"Promedol": cov lus qhia rau kev siv. Tso daim ntawv ntawm cov tshuaj, cov kev cai ntawm qhov muag nyob rau hauv pharmacies

Ib txhia cov kab mob yus mob loj heev tawm tsam txoj kev mob, uas muaj peev xwm lis tsis txhua leej txhua tus painkillers. Yog li ntawd, nyob rau hauv kev kho mob xyaum yog dav siv tshuaj muaj feem xyuam rau opioid analgesics, uas yog muag los ntawm cov tshuaj. Ib tug xws li tshuaj yog tus neeg saib xyuas "Promedol" muaj peev xwm so txhua theem ntawm tus tib neeg central tshee system interneuronal kis tau tus mob ntawm kev mob impulses. Hais lus agonist opioid receptor npaj "Promedol" ua rau qhov chaw ntawm lub paj hlwb, hloov lub siab lub ntsws mob. Los ntawm pharmacological zog zoo xws li cov medicament tshuaj "morphine" thiab "Fentanyl", nws kuj ho tsub kom lub mob pib ntawm tib neeg, muaj ib qho nruab nrab soporific nyhuv thiab ib tug inhibiting ntxim rau conditioned reflexes. Txawm li cas los, tsis zoo li cov saum toj no-hais tshuaj preparations "Promedol" tsawg tsawg yuav ua rau kev phiv xws li ntuav thiab xeev siab, tsawg depresses pa chaw thiab ntau shchadjashche muaj spasmolytic ntxim rau cov ureter thiab bronchi. Nyob rau tib lub sij hawm, nws txhawb ib co contractile kev ua si thiab suab nrov ntawm lub myometrium.

Tso ntaub ntawv "Promedol" tshuaj thiab nws cov qauv

Sab nraum ntawm peb lub xeev analgesic "Promedol" muaj lwm thoob ntiaj teb uas tsis yog-tus qauv lub npe "trimeperidine hydrochloride", uas nws siv raws li ib tug active ingredient rau ntau cov tshuaj. Niaj hnub no qhov kev tso tawm ntawm cov tshuaj yog txo mus rau peb cov ntaub ntawv: ntsiav tshuaj, vials thiab koob txhaj hlab. Tus thawj fej nyob rau hauv packs ntawm 10 daim thiab tshuaj nyob rau hauv pharmacies, lub tom kawg yog nce siv nyob rau hauv kev kho mob chaw cov kev txhaj tshuaj rau cov neeg mob. Cov tshuaj "promedol" yog ua nrog ib tug concentration ntawm 1% thiab 2% thiab muaj 0.01 los yog 0,02 g feem trimeperidine. Txhaj tshuaj subcutaneously, intramuscularly, thiab nyob rau hauv ib co loj heev zaum intravenously. Cov koob txhaj-hlab siv nyob rau hauv cov tsev kho mob thiab nyob rau hauv tsev.

analgesic "Promedol" tej zaum yuav tau tsa nyob li cas cov kab mob?

Nyob rau hauv thiaj li yuav yuav cov tshuaj "Promedol" daim ntawv qhia nws yuav tsum muab tau los ntawm ib tug kws kho mob uas yuav tsum tau xam qhov tseeb koob tshuaj ntawm cov tshuaj thiab ua ib tug kev kho mob txoj kev npaj. Indications tau txais cov tshuaj tej zaum yuav ntau yam kab mob nrog mob muaj zog thiab nruab nrab siv. Los ntawm cov digestive system yog ib tug peptic rwj 12 duodenal rwj thiab lub plab, mob pancreatitis, perforation ntawm cov hlab pas. Nws muaj peev xwm raug muab tso rau cov tshuaj "Promedol" thiab cov neeg uas yog paub hais tias cov kab mob ntawm lub genitourinary system, namely, mob prostatitis, paranephritis, paraphimosis, mob dysuria thiab txawv teb chaws lub cev nyob rau hauv lub qhov zis thiab lub zais zis. Qhov no yog heev zoo narcotic analgesic thiab myocardial infarction, tsis ruaj tsis khov angina, thrombosis ntawm lub hepatic leeg, dissecting aortic aneurysm, embolism povtseg cov hlab ntsha thiab pulmonary hlab ntsha, pulmonary infarction, huab cua embolism, txawj pneumothorax thiab mob pleurisy. Zoo qhov kev txiav txim "promedolom" nyhuv thiab rau mob nyob rau hauv cov neeg uas muaj mob neuritis, causalgia, glaucoma, sciatica, thalamic syndrome thiab mob vesiculitis. Vim lub ceev ceev analgesic nyhuv uas cov tshuaj no yog siv tau nyob rau zog traumas, Burns thiab mob cancer.

