Sodium Thiopental - Imodi kwesicelo

"Sodium Thiopental" kuyinto ezomile ukungena nakwamanye amazwe mass umbala ogqamile ephuzi. Ancibilikisa kalula emanzini. Isixazululo zomuthi ngokushesha ngaphambi ukusetshenziswa kwalo.

"Sodium Thiopental" isetshenziselwa izinzwa, futhi kuyofezeka njengasezinsukwini ekuphathweni emthanjeni zomuthi, futhi ngezinye lezokuphatha rectal. Futhi, ubhapathizelani umuntu esimweni izinzwa kungenzeka ngokwethula le intramuscularly ithuluzi, kodwa le ndlela isetshenziswa kakhulu kuyaqabukela.

Uma isicelo ngendlela efanele, "Sodium Thiopental," le ndoda ingena isimo izinzwa kulula futhi fast kakhulu, nge ukuhlanza futhi injabulo cishe ziphinde zenzeke. Uma izinzwa osetshenziselwa kokuhlinzwa, isiguli kungekho ikhaliphe corneal umsipha, kungenzeka kancane ayisesemikhulu abafundi, kodwa ivame ukuhlala ukubaluleka evamile, izinhlamvu zamehlo awashintsheki. Futhi, kukhona ukuphumula imisipha pharynx, nolimi olubi ingcindezi enciphile kunciphe nobuningi ukuphefumula ukujula. Kuyaphawuleka ukuthi ngisho e izinzwa ezijulile, okuyinto kubangelwa ekuqaleni kwalesi izidakamizwa, ukuphumula ephelele imisipha odongeni kwamathumbu ingekho zonke iziguli.

"Sodium Thiopental" kunalokho iqedwe ngokushesha emzimbeni, futhi wakhe ukusetshenziswa kwesikhathi esisodwa kwama-izinzwa ingena umuntu imizuzu 20-25. Ngokushesha ngemva kokuvusa umphumela analgesic zomuthi imisiwe.

Izinkomba ukusetshenziswa zomuthi

Ikakhulu esetshenziswa wathi izindlela phakathi nenqubo ethile yokuthola iDemo kuhlinzwa. Futhi-ke asetshenziselwa lokungeniswa ngokusungula indlela yokubulala izinzwa kulandele isicelo imithi yokubulala izinzwa eqinile. izidakamizwa ngokuvamile isetshenziswa ngesikhathi esifanayo ne kwemisipha relaxants, uma ukupholisa lokukhanda.

"Sodium Thiopental": yokusetshenziswa

Ezigulini omdala ukulungiselela 2 noma 2.5% isixazululo zomuthi, futhi izingane, iziguli esezikhulile noma ephelile zingasebenzisa isixazululo 1%. Uma "sodium Thiopental" isetshenziselwa lokungeniswa ngokusungula indlela yokubulala izinzwa noma ukuhlinzwa ezincane njengoba ukuphela kwendlela narkotiziruyuschee, kubalulekile ukuba ufake 20-30 ML ngemithambo yegazi. Umthamo esiphezulu 2% isixazululo zomuthi, okuyinto singasebenza abadala 50 ml, wathi isixazululo sivela kancane, ngesikhathi kuqala umthamo ezincane, futhi ngemva amasekhondi angu-30 wonke okusele.

Ngokuvamile umuthi evumelekile ukuba imizuzu 25, kodwa akuxhomekile nje kuphela esimweni angakanani wangena, kodwa futhi izici ngabanye lomuntu ngamunye.

Ukuze afeze oluyisisekelo izidakamizwa izinzwa isicelo izingane ukukhathazeka, kanye kubantu abaphethwe thyrotoxicosis. Kulezi zimo, ngokuvamile zisebenza isixazululo 5% 'sodium thiopental ", okuyinto kwaba eliwu 32-35 ° C futhi injected rectally, kungesiwo egumbini yokusebenza, futhi isimo ngaphezulu kokujwayelekile isiguli. Izingane ezingaphansi kweminyaka emithathu rectally iqondiswa at 0.04 g, kanye nezingane iminyaka eyisikhombisa onikezwe 0.05 g ngonyaka wokuphila.

Izimo

Akunakwenzeka ukusebenzisa ithuluzi ntu ngilugcinile izifo organic kwesibindi, izinso, labo abanesifo sikashukela, abantu bashaqeke. Futhi, izidakamizwa asisebenzi uma kukhona ukuvuvukala acinene, iziyaluyalu kwegazi, abantu abangekho esimweni okunomkhuhlane.

Imiphumela engemihle engase ibe:

- ukubukeka ukukhwehlela;

- nesenzakalo laryngospasm, bronchospasm nokugxaza amathe;

- nokucindezeleka zokuphefumula futhi hypotension.

Ukuvimbela okuvela izinkinga ngemva kokuhlinzwa, okuyizinto ngenxa yokuthi kwandisa ithoni emsipheni vagus, ngaphambi kokwenziwa ngokusungula indlela yokubulala izinzwa kuyadingeka ukuze ufake "Metacin" noma "Atropine". Isixazululo sale izidakamizwa ayikwazi exutshwe izixazululo "chlorpromazine", "pentamine", "ditilina" "Promethazine" futhi "arfonad".