"Dobutamine": tilmaamaha loo isticmaalo, foomka la sii daayo, qiyaasta, dib u eegista, analogues

Dhibaatooyinka xididdada dhiigga iyo wadnaha waa caadi in dadka waayeelka ah. Laakiin inta badan cudurada sida kaceen oo bukaan arrin dhallinyarada. Si loo hagaajiyo xaaladda bukaanka, dhakhaatiirta inta badan qoraan xarumaha wadnaha. Mid ka mid ah iyaga ka mid ah waa "Dobutamine" daroogada. Tilmaamaha loogu isticmaalo, foomka la sii daayo, analogs iyo guryaha ee daroogada ayaa sheegay in hoos lagu soo bandhigay.

Curiska, baakadaha, foomka daroogada

The medicament "Dobutamine", tilmaamaha loo isticmaalo kaas oo ku jira in xidhmo warqad qaro weyn, waxaa ku jira walax sida hydrochloride dobutamine, iyo xubno ka taageero kala duwan.

In iibinta daroogada ku yimaado qaab xal hufan midab ama wax yar ka hurdi waayo galiyey, in la dhigayaa in fijaan oo dhalooyinka.

Sidoo kale, dawadan waxa laga iibsan karaa qaab saarka debcinta-qalajiyey iyo xoogga xal.

The guryaha pharmacodynamic oo xal la isku duro

Waa maxay daawada "Dobutamine"? Tilmaamaha loogu isticmaalo (ampoules dawadan waxa laga iibsan karaa farmashiye kasta) uu dhigayaa in ay tahay cardiotonic, catecholamine ah synthetic iyo beta-1-agonister.

daawo Tani waa ay awoodaan in ay kicin receptors beta-1-adrenergic ee myocardium ah, hagaajinta ay contractility. Waxa kale oo ay kordhisaa daqiiqadii, iyo mugga stroke oo ka mid ah wadnaha iyo xididada dhiigga yaraynaysaa OPS ah.

Ka dib markii codsiga ah ee daroogada this sababay koror dhexdhexaad ah in garaaca wadnaha. saamayn Chronotropic of daroogada, iyo sidoo kale ay saameyn dromotropic wanaagsan muujiyey qaadashada sare.

In qiyaasood oo dhexdhexaad ah, daroogada this imaanshada waa saamayn ku cadaadiska dhiigga. Sababo la xaqiiqada ah in uu leeyahay muddo gaaban quruxsan qeybtii nolosha, waa in la joogto ah ay maamusho. Laakiin waa in la dhasha maskaxda ku haysaa in therapy joogto ah la daroogada this for 72 saacadood ama ka qayb dheeraad ah si ay dadka balwada leh.

Isticmaal medicament "Dobutamine", tilmaamaha loo isticmaalo kaas oo hoos ku qeexan, waxaa lagama maarmaan ah in la xakameeyo electrocardiogram isku mar ah, garaaca wadnaha iyo cadaadiska dhiigga.

beegyada uu ogeed of medicament ah

The daroogada "Dobutamine" dhaqan inta? Tilmaamaha loogu isticmaalo (kiniin - foomamka sida daawada haysan) ayaa sheegay in ka dib markii faleebo xididka of saamaynta daroogada ayaa lagu arkay 2 daqiiqo ka dib. Uu cufnaanta deggan xitaa ka dib markii ¼ saac ayaa la gaadhin in plasma ah.

Nolosha nus ka mid ah daroogada waa 2-5 daqiiqo.

Tilmaamayaasha in loo isticmaalo ee xalka

Ma ogtahay in xaaladaha qaarkood, loo qoondeeyey daroogada "Dobutamine"? Tilmaamaha loogu isticmaalo sida ay calaamado muujinaya soo socda:

• wadnaha ba'an;
• barar sambabada,
• CHF decompensation (sida hab taageero ku meel gaar ah);
• hoos u wax soo saarka wadnaha;
• qabashada echocardiography stress (for ogaanshaha).

Sababo isticmaalka daroogada

In waxa kiisaska ma qori wakiilka ah wadnaha, sida "Dobutamine"? Tilmaamaha loogu isticmaalo (analogues daroogada hoos ku qoran) ayaa sheegay in sababo soo socda:

• xirma farsamo ama dheecaanka of buux dhiigga intraventricular wadnaha ah (tus, cardiomyopathy obstructive, stenosis aortic, ayaa muujiyay tamponade wadnaha) ;
• giperuvstvitelnost in ay qayb weyn;
• hypovolemia;
• MAO.

