Torusalnaya anesthesia ma dentistry: o nā mīkini home, anesthesia? Aie?

Anesthesia torusalnaya ole ma Veisbrem anesthesia hana ma ka holoʻokoʻa wahi o ka mandible, a me mucous membranes, niho, ili o ka papalina, ka chin, a me ka alveolar iwi. Ke koena unuhi o keia hana, mai ka mea kahiko i ka mea i ke kauka inserts he kuikele 'ana, me kekahi inclination loli. Torusalnoe anesthesia ua Hoʻololi 'mandibular anesthesia.

Nāʻikepili no ia hana

Torusalny anesthesia hana hoʻohana i loko o ia hihia.

• eha kahua niho lapaau i loko o ke kahua niho noho (mai caries a pōʻalo o ka niho ma ka lalo iwi);
• airless Turo applique au i ka wa a ka mandibular trauma;
• wehe incorrectly hana niho;
• ʻoki lāʻau lapaʻau 'uao no ka wehe' ana o cysts like hoʻi me nā hikoko ma ka mandible (lawe pū ia i kekahi hanana ua mai ma lalo o kūloko anesthetic);
• kāʻili maopopo ulu niho apo la i loko o ka iwi;
• puka o abscesses (pus me ka ho okumu), akā, i loko o keia kulana home 'ole e hui pu iho la kekahi mau? ueo analgesia;
• ana no ka hewa o ke akamai niho ma ka lalo iwi ā.

Oe Pono e ike

E pono hoʻokō anesthesia mea pono e ike i ka 'äina o ka iwi ā hamama, i kahi ma luna o ka huna ili o ka ai manamana ai iwi (mai ka mua māhele o ka iwi ā kualapa ma ka laulā o ka 15 mm, mai kaʻaoʻao kūkulu - 13 mm o mai o ka pā palena pau o lalo, iwi - 27 mm o, a ma luna o kona ana - 22 mm). Ma nā mākua, keia puka ua aia ma luna o ka māna surfaces o ka lalo molars, a me na keiki, a me nā kūpuna - he uuku lalo.

Front wānana slit hoomaluia ma ka iwi no laila,-kapaia mandibular elelo ciia. No laila, e hana ka mea nui kupono e lawe torusalnuyu anesthesia, he ka pahu kui i ma ka wahi i 0.7-1 knm ma luna o ka puka 'ilikai, oa ma luna o ka ili o ke alelo wahi o ka iwi ā lalo. Ma kēia wahi i ke aʻalolo outgrowth ua waiho i loko o ka iwi Groove, kahi malaila mea he porous lole e leie aku i ka lāʻau, e uku ole ia mai, e halii mai.

He aha pahu hopu i mandibular anesthesia

Conduction anesthesia i loko o ka mandible ma Veisbrem pinepine i kapa torusalnym. Haʻalele ka typical kaʻina hana, i ka hana o keia papa hana mea e hoʻokō mandibular puu, ma kahi e ua nānā 'ana i iwiʻeho -'aʻaʻa condylar hui a me ka coronal germs. Ua ua kau ma luna o ka waho o ka hapa paʻa o ka lalo iwi ā iwi kokoke i ke alelo. Kēia lumen kele pūnaewele ma ka puluniu, a e pili ana i ka buccal, lingual a me mandibular nā aʻalolo nui ilpko o. Emi iki mahope o alveolar nā aʻalolo hihia ua hana intraoral a me ka extraoral ki ina hana like. I ka intraoral kokoke hoʻohana mau 'ana i kūpono e like anesthesia: palpation a me ka apodaktilnaya (me probing).

palpatory hana

Anesthesia hoʻohana 'palpation. E hana ia, e pono e loaʻa mai i ka wahi ma ka manao ana ke kino nalu (ia mea he hiʻona'āina no ka kuikele puncture) a me ka pozadimolyarnogo recess. Kino nalu iwi ka cushion i kŰlń ao, mai ka coronal germ i ka lingual paia o ka mandible alveolar ciia. Ma ka loko lilo o ka waihona meli ua maheleia i i loko o a me ka foxmike kaola. Ka mea, nāna i hana i ka mea uuku wahi - pozadimolyarny triangle.

