Cov tshuaj Dexamethasone, nyob rau hauv ampoules, yog ib qho hluavtaws analogue ntawm cov tshuaj hormones, uas yog coj los ntawm cov qoob loo adrenal. Cov npe ntawm cov kab mob thiab cov kab mob uas siv yeeb tshuaj yog siv dav. Ntau npaum li cas, noj npaum li cas thiab ntev npaum li cas ntawm cov thawj coj nyob ntawm seb hom pathology, hnub nyoog ntawm tus neeg mob thiab theem ntawm tus kab mob.
Lub hom phiaj ntawm Dexamethasone hauv ampoules yog dab tsi?
Cov tshuaj nyob rau hauv daim ntawv no, cov kws kho mob siv thaum muaj mob ceev heev los ntxiv rau lub ntsiab ntawm cov tshuaj hauv cov ntshav. Tsuas yog ib tus kws khomob tshwjxeeb tuaj yeem sau Dexamethasone, qhov qhia tau rau daim ntawv thov kev pabcuam raws li hauv qab no:
- Cov kab mob ntawm qhov kev ua haujlwm endocrine: tsis muaj peev xwm ntawm adrenal cortex ntawm yam mob, thawj thiab theem nrab ntawm cov tsis muaj txhij txhua, congenital hyperplasia ntawm adrenal cortex, thyroiditis nyob rau hauv daim ntawv mob.
- Poob siab mob ntawm lub cev - Burns, trauma, lom ntawm lub cev (nrog tsis muaj lub txiaj ntsim ntawm cov yeeb tshuaj vasoconstrictor, plasma hloov)
- Kev ua rau lub hlwb ua lub txiaj ntsim ntawm qog, TBI, phais, nqaij tawv, meningitis.
- Asthmatic txheej xwm - pronounced spasm ntawm bronchi, ntev obstructive bronchitis .
- Anaphylactic poob siab .
- Mob dermatosis .
- Malignant kab mob: kev kho mob ntawm leukemia, lymphoma.
- Kab mob ntawm cov ntshav - hemolytic lub xeev, agranulocytosis. Feem ntau siv Dexamethasone rau kev tshem cov leukocytes .
Dexamethasone hauv kev npaj rau cev xeeb tub
Feem ntau, cov tshuaj muaj peev xwm nrhiav tau nyob rau hauv daim ntawv teev cov sij hawm teem rau cov niam txiv uas muaj menyuam coob coob. Tib lub sijhawm, cov poj niam lawv tus kheej xav tau cov kws kho mob, uas lawv tau sau rau Dexamethasone hauv kev npaj plab me nyuam. Lub hom phiaj tseem ceeb ntawm cov kws kho mob yog qhov kev kho tus mob hyperadromia. Qhov kev nyuab siab no yog tus cwj pwm ntawm cov poj niam txiv neej pw ua ke hauv cov hlab ntshav ntawm ib tug poj niam. Qhov kev ua txhaum no yuav cuam tshuam qhov pib ntawm qhov kev xav, thiab thaum twg nws tshwm sim - qhov kev pheej hmoo ntawm kev yug ntxov thiab qhov cuam tshuam kev xeeb tub rau lub sij hawm luv luv yog nce.
Dexamethasone nyob rau hauv Cev xeeb tub
Hauv feem ntau thiab tom qab pib qhov kev xav, cov poj niam tseem noj tshuaj Dexamethasone hauv ampoules, tab sis nyob ntawm qis dua. Cov kws kho mob ceeb toom lub cev tiv thaiv tsis tau kev rho menyuam tawm tsam ntawm keeb kwm ntawm kev nce ntau ntawm kev sib tsoo. Txawm li cas los xij, Dexamethasone rau cov poj niam cev xeeb tub kuj tuaj yeem muab tshuaj rau lwm yam mob:
- Txoj kev pheej hmoo siab ntawm kev yug ntxov ntxov - cov tshuaj muaj txiaj ntsig rau qhov qub thaum yug ntawm lub ntsws ntawm tus me nyuam, uas ua rau fetus tseem siv tau.
- Lub xub ntiag nyob rau hauv tsev neeg ntawm ib leej niam ntawm cov txheeb ze nrog ib tug tsis sab hauv kev ua txhaum - ib tug tsis muaj hormones ntawm adrenal cortex.
- Mob hnyav, hnoos tuag taus txoj sia: muaj kev tsis haum tshuaj loj, poob siab, otoimmune, rheumatic kab mob.
