Muaj ntau yam qhia rau kev siv tshuaj loog hauv zos. Hauv kev kho mob, cov tshuaj tau siv dav uas tuaj yeem ua rau muaj kev cuam tshuam ntawm cov hlab ntsha ntawm cov hlab ntsha thiab cov hlab ntsha peripheral. Cov tshuaj loog kuj tseem nrov heev hauv kev xyaum cardiology. Lawv yog siv rau kev kho mob thiab kev tiv thaiv ntawm ventricular arrhythmias uas nrog mob myocardial infarction, nrog glycoside intoxication thiab tshuaj loog. Feem ntau, cov kws kho mob siv Lidocaine Hydrochloride (2%) thiab analogues ntawm cov tshuaj no. Piv txwv li, Candibiotic, Luan, Lykain, Versatis, Helikain thiab Milgamma.
Cov ntaub ntawv tseem ceeb
Cov tshuaj yog nyob rau hauv pab pawg ntawm cov tshuaj loog hauv zos, tshuaj tiv thaiv arrhythmic. Muaj nyob rau hauv daim ntawv ntawm ib tug meej tov rau kev txhaj tshuaj, tsis muaj xim thiab tsw. Lub ntsiab tivthaiv ntawm cov tshuaj yog lidocaine hydrochloride nyob rau hauv tus nqi ntawm 100 thiab 20 mg ib ml. Raws li nws cov qauv tshuaj, cov tshuaj belongs rau acetanilide derivatives. Renderspronounced local anesthetic thiab antiarrhythmic nyhuv ntawm tus neeg mob lub cev. Qhov kev txiav txim tshwm sim los ntawm kev txo cov paj hlwb, uas tsim los ntawm kev thaiv cov channel hauv cov paj hlwb thiab cov fibers. Cov nyhuv ntawm lidocaine tsim nyob rau hauv ib lub sij hawm luv luv thiab kav ntev txog 90 feeb. Thaum siv hauv zos, cov tshuaj dilates cov hlab ntsha.
Cov khoom ntawm cov khoom muaj peev xwm normalize cell membrane, thaiv sodium raws thiab nce permeability ntawm daim nyias nyias rau poov tshuaj ions. Accelerates repolarization nyob rau hauv lub ventricles cov tshuaj "Lidocaine hydrochloride" nyob rau hauv ampoules. Qhov kev txiav txim ntawm cov khoom tau raug kawm kom ntxaws ntau xyoo.
Indications thiab contraindications
Cov tshuaj siv tau rau qhov xwm txheej zoo li no:
- Spinal, epidural, conduction, infiltration, thermal anesthesia.
- Tiv thaiv kev ntsuas rau theem nrab ventricular fibrillation thiab rov tshwm sim ventricular tachycardia.
- Npaj arrhythmias tshwm sim los ntawm glycoside intoxication.
Ua ntej pib kho, koj yuav tsum ua tib zoo kawm tag nrho cov ntaub ntawv hais txog cov tshuaj "Lidocaine hydrochloride". Ib daim ntawv qhia hauv Latin yuav zoo li no: Rp.: Sol. Lidokaini 10%-2ml, D.t.d. N10 hauv amp.
Contraindications rau cov tshuaj yog raws li nram no:
- Bradycardia.
- Sinus node tsis muaj zog.
- Kev thaiv ntawm lub ventricles ntawm lub plawv cov leeg.
- Lub plawv tsis ua hauj lwm nyob rau theem mob thiab mob ntev.
- Cardiogenic poob siab.
- Txuagsiab.
- Lub sijhawm gestation.
- Ntsia tus me nyuam.
- Kev tsis haum rau cov khoom lag luam.
Lidocaine hydrochloride tsis haum rau txhua tus neeg ua tshuaj loog. Daim ntawv tso tawm tsis muaj teeb meem. Qee tus neeg mob tuaj yeem ua xua.
Khoom
Rau hom tshuaj loog saum toj no, cov tshuaj tau muab tshuaj rau hauv koob tshuaj 10 txog 20 mg. Qhov siab tshaj plaws txhua hnub yuav tsum tsis pub tshaj 400 mg. Hauv cov neeg laus thiab cov neeg mob uas muaj mob cirrhosis ntawm daim siab, koob tshuaj yog teem rau tus kheej. Raws li cov tshuaj antiarrhythmic, ib qho kev daws ntawm "Lidocaine hydrochloride" yog muab tso rau hauv cov hlab ntsha. Nws yog diluted nrog ib tus neeg sawv cev isotonic kom txog thaum lub concentration ntawm 20 mg ib 1 ml tau txais. Cov tshuaj yog dripped rau 12 teev nyob rau hauv kev tswj ntawm mem tes thiab ECG.
