Novocain blockade

Vanachiremba-neurologists nokuda kwekubviswa kwekutambudzika kwakanyanya chirwere vanoita kushandiswa kwekurapa kwakarongeka, kuratidza kuiswa kwesarudzo yeanesthetic. Imwe yenzira dzakabudirira - novocain blockade, nzira yejojo ​​dzakadaro inobatsira kuti kuderedza kunetseka mukutambudzika kana kuponeswa kwayo kwakakwana.

Novocain blockade yeropa redu

Sezvo mutemo, sarudzo yeNovocaine neEthyl alcohol inoshandiswa kurapa hutachiwana mubvunzo uye kupedzera chiito chejojo. Iyo nzira inogona kuitwa nenzira dzakasiyana-siyana, zvichienderana nenzvimbo iyo murwere anonyatsotaura nhema.

Hezvino nzira yekuita doro-novocaine kudzivirirwa mune chinzvimbo kumushure:

1. Mutsipa wemurwere kunamatira pamabvi uye kubatana pamwe chete.
2. Nyora pfungwa yekupindira kwetsono - 3 cm kubva kure pakati (distal) kubva kune guru guru rinosungirirwa pamwe chete.
3. Isa nheyo kusvika pakadzika masendimita matanhatu kusvika kumatanhatu, kumucheto kwehudyu, kusvikira murwere ane shungu dzinofadza.
4. Kuvhara kusvika pamaminitsi makumi maviri echinetso nehutau hwe 1.5%.

Saizvozvowo, kudzivirirwa kunoitwa nekurara pahutano hwakanaka:

1. Bhenza makumbo akafanana nemirairo yapfuura.
2. Tora mutsara wakarurama kubva pakati penzvimbo yakakura yakasvibiswa kusvika kumusoro kwee-posterior neum.
3. Kubva pakati pechinhu ichi, isa perpendicular mu 3-4 cm.
4. Panyaya yakanyanyisa, shandisa nheyo kusvika pakadzika kwemasendimita gumi nemaviri uye evhara 20 ml ya solution 1.5%.

Nzira yekuita, kana murwere akarara mudumbu rake:

1. Tungamira mutsara wepfungwa pamwe chete nenyonga yakasimba. Pfungwa dzakanyanyisa ndidzo nzvimbo yakakura pakati pe trochanter huru uye ischial hillock uye pakati pakati pehudyu.
2. Zvishoma kubva kubva pakati penzvimbo yawanikwa, kuti uite jekisi (yakadzika inonzi insertion - kusvika 8 cm) ye 0.25% solution kusvika 40 ml.

Zvakakosha kuziva kuti munguva yekuita iwe unoda kuita sequentially anesthetize ganda uye zvinyoro zviduku zvinoshandiswa nenyuchi. Mushure mekujekesa, nzvimbo yemishonga haifaniri kushungurudzwa.

Novocain blockade mu neuralgia

Nzvimbo inowanzowanikwa yehutachiona hwehutano mune yakarondedzwa chirwere iri pakati pemibiru. Ita anesthetic nzira ino munyaya iyi haisi yakaoma, iwe unogona kunyange iwe pachako.

Heino nzira yekuita Novocain kudzivirirwa kumba:

1. Ita munhu akabatwa panzvimbo yakanyanyisa (kumucheto).
2. Isa nheyo 4-6 cm yakadzika, ichienzanisa neganda iri munzvimbo yakakodzera ye intercostal.
3. Zvishoma nezvishoma injoka kusvika 5 ml yeavocacaine solution (concentration 1%).

Inofanira kuonekwa kuti nzira iyi yekudzivirira inobatsirawo mumarwadzo emisumbu.

Novocain blockade mu osteochondrosis

Mhando yenzira inotsanangurwa inonzi paravertebral blockade. Inobatsira kwete chete ne osteochondrosis , asiwo nehutano syndrome nemitambo inoputika , radiculitis uye spondylosis.

Nzira yekuuraya:

1. Isa munhu wacho pachigaro akarara mudumbu rake.
2. Mako mupfungwa mutsara pamwe chete nechokuwedzera kwemashure.
3. Pamuganhu wekunze kwechikamu ichi, shandisa nheyo imwe neimwe, kusvikira kuguma kwayo kugunzva vertex arch kana nzira inopesana yenhaurwa.
4. Gira zvishoma zvishoma nendiro kureba kwe1 cm zvichikwira, injoza 70 kusvika 100 ml yemugadziro wekhovocaine pamwe nehuwandu hwe 0.25%.

Chero chero rudzi rwekuvharidzirwa kunofanira kuitwa zvishoma nezvishoma kuti urege kurwadziwazve mumurwere, uye nenzira yakafanana kugovera sarudzo ye novocaine mumatumbu.

Uhu hwehutano hwakarongwa hunofungidzirwa hukuru kana pasina ropa kana cerebrospinal fluid mu sirinesi mushure mejojo.