Ulungiselelo "Diakarb" xa intracranial ingcinezelo. "Diakarb": ncomo

Isilwanyana "iDiakarb" kunye noxinzelelo lwe-intracranial ngokuqhelekileyo sisetyenziswa kwi-hydrocephalus, kunye ne- hypertension kunye ne-hydrocephalus syndrome. Izifo ezinjalo zihamba kunye neentloko ezinzima, ukukhula ngokweqile kobunzima bekhanga okanye ukungafani kwe-sutures ngenxa yokunyuka kwindleko ye-cerebrospinal fluid. Leli liyeza elinceda ukujamelana nokungahambi kakuhle emzimbeni.

Ukubunjwa, uhlobo lokuvelisa kunye neempawu

Isisombululo esisisiseko sonyango "iDiacarb" ngu-acetazolamide. Ukongezelela, ukubunjwa kokulungiselela kubandakanya oku kulandelayo:

• Isitashi samanzi;

• I-starch glycolate;

• Ipalcum powder.

I-Diakarb ivame ukuveliswa ngefomathi yamhlophe iplati.

Iipropmacological properties

Imimandla ephambili yokubhenca kwilisi yezonyango idayuretic and decongestant. Njenge-diuretic, isicatshulwa esithi "iDiacarb" kunye noxinzelelo lwe-intracranial inefuthe ledayuretic ngenxa yenkqubo ebizwa ngokuba yi-carbonic anhydrase echaphazelekayo ekutshintshiseni i-carbonic acid. Kwiingxube zezintso, le enzyme iyancitshiswa ngokunciphisa ukuxutywa kwe-sodium kunye ne-bicarbonate ions kwigazi ukusuka kumchamo. Kanye nokusetyenziswa kwamacwecwe eDiacarb kwiimeko zokuxinzelela ngokweqile, kuyacetyiswa ukuwalawula kwizifo ezithile zemiphunga xa kuphazamiseka intliziyo ye-pulmonary failure. Umsebenzi oyintloko weliyobisi ngokubanzi ukulibazisa amanzi kunye ne-sodium emzimbeni, ukukhusela i-edema yemvelo eyahlukileyo. Ukulungelelanisa isetabolism yamanzi esetyuli yamanzi, izinto ezisebenzayo zeziyobisi azikho ukuphulwa kwe-acid-base balance.

Ixesha lezenzo zamathebhulethi li-12 iiyure, ngelixa uxinzelelo oluphezulu kwi-plasma yegazi le chiza lifikelela kwiiyure ezimbini emva kokulawulwa komlomo. Ukungena ngaphakathi kwinqanaba le-placental, ngenxa yezinga eliphakamileyo loqhagamshelwano kunye neeprotheni zegazi, isicatshulwa esisebenzayo sidityaniswe ngeentso ngaphakathi kwimihla.

Imiqondiso yokusetyenziswa kweziyobisi

Esi sigqirha sisoloko sisetyenziselwa kunyango lwe-intracranial and pressure intraocular. Njengomgaqo, ukwenzela ukukhusela iziphumo ezizeleyo zalo mziza, i-remodel e-Asparcum eyongeziweyo imiselwe ngokufanayo.

Ukuzilawula ngokuzilawula nokulawulwa kweDiacarb akukhuthazwa. Ukwenza oku, kukho iindlela ezikhuselekileyo, ezijoliswe ngakumbi. Kuthe kwenzeka njani kwimeko ethile ukuba unyango luya kusebenza kwaye ingaba lunokunceda ekujonganeni ngempumelelo nale ngxaki inokumiselwa yinkwenkwezi kuphela.

Imiqondiso yokutyunjwa kwamacwecwe e-Diacarb angaquka oku kulandelayo:

• Iqondo elibuthakathaka okanye elincinci le-syndrome;

• Ukugula kweentaba;

• Ukuhluthwa (njengesigxina kwiinkqubo ezinzima);

• Glaucoma;

• Ezinye iingxaki ngemiphunga.

