"Articaine INIBSA": malangizo ntchito, maonekedwe, zikuchokera ndi ndemanga

dzina Plebeian ya mankhwala - articaine + Epinephrine. Yopangidwa mu ampoules ndi limagwirira pisitoni wa cholimba galasi mandala. Aziwapatsa zojambulazo zoteteza, amene ntchito ku mayiko a azungu kwa gulu ili la mankhwala - artikainsoderzhaschih. Aliyense mankhwala ochititsa kapisozi ndi mandala filimu okhala ndi nkhani pa ntchito, kapangidwe ndi mlingo wa mankhwala, komanso njira yosungirako (izo ziyenera kukhala m'malo a mdima, kuchokera patali ndi ana komanso kusintha kutentha). Standard - ndi shaded, youma bokosi kapena kabati, kutetezedwa ku kuwala, drafts. Kutentha - osati choposa madigiri 25, popeza amatsogolera ndi kuwonongeka mofulumira medicament lapansi. Alumali moyo - zaka ziwiri, adzamasulidwa (ayenera osachepera) monga momwe dokotala.

Pharmacokinetics

"Articaine INIBSA" - ndi zolinga wamba mankhwala ochititsa. Ntchito ntchito yaing'ono, alowererepo mano (makamaka pa matenda a pulpitis ndi kuchotsa mano) ndi suturing. Ndi analgesic amphamvu, kotero phwando koyamba kuyang'aniridwa ndi madokotala, chifukwa mankhwala mavuto ambiri mbali.

Ntchito mofulumira kwambiri ndipo kwa nthawi yaitali, kupereka mphamvu mankhwala ochititsa jekeseni malo, mavuto, ngakhale zizindikiro zambiri ndi infrequent choncho articaine akuganiza analgesic yabwino munthu amene alibe amadwala tsankho kwa mankhwala.

Kulunjika katundu ndi kanthu achire amapereka mkulu mankhwala ochititsa articaine mphamvu ndi nthawi kofunika kwenikweni analgesic kwa pochotsedwa mano kwambiri kugwirizana ndi ntchito umakhala pafupi zamkati. Pankhaniyi, chifukwa cha liwiro azingokhala ndi kuwonongedwa kwa mankhwala palibe zotsatira chokhala - kubayidwa wa mankhwala oletsa ululu pafupifupi palibe kuwonjezeka mu phukusi malo.

imathandiza imatengedwa "Articaine INIBSA". Wopanga - Spanish Medical Laboratory Laboratory INIBSA SA, Nawalanditsa kwa Russia dzanzi osiyana ndi ochititsa dzanzi zipangizo wochititsa ndi, etc. Pa nkhani ya kukhazikitsa ziletso mu 2016, a kwambiri mankhwala zambiri zovuta .. Chaka chatha ali kuimirira mtundu artikaina "Septanest" kupanga Russian.

kapangidwe

The zikuchokera ampoule kumatanthauza "Articaine INIBSA" zikuphatikizapo:

• 1.8 ml ya;
• articaine - 72 mg (1 ml - 40 mg);
• Epinephrine - 0,018 mg (1 ml - 0.01 mg).

Mlingo

Mu mano - 0.5-1.8 ml, malingana ndi kuopsa kwa kuwonongeka ndi kukula kwa dzino, nthawi zina mankhwala oletsa ululu pamalopo - zimadalira zinthu. Malire mlingo akuluakulu - 7 mg wa pa kilogalamu ya kulemera kwa thupi kwa ana osaposa 12 - 5 mg.

"Articaine INIBSA" (1: 200000) imapereka zofunika mankhwala ochititsa tingati ndi kutsekereza mitsempha mathero pa jekeseni malo. tilinazo Disabling zikutanthauza kuti pali mpata mwangozi kuwonongeka zamizidwa ndi kusakhala m'deralo. Nthawi zambiri amadwala lirime ili ndi tsaya mu mano - awiri odwala khumi kusamalira kuluma nokha chinachake chifukwa cha ichi.

