"Katedzhel lidocaine": richitungamirira, wongororo, mapikicha

In imwe inorwisa utachiona uye rufimbi mu urology dzakakurumbira chaizvo zvinodhaka "Katedzhel ne lidocaine." Inowanika ari pachena, Hauoneki gel uye kushandiswa omunzvimbo yokutindivadza uye disinfecting ari urethra pamberi muitiro, anobudisa mushonga zvishoma nezvishoma, endoscope, kana dzimwe nguva. Pasina contraindications mushonga uri zvinowanzoshandiswa chiremba tsika, uye vakadzi pamuviri kana lactating.

On murwiyo uye chimiro "Katedzhel" chinodhaka

Kutaura gel "Katedzhel", tisingatauri kuti anogona kutengwa Pharmacies chete mushonga. Inotengeswa mumapepa pamusoro Maronda akasiyana 25 kana 5 ari atorwa ne akanyorwa "Katedzhel lidocaine" (gel). Syringe (12.5 g) ane elongated muromo Snap-kure nomumwe mhoni - kuraswa, chemarata polypropylene. Zvinonzi pakarepo vakazadzwa zvinodhaka uye chena akagadzirira kushandisa. Sezvineiwo, zvinofanira kujekeswa kuti 12,5 g mumiririri ichi nokuda instillation kupinda urethra vanenge 10 rinomupotsa g.

Mumwe zana magiramu pakati gel raiva 0,05 g chlorhexidine dihydrochloride, uye 2 g lidocaine hydrochloride. Ebetsero zvinoriumba protrude glycerol, gietelloza uye mvura jekiseni.

Sei uye kana kushandisa zvinodhaka "Katedzhel lidocaine"

The sezvamunoita akatsanangura gadziriro zvinosanganisira lidocaine hydrochloride, kuva rufimbi mugumisiro kana aishanda topically uyewo chlorhexidine anogona neutralize zhinji giremu-akanaka uye giremu negative utachiona, mbiriso uye dermatophyte. Zvisinei, saka zita rokuti haana kubatsira asidhi-notumwe, nemavhairasi, mabhakitiriya uye spores.

In urology, Gynecology, proctology uye chiremba zvinodhaka "Katedzhel lidocaine" (mufananidzo chokushandisa ichi, unogona kuona munyaya) unoshandiswa kunyanya sechinhu rufimbi kukamura uchishandisa panguva endoscopy, intubation, kutsiva fistula anobudisa mushonga zvishoma nezvishoma kana zvomusejari kupindira. Saka zvakakwana yokutindivadza kunoitika mukati maminitsi 5-10 mushure kushanda akati medicament.

Gel "Katedzhel" zvinoshandiswa kunzwisisa kurapa uye senzira inokwanisa kuderedza marwadzo ari anogumbura pezvakaitwa kuitika nyinyo, remuromo kana urethra uye mugaranhoko.

Zvimwe zvaiitwa kushandiswa "Katedzhel lidocaine" chinodhaka

In urology zvinorondedzerwa kugadzirira nzira inoshandiswa nokuda urethra instillation (aizomupa kuchadonha mushonga kupinda murwere muviri lumen). Kumba, kuti warambidzwa, sezvo iri kodzero tiite kuchirapa matanho anogona chete navanachiremba uye chete akakodzera zvokushandisa, zvaidiwa nemitemo antisepsis uye unyanzvi iripo.

Usati kupinda zvokushandisa, murwere vakachenesa uye disinfected kunze pakuvhurwa urethra. Zvadaro buritsa mhoni ne zvinodhaka "Katedzhel lidocaine" (gel) yabviswa uye bepa kuti constriction. Mukati pasuru, muromo sirinji-chubhu muparadzane uye akabvisa, kuita chokwadi hapana hadzina kufambiswa zvakanaka pa nzvimbo kutsemuka. A romutoo aivabatsira okutanga ari sirinji riri extruded droplet fuma.

Instillation akaita kukuvadza chemarata sirinji nyore uye pashure nokuisa kuramba nepavaigona kuti zvizere kushaya kubva chiteshi. 10 maminitsi pashure instillation pakati gel anogona kupiwa rufimbi zvokushandisa.

chipimo chemushonga

Vaya vanoshandisa zvinodhaka "Katedzhel lidocaine," ziva kuti chaizvo kutevedzera pamusoro dose vakadzi nevana haisi kuwanikwa. Kazhinji, mari dzakabatwa vanoita gel Nenyaya Iyi pamwe anatomical kukura urethra.

Vakwegura, zvamuremadza varwere uye vanhu vachitambura kubva kwazvo renal kana hepatic vanotaura dose pamusoro vakati zvinodhaka anosarudzwa zvachose nomumwe, zvichienderana murwere ezvinhu.

Hatifaniri kukanganwa pano kuti nyaya panguva imwe nguva zviri vanopfuura mumwe sirinji chubhu (kunyanya kana urethra iri zvomoto kana ane ulcerations) murwere anogona kuona ovhadhozi zviratidzo.

