Paravertebral blockade - He aha ka mea?

Hoʻopau o ka lumbar radicularʻeha a me ka IIeEeAIEUAA ua e manao like i kekahi o ka hardest, akā, i ka mea nui o kēia lā. Nānā i ka regression o ka eha, e hiki ke kikoo aku i ka hopena e pili ana i ka pono o ke koho Inc. I kulike ai me ke kālā no manaÿo Spine, huʻiʻehaʻikeʻia i loko o ka lalo lala a spine E e wehe 'ia i' āwīwī i hiki. Ma ka hoʻololi moku'āina o ka maʻi kāna hana i e psychogenic. Ka mea, layering ma na symptoms, inhibit Inc, a me ka nui loa worsen i ka prognosis. Ma keia pili, hoʻomalu hakaka no ka hiki ke hoʻohana i pōkole i hiki, a i ka ia manawa ka hoʻokō ki ina hana like. One ia paravertebral blockade. He aha ia mea, ka mea, pehea ua lawe mai - ma kēia hope i loko o ka pauku.

Overview

Pākōlea blockade e noʻonoʻo i ka loa ka hoʻokō ano o ka eha ana, a me nā hoikeana o neurological pathologies. Nā kaʻina hana i ka nānā 'ana i ka hoʻokomo' ia 'ana o ka maʻi i loko o ka waena o ka lāʻau. I ka hoʻohālike me nā ano o ka lapaʻau (lomilomi, physical Inc, lawe ka lapaʻauʻia, acupuncture, manuale Inc), ua hoʻohana 'ia ka blockade o ka lāʻau,ʻaʻole i ka manawa ma mua - i oi aku mamua o ka haneri makahiki. Eia naʻe, no ka mea a pau i kēia manawa hana i hoakaka ia e ka loa ka hoʻokō ala e hoʻopau eha. Ia mea i ka manao o ka blockade. Kaʻeha Pono e hōʻike 'ia' ano koke, me ka palena iki o kaʻaoʻao waiwai, manawa a me nā koina. Mau olelo oo like me like ke ano o ka pākōlea blockade.

hōʻikeʻano

Blockade mea he pokole shutdown o kekahi o nā loulou o ka piʻo eha pane. Eia pākōlea, keia hana i PalekanaEND_LINK waiwai. Ma kekahi mau hihia, i ke akamai loaa ka mea paakiki, e hana i ka pololeiʻike. Kēia paha e ku pono ana i ka mea i iʻia i kekahi lapaʻau hoikeana aʻaʻole maopopo malama pilina ma waena o symptoms a me nā Pahuhopu ikepili. I kekahi manawa e hana i neurological symptoms i ole hookupaa iho la ia e MRI. A i 'ole, ma ka mea ku ole, nāʻikepili a HI oleʻume mākenēki resonance kiʻi ua ole clinically hoaponoia mai. Ma ia manawa, he kōkua nui i ka kukulu ana i ka pololeiʻike, e e wae blockade.

hiʻona

Inā ka eha ua hoemi ma ka mea o ka anesthesia-kekahi anatomical hale, keia paipai ia ka mea, i ke kumu o ka eha. Kekahi e wae ka pahu kui ua lawe mai i kekahi hapa. Kēia e hōʻoiaʻiʻo i nā anesthetic nā aʻalolo e pau ai ke koho 'ia wahi. E hookomo oe hiki ke i, a loko o ka anatomical hapa, e laʻa me, ami mea hōʻikeʻikeʻuʻuku a me ke ami hoi. E like me ka hopena o ka wahi nociceptors ma keia ciia. Inā, ma ka hou ana i ka kūloko anesthetic i hoʻohuiʻia i corticosteroids, e wae ka pahu kui i loko o ia mau hihia i i ka hou pākōlea hopena o ka anesthesia. Intraarticular ka pahu kui o steroid i ho'ēmi i kā li nui, a hoemi i ka discomfort pili me ia. koena, ka lapaʻauʻia, physical Inc - ka wā o nā ami mai i pane i ka hana kuʻuna 'ole e like injections i hoʻohana. Ke blockade Ua pili me ka myositis, radiculitis, neuralgia, sympathalgia. Ma waho i docked eha, ia hana ma ka neuro-trophic kuleana pili i.

