Diyaargaraw antishock: liis oo sharaxaad ka mid ah habka of set antishock

Daawooyinka Anti-filaan ah loo isticmaalo by dhakhaatiirta si ay u caawiyaan bukaanada xaaladaha muhiimka ah ee noloshooda. Iyada oo ku xidhan xaaladahan, dhakhaatiirta isticmaali kartaa noocyo kala duwan oo daroogo. In daryeelka degdegga ah iyo gubi unugyada, shaqaalaha ambalaaska oo degdeg ah ay daruuri tahay nooc protivoshokovym joogo. Sida xaalad lama filaan ah ayaa dhici kara, nasiib darro, ma aha oo kaliya in ay joogaan dhakhaatiir, ganacsi kasta waxaa looga baahan yahay in ay xirmo la joogo, taasoo antishock doonaa daawooyin. Liiska gaaban laga wada hadli doonaa in our article on.

Baahida loo qabo xirmooyinka lama filaan ah anaphylactic

Sida laga soo xigtay Wasaaradda talooyinka caafimaadka, xirmada gargaarka degdegga ah, in uu leeyahay diyaarinta therapy anti-filaan ah, waa in aanay noqon oo keliya in ilkaha kasta oo qalliin dhakhtar, laakiin sidoo kale in ganacsiga kasta. Hayso qalabka gargaarka koowaad ma faragelin ee guriga, sidaas waxaa lagama maarmaan ah in ay leeyihiin ugu yaraan yar aqoonta sida iyo goorta la isticmaali ku jira.

Nasiib darro, statistics Medical muujinaya in tirada kiisaska of dhacdo kadis ah oo lama filaan ah anaphylactic sii kordhaya sanad walba. Cadhaysiiyaan xaalad lama filaan ah waxaa laga yaabaa in qofka dareen xaasaasi ah in cuntada, daawooyinka, xiriir la sheyga la isku qurxiyo, ama qaniinyada cayayaanka ah. In la saadaaliyo ka hor jaaniska uu cadaanyo ba'an ee jirka oo kale waa macquul, iyo dhibaatada weyn ee lama filaan ah anaphylactic waa xawaaraha Hillaac ee ay horumarka.

Tani waa sababta oo ah joogitaanka daroogada kale ee golaha daawada, iyo fahamka sida loo isticmaalo, waxay ku xirnaan karaan nolosha qofka.

daroogada Anti-filaan ah: liiska

The Ministry of Health ayaa liiska daawooyinka waa in golaha daawo kasta si ay u caawiyaan in dhacdo naxdin anaphylactic ansixiyey. Kuwaas waxaa ka mid ah:

• "Kumbyuutarradeedu" (0.1%) ee ampoules.
• "Diphenhydramine" in ampoules.
• Xalka of chloride sodium.
• "Eufillin" in ampoules.
• "Prednisolone" (ampoules).
• Antihistamines.

Next, aan si kooban u fiirsan falalka mabda'a daawo kasta.

Waa maxay lagama maarmaan tahay in riixdaa "adrenaline"?

Dawadani waxay la oran karo waa daroogo ugu weyn ee set anti-filaan ah. Haddii mid ka mid ah u aragto in ay codsiga in si lama filaan ah anaphylactic, waxaa la fahamsan yahay in haddii ay dhacdo xasaasiyadda falcelin daran ee jirka aadanaha u dhigan unugyada difaaca jirka diidmo. Sidaas darteed, habka difaaca jirka bilaabo inuu baabbi'iyo wakiilka ma aha oo kaliya shisheeye (xasaasiyada), laakiin sidoo kale unugyada u gaar ah. Oo markii unugyada bilaabaan inay u dhintaan, jidhka bini'aadamka ku dhacaa xaalad lama filaan ah. All hababka ay bilaabaan inay ka shaqeeyaan ah hawlgalka degdegga ah oo degdeg ah, si ay u siiyaan xubnaha ugu muhiimsan ee ogsijiin.

