"Ultracaine DS Forte": imiyalo yokusetshenziswa, ukuphikisana. Isixazululo somjovo we-anesthesia yendawo

Mhlawumbe, bambalwa abantu abazojabula noma okungenani ngaphandle kokwesaba ukuvakashela udokotela wamazinyo. Lokhu ukwelashwa okungathandeki, okuvame ukuhambisana nosizi, kusishukumisela ukuthi sihlehlise ukuvakasha ku-polyclinic isikhathi eside. Kodwa manje kunamathuba amakhulu okwenza inqubo yokwelashwa nokususwa kwamazinyo akusizi lutho. Ukuze wenze lokhu, kunesisindo semithi esenza i-anesthetize ngokuphelele, udokotela angenza noma yini emlonyeni wakho, noma yini, futhi ngeke uzwe. Enye yalezi zidakamizwa "Ultrakain DS Forte." Ake sizame ukuqonda umphumela wayo wokwelapha, ukusetshenziswa kwayo nokuphikisana.

Umthelela wezempilo emzimbeni

Lesi sidakamizwa singeqembu lama-anesthetics wendawo, asetshenziswe kabanzi kumkhuba wamazinyo. Isidakamizwa sisheshayo ngokushesha, emva kokusungulwa nje imizuzu embalwa ngaphambi kwe-anesthesia. Ubude benkathi ye-analgesic bungaphezu kwehora, kuye ngokuthi yiziphi izilinganiso ezazisetshenziswa.

"I-Ultracaine DS Forte" ibekezelela kakhulu iziguli eziningi, isigamu-sokuphela kokuphila sekuyimaminithi angu-25 kuphela, futhi le nqubo iqhutshwa ikakhulu yizinso. Umuthi unobuthi obuphansi kakhulu, okwenza ukwazi ukuwusebenzisa futhi.

Izakhiwo zomzimba ezitholakala endaweni yangakini zifaka isandla ekulahlekelweni kozwela endaweni yomjovo noma endaweni yayo ngenxa yokunciphisa amandla okuqhutshwa kwemizwa yezinzwa.

Ngemuva kokwethulwa kwe-2 ml kuphela yesidakamizwa, ukuhlushwa okuphezulu ku-plasma yegazi kufinyelelwa emva kwemizuzu engu-15-20. Kodwa kuphawula ukuthi ukuhlushwa endaweni yokuphatha kunamakhulu izikhathi eziphakeme kunalokho egazini legazi.

Ifomu lokulungiselela nokubunjwa kwalo

"Ultrakain DS Forte" itholakale ngendlela yezixazululo ezinemijovo. I-1 ml yesidakamizwa iqukethe:

• Izithako ezisebenzayo ziyi-40 mg ye-articaine hydrochloride ne-epinephrine hydrochloride, ukuhlushwa kwayo kungahluka.
• Njengoba izingxenye ezengeziwe zifakiwe: i-chloride ye-sodium, i-metabisulphite ye-sodium, amanzi omjovo.

Isidakamizwa sikhiqizwa nge-ampoules futhi yisisombululo ngaphandle kombala, esobala ngokuphelele.

Lesi sidakamizwa sitholakale ngefomu ehlukene, ehlukile ekugxilweni kwezinto ezisebenzayo:

• "Ultracaine DS Forte" 1: 100,000 ukuhlushwa kwe-epinephrine.
• Ukuhlushwa kungaba 1: 200000.
• Kukhona uhlobo lomuthi ngokuphelele ngaphandle kwe-epinephrine.

Abakhiqizi bapakisha izidakamizwa emithonjeni yegazi ekhethekile eyi-1.7-ml, efakwe emgodini we-carp, bese inaliti ishaywa imithi. Ngakho "i-Ultracaine" iyethulwa, intengo ye-ampoule yinto encane kakhulu - yenza ama-ruble angama-40-50, ngakho cishe zonke iziguli ngaphambi kokuvakashela udokotela wamazinyo zingakwazi ukuthenga umuthi onjalo. Ukusetshenziswa kwalo kuzokwenza kube lula ukukhipha noma ukuphulukisa izinyo ngokungazi lutho.

Izimpawu zokusetshenziswa kwezidakamizwa "Ultracaine"

Ukwakheka kwezidakamizwa kuvumela ukusebenzisa ngokubanzi kakhulu kumazinyo omzimba ekusetshenzisweni kokungena kwegazi nokuhlinzekwa kwe- anesthesia. Lesi sidakamizwa sisetshenziselwa ngisho neziguli ezinezifo zomzimba. Ukwethulwa kwe "Ultracaine DS Forte" kuboniswa kula macala alandelayo:

• Uma ukungenelela okuhlinzekwayo kwenziwa nge-mucosa yomlomo.
• Ukukhipha noma ukukhipha izinyo kuyadingeka.

