"Poliglyukin": aʻo no ka hoʻohana 'ana, contraindications, hōʻike manaʻo

"Poliglyukin" - antishock plazmozameshchath medicament kōkua ai i nā a hoʻopiha nō ia o bcc. E like me ka hopena, hoʻohana o ka lāʻau ua Hāʻule maila lākou mai ka mea pīlali o platelets a me kaʻulaʻula koko keena.

Haku mele 'ana ec "polyglukin"

Ke kumu o ka lāʻau - dextran. Ma ka mole aniani, he 200 a me 400 ml o ka hoomakaukau ia i loko o ke kino o ka koʻana koko pāʻoihana. Ka lāʻau haku mele 'ana he paʻakai koloriside a me ka wai no ka pahu kui.

pharmacodynamics

"Poliglyukin" aʻo ma ka hōʻike 'ia ka like me ka lāʻau ka antiagregatnym a me hemodynamic' ole. I ka lāʻau o ka hydrophilic polysaccharide ka paa ka wai. Ma hope o ka hoʻohana lapaau bcc hoihoi hou ia i loko o ka pōkole au o ka manawa aie i ka mea i ka mea, absorbs lawa ka wai.

Kaʻeleu ke keʻena i ka kŘpa a kiʻekiʻe hakakino kaumaha, no laila, i loko o ke koko ia mea makana no ka lōʻihi manawa, a ma ka hoohiki ana mālie hele ma ka moku pa. e koke hoomahuahua i nā hiʻona o ka lāʻau, a lōʻihi, e malama i ke koko, maʻamau. "Poliglyukin" ho'ēmi i kā'aʻaʻa edema, e hooponopono i bcc eliminates spasm, a ia lŘlŘ kaʻike ākea moku.

ua hou wehe kumupaʻa koko ma hope o lapaʻau "Poliglyukin" aʻo i ka 'ana i ka lāʻau' hana i ke koko emi ÷. Ma kānaka, normalized kii, wāwahi aie i ke kūpono 'ana o ka hawewe: microcirculation, koko i na nā'aʻaʻa.

Pharmacokinetics

Excretion o medicament hua mai i ke kinoʻano nui ma nā puʻupaʻa. Hapa wehe 'ua lawe mai i ka lā. "Poliglyukin" wehe kōna, mailuilu haalele hapa kona komo na keena o ka reticuloendothelial'ōnaehana, a ua waiho ma laila i nā lŘlŘ splitting medicament. Hālāwai hoʻolohe i kēia kaʻina, monakō koko ua hua mai, i ua ole noʻonoʻo me ka kumu o ka ikehu. Little "polyglukin" loaʻa i loko o ka digestive'āpana.

hoike

"Poliglyukin" aʻo ma ka noi e leie aku oe, e hāʻawi aku ia, wawahi ae capillary koko pele. Ka lāʻau pono no ka iapaau ana o Huipuia, o ka hawewe, a Kāohi (septic kŰia, ʻawahia,'ā, ana, traumatic). A k hoʻohana 'ia i loko o ke koko huʻi poho i mai ai i ka ectopic hāpai keiki, ka nahunahu hanau a me ka hopena o ka trauma e koke hoihoi i ka bcc. Pāʻoihana i hypovolemia, i mea heʻilihune o ka wai koko kulu (pahu maʻi pale,'ā). I ka laulā o ka lāʻau ua ike ia ma ka manaʻo o ke kāohi ana nona pale embolism (preoperative, postoperative).

Contraindications

Ma mua o lapaʻau ia mea e pono nō ia e lohe i ka contraindications, a iloko ona i kakauia ka hoohui ana i ka hale mai "Poliglyukin" manual. Contraindications no ka lapaau a me ka Kāohiʻana o keia la hoomalolo, ua like penei:

• cerebral hahauʻana;
• High ICP;
• Hawaii ma i ka hoʻokomo 'ia' ana o ke kinowai ma nui mea mea undesirable;
• maʻi pu ia eʻaʻa puʻuwai maʻi (anuria, oliguria);
• loa hypertension;
• naau ole;
• kāna hana o ka homeostasis, coagulation;
• hoomau ana maloko kahe ana ke koko (koe nae - ke koko ma lalo 60 mm o Hg ..).

laʻau heluna lapaʻau

A pāʻoihana no intravenous hooponopono. Ma na wahi koko poho ua manaoia huʻi, ia ae i ka hoʻohana 'ana i ke kūʻai'-arterial lāʻau. I ka uku o ka lāʻau hooponopono me ka nānā 'pākahi a hilinaʻi nui ma luna o ka mau ana o ka hoomanawanui, me kona naau ana, ke koko, a me ka hematocrit.

By hawewe Hawaii "Poliglyukin" manual i ke heluhelu lawelawe bolus intravenous ala hele. Ua koi 'ia hookahi mahele lāʻau o ka Luna i loko o ia mau hihia nei, aole emi malalo o 400 akā,ʻaʻole oi aku mamua o 1200 ml. Ma kekahi hihia ia mea e pono ke hoʻonui i ka mahele lāʻau o ka lapaʻauʻia mai a hiki i 2000 ml. Inā ua hiki ke lawe mai i ka maʻamau, he hoʻololi i ka hoʻokomo 'ana i ka lāʻau' droplets ka hana o BP like me ka hopena o ka hooponopono ana o ka lāʻau.

