Uma kunokuntuleka kwe-potassium ne-magnesium emzimbeni, ukuthuthukiswa kwe-arrhythmia nokuphazamiseka emsebenzini womsipha wenhliziyo kuyabonakala, kukhuphuka umfutho wegazi.
Lapho kutholakala izimpawu zalokhu kuphazamiseka, i-Panangin ibekelwa ukwelashwa kwezifo zenhliziyo nezemithambo. Lesi sidakamizwa sinokwakhiwa kwawo wonke amaminerali adingekayo ukuze kususwe ukuphazamiseka okungalungile emzimbeni.
Endabeni yokuqalwa kwesifo sikashukela emzimbeni womuntu, ukuphazamiseka kwenhliziyo yinto eyenzeka njalo ehambisana nokuqhubeka kwesifo sikashukela.
Ukuze kusetshenziswe i-Panangin kwisifo sikashukela ukunikeza umphumela omuhle, kufanele ufunde ngokucophelela imiyalo yokusebenzisa umuthi bese ulandela ngokusobala izincomo ezithole kudokotela wakho.
Uhlobo lomuthi, ukwakheka kwalo nokupakishwa
Umuthi ungoweqembu lemithi esetshenziselwa ukwentuleka kwe-potassium ne-magnesium emzimbeni.
Ukukhishwa kwesidakamizwa kusesimweni samathebhulethi, ingaphezulu lawo elihlanganiswe nge-membrane yefilimu.
Izibhebhe zimhlophe noma cishe zimhlophe. Ukwakheka kwamacwecwe ayindilinga, i-biconvex, ingaphezulu lamathebulethi libukeka kancane licwebezela futhi lingalingani kancane. Umuthi awunamphunga.
Ukwakheka kwamacwecwe kufaka amaqembu amabili wezinto - eyinhloko neyesizayo.
Izakhi ezisemqoka zifaka:
- potasium asparaginate hemihydrate;
- i-magnesium asparaginate tetrahydrate.
Izingxenye ezisizayo zifaka:
- I-Colloidal silicon dioxide.
- IPovidone K30.
- Magnesium stearate.
- I-Talc.
- Isitashi sombila.
- Isitashi samazambane.
Ukwakheka kwegobolondo emboza ingaphezulu lamathebulethi kufaka phakathi okulandelayo:
- macrogol 6000;
- titanium dioxide;
- i-butyl methacrylate;
- i-Copolymer ye-demethylaminoethyl methacrylate ne-methacrylate;
- i-talcum powder.
Umuthi ufakwa emabhodleleni e-polypropylene. Ibhodlela elilodwa liqukethe amaphilisi angama-50.
Ibhodlela ngalinye ligcwele ebhokisini lekhadibhodi, lapho kubekwa khona imiyalo yokusebenzisa umuthi.
Ngaphezu kwalokho, isisombululo sokuphatha ukungena ngaphakathi siyatholakala. Umbala wesixazululo uluhlaza okotshani futhi obala. Isixazululo asifaki ukungcola okubonakalayo kwemishini.
Ukwakheka komuthi ngesimo sesisombululo somjovo kubandakanya amanzi ahlanziwe. Umuthi osesimweni sesisombululo uthengiswa engxenyeni engilazi engenagalasi enomthamo we-10 ml lilinye. Ama-Ampoules abekwa emapholishi epulasitiki abekwe emaphaketheni ekhadibhodi.
Izinkomba kanye ne-contraindication yokusebenzisa umuthi
Umuthi, ngokuya ngemiyalo yokusetshenziswa, ungasetshenziswa njengengxenye ekwelapheni okuyinkimbinkimbi kokuhluleka kwenhliziyo, okuyinto eyenzeka njalo ehambisana nokwakhiwa kwesifo sikashukela.
Lesi sidakamizwa singasetshenziswa uma kwenzeka kufikelwa i-acute myocardial infarction ne-cardiac arrhythmias.
