Epinephrine: Gịnị ka ọ bụ? Epinephrine: ntuziaka maka ojiji na nzaghachi

Epinephrine - ihe ọ bụ? Nke a bụ ihe anyị ga-agwa na ugbu isiokwu. Ị ga-amụtakwa banyere nzube n'ihi na nke kwuru umi na-eji, ma ọ nwere contraindications na mmetụta.

chemical Njirimara

Epinephrine - ihe ọ bụ? Gịnị mere anyị mkpa a stof? Dị ka ndị ọkachamara, nke a bụ otu n'ime ihe ndị kasị mkpa ọgụgụ akwara mbufe ozi na-emepụta site na adrenal glands. Aha ọzọ a mmewere bụ adrenaline.

Na ya umi na ajụjụ akọ catecholamines. N'ihi ya, epinephrine bụ epinephrine sịntetik.

Na nkịtị ọnọdụ nke ahụ, a compound na-hụrụ dị iche iche akụkụ na anụ ahụ. Ọ na-emepụta chromaffin anụ ahụ.

Epinephrine, ntuziaka maka ojiji nke a na-egosi n'okpuru, nwere mmetụta Alfa-na beta-adrenergic anabata, na-activates excitation nke ọmịiko akwara ozi.

N'okpuru nchegbu, echiche nke ihe ize ndụ, nchegbu, egwu, Burns na unan nke dị iche iche epinephrine kasịnụ ke ahụ budata ụba. Ọ na-ewe akụkụ na ụdị nile nke metabolism, na-emetụta ọbara glucose na anụ ahụ metabolism, enwekwu gluconeogenesis, glycogenolysis, catabolism nke protein na abụba mmebi usoro, ibelata glycogen nsụchi muscle na imeju na arọ.

ntọhapụ Ụdị

Epinephrine: ihe ọ bụ na ihe ụdị na-emepụta? E nwere ụdị dị iche iche nke epinephrine tọhapụ. Ọ na-eresị ke ụdị ụmụ irighiri mmiri ma ọ bụ nke homeopathic nsogbu dị iche iche maka onu ochichi, nakwa dị ka injectable ngwọta na Nde were. Ke adianade do, a umi na-emepụta n'ụdị tincture ma ọ bụ umi-umi ntụ ntụ.

pharmacological Njirimara

Gịnị bụ Njirimara nke epinephrine? Gịnị ka ọ bụ, ndị anyị gwara n'elu. Dị ka ọkachamara, ngwá ọrụ a nwere a hyperglycemic, hypertensive, vasoconstrictor, bronholiticheskoem na antiallergic edinam.

Sịntetik adrenaline na cellular larịị, activates enzyme adenylate cyclase enwekwu ịta nke mara ụlọikwuu na calcium ion. Nke a ihe onwunwe enwekwu ọbara mgbali constricts arịa esịtidem akụkụ, anụ ahụ, mucous membranes, skeletal uru, na-gbatịrị arịa nke ụbụrụ.

atụmatụ ego

Epinephrine hydrochloride-eme ka uru ahụ nke eriri afọ, na bronchi. Ke adianade do, ọ na-eduga mmụba nke nwa akwụkwọ.

Jiri nke ọgwụ na a umi enwekwu ndị oxygen ina nke obi na-egbochi mmepe nke edema bronchioles. Ọzọkwa, a ọgwụ na-ebelata ọnụego nke absorption nke obodo ọgwụ na-akụnwụ, ebelata toxicity na enwekwu oge nke ego zubere maka obodo Nkụnwụ.

na-agba akaebe

Gịnị iji epinephrine? Ngwa nke a pụtara na-egosi na-ewepụ ozugbo ụdị ahu anataghi na mepụtara ka a n'ihi nke mmịnye ọbara, ọgwụ ikpughe na ojiji nke dị iche iche na ngwaahịa, ọtịta ahụhụ ma ọ bụ mgbe iwebata ọ bụla allergens.

