"Articaine INIBSA": imiyalelo ukusetyenziswa, inkcazo, ukwakhiwa kunye nohlolo

Igama abangenakwazi beziyobisi - articaine + epinephrine. Iveliswe ku ampoules kunye indlela piston iglasi ixesha elide ngaphaya. Anikwe ngefoyile ye yokhuselo, esetyenziswa kumazwe yasentshona kuba oku qela amachiza - artikainsoderzhaschih. iintlungu philisi nganye umboniso ukuba ulwazi ngaphaya malunga nesicelo, ubume kunye ithamo medicament kunye neendlela zokugcina (oku kufuneka ibe kwindawo emnyama, ngaphandle abantwana kunye nobushushu). EziFihliweyo - a mnyama, ibhokisi ezomileyo okanye kwidrowa, ikhuselwe ekukhanyeni, iidrafti. Lobushushu - hayi ngaphezulu degrees 25, ukusukela ukuba oku kukhokelela ukwehla ngokukhawuleza medicament. Impilo - malunga neminyaka emibini, kwiwebhsayithi (kufuneka, ubuncinane) njengoko kuchaziwe ngugqirha.

Pharmacokinetics

"Articaine INIBSA" - iinjongo intlungu. Asetyenziswe kwimisebenzi ezincinane, ungenelelo zamazinyo (ingakumbi unyango lwe pulpitis kunye nokususwa kwamazinyo) kunye suturing. It is a iintlungu enamandla, ngoko ulwamkelo lokuqala ezigcinwe phantsi kweliso kwabasebenzi bezempilo, kuba eli chiza lineziphumo ebezingalindelekanga ezininzi.

Isebenza ngokukhawuleza kakhulu kwaye kangangexesha elide, ngokubonelela indawo enamandla kumzimba inaliti, iziphumo ebezingalindelekanga, phezu kwazo nje iimpawu ubuninzi bazo yimiyalezo ngoko articaine kubhekwa iintlungu ilungileyo nabani na ubunzima ukusuka ukunyamezelana ukuya kula machiza.

Okukodwa kwezakhiwo kunye namanyathelo therapeutic unika amandla aphezulu articaine iintlungu kunye nexesha eyimfuneko isiphumo iintlungu kuninzi iinkqubo amazinyo ezinxulumene ukusebenza kufutshane ukuya yintlama. Kulo mzekelo, ngenxa yokuba isantya ekungafuneki kunye nokupheliswa ichiza akukho isiphumo ezongezelekayo - izitofu ezininzi zomzimba phantse akukho ukwanda kwisiza ungenelelo ngoncedo.

Kakhulu wokuqalisa njenge "Articaine INIBSA". Nomakhi - Spanish Medical Laboratory Ilebhu INIBSA SA, enika Russia iintlungu ezahlukeneyo kunye zomzimba izixhobo umqhubi, njalo njalo Xa uxhulumaniso kunye nokuqaliswa kwezohlwayo ngo-2016, ukungeniswa iziyobisi nelunzima kakhulu uninzi .. Kunyaka ophelileyo sele ithathelwe brand artikaina "Septanest" imveliso Russian.

isakhiwo

Ukubunjwa ampoule omnye lithetha "Articaine INIBSA" ubandakanya:

• 1.8 ml;
• articaine - 72 mg (1 ml - 40 mg);
• epinephrine - 0,018 mg (1 ml - 0,01 mg).

lidle

In kwezamazinyo - 0.5-1.8 ml, kuxhomekeke ebukhulwini umonakalo kunye ubungakanani izinyo, kwezinye iimeko, zomzimba wengingqi - kuxhomekeke meko. ithamo liqingqiweyo abadala - 7 mg kwekilogram ubunzima bomzimba ngalinye kubantwana abangaphantsi 12 - 5 mg.

"Articaine INIBSA" (1: 200000) unika isiphumo lokudoma esisiseko ngokubhloka kwalapho kuyo inaliti. ubuzaza Ikhubaza kuthetha ukuba kukho amathuba kwindawo umonakalo ngengozi anesthetized. Amaninzi ubunzima kulo ulwimi kunye esidleleni in bamazinyo - ezimbini izigulane ezilishumi ukulawula nomntana ngokwakho into ngenxa yoko.

