Terminal, lossis hu ua superficial, tshuaj loog yog hom tshuaj loog hauv zos. Txhawm rau tshem tawm rhiab heev, kev daws teeb meem tshwj xeeb, gel yog siv rau thaj tsam xav tau, lossis txhaj tshuaj. Cov txheej txheem hauv zos ntawm tshuaj loog yog nquag siv hauv kev kho hniav, urology, otolaryngology thiab obstetrics. Nws kuj yog feem ntau siv rau cystoscopy, bronchoscopy, laryngoscopy thiab gastroscopy.
Lidocaine Asept spray yog kab tias cov tshuaj loog pheej yig tshaj plaws thiab nrov tshaj plaws, uas yog tsim los rau cov tshuaj loog hauv zos superficial. Nws cov khoom, muaj pes tsawg leeg thiab txoj kev siv tau piav qhia hauv qab no.
Kev sib xyaw, cov khoom piav qhia thiab ntim tshuaj loog
Tshuaj tsuag "Lidocaine Asept" muaj cov khoom xyaw nquag xws li lidocaine thiab chlorhexidine. Cov kev npaj tseem muaj cov khoom pabcuam hauv daim ntawv ntawm ethanol (ethyl cawv 96%), propylene glycol, levomenthol, sodium hydroxide thiab dej huv.
Tam sim noCov tshuaj loog hauv zos yog muag hauv lub raj mis polyethylene (nrog rau lub taub ntim tshuaj tsuag), uas tau ntim nrog cov kua ntshiab, tsis muaj xim lossis daj daj nrog cov yam ntxwv tsw ntawm menthol thiab ethyl cawv.
Drug action
Lidocaine Asept Spray yog dab tsi? Cov lus qhia hais tias qhov no yog ib qho kev sib xyaw ua ke uas muaj tshuaj loog hauv zos thiab tshuaj tua kab mob.
Nws cov tshuaj nquag (lidocaine) yog tshuaj loog hauv zos. Lub hauv paus ntsiab lus ntawm kev ua haujlwm ntawm cov khoom no yog txuam nrog kev thaiv ntawm Na channels hauv cov paj hlwb thiab yog vim qhov inhibition ntawm paj hlwb. Xws li cov nyhuv ntawm cov tshuaj tiv thaiv kev ua ntawm qhov mob impulse raws cov hlab ntsha fibers, nrog rau nws cov tiam nyob rau hauv cov hlab ntsha rhiab heev.
Thaum siv tshuaj pleev ib ce, Lidocaine Asept tshuaj tsuag txhawb nqa vasodilation. Txawm li cas los xij, nws tsis ua rau muaj kev cuam tshuam hauv zos. Qhov kev txiav txim ntawm cov tshuaj no tshwm sim 1-5 feeb tom qab nws siv rau ntawm daim tawv nqaij los yog mucous daim nyias nyias thiab kav li ntawm ib quarter ntawm ib teev.
Cov khoom siv thib ob ntawm cov tshuaj loog hauv zos - chlorhexndine - yog cov tshuaj tua kab mob. Nws muaj zog tiv thaiv kab mob gram-zoo, nrog rau cov kab mob protozoa thiab gram-negative microorganisms.
Pharmacokinetics ntawm cov tshuaj
Dab tsi yog cov tshuaj pharmacokinetic lidocaine Asept tshuaj tsuag (50ml, 10%) muaj? Raws li cov lus qhia, cov cuab yeej no tau nrawm nrawm los ntawm cov mucous membranes. Tus nqi ntawm kev nqus tshuaj nyob ntawmCov ntshav muab rau hauv thaj chaw ntawm daim ntawv thov, koob tshuaj siv, qhov chaw ntawm thaj chaw rhiab thiab lub sijhawm ntawm daim ntawv thov.
Yog tias koj siv cov tshuaj tsuag "Lidocaine Asept" (10%) ntawm cov mucous ntawm cov kab mob ua pa sab saud, cov tshuaj tau nqos ib nrab, tom qab ntawd inactivated hauv plab hnyuv.
Qhov siab tshaj plaws ntawm cov tshuaj loog hauv cov ntshav tau mus txog tom qab 10-20 feeb. Kev sib txuas ntawm cov tshuaj rau cov ntshav plasma yog nyob ntawm nws cov concentration thiab yog li 60-80%. Cov tshuaj no tau muab faib sai sai rau cov kab mob hauv cov ntshav, nrog rau cov adipose thiab cov nqaij mos.
Cov khoom xyaw nquag ntawm Lidocaine Asept tshuaj tsuag nkag mus rau hauv placental thiab ntshav-hlwb teeb meem thiab tawm hauv cov kua mis.
Metabolism ntawm cov tshuaj tshwm sim hauv daim siab nrog kev koom tes ntawm microsomal enzymes.
Cov tshuaj no tawm nrog rau cov kua tsib thiab dhau lub raum.
Chlorhexidine yuav luag tsis nqus thaum siv tshuaj pleev ib ce.
