"Ultrakain DS Forte": mirayiridzo kushandiswa, contraindications. Jekiseni nokuti zvomunharaunda yokutindivadza

Zvichida, vashoma vanhu vakadaro vaizofara, kana pasina kutya kushanyira wemazino. Ichi chisingafadzi nzira yokurapa, izvo zvinogona kazhinji kuti pamwe marwadzo, tive zvose zvikuru bvisai kushanyira kukiriniki. Asi zvino pane chikuru mukana kuti chirongwa kurapwa uye zino dzokubudisa chose nyarara. Kuti aite izvi, pane yakawanda zvinodhaka, zviri kwazvo rufimbi, chiremba anogona kuita mumuromo wako zvose here, asi iwe haufaniri kunyange kuzvinzwa. Mumwe mushonga zvakadaro "articaine DS forte". Ngatiedzei kunzwisisa ayo kuchirapa zvazviri, kunyanya kushandiswa uye contraindications.

Pharmacological zvainoita muviri

mushonga uyu ndera boka omunzvimbo dzokutindivadza izvo zvinowanzoshandiswa mazino tsika. Kugadzirira kwakasiyana substantially nguva imwe chiito, pashure kwokubatsira inoitika kwemaminitsi mashomanana asati yokutindivadza. Duration kuti marwadzo nguva kupfuura kweawa, pasinei nezvinotaurwa chipimo chemushonga raitongwa.

"DS articaine forte" zvakanaka akashivirira nevarwere vakawanda, nehafu upenyu maminitsi 25 chete, uye izvi zviri kuitwa zvakawanda itsvo. The mushonga ane yakaderera chaizvo toxicity, rinogona kushandiswa kakawanda.

Local rufimbi ehupfumi kubatsira kurasikirwa nehanya zvinodhaka panguva jekiseni nzvimbo kana munharaunda yayo Akaroromesawo kusimba etsinga nomunhu.

Pashure okusuma 2 ml kugadzirira kufadza wevasungwa munguva yeplasma kunokwanisika mumaminitsi 15-20. Asi vakaona kuti wevasungwa mumunda yaitonga kane zviuru kupfuura kuti muropa.

Chimiro zvinodhaka uye ayo sezvamunoita

"DS articaine forte" anogadzirwa muchimiro negadziriso jekiseni. 1 ml kugadzirira rine yaro sezvamunoita:

• Huru achishingaira fuma - 40 MG articaine hydrochloride uye epinephrine hydrochloride, ayo yevasungwa dzingasiyana.
• Sezvo mamwe zvinoriumba vanobatanidzwa: yavaibvisa chloride, yavaibvisa metabisulfite, mvura jekiseni.

Available mushonga mu ampoules uye zvinorigadzirisa pasina ruvara, zvachose segirazi.

Pfungwa iyi zvakare inowanika zvakasiyana siyana, izvo zvisingapindirani wevasungwa pamusoro basa chirungiso:

• "Ultrakain DS forte" 1: 100,000 Kuwanda epinephrine.
• Wevasungwa inogona 1: 200,000.
• Pane chimiro zvinodhaka zvachose pasina epinephrine.

Manufacturers mumapepa uchigadzirirwa chaiyo nokuda katuriji 1,7 Rine mamiririta, izvo rakapinzwa tsono carpool sirinji uye ipapo Volt zvinodhaka kutarisira. Saka vanopinda "Ultrakain", mutengo 1 MG iri dikisa - vanenge 40-50 rubles, saka anenge murwere ose pamberi kushanya kune wemazino anogona kutenga zvinodhaka. Kushandiswa kwaro kuchaita kuti nyarara kubvisa kana kuporesa nezino.

Zvairatidza zvinodhaka "articaine"

The Kuronga zvinodhaka kunoita kumbonyanya paupamhi kushandiswa dentistry ari Implementation pakati infiltration uye conduction yokutindivadza. It ndikarangarira mushonga uyu kunyange varwere somatic zvirwere. Kunoratidza pakatanga "ultrakain DS forte" zvinotevera nyaya:

• Kana Kuvhiya rinoitwa pasi nomumukanwa mucosa.
• Zvakakosha kubvisa kana extirpation zino.

