Dalargin yog cov tshuaj tiv thaiv cov tshuaj tua kab mob nrog kev ua haujlwm antisecretory. Nws yog peptide compound uas yog siv los ua lub hnab ntawv tiv thaiv los yog mob ua rau mob tawm ntawm lub plab, duodenum, mob ntuav, pancreatic necrosis.
Cov tshuaj hauv cov tshuaj suav nrog cov tshuaj ua kom nquag plias dalargin thiab cov khoom siv pabcuam hauv cov tshuaj sodium sodium, dej tsis huv thiab acetic acid. Daim ntawv noj tshuaj - hmoov rau kev ncua ncua kev daws teeb meem thiab kev daws teeb meem rau cov tshuaj ua haujlwm hauv intravenous / intramuscular.
Kev hno tawm tsam keeb kwm yav dhau los ntawm kev tawm tsam mob ntawm tus kab mob pancreatitis ua rau kom txo qis hauv kev ua kom tso quav ntawm cov txiav thiab kua txiv. Cov nyhuv ntawm daim ntawv thov los sai sai - tom qab kwv yees li 15 feeb. Txoj kev kho mob kav ntev li 2-6 hnub.
Xav txog lub hauv paus ntsiab lus ntawm cov tshuaj Dalargin, yuav ua li cas dilute hmoov rau kev txhaj tshuaj, thiab yam twg analogues yuav hloov cov tshuaj?
Kev kho mob zoo thiab qhia tau hais tias ntawm Dalargin
Ntau tus neeg mob uas tau xaj yuav cov tshuaj tab tom nrhiav rau cov ncauj lus ntawm lub ncauj lus: "lus qhia rau kev siv tus nqi tshuaj." Cia peb xam nws tawm ua ntu zus, pib los ntawm kev kho mob ntawm kev siv tshuaj.
Dalargin yog cov tshuaj tiv thaiv rwj plab. Nws siv nws pab txhawm rau txhawm rau proteolysis, kho qhov mob ntawm qhov txhab txhab hauv plab thiab duodenum. Tsis tas li ntawd, nws muaj antisecretory siv, uas ua rau txo qis ntawm acidity ntawm lub plab kua txiv.
Cov nquag ua ke yog tsom rau kev txwv tsis pub txiav tawm ntawm lub cev, kev teb rau tus sab nraud stimuli. Yog tias muaj khoom hauv nruab nrog cuam tshuam, tom qab ntawd cov tshuaj txo qis ntau dhau ntawm cov enzymes digestive, inhibits kev tsim khoom ntawm cov tshuaj proteolytic, kev txwv / hloov pauv necrotic foci nrog cov nqaij zoo li qub.
Ntxiv nrog rau qhov tshwm sim zoo ntawm kev txiav txim plaub, Dalargin muaj cov cuab yeej hypotensive. Thaum muab tshuaj rau txoj leeg ntshav, nws txo qis ntshav siab.
Kev taw qhia rau kev siv:
- Exacerbation ntawm duodenal mob rwj, plab.
- Daim ntawv mob hnyav lossis exacerbation ntawm kev mob caj dab ntev.
- Pancreatic necrosis.
- Kev kho dej cawv (ib feem ntawm txoj kev kho txoj kev kho mob).
Cov tshuaj tiv thaiv kom zoo: nyiam ua rau cov ntshav txoj hlab ntshav hauv txoj hlab ntshav liab, cov kab mob sib kis tau zoo, sib xyaw nrog kev noj tshuaj tsaug zog thiab siv yeeb tshuaj, cov menyuam siv sijhawm. Tsis txhob xaj dalargin rau cov neeg xav tias tsis lees paub lossis tsis lees paub cov organic.
Arterial hypotension thiab kev tsis haum tshuaj (ua pob xoo, khaus, liab) qhia tau tias yog kev phiv nyob rau hauv nqe lus.
Cov lus qhia rau kev siv
Cov lus qhia rau siv hauv ampoule thiab hauv cov ntawv hmoov yog nce raws cov kab mob tshwj xeeb hauv tus neeg mob. Lyophilisate yuav tsum tau txhaws rau hauv isotonic sodium chloride tov (ua kua ntsev). Tus kws kho mob tshwj xeeb yuav tsum tau ceev cov tshuaj, kev siv tshuaj ib leeg yog txwv tsis pub siv.
Hauv kev mob siab rau theem ntawm tus kab mob, koj yuav tsum tau dilute 0.002 g ntawm hmoov hauv physiological saline hauv qhov sib luag ntawm 1 ml rau 1 ml. Siv tshuaj rau ob zaug ib hnub. Kev kho tus mob pancreatic ntev npaum li cas? Nws txhua tus nyob ntawm qhov mob hnyav ntawm chaw txhaj tshuaj, raws li txoj cai, chav kawm tsis pub dhau 6 hnub.
Nrog mob txhab tawm ntawm lub plab thiab duodenum, qhov tshuaj ntawm hmoov yog 0.002-0.003 g. Ib qho kev txhaj tshuaj yog ua ib hnub ib zaug. Lub chav kawm ntawm kev kho mob nyob rau hauv cov ntaub ntawv no yog 3-4 lub lim tiam.
Nrog kev paub txog tus mob pancreatic necrosis, Dalargin los ntawm Ellar tau muab tshuaj rau ib leeg. Lub sijhawm kho yog 2-6 hnub. Koob tshuaj 0.002-0.003 g. Yog tias cov tshuaj muaj tshuaj intramuscularly, ces 0.005 g hmoov hmoov siv. Kev kho mob kav ntev txog li ib asthiv, siv nrog ntu ntawm 6-8 teev. Kev txhaj tshuaj yog qhov mob hnyav heev. Cov ntaub ntawv raug lees paub los ntawm cov neeg mob thiab kws kho mob tshuaj xyuas.
