Paʻakai nitroprusside: kauoha no ka hoʻohana

He nui ai 'i i hypotensive loa. Ai 'e emi iho ke koko, ua ana ia i loko o ka luna' a me ka nui (1-2 manawa kela la i keia). Pela i malamaia lakou nei, hypertension. Ma kekahi hihia, a kohu pono ai 'e ho'ēmi i ke koko, e ole pili. A laila, pili ikaika lapaʻauʻia e like me pāʻoihana 'o ka paʻakai nitroprusside. " Kēia lāʻau 'ua i hoʻohana systematically, a me ka nui e pono ai. Ia mea,ʻaʻole he ka lapaʻauʻia o ke koho no ka lapaau ana i hypertension a me ka maʻi naʻau ole. Ua Ua hoʻohana 'ia wale i ka hihia o ka pilikia, i ka wa a ke kanaka o ke kino, aole ia e pane i ka' ē ai 'e ho'ēmi i ke koko, (diuretics, ACE nā mea kūpale). A pāʻoihana 'o ka paʻakai nitroprusside "hiki ole ke lawelawe wale, me ke kuhikuhi.

He aha ai ka lāʻau i ma luna o ke kino?

E hoomakaukau ai "paʻakai nitroprusside" (haʻilula - C ₅ FeN ₆ Na ₂ O) pili i kekahi pūʻulu oʻike ākea vasodilators. Ua loaʻa ka waiwaiʻula ano i loko o ka palapala o nā pōaka a me ka pauka. Akā, kona makaukau nāu kekahi me ka wai a me ka hoʻohana 'ia i loko o ka waiʻona. Aie i ka mea i loaʻa o ke nitroso pae, ka hoʻohana 'ana i ka lāʻau' ke kumu vasodilation i loko o ka haku mele 'ana o ka waiwai. Keia ia lŘlŘ like penei: kēia Nine Inch hui ka wā kino ua hoohuliia i loko o nitric'okesaside, a haʻalele no ka'ūhū - guanylate cyclase. Ma ia mea no hoʻokāʻoi 'ho okumu o cGMP i mālama i loaa i loko o vascular malimali Muscle a me ke kumu no kona hoʻomaha. Alaila, o ka medicament "paʻakai nitroprusside" ke koho kēia mau waiwai, a arterio venodilatiruyuschy a me ka hypotensive. Ma keia hana o ka vascular'ōnaehana ua noho maikaʻi koke. Eia hou, i ka pāʻoihana hana e like me ke 'ano o ka cardiac glycosides, a laila e ho'ēmi i kā myocardial ka oxygen koi. Keia kanawai ua loaʻa ma pre- a me ka afterload emi.

nāʻikepili medicament

It E e hoʻomaopopo ai i ua hoʻohana 'ia ka lāʻau wale ma ka pilikia hihia o ka maʻi kaumaha a me ka ia'ku o ka meaola i nā pūʻulu o medicaments. Nāʻikepili no ka hoʻohana ana i ka lāʻau 'ua kapaia:

1. Huʻi naʻau ole. I mau mākou i loko o ka naau o ka hooulu ana o pulmonary edema (cardiac asthma). Ka lāʻau 'Ua hoʻomaka koke' ano ua ālai kēia moku'āina i ole hopena o diuretics.
2. Maʻi naʻau ole, loa. Ka hope kahua o ka maʻi naau 'ole (2b, 3) mai i mau pane i ka lapaau. Nolaila, i ka wa e kū'ē'ē mai i ka 'ē aʻe ai', a me ka keu o ke ano o ka hoʻomanawanui i hoakaka iaʻike ākea vasodilators.
3. Huʻi coronary maʻi pale. Ma kekahi mau hihia, ua hoʻohana 'ia ka lāʻau i loko o myocardial infarction, e emi ka puʻe i loko o nā ipu koko o ka naʻau, e like me ke pale i ke kūpono' ana o cardiogenic kŰia.
4. Intractable i kuʻuna kanaka o ka hypertension. Vasodilators hiki ke hoʻohana 'ia i loko o pheochromocytoma, paroxysmal crises, e like me ka hooulu ana o ka loa complications kauoha ae la ia e kaʻoi mahuahua i loko o ke koko, (hahauʻana, psychogenic kāna hana, naau hoouka).
5. Ergot kaʻapu kōheoheo. Kēia mea kanu He mau pahi vasospasm, a i mea hoʻonāwaliwali i Via medicament "paʻakai nitroprusside." Na Ke Kumu no ka hoʻohana ma ka AEeAaOA inserts e e maopopo loa e kauka "ambulance" a me ka resuscitation.

