"Strophanthin", ib daim ntawv qhia hauv Latin thiab cov lus piav qhia ntawm cov tshuaj yuav raug tham hauv kab lus no. Yog tias pom lub plawv tsis ua haujlwm, nws nthuav dav cov hlab ntsha (uas yog, cov ntshav tawm los ntawm lub plawv mus rau hauv cov hlab ntsha thaum lub sij hawm ib qho kev cog lus) thiab feeb (cov ntshav tawm ntawm lub plawv ib feeb mus rau hauv cov hlab ntsha) lub plawv ntim, pab. kom zoo dua ntim cov ventricles, ua rau lub plawv loj. Cov nyhuv ntawm kev siv cov tshuaj no yog pom peb mus rau kaum feeb tom qab txhaj tshuaj intravenously. Nws cov txiaj ntsig siab tshaj plaws yog mus txog lub sijhawm ntawm ib nrab teev mus rau ob teev tom qab saturation mus txog. Cov tshuaj no kav ib mus rau peb hnub.
Daim ntawv qhia hauv Latin "Strophanthin" yuav txaus siab rau cov tub ntxhais kawm kho mob.
Tshuaj thiab cov txheej txheem lom neeg hauv lub cev
Yuav luag tsis muaj txiaj ntsig.
Tshuaj yog muab faibzoo nkauj sib npaug; mus rau me ntsis ntau dua, cov concentration tshwm sim hauv cov ntaub so ntswg ntawm cov qog adrenal, siab, txiav, thiab ob lub raum. Ib feem pua ntawm cov tshuaj muaj nyob rau hauv lub plawv cov leeg. Hais txog cov ntshav plasma proteins, tsib feem pua.
Tawm los ntawm ob lub raum hauv nws daim ntawv qub, yam tsis muaj biotransformation. Kwv yees li ntawm 85-90% raug tso tawm ib hnub, plasma concentration ntawm cov tshuaj txo qis li tsib caug feem pua tom qab yim teev. Kev tshem tawm tag nrho ntawm lub cev tshwm sim hauv ib mus rau peb hnub.
Rau qhov kev npaj "Strophanthin" daim ntawv qhia hauv Latin yuav muab hauv qab no.
Cov lus qhia rau kev siv
Lub plawv tsis ua haujlwm ntawm theem thib ob lossis thib peb, ntau lub plawv dhia tsis zoo, suav nrog atrial fibrillation, supraventricular tachycardia. Nco ntsoov tias tsuas yog ib tus kws kho mob sau tshuaj xwb.
KOJ
Daim ntawv qhia rau cov tshuaj Latin "Strophanthin" hais hauv qab no:
- Cov tshuaj yog siv intramuscularly thiab intravenously. Tsuas yog thaum muaj xwm txheej ceev, yog tias kev siv lub plawv glycosides tsis tuaj yeem - sab hauv.
- Kev txhaj tshuaj rau hauv cov hlab ntsha, cov tshuaj 0.025% yog noj, diluted hauv ib ntim ntawm kaum mus rau nees nkaum milliliters kua qabzib (5%) lossis sodium chloride tov nrog ib qho concentration ntawm 0.9%. Cov txheej txheem no tau ua qeeb qeeb, li 5-6 feeb (yog tias txhaj tshuaj sai, kev poob siab yuav tshwm sim).
- Ib qho tshuaj ntawm cov tshuaj no kuj tseem siv hauv tee (hauv 100 ml ntawm dextrose lossis sodium chloride tov ntawm tib feem pua ntawm cov ntsiab lus raws li tau piav qhia saum toj no). Nrog xws lidaim ntawv, cov nyhuv toxic tsim tsawg zaus.
- Qhov siab tshaj plaws ntawm cov tshuaj intravenously rau cov neeg laus: ib koob tshuaj - ob milliliters, uas yog, ob ampoules, thiab ib hnub koob tshuaj - ob zaug ntau npaum li cas, uas yog, 4 ampoules (4 ml, raws li).
- Yog tias kev tswj hwm cov hlab ntsha tsis tuaj yeem ua tau, ces nws yog siv intramuscularly. Txhawm rau txo qhov mob no, thawj zaug koj yuav tsum tau txhaj 5 ml ntawm kev daws ntawm procaine (2%), thiab tom qab ntawd los ntawm tib rab koob - qhov xav tau koob tshuaj "Strophanthin K", uas yog diluted hauv 1 ml ntawm ob feem pua. ntawm procaine. Rau kev siv intramuscular, nce koob tshuaj ib zaug thiab ib nrab zaug.
koob tshuaj txhua hnub rau menyuam yaus, lossis koob tshuaj saturation, thaum siv cov tshuaj "Strophanthin K" ntawm qhov concentration ntawm 0.025%:
- tus menyuam yug tshiab - txij 0.06 txog 0.07;
- mus txog peb xyoos: 0.04 txog 0.05;
- ntawm plaub mus rau - los ntawm 0.4 txog 0.5;
- xya txog kaum plaub: 0.5 txog 1.
