Calcium gluconate muaj nyob hauv txhua lub tsev kho mob. Kev tshuaj xyuas ntawm tus kws kho mob siv cov tshuaj no qhia tias yog tsis muaj cov tshuaj no nws tsis tuaj yeem kho ntau yam kab mob, tshwj xeeb tshaj yog thaum lub hlwb ntawm lub cev xav tau calcium.
xav tau calcium ions rau lub cev
Calcium yog ib qho tseem ceeb tsim nyog rau kev ua haujlwm ntawm tib neeg lub cev thiab pom muaj nyob hauv txhua cov ntaub so ntswg thaum kuaj. Gluconate thiab calcium chloride - cov tshuaj ntsev no yog kab tias nrov tshaj plaws rau kev kho mob ntawm kev ua rau lub neej muaj teeb meem cuam tshuam nrog hypocalcemia thiab hyperkalemia. Cov kev qhia ntxiv muaj xws li mob hnyav hypocalcemia, lom nrog beta-blockers lossis calcium channel blockers.
Calcium tuaj yeem ua rau parenterally hauv ob hom sib txawv: chloride thiab gluconate. Feem ntau cov tshuaj calcium gluconate hauv cov hlab ntsha. Kev tshuaj xyuas qhia tau hais tias nrog qhov kev taw qhia no tsawg kawg ntawm kev tsis xis nyob thiab kev zam zoo. 10 ml ntawm 10% tov muaj 8.9 mg / ml ntawm calcium elemental. Nyob rau hauv sib piv, ib ampoule ntawm 10% calcium chloridemuab peb npaug ntawm cov ntsiab lus calcium (27.2 mg / ml). Calcium chloride tsuas yog muab tso rau hauv cov hlab ntsha xwb, vim nws ua rau cov nqaij mos necrosis yog tias raug txhaj rau hauv qab ntawm daim tawv nqaij. Calcium gluconate (kev saib xyuas kev noj qab haus huv lees paub qhov no) yog qhov kev xaiv zoo tshaj plaws hauv cov neeg mob uas tsis raug kev txom nyem los ntawm hemodynamic instability. Txawm li cas los xij, gluconate nyob rau hauv daim siab yog metabolized rau calcium ions thiab ua bioavailable, yog li ntawd, nyob rau hauv tej yam kev mob ntawm unstable hemodynamics los yog lub siab ua haujlwm tsis zoo, nws yog qhov zoo dua los siv calcium chloride. Yog li, yog tias calcium gluconate tau qhia, nws tuaj yeem hloov tau nrog calcium chloride, tab sis tsuas yog siv ib feem peb ntawm cov koob tshuaj thiab nco ntsoov tias calcium chloride tau pom zoo kom nkag mus rau venous zoo nrog kev saib xyuas tas li thaum lub sijhawm tswj hwm.
Drug properties
Calcium gluconate yog ib qho sib xyaw ntawm calcium thiab gluconic acid.
Calcium xav tau rau kev ua haujlwm ntawm lub plawv, cov leeg thiab lub paj hlwb. Qhov xav tau rau cov txheej txheem tsim nyog ntawm cov ntshav txhaws hauv kev siv "Calcium Gluconate" tau raug pov thawj. Cov kws kho mob lub tswv yim ua pov thawj tias nyob rau hauv cov kab mob uas yuav tsum tau muaj cov calcium ntau, piv txwv li, nrog hypocalcemia, tetany, kev tsis haum tshuaj thiab inflammatory txheej txheem, qee hom tshuaj lom, kev kho mob yam tsis muaj cov tshuaj no yuav ua tsis tau.
Calcium gluconate feem ntau yog tus kws kho mob tau sau tseg. Nyob rau hauv txhua rooj plaub, qhov ntau npaum yog xaiv tus kheej.
Yog tias muaj qhov tsis zoo tshwm sim thaum siv cov tshuaj, ces nws yuav tsum rov xav txog lub sijhawm teem sijhawm lossis txo cov tshuaj noj. Thaum tus neeg mob noj tshuaj ntau, muaj ntau yam teeb meem tshwm sim.
