Mus ntsib kws kho hniav yog ib qho teeb meem uas yuav tsum tau muaj cov hlab ntsha muaj zog. Txawm hais tias nws yog tus hniav tsis zoo, lub puab tsaig ntawm lub puab tsaig lossis cov pos hniav, tag nrho cov no yog nrog los ntawm qhov mob hnyav, tsis muaj peev xwm ua tau lub neej ib txwm muaj. Kev ntshai ntawm kev cuam tshuam thiab kev ntshai ntawm qhov mob feem ntau ua rau tus neeg mob ncua nws mus ntsib kws kho mob mus txog qhov kawg.
Cov tshuaj tua kab mob zoo siv hauv kev kho hniav pab daws qhov teeb meem no. Ib tug ntawm lawv yog "Ultracain D". Nws negates tag nrho cov kev ntshai ntawm cov neeg mob, tag nrho thaiv qhov rhiab heev ntawm qhov chaw ntawm manipulation.
Vim li cas cov tshuaj no nyiam los ntawm cov kws kho hniav feem ntau?
Ntse
Muaj ntau yam tshuaj kho mob sib txawv siv hauv kev kho hniav. Cov nto moo tshaj plaws ntawm lawv yog Novocaine thiab Lidocaine.
Cov kws kho hniav, paub tias kev ntshai ntawm lawv cov neeg mob qee zaum tsis tso cai rau lawv muab kev kho mob raws sijhawm thiab tsim nyog, nyiam siv cov tshuaj tua kab mob uas muaj zog tshaj plaws hauv lawv cov kev xyaum. Qhov no kuj muaj feem xyuam rauqhov tseeb tias muaj ntau cov hlab ntsha hauv lub puab tsaig.
Hais txog lub zog ntawm kev siv tshuaj loog, "Ultracain D" yog 5 zaug zoo dua "Novocaine" thiab "Lidocaine" - 2 zaug.
Ntxiv rau, qhov ntau yam ntawm "Ultracaine" tsis muaj epinephrine, muaj nyob rau hauv ob hom tshuaj. Epinephrine muaj ib tug xov tooj ntawm contraindications thiab tsis pub siv rau cov neeg mob uas intolerance rau cov tshuaj no.
Cov ntsiab lus ntawm epinephrine nyob rau hauv cov tshuaj loog kuj muab rau cov muaj cov tshuaj preservatives tsim nyog nyob rau hauv nws los khaws nws, uas tej zaum yuav allergenic rau cov neeg mob.
Yog li, daim ntawv ntawm cov tshuaj no yog qhov zoo rau kev siv rau cov neeg uas muaj qhov tshwm sim ntawm kev tsis haum tshuaj, suav nrog cov neeg mob hawb pob bronchial.
Kev piav qhia
"Ultracain D" yog muaj raws li cov xim tsis muaj pob tshab rau kev txhaj tshuaj.
1 ml muaj: cov khoom xyaw nquag - articaine hydrochloride (40 mg), cov khoom ntxiv - dej rau kev txhaj tshuaj thiab sodium chloride.
Cov tshuaj tau muab cais ua ib qho tshuaj loog hauv zos ntawm articaine series.
Siv raws li kev txhaj tshuaj hauv kev kho hniav rau kev siv tshuaj loog thiab infiltration anesthesia.
Kev ua kom khov nrog qhov tsis hnov tsw ntawm thaj chaw uas txhaj tshuaj tshwm sim hauv 1-3 feeb. Cov nyhuv no kav ntev li 20 feeb.
Vim tias articaine tau degraded sai sai hauv lub cev mus rau cov kua qaub uas tsis yog tshuaj lom, rov siv tshuaj yog tso cai yog tias tsim nyog.
Qhov tshuaj loog no khaws cianyob rau hauv daim siab, tsis tawm hauv cov kua mis, hla lub placenta, tawm los ntawm lub raum.
Kev qhia
"Ultracain D" (qhov muaj pes tsawg leeg tsis suav nrog cov muaj epinephrine) tso cai siv rau cov pab pawg neeg mob uas tsis haum rau sulfites.
