"Ubistezin sandal". suuxinta degaanka

Kaas oo ku baaqay in daroogada "Ubistezin sandal»? Tilmaamaha iyo tilmaamo loogu talagalay isticmaalka daroogada lagu hoos lagu soo bandhigay doonaa.

Laga soo bilaabo qalabka of this article waxaad ku baran doonaa oo ku saabsan foomkan, taas oo uu sheegay in ka dhigan tahay soo saarka, sida ay u taagan, in waxa loo isticmaali karaa inta aad uurka leedahay iyo waxa guryaha uu leeyahay.

Curiska, xirxirida iyo qaabka

Diyaarinta "Ubistezin sandal", qiimaha kaas oo hoos ku qoran, waxaa la soo saaray ee foomka of xal la isku duro. Its sinji waa hydrochloride articaine iyo hydrochloride epinephrine. Sidoo kale in medicament ka kooban qaybaha kaabayaal ah sida biyo la isku duro, chloride sodium iyo sulfite sodium.

Xalka la isku duro waa ganacsi la heli karo in kaydadka ah, waxaa la geeyaa weel bir ah.

Pharmacodynamics medicament

Waa maxay daroogadu sida "Ubistezin sandal» oo kale ah? Sida laga soo xigtay tilmaamaha, waa qalab isku jira oo loogu talagalay suuxdinta maxaliga ah. Waxa loo isticmaalaa hab qalliin fudud, gaar ahaan dhaqanka ilkaha.

Saamaynta daawada taasi waxay u keeni walxaha ay dastuurka.

suuxinta Local ka kooban articaine hadda ka tirsan kooxda suuxinta tiafenovoy.

Sida lidocaine ama novocaine marka la barbar dhigo, diyaarinta sida waxa lagu gartaa tallaabo daqiiqad. Saamaynta daawada suuxinta ayaa waxaa hore u arkay 0.5-3 daqiiqo ka dib. Sida lacag vyshepredstavlennyh, waxay bilaabaan in ay leeyihiin saamayn kaliya 4-5 iyo 5-10 daqiiqo ka dib, siday u kala horreeyaan.

Muddada saamaynta suuxinta socda maamulka "Ubistezin sandal" dejinta waa 45 daqiiqo.

Waa in la ogaadaa in daawo this laba jeer ka badan lidocaine. Waxaa intaa dheer, waxaa la si dhakhso ah raaca, ma la xakameeyo bogsashada dhaawaca waxayna ka yar tahay sun ah. duro Sidaas waxa muujiyay in dadka waayeelka ah iyo carruurta 5 sano.

Sida epinephrine, waa vasoconstrictor ah. Waxay kor u vasoconstriction, oon ku sii xoogeysanayo iyo cimrigay dheeraysaa saamaynta suuxinta. gaadhista noocan oo kale ah walax daroogada weeyaan hypoxia unugyada, taasoo keentay in excitability cadaadis of dhammaato dareemayaasha, taas oo si weyn u yaraynaysaa xanuunka.

Drug "Ubistezin sandal" - waa suuxinta la content hooseeyo ee vasoconstrictor. Qaddar yar oo epinephrine uma siyaadiyo cadaadiska dhiigga, ma keeni tachycardia iyo ma laha saamayn fahmayaan on nidaamka wadnaha.

Pharmacokinetics of xal duro

suuxinta hoose waxa ay haystaan awood cabaar sare. Oo naga hor daroogada waa laga reebo lahayn. Waxaa xidhana borotiinka plasma by 95% oo gebi ahaanba raaca caanaha, haweenka iyo ma dhex gelin iyada oo ka celiyaha mandheerta.

The bar-nolosha ee daroogada tani waa 22-26 daqiiqo.

Tilmaamayaasha

Drug "Ubistezin sandal" si firfircoon uga codsatay qalliin ilkaha yar:

• la odontectomy badnayn;
• marka buuxinta ilkaha yaraaday;
• loogu diyaar aalka, ama wax-u shiidi ilkaha.

Sidoo kale ogsoonow in loo arkaa intercostals medicament inta lagu jiro isticmaalka, iyo suuxdinta retrobulbar ganglion paravertebral stellate go'doominta, dareemayaasha trigeminal, pudendal iyo plexus cududda.

sababo

Duray "Ubistezin sandal" laguma talinayo:

• neefta bronki iyo diidmo in sulfites;
• gulukooma xagal-xidho,
• walxaha daroogada diidmo;
• tachycardia paroxysmal;
• dhantaalan cagaarshowga daran;
• lama filaan ah cardiogenic;
• therapy saameen leh murugada tricyclic iyo nonselective beta-blockers;
• tayroodh.

xal isticmaalka taxadir

Iyada oo taxaddar siiyo daawada loo soo qoray, waayo,

• diabetes;
• wadnaha chronic,
• hypertension,
• block atrioventricular;
• renal failure;
• inflammations degaanka ee suuxdinta,
• in da 'weyn;
• gobolka wiiqay ee bukaanka.

