"I-Reosorbilakt": imiyalo, izibuyekezo, intengo

Kufanele ngisebenzise kanjani izidakamizwa "I-Reosorbilact"? Imiyalo kanye nezinkomba zokusebenzisa ithuluzi elizoshicilelwa ngezansi. Futhi sizokutshela ngesimo lapho le mithi ikhishwa khona, izindleko zayo, kungakhathaliseki ukuthi zinezilinganiso, imiphumela emibi kanye nokuphikisana.

Ifomu lokukhululwa, incazelo, ukupakishwa nokubunjwa kwemithi

Ngamuphi uhlobo okhiqizwa ukwelashwa okunjenge- "Reosorbilakt"? Imfundo, isetshenziswe kulokhu kulungiselelwa, ithi iqhubeka ithengiswa ngesimo sebala elingenambala, nesicacile se-infusions.

Izinto ezisebenzayo zalesi sidakamizwa ziyi- lactate ye-sodium, i- magnesium chloride, i-sorbitol, i-calcium chloride, i-chloride ye-sodium ne-potassium chloride. Futhi ekubunjweni kwale mithi kuyisici esisizayo, njengamanzi acwecwe.

Isidakamizwa sithengiswa emabhodleleni eglasi, okufakwa emaphaketheni ekhadibhodi.

Pharmacodynamics

Uyini umuthi "Reosorbilakt"? Imfundo iyazisa ukuthi le-agent efaka i-plasma. It has antishock, rheological, alkalinizing kanye detoxifing imiphumela. Izakhi eziyinhloko zokwenza izidakamizwa zalesi sidakamizwa yi-lactate ye-sodium ne-sorbitol.

Ukufaka isibindi, ingxenye yokugcina iguqulwa ibe yi-fructose, bese ilandelana nge-glucose ne-glycogen. Kumele kuqashelwe ukuthi ingxenye eyodwa ye-sorbitol izodliwa ngumzimba ngezidingo zamandla, kanti enye ihlehliselwa njenge-glycogen.

Isixazululo se-isotonic salesi sici sinomthelela ongavumelani. It ngcono perfusion kanye microcirculation of tissue.

Ngokungafani nesisombululo se-bicarbonate, ukulungiswa kwe- acidosis (metabolic) nge-lactate ye-sodium kuhamba kancane, njengoba kufakwe emetabolism. Ngesikhathi esifanayo, akukho ukushintshashintsha okubukhali ku-pH. Umphumela walesi sakhi kwenzeka cishe amaminithi angu-25-30 ngemva kokuphathwa.

Yiziphi ezinye izinto ezenza imithi "Reosorbilakt"? Lo myalelo uthi i-calcium chloride, engxenyeni yesidakamizwa, iyakwazi ukuqeda ukwehluleka kwe-i-calcium ions, okudingeka kakhulu ekunciphiseni imisipha ebushelelezi neyimfucumfucu, ukugaya igazi, ukuhanjiswa kwegazi, umsebenzi we-myocardial kanye nokwakheka kwamathambo.

Kumele futhi kuqaphele ukuthi izinto ezicutshungulwayo zinciphisa ukuguqulwa kwezintambo namaselintshi ezinsinga, kuvimbela ukuthuthukiswa kwezinqubo ezivuthayo, kukhulisa kakhulu i-phagocytosis, futhi kwandisa ukuphikiswa komzimba womuntu ezifweni ezihlukahlukene.

I-chloride ye-sodium iyinhlobo ye-agent efaka i-plasma. It ikhombisa ukufudumala kabusha kanye nokwehlisa izinto. Isidakamizwa sichitha ukungabi khona kwe-chloride ne-i-sodium ions, eyenzeka ngezimo ezihlukahlukene ze-pathological.

