Urografin: mirayiridzo kushandiswa, analogs, ongororo, contraindications. Urografin 76%: mirayiridzo kushandiswa

Nokuti kuongorora zviri muviri vakashandisa unyanzvi kwakavakirwa X-ray. Musumo kuva musiyano mumiriri womunhu muviri runogonesa kuti chirwere kugona. Kuwedzerwa zvinodhaka ayodhini mamorekuru anowedzera rova yavo.

tsananguro

Medicine "Urografin" mirayiridzo kushandiswa kuri radiopaque rwokuzvisarudzira nokuti diagnosing Ionic marongerwo. Zvinonzi chakaunzwa midziyo uye in.

The mushonga zvinoreva injectable mhinduro inowanikwa muchimiro segirazi, Hauoneki kana zvishoma mavara mvura.

mamiriro

The medicament "Urografin" mirayiridzo application kunotema zvinoshingaira zvinoriumba kwakavakirwa 3,5-bis- asidhi (acetylamido) -2,4,6-triyodobenzoynoy. Rinoumbwa maviri munyu dzayo; yavaibvisa, uye meglumine. Kune mishonga mbiri mushonga pa 60 uye 76 muzana.

Imwe milliliter kuti mhinduro ingasanganisira 0,292 d kana 0,370 g ayodhini inoramba. Number amidotrizoat meglumine mune chinu chiri 10.4 d kana 13.2 d uye yavaibvisa amidotrizoat ane 1.6 magiramu kana 2 magiramu wokutanga munyu wevasungwa uri mumwe milliliter pakati 0.52 d kana 0,66 g, uye wechipiri - 0 , 08 d kana 0.1 d

Kuti vawane yakatsiga mhinduro rinoshandiswa sezvo basa zvinhu yavaibvisa karusiyamu edetate, yavaibvisa hydroxide uye aqueous svikiro jekiseni.

The mushonga ari mumapepa muna 20 Rine mamiririta ndiro.

zvakafanana rinoreva

The medicament "Urografin" mirayiridzo Chinyorwa zvinoreva mishonga zvinowedzera musiyano chifananidzo nokuda Absorção de Água kuti maekisirei chinhu ayodhini ions hunoumba amidotrizoatnye munyu.

Kushandisa zvinodhaka kuziva zvinoitwa jekiseni chokuita osmolality, viscosity, arambe achirema uye ph ukoshi.

Rine ose pamusoro mashoko mishonga "Urografin" mirayiridzo Chinyorwa. Analogs muchimiro kugadzirira "Triombrast" uye "Trazograf" anoshandiswa sezvo X-ray chirwere yomuchipatara ane ayodhini inoramba.

Pakatanga vakadaro mishonga muviri mufananidzo anova musiyano.

Sei kushandiswa

Medicament "Urografin 76" mirayiridzo Chinyorwa anokurudzira kushandisa kuti retrograde urography, angiography, arthrography, endoscopic retrograde cholangiopancreatography.

The mushonga chinobviswa pamberi kushanda cholangiography, ptyalography, fistulography, hysterosalpingography.

How kushandisa

Asati kushandiswa, rinoreva "Urografin 76" mirayiridzo Chinyorwa rinokurudzira murwere kugadzirira pachine. For angiographic bvunzo yacho mudumbu uye kurapa urograficheskih wandei mudumbu runodiwa. Mazuva maviri asati manipulations Musabvisa chikafu chinokonzera flatulence. zvigadzirwa izvi zvinosanganisira bhinzi, salads, vatema uye yakachena bhekari zvigadzirwa, mbishi miriwo.

Asati chirariro rokuongorora kwete paya pane 18 maawa anogona pashure idzo kutora laxatives. Recent kurumbidza regai kushandisa vana vaduku.

Kufara, marwadzo kurwiswa kusimbisa zvakaitwa pezvakaitwa kusvika mushonga, saka munhu pfungwa wakadzikama kukurukurirana kana mishonga.

In myeloma, kuwedzera shuga iri muropa pamwe havachanyatsogoni renal, polyuria, oliguria, hyperuricemia, vacheche uye vakwegura anopedza hydration kumonyanisa rokudzorera mvura uye electrolyte mumatunhu.

