Mankhwala ochititsa dzanzi Safe m'dera

mankhwala oletsa ululu pamalopo si kanthu wotchedwa mawonekedwe chabwino cha mankhwala ochititsa dzanzi. Ndi izi njira mankhwala ochititsa dzanzi ntchito zambiri molumikizana ndi zina mankhwala, ndi kudzipatula kwa aliyense. Kodi ndipo lili ndi chifukwa chake choncho chimagwiritsidwa ntchito?

Local ochititsa dzanzi - ndi kupatsidwa ulemu yokumba wa kusokoneza zosakhalitsa tilinazo m'dera zenizeni za kuthengo opaleshoni ndi wothandizila mankhwala ndi thupi. njira thupi, ndi psinjika ichi ndi kuzirala, pafupifupi anapita mu mbiriyakale, koma mankhwala - ambiri anayala ndi kupitiriza kusintha. ofanana matanthauzo ake ali ngati "mankhwala oletsa ululu pamalopo" ndi mankhwala oletsa ululu pamalopo.

Kawirikawiri chofunika pa ntchito ya mayesero matenda kapena ntchito zochepa monga mankhwala mano, zilonda necropsy ndi zina zotero. Ndipo ndi mankhwala ochititsa m'dera ntchito ndi contraindications ena ochititsa dzanzi ambiri. Kugwiritsa ntchito mankhwala oletsa ululu pamalopo kuchita Dokotala si otchuka kwambiri, koma malingaliro ena ake m'gulu la mankhwala ochititsa dzanzi dera kuphatikiza pa opaleshoni ndipo mu nthawi postoperative.

Pakuti ochititsa dzanzi m'pofunika jekeseni ya mankhwala ochititsa m'dera mu dongosolo anatomical kwa malo khungu kumene opaleshoni chichitike. masingano woonda ntchito jekeseni, popeza zopweteka kwambiri. Majekeseni zichitidwa chabe zokwanira, ngakhale zina, mankhwala n'kofunika kulowa kwambiri.

Pali njira zina ndi mankhwala ochititsa wamba akhoza yagawidwa mitundu zotsatirazi:

• A osachiritsika (kukhudzana) ochititsa dzanzi - odziwika ndi Chophweka njira anesthetize ndi nembanemba mucous. Mankhwala ochititsa njira (aeration, akutsikira, etc.) mu mwachindunji kukhudzana ndi mucous. Izo ntchito mu thoracic opaleshoni, opaleshoni ndipo otolaryngology;
• Kusalola ochititsa dzanzi - zolimba magawo kusalola minofu zofewa ndi njira ofooka wa mankhwala ochititsa opaleshoni. Mtundu wa mankhwala ochititsa ntchito - 0.5-1.5% njira mepivacaine, lidocaine wa, 0.25-0.5% njira ndi 0,25% njira trimecaine;
• Regional ochititsa dzanzi - njira kwambiri zingamuthandize, amene amakhala ndi ziwalo:

- mankhwala ochititsa jekeseni pa mtunda wautali m'dera kugwira ntchito;

- Small Mlingo wa mankhwala opha TACHIMATA ochititsa dzanzi m'madera yaikulu ya thupi;

- khalidwe la analgesia zimadalira mokwanira luso la mankhwala ochititsa dzanzi ndi thunthu;

mankhwala ochititsa dzanzi Regional lagawidwa:

- mtsempha;

- intraosseous;

- zotumphukira ndi introducer chapakati;

- electroacupuncture.

Local ochititsa dzanzi pa mano wakhala ndi kukhala ndi njira yaikulu mankhwala, mphamvu ya potsata alili, dongosolo la nsagwada chapamwamba ndipo m'munsi zipangizo ndi mankhwala, ndi mankhwala opha ntchito. Muyezo waukulu chifukwa chosankha ululu mankhwala ndi chitetezo ake, dzuwa, makhalidwe munthu wodwalayo ndi chikhalidwe cha phukusi ake. A Mwachangu mankhwala ochititsa mwachindunji ndi mtengo wa dissociation zonse, kuchuluka ndende ya mankhwala ochititsa, ndi vasoconstrictor, maziko maselo olekanitsa chinthu, komanso madigiri wa mayamwidwe wa mankhwala ulusi mitsempha.

Local ochititsa dzanzi pa opaleshoni alibe phindu kochepa kuposa ku miyambo mano. The zambiri ntchito mankhwala mu nkhani iyi ndi mu mawonekedwe a procaine 0.25-0.5%, ndipo kawirikawiri 1-2% saline. njira zoterezi asasanyika ochititsa dzanzi pa tsiku la opaleshoni, chifukwa ngati inu kuwakonzekeretsa pasadakhale, procaine kutaya katundu analgesic.

Akuyendera kwa mankhwala ochititsa wamba atenge mndandanda wa contraindications wake, ndipo izi:

• Minofu choipa - amalembedwa kutupa, amamuyambitsa timabala kwambiri kapena magazi;
• Kulakwila psyche wodwalayo;
• Kusagwirizana kwa dzanzi.

Ndipo potsiriza, Dziwani kuti mankhwala oletsa ululu pamalopo ali ndi ubwino zoonekeratu. Njirazi ndi monga:

• mphamvu ya kuchita popanda zida zodula ndi zipangizo komanso zinthu zonse;
• amadza kochepa pa kugwira ntchito machitidwe onse a thupi;
• Odalirika kutchinga kwa zikhumbo ululu.

Ndipo, ndithudi, zolakwa za "oyera mtundu" dzanzi m'dzikoli zilipo. Zikuluzikulu za iwo ndi kuthekera mavuto aakulu, kulephera kulamulira ntchito zofunika thupi ndi kuteteza manyazi, chifukwa mu Nkosatheka kuti zoopsazo maganizo.