"Omnipak": cov lus qhia rau kev siv, tiag tiag counterparts

Muaj tseeb txhua txhua tus txiv neej kos npe rau ib tug kws kho lub sij hawm, raws li X-rays. Nws txhais tau tias txoj kev tshawb no hauv cov qauv hauv nruab nrog cev thiab cov nqaij mos ntawm cov tib neeg lub cev. Lawv npaj mus rau ib tug tshwj xeeb daim ntawv los yog zaj duab xis siv X-rays. Tsaug rau txoj kev tshawb no, tus kws kho mob yog yooj yim npaum li mus ua ib tug tseeb mob thiab muab kev kho mob.

Mus piv rau tus txheej txheem thiab txhim kho lub visualization ntawm hauv nruab nrog cev thiab cov nqaij mos, siv X-ray zoo nrog. Lawv siv tsuas yog thaum moj txoj kev.

Feem ntau, xws comprise ib iodine los sis barium.

Ib qho ntawm feem nrov X-ray zoo agents yog "Omnipak". Cov lus qhia rau kev siv, analogs ntawm lub cuab tam, nws tus yam ntxwv thiab muaj pes tsawg leeg yuav tsum tau nthuav tawm hereinafter.

tso tawm hauv daim ntawv ntawm cov tshuaj, nws ntim, kev piav qhia thiab muaj pes tsawg leeg

Nyob rau hauv dab tsi daim ntawv tso radiopaque tus neeg saib xyuas "Omnipak"? Cov lus qhia rau kev siv, tawm tswv yim daim ntawv qhia uas hais tias medicament yog ib tug ntshiab tov rau intravascular, intrathecal thiab intracavitary kev txhaj tshuaj. Nyob rau hauv kev muag khoom nws tuaj txog nyob rau hauv hwj ntawm 20, 10, 100, 50 los yog 200 ml. Nyob rau hauv ib thawv muaj tej zaum yuav 6, 25 los yog 10 daim.

Kev npaj "Omnipaque" qhia uas yog muab hauv qab no, muaj nyob rau hauv nws cov qauv iohexol, hydrochloric acid, trometamol, muaj menyuam tsis taus dej thiab EDTA (i.e. edeteat sodium-calcium).

Pharmacodynamic yam ntxwv radiopaque neeg sawv cev

Yuav ua li cas yog cov tshuaj "Omnipak"? Cov lus qhia rau Siv lub xeev hais tias nws yog radiopaque neeg sawv cev. Cov nyhuv ntawm tom qab siv yog tiav vim lub haum ntawm organically ua txhua yam iodine X-rays. Radiographs nws tso cai rau yuav pom tau ib tug ntau yam ntawm cov hlab ntsha, cov nqaij, thiab kab noj hniav.

Qhov zoo tshaj plaws radiopacity nyob rau hauv cov pa myelography cai tom qab 30 feeb. Thiab tom qab 60 feeb, tub ceev xwm tsis tau nws.

CT qauv thoracic tau rau ib teev, nyob rau hauv lub tsev me nyuam cheeb tsam - rau ob teev thiab basal cisterns - 4 teev lawm.

Contrasting lub tsev me nyuam, biliary thiab pancreatic ducts, articular kab noj hniav, txoj hlab qe menyuam, zais zis thiab peritoneal protrusions yog tiav sai li sai tau tom qab thawj coj ntawm cov tshuaj.

Lub pharmacokinetic thaj chaw ntawm cov tshuaj

Yuav ua li cas kinetics raug rau "Omnipak" tshuaj? Cov lus qhia rau kev siv ntawm cov lus ceeb toom hais tias tom qab cov thawj coj los ntawm iohexol nyob rau hauv cov hlab ntsha thaum lub sij hawm lub hnub nws yog yuav luag tag tas ntawm ob lub raum. Qhov siab tshaj plaws tshuaj concentration tiav tom qab 60 feeb nyob rau hauv cov zis.

ib nrab-lub sij hawm cov kev pab thaum lub sij hawm ib txwm lag luam ntawm lub raum system yog ob teev. Cov tshuaj yog yuav luag tsis khi rau ntshav proteins.

Intrathecal xam tau tias yog medicament los ntawm lub hlwb txha nqaj qaum kua nkag mus rau hauv cov hlab ntsha thiab ces tas los ntawm ob lub raum unchanged. Nyob rau hauv cov ntaub ntawv no, cov ib nrab-lub neej yog hais txog 4 teev.

