Ngati pali kuchepa kwa potaziyamu ndi magnesium m'thupi, kukula kwa arrhythmia ndi kusokonezeka kwa ntchito ya minofu ya mtima kumayang'aniridwa, pali kuwonjezeka kwa kuthamanga kwa magazi.
Zizindikiro zamavuto amodzi akazindikiridwa, Panangin amalembera zochizira matenda amtima komanso a mtima. Mankhwalawa ali ndi mitundu yonse ya mchere wofunikira kuti athetse mavuto osokoneza bongo.
Pankhani ya kukula kwa matenda ashuga mthupi la munthu, zovuta zam'mtima ndizinthu zomwe zimachitika pafupipafupi komanso zomwe zimapangitsa kuti matenda ashuwere.
Kuti mugwiritse ntchito Panangin mu shuga kuti mupereke zotsatira zabwino, muyenera kuphunzira mosamala malangizo ogwiritsira ntchito mankhwalawa ndikutsatira momveka bwino malangizo omwe dokotala mwalandira.
Mawonekedwe a mankhwalawa, kapangidwe kake ndi ma CD
Mankhwalawa ndi a gulu la mankhwala omwe amagwiritsidwa ntchito popanga kuchepa kwa potaziyamu ndi magnesium m'thupi.
Kutulutsidwa kwa mankhwalawa kuli ngati mapiritsi, kumtunda kwake komwe kumakulungidwa ndi membrane wa filimu.
Mapiritsiwo ndi oyera kapena pafupifupi oyera. Ma mapiritsiwo ndi ozungulira, a biconvex, pamwamba pa mapiritsiwo amawoneka pang'ono pang'onopang'ono komanso kusiyana pang'ono. Mankhwala ndi osanunkha kanthu.
Mapangidwe a mapiritsiwa amaphatikiza magulu awiri a zigawo zikuluzikulu - zazikulu ndi zothandizira.
Zigawo zikuluzikulu ndi:
- potaziyamu katsitsumzukwa hemihydrate;
- magnesium katsitsumzukwa tetrahydrate.
Zigawo zothandizira zimaphatikizapo:
- Colloidal silicon dioxide.
- Povidone K30.
- Magnesium wakuba.
- Talc.
- Wowuma chimanga.
- Wowuma wa mbatata.
Zomwe chipolopolo chomwe chili pamwamba pa mapiritsi chimaphatikizapo zinthu izi:
- macrogol 6000;
- titanium dioxide;
- butyl methacrylate;
- kopolymer wa demethylaminoethyl methacrylate ndi methacrylate;
- talcum ufa.
Mankhwalawa amadzaza m'mabotolo a polypropylene. Botolo imodzi ili ndi mapiritsi 50.
Bokosi lirilonse limakhala ndi katoni, momwe malangizo ogwiritsira ntchito mankhwalawo amaikidwira.
Kuphatikiza apo, yankho la intravenous management likupezeka. Mtundu wa yankho lake ndiwopepuka komanso wowonekera. Njira yothetsera vutoli siyikuphatikizapo zonyansa zamakina.
Kapangidwe ka mankhwala mu mawonekedwe a yankho la jakisoni kumaphatikizapo madzi oyeretsedwa. Mankhwala mu mawonekedwe a yankho amagulitsidwa mu galasi ampoules yamagalasi opanda mtundu wokhala ndi 10 ml iliyonse. Ampoules amayikidwa m'matumba apulasitiki ndikuyika ma CD.
Zizindikiro ndi contraindication kugwiritsa ntchito mankhwalawa
Mankhwalawa, mogwirizana ndi malangizo ogwiritsira ntchito, angagwiritsidwe ntchito ngati gawo limodzi pa zovuta zochizira matenda amtima, zomwe zimachitika pafupipafupi ndi chitukuko cha matenda a shuga.
Mankhwala angagwiritsidwe ntchito ngati pachimake m`mnyewa wamtima infarction ndi mtima arrhythmias.
Mankhwala tikulimbikitsidwa kuti azigwiritsidwa ntchito pokonzanso kulolera kwa mtima kwamtima glycosides.
Kuphatikizidwa kwa zovuta za Panangin zomwe zimayambitsidwa ndi matenda a shuga mellitus munthawi yamankhwala zimathandizira kulipirira kuchepa kwa magnesium ndi potaziyamu m'thupi la wodwalayo pakuchepa kwa chiwerengero cha zinthu izi muzakudya zomwe mumagwiritsa ntchito.
Mfundo zazikuluzikulu zogwiritsa ntchito mankhwalawa ndi izi:
- Kukhalapo kwa pachimake komanso matenda a impso kulephera.
- Kukhalapo kwa hyperkalemia.
- Kukhalapo kwa hypermagnesemia.
- Kupezeka kwa thupi la wodwala matenda a Addison.
- Kukula kwa thupi la wodwalayo wodwala mtima.
- Kukula kwambiri kwa myasthenia gravis.
- Kusokonezeka kwa kagayidwe kachakudya kamene kamakhudza kagayidwe ka amino acid.
- Kukhalapo kwa pachimake metabolic acidosis mthupi.
- Kuthetsa madzi m'thupi kwambiri.
Mankhwala ayenera kumwedwa mosamala pa mimba ndi mkaka wa m`mawere.
Mukamagwiritsa ntchito yankho la intravenous management, zotsutsana zotsatirazi zilipo:
- kukhalapo kwa aimpso kulephera pachimake kapena matenda mawonekedwe;
- kukhalapo kwa hyperkalemia ndi hypermagnesemia;
- Matenda a Addison;
- matenda oopsa a mtima;
- kuchepa kwa thupi;
- kusakwanira kwa adrenal kotekisi;
- zaka zodwala zimakhala zosakwana 18;
- mimba ndi mkaka wa m`mawere;
- kukhalapo kwa hypersensitivity ku zigawo za mankhwala.
