"Lidocaine Katedzhel": guide, dib u eegista, sawiro

In antimicrobial iyo suuxinta ah ee urology daroogada aad loo jecel yahay "Katedzhel la lidocaine." Waxaa laga heli karaa sida a, gel midab cad oo loo isticmaalo suuxinta maxaliga ah iyo jeermi-kaadi mareenka ka hor inta nidaamka, tuubo, endoscope ah, ama xaaladaha kale. Maqnaanshaha sababo daroogada waa loo isticmaalo ku dhaqanka carruurta, iyo haweenka uurka leh ama nuujinaya.

On the halabuurka iyo qaab "Katedzhel" daroogada

Ka hadalka ku saabsan gel ah "Katedzhel", in aan ku xuso in laga iibsan karaa farmasiyada oo keliya by qoro. Waxaa la soo baakadeeyey iibin ilaa 5 ama 25 ee kartoon khariidad ku tilmaamay "Katedzhel lidocaine" (gel). Silingaha (12.5 g) iyada oo caarada elongated SNAP-off ah khariidad kasta - tuuro, polypropylene jiingado. Waxaa la isla markiiba ka buuxiyeen daroogada iyo Nadiif ah diyaar in ay isticmaalaan. Waana mid ka, waa in la caddeeyo in 12.5 g of wakiilka this for ku keento ka galay kaadi mareenka ku dhowaad 10 qasaariyeen g.

Mid ka mid ah boqol garaam oo gel ku jira 0.05 g of dihydrochloride klorhexidinsprit, iyo 2 g of hydrochloride lidocaine. Sida qaybaha kaabayaal taag glycerol, gietelloza iyo biyo la isku duro.

ma sida iyo goorta la isticmaali daroogada "Katedzhel lidocaine"

Walxaha ku tilmaamay diyaarinta ka mid ah hydrochloride lidocaine, saamayn suuxinta marka codsatay laga dhayayo iyo sidoo kale klorhexidinsprit in takhalusi karo bakteeriyada badan garaam-positive iyo garaam-negative, khamiir iyo dermatophyte. Si kastaba ha ahaatee, qayb sidaas magacaabay saameyn ah kuma laha acid-fangaska, fayrusyada, bakteeriyada iyo kudka.

In urology, dumarka, proctology iyo daroogada carruurta "Katedzhel lidocaine" (photo of qalab this, waxaad ka arki kartaa in article) waxaa inta badan loo isticmaalaa sida la mariyo ah suuxinta waqtiga endoscopy, intubation, bedelida kateetarka fistula ama qalliin. Sayidka suuxinta ku filan dhacdaa 5-10 daqiiqo gudahood ka dib codsiga ah ee medicament yiri.

Gel "Katedzhel" waxaa loo isticmaalaa in therapy adag iyo iyada oo loo adeegsanayo awood u yareeyo xanuunka ee geedi socodka ee bararka ka dhaca siilka, afka ilmo-galeenka ama kaadi mareenka iyo malawadka.

Tilmaamo Qaar ka mid ah isticmaalka "Katedzhel lidocaine" daroogada

In urology ku tilmaamay habka diyaarinta waxaa loo isticmaalaa ku keento kaadi mareenka (faleebo dareerin daroogada galay Lumen jirka bukaanka). Marka guriga, ka dhigi Reebay, sida uu yahay xaq u leeyihiin inay fuliyaan tallaabooyinka daweynta kartaan shaqaalaha caafimaadka oo kaliya oo kaliya qalabka saxda ah, waafaqsan xeerarka antisepsis iyo xirfadaha la heli karo.

Ka hor inta aadan geli qalabka, bukaanka la nadiifiyaa oo kele ka baxsan furitaanka kaadi mareenka. Markaas bandhigno khariidad la daroogada "lidocaine Katedzhel" (gel) laga saaro iyo warqad si Cidhiidh ah. Inside baakada, caaradda-tube saliingaha ku jebi iyo saaro, in la hubiyo ma jiraan khaladaad goobta of jab. nidaamka A si ay u fududeeyaan hordhaca ah ee silingaha ku waa shay qoyaanka extruded.

Ku keento ka sameeyaa si fudud u riixaya saliingaha jiingado, iyo ka dib faaruqinta sii wadaan in ay tuujin ilaa baxayo Ciidamada ka jooga channel. 10 daqiiqo ka dib ku keento ee gel ah loo qaadan karaa qalabka suuxinta.

qiyaasta

Kuwa isticmaala daroogada "Katedzhel lidocaine," ogahay in talooyin gaar ah oo ku saabsan qiyaasta haweenka iyo carruurta aan la heli karin. Guud ahaan, lacagta ay maamusho ee practitioners gel qraallo la cabbir jidh kaadi mareenka.

Waayeelka, bukaanka xoog u jilcay iyo dadka ka cabanaya dose daran dhantaalan kelyaha ama cagaarshowga ee daroogada ayaa sheegay in la doorto si adag si gaar ah, ku xiran xaaladda bukaanka.

Waa in aan aan halkan in kiiska illoobin hal mar ka kooban yahay in ka badan hal tube silingaha (gaar ahaan haddii kaadi waa barar ama uu jeexan) bukaanka waxaa laga yaabaa in ay la kulmaan astaamaha badinta.

sababo

Inkasta oo la heli karo ee ku saabsan isticmaalka daroogada comments "Katedzhel lidocaine" ka khubarada loo xaqiijiyo ammaankeeda ku dhowaad dhammaan kooxaha dadka bukaanka ah, qaar ka mid ah iyaga ka mid ah waa in ay weli ka fogaadaan isticmaalka qalab this. Kuwaas waxaa ka mid ah:

• dadka ka cabanaya dareen xaasaasi ah in klorhexidinsprit;
• Bukaanka qaba cudurka angina deganayn ama bradycardia;
• iyo sidoo kale bukaanka qaba porfyri oo ba'an (marka laga reebo marka ay jiraan waxyaabo muujinaya kalifaya in loo isticmaalo "Katedzhel" gel).

