"Dobutamine": imiyalelo ukusetyenziswa, ifom ukukhululwa, umthamo, ukubuyekeza, analogue

Iingxaki neempahla nentliziyo yegazi aqhelekile kakhulu kubantu abadala. Kodwa kuvela izifo ezifana kunye nezigulane ngumfana. Ukuphucula imeko yomguli, oogqirha amisele amaziko inhliziyo. Enye yazo i "Dobutamine" iziyobisi. Imiyalelo zokusetyenziswa, ifom ukukhululwa, analogs neempawu iziyobisi kuthiwa thaca ngezantsi.

Ubume, ukupakishwa, ifomu kweziyobisi

Le medicament "Dobutamine", imiyalelo zokusetyenziswa leyo uqulathwe inyanda iphepha shinyi, iqulathe izinto njengoko dobutamine hydrochloride, kunye nezinto zenkxaso ezahlukeneyo.

Xa intengiso ichiza uzayo uhlobo sisombululo ezingenambala okanye bulubhelu kancinane neselubala iimela, ukuba sibekwe yentsha kwiglasi.

Kwakhona, eli yeza zingathengwa ngohlobo imveliso ngumkhenkce-ezomisiweyo phule ukuba isisombululo.

Iimpawu pharmacodynamic we isisombululo injectable

Yintoni na ichiza "Dobutamine"? Imiyalelo yokusebenzisa (ampoules eli yeza zingathengwa kuyo nayiphi na ivenkile) ithi ukuba cardiotonic, a catecholamine eyenziweyo beta-agonists-1.

Le iyeza uyakwazi ukukhuthaza ii-beta-1-adrenergic le myocardium, ukwandisa contractility yayo. Kwakhona kwandisa ngomzuzu, kwaye umthamo azigeqa iimpahla intliziyo negazi kunciphisa operatives.

Emva kokuba isicelo kweli chiza kwabangela ukunyuka ulinganisele izinga entliziyweni. ukusebenza Chronotropic beziyobisi, kwakunye yayo emihle dromotropic wabonakalaliswa iidosi eziphezulu.

Ngeedosi ukulinganisela, eli chiza kuba nguvumazonke kuchaphazela uxinzelelo lwegazi. Ngenxa yokuba unalo ixesha entle elifutshane wesiqingatha-wobomi, kufuneka ufakwe rhoqo. Kodwa ke kufuneka kukhunjulwe ukuba kunyango oluqhubekayo kunye eli chiza iiyure 72 okanye kwenza ukuba likhoboka lazo.

Sebenzisa 'Dobutamine "medicament, imiyalelo zokusetyenziswa ichazwa ngezantsi, kuyimfuneko ukulawula i electrocardiogram ngaxeshanye, izinga lentliziyo kunye noxinzelelo lwegazi.

Entshukumo Ipharamitha medicament

Ichiza "Dobutamine" ukusebenza ixesha elide kangakanani? Imiyalelo yokusebenzisa (tablets - iintlobo ezinjalo amayeza engenaye) ithi emva nokubandakanywa efakwa legalelo zeziyobisi emsebenzini emva kwemizuzu emi-2. mninzi lakhe esitalini emva ¼ ilixa yaphunyezwa ngo-plasma.

Isiqingatha wobomi ichiza yimizuzu 2-5.

Iimpawu zibonisa ukuba ukusetyenziswa kwe isisombululo

Ngaba ubusazi ukuba kwamanye iimeko, ichiza "Dobutamine 'eyabelwe? Imiyalelo yokusebenzisa ngokwezi okukhomba zilandelayo:

• senhliziyo olunamandla;
• nokudumba pulmonary;
• CHF decompensation (njengoko njengendlela zenkxaso okwexeshana);
• yehle output intliziyo;
• liqhuba uxinzelelo echocardiography (moshilongo).

Izimo ukuba ukusetyenziswa kweziyobisi

Ziziphi iimeko musani ukumisela i-arhente kwentliziyo, njengoko 'Dobutamine'? Imiyalelo yokusebenzisa (analogue iziyobisi ezidweliswe ngezantsi) Iingxelo ezi Izimo zilandelayo:

• isithintelo ngomatshini okanye outflow of igazi kuzaliswa ventricles ngentliziyo (umz, cardiomyopathy obstructive, stenosis aortic, wavakalisa tamponade kwentliziyo) ;
• giperuvstvitelnost ukuba eyona nto engundoqo;
• hypovolemia;
• Mao inhibitor.

