Mankhwala "Novocaine": malangizo ntchito, mtengo. "Novocaine" mimba

Medicine "Novocaine" ndi ogwira analgesic mankhwala. Mankhwala pa mndandanda wa zipangizo zofunika kwambiri mankhwala.

Pharmacological katundu "Novocaine" mankhwala

Malangizo ntchito limasonyeza kuti mankhwala ali m'dera mankhwala ochititsa zolimbitsa ntchito, chimagwiritsidwa ntchito yochizira matenda. Kukonzekera "Novocaine", umene ndi ofooka m'munsi, mitsinje ndi sodium amatsekeka ndi inhibiting chitukuko ndi kafalitsidwe wa zikhumbo mitsempha ulusi mitsempha ndi mapeto. Pamene kulandira zotsatira medicament kusintha Zoyenereza maselo okhudza mitsempha, ndi zotsatira kwambiri akapume angathe si anapereka. Mankhwala limaleka kafalitsidwe wa zikhumbo ululu.

Pa suction ndipo nthawi yomweyo akulowa magazi pamene kutumikiridwa m'nsinga pali kuchepa kwa excitability kachitidwe cholinergic zotumphukira, ndi kuchepetsedwa kubalana za kumasulidwa kwa acetylcholine mathero preganglionic. The medicament "Novocaine" (malangizo Buku akufotokoza za izi) kumatha spasms minofu yosalala, amachepetsa excitability m'dera mota wa kotekisi ubongo ndi infarction.

Ntchito mtsempha, yankho lili antiarrhythmic, hypotensive, antishock, zotsatira analgesic, kumaonjezera nthawi refractory, kwambiri amachepetsa madutsidwe, ndi automaticity excitability. Pa ntchito mlingo waukulu kumachitika kuphwanya mantha minofu conduction, kupweteka ali anaona.

Mankhwalawa amachotsa nagawa amadza kunsi pa tsinde ubongo, kumafooketsa pa bongo polisinapticheskie. Iwo ali yochepa mankhwala ochititsa ntchito. Action kusalola ochititsa dzanzi chimakhala cha Mphindi 30 1 ora. The njira "Novocain" anayambitsa intramuscularly odwala achikulire pa magawo oyambirira pathologies angathandize amalimbana ndi matenda kugwirizana ndi mkhutu ntchito kwa wamanjenje dongosolo, spasms oziziritsa, inatsekeratu ndi mtima oopsa.

mankhwala ndi bwino odzipereka mwa mucous lapansi. Pamene woukitsa mofulumira kulowetsa m'magazi, ndi hydrolyzed ndi esterases zimakhala ndi madzi, kupanga zikuluzikulu ziwiri yogwira metabolite: PABA (muzikangana chemotherapeutic mankhwala a sulfa mankhwala) ndi diethylaminoethanol (kukhala odziletsa vasodilating kanthu). Chaonetsedwera mu impso mu mawonekedwe a metabolites.

Kapangidwe ndi mawonekedwe a "Novocaine" mankhwala

Yopangidwa mankhwala monga njira jekeseni ndi bwino, colorless madzi, mu ampoules buku kuchokera 1 mpaka 20ml. Chiwerengero cha yogwira pophika m'menemo chawonetsedwa 0,25 ndi 0.5. Komanso, one- ndi awiri peresenti kumasulidwa "Novocaine" yokonza njira. Mtengo wa mtundu uwu 15 rubles.