Epinephrine (mu Russian mankhwala nomenclature - zikuwonjezereka masiku ano) Iyamba magazi, kumalimbitsa mtima, potero kuchepetsa nthawi wofunikila chiyambi cha kukonzekera. Komabe, ndalama zazikulu (3 .mu.g / kg / Mph) zimapangitsa vasoconstriction ndipo monga Motero, kuwonjezera nthawi ya zochita za dzanzi. Iwo chogulitsidwa paketi ndi ampules zana, masekeli magalamu 1.8 lililonse.

Pakuti makonzedwe subcutaneous mmene mankhwala zikadzatha za 5-10 Mphindi. Mu mu mnofu kuyamba nthawi zimadalira mmene wodwalayo ndi minofu minofu wake.

malangizo

"Articaine INIBSA" malangizo Buku limalangiza kugwiritsa ntchito motere.

The mankhwala syringe kudzera chubu ndi limagwirira mpope kanthu. Jekeseni imagwiridwa pafupi kapena mwachindunji mu zone za phukusi, malingana ndi mtundu wa kanthu.

contraindications

• Mkulu kudziwa chigawo chimodzi chachikulu mankhwala, pafupi ndi thupi lawo siligwirizana (articaine, Epinephrine, asidi salt tartaric, sulfites, ndi ena.).
• Tachycardia ndi zina kuyan'anila ofanana kayendedwe ka mtima.
• Mtima kulephera.
• Kutsekedwa khungu mu mawonekedwe.
• Bronchial mphumu, makamaka - chikwiyire ndi sulfites.
• Magazi pa maziko a losowa vitamini B12.
• Chakuchepa kwa cholinesterase magazi.
• Chapakati mantha matenda dongosolo, myasthenia gravis.
• Chiwindi kulephera mawonetseredwe aakulu (porphyria).
• Akadzauzidwa mawonekedwe gipertirioza (ntchito kwambiri ya chithokomiro England).
• adakali (zaka wocheperapo zinayi).

Kuopsa kugwirizana ndi kumwa mankhwala

• Mtsempha mankhwala (makamaka - amatanthauza "Articaine 4 epinephrine INIBSA") ndi osafunika chifukwa zingayambitse kusintha kwambiri kuthamanga, ndipo disabling dongosolo makamaka mantha ya thupi.
• Chiyambi artikaina mwachindunji pakati pa limatupa inadmissible, monga kuwombera pa iye adzakhala opweteka kwambiri, ndi mankhwala sadzatha kuti awononge dera chifukwa cha kutupa amphamvu.
• Izo sizingakhoze reused osatsegulidwa ampoule, popeza njira akhoza kuonongeka kapena ayi wosabala.
• Ndi malo chisamaliro ayenera kugwiritsa ntchito ana zaka 12, okalamba, anthu akuvutika ndi matenda endocrine kapena kulandira kukonzekera chimodzimodzi kanthu (mioblokatory, dzanzi, ndi zina zotero.).
• Amayi apakati ndi lactating angalandire articaine pafupifupi popanda mantha thanzi la ana. Mu maphunziro apadera zasayansi asonyeza kuti mankhwala ali ndi wotsika ozama azitha nsengwa ndi mwana wosabadwayo mozungulira sanapezeke mu mkaka wa m'mawere mu woipa amenewa omwe angachititse bwanji kukula kwa mwanayo.

chingachitike mbali za nyengo mankhwala "Articaine INIBSA" 1: 200000:

• thupi lawo siligwirizana (urticaria ku mantha anaphylactic).
• Kutupa ndi kutupa pa malo jekeseni.
• Minor mtima arrhythmias.
• Mutu, chizungulire, disorientation, ndi kumayambiriro mankhwala m'deralo pafupi ndi malo vestibular.
• Nseru, kusanza, kutsekula m'mimba.
• otsika kwambiri mwayi wa zosayembekezereka ya ischemia m'dera makonzedwe, nthawizina kufika kwa minofu necrosis (mtsempha kapena ambiri osokoneza).