Ukungqinelana

Ngokwahlulo, awukwazi ukusebenzisa "iDiacarb" unyango ngokunyuka kwengcinezelo enganyanzelekanga kunye nakwiimeko ezilandelayo:

• Ukunyanzeliswa kwamanzi kumacandelo eziyobisi;

• Ukungafezeki kwe-Hepatic;

• Acidosis;

• Isifo sika-Addison ;

• Isifo sikashukela;

• Ukuncelisa isisu;

• Ukukhulelwa;

• Ukungaqiniseki kwamanzi okungahambi kakuhle;

• Hypokalemia;

• Hypokorticism;

• Uremia.

Kuqaphele kakhulu ukuba kube nokutyunjelwa kwesi sidakamizwa ukuvuvukala, kunye ne-renal and hepatic nature. Ukongezelela, xa uthatha amanani amaninzi e-acetylsalicylic acid, kukho nokuba neengxaki ezinxulumene neziyobisi.

I-Diacarb: imiphumela emibi

Kwezinye iimeko, iimpawu ezingathandekiyo ezinxulumene nokuphulwa komthamo wokungeniswa okanye omnye umyalelo wesigqirha unokwenzeka:

• Hypokalemia;

• Ukuxhalaba;

• Anorexia;

• Pherehesia;

• Ukutshiza;

• Ubuthakathaka obuthathaka;

• Urticaria;

• Hyperemia yolusu;

• I-acidosis ye-metabolic;

• Umsindo ezindlebeni;

• Ukujonga okufutshane.

Ngokukodwa ngokuqhelekileyo, ukuhlolwa okushiye kwiiphilisi zeDiacarb ziqulethe ulwazi malunga nokubonakala kobuthathaka obunzima kunye nokuxhamla. Ukusetyenziswa ixesha elide kwilisi ngamanye amaxesha kubangela iingxaki ezithile zezempilo, ezifana:

• Leukopenia;

• Nephrolithiasis;

• Ukuphazamiseka;

• Glucosuria;

• Ukuvutha;

• Ukulala;

• Hematuria;

• Ukuguqulwa kwamanzi;

• Hemolytic anemia;

• Ukuphulwa komnxeba;

• Uhudo;

• I sihlunu;

• Agranulocytosis.

Indlela yokulawula kunye neeritha

Xa isigulane simiselwe "iDiacarb" (iipilisi), umyalelo kwisiza kufuneka uhlolisiswe ngokuthe ngqo ngqo nesigulane. Ngokuhambisana nesicwangciso esilungisiweyo sokusetyenziswa kweziyobisi, ugqirha ukhetha ngokuxhomekeka kwisimo sesifo, iimpawu zomntu ngamnye, ubunzima kunye nobudala besigulane, imibuzo ingavela kunye nokugcinwa kwayo, iipropmacological properties.

Ukuze kususwe i-edema syndrome, kucetyiswa ukuthatha i-Diacarb imihla ngemihla kwi-dosage ye-250-375 mg kanye ngosuku. Isiphumo esiphezulu siya kufezwa kwiintsuku ezingama-2-3 emva kokuqala kokonyango. Emva koko, oogqirha bacebisa ukuba bathathe ikhefu ngosuku. Ngokuhambelana nale nto, ngokuqhelekileyo ukunikezela izidakamizwa ukuphucula ukujikeleza kwegazi, ukwenza i-potassium emzimbeni kunye nokutya okuncinci okunciphisa ityuwa.

I-angle ye-glaucoma ivuliwe iphathwa ngolu chiza, oluye luthathwa kanye emva kweeyure ezingama-24 ezingama-250 mg. Ulwaphulo lwe-glaucoma yesibini lubandakanya umthamo wama-250 mg nganye iiyure ezine. Kwimeko yonyango lokugula kweentaba kuthatha umlinganiselo we-500-1000 mg ngosuku, ngaphambi kokunyuka ezintabeni malunga neentsuku ezingama-1-2. Ukuhluthwa kuphethwe ngokusetyenziswa kwamacwecwe uDiacarb 250-500 mg ngosuku, ngekhefu kwiintsuku ezi-3.

