"Articaine": imiyalelo esetyenziswa kunye analogue

Ndingayisebenzisa njani kwaye phantsi kweziphi iimeko kufuneka ingamiselwa iyeza "Articaine"? Imiyalelo yokusebenzisa kunye Izimo beziyobisi ziya kuqwalaselwa ngakumbi. Kwakhona kweli nqaku uza kufumana ulwazi malunga neziphumo ebezingalindelekanga beziyobisi, analogue zayo neempawu nezinyangayo.

Makhe uhlobo a medicament, ukwakheka, inkcazo kunye nokupakishwa

Yintoni na ulungiselelo lonyango 'Articaine "? Imiyalelo yokusebenzisa, ncomo baxele ukuba i injectable isisombululo esicacileyo, nto leyo inokuba ezingenambala okanye abe ithinti elityheli kancinane.

Le esisebenza yale arhente izenzo articaine hydrochloride. Kwakhona isicombululo ichiza iquka la macandelo abangabancedani ezifana namanzi d / u kunye sodium chloride.

Ekuthengisweni beziyobisi iza neekhatriji ukuba zipakishwe ngendlela Imiqulu cell nentaba zeplastiki kunye nephepha ngokulandelelana. Kwakhona ukuthenga isisombululo injectable lube ampoules ngeglasi.

iimpawu kwezonyango yokulungiselela

Yintoni na iziyobisi ephawulekayo "Articaine"? Imiyalelo yokusebenzisa, inkcazo bathi lo uyinto yemvelaphi thiophene. Liveza iipropati angeva zintlungu kwaye lisetyenziswa xa zomzimba (nokungena kunye Uhanjiso).

eyona nto ebonakalayo ichiza hydrolyzed ngendlela kwizihlunu eliphakathi okwanamhlanje obrak. Xa oku lesiseko ekhululwe, nto leyo ebonisa izinto lipophilic. Ngenxa kule articaine isiphumo kakhulu lula utyhutyha nge kwiseli inwebu kungena luvo.

Ngokwenza receptors, ingqalelo izitena ichiza nje inkqubo lokuhanjiswa Na ion iiseli, kodwa ikhono a mnqweno luvo.

Kuthiwa isenzo bamazinyo medicament "Articaine", imiyalelo zokusetyenziswa ichazwa kamva, uyabonakala phantse ngoko nangoko emva nolawulo. Ngokubhekisele ukusebenza ichiza, kuba baphawula ukuba iiyure ezintathu kwaye yehliswe kuphela bume asidi.

iimpawu entshukumo of sisombululo ziphene

njani kukufakwa "Articaine 'iziyobisi? Imiyalelo yokusebenzisa sithi xa alawulwa intramuscularly segazi yoxinaniso incopho yale kwiarhente zabubamba emva kwemizuzu 25-35.

Xa elawulwa medicament ukuba isifo ngomlomo liveza diffusivity lekhamera.

Plasma protein iziyobisi esebenzayo sibophelela nama-95%. It umzimba esibindini kwaye idubule yi izintso kwisithuba iiyure ezintandathu (isiqingatha-ebomini ndindisholo imalunga 65-80 imizuzu).

Asikwazi ukuba lijongene indlela ndzulu ngumkhaya (e ngaphantsi iintlungu zasekuhlaleni), kwakunye ngalo njengomqobo igazi-nobuchopho (kunyuswa kancinci). Ke ukuba ubisi sikanina, ngoko naye articaine ngenkankulu edulusele ngaphandle.

Ubungqina obubonakalayo buxela ukuba

Ukususela oko prescribers "Articaine"? Imiyalelo yokusebenzisa zibonisa ukuba esi sixhobo isoloko isetyenziswa amazinyo ngenjongo zomzimba (nokungena kunye Uhanjiso).

