Adrenaline hydrochloride: nā kuhikuhi no ka ho'ohana'ana, ka wehewehe o ka ho'omākaukau

'O ka ho'oha'aha'a nui o ke kahe o ke koko ma muli o nā ma'i'alo'olo, ka hopena o nā lā'au a i'ole nā kumu'ē a'e e hiki ai i nā hopena hana'ole i ke kino a i ka make. I kēia lā, ma ka'oihana olakino, ho'ohana'ia ka adrenaline hydrochloride e ho'one'e i ka mea ma'i mai kēia'ano. 'O ia, e pili ana i ka pa'akikī o ke kūlana, ke hā'awi'ia i nā ma'i i ke kīpili, intramuscularly or intravenously, a ma nā hihia ko'iko'i loa - ka pilina.

Ke hana Pharmacological

'O ka hopena ko'iko'i o ka lā'au lapa'au pili pili i ka hopena ma nā ahanui a me nā b-adrenergic, a ma nā'ano he nui e pili ana i nā hopena o ka hopena o nā a'a ke a'a. Me ka ho'okomo'ana o ke adrenaline i ke kino, e kōkua ka hydrochloride i nā moku o nā mea a pau o ka lua o ka'ōpū a ma ka hapa o nā'i'o'ele'ele. Ma muli o ia ia ka ho'ēmiʻana i loko o lumen koko auwai a ia lŘlŘ mahuahua i loko o ke koko,.

Eia nō na'e, he mea pono e ho'omaopopo i ka hopena o ka adrenaline ma ke kino, no ka hopena o nā haipule b-adrenergic, ma lalo o ka norepinephrine. Ma ka manawa like, he pa'akikī ka'ano o nā loli i ka hana'anakino. 'O ke'ano,'o ka ho'onāukiuki o adrenoreceptors e kōkua i ka ho'onui'ana a me ka ho'oikaika'ana i nā kū'ē'ē āpau, a i ka manawa ho'okahi, i ka wā e pi'i ai ka pi'i, ke kikowaena o nā a'alolo kūpiliki'i, he mea ho'onā i ka hana o ka pu'uwai. 'O ia ke kumu me ka hypoxia, hiki ke ho'ohana'ia o ka lā'au lapa'au i kahi arrhythmia.

Eia kekahi,'o ka lā'au lapa'au e ho'omohala ai nā haumāna, e ho'omaha i nā io o ka'ōpū a me ka ma'i. Ua hō'oia'ia i ka po'e ma'i, aia ka pi'i'ana o ka hanu'ana o ke kino, a pi'i ka nui o ka'ūliko toto ma hope o ka ho'oponopono'ia'ana o ho'okahi lālani o ia lā'au lapa'au e like me adrenaline hydrochloride. Aia nā'ōlelo no ka ho'ohana'ana i loko o ka'ike e ho'omaha ka lā'au i ka mana hana o nā'i'o o ka pa'oki, e like me ka wā ho'oulu.

No ke kikowaena pūnaewele waena,'o ka lā'au lapa'au o ka lā'au lapa'au, ma ke'ano he kaulana,'a'ohe ona'ōlelo i ka mana.

'O wai ka mea i hō'ike i ka lā'au lā'au?

E ho'ohana i ka adrenaline hydrochloride me ka emi mālie i ke kahe o ke koko (i ka lā'au lapa'au, ua kapa'ia kēia'ano o ka mea ma'i i ka hā'ule). Hiki ke ho'āla'ia kēlā pilikia ma kahi kanaka no ka ho'olā'au lā'au e nā lā'au lapa'au, nā palapū pīpī a me nā ho'oi'oki ma'i ma'i.

'O kekahi hō'ike'ē a'e no ka ho'ohana'ana i ka lā'au lapa'au he hypoglycemia, kahi e puka ai i ka wā e nui ai ka insulin. Ma kēia māhele, hiki i ka mea ma'i ke ho'ēmi ha'aha'a i ka helu wale no ke kaumaha o ke koko, akā,'o ke kahe koko.

I loko o ka ophthalmology, ua kau'ia ka lā'au lapa'au no ka po'e ma'i me ka ho'onui'ia'ana o ka pēpiko i loko (glaucoma). Ma ke'ano o ka'ōnohokalakelaula, ho'ohana'ia e like me ka vasoconstrictor.

