Ola kino, Hoomakaukau
"Ultrakain D": kauoha no ka hoʻohana
Huakaʻi i ka dentist - ia mea kuleana, i pono ikaika nā aʻalolo. Ina ka mea, 'o ka ino niho, eha loa iwia nā aʻalolo a nui aʻe ana, a pau ia ua pu ma ka loaʻeha, hikiʻole, e alakai i ka maʻamau ola. Makau o ka 'uao a me ka makau o kaʻeha pinepine hiki aku ai i ka mea i ka hoʻomanawanui e ukuhi i kona holo ana i ke kauka i ka hope.
E hoʻoponopono i kēia pilikia kōkua i ka maikai anesthetics i hoʻohana ma dentistry. Kekahi o ia mau mea - "Ultrakain D". He hōʻole i ka mea a pau e hoomanawanui i makaʻu, loa ka paleʻana i ka pā lonoaʻili ma ka wahi o ka manipulation.
No ke aha la keia makemake no ka lāʻau loa nā kauka niho?
hiʻona
He nui okoa anesthetics i hoʻohana ma dentistry. Ka maikai ikeia o ia mea "Novocaine" a me ka "Lidocaine".
Nā kauka niho, e ike ana i makau lākou nā mea maʻi pinepine 'ano ua ālai' āwīwī a me ka pono hoomakaukau ia me ka mālama ', makemake e pili ana ma ka hana pono i ka loa ikaika painkillers. O ke kumu ho i ka mea i ka iwi ā he he nui helu o nā aʻalolo olona.
By pono o ka anesthesia "Ultrakain D" ka hoʻokō "Novocain" 5 manawa, a "Lidocaine" - 2 manawa.
Eia hoʻi, i kēiaʻano o ka "ultrakain" 'aʻole i apo ia epinephrine makana i loko o nāʻano'ē aʻeʻelua o ka lāʻau. Epinephrine i ka helu ana o contraindications, a i ole e ia i loko o nā mea maʻi me ka intolerance a hiki i keia ke keʻena.
Ka maʻiʻo o ka epinephrine like hapa o ka anesthetic, a komo ai i ke alo o ke kupono preservatives no ka malama ana, a hiki e allergenic no nā mea maʻi.
Penei, i kēia palapala no ka lāʻau mea e pono ai no ka hana i loko o kanaka me ka likelihood kiʻekiʻe o ka allergic naoh, a me ka poʻe me kaʻike, o ka asthma.
hōʻikeʻano
"Articaine D" i loaʻa i loko o ka palapala o ka colorless aniani moakaka pāʻoihana no ka pahu kui.
I 1 ml o ka mea loaʻa:ʻeleu ke keʻena - articaine hydrochloride (40 mg), ka mea hou eiiiiiaiou - wai no ka pahu kui a me ka paʻakai koloriside.
Ka lāʻau no a hiki i ka helu o ke kuʻikahi anesthetics artikainovogo.
Ua Ua hoʻohana 'ia e like me ka ka pahu kui i loko o ka kahua niho me ka hana pono i ka pilina a me ka infiltration anesthesia.
Ke kūpaleʻana waiwai me ka lilo o ka pā lonoaʻili hapa, e i ua hope ka pahu kui, ia lŘlŘ i loko o 1-3 minuke. Kēia kanawai mau no ma kahi o 20 minuke.
Mai articaine ua hoʻomaka koke ke kūlana ma ke kino i ka ole-ʻawahiaʻakika, laila, 'ae' i ka hou-hoike o ka lāʻau ina kupono.
Kēia anesthetic waiho i loko o ke akepaa,ʻaʻole excreted ma ka umauma o ka waiu, e kela kapa o ke keiki, ka mea, ua excreted ma nā puʻupaʻa.
hoike
"Articaine D" (i ka haku mele 'ana e nele ka neʻe i ke alo o ka epinephrine) ua' ae 'e pili i ka pūʻulu o nā mea maʻi nona sulfite intolerance.
Nō hoʻi, ke anesthetic ua ae no ka hana hea i mea contraindications no na ano o ka "ultrakain" i loaʻa epinephrine. Keia naau a me ka vascular maʻi, tachyarrhythmia, tachycardia (paroxysmal), ana i ka pili-cardioselective Hoʻokolohua blockers, pheochromocytoma, panina glaucoma, hyperthyroidism, loa hypertension.
Anesthetic "Ultrakain D" olelo ao no ka hoʻohana ma ka dentistry i ke heluhelu ka hoʻohana 'ana i ka hana i kēia.