Epinephrine (in nokuhlelwa Russian medical - iadrenaline) ibalekisa kwegazi, someleza intliziyo, ngaloo ndlela kuncitshiswa ixesha elifunekayo ukuqala amalungiselelo. Nangona kunjalo, xa izixa ezikhulu (3 micrograms / kg / min) ebangela licuthe imithambo yegazi kunye, ngenxa yoko, ukwandisa ixesha isenzo iintlungu. It iyathengiswa pack kunye ampules ezilikhulu, zalishumi 1.8 grams nganye.

Ulawulo ongama okwenzeke zeziyobisi kwenzeka malunga 5-10 imizuzu. Ekuhambeni kwexesha lokuqala intramuscular kuxhomekeke imeko yomguli kunye inyama yakhe kwezihlunu.

umyalelo

"Articaine INIBSA" yemiyalezo ucebisa ukusebenzisa ngolu hlobo.

Beziyobisi isirinji kumbhobho kunye indlela action pump. Inaliti lwenziwa kufuphi okanye ngokungqalileyo nongenelelo zone, kuxhomekeke kudidi lwe yesenzo.

Izimo

• uvakalelo oluphezulu yecandelo ichiza ephambili, kumda kunye negazi (articaine, epinephrine, iityuwa acid tartaric, sulfites, kunye nabanye.).
• Tachycardia kunye nezinye ukwaphulwa enxulumene kwisingqi kwentliziyo.
• ukusilela Heart.
• Ukuvalwa glaucoma kule fomu.
• isifuba inyumoniya, ingakumbi - nomsindo sulfites.
• Anaemia kwisiqalo yokungabikho vitamin B12.
• Ukuswela cholinesterase kwegazi.
• izifo Central luvo, myasthenia gravis.
• sisibindi xa kubonakaliswa kakhulu (porphyria).
• ifomu kuthiwa gipertirioza (umsebenzi ngokugqithisileyo esinobubovu lengqula).
• yobudala Early (kweminyaka emine).

Iingozi ezinxulumene ne ezithatha ichiza

• ngokuzitofa (ingakumbi - lithetha "Articaine 4 epinephrine INIBSA") ayinqweneleki kuba kunokubangela inguqu kakhulu koxinzelelo, kwaye ukukhubaza inkqubo ikakhulu luvo emzimbeni.
• Intshayelelo artikaina ngqo embindini ukudumba na azamkeleki, njengoko edubuleyo uya kuba buhlungu kakhulu, yaye akuyi kubakho ichiza bakwazi ukwahlukana phezulu kummandla ngenxa ukufukuka olomeleleyo.
• Awunakugcinwa kwakhona ampoule bengawatyi, ekubeni isisombululo seyonakele okanye hayi abawaziyo.
• Ngenxa yokunakekela, kufuneka afake isicelo kubantwana abaneminyaka eli-12 ubudala, abadala, abantu abaphethwe zizifo yonyango, okanye ukufumana amalungiselelo ezifanayo amanyathelo (mioblokatory, iintlungu, njalo njalo.).
• abasetyhini abakhulelweyo kunye phindeke angafumana articaine phantse ngaphandle koloyiko impilo yabantwana. Xa izifundo laboratory ekhethekileyo lubonise ukuba chiza Isiphiwo gaze asezantsi noko ngumkhaya kunye engekazalwa ngeenxa ayifumaneki ngobisi lwebele kulo boxinzelelo ezichaphazela uphuhliso komntwana.

ziziphumo ebezingalindelekanga kunokwenzeka ukususela REFERENCE iziyobisi "Articaine INIBSA" 1: 200000:

• ziyabagulisa (urticaria ngenxa yokothuka anaphylactic).
• Ukudumba kunye nokudumba kwindawo inaliti.
• arrhythmias Minor inhliziyo.
• Intloko ebuhlungu, isiyezi, nokudideka, kunye nokuqaliswa beziyobisi kwindawo ezikufutshane kwiziko vestibular.
• Isicaphucaphu, ukugabha, urhudo.
• ithuba ephantsi kakhulu elivela kuzo ischemia kwindawo kulawulo, maxa wambi kufikelela ukuya kwezihlunu necrosis (efakwa okanye libanda).

