Ukulungiselela "Diakarb" lapho ingcindezi intracranial. "Diakarb": Izibuyekezo

Ukulungiselela "Diakarb" e intracranial ingcindezi iphimbo esetshenziswa ngokuvamile, kanye nomfutho wegazi ophezulu-hydrocephalic syndrome. Lezi zifo ahambisana zekhanda ezinamandla, ukukhula ngokweqile ubukhulu skull noma ukuhlakazwa ezivuzayo yayo ukwanda cerebrospinal fluid. Kuyinto lokhu imithi esiza ukuba abhekane ngokuphumelelayo nesitha kungalingani enjalo emzimbeni.

Ukwakheka, ifomu ukukhululwa kanye analogue

The main asebenzayo izidakamizwa izidakamizwa "Diakarb" kuyinto acetazolamide. Ngaphezu kwalokho, umkhiqizo iqukethe izingxenye ezilandelayo:

• amazambane isitashi;

• sodium isitashi glycolate;

• talc.

"Diakarb" imithi Ngokuvamile kwenziwa ngendlela amaphilisi round flat emhlophe.

izakhiwo kwemithi

Izikhombisi eyinhloko umthelela izidakamizwa - isisu futhi decongestant. Njengoba isisu, umuthi "Diakarb" e ingcindezi intracranial has isinyathelo isisu ngenqubo okuthiwa okusithiyayo of anhydrase carbonic ehilelekile umzimba carbonic acid. Ngo izinso kwezicubu kwenzeka okusithiyayo of enzyme ngokunciphisa inani ukumuncwa sodium ion futhi Bicarbonate kusukela umchamo ukuba igazi. Kanye ukusetshenziswa Diakarb amaphilisi ' "ezimeni ngokweqile ingcindezi intracranial, kuyancomeka ukuba isivumelwano sabo sokuhlangana kwezinye izifo zamaphaphu, uma kukhona yamaphaphu isifo senhliziyo. Umsebenzi oyinhloko ekwakhiweni Imininingwane kulindeleke ukuthi libambe amanzi kanye sodium emzimbeni, ukuvimbela ukuvuvukala ahlukahlukene imvelo imvelaphi. amanzi normalizing futhi electrolyte umzimba, imithi esebenza izinto akuvezi ukuhlukumeza ibhalansi acid-base.

Isikhathi sokusebenza izibhebhe ngema-awa lange-12, futhi esiphezulu plasma lokuhlushwa izidakamizwa ifinyelela emva 2 amahora ngemva lezokuphatha ngomlomo. Ifinyelela inhliziyo ngokusebenzisa isithiyo esinomhlapho, ngenxa ngezinga eliphezulu of ukuhlanganisa nge igazi eligciniwe, ketshezi asebenzayo ngaphakathi olulodwa iqedwe nge nezinso.

Izinkomba ukusetshenziswa zomuthi

Umuthi Kodwa ngokuvamile isetshenziselwa ekwelapheni ingcindezi ephakeme intracranial futhi intraocular. Njengoba ojwayelekile, ukuze kuvinjelwe imiphumela emibi lesi izidakamizwa parallel ukhethe ithuluzi ezengeziwe "Asparkam".

Self-ukuphakanyiswa kanye nokuqokwa "Diakarb" izidakamizwa is hhayi Kunconywa. Ukuze wenze lokhu, zikhona ephephile, kugxilwe kancane izimali. Kuyinto esimweni esithile sizothinta izidakamizwa futhi ukuthi kungasiza ngempumelelo ukubhekana nale nkinga, ikwazi ukuhlonza kuphela onguchwepheshe.

Izinkomba ngoba "Diakarb" amaphilisi kungafaka lezi zifo ezilandelayo:

• degree okuncane noma ngokulinganisela edema syndrome;

• ukugula entabeni;

• isithuthwane (abe umphelelisi ekwelapheni eziyinkimbinkimbi);

• ukufiphala;

• ezinye izinkinga wamaphaphu.

