Analogs, tilmaamaha loo isticmaalo "Naropin". Reviews macaamiisha

Suuxinta loo yaqaan daroogada taas oo awood u leeyihiin in ay u abaari suuxinta.

Suuxinta - hoos u dhac in dareenka jidhka ama qaybo. Sidoo kale, waayo gobolka noocan oo kale ah waxa lagu gartaa joojin buuxda oo ku aragti ah warbixin ku saabsan gobolka oo ka mid ah u shaqeeyo iyo deegaanka.

In dhaqanka caafimaad, sida suuxdinta ah waxaa badanaa loo isticmaalaa daroogada "Naropin." Tilmaamaha loogu isticmaalo, xirfadlayaasha dhab ah loo hoos ku qeexan doonaa.

Curiska, halabuurka iyo Baako

Diyaarinta "Naropin" barashada kaas oo ku jira xidhmada baakadaha laga saaro qaab xal la isku duro. Waxaa ka mid noqon kara 2, 5, 7.5 ama 10 mg ah qayb firfircoon sida hydrochloride ropivacaine.

Iyadoo la tixgelinayo qaybood oo dheeraad ah, ka dibna u isticmaalaan sida aashito ama hydroxide sodium, iyo biyo la isku duro iyo chloride sodium.

In iibinta xarunta tani waxaa la gaarsiiyey fijaan.

Sifooyinka pharmacological daroogada

Waa maxay daawada sida "Naropin"? Tilmaamaha Isticmaalka dhigayaa in this taxane amide suuxinta, kaas oo loogu talagalay xanuunka iyo suuxinta maxaliga ah.

Isticmaalka yar ka qaataan go'doominta ropivacaine fududeeyaa qayb jirka gaar ah oo leh dareen hoos non-horumar waxqabad motor.

In qaadashada sare ee daroogada keenaysaa in suuxinta qalliinka.

sifooyinka daroogada

Waa maxay daawada cajiib ah "Naropin"? Tilmaamaha loogu isticmaalo muujinaysaa in waxtarka of qalab this waxaa sabab u ah awoodda ay leedahay in la yareeyo reversibly permeability ee xuubka macdantaa dareemayaasha. Sababo la xiriira saamaynta this, iyo siyaadiyaa hoos heerka depolarization marinka excitability, taas oo keenta in falalkooda dareemayaasha ku furid maxaliga ah.

Marka la isticmaalayo qaadasho sare xusay in ay saamayn inhibitory on wadnaha iyo habdhiska dhimirka (conductivity sii xumaanaya hoos automatism iyo excitability).

Waayo, ropivacaine saamayn muddo dheer dabeecad. Muddada saamaynta ku daweynta ee qiyaasta daawada laga beddeli karaa.

Marka maamulka epidural ee daroogadu waa ay laba-waji oo dhamaystiran nuugista ka bannaan ee epidural. fiirsashada of ropivacaine in dhiig ku xiran tahay habka codsiga.

The kinetics daroogada

Tilmaamaha loogu isticmaalo ( "Naropin" waa in la maamulo kaliya by suuxinta khibrad leh) ayaa sheegay in qalab uu leeyahay pharmacokinetics toosan. Sababo la this, ay fiirsashada ugu badan ee dhiigga ku jira saamiyeed si ay qiyaasta ay maamusho.

Isgaarsiinta la borotiinada plasma waa 94%.

Maamulka Epidural ee medicament ah muddo dheer u kordhiyaa total fiirsashada plasma of ropivacaine ah.

walaxda firfircoon waxaa loo arkaa hab Oo Qaliin diinta dheefshiidka degdeg ah. In muddo wajiga hore bar-nolosha waa loo siman yahay si ¼ saac, iyo in terminal ah - 240 daqiiqo.

Marka diyaarinta xididka 86% qiyaasta saxarrada kelyaha.

maragga

Ilaa dhamaadka isticmaalaan daroogada sida "Naropin"? Tilmaamaha loogu isticmaalo (ee ilkaha, daroogada this waxaa maamula aad si joogta ah) dhigayaa in daroogada waxaa loogu talagalay inta lagu guda jiro suuxinta qalliin:

• Si Go'doominta dareemayaasha waaweyn iyo plexus dareemayaasha.
• Si suuxdinta dhexgalka iyo dareemayaasha fiiloyin shaqsi go'doominta.
• Waayo, Go'doominta epidural si ay u fuliyaan hawlgallo, ay ka mid yihiin qalliin.

