Analogs, ntuziaka maka ojiji "Naropin". ahịa Nyocha

Ọgwụ na-akụnwụ akpọ ọgwụ ọjọọ nke nwere ike ime ka Nkụnwụ.

Nkụnwụ - a ọnụ na uche nke ahụ ahụ ma ọ bụ ya n'akụkụ. Ọzọkwa, n'ihi na ndị dị otú ahụ a na steeti a na-ji a zuru cessation nke nghọta nke ihe ọmụma banyere ala nke organism na gburugburu ebe obibi.

Na ọgwụ omume, dị ka onye ahu izizi na-eji ọgwụ ọjọọ, "Naropin." Ntuziaka maka ojiji, n'ezie ọkachamara ga-kọwara n'okpuru ebe a.

Mejupụtara, mejupụtara na Packaging

Nkwadebe "Naropin" ntụziaka nke a na-dị na a katọn ùkwù atara ke ụdị ihe injectable ngwọta. Ọ nwere ike na-agụnye 2, 5, 7.5 ma ọ bụ 10 mg nke nọ n'ọrụ mgwa ka ropivacaine hydrochloride.

N'ihe gbasara ndị ọzọ mmiri, mgbe ahụ, na-eji ha dị ka hydrochloric acid ma ọ bụ sodium hydroxide, na mmiri ọgwụ na sodium chloride.

Na ire nke a owuwu a ọnọ ke vials.

The pharmacological e ji mara nke ọgwụ

Gịnị bụ nke a na nkà mmụta ọgwụ dị ka "Naropin"? Ntuziaka maka Iji na-ekwu na nke a anestetiiki amide usoro, nke e mere maka mgbu enyemaka na nke obodo Nkụnwụ.

The ojiji nke obere doses nke ropivacaine mgbochi mmemmem akpan akpan ahu so na-ebelata uche ndị na-abụghị-aga n'ihu moto ọrụ.

Na elu Dosages nke ọgwụ na-eduga ná ịwa ahụ ná Nkụnwụ.

Njirimara nke ọgwụ

Gịnị dị ịrịba ama iji ọgwụ "Naropin"? Ntuziaka maka ojiji na-egosi na irè nke ngwá ọrụ a bụ ruru ya ike reversibly belata permeability nke membranes nke akwara ozi. N'ihi na nke a mmetụta, na-enwekwu ndị excitability fọrọ depolarization ọnụego ebelata, nke n'aka nke na-eduga ná obodo igbochi akwara esi gboo.

Mgbe na-eji elu doses kwuru maka ya inhibitory utịp ke obi na CNS (adịwanye njọ conductivity mbelata automatism na excitability).

N'ihi ropivacaine e ji mara ogologo oge mmetụta. Na oge nke ọgwụgwọ mmetụta nke ọgwụ onunu ogwu nwere ike gbanwere.

Mgbe epidural ochichi nke a ọgwụ bụ ya abụọ-adọ na zuru ezu absorption si epidural ohere. Ịta nke ropivacaine na ọbara na-adabere na usoro nke ngwa.

The kinetics nke ọgwụ

Ntuziaka maka ojiji ( "Naropin" ga-ndinọ naanị nwere ahụmahụ nkụnwụ) na-akọ na ndị na ngwá ọrụ nwere linear pharmacokinetics. N'ihi na nke a, ya kacha ịta na ọbara bụ proportional na ndinọ dose.

Communication na plasma-edozi bụ 94%.

Epidural ochichi nke agwọ ọrịa ruo ogologo oge na-enwekwu ngụkọta plasma ịta nke ropivacaine.

N'ọrụ umi a na-ewere ụzọ dabara ngwa ngwa metabolic akakabarede. Na mbụ na-adọ ọkara ndụ oge hà ¼ hour, na na ọnụ - 240 nkeji.

Mgbe igba ogwu n'akwara nkwadebe 86% nke dose ọ na-anyụpụ site na akụrụ ya.

na-agba akaebe

Iji ihe ọgwụgwụ iji a ọgwụ dị ka "Naropin"? Ntuziaka maka ojiji (na dentistry, a ọgwụ na-ndinọ nnọọ ugboro ugboro) na-ekwu na ọgwụ a na-zubere maka ná Nkụnwụ n'oge ịwa ahụ:

• Iji mgbochi isi akwara na akwara plexus.
• Iji infiltration ná Nkụnwụ na akwara mgbochi onye emep uta eri.
• N'ihi epidural mgbochi iji na-eduzi arụmọrụ, gụnyere caesarean ngalaba.