Kev noj ntau dhau tuaj yeem ua rau cov tsos mob hauv qab no:
- kiv taub hau;
- nausea;
- ntua;
- bradycardia;
- collapse;
xav
Thaum tus neeg mob mob hnyav dua, cov tshuaj nres. Nws txuas nrog oxygenation nrog oxygen thiab kho cov tsos mob tau sau tseg. Nrog mob heev convulsions, kev qhia txog diazepam yog qhia. Nws yog ib qho tsim nyog yuav tsum ua tib zoo saib xyuas cov tshuaj lidocaine Hydrochloride. Cov lus qhia rau kev siv muaj cov ncauj lus kom ntxaws txog cov tshuaj.
Kev sib raug zoo nrog lwm pab pawg tshuaj
Cov txiaj ntsig tsis zoo muaj kev cuam tshuam nrog cov tshuaj hauv qab no "Digitoxin", "Quinidine", "Verapamil", "Procainomiom", cov leeg nqaij,curariform tshuaj. Kev tswj hwm kev sib koom ua ke tuaj yeem ua rau muaj kev cuam tshuam tshuaj ntau ntxiv. Thiab kuj rau kev txhim kho cov kev mob tshwm sim thaum siv Lidocaine Girpochloride. Yuav tsum muaj daim ntawv tshuaj. Yog tsis muaj nws, nws yuav tsis tuaj yeem yuav cov tshuaj hauv lub tsev muag tshuaj. Cov kev hloov pauv nrov tshaj plaws rau qhov kev kho no yuav piav qhia hauv qab no.
Candibiotic
Cov tshuaj yog ib pawg ntawm cov tshuaj uas muaj tshuaj tua kab mob, tshuaj tua kab mob, tshuaj tua kab mob, tshuaj loog hauv zos rau kev siv tshuaj pleev. Nws yog tsim nyob rau hauv daim ntawv ntawm pob ntseg tee. Cov khoom tseem ceeb hauv cov khoom xyaw yog beclomethasone dipropionate, clotrimazole, lidocaine hydrochloride, chloramphenicol.
Cov tshuaj muaj cov teebmeem hauv qab no:
- antifungal;
- Ybacteriostatic;
- Yanti-inflammatory;
- antiallergic;
- tshuaj loog hauv zos.
Kandibiotic muaj ntau yam teebmeem piv rau Lidocaine Hydrochloride, uas yog siv rau tshuaj loog hauv zos. Cov lus qhia rau nws siv yog raws li nram no:
- Kev ua xua thiab kab mob ntawm pob ntseg.
- Tshuaj mob sab nraud thiab kis otitis.
- Acute otitis media.
- mob otitis media nyob rau theem mob.
- Post-operative intervention ntawm pob ntseg.
Cov tshuaj kho mob "Candibiotic" tsuas yog siv rau ENT pathologies, sib piv rau cov tshuaj "Lidocaine hydrochloride". Cov lus qhia raudaim ntawv thov yuav pab kom nkag siab txog cov yam ntxwv ntawm kev siv tshuaj. Nws kuj muaj contraindications: pob ntseg raug mob, tus neeg mob lub hnub nyoog txog li 7 xyoo, hypersensitivity rau lub Cheebtsam.
Khoom
Cov tshuaj yog instilled 4 los yog 5 tee rau hauv lub sab nraud auditory kwj dej peb zaug ib hnub twg. Kev sib tham nrog lwm tus neeg sawv cev tsis tau kawm. Muaj tsawg zaus, kev tsis haum tshuaj rau cov khoom tseem ceeb hauv cov tshuaj yuav tshwm sim. Nco qab, nws suav nrog beclomethasone dipropionate, clotrimazole, lidocaine hydrochloride, chloramphenicol. Thaum lub sij hawm cev xeeb tub thiab lactation, cov tshuaj yog muab los ntawm tus kws kho mob txiav txim siab. Nws yuav tsum tsuas yog siv yog tias qhov txiaj ntsig rau leej niam tshaj qhov kev pheej hmoo rau tus menyuam. Nws yog ib qho tsim nyog yuav tsum khaws cov tshuaj ntawm qhov kub tsis tshaj 25 degrees, nyob rau hauv qhov chaw tsaus thiab tsis tuaj yeem siv rau cov menyuam yaus. Cov tshuaj "Candibiotic" yog muab tso rau hauv ib lub tsev muag tshuaj los ntawm kws kho mob. Nws tsis pom zoo kom siv tee rau cov menyuam yaus hnub nyoog qis dua 6 xyoo. Thaum lub sij hawm kho, nws yog ib qho tsim nyog yuav tsum tau ua raws li cov tshuaj thiab cov lus pom zoo ntawm tus kws kho mob.
