"Ultrakain D": malangizo ntchito

Ulendo wa mano - ndi udindo, chimene chimafuna misempha amphamvu. Kaya ndi dzino zoipa, zilonda nsagwada mitsempha kapena m'kamwa, izi zonse limodzi ndi ululu, amalephera munthu wabwinobwino. Kuopa alowererepo ndi kuopa ululu zambiri kumayambitsa chakuti wodwalayo amaika ulendo wake kwa dokotala kuti otsiriza.

Kuti athetse vutoli kumathandiza dzanzi bwino ntchito mano. Mmodzi wa iwo - "Ultrakain D". Iye negates mantha onse odwala, kwathunthu kutsekereza tilinazo m'malo mwa mpheto.

Chifukwa zokonda izi kwa mankhwala mano kwambiri?

Features

Pali ambiri dzanzi osiyana ntchito mano. Odziwika kwambiri a iwo ndi "Novocaine" ndi "lidocaine wa".

Mano, podziwa kuti kuopa odwala awo nthawi zambiri kumathandiza yake ndi bwino kupeza chithandizo, amakonda kugwiritsa ntchito amachita zimenezi othetsa ululu amphamvu kwambiri. Ichi ndi chifukwa chakuti nsagwada lili ambiri ulusi mitsempha.

Pamaziko a ochititsa dzanzi "Ultrakain D" aluso "Novocain" nthawi 5 ndi "lidocaine wa" - 2 zina.

Komanso, mtundu uwu "ultrakain" lilibe Epinephrine alipo mitundu ina iwiri ya mankhwala. Epinephrine angapo a contraindications ndipo sangathe ntchito odwala ndi tsankho kwa chigawo ichi.

The zili Epinephrine mbali ya mankhwala ochititsa ndi kumafuna pamaso pa mchere; kutetezera abwino atetezedwe, zimenezi allergenic odwala.

Choncho, mawonekedwe mankhwala ndi mulingo woyenera ntchito anthu ndi mosavuta mkulu wa sayanjana, kuphatikizapo anthu ndi matenda a mphumu.

mafotokozedwe

"Articaine D" likupezeka mu mawonekedwe a colorless mandala njira jekeseni.

Mu 1 ml ya lili: Amalalikira chigawo chimodzi - articaine hydrochloride (40 mg), zigawo zikuluzikulu zina - madzi a jekeseni ndi sodium kolorayidi.

Mankhwala limabweretsa angapo dzanzi m'dera artikainovogo.

Izo ntchito monga jekeseni mu mchitidwe mano kwa Kulumikizana ndi kusalola ochititsa dzanzi.

Yozizira zotsatira ndi kufa gawo tilinazo, amene anali wotsiriza jekeseni, amapezeka mkati mphindi 1-3. Amenewa kumatenga pafupifupi mphindi 20.

Popeza articaine mofulumira adzitsitsa mu thupi asidi sanali poizoni, ndiye analola kuti adzathe oyamba mankhwala ngati ndi kotheka.

mankhwala ochititsa Izi kusungidwa mu chiwindi, osati excreted mu mkaka wa m'mawere, kuwoloka latuluka, izo excreted ndi impsozo.

umboni

"Articaine D" (zikuchokera silikuphatikiza pamaso wa epinephrine) amaloledwa kugwiritsa ntchito kwa magulu a odwala ndi tsankho sulfite.

Komanso, mankhwala ochititsa amaloledwa zinthu zimene contraindications kuti njira zina "ultrakain" munali Epinephrine. Izi mtima ndi matenda mtima, tachyarrhythmia, tachycardia (paroxysmal), kutsatira sanali cardioselective beta blockers, pheochromocytoma, kutsekedwa khungu, hyperthyroidism, matenda oopsa kwambiri.