Izimo

Kakhulu akukafaneli kutsi sisetjentiselwe kufundzisa ukwelashwa ejenti "Diakarb" at ephakeme ingcindezi intracranial futhi kulezi zimo ezilandelayo:

• Hypersensitivity kuya izingxenye eziyingxenye izidakamizwa;

• ukuhluleka hepatic;

• lactic;

• isifo Addison sika ;

• sikashukela;

• ibele;

• ukhulelwe;

• ukwehluleka oyingozi kwezinso;

• hypokalemia;

• gipokortitsizm;

• uremia.

Kakhulu qaphela ukuba nokusetshenziswa lokhu kwezidakamizwa edema nemvelo kwezinso futhi hepatic. Ngaphezu kwalokho, e seziguli ezithola ngemithamo enkulu aspirin nakho kungaholela nezindaba izidakamizwa kwedivayisi.

Izidakamizwa "Diakarb": side effects

Kwezinye izimo, kungase kube nezimpawu ezingathandeki elihlobene ne-ukwephulwa umthamo noma wamukele omunye kadokotela:

• hypokalemia;

• Ukudlikizela;

• sokuzincisha;

• paresthesia;

• ukulunywa;

• ukuba buthakathaka kwezicubu;

• isifuba;

• ngamanzi kwesikhumba;

• lactic umzimba;

• tinnitus;

• myopia.

Ikakhulukazi ngokuvamile ashiye maqondana amaphilisi "Diakarb" amazwana aqukethe ulwazi mayelana nokubonakala ubuthaka kwemisipha amajaqamba. ngezinye izikhathi eside zomuthi kuholela izifo ezithile zempilo, njenge:

• leukopenia;

• nephrolithiasis;

• disorientation;

• glycosuria;

• ukuhlanza;

• ukozela;

• hematuria;

• komzimba;

• anaemia hemolytic;

• ukwephulwa touch;

• isifo sohudo,

• isicanucanu;

• agranulocytosis.

Indlela umthamo

Lapho lesi siguli sabelwe "Diakarb" (amaphilisi), imiyalelo izidakamizwa kufanele uzifunde ngokucophelela ngqo yisiguli. Kanye esungulwe grid ukusetshenziswa kwezidakamizwa, okuyinto ukhetha udokotela, kuye ngohlobo kwezifo, izici ngabanye esisindo kanye nobudala esiguli, kungaba nezinkinga ezimayelana ne isitoreji yayo, izakhiwo kwemithi.

Ukuze kususwe edema syndrome kunconywa ukuthatha nsuku zonke imithi "Diakarb" at umthamo 250-375 mg kanye nsuku zonke. Umthelela esiphezulu kufinyelelwe ngemuva kokuqala ukwelashwa izinsuku 2-3. Ngemva kwalokho, odokotela belulekwa ukuba bathathe ikhefu ngoba ngosuku. In parallel nalokhu ngokuvamile anikeze isiguli imithi ngcono kwegazi, replenishment potassium emzimbeni futhi engashiyi ukudla nokukhawulela kusawoti.

Vula engela glaucoma iphathwa ne izidakamizwa, nakho wathola kanye njalo ngemva kwamahora angu-24, 250 mg. Ukwelashwa nokuvikelwa glaucoma yesibili kuhilela ulapha 250 mg njalo ngehora 4. Endabeni entabeni ukugula yokwelapha ukuthatha umthamo 500-1000 mg ngosuku, ngaphambi ukugibela intaba ese mayelana 1-2 izinsuku. Isifo sokuwa iphathwa amaphilisi reception "Diakarb" 250-500 mg ngelanga, nge esingaba izinsuku 3.

ukuphathwa olusanda kuzalwa

Kaningi isimo lapho ingane ubuthongo ezimbi futhi kancane, hysterically ngikhala ubusuku nemini, abazali abasebasha ziqondakala njengento enhle. Bacabanga ukuthi yonke usana nje kufanele kube ukubuyisa. Nokho, lezi zibonakaliso ukukhuluma ngempilo ezinhle zengane. Odokotela bezingane bathi ukubuyisa kakhulu futhi njalo ukukhala kwengane - isizathu sina ngoba ukwamukelwa of izinyathelo eziphuthumayo. izici ezinjalo e ukuziphatha usana kungase kubonise khona ingcindezi yakhe intracranial anda. Ngokuvamile, kokutshelwa ngokukhubazeka kwengane senziwa izingane zalabo omama babe nzima iphelela sokukhulelwa toxemia ukuthi samanje, futhi ukuzalwa kwakunzima futhi eside.