Waa in la sidoo kale lagu xusay in daawada "Naropin" waxaa badanaa loo isticmaalaa gargaarka ee calaamadaha ee syndromes xanuun ba'an:

• Waayo, go'doominta daba dheeraatay ee dareemayaasha durugsan.
• Waayo, duray intra-articular.
• Si suuxdinta dhexgalka iyo dareemayaasha fiiloyin shaqsi go'doominta.
• Marka sii dheerayn galiyey epidural, periodicity bolusdose ama xanuun ka hortagga in muddo postoperative, iyo sidoo kale in suuxinta inta lagu jiro foosha.

Sidoo kale waa in la ogaadaa in daroogada waa "Naropin" edbinta ku saabsan isticmaalka kaas oo hoos ku qoran, waxaa si firfircoon loo isticmaalo gargaarka ee calaamadaha xanuunka ba'an ee bukaanka carruurta:

• waayo block caudal epidural in carruurta ka yar 12 sano, oo ay ku jirto in ilmaha dhashay;
• waayo galiyey epidural daba dheeraaday ee carruurta jirta ilaa 12 sano, ay ka mid yihiin dhallaanka cusub ee dhashay.

sababo

Waa maxay daawada suuxinta sababo waa "Naropin"? Tilmaamaha loogu isticmaalo (waayo, suuxinta spinal waa aalad waa in la maamulo kaliya by anesthesiologists khibrad leh) ayaa sheegay in laga reebay soo socda:

• Diidmo, muujiyey by suuxinta ee taxanaha amide (oo ay ku jiraan taariikhda) ee.
• Diidmo in ropivacaine iyo qaybaha kale ee dejinta.

Sidoo kale waa in la ogaadaa in medicament ah "Naropin", qiyaasta waa in la soo xulay oo keliya ku takhasusay, taxaddar in bukaanka dadka waayeelka ah iyo jilcay iyo sidoo kale bukaanka qaba nooca daran cudurka, oo ay ku jiraan intracardiac Go'doominta tabinta, beerka iyo kelyaha cudurada.

taxaddar dheeraad ah waa in la maamulo suuxinta maxaliga ah ee madaxa iyo qoorta sababtoo ah khatarta ah ee sii kordhaya ee dhibaato aad u daran.

Waxay u baahan tahay daryeel gaar ah marka bandhigid intra daroogada, gaar ahaan in dhaawacyada waaweyn iyo qalliin. Haddii kale, waxay keeni karaan nuugista sii kordhaya ee daroogada iyo in la kordhiyo fiirsashada plasma ay.

Maaddaama ay horumar ah oo ka mid ah hawlaha iyo hay'adaha carruurta lix bilood si ay u qabtaan suuxinta ee da 'kooxeedyada this Waa in la fuliyo si taxadar leh u daran.

Daawada waa "Naropin": tilmaamaha loo isticmaalo ee carruurta

Comments saabsan dawadan la hoos ku soo bandhigi doonaa.

Marka maamulka epidural caudal gargaarka ee xanuun syndromes dhallaanka ah oo miisaankeedu yahay ilaa 25 kg ee dose of 2 mg / kg qaadeen xal isku duro go'doominta.

Epidural faleebo ama bolusdose duray sida daroogada waxaa lagu fuliyaa si waafaqsan da'da ilmaha:

• 6-12 bilood: galiyey - 0.4 mg / kg / hr, bolusdose a - 1 mg / kg,
• ilaa lix bilood: galiyey - 0.2 mg / kg / hr, bolusdose a - 1 mg / kg.
• 1-12 sano: galiyey - 0.4 mg / kg / hr, bolusdose a - 2 mg / kg.

Xalka "Naropin": tilmaamaha loo isticmaalo

ampoules The suuxinta waxaa lagu iibiyaa farmasiyada oo dhan.

Waayo, dadka waaweyn, qiyaasta daawada waa takhasus doortay. suuxdinta waa in la hanuuniyey by ay waayo-aragnimo lagu daawayn iyo sidoo kale inay tixgeliyaan gobolka gaarka ah ee bukaan-socodka.

Waayo, maamulka epidural inta lagu guda jiro qalliinka isticmaalaya 15-25 ml of xal. Sayidka bilawga garoomada ka arkay 20 daqiiqo ka dib muddo 5 saacadood.

lacagta la mid ah isticmaalka daroogada iyo qalniinka caloosha.

Go'doominta plexus waaweyn ee dareemayaasha ay fuliyeen maamulka epidural ee medicament heer thoracic qadarkuu of 5-15 ml.

