Analogs, olelo ao no ka hoʻohana "Naropin". Customer Reviews

Anesthetics kapa ai 'a i ka hiki e induce anesthesia.

Anesthesia - he emi i loko o ka pā lonoaʻili o ke kino a me kona wahi. Nō hoʻi, no ka mea, o ka moku'āina ua wehewehe aku ma ka piha cessation o ka pokole o ka 'ike e pili ana i ka moku'āina o ka meaola a me ke kaiapuni.

I ka 'inikua hana, e like me ka anesthetic ua pinepine hoʻohana lāʻau' "Naropin." Na Ke Kumu no ka hoʻohana 'ana, maoli' Oihana e e ho'ākāka 'ia ma lalo nei.

Haku mele 'ana, haku mele' ana a me ka'ōpala

E hoomakaukau ai "Naropin" aʻo i ua hookomoia ma ka pepa laulau ua hookuu ia ma ke ano o ka injectable pāʻoihana. Ua hiki nā 2, 5, 7,5 a 10 mg o ka hana 'Oponopono like ropivacaine hydrochloride.

Me ka pili ana i nā eiiiiiaiou, laila, ke hoʻohana 'ia i hydrochloricʻakika a paʻakai hydroxide, a me ka wai no ka pahu kui a me ka paʻakai koloriside.

Ma ke kuai ana o keia hale ua lako i ka hue.

Ke pharmacological ano o ka lāʻau

He aha ka keia lapaau like "Naropin"? Na Ke Kumu no ka ho ohana i hākālia nō i kēia anesthetic amide puke, i ua papahana no kaʻeha kokua a me ka kūloko anesthesia.

Ka hoʻohanaʻana i nā māhele liʻiliʻi o ropivacaine blockade kōkua ai i nā mau kino ona kuleana, me ka hoemi pā lonoaʻili ole-e holumua ai Hawaii hope.

Ma kiʻekiʻe dosages o ka lāʻauʻo keʻoki lāʻau lapaʻau anesthesia.

waiwai o ka lāʻau

He aha mea kupaianaha lāʻau "Naropin"? Na Ke Kumu no ka hoʻohana i ka 'ia i ka laulā o kēia mea kökua ka mea ku pono i kona hiki ana i reversibly emi i ka permeability o na membranes o nā aʻalolo olona. Manawa a hiki i keia aoao, a me maoli ka excitability paepae depolarization uku emi iho, a ma ka huli hele aku ai i ka kūloko wahi nā aʻalolo impulses.

I ka hoʻohana 'ana i nā māhele kiekie ae kaulana no kona inhibitory kanawai ma ka naau, a CNS (deteriorating conductivity emi automatism a me ka excitability).

No ka ropivacaine ano lōʻihi-makahiki kanawai. Ka lōʻihi like 'ole o ka pākōlea hopena o ka lāʻau laʻau heluna hiki e like.

A hiki i ka epidural hooponopono o ka lāʻau o kona mau-pae a me ka piha omo mai ka epidural a puni. I ka lehulehu o ka ropivacaine i loko o ke koko hilinaʻi nui ma luna o ke ano o ka palapala noi.

Nā kinetics o ka lāʻau

Na Ke Kumu no ka hoʻohana ( "Naropin" E e lawelawe wale ma ka hoao ana i ka anesthetist) ai ia mau moʻolelo i ka hoʻopololei loaʻa laina pharmacokinetics. Manawa a hiki i kēia, kā mākou kona lehulehu i loko o ke koko ka hapaʻauhau i ka lawelawe mahele lāʻau.

Palapala me ka wai koko nā polokina o 94%.

Epidural hooponopono o ka medicament no ka lōʻihi manawa maoli o ka huina wai koko lehulehu o ka ropivacaine.

Kaʻeleu waiwai Ua noʻonoʻo pono hoʻi undergoes kokololio metabolic huli ana. Ma ka loiloi mua pae hapa-ola au mea like e ¼ hora, a ma o ka maʻi - 240 minuke.

I ka intravenous hoʻomākaukau 86% o ka mahele lāʻau ua excreted ma nā puʻupaʻa.

hoike

No ka hope ke hoʻohana i kekahi lāʻau 'like "Naropin"? Na Ke Kumu no ka hoʻohana '(ma ka dentistry, keia k ua lawelawe loa pinepine) hākālia nō i ka lāʻau' ua manao ia no ka anesthesia iʻoki kino:

• I ka blockade nui nä olonä a me nā aʻalolo plexus.
• I mea infiltration anesthesia a me nā aʻalolo blockade kanaka olona.
• No ka epidural blockade ka mea, e alakai ana, a me caesarean pauku.