Unyango lweintsana

Ngokuqhelekileyo imeko xa umntwana eselala kakuhle kwaye engahlali kakuhle, ukukhala imini nobusuku bekhala ngokukhawuleza, kubonwa ngabazali abaselula njengesiqhelo. Kubonakala kubo ukuba naluphi na olutsha olusanda kuzalwa lufanele lube lukhuni. Nangona kunjalo, akusoloko imiqondiso enjalo ibonisa impilo enhle yomntwana. Oogqirha besigqirha bathi abantwana abangenasiphelo kunye nabantwana abahlala bekhalayo sisona sizathu esibalulekileyo sokuthatha amanyathelo angxamisekileyo. Iimpawu ezinjalo ekuziphatheni kwintsana zingabonisa ukuba kukho ukunyanzeliswa kokunyuka kwengcinezelo kuyo. Ngokuqhelekileyo ukuxilongwa okunjalo kufakwe kubantwana balabo baomama abanesifo esinzima sokukhulelwa, i-toxicosis yayikho, kwaye ukuzalwa kwakunzima kwaye kude.

Oku kudlalisa kubangelwa ukuveliswa kwe-oksijeni ye-Fetal, ngokwaneleyo iiseli zengqondo azikwazi ukusebenza ngokuqhelekileyo. Kungenxa yoko oku kuveliswa umbane ojikeleze ingqondo yabantwana ngokukhulula kunye neenkcenkcazo kuwo. Isiphumo sisifo sekhanda, iphupha elibi, i- whims kunye nokukhala okukhulu.

Ukuqinisekisa ngokuchanekileyo ukuxilongwa, ugqirha uqokelela i-anamnesis, kuquka iinkcukacha ezichanekileyo malunga nendlela ukukhulelwa kwenzeke ngayo kunye nokuzalwa ngokwawo. Ukuhlolisiswa ngenyameko kwintsana ukuqinisekisa ukuba i-tone ye-muscle kunye ne-tomography yengqondo iyimfuneko. Xa kuqinisekiswa kwesi sifo, kucetyiswa ukuba unyango luqaliswe ngokukhawuleza. Ukulungiselelwa "iDiakarb" kunye noxinzelelo lwe-intracranial luba lula nje. Ekubeni i-diuretic, inceda ngokukhawuleza ukunciphisa umveliso we-cerebrospinal fluid kwingqondo yintsana.

Ukuba unyango lweDiacarb lucwangciswe, impendulo yesigulane ayikwazi ukuba yimiba yodwa yolwazi. Eli hlobo lonyango alinqunyelwe yedwa, kwaye ke ukuba i-neurologist isayilungisa ukuxilongwa kwengane, landela imiyalelo yesigqirha kuyo yonke into. Kuphela iziphumo zezifundo ezizodwa zingavumela ugqirha ukuba amise irejimeni yonyango kwaye abeke umyinge. Ukusebenza okuphezulu kwonyango kunika abantwana besinye isizathu sokumisela iDiacarb, imiphumo emibi apho, nangona kunjalo, inokuchaphazela kakubi impilo yemntwana. Ipropati ye-diuretic yale nkunkuma ikhokelela ekugqithiseni ngokugqithiseleyo kunye namanzi avela kumzimba we potassium, nto leyo efuna ukusebenza ngokuqhelekileyo kwentliziyo. Kungenxa yesi sizathu sokuba isicwangciso sokuthatha le mayeza siquka ukusetyenziswa ngokufanayo ngexesha le-Asparagus.

Ugqirha ngamnye uchaza kwisigulana esincinane iyeza "Diakarb". Izikhokelo zokusetyenziswa, ingxelo kunye nekimu lokungeniswa kufuneka zifundwe ngenyameko ngumama okanye uyise womntwana ogulayo. Ukugqiba umyinge kunye nendlela yokonyango, ugqirha kufuneka kuphela ukwazi ubunzima bomntwana kunye nenani le-cerebrospinal fluid eqokelelweyo. Ukulandelelana ngokuchanekileyo kokusetyenziswa kwamacwecwe kunye nesilinganisi esicacileyo kwakhona kugqitywa ngokuqwalasela impilo yonke yesigulane esincinane. Ngokuphathelele ukuthatha iyeza elongezelelweyo elithi "Asparks", umyalelo wakhe uya kugqitywa ngokucacileyo ngugqirha. Ngokuqhelekileyo, ngokuqhelekileyo usana olutsha luyalelwe ukuba lunike le nkunkuma kwisixamisi seepilisi eziyi-0.25 ngamaxesha amathathu ngosuku, ngelixa kuthatha iyeza eliphambili lenziwa kanye ngosuku ngosuku ¼. Le mi miselo ayibonakali ukuba ugqirha uya kumisela i-dosage efanayo - imeko nganye iquka indlela eya kumguli.

