"Ultrakain D": cov lus qhia rau kev siv

Dawm rau tus kws kho hniav - nws yog lub luag hauj lwm, uas yuav tsum tau muaj zog qab haus huv. Seb nws yog ib tug phem hniav, mob puab tsaig paj los yog pos hniav, tag nrho cov no yog nrog los ntawm mob heev, tsis muaj peev xwm mus ua tau ib lub neej zoo. Ntshai kev cuam tshuam thiab kev ntshai kev mob feem ntau ua rau lub fact tias tus neeg mob txo nws hwj nws mus ntsib mus rau tus kws kho mob rau lub xeem.

Yuav kom daws tau qhov teeb meem no yuav pab ib tug zoo anesthetics siv nyob rau hauv kev kho hniav. Ib tug ntawm lawv - "Ultrakain D". Nws negates tag nrho cov neeg ntshai, tag thaiv cov hlab qhov rhiab heev nyob rau hauv lub qhov chaw ntawm manipulation.

Yog vim li cas qhov no xum rau cov cov tshuaj feem ntau cov kws kho hniav?

nta

Muaj ntau ntau txawv anesthetics siv nyob rau hauv kev kho hniav. Qhov zoo tshaj plaws lub npe hu ntawm lawv yog "Novocaine" thiab "lidocaine".

Cov kws kho hniav, paub txog tias ntshai lawv cov neeg mob feem ntau tsis pub raws sij hawm thiab zoo muab lawv nrog kev kho mob, xav kom thov nyob rau hauv kev xyaum lub feem ntau haib painkillers. Qhov no yog vim lub fact tias lub puab tsaig muaj ib tug loj tus naj npawb ntawm cov hlab fibers.

Los ntawm virtue ntawm tshuaj loog "Ultrakain D" zoo "Novocain" 5 lub sij hawm thiab "lidocaine" - 2 lub sij hawm.

Ntxiv mus, qhov no zoo ntawm "ultrakain" tsis muaj epinephrine tam sim no nyob rau hauv lub ob yam ntaub ntawv ntawm cov tshuaj. Epinephrine muaj ib tug xov tooj ntawm contraindications thiab tej zaum yuav tsis tau siv nyob rau hauv cov neeg mob uas intolerance rau qhov no kev tivthaiv.

Cov ntsiab lus ntawm epinephrine raws li ib feem ntawm kev ua kom loog thiab yuav muaj cov ib tug haum preservatives rau preservation, uas yuav ua tau haum cev rau cov neeg mob.

Yog li, daim ntawv no ntawm cov tshuaj yog qib siab rau kev siv nyob rau hauv cov tib neeg nrog ib tug high school cov ntxim yuav zoo siv ntawm ib tug tsis haum cov tshuaj tiv thaiv, xws li cov neeg uas muaj ib tug mob mob hawb pob.

piav qhia

"Articaine D" muaj nyob rau hauv daim ntawv ntawm ib tug tsis muaj kob pob tshab tshuaj cov kev txhaj tshuaj.

Nyob rau hauv 1 ml ntawm nws muaj: Active tivthaiv - articaine hydrochloride (40 mg), ntxiv Cheebtsam - dej rau txhaj tshuaj thiab sodium tshuaj dawb.

Cov tshuaj belongs rau ib tug xov tooj ntawm lub zos anesthetics artikainovogo.

Nws yog siv raws li ib tug txhaj nyob rau hauv cov kev kho hniav xyaum rau lub thaiv thiab infiltration tshuaj loog.

Cia kom khov los nrog ib tug tsis rhiab heev feem, uas yog xeem txhaj tshuaj, tshwm sim nyob rau 1-3 feeb. Cov nyhuv no tsuas kav txog 20 feeb.

Txij li thaum articaine yog sai degraded nyob rau hauv lub cev mus rau uas tsis yog-tshuaj lom acid, ces tso cai rau rov taw qhia ntawm cov tshuaj no yog tias tsim nyog.