Indications radiopaque neeg sawv cev

Yog vim li cas kuv yuav tsum tau noj tshuaj "Omnipak"? Cov lus qhia rau kev siv (qhov no txhais tau tias nyob rau hauv ampoules muag nyob rau hauv txhua lub chaw muag tshuaj) hais tias cov tshuaj yog npaj rau X-ray zoo tshawb fawb ntawm cov neeg laus thiab cov me nyuam. Nws yog siv nyob rau hauv urography, kardioangiografii, arteriography, computer tomography, phlebography, thoracic, lumbar thiab lub tsev me nyuam myelography, CT cisternography, endoscopic retrograde pancreatography, arthrography, salpingography, cholangiopancreatography thiab endoscopic mob huam kev tshawb fawb.

Contraindications rau kev siv ntawm cov tshuaj

Nyob rau hauv tsis muaj kev tshwm sim yuav tsum tsis txhob muab cov tshuaj "Omnipak"? Cov lus qhia rau kev siv (lus ntawm cov tshuaj yog hais hauv qab no) qhia cov nram qab no contraindications:

• hyperthyroidism;
• npau taws me ntsis rau cov tshuaj;
• cev xeeb tub;
• hauv zos thiab mauj mob;
• qaug dab peg (rau subarachnoid txhaj);
• cerebral kab mob (rau subarachnoid txhaj).

Nrog huab ceev faj yog ib tug uas siv nyob rau hauv cov ntshav qab zib, lub cev qhuav dej, pulmonary tawg, kab mob, uas tshwm sim nyob rau hauv kev mob loj daim ntawv no, ntau yam sclerosis, raum thiab lub siab tsis ua hauj lwm, ntau yam myeloma, mob alcoholism, Buerger tus kab mob, mauj thiab lub zos tsis haum cov kab mob thiab tshua mob thrombophlebitis, qaug dab peg, atherosclerosis, thiab thaum lub sij hawm lactation, thiab cov laus uas muaj hnub nyoog.

Cov tshuaj "Omnipaque": cov lus qhia rau kev siv

50 ml, 20 ml, 10 ml, 100 ml, 50 ml los yog 200 ml - koob tshuaj uas yog siv rau diagnostic cov txheej txheem? Cov tshuaj thiab cov qauv ntawm cov thawj coj ntawm cov tshuaj no yog txiav txim los ntawm ntau yam tseem ceeb. Cov no muaj xws li ib tug daim ntawv ntsuam xyuas txoj kev, cov kev mob ntawm tus neeg mob, nws lub cev hnyav, hnub nyoog, ntim ntawm mob tso zis, thiab tshaj.

Cov pom zoo ntau npaum regimen ntawm lub cuab tam, thiab nws cov concentration yuav tsum tsuas yog ntsia diagnostician. Tom qab cov kev taw qhia ntawm cov tshuaj yuav tsum xyuas kom meej haus dej kom txaus ntawm cov neeg mob.

Sab los tom qab thawj coj

Yus muaj los ntawm seb tus "Omnipak" phiv rau cov tshuaj? Cov lus qhia nyob rau hauv daim ntawv thov hais tias thaum intracavitary kev taw qhia ntawm qhov cuab tam yog heev tsis tshua muaj ua rau kev tsis haum tshuaj raws li zoo raws li xeev siab, ntuav thiab puas kub.

Intrathecal medicament kuj tau kev xeev siab thiab ntuav. Nyob rau hauv tas li ntawd, cov neeg mob tej zaum yuav tsis txaus siab ntawm ib tug mob taub hau, mob thiab paresthesias nyob rau hauv lub rov qab, caj dab thiab nqua, raws li zoo raws li kiv taub hau thiab convulsions (nyob rau hauv raug neeg).

Overdose zoo xov xwm

Yuav ua li cas yuav tshwm sim rau cov tshuaj overdose "Omnipak 350"? Phau Ntawv Qhia neeg pab leg ntaubntawv hais tias cov uas muaj feem yuav yog tsawg heev, tab sis yuav raug thawj coj ntawm cov tshuaj rau ib tug luv luv lub sij hawm ntawm lub sij hawm ntawm ib koob tshuaj tsis ntau tshaj 2000 mg / kg iodine.

