"Katedzhel lidocaine wa": zimatsogolera ndemanga, zithunzi

Mu antimicrobial ndi mankhwala ochititsa mu urology wotchuka kwambiri mankhwala "Katedzhel ndi lidocaine wa." Lilipo monga bwino, colorless gel osakaniza ndi ntchito mankhwala oletsa ululu pamalopo ndi masaka ndi mkodzo pamaso ndondomeko, catheter, endoscope, kapena zina. Popeza contraindications mankhwala chimagwiritsidwa ntchito mchitidwe Dokotala, ndi kwa amayi oyembekezera kapena lactating.

Pa kapangidwe ndi mawonekedwe a "Katedzhel" mankhwala

Kuyankhula za gel osakaniza "Katedzhel", osanenapo kuti zikhoza kugulidwa mu pharmacies yekha ndi mankhwala. Iwo chogulitsidwa mmatumba 5 kapena 25 bokosi chithuza makatoni olembedwa kuti "Katedzhel lidocaine wa" (gel osakaniza). Syringe (12.5 g) ndi elongated nsonga chithunzithunzi-mu lililonse chithuza - disposable, corrugated polypropylene. Iwo yomweyo wodzazidwa ndi mankhwala ndi wosabala wokonzeka ntchito. Zodabwitsa ndizakuti, iyenera kumveketsedwa kuti 12,5 ga wothandizila izi kwa instillation mu mkodzo pafupifupi 10 angamachite g.

magalamu zana a gel osakaniza ali 0,05 ga chlorhexidine dihydrochloride, ndipo 2 ga hydrochloride lidocaine wa. Monga zigawo wothandiza protrude glycerol, gietelloza ndi madzi a jekeseni.

Kodi ndi liti kuti azigwiritsa ntchito mankhwala "Katedzhel lidocaine wa"

The zikuchokera anafotokoza kukonzekera monga lidocaine wa hydrochloride, ndi zotsatira mankhwala ochititsa pamene ntchito timitu komanso chlorhexidine kuti akhoza n'chongoletsa galamu HIV ndi galamu alibe mabakiteriya ambiri, yisiti ndi dermatophyte. Komabe, motero dzina lake chigawo alibe mphamvu pa asidi-bowa, mavairasi, tizilombo spores.

Mu urology, matenda achikazi, proctology ndi Dokotala mankhwala "Katedzhel lidocaine wa" (chithunzi cha chida ichi, mungathe kuona m'nkhani) ntchito makamaka ngati apakhungu mankhwala ochititsa pa nthawi ya endoscopy, intubation, kuchotsa fistula catheter kapena zikunena opaleshoni. Choncho ochititsa dzanzi chokwanira amapezeka mkati mphindi 5-10 pambuyo ntchito anati medicament.

Gel osakaniza "Katedzhel" ntchito mankhwala komanso ngati njira angathe kuchepetsa ululu mu njira yotupa kunachitika nyini, khomo lachiberekero kapena mkodzo ndi rectum.

Ena mbali ya ntchito "Katedzhel lidocaine wa" mankhwala

Mu urology anafotokoza ndondomeko kukonzekera ntchito kwa mkodzo instillation (kulowetsedwa adzagwa mankhwala mu thupi wodwalayo lumen). Kunyumba, kupanga izo choletsedwa, monga ndi ufulu kuchita miyeso achire angathe mankhwala okha ogwira ndipo okha ndi zipangizo zoyenerera, mogwirizana ndi malamulo a antisepsis ndi luso lilipo.

Musanayambe kulowa zipangizo, wodwalayo kuchapidwa ndi motetezedwa kuti tizilombo toononga kunja kutsegula kwa mkodzo ndi. Ndiye kuulula chithuza ndi mankhwala "Katedzhel lidocaine wa" (gel osakaniza) chikutha ndi pepala kwa constriction lapansi. Mkati phukusi, kunsonga ya syringe-chubu kusiya ndi kuchotsedwa, kuonetsetsa palibe monyanyira pa malo wovulala. ndondomeko magawowa oyamba syringe ndi extruded droplet mankhwala.

Instillation anachita mosavuta kuposa syringe corrugated, ndipo pambuyo kutaya kupitiriza Finyani kuti achire zonse kwa njira. Mphindi 10 pambuyo instillation wa gel osakaniza akhoza kutumikiridwa zida mankhwala ochititsa.

mlingo

Anthu amene amagwiritsa ntchito mankhwala "Katedzhel lidocaine wa," mukudziwa kuti malangizo omveka bwino a mlingo akazi ndi ana palibe. Nthawi zambiri, kuchuluka kutumikiridwa kutsatilidwa gel osakaniza correlate ndi miyeso anatomical ya mkodzo ndi.

Okalamba, odwala debilitated ndi anthu akuvutika aakulu aimpso kapena kwa chiwindi kuwonongeka mlingo wa anati mankhwala amusankha mosamalitsa payekha, malingana ndi mmene alili.

