"Promedol": olelo ao no ka hoʻohana. Release ano o ka lāʻau, i nā rula o ke kuai ana i keʻena kūʻai lāʻau lapaʻau

Kekahi mau maʻi wehewehe aku ma ka loa ho'āhewa wale o ka eha, a hiki lawelawe ole a pau painkillers. No laila, ma ka 'inikua hoʻomaʻamaʻa ua hoʻomano hoʻohana lapaʻauʻia e pili ana i ka opioid analgesics, a i kūʻai wale nō e kuhikuhi. One ua lāʻau nei he Agena "Promedol" hiki ia oe wanaao ae ma nā pae o na kanaka Central ko mākou hopohopo'ōnaehana interneuronal EYI o ka eha impulses. Olelo ana agonist opioid mea loaʻa makaukau "Promedol" hana i māhele o ka lolo, hoʻololi 'ehaʻeha o kaʻeha. Ma pharmacological waiwai like i ka medicament lāʻau "Morphine" a me ka "Fentanyl", ia kekahi me ka nui loa maoli ka eha paepae o ke kanaka, inā paʻa ka awelika soporific keia, a he inhibiting kanawai ma luna hoʻoponopono reflexes. Eia naʻe, e like me ka luna-i oleloia lāʻau hoomakaukau "Promedol" emi paha e i kapa 'ole e like me ka luaʻi, a nausea, emi depresses ka hanu nā oaio a oi shchadjashche loaʻa spasmolytic ia ma luna o ka ureter a me ka bronchi. I ka Ia manawa, e hoʻohuiʻana paha i kekahi contractile hope a me ka leo o ka myometrium.

Release ano "Promedol" lāʻau a me kona 'ole

Mawaho o ko mākou moku'āina analgesic "Promedol" i kekahi hoʻonohonoho 'ole-kūpono inoa "trimeperidine hydrochloride", i aku la ia ia me kaʻeleu' Oponopono no ka nui loa ai '. I kēia lā i ke kala o ka lāʻau ua hoemi ia i ekolu ano: na papa, a me ka hue 'ohe paipu. Ka mua pūʻolo helu i he huihui 'ana o 10 mau apana, a kuhikuhi i loko o keʻena kūʻai lāʻau lapaʻau, i ka hope o ua i hoʻohana increasingly ma iaeoaeuiiai eiiieaena e no ka pahu kui i nā mea maʻi. Ke kākoʻo pāʻoihana "promedol" ua hua mai la i ka lehulehu o ka 1% a me ka 2%, a iloko ona i kakauia 0,01 a 0,02 g. Niioaaonoaaiii trimeperidine. Injected lāʻau subcutaneously, intramuscularly, a ma kekahi mau loa hihia intravenously. Ka 'ohe-paipu hoʻohana i loko o ka haukapilaʻo, a ma ka hale.

analgesic "Promedol" hiki e kohoia i ka maʻi?

I mea e kuai i ka lāʻau "Promedol" beauty mea pono e loaa mai i kekahi kauka nana e e hiki, e hoʻomaulia i ka pololei mahele lāʻau o ka lāʻau, a e ka hana kumumanao. Nāʻikepili no ka loaa ana i ka lāʻau 'i ia maʻi likeʻole pu ma kaʻeha ikaika a me ka meakino pinepine'. Mai ka digestive'ōnaehana mea he peptic ulcer 12 duodenal ulcer a me ka opu, maʻi pancreatitis, perforation o ka esophagus. Ua hiki ke hāʻawi i ka lāʻau "Promedol" a me kanaka, ka poe i diagnosed maʻi o ka genitourinary oihana, oia, huʻi prostatitis, paranephritis, paraphimosis, huʻi dysuria a me ka haole kino i loko o ka urethra a me ka bladder. Kēia mea nui ka hoʻokō narcotic analgesic a me myocardial infarction, lolelua ka angina, thrombosis o ka hepatic artery, dissecting aortic aneurysm, embolism lala arteries a me pulmonary arteries, pulmonary infarction, ea embolism, noho'na makaainana i ulu pneumothorax a me ka huʻi pleurisy. Maikaʻi 'ana "promedolom" keia, a no ka eha nui i loko o kanaka me ka huʻi neuritis, causalgia, glaucoma, sciatica, thalamic maʻi pale a me ka huʻi vesiculitis. Aie i ka mea kokololio analgesic hopena o ka lāʻau ua hoʻohana 'ia ma ka ikaika traumas,'ā a me ka maʻi' aʻai.