Qhov no ua kom loog muab cia rau hauv lub siab, tsis tas nyob rau hauv niam cov kua mis, hla lub tsho me nyuam, nws yog tas los ntawm ob lub raum.

zaj lus tim khawv

"Articaine D" (cov muaj pes tsawg leeg excludes lub xub ntiag ntawm epinephrine) yog tau tso cai ua ntaub ntawv thov rau tej pawg ntawm cov neeg mob muaj sulfite intolerance.

Tsis tas li ntawd, kev ua kom loog yog tso cai rau tej yam kev mob uas yog contraindications rau lwm cov ntaub ntawv ntawm "ultrakain" muaj epinephrine. Qhov no lub plawv thiab leeg tshav kab mob, tachyarrhythmia, tachycardia (paroxysmal), thov ib tug uas tsis yog-cardioselective beta blockers, pheochromocytoma, kaw glaucoma, hyperthyroidism, mob tawg.

Kev ua kom loog "Ultrakain D" cov lus qhia rau kev siv nyob rau hauv kev kho hniav xav siv cov nram qab no:

• conduction thiab infiltration tshuaj loog departments ntawm lub qhov ncauj rau cov neeg mob saib tsis tau epinephrine;
• luv luv kho hniav phais (e.g., canines, incisors);
• tu ntawm carious qhov chaw ntawm tus hniav;
• Tig mus rau tus hniav prosthesis;
• manipulations, tau ib tug me me npaum li cas ntawm kev ua kom loog tagnrho.

Contraindications

Contraindications rau kev siv ntawm "ultrakain D" muaj xws li tej yam kev mob xws li:

• idiosyncrasy articaine thiab lwm yam anesthetics ntawm amide hom;
• loj ua txhaum ntawm mob conduction;
• txhaws lub plawv tsis ua hauj lwm;
• mob loj heev hypotension;
• anemia tshwm sim los ntawm vitamin B12 deficiency;
  
• hypoxia;
• cholinesterase tsis muaj peev xwm;
• Cns kab mob;
• lub sij hawm ntev los ntim kho hniav phais;
• tus neeg mob lub hnub nyoog txog li 4 xyoo.

Siv nrog ceev faj

Peb nco ntsoov tias "Ultrakain D" muaj articaine, crosses lub tsho me nyuam. Nyob rau hauv no hais txog, cov kev txiav txim siab rau daim ntawv thov ntawm no kom loog nyob rau hauv beremennyhm cov neeg mob yuav tsum tau tus kws kho mob.

Articaine, tsis zoo li lwm lub zos anesthetics, nws kis tau los ntawm lub tsho me nyuam nyob rau hauv heev me me, tab sis lub rooj rau nws siv yuav tau justified tsuas yog lub peev xwm kev pab los ntawm nws yog siab tshaj qhov uas yuav kom cov me nyuam hauv plab thiab leej niam.

Lactating cov poj niam tshuaj no yog tsis txhob, raws li articaine yog sai tas los rau ntawm lub cev thiab kis mus rau hauv niam cov kua mis.

dosing

"Ultrakain D", cov nqe lus ceeb toom, nws yog tsis pom zoo kom nkag mus rau hauv lub kub lug cov ntaub so ntswg.

Ua ntej koj yuav ua ib tug yeeb tshuaj tsim nyog los nqa tawm ib qho kev aspiration xeem, nyob rau hauv kom tsis txhob tau txais cov tshuaj mus rau hauv ib txog hlab ntsha. Rau qhov no, tom qab cov kev taw qhia ntawm cov koob txhaj koob rau lub tswv yim npaj txhaj koob txhaj piston yuav tsum rub me ntsis nyob rau hauv lub rov qab cov kev taw qhia thiab xyuas kom meej tias tsis muaj cov ntshav nyob rau hauv cov tshuaj tov. Lub xub ntiag ntawm cov ntshav nyob rau hauv tus xiaslias uas hais tias lub koob tau chob txog hlab ntsha, ces nws yog tsim nyog los hloov qhov chaw los yog qhov tob ntawm kev txhaj tshuaj.

Nrog ib tug tsis zoo tshwm sim ntawm kev npaj mus xeem yuav muab nyob rau hauv lub xaiv cheeb tsam rau nws analgesic.

ntau npaum

Rau infiltrative tshuaj loog yuav tsum tau 1.7 ml ntawm cov tshuaj nyob rau hauv ib los yog ob uas nyob ib sab hniav.

