Tora anesthesia mune mazino: maitiro ekuita, anesthesia zone

Thorassal anesthesia, kana Weisbrem anesthesia, inokanganisa yose mandibular zone, kusanganisira mucous membrane, meno, cheek peganda, chinzvimbo nzvimbo uye inoratidzira. Misiyano iri pakati peiyo nzira uye yetsika ndeyekuti chiremba anotanga nenyuchi zvakananga, pasina chero shanduko mumatope. Torus anesthesia inoshandiswa mandibular anesthesia.

Zviratidzo zvemaitiro akadaro

Torus method ye anesthesia inoshandiswa mumamiriro ezvinhu akadaro:

• Dambudziko remishonga inorwara muchengeti chemazino (kubva kune caries kana kuvharwa kwezino pamusana wezasi);
• Nguva yekushandurwa kwevasmatics nekutambudzika kwejaya;
• Kubviswa kwemeno asina kuumbwa;
• Kupindira kwekuvhiya kwekusvitsa krisst, pamwe nedzimwe mhuka dzinenge dziri pasi pomurume wezasi (ichi chiyero chinowanikwawo pasi peanesthesia yemunharaunda);
• Kubudisa demo rakakwana rakanyatsogadzirwa mufupa;
• Kuvhura kwemafivha (purulent formations), zvisinei mumamiriro ezvinhu aya zvakakosha kubatanidza mhando dzakasiyana dzeaneshesia;
• Kucheka hood yezino rehuchenjeri pajaya riri pasi.

Unoda kuziva

Nokuda kwekushandiswa kweiyo anesthesia, unofanirwa kuona maitiro ekuzarura mandibular, anowanikwa panzvimbo yakavanzwa yejaya rejaya (kubva munzvimbo yechipfuva yechipfuva chemajaya mukati mamiririri 15 mm, kubva kumashure - 13 mm, kubva kumucheto wemukati wejaya riri pasi - 27 mm, uye kubva pakusara kwayo - 22 Mm). Muvanhu vakuru vanhu vane huni iyi iri pane chewing surface yemadhora emhara, asi muvana nevakwegura iri zvishoma.

Pamberi pacho, chidimbu chinodzivirirwa nemapfupa emapfupa, iyo inodanwa kuti rurimi rwemandibular zone. Nokudaro, kuti zviite kuti zvive nyore kuti tiite anesthesia ye thoracic, jekisi inogadzirwa munzvimbo, 0.7-1 cm pamusoro pehupamhi hwomukova, kureva, pamusoro pepamusoro penzvimbo yorurimi rwezasi. Parizvino, ruzivo rwemitsipa ruri mufupa re groove, uko kune mavara emhuka, zvichibvumira kuti mishonga ibudiswe pachena.

Ndezvipi zvinangwa zvemandibular anesthesia

Kuita anesthesia pamusana wezasi neWeisbrem kunowanzoti kunotambudza. Kusiyana netsika chaiyo, basa rekushandisa iyi nderokusvika pakakwirira kwemandibular, uko nheyo inonzi bone neoplasm - kubatana kwemakondyle nemakoroni. Inowanikwa pane yakavharwa kunze kwejaya rezasi riri pedyo nefupa rurimi. Chiedza ichi chinoumbwa nefiber, umo maitiro, mandibular uye zvigunwe zvese zvinowanikwa. Mandibular anesthesia inoshandiswa nenzira dzisinganzwisisiki uye dzevamwe. Nekubatanidzwa kwehurumende, nzira mbiri dzeanesthesia dzakadai dzinoshandiswa: palpation uye apodactyl (pasina marpation).

Palpator nzira

Anesthesia ane rubatsiro rwekurota. Kuti uite, unoda kuwana nzvimbo yechirungu chemukati (iyi ndiyo nhovo yekutsanangurira tsono) uye groove yemazuva ano nenzira yekunzwa. Rwizi rwemamiriro ekunze rutsva rusingatauri runotambanudza kubva kumakoroni eronary kusvika kune rumwe rutivi rusvingo rwemazamu ealveolar ejaya riri pasi. Muchikamu chemukati iyi shatiro inopatsanurwa mumatanda akazaruka uye akavharwa. Vanoumba nzvimbo duku - katatu rekare.

Iyi inopical neoplasm inofanira kuve yakasiyana kubva kune posterolar fossa, iyo iri pakati pezera rekare uye nzvimbo yepamusoro yejaya riri pasi. Izvo zvinotevera kuti nzvimbo yepamusoro yepamusoro inowanikwa kune rumwe rutivi rwekatatu. Kana anesthesia inonzi thoracic ichiitwa nenzira yakarurama, ipapo mapfupa anonyorerwa nekanyorwa kechipiri cheruoko rworuboshwe, kana yakasara - nechigunwe chechimwechete.

Torus anesthesia: nzira

1. Murwere anoudzwa kuti asunungure muromo wake kusvika kumativi ose uye anzwe rutivi rwemapapiro ejaya rezasi pasi pechirwere chetsika yekorona yechitatu molar (kana isipo, shure kwechipiri molar).
2. Kuisa munwe zvishoma zvishoma mukati, chiremba anoona chenguva chemazuva, ndokuisa mucherechedzo wekunonoka kwemazuva ano, izvo zvakaderedzwa nemarongerwo aya akafanana.
3. Kugadzirisa siriniti pamusoro peiyo premolars kune rumwe rutivi, nyanzvi inoputira nenyuchi pedyo neguta remukati 0.8-1 cm pamusoro pe masticatory level yechitatu molar, zvino inosunungura nheyo kune kunze uye mukati memukati.
4. Iye zvino nzira ye thoracic anesthesia inofanana neiyi: tsono inosvika pfupa pane zvakadzika pane imwe nzvimbo pakati pe 0.5 ne 0.7 cm, munharaunda iyi kaduku kadiki remishonga inotarisirwa kuyananisa nhengo dzomukati dziri pamberi pejinga rezasi realveolar.
5. Zvadaro sirinho inofamba kuenda kunzvimbo yezvinonzi incisors, uye tsono inofamba ichikwirira, iyo yakafanana neyo yakavharwa kunze kwechikamu chejaya rezasi, kusvika pakadzika 2-3 cm kusvika ku bone groove apo inonzi alveolar nerve iripo, uye mamwe ose anesthetic anoiswa.

