'ā'ī vagosympathetic blockade ma Vishnevsky

Uluwehi O blockade o ka cervical vertebrae o ke aloha o kumu a me ka vagus nā aʻalolo ua kapaia ka "blockade vagosympathetic". Ua kauoha Aleksandr Aleksandrovich Vishnevsky me ka manao, e alalai mai nā aʻalolo impulses i plevropulmonalnogo kŰia ma muli o ke traumatic kāna hana a me nā palapū umauma wahi.

Ua haawi i hale hānai maikaʻi hopena i loko o ka maʻi o ka hoʻoʻino ano, a me ka likeʻole maʻi puʻuwai o ka Muscle leo.

Shane novocaine blockade ua hoano e S. G. Zograbyan me ka AIM eʻike gipotenzionny maʻi pale traumatic kumu. Nā loina o ka mana lolo eha ma a ka blockade o cervical kōkua aloha o ganglia i na holoholona me ka cerebral hypotension e alakai i ka loa intracranial puʻe no ka pōkole manawa. Emi headache i loko o 80% o nā hihia ma hope o ke kaʻina hana. Akā, i ka hopena ana wale i ka mau o ka hola. O ke kumu ho i ka mea e blockade i ka manawa o cerebral vascular spasm relieves, like me ka hopena o ke hoonui ae i ke koko na lako i ka lolo.

Ma muli o ka hana?

Blockade vagosympathetic - he ala i ka oihana-pathogenetic lapaʻau ma muli ia:

• I ka manawa pōkole pau anaʻike ākea ko mākou hopohopo patency.
• Ma ka naoh o ka maka novocaine pāʻoihana no ka hōʻikeʻana i nā mana o ka Central ko mākou hopohopo'ōnaehana (CNS).

ia e pōmaikaʻi ai blockade

Ma lalo o kēia mau pauku Vishnevsky hele mai i kekahi hopena a:

• No nā kumu, me ka li nui kaʻina hana ma ka hoʻomaka o kona ulu mea paha i ka ia kānāwai.
• hiki ke wehe 'ia ka ulu kaʻina hana o ka li nui a ia mea ma ke kahua o ka serous infiltration o nā'aʻaʻa.
• Loa li nui o ka palapala loa koke kaupalena ', abscesses a ae he wahi hala - ua hoikeia mai.
• Infiltrative, unsharp a me nā maʻi ano o ka li nui hoʻohikiʻia trophic hoʻololi ai, i kekahi manawa bystrorazreshimymi.
• Nā maʻi pili me pathological loli ma na nā loko. Hōʻemi iki ae hookaawale ana i ka ua'emi'ōnaehana, i hanaʻia cervical vagosympathetic blockade hui, nā pōʻalo mai ka Hoʻololi 'moku'āina. Ma keia blockade i loko o ia keʻano o ka hanaʻana lakou aloha ia nunui-hana: e leie aku ka spasm, e hooponopono i ka paresis.
• Keʻano o ka hanaʻana pathological ano, a i ke kumu ma ka loli ma ka pae'ōnaehana e hooholo ia a me capillaries, novocaine hihia e kuhikuhi i ka paʻipaʻi physiological kulana o ka vascular pa.

He aha ano o blockades nei?

E hoomanao i keia ninau i hou au mamuli. I ka papa kuhikuhiE ano o closures:

• Blockade o ka fracture o ka iwi loa.
• Futlyarnoy poohiwi hihia.
• Futlyarnoy blockade mau pale.
• Blockade o ke kea pauku.
• Ke blockade o ka femoral nā aʻalolo.
• Sciatic nā aʻalolo.
• Tibial nā aʻalolo.
• Peroneal nā aʻalolo.
• Intercostal conduction blockade.
• Paravertebral blockade.
• A me ka papa, ai vagosympathetic.

Vagosympathetic blockade: hoike

Nāʻikepili cervical vagosympathetic blockade i kekahi:

• Plevropulmonalnoe kŰia.
• Mau iwiʻaoʻao fractures.
• Open, i pani a me ka nohona kiwikā huhui.
• Burns o ka naehana'āpana.
• Postoperative pneumonia.
• Syndromes traumatic asphyxiation.
• Syndromes o momoma blockages (pulmonary ano).

Loa pinepine ia ia lŘlŘ ma kēia mau pathologies hana i ka hana.

I ka blockade Ua lawe mai ma vagosympathetic Vishnevsky hana, e pono i ka clumsy-anatomical pilina o ka kōkua aloha o kumu a me ka vagus nā aʻalolo. Mau neoplasms nō ma luna o ka hyoid iwi i loko o kekahi kletchatochnyh āpana e hoʻolako i ka wehewehe ana o ka synchronous wahi pahiki ka wā lawelawe 'aneʻi novocaine. Aia ma lalo e puunaueia parietal, ahu iho o ka ha o fascia.

hoʻomanawanui hoomalolo

Ma mua o ka hoʻomaka o ka blockade o ke kauka nana i ka palapala ma o ka hue a ampoule anesthetic. Ke hoomanawanui E mau ia i loko o ka supine kulana no o ka hana o ka anesthesia, aole ia e hookaawale ia i keʻano o nā complications. Ma mua oʻoki kino mau ia i kaʻili a me ka antiseptic pāʻoihana. Ke blockade Ua i koi 'ia. Aaioee mea pono e hoʻomaka i ka OAXA kumu, no ka mea, he mea hiki ole ke pale hui 'ana me pathogens ma ka puncture paena.

