"Ultrakain D": yokusetshenziswa

Akhubeke ukuze udokotela wamazinyo - it unesibopho, okudinga imizwa enamandla. Noma ngabe izinyo ezimbi, obuhlungu emhlathini ezinzwa noma izinsini, zonke ukuthi lokhu kuhambisana nokubuka sebuhlungwini obunzima, ukungakwazi ukuphila okuvamile. Ukwesaba kokungenela nokwesaba ubuhlungu kaningi iholela yokuthi isiguli ubeka nokuhambela kwakhe udokotela kuze kube sekugcineni.

Ukuze uxazulule le nkinga kuyasiza imithi yokubulala izinzwa okuhle esetshenziswa wodokotela bamazinyo. Omunye wabo - "Ultrakain D". Yena negates zonke iziguli ukwesaba, ivimbela ngokuphelele ukuzwela endaweni zokukhwabanisa.

Kungani le ntandokazi ngokuba izidakamizwa odokotela bamazinyo kunazo?

Izici

Kukhona imithi yokubulala izinzwa eziningi ezahlukene ezisetshenziswa amazinyo. Esaziwa kakhulu wabo "Novocaine" futhi "Lidocaine".

Odokotela bamazinyo, wazi ukuthi ukwesaba iziguli zabo ngokuvamile kuvimbela ngesikhathi esifanele futhi ngendlela efanele ukubanakekela yezokwelapha, uncamela ukusebenzisa in umkhuba lo amaphilisi ezinhlungu anamandla kakhulu. Lokhu kungenxa yokuthi umhlathi iqukethe inqwaba yezinzwa.

Ngenxa ukubulala izinzwa "Ultrakain D" ngempumelelo "Novocain" izikhathi ezingu-5 futhi "Lidocaine" - izikhathi 2.

Ngaphezu kwalokho, lolu hlobo "ultrakain" ayiqukethe epinephrine ekhona nezinye izinhlobo ezimbili zomuthi. Epinephrine enezinto eziningi contraindications kungenzeka ingasetshenziswa in iziguli ukungabekezelelani kule ngxenye.

Okuqukethwe epinephrine njengengxenye izinzwa futhi kuhilela khona nezivimbelakuvunda efanelekayo ukulondolozwa, okungaba allergenic iziguli.

Ngakho, le ndlela umuthi elilungile ukuze isetshenziswe abantu nge amathuba eliphezulu ukusabela nomzimba, kuhlanganise nalezo kwathiwa unesifo somoya.

incazelo

"Articaine D" etholakala ngendlela isixazululo kungekho nto enemibala emihle esobala for umjovo.

Ngo 1 ml liqukethe: ingxenye Active - articaine hydrochloride (40 mg), izingxenye ezengeziwe - amanzi umjovo kanye sodium chloride.

Umuthi kungokwalabo eziningi ukubulala izinzwa engxenyeni ethile artikainovogo.

Lisetshenziswa njengendlela umjovo umkhuba kwamazinyo wiring futhi kokuziphatha izinzwa.

Zeqhwa imiphumela nge ukulahlekelwa ukuzwela ingxenye, lapho kwaba umjovo zokugcina, kwenzeka ngaphakathi imizuzu 1-3. Lo mphumela ihlala cishe imizuzu engu-20.

Njengoba articaine ngokushesha phansi emzimbeni ukuze non-enobuthi acid, wabe esenikwa ithuba kabusha ukwethulwa izidakamizwa uma kunesidingo.

Lokhu izinzwa elondolozwe ku kwesibindi, hhayi excreted ku ubisi lwebele, ukuwela yi-placenta, it is excreted ngu nezinso.

ubufakazi

"Articaine D" (ukwakheka akufaki khona epinephrine) ovunyelwe kuthinta amaqembu iziguli kokuba ukungabekezelelani sulfite.

Futhi, imithi ebulala izinzwa kuvunyelwe nezimo Izimo for nezinye izinhlobo "ultrakain" aqukethe epinephrine. Lokhu isifo senhliziyo semithambo, tachyarrhythmia, tachycardia (paroxysmal), isicelo non-cardioselective beta blocker, pheochromocytoma, Ukuvalwa ukufiphala-hyperthyroidism, wegazi vele ophakeme kakhulu.

