Yavaibvisa Thiopental - kwadzinoita chikumbiro

"Sodium Thiopental" chakaoma porous guru greenish-yellow ruvara. It urwa nyore mumvura. A mhinduro yacho zvinodhaka pakarepo asati kushandiswa kwayo.

"Sodium Thiopental" rinoshandiswa kuti yokutindivadza, uye kubudirira sezvo ari intravenous yaitonga zvinodhaka, uye panguva yayo rectal yaitonga. Uyewo, kunyudza munhu vachingotya yokutindivadza ivepo kutanga ichi chokushandisa intramuscularly, asi nzira iyi rinoshandiswa chaizvo kashoma.

Kana rikashandiswa zvakanaka, "Sodium Thiopental," munhu unopinda ezvinhu yokutindivadza zviri nyore uye vakatsanya zvikuru, pamwe kurutsa uye mufaro ari anenge kumbobvira kuitika. Kana yokutindivadza rinoshandiswa nokuda kuvhiyiwa, murwere asina corneal uye mudzira hunenge, angabatwa zvishoma kujekesa vadzidzi, asi kazhinji vanoramba dzose kukosha, ivo eyeballs vari yakatarwa. Uyewo, pane kutandara pamusoro pharynx tsandanyama, rurimi rinonyura akaderedza kumanikidzwa uye zvinoderedza kakawanda uye kudzama kufema. Zvinokosha kucherechedza kuti, kunyange kana ari zvakadzama yokutindivadza, izvo zviri kukonzerwa pakatanga zvinodhaka ichi, mumwe kutandara pakati tsandanyama ari abdominal rusvingo kwakakwana hariwaniki varwere vose.

"Thiopental yavaibvisa" asi vakakurumidza zvachose muviri, uye wake mumwe-nguva yokushandisa yokutindivadza anopinda munhu kuti 20-25 kwemaminitsi. Achangobva ichimutsa unonyaradza marwadzo mugumisiro mushonga anomiswa.

Zvairatidza kuti kushandiswa kwezvinodhaka

Ainyanya kushandiswa akati achishandisa munguva pfupi kuvhiya. Uyewo rinoshandiswa kuti induction kuti yokutindivadza anoteverwa kushanda kunoita simba dzokutindivadza. mushonga inowanzoshandiswa pachiimbwa tsandanyama relaxants, kana zvokuimba kufefetedza.

"Sodium Thiopental": mirayiridzo kushandiswa

Varwere vakuru vachigadzirira 2 kana 2.5% mhinduro yacho zvinodhaka, uye vana, varwere vakwegura kana zvamuremadza angashandisa 1% mhinduro. Kana "Thiopental yavaibvisa" rinoshandiswa induction kuti yokutindivadza kana kuti zviduku kuvhiyiwa sezvo chete narkotiziruyuschee nzira, zvakakodzera kupinda 20-30 ML nomutsinga. The kunonyanyisa chipimo chemushonga 2% mhinduro yacho chinodhaka, izvo zvinogona kushandiswa nevakura 50 Rine mamiririta, akati mhinduro kutaurwa zvishoma nezvishoma, pakutanga diki dose, uye pashure mumasekonzi 30 zvose zvasara.

Kazhinji mushonga chinoshanda kuna maminitsi 25, asi kunobva kwete sei zvakawanda rwakapinda, asiwo munhu zvechadenga mumwe munhu.

Kuti aite zvinhu zvinodhaka yokutindivadza kushandisirwa vana vane mwoyo, uyewo vanhu vachitambura kubva thyrotoxicosis. Muzviitiko izvi, kazhinji kushandisa 5% mhinduro 'kuti yavaibvisa thiopental ", waiva nenharo kusvika 32-35 ° C uye jekiseni rectally, zvinganaka kwete uchishandisa mukamuri, uye mune mamwe mamiriro ezvinhu dzose nokuda murwere. Children pasi makore matatu rectally raitongwa pa 0,04 g, uye vana makore manomwe zvavakatemerwa pamusoro 0,05 g pa gore upenyu.

Contraindications

Hazvibviri kushandisa mudziyo vanhu vakaona Organic zvirwere chiropa, itsvo, vaya vane chirwere cheshuga, vanhu vanoshamiswa. Uyewo, kuti mushonga haushandi kana paine nasal kuzvimba, kusagadzikana kweropa, vanhu vari mumamiriro ezvinhu kwokupisa.

Possible nemishonga:

- nechitarisiko chikosoro;

- chiitiko laryngospasm, bronchospasm uye hypersalivation;

- pamwe kufema mwoyo uye hypotension.

Kudzivisa kuwanikwa yematambudziko, izvo nokuti kuti anowedzera mataurire ari vagus etsinga, asati kwokubatsira yokutindivadza zvinokosha kupinda "Metacin" kana "Atropine". A mhinduro zvinodhaka izvi hazvigoni kuvhenganiswa zvinogadzirisa "chlorpromazine", "pentamine", "ditilina" "Promethazine" uye "arfonad".