Dexamethasone rau cov me nyuam
Cov tshuaj Dexamethasone kuj tuaj yeem kho mob rau cov me nyuam - cov me nyuam mos thiab cov me nyuam loj zog. Kev xaiv cov tshuaj noj, ntev npaum li cas thiab kev siv tshuaj ntau npaum li cas yog nqa tawm. Ntawm cov kev ua txhaum cai, uas Dexamethasone tuaj yeem siv tau rau cov menyuam yaus, nws yuav tsum paub qhov txawv:
- anaphylactic poob siab;
- kev puas hlwb cerebral los ntawm kev raug mob, mob ntses meningitis, qog;
- txaus ua haujlwm ntawm cov cortex adrenal;
- lom, hlawv poob siab;
- Crohn tus mob ;
- mob plab;
- glomerulonephritis;
- hemolytic anemia;
- leukemia.
Dexamethasone - contraindications rau kev siv
Dexamethasone hauv ampoules tsis tuaj yeem siv. Muaj ntau cov kab mob thiab cov kab mob uas siv yeeb tshuaj rau kev siv. Muab cov cuab yeej tshwj xeeb no, nws yog ib qho tsis tsim nyog rau kev siv tshuaj rau Dexamethasone, qhov contraindications rau kev siv uas yog cov hauv qab no:
- hypersensitivity rau ib leeg ntawm cov tshuaj;
- kev mob ntsws mob ntsws;
- amoebic kab mob;
- kis cov kab mob hauv cov pob qij txha thiab nyob ib puag ncig cov leeg cov leeg;
- tuberculosis nyob rau hauv lub cev;
- lub sij hawm ua ntej tsim kev tiv thaiv kab mob, thiab tom qab lawv ua tiav;
- glaucoma;
- kis kab mob ntawm lub qhov muag.
Dexamethasone - phiv tshuaj
Nrog rau kev siv cov tshuaj Dexamethasone, cov kev mob tshwm sim muaj tsawg. Feem ntau, lawv cov tsos yog vim kev tsis saib xyuas ntawm tus kws kho mob cov lus pom zoo lossis kev siv ywj pheej ntawm kev siv tshuaj. Dexamethasone txhaj tshuaj, kev siv uas yuav tsum tau tham txog hauv qab no, feem ntau ua rau cov kev mob tshwm sim ntawm cov nram qab no:
- Nyob rau ntawm qhov kawg ntawm qhov kev ua kom muaj kab mob hauv lub cev - cov kab mob ntshav qab zib hom tawv nqaij, tsis tshua raug lub cev kom piam thaj, tsis muaj teeb meem adrenal, Itenko-Cushing syndrome, qeeb nyob hauv tiav nkauj tiav nraug hauv cov hluas.
- Nyob rau ntawm ib qho ntawm lub plab zom mov - xeev siab, ntuav, steroid plab ulcer, pancreatitis, plab hnyuv voos, ploj los sis muaj zog, muaj zog, kab ntsig.
- Ntawm lub plawv hlav plawv - arrhythmia, bradycardia, plawv tsis ua hauj lwm, muaj ntshav siab, hypercoagulable (muaj ntshav nce ntshav).
- Lub cev tsis muaj zog - kev ua kom zoo siab, kev zoo siab, kev xav, kev xav, kev mob hlwb, kev ua kom muaj zog hauv siab, kev ntxhov siab, ntxhov siab vim, insomnia, kiv taub hau.
- Nyob rau ntawm ib feem ntawm cov kab mob musculoskeletal - kev qaug zog hauv kev loj hlob thiab ossification, myalgia, leeg ntshiv, tsis muaj zog, qaug zog.
Dexamethasone - daim ntawv thov
Tso cov neeg mob Dexamethasone hauv ampoules, hom kev qhia (kev taw qhia) ntawm cov tshuaj uas tus kws kho mob txiav txim siab, raws li lub hom phiaj. Qhov no yuav siv sij hawm mus rau hauv tus txheejtxheem qhov tsim nyog kom ncav cuag cov kev kho mob. Kev noj tshuaj feem ntau yog ib tus neeg thiab nyob ntawm tus neeg mob qhov kev mob thiab kev teb rau kev kho mob tsis tu ncua. Cov tshuaj tuaj yeem raug txhaj tshuaj tiv thaiv kab mob, tso dej thiab ntub dej. Nws tseem tuaj yeem ua haujlwm hauv zos ntawm cov tshuaj hauv kev kawm txog kev mob ntsws. Cov neeg ncaws pob siv tau Dexamethasone rau qhov hnyav nce.