Ọ ga-kwuru nwekwara na ọgwụ "Naropin" a na-eji maka enyemaka nke ihe mgbaàmà na nnukwu mgbu ọrịamkpokọta:

• N'ihi na ruo ogologo oge mgbochi nke elu akwara.
• Maka intra-articular ogwu ogbugba.
• Iji infiltration ná Nkụnwụ na akwara mgbochi onye emep uta eri.
• Mgbe ogologo oge epidural infusion, bolus periodicity ma ọ bụ na-egbochi ihe mgbu na a postoperative oge, nakwa ná Nkụnwụ n'oge òfùfè.

Ọ kwesịkwara kwuru na ọgwụ bụ "Naropin" ntụziaka na nke nke na-egosi n'okpuru, na-arụsi ọrụ na-eji maka enyemaka nke ihe mgbaàmà nke nnukwu mgbu ụmụaka ọrịa:

• maka caudal epidural ngọngọ ke ụmụ n'okpuru afọ 12, gụnyere ke ụmụ ọhụrụ;
• maka ogologo oge epidural infusion na ụmụaka ruo afọ 12, gụnyere ke ụmụ ọhụrụ.

contraindications

Gịnị bụ contraindications anestetiiki na-"Naropin"? Ntuziaka maka ojiji (maka spinal ná Nkụnwụ bụ ngwá ọrụ a ga-ndinọ naanị site ahụmahụ anesthesiologists) na-ekwu na-esonụ ukpan:

• Hypersensitivity, gosipụtara ọgwụ na-akụnwụ nke amide usoro (gụnyere akụkọ ihe mere eme).
• Hypersensitivity ka ropivacaine ndị ọzọ mmiri nke Nwa.

Ọ kwesịkwara kwuru na agwọ ọrịa "Naropin", na onunu ogwu ga-ahọrọ nke na a ọkachamara, ịkpachara anya na ndị agadi na gwụ ọrịa na-na ọrịa na oké ọdịdị nke ọrịa, gụnyere intracardiac conduction mgbochi, imeju na-na akụrụ daa ọrịa.

Oke ịkpachara anya ga-ndinọ a anestetiiki na-ahụ isi na olu n'ihi na nke ibute oké oghom Jeremaya mere.

Ọ na-achọ pụrụ iche na-elekọta mgbe ewebata ọgwụ intra, karịsịa isi trauma na ịwa ahụ. Ma ọ bụghị ya, o nwere ike ime ka ubara absorption nke ọgwụ na-amụba ya plasma ịta.

N'ihi na underdevelopment nke ọrụ ma na ozu ụmụ ọnwa isii na-eduzi ná Nkụnwụ a na ọgbọ a ga-rụrụ ihe ókè ịkpachara anya.

The ọgwụ bụ "Naropin": ntuziaka maka ojiji maka ụmụaka

Comments banyere nke a na nkà mmụta ọgwụ ga-ọkọnọ n'okpuru.

Mgbe caudal epidural ochichi maka enyemaka nke ihe mgbu ọrịamkpokọta ụmụ ọhụrụ erikpu ruo 25 n'arọ rụrụ mgbochi injectable ngwọta na a dose of 2 mg / n'arọ.

Epidural infusion ma ọ bụ bolus ogwu ogbugba nke ọgwụ a rụrụ dị na afọ nke nwa:

• 6-12 ọnwa: infusion - 0.4 mg / kg / Ọrụ Nchịkwa, a bolus - 1 mg / n'arọ;
• ruo ọnwa isii: infusion - 0,2 mg / kg / Ọrụ Nchịkwa, a bolus - 1 mg / n'arọ.
• 1-12 afọ: infusion - 0.4 mg / kg / Ọrụ Nchịkwa, a bolus - 2 mg / n'arọ.

The ngwọta "Naropin": ntuziaka maka ojiji

The ampoules na anestetiiki na-ere niile pharmacies.

N'ihi na ndị okenye, na onunu ogwu nke ọgwụ a họọrọ ọkachamara. The nkụnwụ ga-eduzi ha na-adakarị ahụmahụ nakwa n'ime akaụntụ onye ala nke onye ọrịa.

N'ihi epidural ochichi n'oge ịwa ahụ iji 15-25 ml nke ngwọta. N'ihi ya mmalite nke edinam hụrụ mgbe 20 nkeji na-ekwupụtakwa maka 5 awa.

A yiri ego nke ọgwụ ọjọọ na cesarean ngalaba.

Mgbochi isi akwara plexus rụrụ site epidural ochichi nke agwọ ọrịa na thoracic larịị ke ichekwa 5-15 ml.

