Yavaibvisa hydroxybutyrate - mirayiridzo kushandiswa, tsanangudzo analogs uye wongororo

Yavaibvisa hydroxybutyrate - mhinduro kuti intravenous yokutindivadza. Kusvikira munguva pfupi ichangopfuura iyi chena crystalline upfu, soluble mumvura uye panyaya iyi, yaiva nzira vakawanda nokuda kwokubatsira yokutindivadza pakuvhiya yemapapu. In shoko, mushonga wakange rufimbi, kunyaradza, uye hypnotic vakazorora kushanda.

Kamwe yavaibvisa hydroxybutyrate (Natrii oxybutyras), iyo inoongorora mirayiridzo kuziva zvairatidza kuti kushandiswa, chipimo chemushonga uye zvaungaita kuwanikwa ose kuvhiya yemasoja kana amburenzi. Asi nhasi, kuti mushonga pamwe chete zita hakuwaniki, zvakanzi wakasuduruka sale, saka chero chemishonga haugoni kutenga. Mhedziso analogue ndiko yavaibvisa oxybate, asi pane dzimwe nzira rakafanana sezvamunoita uye zvairatidza kuti kushandiswa.

sejari

Mumutauro nyore, kuti zvinodhaka zvaisanganisira muboka mari nokuti "chiedza yokutindivadza", kureva, zvakanga zvakanaka kushandisa pakuita zvomusejari akavhiyiwa:

• vana;
• Varwere akaondoroka;
• vakwegura vanhu vane pasi BP;
• vakwegura ezvinhu nehana;
• vanhu vane renal kana hepatic insufficiency.

Dzimwe nguva rufimbi yaishandiswa chirwere dzokuvhiya, kana pakanga pasina chokwadi kuti murwere mupfungwa tsime ravo chinja.

Tsananguro yavaibvisa oxybutyrate fuma kunonyanya rinoratidza kuti pomutumwa inhoroondo ya kwokubatsira yokutindivadza panguva remapazi vane madhigirii duku kunotevera, i.e. kwete abdominal kushandiswa.

Posleopetsionnoe kugadzwa

Dzimwe nguva zvinogona kushandiswa avhiyiwa, kana murwere yakatanga postoperative psychosis.

Iri zvakanaka inozivikanwa, kunyanya mu varwere vakwegura. Man kuratidza zvose zviratidzo psychosis zvisipo, gwenya nokusagadzikana, kuvhiringidzika, havachanyatsogoni kuyeuka uye matauriro, asi mhaka zvezviratidzo izvi zviri kushanda yokutindivadza, kuzorwa nawo pane nyonganyonga ropa kuparadzirwa uye metabolic pezvakaitwa mumuviri, rakapinza kuderera BP, kupererwa neropa, kushaya nepavanogona chakaitwa nokuda navanachiremba.

Muchiitiko chino, pamwe yakakwirira kushanda kushandiswa hydroxybutyrate yavaibvisa. Mirayiridzo dzokushandisa ane ruzivo kuti zvinokosha dilution Pfungwa iri shuga mhinduro uye anononoka intravenous yaitonga. Kazhinji, murwere anodzoka chaiko uye vakachengeteka yokutindivadza.

Nhasi, pashure mushonga wakasuduruka kubva kugadzirwa uye sale, sezvo analogues nezvimwe zvekushandisa yaishandiswa ezvinhu aya, akadai "Sombrevin" kana thiopental yavaibvisa.

The kushandiswa Obstetrics

Pakukurukura kare unowanzoshandiswa yavaibvisa oxybutyrate. Mirayiridzo dzokushandisa yakarumbidza kurishandisa somunhu anonzi kuchirapa yokutindivadza. mishonga akapinda achisununguka akabvumira kuzorora munguva ndichibvunza basa, saka chokwadi kufurira kuramba okisijeni shoma vose mai uye mudumbu. Nhasi asiri aripo pamusoro echiShinto ose Pharmacies zvinodhaka zvinogona kutsiviwa pachishandiswa "Ketamine".

nyaradzo

Yavaibvisa hydroxybutyrate rakashandiswa zvikuru nekuda pakurapa mupfungwa vachirwara vanhu kwazvo zvirwere pachikuva. Nokuti kuti mushonga une kunyaradza, anticonvulsant chaizvoizvo zvakajairika hope. Kana dose iri diki, migumisiro vakawanda yokutindivadza haana simuka, asi murwere anogona vanoshamba nehope uye kunhuhwirira hope, izvo aizodzorera simba rake uye psycho-nomupfungwa.

Nokuti vanhu utano, mushonga raigona kushandiswa nechinangwa antishock migumisiro iri zvinokangaidza. Akaroromesawo kwokuomerwa neurologic manzwiro uye autonomic siyana vanhu vane kugona kuzvidzora, kuti vazvidzivirire kubva mukupera zvinokonzerwa rikwanise kuvhunduka.

Akapiwa yokuti mushonga hakuchisina kugadzirwa, unogona kusarudza analogue mamiriro uye kuita - ". Droperidol"

Chokwadi, kwakadaro mushonga rave kushandiswa chete muchipatara. Mushure kushandiswa kwayo munhu asingagoni kuramba zvatinosiita nenhanho simba; akanzwa lethargy, somnolence pavarwere kugamuchira mari, huru vanoshingaira chirungiso iri yavaibvisa hydroxybutyrate rinoitwa. Instructions, zvairatidza izvo ainyorwa zvakawanda (chaizvoizvo zvose auya pasi kuti mwoyo zvainoita nechepakati tsinga), unorambidza mushure chikumbiro kuti ishande motokari kana kuita chero chaiko kana pfungwa basa rinoda yevasungwa.