- conduction a me ka infiltration anesthesia Oihana o ka waha i nā mea maʻi intolerant o epinephrine;
- pōkole kahua nihoʻoki kino (e laʻa me, canines, incisors);
- , i ka hoʻomaʻemaʻe o carious mau mea o ka niho;
- Haliu ae la ia i ka niho prosthesis;
- manipulations, e noi ana i ka uuku nui o anesthetic puke.
Contraindications
Contraindications i ka hoʻohana 'ana o "ultrakain D" nā kumu e like me:
- idiosyncrasy articaine a me nā anesthetics o amide type;
- nui aʻe 'o cardiac conduction;
- congestive naʻau ole;
- loa hypotension;
- anaemia, kena ae la ma ka wikamina B12 deficiency;
- hypoxia;
- cholinesterase deficiency;
- CNS maʻi;
- lōʻihi manawa a me ka leo kahua nihoʻoki kino;
- ke hoʻomanawanui i ka makahiki mai i 4 makahiki.
E hoʻohana i me ka mālama nui
Mākou paipai i "Ultrakain D" he articaine, nā keʻa ke keiki. Ma keia manao, no ka hoʻoholo 'ana ma luna o ka palapala noi o keia anesthetic ma beremennyhm hoʻomanawanui iki mai e lawe i ka kauka.
Articaine, e like'ē aʻe i nā anesthetics, ka mea hele ma ke keiki i loko o uuku loa dala, akā, me ka olelo hooholo i kona hoʻohana hiki e ho'āpono wale ina ka pōmaikaʻiʻia mai ia mea ma luna ma mua o ka pilikia a hiki i ka fetus a me ka makuwahine.
Lactating wahine lāʻau ua ole contraindicated, like articaine ua hoʻomaka koke excreted mai i ke kino, a hele i loko o ka umauma o ka waiu.
Dosing
"Ultrakain D", i ka olelo ao,ʻaʻole ka mea, ua pono e komo i loko o ka wela ai'aʻaʻa.
Mua oe hoʻomaka i ka lāʻau pono e lawe mai i ka wehena hōʻike, ma ka mea e hōʻalo ai i ka noho i ka pāʻoihana i loko o ka ipu koko. No keia, ma hope o ka hoʻokomo 'ia' ana o ka 'ohe kuikele i ka n ieaie? Ka pahu kui' ohe kuʻe pono huki iki i loko o ka aʻe hema a me ka hōʻoia 'ana i ke koko iʻikeʻia i loko o ka lāʻau pāʻoihana. I ke alo o ke koko i loko o ka 'ohe Hōʻike i ke kui kele ma ua houia i ka moku i ke koko, a laila ka mea, ua pono e hoʻololi i ka henua a hohonu o ka pahu kui.
Me ka hopena maikaʻi hopena o ka ho'āʻo hoomalolo hiki ke lawelawe i loko o ka i koho ia wahi no kona analgesic.
laʻau heluna
No ka infiltrative anesthesia pono 1,7 ml o ka lāʻau ma luna o kekahi a elua e pili niho.
No ka conduction anesthesia mālama 'ia ma lalo nei alveolar nā aʻalolo Pono 1-1.7 ml o ka pāʻoihana.
I kā mākou ana mahele lāʻau no ka makua e hoomanawanui i - 4 mg no 1 kg kaupaona.
ʻaoʻao waiwai
He aha unintended hopena i i "Ultrakain D"? Na Ke Kumu no ka hoʻohana i ka dentistry ao mai ia ma hope o hooponopono o ka anesthetic ke iʻaoʻao 'ole e like me pōniuniu, nawaliwali, poho lohe, headache, somnolence.
I ka nui loa o ka laʻau heluna o ka lāʻau, i ka hoʻomanawanui i hoʻomaka ai ka pioloke o ka ike paka i ole naehana hanu kaumaha a me ka convulsions.
Dyspepsia - nausea, ka luaʻi - hiki ke kena ae la no hoi ma ka hoike ana o ka lāʻau.
Haunaele ma ka'ōnaehana o na ipu naau a me ke koko ma hope o ka pahu kui "ultrakain D" e ia i ke kēia: emi ana i loko o ke koko,, ole Kal, naau e hemahema,'opi, bradycardia, umauma eha.
Ma mua o ka hoʻohana 'ana i ka huina hoonui "Ultrakain D" aʻo E e ho'ōla loa? Anoee. Ke anesthetic paha e allergenic i ka hoʻomanawanuiʻana, ka mea, ua? Aeiiaiaoaony e hoʻomaka i ka mua hoao no ka pā lonoaʻili i ka haawiia mai painkillers.