Si looga fogaado dhibaatooyin, khubaro ku talinaynaa dadka bukaanka ah la isticmaalayo daroogada markii ugu horeysay, si ay u qabtaan baaritaan xasaasiyadda.

Intaa waxaa dheer, soo saaraha ka digay ku saabsan khatarta ah ee helitaanka daawada isha - in kiisaska noocaas ah waxaa lagama maarmaan ah in ay ugu maydhaa iyaga biyo fara badan.

Joogitaanka dhibaalka dhanka kale iyo badinta daroogada

waxyeelo daroogada gaarka ah aan la tilmaamay, iyo sida ay saamaynta gel ku xusan oo kaliya dareen diidmo oo xasaasiyadeed suurto gal ah sida dermatitis, finan, goobta codsiga iyo anjioedema gubanaya xun.

Sida tilmaamay by codsatay in ay daroogada "lidocaine Katedzhel" edbinta, badinta qalab this aad ayey naadir iyo kaliya in xaaladood oo waxyeello daran u kaadi mareenka. Markaas bukaanka laga dheehan karo gariir, vertigo, bradycardia (laxanka qalbigoodu ka raagay) iyo burburkii (drop degdeg ah ee dhiig-karka uu keeno yeelay Tabaryari iyo hoos u dhac wadnaha lama filaan ah midab vascular). Waana mid ka, calaamadaha ugu muhiimsan overdosage factor waa lidocaine.

Xaaladaha noocaas ah, bukaan-socodka wuxuu muujinayaa isticmaalka beta-agonister (bradycardia) iyo barbiturates ama-simaha gaaban relaxant muruqa in qalal. Marka gobolka burburkii bukaanka ah intravenously maamula dawooyinka "epinephrine" ama "dopamine".

Sida daroogada macaamila daroogooyinka kale

Marka "Katedzhel lidocaine" waxay u baahan yihiin in ay isticmaalaan gel ah, isticmaalka iodine waa heer sare ah loo baahnayn. Saabuunaha iyo saabuunta dharka oo ay ku jiraan group anionic, sidoo kale waa in aynan diyaarinta tilmaamay.

Bukaanlayda qaadato sidii antiarrhythmics daaweynta ( "Mexiletine" ama "Tokanid"), beta-adenoblokatory ( "propranolol") oo ku Doodeen calcium ( "Diltiazem", "Verapamil") qori gel si taxadir leh sababtoo ah khatarta ah xanuunada vascular ee tabinta iyo contractility waxyaalaha qalbiga ku jira.

Banneeyey ay isticmaalka daawooyinka in ay yihiin qayb ka mid ah kooxaha cationic ( "chloride Benzalkonium"). A inhibitors oxidase monoamine horumarin karaan saamaynta xanuunka ee lidocaine.

Yaa isticmaali kartaa daroogada "Katedzhel"

Sida laga soo xigtay heli karaa barashada daroogada "Katedzhel lidocaine", waxa loo isticmaali karaa by haweenka inta ay uurka (inkasta oo ay tani waa in la sameeyaa leh daryeelka ee saddexda bilood ee hore) iyo naas-nuujinta. Tan waxa u sabab ay awood yar in ay dhex gasho iyada oo mandheerta ama caanaha naaska. Si kastaba ha ahaatee, waayo, soo saaraha ammaanka talinaysaa habase yeeshee fogaadaan naas-nuujinta muddo 12 saacadood ka dib codsanaya gel ah "Katedzhel".

Qeexaa qalabka wax saameyn ah kuma gaariga ama awood kale maaraysay mishiino. Sidoo kale, waxa aanu keenaan hurdo ama u yarayso reaction aadanaha.

Dhowr aflagaada soo dhaafay

gel kaydiyaa "Katedzhel" gaari qalalan ee carruurta iyo iftiin iska heerkulka a aan ka badnayn 25 ° C. Si aad u soo bandhigaan daroogada aan la kaydin karo ee la xidhiidha khatarta ah in la yareeyo saamaynta ay ku daweyn. Oo ay ka maqan yihiin calaamadeynta, iyo dillaacin ee silingaha-tube la gel ka isticmaalkeeda waa in laga fogaadaa.

Nolosha shelf ee daroogada waa 5 sano, ka dib markii taas oo wakhtiga daroogada waa ka fiican inaad ka fogaataan.

Iyada oo la adeegsanayo ee micne ah ku tilmaamay waxaa ka mid ah daroogada "Instillagel" "Lidocaine Asepta" iyo "Lidohlor".

Gebogebadii, mid ka mid ah, laakiin aan ku celin kartaa in inkastoo jira diyaarinta noocan oo kale ah, gel ah "lidocaine Katedzhel", dib u eegista ay ammaanka qaraabo iyo waxtarka, isticmaalaan qalab aan qoro waa halis! Waa inay awoodaan inay xanuunka ka saar iyo in la yareeyo darnaanta cudurada kor ku xusan, laakiin waa haddii gacanta caafimaad. Haddii kale, bukaanka waa halis waxyeelo la hagaajin si caafimaadkooda.