"Katedzhel lidocaine": isikhokelo, ukubuyekeza, iifoto

Xa elwa kunye iintlungu kwindawo nomchamo iziyobisi ethandwa kakhulu "Katedzhel kunye lidocaine." Ifumaneka njenge gel ecacileyo, ezingenambala kwaye osetyenziselwa zomzimba zasekuhlaleni magciwane le urethra phambi kokuba inkqubo, catheter, mbhobho, okanye kwezinye iimeko. Xa engekho Izimo ichiza lusetyenziswa kakhulu practice abantwana, yaye abafazi abakhulelweyo okanye phindeke.

Kwi ekwakhiweni nokumila "Katedzhel" iziyobisi

Ukuthetha ijeli "Katedzhel", ndingasathethi ukuba zingathengwa kuphela ngokumiselwa ezikhemisti. Wathengisa ngayo apakishwe ku-5 okanye 25 kwibhokisi blister yekhadibhodi enombhalo "Katedzhel lidocaine" (gel). Ngesirinji (12.5 g) kunye incam evuthelweyo Snap-off in blister nganye - ezilahlwayo, ezinepolypropylene yenyuka. Kuye ngoko nangoko bazaliswa neziyobisi walaliswa ukulungele ukuyisebenzisa. Phela, kufuneka icaciswe ukuba 12.5 g le arhente instillation kulo urethra malunga 10 umkhumbula g.

Enye ezilikhulu grams enye yejeli eziqulethwe 0.05 g chlorhexidine dihydrochloride, 2 g hydrochloride lidocaine. Njengokuba amacandelo abancedisayo ezivelileyo glycerol, gietelloza namanzi ngenaliti.

wenza njani yaye nini ukusebenzisa iziyobisi "Katedzhel lidocaine"

Ukubunjwa wachaza Amalungiselelo ziquka lidocaine hydrochloride, ukuba isiphumo kumzimba xa isicelo ngokwemixholo kwakunye chlorhexidine ukuba yokungenelela iintsholongwane ezininzi gram-HIV kunye gram-elibi, igwele kunye dermatophyte. Noko ke, icandelo ngaloo ogama alunasiphumo kwi acid-nomngundo, iintsholongwane, iintsholongwane eziyingozi.

Xa nomchamo, izifo, proctology kunye neziyobisi ezingabantwana "Katedzhel lidocaine" (ifoto kwesi sixhobo, ungabona kwinqaku) isetyenziswa ikakhulu nje mlonyeni iintlungu ngexesha endoscopy, ekumfakeni, ngokubuyisela catheter fistula okanye ungenelelo yotyando. Ngaloo zomzimba eyaneleyo kwenzeka phakathi kwemizuzu emi-5-10 emva kokuba isicelo medicament utshilo.

Gel "Katedzhel" asetyenziswa kunyango entsonkothileyo kwaye njengendlela ekwaziyo zokunciphisa intlungu kwiinkqubo ukudumba ibakho lobufazi, wesibeleko okanye urethra kwaye isikali.

Ezinye iimpawu zokusetyenziswa "Katedzhel lidocaine" iziyobisi

Xa nomchamo echazwe inkqubo yokulungiselela isetyenziselwa instillation urethra (ukumnika athontsize amachiza ibe sayo emzimbeni wakhe). Ekhaya, kwenze esalelweyo, njengoko lilungelo ukuphumeza amanyathelo zonyango ungakwazi kuphela abasebenzi zonyango kuphela izixhobo ezifanelekileyo, ukuthobela imithetho antisepsis kunye nezakhono ezikhoyo.

Phambi kokuba ufake izixhobo, umguli zicocwe ngaphandle kuvulwa urethra. Emva koko aveze blister kunye iziyobisi "Katedzhel lidocaine" (gel) iyasuswaName kunye nephepha ukuya constriction. Ngaphakathi iphakheji, ngencam nesirinji-ityhubhu uzaphule zisuswe, qinisekisa ukuba akukho izitenxo kwisiza zaphuka. Inkqubo lula ukuqaliswa emzimbeni walo yi kwamathana kweziyobisi extruded.

Instillation isebenze lula ihlaba nesirinji incence, yaye emva yoko kuqhubeka yayama ukuya yokurhoxa ngokupheleleyo ukusuka ijelo. imizuzu eli-10 emva kokuba instillation enye yejeli nga kusetyenziswa izixhobo iintlungu.

balawule

Abo basebenzisa iziyobisi "Katedzhel lidocaine," siyazi ukuba iingcebiso ezithile malunga ithamo kwabasetyhini kunye nabantwana ayikho. Ngokubanzi, imali elawulwa iingcali gel masihambelane Ubukhulu yokwakheka le urethra.

Abadala, izigulane ephelile, abantu abanengxaki severe kwezintso okanye hepatic lomonakalo ithamo iziyobisi bathi ikhethiwe ngqongqo ngamnye, ngokuxhomekeke imeko yesigulane.

Asimele silibale apha kwimeko ngexesha elinye imixholo ngaphezu kwesinye isirinji tube (ingakumbi ukuba urethra ke ebushushwini babo okanye embhedeni) isigulane bangafumana iimpawu libanda.

