g kapena 0.66 g, ndipo yachiwiri ndi 0 , 08 g kapena 0.1 g.

Pofuna kupeza njira yowonongeka, zopangira zosakaniza zimagwiritsidwa ntchito monga calcium sodium edetate, sodium hydroxide ndi aqueous jekeseni wapakati.

Mankhwalawa amaphatikizidwa mu 20 ml mu buloules.

Njira zoterozo

Mauthenga a "Urographin" omwe amagwiritsidwa ntchito amagwiritsidwa ntchito pazokonzekera zomwe zimapangitsa kusiyana kwa fano chifukwa cha kuyamwa kwa X ray ndi iodini ions, zomwe zimaphatikizidwa mu amidotrizoate salt.

Kuti mugwiritse ntchito mankhwalawa, muyenera kudziwa momwe mungayankhire jekeseni, yokhudzana ndi osmolality, mamasukidwe akayendedwe, mowirikiza komanso mtengo wa hydrogen index.

Ili ndi deta yonse pamwambapa ya mankhwala "Urografin" malangizo oti mugwiritse ntchito. Zizindikiro zofanana ndi zokonzekera "Triombrast" ndi "Trazograph" zimagwiritsidwanso ntchito monga zipangizo zamakono zogwiritsira ntchito zomwe zili ndi ayodini particles.

Poyamba mankhwalawa, chithunzi cha limba chimakhala chosiyana kwambiri.

Kodi amagwiritsidwa ntchito?

Mankhwalawa "Urographin 76" akulimbikitsidwa kuti agwiritsidwe ntchito kubwezeretsa kachilombo koyambitsa matenda, kuyang'ana kwa angiographic, kugwiritsidwa ntchito kwa nyamakazi, kumapeto kwazomwe zimapangidwira.

Mankhwalawa amatengedwa pamaso pa intraoperative cholangiography, sialography, fistulography, hysterosalpingography.

Momwe mungagwiritsire ntchito

Musanagwiritse ntchito "Urographin 76", malangizo oti agwiritsidwe ntchito akulangiza kukonzekera wodwala pasadakhale. Kuyeretsa kwapadera kumafunika kuti angiographic ayesedwe za ziwalo za m'mimba ndi njira zogwiritsira ntchito. Masiku awiri musanayambe kusokoneza, musadye chakudya chimene chimayambitsa kupweteka. Zakudyazi zikuphatikizapo nyemba, saladi, katundu wakuda ndi wophika, masamba obiriwira.

Musanayambe kufufuza, mutha kudya usanafike maola 18, mutatha kumwa mankhwala osokoneza bongo. Malangizowo omaliza sakugwiritsidwa ntchito kwa ana aang'ono.

Chisangalalo, kupwetekedwa mtima kumawonjezera njira zothandizira kuchipatala, kotero munthuyo amakhala wodetsedwa m'maganizo ndi kukambirana kapena mankhwala.

Ndi myeloma, kuchulukitsidwa kwa shuga m'magazi ndi nthendayi, polyuria, oliguria, hyperuricemia, ana ndi okalamba ndi hydrated manipulations kubwezeretsa madzi electrolyte mlingo.

Kukonzekera kokonzedwa bwino "Urografin" kukulimbikitsidwa kuti kugwiritsidwe ntchito pokhapokha ngati zinthu zakuthupi zimasungidwa. Ngati pali dothi, mthunzi wasintha kapena pali kuwonongeka kwa phukusi, sikunagwiritsidwe ntchito. Madziwa amasonkhanitsidwa kusanayambe kayendetsedwe kazitsulo, ndipo zotsalira za njirayi zimachotsedwa.

Mlingo umatsimikiziridwa ndi zaka, kulemera kwa thupi ndi moyo wabwino wa munthu. Ngati ntchito yoperewera ya impso kapena mtima, mankhwala osachepera amagwiritsidwa ntchito. Pambuyo pa ndondomekoyi, ziwalo izi ziyenera kuyang'aniridwa masiku atatu.

Chifukwa cha zochitika za angiographic, catheter yopitilira imatsuka ndiyenela kuthandizidwa pogwiritsa ntchito njira yothetsera vutoli. Ngati mankhwalawa akujambulidwa mu zotengera, m'pofunikira kupereka malo obwezeretsa. Pambuyo pa theka la ola pambuyo pa jekeseni, wodwalayo amaonetsetsedwa bwino kuti adziwe zotsatira zake panthawiyi.

