"Articaine": kuhi no ka hoʻohana a me ka analogues

Pehea la au e hana, a ma lalo o na hana hea e ole e hoakaka ia ka lapaau "Articaine"? Na Ke Kumu no ka hoʻohana a me contraindications o ka lāʻau, e e noonoo hou ia. Nō hoʻi i loko o kēia 'atikala oe, e loaʻa' ike e pili ana i kaʻaoʻao 'ole o ka lāʻau, kona analogues a me pākōlea hiʻona.

E ke ano o ka medicament, haku mele 'ana, a me ka hōʻikeʻano'ōpala

He aha ka ka 'inikua hoomakaukau "Articaine"? Na Ke Kumu no ka hoʻohana 'ana, ua hai aku hōʻike manaʻo i ia mea he injectable maopopo pāʻoihana, a hiki e colorless paha e i ka iki yellowish tint.

Kaʻeleu 'Oponopono o keia Agena hana articaine hydrochloride. Nō hoʻi i ka lāʻau pāʻoihana maupaʻa kākoʻo eiiiiiaiou e like me ka wai, d / Liliʻu a me ka paʻakai koloriside.

Ma ke kuai ana o ka lāʻau e hiki mai ana ma nā papahu mea i pūʻolo helu ma ka aeea contour ea huihui a me ka pepa pakahi. I kuai i injectable pāʻoihana e ia i loko o ampoules o ke aniani.

Pākōlea ano o ka la hoomalolo

He aha mea kupaianaha lāʻau "Articaine"? Na Ke Kumu no ka hoʻohana 'ana, hōʻikeʻano hoʻopaʻapaʻa ana i keia mea o ka thiophene derivative. Ua hōʻike mai i nā anesthetic ka waiwai, a ua hoʻomano hoʻohana no ka anesthesia (infiltration a me ka conduction).

i ka hana 'Oponopono o ka lāʻau ua hydrolyzed i loko o ka weakly'ākilikai meakino nā'aʻaʻa. A pau keia kumu ua hookuu, a hōʻike lipophilic waiwai. Manawa a hiki i kēia articaine hookoiaʻano hiki wawe ka mea komo ma ka halepaahaoʻili lahilahi i loko o ke aʻalolo olona.

Ma ka hana ana ma receptors, noʻonoʻo i nā ālai 'lāʻau,ʻaʻole wale nō i ke kaʻina hana o ka haawi ana o Na Ion ma na keena, akā, i alalai mai i ke aʻalolo impulse.

Reportedly nā kauka niho hana medicament "Articaine", olelo ao no ka hana i ua ho'ākāka 'ia ma hope, ua malama ma hope o hooponopono aneane koke. Like pili ana i ka laulā o ka lāʻau, ka mea, ua malama no ekolu hola, a ua hoemi wale i loko o kaʻakika kaiapuni.

Kinetic ano o ka pahu kui pāʻoihana

Pehea i ke omo o ka "Articaine" ia waiʻona? Na Ke Kumu no ka hoʻohana hoʻike i ka wā lawelawe intramuscularly i loko o ka piko koko lehulehu o keia Agena ua hiki aku ma hope o 25-35 minuke.

Wā lawelawe medicament no ka moʻolelo o ka mucosa mea hōʻike Hoʻonui i ke diffusivity.

Wai koko kumuʻiʻoʻeleu lāʻau e hoopaa ana ka hola 95%. Ua Ua metabolized i loko o ke ake, a excreted ma nā puʻupaʻa loko o eono hola (hapa-ola o ka anesthetic mea ma kahi o 65-80 minuke).

Mākou hiki ole ke olelo i ka epa a me ka mea e komo iloko o ke keiki (i ka poʻeʻuʻuku ma mua o kaiakū anesthetics), e like me ma ke koko-lolo ke'ākeʻakeʻa mai (ma ka liʻiliʻi mea). Like no ka makuwahine o ka waiū, laila, me ia articaine aneane kū mai.

nāʻikepili no ka

Mai ka prescribers "Articaine"? Na Ke Kumu no ka hana hōʻike 'ana i keia mea paahana ua pinepine hoʻohana' ia i loko o kahua niho me ka hana pono no ka mea o ka anesthesia (infiltration a me ka conduction).

