"Suxamethonium koloriside": hōʻike 'ona,ʻaoʻao-' ole a me nā hōʻike manaʻo

I ka 'inikua me ka hana pono, i ka helu o ka ai' i koi ', no kekahi laʻana, e lawe mai i ke ahonui o ke kino i loko o ke ana i koi' ia noʻoki kino mau hana. Kekahi kaʻina hana pono artificially hoonaukiuki loa hoʻomaha o na nāʻiʻo. No keia mea, hoʻohana Ua pinepine lāʻau "suxamethonium koloriside" (kuai inoa o ka hoonui - "Listeon"). Kēia lāʻau ka hapanui hoʻohana ma ka hana kūikawā 'inikua kulanui. He aha ka ka pā like o kona pharmacological hana? Ua mea pilikia loa i ka hana ana i na dala? He aha e e hoomakaukau me ka hoʻohana 'ana i ka waiwai "suxamethonium koloriside"? Description o ka la hoomalolo a me kekahi mau hiʻona o kona palapala noi, e e kūkākūkā hope i loko o kēia 'atikala.

'ole

I ka papa kuhikuhiEʻeleu waiwai o ka la hoomalolo ua noʻonoʻo suxamethonium koloriside. I ka medicament kikowaena kākoʻo eiiiiiaiou e like me paʻakai koloriside, ethylenediaminetetraaceticʻakika disodium paakai (Trilon B), a disodium edetate, a me ka wai no ka pahu kui.

hookuu palapala

"Suxamethonium koloriside" e ana hua mai la ia e Manufacturers i loko o ka palapala o ka pāʻoihana (no nā intramuscular a me ka intravenous).

Pharmacological 'ole

Noonoo medicament ua depolarizing Muscle relaxant. Kona hana mea pōkole. Ke hana eiiiiiaiou o ka lāʻau mana i loko o ka paleʻana neuromuscular EYI.

Miorelaxation mau ana i loko o ka hookahi kaʻina, ia mea e pono ke lawe i ka mooolelo o ka 'inikua koʻokoʻo. No laila, ka mea i hoʻomaka me Muscle makahiki, no hoi e loli ai ka masticatory nāʻiʻo a me na nāʻiʻo o nā manamana, maka, a pau na lala. A laila, Muscle hoʻomaha hiki i ka'ā'ī, hoʻonānea na nāʻiʻo o ke kua, abdomen, a me na kaula vocal. Latest pane koke i ka hana ana i ka lāʻau 'intercostal nāʻiʻo a me ka diaphragm.

Inā 'o ka lāʻau' i i lawelawe intramuscularly, ka mea, e lawe kanawai ma hope o nā - eha minuke, a ina i ka intravenous - ma hope wale nō o ka minuke. I kā mākou Muscle hoʻomaha ia lŘlŘ loko o ekolu minuke ma hope o ka lāʻau 'hooponopono. Ua like me ia mau no kaʻelima - he umi minuke, ke kaumaha ma muli o ka mahele lāʻau o ka waiwai.

Ka lāʻau 'Ua uniformly māhele aku i loko o ke koko a me ka wai koko extracellular loli koke ma hope hooponopono ana o ka pāʻoihana (hoomakaukau i ka intravenous hooponopono). Kahi o ke kanaiwa pakeneka hydrolyzed waiwai, e hoano hou ana i loko o choline a succinicʻakika. Eia nae, i ka lehulehu o ka cholinesterase i loko o ke koko, Ua ahu i ka lawa pae, ka hapa-ola o ka lāʻau mea wale kanaiwa kekona. I ka waiwai a ua maopopo excreted ma nā puʻupaʻa (me umi pakeneka - ua hoʻololiʻia).

nāʻikepili

Noʻonoʻo i ka lāʻau hoʻohana i ka hihia i ka wa a ka mea, ua koi 'ia e ka' uao i ka pono i ka piha Muscle hoʻomaha. Oia rula nā bronchoscopy, endoscopy, abdominanlnye hana reposition fractures, dislocations ka ho'ēmiʻana a me ka endotracheal intubation.

Dosing

Waiwai nui "suxamethonium koloriside" Hiki ke i lawelawe intravenously a intramuscularly (me he drip a bolus). No ka mea, he noi iaoia hoʻohana 0,1% pāʻoihana o ka waiwai. Hanakimi mahele lāʻau e i ka suxamethonium koloriside a me iodide, pākahi E hoʻomana aku hoʻomalu ma e like me ke kanaka, 'ano o ka nui ahonui, a me ka pele, ka wā i lawelawe intravenously huahelu mai 0,1 a hiki i 2 milligrams no kilogram, a me intramuscular - mai ka 3 a hiki i 4 micrograms no kg. I ka pau papa o ka iapaau ana no e ole oi aku i ka huina o ka leo o ka mea hoʻokahi haneri a me kanalima micrograms.