Rau conduction tshuaj loog ua hauv qab no alveolar paj xav tau 1-1.7 ml ntawm cov kua.

Maximum permissible koob tshuaj rau cov neeg laus cov neeg mob - 4 mg ib 1 kg ceeb thawj.

phiv

Yuav ua li cas unintended txim tej zaum yuav ua rau "Ultrakain D"? Cov lus qhia rau kev siv nyob rau hauv kev kho hniav ceeb toom hais tias tom qab cov thawj coj los ntawm kev ua kom loog yuav muaj kev phiv xws li kiv taub hau, tsis muaj zog, tsis hnov lus, mob taub hau, somnolence.

Thaum tau siab tshaj lub tshuaj ntawm cov tshuaj, tus neeg mob tej zaum yuav tshwm sim ntxaug nco qab los yog ua pa nyuaj siab thiab convulsions.

Dyspepsia - xeev siab, ntuav - kuj yuav tshwm sim los ntawm cov kev taw qhia ntawm cov tshuaj.

Teeb nyob rau hauv lub system ntawm lub plawv thiab cov hlab ntsha tom qab txhaj tshuaj "ultrakain D" tej zaum yuav raws li nram no: txo nyob rau hauv cov ntshav siab, cov lus lub plawv dhia, lub plawv tsis ua hauj lwm, lub cev qhuav dej, bradycardia, mob hauv siab.

Ua ntej siv cov khoom "Ultrakain D" qhia yuav tsum tau kom huv si kawm. Cov kev ua kom loog tej zaum yuav haum cev rau cov neeg mob, nws yog pom zoo kom muaj cai ib yam ua ntej kev kuaj rhiab heev rau ib tug muab painkillers.

Ib koob tshuaj tiv thaiv rau cov yeeb tshuaj qhia los ntawm cov nram qab no cov tsos mob: liab, o ntawm lub qhov koob, urticaria, pruritus, tawm pob, rhinitis, conjunctivitis, ntsej muag edema (o ntawm ob daim di ncauj), o ntawm lub caj pas, ua pa nyuaj, anaphylactic poob siab.

Thaum lub lesion cov ntaub so ntswg paj fibers yuav tshwm sim ntawm lub ntsej muag paj paresis, paresthesias ntawm ob daim di ncauj thiab tus nplaig, thiab xws li loog loog ntawm saj xaav.

Pab nyob rau hauv overdose

"Ultrakain D" yog zoo zam los ntawm feem ntau cov neeg mob. Tiam sis peb yuav tsum tsis txhob tsis saib tsis xyuas cov kev ceev faj rau nws siv.

Cov tsos mob ntawm ib qho kev overdose ntawm cov tshuaj no yog: tsis nco qab, kiv taub hau, bradycardia, ntau lub cev muaj zog ua si, tsis muaj ntshav siab.

Pab: Muab tus neeg mob lub cev kab rov tav txoj hauj lwm nrog tsa upside down. Muab tshiab huab cua thiab kom paub tseeb tias cov hlab pas yog free.

Thaum uas siv cov kev ua kom loog "Ultrakain D" phau ntawv kom daim ntawv thov mus saib xyuas cov ntshav siab thiab lub plawv dhia.

Yog hais tias ua tsis taus pa yog nyuaj - muab tus neeg mob cov pa. Yog hais tias tsis ua pa lawm qhia tau hais tias cov neeg kho tshuab cua. Edema ntawm lub suab - endotracheal intubation thiab txhua yam cua.

Nyob rau hauv convulsions - barbiturates muab intravenously, muab tus neeg mob cov pa saib hemodynamics.

Nyob rau hauv lub poob siab thiab loj heev ua txhaum ntawm kev - muab intravenously albumin, ntshav hloov, glucocorticoids, electrolytes.

sis

Vim qhov no ua kom loog muaj epinephrine (adrenaline analogue) uas yog ib tug vasoconstrictor, nws yog pom tseeb tias "articaine D" tsis muaj epinephrine, thaum siv nrog anticoagulants tsub kom qhov uas yuav los ntshav.

