Urografin: tilmaamaha loo isticmaalo, analogs, dib u eegista, sababo. Urografin 76%, tilmaamaha loo isticmaalo

Waxbarashada ee farsamooyinka u shaqeeyo loo isticmaalo ku salaysan X-rays ah. hordhaca ah ee soo galay jidhka bini'aadamka wakiilka duwan ah ay wanaajisaa awoodda ogaanshaha. Intaa waxaa dheer oo ka mid ah u taagoo iodine daroogada Kordhiyey saameyn.

description

Daawo "Urografin" tilmaamaha loo isticmaalo kaalinta sida wakiilada gale talagalay in lagu ogaado qaab-dhismeedka Madbacada qaranka. Waxaa la soo bandhigay galay weelashii iyo godadka.

Daawada waxaa loola jeedaa in ay xal isku duro waa la heli karaa qaab dareere ah oo hufan, midab ama wax yar midab leh.

Qaab-dhismeedka

medicament "Urografin" edbinta ku saabsan codsiga go'aaminaya qaybaha firfircoon ku salaysan 3,5-bis- acid (acetylamido) -2,4,6-triyodobenzoynoy. Oo ka kooban laba ka mid ah cusbada ay: sodium, iyo meglumine. Waxaa jira laba qiyaasood oo ah daroogada at 60 iyo 76 boqolkiiba.

Mid ka mid ah mililitir oo xal ku jiri kara 0,292 g ama 0,370 g of Qurub iodine. Number meglumine amidotrizoat in weel waa 10.4 g ama 13.2 g iyo amidotrizoat sodium ayaa 1.6 grams ama 2 garaam oo fiirsashada ugu horeysay cusbo waa in hal mililitir of 0,52 g ama 0,66 g, iyo tan labaad - 0 , 08 g ama 0.1 g

Si aad u hesho xal deggan waxaa loo isticmaalaa sida waxyaabaha aan firfircooneyn sodium edetate calcium, hydroxide sodium iyo duro dhexdhexaad ah aqueous.

Daawada waxaa la soo baakadeeyey ee 20 ml fijaan.

hab la mid ah

medicament "Urografin" diiwaanka The loola jeedaa daroogada in la kordhiyo duwan ee image ah ay sabab u tahay nuugista ee X-rays udhigo iodine ah in lagu daray cusbo amidotrizoatnye.

Si aad u isticmaasho daawooyinka u baahan tahay in la ogaado sifooyinka of cirbad la xiriira osmolality, ku nafwaayay, cufnaanta iyo qiimaha pH.

Waxaa ku jira oo dhan daawo xogta kor ku xusan "Urografin" diiwaanka. Analogs qaab diyaarinta "Triombrast" iyo "Trazograf" waxaa loo isticmaalaa sida X-ray wakiilada ogaanshaha kuwaas oo ka kooban qayb ka iodine.

Iyadoo hordhaca ah ee sida image jidhka daawooyinka noqdo duwan oo dheeraad ah.

Waa maxay sababta loo isticmaalo

Medicament "Urografin 76" diiwaanka ku talinaysaa in la isticmaalo for urography retrograde, ANGIOGRAFI, arthrography, joogayso retrograde endoscopic.

daawada loo qaato ka hor cholangiography operative, ptyalography, fistulography, hysterosalpingography.

Sida loo isticmaalo

Ka hor inta isticmaalka, oo macnaheedu yahay "Urografin 76" diiwaanka la taliyaa bukaanka si ay u diyaariyaan in horay. Waayo, baaritaan angiographic ee caloosha iyo nidaamka urograficheskih nadiifinta dhamaystiran ee caloosha waxaa loo baahan yahay. Labo maalmood ka hor manipulations ma qaadan cunto keena yaaqyaaqsi. waxyaabaha waxaa ka mid ah digiraha, saladh, waxyaabaha rootiga madow iyo cusub, khudaarta cayriin.

Ka hor inta kormeerka cashada aan ka dambayn 18 saacadood ka dib, taas oo qaadan kartaa caloosha jilciya. talooyinka la soo dhaafay ma khuseeyaan carruurta yaryar.

Yididiilo, weeraro xanuun xoojiyaan geedi socodka dareen-celin si daroogada ah, si wada hadal nin maskax deji ama daawooyin.