pono pū nō ia o ke kaʻina hana

Rapid hookahi o ke kokua ia ua hoakaka ia ma ka pololei anal o ka lāʻau i loko o ka pathological pulakaumaka a me ka hopena o ka ai 'ana i ka hopena a me nā kaula, hohola eha. Iloko o ke kaʻina hana o ka likelihood o kaʻaoʻao 'ole ua minimized. Keia mea aie a hiki i ka mea hookahi hou i ka lāʻau komo iloko mua i loko o ka pathology o ka ipu ahi, a laila wale - i loko o ka systemic holo. Me kēlā hou exacerbation o ka maʻi pale i ke hoʻohana pinepine ae la oia ka hoʻopuniʻana. Me ka hana pono hookupaaia maikaʻi pākōlea hopena o ka pahu kui. Ma ke ano o ka blockade emi Muscle hoʻopilikia, vascular spasm, ke kāpaeʻana i ka hoʻoʻino pane i loko o ka eha a me ka haanou ipu ahi.

paravertebral blockade

Kēia manaʻo E e manaoia collectively. Ka manawa Hōʻike wale i ka ka pahu kui ua lawe mai i loko o ka wahi o ka spinal kolamu. An ka pahu kui hiki e intradermal, subcutaneous, perineural, intramuscular paha radicular. Ma kekahi mau hihia, paravertebral blockade noi ma ka ganglia o ke aloha o kumu palena. No ka laʻana, he hoʻomanawanui flattened pā hōkū. Ua Ua kaulana hoʻohui o pili vertebrae a me ka ho'ēmiʻana o ka vertical anawaena o ka intervertebral foramen. Ke anterior mau māhele o kona waiwai, piʻi pū aie i ka ulu ana o osteophytes a me nā iwi ka ulu o ke. Hoemi i ke anawaena o ka lua ia lŘlŘ iloko o ka hooulu ana spondylarthrosis, ai hanaʻia naʻe melemele, interarticular ligaments a me nā keʻano o ka hanaʻana ma muli o ke osteochondrosis. Aie i ka mea i na alakai ano o neurological kāna hana i ka mea ia manawa o ka mīkini'opihia a me ka hookaawale ana o kaʻaha, akā,ʻaʻole infectious a me ka hoʻoʻino reactions membranes a me na aa, ua kapaia keia koho funikulitom pathology. Ma muli o kēia blockade ua noi paravertebral funikulyarnogo. Medicaments lawelawe me ke kui kele ma waho mai o ka puka i loko o ke kīhei pili ciia kaula, akā,ʻaʻole i ka spinal kaula kumu.

Mea Maluna

Pākōlea injections e māheleʻia i loko o ke ano e like me ka hoʻohana lāʻau a me ka waiū wahi. No laila, ma laila nō:

• Paravertebral blockade o ka cervical spine.
• Injections me ka intercostal neuralgia.
• Thoracic paravertebral blockade.
• Piriformis.
• Ma ka lumbosacralʻilikai.
• Sciatic nā aʻalolo a me na mea e ae.

Ka hoʻohana a glucocorticoids

Paravertebral me ka blockage "diprospanom" hoʻohana 'ia i loko o systemic collagenosis. Ka lapaʻauʻia ma ke kelepona hele pae, relieves li nui ulu. Ma mua o aaieieno? Wahi kokoke i ka spinous kaʻinaʻokiʻia aku anesthetics: lāʻau "lidocaine" a me "Novocaine". Mahope, i ka puka o ua UAIAaIN ma ka analgesia hou a me ka pūhaka, a paka i ka vertebral e pio. Mahope, i injected ka läÿau, me ka anesthetic lāʻau "Diprospan". Contraindications no ke kaʻina hana nā mimikō, thrombosis, osteoporosis kaheaia ka wa, psychosis, hypersensitivity, infectious pathology.

