"Lasix" ku ampoules: imiyalelo ukusetyenziswa, idosi

Yintoni womchamo? It iziyobisi ukuba izakhiwo imichiza ezahlukeneyo, nto leyo zinqanda reabsorption setyiwa namanzi tubules kwezintso, kwakunye ukwandisa zinomgutyulo lwabo yokuchama. Ngaphezu koko, imithi enjalo ukwandisa imveliso umchamo, ukunciphisa isiqulatho lamanzi nemingxuma serous kunye nezinye kwizihlunu.

Eyona ndlela ithandwa sisiyobisi umchamo "Lasix" (ampoules). Le umthamo ichiza, imiyalelo kunye nokubonakaliswa kuxoxwe ngazo ngezantsi.

Ifom beziyobisi, ukupakishwa yayo, okwakhiwa

Ukuba ngawaphi amacandelo iqulathe amayeza "Lasix" (in ampoules)? Imiyalelo yokusebenzisa ithi nomongo engundoqo yolu alungiselelwe furosemide. Kwakhona, oko kuquka sodium chloride, amanzi inaliti kunye sodium hayidroksayidi.

Le ichiza nawokwazisa njengesisombululo w / o okanye w / w wolawulo. Kuyinto oluselubala kwaye akukho umbala.

Yavelisa le arhente emnyama iglasi ampoules isiphoso indawo, apho bahlala kwi ulwandlalo iseli ukusuka zeplastiki.

indlela isenzo

Njani ichiza "Lasix" (in ampoules)? Imiyalelo yokusebenzisa (intramuscularly le arhente kufuneka kuphela ezibhedlele kwaye kwiimeko ezizodwa) uthi ukuba olele ukwenza umchamo sulfonamide ithe.

medicament Active iyakwazi olubiyele zothutho kwenkqubo ion potassium, sodium kunye neklorin kwisebe loop enkulu Henle. Kungenxa yoko le nto inyathelo salureticheskim uthe ichiza kuxhomekeke ekufikeni kwayo tubules sezintso.

Iipropati umchamo ingxelo kuthetha eqhagamshelwe inkqubo ingcinezelo sodium chloride reabsorption kulo kwicandelo wathi (yomtya of Henle). Ke kwempembelelo engephi, abarhanelwa zibandakanya ukwanda umthamo umchamo kunye potassium secretion kwi tubule distal. Kwakhona ngexesha elifanayo kwenyusa kukhuthaza calcium nezinki ion.

ulawulo okuphindiweyo beziyobisi akuthethi ukunciphisa umsebenzi wayo umchamo. Oku kubangelwa yinto yokuba ichiza uchaphazelekayo akwazi ukuba ukuphazamisa ingxelo glomerular-tubular.

Asikwazi sithi "Lasix" isisombululo ebangela nqgo (yedosi-oxhomekeke) kwenkqubo renin-angiotensin-aldosterone.

iimpawu iziyobisi

Ziziphi iimpawu uphawu "Lasix" drug (ampoules) na? Imiyalelo yokusebenzisa okufunwayo ukusilela intliziyo iyeza kunciphisa umthwalo uxinzelelo kwi imithambo (pulmonary) kunye ukuzaliswa ventricle ekhohlo. Ngaphaya koko, eli chiza nefuthe iqinile okubangelwe ukuhla umthamo wegazi (ajikelezayo), ukunyusa sodium zinomgutyulo kwaye ukuncipha reactions kwezihlunu (ezigudileyo) malunga neziphumo vasoconstrictor nemithambo.

Yedosi-abaxhomekeke natriuresis kunye diuresis waphawula xa uthatha amachiza ithamo ka 10-100 mg. Emva impembelelo efakwa 20 mg isiphumo umchamo waphawula emva kweyure ¼ kwaye waqhubeka imizuzu 180.

Ulawulo elide ukumnika arhente ngokufanelekileyo ngaphezu bolus ngokuphindaphindiweyo. Kufuneka kuqatshelwe ukuba amayeza kwemfuneko iidosi ukusebenza ukwanda kakhulu izigulane akufuneki ulandelwe.

iipropati pharmacokinetic

Yintoni kwikinetiki iparameters ezendeleyo iziyobisi "Lasix" (in ampoules)? Imiyalelo yokusebenzisa ibonisa ukuba umthamo lonikezelo yokulungiselela into esebenzayo kweelitha 0.1-0.2 ngamnye 1 kg ubunzima nomonde.

Furosemide sibophelela kakuhle kwiiproteni yaye kwazona ingaguqukanga yi secretion kwi tubule proximal.