Imiphumo emibi kwizinto zombini izidakamizwa, ezinjenge-diarrhea, pruritus, ukuhlanza kunye neentlanzi, ukuxinwa, sisihlandlo sokubhedlelelwa ngokukhawuleza kwintsana. Ukongeza, isiphumo sokuthatha "i-Asparcamp" iipilisi ezinokuba lunxanxanxu olunzulu, ukuphosa okuchukumisayo kwixinzelelo lwegazi, i-hyperemia yesikhumba ebusweni, ubuthathaka kwimisipha, ukunyaniseka komntwana. Ukuba kukho enye yale mpawu ivela, oogqirha bancoma ukuba bangachitheli ixesha kwaye baye kwiziko lempilo. Xa kwenzeka ukuthatha izidakamizwa iintsuku ezingama-5 (oko kukuthi, eli lixesha likhulu kubantwana abancinci) i-acidosis ye-metabolic ingenzeka .

Iziganeko zokugqithisa kakhulu izidakamizwa "I-Diacarb" ngokuqhelekileyo ayinqabile. Kodwa xa kukho izibonakaliso zokuphulwa kwinkqubo yesistim ephakathi, amayeza kufuneka agqitywe ngokukhawuleza aze aye esibhedlele ukuze aqaphele ukulinganisela kwe-acid-base body.

Umama akafanele akwesabise imiphumo emibi, kuba ukuba ugqirha ugxininisa kwimfuno yonyango, kuba kukho isizathu esihle. Ukusebenza kweziyobisi "iDiakarb" kuqinisekiswa ngokwesayensi, ngoko akunzima ukuyixazulula ingxaki ngempilo yengane ezinyangeni ezimbalwa ezizayo. Ngenxa yoko, umntwana uya kunqabisa, aphelise intlungu ebuhlungu, angayihlaziyi kwaye aya kunika abazali bakhe imihlali. Ngeminyaka yobudala, ngokuqhelekileyo intsapho ivele ikhohliwe malunga neloyikekayo ekuqalekeni kokuxilongwa, ivela kwi-neurologist kwiiveki zokuqala zobomi bentsana. Ungakulibali ukuba ingxaki engazange ixazululwe ngethuba elide kunye noxinzelelo lwe-intracranial ingabangela ukuba lukhulu kakhulu ekuphuhlisweni komntwana, i-migraines ebuhlungu, kunye nokwakhiwa komntu onzima.

"Diacarb" - njani ukuthatha umntwana?

Ngokuxhomekeke kwiminyaka yomntwana, kufuneka uhlawule umlinganiselo wemihla ngemihla:

• Ukususela kwiinyanga ezi-4 ukuya kwezi-12 - 50 mg;

• Ukususela kwiminyaka emi-2 ukuya kweyesi-3-50-125 mg;

• Ukususela kwiminyaka emi-4 ukuya kwe-18-125-500 mg.

Ukunikezela ukulungiselela "i-Diacarb" kubantwana, umyalelo wokusetyenziswa awucebisi ngaphezu kwe-15 mg kilogram yesisindo ngosuku, nangona kunjalo, le dose kufuneka ihanjiswe ngokulinganayo ngemini. Isilinganisi esipheleleyo sesilwanyana kumntwana akufanele sidlule ngaphezu kwe-750 mg ngosuku. Xa le nkunkuma ihlanganiswe nezidakamizwa ze-anticonbulsant, umgangatho wokudla kwayo ngumntwana kwinqanaba lokuqala lonyango ngu-250 mg. Ngokutsho komyalelo kadokotela, i-regimen yeDiakarb ingatshintsha, kwaye i-dosage iya kwanda kancane. Kufuneka kuqatshelwe ukuba kwonyango nasiphi na isifo, xa ipilisi ilahlekile ngephutha, akunakwenzeka ukwandisa umthamo olandelayo ngexesha.