Kev qhia
Muaj ntau yam kab mob sib txawv hauv qhov kev teem sijhawm ntawm cov tshuaj "Calcium gluconate" tau qhia. Cov lus qhia, kev tshuaj xyuas ntawm ntau tus kws kho mob ua rau nws muaj peev xwm txheeb xyuas pawg kab mob, qhov laj thawj tseem ceeb yog:
- hypocalcemia;
- nce membrane permeability;
- kev ua txhaum ntawm kev cuam tshuam ntawm cov hlab ntsha impulses los ntawm myocytes.
Tshuaj kho tau qhov tseeb thaum:
- hypoparathyroidism (osteoporosis, latent tetany), metabolic ntshawv siab, tshwj xeeb tshaj yog vitamin D: rickets (osteomalacia, spasmophilia), hyperphosphatemia hauv cov neeg mob lub raum tsis txaus;
- xav tau ntau ntxiv rau calcium ions: thaum cev xeeb tub, lactation thiab nce lub cev loj hlob; Cov ntsiab lus calcium tsis txaus hauv cov zaub mov, ua txhaum ntawm nws cov metabolism (hauv postmenopause);
- nce kev tso tawm ntawm calcium ions, piv txwv li, nrog kev pw tsaug zog ntev, mob raws plab, theem nrab hypocalcemia nrog kev siv cov tshuaj diuretics ntev thiab tshuaj tiv thaiv kab mob, glucocorticosteroids;
- tshuaj lom nrog magnesium ntsev, fluoric, oxalic acids thiab lawv cov ntsev;
- hypercalcemic daim ntawv ntawm paroxysmal myoplegia.
Calcium gluconate yog qhia rau kev ua xua. Kev tshuaj xyuas qhia tau tias kev txhim kho saitej yam kev mob, raws li nws txo capillary permeability thiab txo o. Cov cuab yeej no yog siv los kho thrombocytopenic purpura thiab exudative dermatoses xws li dermatitis herpetiformis.
YContraindications
Tus neeg ua haujlwm saib xyuas kev noj qab haus huv tau sau tshuaj nrog ceev faj lossis tsis sau yog tus neeg mob:
- yog kev tsis haum, nkag siab lossis muaj cov tshuaj tiv thaiv rau ib qho ntawm cov khoom xyaw calcium gluconate;
- yog ib tug neeg laus;
- muaj mob qog noj ntshav nrog kis mus rau cov pob txha;
- muaj teeb meem plawv;
- kuaj pom cov ntshav calcium ntau ntau, hypercalciuria thiab cov vitamin D siab;
- muaj kab mob raum.
Calcium gluconate tau txais kev ceev faj heev lossis tsis muab rau txhua tus menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 18 xyoo.
Side effects
Hauv cov tshuaj, muaj ib txoj cai hais tias cov tshuaj tau sau tseg tsuas yog thaum cov kev sim tshuaj tau pom tias cov txiaj ntsig ntawm kev noj tshuaj ntau dua qhov txaus ntshai. Qee qhov kev mob tshwm sim tuaj yeem ua rau mob hnyav, thaum lwm tus tuaj yeem suav tias yog qhov tsis yooj yim me.
Cov neeg mob sib txawv teb txawv rau cov tshuaj. Nws yog ib qho nyuaj rau kwv yees seb cov kev mob tshwm sim uas koj yuav muaj los ntawm kev noj cov tshuaj tshwj xeeb, lossis cov kev mob tshwm sim uas koj yuav muaj nrog txhua yam tshuaj. Qhov tseem ceeb tshaj plaws yog koj yuav tsum qhia koj tus kws kho mob txog qhov tsis xis nyob uas tau tshwm sim.