Thaum siv?
Kev siv tshuaj Lidocaine Asept yog qhia rau kev tua kab mob thiab tshuaj loog hauv zos hauv:
- rooj plaub ntawm ruptured abscesses (superficial);
- gynecology thiab obstetrics (rau lub hom phiaj ntawm kev tso tshuaj loog ntawm perineum thaum lub sijhawm phais lossis episiotomy);
- rooj plaub tshem tawm cov pob txha tawg hauv kev kho hniav thiab viav vias menyuam cov hniav;
- dermatology (rau kub hnyiab, tom, qhov txhab me thiab tiv thaiv kab mob dermatitis);
- nyob rau hauv cov ntaub ntawv ntawm decontamination ntawm qhov chaw txhaj tshuaj ua ntej terminal tshuaj loog;
- otorhinolaryngological xyaum thaumcoagulation (nyob rau hauv kev kho mob ntawm qhov ntswg qhov ntswg).
Cov tshuaj no kuj siv tau rau:
- kho cov txuas hniav thiab cov yas hauv kev kho hniav;
- -suturing cov qog cov yeeb yaj kiab;
- kho mob ntawm cov kab mob ntawm cov kab mob thiab cov pos hniav;
- extirpation ntawm ib qho loj interdental papilla;
- kev tshem tawm tartar;
- kev phais mob ntawm qhov ntswg qhov ntswg thiab thaum tshem tawm ntawm qhov ntswg polyps, nrog rau kev tua kab mob thiab tshuaj loog ntawm qhov chaw txhaj tshuaj (rau txhaj tshuaj) ua ntej tshem tawm cov tonsils, thaum tshem tawm cov pharyngeal reflex;
- ua qhov kev xav ntawm kev kho hniav (thaum siv cov khoom siv elastic);
- maxillary sinus puncture (raws li kev siv tshuaj loog ntxiv), thaum qhib abscesses (peritonsillar);
- x-ray kuaj, txhawm rau tshem tawm cov pharyngeal reflex thiab xeev siab;
- tshem tawm stitches;
- kev kuaj mob endoscopic thiab ntsuas ntsuas;
- kho qhov txhab ntawm filamentous suppuration;
- tshuaj tua kab mob thiab tshuaj loog ntawm qhov phais (ntawm qhov chaw mos, ncauj tsev menyuam), thiab lwm yam.
Contraindications rau kev siv
Thaum twg koj yuav tsum tsis txhob siv Lidocaine Asept Spray (50ml)? Cov xwm txheej hauv qab no yog contraindications rau kev siv cov tshuaj no:
- kev poob siab;
- siab rhiab heev ntawm tus neeg mob rau chlorhexidine, lidocaine lossis lwm yam tshuaj ntawm cov tshuaj;
- qaug zog syndromesinus node;
- myasthenia gravis;
- atrioventricular thaiv;
- pronounced impaired daim siab ua haujlwm;
- qaug dab peg:
- Cov menyuam yaus hnub nyoog qis dua yim xyoo.
siv ceev faj
Lidocaine Asept tshuaj tsuag yog siv nrog kev ceev faj heev hauv cov neeg mob uas tsis muaj zog, nrog rau cov kab mob hauv zos (nrog rau kev raug mob rau cov mucous membrane lossis tawv nqaij), nrog rau cov kab mob hnyav, hauv cov neeg laus, cov menyuam yaus, thaum cev xeeb tub thiab lactation. Hauv cov xwm txheej tom ntej, cov tshuaj hauv nqe lus nug tsuas yog muab raws li cov lus qhia.
Txau "Lidocaine Asept": cov lus qhia rau kev siv
Tshuaj loog yog siv sab nraud thiab pleev xim. Ua ntej siv cov tshuaj, lub hau kev tiv thaiv raug tshem tawm ntawm lub vial, tom qab uas lub tshuab nozzle tau nruab rau ntawm lub twj tso kua mis. Qhov kawg ntawm qhov kawg yog coj mus rau thaj chaw thov thiab nias rau ntawm lub taub hau, tuav lub thawv nruj me ntsis rau hauv txoj hauj lwm ntsug.
Nias ib zaug tso cai rau koj xaiv ib koob ntawm cov khoom. Tus naj npawb ntawm koob tshuaj yuav txawv nyob ntawm seb qhov chaw kho mob thiab nws qhov loj npaum li cas.
Txhawm rau zam kom tsis txhob nqus cov tshuaj mus rau hauv txoj kev dav dav, nws yog ib qho tsim nyog yuav tsum tau siv qhov tsawg kawg nkaus uas muab kev kho mob txaus. Raws li txoj cai, 1-3 lub twj tso kua mis txaus rau tshuaj loog hauv zos.
Kev Tiv Thaiv
Tus neeg mob yuav tsum paub dab tsi ua ntej siv Lidocaine Asept Spray? Kev tshuaj xyuas ntawm cov kws tshaj lij hais tias thaum siv cov tshuaj, ib tus yuav tsum tau ceev faj kom tsis txhob nkag mus rau hauvairways (vim yog aspiration txaus ntshai).