Wathi zokugula ngokuvamile iba umphumela ukukhiqizwa enganele umoya-mpilo izithelo, njengoba phetho amangqamuzana obuchopho ayikwazi ukusebenza kahle. It is ngenxa lolu ketshezi ozungezayo ingqondo yengane, is ngobuningi futhi iyasicindezela. Imiphumela iba yinhlanganisela yokukhandleka ikhanda, ubuthongo ompofu, uhlale kanye ngokweqile ukukhala.

Ukuze uthole ukusazi ngokunembile isifo esikuphethe udokotela iqoqa umlando, ohlanganisa imininingwane eningiliziwe emayelana indlela yokukhulelwa nokubeletha uqobo. Ngempela wenza unake luhlolo ezibukwayo ngayo lapho usana ekutholweni imisipha ithoni kanye nobuchopho imaging. Endabeni isiqinisekiso sifo kutuswa ukuqala ukwelashwa ngokushesha. Izidakamizwa "Diakarb" lapho ingcindezi intracranial kumane Irreplaceable. Njengoba diuretokom, ngokushesha kusiza ukunciphisa ukukhiqizwa cerebrospinal fluid ebuchosheni ngayo lapho usana.

Uma uhlela ukuba ukuphathwa kusho "Diakarb" kobufakazi nesineke kungase kungabi umthombo ematheni ulwazi. Lo muthi yedwa hhayi oqokwe, kodwa ngoba uma udokotela wezinzwa namanje wathola esidumazayo uphethwe izinyane kufanele babe khona kuwo wonke ngokuqinile landela imiyalelo kadokotela. ezikhethekile okutholakele ocwaningweni kuphela kungavumela udokotela ukucacisa uhlelo ukwelashwa bese usetha umthamo. Ukuphumelela okusezingeni eliphezulu yokwelapha unika zonke nodokotela bezingane isizathu linqume imithi "Diakarb" side effects Nokho, lapho, ezingapheli zingayilimaza impilo womntwana. izakhiwo isisu yalesi izidakamizwa kuholela leaching ngokweqile amanzi avela emzimbeni potassium, kunesidingo sokuba ukusebenza evamile yenhliziyo yakhe. Kungenxa yalesi sizathu ukuthi lwemithi izidakamizwa kuhilela ukusetshenziswa ngesikhathi esisodwa "Asparkam" lisho ukuthini.

Doctor sinquma ngamunye encane imithi nesineke "Diakarb". Yokusetshenziswa, ukubuyekezwa kanye lwemithi kufanele ngokucophelela ufundwa umama noma ubaba wengane ogulayo. Ngenjongo umthamo kanye indlela yokwelashwa udokotela ngokwanele ukwazi isisindo esiqondile ingane kanye nenani zanqwabelana cerebrospinal fluid. Ukulandelana ethile ukusetshenziswa amaphilisi kanye Isikali olunembile zinqunywa futhi ikhumbula impilo jikelele isiguli encane. Ngokuphathelene yokuvuma imithi eyengeziwe, "Asparkam", ukuze layo beyoba ngokucacile ngesineke udokotela. Ngo umkhuba osanda kuzalwa ebekiwe ukunikeza izindlela amaphilisi 0.25 izikhathi 3 ngosuku, kuyilapho yokwamukela umuthi eliyisisekelo elivezwa kanye ngosuku ¼. La malungiselelo azihlanganisi ngempela ibonisa ukuthi udokotela imithi izilinganiso nje enjalo - njalo uma lesi sifo kudinga indlela ngamunye esigulini.