• Ukuqothulwa kwamazinyo aphethwe yisifo se-periodontal.
• Uma kukhona ukuhlinzeka isikhathi eside ngudokotela ohlinzayo ekukhipheni ama-cysts, ukugaya amazinyo ngaphambi kokusebenza kwama-prosthetics.

Umthamo wesidakamizwa esimweni ngasinye unqunywa ngamunye.

Isilinganiso nezindlela zokuphatha

Uma unquma ukuthenga ngaphambi kokuya kudokotela wamazinyo "Ultrakain", imfundo yokusetshenziswa ithi ungayifaka kuphela uma izicubu zingenayo inqubo yokuvuvukala. Futhi, ukuphathwa kwe-intravenous kunqatshelwe.

Uma kufanele ususe izinyo, izinqubo ezingavumelani zokuvuvukala nezinye izinkinga, okwanele ukwethula u-1.7 ml wezidakamizwa zibe yi-submucosa, kunezimo lapho kungadingeka khona ukunikeza inani elengeziwe lomuthi. Ezimweni ezinjalo, umjovo we-palatal obuhlungu ungagwenywa.

Uma amazinyo okufanele asuswe atholakale eduze komunye nomunye, khona-ke inani lemijovo alikwazi ukwanda, isidakamizwa "i-Ultracaine DS Forte" sizosebenza futhi sibe nesilwane esiphuthumayo.

Uma kufanele ukhiphe futhi usebenzise izibhakabhaka esibhakabhakeni, khona-ke ukwakha i-depot ye-palatine kwanele u-0.1 ml wezokwelapha ngesibhamu ngasinye.

Uma ususa amazinyo aphansi, okungenakho izinqubo zokuvuvukala, kuzoba khona ukufaka i- anesthesia ngokujova kwe-1.7 ml ngezinyo. Uma umphumela oyifunayo we-anesthesia awutholakali ngemuva komjovo, umjovo owengeziwe ungenziwa endaweni engaphansi kwe-submucosal. Kunezimo lapho le ndlela ingakhombisi ku-anesthesia ethembekile, khona-ke kuyodingeka ukuthi kuqhutshwe ukuvimbela ukuqhutshwa komuthi we-mandibular.

Uma ukungenelela okuhlinzekwayo kuyadingeka futhi i-anesthesia iyadingeka, "i-Ultracaine" idonswa ngokuya ngobukhulu be-pathology kanye nobude obulindelekile bokusebenza.

Uma ukwelashwa noma ukususwa kwamazinyo kuqhutshwa kweziguli ezikhulile, khona-ke into esebenzayo yomuthi ingahlinzekwa ku-7 mg ngekhilogram yesisindo somzimba. Isilinganiso sezingane sikhethwe kuleso simo ngasinye, ngokucabangela isisindo nobudala besiguli esincane. Kodwa kufanele sicabange ukuthi inani lemithi esebenzayo akufanele lidlule u-5 mg nge kilogram yesisindo somntwana.

Lapho ukwelashwa iziguli ezikhulile, umthamo uyadingeka nokuba uthathe ubuncane, kodwa kudingekile ukuze ufeze umphumela oyifunayo.

Amanye ama-nuances okusebenzisa i- "Ultracaine"

Ekusetshenzisweni kwanoma yikuphi izidakamizwa, zikhona njalo imithetho ekhethekile kanye nobuqili, futhi "i-Ultracaine" ayinjalo. Nansi eminye imithetho okufanele ibonwe uma usebenzisa le mithi:

1. Ukuvimbela umjovo we-intravascular, ukuhlolwa okufisa kufanele kwenziwe.
2. Umfutho wokucindezeleka kufanele uhambisane nobuzwe bezincubu.
3. Ukuze kuvinjelwe ukuthuthukiswa kwezifo ezithathelwanayo, isiguli kumele sigcine ukuthi udokotela usebenzisa inaliti entsha nesirinji emceleni ngamunye wesisombululo esivela ku-vial. Uma i-cartridge isivele ivuliwe, ayikwazi ukusetshenziselwa isiguli esilandelayo.
4. Akwamukeleki futhi ukusebenzisa i-cartridge eyonakalisiwe ukuphatha lesi sidakamizwa.
5. Uma usebenzisa ama-syringe akhethekile, ungazivikela emonakalweni weglasi bese wenza ukusebenza kwawo kungenasici.

Uma unamathela kule mithetho elula, i-anesthesia ngokusetshenziswa kwalesi sidakamizwa iyoba mnandi.

