Ahụ ike, Preparations
"Ultrakain D": ntuziaka maka ojiji
Njem dọkịta ezé - ọ bụ ọrụ, nke na-achọ ike irighiri akwara. Ma ọ bụ a ọjọọ ezé, akpịrị n'agba akwara ma ọ bụ goms, a nile na-esonyere n'oké ihe mgbu, enweghi ike iduga a kwesịrị ndụ. Egwu aka na-atụ egwu ihe mgbu mgbe na-eduga ná eziokwu ahụ bụ na ọrịa na-ewepụta ya nleta na nke dọkịta onye ikpeazụ.
Iji dozie nsogbu a na-enyere a ọma ọgwụ na-akụnwụ eji na dentistry. Otu n'ime ha - "Ultrakain D". Ọ negates niile ọrịa egwu, kpamkpam igbochi uche na ebe nke aghụghọ.
Gịnị mere nke a mmasị maka ọgwụ kasị ụlọ?
atụmatụ
E nwere ọtụtụ dị iche iche ọgwụ na-akụnwụ eji na dentistry. The kasị mara n'ime ha bụ "Novocaine" na "Lidocaine".
Ụlọ, ebe ọ maara na-atụ egwu ọrịa ha ka ha na-egbochi na-adọ na n'ụzọ kwesịrị ekwesị na-enye ha na nlekọta ahụ ike, na-ahọrọ na-eme na na omume ndị kasị dị ike ahụ mgbu. Nke a bụ n'ihi na eziokwu na ihe n'agba nwere a ukwuu nke akwara ozi.
Site n'onye ahụ nke ná Nkụnwụ "Ultrakain D" irè "Novocain" 5 ugboro na "Lidocaine" - 2 ugboro.
Ọzọkwa, a na ụdị "ultrakain" anaghị nwere epinephrine ugbu a na ndị ọzọ na abụọ iche nke ọgwụ. Epinephrine nwere ọtụtụ contraindications na ghara ga-eji na ọrịa na ekweghị ibe nọrọ na nke a akụrụngwa.
Ọdịnaya nke epinephrine dị ka akụkụ nke anestetiiki na-agụnye ọnụnọ nke a kwesịrị ekwesị nchekwa maka ichebe, nke nwere ike ịbụ allergenic maka ọrịa.
N'ihi ya, ụdị ọgwụ bụ ezigbo maka ojiji na ndị mmadụ n'otu n'otu na a elu likelihood nke adịghị anabata, gụnyere ndị na a nchoputa nke ụkwara ume ọkụ.
nkọwa
"Articaine D" dị n'ụdị nke a colorless uzo ngwọta maka ogwu ogbugba.
Na 1 ml nke ọ nwere: Active akụrụngwa - articaine hydrochloride (40 mg), ndị ọzọ na mmiri - mmiri ọgwụ na sodium chloride.
The ọgwụ bụ nke a ọnụ ọgụgụ nke obodo ọgwụ na-akụnwụ artikainovogo.
Ọ na-eji dị ka ihe ọgwụ na-eze omume maka wiring na infiltration ná Nkụnwụ.
Oyi mmetụta na a na ọnwụ nke uche òkè, na nke e ikpeazụ ogwu ogbugba, emee n'ime 1-3 nkeji. Nke a pụrụ isi kwuo ya na-ewe ihe dị ka minit 20.
Ebe ọ bụ na articaine na-ngwa ngwa rere ke idem na-abụghị ndị na-egbu egbu acid, mgbe ekwe re-iwebata nke ọgwụ ma ọ bụrụ na ọ dị mkpa.
Nke a anestetiiki echekwara na imeju, na-anyụpụ na mmiri ara, ịgafe Plasenta, ọ na-anyụpụ site na akụrụ ya.
na-agba akaebe
"Articaine D" (mejupụtara Ewezuga ọnụnọ nke epinephrine) na-ekwe ka emetụta òtù dị iche iche nke ndị ọrịa na-enwe sulfite ekweghị ibe nọrọ.
Ọzọkwa, anestetiiki na-ekwe maka ọnọdụ ndị contraindications maka ụdị ndị ọzọ nke "ultrakain" nwere epinephrine. Nke a obi na vaskụla ọrịa, tachyarrhythmia, tachycardia (paroxysmal), itinye a ndị na-abụghị cardioselective beta blockers, pheochromocytoma, mmechi glaucoma, hyperthyroidism, oké ọbara mgbali.
