Spinal blockade: hoailona ia mea, manao, ai ', i ka hopena o

Pain maʻi pale o ka papa kuhikuhiE hoike ana o ka lapaʻau pathology o ka musculoskeletal'ōnaehana, ka oi aku o ka spine. Ka hanana o ka huʻi vertebralʻeha e e docked koke, i hāʻawiʻia mai ka mea i ke kaua me ka soreness mea,ʻaʻole he causal Inc. Ke blockade o ka spine - kekahi o nā hanana i i wahi i loko o ka luna 'lapaʻau Spine pilikia o.

General manaÿo

Ka poe akamai ka paʻakikī, e hooki aku i maʻiʻeha, huʻiʻeha ma mua i loko o ka hope, no ka mea, ke hōʻike 'ia nei hoʻomaka me he kikowaena külana. I ua, pulakaumaka hoike ana mai o ka eha ua,ʻaʻole i hanaʻia ma ke kiʻekiʻe o ka excitation o kūloko receptors a me ka lolo. Iapaau ana o keia kulana hou a me ka pono i ka pono o antidepressants a me neuroleptics.

E pale i kēia, symptomatic Inc i loko o nā kuʻina kakahiaka o ka maʻi hoʻohana ka manipulation me spinal blockade. He aha ka mea a ka mea i ke kaʻina hana i ho'ākāka 'ia ma lalo nei.

Blockade kapaʻia ka loa o kekahi loulou o kekahiʻano papa hana e hakakā ka eha ma ka ana lapaʻau analgesics. Ma waho aʻeo ia pākōlea pale, spinal aeie ua hoʻohana 'ia no kaʻike,. Pain unspecified paena pono ka hoike ana o anesthetics, e leie aku ka kaʻina hana o ka hoʻopau, e hooholo i ka oihana o ka pathology. Nō kāu, o ka eha ua "ua hō'ā aku" koke ma hope o ka manipulation.

hoike

Maʻi o ka musculoskeletal'ōnaehana, e noi ana i ka noi o ka blockade, pono e ukali e ola symptoms. I ka mea e ku pono hihia, ka hoʻohana 'ana o ka lapaʻauʻia no kēia mea mea e pili. Ke Kaʻina Hana ua mālama 'ia ma lalo o ke kēia pathologies:

• haʻahaʻa hoʻi eha;
• i ke alo o herniated iwi kuamoʻo;
• spondylosis deformans;
• radiculopathy;
• traumatic eha;
• neoplasms o ka intervertebral makahiki;
• kīloi paʻewa hou o ka spinal Canal.

Ke hana ua hana i ka hihia ma kahi o ka hopena o ka makeʻe kulana lapaau. Na ka hoʻokōʻana hiki mai ma hope o ka ka pahu kui mua, nae, loa ano o ka mai, e noi mai ana, mai 2-3 a hiki i 15 manipulation hana maʻanuʻu o kekahi mau lā.

Nā pono o ka pua ana e hookeai hana, he palena iki o kaʻaoʻao 'ole ana no na rula o, i ka manawa kūpono o ka mau ana. Kaawale mai analgesia, manipulation ua Anati-hoʻoʻino a me ka spasmolytic hookoia, ke kaumaha ma muli o ka i koho ia waiʻona.

Mea Maluna vertebral blockades

Ke kaumaha ma muli o ka helu o ka ai 'i hoʻolaunaʻia i loko o kekahi kahua, maopopo manipulation:

• monocomponent (kekahiʻaoʻao);
• dikomponentnye (mau konohiki);
• multicomponent (ekolu a oi paha).

Painkillers injections e lawelawe i loko o ka hahai anatomic pauku:

1. spine - thoracic, cervical, lumbar, sacrum.
2. Nā aʻalolo - Sciatic, occipital, tibial, suprascapular, ka hope lala o ka spinal nā aʻalolo.
3. Muscular'ōnaehana - na nāʻiʻo o ke poo, ka piriformis Muscle, ka mua staircase.
4. Epidural a epidural ka lewa.
5. Facet ami.
6. Articulation - sacroiliac a me ka sacrococcygeal.

Blockade o spinal hernia māheleʻia i loko o nā 'ano:

1. Wehewehe aku vkalyvaniem transforaminal hoike o ka lāʻau i loko o ka lua OAAIeOO nā aʻalolo a hāʻule pahū wale.
2. I ka intralaminar ke kaʻina hana no medicament ua hookomoia ma waena o vertebral keʻano o ka hanaʻana i loko o cartilaginous pololei holo.