Agadzirira rinoreva "Urografin" Chinyorwa rinokurudzira kushandisa chete apo tiine ehupfumi chemhinduro chaiko. Kana paiva precipitate achinje Hue kana wakaremara kavha, haina kushandiswa. Liquid fuma pamberi kutarisira uye vakasara mhinduro kushandiswa.

Chipimo chemushonga pakutsvaga zera, muviri uremu, mukuru mamiriro utano uye hwevanhu. Kana kukwana itsvo kana mwoyo kushandisa shoma huwandu medicament. Mushure nzira yaifanira kutarisira zviremera mumazuva matatu.

Kuti aite angiographic kupindira zvinoda kuramba Flushing pamusoro anobudisa mushonga zvishoma nezvishoma achishandisa yesaline kudzivisa thromboembolic ngozi. Kana mushonga chinotarisirwa mumidziyo ropa, zvakakodzera kupa supine chinzvimbo. Hafu yeawa pashure jekiseni murwere kunyatsoongororwa zvazvaiita kuti nenguva kuona yechipiri kwendangariro.

Yekusimbisa chirwere nzira vakatakura akadzokorora kushandiswa mune yakawanda panguva zvikamu 10 kusvika 15 maminitsi kudzikamisa chichiwedzera serum osmolarity pamusoro interstitial mvura. Kana raitongwa munhu mukuru kamwe chipimo chemushonga pamusoro 0,300 kusvika 0,350 litres mushonga vanoda prokapat electrolyte mhinduro.

Medicine "Urografin" User Application anokurudzira neshungu kuti madhigirii 36, izvo achakurumidza kupiwa musiyano mumiririri uye nyore zvifambiswe nokuda yakaderera viscosity. Dzakawedzerwa kwete zvose ndiro, uye yakakodzera uwandu.

chokushandisa ichi haarambi kunze rokutanga miedzo nokuda unreliability kwemigumisiro.

kuitisa tsvakurudzo

mushonga Intravenous urograficheskoy chirwere chinotarisirwa pana Rine mamiririta 20 paminiti 1 miniti. In pamberi mishonga cardiac anoshanda zvishoma nezvishoma vakasuma, ndiro hafu yeawa.

Akura murwere ushandiswe mushonga 0.02 L "Urografin 76" kana 0,05 litres 60 muzana nzira. Kuwedzera uwandu yakakwirira mumisasa yacho zvinodhaka 0,05 L anovandudza chirwere kururama.

Photos renal parenchymal rinenge chinoitwa kuguma jekiseni nokuda nani kuratidza. Kuona nemamiriro chiuno uye Urinary turakiti, mumwe mufananidzo zvinoitwa pashure maminitsi 5, uye 2 - maminitsi 12 mushure aizomupa Urume.

Kana kushandisa aizomupa nguva 0.1 litres zvinodhaka kurapwa kubva 5 kusvika 10 maminitsi. Vanhu vane zvirwere myocardium kwakadaro kwazvo akadira kupinda mutsinga hafu yeawa. Mufananidzo wekutanga unoitwa panopera pakusuma, uye yaifanira kwemaminitsi 20.

Apo X-ray pakuongorora kweropa ezvinhu, kana akatakurwa aortography, Angiocardiography kana coronarography, kushandisa yakakwirira dosages pakati medicament "Urografin". Kushandisa imwe mhinduro iri iya 76%. Huwandu zvinodhaka riri pakutsvaga zera unhu, uremu, miniti Vhoriyamu pomwoyo, mukuru ezvinhu utano, ari nzira.

Urinary ezvinhu vakadzidza ne retrograde kuongororwa urograficheskogo, sezvamakaropafadzwa kusiyana mumiririri chinotarisirwa katetornym netsika kupinda lumen yacho urethra. Zvinoshanda 30 muzana mvura, iyo yakagadzirwa pakubvisa 60 protsentonogo jekiseni mhinduro nemvura iri nhamba 1 1. Kuti usazviparamurira kurwadza kwacho vari ureter panguva dzishande mushonga chando, musiyano mumiririri neshungu kuti madhigirii 36.

Nokuti vamwe kuongorora kupiwa undiluted rinoreva 60 muzana. dosing mishonga High dzimwe nguva kunokonzera kunetsa zviratidzo.