Anestetiiki "Ultrakain D" ntuziaka maka ojiji na dentistry tụrụ aro iji na-esonụ nzube:
- conduction na infiltration ná Nkụnwụ ngalaba nke ọnụ na ọrịa na anabataghi nke epinephrine;
- obere eze ịwa ahụ (e.g., canines, incisors);
- ihicha nke carious ebe nke eze;
- Mbịne nha nha prosthesis;
- manipulations, na-achọ a obere ego nke anestetiiki mpịakọta.
contraindications
Contraindications iji "ultrakain D" na-agụnye ọnọdụ dị ka:
- idiosyncrasy articaine na ndị ọzọ ọgwụ na-akụnwụ nke amide ụdị;
- oké njọ imebi nke gbasara obi conduction;
- congestive obi odida;
- oké hypotension;
- anaemia mere site vitamin B12 erughi;
- hypoxia;
- cholinesterase erughi;
- CNS ọrịa;
- ogologo oge ma ọ bụ olu eze ịwa ahụ;
- onye ọrịa ahụ afọ ruo 4 afọ.
Jiri na ịkpachara anya
Anyị na-echetara na "Ultrakain D" nwere articaine, obe Plasenta. Na nke a, mkpebi na ngwa nke a anestetiiki na beremennyhm ọrịa ga-dọkịta.
Articaine, n'adịghị ka ndị ọzọ obodo ọgwụ na-akụnwụ ahụ, ọ na-aga site na Plasenta na nnọọ obere, ma mkpebi ya iji nwere ike n'onye ezi omume naanị ma ọ bụrụ na ike irite uru na ya dị elu karịa ihe ize ndụ na nke nwa ebu n'afọ na nne.
Lactating inyom ọgwụ na-adịghị contraindicated, dị ka articaine n'ike n'ike anyụpụ si ahụ na-aga n'ime mmiri ara.
dosing
"Ultrakain D", okwu adọ aka ná ntị, ọ na-adịghị atụ aro iji banye nanị ire ọkụ anụ ahụ.
Tupu ị na-eduzi a ọgwụ mkpa iji mepụta ihe ọchịchọ ule, iji zere na-akpanam n'ime a ọbara arịa. N'ihi nke a, mgbe iwebata nke ntụtụ agịga na zubere injection ntụtụ pistin ga-akwali ubé na agbara direction na hụ na ọ dịghị ọbara pụtara na ọgwụ ngwọta. Ọnụnọ nke ọbara na ntụtụ na-egosi na agịga ka eduat ọbara arịa, mgbe ahụ, ọ dị mkpa ịgbanwe ọnọdụ ma ọ bụ ịdị omimi nke ogwu ogbugba.
Na a na-adịghị mma n'ihi ule nkwadebe nwere ike ndinọ họrọ ebe maka ya analgesic.
onunu ogwu
N'ihi infiltrative ná Nkụnwụ achọ 1.7 ml nke ọgwụ na otu ma ọ bụ abụọ n'akụkụ eze.
N'ihi conduction ná Nkụnwụ ekenịmde n'okpuru alveolar akwara mkpa 1-1.7 ml nke ngwọta.
Oke ime dose maka okenye ọrịa - 4 mg kwa 1 n'arọ arọ.
mmetụta
Gịnị na-atụghị pụta nwere ike ime ka "Ultrakain D"? Ntuziaka maka ojiji na dentistry adọ aka ná ntị na mgbe ochichi nke anestetiiki nwere mmetụta dị otú ahụ dị ka dizziness, adịghị ike, na-anụ ọnwụ, isi ọwụwa, somnolence.
Mgbe uku na onunu ogwu nke ọgwụ, onye ọrịa nwere ike ime nsogbu nke nsụhọ ma ọ bụ akụkụ okuku ume na ịda mbà n'obi na ụfụ.
Dyspepsia - ọgbụgbọ, vomiting - nwekwara ike mere site mmeghe nke ọgwụ.
Nsogbu na usoro nke obi na ọbara arịa mgbe injection "ultrakain D" nwere ike ịbụ ndị na-esonụ: ọnụ ke ọbara mgbali, oge ufodu obi otiti, obi ọdịda, ida, bradycardia, obi mgbu.
N'ihu iji ngwaahịa "Ultrakain D" ntụziaka ga-juputara mụọ. The anestetiiki nwere ike allergenic ọrịa, ọ na-atụ aro na-eduzi a mbido ule maka uche ka a nyere ahụ mgbu.
