Ko te tarukino "Novocaine": tohutohu mō te whakamahi, utu. "Novocaine" i roto i te hapū

Medicine "Novocaine" Ko te tarukino analgesic whai hua. Rongoā i runga i te rārangi o nga whakaaro tino nui hauora.

āhuatanga pharmacological "Novocaine" tarukino

Tohutohu mō te whakamahi tohu e te raau taero e te rongoā mahi āhua rohe, kei te whānui e whakamahia ana i roto i te mahi hauora. Te faaineineraa "Novocaine", i te mea he turanga ngoikore, e āraia e hëoi te whanaketanga me te whakatö o ponana karere i roto i te muka io me kūmuri takere konutai. A, no te fariiraa i te pānga medicament te huringa o moe, i roto i ngā pūtau neuronal, me ngā pānga nui i runga i takoto pūmanawa kore te whakaratohia. Kōpeke te raau whakatö o ponana mamae.

I roto i te momi, me te tonu tomo te toto, ka whakahaere pâmuhia reira ko te heke o te excitability o ngā pūnaha cholinergic piringa, me te whakaputa uri heke o te tuku o te acetylcholine kūmuri preganglionic. Ko te medicament "Novocaine" (whakamārama ako ā-e pā ana ki tenei) faaore mamae o uaua maeneene, te whakaiti i te excitability o te rohe pūkaha o te uho roro me te infarction.

Hoki te whakamahi rō-uaua, te otinga he antiarrhythmic, hypotensive, antishock, pānga analgesic, faarahi te wā tutu, tino whakaiti te kawe ia, me automaticity excitability. I te whakamahi o pota tiketike kia puta he takahi o te kawenga uaua io, kua kitea haehae.

Ko te rongoā te tango i wahia te pānga whakararo o te kakau roro, he pānga depressing i runga i reflexes polisinapticheskie. He he mahi whakarehu poto. pumau Mahi kookuhutanga rehunga i 30 meneti ki te 1 haora. Ko te otinga "Novocain" whakaurua tūroro paari intramuscularly i tīmatanga o pathologies taea tōtika te whawhai mate e pā ana ki te mahi waimaero o te pūnaha io, mamae kaka, coronary me takawhita iaia.

Kei te ruarua whenumi te tarukino i roto i te mucous. A, no te te kaihoko hohe tere werohanga ki te bloodstream, hydrolyzed e esterases kopa, me te wē, hanga rua metabolite matua kaha: PABA (te raveraa ra chemotherapeutic taero sulfa) me diethylaminoethanol (he mahi vasodilating āhua). Whakaaturia i roto i te whatukuhu i te puka o metabolites.

Ko te hanganga, me te ahua o "Novocaine" tarukino

raau I whakaputahia rite te otinga mō te werohia ko te mārama, te huitahi wai, i roto i ampoules rōrahi i te 1 ki te 20ml. Ko te ōrau o te whakauru kaha roto ko 0.25 me te 0.5. I tua atu, taha pē- me rua-ōrau tuku "Novocaine" otinga faaineineraa. Ko te utu o tenei puka ko e pā ana ki te 15 moni.

Popular me te paura, me te otinga horomata o medicament, ringihia ki oko o 0.2 me 0.4 rita. Hoki te maimoatanga o maha mate te tono hinu 5 me te 10 ōrau, me suppositories, e roto i 0.1 karamu o whakauru kaha (procaine hydrochloride), me te wāhanga pŭpŭ tauturu - witepsol Tallow ranei. I roto i te 1 ml o te taonga kaha i roto i roto i te nui o 0,005 karamu, atu wāhanga mahi waikawa pūmāota me te wai mo te werohia.

Tuhinga

E akiakitia ana Drug "Novocaine" tohutohu mō te whakamahi ki te whakaingoa ki te mahi retrobulbar, kāpeka, ua, waea, epidural, kookuhutanga rehunga. Mā te vagosympathetic hua medicament, me te perirenal pā jugular. he whai hua hoki analgesia ki piere, whero me haemorrhoids Taupānga o te pire tou. Mā te hinu meinga tohu o neurodermatitis, katoatia, minamina dermatosis.

Medicine "Novocaine": tohutohu mō te whakamahi

Werohanga tūroro pakeke rite te mahi kookuhutanga rehunga i roto i te rōrahi o te 300-600 mg (0.25-0.5 ōrau otinga).

Ita na roto i te ngokingoki kookuhutanga Wisniewski tukanga whakamana e whakauru 0.25% otinga i roto i te nui o 125 ml. mahi rehunga epidural te ki te awhina o "Novocaine" otinga-ōrau e rua. E taunaki ana werohanga aratohu he inenga o te 25 ml. rehunga filosilivá whiwhi e 2-3 ml o te 5% tarukino. I roto i te mahi Tuhinga te whakamahia 10% o te otinga tarukino mō rehunga wā.

