Rufimbi - zviri ... Local dzokutindivadza

Yokutindivadza - a fanira nzira chero kuvhiya. Science rezvematambudziko vasanyanye marwadzo pakuvhiya, anesthesiology anonzi. Kuwedzera kuvhiya rufimbi inoshandiswa nemamwe mapazi emishonga. Somuenzaniso, muna dentistry, apo akabata vamwe paku bvunzo (EGD, colonoscopy). Kuti bindira imwe nzvimbo, vachishandisa dzokutindivadza emo. zvomusejari kupindira zhinji zvinoda kwete chete yomunzvimbo chaizvoizvo asiwo kuunzwa murwere mishonga hope. Mune imwe nzira, izvi anonzi yokutindivadza yokutindivadza.

Rufimbi - chii ichi?

Kuti kuderedza marwadzo, dzokutindivadza kushandiswa. Zvichienderana kwokuomerwa vanachiremba nzira anosarudzwa, zvakakodzera kushandisa pfuma. Pari, zvinodiwa anopiwa munharaunda rufimbi. The chete kunze vaya zviitiko apo Kuvhiya iri rakakura uye nguva yakawanda. Uyewo rufimbi kushandiswa panguva mabasa vana uye vanhu vane chirwere chepfungwa. Pasinei uchinwa zvavo kana omunharaunda rufimbi, zvose zvipenyu izvi ndezvaJehovha dzokutindivadza. chadzo rakanyatsojeka rwakafara. Rufimbi - a nenhumbi kuti kunobatsira kuderedza kana kubvisa marwadzo. Kazhinji rinoshandiswa kwezvokurapa zvinangwa. The chikuru zvataurwa kushanda kwayo;

1. Surgery - ose amabasa pamusoro nhengo dzomukati.
2. Dentistry - analgesia nokuda kurapwa uye kubviswa kwemeno.
3. Kunotevera - nokuti mitswe, dislocations, maoko nemakumbo Stretch.
4. Pharmacology - achiwedzera analgesics mu Formulations siyana (gels matadza apo teething, rectal suppositories Mamota).
5. Visual Diagnostics - vemo dzokutindivadza panguva EGD, colonoscopy uye broncho.

mhando

Zvinofanira kurangarirwa kuti rufimbi - mushonga zvinodiwa kurwadziwa. Zvichienderana makemikari maumbirwo zvinodhaka izvi vanokamurwa kupinda fast- uye pfupi, simba uye simba, uye saka marwadzo. D. The kupatsanura anobva hunhu pokudzora dzemuviri. On hwaro ichi, analgesics akakamurwa kukamura uchishandisa dzokutindivadza uye zvayo - yokutindivadza. Mumwe nemumwe mapoka aya ane pachake peculiarities ayo. Uyewo dzokutindivadza vakakamurwa pakati pachavo zvichienderana nzira chourongwa.

General yokutindivadza kunosanganisira yokutindivadza uye systemic yaitonga kwevanhu mishonga hope. Izvi mhando yokutindivadza rinoshandiswa kuti hombe uye refu kushandiswa. Nzira kutungamirira zvinodhaka pasi vakawanda yokutindivadza - the parenteral uye inhalation.

Under zvomunharaunda yokutindivadza, analgesia rinoreva mugove muviri, izvo zvichaita kuitwa kuchirapa evanhu. Zvinonzi inoshandiswa kuita zviduku kushandiswa, mazino kurapwa, uyewo invasive bvunzo.

Mhando dzakasiyana-siyana omunzvimbo dzokutindivadza

For omunharaunda yokutindivadza vachishandisa mishonga siyana. Makemikari mamiriro vari rakakamurwa mapoka makuru maviri - kuchiiswa amides uye esters Kwezvinonhuhwirira acids. Mapoka aya anozivikanwa zvinenge zvose - zviri lidocaine uye procaine. Kuwedzera makemikari anoumba yomunzvimbo rufimbi iri Classified maererano nzira chourongwa. Kuparadzana Izvi zvinokosha kuti tizive kudzama uye nguva zvinodhaka chiito:

• Pemvura yokutindivadza. Izvi mhando yokutindivadza ndiyo nyore. Nzira Izvi zvinoita kuti kuderedza aikanganiswa ganda uye mucous membranes. Ainyanya kushandiswa maronda asingafungi.
• Infiltration yokutindivadza. The nzira ine munhanganyaya yebhuku layered rufimbi. Rinoshandiswa kuita yakadzika chekawo riri zvachero munyama, asi kwakadzama, zvakadai subcutaneous mafuta uye tsandanyama kwete chete.
• Conduction yokutindivadza. Uyewo, kwakadai yokutindivadza rakakamurwa ari nhengo dzomuviri uye musana yokutindivadza.