Tej yam tshwm sim ntawm ib tug overdose ntawm no lub cuab tam muaj xws li cyanosis, pulmonary hemorrhage, acidosis, lub plawv tsis ua hauj lwm, bradycardia, nkees nkees los yog insomnia, tsis muaj zog, qaug zog, convulsions, coma, puas siab puas ntsws, depersonalization, hallucinations, tsis meej pem, kev nyuaj siab, psychosis, amblyopia, co, ntxhov siab vim, amnesia , diplopia, hypoesthesia, photophobia, hais lus los yog pom tau qhov sib ntshawv siab, meningismus, tuag tes tuag taw, kev hloov nyob rau hauv lub EEG, ib lub paj hlwb hemorrhage.

Uas yog vim li cas cov kev taw qhia ntawm contrast xov xwm yuav tsum lossi saib xyuas cov lag luam uas tseem ceeb heev systems thiab kabmob ntawm tus neeg mob, kom muaj dej electrolyte tshuav nyiaj li cas, thiab nyob rau hauv cov ntaub ntawv ntawm thaum muaj xwm ceev - noj ceev kev txiav txim.

Sis nrog lwm yam tshuaj

Yuav ua li cas cov tshuaj yuav tsis tau ua ke tov "Omnipak"? Cov lus qhia rau Siv hais tias intrathecal tshuaj uas yog incompatible nrog corticosteroids. Tsis tas li ntawd, nws yuav tsis tau ua ke nyob rau hauv tib lub koob txhaj nrog antihistamines.

Mao inhibitors, derivatives fenotiazana, tetracyclic antidepressants, analeptic thiab Cns stimulants ua rau kom cov kev pheej hmoo ntawm epileptic qaug dab peg.

Tib mus thawj coj ntawm hypotensive tshuaj yog nce yuav ua rau muaj hypotension.

Nws yuav tsum raug hais tias cov tshuaj pab qhia nephrotoxic thaj chaw ntawm lwm yam tshuaj.

tej tswv yim pom zoo

Cov neeg uas muaj kev raug mob ntawm cov kev ua xua yog yuav tsum tau nqa tawm pre-kev kho mob ntawm corticosteroids los yog antihistamines.

Nws yog tsim nyog los noj mus rau hauv tus account lub tam txoj kev loj hlob ntawm lub cev qhuav dej nyob rau hauv cov neeg mob uas muaj mob loj mielomatozom thiab thyrotoxicosis.

Cov neeg uas muaj mob ntshav qab zib, raws li zoo raws li lub concentration ntawm creatinine 500 umol / L ntawm kev siv ntawm lub cuab tam yog tau tsuas yog nyob rau hauv tus neeg mob ntawm huab yuav tsum muaj.

tus neeg mob yuav tsum tau ua tib zoo saib xyuas puas tsawg qhov qaug dab peg chaw pib.

Tom qab cov kev taw qhia ntawm iohexol thyroid cov ntaub so ntswg yodosvyazyvayuschaya muaj peev xwm txo rau ib lub sij hawm txog li ob lub lis piam.

Txhais thiab analogues

Los ntawm analogues "omnipak" muaj xws li: "Visipaque", "Iopromide", "Geksabriks", "Iopromide", "Yopamiro", "iopamidol", "Ksenetiks", "Skanlyuks 300", "Optiray", "Skanlyuks 370", " Yomeron "," Ultravist "," Iodixanol ".

Raws li rau lub txhais, ces siv rau lawv raws li "Introviz", "Yunigeksol", "Iobriks", "Iohexol", "Iohexol TP".

Xyuas

Feem ntau cov feem ntau, tus xyuas ntawm qhov suav hais tias lub tsheb tshuav tus kws kho mob-diagnostician. Thiab qhov no yog tsis xav tsis thoob. Vim hais tias cov tshuaj no yog tsis npaj rau kev kho mob ntawm tus neeg mob, thiab rau txoj kev tshawb no ntawm nws lub cev.

Zuag qhia tag nrho, lub tswv yim ntawm lub zoo xov xwm zoo. Kws txawj hais tias cov kev taw qhia ntawm xws li ib tug tov zoo heev tej lub visualization ntawm nruab nrog cev thiab cov nqaij.

Heev feem ntau, cov kws kho mob sib piv "Omnipak" nrog rau lwm cov zoo nrog. Raws li lawv, cov hais tias cov tshuaj yog zoo dua zam los ntawm cov neeg mob. Yog li ntawd, lawv nyiam lawv muab nws lub tsev no.