Analogs, malangizo ntchito "Naropin". Reviews kasitomala

Dzanzi otchedwa mankhwala amene angathe kupangira mankhwala ochititsa dzanzi.

Mankhwala ochititsa dzanzi - kuchepa tilinazo thupi kapena ziwalo. Komanso, chifukwa okhumudwa amakhala ndi kutha wathunthu nzeru zokhudza chikhalidwe cha chamoyo ndi chilengedwe.

Zochita zachipatala, mankhwala ochititsa munthu amene amagwiritsidwa ntchito mankhwala "Naropin." Malangizo ntchito, akatswiri weniweni amakhala pansipa.

Zikuchokera, zikuchokera ndi Kenaka

Kukonzekera "Naropin" malangizo amene ali ndi makatoni mtolo amachoka mu mawonekedwe a njira m'jekeseni. Kungaphatikizepo 2, 5, 7.5 kapena 10 mg wa pophika yogwira monga ropivacaine hydrochloride.

Pankhani zigawo zina, ndiye kuwagwiritsa ntchito acid amathiridwa kapena hydroxide sodium, ndi madzi a jekeseni ndi sodium kolorayidi.

Mu malonda a malo umaperekedwa mu mbale.

Makhalidwe pharmacological mankhwala

ndi mankhwalawa monga "Naropin" n'chiyani? Malangizo Ntchito ananena kuti amide mndandanda mankhwala ochititsa, limene lakonzedwa mpumulo ululu ndi mankhwala oletsa ululu pamalopo.

Ntchito mlingo ka anatseka misewu ropivacaine facilitates makamaka thupi gawo ndi kuchepetsedwa tilinazo sanali-kupata ntchito galimoto.

Mu Mlingo mkulu wa mankhwala kumabweretsa ochititsa dzanzi pa opaleshoni.

katundu wa mankhwala

Kodi chidwi mankhwala "Naropin"? Malangizo ntchito limasonyeza kuti mphamvu ya chida ichi ndi chifukwa umatha reversibly kuchepetsa permeability wa nembanemba ulusi mitsempha. Chifukwa zinthu zimenezi, ndipo kumawonjezera excitability pakhomo depolarization mlingo amachepetsa, womwe kumabweretsa m'dera zikhumbo Letsani mitsempha.

Ntchito mlingo waukulu amatchuka chifukwa zotsatira zake ochepetsera pa mtima ndi CNS (chatsika madutsidwe amachepetsa automatism ndi excitability).

Pakuti khalidwe zotsatira ropivacaine yaitali. Kutalika kwa zotsatira akangofika mlingo mankhwala zikhoza kusintha.

Pamene utsogoleli epidural mankhwala ndi awiri-gawo ndi mayamwidwe kotheratu kwa danga epidural. Anthu ambiri ropivacaine mu magazi zimadalira njira ntchito.

The kinetics wa mankhwala

Malangizo ntchito ( "Naropin" ayenera kuperekedwa pokhapokha wopereka mankhwala opha ululu odziwa) akusimba kuti chida ali pharmacokinetics liniya. Chifukwa ichi, ndende wake pazipita mu magazi ndi njila kwa mlingo kutumikiridwa.

Kulankhulana ndi mapuloteni plasma 94%.

Dongosolo Epidural wa medicament kwa nthawi yaitali kumawonjezera okwana plasma ndende ya ropivacaine.

Thunthu yogwira imatengedwa njira amaloŵamo mofulumira kagayidwe kachakudya kutembenuka. Mu koyamba gawo nthawi theka moyo wofanana ¼ ora, ndi kudwala kwa - mphindi 240.

Pamene mtsempha kukonzekera 86% ya mlingo excreted ndi impsozo.

umboni

Chotani ntchito mankhwala monga "Naropin"? Malangizo ntchito (mu mano, mankhwala chikuyendetsedwera kaŵirikaŵiri kwambiri) limanena kuti mankhwala cholinga cha mankhwala ochititsa dzanzi pa opaleshoni:

• Kuti mitsempha anatseka misewu ikuluikulu ndi plexus mitsempha.
• Pofuna kusalola ochititsa dzanzi ndi mitsempha anatseka misewu munthu ulusi.
• Pakuti epidural anatseka misewu kuti kuchita ntchito, kuphatikizapo zigawo Kaisara.

