Mbadamba anesthetic "Bral": ntụziaka maka ojiji, mejupụtara, ihe ngosi

Usoro ọgwụ "Bral" maka iji chọpụta otú analgesic na antispasmodic na-abụghị ndị na-abụghị narcotic. Nke a bụ ọgwụ ejikọta na-agụnye hydrochloride nke pituopenone (myotropic antispasmodic), metamizole sodium (analgesic na-abụghị narcotic), na fenpiverinia bromide (m-cholinoblocker).

Ngalaba Pharmacotherapeutic

Metamizole sodium bụ ihe mgbaru ọsọ nke pyrazolone, ọ na-egosipụta analgesic, na-enweghị ihe mgbochi mkpesa, antipyretic ọrụ. Njiri hydrochloride Pitophenone na-arụ ọrụ ahụ na-eme ka ahụ dị jụụ. Bromide fenpiverinia ekwupụtawo ihe oyiyi holinoliticheskimi, na-ebelata ọnọdụ okpomọkụ na ihe mgbu na-egbu mgbu, na-ewepụ ihe dị nro na-adọrọ adọrọ. Nchịkọta nke ihe atọ ndị a na - eduga na mmụba ha na mmụba ha n'ahụ n'ahụ, mmụba nke mmetụta spasmolytic na analgesic.

Ama maka iji

The agwọ ọrịa "kpọọrọ" User Ngwa egosi ekenye na agafeghị oke mgbu syndrome ịda site spasm ire ụtọ muscle nke urinary ma ọ bụ biliary tract n'out oge na mmepe nke gbasara akụrụ ma ọ bụ biliary colic, postcholecystectomy syndrome (steeti ịda mgbe mwepụ nke ńsí eriri afo), mgbu nke eriri afọ ma ọ bụ eriri afo, Algodismenorrhea, dyskinesia nke biliary tract (hyperkinetic ụdị), na-adịghị ala ala spastic colitis, mbufụt nke akụkụ pelvic. A na-ejikwa ọgwụ maka ọgwụgwọ mkpụmkpụ nke nnukwu ọrịa nkwonkwo na nkwonkwo na mgbapụta (myalgia, ishialgia, arthralgia, neuralgia). Nri "Bral" ntụziaka maka ndụmọdụ na-adụ ọdụ ka ọ bụrụ ihe inyeaka iji kpochapụ ọrịa mgbu mgbe a nyochachara nchọpụta diagnostic na ịwa ahụ. A na-enye ọgwụ ahụ, n'etiti ihe ndị ọzọ, maka ọkụ n'oge mkpali na oyi.

Ụdị ntọhapụ, nkwakọ ngwaahịa, mejupụtara

N'ọtụtụ ọnọdụ, a na-eji ọgwụ "Bral" eme ihe n'ụdị mbadamba. A na-etinye ha na blisters / ibe nke iri wee jupụta na kaadiboodu otu, abụọ, iri blisters / ibe. Mbadamba "kpọọrọ" nwere ndị na-esonụ mejupụtara: onye ọ bụla unit nwere n'ọrụ Efrata dị ka metamizole sodium, hydrochloride pitofenone bromide fenpiveriniya - ke ichekwa 500, 5 na 0,1 mg karị.

The agwọ ọrịa "mere" na-dịnụ na ụdị ọgwụ (maka ochichi intravenously / intramuscularly) bụ a uzo acha mmiri mmiri. A na - etinye ihe ampoules ise site na mmiri iko mmiri, nke ọ bụla - na - edozi milliliters nke ngwọta, n'ime palette (ihe nchịkọta cell nke polyvinyl chloride film), nke, n'aka nke ya, jupụtara n'ime igbe igbe na ntụziaka. Na otu milliliter nke ihe ngwọta nwere ihe ndị na-arụ ọrụ: metamizole sodium, pentophenone hydrochloride, fenpiverinium bromide - na ọnụọgụ 500, 2 na 0.02 milligrams. E wezụga ha, ọ na-emi esịnede obere mmiri: hydrochloric acid, mmiri ogwu ogbugba.

