Yokusetshenziswa "Refortan" umkhiqizi analogue

Esikhathini Uma kwenzeka kucima emikhulu yegazi okubangwa eziyinkimbinkimbi ukuhlinzwa, ukuhlukumezeka, ukusha, ubuthi kanye nenombolo ye yalesi sizathu nezinye, kudingeka ukuba isiguli sibe ukumpontshelwa igazi. Nokho, leso sinyathelo akuyona njalo kungenzeka ukuba afeze ngokugcwele. Ezimweni ezinjalo, kanye igazi plasma-ukusetshenziswa izixazululo. Enye yalezi izidakamizwa, njengoba kuboniswa yokusetshenziswa, "Refortan". Cabanga ngalokho nomuthi asebenzayo.

incazelo imithi

Isixazululo "Refortan" - umuthi yezokwelapha ephathelene plazmozameshchath izindlela. Isithako asebenzayo we umuthi hydroxyethyl. Yithole kusukela irayisi, amazambane, ukolo corn amylopectin. Umuthi kokuba isikhathi eside-plasma-nomphumela. Ngaphezu kwalokho, kuthuthukisa kwegazi igazi emzimbeni futhi yayo izakhiwo rheological.

I asebenzayo izidakamizwa lokulungiselela hydroxyethyl. nomuthi Ikhishwa ngesimo isixazululo colloidal esetshenziselwa ukumnika.

izici zayo zomuthi:

1. Umuthi has a isikhathi eside umphumela plazmozamescheniya. Effect Its inakekelwa amahora 5-6.
2. Umuthi kunomphumela omuhle igazi ekunqandeni.
3. Ngokushesha ubuyisela elahlekile igazi ivolumu. Kulokhu, nge umthamo enkulu akakubangeli ukuvuvukala.
4. Ithuluzi ubuyisela ukugeleza kwegazi ukuphazamiseka.
5. It akuphazamisi ukusebenza kwezitho.
6. Umuthi aqede aggregation erythrocyte, thrombocytes.
7. Nomuthi kunciphisa igazi viscosity.
8. It akakubangeli histamine ukukhululwa.
9. Umuthi kakhulu ibekezelelwe. Ukusetshenziswa Its kuyaqabukela ephelezelwa engemihle.

Kusukela izidakamizwa ibekwe "Refortan" imfundo manual. Umenzi we izidakamizwa - inkampani isiJalimane, "Berlin-Chemie".

izinkomba

Umuthi ingasetshenziswa njengendlela agent zokwelapha noma prophylactic. Kuthiwa e pathologies, okuncike ukwehla igazi ivolumu noma ukwephula microcirculation yayo.

Ngakho, ngokusebenzisa "Refortan" imfundo umkhiqizo inhlukano uncoma Sokuzivikela kulezi zimo ezilandelayo:

1. izimo Hypovolemic kubangelwa imisebenzi kuhlinzwa, ukusha, izilonda, ukudakwa, izifo ezithathelwanayo, lapho isinxephezelo edingekayo afundwa igazi ivolumu (CBV).
2. Hemodilution (igazi dilution).
3. ukushaqeka Obungapheli, ukusha, uhlamvu ukonakala.
4. Hemodilution phakathi nokuhlinzwa. Kusho esetshenziswa njengoba kudingeka ukuze inciphise igazi elithekelisiwe.

Umuthi iye yasetshenziswa ngempumelelo nokuvimbela nomfutho wegazi ophezulu ngesikhathi izinzwa, umgogodla noma uhlobo epidural.

Umthamo zomuthi

Ukulungiswa isetshenziselwa inki jet noma ukuvuza. Umthamo kuncike isimo lesiguli.

on isicelo "Refortan" manual uncoma ukusebenzisa ngendlela elandelayo:

1. Komthamo wokuqala (10-20 ml) kufanele sinikezwe kancane kakhulu. Njengoba aluqede ngokuphelele ukusabela anaphylactoid akunakwenzeka, umuthi isetshenziswa ngaphansi kweso lwezokwelapha esiqinile.
2. Ngo oluhambisana ukushaqeka isixazululo sethulwa ku-20 ml / ihora. Ngo sepsis betshisa ke Kusolwa ukulethwa kancane zomuthi emzimbeni.
3. Umthamo nsuku zonke akufanele budlule 33 ml isixazululo 6% no-20 ml - 10%.
4. udokotela kuphela uyakwazi ukuthola izinga ukwethulwa nomuthi umthamo yayo esimweni esindayo ukopha.
5. Lapho isidingo ukwelashwa ukumpontshelwa (hemodilution) Isikali yansuku zonke kuze kube-500 ml. Umuthi busuka umzimba zingakapheli izinsuku 3-5. Izabelo ezinjalo anconywe iziguli ukulahlekelwa ezigazi kulinganiselwa njengoba ngokwesilinganiso. Ezimweni ezinzima izidakamizwa umthamo ngenhla zaphathwa umzimba inyanga.
6. Ukuze ekwelapheni hypovolemia Kunconywa isixazululo 10%. Isikali ibalwa kusukela isilinganiso: 1 kg isisindo nesineke - 20 ml isixazululo. Isikhathi course kuncike isimo lesiguli futhi uzimisele kuphela ngudokotela wakho.

imithamo okunjalo amiswa njengamaphayona iziguli omdala nezingane. Nokho, ukuqaphela ukuthi kuvimbela izidakamizwa "Refortan" imfundo manual. Izingane, ogama yobudala kungazange kufinyelele engu-12 ubudala, umzimba kusenziwa kwakhiwa. Ngakho-ke, umenzi alikukhuthazi ukusetshenziswa isixazululo izingane.

