"Articaine": mirayiridzo kushandiswa uye analogues

Ndingatarira kushandisa uye pasi chii ezvinhu haafaniri ushandiswe mushonga "Articaine"? Mirayiridzo yokushandisa uye contraindications zvinodhaka ichakurukurwa mberi. Uyewo munyaya ino uchawana mashoko pamusoro divi zvinokonzerwa chinodhaka, ayo analogues kuchirapa zvinhu.

Regai chimiro medicament, akafanana, tsananguro uye kavha

Chii zvokurapa kugadzirira "Articaine"? Mirayiridzo yokushandisa, wongororo akashuma kuti chiri injectable pachena mhinduro, izvo zvinogona Hauoneki kana vangava zvishoma yellowish tint.

The vanoshingaira wemafuta mumiririri uyu anoita articaine hydrochloride. Uyewo zvinodhaka mhinduro unotora ebetsero zvinoriumba zvakadai semvura D / nepfambi uye yavaibvisa chloride.

In yavakatengesa zvinodhaka anouya cartridges dziri mumapepa ari gandiwa epurasitiki muchitokisi packs it nebepa azvaitwa. Uyewo kutenga chinhu injectable mhinduro ungava ampoules regirazi.

Kuchirapa zvechadenga gadziriro

Chii chinoshamisa zvinodhaka "Articaine"? Mirayiridzo yokushandisa, rondedzero vanoti kuti nzira iri thiophene rinobva. It rinoratidza dzomunharaunda rufimbi zvivako uye zvikuru kushandiswa yokutindivadza (infiltration uye conduction).

zvinoshingaira wemafuta zvinodhaka riri hydrolyzed ari zvakaneta alkaline svikiro munyama. Kana hwaro ichi asunungurwa, iyo akava lipophilic ehupfumi. Nokuda izvi articaine zvikuru nyore panoparadzana mwoyo kuburikidza sero Kamudzira kupinda etsinga fibers.

Uchiita receptors, vaiona zvinodhaka kutigumbura kwete chete chirongwa chokuendesa Na ions iri mumasero, asiwo KUNOTADZISA tsinga zvatinganzwa.

Zvinonzi vanachiremba vemazino chiito medicament "Articaine", mirayiridzo kushandiswa inorondedzerwa gare gare, ari kuchengetwa anenge pakarepo pashure kutarisira. Kana kubudirira chinodhaka, zvinonzi akacherechedza kwemaawa matatu uye ipfupi chete acidic zvakatipoteredza.

Kinetic unhu jekiseni mhinduro

ari Absorção de Água kuti "Articaine" chinodhaka sei? Mirayiridzo dzokushandisa Inoti kuti kana achiita intramuscularly mune yepamusoro ropa wevasungwa kuti mumiririri ichi runowanikwa pashure maminitsi 25-35.

Kana achiita medicament nokuda waiita mucosa nayo rinoratidza kunowedzerwa diffusivity.

Yeplasma vanoshingaira mushonga anosunga vanenge 95%. It rinoita muna chiropa uye yabudiswa ne itsvo mukati maawa matanhatu (hafu-upenyu rufimbi anenge 65-80 maminitsi).

Hatigoni kutaura kuti inotaura nzira zvinopfuura placenta (mu vasingasviki pane omunzvimbo dzokutindivadza), uyewo kuburikidza neropa-uropi chipingamupinyi (mu zviduku zvakawanda). Kana mukaka waamai, ipapo naye articaine washungurudzika inomira kunze.

zvairatidza kuti

Kubva chii prescribers "Articaine"? Mirayiridzo dzokushandisa inoratidza kuti chokushandisa ichi rinowanzoshandiswa mazino tsika nechinangwa yokutindivadza (infiltration uye conduction).

Kurambidzwa kushandiswa

Kana articaine arege kushandisa fuma? Mirayiridzo Use rinoti gadziriro kwakavakirwa chikamu ichi, vari contraindicated mu:

• chisingaperi hypoxia;
• articaine yakakwirira utetsa, uyewo mamwe omunharaunda rufimbi yomuchipatara kungova amide boka;
• chero nechepakati tsinga zvirwere;
• megaloblastic B12-kushaikwa kupererwa neropa;
• Árbol asima;
• angled-kuvhara yemaziso;
• paroxysmal tachycardia;
• mwoyo kukundikana, chenjera;
• atrial tachyarrhythmia;
• zvakakomba cardiac conduction zvinetso (semuenzaniso, bradycardia, atrioventricular nechigumbuso dhigirii II-III);
• hombe maxillofacial kushandiswa, uyewo panguva kwenguva refu kuvhiya kupindira (kwemaminitsi anopfuura 20);
• arterial hypotension ;
• muvana pasi makore mana zera (kuchengeteka uye efficacy vasina kudzidza).

Zvinofanira kucherechedzwa kuti renyevero zvakanyanyisa ibhuku rakapiwa vakadzi nepamuviri pre-eclampsia, uyewo ropa rokupedzisira trimester.

Drug "Articaine": Instruction dzokushandisa dentistry

Pamberi kutanga mari vanofanira nguva dzose kutakura chinhu chido bvunzo. Izvi zvinokosha kuti kurerutsa mukana wokuti intravascular kwokubatsira chezvinodhaka.

Zvinonzi vanachiremba panguva kupinza of vaiona medicament vomanikidza sirinji plunger anofanira kugadziridzwa zvichienderana aikanganiswa pakati munyama. Kana hazvina rakurudzira kuti mushonga wakawanda nharaunda anorwadza pamuromo. Tora zvokudya chete pashure wakakwana kudzorerwa nehanya akabvumira mushure jekiseni nzira.

