Oogqirha-i-neurologists ekupheliseni ubuhlungu obukhulu beentlungu zenza unyango olukhethekileyo lwezokwelapha, olubonisa ukuqaliswa kwesisombululo se-anesthetic. Enye yezindlela eziphumelelayo - i-novocain ikhutshwe, ikhosi yejojo enjalo yenza ukuba kuncitshiswe kakhulu intlungu okanye ukukhululeka kwayo ngokupheleleyo.
I-Novocain ivaliwe kwi-nerve ye-sciatic
Njengomthetho, isisombululo se-novocaine kunye ne-ethyl alcohol isetyenziselwa ukunyanga i-pathology umbuzo kunye nokwandisa isenzo sejoza. Inqubo ingenziwa ngeendlela ezahlukeneyo, kuxhomekeke kwisikhundla isiguli esilungile.
Nantsi indlela yokwenza utywala-novocaine uvimbele kwindawo ephezulu:
- Umlenze wesigulane ukugoba emadolweni nokudibanisa.
- Phawula ingongoma yokungena kwenaliti - 3 cm ngaphezulu ukusuka kwiphakathi (distal) ukusuka kwi-trochanter enkulu yomxube we-hip (isalathiso sesona esona sikhulu esikhulu senyonga).
- Faka inaliti kwindawo engama-6-8 cm e-horizontally, ngasemva kwethanga, de kube isigulane sinokuvakalelwa.
- Ukuhamba ukuya kwi-20 ml yesisombululo kunye ne-concentration ye-1.5%.
Ngokufanayo, ukucima ibhokisi kuyenzelwa ukulala kwicala eliphilileyo:
- Bend imilenze efana nemiyalelo yangaphambili.
- Ngokuqhelekileyo udwebe umgca ochanekileyo ukusuka kwinqanaba lomhlaba omkhulu kwi-ileum yangemva.
- Ukusuka phakathi kweli candelo, faka i-perpendicular ngo-3-4 cm.
- Kwinqanaba elingqongqo, faka inaliti kwi-12 cm enzulu kwaye wenze ukukhutshwa kwe-20 ml yesisombululo se-1.5%.
Inkqubo yenkqubo, ukuba isiguli silele esiswini sakhe:
- Ukuqhuba umgca wengqondo kwi-nerve ye-sciatic. Iingongoma ezigqithiseleyo ziphambili emkhatsini we-trochanter enkulu kunye ne-hillock ischial kunye nephakathi phakathi kwamathanga.
- Ukuhamba ngokukhawuleza kwinqanaba le candelo elifunyenweyo, ukwenza i-injection (ubunzulu bokufakwa kwenaliti - ukuya kwi-8 cm) ye-0.25% isisombululo ukuya kwi-40 ml.
Kubalulekile ukuba uqaphele ukuba ngexesha lenkqubo kufuneka ulandelelanise ulusu kunye nezicubu ezithambileyo apho inaliti idlulayo. Emva kwesojoza, indawo yamachiza akufanele iphazamiseke.
I-Novocain ivimbela kwi-neuralgia
Indawo eqhelekileyo yokuhlala kwintlungu yesifo echazwe isifo iphakathi kwezimbambo. Ukwenza inkqubo ye-anesthetic kule meko ayinzima, unokukwazi ukukwenza.
Nantsi indlela yokwenza i-Novocain ivimbele ekhaya:
- Faka ixhoba kwindawo ephezulu (ngasemva).
- Faka inaliti engama-4-6 cm enzulu, i-perpendicular kwesikhumba kwindawo efanelekileyo ye-intercostal.
- Nciphisa ngokukhawuleza ukuya kwi-5 ml yesisombululo se-novocaine (i-concentration% 1).
Kufuneka kuqatshelwe ukuba le ndlela yokukhusela iyakunceda ekubuhlungu kwintlungu.
I-Novocain ivaliwe kwi-osteochondrosis
Uhlobo lwenkqubo echazwe kuthiwa yi-parvertebral blockade. Akuncedi kuphela nge- osteochondrosis , kodwa kunye ne-syndrome yeentlungu kunye neentambo zentambo, i-radiculitis ne-spondylosis.
Uphuhliso lokusebenza:
- Beka umntu kwindawo elele esiswini sakhe.
- Phawula ngengqondo umgca ekuhambeni komva.
- Kwiphepha langaphandle lalo candelo, faka inaliti ngokulandelelana, de kube isiphelo sayo sithinte i-vertex arch okanye inkqubo ejikelezayo yentsholongwane.
- Kancinciza kancane kancane inaliti umgama we-1 cm ukuya phezulu, ujobe i-70 ukuya kwi-100 ml yesisombululo se-novocaine kunye ne-0.25%.
Naluphina uhlobo lokukhusela i-blockade kufuneka lwenziwe ngokukhawuleza ukuze uphephe intlungu engakumbi kwisigulane, kwaye ngokulinganayo usasaze isisombululo se-novocaine kwizicubu.
Umgangatho wenkqubo eyenziweyo iqwalaselwa phezulu xa kungekho igazi okanye i-cerebrospinal fluid kwisirinji emva kwejojo.