"Articaine": cov lus qhia rau kev siv thiab analogues

Yuav ua li cas kuv yuav tsum tau siv thiab nyob rau hauv dab tsi tej yam kev mob yuav tsum tsis txhob muab ib yam tshuaj "Articaine"? Cov lus qhia rau kev siv thiab contraindications ntawm cov tshuaj yuav tsum tau muab xam tau tias yog ntxiv. Tsis tas li ntawd nyob rau hauv no tsab xov xwm koj yuav nrhiav tau cov lus qhia txog cov kev phiv los ntawm cov tshuaj, nws analogues thiab kho nta.

Cia rau hauv daim ntawv ntawm ib tug medicament, muaj pes tsawg leeg, kev piav qhia thiab ntim

Yuav ua li cas yog cov kev kho mob npaj "Articaine"? Cov lus qhia rau kev siv, xyuas tau qhia hais tias nws yog ib tug tshuaj meej tov, uas yuav ua tau tsis muaj kob los yog tej zaum yuav muaj ib tug me ntsis yellowish tint.

Lub active ingredient ntawm no neeg sawv cev ua articaine hydrochloride. Tsis tas li ntawd cov tshuaj tov muaj koom haum pab Cheebtsam xws li dej d / u thiab sodium tshuaj dawb.

Nyob rau hauv lub qhov muag ntawm cov tshuaj los nyob rau hauv cartridges uas fej nyob rau hauv contour yas cell packs thiab daim ntawv ntsig txog. Tsis tas li ntawd yuav ib injectable tshuaj tej zaum yuav nyob rau hauv ampoules ntawm cov iav.

Therapeutic yam ntxwv ntawm cov kev npaj

Yuav ua li cas yog zoo tshaj plaws tshuaj "Articaine"? Cov lus qhia rau kev siv, hauj lwm sib ceg hais tias qhov no txhais tau tias yog ib tug thiophene derivative. Nws exhibits lub zos ua kom loog zog thiab yog dav siv rau tshuaj loog (infiltration thiab conduction).

lub active ingredient ntawm cov tshuaj yog hydrolyzed nyob rau hauv ib tug weakly alkaline nruab nrab ntaub so ntswg. Thaum zoo li no puag yog tso tawm, uas exhibits lipophilic zog. Vim li no cov nyhuv articaine yooj yim heev nws penetrates los ntawm lub cell daim nyias nyias mus rau hauv lub paj fibers.

Los ntawm sawv receptors, suav hais tias cov tshuaj blocks tsis tau tsuas yog cov txheej txheem ntawm tus me nyuam ntawm Na ions nyob rau hauv lub hlwb, tiam sis kuj impedes ib tug hlab ntsha lam ua.

Tshaj tawm cov kws kho hniav txiav txim medicament "Articaine", cov lus qhia rau kev siv uas yog tau piav tom qab, yog cai yuav luag tam sim ntawd tom qab thawj coj. Raws li hais cov hauj lwm zoo ntawm cov tshuaj, nws yog cai rau peb teev thiab yog txo xwb nyob rau hauv lub acidic ib puag ncig.

Kev tig tau cov yam ntxwv ntawm kev txhaj tshuaj tov

Yuav ua li cas puas muaj tus haum ntawm "Articaine" tshuaj? Cov lus qhia rau kev siv siv hais tias thaum muab intramuscularly nyob rau hauv lub ncov cov ntshav concentration ntawm no neeg sawv cev yog attained tom qab 25-35 feeb.

Thaum muab medicament rau lub qhov ncauj mucosa nws exhibits enhanced diffusivity.

Ntshav protein active tshuaj uake kwv yees li 95%. Nws yog metabolized nyob rau hauv daim siab thiab tas los ntawm ob lub raum tsis pub dhau rau lub sij hawm (ib nrab-lub neej ntawm kev ua kom loog yog hais txog 65-80 feeb).

Peb tsis tau hais tias deals nrog cov txhais tau tias mus txeem lub tsho me nyuam (nyob rau hauv tsawg tshaj li lub zos anesthetics), raws li zoo raws li los ntawm cov ntshav-hlwb barrier (nyob rau hauv me me qhov ntau). Raws li rau cov niam cov kua mis, ces nrog nws articaine tsis yog sawv tawm.

indications rau

Los ntawm tej yam prescribers "Articaine"? Cov lus qhia rau kev siv qhia tau tias qhov cuab tam yog feem ntau siv nyob rau hauv kev kho hniav xyaum rau lub hom phiaj ua kom loog (infiltration thiab conduction).

