"Ultrakain D": imiyalelo yokusebenzisa

Uhambo oluya wamazinyo - elijongene nayo, efuna luvo olomeleleyo. Nokuba izinyo embi, nemithambo umhlathi isibetho okanye iintsini, konke oku ihamba iintlungu eziqatha, ukungakwazi ukuphila ubomi obuqhelekileyo. Uloyiko ngoncedo kunye noloyiko iintlungu kukhokelela ekubeni isigulana ubeka utyelelo lwakhe kwagqirha ukuya wokugqibela.

Ukusombulula le ngxaki kunceda a iintlungu elungileyo asetyenziswe bamazinyo. Omnye wabo - "Ultrakain D". Yena negates zonke izigulane uloyiko, uvimba ngokupheleleyo novakalelo kwindawo yokuntlokothiswa.

Kutheni le kukhetha ukuba ichiza bamazinyo kakhulu?

iimpawu

Kukho iintlungu ezininzi ezahlukeneyo ezisetyenziswa bamazinyo. Olungileyo eyaziwayo kubo "Novocaine" yaye "Lidocaine".

Bamazinyo, esazi baloyikayo izigulane zabo ngokufuthi kuthintela ngexesha ubanike ngokufanelekileyo unyango, bakhetha zisebenza ku umkhuba le ntlungu ezininzi ezinamandla. Oku kubangelwa yinto yokuba umhlathi uqulathe inani elikhulu luvo.

ngenxa zomzimba "Ultrakain D" olusebenzayo "Novocain" Ngu amaxesha 5 "Lidocaine" - 2 amaxesha.

Ngaphezu koko, olu hlobo "ultrakain" aliqulathanga epinephrine ezikhoyo kwezinye iintlobo ezimbini beziyobisi. Epinephrine lineqela Izimo kwaye ayinakusetyenziswa izigulane ukunyamezelana ukuba eli candelo.

Umxholo we epinephrine njengenxenye ndindisholo kwaye kubandakanya kukho kwisigcinakaliso efanelekileyo ukulondolozwa, nto leyo inokuba allergenic kwizigulane.

Ngoko ke, le ndlela ichiza kangangoko ukuze zisetyenziswe ngabanye kunye nokwenzeka aphezulu i uxabane nawo, kuquka nabo unesifo sombefu.

incazelo

"Articaine D 'kufumaneka ngohlobo kwesisombululo ezingenambala neselubala ngenaliti.

Ngowe-1 ml iqulethe: Icandelo esbnzyo - articaine hydrochloride (40 mg), amacandelo olongezelelweyo - amanzi isitofu kunye sodium chloride.

Ichiza bobabo eziliqela iintlungu yendawo artikainovogo.

Oku kusetyenziswa ngenaliti kwi amazinyo ukuba iintambo kunye nokungena zomzimba.

Yokuvala emibi ilahleko ubukhali isahlulo, ukuba leyo isitofu yokugqibela, kwenzeka kwisithuba semizuzu 1-3. Le isiphumo ithatha malunga nemizuzu engama-20.

Ekubeni articaine into yokuthotywa ngokukhawuleza emzimbeni ukuya non-ityhefu acid, ngoko bavunyelwe ukuba baphinde-intshayelelo beziyobisi xa kuyimfuneko.

Le ndindisholo agcinwe esibindini, hayi kwazona ngobisi lwebele, ukuba bawele ngumkhaya, kubhaliwe kwizondlo yi nezintso.

ubungqina

"Articaine D" (ekwakhiweni ayibabandakanyi ubukho epinephrine) uvumelekile ukuba isicelo kumaqela izigulane ukuba yokunganyamezelani sulfite.

Kwakhona, lo iintlungu kuvunyelwa ukuba kufakwe imiqathango Izimo kwezinye iintlobo 'ultrakain "epinephrine equlethe. Le intliziyo kunye nesifo semithambo, tachyarrhythmia, tachycardia (paroxysmal), ukusebenzisa i blocker beta non-cardioselective, pheochromocytoma, ukuvalwa glaucoma, hyperthyroidism, hypertension kakhulu.

