Neck vagosympathetic pā i runga i Vishnevsky

Drug pā o te pekehoe waha o te kātua pukuaroha ka karanga me te karere vagus ko te "vagosympathetic pā". whakahau ia Aleksandr Aleksandrovich Vishnevsky ki te whakaaro, ki te aruaru ponana karere i roto i plevropulmonalnogo ru tika ki disorders ngaukino, me te wāhi injuries pouaka.

E horo'a te reira i te hua pai pūmau i roto i mate o te natura inflammatory me nga mau ma'i ngā o te āhua uaua.

Shane novocaine pā ite S. G. Zograbyan ki te whāinga, ki te mohio ki syndrome gipotenzionny takenga pāmamae. Ko te kitenga o te whara roro whakamātautau i roto i nei te pā o ganglia kaungāongo'i waha i roto i te kararehe ki te hypotension kaka kia arahi ki te pēhanga intracranial nui ake hoki te wa poto. Whakaitia ānini i roto i 80% o ngā take i muri i te tukanga. Otiia roa te hua o haora anake te tokorua. Ko e tika ana ki te meka e pā i te wa o te spasm iaia haaparuparu relieves, rite ki te hua o ake supply toto ki te roro tenei.

I runga i te aha tukanga?

vagosympathetic pā - he ara ki te maimoatanga ritenga-pathogenetic i runga i:

• I roto i te poto mutu patency piringa io.
• I roto i te tauhohenga o te otinga novocaine raw ringa hei whakaoho i te mahi o te pūnaha io pokapū (CNS).

hua pā

I raro i enei tikanga mai Vishnevsky ki etahi whakatau:

• Hoki ngā take, he kaupapa ki te taua ture te tukanga mumura i te timatanga o tona tupu.
• Ka taea te whakatārewatia te tukanga tupu o te mumura noa ko reira i te wā o te kookuhutanga serous o te kopa.
• mumura Pākaha o puka rawa hohoro iti, abscesses ka whakaaetia he e haere iti - kua whakakitea.
• Infiltrative, unsharp me ētahi atu momo ma'i o te mumura e whakahuatia huri arataukai, ētahi wā bystrorazreshimymi.
• Ko te mate e pā ana ki ngā huringa pathological i roto i te okana. ritenga iti o te pūnaha io, e mahi waha tangohanga vagosympathetic pā ōkena i te āhua whakarerekētia. I roto i tenei pā i roto i taua tukanga pānga maha-mahi: taea te spasm, Kia whakahokia te paresis.
• Processes āhua pathological, e kua meinga e huringa i roto i te wahi mahi, me tōiti, tataki poraka novocaine ki fakatonutonu tūnga whaiaroaro o te taiepa iaia.

He aha ngā momo o blockades te tīariari?

Whakaaroa tenei pātai i roto i te taipitopito atu. Ko te momo matua o closures:

• Pā o te whati o wheua roa.
• poraka pokohiwi Futlyarnoy.
• tāhau pā Futlyarnoy.
• Pā o te wāhanga ripeka.
• Ko te pā o te karere femoral.
• i memenge.
• karere Tibial.
• karere Peroneal.
• pā kawenga Intercostal.
• pā Paravertebral.
• A, o te akoranga, kaki vagosympathetic.

pā Vagosympathetic: iteraa papû

E hoki Tuhinga waha pā vagosympathetic:

• Plevropulmonalnoe ru.
• Maha piere rara.
• Open, katia me tautau takirere.
• Weranga o te wahi romahā.
• kakā Postoperative.
• Syndromes whakahēmanawatanga pāmamae.
• Syndromes o blockages fatty (puka pūkahukahu).

Nuinga o ngā wā puta reira i enei pathologies mahi te tukanga.

Ki kawea pā i roto i te taha tikanga Vishnevsky vagosympathetic, me mohio koutou i te hononga hauwarea-kikokiko o te kātua pukuaroha me karere vagus. Ko runga ake te enei neoplasms wheua wheua arero i roto i te kotahi wāhi kletchatochnyh e whakarato he whakamārama o te tūponotanga ārai tukutahinga ka whakahaere konei novocaine. Kei raro e wehea kahu kōpako o te wha o nga fascia.

faaineineraa manawanui

I mua i te timatanga o te pā o te tākuta tirohia te tuhituhinga i runga i te oko whakarehu ampoule ranei. kia tonu te manawanui i roto i te tūranga te maungārongo hoki o te mahi o te rehunga e kore tutakina te ahua o ngā pōauautanga. I mua i te pokanga tukinotia tonu te kiri ki te otinga rongoā horoi. Kei te hiahiatia hoki te pā. he tika tukatuka ki te whakahaere i te pūtake whakahauanga, mai te mea e taea ki te ārai i whakapā ki tukumate i roto i te pae poka.

