Nyob rau hauv tsab xov xwm peb yuav txiav txim siab cov lus qhia rau kev siv "Kabiven" - tshuaj rau kev noj haus los ntawm kev txhaj tshuaj intravenous.
Muaj ntau yam kab mob sib txawv uas ua rau muaj qhov tshwm sim loj heev thiab xav tau kev kho mob mus ntev. Yog li, qee tus neeg mob tsis tuaj yeem noj zaub mov ntawm lawv tus kheej, yog vim li cas lawv xav tau kev siv tshuaj tshwj xeeb. Cov tshuaj "Kabiven Peripheral" yog ib qho complex uas ntxiv cov protein thiab lub zog tsis muaj zog ntawm lub cev. Nws muaj tag nrho cov zaub mov thiab qhov tseem ceeb amino acids kom normalize cov txheej txheem metabolic. Nws yog ib qho khoom noj khoom haus parenteral zoo.
yam ntxwv ntawm cov tshuaj no
Cov tshuaj "Kabiven Peripheral" txawv nyob rau hauv uas nws muaj peb yam nyob rau hauv ib tug sib npaug piv. Nws txawv ntawm:
- Lub xub ntiag ntawm vamin, uas ua raws li cov tshuaj amino acid nrog cov txiaj ntsig siab tshaj plaws.
- Presence ntawm intralipid, uas yog cov roj emulsion nrog unsurpassedkev ruaj ntseg. Nws yog ib nqi sau cia hais tias qhov no yog cov feem ntau siv roj emulsion nyob rau hauv cov teb chaws Europe.
- Muaj 11% qabzib.
Pharmacological nyhuv ntawm cov tshuaj no
Raws li cov lus qhia siv rau Kabiven, cov nyhuv kho ntawm cov tshuaj no yog vim kev sib xyaw ntawm nws cov khoom siv. Cov tshuaj intralipid ua rau cov tsis muaj fatty acids thiab muaj cov phospholipids uas yuav tsum tau, uas pab muab lub cev muaj zog reserves. Vamin 18 Novum yog ib qho complex ntawm amino acids thiab minerals. Nyob rau hauv lem, proline, uas yog ib feem ntawm no complex, yog tsim nyog rau cov ntaub so ntswg kho tom qab raug mob thiab phais. Nws txhawb kev tsim cov collagen thiab lwm yam khoom siv.
Cov tshuaj alanine yog cov amino acid koom nrog hauv cov metabolism hauv qabzib. Cov kua qaub no txhawb kev tso cov piam thaj los ntawm cov khw muag khoom glycogen, tiv thaiv kev txhim kho ntawm hypoglycemia.
Methionine yog ib qho muaj zog antioxidant. Lawv tiv thaiv kev puas tsuaj ntawm cov hlwb los ntawm cov dawb radicals. Cov tshuaj no tuaj yeem khi co toxins, ua kom lawv tshem tawm ntawm lub cev. Glycine yuav tsum tau los kho lub hlwb ua haujlwm. Cov amino acid no koom nrog hauv kev sib kis ntawm cov hlab ntsha impulses thiab cov tshuaj metabolic tshwm sim hauv lub paj hlwb.
Sodium, nyob rau hauv lem, koom tes nyob rau hauv lub thauj cellular ua hauj lwm tsim rau cov txheej txheem ntawm ion pauv. Calcium yuav tsum tau ua haujlwmntau yam enzymatic systems. Glucose (11% tov) koom nrog hauv cov txheej txheem metabolic thiab ua raws li lub zog loj substrate, uas tsim nyog rau kev noj qab haus huv ntawm lub cev thiab lub cev.
Dab tsi yog cov tshuaj no
Cov khoom kho mob Kabiven Peripheral muaj cov tshuaj intralipid, uas ntxiv cov rog nyob hauv tib neeg lub cev.
Lub zog substrate hauv nqe lus nug muaj kaum ib feem pua qabzib.
Qhov tseem ceeb ntawm cov zaub mov thiab cov amino acids hauv Kabiven Peripheral yog cov vamine complex.
Cov khoom siv tshuaj no tuaj ntim rau hauv lub thawv yas peb-chamber, cov ntsiab lus uas tau muab rau tus neeg mob intravenously. Tom ntej no, peb yuav xav txog cov lus qhia rau kev siv cov khoom kho mob no.
