Umuthi 'Aproteks ": yokusetshenziswa, incazelo, ukubuyekezwa

Noma okuthiwa hemostatic ejenti hemostatic evamise elisetshenziswa umkhuba kuhlinzwa. Ngenxa le mithi, udokotela ungayeka ukopha ngesikhathi futhi ngaleyo ndlela ukusindisa ipilo isiguli sakhe.

Namuhla, phakathi ejenti hemostatic kuhlaba imithi okuvamile okunjengokuthi "Aproteks". Yokusetshenziswa, analogs, futhi imiphumela eminingi engemihle njengezindlela kanye contraindications of the izidakamizwa izokwethulwa ngemva kwesikhashana.

Incazelo, ukubunjwa, iphakeji ifomu ukukhululwa

Izidakamizwa "Aproteks" imfundo okuyinto eziqukethwe emaphaketheni eyenziwe amakhadibhodi, sithengiswa njengendlela powder emhlophe, umkhiqizo iqhwa-omisiwe, esiklanyelwe ukulungiswa isixazululo emthanjeni.

Isici esebenzayo yalesi izidakamizwa izenzo aprotinin. Ngokuphathelene izithako engeziwe ezisetshenziswa njengeziwusizo lactose kanye sodium hydroxide.

Agent kungase kubhekwe njengokuvamile ukuthola e izitsha eziyisikhombisa 50 noma 10 ml. Babephethe yomsindo amakhadibhodi ngokuvamile iqukethe 5, 1 noma 10 izitsha eziyisikhombisa.

izakhiwo kwemithi

Uyini izidakamizwa "Aproteks"? Yokusetshenziswa kusikisela ukuthi akusiyo hemostatic kuphela, kodwa i-ejenti antifibrinolytic futhi antiproteoliticheskoe.

imithi Okubukwe uyakwazi okunqanda plasma proteinase ezicutshini futhi amaseli egazi, ezidlala indima ebaluleke kakhulu izinqubo pathophysiological.

Nekusebenta ejenti ngenxa yekhono layo ukuze uvimbele ukusebenza plasminogen futhi okunqanda umphumela proteolytic ka plasmin.

Antiproteaznoe isenzo "Aproteksa 'has nomthelela omuhle izilonda ahlukahlukene kwamanyikwe. Futhi, lolu izidakamizwa siyehla fibrinolysis izinqubo, kunciphisa umsebenzi fibrinolytic wegazi nokunikeza umphumela haemostatic e coagulopathies.

Ikhono we nomuthi ukuvimba uhlelo kallikrein-kinin is ikakhulukazi esetshenziswa ne angioedema, futhi kule yokwelapha kanye prophylaxis ithi ukushaqeka.

izici kinetic

Yiziphi izici izidakamizwa kinetic "Aproteks"? Yokusetshenziswa ubika ukuthi ngemva kokuphathwa emthanjeni wabela ngokushesha esikhaleni extracellular, futhi kancane agcinwe esibindini.

Inactivation kwenzeka nomuthi e pheshana emathunjini. Lapho nomuthi kancane niyobhujiswa izinso kanye esibindini. Le nqubo wenziwa khona ngaphansi isenzo kwezinso lysosomal enzyme.

Excretion zomuthi izidakamizwa esebenzayo luthatha amahora ayisithupha.

Izinkomba-lyophilizate powder

Kwezinye izimo, usebenzisa imithi "Aproteks"? Yokusetshenziswa uzokwazisa ukuthi izidakamizwa iphumelela ikakhulukazi:

• necrotizing pancreatitis;
• pancreatitis acute, zokuvimbela post-op ka pancreatitis, exacerbation of pancreatitis ezingamahlalakhona;
• yezinkinga yokwelapha thrombolytic;
• giperfibrinoliticheskih posttraumatic noma nasezinkingeni ezilandela ngemva kokuhlinzwa ukopha umsuka (kufaka phakathi nokuhlinzwa phezu wamaphaphu wendlala);
• ukopha ngaphambi, ngesikhathi sokubeletha nangemva (kuhlanganise amniotic embolism uketshezi);
• kokuhlinzwa inhliziyo evulekile, uma kukhona isidingo ukusetshenziswa umshini heart-lung ;
• polimenoree;
• mumps nasezinkingeni ezilandela ngemva kokuhlinzwa;
• ukwelashwa kanye nokuvimbela ezihlukahlukene ukushaqeka (isib endotoxic, hemolytic, kuhlasimulise).

Izimo ukusetshenziswa izindlela

Uma akufanele nika lyophilisate "Aproteks"? Iziyalezo yokusetshenziswa lithi kufanele Izimo yalesi izidakamizwa akusilo kakhulu. Akufanele sisetshenziswe uma:

• DIC;
• hypersensitivity ngabanye ukuba aprotinin;
• sokukhulelwa (the trimesters wokuqala nowesithathu);
• ibele.