Raws li cov kev hauv zos kom loog, cov tshuaj yuav pab cov nyhuv ntawm oppressive central lub paj hlwb.

10 hnub ua ntej daim ntawv thov ntawm cov kev ua kom loog yog tsim nyog los tshem tawm cov kev siv ntawm Mao inhibitors. Qhov no yuav txo cov kev pheej hmoo ntawm hypotension.

Decongestants thiab narcotic analgesics txhim khu thiab prolong lub kev txiav txim ntawm cov tshuaj. Cov yav tas, nyob rau tib lub sij hawm, yuav ua rau kev nyuaj siab los yog ua pa raug ntes.

Xyuas

Nyob rau hauv kev npaj "Ultrakain D" xyuas yog feem ntau txo mus rau lub fact tias nws muaj ib tug zoo, tab sis luv luv-term analgesic los.

Cov neeg mob, uas raug kev ua kom loog thaum lub sij hawm kev kho hniav, nco ntsoov cov nram no:

• cov tshuaj yog muag nyob rau hauv yuav luag tag nrho cov khw muag tshuaj nyob rau ntawm ib tus nqi pheej yig;
• active tshuaj loog anesthetizes zoo, kiag li tshem cov rhiab heev thiab mob;
• luv luv-term nyhuv ntawm cov tshuaj, yog li ntawd koj yuav ceev nrooj rhuav tshem ntawm cov xws li loog loog, hais lus dawb do thiab noj;
• qhov zoo tshaj plaws tshuaj loog rau cov neeg uas tsis nyiam ntev chilling nyhuv ntawm xws nyiaj;
• zoo kev xaiv ntawm kev ua kom loog rau cov neeg mob hawb pob lossis thyroid kab mob;
• Tsis zoo li "articaine" muaj epinephrine, cov tshuaj tsis ua teeb lub plawv xws li tachycardia, bradycardia, etc.

"Ultrakain D" neeg mob xyuas paub meej tias qhov no, yog heev nrov. Qhov tsis zoo, raws li ib tug kom zoo dua, xws li xwb nws momentary txiav txim raws li ib tug analgesic.

Txawm tias muaj tseeb tias cov tshuaj yuav tsum tau muab nws tus kheej yuav tau hauv lub tsev muag tshuaj thiab nqa nrog koj mus tus kws kho hniav, koj yuav tsum tham ib tug kws kho mob ua ntej koj muas. Tsuas yog ib tug kws muaj peev xwm txiav txim ntev npaum li cas nws yuav siv sij hawm cov txheej txheem, thiab tej zaum yuav qhia rau siv cov tshuaj tshaj ntev ntev.

"Ultrakain D forte"

Trade lub npe ntawm cov tshuaj, "Dr. Ultrakain lub fort." Nws yog siv nyob rau hauv cov kev kho hniav xyaum raws li ib lub zos ua kom loog.

Muaj raws li ib tug ntshiab, tsis muaj kob tshuaj cov kev txhaj tshuaj.

Nyob rau hauv 1 ml ntawm kev ua kom loog muaj: articaine hydrochloride (40mg), - tus active tshuaj, epinephrine hydrochloride (0.012 mg) - active tshuaj; sodium bisulfite, dej kev txhaj tshuaj, sodium tshuaj dawb - cam.

Qhov ratio ntawm epinephrine rau articaine nyob rau hauv daim ntawv no ntawm cov tshuaj yog 1: 100000, raws li qhia nyob rau hauv kev ua kom loog thawv.

nta

Epinephrine (adrenaline sib npaug) nyob rau hauv muaj pes tsawg leeg yog ib qho kev ua kom loog thiab ib tug vasoconstrictor cas sim haum kev ua kom loog nyhuv tso cai articaine.

Tsis tshua muaj toxicity tshuaj tso cai nws pheej rov qab ua thawj coj raws li xav tau.

Qhov no ua kom loog mus ib ntus eliminates lub rhiab heev ntawm paj fibers ntawm lub qhov koob.

