Dexamethasone in ampoules - zvose zvinoshandiswa pakushandisa zvinodhaka

Mushonga Dexamethasone, mumaboules akabudiswa, inonzi anogue inoenderana nemahomoni, ayo anogadzirwa neadrenal cortex. Urongwa hwehutano uye zvirwere umo mushonga unoshandiswa wakazara. Nhamba, nguva uye nguva yehutungamiri inotarisana nehutano hwehutachiona, nguva yemurwere uye danho rechirwere.

Ndeipi chinangwa cheDexamethasone mu-ampoules?

Mushonga uyu mufananidzo uyu, vanachiremba vanoshandisa apo pane kudiwa kwekukurumidzira kudzoza maitiro ehomoni muropa. Muongorori chete anokwanisa kupa Dexamethasone, zviratidzo zvekushandiswa kweizvi ndezvizvi:

1. Kushungurudzika kwegadziriro ye endocrine: kusagadzikana kweadrenal cortex yemhando yakaoma, yepakutanga uye yechipiri maitiro ekushaya kukwana, congenital hyperplasia ye adrenal cortex, thyroiditis muchimiro chakaoma.
2. Kushungurudzika kwemamiriro emuviri - kupisa, kushungurudzika, kutyisa muviri (pasina kushaya simba kwevasoconstrictor madhiragi, vatsigiri vema plasma)
3. Edema yemuropi sechikonzero chemuviri, TBI, kuvhiyiwa, kupwanya, meningitis.
4. Chimiro chechimiro chechirwere - chirevo chinonzi spasm chebronchi, chronic obstructive bronchitis .
5. Anaphylactic shock .
6. Acute dermatosis .
7. Zvirwere zvinouraya: kurapa kweukwepa, lymphoma.
8. Zvirwere zveropa - hemolytic inoti, agranulocytosis. Inowanzoshandiswa Dexamethasone yekusimudza leukocyte .

Dexamethasone muChirongwa Chokuzvitakura

Kazhinji, mishonga inogona kuwanika muurongwa hwekugadza vanaamai vanotarisira. Panguva imwecheteyo, vakadzi pachavo vanofarira vanachiremba, izvo zvavanorayira Dexamethasone mukuronga kwepamuviri. Chinangwa chikuru chinotungamirirwa navanachiremba chirwere che hyperadromia. Ichi chirwere chinoratidzirwa nekuwedzera kunowedzera munhurume dzepabonde dzepabonde muropa remukadzi. Kukanganisa uku kunovhiringidza kutanga kwemimba, uye kana zvikaitika - ngozi yekuberekwa kusati yasvika uye kukanganisa kuberekwa kwenguva pfupi kunowedzera.

Dexamethasone in Pregnancy

Muzviitiko zvakawanda uye mushure mokutanga kwekubata pamuviri, vakadzi vanoenderera mberi kutora Dexamethasone mu-ampoules, asi pamutsetse wakaderera. Vanachiremba vanonyevera muviri pamusoro pekugona kubvisa pamuviri zvishoma nezvishoma pamusoro penzvimbo yekuwedzera kwekuwedzera kwe androgens. Zvisinei, Dexamethasone yevakadzi vane pamuviri inogonawo kutarirwa kune zvimwe zvinetso:

1. Iyo ngozi yakawanda yekuberekwa nguva isati yakwana - mishonga inobatsira kutanga kusimwa kwemapapu emucheche, izvo zvinoita kuti fetus ishande.
2. Kuvapo mumhuri yeamai vemhuri ine kukanganisa kwakaberekwa - kushaya mahomoni eAdrenal cortex.
3. Zvakawanda, kutapurika kwehupenyu hunotyisa: kukuvadza kunokonzerwa nehutachiona, kutya, autoimmune, zvirwere zverheumatic.