Njira yothetsera jakisoni itha kugwiritsidwa ntchito, koma mosamala kwambiri pakuwulula hypophosphatemia, diolus ya urolithic yokhudzana ndi zosokoneza mu metabolism ya calcium, magnesium ndi ammonium phosphate wodwala.
Malangizo ogwiritsira ntchito mankhwalawa
Cholinga cha mankhwalawa chimachitika ndi kuchuluka kwa mapiritsi a 1-2 katatu patsiku. Mlingo wambiri watsiku ndi tsiku ndi katatu katatu patsiku kwa mapiritsi atatu.
Mankhwala ayenera kumwedwa pokhapokha chakudya. Izi ndichifukwa choti acidic malo am'mimba amachepetsa mphamvu ya mankhwala omwe amalowetsedwa mthupi.
Kutalika kwa mankhwalawa komanso kufunika kobwereza maphunziro a mankhwala kumatsimikiziridwa ndi dokotala payekhapayekha, poganizira zotsatira zomwe amapeza poyesa thupi la wodwalayo.
Pankhani yogwiritsa ntchito yankho la intravenous makonzedwe, mankhwalawa amathandizidwa kulowa mthupi, mwa kulowetsedwa pang'onopang'ono. Mlingo wa kulowetsedwa ndi madontho 20 pamphindi. Ngati ndi kotheka, kukonzanso kwa mankhwalawa kumachitika pambuyo pa maola 4-6.
Ngati jakisoni, yankho lomwe limakonzedwa pogwiritsa ntchito ma ampoules awiri a mankhwalawa ndi 50-100 ml ya 5% dextrose solution.
Jakisoni ndi woyenera kuphatikiza mankhwala.
Pogwiritsa ntchito mankhwalawa, zovuta zina zimatha kuchitika.
Zotsatira zoyipa zomwe mumagwiritsa ntchito piritsi la mankhwala a matenda ashuga ndi izi:
- Mwina chitukuko cha AV blockade.
- Kupezeka kwa kumva mseru, kusanza, ndi kutsegula m'mimba.
- Maonekedwe a kusapeza bwino kapena kutentha kwa moto m'mapapo.
- Mwina chitukuko cha hyperkalemia ndi hypermagnesemia.
Pankhani yokhala ndi matenda a shuga 2 a ana ndi akulu, njira yothetsera mtsempha wamkati ndiyotheka, zizindikiro zotsatirazi zingaoneke:
- kutopa;
- kukula kwa myasthenia gravis;
- chitukuko cha paresthesia;
- chisokonezo cha chikumbumtima;
- Kukula kwa mitsempha ya mtima;
- phlebitis ikhoza kuchitika.
Pakadali pano, palibe milandu ya bongo yomwe yadziwika. Ndi mankhwala osokoneza bongo, chiopsezo cha hyperkalemia ndi hypermagnesemia m'thupi chimakulanso.
Zizindikiro za hyperkalemia ndi kutopa, paresthesia, chisokonezo, komanso kusinthasintha kwa mtima.
Zizindikiro zazikuluzikulu za kukhazikika kwa hypermagnesemia ndi kuchepa kwa vuto la mitsempha, kufuna kusanza, kusanza, kufooka komanso kuchepa kwa magazi. Pankhani yakuwonjezereka kwa chiwerengero cha magnesium ions m'magazi am'magazi, chotchinga cha tendon reflexes ndi kupuma ziwonetsero.
Chithandizo chimakhala kuthetsera mankhwalawa ndi chizindikiro.
Kusungidwa kwa mankhwalawa, mawonekedwe ake ndi mtengo wake
Mankhwala ayenera kusungidwa kuti ana asawapeze. Kutentha kosungira kuyenera kukhala kosiyanasiyana mpaka 15 mpaka 30 digiri Celsius. Alumali moyo wa mankhwala mu piritsi ndi zaka 5, ndipo yankho la jekeseni wamkati ali ndi alumali moyo wazaka zitatu.
Ndemanga zambiri zakugwiritsa ntchito mankhwalawa pochiza zovuta za mtundu wa 2 wodwala. Ndemanga zoyipa zomwe amakumana nazo nthawi zambiri zimagwirizana ndi kugwiritsa ntchito mankhwalawa ndikuphwanya zofunika za malangizo ndi malingaliro a dokotala.
Mankhwala othandizira odwala matenda a shuga angagwiritsidwe ntchito ngati akuwuzani dokotala.
Mankhwalawa ali ndi mitundu yambiri.
Chimodzi mwazida zotchuka kwambiri ndi Asparkam. Kuphatikizidwa kwa mankhwalawa kuli kofanana, koma Asparkam ali ndi mtengo wotsika kwambiri poyerekeza ndi mankhwala oyambirirawo. Asparkam imapezeka mu mawonekedwe a mapiritsi popanda kuyanika kwina, chifukwa chake mankhwalawa ali osavomerezeka kwa odwala matenda a shuga omwe ali ndi mavuto m'mimba.
Kuphatikiza pa Asparkam, ma analogi a Panangin ndi Aspangin, Aspangin, Asparaginate wa potaziyamu ndi magnesium, Pamaton.
Mtengo wa Panangin uli m'gawo la Russian Federation pafupifupi 330 rubles.
Kuperewera kwa mavitamini a shuga kumawonekeranso ndi mavuto osiyanasiyana. Ndi zovuta ziti zomwe zingayambike ndi matenda a shuga zomwe anafotokozeredwa ndi katswiri muvidiyoyi.
