Analogs, umarnin don yin amfani da "Naropin". abokin ciniki Reviews

Anesthetics kira kwayoyi wanda suna da ikon sa maganin sa barci.

Maganin sa barci - wani karu a ji na ƙwarai daga jiki ko ta sassa. Har ila yau, domin irin wannan jiha ne halin da cikakken lõkacin fatara daga ji na bayanai game da jihar da kwayoyin da kuma muhalli.

A likita yi, kamar yadda wani m ne sau da yawa amfani da miyagun ƙwayoyi "Naropin." Umarnin don amfani, real kwararru za a iya bayyana a kasa.

Abun da ke ciki, abun da ke ciki da kuma Marufi

Shiri "Naropin" wa'azi wanda yake kunshe a cikin wani kwali cuta da aka dakatar a cikin nau'i na wani injectable bayani. Yana iya hada 2, 5, 7.5 ko 10 MG na aiki sashi kamar yadda ropivacaine hydrochloride.

Game da ƙarin aka gyara, sa'an nan kuma amfani da su kamar yadda hydrochloric acid ko sodium hydroxide, da kuma ruwa ga allura da kuma sodium chloride.

A sayar da wannan makaman da aka kawota a vials.

A pharmacological halaye na da miyagun ƙwayoyi

Menene wannan magani kamar yadda "Naropin"? Umurnai na Amfani furta cewa, wannan m amide jerin, wanda aka tsara domin zafi da taimako da kuma na maganin sa barci.

A amfani da kananan allurai ropivacaine kawancen facilitates musamman jiki sashi da rage ji na ƙwarai ba m motor aiki.

A high dosages da miyagun ƙwayoyi take kaiwa zuwa m maganin sa barci.

Properties na da miyagun ƙwayoyi

Mene ne na ƙwarai miyagun ƙwayoyi "Naropin"? Umurnai na amfani nuna cewa tasiri na wannan kayan aiki ne saboda ta ikon reversibly rage permeability na membranes na jijiya zaruruwa. Saboda wannan tasiri, kuma qara excitability dokin depolarization kudi tayi, wanda a bi take kaiwa zuwa gida tarewa jijiyar.

Lokacin amfani hakan allurai lura ga ta hana ruwa guda sakamako a kan zuciya da kuma CNS (tabarbarewar watsin rage-rage automatism da excitability).

Domin ropivacaine halayyar dogon lokaci sakamako. A tsawon lokaci da warkewa sakamako daga cikin miyagun ƙwayoyi sashi za a iya gyara.

Lokacin da epidural gwamnati na mai magani ne ta biyu-lokaci da kuma cikakken sha daga epidural sarari. A taro na ropivacaine a jini dogara a kan hanyar da aikace-aikace.

The motsi na miyagun ƙwayoyi

Umurnai na amfani ( "Naropin" ya kamata a gudanar da kawai da wani gogaggen anesthetist) rahoton cewa kayan aiki yana da mikakke pharmacokinetics. Saboda wannan, ta matsakaicin maida hankali a cikin jini ne na gwargwado ga gudanar kashi.

Sadarwa da jini da sunadarai ne 94%.

Epidural gwamnati na medicament na dogon lokaci qara total jini taro na ropivacaine.

The aiki abu ne dauke nufin shigarsu m rayuwa hira. A matakin farko rabin-rai lokaci ne daidai ¼ hour, kuma a cikin m - 240 minti.

Lokacin da igiyar jini shiri 86% na kashi ne excreted da kodan.

shaidar

Don abin karshen amfani da miyagun ƙwayoyi a matsayin "Naropin"? Umurnai na amfani (a cikin Dentistry, wannan magani ne gudanar sosai akai-akai) ya furta cewa, da miyagun ƙwayoyi ne aka yi nufi ga maganin sa barci a lokacin tiyata:

• Don kawancen manyan jijiyoyi da jijiya plexus.
• Domin infiltration maganin sa barci da kuma jijiya kawancen mutum zaruruwa.
• Domin epidural kawancen domin gudanar da ayyukan, ciki har da caesarean sashe.