In myeloma, kordhin glucose ee dhiiga la kelyaha oo yaraada, polyuria, oliguria, hyperuricemia, dhallaanka iyo khalkhalgelinta ku fuuq bixisaan oo dadka waayeelka ah si loo soo celiyo heerka biyaha iyo elektrolytka.

hab Ready "Urografin" buuga la taliyaa inay isticmaalaan oo keliya iyadoo la ilaalinayo guryaha jirka ah ee xalka. Haddii ay jirto ahaa soo dadajin A isbedel cado ama uu waxyeelo gaarsiiyay baakooyinka, waxaa aan la isticmaalin. faa'iido Liquid ka hor maamulka, iyo xal haraadiga ka faa'iideysan.

Qiyaasta go'aamiyo da'da, miisaanka jidhka, gobolka guud ee caafimaadka iyo insaanka. Marka kelyaha ku filnayn ama wadnaha iyadoo la isticmaalayo lacagta ugu yar ee medicament. Qalliinka kadib Waa in la fuliyo kormeerka maamulka inta lagu guda jiro saddex maalmood.

Si ay u fuliyaan waxqabadyada angiographic u baahan tahay biyo-raaciska joogtada ah ee tuubada la isticmaalayo xal saline si looga hortago khatarta thromboembolic. Marka daroogada la maamulo galay xididdada dhiigga, waxaa lagama maarmaan ah si ay u siiyaan meel la jiifo. Nus saac ka dib markii la isku duro of bukaanka si dhow ula socdo si loo ogaado waqtiga hababka sare.

Waayo, xaqiijinta hab cudurka qaadeen isticmaalka soo noqnoqda ee xaddi weyn dura 10 ilaa 15 daqiiqo in ay mag-osmolarity kordhay serum dheecaanka interstitial. Marka ay maamusho qof weyn mar qiyaasta ah 0,300 in ay 0,350 litir daroogada u baahan xal elektrolytka prokapat.

Daawo "Urografin" Codsiga User taliya kululeeyo ilaa 36 darajo, oo ugu dhakhsaha badan loo fuliyo doonaa wakiilka ka duwan oo ka sahlan gaadiid ay sabab u nafwaayay hoose. Shiday oo dhan ma fijaan, iyo xaddiga saxda ah oo kaliya.

Qalabkani waxa uu ma fuliyaan baaritaano hordhac ah sababta oo ah unreliability ee natiijada.

cilmi Samaynta

daawo urograficheskoy xididka ogaanshaha waxaa maamula at 20 ml 1 daqiiqo. In joogitaanka daawada wadnaha shaqeeya si tartiib ah soo bandhigay, taas oo ah nus saac ah.

bukaanka dadka waaweyn waxaa qoray daawo 0.02 l "Urografin 76" ama 0.05 litir oo 60 boqolkiiba ka dhigan. Kordhinta lacagta fiirsashada sare ee daroogada si uu 0.05 l hagaajinaysaa saxnaanta ogaanayo.

Photos unugyada parenchymal kelyaha by dhamaadka duray for bandhigay fiican sameeyey. Si aad u arki qaab dhismeedka ah miskaha iyo kaadi mareenka, mid ka mid ah sawirka waxaa loo sameeyaa 5 daqiiqo ka dib, iyo 2 - 12 daqiiqo ka dib markii galiyey of dheecaan.

Marka aad codsanayso galiyey wakhti daaweynta daroogada 0.1 litir waa 5 ilaa 10 daqiiqo. Dadka qaba cudurada tiro myocardium sida ku shubtay galay xididdada nus saac ah. photo ugu horeysay ee la sameeyo dhamaadka hordhaca ah, waana in la sameeyaa muddo 20 daqiiqo ah.

Marka baaritaanka X-ray ah nidaamka wareegga dhiigga, marka qaadeen aortography, Angiocardiography ama coronarography, isticmaali qaadashada sare ee medicament "Urografin". Isticmaalka xal waa la doorbidayo 76%. xaddiga daroogada waxaa lagu go'aamiyaa sifooyinka da'da, miisaanka, mugga daqiiqo ee muruqa wadnaha, gobolka guud ee caafimaadka, nidaamka.

nidaamka Urinary bartay by urograficheskogo baaritaan retrograde, kuna waari dhexdeeda wakiilka farqiga waxaa maamula hab katetornym galay Lumen ee kaadi mareenka. Khusayso 30 boqolkiiba dareere ah, taas oo loo diyaariyey by caanaaha 60 protsentonogo xal duro biyo in cabirku yahay 1 1. Si looga fogaado dubaaxin ee ureter lagu jiro kicinta daawo qabow, wakiilka duwan kululeeyo ilaa 36 darajo.

