Novocaine blockade

Novocaine blockade - siv lug txoj kev hais txog nonspecific txoj kev kho. Nyob rau hauv no txoj kev, cov kev kho mob tshuaj yog ua muab "Novocaine" nyob rau hauv ntau yam ntaub so ntswg. Nws yog tau los daws voos nyob rau hauv qhov kev tsom xam ntawm pathology, tig tua lub peripheral paj. Cov tshwm sim ntawm tej kis yog ntawm ib tug medicament tshuaj loog. Nyob rau tib lub sij hawm, "Novocaine" yog tau ua kom cov ntaub so ntswg trophism. Lug txhim khu lub analgesic nyhuv yog feem ntau ntxiv rau ib tug tov ntawm procaine Medicaments "lidocaine", "Dikain" los yog "Trimekain", thiab cas sim haum nws txiav txim - gelatine (8%) tov cov ntshav hloov kev daws teeb meem, ethyl cawv. Nyob rau hauv tej rooj plaub, qhov no tov yog ntxiv vitamins thiab tshuaj tua kab mob.

Novocaine blockade yog ntawm ob peb cov ntaub ntawv:

- lub tsev me nyuam vagosympathetic acting nyob rau hauv lub vagus, lub sympathetic thiab phrenic qab haus huv;

- luv luv, ua rau tus kab mob no mas cov ntaub so ntswg;

- perirenal (lumbar los yog perirenal) yuav tsum vov paj plexus nyob rau hauv lub retroperitoneal cheeb tsam;

- futlyarnoy (lub nqua), uas teev los mus hloov lub conductivity ntawm lub qab haus huv nyob rau hauv qhov sib txawv qhov chaw hauv lub nqua;

- Presacral uas blocks sacral, hypogastric, coccygeal plexus;

- intra-arterial / tso dej, ua ib tug me ntsis voos ntawm receptors thiab muab lawv los ntawm ib tug reflex txiav txim rau tus kab mob no;

- mob plab, ua tom qab ua hauj lwm nyob rau hauv lub internal mob plab kabmob;

- cardio-arterial, rau cov kev kho mob ntawm coronary artery kab mob.

Ntawm lwm leej lwm, feem ntau siv hom procaine blockade yuav hu ua paravertebral intradermal, intraosseous, sinusokarotidnoy reflex tsam splanchnic qab haus huv siv creeping infiltrate.

Novocaine blockade yog thiab tshuaj pleev - lub sciatic paj, spermatic qaum.

Nyob rau hauv tus ntawm "Novocaine" tshuaj muaj yog ib tug sib lawv liag ntawm ncus: khaub thuas, kub, mob, zoo nkaus li ntawm siab. Novocaine blockade yog es nyuab mechanism ntawm cov nyhuv rau paj cov ntaub so ntswg. Tsav qab haus huv yog raug mus rau lub novocaine nyob rau hauv loj koob tshuaj, thiab ntau npaum li cas tom qab ntawd. Local tej yam ntawm cov tshuaj "Novocaine" nres thaum lub suction thiab ntaus nws nyob rau hauv lub plawv system. Me koob tshuaj ntawm cov tshuaj yog zoo kom lub suab nrov ntawm tus nqaij ntshiv ntawm lub digestive ib ntsuj av tau, ua rau kom peristalsis, txhim kho lub plawv thiab ua tsis taus pa ceev li.

Novocaine blockade yog thov nyob rau hauv cov nram no mob:

- mob necrosis, inflammatory kab mob uas tsis hloov nyob rau hauv sepsis;

- transfusion los yog puas poob siab ;

- mob ntawm lub suab nrov muaj ib tug kab noj hniav (chua ntawm lub ureter, biliary ib ntsuj av tau, nyuv);

- mob ntawm vascular laus;

- ib co trophic mob;

- mob tsis paub hais tias etiology nyob rau hauv lub peritoneum;

- frostbite, kub nyhiab.

Novocaine blockade nyob rau hauv mob cov kab mob yog pheej rov qab ua txhua 5-7 hnub, mob - txhua txhua 10-12 hnub.

Contraindications muaj xws li:

- mob irreversible, davhlau ya nyob twg lub xeev, khiav peritonitis, inoperable malignancies;

- tiav lawm cov ntaub ntawv inflammatory kab mob (rwj, thrombophlebitis);

- cov txheej txheem rau lub siab ntsws tseem ceeb (gangrene ntawm lub ntsws, lub plawv lub taub dej khawb endocarditis).

- inflammatory tus kab mob uas ua rau tsis tshem tawm (txawv teb chaws lub cev, nti, sequesters).

Nyob rau hauv tas li ntawd mus siv cov tshuaj rau hauv zos tshuaj loog yog siv thiab qhov quav suppositories nrog Novocaine. Lawv cov kws kho rau spastic tej yam kev mob ntawm lub tiaj cov nqaij ntshiv ntawm lub hnyuv.

Feem ntau, lub active tshuaj yog zoo taus, txawm li cas los, thiab tej zaum nws yuav ua rau kev phiv: Kiv taub hau, qaug zog, kev poob siab, txo cov ntshav siab, cev qhuav dej. Haum procaine yog tsis tshua muaj, tab sis nws cov kev taw qhia yuav muaj kev tawv nqaij tshua xws li tshwv thiab dermatitis.