Oia anatomic nele i ka hoomaopopo neoplasm mai pozadimolyarnoy fovea, a ua waiho ma waena o ka nalu, a me nā kino māhele o ka mua lalo iwi ā. Mai keia ka mea, penei pozadimolyarnoe i recess hoʻonoho ma kaʻaoʻao o ka triangle. Inā torusalnoe anesthesia ua hana ma ka akau, laila palpated ka pokou palena'āina me ka 'inideka manamana lima o kona lima hema, ina ka hema - ka manamana nui o ka lima hookahi.

Torusalnaya anesthesia lako a pan.

1. Ke hoomanawanui mai la i ka i kā mākou oaka ana i na waha, a probed ka mua kae o ka mandibular kaʻina hana ma ka pae o ka distal kolu molar leialii hiʻona (ina ia mea ole, alaila, no ka lua o ka molar).
2. Hele i ka manamana lima iki i ka loko, ke kauka loaʻa he kino waihona meli, a laila, waiho pozadimolyarnoy manamana lima i loko o ka recess, a ua hou ma ka lilo ana o kēia mau anatomical hale.
3. Hoʻopunipuni 'ohe ma luna o ka ili o ka premolar ma ka kekahi lima, i ka hoʻomalu hāpai mai ka ka pahu kui kele ma kokoke i ka lapa ma ke kino 0.8-1 knm ma luna o ka iliwai o kamaiʻilio kolu o molar, laila propels ke kui kele ma i ka mawaho, a me ka loko.
4. Ano, torusalnoy anesthesiaʻano hana nei penei: ai ka kuikele kīnā ka iwi i ka hohonu kahi e 0.5-0.7 knm, ma keia ciia ua wahahee he uuku mahele lāʻau o ka lapaʻauʻia no kaʻeha lingual nā aʻalolo, emi iki mahope o alveolar ke aupuni 'ia ma ke alo o ke aʻalolo.
5. A laila, i ka 'ohe e neʻe aku i ka meaʻoki hapa, a me ke kui kele ma ua nee aku no ia ma luna, oa laua i ka pā hapa paʻa kaʻina hana o ka lalo iwia, a hiki i ka hohonu o ka 2-3 knm e chamfer iwi ma ka alveolar nā aʻalolo, a me ka leo o ka anesthetic koe ua injected.

I ka hoʻohana 'ana i kaʻikena lapaʻauʻia amide pūʻulu "R-S articaine Forte",' o ia hoʻi ka mahele lāʻau lawelawe nei ma kahi o 2 ml.

Apodaktilnayaʻano hana

I ka papa kuhikuhiE kulekele no ka manaʻo o ia i ka papa hana ua noʻonoʻo Pterygopalatine-mandibular pa hipa, a ua pono 'akomi i. Ua hiki e ololi, ka laulā a me meakino laula, aia i loko o ka loko lilo o ke kino nalu.

Pehea o ke kaʻina hana

Torusalnaya anesthesia ma dentistry ua hana like penei:

1. Ke dentist e haʻi i ka hoʻomanawanui oaka ana i na waha, a laila, hoʻopioʻana i ka 'ohe ma ka lalo iwi ā pae.
2. E hookomo oe kui kele lawe i loko o ka pā hene pterygopalatine-mandibular ohana hoi ma ka waena konu ma waena o ka māna Kekoa o ka luna, a malalo molars (ina i loaʻa - laila Midway hapa interm alveolar kualono a me germ).
3. E möakäka hou hoʻomalu E hana 'ia ke kuikele a hiki i kaʻaoʻao ma waho, a ma loko o ka pa a hiki i ka pili a hiki i ka iwi puluniu a hiki i ka hohonu o ka 1.5-2 knm, ma laila i hoʻolaunaʻia ma ka lapaʻauʻia no kaʻeha a me ka lalo lingual alveolar nā aʻalolo. Pterygopalatine-mandibular pa mea emi pololei olua ma mua o ke kino waihona meli.

