"Ultrakain D": mirayiridzo kushandiswa

Rwendo kuna chiremba wemazino - zviri basa, izvo zvinoda tsinga simba. Kana zviri nezino zvakaipa, hosha shaya tsinga kana matadza, izvi zvose achabatsirwa irwadziwe, nekusagona kurarama sezvinongoita. Kutya kupindira uye kutya kurwadziwa kazhinji kunotungamirira kuti murwere anoisa kushanya kwake chiremba kusvikira pakupedzisira.

Kugadzirisa dambudziko iri kunobatsira dzokutindivadza akanaka kushandiswa dentistry. Mumwe wavo - "Ultrakain D". Iye negates kuvarwere zvose zvavanotya, ichivharira zvachose nehanya panzvimbo evanhu.

Sei aanoda ichi nokuda zvinodhaka vanachiremba vemazino?

Features

Kune dzokutindivadza dzakawanda dzakasiyana kushandiswa dentistry. Akanakisisa vakaziva ndiye "Novocaine" uye "Lidocaine".

Vanachiremba vemazino, tichiziva kuti kutya varwere vavo kakawanda kunodzivisa yakakodzera uye zvakakodzera dzinovapa mishonga, vanosarudza kushandisa zvinotaurwa inonyaradza marwadzo omusoro simba kupfuura. Izvi imhaka yokuti shaya rine vakawanda tsinga fibers.

Pamusaka yokutindivadza "Ultrakain D" kunobudirira "Novocain" 5 nguva uye "Lidocaine" - 2 nguva.

Uyezve, kuti "ultrakain" mhando iyi harina epinephrine chipo mune mamwe maviri mhando chezvinodhaka. Epinephrine ane vanoverengeka contraindications uye murege kushandiswa varwere kusashivirirana kuti chikamu ichi.

Zviri epinephrine sechikamu rufimbi uye kunosanganisira kuvapo yakakodzera preservatives kuti vachengetedzwe, izvo zvinogona allergenic varwere.

Saka, chimiro ichi zvinodhaka riri Zvakanyanya Kunaka Panguva Yepamuviri kushandiswa mune vanhu rurefu mukana wokuti munhu sema kuita, kusanganisira vaya vane chirwere ane asima.

tsananguro

"Articaine D" rinowanika riri muchimiro Hauoneki läpinäkyvä mhinduro kuti jekiseni.

Muna 1 ml rine: Active zvinoriumba - articaine hydrochloride (40 MG), mamwe zvinoriumba - mvura jekiseni uye yavaibvisa chloride.

The mushonga ndohwaJehovha vanoverengeka vomunharaunda dzokutindivadza artikainovogo.

Rinoshandiswa sechinhu jekiseni iri mazino tsika nokuda wiring uye infiltration yokutindivadza.

Freezing migumisiro ine kurasikirwa nehanya mugove, kuti yaiva rokupedzisira jekiseni, kunoitika mukati maminitsi 1-3. Izvi kunogara kwemaminitsi anenge 20.

Sezvo articaine yava akafumuka mumuviri kuti dzisiri chepfu acid, vakabvumira kuzodzosera sumo zvinodhaka kana zvakakodzera.

rufimbi ichi zvakachengetwa chiropa, kwete yabudiswa muna mukaka, kuti vayambuke placenta, zviri yabudiswa nokuda neitsvo.

umboo

"Articaine D" (murwiyo inosiya kuvapo epinephrine) anobvumirwa kushandisa kumapoka varwere vane sulfite kusashivirirana.

Uyewo, iyo rufimbi ishandiswe ezvinhu kuti vari contraindications kuti mamwe marudzi "ultrakain" chine epinephrine. mwoyo ichi uye vascular chirwere, tachyarrhythmia, tachycardia (paroxysmal), kushandisa asiri cardioselective Beta blockers, pheochromocytoma, kuvhara yemaziso, hyperthyroidism, BP yakakwirira.

