Impilo, Amalungiselelo
Izidakamizwa Antiemetic e nokwelashwa ngamakhemikhali: ekwelapheni isicanucanu e abanomdlavuza
Abantu nomdlavuza ngokuvamile uzizwe ugula ngenxa yokuthi ukuphathwa kuthinta kakhulu emzimbeni. Antiemetics for iziguli nokwelashwa ngamakhemikhali kufanele usebenzise ngesikhathi futhi emva kokwelashwa. Ukuhlanza kuyingozi ngoba umzimba, njengoba kungabangela ukuphelelwa amanzi emzimbeni.
Izimbangela ukuhlanza
Ngo wokwelapha isifo somdlavuza, ngelashwa nangemithi ngokuvamile ukuhlanza. Lokhu kungenxa imiphumela ezicini ezinhle izidakamizwa ukuthi ancintisane isimila esibulalayo esikhula amafomu. ukwelashwa Iningi lenyuka igazi calcium (hypercalcemia) nokuhlanza isenzo zokuzivikela, izinto lapho okukhiphayo ngokweqile.
Ukwehluka kwi-therapy amakhemikhali ukuhlanza
Phakathi ukwelashwa abantu ukuthi nginomdlavuza, odokotela ukuhlukanisa izinhlobo ezimbili ukuhlanza.
Lezi zihlanganisa:
- ukuhlanza acute, esizibonakalisa ngesikhathi ngemuva kokuqala ukwelashwa ngezinsuku zokuqala;
- ukuhlanza imisiwe, olubonakaliswa izinsuku 2 noma 5 emva Ukuqalwa yokwelapha.
ezihlukahlukene ngokujulile ugxile kakhulu futhi ngokuvamile. Antiemetics for nokwelashwa ngamakhemikhali kanye nokubuyisa acute okufanele zithathwe ngemva okuvela nesicanucanu retching. Odokotela musa batusa izidakamizwa ukukhetha bebodwa, ngoba nesineke angalenza iphutha kukhethwa izindlela, futhi ngeke kusize.
Lapho izinhlobo ayilibalanga izidakamizwa antiemetic emva nokwelashwa ngamakhemikhali ukuthatha ukuqedela ukunyamalala retching.
Izidakamizwa asetshenziswa ebuhlanzweni
Ukwelashelwa umdlavuza Asigcini umzimba babhekane nalesi sifo, kodwa futhi kubangele ukuthi eminye imiphumela emibi. Okuvame kakhulu kubhekwa ukuhlanza, kungaholela amanzi emzimbeni futhi sibe sibi isimo umuntu ogulayo.
Ngo inqubo yokwelapha yesimanje, kukhona izidakamizwa olungavimba okuvela ukuhlanza.
Ngokuvamile, odokotela ukusebenzisa amathuluzi ezilandelayo:
- phenothiazines ( "prochlorperazine");
- benzodiazepines ( "Lorazepam");
- butyrophenones ( "Haloperidol");
- corticosteroids ( "Methylprednisolone");
- Cannabinoids ( "Dronabinol");
- Metoclopramide ( "Raglan").
Ngesikhathi imali ezibalwe ngenhla ongekho noma ekhona inombolo ubuncane amathuba okuba nemiphumela engemihle. Antiemetics for nokwelashwa ngamakhemikhali ikhiqizwa ngesimo amaphilisi kanye imijovo. Kufanele kusetshenziswe kuhambisana zonke izincomo udokotela ngesikhathi esasihleliwe. Ukuze ukuphazamisa Yiqiniso yabo kwelashwa engathandeki ngoba kungaholela yezinkinga ukwehla isimo lesiguli zempilo.
Kunezikhathi lapho isicanucanu nokuhlanza akagcini ngemva wokwelapha isifo somdlavuza, khona-ke odokotela batusa ukusebenzisa iindakamizwa ngisho emva kokwelashwa. Ngezikhathi ezinjalo, sicela ubheke umuntu onekhono, kangangokuthi uye bhalisiwe nezinye izidakamizwa antiemetic iziguli emva nokwelashwa ngamakhemikhali.
