Urografin: imiyalelo ukusetyenziswa, analogs, ncomo, Izimo. Urografin 76%: imiyalelo yokusebenzisa

Kuba izifundo ndlela eziphilayo ezisetyenziswayo ezisekelwe kwi-X-reyi. Intshayelelo kwi umzimba womntu yiarhente nshita kuphucula amandla diagnostic. Kongezwe le molekyuli ayodini ichiza kwandisa impembelelo yabo.

incazelo

Medicine "Urografin" imiyalelo zokusetyenziswa kwezikhundla bengabameli radiopaque ukuba zokufumanis isakhiwo ionic. Le eyaziswa iimpahla kunye ukuqanda.

Iyeza ibhekisa isisombululo injectable luyafumaneka ngohlobo ulwelo ngaphaya, ezingenambala okanye bebala kancinane.

isakhiwo

Le medicament "Urografin" umyalelo kwi isicelo imisela amacandelo esebenzayo esekelwe kwi-3,5-bis- acid (acetylamido) -2,4,6-triyodobenzoynoy. Ezibandakanya ezimbini neetyuwa yayo: isodiyam meglumine. Kukho amathamo amabini amachiza 60 no-76 ekhulwini.

Enye milliliter of sisombululo inokuba liqulathe 0,292 g okanye 0,370 g kwamasuntswana iodine. Inani amidotrizoat meglumine kwi igutyana yi 10.4 g okanye 13.2 g kesodiyam amidotrizoat has 1.6 grams okanye 2 grams xi ityuwa lokuqala kwenye milliliter ka-0.52 g okanye 0,66 g, kwaye eyesibini - 0 , 08 g okanye 0.1 g

Ukuze ufumane isisombululo ozinzileyo isetyenziswa izithako engasebenziyo sodium calcium edetate, sodium hayidroksayidi kunye ngenaliti medium zolwelo.

Ichiza lupakishwa 20 ml yentsha.

ngendlela efanayo

Le medicament "Urografin" yemiyalezo libhekisela iziyobisi ukwandisa umahluko yomfanekiso ngenxa nokufunxwa-X reyi i ion ayodini efakwe amidotrizoatnye ityuwa.

Ukusebenzisa amachiza kufuneka ukwazi iimpawu isitofu ezinxulumene osmolality, viscosity, lexinene ixabiso pH.

Iqulathe yonke amayeza data ngasentla "Urografin" umyalelo manual. Analogs ngohlobo ngamalungiselelo "Triombrast" yaye "Trazograf" zisetyenziswa arhente zokuxilonga X-ray leyo ziqulathe amasuntswana iodine.

Yokusungulwa loo mfanekiso amayeza umzimba umahluko ngakumbi.

Kungani ukusebenzisa

Medicament "Urografin 76" yemiyalezo lithethelela ukuba usebenzise ngenxa urography retrograde, angiography, arthrography, cholangiopancreatography endoscopic retrograde.

Iyeza kuthathwa phambi cholangiography lwentsebenziswano, ptyalography, fistulography, hysterosalpingography.

Indlela yokusebenzisa

Phambi ukusetyenziswa, lithetha "Urografin 76" yemiyalezo ucebisa isigulane ukuba silungiselele kusengaphambili. Iimviwo angiographic ye esisu kunye neenkqubo urograficheskih ukucocwa ngokucokisekileyo isisu luyafuneka. Kwiintsuku ezimbini phambi kokuba zazo musa ukuthatha ukutya ebangela flatulence. Ezi mveliso ziquka iimbotyi, salads, iimveliso yokubhaka emnyama fresh, nemifuno ekrwada.

Phambi kokuba ukuhlolwa isidlo nga kweeyure ezingama-18 emva koko uthathe laxatives. iingcebiso akutsha nje azisebenzi kubantwana abancinane.

Uchulumanco, ukuhlaselwa iintlungu ukubethelela iinkqubo sokusabela ichiza, ngoko ingxoxo okanye amayeza indoda ezolileyo ngokwasengqondweni.

Xa ezigula, ukwandisa iswekile kwi egazini kunye kwezintso kakuhle, polyuria, oliguria, hyperuricemia, abantwana kunye nabantu abadala echithwa ukuxovwa nokuqhathwa ukubuyisela amanqanaba amanzi kunye electrolyte.

iindlela Ready "Urografin" manual ucebisa ukuba usebenzise kuphela lo gama kugcinwe iimpawu ezibonakalayo yezisombululo. Xa kwakukho kwenze ukutshintsha nombala okanye yonakele ephaketheni, awusetyenziselwa. inzuzo Ulwelo phambi nolawulo, kunye iintsalela isisombululo zisetyenziswa.

