Dab tsi yog qhov tshwm sim tshwm sim ntawm Methylergonovine?
Methylergonovine maleate ntsev, semisynthetic ergot alkaloid, yog dav siv hauv obstetrics rau kev tawm tsam thiab kev kho mob tom qab cev xeeb tub. Txawm hais tias muaj zog hauv kev ua kom cov uterine compressions thiab tswj kev tuag, cov tshuaj no muaj feem cuam tshuam nrog ob peb qhov ua tau thib ob. Feem ntau tshaj tawm cov kev mob tshwm sim ntawm methylergonovine muaj xws li:
xeev siab thiab ntuav:Muaj qee qhov kev cuam tshuam tsis tu ncua feem ntau, queasiness thiab regurgitating tuaj yeem tshwm sim rau 20% ntawm cov neeg mob tau txais methylergonovine. Qhov no yuav yog vim cov tshuaj ncaj qha stimulatory nyhuv ntawm chemoreceptor trigger cheeb tsam hauv lub hlwb, uas tswj ntuav.
Mob taub hau:Kev mob taub hau, suav nrog migraines, tau tshaj tawm txog kwv yees li 10-15% ntawm cov neeg mob noj tshuaj methylergonovine. Qhov kev cuam tshuam no ntseeg tau txuas nrog cov tshuaj muaj peev xwm ua rau vasospasm (choking) ntawm cov hlab ntsha cranial.
kiv taub hau los yog vertigo:kiv taub hau lossis hnov lus ntawm vertigo (spinning) yuav tshwm sim hauv qee tus neeg mob, cuam tshuam txog li 10% ntawm cov neeg tau txais methylergonovine. Cov txiaj ntsig tom qab no tau lees paub vim tias cov tshuaj vasoconstrictive cuam tshuam rau cov hlab ntsha hlwb.
Ntshav siab (siab ntshav siab):Methylergonovine tuaj yeem ua rau cov ntshav siab nce ib ntus, tshwj xeeb tshaj yog thaum lub sijhawm lossis tsis ntev tom qab txhaj tshuaj.Qhov kev cuam tshuam no cuam tshuam nrog cov tshuaj vasoconstrictor cov khoom thiab suav nrog kwv yees li ntawm 5-10% ntawm cov neeg mob.
Mob hauv siab los yog nruj:Qee tus neeg mob yuav hnov mob hauv siab los yog hnov qhov nruj ntawm lub hauv siab tom qab tau txais methylergonovine. Qhov no tsim nyog vim muaj tshuaj kho mob ua kom nruj cov ntshav sib xyaw ua ke, kev ua kom cov ntshav txo qis mus rau lub plawv.
Lwm qhov kev tshwm sim tsis tshua muaj tshwm sim ntawm methylergonovine suav nrog ceg tawv, yaug lossis hnov qhov sov so, thiab cov kev mob tshwm sim ntawm plab hnyuv xws li mob plab lossis khiav.
Dab tsi yog Qhov Kev Mob Phem Loj ntawm Methylergonovine?
Thaum feem ntau cov tsos mob ntawmMethylergonovine maleate ntsevyog maj mam ncaj qha, cov tshuaj tuaj yeem ua rau muaj kev phom sij heev, cov lus teb tsis zoo rau lub sijhawm. Cov kev cuam tshuam loj heev no feem ntau txuas nrog cov tshuaj muaj zog vasoconstrictive zog thiab nws cov txiaj ntsig rau lub cev sib txawv.
Myocardial localized necrosis (mob plawv tsis ua haujlwm):Methylergonovine tuaj yeem ua rau mob vasospasm tsis txaus, ua rau txo qis cov ntshav mus rau lub plawv cov leeg thiab tej zaum ua rau ua pa tsis ua haujlwm. Qhov kev pheej hmoo no muaj ntau dua rau cov neeg mob uas muaj mob plawv plawv lossis muaj teeb meem rau cov kab mob coronary conduit.
Stroke los yog qaug dab peg:Los ntawm ua rau vasospasm ntawm cov hlab ntsha hauv hlwb, methylergonovine tuaj yeem txo cov ntshav ntws mus rau lub hlwb, ua rau muaj kev pheej hmoo ntawm mob stroke lossis qaug dab peg. Qhov kev cuam tshuam tsis zoo no yuav luag qee yam hauv cov neeg mob uas muaj mob cerebrovascular ua ntej lossis lwm yam kev twv txiaj rau mob stroke.
Peripheral ischemia lossis gangrene:Methylergonovine cov teebmeem vasoconstrictive muaj zog tuaj yeem ua rau ischemia hnyav (txo cov ntshav) nyob rau hauv cov extremities, uas yuav ua rau gangrene lossis cov nqaij mos necrosis. Cov neeg mob uas muaj kab mob vascular yav dhau los lossis cov xwm txheej uas ua rau muaj kev twv txiaj ntawm ischemia, xws li Raynaud tus mob lossis thromboangiitis obliterans, yog qhov kev twv txiaj ntau dua.
