Yuav Ua Li Cas Thiab Nrog Dab Tsi Siv Glycosides

Cov txheej txheem:

Yuav Ua Li Cas Thiab Nrog Dab Tsi Siv Glycosides
Yuav Ua Li Cas Thiab Nrog Dab Tsi Siv Glycosides

Video: Yuav Ua Li Cas Thiab Nrog Dab Tsi Siv Glycosides

Video: Yuav Ua Li Cas Thiab Nrog Dab Tsi Siv Glycosides
Video: 8 yam tsis txhob ua thaum sib deev tag tsis li yuav phom sij txog lub neej txoj sia. 2024, Kaum ib hlis
Anonim

Cov koob tshuaj ntawm cov kab mob glycosides yog kws kho mob sau tseg los ntawm tus kws kho mob nyob ntawm tus neeg mob lub sijhawm. Feem ntau cov tshuaj pab pawg no ua ke nrog ACE inhibitors thiab tshuaj diuretics, zoo li cov tshuaj muaj cov tshuaj potassium.

Yuav ua li cas thiab nrog dab tsi siv glycosides
Yuav ua li cas thiab nrog dab tsi siv glycosides

Cov Lus Qhia

Kauj ruam 1

Mob glycosides yog cov tshuaj uas muaj cov nyhuv cardiotonic. Hauv tebchaws Russia, cov tshuaj siv ntau dua yog Strofantin, Digitoxin, Korglikon, Digoxin, Celanid thiab Adonizid. Cov tshuaj no tuaj yeem kho rau koj rau ntau yam kab mob hauv lub plawv, tshwj xeeb, lawv tuaj yeem ua rau lub zog thiab ceev ntawm lub plawv kev txwv, qeeb ntawm lub suab sib dhos, ua kom ntev, thiab ua rau kom muaj kev zam rau myocardium. Mob glycosides txhim kho cov ntshav ncig, ua rau muaj zis ntxiv thiab txo qis ntawm qhov hnoos qeev thiab mob siab, pab txo mob ntsws thiab txhaws.

Kauj ruam 2

Glycosides tuaj yeem yog hom tee, ntsiav tshuaj thiab hno. Cov koob tshuaj thiab daim ntawv ntawm kev tswj hwm yog tsim los ntawm tus kws kho mob nyob ntawm tus neeg mob lub sijhawm. Qhov nrov tshaj plaws ntawm cov kws kho mob yog "Strofantin", siv rau mob sab laug ventricular tsis ua haujlwm thiab lwm yam kev qhia. Cov tshuaj no yuav raug muab rau koj rau hauv cov tshuaj ntawm 0.5 ml ntawm 0.05% kev daws. Qhov siab tshaj plaws tau txais los ntawm tus neeg mob ib hnub yog 0, 001 g. Dab tsi siv glycosides nrog? Yog tias koj kuaj pom muaj tus mob tachycardia, koj yuav tau muab cov tshuaj los ntawm beta-adrenergic block series, piv txwv li, Anaprilin, Obsidan, Inderal, thiab lwm yam.

Kauj ruam 3

"Korglikon" muaj cov txiaj ntsig zoo ib yam li "Strofantin", tab sis tso cai rau koj kom ua tiav cov txiaj ntsig zoo hauv kev mob plawv decompensation, uas tshwm sim tawm tsam keeb kwm ntawm tachysystolic atrial fibrillation. Nws kuj tseem tuaj yeem tau teev tseg rau koj nyob rau hauv daim ntawv ntawm kev txhaj tshuaj ntawm 0.5-1 ml ntawm 0.06% daws. Qhov siab tshaj plaws tau txais los ntawm tus neeg mob ib hnub yog 2 ml ntawm 0.06% kev daws. Raws li rau "Digitoxin", nws yuav luag txhua qhov kev txiav txim siab lub plawv hauv kev sib piv nrog txhua lwm yam glycosides. Cov tshuaj no yog nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab cov tshuaj tiv thaiv kab mob thiab tau muab tshuaj, feem, 0, 0001 thiab 0, 00015 g ib koob. Qhov siab tshaj uas tau txais ib hnub yog 0.001 g.

Kauj ruam 4

Dab tsi ntxiv yog cov glycosides siv nrog? Lawv ua ke nrog ACE inhibitors, vim tias ib cov vasodilating thiab diuretic nyhuv tau tiav. Tsis tas li ntawd xwb, lub siab nqaij yog qhov tsis txaus, qhov kev ua kom pom lub siab tsis muaj zog txaus, ntshav txaus rau lub hlwb txhim kho, thiab lwm yam. Los ntawm pawg tshuaj no, koj tuaj yeem raug xaj Captopril, Lisinopril thiab lwm tus. Cov tom kawg tsim kev sib txuam nrog cov diuretics - "Capozid", "Fozid", "Korenitek" thiab lwm yam. Yog tias koj muaj cov kab mob potassium nyob hauv lub cev, koj tus kws kho mob tuaj yeem sau tshuaj rau koj cov tshuaj potassium - sparing - "Diuretidine", "Triamzid" thiab lwm tus.

Kauj ruam 5

Yog tias koj raug kev txom nyem los ntawm paroxysmal tachycardia, atherosclerotic cardiosclerosis thiab lwm yam kev mob siab ntawm lub plawv, koj tuaj yeem raug sau "Digoxin" hauv daim ntawv ntawm cov ntsiav tshuaj lossis kev txhaj tshuaj, feem, 0, 00025 g thiab 1-2 ml ntawm 0, 025% daws ib koob Cov. "Adonizid" yog siv rau hauv 20-40 tee 2-3 zaug hauv ib hnub. Celanid yog tau 10-25 ncos tshuaj rau ib zaug.

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