"Ubistezin forte". dzanzi m'dera

Imene imafuna mankhwala "Ubistezin forte»? Malangizo ndi zizindikiro ntchito mankhwala Adzaperekedwa pansipa.

Ku zipangizo za nkhaniyi, muphunzira za mtundu limene anati zikutanthauza yopangira, ngati yaima, kaya akhoza kugwiritsidwa ntchito pa mimba ndi zimene katundu iwo ali.

Zikuchokera, kulongedza katundu ndi mawonekedwe

Kukonzekera "Ubistezin forte", mtengo wa chomwe chili m'munsimu, amapangidwa mu mawonekedwe a njira jekeseni. zosakaniza wake wamphamvu ndi articaine hydrochloride ndi Epinephrine hydrochloride. Komanso medicament ndi akupanga zikuluzikulu wothandiza madzi a jekeseni, sodium kolorayidi ndi sodium wochuluka sulfite.

yankho A jekeseni ndi malonda likupezeka katiriji, kodi anaika mu chidebe cha chitsulo.

Pharmacodynamics medicament

mankhwala monga "Ubistezin forte» ndi chiyani? Malinga ndi malangizo, ndi kuphatikiza chida lakonzedwa kuti mankhwala oletsa ululu pamalopo. Izo ntchito njira zazing'ono opaleshoni, makamaka mchitidwe mano.

Zotsatira za mankhwala chifukwa zinthu zake constituent.

dzanzi Local munali articaine panopa ndine dzanzi tiafenovoy gulu.

Poyerekeza ndi lidocaine wa kapena novocaine, pochita amakhala ndi kanthu panthawiyi. Zotsatira mankhwala ochititsa unkachitika kale pambuyo Mphindi 0.5-3. Koma ndalama vyshepredstavlennyh, anayamba kukhala ndi zotsatira pokhapokha mphindi 4-5 ndi 5-10, motero.

Kutalika kwa zotsatira mankhwala ochititsa zotsatirazi makonzedwe "Ubistezin forte" chiphunzitso ndi mphindi 45.

Tikumbukenso kuti mankhwala kuwirikiza kawiri lidocaine wa. Komanso mofulumira kwambiri excreted, si ziletsa bala machiritso ndi wochepa poizoni. jekeseni Titha achikulire ndi ana kuchokera zaka 5.

Koma Epinephrine, ndi vasoconstrictor. Imalimbikitsa vasoconstriction, potero Poipa ndi prolongs zotsatira za mankhwala ochititsa lapansi. Chotero padzuwa la thunthu mankhwala kumatanthauza minofu hypoxia, chifukwa mu kuletsedwa excitability wa molekezera mitsempha, amene kwambiri kuchepetsa ululu.

Mankhwala "Ubistezin forte" - ndi mankhwala ochititsa ndi okhutira otsika vasoconstrictor. A pang'ono Epinephrine si kuwonjezera magazi, sayambitsa tachycardia ndipo alibe zotsatira kutchulidwa pa dongosolo mtima.

Pharmacokinetics wa njira jekeseni

dzanzi Local mkulu ozama mphamvu. Ndipo patsogolo pathu mankhwala yotero. Izo zikuwamanga zonsezo plasma ndi 95% ndipo pafupifupi excreted mu mkaka, akazi ndi chiyani mkatikati mwa chotchinga placental.

Hafu ya moyo wa mankhwala mphindi 22-26.

zikuonetsa

Mankhwala "Ubistezin forte" mwakhama ntchito kwa opaleshoni zazing'ono mano:

• ndi wopepuka odontectomy;
• pamene kudzaza mano lawola;
• pokonzekera yopanga, kapena otchedwa kukukuta mano.

Komanso dziwani kuti ankaona intercostals medicament pa ntchito, ndipo paravertebral retrobulbar ochititsa dzanzi anatseka misewu stellate ganglion, mitsempha trigeminal, pudendal ndi plexus brachial.

contraindications

Jekeseni "Ubistezin forte" ali osavomerezeka chifukwa:

• bronchial mphumu hypersensitivity kuti sulfites;
• njingayo-kutsekedwa khungu;
• zinthu hypersensitivity mankhwala;
• paroxysmal tachycardia;
• aakulu kwa chiwindi kuwonongeka;
• cardiogenic mantha;
• mankhwala concomitant ndi antidepressants tricyclic ndi nonselective beta-blockers;
• hyperthyroidism.

