"Lidocaine" (maganin shafawa): umarnin don amfani, real

Domin ya kawar da ciwo, amfani da dama anesthetics. Idan zafi ya kamata a cire kai tsaye daga jiki sashi, nema Topical shirye-shirye makõma. M shi sprays, man shafawa, mala'iku. "Lidocaine" yana da daban-daban saki siffofin. Domin kau da zafi tare da shafa yankin suna fi amfani da shi a cikin wani 5% maganin shafawa.

A abun da ke ciki da kuma nau'i na "Lidocaine"

"Lidocaine" (maganin shafawa) an tsara musamman domin waje amfani. A shirye-shiryen hada da aiki abubuwa kamar lidocaine hydrochloride da chlorhexidine dihydrochloride. More magani ya ƙunshi ƙarin aka gyara irin gietelloza (hydroxyethylcellulose) da kuma glycerol.

Da miyagun ƙwayoyi ne a m gel.

Bi da bi, wajen da aka cushe a cikin aluminum shambura na 15 da kuma 30 g da 25 g duhu gilashin kwalba. A kwali akwatin da aka saka tare da maganin shafawa "Lidocaine" wa'azi da shi.

Wannan magani an saki ba kawai a cikin nau'i na man shafawa, amma har yanzu a cikin wani nau'i na fesa, kuma a ampoules yi nufi ga allura.

A miyagun ƙwayoyi ya kamata a adana a wani sanyi, bushe wuri da kuma zama samuwa ga yara. Shiryayye rayuwa ne shekaru uku a cikin maganin shafawa, a bayan da miyagun ƙwayoyi ba za a iya amfani da su.

A pharmacological mataki da miyagun ƙwayoyi

Da miyagun ƙwayoyi nasa ne da aji ibn-antiarrhythmic. Yana abubuwa a matsayin wani gida m, kuma shi ne mai wanda aka samu daga acetanilide. Halin da membrane tabbatar da dorewar aiki.

Na nufin "Lidocaine" (maganin shafawa) rage tsawon lokaci da m tasiri da kuma tasiri lokaci a Purkinje zaruruwa, yanã raunanar da nasu ayyukan. Da miyagun ƙwayoyi tubalan lantarki aiki depolarized, arrhythmogenic zones, amma marginally rinjayar da lantarki aiki na al'ada kyallen takarda.

Lokacin amfani da srednelechebnyh allurai da magani babu wani gagarumin tasiri na tsokar contractility da slows AV-madugu. Idan "lidocaine" da aka yi amfani a matsayin wani antiarrhythmic miyagun ƙwayoyi da kuma shigar da / v, da farko na da aikin ya auku bayan 45-90 seconds, da sakamako yana game 10-20 minti. Lokacin da / m medicament sakamako za a iya ji bayan 5-15 minti kuma duration ne 60-90 minti.

Da miyagun ƙwayoyi ne aka yi nufi ga m, infiltration da kuma madugu maganin sa barci.

Da miyagun ƙwayoyi za a iya amfani da topically ga matsalar yankin sau da yawa a rana. Nagari yawan aikace-aikace - 3-4 sau a rana.

Popular sau da yawa ta amfani da 2% "Lidocaine" gel don sakawa cikin esophagus ko maƙogwaro likita kayan aiki. Da miyagun ƙwayoyi mai rufi likita na musamman Wand. Idan maganin sa barci da wani sakamako ko da sakamako daga cikin miyagun ƙwayoyi ya negligible, na aikace-aikace na kudi da aka maimaita.

A wannan taro shafawa da ake amfani da bincike a fagen urology ga mata, inda shi lubricates da mucous membrane na mafitsara. A miyagun ƙwayoyi amfani a cikin wannan yanayin ne ya rinjayi mutum tsarin da mafitsara. More gel amfani ga sa na catheter cikin mafitsara a maza, haka cinye har zuwa 100 MG na miyagun ƙwayoyi.

Domin rage zafi na kumburi da mafitsara marasa lafiya suna gudanar daya kashi na man ƙanshi tare da sauran magunguna singly. Wannan far yana zuwa kwana biyar.

Gel da lidocaine amfani a lokacin da nazarin mafitsara endoscope. Saboda haka, domin cika da kara girma mafitsara yi amfani da 30 ml da wannan shiri. Wannan kashi da aka gudanar a sassa biyu tare da wani gajeren lokaci. A mafitsara ne kadan lokaci yayin da clamped.