An allergy i ka lāʻau hōʻikeʻia e ke kēia symptoms: redness, haanou ana ma ka ka pahu kui paena, urticaria, pruritus, poʻe noʻonoʻoʻole, rhinitis, conjunctivitis, lehalehu t edema (haanou ana o na lehelehe), haanou ana mai o ka puu, pilikia ha, anaphylactic kŰia.
I ka wā o ka lesion'aʻaʻa nā aʻalolo olona, ke hana lehalehu t nā aʻalolo paresis, paresthesias o na lehelehe a me na olelo, a me ka numbness o kaʻaiʻana pokole.
Kōkua ma ka overdose
"Ultrakain D" ua pono tolerated e loa nā mea maʻi. Akā, mākou e ole hoʻohemahema wale i nā kaiapuni no kona hoʻohana.
Symptoms o ka overdose o ka lāʻau i: lilo o ka ike paka i, pōniuniu, bradycardia, excessive Hawaii haʻawina, ua hoʻemi ke koko.
Kōkua: E hāʻawi aku i ke ahonui o ka kino papamoe manao me hoalaia i lalo ke alo. Hoolako hou lewa, a e hōʻoia i ka Hawaiian Airlines ua noa.
I ka hoʻohana anesthetic "Ultrakain D" e manual ia kekahi o ka palapala noi, e kanaka hoʻoponopono i ke koko, a me ka naau kōmi.
Inā hanu mea pono - e haawi aku i ka hoʻomanawanui ka oxygen. Inā hanu ua papani iho la i hōʻike me mechanical hoʻokomo ea. Edema o ka larynx - endotracheal intubation a me mechanical hoʻokomo ea.
Ma convulsions - barbiturates lawelawe intravenously, e haawi mai i ka hoʻomanawanui i oxygen kanaka hoʻoponopono hemodynamics.
I kŰia a me ka mea kue o ka holo - lawelawe intravenously albumin, wai koko ae pani ai, glucocorticoids, electrolytes.
AaOIeIOUIeXAOAaIN
No keia anesthetic he epinephrine (adrenaline mea like) a mea he vasoconstrictor, ka mea, ua maopopo ia "articaine D" me epinephrine, ka wā hoʻohana me anticoagulants maoli i ka pilikia o ke kahe ana ke koko.
E like me kekahi kūloko anesthetic, i ka lāʻau hoʻokāʻoi aʻe ana i ka hopena o ka hana kaumaha Central ko mākou hopohopo kahua.
10 mau lā ma mua o ka noi o ka anesthetic mea pono, e ana i ka hoʻohana 'ana o Mao nā mea kūpale. Kēia e emi i ka pilikia o ka hypotension.
Decongestants a narcotic analgesics ka hōʻoi 'a hooloihi i ka hana o ka lāʻau. I ka la mahope, i ka mea ia manawa, hiki i kaumaha ole naehana hopu.
Reviews
Ma ka la hoomalolo "Ultrakain D" hōʻike manaʻo i nui hoemi ia i ka mea ia ia no ka i ka pono, akā, pōkole-manawa analgesic loa.
Hoʻomanawanui iki mai, ka poe e noho ana malalo i ka anesthetic iloko o kahua niho ke kaʻina hana, e hoailona oukou i ka kēia:
- ka lāʻau 'ua kuaiia ma ka aneane nā keʻena kūʻai lāʻau lapaʻau i ka affordable kumu kūʻai;
- ʻeleu anesthetic anesthetizes pono, loa wehe i ka pā lonoaʻili a me ka eha;
- pōkole-kau kanawai o ka lāʻau, no laila, e hiki koke pakele o ka numbness, e olelo wiwo ole, a no ka ai;
- ka maikai anesthetic no ka poe e ole makemake lōʻihi kapa hopena o ia mau dala;
- maikai i waeia o ka anesthetic no ka poʻe me ka asthma a thyroid maʻi;
- Haʻalele "articaine" i loaʻa ka epinephrine, i ka lāʻau 'aʻole ole i ka haunaele o ka naʻau e like me tachycardia, bradycardia, etc.
"Ultrakain D" hoʻomanawanui hōʻike manaʻo hōʻoia i kēia, ka loa mahalo. Ke keakea, e like me ka pono, loaʻa wale i kona wā pōkole, hana me ka analgesic.
