"Ultrakain DS Forte": imiyalelo ukusetyenziswa, Izimo. Inaliti ye Ukubulawa lendawo

Mhlawumbi, kukho abambalwa abantu ababeya kuba noyolo, okanye ubuncinane ngaphandle koloyiko lokutyelela wamazinyo. Le nkqubo engasi unyango, leyo ngokufuthi ikhatshwe intlungu, lusenza zonke ngakumbi nizihlubile utyelelo ekliniki. Kodwa ngoku kukho ithuba elihle lokwenza inkqubo yonyango kunye izinyo ezimbini elula. Ukuze wenze oku, kukho ezininzi kweziyobisi, ezo ntlungu kakhulu, ugqirha nikwenza emlonyeni wakho zonke oyithandayo, kodwa musa babone. Enye iziyobisi ezifana yi "articaine DS Forte". Makhe zama ukuqonda isiphumo yayo kwezonyango, ingakumbi ukusetyenziswa kunye Izimo.

ukusebenza amayeza emzimbeni

Eli chiza lalo kwiqela iintlungu zengingqi ezo zisetyenziswa kakhulu xa amazinyo. Amalungiselelo yohlukile isenzo kakhulu lophanyazo, emva kokuba ulawulo ukwenzeka imizuzu embalwa ngaphambi kokuba zomzimba. Ubude bexesha iintlungu ye ngaphezu kweyure, nangona oko nolwathi idosi.

"DS articaine Forte 'Wanyamezela kakuhle zizigulane ezininzi, nakwisiqingatha ubomi unemizuzu engama-25 kuphela, yaye le nkqubo oluqhutywa kuninzi sezintso. Iyeza unalo zinetyhefu esezantsi kakhulu, inokusetyenziswa ngokuphindaphindiweyo.

Iipropati iintlungu Local igalelo ukulahleka nobuntununtunu ichiza kuyo inaliti okanye kwindawo yayo ngokunciphisa ngobunzulu neemvakalelo-luvo.

Emva ukuqaliswa ml 2 yokulungiselela xi ubuninzi kwi plasma kolu imizuzu eli-15-20. Kodwa kuqatshelwe ukuba xi endle kulawulo amawaka amaxesha ngaphezulu kwe ukuba egazini.

Ifom ye ichiza nokubunjwa kwayo

"DS articaine Forte" evela ngokohlobo izisombululo ngenaliti. 1 ml yokulungiselela iqulethe kumafa yayo;

• Eyona nto ephambili esebenzayo - 40 mg articaine hydrochloride kunye epinephrine hydrochloride, eyavela zinokwahluka.
• amacandelo Njengoko ezongezelelweyo ezibandakanywayo: chloride sodium, isodiyam metabisulfite, amanzi inaliti.

iziyobisi Ifumaneka ampoules kwaye isisombululo ngaphandle umbala, ngaphaya ngokupheleleyo.

Le ekuqulunqeni kwakhona ngeendlela ezahlukeneyo, ezahluke uyondelelwano lwee- esisebenza:

• "Ultrakain DS Forte" 1: 100,000 abasuka epinephrine.
• Ukufumaneka ingaba 1: 200,000.
• Kukho ngokupheleleyo uhlobo beziyobisi ngaphandle epinephrine.

Abavelisi apakishwe kulungiselelwa ekhethekileyo iCartridge 1.7 ml, apho kufakwa uhambe isirinji inaliti uze kwiglasana ebethelelwa lolawulo iziyobisi. faka Ngoko ke "Ultrakain", ixabiso le-1 mg lincinane kakhulu - malunga 40-50 engange, ngoko phantse yonke isigulane phambi kokuba utyelelo wamazinyo na imali yokuthenga iziyobisi. ukusetyenziswa kwayo uya kwenza kuzihlutha yalula okanye banokunyanga ngezinyo.

Iimpawu iziyobisi "articaine"

Ukubunjwa ichiza ivumela ukusetyenziswa ngokubanzi nakunyuka woogqirha bamazinyo ekuphumezeni nokungena kunye Uhanjiso zomzimba. It isicelo eli chiza nokuba kwizigulane kunye nezifo somatic. Ibonisa ukuqaliswa "ultrakain DS Forte" kwezi meko zilandelayo:

• Ukuba tyando lwenziwa kwi isifo ngomlomo.
• Kuyimfuneko ukuba ukususa okanye extirpation izinyo.

• Nokukhutshwa awalibethayo periodontitis.
• Ukuba ukuba ungenelelo elide ugqirha ekususeni cysts, ndalisila amazinyo phambi busebenzisa.