Isidakamizwa sinconyelwe ukusetshenziselwa ukwenza ngcono ukubekezelelana komzimba kuma-glycosides enhliziyo.
Ukufakwa kwezinkinga zePanangin okubangelwa i-mellitus yesifo sikashukela ngesikhathi sokwelashwa kusiza ukunxephezela ukuntuleka kwe-magnesium ne-potassium emzimbeni wesiguli uma kwenzeka kwehla isibalo salezi zinto ezilandelwayo ekudleni okusetshenziswayo.
I-contraindication eyinhloko ekusebenziseni umuthi yile elandelayo:
- Ukuba khona kwezindlela ezinamandla nezingamahlalakhona zokwehluleka kwezinso.
- Ukuba khona kwe-hyperkalemia.
- Ukuba khona kwe-hypermagnesemia.
- Ukuba khona emzimbeni wesiguli kwesifo sika-Addison.
- Ukuthuthuka emzimbeni wesiguli sokuthuthumela kwe-cardiogenic.
- Ukuthuthukiswa kwe-myasthenia gravis enzima.
- Ukuphazamiseka kwezinqubo ze-metabolic ezithinta i-metabolism yama-amino acid.
- Ukuba khona kwe-acute metabolic acidosis emzimbeni.
- Ukomisa kakhulu.
Umuthi kufanele uthathwe ngokucophelela ngesikhathi sokukhulelwa nokuqunjelwa.
Uma usebenzisa isixazululo sokuphathwa kwe-intravenous, kukhona okulandelayo okuhambisana ne-contraindication:
- ukuba khona kokwehluleka kwezinso kwifomu elibi noma elingamahlalakhona;
- ukuba khona kwe-hyperkalemia ne-hypermagnesemia;
- Isifo sika-Addison;
- ukushaqeka okukhulu kwe-cardiogenic;
- ukomisa komzimba;
- ukunganele kwe-adrenal cortex;
- iminyaka yesiguli ingaphansi kweminyaka eyi-18;
- ukukhulelwa nokuqunjelwa;
- ukuba khona kwe-hypersensitivity kuzakhi zomuthi.
Isixazululo somjovo singasetshenziswa, kepha ngokucophelela okukhulu lapho siveza i-hypophosphatemia, i-urolithic diathesis ehambisana nokuphazamiseka ku-metabolism ye-calcium, i-magnesium ne-ammonium phosphate esigulini.
Imiyalo yokusebenzisa umuthi
Inhloso yesidakamizwa yenziwa ngenani lamaphilisi ama-1-2 kathathu ngosuku. Umthamo omkhulu wansuku zonke uphindwe kathathu ngosuku ngamathebhulethi ama-3.
Umuthi kufanele uphuzwe kuphela ngemuva kokudla. Lokhu kungenxa yokuthi imvelo ene-acid yephephabhuku lesisu yehlisa ukusebenza kahle kwomuthi owethulwe emzimbeni.
Isikhathi sokwelashwa kanye nesidingo sokuphinda izifundo zokwelashwa kunqunywa udokotela ohamba yedwa, kucatshangelwa imiphumela etholwe ngesikhathi kuhlolwa umzimba wesiguli.
Endabeni yokusebenzisa isixazululo sokuphathwa kwe-intravenous, umuthi uphathwa ngokudonsa emzimbeni, ngendlela yokumilisela kancane. Izinga lokufakwa yi-20 amaconsi ngomzuzu. Uma kunesidingo, ukuphathwa kabusha kwesidakamizwa kwenziwa ngemuva kwamahora angama-4-6.
Ngomjovo, isisombululo esilungiselelwe kusetshenziswa ama-ampoules ama-1-2 womuthi kanye ne-50-100 ml yesixazululo se-5% dextrose.
Umjovo ulungele ukwelashwa okuhlanganisa.
Ngesikhathi sokusebenzisa umuthi, imiphumela emibi ethile ingavela.
