Mankhwala ochititsa - ziri ... dzanzi Local

Mankhwala ochititsa dzanzi - ndondomeko kuvomerezedwa mu ndondomeko iliyonse opaleshoni. Science kuti amachita ndi kuchepa ululu pa opaleshoni, opaleshoni amatchedwa. Kuwonjezera mankhwala ochititsa opaleshoni ntchito mu nthambi zina za mankhwala. Mwachitsanzo, mano, pamene akugwira ena mayeso zoimbidwa (EGD, colonoscopy). Kuti dzanzi malo ena, ntchito mankhwala opha m'deralo. zikunena ambiri opaleshoni amafuna osati zotsatira m'dera, komanso kukhazikitsa mtima mankhwala tulo. Mu njira ina kumatchedwa ochititsa dzanzi ochititsa dzanzi.

Mankhwala ochititsa - ndi chiyani ichi?

Pofuna kuchepetsa ululu, mankhwala opha ntchito. Malinga ndi kukula kwa ndondomeko mankhwala amusankha, m'pofunika kugwiritsa ntchito zinthu. Panopa, zokonda wapatsidwa mankhwala ochititsa m'deralo. The kuchotserapo yekha ndi amene nthawi imene opaleshoni kwambiri zedi ndi nthawi yambiri. Komanso mankhwala ochititsa ntchito pa ntchito ana ndi anthu ndi mavuto a m'maganizo. Kaya mukugwiritsa ntchito wamba kapena m'dera mankhwala ochititsa, onse a mitundu awa a dzanzi ndi. kuchuluka kwawo amakhudza kwambiri. Mankhwala ochititsa - mankhwala omwe amathandiza kuthetsa kapena kuchotsa ululu. Nthawi zambiri ntchito mankhwala zolinga. Malangizo chachikulu cha ntchito zake:

1. Opaleshoni - mitundu yonse ya ntchito pa ziwalo.
2. Mano - analgesia zochizira ndi kuchotsa mano.
3. Vutoli - chifukwa fractures, dislocations, miyendo Tambasula.
4. Mankhwala - kuwonjezera analgesics mu formulations zosiyanasiyana (angakhale angelo m'kamwa pamene teething, thumbo suppositories zotupa).
5. Zooneka diagnostics - dzanzi m'dera pa EGD, colonoscopy ndi broncho.

mitundu

Tiyenera kukumbukira kuti mankhwala ochititsa - mankhwala ofunika mpumulo ululu. Malinga ndi kapangidwe mankhwala mankhwala anawagawa ndi fast- ndi waufupi, wamphamvu ndi ofooka, ndi zina chomwa mankhwalawa. D. gulu, potengera chikhalidwe cha mphamvu ya thupi. Pa mfundo imeneyi, analgesics anawagawa dzanzi apakhungu ndi onse - mankhwala ochititsa dzanzi. Aliyense wa magulu awa ali peculiarities yake. Komanso dzanzi zidzasankhidwa pakati pawo malingana ndi njira utsogoleli.

General ochititsa dzanzi kumafuna ochititsa dzanzi ndi yoyendetsa zokhudza zonse mwa anthu mankhwala tulo. mtundu wa mankhwala ochititsa dzanzi ndi Ntchito chachikulu ndi yaitali. Njira popereka mankhwala pogonekedwa ndi mankhwala ambiri - ndi parenteral ndi inhalation.

Mu mankhwala oletsa ululu pamalopo, analgesia amatanthauza gawo thupi, umene kuchitikira mpheto achire. Izo ntchito pogwira ntchito zazing'ono, chithandizo mano, komanso mayeso olanda.

Zosiyanasiyana dzanzi m'dera

Pakuti mankhwala oletsa ululu pamalopo ntchito mankhwala osiyanasiyana. Kapangidwe mankhwala iwo anawagawa m'magulu ziwiri zazikulu - mmalo amides ndi esters zidulo onunkhira. magulu akudziwika lonse - ndi lidocaine wa ndi procaine. Kuwonjezera mipweya ya mankhwala ochititsa m'dera zimagawidwa monga njira utsogoleli. kulekana Izi ndi zofunika kuti kudziwa ndi nthawi ya ntchito mankhwala:

• Pamwamba ochititsa dzanzi. mtundu wa mankhwala ochititsa dzanzi ndi yophweka. njira Izi zimathandiza kuchepetsa tilinazo khungu ndipo zimagwira ntchito zosiyanasiyana mucous. Zimagwiritsa ntchito mabala zikundiyendera.
• Kusalola ochititsa dzanzi. njira tichipeza kumayambiriro mankhwala ochititsa magawo. Izo ntchito kuti achite odulidwa kwambiri si kungotengeka zimakhala, komanso chozama, monga mafuta subcutaneous ndi minofu.
• Conduction ochititsa dzanzi. Nayenso, mtundu wa mankhwala oletsa ululu lagawidwa ndi epidural ndi msana ochititsa dzanzi.

