Umuthi 'caver ": yokusetshenziswa (imijovo)

Uma okususa ubuhlungu obuzwiwa ekuphathweni ngomlomo izidakamizwa akunakwenzeka, sebenzisa "caver" umjovo. Ukusetshenziswa Guide uncoma imijovo do lapho ubuhlungu syndrome naphakathi nobukhali okusezingeni eliphezulu. Lokhu kungaba isimo nasezinkingeni ezilandela ngemva kokuhlinzwa esiguli, colic kwezinso futhi ukhwaliti ubuhlungu emuva.

Ukwakheka kanye nefomu wokukhulula izidakamizwa

Ngo 1 ml isixazululo lomjovo 25 mg isithako esisebenzayo - dexketoprofen. Izithako asizayo zihlanganisa Ethanol ketshezi isamba sodium 96% chloride, i-sodium hydroxide kanye amanzi umjovo.

Ukulungiswa kuyinto ketshezi kungekho nto enemibala emihle. Zahlanganiswa ngo ingilazi izitsha eziyisikhombisa, okuyinto ebiyelwe ebhokisini amakhadibhodi 5-10 izicucu. isitsha ngasinye siqukethe 2 ml "caver" izidakamizwa.

Yokusetshenziswa umjovo iphathelene ejenti non-steroidal antiinflammatory futhi enqanda ukuhlasela kwesifo samalunga kukhona amagama ahlobene of propionic acid.

izakhiwo kwemithi

Dexketoprofen trometamol (imfuyo asebenzayo yokulungiselela) kuyinto usawoti propionic acid. analgesic libhekene, antipyretic futhi izakhiwo eqeda ukuvuvukala. It utfolakala kuluhlobo non-steroidal izidakamizwa eqeda ukuvuvukala, noma ama-NSAID.

Mshini wokusebenza kuhloswe ukunciphisa synthesis prostaglandins okubangelwa okusithiyayo of cyclooxygenase. Okungukuthi, okwehlisa ukuguquka arachidonic acid phakathi endoperoxides PGG2 futhi PGH2 imvelo cyclical. Kulawa, esikhundleni salokho, kwakhiwa prostaglandins PGEi, PGE2, PGF2a, PGD2, kuhlanganise into ezifana prostacyclin PGI2, thromboxane futhi ThAg futhi ThVg. Ukugodla prostaglandin zamagama kuthinta pulses of ukuvuvukala, ezifana kinins, ezithinta imisebenzi eyisisekelo nomuthi. Dexketoprofen wembula umphumela inhibitory umsebenzi Cox-1, Cox-2.

I zokwelapha sezisungule umphumela analgesic zomuthi amazinga ubuhlungu obuhlukahlukene. Sithole izinzwa zalo izakhiwo ngokwethula angena ikhambi umjovo. Ukuhlaziywa lwenziwe ku umthelela ubuhlungu obukhulu esikhathini postoperative yokungenela. Lokhu izinqubo kuhlinzwa wamathambo futhi izifo zabesifazane, kanye nokuhlinzwa besisu. Isetshenziswa lamadigri ubuhlungu ezingafani yomgogodla izidakamizwa "caver". Yokusetshenziswa imijovo incoma ukwenza futhi colic kwezinso.

Ucwaningo luye lwabonisa ukuthi isikhungo sokwelapha izenzo kweso, futhi ukusebenza kwawo ngempumelelo esiphezulu wabonakaliswa kumaminithi amane nanhlanu. umphumela analgesic ku umzimba kuthatha cishe amahora ayisishiyagalombili, kodwa kuphela ngaphansi kombandela wokuthi iye kwetfulwa okungenani 50 mg kusho "caver" (imijovo). Incazelo yezinkomba ngokuba izidakamizwa - konke kubaluleke kakhulu ukufunda ngaphambi kokuwusebenzisa.

Ngu ekuphathweni esicutshini ka dexketoprofen trometamol okuhlushwa eliphakeme ebonwe imizuzu amabili. Egcekeni has ngezinga eliphezulu of plasma amaprotheni - 99%. Lokusakaza dexketoprofen liyashintshashintsha emhlabeni 0.25 l / kg. poluraspredeleniya inkathi yamahora 0.35. Kuboniswa ngemuva kwamahora 1-2,7.