Ukusetshenziswa kwe- "Ultracaine" kwezinye iziguli zesiguli

Noma yikuphi ukuhlaziywa, noma ngabe kungumjovo olula we-Ultrakain, kudinga ukunakekelwa okukhethekile ezigabeni ezithile zeziguli, kanye nakwezinye izimo:

• Uma isiguli sisifo senhliziyo nesifo se-vascular, kukhona ama-arrhythmias enhliziyo, umlando wesifo, unomfutho wegazi ophezulu, ngakho-ke kuyisifiso sokusebenzisa lesi sidakamizwa ngokuncane noma akukho okusebenzayo.
• Okufanayo kusebenza neziguli ezinesifo sikashukela, i-hyperthyroidism, i-emphysema noma i-bronchitis.
• Ngemuva kokuvakashela udokotela wamazinyo, ungadla kuphela emva kokuba i-anesthesia iqede ngokuphelele.

• Kwakungekho mthelela othize ekwazi ukushayela imoto, kodwa uma isiguli sinikezwa umthamo omkhulu, kungcono ukugwema lokhu kuze kube yilapho ubuzwe bubuyiselwe ngokuphelele.
• Ngokunakekelwa okukhulu, isidakamizwa kufanele sisetshenziswe kwiziguli ezine-angina ne- postinfarction cardiosclerosis.
• Uma kukhona ukuphazamiseka kokusabalalisa kwe-cerebral, umthamo kufanele futhi ugcinwe ngokucophelela.
• Ukukhathazeka kwe-coagulation kudinga ukuqapha.
• Ukulimala okukhulu kwezinso nesibindi kungesizathu esihle sokungasebenzisi i-Ultrakain.

Ukusetshenziswa kwe "Ultrakain" 1: 200,000

Lesi sidakamizwa sinomsoco wokusebenza okuncane, ngakho-ke kuvame ukusetshenziselwa ukwelashwa kwabesifazane abakhulelwe noma omama abahlengikazi.

Lokhu kuhlushwa kufanele iziguli ezinezinkinga zenhliziyo. Kodwa kukhona ukulinganiselwa:

• Ukunakekelwa okukhulu kusebenza ezigulini ezine-asthma.
• Uma kune-pathology ye-gland yegciwane, sebenzisa le "Ultracaine" (imijovo) evinjelwe.

"Ultracaine" ngaphandle kwe-epinephrine

Njengoba kucatshangwa ukuthi cishe zonke izidakamizwa ezingekho ngaphansi kwalolu hlobo lwesidakamizwa, lokhu kuyindlela efanele kunazo zonke iziguli ezisengozini yokubonakaliswa kwemizwa. Ibuye ifanelekile iziguli ezine-asthma ezinamahloni futhi zibe nesifo se-thyroid.

Isidakamizwa sifanele ama-cores, kodwa umuntu kufanele akhumbule ukuthi isikhathi sesenzo sohlobo olunjalo singaphansi kakhulu.

Izimpawu ezingathandeki emva kokusetshenziswa kwe- "Ultracaine"

Uma usebenzisa i- "Ultracaine", imiyalelo yokusetshenziswa kwamazinyo kufanele ihlolwe ngokucophelela, ngaphandle kwalokho kungase kube nemiphumela emibi:

1. Izifo zokuphefumula ezingabangela ngisho nokuyeka ukuphefumula.
2. Ukubonakala kokubamba.
3. Izifo ezibonakalayo.
4. Uma unquma ukusebenzisa i-Ultracaine, ibhukwana lezincwadi lixwayisa ukuthi umjovo ongasebenzi kahle ungabangela ukulimala kwesibindi sebuso.
5. Emva komjovo, ungase ube nekhanda.
6. I-nausea nokuhlanza.
7. I-hypotension hypotension iqala.
8. I-Bradycardia.
9. Abanye kungenzeka, ngokuphambene nalokho, kubangele ukwanda kwengcindezi.
10. Ukubonakaliswa kwe-allergen.
11. Endaweni yomjovo, ukukhukhumeza.
12. Ukuvuvukala kwezindebe ezingenhla nezingezansi, izihlathi ngisho nezintambo zomculo.

Uma ngemuva kokuvakashela udokotela wamazinyo uthola lezi zibonakaliso, bese udinga ngokuphuthumayo ukubona udokotela.

Ngubani ongavunyelwe ukwamukelwa kwe "Ultracaine"

Naphezu kokuthi iziguli zihamba kahle emva kokujova kwesidakamizwa "Ultracaine DS Forte", kunezibalo kanye nemibandela lapho ukusetshenziswa kwayo kungathandeki khona:

1. Ukuziphendulela kwezinto eziyingxenye yomuthi.
2. I-Bradycardia.
3. Ukuvinjelwa kwama-Atrioventricular of degrees 2-3.
4. Ukuhluleka kwenhliziyo.
5. I-anemia.
6. I-Hypoxia.
7. I-glaucoma evuliwe-angle.
8. "I-Ultracaine" inezinqinamba zokusebenzisa ezinganeni kuze kube yiminyaka engu-4.