Dexamethasone vana

Chirwere cheDexamethasone chinogonawo kurongerwa kurapwa kwevana - vose vacheche nevana vaduku. Kusarudzwa kweroji, nguva uye nguva yakawanda yekushandisa zvinodhaka kunoitwa mumwe nomumwe. Pakati pezvinokanganisa zvinogona kuitika, iyo Dexamethasone inogona kushandiswa kuvana, zvakakosha kusiyanisa:

• anaphylactic shock;
• cerebral edema semugumisiro wekutambudzika, meningitis, tumor;
• kusakwana basa re adrenal cortex;
• toxic, burning shock;
• Chirwere cheCrohn ;
• ulcerative colitis;
• glomerulonephritis;
• hemolytic anemia;
• leukemia.

Dexamethasone - zvinyorwa zvekushandiswa

Dexamethasone in ampoules haigoni kushandiswa nguva dzose. Kune hutano hwakawanda hwezvirwere uye zvirwere umo mushonga unorambidzwa kushandiswa. Zvichipiwa izvi, hazvigamuchirwi kuzvishandisa zvakasununguka zvinodhaka Dexamethasone, izvo zvinopesana nekushandisa izvo zvinotevera:

• hypersensitivity kune mumwe munhu zvikamu zvemuropa;
• systemic fungal zvirwere;
• amoebic infections;
• zvirwere zvinotapukira muzvibatanidza uye zvakapoteredza maviri akabatanidzwa;
• tuberculosis ari mushandi wakaita;
• nguva inotangira kuumbwa kwezvidzivirira zvekudzivirira, uye pashure pokunge vashandurwa;
• glaucoma;
• zvirwere zvinotapukira zvemaziso.

Dexamethasone - madhara

Nekushandisa kwakakodzera kwechirwere cheDexamethasone, migumisiro yakaipa haifaniri. Muzviitiko zvakawanda, kutaridzika kwavo kunokonzerwa nokuregererwa kwezvirongwa zvechiremba kana kushandiswa kuzvimiririra kwemishonga. Dexamethasone injections, kushandiswa kwayo kuchakurukurwa pasi apa, kazhinji kunokonzera migumisiro yerudzi urwu:

1. Pane chikamu che endocrine system - chirwere cheshuga steroid, chakakonzera kukanganisa kwemuviri kuti glucose, kuderedzwa kwebasa rekuita, Itenko-Cushing syndrome, kunonoka pakuyaruka muvechiri kuyaruka.
2. Pane chikamu chekudya kwekudya - kushushikana, kurutsira, steroid mudumbu ulonda, pancreatitis, kubuda mumimba, kuderera kana kukura kudya, hiccups, flatulence.
3. Kubva pamwoyo yematambudziko - arrhythmia, bradycardia, mwoyo kusagadzikana, kuwedzerwa kweropa, hypercoagulable (kuwedzerwa ropa kuvhara).
4. Nervous system - kusavhiringidzika, euphoria, kukanganisa, psychosis, paranoia, kuwedzerwa kudzvinyirira, kutya, kutya, kusuruvara, chirwere.
5. Pane chikamu chemu musculoskeletal system - kuderera kwekukura uye kushandiswa kwemaitiro, myalgia, kuputika kwemisimba, kushaya simba, kuneta.

Dexamethasone - kushanda

Kupa varwere Dexamethasone mumaboules, nzira yekutungamirira (kuiswa) kwechirwere chiremba anogadza, maererano nechinangwa. Izvi zvinofunga nezvemadii anodiwa kuti zvibudirire maitiro ekurapa. Chiremba regimen munhu mumwe nomumwe uye chinotarisana nemamiriro emurwere uye mhinduro kune chirwere chinoramba chiripo. Iyo mishonga inogona kujowa intramuscularly, intravenously drip and jet. Izvo zvinogonawo kugadziriswa kwemunharaunda yezvinodhaka mune zvidzidzo zvechirwere. Vatambi vanogona kushandisa Dexamethasone kuti uwane kuwanda.

