Tshebediso ya lithethefatsi "k'halsiamo Gluconate" entoe. thupelo ea

Lithethefatsi "k'halsiamo Gluconate" e bolela FarmGruppa balaoli ba metabolism k'halsiamo-phosphorus. Ho bolela shortfall le thusa hore ho Ca2 +, e leng bohlokoa karolo ea phetiso ea methapo tšusumetso, khutsufatso ea mesifa boreleli le ya marapo. moriana ho akarelletsa mosebetsi myocardial, mali coagulation, sebopeho sa dinama tse nyenyane tse masapo. E behiloeng ka "k'halsiamo gluconate" entoe, intramuscularly le molomo.

ho khethoa ha

Ho bolela ho khothalletsa ka pathologies thata hypocalcemia, eketsehileng e lumellang metsi ho kena ea lera la seleng ea (ho akarelletsa le lijana), mafu a tšusumetso e tsoang ho phetiso ka dinama tse nyenyane tse mesifa. Ke matšoao a kenyeletsa hypoparathyroidism (osteoporosis, latent tetany), ho bolella ba ho hloka taolo D-vithamine - rickets (osteomalacia spazmofiliya), hyperphosphatemia. Le bolela "k'halsiamo gluconate" (iv) buelloa ka e ile ea eketseha tlhokeho ya Ca 2+ nakong ea bokhachane, khōlo ea matla le ntshetsopele, diabolololo. E o ile a bontša ka ho Ca tlaase le ho lokisetsa lijo, metabolism mafu a lona (postmenopausal ho akarelletsa le). Abeloa moemeli bakeng sa letšollo foleng, nako e telele lula maemong a supine motheong oa hypocalcemia mahareng telele ba lokisetsa ho ea lithethefatsi diuretic, corticosteroids,-ba khahlanong le tsoeroe ke sethoathoa lithethefatsi. Recommended lithethefatsi "k'halsiamo gluconate" (i.v.) ka fluoride chefo le acid oxalic, Ma2 +.

Contraindications

U se ke ua laela la lithethefatsi bakeng sa hypercalcemia, ho se mamellane, nefrourolitiaze, hypercalciuria matla, ha fumana glycosides cardiac. Contraindications kenyeletsa sarcoidosis, ho fihlela ho etsang dilitara 3. Ha ho phetoho e litekanyetso li behoa 'na ha hlokahala ha dehydration, mafu electrolyte, malabsorption lefu, letšollo. Temoso lokela ho sebelisoa ha histori k'halsiamo nefrourolitiaze, hanyane hypercalcemia hypercoagulable ajoa atherosclerosis.

dosing Melao

Ho lokisetsa "k'halsiamo gluconate" butle laolwa entoe. Masea Infusion o etsoang tsoa bakeng sa metsotso e 2-3. litekanyetso li behoa e beha ho latela a le lilemo li dimililitha 1 to 5 of etsang liphesente tse leshome tharollo mong le e mong matsatsi a 2 kapa 3. Batho ba baholo ba abeloa 5-10 ml tse mong le e mong letsatsi, letsatsi le letsatsi le leng kapa tse peli. Sekemeng ba sete ya ka temana ya malwetse. Pele ho kenyelletsa le bolela "k'halsiamo gluconate" tharollo intravenous lokela ho thabisa ho mocheso oa 'mele.

liphetoho tse bohloko

Ka ho sebelisa lithethefatsi "k'halsiamo gluconate" i.v. ho nyekoa ke pelo, bradycardia, letšollo, ho hlatsa. Probably ponahalo ea sensations ea mocheso, le tuka boikutlo ka molomo. Le selelekela e potlakileng ea khatello ea fokotswa, arrhythmia develops, probable ha pelo, syncope.

boitsebiso bo eketsehileng

Tabeng ea overdose ho na le ke hypercalcemia. E le phekolo e bolela laolwa parenterally "calcitonin" 5-10 iappa / lik'hilograma ka letsatsi, hlapolotsoeng ka 500 ML ea NaCl (0,9%). Bolelele ba tsamaiso - lihora tse tšeletseng.