Milgamma tshuaj
Tshuaj nyob rau hauv daim ntawv ntawm dragees thiab txhaj tshuaj. Hais txog cov complex ntawm cov vitamins ntawm pab pawg B. Nws yog tshuaj rau kev kho mob. Cov tshuaj muaj xws li thiamine hydrochloride, pyridoxine hydrochloride, cyanocobalamin, lidocaine.
Cov tshuaj muaj txiaj ntsig zoo rau lub cev hauv kev kho mob ntawm lub paj hlwb thiab lub cev muaj zog. Lub ntsiab tivthaiv txhim kho cov ntshav khiav thiab txhim kho kev ua haujlwmCNS.
Indications:
- Neuralgia ntau yam.
- Neuritis ntawm lub ntsej muag thiab trigeminal hlab ntsha.
- Osteochondrosis.
Contraindications:
- Lub plawv tsis ua hauj lwm nyob rau theem decompensation.
- Tsis muaj hnub nyoog.
- Hypersensitivity rau cov ntsiab lus nyob rau hauv lub composition.
Txoj kev siv
Yog tias mob hnyav, nws raug nquahu kom muab cov tshuaj txhua hnub rau 10 hnub. Tom qab ntawd, thaum ncav cuag cov txiaj ntsig zoo, nws raug nquahu kom coj tus neeg sawv cev ib zaug lossis ob zaug hauv ib lub lis piam. Cov tshuaj yog muab intramuscularly thiab tob. Lidocaine hydrochloride (1%), uas yog ib feem ntawm cov tshuaj, relieves mob thiab kub hnyiab nyob rau hauv tus neeg mob ntawm qhov chaw ntawm ib tug pinched paj hlwb ntawm lub vertebrae.
Gel "Luan"
Cov tshuaj no yog siv rau tshuaj loog superficial. Muaj nyob rau hauv daim ntawv ntawm pob tshab gel. Lub hauv paus tseem ceeb hauv kev sib xyaw yog lidocaine hydrochloride. Cov tshuaj yog siv rau hauv zos ua. Nws muaj cov nyhuv tshuaj loog. Qhov no yog vim qhov thim rov qab inhibition ntawm cov hlab ntsha xaus ntawm daim tawv nqaij thiab cov mucous membranes.
Thaum twg siv tshuaj?
Qhia rau kev kuaj mob thiab kho endourethral thiab endoscopic cov txheej txheem. Lidocaine hydrochloride nyob rau hauv ampoules kuj tau sau tseg rau tshuaj loog hauv zos. Qhov kev txiav txim ntawm cov khoom yog zoo tib yam rau cov gel. Qhov txawv tsuas yog qhov kev daws teeb meem yog siv intramuscularly lossis subcutaneously.
Contraindications:
- Nyob rau hemorrhoidal los ntshav.
- Kev raug mob rau cov mucous.
- Hypersensitivity rau cov khoom xyaw tshuaj.
Khoom
Cov khoom yog nyem ncaj qha rau hauv cov zis. Nyob rau tib lub sij hawm massage nws nraub qaum phab ntsa. Tom ntej no, koj yuav tsum tau clamp lub urethra nrog ib tug clamp thiab tos 10 feeb, thiab ces mus rau cov kev tshawb fawb soj ntsuam. Cov ntsiab lus ntawm ib lub raj nrog cov gel yog txaus rau kev tswj hwm thiab tsis tu ncua hauv zos tshuaj loog, ua tsaug rau cov khoom xyaw hu ua lidocaine hydrochloride. Cov lus qhia rau kev siv piav qhia thaum twg cov tshuaj siv tau. Cov lus piav qhia kuj qhia tau tias muaj kev phiv tshwm sim.
Versatis
Cov tshuaj yog nyob rau hauv pab pawg ntawm tshuaj loog hauv zos. Muaj nyob rau hauv daim ntawv ntawm ib thaj ntawm dawb los yog yellowish xim. Lub ntsiab tseem ceeb hauv cov tshuaj muaj pes tsawg leeg yog lidocaine hydrochloride ntawm koob tshuaj 700 mg. Qhov loj ntawm lub thaj yog 14x15 cm. Cov khoom xyaw nquag yog acetamide derivative. Nws muaj kev ua haujlwm ruaj khov ntawm daim nyias nyias, ua rau muaj kev cuam tshuam ntawm sodium channels ntawm excitable neuronal daim nyias nyias. Tsis ua rau tawv nqaij.
