Novocain blockade

Novokainovaya blockade - njira yogwiritsidwa ntchito kwambiri yokhudza mankhwala osayenera. Ndi njira iyi ya chithandizo, njira ya Novokain imayambitsidwa m'magulu osiyanasiyana. Amatha kuchotsa mkwiyo m'maganizo a matenda, kutseka chiwonongeko chosawonongeka. Zotsatira za mankhwalawa ndi anesthesia. Pamodzi ndi izi, Novokain amatha kuwongolera katemera wa ziphuphu. Kuonjezeranso kuti mankhwalawa amatha kuwonjezereka, mankhwala "Lidocaine", "Dicaine" kapena "Trimekaine" nthawi zambiri amawonjezeredwa ku yankho la novocain, komanso kuti nthawi yayitali - gelatin njira (8%), m'malo olowa magazi, ethyl mowa. Nthaŵi zina, mavitamini ndi maantibayotiki amaphatikizidwa ku njirayi.

Novocaine blockade imapezeka m'njira zosiyanasiyana:

- Chiberekero chogonana, chimakhudza mitsempha yowonongeka, yomvetsa chisoni ndi yowopsya;

- Mwachidule, kumakhudza mwachindunji matenda a malingaliro owawa;

- paraneural (lumbar kapena perigonal), yophimba mitsempha ya mitsempha m'dera la retroperitoneal;

- vuto (pamapeto), lomwe limasintha kusintha kwa mitsempha m'magawo osiyanasiyana a miyendo;

- Presacral, yomwe imaletsa sacral, chinyengo, coccygeal plexus;

- kupweteka kwa m'mimba / kutentha thupi, kukhumudwitsa pang'ono zozizwitsa ndi kuzigwiritsa ntchito moyenera pa matendawa;

- m'mimba, amachitika pambuyo pa machitidwe a mkati mwa peritoneum;

- Mitsempha ya mtima, yokonzekera matenda a mtima.

Pakati pa mitundu ina yomwe imagwiritsidwa ntchito mobwerezabwereza ya Novocaine blockade, palipakati pazitsulo zamtundu, intraosseous, sinusocarotid reflex, mitsempha ya celiac ndi zokwawa zomwe zimalowa mkati.

Novokainovaya blockade imachitika ndi kuchitapo kanthu kwanuko - mitsempha yambiri, spermatic chingwe.

Motsogoleredwa ndi Novokain, chiwerengero cha zochitika zikuchitika: chimfine, kutentha, ululu, kudzimva. Novokainovaya blockade ili ndi njira zovuta zowononga mitsempha ya mitsempha. Mitsempha yamagalimoto imakhala yogwidwa ndi novocain muzitsamba zazikulu komanso patapita nthawi. Zotsatira za Novocain zowonongeka zapachilumba zimasiya pamene zimalowa ndi kulowa m'thupi. Mankhwala ochepa a mankhwalawa amachititsa kuti phokoso la minofu yosalala likhale lofewa, kuwonjezereka, kuwonjezera mtima komanso kugwira ntchito mofulumira.

Novocaine blockade amagwiritsidwa ntchito pazochitika zoterezi:

- acute necrosis, matenda opweteka omwe sanalowe mu sepsis;

- kuika magazi kapena kudodometsa ;

- Kusokonezeka kwa liwu la ziwalo zomwe zimakhala ndi mitsempha (spasms of the ureters, biliary tract, matumbo);

- Kusokonezeka kwa mawu;

- zina zosokoneza trophic;

Kupweteka kwa zozizwitsa zosadziŵika bwino mu peritoneum;

- chisanu, chimatentha.

Novokainovye blockades mu mtundu wovuta wa matendawa imabwerezedwa masiku onse asanu ndi asanu ndi awiri (7), osapitirira - masiku khumi ndi awiri.

Zotsutsana zikuphatikizapo:

- njira zosasinthika, zowonongeka, zosavomerezeka za peritonitis, zosavomerezeka zopanda mphamvu;

- kumaliza mitundu ya matenda opweteka (abscess, thrombophlebitis);

- njira zomwe zimakhudza ziwalo zofunika (ziphuphu m'mapapo, septic endocarditis ya mtima).

- matenda opweteka, chifukwa chake sichichotsedweratu (matupi achilendo, zipsera, sequestration).

Kuwonjezera pa kugwiritsira ntchito njira yothetsera vuto la anesthesia, malo ovomerezeka a rectal ndi novocaine amagwiritsidwanso ntchito. Iwo amalembedwa kuti azikhala ndi malo osokoneza matumbo a m'matumbo.

Monga lamulo, mankhwalawa amalekerera, koma nthawi zina amachititsa zotsatira zake: chizunguliro, kufooka kwathunthu, mantha, kuchepetsa kuthamanga kwa magazi, kugwa. Mankhwala a novocaine ndi osowa kwambiri, koma akamagwiritsidwa ntchito, zotsatira za khungu monga kuchepa ndi dermatitis zimatha kuwonedwa.