Izinkomba ukusetshenziswa zomuthi

Kumele iqondiswa intramuscularly noma ngemithambo yegazi ukuze acute ubuhlungu syndrome, medium and okusezingeni eliphezulu izidakamizwa "caver" umfutho. Imiyalelo ukusetshenziswa imijovo belulekwa ukukwenza kuphela uma ukwelashwa temlomo awukusizi. Kufanele isetshenziswe ngemva kokuhlinzwa, uma colic kwezinso, futhi nobuhlungu obukhulu esifundeni lumbar.

Izimo

It has izidakamizwa "caver" (isibhamu) izinkomba kanye contraindications. Iqembu lesibili zihlanganisa:

• hypersensitivity kokusebenzayo izidakamizwa deksketoprofenu futhi izingxenye ezengeziwe yesixazululo;
• ukuhlaselwa kwakhe isifuba somoya kanye izinhlungu zibe bronchial;
• rhinitis oyingozi, ama-polyp acinene, urticaria, edema angioneurotic;
• izilonda ukopha;
• ukopha emathunjini ;
• Crohn isifo noma izilonda emathunjini;
• umlando somoya bronchial;
• ukuhluleka kwenhliziyo;
• izifo kwezinso yesibili ezinzima;
• ukuphazamiseka ukopha;
• ezifweni ezimbi hepatic;
• Sebenzisela neuraxial (intrathecal noma epidural) nokuphatha,
• sokukhulelwa, ikakhulukazi III yokuthathu;
• lactation.

Akubalulekile ukuze uchithe noma iyiphi yalezi zici ekukhetfweni "caver" (isibhamu) zomuthi. Yokusetshenziswa uchaza zonke izici ukusetshenziswa ezifanele zomuthi.

Umuthi akuyona iqondiswa iziguli ngenxa ukusitheka elincane nethonya layo umzimba wengane. Okumele kuqashelwe ikubeke nasebekhulile.

Izidakamizwa "caver" (imijovo): yokusetshenziswa

Kubantu abadala, umthamo watusa 50 mg abaphathi. Isikhawu phakathi imijovo akumele ibe emahora langaphasi kulangu-8-12. Uma kudingeka, umjovo yesibili wenziwa ngemuva kwamahora ayisithupha. I umthamo wansuku zonke kuyinto 150 mg. Umuthi isetshenziselwa impumuzo yesikhathi esisodwa ahlekise. It is hhayi esetshenziselwa izinsuku ezingaphezu kwezimbili zilandelana. Ngemva ukwelashwa kokuqala ubuhlungu, uma isimo sivuma, isiguli idluliselwe imithi yokubulala izinzwa ngomlomo.

nemiphumela emibi emzimbeni ngokunciphisa ephansi evumelekile umthamo abaphathi. Ngemva kokuhlinzwa ngenxa yobuhlungu emizweni degrees eqinile futhi isilinganiso kobukhulu izidakamizwa esetshenziswa ngokuqinile wabonisa. Okungenzeka izidakamizwa ukuhambisana analgesics opioid.

Asebekhulile musa ulungise umthamo. Kodwa njengoba izinqubo umzimba e izinso ukubambezela zisencane amadala, namanje Kunconywa ukunciphisa umthamo. Inani eliphezulu elivunyelwe umthamo nge kancane ngenela izinso kuyinto mg 50.

Iziguli nezifo zesibindi (5-9 amaphuzu kwi Ingane-Pugh) umthamo nsuku zonke sehliselwe mg 50. Ngemva nokuphathwa izidakamizwa emzimbeni ukuqapha ngokucophelela umsebenzi walo mzimba. Ngo kakhulu isibindi esiteji isifo izidakamizwa akuyona iqondiswa (10-15 amaphoyinti Ingane-Pugh).

Ngo isifo omnene, kwezinso (creatinine imvume -. 50-80 ml / iminithi) umthamo wansuku zonke kumele singeqi 50 mg. Uma emaphakathi noma ezinzima nezinkinga kwezinso, lapho creatinine imvume <50 ml / imiz, umuthi akuvunyelwe nakancane.

Umjovo esinikezwa imizila esicutshini futhi emthanjeni. Lapho iqondiswa manipulations intramuscularly kancane futhi ngokwanele ngokujulile "caver" (imijovo).

