"Ginipral": analogues. Yadda za a maye gurbin "Ginipral"?

Tuna ciki shine yanayi na musamman na jikin mace, yana bukatar kula da hankali da kuma kula da lafiyar mutum. Popular sau da yawa, a matakai daban-daban na gestation bayyana daban-daban yanayi dysfunctional jihar, daya daga wanda yake shi ne karin sautin na mahaifa, zai iya tsokana preterm aiki. Don hana cututtukan da ba'a so, an tsara abubuwa da yawa don shakatawa da myometrium. Yawancin ungozoma a matsayin hanyar yin amfani da magani "Ginipral" (allunan).

Ana amfani da alamun ana amfani da ita sau da yawa, saboda kwayoyi suna shafar kwayoyin halitta a kowanne ɗayan - wanda yake taimakawa daya ba zai iya ba da sakamakon da ake bukata ba a wasu. Bugu da ƙari, duk da tasirinsa na rigakafi na rigakafi, wannan miyagun ƙwayoyi yana da ƙwayar magungunan ƙwayoyi da kuma sakamakon illa, wanda zai sa wasu marasa lafiya su ji tsoro da rashin yarda su dauki shi. A kowane hali, don dakatar da zabi akan wannan magani ko yanke shawarar abin da za a maye gurbin "Ginipral", yana bada shawarar kawai likitan likita.

Bayani na shirin

An saki miyagun ƙwayoyi "Ginipral" a cikin nau'i mai nau'in biconvex da ke dauke da kowanne 500 μg na hexoprenaline sulfate, a matsayin hanyar maganin intravenous a kashi 5 μg da lita 1 na ruwa (10 μg na abu mai amfani da 1 ampoule). Har ila yau an shirya mahimmanci don shirye-shiryen maganin infusions (25 μg na hexoprenaline sulfate a cikin wani ampoule).

Tsarin aikin

Magungunan miyagun ƙwayoyi "Ginipral", sakamakon shi ne saboda dukiyar da hexoprenaline sulfate, wanda aka zaba su zama mai zaɓi beta2-adrenomimetics, yana nufin abubuwa masu rage sautin da kuma aiki na aikin ƙwayoyin mahaifa (myometrium), wato, yana taimakawa wajen hana aikin da ba a yi ba.

Lokacin da aka gudanar, musamman a cikin intravenously, yana haifar da raguwa a ƙara yawan ƙarar mahaifa a cikin sauri, wanda ya rage mita da ƙarfin rikitarwa na tsokoki na mahaifa, da maye gurbin rashin jin dadi ko tsokani ta hanyar haɗuwa da sabani. Idan aka yi amfani da shi a lokacin aikin, yana taimakawa wajen daidaitawa da karfi ko rashin daidaituwa. Ƙaddamar da aiki na baƙin ciki na mahaifa ya ba da damar mace ta bayar da rahoto cikin ciki zuwa lokaci mafi kyau ga bayyanar jariri.

Bugu da ƙari ga ƙayyadadden sakamako, ƙwayar miyagun ƙwayoyi yana da tasiri a kan halin kwakwalwa da jini na duka mahaifi da tayin, wanda ya kamata a la'akari a cikin alƙawari.

Alamomi

Tun da wannan miyagun ƙwayoyi ya sa shakatawa na tsokoki na mahaifa, karuwa a cikin mita da kuma tsanani daga cikin sabani, hana ƙofar cervix, aikace-aikace na "Ginipral" daidai ne akan wannan aikin.

An yi amfani da miyagun ƙwayoyi a cikin bayani a yayin taron gaggawa don jinkirin cire aiki:

• Yayin da tayi yana da tsinkaye a cikin aiki a cikin aiki;
• Kafin juyin juya halin littafin yaro daga cikin matsayi na hagu;
• A lokacin da igiya mai tsauri ya fadi;
• Tare da aiki mai wuya;
• Don shakata da mahaifa kafin sashen caesarean;
• A lokacin da ba a haife shi ba don ƙaddamar da yaki kafin aika da mace mai ciki a asibiti.

A halin yanzu, ana amfani da miyagun ƙwayoyi "Ginipral":

• Idan akwai hadari na rashin jin daɗin haihuwa;
• Don shayar da tsokoki na mahaifa a yayin da ake yin amfani da wuyansa ta wuyansa don hana ta budewa;
• Don hana dakatarwa idan akwai rashin lokaci na ciki ko tare da matsaloli mai tsanani kuma mai tsanani a kan baya na wuyansa marar yalwa.

Yin amfani da "Ginipral" tare da irin waɗannan alamomi na iya buƙatar ɗaukar hanya ta miyagun ƙwayoyi, wanda zai iya wucewa da yawa watanni.

