Isixazululo "Reosorbilakt": yokusetshenziswa, ngempela

Ngosizo lesi sidakamizwa "Reosorbilakt" kwenziwe ngcono kwegazi futhi ukuzinza ivolumu yalo Imininingwane, ukulwa ubuthi emzimbeni, kucebisa ezinesibopho amandla adingekayo. Ngesisekelo le igazi esikhundleni nosawoti kukhona izinto ezibalulekile ukuze umzimba - sodium, calcium, potassium, magnesium - futhi hexahydroxyalcohols sorbitol, okuyinto eyenza ukuba kalula faka isixazululo ngemithambo yegazi.

izici umkhiqizo

Izidakamizwa "Reosorbilakt" libhekisela plasma esikhundleni futhi ngokukhishwa kobuthi egazini izindawo. Itholakala isixazululo ukumnika emthanjeni futhi bolus dropwise. Umuthi is zahlanganiswa ngo ingilazi amabhodlela 400 ml bese 200 ml iziqukathi noma 250 noma 500 ml.

Umenzi lokhu plasma olwandisa crystalloid iyinkampani Ukraine "Yuri Ipulazi."

isixazululo isithako

Medicine "Reosorbilakt 'kubhekisela esenzakalweni esiyisimangaliso ejenti multi-ingxenye esekelwe electrolyte yemvelo namandla, akhethiwe ngokuhambisana nokwakheka kwe-plasma yegazi yomuntu ephile. Inani izinto edwetshwe 1 ilitha, kuvezwa amagremu. Isakhiwo kuhlanganisa:

• 19 g we sodium lactate,
• 6 g-sodium chloride,
• 0.1 g-calcium ezomile chloride,
• 0.3 g potassium chloride,
• 0.2 g magnesium ezomile chloride
• 60 g hexahydric utshwala sorbitol.

Futhi kule ziyalezo ngesibalo millimoles sodium ehlukile, i-potassium, i-calcium, i-magnesium, i-acid chloride ezisalayo kanye acidosis acid.

Kanjani izidakamizwa

Lo mshini wezenzo zomuthi lihlotshaniswa plasma-rheological ukuqaliswa, anti-shock, detoxifying, alkalizing umsebenzi "Reosorbilakt" isixazululo. Yokusetshenziswa pharmacotherapy indima esemqoka kuchasiselwe izingxenye zalo eziyinhloko: sorbitol futhi sodium lactate. Amaseli kwesibindi sorbitol molecule ekuqaleni ekhiqizwa fructose kusukela glucose elivele ke etholwe, futhi okwaphuma lapho kuyilo glycogen. Kusukela engxenyeni eyodwa sorbitol e wokuqhekeka amandla okukhiqizwayo ezibalulekile izinqubo amandla okudla yomzimba, kodwa olunye uhlangothi kwemiqondo wayibeka glycogen. Ngaphansi kwethonya ikhambi isotonic ka sorbitol encishisiwe thrombus ekwakhekeni, ekuthuthukiseni microcirculation nokugeleza kwegazi ngokusebenzisa izicubu.

Sodium lactate uyephuza, kungekho ngokuzumayo izinguquko hydrogen Inkomba ukulungiswa asidi ngenxa ukufakwa yayo umzimba izinqubo. anions wayo kuyakwazi ukubopha hydrogen ion futhi ngaleyo ndlela ukwehlisa asidi. Isigamu sehora ngemva kokuphathwa emthanjeni of sodium lactate iqala abazikhandla umphumela wawo umzimba.

I ezinkulu seka extracellular sodium ion. okuhlushwa zawo kunquma okuqukethwe ketshezi ngaphandle amaseli.

Nge plazmozameshchath kusho i-sodium chloride, it is eyenziwa nokulahla ubuthi namanzi kabusha yokucwenga amaseli emzimbeni. Isingeniso usawoti sodium normalizes ezingeni kanye chlorine ion yaphazanyiswa ezifundazweni ezihlukahlukene sokugembula, okuyinto sivuselela homeostasis.

Ukusebenzisa i-calcium chloride aqedwa ukuntuleka calcium. zinengxenye ion wayo ukudluliselwa amaza kanye imicu yezinzwa, ukuncishiswa lwamathambo kanye bushelelezi kwemisipha izicubu, osteocytes kwetinhlavu ithambo izicubu, coagulation wegazi platelet amaseli, nokulawula umsebenzi imisipha yenhliziyo.

Ngaphansi isenzo-calcium ion kunciphisa ikhono amaseli nezindonga semithambo ukudlula izinto ezihlukahlukene ezicindezela izinqubo ukuvuvukala, kwandisa ukumelana ezithwala izifo ngcono phagocytosis.