Cov nyhuv ntawm "khov" cov ntaub so ntswg tshwm sim tsis pub dhau 3 feeb tom qab txhaj tshuaj thiab kav rau tsawg kawg 75 feeb.

zaj lus tim khawv

Cov tshuaj siv nyob rau hauv kev kho hniav xyaum rau conduction tshuaj loog thiab infiltration, uas yog yuav tsum tau rau kev haujlwm nyob rau hauv lub qhov ncauj kab noj hniav los yog mus rau cov kev kho hniav sis plawv hniav, kev tshem tawm cov tawg hniav, thaum lub sij hawm lub sij hawm ntev ntawm kev phais kev cuam tshuam.

Contraindications

Qhov no ua kom loog yog ua rau ze li ntawm tib neeg mob raws li "Ultrakain D", raws li uas tau piav saum toj no. Qhov no yog vim lub zuag qhia tag nrho active tshuaj nyob rau hauv nyob tus yeees ntawm ob tshuaj - articaine. Tsuas ntev-nyob ua hauj lwm nyob rau hauv lub qhov ncauj kab noj hniav tsis yog ib tug contraindication rau kev ua kom loog, thiaj li epinephrine prolongs qhov kev txiav txim.

Txawm li cas los, cov epinephrine muaj ib tug xov tooj ntawm contraindications uas siv rau daim ntawv no ntawm tso tawm "ultrakain".

Cov muaj xws li:

• intolerance rau sulfites thiab lwm yam nyob rau hauv nyob tus yeees ntawm cov kev ua kom loog;
• mob hawb pob;
• tachyarrhythmia;
• paroxysmal tachycardia;
• thyroid kab mob;
• tawg nyob rau hauv mob loj heev;
• siv ntawm ib tug uas tsis yog-cardioselective beta-blockers;
• glaucoma (kaw).

Yuav ceev faj ntawm ib tug neeg mob angina Cardiosclerosis, cerebrovascular kab mob, atherosclerosis, mob stroke, mob hawb pob, mob ntshav qab zib, ntsws mob, mob mob ntawm ob lub raum los yog siab, tsis muaj ntawm cholinesterase, ntshav mob, nyob excessively pog xeev.

Cev xeeb tub

"Ultrakain D" thaum lub sij hawm cev xeeb tub muab undesirable vim hais tias articaine hla lub tsho me nyuam. Tab sis yog hais tias tus yuav tsum rau ib tug ua kom loog, nws yog zoo dua mus xaiv ib daim ntawv ntawm "ultrakain", uas tsis muaj epinephrine los yog muaj nws nyob rau hauv lesser noj tshuaj npaum cas tshaj "Ultrakain D-C Forte"

Lactating cov poj niam tshuaj no yog tsis txhob, raws li nyob rau hauv niam cov kua mis nws nqi yog heev me me.

ntau npaum

Nws pom zoo muab tshuaj xwb nyob rau hauv cov cheeb tsam uas tsis muaj mob.

Peb yuav tsis cia allergic ntawm kev ua kom loog mus rau hauv cov hlab ntsha!

Yuav kom ua tau ib txoj kev los kho tus mob ib tug neeg laus neeg mob txaus koob tshuaj loog los ntawm lub xam: 1 kg - tsis muaj ntau tshaj 7 mg ntawm cov tshuaj.

Rau cov me nyuam hnub nyoog 4 xyoo tshaj plaws analgesic koob tshuaj yuav tsum tsis txhob ntau tshaj 5 mg ib 1 kg ntawm cov tshuaj hnyav.

Laus cov neeg mob thiab cov neeg uas raug kev txom nyem los ntawm sab kev hepatic los yog lub raum tsis ua haujlwm zoo, yog tsis pom zoo kom nkag mus rau tus nqi ntawm cov tshuaj nyob rau hauv excess ntawm qhov tsawg kawg nkaus koob tsim nyog mus cuag loog.

Phiv tshua mus rau yeeb tshuaj

Sab los nyob rau hauv daim ntawv ntawm qhov kev tso tawm ntawm "ultrakain" tib yam li hais tias ntawm lub "ultrakain D". Txawm li cas los, muaj cov epinephrine nyob rau hauv cov tshuaj tej zaum yuav ua ntxiv phiv cov tshuaj tiv thaiv los ntawm lub cev. Txawm li cas los, muaj xws li mob yog tsis tshua muaj heev, lawv muaj xws li tachycardia, mob arrhythmias, nce ntshav siab.