Contraindications

i kekahi nā mea maʻi i loko o kekahi hihia e lawelawe e hoomakaukau ai "suxamethonium koloriside". Na Ke Kumu no ka hoʻohana ana i ka lāʻau, e like me ka hahai ana contraindications i ka hoʻohana 'ana i ka lāʻau': kanaka hypersensitivity i kekahi nā mea hoʻohui o ka medicament, myasthenia gravis, bronchial asthma, huina-panina glaucoma, pulmonary edema, hyperkalemia, malignant hyperthermia, loa hepatic e hemahema, congenital a me ka dystrophic myotonia, nele cholinesterase, Duchenne muscular dystrophy, ka me mechanical maka eha. I noonoo 'ana paha, mai ka hoʻohana' ana i ka lāʻau a hiki i na keiki ma lalo o kekahi makahiki, a no na wahine iloko o ka hanau keiki ole breastfeeding.

ʻaoʻao waiwai

Ma pohihihi keia hihia, "suxamethonium koloriside" (pāʻoihana no ka pahu kui) hiki i ka helu o kaʻawaʻawa loa symptoms, a mai kekahi mau kino nenoai. I waena o kēia mau'ēheu kēia'ēheu o allergic reactions (e laʻa me, bronchospasm a me anaphylactic kŰia), lōlō o ka ÷ naehana hanu nāʻiʻo (ia lŘlŘ ina he mea aaiaoe kāna hana o ke kahua o ka lāʻau lapaʻau cholinesterase), arrhythmia, myalgia, kuni, bradycardia, hyperkalemia, hypersalivation, cardiogenic kŰia, hakumakuma ke koko, conduction abnormalities, māhuahua intraocular puʻe. E pale i ka luna pilikia ia mea nui ka ikaika hahai i ke koi ma ka hoʻohana 'ana i ka lāʻau "suxamethonium koloriside." Uluwehi O analogues (ma ka liʻiliʻi loa kekahi o ia) i hiki poʻeʻuʻukuʻaoʻao ole. Nolaila, i kekahi manawa ka mea makemake e kupono e pili ia ia ia.

overdose

Ma ka hihia o unintentional a deliberate loa i ka paipai mahele lāʻau e hana ana i kekahi mau undesirable hopena no ka hoʻomanawanui. Ka noho pilikia loa ana o kēia mau mea i ka cessation o ka hanu. Ma keia hihia me ke kōkua o nā 'Oihana hiki ole ke hana ole ia e alakai i ka make. Mau hea kaʻenaʻena hoʻokomo ea. I kekahi manawa, lāʻau lapaʻau cholinesterase pae kulu dramatically. Kekahi poe akamai i Meu e hana keia kulana a me ka transfusion o ka hou koko, i mea pinepine o ka lua pele lāʻau-ae pani ai.

kūikawā ao

? Aeiiaiaiaaia e hoʻolauna kiʻekiʻe-e like ai 'ole-depolarizing Muscle relaxants no kekahi minuke ma mua lāʻau aaieieno? "Suxamethonium koloriside." Description mea he 'ike i ia AaOIeIOUIeXAOAaIN eliminates ka pilikia o mahope? Acaeoey o myalgia a me ka Muscle twitches. He nui no ka hoʻohana 'ana i ka lāʻau' wale ma ka hana kūikawā Oihana o ka 'inikua kulanui, malalo a hiki i ka loaʻa nui o ka mea e pono ai? Ieaoa (me nakeke no kaʻimi hoʻopunipuni ka hanu nā) a me ka hiki ke kookoo hiki ke pono ka hoʻohana i kēiaʻano hana, a e hoʻoholo i loko o stressful wahi, i hiki. No ka palapala noi noonoo kumu e hiki i bradycardia hoomanawanui, ka mea, ua waiho no ka hoʻolauna i ka lāʻau a hiki i ka hoʻomanawanui "atropine" mua hoʻohana "suxamethonium koloriside".

Hiki e hui me ka 'ē aʻe ai'

I ka hoʻohana 'ana i nā lapaau i ka mea ia manawa noʻonoʻo i ka lāʻau, e hoʻolohe ia, ina ua AaOIeIOUIeXAOAaIN ua ae. "Suxamethonium koloriside" manual, aole ia i waiho aku me ka hoʻohana 'ia laua me antimiastenicheskimi hoomakaukau like me ka nui loa ho'ēmi i kā ka laulā o ko lākou mau hana. Noonoo medicament kekahi hoʻokāʻoi aʻe ana i ka mea lāʻau lapaʻau hopena o glycosides. I ole hihia hiki ole ke hoʻohana ' "suxamethonium koloriside" i loko o ka huipūʻana me kona mau pou koko, no ka hoʻonāukiukiʻana mai o hydrolysis naoh, i kekahi koko huahana, mekala' åkilikai pāʻoihana a me nā pāʻoihana o barbiturates (paipai 'ia ka kimu).