Kev siv cov khoom hauv caj pas yuav tsum tau saib xyuas tshwj xeeb.
Kev kho mob rau cov neeg laus thiab cov neeg tsis muaj zog yuav tsum tau ua me me, suav nrog cov xwm txheej thiab hnub nyoog ntawm tus neeg mob.
Side Effects
Erythema thiab qhov kub hnyiab me ntsis tuaj yeem ua tau ntawm qhov chaw thov ntawm Lidocaine Asept tshuaj tsuag. Cov nyhuv tom kawg yog feem ntau tshem tawm tom qab qhov pib ntawm tshuaj loog. Tsis tas li, cov tshuaj tuaj yeem ua rau muaj kev tsis haum tshuaj xws li khaus, tawv nqaij ua pob, bronchospasm, anaphylactic shock thiab angioedema. Tsis tas li ntawd, cov kev mob tshwm sim hauv qab no yuav tshwm sim thaum siv cov tshuaj tsuag:
- mob taub hau, kiv taub hau, ntshav siab;
- convulsions, bradycardia, tshee;
- xov xwm, qhov muag tsis pom kev, tinnitus;
- urethritis, agitation, ua pa nyuaj siab, kev nyuaj siab;
- euphoria, txoj kev xav ntawm kev ntshai, zoo li txias, kub.
Cov neeg mob ntau dhau
Thaum siv cov tshuaj ntau ntau, cov tsos mob hauv qab no tuaj yeem ua tau: vau, mob taub hau, txo cov ntshav siab, xeev siab, bradycardia, ntuav, mob plawv, pallor ntawm daim tawv nqaij, tshee, qhov muag tsis pom kev, clonic- Tonic convulsions, ringing nyob rau hauv pob ntseg, arrhythmia, diplopia, psychomotor agitation.
Kev Kho: ntawm thawj cov cim qhia ntawm kev qaug cawv, tus neeg mob raug xa mus rau txoj haujlwm kab rov tav, tom qab ntawd lawv pib nqus pa O2. Kev lim ntshav nrog kev noj tshuaj ntau dhau ntawm lidocaine tsis muaj txiaj ntsig.
Sib tham nrog lwm yam cuab yeej
TshuajPropranolol thiab Cimetidine txo lub siab tshem tawm ntawm lidocaine, thiab tseem ua rau muaj kev pheej hmoo ntawm cov tshuaj lom xws li qaug zog, xeev siab, paresthesia, bradycardia, thiab lwm yam.
Cov nyhuv inotropic tsis zoo yuav nce ntxiv thaum siv nrog cov neeg ua haujlwm xws li Aymaline, Phenytoin, Verapamil, Quinidine thiab Amiodarone.
Kev tswj hwm ib ntus nrog beta-blockers ua rau muaj kev pheej hmoo ntawm bradycardia. Nrog rau kev siv tib lub sijhawm ntawm lidocaine thiab hypnotics, cov nyhuv inhibitory ntawm tom kawg ntawm lub paj hlwb hauv nruab nrab tuaj yeem nce ntxiv. Cardiac glycosides txo cov nyhuv cardiotonic ntawm cov tshuaj hauv nqe lus nug, thiab cov tshuaj zoo li curare txhim kho cov leeg nqaij.
Cov tshuaj xws li procainamide ua rau muaj kev txaus siab ntawm lub hauv paus paj hlwb thiab kev pheej hmoo ntawm kev hnov qab.
Lidocaine Asept tsis sib haum nrog xab npum thiab tshuaj ntxuav tes uas muaj cov pab pawg anionic (tshwj xeeb, sodium lauryl sulfate, saponins, sodium carboxymethylcellulose). Cov tshuaj yog sib xws nrog cov khoom uas muaj ib pawg cationic (tshwj xeeb, benzalkonium chloride).
Reviews
Raws li cov neeg siv kev tshuaj xyuas, Lidocaine Asept tshuaj tsuag yog cov tshuaj loog hauv zos uas muaj txiaj ntsig zoo. Cov neeg mob hais tias qhov kev kho no yuav tsum muaj nyob hauv txhua lub tsev pab thawj zaug, tshwj xeeb tshaj yog cov tsev neeg uas muaj menyuam yaus hnub nyoog 8 xyoos.
Cov tshuaj no tsis yog tsuas yog txo thiab tshem tawm qhov mob, tab sis kuj tua cov kab mob mucous thiab tawv nqaij.
Versatility- qhov no yog lub ntsiab kom zoo dua ntawm cov tshuaj tsuag "Lidocaine Asept". Nws tuaj yeem siv rau hauv kev kho hniav, dermatology, gynecology, thiab lwm yam. Txawm li cas los xij, ua ntej siv cov tshuaj, koj yuav tsum nyeem cov lus qhia, vim nws muaj ntau yam contraindications thiab tuaj yeem ua rau muaj kev phiv ntau yam.
