"Articaine": yokusetshenziswa futhi analogue

kufanele ngisebenzisa kanjani futhi ngaphansi kwaziphi izimo akufanele ekunike umuthi "Articaine"? Yokusetshenziswa kanye contraindications of the izidakamizwa sizobuye kubhekwe. Futhi kulesi sihloko uzothola ulwazi mayelana imiphumela emibi izidakamizwa, analogue kanye netimphawu zokwelapha.

Ake ngesimo nomuthi, ukubunjwa, incazelo kanye emaphaketheni

Uyini ukulungiselela yezokwelapha "Articaine"? Yokusetshenziswa, ukubuyekezwa babike ukuthi kuyinto komjovo isixazululo kucace, okungaba kungekho nto enemibala emihle noma ungase ube tint kancane aphuzi.

Isithako asebenzayo lokhu ejenti izenzo articaine hydrochloride. Futhi ikhambi izidakamizwa yakhiwa izingxenye asizayo njengamanzi d / u kanye sodium chloride.

Ngo ukudayiswa izidakamizwa iza cartridges ukuthi tihlelwe e nentaba plastic cell angaphakathi amakhulu futhi iphepha ngokulandelana. Futhi ukuthenga i solution komjovo kungahle ampoules ngengilazi.

izici oqabulayo ukulungiselela

Kuyini izidakamizwa emangalisayo "Articaine"? Yokusetshenziswa, incazelo baye bame kwelokuthi lokhu kusho kuyinto esuselwe thiophene. Liveza izinzwa izakhiwo zendawo futhi sisetshenziswa kabanzi ngoba indlela yokubulala izinzwa (kokuziphatha futhi conduction).

isithako esebenzayo zomuthi is hydrolyzed ngendlela izicubu naphakathi wavuma ane-alikhali. Uma lokhu base ikhishwe, okuyinto ubukisa izindawo lipophilic. Ngenxa yalesi articaine umphumela ngempela kalula lihlaba ngokusebenzisa ulwelwesi cell phakathi izinzwa.

Ngokwenza receptor, kubhekwe emabhuloki izidakamizwa hhayi kuphela inqubo ukulethwa Na ion kumaseli, kodwa futhi kukhinyabeza yisifiso emsipheni.

Kubikwa isinyathelo bamazinyo nomuthi "Articaine", yokusetshenziswa elichazwa kamuva, siyenzeka cishe ngokushesha ngemva kokuba abaphathi. Ngokuqondene ukuphumelela izidakamizwa, it is waphawula amahora amathathu kuyehla kuphela imvelo ene-asidi.

izici Kinetic solution umjovo

Kanjani ukumuncwa "Articaine" izidakamizwa? Yokusetshenziswa ugomela ngokuthi uma iqondiswa intramuscularly eliphakeme labamemezeli igazi lokuhlushwa le-ejenti litholakala emva kwemizuzu 25-35.

Lapho iqondiswa nomuthi ngoba le mucosa ngomlomo liveza diffusivity ethuthukisiwe.

Plasma amaprotheni izidakamizwa esebenzayo sibopha cishe 95%. It is akheka esibindini futhi excreted ngu izinso emahoreni ayisithupha (isigamu-ukuphila izinzwa imayelana 65-80 imizuzu).

Asinakusho ukuthi amadili phansi nokucindezelwa ngezindlela zokuthi zingene placenta (e abangaphansi kuka-ukubulala izinzwa engxenyeni ethile), kanye ngokusebenzisa kusivimbeli gazi ebuchosheni (ukolweni omncane). Njengoba for ubisi lukamama ke naye articaine neze ivelele.

izinkomba ngoba

Kusukela lokho prescribers "Articaine"? Yokusetshenziswa abonisa ukuthi ngokuvamile leli thuluzi lisetshenziswa umkhuba yamazinyo ngenjongo yokubulala izinzwa (kokuziphatha futhi conduction).

