"Articaine INIBSA": yokusetshenziswa, incazelo, ukwakheka kanye nokubuyekeza

igama Plebeian zomuthi - articaine + epinephrine. Akhiqizwa ampoules nge indlela piston ka, eliqinile ekhanyayo. Bephethe ucwecwe zokuzivikela, esetshenziswa emazweni asentshonalanga kuleli qembu izidakamizwa - artikainsoderzhaschih. capsule ngamunye izinzwa has a esobala ifilimu kokuba ulwazi isicelo, ukwakheka kanye umthamo nomuthi nezindlela yesitoreji (lokhu kumele kube endaweni emnyama, aphume izingane ukushisa). Standard - a ukubopha, ibhokisi ezomile noma ikhabethe, bavikelekile ukukhanya, okusalungiswa. Temperature - esingeqile degrees 25, kusukela lokhu kuholela ukuwohloka ngokushesha nomuthi. Impilo - iminyaka engaba mibili, ikhishwe (kufanele, okungenani) njengoba udokotela.

Pharmacokinetics

"Articaine INIBSA" - a izinjongo izinzwa wendawo. Asetshenziswa imisebenzi ezincane, kokungenela yamazinyo (ikakhulukazi ekwelapheni pulpitis nokususwa amazinyo) futhi suturing. Kuyinto analgesic anamandla, ngakho yokwamukela wokuqala owaqhutshelwa ngaphansi kokuqondisa abasebenzi bezokwelapha, ngoba izidakamizwa inemiphumela eminingi engemihle.

Isebenza ngokushesha kakhulu futhi isikhathi eside, ukuhlinzeka esinamandla izinzwa ngomjovo site, imiphumela emibi, naphezu izimpawu eziningi kukhona ukungasebenzisi ngakhoke articaine kubhekwa analgesic kangcono ubani akusho uhlushwa ukungabekezelelani kulezi izidakamizwa.

Ngokucacile izakhiwo kanye isinyathelo zokwelapha unika okusezingeni eliphezulu izinzwa articaine ikhono kanye isikhathi ledzingekako umphumela analgesic ekusetshenzwa kakhulu yamazinyo elihlobene ne ukusebenza iseduze uginindela. Kulokhu, ngenxa ijubane nokwahlukana kanye nokuqedwa umuthi akunamthelela ezuziwe - imijovo amaningi ngokusungula indlela yokubulala izinzwa cishe akukho ukwanda isayithi kokungenela.

Impela kubhekwa "Articaine INIBSA". Umkhiqizi - Spanish Medical Laboratory INIBSA SA, okulethwa Russia imithi yokubulala izinzwa ezahlukene futhi izinzwa imishini yomqhubi weSifundo, njll Mayelana ukwethulwa unswinyo ngo-2016, nokungeniswa kwezincwadi izidakamizwa ukuba yinkimbinkimbi kakhudlwana .. Unyaka odlule uye lwaludlula brand artikaina "Septanest" ukukhiqizwa Russian.

isakhiwo

Ukwakheka eyodwa ampoule kusho "Articaine INIBSA" kuhlanganisa:

• 1.8 ml;
• articaine - 72 mg (1 ml - 40 mg);
• epinephrine - 0,018 mg (1 ml - 0.01 mg).

Ukweqiwa

Amazinyo - 0.5-1.8 ml kuye kobukhulu izilonda kanye nosayizi ngezinyo, kwezinye izimo, izinzwa wendawo - kuye ngokuthi isimo. Umkhawulo umthamo abadala - 7 mg amakhilogramu esisindo ngayinye ezinganeni ezingaphansi kweminyaka engu-12 - 5 mg.

"Articaine INIBSA" (1: 200000) ihlinzeka eziyisisekelo izinzwa umphumela ekuvimbeni kwalapho kuhlangana khona imizwa ngesikhathi indawo umjovo. ukuzwela Ukukhubaza kusho ukuthi kukhona ithuba ngephutha umonakalo endaweni izinzwa. Ngokuvamile yilesi nezilimi esihlathini amazinyo - amabili iziguli eziyishumi uphathe ukuluma ngokwakho okuthile ngenxa yalokho.