I-side effects kokubili izidakamizwa, njengesifo sohudo, pruritus, isicanucanu nokuhlanza, Ukudlikizela, - ithuba le esibhedlela okuphuthumayo ezisanda kuzalwa. Ngaphezu kwalokho, umphumela ukuthatha amaphilisi "Asparkam" kungaba ukoma ngokweqile, ukwehla elibukhali blood pressure, ngamanzi ebusweni, ukuba buthakathaka kwezicubu, ezinzima ukucobeka ingane. Uma uhlangabezana nanoma yiziphi lezi zimpawu, odokotela batusa ukuba ugcine isikhathi futhi uxhumane esibhedlela. Endabeni ngokuthatha izidakamizwa izinsuku ezingaphezu kwezingu-5 (okungukuthi, le nkathi kuyinto esiphezulu izingane ezincane ezifana) singenzeka lactic umzimba.

Amacala izidakamizwa ukweqisa izidakamizwa "Diakarb" practice awavamile. Kodwa lapho kukhona izimpawu iziyaluyalu isimiso sezinzwa esiyinhloko, imithi kufanele simiswe ngokushesha bese uya esibhedlela ukulawula acid-base ukulingana umzimba.

Omama ungesabi yemiphumela emibi, ngoba uma udokotela ephikelela isidingo zale ndlela yokwelapha, okusho ukuthi kule kunesizathu esihle. Ukuphumelela "Diakarb" izidakamizwa ngokwesayensi kungase kutholakale, ngakho ukuze ngixazulule inkinga nge impilo womntwana akunzima nje kwezinyanga ezimbalwa ezilandelayo. Ngenxa yalokho, ingane ukuzola, balahle obuyisimanga ikhanda, ukungakhululeki ngiyiphe imizwa ngenjabulo nabazali bakho. Lapho sengineminyaka engu-unyaka owodwa ngokuvamile emkhayeni isivele ukhohlwe ngalokhu esabekayo Uma unganakile, uphethwe, kwakukhona wezinzwa kusukela emasontweni okuqala ukuphila komntwana. Ungakhohlwa ukuthi yini ukuxazulula inkinga zisencane ne ingcindezi intracranial kungabangela ukubambezeleka sína ekukhuleni kwengane, migraines ubuhlungu, ekwakhekeni imvelo eziyinkimbinkimbi.

"Diakarb" - sengathi uthatha ingane?

Kuye yobudala kwengane, kubalulekile ukusabalalisa umthamo wansuku zonke:

• kusukela 4 izinyanga 12 - 50 mg;

• 2 kuya ku-3 iminyaka - 50-125 mg;

• kusukela kwabaneminyaka engamashumi 4 18 - 125-500 mg.

Ukunika umuthi "Diakarb" izingane weluleka yokusetshenziswa hhayi ningi than 15 mg kilogram ngamunye ngosuku, kodwa lokhu umthamo Kumelwe nihlukaniselane emini. Umthamo Imininingwane zomuthi kuya ingane kumele singeqi 750 mg ngosuku. Nge inhlanganisela izidakamizwa ne anticonvulsant e kokuqala ukwelashwa esiteji of kuyinsakavukela ingane yayo ekuphathweni nsuku zonke 250 mg. Ngu injongo yezokwelapha lwemithi "Diamox" ziyahlukahluka, futhi umthamo liyakhula kancane kancane. Kufanele kuqashelwe ukuthi ekwelapheni isifo yimuphi, lapho ngephutha kweqiwe ephilisini, umthamo olandelayo ayikwazi ngokwanda ngokuhamba kwesikhathi.