Nesilinganiso emiselwe ubudala, ubunzima bomzimba, nemeko ngokubanzi impilo yabantu. Xa kidney ayoneli okanye intliziyo usebenzisa imali ubuncinane medicament. Emva kokuba inkqubo kufuneka wenziwe kweliso abasemagunyeni ngexesha iintsuku ezintathu.

Ukuze aphumeze ungenelelo angiographic zifuna ukugungxula lomgadi catheter usebenzisa isisombululo saline ukuthintela umngcipheko thromboembolic. Xa ichiza ilawulwa ezityeni yegazi, kuyimfuneko ukuba ukunika isikhundla lisalele. Makubekwe isiqingatha seyure emva ngenaliti lomguli elibukhali ukuze babone ngexesha iinkqubo eziziisekondari.

Kuba isiqinisekiso iindlela sisifo ukusetyenziswa iyaphindwa isixa esikhulu emva kwesithuba imizuzu eli-10 ukuya kweli-15 ukuze kubuyekezelwe ukunyuka serum osmolarity ye kulwelo Embi. Xa kulawula umntu omdala kanye umthamo 0,300 ukuya 0,350 iilitha ichiza kufuneka izisombululo electrolyte prokapat.

Medicine "Urografin" Umsebenzisi Isicelo ucebisa lashushu degrees-36, nto leyo iya kungekudala kwenziwa arhente uthelekiso kunye lula ihanjiswa ngenxa viscosity asezantsi. Ikhuthazwa zonke ezineengqayi, kwaye umlinganiselo ofanelekileyo.

Esi sixhobo asikusebenzeli ukwenza uvavanyo lokuqala ngenxa unreliability kweziphumo.

ucwaningo

amayeza efakwa urograficheskoy diagnostic ilungiselelwayo kwi ml-20 ngomzuzu 1. Phambi amayeza kwentliziyo usebenza kancinane zaziswa, nto leyo sisiqingatha seyure.

Umntu omdala emiselweyo amayeza 0,02 l "Urografin 76" okanye neelitha 0.05km-60 lithetha ekhulwini. Ukwandisa imali izinga ichiza ukuya 0.05 l kuphucula ukuchana diagnostic.

Amafoto sezintso parenchymal inyama eyenziwe ekupheleni isitofu eyenzelwe umboniso ngcono. Ukuba nomfanekiso isakhiwo isinqe kunye womchamo, omnye picture kwenziwa emva kwemizuzu emi-5, 2 - imizuzu-12 emva kokuba nokubandakanywa kolwelo.

Xa ufaka le nokubandakanywa kwexesha unyango ngamachiza Iilitha 0.1 uvela kwemizuzu emi-5 ukuya kweli-10. Abantu kunye zezifo myocardium loo ubuninzi agalelwa yegazi sisiqingatha seyure. Le ifoto lokuqala kwenziwa ekupheleni intshayelelo, kwaye kufuneka yenziwe kangangemizuzu engama-20.

Xa iimviwo X-ray inkqubo yokujikeleza kwegazi, xa kuthwalelwa aortography, Angiocardiography okanye coronarography, sebenzisa iidosi eziphezulu medicament "Urografin". Ukusetyenziswa isisombululo kukhethwa 76%. Isixa ichiza emiselwe ngeempawu ubudala, ubunzima, umthamo umzuzu kwemisipha intliziyo, nesimo sempilo, le nkqubo.

inkqubo wokuchama zifundwa urograficheskogo iimviwo retrograde, apho arhente umehluko ilawulwa katetornym ngendlela kungena mithambo le urethra. ulwelo 30 ekhulwini osebenzayo, ebe ilungiselelwa ngokuxuba 60 protsentonogo ziphene isisombululo ngamanzi om-1 ukuya 1. Ukwenzela ukuphepha ukuba ziba kwi ureter ngexesha amayeza kubanda ukukhuthazwa, arhente umahluko lashushu degrees 36.

Kuba abathile Uphando kusetyenziswa iindlela ingaphithikezwanga-60 ekhulwini. maxa wambi nomthamo amayeza High ebangela iimpawu ikudika.

