"Articaine INIBSA": mirayiridzo kushandiswa, description, akafanana uye wongororo

Plebeian zita chinodhaka - articaine + epinephrine. It anogadzirwa ampoules ane pisitoni mashandiro ose vafuke segirazi rinoonekera. Akapa vane unodzivirira foil, rinoshandiswa kumadokero munyika kuti boka iri zvinodhaka - artikainsoderzhaschih. Mumwe Kamudzira rufimbi ane läpinäkyvä firimu rine mashoko pamusoro chikumbiro, murwiyo uye dose pakati medicament uye nzira okuchengetera (ichi chinofanira kuva nzvimbo ine rima, kubva vana uye nokupisa). Standard - a shaded, yakaoma bhokisi kana mudhirowa, kudzivirirwa chiedza, drafts. Temperature - isingadariki 25 madhigirii, sezvo izvi zvinotungamirira akurumidze kuparara medicament. Pasherufu upenyu - anenge makore maviri, anosunungurwa (zvinofanira, dzinenge) sezvakarayirwa nachiremba.

Pharmacokinetics

"Articaine INIBSA" - munharaunda rufimbi zvinangwa. Kushandiswa pakuvhiya duku, mazino kupindira (zvikurukuru pakurapa pulpitis uye kubviswa mazino) uye suturing. Iri simba unonyaradza marwadzo, saka wokutanga kugamuchira wakaitwa pasi pokudzora vanachiremba, nokuti mushonga une zvakawanda nemishonga.

Mabasa nokukurumidza uye kwenguva yakareba, ichipa simba rufimbi jekiseni nzvimbo, parutivi migumisiro, pasinei zvakawanda zviratidzo zviri nguva nenguva uye saka articaine ichaongororwa yakanakisisa unonyaradza marwadzo munhu asingatendi vanotambura kusashivirirana zvinodhaka izvi.

Specificity zvivako uye dzokurapwa chiito anopa yakakwirira rufimbi articaine kugona uye anodiwa ya unonyaradza marwadzo maturo vakawanda mazino maitirwo ezvinhu chokuita kushanda pedyo napedyo kusvika pulp. Muchiitiko chino, pamusana kumhanya disintegration uye kubviswa pakati zvinodhaka hakuna tinofanira kugara chaizvoizvo - akawanda majekiseni yokutindivadza dzinenge hapana kuwedzera kupindira nzvimbo.

Quite kunobudirira anonzi "Articaine INIBSA". Mugadziri - Spanish Medical Laboratory Laboratory INIBSA SA, agozvizivisa Russia akasiyana dzokutindivadza uye yokutindivadza zvokushandisa muitisi, etc. In maererano pakatanga zvirango muna 2016, ari zvichiita zvinodhaka zvikuru kunzwisisa .. Gore rapera rave kwaidarika muchiso artikaina "Septanest" Russian kugadzirwa.

mamiriro

Murwiyo mumwe ampoule rinoreva "Articaine INIBSA" hunosanganisira:

• 1.8 Rine mamiririta;
• articaine - 72 MG (1 Rine mamiririta - 40 MG);
• epinephrine - 0,018 MG (1 Rine mamiririta - 0.01 MG).

mishonga

In dentistry - 0.5-1.8 Rine mamiririta zvichienderana kwokuomerwa maronda uye kukura zino, mune zvimwe zviitiko, zvomunharaunda yokutindivadza - zvichienderana ezvinhu. Muganhu dose nokuti vakuru - 7 MG chete kilogram kurema muviri vana pasi 12 - 5 MG.

"Articaine INIBSA" (1: 200000) inopa zvinokosha rufimbi maturo kuburikidza ichivharira tsinga harinzwi panguva jekiseni nzvimbo. aikanganiswa waipedza zvinoreva kuti pane mukana netsaona kukuvara anesthetized nzvimbo. Most vanowanzotambura kubva rurimi ichi uye dama mu dentistry - varwere vaviri gumi vanogona kuruma pachako chinhu nokuda ichi.