Kusamala ntchito njira

Ndi kusamala kwambiri kupatsidwa mankhwala analamula kuti:

• shuga;
• aakulu kulephera mtima;
• oopsa;
• atrioventricular chipika;
• aimpso cholephera;
• inflammations m'dera la mankhwala ochititsa dzanzi;
• mu ukalamba;
• wofooka boma la wodwalayo.

Kodi kutsatira njira "Ubistezin forte»?

Ankaona mankhwala angagwiritsidwe ntchito poyerekezera ndi anthu athanzi ndi njira zazing'ono mano. Pakuti nthawi imodzi ntchito katiriji ndi za 1-2, Chofanana 2-4 ml. The pazipita analekerera mlingo wa njira 2 koloko ndi 2.5-3 ndi katiriji.

mankhwala jekeseni pansi mucosa mu kuchuluka kwa 1.7 ml ya (dzino limodzi) ndi wopepuka dzino m'zigawo.

Pamene mlengalenga yachigawo ntchito 0.1 ml ya yankho pa perineum ushivanii - za 5-15 ml, ndi tonsillectomy pa - 5,10 ml ya (pa tonsil).

Ngati medicament ntchito conduction ochititsa dzanzi (mwachitsanzo, intercostals, retrobulbar, epidural, paravertebral kapena sacral), komanso anatseka misewu (trigeminal paracervical, plexus brachial kapena stellate ganglion), asing'anga ntchito ku ml ya 1 mpaka 30 (malinga ndi buku la mankhwala ochititsa dzanzi ndi jekeseni malo).

zotsatira zoyipazi

Malinga ndi malangizo amene ankaona kuti mankhwala akhoza kuyambitsa zotsatira zochita mbali:

• nseru, "Chifunga" mu maso, kusanza, mitsempha kuwonongeka;
• mutu, redness a khungu, kenaka utentha mamba minofu, tachycardia;
• kuwonongeka kwa chikumbumtima (mwina imfa yake) ndi kupuma, akuponya magazi, kukokana kwa minofu;
• kupweteka zowombetsa mkota, pruritus, conjunctivitis, maganizo zamtima ntchito;
• kutupa pa malo jekeseni, kutupa kwa milomo, rhinitis.

Zizindikiro cha mankhwala osokoneza bongo

An ambiri osokoneza ndi mankhwala amachititsa zotsatirazi zizindikiro osafunika: tachycardia, chizungulire, kuwonongeka kwa chikumbumtima, bradycardia, nkhawa, m'munsi magazi.

Pamene kuona zolakwika muyenera kusiya mwai onse, kuika mtima ndi kubwezeretsa airway. Muyeneranso zonse kuyan'ana kugunda kwa mtima ndi magazi kuthamanga kwa mtima.

Wozunzidwayo ndi mpweya makina. Mu zopweteka woleza barbiturates m'nsinga kutumikiridwa mu kugwa mtima - "tiyipukuse" mu mantha - electrolytes ndi glucocorticosteroids tachycardia - kusankha beta-blockers, ndi kuwonjezeka mu magazi - vasodilators zotumphukira.

Nthawi ya bere, kudya

Ndingatani ntchito "Ubistezin linga" pa mimba? Akatswiri amanena kuti mankhwala umadutsa chotchinga placental. Pa nkhani imeneyi, tikhoza mwamtheradi mankhwala ochititsa, zomwe ziribe mphamvu pa mwana wosabadwayo.

Koma yoyamwitsa amayi, iwo ayenera tisasokoneze yoyamwitsa ngati yogwira zosakaniza wa medicament si excreted ndi mkaka.

Reviews ndi mtengo

Mtengo wa chida zimasiyanasiyana 2000-2100 rubles (a katiriji 50).

Mano kulankhula za chiphunzitso pano yekha kumbali positive. Mphamvu ya mankhwala ndi chifukwa zinthu zambiri.

A amaposa zinthu yogwira kumanga zonsezo kukusonyeza kuti mwina 95% ya mankhwala akulowa mtsempha wa magazi monga chinthu kulalikira. Pankhani imeneyi, tikhoza kunena motsimikiza kuti kawopsedwe za mankhwala ndi otsika. Pa nthawi yomweyo mphamvu ya mankhwala ochititsa dzanzi si mkulu.

Tikumbukenso kuti "Ubistezin forte" mofulumira kwambiri excreted thupi. Ngati mukufuna kuti adzathe jekeseni, zotsatira poizoni mankhwala ndi kwambiri poyerekeza wa mankhwala opha ena.