Epinephrine (e ngesilwane esifuywayo Russian yezokwelapha - adrenaline) ngesivinini kwegazi, kuqinisa inhliziyo, ngaleyo ndlela sinciphise isikhathi esidingekayo ukuze kuqale amalungiselelo. Nokho, amanani amakhulu (3 .mu.g / kg / iminithi) ebangela vasoconstriction futhi, ngenxa yalokho, kube nesikhathi eside yesenzo imithi ebulala izinzwa. It okuthengiswa iphakethe nge ampules engamakhulu, enesisindo 1.8 amagremu ngamunye.

Ukuze abaphathi ongama ngomphumela izidakamizwa kwenzeka emva kwemizuzu cishe 5-10. Ngo esicutshini sokuqala kuncike ngezimo zesiguli futhi imisipha izicubu zakhe.

imfundo

"Articaine INIBSA" imfundo manual weluleka ukusebenzisa kanje.

Umuthi e isipetu ngepayipi nge futha isinyathelo indlela. Umjovo wenziwa eduze noma ngqo ezonini kokungenela, kuye ngohlobo of action.

Izimo

• ukuzwela High main izidakamizwa ingxenye, asemingceleni komzimba (articaine, epinephrine, tartaric acid nosawoti, sulfites, kanye nabanye.).
• Tachycardia kanye nokunye ukwephulwa ezihlobene isigqi inhliziyo.
• ukuhluleka Inhliziyo.
• Ukuvalwa glaucoma efomini.
• isifuba somoya bronchial, ikakhulukazi - cuphuluza sulfites.
• Isifo sokulahlekelwa yigazi phezu isizinda yokushoda vitamin B12.
• Ukuntula wegazi cholinesterase.
• Sezinzwa uhlelo izifo, myasthenia gravis.
• yokwehluleka kwesibindi ukusebenza e ukubonakaliswa sina (porphyria).
• Njengoba kuthiwa ifomu gipertirioza (umsebenzi ngokweqile indlala yegilo).
• esemncane (ezingaphansi kweminyaka eyi emine).

Njengoba kunezingozi eziningi ezihambisana ngokuthatha izidakamizwa

• yezidakamizwa enegciwane (ikakhulukazi - kusho "Articaine 4 nge epinephrine INIBSA") kuyinto engathandeki ngoba kungabangela ushintsho olumangalisayo endaweni ingcindezi, kanye ukukhubaza uhlelo ikakhulukazi sezinzwa somzimba.
• Isingeniso artikaina ngqo maphakathi ukuvuvukala kuyinto inadmissible, njengoba i-shot ukuthi kuyoba buhlungu kakhulu, kanye izidakamizwa ngeke bakwazi ukuzobhidliza esifundeni ngenxa ukuvuvukala enamandla.
• It akakwazi ukusetshenziswa ampoule lizihlalele, ngoba zingase ikhambi ezilimele noma cha oyinyumba.
• Nge sokunakekela kumelwe zisebenze izingane engu-12 ubudala, asebekhulile, abantu baphathwa izifo endocrine, noma ethola amalungiselelo afanayo isenzo (mioblokatory, imithi ebulala izinzwa, nokunye.).
• Abesifazane abakhulelwe lactating bangathola articaine cishe ngaphandle kokwesaba ngoba impilo yezingane. Ngo izifundo laboratory ekhethekile baye babonisa ukuthi izidakamizwa has a angena ikhono iphansana umzanyana nele-fetus emhlabeni ayitholakalanga ubisi lwebele e lokuhlala enjalo okungase kuthinte ekukhuleni kwengane.

Imiphumela engemihle evela EMARUBHRIKI izidakamizwa "Articaine INIBSA" 1: 200000:

• komzimba (urticaria kusukela ukushaqeka anaphylactic).
• Ukuvuvukala nokuvuvukala kusayithi umjovo.
• Minor arrhythmias inhliziyo.
• Ikhanda, isiyezi, disorientation, ne ukwethulwa kwe-yezidakamizwa ehlasele endaweni eseduze isikhungo vestibular.
• Ukucanuzela kwenhliziyo, ukuhlanza, ukukhishwa isisu.
• ngezinye izikhathi ithuba eliphansi kakhulu okwenziwe ischemia endaweni ekuphathweni, sifinyelela phezulu izicubu necrosis (emthanjeni noma ukweqisa izidakamizwa).

