Analogs, imiyalelo yosetyenziso "Naropin". Reviews umthengi

Iintlungu ebizwa iziyobisi banayo ukukwazi eyenza zomzimba.

Ukubulawa - ukuhla uvakalelo umzimba okanye iinxalenye zayo. Kwakhona, kuba kwimeko enjalo lubonakala ngokuba kumiwe ngokupheleleyo kwimbono ulwazi malunga nemeko eziphilayo kunye nokusingqongileyo.

Xa yezonyango, njengoko ndindisholo isoloko isetyenziswa iziyobisi "Naropin." Imiyalelo yokusebenzisa, iingcali yokwenene iya kuchazwe ngezantsi.

Ubume, Ukwakhiwa Packaging

Ukulungiselela "Naropin" ukuqeqesha uqulathwe cardboard bundle alahlwa ngokohlobo isisombululo injectable. Oku kungabandakanya-2, 5, 7.5 okanye 10 mg isithako esebenzayo njengoko ropivacaine hydrochloride.

Ngokuphathelele amacandelo ezongezelelweyo, koko uzisebenzise njengoko zehydrochloric acid okanye isodiyam hayidroksayidi, namanzi wondinika ngemali isitofu kunye sodium chloride.

Ekuthengisweni eli ziko ezinikiweyo yentsha.

Ezona mpawu amayeza ye ichiza

Yintoni na le amayeza njengoko "Naropin"? Imiyalelo Sebenzisa ithi olu ngcelele amide iintlungu, nto leyo yenzelwe ntlungu kunye Ukubulawa basekuhlaleni.

Ukusetyenziswa ngeedosi ezincinane kwafa ropivacaine lula ethile somzimba kunye kuncitshiswa ubuntununtunu non-progressive umsebenzi motor.

Xa iidosi eziphezulu ichiza ikhokelela Ukubulawa yotyando.

iimpawu ichiza

Yintoni na iziyobisi ephawulekayo "Naropin"? Imiyalelo yokusebenzisa ibonisa ukuba impumelelo yesi sixhobo kungenxa ukukwazi layo ukunciphisa reversibly ukuba permeability lweenwebu of luvo. Ngenxa yale mpembelelo, kwaye yandisa excitability threshold nokuncipha izinga depolarization, nto leyo yenza ukuba inkqubela yokuvimba luvo yasekuhlaleni.

Xa usebenzisa amathamo eliphezulu kuqatshelwe ukuba ifuthe layo inhibitory entliziyweni kunye CNS (conductivity ziyonakala kunciphisa automatism kunye excitability).

Kuba ukusebenza ropivacaine ixesha elide isici. Ixesha isiphumo konwaywa idosi ichiza akufanele ukunyuswa.

Xa ulawulo ebulewe ye isiyobisi kwisigaba ezimbini-yayo kunye nokufunxwa ngokupheleleyo kwisithuba ebulewe. Uyondelelwano lwee- ropivacaine egazini kuxhomekeke indlela isicelo.

Le kinetics ka iziyobisi

Imiyalelo yokusebenzisa ( "Naropin" kufuneka ilawulwe kuphela nomongikazi oncedisayo onamava) uchaza ukuba isixhobo uye pharmacokinetics yomgama. Ngenxa oku, iphezulu eyavela egazini kuba ngokomlinganiselo idosi elawulwa.

Unxibelelwano kunye iiproteni plasma 94%.

ulawulo ebulewe le medicament ixesha elide kwandisa plasma xi lilonke ropivacaine.

Le into esebenzayo igqalwa iindlela ivavanywa ukuguquka ngokukhawuleza metabolic. Kwisigaba sokuqala xesha isiqingatha-ubomi uyalingana ¼ lixa, kwaye isiphelo sendlela - imizuzu 240.

Xa efakwa kulungiselelwa 86% ye iidosi salawo yi nezintso.

ubungqina

Ukuze oko usebenzise neziyobisi "Naropin"? Imiyalelo zokusetyenziswa (e bamazinyo, eli chiza ilawulwa rhoqo kakhulu) lixela ukuba ichiza ilungiselelwe zomzimba xa kusenziwa utyando:

• Ukuze imithambo-luvo ezinkulu kwafa kunye nemithambo plexus.
• Ukuze nokungena zomzimba neerhali kwafa ngamnye luvo.
• Kuba ukuvimba ebulewe ukuze baqhube imisebenzi, kubandakanywa amacandelo ngoqhaqho.