Epinephrine (mu Russian zvokurapa Nomenclature - adrenaline) Inowedzera kweropa, kunosimbisa mwoyo, nokudaro achidzikisa nguva inodiwa kuti kutanga gadziriro. Zvisinei, muzvinhu uwandu (3 .mu.g / makirogiramu / Nha) kunokonzera vasoconstriction uye, sezvo zvakaguma kuwedzera nguva chiito dzokutindivadza. Inotengeswa iri rongedza ane zana ampules, rairema 1,8 magiramu neimwe.

For subcutaneous kwokubatsira zvinodhaka maturo kunoitika pashure anenge 5-10 maminitsi. In intramuscular kutanga nguva kunoenderana ezvinhu omurwere uye ake tsandanyama tishu.

kurayira

"Articaine INIBSA" mirayiridzo Chinyorwa rinokurudzira kushandisa sezvinotevera.

The mushonga ari sirinji kuburikidza kumicheto pamwe pombi chiito mashandiro. The jekiseni rinoitwa pedyo kana zvakananga kupindira rokufambira, zvichienderana norudzi chiito.

Contraindications

• High aikanganiswa huru zvinoriumba chinodhaka, kaganhurana neutachiona (articaine, epinephrine, tartaric asidhi munyu, sulfites, uye vamwe.).
• Tachycardia nezvimwe kutyorwa chokuita mutinhimira mumoyo.
• Heart kukundikana.
• Kuvhara yemaziso ari muchimiro.
• Árbol asima, kunyanya - kushatiriswa sulfites.
• Kupererwa neropa riri pakanyorwa kushayikwa vhitamini B12.
• Kushayikwa ropa cholinesterase.
• Central tsinga zvirwere, myasthenia gravis.
• Chiropa kukundikana kuratidzwa chakakomba (porphyria).
• Raidudzwa chimiro gipertirioza (kunyanya basa thyroid gland).
• Early zera (makore vaduku pane mana).

The nezvengozi chokuita achitora zvinodhaka

• Intravenous mushonga (kunyanya - zvinoreva "Articaine 4 ne epinephrine INIBSA") riri chisingadiwi nokuti kunogona kukonzera kuchinja zvinoshamisa kufurirwa, uye waipedza kunyanya tsinga muviri.
• Nhanganyaya artikaina zvakananga pakati kuzvimba riri inadmissible, sezvinoita bara achava kurwadza kwazvo, uye mushonga havazokwanisi kuti aputse nzvimbo nokuda simba pakazvimba.
• Hazvigoni kushandiswazve unopened ampoule, sezvo mhinduro inogona kukuvaradzwa kana kwete chena.
• With inotarisirwa anofanira kushandisa vana makore 12, vakwegura, vanhu vachitambura nezvirwere kwemakemikari anobudiswa, kana kugamuchira zvakafanana kugadzirira chiito (mioblokatory, dzokutindivadza, uye zvichingodaro.).
• Vakadzi vane pamuviri uye lactating vanogona kugamuchira articaine anenge pasina kutya kuti utano vana. Murabhoritari zvidzidzo rinokosha dzakaratidza kuti mushonga ane hwakanyatsorwisa pasi rakapinza mano placenta uye mudumbu kumativi asina kuwanikwa mukaka mu kuwanda dzakadaro zvingangokanganisa kukura mwana.

Possible divi migumisiro kubva zvinodhaka nezve "Articaine INIBSA" 1: 200000:

• Neutachiona (urticaria kubva anaphylactic kuvhunduka).
• Kuzvimba uye kuzvimba panguva jekiseni nzvimbo.
• Minor cardiac arrhythmias.
• Headache, dzungu, nekuvhiri- ngika, pakatanga kudhakwa munzvimbo yakabatana vestibular centre.
• Kuda kurutsa, kurutsa, manyoka.
• Very yakaderera mukana panowanikwa ischemia ari ehurumende, dzimwe nguva uchisvika zvinyama necrosis (intravenous kana ovhadhozi).

