"Ultrakain DS forte": malangizo ntchito, contraindications. Jekeseni kwa mankhwala oletsa ululu pamalopo

Mwina pali anthu ochepa amenewa adzakhala achimwemwe, kapena popanda kuopa kuyendera mano. Izi ndondomeko zosasangalatsa chithandizo, zomwe nthawi zambiri kutsatana ululu, kutipanga ife koposa kuvula zopita ku chipatala. Koma tsopano pali mwayi waukulu kuti ndondomeko ya mankhwala ndi dzino m'zigawo ndi sabweretsa chisoni ndithu. Kuti tichite zimenezi, pali zambiri mankhwala, amene kwambiri mankhwala ochititsa, adokotala akhoza kuchita mkamwa mwanu onse mungakonde, koma inu mulibe ngakhale kumva izo. Mmodzi mankhwala amenewa ndi "articaine DS forte". Tiyeni tiyese kumvetsetsa mmene achire, makamaka ntchito ndi contraindications.

zotsatira pharmacological pa thupi

mankhwala ili gulu la mankhwala opha m'dera lomwe ankagwiritsa ntchito mano ntchito. lokonzekera losiyana kanthu zayamba yomweyo, pambuyo makonzedwe udzachitika maminiti angapo isanafike mankhwala ochititsa dzanzi. Nthawi analgesic nthawi oposa ola, ngakhale mlingo mwanayo.

"DS articaine forte" bwino analekerera ndi odwala ambiri, hafu ya moyo wa mphindi 25, ndi ndondomeko imeneyi ikuchitika ambiri a impso ndi. Mankhwalawa ali otsika kwambiri kawopsedwe, zikhoza kugwiritsidwa ntchito mobwerezabwereza.

Local mankhwala ochititsa katundu zimathandiza kuti imfa ya tilinazo mankhwala pa malo jekeseni kapena m'dera lake ndi kuchepetsa mphamvu ya zikhumbo mitsempha.

Pambuyo oyamba 2 ml lokonzekera ndende pazipita mu plasma zimatheka mphindi 15-20. Koma ananena kuti ndende m'munda wa utsogoleli wa nthawi masauzande ambiri kuposa mu m'magazi.

Mawonekedwe a mankhwala ndi kapangidwe kake

"DS articaine forte" amapangidwa mu mawonekedwe a njira jekeseni. 1 ml lokonzekera lili mu kapangidwe kake:

• Waukulu yogwira mankhwala - 40 mg wa articaine hydrochloride ndi Epinephrine hydrochloride, ndende zake zosiyanasiyana.
• zigawo zikuluzikulu monga zina aphatikizidwa: kolorayidi ndi sodium, sodium metabisulfite, madzi a jekeseni.

Mukhozanso mankhwala ampoules ndi njira popanda mtundu, mandala kwathunthu.

chiphunzitso ichi likupezeka mu njira zosiyana, zomwe amasiyana ndende wa yogwira pophika:

• "Ultrakain DS forte" 1: 100,000 ndende ya Epinephrine.
• ndende kungakhale 1: 200,000.
• Pali mtundu wa mankhwala kwathunthu popanda Epinephrine.

Opanga mmatumba kukonzekera mwapadera kwa katiriji 1.7 ml, amene anaikapo mu carpool syringe singano ndipo kenako tili m'mavuto kwa makonzedwe mankhwala. Lowani "Ultrakain", mtengo wa 1 mg ndi laling'ono kwambiri - za 40-50 rubles, kotero pafupifupi mtima pamaso pa ulendo wa mano angakwanitse kugula mankhwala. ntchito zake zidzathandiza sabweretsa chisoni kuzikwatula kapena kuchiza dzino.

Zikuonetsa mankhwala "articaine"

The zikuchokera mankhwala amalola ntchito mwachilungamo lonse mu mano mu kukhazikitsa kusalola ndi conduction ochititsa dzanzi. Kugwiritsidwa ntchito mankhwala ngakhale odwala matenda somatic. Izo zimasonyeza kumayambiriro "ultrakain DS forte" milandu zotsatirazi:

• Ngati opaleshoni ya amachitidwa pa mucosa m'kamwa.
• M'pofunika kuchotsa kapena extirpation dzino.

