"Ubistezin Forte". ukubulala izinzwa engxenyeni ethile

Okubizela lesi sidakamizwa "Ubistezin Forte»? Imiyalelo kanye izinkomba ukusetshenziswa zomuthi izokwethulwa ngezansi.

Kusukela mathiriyeli lo sihloko uzofunda mayelana kwindlela wathi kusho ngokukhiqiza, njengoba injena, kungakhathaliseki ingasetshenziswa ngesikhathi sokukhulelwa futhi yini izindawo nakhona.

Ukwakheka, emasakeni nomumo

Ukulungiselela "Ubistezin Forte", intengo oboniswe ngezansi, ikhiqizwa ngesimo isixazululo umjovo. izithako zako asebenzayo kukhona articaine hydrochloride futhi epinephrine hydrochloride. Futhi kule nomuthi zimumethe izingxenye asizayo njengoba amanzi umjovo, i-sodium chloride futhi sodium sulfite.

Isixazululo for umjovo itholakala ngokukhangisa igobolondo, ezibekwe esitsheni metal.

Pharmacodynamics nomuthi

Kuyini umuthi ezifana "Ubistezin Forte»? Ngokusho imiyalelo, kuba ithuluzi inhlanganisela eyenzelwe izinzwa wendawo. Isetshenziselwa izinqubo ezincane kuhlinzwa, ikakhulukazi umkhuba yamazinyo.

Umthelela le imithi abangela izinto zalo ephambili.

ukubulala izinzwa engxenyeni ethile equkethe articaine okwamanje basonta imithi yokubulala izinzwa tiafenovoy iqembu.

Njengoba kuqhathaniswa ne lidocaine noma novocaine, ukulungiselela ezinjalo libhekene isinyathelo besikhashana. Umthelela izinzwa laligujwa kakade emva kwemizuzu 0.5-3. Njengoba izimali vyshepredstavlennyh, baqala ukuba umphumela kuphela emva kwemizuzu 4-5 kanye 5-10, ngokulandelana.

Isikhathi umphumela izinzwa elandelayo yesimiso sokuqondisa 'Ubistezin Forte "ekwakhiweni kuba imizuzu 45.

Kumele kuqashelwe ukuthi le imithi kabili lidocaine. Ngaphezu kwalokho, it is ngokushesha okukhulu excreted, akusho zivimbela isilonda ukuphulukisa kanye lingaphansi anobuthi. Lomjovo siboniswe abadala kanye nezingane kusukela eminyakeni emi-5.

Kepha epinephrine, kuba vasoconstrictor. Ukhuthaza vasoconstriction, kanjalo NGOBHOJWANA futhi bandisa imiphumela imithi ebulala izinzwa. ukuchayeka okunjalo efana izidakamizwa akuhileli izicubu hypoxia, okuholela excitability ukuyiveza ka kwalapho, okuyinto iyehlisa ubuhlungu.

Izidakamizwa "Ubistezin Forte" - kuyinto izinzwa ne wokuqukethwe eliphansi vasoconstrictor. Inani elincane epinephrine akusho umfutho wegazi, akakubangeli tachycardia futhi akunamthelela evelele ohlelweni senhliziyo nemithambo yegazi.

Pharmacokinetics solution umjovo

ukubulala izinzwa engxenyeni ethile abe namandla okusezingeni eliphezulu eyenza umuntu acabange eseZwini. Futhi phambi kwethu izidakamizwa iyathinteka. It lubopha ukuze plasma amaprotheni ngu-95% kanti cishe excreted ngobisi, abesifazane akusho ukungena ngokusebenzisa isithiyo esinomhlapho.

Ingxenye-ukuphila kwalesi izidakamizwa imizuzu 22-26.

izinkomba

Izidakamizwa "Ubistezin Forte" ngenkuthalo isicelo ukuhlinzwa ezincane yamazinyo:

• nge odontectomy ayinzima;
• uma ugcwalisa amazinyo abuhlungu futhi abolile;
• belungiselela emkhakheni wezitho zokwenziwa, noma okuthiwa ngokugedla amazinyo.

Phawula futhi ukuthi kubhekwe intercostals nomuthi ngesikhathi ukusetshenziswa, futhi paravertebral retrobulbar izinzwa ukuvinjelwa stellate ganglion, nerve trigeminal, pudendal futhi plexus brachial.

Izimo

Ukufakwa "Ubistezin Forte" akunconyelwe:

• isifuba somoya bronchial kanye hypersensitivity kuya sulfites;
• engela-Ukuvalwa ukufiphala;
• izinto hypersensitivity izidakamizwa;
• tachycardia paroxysmal;
• ukungakhuli ezinzima hepatic;
• ukushaqeka cardiogenic;
• therapy concomitant nge tricyclic antidepressant futhi nonselective beta-blocker;
• i-hyperthyroidism.

isixazululo ukusetshenziswa Careful

Ngokucophelela okukhulu banikezwe imithi engabelwe kona:

• sikashukela;
• ezingamahlalakhona ukuhluleka kwenhliziyo;
• nomfutho wegazi ophezulu;
• block atrioventricular;
• ukwehluleka kwezinso;
• inflammations endaweni ngokusungula indlela yokubulala izinzwa;
• e sokuguga;
• isimo esibuthaka soMbuso nesineke.