Ukusetshenziswa kwalesi izidakamizwa izingane kufanele kwenziwe ngaphansi kweso lwezokwelapha esiqinile. Ukufaka iqembu kadokotela, leli thuluzi kungaba yingozi ngoba ingane wanoma yimuphi yobudala, futhi ngakho kwakufanele uphathwe kangcono endaweni esibhedlela, lapho ukunakwa Siyaqiniseka nokulawula phezu ngezimo zesiguli. Ekusebenteni, "Diakarb" amaphilisi ngokuvamile neurologists linqume ukuze bayothola ukwelashwa ekhaya izingane ngokungabi bikho usesimweni esibucayi.

Abazali kumelwe niqaphelisise ingane ethola imithi, ngoba ingxenye umzimba kungenzeka ukusabela ohlangothini. Endabeni ukusetshenziswa kwezidakamizwa "Diakarb" izingane, isitatimende uxwayisa ngokuthi ingane ingase ibonakale amajaqamba, ukuhlanza, ukuba buthakathaka kwezicubu, isicanucanu, yokungezwani komzimba. ngezinye izikhathi ukusetshenziswa isikhathi eside amathuluzi kuholela ekuncipheni wegazi leukocyte noma unenkinga yegazi eliphansi hemolytic.

Ukuze uthuthukise ukusebenza kahle izibhebhe isinyathelo idatha kanye nokuvinjelwa ukusabela ezingezinhle e odokotela parallel linqume ezengeziwe kusho seziguli ezisencane. Ekusebenteni, izidakamizwa ngokuvamile ezisetshenziswa "Diakarb" futhi "Asparkam" izingane - Izibuyekezo abaqhuba nodokotela bezingane yokwelashwa eziyinkimbinkimbi okunjalo kubonisa ukusebenza kahle yayo ezehlukile. Lomgomo isetshenziswa ngokuvamile uya khona Yiqiniso nokunwetshiwe yokwelapha ukuze wehlise okukhipha umzimba ingane potassium (elahlekile ngenxa semali sodium ion). Inani kwalesi sakhi trace empilweni yengane kunzima overestimate: potassium esidingwa wonke amaseli umzimba efanele. Nokho, elibaluleke kunawo wonke umsebenzi walo - ukubamba iqhaza ekuthuthukiseni imisipha yenhliziyo (myocardium), nakho kufanele babekhona emzimbeni magnesium eyanele, abathintekayo umzimba carbohydrate asinika amandla kumaseli.

Ngakho, uma kunesidingo, ukwelashwa nge-long "Diakarb" side effects ziyancipha ngenxa isinxephezelo yabo "Asparkam" kusho - okungukuthi ngenxa ubuyise ukulahlekelwa potassium ion futhi kuthuthukise igazi ayinayo. I ezisebenzayo of ukulethwa izidakamizwa kanye potassium ukunikeza amandla ukuze umzimba, kanye siqinisekise ukusebenza kwawo okufanele, hambisa okuholela elikhulu isimo igazi ayinayo.

Ukukhethwa Isikali izidakamizwa senziwa ngamunye ngengane ngayinye esekelwe imiphumela yokuhlaziya futhi kuhlolwe ngokuphelele. Isikali "Diakarb" ukulungiselela, impendulo nokulaywa lapho ukhuluma ngesidingo acabangele isisindo futhi sidala kangakanani ingane, ngokuvamile okungenani 50 mg ngosuku. Ukunika ingane yakho umthamo nsuku zonke kufanele kube izikhathi 1-2, breaking kwawo izingxenye alinganayo.

Izici reception izinsana ezisanda

Ngokuvamile ukusebenzisa izidakamizwa "Diakarb" Baby - imicabango yabantu abazali kulesi sihloko aqukethe eningi ulwazi mayelana nokusebenza ngempumelelo eliphezulu izidakamizwa empini yokulwa nezifo ebuntwaneni eziyinkimbinkimbi. Izinsana ngaphansi konyaka owodwa ezinqunyiwe lawo amaphilisi isithuthwane. Endabeni ka kwehlukana we sutures kogebhezi ukwanda ngokweqile kubuye kube kahle kakhulu lokhu remedy. yi Excellent ibonisa izidakamizwa "Diakarb" izinsana - Izibuyekezo lodokotela bezifo zezingane eziningi zisikisela nokudlanga zemithi enjalo.