Ka hoʻohana o anesthetic

Paravertebral novocaine hihia o ke kaʻina hana, i ka i loko o ka i mea e hoʻolauna i ka lāʻau i loko o ka ciia o ka nui eha. Ua hōʻike hewa, ia wahi nā kāhea puan ka wā overloaded ami a me ka hoka ai nāʻiʻo, nä olonä hele mau mea, a me ka wahi o ko lākou mau plexuses. Paravertebral blockade hoʻohana anesthetic ai ke haawi pōkole (20-30 minuke). Aka hoi, a hiki i kēia manawa, ua lawa e haʻalele i ka maʻamau leo o spastic nāʻiʻo.

Effectiveness o ke kaʻina hana a me ka contraindications

I ka laulā o ka wehe spasm hoike ma ka Muscle puluniu mahuahua i ka buke o ka Hawaii ma ke ami, ho'ēmi i eha pā lonoaʻili Tuamotu pinepine 'ole kekahi hapa o ke aʻalolo kumu innervation. 'Aʻole i paipai paravertebral blockade' ana i kūpono a e e ho'ākāka 'ia ma lalo nei me ka loa bradycardia maʻi pale nawaliwali ma ka sinus wahi, atrioventricular aeie alua / kolu degere (ke ole e hihia ai no ka ventricular i auhele ua komoʻimi), cardiogenic kŰia, hypotension (olelo), hypersensitivity . Contraindications nā ka loaʻa nui o kaʻikepili ma epileptiform convulsions ma ka moolelo hoʻonāukiuki aku ma anesthetics, e like me ka 'aʻe' o ke akepaʻa kuleana pili i.

? Ac? O ke kaʻina hana

Pehea e paravertebral blockade? hana 'ana i kūpono komo ai lawe mai manipulations i loko o ka maopopo kaʻina. Ke hoomanawanui ua mua kau ma luna o ka abdomen. palpation hana i ho'ākāka 'hapa o kā mākouʻeha. Nō kāu, i kēia māhele hoʻopili like i ka wānana o kaʻaha, e loli ana. Hoʻohana 'ia me neurological e ho'āʻo ai e kōkua kukulu iho la lakou i ka wahi, kahi e e paravertebral blockade. Ka pahu kuiʻano hana pono e pono hoʻomohala ma ka hoʻomalu.

Ke kuka ua malamaia lakou nei, me ka waiʻona paha iodine. E ho ohana i ke olonā kui kele ma loko o ka ciia o ka i manaoia ka pahu kui injected anesthetic ( "Novocaine") e hana i ka "lemona kaha onionio". No ka mea kokekau i kekahi hapa o ka lua o kaʻaha OAAIeOO kui kele ma (hou) ua hoʻolauna kokoke i ka laina o spinous keʻano o ka hanaʻana (ma ka mamao o 3-4 knm) i kulike ai me ka makemake wā mawaena. E like me ka mea, ua lawe hanana injecting 0.5% pāʻoihana "Novocaine". Ua hookomoia ke kuikele a ka mea hele mai i loko o hui 'ana me ka transverse kaʻina. E möakäka hou neʻe lawe piliwaiwai ia, mai lalo a ma luna ma ke ala e hiki aku i ka spine ma ka huina o ka 30 degere. me ka mahalo i ka sagittal pelane. Ke kui kele ma Ua hookomoia e kekahi 2 knm hohonu, a 10-20 ml o ka anesthetic ua injected kekahi hydrocortisone emulsion. No laila, ma ka mau, e paa ana ia paravertebral blockade. hana 'ana i kūpono komo ai ka hoʻokomo' ana i kekahi kuikele i mau 5-6 knm.