Contraindications

spinal blockade i kekahi contraindications i ke kauka E hoomanao i ka hoʻomanawanui i ka ninaninau. Kēlā me lapaʻau hihia ua noʻonoʻo pākahi, hoakaka ana i ka hiki pilikia o kaʻaoʻao loa. ua i lawe mai ma lalo o ka kēia maʻi Hawaii ke kaʻina hana:

• maʻi, a i wehewehe aku ma ka welelau o ka hemorrhage;
• systemic infectious maʻi, a kūloko hoike ana i loko o ka wahi o ka puncture;
• unconscious hoomanawanui;
• idiosyncrasy noi lāʻau;
• naau a me ka vascular maʻi;
• epilepsy;
• hypotension;
• noʻonoʻo, nā kīnānā;
• na keiki o ka makahiki;
• i hāpai keiki, a lactation;
• ke aloha lesions o ke akepaʻa a me nā puʻupaʻaʻelua.

i nā anesthetics

Waiwai a i ka analgesic hookoia, e hoʻohana i nā 'ano o ka hoʻohana' ana i ka lāʻau 'closures i loko o kekahi kuokoa palapala a me ka hoʻohui pū' ia me nā pūʻulu o medicaments.

Novocaine blockade o ka spine ua hana oi pinepine ma mua o nā kūloko anesthetic. "Novocaine" ua hua mai i loko o ka palapala o ka pāʻoihana no injections me kela nā hoʻohui like o kaʻeleu hui (mai 0,25% a 2%). Ke analgesic hopena e hoʻomōhala ana i loko o kekahi mau minuke ma hope o ka blockade i lawe mai. E hookomo oe me ka hoʻohana ' "Novocain" anaesthetises i 2 hola.

"Marcaine" i ua hoʻohana 'ia e höʻike aku ka eha. Ka hopena o ka hooponopono ana o ka Agena mai i ka hopena o hoʻomaka. Pain nalo ma hope o 20 minuke, akā, no ka lōʻihi like 'ole o ka hana hiki e mai ia 5-6 hola. E ho ohana i "marcaine" ua lawe mai ma hope o ka hoʻokolokolo pono ninaninau ana i na ipu naau a me ke koko o ka hoʻomanawanui wale.

Ma hope o ka kūloko anesthetic, hoʻohana 'ia e hakakā i ka eha o ka vertebral mea "Lidocaine". Price o ka lāʻau i loko o ka haahaa waeʻano (ma kahi o 30 rubles no pack), e ka mea i loaʻa no ka hoʻohana. Ke medicament Ua wehewehe aku ma ka hookeai a me ka hana a me ka hou manawa ma mua o "Novocaine".

"Novocaine" a me ka "Lidocaine", ke kumukuai o ka i oi ma mua o ka loaʻa, e hoʻohana oi pinepine ma mua o nā kūloko anesthetics. Ma mua ana i kekahi o ia mau mea, e kaha i ka pā lonoaʻili o ke kanaka hoomanawanui, e pale aku i ke kūpono 'ana o allergic reactions.

hormonal ohe.

Hoomakaukau hormonal haku mele 'ana i loko o ka iapaau ana o pathologies o ka spine i loko o ka palapala o ka hoʻoponopono-aaieieno? E kākaʻikahi i hoʻohana. Loa pinepine ka mea, e hoʻohana 'ia no ka iapaau ana o ami. Blockade o ka spine koi corticosteroid pu ana me ka 'ē aʻe ai' (e laʻa me, anesthetics). Hormonal konohiki emi eha, paʻapū li nui, ho'ēmi i nani a me ka allergic reactions.

Ai 'hoʻohana' ia i loko o ka Spine:

1. "Prednisolone" ua hui ia me kekahi o analgesic ai '( "procaine" "Lidocaine" "Novocaine"). Ka pono i hoʻohana no ka blockade o spinal hernia, radiculitis, osteochondrosis.
2. "Hydrocortisone" ua hoʻohana 'ia no nā aʻalolo ālai'. Loa i hui pūʻia me ka anesthetic mamua i ka hooponopono.
3. "Diprospan" ua hoʻohana 'ia no kekahi' ano o ka eha ke ola. Ka lāʻau 'He maikai a me ka hoʻokēʻai kūpono' ana o ke kanawai o ke hooloihi ae i hana.
4. O ia hoʻi, "Kenalog" akā, Anati-allergic a me Anati-hoʻoʻino, mai ka immunosuppressive hopena. Ua ua hoʻohana 'ia no kekahi' ano o ka blockages a me ka hana ana o ami.

Other hui o ka ai '

Other ano i analgesic hopena. Ka mea, i hoʻohana 'ia i loko o ka haku mele' ana o multicomponent closures, a loaʻa i ka penei huahana.