• Extractions amene anapha periodontitis.
• Ngati kukhala alowererepo yaitali dokotala mu kuchotsa cysts, mano pamaso yopanga.

Mlingo wa mankhwala onsewa anatsimikiza payekha.

Mlingo ndi njira ya ntchito

Ngati mwaganiza kugula musanapite ku mano 'articaine' malangizo Buku limanena kuti angathe kuperekedwa pokhapokha ngati palibe kutupa minofu. Amagwiritsidwanso contraindicated kwa makonzedwe mtsempha.

Ngati muli ndi kuchotsa dzino, wopepuka kutupa ndi mavuto ena, ndi okwanira kuyambitsa 1.7 ml ya mankhwala mu submucosa, pali nthawi zomwe kungakhale kofunika kuti atchule ndalama zina mankhwala. Zikatero, mukhoza kupewa mavuto palatal jekeseni.

Ngati mano ziyenera kuchotsedwa zili mbali ndi mbali, n'zotheka kuonjezera chiwerengero cha akatemera si mankhwala "Ultrakain DS forte" ntchito bwino ndi dzanzi.

Ngati muli kuti adulidwe ndi stitches mu dera la kumwamba, ndiye kuti akonze zofikira okwanira palatal 0.1 ml ya mankhwala jekeseni imodzi.

Mukamafinya mano m'munsi, popanda kutupa, adzakhala okwanira kusalola ochititsa dzanzi jekeseni wa 1.7 ml ya pa dzino limodzi. Ngati jekeseni si akwaniritsa zotsatira Napempha kwa mankhwala, n'zotheka kuti jakisoni zina m'dera submucosal. Pali nthawi njira imeneyi ndi sichichititsa ochititsa dzanzi odalirika, ndiye tiyenera kugwira introducer anatseka misewu ya mitsempha mandibular.

Ngati opaleshoni ndi mankhwala ochititsa dzanzi chofunika, "articaine" ndi dosed malingana ndi kudwala mwamphamvu ndi kuyembekezera nthawi ya opaleshoni.

Ngati mankhwala ikuchitika kapena kuchotsedwa mano akulu, ndi yogwira mankhwala mankhwala akhoza kutumikiridwa 7 mg wa pa thupi kilogalamu thupi. Mlingo wa ana amasankhidwa pa nkhani iliyonse payekha, kutenga nkhani kulemera ndi ang'onoang'ono zaka mtima. Koma ayenera adzanyamula kukumbukira kuti kuchuluka kwa mankhwala yogwira sadzakhala upambana 5 mg pa kilogalamu ya kulemera kwa mwana.

Mankhwalawa kwa wodwala okalamba mlingo ndi zofunika kutenga osachepera, koma zimene ndi zofunika kuti tikwaniritse zotsatira ankafunila.

Ena mokoma ntchito "ultrakain"

Kugwiritsa ntchito mankhwala aliwonse pali nthawi malamulo apadera ndi mfundo, osati yekha, ndi "Ultrakain". Pano pali malamulo amene uyenera kuchitika pamene ntchito mankhwala:

1. Kupewa intravascular jekeseni, m'pofunika kuyesa kwa chiyembekezo.
2. Anzanu pa nsalu pokha ayenera kufanana tilinazo.
3. Pofuna kupewa chitukuko cha matenda opatsirana, wodwala ayenera kuunikira kwa dokotala nthawi iliyonse njira zoweta ku vial ntchito singano watsopano ndi syringe. Ngati katiriji kale lotsegula, sangathe ntchito kwa wodwala wina.
4. Ndi zosavomerezeka kwa ntchito katiriji kuonongeka kwa jekeseni.
5. Ngati ntchito ya syringes abwino, mungathe kudziteteza ku galasi breakage ndi kuwapanga iwo opanda cholakwa kugwira ntchito.

Ngati inu kutsatira malamulo osavuta ameneŵa, ndiye mankhwala ochititsa dzanzi ndi kugwiritsa ntchito mankhwala ndidzadutsa kwambiri.

