N'olu vagosympathetic mgbochi na Vishnevsky

Drug mgbochi nke cervical vertebrae nke ọmịiko ogwe tinyere vagus akwara na-akpọ "mgbochi vagosympathetic". Ọ nyere iwu Aleksandr Aleksandrovich Vishnevsky na ebumnuche ịkwụsịtụ akwara esi gboo n'oge plevropulmonalnogo ujo n'ihi traumatic ọrịa na unan obi ebe.

Ọ na-enye a mụ mma N'ihi na ọrịa nke mkpali ọdịdị na dị iche iche ọrịa nke Akwara ụda.

Shane novocaine mgbochi nwetara S. G. Zograbyan na ebumnuche na-aghọta gipotenzionny syndrome traumatic malite. The kwuru nke ibuo mmerụ ahụ n'ụbụrụ nke na mgbochi nke cervical ọmịiko ganglia na ụmụ anụmanụ na-arịa ọrịa hypotension pụrụ iduga ubara intracranial ọnọdụ maka a obere oge. Mbelata isi ọwụwa na 80% nke ikpe mgbe usoro. Ma, n'ihi kere naanị awa ole na ole. Nke a bụ n'ihi na eziokwu na mgbochi na oge nke ụbụrụ vaskụla spasm aka, dị ka a n'ihi nke mma inweta ọbara ụbụrụ.

Dabere na ihe usoro?

Mgbochi vagosympathetic - a ụzọ omenala-pathogenetic ọgwụgwọ dabeere na:

• Na nkenke kwụsị elu ụjọ patency.
• Na mmeghachi omume nke ndu novocaine ngwọta maka egosi na ọrụ nke Central ụjọ usoro (CNS).

uru mgbochi

N'okpuru ndị a ndokwa Vishnevsky abịa ụfọdụ mmechi

• N'ihi na dị iche iche, mbufụt usoro ná mmalite nke ya ibu dị n'okpuru otu iwu.
• Uto usoro nke mbufụt nwere ike kwụsịtụrụ na ya ruo mgbe ogbo nke serous infiltration nke anụ ahụ.
• Siri ike mbufụt nke ụdị ngwa ngwa oke, ahụ etuto na-ekwe a nta agafe - na-ekpughe.
• Infiltrative, unsharp na ndị ọzọ na-adịghị ala ala iche-iche nke mbufụt na-owụt trophic akọwa, mgbe ụfọdụ bystrorazreshimymi.
• The ọrịa metụtara na-enweghị nchịkwa na mgbanwe na akụkụ. Nta iyatesịt nke ụjọ usoro, nke rụrụ cervical vagosympathetic mgbochi ngwa extracts si ju ala. Na nke a mgbochi dị otú ahụ Filiks emetụta multi-ọrụ: na-enye ohere spasm, weghachiri paresis.
• Filiks enweghị nchịkwa uwa, nke na-kpatara mgbanwe ke ọrụ Itie na capillaries, novocaine ngọngọ na-gbazie n'ahụ ọnọdụ nke vaskụla mgbidi.

Olee ụdị blockades adị?

Tụlee ajụjụ a ihe zuru ezu. The isi ụdị nke closures:

• Mgbochi nke mgbaji ọkpụkpụ nke ogologo ọkpụkpụ.
• Futlyarnoy ubu ngọngọ.
• Futlyarnoy mgbochi ukwu.
• Mgbochi nke cross ngalaba.
• The mgbochi nke femoral akwara.
• Sciatic akwara.
• Tibial akwara.
• Peroneal akwara.
• Intercostal conduction mgbochi.
• Paravertebral mgbochi.
• Na N'ezie, olu vagosympathetic.

Vagosympathetic mgbochi: àmà

Egosi cervical vagosympathetic mgbochi nwekwara:

• Plevropulmonalnoe ujo.
• Multiple ọgịrịga fractures.
• Open, mechiri na valvụ ụyọkọ.
• Burns nke akụkụ okuku ume tract.
• Postoperative oyi baa.
• Ọrịamkpokọta traumatic mkwomeuzu.
• Ọrịamkpokọta nke ọdụdụ blockages (akpa ume ụdị).

Ọtụtụ mgbe ọ pụtara na ndị a pathologies ịrụ usoro.

Iji mgbochi e rụrụ site vagosympathetic Vishnevsky usoro, ị ga-mara na ntugheriukwu-anatomical njikọ nke obi ebere na akpati vagus akwara. Ndị a neoplasms bụ n'elu hyoid ọkpụkpụ na otu kletchatochnyh ebe na-enye nkọwa nke a synchronous igbochi puru mgbe ndinọ ebe a novocaine. N'okpuru na-ekewa parietal oyi akwa nke anọ fascia.

ndidi nkwadebe

Tupu mmalite nke mgbochi nke dọkịta na-enyocha ihe e dere n'ihe mkpọ ma ọ bụ ampoule anestetiiki. Onye ọrịa mgbe niile kwesịrị ịbụ na supine ọnọdụ n'ihi na nke ihe nke ná Nkụnwụ adịghị ewepu ọdịdị dị iche iche nsogbu. Tupu ịwa ahụ mgbe niile emeso anụ ahụ na ihe antiseptik ngwọta. The mgbochi a na-chọrọ. Nhazi dị mkpa iji na-eduzi a amanyere bụ iwu nke ndabere, ebe ọ bụ na ọ gaghị ekwe omume iji gbochie kọntaktị na pathogens na mgbapu saịtị.

