duab
Qhia Los Ntawm:
Atropine, ib yam tshuaj uas muaj keeb kwm ntev hauv kev kho mob, tseem siv dav niaj hnub no rau nws cov kev siv ntau yam hauv ntau qhov chaw kho mob. Atropine tau los ntawm cov nroj tsuag Atropa belladonna, feem ntau hu ua cov tshuaj hmo ntuj uas tuag taus, ua lub luag haujlwm tseem ceeb hauv kev kho mob thaum muaj xwm txheej ceev, phais, thiab lwm yam. Phau ntawv qhia no tshawb nrhiav txog kev siv, kev noj tshuaj, cov kev mob tshwm sim, kev cuam tshuam nrog lwm yam tshuaj, thiab cov txiaj ntsig ntawm atropine, muab kev nkag siab dav dav ntawm cov tshuaj tseem ceeb no.
Atropine yog dab tsi?
Atropine yog ib hom tropane alkaloid uas tau rho tawm los ntawm cov nroj tsuag ntawm tsev neeg Solanaceae, tshwj xeeb tshaj yog cov nroj tsuag belladonna. Nws ua haujlwm ua tus neeg sawv cev anticholinergic, tiv thaiv kev ua haujlwm ntawm cov neurotransmitter acetylcholine ntawm cov receptors muscarinic hauv lub paj hlwb. Qhov kev thaiv no ua rau muaj ntau yam teebmeem ntawm lub cev, uas tau siv rau hauv ntau yam kev kho mob.
Kev siv ntawm Atropine
Atropine muaj ntau yam kev siv thoob plaws ntau qhov chaw ntawm kev kho mob:
- Kev kho qhov muag: Atropine siv rau hauv kev kuaj qhov muag kom nthuav cov menyuam qhov muag (mydriasis) thiab ua rau cov leeg nqaij uas pab lub qhov muag tsom mus rau qhov muag (cycloplegia), pab txhawb kev kuaj xyuas lub retina thiab cov hlab ntsha optic.
- Tshuaj loog: Nws yog siv ua ntej phais kom txo cov qaub ncaug thiab cov kua qaub ncaug hauv txoj hlab pa, thiab tiv thaiv qee yam kev xav thaum lub sijhawm siv tshuaj loog.
- Kev kho plawv: Atropine muaj txiaj ntsig zoo rau kev kho mob bradycardia (lub plawv dhia qeeb), pab ua kom lub plawv dhia ceev dua los ntawm kev thaiv cov teebmeem vagal rau lub plawv.
- Tshuaj tua kab mob rau kev lom: Ua ib qho tshuaj tua kab mob, atropine yog qhov tseem ceeb hauv kev kho mob lom los ntawm cov tshuaj tua kab organophosphate lossis cov tshuaj tua kab mob ntawm cov hlab ntsha, uas yog cov tshuaj inhibitors ntawm acetylcholinesterase.
- Palliative Care: Nws tuaj yeem pab txo cov kua qaub ncaug hauv kev saib xyuas thaum kawg ntawm lub neej, txhim kho kev nplij siab rau tus neeg mob.
Dosage ntawm Atropine
Cov tshuaj Atropine sib txawv nyob ntawm nws siv:
- Kev kuaj qhov muag: 0.5 txog 1 mg (nyob rau hauv daim ntawv ntawm cov tshuaj qhov muag)
- Ua ntej siv tshuaj loog: 0.4 txog 0.6 mg muab tshuaj rau hauv cov leeg lossis cov leeg nqaij
- Bradycardia: 0.5 txog 1 mg IV, yuav rov ua dua txhua 3 txog 5 feeb kom txog thaum tau txais kev teb, txog li tag nrho cov koob tshuaj ntawm 3 mg.
- Tshuaj tua kab mob lom: Thawj koob tshuaj yog 2 mg IV, tom qab ntawd rov qab noj dua raws li kev teb ntawm tus neeg mob.
Tus kws kho mob yuav tsum txiav txim siab txog qhov koob tshuaj tshwj xeeb raws li tus neeg mob xav tau thiab qhov xwm txheej.
Cov Kev Mob Tshwm Sim ntawm Atropine
Txawm hais tias atropine yog ib yam tshuaj muaj nqis heev los, nws tuaj yeem ua rau muaj kev phiv, tshwj xeeb tshaj yog tias noj ntau dhau. Cov kev phiv tshwm sim feem ntau suav nrog:
- qhov ncauj qhuav
- Qhov muag plooj tsis pom kev
- Rhiab rau lub teeb
- Nyuaj tso zis
- cem quav
- Kev tsis meej pem hauv cov neeg mob laus
Yog noj ntau dhau, atropine yuav ua rau muaj kev tsis haum tshuaj loj dua xws li pom kev tsis meej pem, tsis meej pem heev, thiab kub cev heev.
Kev sib tham nrog Lwm Cov Tshuaj
Atropine tej zaum yuav cuam tshuam nrog lwm cov tshuaj, uas yuav hloov lossis ua rau nws cov teebmeem ntau ntxiv. Cov kev cuam tshuam tseem ceeb suav nrog:
- Antihistamines: Yuav ua rau muaj kev pheej hmoo ntawm cov kev mob tshwm sim xws li qhov ncauj qhuav thiab tso zis tsis tu ncua.