I-potassium chloride iyakwazi ukubuyisela ukulinganisela kwe- electrolyte namanzi. Ikhombisa imiphumela emibi ye-batmo- kanye ne-chronotropic, futhi ezinyangeni eziphezulu - umphumela we-dromo ne-inotropic we-diuretic effect (inkulumo elinganisiwe).

Isici esicatshangelwayo sithatha ngokuqondile izinqubo zokwenza izimo zesibindi. Yandisa okuqukethwe kwe-acetylcholine, iphinde ikhuthaze ukuxhaswa kwengxenye ezwelayo yesimiso semifino. Futhi, lesi sigaba sithuthukisa izinqubo ze-squake muscle contraction ku-myasthenia gravis ne-dystrophy yemisipha.

Izakhiwo ze-Pharmacokinetic

Ingabe i-reosorbylact yezidakamizwa idonswe? Imfundo (intengo yesisombululo ihlinzekwa kancane kancane) ithi sorbitol isheshe ifakwe emzimbeni jikelele. Cishe ngo-80-90% wezinto ezisebenzayo zisetshenziswa esibindi. Esikhathini esifanayo, i-sorbitol iqoqa ngendlela ye-glycogen.

Kufanele kuphawulwe ukuthi ama-5% wemithi afakwa emzimbeni wesisu, izicubu zobuchopho kanye nemisipha yamathambo. Cishe 7-12% yalesi sidakamizwa sidonswa kanye nomchamo.

Emva kokuphathwa kwezinto ezidakamizwa embhede we-vascular of sodium, i-lactate iqala ukusabela ngokushesha ngamanzi kanye ne-carbon dioxide ukwakha i-bicarbonate ye-sodium. Le nqubo iholela ekunyuseni kwe-alkaline reserve of blood.

I-½ ingxenye kuphela ye-lactate ye-sodium ephathwayo iyasebenza. Ngokuqondene nesinye isigamu, asihlanganisi futhi sidonswa kanye nomchamo.

Izinkomba

Kuziphi izimo umuthi othi "Reosorbilact"? Imiyalo yokusetshenziswa (intengo yale thuluzi ayikho kakhulu) ihlanganisa izinkomba ezilandelayo:

• Sepsis;
• Ukuthukuthela, ukusebenza, i-hemolytic, inobuthi nokushisa, ukulahlekelwa igazi okunamandla, ukushisa izifo;
• Ukwenza ngcono ukugeleza kwegazi kwama-capillaries (ngenhloso yokuvimbela);
• Izifo ezithathelwanayo, ezihambisana nokukhushulwa kwesifo sofuba esingapheli nesibindi;
• Isifo sikaRaynaud;
• Ukuze kuthuthukiswe ukujikeleza kwegazi okuphazamisayo nokuguquka ngenhloso yokuvimbela;
• Ukwelashwa kwe-thrombophlebitis, i-thrombosis kanye ne-endarteritis;
• Esikhathini se-postoperative;
• Ukulungiselela kwangaphambili.

Ukungafani

Yikuphi ukwehluka okungeke kusetshenziswe umuthi "Reosorbilakt" (200, 400 ml)? Ngokomyalelo, lezi zimo ezilandelayo ziphikisana nommeli ombuzo:

• I-Alkalosis;
• Uma isiguli siphikisana nokumnika inani elikhulu lomkhuhlane (isb., Thromboembolism, i-cerebral hemorrhage, decompensation ye-cardiovascular, ibanga le-hypertension grade 3);
• Ukuziphendulela ngokwezinto ezidakamizwa.

Kumele kuqashelwe ukuthi imithi ecutshungulwa ngokuqapha okukhethekile imiselwe iziguli ezinobungozi bokusebenza kwesibindi, ukubola kwesifo sofuba nesilonda se-peptic.

Isilinganiso semithi kanye nezindlela zokusetshenziswa kwayo

Uma kwenzeka ukushiswa, ukuthungatha, ukuhlushwa kwe-hemolytic kanye ne-postoperative, i-dropper "i-Reosorbilakt" isetshenziswa kanye ngesilinganiso sika 600-1000 ml.