Yesiphelo isiqingatha ubomi ichiza emva nokubandakanywa efakwa malunga elinye kunye iiyure enesiqingatha. Eyona nto iphambili ichiza idubule ngobisi lwebele kwaye ingena isithintelo placental.

Iimpawu zibonisa ukuba ukusetyenziswa kwe isisombululo

Zeziphi izifo ukumisela iinaliti "Lasix"? Imiyalelo yokusebenzisa (ampoules / m kunye / e) ithi neziyobisi ezibonisa lithi zilandelayo:

• syndrome edematous ukwehluleka intliziyo uhlobo ezingapheliyo;
• syndrome kunye nokudumba kwezintso ukusilela ezingapheliyo uhlobo;
• syndrome edematous ahlekise ukusilela kwentliziyo ubhalo;
• ukusilela etsolo kwezintso, kuqukwa ukutsha, ukukhulelwa (ukwenzela ukuxhasa le zinomgutyulo fluid);
• syndrome edematous zizifo zesibindi ezahlukeneyo (njengonyango ziyahambisana kunye bachasene aldosterone);
• syndrome edematous ne syndrome nephrotic (unyango kwesi sifo engundoqo);
• head nokudumba ubuchopho;
• Forced inkxaso diuresis ngexesha yityhefu imichiza (ngamanye amazwi, izakhi kwazona yi izintso kwifomu ingaguqukanga);
• crisis unesifo.

Ukuvimbela ukuba ukusungulwa sisombululo

Kwezinye iimeko, awukwazi ukungena isisombululo "Lasix" (in ampoules)? Imiyalelo zokusetyenziswa (kwabantwana nokusetyenziswa kwale sixhobo thethwana ngokwahlukileyo) lixela ukuba ichiza isetyenziswe ku:

• hypokalemia kakhulu;
• ukusilela kwezintso (kuqukwa anuria);
• hyponatremia kakhulu;
• precoma hepatic nokufa isiqaqa;
• hypovolemia (eliphantsi wegazi kunye okanye ngaphandle) okanye emzimbeni;
• nokukhulelwa;
• ebukhali wavakalisa ukutyeshelwa nencindi umchamo nawuphi na umthombo (kubandakanywa ezitshangubeni unilateral womchamo);
• lwebele;
• Hypersensitivity ukuba izithako eziphambili;
• ukuba umzimba sulfonamides.

Ukusetyenziswa kweziyobisi kunye isilumkiso

Kwezinye iimeko ngononophelo kakhulu kufuneka zisetyenziswe iziyobisi "Lasix" (njengezingxobo)? Imiyalelo yokusebenzisa ithi ulawulo olunjalo ichiza kufuneka ube:

• States apho ngokugqithisileyo ukwehlisa uxinzelelo lwegazi liyingozi (umz, izilonda stenotic kwemithambo yenhliziyo okanye palsy);
• hypotension;
• sifo;
• okanye isifo seswekile ibonakale angasebenzi;
• iqhosha elibukhali engabalulekanga (kuquka ingozi enyukileyo bothukile cardiogenic)
• syndrome hepatorenal;
• zomzimba lupus;
• ephuma othile wokuchama (prostate hyperplasia, hydronephrosis, licuthe le urethra);
• hypoproteinemia;
• ubuthulu;
• sorhudo kunye pancreatitis;
• fibrillation ventricular;
• kwiintsana ngaphambi kwexesha.

Drug "Lasix" ku ampoules: imiyalelo yokusebenzisa

A lokumiselwa beziyobisi ngokungqinelana kwirejimeni ekhethiweyo kufuneka amisele liyincutshe onamava kuphela. Xa kutyunjwa ichiza idosi lisezantsi kufuneka ingasetyenziswa, ezo ezaneleyo ukuze kufikelelwe isiphumo ebezifuneka.

Le medicament ilawulwa intramuscularly kuphela kwiimeko ezizodwa. Ngokuqhelekileyo, oko obegalelwe yegazi (ngokucothayo 4mg ngomzuzu).

Kufanele kusetyenziswe "Lasix" kwi ampoules kangakanani isicombululo? Umthamo le arhente kuxhomekeke bungqina.

• syndrome Edematous ukwehluleka intliziyo uhlobo esinganyangekiyo.

Ithamo yokuqupha le meko kufuneka 20-80 mg ngosuku. Njengomgaqo, kokuba ikhethwe ngokungqinelana impendulo umchamo. Nale isifo idosi yemihla ngemihla ichiza yahlulwe kathathu.

• syndrome Edematous ukuhluleka entliziyweni ahlekise.

Ithamo yokuqupha le meko 20-40 mg. Ukuba kuyimfuneko, oko alungiswe.