Riixdaan "epinephrine" (0.1%) muddo gaaban cidhiidhyo xididdada dhiigga, dheehan wareegga uu yeesho histamine difaac si weyn u dhimay. Intaas waxaa sii dheer, hordhaca ah ee "epinephrine" hortagtaa dhibicda degdeg ah ee dhiig-karka in raaci dalalka lama filaan ah. Sidoo kale riixdaa "adrenaline" hagaajinaysaa shaqayn wadnaha iyo hortago ay failure suurto gal.

"Diphenhydramine" - hab, ma aha oo kaliya, waayo, hurdo la'aan

Dadka intooda badan aan la xiriira daawada, si qalad ah waxay aaminsan yihiin "Diphenhydramine" kaliya kiniiniga hurdada. Dawadani waxay leedahay saamayn soporific, laakiin aan ka ahayn in, "Diphenhydramine" - iyo xataa tallaabo antishock daroogada. Ka dib markii hordhac u furmaa xididdada dhiigga, sidaas saareen bronchospasm. Intaa waxaa dheer, waa antihistamine ah. Waxaa blocks wax soo saarka ee histamine oo sidoo kale lagu cabudhibayo haday firfircoon habka dhexe ee neerfayaasha.

Maxaa loo baahan yahay in golaha wasiirada daawo antishock xal sodium chloride

xal Tani waxaa inta badan loo isticmaalaa in ku dhaqanka caafimaad ee dewatering sababtoo ah ka dib markii xididka tixraaca waa inay awoodaan inay la qabsadaan howlgalka ka mid ah hababka kala duwan ee jidhka. "Chloride Sodium" waxaa loo isticmaalaa sida daroogada detoxifying. Sidoo kale, marka dhiigbax culus waa xal ka kicin karo cadaadiska dhiigga. Marka barar cerebral waxaa loo isticmaalaa sida lagu durayo ah osmotic.

"Eufillin" - gargaar deg deg ah waayo dabac bronki

daroogada Tani waxay ku filan waa bronchodilator awood. Marka xaalad lama filaan ah, uu ka caawisaa in ay dhaqaajiso hababka taageerada nolosha dheeraad ah ee jidhka. "Eufillin" waa awoodaa inuu ballaariyo hawomareenno iyo siidayn qalintaanka reserve ah, oo aad bay u fududeeyaa oo xasilloon neefsashada la xaalad argagax ah.

"Prednisolone" - analoogga ugu dhow ee hormoonka soo saaro jidhka

"Prednisolone" waa arrin daroogada muhiim ah oo ka caawineyso bukaanada ku jira xaalad argagax ah. Its tallaabo waa inay awoodaan si loo xakameeyo hawsha unugyada difaaca jirka in ka cadhaysiinina wadnaha.

Tani hormone dardaro runtii waa hormone ugu dhow protivoshokovogo analoogga la sii daayay by jidhka ku jira xaalad nololeed iyaga u gaar ah oo muhiim ah. Ka dib markii ay sal-dhigida, nixin jidhka hoos waqti aad u gaaban. Waa in la ogaadaa in daawada anti-filaan ah waxaa loo isticmaalaa ma aha oo kaliya in si lama filaan ah anaphylactic. Dhakhaatiirta u isticmaali iyo gubi, cardiogenic, sarkhaan, naxdintii argagaxa iyo hawlgalka.

Xaaladaha qaarkood waxaa lagama maarmaan ah in aad dalbato daawooyinka anti-filaan ah?

lama filaan ah ee jidhka bini'aadamka keeni kartaa anaphylaxis, ma aha oo kaliya ku salaysan dareen xaasaasi ah. set antishock daroogada loo isticmaalo gargaarka degdegga ah iyo xaalado kale, halkaas oo si gaar ah u khuseeya ay yihiin, markii si dhakhso ah geeysaa dhaawacmay isbitaalka iyo ma aha in ay ay gaadiid muddo dheer.

Cadhaysiinina gobolka muhiimka ah ee jidhka bini'aadamka, marka laga reebo lama filaan ah anaphylactic, waxaa laga yaabaa in xaaladahan soo socda:

• cabashooyinka xanuun;
• dhaawac halis ah;
• lama filaan ah sun ah;
• qaniinyada cayayaanka sun ah, masaska iyo xayawaanka;
• is ku dhaawacmeen,
• qaraqmeen.