Ya kamata a lura kuma cewa miyagun ƙwayoyi "Naropin" ne sau da yawa amfani ga taimako daga cututtuka a m zafi syndromes:

• Domin shafe tsawon kawancen na gefe jijiyoyi.
• Domin ciki-articular allura.
• Domin infiltration maganin sa barci da kuma jijiya kawancen mutum zaruruwa.
• Lokacin da tsawo epidural jiko, bolus periodicity ko hana zafi a wani postoperative zamani, kazalika da maganin sa barci a lokacin aiki.

Ya kamata kuma a lura da cewa da miyagun ƙwayoyi ne "Naropin" wa'azi a kan yin amfani da abin da aka nuna a kasa, an rayayye amfani ga taimako daga cututtuka da m zafi a cikin yara da marasa lafiya:

• domin caudal epidural block a yara a karkashin shekaru 12, ciki har da a jariri jariran.
• domin shafe tsawon epidural jiko a yara har zuwa shekaru 12, ciki har da a jariri jariran.

contraindications

Mene ne contraindications m ne "Naropin"? Umurnai na amfani (ga kashin baya maganin sa barci ne mai kayan aiki da ya kamata a gudanar kawai ta gogaggen anesthesiologists) ya ce da wadannan haramci:

• Hypersensitivity, bayyana ta anesthetics na amide jerin (ciki har da tarihi).
• Hypersensitivity zuwa ropivacaine da sauran gyara na halitta.

Ya kamata kuma a lura da cewa medicament "Naropin", sashi ya kamata a zabi wanda kawai wani gwani, taka tsantsan a cikin tsofaffi da kuma debilitated marasa lafiya da ma a cikin marasa lafiya da m hali na cuta, ciki har intracardiac madugu kawancen, hanta da koda Pathology.

Extreme hankali dole ne a gudanar da wani gida a cikin m kai da wuya saboda ƙãra hadarin mai tsanani m halayen.

Yana bukatar kula na musamman a lokacin da gabatar da miyagun ƙwayoyi ciki, musamman a manyan rauni da kuma tiyata. In ba haka ba, da zai iya haddasa karin sha na da miyagun ƙwayoyi da kuma ƙara da jini taro.

Saboda da underdevelopment daga cikin ayyuka da kuma gawawwakin yara shida watanni za su gudanar da maganin sa barci a cikin wannan shekara kungiyar kamata a da za'ayi tare da matsananci hankali.

A miyagun ƙwayoyi ne "Naropin": umarnin don amfani ga yara

Comments game da wannan magani za a gabatar a kasa.

Lokacin da caudal epidural gwamnati domin taimako na jin zafi syndromes jariran yin la'akari har zuwa 25 kg kwashe kawancen injectable bayani a kashi na 2 MG / kg.

Epidural jiko ko bolus allura da miyagun ƙwayoyi ne da za'ayi a daidai da shekaru na yaro:

• 6-12 watanni: jiko - 0.4 MG / kg / hr, a bolus - 1 MG / kg.
• har zuwa watanni shida: jiko - 0.2 MG / kg / hr, a bolus - 1 MG / kg.
• 1-12 shekaru: jiko - 0.4 MG / kg / hr, a bolus - 2 MG / kg.

The bayani "Naropin": umarnin don amfani da

A ampoules da m aka sayar a duk Pharmacy.

Domin manya, da sashi daga cikin miyagun ƙwayoyi da aka zaba gwani. A anesthesiologist kamata a shiryar da su asibiti kwarewa, kazalika da la'akari da mutum jihar na haƙuri.

Domin epidural gwamnati a lokacin tiyata ta amfani 15-25 ml na bayani. Kamar wancan farko na aikin lura bayan minti 20 da kuma yana for 5 hours.

A irin wannan adadin amfani da miyagun ƙwayoyi da kuma cesarean sashe.

Kawancen manyan jijiya plexus yi da epidural gwamnatin medicament a thoracic matakin a wani adadin na 5-15 ml.

