Kusho "Fentanyl" imfundo manual ichaza njengoba isidambisa-zinhlungu kwezidakamizwa kwandisa embundwini ubuhlungu luvelo ukwandisa umsebenzi uhlelo antinociceptive. Umuthi waphenduka opiate CNS receptor, izicubu neuropathy umgogodla, kanye excitation unika yokudlulisela kuya amygdala, ngxenye futhi thalamus nuclei. Ukusebenzisa "Fentanyl" izidakamizwa (kufakazela isicelo Umsebenzisi) inikeza umphumela evelele okuyiluthayo, ungakwazi ukushintsha ubuhlungu obungokomzwelo, wehlise motility emathunjini bese kwandisa ithoni kwemisipha sphincter futhi leli pheshana biliary. Ngaphezu kwalokho, lokhu analgesic kunciphisa kwezinso ukugeleza kwegazi, kuvusa isikhungo ukuhlanza futhi depresses ukuphefumula.
izidakamizwa Iyatholakala "Fentanyl", intengo zazo zokhahlamba kusuka ezintathu namakhulu ayisikhombisa, ikakhulukazi ngesimo isixazululo ujove esicutshini futhi emthanjeni. On ukudayiswa kukhona plasters elinegama elifanayo. Sebenzisa leli thuluzi nomkhiqizi uncoma njengoba lokungeniswa ngokusungula indlela yokubulala izinzwa (lihambisana i-nitrous oxide , noma droperidol) kuzo zonke izinhlobo ukuhlinzwa. Futhi, sebenzisa izidakamizwa "Fentanyl" kungenzeka ubuhlungu chronic e umdlavuza futhi wabonisa ubuhlungu syndromes of omsakazo ezahlukene. Ngaphezu kwalokho, lokhu imithi analgesic lingasetshenziswa njengoba ingxenye izinzwa olinganiselayo. Neuroleptanalgesia futhi analgesia nasezinkingeni ezilandela ngemva kokuhlinzwa futhi izinkomba ngenjongo lesi sisombululo.
Sebenzisa izidakamizwa "Fentanyl" imfundo manual senqabela Endabeni yesiguli somoya bronchial, hypersensitivity noma ophezulu intracranial.
Ukukhulelwa kufakwe ohlwini Izimo oqondile. Akubalulekile yokunika ithuluzi e isifo sithi ahambisana okusithiyayo okuphawulekayo isikhungo zokuphefumula, futhi sesigaba cesarean. Izimo futhi inkathi lactation futhi uncike izidakamizwa.
Uma sicabangela imiphumela engemihle engase ezingakufaka izidakamizwa "Fentanyl", into yokuqala okufanele kwenziwe ingozi ngempela high zokucindezeleka zokuphefumula (esimweni yokuma ukusetshenziswa amaphilisi amaningi). Ngaphezu kwalokho, umenzi amanothi amathuba imisipha yesikhathi esifushane kwadambisa isimo esasishubile, nokugcinwa urinary kanye nokuthuthukiswa bradycardia. Bronchospasm, hypoventilation, ukusangana, kanye ukudideka futhi kungenzeka ngenxa ukusetshenziswa umenzeli analgesic "Fentanyl". Yokusetshenziswa nebhuku ingozi ukusabela okuhlukahlukene wendawo isikhumba - amawala, pruritus, erythema. Ngaphezu kwalokho, amaqembu athile eziguli a ukushukuma nakuba we isimiso sezinzwa esiyinhloko singenzeka, amblyopia, hepatic colic, ukuqunjelwa, ukucanuzela kwenhliziyo noma ukuhlanza.