Imiyalelo yokusebenzisa "Refortan" analogue umenzi

Kwimeko ilahleko enkulu igazi eyabangelwa esimbaxa kotyando, kwentlungu, ukutsha, ukutyhefa kunye nezinye izizathu, isigulane kufuneka kokutofelwa igazi. Noko ke, isenzo esinjalo akusoloko kusenzeka ukuba afeze ngokupheleleyo. Kwiimeko ezinjalo, kunye nezisombululo plasma-ukusetyenziswa igazi. Enye yezi machiza kukuthi, njengoko kuboniswe imiyalelo ukusetyenziswa, "Refortan". Khawuve oko medicament esebenzayo.

inkcazelo amayeza

Isisombululo "Refortan" - ichiza lwezonyango eziphathelele plazmozameshchath iindlela. Eyona nto elikhutheleyo ichiza hydroxyethyl. Yifumane yerayisi, iitapile, ingqolowa kunye nombona amylopectin. A iziyobisi kokuba elide plasma-isiphumo. Ukongeza, iphucula igazi kwegazi emzimbeni kunye wayo iipropati rheological.

Amalungiselelo into esebenzayo ilindele hydroxyethyl. medicament Iveliswe ngokohlobo isisombululo colloidal esetyenziselwa ukumnika.

iimpawu ezikhethekileyo ichiza:

1. Eli chiza kunempembelelo plazmozamescheniya elide. ukusebenza kwayo egcinelwe iiyure 5-6.
2. Eli chiza nempembelelo entle ekunqandeni igazi.
3. Ngokukhawuleza ibuyisela umthamo wegazi elahlekileyo. Kulo mzekelo, kunye idosi elikhulu akubangeli ukudumba.
4. Tool ibuyisela flow kwegazi lokuphazamiseka.
5. Ayichaphazeli ukusebenza amalungu.
6. Ichiza khipha udibaniso lwe erythrocytes, thrombocytes.
7. Medicament kunciphisa viscosity igazi.
8. Oku akuthethi ukuba ukukhululwa histamine.
9. Ichiza kakhulu kunyanyezelwa. ukusetyenziswa kwaso kunqabile kunye neziphumo ebezingalindelekanga.

Ekubeni ichiza ikwindawo "Refortan" yesikhokelo. Umenzi ichiza - inkampani yaseJamani, "eBerlin-Chemie".

Ubungqina obubonakalayo buxela

Iyeza zingasetyenziswa njenge arhente kwezonyango okanye umbala. Kudla ngokuthiwa e ezimbi, ezo zisekelwe ukuhla umthamo egazini okanye impazamo microcirculation yayo.

Ngenxa yoko, ngokusebenzisa i "Refortan" umyalelo imveliso manual icebisa abanaluncedo kwezi meko zilandelayo:

1. iimeko zomzimba ezibangelwa ukuhlinzwa, ukutsha, izilonda, ukunxila, izifo ezosulelayo, apho kuyimfuneko njengembuyekezo elijikeleza umthamo wegazi (CBV).
2. Ihemodilution (ukuxutywa igazi).
3. mothuko esibuhlungu, ukutsha, umlinganiswa yokubolisa.
4. Ihemodilution ngexesha utyando. Lithetha kusetyenziswa njengoko kuyimfuneko ukunciphisa isixa ezinikelwe igazi.

Ichiza iye isetyenziswe ngempumelelo kuthintelo lwegazi ngexesha zomzimba, nomqolo okanye uhlobo ebulewe.

Le umthamo ichiza

Amalungiselelo sisetyenziselwa inki jet okanye idriphu. Umthamo ixhomekeke imeko yesigulane.

ngokusetyenziswa "Refortan" manual icebisa usebenzisa le ndlela ilandelayo:

1. Ithamo lokuqala (10-20 ml) kufuneka ilawulwe ngokucothayo kakhulu. Ekubeni ukubeka ecaleni ngokupheleleyo reactions anaphylactoid akunakwenzeka, ichiza isetyenziswa phantsi kweliso zonyango olungqongqo.
2. Xa sophele shoka isisombululo yaziswa kwi ml-20 / hr. Xa nokudumba kunye nokutsha kucingwe unikezelo kancinci beziyobisi emzimbeni.
3. Idosi yemihla ngemihla kufuneka ngaphezu 33 ml isisombululo-6% kunye ml-20 - 10%.
4. Kuphela ugqirha akwazi ukumisela isantya ukuqaliswa medicament kunye idosi yayo kwimeko ukopha enzima.
5. Xa imfuneko ukutofelwa therapy (yihemodilution) idosi yemihla ngemihla ye ml ukuya ku-500. Ichiza eyaziswa emzimbeni kwiintsuku 3-5. zabelo anconywe izigulane ilahleko kabani igazi kuqikelelwa ukuba avareji. Xa iimeko ezinzima beziyobisi idosi ngentla elawulwa emzimbeni inyanga.
6. Kuba unyango lwe hypovolemia ekucetyiswa isisombululo-10%. Izikali ibalwa ukusuka umlinganiselo: 1 kg ubunzima nomonde - 20 ml isisombululo. Lokuqhubeka kwekhosi kuxhomekeke imeko yomguli kwaye uzimisele kuphela ngugqirha wakho.

iidosi ezifana baqeshwa njengoko izigulane abadala kunye nabantwana. Noko ke, bazi yintoni na endithintelayo ichiza "Refortan" umyalelo manual. Abantwana, ogama yobudala sele bengekafiki kwiminyaka eli-12 ubudala, umzimba nangoku luyasekwa. Ngoko ke, lo umenzi alukho ukusetyenziswa kwesisombululo for kids.