Uvala ukusetshenziswa

Lapho articaine Ungasebenzisi izidakamizwa? Iziyalezo yokusetshenziswa uthi amalungiselelo esekelwe le ngxenye, kuthiwa contraindicated ku:

• hypoxia ezingamahlalakhona;
• articaine sensitivity high, kanye namanye amanxusa endawo izinzwa bohlanga amide;
• iyiphi izifo sezinzwa uhlelo;
• megaloblastic B12-ukuntula anaemia;
• isifuba somoya bronchial;
• engela-Ukuvalwa ukufiphala;
• tachycardia paroxysmal;
• ukumelwa inhliziyo, sibi;
• tachyarrhythmia atrial;
• ezinzima conduction inhliziyo iziyaluyalu (isib bradycardia, atrioventricular block degree II-III);
• ngobuningi imisebenzi maxillofacial, futhi ngesikhathi kokungenela isikhathi eside kuhlinzwa (imizuzu isikhathi eside kunaleso 20);
• hypotension lwemithambo ;
• e izingane ezingaphansi kweminyaka emine ubudala (ukuphepha nokusebenza ngempumelelo ezingazange wafunda).

Kufanele kuphawulwe ukuthi ngokucophelela okukhulu iyithuluzi inikezwe kwabesifazane abakhulelwe ngoku-eclampsia, kanye ukopha engxenyeni yezinyanga ezintathu zokugcina.

Izidakamizwa "Articaine": Ukufundiswa ukusetshenziswa amazinyo

Ngaphambi ukwethulwa izimali kumele njalo baphathe i test nenshisekelo. Lokhu kuyadingeka ukuze unciphise amathuba ukuphatha intravascular zomuthi.

Kubikwa Ochwepheshe ngesikhathi ukufakwa kubhekwa ingcindezi nomuthi phezu plunger isipetu kumele kushintshwe kuye ngokuthi nozwela emisipheni. Lapho it is hhayi Kunconywa ukuthi izidakamizwa esizosingathwa izindawo elikhanyayo emlonyeni. Thatha ukudla kuphela ngemva kokubuyiselwa ephelele ukuzwela avunyelwe emva inqubo umjovo.

Ngo inqubo ekususeni izinyo ayinzima esisogwini ongenhla (uma kungekho ukuvuvukala), sebenzisa 1.7 ml (owodwa izinyo). Uma kudingeka, isiguli okwengeziwe iqondiswa 1-1.7 ml ukulungiswa.

Ukuze izinzwa kanye LasePalatine suture izigaba ukudala idepho yesiguli inikezwa palatal 0.1 ml yomkhiqizo.

Lapho kukhishwa i-premolars, esisogwini umhlathi ongezansi (e degree ayinzima), ukuqhuba kokuziphatha izinzwa. Nokho, it has umphumela izinzwa conductive.

Lapho kokuphenduka namazinyo umqhele (ngaphandle molars mandibular) kanye asike izidumbu zabantu wenziwa izimbotshana umjovo vestibular ngesikhathi umthamo 0.5-1.7 ml izinyo ngayinye.

umthamo owodwa we-nomuthi umthamo waso omkhulu abadala 4 mg esisindo / kg.

Izenzo-uhlamvu

Njengoba izidakamizwa ibekezelelwe "Articaine"? Yokusetshenziswa (side effects lomutsi izokwethulwa njengamanje) uthi le umuthi imiphumela ezingavamile kakhulu uhlamvu ezimbi. Asikwazi ukuhlukanisa phakathi kwabo ezifana:

• stupor, isiyezi, iziyaluyalu zokuphefumula, ukuphazamiseka lezivakashi ezibukwayo, eliqhaqhazelayo kwemisipha, imisipha ukudikiza, angaboni kahle (yesikhashana);
• amajaqamba generalized, paresthesias, ukwehlisa umfutho wegazi, hypesthesia, ubumpumputhe, ukuhluleka kwenhliziyo, diplopia, ukushaqeka;
• komzimba, isicanucanu, edema angioneurotic, ukuhlanza, ukuvuvukala, ububomvu kwesikhumba, ukuvuvukala temlomo mucosa, conjunctivitis, urticaria, rhinitis;
• ukuvuvukala izihlathi, izindebe engenhla nengezansi yezwi ichichima nobunzima ukugwinya.