Inhloso yalesi izidakamizwa ikhiqizwa kuphela izingane wezingane, ngemva Ukuhlolisisa eziningi ochwepheshe (dokotela, udokotela ohlinzayo, ENT, kudokotela wamehlo okunethiwethi). Ukwelapha ingane enjalo encane Yiqiniso, kuphephile kakhulu esimweni esibhedlela, lapho ukuhlolwa njalo. Yilokho odokotela beluleka abazali izinsana, bephikelela emagcekeni ingane esibhedlela ngenxa yenkambo egcwele yokwelapha. Nokho, ekuphileni kwangempela, abanye omama uncamela ukusebenzisa ithebhulethi zabo "Diakarb" Baby - izibuyekezo lokhu kwelashwa ikhaya isiphakamiso sokuthi abazali musa njalo ufuna ukuya nengane esibhedlela.

Udokotela njalo waxwayisa abazali mayelana wona kunengozi enkulu ebangela ukuziphatha okunjalo, uchaza nangemiphumela engaba khona ukuthathwa engalawuliwe. Lapho usahlala ekhaya, ingane kufanele balubonise kobani kusho izinsuku hhayi ningi than 5 elandelanayo, ngemva kwalokho-ke kuyadingeka ukuba bavakashile ukuba wezingane, kanye ukuphumelela kuzo zonke izivivinyo kunesidingo. Empeleni, kanye nekghono eliphezulu ekwelapheni, futhi onezinto "Diakarb" side effects, futhi sina ngempela.

nobufakazi

Umbono mayelana nokusebenza kahle imithi "Diakarb" ukuhlangabezana ezahlukene kakhulu. Abanye abantu bathi lokhu imithi ngokuphelele kusiza ukubhekana ngokushesha inkinga yabo futhi ibekezelelwe kahle umzimba, kuyilapho abanye akhononde khona abalulekile engemihle.

Uma sikhuluma ukusetshenziswa kwezidakamizwa "Diakarb" izinsana, imicabango yabantu ngale ndaba akhayo kakhulu. Odokotela abaningi bathi mayelana leli thuluzi njengoba nje kungenzeka ukhetho aphumelele izinkinga ezithile ikhambi ne impilo yezingane. Ngokuvamile, imiphumela yokwelashwa kusho "Diakarb" Izibuyekezo nesineke aqukethe amazwi ngempela futhi amazwi okubonga odokotela owenza ukuqashwa kukaNksz abanekhono.

I nomuthi Kukhululwa khona imithi lukadokotela. Yingakho-ke kubalulekile ukuya nengane uphenywa udokotela wezingane kudlule uchungechunge ukuhlolwa laboratory, futhi uthole izincomo ukuthi aphathe ngayo lokhu izidakamizwa. Uma abazali baye bathunyelwa futhi uhlela ukusebenzisa "Diakarb" amaphilisi izingane, yangempela impahla yethu kungaba wusizo kubo. Lokhu ikhambi siyasebenza, kodwa ukunakekelwa kufanele kuthathwe nezincomo udokotela.

Abesifazane abaningi banesithakazelo, ukuthi kungenzeka ukuphuza amaphilisi "Diakarb" e ingcindezi intracranial ngesikhathi sokukhulelwa. Ochwepheshe ngazwi linye anikeze impendulo eziqondile lo mbuzo: ukwenza ngokuphelele hhayi! Ikakhulukazi bagcizelele ngezingozi ezifana yokwelapha obstetricians, echaza isikhundla salo ingozi eliphezulu nemiphumela emibi kwengane esiswini. Ngokwe-aphoyintimenti nokwamukela izindlela "Diakarb" imfundo, kobufakazi nesineke kanye neziphakamiso odokotela, waphatha abesifazane lokhu kusho ngesikhathi ibele ingane webele futhi akunakwenzeka.