"Omnipak": yokusetshenziswa, nozakwabo yangempela

Ngokuqinisekile wonke umuntu ngemvume yigama lezokwelapha, njengoba ama-X ray. Kusho ekutadisheni Sakhiwo sangekhatsi kwezitho nezicubu zomzimba womuntu. Basuke slide iphepha esikhethekile noma ifilimu ngokusebenzisa X-ray. Ngenxa yalolu cwaningo, udokotela lula ukwenza ithole ukuxilongwa okufanele futhi zibeka ukwelashwa.

Ukuze lula inqubo futhi sithuthukise ngeso yezitho zangaphakathi nezicubu, usebenzisa-X-ray Ngokuphambene ejenti. Basebenzisa kuphela uma izindlela radiology.

Ngokuvamile, izindlela ezifana zimumethe a iodine noma barium yombala.

Omunye ethandwa kakhulu-X-ray Ngokuphambene ejenti kuyinto "Omnipak". Yokusetshenziswa, analogs ithuluzi, izici zayo kanye nokusungulwa izokwethulwa ngemuva kwalokhu.

Ukukhululwa ifomu zomuthi, kwikhava yawo, incazelo kanye nokusungulwa

Ngayiphi ifomu ikhishwe ejenti radiopaque ngokuthi "Omnipak"? Iziyalezo umbiko ukusetshenziswa, impendulo wathi nomuthi yisisombululo ukusula intravascular, intrathecal futhi umjovo intracavitary. Ngo ukudayiswa ke ifika amabhodlela 20, 10, 100, 50 noma 200 ml. Ngo elinye ibhokisi kungase kube 6, 25 noma 10 izingcezu.

Ukulungiselela "Omnipaque" imfundo enikezwa ngezansi, iqukethe e oyiyo iohexol, hydrochloric acid, trometamol, amanzi luhlanzekile futhi EDTA (isb edeteat-sodium ne-calcium).

izici Pharmacodynamic ejenti radiopaque

Liyini ikhambi "Omnipak"? Iziyalezo yokusetshenziswa uthi ukuthi ejenti radiopaque. Umthelela emva ukusetshenziswa kufinyelelwa ngenxa ukumuncwa organically eboshiwe iodine-X-ray. Radiographs ivumela ngeso lengqondo ezihlukahlukene imithambo yegazi, izicubu, kanye izimbotshana.

radiopacity Kuhle e myelography ezivamile waphawula ngemva kwemizuzu engu-30. Futhi ngemva kwemizuzu engu-60, iziphathimandla ungazange elihunyushwe.

CT imaging thoracic kungenzeka ihora, esifundeni wesibeletho - amahora amabili amathangi nemithombo basal - 4 amahora.

kwesibeletho Eqhathanisa, Amapayipi biliary futhi pancreatic, izimbotshana articular, amashubhu fallopian, kwesinye futhi ziboya peritoneal abayifunayo ngokushesha ngemva kokuphathwa yesixazululo.

I izakhiwo pharmacokinetic zomuthi

Yini kinetics ejwayelekile "Omnipak" izidakamizwa? Yokusetshenziswa imibiko ukuthi ngemva nokuphathwa iohexol e umthambo emini ukuthi excreted cishe ngokuphelele nge nezinso. Umkhawulo izidakamizwa lokuhlushwa izuzwe emva kwemizuzu 60 umchamo.

isikhathi sokuphumula izinsiza ngesikhathi operation evamile ohlelweni kwezinso kuyinto amahora amabili. Umuthi cishe asisho abophe ukuze plasma amaprotheni.

Intrathecal nomuthi kubhekwa kusukela cerebrospinal fluid ungena egazini bese excreted ngu izinso zinjalo. Kulokhu, nenxenye ukuphila amahora ama-4.

Izinkomba ejenti radiopaque

Kungani ngidinga imithi "Omnipak" ukwenzani? Yokusetshenziswa (lokhu kusho e ampoules ithengiswe cishe kuzo zonke ekhemisi) uthi izidakamizwa senzelwe-X-ray Ngokuphambene izifundo abantu abadala kanye nezingane. It is lisetshenziswe urography, kardioangiografii, arteriography, ikhompyutha tomography, phlebography, thoracic, lumbar futhi myelography wesibeletho, CT cisternography, endoscopic pancreatography retrograde, arthrography, salpingography, cholangiopancreatography futhi endoscopic izifundo pheshana emathunjini.

Izimo ukusetshenziswa imithi

Ngokuphazima umcimbi akufanele inikezwe lesi sidakamizwa "Omnipak"? Yokusetshenziswa (omqondofana zomuthi ethulwa ngezansi) likhombisa Izimo ezilandelayo:

• i-hyperthyroidism;
• hypersensitivity emithini;
• ukhulelwe;
• izifo zendawo letindzala;
• isithuthwane (ngoba umjovo subarachnoid);
• ukutheleleka cerebral (ngoba umjovo subarachnoid).

Ngokucophelela okukhulu iyithuluzi elisetshenziswa sikashukela, ukuntuleka kwamanzi emzimbeni, umfutho ophakeme wegazi yamaphaphu, isifo senhliziyo, okwenzeka ifomu ezinzima, yi-multiple sclerosis, izinso kanye yokwehluleka kwesibindi, myeloma amaningi, ukuba umlutha wotshwala okungamahlalakhona, isifo Buerger sika, izifo iguliswa eluhlelweni kanye zendawo ukusabela thrombophlebitis acute, isithuthwane, isifo sokuqina kwemithambo yegazi, futhi ngesikhathi lactation, kanye nobudala amadala.

