"Promedol": ntuziaka maka ojiji. Hapụ ụdị ọgwụ, iwu nke ire ere ke pharmacies

Ụfọdụ ọrịa ji oké ọgụ nke mgbu, nke nwere ike ijikwa bụghị onye ọ bụla ahụ mgbu. Ya mere, na ọgwụ na ahụ ike na-eme na ọtụtụ-eji ọgwụ metụtara opioid analgesics, nke na-ere naanị site ọgwụ. One dị otú ahụ ọgwụ ọjọọ bụ ihe gị n'ụlọnga "Promedol" ezigbo ezumike obula nke mmadụ Central ụjọ usoro interneuronal nnyefe nke mgbu gboo. Na-ekwu okwu agonist opioid ihe nnabata nkwadebe "Promedol" na-eme na akụkụ ụbụrụ, na-agbanwe obi mgbawa. Site pharmacological Njirimara yiri agwọ ọrịa ọgwụ "morphine" na "Fentanyl", ọ na-budata enwekwu ndị mgbu fọrọ nke mmadụ, nwere ihe nkezi soporific mmetụta na ihe inhibiting utịp ke oyi na-aghọ nkọ. Otú ọ dị, n'adịghị n'elu-e kwuru ọgwụ preparations "Promedol" obere yiri ka eme ka mmetụta ndị dị otú ahụ dị ka vomiting na ọgbụgbọ, obere depresses respiration center na ndị ọzọ shchadjashche nwere spasmolytic utịp ke ureter na bronchi. N'otu oge ahụ, ọ emesi ụfọdụ contractile ọrụ na ụda olu nke myometrium.

Hapụ forms "Promedol" ọgwụ ọjọọ na ya Ọdịdị

N'èzí nke anyị na ala analgesic "Promedol" nwere ọzọ mba na-abụghị proprietary aha "trimeperidine hydrochloride", bụ nke o ji dị ka onye na-arụsi ọrụ ike mgwa ọtụtụ ọgwụ ọjọọ. Taa ntọhapụ nke ọgwụ na-ebelata ka atọ iche: mbadamba, vials na ntụtụ akpa. The mbụ packaged ke Ukwu nke 10 mbak na ọgwụ na pharmacies, nke ikpeazụ a na-esiwanye na-eji na ụlọ ọgwụ maka ọgwụ ọrịa. The ngwọta "promedol" na-emepụta na a ịta nke 1% na 2% na e dere 0.01 ma ọ bụ 0,02 g karị trimeperidine. Agbara ọgwụ subcutaneously, intramuscularly, na ụfọdụ n'oké ikpe intravenously. The ntụtụ-akpa eji na ụlọ ọgwụ ma n'ebe obibi.

analgesic "Promedol" nwere ike họpụtara na ihe ọrịa?

Iji na-azụta ọgwụ "Promedol" Ntụziaka ọ ga-enwetara site na a dọkịta ndị na-ga-enwe ike gbakọọ ziri ezi dose nke ọgwụ na-eme ka a ọgwụgwọ plan. Egosi maka inweta ọgwụ nwere ike ọrịa dị iche iche so site mgbu ike ma na-ajụ osisi ike. Si digestive usoro a peptic ọnyá afọ 12 duodenal ọnyá afọ na afo, ala ala pancreatitis, perforation nke na nkọlọ. Ọ nwere ike na-kenyere ọgwụ "Promedol" na ndị na-chọpụtara ọrịa nke genitourinary usoro, ya bụ, nnukwu prostatitis, paranephritis, paraphimosis, nnukwu dysuria na mba ozu na urethra na eriri afo. Nke a bụ nnọọ irè narcotic analgesic na myocardial infarction, ejighị n'aka rịaworo, thrombosis nke hepatic akwara, ịtụle aortic aneurysm, embolism N'ịdị akwara ndị gara na akpa ume akwara, akpa ume infarction, ikuku embolism, n'amaghi pneumothorax na nnukwu pleurisy. Nti edinam "promedolom" mmetụta na maka mgbu ndị na nnukwu neuritis, causalgia, glaucoma, sciatica, thalamic syndrome na nnukwu vesiculitis. N'ihi na otutu oge analgesic mmetụta nke ọgwụ na-eji na ike mkpasasị uche, Burns na cancer.

Eji "Promedol" pụtara na-amụ nwa

Etinyere a sịntetik analogue pụtara "morphine" na usoro nke nkwadebe nke onye ọrịa na a dịgasị iche iche nke ịwa ahụ adọ, nakwa dị ka aka oru. Eme ka a dị ike antispasmodic, ọ eme ka ndị cervix, si otú akpali iche ya oghere. N'otu oge ahụ, na ọgwụ na-emetụta akpanwa nke nwanyị dị ime, ụfọdụ na-eme ya Mbelata, ya mere, accelerates ọnyà eme. A, ọgwụ bụ "Promedol" na-amụ nwa mbụ subcutaneously na intramuscularly na buttock, hip ma ọ bụ ubu. Naanị na ahụkebe ikpe, mgbe a ndụ nwa ahụhụ, na-amụ ya nwere ike tinye intravenously. Ịnụ ọgwụ mmetụta mgbe injection gosi na 10-15 nkeji, mgbe nke nwaanyị nwere ike gbakee a obere bit na-amụ a nwa n'enweghị nsogbu.

