"Ubistezin Chiefs". obodo ọgwụ na-akụnwụ

Nke na-akpọ maka ọgwụ "Ubistezin Chiefs»? Ntuziaka na-egosi maka ojiji nke ọgwụ ga-ọkọnọ n'okpuru.

Site ihe nke isiokwu a, ị ga-amụta banyere ụdị ke nke kwuru pụtara n'ihi amị, dị ka ọ na-anọchi, ma ọ ga-eji n'oge ime na ihe Njirimara ya nwere.

Mejupụtara, mbukota na udi

Nkwadebe "Ubistezin Chiefs", ego nke nke na-egosi n'okpuru, na-emepụta na ụdị ihe ngwọta maka ogwu ogbugba. Ya nọ n'ọrụ Efrata bụ articaine hydrochloride na epinephrine hydrochloride. Ọzọkwa na agwọ ọrịa nkejikotara inyeaka mmiri ka mmiri ogwu ogbugba, sodium chloride na sodium sulfite.

A ngwọta maka ọgwụ bụ maka azụmahịa na katrij, na-enịm ke a metal akpa.

Pharmacodynamics agwọ ọrịa

Gịnị bụ ndị dị otú ahụ a ọgwụ dị ka "Ubistezin Chiefs»? Dị ka ntụziaka, ọ bụ a Nchikota ngwá ọrụ e maka obodo Nkụnwụ. Ọ na-eji obere usoro ịwa ahụ, karịsịa na a eze omume.

Mmetụta nke a ọgwụ ime ka ya constituent bekee.

Obodo ọgwụ na-akụnwụ nwere articaine ugbu a nke ọgwụ na-akụnwụ tiafenovoy otu.

Dị ka e jiri ya tụnyere lidocaine ma ọ bụ novocaine, dị nkwadebe e ji adịru nwa oge ihe. The anestetiiki mmetụta chọpụtara ama mgbe 0.5-3 nkeji. Ma vyshepredstavlennyh ego, ha na-amalite nwere mmetụta nanị mgbe 4-5 na 5-10 nkeji, karị.

Na oge nke anestetiiki mmetụta esonụ nlekọta "Ubistezin Chiefs" Nwa bụ minit 45.

Ọ ga-kwuru na nke a ọgwụ okpukpu abụọ nke ihe lidocaine. Ọzọkwa, ọ na ngwa ngwa anyụpụ, adịghị inhibit ọnya agwọ ọrịa ma na bụ obere na-egbu egbu. Nke a ọgwụ na-egosi na ndị agadi na ụmụ 5 afọ.

Ma epinephrine, ọ bụ a vasoconstrictor. Ọ na-akwalite vasoconstriction, si otú Njọ na prolongs mmetụta nke anestetiiki. Dị otú ahụ ikpughe ọgwụ umi gụnyere anụ ahụ hypoxia, dapụtara na-ewute excitability nke akwara endings, nke budata ebelata ihe mgbu.

Drug "Ubistezin Chiefs" - bụ ihe mgbochi ụfụ na a ala ọdịnaya nke vasoconstrictor. A obere ego nke epinephrine anaghị amụba ọbara mgbali, adịghị akpata tachycardia na ọ dịghị akpọ utịp ke obi usoro.

Pharmacokinetics nke injection ngwọta

Obodo ọgwụ na-akụnwụ nwere a elu abami ike. Na n'iru anyị ọgwụ sokwa. Ọ na-ejikọ na plasma-edozi site 95% na fọrọ nke nta anyụpụ na mmiri ara ehi, ndị inyom na ọ dịghị banye site placental mgbochi.

The ọkara ndụ-nke a ọgwụ bụ 22-26 nkeji.

egosi

Drug "Ubistezin Chiefs" ifịk ifịk etinyere maka obere eze ịwa ahụ:

• na-adịghị mgbagwoju odontectomy;
• mgbe na-ejuputa rekasịrịla ezé;
• na nkwadebe maka prosthetics, ma ọ bụ na-akpọ na-egweri nke ezé.

Ọzọkwa mara na atụle agwọ ọrịa intercostals n'oge ojiji, na paravertebral retrobulbar ná Nkụnwụ mgbochi stellate ganglion, trigeminal akwara, pudendal na brachial plexus.

contraindications

Ọgwụ "Ubistezin Chiefs" adịghị atụ aro maka:

• bronchial ụkwara ume ọkụ na hypersensitivity ka sulfites;
• n'akuku-mmechi glaucoma;
• hypersensitivity ọgwụ bekee;
• paroxysmal tachycardia;
• oké hepatic impairment;
• cardiogenic ujo;
• concomitant ọgwụ na tricyclic antidepressants na nonselective beta-blockers;
• hyperthyroidism.