Pofuna kutsimikizira nthendayi, bwerezerani kugwiritsa ntchito wothandizirayo pang'onopang'ono pa mphindi khumi kapena khumi ndi zisanu kuti muonjezere kuchuluka kwa serum osmolarity ndi mankhwala osakaniza. Pakuyamba mlingo umodzi wachikulire wa 0,3300 mpaka 0,350 malita a mankhwala, zothetsera electrolyte ziyenera kutsanulidwa.

Malangizo a "Urographin" omwe amagwiritsidwa ntchito amagwiritsidwa ntchito amalangiza kutentha mpaka madigiri 36, omwe amalola kuti chojambulidwachi chikhale chojambulidwa komanso chosavuta kulekerera chifukwa cha kuchepa kwa mamasukidwe akayendedwe. Sizitsulo zonse, koma ndizokwanira.

Chida ichi sichiyambe kuyesedwa chifukwa cha zotsatira zosakhulupirika.

Kuchita kafukufuku

Ngati mankhwalawa akuwongolera, mankhwalawa amaperekedwa mu 20 ml pa mphindi imodzi. Ngati pali kuphwanya kwa mtima, mankhwala amayamba pang'onopang'ono, yomwe ndi theka la ora.

Wodwala wamkulu amapatsidwa 0.02 l wa mankhwala "Urografine 76" kapena 0.05 l wa mankhwala 60%. Kuonjezera kuchuluka kwa mankhwala omwe ali ndi chiwerengero choposa 0.05 L kumathandizira kuwonjezeka kwachindunji.

Zithunzi za mitsempha ya pakhosi yopanga mafinya imapangidwa kumapeto kwa jekeseni kuti iwonetsedwe bwino. Kuti muwone momwe mapepala a pelvic ndi katemera amadziwira, 1 chithunzi chimatengedwa pambuyo pa mphindi zisanu, ndi 2 mpaka 12 mutatha kulowetsedwa kwa madzi.

Ndi kulowetsedwa kwa 0,1 malita a mankhwala, nthawi ya ndondomekoyi imakhala mphindi zisanu kapena zisanu. Anthu omwe ali ndi matenda a myocardial wambiri amathiridwa m'mitsempha kwa theka la ora. Zithunzi zoyambirira zimatengedwa kumapeto kwa chiyambi, ndipo zotsatirazi zimachitidwa kwa mphindi 20.

M'mayendedwe a radiographic of circulatory system, pamene zojambulajambula, angiocardiography kapena coronary angiography zimagwiritsidwa ntchito, mlingo waukulu wa "Urografine" amagwiritsidwa ntchito. Kugwiritsa ntchito yankho la 76% ndilofunika. Kuchuluka kwa mankhwala kumatsimikiziridwa ndi makhalidwe a msinkhu, kulemera kwake, kuchuluka kwa maminiti a minofu ya mtima, umoyo wabwino, njira zogwira.

Mankhwalawa amawerengedwa mothandizidwa ndi kubwezeretsanso kuyesa kwapadera, kumene mankhwalawa amathandizidwa ndi njira ya catheter mu lumen ya urethra. Mafuta 30 peresenti amagwiritsidwa ntchito, omwe amapezedwa ndi kuchepetsa madzi okwanira 60 peresenti ndi jekeseni madzi mu chiŵerengero cha 1 mpaka 1. Pofuna kupewa mpweya mu ureter ndi kukwiya ndi mankhwala ozizira, kukonzekera kusiyana kumatenthedwa mpaka madigiri 36.

Kwa kafukufuku wina, 60% ya mankhwala osagwiritsidwa ntchito ayenera kuperekedwa. Mankhwala akuluakulu nthawi zina amachititsa zizindikiro zosokoneza.

Wothandizira amatsanuliridwa pansi pa mphamvu ya fluoroscopic kuti apange masewera olimbitsa thupi, kuwonetsetsa kwapadera komanso kubwezeretsanso mankhwala.

Kumwa moyenera

Kuti tichite tomography m'matumbo a m'matumbo ndi ziwalo zina, madokotala amapereka mankhwala okhudza mankhwala "Urografine". Malangizo ogwiritsira ntchito musati muwalangize kutenga, satanthauza njira iyi yogwiritsira ntchito. Ngati dokotala yemwe akupezekapo sanadziwitse wodwalayo za malamulo ogwiritsira ntchito ndi odwala, wodwala angavutike kupeza chidziwitso.