Ntlungu "Ultrakain D" imiyalelo ukuze zisetyenziswe woogqirha bamazinyo icebisa ukuba usebenzisa njongo zilandelayo:

• Uhanjiso kunye nokungena zomzimba amasebe komlomo izigulane singabunyamezeli epinephrine;
• utyando zamazinyo elifutshane (umz, canines, siphume);
• nokucocwa kweendawo carious le izinyo;
• Ukhankanye ukuba izinyo afakelweyo;
• zazo, efuna imali encinane imiqulu iintlungu.

Izimo

Izimo ekusebenziseni "ultrakain D" ziquka iimeko ezifana:

• isici articaine kunye nezinye iintlungu lohlobo amide;
• yanyhashwa of Uhanjiso intliziyo;
• senhliziyo congestive;
• hypotension kakhulu;
• anaemia okubangelwa vitamin B12 ngxaki;
  
• hypoxia;
• intswelo cholinesterase;
• izifo CNS;
• ixesha elide okanye umthamo uqhaqho amazinyo;
• yomguli yobudala ukuya kwiminyaka-4.

Sebenzisa ngononophelo

Sikhumbuza ukuba "Ultrakain D" iqulethe articaine, inqumle ngumkhaya. Kulo mba, isigqibo malunga nesicelo kwalo ndindisholo kubaguli beremennyhm kufuneka ugqirha.

Articaine, ngokungafaniyo nezinye iintlungu zasekuhlaleni, udlula ngumkhaya ngezixa ezincinane kakhulu, kodwa isigqibo ukusetyenziswa kwayo ungajongwa kuphela xa inzuzo enokubakho kuwo ingaphezulu kwe umngcipheko olungekazalwa kunye nonina.

abafazi phindeke ichiza na contraindicated, njengoko articaine salawo ngokukhawuleza emzimbeni kwaye ludlulele ubisi lwebele.

umthamo

"Ultrakain D", le ngxelo ilumkisa ngelithi, ayikhuthazwa tu into yokuba ukungena inyama ebushushwini babo.

Phambi kokuba ukuqhuba ichiza obuyimfuneko bokwenza uvavanyo njengeminqweno yoluntu, ukuze sikuphephe ukwenza i isisombululo ibe isitya igazi. Ngenxa yoko, emva kokuba ukuqaliswa inaliti nesirinji ukuba isitofu okucwangcisiweyo nesirinji piston kufuneka bezitsalile kancinane kwicala reverse yaye baqinisekise ukuba akukho gazi uvele isisombululo zeziyobisi. Ubukho egazini isirinji ibonisa ukuba inaliti iye wahlatywa isitya igazi, ngoko kuyimfuneko ukuba ukutshintsha indawo okanye ubunzulu ngenaliti.

Ngenxa yoko ezingalunganga ukulungiselela uvavanyo kuqhutywa kule ndawo ezikhethelwe iintlungu yayo.

balawule

Kuba zomzimba infiltrative kufuna 1.7 ml nesiyobisi elinye okanye amabini nezinyo ezikufutshane.

Kuba Uhanjiso zomzimba kuqhutywa ngezantsi luvo alveolar kufuneka 1-1.7 ml isisombululo.

ithamo Owona mbane kwizigulane abadala - 4 mg 1 kg ubunzima nganye.

imiphumela emibi

Yiyiphi imiphumo engalindelwanga kunokubangela "Ultrakain D"? Imiyalelo zisetyenziswe woogqirha bamazinyo ulumkisa ukuba emva zolawulo ndindisholo inokuba neziphumo ebezingalindelekanga ezifana nesiyezi, buthathaka, ilahleko ukuva, intloko ebuhlungu, somnolence.

Xa elingaphezu umthamo ichiza, umguli zingenzeka ukuphazamiseka osezingqondweni okanye ukudandatheka yokuphefumla kunye yombono.

Ukuqunjelwa - isicaphucaphu, ukugabha - nako kubangelwa ukuqaliswa ichiza.

Yokuphazamiseka nkqubo iimpahla intliziyo negazi emva isitofu "ultrakain D 'inokuba oku kulandelayo: ukuhla uxinzelelo lwegazi, ukubetha kwentliziyo kakubi, sisifo sentliziyo, ukuwa, bradycardia, iintlungu esifubeni.

Ngaphambi usebenzisa imveliso "Ultrakain D" umyalelo kufuneka ngocoselelo kufundwa. Le ndindisholo inokuba allergenic kwizigulane, kucetyiswa ukuba aqhube uvavanyo lokuqala uvakalelo ukuya ntlungu elinikiweyo.