Cov lus qhia rau kev siv tshuaj
Cov lus qhia rau kev siv "Kabiven Peripheral", raws li txoj cai, yog qhov yuav tsum tau muab rau tus neeg mob nrog kev noj zaub mov kom zoo, hla txoj hnyuv. Nws kuj yog siv los kho cov protein thiab lub zog tsis muaj zog uas ua rau muaj ntau yam kab mob sib txawv. Tam sim no cia saib seb cov tshuaj no muaj kev phiv dab tsi.
Kev mob tshwm sim ntawm cov tshuaj no
Cov teebmeem ntawm cov khoom noj khoom haus parenteral tuaj yeem tshwm sim nyob rau hauv daim ntawv ntawm kev tsis haum tshuaj, kub siab, hypotension, thiab, ntxiv rau, nyob rau hauv daim ntawv ntawm mob taub hau lossis mob plab. Kev loj hlob yog ua tau ntawm qhov chaw txhaj tshuajthrombophlebitis.
Ua raws li cov cai ntawm cov lus qhia rau kev siv "Kabiven" cov cuab yeej yuav txo qis qhov tsis xav tau tshwm sim.
Contraindications yog cov hauv qab no pathologies: muaj hyperlipidemia, raum tsis ua haujlwm, lub siab ua haujlwm tsis zoo thiab ntshav txhaws.
Cov teebmeem ntawm "Kabiven Peripheral" tau piav qhia meej hauv cov lus qhia.
Kev cev xeeb tub thiab lactation: Puas muaj kev nyab xeeb noj?
Tsis muaj kev tshawb fawb txog niaj hnub no kom tau txais cov ntaub ntawv hais txog cov txiaj ntsig ntawm cov tshuaj hauv nqe lus nug ntawm lub cev ntawm cov poj niam cev xeeb tub thiab cov menyuam mos. Cev xeeb tub nrog rau lactation yog ib tug txheeb ze contraindications. Kev siv cov khoom siv tshuaj no rau cov poj niam pawg no tsuas yog tsim nyog tsuas yog nyob rau hauv rooj plaub ntawm qhov pom tseeb ntawm qhov tshwm sim ntawm kev kho mob dhau qhov kev pheej hmoo.
Kev qhia
Kabiven tau muab tshuaj ua kev kho mob, nws tau txhaj rau hauv cov hlab ntsha peripheral. Qhov ntau npaum li cas ntawm cov tshuaj nyob rau hauv nqe lus nug nyob ntawm seb qhov dav dav ntawm depletion ntawm tus neeg mob thiab nws cov khoom noj khoom haus zoo. Tam sim ntawd ua ntej siv, nws yuav tsum tau tshem tawm cov clamps thiab sib tov cov ntsiab lus ntawm lub chambers. Qhov ceev ntawm cov infusion yog txiav txim los ntawm tus kws kho mob, coj mus rau hauv tus account qhov hnyav ntawm tus mob ntawm ib tug neeg mob.
Qhov siab tshaj plaws txhua hnub yog 40 ml / kg / hnub rau tus neeg laus. Cov menyuam yaus hnub nyoog ob txog kaum xyoo xav tau 14-28 ml ntawm cov tshuaj ib kilogram ntawm lub cev. Cov menyuam yaus hnub nyoog tshaj 10 xyoomuab koob tshuaj rau cov neeg laus. Tus nqi ntawm cov tshuaj yuav tsum tsis pub tshaj 3.7 ml / kg / h.
Txoj kev siv
Qhov ntau npaum li cas ntawm cov khoom no ncaj qha nyob ntawm lub hom phiaj ntawm kev siv. Thaum lub sij hawm nkag, nws yog ib qho tsim nyog los saib xyuas tus neeg mob cov ntshav txhaws qhov ntsuas. Thaum sib tov cov tshuaj, nws yuav tsum ua raws li cov cai ntawm asepsis txhawm rau tiv thaiv kev kis kab mob.
Kev sib tham nrog cawv
Tus neeg sawv cev kho mob hauv nqe lus nug yog siv los ua ib feem ntawm kev noj zaub mov rau niam txiv rau kev pab kho mob ntawm cov neeg mob hnyav. Hauv tsev kho mob, txwv tsis pub haus dej haus cawv.
Kev sib raug zoo nrog lwm yam tshuaj
Nws tsim nyog sau cia tias cov tshuaj kho mob "Heparin" cuam tshuam rau lipid metabolism. Tus neeg sawv cev no tuaj yeem ua kom nrawm lossis inhibit lipolysis. Cov tshuaj insulin muaj cov khoom zoo sib xws.