Limagwirira cha zochita za mankhwala opha

Mankhwala ochititsa - mankhwala omwe amalimbikitsa imfa zosakhalitsa tilinazo osiyanasiyana anakonzeratu kapena lonse chamoyo. Mtundu uliwonse wa mankhwala oletsa ululu ali limagwirira yakeyake kanthu:

• Osachiritsika ochititsa dzanzi amakhala ndi imfa ya tilinazo padziko molekezera mitsempha yomwe ili mu khungu ndi nembanemba mucous. Mankhwala ntchito mu mtundu uwu wa mankhwala, - "Benzocaine", "Tetracaine" (mitengo yawo ikhoza kusintha kutengera mtundu kumasulidwa).
• Kusalola mankhwala oletsa ululu ali ndi njira zofanana, kusiyana ndi kuti mankhwala yogwira infiltrates wa zimakhala za thupi kudutsa kuya ang'ambe thupilo. Ntchito imeneyi "Novocaine" (30 rubles - 200 ml).
• Conduction ochititsa dzanzi ndi kupondereza tilinazo hafu ya minyewa yonse (m'munsimu malo ochititsa dzanzi). Chifukwa chaichi, ntchito "Bupivacaine", "Articaine" (300 rubles - 10 ampoules wa 2 ml).
• Kwa mankhwala ochititsa dzanzi ambiri ntchito inhalational mankhwala ochititsa, amene kudutsa mu thupi m'mapapo. Amanga kuti maselo ndipo chifukwa osati mpumulo ululu, komanso sedation (tulo).

Zikuonetsa kuti ntchito mankhwala opha

Pali zizindikiro zambiri ntchito dzanzi. Anthu ambiri ali motere:

1. Maopaleshoni cha kapangidwe aliyense, osayang'ana kutanthauzira.
2. Kuchotsa ndi chithandizo mano.
3. Kuchititsa njira Kupenda olanda.
4. Ena njira zodzikongoletsera (kuchotsa njerewere pa khungu ndipo zimagwira ntchito zosiyanasiyana mucous).

Dzanzi anawonjezera zokonzekera zosiyanasiyana mankhwala (suppositories, mafuta, lozenges, zopukutira m'manja zimapezeka). Impregnated ndi dzanzi makondomu ndi kulera ena.

Pamene ali contraindicated mankhwala opha?

The contraindications chachikulu ndi matupi awo sagwirizana anachita mankhwala ntchito za mtundu uliwonse analgesics. Ndi oopsa ntchito mankhwala opha odwala ndi mbiri ya anaphylaxis kapena angioedema. contraindications wachibale mimba ndi mkaka wa m'mawere. Mu nkhani iyi, mpheto wa kupereka, osati ngati si pangozi (yopulumutsa moyo). Pakuti dzanzi Mpweya ali contraindicated matenda decompensated aakulu. Izi ndi zoona makamaka pathologies mtima ndi aakulu kulephera aimpso. Contraindication kwa mankhwala oletsa ululu pamalopo pa opaleshoni akuti ndi zaka za ana. Komanso, mankhwala oletsa ululu pamalopo ali osavomerezeka chifukwa anthu ndi matenda okhudza ubongo. Nthawi izi ochititsa dzanzi ambiri.

Zotsatira zoyipa za mankhwala opha

Zotsatira zake zoyipa za mankhwala opha m'deralo monga thupi lawo siligwirizana monga mantha anaphylactic, edema, urticaria, pruritus. Kuchititsa ambiri ochititsa dzanzi oopsa mtima kumangidwa kapena maganizo kupuma (mankhwala ambiri osokoneza). Komanso pambuyo inhalation ndi mtsempha ochititsa dzanzi pa mtima zikhoza kukhala zozunguza kuyerekezera zinthu m'maganizo, kuchuluka ntchito galimoto, kufooka ambiri. zinthuzo sayenera upambana mawola 24 kupatsidwa ulemu wa mankhwala ochititsa dzanzi.

Chifukwa ntchito makondomu ndi mankhwala ochititsa?

Panopa, pali zosintha zambiri chotchinga kulera. Mmodzi wa iwo - makondomu ndi mankhwala ochititsa. Iwo ntchito kutalika kugonana ndi kugonana. Limagwirira kanthu ndi kuchepetsa tilinazo mbolo glans. Kuti zimenezi zitheke, kondomu lubricant anawonjezera kuti mankhwala ochititsa lapansi. Mtengo kulera awa pang'ono apamwamba poyerekeza makondomu ochiritsira.