The apamwamba mlingo wa ndende ya articaine mu magazi kukufika pambuyo 10-15 Mphindi, kaya pamaso pa vasoconstrictor mu zikuchokera mankhwala. Excreted kudzera maola 6 pambuyo makonzedwe a impso, chiwindi zopanda kwa zigawo kulalikira.

Mogwirizana ndi mankhwala ena

• Mothandizana ndi antidepressants ndi Mao zoletsa zotsatira hypertensive kumatheka kwambiri kuthamanga magazi (likunena limatuluka kuti 150/100), amene ndi oopsa kwa anthu ambiri, makamaka oopsa.
• Decongestants patsogolo analgesia ndi kupitiriza ntchito yake.
• Blockers osakaniza artikaina kuwonjezera mwayi wa kukhala ndi mavuto hypertensive ndi bradycardia.

Zizindikiro cha mankhwala osokoneza bongo

• The chifooke chapakati mantha dongosolo pambuyo ake akanthawi chisangalalo, wamphamvu kugwedera kwa nthambi.
• Maganizo stupefaction, concussion, chizungulire kwambiri, kenako anayamba kusanza.
• kuyerekezera zinthu m'maganizo zosiyanasiyana, pakumva lathu mu mlengalenga.
• Kutsitsa kuthamanga ziwiya, kupuma lolemera.
• Imfa ya chikumbumtima.

Ngati inu mungazindikire zizindikiro ayenera kusiya ntchito articaine, kuvala kumbuyo kapena pambali ndi kulola free, nezatrudnonnogo kupuma (makamaka anaika mu malo polubokovoe - ngati wodwalayo si kusanza zahlebnotsya mu secretions wawo). Ndiye mukufunika kuyeza kugunda kwa mtima ndi kuthamanga kwa mtima, funsani munthu kudziwa zizindikiro, kuitana mu chipinda mwadzidzidzi kuyitana brigade ndipo anakonza mankhwala wapadera kupereka mwadzidzidzi kukonzanso ntchito thupi likhoza kuwonongeka kwa (ntchito kuwatsitsimula zida akadali zofunika popanda kuyang'aniridwa ndi madokotala ).

Reviews

Mu Russia, "Articaine INIBSA" ndemanga Ndinalandira wabwino kwa madokotala ambiri komanso anthu odwala, popeza yosavuta kugwiritsa ntchito njira zimakhalanso zotsika mtengo (kuphatikizapo kumasulidwa mawonekedwe 100 mankhwala ochititsa makatiriji).

Mankhwala "Articaine INIBSA" 1: 200000 mtengo zimasiyanasiyana malinga mawonekedwe a nkhani ndi kugula malo. Per paketi makatiriji zana mu drugstores wa Moscow ndi dera Moscow akufunsa ku rubles 2.9 Nchito kuti 3,7 zikwi. Pali chizolowezi boxed malonda pa zosowa limodzi: pafupifupi ndi ampoule "Articaine INIBSA" mtengo - 33 rubles.

Mu pharmacies, Siberia ndi Far East n'zochepa, monga dziko kunja muyezo waung'ono, ndipo anawagawira chipatala ndi zipatala ku Russia.

Panopo, imports zina utachepa chifukwa mayiko ziletso, mfundo imodzi amene anali kuletsa zogulitsa kunja kwa Russia mankhwala a achilendo chiyambi. Komabe, nthawi imeneyi, nkhani izi ziri mwachangu kuzithetsa.

Ndipo musaiwale kuti kudzilungamitsa mankhwala angakhale ndi zotsatira zoipa, kuyambira kusowa chithandizo zotsatira, ndi kumalizitsa zotsatirapo zake zimakhala zoopsa. Chifukwa mankhwala aliyense ayenera kumwedwa okha motsogoleredwa chithandizo katswiri ayenera kutenga malo moyang'aniridwa ndi achipatala.