Tsis tas li, qhov tshuaj loog no tau tso cai rau cov xwm txheej uas yog contraindications rau lwm hom "Ultracaine" uas muaj epinephrine. Cov no yog cov kab mob ntawm lub plawv thiab cov hlab ntsha, tachyarrhythmia, tachycardia (paroxysmal), kev siv cov uas tsis yog-cardioselective beta-blockers, pheochromocytoma, lub kaum sab xis kaw glaucoma, hyperthyroidism, mob hnyav arterial hypertension.
Tshuaj loog "Ultracain D" cov lus qhia rau kev siv hauv kev kho hniav pom zoo siv rau cov laj thawj hauv qab no:
- kev ua thiab infiltration tshuaj loog ntawm qhov ncauj kab noj hniav hauv cov neeg mob uas muaj epinephrine intolerance;
- kev kho hniav luv luv (xws li canines, incisors);
- ntxuav qhov chaw carious ntawm cov hniav;
- sib tsoo cov hniav rau prosthetics;
- kev siv tshuaj loog me me.
YContraindications
Contraindications rau kev siv "Ultracain D" suav nrog cov xwm txheej xws li:
- tsis kam rau articaine thiab lwm yam tshuaj loog amide;
- mob plawv mob hnyav;
- mob plawv tsis ua hauj lwm;
- mob hnyav hypotension;
- vitamin deficiency anemiaQ12;
- hypoxia;
- cholinesterase deficiency;
- CNS kab mob;
- mus sij hawm ntev lossis ntev kev kho hniav;
- tus neeg mob hnub nyoog txog 4 xyoos.
Siv nrog saib xyuas
Peb ceeb toom rau koj tias "Ultracain D" muaj cov articaine, uas hla cov placenta. Hauv qhov no, kev txiav txim siab siv tshuaj loog hauv cov neeg mob cev xeeb tub yuav tsum yog tus kws kho mob.
Articaine, tsis zoo li lwm cov tshuaj tua kab mob hauv zos, hla cov placenta hauv me me, tab sis kev pom zoo rau nws siv tsuas yog tsim nyog yog tias qhov txiaj ntsig zoo tshaj qhov kev pheej hmoo rau tus menyuam hauv plab thiab niam.
Rau cov poj niam lactating, cov tshuaj tsis yog contraindicated, vim articaine tau tawm sai sai ntawm lub cev thiab tsis dhau mus rau hauv cov kua mis.
Yuav siv li cas
"Ultracain D", cov lus qhia ceeb toom, nws tsis pom zoo kom txhaj rau hauv cov ntaub so ntswg.
Ua ntej siv cov tshuaj, nws yog ib qho tsim nyog yuav tsum tau ua qhov kev ntsuas aspiration kom tsis txhob tau txais cov tshuaj mus rau hauv cov hlab ntsha. Txhawm rau ua qhov no, tom qab muab cov koob txhaj tshuaj rau hauv thaj chaw ntawm qhov kev npaj txhaj tshuaj, nws yog ib qho tsim nyog yuav tsum tau rub me ntsis cov koob txhaj tshuaj plunger nyob rau sab nraud thiab xyuas kom meej tias tsis muaj ntshav tau tshwm sim hauv cov tshuaj. Lub xub ntiag ntawm cov ntshav nyob rau hauv lub syringe qhia tau hais tias tus koob tau tho ib txoj hlab ntsha, ces qhov chaw txhaj tshuaj los yog qhov tob yuav tsum tau hloov.
Yog tias qhov ntsuas tau tsis zoo, cov tshuaj tuaj yeem txhaj rau hauv qhov chaw xaiv kom loog.
KOJ
rauinfiltration anesthesia yuav tsum tau 1.7 ml ntawm cov tshuaj rau ib los yog ob tug nyob ib sab hniav.
Rau kev ua tshuaj loog hauv qab ntawm cov hlab ntsha alveolar, 1-1.7 ml ntawm kev daws yuav xav tau.