Izimo

Isisombululo, njengawuphi na isiyobisi, kukho inani ukulinganiselwa. Ngokutsho imiyalelo, Izimo kuthomalaliso medication le ithi:

• uvakalelo ngabanye;
• ukusilela kwezintso;
• Abantwana ukuya kwiminyaka engama-12;
• uxinzelelo ephakeme intracranial;
• nokudumba pulmonary;
• ukusilela hepatic;
• yokopha intracranial;
• isiqulatho sodium High kwi plasma;
• ukopha yokudla;
• hypokalemia;
• isiqulatho chloride Yandisa plasma yegazi.

Ngaba kuvumelekile ukuba usebenzise "Refortan" imiyalelo ichiza ukuze zisetyenziswe ngexesha lokukhulelwa? Kule meko, kufuna isilumkiso eliphezulu xa besebenzisa eli chiza.

Amagqirha sibalekele ukusetyenziswa umxube ezintathu yokuqala. Eneneni, kweli xesha ichiza kunokukhokelela nokwaphulwa uphuhliso osandul yosana olungekazalwa.

Amalungiselelo ke kucetyiswa kwithuba leenyanga ezintathu yesibini okanye yesithathu. Noko ke, ukukhulelwa liyindlela baqeshwa kuphela xa kubalulekile ukuba unina kunye umbungu akukho kakubi.

imiphumela emibi

reactions ezimbi xa usebenzisa medicament kwenzeka oko kungeyonto ayenza rhoqo. Noko ke, kwezinye izigulane ukuze kusengenzeka. Oku kungqinwa imiyalelo ukusetyenziswa.

"Refortan" uyakwazi bandiqumbise ziziphumo ebezingalindelekanga, ebonakalaliswe kule fomu:

1. negazi lakho, urticaria, ukurhawuzelela, dermatitis, nokudumba angioneurotic, ezifana nomkhuhlane syndrome, zobuso tachycardia uqweqwe hyperemia.
2. Zokwaphulwa kwemithetho umsebenzi wokugaya: isicaphucaphu, ukugabha, ukopha zesisu, urhudo.
3. Iingxaki kwegazi: hypoproteinemia, ukothuka, ukwandisa umsebenzi amylase ngegazi.
4. CNS ukuphazamiseka: neuralgia, intloko ebuhlungu, myalgia, isiyezi, niphele, ukufa isiqaqa.
5. Iingxaki nemithambo yegazi: arrhythmia, zokuma, intliziyo ukusilela imbonakalo.

libanda, yamayeza

Nge umthamo omkhulu kolwelo ngokuzitofela kwi isiguli iimpawu ezimbi kakhulu. Bona ebalasele libanda, imithi. ngokusetyenziswa "Refortan" manual icebisa ukuba usebenzisa kuphela xa amathamo ezichazwe ngasentla. Oku kuya kukhusela emikhuhlaneni neziphumo ezibi.

Libanda eboniswe ngeempawu ezifana:

• ukungazinzi hemodynamic;
• iingxaki ekunqandeni kwegazi.

Kuba unyango kweemeko ezinjalo ekucetyiswa ukupheliswa ekhawulezileyo ukumnika. Ukulungiselela iinjongo zonyango emiselweyo womchamo.

oyi

Kubalulekile ukuba siqwalasele impefumlelwano ichiza "Refortan" kunye namanye amayeza. Ukuba oku kuthetha elawulwa kunye aminoglycosides, kusenokwenzeka ukuba unyango luza kuba phezu neziphumo isigulane nephrotoxic.

Musa ukuxuba amayeza "Refortan" kunye nezinye izisombululo ukumnika. ukungavumelani kunokwenzeka amayeza ezi mali. Oku kunokukhokelela neziphumo ezibi kakhulu.

main nabalingani

Ingaba kukho iziyobisi kunye iziboniso ezifanayo kwaye uvelisa isenjalo emzimbeni, nto leyo ebonisa "Refortan" imiyalelo ichiza ukusetyenziswa? Analogs ukuba ungakhuphisana ne-arhente original lingakhetha zibe kuphela ugqirha abaya kuthathelwa ingqalelo imeko yomguli kunye neempawu ngabanye eziphilayo.

Faka iziyobisi "Refortan" ekwaziyo kumayeza anjalo:

• "Venofundin".
• "Hemodez".
• "Voluven®".
• "Infukol".
• "Reopoligljukin".
• "Stabizol".
• "Volemkor".
• "Ceruloplasmin".
• "Volek."

Iimbono zakhe malunga ichiza

Iyeza isasetyenziswa nangoku ngenxa yoonyana, xa kukho iimpawu ezibonisa kakhulu oku. Oogqirha ukumisela abantwana kuthetha nangona ayikhuthazwa amayeza "Refortan" umyalelo manual. Xa abantwana (it kwakhona ubungqina) kakhulu reactions ezibi ezinqabileyo kwenzeka. Xa oku kungekho ezahlukeneyo ukusuka side effects ezithi zenzeke kwizigulana abadala.

Kusoloko kubashiya nokubuyekezwa iziyobisi abasetyhini abakhulelweyo kunye yokukhulelwa banesifo kwi eliphakathi okanye kakhulu izigaba. Ngokutsho unyango amayeza ikuvumela ocoliweyo ukuphelisa hypovolemia, nokudumba Embi, yaye kunciphisa kakhulu umthwalo entliziyweni.