Enteral migwagwa chourongwa zvinodhaka

Zvichienderana zvokurwara uye akasarudza nzira chourongwa zvinodhaka kuti kunogona nokukurumidza uye vakarongeka kushanda muviri zvikuru. Tinazvo ruzivo zvakanakira nekuipira nzira siyana kwokubatsira zvinodhaka mumwe murwere anogona kusarudza zvakanaka kuita.

Kazhinji mishonga ushandiswe uye kushandiswa enterally. "Sei izvozvo?" - You kubvunza. Mune imwe nzira, tinogona kutaura: yacho zvomudumbu turakiti. Nzira iyi akakamurwa zvinotevera kutarisira.

Buccal (dama)

The kuchirapa Migumisiro zvinodhaka buccal Kutarisirwa iri kukura nokukurumidza, uye panguva imwecheteyo kunowedzera kubvisa nguva nokushandisa inokosha Formulations: mavhiri, makwapa akasvibirika, izvo glued womukati pechiso padama. Zvisinei, kakawanda kushandisa nzira iyi kunoita kuti kutsamwa pamusoro mucous membranes.

Sublingually - zvinorevei?

Chinozoiswa nokukurumidza Absorção de Água zvinodhaka kupinda waiita mucosa kana achitora pasi rurimi. Zvakanakira nzira iyi: zvinoshingaira chirungiso anoenda zvakananga kupinda muropa, pavaigona kutora chikepe chaienda vanotyaira vasisanetswi zvomudumbu muto uye chiropa makemikari; nokukurumidza vasodilator kushanda muna vane chirwere cheBP nematambudziko; Mufananidzo angina kurwiswa. Payakaipira: neb kuchirapa mugumisiro kana anwa chikamu zvinodhaka; (Mahwendefa granules dragees,,) inofanira kuchengetwa chipimo chemushonga fomu pasi rurimi kusvikira pokutaura zvakakwana; budiriro divi mugumisiro - kutsamwa nomumukanwa mucosa. Saka, sublingually - zvinorevei? Uye zvinoreva kutora mushonga pasi rurimi.

Kusangana nekutsi kwemukadzi (nyinyo) uye urethral (urethra)

nzira idzi chourongwa Anonyanyowanika kushandiswa pakurapa zvirwere vanhukadzi uye vanhurume nenyere. Vaginally raitongwa chipimo chemushonga siyana: suspensions, mumakenduru, mapiritsi, emulsions, mafuta okuzora, suppositories. Nzira idzi dzave vakashandisa kuti chirwere zvinangwa uye nokuda kwokubatsira kusiyana nevamiririri.

Oral (nomuromo)

Izvi ndicho Pamigwagwa kwokubatsira enteral mishonga. Oral chipimo chemushonga siyana vari mishonga yakawanda. Unorapa zviri Pharmaceuticals, kubva nemudumbu kupinda ropa. A kuchirapa wevasungwa zvasvika muropa avhareji yemaminitsi 10-15 mushure zvinodhaka kutarisira. Kudyidzana pamwe zvomudumbu muto, makemikari, zvokudya zvimedu rinoitwa pamusoro okutambirwa medicaments enterally. Zvakafanana kushandisa zvinodhaka pakarepo pashure zvokudya uye panguva kudya.

Nokudaro, zvinodhaka vakarwiswa nemishonga yakasiyana-siyana munzvimbo acidic svikiro. Nguva yakanakisisa ndiyo nguva kutora zvinodhaka kwemaminitsi makumi matatu vasati kudya. Panguva ino havazoparadzwi vachibatwa gastric muto uye pasina zvinovaka muviri ari woga kupinda ropa rukova kusvika kunonyanyisa papi. Pane chipimo chemushonga siyana zvinenge zvakazara chaiyo yakarongeka, nemhaka iyo mushonga inopfuura kuzochinja kuburikidza mudumbu, uye chete urwa iri ura duku ane simba alkaline ezvinhu.

Rectal (ari mugaranhoko)

Mbiri pakati enteral yaitonga yenzira zvinodhaka dzavakatumirwa nzira iyi. For rectal nzira chourongwa uye nokukurumidza Absorção de Água kunoitika munguva pfupi vawane kunonyanyisa kuchirapa pfungwa yezviri fuma mumuviri womunhu. Rectally raitongwa zvinodhaka zvakasiyana-siyana chipimo chemushonga siyana. Somugumisiro chourongwa kwakadaro, havana kuputswa pasi makemikari chiropa uye zvomudumbu muto. Tichienzanisa zvokuudzwa kurapwa nezvinozoitika katatu kwirirei.

Kunakisa enteral nzira chourongwa kubudikidza mugaranhoko - ndiyo chete nzira kubatsira murwere kana kutadza kwake kumedza kana ari chavanoziva ezvinhu, pamwe kurutsa, maronda ari nemudumbu. Uyewo zvemashoko nzira iyi chourongwa dzinosanganisira:

• kusavapo neutachiona uye marwadzo, kana kuti zvishoma;
• nekusimba kubudirira rectal vamiririri nokuti mishonga yacho mwana vemo, vakadzi vakwegura, pamuviri (panguva toxicosis);
• aronga zvakawanda chipimo chemushonga siyana nekuda pakurapa siyana pathological ezvinhu.

