I-Lidocaine iyisiluleko se-anesthesia yendawo. Lesi sidakamizwa sisetshenziselwa i-anesthhesia ehamba phambili, egcina ukuphela nokungenayo, futhi njengesisekelo sama-antibiotics, isibonelo i-lidocaine ingahlanjululwa nge-cefazolin. Ukulungiswa kwenzelwa amafomu amaningana, kodwa ngokuvamile kuvame ukusetshenziswa ngendlela yesisombululo.
Isiboniso nesenzo semithi ye-lidocaine
I-Lidocaine yomjovo idayiswa ngama-ampoules. Isebenza ngokuvimbela ukuqhutshwa kwezinzwa, kuvimbela imigudu ye-sodium ekupheleni kwezinzwa kanye namafayili, futhi ihloselwe ukujova okungaphansi kwesigcawu noma se-intramuscular, ukugxiliswa kwesikhumba esikhwameni se-conjunctival noma ekwelapheni kwe-mucosal.
Ukusebenzisa i-lidocaine, ungakwazi ukufaka izingxenye zomzimba ezinesisindo sokuphuza emaminithini angama-75, futhi ngokuhambisana ne-epinephrine anesthesia ingahlala amahora angaphezu kwamahora amabili. I-Lidocaine nesicelo sendawo siphuthukisa izitsha, kodwa ayicasuli umphumela.
Nge-anesthesia, lo muthi usetshenziselwa ukuhlinzwa, amazinyo omzimba, i-urology, i-ophthalmology, i-gynecology kanye ne-otolaryngology. Ukuxuba i-lidocaine namanzi womjovo, ungakwenza:
- i-anesthesia yokugcina yamangqamuzana amancane (isib. i- bronchoscopy );
- i-infestration anesthesia ngesikhathi sokuhlinzwa;
- i-anesthesia yezinzwa zomzimba (isb., nokuhlinzwa kwesilungu);
- ukuvinjelwa kwe-plexuses yezinzwa (i-lumbar, ihlombe, njll);
- i-anesthesia ye-epidural and spinal.
Isilinganiso nge-lidocaine
Ama-ampoules we-lidocaine kufanele asetshenziswe kuphela ngokulandela imiyalelo yokusetshenziswa. Isilinganiso salesi sidakamizwa singumuntu ngamunye, kodwa ngokuyisisekelo akukho ngaphezu kwe-200 mg yesisombululo se-2% esithathwa nge-anesthesia ehamba phambili, engaphezu kuka-60 mg we-anesthesia yezindlebe, impumulo neminwe - angabi ngaphezu kwamaconsi angu-6 okuthungathwa.
Uma i-anesthesia iyadingeka enganeni, isilinganiselwa esiphelele akufanele sidlulele u-3 mg we-lidocaine ngekhilogremu yesisindo somntwana. Uma udinga ukufaka amanani amakhulu wezidakamizwa, ngaphambi kokuthi uthathe kalula ukuthatha ama-barbiturates.
Indlela yokwakha ama-antibiotics nge-lidocaine?
Ezinye izidakamizwa, ngisho nangezinhlobo ezincane zesifo, kumele zenziwe nge-intramuscularly ekhaya noma esibhedlela. Lezi zidakamizwa zifaka i-cefotaxime, futhi kufanele ihlanjululwe nge-lidocaine ngaphambi kokuthi iphathwe. Lokhu kungenxa yokuthi umjovo we-intramuscular walesi sidakamizwa ubangela ubuhlungu obukhulu. Ngenhloso efanayo, i-lidocaine isetshenziselwa ukwelashwa kwe- ceftriaxone . Amanzi okujola asetshenziselwa ukuzalanisa, ngoba ama-antibiotic ngaphandle kwawo angaphinde alahlekelwe yizindawo zawo. Noma imiphi imithi ihlanjululwa kwisilinganiso esidingekayo somuntu ngokushesha ngaphambi kokuphathwa.
Ukungafani kokusetshenziswa kwe-lidocaine
Ngaphambi kokuba uhlaziye ama-antibiotics noma ujobe i-lidocaine, udinga ukuhlola ukuzwela kumuthi. Iziguli ezakha i-edema noma imithi yokugulisa imithi ayinqatshelwe ukusebenzisa imithi.
I-Lidocaine iphinde ikhonjiswe lapho:
- i-atrioventricular block 2 no-3 degrees;
- i-hypotension ye-arterial;
- ukuhluleka kwenhliziyo kwezingu-2 no-3;
- ukuphazamiseka kwengqondo;
- i-bradycardia enamandla;
- qedela i-block cardiac block;
- i-myasthenia gravis;
- i-porphyria;
- ukukhulelwa;
- wabonisa ukuthi kukhona ama-pathologies angama-renal noma ama-hepatic;
- i-glaucoma;
- hypovolemia.
I-Lidocaine ema-ampoules ayifiseki ukuba isetshenziswe ndawonye ne-phenytoin ne-rifampicin, njengoba le mithi iyanciphisa ukusebenza kwayo. Ngaphezu kwalokho, lokhu kuhlaziywa akufanele kusetshenziswe nge-cimetidine, i-aymalin, i-verapamil, i-amiodarone ne-procainamide, njengoba zandisa ingozi yemiphumela emibi.