Bans ka hoʻohana a

I ka articaine e ole hoʻohana i ka waiwai? Na Ke Kumu no ka ho ohana i hākālia nō e hoomakaukau ka nānā 'ana ma luna o kēia ke keʻena, e contraindicated ma:

• maʻi hypoxia;
• articaine kiʻekiʻe pā lonoaʻili, e like me nā kūloko anesthetic Luna pili ana i ka amide pūʻulu;
• kekahi Central ko mākou hopohopo kahua maʻi;
• megaloblastic B12-deficiency anaemia;
• bronchial asthma;
• huina-panina glaucoma;
• paroxysmal tachycardia;
• naau ole, huʻi;
• atrial tachyarrhythmia;
• loa cardiac conduction kāna hana (e laʻa me, bradycardia, atrioventricular aeie ka papahelu II-III);
• bulk maxillofacial ana, a me kekahi iloko o hooloihi ae iʻoki lāʻau lapaʻau 'uao (no ka hou ma mua o 20 minuke);
• arterial hypotension ;
• i na keiki ma lalo o eha makahiki o ka makahiki (palekana a me ka hopenaʻoi loa i ole, ua aʻo).

It E e kaulana no hoi i lōʻihi mālama nui mea he mea kökua ka hāʻawiʻia i ka hapai wahine me ka mālama '-eclampsia, e like me kahe ana ke koko i loko o ka hope trimester.

Uluwehi O "Articaine": Instruction no ka hoʻohana i ka dentistry

Ma mua o ka hoʻokomo 'ia' ana o na dala e mau halihali i ka wehena hōʻike. He mea pono i ka mea e loa kń i ka likelihood o intravascular hooponopono o ka lāʻau.

Reportedly pono e like hoʻomalu i hookomo o ka noʻonoʻo medicament puʻe ma luna o ka 'ohe plunger ke kaumaha ma muli o ka pā lonoaʻili o nā nā'aʻaʻa. I ka mea, ua i waiho ia i ka lāʻau e lawelawe wela ai mau mea o ka waha. Eʻai ma hope o ka piha hoihoi hou ia ana o ka pā lonoaʻili aeia ma hope o ka ka pahu kui ina hana wale.

Ma ke kaʻina hana o ka wehe uncomplicated niho aia ma luna o ke a luna (ina he mea ole li nui), e hoʻohana 1,7 ml (kekahi niho). Inā koi 'ia, i ka hoʻomanawanui ua hou lawelawe 1-1.7 ml o ka la hoomalolo.

No ka anesthesia a me ka palatine suture pauku, e hana i kekahi nei o ka hoomanawanui ua häʻawi mai palatal 0,1 ml o huahana.

I ka wehe i nā premolars, Aia ma luna o ka lalo iwi ā (i loko o uncomplicated degere), hoʻomaka infiltration anesthesia. Naʻe, ka mea, i ke kanawai o ka lawelawe anesthesia.

A hiki i ka popoiwi o ka pāpale aliʻi niho (Ma waho aʻeo ka mandibular molars) a me ka dissection ua lawe cavities vestibular ka pahu kui ma ka laʻau heluna o 0.5-1.7 ml no niho.

Single mahele lāʻau o ka medicament kona i kā mākou laʻau heluna no nā mākua, he 4 mg / kg kino ke kaumaha.

Hana ma-ke ano

Like tolerated lāʻau "Articaine"? Na Ke Kumu no ka hoʻohana (ʻaoʻao hopena o keia lapaau, e ia ke hōʻike pono manawa) mai nei i keia k ka loa pohihihi ole o ka ioʻano. Mākou keʻike i waena o lākou e like me:

• nanea ana, pōniuniu, naehana kāna hana, transient pilikia makapō haunaele, muscular tremor, Muscle twitching, blurred hihio (? aiaiiuie);
• Generalized cramps, paresthesias, hookuu iho ke koko, hypesthesia, makapo, naau e hemahema, diplopia, kŰia;
• allergic reactions, nausea, angioneurotic edema, ka luaʻi, hoʻokano, redness o kaʻili, li nui o ka moʻolelo mucosa, conjunctivitis, urticaria, rhinitis;
• haanou ana o nā pāpālina, ka luna, a malalo lehelehe o na kaula vocal haanou ana me ka pilikia moni 'ia.

