"Omnipak": imiyalelo ukusetyenziswa, nabalingani real

Ngumphunga nje bonke abantu asayine libinzana lezamayeza, njengokuba-X-reyi. Oku kuthetha ukuba isifundo isakhiwo lwangaphakathi amalungu kunye nezihlunu emzimbeni womntu. Ziye ke kumntu iphepha ekhethekileyo okanye ifilim usebenzisa-X-reyi. Ngenxa kwesi sifundo, kulula kakhulu ukuba ugqirha ukwenza ukuxilongwa echanekileyo ukumisela unyango.

Ukuze lula inkqubo kunye nokuphucula nokuthelekelela ngamalungu angaphakathi kunye namalaphu, esebenzisa agents umahluko X-ray. Basebenzisa iindlela kuphela xa radiology.

Ngokuqhelekileyo, ndlela ezo ziquka i iodine okanye barium.

Enye arhente kakhulu ethandwa X-ray umahluko "Omnipak". Imiyalelo yokusebenzisa, analogs zesixhobo, iimpawu zayo kunye nokwakhiwa ziza kuboniswa koku.

uhlobo kukhululwe ichiza, zayo ukupakishwa, inkcazo kunye nokwakheka

Ziziphi fomu iyekelela arhente radiopaque njenge "Omnipak"? Imiyalelo ingxelo ukusetyenziswa, ingxelo ukuba uthe medicament sisisombululo ocacileyo intravascular, intrathecal kunye inaliti intracavitary. Xa kuthengiswa ngayo ifika iibhotile 20, 10, 100, 50 okanye 200 ml. Xa elinye ibhokisi kusenokubakho 6, 25 okanye 10 ziingceba.

Ukulungiselela "Omnipaque" umyalelo abunikiweyo ngezantsi, iqulathe kwi iohexol layo isakhiwo, zehydrochloric acid, trometamol, amanzi abulawe EDTA (ngamanye edeteat sodium-calcium).

iimpawu Pharmacodynamic agent radiopaque

Yintoni na isisombululo "Omnipak"? Imiyalelo Sebenzisa ithi ukuba arhente radiopaque. Isiphumo emva kokusetyenziswa kuyafikelelwa ngenxa ukufunxeka ayodini lonyanzeliso ngokulungelelanisiweyo X-reyi. Radiographs ivumela ukuba nomfanekiso iintlobo kwemithambo yegazi, tissue, kunye ukuqanda.

radiopacity Best kakhulu myelography eqhelekileyo baphawula emva kwemizuzu engama-30. Kwaye emva kwemizuzu engama-60, abasemagunyeni awukhuselekanga.

CT umfanekiso thoracic kunokwenzeka ukuba iyure, kwingingqi wesibeleko - iiyure ezimbini amaqula carcinomas - iiyure-4.

wesibeleko owahlukileyo, imibhobho biliary kunye pancreatic, angabi nemingxuma articular, tubes, lwesinyi lunamaqoqo peritoneal kufikelelwe ngoko nangoko emva kulawulo isicombululo.

Iimpawu pharmacokinetic ye ichiza

Ziziphi kinetics okufana "Omnipak 'iziyobisi? Imiyalelo yokusebenzisa kweengxelo ukuba emva ulawulo iohexol kwindawo apho iphuma khona emini yena idubule phantse ngokupheleleyo nge nezintso. Xi iziyobisi liphezulu kufikelelwa emva kwemizuzu engama-60 kweli yokuchama.

imithombo half-ixesha lokusebenza okuqhelekileyo inkqubo sezintso ziiyure ezimbini. Ichiza phantse akazibopheleli kwiiproteni plasma.

medicament Intrathecal luthathwa ukusuka ulwelo lwe-cerebrospinal engena kwemithambo yegazi koko kwazona yi izintso ingatshintshanga. Kulo mzekelo, nakwisiqingatha ubomi malunga neeyure ezi-4.

Iimpawu umenzeli radiopaque

Kutheni kufuneka iyeza "Omnipak"? Imiyalelo yokusebenzisa (oku kuthetha ngayo ampoules ezithengiswa phantse yonke ekhemesti) ithi ukuba ichiza ilungiselelwe izifundo X-ray nshita abantu abadala kunye nabantwana. Lusetyenziswa urography, kardioangiografii, arteriography, Itomography ikhompyutha, phlebography, thoracic, empontshwa kunye myelography wesibeleko, CT cisternography, pancreatography endoscopic retrograde, arthrography, salpingography, cholangiopancreatography kunye endoscopic izifundo phecana zesisu.

Izimo ukusetyenziswa iyeza

Xa umcimbi kufuneka banikwe ichiza "Omnipak"? Imiyalelo yokusebenzisa (ntonye beziyobisi zithiwe thaca ngezantsi) ibonisa Izimo zilandelayo:

• hyperthyroidism;
• hypersensitivity kumayeza;
• nokukhulelwa;
• izifo zasekuhlaleni systemic;
• sokuwa (ukuba isitofu subarachnoid);
• usuleleko ebuchotsheni (ngokuba inaliti subarachnoid).

Ngononophelo kakhulu sisixhobo ezisetyenziswa seswekile, emzimbeni, lwegazi yemiphunga, isifo sentliziyo, esenzekayo ekwimo kakhulu, sclerosis, wezintso kwaye ukusilela wesibindi, ezigula ezininzi, butywala esinganyangekiyo, isifo Buerger kaThixo, izifo systemic nowengingqi ziyabagulisa kunye nezenzo thrombophlebitis etsolo, sokuwa, yegazi, kwaye ngexesha zisanyisa, kunye ubudala nangaphezulu.

