Mankhwala "Ultrakain". Malangizo ntchito

Medicament "Ultrakain" amatanthauza dzanzi m'deralo. Yogwira mankhwala - articaine hydrochloride. Midadada mankhwala okhudza mitsempha Kakhungu ndi sodium njira kuti amakwiya ndi kutsitsa kwa mtima pamodzi ulusi mitsempha. Ndi zimene zinachititsa mestnoanesteziruyuschee zotsatira "ultrakain". Motero, ntchito mankhwala limapezeka imfa kusintha kwa kumverera chifukwa kuchepetsa kapena kuwonongedwa kwa zikhumbo imalandira conduction pa malo jekeseni kapena mwachindunji ku malo a jekeseni wa. Chifukwa cha mphamvu yake ndichepe permeability m'chipinda mitsempha zimagwira ntchito zosiyanasiyana kukonzekera ali Kakhungu ofunika kwenikweni. Thunthu yogwira apatsira chotchinga placental, pafupifupi undetectable mu mkaka.

Mankhwala "Ultrakain". Malangizo. umboni

Mankhwalawa amagwiritsidwa ntchito pa waya ndi kusalola ochititsa dzanzi pa ntchito mu mano. Makamaka, medicament othandiza pa mtunda wa angapo dzino yosavuta kapena osakwatiwa, chithandizo mphako, mano akupera pamaso prosthesis.

"Ultrakain" njira. Malangizo ntchito

Mlingo wa akulu - 4-6 mg / kg. Anandilola kugwiritsira osapitirira 400 mg. Kuchita kusalola ochititsa dzanzi chikuyendetsedwera zambiri 1.7 ml (palibe kutupa) pa pafupi awiri kapena dzino limodzi. Pakuti alveolar mitsempha yozizira koopsa limatenga 1-1.7 ml. Isanafike jekeseni, kukhumba ayenera idzachitika mayeso pofuna kupewa intravascular (mwangozi) oyamba mwa njira.

Mankhwala "Ultrakain". Malangizo. zosiyanasiyana chokhwima

zochitika Kulanga kwa CNS zambiri mlingo zokhudzana. Odwala ali stupor, mu zina chifukwa mu imfa ya chikumbumtima, matenda kupuma, n'zothandiza kuti asiye amalembedwa kukokana kwa minofu kugwedeza. Mtumiki amachititsa paraesthesia, chizungulire, ndi kufupika chisokonezo zithunzi (awiri masomphenya, khungu, pamaso turbidity). Nthawi zina pamakhala zinthu zowonongeka mitsempha chikwiyire kuphwanya luso jekeseni. Nthawi imeneyi, ayenera kukula kwa ziwalo nkhope. Mankhwala kungachititse kukhumudwa m'mimba ntchito, nseru, thupi lawo siligwirizana. Pamene jakisoni angayambe khungu ankatenthetsa, angioedema, rhinitis. Mankhwala zikhoza vuto Pomeza, mantha, matenda a mtima, kuchepa kwa kuthamanga, bradycardia. Jekeseni malo akhoza kutupa kapena kutupa kwa minofu ya mucous lapansi.

"Ultrakain" njira. Malangizo. contraindications

Mankhwala si ntchito pa hypoxia, ana (mpaka zaka zinayi), ndipo magazi m'thupi. Medicament "Ultrakain" si anasonyeza kuti methemoglobinemia, hypotension kwambiri. Contraindications monga mtima kulephera pachimake decompensated mtundu otaya, hypersensitivity kwa zigawo zikuluzikulu. Osavomerezeka mankhwala matenda mu conduction ndi ntchito ya mfundo nkusani. Makamaka, contraindications monga bradycardia chitaperekedwa atrioventricular chipika. Mankhwala "Ultrakain" (mayankho a akatswiri akutitsimikizira izi) ayenera kugwiritsidwa ntchito mosamala ngati insufficiency wa cholinesterase. Pankhaniyi, mankhwala ntchito kokha pamene kuli kofunika kutero, mogwirizana ndi Mwina ndi mphamvu kwambiri ndipo nthawi yaitali ntchito zake.