Rufimbi "Ultrakain D" mirayiridzo kushandiswa mune dentistry anokurudzira kushandisa zvinangwa zvinotevera:

• conduction uye infiltration yokutindivadza madhipatimendi mumuromo pavarwere haanzwisisi kuti epinephrine;
• pfupi mazino Kuvhiya (semuenzaniso, canines, incisors);
• pakuchenesa carious nzvimbo zino;
• Achitendeukira zino prosthesis;
• manipulations, vachikumbira shoma rufimbi zvakawanda.

Contraindications

Contraindications pakushandisa "ultrakain D" anosanganisira zvinhu zvakadai:

• idiosyncrasy articaine nezvimwe dzokutindivadza ose amide mhando;
• kutyorwa ve- cardiac conduction;
• congestive mwoyo kutadza;
• zvakakomba hypotension;
• kupererwa neropa anokonzerwa vhitamini B12 kushaikwa;
  
• hypoxia;
• cholinesterase kushaikwa;
• CNS zvirwere;
• refu nguva kana vhoriyamu mazino kuvhiyiwa;
• murwere zera kusvika 4 makore.

Shandisa nokungwarira

We kuyeuchidza kuti "Ultrakain D" rine articaine, chinoyambuka placenta. Panyaya iyi, kusarudza pamusoro kushandiswa rufimbi iyi varwere beremennyhm vanofanira kutora chiremba.

Articaine, kusafanana nedzimwe dzokutindivadza vemo, chobudira kuburikidza placenta muhuwandu vashomashoma, asi chisarudzo kushandiswa kwayo anogona tiruramiswe chete kana dzingangoitika vanobatsirwa zviri kupfuura ngozi kuti mudumbu uye namai.

Lactating vakadzi mushonga hauna contraindicated, sezvo articaine yava yabudiswa kubva mumuviri uye zvinoenda zamu mukaka.

Dosing

"Ultrakain D", mashoko inonyevera, haisi varumbidzwa kupinda zvomoto tishu.

Usati kuitisa mushonga zvakakodzera kuti tiite chinhu chido bvunzo, kuitira kudzivisa kuwana mhinduro mudziyo ropa. Nokuti ichi, mushure pakatanga tsono sirinji kuti vakaronga jekiseni sirinji pisitoni anofanira kudhonza zvishoma muna neizvi negwara uye nechokwadi kuti hapana ropa akaonekwa zvinodhaka mhinduro. Kuvapo ropa iri sirinji kunoratidza kuti tsono rwakabaya ropa mudziyo, ipapo zvakafanira kuchinja nzvimbo kana kudzika jekiseni.

With zvakaipa mugumisiro yokuedzwa kugadzirira zvinogona kupiwa munzvimbo dzakasarudzwa nzvimbo yaro unonyaradza marwadzo.

chipimo chemushonga

For infiltrative yokutindivadza kunoda 1,7 ml zvinodhaka pane imwe kana mbiri pedyo zino.

Nokuti conduction yokutindivadza inoitwa pazasi alveolar tsinga vanoda 1-1.7 ml mhinduro.

Maximum bvumidzwa dose varwere mukuru - 4 MG pa 1 kg uremu.

nemishonga

Migumisiro Zvii zvingaita kuti "Ultrakain D"? Mirayiridzo zvokushandisa dentistry anonyevera kuti pashure kwokubatsira ari rufimbi angava marwadzo akadai dzungu, utera, kusanzwa, nomusoro, somnolence.

Kana runopfuura chipimo chemushonga zvinodhaka, murwere anogona kuitika kuvhiringidza pfungwa kana kufema mwoyo nokugwinha.

Dyspepsia - kuda kurutsa, kurutsa - inogona kukonzerwa pakatanga zvinodhaka.

Vachivavhiringidza munyika mwoyo uye ropa midziyo pashure jekiseni "ultrakain D" angava zvinotevera: kuderera BP, mugari kurova kwehana, mwoyo kukundikana, pakaparara, bradycardia, chipfuva marwadzo.