Wixii sahan oo qaar ka mid ah loo fuliyo hab undiluted 60 boqolkiiba. daawo kacmaha High mararka qaarkood sababa calaamadaha dhibsado.

Ka dhigan tahay qulqulka gacanta ugu fluoroscopy si ay u qabtaan artrograficheskogo, gisterosalpingograficheskogo Survey iyo joogayso retrograde.

Sidee si sax ah cabbaan daroogada

Si ay u fuliyaan xiidmaha si raajito computer iyo xubnaha kale, dhakhaatiirtu qoraan maamulka afka daawada "Urografin". Tilmaamaha loogu isticmaalo gudaha ma talin in ay qaataan, waxa aanu ku tilmaami habka isticmaalka. Haddii dhakhtarku ma sheegin qofka bukaanka ah oo ku saabsan isticmaalka iyo qiyaasta, bukaanka adkaan doontaa in la helo macluumaad.

xirfadlayaasha Medical talineynaa cabo xal u cilmi "Urografin". Tilmaamaha isticmaalka CT akhriya ka kooban hal dhalada (20 ml) waa in lagu qasi jiray hal litir oo biyo saafi ah, oo waxaa lala baxay sida weji dareere ah.

Isticmaal bilaabaa 24 saacadood ka hor inta cudurka, dheehan xiidmaha zakontrastiruetsya iyo xubnaha kale. The 200 ml ee la soo dhaafay of xal Buuggan "Urografin" talinaysaa hordhaca ah ee CT markii galaya golaha wasiirada. Baaritaan hordhac ah ay u isticmaalaan afka ma maamusho.

Marka aanad isticmaalin

Waayo, daroogada sababo "Urografin" la xiriira kororka cad ee shaqaynaya thyroid, decompensated shaqo ku filnayn wadnaha.

pankreatit Xiisad uma uu oggolaado in baaritaan holangiopankreatograficheskoe.

cudurka Gisterosalpingograficheskaya lama sameeyo ku jira xaalad ah sita ilmo, iyo in jawaabta ba'an bararka aagga miskaha.

Mielograficheskie, tsisternograficheskie ventrikulograficheskie iyo waxbarashada ayaa la sameeyay oo la isku barbar daawooyinkan ay sabab u tahay saamaynta ay neurotoxic.

dhibaato

The daroogada "Urografin" tilmaamaha loo isticmaalo waxaa ka mid ah macluumaadka ku saabsan dhacdooyinkan gurracan ee lagu jiro galiyey intravascular. dhibaato neefsiga la xiriira neefta oo ku qabata, Qufaca, barar sambabada, hawl-mareenka wadnaha.

Aan caadi ahayn ee habka dheef shiidka waxaa muujiyey retching, calaamadaha xanuunka caloosha.

Isbedelada oo ka mid ah wadnaha iyo vasculature la xidhiidha isbedbedelka cadaadiska dhiigga iyo inta jeer contractile. Mararka qaarkood waxa soo bixi kara dhibaatooyin thromboembolic khatar ah, oo iska xanaajin infarct gobolka cajiib ah myocardial muruqyada.

dhibaato muujiyey cudurada kaadi mareenka shaqo, cagaarshowga iyo kelyaha.

Isbeddelka ku habka dhexe ee neerfayaasha lagu gartaa madax xanuun, xanuunka dheelitirka, miyirka oo luma, sii daraysa ee qalal reaction maqalka iyo muuqaalka ah, cabsi iftiinka, kooma, gobolka hurdeysan.

Saamaynta maxaliga ah waxaa ka mid ah barar, thrombosis, arooriyaha, burburinta tromboflebitnye, galleeyda nudaha.

Features ee daaweynta

Medicament guide "Urografin" soo jeedinaya isticmaalaya taxaddar marka uu jiro dareen xad-dhaaf ah si ay wakiilada ku jirto iodine. Maamulka taxadir u baahan lesions daran kelyaha iyo cagaarshowga, shaqo aan ku filnayn ee muruqa wadnaha, emfizemnoe cudurada sanbabada, caafimaadka dadka saboolka ah ee bukaanka, cudurka dhuumaha ugu atherosclerotic, neefta oo sonkor dhiig oo sareeya ee dhiigga, shaqada thyroid xoojinta subclinical iyo myeloma guud. cawaaqib Dacdarrada xaaladahan laga yaabaa in la horumariyo ka galiyey daroogada xididka ah.