Paunoshandisa mishonga yanhasi ye "amide Ultracaine DS Forte", mazamu ejojeni inoshandiswa inenge 2 ml.

Apodactyl technique

Nheyo huru yekushandisa iyi nzira ndeyo pterygo-mandibular fold, iyo inonyatsoonekwa. Inogona kunge yakapfupika, yakafara kana yehupamhi hupamhi, iri mukati memakore echechi scallop.

Nzira yacho inobatanidzwa sei

Torus anesthesia mune mazinyo anoitwa nenzira inotevera:

1. Chiremba wemazino anoudza murwere kuti azarurire muromo wake zvakanyanya, ndokugadzirisa sirineni kumazinga ejaya riri pasi.
2. Nyoka inoshandiswa inoshandiswa kune kunze kwenzira ye pterygo-mandibular pari kusvika pakati pee chewing planes ezasi nepamusoro molars (kana isipo - uye pakati nepakati pezvitsuwa zveAlveolar uye nzvimbo yacho).
3. Uyezve, nyanzvi inoendesa nheyo kumativi ekunze uye mukati memapanga asati asangana nefupa fiber kusvika pakadzika kwe 1.5-2 cm, iyo inotanga mushonga we analgesia wemagetsi anowedzera uye ari pasi. Izvo pterygo-mandibular panga haisi yakakwana kudarika iro ridho remakore.

Kuwedzerwa kwekuwedzera

Anasthesia yesimba re thoracic inoitwa nenzira iyi, kana, semuenzaniso, kune matambudziko nekuzarura muromo. Mamiriro acho akaita sei:

1. Izvo zvinoratidzirwa zvemandibular zvinopararira paganda zvakatemwa. Kuvhura kwakadaro kunowanikwa pakati pebhanhire rinomhanya richibva kumucheto wepamusoro we tragus weiyo kusvika kumativi ose echiso chemasticatory muscle.
2. Chinhu chinokosha chinoshandiswa pamucheto wejaya ne 1.5 cm kusvika pakatarisana necheperi kubva pakona kwayo.
3. Ikoko tsono inofamba zvishoma nezvishoma ne 3-4 masikati pamwe nevhavha yepamusoro yependendi ye mandibular inozarura yakafanana nechemberi kwayo. Panguva yekufamba kwetsono, zvakakosha kubatisana nefupa.
4. Pakupedzisira, anesthetic inorowa. Zvadaro, apfuurira mberi nenyuchi zvichikwira kune imwe cm, imwe yakasara inoshandiswa mishonga yakadururira mukati, ichibvisa musungo werurimi.

Isa anesthesia

Iyo inonzi thoracic anesthesia inonyanya kuitwa kuitira kuti inethetize nzvimbo dzinoverengeka mumuromo wemuromo pakarepo, ichiti:

• Lingual uye pasi pemazinga arveolar nerve;
• Chin ganda mu anesthesia;
• Meno ose ejaya riri pasi pasi;
• Mucous uye ganda remuromo wakadzika;
• Nhengo dzemafupa emakumbo e-alveolar uye chikamu chemuviri wejaya riri pasi;
• Mucous membrane yenzvimbo ye hyoid uye 2/3 yerimwe rutivi rwemutauro;
• Mucous rusvingo rwechinzvimbo chemavara chechivande kubva kumativi ose uye mavara.

Chimwe chikamu chemukati wekamu yechikamu chechikamu chechikamu chezasi pasi pemiganhu kubva kubva pakati pechipiri premolar kusvika pakati pekutanga molar hachina kugadziriswa. Kuti unyatsoparadza nzvimbo ino, mandibular anesthesia inoitwa sezvinotevera: 0.5 ml yemishonga inowedzera kuiswa mukati memhemberero iri pakati pechirudzi chekupinda anesthesia.

Izvozvo zvinokonzerwa neaneshesia inotanga mushure memaminitsi gumi nemashanu. Nguva yeanesthesia inenge maminitsi 60-90. Kuoma kweanesthesia mune incisors uye canines zvakanyanya kuderera nekuda kweasastomoses kubva kune rumwe rutivi. Neichi anesthesia, zvinodhaka zvakadai seNovocain, Trimecaine, Ultrakain, kana Lidocaine zvinoshandiswa.

Matambudziko

Anasthesia ye thoracic inogonawo kukuvadza, iyo:

• Kugadzira hematoma;
• Kuputsana kwejena jira;
• Unhu hwema pharynx tissues;
• Neuritis yeruzivo rwechimiro uye yealveolar;
• Kukuvadza kunzvimbo yakavanzika yepterygoid mushure mekuwedzera kuumbwa kwemajaya pasi pasi.

Zvinetso zvataurwa pamusoro apa zvinoitika apo nzira yeanesthesia inotywiswa. Nokudaro, kuita maitiro anonzi thoracic anesthesia - iyo nzira haisi nyore uye inoda chidzidzo chakakwirira chechiremba wemazino.