Analogs, mirayiridzo kushandiswa "Naropin". kasitoma Reviews

Dzokutindivadza akadana zvinodhaka izvo anokwanisa kufurira yokutindivadza.

Yokutindivadza - kuti kuderera aikanganiswa muviri kana nhengo dzayo. Uyewo, nokuti vagumirwe iri dzinoratidzwa kumira manzwisisire mashoko pamusoro mamiriro nhengo uye zvakatipoteredza zvizere.

In okurapa, ive rufimbi inowanzoshandiswa zvinodhaka "Naropin." Mirayiridzo yokushandisa, chaiye nenyanzvi zvichabviswa kurondedzerwa pazasi.

Zvinoumba, Kuronga uye Packaging

Kugadzirira "Naropin" mirayiridzo iri raiva mune makadhibhokisi svinga iri asunungurwa muchimiro ane injectable mhinduro. Zvingasanganisira 2, 5, 7.5 kana 10 MG yezviri wemafuta sezvo ropivacaine hydrochloride.

Panyaya mamwe zvinoriumba, ipapo kushandisa navo hydrochloric asidhi kana yavaibvisa hydroxide, uye mvura jekiseni uye yavaibvisa chloride.

In kutengeswa chivako ichi yaipiwa mu ndiro.

The pharmacological zvechadenga zvinodhaka

Chii mushonga ichi se "Naropin"? Mirayiridzo Use inotaura kuti ichi rufimbi amide series, iro rakagadzirirwa kurwadziwa uye vomunharaunda yokutindivadza.

Kushandisa mishonga duku ropivacaine blockade hwezvekukurukurirana chaiyo muviri chikamu chete akaderedza utetsa non-mberi motokari basa.

Pamatunhu dosages zvinodhaka kunotungamirira zvomusejari yokutindivadza.

ehupfumi zvinodhaka

Chii chinoshamisa zvinodhaka "Naropin"? Mirayiridzo yokushandisa kunoratidza kuti kubudirira chokushandisa ichi imhaka kukwanisa rayo reversibly kuderedza permeability pamusoro membranes tsinga fibers. Nokuda simba ichi, uye inowedzera excitability pachikumbaridzo depolarization zvazvingava kunodzikira, izvo zvinozoita kunotungamirira omunharaunda ichivharira tsinga nomunhu.

Kana kushandisa yepamusoro mishonga rinozivikanwa inhibitory zvainoita mwoyo uye CNS (kuderera conductivity zvinoderedza automatism uye excitability).

For ropivacaine mamirire-refu maturo. Nguva yose kuchirapa mugumisiro zvinodhaka chipimo chemushonga zvinogona kugadziridzwa.

Apo nhengo dzomuviri yaitonga mushonga iri kwayo maviri-danho uye Absorção de Água zvakakwana kubva nhengo dzomuviri nzvimbo. Kuwanda ropivacaine muropa kunoenderana nzira chikumbiro.

The kinetics zvinodhaka

Mirayiridzo kushandiswa ( "Naropin" zvinofanira kutarisirwa bedzi ane ruzivo nemukoti anokotsirisa) rinoshuma kuti mudziyo ane Linear pharmacokinetics. Nokuda kwaizvozvo, ayo kunonyanyisa wevasungwa muropa riri Proportional kune raitongwa dose.

Kukurukura mapuroteni eplasma ndiyo 94%.

Nhengo dzomuviri kwokubatsira ari medicament kwenguva refu nguva anowedzera zvachose yeplasma wevasungwa kuti ropivacaine.

The rinoita fuma anonzi zvinoreva kaviri nokukurumidza metabolic kutendeuka. Paunotanga hafu-upenyu nguva akaenzana ¼ awa, uye chirwere - maminitsi 240.

Kana intravenous kugadzirira 86% of dose inenge yabudiswa pedyo neitsvo.

umboo

Kuti zvidini kushandisa mushonga se "Naropin"? Mirayiridzo zvokushandisa (mu dentistry, zvinodhaka ichi chinotarisirwa kazhinji) rinotaura kuti mushonga wacho akaronga kuti yokutindivadza pakuvhiya:

• To blockade huru tsinga uye tsinga plexus.
• Kuitira infiltration yokutindivadza uye tsinga blockade munhu fibers.
• For nhengo dzomuviri blockade kuti kuitisa kushandiswa, kusanganisira caesarean zvikamu.