Wepamusorosoro azvipire articaine ropa wevasungwa zvasvika pashure 10-15 maminitsi, zvisinei kuvapo vasoconstrictor ari murwiyo Pfungwa. Yabudiswa kuburikidza maawa 6 pashure kwokubatsira itsvo, chiropa neutralized kune vakaneta zvinoriumba.

Kudyidzana nevamwe zvinodhaka

• Akabatana antidepressants uye Mao FIs vane chirwere cheBP kushanda kunosimudzirwa zvinoshamisa kwakawedzera BP (zvishoma nezvishoma achisimuka 150/100), izvo ngozi vanhu vakawanda, kunyanya neBP.
• Decongestants kuwedzera analgesia uye achawedzera kuita kwayo.
• Blockers akabatana artikaina zvinowedzera mikana kuva vane chirwere cheBP crisis bradycardia.

Zviratidzo ovhadhozi

• The kwakaderera musimboti tsinga yaro pfupi manyawi, vanotidzungudzira maoko nemakumbo simba.
• Kunzwa stupefaction, chipaparadzungu, zvikuru dzungu, zvichiteverwa kurutsa.
• Various zvisipo, kunzwa uye dzidziso zviri muchadenga.
• Achideredza kumanikidzwa nemidziyo, rinorema kufema.
• Kurasikirwa pfungwa.

Kana ukaona zviratidzo ngaanyarare kushandiswa articaine, pfekai musana kana kurutivi uye kubvumira vakasununguka, nezatrudnonnogo afemeruke (zvimwe vakaradzikwa polubokovoe nzvimbo - kana murwere haasi kurutsa zahlebnotsya nomumba secretions dzavo). Ipapo iwe unofanira kutanga kuyera kwemwoyo uye vascular kumanikidzwa, kubvunzurudza munhu kuziva zviratidzo, kudana ari zvashata mukamuri kudana bhurigedhi uye vakagadzirira mishonga chaiwo kupa nechimbichimbi kudzorerwa mitambo nomuviri zvinoitirwawo kuparara (kushandiswa nokumutswa Kit achiri ifarirwe pasina pokudzora kuvarapi ).

Reviews

MuRussia, "Articaine INIBSA" wongororo Ndakagamuchira zvakanaka vanachiremba vakawanda uye varwere, sezvo zviri nyore kushandisa, panongova chipa zvinoreva (kusanganisira kusunungurwa fomu 100 rufimbi cartridges).

The mushonga "Articaine INIBSA" 1: 200000 mutengo zvinosiyana zvichienderana chimiro nyaya uye kutenga nzvimbo. Per remidzanga cartridges zana ari drugstores of Moscow uye Moscow nharaunda munokumbirira kubva 2,9 kusvika 3,7 zviuru rubles. Pane katsika boxed kutengeserana panguva imwe chete vanoda: paavhareji, ari ampoule "Articaine INIBSA" mutengo - 33 rubles.

In Pharmacies, Siberia uye kuFar East hadziwanzowaniki, sezvo nyika kutorwa munhu miduku, uye yakagoverwa kuna utano nzvimbo nezvipatara Central Russia.

Mumakore achangopfuura, kupinzwa mberi yakaderera nokuda zvirango dzakawanda, mumwe pfungwa iyo kwaiva kurambidza kunze kwenyika kuti Russia zvinodhaka vemamwe mavambo. Zvisinei, panguva ino, nyaya iyi sohunobishairira kugadziriswa.

Uye musakanganwa kuti chero dzokuzvirapa kungaita kuti zvakaipa, kubvira nokushayiwa kurapwa zvaitika, uye kupedza akashungurudzwa mugumisiro. Nekuti chero mushonga zvinofanira kutorwa chete sezvo rinotungamirirwa nyanzvi kurapwa zvinofanira kuitika pasi zvokurapa achitarisirwa.