Qhov siab tshaj plaws pub rau cov neeg mob laus yog 4 mg rau 1 kg ntawm lub cev qhov hnyav.
Side effects
Dab tsi tshwm sim tsis zoo tuaj yeem ua rau "Ultrakain D"? Cov lus qhia rau kev siv hauv kev kho hniav ceeb toom tias tom qab siv tshuaj loog, cov kev mob tshwm sim xws li kiv taub hau, tsis muaj zog, tsis hnov lus, mob taub hau, tsaug zog tuaj yeem tshwm sim.
Yog tias ntau npaum li cas ntawm cov tshuaj, tus neeg mob yuav hnov mob tsis nco qab lossis ua tsis taus pa, nrog rau convulsions.
Dyspeptic disorders - ntuav, xeev siab - tuaj yeem tshwm sim los ntawm kev tswj hwm cov tshuaj.
Kev cuam tshuam hauv lub plawv thiab cov hlab ntsha tom qab txhaj tshuaj "Ultracain D" tuaj yeem ua raws li hauv qab no: txo cov ntshav siab, lub plawv dhia tsis zoo, lub plawv tsis ua haujlwm, cev qhuav dej, bradycardia, mob hauv siab.
Ua ntej siv cov tshuaj "Ultracain D" cov lus qhia yuav tsum tau kawm kom zoo. Cov tshuaj loog yuav ua xua rau cov neeg mob, yog li nws raug pom zoo kom ua qhov kev sim ua ntej rau kev nkag siab ntawm qhov tshuaj loog no.
Cov tsos mob hauv qab no qhia tias muaj kev fab tshuaj rau cov tshuaj: liab ntawm daim tawv nqaij, o ntawm qhov chaw txhaj tshuaj, urticaria, khaus, pob khaus, rhinitis, conjunctivitis, o ntawm lub ntsej muag (o ntawm daim di ncauj), o ntawm daim tawv nqaij. mob ntsws, ua tsis taus pa, anaphylactic shock.
Yog tias cov ntaub so ntswg ntawm cov hlab ntsha puas lawm, paresis ntawm lub ntsej muag paj hlwb, paresthesia ntawm tus nplaig tuaj yeem tshwm simthiab daim di ncauj, tsis hnov qab thiab saj kev nkag siab.
Kev saib xyuas ntau dhau
"Ultracain D" tau txais txiaj ntsig zoo los ntawm cov neeg mob feem ntau. Txawm li cas los xij, kev ceev faj yuav tsum tsis txhob saib xyuas thaum siv nws.
Cov tsos mob ntawm kev siv tshuaj ntau dhau yog: tsis nco qab, kiv taub hau, bradycardia, ua haujlwm ntau dhau, ntshav siab.
Pab: muab tus neeg mob lub cev rau txoj kab rov tav nrog ob txhais ceg tsa. Muab cov huab cua ntshiab thiab ua kom pom tseeb tias txoj hlab cua ntshiab.
Thaum siv tshuaj loog "Ultracain D", cov lus qhia rau kev siv pom zoo saib xyuas cov ntshav siab thiab lub plawv dhia.
Yog ua pa nyuaj, muab cov pa oxygen rau tus neeg mob. Thaum ua tsis taus pa, kev ua pa ntawm lub ntsws yog qhia. Nrog laryngeal edema - endotracheal intubation thiab mechanical ventilation.
Rau convulsions - tswj cov hlab ntsha barbiturates, muab cov pa oxygen rau tus neeg mob, tswj hemodynamics.
Rau qhov poob siab thiab mob hnyav tsis ua haujlwm, tswj cov hlab ntsha albumin, hloov ntshav plasma, glucocorticoids, electrolytes.
Kev sib tham
Vim tias cov tshuaj loog hauv nqe lus nug tsis muaj epinephrine (ib qho analogue ntawm adrenaline), uas yog vasoconstrictor, nws pom tseeb tias "Ultracain D" tsis muaj adrenaline, thaum siv cov tshuaj tiv thaiv coagulants, ua rau muaj kev pheej hmoo los ntshav.
