"Articaine": malangizo ntchito ndi analogues

Kodi ndimagwiritsa ntchito ndipo kodi zinthu sayenera mankhwala mankhwala "Articaine"? Malangizo ntchito ndi contraindications mankhwala tidzakambirana zina. Komanso m'nkhani ino mungapeze mfundo za mavuto a mankhwala, analogues ake ndi mbali achire.

Tiyeni mawonekedwe a medicament ndi, zikuchokera, kufotokoza ndi ma CD

ndi kukonzekera zachipatala "Articaine" n'chiyani? Malangizo ntchito, ndemanga mwasonyeza kuti ndi injectable bwino njira, zimenezi colorless kapena ndi kulocha pang'ono chikasu.

The yogwira pophika wothandizila izi amachita articaine hydrochloride. Komanso njira mankhwala limapangidwa zigawo wothandiza monga madzi D / u ndi sodium kolorayidi.

Mu kugulitsa mankhwala abwera mkati makatiriji amene mmatumba mu mapaketi mizere pulasitiki selo ndi pepala motero. Komanso kugula njira injectable akhale ampoules galasi.

Achire makhalidwe lokonzekera

Kodi chidwi mankhwala "Articaine"? Malangizo ntchito, zimene amati izi zikutanthauza ndi thiophene otumphukira. Iwo akusonyeza katundu m'dera mankhwala ochititsa ndipo chimagwiritsidwa ntchito mankhwala ochititsa dzanzi (kusalola ndi conduction).

ndi yogwira pophika mankhwala ndi hydrolyzed mu ofooka zamchere zimakhala sing'anga. Pamene m'munsi izi adzamasulidwa, omwe akusonyeza katundu lipophilic. Chifukwa ichi articaine zotsatira ndithu mosavuta likulowerera mwa maselo mu ulusi mitsempha.

Mumatsatira zolandilira, ankaona midadada mankhwala si ndondomeko yoperekera wa Na ayoni mu maselo, komanso saphunzira ndi mitsempha mtima.

Akuti mano kanthu medicament "Articaine", malangizo ntchito yomwe tifotokoze, zimawonedwa pafupifupi nthawi yomweyo pambuyo utsogoleli. Ponena za mphamvu ya mankhwala, izo zimawonedwa kwa maola atatu yafupika yekha m'malo acidic.

Kayendedwe makhalidwe a njira jekeseni

Kodi mayamwidwe "Articaine" mankhwala? Malangizo ntchito ananenetsa kuti pamene kutumikiridwa intramuscularly mu pachimake ndende mwazi wa wothandizila izi mfumukazi pambuyo Mphindi 25-35.

Pamene kutumikiridwa medicament kwa mucosa m'kamwa izo akusonyeza kuzikonzanso diffusivity.

Madzi a m'magazi mapuloteni yogwira mankhwala chimamanga pafupifupi 95%. Iwo zimapukusidwa mu chiwindi ndi excreted ndi impso maola asanu ndi limodzi (theka moyo wa mankhwala ochititsa ndi za 65-80 Mphindi).

Sitingathe kunena kuti amachita ndi njira umalowa mu nsengwa (mu zosakwana dzanzi wamba), komanso kudzera m'magazi ubongo chotchinga (zedi zing'onozing'ono). Monga mkaka wa mayi, ndiye naye articaine nkomwe chionekera.

zikuonetsa kuti

Kuchokera pa zimene prescribers "Articaine"? Malangizo ntchito akusonyeza kuti chida ichi kawirikawiri amagwiritsidwa ntchito mano kumapeto kwa cholinga cha mankhwala ochititsa dzanzi (kusalola ndi conduction).

Ziletso ntchito

Pamene articaine mwina ntchito thunthu? Malangizo Ntchito limanena kuti kukonzekera zochokera chigawo ichi, kodi contraindicated mu:

• aakulu hypoxia;
• articaine mkulu tilinazo, komanso m'dera atumiki mankhwala ochititsa a gulu amide;
• aliyense chapakati mantha matenda dongosolo;
• megaloblastic B12-akusowa magazi m'thupi;
• bronchial mphumu;
• njingayo-kutsekedwa khungu;
• paroxysmal tachycardia;
• mtima kulephera, pachimake;
• matenda tachyarrhythmia;
• aakulu matenda mtima conduction (mwachitsanzo, bradycardia, atrioventricular chipika digiri II-III);
• chochuluka maxillofacial ntchito, ndiponso pa phukusi yaitali opaleshoni (kwa mphindi yaitali kuposa 20);
• wolumikizira hypotension ;
• ana pansi zaka zinayi (chitetezo ndi efficacy sizinachitike anaphunzira).

Iwo ayenera kukumbukira kuti kusamala kwambiri ndi chida kuperekedwa kwa akazi apakati ndi chisanadze eclampsia, komanso magazi mu trimester lomaliza.

Mankhwala "Articaine": Malangizo ntchito mano

Pamaso oyamba a ndalama ayenera kunyamula kukhumba mayeso. Izi ndi zofunika kuti kuchepetsa mosavuta makonzedwe intravascular mankhwala.

Akuti akatswiri pa mayikidwe a ankaona kuthamanga medicament pa syringe plunger ayenera kusintha malingana ndi tilinazo, zimakhala ndi. Pamene si bwino kuti mankhwala kuperekedwa m'madera chofuna mkamwa. Kutenga chakudya chokha pambuyo pa kubwezeretsedwa kwathunthu kwa tilinazo analola pambuyo ndondomeko jekeseni.