Cov koob tshuaj tu muaj ib nrab rau ib feem peb ntawm saturation. Puas yog Strofantin zam tau zoo? Daim ntawv qhia hauv Latin yuav nthuav tawm hauv qab no.
Side effects
Los ntawm cov hlab plawv: atrioventricular block, bradycardia, ventricular fibrillation, extrasystoles, ventricular paroxysmal tachycardia.
Los ntawm txoj hnyuv: ntuav, xeev siab, raws plab, tsis qab los noj mov.
Los ntawm lub hauv paus paj hlwb: kiv taub hau thiab mob taub hau, pw tsaug zog thiab pom xim, qaug zog, tsaug zog, psychosis, kev nyuaj siab, tsis meej pem, tsawg zaus - staining ntawm cov khoomnyob ib ncig ntawm cov xim daj thiab ntsuab, " yoov" ua ntej ob lub qhov muag.
Lwm cov kev mob tshwm sim: urticaria, kev tsis haum tshuaj, epistaxis, thrombocytopenia, petechiae, txo qhov muag pom kev, tsis tshua muaj thrombocytopenic purpura. Yog tias cov tshuaj tau siv intramuscularly, tej zaum yuav muaj mob ntawm qhov chaw txhaj tshuaj.
Daim ntawv qhia hauv Latin "Strophanthin" tuaj yeem kuaj nrog kws kho mob.
Siv txwv
Ntawm cov contraindications yog:
- siab rhiab heev rau cov tshuaj muaj pes tsawg leeg;
- Hma-Parkinson-White syndrome;
- sinoatrial ua tiav thaiv lossis cuam tshuam atrioventricular thaiv;
- 2nd degree atrioventricular thaiv;
- glycoside intoxication.
Nrog rau kev ceev faj, suav nrog qhov sib npaug ntawm cov txiaj ntsig thiab kev pheej hmoo, nws yuav tsum tau siv thaum muaj mob sinus syndrome yam tsis muaj tus kws kho mob pacemaker, thawj-degree atrioventricular block, muaj Morgagni-Adams-Stokes tawm tsam hauv Cov keeb kwm ntawm tus kab mob, muaj peev xwm ntawm kev tsis ruaj khov los ntawm lub atrioventricular node, hypertrophic obstructive cardiomyopathy, mob hawb pob hauv cov neeg mob uas muaj mitral stenosis (yog tias tsis muaj tachysystolic daim ntawv ntawm atrial fibrillation), mob myocardial infarction, cais mitral stenosis. tus nqi, thiab lwm yam.
Rau tshuaj "Strophanthin" tshuaj hauv Latin hauv ampoules yuav tsum tau muabkws tshuaj.
Daim ntawv thov nta
Cov poj niam cev xeeb tub thiab cov uas pub niam mis yuav tsum tsis txhob siv cov tshuaj, vim tsis muaj kev tshawb fawb tshawb fawb pom tseeb tias kev nyab xeeb ntawm nws siv.
Thaum muaj lub siab ua haujlwm tsis zoo, daim siab tsis ua haujlwm yuav tsum tau siv ceev faj. Tib yam siv rau cov neeg mob raum tsis ua haujlwm.
Nws siv tau cov tshuaj rau kev kho menyuam yaus, vim tsis muaj hnub nyoog txwv rau kev noj. Rau cov neeg laus, siv ceev faj.
cov lus qhia tshwj xeeb
Nrog kev ceev faj tshaj plaws, nws tuaj yeem siv cov tshuaj hauv cov neeg mob uas muaj atrial extrasystole, thyrotoxicosis. Txij li qhov ntsuas kev kho mob qis qis, kev saib xyuas kev kho mob nyob ze thiab kev kho tus kheej koob tshuaj yuav tsum tau ua thaum kho.
Yog tias lub raum ua haujlwm tsis zoo, cov koob tshuaj yuav tsum raug txo kom tsis txhob muaj glycoside intoxication.
Hypomagnesemia, tshaj tawm cov kab mob hauv lub plawv, hypokalemia, hypernatremia, alkalosis, hypercalcemia, thiab hnub nyoog dhau los ua rau muaj kev pheej hmoo ntawm kev noj tshuaj ntau dhau. Kev saib xyuas tshwj xeeb thiab kev tswj hwm los ntawm electrocardiograph yog tsim nyog yog tias atrioventricular conductivity tawg. Tus kws kho mob uas tuaj koom yuav tsum sau ib tsab ntawv tshuaj rau "Strophanthin" tshuaj nyob rau hauv Latin.