Popular ndi ufa, komanso njira wosabala wa medicament, anazitsanulira mwa vayozi wa 0.2 ndi 0.4 malita. Zochizira matenda ambiri ntchito mafuta 5 ndi 10 peresenti, ndipo suppositories, amene ali magalamu 0.1 wa yogwira pophika (procaine hydrochloride), komanso zigawo wothandiza - witepsol kapena tallow. Mu 1 ml ya chinthu yogwira ali kuchuluka kwa magalamu 0,005, zigawo zina zinthu acid amathiridwa ndi madzi a jekeseni.

zikuonetsa

Mankhwala "Novocaine" malangizo ntchito akulimbikitsidwa kuti asankhe kuchita retrobulbar, osatha, msana, waya, epidural, kusalola ochititsa dzanzi. Kugwiritsa medicament zokolola vagosympathetic ndi perirenal jugular anatseka misewu. Kugwiritsa suppository ndi zothandiza analgesia ndi fissures kumatako ndi haemorrhoids. Ntchito mafuta anachititsa zizindikiro za neurodermatitis, chikanga, kuyabwa dermatosis.

Medicine "Novocaine": malangizo ntchito

Majekeseni wamkulu odwala monga kuchita kusalola mankhwala oletsa ululu mu buku la 300-600 mg (peresenti 0.25-0.5 njira).

Mwamphamvu ndi zokwawa kusalola Wisniewski ndondomeko imagwiridwa ndi kuyambitsa 0,25% njira mu kuchuluka kwa 125 ml. Epidural ochititsa dzanzi zachitika mothandizidwa ndi "Novocaine" awiri peresenti njira. Majekeseni kalozera akuonetsa mlingo 25 ml. mankhwala ochititsa dzanzi msana akamagwira 2-3 ml ya 5% mankhwala. Mu ENT mchitidwe 10% ya njira mankhwala ntchito mankhwala ochititsa dzanzi apakhungu.

Kuonjezera nthawi ya kanthu za mankhwala ndi kuchepetsa absorbability wake, komanso pa wamba mankhwala ochititsa mankhwala "Novocaine" sitimadzipereka njira ya Epinephrine hydrochloride. Kuchita electrophoresis akulimbikitsidwa kugwiritsa ntchito 10% mankhwala. Mafuta perirenal pamene anatseka misewu ya Wisniewski alowe 60 kapena 120 ml ya 0.5-TH kapena 0,25% njira, motero. Vagosympathetic anatseka misewu opangidwa ndi kuyambitsa 100 ml ya mankhwala a 0,25% ndende.

Ngakhale contraindications jakisoni "Novocaine" ana nthawi zambiri zotchulidwa monga analgesic pa utsogoleli wa mankhwala ena. mlingo ndi kuchita masamu potengera kulemera kwa mwana (osati mamiligalamu oposa 15 pa kilogalamu).

suppositories thumbo ntchito pambuyo poyamba anachita purgation kudzera mankhwala kapena mwachibadwa. Pamene pathologies khungu mafuta ntchito kwa akhudzidwa wosanjikiza woonda chimakwirira kawiri mu kugogoda.

zotsatira zoyipazi

Mankhwala "Novocaine" (malangizo ntchito kuchenjeza za izi) zikhoza kukwiya.

Central ndi zotumphukira mantha dongosolo kuyankha mankhwala mutu, kufooka, kugona, chizungulire, m'chikaiko chowakaikitsa, khunyu. Nthawi zina, pali kugwedeza, imfa ya chikumbumtima, lockjaw, kumva ndi zithunzi kuwonongeka, paraesthesia ziwalo za miyendo, nystagmus. Komanso, pangakhale kupuma ziwalo, kutchinga minofu kupuma.

Cardio-mtima dongosolo ndi kusintha magazi, pali ululu mu chifuwa, arrhythmia, bradycardia, kugwa, vasodilatation zotumphukira.

kachitidwe mkodzo ndi m'mimba kuyankha mankhwala ntchito musanaganizire pokodza, defecation, kusanza ndi nseru.

Pa gawo la m'thupi ndi mavuto monga methemoglobinemia. Komanso, mankhwala angachititse thupi lawo siligwirizana:

• ming'oma;
• anaphylaxis ;
• zotupa pa khungu;
• kuyabwa.

