Epinephrine: Chii? Epinephrine: mirayiridzo kushandiswa uye zvaunofunga

Epinephrine - chii? Izvi ndizvo tichaudza munyaya ino munyaya. Uchadzidzawo pamusoro chinangwa iro vati fuma rinoshandiswa kana ane contraindications uye marwadzo.

mushonga ehupfumi

Epinephrine - chii? Nei tichifanira zvinhu izvi? Maererano nenyanzvi, ichi ndicho chimwe chezvinhu zvinokosha neurotransmitter kuti neve adrenal mumasero. Chimwe zita nokuti maatomu akafanana ndizvo adrenaline.

Mishonga nefuma mune mubvunzo chokuita catecholamines. Nokudaro, epinephrine ndiyo epinephrine chakaita zvokugadzirwa.

Mune zvinoitika ezvinhu muviri, mukomboni ichi inowanikwa siyana nhengo uye munyama. Anogadzirwa chromaffin tishu.

Epinephrine, mirayiridzo kushandiswa riri pasi apa, ane kubatsira Arifa-uye Beta-adrenergic receptors, uye zvaanopa simba ari excitation ari tsitsi etsinga fibers.

Kushushikana mupfungwa, pfungwa ngozi, kufunganya, kutya, kutsva uye kukuvara dzakasiyana epinephrine kuwanda mu muviri yekudyidzana ichiwedzerwa. Zvinotora chikamu ose muviri, uye inobata ropa shuga uye zvinyama muviri, kunowedzera gluconeogenesis, glycogenolysis, catabolism mapuroteni uye mafuta Kuparara kwacho, kutitadzise glycogen usage mune tsandanyama uye chiropa munyama.

kusunungurwa Form

Epinephrine: chii uye chii chimiro anogadzirwa? Pane zvakasiyana siyana epinephrine kusunungurwa. Zvinonzi yaitengeswa muchimiro mumate kana Homeopathic granules kuti nemumuromo kutarisira uyewo injectable mhinduro uye kukamura uchishandisa kushandiswa. Uyezve, fuma iyi inogadzirwa muchimiro tincture kana fuma-fuma upfu.

pharmacological ehupfumi

Ndezvipi ehupfumi kuti epinephrine? Chii, hatina kuudzwa apa. Maererano nezvokurara, chokushandisa ichi ane hyperglycemic, vane chirwere cheBP, vasoconstrictor, bronholiticheskoem uye antiallergic chiito.

Chakaita zvokugadzirwa adrenaline panguva cellular pachiyero, zvaanopa simba iri enzayemu adenylate cyclase kunowedzera wevasungwa kwomusasa uye calcium yakawanda ions. Izvi zvinhu kunowedzera BP constricts midziyo zvomukati, ganda, mucous membranes, skeletal tsandanyama, uye kunosvika nhumbi wouropi.

Features mari

Epinephrine hydrochloride relaxes tsandanyama ari paura, uye principales. Uyezve, inotungamirira rokuwedzera mboni.

Kushandisa mishonga nenhumbi ichi kunowedzera yakachena kudiwa mwoyo uye kunodzivisa kukura edema bronchioles. Uyewo, mushonga uyu akazoita mwero Absorção de Água vomunharaunda dzokutindivadza, kunoderedza toxicity uye anowedzera ya mari dzaizopiwa vemo yokutindivadza.

umboo

Chii kushandisa epinephrine? Kushandiswa pachishandiswa ichi chinoratidzwa kubvisa pakarepo mhando chisimbwa kuti yakatanga somugumisiro kuwedzerwa ropa, zvinodhaka nezvemidzimu pakushandisa zvigadzirwa siyana, zvipembenene ikaruma kana pashure pakusuma chero allergens.

