Ka lāʻau "Novocaine": aʻo no ka hoʻohana, uku. "Novocaine" ma ka hāpai keiki

Medicine "Novocaine" mea he pono ka analgesic lāʻau. Ka lapaʻauʻia ma luna o ka papa inoa o ka mea nui 'inikua manaʻo.

Pharmacological waiwai "Novocaine" lāʻau

Na Ke Kumu no ka hoʻohana i ka 'mea o ka lāʻau i ka kūloko anesthetic lōpū haʻawina, ua hoʻomano hoʻohana i ka' inikua hana. E hoomakaukau ai "Novocaine", a mea he nawaliwali kumu, i wahi e paʻakai kaha ma inhibiting i ke ana a me ka propagation o nā aʻalolo impulses i loko o nā aʻalolo olona, a me ka hāʻule pahū wale ihola. I ka loaa ana o ka medicament ole i ka loli ana o Loaʻaʻia i loko o neuronal keena, me ka nui 'ole i kau mai ana iluna Loaʻaʻia ua i ae nei. Ka lāʻau 'suppresses propagation o ka eha impulses.

I ke omo a koke komo ai i ke koko ka wā lawelawe intravenously aia mea he emi no excitability oʻike ākea cholinergic nenoai, a ua hoemiia nā'ōlelo o ke kala o ka acetylcholine preganglionic a hāʻule pahū wale. Ka medicament "Novocaine" (manual wehewehe e pili ana i keia) eliminates spasms o ala apuupuu Muscle, ho'ēmi i kā ka excitability o ka Hawaii wahi o ka lolo a me ka cortex infarction.

No ka intravenous ana, i ka pāʻoihana i antiarrhythmic, hypotensive, antishock, analgesic hookoia, maoli ka refractory wā, me ka nui loa ho'ēmi i kā ka conductivity, a me ka automaticity excitability. Ma ka hoʻohana 'ana i nā māhele kiʻekiʻe e hana ana i ka' aʻe 'ana o ka ua'emi Muscle conduction, e malama convulsions.

Ka lapaau lawe aku oe i uhai mai la hoi i ka lalo hopena o ka lolo kumu, he e kaumaha ana ia ma luna o polisinapticheskie reflexes. Ua loaʻa he pōkole anesthetic haʻawina. Hana infiltration anesthesia mau mai 30 minuke i 1 hora. Ke kākoʻo pāʻoihana "Novocain" hoʻolauna intramuscularlyʻelemākule e hoʻomanawanui iki mai ma kahua o ka hoʻonaʻauao i kakahiaka nui o ka pathologies hiki pono kaua mai pili me kaʻole functioning o ka'emi'ōnaehana, cerebral spasms, coronary a me ka vascular hypertension.

Ka lāʻau 'Ua poorly ke kemu ma ka mucous. A hiki i kaʻeleu Agena wikiwiki ka pahu kui i loko o ke koko, ua hydrolyzed ma esterases nā'aʻaʻa a me ka wai koko, ho okumu i mau papa kuhikuhiEʻeleu metabolite: PABA (hakaka chemotherapeutic sulfa ai ') a me ka diethylaminoethanol (ka lōpū vasodilating hana). E hōʻike 'ia i loko o nā puʻupaʻa i loko o ka palapala o metabolites.

I ka haku mele 'ana a me ke ano o ka "Novocaine" lāʻau

Hua mai la i lāʻau 'like me ka pāʻoihana no ka pahu kui mea i maopopo, colorless wai, ma ampoules buke, mai 1 a hiki i 20ml. Ka pakeneka o kaʻeleu 'Oponopono maloko mea 0,25 a me ka 0.5. Eia hou kekahi, hoʻokahiʻanuʻu a me ka mau-pakeneka hoʻokuʻu "Novocaine" hoʻomākaukau pāʻoihana. Ke kumukuai o keia palapala e pili ana i ka 15 rubles.