Siv "Promedol" txhais tau tias nyob rau hauv me nyuam

Hos no synthetic analogue txhais tau tias "morphine" nyob rau hauv tus txheej txheem ntawm kev npaj ntawm tus neeg mob mus rau ib tug ntau yam ntawm kev phais tiv thaiv, raws li zoo raws li txhim khu zog. Ua raws li ib tug haib antispasmodic, nws relaxes lub ncauj tsev menyuam, li no provoking nws qhib. Nyob rau tib lub sij hawm, cov tshuaj muaj feem xyuam rau lub tsev me nyuam ntawm cev xeeb tub poj niam, ib txhia ntxiv dag zog rau nws cov yuav txo tau, yog li ntawd, accelerates tus generic kev ua ub no. Feem ntau, cov tshuaj yog "Promedol" tau me nyuam ib txwm subcutaneously thiab intramuscularly nyob rau hauv lub pob tw, ntsag los yog lub xub pwg. Tsuas yog nyob rau hauv exceptional mob, thaum ib tug me nyuam lub neej ceg txheem ntseeg, muab yug nws yuav nkag mus rau intravenously. Analgesic nyhuv tom qab txhaj tshuaj manifested nyob rau hauv 10-15 feeb, tom qab uas tus poj niam yuav recuperate ib tug me ntsis me ntsis thiab ib tug me nyuam tus me nyuam muaj kev ruaj ntseg.

Lub txim ntawm txoj kev siv ntawm cov nyiaj thaum lub sij hawm yog tau me nyuam "Promedol"

Nyob rau hauv Feem ntau, qhov no synthetic analgesic xam tau tias yog tus tov rau leej niam thiab tus me nyuam thaum lub sij hawm ua hauj lwm rau, tab sis tsis txhob hnov qab txog lub kheej ntawm tus tib neeg lub cev. Yog li ntawd, ib txhia poj niam uas muaj ces tshwm sim los ntawm cov tshuaj no, xws li xeev siab, ntuav, thiab slowing ntawm conditioned reflexes. Koj yuav tsum tau coj mus rau hauv tus account lub fact tias cov tshuaj "Promedol cov lus qhia rau kev siv yog paub tseeb hais tias, nws yog heev sai sai tau txais mus rau hauv cov ntshav, txawm tias thaum muab subcutaneously, thiab lub siab tshaj plaws concentration yog mus txog tom qab 2-2.5 teev. Yog li ntawd, twb tom qab 2-3 feeb tom qab txhaj tshuaj ntawm lub niam rau tus me nyuam tau txais ib tug narcotic analgesic los ntawm txoj hlab leeg, uas yuav muab tso tawm kom nyob rau hauv lub cev ntawm nws cov 7 lub sij hawm qeeb qeeb tshaj nyob rau hauv leej niam. Tom qab yug tus me nyuam cov me nyuam mos yog maj mam txo pa muaj nuj nqi, nkees, txob taus, thiab feem ntau tsis kam los coj lub mis. Cov khoom noj nyob rau hauv thawj hnub ntawm lawv lub neej xav tau tshwj xeeb xim neonatologists, raws li lawv tej zaum yuav xav tau, piv txwv li, dag ua pa los yog lwm yam kev ntsuas rau cov normalization ntawm lub neej muaj dab.