• syndrome Edematous ne ukusilela ezingapheliyo kwezintso.

Izigulane zifuna ukhetho idosi ngenyameko. It kwandisa ngokuthe ngcembe, kangangokuba ilahleko kulwelo kwenzeka ngokuthe ngcembe.

• Acute uhlobo ukusilela kwezintso (ukuxhasa zinomgutyulo fluid).

Phambi kokuqala unyango kufuneka zisuswe hypotension kunye hypovolemia, kwakunye waphula esiti-isiseko kunye nobume electrolyte. Initial oyidlayo emthanjeni xa sifo yi-40 mg.

• Sivakale sidumbile le onaso nephrotic.

Kule meko, idosi lokuqala zolondolozo iziyobisi 20-40 mg ngosuku. Ngokuqhelekileyo, uyonyulwa ngokusekelwe impendulo umchamo.

• Syndrome mbile izifo zesibindi.

Kulo mzekelo, ichiza anikwe njenge uhlobo njengesongezelelo unyango abamelene aldosterone.

• nokudumba ingqondo, emaxongo unesifo.

Njengoko yezifo isisombululo okunjalo ukuba iphathwe "Lasix" (ampoules)? Imiyalelo yokusebenzisa ithi ukuba idosi lokuqala medicament wathi xa iimeko kufuneka 20-40 mg (via bolus emthanjeni). Kuxhomekeka ifuthe ithamo akufanele ukunyuswa.

• Inkxaso diuresis ngenkani ukonakalisa imichiza.

Le medicament ilawulwa emva nokubandakanywa efakwa izixazululo electrolyte. Ithamo sokuqala kule meko 20-40 mg. Ngexesha unyango kuyimfuneko ukulawula nokubuyisela iziselo elahlekileyo.

side isenzo

Ngaba imiphumela emibi yesisombululo "Lasix" (in ampoules)? Imiyalelo yokusebenzisa ngokungqinelana neziphumo ebezingalindelekanga zilandelayo:

• chloropenia, hyponatremia, alkalosis metabolic, hypomagnesemia, hypokalemia, hypercalcemia;
• emzimbeni, hypovolemia;
• kunciphisa uxinzelelo lwegazi, eziva xi entloko, isiyezi, ukuphazamiseka ezibonwayo, intloko ebuhlungu, tachycardia, ukozela, ukuwa, ubuthathaka, umlomo owomileyo;
• kumanqanaba of triglycerides kunye cholesterol, kunye namanqanaba igazi urea kunye creatinine;
• nokunyamezela glucose kakuhle, nephritis Embi;
• isicaphucaphu, paresthesias, ukugabha, urhudo, cholestasis intrahepatic, pancreatitis etsolo, nephrocalcinosis ebantwaneni njengokuzalwa;
• endlebeni, irhashalala, ukuduma, pruritus, dermatitis exfoliative, irhashalala okanye amanxeba bullous ulusu, erythema multiforme, ifiva, purpura, photosensitivity, vasculitis;
• thrombocytopenia, leukopenia, eosinophilia;
• agranulocytosis, nokufumba icalcium nezintso, igazi aplastic;
• isisa kuyo inaliti.

Xa ukubona ugqirha?

Ngoku uyazi, onjani yokusabela icala ingenza isisombululo "Lasix" (ampoules). Imiyalelo zokusetyenziswa (abantwana kunye nabantu abadala, ichiza ikhuthaza indlela efanayo) uthi ukuba utshintsho kulo mfanekiso igazi, kwakunye ulusu namachiza okanye nezidlo okanye reactions anaphylactic engozini ubomi izigulane. Ngoko ke, xa naziphi na izinto ezimbi kufuneka ubone ugqirha ngokukhawuleza.

amanyathelo okhuseleko

Oko umele ukwazi phambi kokusebenzisa isisombululo "Lasix" (in ampoules)? Imiyalelo zokusetyenziswa (kuba ziikati yindlela kwaye izilwanyana ezifanelekileyo hayi eyabelwe) sibonelela ukuba phambi kokuba uqale unyango kuyimfuneko ngaphandle ubukho yokuphazamiseka iphawulwe nencindi ngumchamo.

Ngexesha unyango kuyacetyiswa ukuba utye ukutya ukuba zizityebi potassium. Kungenjalo, kufuneka uthathe ii-arhente potassium-ndiconga.

Ezinye iziphumo ebezingalindelekanga uphazamise ubuchule bomntu ingqalelo, nto leyo eyingozi kakhulu xa usebenza ngoomatshini entsonkothileyo yokuqhuba.