• ole-steroidal Anati-hoʻoʻino ( "Voltaren");
• B nā wikamina;
• nā'ūhū ( "Lidaza" "papain");
• "ATP";
• antispasmodics ( "Platifillin");
• "Trombolizin";
• hondroprotektory ( "rumalon").

An kumu hoohalike o ke kaʻina hana

i ke kumu o ka manipulation noonoo. Novocaine blockade o ka lumbar spine ua lawe mai i loko o ka prone kulana. Palpable wā i ka pahu kui paena, ka mea, ua malamaia lakou nei, me ka antiseptic pāʻoihana. E ho ohana i ka lole kuikele, ka lāʻau ua injected intradermally e hana i ka "lemona kaha onionio".

Next ke kui kele ma ua UAIAaIN ma ka hou e pono ai, a ua hookomoia ma waena o ka vertebrae o kekahi mau kenimika kīloi paʻewa i ka spinous keʻano o ka hanaʻana. E like me ke kuikele hookomo haʻawina i kekahi wahi nui o ka pāʻoihana. Ua hoʻokomo loa i loko o ke kaʻina. Ke kui kele ma ua laila hapa 'ia ka weheʻana, a hoouna aku hoʻi ma lalo o ka lima o ka i oi mamua o 2 knm. 5 ml o ka pāʻoihana ua hoʻolauna i ke kiʻekiʻe o kēlā me kēia Hoʻohana o ka spinal kolamu.

Blockade lawelawe 'ia ka papa kuhikuhiE kumu ekolu: ma waena o ka 4th a me ka 5th lumbar vertebrae, ma waena o ka 5th lumbar a me ka m 1-sacral, ma ka 1st sacral lua. I ka wa i olelo ia eha maʻi pale hoʻopaʻaʻeluaʻaoʻao manipulation me ka hoʻohana 'eono wahi. Ke kaʻina hana i kahi o 40 minuke o ka manawa. No kekahi mau hola ma hope o ka anesthesia ka hoʻomanawanui mea ma lalo o ka hooponopono ana o hoʻomalu.

Epidural spinal blockade - He aha ka mea?

Epidurit a sciatica i ka PAaIEN no epidural hooponopono o analgesic ai '. I ka anesthesia o ka lumbosacral spine hoʻomanawanui mea ma konaʻaoʻao, summing kulou kuli i ka'ōpū. Anus kaʻawale hoʻohana sterile pepa paha a lahilahi. Disinfected kahua ma wahi o ka wā e hiki mai hooponopono o ka ai '.

Ma ka wānana o ka lalo sacral lua ko lakou hoomakaukau ana ua lawelawe intradermally. A laila, hoʻololi i ke kuikele, a inject ia i loko o laua, eo ke komoʻili lahilahi i loko o ka sacral Canal. Next, ke kuikele iho kūpono kou horizontally i ka hohonu o ole oi aku 5 knm, unuhi aku la ia loli mana ma ka tensioning kuʻe. lāʻau 'ua lawelawe i loko o ka wa e kaawale aku o Contents. Ke hoomanawanui ke hāhā puʻe, a distension i loko o ka coccyx.

ʻO kā mākou dala o ka lāʻau lawelawe i loko o ka hookahi manipulation, he 60 ml. Epidural aeie hiki ke hoʻohana:

• procaine;
• cyanocobalamin;
• thiamine;
• corticosteroids.

hiki complications

A pau 'ano o ka anesthesia E e hana wale nō ma ka palapala hōʻoia no nā limahana ma lalo o sterile ana. Oāwa blockade ka pahu kui, kahua aaioee huahelu, a pau nā kaʻina hana i kauoha mai kānana adherence i asepticʻano hana. 'Ole no ke kaʻina hana e loli i ke ahonui o ka ola, a alakai ai i na kēia mau complications ma hope spinal blockade:

• kahe ana ke koko ma muli o ke poho i vascular ano hoopono;
• hanahana loa kaʻeha ma ka ka pahu kui paena;
• naehana hanu ole ka wā LIKE o ia hoʻi, i loko o ka subarachnoid makahiki ;
• allergic reactions;
• 'opi;
• hoʻohuikau o ka urinary bladder;
• maʻiʻaʻai o spinal kaula, a me ka wahi o ka puncture;
• neurological reactions;
• poho i nā aʻalolo, ipu koko, ligaments a Muscle nakeke ma inaccurately i hana.

ka hopena

Ke blockade o ka spine, i hookoiaʻi ka mea maikaʻi i kou manaʻo kaʻina hana ua manaoia e e kokoke i ka wale ala mai i ka wa e kaawale aku o ka laulā o ka makeʻe kulana Inc. OAXA na kumu e ano hope o ka hoʻokolokolo pono ninaninau o ke ahonui a me ka ikaika adherence i na rula o ka asepsis a me ka antisepsis i manipulation.