huʻi hihia

He nui na ano e i lawe paravertebral blockade. Lumbosacral wahi ua manaoia e ia, aole i problematic, o ka oi aku i ka huʻiʻeha a me ka nele o akaka monoradikulyarnogo maʻi pale. Ma keia manao ka hoʻokō ka pahu kui mai ka ekolu wahi. Introduction ua hana ma waena o ka vertebrae a me Liv Lv, Lv a me S1 i loko o ka'āina o ka mua sacral lua. Injecting lāʻau "Hydrocortisone" ia mea i loko o kēia mau mea ua kena ae la ma ka loa, he pono ole nā palapū i ko lākou mau kaula spinal. Hoʻomanawanui kapakahi paravertebral blockade hiki ke lawelawe. oki aku Lumbosacral ma keia hihia o eono kumu. I kulike ai me ka moku'āina o ka hoomanawanui, ka nui a me ka IIeEeAIEUAA o ka ehaʻokoʻa nā māhele o ka lāʻau "Hydrocortisone" ua hoʻohana 'ia. I ka summing mai i kekahi kaula (1 ka pahu kui) hoʻohana 10-30 mg. Me ua hoemiia pololei hoʻokō 'ana o ke kaʻina hana a eliminatedʻeha koke ma hope o ka hoʻokomo' ia 'ana o medicament. Blockade hiki ke hai hou ina e pono ai. Hai injections i ia i mua o 2-3 lā. Ma hope o ke kaʻina hana e waiho ma ka hoʻomanawanui moe koena.

Other 'ana i kūpono

Ke hoomanawanui i ka oihana o ka moe ana ma luna o kona'ōpū. Kona poo e e huli ma kaʻaoʻao e ku pono ana o ke kula, ma ka mea e lilo kēia i mea paravertebral blockade. Cervical spine ua manaoia e ia i ka loa neʻeʻana paena. Ma keia manao, keia ciia ua pinepine hana ino iki mai 'ē aʻe. Iloko o ke kaʻina hana hoʻohana 0,25% anesthetic pāʻoihana ma ka mahele lāʻau o 70-100 mg. Ke ka pahu kui kele ma ua hookomoia p ÷ haku i ka ili ili honua hea ka mea me ka pā palena o ka extensor hope. E möakäka hou neʻeʻana i wahi mua hui 'ana me ka poino vertebra a transverse kaʻina. Ke kui kele ma höʻike i 0.5-1 knm ma kaʻaoʻao. Mahope injections i lawe mai i ka mamao o ka 1.5 knm mai ka mua poʻe. I kekahi manawa, he läÿau, he ai ' "Novocaine" a me ka "Hydrocortisone". Hope lawe 50-75 mg, a me ka mea mua like i 100 ml.

E ho ohana i nā mea huihuina Afonina

'O kēia kekahi papa hana o ka lumbosacral paravertebral blockade. I kekahi hapa o kaʻaha OAAIeOO lua (intervertebral) ka lawelaweia ana 1.5-8 mg. I ka huina o ka leo o ka pāʻoihana papa koa ma waena o 30-80 ml. Ka laʻau heluna hilinaʻi nui ma ka helu o nā kumu i hoʻohana 'ia i loko o ka blockade. Ka pākōlea papa ka loaʻa o ka hookahi infiltration, ina o ka hopena e hiki koke mai nui iho la ia. Inā i ke kanawai 'ōili mai lohi, a laila, pili 2-4 hai blockade. Kēlā me kēia o ka mea e hiki mai ana ka pahu kui ua lawe mai no 5-6 lā ma hope o ka hope. I ka lawelawe ana i ka hoomanawanui i ka mahina okoa ka waiʻona ma ke ma ka innervation mau nā aʻalolo olona. No ka laʻana, he ahonui e loaa i ka manao o ka naau, paresthesia, puʻe, aching eha.