"Pūkeha Pipekuroniyu": tohutohu mō te whakamahi

Medicines olungá uaua kōhiwi, kei te whānui e whakamahia ana i roto i ngā tukanga hāparapara o roanga reo, me te roa e kore e anake, engari ano hoki i roto i te mahi o te whētuki ki te whāinga o te repositioning hononga prosthetic ranei. "Pūkeha Pipekuroniyu" e pā ana ki relaxants te rōpū antidepolyarizuyuschih me he roanga mōrahi o mahi o 50-70 meneti i runga i nga āhuatanga o te rauropi rānei. Kia whakaaro tatou nga tohutohu mo te whakamahi o te raau taero, a rawa ona whakamahi i roto i te mahi whakarehu.

kiripuaki pharmacological

Ko te tikanga o te mahi o te tarukino e pā ana ki te ārai tuku synaptic i te synapse uauaio. Nā ki tenei, i reira he inhibition o te takanga o te pūmanawa mahi i roto i te membrane uaua muka, a ko te kupu, ngaro te pūtau uaua tona kaha ki te kirimana.

Ki te rongo auroa ki te tarukino raro herenga te whakakahore "pipekuroniyu pūkeha" musculature kōhiwi. Hoatu e nicotinic receptors cholinergic o te momo kei kore anake i roto i te wāhi whakapā o muka efferent somatic io ki nga pūtau uaua o uaua kōhiwi me ganglia i roto i te pūnaha io autonomic, te whakataki o pota nui o medicament meinga pānga ganglioblokiruyuschimi ngoikore. Ko e tika ana ki te mutunga o te tuku o te karere hihiko ki te kiriuhi postsynaptic o neurons, e arata'i ki te hekenga i roto i rua pānga pukuaroha, me te parasympathetic tenei.

Tuhinga

tohua faaineineraa "pūkeha pipekuroniyu" te mo te whakangā o uaua kōhiwi i roto i te pokanga. Whai huatanga o te tarukino mo te whakaaro o te tracheal intubation ki ventilation aunoa.

contraindications

Ka rite ki te tarukino ki "pipekuroniyu pūkeha" ako, kei te tino contraindicated te raau taero i roto i te aroaro o te hypersensitivity, me i te aroaro o te myasthenia (onge, whakaritea ira mate, i te mea i roto i te ofatiraa o te excitation i te whanaketanga synapse uauaio, me te uaua ngoikore).

contraindicated te raau i roto i tūroro i roto i te tīmatanga o te hapūtanga. I roto i te wāhanga i muri mai o te tarukino kia whakamahia, kia rite whakawhiti reira te arai placental i roto i moni iti.

pānga taha

Ka taea e te raau tautāwhi i te mahi o te pūnaha io pokapū, meinga tītohunga hypersensitivity.

Mai i te taha o ngā pānga taha Cardiovascular meinga e inhibition o tuku cholinergic i te synapses. Mahi pera kia whakaiti auau ngakau, pēhanga toto raro, rere pūroto whara myocardial, mate roro e pā ana ki te heke haere perfusion.

A, no te kitea ki te korekore ka taea o te pūnaha romahā o te mahi romahā, te takanga o te apnea apnea ranei (tautautefito ki he lolotonga te a'ei o te tarukino).

pānga te tarukino te pākia me he taea ki te meinga i te hua i roto i te taumata toto pāhare pāporo, te whakanui ake i te taumata o te creatinine endogenous me raro wē taumata kūhuka.

Drug "pūkeha pipekuroniyu" - tohutohu mō te whakamahi

whakahaere te raau e anake i raro i te mātakitaki o te mātanga. I mua Me tirohia whakahaere tarukino te wātea o anticholinesterases ( "Neostegmina" ranei "Pyridostigmine") ranei anticholinergics ( "Atropine").

I muri kawea te whawhe aroturuki manawanui tonu te roto i roto i te wā ora i muri i rehunga me manawanui ki te haerenga, oro uaua.

Ko te inenga o te medicament i runga i te pūtake o te whakamātautau matatini o te tikanga tātari taiwhanga manawanui me te raraunga rangahau. I roto i te aroaro o te kore o te mahi puha tākihi, kore ate mahi, te mōmona - kia horopeta medicament raro.

rite te otinga e tonu i mua i whakahaere tarukino "pūkeha pipekuroniyu." tuku tarukino Puka - oko o paura lyophilized kei roto 0.004 go o taonga kaha.