Kufuneka kuqatshelwe kwakhona ukuba ichiza "Naropin" lidla isetyenziselwa isiqabu kweempawu e syndromes ahlekise:

• Kuba ukuvimba elide kwimithambo yoluvo.
• Kuba Inaliti intra-articular.
• Ukuze nokungena zomzimba neerhali kwafa ngamnye luvo.
• Xa zinde iimela ebulewe, bolus periodicity okanye intlungu ukuvimbela kwixesha postoperative, ngokunjalo zomzimba ngexesha yabasebenzi.

Kufuneka kuqatshelwe ukuba ichiza "Naropin" umyalelo kusetyenziso oboniswe apha ngezantsi, eli isetyenziselwa isiqabu kweempawu ahlekise kwizigulane ezin:

• ngokuba block ebulewe caudal abantwana abangaphantsi kweminyaka eli-12, kuqukwa kubelekwa;
• ngokuba ukumnika elide ebulewe abantwana ukuya ku-12, kuqukwa kubelekwa.

Izimo

Zeziphi Izimo iintlungu yi "Naropin"? Imiyalelo zokusetyenziswa (ngokuba zomzimba spinal sisixhobo kufuneka ilawulwe kuphela Iintlungu abanamava) ithi nezithintelo zilandelayo:

• Hypersensitivity, kuboniswa iintlungu komdyarho amide (kuquka imbali).
• Hypersensitivity ku ropivacaine kunye namanye amacandelo kuqulunqo.

Kufuneka kuqatshelwe ukuba medicament "Naropin", idosi kufuneka kukhethwe oyingcaphephe, isilumkiso kuphela izigulane abadala ephelile, kananjalo izigulane nendalo kakhulu kuzo izifo, kuquka intracardiac Uhanjiso yaye kuvalwe, wesibindi nezintso ngezifo.

balumke ngeyona kufuneka iphathwe lokudoma entloko entanyeni ngenxa kwandisa iintshukumo eziqatha ezingalunganga.

Kufuna inkathalelo eyodwa xa ewanika intra iziyobisi, ingakumbi umothuko enkulu kunye notyando. Kungenjalo, oko kungabangela kukufakwa nangakumbi ichiza nokwandisa eyavela plasma.

Ngenxa lokungaphuhliswa imisebenzi kunye namabhunga abantwana iinyanga ezintandathu ukuqhuba zomzimba kweli qela lobudala kufuneka wenziwe ngokuqaphela okukhulu.

Ichiza "Naropin": imiyalelo zokusetyenziswa abantwana

Izimvo ngalo eli yeza kuya thaca ngezantsi.

Xa Ulawulo caudal ebulewe ngenxa Umfanekiso syndromes intlungu nakubantwana abanobunzima ukuya kwi-25 kg yenziwe isisombululo injectable yaye kuvalwe xa umthamo we-2 mg / kg.

Ebulewe ukumnika okanye bolus inaliti beziyobisi lwenziwa ngokungqinelana nobudala umntwana:

• iinyanga 6-12: ukumnika - 0.4 mg / kg / hr, a bolus - 1 mg / kg;
• ukuya kwiinyanga ezintandathu: ukumnika - 0.2 mg / kg / hr, a bolus - 1 mg / kg.
• iminyaka 1-12: ukumnika - 0.4 mg / kg / hr, a bolus - 2 mg / kg.

Isisombululo "Naropin": imiyalelo yokusebenzisa

Le ampoules okuphelisa iintlungu kuthengiswa kuzo zonke kwiikhemesti.

Kuba abadala, ukuba umthamo ichiza specialist ukhethe. Le anesthesiologist kufuneka bakhokelwe kumava abo onyango kwakunye ukuze bakuthathele ingqalelo imeko ngamnye yesigulana.

Kuba ulawulo ebulewe ngexesha utyando usebenzisa 15-25 ml isisombululo. Ngaloo ukuqala amanyathelo waphawula emva kwemizuzu engama-20 kwaye ithatha iiyure ezi-5.

A inani elifanayo lokusetyenziswa kweziyobisi kunye uqhaqho.

Ukuvimba enkulu nemithambo plexus kwenziwa nolawulo ebulewe ngenxa medicament kwinqanaba thoracic xa isixa-mali ka-5-15 ml.