Pakuti zochita zina zoipa monga kulimbikira mankhwala, kusabala, hypothermia, kupweteka kwa nsana. Pa mankhwala ochititsa dzanzi pa mano anati kutalikitsa ndi mankhwala, paresthesia ndi dzanzi milomo ndi lilime.

ambiri osokoneza

Ntchito "Novocaine" mankhwala mankhwala, zimene zikusonyeza mankhwala kamwedwe ayenera zotchulidwa dokotala. Kulephera kutsatira malamulo zizindikiro za mankhwala osokoneza bongo. Zizindikiro za ntchito yambiri pa medicament ndi pallor a nembanemba wa mucous ndi khungu integument, methemoglobinemia, apnea, kuthamanga dontho mwadzidzidzi, tachycardia, kufupika kwa mpweya, kusanza, Thukuta ozizira, nseru, chizungulire. Odwala amakhala ndi mantha, galimoto mukubwadamuka, khunyu, kuyerekezera zinthu m'maganizo. Pofuna kuthetsa mawonetseredwe cha mankhwala osokoneza bongo, ndikofunikira kugwira mpweya m'mapapo mwanga ndi mpweya inhalation, mu nkhani zikuluzikulu, mankhwala symptomatic ndi detoxification mankhwala.

contraindications

Ntchito mankhwala akhoza kusakhala odwala onse. Pamene ndondomeko mankhwala ochititsa dzanzi imaletsa zokwawa kusalola wothandizila kusintha minofu fibrotic. Subarachnoid ochititsa dzanzi sangathe ikuchitika pa septicemia ndi limati mantha, hypotension, magazi. Iwo ali osavomerezeka kuchita chithandizo mwamwayi Mwachitsanzo, kupanga compress ndi "Novocaine".

Ndi kukonzekera bwino ntchito pa ntchito odwala ndi imfa pachimake magazi, impso kulephera; zinthu zokhudza kuchepetsa kundipatsako kwa chiwindi magazi, patsogolo mtima ndi mtima insufficiency; pa matenda pa malo jekeseni; yotupa pathologies. Moyang'aniridwa wapadera mankhwala n'kofunika kugwiritsa ntchito mankhwala pobereka, odwala olemera ndi debilitated, anthu okalamba ndi ana osakwana zaka ambiri.

Ndi mankhwala pamodzi anticoagulants ( "danaparoid" "Warfarin", "Ardeparin", "dalteparin", "Enoxaparin" "Heparin") kumaonjezera ngozi ya magazi. Kutsitsa kuthamanga ndi bradycardia anaona pa makonzedwe munthawi yomweyo mankhwala mankhwala "trimetafan", "mecamylamine", "guanadrel", "guanethidine." Kuonjezera m'dera mankhwala ochititsa zochita kwezani ndalama "Epinephrine," "methoxamine", "Phenylephrine."

Features ya ntchito

Pamaso pa kuchepetsa "Novocaine" ndi kupanga kuwombera, chofunika kwenikweni kudziwa tilinazo munthu mankhwala. Kuti tichite zimenezi, achite mayeso khungu, ndipo ngati pali redness ndi kutupa akhoza adzaweruzidwa munthu sanali kuvomereza zikutanthauza.

Pa mankhwala m'pofunika kuti aziona kugwira ntchito kwa mtima, mantha ndi kupuma kachitidwe. Kuchepetsa zokhudza zonse padzuwa, kawopsedwe ndi kuonjezera mphamvu ya mankhwala pa mankhwala oletsa ululu pamalopo, mankhwala "lidocaine wa" kapena "Novocaine" ntchito molumikizana ndi vasoconstrictors. Pakuti ichi, dontho limodzi la Epinephrine hydrochloride njira Chinawonjezeka 3 ml ya pa medicament "Novocaine".