Zvinofanira kuzivikanwa kuti zvinodhaka "Naropin" rinowanzoshandiswa zvakazorodza zviratidzo mu kurwadziwa syndromes:

• For kwenguva refu blockade pamusoro peripheral tsinga.
• For intra-articular jekiseni.
• Kuitira infiltration yokutindivadza uye tsinga blockade munhu fibers.
• Kana mazhinji nhengo dzomuviri aizomupa, bolus periodicity kana kudzivisa marwadzo ari postoperative munguva, uyewo yokutindivadza munguva basa.

Zvinofanira kucherechedzwa kuti mushonga uri "Naropin" mirayiridzo kushandiswa iri pasi apa, ari kushingaira kushandiswa zvakazorodza zviratidzo kurwadziwa pavarwere chiremba:

• nokuti caudal nhengo dzomuviri nechigumbuso muvana pasi pemakore 12, kusanganisira vana vachangoberekwa;
• nokuti kwenguva refu nhengo dzomuviri aizomupa muvana makore 12, kusanganisira vana vachangoberekwa.

Contraindications

Ndezvipi contraindications rufimbi iri "Naropin"? Mirayiridzo kushandiswa (nokuti musana yokutindivadza ibhuku anofanira kuzviita chete ruzivo Anesthesiologists) inoti zvinotevera inorambidza:

• Hypersensitivity, kunoratidzwa nekuonekwa dzokutindivadza of amide akatevedzana (kusanganisira nhoroondo).
• Hypersensitivity kune ropivacaine nezvimwe zvinoumba ari Pfungwa.

Zvinofanira kucherechedzwa kuti medicament "Naropin", kuti chipimo chemushonga zvinofanira kusarudzwa izvo chete nyanzvi, kungwarira varwere vakwegura uye zvamuremadza uyewo varwere zvikuru zvakaita chirwere, kusanganisira intracardiac conduction blockade, chiropa uye itsvo zvokurwara.

Kunyatsongwarira chinofanira kupiwa munhu rufimbi womunharaunda mumusoro uye mutsipa nokuda mikana chakakomba nenjodzi.

Zvinoda kunyatsotarisirwa paaivapa zvinodhaka intra, kunyanya makuru kunotevera uye kuvhiyiwa. Zvikasadaro, zvinogona kukonzera rakawedzera Absorção de Água zvinodhaka uye kuwedzera ayo yeplasma wevasungwa.

Nokuda underdevelopment pamusoro mashandiro uye miviri vana mwedzi mitanhatu kuti kuitisa yokutindivadza muchizvarwa ichi boka yaifanira nokungwarira zvikuru.

The mushonga ndiye "Naropin": mirayiridzo kushandiswa vana

Comments pamusoro mushonga uyu zvichakurukurwa pazasi.

Kana caudal nhengo dzomuviri yaitonga kuti rusununguko kurwadziwa syndromes vacheche yairema kusvika makirogiramu 25 vakatakura blockade injectable mhinduro iri dose 2 MG / makirogiramu.

Nhengo dzomuviri aizomupa kana bolus jekiseni zvinodhaka rinoitwa maererano nemakore mwana:

• 6-12 mwedzi: aizomupa - 0,4 MG / makirogiramu / hr, mumwe bolus - 1 MG / makirogiramu;
• kusvika mwedzi mitanhatu: aizomupa - 0.2 MG / makirogiramu / hr, mumwe bolus - 1 MG / makirogiramu.
• 1-12 Makore: aizomupa - 0,4 MG / makirogiramu / hr, mumwe bolus - 2 MG / makirogiramu.

Kugadzirisa "Naropin": mirayiridzo kushandiswa

The ampoules ari rufimbi anotengeswa mune Pharmacies zvose.

Nokuti vakuru, kuti chipimo chemushonga zvinodhaka anosarudzwa nyanzvi. The anesthesiologist zvinofanira kutungamirirwa zvavo kunotoda ruzivo uyewo kufunga munhu mamiriro murwere.

For nhengo dzomuviri Kutarisirwa pakuvhiya uchishandisa 15-25 ml mhinduro. Saka kutanga chiito kwakacherechedzwa pashure maminitsi 20 uye rinovapo kwemaawa 5.

Kumwe yakawanda kushandiswa kwezvinodhaka uye cesarean chikamu.

