I-Novocain ivaliwe

Odokotela-izazi ze-neurologists ekuqedeni ubuhlungu obukhulu be-syndrome benza ukwelashwa okhethekile kwezokwelapha, okuphakamisa ukwethulwa kwesisombululo sokubulala izinzwa. Enye yezindlela eziphumelelayo - ukuvimbela i-novocain, inkambo yezijovo ezinjalo kubangele ukunciphisa okukhulu ubuhlungu noma ukukhululeka okuphelele.

I-Novocain ivinjelwe inzwa ye-sciatic

Njengomthetho, isisombululo se-novocaine ne-ethyl alcohol sisetshenziselwa ukwelapha isifo esibuzwayo nokukhulisa isenzo somjovo. Le nqubo ingenziwa ngezindlela ezihlukahlukene, kuye ngokuthi isikhundla isiguli sinamathele kangakanani.

Nansi indlela yokwenza u-alcohol-novocaine uvimbele endaweni ngemuva:

1. Umlenze wesiguli ukugoqa emadolweni nokuhlanganela.
2. Maka iphuzu lokungena kwenaliti - 3 cm ngaphezulu ukusuka phakathi (ukuhlukanisa) ukusuka ku-trochanter enkulu yenhlanganisela ye-hip (isihloko se-bone elikhulu kunawo wonke ehamba phambili).
3. Faka inaliti ekujuleni kwe-6-8 cm ngokuzungezile, ngemuva kwethanga, kuze kube yilapho isiguli sinezinzwa ezingathandeki.
4. Phakamisa kuze kufike ku-20 ml yesisombululo nge-concentration ye-1.5%.

Ngokufanayo, ukuvinjelwa kwenziwa ngokulala endaweni ephephile:

1. Bend imilenze efana nemilayezo yangaphambilini.
2. Gweba ngokuqondile umugqa oqondile ukusuka enkabeni enkulu kuze kube phezulu kweleamu ephansi.
3. Kusukela phakathi kwalesi sigaba, faka i-perpendicular ngo-3-4 cm.
4. Ngesikhathi esibi kakhulu, faka inaliti ibe yi-12 cm ejulile futhi uvimbele 20 ml yesisombululo se-1.5%.

Inqubo yenqubo, uma isiguli sigula esiswini sakhe:

1. Yenza umzila wengqondo ku-nerve ye-sciatic. Amaphuzu aqaphele angaphakathi kwendawo ephakathi kwe-trochanter enkulu kanye ne-hillock ischial kanye nephakathi phakathi kwamathanga.
2. Ngokuhamba kancane ukusuka enkabeni yendawo esitholiwe, ukwenza umjovo (ukujula kwenaliti yokufakela - kuze kube ngu-8 cm) yesisombululo se-0.25% kufika ku-40 ml.

Kubalulekile ukuthi uqaphele ukuthi ngesikhathi senqubo udinga ukulandelela ngokulandelana izicubu zesikhumba nezithambile lapho udalula udlula khona. Ngemuva kokujola, indawo yomuthi akufanele iphazamiseke.

I-Novocain ivaliwe nge-neuralgia

Indawo ejwayelekile kunazo zonke ye-syndrome yesifo esichazwe isifo iphakathi kwezimbambo. Yenza inqubo ye-anesthetic kuleli cala akulona nzima, ungakwazi ngisho nawe.

Nansi indlela yokwenza i-Novocain ivimbelwe ekhaya:

1. Beka isisulu endaweni engemuva (ngemuva).
2. Faka inaliti engama-4-6 cm ejulile, elandelana ngesikhumba esikhaleni esifanelekile se-intercostal.
3. Yehlisa kancane kancane ku-5 ml isisombululo se-novocaine (ukuhlushwa kwe-1%).

Kumele kuqashelwe ukuthi le ndlela yokuvimbela nayo iyasiza ekuhluphekeni kwemisipha.

I-Novocain ivimbelwe e-osteochondrosis

Uhlobo lwenqubo echazwe kuthiwa i-paravertebral blockade. Akusizi kuphela nge- osteochondrosis , kodwa futhi nge-syndrome yezinhlungu nge- rib fractures , i-radiculitis ne-spondylosis.

I-Technique yokubulawa:

1. Beka umuntu endaweni elele esiswini sakhe.
2. Maka ngokwengqondo umugqa eceleni kwe-extensor ngemuva.
3. Emaphethelweni angaphandle kwalesi sigaba, faka inaliti ngokuphambene, kuze kube sekupheleni kwayo kuthinte umcibisholo we-vertex noma inqubo eguquguqukayo yenzwa.
4. Khipha kancane kancane inaliti ibanga lika-1 cm kuya phezulu, faka i-70 kuya ku-100 ml yesisombululo se-novocaine nge-0.25%.

Noma yiluphi uhlobo lokuvimbela kufanele lwenziwe kancane kakhulu ukuze ugweme ubuhlungu obengeziwe esigulini, futhi ngokulinganayo usakaze isisombululo se-novocaine ezinhlakeni.

Ikhwalithi yenqubo eyenziwe ibhekwa njengezinga eliphezulu uma kungekho igazi noma i-cerebrospinal fluid in the syringe ngemuva komjovo.