Kuma an yi amfani da kayan shafawa, "lidocaine" (maganin shafawa) - domin kau da gashi bikini da kuma sauran m yankunan na jiki.

Bayan intramuscular allura shi ne tunawa kusan gaba daya. Hanzari rarraba. A da hulda da sunadaran rinjayar da taro na aiki sashi a cikin jini, wanda yake shi ne 60-80%. Drug metabolized yafi a cikin hanta, yayin da shi tsokani bayyanar aiki metabolites wanda shafar warkewa da kuma mai guba effects, musamman bayan da jiko (a kan kwana ko fiye).

A rabin-rai da miyagun ƙwayoyi o ƙarin tabbatar da zama biphasic tare da rarraba lokaci 7-9 min. Ya dogara da kashi da kuma gwamnati ne ga 1-2 hours, hankali ya karu zuwa uku ko fiye a tsawon / jiko (a kan 24 hours). Excreted da kodan a cikin nau'i na metabolites, kawai 10% daga canzawa.

Maganin shafawa "Lidocaine": aikace-aikace

Maganin shafawa "Lidocaine" (5%) yana kawai Topical aikace-aikace. Ya rage zafi a cikin yankunan da fata raunuka. (Raunuka, bruises) da kuma a kan mucous membranes bakinta. Ana amfani da a cikin perianal yankin.

Contraindications ga yin amfani da

A amfani da gel "Lidocaine" (umarnin kafin yin amfani da ya kamata a karanta) kusan ba sa illa halayen, amma, duk da wannan, da kayan aiki ba za a iya amfani idan lalace mucosa. A wannan yanayin, ya karu sha na m, wanda zai iya haifar da da ya faru na tsari yawan guba.

Kada ka yi amfani da miyagun ƙwayoyi a cikin yara (har zuwa shekaru biyu), kuma idan akwai hypersensitivity zuwa lidocaine.

"Lidocaine" (maganin shafawa): umarnin don amfani da

The adadin miyagun ƙwayoyi amfani domin lura da fata, ya dogara a kan yanayin da haƙuri da kuma yankin da za a bi, nama vascularity. A amfani da wani maganin shafawa rinjayar mutum haƙuri aka gyara. Bayan duk, ba za ka iya amfani da miyagun ƙwayoyi a magangara mafi ƙasƙanci kashi ko a wani lokaci ta dakatar da aikace-aikace.

"Lidocaine" -maz (manual tuno a wasu lokuta ba zai yiwu ba a yi amfani da miyagun ƙwayoyi) da aka gudanar a gaban wasu alamomi a manya da yara daga shekara goma sha biyu.

Ga sauƙi zafi maganin shafawa kamata a yi amfani a kashi na 1-2 grams 'yan sau a rana. Optimally - 3-4 aikace-aikace.

Yara a karkashin shekara goma sha biyu ya yi amfani da gel tare da taka tsantsan. Ga shi wajibi ne domin jawo hankali ga gaskiyar cewa yara na wannan zamani bioavailability ne 100%. Saboda haka, matsakaicin canja kashi kada wuce 0.1 g / kg jiki nauyi da yaro cewa shi ne 5 MG lidocaine da kilogram jiki nauyi. A tazara tsakanin aikace-aikace na man ƙanshi kada ta kasance kasa da takwas hours.

Da miyagun ƙwayoyi amfani da mucosa a lokacin hanyoyin kamar diagnosing trachea, maƙogwaro da esophagus. Kuma sau da yawa smeared shafawa kayayyakin aiki, don binciken. Processing kayan aikin "lidocaine" ne da za'ayi da kuma a lokacin taron. A wannan lokaci ciyar 0.2-2 g maganin shafawa. Idan wannan maganin sa barci da aka ba sakamakon, sa'an nan bayan 2-3 minti hanya da aka maimaita sake.

A kalla kullum kashi na fara tasawa ne 300 MG (6 g na gel). Ladies bi da a sashen na urology urethral mucosa 3-5 ml na cikin shirye-shiryen. Domin maza ta amfani da man ƙanshi nan da nan kafin catheterization a wani adadin na 5-10 ml. A kalla kullum kashi yara ne 4.5 MG / kg.