Mu ndondomeko ya kuchotsa wopepuka dzino ili pa nsagwada chapamwamba (ngati palibe kutupa), ntchito 1.7 ml ya (dzino limodzi). Ngati chofunika, wodwalayo zina kutumikiridwa 1-1.7 ml ya lokonzekera.

Pakuti ochititsa dzanzi ndi Palatine suture zigawo kulenga zofikira wodwala akapatsidwa palatal 0.1 ml ya mankhwala.

Pamene kuchotsa premolars, yomwe ili pa nsagwada m'munsi (mu digiri wopepuka), kuchititsa kusalola ochititsa dzanzi. Komabe, Njira ya mankhwala ochititsa dzanzi conductive.

Pamene akatembenukira kwa chisoti mano (kupatulapo molars mandibular) ndi kung'ambika ikuchitika cavities vestibular jekeseni pa mlingo wa 0.5-1.7 ml ya pa dzino.

Single mlingo wa medicament mlingo wake pazipita akuluakulu ndi 4 mg / kg pa thupi.

Zochita ndi-khalidwe

Monga analekerera mankhwala "Articaine"? Malangizo ntchito (zotsatira zoyipa za mankhwalawa Adzaperekedwa pompano) limanena kuti mankhwala ndi zotsatira chosowa kwambiri wa khalidwe negative. Tingasiyanitsire pakati pawo monga:

• stupor, chizungulire, matenda kupuma, chosakhalitsa zithunzi chisokonezo, akulu kugwedeza, kukokana kwa minofu amaona masomphenya (zosakhalitsa);
• Zowombetsa mkota omangana, paresthesias, kutsitsa magazi, hypesthesia, khungu, kulephera mtima, diplopia, mantha;
• thupi lawo siligwirizana, nseru, angioneurotic edema, kusanza, kutupa, redness a khungu, kutupa wapakamwa mucosa, conjunctivitis, urticaria, rhinitis;
• kutupa masaya, chapamwamba ndipo m'munsi milomo zingwe amapilira kutupa movutikira kumeza.

Iwo ayenera kukumbukira kuti nthawi zina pamene yosayenera kutumikiridwa mankhwala opha kuderako kuwononga mitsempha nkhope. Zimenezi zingachititse kuti ziwalo.

mankhwala ambiri osokoneza bongo

Kodi zizindikiro cha mankhwala osokoneza bongo zimachitika chifukwa ntchito pachithunzichi mankhwala "Articaine"? Malangizo ntchito akusonyeza zizindikiro zotsatirazi: imfa ya chikumbumtima, chizungulire, utachepa magazi, stupor pa mayikidwe kapena kukondoweza galimoto, bradycardia.

Kuthetsa limati ayenera yomweyo kusiya jekeseni ndi kuika mtima pa bedi. Komanso ndikofunikira kuonetsetsa ufulu flotation pa mundawo kupuma, kulamulira kugunda kwa mtima ndi chikhalidwe magazi.

kukonzekera mogwirizana mankhwala

dzanzi Local angadwale zotsatira za mankhwala ziletsa njira bwanji chapakati mantha dongosolo.

Limodzi ndi ntchito anafotokoza mankhwala anaona zimene zotsatirazi:

• ndi anticoagulants kumaonjezera ngozi ya magazi ndi kukha mwazi;
• ndi zoletsa monoamine oxidase kumaonjezera ngozi ya hypotension;
• kanthu myorelaxant zikutanthauza ukuwonjezeka ndi elongated;
• ndi vasoconstrictors nakweza ndi elongates mestnoanesteziruyuschee zotsatira articaine;
• ndi analgesics chomwa mankhwalawa kumatheka maganizo kupuma ndipo anayamba zimakhudzanso zowonjezera ;
• ndi zoletsa cholinesterase amachepetsa kagayidwe articaine.

Iwo ayenera kukumbukira kuti malipoti mankhwala antagonises antimiastenicheskimi ndi mankhwala. Komanso, processing malo jekeseni ndi njira tizilombo toyambitsa matenda, amene ali zitsulo, kumaonjezera ngozi ya zochita chowawa mu mawonekedwe a kutupa ndi mwachikondi.

tsatanetsatane

Ndalama sayenera kuperekedwa kudzera m'mitsempha. Amagwiritsidwanso choletsedwa kuchita jakisoni ku malo chofuna.

makatiriji anatsegula mwa njira sangakhoze reused, kuphatikizapo odwala ena.

Pa mankhwala "articaine" chofunika kulamulira ntchito ya m'mapapo ndi, mtima, kachitidwe mantha ndi mtima chapakati.

Reviews analogues

Kodi tingatani m'malo m'dera mankhwala ochititsa "Articaine"? Anzawo wake ndi mankhwala zotsatirazi: "mepivacaine," "lidocaine wa", "Bupivacaine", "Ultrakain", "marcaine" ndi ena.

Tsopano inu mukudziwa, chifukwa ndi mankhwala monga "Articaine". Malangizo ntchito, analogues wa mankhwala ochititsa monga m'nkhani ino.

Malinga ndi akatswiri, ankaona mankhwala kawirikawiri amagwiritsidwa ntchito mano ntchito. Ngati mutsata kuwapempha dokotala onsene kuganizira contraindications onse kugwiritsa ntchito mankhwala, mankhwala akusonyeza Mwachangu mkulu ndipo kawirikawiri limathandiza kuti chitukuko cha zochita chowawa.