Npaj antishock: ib daim ntawv teev thiab piav qhia txog cov txhais tau tias ntawm antishock set

Anti-poob siab cov tshuaj siv los ntawm cov kws kho mob los pab cov neeg mob nyob rau hauv ib qho tseem ceeb lub sijhawm nyob rau hauv lawv lub neej. Nyob rau tej yam no, cov kws kho mob yuav siv ib tug ntau yam ntawm cov tshuaj. Nyob rau hauv intensive kev saib xyuas thiab hlawv rau lwm, los ntawm tsheb thauj neeg mob thiab cov neeg uas thaum muaj xwm ceev tas tam sim no protivoshokovym poob lawm. Raws li ib tug npaj txhij txog qhov teeb meem no tej zaum yuav tshwm sim, hmoov tsis, tsis tsuas nyob rau hauv lub xub ntiag ntawm cov kws kho mob, txhua tus enterprise yog yuav tsum tau yuav tsum tau tam sim no rau cov khoom siv, uas yuav antishock tshuaj. Lawv daim ntawv teev luv yuav tsum tau tham nyob rau hauv peb tsab xov xwm nyob rau hauv.

Qhov yuav tsum tau rau cov khoom siv nrog anaphylactic poob siab

Raws li cov Ministry of Health tswv yim pom zoo, cov khoom pab, uas muaj anti-poob siab txoj kev kho npaj, yuav tsum tsis tsuas yog yuav nyob rau hauv txhua txhua tus kws kho hniav thiab kws kho mob kev phais, tab sis kuj nyob rau hauv tej enterprise. Muaj ib tug cov khoom pab tsis cuam tshuam nyob rau hauv lub tsev, yog li nws yog tsim nyog los muaj tsawg kawg yog tsawg heev paub txog yuav ua li cas thiab thaum twg siv nws cov txheem.

Tu siab, kho mob statistics qhia tias lub xov tooj ntawm tus neeg mob cia li tshwm sim ntawm anaphylactic poob siab yog nce txhua txhua xyoo. Yuav kom ntxias ib tug lub xeev ntawm poob siab nws yuav ib tug neeg ib tug tsis haum cov tshuaj tiv thaiv rau cov zaub mov, tshuaj, kev sib cuag nrog lub kom hniav zoo nkauj, los sis ib tug kab tom. Twv seb nyob rau hauv ua ntej qhov yuav tshwm ntawm xws li ib tug tshuaj tiv thaiv ntawm lub cev yog yuav luag tsis yooj yim sua, thiab cov loj loj teeb meem ntawm anaphylactic poob siab yog hluav taws xob ceev ntawm nws txoj kev loj hlob.

Qhov no yog vim li cas ntawm lub xub ntiag ntawm lwm yam tshuaj nyob rau hauv cov tshuaj txee, thiab to taub yuav ua li cas siv nws, tej zaum yuav yog nyob ntawm seb ib tug tib neeg lub neej.

Anti-poob siab cov tshuaj: daim ntawv teev

Qhov Ministry of Health tau pom zoo daim ntawv teev cov tshuaj uas yuav tsum tau nyob rau hauv txhua txhua cov tshuaj txee los pab nyob rau hauv qhov tshwm sim ntawm anaphylactic poob siab. Cov muaj xws li:

• "Crank" (0.1%) nyob rau hauv ampoules.
• "Diphenhydramine" nyob rau hauv ampoules.
• Ib tug tov ntawm sodium tshuaj dawb.
• "Eufillin" nyob rau hauv ampoules.
• "Prednisolone" (ampoules).
• Antihistamines.

Tom ntej no, peb xub kawm txog cov kev ua ntawm txhua cov tshuaj paus ntsiab lus.

Yuav ua li cas yog tsim nyog los prick "Adrenaline"?

Yam tshuaj no koj yuav pom tau tias lub ntsiab tshuaj nyob rau hauv anti-poob siab set. Yog hais tias ib tug txiav txim siab nws daim ntawv thov nyob rau hauv anaphylactic poob siab, nws yuav tsum tau to taub hais tias nyob rau hauv cov kev tshwm sim uas tsis haum cov tshuaj tiv thaiv nyob rau hauv ib tug tib neeg lub cev yog suppressed meem kev txhawj xeeb tiv thaiv kab mob hlwb. Raws li ib tug tshwm sim, lub cev pib ua kom puas tsis tsuas txawv teb chaws neeg sawv cev (lub allergen), tab sis kuj nws tus kheej hlwb. Thiab thaum twg cov hlwb pib tuag, tib neeg lub cev ntog mus rau hauv ib lub xeev ntawm kev poob siab. Tag nrho nws cov systems pib mus ua hauj lwm nyob rau hauv ib tug intensive, thaum muaj xwm ceev lag luam nyob rau hauv thiaj li yuav muab lub tseem ceeb tshaj plaws hauv lub nruab nrog oxygen.