Indlela yokufaka isicelo ikhambi "Ubistezin Forte»?

imithi Okubukwe ingasetshenziswa maqondana abantu obuhle izinqubo ezincane kwamazinyo. Ukuze esisodwa ukusebenzisa igobolondo imayelana 1-2, okuhambelana 2-4 ml. esiphezulu ibekezelelwe umthamo lokhu isixazululo 2 iwashi 2.5-3 igobolondo.

umuthi injected ngaphansi mucosa e isamba 1.7 ml (owodwa izinyo) nge ayinzima ukukhishwa izinyo.

Lapho esibhakabhakeni Sectional isicelo 0.1 ml isixazululo at perineum ushivanii - mayelana 5-15 ml, futhi tonsillectomy at - 5.10 ml (idlala ngamunye).

Uma nomuthi isetshenziselwa conduction izinzwa (isib intercostals, retrobulbar, epidural, paravertebral noma sacral), kanye nokuvinjelwa (paracervical trigeminal, plexus brachial noma stellate ganglion), odokotela wasebenzisa kusuka 1 kuya 30 ml (kuye ngevolumu izinzwa kanye umjovo indawo).

side effects

Ngokusho imiyalelo, bebheka bonke izidakamizwa kungabangela lokhu okulandelayo ukusabela uhlangothi:

• nesicanucanu, "ufasimbe" emehlweni, ukuhlanza, ukulimala kwenzwa;
• ikhanda, ububomvu kwesikhumba, imisipha Isakhiwo sazamazama, tachycardia;
• ukungakhuli ngiqaphele (mhlawumbe ngobuhlungu bokulahlekelwa kwakhe) kanye ukuphefumula, iconsi wegazi, imisipha ukudikiza;
• Ukudlikizela generalized, pruritus, conjunctivitis, ukucindezeleka umsebenzi zenhliziyo;
• ukuvuvukala kusayithi umjovo, ukuvuvukala izindebe, rhinitis.

Izimpawu ze-ukweqisa izidakamizwa

Ukweqisa izidakamizwa nale izidakamizwa kubangela lezi zimpawu ezilandelayo engathandeki: tachycardia, isiyezi, ukungakhuli ukwazi, bradycardia, ukukhathazeka, ephansi blood pressure.

Lapho sigcina lezi ngeziphambeko Kudingeka uyeke konke manipulations, ogulayo futhi abuyisele umgudu. Kufanele ukuqapha njalo inhliziyo nomfutho wegazi lazo wawungcono isiguli.

Isisulu ukupholisa lokukhanda. Ngo Ukudlikizela uyabekezela barbiturates ngemithambo yegazi yaphathwa nciphisa semithambo - "Crank" ukushaqeka - electrolyte kanye glucocorticosteroids tachycardia - abakhethayo beta-blocker, kanye nokwanda wegazi - vasodilators neuropathy.

Sokukhulelwa period, ukunceliswa

Ngingakwazi ukusebenzisa "Ubistezin Fort" phakathi nenkathi yokukhulelwa? Ochwepheshe ukubika ukuthi izidakamizwa sidlula isithiyo esinomhlapho. Kule ndaba, kuba izinzwa ngokuphelele ephephile, okuyinto akunamthelela umbungu.

Njengoba for ibele omama, akufanele uphazamisa ibele njengoba izithako ezisebenzayo we nomuthi akuyona excreted ubisi.

Izibuyekezo futhi intengo

Izindleko ithuluzi kuyahlukahluka ruble 2000-2100 (igobolondo 50).

Odokotela bamazinyo ukukhuluma mayelana ekwakhiweni samanje kuphela ohlangothini oluhle. Ukuphumelela kule izidakamizwa kungenxa izinto eziningi.

Inani eliphezulu lomcebo asebenzayo sesibopho ukuthobisa amaprotheni asikisela ukuthi cishe 95% of the izidakamizwa ingena ukusakaza igazi njengoba nemiyo esingasebenzi. Nge nalokhu, singaphetha kahle ukuthi ubuthi lokhu izidakamizwa sincane kakhulu. Ngesikhathi esifanayo ukusebenza ngokusungula indlela yokubulala izinzwa impela high.

Kumele kuqashelwe futhi ukuthi "Ubistezin Forte" excreted ngokushesha kakhulu emzimbeni. Uma ufuna kabusha umjovo, umphumela anobuthi zomuthi kakhulu leliphasi kunaleyo nezinye imithi ebulala izinzwa.