Neck vagosympathetic kawancen a kan Vishnevsky

Drug kawancen na mahaifa vertebrae na m akwati tare da vagus jijiya da ake kira "kawancen vagosympathetic". Ta umurce Aleksandr Aleksandrovich Vishnevsky da niyyar ya katse jijiyar a lokacin plevropulmonalnogo tura saboda traumatic cuta da kuma raunin da kirji yankin.

Yana bada barga sakamakon tabbatacce a cikin cututtuka na kumburi yanayi da daban-daban ailments tsoka sautin.

Shane novocaine kawancen samu S. G. Zograbyan da nufin gane gipotenzionny ciwo traumatic asalin. A lura da gwaji kwakwalwa rauni a cikin abin da kawancen na mahaifa m ganglia a dabbobi da cerebral hypotension iya haifar da karin intracranial matsa lamba ga wani gajeren lokaci. Rage-rage ciwon kai a 80% na lokuta bayan hanya. Amma sakamakon dade kawai kamar wata hours. Wannan shi ne saboda gaskiyar cewa kawancen a lokacin da cerebral jijiyoyin bugun gini spasm sauqaqa, a sakamakon inganta jinin samar da kwakwalwa.

Bisa ga abin da hanya?

Kawancen vagosympathetic - wata hanya zuwa ga al'ada-pathogenetic magani dangane:

• A takaice dai dakatar gefe juyayi patency.
• A dauki na raw novocaine bayani ga sigina da ayyuka na tsakiya m tsarin (CNS).

amfanin kawancen

A karkashin wadannan kayan abinci Vishnevsky zo da wasu karshe:

• Domin daban-daban dalilai, da kumburi tsari a farkon da girma ne batun guda dokokin.
• A ci gaba da aiwatar da kumburi za a iya dakatar da har shi ne a mataki na serous infiltration na kyallen takarda.
• M kumburi form sosai da sauri iyakance, abscesses da kuma yarda kadan wucewa - da aka yi wahayi.
• Infiltrative, unsharp da sauran kullum siffofin kumburi suna bayyana trophic canjawa, wani lokacin bystrorazreshimymi.
• The cututtuka dangantawa da pathological canje-canje a cikin gabobin. Kadan hangula daga cikin juyayi tsarin, wanda ya yi aikin mahaifa vagosympathetic kawancen Gabar ruwan 'ya'ya daga modified jihar. A wannan kawancen a irin wannan tafiyar matakai shafi Multi-aiki: damar da spasm, ya mayar da paresis.
• Matakai pathological yanayi, wanda ake sa ta canji a cikin aiki nassi da capillaries, novocaine block fuskantar da su gyara physiological matsayi na jijiyoyin bugun gini bango.

Abin da irin blockades zama?

Ka yi la'akari da wannan tambaya a cikin mafi daki-daki. The main iri closures:

• Kawancen na karaya na dogon ƙasũsuwa.
• Futlyarnoy kafada block.
• Futlyarnoy kawancen shin.
• Kawancen da gicciye sashe.
• Kawancen na femoral jijiya.
• Sciatic jijiya.
• Tibial jijiya.
• Peroneal jijiya.
• Intercostal madugu kawancen.
• Paravertebral kawancen.
• Kuma ba shakka, wuyansa vagosympathetic.

Vagosympathetic kawancen: shaidar

Alamomi mahaifa vagosympathetic kawancen ne ma:

• Plevropulmonalnoe buga.
• Mahara haƙarƙari samu karaya.
• Open, rufe da bawul gungu.
• Burns na numfashi fili.
• Postoperative ciwon huhu.
• Syndromes traumatic maƙura.
• Syndromes na m blockages (na huhu form).

Mafi sau da yawa da shi ya auku a wadannan pathologies yi hanya.

Don kawancen da aka za'ayi da vagosympathetic Vishnevsky hanya, dole ne ka san m-ilimin Halittar Jiki dangane da m akwati da vagus jijiya. Wadannan neoplasms ne sama da hyoid kashi a daya kletchatochnyh yankin da ya samar da wani bayani na wani synchronous tarewa yiwuwa a lokacin da gudanar nan novocaine. Kasa kasu parietal Layer na hudu fascia.

haƙuri shiri

Kafin farkon kawancen na likita na nazarin rubutu a kan vial ko ampoule m. A haƙuri kamata ko da yaushe ta kasance a cikin supine matsayi saboda mataki na maganin sa barci ba ya ware bayyanar daban-daban rikitarwa. Kafin tiyata ko da yaushe bi da fata tare da wani maganin antiseptik bayani. Kawancen da aka ma ake bukata. Processing wajibi ne a gudanar da wani m-akai, tun ba shi yiwuwa su hana lamba tare da pathogens a huda site.