Siphelisa ukusetyenziswa

Xa articaine akanakho ukusebenzisa iziyobisi? Imiyalelo Sebenzisa ithi amalungiselelo ezisekelwe phezu kweli candelo, ukuba contraindicated ku:

• hypoxia ezingapheliyo;
• articaine uvakalelo oluphezulu, kwakunye nezinye izinto lokudoma ngoweqela Lendlela Yeqela amide le;
• naziphi na izifo central nervous system;
• megaloblastic igazi B12-ngxaki;
• isifuba inyumoniya;
• engile-ukuvalwa glaucoma;
• tachycardia paroxysmal;
• ukusilela intliziyo, oyingozi;
• tachyarrhythmia atrial;
• kakhulu izifo Uhanjiso kwentliziyo (umz, bradycardia, ibhloko isidanga atrioventricular II-III);
• imisebenzi bulk maxillofacial, kananjalo ngexesha yokungenelela elide zotyando (kangangemizuzu elide kwe-20);
• hypotension wegazi ;
• kubantwana abangaphantsi kweminyaka emine ubudala (ukhuseleko kunye nokusebenza azikhange kufundwe).

Kufuneka kuqatshelwe ukuba balumke ngeyona nto sisixhobo inikwa abasetyhini abakhulelweyo kunye pre-eclampsia, kwakunye ukopha kwithuba leenyanga ezintathu yokugqibela.

Drug "Articaine": Ukuyalela ukuze zisetyenziswe wamazinyo

Phambi kokuba ukuqaliswa kwe-mali kufuneka sisoloko sithwele uvavanyo Eskom. Oku kuyimfuneko ukuze zokunciphisa ulawulo intravascular olufanelekileyo lwechiza.

Kuthiwa iingcali ngexesha ngokufakela yengcinezelo ingqalelo medicament kwi impompo nesirinji kufuneka licwangciswe ngokuxhomekeke Uvakalelo emzimbeni. Xa ke kucetyiswa ukuba ichiza kusetyenziswa kwiindawo asha emlonyeni. Thatha ukutya kuphela emva kokubuyiselwa okupheleleyo nobuzaza kuvunyelwa emva kokuba inkqubo inaliti.

Xa inkqubo yokususwa izinyo gingxi ibekwe kwi kwemihlathi yangasentla (ukuba akukho umtshiso), sebenzisa ml 1.7 (izinyo). Ukuba kuyimfuneko, isigulana ngakumbi ilawulwa 1-1.7 ml yokulungiselela.

Kuba zomzimba kunye iPalatine suture macandelo ukudala idepho ze isigulane yabelwe palatal 0.1 ml imveliso.

Xa ekususeni premolars, ibekwe emhlathini osezantsi (okukwiqondo gingxi), aqhube nokungena zomzimba. Nangona kunjalo, iye ifuthe Ukubulawa conductive.

Xa ekujikeni, amazinyo isithsaba (ngaphandle imihlathi mandibular) kunye asike yenziwa nemingxuma inaliti vestibular kwindawo umthamo ml 0.5-1.7 izinyo nganye.

idosi enye ye- medicament ubuninzi esithathwa kwayo abadala 4 mg / ubunzima bomzimba kg.

Iintshukumo ngu-lomsebenzi

Njengoko iziyobisi sihambisane "Articaine"? Imiyalelo yokusebenzisa (iziphumo ebezingalindelekanga eli yeza kuya kwenziwa ngoku) uthi le ichiza iziphumo ezinqabileyo kakhulu a umlinganiswa elibi. Sinako ukwahlula phakathi kwabo ezifana:

• badengeka, isiyezi, ukuphazamiseka nokuphefumla, ukuphazamiseka ezibonwayo zezomzuzwana, lafa dystrophy, twitching kwezihlunu, ukungaboni (okwexeshana);
• amahlaba nolahlo ngokubanzi, paresthesias, bemthoba uxinzelelo lwegazi, hypesthesia, ubumfama, ukusilela intliziyo, diplopia, ukothuka;
• negazi lakho, isicaphucaphu, nokudumba angioneurotic, ukugabha, ukudumba, anozizi eluswini, ukudumba yomlomo isifo, conjunctivitis, urticaria, nokuthimliswa;
• iindumbisa nemihlathi, imilebe ephezulu kunye esezantsi imisipha ukudumba nzima ligwinya.