Ma waho aʻeo ia mau nāʻikepili, epinephrine hydrochloride ua lawelawe i nā mea maʻi me ka ventricular fibrillation.

Ke hō'ike nei i ka pūnaewele a me ke'ano o ka ho'ohana

Ma muli o ka ma'i a me kona pa'akikī, hiki ke hō'ike'ia ka lā'au lapa'au i ke kino o ka ma'i, me ka intramuscularly a me ke kino'ole. I kēia hihia, ho'ohana'ia he 0.1% solution i ka 0.2 / 0.3 / 0.5 ai'ole 1 ml. 'O nā po'e ma'i me ka ma'i kīpona cardiac i hā'awi'ia i 1 ml o ka lā'au lapa'au, ua ho'ohana'ia ka ho'ohana ho'okahi no ka fibrillation ventricular. He mea pono e ho'omaopopo i ke koho'ana o ke kāpena i nā mea hana ma'amau a ke kauka no kēlā me kēia hihia.

Ma ophthalmology e hoʻokō i nā vasoconstrictive kanawai o ka epinephrine hydrochloride ua pili i ka mucous membranes o ka maka.

Ho'opili'ia nā kīpikō o ka hānō hānai e ke kā'ei subcutaneous o 0.3-0.5-0.7 ml. Akā, no nā'ano lapa'au o nā hopena o ka epinephrine no ka ho'ohana'ana i ka parenteral, laila, ma ke'ano he kūlana, make lākou i ka helu 0.3-0.5-0.75 ml no nā po'e mākua. Inā pono no ka ho'ohana'ana i kēia lā'au, nā keiki, ma muli o ka makahiki, e mālama'ia he 0.1-0.5 ml.

'O ke'ano o nā lā'au lapa'au

'O ka'aila Epinephrine hydrochloride ma ke'ano'ākino he'ele'ele'ano'ele'ele a ke'oke'o ke'oke'o. Ma lalo o ka mana o ka oxygen a me ka mālamalama, hiki iā ia ke loli. Eia na'e, ma kēia'ano,'a'ole hiki i ka lā'au lapa'au i ka mea kū'ai. Mamua o ka mea hiki ke hoʻohana 'ia i loko o' inikua me ka hana pono i loko o aseptic kumu i loko o ka mea lāʻau lapaʻau nā hale hana ka mea, ua nāu kekahi me ka pāʻoihana o hydrochloricʻakika. Ma ke'ano he mau mālama ho'omalu, ho'ohana nā mea kāmapa i ka sodium metabisulphite a me chlorobutanol.

Ma hope o ka mea ma nā mea lapa'au, hiki i nā mea ma'i ke loa'a kahi hopena o epinephrine hydrochloride, ua mākaukau loa no ka ho'ohana.

Ke'ano o ka ho'omākaukau

I kēia lā, hiki ke ho'ohana'ia kēia lā'au lapa'au i ka mea kū'ai wale nō ma ke'ano o ka hopena 0.1%, e loa'a ana i nā'āpana a me nā ampoules. 'O ka nui o ka mua he 30 ml, akā'o ka lua - ho'okahi wale nō ml. Nā māmā o 6 pcs. Ho'opiha'ia i loko o ka pahu pahu pahu.

I ka nānā'ana, ua like ka hopena me ka maopopo'ole o ka wai a me nā'ano'ē a'e.

'O wai ka mea kū'ē i ka lā'au lā'au?

Inā mākou e no'ono'o i ka hō'ailona nui no ka ho'ohana'ana i ka lā'au lapa'au he ulu nui i ke kahe'oko'a ma muli o ka li'ili'i o nā kī'aha koko, he mea pono'ole hiki ke ho'ohālike'ia i nā ma'i me ke ki'eki'e o ke koko. Eia kekahi, ke'a'a'ole'ia ka lā'au lapa'au ma ka hō'ike'ana i ke atherosclerosis, kourotoxicosis a me ka ma'i diabetic, no ka mea,'a'ole hiki i ka hana ho'omōmahana o kēia lā'au lā'au ke hō'eha i nā ma'i i ha'i'ia ma luna, akā i alaka'i pū'ia ho'i i nā hopena maika'i loa. Eia kekahi la'ana, ka'eha o ka myocardial, ka hahau a me nā mea'ē a'e.