Izinzwa "Ultrakain D" yokusetshenziswa amazinyo incoma usebenzisa ngezinhloso ezilandelayo:

• conduction futhi kokuziphatha izinzwa neminyango umlomo iziguli singayivumeli epinephrine;
• ukuhlinzwa wamazinyo emifushane (isib, canines, amazinyo);
• yokuhlanza izindawo carious we ngezinyo;
• Ukuphendukela izinyo sokwenziwa;
• manipulations, ezidinga esincane amavolumu imithi ebulala izinzwa.

Izimo

Izimo ukusetshenziswa "ultrakain D" zihlanganisa izimo ezifana nalezi:

• isici esiyingqayizivele articaine nezinye imithi yokubulala izinzwa of amide uhlobo;
• eziwukwephulwa okukhulu conduction inhliziyo;
• congestive ukuhluleka kwenhliziyo;
• hypotension ezinzima;
• anaemia kubangelwa vitamin B12 ukuntula;
  
• hypoxia;
• ukuntula cholinesterase;
• izifo CNS;
• isikhathi eside noma ivolumu ukuhlinzwa wamazinyo;
• lesiguli yobudala kuze iminyaka 4.

Sebenzisa ngokuqapha

Sikhumbuza ukuthi "Ultrakain D" iqukethe articaine, kweqa placenta. Kule ndaba, isinqumo isicelo sale izinzwa ezigulini beremennyhm makamthathe udokotela.

Articaine, ngokungafani nezinye ukubulala izinzwa engxenyeni ethile, udabula placenta okuncane kakhulu, kodwa isinqumo ukusebenzisa kwayo kungenziwa ulungisiswa kuphela uma inzuzo engaba kuwo ingaphezu kwe ingozi embungwini nonina.

abesifazane lactating izidakamizwa is hhayi contraindicated, njengoba articaine ngokushesha excreted emzimbeni futhi ludlulele ngaphakathi ubisi lwebele.

nokushintsha kokudla nokufakwa

"Ultrakain D", isitatimende uxwayisa, it is hhayi Kunconywa ukuba singene kwezicubu avuvukele.

Ngaphambi azokuqhubela izidakamizwa idingekile ukuze ahlolelwe isifiso, ukuze ugweme ukuthola ikhambi abe isitsha esihle igazi. Ngenxa yalesi, emva kusungulwa inaliti isipetu ezihlelelwe umjovo isipetu piston kumelwe ukudonsa kancane ohlangothini reverse kube nesiciniseko sekutsi akekho igazi uvele ikhambi izidakamizwa. Ukuba khona igazi isipetu kubonisa ukuthi inalidi uye wahlatshwa kanjani isitsha igazi ke kubalulekile ukuba ukushintsha indawo noma ukujula umjovo.

Nge yalokho engakhi test ukulungiselela ingasatshenziswa endaweni ekhethelwe analgesic yayo.

Isikali

Ukuze izinzwa infiltrative kudinga 1.7 ml isidakamizwa esisodwa noma ezimbili izinyo eduze.

Ukuze conduction izinzwa olwenziwa ngezansi ezinzwa alveolar kudingeka 1-1.7 ml isixazululo.

Ubuningi umthamo kuvumelekile iziguli omdala - 4 mg ngayinye isisindo 1 kg.

side effects

Imiphi imiphumela engahlosiwe kungadala "Ultrakain D"? Yokusetshenziswa amazinyo uxwayisa ngokuthi ngemva nokuphathwa izinzwa kungase kube nemiphumela ohlangothini njengokuba nesiyezi, ubuthakathaka, ukulahlekelwa ukuzwa, ikhanda, somnolence.

Lapho edlula Isikali zomuthi, isiguli kungenzeka ukuphazamiseka ukwazi noma ukucindezeleka zokuphefumula kanye nokugoqana komzimba.

Dyspepsia - isicanucanu, ukuhlanza - kungabuye kubangelwa ukwethulwa izidakamizwa.

Yokuphazamiseka uhlelo izitsha inhliziyo negazi emva umjovo "ultrakain D" kungenzeka lokhu okulandelayo: ukwehla komfutho wegazi, ukushaya kwenhliziyo okungajwayelekile, ukuhluleka kwenhliziyo, nciphisa, bradycardia, ubuhlungu besifuba.

Ngaphambi kokusebenzisa umkhiqizo "Ultrakain D" umyalelo kufanele balitadishisise. Izinzwa kungenzeka allergenic iziguli, kutuswa ukuba avivinye zokukwazi luvelo lwetinhlobo amaphilisi ezinhlungu inikezwe.