Ndị na-esi nke eji ego n'oge na-amụ nwa "Promedol"

Ke ofụri ofụri, a sịntetik analgesic atụle ndị kasị dịrị nchebe maka nne na nwa n'oge òfùfè, ma echefula banyere iche nke ahụ mmadụ. Ya mere, ụfọdụ ụmụ nwaanyị nwere bụ ngosipụta nke mmetụta nke a ọgwụ, dị ka ọgbụgbọ, vomiting, na slowing nke oyi na-aghọ nkọ. Ị ga-gaa na akaụntụ eziokwu ahụ bụ na ọgwụ ọjọọ, "Promedol 'ntuziaka maka ojiji na-egosi, ọ bụ nnọọ ngwa ngwa odụk ọbara, ọbụna mgbe ndinọ subcutaneously, na kacha ịta na-ruru mgbe 2-2.5 awa. Ya mere, ugbua mgbe 2-3 nkeji mgbe ogwu ogbugba nke nne na nwa na-enweta a narcotic analgesic site n'ime eriri akwara, nke ga-egosipụta na ahu nke ya 7 ugboro iji nwayọọ karịa na nne ya. Mgbe ọmụmụ ụmụ ọhụrụ na-nwayọọ nwayọọ belata akụkụ okuku ume ọrụ, lethargy, ahụ mgbakasị, na-ajụkarị na-ara. Ndị a crumbs n'ụbọchị ndị mbụ nke ndụ ha mkpa pụrụ iche ntị neonatologists, dị ka ha nwere ike mkpa, n'ihi na ihe atụ, wuru respiration ma ọ bụ ndị ọzọ jikoro maka normalisation nke ndụ Filiks.

Eji "Promedol" ọgwụ ọjọọ na anaesthesiology

Ebe ọzọ nke nkà mmụta ọgwụ ebe ọgwụ "Promedol" hụrụ ya dum ngwa bụ na-akụnwụ ahụ. N'ihi na mmadụ premedication na-ndinọ intramuscularly ma ọ bụ subcutaneously 1.2 ml nke a ngwọta nke anestetiiki na Nchikota na 0,5 mg nke ọgwụ ọjọọ, "atropine" ihe dị 30-40 nkeji tupu ịwa ahụ. Na oké njọ, mgbe onye ọrịa bụ oké mkpa ogwuura, ọgwụ ndị a na-ndinọ intravenously. N'oge awa ahụ onye n'okpuru ná Nkụnwụ Ahụ, dị ka kewara doses ndinọ a ọgwụ aka analgesia, nke na-eme ka akawanye ọbara mgbali na-ebelata tachycardia. N'ihi na n'ozuzu na obodo Nkụnwụ ọgwụ "Promedol" na ampoules eji na anticholinergic, Antihistamines, na antipsychotics. eji Nchikota na neuroleptics na agwọ ọrịa "Droperidol" N'ihi Central analgesia. Postoperative oge maka ụfọdụ ndị ọrịa na-aga na-enweghị ojiji nke narcotic analgesic ndinọ subcutaneously ibelata ihe mgbu na dị ka a n'aka protivoshokovoe.

contraindications

Jiri ọ bụla ọgwụ enweghị a ọgwụ bụ ize ndụ, karịsịa narcotic ọgwụ ọjọọ ndị dị otú ahụ dị ka analgesic "Promedol". na ngwa nke a anestetiiki Guide nwere nza contraindications, nke kwesịrị mgbe a ga-agụ tupu ịmalite n'ikuku. Ọ ga-kwuru na ihe maka ọgwụgwọ nke a ọgwụ adịghị mkpa n'oge ime, lactation, ndị agadi ndị na kiddies ruo afọ abụọ. Ọzọkwa na-akọwa a ogologo ndepụta ọrịa nke na-esi n'aka "Promedol" na-ọ bụghị nanị na ize ndụ, ma nnọọ ike. Iji ndepụta a na-agụnye hypersensitivity ọgwụ, akụkụ okuku ume na ịda mbà n'obi, na-efe efe, na nsogbu na-ọbara clotting, afọ ọsịsa ruru pseudomembranous afọ mere site lincosamides, cephalosporins, penicillins ma ọ bụ na-egbu egbu dispersion. Kwesịrị ịkwụsị-ewere ọgwụ na n'oge ọgwụgwọ na Mao inhibitors, nakwa dị ka ụbọchị 21 mgbe ha n'ikuku. Ihe ókè ịkpachara anya, a ọgwụ ga-eji na ihe mgbu na afo nke na-amaghị etiology, bronchial ụkwara ume ọkụ, arrhythmia, ọdụdọ, ọbara mgbali elu, akụkụ okuku ume na ọdịda, obi ọdịda, myxedema, akụrụ, adrenal na hepatic ọdịda, hypothyroidism, CNS ịda mbà n'obi, intracranial ọbara mgbali elu, na oké mbufụt nsia ọrịa.