Cov tshuaj "Kabiven Peripheral" tuaj yeem ua ke nrog lwm cov tshuaj tsuas yog nyob rau hauv kev saib xyuas ntawm kws kho mob. Nws nkag mus rau hauv cov hlab ntsha thiab yog tus cwj pwm los ntawm kev tshwm sim.
Ntau tshaj
Tawm tsam keeb kwm yav dhau los ntawm kev noj cov tshuaj no hauv lub cev hauv ntau npaum li cas, cov neeg mob tuaj yeem ntsib cov tsos mob ntawm cov rog dhau, qhia hauv hyperlipidemia. Tsis tas li ntawd, cov tsos mob ntawm cov tshuaj tiv thaiv nyob rau hauv daim ntawv ntawm agranulocytosis, thrombocytopenia, nce nyob rau hauv kub thiab nyob rau hauv daim ntawv ntawm kev loj hlob ntawm hepatomegaly yog tsis cais. Tom qab ntawd, coma tuaj yeem tshwm sim. Cov tswv yim kho mob muaj nyob rau hauv kev ua kom tiav ntawm qhov infusion thiab tshem tawm cov tsos mob tsis xav tau.
Zimilar drug
Cov khoom lag luam npaj rau kev noj haus parenteral suav nrog "Alvezin", uas muaj cov complex ntawm microelements thiab amino acids. Ntawm cov pab pawg analogues, nws yog ib qho tsim nyog yuav tsum tau npaj kho mob hauv daim ntawv ntawm Lipofundin, Aminosol, Intralipid. Tag nrho cov tshuaj no muaj qhov sib xws.
Cov ntsiab lus muag
Cov khoom siv kho mob hu ua "Kabiven Peripheral" yog npaj rau kev kho cov neeg mob hauv tsev kho mob. Nws yog tsim nyog hais tias qhov kev kho no tsis muaj rau kev yuav khoom hauv khw muag tshuaj.
Reviews about "Kabiven Peripheral"
Cov tshuaj hauv nqe lus nug yog npaj los ua kom cov amino acid tsis txaus thiab ntau yam microelements hauv cov neeg mob. Feem ntau cov cuab yeej no yog siv los ntawm resuscitators, uas nyob rau hauv lawv cov kev ntsuam xyuas qhia txog kev txhim kho nyob rau hauv cov kev mob ntawm cov neeg mob, thiab, nyob rau hauv tas li ntawd, kom ceev cov txheej txheem kho. Cov txheeb ze ntawm cov neeg mob hnyav kuj pom kev nce qib hauv kev kho mob tom qab siv cov tshuaj no.
Storage rules
"Kabiven" yog khaws cia ntawm qhov kub thiab txias uas yuav tsum tsawg dua nees nkaum tsib degrees. Muab hais tias kev ruaj ntseg ntawm lub ntim yog khaws cia, cov khoom siv tshuaj no tsim nyog siv rau ob xyoos txij li hnub teeb meem. Tam sim ntawd tom qab qhib thiab sib tov cov khoom xyaw, nws raug tso cai khaws cov tshuaj rau nees nkaum plaub teev ntawm qhov kub ntawm txog nees nkaum tsib degrees.
Cov tshuaj "Kabiven"
L-tyrosine yog propionic acid. Nws yog cais raws li ib tug aromatic alpha-amino acid. Hauv cov qauv, qhov sib xyaw no yuav txawv ntawm phenylalanine los ntawm kev muaj phenolic hydroxyl pawg nyob rau hauv txoj hauj lwm ntawm benzene rings. Los ntawm kev xav txog kev lom neeg, tsis tshua muaj metaisomers ntawm L-tyrosine paub.
Intralipid tshuaj raws li cov khoom xyaw ntawm cov tshuaj
Intralipid tivthaiv (20%) yog lub zog ntawm lub zog, thiab ntxiv rau, tseem ceeb fatty acids. Cov tshuaj no muaj cov roj taum ua kom zoo nrog rau emulsified phospholipid-purified qe qe. Soybean roj, nyob rau hauv lem, muaj ib tug sib tov ntawm feem ntau fatty polyunsaturated acids. Phospholipids yog cais los ntawm qe qe. Qhov ntev ntawm lipid globules, nrog rau cov khoom siv roj ntsha ntawm intralipid, zoo ib yam rau cov chylomicrons. Lub pharmacokinetics ntawm cov khoom xyaw no tsis tau kawm.