Ana ba da lakabi ga hadarin haihuwa, wanda yafi gaba da ci gaba da yin jima'i.

Contraindications

Yin amfani da miyagun ƙwayoyi ya shafi abubuwa masu tsanani, saboda haka, ana amfani dashi kawai da takardar likita, da la'akari da duk takaddun ƙwayoyi, wanda wani lokaci ya soke magungunan magani "Ginipral", waɗanda ana iya yiwuwa su kasance mafi dacewa a cikin wani yanayi.

Kada ka dauki miyagun ƙwayoyi don yawan cututtuka:

• Thyrotoxicosis;
• Tachyarrhythmias;
• mũnãnan ayyuka na mitral bawul, da kuma aortic stenosis.
• Madaba;
• IHD;
• Hawan jini na jini;
• Mai tsananin koda da cututtukan hanta;
• Glaucoma ƙulle-ƙulle-ƙulli;
• Yaduwar jini na zane-zane daban-daban, wanda ba a taɓa hana shi ba;
• Ƙaddamar da cututtuka na intrauterine;
• A farkon shekaru uku na ciki;
• Lactation (shayarwa);
• Sashin kamuwa da cututtuka ga magungunan miyagun ƙwayoyi (musamman tare da tarin fuka mai ƙwayar jiki ko mai saukin kamuwa ga sulfites a cikin karanis).

Kasancewar jerin jerin contraindications yana sa a wasu lokuta don neman maye gurbin maganin miyagun ƙwayoyi "Ginipral", wanda zancensa zai iya zama da wuyar gaske, saboda yana da tasiri a kan myometrium, kuma ba a kan dukkan tsokoki mai tsabta ba.

Shirin Aikace-aikacen

Kamar yadda aka riga an fada, karɓar "Ginipral" yana buƙatar kasancewar alamun kyawawan alamu da kuma dacewa da daidaituwa. Dole ne a yi amfani da gwamnati mai tsanani a cikin asibiti ta yin amfani da infusomats dosing or droppers ta atomatik, tun lokacin da magani tare da miyagun ƙwayoyi ya ba da jinkirin bawa a cikin minti 5-10.

Idan akwai yanayi na gaggawa, don magance yakin da sauri, ana amfani da wannan bayani a kashi 10 μg (daya ampoule dake dauke da 2 ml na miyagun ƙwayoyi), sannan kuma jigilar kwayoyi "Ginipral". Ana gudanar da kwayar ne tare da gwamnati mai ragu a kashi 0.3 μg / min. Idan an ƙaddamar da raguwa a cikin aiki na uterine, za'a magance matsalar ta tsawon lokaci (0.075 μg / min).

Tare da sakamako mai kyau na wannan magani, za'a iya inganta farfadowa ta amfani da Allunan a kashi 500 na mcg, wanda aka bada shawarar da za'a wanke shi tare da isasshen ruwa, amma ba shayi ko kofi ba, wanda zai iya inganta tasirin mummunan abu. Kayan yau da kullum na Allunan ne maki 4-8 lokacin da aka ɗauki kwamfutar hannu a farkon bayan sa'o'i 3, sannan bayan sa'o'i 4-6.

Umurni na musamman

Kasancewar babban adadi na sakamako masu illa yana buƙatar kula da lafiyar duka masu haƙuri da tayin, musamman, ya zama dole a saka idanu akan aikin tsarin kwakwalwa. Zai zama da shawarar yin aikin ECG kafin kafin lokacin kuma.

Idan mai haƙuri yana da ƙwarewa ga irin wadannan kwayoyi, an tsara shi a cikin ƙananan ƙwayoyin, an zaɓi shi ɗayan ɗaiɗaikun, tare da kulawa na likitan likitancin.

Idan akwai tachycardia mai tsanani ko ragewa a cikin karfin jini, an rage kashi na miyagun ƙwayoyi. Bayyana irin wannan bayyanar cututtuka kamar rashin ƙarfi, numfashi a cikin zuciya, alamun bayyanar cututtuka na zuciya, yana tsammanin kawar da wannan magani nan da nan. Don rage gefe-effects aka gudanar a Bugu da kari ga miyagun ƙwayoyi "ginipral" "Verapamil", wanda aka nufin neutralizing cikin illar a kan zuciya da jijiyoyin jini tsarin.

Lokacin da yaduwar sukarin jini da aka haifar da amfani da wannan ƙwayar cuta ya ƙaru, ya wajaba a lura da ƙaƙƙarfan ƙwayar carbohydrates a cikin mata da ciwon sukari.