Yog hais tias cov khoom nkag rau hauv cov ntshav txog ntsha, tej zaum yuav muaj qhov chaw ntawm necrosis ntawm lub qhov koob.

"Ultrakain D-S"

Lub tsuas daim ntawv ntawm tso "ultrakain", uas tsis muaj epinephrine - ib tug "Ultrakain D". "Articaine D-C ', nyob rau hauv lem, muaj xws li epinephrine, tab sis rau ib tug tsawg koob tshuaj tshaj" articaine D-S-forte ".

qauv

1 ml muaj 40 mg ntawm kev ua kom loog articaine 0,006mg thiab epinephrine. Qhov ratio ntawm epinephrine rau articaine nyob rau hauv daim ntawv no ntawm cov tshuaj yog 1: 200 000. Tsis tas li ntawd muaj nyob rau hauv cov tshuaj thiab ntxiv cov khoom xyaw: dej rau txhaj, sodium disulfite, sodium tshuaj dawb.

nta

Thaum txhaj tshuaj ntawm kev ua kom loog nws cov nyhuv tom qab 3 feeb thiab kav rau tsawg kawg 45 feeb.

Vim lub me me koob tshuaj ntawm epinephrine, cov tshuaj muaj tsis muaj teeb meem loj los rau hauv lub plawv, uas muaj kev ruaj ntseg rau siv nws rau ib ntev lub sij hawm kev kho mob manipulations.

zaj lus tim khawv

Conduction thiab infiltration tshuaj loog thaum lub sij hawm kev kho hniav ua hauj lwm, xws li:

• hniav extraction;
• Tig mus rau tus hniav prosthesis;
• kev kho mob ntawm carious hniav.

Contraindications

Txij li thaum tus piv ntawm epinephrine rau articaine raws li ib feem ntawm cov kev npaj "Ultrakain D-S" - 1: 200 000, contraindications rau kev siv tshuaj loog mob mas nrog cov rhiab heev ntawm cov neeg mob kom articaine.

Cov tshuaj yog ua rau bronchial hawb pob thiab hyperthyroidism vim epinephrine, uas, tab sis yog nyob rau hauv me me koob tshuaj, tab sis yog tam sim no nyob rau hauv lub loog.

Tsis tau daim ntawv no ntawm "ultrakain" kuj muaj kev nyab xeeb rau kev siv nyob rau hauv cev xeeb tub thiab lactating cov neeg mob, cov neeg uas muaj compensated kab mob plawv thiab cov hlab ntsha.

Ceeb toom! Cov tshuaj yuav tsum tsis txhob nkag tau rau hauv cov hlab ntsha thiab cov kub lug ntaub so ntswg!

Tag nrho lwm cov tswv yim pom zoo rau kev siv ntawm cov tshuaj loog: sis raug zoo nrog lwm yam tshuaj, phiv, contraindications, indications, los ntawm ib tug overdose, tib cov lus qhia, muab rau "D-Ultrakain lub fort."

tso tawm daim ntawv

Tag nrho 3 hom "articaine D" muaj nyob rau hauv daim ntawv ntawm ib tug daws nyob rau hauv vials ntawm 2 ml (ntim - 10) cartridge los yog tank ( "articaine D") 1.7; 100 daim nyob rau hauv ib lub thawv.

Ua ntej siv cov tshuaj loog yuav tsum tau ua tib zoo nyeem cov lus qhia, tshawb xyuas cov hnub tas sij hawm ntawm cov tshuaj, kom cov sterility ntawm cov txheej txheem, nqa tawm ib txoj kev kuaj rau qhov rhiab heev mus rau yeeb tshuaj thiab ib tug aspiration xeem.

Tom qab txhaj tshuaj, nws yog pom zoo kom ua tib zoo saib xyuas tus neeg mob tus mob thiab, yog tias tsim nyog, muab cov kev tsim nyog ntsuas kom muab nws thawj pab ntsuas.