I loko nō o ka mea i ka lāʻau hiki kū kaʻawale e kuai ma ka hale kūʻai lāʻau lapaʻau, a lawe pūʻoe i ka dentist, oe e nīnau aku i ke kauka mua kūʻai. Wale i ka hoʻomalu hiki ke hoʻoholo i ka hiki ana ke kaʻina hana, a me ke hāpai i ka hoʻohana i ka lāʻau ma luna o lōʻihi manawa.
"Ultrakain D forte"
Kuai ka inoa o ka lāʻau, "Dr. Ultrakain ka pāpū." Ua Ua hoʻohana 'ia i loko o ke kahua niho hana like me ka kūloko anesthetic.
Available like me ka ike, colorless pāʻoihana no ka pahu kui.
I 1 ml o anesthetic na: articaine hydrochloride (40mg), - i kaʻeleu waiwai, epinephrine hydrochloride (0.012 mg) -ʻeleu waiwai; paʻakai bisulfite, ka wai no ka pahu kui, paʻakai koloriside - excipients.
Ka lākiō o ka epinephrine e articaine i loko o kēiaʻano o ka lāʻau mea 1: 100000, e like me ka hōʻike ma ka anesthetic ipu.
hiʻona
Epinephrine (adrenaline like paha) i loko o ka haku mele 'ana o ka anesthetic, a me ka vasoconstrictor, e hooloihi i ka anesthetic hopena e leie aku articaine.
Low kaʻawahia lāʻau e leie aku kona hai hooponopono e like me ka pono.
Kēia anesthetic manawa eliminates ka pā lonoaʻili o nā aʻalolo olona, ma ka ka pahu kui paena.
Ke kanawai o "ke kūpaleʻana" o ka'aʻaʻa ia lŘlŘ loko o 3 minuke ma hope o ka pahu kui a me ka mau no i ka liʻiliʻi 75 minuke.
hoike
Ke k hoʻohana i kahua niho me ka hana pono no ka conduction anesthesia a me ka infiltration, a ua koi 'ia no ka hana ma ka moʻolelo o ka lua a me ke kahua nihoʻiʻo pepa, no ka heleʻana i ka i haki niho, i ka wā lōʻihi o keʻoki lāʻau lapaʻau' uao.
Contraindications
Kēia anesthetic ua contraindicated i aneane i ka ia hihia e like me "Ultrakain D", e like me ia i ho'ākāka 'ia ma luna. O ke kumu ho i ka ponoʻeleu waiwai i loko o ka haku mele 'ana o nā ai' - articaine. Wale loa-i mālama 'ana i loko o moʻolelo o ka lua i ole he contraindication no ka anesthetic, no laila, e like me epinephrine hooloihi ae i kona hana.
Naʻe, i ka epinephrine i ka helu o ka contraindications e pili ana i keia ano o ke kalaʻana aku "ultrakain".
Mau nā:
- intolerance i sulfites a me nā waiwai i loko o ka haku mele 'ana o ka anesthetic;
- asthma;
- tachyarrhythmia;
- paroxysmal tachycardia;
- thyroid maʻi;
- hypertension ma ka loa;
- i ke ano o ka pili-cardioselective Hoʻokolohua-blockers;
- glaucoma (panina).
E wary o ke ahonui angina Cardiosclerosis, cerebrovascular maʻi, atherosclerosis, hahauʻana, emphysema, mimikō, bronchitis maʻi, hanahana loa kāna hana no nā puʻupaʻa a akepaa, nele o ka cholinesterase, koko clotting kāna hana, i excessively hauʻoli moku'āina.
hāpai keiki
"Ultrakain D" i hāpai keiki i hoakaka ia undesirable no ka articaine i kela kapa o ke keiki. Akā, inā i ka pono nui no ka anesthetic, ia mea maikaʻi, e koho i kekahi ano o ka "ultrakain", a 'aʻole i apo ia epinephrine paha kekahi mau mea i loko o kaukaualiʻi dosages ma mua o "Ultrakain D-C Forte"
Lactating wahine lāʻau ua ole contraindicated, e like me ka umauma waiu kona dala mea uuku loa.
laʻau heluna
Ua pono lawelawe lāʻau wale i loko o ia mau wahi ma kahi o ka li nui.
Mākou hiki ole ae anal o ka anesthetic i loko o ke koko!
E hana i kekahi kaʻina hana no ka hana maikaʻi i ka makua ahonui lawa mahele lāʻau o anesthetic mai ka i ka ho omaulia. 1 kg - i hou aku 7 mg o ka lāʻau.