Mankhwala ochititsa "Ultrakain D" malangizo ntchito mano amalimbikitsa ntchito ndi zolinga izi:

• conduction ndi kusalola ochititsa dzanzi m'madipatimenti mkamwa odwala wosalolera wa Epinephrine;
• lalifupi opaleshoni mano (mwachitsanzo, canines, incisors);
• yoyeretsa ya m'madera carious a dzino;
• Kutembenukira kwa dzino prosthesis;
• mwai, napempha pang'ono mabuku mankhwala ochititsa.

contraindications

Contraindications ntchito "ultrakain D" akuphatikizapo zinthu monga:

• mbali yapadera articaine ndi mankhwala opha ena a mtundu amide;
• kuswa wa conduction mtima;
• congestive mtima kulephera;
• aakulu hypotension;
• magazi m'thupi chifukwa cha kuperewera kwa mavitamini B12;
  
• hypoxia;
• cholinesterase akusowa;
• matenda CNS;
• nthawi yaitali kapena buku mano opaleshoni;
• m'badwo wodwala kwa zaka 4.

Ntchito mosamala

Ife kukumbutsa kuti "Ultrakain D" lili articaine, mitanda ya latuluka. Pa nkhani imeneyi, chosankha pa ntchito mankhwala ochititsa izi odwala beremennyhm ayenera dokotala.

Articaine, mosiyana ndi mankhwala opha zina, umadutsa ndi latuluka zochepa kwambiri, koma chikalata ntchito yake wolungama yekha ngati phindu mungathe ndi apamwamba kuposa chiopsezo kwa mwana wosabadwayo ndi mayi.

akazi Lactating mankhwala si contraindicated, monga articaine mofulumira excreted m'thupi ndipo akudutsa mu mkaka wa m'mawere.

dosing

"Ultrakain D" mawu linachenjeza kuti ali osavomerezeka kulowa minofu chofuna.

Musanayambe phunziro mankhwala zofunika kuchita ndi chiyembekezo mayeso, kuti kupewa njira mu chotengera magazi. Pakuti ichi, pambuyo oyamba a syringe singano kwa anakonza jekeseni syringe pisitoni azinyamuka pang'ono mu njira n'zosiyana ndi kuonetsetsa kuti palibe magazi anaonekera mu njira mankhwala. Kukhalapo kwa magazi mu syringe amasonyeza kuti singano ali anamulasa magazi chotengera, ndiye m'pofunika kusintha malo kapena akuya jekeseni.

Ndi chifukwa zoipa kukonzekera mayeso angathe kuperekedwa mu anasankha dera kwa analgesic ake.

mlingo

Pakuti ochititsa dzanzi infiltrative amafuna 1.7 ml ya mankhwala pa chimodzi kapena ziwiri dzino pafupi.

Pakuti conduction ochititsa dzanzi imachitika pansipa mitsempha alveolar ayenera 1-1.7 ml ya yankho.

Pazipita chovomerezeka mlingo odwala wamkulu - 4 mg wa pa 1 makilogalamu thupi.

zotsatira zoyipazi

zotsatira zimene posakonzekera zikhoza "Ultrakain D"? Malangizo ntchito mano limatichenjeza kuti pambuyo utsogoleli wa mankhwala ochititsa mwina ndi mavuto monga chizungulire, kufooka, kusakhala kumva, mutu, somnolence.

Pamene choposa mlingo wa mankhwala, wodwalayo kumachitika chisokonezo cha maganizo kapena maganizo kupuma ndi khunyu.

Dyspepsia - nseru, kusanza - nawonso chifukwa cha kumayambiriro mankhwala.

Chisokonezo dongosolo la mtima ndi magazi zotengera pambuyo jekeseni "ultrakain D" zingakhale zotsatirazi: kuchepa magazi, kusakhazikika kugunda, kulephera mtima, kugwa, bradycardia, kupweteka m'chifuwa.

Musanagwiritse ntchito mankhwala "Ultrakain D" malangizo ayenera bwinobwino kuphunzira. The mankhwala ochititsa kungakhale allergenic odwala, Ndi bwino kuchita mayeso kuyambirira kwa kudziwa ndi othetsa ululu anapatsidwa.