Uyatholakala izidakamizwa "Reosorbilakt" okubonisa ukuthi isicelo futhi ngenxa izakhiwo potassium chloride. Basuke sibhekiswe ekubuyiseleni uketshezi electrolyte ibhalansi, ukunciphisa kwenhliziyo excitability esivimba amanzi. ebulilini kancane isixazululo Umqhubi uhlanganise amplitude we Kufinyeta of imisipha yenhliziyo, okubangela nomphumela isisu ngokulinganisela.

Isenzo potassium ion siqondiswe kokuqhuba yezinzwa pulses ukwandisa ezingeni acetylcholine, futhi ikhuthaza ukuthuthukiswa excitation division nozwela ka autonomic kwemizwa uhlelo ohlangothini. Potassium normalizes lwamathambo imisipha fibre ukusikwa, aqede sokuwohloka kwemisipha ne myasthenia gravis.

Lokho ephatha izidakamizwa "Reosorbilakt", okuyiwona wona isetshenziswa?

Ngenxa isixazululo multi-ingxenye futhi umsebenzi jikelele sokusebenza kwezidakamizwa yayo ingxenye asetshenziswa izimo ezihlukahlukene sokugembula. Kungaba kwenziwe ukwelashwa kuphela noma ibe yinkimbinkimbi.

Ngihlangana kujwayeleke microcirculation izidakamizwa "Reosorbilakt", okuyiwona wona usetshenziswa phakathi esibuhlungu, ukusebenza, ezinobuthi, futhi hemolytic ashise ukushaqeka ohambisana acute ukopha, ashise isifo.

isixazululo ukusebenza futhi izifo ezithathelwanayo, ukuqeda ubuthi, acute ukusha kwesibindi kohlobo ezingamahlalakhona.

It is lisetshenziswe sepsis, ilungiselela imisebenzi noma ngemva kokuhlinzwa.

Izidakamizwa "Reosorbilakt" imfundo manual uncoma izinjongo prophylactic nokwelapha lapho igazi ihlule thrombophlebitis, endarteritis, isifo Raynaud, lapho kuyadingeka ukuthuthukisa lwemithambo nokusakazwa emithambo yegazi.

Indlela

Imithi senzelwe ukuvuza emthanjeni noma bolus. Inani isixazululo incike nesineke futhi zingaba 400-1500 ml.

Kusukela 600 1000 ml ukulungiswa "Reosorbilakt" imfundo manual uncoma ukusebenzisa ngesikhathi elimele, ukusha, kwangemva-op futhi hemolytic. Lokhu nenani isisombululo injected kanye, futhi mhlawumbe okuphindaphindiwe ekuphathweni njengoba kudingeka. Kusukela ukusebenzisa indlela inkjet ukuthi uyogcina esikhundleni ukuvuza.

ukusha kwesibindi kohlobo Okungalapheki iphathwa ukuvuza 400 ml isixazululo, elihambisana 7-ml esisindo 1 kg, ne ukuphindwa.

Acute isimo ukopha kudinga kusuka 1500 kuya ku-1800 ml ukulungiswa. Ukumnika wenziwa endleleni eya a isikhungo sokwelapha e umshini wezokwelapha.

Ngaphambi imisebenzi, noma emva kuhlinzwa ukusetshenziswa ukumnika umthamo kuyinto 400 ml. Umuthi iqondiswa esisodwa noma izinsuku 5.

izifo Tromboobliteriruyuschie sokuhamba kwegazi kudinga ukusetshenziswa ukuvuza kusuka 8 kuya ku-10 ml nomuthi ngamunye 1 kg esisindo. I ukumnika Kwenziwa tandla emahlandla la -10 ngosuku.

ukwelapha ezinganeni

Nokho ikhambi "Reosorbilakt" imfundo manual izimvume busuka umzimba wengane, esigabeni ngasinye yobudala isetshenziswa umthamo yayo nemithi. iminyaka Kufika eziyisithupha ubudala dosed 10 ml ngayinye kg isisindo ingane. Engu-6 kuya 12, umthamo, okuyinto izikhathi ezimbili aphansi kunabantu abadala. Kusukela ngineminyaka engu-12, inani izidakamizwa elihambisana umthamo omdala.

Isicelo abesifazane abakhulelwe nabancelisayo

Ukusebenzisa izidakamizwa "Reosorbilakt" phakathi nokukhulelwa kanye lactation akuyona efiselekayo ngenxa yokuntula ulwazi ngemiphumela embungwini nengane.

Izici yokwelashwa

Phakathi ukwelashwa, isidingo sokulawula ibhalansi acid-base, ezingeni ion ebalulekile igazi, umsebenzi sesibindi.

Lapho gallstone noma isilonda peptic, oluhambisana nesifo, izinkinga zesibindi zomuthi iqondiswa ngokucophelela okukhulu.

Hhayi ingasetshenziswa kanyekanye nezixazululo aqukethe phosphate noma carbonate compounds.

Isixazululo awuzange esetshenziselwa lo dilution ka neminye imithi.