Ntsawj "epinephrine" (0.1%) pliag constricts cov hlab ntsha, uas kev npaj tiv thaiv histamine significantly txo. Tsis tas li ntawd, cov kev taw qhia ntawm "epinephrine" tiv thaiv lub ceev ceev nco nyob rau hauv cov ntshav siab nrog poob siab lub xeev. Tsis tas li ntawd prick "Adrenaline" pab txoj kev lub plawv muaj nuj nqi thiab tiv thaiv kom txhob nws tau ua hauj lwm.

"Diphenhydramine" - txhais tau tias, tsis tsuas yog rau cov insomnia

Feem ntau cov neeg uas tsis muaj feem xyuam rau cov tshuaj, mistakenly ntseeg "Diphenhydramine" xwb sleeping ntsiav tshuaj. Qhov no tshuaj muaj ib tug soporific nyhuv, tab sis yog li ntawd, "Diphenhydramine" - thiab txawm tshuaj antishock kev txiav txim. Tom qab cov kev taw qhia nws ceev cov hlab ntsha, yog li tshem bronchospasm. Nyob rau hauv tas li ntawd, nws yog ib qho antihistamine. Nws blocks zus tau tej cov histamine thiab kuj suppresses overly active nyob rau hauv lub central lub paj hlwb.

Yuav ua li cas yuav tsum tau nyob rau hauv cov tshuaj txee antishock sodium tshuaj dawb tov

Cov tshuaj no yog feem ntau siv nyob rau hauv kev kho mob xyaum nyob rau hauv lub dewatering vim hais tias tom qab tso dej reference nws yog muaj peev xwm mus kho lub lag luam ntawm lub ntau yam systems ntawm lub cev. "Sodium chloride" yog siv raws li ib tug detoxifying tshuaj. Tsis tas li ntawd, thaum hnyav los ntshav cov tshuaj no yog tsa tau cov ntshav siab. Thaum cerebral edema yog siv raws li ib tug osmotic diuretic.

"Eufillin" - ceev kev pab rau bronchial spasm

Qhov no tshuaj yog txaus hwj chim cov hlab ntsws qhib. Thaum ib lub xeev ntawm kev poob siab, nws yuav pab tau qhib lub cev ntxiv lub neej pab txhawb nqa mechanisms. "Eufillin" yog tau nthuav lub bronchi thiab qhia lub zeem cia cov hlab ntsha, uas zoo heev tswj thiab stabilizes ua pa nrog ib lub xeev ntawm kev poob siab.

"Prednisolone" - lub ze tshaj analogue ntawm cov hormone uas ua los ntawm lub cev

"Prednisolone" yog heev ib qho tseem ceeb tshuaj nyob rau hauv pab cov neeg mob uas muaj nyob rau hauv ib lub xeev ntawm kev poob siab. Nws txiav txim tias nws yog muaj peev xwm mus suppress cov kev ua ntawm lub cev hlwb uas ntxias lub plawv tsis ua hauj lwm.

Qhov no hluavtaws lawm yog tiag tiag rau hauv ze analogue protivoshokovogo hormone uas yog tso tawm los ntawm lub cev nyob rau hauv lawv tus kheej tseem ceeb heev lub neej. Tom qab nws kev taw qhia, shock lub cev txo nyob rau hauv ib tug heev luv luv lub sij hawm. Nws yuav tsum tau muab sau tseg tias anti-poob siab tshuaj no yog siv tsis tau tsuas yog nyob rau hauv anaphylactic poob siab. Cov kws kho mob siv nws thiab hlawv, cardiogenic, intoxication, puas thiab kev khiav hauj lwm shocks.

Nyob rau hauv tej zaum nws yog tsim nyog los siv cov anti-poob siab cov tshuaj?

Cov poob siab ntawm tib neeg lub cev yuav ua rau anaphylaxis, tsis tsuas yog nyob rau lub hauv paus ntawm ib tug tsis haum cov tshuaj tiv thaiv. antishock set cov tshuaj siv rau thawj cov kev pab thiab lwm yam teeb meem, tshwj xeeb yog cov uas lawv muaj, thaum twg kom sai xa cov raug mob mus rau lub tsev kho mob thiab yog tsis yuav tsum tau nws ntev-lub sij hawm thauj mus los.

Ntxias cov tseem ceeb heev lub xeev ntawm tib neeg lub cev, tshwj tsis yog rau anaphylactic poob siab, tej zaum yuav zoo li ntawm no:

• kev tsis txaus siab ntawm qhov mob;
• kev raug mob loj;
• tshuaj lom poob siab;
• lub tom ntawm poisonous kab, nab thiab tsiaj;
• tau raug mob;
• poob deg tuag.