Contraindications

Kunyange pa kushandiswa zvinodhaka "Katedzhel lidocaine" netsinhiro penyanzvi vanosimbisa vakachengeteka ayo kwerinenge zvose mapoka varwere, vamwe vavo vanofanira vachiri varege kushandisa chokushandisa ichi. Idzi dzinosanganisira:

• Vanhu kutambura sema kwomusikirwo chlorhexidine;
• Varwere nechirwere kusagadzikana angina kana bradycardia;
• uyewo varwere rikwanise porphyria (kunze kana pane chinogombedzera zviratidzo dzokushandisa "Katedzhel" gel).

Kuti tidzivise matambudziko, nyanzvi dzinokurudzira kuti varwere vachishandisa chinodhaka kokutanga, kuti kuitisa chisimbwa nemiedzo.

Mukuwedzera, mugadziri chinonyevera nezvengozi kuwana zvinodhaka muziso - Muzviitiko zvakadaro zvinokosha ugovashambidza mvura yakawanda.

Kuvapo nemishonga uye zvinodhaka ovhadhozi

Special divi zvinodhaka Marwadzo havataurwi, uye sei migumisiro gel kutaurwa chete zvinogoneka neutachiona akadai dermatitis, mapundu, ichipfuta pa nzvimbo chikumbiro uye angioedema kunaka.

Sezvakataurwa nenzira kureva mushonga "Katedzhel lidocaine" mirayiridzo, imwe ovhadhozi kuti chokushandisa ichi hariwanikwi zvikuru uye chete vanenge zvikuru kuvadza urethra. Ipapo murwere anogona kuonekwa kugwinha, vertigo, bradycardia (kunonoka mwoyo mutinhimira) uye kuparara (nokukurumidza donhwe BP kunokonzerwa muutera uye cardiac pakarepo kuderera pamusoro vascular inzwi). Sezvineiwo, mukuru chinhu overdosage zviratidzo ndiyo lidocaine.

Mumamiriro ezvinhu akadaro, murwere rinoratidza kushandiswa Beta-agonists (bradycardia) uye barbiturates kana pfupi-nokuita tsandanyama relaxant mu nokugwinha. Kana mamiriro kuchidonha murwere nomutsinga raitongwa zvinodhaka "Epinephrine" kana "Dopamine".

Sezvo mushonga interacts nevamwe zvinodhaka

Apo "Katedzhel lidocaine" vanofanira kushandisa gel, kushandiswa ayodhini iri zvikuru kunaka. Sipo uye detergents ane anionic boka, tiri zvaisaenderana zvinorondedzerwa gadziriro.

Varwere kugamuchira pakurapa antiarrhythmics ( "Mexiletine 'kana' Tokanid"), Beta-adenoblokatory ( "propranolol") uye calcium yakawanda mhandu ( "Diltiazem", "Verapamil") varayire gel nokungwarira nokuda ngozi vascular kusagadzikana conduction uye contractility mwoyo.

Achirega kushandiswa kwayo zvinodhaka kuti vari chikamu cationic mapoka ( "Benzalkonium chloride"). A monoamine oxidase FIs aigona kuwedzera marwadzo mugumisiro lidocaine.

Ndiani anogona kushandisa zvinodhaka "Katedzhel"

Maererano mushonga iripo "Katedzhel lidocaine" mirayiridzo, rinogona kushandiswa nevakadzi panguva pamuviri (kunyange izvi zvinofanira kuitwa nokungwarira rokutanga trimester) uye achiyamwa. Izvi imhaka yaro yakaderera anokwanisa kupinda kubudikidza placenta kana kupinda zamu mukaka. Zvisinei, nokuti kuchengeteka mugadziri rinokurudzira zvakadaro usaita uchiyamwisa kwemaawa 12 pashure kushandisa gel "Katedzhel".

Rinorondedzera zvishandiso hakurevi kukanganisa motokari kana mimwe michina kukurukurwa okufunga. Uyewo haakonzeri hope kana nokunonoka maitiro evanhu.

Several Mashoko okupedzisira

Tuvana gel "Katedzhel" chakaoma pasingasvikire vana uye kure chiedza ari tembiricha isingadariki 25 ° C. Kufumura mushonga haigoni chando maererano nengozi kuderedza kuchirapa mugumisiro. Uye pasina Kunyora, uye breakage pamusoro sirinji-chubhu pamwe gel pakushandisa kwayo kunofanira kudziviswa.

The pasherefu upenyu zvinodhaka riri 5 makore, pashure nguva zvinodhaka nani kurega.

By nzira vanorondedzerwa anoreva zvakafanana zvinosanganisira zvinodhaka "Instillagel" "Lidocaine Asepta" uye "Lidohlor".

Mukugumisa, mumwe haagoni asi kudzokorora kuti pasinei aripo ane gadziriro yakadaro, gel "Katedzhel lidocaine", wongororo kuti hama yacho vakachengeteka uye efficacy, shandisa chishandiso pasina mushonga ine ngozi! It anokwanisa kubvisa marwadzo uye kuderedza kwokuomerwa zvirwere dzataurwa pamusoro apa, asi kana vanachiremba kuzvidzora chete. Zvikasadaro, murwere iri pangozi irreparable kukuvadza utano hwavo.