Zvazvakashatira enteral nzira chourongwa dzinosanganisira:

• nokuti rectal Kutarisirwa panongova yomunzvimbo zvazvinoita;
• rectal mucosa iri pachena kuti kutsamwa;
• zvakavaomera kushandisa;
• mupfungwa kwete murwere ose anogona kushandisa nzira iyi chourongwa.

Enteral nzira: zvakanakira nekuipira

Drugs akatanga saizvozvi, kuti muviri zvose omunharaunda uye systemic nemigumisiro.

Zvakanakira nzira iyi yachengetwa zvinodhaka:

• kurerukirwa uye zororo kugamuchirwa kwemakore ose;
• vakawanda nzira;
• Varwere havadi kubatsirwa utano nenyanzvi;
• Kwakabvisa nemamwe matambudziko ari parenteral chikumbiro chaicho mishonga;

Nekuipira enteral nzira chourongwa:

• ari nemudumbu kunonoka kuita fuma somugumisiro Absorção de Água kupinda ropa DZEMUNHU DZINODZORA;
• zvinodhaka zvakanyanya pachena kuti acidic ezvinhu;
• deactivation rinowanikwa muna chiropa kugadzirira;
• pamusoro Absorção de Água zvinodhaka kunokanganisa mamiriro nemudumbu uye mucous membranes;
• pamusoro pharmacological chiito zvinodhaka zvinokanganisa murwere zera, kuvapo chirwere.

Chimwe nzira zvinodhaka Kutarisirwa - ndiro parenteral nzira.

Administration zvinodhaka nenzira iyi rinoitwa pavaigona kutora chikepe chaienda ari zvomudumbu turakiti uye rakakamurwa zvinotevera kutarisira.

intravenous

Zvakanakira nzira iyi:

• Quick kushanda.
• Zvinoita zvakarurama kuverenga inodiwa wevasungwa zvinodhaka nokuda nomumwe murwere, riri kunyanya kukosha kuti varwere pakugamuchira mishonga.
• Vari kutarisirwa mishonga tsamwisa mucosal nokukurumidza anoora kana sei mishonga pamwe zvomudumbu muto.

intra

Rinoshandiswa kuti perfusion vamwe nhengo yezviri zvinhu zviri somushonga zvigadzirwa. Tsinga thrombosis - dzakakomba zvikuru divi mugumisiro parenteral kwokubatsira chezvinodhaka.

intramuscular

A kuchirapa wevasungwa zvinodhaka mumuviri zvasvika yepamusoro mukati maminitsi 20 maererano pharmacological boka zvinodhaka raitongwa. The Vhoriyamu zvinodhaka akabvumira nokuti nzira ichi chourongwa hakufaniri anopfuura 10 Rine mamiririta. Payakaipira: risingafadzi kana kurwadza manzwiro panguva uye pashure kwokubatsira zvinodhaka; pute angatanga, tsono vachipinda mudziyo ropa, kuzotadzira tsinga fibers.

subcutaneous

Nokuti nzira iyi chourongwa hakusi akakodzera zvinodhaka zvose.

The kuchirapa nezvinozoitika nomumugwagwa kwaitora nguva kupfuura intravenous kana intramuscular nzira chourongwa, asi rinogara refu.

inhalation

With ichi mhando zvinodhaka rokutarisira muchimiro aerosol, upfu, kana gasi yava zvikuru kunyura. It ane omunharaunda uye pano neapo zvayo chiito.

intrathecal

In chimiro ichi chourongwa zvinodhaka riri jekiseni zvakananga kupinda subarachnoid nzvimbo uye rinoshandiswa vanenge:

• yokutindivadza: musana kana musana;
• kusika refu pfungwa mishonga antibacterial kana hormone.

Kana mushonga rinoshandiswa topically kune mucous membranes (mhino, maziso, ganda) kana pemvura ganda kuti kusika zvose vemunyika kana systemic kushanda.

Payakaipira: kushandiswa kwenguva refu, kunyanya kemikari kugadzirira, kazhinji kuva divi siyana akadai bundu.

With physiotherapeutic nzira electrophoresis zvinodhaka pachiso kubudikidza magetsi paanenge zvaitambidzwa munzvimbo dzakadzika akaturikidzana ganda, ichipa runodiwa pharmacological chiito.

Special sanganisa

Enteral muvhenganiswa anotsanangurwa uye raishandiswa kurapwa zvirwere zvakasiyana-siyana:

• chirwere cheshuga;
• renal, hepatic, kufema kukundikana;
• dysbiosis nezvimwe zvirwere zvomudumbu.

Nutrient muvhenganiswa nokuda kuvapo prebiotics vane zvainoita muviri kunobatsira:

• normalize mudumbu uye muura;
• kunonatsiridza bowel motility uye Absorção de Água kuti vanoshingaira zvinhu kwacho;
• kukurudzira patsva kuti epithelial muura tishu;
• kunoderedza shuga Absorção de Água zvazvingava;
• zvazvinoita richikwidibira remafuta akawandisa.

Zvakanaka akasarudzwa nzira chourongwa kuti imwe murwere, kufungisisa pamusoro nemishonga, risingamboshandisi nguva kutanga pharmacological zviito chinodhaka, uyewo kufungisisa ayo ezvinhu mumwe anosangana zvoutano mushandi.