Popular a me he lepo lā, e like me sterile pāʻoihana o ke medicament, ninini i loko o ehiku huewai o 0.2 a me 0,4 nā lika. No ka iapaau ana o ka maʻi he nui pili poni 5 a me ka 10 pakeneka, a me suppositories, i pihaʻi me 0,1 nā huna o kaʻeleu 'Oponopono (procaine hydrochloride), e like me kākoʻo eiiiiiaiou - witepsol paha tallow. I 1 ml o kaʻeleu waiwai i loko o ka nui o ka 0,005 nā huna, hou eiiiiiaiou hana hydrochloricʻakika a me ka wai no ka pahu kui.

nāʻikepili

Uluwehi O "Novocaine" kauoha no ka hoʻohana i hooluoluia mai ai e koho, e hana retrobulbar, maʻi, spinalʻaha, uea, epidural, infiltration anesthesia. E ho ohana i medicament hua vagosympathetic a perirenal jugular blockade. Noi o ka suppository mea mana no ka analgesia me loira māwae pōhaku, a me nā haemorrhoids. E ho ohana i poni kena ae la symptoms o neurodermatitis, eczema, maneo dermatosis.

Medicine "Novocaine": kauoha no ka hoʻohana

Injections kanaka makua nā mea maʻi i hana infiltration anesthesia i loko o ka buke o 300-600 mg (0.25-0.5 pakeneka pāʻoihana).

Pilipaa ma ka mea kolo infiltration Wisniewski ke kaʻina hana no ka hana ma ka i hoʻolaunaʻia ma 0,25% pāʻoihana ma ka nui o ka 125 ml. Epidural anesthesia ua hana ia me ke kōkua o "Novocaine" mau-pakeneka pāʻoihana. Injections alakai ia kekahi i ka laʻau heluna o 25 ml. Spinal anesthesia loaa ma 2-3 ml o 5% lāʻau. Ma ENT hana 10% o ka lāʻau pāʻoihana ua hoʻohana 'ia no ka topical anesthesia.

E hoomahuahua i ka lōʻihi like 'ole o ka hana ana i ka lāʻau a me ka ho'ēmi i kona absorbability, a kekahi ma kekahi kūloko anesthetic lāʻau "Novocaine" nāu kekahi pāʻoihana o ke epinephrine hydrochloride. E hana i ka electrophoresis ua? Aeiiaiaoaony e hoʻohana i ka 10% lāʻau. Ke perirenal momona ka wā o ka blockade o Wisniewski pono e komo aku ai i ka 60 a 120 ml o 0.5-ko a 0,25% pāʻoihana, niioaaonoaaiii. Vagosympathetic blockade hua mai la ka 100 ml o ka huina hoonui o ka 0,25% lehulehu i hoʻolaunaʻia ma.

I loko nō contraindications injections "Novocaine" na keiki i pinepine hoakaka me ka analgesic i ka hooponopono ana o nā lāʻau. Ka laʻau heluna he pōpilikia ma muli o ka kaumaha o ke keiki (i oi aku mamua o 15 milligrams no kilogram).

e hoʻohana 'ia ma hope o mua i hana' purgation Via enema ole maoli ai Rectal suppositories. I ka ili pathologies mea poni i pili i ka loli ana o lahilahi, ahu iho uhi mau manawa i kikeke ana.

ʻaoʻao waiwai

Uluwehi O "Novocaine" (kuhi no ka i olelo aku i keia) e i io reactions.

Central a me ka ʻike ākea ko mākou hopohopo'ōnaehana pane i ka lapaʻauʻia headache, nawaliwali, drowsiness, pōniuniu, restlessness, ke kāʻili 'ana. Ma kekahi manawa, aia no he tremor, lilo o ka ike paka i, lockjaw, me ka hoolohe, a me ka pilikia makapō hoʻopilikia, paraesthesia, lōlō o nā wāwae, nystagmus. Eia hou, ma laila e e naehana lōlō, ka paleʻana i ka ÷ naehana hanu nāʻiʻo.

Cardio-vascular'ōnaehana mea he loli i loko o ke koko,, he meaʻeha i loko o ka pahu, arrhythmia, bradycardia,'opi,ʻike ākea vasodilatation.

Urinary a me ka digestive nenoai pane i ka lapaʻauʻia hoʻohana 'involuntary urination, defecation, ka luaʻi a me ka nausea.

Ma ka hapa o ka circulatory'ōnaehana a hiki i kaʻaoʻao waiwai nā methemoglobinemia. Eia hou, i ka lāʻau hiki i allergic reactions:

• hives;
• anaphylaxis ;
• ili lapuwale ia;
• maneo.

