"Omnipak": malangizo ntchito kwenikweni Anzawo

Ndithudi, munthu aliyense kulemba mawu zachipatala, monga X-ray. Kumatanthauza kuphunzira dongosolo mkati mwa ziwalo ndipo zimakhala m'thupi la munthu. Iwo muno n'kufika pepala lapadera kapena filimu ntchito X-ray. Chifukwa cha kuphunzira izi, dotolo ndi zosavuta kupanga matenda lolondola ndi mankhwala mankhwala.

Wosalira ndondomeko ndi kusintha zowonera a ziwalo ndipo zimakhala, ntchito X-ray Mosiyana wothandizira. Iwo ntchito kokha pamene njira radiological.

Childs, pogwiritsa ntchito akupanga ndi ayodini kapena barium.

Mmodzi wa anthu otchuka wothandizila X-ray Mosiyana ndi "Omnipak". Malangizo ntchito, analogs cha chida, makhalidwe ake ndiponso zikuchokera Adzaperekedwa hereinafter.

kumasulidwa mtundu wa mankhwala, ma CD ake, kufotokoza ndi zikuchokera

Mu mawonekedwe zimene adzamasulidwa wothandizila radiopaque monga "Omnipak"? Malangizo lipoti ntchito, maganizo amene anati medicament ndi njira momveka kwa intravascular, intrathecal ndi intracavitary jekeseni. Chogulitsa izo akadzafika mu mabotolo 20, 10, 100, 50 kapena 200 ml. Mu katoni imodzi pangakhale 6, 25 kapena 10 zidutswa.

Kukonzekera "Omnipaque" malangizo amene apatsidwa pansipa, lili mu dongosolo lake iohexol, acid amathiridwa, trometamol, madzi wosabala ndi EDTA (i.e. edeteat ndi sodium-kashiamu).

makhalidwe Pharmacodynamic radiopaque wothandizila

ndi yankho "Omnipak" n'chiyani? Malangizo Ntchito limanena kuti ndi radiopaque wothandizira. Zotsatira za pambuyo ntchito zimatheka chifukwa mayamwidwe wa organically womangidwa ayodini X-ray. Radiographs timatha udzakhalire zosiyanasiyana Mitsempha, zimakhala ndi cavities.

Best radiopacity mu myelography ochiritsira anati pambuyo Mphindi 30. Ndipo patapita mphindi 60, boma osati wagwira.

kulingalira CT thoracic zotheka kwa ola, m'chigawo khomo lachiberekero - kwa maola awiri ndi zitsime woyambira - kwa maola 4.

Posiyanitsa chiberekero, biliary ndi pancreatic ducts, articular mphako, chiberekero, chikhodzodzo ndi protrusions peritoneal zimatheka yomweyo pambuyo ka njira.

The pharmacokinetic katundu wa mankhwala

Kodi kinetics lililonse kwa "Omnipak" mankhwala? Malangizo ntchito malipoti kuti pambuyo ka iohexol mu mtsempha wa pa tsiku pafupifupi kwathunthu excreted kudzera impso. The pazipita mankhwala ndende akwaniritsa pambuyo Mphindi 60 mu mkodzo.

chuma theka nthawi pa ntchito yachibadwa a dongosolo aimpso ndi maola awiri. The mankhwala ndi pafupifupi Kodi kuwamanga zonsezo plasma.

Intrathecal ankaona medicament ku madzimadzi cerebrospinal akulowa m'magazi kenako excreted ndi impso sichinasinthe. Pankhaniyi, hafu ya moyo za 4 maola.

Zikuonetsa radiopaque wothandizila

N'chifukwa chiyani ndikufunika mankhwala "Omnipak"? Malangizo ntchito (izi zikutanthauza mu ampoules amagulitsidwa pafupifupi mankhwala) limanena kuti mankhwala cholinga cha X-ray Mosiyana maphunziro a akulu ndi ana. Izo ntchito mu urography, kardioangiografii, arteriography, kompyuta tomography, phlebography, thoracic, lumbar ndi myelography khomo lachiberekero, CT cisternography, endoscopic retrograde pancreatography, arthrography, salpingography, cholangiopancreatography ndi endoscopic m'mimba maphunziro thirakiti.

Contraindications ntchito mankhwala

Kukachitika palibe sayenera kuperekedwa mankhwala "Omnipak"? Malangizo ntchito (ofanana mankhwala ali anapereka m'munsimu) limasonyeza contraindications zotsatirazi:

• hyperthyroidism;
• hypersensitivity kuti mankhwala;
• mimba;
• m'dera ndi zokhudza zonse matenda;
• khunyu (jekeseni subarachnoid);
• matenda oziziritsa (jekeseni subarachnoid).

Ndi kusamala kwambiri ndi chida ntchito shuga, kuchepa madzi m'thupi, matenda oopsa m'mapapo mwanga, matenda a mtima, kunachitika mawonekedwe kwambiri, ofoola ziwalo, impso ndiponso kulephera chiwindi, myeloma angapo, aakulu uchidakwa, matenda Buerger ndi zokhudza zonse ndipo m'dera matenda awo sagwirizana ndi zochita pachimake thrombophlebitis, khunyu, atherosclerosis, ndi pa mkaka wa m'mawere ndi zaka achikulire.

