Ọgwụ "Novocaine": ntuziaka maka ojiji, price. "Novocaine" afọ ime

Medicine "Novocaine" bụ irè analgesic ọgwụ. Ọgwụ na ndepụta nke ihe ndị kasị mkpa ngwaọrụ ahụike.

Pharmacological Njirimara "Novocaine" ọgwụ

Ntuziaka maka ojiji na-egosi na ọgwụ nwere a anestetiiki emega ahụ, na ọtụtụ-eji ọgwụ na-eme. Nkwadebe "Novocaine", nke a na-adịghị ike isi, sodium ọwa na-egbochi site inhibiting mmepe na Mgbasa nke akwara esi gboo na akwara ozi na endings. Mgbe anata agwọ ọrịa mmetụta a mgbanwe nke potentials na neuronal mkpụrụ ndụ, na ịrịba mmetụta na-ezu ike nwere na-adịghị nyere. The ọgwụ suppresses Mgbasa nke mgbu gboo.

N'oge mmiri ozugbo abatakwa ọbara mgbe ndinọ intravenously e a ọnụ nke excitability nke elu cholinergic usoro, ma belata mmeputakwa nke ntọhapụ nke acetylcholine preganglionic endings. The agwọ ọrịa "Novocaine" (ntụziaka ntuziaka na-akọwa banyere nke a) eliminates mgbu nke ezigbo muscle, ebelata excitability nke moto ebe nke ụbụrụ cortex na infarction.

Maka igba ogwu n'akwara ojiji, ihe ngwọta nwere antiarrhythmic, hypotensive, antishock, analgesic mmetụta, enwekwu refractory oge, budata ebelata conductivity, na automaticity excitability. Na ojiji nke elu doses nwere ike ime a mebiri nke ụjọ muscle conduction, ụfụ na-hụrụ.

The na nkà mmụta ọgwụ na-ewepu tiwa kwa n'ala mmetụta nke ụbụrụ azuokokoosisi, a nkụda mmụọ na polisinapticheskie-aghọ nkọ. Ọ nwere a obere anestetiiki ọrụ. Action infiltration ná Nkụnwụ ekwupụtakwa na 30 nkeji oge na-1 hour. The ngwọta "Novocain" ẹkenam intramuscularly agadi ọrịa na n'oge nkebi nke pathologies nwere ike n'ụzọ dị irè na-alụ ọgụ ka ọrịa metụtara na mkpọchị ịrụ ọrụ nke ụjọ usoro, ọrịa ụbụrụ apịajighị apịaji, akwara na vaskụla ọbara mgbali.

The ọgwụ na-agụghị oké etinye obi gị dum site na mucous. Mgbe nọ n'ọrụ gị n'ụlọnga ngwa ngwa ọgwụ n'ime n'ọbara, na-hydrolyzed site esterases anụ ahụ na plasma, akpụ isi ihe abụọ ifịk metabolite: PABA (akụ ọkpọ chemotherapeutic sulfa ọgwụ ọjọọ) na diethylaminoethanol (enwe agafeghị oke vasodilating edinam). Egosipụta na akụrụ n'ụdị metabolites.

The mejupụtara na ụdị "Novocaine" ọgwụ

Emepụta ọgwụ ka a ngwọta maka ọgwụ bụ a doro anya, colorless mmiri mmiri, na ampoules olu site 1 20ml. Onu n'ọrụ mgwa nime ya bụ 0,25 na 0,5. Ke adianade do, otu- na abụọ percent ntọhapụ "Novocaine" nkwadebe ngwọta. The price nke a ụdị bụ banyere 15 rubles.

