Mirayiridzo kushandiswa "Refortan" analogues mugadziri

Kana hombe nokurasikirwa neropa kwakakonzerwa kunzwisisa kuvhiyiwa, kunotevera, kutsva, chepfu uye zvimwe zvikonzero, murwere anoda ropa. Zvisinei, izvozvo hakusi nguva zvichiita kuti tiite zvizere. Mumamiriro ezvinhu akadaro, pamwe anyatsoronga plasma-kushandiswa mhinduro. Mumwe zvinodhaka izvi ndiko, sezvinoratidzwa mirayiridzo kushandiswa, "Refortan". Funga zvinhu kushingaira medicament.

Description mishonga

Kugadzirisa "Refortan" - yokurapa mushonga chokuita plazmozameshchath nzira. The kushingaira wemafuta zvinodhaka riri hydroxyethyl. Get kubva mupunga, mbatatisi, gorosi uye chibage amylopectin. A mushonga ane refu plasma-kushanda. Uyezve, anovandudza kweropa mumuviri wayo rheological zvivako.

The rinoita fuma rokugadzirira hydroxyethyl. Yakabudiswa medicament muchimiro munhu colloidal mhinduro inoshandiswa aizomupa.

Zvinoita zviri zvinodhaka:

1. The mushonga une kwenguva refu nomugumisiro plazmozamescheniya. Rawo anodzokororwa kwemaawa 5-6.
2. The mushonga une kunobatsirawo kweropa.
3. Nokukurumidza pavezve dzakarasika ropa vhoriyamu. Muchiitiko chino, ane guru dose haakonzeri kuzvimba.
4. Danho pavezve ropa riyerere nyonganyonga.
5. Hazvina chokuita kushanda nadzo.
6. The mushonga anobvisa aggregation pamusoro erythrocytes, thrombocytes.
7. Medicament kunoderedza ropa viscosity.
8. It haakonzeri histamine kusunungurwa.
9. The mushonga zvikuru Akashivirira. kushandiswa kwaro haawanzopiwi achiperekedzwa nemishonga.

Sezvo mushonga wacho akaiswa "Refortan" mirayiridzo Chinyorwa. The mugadziri zvinodhaka - kambani German, "Berlin-Chemie".

zvairatidza

The mushonga rinogona kushandiswa muviri mumiririri kana prophylactic. Zvinonzi vaizviti mu pathologies, izvo kwakavakirwa vasanyanye ropa vhoriyamu kana kukanganisa kwayo microcirculation.

Saka, achishandisa "Refortan" chigadzirwa kudzidziswa Chinyorwa anokurudzira mukana wokuzvidzivirira zvinotevera nyaya:

1. Hypovolemic ezvinhu anokonzerwa zvomusejari kushandiswa, kutsva, maronda, kudhaka, zvirwere zvirwere, umo anodiwa muripo rimwe achiparadzira bhuku ropa (CBV).
2. Hemodilution (ropa dilution).
3. Dzechimwe kuvhunduka, kutsva, septic hunhu.
4. Hemodilution pakuvhiya. Rinoreva kushandiswa sezvinodiwa yokuderedza uwandu yezvipo ropa.

The mushonga yave kushandiswa zvinobudirira nokuti kudzivirira neBP panguva yokutindivadza, musana kana nhengo dzomuviri mhando.

The chipimo chemushonga zvinodhaka

Kugadzirira rinoshandiswa kuti ingi ndege kana donhwe. The chipimo chemushonga kunobva murwere ezvinhu.

pamusoro pokushandisa "Refortan" Chinyorwa anokurudzira kushandisa zvinotevera nzira:

1. The dose yokutanga (10-20 Rine mamiririta) chinofanira kupiwa zvishoma nezvishoma. Sezvo kubvisa zvachose anaphylactoid siyana hazvibviri, mushonga unoshandiswa pasi kuzviomesera zvokurapa achitarisirwa.
2. In Hemorrhagic kugwinha inotoda chinotaurwa pana 20 Rine mamiririta / hr. In sepsis uye anopisira nayo vakafunga nomumugwagwa kwaitora nguva hurukuro yacho zvinodhaka mumuviri.
3. The daily chipimo chemushonga haafaniri kupfuudza 33 ml ane 6% mhinduro uye 20 ml - 10%.
4. chiremba chete anokwanisa kuona mwero sumo iri medicament wayo chipimo chemushonga panyaya rinorema kurasikirwa neropa.
5. Kana kudiwa ropa kurapa (hemodilution) zuva chipimo chemushonga anosvika 500 Rine mamiririta. The chinodhaka chakaunzwa muviri mukati memazuva 3-5. mabasa akadaro pachii varwere vane ropa kurasikirwa vanofungidzirwa sezvo avhareji. In chakakomba ezvinhu mushonga ari pamusoro chipimo chemushonga raitongwa kuti muviri kwemwedzi.
6. Nokuti kurapa hypovolemia yakarumbidza 10% mhinduro. Chipimo chemushonga rinowanikwa kubva reshiyo: 1 kg nokushivirira uremu - 20 ml mhinduro. Duration kosi anoenderana murwere mamiriro uye akatsunga kungotaurwa nachiremba wako.

dosages zvakadai vanogadzwa sezvo mukuru kuvarwere uye nevana. Zvisinei, kuziva chii chinonditadzisa mushonga "Refortan" mirayiridzo Chinyorwa. Vana, vane zera harina asvika makore 12, muviri richiri kuumbwa. Naizvozvo, kuti mugadziri hariudzi kushandiswa kugadzirisa kuti vana.