Vamin Cheebtsam raws li cov khoom xyaw ntawm cov tshuaj
Kev qhia rau kev siv cov tshuaj no yog cov khoom noj khoom haus parenteral ntawm cov neeg mob uas xav tau cov protein ntau ntxiv. Contraindications rau kev siv cov tshuaj no yog muaj hypersensitivity nyob rau hauv tus neeg mob nrog rau daim siab tsis ua hauj lwm thiab uremia (nyob rau hauv lub tsis muaj peev xwm ntawm dialysis).
Nws yog ib qho tsim nyog sau cia tias ib txhij nrog kev txhaj tshuaj ntawm cov tshuaj vamin, cov tshuaj intralipid lossis dextrose yog siv, vim tias kev nce hauv calories tuaj yeem ua rau muaj txiaj ntsig zoo ntawm kev siv cov amino acids, thiab cov kev pheej hmoo ntawm kev txhim kho thrombophlebitis txo qis. concentration dilutions. Kawm ntxiv txog cov txiaj ntsig ntawm qhov nonyiaj.
Drug Benefits
Qhov zoo ntawm cov cuab yeej kho mob tau piav qhia yog qhov zoo hauv qab no:
- Muaj qhov sib npaug zoo sib xws.
- Kev tsim khoom nrog rau kev yooj yim thiab yooj yim ntawm kev siv.
- Txuag kev pheej hmoo kis mob.
- Muaj peev xwm ntxiv cov vitamins nrog rau cov kab ke thiab Dipeptiven ua tsaug rau kev siv qhov chaw nres nkoj tshwj xeeb.
- Muaj peev xwm qhia tau tus kws kho mob rau hauv nruab nrab, thiab ntxiv rau, mus rau hauv cov hlab ntsha peripheral.
Tshuaj rau parenteral khoom noj khoom haus
Parenteral khoom noj khoom haus yog siv thaum nws txwv tsis pub ua kom tau raws li qhov xav tau ntawm lub cev, uas yog, noj ib txwm noj los ntawm lub qhov ncauj lossis los ntawm kev siv lub raj. Cov kev kho mob dav dav rau qhov no yog cov tshuaj lom nyob rau hauv daim ntawv ntawm coma, intractable ntuav, uas nws kim heev qhov txhab kub hnyiab, ntau thiab ua ke raug mob, maxillary thiab lub ntsej muag raug mob, tom qab ua hauj lwm nyob rau hauv lub cev ntawm lub digestive system, raws li zoo raws li nyob rau hauv lub sij hawm thaum ntxov. postoperative lub sij hawm.
Parenteral khoom noj khoom haus yog ua tiav lossis ib nrab. Cov neeg mob yuav tsum ua kom tau raws li lawv lub cev xav tau rau lub zog, amino acids, cov rog tseem ceeb, cov zaub mov thiab cov vitamins. Tab sis xws li ib tug universal tshuaj, hmoov tsis, tsis muaj nyob; yog li ntawd, kev sib xyaw ntawm cov kev daws teeb meem sib txawv yog siv rau cov khoom noj khoom haus parenteral. Carbohydrates yog lub hauv paus ntawm lub zog: 1 gram ntawm qabzib muab lub cev nrog 4.1 calories.
5% qabzib kua yog ib hom isotonic kua. Tab sis nws tsim nyog sau cia tias 100 milliliters ntawm cov tshuaj no tsuas muaj 20 calories xwb. Yuav kom ua tau raws li qhov xav tau ntawm lub zog txhua hnub, 12 litres ntawm cov tshuaj no yuav tsum tau ua. Yog li ntawd, cov ntsiab lus qabzib ntau ntawm kaum, nees nkaum thiab peb caug feem pua yog siv.
Muaj ntau yam kab mob sib txawv uas ua rau muaj qhov tshwm sim loj thiab xav tau kev kho mob mus ntev. Qee cov neeg mob tsuas tsis tuaj yeem noj lawv tus kheej, thiab tawm tsam keeb kwm yav dhau los no, yuav tsum tau siv cov nyiaj npaj rau kev noj zaub mov rau niam txiv. Cov tshuaj hu ua "Kabiven" tsuas yog ib txoj hauv kev ntxiv cov protein thiab lub zog tsis txaus. Nws muaj tag nrho cov amino acids tsim nyog nrog rau cov zaub mov kom normalize cov txheej txheem metabolic hauv lub cev.