Njengoba ukulungiselela plant ukumnika emthanjeni

Lolu ketshezi ku ampoule 2 ml kwezokuphatha ku vein kufanele buhlanjululwe. Ukuze okuqukethwe kwe-ampoule kuyadingeka ukuze ungeze 30-100 ml sodium 0.9% chloride, glucose noma lactate solution, Ringer sika. Lolu ketshezi I-umjovo emthanjeni yalungiswa ngaphansi kwezimo oyinyumba. Ingqikithi ukulungele kumele kube sobala ngokuphelele futhi abanalo amanyela. Ukumnika wenziwa imizuzu eyishumi kuya amathathu. Ungawubeki umkhiqizo wakho endaweni kwelanga ngosuku njengoba ikhambi ngesikhathi sokulungiselela yayo, futhi ngesikhathi umjovo.

"Caver" (imijovo e ampoules) mathupha khulumela lihambisana izidakamizwa ukuzalela. Ngenxa yalesi 2 ml ampoule kudingeka ukuze ungeze 100 ml sodium 0.9% chloride. Lapho kunesidingo, izidakamizwa kungenziwa buhlanjululwe glucose in okufanayo.

It kungavunyelwe sihlanganise e isixazululo umjovo "Promethazine" futhi "Pentazocine" a nomuthi "caver" (imijovo).

Indlela ukusebenzisa bolus imithi? Kuze kube yimanje, i ivolumu isixazululo nekufakwa 2 ml kungukuthi buhlanjululwe. Thela ngokushesha, ngemizuzwana nanhlanu. Lena kufanele kwanciphisa isikhathi yokuphathwa cha. Inhlanganisela ngemithamo ongaphakeme kuvunyelwe "caver" uketshezi nemijovo efana "Heparin", "Lidocaine", "Morphine" futhi "Theophylline".

Akubalulekile ukuxuba ukutshezi umjovo ne umthamo encane "Dopamine", "Promethazine", "pentazocine", "pethidine" futhi "Hydrocortisone". Kunconywa ngenxa amathuba okuthi kwenze ezimhlophe, okuyinto engathandeki kakhulu phakathi naleyo nqubo.

Umuthi akufanele kube ngisho isitoreji umfutho yesibili futhi kumele iqondiswa ngokushesha ngemuva iqoqo ampoule ingilazi. Isixazululo kufanele ziphinde zisetshenziswe ngokushesha ngemva ukuxuba zonke izidakamizwa kunesidingo. Umuntu onecala ngokunemba we inqubo uwela ngqó ku isisebenzi sezempilo.

Umjovo emva ukupheka azigcina zonke izakhiwo yayinjalo emini. Lesi simo wanelisekile uma izidakamizwa ukulungele ivikelwe ngokuphelele emini lokushisa izimo esingeqile 25 ° C.

Ampoule "caver" yakhelwe umjovo owodwa. isixazululo izinsalela ngokushesha kabusha. Ngokushesha ngaphambi ukumnika, qiniseka ukuthi ikhambi esobala futhi ayinaso staining umbala. Uma noma yimuphi umuthi particulate ndaba ayikwazi ukusetshenziswa.

imiphumela emibi izidakamizwa

inombolo yemiphumela emibi emva kusungulwa "caver" (isibhamu) zomuthi kungabonakala nasemkhakheni. Ukufundiswa phakathi ulwazi zivame ukubonakala cishe ezinjengokungcoliswa isicanucanu nokuhlanza. Kukhona ubuhlungu umjovo site, ukopha, ukuvuvukala hematoma. Ngezinye izikhathi kubonakala sengathi igazi, ukuqwasha, isiyezi, ukozela kanye bekhanda. imfiva Akuvamile fixed kanye ukukhathala, angaboni kahle, Ukugodola. Kwakukhona ubuhlungu besisu, dyspepsia. Emva umjovo ngezinye izikhathi ube uhudo noma ukuqunjelwa, ukuhlanza igazi. ukoma ngokweqile emlonyeni kwaqashelwa. Ezinye iziguli dermatitis ukhathazekile, ukulunywa, ukuqubuka futhi ukujuluka ngokweqile.

Ezimweni ezingavamile, kukhona Hyperglycemia, hypertriglyceridemia ukuzincisha. Paresthesia wavela equlekile. Disturbed iziguli tinnitus, amabhithi singakafiki isikhathi tachycardia. Ezimweni ezingavamile, izimpawu umfutho wegazi ophakeme, thrombophlebitis, bradypnea zalotshwa. Kwakukhona izilonda, jaundice, amawala, induna elinezinkathazo, imisipha ukuqina, ukuqina ngokuhlanganyela. Ukubukeka imisipha amajaqamba futhi ubuhlungu emuva. Kancane waphawula anda umchamo ekwakhekeni, colic kwezinso, acetonuria. Kwakukhona ukwehluleka umjikelezo wokuya esikhathini futhi ukusebenza endlaleni engasesinyeni. Kube eliqhaqhazelayo imisipha, edema neuropathy.