Magungunan miyagun ƙwayoyi "Ginipral" yana taimaka wajen rage diuresis, don haka dole ne a lura da dukan canje-canjen da zasu iya hade da riƙe da ruwa cikin jiki. Wani lokaci haɗuwa tare da glucocorticosteroids zai iya haifar da rubutun kwakwalwa, sabili da haka yana da muhimmanci don yin saka idanu akai-akai yayin lokacin jiko, kazalika da ƙarar bayani da aka gudanar.

Sakamako na gefen

Lokacin yin amfani da miyagun ƙwayoyi wanda zai iya rinjayar da jiki duka, kamar magungunan ƙwayoyi "Ginipral", sakamakon lalacewa zai iya bayyanawa daga kowane tsarin jiki:

• Sakamakon mummunan tasirin da ke cikin tsakiya da na jiki yana nuna halin ciwon kai, damuwa, damuwa, hasken wuta cikin yatsunsu;
• effects a kan zuciya da jijiyoyin jini tsarin zai iya sa a ciki tachycardia, hypotension (yawanci diastolic), da yawa kasa iya zama wani take hakkin kari (na ramin zuciya wanda bai kai lashe) , ko kardialgiya sauri wuce bayan da yarjejeniyoyin da kwayoyi.
• Raunin rashin lafiya na yankin na narkewa na iya nunawa ta hanyar tashin hankali, shan iska, maye gurbin motsa jiki na intestinal har sai cikakkiyar matsin lamba na edema;
• A gaban kasancewa da hankali ga abubuwan da ke maganin miyagun ƙwayoyi, cututtuka na rashin lafiyar na iya faruwa a matsayin rashin ƙarfi na numfashi, bronchospasm, illa rashin lafiya, wanda zai iya shiga haɗuwa, a cikin marasa lafiya da ciwon sukari na asali ko sanyaya ga sulfites - har zuwa abin da ya faru.

Bugu da ƙari, ƙwaƙwalwa zai iya ƙaruwa, haɓaka da ƙumburi yana faruwa. A cikin jarirai, ana lura da hypoglycemia da acidosis.

Tsarin yawa

A halin da ake ciki na gaggawa da ba a haife shi ba ko kuma a yanayin yanayin hawan jini mai tsayi na mahaifa, wannan shiri dole ne a gudanar da shi mai yawa, wanda zai iya haifar da matsanancin matsakaicin da aka bari a kowace rana da kuma sakamakon da ya haifar.

Abun hanzari na overdose sun hada da: tachycardia mai tsanani a cikin mace mai ciki (tayin yana da irin wannan abu ne), arrhythmia, rawar jiki a cikin yatsunsu, ciwon kai na wurare daban-daban, ƙarar ƙarawa, damuwa, cardiagia, rage karfin jini da dyspnea. Abin da ya faru na irin wadannan cututtuka shine tushen daskarar miyagun ƙwayoyi "Ginipral", wanda akidarsa bazai iya ba da wannan hoto na asibiti ba.

Lokacin da aka bayyana irin wadannan cututtuka, an tsara abubuwa masu tayar da hankali, wanda ya haɗa da wadanda ba zaɓaɓɓen beta-blockers ba, wanda zai iya kawar da mummunan magani.

Yin hulɗa tare da wasu kayan magani

Kasancewar kowace cuta a cikin mace mai ciki na iya buƙatar yin amfani da magungunan da basu dace ba tare da wannan shakatawa na muscle, saboda haka tambaya zai iya fitowa: "Yaya zan iya maye gurbin" Ginipral "idan aka cire janyewar magunguna ne ba zai yiwu ba?"

Ga abubuwa da ke nuna wani tasiri mai mahimmanci a cikin haɗin gwiwar haɗin bayani ko Allunan "Ginipral", sun haɗa da:

• Beta-blockers, wanda zai iya raunana ko kuma ya kawar da tasirin miyagun ƙwayoyi "Ginipral";
• Methylxanthines (ciki har da abu "Theophylline"), inganta tasiri;
• Glucocorticosteroids, aikin haɗuwa wanda zai iya haifar da raguwar ƙwayar glycogen ta hanta;
• Abubuwan da ke dauke da kwayoyin halitta idan sun haɗu da wannan magani ba tare da yadda ya kamata ya nuna lafiyar su ba;
• Hanyoyin hulɗar wannan magani tare da cututtukan zuciya da na bronchodilator na nufin zai iya haifar da haɓakawa a tasirin su da bayyanar alamun alamu;
• Fluorotane da beta-adrenostimulants ƙara yawan tasiri na illa a kan zuciya da sauran abubuwa na tsarin sigina;
• ergot alkaloids, Mao hanawa, tricyclic antidepressants , da kuma jamiái dauke da alli da kuma bitamin D, kazalika da digidrotahisterol da mineralocorticoids, da cikakken m tare da miyagun ƙwayoyi "ginipral" sakewa wanda a cikin wannan yanayin ne ya zama dole.