Isticmaalka daawada gale ah waxay keeni kartaa diidmo, oo teedu neefta oo ku qabata, casaan maqaarka erythematous, finan, gubashadii ama bararka hore ee madaxa. In xadgudubyada daran ee soo koraya bararka angioneurotic, dabac bronki iyo shoog. waxyeello ka soo gaartey waxay dhici karaan 60 daqiiqo ka dib isticmaalka daroogada gudahood.

Inta badan waxyeelo ka dhaca bukaan oo qaba xasaasiyad cuntada badda iyo qaybaha iodized ayaa joog- qandho hay, urtikaria, ama neefta. Ka hor balanta dhakhtar daawada gale ah waa inuu fiiriyaa cudurka aadanaha ee la soo dhaafay. Haddii uu jiro itimaalka sare ee geedi socodka xaasaasi ah, si looga hortago waxa ay codsatay therapy antihistamine.

Diidmo in daroogada waxaa lagu wanaajiyey isticmaalka lacagaha beta-adrenoblokatornyh. daroogada waxay keeni caabiga daaweynta xasaasiyadda caadiga ah.

xal iodine imanba waa awoodaa inuu wax ka beddelo hawlaha qanjirka thyroid ka. Xogtan u ogolaan for hordhaca ah ee daroogada ee bukaanka qaba cudurka foomka gipertireoznoy qarsoon.

In da 'weyn, waxaa jira cudurada a vascular iyo gobolka deganayn dareemayaasha, kaas oo la kordhiyo geedi socodka la rabin ka daawo ka duwan iodine-ka kooban.

Iyada oo faleebo intravascular mararka qaar u muuqda mid aan ku filnayn shaqada kelyaha. Si looga hortago, waxaa lagama maarmaan ah inaad wax ka barato cudurka kelyaha ee la soo dhaafay, ka helid failure jira ee xubinta. Waxay khatarta korodhaa myeloma, da 'wayni, cudurka dhuumaha ugu horusocod ah, paraproteinemia, cadaadis dhiig oo sareeya daran, dhigaalka of acid uric ku jira laabatooyinka ee.

Haddii ay jirto halis ah in ficil-celinta noocan oo kale ah, ka dibna u samayn ah fuuq pre-habka la isticmaalayo habka galiyey intravascular. Waxaa sidoo kale la fuliyay ka dib markii cudurka, in ay keenaan wakiilka farqiga u maraya kelyaha.

Si loo yareeyo load ku on jidhka inta lagu guda jiro saarista ee daroogada looma isticmaalo iyo holetsistograficheskie nephrotoxic daawooyinka afka laga ma qaban angioplasty vascular kelyaha ama qalliin weyn.

Marka filtarka wadnaha Xadgudubka iyo cadaadis kacsantahay in isticmaalka daroogada natiijada pulmonary in isbedel hemodynamic weyn. dadka waaweyn ee leh cudurada myocardial ee la soo dhaafay ugu sii nugul lesions ischaemic iyo arrhythmic. Haddii aad qabto wadnaha ah, kadibna maamulka intravascular daroogada ka cadhaysiinina karaa barar unugyada sambabada.

Reviews

Sida caadiga ah, sida caadiga ah bukaanada aqbali daawo gale. All dhibaato ka qaadashada daawada qeexayaa "Urografin" guide daawo. Reviews inta badan tilmaamaya tolerability wanaagsan ee daroogada. Bukaanka inta badan habka aad u ogaanshaha badan qaata wakiilka duwan.

Waxaa jira dib u eegista on hordhaca ah ee medicament galay saabka minka. Nidaamka noocan oo kale ah waa xun, dareen aan raaxo lahayn.

macluumaadka oo dhan ma aha oo ku saabsan hababka maamulka ayaa xal "Urografin" diiwaanka. jawaabaha CT tilmaamo baahida loo qabo in la qaato daawada afka laga qasi maalin ka hor qolka imtixaanka iyo salaysayn khalkhalgelinta. On dhanxanegga ah, waxay u ekaan biyaha caadiga ah midab aan ursan.

Waxaa jira dib u eegista xun, marka bukaan ma qaban karo urograficheskuyu ogaanshaha sababta oo ah cabashooyinka raaxo inta lagu jiro maamulka of daroogada. Bukaanka ayaa noqday xanuunsan, oo uu si weyn hoos u cadaadiska dhiigga.

Waxaa la rumeysan yahay in ay ka maqan yihiin dareen diidmo oo xasaasiyadeed in ay qayb ka iodine, isticmaalka ma noqon baahan cabsan of daroogada. Tani waxay daawada la profile ah ammaanka la xaqiijiyay waxaa loo isticmaalaa by xirfadlayaasha badan ee sahanka.