Improvement kuti zvishande mabasa

Yavaibvisa hydroxybutyrate - zvakanaka nootrop. It normalises zvishande kushanda Uluchay ndangariro, maonero uye muitiro Uropi kunoderedza zvinyama hypoxia (yakachena kushaikwa). Kana zvakakodzera, zvinoreva kuvandudza basa zvose enyika muviri, anowedzera kuramba yaivhuvhuta zvimwewo zvinoitika, mwoyo, uropi neitsvo.

Application mu ophthalmology

Panguva Implementation zvinodhaka pane chimwe chikonzero kushandisa ino chaiyo mumiririri (sodium oxybutyrate). Mirayiridzo dzokushandisa dzinokurudzirwa kushandisa mushonga mu nechirwere kuti "chikuru yakazaruka-angled yemaziso." The Zvinoumba pomutumwa ndiyo anowedzera oxidation pezvakaitwa ari the retina, zvichiguma vanhu vakatanga kuona zviri nani.

Contraindications

Zvinotevera kuti pfungwa dzako pasi zvirwere uye mamiriro ezvinhu izvo zvinodhaka Takauyira kupa:

• myasthenia - autoimmune chirwere umo dzakaonekwa zvemamiriro tsandanyama nekuneta;
• hypokalemia - mamiriro apo padanho potassium muropa serum pachiyero kusimba riri pazasi zvinogamuchirika mumatunhu;
• kana kushandiswa sezvo mushonga mu obstetrical yokutindivadza mumiririri haagoni kupiwa vakadzi nepamuviri neBP uye simba toxicity;
• nokugwinha.

Kana chakakomba asingashiviriri kuti mushonga ovhadhozi kana chikuru chiratidzo kutyora afemeruke kwevanhu. Man anoda kukurumidza muchipatara, zvokuimba kufefetedza, kutsigira kumwoyo. Intravenous kwokubatsira potassium chloride kunoratidzwa.

nemishonga

Subject kune contraindications uye kushandiswa zvakarurama mushonga hapana divi migumisiro vasingagoni kuva.

Matambudziko anogona kuitika kana zvinodhaka rakanga jekiseni kuva tsinga zvakare nokukurumidza. Panyaya iyi, zvinotevera zvingaratidza kuitika:

• kufema kukundikana:
• pakarepo Hope,
• svoto uye kurutsa;
• rutapudzo kuti potassium siyana muropa;
• kugadzikana uye chakamira pakunodengenyeka zvine.

naizvozvo akarayira chaizvo kunyatsofunga uye magadzirirwo dzakarurama yokusuma yavaibvisa hydroxybutyrate. Mirayiridzo dzokushandisa achibvumira mawa kushandiswa pamwe nekugadzirira chero zvimwe zvinodhaka kunze analgesics uye zvinodhaka rufimbi - ichangobva zvibereko nezvaizoitwa yavaibvisa hydroxybutyrate. Uyewo haana varumbidzwa kushandiswa pamwe zvinodhaka ANALEPTIC uye categorically rambidzwa kunwa doro.

Reviews

Pfungwa, takabva zvinenge zvose pari anogona kutaura zvinodhaka "yavaibvisa hydroxybutyrate" mirayiridzo. Comments vakasiiwa nhaurirano forum, kazhinji, hatiiti pamusoro zvakananga uchapupu zvinodhaka (induction pamusoro yokutindivadza), uye pamusoro zvivako zvinodhaka.

Vanorumbidza kugamuchira kunyaradza ehupfumi zvinodhaka. maererano nyanzvi uye varwere, zviri kukwanisa kukurumidza kudzikamisa tsinga iri kuvhunduka ezvinhu kana zvakakodzera here, uye kana paine matambudziko, pane mwoyo, kugumbuka. Vanachiremba cherechedza kuti mushonga kuzvigona ayo basa, uye agamuchira munhu anonzwa kudzikama uye akadzikama, hope dzakanaka uye manzwiro anoshamisa. Vamwe varwere ichienzaniswa ane jekiseni zvinodhaka mugove nemidzimu.

Asi panguva imwecheteyo zvinofanira kucherechedzwa kuti ichi handicho zvikuru nzira yokugadzirisa matambudziko, sezvo pashure kutora yavaibvisa hydroxybutyrate anogona kuva pakuvimba chisingaurayisi abvume kuti doro. Uye pakupedzisira, zvinogona kukanganisa mararamiro evanhu.

The ophthalmic mushonga rinoshandiswawo vakakodzera kubudirira. Kana zvakanaka kushandiswa pasi kutarisira kupinda chiremba murwere chiratidzo chaizvoizvo anovandudza.

Nokudaro, kare zvakajairika, yaiti "Sodium hydroxybutyrate" jekiseni, izvo kutungamirira zvinganaka kushandisa mvura rufimbi, akanga vakakodzera mukurumbira uye yakakwirira mwero kunyatsoshanda. Nhasi, mazuva mishonga indasitiri inopa vakawanda zvinodhaka itsva yakafanana chimwe chinhu, asi richiri kushandiswa mushonga dzakadai Zvinoumba mishonga pasi mazita akasiyana.