No nā hopena maikaʻi reactions nā paakiki anesthesia, impotence, hypothermia, eha hoʻi. Ma anesthesia ma dentistry malama hooloihiia mai o ka anesthesia, paresthesia a me numbness o na lehelehe a me ka alelo.

overdose

E hoʻohana i ka "Novocaine" lāʻau kuhikuhi, a IeOOAOeAAYAaE ka iapaau ana regimen e e koi 'ia e ke kauka. Ole e hooko me ka hooponopono ana i na hoailona o ka overdose. Symptoms o excessive pono o ka medicament i pallor o ka mucous membranes a me ka ili integument, methemoglobinemia, apnea, koke puʻe kulu, tachycardia, pokole o ka hanu, ka luaʻi, anu kaheʻana, nausea, pōniuniu. Hoʻomanawanui iki mai i ke ano o ka makau, Hawaii manaʻo pīhoihoi, convulsions, hallucinations. I mea e hoʻopau hoike ana mai o ka overdose, pono e lawe mai pulmonary hoʻokomo ea me ka o oxygen inhalation, i ka luna 'hoopii, i hoakaka ia symptomatic a me ka detoxification Inc.

Contraindications

E ho ohana ana o ka lāʻau e ole a pau nā mea maʻi. I ka wā o ka anesthesia kaʻina hana ua papa o ka mea kolo infiltration agena no ka'aʻaʻa fibrotic loli. Subarachnoid anesthesia hiki ole ke lawe mai i ka septicemia, kŰia Hawaii, hypotension, kahe ana ke koko. Ua UaʻAʻole pono e komo i loko o ka hoʻomaʻamaʻa lapaʻau, no ka laʻana, e ka oOeEIAOO me "Novocaine".

Me ka manao e hoomakaukau ai i hoʻohana i ana i loko o nā mea maʻi me ka huʻi koko poho, hakuʻala ole; no na kumu pili i ka ho'ēmiʻana o hepatic koko lako, holomua cardiac a me vascular insufficiency; ma luna o maʻiʻaʻai ma ka ka pahu kui paena; hoʻoʻino pathologies. Ma lalo o kūikawā 'inikua hooponopono mea pono e hoʻohana i ka lapaʻauʻia i ka nahunahu hanau, kaumaha a me ka debilitated nā mea maʻi, poʻeʻelemākule kanaka a me na keiki ma lalo o ka makahiki o ka hapa nui.

Me ka hui ka lapaʻauʻia me anticoagulants ( "danaparoid" "Warfarin", "Ardeparin", "dalteparin", "Enoxaparin" "Heparin") maoli i ka pilikia o ke kahe ana ke koko. Ua hakumakuma i ka manaʻo koikoi a me ka bradycardia malamaia ka wa i ka wā hoʻokahi mea, o ka lapaʻauʻia i ka lapaau "trimetafan", "mecamylamine", "guanadrel", "guanethidine." E hoomahuahua oe i hualoaʻa anesthetic hana hoala dala "Epinephrine," "methoxamine", "Phenylephrine."

Hiʻona o ka palapala noi

Ma mua o ka dilute "Novocaine" a e ka pana, ua koi pono e hooholo kanaka pā lonoaʻili i ka lapaʻauʻia. E hana i kēia, e lawe mai i ka ili hōʻike, a ina he mea redness a me ka haanou hiki e hookolokoloiaʻi e au, ma luna o kekahi kanaka 'ole-ae' o ia hoʻi.

Ma lapaʻau ia mea e pono ke kanaka hoʻoponopono i ka functioning o ka mea'ōnaehana mānowai koko, ko mākou hopohopo a me ka ÷ naehana hanu nenoai. E emi i ka systemic waiū, kaʻawahia, a hoomahuahua i ka hopena o ka lāʻau i ka kūloko anesthesia, ai ' "lidocaine" a me "Novocaine" ua hoʻohana' ia i loko o ka huipūʻana me vasoconstrictors. No keia, kekahi kulu o ka epinephrine hydrochloride pāʻoihana i huiia i 3 ml o ka medicament "Novocaine".

Ke kiekie o ka lehulehu o ka pāʻoihana ia, o ka oi o kaʻawahia lāʻau. E emi i ka hopena koa ka mea, ua waiho e emi ai ka pono laʻau heluna o ka medicament a nāu kekahi i kekahi malalo lehulehu. Keia ua hana ia me ka sterile isotonic pāʻoihana o ka paʻakai koloriside.

