"Articaine": ntuziaka maka ojiji na analogues

Olee otú m ga-eji na n'okpuru ihe ọnọdụ ekwesịghị kenyere a na nkà mmụta ọgwụ "Articaine"? Ntuziaka maka ojiji na contraindications nke ọgwụ ga-atụle n'ihu. Ọzọkwa ke ibuotikọ emi ị ga-achọta ihe ọmụma banyere n'akụkụ mmetụta nke ọgwụ, ya analogues na ọgwụgwọ atụmatụ.

Ka n'ụdị a agwọ ọrịa, mejupụtara, nkọwa na nkwakọ

Gịnị bụ ọgwụ nkwadebe "Articaine"? Ntuziaka maka ojiji, reviews kọrọ na ọ bụ ihe injectable doro anya solution, nke nwere ike ịbụ colorless ma ọ bụ nwere ike a ubé acha tint.

The n'ọrụ mgwa nke a gị n'ụlọnga eme articaine hydrochloride. Ọzọkwa ọgwụ ngwọta mejupụtara inyeaka mmiri dị ka mmiri d / u na sodium chloride.

Na ire nke ọgwụ na-abịa na cartridges na-packaged ke ngwe plastic cell ngwugwu na akwụkwọ karị. Ọzọkwa azụ otu injectable ngwọta ya pụrụ ịbụ na ampoules nke iko.

Therapeutic e ji mara nke nkwadebe

Gịnị dị ịrịba ama iji ọgwụ "Articaine"? Ntuziaka maka ojiji, nkọwa na-ekwu na nke a pụtara bụ a thiophene emepụta. Ọ na-egosipụta anestetiiki Njirimara na na ọtụtụ-eji maka ná Nkụnwụ (infiltration na conduction).

na-arụsi ọrụ ike mgwa nke ọgwụ na-hydrolyzed na a weakly alkaline ajụ arọ. Mgbe a na isi a tọhapụrụ, nke na-egosipụta lipophilic Njirimara. N'ihi na nke a pụrụ isi kwuo articaine ezi mfe ya penetrates site na cell akpụkpọ ahụ n'ime akwara ozi.

Site na-eme na-anabata ya, na-ewere ọgwụ nkanka bụghị nanị na usoro nke nnyefe nke Na ion na mkpụrụ ndụ, ma na-egbochikwa a akwara na-akwadoghị akwado.

Kọrọ ụlọ edinam agwọ ọrịa "Articaine", ntuziaka maka ojiji nke a kọwara mgbe e mesịrị, a hụrụ fọrọ nke nta ozugbo mgbe ochichi. Ma ndị na-irè nke ọgwụ, ọ na-hụrụ maka awa atọ na-ebelata naanị na acidic gburugburu ebe obibi.

Kinetic e ji mara ọgwụ ngwọta

Olee otú ndị absorption nke "Articaine" ọgwụ ọjọọ? Ntuziaka maka ojiji ekwu na mgbe ndinọ intramuscularly na a ọnụ ọgụgụ kasị elu ọbara ịta nke a gị n'ụlọnga bụ imezu mgbe 25-35 nkeji.

Mgbe ndinọ agwọ ọrịa maka onu mucosa ọ na enwekwukwa diffusivity.

Plasma protein ifịk ọgwụ ejikọ ihe dị ka 95%. Ọ na-metabolized na imeju na-na-anyụpụ site akụrụ n'ime awa isii (ọkara ndụ nke anestetiiki bụ banyere 65-80 nkeji).

Anyị nwere ike ikwu na amụọ na-esi banye n'ime Plasenta (na ole na ole karịa obodo ọgwụ na-akụnwụ), nakwa dị ka site na ọbara-ụbụrụ mgbochi (obere obere). Ma ihe ndị mmiri ara nne, mgbe ahụ, ya na ya articaine na o siri ike na-anọchi si.

egosi maka

Site na ihe prescribers "Articaine"? Ntuziaka maka ojiji na-egosi na nke a na ngwá ọrụ a na-eji na eze na-eme n'ihi nzube nke ná Nkụnwụ (infiltration na conduction).