Ntchito "ultrakain" mu magulu ena odwala

mankhwala ochititsa dzanzi aliyense, ngakhale ndi losavuta pokha "ultrakain", amafuna kusamalidwa m'magulu ena odwala, komanso zinthu zina:

• Ngati wodwala akudwala matenda a mtima, ndi mtima arrhythmias, anali ndi mbiri ya sitiroko, ali matenda oopsa, ndi bwino kugwiritsa ntchito mankhwala ndi okhutira osachepera yogwira pophika, kapena onse popanda izo.
• N'chimodzimodzinso odwala matenda a shuga, hyperthyroidism ndiko kumayambitsa kapena matenda.
• Mutapita kwa dokotala wa mano kutenga chakudya pokhapokha kwathunthu kusiya ntchito ya mankhwala ochititsa dzanzi.

• mphamvu kwenikweni pa luso galimoto mankhwala sakunena, koma ngati wodwala kutumikiridwa mlingo waukulu, ndi bwino yodziletsa mpaka kubwezeretsa zonse za tilinazo.
• Mosamala n'kofunika kugwiritsa ntchito mankhwala odwala ndi angina ndipo pambuyo infarction cardiosclerosis.
• Ngati kuphwanya makope oziziritsa amafunika kutsatira mlingo.
• matenda magazi amafuna kusamala.
• impso kuwonongeka kwambiri ndi chiwindi - chifukwa chabwino si ntchito "ultrakain".

Kugwiritsa "ultrakain" 1: 200000

kukonzekera uyu ali ndende ya mankhwala yogwira sichidziwika, moti anthu amangonena ntchito zochizira amai oyembekezera kapena amayi unamwino.

Loyenereradi ndende ngati odwala ndi mavuto m'dongosolo la mtima. Koma pali zofooka:

• Mosamala kwambiri mu odwala mphumu.
• Ngati muli ndi matenda a chithokomiro, ndi kugwiritsa ntchito "Ultrakain" (jakisoni) ndikoletsedwa.

"Ultrakain" popanda Epinephrine

Popeza kuti mu mawonekedwe mankhwala pafupifupi palibe mchere; kutetezera onse, ndi njira yabwino kwambiri kwa odwala amene ali ndi chiopsezo thupi lawo siligwirizana. Ndi oyenera odwala mphumu bronchial ndi matenda a chithokomiro.

Oyenera kukonzekera ndi mitima, koma tiyenera kukumbukira kuti nthawi ya mtundu ndiyo zochepa kwambiri.

zizindikiro zoipa pambuyo ntchito "articaine"

Ngati tigwiritsa ntchito "articaine" malangizo ntchito mano ayenera mosamalitsa anati, mwinamwake chingachitike mbali:

1. matenda kupuma kuti angachotsedwe ngakhale kusiya kupuma.
2. Maonekedwe a khunyu.
3. Zithunzi chisokonezo.
4. Ngati mwaganiza ntchito 'articaine malangizo ntchito ndi kuchenjeza kuti jakisoni woipitsidwa angachotsedwe kuwonongeka kwa mitsempha nkhope.
5. Pambuyo jekeseni angaoneke mutu.
6. Kunyansidwa ndi kusanza.
7. Hypotension akufotokozera.
8. Bradycardia.
9. Ena M'malo mwake, chifukwa kuwonjezeka mu chipsyinjo.
10. Matupi awo sagwirizana mawonetseredwe.
11. Jekeseni malo kutupa.
12. Kutupa chapamwamba ndipo m'munsi milomo, masaya ndipo ngakhale timinofu.

Ngati, pambuyo kuyendera mano inu kupeza zizindikiro, inu kuyesetsa panopa kuti dokotala.

Amene sikuloledwa phwando "ultrakain"

Ngakhale kuti odwala pambuyo jekeseni wa mankhwala "Ultrakain DS forte" ndemanga atsala makamaka zabwino, pali matenda ndi zinthu zimene ntchito yake si zofunika:

1. Hypersensitivity kwa m'nyanjazi wa mankhwala.
2. Bradycardia.
3. Atrioventricular chipika kalasi 2-3.
4. Mtima kulephera.
5. Magazi m'thupi.
6. Hypoxia.
7. Kutsekedwa khungu.
8. "Ultrakain" contraindications ntchito komanso ali ngati ana kwa zaka 4.

