"Poliglyukin": umarnin don amfani, contraindications, reviews

"Poliglyukin" - antishock plazmozameshchath medicament facilitates replenishing na Bcc. A sakamakon haka, yin amfani da miyagun ƙwayoyi da aka hana daga mannewa na platelets da kuma ja da maikacin jini.

Abun da ke ciki hada da "polyglukin"

Dalili na miyagun ƙwayoyi - dextran. A cikin gilashin kwalban dauke 200 da kuma 400 ml na shiri a cikin nau'i na wani ruwa-ruwa bayani. Da miyagun ƙwayoyi abun da ke ciki ƙunshi sodium chloride da ruwa ga allura.

pharmacodynamics

"Poliglyukin" wa'azi a kan nuni a matsayin magani da ciwon antiagregatnym da hemodynamic effects. Da miyagun ƙwayoyi ne a hydrophilic polysaccharide dauri ruwa. Bayan yin amfani da magani Bcc mayar a cikin wani gajeren lokaci saboda da cewa shi garwaya da isasshen ruwa.

The aiki bangaren yana da wani gwada da high kwayoyin nauyi, don haka a cikin jini shi ne ba na dogon lokaci, da kuma a bayar da sannu a hankali ya wuce ta jirgin ruwa katangu. Features na miyagun ƙwayoyi zuwa da sauri kara da dogon su ci gaba da jini al'ada. "Poliglyukin" rage nama edema, ya mayar Bcc gusar spasm, wanda ya auku a gefe tasoshin.

Dakatar da kwanciyar hankali da aka inganta jini bayan lura "Poliglyukin" wa'azi nuna cewa da miyagun ƙwayoyi da ke sa jinin kasa da danko sosai. A cikin mutane, bisa al'ada Figures, karya saboda ci gaban buga: microcirculation, jini ya kwarara da kyallen takarda.

Pharmacokinetics

Tukar tumbi da medicament samar daga jiki da yafi by kodan. M kau ne da za'ayi a lokacin da rana. "Poliglyukin" cire m, bai isa a kula da rabo daga gare shiga cikin sel da reticuloendothelial tsarin da aka ajiye a can a hankali ya auku tsagawa medicament. Saboda wannan tsari, glucose da aka samar, wanda ba a gani a matsayin wani tushen samar da makamashi. Little "polyglukin" samun shiga cikin narkewa kamar fili.

shaidar

"Poliglyukin" wa'azi a kan aikace-aikace ba ka damar sanya a lokacin da karya capillary jini ya kwarara. Da miyagun ƙwayoyi dace domin lura da jihohin buga da Rigakafin (kwamin na tara buga, mai guba, konewa, yadda ake gudanar, traumatic). A miyagun ƙwayoyi amfani da m jini hasara da ya faru a lokacin da wani ectopic ciki, haihuwa ko a sakamakon rauni da sauri mayar da Bcc. Magani ne hypovolemia, wanda shi ne wani sakamako na jini yayyo (reshe ciwo, konewa). A tasiri na da miyagun ƙwayoyi ne lura a aiwatar da m matakan da nufin hana embolism (preoperative, postoperative).

contraindications

Kafin jiyya shi wajibi ne don kula da contraindications, wanda ya ƙunshi wani ƙarin gini da makaman "Poliglyukin" umurci manual. Contraindications don magani da kuma rigakafin wannan shiri ne kamar haka:

• cerebral bugun jini.
• High ICP.
• jihohi a wadda gabatarwar taya a cikin manyan yawa ne a ke so;
• cutar tare da koda cuta (anuria, oliguria).
• m hauhawar jini.
• zuciya rashin cin nasara.
• cuta da homeostasis, coagulation.
• ci gaba da zub da jini ciki (togiya - jini a kasa 60 mm Hg ..).

sashi magani

A bayani ga igiyar jini gwamnati. A lokuta inda jini da asarar da aka dauke m, shi a yarda da yin amfani da ciki-jijiya miyagun ƙwayoyi. A kudi na Drug Administration aka ƙaddara akayi daban-daban da kuma dogara a kan general yanayin haƙuri, zuciyarsa kudi, jini da kuma hematocrit.

By tura jihohin "Poliglyukin" umurci manual ya bayar da shawarar gudanar bolus igiyar jini hanya. The bukata guda kashi na jamiái a irin haka ne ba kasa da 400 amma ba fiye da 1200 ml. A wasu lokuta ya zama dole mu ƙara kashi na magani har zuwa 2000 ml. Idan kwaikwayon na BP a sakamakon gwamnati da miyagun ƙwayoyi ya iya kawo wa al'ada, a miƙa mulki ga gabatarwar da miyagun ƙwayoyi droplets.

