"Promedol": mirayiridzo kushandiswa. Release chimiro chinodhaka, mitemo Sale Pharmacies

Vamwe zvirwere dzinoratidzwa kwazvo kurwisa kurwadziwa, izvo zvinogona hazvibati vose inonyaradza marwadzo omusoro. Saka, muna okurapa zvinowanzodavirwa kushandiswa mishonga chokuita opioid analgesics, izvo dzinotengeswa chete mushonga. Mumwe mushonga wakadaro okutenderera "Promedol" anokwanisa zororo zvese kwevanhu nechepakati tsinga interneuronal kupararira marwadzo nomunhu. Kutaura agonist opioid Kanotokonya kugadzirira "Promedol" anoita pamusoro zvikamu uropi, kuchinja marwadzo mupfungwa. By pharmacological ehupfumi akafanana medicament zvinodhaka "morphine" uye "Fentanyl", naicho yekudyidzana kunowedzera marwadzo pachikumbaridzo kwevanhu, ane avhareji soporific kushanda uye zvichivhiringidza zvainoita vakaumbwa hunenge. Zvisinei, kusiyana-vataurwa pamusoro zvinodhaka kugadzirira "Promedol" kashoma kuti kukonzera marwadzo akadai kurutsa uye kuda kurutsa, shoma depresses afemeruke centre uye zvakawanda shchadjashche ane spasmolytic zvainoita ureter uye principales. Panguva imwe cheteyo, kunosimbisa zvimwe contractile basa uye mataurire myometrium.

Release siyana "Promedol" zvinodhaka uye ayo mamiriro

Kunze mamiriro edu unonyaradza marwadzo "Promedol" mumwe dzakawanda dzisiri proprietary zita "trimeperidine hydrochloride", raaishandisa sezvo chinoshingaira kuchatibatsira kuti zvinodhaka zvakawanda. Nhasi kusunungurwa zvinodhaka ipfupi matatu siyana: pamahwendefa, ndiro uye sirinji sepombi. Chokutanga mumapepa ari packs it 10 zvidimbu uye inonyorwa muna Pharmacies, yokupedzisira iri kuramba kuitwa mune zvokurapa zvivako kuti jekiseni varwere. Kugadzirisa "promedol" rinobudiswa pamwe wevasungwa 1% uye 2% uye rine 0.01 kana 0.02 d azvaitwa trimeperidine. Jekiseni mushonga subcutaneously, intramuscularly, uye mune dzimwe kwazvo zviitiko nomutsinga. The sirinji-sepombi kushandiswa muzvipatara uye kumba.

unonyaradza marwadzo "Promedol" anogona yakatarwa panguva nezvirwere chii?

Kuti kutenga zvinodhaka "Promedol" yokubika chinofanira kuwanikwa kubva chiremba uyo achakwanisa kuverenga kwakarurama dose zvinodhaka uye kuita kurapwa urongwa. Zvairatidza kuti kupiwa mushonga kungava zvirwere zvakasiyana-siyana pamwe nemarwadzo simba uye unosvikirwa zvikuru. Kubva zvomudumbu ezvinhu ane peptic urikanwi 12 duodenal urikanwi uye dumbu, chisingaperi pfungwa nomuviri zvemwana asati, perforation pakati yegurokuro. Rinogona kupiwa mushonga "Promedol" uye vanhu vari panoonekwa zvirwere genitourinary ezvinhu, kureva, rikwanise prostatitis, paranephritis, paraphimosis, rikwanise dysuria uye miviri worumwe urethra uye dundira. Izvi inoshanda chaizvo marwadzo unonyaradza marwadzo uye myocardial infarction, kusagadzikana angina, thrombosis pamusoro hepatic tsinga, nokupatsanura kutsemuka aneurysm, embolism muzvidimbu arteries uye pulmonary arteries, pulmonary infarction, mhepo embolism, vaingoerekana pneumothorax uye rikwanise pleurisy. Positive chiito "promedolom" kushanda uye kuti kurwadziwa mune vanhu vane rikwanise neuritis, causalgia, yemaziso, Sciatica, thalamic chirwere uye rikwanise vesiculitis. Nokuda nokukurumidza unonyaradza marwadzo mugumisiro zvinodhaka rinoshandiswa pana simba traumas, kutsva uye kenza.