-Asọ ọgwụ gosiri site ndị na-esonụ mgbaàmà: nācha ọbara-ọbara, ọzịza na ọgwụ site, urticaria, pruritus, ọkụ ọkụ, rhinitis, conjunctivitis, ọdịdị ihu edema (ọzịza nke egbugbere ọnụ), ọzịza nke akpịrị, ike iku ume, anaphylactic ujo.
Mgbe lesion anụ ahụ akwara ozi nwere ike ime ọdịdị ihu akwara paresis, paresthesias nke egbugbere ọnụ na asụsụ, na nkụnwụ nke uto uzọ.
Enyere aka n'inye ovadozu
"Ultrakain D" na-ọma anabata ọtụtụ ndị ọrịa. Ma, anyị ekwesịghị ileghara anya maka ojiji.
Mgbaàmà nke ịṅụfe ọgwụ ike ókè nke ọgwụ na-: ọnwụ nke nsụhọ, dizziness, bradycardia, oké moto ọrụ, na-ebelata ọbara mgbali.
Nyere: Nye onye ọrịa ahụ kehoraizin ọnọdụ na-akpọlite isi n'ala. Ezitekwara ọhụrụ ikuku na-eme ka n'aka ndị karị na-free.
Mgbe na-eji anestetiiki "Ultrakain D" ntuziaka na-atụ aro na ngwa nyochaa ọbara mgbali na obi ọnụego.
Ọ bụrụ na ume siri - enye ndidi oxygen. Ọ bụrụ na ume kwụsịrị egosi n'ibu ventilashion. Edema nke ogwooro - endotracheal intubation na n'ibu ventilashion.
Na ụfụ - barbiturates ndinọ intravenously, nye onye ọrịa oxygen monitor hemodynamics.
Ujo na ajọ mmebi nke mgbasa - ndinọ intravenously albumin, plasma nọ n'ọnọdụ, glucocorticoids, electrolytes.
mmekọrịta
Ebe ọ bụ na a anestetiiki nwere epinephrine (adrenaline analogue) nke bụ a vasoconstrictor, o doro anya na "articaine D" na-enweghị epinephrine, mgbe eji na anticoagulants enwekwu ihe ize ndụ nke ọbara ọgbụgba.
Dịka ọ dị na anestetiiki, ọgwụ enhances mmetụta nke na-emegbu Central ụjọ usoro.
10 ụbọchị tupu ngwa nke anestetiiki dị mkpa iji kagbuo ojiji nke Mao inhibitors. Nke a ga-ebelata ihe ize ndụ nke hypotension.
Decongestants na narcotic analgesics welie na ogologo edinam nke ọgwụ. Nke ikpeazụ, n'otu oge, nwere ike ime ka ịda mbà n'obi ma ọ bụ akụkụ okuku ume na njide.
Nyocha
On nkwadebe "Ultrakain D" reviews na-adịkarị na-ebelata ka eziokwu ahụ bụ na o nwere a mma, ma na-adịghị adịte analgesic mmetụta.
Ọrịa, bụ ndị na isiokwu ahụ anestetiiki n'oge eze usoro, rịba ama ndị na-esonụ:
- ọgwụ a na-eresị na fọrọ nke nta niile pharmacies na ihe oké ọnụ price;
- ifịk anestetiiki anesthetizes ọma, kpamkpam wepụ uche na ihe mgbu;
- mkpụmkpụ-okwu mmetụta nke ọgwụ, otú i nwere ike ngwa ngwa tufuo nkụnwụ, na-ekwu okwu n'enweghị ihe mgbochi, na-eri ya;
- nke kacha mma anestetiiki maka ndị na-adịghị amasị ogologo chilling mmetụta nke ndị dị otú ahụ ego;
- ezi nhọrọ nke anestetiiki n'ihi na ndị mmadụ na-arịa ụkwara ume ọkụ ma ọ bụ thyroid ọrịa;
- N'adịghị ka "articaine" nwere epinephrine, ọgwụ adịghị eme ka nsogbu nke obi dị otú ahụ dị ka tachycardia, bradycardia, wdg
"Ultrakain D" ndidi reviews gosi na nke a, dị nnọọ ewu ewu. The ọghọm, ka uru, na-agụnye naanị ya nwa oge edinam dị ka ihe analgesic.