Tun da aiki sashi (hexoprenaline sulfate) yana high aiki, to, shi ne a yarda ne kawai zuwa jinsi wani isotonic bayani na sodium chloride, kuma 5% dextrose (glucose).

Maganin miyagun ƙwayoyi "Ginipral": analogues da kalmomin

Magana game da rukunin beta-adrenomimetics, wannan miyagun ƙwayoyi yana da wasu magungunan kwayoyi masu kama da alamunsu:

• "Bangaren kasa" - an bayar da shi azaman bayani marar lafiya ga gwamnatin intravenous da kuma ta hanyar allunan, an umarce su don hana aikin farko a asibiti.
• "Ritodrin" - an yi amfani da shi musamman don ciwon sukari da kuma sauran yanayin haɗari, amma kuma yana iya shakatawa tsoka da mahaifa.
• "Fenoterol" - yana da irin wannan sakamako, ana amfani dashi ne kawai a karkashin kulawar lafiya a asibitoci.
• "Salbaux" - an tsara shi a yanayin hadarin da ba a haife shi ba, an yi shi cikin sannu a hankali a cikin sa'o'i 6-12.

Ayyukan irin wannan don rage sautin uterine yana da abu da ake kira magnesia, wanda, ta hanyar katange tashoshi mai kwakwalwa, ta yadda ya dace da myometrium, yayin da yake nuna alamun sakamako mai yawa.

Wani magani wanda zai iya maye gurbin likitancin "Ginipral" - misalin "Indomethacin", wanda ke da alaƙa da maƙaryata na prostaglandins. Zai iya rage ƙwayar uterine mai yawa, amma idan aka yi amfani da shi bayan lokacin gestation na makonni 32 yana haifar da mummunan adadin abin da ba'a so ba: yana taimakawa wajen jinkirin matuƙar nau'in tamanin fetal, zai iya haifar da jaundice da enterocolitis.

Wasu likitocin obstetrician sun rubuta Nifedipine don rage sautin mahaifa. Ba kayan aiki ne da aka yi amfani da shi ba a fannin ilimin hawan gynecology, yanayin aikinsa yafi damuwa da maganin cututtuka na zuciya, amma tun da yake wannan yana taimakawa wajen kwantar da tsokoki, za'a iya amfani dasu don taimakawa rage tashin hankalin mahaifa. Ya kamata a lura cewa miyagun ƙwayoyi yana haifar da karuwar cutar karfin jini, wanda ya hana yin umurni ga marasa lafiya da hypotension.

Bayani

Mata da yawa masu ciki suna lura cewa sanya wannan magani ya yarda ya cire ƙarar mahaifa na mahaifa, don hana abin da ya faru na rashin aiki. Maman, wanda ya karbi magani "Ginipral" a lokacin gestation, kada ka lura da duk wani sakamako mai ban sha'awa daga amfani mai tsawo a cikin jariri. Ga mutane da yawa, manufar wannan abu ya taimaka ya kawo yaro a lokacin lafiya don haihuwarsa, yana barin dukkan jikinsa da tsarinsa don shirya rayuwa mai zaman kansa. Wasu suna fama da mummunar tasiri a cikin nau'i na yatsunsu, ciwon kai da sauransu, wanda ya haifar da janyewar miyagun ƙwayoyi, tun da ba za'a iya jefa shi ba da gangan. Tsarin zuwa sabon magani ya kamata ya dauki lokaci, lokacin da ya rage yawan nau'ikan Allunan "Ginipral", yayin gabatar da magani mai daraja. Duk da yawan jerin abubuwan da suka shafi contraindications da sakamako masu illa, mafi yawancin suna magana da gaskiya, suna lura da sakamakon da ake yi na maganin maganin ƙwayar murfin ƙwayar mahaifa, wanda yake da mahimmanci a yayin taron gaggawa saboda rashin ceto.

Saboda haka, yin amfani da "ginipral" da aka samar na musamman da halartar likita ko amfani a wani asibiti a hali na gaggawa yanayi shafe abin da ya faru na jinkirta aiki. A wannan yanayin, duk da umarnin da shawarar dosages dole a lura tsananin haka kada su sa bayyanar illa. Lokacin amfani da wannan magani ya zama musamman m ga wata 'yar alamar wulakanci ko canza su matsayi to, idan ya cancanta, a dace hanya don amsa ga halin da ake ciki har sai soke "ginipral" miyagun ƙwayoyi analogue cewa zai iya zama mafi dace a kowane hali. Ko da yake ya kamata a lura da high dace da miyagun ƙwayoyi a cikin hypertonicity na zauna cikin mahaifa da kuma ikon da sauri kashe da rage daga cikin myometrium a preterm aiki.