Cov yam ntxwv ntawm kev daws rau kev txhaj tshuaj:
- Mob pob txha taub hau. Qhia rau hauv / m. Qhov koob tshuaj yog 2 mg ntawm cov tshuaj nyob rau thawj hnub. Hauv ob peb hnub tom qab no, qhov tshuaj tau nce ntxiv rau 5 mg ib hnub, qhov kev kho mob kav ntev txog li ib asthiv
- Lub plab thiab duodenal rwj. Qhov nruab nrab kho tshuaj yog kwv yees li 3 mg, qee zaum 5 mg tau muab tshuaj tam sim ntawd. Nws yog vim qhov mob loj heev cov tsos mob. Qhov kev kawm yog 3-4 lub lim tiam. Kev daws yog diluted nrog physiological saline nyob rau hauv ib qho kev faib ua feem ntawm ib qho ampoule rau 1 ml ntawm isotonic sodium. Tshaj tawm ntawm kev siv - ob zaug ib hnub.
- Pancreatic necrosis. Lub sij hawm ntawm kev kho mob yog 3-6 hnub, koob tshuaj yog 5 mg, ntau zaus siv yog txog 3 zaug hauv ib hnub.
Dalargin yog ib qho tshuaj kho mob uas muaj zog, feem ntau siv hauv kev siv hauv tsev kho mob. Kev tswj hwm tus kheej tuaj yeem ua rau muaj kev phom sij loj. Ib qho kev nce ntxiv hauv cov tshuaj noj uas pom zoo tuaj yeem ua rau muaj kev kub ntxhov ntawm hypotonic thiab lwm yam kev mob tshwm sim los ntawm ntshav siab txaus.
Cov chaw tshawb fawb txog kev sib cuam tshuam nrog tshuaj nrog lwm cov tshuaj tsis tau ua. Tsis tas li, cov lus qhia rau kev siv tsis muab cov ntaub ntawv ntawm kev siv lub sijhawm pub mis. Tsis pub tshaj tshaj cov ntaub ntawv muab. Kev cia ntawm cov tshuaj yog nqa tawm ntawm qhov kub txog 20 degrees, tsuas yog nyob hauv qhov chaw tsaus.
Koj tuaj yeem yuav tom lub tsev muag tshuaj. Tus nqi ntawm cov tshuaj hauv daim ntawv daws yog 800-1000 rubles, lyophilized hmoov - txog 900 rubles.
Cov tshuaj analogues ntawm cov tshuaj Dalargin
Cov txheej txheem qauv qhia txog yeeb tshuaj Dalargin los ntawm "Elar" tsis muaj nyob. Raws li kev kho mob uas zoo sib xws, Plantaglucid, Mucogen, Yazbin, Altan, Gastrofarm, Plantacid thiab lwm yam tshuaj tuaj yeem hu tau.
Cov kws kho mob nco ntsoov tias nrog kev mob hnyav ntawm kev txiav mob ntawm pancreatitis lossis pancreatic necrosis, noj cov ntsiav tshuaj tsis pom zoo, cov txiaj ntsig zoo tshaj plaws yog ua tiav vim kev siv tshuaj intramuscular thiab kev tso ntshav ntawm cov tshuaj. Hauv txoj kev no, txawm tias Baralgin yog siv rau kev kho mob.
Cov cim qhia tau lawv tus kheej cov yam ntxwv ntawm kev siv, contraindications thiab phiv. Tsuas yog cov kws kho mob muaj peev xwm hloov ib qho tshuaj kho nrog lwm qhov. Xav txog ob peb yam zoo:
- Altan. Cov khoom siv tseem ceeb tau yog tib lub npe. Hauv ib ntsiav tshuaj, 10 mg ntawm cov tshuaj nquag. Cov cuab yeej muaj cov cuab yeej hais tawm los tiv thaiv kev ntaus tawm thiab cov cuab yeej ua tshiab. Nws yog siv los kho tus mob leeg qhuav nyias nrog kev siv lwm yam tshuaj. Cov neeg muaj hnub nyoog tau tshuaj tom qab tsum tsis txhob mob heev, 1-2 ntsiav tshuaj txog 2 zaug ib hnub.
- Gastrofarm yog cov tshuaj ua ke uas muaj analgesic thiab antacid kev ua si. Txhawm rau kom txo qis acidity nyob rau hauv pancreatitis, 1-2 ntsiav tshuaj yog tshuaj, qhov ntau tshaj yog txog li 3 zaug hauv ib hnub. Cov kev mob tshwm sim thiab contraindications tsis tuaj.
- Plantaglucid pab tshem tawm qhov mob thaum mob hnyav ntawm kev txiav mob ntawm pancreatitis, nres kev ua kom mob. Daim ntawv tso tawm - granules, diluted nrog dej nyob rau ntawm chav tsev kub. Cov kwv yees kwv yees yog ½-1 teaspoon ib 50-60 ml ntawm cov kua. Kev mob tshwm sim: tsuas yog kev ua xua nkaus xwb rau npe.
Cov neeg mob tau teb zoo rau cov tshuaj Dalargin. Nws raug sau tseg tias cov tshuaj sai sai txo cov tsos mob ntawm tus kab mob. Nws yog qhia tias kev txhaj tshuaj intramuscular yog mob heev.
Cov tshuaj dab tsi siv hauv kev kho mob ntawm tus kab mob pancreatitis tau piav qhia nyob hauv cov yeeb yaj kiab hauv tsab xov xwm no.