The njira "Omnipaque": malangizo ntchito

50 ml, 20 ml, 10 ml, 100 ml, 50 ml ya kapena 200 ml - mlingo umene ntchito njira yodziwira? Mlingo ndi njira ka njira anatsimikiza ndi zifukwa zambiri. Zina mwa njira kafukufuku, mmene ambiri wodwala, thupi lake, zaka, buku la linanena bungwe mtima, ndi zambiri.

Analimbikitsa mlingo chakudya cha chida, ndi ndende wake ayenera kuikidwa diagnostician. Nditadziŵana wa njira awonetsetse hydration chokwanira wodwala.

Zotsatira zoyipa pambuyo makonzedwe

Yodziwika ndi ngati "Omnipak" mavuto kwa mankhwala? Malangizo pa ntchito limanena kuti intracavitary oyamba chida ichi ndi kawirikawiri amachititsa thupi lawo siligwirizana komanso nseru, kusanza komanso otentha.

Intrathecal medicament n'zothekanso kunyansidwa ndi kusanza. Komanso, odwala amadandaula chaukali mutu, kupweteka ndi paresthesias kumbuyo, khosi ndi miyendo komanso chizungulire ndi khunyu (anthu atengeke).

Ambiri osokoneza Mosiyana media

Kodi n'chiyani chidzachitikire ndi mankhwala ambiri osokoneza bongo "Omnipak 350"? Guide amanena kuti chiopsezo ndi kochepa, koma phunziro kwa akuluakulu a njira kwa nthawi yochepa pa mlingo wa osapitirira 2000 mg / kg pa ayodini.

Zizindikiro za ambiri osokoneza chida monga cyanosis, kukha mwazi m'mapapo mwanga, acidosis, kulephera mtima, bradycardia, kugona kapena kugona, kufooka, kutopa, kupweteka, chikomokere, matenda okhudza ubongo, depersonalization, kuyerekezera zinthu m'maganizo, disorientation, maganizo, psychosis, amblyopia, kugwedeza, nkhawa, amnesia , diplopia, hypoesthesia, photophobia, kulankhula kapena matenda zithunzi, meningismus ziwalo, kusintha mu akugwirira, a kukha mwazi muubongo.

N'chifukwa chake oyamba a media Mosiyana ayenera nthawi zonse kuwunika ntchito kachitidwe kwambiri ndipo ziwalo za mtima kukhalabe madzi ndi electrolyte bwino, ndipo vuto la mwadzidzidzi - kanthu mwamsanga.

Mogwirizana ndi mankhwala ena

Kodi mankhwala sangathe pamodzi njira "Omnipak"? Malangizo Ntchito limanena kuti intrathecal mankhwala kuti ndi yosemphana ndi corticosteroids. Komanso, izo sizingakhoze pamodzi mu syringe chomwecho ndi mankhwala.

Mao zoletsa, opangidwa kuchokera fenotiazana, antidepressants tetracyclic, analeptic ndi CNS ogalamutsa azitaya khunyu khunyu.

Dongosolo munthawi yomweyo mankhwala hypotensive zikuchulukirachulukira imabwera hypotension.

Tiyeneranso kuti mankhwala timapitiriza malipoti katundu nephrotoxic mankhwala ena.

ayamikira yeniyeni

Anthu ndi chiopsezo kukhala chifuwa kuchuluka chofunika kuchita chisanadze mankhwala a corticosteroids kapena mankhwala.

M'pofunika kuganizira Nkosatheka chitukuko cha madzi m'thupi odwala ndi mielomatozom kwambiri ndi thyrotoxicosis.

Anthu odwala matenda a shuga, komanso anthu ambiri creatinine 500 umol / L wa ntchito chida n'chotheka milandu kufunikanso kwambiri.

wodwala ayenera kuyang'aniridwa kwa amaganiziridwa m'munsi kulanda pakhomo.

Pambuyo oyamba iohexol chithokomiro luso minofu yodosvyazyvayuschaya yafupika kwakanthawi kwa masabata awiri.

Mau ofanana ndi analogues

Ndi analogues "omnipak" akuphatikizapo: "Visipaque", "Iopromide", "Geksabriks", "Iopromide", "Yopamiro", "iopamidol", "Ksenetiks", "Skanlyuks 300", "Optiray", "Skanlyuks 370", " Yomeron "," Ultravist "," Iodixanol ".

Koma ofanana matanthauzo, ndiye kuwagwiritsa ntchito "Introviz", "Yunigeksol", "Iobriks", "Iohexol", "Iohexol TP".

Reviews

Nthawi zambiri, ndi ndemanga za galimoto ankaona anasiya dokotala-diagnostician. Ndipo zimenezi si zodabwitsa. Chifukwa mankhwala sinafike mankhwala wodwala, ndi phunziro la thupi lake.

Cacikulu, mayankho atolankhani Mosiyana abwino. Akatswiri amanena kuti kumayambiriro chotero njira kwambiri timapitiriza zowonera ziwalo ndipo zimakhala.

Nthawi zambiri, madokotala yerekezerani "Omnipak" ndi atumiki mosiyana. Malinga ndi iwo, mankhwala anati bwino analekerera ndi odwala. Choncho, zokonda zawo kuupereka malo ichi.