Bans ojiji nke

Mgbe articaine nwere ike iji na umi? Ntuziaka maka Iji na-ekwu na preparations dabere na nke a akụrụngwa, na-contraindicated na:

• adịghị ala ala hypoxia;
• articaine elu uche, nakwa dị ka ndị ọzọ anestetiiki mmadụ nke na amide otu;
• ọ bụla Central ụjọ usoro ọrịa;
• megaloblastic B12-erughi anaemia;
• bronchial ụkwara ume ọkụ;
• n'akuku-mmechi glaucoma;
• paroxysmal tachycardia;
• obi ọdịda, nnukwu;
• atrial tachyarrhythmia;
• oké gbasara obi conduction ọrịa (e.g., bradycardia, atrioventricular ngọngọ ogo II-III);
• nnukwu maxillofacial arụmọrụ, na kwa n'oge ruo ogologo oge awa ahụ aka (n'ihi na ogologo oge karịa 20 nkeji);
• ọbara hypotension ;
• na ụmụaka na-erubeghị afọ anọ (nchekwa na nrụpụta ọrụ na e mụọ).

Ọ kwesịkwara kwuru na oké ịkpachara anya bụ ngwá ọrụ e nyere ụmụ nwaanyị dị ime na tupu eclampsia, nakwa dị ka ọbara ọgbụgba ke akpatre trimester.

Drug "Articaine": Ntụziaka maka ojiji na dentistry

Tupu iwebata nke ego ga-mgbe na-ebu ihe ọchịchọ ule. Nke a dị mkpa iji belata ohere nke intravascular ochichi nke ọgwụ.

Kọrọ ọkachamara n'oge ntinye nke atụle agwọ ọrịa nsogbu na ntụtụ plunger ga-gbanwee dabere na uche nke anụ ahụ. Mgbe ọ na-adịghị na-atụ aro na ọgwụ ga-ndinọ nanị ire ọkụ ebe nke ọnụ. Iri nri nanị mgbe mweghachi nke uche ekwe mgbe ọgwụ na usoro.

Na usoro nke wepụ-adịghị mgbagwoju eze dị na elu agha (ma ọ bụrụ na e nweghị mbufụt), iji 1.7 ml (otu eze). Ọ bụrụ na achọrọ, onye ọrịa na-n'ihu ndinọ 1-1.7 ml nke nkwadebe.

N'ihi ná Nkụnwụ na Palatine agịga ngalaba ike a na-ebusa nke onye ọrịa na-kenyere palatal 0,1 ml nke ngwaahịa.

Mgbe wepụ premolars, emi odude na ala agha (na-adịghị mgbagwoju ogo), na-eduzi infiltration ná Nkụnwụ. Otú ọ dị, o nwere mmetụta nke conductive ná Nkụnwụ.

Mgbe na-atụgharị atụgharị nke okpueze ezé (ewepu mandibular molars) na dissection na-rụrụ cavities vestibular injection na a onunu ogwu nke 0.5-1.7 ml kwa eze.

Single dose of agwọ ọrịa ya kacha onunu ogwu n'ihi na ndị okenye bụ 4 mg / n'arọ ahu aro.

Omume by-agwa

Dị ka anabata ọgwụ "Articaine"? Ntuziaka maka ojiji (mmetụta nke a na nkà mmụta ọgwụ ga-ọkọnọ ugbu a) na-ekwu na a ọgwụ bụ nnọọ obere mmetụta nke a na-adịghị mma agwa. Anyị nwere ike ịmata ihe dị iche n'etiti ha dị ka:

• stupor, dizziness, akụkụ okuku ume na ọrịa, na-akwụsị akwụsị visual n'ọgba aghara, muscular tremor, muscle twitching, bịara ikiri ọhụụ (nwa oge);
• Generalized cramps, paresthesias, ẹsụhọde ọbara mgbali, hypesthesia, isi, obi ọdịda, diplopia, ujo;
• nfụkasị Jeremaya, ọgbụgbọ, angioneurotic edema, vomiting, ọzịza, nācha ọbara-ọbara nke anụ ahụ, mbufụt nke onu mucosa, conjunctivitis, urticaria, rhinitis;
• ozizi nke cheeks, elu na nke ala egbugbere ọnụ nke akwara ụda olu ọzịza na ihe isi ike na-elo.