Izimo

Isixazululo, njenganoma yiluphi izidakamizwa, enezinto eziningi ukulinganiselwa. Ngokusho imiyalelo, contraindications yokwelapha imithi kukhona lezi zithi:

• ukuzwela umuntu;
• ukwehluleka kwezinso;
• Izingane ezineminyaka engu-12;
• intracranial ingcindezi ephakeme;
• edema yamaphaphu;
• ukuhluleka hepatic;
• ukopha intracranial;
• okuqukethwe okuphezulu sodium-plasma;
• ukopha disorder;
• hypokalemia;
• anda okuqukethwe chloride-plasma yegazi.

Ingabe kuvunyelwe ukusebenzisa izidakamizwa "Refortan" yokusetshenziswa phakathi nenkathi yokukhulelwa? Kuleli zinga, zidinga ngokuqapha okusezingeni eliphezulu lapho usebenzisa lolu izidakamizwa.

Odokotela bakugwema ngokuqondile ukusebenzisa ikhambi senyanga yokuqala. Ngempela, ngale nkathi izidakamizwa kungaholela kuwukwephula ukuthuthukiswa embryonic umbungu.

Ukulungiswa kungenziwa Kunconywa senyanga yesibili noma yesithathu. Nokho, ukukhulelwa iyindlela esimisiwe kuphela uma kubalulekile ukuba ngumama umbungu akusho ukulimaza.

side effects

abantu basabele ngendlela embi uma usebenzisa nomuthi zenzeka njalo. Nokho, kwezinye iziguli zingase namanje. Lokhu kufakazelwa yokusetshenziswa.

"Refortan" uyakwazi avuse side effects, ebonakaliswa ifomu:

1. komzimba, urticaria, ukulunywa, dermatitis, edema angioneurotic, zomkhuhlane syndrome, ebusweni ikhava hyperemia tachycardia.
2. Ukwephulwa emsebenzini ipheshana wokugaya ukudla: isicanucanu, ukuhlanza, ukopha emathunjini, uhudo.
3. Izinkinga sokuhamba kwegazi: hypoproteinemia, ukushaqeka, ukwandisa umsebenzi Amylase egazini.
4. CNS iziyaluyalu: neuralgia, ubuhlungu bekhanda, myalgia, isiyezi, yokufikelwa, equlekile.
5. Izinkinga ze-uhlelo senhliziyo nemithambo yegazi: arrhythmia, ukuboshwa inhliziyo, inhliziyo ukuhluleka ukubukeka.

ukweqisa izidakamizwa wezokwelapha

Nge umthamo omkhulu uketshezi injected isiguli kungase kudingeke izimpawu esibi kakhulu. Basuke izimpawu ukweqisa izidakamizwa imithi. on isicelo "Refortan" manual incoma usebenzisa kuphela ngemithamo kuchaziwe ngenhla. Lokhu kuzokwenza ukuvikela esigulini phakathi imiphumela emibi.

Overdose kuboniswa izimpawu ezifana:

• Ukungazinzi hemodynamic;
• izinkinga of igazi ekunqandeni.

Ukuze ekwelapheni izimo ezinjalo Kunconywa ukuqedwa ngokushesha ukumnika. Ngenhloso zokwelapha enqunyiwe isisu.

Izixwayiso

Kubalulekile cabanga nokuxhumana zomuthi "Refortan" nezinye imithi. Uma lokhu kusho zinikwa aminoglycosides, kungenzeka ukuthi imishanguzo ziyoba nemiphumela nesineke nephrotoxic.

Musa umshanguzo "Refortan" nezinye izixazululo ukumnika. Okungenzeka ukungavumelani kwemithi lezi zimali. Lokhu kungaholela imiphumela engemihle kakhulu.

kumakhophi main

Zikhona izidakamizwa ne izinkomba efanayo futhi ukhiqiza nomphumela ofanayo emzimbeni, okhombisa izidakamizwa "Refortan" yokusetshenziswa? Analogs ukuthi ongancintisana ejenti yasekuqaleni ingacosha kuphela udokotela ukuba khona ikhumbula ngezimo zesiguli futhi izici ngamunye umzimba.

Miselela izidakamizwa "Refortan" uyakwazi imithi enjalo:

• "Venofundin".
• "Hemodez".
• "Voluven®".
• "Infukol".
• "Reopoligljukin".
• "Stabizol".
• "Volemkor".
• "Ceruloplasmin".
• "Volek."

Imibono mayelana izidakamizwa

Umuthi isasetshenziswa ngokuba abantwana, uma kunezinkomba zokuthi sina lokhu. Odokotela linqume izingane kusho yize it is hhayi Kunconywa imithi "Refortan" imfundo manual. Ezinganeni (it ubukeza ubufakazi) kakhulu ezingavamile ukusabela ezingezinhle zenzeka. Kulesi bengeyona sihluke imiphumela emibi ezenzeka iziguli omdala.

Ngokuvamile ukushiya izibuyekezo izidakamizwa kwabesifazane abakhulelwe kanye preeclampsia sitholakale emabangeni emaphakathi noma ezinzima. Ngokusho yokwelapha imithi ivumela esihle ukuqeda hypovolemia, edema interstitial, njalo iyehlisa kakhulu umthwalo inhliziyo.