E ho ohana i "Promedol" 'o ia hoʻi ma ka hānau

Pili keia kemikala mea like o ia hoʻi, "Morphine" i loko o ka kaʻina hana o ka wa hoomakaukau ia no ka hoʻomanawanui i keʻano o keʻoki lāʻau lapaʻau uao ai ', e like me ka ka hōʻoi' hana. Hana me ka mana antispasmodic, ia relaxes ka cervix, ma laila e hoʻonāukiuki kona puka. I ka Ia manawa, i ka lāʻau e loli ai ka uterus o hapai wahine, kekahi e hooikaika ana kona ka ho'ēmiʻana, nolaila, hōʻeleu i ka nōhie hana. Nō kāu, i ka lāʻau 'o "Promedol" ka nahunahu hanau mau subcutaneously a intramuscularly i loko o ka lakou kikala, ke ki kala a me ka'ūhā mua. Wale i loaʻa kekahi manawa, i ka wa a ke keiki ka ola pahu, ka hānau keiki ka mea, hiki ke komo intravenously. Analgesic kanawai ma hope o ka pahu kui hoike aku i loko o 10-15 minuke, ma hope i ka wahine ke MOKUNA LXI i kona wahi, a hanau i ke keiki maluhia.

I ka hopena o ka pono o ke dala i ka nahunahu hanau "Promedol"

Ma mau, keia kemikala analgesic noʻonoʻo i ka safest no ka makuahine a me ka pēpē i ka hana, akā, mai poina e pili ana i ka individuality o ke kanaka kino. Nolaila, i kekahi mau wahine i hoike ana mai o kaʻaoʻao hopena o keia ka lapaʻauʻia, e like me nausea, ka luaʻi, a me ka meheu o ka hoʻoponopono reflexes. Oe E hoi lawe i loko no o ka mea i ka lāʻau "Promedol 'kauoha no ka hoʻohana ua hookupaa iho la ia, e ka nui koke loaʻa i loko o ke koko, a hiki i ka wā lawelawe subcutaneously, a ua hiki aku i ka i kā mākou lehulehu ma hope 2-2.5 hola. Nolaila, ua ma hope 2-3 minuke ma hope o ka pahu kui ana o ka makuahine i ke keiki e loaʻa ai he narcotic analgesic ma ka umbilical artery, a e e hōʻike i loko o ke kino o kona 7 manawa ke kua'āina ma mua i loko o ka makuwahine. Ma hope o ka hanau keiki, ua lohi hoemiia naehana hanu hana, lethargy, irritability, a me ka pinepineʻaʻole e lawe i ka umauma. Mau hunahuna i nā lā mua o ko lākou ola Pono kūikawā noonoo neonatologists, e like me ka mea e pono ai, no ka laʻana,ʻimi hoʻopunipuni ka hanu nā 'ole' ē aʻe ana no ka normalization o ke ola keʻano o ka hanaʻana.

E ho ohana i "Promedol" lāʻau i loko o anaesthesiology

Kekahi wahi o ka lapaau kahi lapaau "Promedol" loaʻa kona akea palapala noi mea anesthesiology. No ke kanaka premedication ua lawelawe intramuscularly paha subcutaneously 1,2 ml o ka pāʻoihana o ke anesthetic ma ka hui pu ana, me ka 0.5 mg o ka lāʻau "atropine" ka hola 30-40 minuke mamua i kaʻoki kino. I loa hoopii, i ka wa a ka hoʻomanawanui i loko o ka manaʻo pono o ka sedation, ka lawelaweia ana intravenously mau ai '. Maʻoki kino i ke kanaka ma lalo o anesthesia, e like me ka māheleʻia nā māhele lawelawe iho la no keia k no ka hōʻoi 'analgesia, i ka poʻea pau e stabilize ke koko, a me ka ho'ēmi i kā tachycardia. No ka nui a me ka kūloko anesthesia ka lapaʻauʻia "Promedol" ma ampoules hoʻohana me ka anticholinergic, antihistamines, a me antipsychotics. hoʻohana 'ia me ka hui pu me neuroleptics a me ka medicament "Droperidol" No ka mea kikowaena analgesia. Postoperative manawa no kekahi nā mea maʻi i hele me ka hoʻohana o narcotic analgesic lawelawe subcutaneously e höʻike aku ka eha, a me ka mea protivoshokovoe.

Contraindications

E hoʻohana i kekahi laau me ke kuhikuhi mea pilikia, o ka oi aku narcotic ai 'e like me analgesic "Promedol". ma ke noi ana o keia anesthetic alakai i hailona o contraindications, a e mau e heluhelu mua e hoʻomaka ana i ka hiki aku. It E e hoʻomaopopo i ka hana no ka iapaau ana o keia ka lapaʻauʻia mea,ʻaʻole e pono i hāpai keiki, lactation,ʻelemākule e kanaka, a me nā kiddies i ia mau makahiki. Kekahi wehewehe i ka papa inoa lōʻihi o ka maʻi i loko o i nāʻano o "Promedol" lawe i pilikia wale, akā, loa e hiki ole. A hiki i keia papa inoa nā hypersensitivity i ka lāʻau, naehana hanu kaumaha, nā mea palahēhē, pilikia a me ke koko clotting, diarrhea ma muli o ke pseudomembranous colitis kena ae la ia e lincosamides, cephalosporins, penicillins aʻawahia lakou hoopuehu. E lawe i ka lāʻau a me ka manawa lapaʻau me Mao nā mea kūpale, e like me ka 21 lā ma hope o kā lākou? Eaia pau ana. Me ka lōʻihi mālama nui, e e hoʻohana i kēia k me kaʻeha ma ka abdomen o ka ike ole etiology, bronchial asthma, arrhythmia, ke kāʻili 'ana, hypertension, naehana hanu ole, naau e hemahema, myxedema, hakuʻala, adrenal a me ka hepatic' ole, hypothyroidism, CNS kaumaha, intracranial hypertension, loa li nui intestinal maʻi.

