Kashiamu mankhwala enaake. malangizo

Kashiamu kolorayidi amapereka yaikulu zinchito umphumphu wa kachitidwe mantha ndi akulu, popeza ali ndi chikoka chachikulu pa excitability minofu. Kashiamu zingamuthandize ntchito yachibadwa mtima ndi kumatanthauza clotting magazi. Mu 10 ml 10% kashiamu mankhwala enaake zili 1 g wa CaCl2 kapena 273 mg wa kashiamu elemental (Ca2 +). Kashiamu mchere wa acid amathiridwa dzina la kashiamu mankhwala enaake. Mu mankhwala, amagwiritsidwanso ntchito ngati wothandizira hemostatic (kwa m'mimba, m'mapapo, magazi uterine, m'mphuno kapena isanafike opaleshoni). Monga mankhwala ndi poizoni asidi oxalic ndi mchere ake, salt wa magnesium, salt asidi hydrofluoric. Limodzi ndi mankhwala ena ndi njira mankhwala enaake kashiamu ntchito yotithandiza ntchito. Akafike ndende ena ali katundu diuretic.

Malinga a dokotala matenda ndi mavuto n'kukulemberani ndi mankhwala monga mankhwala enaake calcium. ntchito kwake kungakhale m'kamwa (ndi pakamwa), ndi electrophoresis pansi pa khungu (ndi magetsi), koma kawirikawiri mu mawonekedwe a jekeseni mtsempha. Amphamvu kapena mofulumira pachithunzichi oyamba njira zikhoza necrosis ndi kukanidwa. Powapatsa njira mu minofu, mtsempha kapena subcutaneously chiopsezo kukhudzana mwangozi ndi zimakhala perivascular. Ngati panali perivascular kusalola, Muzifunsa mankhwala ayenera anasiya pomwepo. Palinso chiopsezo kusalola m'deralo (kudzikundikira particles kapena zinthu mu zimakhala, amene Sali mbali ya yachibadwa awo).

Kugwiritsa ntchito mankhwala inu ayenera kugwira zofunika onse omwe udzakhazikitsidwe padziko malangizo kashiamu mankhwala enaake. Kwambiri mofulumira mtsempha jekeseni wa njira kapena ambiri osokoneza kungachititse kuti mavuto zimapezeka ndi ntchito za mtima, kuphatikizapo arrhythmia, bradycardia, ndi yamitsempha yamagazi fibrillation. Overdosing kungakhale hypercalcemia aakulu (mwachitsanzo, chikomokere, kunyansidwa ndi kusanza, ulesi, ndi kwambiri chinawonjezeka mlingo wa kashiamu mu plasma, imfa yadzidzidzi, kufooka).

Zikuonetsa: chithandizo (akusowa kashiamu mu thupi) hypocalcemia, magnesium kuledzera chifukwa ambiri osokoneza ya magnesium sulphate mu kuwatsitsimula mtima pamene zikuwonjezereka masiku ano sanathe kusintha ntchito mtima komanso pali ofooka kapena inefficient infarction. Komanso mankhwala adjunctive limasonyeza kashiamu mankhwala enaake. Malangizo akusonyeza zinthu zosiyanasiyana (kumene mankhwala enaake kashiamu ntchito limodzi ndi mankhwala ena), monga tizilombo ting'onoting'ono, ndi zochita osiyanasiyana (makamaka ngati zizindikiro ankaikira urticaria anafotokoza). Thiabendazole angagwiritsidwe ntchito ngati adjunct mankhwalawa maganizo chifukwa ambiri osokoneza ya magnesium sulphate, komanso mankhwalawa zizindikiro pachimake kutsogolera colic.

mavuto aakulu kwambiri ndi zotheka zosiyanasiyana chokhwima pamene bwino kutumikiridwa kashiamu mankhwala enaake. Buku amasonyeza wonongeka zotheka kwa dongosolo mtima (hypotension, mtima syncope), chifukwa matenda a chapakati mantha dongosolo pali kumverera kuponderezana. Mukalandire kashiamu kukoma m'kamwa, poganiza kutentha ndi kumva kulasalasa. kusamalitsa kwambiri ndi kofunikira pa mimba ndi pa kuyamwitsa wakhanda.

Kwa odwala ndi ogwira ntchito zaumoyo, amene ntchito mankhwalawa mankhwala enaake calcium, mawu akuti muli chenjezo wapadera zofunika kusamala pamene ntchito. Mwina zolimbitsa akuponya magazi chifukwa vasodilatation (wachititsa lumen chotengera ndi guluu wolimba chifukwa amasulidwe histamine ndi heparin) pa jekeseni. ntchito yake si zofunika pa matenda a hypocalcemia, insufficiency aimpso. Kugwiritsa ntchito mankhwala enaake kashiamu ndi osafunika odwala ndi insufficiency kupuma kapena kupuma acidosis chifukwa luso kutembenukira kwa mchere acid.