Zoo ib yam li tshuaj loog hauv zos, cov tshuaj ua kom cov nyhuv ntawm cov tshuaj uas ua rau muaj kev ntxhov siabCNS.
10 hnub ua ntej siv tshuaj loog, nws yog ib qho tsim nyog kom tsis txhob siv MAO inhibitors. Qhov no yuav txo qhov kev pheej hmoo ntawm hypotension.
Vasoconstrictors thiab narcotic analgesics txhim kho thiab ua kom cov nyhuv ntawm cov tshuaj. Qhov kawg, tib lub sijhawm, tuaj yeem ua rau muaj kev nyuaj siab lossis ua pa tsis ua pa.
Reviews
Hais txog cov tshuaj "Ultracain D" tshuaj xyuas ua rau kub siab rau qhov tseeb tias nws muaj txiaj ntsig zoo, tab sis lub sij hawm luv luv analgesic.
Cov neeg mob kho nrog tshuaj loog no thaum lub sijhawm kho hniav nco ntsoov cov hauv qab no:
- tshuaj yog muag hauv yuav luag txhua lub tsev muag tshuaj ntawm tus nqi pheej yig;
- tshuaj loog no txo qhov mob zoo, tshem tawm qhov kev xav thiab qhov mob;
- qhov kev txiav txim ntawm cov tshuaj yog luv luv, uas tso cai rau koj sai sai tshem tawm loog loog, ywj siab tham thiab noj;
- tshuaj loog zoo tshaj rau cov neeg uas tsis nyiam qhov ua kom khov ntev ntev ntawm cov tshuaj xws li;
- kev xaiv tshuaj loog zoo rau cov neeg mob hawb pob lossis kab mob thyroid;
- Tsis zoo li "Ultracaine" muaj cov tshuaj epinephrine, cov tshuaj no tsis ua rau lub plawv muaj teeb meem xws li palpitations, bradycardia, thiab lwm yam.
"Ultracain D", cov neeg mob tshuaj xyuas paub meej tias qhov no, yog qhov nrov heev. Qhov tsis zoo, nrog rau qhov zoo, tsuas yog nws cov nyhuv luv luv ua tshuaj loog.
Txawm hais tias tshuaj muaj peev xwmnws tus kheej yuav ntawm lub tsev muag tshuaj thiab coj koj mus rau lub sij hawm nrog tus kws kho hniav, koj yuav tsum sab laj nrog koj tus kws kho mob ua ntej yuav. Tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem txiav txim siab seb qhov txheej txheem yuav siv sijhawm ntev npaum li cas thiab tuaj yeem hais qhia siv cov tshuaj ua kom ntev dua.
Ultracain D forte
Lub npe lag luam ntawm cov tshuaj: "Ultracain D-S forte". Siv hauv kev kho hniav raws li tshuaj loog hauv zos.
Ua kom meej, tsis muaj xim rau kev txhaj tshuaj.
1 ml ntawm tshuaj loog muaj: articaine hydrochloride (40 mg) - active tshuaj, epinephrine hydrochloride (0.012 mg) - active tshuaj; sodium disulfite, dej rau txhaj tshuaj, sodium chloride - excipients.
Qhov piv ntawm epinephrine rau articaine hauv daim ntawv ntawm cov tshuaj no yog 1: 100000, uas tau qhia ntawm lub ntim ntawm cov tshuaj loog.
Ntse
Epinephrine (analogous rau adrenaline) ua ib feem ntawm cov tshuaj loog yog vasoconstrictor thiab tso cai rau koj kom ncua cov tshuaj tua kab mob ntawm articaine.
Cov tshuaj toxicity tsawg tso cai rau nws rov ua dua yog tias tsim nyog.
Ntawm no tshuaj loog ib ntus desensitizes paj hlwb ntawm qhov chaw txhaj tshuaj.
Cov ntaub so ntswg khov tshwm sim hauv 3 feeb tom qab txhaj tshuaj thiab kav ntev li 75 feeb.