Ua E hoi e kaulana i kekahi manawa, i ka wa improperly lawelawe i nā anesthetics e hanaʻino i ka lehalehu t nā aʻalolo. Ua hiki ke alakai i ka lōlō.

lāʻau overdose

He aha nō nā'ōuli o ka overdose ana aie i ka pololei ole ana o ka laau "Articaine"? Na Ke Kumu no ka hoʻohana hōʻike i nā kēia symptoms: lilo o ka ike paka i, pōniuniu, ua hoʻemi ke koko,,, nanea ana i hookomo ai Hawaii stimulation, bradycardia.

E hoʻopau i na Hawaii e ike koke ana i ka ka pahu kui, a kau i ka hoʻomanawanui ma luna o ka moe. No hoi ia mea e pono ke hoʻopaʻa i ka noa flotation o ka naehana'āpana, i ka pāʻana naau i kela a me ke koko, ke ano.

Uluwehi O AaOIeIOUIeXAOAaIN hoomalolo

Local anesthetics ke hoʻonui i ka hopena o ka ai 'i inhibit ke ala loli i ka Central ko mākou hopohopo nenoaiu.

Ma ia laua me ka mea i ho'ākāka 'ia ka lāʻau' noi malama i ke kēia naoh:

• me anticoagulants maoli i ka pilikia o ke kahe ana ke koko a me ka hemorrhage;
• me ka monoamine oxidase nā mea kūpale maoli i ka pilikia o ka hypotension;
• myorelaxant 'ana' o ia hoʻi, piʻi pū a mea elongated;
• me vasoconstrictors listen a elongates mestnoanesteziruyuschee hooko articaine;
• me ka narcotic analgesics hoʻokāʻoi naehana hanu kaumaha, a nui ka mea hoʻonui ai ;
• me ka cholinesterase nā mea kūpale emi pūnao articaine.

Ua E hoi e hoʻomaopopo i ka hōʻike 'ana no ka lāʻau' antagonises antimiastenicheskimi me ka ai '. Eia hou, i ka aaioee o ka ka pahu kui paena me ka disinfectant pāʻoihana, i pihaʻi me na ukana i eliiaʻi, maoli i ka pilikia o ka adverse reactions i loko o ka palapala o ka nani a me ka palupalu.

i kekahi Mau 'ike

O na dala e ole e lawelawe intravenously. Ua ua i papaia, e lawe mai i ka pahu kui i loko o ka wela ai paena.

Wehe aʻela ia i nā papahu mai o ka pāʻoihana hiki ole ke hoʻohana hou 'ia, a me no' ē nā mea maʻi.

Ma lapaʻau "articaine" koi 'ia e ka pāʻana i kaʻoihana o ka ÷ naehana hanu, cardiac, Central ko mākou hopohopo a me ka vascular nenoai.

nā'ana analogues

Pehea la e hiki ai mākou e puku i kūloko anesthetic "Articaine"? Kona counterparts i na kēia mau ai ': "mepivacaine," "Lidocaine", "Bupivacaine", "Ultrakain", "marcaine" a me na mea e ae.

Ano, e ike, no ke aha la i kēia lāʻau 'like "Articaine". Na Ke Kumu no ka hoʻohana 'ana, analogues o ka anesthetic i kūkākūkā i loko o kēia' atikala.

E like me ka hoʻomalu, noʻonoʻo i ka lāʻau ua pinepine hoʻohana 'ia i loko o kahua niho hana. Inā 'oe e hahai i ke kauka o ka hoike a pau, a lawe i ka mooolelo a pau contraindications i ka hoʻohana' ana i ka lāʻau, ka lāʻau hōʻike kiʻekiʻe ka hoʻokōʻana a me ka loa kākaʻikahi ka poʻea pau i ke kūpono 'ana o adverse reactions.