Dexamethasone intramuscularly

Mushonga unoshandiswa mukuenderana nemirairo yemishonga. Mumuviri, Dexamethasone yejojo ​​inoshandiswa zvishoma nezvishoma, kupfuura urefu hwose hwetsono. Nhamba yacho inoratidzirwa nachiremba uye inotarirwa mumwe nomumwe. Iyo mishonga inogona kutarisirwa pa 4-20 mg 3-4 dzimwe nguva pazuva. Nhamba yepamusoro yevamwe vakuru inogona kuva 80 mg. Nokurapa kwenguva yakareba kuti urambe uine hunobudirira, mishonga inoshandiswa mudiki kadiki - 0.2-9 mg. Nguva yenguva yekurapa kazhinji mazuva 3-4, mushure mokunge mishonga ichi ichienderera mberi kutorwa nemuromo.

Dexamethasone - Dropper

Intravenously, mishonga inoshandiswa mune zvinetso zvakanyanya zvinoda kurapwa. Kuti agadzirire sarudzo yekudonha, isotonic solution ye sodium chloride kana 5% solution ye dextrose inoshandiswa. Nekugadzwa kwechirwere Dexamethasone, kuyerwa kunosarudzwa mumwe nomumwe. Muchidimbu chikuru, chirwere chacho chinotarisirwa chete kusvikira mamiriro ezvinhu emurwere akadzikama. Izvi zvinotora 48-72 maawa. Chirwere chimwe chete cheDexamethasone mu ampoules chinogona kusvika 20 mg uye chinogona kutarisirwa kusvika 4 kana pazuva. Mishonga inodonha zvishoma nezvishoma.

Dexamethasone for inhalations

Nechinangwa ichi, chirwere chinoshandiswa mu bronchospasm yakanyanya. Zviri mukati ma 1 ampoule yeDexamethasone zvakapedzwa muna 20-30 meri yehupenyu hwehutano. Muvhenganiswa unoguma unodururirwa mukati mehuni uye inoshandiswa pakuita. Nguva yekutonga kumwe chete haifaniri kudarika maminitsi gumi. Nhamba yemitemo zuva rimwe nerimwe uye nguva yekodzero yekurapa kwakadaro inogadzwa nachiremba, iyo inofunga nezvekunyanya kwechirwere, chikwata chayo, kukwirira kwechirwere chechipatara, kuvapo kana kusavapo kwemamwe zviratidzo.

Ndekupi kuchengetedza dexamethasone mumaboules?

Maererano nemirayiridzo inouya nekateti, mhinduro yeDexamethasone inofanira kuchengetwa pakushambidzika kunenge + 25 degrees. Zvakakosha kusarudza nzvimbo ine rima, isingasvikiki kumwana. Sirifu upenyu hwomuviri wejojo ​​wechirwere ndeye makore mashanu. Mushure mokuzarura purogiramu, mishonga mumapiritsi uye potasium eye inofanira kushandiswa mukati memazuva makumi mana. Ampoules inogona kuchengetwa pasi pemamiriro ekunze kusvikira zuva rinoratidzwa pamushonga wepiritsi.

Dexamethasone - analogs mu ampoules

Nekuvandudzwa kwehutano hwehutachiona, kusakwanisa kushandisa chirwere ichi nekuda kwemigumisiro, mishonga yakafanana inogona kurongerwa. Zhinji dzazvo dzine dexamethasone imwe chete, asi zvibatsiro zvekubatsira zvakasiyana. Varwere vasina kukodzera kuti dexamethasone, zvienzaniso zvingarongedzerwa zvinotevera:

• Dexamed;
• Megadexan;
• Dexazone;
• Maxidex;
• Dexapos.

Sezvo imwe nzira inogona kushandiswa zvinodhaka zveboka re glucocorticoids:

• Hydrocortisone;
• Budesonide;
• Mometasone.