The esiphezulu ezingeni articaine igazi lokuhlushwa kufinyelelwe emva kwemizuzu 10-15, kungakhathaliseki khona vasoconstrictor ekwakhiweni kwengoma. Excreted ngokusebenzisa amahora angu-6 emva nokuphathwa izinso, isibindi neutralized ukuba izingxenye esingasebenzi.

Ukuxhumana nezinye izidakamizwa

• Lihambisana antidepressant futhi mao inhibitor umphumela abanomfutho wegazi ophakeme luphakanyiswa landa komfutho wegazi (kancane kancane antante 150/100), okuyinto iyingozi kubantu abaningi, ikakhulukazi nomfutho wegazi ophezulu.
• Yokuvula amakhala ukuthuthukisa analgesia nokulondoloza wesenzo.
• Blocker lihambisana artikaina kwandiswe amathuba ukuhlakulela nenhlekelele unesifo sikashukela bradycardia.

Izimpawu ze-ukweqisa izidakamizwa

• Mandle isimiso sezinzwa esiyinhloko emva injabulo yayo besikhashana, banikine enamandla nasemilenzeni.
• Umuzwa stupefaction, ukuxukuzeka, isiyezi ezinzima, kulandele ukuhlanza.
• ukusangana abahlukahlukene, ukuzwa kanye orientation emkhathini.
• Ukwehlisa ingcindezi izitsha, ukuphefumula nzima.
• Nokulahlekelwa ukwazi.

Uma uqaphela izimpawu kufanele ayeke ukusetshenziswa articaine, ukubeka ngemuva noma ohlangothini nokuvumela khulula, emishinini yokuphefumula nezatrudnonnogo (mhlawumbe sibekwa polubokovoe isikhundla - uma isiguli yini ukuhlanza zahlebnotsya e uketshezi zabo). Khona-ke udinga ukuqala yokulinganisa kwenhliziyo ingcindezi semithambo, inkhulumoluhlolo umuntu ukucacisa izimpawu, ukubiza egumbini eziphuthumayo ukubiza iqembu lamabutho kanye okulungiselelwe nemithi ekhethekile ukunikeza eziphuthumayo nokubuyiselwa imisebenzi umzimba uma kwenzeka Ukuwohloka (ukusetshenziswa yokusiza umuntu ukuba aphefumule ikhithi namanje ezifiselekayo ngaphandle kokuqondisa odokotela ).

Izibuyekezo

ERussia, "Articaine INIBSA" Izibuyekezo Ngithole ezinhle kusukela odokotela abaningi neziguli, kusukela kulula ukuba lisebenzise, izindlela akubizi (kuhlanganise ukukhululwa ifomu 100 izinzwa cartridges).

Umuthi 'Articaine INIBSA "1: 200000 intengo luyehluka kuye ngesimo udaba nokuthenga isikhala. Per iphakethe eyikhulu cartridges ku drugstores eMoscow nesifunda eMoscow ucela ruble 2.9 kuya kwezingu-3.7. Kunomkhuba Boxed ukuhweba at isidingo olulodwa: ngokwesilinganiso, le ampoule "Articaine INIBSA" Intengo - ruble 33.

Pharmacy, eSiberia naseMpumalanga Ekude ezingajwayelekile, njengoba leli lizwe amazwe ingxenye encane, futhi abelwa izikhungo zezempilo kanye nezibhedlela emaphakathi neRussia.

Eminyakeni yamuva, amazwe okwengeziwe yehlile ngenxa unswinyo ngamazwe, omunye amaphuzu okwakunzima kuvinjelwe nokuthengiswa eRussia izidakamizwa abadabuka kwamanye amazwe. Nokho, ngalesi sikhathi, lolu daba ayenziwa kubhekwane.

Futhi ungakhohlwa ukuthi iyiphi ukuzelapha kungaba nemiphumela engemihle, ezisukela yokuntuleka ukuphathwa umphumela, futhi kokuqeda nge mphumela odabukisayo. Ngoba yimuphi izidakamizwa kufanele athathwe kuphela njengoba iqondiswe ukwelashwa onguchwepheshe okufanele kwenzeke ngaphansi kweso lwezokwelapha.