Kuthetha kwemali phantsi kolawulo fluoroscopy ukwenza artrograficheskogo, gisterosalpingograficheskogo Survey kunye cholangiopancreatography retrograde.

Indlela ukusela ichiza ngokuchanekileyo

Ukwenza Itomography computer emathunjini kunye namanye amalungu, oogqirha ukumisela ulawulo ngomlomo amayeza "Urografin". Imiyalelo yokusebenzisa ngaphakathi akuthethi acebise ukuba, ayithethi ukuchaza indlela ukusetyenziswa. Ukuba ugqirha akazange axelele isigulana malunga ukusetyenziswa kunye oyidlayo, isigulana siya kuba nzima ukufumana ulwazi.

ziingcali zonyango bacebisa ukusela isisombululo uphando "Urografin". Imiyalelo yokusetyenziswa CT ufunda imixholo ampoule omnye (20 ml) kufuneka exutywe nelitha enye yamanzi acocekileyo, wasiwa njengoko izigaba ulwelo.

Sebenzisa uqala iiyure ezingama-24 phambi kokuba sifo, apho zakontrastiruetsya emathunjini kunye namanye amaziko. I-200 ml yokugqibela isisombululo "Urografin" manual icebisa ukuba kwaziswe CT xa bengena lwekhabhinethi. Uvavanyo lokuqala ukusetyenziswa ngomlomo ukuba ilawulwa.

Xa awufuni ukusebenzisa

Kuba iziyobisi "Urografin" Izimo ezinxulumene ukwanda izicacele kwimisebenzi lengqula, decompensated ezesifuba umsebenzi ayonelanga.

pancreatitis Acute akavumi ukuba uviwo holangiopankreatograficheskoe.

Gisterosalpingograficheskaya uphethwe Yayingenziwa kwimo ukuthwala umntwana, yaye impendulo yokukrala etsolo kwindawo zangasese.

Mielograficheskie, tsisternograficheskie ventrikulograficheskie kunye izifundo ziye besiqhutywa umahluko la machiza ngenxa yeziphumo yayo neurotoxic.

ukusabela ezingalunganga

Ichiza "Urografin" imiyalelo ukusetyenziswa ziquka ulwazi malunga iziganeko ezibi ngexesha ukumnika intravascular. reactions ezingalunganga zemiphunga ezinxulumene ukuphelelwa umoya, ekhohlela, nokudumba yemiphunga, umsebenzi intliziyo sokuphefumla.

Ukungaqheleki kule ometyiso sibonakalalisiwe ubuqhophololo, iimpawu iintlungu esiswini.

Utshintsho zentliziyo kunye vasculature ezinxulumene ukuhla uxinzelelo lwegazi kunye contractile rhoqo. Ngamanye amaxesha kuvela iingxaki eziyingozi thromboembolic, ukumqumbisa infarct karhulumente engabalulekanga lexi hlamarisaka izihlunu.

reactions Ezingalunganga wabonisa ukuphazamiseka womchamo umsebenzi hepatic kunye sezintso.

Utshintsho kwindlela luvo luphawulwa yintloko, ukulungelelana disorder, ilahleko osezingqondweni, ukonakala uxhuzula yokusabela ezikhalayo nezibonwayo, nokoyika ukukhanya, ukufa isiqaqa, chaza zalala.

Imiphumo zendawo ziquka nangokurhala, thrombosis, lwemithambo, ukutshatyalaliswa tromboflebitnye, izicwili necrosis.

Iimpawu zonyango

Medicament "Urografin" sikhokelo sicebisa usebenzisa isilumkiso xa kukho uvakalelo ngokugqithiseleyo kwiiarhente eziqulathe iodine. ulawulo ngenyameko kufuna izibhaxu kwezintso kunye hepatic, umsebenzi zaneleyo kwemisipha intliziyo, emfizemnoe isifo semiphunga, impilo enkenenkene yomguli, isifo atherosclerotic semithambo, isifuba igazi aphezulu eswekile egazini, lengqula ukomeleza umsebenzi subclinical kunye ezigula ngokubanzi. nemiphumela emibi kwezi meko aba nokuhlanganiswa kweziyobisi emthanjeni.

Ukusetyenziswa iyeza radiopaque kunokubangela hypersensitivity, esizibonakalisa ukuphelelwa umoya, ukuba bomvu ulusu erythematous, irhashalala, ukutshisa okanye ekweneni phambi entloko. Xa okunzima zokuphuhlisa nokudumba angioneurotic, spasm inyumoniya nokothuka anaphylactic. iziphumo ezibi lunokwenzeka engama-60 emva kokuba ukusetyenziswa kweziyobisi.