Imiphumela emibi ejwayelekile lapho usebenzisa indlela yomuthi wesifo sikashukela yile elandelayo:
- Mhlawumbe ukuthuthukiswa kwe-AV blockade.
- Ukuvela komzwa wesicanucanu, ukuhlanza, nohudo.
- Ukubonakala kokungakhululeki noma umuzwa ovuthayo kumanyikwe.
- Mhlawumbe ukuthuthukiswa kwe-hyperkalemia ne-hypermagnesemia.
Endabeni yohlobo 2 lwesifo sikashukela ezinganeni nakubantu abadala, isixazululo sokuphathwa kwe-intravenous kungenzeka, kuvela izimpawu ezilandelayo:
- ukukhathala;
- ukuthuthukiswa kwe-myasthenia gravis;
- ukuthuthukiswa kwe-paresthesia;
- ukudideka kokwazi;
- ukuthuthukiswa kokuphazamiseka kwesigqi senhliziyo;
- i-phlebitis kungenzeka.
Okwamanje, awekho amacala e-overdose ahlonziwe. Nge-overdose, ingozi ye-hyperkalemia ne-hypermagnesemia emzimbeni iyakhuphuka.
Izimpawu ze-hyperkalemia ukukhathala, i-paresthesia, ukudideka nokuphazamiseka kwesigqi senhliziyo.
Izimpawu eziphambili zokukhula kwe-hypermagnesemia ukwehla kokungabekezeleleki kwe-neuromuscular, isifiso sokuhlanza, ukugabha, isimo se-lethargy kanye nokwehla komfutho wegazi. Endabeni yokwanda okubukhali kwenani lama-ion we-magnesium ku-plasma yegazi, kuvela umgoqo we-tendon reflexes kanye nokukhubazeka kokuphefumula.
Ukwelashwa kuqukethe ukukhansela umuthi kanye nokwelashwa okubonakalayo.
Izimo zokugcina zomuthi, izifanekisombhalo nezindleko
Umuthi kumele ugcinwe kude nezingane ungawutholi. Ukushisa kwesitoreji kufanele kube ku-15 kuya ku-30 degrees Celsius. Impilo yeshelufu lomuthi osefomini yethebhulethi yiminyaka emi-5, futhi isisombululo somjovo wokujova sinempilo eshalofini leminyaka emi-3.
Ukubuyekezwa okuningi ngokusetshenziswa kwezidakamizwa ekwelashweni kwezinkinga zesifo sikashukela sohlobo 2 kulungile. Ukubuyekezwa okuhlanganisiwe okuhlanganisiwe kuvame ukuhlotshaniswa nokusetshenziswa komuthi ngokuphulwa kwezidingo zemiyalo nezincomo zikadokotela oholayo.
Umuthi ekwelapheni ushukela ungasetshenziswa kuphela njengoba uyalelwe udokotela wakho.
Lesi sidakamizwa sinezimpawu eziningi.
Enye yezidakamizwa ezidumile yi-Asparkam. Ukwakheka kwale mithi kucishe kufane, kepha i-Asparkam inezindleko eziphansi kakhulu uma kuqhathaniswa nomuthi wokuqala. I-Asparkam iyatholakala ngesimo samathebulethi ngaphandle kokubola kwangaphandle, ngakho-ke lesi sidakamizwa asinconywa ezigulini ezinesifo sikashukela esinezinkinga emgodini wokugaya ukudla.
Ngaphezu kwe-Asparkam, ama-analog of Panangin yi-Aspangin, Aspangin, Asparaginate ye potassium ne-magnesium, Pamaton.
Izindleko zePanangin zisensimini yeRussian Federation cishe ngama-ruble angama-330.
Ukuntuleka kwamavithamini kushukela kufakwe ngokwakhiwa kwezinkinga ezahlukahlukene. Yiziphi izinkinga ezingaba nesifo sikashukela esizochazwa uchwepheshe kuvidiyo ekulesi sihloko.