E-hepatitis engapheli, umthamo wesidakamizwa ungama 400 ml.

Ekulahlekelweni kwegazi okunzima, umuthi unqunywe u-1500-1800 ml.

Ngemuva kokungenelela kokuhlinzwa, kanye nesikhathi sokuqala, umuthi udonswa ngevolumu ye-400 ml. Inqubo yenziwa nsuku zonke izinsuku ezingu-4-5.

Ekuphambeni kwegazi emithanjeni yegazi imithi inqunywe ngesilinganiso esingu-8-10 ml ngekg isisindo sesiguli. Isidakamizwa sinikezwa ukuvuza njalo ngosuku. Isikhathi sokwelapha singama-infusions angu-10.

Kunconywa izingane ezingaphansi kweminyaka eyisithupha ukuthi zisebenzise izidakamizwa ezilinganisweni eziyi-10 ml ngekgesi lesisindo somzimba. Izingane ezineminyaka engu-6 kuya kwengu-12 ubudala, lesi sidakamizwa sinqunywe ngomthamo wesigamu kubantu abadala.

Imiphumela emibi

Ingabe imiphumela emibi yomuthi "i-Reosorbilakt"? Ama-analogue kanye ne-ejenti ngokwalo cishe akukaze kube yimbangela yemiphumela engathandeki. Kodwa-ke, kwezinye izimo, iziguli zingase zithole i-alkalosis kanye nokuphendula okwenziwe okwehliswayo ngendlela ye-pruritus nokukhwabanisa isikhumba.

Izici zomkhiqizo wokwelapha

Isidakamizwa kufanele sisetshenziswe kuphela njengoba kuqondiswa udokotela. Futhi ikhambi kumele linikezwe kuphela ngaphansi kokulawulwa kwe-electrolyte yegazi ne-acid-base isimo somzimba, kanye nesibindi sokusebenza.

Ngokunakekelwa okhethekile le mithi inqunyelwe iziguli ezine- cholecystitis ebalalayo.

Imigomo, izindlela nemibandela yokugcina

Le mithi ingeyeluhlu B. Lokhu kulungiswa kufanele kugcinwe endaweni evikelekile ekukhanyeni, eyomile futhi engenakufinyeleleka kubantwana. Ukushisa kwesitoreji somuthi kusuka ku-5 ° kuya ku-26 ° C. Impilo yayo yesikhala seminyaka emibili. Emva kwalesi sikhathi, ukusetshenziswa kwemithi kuvinjelwe.

Ukulungiswa kwemithi "Reosorbilakt": intengo nokufanekisa

Ama-synonyms kanye nezifanisi zemithi "I-Rheosorbylact" ithengiswa kuwo wonke ama-pharmacy. Phakathi kwezidakamizwa ezivame kakhulu futhi eziphumelelayo yizidakamizwa ezilandelayo: i-Sorbilact, i-potassium chloride, i-potassium chloride bufus, i-calcium chloride, i-Consol, iKormagnezin, i-Custodiol, i-Magnesium sulfate.

Isixazululo esingakanani semithi "Reosorbilakt"? Intengo yalesi sidakamizwa kuma-pharmacy ingahluka ngezizathu ezahlukene. Nokho, ngokwesilinganiso, umuthi onjalo ubiza ama-ruble angu-200 (200 ml).

Ukubuyekeza mayelana nomuthi

Ngokwezibuyekezo zeziguli, ikhambi lezokwelapha elithi "Reosorbilakt" libhekana ngokuphumelelayo nokulahleka kwegazi, i-sepsis, isishisa izifo, izifo ezithathelwanayo, futhi liqeda isimo sokushaqeka. Okunye okunye kwalesi sidakamizwa ukuthi cishe akudala neze imiphumela emibi. Nakuba kwezinye izimo kusalokhu kubangela ukusabela kwe-allergenic.