The mashandiro chiito dzokutindivadza

Rufimbi - mushonga iyo inotsigira kwenguva kurasikirwa nehanya of zvakafanorongwa siyana kana yose muviri. Mumwe mhando yokutindivadza ine yayo mashandiro chiito:

• Inouraya yokutindivadza kunoratidzwa kurasikirwa nehanya pakati pemvura etsinga harinzwi riri paganda uye mucous membranes. Zvinodhaka zvinoshandiswa ichi mhando yokutindivadza, - "Benzocaine", "Tetracaine" (mitengo yavo zvinosiyana zvichienderana kusunungurwa fomu).
• Infiltration yokutindivadza ane zvakafanana mashandiro, musiyano ndechokuti basa fuma infiltrates munyama muviri mhiri incision udzamu. Nokuti ichi kushandiswa "Novocaine" (30 rubles - 200 Rine mamiririta).
• Conduction yokutindivadza ndiko kudzvinyirira aikanganiswa ose tsinga fibers (pazasi nzvimbo yokutindivadza). Nokuti chinangwa ichi, kushandisa "Bupivacaine", "Articaine" (300 rubles - 10 ampoules of 2 Rine mamiririta).
• Nokuti vakawanda yokutindivadza rinoshandiswa inhalational rufimbi, izvo kupinda mumuviri kuburikidza mumapapu. Vanosunga kune receptors uye kukonzera kwete chete kurwadziwa, asiwo nyaradzo (hope).

Zvairatidza kuti kushanda dzokutindivadza

Pane zviratidzo zvakawanda kushandiswa dzokutindivadza. Rakajairika ndivo ndeinotevera:

1. Kushanda chero kunzwisisa, pasinei localization.
2. Kubviswa uye kurapwa mazino.
3. Kuitisa invasive ongororo nzira.
4. Vamwe zvizorwa nzira (kusukwa nemburwa pamusoro ganda uye mucous membranes).

Dzokutindivadza yebhasera siyana somushonga kugadzirira (suppositories, mafuta okuzora, lozenges, napkins). Akaiswa mushonga wokuuraya dzokutindivadza makondomu uye dzimwe pamuviri.

Kana iri contraindicated dzokutindivadza?

The huru contraindications ndiwo sema pavakanzwa mushonga kushandisa chero mhando analgesics. Zviri kunyanya ngozi kushandisa dzokutindivadza vari varwere vane nhoroondo anaphylaxis kana angioedema. Hama contraindications muri pamuviri uye lactation. Panyaya iyi, kuchinja chikumbiro kumbosendeka, kana isina vaiona njodzi (upenyu-rokuponesa). For inhaled dzokutindivadza vari contraindicated decompensated chisingaperi zvirwere. Izvi ndezvechokwadi kunyanya zvemwoyo pathologies uye chirwere renal kukundikana. Contraindication nokuti vemo yokutindivadza pakuvhiya anoonekwa kuti zera zvevana. Uyewo, zvomunharaunda yokutindivadza hauna pachii vanhu urwere chepfungwa. Muzviitiko izvi neimwewo yokutindivadza.

Side anokonzerwa dzokutindivadza

Side Migumisiro omunzvimbo dzokutindivadza zvinosanganisira neutachiona zvakadai anaphylactic kuvhunduka, edema, urticaria, pruritus. Kuitisa talk yokutindivadza ngozi cardiac nokusungwa kana kufema mwoyo (zvinodhaka ovhadhozi). Uyewo pashure inhalation uye intravenous yokutindivadza murwere anogona kuvhiringidza zvisipo, wakawedzera gwenya basa, mukuru utera. All izvi zviitiko havafaniri kupfuudza maawa 24 pashure induction kuti yokutindivadza.

Sei kushandisa makondomu pamwe rufimbi?

Pari zvino pane okunatsiridza dzakawanda chipingamupinyi pamuviri. Mumwe wavo - makondomu pamwe rufimbi. Ivo anoshandiswa kuwedzera zvepabonde. The mashandiro chiito kuti kuderedza aikanganiswa ari glans mboro. Kuti izvi zvidaro, kondomu noukama akawedzera rufimbi. Mutengo nhumbu aya zvishoma dzakakwirira zvichienzaniswa makondomu kwakajairika.