Zvinoreva Rwako kutongwa fluoroscopy kuita artrograficheskogo, gisterosalpingograficheskogo Survey uye retrograde cholangiopancreatography.

How kunwa mushonga nemazvo

Kuti aite kombiyuta tomography ura uye dzimwe nhengo, vanachiremba akarayira nemumuromo kwokubatsira mishonga "Urografin". Mirayiridzo dzokushandisa mukati asingadi zano kutora, haina kutsanangura nzira kushandiswa. Kana chiremba asina kuzivisa murwere pamusoro kushandiswa uye chipimo chemushonga, murwere achava zvakaoma kuwana ruzivo.

Vanachiremba dzinorumbidza kunwa chingapedza pakutsvakurudza "Urografin". Mirayiridzo kushandiswa CT anoverenga zviri rimwe ampoule (20 Rine mamiririta) inofanira rakasanganiswa imwe fő mvura yakachena, akaiswa sezvo mushonga maitikiro.

Use rinotanga maawa 24 vasati chirwere, apo zakontrastiruetsya ura uye dzimwe nhengo. Okupedzisira 200 ml mhinduro "Urografin" Chinyorwa anokurudzira pakatanga CT apo kupinda cabinet. A rokutanga muedzo nomumukanwa kushandisa haana kuzviita.

Kana usingaiti kushandisa

Nokuti zvinodhaka "Urografin" contraindications chokuita pachena kuwedzera thyroid inoshanda, decompensated cardiac kukwana basa.

Chenjera pfungwa nomuviri zvemwana asati hahubvumiri holangiopankreatograficheskoe kuzviongorora.

Gisterosalpingograficheskaya chirwere hakuna akaita vachingotya akatakura mwana, uye rikwanise anogumbura mhinduro iri pelvic munharaunda.

Mielograficheskie, ventrikulograficheskie tsisternograficheskie uye ongororo dzakati kuti dzakaitwa pamwe zvakasiyana zvinodhaka izvi nokuda kwayo neurotoxic nemigumisiro.

nenjodzi

The mushonga "Urografin" mirayiridzo kushandiswa dzinosanganisira mashoko pamusoro yaivhuvhuta zviitiko panguva intravascular aizomupa. Respiratoria nenjodzi chokuita kupfupika kufema, vangakosora, pulmonary edema, cardiac kufema basa.

Abnormalities ari zvomudumbu ino zvinozarurwa retching, marwadzo zviratidzo mudumbu.

Kuchinja kwemwoyo uye vasculature chokuita BP nokufamba uye contractile maitikiro. Dzimwe nguva zvinogona kuoneka nengozi thromboembolic matambudziko, afunge infarct myocardial hunoshamisa mamiriro tsandanyama.

Nenjodzi akaratidza Urinary turakiti zvinetso hepatic uye renal ushande.

Kuchinja nechepakati tsinga dzinoratidzwa musoro, nepakati wenyonganyonga, kurasikirwa pfungwa, Kuipa auditory uye kuona maitiro nezvipusha, kutya chiedza, pakoma, kutsimwaira mamiriro.

The vemo Migumisiro zvinosanganisira kuzvimba, thrombosis, venous, tromboflebitnye kuparadzwa, tishu necrosis.

Features kurapwa

Medicament "Urografin" muperekedzi zvinoratidza kushandisa renyevero kana pane kunyanya aikanganiswa nevamiririri ane ayodhini. Kunyatsoverenga Kutarisirwa kunoda kwazvo renal uye hepatic maronda, kushomeka basa pomwoyo, emfizemnoe zvemapapu chirwere, utano varombo murwere, atherosclerotic vascular chirwere, asima mukuru ropa shuga iri muropa, subclinical thyroid kunosimbisa basa uye generalized myeloma. Migumisiro yakaipa aya ezvinhu zvingamuka kubva zvinodhaka aizomupa kuva tsinga.

Kushandisa mishonga radiopaque kunogona kukonzera hypersensitivity, izvo anoratidza kupfupika mweya, erythematous ganda akatsvuka, mapundu, unopfuta kana mumatenhere pamberi musoro. In kwazvo kutyorwa kusimukira angioneurotic edema, Árbol spasm uye anaphylactic kuvhunduka. Nemigumisiro anogona kuitika mukati maminitsi 60 pashure zvinodhaka.