Ọ kwesịkwara kwuru na mgbe ụfọdụ mgbe na-ekwesịghị ekwesị ndinọ obodo ọgwụ na-akụnwụ nwere ike imebi ọdịdị ihu akwara. O nwere ike iduga mkpọnwụ.

ọgwụ ovadozu

Gịnị bụ ihe ịrịba ama nke ovadozu ime n'ihi ekwesịghị ịdị na ojiji nke ọgwụ "Articaine"? Ntuziaka maka ojiji na-egosi ndị na-esonụ mgbaàmà: ọnwụ nke nsụhọ, dizziness, ebelata ọbara mgbali, stupor n'oge ntinye ma ọ bụ moto mmalite, bradycardia.

Iji kpochapụ ndị dị otú ahụ na-ekwu, kwesịrị ozugbo kwụsị ịgba ntụtụ na-etinye ndidi na bed. Ọzọkwa, ọ dị mkpa iji hụ na free flotation nke akụkụ okuku ume tract, ịchịkwa obi ọnụego na ọbara mgbali ọnọdụ.

Drug mmekọrịta nkwadebe

Obodo ọgwụ na-akụnwụ ike nwekwuo mmetụta nke ọgwụ ọjọọ na inhibit ụzọ emetụta Central ụjọ usoro.

Ke ukem na kọwara ọgwụ ngwa hụrụ ndị na-esonụ omume:

• na anticoagulants enwekwu ihe ize ndụ nke ọbara na-agba hemorrhage;
• na monoamine oxidase inhibitors enwekwu ihe ize ndụ nke hypotension;
• myorelaxant àgwà pụtara na-abawanye na bụ elongated;
• na vasoconstrictors adịkwu na elongates mestnoanesteziruyuschee mmetụta articaine;
• na narcotic analgesics enwekwukwa akụkụ okuku ume na ịda mbà n'obi na mepụtara ihe mmako mmetụta ;
• na cholinesterase inhibitors mbelata metabolism articaine.

Ọ kwesịkwara kwuru na akuko ọgwụ antagonises antimiastenicheskimi na ọgwụ ọjọọ. Ke adianade do, na nhazi nke na-agbanye na saịtị na disinfectant ngwọta, nke nwere arọ ọla, enwekwu ihe ize ndụ nke oghom Jeremaya mere n'ụdị ọkọ na ịdị nro.

Specific ọmụma

Nke ego na-ekwesịghị ndinọ intravenously. Ọ na-machibidoro iwu na-ebu ihe ọgwụ na-nanị ire ọkụ na saịtị.

Meghere cartridges nke ngwọta na-apụghị reused, gụnyere ndị ọzọ ọrịa.

N'oge ọgwụgwọ "articaine" chọrọ ịchịkwa ọrụ nke akụkụ okuku ume, gbasara obi, Central ụjọ na vaskụla usoro.

Nyocha analogues

Olee otú anyị pụrụ dochie anestetiiki "Articaine"? Ya ogbo bụ ndị na-esonụ ọgwụ ọjọọ: "mepivacaine," "Lidocaine", "Bupivacaine", "Ultrakain", "marcaine" na ndị ọzọ.

Ugbu a na ị maara, ihe mere nke a iji ọgwụ dị ka "Articaine". Ntuziaka maka ojiji, analogues nke anestetiiki dị ka a tụlere n'isiokwu a.

Dị ka ọkachamara, na-ewere ọgwụ na-ejikarị na eze omume. Ọ bụrụ na ị na-eso niile dọkịta nkwanye na-gaa na akaụntụ niile contraindications na ojiji nke ọgwụ ọjọọ, ọgwụ na-egosipụta elu arụmọrụ na nnọọ adịkarịghị-eme ka mmepe nke oghom Jeremaya mere.