Me ka nui o ke koko poho, e like me 500 ml, a hou aku, e like me ke alo o ka loa anemizatsii ole ka hoʻohana 'ana "polyglukin" pāʻoihana ua hana transfusion. E like me ke kāohi ana iʻoki kino lāʻau lawelawe i ka drip ka wā o ka manaʻo koikoi i haule iho, e pale aku hawewe - mokulele hēkī. Ke oi emi i loko o ke koko, i 60 mm o Hg. Art. a ma lalo pono o ka hoʻokomo 'ia' o "polyglukin" i loko o ka buke i oi aku mamua o 400 ML intraarterially. Ma hope o ka hana 'ana me ka hoʻohana i kēia lāʻau lapaʻau hua Kāohiʻana, hiki ke pale aku i ka ulu ana o ka hawewe.

pāʻoihana ua nō kāu hoʻohana ma o ka lehulehu o ka 6%ʻeleu waiwai, akā, pili "Poliglyukin 33" ma kekahi mau hihia. Na Ke Kumu no ka hoʻohana hōʻike i ka hoʻomanaʻo me ka lehulehu o ka dextran mea he kākoʻo mea kemikala ka wā o kéu hoʻomaopopo i ka hoʻokaulike o ka haumāna haʻawina kālā a me kona mau pou.

I ka ia mea e pono e hoʻopau kuni i ka mea nń, i ka lā mua i kanaka makua ua lawelawe mai 2 tausani. Tausani i 3. ML pāʻoihana, ua pili i ka lua o ka lā o ka ole oi aku 1.5 tausani. Ml hoʻomākaukau. I kēlā manawa, i ka wa o ka kŰia mea pono e wehe i ke keiki, ka mea, ua mua lawelawe 40-50 ml / kg mea, i ka lua o ka lā ua hoemiia ka mahele lāʻau no kilogram kino ke kaupaonaʻana i 30 ml. E like me ke kāohi ana, e hoʻopau i ka manawa kūpono o ka nń, na keiki hoʻolauna drip intravenous ala hele. Ka makemake mahele lāʻau no ke keiki papa koa mai ka 10 a hiki i 15 ml / kg "Poliglyukin" hoʻomākaukau. Na Ke Kumu no ka hoʻohana no na holoholona, pū,ʻo ia ka mea hiki, e pili i ka iapaau ana, ma muli o ka hoʻokomo 'ia' "polyglukin". No kēia mau hana i ka pāʻoihana mahele lāʻau o ka 15 a hiki i 20 ml / kg. Ka loa kūpono mahele lāʻau o ka lāʻau me ka nānā 'ana i ke kauka.

ʻaoʻao waiwai

Ma mua o ka hoʻohana 'ana i ka huina hoonui "Poliglyukin' kauoha no ka hoʻohana 'ana, pane i hooluoluia mai ai e nānā i ka mea e hikiʻaoʻao waiwai. IeAUPIIe, IAa IO complications e ole e kū aʻeʻoe, a me ke kino o nā mea maʻi i pane pono i ka lāʻau. I kekahi manawa e hiki ke malama i loko o ka palapala o ka allergic reactions o anaphylactic kŰia, nani, maneo a me ka wikiwiki. Ma kekahi nā mea maʻi, i ka sternum he mea he manao o ka mīkini'opihia, he mea eha. Paha e ike mai kuni, ho'ēmi i kā ke koko, hoʻonui o ka naau kōmi. Oe i i pilikia me ka hanu, a me ka pōniuniu alo acrocyanosis ulu. E like me ka hualoaʻa overdose lawe keu haawe ana ma luna o ka naʻau, ua papa oi aku i ka paipai mahele lāʻau o ia hoʻi, "Poliglyukin" manual. Papa a me nā lapaʻauʻia i ke ahonui o ka lawe ana, hiki loko i ka hana o ka pāʻoihana.

Analogs hōʻike manaʻo

Hakahaka medicament hiki "HyperHAES", "Reoglyumanom" a "Hai-sterile". No ka pāʻoihana e mea hoʻohana no ka mea wahi mea like me ka "Poliglyukin" nā "Sterofundin", "Reopoligljukin", "Stabizol".

Puku "Poliglyukin" kauoha no ka hoʻohana 'hele' ana o ka hihia ma ka hoʻomanawanui, aole ia e pono i kēia wahi uku paha. No ka substitutions hiki ke hoʻohana ' "gelofusin", "Refortan N», «Sorbilakt". A like ai hiki ke ana "Albunormom" a me ka "Neorondeksom".

Reviews hōʻike i ka hapanui lāʻau kōkua i loko o ke kāpaeʻana i ka pilikia. Akā, mahope mai o kēlā me kēia hihia mea okoa, i e okoa ka hopena o kāna mau hoʻoponopono. Nui hilinaʻi nui ma luna o ka hoʻomanawanui ka kulana. People ma pilikia o ka ole, e hoʻohana "Poliglyukin" ma luna o lākou iho, ma muli o ka pilikia o ka kūpono aaieieno? O haawina a me ka hooulu ana o kaʻaoʻao loa.

Kona papa pāʻoihana "Poliglyukin" hanaʻia, akā, i ka lapaʻau, e like me ka manaʻo o ka Kāohiʻana, ka mea, ua i kona mana, a ua alakai ia, i ka mahele lāʻau o ka lāʻau e e koho ia e ke kauka pākahi nā pilikia. Wale i ka hoʻomalu ke lawelawe i ka lāʻau 'like me ka maʻamau kanaka makemake ole e hiki i ka pololei hooholo i ke koi' ia mahele lāʻau, a kūpono ala hele o ka hooponopono ana o ka lapaʻauʻia. Excessive nā māhele o ka ai 'mea pilikia no ka naau, no laila mai e lawe ka pilikia, a me ka pakiko-lapaʻau.