Sodium Thiopental - hom ntawm daim ntawv thov

"Sodium Thiopental" yog ib tug qhuav ntxeem tau loj greenish-daj xim. Nws yaj yooj yim nyob rau hauv cov dej. Ib tug tov ntawm cov tshuaj sai li sai tau ua ntej rau nws siv.

"Sodium Thiopental" yog siv rau tshuaj loog, thiab nws yog tiav raws li nyob rau hauv lub tso dej thawj coj ntawm cov tshuaj, thiab nyob rau hauv nws lub qhov quav thawj coj. Tsis tas li ntawd, raus tus neeg nyob rau hauv ib lub xeev ntawm tshuaj loog tau los ntawm cov kev taw qhia ntawm qhov cuab tam intramuscularly, tab sis qhov no txoj kev yog siv heev tsis tshua muaj.

Yog hais tias muaj ntaub ntawv kom raug, "Sodium Thiopental," tus txiv neej nkag mus rau hauv ib lub xeev ntawm tshuaj loog yog ib qho yooj yim thiab ceev heev, nrog ntuav thiab excitement yog yuav luag tsis tshwm sim. Yog hais tias tshuaj loog yog siv rau cov kev phais, tus neeg mob yog tsis muaj corneal thiab txog leeg reflexes, tej zaum yuav me ntsis roj cov menyuam kawm ntawv, tab sis lawv feem ntau yog nyob twj ywm li qub tus nqi, cov eyeballs yog tsau. Tsis tas li ntawd, muaj ib tug so ntawm lub caj pas nqaij, tus nplaig tog txo siab thiab txo cov zaus thiab qhov tob ntawm kev ua pa. Nws yog ib nqi sau cia hais tias, txawm tias thaum nyob rau hauv sib sib zog nqus tshuaj loog, uas yog tshwm sim los ntawm cov kev taw qhia ntawm cov tshuaj no, ib tug tiav so ntawm cov nqaij ntshiv ntawm lub plab phab ntsa tsis tshwm sim nyob rau hauv tag nrho cov neeg.

"Thiopental sodium" es sai sai tshem tawm los ntawm lub cev, thiab nws ib tug lub sij hawm siv tshuaj loog nkag mus rau hauv tus neeg rau 20-25 feeb. Tam sim ntawd tom qab waking analgesic nyhuv uas cov tshuaj no yog nres.

Indications rau kev siv ntawm cov tshuaj

Mas siv los ntawm hais tias txhais tau hais tias thaum lub sij hawm ib tug luv luv phais. Tsis tas li ntawd nws yog siv rau induction ntawm tshuaj loog ua raws li los ntawm daim ntawv thov ntawm ib tug muaj zog anesthetics. cov tshuaj no feem ntau yog siv nyob rau hauv ua ke nrog nqaij hnaiv, Yog hais tias txhua yam cua.

"Sodium Thiopental": cov lus qhia rau kev siv

Rau cov neeg laus cov neeg mob npaj 2 los yog 2.5% tshuaj ntawm cov tshuaj, thiab rau cov me nyuam, cov neeg laus los yog debilitated cov neeg mob tej zaum yuav siv 1% tshuaj. Yog hais tias "Thiopental sodium" yog siv rau induction ntawm tshuaj loog los yog rau me phais raws li lub xwb narkotiziruyuschee txhais tau tias, nws yog tsim nyog los nkag 20-30 ml intravenously. Qhov siab tshaj plaws ntau npaum ntawm cov 2% tshuaj ntawm cov tshuaj, uas yuav tsum muaj ntaub ntawv rau cov neeg laus yog 50 ml, hais tias cov tshuaj yog tswvcuab maj mam, thaum xub thawj ib tug me me koob tshuaj, thiab tom qab 30 vib nas this tag nrho cov seem.

Feem ntau cov tshuaj no siv tau rau 25 feeb, tab sis nws nyob tsis tau tsuas yog nyob rau hauv ntau npaum li cas ntawm nws yog nkag mus, tab sis kuj nyob rau hauv tus neeg cov yam ntxwv ntawm txhua tus neeg.

Mus nqa tawm yooj yim tshuaj kom tsaug zog thov rau cov me nyuam uas muaj kev ntxhov siab vim, raws li zoo li cov neeg txom nyem los ntawm thyrotoxicosis. Nyob rau hauv cov neeg mob, feem ntau thov ib tug 5% tshuaj 'ntawm sodium thiopental ", uas yog rhuab mus 32-35 ° C thiab txhaj rectally, dua li tsis nyob rau hauv lub khiav hauj lwm chav tsev, thiab nyob rau hauv qhov ntau li ib txwm teeb meem rau tus neeg mob. Cov me nyuam nyob rau hauv peb lub xyoo ntawm rectally xeem nyob rau 0,04 g, thiab cov me nyuam mus txog rau xya xyoo yuam rau tus 0.05 g ib xyoo ntawm lub neej.

Contraindications

Nws yog tsis yooj yim sua rau siv lub cuab tam rau cov neeg uas muaj cai organic cov kab mob ntawm lub siab, raum, cov neeg uas muaj mob ntshav qab zib, cov neeg tseem ceeb. Tsis tas li ntawd, cov tshuaj tsis thov yog hais tias muaj yog hauv qhov ntswg mob, mob ntawm cov ntshav ncig, cov neeg uas yog nyob rau hauv ib tug feverish lub xeev.

Tej kev phiv:

- lub tsos ntawm hnoos;

- tshwm sim laryngospasm, bronchospasm thiab hypersalivation;

- nrog ua pa nyuaj siab thiab hypotension.

Yuav kom tiv thaiv qhov tshwm sim ntawm teeb meem, uas yog vim lub fact uas tsub kom lub suab nrov ntawm lub vagus paj, ua ntej thawj coj ntawm tshuaj loog yog tsim nyog los sau "Metacin" los yog "Atropine". Ib tug tov ntawm cov tshuaj no tsis tau tov nrog daws "chlorpromazine", "pentamine", "ditilina" "Promethazine" thiab "arfonad".