It E e kaulana no hoi ia i ka lāʻau "Naropin" ua pinepine hoʻohana no ke kokua ana o symptoms ma huʻi eha syndromes:

• No ka hooloihi ae i blockade oʻike ākea nā aʻalolo.
• No ka mea, ke kūʻai '-articular ka pahu kui.
• I mea infiltration anesthesia a me nā aʻalolo blockade kanaka olona.
• I ka hooloihiia epidural infusion, bolus periodicity a pale eha i loko o ka postoperative au, e like me ka anesthesia i ka hana.

It E e kaulana no hoi ia i ka lāʻau 'o "Naropin" aʻo ma o ka hana o ka i ua hoike mai ia ma lalo nei, ua' Imi hoʻohana no ke kokua ana i symptoms o ka huʻi eha ma pediatric hoʻomanawanui iki mai:

• no ka caudal epidural hihia i loko o na keiki ma lalo o 12 makahiki, a me ka keiki keiki;
• no ka hooloihi ae i epidural infusion i na keiki i ka 12 makahiki, a me ka keiki keiki.

Contraindications

He aha e na contraindications anesthetic ua "Naropin"? Na Ke Kumu no ka hoʻohana (no ka spinal anesthesia mea i kahi mea paahana ai e haawiia mai wale ma ka hoao ana i ka anesthesiologists) i mai nei ka mea i kēia manaʻo pāpā o:

• Hypersensitivity, hoikeia ma anesthetics o ka amide puke (me mōʻaukala).
• Hypersensitivity e ropivacaine a me nā eiiiiiaiou o ka hoʻomanaʻo.

Ua E hoi e hoʻomaopopo i ka medicament "Naropin", ka laʻau heluna e e koho i wale i ka hoʻomalu, mālama nui i loko o ka hoʻomanawanui iki mai kūpuna, a debilitated a me kekahi i loko o nā mea maʻi me ka loa 'ano o ka maʻi, a me intracardiac conduction blockade, ake a me nā konāhua pathology.

Lōʻihi mālama nui pono e lawelawe i ka kūloko anesthetic i loko o ke poo a me ka ai no ka mea, o ka mahuahua pilikia o loa adverse reactions.

Ua pono kūikawā ka wā i hoʻolaunaʻia ma ka lāʻau i ke kūʻai ', o ka oi aku i ka nui a me ka traumaʻoki kino. I ole ia, ka mea hiki i loa omo o ka lāʻau, a māhuahua kona wai koko lehulehu.

Aie i ka underdevelopment o ka mana a me nā kino o nā keiki i nā malamaʻeono, e hoʻomaka anesthesia i loko o kēia mau makahiki pae e halihaliia oia iwaho me ka lōʻihi mālama nui.

Ka lāʻau 'o "Naropin": kuhi no ka hoʻohana na keiki

Comments e pili ana i keia laau, e e hōʻike mai iā ia ma lalo nei.

I ka caudal epidural hooponopono no ke kokua o ka eha syndromes keiki he pāʻumi mai i 25 kg lawe blockade injectable pāʻoihana ma ka mahele lāʻau o ka 2 mg / kg.

Epidural infusion a bolus ka pahu kui o ka lāʻau ua lawe mai i loko o e like me ka makahiki o ke keiki.

• 6-12 malama: infusion - 0,4 mg / kg / HR, he bolus - 1 mg / kg;
• i ka eono mahina: infusion - 0.2 mg / kg / HR, he bolus - 1 mg / kg.
• 1-12 makahiki: infusion - 0,4 mg / kg / HR, he bolus - 2 mg / kg.

Ke kākoʻo pāʻoihana "Naropin": kauoha no ka hoʻohana

Nā ampoules ka anesthetic ua kūʻaiʻia i loko o nā keʻena kūʻai lāʻau lapaʻau.

No nā mākua, i ka laʻau heluna o ka lāʻau i ke Kohoʻia hoʻomalu. Ke anesthesiologist E e maliu mai ma kā lākou mau lapaʻau ka hoao ana e like me ka lawe i ka mooolelo o ka kanaka moku'āina o ka hoʻomanawanui.

No ka epidural mea, iʻoki kino hoʻohana 15-25 ml o ka pāʻoihana. Penei hoouka kaua o ka hoʻokō 'ike ma hope o 20 minuke, a mau no ka 5 hola.

A like ka nui o ka lāʻau i a me ka cesarean pauku.

Blockade nui nā aʻalolo plexus hana ma epidural hooponopono o medicament ma ka thoracic kiʻekiʻe i loko o ka nui o ka 5-15 ml.

