Novocaine blockade

Novocaine blockade - zvinowanzoshandiswa nzira chokuita nonspecific kurapa. In nzira iyi, mishonga inotoda anogadzirwa kutungamirira "Novocaine" iri munyama siyana. Iye anogona kuderedza kutsamwa ari kutaurwa zvokurwara, kudzima peripheral etsinga. Mugumisiro dzokuteerera kwakadai ane medicament yokutindivadza. Panguva iyoyowo, "Novocaine" anogona kuvandudza tishu trophism. Kuti dzikurukure unonyaradza marwadzo mugumisiro kazhinji akawedzera kuti kugadzirisa kuti procaine Medicaments "Lidocaine", "Dikain" kana "Trimekain", uye kurebesa chiito kwayo - gelatine (8%) mhinduro ropa chinotsiva zvinogadzirisa, ethyl doro. Mune zvimwe zviitiko, izvi inotoda akawedzera mavhitaminzi uye mishonga inorwisa mabhakitiriya.

Novocaine blockade ane dzakawanda:

- remuromo vagosympathetic nokuita pamusoro vagus, aimunzwira tsitsi uye phrenic tsinga;

- pfupi, kuita zvakananga pamusoro chirwere yatanga tishu;

- perirenal (lumbar kana perirenal) kufukidza tsinga plexus muna retroperitoneal nzvimbo;

- futlyarnoy (maoko nemakumbo), rinotaura kuti kushandura conductivity pakati tsinga iri dzakasiyana-siyana dzomuviri;

- Presacral kuti inoperera sacral, hypogastric, coccygeal plexus;

- intra-arterial / intravenous, zvichikonzera zvishomanana kutsamwa ane receptors uye achivapa kuburikidza dzepanguva chiito pamusoro chirwere;

- abdominal, akaita pashure akavhiyiwa pamusoro pezviri abdominal zvomukati;

- cardio-arterial, nokuti pakurapa coronary tsinga chirwere.

Pakati vamwe, zvikuru inowanzoshandiswa mhuka procaine blockade anganzi paravertebral intradermal, intraosseous, sinusokarotidnoy dzepanguva mapazi splanchnic tsinga vachishandisa zvinokambaira nda.

Novocaine blockade iri uye kukamura uchishandisa - ari sciatic etsinga, spermatic tambo.

Pasi pokudzora "Novocaine" chinodhaka pane kutevedzana kwezviitiko nezvekufadza: kutonhora, kupisa, marwadzo, kunzwa kumanikidza. Novocaine blockade ari nani kuoma mashandiro anoitwa musi etsinga tishu. Motor tsinga inozviisa pasi novocaine huru mishonga, uye zvikuru gare gare. Local kukanganisa agadzirise "Novocaine" anomira kana kubvisa uye kumurova vari kweropa ino. mishonga Small zvinodhaka vari zvakanaka zvinowedzera mataurire anotsvedzerera tsandanyama ari zvomudumbu turakiti, kuwedzera peristalsis, kuvandudza mwoyo uye kufema rikurumidze.

Novocaine blockade rinoshandisirwa anotevera nyaya:

- chenjera necrosis, anogumbura zvirwere zvisina anobatidzwa mu sepsis;

- ropa kana randakambosangana naro kuvhunduka ;

- kusagadzikana matauriro ane mhango (kurwadza kwacho ari ureter, biliary turakiti, muura);

- kusagadzikana vascular matauriro;

- Vamwe trophic zvirwere;

- marwadzo vasingazivikanwi etiology muna peritoneum;

- frostbite, kutsva.

Novocaine blockade mu chakasimba zvirwere inodzokororwa ose mazuva 5-7, chirwere - ose 10-12 mazuva.

Contraindications dzinosanganisira:

- chisingaperi kusingarapiki, chinouraya inoti, kumhanya peritonitis, inoperable malignancies;

- dzapedza siyana anogumbura zvirwere (pute, thrombophlebitis);

- kwemasayendisiti kukanganisa zvinokosha zvomukati (neronda rinonyenga pakati mumapapu, septic mwoyo endocarditis).

- anogumbura chirwere ane chikonzero haina zvachose (miviri vatorwa, mavanga, sequesters).

Kuwedzera pakushandisa kuitwa vemo yokutindivadza rinoshandiswa uye rectal suppositories pamwe Novocaine. Vari nachiremba spastic ezvinhu kumeso tsandanyama ari ura.

Kazhinji, zvinoshingaira zvinodhaka riri akashivirira zvakanaka, zvisinei, uye dzimwe nguva kwahunokonzera nemishonga: dzungu, kurukutika, kuvhunduka, kuderera BP, akawisa. Chisimbwa kuti procaine hariwanikwi, asi ayo sumo vanogona ganda siyana dzakadai peeling uye dermatitis.