extraoral ke kōkua o

Anesthesia torusalnaya mandible ua paʻa i loko o keia ano, ina, no kekahi laʻana, pilikia e ala mai oe me ka puka waha. Pehea o ka hanana:

1. Ua nānā 'ia ma ka wānana o ka mandibular oä ma ka ili. Keia puka ua aia ma ka waena konu o ka loloa, e holo ana mai o ka 'ilikai kae o ka tragus o ka pepeiao, a hiki i ke kuʻina ciia o ka mua laina o ka masseter Muscle.
2. E hookomo oe kui kele ma ua i ma ka wahi o ka waihona ipu iwi ā ma 1.5 knm i ka mua loa o kona huina.
3. A laila, i ka puka o ua neʻe pono ma luna 3-4 knm ma luna o ka ili o ka paʻa kaʻina o mandibular puka ia laua i konaʻaoʻao hoʻi. I ka manawa o ka hooholo ana o ke kui kele ma e noho ma kona hui 'ana me ka iwi.
4. I ka pau ana o ka anesthetic ua injected. Alaila, e hookuke aku i ke kui kele ma luna ma ka 1 knm, pili ana i ke koena o ka eha lapaau, pani ia i ka 'ōlelo' nā aʻalolo.

wahi anesthesia

Anesthesia torusalnaya kuhikuhi lawe mai i ka mea e anesthetize kekahi cii koke ma ka moʻolelo o ka lua, oia hoi:

• lingual a emi iki mahope o alveolar nā aʻalolo;
• chin ili, ma ke kahua o ka anesthesia;
• mandibular niho hapalua;
• mucosal a me ka ili o ka lalo lehelehe;
• alveolar iwiʻaoʻao a me ka hapa o ke kino o ka mandible;
• sublingual mucosa wahi, a me ka alo ana o ke elelo 2/3;
• mucousʻili lahilahi o ka alveolar paia wahi i ka lingual a me ka vestibular māhele 'āina.

Kekahi o ka alveolar mucosa keena hapa o ka mandible ma ka laulā, mai ka piko mai o ka lua o ka premolar a hiki i ka mea mua molar nä kualapa waena innervated. I mea e loa anesthetize i ka wahi ua hana mandibular anesthesia like penei: 0.5 ml injected hou ka lapaʻauʻia i ka palapala pa ma ke 'ano infiltration anesthesia.

Anesthetic result i loko o ia mau anesthesia hoomaka ma hope o 15-20 minuke. Ka lōʻihi like 'ole o ka anesthesia ke kaha 60-90 minuke. Ka oolea o ke anesthesia i loko o ka wahi o ka incisors a me canines i nui haahaa no ka mea, o ka mea anastomoses me ka lima e ku pono ana. Me keia anesthesia hoʻohana ai 'e like me: "Novocaine," "Trimekain", "Ultrakain" a me "lidocaine".

complications

Anesthesia torusalnaya ke lawe mai i nā palapala, penei:

• hematoma ho okumu;
• fracture ka pahu kui paipu;
• numbness pharyngeal nā'aʻaʻa;
• neuritis a malalo lingual alveolar nā aʻalolo;
• latent poino pterygoid Muscle contractures me ka hou ano o ka mandible.

Ka luna-i oleloia complications ana i ka 'aʻe' ana i proceduralʻano hana o ka anesthesia. Penei, i ke ana torusalnoy anesthesia - ke kaʻina hana ka paʻakikī a me ka pono i ka kiʻekiʻe palapala hōʻoia o ka dentist.