Ogwira ntchito zamankhwala amalimbikitsa kumwa mowa wa "Urografine" musanafufuze. Malangizo ogwiritsidwa ntchito kwa CT amasonyeza kuti zomwe zili mu buloule (20 ml) ziyenera kusinthidwa ndi lita imodzi ya madzi oyera, tengani madziwa pang'onopang'ono.

Kugwiritsa ntchito kumayambira maola 24 chisanatuluke, chifukwa cha matumbo ndi ziwalo zina zimagwiridwa. Potsirizira 200 ml ya yankho la "Urografine" limalimbikitsidwa kuchithunziro cha CT pokalowa chipinda. Zitsanzo zoyambirira zogwiritsira ntchito pakamwa sizinalembedwe.

Pamene osagwiritsa ntchito

Chifukwa cha mankhwala omwe amachititsa kuti "Urografins" asamveke akugwirizana ndi kuwonjezeka kwa kayendedwe ka chithokomiro, kutayidwa ndi ntchito yosakwanira ya mtima.

Kuchuluka kwa chifuwa chachikulu sikungalole kuwerengedwa kwa cholangiopancreatographic.

Kufufuza kwa hysterosalpingographic sikumagwiritsidwa ntchito panthawi yomwe mwanayo ali ndi pakati komanso pamatenda opweteka kwambiri m'mimba mwachisawawa.

Maphunziro a myelography, ventriculography ndi maphunziro a chidziwitso sangagwiritsidwe ntchito ngati mankhwalawa akusiyana chifukwa cha matenda a neurotoxic.

Zosasangalatsa

Pokonzekera "Urographin", malangizo oti mugwiritse ntchito akuphatikizapo zomwe zikuchitika pafupipafupi. Zomwe zimachititsa kuti thupi liziyenda bwino, limakhala ndi kupuma pang'ono, kutsokomola, kutupa kwa mapapo, kusiya kugwira ntchito yopuma.

Kusokonezeka m'magazi kumasuliridwa ndi kusanza, zizindikiro za m'mimba.

Kusintha kwa ntchito ya mtima ndi mthupi kumagwirizanitsidwa ndi kusintha kwa kuthamanga kwa magazi komanso nthawi zambiri. Nthawi zina zimakhala zotheka kukhala ndi mavuto oopsa omwe amachititsa kuti thupi liziyambitsa matenda a myocardial infarction.

Zomwe sizingasangalatse kayekidwe ka mkodzo zikuwonetsedwa ndi vuto lopweteka komanso lopweteka.

Kusintha kwakati pakati pa mitsempha ya mitsempha imadziwika ndi kupweteka kwa mutu, kusalinganizika, kutayika kwa chidziwitso, kuwonongeka kwa mayankho ogwira ntchito ndi maonekedwe, kukhumudwa koopsa, kuopa kuwala, kugona, kugona.

Zochitika za m'deralo zikuphatikizapo kutupa njira, veous thrombosis, thrombophlebitis zilonda, minofu necrosis.

Mbali za mankhwala

Mankhwala a "Urographin" amatchulidwa kuti agwiritsidwe ntchito mosamala pamene pali kukhudzidwa kwambiri kwa mankhwala ndi mavitamini. Kuwongolera kolondola kumafuna kuwonongeka kwakukulu kwa impso ndi chiwindi, ntchito yosakwanira ya minofu ya mtima, emphysema matenda a m'mapapo, matenda osadwala a atherosclerotic, matenda osokoneza bongo, kukula kwa shuga m'magazi, kutsekemera kwa chithokomiro ndi myeloma. Zotsatira zopanda phindu muzikhalidwezi zingakhalepo kuchokera mu kulowetsedwa kwa mankhwala mu mitsempha.

Kugwiritsa ntchito mankhwala a radiocontrast kumayambitsa hypersensitivity, yomwe imawonetseredwa ndi kuvutika kupuma, erythema kubwezeretsa khungu, mphutsi, kuyaka kapena kutupa kwa mbali ya nkhope ya mutu. Pa matenda aakulu, angioedema imakula, kupweteka kwapweteka ndi matenda a anaphylactic. Zotsatira zopanda phindu zingachitike mkati mwa mphindi 60 mutagwiritsa ntchito mankhwala osokoneza bongo.