Isisombululo "Omnipaque": imiyalelo yokusebenzisa

ml 50, 20 ml, ml-10, 100 ml, ml-50 okanye 200 ml - ithamo esetyenziselwa inkqubo yoxilongo lwezilwanya? Oyidlayo nendlela ulawulo lwalo isisombululo igqitywe zizinto ezininzi. Ezi ziquka indlela survey, imeko jikelele isigulana, ubunzima bomzimba wakhe, ubudala, umthamo kwemveliso intliziyo, yaye ngaphezulu.

Umthamo kwirejimeni obacetyiswayo sixhobo, kwaye eyavela kufuneka zifakelwe kuphela diagnostician. Emva intshayelelo yesisombululo kufuneka aqinisekise ukuxovwa olwaneleyo malunga nesigulane eso.

Iziphumo ebezingalindelekanga emva ulawulo

Luphawulwa ukuba i "Omnipak" ziziphumo ebezingalindelekanga ngenxa yeziyobisi? Imiyalelo isicelo ithi xa Ukuqaliswa intracavitary esi sixhobo akufane kakhulu kubangela negazi kwakunye isicaphucaphu, ukugabha kunye noluvo ashushu.

medicament Intrathecal kwakhona isicaphucaphu kunokwenzeka kunye nokugabha. Ukongeza, izigulane ezikhala yintloko ebuhlungu, iintlungu kunye paresthesias ngasemva, entanyeni nasemilenzeni, kwakunye nesiyezi kunye unditsho (abantu bangenwe).

Libanda, umahluko media

Kuza kwenzeka ntoni kunye libanda, iziyobisi "Omnipak 350"? Guide ubanga ukuba ingozi ezincinane, kodwa kuxhomekeke kulawulo yesisombululo ixesha elifutshane kwi ithamo ongekho ngaphezu kwama-2000 mg / kg iodine.

Imiqondiso yokuba libanda, esi sixhobo ziquka cyanosis, Ukopha yemiphunga, asidi, ukusilela intliziyo, bradycardia, ukozela okanye sokulibala, ukutyhafa, ukudinwa, unditsho, angabikho zingqondweni, ukuphazamiseka kwengqondo, depersonalization, nemibono, nokudideka, ukudakumba, ukugula ngengqondo, amblyopia, lafa, ixhala, kunesifo , diplopia, hypoesthesia, photophobia, intetho okanye ukuphazamiseka ezibonwayo, meningismus, ukukhubazeka, utshintsho kwi EEG, legazi ebuchotsheni.

Kungenxa yoko le nto ukuqaliswa Ngokwahlukileyo eendaba kufuneka basoko belwakhele umkhanya ukusebenza kweenkqubo ebalulekileyo kunye namaziko yomguli, ukuba ukugcina ulungelelwano amanzi kunye electrolyte, yaye kwiimeko ezingxamisekileyo - athathe inyathelo ngokukhawuleza.

Intsebenziswano kunye namanye amachiza

Ziziphi iziyobisi ayikwazi zidityaniswe isisombululo "Omnipak"? Imiyalelo Sebenzisa ithi isiyobisi intrathecal ukuba akuvumelani corticosteroids. Kwakhona, mayingabi sakhululwa ezidityanisiweyo kwi isirinji efanayo antihistamines.

Mao inhibitors, avela fenotiazana, lakhula tetracyclic, mziba analeptic kunye CNS kwandisa umngcipheko sokuwa.

Ulawulo ngaxeshanye iziyobisi iqinile liyenyuka kwethuba lokuba hypotension.

Kufuneka kwakhona wathi ichiza kuphucula ingxelo iipropati nephrotoxic nezinye iziyobisi.

izincomo ezithile

Abantu kunye nengozi eyonyukileyo komzimba okhulayo kufuneka ukuphumeza pre-unyango lwe corticosteroids okanye antihistamines.

Kuyimfuneko ukuba bakuthathele ingqalelo kuphuhliso mhlawumbi emzimbeni kwizigulane kunye mielomatozom kakhulu kunye thyrotoxicosis.

Abantu abanesifo seswekile, kwakunye uyondelelwano lwee- creatinine 500 umol / L ukusebenzisa lo sixhobo kunokwenzeka kuphela kwiimeko ezingxamisekileyo kakhulu.

isigulane kufuneka esweni ngenyameko bethengisa ephantsi embundwini nokuhlutha izinto.

Emva intshayelelo yendlala iohexol ukukwazi inyama yodosvyazyvayuschaya lincitshiswe isithuba ukuya kwiiveki ezimbini.

Okufanayo analogue

Xa analogue "omnipak" ziquka: "Visipaque", "Iopromide", "Geksabriks", "Iopromide", "Yopamiro", "iopamidol", "Ksenetiks", "Skanlyuks 300", "Optiray", "Skanlyuks 370", " Yomeron "," Ultravist "," Iodixanol ".

Njengoko kuba ntonye, koko uzisebenzise njengoko "Introviz", "Yunigeksol", "Iobriks", "Iohexol", "Iohexol TP".

reviews

Amaninzi, nokubuyekezwa yesithuthi kuqwalaselwa ngasekhohlo ugqirha-diagnostician. Kwaye oku Ayimangalisi. Ngenxa ichiza ayenzelwanga ukuba unyango yomguli, nangenxa isifundo yomzimba wakhe.

Lilonke, lo ingxelo umehluko eendaba ezincomekayo. Iingcali zithi ukuba ukusungulwa kwesisombululo enjalo ziyalinyusa nokuthelekelela amalungu kunye namalaphu.

Amaxesha amaninzi, oogqirha thelekisa "Omnipak" kunye nezinye agents umahluko. Ngokutsho kwabo, ichiza kuthethwa zivunwe ngcono zizigulane. Ngoko ke, bakhetha ukuba ndikunike eli ziko.