Tabinta iyo suuxinta dhexgalka la 1-30 ml of natiijooyinka xal ah ee bilawga ah ee saamayn 5-15 daqiiqo muddo ah 2-6 saacadood ka dib.

talooyin gaar ah

Qiyaasta "Naropin" daroogada suuxinta spinal waxaa laga beddelo ku xiran xaaladda guud ee bukaan-socodka. Isla sidaas u dhaqmaan go'doominta macdantaa dareemayaasha.

Suuxinta ah plexus cududda waxaa la socon kara by saameyn khatar ah.

Iyada oo la isticmaalo isku mar ah noocyada kale ee suuxinta qiyaasta ugu badan "Naropin" waa in aanay noqon ka badan 225 mg.

Si looga hortago isku duro shil daroogada galay markabka ka hor bilowga nidaamka iyo inta lagu jiro waa in ay noqon khasab ah si ay u fuliyaan imtixaanka rajo gelin.

hordhaca ah ee daroogada la aqoonsan yahay, waayo, heerka ku meel gaar ah qalbigiisa soo noqnoqda intravascular. Marka lagu arkay saamaynta sun ah waa in si deg deg ah kala go'do hordhaca ah ee xalka.

Inta lagu jiro suuxinta waa lagama maarmaan si ay ula socdaan hawlgalka caadiga ah ee xubnaha muhiimka ah iyo nidaamka bukaanka. Waxa kale oo lagama maarmaan ah si ay u ilaaliyaan waxa la xiriir hadal joogto ah.

waxyeellooyin

dhibaato in la arkay in codsiga loo arkaa waxay ka dhigan tahay mid yihiin kuwa marka la isticmaalayo taxane kale suuxinta amide. Sayidka waxaa lagama maarmaan ah in la kala saaro dhibaatooyinka soo raaca on calaamadaha nafsaaniga ah ee ka dhaca sabab u ah xannibaad ee dareemayaasha dabacsanaadaan.

Daawada waa "Naropin" suuxinta spinal keeni kartaa bradycardia iyo hypotension. Sidoo kale in koorsada ee suuxinta ee bukaanka arkaan dhibaato soo socda:

• lalabo, tachycardia, madax-xanuun, hypothermia,
• hoos u cadaadiska dhiigga, casiraad, dhabar xanuunka, neefta oo ku qabata;
• matag, syncope, hypertension, qandho,
• paresthesia, dysarthria, qarqaryo, walaaca,
• wareer, gariirka, haynta kaadida.
• hypoesthesia, neefta oo ku qabata, kabuubyo carrabka;
• qalal, jidhidhico, finan,
• paresthesia perioral degaanka, arrhythmia, riyada ku darsamay;
• Cudurka anjioedema, wadnaha, muruqa casiraad,
• ifafaale anaphylactic.

analogs

Maxaa bedeli karaa suuxin sida "Naropin"? Tilmaamaha loogu isticmaalo jawaabta su'aashan ma siin doono. waxaa Behind waxaad u baahan doontaa inaad la xiriirto suuxdinta khibrad leh.

Sida caadiga ah, halkii ay khubaro "Naropin" inta badan daawooyinka isticmaalaan sida "Articaine", "Bupivacaine", "BlokkoS", "Alfakain SP", "lidocaine", "Brilokain-adrenaline", "mepivacaine," "Piromekain" "marcaine", "Skandonest", "Ultrakain", "Tsitokartin", "Trimekain", "Hirokain" iyo kuwa kale.

Waa in si degdeg ah ayaa sheegay in hababka maamulka iyo qaadashada ku xusan hab kala duwanaan karaan si xooga ka mid ah kuwii medicament ah "Naropin".

Reviews

Hadda oo aad ogtahay sida iyo sababta loo isticmaalo sida antibiotic "Naropin." Tilmaamaha loogu isticmaalo, analogs daroogada in lagu kor ku soo bandhigay.

More inta badan loo arkaa adeegsanayo in uu ka tago ay u eegista suuxinta. Oo kanu ma aha la yaab leh, maxaa yeelay, daroogada waxaa loogu talagalay hawlaha waaweyn iyo kuwa yaryar.

Inta badan jawaabaha takhasus fiican. Koobaya fikradaha dhakhaatiirta, suuxinta lagu tilmaami karaa, daawada waqti-baaro lagu kalsoonaan karo oo la awoodi karo si dhexdhexaad ah.

Sida dadka bukaanka ah, dib u eegista ee xarunta this ay yaraatee aanay dhicin.