• Extractions rikarova periodontitis.
• Kana kuva Kupindira refu chiremba mukubvisa cysts, kwameno pamberi prosthetics.

The chipimo chemushonga zvinodhaka neimwe nyaya akatsunga nomumwe.

Chipimo chemushonga uye nzira chikumbiro

Kana ukasarudza kutenga vasati kuenda wemazino 'articaine' Kurayiridza Chinyorwa inoti kuti rinogona kupiwa chete kana pasina tishu kuzvimba. Zvinonzi zvakare contraindicated kuti intravenous yaitonga.

Kana uine kubvisa zino, nyore kuzvimba uye mamwe matambudziko, zvakakwana kusuma 1,7 ml mushonga mukati submucosa, pane nguva apo zvingava zvakakodzera yokusuma wokuwedzera chitsama zvinodhaka. Mumamiriro ezvinhu akadaro, unogona kudzivisa kunorwadza palatal majekiseni.

Kana meno kuti kubviswa dziri parutivi, zvinokwanisika kuti kuwedzera kuwanda kwepfuti haina mushonga "Ultrakain DS forte" zvinoshanda zvakanaka uye bindira.

Kana uine kuti akagerwa uye stitches munzvimbo dzokudenga, ipapo kusika chitoro yakakwana palatal 0.1 ml mushonga mumwe jekiseni.

Kana kubvisa mazino maduku, izvo, pasina kuzvimba, zvaizova zvakakwana infiltration yokutindivadza jekiseni 1,7 Rine mamiririta muzana zino mumwe. Kana jekiseni haina kubudirira zvinozoita kuti yokutindivadza, zvinokwanisika kuti wokuwedzera jekiseni submucosal nharaunda. Pane nguva apo ichi kusvika uye haiiti kuti dzechokwadi yokutindivadza, ipapo tinofanira kubata introducer blockade ari mandibular etsinga.

Kana akaita oparesheni uye yokutindivadza zvinodiwa, "articaine" iri dosed zvichienderana zvokurwara kwokuomerwa uye kutarisirwa nguva kushanda.

Kana marapirwo rinoitwa kana kubviswa mazino vari vakuru, zvinoshingaira zvinodhaka fuma anogona kupiwa kuna 7 MG chete uremu kilogram muviri. The chipimo chemushonga vana anosarudzwa neimwe nyaya nomumwe, kufungisisa uremu uye duku murwere zera. Asi chinofanira kurangarirwa kuti chitsama yezviri fuma haafaniri kupfuudza 5 MG chete kilogram kuti uremu hwomwana.

In pakurapa varwere vakwegura iri chipimo chemushonga ndiyewo chinodiwa kutora shoma, asi zvakakodzera kuti vabudirire zvinozoita.

Vamwe nuances kushandisa "ultrakain"

Kushandiswa chero zvinodhaka pane nguva dzose dzinokosha mitemo uye mashoko, kwete kunze, uye "Ultrakain". Hedzino dzimwe nemitemo inofanira kuchengetwa kana uchishandisa mushonga ichi:

1. Kuti tidzivise intravascular jekiseni, zvakakodzera kuti kuongorora chido.
2. Pressure ari anobaya jira anofanira kuenzaniswa nehanya.
3. Kudzivirira kukura zvinotapuriranwa, murwere inofanira kuongororwa kuti chiremba pose mumhuri mhinduro kubva chinu uchishandisa itsva tsono uye sirinji. Kana katuriji atova akazaruka, hazvigoni kushandiswa inotevera murwere.
4. Chinhu isanzwiwa kushandisa ukama katuriji kuti jekiseni.
5. Kana kushandisa yakakodzera syringes, unogona kuzvidzivirira kubva girazi breakage uye kuti vave kwakakwana inoshanda.

Kana mitemo nyore izvi, ipapo yokutindivadza nokushandiswa kwezvinodhaka ichi achapfuura mukuru.