The apamwamba ndende ya njira ntchito, m'pamenenso ndi mankhwala poizoni. Kuchepetsa mphamvu amadza Ndi bwino kuchepetsa mlingo wonse wa medicament kapena kuchepetsedwa kwa ndende m'munsi. Izi zachitika ndi wosabala njira isotonic wa sodium kolorayidi.

Pakuti kupewa ndi hypersensitivity anachita mu masiteji koyamba mankhwala kutumikiridwa 2 ml awiri peresenti njira, ndipo pakutha masiku atatu (ngati pali zotsatira palibe mbali) mlingo linawonjezeka kuti 3 mL, kenako atuluka ntchito buku zonse - 5 ml pa jekeseni.

Pa mankhwala outpatient chofunika kusiya galimoto ndi kukhazikitsa zinthu zokhudza chidwi kuchuluka, liwiro la galimoto ndi zochita maganizo.

Mogwirizana ndi mankhwala ena

Pamene kutumikiridwa m'nsinga, mankhwala timapitiriza zotsatira ochepetsera pa mantha dongosolo mankhwala, ogonetsa, zipangizo ntchito mankhwala ochititsa dzanzi ambiri, asamakhale ndi nkhawa ndiponso analgesics chomwa mankhwalawa. Mankhwala prolongs kanthu minofu, kuletsa mitsempha chifukwa cha suxamethonium. Chiopsezo hypotension ndi chinawonjezeka ndi ntchito ophatikizana a ndalama "Novocaine" ndi Mao zoletsa).

mankhwala Anticholinesterase kuonjezera kawopsedwe wa mankhwala, ziletsa hydrolysis ake. Para-aminobenzoic asidi, amene ndi metabolite mankhwala, amachepetsa zotsatira antimicrobial wa sulfonamides, chifukwa iwo mtima mpikisano antagonist. Mwina zochita m'dera mu mawonekedwe a edema ndi kuchuluka odwala mu jekeseni processing danga la mankhwala ochititsa makonzedwe m'dera kudzera njira tizilombo toyambitsa matenda munali zitsulo.

Ntchito "Novocaine" mankhwala pa mimba

Pa wobereka akazi ambiri akukumana ndi kufunika chithandizo mano kapena zizindikiro zosiyanasiyana zosasangalatsa, monga zowawa kumbuyo. Mu mano, ochititsa dzanzi ntchito nthawi zambiri amatanthauza "Novocaine". Ntchito ya mankhwala mu zinthu izi zili zovomerezeka. Inu muyenera kudziwitsa dokotala wanu za mimba kuti ntchito mankhwala, amaganizira masiku ano. Pamene toxicosis, oyenda ndi kusintha magazi, monga analola mankhwala "Novocaine". Mimba, ntchito yake ndi zotheka pa kuthamanga okwera, atakambirana titani dokotala.

Chida facilitates ntchito za mtima ndi kumasula mphamvu pa minofu. Pamene zizindikiro za m'mimba, amene ali oyanjana ndi matenda chironda chachikulu, Mpofunika ntchito suppositories. Matenda zotupa kuthamanga n'zothekanso ntchito suppositories. Mankhwala "Novocaine" ntchito pa mimba yokha pa mankhwala, kudzikonda mankhwala sikuloledwa! The katswiri adzakhala kuwerengera mlingo chofunika ndi pafupipafupi makonzedwe bwinobwino zizindikiro za mimba. Suppositories ntchito kawiri pa tsiku chisanafike kuchotsa thupi kudzera mankhwala.

Price ndi mankhwala analogues "Novocaine"

Mtengo "Novocaine" kukonzekera (mtengo zingasiyane pang'ono mu pharmacies payekha) mu mbale (0.5%) ndi 22 rubles. Per vial 0,25% njira (200 ml) kapena suppositories thumbo adzakupatsani 27 rubles. analogues kandalama zinthu yogwira ali medicaments:

• "Procaine hydrochloride".
• "Novocain m'munsi."
• "Novocaine-nsupa".
• "Novocaine Bufus".