Kawirikawiri, zotsatira zake zimachitika kwa odwala omwe sagwiritsidwa ntchito ndi zakudya zam'madzi ndi zigawo zikuluzikulu zomwe zimayambitsa matenda a fever, urticaria, kapena chifuwa cha mphumu. Musanayambe kumwa mankhwala a radiopaque, dokotala ayenera kufufuza matenda a anthu akale. Ngati pali mwayi waukulu wa mankhwala osokoneza bongo, antihistamine therapy imagwiritsidwa ntchito kuti itetezedwe.

Mankhwala osokoneza bongo kwa mankhwalawa amathandizidwa ndi kugwiritsa ntchito beta-blockers. Mankhwala oterewa amachititsa kuti asamakhale ndi mankhwala ambiri.

Njira yothetsera ayodini yosakanikirana imatha kusintha kusintha kwa chithokomiro. Deta izi zimaganiziridwa pamene akugwiritsa ntchito mankhwalawa kwa odwala omwe ali ndi chizolowezi cha hyperthyroidism.

Ukalamba uli ndi matenda a mitsempha ya mitsempha ndi chikhalidwe chosakhazikika cha ubongo, chomwe chimaonjezera zosayenera zochokera ku ayodini okhala ndi mankhwala osiyana.

Ndi kulowetsedwa kwa intravascular, nthawizina pamakhala ntchito zosakwanira za impso. Pofuna kupewa, muyenera kuphunzira matenda a impso apambuyo, kuti mudziwe kuti pali thupi lomwe liripo. Mavutowa amachititsa kuti myeloma, ukalamba, matenda opitirira mavitamini, mapuloteni a m'magazi, machitidwe amphamvu a kuthamanga kwa magazi, atenge ma oric acid.

Ngati pali njira yowonjezerapo, njirayi imayambitsidwa mwa njira yoperekera m'magazi. Amachitanso kumapeto kwa matendawa, pofuna kuchotsa chojambulidwacho kudzera mu impso.

Pofuna kuchepetsa katundu pa thupi pakuchotsa mankhwala musagwiritse ntchito mankhwala a nephrotoxic ndi cholecystografic pakamwa, musachite angioplasty ya zitsulo za impso kapena opaleshoni yaikulu.

Pogwiritsa ntchito ziphuphu m'magetsi a mtima komanso pamapapu, kugwiritsa ntchito mankhwalawa kumabweretsa kusintha kwa hemodynamic. Anthu okalamba omwe ali ndi matenda a myocardial m'mbuyomu ali ovuta kwambiri kwa ischemic ndi zilonda zamagetsi. Ngati pali mtima wolephera, ndiye kuti mankhwalawa amatha kupweteka kwambiri.

Ndemanga

Kawirikawiri amadwala kawirikawiri mankhwala omwe amawopsa kwambiri. Zonse zosayenerera pakamwa mankhwalawa zimalongosola mankhwalawa "Urographin". Kawirikawiri kafukufuku amasonyeza bwino kulekerera kwa mankhwala. Odwala nthawi zambiri amadziwika ndi njira yothandizira, osati kutenga chojambulira.

Pali ndemanga zokhudzana ndi kuyambitsidwa kwa mankhwala mu uterine cavity. Njirayi imayambitsa zowawa, zosamvetsetseka.

Sizinthu zonse zokhudzana ndi njira zothandizira zili ndi malangizo ogwiritsira ntchito pa "Urografine" yankho. Kwa CT, ndemanga imasonyeza kufunika kokhala ndi mankhwala osakanizidwa tsiku ndi tsiku musanayambe kufufuza komanso m'chipinda chogwiritsira ntchito. Kwa kukoma kwake kumafanana ndi madzi osapaka mtundu, omwe samununkhiza kalikonse.

Pali zowonongeka pamene wodwalayo sakanatha kuchipatala chifukwa cha madandaulo okhudza kusokoneza mankhwala. Wodwala adadwala, kuthamanga kwa magazi kunachepa kwambiri.

Pali lingaliro loti pakakhalabe mawonetseredwe otsutsa a ayodini particles, kugwiritsa ntchito mankhwala sikuyenera kuopedwa. Mankhwalawa omwe ali ndi chitetezo chotsimikiziridwa amagwiritsidwa ntchito ndi akatswiri ambiri pa mayeso.