Kushandiswa "ultrakain" mune mamwe mapoka varwere

Chero yokutindivadza, kunyange kana chiri nyore anobaya "ultrakain", zvinoda kutarisirwa mune zvimwe Mapato wevarwere, uyewo mamwe mamiriro ezvinhu:

• Kana murwere kutambura kubva zvemwoyo, muri cardiac arrhythmias, aiva nhoroondo sitiroko, une BP, zvinokurudzirwa kushandisa mushonga pamwe risingamboshandisi zviri kushingaira chirungiso, kana zvachose pasina izvozvo.
• Izvi zvinoshandawo varwere cheshuga, hyperthyroidism, emphysema kana bronchitis.
• Pashure pokushanya kuna chiremba wemazino kutora zvokudya chete pashure zvakazara kumisa kuitwa yokutindivadza.

• Little rokuchinja kukwanisa kudzinga ari zvinodhaka hazvitaurwi, asi kana murwere chinotarisirwa munhu dose guru, zviri nani kuti varege kuita kudaro kusvikira zvizere kudzorerwa nehanya.
• Nokungwarira zvikuru zvinokosha kushandisa mushonga pavarwere vane angina uye post-infarction cardiosclerosis.
• Kana zvaipesana chepfungwa kuparadzirwa vanofanirawo kuomerera zvakasimba kuti chipimo chemushonga.
• Ropa Zvirwere zvinoda kungwarira.
• Chakakomba zvakakanganisika itsvo uye chiropa - chikonzero chakanaka kwete kushandisa "ultrakain".

Kushandisa "ultrakain" 1: 200000

gadziriro iyi ane Kuwanda vanoshingaira fuma iri shoma, saka rinowanzoshandiswa chokubata vakadzi vane pamuviri kana ekukurerai.

Well wakanyatsokodzera chakadaro wevasungwa varwere zvinetso kumwoyo. Asi pane zvausingakwanisi:

• Nokunyatsongwarira pavarwere vane asima.
• Kana uine thyroid chirwere, kushandiswa vakadaro "Ultrakain" (majekiseni) hakubvumidzwi.

"Ultrakain" pasina epinephrine

Sezvo ari muchimiro iyi zvinodhaka riri Munenge hapana preservatives zvose, ndicho chinonyanya rakakodzera chingaitwa varwere vane refu mukana neutachiona. Uyewo akakodzera varwere Árbol asima uye thyroid chirwere.

Akakodzera kugadzirira uye cores, asi tinofanira kuyeuka kuti ya mufananidzo akadaro shoma zvikuru.

Undesired zviratidzo pashure kushanda "articaine"

Kana tikashandisa "articaine" mirayiridzo kushandiswa mune dentistry chinofanira takanyatsoomerera, zvimwe zvinoita nemishonga:

1. Respiratoria zvirwere kuti angaguma kunyange Rega kufema.
2. Chimiro pfari.
3. Kutarisana vachivavhiringidza.
4. Kana ukasarudza kushandisa 'articaine' mirayiridzo unoshandiswa unonyevera kuti botched jekiseni angaguma kuvadza chako etsinga.
5. Pashure jekiseni kuonekwe nomusoro.
6. Svoto uye kurutsa.
7. Hypotension hwapedyo.
8. Bradycardia.
9. Vamwe vanogona nekusiyana, kukonzera kuwedzera kumanikidza.
10. Sema kuratidzwa.
11. The jekiseni nzvimbo kuzvimba.
12. Kuzvimba okumusoro miromo, pamatama uye kunyange netambo Vocal.

Kana, pashure vachishanyira wemazino ukaona zviratidzo izvi, iwe achidisa kuona chiremba.

Ndiani haabvumirwi kugamuchira "ultrakain"

Pasinei nokuti varwere pashure jekiseni zvinodhaka "Ultrakain DS forte" wongororo akasara zvikurukuru akanaka, pane zvirwere uye mamiriro ezvinhu izvo kushandiswa kwayo hakungodiwi:

1. Hypersensitivity kuti vomumatunhu ari kurapwa.
2. Bradycardia.
3. Atrioventricular nechigumbuso giredha 2-3.
4. Heart kukundikana.
5. Kupererwa neropa.
6. Hypoxia.
7. Kuvhara yemaziso.
8. "Ultrakain" contraindications pakushandisa anewo sevana anosvika 4 makore.