No ka Kāohiʻana o ka hypersensitivity naoh i loko o ka loiloi mua kahua o ka lapaʻau ua lawelawe mau-pakeneka pāʻoihana o 2 ml, a me nā lāʻekolu ma hope (ina he mea oleʻaoʻao 'ole) i mahuahua i 3 ML ka mahele lāʻau, a laila, puka e hoʻohana i ka piha ka leo - 5 ML no ka pahu kui.

Ma outpatient lapaʻau ua koi 'ia e haawi aku i ka holoʻana a me ka manaʻo o nā hana pili i ka mahuahua noonoo, ka mämä holo o ka Hawaii a me ka noʻonoʻo' reactions.

AaOIeIOUIeXAOAaIN me nā ai '

I ka lawelawe intravenously, ka lāʻau hoʻokāʻoi aʻe ana i inhibitory ia ma luna o ka'emi'ōnaehana kiaha dala, e hiamoe ana huaale, na mea paahana hoʻohana no ka mau anesthesia, tranquilizers a me narcotic analgesics. Ka lāʻau 'hooloihi ae i ka hana o ka Muscle, nā aʻalolo hihia, kena ae la ia e suxamethonium. Ka pilikia o ka hypotension ua mahuahua e hui hoʻohana o ka haawina "Novocaine" me Mao nā mea kūpale).

Anticholinesterase ai 'hoomahuahua i ka kaʻawahia o ka lāʻau, inhibit kona hydrolysis. Para-aminobenzoicʻakika, i mea he metabolite o ka lāʻau, emi ka antimicrobial kanawai o sulfonamides, no ka mea, i ka lokomaikaiia, hoʻok & hoa. Ka pahiki o kūloko reactions i loko o ka palapala o ka edema, a mahuahua morbidity i loko o ka aaioee makahiki injections o kūloko anesthetic hooponopono Via disinfectant pāʻoihana i loaʻa ka mea kaumaha ke hooheheeia.

Ka hoʻohana o "Novocaine" lāʻau i hāpai keiki

I loko o ka hanau keiki ana na wahine eʻalo i ka pono kahua niho iapaau ana a likeʻole kaʻawaʻawa loa symptoms, e like me ke kua eha. Ma dentistry, anesthesia ua hoʻohana 'ia ka hapanui pinepine' o ia hoʻi "Novocaine". E ho ohana ana o ka lāʻau i loko o kēia mau wahi, i hiki, ua maikaʻi nō. Oe wale Pono e hōʻike aku i kou kauka e pili ana i hāpai keiki ana ia i hoʻohana i ka lāʻau, e lawe i ka mooolelo o ka keia kulana. I ka toxicosis, puka me ka loli i loko o ke koko,, i aeia mai ka lapaʻauʻia "Novocaine". I ka hāpai keiki, kona hoʻohana mea hiki ma ke kiekie puʻe wale, ma hope mamua kūkā me ke kauka.

Hana 'Ōlelo kōkua ai i nā ka hana ana o ka naau a me ko iala kanawai ma na nāʻiʻo. I ka hoailona o kaʻeha i loko o ka'ōpū, a i pili me ka peptic ulcer maʻi, ua waiho aku i ka pono o suppositories. Normalize puʻe hemorrhoids i hiki ka hoʻohana 'ana suppositories. Uluwehi O "Novocaine" ua hoʻohana 'ia i hāpai keiki wale ma kuhikuhi, pakiko-ka lapaʻauʻia ua i aeia! Ke hoʻomalu, e hoʻomaulia 'i ke koi' ia mahele lāʻau a me ka alapine (frequency) o ka hooponopono, ma hope o ke kālailai i nā nā hoailona o ka hāpai keiki. Suppositories i hoʻohana palua i kela la, mālama '-e ho'āpono wale i ke kino Via enema.

Price a me ka lāʻau analogues "Novocaine"

Kāki "Novocaine" e hoomakaukau ai (kumu keia i kuai i ka oko ao iki i loko o kanaka keʻena kūʻai lāʻau lapaʻau) i ka hue (0.5%) o 22 rubles. Per hue 0,25% pāʻoihana (200 ml) a rectal suppositories, e haawi 27 rubles. Mall analogs o kaʻeleu Agena e medicaments:

• "Procaine hydrochloride".
• "Novocain kumu."
• "Novocaine-hue".
• "Novocaine Bufus".