Thethebatso sireletsehileng ea moo

thethebatso Local hase bakeng sa ha ho letho le bitsoang mofuta o sireletsehileng ka ho fetisisa ea thethebatso. Ho ena mokhoa thethebatso e sebediswa hangata ka ho fetisisa hammoho le mefuta e meng ea thethebatso, 'me ka ho itsehla thajana ka ho tloha mong le e mong. Seo e se fanang ka eona ke hona ke hobane'ng ha e le joalo ho pharaletseng sebelisoa?

Local thethebatso - e induction maiketsetso la tšitiso ka nakoana nahanela sebakeng itseng tsa naha ho buoa ke mahlahana a lik'hemik'hale 'meleng. mekhoa 'meleng,' me compression ena le tsidifatso, hoo e ka bang ba theohela ka histori, empa lik'hemik'hale - ho pharaletseng jala le ho tsoela pele ho ntlafatsa. synonymes lona ke tse "thethebatso ea moo", le thethebatso moo.

Hangata ho hlokahala nakong tšebeliso ea liteko le ho hlahloba lefu kapa tshebetso tse nyenyane, tse kang tsa kalafo tse meno, liso tsa ka maleng necropsy joalo joalo. Le ka thethefatsa ea moo e sebediswa le contraindications itseng bakeng sa thethebatso kakaretso. Tshebediso ya thethebatso ea moo ka ikwetlisetse kokelo ea bana ha se ratoang haholo, empa ba bang ba maikutlo a hae a akarelletsa thethebatso oa potoloho hlakanywa nakong opereishene le ka nako postoperative.

Bakeng sa thethebatso ke ho hlokahala hore a nkente ka ho thethefatsa ea moo ka sebopeho anatomical ya site ena letlalo moo ho buoa e tla nka sebaka. linalete tse tšesaane sebediswa bakeng sa ente, kaha ba na le boemo bo utloisang bohloko haholo. Liente li etsoang ka ntle feela ho lekaneng, le hoja maemong a mang, meriana ho hlokahala hore ho kenya ka ho teba haholoanyane.

Ho na le litsela tse ling ho thethefatsa ea moo e ka hlophisitsoe ka mefuta e latelang:

• A seemelong (ho ikopanya) thethebatso - molemo ka ho fetisisa tsejoa le ho bobebe tsela ea ho anesthetize le lera la mucous. Thethefatsa tharollo (aeration, marotholi a, joalo-joalo) ka ho toba ka mucous. E e sebelisoa ka thoracic buuoa, robatsa le otolaryngology;
• Khukhuneloa thethebatso - thata mekhahlelo khukhuneloa ha dinama tse nyenyane tse bonolo le tharollo fokolang tsa thethefatsa ka buuoa. Bakeng sa mofuta ona wa thethefatsa sebediswa - 0.5-1.5% tharollo mepivacaine, lidocaine, 0.25-0.5% tharollo le 0,25% tharollo trimecaine;
• Regional thethebatso - mokhoa fetisisa tsepisa, eo e tšoauoa ka makgetha a ho joalo:

- thethefatsa e tshelwa ka hōjana le sebakeng tshebetsong;

- Small tjhelete ya thethefatsang tlotsitsoeng thethebatso libakeng tse e pharaletseng ea 'mele;

- boleng ba analgesia itšetlehile ka tsebo e ntle ea ho ba le tsebo ea thethebatso le human anatomy;

thethebatso Regional e arotsoe:

- intravenous;

- intraosseous;

- pheriferale le introducer bohareng;

- electroacupuncture.

Local thethebatso ka ho phekola meno e bile le ntse e le mokhoa o ka sehloohong oa thethebatso, ho atleha ha eo e itšetlehile ka boemo ba mokuli, mohaho oa mohlahare e ka holimo ka tlaase le e, thepa thethebatso, le meriana e thethefatsang kutlo sebediswa. The criterion ka sehloohong bakeng sa ho kgetha bohloko moriana ke polokeho lona, bokgoni, litšobotsi tse ka bomong ba le mamello 'me sebopeho sa kenella lona. A bokgoni thethefatsa ke ka ho toba e amanang le yona tsa boleng tsa dissociation sa khaotseng, ho Peresente ea mahloriso ea thethefatsa e le vasoconstrictor, motheong ea limolek'hule tsa karohano Ntlha e, hammoho le likhato tsa diffusion ya lithethefatsi ka likhoele methapo ea kutlo.

Local thethebatso ka ho buoa ha e na boleng fokolang haholo ho feta ka mokhoa meno. Ka ho fetisisa e atisa ho sebelisoa lithethefatsi tabeng ena ke ka mokgwa wa procaine 0.25-0.5%, 'me ke ka seoelo 1-2% letsoai. ditharollo joalo itokiselitse ho thethebatso ka letsatsi la ho buoa, hobane ha o ba lokisetsa esale pele, procaine lahleheloa ke thepa ea lona analgesic.

Pele ba tsoela pele ho thethefatsa ea moo ba lokela ho bona lethathamo la contraindications lona, 'me sena:

• Dinama tse nyenyane tse ntsa kotsi - tšoauoa ho ruruha, scarring haholo kapa tsoa mali;
• Tlōlo ea e tlameletswe dikelellong tsa mokuli a se;
• Mamellane ho thethefatsang.

'Me qetellong, ke habohlokoa ho hlokomela hore thethebatso ea moo o na le le menyetla e totobetse. Tsena li akarelletsa:

• Bokhoni ba ho phetha ntle thepa e theko e boima le lisebelisoa, hammoho le maemong a tsohle;
• tshusumetso fokolang haholo ka ea ka tšebetso ea tsamaiso ea tsohle tsa 'mele;
• Ka tšeptjoang emisang la litakatso bohloko.

Le, ya e le hantle, mefokolo ea "e hloekileng mofuta" thethefatsang ea moo hape di fumaneha. Ba ka sehloohong ho bona e le monyetla oa ho mathata a tebileng, ho sitoa ho laola mesebetsi ea bohlokoa ea 'mele le ho pholosa ka ilibana, ho fellang ka probable hore ho sithabela kelellong.