Madugu kuma infiltration maganin sa barci da 1-30 ml na bayani sakamakon a farko na sakamako bayan 5-15 minti tare da wani tsawon lokaci na 2-6 hours.

takamaiman shawarwari

Sashi "Naropin" miyagun ƙwayoyi domin kashin baya maganin sa barci da aka gyara dangane da haƙuri da janar yanayin. Haka ya shafi kawancen na jijiya zaruruwa.

Maganin sa barci da brachial plexus za a iya tare da tsanani illa.

Tare da lokaci daya da yin amfani da sauran iri anesthetics iyakar sashi "Naropin" ya kamata ba zama ya fi 225 MG.

Don hana mai haɗari allura da miyagun ƙwayoyi a cikin jirgin ruwa kafin a fara da hanya da kuma a lokacin da shi ya zama m domin su gudanar da muradinta na gwajin.

A gabatarwar da miyagun ƙwayoyi ne a gane ga wucin gadi intravascular m zuciya rate. Lokacin da ya lura da mai guba sakamako kamata nan da nan katse gabatarwar da bayani.

A lokacin da maganin sa barci wajibi ne don saka idanu da al'ada aiki na da muhimmanci gabobin da kuma tsarin na haƙuri. Shi ne kuma dole a kula da tare da shi yau da kullum da fi'ili lamba.

illa

M halayen da aka lura a cikin aikace-aikace dauke nufin kama da wadanda a lokacin da yin amfani da sauran amide anesthetics jerin. Kamar haka wajibi ne a rarrabe illa a kan physiological cututtuka da cewa faruwa saboda blockage na m jijiyoyi.

A miyagun ƙwayoyi ne "Naropin" for kashin baya maganin sa barci iya sa bradycardia da hypotension. Har ila yau a cikin shakka daga maganin sa barci a marasa lafiya fuskanci wadannan m halayen:

• tashin zuciya, tachycardia, ciwon kai, hypothermia.
• ragewan jini, cramps, ciwon baya, shortness na numfashi;
• amai, syncope, hauhawar jini, zazzabin.
• paresthesia, dysarthria, jin sanyi, tashin hankali;
• dizziness, tremor, urinary riƙewa.
• hypoesthesia, shortness na numfashi, numbness na harshe;
• seizures, tingling, amya.
• perioral paresthesia a yankin, arrhythmia, Heart hangen nesa.
• Angioedema, sakamakon bugun zuciya, tsoka cramps.
• anaphylactic sabon abu.

analogs

Abin da zai iya maye gurbin m kamar "Naropin"? Umurnai na amfani ba zai ba da amsar wannan tambaya. Baya shi za ka bukatar ka tuntube da wani gogaggen anesthesiologist.

Kamar yadda mai mulkin, maimakon "Naropin" masana sau da yawa amfani da kwayoyi kamar "Articaine", "Bupivacaine", "BlokkoS", "Alfakain SP", "lidocaine", "Brilokain-adrenaline", "mepivacaine," "Piromekain" "marcaine", "Skandonest", "Ultrakain", "Tsitokartin", "Trimekain", "Hirokain" da sauransu.

Ya kamata a lura da cewa, nan da nan cikin hanyoyin da gwamnatin da dosages ambata nufin iya bambanta ma daga wadanda na medicament "Naropin".

reviews

Yanzu da ka san yadda kuma me ya sa kwayoyin amfani kamar "Naropin." Umurnai na amfani, da miyagun ƙwayoyi analogs cewa an gabatar a sama.

More sau da yawa fiye gani ba, a wajen barin su sake dubawa anesthetist. Kuma wannan ba abin mamaki bane, saboda miyagun ƙwayoyi ne aka yi nufi ga kananan da kuma manyan ayyukan.

Mafiya yawa martani kwararru ne tabbatacce. Rungumar ra'ayin da likitoci, da m za a iya bayyana a matsayin wani lokaci-jarraba, abin dogara da kuma moderately araha magani.

Amma ga marasa lafiya, su sake dubawa na wannan makaman kusan taba faruwa.