Articaine hydrochloride hmoovyog ib qho tshuaj loog hauv zos tshwj xeeb tshaj yog muaj txiaj ntsig zoo hauv cov txheej txheem phais uas cuam tshuam nrog osteotomy thiab mucosal incision. Lub npe tshuaj yog 4-methyl-3-[[1-oxo-2-(propylamino)-propyl]amino]-2-thiophene carboxylic acid methyl ester hydrochloride.
nws yog hom amide-hom hauv zos txhaj tshuaj loog, uas tuaj yeem thaiv cov paj hlwb raws li cov paj hlwb ntawm qhov chaw txhaj tshuaj thiab ua rau cov tshuaj loog hauv zos. Cov txiaj ntsig ntawm kev ntxiv 1/100,000 epinephrine rau cov tshuaj articaine yog txhawm rau txhawm rau cov hlab ntsha hauv zos, ncua kev nkag ntawm cov tshuaj loog rau hauv lub cev, tswj cov ntaub so ntswg hauv zos, thiab tib lub sijhawm tau txais kev phais mob nrog los ntshav tsawg heev. Cov nyhuv tshuaj loog hauv zos tshwm sim 2-3 feeb tom qab kev tswj hwm thiab tuaj yeem kav ntev li 60 feeb. Thaum lub sij hawm siv tshuaj loog endodontic, lub sij hawm tuaj yeem ua kom luv los ntawm 2-3 zaug.
Hauv zos infiltration lossis paj hlwb thaiv tshuaj loog, intraoral submucosal txhaj. Ua ntej txhaj tshuaj, thov tshem tawm cov ntshav txhawm rau txhawm rau txhawm rau txhawm rau nkag mus rau hauv cov hlab ntsha, tshwj xeeb tshaj yog thaum lub paj hlwb tso tshuaj loog. Tus nqi txhaj tshuaj yuav tsum tsis pub tshaj 1 ml / min. Cov neeg laus: Cov koob tshuaj tsim nyog yuav tsum tau txhaj tshuaj raws li qhov xav tau ntawm kev phais. Cov koob tshuaj feem ntau yog 1/2 rau 1 lossis raws li kws kho mob qhia rau kev phais dav dav. Qhov siab tshaj plaws uas yuav tsum tsis pub tshaj 7 mg / kg lub cev hnyav. Cov menyuam yaus tshaj 4 xyoos: Cov koob tshuaj sib txawv yuav tsum tau siv raws li tus menyuam lub hnub nyoog, qhov hnyav, thiab hom kev phais. Qhov siab tshaj plaws uas yuav tsum tsis pub tshaj 5 mg / kg lub cev hnyav. Qhov nruab nrab koob tshuaj rau cov menyuam yaus hauv mg tuaj yeem suav tau raws li hauv qab no: tus menyuam qhov hnyav (kg) x 1.33 rau cov neeg laus: siv ib nrab ntawm cov neeg laus koob.
1. Nws yog ib qho tsim nyog yuav tsum tau ua tib zoo xav thiab nkag siab txog keeb kwm kev kho mob kom txiav txim siab txog txoj kev phais thiab kev npaj kho mob ib txhij.
2. Cov koob tshuaj ntawm 5 feem pua -10 feem pua yuav tsum tau txhaj tshuaj thawj zaug kom kuaj seb puas muaj kev fab tshuaj.
3. Cov khoom no yuav tsum tau txhaj tshuaj maj mam, thiab nws yog nruj me ntsis txwv tsis pub txhaj rau hauv cov hlab ntsha. Ua ntej txhaj tshuaj, yuav tsum tau kuaj ntshav.
4. Kev sib txuas lus nrog tus neeg mob yuav tsum tau khaws cia thaum siv cov khoom no.
5. Cov neeg tau txais kev kho mob anticoagulant yuav tsum tau saib xyuas kom zoo (saib xyuas qhov sib piv thoob ntiaj teb normalized).
6. Cov khoom no yuav tsum tau siv nrog ceev faj hauv cov neeg mob ntshav siab lossis ntshav qab zib; 7. Cov khoom no yuav ua rau cov nqaij mos necrosis hauv zos;
8. Cov tshuaj loog occlusal txaus ntshai: ntau yam occlusions (di ncauj, plhu, mucous daim nyias nyias, tus nplaig), nws raug nquahu kom tus neeg mob tsis txhob zom zom cov pos hniav lossis zaub mov kom txog thaum qhov kev xav zoo; 9. Tsis txhob txhaj tshuaj rau hauv qhov chaw muaj kab mob thiab inflammatory (cov nyhuv ntawm cov tshuaj loog yog txo);
10. Cov neeg ncaws pob yuav tsum tau xyuam xim rau qhov tseeb tias cov khoom xyaw nquag ntawm cov tshuaj no tuaj yeem ua rau cov zis kuaj pom zoo hauv kev tshuaj xyuas doping;
11. Txij li thaum daim siab feem ntau metabolizes hauv zos amide tshuaj loog, koob tshuaj yuav tsum raug txo rau cov neeg mob uas muaj mob hepatic insufficiency. Tus nqi kuj yuav tsum tau txo qis hauv cov neeg mob hypoxia, hyperkalemia, thiab cov neeg mob metabolic acidosis.
12. Cov khoom no muaj 1/100, 000 epinephrine. Cov xwm txheej hauv qab no yuav tsum tau ua tib zoo saib rau (1) Ntau hom arrhythmia tshwj tsis yog bradycardia. (2) Coronary insufficiency. (3) mob ntshav siab heev.
Txog tam sim no, kev tshawb fawb tsiaj sim ntawm ob hom tsiaj tau ua tiav, thiab tsis muaj cov nyhuv teratogenic ntawm cov khoom no tau pom hauv kev tshawb fawb; Thaum siv tshuaj kho mob, tsis muaj kev sib raug zoo ntawm cov tshuaj thaum cev xeeb tub thiab teratogenicity tau pom, thiab seb cov khoom no puas muaj cov teebmeem teratogenic rau tib neeg. Qhov tshwm sim tseem tsis tau xaus. Rau cov kab mob ntawm qhov ncauj, nws tsuas yog siv rau cov poj niam cev xeeb tub thaum tsim nyog. Zoo li lwm yam tshuaj loog hauv zos, tsuas yog me me xwbarticaine hydrochloride hmoovyog tawm hauv cov kua mis kom pub niam mis ntxiv tom qab tshuaj loog.