Amaninzi iziphumo ezingalindelekanga xa izigulane umzimba kwaselwandle kunye namacandelo iodine baye ezikwenza hay fever, urticaria, okanye asthma. Ngaphambi kokutyunjwa ugqirha amayeza radiopaque kufuneka ahlole isifo yabantu elidlulileyo. Ukuba kukho amathuba eliphezulu kwenkqubo komzimba, ukuthintela ukuba isicelo unyango antihistamine.

Hypersensitivity ukuba ichiza kwandiswa ngokusetyenziswa kwemali beta-adrenoblokatornyh. La machiza ukuba uxhathiso unyango nokuthile eqhelekileyo.

Isisombululo ezingaphiliyo iodine uyakwazi uguguqula kancincane ukusebenza le ndlala lengqula. Ezi data kuvumela ukuba ukuqaliswa beziyobisi kwizigulane kuba isifo ifomu gipertireoznoy afihlakeleyo.

Ebudaleni ikwandim, kukho ngezifo semithambo kunye nemeko luvo ukutshabalala, leyo ukwandisa iinkqubo angafuneki amayeza umahluko ayodini-equlethe.

Kunye nokubandakanywa intravascular ngamanye amaxesha kubonakala umsebenzi elingonelanga nezintso. Ukunqanda oko, kubalulekile ukufunda isifo sezintso edlulileyo, ukubona ukungaphumeleli ekhoyo welungu. I ingozi uyanda ezigula, ukwaluphala, isifo oluqhubekayo semithambo, paraproteinemia, kakhulu uxinzelelo oluphezulu lwegazi, nokufumba uric acid kwamalunga.

Xa kukho ingozi yokuba eso simo, ngoko yenza ukuxovwa pre-nkqubo usebenzisa indlela ukumnika intravascular. Kwakhona wenziwe emva uxilongo, ukuba kuziswe-arhente nshita nge nezintso.

Ukunciphisa umthwalo kwi emzimbeni ngexesha ukususwa ichiza ayisetyenziswa kunye namayeza yomlomo holetsistograficheskie nephrotoxic musa ukuqhuba angioplasty nemithambo kwezintso okanye uqhaqho enkulu.

Xa kwemithambo Abuse intliziyo kwakunye noxinzelelo esiphakamileyo iziphumo pulmonary ukusetyenziswa kweziyobisi neenguqu ezibalulekileyo hemodynamic. abantu abadala kunye nesifo engabalulekanga ngaphambili ezisengozini izilonda kobuchopho kwaye arrhythmic. Ukuba unayo ukusilela intliziyo, ngoko ke ulawulo intravascular beziyobisi kungabangela ukudumba ijwabu semiphunga.

reviews

Ngokuqhelekileyo, izigulane ngokuqhelekileyo ukwamkela amayeza radiopaque. Zonke basabela egwenxa evela ukuthatha iyeza ichaza "Urografin" guide amayeza. Ukuphonononga eemviwo zidla ngokubonisa ukuba tolerability kakuhle ichiza. Izigulane badla achaza inkqubo diagnostic kakhulu kunokuba kunokwamkela arhente umahluko.

Kukho ukubuyekeza kusungulo medicament kuloo ndawo ibinomthwebeba zesibeleko. Loo nkqubo kungemnandi, iimvakalelo engonwabanga.

Asiyiyo yonke inkcazelo malunga neendlela zolawulo okukuchaphazela isisombululo "Urografin" umyalelo manual. iimpendulo CT alatha imfuneko ukuthatha ichiza ngomlomo ihlanjululwa imini phambi kwigumbi loviwo nokwenza. Kwi inkalakahla, oko kufana amanzi oqhelekileyo ezingenambala loo nto azisezeli.

Kukho uhlolo ezimbi, xa umguli engakwazi ukwenza uxilongo urograficheskuyu ngenxa izikhalazo kabi ngexesha lolawulo beziyobisi. Isigulane wagula, uye sehle kakhulu uxinzelelo lwegazi.

Kukholelwa, akufuneki ukoyikiswa beziyobisi ukuba ukungabikho kukwalisa amasuntswana iodine ukusetyenziswa. Olu nyango umfanekiso ukhuseleko bokuba lisetyenziswa ziingcali ezininzi ukulungiselela isaveyi.