Yokungezwani komzimba emuthini kuboniswa izimpawu ezilandelayo: ububomvu, ukuvuvukala ngesikhathi umjovo site, urticaria, pruritus, amawala, rhinitis, conjunctivitis, edema ebusweni (ukuvuvukala lezindebe), ukuvuvukala umphimbo, ecinene, ukushaqeka anaphylactic.

Lapho lesion izicubu yezinzwa singenzeka ebusweni ezinzwa paresis, paresthesias sezindebe nezilimi, ukungabi namizwa ukunambitheka bezibona.

Kusita ukweqisa izidakamizwa

"Ultrakain D" is kahle ikubekezelele iziguli eziningi. Kodwa akufanele sidebeselele izinyathelo ukusetshenziswa kwaso.

Izimpawu ngokweqile zomuthi yilezi: nokulahlekelwa ukwazi, isiyezi, bradycardia, ngokweqile motor umsebenzi, kunciphisa umfutho wegazi.

Siza: Phumuza umzimba isikhundla lesiguli ovundlile nge ephakanyiswe esiphendula esibhekisa phansi. Yethula umoya ohlanzekile futhi uqiniseke yomoya amahhala.

Uma usebenzisa izinzwa "Ultrakain D" manual uncoma lokusebenza ukugada wegazi nokushaya kwenhliziyo.

Uma ukuphefumula kunzima - ukunikeza oxygen nesineke. Uma ukuphefumula iyeke libonisa ukupholisa lokukhanda. Edema we umphimbo - intubation endotracheal nokushaya komoya lokukhanda.

Ngo Ukudlikizela - barbiturates iqondiswa ngemithambo yegazi, ukunikeza isiguli umoya-mpilo qapha hemodynamics.

Usashaqekile ukwephulwa kwegazi - iqondiswa ngemithambo yegazi albumin, i-plasma esikhundleni, glucocorticoids, electrolyte.

ukuxhumana

Njengoba lokhu izinzwa iqukethe epinephrine (adrenaline Analogue) okuyinto vasoconstrictor, kusobala ukuthi "articaine D" ngaphandle epinephrine, uma zisetshenziswa anticoagulants kwandisa ingozi ebangela ukopha.

Njenganoma iyiphi imithi ebulala izinzwa wendawo, umuthi sithuthukisa umphumela ezicindezelayo isimiso sezinzwa esiyinhloko.

izinsuku ezingu-10 ngaphambi kokuba ukusetshenziswa izinzwa kuyadingeka ukukhansela ukusetshenziswa mao inhibitor. Lokhu kuzonciphisa ingozi hypotension.

Yokuvula amakhala futhi analgesics kwezidakamizwa ukuthuthukisa nokwengeza isikhathi isinyathelo zomuthi. Lesi sakamuva, ngesikhathi esifanayo, zingabangela ukucindezeleka noma ukuboshwa zokuphefumula.

Izibuyekezo

On the ukulungiselela "Ultrakain D" Izibuyekezo ngokuvamile encishisiwe yokuthi yena unalo imiphumela emihle, kodwa short-term analgesic.

Iziguli, ababe kuncike kubulawe izinzwa phakathi izinqubo zamazinyo, uqaphele lokhu okulandelayo:

• isidakamizwa okuthengiswa cishe yonke Pharmacy ngesikhathi intengo imali;
• izinzwa asebenzayo anesthetizes kahle, asuse ngokuphelele uzwela ubuhlungu;
• wesikhathi esifishane umphumela izidakamizwa, ngakho ungakwazi ngokushesha ukubabulala ndikindiki, efuna ukukhuluma ngokukhululekile futhi adle;
• izinzwa kangcono kulabo ungathandi umphumela eside amakhaza ka lezo zimali;
• ukukhetha ezinhle izinzwa abantu somoya noma isifo yegilo;
• Ngokungafani "articaine" equkethe epinephrine, umuthi akakubangeli thuthuva wenhliziyo ezifana tachycardia, bradycardia, njll

"Ultrakain D" Izibuyekezo nesineke uqinisekise lesi, zithandwa kakhulu. I yokuntula, njengoba inzuzo, zihlanganisa kuphela isinyathelo sakhe besikhashana njengoba isidambisa-zinhlungu.