Indications rau thaj siv:
- mob nyem los ntawm kev raug mob vertebrogenic;
- neuralgia tom qab herpetic tawm pob;
- myositis.
Kev siv tshuaj pleev ib ce tuaj yeem yog lwm txoj hauv kev siv Lidocaine Hydrochloride. Mob ploj sai sai. Cov tshuaj tsis raug sau tsegua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij, hypersensitivity rau cov khoom tseem ceeb.
Khoom
Patch yog rau siv tshuaj pleev ib ce. Nws yog glued rau thaj tsam uas yuav tsum tau muab tshuaj loog. Tom qab sib cuag nrog cov khoom, ntxuav koj txhais tes kom huv si. Cov tshuaj "Versatis" tuaj yeem nyob ntawm daim tawv nqaij ntev txog 12 teev. Tom qab ntawd koj yuav tsum tau so rau ib nrab hnub. Tom qab ntawd dua koj yuav tsum tau nplaum lub thaj. Yog tias hyperemia thiab kub hnyiab tshwm sim ntawm qhov chaw sib cuag, ces lub kaw lus yuav tsum raug tshem tawm kom txog thaum cov tsos mob tshwm sim ploj mus. Tsis pub dhau 20 feeb tom qab siv lub thaj, tus neeg mob qhov mob yuav ploj mus.
"Lycaine" yuav hloov lidocaine hydrochloride
Cov tshuaj yog nyob rau hauv pab pawg ntawm cov tshuaj antiarrhythmic. Nws yog ib qho tshuaj loog hauv zos muab los ntawm acetanilide. Nws muaj kev ua haujlwm ruaj khov ntawm daim nyias nyias. Ua rau txhua yam tshuaj loog. Nws muaj qhov thaiv ntawm sodium channels ntawm cov hlab ntsha zoo siab ntawm cov neurons thiab cardiomyocytes. Cov tshuaj muaj xws li lidocaine hydrochloride monohydrate ntawm ib koob ntawm 20 mg.
Indications:
- Kev kho thiab tiv thaiv ntawm ventricular arrhythmias.
- mob plawv mob plawv.
- Tshuaj loog.
- YGlycoside intoxication.
- Qee yam tshuaj loog.
- Kev thaiv ntawm cov hlab ntsha peripheral thiab cov leeg.
Contraindications:
- Tshuaj.
- Bleeding.
- mob hnyav ntawm lub siab thiab lub raum.
- Kev cev xeeb tub.
- Lactation.
- ntshav siab.
- Bradycardia.
Khoom
Raws li tus neeg sawv cev antiarrhythmic, cov tshuaj tau muab tso rau hauv txoj hlab ntshav ntawm koob 2mg rau kg lub cev hnyav ntawm tus neeg mob. Qhov siab tshaj plaws rau ib daim ntawv thov yuav tsum tsis pub tshaj 80 mg. Intramuscularly muab los ntawm 2 mus rau 4 mg ib kg ntawm lub cev qhov hnyav. Lub sijhawm nruab nrab ntawm kev txhaj tshuaj yuav tsum yog tsawg kawg yog ob teev.
Rau qhov tshuaj loog hauv zos, cov tshuaj tau muab tshuaj rau hauv ib tus neeg noj rau txhua tus neeg mob, nyob ntawm tus txheej txheem ntawm tus txheej txheem thiab lub sijhawm nws yuav siv los ua kom tiav. Nws tsis pom zoo kom noj Lykain ua ke nrog cov tshuaj hauv qab no:
- Beta-blockers.
- "Phenobarbital".
- MAO inhibitors.
- "Suxamethonium chloride".
- "Amiodarone".
Gel "Helikain"
Cov tshuaj yog nyob rau hauv pawg A cov tshuaj tiv thaiv kev mob arrhythmic. Ua rau txhua hom tshuaj loog hauv zos. Nws muaj kev ua haujlwm ruaj khov ntawm daim nyias nyias. Cov tshuaj muaj lidocaine hydrochloride.
Kev qhia
Gel "Helikain" yog sau rau hauv cov xwm txheej zoo li no:
- Kev kho thiab tiv thaiv ntawm ventricular arrhythmias.
- mob plawv mob plawv.
- YGlycoside intoxication.
- Kev thaiv ntawm cov hlab ntsha peripheral thiab cov leeg.
- tshuaj loog hauv zos hauv kev kho hniav, obstetrics, phais thiab gynecology.
Contraindications:
- ntshav siab.
- Bradycardia.
- Cardiogenic poob siab.
- mob hnyav ntawm lub siab thiab lub raum.
- Kev cev xeeb tub.
- Npaj Ntsuag.
