"Mannitol" lithetha. Imiyalelo yokusebenzisa

Medicine "Mannitol", ogama ixabiso imalunga 90 engange, kokwabo iqela kweziyobisi umchamo. Efumanekayo kuthetha ngendlela kwesisombululo ukuba ukumnika. Le into esebenzayo - mannitol. Iindlela kwandisa uxinzelelo osmotic kwi plasma. Iyeza kuphakamisa ukugcinwa kwamanzi kunye nokwanda umthamo umchamo. Le medicament akanako ukungena ngenxa inyama kunye cell imiqobo hayi yokwanda intaneti nitrogen eyintsalela. Lithetha "Mannitol" (umyalelo manual iquka iinkcukacha ezifana) iye absorbability ihlwempu, ngokunxulumene kuso ilungiselelwayo yegazi. Uthi nethe encinane esibindini. Evela umchamo.

ubungqina

Ukulungiselela "Mannitol" eyabelwe nokudumba yobuchopho, uxinzelelo intracranial (uthelekisa ukusilela hepatic okanye kwezintso sezintso). Ukusetyenziswa kweziyobisi e iingxaki post-gazi malunga nokuqaliswa igazi engahambelaniyo, diuresis (ngenkani) nxamnye yityhefu ngu salicylates, barbiturates. Medicine "Mannitol" umyalelo manual icebisa oliguria ngokwesiseko hepatic okanye kwezintso ukusilela kwezintso, ikhondo etsolo nge function amalungu ezigcinwe lokucoca ulwelo (kwi kunyango entsonkothileyo). Amayeza eboniswe nokuthintela hemolysis ngexesha lomsebenzi kunye ecaleni cardiopulmonary ukuthintela ischemia kwi izintso kunye nenkqubo ukusilela kwezintso kunokwenzeka bukhali.

Izimo

Lithetha "Mannitol" (imiyalelo zokusetyenziswa ekhombisa) akuvumelekanga ukuba iyaphi anuria ehamba etsolo necrosis kwezintso tubular, hypersensitivity, ukusilela ventricular ekhohlo (nokudumba ingakumbi pulmonary). Hayi ukuphiliswa yanconywa legazi subarachnoid (ukopha ngaphandle ngexesha craniotomy), ukopha stroke, emzimbeni kakhulu, hypokalemia. Izimo ziquka chloropenia, hyponatremia. Isilumkiso ku ebeka ukuthobela nezigulane abadala. Ukusebenziseka indlela ezisetyenziswa ngethuba lokukhulelwa okanye lokwaphusa lweengcali lusekiwe.

"Mannitol" amayeza. Imiyalelo yokusebenzisa

Yegazi ilawulwa iziyobisi okanye bolus kade. Ukuvimbela uthetha wabelwa kwi idosi 0.5 g / ubunzima bomzimba kg, kuba unyango lwe - 1-1.5 g / kg. Isixa ichiza ngosuku kufuneka ibe ngaphezulu kwe 140-180 g Phambi nokuhlanganiswa lithetha "Mannitol" yesikhokelo Kucetyiswa ukuba ishushu lobushushu degrees 37. Ngexesha utyando usebenzisa amayeza zokufakelwa kwegazi lisetyenziswa ithamo izigulane 20-40 ezilawulwa oliguric preliminary trial ithamo 200 mg / kg ukuba imizuzu emithathu ukuya kwemihlanu. Xa engekho iiyure 2-3 ukwandisa izinga kwinqanaba diuresis ka ne30-50 ml / h ngokusebenzisa ulawulo kufuneka uyekwe.

"Mannitol" amayeza. Imiyalelo yokusebenzisa. effect side

Ngokwesiseko ukusetyenziswa kweziyobisi ephawulwe emzimbeni, wegazi, ukuphazamiseka kwamanzi kunye electrolyte ukutya, buthathaka kwezihlunu, ukungacoleki kokutya.