I-Lidocaine iyisilungiso se-anesthesia yendawo. Esi sidakamizwa sisetyenziselwa ukuqhubela i-anesthesia, yokugcina kunye nokungena ngaphakathi, kwaye njengesiseko se-antibiotics, umzekelo i-lidocaine inokuhlanjululwa nge-cefazolin. Ulungiso lwenziwa ngamafayili amaninzi, kodwa ngokuqhelekileyo isetyenziswe kwisisombululo.
Inkcazo kunye nesenzo se-pharmacy ye-lidocaine
I-Lidocaine yesayilisi idayiswa kuma-ampoules. Isebenza ngokuthintela ukuqhutyelwa kwentsholongwane, ukuvimbela iziteshi ze-sodium kwiziphetho zeentambo kunye neefayili, kwaye zenzelwe i-injection subcutaneous okanye ye-intramuscular, i-instillation kwisigxobo esihlangeneyo okanye unyango lwe-mucosal.
Ukusebenzisa i-lidocaine, unokwenziwa kwamalungu omzimba we-anesthetize ukuya kwimitha engama-75, kunye kunye ne-epinephrine anesthesia inokuhlala ngaphezu kweeyure ezimbini. I-Lidocaine kunye nesicelo sendawo iyanciphisa iinqanawa, kodwa ayiyicasula umphumo.
Nge-anesthesia, eli liyeza lisetyenziswe ekutyunjeni, amazinyo, i-urology, i-ophthalmology, i-gynecology kunye ne-otolaryngology. Ukuxuba i-lidocaine kunye namanzi omjovo, unokukwenza:
- i-anesthesia yesigxina seembrane (umz., i- bronchoscopy );
- i-anesthesia yokungena ngaphakathi ngexesha lokuhlinzwa;
- i-aneshesia yentsholongwane yomzi (umz., kunye nokuhlinzwa kwesilungu);
- ukukhusela i-plexus ye-nerve (i-lumbar, igxala, njl.);
- i-anesthesia yomgudu kunye nomqolo.
Isistim nge-lidocaine
Iimpoules ze-lidocaine kufuneka zisetyenziswe kuphela ngokwemiyalelo yokusetyenziswa. Umyinge walesi sidakamizwa ngumntu ngamnye, kodwa ngokukodwa akukho ngaphezu kwe-200 mg yesisombululo se-2% esithathwa kwi-anesthesia eqhubayo, engekho ngaphezu kwe-60 mg ye-anesthesia yeendlebe, impumlo neminwe-engaphantsi kwe-6 iyancipha.
Ukuba i-anesthesia iyimfuneko kumntwana, isilinganisi esilinganisiweyo asifanele sidlule i-3 mg ye-lidocaine ngekhilomitha yobunzima bomntwana. Ukuba udinga ukufaka amanani amakhulu eziyobisi, ngaphambi kokuba unqabile ukuba uthathe izibhengezo.
Indlela yokwakha i-antibiotics ene-lidocaine?
Ezinye iziyobisi, nangona zifo ezincinci zesifo, kufuneka zilawulwe nge-intramuscularly ekhaya okanye esibhedlele. Ezi zi yobisi ziquka i-cefotaxime, kwaye kufuneka ihlanjululwe ne-lidocaine ngaphambi kokuba ilawulwe. Oku kubangelwa ukuba i-injection ye-intramuscular yeli gciwane ibangela intlungu ebuhlungu. Ngenjongo efanayo, i-lidocaine isetyenziswe kunyango lwe- ceftriaxone . Amanzi okujova ayenziwa ekuzaliseni, kuba i-antibiotics ngaphandle kwayo inokulahlekelwa yipropati yazo. Nawaphi na amayeza ahlanjululwa kwisilinganiselo somntu esifanelekileyo ngaphambi kokulawulwa.
Ukungqinelana nokusetyenziswa kwe-lidocaine
Ngaphambi kokuba uhlaziye i-antibiotics okanye ujobe i-lidocaine, kufuneka uvavanye ukuvavanya kwisiza. Izigulane eziphuhlisa i-edema okanye i-allergies zinyanzelwanga ukuba zisebenzise leyeza.
I-Lidocaine iphinde ichazwe xa:
- kwiibhodi ze-atrioventricular block 2 ne-3 degrees;
- i-hypotension;
- Ukungaphumeleli kwentliziyo ye-2 ne-3 degrees;
- tshutshiswa kwemizimba;
- bradycardia
- gcwalisa i-block cardiac block;
- myasthenia gravis;
- porphyria;
- khulelwa;
- wabonisa intsholongwane okanye i-pathologies ye-hepatic;
- i glaucoma;
- i-hypovolemia.
I-Lidocaine kwi-ampoules ayinqweneleka ukuba isetyenziswe kunye ne-phenytoin kunye ne-rifampicin, njengoko ezi nkunkuma zinciphisa ukusebenza kwayo. Ukongezelela, lo mfuziselo awufanele usetyenziswe nge-cimetidine, i-aymalin, i-verapamil, i-amiodarone kunye ne-procainamide, ekubeni iphakamisa umngcipheko weempembelelo.