Lidocaine inogadziriswa yeanesthesia yemunharaunda. Ichi chirwere chinoshandiswa pakuitisa, kugona uye kupindira anesthesia, uye sechikonzero chemishonga inorwisa mabhakitiriya, somuenzaniso lidocaine inogona kuderedzwa neecfazolin. Kugadzirira kunoitwa maitiro akawanda, asi kazhinji inoshandiswa nenzira yesarudzo.
Chiratidzo uye chiitiko chezvemapurisa che lidocaine
Lidocaine yejojo inotengeswa mumaboules. Inobata nekudzivisa hutachiona hwekutengesa, kuvhara mishonga ye sodium mumagariro ekupedzisira uye mafivha, uye inogadzirirwa kuvhara kwemukati kana mushure, kushandiswa muganda conjunctival kana mucosal kurapwa.
Uchishandisa lidocaine, iwe unogona kuita nhengo dzomuviri weinesthetize kwemaminitsi makumi manomwe, uye pamwe chete ne epinephrine anesthesia inogona kupedza maawa maviri. Lidocaine nemunharaunda yekushandisa inoshandura midziyo, asi haigumburi chiitiko chacho.
Nokuda kweanesthesia, mushonga uyu unoshandiswa mukuvhiya, mazinyorero, urology, ophthalmology, gynecology uye otolaryngology. Kusanganisa lidocaine nemvura yejojo, unogona kuita:
- kuguma anesthesia ye mucous membrane (p., bronchoscopy );
- kupindira anesthesia panguva yekuvhiya;
- anesthesia yemirwere yenheyo (semuenzaniso, nekuvhiyiwa kwechimiro);
- kudzivirirwa kwemitsipa yeropa (lumbar, ffudzi, nezvimwe);
- epidural uye spinal anesthesia.
Dosage ne lidocaine
Ampoules ye lidocaine inofanira kushandiswa chete maererano nemirairo yekushandiswa. Nhamba yezvinodhaka iyi ndeyega, asi chaizvoizvo hapana 200 mg ye 2% solution inotorwa kuti iite conductive anesthesia, kwete kupfuura 60 mg ye anesthesia yenzeve, mhino neminwe - pasina madonhwe matanhatu ekudzidzira.
Kana anesthesia inofanirwa kumwana, muyero wega wega haufaniri kudarika 3 mg ye lidocaine pa kilogram yemutoro wemwana. Kana iwe uchida kupinda maitiro makuru emishonga, usati watanga kunyanya kutora mabhakiti.
Nzira yekuvaka maantibioti ne lidocaine?
Mamwe madhiragi, kunyange nemhando dzakanyatsonaka dzechirwere ichi, inofanira kuendeswa mukati mechirwere mumusha kana muchipatara. Iyi mishonga inosanganisira cefotaxime, uye inofanira kudimbiswa neydocaine isati yashandiswa. Izvi zvinokonzerwa nechikonzero chokuti injiramu yepramuscular yemugodhi uyu inokonzera kurwadziwa kwakanyanya. Nechinangwa chimwechete, lidocaine inoshandiswa mukurapa kwe ceftriaxone . Mvura yejojo inoshandiswa pakukwirirana, sezvo mishonga inorwisa mabhakitiriya isina iyo inogona kukanganisa zvishoma. Mishonga chero ipi zvayo inoderedzwa muyero yakakodzera yevanhu pakarepo vasati vatungamirirwa.
Kupindirana kwekushandiswa kwe lidocaine
Usati wanyora mishonga inorwisa mabhakitiriya kana kuti inject lidocaine, unoda kuedza kunzwisisana nemishonga. Varwere vanokura edema kana mishonga yepamusoro zvinorega kushandiswa kushandisa mushonga.
Lidocaine inopindiranawo apo:
- atrioventricular block 2 uye 3 degrees;
- arterial hypotension;
- kukanganisa kwemwoyo kwe2 uye 3 degrees;
- cardiogenic shock;
- bradycardia yakasimba;
- Complete transverse cardiac block;
- myasthenia gravis;
- porphyria;
- pamuviri;
- akaratidza kufara kana kuti hepatic pathologies;
- glaucoma;
- hypovolemia.
Lidocaine mu ampoules haisi inofadza kushandiswa pamwechete ne phenytoin uye rifampicin, sezvo madhiragi aya anowedzera kubudirira kwayo. Mukuwedzera, iyi analgesic haifaniri kushandiswa ne cimetidine, aymalin, verapamil, amiodarone uye procainamide, sezvo inowedzera ngozi yemigumisiro.