Esithathwa beziyobisi kwimeko nganye uzimisele ngamnye.

Umthamo kunye neendlela isicelo

Ukuba ugqiba ukuthenga ngaphambi kokuba uye kugqirha wamazinyo 'articaine' umyalelo manual ithi ukuba kwenziwa kuphela ukuba akukho umtshiso kwithishyu. Kwakhona contraindicated lolawulo efakwa.

Ukuba kufuneka ususe izinyo, nangokurhala gingxi kunye nezinye iingxaki, kwanele ukuba ukwazisa 1.7 ml ichiza kulo submucosa, kukho amaxesha xa kusenokuba yimfuneko kwakhona ukufaka imali eyongezelweleyo ichiza. Kwiimeko ezinjalo, unako ukuthintela inaliti palatal buhlungu.

Ukuba amazinyo ukuba isuswe ibekwe ecaleni kwenye, kunokwenzeka ukuba kwandiswe inani kuqhume na ichiza "Ultrakain DS Forte" uya kusebenza kakuhle yaye baphelelwe.

Ukuba kufuneka wenze shwaka kunye yaseZimbabwe kummandla wezulu, ngoko ukudala indawo yokothula ngokwaneleyo palatal 0.1 ml beziyobisi ukuba isitofu enye.

Xa ukhupha i amazinyo asezantsi, leyo, ngaphandle nangokurhala, bekuya kuba kwanele nokungena zomzimba ukuxhaswa ml 1.7 nganye nezinyo elinye. Ukuba Inaliti lingapheleli isiphumo ezinqwenelekayo zomzimba, kuyenzeka ukuba wenze ngenaliti eyongezelelekileyo kummandla submucosal. Kukho amaxesha xa le ndlela kwaye ingakhokeleli zomzimba enokuthenjwa, ngoko kufuneka ukubamba introducer kuvalwe iindlela i-luvo mandibular.

Ukuba wenza utyando kunye zomzimba kufuneka, "articaine" ukuba imvukelo ngokuxhomekeke ubukhali ngezifo kunye nexesha ekulindeleke yokusebenza.

Ukuba unyango yenziwa okanye ukususwa amazinyo abadala, iyeza iziyobisi esebenzayo linokwenziwa ku-7 mg ubunzima bomzimba ikilogram. Esithathwa abantwana uyonyulwa kwimeko nganye nganye, kuthathelwa ingqalelo ubunzima kunye yobudala encinane nomonde. Kodwa kufuneka Makukhunjulwe ukuba isixa into esebenzayo aluyi kuba ngaphezu kwe-5 mg kwekilogram ubunzima lomntwana ngamnye.

Xa unyango izigulane abalupheleyo idosi kwakhona Kuyancomeka ukuthatha ubuncinane, kodwa kuyimfuneko ukuze kuphunyezwe le nto wayeyifuna.

Ezinye bokuqonda usebenzisa 'ultrakain "

Ukusetyenziswa kwaso nasiphi na isiyobisi apho kusoloko kukho imithetho ezikhethekileyo kunye neenkcukacha, hayi ngaphandle, yaye "Ultrakain". Nazi ezinye imigaqo ekufuneka ilandelwe xa usebenzisa eli chiza:

1. Ukunqanda Inaliti intravascular, kuyimfuneko ukuhlola Eskom.
2. Ingcinezelo kwi lilaphu emnweni kufuneka angqinelane uvakalelo.
3. Ukuthintela ukunwenwa kwezifo ezosulelayo, isigulane kufuneka zibekwe esweni ukuya kwagqirha xa isisombululo zasekhaya igutyana usebenzisa i ezintsha kunye nesirinji. Ukuba iCartridge sele evulekileyo, loo nto ayinakusetyenziswa isigulane elandelayo.
4. Yokuba akwamkelekanga kwakhona ukusebenzisa iCartridge ezonakeleyo ukuba ngenaliti.
5. Ukuba ukusetyenziswa iisirinji ezifanelekileyo, uyakwazi uzikhusele iglasi breakage kunye ukubenza ukusebenza olugqibeleleyo.

Ukuba ngqo le migaqo elula, ngoko ke zomzimba kunye nokusetyenziswa eli chiza uya kudlula mkhulu.

