Analogs, tohutohu hoki te whakamahi "Naropin". Reviews kiritaki

huaina Anesthetics taero e whai i te kaha ki te kaha ai rehunga.

Rehunga - he hekenga i roto i te tūtohutanga o te tinana ona wahi ranei. Ano, hoki te ahua taua āhuatanga e te mutunga oti o perception o ngā mōhiohio e pā ana ki te āhua o te rauropi me te taiao.

I roto i te mahi hauora, kia rite ki te rongoā te maha whakamahia tarukino "Naropin." Tohutohu mō te whakamahi, ka kia whakaahuatia ngaio tūturu i raro.

Composition, Composition me te Packaging

tukua faaineineraa "Naropin" ako i roto nei i roto i te paihere pepa e i roto i te puka o te otinga injectable. Kia ngā reira 2, 5, 7.5 ranei 10 mg o te whakauru kaha rite ropivacaine hydrochloride.

Ki te whakaaro ki wāhanga atu, ka whakamahi ia ratou kia rite ki te waikawa pūhaumāota ranei konutai waihā, me he wai mo te werohia me te konutai pūhaumāota.

I roto i te hoko o tenei whare tukua te i roto i te oko.

Ko te āhuatanga pharmacological o te tarukino

He aha te mea tenei rongoa rite "Naropin"? Tohutohu mō te Whakamahi kī e tenei raupapa amide rongoā, e hangaia nei mo te mamae te tauturu, me o te rehunga rohe.

Ko te whakamahi o pota iti o te pā ropivacaine whakahaere ngā wahi tinana ki te tūtohutanga iti kore-ahu whakamua mahi nekeneke.

I roto i te toketaá tiketike o te tarukino arata'i ki rehunga hāparapara.

āhuatanga o te tarukino

He aha te tarukino faahiahia "Naropin"? Tohutohu mō te whakamahi tohu e te whai huatanga o tenei taputapu he tika ki tona kaha ki reversibly whakaiti te uruhanga o nga kiriuhi o muka karere. Nā ki tenei mana, a ka whakanuia ana te excitability paepae heke auau depolarization, i roto i te tahuri arata'i ki ponana ārai io rohe.

A, no te whakamahi i pota teitei tuhia hoki tona pānga inhibitory i runga i te ngakau, me te CNS (taumaha kawe ia heke automatism me excitability).

Hoki ropivacaine pānga wā roa-āhuatanga. Ka taea te whakaritea te roanga o te pānga haumanu o te inenga tarukino.

A, no te te whakahaere epidural o te tarukino ko ona-wāhanga e rua, me te absorption oti i te wāhi epidural. Ko te kukū o te ropivacaine i roto i te toto tei runga i te tikanga o te tono.

Ko te kinetics o tarukino

Tohutohu mō te whakamahi ( "Naropin" kia whakahaerea anake e te kairehu mātanga) pūrongo e he pharmacokinetics rārangi te taputapu. Nā ki tenei, tona kukū mōrahi i roto i te toto he hautanga ki te horopeta whakahaere.

Communication ki pūmua wē ko 94%.

faarahi whakahaere epidural o te medicament mo te wa roa i te katoa kukū wē o ropivacaine.

whakaaro te taonga kaha te tikanga te whakamamaetia faafariuraa pūkoro tere. I roto i te wā tuatahi te wā hawhe-ora he rite ki te ¼ haora, a i roto i te tauranga - 240 meneti.

A, no te rō-uaua faaineineraa excreted 86% o te horopeta e te whatukuhu.

iteraa papû

Hei aha te mutunga whakamahi i te tarukino rite "Naropin"? Tohutohu mō te whakamahi (i roto i te niho, e whakahaeretia ana tenei raau e te tino pinepine) kī e te tikanga te tarukino te mo te rehunga i roto i te pokanga:

• Ki te pā raru nui, me te karere plexus.
• I roto i te tikanga rehunga kookuhutanga me te karere muka pā takitahi.
• Hoki pā epidural i roto i te tikanga ki te whakahaere ngā mahi, tae atu ki ngā wāhanga whakawhānau.