Ukusetyenziswa kwesi sidakamizwa kubantwana kufuneka kwenzeke phantsi kolawulo oluqinileyo lugqirha. Ngokungena kwiqela lemiqathango yamachiza, le mpendulo inokuba yingozi kumntwana weliphi na ubudala, ngoko ke kungcono ukuphathwa kwimeko yesibhedlele apho ingqwalasela iqinisekisiwe kwaye imeko yesigulane ihlolwa. Ngokwenza oko, iipilisi "iDiakarb" zihlala zichazwe ngamagqirha e-neurologists kunyango lwabantwana ekungabikho kwemeko enzima.

Abazali kufuneka banakekele ngokunyanisekileyo umntwana othabatha le nyilisi, ekubeni ukusuka emzimbeni kunakho ukuphendula. Ukuba iDiakarb isetyenziselwa abantwana, umyalelo uxwayisa ukuba umntwana usenokuxinwa, ukuhlanza, ubuthathaka, ukuxhamla, kunye nokubonakaliswa kwemvelo. Ukusetyenziswa kwexesha elide kwilisi ngamanye amaxesha kukhokelela ekunciphiseni kwinqanaba lama-leukocyte egazini okanye kwi-hemolytic anemia.

Ukwandisa ukusebenza kwezi tabletshi nokukhusela impendulo yecala, oogqirha ngokufanayo banika imali encinci kwizigulane ezongezelelweyo. Ngokuqhelekileyo, ngokuqhelekileyo basebenzisa iidakamizwa "iDiakarb" kunye ne "Asparka" iintsana - ukuphononongwa kwabafundi bezilwanyana malunga nale ntlonkco yonyango ithetha ngokuphumelela kwayo. Lo mgaqo wokuqeshwa uvame ukusetyenziswa ngexesha elide lokwelapha ukwenzela ukunciphisa ukuhoxiswa kumzimba we-potassium yomntwana (ilahlekile ngenxa yokusetyenziswa kwamanzi e-sodium). Ukubaluleka kwale microelement ebomini bomntwana kunzima ukugqithisa: i-potassium iyadingeka kuzo zonke iiseli ukuqinisekisa ukuba imetabolism echanekileyo. Nangona kunjalo, umsebenzi wakhe oyintloko kukuba uthathe inxaxheba ekuphuhliseni isifo senhliziyo (i-myocardium), nto leyo efuna ukuba khona emzimbeni wenani elaneleyo le-magnesium echaphazelekayo kwi-carbohydrates metabolism kunye nokunikezelwa kwamandla kwiiseli.

Ngaloo ndlela, ukuba unyango lwangexesha elide kunye neDiacarb luyimfuneko, igalelo elibi liya kuncitshiswa ngenxa yembuyekezo yabo ngu-Asparcum, oko kukuthi, ngokuzalisa ilahleko ze-i-potassium kunye nokunyusa ukulingana kwegazi. Izinto ezisebenzayo zalo mziza ziza kunika ukubonelelwa kwe-potassium kunye namandla emzimbeni, kwaye kuqinisekiswe ukusebenza kwayo ngendlela efanelekileyo, ekhokelela kwiimeko ezifanelekileyo zegazi.

Ukukhethwa kwesilinganisi samachiza kwenziwa ngokwenyama nganye kwinkomo nganye ngenxa yesiphumo sokuhlalutya esichithekileyo kunye nophando olucwangcisiweyo. Umlinganiselo we "Diacarb", ukuphononongwa kunye nemiyalelo ekuthethwa ngayo ngemfuno yokuqwalasela ubunzima kunye nobudala bomntwana, ngokuqhelekileyo ubuncinane ubunzima be-50 mg ngosuku. Nika umntwana umthamo wansuku zonke kuyimfuneko kwixesha eli-1-2, ukuliphula kwiingxenye ezilinganayo.