Tshuaj rau kev txais tostshuaj tuaj yeem tshwm sim hauv ntau qhov xwm txheej:
- Cov teeb meem tuaj yeem tshwm sim tom qab txhaj tshuaj rau hauv cov hlab ntsha yog tias calcium gluconate tau siv tsis raug.
- Tam sim ntawd tom qab txhaj tshuaj, xeev siab, ntuav, tawm hws, ntshav siab, tingling, kev tsim txom lossis cua sov, arrhythmias tuaj yeem ua tau yog tias calcium gluconate txhaj sai heev. Tab sis qee zaus, cov teeb meem ntawm cov hlab ntshav tuaj yeem ua rau tuag taus.
- Kev tsis txaus siab ntawm kev hnov qab ntawm cov kua txob qab zib tom qab kev tswj hwm ntawm cov tshuaj "Calcium gluconate - vial" yog ua tau. Cov lus teb los ntawm ntau tus neeg mob qhia tau hais tias muaj kev phiv.
- Tsis tshua pom muaj abscess tom qab txhaj tshuaj intramuscular.
Yog tias koj tsis xis nyob lossis muaj kev txhawj xeeb txog qhov tshwm sim, nco ntsoov qhia rau koj tus kws kho mob.
Kev noj lwm yam tshuaj
Yog tias koj noj ntau dua ib qho tshuaj, lawv tuaj yeem cuam tshuam nrog ib leeg, nce lossis txo qis rau ib leeg.
Kev txiav txim siab siv tshuaj uas cuam tshuam yog nyob ntawm tus kheej qhov xwm txheej. Nyob rau hauv tas li ntawd, nws yuav tsum tau hloov cov koob tshuaj los yog saib xyuas cov tshuaj kom zoo zoo.
Thaum sau tshuaj kho mob, qhia koj tus kws kho mob lub npe ntawm txhua yam tshuaj uas koj noj. Hauv qhov no, tag nrho cov kev sib cuam tshuam uas tshwm sim tau yuav raug coj mus rau hauv tus account. Qhov no suav nrog cov tshuaj uas koj tus kws kho mob, kws kho hniav, tus kws saib xyuas neeg mob, tus neeg saib xyuas kev noj qab haus huv, tus kws yug menyuam, lossis tus kws muag tshuaj. Kojkuj yuav tau hais txog cov tshuaj uas koj yuav tom lub tsev muag tshuaj yam tsis tau sau ntawv.
Yog tias koj noj calcium gluconate thiab ib yam ntawm cov tshuaj saum toj no lossis hom tshuaj, xyuas kom koj tus kws kho mob paub txog nws.
Cov pov thawj ntawm kev tsis sib haum xeeb ntawm cov tshuaj "Calcium Gluconate" tshuaj xyuas. Cov ntsiav tshuaj lossis kev txhaj tshuaj tsis tuaj yeem ua ke nrog carbonates, salicylates, sulfates. Qhov no tau lees paub los ntawm kev coj ua loj ntawm kev siv cov tshuaj no. Kev tsim cov complexes nrog tetracyclines txo cov nyhuv antibacterial ntawm tom kawg. Hauv kev kho cov kev npaj digitalis, kev siv parenteral ntawm calcium gluconate tsis tau qhia vim tias muaj cov tshuaj lom ntau ntxiv ntawm glycosides. Calcium gluconate thiab thiazide diuretics tuaj yeem ua rau hypercalcemia ntau dua. Txo cov nyhuv ntawm calcitonin hauv hypercalcemia thiab bioavailability ntawm phenytoin thaum siv ua ke nrog cov tshuaj no.
Cov tshuaj xws li ceftriaxone, calcium channel blockers, cardiac glycosides, lossis thiazide diuretics yuav tsum tsis txhob ua ke nrog Calcium Gluconate vim lawv txo cov nyhuv ntawm cov tshuaj sib cuam tshuam.
tshuaj ntxiv thiab cov vitamins
Calcium gluconate tuaj yeem ua ke nrog cov tshuaj ntxiv thiab cov vitamins. Feem ntau, tsis muaj ntau cov ntaub ntawv muaj txog lawv cov kev sib cuam tshuam. Yog tias koj tab tom yuav noj lossis twb tau noj cov tshuaj thiab cov vitamins, koj yuav tsum nug koj tus kws kho mob seb puas muaj cov teebmeem uas paub thaum noj ua ke nrogcalcium gluconate.