Popular na ntụ ntụ, nakwa dị ka akpali mmasị ngwọta nke agwọ ọrịa, wụsara n'ime vials nke 0,2 na 0.4 lita. Maka ọgwụgwọ nke ọtụtụ ọrịa ide ude 5 na 10 percent, na suppositories, nke nwere 0,1 grams nke nọ n'ọrụ mgwa (procaine hydrochloride), nakwa dị ka inyeaka mmiri - witepsol ma ọ bụ tallow. Na 1 ml nke ifịk umi ẹdude ke ego nke 0,005 grams, ọzọ mmiri na-eme hydrochloric acid na mmiri ogwu ogbugba.

egosi

Drug "Novocaine" ntuziaka maka ojiji na-ume-hoputa ịrụ retrobulbar, ọnụ, ọgidigi azụ, waya, epidural, infiltration ná Nkụnwụ. Iji agwọ ọrịa mepụtara vagosympathetic na perirenal jugular mgbochi. Ngwa nke suppository bụ irè n'ihi na analgesia na gbasara ike gbawatụrụ agbawa na haemorrhoids. Iji ude mere mgbaàmà nke neurodermatitis, eczema, itching dermatosis.

Medicine "Novocaine": ntuziaka maka ojiji

Ọgwụ okenye ọrịa dị ka ime infiltration ná Nkụnwụ na a olu nke 300-600 mg (0.25-0.5 percent ngwọta).

Uko site na-akpụ akpụ infiltration Wisniewski usoro a rụrụ site na-ewebata 0,25% ngwọta ke ichekwa 125 ml. Epidural ná Nkụnwụ na-eme na-enyemaka nke "Novocaine" abụọ-percent ngwọta. Ọgwụ ndu na-atụ aro a onunu ogwu nke 25 ml. Ọkpụkpụ azụ ná Nkụnwụ nwetara site 2-3 ml nke 5% ọgwụ. Na ENT omume 10% nke ọgwụ ngwọta na-eji maka Nde ná Nkụnwụ.

Dịkwuo oge nke edinam nke ọgwụ na belata ya absorbability, nakwa na a anestetiiki ọgwụ "Novocaine" diluted ngwọta nke epinephrine hydrochloride. Ịrụ electrophoresis na-atụ aro iji a 10% ọgwụ. The perirenal abụba mgbe mgbochi nke Wisniewski ga na-abanye 60 ma ọ bụ 120 ml nke 0,5-nke ma ọ bụ 0,25% ngwọta, karị. Vagosympathetic mgbochi emepụta site ewebata 100 ml nke ngwaahịa nke 0,25% ịta.

N'agbanyeghị contraindications injections "Novocaine" ụmụaka na-na-kenyere ka ihe analgesic n'oge ochichi nke ọzọ ọgwụ. The onunu ogwu na gbakọọ dabeere na arọ nke nwa (bụghị ihe karịrị 15 milligrams kwa kilogram).

Rectal suppositories na-eji mgbe mbụ rụrụ purgation via enema ma ọ bụ ndammana. Mgbe akpụkpọ pathologies Ude etinyere otụk mkpa oyi akwa ekpuchi ugboro abụọ na-akụ.

mmetụta

Drug "Novocaine" (ntuziaka maka ojiji na aka nke a) nwere ike ime ka iwe.

Central na elu ụjọ usoro na-anabata ọgwụ isi ọwụwa, adịghị ike, iro ụra, dizziness, erughị ala, ọdụdọ. N'oge ụfọdụ, e nwere a tremor, ọnwụ nke nsụhọ, lockjaw, ikpe na visual impairment, paraesthesia, mkpọnwụ nke ụkwụ, nystagmus. Ke adianade do, e nwere ike ịbụ akụkụ okuku ume na mkpọnwụ, igbochi akụkụ okuku ume na akwara.

Cardio-vaskụla usoro bụ a mgbanwe ọbara mgbali, e nwere ihe mgbu na obi, arrhythmia, bradycardia, ida, elu vasodilatation.

Urinary na digestive usoro ime ọgwụ ojiji ịsụ urination, defecation, vomiting na ọgbụgbọ.

Na akụkụ nke usoro ọbara ji erugharị na mmetụta na-agụnye methemoglobinemia. Ke adianade do, ọgwụ nwere ike ime ka nfụkasị Jeremaya:

• aṅụ;
• anaphylaxis ;
• akpụkpọ ọkụ ọkụ;
• itching.