Ọzọkwa, umi na-eji na-esonụ mgbe:

• cupping bronchial ụkwara ume ọkụ;
• maka asystole;
• maka ọhụrụ nke obodo ọgwụ na-akụnwụ;
• na bronchospasm, nke pụta n'oge ná Nkụnwụ;
• mgbe hypotension emeghị ngwọta iji dochie anya ọmụmụ;
• maka ọgwụgwọ nke hypoglycemia rata site insulin ovadozu;
• kwụsị ọbara na-agba;
• na-emeghe-n'akuku glaucoma iji dịkwuo ka nwa;
• na ọgwụgwọ nke priapism.

contraindications

Epinephrine hydrochloride ọkachamara adịghị ike ikwu iji na:

• hypersensitivity, ọbara mgbali elu;
• ime;
• hypertrophic cardiomyopathy ;
• Ischemic ọrịa obi na ọrịa tachyarrhythmia;
• ndị mmadụ na ventricular fibrillation;
• pheochromocytoma;
• ara.

Care ga-a ma ọ bụrụ na onye ọrịa nwere ndị na-esonụ pathologies na ọnọdụ:

• hypercapnia;
• ventricular arrhythmias, atrial fibrillation , na hypoxia;
• akpa ume ọbara mgbali;
• hemorrhagic,-akpasasị uche, ma ọ bụ cardiogenic ujo ;
• thyrotoxicosis;
• occlusive vaskụla ọrịa;
• Raynaud ọrịa ;
• atherosclerosis ma ọ bụ Buerger ọrịa ;
• ọrịa endarteritis;
• ọrịa ụbụrụ ọrịa mgbasi akwara;
• Ọrịa Parkinson;
• ọrịa shuga na n'akuku-mmechi glaucoma;
• ụba ọdịdọ ọrụ;
• hypertrophy nke prostate gland;
• ndị mmadụ na metabolic acidosis;
• mgbe oyi na-atụ mmerụ;
• post-myocardial infarction;
• ụmụaka na ndị agadi ndị ọrịa.

Epinephrine: ntuziaka maka ojiji

Ọtụtụ mgbe ngwaahịa dabeere epinephrine ndinọ intramuscularly ma ọ bụ subcutaneously. Ọzọkwa ntapu gị n'ụlọnga na-ndinọ intravenously.

Cupping bronchial ụkwara ume ọkụ agwọ ọrịa na-ndinọ subcutaneously ke ichekwa 0.3-0.5 mg.

Ogologo anestetiiki, ọgwụ na-kenyere 5 mg / ml.

Iji kwụsị ọbara na-agba epinephrine eji topically. Na-etinyere na mebiri emebi ntụpọ swab tinye na ngwọta.

Ọ bụrụ na asystole egosi intracardiac injections, n'oge iji tụtee mmadụ - igba ogwu n'akwara.

Open n'akuku glaucoma ọgwụ a rụrụ site instillation nke 2.1% ngwọta na otụk anya 1 dobe ugboro abụọ n'ụbọchị.

mmetụta

Dị ka dọkịta, epinephrine nwere ike ime ka:

• rịaworo pectoris, tachycardia, palpitations, bradycardia, ebelata ma ọ bụ na ụba ọbara mgbali;
• ventricular arrhythmia, obi mgbu, gbasara obi arrhythmia;
• nchegbu, tremor, dizziness na isi ọwụwa;
• ike ọgwụgwụ, na-eche oyi ma ọ bụ okpomọkụ, nervousness;
• ehighi ura, n'ahụhụ NA, n'amaghi muscle contractions, mgbagwoju anya na na.

analogs

Gịnị nwere ike na-ewere iji dochie anyị n'aka? Epinephrine dị otú ahụ formulations ka epinephrine tartrate, adrenaline, epinephrine tartrate, adrenaline tartrate, adrenaline hydrochloride - Vial.

Ọ kwesịkwara kwuru na articaine, epinephrine esịne ke "Septanesta" adrenaline, "Alfakaina SP", "articaine INIBSA", "Artifrina", "Primakaina" adrenaline, "articaine D-C", "Ubistezina", "Brilokaina -adrenalina "," artikaina DF "," Tsitokartina "," artikaina Perrelet "na adrenaline.

Nyocha

Nyocha nke umi na ajụjụ bụ nnọọ obere. Nke a bụ n'ihi na eziokwu na nke a na nkà mmụta ọgwụ na-eji naanị na ihe mberede na ụlọ ọgwụ.

Dị ka ndị ọkachamara, epinephrine bụ ihe dị oké mkpa umi na-enyere ịzọpụta ndụ nke onye ọrịa.