Kushandisa "Promedol" zvinoreva anosurumuka

Izvi analogue chakaita zvokugadzirwa rinoreva "morphine" iri mubishi rokugadzirira murwere kuti dzakasiyana-siyana zvomusejari kupindira, uyewo kuwedzera basa. Achishanda somunhu simba antispasmodic, izvozvo relaxes kuti cervix, nokudaro afunge buri raro. Panguva iyoyowo, mushonga kunokanganisa dumbu mukadzi pamuviri, vamwe kusimbisa rutapudzo kwayo, saka, Inowedzera kuti Generic mabasa. Kazhinji, mushonga ndiye "Promedol" yokusununguka dzose subcutaneously uye intramuscularly ari buttock, hudyu kana pamapfudzi. Chete aakatipa kacho, kana mwana wacho upenyu rokutambudzikira, pakubereka unogona kupinda mutsinga. Unonyaradza marwadzo mugumisiro pashure jekiseni akaratidza mumaminitsi 10-15, pashure izvo mukadzi anogona bumbunuka zvishoma uye kubereka mwana zvakanaka.

Migumisiro kushandisa mari pakusununguka "Promedol"

Kazhinji, izvi unonyaradza marwadzo chakaita zvokugadzirwa vaiona zvikuru kuti mai nomwana panguva basa, asi usakanganwa pamusoro munhu akazvimiririra womunhu muviri. Naizvozvo, vamwe vakadzi vane kuratidzirwa divi zvinokonzerwa nemishonga iyi, akadai kuda kurutsa, kurutsa, uye tava kuderera ose riine hunenge. Unofanirawo kufunga chokwadi chokuti zvinodhaka "mirayiridzo Promedol 'kushandiswa akatsinhira, zviri nokukurumidza anopinda ropa, kunyange kana achiita subcutaneously, uye kufadza pfungwa zvasvika pashure pemaawa 2-2.5. Naizvozvo, atova pashure 2-3 maminitsi pashure jekiseni amai mwana anogamuchira marwadzo unonyaradza marwadzo kuburikidza achiine rukuvhute tsinga, chichakurukurwa uratidzwe mumuviri wayo ka7 nomumugwagwa kwaitora nguva kupfuura amai. Pashure pokuzvarwa vanozvarwa zvishoma nezvishoma wakaderedzwa kufema basa, lethargy, kushatirwa, uye kazhinji vanoramba kutora chityu. mafufu izvi pamazuva oupenyu hwavo okutanga vanoda vainyatsotarisirwa neonatologists, sezvo vangada Somuenzaniso, chakagadzirwa afemeruke kana mamwe matanho kuti normalization ose pezvakaitwa upenyu.

Kushandisa "Promedol" chinodhaka mune anaesthesiology

Imwe nzvimbo wemishonga apo mushonga "Promedol" vakawana wayo kwazvo kushanda anesthesiology. Nokuti murume premedication chinotarisirwa intramuscularly kana subcutaneously 1,2 ml kugadzirisa zviri rufimbi akabatana 0.5 MG zvinodhaka "atropine" anenge maminitsi 30-40 asati kuvhiyiwa. Muzviitiko, kana murwere ari kukurumidza nyaradzo, mishonga iyi raitongwa nomutsinga. Pakuvhiya munhu pasi yokutindivadza, sezvo chakakamurwa mishonga raitongwa zvinodhaka ichi kunatsiridza analgesia, izvo zvinoita kuti pakudzikamisa BP uye anoderedza tachycardia. Nokuti vakawanda uye nemakanzuru yokutindivadza mishonga "Promedol" iri ampoules rinoshandiswa anticholinergic, antihistamines, uye antipsychotics. kushandiswa akabatana neuroleptics uye medicament "Droperidol" Nokuti nechepakati analgesia. Postoperative nguva vamwe varwere uyewo inopfuura pasina kushandiswa marwadzo unonyaradza marwadzo raitongwa subcutaneously kuderedza marwadzo uye senzira protivoshokovoe.

Contraindications

Shandisa chero mishonga pasina mushonga kune ngozi, mishonga kunyanya marwadzo akadai unonyaradza marwadzo "Promedol". pamusoro pokushandisa ichi rufimbi Guide ane yakawanda contraindications, izvo zvinofanira kugara verenga asati atanga mabiko. Zvinofanira kucherechedzwa kuti kushandiswa nokuda kurapwa mishonga iyi haisi zvakakodzera panguva pamuviri, lactation, vanhu vakwegura uye kusvika makore maviri kuti kiddies. Uyewo rinorondedzera refu mazita nezvirwere izvo achishandisa "Promedol" tora kwete ngozi chete, asi anogona zvachose kwete. To Pamazita ichi anosanganisira hypersensitivity kuti mushonga, kufema mwoyo, zvirwere, nematambudziko kweropa, manyoka nokuda pseudomembranous colitis kunokonzerwa lincosamides, cephalosporins, penicillins kana muchetura kupararira. Vanofanira kurega kutora zvinodhaka uye panguva kurapwa pamwe Mao FIs, uyewo mazuva 21 mushure mutambo wavo. Nokungwarira akaipisisa, mushonga uyu anofanira kushandiswa kurwadziwa mudumbu zviri zvisingazivikanwi etiology, Árbol asima, arrhythmia, nezvipusha, BP, kufema kukundikana, mwoyo kukundikana, myxedema, itsvo, adrenal uye hepatic kukundikana, hypothyroidism, CNS mwoyo, intracranial BP, zvikuru kuzvimba intestinal zvirwere.