Contraindications a me kaʻaoʻao mau waiwai

Ka lāʻau 'E ole e ia i loko o hemorrhagic hahauʻana, e like me ma hope o ia. Ua Ua contraindicated no kanaka e loaa ana mai ka maʻi hakuʻala mai a me ka hypothyroidism. ka mea, ua hoi i paipai no na kanaka me ka māhuahua intracranial puʻe. Ke hoʻohana no ka lapaʻauʻia ua papaia na keiki, hapai na wahine a me ka poʻe i loko o wa elemakule. Kekahi contraindication mea intolerantʻeleu Agena me ka hooulu ana o allergic reactions.

Mawaena o kaʻaoʻao ona, mai ka hana o ka "paʻakai nitroprusside" hoomalolo mea e i ka pahikaua emi i loko o ke koko, (ma keia hihia, e mea pono e hooki aku i koke hooponopono), mahuahua naau ana, pōniuniu, nausea a me ka mau nawaliwali.

Nine naoh me ka paʻakai nitroprusside

Ma waho aʻeo ia ka hoʻolako 'i ka pākōlea hopena o ka paʻakai nitroprusside waiwai hoʻohana i loko o Nine Inch reactions. Inā ka mea, ua hui ia me ka ketone kino (acetone), a hoonoho iho la ma ka'ākilikai 'ia, e hiki ke ike i kekahi mea kupaianaha loli ma ke ano o ka hui. No ka mea, ua loli 'ka hoʻohana' ana 4 paipu. Ma kau hoʻokahi wale nō waiwai kēlā - paʻakai nitroprusside, acetone, mekala 'åkilikai, aceticʻakika. Ma ka hihia mua i ke kūpono pāʻoihana huli huali alani-ula hue. Next, kēia hui ua nāu kekahi me aceticʻakika. Kala like 'ole hou hoʻololi, i kēia manawa i ka wai iʻula a me ka poni.

E hoomakaukau ai "paʻakai nitroprusside": kauoha no ka hoʻohana

E komo i ka lāʻau, ka mea, he pono ke loaa intravenous ke kula. Koke ma mua o ka hoʻomaka 'ana o ka lāʻau infusion, ka mea e e nāu kekahi i loko o 5% monakō koko pāʻoihana. No keia mea, 1 hue o ka lāʻau i loko o ka 'ohe, a nāu kekahi me 5 ml o ka wai. Ua kūpono läÿau, Ua injected i loko o ka hue a me 5% monakō koko, e hoike mai i hou. Ma hope iho o ia, e koho i i ka makemake laʻau heluna. Ua papa koa mai 0,3 a hiki i 8 g. No 1 kg o ke kino ke kaumaha. Ke infusion ua i ma ke kahua. Ua e hoʻomaka me ka haʻahaʻa mahele lāʻau, a i nā hoomahuahua ia ma lalo o ka hooponopono ana o ka nui na hoailona (ke koko, naau ana, ka lāʻau ikiʻai). Ua mea no hoi e pono ke kau i kaʻoluʻolu infusion uku like i 2.5-3 mg / kg i ka 1 minuke. Ka laʻau heluna hilinaʻi nui ma ka manawa o ka lāʻau hooponopono. Hooloihi ae i infusion pono kanaka hoʻoponopono i ka nui o ka cyanide-i loaʻa ka medicament ma "paʻakai nitroprusside". Na Ke Kumu no ka hoʻohana ana i ka lāʻau 'E e akaka malama.

AaOIeIOUIeXAOAaIN me nā ai '

Mākou e i waiho aku hoʻohana o ka lāʻau, a me nā antihypertensive hope, e like me ka hiki 'ana o ka moku'āina o kŰia. Eʻoluʻolu, e makaala i ka hoʻohana 'ana o ke ku una ha contraceptives ho'ēmi i kā ka laulā o ka lāʻau. I ka hui me ka medicament lāʻau "Dobutamine" no ka nui na hoailona o ka hoʻomanawanui pono e akahele ua hoʻonānā (hiki hoemiia puʻe, wedging i loko o nā ipu e like me akemāmā, a mahuahua nui cardiac ka leo).