Hypertensive Crisis:Qee qhov xwm txheej, methylergonovine tuaj yeem ua rau mob hnyav thiab muaj peev xwm ua rau lub neej nce siab hauv ntshav siab, hu ua hypertensive ntsoog. Qhov no tuaj yeem ua rau muaj kev ntxhov siab xws li mob stroke, plawv nres, lossis kev puas tsuaj ntawm lub cev thaum tseem tsis tau kho sai.
Pneumonic edema:Methylergonovine tau cuam tshuam nrog kev txhim kho ntawm aspiratory edema (kua tsim hauv lub ntsws), uas tuaj yeem ua rau muaj teeb meem ua pa thiab ua tsis taus pa oxygenation. Qhov kev tsis zoo no feem ntau tshwm sim hauv cov neeg mob uas muaj lub plawv lossis lub ntsws.
Nws yog ib qho tseem ceeb rau cov neeg muab kev pab kho mob kom mob siab rau ntsuas qhov kev txaus ntshai txaus ntshai thiab qhov zoo ntawm methylergonovine ua ntej qhia nws, tshwj xeeb tshaj yog rau cov neeg mob uas muaj mob yav dhau los lossis muaj feem cuam tshuam uas yuav txhim kho qhov tshwm sim ntawm cov lus teb tsis zoo.
Dab tsi yuav tsum tau ceev faj nrog Methylergonovine?
Vim muaj peev xwm ua rau muaj kev phiv loj heev, yuav tsum tau ceev faj ntau thaum sivMethylergonovine maleate ntsev. Cov no suav nrog:
Kev kuaj mob plawv:Ua ntej muab tshuaj methylergonovine, cov kws kho mob yuav tsum ua tib zoo tshuaj xyuas tus neeg mob lub plawv thiab cov teeb meem uas muaj feem yuav mob plawv lossis mob stroke. Cov tshuaj yog los ntawm thiab loj contraindicated nyob rau hauv cov neeg mob ntshav siab, coronary kab mob, los yog lwm yam loj heev mob plawv.
Fringe vascular mob appraisal:Cov neeg mob yuav tsum raug soj ntsuam rau cov xwm txheej uas ua rau nce kev twv txiaj ntawm fringe ischemia, xws li Raynaud's mob, thromboangiitis obliterans, los yog cov kab mob loj heev ntawm cov hlab ntsha.Methylergonovine yuav tsum tau siv nrog ceev faj lossis zam rau cov xwm txheej no.
Kev ntsuas lub siab thiab lub raum muaj peev xwm:Cov kev hloov pauv yuav yog qhov tseem ceeb hauv cov neeg mob uas muaj kab mob siab (siab) lossis lub raum (lub raum) impedance, vim tias cov kabmob no suav nrog kev zom zaub mov thiab tso tawm ntawm methylergonovine.
Tshawb xyuas cov kev cuam tshuam tsis zoo:Cov neeg mob tau txais cov tshuaj methylergonovine yuav tsum tau kuaj xyuas kom ruaj khov rau cov tsos mob thiab cov kev mob tshwm sim ntawm cov lus teb tsis zoo, piv txwv li, kev tsim txom hauv siab, cua daj cua dub, kev hloov pauv hauv lub paj hlwb, lossis kev hloov pauv ntawm qhov kub thiab txias lossis ntau yam. Ceev txwv tsis pub siv tshuaj thiab kev cuam tshuam kev kho mob uas tsim nyog yuav yog qhov tsim nyog. ntawm qhov mob hnyav heev.
Zam kev nyob rau hauv tej yam kev mob:Methylergonovine yuav tsum tau zam los yog siv nrog ceev faj heev rau cov neeg mob hyperthyroidism, vim tias cov tshuaj yuav ua rau cov tsos mob ntawm tus mob no hnyav dua. Nws kuj tseem yuav tsum tau koom nrog kev ceeb toom hauv cov niam mis, vim tias nws tuaj yeem cuam tshuam lactation.
Kev siv tshuaj thiab kev tswj xyuas kom zoo:Cov kws kho mob yuav tsum ua tib zoo ua raws li cov lus qhia noj tshuaj thiab cov lus qhia rau kev tswj xyuas kom raugMethylergonovine maleate ntsev. Kev noj tshuaj tsis raug lossis kev txhaj tshuaj sai sai tuaj yeem ua rau muaj kev phom sij ntau ntxiv.
Kev kawm tus neeg mob:Cov neeg mob yuav tsum tau ceeb toom txog qhov muaj feem cuam tshuam ntawm methylergonovine thiab qhia kom qhia cov tsos mob tshwm sim sai sai rau lawv tus kws kho mob.
Los ntawm kev ua raws li cov lus ceeb toom no thiab ua tib zoo ntsuas qhov txaus ntshai thiab cov txiaj ntsig, cov kws kho mob tuaj yeem pab txo qis qhov muaj feem cuam tshuam loj thiab ua kom muaj kev nyab xeeb thiab siv tau zoo.Methylergonovine maleate ntsevnyob rau hauv qhov chaw kho mob tsim nyog.
Cov ntaub ntawv:
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