Kufuneka kuqatshelwe ukuba iintlungu zasekuhlaleni maxa wambi xa engafanelekanga ilawulwa kungonakalisa luvo yobuso. Oku kungakhokelela ekukhubazekeni.

libanda, iziyobisi

Ziintoni iimpawu libanda, kwenzeka ngenxa yokusetyenziswa ezingachanekanga amayeza 'Articaine "? Imiyalelo yokusebenzisa zibonisa ezi mpawu zilandelayo: ilahleko osezingqondweni, isiyezi, sinciphise uxinzelelo lwegazi, wobuthongo ngexesha ufako okanye motor ukukhuthazwa, bradycardia.

Ukuze ukususa ithi kufuneka ngoko nangoko ukuthintela inaliti wabeka isigulane ebhedini. Kwakhona kuyimfuneko ukuze kuqinisekiswe ayinto simahla iphecana yokuphefumla, ukulawula izinga lentliziyo kunye nemeko uxinzelelo lwegazi.

ukulungiselela Drug intsebenziswano

iintlungu sobulali kwandisa imiphumo amayeza anqanda indlela ezichaphazela inkqubo luvo.

Ngaxeshanye kunye nesicelo kweziyobisi okuchazwe waphawula indlela ilandelayo:

• kunye anticoagulants kwandisa umngcipheko ukopha kunye legazi;
• nge monoamine oxidase inhibitors kwandisa ingozi hypotension;
• inyathelo myorelaxant ithetha ukwanda kwaye evuthelweyo;
• kunye vasoconstrictors kukhulu kwaye elongates mestnoanesteziruyuschee isiphumo articaine;
• kunye analgesics ezidakumbisayo eyomeleziweyo ukudandatheka yokuphefumla yaye liphuhlise isiphumo additive ;
• kunye cholinesterase inhibitors kunciphisa ukutya articaine.

Kufuneka kuqatshelwe ukuba ichiza ingxelo antagonises antimiastenicheskimi iziyobisi. Ukongeza, inkqubo yokuqulunqwa koMthetho inaliti kunye izisombululo zintsholongwane, eziquka isinyithi enzima, kwandisa umngcipheko reactions egwenxa ngohlobo ukufukuka nokuthantamisa.

ulwazi oluthile

Ngayo ukuba ezo mali abasayi kwenziwa yegazi. Kwakhona Akuvunyelwe ukuba enze ngenaliti kwi sayithi ebushushwini babo.

nemoto Ivuliwe kumxube ayikwazi enokusetyenziswa kwakhona, kuquka ezinye izigulane.

Ngexesha unyango "articaine" ezifunekayo ukulawula imisebenzi wokuphefumla, igazi, iinkqubo luvo kunye nemithambo.

analogue Izimvo

njani endaweni iintlungu "Articaine" ekuhlaleni? oogxa zakhe iziyobisi zilandelayo: "mepivacaine," "Lidocaine", "Bupivacaine", "Ultrakain", "marcaine" kunye nabanye.

Ngoku uyazi, kutheni na le neziyobisi "Articaine". Imiyalelo yokusebenzisa, analogue le ndindisholo njengoko echazwa kweli nqaku.

Ngokutsho iingcali, ingqalelo ichiza isoloko isetyenziswa amazinyo. Ukuba ulandela yonke ingcebiso ugqirha yaye athathele ingqalelo yonke Izimo ukuba ukusetyenziswa kweziyobisi, ichiza ebonisa ukusebenza eliphezulu kwaye kunqabile kakhulu igalelo kuphuhliso basabele ezibi.