N'ihi na ndị ọzọ na-adịghị mma mmeghachi omume na-agụnye persistent ná Nkụnwụ Ahụ, enweghi ike, hypothermia, azụ mgbu. N'oge ná Nkụnwụ na dentistry hụrụ ogologo oge ná Nkụnwụ Ahụ, paresthesia na nkụnwụ nke egbugbere ọnụ na asụsụ.

ovadozu

Iji jiri "Novocaine" ọgwụ ọgwụ, nke na-egosi na ọgwụgwọ Usoro a ga-kenyere onye dọkịta. Ọdịda ime ụkpụrụ nwere ike ihe ịrịba ama nke ihe ovadozu. Mgbaàmà nke oké ojiji nke agwọ ọrịa na-pallor nke mucous membranes na akpụkpọ integument, methemoglobinemia, apnea, na mberede mgbali dobe, tachycardia, mkpụmkpụ nke ume, vomiting, oyi na-atụ sweats, ọgbụgbọ, dizziness. Ọrịa nwere echiche nke egwu, moto n'ahụhụ, ụfụ, ịmụ anya arọ nrọ. Iji kpochapụ ngosipụta nke ovadozu, dị mkpa na-ebu akpa ume ventilashion na oxygen inhalation, na mgbagwoju ikpe, nye iwu symptomatic na detoxification ọgwụ.

contraindications

Iji ọgwụ ghara nile. Mgbe ná Nkụnwụ usoro machibidoro na-akpụ akpụ infiltration gị n'ụlọnga maka anụ ahụ fibrotic mgbanwe. Subarachnoid ná Nkụnwụ enweghị ike rụrụ na a septicemia, ujo na-ekwu, hypotension, ọbara ọgbụgba. Ọ na-adịghị atụ aro iji na-n'ịgba omume, n'ihi na ihe atụ, ka a mpikota onu na "Novocaine".

Na nlezianya kwadebe eji n'oge arụmọrụ ke ọrịa na nnukwu ọbara ọgbụgba, akụrụ odida; maka ọnọdụ metụtara Mbelata hepatic ọbara esenyịn, elu gbasara obi na vaskụla insufficiency; n'elu ọrịa na ọgwụ saịtị; mkpali pathologies. N'okpuru pụrụ iche ọgwụ na-elekọta bụ mkpa na-eji ọgwụ n'oge na-amụ nwa, arọ na gwụ ọrịa, ndị agadi ndị na ụmụ n'okpuru afọ ọtụtụ.

Na jikọtara ọgwụ na anticoagulants ( "danaparoid" "Warfarin", "Ardeparin", "dalteparin", "Enoxaparin" "Heparin") enwekwu ihe ize ndụ nke ọbara ọgbụgba. Ẹsụhọde nsogbu na bradycardia hụrụ n'oge imekotaotuugbo ochichi nke ọgwụ na ọgwụ "trimetafan", "mecamylamine", "guanadrel", "guanethidine." Dịkwuo anestetiiki omume bulie ego "Epinephrine," "methoxamine", "Phenylephrine."

Atụmatụ nke ngwa

Tupu itughari "Novocaine" na-eme ka a ogbugba, a chọrọ bụchaghị iji chọpụta onye uche na ọgwụ. Iji mee nke a, ebu a akpụkpọ ule, na ọ bụrụ na e nācha ọbara-ọbara na ọzịza nwere ike ikpe ndị mmadụ n'otu n'otu na-abụghị nnabata pụtara.

N'oge ọgwụgwọ ọ dị mkpa inyocha ịrụ ọrụ nke obi, ụjọ na akụkụ okuku ume na usoro. Iji belata systemic ikpughe, toxicity na-amụba mmetụta nke ọgwụ n'oge obodo ná Nkụnwụ Ahụ, ọgwụ ọjọọ "lidocaine" ma ọ bụ "Novocaine" na-eji na njikọ na vasoconstrictors. N'ihi nke a, otu dobe epinephrine hydrochloride ngwọta e kwukwara 3 ml nke agwọ ọrịa "Novocaine".

