Epinephrine: Yuav ua li cas yog nws? Epinephrine: cov lus qhia rau kev siv thiab cov tswv yim

Epinephrine - yog dab tsi? Qhov no yog dab tsi peb yuav qhia nyob rau hauv lub tam sim no tsab xov xwm. Koj kuj yuav kawm txog cov hom phiaj uas tus hais tias yam khoom uas yog siv, seb nws muaj contraindications thiab kev phiv.

tshuaj zog

Epinephrine - yog dab tsi? Vim li cas peb yuav tsum tau cov khoom no? Raws li kws txawj, qhov no yog ib tug ntawm cov tseem ceeb tshaj plaws neurotransmitter uas yog ua los ntawm cov qog adrenal. Lwm lub npe rau qhov no caij yog adrenaline.

Sib cov tshuaj yeeb dej caw nyob rau hauv lo lus nug hais txog catecholamines. Yog li, lub epinephrine yog epinephrine hluavtaws.

Nyob rau hauv lub qub mob ntawm lub cev, qhov no compound yog pom nyob rau hauv ntau yam nruab nrog cev thiab cov nqaij. Nws yuav ua chromaffin cov ntaub so ntswg.

Epinephrine, cov lus qhia rau kev siv uas yog qhia hauv qab no, muaj ib cov nyhuv on alpha-thiab beta-adrenergic receptors, thiab kuj activates lub excitation ntawm lub sympathetic paj fibers.

Nyob rau hauv kev nyuaj siab, kev nkag siab ntawm kev txaus ntshai, ntxhov siab vim, kev ntshai, kub nyhiab thiab raug mob ntawm txawv epinephrine ntau nyob rau hauv lub cev yog ho muaj zog. Nws yuav siv sij hawm yog ib feem nyob rau hauv tag nrho cov hom ntawm cov metabolism hauv, thiab kuj muaj feem xyuam rau cov ntshav qab zib thiab cov nqaij mos metabolism, tsub kom gluconeogenesis, glycogenolysis, catabolism ntawm cov protein ntau thiab muaj roj neej puas txheej txheem, inhibit glycogen synthesis nyob rau hauv cov nqaij thiab siab ntaub so ntswg.

tso tawm daim ntawv

Epinephrine: nws yog dab tsi thiab nyob rau hauv dab tsi daim ntawv no yog ua? Muaj ntau yam ntaub ntawv ntawm epinephrine tso tawm. Nws yog muag nyob rau hauv daim ntawv ntawm cov mob los yog ntawm homeopathic granules rau qhov ncauj cov thawj coj, raws li zoo raws li injectable kev daws teeb meem thiab tshuaj pleev siv. Nyob rau hauv tas li ntawd, qhov no tshuaj yog ua nyob rau hauv daim ntawv ntawm tincture los yog tshuaj yeeb dej caw-tshuaj hmoov.

pharmacological

Yuav ua li cas yog lub thaj chaw ntawm epinephrine? Yuav ua li cas yog nws, peb tau hais rau saum toj no. Raws li cov kws tshwj xeeb, qhov cuab tam muaj ib tug hyperglycemic, hypertensive, vasoconstrictor, bronholiticheskoem thiab antiallergic kev txiav txim.

Synthetic adrenaline nyob rau cellular theem, activates lub enzyme adenylate cyclase tsub kom lub concentration ntawm lub yeej rog thiab calcium ions. Qhov no cov ntaub ntawv uas tsub kom cov ntshav siab constricts cov hlab ntsha hauv nruab nrog cev, daim tawv nqaij, txheej week, skeletal leeg, thiab kuj extends rau cov hlab ntsha ntawm lub paj hlwb.

nta nyiaj

Epinephrine hydrochloride relaxes cov nqaij ntshiv ntawm cov hnyuv, thiab bronchi. Nyob rau hauv tas li ntawd, nws ua rau expansion ntawm tus menyuam.

Siv cov tshuaj nrog rau qhov no substance tsub kom cov pa thov ntawm lub plawv thiab tiv thaiv cov kev loj hlob ntawm edema hlab ntsws. Tsis tas li ntawd, qhov no tshuaj thiaj li tus nqi ntawm haum ntawm lub zos anesthetics, thiaj li muaj cov tshuaj muaj taug thiab tsub kom qhov ntev ntawm cov nyiaj npaj rau lub zos tshuaj loog.

zaj lus tim khawv

Yuav ua li cas mus siv epinephrine? Daim ntawv thov ntawm no txhais tau tias yog qhia kom tshem tawm cov tam sim ntawd yam tsis haum tshuaj uas tsim raws li ib tug tshwm sim ntawm ntshav, tshuaj raug nyob rau hauv qhov kev siv ntawm ntau yam khoom, kab tom los sis tom qab cov kev taw qhia txog tej yam allergens.