Blockade zvikuru tsinga plexus anoitwa nhengo dzomuviri kwokubatsira medicament panguva thoracal pamwero mune mari 5-15 Rine mamiririta.

Conduction uye infiltration yokutindivadza pamwe 1-30 ml nemhinduro kunoita kutanga kushanda pashure maminitsi 5-15 ane nguva maawa 2-6.

chaizvo kurumbidza

Chipimo chemushonga "Naropin" mushonga kuti musana yokutindivadza iri kugadziridzwa zvichienderana murwere rwevanhu ezvinhu. Izvi zvinoshandawo kune blockade tsinga fibers.

Yokutindivadza of brachial plexus inogona pamwe zvakakura nemishonga.

With mawa kushandisa mamwe marudzi dzokutindivadza kunonyanyisa chipimo chemushonga "Naropin" kwete kuva kupfuura 225 MG.

Kudzivisa netsaona jekiseni zvinodhaka kupinda mudziyo pamberi kutanga nzira uye panguva kunofanira kuva fanira kuita chido bvunzo.

Musumo zvinodhaka kunozivikanwa kwenguva pfupi intravascular kakawanda kwemwoyo. Kana vakachengeta hunokachidza kutiita hwobva zvinodzongonyedza kutanga mumushonga.

Panguva yokutindivadza zvakafanira kuongorora chakaipa nokushanda zvinokosha nadzo uye enyika murwere. Zvinokoshawo kuramba nayo dzose kutaura kuonana.

nemishonga

Nenjodzi kuti yakaonekwa iri kushanda vafunga zvinoreva zvakafanana avo paaishandisa zvimwe amide dzokutindivadza dzakatevedzana. Saka zvinokosha kusiyanisa kurutivi migumisiro pamusoro vasiri zviratidzo kuitika nokuda blockage kuti tsitsi tsinga.

The mushonga ndiye "Naropin" kuti musana yokutindivadza zvingakonzera bradycardia uye hypotension. Uyewo mukufamba yokutindivadza pavarwere nekusangana zvinotevera nenjodzi:

• kuda kurutsa, tachycardia, nomusoro, hypothermia;
• BP, chinyamunhari chinorwadza, musana marwadzo, kupfupika mweya;
• kurutsa, syncope, BP, fivhiri;
• paresthesia, dysarthria, chills, kuzvidya mwoyo;
• dzungu, tremor, Urinary chengetedzo.
• hypoesthesia, kupfupika mweya, chiveve rurimi;
• nezvipusha, tingling, mikoko;
• perioral paresthesia munharaunda, arrhythmia, madzerere;
• Angioedema, cardiac kusungwa, tsandanyama chinyamunhari chinorwadza;
• anaphylactic chaiyo.

analogs

Chii chinogona kutsiva rufimbi akadai "Naropin"? Mirayiridzo dzokushandisa haangaregi kupa mhinduro yomubvunzo uyu. Shure pacho unofanira kuonana nenguva anesthesiologist.

Kazhinji, pane "Naropin" nyanzvi vanowanzoshandisa zvinodhaka se "Articaine", "Bupivacaine", "BlokkoS", "Alfakain SP", "lidocaine", "Brilokain-adrenaline", "mepivacaine," "Piromekain" "marcaine", "Skandonest", "Ultrakain", "Tsitokartin", "Trimekain", "Hirokain" uye vamwe.

Zvinofanira kuva pakarepo akataura kuti nzira chourongwa uye dosages vanotaurwa zvinoreva zvingasiyana substantially kubva avo ane medicament "Naropin".

Reviews

Zvino kuti munoziva sei uye nei asingaurayiwi kushandiswa akadai "Naropin." Mirayiridzo yokushandisa zvinodhaka analogs kuti dzave kukurukurwa pamusoro.

Kazhinji kacho vaiona nzira kusiya wongororo yavo nemukoti anokotsirisa. Uye ichi hazvishamisi, nokuti mushonga wacho akaronga kuti zviduku kushandiswa.

Ruzhinji mhinduro unyanzvi akanaka. Nokupfupikisa zvinofungwa chiremba rufimbi anganzi, hwakavimbika uye zvine mwero inokwanisika mishonga kwenguva-dzakaedzwa.

Kana varwere, wongororo yavo chivako ichi anenge kumbobvira zvaitika.