Sida loo codsado xalka "Ubistezin sandal»?

daawo viewed waxaa loo isticmaali karaa in la xirriira dadka caafimaad qaba nidaamka ilkaha yar. Waayo, mid waqti isticmaali kaydadka ku saabsan tahay 1-2, taas oo u dhiganta 2-4 ml. Qiyaasta ugu badan dulqaadan of xal this 2 saacad waa 2.5-3 kaydadka ah.

daroogada la isku duro hoos xabka qadarkuu of 1.7 ml (hal ilig) la saaridda ilkaha badnayn.

Marka qeybaha samada codsan 0.1 ml of xal at perineum ushivanii - oo ku saabsan 5-15 ml, iyo qumanka at - 5.10 ml (per quman).

Haddii medicament la isticmaalo suuxinta tabinta (tus, intercostals, retrobulbar, epidural, paravertebral ama sacral), iyo sidoo kale go'doominta (paracervical trigeminal, plexus cududda ama ganglion stellate), dhakhtarrada ahaa ku isticmaali 1 ilaa 30 ml (ku xiran tahay mugga suuxdinta iyo duray).

waxyeellooyin

Sida laga soo xigtay tilmaamaha, tixgeliyaa daroogada waxay keeni kartaa soo socda reactions dhinaca:

• lalabo, "carceero" ee indhaha, matag, waxyeellada dareemayaasha waxaa ka;
• madax xanuun, casaan maqaarka, gariir muruqa, tachycardia;
• dhantaalan miyir (laga yaabee in uu khasaaro) iyo neefsashada, dhibic ee cadaadiska dhiigga, shimbirka muruqa,
• gariir guud, pruritus, conjunctivitis, murugada dhaqdhaqaaqa wadnaha,
• barar meesha la muday, barar dibnaha, rhinitt.

calaamadaha xad dhaafka ah

badinta daroogada this sababa soo socda calaamadaha aan loo baahnayn: tachycardia, dawakhaad, dhantaalan miyir, bradycardia, walaaca, cadaadis dhiig oo hooseeya.

Marka logu leexashooyinkaasi waxay u baahan yihiin si ay u joojiyaan dhammaan manipulations, gelin bukaanka iyo soo celinta haweedka. Waxa kale oo si joogto ah waa in aad loola socdo cadaadiska garaaca wadnaha iyo dhiig bukaanka ah.

dhibbanaha waa hawo farsamo. In gariir bukaanka barbiturates intravenously maamula in vascular burburkii - "kumbyuutarradeedu" in si lama filaan ah - electrolytes iyo glucocorticosteroids tachycardia - xushay beta-blockers, iyo in la kordhiyo cadaadiska dhiigga - vasodilators durugsan.

xilliga uurka, quudinta

Ma isticmaali karaa "Ubistezin qalcaddii" inta aad uurka leedahay? Khubarada sheegaan in daroogada maraa celiyaha mandheerta. In xiriir this, waa suuxinta gabi ahaanba ammaan ah, taas oo saameyn ah kuma laha ilmaha caloosha ku.

Sida hooyooyinka naas-nuujinta, waa in ay kala go'do ma naas-nuujinta sida sinji ah medicament aan la raaca caano.

Reviews iyo qiimaha

Qiimaha qalab kala duwan 2000-2100 rubles (kaydadka 50).

Ilkaha hadli ku saabsan dejinta la joogo oo keliya dhinaca wanaagsan. Saamayntii daroogada this waxaa sabab u ah arrimo badan.

Boqolkiiba A sare oo ah walaxda firfircoon ku qabanaya borotiinka soo jeedisay in ku saabsan 95% ka mid ah daroogada galo dhiigga sida walax aan firfircoonayn. Iyada oo arrintan la xiriira, waxaan si ammaan ah gabagabayn kartaa in sumoobo daroogada waa mid aad u hooseeya. Isla mar ahaantaana waxtarka daawada suuxinta waa mid qaali ah.

Waa in la sidoo kale xusay in "Ubistezin sandal" si dhakhso ah raaca jidhka ka. Haddii aad rabto in aad dib-u-duro, saamaynta sun ah ee daroogada waa weyn uga yar in ee suuxinta kale.