Drug "Dobutamine": tilmaamaha loo isticmaalo

In dhallaanka, dawadan waxa loo isticmaalaa tilmaamo gaar ah. Isla sidaas u dhaqmaan carruurta da'da yar.

Iyo sidoo kale analogs daroogada this, "Dobutamine" waxaa loogu talagalay maamulka xididka. Sayidka hore qasi jiray xal Ringer, 5% glucose ama chloride sodium.

dukaanka daroogada Ready wax ka badan maalintii. The xawaaraha iyo muddada maamulka ku xiran tahay xuduudaha hemodynamic. Marka tan la eego xaaladda bukaanka u baahan tahay la socodka joogtada ah. Waxaa lagama maarmaan ah in lala socdo heerka garaaca wadnaha, qiimaha cadaadiska dhiigga, iyo wax soo saarka wadnaha (haddii ay suuragal tahay).

Sidaas waxa qiyaasta loo qoro "hexane Dobutamine?" Tilmaamaha loogu isticmaalo sheegay dadka waaweyn in aadanuhu waxaa maamula qadarkuu of 2.5-10 mg / kg / min (marmar dhif ah -. 40 ug / kg / min). Marka la eegayo carruurta, waxay daroogada ay maamusho ee dose oo ah 1-15 mcg / kg / min.

Dhibaatooyinka ay keento inta lagu guda jiro daawaynta daawada

Maxay xun waxay keeni kartaa daawada "Dobutamine"? Tilmaamaha loogu isticmaalo hadalka ku saabsan dhacdo suurto galka ah ee waxyeelada soo socda:

• cuncun, kog;
• bronchospasm;
• finan, uurkuna;
• tachycardia, qarqaryo,
• phlebitis goobta la duray;
• garaaca wadnaha (ventricular aamba arrythmia);
• kordhiyo cadaadiska dhiigga systolic;
• lallabo, madax-xanuun.

All reaction dhibaato ah wadnaha iyo xididada dhiiga kala duwan yihiin iyada oo ku xiran qiyaasta of daroogada. Waxay badanaa baaba'aan ka dib joojinta of galiyey, ama hoos u dhac in ay xawaaraha.

daawooyinka Price oo la mid ah

Waa imisa "hexane Dobutamine?" Tilmaamaha loogu isticmaalo ma jawaabta su'aashan ma siin. In farmasiyada, qiimaha daroogada this waxaa laga yaabaa in ku saabsan 350-450 rubles.

Maxaa la tixgeliyo waa in uu u bedelo daawada? dhigooda waa dawooyinka soo socda: "Dobuzhekt", "Dobutamine Solvay", "Dobutamine Giulini", "Korotrop", "Dobutamine Lachema", "Dobutamine Nycomed".

takhasusay Reviews Daawada

dib u eegista Consumer of diyaarinta tixgeliyo lahayn. Tan waxa u sabab xaqiiqada ah in wakiilada cardiotonic sida kaliya ee xaaladaha degdegga ah loo isticmaalo (tus, wadnaha ba'an, haddii dhicistu index wadnaha iyo hoos bidix shaqada contractile ventricular). Sida caadiga ah, xaaladan ayaa lagu arkay cardiomyopathies, shock septic, Wadnaxanuun myocardial, iyo qalliinka wadnaha furan.

Sida laga soo xigtay ku takhasusay, daawada waxaa loo arkaa aasaaskii daaweynta pharmacological of shock cardiogenic. Waxaa la ma isticmaalo daweynta ee wadnaha chronic.

Sababo la xaqiiqada ah in dawadan waxay keeni kartaa arrhythmia iyo tachycardia, waa in la codsadaa muddo gaaban gudahood oo keliya xaaladaha daran, taas macnaheedu waa in wadnaha ba'an.

Waa wax aan macquul ma ah in la ogaado xaqiiqada ah in daroogada tani waa kala duwan yar u dhexeeya waxyeello sun iyo qaadasho daweynta.

Si ka duwan dawooyinka "dopamine" Waxa uu marna sababa vasodilatation.