Xaaladaha noocaas ah, liiska daawooyinka kit antishock dhammaystiri karaa daawooyinka soo socda:

1. "Ketanov" (ketorolac xal tromethamine) - xanuunka a awood. Waxay ka caawisaa si ay u joojiyaan xanuunka dhaawacyada daran.
2. "Dexamethasone" - daroogada ah, oo waa hormoon glucocorticoid. Waxay leedahay saamayn ah antishock firfircoon, iyo sidoo kale waxay leedahay saamayn anti-bararka fahmayaan.
3. "Kordiamin" - xal 25% nicotinic acid. Waxaa loola jeedaa in kooxda pharmacological ee kiciya neefsashada. Sidoo kale waxa uu leeyahay saamayn kobcinaya on the xarunta vasomotor ee maskaxda.

Iyadoo ku xiran xaaladda iyo heerka uu criticality bukaanka, dhakhaatiirta isticmaali kartaa daawooyinka, kuwaas oo labaduba wadajir ah iyo si gooni gooni ah.

Daawooyinka waxaa loo adeegsadaa xaaladaha muhiimka ah ee Intensive Care

In shuruudaha isbitaalka si ay u caawiyaan bukaanada ku jira xaalad halis ah, ka sokow ay horey u hore ka wada hadleen, isticmaalka daroogada kale anti-filaan ah - xal maamulka:

1. "Poliglyukin" - daroogada in uu saameyn ku antishock awood badan. Waxaa loo isticmaalaa by dhakhaatiirta sida daawada anti-filaan ah nabarrada, gubasho, dhaawac aad u daran iyo dhiig la'aan daran. Ka dib markii \ ah in maamulka "Poliglyukin" shidaa iyo hagaajinaysaa coronary hadda oo dib u soo celineysa mugga guud ee dhiigga wareegaya ee jirka. Sidoo kale, daroogada normalizes cadaadiska dhiigga iyo HP. Waxaa xusid mudan in uu ku oolnimada antishock weyn muuqato marka la-maamusho dhiig qasacadaysan.
2. "Gemovinil" - xal daroogada taas oo loo isticmaalayo in loo eedsaday daran, gubasho iyo shoog argagaxa leh. Waxaa inta badan loo isticmaalaa in lagu soo saarto jirka sunta, sida waa adsorbent xoog leh. Yaraynaysaa astsista iyo meesha molasses maskaxda. Muuqaalka caan ku yahay xaqiiqada ah in ka dib hordhaca ah ee "Gemovinila" inta badan uu jiro korodh ah ee heerkulka jirka.
3. "Polivinol" - xal, kaas oo la soo bandhigay in \ in ay dhacdo dhiig xoog leh, dhaawacyada daran, gubasho iyo shoog qalliinka, oo waxaa lagu gartaa dhibic fiiqan ee heerka cadaadiska dhiigga. Daawada si degdeg ah waa kordhiyaa cadaadiska, ilaalinta plasma ku wareegaya jirka iyo, haddii loo baahdo, dib u soo celisa ay mugga (oo loo isticmaalo sida expander plasma a). Iyadoo faa'iidooyinka oo dhan, daroogada this ma ku haboon yahay gargaarka ee dalalka of shock, Ulasocto trauma cranial iyo dhiig maskaxda.
4. "Zhelatinol" - xal 8% of gelatin hydrolysed kaas oo la soo bandhigay in \ ee naxdinta leh argagaxa iyo gubasho. Waxay ku tusaysaa jirka ah ee ah waxyaabo waxyeello leh oo sun ah, fulinta shaqo ee naanin.
5. "Droperidol" - neuroleptic, antiemetic iyo daroogada protovoshokovy. Waxaa loola jeedaa in antispasmodics koox myotropic. Maamula intravenously at a xanuun lama filaan ah oo xoog leh.
6. "Deksaven" - waxa loola jeedaa kooxda pharmacological of glucocorticoids. Intravenously haddii ay dhacdo lama filaan ah hawl ama postoperative. Sidoo kale loo isticmaalaa in si lama filaan ah anaphylactic iyo bararka argagaxa iyo angeonevroticheskom. Waxa uu ka hadlay sidii waxqabad antiallergic xoog iyo guryaha anti-bararka.