Kev qhia
Cov tshuaj no yog siv rau hauv kev xyaum kho hniav rau infiltration thiab conduction tshuaj loog, uas yuav tsum tau rau kev khiav hauj lwm ntawm lub qhov ncauj mucosa los yog nyob raucov hniav ntxuav hniav dawb, tshem tawm cov hniav tawg, nrog rau kev phais mus sij hawm ntev.
YContraindications
Qhov tshuaj loog no yog contraindicated nyob rau hauv yuav luag tib yam li "Ultracain D" tau piav saum toj no. Qhov no yog vim muaj cov khoom xyaw nquag hauv ob qho tshuaj - articaine. Tsuas yog kev phais qhov ncauj mus sij hawm ntev tsis yog contraindication rau cov tshuaj loog no, raws li epinephrine prolongs nws qhov kev txiav txim.
Txawm li cas los xij, epinephrine nws tus kheej muaj ntau yam contraindications uas siv rau daim ntawv no tso tawm ntawm Ultracaine.
Cov no suav nrog:
- intolerance rau sulfites thiab lwm yam tshuaj nyob rau hauv muaj pes tsawg leeg ntawm cov tshuaj loog;
- bronchial hawb pob;
- tachyarrhythmia;
- paroxysmal tachycardia;
- kab mob thyroid;
- mob ntshav siab ntshav siab;
- siv cov tsis-cardioselective beta-blockers;
- glaucoma (lub kaum sab kaw).
Y Siv ceev faj yog tias tus neeg mob muaj angina pectoris, cardiosclerosis, cerebrovascular kev huam yuaj, atherosclerosis, mob stroke, pulmonary emphysema, ntshav qab zib mellitus, mob bronchitis, mob raum lossis lub siab ua haujlwm tsis txaus, cholinesterase tsis txaus, ntshav txhaws ntau dhau, xeev.
Siv thaum cev xeeb tub
"Ultracain D" yog qhov tsis xav tau thaum cev xeeb tub, vim tias articaine hla cov placenta. Tab sis yog tias qhov kev xav tau tshuaj loog yog qhov zoo, nws yog qhov zoo dua los xaiv ib daim ntawv"Ultracaine", uas tsis muaj epinephrine los yog muaj nyob rau hauv ib tug tsawg npaum li cas tshaj "Ultracaine D-S forte"
Rau cov poj niam lactating, cov tshuaj tsis yog contraindicated, vim nws cov kua mis tsawg heev.
Kev noj tshuaj thiab kev tswj hwm
Nws pom zoo kom txhaj tshuaj tsuas yog hauv cov chaw uas tsis muaj qhov mob.
Yam tshuaj loog no yuav tsum tsis pub nkag mus rau hauv cov hlab ntsha!
Txhawm rau ua ib txoj kev kho mob rau tus neeg mob laus, koob tshuaj loog yog txaus ntawm tus nqi ntawm: ib 1 kg ntawm qhov hnyav - tsis pub tshaj 7 mg ntawm cov tshuaj.
Rau cov menyuam yaus hnub nyoog 4 xyoos, qhov siab tshaj plaws ntawm cov tshuaj tua kab mob yuav tsum tsis txhob ntau tshaj 5 mg ntawm cov tshuaj ib 1 kg ntawm lub cev qhov hnyav.
Cov neeg mob laus thiab cov neeg mob hnyav lossis lub raum tsis txaus yuav tsum tsis txhob noj ntau dua li qhov tsawg kawg nkaus uas yuav tsum tau ua kom ua tiav qhov mob.
Kev tsis zoo ntawm lub cev rau cov tshuaj
Cov kev mob tshwm sim ntawm daim ntawv no tso tawm "Ultracaine" yog tib yam li cov "Ultracaine D". Txawm li cas los xij, muaj cov tshuaj epinephrine hauv cov tshuaj tuaj yeem ua rau muaj qhov tsis zoo ntxiv los ntawm lub cev. Muaj tseeb tiag, cov teeb meem no tshwm sim tsis tshua muaj, lawv suav nrog tachycardia, lub plawv dhia tsis zoo, nce ntshav siab.