Ma hope o ia, o ka wahi o ka ili, he pono keʻauhau iā lākou i ka sterile i hiloʻia.

He aha ka hana e hiki mai ana?

Ke hoomanawanui ua kau ma luna o kona kua ma lalo o ka maka i ka mea ia manawa e ukuhi i ka cushion. Ke poo ua ke ka ao ka i loko o ke ku pono ana i ala e hiki aku o kahi o ka blockade. I ka lima o ka hoʻomanawanui ma ka hoohaahaa ana i ka blockade. Ma ka hope o kaʻe akau sternocleidomastoid Muscle, ma luna o kona-oaio? Ka hola 1-1.5 knm injected ma lalo o kaʻili o ka 1-2 ml 0.25-5% pāʻoihana o ke anesthetic pāʻoihana. Inā shape Yarema aa koko mea i nanaia, alaila, i ka hookomo wahi o ke kui kele ma predetermine 'ilikai loaa i ka luna kae o ka epiglottis thyroid.

Pehea kēia nui i ka vagosympathetic blockade?

'Ana i kūpono Ua kū hoʻokahi, ua lawe mai ia wale kaena palapala hōʻoia no hoʻomalu. noa lima nāʻiʻo a me nā ipu o ka 'inideka manamana lima ua' oni iki ma a overtures loiloi mua ili o ka vertebrae o ka cervical spine. Hou ia i ka manamana lima hopena ua wahahee he nui kuikele, a neʻe naau i ka loiloi mua vertebral ili. Ma hookomo o ke kuikele me ka uuku ka leo, ma 2-3 ml, ka pāʻoihana i aiiieieoaeuii injected anesthetic no kaʻeha ke ola ina hana. Once ke kui kele ma piko hoopa iho la i ke vertebrae hana aspirate (lawe mai i mea e pale intravascular hooponopono o ka anesthetic). Ma hope e hookupaa aku ana i ua ole i loko o ka 'ohe i ke koko ua lohi hou 30-60 ml o 0,25% pāʻoihana o ke anesthetic. Ke kui kele ma ua laila, huki mai, a kaomi aku i ka ka pahu kui paena sterilization gauze no 1-2 minuke.

Inā 'oe pololei malama, a like me na rula o ka vagosympathetic blockade anesthetic pāʻoihana e makaʻuʻole ana ka vagus nā aʻalolo a me nā aʻalolo e ana mai o ka cervical kōkua aloha o kumu aka wahi.

Symptoms ma hope o ka kaʻina hana

O ka hoʻokō hana o ka blockade vagosympathetic hoʻomanawanui kumu no ke kēia symptoms:

• Ptosis (palupalu o ke keena lihilihi).
• Miosis (contraction o ka haumāna).
• Enophthalmos (confluence'ōnohi a ma loko Horner ka triad).
• Redness o ka maka, a me ka mucous membranes o ka maka.
• Perikornealnaya vascular ka pahu kui.
• Hoemiia sweating hana ma ka blockade.

'ā'ī vagosympathetic blockade ma Vishnevsky suppresses eha, cough reflex, nanahe na circulatory'ōnaehana a maoli he ke koko.

Blockade hiki ole ke hana ma nāʻaoʻaoʻelua i kekahi manawa. Ka manawa wā mawaena ma waena o kūlana kanaka e ia ma ka liʻiliʻi loa 30-40 minuke. No hoi i ke kaʻina hana hiki ole ke hou i ka adrenaline anesthetic pāʻoihana.

He aha ke kumu no ia mau kapu? Ka mea ka mea e hiki accidentally kiʻi naehana lōlō aie i ka blockade.

complications

Ma hope o ka hiki no hoi ana complications:

• 'Aʻe' ana o ka carotid artery i hou.
• 'Aʻe' ana i ka mea maloko jugular aa koko.
• 'Aʻe' ana o ka esophagus.

Ka pahiki o atonia a me intestinal paresis (ia complications mai i koi kuikawa kanaka).

A pau i kēia hiki i cervical vagosympathetic blockade ma Vishnevsky. Nāʻikepili no ka mea, ua nānā 'mākou.

kahi

Kekahi piʻiʻana ma luna o ka'ā'ī koi 'ae', e mea, oki kela mea keia mea, ahu iho o ka ili. I ka nānā 'ana i ka'ā'ī kou niho pono e mālama, e like me ka mea ua hōʻike he kino' ana. No ka mea, o keia, ma ka'ā'ī hoʻohana i ka transverse ke kōkua o Kocher, e hele ana ma ka transverse ili nā pā. Sutures ma hope o ka hana ma keia hihia, IeAUPIIe,ʻike makaʻole. I ka lawe ana mai ana ma luna o māhele o ka ai me ka lonikū pinepine hoʻohana i ka lonikū pauku ma ke alo paha hope palena sternocleidomastoid Muscle. No kekahi 'na nakaka, ma hope o ka Media lonikū pauku. Vagosympathetic blockade (ʻano hana nei nō, he pono ole), e kōkua i ka pale aku i kēia hana.

Me ka svom ola e ole e pono ai oʻApelila ia, e mālama kaiapuni, a koe makaʻala. A laila, likeʻole kaʻawaʻawa loa he ulia pakalaki hiki ke käpae '.