"Pipekuroniyu bromide": kauoha no ka hoʻohana

Lapaau ko iala skeletal nāʻiʻo, e hoʻomano hoʻohana ole wale, iʻoki lāʻau lapaʻau ke kaʻina hana o ka meakino a me ka lōʻihi lōʻihi like 'ole, akā, i loko o ka hana o ka trauma me ka AIM o ka repositioning a prosthetic ami. "Pipekuroniyu bromide" pili i ka pae antidepolyarizuyuschih relaxants, a mai kekahi i kā mākou lōʻihi like 'ole o ka hana o 50-70 minuke ke kaumaha ma muli o nā' ano o ka meaola. E na olelo ao no ka hoʻohanaʻana i ka lāʻau mākou noonoo, a oi loa aku hoi kona hoʻohana 'ana i loko o anesthetic hana.

pharmacological characterization

Keʻano papa hana o ka hana ana i ka lāʻau 'pili me ka paleʻana synaptic EYI ma ka neuromuscular synapse. Manawa a hiki i keia, he mea inhibition o ka hanana o ka hanaʻia i loko o ka Muscle puluniuʻili lahilahi, a pela, i ka Muscle aeea haalele i kona hiki i ka aelike.

Me ka hooloihi ae i waiū a hiki i ka lāʻau conditionally "pipekuroniyu bromide" skeletal musculature relaxes. Ua haawiia i nicotinic cholinergic receptors o ke 'ano ke aupuni' ole wale i loko o ka papa kahi o ka efferent olona, somatic ko mākou hopohopo'ōnaehana me ka Muscle keena o skeletal nāʻiʻo a me ka ganglia i loko o ka autonomic ko mākou hopohopo'ōnaehana, i ka hoike o ka nui nā māhele o ka medicament kena ganglioblokiruyuschimi nawaliwali ai. Keia mea aie a hiki i ka cessation o ka EYI o nā aʻalolo impulse i ka postsynaptic membranes o neurons, i hiki aku ai i ka emi i loko o nā kōkua aloha a me ka parasympathetic 'ole.

nāʻikepili

E hoomakaukau ai "pipekuroniyu bromide" ua hōʻike no ka hoʻomaha o skeletal nāʻiʻo iʻoki kino. Effectiveness o ka lāʻau no ka mea o ka tracheal intubation me ka me mechanical hoʻokomo ea.

Contraindications

E like me ka lāʻau a hiki i "pipekuroniyu bromide" aʻo, i ka lāʻau 'ua loa contraindicated ma ke alo o ka hypersensitivity, a ma ke alo o ka myasthenia (pohihihi keia, genetically paa maʻi, i mea ma ka' aʻe o ka excitation ma ka neuromuscular synapse kūpono 'ana a me ka Muscle nawaliwali).

Ka lāʻau 'Ua contraindicated i loko o nā mea maʻi i loko o nā kahua o ka hoʻonaʻauao kakahiaka o ka hāpai keiki. Ma nā kahua o ka hoʻonaʻauao ma hope o ka lāʻau i ke ia, e like me ka mea nā keʻa ka placental ke'ākeʻakeʻa mai i loko o nīnūnē dala.

ʻaoʻao waiwai

Ka lāʻau 'ke inhibit i ka ha awina o ka Central ko mākou hopohopo'ōnaehana, i hypersensitivityʻike manaʻo.

Mai kaʻaoʻao o ka mea'ōnaehana mānowai kokoʻaoʻao waiwai, kena ae la ia e inhibition o cholinergic EYI ma na synapses. Hana no laila, e emi naau ana, haʻahaʻa ke koko, ischemic myocardial poino, lolo poho pili i ua hoʻemi perfusion.

I ka (hoi i na aftereffects o ka lāʻau) paku ole ia i hiki kaumaha o ka naehana'ōnaehana o ka ÷ naehana hanu hana, ka hanana o apnea a apnea.

Ka lāʻau e loli ai i ka pūnao a me ka mea hiki ia i ka hoomahuahua i loko o ke koko potasiuma pae, mahuahua ka nui o endogenous creatinine, a malalo wai koko monakō koko pae.

Uluwehi O "pipekuroniyu bromide" - kauoha no ka hoʻohana

Ka lāʻau 'ua lawelawe ma lalo o ka hooponopono ana o ka hoʻomalu wale. Ma mua o ka lāʻau 'hooponopono pono e kaha i ka loaʻa nui o anticholinesterases ( "Neostegmina" a me "Pyridostigmine") a me anticholinergics ( "Atropine").

Ma hope o ka manipulation ana hoʻomanawanui ka mālamaʻana ua lawe mai i loko o ka loaa au ma hope o anesthesia a me ka hoomanawanui, e normalize Muscle leo.

Ka laʻau heluna o medicament ma luna o ke kumu o ka luna 'ninaninau ana o ke ahonui a me ka noiʻiʻikepili Ka Ikepili keʻena hoʻokolohua' ana i kūpono. Ma ke alo o ka ole o kaʻaʻa puʻuwai excretory hana, ooieoeiiaeuiiai ake e loaa, obesity - mahele lāʻau e e lalo medicament.