Naphezu kweqiniso lokuthi izidakamizwa kungenziwa ngokuzimela uthenge ekhemisi futhi uthathe nawe udokotela wamazinyo, kufanele uxhumane nodokotela ngaphambi kokuthenga. a kuphela onguchwepheshe angakwazi ukubona ukuthi isikhathi esingakanani kuthatha izinqubo, futhi yethule isiphakamiso ukusebenzisa izidakamizwa ngemva kwesikhathi eside.

"Ultrakain D Forte"

egameni lendawo yokuhweba noma izidakamizwa, "kusho uDkt Ultrakain nqaba." Isetshenziselwa umkhuba yamazinyo njengoba izinzwa wendawo.

Iyatholakala njengoba ecacile, isixazululo kungekho nto enemibala emihle ngoba umjovo.

Ngo 1 ml izinzwa equkethwe: articaine hydrochloride (40mg), - ketshezi esebenzayo, epinephrine hydrochloride (0.012 mg) - ketshezi esebenzayo; sodium bisulfite, amanzi umjovo, i-sodium chloride - excipients.

Isilinganiso epinephrine ukuze articaine kuleli fomu zomuthi 1: 100000, njengoba kuboniswe isitsha imithi ebulala izinzwa.

Izici

Epinephrine (adrenaline okulingana) e ukwakheka kuyinto izinzwa kanye vasoconstrictor isikhathi nomphumela yokubulala izinzwa kuvumela articaine.

Okuphansi ubuthi izidakamizwa ivumela lezokuphatha okuphindaphindiwe njengoba kudingeka.

Lokhu izinzwa aqede okwesikhashana nozwela yezinzwa kusayithi umjovo.

Umthelela "umnkantsha" ihlule kwenzeka kungakapheli imizuzu 3 emva umjovo futhi kuthathe imizuzu okungenani 75.

ubufakazi

Umuthi elisetshenziswa umkhuba kwamazinyo conduction izinzwa kanye kokuziphatha, esidingeka imisebenzi ku ngalo ingaphakathi ngomlomo noma kwengaphakathi lezinyo, zokususa izinyo eziphukile, ngesikhathi eside yokungenela kuhlinzwa.

Izimo

Lokhu izinzwa is contraindicated cishe amacala efanayo "Ultrakain D", njengoba lokho kuchaziwe ngenhla. Lokhu kungenxa jikelele izidakamizwa esebenzayo lichaza ekwakheni kokubili izidakamizwa - articaine. imisebenzi kuphela osekunesikhathi eside kule ngalo ingaphakathi ngomlomo ungeyena contraindication ukubulawa izinzwa, ngakho njengoba epinephrine bandisa wesenzo.

Nokho, epinephrine enezinto eziningi Izimo ezisebenza lolu hlobo ukukhululwa "ultrakain".

Lezi zihlanganisa:

• ukungabekezelelani ukuze sulfites kanye nezinye izinto ku ukwakheka kwe-izinzwa;
• somoya;
• tachyarrhythmia;
• tachycardia paroxysmal;
• abanale nkinga;
• nomfutho wegazi ophakeme ezinzima;
• ukusetshenziswa non-cardioselective beta-blocker;
• glaucoma (Ukuvalwa).

Qaphela a angina nesineke Cardiosclerosis, isifo cerebrovascular, isifo sokuqina kwemithambo yegazi, isifo sohlangothi, emphysema, isifo sikashukela, ukucinana kwemithambo yomoya emaphashini, iziyaluyalu okunzima izinso, isibindi, ukungabi cholinesterase, igazi ekunqandeni neziyaluyalu, ngesikhathi isimo ujabule ngokweqile.

ukukhulelwa

"Ultrakain D" ngesikhathi sokukhulelwa linqume engathandeki ngoba articaine ukuwela placenta. Kodwa uma siphela isidingo esikhulu ukuze kubulawe izinzwa, kungcono ukuba ukhethe uhlobo "ultrakain", okuyinto ayiqukethe epinephrine noma iqukethe kuyo imithamo ongaphansi "Ultrakain D-C Forte"

abesifazane lactating izidakamizwa is hhayi contraindicated, njengasezulwini webele ubisi senani lincane kakhulu.

Isikali

It watusa iqondiswa izidakamizwa kuphela kulezo zindawo lapho kungekho ukuvuvukala.

Asikwazi ukuvumela Ukungena izinzwa bungene egazini!

Ukuze enze inqubo ekwelapheni isiguli esingumuntu omdala i umthamo ezanele izinzwa kusuka ukubala: 1 kg - akukho kuka 7 mg zomuthi.