Mmetụta nke ọgwụ

Ewere n'ime akaụntụ iche nke ahụ mmadụ, ọ bụ mma ikwu na ihe ọ bụla, ọbụna ndị kasị dịrị nchebe ọgwụ nwere ike ime ka a dịgasị iche iche nke oghom Jeremaya mere. Ma ọ bụrụ na anyị na-atụle narcotic analgesic "Promedol" Ntụziaka maka nke nwere ike na ike nweta na a dọkịta, ya ndepụta contraindications ọbụna aba. N'ihi ya, mmeghachi omume nke eriri afọ tract na a ọgwụ bụ spasm nke biliary tract, vomiting, ọgbụgbọ, akọrọ ọnụ, afọ ntachi, anorexia. Ọ bụrụ na a onye chọpụtara na nnukwu mbufụt nke digestive usoro, na n'elu ndepụta i nwere ike tinye a kpọnwụrụ akpọnwụ ileus, jaundice na-egbu egbu megacolon. Ụfọdụ ndị na-eji ọgwụ ọjọọ, "isi" nwere ike chọpụta na akụkụ na ụjọ usoro. Mgbaàmà ya pụrụ ịgụnye bịara ikiri ọhụụ, dizziness, diplopia, isi ọwụwa, ụfụ, ịsụ muscle contractions, ịma jijiji, mgbagwoju anya, iro ụra, anuri, mgbagwoju anya, ịda mbà n'obi, tinnitus, paradoxical n'ahụhụ, na ndị ọzọ ọrịa. Mmegbu ọgwụ "Promedol" akụkụ okuku ume na usoro nwekwara ike-emetụta onye ọrịa ahụ kwuo nke ahụ ike na-eme ka dị iche iche nsogbu na-ekwu, ọbụna amaghị onwe ya. Ụfọdụ ọrịa ndị na-eji ọgwụ "Promedol" reviews egosi anya ngosipụta nke arrhythmia, nakwa dị ka nkọ fluctuations na ọbara mgbali. Ida mgbe na-ewere ọgwụ na urinary usoro nwere ike na pụrụ igosipụta na usen mmamịrị mmepụta na urinary njigide. Na ọgwụ omume, nakwa na e nwere ọnọdụ ụfọdụ ebe mmetụta n'itinye pụtara "Promedol" ahụrụ n'ụdị nfụkasị Jeremaya dị ka laryngospasm, anụ ọkụ ọkụ, edema, bronchospasm, na ndị ọzọ. Ọbụna n'ebe ahụ n'elu mmeghachi omume nke organism na-adịghị na-egosipụta, mgbe na-ewere ọgwụ "Promedol" ntụziaka ntuziaka na-eburu ọdịdị akpa ume mmetụta dị otú ahụ dị ka ọgbụgbọ, vomiting, na izugbe adịghị ike nke ahu.

Ovadozu na ndị na-esi nke na-ezighị ezi na ojiji nke ọgwụ ọjọọ, "Promedol"

Mgbe na-ekwesịghị ịdị ngwa nke ọgwụ ma ọ bụ etịbe doses gbakọọ na-ewere n'ime akaụntụ niile e ji mara onye ọrịa ndị na-esi pụrụ nnọọ ịdị na-ejighị n'aka. Na ọgwụ omume e nwere ọnọdụ ụfọdụ mgbe ovadozu na-abụghị nanị na ụba ogo mmetụta, ma onye ọrịa bụ ịda mbà n'obi nke nsụhọ, chọpụtara na nnukwu cramps.

Nri edinam ke ovadozu

The isi-eme ka ndị mmadụ ovadozu "Promedol" ọgwụ ga-eji na-akwado zuru akpa ume ọrụ na Nchikota na symptomatic ọgwụ. Iji mee nke a, onye ọrịa intramuscularly ma ọ bụ intravenously ndinọ ka a kpọmkwem opioid eti ọkpọ ọgwụ "Naloxone", nke kwesịrị ngwa ngwa weghachi akụkụ okuku ume na center. Ọ bụrụ na mgbe 2-3 nkeji ezi mmetụta ya emebeghị, a abụọ ogwu ogbugba.

Okwu nke ire nke ọgwụ na nchekwa ọnọdụ

Nkume ọgwụ na pharmacies ka ndị bi pụtara nanị na ọnụ ọgụgụ nke Ezi ntụziaka na-adịghị gafere otu full ọgwụgwọ. Dị ka ndị nchekwa nke narcotic analgesic "Promedol" ntụziaka ntuziaka akọwa n'ụzọ doro anya na nnabata na niile na ọnọdụ. Akpan akpan eziokwu na ọgwụ ga-ke-apụghị iru nke ụmụ n'okpuru okpomọkụ agaghị elu karịa + 15 ° C.