"Hemaz" ọgwụ: ntuziaka iji mee ihe na ophthalmology na nyocha

Kedu ihe mere eji eji ọgwụ "Gemaza" eme ihe na ophthalmology? Ntuziaka maka ojiji na ebumnuche nke ọgwụ a ga-edepụta n'okpuru ebe a. Nakwa ị ga-amụ banyere ụdị nkwụsị nke ọgwụgwọ ahụ, nkwenye maka iji ya na mmetụta ndị ọzọ.

Ngwakọta, nkọwa nke ọgwụ na ọdịdị ya

"Hemaz" ọgwụ (ntụziaka maka iji ọgwụ a eme ihe maka ọmụmụ ihe) nwere prourokinase recombinant, yana ihe ndị ọzọ dị ka dextran 40 na sodium chloride.

A na-ere ọgwụ na ajụjụ n'ụdị lyophilizate, nke bụ ọcha amorphous ma ọ bụ porous mass, nke na-enweghị isi ma na-ezube maka nkwadebe nke ngwọta nke mgbochi.

A na-etinye "Hemaz" ọgwụ na ampoules nke iko na mkpụrụ ndụ ngwongwo ma ọ bụ pallets plastik, nke a na-ejikọta na ngwugwu kaadiboodu.

A ghakwara ikwu na ọgwụ a na-ekwu na ọnụnọ nke ihe pụrụ iche - mmiri mmiri nke na-agbasa na vials.

Ọrịa ọgwụ na-eme maka nkwadebe ọgwụ ophthalmic

Kedu ka ọrụ ọgwụ "Hemaz" si eme? Ntuziaka maka ojiji na-ekwu na ọrụ nke onye na-ahụ maka enzyme a bụ site na ya ọrụ - prourokinase. Ọ bụ enzyme - nchekwa proteine. Dika usoro ihe omimi a, ihe a bu otu molecule molekota (nke nwere nchikota ubochi 54,000 Daltons), nke gunyere oria polypeptide abua nke ejiri ihe omuma a na-achikota na ndi mmadu ruru 20,000 na Dalton.

Ụkpụrụ nke mmezi nke ọgwụgwọ a dabere na mkpali nke ntọghata nke profibrinolysin n'ime ihe fibrinolytic nke plasma - fibrinolysin, nakwa na ikike nke ibibi nsị nsị.

Ihe omimi nke ọgwụ

Kedu ka ntinye mmiri nke ọgwụ "Hemaz"? Ntuziaka iji mee ihe na-ekwu na ọ bụrụ na awa abụọ agafee ọgwụ nke ọgwụ a n'ime anụ ahụ nke opi ahụ, ọkara otu ụbọchị ka e mesịrị, ọ nwere ike ịchọta ọbara ya.

Ọkara ndụ nke prourokinase recombinant bụ ihe dị ka awa isii. Ekwesiri ighota na n'agbanyeghi ojiji nke obere ogwugwu ogwu, ogaghi enwe ike ime ya.

"Hemaz" ọgwụ: nhọpụta (ihe ngosi)

Ojiji nke onye ọrụ a na-arụ ọrụ ophthalmic bụ n'ihi na ọ dị irè na ikpe ndị a:

• Na subretinal, preretinal na intra-retinal hemorrhages;
• Na hemophthalmia na hyphema;
• Site na thrombosis nke etiti ndị dị na ngalaba nke azụ azụ ma ọ bụ nkwụsị nke akwara akwara;
• Site na ụdị ọrịa fibrinoid dị iche iche;
• Na ebumnuche nke igbochi adhesions mgbe mmechi antiglaucomatous.

Ntuchi iji ihe ngwọta

N'ọnọdụ ndị dị aṅaa ka ị na-ekwesịghị ịkọwa ọgwụ ọgwụ "Hemaz"? Ntuziaka maka ojiji (onye na-ahụ maka ọkachamara nwere ahụmahụ) ga-eme ka ọ pụta ìhè:

• Ọrịa na-ekwo ekwo, nke a na-esonyere ọrịa ọrịa hemostasis siri ike;
• a ọchịchọ na-agba ọbara, gụnyere ọnụnọ nke hemorrhagic diathesis, hemophilia, thrombocytopenia, na na;
• Ntughari iku ume, tinyere usoro nlezigharị ọzọ maka ihe karịrị minit 10;

• Ịmịpụta site na eriri afọ, gụnyere ihe dị ka ụbọchị 28, ọkpụkpụ azụ ma ọ bụ nke intracranial ruo ụbọchị 56, ịwa ahụ dị ukwuu ma ọ bụ mmerụ ruo ụbọchị 28;
• Nsogbu Cardiogenic nke klas nke anọ (dịka ọkwa nke Killip);
• Ụdị ụkwara nta;
• Ọkpụkpụ azụ, na-ewere ọnọdụ na-adịghị ala ala;
• Ịgba ụgbọ mmiri buru ibu, gụnyere ụbụrụ subclavian;
• Ọmọrrhagic (ọrịa shuga) ọnya nke azụ;
• Akụkọ na-adịbeghị anya nke strok stroke or history;
• Nsogbu Hypertensive;
• Akwa systolic ma ọ bụ diastolic ọbara mgbali;
• Nje bacteria ma ọ bụ septic endocarditis;
• Hypersensitivity ka sodium chloride, prourokinase ma ọ bụ dextran 40;
• ịtụle aortic aneurysm ma ọ bụ enyo ya;
• Oge ime ime.