An ziwengo mankhwala anasonyeza mwa zizindikiro zotsatirazi: redness, kutupa pa jekeseni malo, urticaria, pruritus, zidzolo, rhinitis, conjunctivitis, nkhope edema (kutupa kwa milomo), kutupa pakhosi, movutikira, anaphylactic mantha.

Pamene chotupa minofu mitsempha ulusi angayambe nkhope mitsempha paresis, paresthesias milomo ndi manenedwe, ndi dzanzi nzeru kukoma.

Kuthandiza ambiri osokoneza

"Ultrakain D" bwino analekerera ndi odwala ambiri. Koma sitiyenera kunyalanyaza njira ntchito zake.

Zizindikiro za ambiri osokoneza mankhwala ndi: imfa ya chikumbumtima, chizungulire, bradycardia, amaika ntchito galimoto, kuthamanga kwa magazi utachepa.

Thandizeni: Perekani wodwala thupi yopingasa malo ndi anamuukitsa mozondoka. Kupereka mpweya wabwino ndipo onetsetsani Airways ndi ufulu.

Pamene ntchito mankhwala ochititsa "Ultrakain D" Buku limalimbikitsa kugwiritsa kuti aziona kuthamanga kwa magazi ndiponso kugunda kwa mtima.

Ngati kupuma n'zovuta - kupereka mpweya mtima. Ngati kupuma wasiya limasonyeza makina mpweya wabwino. Edema wa m'mphako ya - endotracheal intubation ndi makina mpweya wabwino.

Mu kupweteka - barbiturates kutumikiridwa m'nsinga, wodwalayo mpweya polojekiti hemodynamics.

Mu mantha ndi limaphwanya kwambiri makope - kutumikiridwa m'nsinga albumin, plasma mmalo, glucocorticoids, electrolytes.

mogwirizana

Popeza mankhwala ochititsa umenewu muli wa epinephrine (zikuwonjezereka masiku ano analogue) chimene ndi vasoconstrictor, n'zoonekeratu kuti "articaine D" popanda Epinephrine, pamene ntchito ndi anticoagulants kumaonjezera ngozi ya magazi.

Mofanana ndi mankhwala ochititsa iliyonse m'deralo, mankhwala timapitiriza zotsatira za wopondereza chapakati mantha dongosolo.

masiku 10 kugwiritsa ntchito mankhwala ochititsa n'kofunika kuletsa ntchito Mao zoletsa. Izi kuchepetsa chiopsezo hypotension.

Decongestants ndi analgesics chomwa mankhwalawa patsogolo ndi kupitiriza ntchito ya mankhwala. Otsiriza, pa nthawi yomweyo, zingachititse maganizo kapena kupuma kumangidwa.

Reviews

Pa tsiku lokonzekera "Ultrakain D" ndemanga zambiri yafupika chakuti iye ali wabwino, koma yochepa zotsatira analgesic.

Odwala, amene anali pansi pa mankhwala ochititsa pa pochotsedwa mano, dziwani izi:

• mankhwala chogulitsidwa pafupifupi pharmacies onse pa mtengo angakwanitse;
• yogwira mankhwala ochititsa anesthetizes bwino, kwathunthu kuchotsa tilinazo ndi kupweteka;
• yochepa zotsatira za mankhwala, kotero inu mukhoza mwamsanga kuchotsa dzanzi ndi kulankhula momasuka ndi kudya;
• ndi mankhwala ochititsa zabwino awo amene sindimakonda yaitali maganizo chifukwa tangoganizirani zotsatira za ndalama amenewa;
• wabwino wa mankhwala ochititsa anthu ndi mphumu kapena matenda a chithokomiro;
• Mosiyana "articaine" munali wa epinephrine, mankhwala sayambitsa zipolowe za mtima monga tachycardia, bradycardia, etc.

"Ultrakain D" ndemanga mtima akutitsimikizira izi, chotchuka kwambiri. The kuipa, ngati mwayi, monga okha zochita zake akanthawi monga analgesic ndi.