Uma uvakashela udokotela wamazinyo, kufanele utshele udokotela wakho ngesifo sakho esingapheli.

Imiphumela yokudlula ngokweqile

Abaningi ngaphambi kokuthenga udokotela wamazinyo bathenge u-Ultrakain, intengo ye-ampoule encane, ngakho-ke abanye uma kungenzeka bathenge umbhangqwana, ngaphandle kokwesaba uhlale phansi esihlalweni samazinyo bese ucela udokotela ukuba ajobe umthamo owodwa. Kodwa kuyadingeka ukwazi ukuthi izinkinga zingenzeka uma umthamo ungabonwa. Nazi ezinye izimpawu zedola elikhudlwana lomuthi:

• Isiyezi.
• I-Stupor.
• Ukuphefumula okungaphelele.
• Ukudumala okujwayelekile.
• Ukudonsa okujulile ekucindezelekeni kwegazi.
• Yehla.
• I-Bradycardia.
• ITachycardia.

Uma noma iyiphi yalezi zimpawu zivela, yeka isidakamizwa bese uthatha isinyathelo ngokushesha.

Ukuhambisana "Ultrakain" nezinye izidakamizwa

Uma uvakashela udokotela wamazinyo futhi ulindele umjovo we "Ultracaine", khona-ke udinga ukukwazisa udokotela ukuthi yimiphi imithi oyithathayo okwamanje. Ungahlanganisi lesi sidakamizwa nemithi elandelayo:

1. Nge-beta-blockers ye-cardioselective, isibonelo, i- "Propranolol".
2. With anti-depressants.
3. Ngezidakamizwa ezinomthelela ocindezelayo ohlelweni lwezinzwa.
4. Akuvumelekile ukuhlanganisa i- "Ultracaine" ne-"Aspirin" ne "Heparin" - kungase kube nokuphuma kwegazi endaweni yokujova.
5. Uma usebenzisa lesi sidakamizwa nge-relaxant muscle, umphumela wabo uphuthukisiwe.
6. Awukwazi ukusebenzisa izimali ezengeziwe ze-inhalation anesthesia, ingozi yokuphazamiseka kwengqondo yanda.
7. Ungasebenzisi izisombululo eziqukethe izinsimbi ezinzima zokukhipha i-disinfection.

Ukusetshenziswa kwe "Ultrakain" ngenkathi kuthwala ingane

Uma owesifazane esesimweni sokuvakashela udokotela wamazinyo, kunconywa ukuthi asebenzise i- "Ultracaine" ngesithako esincane esisebenzayo, imfundo yokusetshenziswa kumazinyo omzimba aqinisekisa lokhu. Kodwa ukusebenzisa izidakamizwa ngokuphelele ngaphandle kwe-epinephrine akunconywa, ngoba i-adrenaline ibangela ukuthi izitsha zinciphise esakhiweni somjovo futhi zinciphise ukumuncwa, okunciphisa ukuhlushwa kwezinto ezisebenzayo egazini.

Ukungena ebisi lwebele isici esisebenzayo se "Ultrakaina" sinamandla, kodwa ukugxila kuyo kuyoba okungabalulekile kangangokuthi akukwazi ukuphazamisa ingane nganoma iyiphi indlela. Ngakho-ke, uma umama kudingeka aphule noma aphulukise izinyo, ke ungaphazamisi ukubeletha.

Ukubuyekeza mayelana nomuthi

Iziguli zivame ukushiya impendulo emihle emva kokusebenzisa i-Ultrakain. Abantu abaningi bathi emva kokujova, ukugandeleka kwenzeka ngemva kwamahora ambalwa, umuzwa wenziwa ukuthi izindebe nolimi ziyavuvukala.

Ngemuva kokusetshenziswa kwe-"Ultracaine," cishe noma yikuphi ukuphathwa kabi kwamazinyo akubangelwa ubuhlungu, futhi inqubo yokwelapha idlula ngaphandle kokucindezeleka.

Zimbalwa iziguli eziqaphela ukubonakala kwemiphumela engadingeki ngemuva komjovo.

Uvame ukukhetha le mithi kanye nezindleko zayo ezingabizi kuma-pharmacy. Ukunikeza i-ruble engu-40-50 yethuluzi ikwazi cishe wonke umuntu.

Ukwelashwa kwamazinyo nokukhishwa kwabo ibhizinisi elingathandeki futhi elibuhlungu, kodwa ngemithi enjengokuthi "Ultrakain", zonke lezi zinqubo ziba nobuhlungu.

Kodwa qiniseka ukuthi utshele udokotela wakho mayelana nazo zonke izifo zakho ezingapheli kanye nemithi onayo, ukuze nje uqinisekise ubuhlungu obuphephile.