"Oxytocin": imfundo, izimpawu, contraindications

Umuthi 'Oxytocin "isetshenziswa zokubelethisa. Kuyinto hormone peptide (okulungiselelwe eyayenziwe) pituitary posterior. Kuye umakhi, kungase kube amagama ukuhweba ezilandelayo: "Partokon", "Oksistin", "Pitupartin", "Utedrin", "Ipofoamin", "Sintoitsin", "Orastin", "Uterakon", "Otsitotsin".

I asebenzayo izidakamizwa oxytocin, manual uyazinaka ke amakhasimende, kwandisa ithoni kwesibeletho, kwandisa contractility we myometrium - ungqimba imisipha kwesibeletho.

Lokhu kusho ukuthi umuthi iqondiswa ukuze sikhuthaze (ukusheshisa) zabasebenzi, ukusheshisa ukunciphisa (involution) kwesibeletho emva kokubeletha. It is kuboniswe ngesikhathi kwesigaba cesarean.

Phakathi kwabesifazane, kukhona amahemuhemu athi izidakamizwa "Oxytocin" ngoba ukopha - lokuthola usizo oluyilo ezinkantolo esisemqoka futhi iphephile. Eqinisweni, imithi esiza ne okuthiwa ukopha atonic, okuyizinto ezihlobene ekulahlekelweni lesizalo ithoni. Kodwa lokhu akulona neze inkomba enothi: imbangela lesizalo ukopha kungaba mkhuba zahlukahlukene kakhulu. Esimweni ngasinye, kuphela udokotela ukuthi yini futhi kanjani ukuze ukopha. ejenti ozibekile, kuhlanganise "Oxytocin", ukulaya kuhlaba ekucindezelekeni kungaholela ekufeni.

Yini enye engingabuye lokukwazi ukwelapha "Oxytocin"? isicelo sayo ngesivinini ukusikwa amaseli myoepithelial. Lokhu amaseli akhethekile secretory kufakwe alveolnoe nezindlala imvelo mammary. ukunciphisa yabo sithuthukiswe kunomthelela kwetinhlavu kanye ukukhuthazwa ubisi e lactating abesifazane e imigudu yobisi ezinkulu.

Umuthi 'Oxytocin ", isitatimende lithi, futhi lokhu kunciphisa excretion of umchamo, ngenxa yokuthi ayizange ngempela uzwakalise vazopressinopodobnym isinyathelo antidiuretic. Lokhu kusho ukuthi-ke usuke ethuthukisa reabsorption ngokuligeza ngamanzi izinso, ngenxa okuyinto incipha ukwehlukana umchamo.

Ngo izibhedlela womama isidakamizwa ezinqunyiwe abesifazane abangamkhonzi ngesikhathi esifanele kwangemva kokubeletha iyunithi ngenxa ukulahlekelwa contractile ikhono kwesibeletho.

Ingabe kukhona Izimo emuthini adumile "Oxytocin"? Imiyalelo kunyatheliswa lolu lwazi ngokugqamile. It is contraindicated abesifazane nge ukhalo emincane kakhulu, futhi lokho okubizwa ngokuthi "kwesibeletho zezingane." Akumele iqondiswa ngesikhathi okungalungile isikhundla umbungu uma izithelo makhulu futhi ayifani ubukhulu kwesibeletho. Uma ngasizathu simbe kwesibeletho okusongela ukudabuka, umuthi nalo contraindicated.

Njengazo zonke neminye imithi, "Oxytocin" kungabangela engathandeki ukuphendula noma imiphumela engemihle. Ngoba avele kweso, bese ujova le izidakamizwa can kuphela odokotela. Le miphumela emibi zihlanganisa anaphylactic ukushaqeka omama, waba ukwanda okukhulu kwezincwadi lesizalo ithoni, ophikelelayo lesizalo Kufinyeta engaholela ukudabuka yayo. Ngaphezu kulezi zinkanyezi kungenzeka emfushane kodwa eqinile futhi abukhali ingcindezi iconsi avele tachycardia. Komama abaningi, ekuqaleni kwalesi izidakamizwa izimbangela ukuhlanza, isicanucanu.

Eziningi zalezi izimo ezisongela umbungu, okungase kuqale nokuqala ukwenzeka asphyxia noma nokukhama esibelethweni, okwaholela ekufeni kwakhe.

Yingakho odokotela ukusebenzisa izidakamizwa "Oxytocin" ngaphansi kolawulo esiqinile, futhi lapho izinzuzo zinkulu ngomonakalo ongase kuwo.

Izidakamizwa esilawulwa ngemithambo yegazi noma intramuscularly. Qala intramuscularly, ngakho abangele ukushaqeka anaphylactic. Kungaleso sikhathi kuphela lapho, uma kudingeka imiphumela ngokushesha, umuthi iqondiswa ngemithambo yegazi. Kufanele kwenziwe kancane, ngoba izidakamizwa bolus evele sidilize ingcindezi futhi tachycardia.

Ngokuvamile azoya iqondiswa 1-3 IU. On isincomo udokotela wezifo zabesifazane angabelwa kanye nokuphathwa ongama zomuthi 5-10Me. Lapho cesarean kwesigaba ikhambi "Oxytocin" is busuka imisipha lesizalo ngoba 5ME. Ngokwemvelo, esimweni ngasinye, udokotela ukhetha umthamo ngabanye.