Ngokunakekela ukuthi nomuthi kumele kusetshenziswe ngendlela cardio-yamaphaphu dlula imisebenzi, ezijulile khona hypothermia komzimba (umlando), ukuthola isiguli kwegazi extracorporeal.

Kufanele wazi futhi ukuthi ngesikhathi ekhulelwe, izidakamizwa isetshenziswa ngesikhathi senyanga yesibili kuphela (izizathu zempilo).

Uma ufuna ukwabela izidakamizwa ngesikhathi lactation, ngesikhathi wavuma Kufanele uyeke ukuncelisa ibele.

Powder "Aproteks": yokusetshenziswa

Ngaphambi ukusetshenziswa, okuqukethwe isitsha izidakamizwa kumele ziyoncibilika 2 ml noma 20 ml isixazululo isotonic of sodium chloride (kuncike umthamo).

Ngakho indlela ukusebenzisa izidakamizwa "Aproteks"? Umyalelo, imithi incazelo kubika izikimu ezilandelayo:

• Ngo prophylactic pancreatitis nasezinkingeni ezilandela ngemva kokuhlinzwa umthamo wansuku zonke we-ejenti 200 ayizinkulungwane. Atreya (bolus, i.v.).
• Ngo-acute pancreatitis nomuthi wokuqala yaphathwa imali ayizinkulungwane 200-300 Atreya (bolus kancane, ngemithambo yegazi) kulandele ukuvuza emthanjeni -. Esikhathini umthamo ofanayo. Ukuthululela izidakamizwa kufanele kube kulesetayelekile kanye nemingcele laboratory isifo umtholampilo.
• Lapho ukopha zasezindaweni ezihlukahlukene umthamo kokuqala umuthi ayizinkulungwane 300 Atreya, futhi okwalandela -. Yizinkulungwane ezingu-140 Atreya .. I bolus nomuthi iqondiswa ngemithambo yegazi njalo ngemva kwamahora 4 ngaphambi normalizing hemostasis.
• Ngokuba nokuvimbela embolus (amafutha) sokuqala umthamo umuthi ayizinkulungwane 200. Atreya, bese nsuku esilinganayo kwaba kancane ngemithambo yegazi. Izingane e iziyaluyalu hemostasis izidakamizwa yaphathwa isamba 15 eziyinkulungwane. Atreya ngayinye 1 kg esisindo.
• Umthamo kokuqala nomuthi lapho izimo ukushaqeka kuyinto 200-300 eziyinkulungwane. Atreya. Ngemva kwalokho, wonke 4 chasa esetshenziswa yesondlo ngemithamo (bolus ngomjovo) phezu 140 ayizinkulungwane. Atreya.
• Isicelo sendawo zomuthi, uma kukhona okuncane, kodwa okuthatha isikhathi eside ukopha indwangu ezivamile afuthwe ngesibulali isixazululo 'Aproteksa "e isamba 75 eziyinkulungwane. Atreya, futhi zizosetshenziswa kuyo lesion.

Indlela yokwenza i ukumnika ne izidakamizwa "Aproteks"? Yokusetshenziswa (iminyaka emibili zingagcinwa in ampoules Drug Administration) ibike ukuthi ikhambi kufanele iphathwe isikhundla lisalele esiguli, kancane bolus emthanjeni noma ukumnika.

ukusabela ezingezinhle

Ngemva ukwethulwa izidakamizwa Isiguli singase sithole imicimbi elandelayo enqabayo:

• ukusabela zengqondo, ukudideka noma ukusangana;
• urticaria, conjunctivitis, pruritus, ukusabela anaphylactic noma rhinitis;
• tachycardia, wehlise umfutho wegazi;
• isicanucanu (isib isingeniso okusheshayo) noma ukuhlanza;
• myalgia, bronchospasm;
• thrombophlebitis kusayithi umjovo (ikakhulukazi nokuphathwa eside zomuthi).

Izindleko kanye analogue "Aproteksa"

Buyisela nomuthi ingabonwa ngokusebenzisa izinto ezinjengenkolo "Vero narkap", "Gordoks", "Aerus", "Contrycal", "ingitrila", "500000 Trasylol", "Ingiprol", "Traskolan" nabanye.

Thenga le izidakamizwa kungenzeka intengo ruble 450-570 ngamunye inombolo iphakethe 10.

Izibuyekezo

Iningi leziguli ezine-pancreatitis ezingelapheki iye libike ukuthi imithi siyasebenza kakhulu. Leli thuluzi kukusiza ngokushesha ngokwanele ukumisa okubi kakhulu futhi kujwayeleke isimo jikelele isiguli.

Ukuqhathanisa lokhu isixazululo nge "Gordeksom", ochwepheshe aveze ukuthi "Aproteks" kuyaphumelela. Futhi ukubika ukuthi leli thuluzi akuhloselwe self-ukuphatha. nohulumeni wakhe kudinga amakhono akhethekile, ngaphandle kwalokho isiguli kungase kube nemiphumela eminingi engathandeki.