I muri i taua, ko te rohe o te kiri he tika ki te tangohia i te rinena horomata.

Eaha te tupu i muri?

Ko te manawanui e whakanohoia ki runga ki tona hoki i raro i te mata i te wa taua e te urunga. koané te upoko i roto i te huarahi i te ritenga o te wahi i te pā. Ko te ringa o te manawanui e whakahoro te pā. Na roto i te mata muri uaua sternocleidomastoid tika, i runga i tona pokapū patia āhua 1-1.5 cm i raro i te kiri o 1-2 ml 0.25-5% otinga o te otinga whakarehu. Ki te kore te mea kitea āhua Yarema rua, na te wāhi whakaurunga o ngira fakaiku taumata te rapu i te tapa o runga o te thyroid ngao horomi.

Kia pehea te rite e te pā vagosympathetic?

he ahurei technique, kua kawea te reira i roto i anake tohunga tino tohu. free uaua ringa me oko o te maihao taupū neke i roto i, me te mau tamataraa mata tuatahi o te pekehoe o te tuaiwi waha. I tua atu i te mutunga maihao whakaurua te he ngira nui, me te neke whekau ki te mata vertebral tuatahi. I roto i whakaurunga o te ngira ki te rōrahi iti, i 2-3 ml, i ato'a patia te otinga faataoto mō tukanga mamae te tauturu. Kia pa te matamata ngira te pekehoe mahi aspirate (kawea atu i roto i te tikanga ki te karo whakahaere intravascular o te rongoā). I muri i te whakau e kore te te toto tae i roto i te pūwero te āta tapiritia 30-60 ml o 0,25% otinga o rongoā. Kei te ka unuhia te ngira i ka aki ki te sterilization whāriki wāhi i werohia hoki 1-2 meneti.

Ki te koe tino mau a ū ki te ture o vagosympathetic otinga pā rongoā tëtahi te karere vagus me ētahi atu ka raru ko e whakawhānui i te waha kōpuku kātua kaungāongo'i.

Tohu i muri i te tukanga

Ko te mahi whai hua o te manawanui te pā vagosympathetic ai te tohu e whai ake nei:

• Ptosis (kua tukua iho o te kamo runga).
• Miosis (hukihuki o te tauira).
• Enophthalmos (nenewha kongutu roto topu- o Horner).
• Whero o te mata, me kiriuhi mucous o kanohi.
• Perikornealnaya werohanga iaia.
• sweating iti mahi e te pā.

Neck pā vagosympathetic i runga i Vishnevsky Kōpeke mamae, mare kahuki, pepe te pūnaha circulatory me whakanuia ana te pēhanga toto.

e kore e taea te mahi pā i runga i ngā taha e rua i te wā kotahi. Ko te wā wā i waenganui i maimoatanga kia i te iti rawa 30-40 meneti. Ano i roto i te tukanga e kore e taea te tāpiri ki te otinga Adrenaline whakarehu.

He aha ai taua here? Ko te meka Ko e aitua e taea te tiki e koe pāpāngia romahā tika ki te pā.

pōauautanga

I muri i taea hoki te puta pōauautanga:

• Tūkinotanga o te iatuku kakī i roto i wehea.
• Tūkinotanga o te rua jugular ā-.
• Tūkinotanga o te pū kai.

Ko te tūponotanga o te atonia me paresis intestinal (kore e taua pōauautanga rapua e maimoatanga motuhake).

tenei katoa e taea meinga pā vagosympathetic waha i runga i Vishnevsky. Kua arotakehia e matou tohu ki reira.

rerekē

Tētahi atu wawaotanga i runga i te kaki titau te uru, e ko, tapahia ia paparanga o te kiri. Hei te uru me tonu te akuaku kaki, kia rite ki te whakakitea reira he wahi tinana. No te mea o tenei, i runga i te kaki te whakamahi i te uru hake Kocher, e haere ana me nga taiepa te kiri hake. Sutures i muri i te mahi i roto i tenei take, ko te nuinga o te wā e kitea. A, no te mau ana i roto i ngā mahi i runga i ngā wāhanga o te kaki ki te wä roa maha whakamahi i te wāhanga roa me te mua mata muri uaua sternocleidomastoid ranei. Rawa kaimono kitea i muri i te wāhanga roa tau waenga. pā Vagosympathetic (Ko te tino noa tikanga) ka āwhina i ki te karo i tēnei mahi.

Ki te hauora svom kore e hiahia ana ngahau, kia mau whakatūpatotanga haumaru, me te noho mataara. Na e taea te karohia ngā aituā kino.