Le mithamo iphezulu igazi inqanaba articaine kuphunyelelwa emva kwemizuzu 10-15, nokuba kukho vasoconstrictor ekwakhiweni nokwakheka. Idubule ngokusebenzisa iiyure ezi-6 emva kokuba ulawulo nezi ntso, nomhlehlo wesibindi bangabi amacandelo engasebenziyo.

Intsebenziswano kunye namanye amachiza

• Lihambisana lakhula kunye Mao inhibitors isiphumo unesifo zinokukhuliswa landa uxinzelelo lwegazi (ngcembe lisingisa 150/100), nto leyo eyingozi kubantu abaninzi, ingakumbi lwegazi.
• Ukuxinana ukuphucula analgesia nokulondoloza isenzo yayo.
• Blocker ile artikaina ukwandisa amathuba yokuphuhlisa nentlekele unesifo kunye bradycardia.

iimpawu libanda

• Le buthathaka kwenkqubo luvo emva imincili yayo okwexeshana, Abokuhlunguzelelwa elinqatyisiweyo imilenze.
• Imvakalelo stupefaction, mala, isiyezi kakhulu, kulandele ukugabha.
• ukuba nemibono eyahlukeneyo, ukuva kunye nezifundo esithubeni.
• Ukuhlisa uxinzelelo kwi ezityeni, ukuphefumla enzima.
• Ukulahleka lokuqonda.

Ukuba isaziso imiqondiso kufuneka eyekile ukusetyenziswa articaine, nimambathe ngemva okanye ecaleni kwaye ivumele ezamahala, nezatrudnonnogo yokuphefumla (ekukhethwa ukuba babekwa polubokovoe sikhundla - ukuba isigulane ayikho ukugabha zahlebnotsya e zabo netuwa). Ngoko ke kufuneka ukuba uqale umlinganiselo izinga lentliziyo kunye noxinzelelo semithambo, udliwano-ndlebe umntu ukufumanisa iimpawu, ukubiza kwigumbi zonxunguphalo ukuba ubize isicima balungisa amayeza eyodwa yokunika ngokubuyiselwa olungxamisekileyo kwemisebenzi zomzimba xa kuthe ukonakala kweendlela (ukusetyenziswa bazamile ikhithi nangoku ezinqwenelekayo ngaphandle kweliso kumagqirha ).

reviews

ERashiya, "Articaine INIBSA" ncomo Ndafumana elungileyo ezivela koogqirha ezininzi kunye nezigulane, ekubeni kulula ukuyisebenzisa, iindlela azibizi (kubandakanywa ifomu ukukhululwa 100 neekhatriji iintlungu).

Ichiza "Articaine INIBSA" 1: 200000 ixabiso kuyahlukana nedlela uhlobo umba kunye nokuthenga indawo. Per pack of elinamanci neekhatriji kwi drugstores eMoscow Moscow kummandla eniyicelayo ukusuka 2.9 ukuya 3.7 amawaka engange. Kukho umkhwa kweebhokisi lorhwebo kwi imfuno eyodwa: kwi-avareji, le ampoule "Articaine INIBSA" ixabiso - 33 engange.

Ezikhemisti, eSiberia nakwiMpuma Ekude zinqabile, njengoko ilizwe Babethenga inani elincinane, kwaye zahanjiswa kumaziko ezempilo kunye nezibhedlele Central Russia.

Kwiminyaka yakutshanje, ngakumbi ongenisa yehlile ngenxa ukwayo ngamazwe, omnye amanqaku leyo umlomo ezithunyelwa eRashiya lwamachiza asemzini. Nangona kunjalo, ngeli xesha, ngale mpikiswano ayenziwa ingqwalasela.

Kwaye musa ukulibala ukuba self-iyeza kunokubangela emibi, ukusukela ukunqongophala iziphumo zonyango, kwaye awugqibe yabaneziphumo kabuhlungu. Ngenxa yokuba naliphi na ichiza kufuneka kuthathwe kuphela nje unyango ngqo specialist kufuneka kwenzeke phantsi kweliso zonyango.