Bayan da cewa, yankin na fata wajibi ne a gabatar da wani bakararre lilin.

Abin da ya faru na gaba?

A haƙuri aka sanya a kan baya a karkashin ruwa a lokaci guda yana sanya wani matashi. The shugaban da aka juya su a gaban shugabanci na inda kawancen. A hannu na haƙuri by ja saukar da kawancen. By raya gefen dama sternocleidomastoid tsoka, sama ta tsakiya kamar 1-1.5 cm allura karkashin fata na 1-2 ml 0.25-5% bayani daga m bayani. Idan siffar Yarema jijiya ba bayyane, sa'an nan da sa wuri na allura predetermine matakin gano da babba baki na epiglottis thyroid.

Yadda daidai aikata vagosympathetic kawancen?

Dabara ne na musamman, shi ne da za'ayi kawai sosai m kwararru. free hannunka tsokoki da kuma tasoshin manuniya da aka canja a cikin da kuma overtures farko surface na vertebrae na mahaifa kashin baya. Bugu da ari, a yatsa karshen da aka gabatar a manyan allura da kuma motsa a cikin gida zuwa da farko vertebral surface. A lokacin sa na allura da wani karamin girma, a 2-3 ml, da bayani da aka bugu da žari allura m ga zafi taimako hanya. Da zarar da allura tip shãfe vertebrae yi aspirate (da za'ayi a domin kauce wa intravascular gwamnati na m). Bayan gaskatãwa cewa jini ba kai a cikin sirinji ne sannu a hankali kara 30-60 ml na 0.25% bayani daga m. Da allura da aka sa'an nan ja daga da guga man da allura site sterilization gauze for 1-2 minti.

Idan ka tsananin tsayar da cika tare da dokokin vagosympathetic kawancen m bayani kan samar da vagus jijiya da kuma sauran jijiyoyi da cewa mika daga mahaifa m akwati nodes.

Alamun bayan hanya

A tasiri hali na kawancen vagosympathetic haƙuri Yanã da wadannan cututtuka:

• Ptosis (drooping daga cikin manya fatar ido).
• Miosis (ƙanƙancewa na almajiri).
• Enophthalmos (mahaɗar tsakãninsu eyeballs baƙin Horner ta triad).
• Jan fuska da mucous membranes da idanu.
• Perikornealnaya jijiyoyin bugun gini allura.
• Rage sweating yi ta kawancen.

Neck vagosympathetic kawancen a kan Vishnevsky cike zafi, tari reflex, sautunan da jijiyoyi kuma qara jini.

Kawancen ba za a iya yi a garesu a lokaci daya. A lokaci tazara tsakanin jiyya ya kamata a kalla 30-40 minti. Har ila yau, a lokacin da hanya ba za a iya kara wa adrenaline m bayani.

Abin da ya haddasa wannan hani? Gaskiyar ita ce, za ka iya bazata samu numfashi inna saboda da kawancen.

rikitarwa

Bayan da kuma iya faruwa rikitarwa:

• Take hakkin da carotid jijiya a lokacin sokin.
• Take hakkin da ciki lakar jannayẽnsa.
• Take hakkin da esophagus.

Yiwuwar atonia da hanji paresis (irin matsalolin da ba su bukatar musamman da magani).

Duk wannan zai iya sa mahaifa vagosympathetic kawancen a kan Vishnevsky. Alamomi ga shi mun sake nazari.

madadin

Wani shiga tsakani a wuyansa bukatar access, cewa shi ne, yanke kowane Layer na fata. Don samun dama ga wuyansa kiwon lafiya dole ne a kiyaye, kamar yadda aka bayyana a jiki sashi. Saboda wannan, a kan wuyansa yin amfani da wani mai gangara damar Kocher, tafiya tare da su kẽta fata folds. Sutures bayan da aiki a cikin wannan yanayin ne yawanci ganuwa. Lokacin dauke da fitar aiki a kan sassa na wuyansa tare tsaye sau da yawa amfani da wani a tsaye sashe tare da gaba ko baya baki sternocleidomastoid tsoka. Musamman m seams bayan wani tsakãtsaki ce a tsaye sashe. Vagosympathetic kawancen (dabara ne quite na kowa) zai taimaka wajen kauce wa wannan aiki.

Tare da svom kiwon lafiya ba su da bukatar jokes, ya kamata tsayar ranmu da kuma zama vigilant. Sa'an nan daban-daban m hatsarori za a iya kauce masa.