Ka pāʻoihana ua hoʻomākaukau koke ihola ma mua lāʻau aaieieno? "Pipekuroniyu bromide." Palapala lāʻau hookuu - ehiku huewai o lyophilized he lepo lā i loaʻa ka 0.004 g. Oʻeleu waiwai.

No nā mea maʻi me kaʻole koko electrolyte kaulike a me kaʻakika-kumu koena ua i koi mahele lāʻau hoʻoponopono. Preferential ka ho'ēmiʻana o ka ion lehulehu i loko o ke koko, wai koko, hypothermia a me ka hoʻohana 'ana o cardiac glycosides e hiki, e hooloihi i ka lōʻihi like' ole o ka lāʻau (i digitalization). Ma ka hihia o ke Muscle hoʻomaha ma keia pae ana o nā mea maʻi initially pono e normalize i ke electrolyte o ke koko, a laila, e lawe mai Muscle hoʻomaha. Ma ka hihia o nā mea maʻi me ka maʻi naau e loaa, ke koko holo e 'ūlōlohi i ka palena manawa o ka latent wā o ka lāʻau hookoia (mea ulu i loko o ka manawa ma waena o aaieieno? A me ka hookahi ana o hopena).

Hiki nō ke hoʻohana i ka lāʻau i loko o na keiki o 1 makahiki. Ma keia hihia ka mea pono e hoomanao i ke kino o ke keiki i ka mea emi ikepili koʻikoʻi i na ona o ka Muscle relaxant, a pela, e kū ai i ka makemake kanawai, e hoonuiia ka mahele lāʻau o ka lāʻau e.

Vacation lāʻau

I hoakaka ia i ka lāʻau no ka "pipekuroniyu bromide" beauty ma Roma hiki ole e hele kauka. Lapaʻau kula launa potent waiwai mai ka papa A wale nō ma ka noi, a ma luna o ke kumu o ka moku'āina. Ma ka okoa hihia, "pipekuroniyu bromide" beauty e koi 'ia i akamai ka hoʻohana' ana i ka "ulaula" palapala, nae, ua noa i ka 'ole a pau haukapila pukapuka i ke kō o ka ai' a me ka paakiki ai ', me Muscle relaxants.

kuai inoa

Ma ka mea lāʻau lapaʻau kuai i ka lāʻau i loaʻa ma lalo o ia kuai inoa me "Arduan" "Vero pipekuroniyu", "Aperamid", "pipekuroniyu bromide." mea e kaukaʻi ma ka Hookah kalepa inoa o ka lāʻau, haawi i ka lāʻau a hiki i ka mea lāʻau lapaʻau market.

overdose

An overdose o ka lāʻau, a me ka ka ho'ēmiʻana ia mea hiki no i ka hoike o anticholinesterases. Mau ai 'kōkua, e hoomahuahua i ka lehulehu o ka neurotransmitter acetylcholine, ma laila hoʻokūkū ana me ka Muscle relaxant no ka paa' ō a ma luna o ka mea loaʻa.

Nō hoʻi, pākōlea ana ma ka overdose ke hoʻololi i mahuahua ke koko, malama nui ke kino, a me ma ka lilo o ka me mechanical hoʻokomo ea.

Uluwehi O hana kūleʻa

Ka lāʻau 'hiki ole ke hui me kekahi infusion pāʻoihana, koe isotonic pāʻoihana o ka paʻakai koloriside a me ka dextrose. Ka hooulu ana o ka lāʻau hookoia 'aʻole hoʻi ia, ua mahuahua ka pono ka pākōlea mahele lāʻau ma lalo o keʻano o ka preoperative hooponopono i ka hoomanawanui i ka cholinesterase nā mea kūpale.

Ma kekahi mau palapala noi i ka Muscle relaxant narcotic analgesics hiki kaumaha o ka ÷ naehana hanu-oaio? A me ka hooulu ana o ka hiamoe apnea.

E ho ohana ana i ka lāʻau a me depolarizing Muscle relaxants 'ano o ka hana hiki nā ka hōʻoi' a hihia hoʻi i loko o ka nohona ma Muscle relaxant kanawai. Kēia 'ole ke' mea ku pono i ka laʻau heluna o ka ai ', manawa o ka hooponopono, a me kēia pā lonoaʻili i ka waiʻona.

ka hopena

E hali ana i Muscle hoʻomaha iʻoki kino - nui i kekahi hapa o ka noniakahi anesthesia. Uluwehi O "pipekuroniyu bromide" ua ana hoʻohana 'ia ma ka' inikua hana no kēia mau hana.

Ua pono e hoomanao ana i ka hoʻokomo 'ia' ana o ka lāʻau kumu hoʻomaha o skeletal nāʻiʻo kuleana no ka naau mai neʻeʻana,ʻaʻole wale nō, akā, i kumu lōlō o ka ÷ naehana hanu nāʻiʻo. Noonoo keia, ke k ua hoʻohana 'ia wale nō ma lalo o na kumu, aʻoki lāʻau lapaʻau mālama nui malama huahelu.