Lidocaine yog ib txoj kev khomob rau cov tshuaj loog. Cov tshuaj no yog siv rau cov tshuaj tua kab mob, qhov chaw nres tsheb thiab infiltration, thiab lub hauv paus rau tshuaj tua kab mob, piv txwv li lidocaine yuav tsum tau diluted nrog cefazolin. Qhov kev npaj yog tsim nyob rau hauv ntau cov ntaub ntawv noj tshuaj, tab sis feem ntau nws yog siv nyob rau hauv daim ntawv ntawm ib tug daws.
Kev qhia thiab kev ua tshuaj ntawm cov tshuaj tua kab mob ntawm lidocaine
Lidocaine rau kev txhaj tshuaj yog muag hauv ampoules. Nws ua los ntawm inhibiting paj siv hlwb, thaiv cov kev txwv ntsev hauv cov hlab ntsha thiab cov fibers, thiab yog npaj rau cov kab mob subcutaneous los yog intramuscular, instillation ua ib lub conjunctival sac los yog mucosal kho.
Siv lidocaine, koj tuaj yeem tso tshuaj rau lub cev kom txog li 75 nas this, thiab nrog rau cov tshuaj loog ua mob epinephrine ntev dua ob xuab moos. Lidocaine nrog cov ntawv hauv zos thov kom cov hlab ntsha, tab sis nws tsis ua haujlwm rau cov nyhuv.
Rau tshuaj loog, cov tshuaj no yog siv rau hauv kev phais mob, kev kho hniav, urology, kho mob, gynecology thiab otolaryngology. Sib tov lidocaine thiab dej rau kev txhaj tshuaj, koj tuaj yeem ua tau:
- qhov kawg ntawm kev hnoos qeev ntawm mucous membranes (piv txwv, bronchoscopy );
- infiltration anesthesia thaum lub sijhawm phais mob;
- tshuaj loog (peripheral nerves) (piv txwv, nrog txoj kev phais mob);
- blockade ntawm paj plexuses (lumbar, lub xub pwg, thiab lwm yam);
- epidural thiab txha caj qaum.
Dos nrog lidocaine
Ampoules ntawm lidocaine yuav tsum tsuas yog siv raws li cov lus qhia rau kev siv. Cov tshuaj no yog ib tus neeg, tab sis tsis muaj ntau tshaj 200 mg ntawm 2% ntawm cov tshuaj pleev rau cov tshuaj loog, tsis tshaj 60 mg rau tshuaj loog ntawm lub pob ntseg, qhov ntswg thiab ntiv tes - tsis pub tshaj 6 tee rau kev mob.
Yog tias tshuaj loog yog tsim nyog rau tus me nyuam, tag nrho cov tshuaj noj yuav tsum tsis pub dhau 3 mg ntawm lidocaine ib kilogram ntawm tus me nyuam qhov hnyav. Yog tias koj xav tau ntau cov tshuaj ntawm cov tshuaj, ua ntej koj yuav tsum noj cov tshuaj no.
Yuav ua li cas thiaj tsim tau cov tshuaj tua kab mob tua kab mob nrog lidocaine?
Qee cov tshuaj, txawm tias muaj cov kab mob sib kis me me, yuav tsum yog tus kab mob hauv tsev lossis hauv tsev kho mob. Cov tshuaj no muaj xws li cefotaxime, thiab nws yuav tsum tau diluted nrog lidocaine ua ntej nws tau muab. Qhov no yog vim qhov tseeb tias cov tshuaj txhaj rau cov tshuaj no ua rau mob hnyav. Rau tib lub hom phiaj, lidocaine yog siv los kho cov ceftriaxone . Dej rau kev txhaj tshuaj yog tas siv nyob rau hauv chaw ua taus zes, vim cov tshuaj tua kab mob uas nws tsis tau poob lawv cov khoom. Txhua yam tshuaj siv rau hauv cov neeg tsim nyog yuav tsum tau noj tshuaj ua ntej ua ntej.
Contraindications mus rau kev siv ntawm lidocaine
Ua ntej koj yuav tua tshuaj tua kab mob los yog txhaj cov tshuaj tiv thaiv, koj yuav tsum tau sim seb puas muaj tshuaj rau cov tshuaj. Cov neeg mob uas muaj tus mob edema lossis ua xua yog raug txwv tsis pub siv tshuaj.
Lidocaine kuj yog qhov tsis haum xeeb thaum:
- atrioventricular thaiv 2 thiab 3 degrees;
- arterial hypotension;
- lub plawv tsis ua haujlwm ntawm 2 thiab 3 degrees;
- cardiogenic poob siab;
- mob bradycardia loj heev;
- ua tiav hlab ntsha lub plawv;
- myasthenia gravis;
- porphyria;
- cev xeeb tub;
- qhia cov kab mob hauv lub raum los yog hepatic;
- glaucoma;
- hypovolemia.
Lidocaine nyob rau hauv cov ampoules tsis xav kom siv nrog phenytoin thiab rifampicin, vim cov tshuaj no txo nws txoj kev ua haujlwm. Tsis tas li ntawd, qhov no yuav tsum tsis txhob siv nrog cov cimetidine, aymalin, verapamil, amiodarone thiab procainamide, vim tias lawv ua rau muaj kev phom sij ntxiv.