N'agbanyeghị eziokwu na ndị ọgwụ ọjọọ nwere ike onwe zụrụ na ahịa ọgwụ na-na gị dọkịta ezé, ị kwesịrị ị na ịkpọ onye dọkịta tupu ịzụrụ. Naanị a ọkachamara nwere ike ikpebi otú oge ọ na-ewe usoro, na nwere ike gwa Abigel na-eji ọgwụ ọjọọ n'elu ogologo oge.
"Ultrakain D Chiefs"
Trade aha nke ọgwụ, "Dr. Ultrakain nkera." Ọ na-eji na eze na-eme dị ka a anestetiiki.
Dị ka a doro anya, colorless ngwọta maka ogwu ogbugba.
Na 1 ml nke anestetiiki nwere: articaine hydrochloride (40mg), - n'ọrụ umi, epinephrine hydrochloride (0.012 mg) - ifịk umi; sodium bisulfite, mmiri ogwu ogbugba, sodium chloride - excipients.
The ruru nke epinephrine ka articaine na ụdị ọgwụ bụ 1: 100000, dị ka e gosiri na anestetiiki akpa.
atụmatụ
Epinephrine (adrenaline Ẹkot) na ndị mejupụtara bụ anestetiiki na a vasoconstrictor ka ogologo anestetiiki mmetụta na-enye ohere articaine.
Low toxicity ọgwụ na-enye ohere ya ugboro ugboro ochichi dị mkpa.
Nke a anestetiiki nwa oge eliminates uche nke akwara ozi na-agbanye na saịtị.
Mmetụta nke "oyi" nke anụ ahụ pụtara n'ime 3 nkeji mgbe ọgwụ na-ewe ihe ọ dịkarịa ala 75 nkeji.
na-agba akaebe
The ọgwụ eji na eze na-eme maka conduction ná Nkụnwụ na infiltration, nke a chọrọ maka arụmọrụ ke onu oghere ma ọ bụ na eze na-pulp, nke ga-ewepụ a gbajiri eze, n'oge ogologo oge nke ịwa ahụ aka.
contraindications
Nke a anestetiiki na-contraindicated ke fọrọ nke nta otu ikpe dị ka "Ultrakain D", dị ka nke ahụ a kọwara n'elu. Nke a bụ n'ihi na n'ozuzu nọ n'ọrụ umi ke mejupụtara nke ma ọgwụ - articaine. Naanị ogologo ẹkenịmde arụmọrụ ke onu oghere adịghị a contraindication maka anestetiiki, ka epinephrine prolongs ya edinam.
Otú ọ dị, epinephrine nwere ọtụtụ contraindications na-emetụta ụdị ntọhapụ "ultrakain".
Ndị a gụnyere:
- ekweghị ibe nọrọ na sulfites na ndị ọzọ na bekee na ihe ndị mejupụtara nke anestetiiki;
- ụkwara ume ọkụ;
- tachyarrhythmia;
- paroxysmal tachycardia;
- thyroid ọrịa;
- ọbara mgbali oké;
- na ojiji nke a na-abụghị cardioselective beta-blockers;
- glaucoma (mmechi).
-Nọgide na a ndidi rịaworo Cardiosclerosis, cerebrovascular ọrịa, atherosclerosis, ọrịa strok, emphysema, ọrịa shuga, bronchitis-adịghị ala ala, oké ọgba aghara nke akụrụ ma ọ bụ imeju, enweghị cholinesterase, ọbara clotting ọrịa, na ókè obi ụtọ ala.
Pregnancy
"Ultrakain D" n'oge ime nye iwu ekwesighi n'ihi articaine agafe Plasenta. Ma ọ bụrụ na mkpa dị ukwuu maka ihe mgbochi ụfụ, ọ dị mma ịhọrọ a ụdị "ultrakain", nke anaghị nwere epinephrine ma ọ bụ nwere ya nta Dosages karịa "Ultrakain D-C Chiefs"
Lactating inyom ọgwụ na-adịghị contraindicated, dị ka mmiri ara ya ego bụ nnọọ obere.
Ọnụọgụ ọgwụ
Ọ na-atụ aro ndinọ ọgwụ naanị na ndị ebe ebe e nweghị mbufụt.
Anyị apụghị ikwe ka penetration nke bendị n'ime n'ọbara!
Ịrụ a usoro maka n'imeso onye okenye ndidi zuru ezu dose of anestetiiki si ngụkọta oge: 1 n'arọ - adịghị karịa 7 mg nke ọgwụ.
