Ukubulawa lendawo Safe

zomzimba Local akukho nto kuthiwa uhlobo ikhuselekileyo of zomzimba. Yile ndlela zomzimba elisetyenziswa ngokufuthi ngokusebenzisana kunye nezinye iintlobo zomzimba, kwaye bodwa bonke. Oko kuza kwenzeka yaye kutheni isetyenziswa njalo ngokubanzi?

zomzimba Local - i induction ngumntu kophazamiseko okwexeshana novakalelo kwindawo ethile asendle zoqhaqho agents imichiza ngokwasemzimbeni. iindlela Physical, yaye oku ucinezelo kunye ukupholisa, phantse wehla kwimbali, kodwa kwemichiza - yanwenwa size siqhubeke ukuphucula. ntonye zayo njengoko "zomzimba lobulali", kunye Ukubulawa basekuhlaleni.

Ngokuqhelekileyo oku kufuneka ngexesha ukusetyenziswa zeemvavanyo zokukhangela iingxaki okanye imisebenzi ezincinane, ezifana unyango lwamazinyo, izilonda necropsy njalo njalo. Kwaye lokudoma lisetyenziswa Izimo ezithile ukuze Ukubulawa jikelele. Ukusetyenziswa zomzimba basekuhlaleni practice ezingabantwana asinto ithandwayo kakhulu, kodwa ezinye izimvo zakhe ziqukiwe kwisekethe zomzimba ezidibeneyo ngexesha kutyando kwithuba postoperative.

Kuba zomzimba kuyimfuneko ukuba bafake i lokudoma kubume yokwakheka kwesiza ulusu apho uqhaqho luya kuqhubeka. iinaliti ezingcakacileyo esetyenziselwa ngenaliti, ekubeni ibuhlungu kakhulu. Iinaliti zenziwa yokuzenzisa ngokwaneleyo, nangona kwezinye iimeko, iyeza kuyimfuneko ukuba nzulu kungena.

Kukho ezinye iindlela lokudoma ezinokuthi zib ndidi zilandelayo:

• A terminal (contact) zomzimba - elaziwa nendlela elula anesthetize inwebu yangaphakathi. isisombululo iintlungu (nomoya, ilahla khona, njalo njalo) sinxibelelana ngqo yangaphakathi. Oku kusetyenziswa kutyando thoracic, anesthesiology kunye Nezomqala;
• Nokungena zomzimba - tight nokungena sekhombuya yezihlunu ezithambileyo kunye nesisombululo ezibuthathaka iintlungu kutyando. Ngokuba lo hlobo iintlungu ezisetyenzisiweyo - 0.5-1.5% isisombululo mepivacaine, lidocaine, 0.25-0.5% isisombululo kunye 0.25% isisombululo trimecaine;
• zomzimba Regional - indlela ethembisayo, nto leyo zibandakanya izinto ezinjalo;

- iintlungu into ungabutofela ukuqhela ukusuka kwindawo ukusebenza;

- izixa Small ze iintlungu camera zomzimba lwendawo umzimba;

- umgangatho analgesia kuxhomekeke ulwazi kakuhle ubuchule zomzimba kunye komzimba;

zomzimba Regional wohlulwe:

- efakwa;

- ofaka;

- neuropathy introducer central;

- electroacupuncture.

Local Ukubulawa woogqirha bamazinyo bezisoloko yaye uhlala indlela eyintloko zomzimba, ukusebenza elandelwayo exhomekeke imeko yesigulane, isakhiwo kwemihlathi ephezulu nesezantsi, izixhobo zomzimba, kunye iintlungu ezisetyenzisiweyo. Isibaluli ngokukhetha amayeza iintlungu ukhuseleko wayo, ubuchule, iimpawu ngamnye yomguli kunye nohlobo zokungenelela yayo. A ukusebenza iintlungu buhlobene ngqo ixabiso le dissociation rhoqo, ipesenti uyazikhomba okuphelisa iintlungu kunye vasoconstrictor, isiseko beemolekyuli yokuzahlula factor, kwakunye izidanga ze nokuhanjiswa beziyobisi luvo.

zomzimba Local kutyando akukho ixabiso ezincinane ngaphandle kokuba amazinyo. Ichiza ezininzi ezisetyenziswayo kakhulu kule meko kuba ngokohlobo procaine 0.25-0.5%, yaye kunqabile 1-2% saline. izisombululo ezinjalo zilungiselelwa zomzimba ngomhla kotyando, ngenxa yokuba ukuba ulungiselele kwangaphambili, procaine balahlekelwe iimpahla zazo iintlungu.

Ngaphambi kokuqhubeka le ntlungu kufutshane nendawo leyo kufuneka ungabona uluhlu Izimo zayo, yaye oku:

• Ijwabu ukuzilimaza - ukudumba iphawulwe, loloyiko kakhulu okanye opha;
• Ukophulwa psyche yesigulana;
• Ukunganyamezelani ku iintlungu.

Kwaye ekugqibeleni, kubalulekile ukuphawula ukuba zomzimba basekhaya ezinye iingenelo ezicacileyo. Ezi ziquka:

• Ukukwazi ukwenza ngaphandle izixhobo zexabiso kunye nezixhobo, ngokunjalo kuzo zonke iimeko;
• ifuthe Minimal ekusebenzeni zonke iinkqubo umzimba;
• yokuvimba ezinokuthenjwa neemvakalelo intlungu.

Kakade ke, iintsilelo ze "uhlobo olunyulu" iintlungu zasekuhlaleni nazo ziyafumaneka. Eyona kubo ithuba iingxaki ezinzulu, ukungakwazi ukulawula imisebenzi ebalulekileyo umzimba kunye nokulondolozwa osezingqondweni, neziphumo kusenokwenzeka ukuba nangokwengqondo.