"Mannitol" zvinoreva. Mirayiridzo yokushandisa

Medicine "Mannitol", ane mutengo anenge 90 rubles, ndezvaiye boka diuretic zvinodhaka. Available zvinoreva muchimiro mhinduro aizomupa. The rinoita fuma - mannitol. Means runogonesa kuti osmotic nevamwe plasma. The mushonga chinokurwadzai kuti chengetedzo remvura uye kuwedzera weti vhoriyamu. The medicament haasi kukwanisa kupinda kuburikidza zvinyama uye sero zvipingamupinyi kwete kuwedzera indices residual senitrogen. Rinoreva "Mannitol" (mirayiridzo Chinyorwa zvinosanganisira mashoko akadaro) ane murombo absorbability, maererano nayo chinotarisirwa nomutsinga. shoma muviri ari chiropa inoti. Withdrawals kubva weti.

umboo

Kugadzirira "Mannitol" basa chepfungwa edema, intracranial kumanikidzwa (zvichienzaniswa hepatic kana renal renal kukundikana). Kushandisa zvinodhaka zviri post-ropa yematambudziko chokuita yebhuku kuchipesana ropa, diuresis (kumanikidzwa) pamusoro muchetura kubudikidza salicylates, barbiturates. Medicine "Mannitol" mirayiridzo Chinyorwa anokurudzira oliguria maererano renal hepatic kana renal kukundikana, rikwanise nzira pamwe akachengetedzwa nhengo Sefa basa (ari kunzwisisa kurapa). Mishonga hwakaratidza kuti kudzivirira hemolysis panguva remapazi vane Moyo yokunzvenga kudzivirira ischemia ari itsvo uye zvichiita chakasimba renal kukundikana hurongwa.

Contraindications

Rinoreva "Mannitol" (mirayiridzo kushandiswa kuzozvidzorerwa izvozvo) havatenderwi kuti kwataizoenda anuria muchiridzira chakasimba renal tubular necrosis, hypersensitivity, kuruboshwe ventricular kukundikana (kunyanya pulmonary edema). Not varumbidzwa mushonga mu subarachnoid ropa (ropa kunze panguva craniotomy), Hemorrhagic sitiroko, zvikuru kupera muviri, hypokalemia. Contraindications zvinosanganisira chloropenia, hyponatremia. Kungwarira varwere zvinoenderana varwere vakwegura. The kushanda nzira yaishandiswa panguva pamuviri kana lactation nyanzvi kusimbiswa.

"Mannitol" mishonga. Mirayiridzo yokushandisa

Nomutsinga raitongwa mushonga kana bolus kunonoka. Nokuti Kudzivirira rinoreva iri tanzi imwe dose 0,5 g / makirogiramu muviri uremu, nokuti pakurapa - 1-1.5 g / makirogiramu. Chitsama mushonga pazuva hakufaniri zvinopfuura 140-180 d isati aizomupa zvinoreva "Mannitol" mirayiridzo Chinyorwa inokurudzirwa ushamwari kuti tembiricha rworwendo 37. Pakuvhiya kushandisa kweropa mishonga chakagadzirwa rinoshandiswa nenzira dose pamusoro 20-40 varwere raitongwa oliguric rokutanga kutongwa dose kuti 200 MG / makirogiramu matatu kusvika mashanu maminitsi. Pasina maawa 2-3 kuwedzera mwero diuresis pamwero 30-50 Rine mamiririta / h achishandisa chourongwa anofanira kusiyiwa.

"Mannitol" mishonga. Mirayiridzo kushandiswa. divi kushanda

Pahwaro kushandiswa kwezvinodhaka akacherekedza kupera muviri, pasi BP, chirwere nemvura electrolyte muviri, tsandanyama simba, fufune.