Dexamethasone intramuscularly
Cov tshuaj siv nyob rau hauv nruj raws li kev kho mob cov tshuaj. Nyob rau hauv cov leeg, Dexamethasone rau kev txhaj tshuaj yog qeeb qeeb, thoob plaws tag nrho ntawm lub koob. Qhov kev siv tshuaj yog qhia los ntawm tus kws kho mob thiab xam tus kheej. Cov tshuaj no yuav tau txhaj tshuaj thaum 4-20 mg 3-4 zaug ib hnub twg. Qhov ntau tshaj ib koob rau cov neeg laus tuaj yeem yog 80 mg. Nrog lub sij hawm ntev kho kom tswj tau cov nyhuv, cov tshuaj yog muab rau hauv ib qho kev me dua - 0.2-9 mg. Qhov ntev ntawm cov kev kho mob yog feem ntau yog 3-4 hnub, tom qab uas cov tshuaj tseem yuav tau noj ntawm ncauj.
Dexamethasone - Dropper
Muab hlab ntaws, cov tshuaj siv rau hauv kev mob hnyav ntxiv uas yuav tsum tau saib xyuas kev kho mob. Yuav kom npaj tau ib qho kev daws teeb meem, ib qho tshuaj isotonic ntawm sodium chloride los sis siv 5% ntawm dextrose. Nrog lub sij hawm teem rau tshuaj Dexamethasone, cov tshuaj tsuas xaiv ib tus zuj zus. Hauv kev siv loj, cov tshuaj no tsuas yog siv kom txog thaum tus neeg mob mob. Qhov no siv sijhawm 48-72 teev. Ib koob ntawm Dexamethasone hauv ampoules tuaj yeem ncav 20 mg thiab tuaj yeem siv txog 4 zaug ib hnub twg. Cov tshuaj drips maj mam.
Dexamethasone rau kev nqhis dej
Rau lub hom phiaj no, cov tshuaj siv nyob rau hauv loj bronchospasm. Tus txheem ntawm 1 ampoule ntawm Dexamethasone yog yaj nyob rau hauv 20-30 ml ntawm physiological daws. Lub resulting sib tov yog poured rau hauv lub tshuaj txau thiab siv rau txoj kev. Lub sijhawm ua haujlwm ntawm ib txoj haujlwm yuav tsis pub tshaj 10 feeb. Tus naj npawb ntawm cov txheej txheem ib hnub thiab lub sij hawm ntawm cov kev kho mob no yog tsim los ntawm tus kws kho mob, uas yuav siv li ntawm hom kev tsis sib haum, nws theem, qhov hnyav ntawm daim duab kab mob, qhov muaj los yog tsis muaj cov tsos mob ntxiv.
Qhov twg los khaws dexamethasone hauv ampoules?
Raws li cov lus qhia ua ke nrog cov khoom siv, kev daws Dexamethasone yuav tsum tau muab cia rau ntawm qhov kub li ntawm +25 degrees. Nws yog ib qho tsim nyog yuav tau xaiv ib qho chaw tsaus, tsis muaj chaw nyob rau tus me nyuam. Txee lub neej ntawm kev txhaj tshuaj ntawm cov tshuaj yog 5 xyoos. Tom qab qhib lub pob, cov tshuaj nyob rau hauv cov ntsiav tshuaj thiab qhov muag poov tshuaj yuav tsum siv nyob rau hauv 28 hnub. Ampoules tuaj yeem muab cia rau hauv cov xwm txheej saum toj no kom txog rau thaum hnub tim uas teev rau hauv cov pob tshuaj.
Dexamethasone - analogs hauv ampoules
Nrog rau kev txhim kho cov tshuaj tiv thaiv kev tsis haum, tsis muaj peev xwm siv cov tshuaj vim muaj kev phiv tshuaj, yuav tsum muaj cov tshuaj zoo sib xws. Feem ntau ntawm lawv muaj tib lub pob tshuaj, tab sis lub koom haum pab pawg sib txawv. Cov neeg mob uas tsis haum rau dexamethasone, analogs yuav tau sau cov nram qab no:
- Dexamed;
- Megadexan;
- Dexazone;
- Maxidex;
- Dexapos.
Raws li lwm txoj kev txhais tau tias yuav siv tau cov tshuaj ntawm pawg glucocorticoids:
- Hydrocortisone;
- Budesonide;
- Mometasone.