No na keiki elemakule 4 makahiki e ole i kā mākou analgesic mahele lāʻau oi aku 5 mg no 1 kg o ka pāʻoihana ke kaumaha.
Mua nā mea maʻi a me ka poe e ae, mai loa hepatic aʻaʻa puʻuwai hoʻopilikia, ua i waiho e komo i ka nui o ka lāʻau ma ka oi o ka palena iki mahele lāʻau pono e loaʻa ai analgesia.
Adverse reactions i ka lāʻau
ʻaoʻao 'ole i loko o ka palapala o ke kala o ka "ultrakain" ka like me ia o ka "ultrakain D". Naʻe, i ke alo o ka epinephrine ma ka pāʻoihana e i hou adverse naoh mai ke kino. Eia naʻe, loaʻa ka poe hana pela complications i loa pohihihi keia, e nā tachycardia, cardiac arrhythmias, mahuahua ke koko.
Inā ka huina hoonui komo i loko o ka ipu koko, ma laila e e mau no necrosis ma ka ka pahu kui paena.
"Ultrakain D-S"
Ke wale ke ano o ke kalaʻana aku "ultrakain", a 'aʻole i apo ia epinephrine - he "Ultrakain D". "D-C 'Articaine, ma ka huli, mai nā' epinephrine, akā, no ka uuku mahele lāʻau ma mua o" articaine D-S-forte ".
'ole
1 ml be 40 mg o anesthetic articaine 0,006mg a me ka epinephrine. Ka lākiō o ka epinephrine e articaine i loko o kēiaʻano o ka lāʻau, he 1: 200 000. A hui pū i loko o ka pāʻoihana a me nā nā mea hoʻohui: wai no ka pahu kui, paʻakai disulfite, paʻakai koloriside.
hiʻona
A hiki ka ka pahu kui o ka anesthetic kona kanawai ma hope o 3 minuke, a mau no ma ka liʻiliʻi 45 minuke.
Aie i ka mea uuku mahele lāʻau o epinephrine, ka lāʻau iʻaʻohe nui 'ole ma luna o ka naʻau, hiki palekana e hana ia no ka lōʻihi manawa' inikua manipulations.
hoike
Conduction a me ka infiltration anesthesia iloko o kahua niho ana, e like me:
- niho pōʻalo;
- Haliu ae la ia i ka niho prosthesis;
- lapaʻau o carious niho.
Contraindications
Mai ka lākiō o ka epinephrine e articaine me hapa o ka la hoomalolo "Ultrakain D-S" - 1: 200 000, na contraindications a hiki i ka hoʻohana 'ana o anesthetic piliʻano nui me ka pā lonoaʻili o nā mea maʻi e articaine.
Ka lāʻau 'Ua contraindicated ma bronchial asthma a me ka hyperthyroidism ma muli o ka epinephrine, a, inā paha i loko o nā māhele liʻiliʻi, akā, e waiho ana i loko o ka anesthetic.
Akā, i kēia palapala o "ultrakain" kŘpa a palekana no ka hoʻohana i ka hapai keiki, a lactating nā mea maʻi, kanaka me compensated naʻau maʻi a me ke koko moku.
Aʻo! Ka lāʻau 'E i komo i loko o ka ipu koko a me ka wela ai nā'aʻaʻa!
All nā koi no ka hana o ka anesthetic: ". D-Ultrakain ka pāpū" AaOIeIOUIeXAOAaIN me nā ai ',ʻaoʻao' ole, contraindications, nāʻikepili, 'ole o ka overdose, i ka ua aʻo, hoakaka no
hookuu palapala
A pau 3 'ano o ka "articaine D" i loaʻa i loko o ka palapala o ka pāʻoihana i ehiku huewai o 2 ml (piha - 10) pūpanapana ole pahu ( "articaine D") 1.7; 100 na apana i loko o ka pahu.
Ma mua o ka hoʻohana 'ana i ka anesthetic e e akahele heluhelu i ka olelo, e kaha i ka pau lā o ka pāʻoihana, e hoʻopaʻa i ka sterility o ke kaʻina hana, lawe mai i ka hoao ma luna o ka pā lonoaʻili i ka lāʻau a me ka wehena hōʻike.
Ma hope o ka ka pahu kui, ka mea, ua? Aeiiaiaoaony e akahele kanaka hoʻoponopono i ka hoʻomanawanui ka ana, a, ina he pono, lawe i ka mea ana e hoolako ia mua kokua ana.
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