Iimpawu zokwamkela iintsana kunye neentsana

I-Diacarb isetyenziswa rhoqo kwiintsana- iingxelo zabazali kwesi sihloko ziqulethe ulwazi oluninzi malunga nokusebenza okuphezulu kwesilwanyana ekulweni nezifo ezinzima zobuntwana. Iintsana ukuya kunyaka omnye zichazwe ezi pilisi zokuthwala. Kwimeko yokuhlukana kweekhanda zekhayi kunye nokunyuka kwayo ngokweqile, le mpendulo inceda kakhulu. Isiphumo esihle kakhulu sibonisa ukulungiselela "iDiacarb" kwiintsana - ukuphononongwa kwabaninzi bezilwanyana kubonisa ukubaluleka kwenkqubo yolo hlobo.

Injongo yale ichiza wavelisa kuphela kids udokotela, emva kokuba kugqitywe uviwo ngenyameko inani leengcali (luvo, ugqirha, ENT, wamehlo). Ukunyanga umntwana omncinane, Kakade, ikhuseleke kakhulu ndawo esibhedlele, apho uvavanyo rhoqo. Yiloo nto oogqirha kucebisa abazali kwiintsana, ligxininisa kumasango komntwana esibhedlele ngenxa ikhosi epheleleyo yonyango. Noko ke, ebomini, abanye oomama bakhetha ukusebenzisa cwecwe lwabo "Diakarb" Baby - ncomo zolu nyango ekhaya lubonisa ukuba abazali abasoloko kuhamba umntwana esibhedlele.

Ugqirha njalo walumkisa nabazali malunga nengozi enkulu ukuziphatha okunjalo, uchaza imiphumo lokuthathwa olungalawulwayo kunokwenzeka. Xa ekhaya, usana kufuneka afumane oko kuthetha iintsuku kungekho ngaphezulu kwe-5 ezilandelelanayo, emva koko kuyimfuneko ukuba kuza kuba utyelelo udokotela, ngokunjalo baya kupasa bonke iimvavanyo eziyimfuneko. Enyanisweni, kunye ngempumelelo ophezulu unyango, kananjalo lithetha "Diakarb" ziziphumo ebezingalindelekanga, yaye unzulu.

baqinisekiswa

Uluvo ukusebenza konyango iziyobisi "Diakarb" ukuhlangabezana kakhulu ezahlukeneyo. Abanye abantu bathi eli yeza ngokugqibeleleyo kunceda ukujongana ngokukhawuleza ingxaki yabo zivunwe kakuhle umzimba, ngelixa abanye ukhalaze malunga ubukho yeziphumo ebezingalindelekanga ebalulekileyo.

Ukuba vulavula hi ukusetyenziswa kweziyobisi "Diakarb" yentsana, izimvo ngalo mba abanga HIV. Oogqirha abaninzi bathi ngale sixhobo njengoko kuphela zisebenzayo iingxaki ezithile unyango kunye nempilo yabantwana. Ngokubanzi, iziphumo zonyango lithetha "Diakarb" ncomo nomonde ziqulathe amazwi kakhulu kwaye amazwi ombulelo koogqirha owenza ukuqeshwa abanobuchule.

Le medicament ngesi kukho amayeza evela kugqirha. Yiyo loo nto kubalulekile ukuhamba umntwana axilongwe wabantwana, ukuba bapase uthotho lweemvavanyo elebhu, kwaye bafumane iingcebiso malunga nokuba ukuluphatha nalo eli chiza. Ukuba abazali sele yabelwe kwaye uceba ukusebenzisa "Diakarb" amacwecwe abantwana, ngokoqobo izinto zethu kunokuba luncedo kubo. Le ngeyeza luyasebenza, kodwa kufuneka kuthathwe iingcebiso kagqirha.

abafazi abaninzi banomdla, ukuba kunokwenzeka ukuthatha iipilisi "Diakarb" uxinzelelo intracranial ngexesha lokukhulelwa. Iingcali ngazwilinye ukunika impendulo ecacileyo lo mbuzo: ukwenza neze! Ingakumbi nimane ngeengozi obstetricians unyango olunjalo, echaza indawo ingozi yayo ephezulu neziphumo ezibi Palsy. Ngokutsho nokuqeshwa nokufumana lithetha "Diakarb" umyalelo, angqina nomonde kunye neengcebiso oogqirha, abafazi waphatha oku kuthetha ngexesha ekondleni usana ibele nalo engenakwenzeka.