"Hemaz" ọgwụ: ntụziaka maka ojiji

Kedu ka esi eji ọgwụ ahụ eme ihe? Iji mee nke a, ihe dị n'ime 1 ampoule ga-atụgharị na 0,5 ml nke 0.9% sodium chloride solution. Ihe ngwọta a ga - esi nhata ihe ruru puku ise ME.

Ntinye nke ọgwụ dị otú ahụ kwesịrị ịbụ subconjunctival (ya bụ, n'okpuru conjunctiva) ma ọ bụ parabulbar (ya bụ, na mpaghara nku anya ala).

Oge ọgwụgwọ na ọgwụ a bụ 10 injections kwa oge (ọ bụghị karịa).

Kedu ka m ga - esi jiri "Hemazu" mee ihe maka ịsacha ma ọ bụ ikpo ọkụ nke fibrin n'ihu n'ihu anụ ahụ? Iji mee nke a, were 0,2 ml ọgwụ ahụ na lyophilizate diluted na-ewetara ya 0,5 ml na ngwọta sodium chloride 0.9%.

Maka ọgwụ intravitreal nke ọgwụ a, 0.1 ml nke ngwọta ga-eji mee ihe na diluted with 0.1-0.2 ml na 0.9% sodium chloride solution. A pụrụ iji ọgwụ dị otú ahụ mee ihe maka hemophthalms dị iche iche na ọrịa fibrinoid.

Onye na - enweghị ike ịsị na ọgwụgwụ "Gamaz" (nkọwa nke ọgwụ ahụ n'elu) na - ejikarị mee ihe dị ka onye na - egbochi ndị na - egbochi ya mgbe usoro antiglaucomatous gasịrị. Iji mee nke a, a na-eri ya n'otu nhazi ahụ maka nchịkwa subconjunctival. Mgbe nke ahụ gasịrị, a na-etinye ọgwụ ahụ n'ime ntinye ntinye aka na mmalite nke oge ịkwụsị.

Mmetụta nke ọgwụ

Na usoro ọgwụgwọ na "Hemaz" ọgwụ ahụ, onye ọrịa ahụ nwere ike ịmepụta mmeghachi omume nke nrịanrịa n'ụdị:

• Hyperemia nke akpụkpọ ahụ na ihu ma ọ bụ ebe ogwu;
• Edema;
• Ọrịa na-egbu egbu dị n'ụdị chemosis, belata anya nke eyeball na conjunctival hyperemia.

Ndozi na mmekọrịta

Site na otu nchịkwa nke ọgwụ na-ajụ na nyocha nke ihe karịrị 5,000 IU, ihe ize ndụ nke mmeghachi omume nrịanwuru nke akọwapụtara na ihe ndị na-adịghị mma na-arịwanye elu.

N'ọnọdụ nke ịgwọ ọrịa ma ọ bụrụ na ị na-emebiga ihe ókè megide ndabere nke ọgwụgwọ na ọgwụgwọ a, iji belata ohere nke ịmịnye ọbara ọbara, a na-atụ aro ka ị tinye ọgwụ "Etamsilat" n'ụzọ dị iche iche dịka injections intramuscular (n'ime ọgwụ 250-500 mg).

A machibidoro ya iwu iji "Gemazu" na injections nke "Collalysin". Na ndị ọzọ thrombolytics, jiri ọgwụ a na ịkpachara anya dị oke egwu.

Na otu sirinji, ị gaghị ejikọta ọgwụ abụọ n'otu oge (ma e wezụga Dexamethasone).

Ozi puru iche

Site na mmepe nke bradycardia ma ọ bụ nkwenye dị elu, ọ dị mkpa ịkwụsị ịmalite ọgwụ ahụ tupu ịhazi usoro obi na ọbara mgbali.

Nkwadebe nke ogwugwu "Gemaza": nyocha na ihe yiri ya

Kedu ihe nwere ike dochie ọgwụ na ajụjụ? Analogues ya bụ ọgwụ ndị dị ka "Aktilis", "Fibrinolizin", "Metalez" na "Trombovazim".

Kedu ihe ndị mmadụ na-ekwu maka ọgwụ a na-ata ahụhụ site na nsogbu na akụkụ ahụ anya? Ọtụtụ mgbe a na-enyocha banyere ọgwụ a na-ahapụ ndị na-eji ya maka hemorrhages na omume ophthalmic. N'okwu a, ndị ọrịa na-ekwu na ụdị injections dị irè ma dị irè. Ha dị mma na-enyere aka ma na-anagide ọrụ ahụ.

N'agbanyeghi njo nile nke usoro ọgwụgwọ (ụdị injections bụ ihe na-egbu mgbu), a gwara ndị ọrịa ka ha chere ntakịrị, ọ bụghị iji mee ka ọnọdụ ha dịrị na mwepụ nke vitreous ahụ.

Maka nlezianya na-adịghị mma banyere ọgwụ a, ha na-ejikọkarị ya na mmepe mmetụta, nakwa dịka ọnụnọ nke ọnụ ọgụgụ dị ukwuu. Na mgbakwunye, ọtụtụ ndị ọrịa kweere na ọnụ ahịa ọgwụ "Gemaza" dị oke elu (ọ na-efu ihe dị ka 750-850 rubles).