Safe omunharaunda yokutindivadza

Local yokutindivadza hakusi pasina anonzi zvikuru muchimiro yokutindivadza. Ndicho ichi yokutindivadza unyanzvi rinowanzoshandiswa pachiimbwa nedzimwe mhando yokutindivadza, uye ari oga kubva vose. Chii Rine iri uye nei zvikuru kushandiswa?

Local yokutindivadza - rakagadzirwa nevanhu induction kwenguva pfupi chidzivaidzo pakati nehanya munzvimbo chaiyo nzvimbo kuvhiya munda nemakemikari uye mumuviri nevamiririri. Nzira Zvokunyama, uye ichi compression uye kutonhora, akapotsa akaburuka munhau, asi kemikari - nevakawanda kupararira uye kuramba kuvandudza. anoreva zvakafanana ayo se "yomunzvimbo yokutindivadza", uye nemakanzuru yokutindivadza.

Kazhinji kunodiwa panguva kushandiswa chirwere nemiedzo kana mashandiro zviduku, zvakadai mazino kurapwa, necropsy maronda uye zvichingodaro. Uye munhu munharaunda rufimbi rinoshandiswa zvimwe contraindications kuti zvayo yokutindivadza. Kushandiswa vomunharaunda yokutindivadza mu chiremba tsika hakusi zvakare nevakawanda, asi vamwe maonero ake vanobatanidzwa mune yaisanganisa yokutindivadza redunhu pakuvhiya uye postoperative munguva.

Nokuti yokutindivadza zvakafanira baya jekiseni dzemo rufimbi iri anatomical nemamiriro ganda nzvimbo avhiyiwa kuchaitika. matete tsono kushandiswa jekiseni, sezvo zvinorwadza chaizvo. Majekiseni anoitwa zvechipameso zvakakwana, kunyange zvazvo dzimwe nguva, mushonga zvakakodzera kupinda zvakadzama.

Pane dzimwe nzira kuti rufimbi dzematunhu anogona kuiswa marudzi anotevera:

• A chinouraya (kuonana) yokutindivadza - akanakisisa anozivikanwa uye nyore nzira anesthetize ari mucous membranes. Rufimbi mhinduro (aeration, anosiya, etc.) zvakananga nevanhu mucous. Rinoshandiswa thoracal kuvhiyiwa, anesthesiology uye otolaryngology;
• Infiltration yokutindivadza - zvakasimba layered infiltration kuti nyoro zvinyama ane simba mhinduro ine rufimbi mu kuvhiyiwa. Nokuti ichi mhando rufimbi rinoshandiswa - 0.5-1.5% mhinduro mepivacaine, lidocaine, 0.25-0.5% mhinduro uye 0.25% mhinduro trimecaine;
• Regional yokutindivadza - the vaizotibata kupfuura nzira, iyo inozivikanwa nokuva kwakadaro zvinhu:

- rufimbi iri jekiseni ari chinhambwe kubva oparesheni mapazi;

- Small rakawandisa dzokutindivadza zvemapuranga yokutindivadza zvakawanda nzvimbo muviri;

- chatingatevedzera analgesia kunotsamira zivo unyanzvi yokutindivadza uye anatomi;

Regional yokutindivadza rakakamurwa:

- intravenous;

- intraosseous;

- peripheral uye nechepakati introducer;

- electroacupuncture.

Local yokutindivadza mu dentistry kwave uye anoramba nzira huru yokutindivadza, kubudirira iyo inoenderana murwere ezvinhu, sechivako okumusoro shaya, yokutindivadza midziyo, uye vakashandisa dzokutindivadza. Mukuru yokuona nayo kusarudza kurwadziwa mushonga raro vakachengeteka, kushanda zvakanaka, mumwe nomumwe zvechadenga murwere uye hunhu waro kupindira. A rufimbi kunyatsoshanda ndiyo akarondedzera kukosha zvakananga pamusoro dissociation kugara, asi chikamu wevasungwa pamusoro rufimbi uye vasoconstrictor, ari samolecular hwaro yokuparadzana chinhu, uyewo inosiyana diffusion zvinodhaka munyika etsinga fibers.

Local yokutindivadza mu vavhiyiwa haana usingashandi kukosha kupfuura vari mazino tsika. The anowanzodanwa kushandiswa mushonga hazvisi muchimiro procaine 0.25-0.5%, uye kashoma 1-2% sesaline. zvingaitwa vakadaro wakagadzirira yokutindivadza nezuva kuvhiyiwa, nekuti kana iwe kuvagadzirira pachine, procaine chisanyanya unonyaradza marwadzo ehupfumi.

Asati achipfuura veko rufimbi vanofanira kuona pasi contraindications ayo, uye ichi:

• Zvinyama kukuvadzwa - anozivikanwa kuzvimba, zvikuru scarring kana svota;
• Kutyora murwere psyche;
• Kurambidzwa kune dzokutindivadza.

Uye pakupedzisira, zvinokosha kuziva kuti omunharaunda yokutindivadza ane zvimwe zvakanakira pachena. Idzi dzinosanganisira:

• Kugona kuita pasina midziyo zvinodhura uye zvokurimisa, uyewo zvose zvinhu;
• Minimal kukanganisa kushanda zvose hurongwa muviri;
• Hwakavimbika ichivharira kurwadziwa nomunhu.

Uye, chokwadi, zvinokanganiswa ari "vakachena mhando" dzokutindivadza dzomunharaunda iripo. The chikuru kwavo mukana yematambudziko chakakomba, kutadza kuzvidzora kunokosha mashandiro anoita muviri uye ndichengetedze pfungwa, zvichizoita fungidzira kuti mupfungwa kunotevera.