"Dobutamine": cov lus qhia rau kev siv, qhov kev tso tawm daim ntawv no, ntau npaum, xyuas, analogues

Teeb meem nrog cov hlab ntsha thiab lub plawv muaj ntau ntau nyob rau hauv cov neeg laus. Tiam sis feem ntau xws kab mob tshwm sim thiab kuj hluas cov neeg mob. Yuav kom txhim kho txoj kev mob ntawm tus neeg mob, cov kws kho mob feem ntau muab mob chaw. Ib tug ntawm lawv yog cov tshuaj "Dobutamine". Cov lus qhia rau kev siv, qhov kev tso tawm daim ntawv no, analogs thiab thaj chaw ntawm hais tias cov tshuaj yog hais hauv qab no.

Muaj pes tsawg leeg, ntim, tshuaj daim ntawv

Lub medicament "Dobutamine", cov lus qhia rau kev siv uas yog muaj nyob rau hauv ib tug hnav ntawm daim ntawv tuab, muaj ib yam khoom uas raws li dobutamine hydrochloride, thiab ntau yam kev pab txhawb nqa cov ntsiab.

Nyob rau hauv lub qhov muag ntawm cov tshuaj los nyob rau hauv daim ntawv ntawm cov kob uas los me ntsis yellowish pob tshab tov rau Txoj kev lis ntshav, uas yog muab tso rau hauv lub khob vials.

Tsis tas li ntawd, qhov no tshuaj yuav tau muas nyob rau hauv daim ntawv ntawm freeze-dried khoom thiab mloog zoo rau cov tshuaj.

Lub pharmacodynamic thaj chaw ntawm ib tug injectable tshuaj

Yuav ua li cas yog cov tshuaj "Dobutamine"? Cov lus qhia rau kev siv (ampoules tshuaj no muaj peev xwm yuav tau nyob tej lub tsev muag tshuaj) hais tias nws yog cardiotonic, ib tug hluavtaws catecholamine thiab beta-1-agonists.

Cov tshuaj no yog muaj peev xwm mus tsim kho lub beta-1-adrenergic receptors ntawm lub myocardium, mus pab tau txoj nws contractility. Nws kuj yuav tsub kom cov feeb, thiab tus mob stroke volume ntawm lub plawv thiab cov hlab ntsha thiaj li OPS.

Tom qab daim ntawv thov ntawm no yeeb tshuaj tshwm sim los ib ntsis nce nyob rau hauv lub plawv dhia. Chronotropic nyhuv ntawm yeeb tshuaj, raws li zoo raws li nws cov zoo dromotropic nyhuv manifested nyob ntau dua noj tshuaj npaum cas.

Nyob rau hauv loj tsawv koob, tshuaj no yog weakly cuam tshuam rau cov ntshav siab. Vim lub fact tias nws muaj ib tug zoo nkauj luv luv lub sij hawm ntawm ib nrab-lub neej, nws yuav tsum tau muab tu ncua. Tab sis nws yuav tsum tau borne nyob rau hauv lub siab hais tias tas mus li txoj kev kho nrog cov tshuaj no rau 72 teev los yog ntau tshaj yuav pab tau yees.

Siv medicament "Dobutamine", cov lus qhia rau kev siv uas yog tau piav rau hauv qab no, nws yog tsim nyog los tswj tau ib lub simultaneous electrocardiogram, lub plawv dhia thiab ntshav siab.

Kev tig tau ciaj ciam ntawm lub medicament

Cov tshuaj "Dobutamine" yuav siv sij hawm nyhuv rau ntev npaum li cas? Cov lus qhia rau kev siv (ntsiav tshuaj - xws ntaub ntawv ntawm cov tshuaj muaj tsis) qhia tias tom qab tso dej Txoj kev lis ntshav ntawm cov tshuaj cov nyhuv yog cai tom qab 2 feeb. Nws ruaj khov ceev txawm tom qab ¼ teev yog attained nyob rau hauv cov ntshav.

Lub ib nrab neej ntawm cov tshuaj yog 2-5 feeb.

Indications rau kev siv ntawm cov tshuaj

Koj puas paub tias nyob rau hauv tej rooj plaub, lub muab tshuaj "Dobutamine"? Cov lus qhia rau kev siv raws li cov nram qab no indications:

• mob lub plawv tsis ua hauj lwm;
• pulmonary edema;
• CHF decompensation (raws li ib ntus kev pab txhawb nqa txhais tau tias);
• tsis mob tso zis;
• kev nyuaj siab echocardiography (rau mob).

Contraindications rau kev siv ntawm cov tshuaj

Nyob rau hauv dab tsi mob tsis txhob muab ib tug mob tus neeg saib xyuas, raws li "Dobutamine"? Cov lus qhia rau kev siv (tshuaj analogues nram qab no) ceeb toom txog cov nram qab no contraindications:

• txhua yam dab tsi thaiv los yog outflow ntawm cov ntshav txhaws ntawm lub plawv ventricles (e.g., obstructive cardiomyopathy, aortic stenosis, qhia mob tamponade) ;
• giperuvstvitelnost mus rau lub ntsiab muaj;
• hypovolemia;
• Mao inhibitors.