Me kï reira ano hoki e te maha whakamahia te tarukino "Naropin" mo te awhina o ngā tohu i roto i syndromes mamae whakapeka:

• Hoki Tuhinga auroa o raru piringa.
• Hoki kōtuitui-articular werohia.
• I roto i te tikanga rehunga kookuhutanga me te karere muka pā takitahi.
• A, no te roa e whaowhia epidural, bolus periodicity ranei ārai mamae i roto i te wā postoperative, me te ki te rehunga i roto i te mahi.

Me mahara hoki käore te reira e te tarukino ko "Naropin" ako i runga i te whakamahi o nei whakaaturia te raro nei, kei te kaha whakamahia mo te tanga o tohu o te mamae whakapeka i roto i tūroro pediatric:

• hoki caudal poraka epidural i roto i ngā tamariki i raro i 12 tau, tae atu i roto i nga tamariki whanau hou;
• hoki whaowhia epidural auroa i roto i ngā tamariki ki runga ki te 12 nga tau, tae atu i roto i nga tamariki whanau hou.

contraindications

He aha e te faataoto contraindications te "Naropin"? Tohutohu mō te whakamahi (hoki rehunga filosilivá ko kia te taputapu kia whakahaerea anake e toketā fakamohé mātanga) ta te rāhui e whai ake nei:

• Hypersensitivity, whakakitea e anesthetics o te raupapa amide (tae atu hītori).
• Hypersensitivity ki ropivacaine me ētahi atu wāhanga o te waihanga.

Me mahara hoki käore te reira e te medicament "Naropin", kia te inenga kia tīpakohia nei he mātanga anake, tūpato i roto i nga tūroro paari ka debilitated a hoki i roto i te tūroro ki te āhua nui o te mate, tae atu ki intracardiac āriponga pā, ate me te tākihi māuiuitanga.

Me whakahaere tūpato Extreme he whakarehu rohe i roto i te matenga, me te kaki no o te nui haere tūpono o nui tauhohe kino.

E titau te reira tiaki motuhake ka whakauru i te kōtuitui tarukino, rawa i roto i te whētuki nui, me te pokanga. Kore, kia meinga ai nui ake absorption o te tarukino me te whakapiki ake i tona kukū wē.

Nā ki te underdevelopment o nga mahi me tinana o ono marama tamariki ki te whakahaere i rehunga i roto i tenei rōpū tau kia kawea atu ki te tūpato tino.

Ko te tarukino ko "Naropin": tohutohu mō te whakamahi mō ngā tamariki

Ka kia te aroaro Comments e pā ana ki tenei rongoa i raro.

A, no te caudal whakahaere epidural mo te tanga o syndromes mamae pēpi te taimaha ki runga ki te 25 kg kawea pā otinga injectable i roto i te horopeta o 2 mg / kg.

kawea epidural whaowhia bolus ranei werohanga o te raau taero i roto i roto i runga i te tau o te tamaiti:

• 6-12 marama: whaowhia - 0.4 mg / kg / hr, he bolus - 1 mg / kg;
• ki runga ki te ono marama: whaowhia - 0.2 mg / kg / hr, he bolus - 1 mg / kg.
• 1-12 tau: e whaowhia - 0.4 mg / kg / hr, he bolus - 2 mg / kg.

Ko te otinga "Naropin": tohutohu mō te whakamahi

Ko te ampoules te faataoto e hokona i roto i pharmacies katoa.

Hoki ngā pakeke, te inenga o te tarukino he whiriwhiri motuhake. kia te anesthesiologist ia arata'ihia e to ratou wheako haumanu me te ki te tango ki roto ki pūkete te āhua takitahi o te manawanui.

Hoki whakahaere epidural i roto i te pokanga te whakamahi i 15-25 ml o otinga. Ko te kupu tīmatanga o te mahi kitea i muri i te 20 meneti, me pumau mo 5 haora.

He nui rite o te whakamahi tarukino me te wāhanga cesarean.