Ọgwụ "Bral". Ntuziaka maka iji (mbadamba, ngwọta)

A ga-ewere mbadamba nkume mgbe nri rie ụra, n'emeghị nsị, saa mmiri na obere ego. A na - egosiputa ụmụaka nke iri na ise na ndị okenye ugboro abụọ ma ọ bụ ugboro atọ n'ụbọchị iji ṅụọ otu ma ọ bụ abụọ mbadamba (ọ bụghị ihe karịrị iberibe isii kwa ụbọchị). Ruo mgbe ọ dị afọ iri na ise, a na-enye ya ikike iji ọgwụ ahụ eme ihe nanị na ọnụnọ nnukwu ihe ngosi na dịka ndenye ọgwụ dọkịta si kwuo. Nye obere ndị ọrịa mgbe ha dị afọ isii ma ọ bụ asatọ, mbadamba "Bral" (ntụziaka na-egosi nke a) kwesịrị inye na ọkara nke mbadamba ugboro abụọ ma ọ bụ ugboro atọ n'ụbọchị, ọ bụghị karịa ụbọchị ise. Ụmụaka nke afọ itoolu ruo iri na abụọ ka edepụtara ugboro abụọ ma ọ bụ ugboro atọ n'ụbọchị atọ maka mbadamba nkume, ndị na-eto eto dị afọ iri na atọ na iri na ise - otu mbadamba nkume.

N'ọnọdụ nke nnukwu mkparịta ụka, ntụziaka "ọgwụ" Bral "maka iji gosi nne na nna. Ụmụaka iri na ise na ndị okenye na-eji nwayọ na-etinye aka na nwayọọ (kwa nkeji, otu milliliter) na ọgwụ mịka abụọ (dose kwa ụbọchị ekwesịghị ịgafe milliliters anọ); Site na afọ iri na abụọ na iri na anọ - 0,8-1 ml; Site na asatọ ruo iri na otu - 0,5-0,6 ml; Site na ise ruo asaa - 0.3-0.4 ml; Site na atọ ruo anọ - 0.2-0.3 ml na site n'otu afọ ruo abụọ - 0.1-0.2 ml. Ụmụaka nọ n'okpuru otu afọ na-eme ka ha ghara ịṅụ ọgwụ ọjọọ, n'ihi na a na-ahapụ ha injections intramuscular n'ihe dị ka 0.1-0.2 ml n'otu oge. Ụmụaka site n'afọ abụọ ruo afọ abụọ ejiri ọgwụ mgbochi ọrịa 0.2-0.3 ml, site na atọ ruo anọ - 0.3-0.4 ml, ụmụaka site na ise ruo afọ asaa - 0.4-0.5 ml, site na asatọ ruo Iri na otu - 0,6-0,7 ml, site na iri na abụọ na iri na ise - 0,8-1 ml. Ọ bụrụ na ọ dị mkpa, a ga-emeghachi usoro ahụ mgbe elekere isii ruo asatọ. A naghị ekwe ka syringe gbakọta ngwakọta "Bral" na ọgwụ ndị ọzọ. Tupu ịgba ogwu ahụ, ọ dị mkpa ka ị kpoo sirinji na ọgwụ ahụ n'aka gị.

Ihe ojoo

Mgbe ị na-aṅụ ọgwụ na ọgwụgwọ ọgwụgwọ, njedebe ya dị mma. Otú ọ dị, angioedema nwere ike ịmalite, mmeghachi ahụ nfụkasị dị n'ụdị akpụkpọ anụ, ọkụ ọkụ, na obere okwu - mkpuchi, ujo anaphylactic. Ndị na-alụbeghị di ma ọ bụ nwunye hụrụ ọdịdị nke mmetụta ọkụ na epigastrium, isi ọwụwa, ọnụ mmiri. Ihe puru ime nke tachycardia, dizziness, cyanosis, na-ebelata ọbara mgbali. Nsogbu nke hematopoiesis, thrombocytopenia, leukopenia, agranulocytosis (gosipụtara site n'ịdị elu okpomọkụ na-adịghị mma, nsogbu nsogbu, akpịrị akpịrị, stomatitis, na ụfọdụ - ihe mgbagwoju anya nke proctitis ma ọ bụ vaginitis) nwere ike ime ma ọ bụrụ na ị na-eburu mbadamba "Bral". Ịṅụ ọgwụ na nnukwu doses na-eme ka akụrụgwụ ghara ịrụ ọrụ: imerụ ahụ na-acha uhie uhie, obi, oliguria, nephritis interstitial, proteinuria. Site na ọchịchọ nke bronchospasm, ịṅụ ọgwụ pụrụ ịkpalite ọgụ. N'okwu ndị siri ike, iji ọgwụ eme ihe na-emepụta syndrome nke Stivin-Johnson (ụdị erythema nke ihe ọjọọ) na Lyell (epidermal necrolysis). Tinyere ihe ndị ọzọ, ọ ga-ekwe omume (obere obere) ọdịdị mmetụta ọjọọ dị otú a dịka ihe nkwụsị nke ebe obibi, mgbatị na-ebelata, urinating nsogbu. Mgbe nchịkwa intramuscular nke ọgwụ ahụ nwere ike ịbanye na saịtị ogwu.