Ukusetyenziswa "ultrakain" kwezinye amaqela lezigulane

Nawuphi zomzimba, nokuba yinto emnweni "ultrakain" alula, kufuneka ndinyanyekelwe iindidi ezithile izigulane, ngokunjalo kwiimeko ezithile;

• Ukuba isigulane bathwaxwa zizifo sentliziyo, ezi arrhythmias kwentliziyo, waba imbali kokubetha kwakhe, abe lwegazi, uyacebiswa ukuba usebenzise ichiza ezinomthamo ubuncinane Isithako esisebenzayo, okanye kwi onke ngaphandle kwayo.
• Kunjalo izigulane seswekile, hyperthyroidism, emphysema okanye yomoya.
• Emva kotyelelo ukuya kugqirha wamazinyo ukuba ukutya kuphela emva kokuba ayeke ngokupheleleyo yesenzo zomzimba.

• elitheni ukukwazi kuwagxotha ichiza ukuyityhilelwa, kodwa ukuba isigulane ilawulwa idosi enkulu, kubhetele ukuba ayeke ukwenza njalo de ekubuyiselweni ngokupheleleyo uvakalelo.
• Ngononophelo olukhulu kuyimfuneko ukusebenzisa ichiza izigulane angina kunye nasemva iqhosha cardiosclerosis.
• Kwimeko zokugxojwa ejikeleza yobuchopho kufuneka alandele ngqo idosi.
• ukuphazamiseka ukopha zifuna isilumkiso.
• umonakalo ezimandundu wezintso kwaye wesibindi - isizathu ezivakalayo ngokusebenzisa "ultrakain".

Besebenzisa "ultrakain" 1: 200000

Le amalungiselelo iqela into esebenzayo ingaphantsi, ngoko ke idla ngokusetyenziswa ekunyangeni abasetyhini abakhulelweyo okanye nabanyisayo.

afaneleka kahle ukuba xi enjalo kwizigulane kunye iingxaki kwinkqubo sentliziyo. Kodwa kukhona ukulinganiselwa:

• Ngononophelo olukhulu xa izigulane kunye nesifuba.
• Ukuba unayo isifo lengqula, ukusetyenziswa ezinjalo "Ultrakain" (iinaliti) akuvumelekanga.

"Ultrakain" ngaphandle epinephrine

Ngenxa yokuba kule ndlela ichiza cishe akukho kwisigcinakaliso onke, kuba yeyona ndlela ifanelekileyo kwizigulane abo basengozini ephezulu negazi lakho. Kwakhona afanelekileyo izigulana isifuba inyumoniya kunye nesifo ndlala.

Efanelekileyo ukulungiselela umphakathi, kodwa kufuneka sikhumbule ukuba ixesha le fom kuba ngaphantsi kakhulu.

Iimpawu kwalo emva kokuba isicelo "articaine"

Ukuba sisebenzisa "articaine" imiyalelo ukuze zisetyenziswe woogqirha bamazinyo kufuneka ngokuthe ngqo, kungenjalo yokusetyenziswa kwamachiza:

1. izifo zemiphunga ukuba kungabangela nokuba sayeka ukuphefumla.
2. Imbonakalo ukuxhuzula.
3. ukuphazamiseka Visual.
4. Ukuba ugqiba ekubeni usebenzise i 'articaine' imiyalelo ukusetyenziswa na elumkisa ukuba inaliti botched kungabangela umonakalo kwi-luvo yobuso.
5. Emva Inaliti kubonakale intloko ebuhlungu.
6. Isicaphucaphu kunye nokugabha.
7. Hypotension luphuhla.
8. Bradycardia.
9. Bambi, phezu koko, kunokubangela ukunyuka koxinzelelo.
10. kubonakaliswa negazi.
11. Inaliti ukudumba.
12. Ngokuzigwagwisa imilebe aphezulu nolusezantsi, izidlele kunye yayinemiphimbo.

Ukuba, emva kokutyelela wamazinyo ufumana ezi mpawu, ube ufuna ukubona ugqirha.

Ngubani akuvumelekanga lolwamkelo esikolweni "ultrakain"

Ngaphandle kwento yokuba izigulane emva isitofu beziyobisi "Ultrakain DS Forte" ncomo eziseleyo uninzi HIV, kukho izifo kunye neemeko apho ukusetyenziswa kwayo akufuneki:

1. Hypersensitivity ku kubahlali ngayo amayeza.
2. Bradycardia.
3. Atrioventricular block grade 2-3.
4. ukusilela Heart.
5. Anemia.
6. Hypoxia.
7. Ukuvalwa glaucoma.
8. "Ultrakain" Izimo ukuba ukusetyenziswa kwakhona unalo njengoko abantwana ukuya kwiminyaka-4.

