Imiyalelo yokusebenzisa "Mannitol". Inkcazelo ichiza, analogue, ncomo

Amachiza umchamo ukuba izakhiwo ezahlukeneyo, kodwa enye into efanayo. Kwandiswe umthamo imveliso ulwelo emzimbeni. Kungenjalo obizwa ngokuba womchamo osmotic. Ezi amayeza zisetyenziswa kunyango lwegazi, ezimbi kwinkqubo sentliziyo. Ukongeza, ukusetyenziswa kwazo bugwetyelwe phantsi naziphi ezinye izifo kunye iindumbisa Amalungu nezihlunu. "Mannitol" anawo phakathi kwabo bonke womchamo osmotic kakhulu ethandwa. Yiloo ngayo kwaye kuya kuxoxwa ngazo kweli nqaku.

"Mannitol" - ntoni na?

"Mannitol" - a medicament iyabuphucula umchamo. Kwakhona, ubume kakhulu kwandisa umthamo wegazi elijikeleza emzimbeni. Yayibubungqina esingundoqo ukusetyenziswa yalo status epilepticus, uxinzelelo oluphezulu intracranial, ukusilela kwezintso.

Xa indima into esebenzayo iziyobisi afakwe obuxhasa igama elifanayo - mannitol. Phakathi izithako kwi salathiso uphawula sodium chloride, isodiyam sulfatsil, hydrochloride flavakridina. Iinkampani eziXuba amaYeza ukuvelisa ichiza njengesisombululo ngenxa inaliti efakwa. Wathengisa ngayo zeebhotile iglasi ezinobukhulu obahlukileyo.

iipropati kwemithi

Imiyalelo yokusebenzisa "Mannitol" oluphawula ichiza amanyathelo umchamo. Isiphumo umchamo kubangelwe kukunyuka koxinzelelo osmotic plasma nokwehla reabsorption amanzi. Ukusetyenziswa kweziyobisi ukulungiselela iinjongo zonyango kube lula ukudluliselwa ulwelo ukusuka kwinyama zibe iimpahla. Kulindeleke oku yoko, izigulane igazi noxinzelelo aphezulu ngala mabhunga.

Isiphumo umchamo lo yedosi-oxhomekeke. Ukwandisa umthamo amayeza umlinganiselo ngqo kuchaphazela isixa imveliso yeKhlorini osmotically ezamahala ulwelo kesodiyam. Xa azotemia izigulane ascites cirrhotic okanye ukusetyenziswa engeyiyo le medicament. ukusetyenziswa kwalo kungabangela hyponatremia, ngoko self-unyango ayamkelekanga. Ngexesha unyango, ugqirha kufuneka basoko belwakhele umkhanya uxanduva sodium / potassium kwi serum igazi, kunye nomchamo output kunye noxinzelelo lwegazi.

Ubungqina obubonakalayo buxela ukuba

ngokusetyenziswa "Mannitol" manual icebisa ukuba usebenzisa ukuphazamiseka zilandelayo nezifo:

• ukusilela kwezintso;
• kuhlasela glaucoma;
• sisibindi;
• ephakamileyo pressure intraocular ;
• yityhefu yimichiza.

Kwakhona, umxube "Mannitol" lisetyenziswa ngexesha utyando namaphephandaba extracorporeal, kuba hemoglobinemia zokuthintela.

umthamo

Umchamo ilawulwa yegazi okanye bolus. Ngaphambili kucetyiswa ukuba shushu ukuya lobushushu emzimbeni. Irejimeni oyidlayo ujongwa igqirha kuthathelwa ingqalelo imeko yomguli kunye isifo sakhe. I umbala Izinga emiselweyo neziyobisi of mg 500 kilogram ubunzima bomzimba ngalinye, unyango - 1.5 g kwekilogram ubunzima bomzimba ngalinye. Idosi yemihla ngemihla kufuneka abe ngaphezu 180 g

Xa utyando ne extracorporeal kwegazi usebenzisa nomonde elawulwa 20-40 g yesisombululo ngokukhawuleza phambi kokuba umsebenzi. Izigulane oliguria kuqala ukubeka ngokucothayo indlela unika iyeza imizuzu emihlanu. Irejimeni oyidlayo ujongwa ngugqirha. Ukuba kwisithuba seeyure ezintathu emva kokuba isitofu ukwanda diuresis ukuya 45 ml / g akukho waphawula, ichiza ibhukuqwe.