Pā plexus io nui whakamana e whakahaere epidural o medicament i te taumata rei i roto i te nui o 5-15 ml.

Āriponga me kookuhutanga rehunga ki 1-30 ml o te hua otinga i roto i te tīmatanga o te pānga i muri i 5-15 meneti ki te roanga o 2-6 haora.

tūtohutanga motuhake

Inenga "Naropin" tarukino mō te rehunga filosilivá whakaritea i runga i te huru whānui o te manawanui rānei. Ko te taua pā ki te pā o muka karere.

Ka taea te haere tahi rehunga o te plexus brachial i ngā pānga taha nui.

Ki te whakamahi tukutahi o ētahi atu momo o anesthetics kore e waiho ki runga ake i 225 mg inenga mōrahi "Naropin".

Kia kore ai werohanga kōpeka o te tarukino ki te oko i mua i te tīmatanga o te tukanga, me te i roto i kia waiho reira whakahauanga ki te kawe i roto i whakamātautau wawata.

mohio te whakataki o te tarukino te mo te poto auau ngakau auau intravascular. A, no te kite pānga paitini kia ha'ie tonu te whakataki o te otinga.

I roto i te rehunga he tika ki te aroturuki i te mahi noa o whēkau me ngā pūnaha o te manawanui faufaa. Ko reira tika hoki ki te mau tonu ki taua mea whakapā-waha auau.

pānga taha

tauhohe kino e kua kitea i roto i te tono whakaaro te tikanga rite ki te hunga ka whakamahi i ētahi atu raupapa anesthetics amide. Ko te kupu he mea e tika ana ki te wehewehe i te pānga taha i runga i nga tohu whaiaroaro e puta tika ana ki te blockage o raru pukuaroha.

Ko te tarukino ko "Naropin" mo te rehunga filosilivá kia meinga bradycardia me hypotension. Ano i roto i te akoranga o te rehunga i roto i tūroro wheako nga tauhohe kino e whai ake nei:

• whakapairuaki, tachycardia, ānini, hauhauaitu;
• tukupu pēhanga toto, cramps, te mamae hoki, hāhā o te manawa;
• ruaki, syncope, takawhita, kirika;
• paresthesia, dysarthria, Chills, manukanuka;
• whanoke, faaati, te pupuri mimi.
• hypoesthesia, hāhā o te manawa, te kōpā o te arero;
• hukihuki, mania, pununga honé;
• paresthesia perioral i roto i te rohe, arrhythmia, atarua;
• Angioedema, hopu cardiac, cramps uaua;
• āhuatanga anaphylactic.

analogs

He aha e taea e whakakapi whakarehu pērā i "Naropin"? Tohutohu mō te whakamahi e kore e hoatu e te whakahoki ki tēnei pātai. Muri reira e hiahia ana koe ki te whakapā atu i te anesthesiologist mātanga.

Ka rite ki te tikanga, hei utu mo o maha whakamahi "Naropin" tohunga taero rite "Articaine", "Bupivacaine", "BlokkoS", "Alfakain SP", "lidocaine", "Brilokain-Adrenaline", "mepivacaine," "Piromekain" "marcaine", "Skandonest", "Ultrakain", "Tsitokartin", "Trimekain", "Hirokain" me etahi atu.

E tika ana kia tonu tuhia e kia rerekē te tikanga o te tikanga whakahaere me toketaá whakahuatia nui i te hunga o te medicament "Naropin".

Reviews

Na e matau ana koutou e founga me aha paturopi whakamahi pērā i "Naropin." Tohutohu mō te whakamahi, analogs raau e kua aroaro i runga.

More maha atu i te kore whakaaro ki te tikanga waiho ratou kairehu arotake. A ko kore maere tenei, no te mea te tikanga te tarukino te hoki ngā mahi iti me te nui.

He pai te nuinga o ngā urupare tohunga nui. Whakarāpopoto i te whakaaro o ngā tākuta, e taea te whakaahuatia te faataoto rite he, rongoā pono, me te tika utu wa-whakamatau.

Ka rite ki mo nga tūroro, ratou arotake o tenei whare tata kore puta.