Mgbe ahụ, ebe nke anụ dị mkpa iji wetara a akpali mmasị linen.

Gịnị na-eme na-esonụ?

Onye ọrịa na-etinye na ya azụ n'okpuru agụba n'otu oge na-ewepụta a fom. The isi na-agba gburugburu na-abụghị uzo nke ebe mgbochi. Ogwe-aka nke onye ọrịa site Anam Udeme ala mgbochi. Site n'azụ ihu nri sternocleidomastoid muscle, n'elu ya center dị 1-1.5 cm agbara n'okpuru anụahụ nke 1-2 ml 0.25-5% ngwọta nke anestetiiki ngwọta. Ọ bụrụ na udi Yarema akwara adịghị anya, mgbe ahụ ntinye ọnọdụ nke agịga ụzọ kpebie larịị ịchọta elu onu nke epiglottis thyroid.

Olee kpọmkwem otú vagosympathetic mgbochi?

Usoro bụ ihe pụrụ iche, ọ na-rụrụ naanị ukwuu ruru eru ọkachamara. free n'aka uru na ihe nile nke index mkpịsị aka na-gbanwere na na overtures mbụ elu nke vertebrae nke cervical spain. Ọzọkwa na mkpịsị aka ọgwụgwụ na ẹkenam a nnukwu agịga na-akpali ime ime kwupụta mbụ vertebral n'elu. N'oge ntinye nke agịga na a obere olu, na 2-3 ml, ihe ngwọta na-Ọzọkwa agbara anestetiiki maka mgbu enyemaka na usoro. Ozugbo agịga n'ọnụ metu vertebrae eme aspirate (rụrụ iji zere intravascular ochichi nke anestetiiki). Mgbe na egosi na ọbara na-adịghị ahụ ruru na ntụtụ na-nwayọọ nwayọọ kwukwara 30-60 ml nke 0,25% ngwọta nke anestetiiki. The agịga na-ahụ wee kwalie enwe megide na-agbanye saịtị nwoke ịga ụlọ ọgwụ fere fere maka 1-2 nkeji.

Ọ bụrụ na unu edebezuo na ime iwu nke vagosympathetic mgbochi ụfụ ngwọta secures na vagus akwara na ndị ọzọ na irighiri akwara na-akpọ si cervical ọmịiko ogwe ọnụ.

Mgbaàmà mgbe usoro

The irè omume nke mgbochi vagosympathetic ndidi na-akpata na-esonụ mgbaàmà:

• Ptosis (drooping nke elu nkuchianaya).
• Miosis (mkpi nke nwa akwụkwọ).
• Enophthalmos (confluence eyeballs n'ime Horner si chi atọ n'ime).
• Nācha ọbara-ọbara nke ihu na mucous membranes nke anya.
• Perikornealnaya vaskụla ogwu ogbugba.
• Belata sweating mere site na mgbochi.

N'olu vagosympathetic mgbochi na Vishnevsky suppresses mgbu, ụkwara mpiaji, aj u na usoro ọbara ji erugharị na enwekwu ọbara mgbali.

Mgbochi na-apụghị mere na abụọ otu mgbe. The nkeji oge n'etiti agwọ ọrịa ga-dịkarịa ala 30-40 nkeji. Ọzọkwa, n'oge usoro ike-atụkwasịkwara na adrenaline anestetiiki ngwọta.

Gịnị na-akpata otú ahụ mgbochi? Nke bụ eziokwu bụ na i nwere ike na mberede na-akụkụ okuku ume na mkpọnwụ n'ihi na mgbochi.

nsogbu

Mgbe nwekwara ike ime nsogbu:

• Mebiri nke carotid akwara n'oge ịkpọpu.
• Mebiri nke esịtidem jugular akwara.
• Mebiri nke na nkọlọ.

The puru nke atonia na nsia paresis (dị nsogbu anaghị achọ pụrụ iche ọgwụgwọ).

All nke a nwere ike ime ka cervical vagosympathetic mgbochi na Vishnevsky. Egosi ya anyị enyocha.

ọzọ

Ọzọ aka n'olu na-achọ ohere, ya bụ, bee ọ bụla oyi akwa nke anụ. Iji nweta n'olu ọcha ga-aka iso, dị ka ọ na-mara a ahu so. N'ihi nke a, na n'olu iji a transverse ohere Kocher, aga transverse akpụkpọ ogige. Isi agịga Ma do mgbe ọrụ na nke a bụ na-emekarị-apụghị ịhụ anya. Mgbe arụ arụmọrụ na akụkụ nke n'olu na longitudinal na-eji a longitudinal ngalaba tinyere n'ihu ma ọ bụ n'azụ ihu sternocleidomastoid muscle. Karịsịa kwesiri ngosi seams mgbe a etiti longitudinal ngalaba. Vagosympathetic mgbochi (Usoro ezi ọsọ) ga-enyere iji zere nke a na ime ihe.

Na svom ahụ ike na-adịghị mkpa njakịrị, ga-edebe nchebe anya ma nọgide na-amụ anya. Mgbe ahụ dị iche iche na wetara ihe mberede nwere ike izere.