A Dentistry, da man ƙanshi ne amfani da baka mucosa ga m maganin sa barci. A tazara tsakanin aikace-aikace na man ƙanshi ne 2-3 minti. More gel da ake amfani a kau da tartar. Domin wannan shiri da aka shafa a cikin gingiva da hakori wuyansa for 2-3 minti. Aikace-aikace na man shafawa amfani da mucosa na baka rami aphthas samuwar kuma erosions.

Sau da yawa amfani da "Lidocaine" (maganin shafawa) domin kau da gashi. Dace musamman ga shiri na kau da gashi bikini yankin. Kamar yadda wani gida m magani da ake amfani da 3-3.5 hours kafin gashi kau hanya. Farko da gel ne amfani da fata surface, sa'an nan kuma a nade da ake so yanki na abinci kunsa.

illa

"Lidocaine" (maganin shafawa), a wasu lokuta, zai iya sa fata hangula, kamar yadda da miyagun ƙwayoyi, a Bugu da kari ga lidocaine, ya ƙunshi mafi kuma propylene glycol. Shi ne kuma zai yiwu ya faru na illa kamar urticaria, edema. A wajen rare lokuta anaphylactic buga.

A taron na tsari yawan guba saboda da aikace-aikace na waje analgesic kwayoyi illa an lura a cikin tsakiyar juyayi da kuma zuciya da jijiyoyin jini tsarin.

CNS symptomatology bayyana a matsayin tashin hankali, nervousness, juyayi, agitation, kuma disorientation. A wasu lokuta da akwai imaucewa, tinnitus, Heart hangen nesa, cramps, tashin zuciya da kuma da gag reflex, convulsions, tsãwa. Akwai alamun hangula cututtuka, asarar harshen ji na ƙwarai kuma yankin da bakinka.

A wani ɓangare na zuciya da jijiyoyin jini tsarin a marasa lafiya, a wasu lokuta, tsokar ciki ayyuka da aka rubuta, kazalika da na gefe vasodilatation, wanda ya faru bayan da hauhawar jini da kuma bradycardia. A irin wannan abin kwaikwaya zai iya sa arrhythmia kuma, kamar yadda wani sakamako - zuciya rashin cin nasara. Sosai da wuya methemoglobinemia.

Hulda da sauran kwayoyi

"Lidocaine" (maganin shafawa) a hade tare da anti-arrhythmic kwayoyi na iya sa inna ko cikakken sakamakon bugun zuciya. Irin wannan jiha aka lura a marasa lafiya da suke amfani da lidocaine da amiodarone, tocainide ko procaine.

Antiepileptic kwayoyi a hade tare da lidocaine iya rage miyagun ƙwayoyi taro a jini wajen. "Phenytoin" gudanar intravenously, za a iya kara cardiodepressivny Properties na aiki sashi.

A hade tare da beta-blockers kara maida hankali lidocaine a cikin jini. A irin wannan sakamako ne "nadolol."

H2-antagonists, kamar "Cimetidine", da kara na hanta metabolism na aiki bangaren, wanda qara mataki na lidocaine yawan guba.

Hypokalemia, wanda aka jawo ta hanyar yin amfani da "acetazolamide" diuretic, ya hana a mataki na lidocaine.

Ana sa illa lokaci daya da yin amfani da miyagun ƙwayoyi da vasoconstrictors.

musamman umarnin

Kada ka kallafa "Lidocaine" (5% maganin shafawa) a kan mucosa da na baka rami, ko kuma idan akwai wani kumburi da haƙuri gano sepsis.

Don kauce wa na tsari sha, wajibi ne a yi amfani da matsananci hankali magani ga anemia, methemoglobinemia, kazalika da rashin glucose-6-phosphate dehydrogenase.

Lokacin da alerji shafawa kamata nan da nan yanke ta yin amfani da su kula da illa.

"Lidocaine" ba a wajabta wa marasa lafiya fama da hypovolemia, kazalika da ciwon blockage na zuciya tsokoki da kuma sauran katsalandan na cardiac madugu.

Kariya amfani da miyagun ƙwayoyi, idan akwai congestive zuciya rashin cin nasara, bradycardia lura ko numfashi da ciki.