Contraindications

The mhinduro, sezvinoitwa chero mushonga, ane nhamba zvausingakwanisi. Maererano instructions, contraindications mishonga kurapa vari rinoti izvi:

• nomumwe utetsa;
• renal kukundikana;
• Vana kusvika zera makore 12;
• intracranial yakakwirira kumanikidzwa;
• pulmonary edema;
• hepatic kukundikana;
• intracranial ropa;
• High yavaibvisa tigutsikane mu plasma;
• ropa nyonganyonga;
• hypokalemia;
• yakawedzera chloride tigutsikane muropa plasma.

Zviri bvumidzwa kushandisa zvinodhaka "Refortan" mirayiridzo kushandiswa panguva pamuviri? In mamiriro ichi, achitsive yakakwirira kungwarira pakushandisa zvinodhaka izvi.

Vanachiremba mukanyatsochengeta kudzivisa kushandiswa mhinduro rokutanga trimester. Zvechokwadi, mune ichi nguva zvinodhaka kungaita kuti rwakavhunika embryonic kukura azvarwa.

Kugadzirira inogona kurumbidzwa ari trimester yechipiri kana yechitatu. Zvisinei, pamuviri ndiyo nzira akagadzwa chete kana zvichikosha amai uye mudumbu haruitiri.

nemishonga

Negative kuita kana kushandisa medicament kuitika Kazhinji. Zvisinei, mune dzimwe varwere vanogona vachiri kuitika. Izvi runoratidzwa mirayiridzo kushandiswa.

"Refortan" anogona zvakatsamwisa divi anokonzerwa, richiratidzwa muchimiro:

1. Neutachiona, urticaria, kuvaviwa, dermatitis, angioneurotic edema, dzihwa-kufanana urwere, chiso hyperemia pakavha tachycardia.
2. Kutyorwa mubasa iri zvomudumbu turakiti: svoto, kurutsa, gastrointestinal ropa, manyoka.
3. Zvinetso kweropa ezvinhu: hypoproteinemia, kuvhunduka, kuwedzera amylase basa muropa.
4. CNS zvinetso: neuralgia, kutemwa nomusoro, myalgia, dzungu, kufenda, pakoma.
5. Nezvinetso kumwoyo: arrhythmia, cardiac kusungwa, mwoyo kukundikana chitarisiko.

ovhadhozi wemishonga

With huru Vhoriyamu Urume jekiseni murwere anogona taora chaizvo zviratidzo. Vari ichazivikanwa noku ovhadhozi kurapwa. pamusoro pokushandisa "Refortan" Chinyorwa anokurudzira kushandisa chete panguva mishonga zvataurwa pamusoro apa. Izvi zvinodzivirira murwere nemigumisiro.

Ovhadhozi zvinoratidzwa zviratidzo zvakadai:

• hemodynamic Kusagadzikana;
• zvinetso kweropa.

Nokuti kurapa mamiriro ezvinhu akadaro akataura pakarepo discontinuation yacho aizomupa. For kuchirapa zvinangwa ushandiswe diuretics.

Zvokungwarira

Zvinokosha kufunga kukurukurirana pamusoro zvinodhaka "Refortan" nevamwe mishonga. Kana izvi kunoreva raitongwa pamwe aminoglycosides, zvingangoita kuti kurapa huchaitei murefu nephrotoxic migumisiro.

Regai kusanganisa mushonga "Refortan" nevamwe negadziriso aizomupa. Possible pharmacological kusapindirana mari idzi. Izvi zvingaita kuti zvikuru nemigumisiro yakaipa.

chikuru dzomuzana

Pane zvinodhaka pamwe chete zviratidzo uye pave zvimwechetezvo pamusoro muviri, izvo zvinoratidza kuti mushonga "Refortan" mirayiridzo kushandiswa? Analogs anogona kukwikwidzana yokutanga mumiririri vangadzidza chete kupinda chiremba kufungisisa ezvinhu omurwere uye munhu zvechadenga muviri.

Tsiva zvinodhaka "Refortan" anokwanisa mishonga yakadaro:

• "Venofundin".
• "Hemodez".
• "Voluven®".
• "Infukol".
• "Reopoligljukin".
• "Stabizol".
• "Volemkor".
• "Ceruloplasmin".
• "Volek."

Maonero pamusoro mushonga

The mushonga achiri kushandiswa vana, kana varipo zvakakomba zvinoratidza ichi. Doctors varayire vana kunoreva kunyange haisi varumbidzwa mishonga "Refortan" mirayiridzo Chinyorwa. In vana (izvozvo anodzokorora uchapupu) apo neapo nenjodzi kuitika. In ichi havasi rakasiyana nemishonga kuti kuitika varwere akura.

Kazhinji kusiya wongororo zvinodhaka vakadzi nepamuviri preeclampsia kunokwanisa kuonekwa mune mwero kana yakanyanya matanho. Maererano mushonga kurapa ambotirega wakanaka kubvisa hypovolemia, interstitial edema, uye yekudyidzana kunoderedza mutoro pamwoyo.