Tikumbukenso kuti mankhwala "Naropin" kawirikawiri amagwiritsidwa ntchito chifukwa mpumulo zizindikiro mu syndromes pachimake ululu:

• Pakuti anatseka misewu yaitali misempha zotumphukira.
• Pakuti kwapakati pa-articular jekeseni.
• Pofuna kusalola ochititsa dzanzi ndi mitsempha anatseka misewu munthu ulusi.
• Pamene yaitali epidural kulowetsedwa, bolus periodicity kapena kuteteza ululu mu nthawi postoperative, komanso mankhwala ochititsa dzanzi pa ntchito.

Iwo ayenera kukumbukira kuti mankhwala ndi "Naropin" malangizo ntchito amene ali pansipa, amagwira ntchito thandizo la zizindikiro za ululu waukulu odwala Dokotala:

• chifukwa caudal epidural chipika ana osaposera zaka 12, kuphatikizapo ana akhanda;
• kwa nthawi yaitali epidural kulowetsedwa ana kwa zaka 12, kuphatikizapo ana akhanda.

contraindications

Kodi contraindications mankhwala ochititsa ndi "Naropin"? Malangizo ntchito (kwa mankhwala ochititsa dzanzi msana ndi chida ayenera kuperekedwa pokhapokha Anesthesiologists odziwa) limati malamulo oletsa izi:

• Hypersensitivity, anaonetsa dzanzi wa mndandanda amide (kuphatikizapo mbiri).
• Hypersensitivity kuti ropivacaine ndi mbali zina za chiphunzitso cha.

Iwo ayenera kukumbukira kuti medicament "Naropin", mlingo ayenera anasankha zomwe yekha katswiri, kusamala odwala ndi okalamba ndi debilitated komanso odwala ndi chikhalidwe choopsa cha matenda, kuphatikizapo intracardiac conduction anatseka misewu, chiwindi ndi impso kudwala.

Muyenera kusamala kwambiri kutumikiridwa ndi mankhwala ochititsa m mutu ndi khosi chifukwa cha chiopsezo zosiyanasiyana aakulu chowawa kuchuluka.

Pamafunika kusamalidwa powapatsa mankhwala kwapakati, makamaka zoopsa zazikulu opaleshoni. Apo ayi, zikhoza bwino mayamwidwe mankhwala ndi kuonjezera madzi ndende zake.

Chifukwa underdevelopment a ntchito ndi matupi a ana miyezi isanu ndi kuchititsa mankhwala ochititsa dzanzi pa gulu m'badwo ayenera kuchitidwa ndi kusamala kwambiri.

The mankhwala ndi "Naropin": malangizo ntchito ana

Comments za mankhwalawa Adzaperekedwa pansipa.

Pamene caudal epidural Dongosolo la mpumulo wa ululu syndromes ana masekeli mpaka makilogalamu 25 anagwira anatseka misewu injectable yothetsera mu mlingo wa 2 mg / kg.

Epidural kulowetsedwa kapena bolus jekeseni wa mankhwala ikuchitika malinga ndi zaka mwana:

• miyezi 6-12: kulowetsedwa - 0.4 mg / kg pa / hr, ndi bolus - 1 mg / kg;
• mpaka miyezi isanu: kulowetsedwa - 0.2 mg / kg pa / hr, ndi bolus - 1 mg / kg.
• zaka 1-12: kulowetsedwa - 0.4 mg / kg pa / hr, ndi bolus - 2 mg / kg.

The njira "Naropin": malangizo ntchito

ampoules The mankhwala ochititsa ndi chogulitsidwa pharmacies onse.

Kwa achikulire, mlingo wa mankhwala amasankhidwa katswiri. dzanzi The ayenera kutsatira chitsanzo chawo matenda komanso kuganizira boma munthu wodwala.

Pakuti makonzedwe epidural pa opaleshoni ntchito 15-25 ml ya yankho. Choncho isanayambike kanthu anati pambuyo Mphindi 20 ndi kumatenga maola 5.

A kuchuluka ofanana ntchito mankhwala ndi gawo cesarean.

Anatseka misewu ikuluikulu mitsempha plexus anachita ndi makonzedwe epidural wa medicament pa mlingo thoracic mu kuchuluka kwa 5-15 ml.