Drug "Dobutamine": imiyalelo yokusebenzisa

Xa kubelekwa, eli yeza sisetyenziselwa ezibonisa ezizodwa. Kukwasebenza kwanjalo kubantwana abakwiminyaka minor.

Njengoko kwakunye analogs kweli chiza, "Dobutamine" ilungiselelwe yolawulo efakwa. Ngaloo ndlela ngaphambili bungxengwe Iringa isisombululo, 5% iswekile okanye sodium chloride.

ivenkile iziyobisi Ready ngaphezulu akukho ngaphezu kokuba imini. Isantya ixesha kulawulo kuxhomekeke hemodynamic iparameters. Kulo mba ukuze imeko yomguli kufuna esweni rhoqo. Kuyimfuneko ukuba esweni izinga lentliziyo, ixabiso uxinzelelo lwegazi, kunye output kwentliziyo (ukuba kunokwenzeka).

Ngoko ke yintoni idosi kumiselwe "Dobutamine hexane?" Imiyalelo yokusebenzisa ingxelo yokuba abadala abantu oko ibhalwa isixa 2.5-10 mg / kg / min (kwiimeko ezinqabileyo -. 40 ug / kg / min). Ngokubhekisele abantwana, bona iziyobisi alawulwa ne nedosi ye-1-15 mcg / kg / min.

iziphumo ebezingalindelekanga ngexesha unyango kunye ichiza

Yintoni embi abasabela kunokubangela ichiza "Dobutamine"? Imiyalelo yokusebenzisa sithetha kokuvela ezi ziphumo zilandelayo kunokwenzeka:

• ukurhawuzelelwa, sifuba angina;
• bronchospasm;
• irhashalala, iyangongoza;
• tachycardia, kuthibaza;
• phlebitis kuyo inaliti;
• arrhythmias wentliziyo (ventricular fibrillation arrythmia);
• ukwanda koxinzelelo lwegazi iSystolic;
• isicaphucaphu, intloko.

Zonke uxabane yi iimpahla ngentliziyo negazi iyohluka, ngokuxhomekeke umthamo ichiza. Ludla nyamalala emva Ekuphelisweni iimela, okanye ukuncipha ngesantya yayo.

Ixabiso kunye efanayo amayeza

Yimalini "Dobutamine hexane?" Imiyalelo yokusebenzisa ayiniki impendulo yalo mbuzo. Ezikhemisti, ixabiso eli chiza ibe malunga 350-450 engange.

Yintoni efanele kuqwalaselwa endaweni iyeza? oogxa zakhe iziyobisi zilandelayo: "Dobuzhekt", "Dobutamine Solvay", "Dobutamine Giulini", "Korotrop", "Dobutamine Lachema", "Dobutamine Nycomed".

iingcali Reviews Imithi

Ukubuyekezwa Consumer yokulungiselela kunanzwa.Akukho. Oku kungenxa yokuba arhente cardiotonic ezinjalo asetyenziswa kuphela kwiimeko ezingxamisekileyo (umz, ukusilela intliziyo etsolo, ukuba ukuwa isalathisi ezesifuba wayicola ekhohlo umsebenzi contractile ventricular). Ngokuqhelekileyo, le meko iqatshelwe cardiomyopathies, Njengokungeniswa yokubolisa, iposi engabalulekanga, kunye notyando nentliziyo evulekileyo.

Ngokutsho iingcali, iyeza uthathwa isiseko unyango amayeza bothukile cardiogenic. Oku ayisetyenziselwa ukunyanga isifo senhliziyo ezigulo ezondeleyo.

Ngenxa yokuba le iyeza kungabangela arrhythmia kunye tachycardia, kufuneka isetyenziswe kwixesha elifutshane ngexesha kuphela kwiimeko kakhulu, okt kwi ukusilela entliziyweni oyingozi.

Akunakwenzeka ukuba uqaphele ukuba le ichiza uluhlu omncinane phakathi neziphumo eziyityhefu kunye amathamo nezinyangayo.

Ngokungafaniyo iziyobisi "Dopamine" Akazange ebangela vasodilatation.