Hei whakanui i te roanga o te mahi o te tarukino me te whakaiti i tona absorbability, a hoki i te rongoā tarukino "Novocaine" rohe diluted otinga o epinephrine hydrochloride. Hei mahi i te electrophoresis tūtohu te ki te whakamahi i te 10% tarukino. Ko te ngako perirenal ina me tomo te pā o Wisniewski nga ml 60 ranei 120 o 0.5-th 0.25% otinga ranei, aua. pā Vagosympathetic whakaputaina i te whakauru 100 ml o te hua o 0,25% kukū.

Ahakoa contraindications maha e whakaritea werohanga "Novocaine" tamariki hei analgesic i roto i te whakahaere o ētahi atu rongoā. tātaitia te inenga e hāngai i runga i te taimaha o te tamaiti (e kore neke atu i te 15 milligrams ia kirokaramu).

E whakamahia suppositories Rectal i muri i horoi whakamana i mua mā werowero fakanatula ranei. A, no te hinu tono pathologies kiri ki te kahupapa pāngia hipokina e rua nga wa i roto i te patuki.

pānga taha

Drug "Novocaine" (tohutohu mō te whakamahi whakatupato o tenei) kia meinga tauhohe kino.

Central me te pūnaha io piringa urupare ki te rongoā ānini, ngoikore, te momoe, whanoke, tahurihuri kau, haurangi. I roto i ētahi wā, i reira te mea he faaati, mate o mahara, lockjaw, rongo me te waimaerotanga ataata, paraesthesia, pāpāngia o nga waewae, nystagmus. I tua atu, i reira kia kia pāpāngia romahā, ārai i te uaua romahā.

pūnaha manawa-iaia ko te huringa i roto i te pēhanga toto, i reira he mamae i roto i te pouaka, arrhythmia, bradycardia, tiango, vasodilatation piringa.

whakautu pūnaha mimi, me te kūnatu ki te whakamahi rongoā urination tumu, defecation, ruaki me te whakapairuaki.

I runga i te wahi o te pūnaha reretoto ki te pānga taha ngā methemoglobinemia. I tua atu, ka taea e te tarukino meinga mate pāwera:

• pununga honé;
• anaphylaxis ;
• ponana kiri;
• apohia e.

Hoki atu tauhohe kino ngā rehunga tamau, paruparu, hauhauaitu, te mamae hoki. I roto i rehunga i roto i te niho kitea roa o rehunga, paresthesia me te kōpā o te ngutu, me te arero.

tuwhena rawa

Hei whakamahi i te "Novocaine" whakahaunga tarukino, e tohu kia te talena maimoatanga e whakaritea e te tākuta. Kore ki te ū ki te ture kia tohu o te tuwhena rawa. Tohu o te whakamahi nui o te medicament he ataahua o nga kiriuhi mucous me integument kiri, methemoglobinemia, apnea, te maturuturunga iho pēhanga huaki tata, tachycardia, hāhā o te manawa, ruaki, sweats matao, whakapairuaki, whanoke. Tūroro i te tikanga o te wehi, motor rōpū, haehae, moemoea. I roto i te tikanga ki te whakakore i te mau faaiteraa o te tuwhena rawa, e tika ana ki te kawe i roto i ventilation pūkahukahu ki te hāora inhalation, i roto i ngā take matatini, whakahau symptomatic me detoxification therapy.

contraindications

Whakamahi o te tarukino kore ai tūroro katoa. A, no te opani i te tukanga rehunga te kaihoko kookuhutanga ngokingoki mō huringa kiko fibrotic. e kore e taea te kawea Subarachnoid rehunga i i te septicaemia, āhua ru, hypotension, toto. E kore e tūtohu ana ki te whai wāhi i roto i te maimoatanga ōpaki, hei tauira, kia he kōpeke ki "Novocaine".

Ki te faaineineraa tupato whakamahia i roto i ngā mahi i roto i te tūroro ki te mate toto whakapeka, hēnga o ōna whatukuhu; hoki ngā āhuatanga e pā ana whakaiti o te supply toto ate, cardiac matatau me te iti hoki iaia; ki runga ki te mate i te wāhi i werohia; pathologies inflammatory. I raro i te tirotiro motuhake hauora he tika ki te whakamahi i te rongoā i roto i whanau, tūroro taimaha, me debilitated, iwi toulekeleka me tamariki i raro i te tau o te nuinga.

Ki te rongoā ngā ki anticoagulants ( "danaparoid" "fafati", "Ardeparin", "dalteparin", "Enoxaparin" "Heparin") faarahi te mōrea o te toto. E tukupu te pēhanga me bradycardia kitea i roto i whakahaere tukutahi o rongoā ki ngā rongoā "trimetafan", "mecamylamine", "guanadrel", "guanethidine." Whakanuia mahi rongoā rohe whakaara moni "Epinephrine," "methoxamine", "Phenylephrine."