Tisaiwale pano kuti ngati nthawi imodzi nkhani za kuposa wina syringe chubu (makamaka ngati mkodzo ndi chofuna kapena ali ulcerations) wodwala akhoza kuona zizindikiro ambiri osokoneza.

contraindications

Ngakhale kupezeka pa ntchito mankhwala "Katedzhel lidocaine wa" ndemanga akatswiri kutsimikizira chitetezo ake pafupifupi onse magulu odwala, ena a iwo sayenera kugwiritsa ntchito chida ichi. Njirazi ndi monga:

• anthu akuvutika ndi matupi awo sagwirizana anachita chlorhexidine;
• Odwala matenda ndi wosakhazikika angina kapena bradycardia;
• komanso odwala porphyria pachimake (kupatula pamene pali kuyenera zikuonetsa ntchito "Katedzhel" gel osakaniza).

Kupewa mavuto, akatswiri amalangiza odwala ntchito mankhwala kwa nthawi yoyamba, kuchititsa mayesero ziwengo.

Komanso, Mlengi anachenjeza za kuopsa kupeza mankhwala diso - mu Zikatero m'pofunika kuti asambe ndi madzi ambiri.

Pamaso pa mavuto ndi mankhwala ambiri osokoneza bongo

Zotsatira Special mbali mankhwala samafotokozedwa, ndi mmene zoipa zotsatira za gel osakaniza otchulidwa Zimatheka thupi lawo siligwirizana monga dermatitis, zotupa pa moto malo a ntchito ndi angioedema.

Monga tanenera ndi ntchito kwa mankhwala "Katedzhel lidocaine wa" malangizo, ndi ambiri osokoneza chida ali osowa kwambiri ndi pokha pokha kuwonongeka kwambiri kwa mkodzo ndi. Ndiye wodwalayo zingaoneke khunyu, vertigo, bradycardia (wodekha mtima mungoli) ndi kugwa (dontho mofulumira magazi chifukwa cha kufooka ndi mtima mwadzidzidzi kuchepa kwa kamvekedwe mtima). Zodabwitsa ndizakuti, waukulu chinthu overdosage zizindikiro ndi lidocaine wa.

Zikatero, wodwalayo limasonyeza ntchito beta-agonists (bradycardia) ndi barbiturates kapena wotenga nthawi yochepa minofu anasiya mu khunyu. Pamene boma la kugwa kwa wodwala m'nsinga kutumikiridwa mankhwala "Epinephrine" kapena "Dopamine".

Monga mankhwala interacts ndi mankhwala ena

Pamene "Katedzhel lidocaine wa" kugwiritsa ntchito gel osakaniza, ntchito ayodini kwambiri osafunika. Sopo ndi detergents munali anionic gulu, komanso ali osayenerana ndi kukonzekera anafotokoza.

Odwala kulandira monga antiarrhythmics chithandizo ( "Mexiletine" kapena "Tokanid"), beta-adenoblokatory ( "propranolol") ndi calcium muzikangana ( "Diltiazem", "Verapamil") mankhwala gel osakaniza ndi kusamala chifukwa cha chiopsezo matenda mtima wa conduction ndi contractility za mtima.

Analola ntchito ndi mankhwala amene ali mbali ya magulu cationic ( "Benzalkonium mankhwala enaake"). A zoletsa monoamine oxidase akhoza patsogolo zotsatira analgesic ya lidocaine.

Amene akhoza kugwiritsa ntchito mankhwala "Katedzhel"

Malinga ndi mankhwala alipo "Katedzhel lidocaine wa" malangizo, zikhoza kugwiritsidwa ntchito ndi akazi pa mimba (ngakhale zizichitidwa mosamala mu trimester) ndi yoyamwitsa. Ichi ndi chifukwa mphamvu yake otsika kudutsa kupyola mu nsengwa kapena mu mkaka wa m'mawere. Komabe, kwa Mlengi chitetezo amalimbikitsa koma kupewa kuyamwitsa kwa maola 12 kuthira gel osakaniza "Katedzhel".

Akulongosola zida sikumangotikhudza galimoto kapena zina mphamvu makina akuchitira. Komanso, sayambitsa kugona kapena msanga zochita.

ndemanga zingapo zapitazo

Kusunga gel osakaniza "Katedzhel" kuchitiridwa wouma ana ndi kuchoka kuwala pa kutentha osati choposa 25 ° C. Kuvumbula mankhwala sangathe atapanga mogwirizana ndi chiopsezo kuchepetsa zotsatira achire. Ndipo, pakalibe olemba ndi breakage wa syringe-chubu ndi gel osakaniza ntchito yake ayenera kuzipewa.

Alumali moyo wa mankhwala ndi zaka 5, kenako nthawi ya mankhwala ndi bwino kusala.

Kudzera anafotokoza ofanana monga mankhwala "Instillagel" "lidocaine wa Asepta" ndi "Lidohlor".

Pomaliza, sangathe koma kubwereza kuti ngakhale alipo a pochita, gel osakaniza "Katedzhel lidocaine wa", ndemanga ya chitetezo poyerekezera ndi efficacy, ntchito chida popanda kuuzidwa ndi choopsa! Iwo akhoza kuchotsa ululu ndi kuchepetsa kukula kwa matenda tatchulazi, koma pokhapokha ngati ulamuliro wa zachipatala. Apo ayi, wodwalayo ali pangozi zoipa mpaka kalekale thanzi lawo.