- Antipsychotics: Qee cov tshuaj tiv thaiv kev puas siab puas ntsws muaj cov khoom anticholinergic, uas yuav raug nthuav dav thaum ua ke nrog atropine.
- Cov leeg nqaij relaxants: Cov teebmeem yuav raug txhim kho, cuam tshuam rau cov hlab ntsha hauv lub plawv thiab cov hlab ntsha.
Qhia rau tus kws kho mob paub txog cov tshuaj uas koj siv tam sim no kom tsis txhob muaj kev phiv tshuaj.
Cov txiaj ntsig ntawm Atropine
Cov txiaj ntsig ntawm atropine suav nrog nws lub peev xwm los tiv thaiv qee yam xwm txheej ceev xws li bradycardia thiab organophosphate lom, yog li ntawd yuav cawm tau txoj sia. Nws tseem yog qhov tseem ceeb hauv kev pab txhawb kev kuaj mob qhov muag thiab txhim kho cov mob phais los ntawm kev txo cov kua qaub hauv lub cev.
Cov Lus Nquag Nug (FAQ)
Tshuaj Atropine siv rau dab tsi? Nws kho cov plawv dhia qeeb, lom los ntawm cov organophosphate, thiab siv los ua kom cov qhov muag loj lossis txo cov kua qaub ua ntej phais.
Atropine ua haujlwm li cas? Nws thaiv acetylcholine ntawm cov receptors muscarinic, txo cov teebmeem parasympathetic (so thiab zom zaub mov).
Puas muaj kev nyab xeeb rau Atropine thaum cev xeeb tub? Feem ntau muaj kev nyab xeeb thaum muab tshuaj, tab sis tsuas yog siv yog tias cov txiaj ntsig ntau dua li qhov kev pheej hmoo ntawm tus menyuam hauv plab.
Atropine puas ua rau tsaug zog lossis tsis meej pem? Muaj, tshwj xeeb tshaj yog rau cov neeg laus lossis cov neeg noj tshuaj ntau.
Siv tau rau cov menyuam yaus? Tau, nrog rau kev ntsuas raws li qhov hnyav; siv rau kev cawm siav rau menyuam yaus.
Puas yog Atropine cuam tshuam rau lub qhov muag mus tas li? Tsis yog; qhov muag qhib thiab pom tsis meej tsuas yog ib ntus xwb, kav ntev li 1-2 hnub tom qab siv tshuaj qhov muag.
Hom Lub Npe
- Atropen? (tshuaj txhaj tshuaj rau cov hlab ntsha uas raug tshuaj lom)
- Isopto? Atropine (tshuaj pleev qhov muag)
- Atropair?, AtroPen?, Tropine? (ntau hom tshuaj thoob ntiaj teb)
xaus
Atropine tseem yog ib qho tshuaj uas siv tau ntau yam thiab tseem ceeb tshaj plaws hauv kev kho mob niaj hnub no. Ua ib yam tshuaj antimuscarinic, nws muab kev pab sai thiab kwv yees tau thaum muaj xwm txheej ceev xws li bradycardia thiab organophosphate lom, thaum tseem ua lub luag haujlwm tseem ceeb hauv kev siv tshuaj loog thiab kev kho qhov muag. Txawm li cas los xij, vim nws muaj cov teebmeem anticholinergic muaj zog, nws yuav tsum tau siv nyob rau hauv kev saib xyuas ntawm kws kho mob, nrog rau kev saib xyuas kom zoo rau lub plawv dhia, kev paub, thiab kev ua haujlwm ntawm cov zis. Thaum siv zoo, atropine tseem yog lub hauv paus ntawm kev kho mob cawm siav.
Tau Txais Lus Qhia Txog Kev Siv Tshuaj
Nyuam qhuav ntxiv
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Disclaimer:
Cov ntaub ntawv muab rau ntawm nplooj ntawv no tsuas yog rau kev qhia dav dav thiab kev kawm xwb. Txawm hais tias peb siv zog ua kom cov ntaub ntawv no muaj tseeb, txhim khu kev qha, thiab tshuaj xyuas tas li, nws yuav tsum tsis txhob raug suav hais tias yog ib qho kev hloov pauv rau cov lus qhia kho mob, kev kuaj mob, lossis kev kho mob.
Cov tsos mob, ua rau muaj, qhov hnyav, kev nce qib, thiab cov kev xaiv kho rau ib tus kab mob lossis tus mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Cov ntaub ntawv muab yuav tsis suav nrog txhua yam ntawm tus mob lossis txhua txoj kev xaiv kho mob.
Tsis txhob siv cov ntaub ntawv no rau kev kuaj mob lossis kev kho mob tus kheej. Thov nrog ib tus kws kho mob uas tsim nyog tham kom tau txais kev kuaj mob thiab cov lus qhia raws li koj tus mob.
Yog tias koj muaj cov tsos mob hnyav, tam sim ntawd, lossis mob hnyav zuj zus, nrhiav kev kho mob tam sim ntawd.
Yog xav paub ntxiv txog peb cov ntsiab lus kho mob raug tsim, tshuaj xyuas, hloov kho tshiab, thiab tswj hwm li cas, thov nyeem peb [Txoj Cai Kho Mob].