The elu ịta nke ihe ngwọta na-eji, ndị ọzọ bụ na-egbu egbu ọgwụ. Iji belata mmetụta agha ya na-atụ aro iji belata n'ozuzu onunu ogwu nke agwọ ọrịa ma ọ bụ diluted ka a ala ịta. Nke a na-eme na a akpali mmasị isotonic ngwọta nke sodium chloride.

N'ihi mgbochi nke a hypersensitivity mmeghachi omume na mbụ nkebi nke ọgwụgwọ ndinọ 2 ml abụọ-percent ngwọta, na mgbe ụbọchị atọ gasịrị (ma ọ bụrụ na e nweghị mmetụta) na dose ama ọkọri 3 ml, na mgbe ahụ wee iji zuru olu - 5 ml kwa ogwu ogbugba.

N'oge outpatient ọgwụgwọ a chọrọ inye elu-akwọ ụgbọala na mmejuputa iwu nke metụtara ụba anya, ọsọ nke moto na uche Jeremaya mere.

Mmekọrịta ndị ọzọ ọgwụ ọjọọ eme ihe

Mgbe ndinọ intravenously, ọgwụ enhances inhibitory utịp ke ụjọ usoro sedatives, ọgwụ ụra, ngwaọrụ eji maka general ná Nkụnwụ Ahụ, ọgwụ na-akụjụ na narcotic analgesics. The ọgwụ prolongs ihe nke muscle, akwara ngọngọ mere site suxamethonium. Ihe ize ndụ nke hypotension na-amụba site jikọtara eji ego "Novocaine" na Mao inhibitors).

Anticholinesterase ọgwụ ọjọọ dịkwuo toxicity nke ọgwụ, inhibit ya hydrolysis. Para-aminobenzoic acid, nke bụ a metabolite nke ọgwụ, mbelata antimicrobial mmetụta nke sulfonamides, n'ihi na ha amara asọmpi na-eti ọkpọ. The puru nke obodo Jeremaya mere n'ụdị edema na ụba morbidity ke nhazi ohere injections nke anestetiiki ochichi via disinfectant ngwọta nwere arọ ọla.

The iji "Novocaine" ọgwụ ọjọọ n'oge ime

N'oge ịmụ nwa ọtụtụ ndị inyom na-eche na ọ dị mkpa eze ọgwụgwọ ma ọ bụ dị iche iche wetara mgbaàmà, dị ka azụ mgbu. Na dentistry, ná Nkụnwụ na-eji ọtụtụ pụtara "Novocaine". Iji nke ọgwụ na ọnọdụ ndị a na-anara. Ị na mkpa na-agwa dọkịta gị banyere ime na ọ na-ọgwụ, na-ewere n'ime akaụntụ ugbu ọnọdụ. Mgbe toxicosis, etinyewe na a mgbanwe ọbara mgbali, dị ka ọgwụ "Novocaine". Na ime, ya iji ekwe omume nanị na elu nsogbu, mgbe tupu oge na dọkịta.

Ngwá Ọrụ mmemmem ọrụ nke obi na-atụrụ ndụ utịp ke uru. Mgbe ihe ịrịba ama nke ihe mgbu ke afo, nke na-metụtara peptic ọnyá afọ ọrịa, anyị nwere ike ikwu na ojiji nke suppositories. Normalize mgbali hemorrhoid na-ekwe omume site na iji suppositories. Drug "Novocaine" a na-eji n'oge ime naanị na ndenye ọgwụ, onwe-ọgwụ na ekwegh! The ọkachamara ga-gbakọọ chọrọ dose na ugboro ole nke ochichi, tụlechara ihe egosi nke ime. Suppositories na-eji ugboro abụọ kwa ụbọchị, tupu ekpocha ahụ via enema.

Price na ọgwụ analogues "Novocaine"

Cost "Novocaine" nkwadebe (price nwere ike iche ubé na onye pharmacies) na vials (0,5%) bụ 22 rubles. Kwa mkpọ 0,25% ngwọta (200 ml) ma ọ bụ rectal suppositories ga-enye 27 rubles. Structural analogues nke nọ n'ọrụ umi bụ ọgwụgwọ:

• "Procaine hydrochloride".
• "Novocain isi."
• "Novocaine-Vial".
• "Novocaine Bufus".