Tsis tas li ntawd, cov tshuaj yeeb dej caw yog siv nyob rau hauv cov nram no mob:

• cupping bronchial hawb pob;
• rau asystole;
• rau daim ntawv rov ntxiv ntawm lub zos anesthetics;
• nrog bronchospasm, uas sawv thaum lub sij hawm tshuaj loog;
• thaum hypotension tsis kho tau siv hloov kua;
• rau cov kev kho mob ntawm hypoglycemia ntxias los ntawm cov kua dej los overdose;
• kom txhob muaj cov ntshav;
• uas qhib-angle glaucoma nyob rau hauv thiaj li yuav ua rau kom cov menyuam kawm ntawv;
• nyob rau hauv cov kev kho mob ntawm priapism.

Contraindications

Epinephrine hydrochloride kws txawj tsis pom zoo kom siv rau ntawm:

• npau taws me ntsis, ntshav siab;
• cev xeeb tub;
• hypertrophic cardiomyopathy ;
• Ischemic plawv tus kab mob thiab tachyarrhythmia;
• cov neeg uas muaj ventricular fibrillation;
• pheochromocytoma;
• pub niam mis.

Care yuav tsum tau coj yog hais tias tus neeg mob muaj cov nram qab pathologies thiab tej yam kev mob:

• hypercapnia;
• ventricular arrhythmias, atrial fibrillation , thiab hypoxia;
• pulmonary tawg;
• hemorrhagic, puas, los yog cardiogenic poob siab ;
• thyrotoxicosis;
• occlusive vascular kab mob;
• Raynaud tus kab mob ;
• atherosclerosis los yog Buerger tus kab mob ;
• ntshav qab zib endarteritis;
• cerebral arteriosclerosis;
• Parkinson tus kab mob;
• mob ntshav qab zib thiab lub-kaw glaucoma;
• nce qaug dab peg kev ua si;
• hypertrophy ntawm lub prostate caj pas;
• cov neeg uas muaj metabolic acidosis;
• tom qab txias raug mob;
• post-myocardial infarction;
• cov me nyuam thiab cov neeg laus cov neeg mob.

Epinephrine: cov lus qhia rau kev siv

Feem ntau cov feem ntau cov khoom raws li epinephrine muab intramuscularly los yog subcutaneously. Tsis tas li ntawd nrog tus neeg saib xyuas yog muab intravenously.

Cupping bronchial hawb pob medicament yog xeem subcutaneously nyob rau hauv ib tug npaum li ntawm 0.3-0.5 mg.

Cas sim haum hauv zos kom loog, cov tshuaj yog tshuaj 5 mg / ml.

Yuav ua kom cov ntshav epinephrine siv topically. Yog thov mus rau puas chaw kua ntswg soaked nyob rau hauv cov tshuaj.

Yog hais tias asystole qhia tau hais tias intracardiac tshuaj, thiab thaum lub sij hawm resuscitation - tso dej.

Qhib lub glaucoma txoj kev kho yog nqa tawm los ntawm instillation ntawm 2.1% daws nyob rau hauv lub cov ob lub qhov muag 1 drop ob zaug ib hnub twg.

phiv

Raws li cov kws kho mob, epinephrine yuav ua rau:

• angina pectoris, tachycardia, palpitations, bradycardia, tsis los yog nce ntshav siab;
• ventricular arrhythmia, mob hauv siab, mob arrhythmia;
• ntxhov siab vim, co, kiv taub hau thiab mob taub hau;
• qaug zog, puas txias los yog kub, nervousness;
• insomnia, ntxhov siab NA, tshwm sim nqaij, tsis meej pem thiab thiaj li nyob.

analogs

Yuav ua li cas yuav muab suav hais tias hloov peb txhais tau tias? Epinephrine muaj nyob rau hauv xws formulations li epinephrine tartrate, adrenaline, epinephrine tartrate, adrenaline tartrate, adrenaline hydrochloride - minyuam lam fwj.

Nws yuav tsum tau muab sau tseg tias articaine, epinephrine muaj nyob rau hauv lub "Septanesta" adrenaline, "Alfakaina SP", "articaine INIBSA", "Artifrina", "Primakaina" adrenaline, "articaine D-C", "Ubistezina", "Brilokaina -adrenalina "," artikaina DF "," Tsitokartina "," artikaina Perrelet "nrog adrenaline.

Xyuas

Xyuas ntawm lub substance nyob rau hauv lo lus nug yog heev me me. Qhov no yog vim lub fact tias qhov no tshuaj yog tsuas yog siv nyob rau hauv ib tug thaum muaj xwm ceev thiab nyob rau hauv lub tsev kho mob.

Raws li kws txawj, epinephrine yog ib qho tseem ceeb tshuaj uas feem ntau yuav pab tau txuag lub neej ntawm tus neeg mob.