Siv "Promedol" tshuaj nyob rau hauv anaesthesiology

Lwm cheeb tsam ntawm cov tshuaj uas tshuaj "Promedol" pom nws ntau daim ntawv thov yog tshuaj kom tsaug zog. Rau tus txiv neej premedication yog muab intramuscularly los yog subcutaneously 1.2 ml ntawm ib tug tov ntawm lub tshuaj loog nyob rau hauv ua ke nrog nrog 0.5 mg ntawm tshuaj "atropine" kwv yees li 30-40 feeb ua ntej mus hlais. Nyob rau hauv huab, thaum tus neeg mob yog nyob rau hauv ceev yuav tsum tau tshuaj kom tsaug zog, cov tshuaj yog muab intravenously. Thaum lub sij hawm kev phais tus neeg nyob rau hauv tshuaj loog, li faib koob tshuaj muab cov tshuaj no yuav txhim khu kev ua kom loog, uas muaj txhawb mus rau stabilize ntshav siab thiab thiaj li tachycardia. Txog cov kev thiab lub zos tshuaj loog tshuaj "Promedol" nyob rau hauv ampoules siv nrog anticholinergic, antihistamines, thiab antipsychotics. siv nrog neuroleptics thiab cov medicament "Droperidol" Rau qhov central loog. Postoperative lub sij hawm rau ib co neeg mob kuj kis tau tsis muaj kev siv cov narcotic analgesic muab subcutaneously los daws qhov mob thiab raws li ib tug txhais tau tias protivoshokovoe.

Contraindications

Siv tej tshuaj tsis muaj ib tug tshuaj yog txaus ntshai, tshwj xeeb tshaj yog narcotic tshuaj xws li analgesic "Promedol". nyob rau hauv daim ntawv thov ntawm no kom loog Guide muaj ntau ntau ntawm contraindications, uas yuav tsum tau nyeem ua ntej pib qhov kev txais tos. Nws yuav tsum tau muab sau tseg tias siv rau cov kev kho mob ntawm cov tshuaj no yog tsis tsim nyog thaum lub sij hawm cev xeeb tub, lactation, cov neeg laus thiab cov kiddies mus txog ob lub xyoos. Tsis tas li ntawd qhia txog ib tug ntev daim ntawv teev cov kab mob nyob rau hauv uas tus txhais tau tias ntawm "Promedol" coj tsis tau tsuas yog txaus ntshai, tab sis kiag li tsis tau. Yuav kom qhov no daim ntawv teev muaj xws li meem kev txhawj xeeb mus rau yeeb tshuaj, ua pa nyuaj siab, kab mob, muaj teeb meem nrog cov ntshav txhaws, raws plab vim pseudomembranous mob plab tshwm sim los ntawm lincosamides, cephalosporins, penicillins los yog tshuaj lom dispersion. Yuav tsum tsis txhob noj cov tshuaj thiab thaum lub sij hawm kev kho mob nrog Mao inhibitors, raws li zoo raws li rau 21 hnub tom qab lawv txais tos. Nrog huab ceev faj, cov tshuaj no yuav tsum tau siv nrog kev mob nyob rau hauv lub plab mog tsis paub hais tias etiology, bronchial hawb pob, arrhythmia, qaug dab peg, kub siab, ua pa tsis ua hauj lwm, lub plawv tsis ua hauj lwm, myxedema, raum, adrenal thiab hepatic tsis ua hauj lwm, hypothyroidism, Cns kev nyuaj siab, intracranial tawg, mob o plab hnyuv kab mob.