Hoki tūroro ki waimaero toenga toto kawehiko me toenga waikawa-turanga e hiahiatia hoki horopeta whakaritenga. whakaiti maitai o te kukū katote i roto i te toto wē, hauhauaitu me te whakamahi o glycosides cardiac (i roto i digitalization) e taea ki te roa te roanga o te tarukino. I roto i te take o te uaua whakangā i roto i tenei rōpū o tūroro Me tuatahi ki te haerenga i te kawehiko o toto, a ka ki te kawe i roto i uaua whakangā. I roto i te take o te tūroro ki te kore te ngakau ma'i, kia pōturi tohanga toto te toronga o te wā moe o te pānga tarukino (hua i roto i te wa i waenganui i whakahaere me te tīmatanga o te pānga).

Ka taea e koe te whakamahi i te raau taero i roto i ngā tamariki i te 1 tau. I roto i tenei take me mahara reira e te tinana o te tamaiti, ko te iti tairongo ki te pānga o te relaxant uaua, a runga i, ki te whakatutuki i te pānga e hiahiatia ana, kia nui haere te horopeta o te tarukino.

tarukino hararei

Whakahau i te tarukino hoki e kore "pipekuroniyu pūkeha" tohutao i roto i te reo Roma taea ara te haere rata. Ka whiwhi institution Medical matū puai i te rārangi A anake i runga i te tono, me te i runga i te kaupapa o te kāwanatanga. I roto i te take motuhake, kia whakahau "pipekuroniyu pūkeha" tunu he tohunga te whakamahi i te "whero" puka, Heoi, e tika ana e kore whatunga hōhipera katoa ki te iteraa o te raau taero, me raau taero pakeke, tae atu ki ngā relaxants uaua.

ingoa hokohoko

I roto i te mākete ho'oraa te tarukino e wātea ana i raro i ngā ingoa hokohoko pērā i "Arduan" "Vero pipekuroniyu", "Aperamid", "pipekuroniyu pūkeha". ingoa hokohoko o te tarukino he ti'aturi i runga i te kaiwhakanao, hoko he tarukino ki te mākete ho'oraa.

tuwhena rawa

Ko taea He tuwhena rawa o te tarukino me te pānga whakaiti tika ki te whakataki o anticholinesterases. tauturu i ēnei taero ki te whakapiki ake i te kukū o te acetylcholine neurotransmitter, reira whakataetae ki uaua relaxant mō herea pae i runga i te receptor.

Ano, mehua haumanu i roto i te tuwhena rawa hangaia ki te whakapiki ake i te pēhanga toto, mau tonu mahi tinana faufaa roa, tae atu i te utu o te ventilation aunoa.

taunekeneke Drug

e kore e taea te konatunatua te tarukino ki rongoā e whaowhia rerekē, ki te kahore rongoā isotonic o te konutai pūhaumāota me te terehuka. Ko te whanaketanga o te pānga tarukino pōturi iho, nui haere te horopeta haumanu whai hua i raro i te huru o te whakahaere te pokanga ki te manawanui te inhibitors cholinesterase.

I roto i te tono tahi ki te uaua relaxant Pë whakapōauau korekore taea o te pokapū romahā ki te whanaketanga o te apnea moe.

Whakamahi o te tarukino me te momo o te mahi depolarizing relaxants uaua e taea e rua whakarei me te waimaero te pānga uaua relaxant whānui. Tenei tūkunga ko e tika ana ki te inenga o raau taero, te wā o te whakahaere, me te tūtohutanga takitahi ki te tarukino.

mutunga

E mau ana uaua whakangā i roto i te pokanga - he wahi nui o te rehunga integrated. Drug "pūkeha pipekuroniyu" Kei te pai e whakamahia ana i roto i te mahi hauora mō ēnei take.

Me mahara te reira e te whakataki o te tarukino kore anake ai whakangā o uaua kōhiwi haepapa mō te kaupapa tūao, engari ai ano hoki pāpāngia o nga uaua romahā. Whakaaro tenei, whakamahia te raau e anake i raro i ngā tikanga me te hāparapara kaha wae tiaki.