Kev noj haus
Tshuaj tuaj yeem cuam tshuam nrog ntau yam khoom noj. Qee zaum, qhov no tuaj yeem tsim kev puas tsuaj, thiab koj tus kws kho mob yuav qhia koj kom ua raws li kev noj haus tshwj xeeb.
Thaum noj calcium gluconate, tsis muaj cov khoom noj tshwj xeeb uas yuav tsum tau muab tshem tawm ntawm koj cov zaub mov. Thiab txawm tias haus cawv yuav tsis cuam tshuam rau kev ua haujlwm ntawm cov tshuaj.
Kev npaj tsev neeg thiab kev xeeb tub
Txhua yam tshuaj tuaj yeem cuam tshuam kev loj hlob ntawm tus menyuam hauv plab. Thaum noj calcium gluconate, koj yuav tsum tsis txhob noj nws tus kheej. Cov tshuaj tsuas yog muab los ntawm koj tus kws kho mob xwb.
Koj yuav tsum tham txog koj qhov xwm txheej tshwj xeeb nrog koj tus kws kho mob kom ntsuas qhov kev pheej hmoo thiab txiaj ntsig ntawm kev noj cov tshuaj no. Koj thiab koj tus kws kho mob txiav txim siab seb koj puas noj cov tshuaj no thaum cev xeeb tub.
Yog qhov kev txiav txim siab yog tias koj yuav tsum tsis txhob siv calcium gluconate, koj yuav tsum sib tham seb puas muaj lwm yam tshuaj uas tuaj yeem noj thaum cev xeeb tub.
Cov tshuaj no nkag mus rau hauv cov kua mis, yog li cov niam uas pub niam mis yuav tsum ntsuas qhov txaus ntshai thiab cov txiaj ntsig ntawm cov tshuaj no.
Tsuas kws kho mob txiav txim siab seb puas yuav muab "Calcium Gluconate" rau cov menyuam yaus. Kev tshuaj xyuas ntawm cov kws kho menyuam yaus sib raug rau txoj haujlwm uas cov neeg mob me zam cov tshuaj zoo.
Cov Ntawv Taw Qhia
Muaj peev xwm qhia txog cov tshuaj "Calcium gluconate" - intramuscularly. Kev tshuaj xyuas ntauCov kws kho mob hais tias txoj kev no muaj kev nyab xeeb, thaum muaj kev cuam tshuam ntev ntawm cov tshuaj. Intravenous tswj yog siv nyob rau hauv mob hnyav los yog kom ua tiav cov nyhuv sai. Txoj kev no yog ntau dua rau cov menyuam yaus raws li lub tswv yim ntawm 2-3 hnub nrog kev so ib hnub ntawm 1-5 ml. V/m tsuas yog muab rau cov neeg laus txhua hnub los yog raws li qhov kev kawm sib txuas: 2-3 hnub ntawm kev nkag - 1 hnub so - 2-3 hnub ntawm kev tswj hwm.
Cov ntsiav tshuaj noj 2 lossis 3 zaug hauv ib hnub, 1-3 g (2-6 ntsiav tshuaj), tsis sib xyaw nrog zaub mov thiab nyiam dua nrog mis.
Muaj ntau cov lus qhia rau kev siv Calcium Gluconate. Kev tshuaj xyuas los ntawm tus kws kho mob lossis kws kho menyuam yaus ua rau kev txiav txim siab tias lub hom phiaj ntawm txhua yam tshuaj yog kev ruaj ntseg, kev nyab xeeb thiab kev ua tau zoo. Tsuas yog los ntawm cov haujlwm no yog siv cov tshuaj qhia.