Nyob rau hauv xws li mob, daim ntawv teev cov tshuaj antishock cov khoom siv yuav tsum supplemented nrog cov nram qab no cov tshuaj:

1. "Ketanov" (ketorolac tromethamine tshuaj) - ib tug muaj zog analgesic. Nws yuav pab kom tsis txhob mob nyob rau hauv kev mob loj raug mob.
2. "Dexamethasone" - ib tug yeeb tshuaj, uas yog ib tug glucocorticoid lawm. Nws muaj ib tug active antishock nyhuv, thiab tseem muaj ib tug qhia tau anti-inflammatory nyhuv.
3. "Kordiamin" - 25% cov kua ntawm nicotinic acid. Nws yog hais txog mus rau lub pharmacological pab pawg neeg ntawm ua pa stimulants. Tsis tas li ntawd nws muaj ib tug stimulating nyhuv on lub vasomotor chaw ntawm lub paj hlwb.

Nyob ntawm seb qhov teeb meem no thiab cov neeg kawm ntawv ntawm criticality ntawm tus neeg mob, cov kws kho mob tej zaum yuav siv tau cov no formulations ob ua ke thiab nyias.

Tshuaj uas yog siv nyob rau hauv ib qho tseem ceeb lub sijhawm nyob rau hauv Intensive Care

Nyob rau hauv lub tej yam kev mob ntawm lub tsev kho mob los pab cov neeg mob uas muaj nyob rau hauv ib qho tseem ceeb mob, dhau li ntawm tus twb sib tham yav tas los, kev siv ntawm lwm anti-poob siab cov tshuaj - lub ntsiab rau kev tswj hwm:

1. "Poliglyukin" - ib tug tshuaj uas muaj ib tug haib antishock nyhuv. Nws yog siv los ntawm cov kws kho mob raws li anti-poob siab noj tshuaj rau cov qhov txhab, kub nyhiab, mob kev raug mob thiab loj ntshav poob. Tom qab ib tug \ nyob rau hauv koom haum saib xyuas "Poliglyukin" activates thiab pab txoj kev coronary tam sim no thiab restores cov tag nrho lub ntim ntawm cov ntshav circulating nyob rau hauv lub cev. Tsis tas li ntawd, cov tshuaj normalizes cov ntshav siab thiab HP. Nws yog ib nqi sau cia hais tias nws loj tshaj antishock efficiency manifests nws tus kheej thaum co-xeem nrog cov kaus poom ntshav.
2. "Gemovinil" - tshuaj kua uas yog siv nyob rau hauv mob loj heev intoxication, Burns thiab puas poob siab. Nws yog feem ntau siv rau tshem tawm toxins los ntawm lub cev, raws li yog lub muaj zog adsorbent. Reduces astsista thiab eliminates zib suab thaj hlwb. Ib tug yam ntxwv feature yog qhov tseeb hais tias tom qab cov kev taw qhia ntawm "Gemovinila" feem ntau muaj yog ib qho kev nce rau hauv lub cev kub.
3. "Polivinol" - tov, uas yog nkag tau rau hauv \ nyob rau hauv cov ntaub ntawv ntawm muaj zog los ntshav, mob kev poob plig, Burns thiab phais poob siab, uas yog yus muaj los ntawm ib tug ntse poob nyob rau hauv cov ntshav siab theem. Cov tshuaj yog sai tsub kom lub siab, kom cov ntshav circulating nyob rau hauv lub cev thiab, yog tias tsim nyog, restores nws volume (uas yog siv raws li ib tug ntshav expander). Nrog rau tag nrho cov zoo, cov tshuaj no yog tsis haum rau cov nyem ntawm lub xeev ntawm kev poob siab, nrog cranial kev poob plig thiab los ntshav nyob rau hauv lub hlwb.
4. "Zhelatinol" - 8% tshuaj ntawm hydrolysed gelatin uas yog nkag tau rau hauv \ nyob rau hauv kev puas shocks thiab kub yus. Nws qhia lub cev ntawm cov teeb meem thiab tej yam tshuaj lom, ua cov kev ua ntawm detoxification.
5. "Droperidol" - neuroleptic, antiemetic thiab protovoshokovy tshuaj. Nws yog hais txog ib pawg myotropic antispasmodics. Muab intravenously ntawm ib tug muaj zog mob poob siab.
6. "Deksaven" - hais txog cov pharmacological pab pawg neeg ntawm glucocorticoids. Intravenously nyob rau hauv cov kev tshwm sim ntawm ua hauj lwm los yog postoperative poob siab. Kuj siv nyob rau hauv anaphylactic poob siab thiab puas thiab angeonevroticheskom edema. Nws muaj ib tug cov lus hais muaj zog antiallergic kev ua si thiab anti-inflammatory zog.