Izimo

Nangona kufumaneka ngokusebenzisa ichiza "Katedzhel lidocaine" izimvo ezivela kwiingcali ukuqinisekisa ukhuseleko yayo phantse onke amaqela izigulane, abanye babo ufanele ayiyeke ekusetyenzisweni kwesi sixhobo. Ezi ziquka:

• abantu abanengxaki ukusabela Andidibani chlorhexidine;
• Izigulane unesifo angina obungazinzanga okanye bradycardia;
• kwakunye izigulane porphyria etsolo (ngaphandle xa kukho izikhokelo ezivela esinyanzelisayo ukusetyenziswa gel "Katedzhel").

Ukuze siphephe iingxaki, iingcali bacebisa ukuba izigulane usebenzisa ichiza okokuqala, ukuqhuba iimvavanyo uyaliwa.

Ukongeza, umvelisi ulumkisa malunga sisengozini yokufumana ichiza emehlweni - kwiimeko ezinjalo kuyimfuneko ukuba ubahlambe namanzi amaninzi.

Ubukho lweziphumo ebezingalindelekanga kunye libanda, iziyobisi

iziphumo ebezingalindelekanga kweziyobisi ezizodwa abachazwa, nendlela neziphumo gel okhankanywe reactions kuphela kunokwenzeka komzimba ezifana dermatitis, irhashalala, uvutha kwisiza isicelo angioedema elibi.

Njengoko kuchaziwe yi isicelo ichiza "Katedzhel lidocaine" umyalelo, i libanda, esi sixhobo kunqabile kakhulu kwaye kuphela kwiimeko zomonakalo kakhulu ukuya urethra. Ngoko ke Isigulana waphawula unditsho, vertigo, bradycardia (kade isingqi intliziyo) yokutshabalala (drop ngokukhawuleza uxinzelelo lwegazi okubangelwa ubuthathaka kunye nokuncipha kwentliziyo ngesiquphe ithoni yegazi). Ke kaloku, iimpawu eziphambili factor overdosage yi lidocaine.

Kwiimeko ezinjalo, isigulana ibonisa ukusetyenziswa beta-agonists (bradycardia) kunye barbiturates okanye elifutshane-acting izihlunu relaxant in yombono. Xa imeko ekuweni ukuba isigulane butofelwe ilawulwa iziyobisi "Epinephrine" okanye "Dopamine".

Njengoko ichiza lisebenzisana kunye namanye amachiza

Xa "Katedzhel lidocaine" kufuneka usebenzise gel, ukusetyenziswa ayodini ayinqweneleki kakhulu. Iisepha kunye anesepha iqela anionic, nazo ingahimbiselani nokulungiselela echazwe.

Izigulane abafumana njengoko antiarrhythmics unyango ( "Mexiletine" okanye "Tokanid"), beta-adenoblokatory ( "propranolol") kunye bachasene calcium ( "Diltiazem", "Verapamil") ukumisela gel kunye isilumkiso ngenxa ubungozi izifo nemithambo of Uhanjiso kunye contractility kwentliziyo.

Wavumela ukusetyenziswa kwayo ngeziyobisi eziyinxalenye amaqela cationic ( "chloride Benzalkonium"). A monoamine oxidase inhibitors angaliphucula isiphumo iintlungu of lidocaine.

Ngubani na ukusebenzisa iziyobisi "Katedzhel"

Ngokutsho iyafumaneka "Katedzhel lidocaine" umyalelo ichiza, oko ingasetyenziswa ngabasetyhini ngexesha lokukhulelwa (nangona oku kufuneka kwenziwe ngononophelo senyanga kuqala) kunye nokuncancisa. Oku kungenxa yokuba ubuchule esezantsi ukuba angene ngenxa ngumkhaya okanye ubisi lwebele. Noko ke, ukhuseleko umenzi ikhuthaza kunjalo ayeke libele-lwebele iiyure ezili-12 emva kokuba nokusebenzisa i gel "Katedzhel".

Uchaza izixhobo aluchaphazeli isithuthi okanye enye ukukwazi oomatshini yokuphatha. Kwakhona, ingabangeli ukozela okanye ngokucotha asabela.

amazwi amaninzi wokugqibela

gel abanalo "Katedzhel" kufikelela eyomileyo abantwana kunye kude ekukhanyeni kwiqondo elingadluliyo 25 ° C. Ukuveza ichiza ayikwazi engumkhenkce ngokunxulumene umngcipheko ukunciphisa isiphumo therapeutic. Ke xa kungekho yophawulo, kunye breakage emzimbeni walo-tube ne ijeli evela ekusetyenzisweni kwayo kufuneka kuphetshwe.

Ithuba lokugcinwa beziyobisi yiminyaka-5, emva koko ixesha ichiza kubhetele ukuba nikhumke.

Ngezo ndlela izithethantonye ezichazwe ziquka iziyobisi "Instillagel" "Lidocaine Asepta" yaye "Lidohlor".

Elokuphetha, akukho mntu ngaphandle ukuphinda ukuba nangona ekhoyo wawungowokulungiselela enjalo, ijeli "Katedzhel lidocaine", ncomo nokhuseleko yayo isalamane kunye nokusebenza, sebenzisa isixhobo ngaphandle kokumiselwa kuyingozi! Oku uyakwazi ukususa intlungu nokunciphisa ubuzaza ezi zifo zikhankanywe apha ngasentla, kodwa kuphela xa ulawulo zonyango. Kungenjalo, isigulana usemngciphekweni ngomonakalo noqhekeko kwimpilo yazo.