Ngakhale kuti mankhwala akhoza mosadalira kukopedwa pa mankhwala ndi kutenga ndi iwe kuti mano, muyenera kukaonana ndi dokotala musanagule. Only katswiri kungatithandize kudziwa nthawi yaitali bwanji pamafunika dongosolo, mwina akamufunsirire ntchito mankhwala kwa nthawi yaitali.

"Ultrakain D forte"

Trade dzina la mankhwala, "Dr. Ultrakain linga." Ndi ntchito ya kumapeto mano ngati mankhwala ochititsa m'deralo.

Zilipo ngati bwino, colorless njira jekeseni.

Mu 1 ml ya mankhwala ochititsa zili: articaine hydrochloride (40mg), - thunthu yogwira, Epinephrine hydrochloride (0.012 mg) - yogwira thunthu; ndi sodium bisulfite, madzi a jekeseni, sodium mankhwala enaake - excipients.

The chiŵerengero cha Epinephrine kuti articaine mu mawonekedwe mankhwala 1: 100000, malinga pa chidebe mankhwala ochititsa.

Features

Epinephrine (zikuwonjezereka masiku ano ofanana) mu zikuchokera ndi mankhwala ochititsa ndi vasoconstrictor wautali zotsatira mankhwala ochititsa amalola articaine.

Low kawopsedwe mankhwala amalola yoyang'anira mobwerezabwereza akamavutika.

mankhwala ochititsa Izi yochepa kumatha tilinazo ulusi mitsempha pa malo jekeseni.

Zotsatira za "kuzizira" minofu amapezeka mkati mphindi 3 pambuyo jekeseni zimatha kwa mphindi zosachepera 75.

umboni

Mankhwala ntchito mano kumapeto kwa conduction ochititsa dzanzi ndi kusalola, zomwe zimafunika kuti ntchito mu M'mimbamo m'kamwa kapena kuti zamkati mano, chifukwa kuchotsa dzino wosweka, nthawi yaitali za phukusi opaleshoni.

contraindications

mankhwala ochititsa Izi contraindicated pafupifupi milandu lomweli monga "Ultrakain D", monga tafotokozazi. Ichi ndi chifukwa wonse yogwira thunthu mu zikuchokera mankhwala onse - articaine. ntchito okha-unachitikira M'mimbamo m'kamwa si contraindication kwa mankhwala ochititsa, kotero monga Epinephrine prolongs kanthu ake.

Komabe, Epinephrine angapo a contraindications kuti ntchito kwa mawonekedwe kumasulidwa "ultrakain".

Njirazi ndi monga:

• tsankho kwa sulfites ndi zinthu zina zikuchokera mankhwala ochititsa ya;
• mphumu;
• tachyarrhythmia;
• paroxysmal tachycardia;
• matenda a chithokomiro;
• oopsa mu chaukali;
• ntchito sanali cardioselective beta-blockers;
• khungu (kutsekedwa).

Chenjerani a angina mtima Cardiosclerosis, matenda cerebrovascular, atherosclerosis, sitiroko, ndiko kumayambitsa matenda a shuga, chifuwa, matenda aakulu a impso kapena chiwindi, kusowa cholinesterase, magazi matenda clotting, pa boma kwambiri okondwa.

mimba

"Ultrakain D" pa mimba mankhwala osafunika chifukwa articaine kuwoloka latuluka. Koma ngati kufunika kwambiri kwa mankhwala ochititsa munthu, ndi bwino kusankha mtundu wa "ultrakain" imene lilibe Epinephrine kapena lili mu Mlingo wamng'ono kuposa "Ultrakain D-C forte"

akazi Lactating mankhwala si contraindicated, monga mkaka wa m'mawere kuchuluka kwake ndi laling'ono kwambiri.

Mlingo

Yovomereza kutumikiridwa mankhwala okha m'madera amene palibe kutupa.

Tisalole malowedwe a mankhwala ochititsa mu m'magazi!

Kuchita ndondomeko ya amachitira munthu wamkulu mtima chokwanira mlingo wa mankhwala ochititsa ku mawerengedwe: 1 makilogalamu - zosaposa 7 mg wa mankhwala.

