Nekuita zvirongwa zvakasiyana-siyana zvekuvhiya kazhinji zvinodiwa kuti munhu aneshetize nzvimbo yakakanganisika. Mukurapa, conductive anesthesia inoshandiswa, senzira yekudzivisa kutapurirwa kwemaitiro emagetsi kwenguva pfupi.
Nzira dze conductive anesthesia mune mazino
Iyo inotsanangurwa nzira inoshandiswa kune anesthesia yezvose zviripamusoro nepamusoro.
Muchiitiko chekutanga, kune marudzi akadaro eesesthesia:
- Infraorbital. Mushonga unojowa muganhu we infraorbital foramen.
- Tuberal. Iyo jekisi inoitwa munzvimbo yepamusoro. Zvakakosha kuziva kuti nzira iyi inonzi inonyanya kuipa, sezvo inowanzokonzera zvinetso.
Kuita anesthesia pamusana wezasi kunoitika:
- Apodactyl. Iyo nheyo inopindirwa muhoru pedyo nehombe huru yemhara.
- Intraoral. Pamberi pacho, nzvimbo yejojo inowanikwa neminwe.
Kazhinji, teknolojia inotsanangurwa inoshandiswa kuita mabasa pajaya, uyewo muchibvumirano.
Kuita anesthesia yechikamu chepamusoro
Kuvhiya kwekuvhiya kunouya kune ruoko nekushandiswa kwejoka rekushaya mishonga kunobva pane nzira dzakasiyana dzekudzivirirwa kwe brachial plexus nemhando dzinotevera dzekuwana:
- supraclavicular;
- axillary;
- shandura;
- lower-clavicular.
Panewo nzira yekudzivirira maswere emagetsi mukati.
Paunenge uchitarisa pasi pebhuka, mutungamiri anesthesia inodiwa pachigadziko. Iko inobvumira kuisa anesthetize midzi, miviri uye yerinar. Nheyo yekuiswa kwejinga iri mukati mekona yekunamatira groove. Iyo mishonga inopa kubvisa kwenguva refu kwekutsvaga kwemaitiro emagunha, saka nzira yakarongwa inowanzoshandiswa kushandiswa paminwe.
Kubudirira anesthetics ye conductive anesthesia:
- Trimecaine;
- Novocain;
- Ultracaine;
- Bupivacaine;
- Lidocaine.
Kuti kuwedzere migumisiro yemishonga, pamwe nekuwedzera majekiseni e-anti-inflammatory and analgesic properties, adrenaline, opioid uye hormone steroid zvinowedzerwa kugadzirisa.
Kuita anesthesia yechikamu chezasi
Zvichienderana nepamunharaunda yekukuvadzwa kwegumbo, kuputika kwemitsipa yakadaro kunoratidzika:
- kudzivisa;
- tibial;
- peroneal;
- femoral;
- lateral;
- kunze kwechepakati pechando chehudyu;
- sciatic.
Pamberi penjodzi, nzvimbo chaiyo yemutsara inotsvakwa nekubatsirwa kwe ultrasound kana neurostimulator. Zvakakosha kuderedza nzvimbo inodiwa kwenguva yakakwana. Uyezve, kujekesa kwechikonzero chekunyadzisa kunobvumira kuchengetedza zvakasiyana-siyana migumisiro kubva mujisi.
Zvinetso zvekutengesa anesthesia
Kazhinji kazhinji migumisiro yakaipa inobatanidza nengozi yekubudirira kwehutano hwehutano kune mishonga inogadziriswa . Mukuwedzera, zvinogona kuva nezvinetso zvakadaro:
- kukanganisa kumisungo kana mitsipa yeropa akaipoteredza;
- kupera uye kurwadziwa kwakanyanya mumuviri, kupfuurira kwenguva refu mushure mokunge anesthesia uye kuvhiyiwa;
- manzwiro echinokambaira "goosebumps";
- kusagadzikana kwehutano iyo jira yakaitwa (neuropathy);
- kuputika kwemuviri wecymphatic (thoracic);
- intoxication ;
- pneumothorax;
- hutachiona hwemamiriro ayo majekiseni akaitwa.
Dzimwe nguva kugadzirisa kushanda kunowedzera, kunoratidzwa nenzira yeutendi, chirwere chepfungwa, kurasikirwa kwekuziva uye kusimba mumuviri wose. Iyo inowanikwa uye inokonzerwa nejeri risina kukodzera reanesthetic (mukati mukati meropa mudziyo).
Izvo zvinofanira kuonekwa kuti zvinetso zvinowanzoitika kwete kazhinji pane 1% yezviitiko zvose zveanesthesia.