ukuqhathanisa antiemetics
Igama izidakamizwa | ukukhululwa Ifomu | ubufakazi | Izimo | side effects | intengo (RUB) |
"Haloperidol" | amaphilisi | Tics, ukuhlanza, isicanucanu, hiccups, premedication ngaphambi kokuba sihlinzwe kwengqondo. | Izingane ezineminyaka engu-3.5, ukukhulelwa, lactation, izifo isimiso sezinzwa esiyinhloko. | Arrhythmia, sezinyawo kahle, ukwehlisa blood pressure, i-jaundice. | 25-40 |
"Lorazepam" | Amaphilisi kanye imijovo | Ukukhathazeka, ukucindezeleka, isicanucanu nokuhlanza, sengqondo, imisipha rigidity, ukuzamazama. | isifo ubuchopho, ukusetshenziswa kotshwala, nokukhulelwa kanye lactation, izingane ezingaphansi kweminyaka eyi-12. | Ukudideka, flash ngenxa yokwesaba ubudlova, diplopia, ukuntuleka kwegazi emzimbeni, izinkinga kohlelo genitourinary. | - |
"Dronabinol" | Amaphilisi kanye isixazululo | I-anorexia, isicanucanu, ukuhlanza. | Ayikho Imininingwane | Ngamaphupho nje la. | - |
"Methylprednisolone" | amaphilisi | Erythema, dermatitis, ukuhlanza, Hyperplasia adrenal, njengemithi yokungezwani komzimba nokuthile, psoriasis. | Ukungabekezelelani ukuze imibuso eyakha lo izidakamizwa, izingane ezingaphansi kweminyaka engu-3. | Ukuquleka, izilonda esiswini, ukukhumuzeka kwamathambo, ukubuyisa, ingcindezi intracranial, ukusangana. | 70-90 |
"Raglan" | amaphilisi | Dyspepsia, isicanucanu, ukuhlanza, nokulungiselela luhlolo emathunjini (pheshana emathunjini). | I-glaucoma, perforation isisu noma amathumbu, isithuthwane feohromotsit. | Ukozela, isiyezi, ubuhlungu ikhanda, ukucindezeleka, ukubuyisa, ukwephulwa ngezinsimbi zesihlalo. | 100-200 |
Izimiso yokwelapha antiemetic
Ukuze kuzuzwe imiphumela ephezulu ukulawula ukuhlanza, odokotela baye basungula Yiqiniso ekhethekile mayelana nokusetshenziswa kwezimali ukuvimbela gagging.
- Antiemetics for iziguli nokwelashwa ngamakhemikhali kufanele athathe izinsuku zokuqala zokwelashwa.
- Kwezinye izimo, isidingo ukwelashwa olunzulu.
- Kuyadingeka ukusebenzisa izinyathelo ukuvimbela okuvela kuyo emesis imisiwe.
- yokwelapha Antiemetic lisetshenziswa kuyo yonke inkambo ngamakhemikhali, hhayi kuphela ngesikhathi retching.
- Uma isicelo kusho ngesimo amaphilisi kanye imijovo kungenzeki, odokotela linqume izidakamizwa antiemetic e nokwelashwa ngamakhemikhali e suppositories.
Kweyame kunoma yimuphi imithetho kunciphisa ingozi isicanucanu nokuhlanza. Kuqondane ukuthi ekwelapheni ukuhlanza namanje abakhona, ezimweni ezinjalo kubalulekile kudokotela ukuze kutholakale imbangela noma bayawushintsha umkhiqizo. Lokhu kungase kube ngenxa habituation kuya luhlobo uma lokumamukela eside noma non-ukuhambisana izincomo.
Okuvela ukuhlanza zabantu ezahlukene ngesikhathi ngelashwa nangemithi
Ukuhlanza ingekho bonke abantu e wokwelapha isifo somdlavuza. Isiguli ngasinye aphendvule impatho enjalo ngendlela yabo. Kwezinye athuthukile ukuhlanza, isiyezi, abanye avele.
Ngokuvamile, isicanucanu nokuhlanza avele abesifazane abaneminyaka kuze iminyaka 40 uma zingelashwa. Antiemetics for nokwelashwa ngamakhemikhali, amagama awo achazwe ngenhla, ukusiza ukuba ubhekane nezingcindezi ezingemnandi komzimba okufana ukuhlanza.
Kukhona inganekwane ukuthi umthamo ephakeme i izidakamizwa anti-emetic, aba maningi ukusebenza yayo - akusiyo. Amalungiselelo ziphele ngokuqinile eselulekweni kadokotela futhi uhambisane umthamo zazo zakwamanye amazwe. Okuwukuphela kwendlela yokuthola umphumela ongcono.
Hlala uphilile!
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