Ana a zaka zaka 4 pazipita analgesic mlingo sayenera upambana 5 mg pa makilogalamu 1 kulemera njira.

odwala achikulire ndi anthu amene amadwala kwa chiwindi kwambiri kapena kuwonongeka aimpso, ali osavomerezeka lowetsani mtengo wa mankhwala owonjezera mlingo osachepera zofunika kukwaniritsa analgesia.

zochita Kulanga kwa mankhwala

Zotsatira zake zoyipa mu mawonekedwe a amasulidwe "ultrakain" zofanana ndi za "ultrakain D". Komabe, pamaso pa Epinephrine mu njira zikhoza zina anakwiya thupi. Komabe, pali mavuto amenewa kawirikawiri kwambiri, zikuphatikizapo tachycardia, arrhythmias mtima, kuthamanga magazi.

Ngati mankhwala alowa magazi chotengera, pangakhale malo a necrosis pa malo jekeseni.

"Ultrakain D-S"

Yekha mtundu wa kumasulidwa "ultrakain" imene lilibe Epinephrine - ndi "Ultrakain D". "Articaine D-C 'Nayenso zikuphatikizapo wa epinephrine, koma kuti mlingo wamng'ono kuposa" articaine D-S-forte ".

kapangidwe

1 ml lili 40 mg wa mankhwala ochititsa articaine 0,006mg ndi Epinephrine. The chiŵerengero cha Epinephrine kuti articaine mu mawonekedwe mankhwala 1: 200 000. Komanso m'gulu njira ndi zinthu zina: madzi a jekeseni, sodium disulfite, sodium mankhwala enaake.

Features

Pamene jekeseni wa mankhwala ochititsa zotsatira zake pambuyo Mphindi 3 zimatha kwa mphindi zosachepera 45.

Chifukwa mlingo wochepa wa Epinephrine, mankhwala analibe zotsatira kwambiri pa mtima, ndi kulola otetezeka ntchito kwa nthawi yaitali mwai zachipatala.

umboni

Conduction ndi kusalola ochititsa dzanzi pa ntchito mano, monga:

• dzino m'zigawo;
• Kutembenukira kwa dzino prosthesis;
• chithandizo mano carious.

contraindications

Popeza chiŵerengero cha Epinephrine kuti articaine monga gawo lokonzekera "Ultrakain D-S" - 1: 200 000, ndi contraindications kugwiritsa ntchito mankhwala ochititsa kugwirizana makamaka ndi tilinazo odwala articaine.

mankhwala ali contraindicated mu mphumu bronchial ndi hyperthyroidism chifukwa Epinephrine, zomwe, ngakhale pa mlingo kakang'ono, koma chili mwa mankhwala ochititsa lapansi.

Koma mawonekedwe "ultrakain" wosavuta ntchito odwala pakati ndi lactating, anthu ndi kulipidwa ziwiya matenda a mtima ndi magazi.

Chenjezo! Mankhwala ayenera kulowa mu zotengera magazi ndi zimakhala ndi kuvutika!

ayamikira zina zonse ntchito mankhwala ochititsa kuti: ". D-Ultrakain linga" mogwirizana ndi mankhwala ena, zotsatira zoyipazi, contraindications, zizindikiro, zotsatira za mankhwala osokoneza bongo, malangizo chomwecho, analamula

Fomu kumasulidwa

Onse 3 mitundu "articaine D" alembedwe wa njira mu vayozi wa 2 ml (odzaza - 10) katiriji kapena thanki ( "articaine D") 1.7; zidutswa 100 m'bokosi.

Musanagwiritse ntchito mankhwala ochititsa akhale mwawerenga mosamala malangizo, onani tsiku atapita njira, kuonetsetsa sterility wochita, achite mayeso pa kudziwa mankhwala ndi kuyezetsa chiyembekezo.

Pambuyo jekeseni, izo tikulimbikitsidwa mosamala kuwunika alili ndipo ngati n'koyenera, kutenga miyezo zofunika kum'patsa miyeso thandizo.