Mai ho'ohana i ka adrenaline hydrochloride a i ka wā o ka hana, me ka ma'i me ka cyclopropane a fluorotane paha.

Pono nō ho'i e ho'omaopopo'ia ua kapu loa kēia lā'au i ka wā o ka hāpai'ana a me ka lactation. A i loko o ka hui'ana me nā lā'au "Oxytocin" nā lā'au lapa'au e alaka'i aku ai i ka ho'onui'ana i ka make.

Nā hopena'ao'ao

'Oiai'o ka nui o nā ma'i, hiki i ka lā'au lapa'au ke ho'ōla i ke ola o ka mea ma'i, me ka like like paha hiki ke hō'eha, inā'a'ole'oe e no'ono'o i nā hi'ohi'ona o ka mea ma'i a'oi aku paha ma luna o ka'ae i'ae'ia.

No laila, me ka ho'ohana pono'ana i nā lā'au lapa'au, hiki i ke kanaka ke no'ono'o i ka uila, maka'u, ha'alulu, hopohopo, a me ka laulā. Eia kekahi,'o ka mea ma'i ma hope o ka ho'okomo'ia'ana o ka lā'au la'au, hiki ke mālama i ka palino o ka'ili (no ka'ōpipipipipiki o nā kī'aha koko), ka wela a me ka ulu'ana o ke koko i ka wā pōkole. Eia na'e, kēia hō'ailona hō'ailona, no ka lō'ihi o kona kau'ana,'a'ole ia e koi aku i ke kauka lā'au lapa'au a i'ole ka wehe'ana i nā lā'au lapa'au.

'O nā mea i hō'ike'ia he adrenaline hydrochloride, nā'ōlelo a'o no ka ho'ohana'ana e kuhikuhi e pili ana i ka ulu kūpono o ka uhaki'ana o ka pu'uwai o ka pu'uwai, kachycardia, ka pi'i nui i ke koko. I nā ma'i me nā ma'i o ka ma'i ischemic e ho'ohana nei i ka lā'au lapa'au, e pi'i a'e ka hopena o ka'āpana angina.

Ke ho'omau

Ua'ike nā kānaka a pau i ka lā'au lapa'au e ho'ohana ana i ka ho'ohana'ana i kahi helu kūpono a wale nō e like me ke kauoha a ke kauka. Inā'ole, ua pilikia nui ke olakino o ka mea ma'i. 'A'ole ka'oko'a o adrenaline hydrochloride.

Inā ua'oi aku ka mea i'ae'ia o ka hopena ('oiai me ke ki'ina subcutaneous), ua ho'omaka ka mea ma'i i ka mydriasis a me ka ikaika o ka pihi. Eia hou, ua pi'i nui ka na'au, i kekahi mau mea hiki ke komo i loko o ka fibrillation ventricular. A ina o ka hoʻomanawanui ikaika hoonui i ka hydrostatic puʻe i loko o nā ipu huna uuku ke koko a me ka permeability o ka pulmonary capillary pa, e hoʻomōhala pulmonary edema nā'aʻaʻa.

Pehea e pale ai i nā hopena maika'i o ka lā'au lapa'au?

Ke paio nei lākou i nā hana hewa'ole o adrenaline me ke kōkua'ana o ka'a'a-a-a-b-adrenoblockers kū'ē. 'O kēia mau mea'o ia ka hō'ailona "Anaprilin", "Tropafen", "Fentolamin", etc. He pinepine nā kauka e ho'ohana ai i ka nutrites nui e wehe i nā hopena o adrenaline. Eia na'e, ua'ae'ia ka ho'ohana'ana i nā lālā lā'au lapa'au no nā hō'oia ha'aha'a o nā hopena o ke kino e like me adrenaline hydrochloride (ke'ano'ōlelo: 1-1- (3,4-dioxyphenyl) -2-methylaminoethanol hydrochloride).