Subject ga umarnin hadarin illa daga CNS ne kadan. Idan akwai wani musamman ji na ƙwarai to da miyagun ƙwayoyi a marasa lafiya "Lidocaine" magani amfani da matsananci hankali. A rashin lafiyan dauki a kan Kalam na para-aminobenzoic acid giciye laulayi lidocaine aka ba gano.

A miyagun ƙwayoyi ya kamata a yi amfani da hankali a lokacin daukar ciki, kamar yadda nazarin ya nuna tasiri na aiki abu na gaba da 'ya'yan itace, aka ba yi. Masana sun bayar da shawarar cewa a cikin farkon trimester na ciki kamar yadda zai yiwu su guji yin amfani da miyagun ƙwayoyi.

"Lidocaine" ya wuce a cikin ƙirjinka madara a sosai kananan allurai da cewa ba su da wani mummunan tasiri a kan yaro ci gaba.

Koda gazawar da ba sa muhimmanci canje-canje a cikin pharmacokinetics lokacin da yin amfani da "Lidocaine" (5% maganin shafawa).

A gaban hanta gazawar dole ne ko dai gaba daya watsi da aikace-aikace da miyagun ƙwayoyi, ko ka rage zuwa m da yin amfani da allurai. Lokacin amfani da fuska yana nufin dole ne ka tabbatar da cewa da miyagun ƙwayoyi ba a buga a cikin ido.

An yawan abin sama da miyagun ƙwayoyi iya faruwa saboda tsari yawan guba da kuma aikace-aikace na gida anesthetics ne ya sa ta high yawa daga aiki dũkiyõyinsu a cikin jini. Yana tsokani bayyanar illa hade da mataki na tsakiya m da zuciya da jijiyoyin jini tsarin.

A wannan halin da ake ciki, wani sashe dace magani. Samar da airway, kokarin kawar da carbon dioxide. A haƙuri ta jiki da aka gabatar oxygen ko wucin gadi numfasawa.

Idan akwai convulsions, to, suna cire ta hanyar gabatar a cikin kwayoyin na succinylcholine a wani adadin na 50-100 MG, da / ko diazepam a kashi na 5-15 MG. A wasu lokuta, da yin amfani da gajeren-aiki barbiturates. Dialysis a cikin irin wannan halin da ake ciki ba shi ba da ake so sakamako da kuma saboda haka ba ya tambaya.

Analogs "Lidocaine"

Idan saboda wasu dalilai, "lidocaine" (maganin shafawa) domin kau da gashi ko ba kai ga wani sauran dalili, kada ka yi baƙin, shi ya ishe su kula da maye gurbin wannan yana nufin miyagun ƙwayoyi, daga cikinsu:

• "Naropin".
• "Bulivakain".
• "Ultrakain DS".
• "Novocaine".
• Cream "Emla".
• "Mydocalm".
• "Zaldiar".
• "Artifrin".
• "Nalbuphine".
• "Diprofool".

A amfani da kowane magani yana da halaye, don haka da sauyawa dole ne a yi da likita. Kawai a cikin wannan hali, za ka iya ƙidaya a kan wani m selection na magani.

Reviews mata game da yin amfani da man shafawa na depilation

Mutane da yawa comments samu miyagun ƙwayoyi "Lidocaine" (maganin shafawa). Gashi kau amfani da wannan wakili sun daina zama mai raɗaɗi. Wannan abu ne da kawar da zafi, sauqaqa na ƙwarai, kyale ka ka sa gashi kau hanya ne quite aminci da dadi kamar yadda zai yiwu. Mata cream ne amfani da dukan yankin wadda za ta iya sarrafa da kuma sanya a saman polyethylene kuma rike 2-3 hours. Bayan wadannan jan ne yawanci a lokacin zafi gashi kau da aka daina jin ko da a kan mafi m yankunan na jiki.

Amma ba kowa da kowa ne farin ciki tare da mataki na "Lidocaine" miyagun ƙwayoyi (maganin shafawa). Korau sake dubawa ce shi ne gaba ɗaya mara amfani da kayan aiki, da kuma shi kusan ba ya cire zafi. Wasu Ladies Gel kawar da zafi, amma kadan ji na ƙwarai ne har yanzu kiyaye a lokacin gashi kau hanya. Mutane da yawa fi son yin amfani da "Lidocaine 'fesa da cewa, shi ne aiki a sau da yawa fiye da tasiri fiye da maganin shafawa. Wannan shi ne saboda da mutum halaye da kwayoyin.