Side Migumisiro zvinodhaka

Kufungisisa munhu akazvimiririra womunhu muviri, zvinokuchengetedzai kutaura kuti, kunyange zvikuru mishonga ipi inogona kukonzera zvakasiyana-siyana nenjodzi. Uye kana isu funga marwadzo unonyaradza marwadzo "Promedol" yokuwana nayo zvinogona chete kuwanwa chiremba, ake mazita contraindications akatowanda. Saka, maitiro nemudumbu kuti zvinodhaka izvi spasm pamusoro biliary turakiti, kurutsa, kuda kurutsa, muromo yakaoma, kupatira, neanorexia. Kana munhu ane chirwere rikwanise kuzvimba zvomudumbu ezvinhu, kuti pamusoro apa unogona kuwedzera mutezo ileus, jaundice uye muchetura megacolon. Vamwe vanhu vanobata mushonga, "mupanduki" vangaona mapazi uye tsinga. Zviratidzo zvingasanganisira madzerere, anzwe dzungu, diplopia, nomusoro, kugwinha, involuntary tsandanyama sunga, chakamira pakunodengenyeka zvine, kuvhiringidzika, hope, euphoria, nekuvhiri- ngika, kuora mwoyo, tinnitus, gangaidzo nokusagadzikana, uye zvimwe zvirwere. Kudzvinyirirwa zvinodhaka "Promedol" kufema hurongwa kunogonawo kukanganisa zvikuru murwere ezvinhu utano uye kukonzera siyana dambudziko rinoti, kunyange pakoma. Vamwe varwere akashandisa mushonga "Promedol" wongororo kuratidza zvinooneka kuratidzwa arrhythmia, uyewo unopinza nokufamba BP. Vanokundikana apo kutora zvinodhaka uye Urinary ezvinhu anogona anogona kuratidza zviri kudzikira weti goho uye Urinary chengetedzo. In okurapa, uyewo pane zviitiko apo nemishonga kushandisa rinoreva "Promedol" dzakaonekwa muchimiro neutachiona akadai laryngospasm, ganda mapundu, edema, bronchospasm, uye vamwe. Kunyange zviitiko apo pamusoro apa maitiro nhengo haina richiratidzwa, apo akatora zvinodhaka "Promedol" mirayiridzo Chinyorwa anotora chimiro pulmonary nemishonga akadai kuda kurutsa, kurutsa, uye mukuru novutera muviri.

Ovhadhozi uye zvakaipira kushandisa zvisina kufanira zvinodhaka "Promedol"

Kana zvisiri pokushandisa zvinodhaka kana kururama mishonga dzaona kufungisisa unhu zvose murwere zvaitika kunogona zvikuru nezvimwewo. In okurapa paiva zviitiko apo ovhadhozi haisi chakawedzera kwokuomerwa nemishonga, asi murwere ari kuora mwoyo kuti pfungwa, nechirwere chakasimba chinyamunhari chinorwadza.

The rworudyi chiito ovhadhozi

Huru mabasa kudzorerwa kwevanhu ovhadhozi "Promedol" chinodhaka inofanira kushandiswa kutsigira yakakwana pulmonary basa akabatana symptomatic kurapa. Kuti aite izvi, murwere intramuscularly kana nomutsinga raitongwa chairo opioid antagonist zvinodhaka "Naloxone", izvo zvinofanira kukurumidza kudzorera kufema centre. Kana pashure maminitsi 2-3 zvinozoita kumboitika, mumwe jekiseni wechipiri.

Terms waakazvitengesa zvinodhaka uye kuchengetera zvinhu

Siya mushonga mu Pharmacies kuna vokuparidzira rinowanikwa chete kwenhamba Quick kuti haapfuuri imwe azere yawapiwa. Sezvo kuchengetera marwadzo unonyaradza marwadzo "Promedol" mirayiridzo Chinyorwa zvakajeka marondedzerero zvaidiwa zvose ezvinhu. Chidimbu ndechokuti mushonga unofanira kuva pasingasvikire vana pasi tembiricha asina kupfuura + 15 ° C.