N'ihi na ụmụ noo 4 afọ kacha analgesic dose ekwesịghị gafere 5 mg kwa 1 n'arọ nke ihe ngwọta ibu ibu.
Older ọrịa na ndị na-ata ahụhụ si na oké hepatic ma ọ bụ gbasara akụrụ impairment, adịghị atụ aro ka itinye ego nke ọgwụ na ngafe nke kacha nta dose mkpa iji nweta analgesia.
Oghom Jeremaya mere ka ọgwụ
Mmetụta n'ụdị ntọhapụ nke "ultrakain" ahụ dị ka nke "ultrakain D". Otú ọ dị, ọnụnọ nke epinephrine na ngwọta nwere ike ime ka ndị ọzọ oghom mmeghachi omume si ahụ. Otú ọ dị, e nwere ndị dị otú ahụ nsogbu na-nnọọ obere, ha na-agụnye tachycardia, gbasara obi arrhythmias, mụbara ọbara mgbali.
Ọ bụrụ na ngwaahịa na-abanye n'ọbara arịa, e nwere ike ịbụ na ebe nke necrosis na ọgwụ na saịtị.
"Ultrakain D-S"
The naanị ụdị ntọhapụ "ultrakain", nke anaghị nwere epinephrine - a "Ultrakain D". "Articaine D-C ', n'aka nke ya, na-agụnye epinephrine, ma a nta dose karịa" articaine D-S-Chiefs ".
Ọdịdị
1 ml nwere 40 mg nke anestetiiki articaine 0,006mg na epinephrine. The ruru nke epinephrine ka articaine na ụdị ọgwụ bụ 1: 200 000. Ọzọkwa esịne ke ngwọta na ndị ọzọ Efrata: mmiri ogwu ogbugba, sodium disulfite, sodium chloride.
atụmatụ
Mgbe ogwu ogbugba nke anestetiiki ya mmetụta mgbe 3 nkeji na dịruru dịkarịa ala minit 45.
N'ihi na obere dose of epinephrine, ọgwụ enweghị ịrịba mmetụta na obi, ikwe mma iji ya maka a ogologo oge ọgwụ manipulations.
na-agba akaebe
Conduction na infiltration ná Nkụnwụ n'oge eze arụmọrụ, dị ka:
- nha nha mmịpụta;
- Mbịne nha nha prosthesis;
- ọgwụgwọ nke carious ezé.
contraindications
Ebe ọ bụ na ruru nke epinephrine ka articaine dị ka akụkụ nke nkwadebe "Ultrakain D-S" - 1: 200 000, ndị na contraindications na ojiji nke anestetiiki metụtara tumadi na uche nke ọrịa na articaine.
The ọgwụ na-contraindicated na bronchial ụkwara ume ọkụ na hyperthyroidism ruru epinephrine, nke, ọ bụ ezie na obere doses, ma bụ ugbu ke anestetiiki.
Ma ụdị "ultrakain" mma maka ojiji na ime, lactating ọrịa, ndị na-ahụ ụgwọ atụrụ ọrịa obi na ọrịa ọbara arịa.
Warning! The ọgwụ na-ekwesịghị inwe n'ime ọbara arịa na mkpali anụ ahụ!
All ọzọ nwere ikwu maka ojiji nke anestetiiki: mmekọrịta ndị ọzọ ọgwụ ọjọọ eme ihe, mmetụta, contraindications, na-egosi, mmetụta nke ihe ovadozu, otu ntụziaka, kenyere "D-Ultrakain nkera."
ntọhapụ Ụdị
All 3 ụdị "articaine D" dị n'ụdị nke a ngwọta na vials nke 2 ml (juru n'ọnụ - 10) katrij ma ọ bụ tank ( "articaine D") 1.7; 100 iberibe na a igbe.
Tupu iji anestetiiki kwesịrị nlezianya na-agụ ntụziaka, ịlele ngafe ụbọchị nke solution, iji hụ na Vol nke usoro, mepụta a ule na uche na ọgwụ ọjọọ na ihe ọchịchọ ule.
Mgbe ogwu ogbugba, na ọ na-atụ aro ka nlezianya nyochaa ọrịa na-arịa, ma ọ bụrụ na ọ dị mkpa, na-dị mkpa jikoro na-enye ya mbụ enyemaka jikoro.
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