Xa ndandityelele wamazinyo kufuneka uqiniseke ukuba uxelele ugqirha wakho malunga izifo zakho ezondeleyo ezikhoyo.

imiphumo libanda

Abantu abaninzi bathenga "Ultrakain" ixabiso 1 ampoule encinane phambi wayetyelele wamazinyo, ngoko abathile nje xa kokuba isibini, ngaphandle besaba ukuya esitulweni amazinyo kwaye cela ugqirha ukuze ahlabe umthamo kabini. Kodwa kufuneka wazi ukuba kusenokubakho iingxaki-zokungathotyelwa idosi. Nazi ezinye iimpawu eyandileyo izixa beziyobisi:

• Nesiyezi.
• Edakiwe.
• ukusilela sokuphefumla.
• yombono jikelele.
• Ukuhla elibukhali uxinzelelo lwegazi.
• Lungasebenzi.
• Bradycardia.
• Tachycardia.

Xa ubona nayiphi na kwezi mpawu kufuneka ayeke zolawulo iziyobisi ukuthatha amanyathelo ezingxamisekileyo.

SoGuquguquko lweProgram "ultrakain" kunye namanye amachiza

Ukuba utyelela wamazinyo kwaye ufuna ukuba bafake "ultrakain", kufuneka wazise ugqirha wakho nayiphi na amayeza abenza ngoku. Not kuvumelekile ukudibanisa ichiza kunye namayeza zilandelayo:

1. Nge kardioneselektivnymi beta-blocker, ezifana "Propranolol".
2. Nge lakhula.
3. Iziyobisi ezichaphazela sitemu luvo uxinezeleke.
4. Yokuba akwamkelekanga ukudibanisa "Ultrakain" ne "aspirin" yaye "lweeHedfowuni" - kunokwenzeka ukopha kuyo inaliti.
5. Ukuba ukusetyenziswa kweziyobisi, kunye relaxants kwezihlunu, isiphumo sawo ziyanyuswa.
6. Awukwazi ukusebenzisa imali eyongezelelweyo inhalation zomzimba kwandisa umngcipheko arrhythmias inhliziyo.
7. Ayikwazi kusetyenziswa iintsholongwane izisombululo eziqulathe enzima.

Besebenzisa "ultrakain" ngoxa ephethe usana

Ukuba umfazi indawo lokutyelela wamazinyo, kungakuhle ukuba usebenzise ezinomthamo ubuncinane into esebenzayo imiyalelo 'articaine' ukuze zisetyenziswe bamazinyo iqinisekisiwe. Kodwa ukusebenzisa ichiza akunconywa ngaphandle epinephrine njengoko iadrenaline ebangela constriction kwemithambo yegazi kuyo inaliti kunye yokugcina, leyo kunciphisa uyondelelwano lwee- iziyobisi esebenzayo egazini.

Ludlulele ubisi lwebele "ultrakain" ubuncwane esebenzayo unako, kodwa ingqalelo yayo kuya kuba ziyakungahoywa kangangokuba ezichaphazela akayi kuba nako usana. Ngoko ke, ukuba umama kufuneka wrested okanye ndiphilise izinyo, akukho mfuneko ukuba ziphazamise ibele-lwebele.

Izimvo kulungiselelwa

Izigulane badla abashiywa emva kokusebenzisa i "ultrakain 'ingxelo entle. Abaninzi bathi emva kokuba shot uhamba ndindisholo emva kweeyure ezimbalwa kudala uvakalelo ukuba imilebe idumbile nolwimi.

Emva kokusebenzisa i "ultrakain" phantse zonke zazo zamazinyo musa ezinokudala ubuhlungu, inkqubo yonyango uxinezeleko-free.

Embalwa izigulane waphawula kukuvela iziphumo ezingafunekiyo emva inaliti.

Okusenza kukhetho beziyobisi kunye nexabiso layo sengqiqweni ezikhemisti. Ukuhlawula 40-50 engange ukuba njengendlela ekwaziyo phantse wonke umntu.

unyango lwamazinyo kunye nokuchithwa - oko futhi kubuhlungu, kodwa iziyobisi ezifana "Ultrakain", zonke ezi nkqubo elula.

Kodwa qiniseka ukuba ukwazisa ugqirha wakho malunga zonke izifo ezingapheliyo ezikhoyo kwaye ukuthatha amayeza akho, ekuphela kwendlela ukuqinisekisa Ukubulawa ekhuselekileyo.