- Ntaus rhiab heev rau lub ntsiabtivthaiv.
Yuav siv tshuaj li cas?
Gel "Helikain" yog tswj hwm ntawm tus nqi ntawm 2 mg rau 1 kg ntawm lub cev hnyav. Qhov nruab nrab ib koob tshuaj yuav tsum tsis pub tshaj 80 mg. Cov tshuaj yog muab tso rau hauv cov hlab ntsha ntev li 5 feeb. Tom qab ntawd qhia cov kev taw qhia ntawm infusion rau 12 teev. Cov tshuaj yaj nyob rau hauv isotonic kua.
Intramuscular txhaj ntawm koob tshuaj 2 lossis 4 mg rau 1 kg ntawm tus neeg mob lub cev hnyav. Kev suav cov tshuaj yuav tsum tau ua los ntawm kws kho mob nkaus xwb. Feem ntau, cov gel raug zam tau zoo, tab sis kev tsis haum tshuaj yuav tshwm sim nyob rau hauv daim ntawv ntawm pob khaus thiab liab ntawm qhov chaw txhaj tshuaj. Cov tshuaj yog muag nyob rau hauv ib lub tsev muag tshuaj los ntawm cov tshuaj. Tsis txhob ntxiv cov tshuaj rau cov ntshav rau kev hloov ntshav. Cov tshuaj yog khaws cia ntawm qhov kub tsis tshaj 25 degrees, nyob rau hauv ib qho chaw tsaus, qhuav qhov chaw ntawm cov me nyuam. Nws tsis pom zoo kom tsav tsheb thiab ua haujlwm cuam tshuam nrog kev pheej hmoo thiab kev phom sij thaum kho. Nrog ceev faj, cov tshuaj yog muab rau cov neeg mob tom qab 65 xyoo. Cov neeg mob uas muaj kab mob loj heev ntawm daim siab thiab lub raum yuav tsum tsis txhob siv tshuaj.
Side effects
siv cov tshuaj tsis raug tuaj yeem ua rau muaj cov tsos mob hauv qab no:
- migraine;
- kiv taub hau;
- tachycardia;
- siab txo;
- mob hauv lub epigastrium;
- nausea;
- pw tsis tsaug zog;
- xov xwm;
- mob qaum;
- tso zis tsis txaus;
- kev nyuaj siab ua pa kom txog thaum nws nres.
Ua ntej yuav muab tshuaj, tus kws kho mob yuav tsum tau kawm kom ntxawstus neeg mob keeb kwm, contraindications, thiab muaj kev pheej hmoo ntawm kev tsis haum tshuaj. Thaum cev xeeb tub thiab lactation, cov tshuaj tsuas yog siv thaum muaj xwm txheej ceev, thaum qhov txiaj ntsig rau leej niam tshaj qhov kev pheej hmoo rau tus menyuam.
Kev sib tham nrog lwm pab pawg tshuaj
Nws tsis pom zoo kom muab nws ua ke nrog cov tshuaj thiab tshuaj hauv qab no:
- barbiturates;
- beta-blockers;
- MAO inhibitors;
- amiodarone;
- Ypropafenone;
- phenytoin;
- cimetidine.
Koj yuav tsum maj mam txhaj tshuaj rau hauv pliaj thiab caj dab. Tshwj xeeb tshaj yog nyob rau hauv cov chaw no yav tas los muaj kev cuam tshuam kev phais. Tsis tas li ntawd, cov neeg mob thaum lub sij hawm tus txha caj qaum thiab epidural tshuaj loog uas muaj tus txha caj qaum deformity yuav tsum tsis txhob siv cov tshuaj loog hauv daim ntawv no. Yog tias ib tus neeg tsis tau txhaj tshuaj Lidocaine Hydrochloride ua ntej, qhov kev sim subcutaneous raug pom zoo kom txiav txim siab qhov tsis haum tshuaj.
Summarize
Cov kws tshaj lij tau sau tseg tias hauv kev kho mob, tshuaj feem ntau siv, cov khoom xyaw nquag uas yog lidocaine hydrochloride. Cov tshuaj no zoo kawg nkaus thaiv cov hlab ntsha. Vim li no, tus neeg mob tsis hnov mob thaum muaj kev cuam tshuam me me, nrog rau cov txheej txheem kuaj mob. Txawm li cas los xij, nws yuav tsum tau nco ntsoov tias cov tshuaj tau piav qhia kuj muaj ntau yam contraindications. Nws tsis yog qhov xwm txheej uas lidocaine hydrochloride tau muab tso rau hauv cov khw muag tshuaj nruj me ntsis raws li cov tshuaj.