Pa ulendo wa mano ayenera kuonetsetsa kuti auzeni adokotala za matenda anu alipo aakulu.

zotsatira za mankhwala osokoneza bongo

Anthu ambiri kugula "Ultrakain" mtengo 1 ampoule pang'ono tikamakaona mano, kotero ena kuti mwina kukhala angapo, popanda kuopa kulowa mpando mano ndi kufunsa dokotala kuti pokha mlingo awiri. Koma muyenera kudziwa kuti pangakhale mavuto omwe sanali kugwilizana ndi mlingo. Pano pali zizindikiro za kuchuluka ndalama ya mankhwala:

• Chizungulire.
• Stupor.
• Kupuma kulephera.
• Zowombetsa mkota kupweteka.
• Dontho lakuthwa magazi.
• Ligwe.
• Bradycardia.
• Tachycardia.

Mukadzaona iliyonse ya zizindikiro zimenezi ayenera kusiya ka mankhwala ndi kukhwimitsa mwamsanga.

Ngakhale "ultrakain" ndi mankhwala ena

Ngati inu pitani mano ndi kufuna jekeseni "ultrakain", muyenera kudziwitsa dokotala wanu za mankhwala aliwonse panopa kutenga. Osati chovomerezeka kuphatikiza mankhwala ndi mankhwala zotsatirazi:

1. Ndi kardioneselektivnymi beta-blockers, monga "Propranolol".
2. Ndi antidepressants.
3. Ndi mankhwala bwanji mantha ogwetsa sitemu.
4. Ndi zosavomerezeka kuphatikiza "Ultrakain" ndi "ndi aspirin" ndi "heparin" - zotheka magazi pa malo jekeseni.
5. Ngati ntchito ya mankhwala, pamodzi ndi relaxants minofu, zotsatira zawo ndi nakweza.
6. Mukhoza kugwiritsa ntchito ndalama zina kwa inhalation ochititsa dzanzi kumaonjezera ngozi ya arrhythmias mtima.
7. Sangathe ntchito mankhwala njira munali zitsulo.

Kugwiritsa "ultrakain" ponyamula mwana

Ngati mkazi mu malo ochezera wa mano, ndi zofunika kugwiritsa ntchito ndi ochititsa osachepera mankhwala yogwira malangizo 'articaine' ntchito mano zikutsimikiziridwa. Koma ntchito mankhwala ali osavomerezeka popanda Epinephrine monga zikuwonjezereka masiku ano amachititsa constriction Mitsempha pa malo jekeseni ndi kudzilimbitsa, omwe amachepetsa ndende ya mankhwala yogwira m'magazi.

Wapambana mu mkaka wa m'mawere "ultrakain" thunthu yogwira amatha, koma ndende zake kudzakhala kotero negligible zimene zimakhudza mwana sadzatha. Choncho ngati mayi ayenera wrested kapena kuchiza dzino, si koyenera kuti usokoneze kuyamwitsa.

Reviews kukonzekera

Odwala zambiri atsala akachoka "ultrakain" maganizo abwino. Ambiri amanena kuti pambuyo mpirawo amapita dzanzi pambuyo maola ochepa amalenga kumverera kuti milomo kutupa ndi lilime.

Akachoka "ultrakain" pafupifupi mwai mano onse amene ululu, ndi ndondomeko mankhwala wosapanikizika.

Ochepa a odwala taonera pakutchulidwa wa zotsatira osafunika zotsatirazi jekeseni wa.

Anthufe kuti kusankha mankhwala ndi mtengo wake wololera pharmacies. Kulipira 40-50 rubles kwa njira amatha pafupifupi aliyense.

chithandizo mano ndiponso kutaya - ndi zosasangalatsa chowawa, koma ndi mankhwala monga "Ultrakain", njira zonsezi sabweretsa chisoni.

Koma onetsetsani kuti kudziŵitsa dokotala wanu za zanu zonse zilipo matenda aakulu ndi kumwa mankhwala, njira yokha kuonetsetsa ochititsa dzanzi otetezeka.