Āhuatanga o te tono

I mua i te memeha "Novocaine" ka hanga he pere, e hiahiatia ana te tika ki te whakatau i te tūtohutanga takitahi ki rongoā. Ki te mahi i tenei, te kawe i roto i te whakamātautau kiri, a ki te mea i reira he whero me te huamo taea te whakawakia i runga i te takitahi whakaaetanga-kore tikanga.

I roto i te maimoatanga he mea e tika ana ki te aroturuki i te mahi o nga pūnaha Cardiovascular, io me romahā. Ki te whakaiti i te puaretanga nahanaha, te tāoke me te whakapiki ake i te pānga o te raau taero i roto i te rehunga rohe, taero "lidocaine" ranei "Novocaine" whakamahia te roto i te taha ki te vasoconstrictors. Hoki tenei, kotahi te maturuturunga iho o te otinga epinephrine hydrochloride i honoa ki te 3 ml o te medicament "Novocaine".

Ko te teitei te kukū o te wairewa i whakamahia, ko te atu ko te tarukino paitini. Ki te whakaiti i nga ope pānga e tūtohu ana ki te whakaiti i te inenga whānui o te medicament ranei diluted ki te kukū o raro. mahi tēnei ki te horomata otinga isotonic o te konutai pūhaumāota.

Hoki te ārai o te tauhohenga hypersensitivity i roto i te wāhanga tuatahi o te maimoatanga whakahaerea 2 ml-ōrau e rua otinga, me muri iho i nga ra e toru (ki te reira e kore pānga taha) i nui haere te horopeta ki te 3 mL, a ka puta ki te whakamahi i te rōrahi tonu - 5 ml ia werohia.

I roto i te maimoatanga tūroro hiahiatia te ki te hoatu ake taraiwa me te whakatinanatanga o ngā mahi e pā ana ki te aro nui haere, tere o te nekeneke me te tauhohe hinengaro.

Ngā pāhekoheko ki ētahi atu taero

A, no te whakahaere pâmuhia, whakarei ake te raau pānga inhibitory i runga i nga sedatives pūnaha io, moe pire, taputapu e whakamahia ana mo te rehunga whānui, tranquilizers me Pë whakapōauau. whakaroa te tarukino te mahi o te uaua, poraka karere meinga e suxamethonium. nui haere te mōrea o te hypotension e whakamahi ngā o moni "Novocaine" ki inhibitors Mao).

whakanui i Anticholinesterase taero te tāoke o te raau taero, tautāwhi i tona paparetanga. Para-aminobenzoic waikawa, i te mea he metabolite o te raau taero, heke te pānga antimicrobial o sulfonamides, no te mea he pai ratou enemi whakataetae. Ko te tūponotanga o tauhohe rohe i roto i te puka o te edema me nui haere atu tahumaero i roto i te werohanga wāhi tukatuka o whakahaere whakarehu rohe mā rongoā waipatu kei roto konganuku taimaha.

Ko te whakamahi o "Novocaine" tarukino i roto i te hapū

I roto i whānau tamariki maha wahine e fehangahangai ki te hiahia maimoatanga niho ngā tohu kino, pērā i te mamae hoki ranei. I roto i te niho, whakamahia rehunga te tino maha te tikanga o "Novocaine". Ko manakohia Whakamahi o te tarukino i roto i teie mau huru. Me anake koe ki te whakamōhio i tō tākuta e pā ana ki te hapūtanga i whakamahia e ia te raau taero, tango ki pūkete te āhuatanga reira. A, no te toxicosis, puta ki te huringa i roto i te pēhanga toto, rite rongoā tukua "Novocaine". I roto i te hapūtanga, tona whakamahi he taea anake i te pēhanga teitei, i muri i te kōrerorero i mua ki te tākuta.

Taputapu whakahaere te mahi o te ngakau, me te pānga olungá i runga i te uaua. A, no te tohu o te mamae i roto i te kopu, e kua pā ana ki te mate whewhe keté, tūtohu tatou te whakamahi o suppositories. Haerenga puku pēhanga hoki taea suppositories te whakamahi i. Drug "Novocaine" whakamahia te wā hapūtanga anake i runga i whakahaunga, e kore te rongoā-whaiaro e whakaaetia! Ka tātai i te mātanga te horopeta e hiahiatia ana me te auau o te whakahaere, i muri i te tātari i te tohu o te hapūtanga. E whakamahia Suppositories rua rā, i mua i-whakawātea i te tinana mā werowero.

Utu me te tarukino analogues "Novocaine"

Utu "Novocaine" faaineineraa (utu kia rerekē paku i roto i pharmacies takitahi) i roto i oko (0.5%), ko te 22 moni. Per pounamu 0.25% otinga (200 ml) ranei suppositories rectal ka hoatu 27 moni. analogues hanganga o te taonga kaha he medicaments:

• "Hydrochloride Procaine".
• "Turanga Novocain."
• "Novocaine-oko".
• "Novocaine Bufus".