Aleji ichiza kubonisiwe mpawu zilandelayo: bomvu, ukudumba kuyo inaliti, urticaria, pruritus, irhashalala, nokuthimliswa, conjunctivitis, nokudumba yobuso (ukudumba komlomo), ukudumba womqala, kunzima nokuphefumla, ukothuka anaphylactic.

Xa sisilonda esidumbileyoesingaphakathi inyama luvo kunokwenzeka yobuso luvo paresis, paresthesias komlomo kunye nolwimi, kunye antsi ukunambitha ziqhele.

Ukuncedisa ku libanda

"Ultrakain D" into ukunyamezeleka kakuhle zizigulane ezininzi. Kodwa simele lokukhathalela amanyathelo okulumkela ukusetyenziswa kwayo.

Iimpawu ze-libanda, beziyobisi zezi: ilahleko osezingqondweni, isiyezi, bradycardia, umsebenzi motor ngokugqithiseleyo, kunciphisa umfutho wegazi.

Nceda: Nika umzimba indawo yomguli tye kunye wamvusa ngamahla ndinyuka. Khupha umoya kwaye uqinisekise yomoya akhululekile.

Xa usebenzisa ntlungu "Ultrakain D" manual icebisa isicelo iliso uxinzelelo lwegazi kunye nezinga intliziyo.

Ukuba ukuphefumla kunzima - anike ioksijini nomonde. Ukuba ukuphefumla uye wayeka ubonisa umoya ngomatshini. Nokudumba ye kwingqula - ekumfakeni endotracheal kunye umoya ngomatshini.

In unditsho - barbiturates ezilawulwa yegazi, anike hemodynamics ioksijini monitor nomonde.

Yokothuka nokuba Ikukwaphulwa ngokunzulu ejikeleza - ezilawulwa yegazi albumin, ababambeleyo plasma, glucocorticoids, electrolytes.

intsebenziswano

Ekubeni le ndindisholo iqulethe epinephrine (iadrenaline analogu) nto leyo vasoconstrictor, kucacile ukuba "articaine D" ngaphandle epinephrine, xa isetyenziswe anticoagulants kwandisa umngcipheko ukopha.

Njengoko nawuphi na umntu angeva, ichiza kuphucula ifuthe kwingcinezelo inkqubo luvo.

kwiintsuku ezili-10 phambi kokuba isicelo ndindisholo kuyimfuneko ukucima ukusetyenziswa Mao inhibitor. Oku kuza kucutha umngcipheko wokuba hypotension.

Ukuxinana kunye analgesics ezidakumbisayo kuqhubele kunaba intshukumo beziyobisi. Le yamva, kwangaxeshanye, kunokubangela ukudakumba okanye ukubanjwa sokuphefumla.

reviews

Kwi yokulungiselela "Ultrakain D" review ngokuqhelekileyo azezi yokuba unalo imiphumo iintlungu elungileyo, kodwa elifutshane.

Izigulane, ezaziphantsi okuphelisa iintlungu ngexesha iinkqubo amazinyo, qaphela oku kulandelayo:

• ichiza kuthengiswa phantse zonke nakwiikhemisti kwi ngexabiso elifikelelekayo;
• iintlungu esebenzayo anesthetizes kakuhle, ukususa ngokupheleleyo uvakalelo nentlungu;
• ukusebenza elifutshane elide ichiza, ukuze ngokukhawuleza ukuze buncothulwe antsi, ukuthetha ngokukhululekileyo, badle;
• i iintlungu okuhle abo ongayithandiyo isiphumo elide ebandayo-mali ezinjalo;
• ukhetho ezilungileyo iintlungu kubantu isifuba okanye abanale;
• Ngokungafaniyo "articaine" equlathe epinephrine, ichiza akuthethi ukuba ukuphazamiseka zentliziyo ezifana tachycardia, bradycardia, njl

"Ultrakain D" ncomo nomonde ukuqinisekisa oku, zithandwa kakhulu. Bobubi, njengoko iadvanteji, kuquka isenzo sakhe kuphela eyeyomzuzwana njengokuba iintlungu.