Isixazululo "Omnipaque": yokusetshenziswa

50 ml, 20 ml, 10 ml, 100 ml, 50 ml noma 200 ml - umthamo esetshenziselwa izindlela zokuxilonga? Umthamo kanye indlela ukuphathwa kwalo isixazululo kunqunywa izici eziningi. Lezi zihlanganisa indlela ucwaningo, isimo jikelele isiguli, isisindo somzimba wakhe, ubudala, ivolumu okukhipha inhliziyo, nokuningi.

I Kunconywa umthamo lwemithi ithuluzi, futhi okuhlushwa yayo kufanele zifakelwe kuphela diagnostician. Ngemva nokwethulwa kwesixazululo kumele baqinisekise hydration ezanele isiguli.

Imiphumela emibi ngemva kokuphathwa

Libhekene ngabe "Omnipak" side effects ngokuba izidakamizwa? Imiyalelo isicelo lithi uma isingeniso intracavitary yalesi thuluzi kakhulu ayivamile ukubangela komzimba kanye ukucanuzela kwenhliziyo, ukuhlanza kanye uzizwa ashisayo.

nomuthi Intrathecal zingenza isicanucanu nokuhlanza. Ngaphezu kwalokho, iziguli zingase esekhala olunzima ikhanda, ubuhlungu futhi paresthesias emhlane, emqaleni nasemhlane, izingalo nemilenze, kanye nesiyezi kanye nokugoqana (kubantu singangena).

Overdose Ngokuphambene abezindaba

Kuzokwenzekani nge kokudla izidakamizwa "Omnipak 350"? Umhlahlandlela uthi ingozi incane, kodwa kuncike ekuphathweni yesixazululo isikhathi esifushane umthamo ezingekho ngaphezu 2000 mg / iodine kg.

Izimpawu ngokweqile kwaleli thuluzi zihlanganisa cyanosis, ukopha yamaphaphu, lactic, ukuhluleka kwenhliziyo, bradycardia, ukozela noma ukuqwasha, ubuthakathaka, ukukhathala, Ukudlikizela, ikhoma, nokugula ngengqondo, depersonalization, ukuhhema, disorientation, ukucindezeleka sengqondo, amblyopia, liqhaqhazela, ukukhathazeka, ukulahlekelwa amandla okukhumbula , diplopia, hypoesthesia, photophobia, inkulumo noma ukuphazamiseka kwempilo ezibukwayo, meningismus, ukukhubazeka, izinguquko Bheka, nenkinga yokopha ebuchosheni.

Yingakho ukwethulwa Ngokuphambene abezindaba kufanele sihlale njalo siqaphele nokusebenza kwezimiso ezibalulekile kanye nezinhlaka isiguli, ukuze silondoloze amanzi electrolyte ibhalansi, futhi uma eziphuthumayo - bathathe isinyathelo esiphuthumayo.

Ukuxhumana nezinye izidakamizwa

Yimiphi imithi angeke kuhlanganiswe isixazululo "Omnipak"? Iziyalezo yokusetshenziswa uthi izidakamizwa intrathecal ezingahambisani corticosteroids. Futhi, asikwazi kuhlanganiswe esikhathini isipetu okufanayo antihistamine.

Mao inhibitor, nemikhiqizo fenotiazana, antidepressant tetracyclic, evuselela analeptic futhi CNS kwandisa ingozi yokungenwa zesifo sokuwa.

ekuphathweni esisodwa izidakamizwa hypotensive liyakhula amathuba hypotension.

Kufanele futhi kuthiwe izidakamizwa ithuthukisa ekubikeni izakhiwo nephrotoxic nezinye izidakamizwa.

izincomo ezithile

Abantu kwandisa amathuba komzimba ekuthuthukiseni liyadingeka ukuze afeze pre-ekwelapheni corticosteroids noma antihistamine.

Kuyadingeka ukuba acabangele ukuthuthukiswa kungenzeka amanzi emzimbeni in iziguli mielomatozom ezinzima futhi thyrotoxicosis.

Abantu abanesifo sikashukela, kanye lokuhlushwa creatinine 500 umol / L ukusetshenziswa ithuluzi kungenzeka kuphela ezimweni ngekucindzetelwa kakhulu.

isiguli kufanele ngokucophelela ziqashwe esolwa aphansi embundwini kokuquleka.

Ngemva ukwethulwa yegilo iohexol izicubu yodosvyazyvayuschaya ikhono kuyehla isikhathi amasonto amabili.

Bomcondvofana kanye analogue

Ngu analogue "omnipak" zihlanganisa: "Visipaque", "Iopromide", "Geksabriks", "Iopromide", "Yopamiro", "iopamidol", "Ksenetiks", "Skanlyuks 300", "Optiray", "Skanlyuks 370", " Yomeron "," Ultravist "," Iodixanol ".

Ngokuqondene omqondofana, bese uwasebenzisa ngokuthi "Introviz", "Yunigeksol", "Iobriks", "Iohexol", "Iohexol TP".

Izibuyekezo

Ngokuvamile, ukubuyekezwa imoto kubhekwe ushiye udokotela-diagnostician. Futhi lokhu akumangalisi. Ngoba izidakamizwa ayenzelwanga ekwelapheni isiguli, futhi isifundo lomzimba wakhe.

Kukho konke, impendulo abezindaba Ngokuphambene akhayo. Ochwepheshe bathi ukwethulwa ikhambi elinjalo kuyandisa kakhulu ukubona ngeso kwezitho nezicubu.

Isikhathi esining impela, odokotela qhathanisa "Omnipak" nezinye Ngokuphambene ejenti. Ngokusho kwabo, umuthi wathi kungcono ikubekezelele iziguli. Ngakho-ke, abakukhethayo basinikeza lesi sakhiwo.