Uhanjiso kunye nokungena zomzimba kunye 1-30 ml kweziphumo isisombululo kule kuqala ukusebenza emva kwemizuzu 5-15 zethuba iiyure 2-6.

izincomo ezithile

Izikali "Naropin" yeziyobisi isithuba zomzimba spinal ilungiswa kuxhomekeke kwimeko yesigulana. Kukwasebenza kwanjalo kuyo ukuba kuvalwe iindlela luvo.

Ukubulawa le plexus brachial nga kunye nemiphumela emibi kakhulu.

Nokusebenzisa ngaxeshanye nezinye iintlobo iintlungu idosi iphezulu "Naropin" akufuneki sibe ngaphezulu kwe-225 mg.

Ukuthintela inaliti ngengozi ichiza kulo isitya phambi kokuqala kwenkqubo kwaye ngexesha kumele kube inyanzelekile ukwenza uvavanyo Eskom.

Ukuqaliswa ichiza elaziwayo intravascular izinga rhoqo intliziyo okwethutyana. Ekuwungqingeni ukusebenza ityhefu kufuneka ngoko nangoko ukuphazamisa ukuqaliswa sisombululo.

Ngexesha zomzimba kuyimfuneko ukuba esweni ukusebenza okuqhelekileyo amalungu ebalulekileyo kunye neenkqubo ze isigulane. Kuyimfuneko ukuba sihlale kunye nalo zoqhagamshelwano rhoqo ngomlomo.

imiphumela emibi

abasabela Ezingalunganga ukuba ezikhe zabonwa kwi sicelo kuqwalaselwa kuthetha ezifana nezo xa usebenzisa ezinye iintlungu amide series. Ngoko kuyimfuneko ukuba sahlule ziziphumo ebezingalindelekanga kwi iimpawu komzimba ezithi zenzeke ngenxa ukuvaleka luvo novelwano.

Ichiza "Naropin" ngenxa zomzimba spinal kunokubangela bradycardia kunye hypotension. Kwakhona ngethuba zomzimba xa izigulane zifumana abasabela ezibi zilandelayo:

• isicaphucaphu, tachycardia, intloko ebuhlungu, emzimbeni;
• yandisa uxinzelelo lwegazi, amahlaba, iintlungu umva, ukuphelelwa ngumphefumlo;
• ukugabha, syncope, lwegazi, umkhuhlane;
• paresthesia, dysarthria, kuthibaza, ixhala;
• isiyezi, lafa, ukugcinwa womchamo.
• hypoesthesia, ukuphelelwa umoya, antsi ulwimi;
• ukuxhuzula, esibuhlungu, ezindlwini;
• paresthesia perioral kule ndawo, arrhythmia, ukungaboni;
• Angioedema, zokuma, amahlaba imisipha;
• phenomenon anaphylactic.

analogs

Yintoni indawo ntlungu ezifana 'Naropin "? Imiyalelo yokusebenzisa akayi ukunika impendulo yalo mbuzo. Emva uya kufuneka uqhagamshelane i anesthesiologist onamava.

Njengoko umthetho, endaweni "Naropin" iingcali badla basebenzise iziyobisi ezifana "Articaine", "Bupivacaine", "BlokkoS", "Alfakain SP", "lidocaine", "Brilokain-iadrenaline", "mepivacaine," "Piromekain" "marcaine", "Skandonest", "Ultrakain", "Tsitokartin", "Trimekain", "Hirokain" kunye nabanye.

Kufuneka ube nangoko kuphawulwe ukuba iindlela zolawulo kunye iidosi zikhankanywe iindlela zinokwahluka kakhulu kuleyo i medicament "Naropin".

reviews

Ngoku uyazi njani yaye kutheni ukusetyenziswa ezifana zintsholongwane "Naropin." Imiyalelo yokusebenzisa, analogs kweziyobisi eziye uchazwe apha ngasentla.

Amaxesha amaninzi ingqalelo indlela ashiye ncomo zabo oogqirha. Kwaye oku ayimangalisi, kuba eli chiza ilungiselelwe imisebenzi ezincinane nezinkulu.

Uninzi iingcaphephe iimpendulo ezincomekayo. Eshwankathela izimvo oogqirha, ukuba ndindisholo kungachazwa njengexesha-kuvavanywa, amayeza ezithembekileyo obuphakathi nezifikelelekayo.

Ke ukuba izigulane, ukubuyekeza kwabo kwale ndawo phantse ziphinde zenzeke.