In muitiro vachibvisa nyore zino iri yokumusoro rushaya (kana pasina kuzvimba), shandisa 1,7 Rine mamiririta (zino imwe). Kana waida, murwere zvatowedzera chinotarisirwa 1-1.7 ml kugadzirira.

Nokuti yokutindivadza uye palatine suture zvikamu kusika chitoro mumwe murwere basa palatal 0.1 ml chigadzirwa.

Kana kubvisa premolars, riri pamusoro rezasi rushaya (mu nyore dhigirii), kuitisa infiltration yokutindivadza. Zvisinei, ine migumisiro conductive yokutindivadza.

Kana pakona korona mazino (dzakakudzingai mandibular molars) uye kwetsinga rinoitwa in vestibular jekiseni ari chipimo chemushonga pakati 0.5-1.7 Rine mamiririta por zino.

Single dose kuti medicament wayo kunonyanyisa chipimo chemushonga nokuti nevakura 4 MG / makirogiramu muviri uremu.

Zviito ne-hunhu

Se akashivirira zvinodhaka "Articaine"? Mirayiridzo dzokushandisa (divi migumisiro mushonga uyu zvichakurukurwa izvozvi) inoti kuti zvinodhaka izvi kushoma chaizvo migumisiro kunaka hunhu. Tinogona kusiyanisa pakati pavo akadai:

• ndivete dzungu, kufema zvirwere, zvinopfuura kutarisana nenyonganiso, tsandanyama tremor, tsandanyama twitching, madzerere (pfupi);
• Generalized chinyamunhari chinorwadza, paresthesias, BP, hypesthesia, upofu, mwoyo kukundikana, diplopia, kuvhunduka;
• neutachiona, kuda kurutsa, angioneurotic edema, kurutsa, kuzvimba, akatsvuka ganda, kuzvimba dzaiita zvokutaurwa mucosa, conjunctivitis, urticaria, rhinitis;
• kuzvimba pamatama, okumusoro Miromo pahuro zvinokonzera kuzvimba yakaoma kumedza.

Zvinofanira kucherechedzwa kuti dzimwe nguva kana isina kukodzera raitongwa dzokutindivadza vomunzvimbo kukuvadza chako etsinga. Kunogona kukonzera rutivi rwomuviri.

zvinodhaka ovhadhozi

Ndezvipi zviratidzo ovhadhozi kuitika nokuda kushandiswa zvisiri mishonga "Articaine"? Mirayiridzo kushandiswa anoratidza zvinotevera zviratidzo: kurasikirwa pfungwa, dzungu, kunoderedza BP, ndivete panguva kupinza kana injini dzishande, bradycardia.

Kubvisa vakadaro inoti hwobva kumisa jekiseni uye akaisa murwere pamubhedha. Uyewo zvakafanira kuitira vakasununguka flotation ari kufema turakiti, kudzora kwemwoyo uye kufamba kweropa ezvinhu.

Drug kudyidzana gadziriro

dzokutindivadza Local anogona kuwedzera zvinokonzerwa mishonga tunodzivisa nzira sei musimboti tsinga.

In kufanana zvinodhaka chikumbiro anotsanangurwa vakachengeta zvinotevera maitiro:

• pamwe anticoagulants kunowedzera njodzi ropa uye ropa;
• pamwe monoamine oxidase FIs kunowedzera ngozi hypotension;
• myorelaxant chiito zvinoreva kunowedzera uye elongated;
• pamwe vasoconstrictors yakakura uye elongates mestnoanesteziruyuschee kushanda articaine;
• pamwe marwadzo analgesics kunowedzera kufema mwoyo uye vakava imwe chirungiso chaizvoizvo ;
• pamwe cholinesterase FIs kunoderedza muviri articaine.

Zvinofanira kucherechedzwa kuti nhau zvinodhaka antagonises antimiastenicheskimi zvinodhaka. Mukuwedzera, kubudiswa dziri jekiseni nzvimbo pamwe disinfectant zvinogadzirisa, ane simbi inorema, kunowedzera mukana nenjodzi muchimiro pakazvimba uye nounyoro.

chaicho mashoko

Of Mari havafaniri kupiwa nomutsinga. Zvinonzi zvakare mbidzwa kuita jekiseni iri zvomoto nzvimbo.

Akavhura cartridges kubva mhinduro harigoni kushandiswazve, kusanganisira mamwe varwere.

Panguva kurapwa "articaine" kunodiwa kudzora mashandiro ari kufema, cardiac, nechepakati huta uye vascular nehurongwa.

Reviews analogues

Tingaitei kutsiva yomunharaunda rufimbi "Articaine"? dzomuzana ake ndeizvi zvinodhaka: "mepivacaine," "Lidocaine", "Bupivacaine", "Ultrakain", "marcaine" uye vamwe.

Zvino munoziva, nei zvinodhaka ichi se "Articaine". Mirayiridzo yokushandisa, analogues ari rufimbi sezvo zvakurukurwa munyaya ino.

Maererano nezvokurara, vaiona mushonga rinowanzoshandiswa mazino tsika. Kana ukatevera zvose chiremba dzokurumbidza uye kufungawo contraindications vose kushandiswa kwezvinodhaka, mushonga rinoratidza mukuru Kushanda uye kwazvo kashoma hunoita kuti pave nenjodzi.