Asati kushandisa chigadzirwa "Ultrakain D" mirayiridzo zvinofanira kudzidzwa zvakasimba. The rufimbi zvingava allergenic varwere, Zvinokurudzirwa kuitisa rokutanga muedzo aikanganiswa rakapihwa inonyaradza marwadzo omusoro.

An chisimbwa kuti chinodhaka yakaratidzwa anotevera zviratidzo: akatsvuka, kuzvimba panguva jekiseni site urticaria, pruritus, mapundu, rhinitis, conjunctivitis, chiso edema (kuzvimba nemiromo), kuzvimba huro, achinetseka kufema, anaphylactic kuvhunduka.

Kana lesion rinenge etsinga fibers anogona kuitika chiso tsinga paresis, paresthesias nemiromo uye rurimi, uye chiveve kuravidza maonero.

Kubatsira mu ovhadhozi

"Ultrakain D" zvakanaka akashivirira nevarwere vakawanda. Asi hatifaniri kuregeredza zvokungwarira kushandiswa kwayo.

Zviratidzo zveefa ovhadhozi zvinodhaka ndivo: kurasikirwa pfungwa, dzungu, bradycardia, kunyanya gwenya basa, kunoderedza BP.

Batsirai: Ipa murwere muviri chinjikira nzvimbo pamwe vanomutswa zvachose pasi. Kupa mhepo yakachena uye iva nechokwadi chokuti Airways vakasununguka.

Kana kushandisa rufimbi "Ultrakain D" Chinyorwa anokurudzira application kuongorora BP uye kwemwoyo.

Kana kufema kwakaoma - kupa murwere okisijeni. Kana kufema yamira zvinoratidza zvokuimba kufefetedza. Edema of dokeriro - endotracheal intubation uye zvokuimba kufefetedza.

In nokugwinha - barbiturates raitongwa nomutsinga, kupa murwere okisijeni Monitor hemodynamics.

In kurohwa nehana uye kutyorwa kwakakomba wokufambisa - raitongwa nomutsinga sealbumin, zvinowedzera plasma, glucocorticoids, electrolytes.

kudyidzana

Sezvo rufimbi ichi chine epinephrine (adrenaline analogue) inova vasoconstrictor, zviri pachena kuti "articaine D" pasina epinephrine, kana kushandiswa pamwe anticoagulants kunowedzera mukana ropa.

Kungofanana yomunharaunda rufimbi, mushonga runogonesa kubatsira kwokudzvinyirira nechepakati tsinga.

10 Mazuva asati pokushandisa rufimbi zvakafanira kudzima kushandisa Mao FIs. Izvi kuchaderedza ngozi hypotension.

Decongestants uye marwadzo analgesics kuwedzera uye achawedzera Zvakaitwa zvinodhaka. Yokupedzisira, panguva imwe chete, zvinogona kukonzera kuora mwoyo kana kufema kusungwa.

Reviews

On kugadzirira "Ultrakain D" wongororo kazhinji wakaderedzwa kusvika chokwadi kuti ane zvakanaka, asi pfupi unonyaradza marwadzo anokonzerwa.

Varwere, vakanga pasi rufimbi panguva mazino dzokuvhiya, cherechedza zvinotevera:

• mushonga wacho wenyama zvinenge Pharmacies zvose mukana wekuti mutengo;
• rinoita rufimbi anesthetizes zvakanaka, achibvisa zvachose nehanya nokurwadziwa;
• kwenguva pfupi mugumisiro zvinodhaka, saka unogona kukurumidza kubvisa zvose chiveve, kutaura pachena uye kudya;
• yakanakisisa rufimbi avo havadi refu anotyisa mugumisiro mari yakadaro;
• zvakanaka kusarudza rufimbi vanhu vane asima kana thyroid chirwere;
• Kusiyana "articaine" ine epinephrine, mushonga haakonzeri vachivavhiringidza mwoyo akadai tachycardia, bradycardia, etc.

"Ultrakain D" murwere wongororo zvinoratidza ichi, yakakurumbira zvikuru. Zvazvakaipira, ive nani, kusanganisira chete duku chiito chake sezvo mushonga unonyaradza marwadzo.