Conduction ndi kusalola ochititsa dzanzi ndi 1-30 ml ya zotsatira yothetsera mu isanayambike zotsatira pambuyo mphindi 5-15 ndi Kutalika kwa maola 2-6.

ayamikira yeniyeni

Mlingo "Naropin" mankhwala kwa mankhwala ochititsa dzanzi msana kusintha malingana ndi chikhalidwe ambiri wodwala. N'chimodzimodzinso ndi anatseka misewu ulusi mitsempha.

Mankhwala oletsa ululu wa plexus brachial akhoza limodzi ndi zotsatira zina zoyipa.

Ndi ntchito munthawi yomweyo zina dzanzi pazipita mlingo "Naropin" sayenera kuposa 225 mg.

Pofuna kupewa mwangozi jekeseni ya mankhwala mu chiwiya isanayambe ndondomeko komanso pa zikhale kuvomerezedwa kuchita kukhumba mayeso.

Mawu oyamba a mankhwala chimatengedwa kwa zosakhalitsa intravascular mlingo pafupipafupi mtima. Pamene anaona zotsatira poizoni ayenera yomweyo usokoneze kumayambiriro njira.

Pa mankhwala ochititsa dzanzi n'kofunika kuti aziona ntchito yachibadwa a ziwalo zofunika kwambiri ndi machitidwe a wodwalayo. M'pofunikanso kukhalabe ndi izo amakambirana mawu.

zotsatira zoyipazi

zosiyanasiyana chokhwima kuti akhala anati mu ntchito ankaona zikutanthauza ofanana ndi ntchito zina amide dzanzi zino. Choncho ndikofunikira kusiyanitsa mavuto pa zizindikiro thupi komwe kumachitika chifukwa blockage wa misempha chisoni.

The mankhwala ndi "Naropin" chifukwa ochititsa dzanzi msana zikhoza bradycardia ndi hypotension. Komanso mu njira ya mankhwala ochititsa dzanzi pa odwala kuona zotsatira zochita chowawa:

• nseru, tachycardia, mutu, hypothermia;
• kutsitsa magazi, omangana, kupweteka kwa nsana, kufupika kwa mpweya;
• kusanza, syncope, matenda oopsa, malungo;
• paresthesia, dysarthria, kuzizira, nkhawa;
• chizungulire, kugwedeza, mkodzo posungira.
• hypoesthesia, kufupika kwa mpweya, dzanzi lilime;
• khunyu, kumva kulasalasa, ming'oma;
• perioral paresthesia mu dera, arrhythmia, amaona masomphenya;
• Angioedema, mtima kumangidwa, omangana minofu;
• anaphylactic chodabwitsa.

analogs

Kodi m'malo mankhwala ochititsa monga "Naropin"? Malangizo ntchito sudzapereka yankho ku funso limeneli. Kuseri kwa icho muyenera foni dzanzi odziwa.

Monga ulamuliro, m'malo zambiri "Naropin" Akatswiri ntchito mankhwala monga "Articaine", "Bupivacaine", "BlokkoS", "Alfakain SP", "lidocaine wa", "Brilokain-zikuwonjezereka masiku ano", "mepivacaine," "Piromekain" "marcaine", "Skandonest", "Ultrakain", "Tsitokartin", "Trimekain", "Hirokain" ndi ena.

Ziyenera kukhala yomweyo ananena kuti njira oyendetsa Mlingo otchulidwa njira zingasiyane zayamba kwa anthu a medicament "Naropin".

Reviews

Tsopano inu mukudziwa bwanji ndiponso mankhwala ntchito monga "Naropin." Malangizo ntchito, analogs mankhwala amene akhala anapereka pamwamba.

Nthawi zambiri ankaona njira kusiya ndemanga zawo anesthetist. Ndipo zimenezi si zodabwitsa, chifukwa mankhwala cholinga cha ntchito ang'ono ndi lalikulu.

Ambiri mwa mayankho akatswiri abwino. Mwachidule maganizo a Madokotala mankhwala ochititsa akhoza monga, mankhwala nthawi anayesedwa odalirika ndi amtengo angakwanitse anafotokoza.

Koma odwala, ndemanga zawo a malo pafupifupi konse zimachitika.