Uyewo, nefuma inoshandiswa zvinotevera nyaya:

• cupping Árbol asima;
• nokuti asystole;
• nokuti kuvandudzwa vomunharaunda dzokutindivadza;
• pamwe bronchospasm, izvo yakabuda panguva yokutindivadza;
• kana hypotension haana rinorapika kushandisa yokutsiva Urume;
• nokuti dambudziko yomuropa kunokonzerwa jekiseni ovhadhozi;
• kumisa kubuda kweropa;
• pamwe yakazaruka-angled yemaziso kuti vawedzere mboni;
• pakurapa priapism.

Contraindications

Epinephrine hydrochloride nyanzvi regai dzinokurudzira kushandisa pa:

• hypersensitivity, BP;
• pamuviri;
• hypertrophic cardiomyopathy ;
• Ischemic mwoyo chirwere uye tachyarrhythmia;
• vanhu vane ventricular fibrillation;
• pheochromocytoma;
• achiyamwa.

Care anofanira kutorwa kana murwere ane zvinotevera pathologies uye mamiriro;

• hypercapnia;
• ventricular arrhythmias, atrial fibrillation , uye hypoxia;
• pulmonary neBP;
• Hemorrhagic, zvinorwadza, kana cardiogenic kuvhunduka ;
• thyrotoxicosis;
• occlusive vascular zvirwere;
• Raynaud nehosha ;
• atherosclerosis kana Buerger nehosha ;
• shuga endarteritis;
• chepfungwa arteriosclerosis;
• Parkinson nehosha;
• chirwere cheshuga uye angled-kuvhara yemaziso;
• yakawedzera kufenda basa;
• hypertrophy kweprostate gland;
• vanhu vane metabolic acidosis;
• pashure chando zvinokuvadza;
• post-myocardial infarction;
• vana uye varwere vakwegura.

Epinephrine: mirayiridzo kushandiswa

Kakawanda zvigadzirwa kwakavakirwa epinephrine raitongwa intramuscularly kana subcutaneously. Uyewo donhwe mumiririri chinotarisirwa nomutsinga.

Cupping Árbol asima medicament chinotarisirwa subcutaneously mune imwe mari 0.3-0.5 MG.

Kurebesa yomunharaunda rufimbi, mushonga wacho ushandiswe 5 MG / Rine mamiririta.

Kumisa ropa epinephrine kushandiswa topically. Rinoshandisirwa hunenge gwapa swab zvakakangwa mune mhinduro.

Kana asystole zvinoratidza intracardiac majekiseni, uye panguva nokumutswa - intravenous.

Open angled yemaziso ARV kuitwa instillation pakati 2.1% mhinduro iri njodzi maziso 1 donhwe kaviri pazuva.

nemishonga

Maererano vanachiremba, epinephrine anogona kukonzera:

• angina pectoris, tachycardia, palpitations, bradycardia, ungaderedza kana yakawedzera BP;
• ventricular arrhythmia, muchipfuva marwadzo, cardiac arrhythmia;
• kufunganya, tremor, dzungu uye musoro;
• kuneta, kunzwa kutonhora kana kupisa, kutya;
• kushaya hope, kushungurudzika NA, vaingoerekana tsandanyama sunga, nekuvhiri- ngika uye zvichingodaro.

analogs

Chii chinogona kunzi kuti kutsiva dzedu nzira? Epinephrine iri Formulations akadai epinephrine tartrate, adrenaline, epinephrine tartrate, adrenaline tartrate, adrenaline hydrochloride - chinu.

Zvinofanira kucherechedzwa kuti articaine, epinephrine dziri "Septanesta" adrenaline, "Alfakaina SP", "articaine INIBSA", "Artifrina", "Primakaina" adrenaline, "articaine D-C", "Ubistezina", "Brilokaina -adrenalina "," artikaina DF "," Tsitokartina "," artikaina Perrelet "pamwe adrenaline.

Reviews

Reviews of fuma iri mubvunzo iduku kwazvo. Izvi imhaka yokuti mushonga uyu chete kushandiswa pakaita uye vari muchipatara.

Maererano nenyanzvi, epinephrine chiri fuma kuchikosha kuti kazhinji kunobatsira kuponesa upenyu murwere.