Imefusi ngwọta

Ihe ókè ịkpachara anya nyere ọgwụ kenyere:

• arịa ọrịa shuga;
• ala ala obi odida;
• ọbara mgbali;
• atrioventricular ngọngọ;
• gbasara akụrụ odida;
• inflammations nọ n'ógbè ná Nkụnwụ;
• na agadi;
• ebelatawo ala nke onye ọrịa.

Esi etinye ihe ngwọta "Ubistezin Chiefs»?

E lee ya anya ọgwụ ike ga-eji na mmekọrita ndị ahụ siri ike na obere eze usoro. N'ihi na otu onye oge iji katrij bụ banyere 1-2, nke kwekọrọ na 2-4 ml. The kacha anabata dose nke a ngwọta maka 2 elekere bụ 2.5-3 na katrij.

a ọgwụ agbara n'okpuru mucosa ke ichekwa 1.7 ml (otu eze) na-adịghị mgbagwoju nha nha mmịpụta.

Mgbe igwe sectional etinye 0,1 ml nke a ngwọta na ushivanii perineum - banyere 5-15 ml, na tonsillectomy na - 5,10 ml (kwa tonsil).

Ọ bụrụ na ndị agwọ ọrịa na-eji maka conduction ná Nkụnwụ (e.g., intercostals, retrobulbar, epidural, paravertebral ma ọ bụ sacral), nakwa dị ka mgbochi (trigeminal paracervical, brachial plexus ma ọ bụ stellate ganglion), bụ ndị dibịa na-eji site 1 30 ml (dabere na olu nke Nkụnwụ na injection saịtị).

mmetụta

Dị ka ntụziaka, na-ewere ọgwụ nwere ike ime ka ndị na-esonụ n'akụkụ Jeremaya mere:

• ọgbụgbọ, "haze" n'anya, vomiting, mmebi akwara;
• isi ọwụwa, nācha ọbara-ọbara nke anụ ahụ, muscle mara jijiji, tachycardia;
• impairment nke nsụhọ (ikekwe ya ọnwụ) na-eku ume, dobe na ọbara mgbali, muscle twitching;
• generalized ụfụ, pruritus, conjunctivitis, ịda mbà n'obi obi ọrụ;
• ọzịza na ọgwụ site, ọzịza nke egbugbere ọnụ, rhinitis.

mgbaàmà nke ovadozu

An ovadozu na a ọgwụ na-akpata na-esonụ ekwesighi mgbaàmà: tachycardia, dizziness, impairment nke nsụhọ, bradycardia, nchegbu, ala ọbara mgbali.

Mgbe edebe ndị a deviations mkpa kwụsị niile manipulations, na-etinye onye ọrịa ma weghachi airway. Ị ga-ahụ mgbe nile nyochaa obi ọnụego na ọbara mgbali nke onye ọrịa.

The aja bụ a n'ibu ventilashion. Na ụfụ na-enwe ndidi intravenously ndinọ barbiturates na vaskụla ida - "crank" na ujo - electrolytes na glucocorticosteroids tachycardia - nhọrọ beta-blockers, na na na-abawanye na ọbara mgbali - elu vasodilators.

Gestation oge, nri

Enwere m ike iji "Ubistezin nkera" n'oge ime? Ndị ọkachamara na-na-akọ na ọgwụ na-aga site na placental mgbochi. Banyere nke a, ọ bụ nnọọ mma anestetiiki, nke nwere dịghị utịp ke nwa ebu n'afọ.

Ma ara nne, ha ekwesịghị ịkwụsịtụ ara dị ka nọ n'ọrụ Efrata nke agwọ ọrịa na-adịghị na-anyụpụ na mmiri ara ehi.

Nyocha na price

The na-eri nke ngwá ọrụ dịgasị 2000-2100 rubles (na katrij 50).

Ụlọ na-ekwu okwu banyere onyinye Nwa naanị n'ihe ndị dị mma n'akụkụ. Irè nke a ọgwụ bụ n'ihi na ọtụtụ ihe.

A elu pasent nke nọ n'ọrụ umi nkịtị ka ndi na-edozi na-egosi na ihe 95% nke ọgwụ abatakwa ọbara iyi dị ka ihe na-adịghị ejekwa umi. Na nke a, anyị nwere ike ikwubi na Ndị toxicity nke a ọgwụ dị ala. N'otu oge ahụ irè nke ná Nkụnwụ bụ nnọọ elu.

Ọ ga-kwuru nakwa na "Ubistezin Chiefs" ngwa ngwa anyụpụ si ahụ. Ọ bụrụ na ị chọrọ re-ogwu ogbugba, na-egbu egbu mmetụta nke ọgwụ bụ budata ala karịa nke ndị ọzọ ọgwụ na-akụnwụ.