Pasinei nokuti mushonga inogona vakazvimiririra kutengwa chemishonga utore kuna chiremba wemazino, unofanira kubvunza chiremba usati watenga. Chete nyanzvi anogona kusarudza zvinotora nguva yakareba sei maitirwo ezvinhu, uye anogona zvamaronga kuti kushandisa mushonga pamusoro yakareba.

"Ultrakain D forte"

zita Trade zvinodhaka, "Dr. Ultrakain dzavarwi." Rinoshandiswa nenzira mazino tsika sechinhu munharaunda rufimbi.

Available sezvo yakajeka, Hauoneki mhinduro kuti jekiseni.

Muna 1 ml rufimbi raiva: articaine hydrochloride (40mg), - zvinoshingaira fuma, epinephrine hydrochloride (0.012 MG) - basa fuma; yavaibvisa bisulfite, mvura jekiseni, yavaibvisa chloride - Excipients.

Nhamba epinephrine kuti articaine chimiro ichi zvinodhaka ndiko 1: 100000, sezvinoratidzwa pane rufimbi mugaba.

Features

Epinephrine (adrenaline nerechiHebheru) ari kuronga rwiyo chinhu rufimbi uye vasoconstrictor kurebesa zviri rufimbi mugumisiro achibvumira articaine.

Low toxicity mushonga achibvumira kutarisirwa kwaro inodzokororwa sezvinodiwa.

rufimbi ichi kwenguva hakubvisi aikanganiswa tsinga fibers panguva jekiseni nzvimbo.

The mugumisiro "kuoma nechando" kuti zvinyama kunoitika mukati 3 maminitsi pashure jekiseni uye rinovapo kwemaminitsi 75.

umboo

The mushonga inoshandiswa mazino tsika kuti conduction yokutindivadza uye infiltration, iyo inodiwa akavhiyiwa ari nemumuromo mhango kana kuti mazino pulp, chokubvisa nezino rakagurika munguva refu nguva kuvhiya kupindira.

Contraindications

rufimbi Izvi contraindicated munenge zvakafanana mhosva se "Ultrakain D", sezvinotaurwa kumusoro. Izvi imhaka zvinonakisa vanoshingaira fuma iri Zvinoumba zvose zvinodhaka - articaine. Chete-refu akabata mabasa ari nemumuromo mhango haasi contraindication nokuda rufimbi, saka sezvo epinephrine kunowedzera chiito chacho.

Zvisinei, epinephrine ane uwandu contraindications dzinoshanda chimiro ichi kusunungurwa "ultrakain".

Idzi dzinosanganisira:

• kusawirirana kune sulfites uye zvimwe zvinhu zviri Kuronga rufimbi;
• asima;
• tachyarrhythmia;
• paroxysmal tachycardia;
• thyroid chirwere;
• neBP kwazvo;
• kushandisa asiri cardioselective Beta-blockers;
• yemaziso (kuvhara).

Chenjerera murwere angina Cardiosclerosis, cerebrovascular chirwere, atherosclerosis, sitiroko, emphysema, chirwere cheshuga, bronchitis chisingaperi, yakanyanya kusagadzikana netsvo kana chiropa, kushaya cholinesterase, kweropa zvirwere, panguva wakanyanya kufara mamiriro.

pamuviri

"Ultrakain D" panguva yepamuviri varayire chisingadiwi nekuti articaine kuyambuka placenta. Asi kana kudiwa zvikuru kuti rufimbi, zviri nani kusarudza rudzi "ultrakain", iro harina epinephrine kana rine mune vaduku dosages pane "Ultrakain D-C Forte"

Lactating vakadzi mushonga hauna contraindicated, sapamazuva mukaka chayo iduku kwazvo.

chipimo chemushonga

It akakurudzira raitongwa zvinodhaka chete munzvimbo idzi pasina chokutsva.

Tinogona kubvumira kupinda ari rufimbi kupinda muropa!

Kuita muitiro chokubata akura murwere zvakakwana dose pakati rufimbi kubva kukarukureta: 1 kg - hapana kupfuura 7 MG zvinodhaka.