Yog hais tias normo- lossis bradycardia tau qhia, nrog rau mitral stenosis, mob plawv tsis ua haujlwm vimrau qhov txo qis hauv diastolic txhaws ntawm sab laug ventricle. Los ntawm kev ua kom lub siab ua haujlwm ntawm cov leeg nqaij ntawm txoj cai ventricle, "Strophanthin K" ua rau muaj kev nce ntxiv hauv cov hlab ntsha ntawm lub ntsws, uas tuaj yeem ua rau mob ntsws edema lossis ua rau sab laug ventricular tsis ua haujlwm. Cov neeg mob uas muaj mitral stenosis, cov tshuaj ntawm hom no yog muab rau atrial fibrillation los yog nyob rau hauv cov ntaub ntawv ntawm kev txuas ntawm txoj cai ventricular tsis ua hauj lwm. Yog tias tus neeg mob muaj tus mob WPW, ces "Strophanthin K" yuav pab txo qis atrioventricular conduction, thaum pab ua kom lub zog siv txoj hauv kev ntxiv, hla lub atrioventricular node thiab ua rau kev loj hlob ntawm paroxysmal tachycardia. Raws li ib qho ntawm txoj hauv kev los saib xyuas digitalization, kev saib xyuas cov concentration ntawm glycosides hauv plasma yog siv. Qhov no tau lees paub rau cov tshuaj "Strophanthin" los ntawm cov tshuaj hauv Latin thiab cov lus qhia.
Yog tias cov tshuaj txhaj tshuaj tau ua tiav sai, ces ventricular tachycardia, bradyarrhythmia, atrioventricular block thiab txawm tias lub plawv nres tuaj yeem tsim. Thaum lub sij hawm raug ntau tshaj, extrasystole tuaj yeem tshwm sim, qee zaum hauv daim ntawv ntawm bigeminia. Txhawm rau tiv thaiv qhov tshwm sim no, cov koob tshuaj xav tau tuaj yeem muab faib ua ob lossis peb qhov kev txhaj tshuaj rau hauv cov leeg, lossis thawj koob tuaj yeem muab tshuaj intramuscularly. Yog tias tus neeg mob yav dhau los tau muab tshuaj rau lwm hom mob plawv glycosides, tom qab ntawd ua ntej txhaj tshuaj "Strophanthin K" intravenously, nws yog ib qho tsim nyog yuav tsum tau so ntawm tsib mus rau nees nkaum plaub hnub, nyob ntawm seb cov cim qhia tau npaum li cas.yav dhau los tshuaj.
cuam tshuam rau kev tswj hwm ntawm ntau lub tshuab thiab tsav tsheb
Thaum lub sijhawm kho nrog cov tshuaj no, nws raug nquahu kom tsis txhob tsav tsheb thiab koom nrog kev ua ub ua no uas muaj peev xwm txaus ntshai, yuav tsum muaj kev xav tau siab thiab ceev faj.
Lub sijhawm khaws cia thiab cov xwm txheej
Khaws cov tshuaj no ntawm qhov kub tsis tshaj 25 degrees Celsius. Qhov chaw nyob ntawm cov tshuaj yuav tsum tsis txhob nkag mus rau cov menyuam yaus. Txee lub neej yog peb xyoos.
Tshuaj tawm ntawm cov khw muag tshuaj nkaus xwb.
Ntau tus neeg txaus siab rau daim ntawv qhia "Strophanthin" hauv Latin thiab analogues.
Koj tuaj yeem hloov cov tshuaj:
- "Korglikon";
- "Amrinon";
- "Celanidom";
- "Adonis-Bromine";
- "Cardiovalen";
- "Dobutamine";
- "Cardompin";
- foxglove nplooj thiab lwm yam txhais tau tias.
Cov lus qhia tshwj xeeb
Qhov kev piav qhia ntawm cov tshuaj "Strophanthin K" yog qhov yooj yim dua thiab ntxiv kev txhais lus ntawm cov lus qhia rau kev siv. Ua ntej yuav los yog siv cov tshuaj rau nws lub hom phiaj, nws yog ib qho tsim nyog yuav tau txais cov lus qhia kho mob uas tsim nyog thiab nyeem cov lus piav qhia, uas tau pom zoo los ntawm nws cov chaw tsim khoom. nthuav tawmcov ntaub ntawv hais txog cov khoom siv tshuaj no yog rau cov ntaub ntawv xov xwm nkaus xwb thiab yuav tsum tsis txhob siv los ua cov lus qhia rau kev kho tus kheej. Tsuas yog tus kws kho mob tuaj koom muaj txoj cai los sau cov tshuaj, nrog rau tsim cov koob tshuaj thiab cov txheej txheem thov.
Recipe in Latin "Strophanthin"
Strophantinum K
Rp.: Sol. Strophanthini K 0.05% 1.0
D. t. d. N 10 in amp. S. 0.25–0.5 ml maj mam mus rau hauv cov hlab ntsha, dilute ua ntej ntawd nyob rau hauv kaum mus rau nees nkaum milliliters ntawm qabzib tov (20%).