Conduction a infiltration anesthesia me 1-30 ml o ka pāʻoihana i nā hualoaʻa ma ka hoouka kaua o ke kanawai ma hope o 5-15 minuke me ka lōʻihi like 'ole o ka 2-6 hola.

kekahi koi

Laʻau heluna "Naropin" lāʻau no spinal anesthesia ua like ke kaumaha ma muli o ka hoʻomanawanui i ka mau kulana. ʻO ia pili i ka blockade o nā aʻalolo olona.

Anesthesia o ka brachial plexus hiki e ukali ma ka meaʻaoʻao ole.

Me ka i ka wā hoʻokahi 'ana o nā' ano o nā anesthetics i kā mākou laʻau heluna "Naropin" E ole e oi aku mamua o 225 mg.

E pale aku accidental ka pahu kui o ka lāʻau i loko o ka moku mua o ka hoʻomaka 'ana o ke kaʻina hana, a iloko o ka mea e e OAXA e lawe mai wehena hōʻike.

I ka hoike ana o ka lāʻau ua ike no? Aiaiiuie intravascular pinepine naʻau kōmi. I ka malamaʻawahia ai lakou e ike koke alalai mai i ka hoike o ka pāʻoihana.

Iloko o ka anesthesia mea pono ke kanaka hoʻoponopono i ka maʻamau hana o ka nui nā loko, a nenoai o ka hoʻomanawanui. Ua mea no hoi e pono ai ke malama i ka mea me ka pololei, waha 'ihe.

ʻaoʻao waiwai

Adverse reactions i i ua ike ia ma ka palapala manaoia 'o ia hoʻi' ano like i ka poe ia ka hoʻohana 'ē aʻe amide anesthetics moʻo. Pela ka mea, Ua pono, e hoomaopopo i kaʻaoʻao 'ole ma o ka physiological symptoms e hana ma muli o ke blockage o kōkua aloha o nā aʻalolo.

Ka lāʻau 'o "Naropin" no ka spinal anesthesia hiki i bradycardia a me ka hypotension. ¶ A i loko o ka papa o ka anesthesia i loko o nā mea maʻi 'ike i ka hahai adverse reactions:

• nausea, tachycardia, headache, hypothermia;
• hakumakuma ke koko, cramps, hoʻiʻeha, pokole o ka hanu;
• ka luaʻi, syncope, hypertension, kuni;
• paresthesia, dysarthria, ole, uunu nui;
• pōniuniu, tremor, urinary ka mālama.
• hypoesthesia, pokole o ka hanu, numbness o ke alelo;
• kāʻili 'ana, tingling, hives;
• perioral paresthesia i loko o ka wahi, arrhythmia, blurred hihiʻo;
• Angioedema, cardiac hopu, Muscle cramps;
• anaphylactic kŰia.

analogs

He aha e puku anesthetic e like me "Naropin"? e ole haawi Na Ke Kumu no i ka pane a hiki i keia mea. Ma hope mai ia oe, e pono e kelepona i ka hoao ana i ka anesthesiologist.

E like me ka rula, kahi o "Naropin" mākaukau pinepine hoʻohana ai 'e like "Articaine", "Bupivacaine", "BlokkoS", "Alfakain SP", "lidocaine", "Brilokain-adrenaline", "mepivacaine," "Piromekain" "marcaine", "Skandonest", "Ultrakain", "Tsitokartin", "Trimekain", "Hirokain" a me na mea e ae.

It e e koke kaulana ia i ka oko ao kekahi i nā kiʻina hana o ka hooponopono a me dosages i olelo ia mau mea, mai ka poe mai o ka medicament "Naropin".

Reviews

Ano, ia oe i ike pehea a me ke kumu antibiotic ana e like me "Naropin." Na Ke Kumu no ka hoʻohana 'ana, lāʻau analogs mea i ua hōʻike mai iā ia ma luna.

More pinepine ma mua i manaoia ka mea, e haʻalele lākou mau hōʻike manaʻo anesthetist. A me keia mea e kahaha ko oukou naau, no ka mea, i ka lāʻau 'ua manao ia no ka poe liilii, a me ka nui hana.

Ke uie kekahi hapanui hewahewa o nā pane hoʻomalu i maikaʻi. Hōʻuluʻulu i ka manao o ka poe kumu, ka anesthetic hiki ke ho'ākāka 'ia i kekahi manawa-ho'āʻo, ike loea a me moderately affordable ka lapaʻauʻia.

Like no me ka hoʻomanawanuiʻana, kā lākou mau hōʻike manaʻo o kēia hale aneane loa ana.