Tshwm sim los ntawm cov tshuaj

Noj rau hauv tus account lub kheej ntawm tus tib neeg lub cev, nws muaj kev ruaj ntseg hais tias muaj, txawm tus tov tshuaj yuav ua rau ib tug ntau yam kev phiv tshuaj. Thiab yog hais tias peb xav txog qhov narcotic analgesic "Promedol" daim ntawv qhia rau cov uas muaj peev xwm nkaus xwb yuav tau nrog ib tug kws kho mob, nws daim ntawv teev cov contraindications txawm ntev. Yog li, cov tshuaj tiv thaiv ntawm tus mob huam mus rau qhov tshuaj yog spasm ntawm lub biliary ib ntsuj av tau, ntuav, xeev siab, qhov ncauj qhuav, quav tawv, anorexia. Yog hais tias ib tug neeg mob mob o ntawm lub digestive system, mus rau saum toj daim ntawv teev koj yuav tau ntxiv ib tug ua ib ce tuag ileus, jaundice thiab lom megacolon. Ib txhia neeg uas siv cov yeeb tshuaj, "ntxeev siab" tej zaum yuav nyuaj siab nruab nrog cev thiab lub paj hlwb. Cov tsos mob tej zaum yuav muaj xws li qhov muag plooj tsis pom kev, kiv taub hau, diplopia, mob taub hau, convulsions, tsis nqaij, tshee, tsis meej pem, kiv taubhau, zoo siab, tsis meej pem, kev nyuaj siab, tinnitus, paradoxical ntxhov siab, thiab lwm yam mob. Kev tsim txom siv yeeb tshuaj "Promedol" ua pa system kuj zoo heev cuam tshuam tus neeg mob lub xeev kev kho mob thiab ua rau ntau yam teeb meem xeev, txawm coma. Ib txhia neeg uas siv cov tshuaj "Promedol" xyuas qhia pom manifestation ntawm arrhythmia, raws li zoo raws li ntse hloov mus hloov los nyob rau hauv cov ntshav siab. Tsis thaum noj cov tshuaj thiab urinary system yuav hais tias yuav manifest nyob rau hauv zuj zus lawm tso zis tso zis thiab tso zis tuav tseg. Nyob rau hauv kev kho mob xyaum, kuj muaj mob qhov twg phiv thov txhais tau tias "Promedol" kuaj nyob rau hauv daim ntawv ntawm cov kev tsis haum tshuaj xws li laryngospasm, daim tawv nqaij ua pob liab vog, edema, bronchospasm, thiab lwm tus neeg. Txawm nyob rau hauv tus neeg mob qhov twg lub saum toj no cov tshuaj tiv thaiv ntawm tus kab mob yog tsis manifested, thaum noj cov tshuaj "Promedol" phau ntawv qhia assumes cov tsos pulmonary phiv xws li xeev siab, ntuav, thiab cov tuam tsis muaj zog ntawm lub cev.

Overdose thiab lub txim ntawm kev siv ntawm cov tshuaj "Promedol"

Thaum tsis yog daim ntawv thov ntawm cov tshuaj los yog tsis muaj tseeb koob tshuaj laij noj mus rau hauv tus account tag nrho cov yam ntxwv ntawm tus neeg mob lub txim yuav tsis tshua muaj unpredictable. Nyob rau hauv kev kho mob xyaum muaj mob thaum lub overdose yog tsis tsuas ntau zog lub heev ntawm sab los, tab sis tus neeg mob yog muaj kev nyuaj siab nco qab, mob mob tu-sauv.

Muaj txoj cai txiav txim nyob rau hauv overdose

Lub ntsiab kev ua ub no rau kho tshiab ntawm tib neeg overdose "Promedol" cov tshuaj yuav tsum tau siv los pab txhawb kom txaus pulmonary kev ua si nyob rau hauv ua ke nrog nrog symptomatic txoj kev kho. Ua li no, tus neeg mob intramuscularly los yog intravenously muab rau ib tug opioid antagonist tshuaj "Naloxone", uas yuav tsum tau sai heev los lub ntsws chaw. Yog hais tias tom qab 2-3 feeb lub Desired nyhuv tsis tau tshwm sim, ib tug thib ob kev txhaj tshuaj.

Cov ntsiab lus uas muag cov tshuaj thiab cia tej yam kev mob

Cia cov tshuaj nyob rau hauv pharmacies rau cov pejxeem tshwm sim xwb nyob rau hauv lub xov tooj ntawm cov zaub mov txawv uas tsis pub tshaj ib tug tag nrho cov hoob kawm ntawm kev kho mob. Raws li rau lub cia ntawm narcotic analgesic "Promedol" phau ntawv qhia kom meej meej hais raws li nrog tag nrho cov tej yam kev mob. Nyob rau hauv kev lub fact tias cov tshuaj yuav tsum yog nyob rau hauv ncav tsis cuag ntawm cov me nyuam kawm rau kub tsis siab tshaj + 15 ° C.