"Katedzhel lidocaine": Umhlahlandlela, izibuyekezo, izithombe

Esimeni elwa namagciwane futhi izinzwa e Urology izidakamizwa ethandwa kakhulu "Katedzhel nge lidocaine." Itholakala njengendlela, ijeli ecacile kungekho nto enemibala emihle futhi esetshenziselwa izinzwa wendawo magciwane le urethra ngaphambi inqubo, ipayipi, endoscope, noma kwezinye izimo. In the ukungabikho Izimo umuthi esetshenziswa kabanzi practice ezingane, kanye kwabesifazane abakhulelwe noma lactating.

On ukwakheka kanye ngesimo "Katedzhel" izidakamizwa

Ukukhuluma ijeli "Katedzhel", ingasaphathwa ukuthi angathengwa Pharmacy kuphela kadokotela. Bayidayise ezipakishiwe-5 noma 25 ebhokisini ibhamuza amakhadibhodi esibhalwe ukuthi "Katedzhel lidocaine" (gel). Isipetu (12.5 g) nge ithiphu side Snap-ucime ibhamuza ngamunye - alahlwayo, polypropylene lukathayela. It is ngokushesha uyogcwala izidakamizwa kanye oyinyumba isilungele ukusetshenziswa. Phela, kufanele licaciswe ukuthi 12.5 g yaleli ejenti instillation singene urethra cishe 10 ageje g.

eyikhulu amagremu ijeli equkethwe 0.05 g chlorhexidine dihydrochloride, futhi 2 g hydrochloride lidocaine. Njengoba izingxenye asizayo aphume ashone glycerol, gietelloza namanzi umjovo.

kanjani futhi nini ukusebenzisa izidakamizwa "Katedzhel lidocaine"

Ukwakheka echazwe ukulungiselela zihlanganisa lidocaine hydrochloride, kokuba umphumela izinzwa lapho isicelo ihlelwe ngokulandelana kwezihloko kanye chlorhexidine ukuthi singadambisa igremu-HIV futhi igremu-negative amagciwane amaningi, imvubelo kanye dermatophyte. Nokho, ngaleyo ndlela okuthiwa ingxenye akunamthelela acid-fungus, amagciwane kanye ezinhlamvu.

Ngo Urology, ukusebenza kwayo nezifo zabesifazane, proctology futhi izidakamizwa ezingane "Katedzhel lidocaine" (isithombe leli thuluzi, ungabona esihlokweni) isetshenziswa ngokuyinhloko njengoba i nezokusigcoba izinzwa ngesikhathi Endoscopy, intubation, esikhundleni ipayipi fistula noma ukungenelela kuhlinzwa. Ngakho izinzwa ezanele kwenzeka ngaphakathi 5-10 imizuzu emva isicelo nomuthi wathi.

Gel "Katedzhel" asetshenziswa yokwelapha eyinkimbinkimbi futhi njengendlela yokuthola uyakwazi ukwehlisa ubuhlungu izinqubo ukuvuvukala okwenzeka sangasese, wesibeletho noma urethra nasesikhathini ingemuva.

Ezinye izici ukusetshenziswa "Katedzhel lidocaine" izidakamizwa

Ngo Urology echazwe inqubo ukulungiselela osetshenziselwa instillation urethra (ukumnika iconsa izidakamizwa emzimbeni inesikhala lesiguli). Ekhaya, kwenze sinqatshiwe, njengoba ilungelo afeze izinyathelo zokwelapha can izisebenzi zezokwelapha kuphela futhi kuphela imishini ezifanele, ukuhambisana nemithetho antisepsis namakhono etholakalayo.

Ngaphambi ufaka amathuluzi, isiguli ukugeza disinfected ngaphandle kuvulwa urethra. Khona-ke ukudalula ibhamuza nge izidakamizwa "Katedzhel lidocaine" (gel) ukhishwa iphepha kuya constriction. Ngaphakathi iphakethe, ichopho isipetu-tube ngiwunqamule futhi wasuswa, okwenza ukuthi awekho semfene endaweni ukwaphuka. A inqubo lula ukwethulwa isipetu kuyinto extruded droplet izidakamizwa.

Instillation wenziwa baphokophelele kalula isipetu lukathayela, futhi ngemva bethulula siqhubeke ngawakhamela kuze kube ukuhoxiswa umnyuziki esiteshini. imizuzu engu-10 ngemva instillation we ijeli ingasatshenziswa amathuluzi imithi ebulala izinzwa.

Isikali

Labo abasebenzisa izidakamizwa "Katedzhel lidocaine," ukwazi ukuthi izincomo ezithile mayelana umthamo abesifazane nezingane ayitholakali. Ngokuvamile, lemali iqondiswa odokotela gel correlate nge izilinganiso yokwakheka urethra.

Asebekhulile, iziguli ephelile, abantu abaphethwe ezinzima kwezinso noma hepatic ukungakhuli umthamo izidakamizwa wathi kuyakhethwa ngokuqinile kumuntu ngamunye, kuya ngesimo sogulayo.

Akumelwe sikhohlwe lapha ukuthi esimweni ngesikhathi esisodwa okuqukethwe engaphezu kweyodwa isipetu tube (ikakhulukazi uma urethra kuyinto elikhanyayo noma has ezibangelwa ukungaphenduki embhedeni) isiguli ingase ibe nezimpawu ezithile yokweqisa.