Ngaphandle kwento yokuba chiza kube ngokuzimeleyo zingathengwa ekhemesti uthabathe nawe uye kugqirha wamazinyo, kufuneka udibane nogqirha ngaphambi kokuba uthenge. Kuphela ingcali unako ukubona ukuba ithatha ixesha elingakanani iinkqubo, kwaye acebise ukuba ukusebenzisa ichiza phezu ixesha elide.

"Ultrakain D Forte"

Igama Urhwebo beziyobisi, "UGqr Ultrakain le nqaba." Oku lisetyenziswa amazinyo nje intlungu.

Ifumaneka nje, isisombululo ecacileyo ezingenambala ukuba ngenaliti.

Ngowe-1 ml iintlungu eziqulethwe: articaine hydrochloride (40mg), - le into esebenzayo, epinephrine hydrochloride (0.012 mg) - into esebenzayo; sodium bisulfite, amanzi inaliti, sodium chloride - excipients.

Umlinganiselo epinephrine ukuba articaine kule fomu beziyobisi 1: 100000, njengoko kubonisiwe kwi-container iintlungu.

iimpawu

Epinephrine (adrenaline elingana) kwi ekwakhiweni yi ndindisholo kunye vasoconstrictor baqhubeke isiphumo iintlungu ivumela articaine.

Low ichiza ubuthi ivumela ulawulo okuthe gqolo njengoko kuyimfuneko.

Le ndindisholo ishenxisa ethe-luvo kuyo inaliti okwethutyana.

Ifuthe 'amazinyo' esiqwini lwenzeka phakathi kwemizuzu emi-3 emva kokuba isitofu kwaye ihlala ubuncinane imizuzu eli-75.

ubungqina

Eli chiza esetyenziswa amazinyo ukuba Uhanjiso zomzimba okanye idibane, nto leyo efunekayo ukuze imisebenzi em- ngomlomo okanye yintlama yamazinyo, ngokuba ngokususa nezinyo eyaphukileyo, ngexesha elide yokungenelela yotyando.

Izimo

Le ndindisholo ke contraindicated phantse meko efanayo "Ultrakain D", njengoko oko kuchazwe ngasentla. Oku kungenxa into esebenzayo ngokubanzi ukwakhiwa omabini amachiza - articaine. imisebenzi Kuphela elide-kuqhutyelwa kwisisu ngomlomo aba contraindication ukuba ndindisholo, ukuze epinephrine ixesha isenzo yayo.

Nangona kunjalo, lo epinephrine kukho inani Izimo ezisebenza kule fomu woyekelelo "ultrakain".

Ezi ziquka:

• nobandlululo ku sulfites kunye nezinye izinto xa ukwakhiwa iintlungu;
• somoya;
• tachyarrhythmia;
• tachycardia paroxysmal;
• abanale;
• nomfutho kakhulu;
• ukusetyenziswa non-cardioselective beta-blocker;
• glaucoma (ukuvalwa).

Yiba Lumkela a angina nomonde Cardiosclerosis, isifo cerebrovascular, yegazi, stroke, emphysema, isifo seswekile, iphika esinganyangekiyo, ukuphazamiseka kakhulu ezintso okanye isibindi, ukungabikho cholinesterase, igazi ukuphazamiseka amahlwili, nguMbuso yimincili ngokugqithiseleyo.

ukukhulelwa

"Ultrakain D" ngexesha lokukhulelwa ukumisela kokungafunekiyo ngenxa articaine ukuwela ngumkhaya. Kodwa ukuba kukho imfuneko enkulu ndindisholo, kungcono ukukhetha uhlobo lwe "ultrakain", nto leyo aliqulathanga epinephrine okanye iqulethe oko iidosi ezingaphantsi kwe "Ultrakain D-C Forte"

abafazi phindeke ichiza na contraindicated, njengoko ngobisi lwebele imali yayo lincinane kakhulu.

Izikali

Kukhuthazwa yaphathwa iziyobisi kuphela kwezo ndawo apho kungekho komtshiso oko.

Asinako ukuvumela umthondo lo ndindisholo egazini!

Ukuze enze inkqubo ngokuphatha umntu omdala idosi obaneleyo iintlungu ekubaleni: 1 kg - hayi ngaphezulu kwe-7 mg beziyobisi.