Yog tias cov tshuaj nkag mus rau hauv cov hlab ntsha, thaj chaw ntawm necrosis yuav tshwm sim ntawm qhov chaw txhaj tshuaj.
Ultracain D-S
Tsuas yog daim ntawv tso tawm ntawm "Ultracaine" uas tsis muaj epinephrine yog "Ultracaine D". "Ultracain D-S", hauvnyob rau hauv lem, muaj xws li epinephrine, tab sis ntawm ib tug tsawg npaum li cas tshaj Ultracain D-S forte.
Composition
1 ml ntawm tshuaj loog muaj 40 mg ntawm articaine thiab 0.006 mg ntawm epinephrine. Qhov piv ntawm epinephrine rau articaine nyob rau hauv daim ntawv ntawm cov tshuaj no yog 1:200,000. Cov tshuaj ntxiv kuj muaj nyob rau hauv cov tshuaj: dej rau txhaj tshuaj, sodium disulfite, sodium chloride.
Ntse
Thaum txhaj tshuaj loog no, nws cov nyhuv tshwm sim tom qab 3 feeb thiab kav ntev li 45 feeb.
Vim qhov koob tshuaj me me ntawm epinephrine, cov tshuaj tsis muaj kev cuam tshuam loj rau lub plawv, uas tso cai rau nws siv tau zoo rau cov txheej txheem kho mob ntev dua.
Kev qhia
Kev siv tshuaj loog thiab infiltration rau kev kho hniav xws li:
- hniav rho tawm;
- sib tsoo cov hniav rau prosthetics;
- kho cov hniav carious.
YContraindications
Txij li qhov piv ntawm epinephrine rau articaine hauv cov tshuaj "Ultracaine D-S" yog 1: 200,000, contraindications rau kev siv cov tshuaj loog no feem ntau cuam tshuam nrog kev nkag siab ntawm cov neeg mob rau articaine.
Cov tshuaj no yog contraindicated nyob rau hauv bronchial hawb pob thiab hyperthyroidism vim epinephrine, uas, txawm tias nyob rau hauv ib tug me me koob tshuaj, yog tam sim no nyob rau hauv cov muaj pes tsawg leeg ntawm cov tshuaj loog.
Tam sim no daim ntawv ntawm "Ultracaine" kuj muaj kev nyab xeeb rau kev siv rau cov neeg mob cev xeeb tub thiab lactating, cov neeg uas muaj kab mob ntawm lub plawv thiab cov hlab ntsha.
Nco ntsoov! Cov tshuaj yuav tsum tsis txhob nkag mus rau hauv cov hlab ntsha thiabcov ntaub so ntswg mob!
Txhua lwm cov lus pom zoo rau kev siv cov tshuaj loog no: kev sib cuam tshuam nrog lwm cov tshuaj, kev phiv, contraindications, indications, qhov tshwm sim ntawm kev noj ntau dhau, yog tib yam li cov lus qhia rau "Ultracain D-S forte".
Ib daim foos
Txhua 3 hom "Ultracain D" muaj nyob rau hauv cov tshuaj hauv 2 ml ampoules (10 pcs hauv ib pob) lossis hauv cov cartridges nrog lub peev xwm ("Ultracain D") 1, 7; 100 rau ib lub thawv.
Ua ntej siv cov tshuaj loog, koj yuav tsum ua tib zoo nyeem cov lus qhia, tshawb xyuas hnub tas sij hawm ntawm cov tshuaj, xyuas kom meej tias cov txheej txheem tom ntej no tsis muaj menyuam, ua cov tshuaj rhiab heev thiab kuaj aspiration.
Tom qab txhaj tshuaj, nws raug nquahu kom ua tib zoo saib xyuas tus neeg mob tus mob thiab, yog tias tsim nyog, ua qhov tsim nyog rau kev pab thawj zaug.