Kakawanda marwadzo kuitika varwere vari sema kuti zvomugungwa uye iodized zvinoriumba vakava tichibatwa nouswa, urticaria, kana asima. Pamberi kugadzwa munhu radiopaque mushonga chiremba anofanira kuongorora chirwere kare dzevanhu. Kana paine mukuru mukana ane sema muitiro, kudzivirira aishandiswa antihistamine kurapa.

Hypersensitivity kuti mushonga kunosimudzirwa nokushandisa Beta-adrenoblokatornyh mari. zvinodhaka izvi zvinokonzera kuramba kwakajairika chisimbwa kurapwa.

Inorganic ayodhini mhinduro anokwanisa kuchinja kushanda thyroid shwanu. Data izvi anobvumira pakatanga zvinodhaka pavarwere vane Isimba rakadini rinogona kubudiswa chimiro gipertireoznoy chirwere.

Pakukwegura, pane vascular zvokurwara uye chetsinga kusagadzikana mamiriro, izvo kuwedzera pezvakaitwa zvisingadiwi kubva ayodhini tubhokisi musiyano mishonga.

With intravascular aizomupa dzimwe nguva anooneka kukwana basa neitsvo. Kurudzivisa, zvinokosha kudzidza rapfuura cheitsvo, aiona huripo kukundikana nenyere. The kuwedzera myeloma, kukwegura, mberi vascular chirwere, paraproteinemia, zvakakomba BP, deposition pamusoro uric asidhi majoini ngozi.

Kana paine njodzi yakadaro maitiro, ipapo kuita pre-nzira hydration uchishandisa intravascular aizomupa nzira. Zvinonzi zvakare kuitwa pashure nechirwere, kuunza musiyano mutumwa kuburikidza neitsvo.

Kuderedza mutoro pamusoro muviri panguva kubviswa mushonga hauna kushandiswa uye nephrotoxic holetsistograficheskie dzaiita mishonga regai kuitisa renal vascular angioplasty kana kuvhiyiwa.

Kana Abuse mwoyo mavharuvhu uye panguva yakakwirira vachimanikidzwa ari pulmonary kushandiswa kwezvinodhaka kunoguma chinokosha hemodynamic kuchinja. Older vanhu vane myocardial chirwere kare ndivo tichikurumidza ischemic uye arrhythmic maronda. Kana uine mwoyo kukundikana, ipapo intravascular yaitonga mushonga kungakonzera mumatenhere zvemapapu tishu.

Reviews

Kazhinji, varwere kazhinji vanobvuma nemishonga radiopaque. nenjodzi All kutora mushonga anorondedzera "Urografin" mishonga guide. Reviews kazhinji zvinoratidza tolerability zvinodhaka zvakanaka. Varwere kazhinji kurondedzera yokuongororwa chaizvo nzira pane kugamuchira musiyano mumiririri.

Pane wongororo pamusoro pakatanga medicament kupinda uterine mhango. nzira yakadaro kusingafadzi, dzamira manzwiro.

Havasi vose mashoko nezvenzira chourongwa ane pamusoro kugadzirisa "Urografin" mirayiridzo Chinyorwa. CT mhinduro vanoti kudiwa kutora mushonga nomuromo rakasanganiswa zuva pamberi kuongororwa uye evanhu nzvimbo. On the mukanwa, afanane zvatinosiita mvura Hauoneki usingabereki kunhuwidza.

Kune kunaka nezvaro, kana murwere asingagoni kuita chirwere urograficheskuyu nokuda kugunun'una pamusoro kusagadzikana panguva kwokubatsira chezvinodhaka. Murwere akarwara, iye yekudyidzana kunoderedza BP.

Zvinofungidzirwa kuti pasina neutachiona kuti ayodhini nezvimedu, kushandiswa hakufaniri kutya zvinodhaka. mishonga iyi ine yakaonekwa kuti ndeyechokwadi kuchengeteka Profile rinoshandiswa nenyanzvi dzakawanda kuti ongororo.