Contraindications

A pụghị inye ụmụaka ụmụaka dị n'okpuru afọ ise akwụkwọ mkparịta ụka gbasara "anal" mbadamba, na-agbachi ọgwụ ahụ na-ejikarị eme ihe mgbe ọ bụ nwata ma nwee ibu arọ nke ihe na-erughị kilogram ise. Na-emepụta ọgwụ iji mee ka ị ghara ịṅụ ọgwụ n'okpuru ọnọdụ na pathologies ndị a:

• Mmetụta nke ihe ndị dị na ngwongwo, gụnyere ihe ndị na-emepụta pyrazolone;
• Mmegbu nke ụmị ọkpụkpụ hematopoiesis;
• Nnukwu aka / ọgwụgwọ oke mmiri;
• Enweghị ike glucose-6-phosphate dehydrogenase;
• Nnukwu angina;
• Tachyarrhythmias;
• Glaucome;
• Mgbaghara obi ike;
• Mgbochi ime ime;
• Hyperplasia nke prostate (na nbịaru nke ngosi ahụ);
• Megacolumn, ida.

A gaghị atụ aro ka ị jiri ọgwụ "Bral" n'oge ime ime (akpan akpan ke akpa mbuọtidem ye ke urua itiokiet ikie) ye ke ini ukpepn̄kpọ. E kwesiri iji nlezianya mee ọgwụ na ọchịchọ nke ịtụ ụbụrụ dị iche iche, ịdị ọcha nke NSAID, asthma bronchial, nnukwu rhinitis ma ọ bụ urticaria kpatara site na iji acetylsalicylic acid.

Ndozi

A na-egosiputa ya site na mgbapụta, ụra, nsogbu mgbu, mgbatị ọbara, mgbagwoju anya, njigide (na obere oge), akụrụ na imeju na-adịghị mma. Ọ na-egosi nhụsịrị mmiri, nchịkwa ọnụ nke carbon na-arụ ọrụ na ndị ọzọ enterosorbents, ọgwụ mgbaàmà.

Ego ole ka ụgwọ "Bral"?

Ná nkezi, ngwugwu ọgwụ ahụ, gụnyere mbadamba iri, ga-eri gị 34-44 rubles, iri abụọ mbadamba - 50-82 rubles, otu narị mbadamba - 210-285 rubles. Ọnụahịa nke ihe ngwọta maka injections (ngwugwu ampoules nke ise milliliters) dị n'agbata 62-78 rubles.

Ntuziaka pụrụ iche

Tupu ịchọpụta ihe kpatara ya, ịnweghị ike iji ọgwụgwọ kwụsị nnukwu ihe mgbu n'ime afọ. N'oge ọgwụgwọ na ọgwụ "Bral" a machibidoro ịṅụ mmanya na-aba n'anya, ị ga-ezere ịrụ ọrụ nke chọrọ ntụgharị uche na anụ ahụ ngwa ngwa, ịkwọ ụgbọala. A, na parenteral ochichi ọgwụ na-kenyere naanị na ihe mberede mgbe, n'ihi na ihe ọ bụla na ihe mere, na-edeghị ede ochichi bụ ekwe omume, n'ihi na ihe atụ ma ọ bụrụ na nsogbu absorption si eriri afọ tract. Mgbe ị na-ewebata ihe ngwọta na olu abụọ milliliters, a chọrọ nlekọta pụrụ iche, ebe ọ bụ na ọ dị ize ndụ ịdata ọbara mgbali. Mgbe igba ogwu n'akwara ọgwụ dị mkpa iji nyochaa akụkụ okuku ume na ọnụego na obi ọnụego. Iji ọgwụ eme ihe dị ka mbadamba nkume na-eme ka ọ dị mkpa iji nyochaa imeju, foto nke ọbara ọbara.

Mmekọrịta ọgwụ ọjọọ

Ọgwụ ọjọọ "Bral" na-eme ka mmetụta nke ethanol dịkwuo elu. Iji ihe jikọrọ ya na phenothiazine, karịsịa chlorpromazine, nwere ike ibute ọdịdị nke hyperthermia siri ike. Ọ ga-ekwe omume iwelie ọrụ m-cholinoblocking na nchịkwa nke oge ahụ na butyrofenones, tricyclic antidepressants, quinidine, amantadine, H1-blockers. Allopurinol, ọgwụ mgbochi akwara na-eme ka ọgwụ ọjọọ dịkwuo elu. Ndị na-eme ka mmadụ ghara ịba ụba na-eme ka mmetụta metgesị nke metamizole sodium. Ọ gaghị ekwe omume iji ọgwụ "Bral" mee ihe iji jiri redcontrast mmadụ, penicillins, colloidal blood substitutes. Ọ bụrụ na ịkekọrịta mbadamba nkume ahụ bụ "Bral" na cyclosporine, a ga-ebelata ịta ahụ n'ime ọbara nke ikpeazụ ahụ.