Pakashanya kuna chiremba wemazino vanofanira kuva nechokwadi kuudza chiremba wako pamusoro wako huripo chisingaperi zvirwere.

migumisiro ovhadhozi

Vanhu vazhinji kutenga "Ultrakain" mutengo 1 ampoule shoma asati kushanyira wemazino, saka vamwe chete kana kuva nomudzimai, pasina kutya achipinda mazino cheya uye kumbira chiremba kuti anobaya ari dose kaviri. Asi iwe unofanira kuziva kuti pangava yematambudziko vasiri zvaidiwa chipimo chemushonga. Heano mamwe zviratidzo yakawedzera uwandu zvinodhaka:

• Dzungu.
• Vadhakwa.
• Respiratoria kukundikana.
• Generalized nokugwinha.
• The unopinza donhwe BP.
• Richaparara.
• Bradycardia.
• Tachycardia.

Paunoona upi zvezviratidzo izvi ngaanyarare kwokubatsira zvinodhaka uye kutora okukurumidzira matanho.

Kugarisana "ultrakain" nevamwe zvinodhaka

Kana iwe shanyira chiremba wemazino uye uchida baya jekiseni "ultrakain", iwe unofanira kuudza chiremba wako pamusoro chero mishonga pari kutora. Not bvumidzwa kuti nokubatanidza mushonga pamwe inotevera mishonga:

1. With kardioneselektivnymi Beta-blockers, akadai "Propranolol".
2. With antidepressants.
3. Zvinodhaka chokuita huta mwoyo sitemu.
4. Hazvina kunaka chokubatanidza "Ultrakain" ne "asipurini" uye "heparin" - zvichibvira ropa panguva jekiseni nzvimbo.
5. Kana kushandiswa kwezvinodhaka, pamwe tsandanyama relaxants, zvazvinoita iri yakakura.
6. Haukwanisi kushandisa mamwe mari inhalation yokutindivadza kunowedzera mukana cardiac arrhythmias.
7. Hazvigoni kushandiswa disinfect zvinogadzirisa ane simbi inorema.

Kushandisa "ultrakain" apo akatakura mwana

Kana mukadzi ari nzvimbo kushanyira wemazino, zviri chinodiwa kushandisa pamwe risingamboshandisi zviri vanoshingaira fuma 'articaine' mirayiridzo kushandiswa mune dentistry kunosimbiswa. Asi kushandisa mushonga hauna ndaizoitwa pasina epinephrine sezvo adrenaline hunokonzera constriction rwengarava ropa panguva jekiseni nzvimbo uye dhepoti, izvo zvinoderedza wevasungwa yezviri fuma muropa.

Zvinoenda mukaka "ultrakain" zvinoshingaira fuma anokwanisa, asi ayo wevasungwa pachava saka kunyora nezvavo kuti sei mwana havazokwanisi. Saka kana amai anofanira vakatorera kana kurapa nezino, hazvina zvakakodzera kuti vasavhiringidza uchiyamwisa.

Reviews kugadzirira

Varwere vanenge vasara pashure kushandisa "ultrakain" nyaya dzinovaka. Vazhinji vanoti mushure bara anoenda bindira pashure pemaawa mashomanana pave kunzwa kuti miromo kuzvimba uye rurimi.

Pashure kushandisa "ultrakain" anongoda zvose mazino manipulations regai marwadzo, uye kurapwa kwacho kuri mupfungwa-free.

Shoma varwere akaona panowanikwa zvisingadiwi migumisiro zvichitevera jekiseni.

Inongoda kuti kusarudza mushonga wayo kunzwisisa mutengo Pharmacies. Kubhadhara 40-50 rubles kuti nzira aigona anenge munhu wose.

Dental kurapwa uye kwetsvina - hazvifadzi uye zvinorwadza, asi zvinodhaka akadai "Ultrakain", matanho izvi zvose nyarara.

Asi iva nechokwadi kunoudza chiremba wako pamusoro wako zvose zviripo chisingaperi zvirwere uye kunwa mushonga, nzira chete nechokwadi njodzi yokutindivadza.