Izimo side effects

Nalo yesikhokelo contra bathi? "Mannitol" akukhuthazwa ukuba ezimbi zilandelayo:

• sophele ngesibetho;
• emzimbeni;
• washiya ukusilela ventricular;
• nokudumba pulmonary;
• necrosis tubular olunamandla;
• yokopha subarachnoid.

Imithi enkulu inkathalo emiselweyo abafazi abakhulelweyo kunye phindeke. Ukusetyenziswa iyeza Kuvumeleke kuphela phantsi kweliso zonyango. Yingcali kufuneka ahlole ulungelelwano phakathi imingcipheko kunye neenzuzo ukuba usana kunina.

Ulwazi malunga nemiphumela emibi

Phambi kokuqala unyango kufuneka babenolwazi ukuvula ukuba ichiza. Oko athi malunga neziphumo ebezingalindelekanga ukusetyenziswa myalelo? Mannitol, kwimeko yokudlula idosi obuvumelekileyo kungabangela emzimbeni. Ngoko ke, ukusetyenziswa iyeza Kuvumeleke kuphela phantsi kweliso zonyango. Ukuqunjelwa, ukoma, libya uxinzelelo lwegazi, isifo - ezi mpawu zibonisa utshintsho fluid kunye electrolyte ukulingana emzimbeni. Ukuba uyeka ezithatha ichiza aze adibane nogqirha. Yingcali kufuneka nyenyisa irejimeni yonyango, okanye ayithiye medicament ntonye.

analogs ezikhoyo

Ukuqwalasela inkcazelo yokulungiselela "Mannitol" (ukuba kunjani ukuba injongo wamiselwa), kubalulekile ukuba sinikele ingqalelo noontanga bayo. Nangona tolerability ezilungileyo ichiza, akukho ukuba wonke. Ukuba ngexesha lonyango, ogulayo yintloko, kunye neengxaki kunye nombono, bayayeka ukuthatha kuyo. Kwiimeko kuyingozi kakhulu, ugqirha ubeka uphando ukuze siphephe iingxaki ezifana legazi subdural.

"Mannitol" yi lyophilisates ukuba ukumnika "Urea" solution Indlela n'wina amanyathelo kunye neempawu imithi. zuza ncomo positive "Mannitol" phakathi kwezinye analogue beziyobisi. Eli chiza esetyenziswa ukwandisa umthamo ngumchamo. Iinkampani eziXuba amaYeza aliveze ngokohlobo kwesisombululo ukuba isitofu. "Mannitol" yaye "Mannitol" kukho amalungiselelo twatse. ukusetyenziswa kwazo kuvunyiwe ukuba ukwanda koxinzelelo intracranial, nokudumba ebuchotsheni, glaucoma, kunye nezinye izifo. Umehluko - basabele ebezingalindelekanga. Reception "Mannitol" wambi sikhatshwe kuphazamisa balance yamanzi-electrolyte nenkangeleko iimpawu uphawu le meko. Egqithayo umthamo ekucetyiswa "Mannitol" kunyango kunokukhokelela thrombosis kunye tachycardia. kuphephe yi "Mannitol" Ukusuka kwindawo yonyango ngayo.

Price, ihlola malunga amayeza

Iimbono abathengi lwamayeza ezifumaneka kuzo zombini elihle kunye okubi. Ingenelo ebalulekileyo le umchamo lo ixabiso layo liphantsi. Umzekelo, ukuba ibhotile (200 ml) kumnika lilonke 100 engange. Baqinisekiswa zibonisa ukuba ichiza ngokupheleleyo ukwenza imisebenzi yakhe. Iziphumo ebezingalindelekanga ezinqabileyo kakhulu.

I-ncomo ezimbi ziqhutywa ngokubanzi ngendlela iziyobisi "Mannitol". Iipilisi ekhethwa ukuba khetho ezininzi unyango. Le umchamo senziwa kuphela ngokohlobo isisombululo ngenaliti. Ngenxa yoko, izigulane banyanzeleka ukuba ndilinike phezulu, kunoogxa ngokubuyisela.

Xa ndiqukumbela, kufanele kuphawulwe ukuba "Mannitol" i umchamo esebenzayo osmotic. Kodwa eli chiza. Ngoko ke, ngaphambi kokuba isicelo kuyimfuneko ukufunda imiyalelo. Hlala uphilile!