"Ubistezin forte". i nā anesthetics

I kahea aku nei oia no ka lāʻau "Ubistezin forte»? Na Ke Kumu a me nāʻikepili no ka hoʻohanaʻana i ka lāʻau, e e hōʻike mai iā ia ma lalo nei.

Mai na mea o keia 'atikala oe e aʻo e pili ana i ke ano ma ka i olelo mai' o ia hoʻi no ka hana, e like me ka mea kū, paha ka mea hiki ke hoʻohana i hāpai keiki, a i ka waiwai ia nona.

Haku mele 'ana, a me ka hāʻawe shape

E hoomakaukau ai "Ubistezin forte", ke kumukuai o ka i ua hoike mai ia ma lalo nei, ua hua mai i loko o ka palapala o ka pāʻoihana no ka pahu kui. Kona hana nā mea hoʻohui i articaine hydrochloride a me ka epinephrine hydrochloride. ¶ A i loko o ka medicament hoʻohui pū kākoʻo eiiiiiaiou me ka wai no ka pahu kui, paʻakai koloriside a me ka paʻakai sulfite.

ka pāʻoihana i loaʻa i loko o ka pūpanapana A pāʻoihana no ka pahu kui, e hoonoho iho i loko o ka'ōlinolino ipu.

Pharmacodynamics medicament

He aha ka mea i ka lāʻau 'like "Ubistezin forte»? E like me na olelo, ka mea, o ka hoʻohui pū kila papahana no kūloko anesthesia. Ua Ua hoʻohana 'ia no ka nīnūnēʻoki lāʻau lapaʻau ke kaʻina hana, pakahi aku la ia i loko o ke kahua niho hana.

Ke kanawai o keia ka lapaʻauʻia i kona constituent waiwai.

Local anesthetics i loaʻa ka articaine a ianoiyuaa a no i anesthetics tiafenovoy pae.

E like me ka hoʻohālike lidocaine paha novocaine, ua hoʻomākaukau ua wehewehe aku ma ka wā pōkole, hana. Ke anesthetic ia i malamaia ma hope o 0.5-3 minuke kāinoa mua. Like no ka vyshepredstavlennyh dala, e hoʻomaka e i keia wale ma hope 4-5 a me 5-10 minuke, niioaaonoaaiii.

Ka lōʻihi like 'ole o ka anesthetic hookoia kēia mau mea, "Ubistezin forte" hoʻomanaʻo o 45 minuke.

It E e kaulana i keia ka lapaʻauʻia papalua ia i ka lidocaine. Eia hoʻi, ka mea, ua nui koke excreted, 'aʻole i inhibit eha hoola a me ka mea emiʻawahia. Kēia ka pahu kui ua hōʻike i nā kūpuna a me nā keiki mai ka 5 makahiki.

Like no ka epinephrine, ia mea he vasoconstrictor. Ua paipai 'ia ka vasoconstriction, hiki intensifies a hooloihi ae i ka ona o ka anesthetic. Oia waiū o ka lāʻau waiwai entails'aʻaʻa hypoxia, kūpono i uhi pū excitability o nā aʻalolo a hāʻule pahū wale, a me ka nui loa ho'ēmi i kā eha.

Uluwehi O "Ubistezin forte" - o ka anesthetic me ka haʻahaʻa ka maʻiʻo o ka vasoconstrictor. A uuku ka nui o ka epinephrine, aole ia e hoʻonui ke koko, 'aʻole ole i tachycardia a mai i hai ia ma luna o ka mea'ōnaehana mānowai koko nenoaiu.

Pharmacokinetics o ka pahu kui pāʻoihana

Local anesthetics i ke kiʻekiʻe penetrating mana. A ma mua mai o ka lāʻau mea i koe. Ka mea, e hoopaa ana i ka wai koko nā polokina e 95% a me kaʻaneʻane excreted i loko o ka waiū, na wahine, a 'aʻole i komo ma ka placental ke'ākeʻakeʻa mai.

Ka hapa-ola o keia k mea 22-26 minuke.

nāʻikepili

Uluwehi O "Ubistezin forte" 'Imi pili no ka nīnūnē kahua nihoʻoki kino:

• me ka uncomplicated odontectomy;
• ka wā e hoopiha mai ana e amo niho;
• i ka makaukau no ka prosthetics, a no laila,-kapaia wili ana o na niho.

No hoi e hoailona oukou i ka noʻonoʻo medicament intercostals i hoʻohana, a me paravertebral retrobulbar anesthesia blockade stellate ganglion, trigeminal nā aʻalolo, pudendal a me brachial plexus.

Contraindications

Ka pahu kui "Ubistezin forte" ua i paipai no:

• bronchial asthma a me ka hypersensitivity i sulfites;
• huina-panina glaucoma;
• hypersensitivity lāʻau 'ona;
• paroxysmal tachycardia;
• loa hepatic hoʻopilikia;
• cardiogenic kŰia;
• concomitant Inc me ka tricyclic antidepressants a me nonselective Hoʻokolohua-blockers;
• hyperthyroidism.

