Fentanyl

Zvemukati

• Chii ichochi
• Kushandisa sei
• 1. Transdermal chigamba
• 2. Solution yejekiseni
• Ndiani asingafanire kushandisa
• Zvinogona kuitika mhedzisiro

Fentanyl, inozivikanwawo se fentanyl kana fentanyl, mushonga unoshandiswa kubvisa kurwadziwa kusingaperi, kurwadziwa kwakanyanya kana kushandiswa mukuwedzera kune anesthesia yakajairika kana yemuno kana kudzora kurwadziwa kwepashure pekushanda.

Ichi chinhu chinowanikwa mune transdermal chigamba, mune akasiyana madhiri, uye inogona kuiswa nemunhu kana kuitiswa kuburikidza jekiseni, iyo yekupedzisira inofanirwa kupihwa nachiremba wezvehutano.

Chii ichochi

Transdermal adhesive fentanyl mushonga unoratidzwa pakurapa kurwadziwa kusingaperi kana kurwadziwa kwakanyanya kunoda opioid analgesia uye haigone kurapwa nemubatanidzwa weparacetamol uye opioid, asiri-steroidal analgesics kana neapioid-pfupi.

Jekiseni fentanyl inoratidzirwa pazvinenge zvichidikanwa munguva pfupi yapashure pekuvhiya, kuti ishandiswe sechinhu chinonyaradza marwadzo kana yekukonzeresa kutindivadza nekuwedzera kweanesthesia yemuno, yekubatana kwekutonga pamwe neuroleptic mukugadzirira mishonga, kuti ishandiswe seanesthetic mumiririri ane oxygen mune imwe njodzi ine njodzi. varwere, uye yehutachiona hutungamiri kudzora kurwadziwa kwepashure kwekuvhiya, chikamu chekusiya kana kumwe kuvhiyiwa kwemimba. Dzidza zvakawanda nezve epidural anesthesia.

Kushandisa sei

Iyo posology yefentanyl zvinoenderana neyero fomu iri kushandiswa:

1. Transdermal chigamba

Kune akati wandei madheji ezve transdermal zvigamba zviripo, izvo zvinogona kuburitswa 12, 25, 50 kana 100 mcg / awa, kwemaawa makumi manomwe nemaviri. Iyo yakatemwa muyero inoenderana nekuwedzera kwemarwadzo, mamiriro akajairika emunhu uye nemushonga uyo wakatorwiswa kubvisa marwadzo.

Kuti ushandise chigamba, sarudza yakachena, yakaoma, isina vhudzi, nzvimbo yeganda isina kugadzikana pane torso yepamusoro kana paruoko kana kumashure. Muvana rinofanira kuiswa nechekumusoro kumashure kuti asaedze kuibvisa. Kana yangoiswa, inogona kusangana nemvura.

Kana chigamba chikauya mushure menguva yekushandisa, asi pamberi pemazuva matatu, chinofanira kunge chakaraswa zvakanaka chikaiswa chigamba chitsva mune imwe nzvimbo kubva pane yapfuura uye zivisa chiremba. Mushure memazuva matatu, inonamira inogona kubviswa nekuipeta kaviri nerutivi rwekunamira mukati uye nekurasa zvakachengeteka. Mushure meizvi, iyo yekunamatira nyowani inogona kuiswa zvinoenderana neyekutakura mirairo, ichidzivirira nzvimbo imwechete seyakare yapfuura Zuva rekuisa chinonamira rinofanira kucherechedzwa pazasi pepakeji.

2. Solution yejekiseni

Mushonga uyu unogona kupihwa neepidural, intramuscular kana vein, nehutano nyanzvi, zvinoenderana nechiratidzo chechiremba.

Zvimwe zvezvinhu zvinofanirwa kutariswa pakusarudza muyero wakakodzera zvinofanirwa kusanganisira zera remunhu, huremu hwemuviri, chimiro chemuviri pamwe nehurwere, kuwedzera pakushandiswa kwemimwe mishonga, mhando yeanesthesia inoshandiswa uye nzira yekuvhiya inobatanidzwa.

Ndiani asingafanire kushandisa

Mushonga uyu unopesana mune vanhu vane hypersensitivity kune chero zvezvinhu zviripo mufomula kana kune mamwe maopioid.

Uye zvakare, haifanire kushandiswa nevakadzi vane nhumbu, vari kuyamwisa kana panguva yekusununguka, kunze kwekunge varumbidzwa nachiremba.

Zvinogona kuitika mhedzisiro

Mhedzisiro inowanzoitika inogona kuitika nekushandiswa kweiyo transdermal chigamba muvanhu vakuru kushaya hope, kurara, dzungu, kusvotwa, kurutsa uye kutemwa nemusoro. Muvana, zvinowanzoitika mhedzisiro zvinogona kuitika ndezvemusoro, kurutsa, kusvotwa, kuzvimbirwa, manyoka uye kuwanda kwese.

Mhedzisiro inowanzoitika iyo inogona kuitika nekushandiswa kwejekiseni fentanyl kushungurudzika, kurutsa uye kuomarara kwemhasuru.