Kubantwana abaneminyaka yobudala eyi-4 iintlungu idosi iphezulu kufuneka ingadluli 5 mg nganye 1 kg ubunzima isisombululo.

izigulane abadala kunye nabo abaphethwe hepatic kakhulu okanye luphazamiseko lwee kwezintso, ayikhuthazwa tu into yokuba ukungena isixa ichiza ngaphezu idosi zisezantsi eyimfuneko ukuphumeza analgesia.

reactions Ezingalunganga ukuba ichiza

Iziphumo ezingalindelekanga ekwimo nokukhululwa "ultrakain" iyafana naleyo i "ultrakain D". Nangona kunjalo, ubukho epinephrine kwi isisombululo kunokubangela indlela eyongezelelweyo evela emzimbeni. Nangona kunjalo, kukho iingxaki ezo kunqabile kakhulu, bona ziquka tachycardia, arrhythmias kwentliziyo, ukwanda koxinzelelo lwegazi.

Ukuba imveliso ungena isitya igazi, kusenokuba kukho iinkalo necrosis kuyo inaliti.

"Ultrakain D-S"

Ifom kuphela ukukhululwa "ultrakain", nto leyo ayiqulathanga epinephrine - i "Ultrakain D". "Articaine D-C ', nayo, iquka epinephrine, kodwa idosi ongaphantsi kwe" articaine D-S-Forte ".

isakhiwo

1 ml iqulethe 40 mg 0,006mg articaine iintlungu kunye epinephrine. Umlinganiselo epinephrine ukuba articaine kule ndlela ichiza-1: 200 000. Kwakhona ifakiwe yesisombululo izithako ezongezelelekileyo: amanzi ngenaliti, isodiyam disulfite, sodium chloride.

iimpawu

Xa kutyalwe kwesiphumo sayo iintlungu emva kwemizuzu-3 kwaye ihlala ubuncinane imizuzu eli-45.

Ngenxa igcuntswana leyeza epinephrine, ichiza akabanga neziphumo ezibalulekileyo kwi entliziyweni, evumela ekhuselekileyo ukusebenzisa yona ukuba ibe zazo zonyango ixesha elide.

ubungqina

Uhanjiso idibane zomzimba ngexesha lomsebenzi lwamazinyo, ezifana:

• izinyo;
• Ukhankanye ukuba izinyo afakelweyo;
• unyango amazinyo carious.

Izimo

Ekubeni umlinganiselo epinephrine ukuba articaine njengenxalenye yokulungiselela "Ultrakain D-S" - 1: 200 000, i-Izimo ukusetyenziswa iintlungu ezinxulumene kakhulu uvakalelo izigulane ukuba articaine.

Ichiza contraindicated somoya inyumoniya kunye hyperthyroidism ngenxa epinephrine, leyo, nangona iingedosi ezincinane, kodwa ekhoyo kwi iintlungu.

Noko ke, olu hlobo "ultrakain" kuphephe ukuba isetyenziswe izigulane abakhulelweyo phindeke, abantu neempahla isifo sentliziyo kunye negazi babuyekezwe.

Isilumkiso! Ichiza akufuneki ukungena imithambo yegazi kunye kwizihlunu kunokutshiseka!

Zonke ezinye iingcebiso ukuba ukusetyenziswa iintlungu: ". D-Ultrakain ezinqabeni" intsebenziswano kunye nezinye iziyobisi, iziphumo ebezingalindelekanga, Izimo, izalathiso, ifuthe i libanda, imiyalelo efanayo, ezimiselweyo

release Form

Zonke iintlobo 3 "articaine D 'kufumaneka ngohlobo zesinyibiliko nengqayi of ml-2 (wapakisha - 10) iCartridge okanye itanki (" articaine D ") 1.7; iziqwenga 100 ebhokisini.

Ngaphambi kokuba usebenzise le ntlungu kufuneka ngenyameko ufunde imiyalelo, khangela umhla wokuphelelwa sisombululo, ukuqinisekisa ukuba inzalo ka nenkqubo, ukuqhuba uvavanyo phezu uvakalelo ichiza kwaye uvavanyo Eskom.

Emva kokuba isitofu, kucetyiswa ukuba esweni ngenyameko imeko yomguli kunye, xa kukho imfuneko, thatha amanyathelo ayimfuneko okubonelela kuye Iindlela zoncedo lokuqala.