Emacaleni angakajayeleki ke laligujwa ezigulini neutropenia futhi thrombocytopenia. izibonelo ngamunye abonisa ukusabela anaphylactic, isib, anaphylaxis. Kakhulu akuvamile bronchospasm manifest dyspnea. Ukuphazamisa ngezinye izikhathi pancreatitis futhi Stevens-Johnson syndrome, epidermal necrolysis. Iziguli ahlupheke ngemva nokuphathwa imijovo angioedema, edema ebusweni, photosensitivity. Kubikwe komunye ukuze ayizinkulungwane eziyishumi uma we nephritis isifo futhi nephrotic syndrome.

amaqiniso Ngokusemthethweni ezimisiwe ukweqisa izidakamizwa aye atholakala. Lapho edlula ngemithamo ezinconyiwe of nomuthi kubathinta kabi ipheshana wokugaya ukudla, okubangela ukuhlanza, ubuhlungu besisu, ukuzincisha. Ingabe ukuvela ukozela kanye disorientation, isiyezi, nekhanda. Ekukhombeni Eqinisweni ukweqisa izidakamizwa kufanele ngokushesha izenzo ezithile futhi ukuhoxisa izidakamizwa kusukela umzimba nge-MRI,.

izidakamizwa analogue

Ngokuvamile intengo ephakeme zomuthi kuyahluka "caver" (imijovo). Analogs yalesi izidakamizwa zingatholakala kunoma iyiphi ekhemisi. ATC ikhodi efanayo futhi ingxenye asebenzayo kusuka imithi ezilandelayo:

• "Alfort Dex."
• "Dekafen".
• "Delsangin".
• "Delsangin Inekt"
• "Depiofen".
• "Rastel."
• "Sertofen".

Le mithi Ungashintshanisa ngokuphelele "caver" (isibhamu), uma kunesidingo. Analogs futhi esikhundleni salo Mthetho izidakamizwa ngendlela efanayo futhi abe nesiqeshana ketshezi asebenzayo olufanayo, kodwa musa sithathe bebodwa. Ngaphambi esikhundleni komunye nomunye umuthi kufanele kudokotela oyokusiza ukhethe ezifanele kakhulu.

Izindleko imithi

Made in Ukraine izidakamizwa "caver" (isibhamu). Manual uncoma ukusetshenziswa akusiyo njalo, kodwa ngezikhathi ezithile kuphela, hhayi izinsuku ezingaphezu kwezimbili. ERussia, lokhu izidakamizwa akuyona kusakazeke futhi hhayi edayiswa Pharmacy, ngakho ungakwazi kuphela izingcingo amanani cishe. Yasungulwa ngonyaka ka translation kusukela hryvnia kuya ruble Russian, ikhumbula olusemthethweni exchange rate lapho okwamanje 1 UAH. ilingana ruble 3,21. E-Ukraine, lokhu izidakamizwa zingathengwa for 200 hryvnia. Ngokuya izindleko zizoba elilingana 640 ruble Russian.

Indlela wesitoreji futhi eshalofini-ukuphila

Asikho isidingo ukugcina iminyaka engaphezu kwemibili kusukela esikhathini ukwakhiwa libhalwe isembozo, imithi "caver" (isibhamu). Incazelo izidakamizwa waphawula ukuthi ekupheleni impilo eshalofini zomuthi asifanele ukusetshenziswa. Nokugcina kusho kudingekile ebhokisini yangempela lokushisa esingeqile 25 ° C. Imithi kufanele kube endaweni epholile ezingafinyeleleki izingane ivikelwe elangeni.

Edayiswa drugstores ngokuqinile on kadokotela. Umenzi kuyinto Ukrainian inkampani PJSC "Farmak".

"Cavers" - onokwethenjelwa kuyaphumelela dlyakupirovaniya ubuhlungu oyingozi. Yakhelwe ukusetshenziswa esifushane. Kwakubonakala emakethe esanda kutholakala futhi ongakabi wakwazi ukunqoba indawo abathengi. It angathengwa ngokusebenzisa Pharmacy inthanethi, kanye ngokusebenzisa Pharmacy enkulu amadolobha amakhulu Ukraine.