Bans kev siv cov

Thaum articaine tej zaum yuav tsis siv cov tshuaj yeeb dej caw? Cov lus qhia rau Siv hais tias npaj raws li nyob rau hauv no kev tivthaiv, yog txhob nyob rau hauv:

• mob hypoxia;
• articaine siab rhiab heev, raws li zoo raws li lwm lub loog cov neeg ua hauj teej tug mus rau lub amide pab pawg neeg;
• tej central tshee system kab mob;
• megaloblastic B12-deficiency anemia;
• bronchial hawb pob;
• lub-kaw glaucoma;
• paroxysmal tachycardia;
• lub plawv tsis ua hauj lwm, mob;
• atrial tachyarrhythmia;
• mob loj heev mob conduction mob (e.g., bradycardia, atrioventricular thaiv degree II-III);
• tej maxillofacial ua hauj lwm, thiab kuj thaum lub sij hawm heev phais pab (ntev tshaj 20 feeb);
• arterial hypotension ;
• nyob rau hauv cov me nyuam nyob rau hauv plaub lub xyoos ntawm hnub nyoog (kev ruaj ntseg thiab miv nyuas siv zug muaj tsis tau kawm).

Nws yuav tsum tau muab sau tseg tias huab ceev faj yog ib lub cuab tam muab rau cev xeeb tub cov poj niam nrog pre-eclampsia, raws li zoo raws li los ntshav nyob rau hauv lub kawg peb lub hlis.

Tshuaj "Articaine": Instruction rau siv nyob rau hauv kev kho hniav

Ua ntej cov kev taw qhia ntawm cov nyiaj yuav tsum nco ntsoov nqa ib aspiration xeem. Qhov no yog tsim nyog nyob rau hauv thiaj li yuav txo tau cov ntxim yuav zoo siv ntawm intravascular thawj coj ntawm cov tshuaj.

Tshaj tawm tshwj xeeb thaum lub sij hawm zoo ntawm qhov suav hais tias medicament siab rau tus xiaslias nqus yuav tsum tau tom nyob ntawm qhov rhiab heev ntawm cov ntaub so ntswg. Thaum nws yog tsis pom zoo hais tias cov tshuaj yuav muab kub lug qhov chaw ntawm lub qhov ncauj. Noj cov zaub mov tsuas yog tom qab tag nrho restoration ntawm rhiab heev pub tom qab txhaj tshuaj sai.

Nyob rau hauv tus txheej txheem ntawm tshem uncomplicated hniav nyob rau hauv lub qaum puab tsaig (yog hais tias muaj yog tsis muaj mob), siv 1.7 ml (ib tug hniav). Yog hais tias yuav tsum tau, tus neeg mob yog ntxiv xeem 1-1.7 ml ntawm cov kev npaj.

Rau tshuaj loog thiab Palatine suture seem los ua ib tug depot ntawm ib tug neeg mob yog muab palatal 0.1 ml ntawm cov khoom.

Thaum tshem cov premolars, nyob rau lub sab puab tsaig (nyob rau hauv uncomplicated degree), kev infiltration tshuaj loog. Txawm li cas los, nws muaj cov nyhuv ntawm conductive tshuaj loog.

Thaum lub raws ntawm lub crown hniav (tsis suav mandibular hniav puas) thiab phais yog nqa kab noj hniav vestibular txhaj ntawm ib tug ntau npaum ntawm 0.5-1.7 ml ib hniav.

Tib koob tshuaj medicament nws siab tshaj plaws ntau npaum rau cov neeg laus yog 4 mg / kg lub cev hnyav.

Kev nqis tes ua los ntawm-cim

Raws li zam lub txim rau cov tshuaj "Articaine"? Cov lus qhia rau kev siv (tshwm sim los ntawm cov tshuaj yuav tsum tau muab nthuav txoj cai tam sim no) hais tias cov tshuaj no yog tsis tshua muaj heev los ntawm ib tug tsis zoo ua cim. Peb yuav paub qhov txawv ntawm lawv xws li:

• stupor, kiv taub hau, ua pa mob, nraum nrig txog kev pom teeb, npag co, nqaij laim, qhov muag plooj tsis pom kev (ib ntus);
• Generalized tu-sauv, paresthesias, tej ntshav siab, hypesthesia, dig muag, plawv tsis ua hauj lwm, diplopia, poob siab;
• kev tsis haum tshuaj, xeev siab, angioneurotic edema, ntuav, o, liab liab ntawm daim tawv nqaij, o ntawm lub qhov ncauj mucosa, conjunctivitis, urticaria, txhaws ntswg;
• o ntawm lub puab tsaig, lub Upper thiab qis daim di ncauj ntawm lub vocal cords o uas muaj teeb meem nqos.