Vana vane makore 4 Makore kunonyanyisa unonyaradza marwadzo dose haafaniri kupfuudza 5 MG pa 1 kg chemhinduro uremu.

Varwere Older uye vaya vanotambura zvikuru hepatic kana renal vanotaura, hauna yakarumbidza kupinda uwandu zvinodhaka zvinopfuura shoma dose zvakakodzera kuita analgesia.

Nenjodzi kuti mushonga

Side migumisiro muchimiro kwebhuku "ultrakain" zvakafanana kuti ari "ultrakain D". Zvisinei, kuvapo epinephrine mune mhinduro kungaita mamwe maitiro wakakomba kubva mumuviri. Zvisinei, pane matambudziko akadaro apo neapo, zvinosanganisira tachycardia, cardiac arrhythmias, vakawedzera BP.

Kana chigadzirwa anopinda mudziyo ropa, pangava nzvimbo necrosis panguva jekiseni nzvimbo.

"Ultrakain D-S"

The chete chimiro kusunungurwa "ultrakain", iro harina epinephrine - a "Ultrakain D". "Articaine D-C ', akavapindurawo, hunosanganisira epinephrine, asi kune muduku dose pane" articaine D-S-forte ".

mamiriro

1 Rine mamiririta rine 40 MG ose rufimbi articaine 0,006mg uye epinephrine. Nhamba epinephrine kuti articaine chimiro ichi zvinodhaka ndiko 1: 200 000. inosanganisirawo mhinduro uye mamwe zvinhu: mvura jekiseni, yavaibvisa disulfite, yavaibvisa chloride.

Features

Kana jekiseni pamusoro rufimbi maturo rayo pashure maminitsi 3 uye rinovapo kwemaminitsi 45.

Nokuda duku dose pamusoro epinephrine, mushonga hapana chinokosha migumisiro pamusoro mwoyo, vachibvumira yakachengeteka kuishandisa kwenguva refu zvokurapa manipulations.

umboo

Conduction uye infiltration yokutindivadza panguva mazino kushandiswa, yakadai se:

• zino dzokubudisa;
• Achitendeukira zino prosthesis;
• Mabatirwo carious kwemeno.

Contraindications

Sezvo nhamba epinephrine kuti articaine sechikamu kugadzirira "Ultrakain D-S" - 1: 200 000, zviri contraindications pakushandisa rufimbi chokuita zvikurukuru chete aikanganiswa wevarwere kuti articaine.

The mushonga iri contraindicated mu Árbol asima uye hyperthyroidism nokuda epinephrine, iyo, kunyange zviri mishonga diki, asi aripo ari rufimbi.

Asi chimiro ichi "ultrakain" njodzi kushandiswa mune varwere pamuviri uye lactating, vanhu vane ndanyarara hangu mwoyo chirwere uye ropa midziyo.

Yambiro! The mushonga haafaniri kupinda midziyo ropa uye rirwadze nyama!

zvimwe kurumbidza All kuti kushandiswa rufimbi: ". D-Ultrakain dzavarwi" kudyidzana nedzimwe zvinodhaka, marwadzo, contraindications, zviratidzo, migumisiro ovhadhozi, zvakafanana instructions, nachiremba

kusunungurwa Form

All 3 Mhando "articaine D" rinowanika muchimiro kugadzirisa zviri ndiro 2 Rine mamiririta (ndokurongedza - 10) katuriji kana tangi ( "articaine D") 1,7; 100 zvidimbu mubhokisi.

Asati kushandisa rufimbi anofanira kunyatsoziva mirayiridzo, tarisa yapfuura musi mhinduro, kuitira kusabereka pamusoro nzira, vaite bvunzo pamusoro nehanya kuti zvinodhaka uye chido bvunzo.

Mushure jekiseni, Zvinokurudzirwa kuti kunyatsoongorora kuongorora murwere mamiriro uye, kana zvakakodzera, utore matanho pakuraramisa iye rwekutanga matanho.