ʻaoʻao 'ole o ka lāʻau

Lālau aʻela ia i loko o ka mooolelo o ka individuality o ke kanaka kino, ka mea, he pomaikai, e olelo aku i kekahi, oia ka safest ka lapaʻauʻia hiki i keʻano o adverse reactions. A ina o ka narcotic analgesic "Promedol" beauty mākou noonoo no ka a hiki wale ke loaa i ke kauka, me kona papa inoa o contraindications hiki hou. Pela, ke naoh o ka gastrointestinal'āpana a hiki i keia k ka spasm o ka biliary'āpana, ka luaʻi, nausea, maloo waha, constipation, anorexia. Inā diagnosed kekahi kanaka me ka huʻi li nui o ka digestive'ōnaehana, a hiki i ka mea ma luna o ka papa inoa 'oe ke hooloihi i ka lolo ileus, jaundice a me kaʻawahia megacolon. Kekahi kanaka i lawe i ka lāʻau, "kipi" i naʻauao lākou nā loko, a me ka ua'emi nenoaia. Symptoms i nā blurred hihiʻo, pōniuniu, diplopia, headache, convulsions, involuntary Muscle contractions, tremors, ka hilahila, drowsiness, euphoria, disorientation, kaumaha, tinnitus, paradoxical manaʻo pīhoihoi, a me ka 'ē aʻe kāna hana. Ka hoʻoluhi hewa wale lāʻau "Promedol" naehana'ōnaehana hiki i pili loa i ke ahonui o ka moku'āina o ke ola, a alakai ai i na pilikia Hui Pūʻia, i coma. Kekahi e hoomanawanui i ka poe i hoʻohana i ka lāʻau "Promedol" hōʻike manaʻo hōʻike i nanaia hoike ana o ka arrhythmia, e like meʻoi fluctuations i loko o ke koko,. Pau i ka lāʻau a me ka urinary'ōnaehana hiki i ke hoike mai ai ia i loko o ka hōʻemiʻana mimi auaiaea a urinary ka mālama iā ka lalau. I ka 'inikua hana, i loaʻa nā hihia ma kahiʻaoʻao ole anaʻano "Promedol"' akomi i loko o ka palapala o ka allergic reactions e like me laryngospasm, ili poʻe noʻonoʻoʻole, edema, bronchospasm, a me na mea e ae. ʻO ma na kahi o ka luna naoh o ka meaola ua i hoikeia, oiai e lawe ana i ka lāʻau "Promedol" manual kuhi i ka helehelena pulmonaryʻaoʻao 'ole e like me nausea, ka luaʻi, a me ka nui nawaliwali o ke kino.

Overdose a me ka hopena o kūpono pono o ka lāʻau "Promedol"

I ka pololei ole noi o ka lāʻau a me paʻewa ai nā māhele o ia mau hōʻailona e lawe i ka mooolelo a pau ano o ka hoʻomanawanui i nā hopena hiki e loa unpredictable. I ka 'inikua hana he mau hihia, i ka wa o ka overdose ua mahuahua ole wale i ke oolea o kaʻaoʻao' ole, akā, i ka hoʻomanawanui mea kaumaha o ka ike paka i, diagnosed me ka huʻi cramps.

Ka pono 'ana i loko o overdose

O ka papa kuhikuhi hana no ka hoihoi hou ia ana mai o kanaka overdose "Promedol" ka lāʻau E e hoʻohana 'e kākoʻo kūpono pulmonary haʻawina ma ka hui pu ana, me ka symptomatic Inc. E hana i kēia, i ka hoʻomanawanui intramuscularly paha intravenously lawelawe ana i ka hana i ho'ākāka 'opioid hoa lāʻau "Naloxone", a e hoihoi koke i ka ÷ naehana hanu waena. Inā ma hope o 2-3 minuke ka makemake ia i ole ana, o ka lua o ka pahu kui.

Terms o kuai o ka lāʻau, a me ka papaa ana

Haʻalele i ka lāʻau i loko o keʻena kūʻai lāʻau lapaʻau i ka heluna kanaka ia lŘlŘ wale i loko o ka helu ana o ideas i mai i oi aku i kekahi piha papa o ka lapaau. Like no ka papaa o narcotic analgesic "Promedol" manual maopopo Ho'ākāka 'kaʻaeʻana i nā mea a pau ana. Ma 'ana i ka mea i ka lāʻau pono ia ma ka loaa ole o na keiki malalo iho o ke ana wela i luna ma mua o + 15 ° C.