Kufanele kuphawulwe ukuthi ngezinye izikhathi lapho engafanele iqondiswa ukubulala izinzwa engxenyeni ethile kungase kulimaze emsipheni ebusweni. Kungaholela ukukhubazeka.

izidakamizwa ukweqisa izidakamizwa

Yiziphi izimpawu ukweqisa izidakamizwa zenzeka ngenxa yokusebenzisana ayilungile kwemithi "Articaine"? Yokusetshenziswa akhombise zimpawu ezilandelayo: nokulahlekelwa ukwazi, isiyezi, kunciphisa umfutho wegazi, stupor ngesikhathi Ukufakwa noma motor ukushukuma, bradycardia.

Ukuqeda uthi ezinjalo kufanele ngokushesha ayeke umjovo kanye ogulayo embhedeni. Futhi kubalulekile ukuqinisekisa flotation khulula yaleli pheshana yokuphefumula, ukulawula kwenhliziyo isimo blood pressure.

Izidakamizwa nokuxhumana ukulungiselela

ukubulala izinzwa engxenyeni ethile kungandisa imiphumela yemithi zivimbela thile isimiso sezinzwa esiyinhloko.

In parallel izidakamizwa isicelo ochazwe waphawula eyasabela ngayo:

• nge anticoagulants kwandisa ingozi ukopha ukopha;
• nge monoamine oxidase inhibitor kwandisa ingozi hypotension;
• isinyathelo myorelaxant kusho ukwenyuka futhi side;
• nge vasoconstrictors iyakhula futhi elongates mestnoanesteziruyuschee umphumela articaine;
• nge analgesics kwezidakamizwa sithuthukiswe ukucindezeleka zokuphefumula futhi ithuthukiswe umphumela okufakiwe ;
• nge cholinesterase inhibitor incipha umzimba articaine.

Kufanele kuqashelwe ukuthi le izidakamizwa yokubika antagonises antimiastenicheskimi izidakamizwa. Ngaphezu kwalokho, ukucutshungulwa isayithi umjovo ne magciwane izixazululo, aqukethe izinsimbi ezisindayo, wandise nengozi yokuba ukusabela ezingezinhle ngendlela ukuvuvukala nesisa.

ulwazi oluthile

Kulaba izimali akufanele iqondiswa ngemithambo yegazi. Liphinde sinqatshiwe lokufeza umjovo kule site avuvukele.

cartridges Avulwe aphume isixazululo akakwazi ukusetshenziswa, kuhlanganise i-ezinye iziguli.

Phakathi ukwelashwa "articaine" kudingeka ukulawula imisebenzi kwemigudu yokuphefumula, inhliziyo, izinhlelo sezinzwa futhi semithambo.

Izibuyekezo analogue

Singabonisa kanjani esikhundleni sendawo izinzwa "Articaine"? kumakhophi are izidakamizwa ezilandelayo: "mepivacaine," "Lidocaine", "Bupivacaine", "Ultrakain", "marcaine" nabanye.

Manje uyazi, kungani lokhu izidakamizwa ngokuthi "Articaine". Yokusetshenziswa, analogue of the izinzwa njengoba okuxoxwe ngazo kulesi sihloko.

Ochwepheshe bezifo, bebheka bonke izidakamizwa ngokuvamile sisetshenziswa umkhuba yamazinyo. Uma ulandela zonke izincomo udokotela futhi ikhumbule zonke contraindications ukusetshenziswa kwezidakamizwa, izidakamizwa ubukisa ukusebenza kahle eliphezulu futhi kakhulu kuyaqabukela kunomthelela ukuthuthukiswa ukusabela ezingezinhle.