Tshuaj "Dobutamine": cov lus qhia rau kev siv

Nyob rau hauv cov me nyuam mos, qhov no tshuaj yog siv rau tshwj xeeb indications. Tib yam siv rau cov me nyuam ntawm me muaj hnub nyoog.

Raws li zoo raws li analogs ntawm cov tshuaj no, "Dobutamine" yog npaj tso dej raws leeg thawj coj. Yog li ua ntej diluted nrog Ringer tshuaj, 5% zib los yog sodium tshuaj dawb.

Npaj muag tshuaj tsis muaj ntau tshaj li ib hnub. Cov kev ceev thiab ntev ntawm koom haum saib xyuas nyob rau hauv lub hemodynamic tsis. Nyob rau hauv no hais txog rau tus neeg mob tus mob yuav tsum saib xyuas. Nws yog tsim nyog los saib xyuas lub plawv dhia, ntshav siab tus nqi, thiab mob tso zis (yog tias ua tau).

Yog li ntawd nyob rau hauv dab tsi ntau npaum yog tshuaj "Dobutamine hexane?" Cov lus qhia rau kev siv tau qhia hais tias neeg laus tib neeg nws yog muab nyob rau hauv ib tug npaum li ntawm 2.5-10 mg / kg / min (nyob rau hauv uas tsis tshua muaj mob - 40 ug / kg / min.). Raws li hais cov me nyuam, lawv cov tshuaj muab nyob rau hauv ib koob tshuaj 1-15 mcg / kg / min.

Sab los thaum lub sij hawm kev kho mob nrog rau cov tshuaj

Yuav ua li cas tsis zoo tshua yuav ua rau cov tshuaj "Dobutamine"? Cov lus qhia rau kev siv sib tham txog cov tau tshwm sim ntawm cov hauv qab no los:

• khaus, angina pectoris;
• bronchospasm;
• pob, palpitations;
• tachycardia, ua daus no;
• phlebitis ntawm lub qhov koob;
• mob arrhythmias (ventricular fibrillation arrythmia);
• nce nyob rau systolic ntshav siab;
• xeev siab, mob taub hau.

Tag nrho cov kev phiv cov tshuaj tiv thaiv los ntawm lub plawv thiab cov hlab ntsha sib txawv nyob ntawm seb ntau npaum ntawm cov tshuaj. Lawv feem ntau yog ploj tom qab cessation ntawm lub Txoj kev lis ntshav, los yog nrog ib tug txo nyob rau hauv nws ceev.

Nqe thiab zoo sib xws tshuaj

Yuav ua li cas npaum li cas yog "Dobutamine hexane?" Cov lus qhia rau kev siv tsis muab cov lus teb rau lo lus nug no. Nyob rau hauv khw muag tshuaj, cov nqi ntawm cov tshuaj no tej zaum yuav txog 350-450 rubles.

Yuav ua li cas yuav tsum raug xam tias yog los hloov cov tshuaj? Nws counterparts yog cov nram qab no tshuaj: "Dobuzhekt", "Dobutamine Solvay", "Dobutamine Giulini", "Korotrop", "Dobutamine Lachema", "Dobutamine Nycomed".

Xyuas tshwj xeeb Tshuaj

Consumer xyuas ntawm qhov suav hais tias kev npaj tsis muaj. Qhov no yog vim lub fact tias xws li cardiotonic agents tsuas yog siv nyob rau hauv muaj xwm ceev (e.g., mob plawv tsis ua hauj lwm, yog tias kev uas yuav ntog mob Performance index thiab txo laug ventricular contractile ua hauj lwm). Feem ntau, tus mob no yog cai nyob rau hauv cardiomyopathies, lub taub dej khawb poob siab, heart attack myocardial infarction, thiab qhib lub plawv phais.

Raws li cov kws tshwj xeeb, cov tshuaj yog suav tias yog lub hauv paus ntawm pharmacological kev kho mob ntawm cardiogenic poob siab. Nws tsis yog siv rau cov kev kho mob ntawm tus kab mob plawv tsis ua hauj lwm.

Vim lub fact tias cov tshuaj no yuav ua rau arrhythmia thiab tachycardia, nws yuav tsum tau ua ntawv thov nyob rau hauv ib luv luv lub sij hawm ntawm lub sij hawm thiab tsuas yog nyob rau hauv loj heev zaum, piv txwv li nyob rau hauv mob plawv tsis ua hauj lwm.

Nws yog tsis yooj yim sua tsis kom nco ntsoov qhov tseeb hais tias cov tshuaj no yog tus me me ntau yam ntawm tshuaj lom los thiab kho koob tshuaj.

Tsis zoo li cov tshuaj "dopamine" Nws yeej tsis ua rau vasodilatation.