Conduction na infiltration ná Nkụnwụ na 1-30 ml nke ngwọta na-arụpụta mmalite nke mmetụta mgbe 5-15 nkeji na a oge nke 2-6 awa.

kpọmkwem na-atụ aro

Ọnụọgụ ọgwụ "Naropin" ọgwụ maka spinal ná Nkụnwụ na-gbanwee dabere na ọrịa ahụ n'ozuzu ọnọdụ. The otu na-emetụta ndị mgbochi nke akwara ozi.

Nkụnwụ nke brachial plexus nwere ike so oké mmetụta.

Na n'otu oge ojiji nke ndị ọzọ na ụdị ọgwụ na-akụnwụ kacha onunu ogwu "Naropin" ekwesịghị ịbụ elu karịa 225 mg.

Iji gbochie mberede ogwu ogbugba nke ọgwụ n'ime arịa tupu mmalite nke usoro na mgbe ọ ga-amanyere bụ iwu na-ebu ọchịchọ ule.

The mmeghe nke ọgwụ na-ghọtara n'ihi na nwa oge intravascular Ugboro obi ọnụego. Mgbe hụrụ nsí mmetụta kwesịrị ozugbo ịkwụsịtụ iwebata nke ngwọta.

N'oge ná Nkụnwụ dị mkpa iji nyochaa nkịtị ọrụ nke dị oké mkpa akụkụ na usoro nke onye ọrịa. Ọ dịkwa mkpa ịnọgide na-enwe na ya mgbe nile ọnụ kọntaktị.

mmetụta

Oghom Jeremaya mere na e hụrụ na ngwa na-ewere pụtara yiri ndị mgbe eji ọzọ amide ọgwụ na-akụnwụ usoro. N'ihi ya, ọ dị mkpa ịmata ihe dị iche na mmetụta na n'ahụ mgbaàmà na-erukwa na n'ihi mkpọchi nke ọmịiko irighiri akwara.

The ọgwụ bụ "Naropin" maka spinal ná Nkụnwụ nwere ike ime ka bradycardia na hypotension. Ọzọkwa na N'ezie nke ná Nkụnwụ na ọrịa na-enweta ndị na-esonụ oghom Jeremaya mere:

• ọgbụgbọ, tachycardia, isi ọwụwa, hypothermia;
• ẹsụhọde ọbara mgbali, cramps, azụ mgbu, iku ume ọkụ ọkụ;
• vomiting, syncope, ọbara mgbali elu, fever;
• paresthesia, dysarthria, akpata oyi, nchegbu;
• dizziness, tremor, urinary njigide.
• hypoesthesia, mkpụmkpụ nke ume, nkụnwụ ire;
• ọdụdọ, tingling, aṅụ;
• perioral paresthesia na ebe, arrhythmia, bịara ikiri ọhụụ;
• Angioedema, gbasara obi njide, muscle cramps;
• anaphylactic onu.

analogs

Gịnị nwere ike dochie anestetiiki dị ka "Naropin"? Ntuziaka maka ojiji ga-enye azịza nke ajụjụ a. Behind ya ị ga-mkpa kpọtụrụ ahụmahụ nkụnwụ.

Dị ka a na-achị, kama "Naropin" ọkachamara na-eji ọgwụ ọjọọ eme ihe dị ka "Articaine", "Bupivacaine", "BlokkoS", "Alfakain SP", "lidocaine", "Brilokain-adrenaline", "mepivacaine," "Piromekain" "marcaine", "Skandonest", "Ultrakain", "Tsitokartin", "Trimekain", "Hirokain" na ndị ọzọ.

Ọ ga-ozugbo ahụ kwuru na ụzọ nke ochichi na Dosages kwuru n'aka ike dị iche n'ụzọ nke ndị a agwọ ọrịa "Naropin".

Nyocha

Ugbu a, na ị maara otú ihe mere nje were dị ka "Naropin." Ntuziaka maka ojiji, ọgwụ analogs na e ọkọnọ n'elu.

Ọtụtụ mgbe atụle a-esi na-ahapụ ha reviews nkụnwụ. Ma nke a abụghị ihe ijuanya, n'ihi na ọgwụ a na-zubere maka obere na nnukwu arụmọrụ.

Ọgụgụ ka ukwuu nke na-azaghachi ndị ọkachamara na-nti. Chịkọta echiche nke dọkịta, ndị anestetiiki nwere ike kọwara dị ka a na-enweta, pụrụ ịdabere na moderately ọnụ ọgwụ.

Dị ka ndị ọrịa, ha reviews nke a owuwu fọrọ nke nta mgbe ime.