Lokhu kwelashwa is contraindicated

Akubona bonke iziguli sikhombisa yokwelapha "Reosorbilakt" isixazululo. Ukusetshenziswa Its akunakwenzeka:

• ngesikhathi displacement acid-base ibhalansi maqondana ayinayo;
• ukopha ebuchosheni, acute thrombus occlusion imithambo yegazi, izifo kohlelo eziphathelene nenhliziyo, third-degree umfutho wegazi ophakeme emithanjeni, kanye ezimweni lapho esiningi uketshezi elimazayo.

Endabeni ka hypersensitivity kuya ingxenye esebenzayo zomuthi kuyadingeka ukuze lokukwenqaba ngokuvumelana olwandisa plasma, ukuze singathwesi baxabane ezinzima nomzimba.

imiphumela emibi

Ngezinye izikhathi wayesebenzisa nokuphathwa nomuthi "Reosorbilakt" (isixazululo ngomjovo) ohlangothini ukusabela kungenzeka ezithinta ezingxenyeni ezihlukahlukene zomzimba.

Ukukhubazeka ku izivikeli mzimba avele ukusabela anaphylactic, angioedema, futhi izinga lokushisa komzimba ephakeme.

Izinguquko enhliziyweni semithambo isiteshi kuhlotshaniswa nokwanda noma ukwehla komfutho wegazi, iphika, okwandisa kwenhliziyo ezingeni beats engaphezu kuka-90 ngomzuzu 1, coloration cyanotic kwesikhumba elihlobene ne enganele liningi igazi e-capillary encane.

Kungase kube ukuphazamiseka zezinzwa libhekene liqhaqhazela, ikhanda, isiyezi, ubuthakathaka jikelele.

Izinguquko kungase kuthinte isikhumba nezicubu ongama, zibonakale ngezingxabano ngesimo ukuqubuka, isifuba, ukulunywa.

Izibuyekezo

Lokhu imithi ikufakazele ngokwaso njengoba ithuluzi okukhulu elikuvumela ukuba zibhekane nenkinga lokudakwa i umzimba, ukuqeda ukuphelelwa amanzi emzimbeni futhi electrolyte Ukwakheka kulesetayelekile le igazi.

Ingxenye sorbitol utshwala phezu cleavage idedela esibalulekile amandla, okuyinto ukulondoloza amabutho lesiguli obuthaka. Ngaphezu kwalokho, kwakhiwa kusukela glycogen elondolozwe ku kwesibindi, ukhonza njengephayona umthombo glucose at ukuntula kwayo igazi. Yingakho ungasebenzisa izidakamizwa umsoco parenteral.

Iziguli eziningi abaye ukubhekana ekwelapheni plasma-ejenti osale "Reosorbilakt" ukulungiselela okubuyayo. Nokho, akubona bonke Iziguli ziyakwazi ukuqhubeka ukukhomba futhi ulandelele indlela lasetshenziswa isixazululo umzimba wabo, ngoba ngokuvamile ithuluzi iqondiswa lapho ukwelashwa okuphuthumayo kwezimiso ezinzima. udokotela kuphela Unganquma ukuthi waphumelela noketshezi olungenambala olusegazini-imithi kulesi simo esibucayi, lihambisana namanye izidakamizwa.

Ukuhlola ikhambi "Reosorbilakt" omuhle Nature Reserve libuyekeza isiguli esithile ukwelashwa iqondiswa kuyo psoriasis. Kulokhu, ngcono izidakamizwa umzimba, detoxifies kanye kanye neminye imithi esiza ekunciphiseni izilonda. Iziguli phawula ukuthi ngemva inkambo ekuphathweni emthanjeni, banalo ngisahlose emzimbeni kunciphe isisindo emzimbeni.

Umuthi kusiza ukubuyisela ubungqabavu emva yokugula. Ezinye iziguli, ukumnika eyodwa kuphela ukuqeda ubuthi ezinzima.

Yini enye ephatha izidakamizwa

Akubona bonke izinkomba ukusetshenziswa kwezindlela wokuchaza isicelo "Reosorbilakt" imfundiso. Izibuyekezo zabantu ngezinzuzo yesixazululo uma hypotension ukubonisa ngcono isimo, ukubuyisela impilo, ukuqeda enkeneneza ekhanda lami siyafiliza izimpukane emehlweni. Ukwelashwa kungenxa ukuzinza of lwemithambo futhi emithambo yegazi kwegazi wonke umzimba. Nokho, izinkomba for ukusetshenziswa hypotension ayicacisiwe. Kukhona izifo eziningi lapho esetshenziswa plasma esikhundleni, kodwa akukho lwazi mayelana nabo imiyalelo.

Lokhu kusho ukuthi awukwazi ukhombe ngokwami ngokuzimela, udokotela kuphela kungacacisa ukuthi, ngeke ivumelane isiguli noma cha, ngoba kukhona abanye Izimo, lapho umuntu angezwa imiphumela engadingeki ngesikhathi isixazululo "Reosorbilakt" impatho.