"Dobutamine": malangizo ntchito, amasulidwe mawonekedwe, mlingo ndemanga, analogues

Mavuto ndi mitsempha ya magazi ndi mtima ambiri mwa anthu achikulire. Koma nthawi zambiri matenda uka ndi odwala aang'ono. Kusintha mkhalidwe wa mtima, Madokotala amakonda kulemba maofesi mtima. Mmodzi wa iwo ndi mankhwala "Dobutamine". Malangizo ntchito, amasulidwe mawonekedwe, analogs ndi katundu wa mankhwala zitanenedwa anapereka m'munsimu.

Zikuchokera, ma CD, mawonekedwe mankhwala

The medicament "Dobutamine", malangizo ntchito amene ali ndi mtolo wa pepala wandiweyani, lili ndi zinthu monga dobutamine hydrochloride, ndi zinthu zosiyanasiyana thandizo.

Mu kugulitsa mankhwala akubwera mu maonekedwe a colorless kapena pang'ono chikasu mandala njira yothetsera kulowetsedwa, amene aikidwa mu mbale galasi.

Komanso, mankhwala izi zikhoza kugulidwa mu mawonekedwe a amaundana-zouma mankhwala ndi kutsimikizira kuti yankho.

The pharmacodynamic katundu wa njira injectable

ndi mankhwala "Dobutamine" n'chiyani? Malangizo ntchito (ampoules mankhwala izi zikhoza kugulidwa ku malo ogulitsa mankhawala aliyense) limanena kuti cardiotonic, ndi catecholamine kupanga ndi beta-1-agonists.

mankhwala akhoza Zimachititsa zolandilira beta-1-adrenergic wa myocardium ndi utithandize contractility ake. Komanso kumawonjezera miniti, ndi nkhonya buku la ziwiya mtima ndi magazi amachepetsa Ops.

Pambuyo ntchito mankhwala unachititsa kuwonjezeka odziletsa kugunda kwa mtima. Chronotropic zotsatira za mankhwala, komanso dromotropic zotsatira zake zabwino akuwonetseredwa pa Mlingo apamwamba.

Pa mlingo wapakatikati, mankhwala ndi ofooka amakhudza magazi. Chifukwa chakuti iye ali wokongola yochepa theka moyo, ayenera kuperekedwa mosalekeza. Koma ayenera adzanyamula kukumbukira kuti mosalekeza mankhwala ndi mankhwala kwa maola 72 kapena kumathandiza kwambiri kusiya.

Gwiritsani medicament "Dobutamine", malangizo ntchito imene pansipa, m'pofunika kuthetsa electrocardiogram munthawi yomweyo, kugunda kwa mtima ndi kuthamanga kwa magazi.

magawo kayendedwe wa medicament ndi

Mankhwala "Dobutamine" amatenga zotsatira kwa nthawi yayitali bwanji? Malangizo ntchito (mapiritsi - mitundu ina ya mankhwala mulibe) limanena kuti mtsempha kulowetsedwa mmene mankhwala zimawonedwa pambuyo 2 Mphindi. kachulukidwe wake khola ngakhale pambuyo ¼ ola Chikupindulidwa mu madzi a.

The theka moyo wa mankhwala mphindi 2-5.

Zikuonetsa ntchito njira

Kodi mukudziwa kuti mu zina, anatumizidwa mankhwala "Dobutamine"? Malangizo ntchito mogwirizana ndi zizindikiro zotsatirazi:

• pachimake mtima kulephera;
• edema m'mapapo mwanga;
• CHF decompensation (kwa kanthawi thandizo kudzera);
• utachepa linanena bungwe mtima;
• kuchititsa maganizo echocardiography (kwa matenda).

Contraindications ntchito mankhwala

Kodi milandu mulibe mankhwala wothandizila mtima, monga "Dobutamine"? Malangizo ntchito (analogues mankhwala m'munsimu) inanena contraindications zotsatirazi:

• mawotchi kutsekeka kapena outflow magazi kudzazidwa ventricles mtima (mwachitsanzo, obstructive cardiomyopathy, kung'ambika stenosis, m'kukoma mtima tamponade) ;
• giperuvstvitelnost kwa pophika chachikulu;
• hypovolemia;
• Mao zoletsa.