Izimo

Nakuba etholakalayo ku ukusetshenziswa kwezidakamizwa "Katedzhel lidocaine" amazwana kusukela ochwepheshe ukuqinisekisa ukuphepha yayo cishe wonke amaqembu iziguli, ezinye zazo Kusafanele ugweme ukusetshenziswa kwaleli thuluzi. Lezi zihlanganisa:

• abantu abaphethwe ukusabela iguliswa chlorhexidine;
• Iziguli ukuthi nginesifo angina engazinzile noma bradycardia;
• kanye neziguli kanye porphyria acute (ngaphandle uma kunobufakazi obuqand 'ikhanda ukusetshenziswa ijeli "Katedzhel").

Ukuze ugweme izinkinga ngemva kokuhlinzwa, ochwepheshe batusa for iziguli usebenzisa izidakamizwa okokuqala, ukuqhuba yokungezwani komzimba ukuhlolwa.

Ngaphezu kwalokho, umenzi uxwayisa ngengozi kokuthola izidakamizwa e iso - ezimweni ezinjalo kubalulekile ubageze amanzi amaningi.

Ukuba khona amathuba okuba nemiphumela engemihle futhi izidakamizwa ukweqisa izidakamizwa

Special izidakamizwa side effects abachazwa, futhi kanjani imithelela gel okukhulunywa kuphela kungenzeka komzimba ezifana dermatitis, amawala, evutha endaweni isicelo futhi angioedema ezimbi.

Njengoba kuveziwe ngu osetshenziswayo emuthini "Katedzhel lidocaine" imfundo, ukweqisa izidakamizwa kwaleli thuluzi kukalutshwana kakhulu futhi kuphela ezimweni umonakalo ezinzima kuze urethra. Isiguli kungabonakala nasemkhakheni Ukudlikizela, inzululwane, bradycardia (kancane inhliziyo isigqi) kanye nciphisa (iconsi okusheshayo wegazi kubangelwa ngobuthakathaka inhliziyo ukwehla ngokuzumayo ithoni semithambo). Phela, lo main izimpawu isici overdosage kuyinto lidocaine.

Ezimweni ezinjalo, isiguli ikhombisa ukusetshenziswa beta-agonists (bradycardia) kanye barbiturates noma esifushane oyibamba imisipha relaxant e Ukudlikizela. Lapho isimo nciphisa isiguli ngemithambo yegazi iqondiswa izidakamizwa "Epinephrine" noma "Dopamine".

Njengoba izidakamizwa baxhumana nezinye izidakamizwa

Lapho "Katedzhel lidocaine" Kudingeka usebenzise ijeli, ukusetshenziswa iodine engathandeki kakhulu. Insipho yokuwasha equkethe iqembu anionic, futhi akuhambisani ukulungiselela kuchazwe.

Iziguli ethola njengendlela yokwelapha isimo antiarrhythmics ( "Mexiletine" noma "Tokanid"), i-beta-adenoblokatory ( "propranolol") ne-calcium abamelene ( "Diltiazem", "Verapamil") linqume gel ngokuqapha ngenxa ingozi iziyaluyalu semithambo ka conduction futhi contractility zenhliziyo.

Kuvunyelwe ukusebenzisa kwayo nge izidakamizwa ayingxenye amaqembu cationic ( "Benzalkonium chloride"). A monoamine oxidase inhibitor kungase kuthuthukise umphumela analgesic ka lidocaine.

Ubani ungasebenzisa izidakamizwa "Katedzhel"

Ngokwe izidakamizwa itholakale "Katedzhel lidocaine" imfundo, ingasetshenziswa abesifazane ngesikhathi sokukhulelwa (nakuba lokhu kufanele kwenziwe ngokunakekela e senyanga yokuqala) kanye nokuncelisa ibele. Lokhu kungenxa ikhono layo ongaphakeme ukungena ngokusebenzisa placenta noma ku ubisi lwebele. Nokho, i-umakhi nokuvikeleka incoma nokho uyeke ukuncelisa ibele amahora 12 ngemva kokufaka ijeli "Katedzhel".

Ichaza amathuluzi akuphazamisi imoto noma ezinye imishini handling ikhono. Futhi, akakubangeli ukozela noma ukubambezela isimo sabantu.

Emazwini akhe eziningana zokugcina

ijeli egciniwe "Katedzhel" ukufinyelela ezomile kwezingane kanye kude ukukhanya ezingeni lokushisa esingeqile 25 ° C. Ukuze adalule izidakamizwa ayikwazi simisiwe ngokuqondene ingozi ukunciphisa nomphumela oqabulayo. Futhi ngenxa yokuntuleka kwezinhlelo ezibanzi kophawu, futhi zokugwema ukuphuka we isipetu-tube ne ijeli ekusetshenzisweni yayo kufanele kugwenywe.

Impilo eshalofini zomuthi uneminyaka engu 5, ngemva kwalokho nesikhathi izidakamizwa kungcono ukuba nidede.

Ngu izindlela omqondofana echazwe zihlanganisa izidakamizwa "Instillagel" "Lidocaine Asepta" futhi "Lidohlor".

Sengiphetha, umuntu akakwazi kodwa ukuphinda ukuthi naphezu akhona wokulungiselela ezinjalo, ijeli "Katedzhel lidocaine", ukubuyekezwa zokuphepha yayo ehlobene nokusebenza ngempumelelo, sebenzisa ithuluzi ngaphandle kadokotela kuyingozi! Kuyinto bakwazi ukususa ubuhlungu futhi ukunciphisa ububi besimo sokuguquka izifo ngenhla kodwa kuphela uma ukulawula wezokwelapha. Kungenjalo, isiguli usengozini umonakalo ongalungiseki nempilo yabo.