Nws yuav tsum raug sau tseg hais tias tej zaum thaum tsis muab lub zos anesthetics yuav puas lub ntsej muag paj. Nws yuav ua tau kom tuag tes tuag taw.

tshuaj overdose

Yuav ua li cas yog lub cim ntawm overdose tshwm sim vim tsis yog ntawm kev noj tshuaj "Articaine"? Cov lus qhia rau kev siv qhia cov nram qab no cov tsos mob: tsis nco qab, kiv taub hau, tsis muaj ntshav siab, stupor thaum lub sij hawm zoo los yog lub cev muaj zog stimulation, bradycardia.

Yuav kom tshem tawm tej lub xeev yuav tsum tam sim ntawd tso tseg txhaj tshuaj thiab muab tso rau tus neeg mob nyob rau hauv lub txaj. Tsis tas li ntawd nws yog tsim nyog los xyuas kom meej qhov free flotation ntawm lub pa ib ntsuj av tau, los tswj lub plawv dhia thiab ntshav siab mob.

Drug sis npaj

Local anesthetics yuav ua rau kom lub los ntawm cov tshuaj uas inhibit qhov kev txoj kev muaj feem xyuam rau lub hauv paus poob siab system.

Nyob rau hauv thaum uas tig mus nrog cov piav tshuaj daim ntawv thov cai nram qab no cov tshuaj tiv thaiv:

• nrog anticoagulants tsub kom qhov uas yuav los ntshav thiab ntshav;
• nrog monoamine oxidase inhibitors tsub kom kev pheej hmoo ntawm hypotension;
• myorelaxant txiav txim txhais tau tias nce thiab yog elongated;
• nrog vasoconstrictors amplified thiab elongates mestnoanesteziruyuschee nyhuv articaine;
• nrog narcotic analgesics enhanced pa nyuaj siab thiab tsim ib tug additive nyhuv ;
• nrog cholinesterase inhibitors txo metabolism articaine.

Nws yuav tsum tau muab sau tseg tias cov qhia txog kev siv yeeb tshuaj antagonises antimiastenicheskimi nrog tshuaj. Nyob rau hauv tas li ntawd, cov ua ntawm lub qhov koob nrog tshuaj tua kab mob kev daws teeb meem, uas muaj heavy co, tsub kom kev pheej hmoo ntawm kev phiv tshuaj nyob rau hauv daim ntawv ntawm cov o thiab rhiab.

Cov ntaub ntawv

Ntawm cov nyiaj yuav tsum tsis txhob muab intravenously. Nws kuj txwv tsis pub nqa tawm ib qho kev txhaj tshuaj nyob rau hauv lub kub lug site.

Qhib cartridges tawm ntawm cov tshuaj yuav tsis tsum reused, xws li rau lwm tus neeg mob.

Thaum lub sij hawm kev kho mob "articaine" yuav tsum tau tswj lub zog ntawm cov pa, mob, central tshee thiab leeg tshav systems.

Xyuas analogues

Yuav ua li cas yuav ua tau peb hloov lub zos ua kom loog "Articaine"? Nws counterparts yog cov nram qab no tshuaj: "mepivacaine," "lidocaine", "Bupivacaine", "Ultrakain", "marcaine" thiab lwm tus neeg.

Tam sim no koj paub, yog vim li cas yog cov tshuaj no raws li "Articaine". Cov lus qhia rau kev siv, analogues ntawm kev ua kom loog li sib tham nyob rau hauv no tsab xov xwm.

Raws li cov kws tshwj xeeb, suav hais tias cov tshuaj no feem ntau yog siv nyob rau hauv kev kho hniav xyaum. Yog hais tias koj ua raws li tag nrho cov kws kho mob pom zoo thiab coj mus rau hauv tus account tag nrho cov contraindications rau kev siv ntawm cov tshuaj, cov tshuaj exhibits high efficiency thiab heev tsis tshua muaj txhawb rau txoj kev loj hlob ntawm kev phiv tshuaj.