Tare da gagarumin jini hasara, m zuwa 500 ml kuma mafi, kazalika gaban tsanani anemizatsii fãce yin amfani da "polyglukin" bayani ne a yi transfussion. A matsayin matakin rigakafi domin hana buga a lokacin tiyata miyagun ƙwayoyi gudanar a drip lokacin da matsa lamba da ya auku - jet. A kaifi dakushe jini zuwa 60 mm Hg. Art. da kuma a kasa bukatar gabatarwar "polyglukin" a wani ƙarfi ba mafi girma daga 400 ml intraarterially. Bayan yin ayyukan yin amfani da wannan magani amfanin rigakafin, kyale su hana ci gaban tura.

bayani ne yawanci amfani a maida hankali 6% aiki abu, amma ya shafi "Poliglyukin 33" a wasu lokuta. Umurnai na amfani nuna cewa halitta da wani taro na dextran ne wani karin reagent lokacin da tafi da karfinsu na mai karɓa kuma mai bayarwa.

Lokacin da shi wajibi ne don kawar da kuna buga, a ranar farko da ya fara tasawa da aka gudanar daga 2 da dubu. Dubu to 3. ML bayani, yana amfani a rana ta biyu ba fiye da 1.5 dubu. Ml shiri. A waɗannan lokutta idan buga wajibi ne don cire yaron, shi ne na farko gudanar 40-50 ml / kg wajen, a rana ta biyu da kashi da kilogram jiki nauyi an rage zuwa 30 ml. A matsayin m gwargwado, don kawar da yiwuwar tura, da yara gabatar drip igiyar jini hanya. Da ake so kashi ga wani yaro daga jeri 10 zuwa 15 ml / kg "Poliglyukin" shirye-shiryen. Umarnin don amfani da dabbobi, kuma, ya sa ya yiwu su yi amfani da magani, bisa gabatarwar "polyglukin". Domin wadannan dalilai da mafita kashi na 15 zuwa 20 ml / kg. A mafi dace kashi na da miyagun ƙwayoyi ne m da likita.

illa

Kafin amfani da samfurin "Poliglyukin 'umarnin don amfani, martani suna karfafa da za a duba cikin yiwu illa. Yawancin lokaci da rikitarwa ba bayyana, kuma jikin marasa lafiya amsa da kyau zuwa ga miyagun ƙwayoyi. Wani lokaci yana za a iya lura a cikin nau'i na rashin lafiyan halayen da anaphylactic buga, kumburi, itching da kurji. A wasu marasa lafiya, da sternum akwai wani ji na matsawa, akwai zafi. Iya zama ba zazzabi, da rage yawan jini, hanzari na zuciya rate. Za ka iya samun matsaloli tare da numfashi, dizziness da kuma gaban acrocyanosis ci gaba. A sakamakon yawan abin sama dauki karin nauyi a kan zuciya, ta haramta ƙetare shawarar kashi na nufin "Poliglyukin" umurci manual. Allunan, kuma wasu magunguna da mãsu haƙuri yana shan, za a iya rushe da mataki na bayani.

Analogs reviews

Canzawa medicament iya "HyperHAES", "Reoglyumanom" ko "Hai-bakararre". Domin mafita cewa ana amfani da wannan manufa a matsayin "Poliglyukin" hada da "Sterofundin", "Reopoligljukin", "Stabizol".

Sauya "Poliglyukin" umarnin don amfani kyale a lokuta inda haƙuri ba ya shige wannan makaman. Domin substitutions za a iya amfani da "gelofusin", "Refortan N», «Sorbilakt". A irin wannan sakamako za a iya fassara "Albunormom" da "Neorondeksom".

Reviews nuna cewa mafi miyagun ƙwayoyi taimaka wajen kawar da matsalar. Amma tun kowane hali ne daban-daban, sakamakon gwamnatinsa iya zama daban-daban. Yawa ya dogara da haƙuri da yanayin. Mutane a hadarin ba yin amfani da "Poliglyukin" a kan nasu, saboda hadarin m gwamnati na kudi da kuma ci gaban illa.

Its aiki bayani "Poliglyukin" aikin, amma a lura, kazalika da aiwatar da rigakafin, shi ya ba da tasiri da kuma ya haddasa wasu matsaloli, da kashi daga cikin miyagun ƙwayoyi ya kamata a zaba ta hanyar likita akayi daban-daban. Kawai wani gwani iya tafiyad da miyagun ƙwayoyi a matsayin al'ada mutum ba zai iya zuwa daidai ƙayyade da ake bukata kashi da kuma dace hanya na gwamnati na magani. Wuce kima allurai da kwayoyi ne m ga zuciya, don haka ba dauki kasada, da kuma kai-medicate.