Ke kanawai i ka hiki e noʻonoʻo (holoʻana a me ka luna 'maomeka)

"Suxamethonium koloriside" i ka nui hopena ma ka hiki, e kālele ana a me ka malama i hoolohe. Kēia 'o ia hoʻi i ka mea e loaʻa he ulia pakalaki, e pale holoʻana a me kekahi' ē aʻe nā hana e ho oweliweli i ka hoʻoweliweli 'ana i kanaka ola, a ola, a koi kiʻekiʻe lehulehu a me ka poe ola, reactions, a koi aku la lakou olelo hooholo-hana i ka lā mua ma hope o ka hoopau ana o ka noʻonoʻo pono ia waiʻona.

Waho pūnaewele kumu a me ka holopapa ola

Store "suxamethonium koloriside" hiki ia ma lalo pololei i ho'ākāka 'ana. ʻo ia, ma ka papaa mahana e ka ÷ elua a hiki i ewalu kekelē Kelekia. Ka lāʻau e hoonohoia mawaho o ka loaʻa wahi no na keiki. ʻO kā mākou holopapa ola o ka lāʻau, he ekolu makahiki mai ka la o ka hana. Ma hope iho o kēia wā o ka hoʻohana 'ana i ka lāʻau' ua i pono, no ka mea, ma keia hihia ka mea haalele i kona waiwai waiwai, a hiki e weliweli i ka hoʻomanawanui.

Ahonui maluhia, no ka maluhia o kona ola - ka mea, o ke kuleana o ka poe kumu, ka poe i komo i loko o kona nohoʻana. Nolaila, ia mea pono i na luna o ka 'inikua kulanui i malama i ke koʻokoʻo mau kulanui e hiki ma ka noi o ai', ma kaʻaoʻao 'ole o kēia mau dala, ki ina hana like o ke kāpaeʻana i kekahi adverse reactions. Like me, E i haukapila limahana i ka mea e pono ai kaʻike a me nā mākau i pono hoʻohana i ka loaʻa lako a pan e hiki ke hoola i ke ola o ka hoʻomanawanui. He oi loa oiaio o ka ai 'nona ka Loaʻaʻiaʻaoʻao' ole e hooweliweli i ka hoouka kaua ana o ka make. Ia mea a hiki i keia pae ana o ai 'nā "suxamethonium koloriside." Nolaila, he mea pono e hoʻohana wale i loko o ka hanana ana i ke kaʻina hana ka mea, he kupono 'Oihana hiki ia oe, e hoʻohana i ka ventilator. Kēia i e pono ai ka wā i kekahiʻaoʻao naoh e like me naehana hopu. Ma keia hihia, ōhumu o nā hana o ke kauka a me kā lākou mau 'oihana mākaukau nō eʻano nui aʻe i ike ai i ko ke hoʻomanawanui, e ola.

I kekahi manawa, na kumu ao no kekahi mau mea, (ina he mea kekahi contraindications) hoʻoholo 'ia no ka hoʻohana' ana i kekahi Muscle relaxant - Analog "suxamethonium koloriside" (e like me, "Ditilin" i hiki 'ole ke hoolilo wale i loko o ke alo o glaucoma). He nui ke hilinai i ka authoritative manao o ka poe akamai i ma kēia pukana. No laila, 'oe e eʻoiaʻiʻo o ka' oihana mākaukau o ke kauka me ka mea a oe E alu like.

Mua oe i hōʻalo ai i ka makana hoʻomanaʻo e aoia i nā mea a pau e pili ana i ka hana "suxamethonium koloriside": kuai inoa, analogs, contraindications, hikiʻaoʻao 'ole,' ae, a me ka paipai laʻau heluna. Ke hoomanawanui pono no hoi aʻo i nā kaula o ka ano o ka lapaʻauʻia ai; lawelawe. "Listenon" ( "suxamethonium koloriside") - i ka inoa kalepa o ka waiwai ma ka nīnau. Nolaila, i ka wa e lohe ai mai ka waha mai o keia inoa i ke kauka, oe e e maopopo nö iä ia a pehea ia e hana i loko o kou kino. Kēia ike mea pono i ka mea e pakele kau aku la i ko lakou mau ola ma ka hoʻokali kūpono 'kamepiula. He nui ia e like akahele me ka mea lapaʻauʻiaʻoe i hoʻolauna i loko o ka iapaau ana.

Trust kou ola wale nō i ka 'Oihana, E waeʻoukou i ka lani kiekie loa ka pono lapaau, a me ka maikaʻi loa nā huahana! E mālama o oe iho!