Ndeipi mishonga inodzivisa chiedza?

Mishonga inodzivirira chiedza kazhinji inoreva zvinodhaka zvinoda kuchengetwa uye kushandiswa murima, nokuti chiedza chichaita kuti oxidation yemishonga iwedzere uye inokonzera photochemical degradation, iyo inongoderedza chete simba remishonga, asiwo inobudisa kuchinja kwemavara uye kunaya kwemvura, iyo inokanganisa zvakanyanya kunaka kwemishonga, uye kunyange May kuwedzera toxicity yezvinodhaka. Mishonga inodzivirira chiedza yakakamurwa zvikuru kuva mishonga yegiredhi chaiyo-giredhi-inodzivirira chiedza, mishonga yegiredhi rekutanga, giredhi rechipiri mishonga isingapindi chiedza, uye yechitatu yegiredhi isingavheneke.

1. Special-grade light-proof zvinodhaka: kunyanya sodium nitroprusside, nifedipine nemimwe mishonga, kunyanya sodium nitroprusside, iyo isina kugadzikana kusina kunaka. Izvo zvinodikanwawo kushandisa majekiseni anovhenekera, infusion machubhu, kana opaque aluminium foil panguva yekutonga infusion. Kana iyo yakashandiswa kuputira sirinji, kana chiedza chakasvibiswa kuva rima dema, orenji kana bhuruu zvinhu, zvinofanira kuremara panguva ino;

2. Mishonga yekutanga-yekudzivirira chiedza: kunyanya inosanganisira mishonga inorwisa mabhakitiriya yefluoroquinolone yakadai se levofloxacin hydrochloride uye gatifloxacin, pamwe chete nemishonga yakadai seamphotericin B uye doxorubicin. Fluoroquinolone mishonga inorwisa mabhakitiriya inofanirwa kudzivirira kuratidzwa kwezuva kwakanyanya uye artificial ultraviolet mwaranzi kudzivirira kuitika kwephotosensitivity kuita uye chepfu. Semuenzaniso, levofloxacin hydrochloride inogona kukonzera isingawanzo kuita phototoxic reactions (zviitiko<0.1%). Kana phototoxic reactions ikaitika, mushonga unofanirwa kurega;

3. Chechipiri chiedza-kudzivisa zvinodhaka: kusanganisira nimodipine nemamwe antihypertensive zvinodhaka, promethazine uye mamwe antihistamines, chlorpromazine nemamwe antipsychotic zvinodhaka, cisplatin, cyclophosphamide, methotrexate, cytarabine Anti-bundu zvinodhaka, uyewo mvura-soluble mavhitaminzi, epinephrine, mamwe dopamine zvinodhaka murima, morphine kucheneswa uye kuchengetwa nokukurumidza kuchengetwa. oxidation uye hydrolysis;

4. Mishonga inodzivirira chiedza chepamusoro: yakadai semavhitamini anonyungudika nemafuta, methylcobalamin, hydrocortisone, prednisone, furosemide, reserpine, procaine hydrochloride, pantoprazole sodium, etoposide, Mishonga yakadai sedocetaxel, ondansetron, uye nitroglycerin zvose zvinonzwa kuchiedza uye zvakachengetwa murima zvakare.