Inā'oi ka'oihana pilikia o ka mea ma'i me kēia lā'au lā'au, e like me ka fibrillation ventricular a me ka edema pulmonary nui,'a'ole i lawa ka ho'ohana'ana i nā nitrites holokiko a me nā adrenoblockers. No ka mālama'ana i nā ma'i i loko o ia mau hihia, nā kauka e hana i ka ho'omehana kūpono kūpono, hiki iā ia ke komo i loko o ka ho'opili'ana i ke elela o ka na'au.

Nā kūlana no ka hā'awi'ana i lā'au lā'au

He mea pono ke ola'ana o nā lā'au lapa'au ma ke kumu o adrenaline i ka mea ho'ohana hope loa. Ma hope o ka hō'ailona'ana me kēia mau mea leka, hiki ke alaka'i i kahi hopena hopena maika'i'ole ma muli o ka mālama pono'ana i ka pūnaewele ho'opa'a. Eia kekahi, i kekahi mau ma'i me ka lawelawe'ana i kahi li'ili'i o adrenaline hydrochloride (hō'ike ke kuhikuhi i kēia), hiki ke ho'ololi i ka hopena ma'i ma'i.

No laila, ma mua o ka hele'ana i ke kauka no kēia lā'au lā'au, pono'oe e nīnau i ke kauka nāna e kākau i ka'ōlelo kaukau. 'O kēia palapala, kahi e loa'a ai nā'ike e pili ana i ka nui a me nā lā'au o ka lā'au lapa'au, pono e ho'ouna'ia i ke kauka lā'au kū'ai ma ke kū'ai'ana i lā'au lā'au.

Nā Maukino Drug

Ua'ike nā kauka he pono loa ke'ae'ia o ka ho'ohana'ana i adrenaline me nā ma'i like'ole. Ma hope o nā mea a pau, hiki i kēia huila he hopena ho'okomo a hiki i ka make'ana.

Mai hana i kēia ka lapaʻauʻia no ka iapaau ana o nā mea maʻi i lawe hiamoe huaale a me narcotic analgesics. Eia hou kekahi, allergies, a systematically hoʻohana antihistamines, i kekahi kauka, hoi, aole e kākau i kekahi kuhikuhi. 'O Adrenaline hydrochloride i loko o kēia hihia,'a'ole ia he pilikino wale nō no ke olakino - hiki ke lilo i mea kūpono i ka make.

Mai ho'ohui i ka lā'au lapa'au me ka ma'i āpau, no ka mea e hiki ai kēia i ke ulu'ana o ka ma'i ma'i ma ka ma'i.

Ho'ohālike like'ole

Ma muli o ka'ike'ole o nā'epekema i nā hualoa'a hopena a ho'omau i ka hana ma ka hana'ana i nā lā'au hou,'o ke'ano o ka adrenaline hydrochloride no kēia lā i kēia manawa he papa inoa keu o nā analogues. Eia nō na'e,'o ka koho'ana o nā lā'au, e like me ka hana me adrenaline, ke hana'ia wale e ke kauka. I kēia hihia,'a'ole i alaka'i'ia ke kauka ma muli o ke'ano a me ka pa'akikī o ka ma'i o ka mea ma'i, akā, e mālama pū ana ho'i i kona mau'ano pono'ī.

Hiki i ke kauka ke pani i ka adrenaline hydrochloride me nā lā'au e like me Epinifrin, Tonogen, Glaucosan, Adrenaline Hydrochloride, Suprarenalin,'Epineprine Hydrochloride, Levorenin, Eppy, Renostyptin, Supragenin , "Glaucon", "'Epirenan", "Adrenamin", "Hyperphrine", "Styptyrenal", "Paranephrine", "Glauconin", etc.

Ma muli o ka papa inoa o nā analog,'a'ole pono'oe e no'ono'o e hiki ke kū'ai ma'a'oko'a i ka lā'au lapa'au. Ma ka loa'a'ana o ka adrenaline hydrochloride, e pono e hō'ike i ke kauka lā'au lapa'au ma ka'ōlelo Latina. Ho'ohana'ia kēia mea inā makemake'oe e kū'ai i kekahi o nā lā'au lapa'au i'ōlelo'ia ma luna nei.