Mankhwala "Dobutamine": malangizo ntchito

Pa ana akhanda, mankhwalawa ntchito zizindikiro zapadera. N'chimodzimodzinso ndi ana a zaka zazing'ono.

Komanso analogs za mankhwala, "Dobutamine" cholinga cha utsogoleli mtsempha. Choncho, zisadafike kuchepetsedwa ndi Ringer njira, 5% shuga kapena sodium kolorayidi.

sitolo wokonzeka mankhwala zosaposa tsiku. Liwiro ndi nthawi ya utsogoleli zimadalira magawo hemodynamic. Pa nkhani imeneyi chifukwa alili amafuna polojekiti zonse. M'pofunika kuwunika kugunda kwa mtima, magazi mtengo kuthamanga, ndipo linanena bungwe mtima (ngati nkotheka).

Choncho zimene mlingo Kwalamulidwa "Dobutamine hexane?" Malangizo ntchito inanena kuti akuluakulu anthu ndi kutumikiridwa mu kuchuluka kwa 2.5-10 mg / kg pa / mphindi (mu nthawi zina -. 40 ug / kg / Mph). Ponena za ana, iwo mankhwala kutumikiridwa mu mlingo wa 1-15 mcg / kg / min.

Zotsatira zake zoyipa pa mankhwala ndi mankhwala

zochita zoipa angachititse mankhwala "Dobutamine"? Malangizo ntchito akulankhula za pakutchulidwa zotheka zotsatira izi:

• kuyabwa, angina pectoris;
• bronchospasm;
• totupa, palpitations;
• tachycardia, kuzizira;
• phlebitis pa malo jekeseni;
• arrhythmias mtima (yamitsempha yamagazi fibrillation arrythmia);
• kuwonjezera kuthamanga systolic magazi;
• nseru, mutu.

Onse anachita chowawa ndi ziwiya mtima ndi magazi amasiyanasiyana malinga ndi mlingo wa mankhwala. Kawirikawiri kutha pambuyo kutha kwa kulowetsedwa, kapena ndi kuchepa mu liwiro lake.

Price ndi ofanana mankhwala

Kodi ndindalama "Dobutamine hexane?" Malangizo ntchito sapereka yankho ku funso limeneli. Mu pharmacies, mtengo wa mankhwala pafupifupi 350-450 rubles.

Kodi tiyenera kuganizira m'malo mankhwala? Anzawo wake ndi mankhwala zotsatirazi: "Dobuzhekt", "Dobutamine Solvay", "Dobutamine Giulini", "Korotrop", "Dobutamine Lachema", "Dobutamine Nycomed".

Reviews akatswiri Mankhwala

Ogula ndemanga za kukonzekera ankaona palibe. Ichi ndi chifukwa chakuti zimenezi agents cardiotonic ntchito okha zochitika mwadzidzidzi (mwachitsanzo, pachimake mtima kulephera, ngati mathithi mtima index ndi kuchepetsedwa kumanzere yamitsempha yamagazi contractile ntchito). Childs, chikhalidwe ichi zimawonedwa mu cardiomyopathies, septic mantha, m'mnyewa wamtima infarction, ndi opaleshoni yotsegula mtima.

Malinga ndi akatswiri, mankhwala imatengedwa maziko a mankhwala pharmacological kakasi cardiogenic. Si ntchito zochizira kulephera aakulu mtima.

Chifukwa chakuti mankhwala zingachititse arrhythmia ndi tachycardia, ayenera kugwiritsidwa ntchito mkati mwa kanthawi kochepa ndipo okha Zikavuta, m'maganizo ndi kulephera pachimake mtima.

N'kosatheka kuona chakuti mankhwala ali osiyanasiyana ochepa pakati zotsatira poizoni ndi Mlingo achire.

Mosiyana ndi mankhwala "Dopamine" Iye sachititsa vasodilatation.