Akahele ana pāʻoihana

Me ka lōʻihi mālama nuiʻia ka lapaʻauʻia i hoakaka ia no:

• mimikō;
• maʻi naʻau ole;
• hypertension;
• atrioventricular aeie;
• ʻaʻa puʻuwai ole;
• aku aat i loko o ka wahi o ka anesthesia;
• i ka wa e poohina ai;
• hoʻonāwaliwali moku'āina o ka hoʻomanawanui.

Pehea e pili i ka pāʻoihana "Ubistezin forte»?

Nānā akula au i ka lapaʻauʻia hiki ke hoʻohana i pili i ola kanaka me ka nīnūnē kahua niho kaʻina hana. No kekahi manawa hoʻohana i ka pūpanapana mea e pili ana 1-2, a hoʻopili like me 2-4 ml. Ke i kā mākou tolerated mahele lāʻau o kēia pāʻoihana no 2 uaki mea 2.5-3 ka pūpanapana.

he lāʻau injected ma lalo o mucosa i loko o ka nui o ka 1,7 ml (kekahi niho) me uncomplicated niho pōʻalo.

I ka lani mahele pili 0,1 ml o ka pāʻoihana ma ushivanii perineum - ma kahi 5-15 ml, a me ka tonsillectomy ma - 5,10 ml (no tonsil).

Inā ka medicament ua hoʻohana 'ia no ka conduction anesthesia (e laʻa me, intercostals, retrobulbar, epidural, paravertebral paha sacral), e like me blockade (trigeminal paracervical, brachial plexus a stellate ganglion), nā kauka hoʻohana mai 1 a hiki i 30 ml (ke kaumaha ma muli o ka buke o anesthesia a me ka pahu kui paena).

ʻaoʻao waiwai

E like me na kuhikuhi, noʻonoʻo i ka lāʻau hiki i ka i kēiaʻaoʻao reactions:

• nausea, "Ohana" i loko o ka maka, ka luaʻi, nā aʻalolo pōʻino;
• headache, redness o kaʻili, Muscle tremors, tachycardia;
• hoʻopilikia o ka ike paka i (paha i kona poho) a me ka hanu, kulu i loko o ke koko,, Muscle twitching;
• generalized convulsions, pruritus, conjunctivitis, kaumaha mea'ōnaehana mānowai koko aayoaeuiinoe;
• haanou ana ma ka ka pahu kui paena, haanou ana o na lehelehe, rhinitis.

symptoms o overdose

An overdose me keia k ke kumu ka i kēia undesirable symptoms: tachycardia, pōniuniu, hoʻopilikia o ka ike paka i, bradycardia, uunu nui, haʻahaʻa ke koko.

I ka nānā mau deviations pono e hooki aku i nā mea a pau manipulations, kau i ke ahonui a me ka hoihoi i ka airway. Oe E kekahi mau kanaka hoʻoponopono i ka naau i kela a me ke koko, o ka hoʻomanawanui.

Ka luahi mea he me mechanical hoʻokomo ea. Ma convulsions hoʻomanawanui intravenously lawelawe barbiturates ma vascular'opi - "Crank" ma ka hawewe - electrolytes a me glucocorticosteroids tachycardia - e wae Hoʻokolohua-blockers, a me ka hoomahuahua i loko o ke koko, -ʻike ākea vasodilators.

Gestation au, e ai ana

Hiki au ke hoʻohana "Ubistezin pāpū" i hāpai keiki? Poe akamai i hōʻike i ka lāʻau hele ma ka placental ke'ākeʻakeʻa mai. Ma keia e pili ana, ka mea i loa pakele anesthetic, a i ole ia ma luna o ka fetus.

Like no ka breastfeeding makuwahine, ka mea e ole kū ana breastfeeding like me ka hana nā mea hoʻohui o ka medicament ua ole excreted me ka waiū.

Reviews a me ka uku

Ke kumu o ka mea paahana loli aʻe 2000-2100 rubles (ka pūpanapana 50).

Nā kauka niho olelo e pili ana i ka makana hoʻomanaʻo wale ma kaʻaoʻao maikaʻi. I ka laulā o keia k mea ku pono i na mea he nui aʻe.

A pakeneka kiʻekiʻe o kaʻeleu waiwai paa i nā polokina paipai ia ma kahi o 95% o ka lāʻau komo i ke koko kahe me he AEeOEXAaI waiwai. Me keia manao, ua hiki pakele manao nei makou, o ka kaʻawahia o keia k ka loa haʻahaʻa. I ka Ia manawa ka laulā o ka anesthesia Ua kiʻekiʻe.

It E e kaulana no hoi i "Ubistezin forte" excreted loa koke mai i ke kino. Inā 'oe makemake e hou-ka pahu kui, kaʻawahia hopena o ka lāʻau mea me ka nui loa haʻahaʻa ma mua ia o nā anesthetics.