Eyenzelwe izingane ezineminyaka engu iminyaka 4 analgesic esiphezulu umthamo kumele singeqi 5 mg ngayinye 1 kg isisindo isixazululo.

iziguli ezindala kulabo abaphethwe hepatic ezinzima noma ukungakhuli kwezinso, is hhayi Kunconywa ukuba ufake inani izidakamizwa okweqa umthamo ubuncane ezidingekayo ukufeza analgesia.

ukusabela ezingezinhle emuthini

Imiphumela engemihle ngesimo ukukhululwa "ultrakain" iyafana ukuthi we "ultrakain D". Nokho, ukuba khona epinephrine e isixazululo kungadala ukuphendula ezengeziwe esibuhlungu esivela emzimbeni. Nokho, zikhona izinkinga ezingase zivele enjalo ezingavamile kakhulu, ihlanganisa tachycardia, arrhythmias inhliziyo, kukhuphuke blood pressure.

Uma umkhiqizo engena isitsha igazi, kungase kube izindawo necrosis kusayithi umjovo.

"Ultrakain D-S"

Okuwukuphela uhlobo ukukhululwa "ultrakain", okuyinto ayiqukethe epinephrine - a "Ultrakain D". "Articaine D-C ', esikhundleni salokho, kuhlanganisa epinephrine, kodwa umthamo ongaphansi" articaine D-S-Forte ".

isakhiwo

1 ml iqukethe 40 mg izinzwa articaine 0,006mg futhi epinephrine. Isilinganiso epinephrine ukuze articaine kuleli fomu zomuthi 1: 200 000. Futhi kufakwe isixazululo kanye izithako engeziwe: amanzi umjovo, sodium disulfite, i-sodium chloride.

Izici

Lapho umjovo we izinzwa umphumela wawo emva kwemizuzu 3 futhi kuthathe imizuzu okungenani 45.

Ngenxa umthamo elincane epinephrine, umuthi babengenalo nemiphumela ephawulekayo enhliziyweni, okuvumela ephephile ukuyisebenzisa okwesikhathi manipulations yezokwelapha isikhathi eside.

ubufakazi

Ukuqhuba i-anesthhesia ekusebenzeni kwamazinyo, njenge:

• Ukukhishwa kwamazinyo;
• Amazinyo agaya ama-prosthetics;
• Ukunakekelwa kwamazinyo aqinekayo.

Ukungafani

Njengoba isilinganiso se-epinephrine kuya kwe-articaine ekubunjweni kwesidakamizwa "i-Ultracaine D-C" singu-1: 200 000, ukuphikisana nokusetshenziswa kwalesi sivivinyo kuncike kakhulu ekuzweleni kweziguli ukuya e-articaine.

Isidakamizwa siyaphikisana nokuphefumula kwesifo sofuba nesifo se-hyperthyroidism ngenxa ye-epinephrine, okuyinto, nakuba isencane encane, kodwa ikhona ku-anesthetic.

Kodwa lolu hlobo lwe "Ultracaine" luphephile kakhulu ekusetshenzisweni kweziguli ezikhulelwe nezilahla, abantu abanezifo eziphuthumayo zenhliziyo nemithambo yegazi.

Ukunakwa! Isidakamizwa akufanele singene emithanjeni yegazi namathishu abilayo!

Zonke ezinye izincomo zokusetshenziswa kwalesi sivivinyo: ukusebenzisana nezinye izidakamizwa, imiphumela emibi, ukuphikisana, izinkomba, imiphumela yokudlula ngokweqile, kuyahambisana nemiyalelo enqunyelwe i- "Ultracaine D-S Forte."

Ifomu lokukhishwa

Zonke izinhlobo ezingu-3 ze-"Ultracaine D" zitholakala ngesimo sesisombululo kuma-ampoules angu-2 ml (kumaphakheji - amayunithi angu-10) noma emakhanjini enamandla ("Ultracaine D") 1.7; Izingcezu eziyi-100 ebhokisini.

Ngaphambi kokusebenzisa i-anesthetic, kufanele ufunde ngokucophelela imiyalo, hlola impilo yesheluli yesisombululo, qinisekisa ukuthi inqubo iyinyumba, ukuhlolwa kokuzwela kumuthi kanye nokuhlolwa kwe-aspirate.

Ngemuva kokujola, kunconywa ukuba uqaphele ngokucophelela isimo sesiguli futhi, uma kunesidingo, uthathe izinyathelo ezidingekayo ukuze umnike usizo lokuqala.