Blockade na spine: iri, manufar, shirye-shirye, sakamakon

Ciwo na ciwo shine babban alama na hoto na asibiti na tsarin kwayoyin halitta, musamman, spine. Ya kamata a kama shi da gaggawa a cikin gaggawa, har ma da aka ba shi cewa yaki da cutar ba shine tsarin farfadowa ba. Blockade na kashin baya yana daya daga cikin ayyukan da ke faruwa a cikin maganin maganin matsalolin maganin ƙwaro.

Sanin gaba ɗaya

Yana da wuya ga kwararru don dakatar da ciwon ciwo mai tsanani fiye da ciwo mai tsanani, tun lokacin da bayyanuwar farawa ta kasance da hali na tsakiya. Wato, abin da ake mayar da hankali shine kafa ƙwayar cuta ba a matakin jin dadin masu karɓa na gida ba, amma a kwakwalwa. Jiyya na wannan yanayin ya fi tsayi kuma yana buƙatar yin amfani da antidepressants da antipsychotics.

Don hana wannan, yanayin farfadowa na rigaya a farkon farkon cutar yana amfani da irin wannan farfadowa a matsayin mai shinge na kashin baya. Mene ne wannan kuma yadda aka gudanar da tsari, zamu duba gaba.

Tsarin shi ne haɓaka hanyar haɗin kai daga hanyar da ke fama da ciwo, ta yin amfani da maganin analgesics. Bugu da ƙari, manufar warkewa, an yi amfani da katako na kashin baya don ganewar asali. Cutar da ba a bayyana shi ba yana buƙatar gabatar da ƙwayoyin cuta, wanda ya ba da damar samfurin kawarwa don tantance ɓangaren ci gaban sana'o'i. A matsayinka na mulkin, ciwon ciwo "ya kashe" nan take bayan magudi.

Alamomi

Kwayoyin cututtukan ƙwayoyin cuta, da ake buƙatar yin amfani da katako, dole ne ya kasance tare da bayyanar da raɗaɗi. A maimakon haka, yin amfani da magunguna don wannan dalili bai dace ba. Anyi aikin ne a cikin wadannan pathologies:

• Osteochondrosis;
• gaban herniated fayafai.
• Sanarwar spondylosis;
• Radiculopathy;
• Rashin ciwo;
• Neoplasm na intervertebral sarari;
• Tsarin bakin ciki na canal.

Ana gudanar da tsari a cikin waɗannan lokuta idan babu wata magungunan magani. Cutar da ke faruwa bayan an fara allura, duk da haka, cututtukan cututtuka na cututtuka suna buƙatar gyaran fuska 2-3 zuwa 15, da aka yi a cikin lokaci na kwanaki da yawa.

Abubuwan da ake amfani da shi a cikin kullun yana da tasiri, mahimman rinjayen sakamako yayin kiyaye ka'idodin hali, da yiwuwar amfani dasu akai-akai. Bugu da ƙari, maganin rigakafi, magudi yana da wani maganin ƙwayoyin cuta da kuma maganin antispasmodic, wanda ya dogara da kwayoyi da aka zaɓa.

Ƙididdigar ƙididdigar ƙididdiga

Ya danganta da yawan kwayoyi, an gabatar da su a lokaci ɗaya, daban-daban magudi:

• Monocomponent (daya wakili);
• Dicomponent (biyu jamiái);
• Polycomponent (kayan aiki uku ko fiye).

An fara allurar rigakafi na asibitoci a cikin sassan sassan jiki:

1. Ƙungiyoyi na kashin baya - thoracic, mahaifa, lumbar, sacrum.
2. Magunguna - sciatic, occipital, tibial, suprathapathic, na baya rassan na jijiyoyin ƙwayoyi jijiyoyi.
3. Kwayoyin ƙwayoyin ƙwayoyin cuta - tsokoki na kai, tsoka mai tsaka-tsalle, gaban matakan baya.
4. Ƙididdigar rufi da kuma wuri-wuri.
5. Facet gidajen abinci.
6. Joints - sacroiliac da sacrococcygeal.

Blockades a cikin hernia na kashin baya sun kasu kashi biyu:

1. Tsarin ginin da ake ciki yana nuna cewa injected da miyagun ƙwayoyi a cikin ƙananan suturar ƙarancin jijiya.
2. Tare da tsari na intralaminar, an saka magungunan tsakanin tsaka-tsakin vertebral kai tsaye a cikin diski na cartilaginous.

Contraindications

Blockade na kashin baya yana da wasu contraindications, wanda likita la'akari a lokacin duba mai haƙuri. Kowace asibiti yana dauke da kowanne ɗayan, ya bayyana yiwuwar hadarin bunkasa sakamako. Ba ayi hanya ba a ƙarƙashin yanayin alamu:

• Cututtuka da halin da ake ciki ya zubar da jini;
• Tsarin cututtuka na jiki da kuma bayyane a cikin yanki;
• Rashin hankali ga mai haƙuri;
• Mutum rashin yarda da magungunan da aka yi amfani dasu;
• Zuciyar zuciya da jijiyoyin jini;
• Cikakke;
• Tsarin tsaka-tsakin yanayi;
• Mutuwar tunani;
• Yaran yara;
• Lokaci na ciki da lactation;
• Organic raunuka na hanta da kodan.

Anesthetics gida

Abubuwan da suke samar da sakamako mai tsanani, ana amfani dashi ga kowane nau'in blockades, ta yin amfani da miyagun ƙwayoyi ta hanyarsa ko a hade tare da wasu magunguna.

An yi amfani da katakon gyaran kafa na novocaine sau da yawa fiye da sauran ƙwayoyin cutar. Ana samun samfurori a cikin hanyar maganin injections tare da nau'i daban-daban na abu mai aiki (daga 0.25% zuwa 2%). Sakamakon cutar yana tasowa bayan 'yan mintoci kaɗan bayan an gama shi. Injection tare da aikace-aikace na "Novocaine" anesthetizes har zuwa 2 hours.

Ana amfani da Marcain don dakatar da ciwon ciwo. Sakamakon gabatarwar kayan aiki yana da farkon farawa. Lalacewar bace bayan minti 20, amma tsawon lokacin aikin zai iya kaiwa sa'o'i 5-6. Ana yin amfani da "Markain" kawai bayan nazarin zuciya na zuciya da kuma jinin jini.

Abun da ke gaba na gida wanda yake amfani da ita shine ya magance ciwon gine-gine shine Lidocaine. Farashin miyagun ƙwayoyi yana a cikin ƙananan ƙananan (kimanin 30 rubles a kowace kunshin), wanda ke sa shi mai araha don amfani. Ana amfani da miyagun ƙwayoyi ta hanyar aiki mai sauri da kuma tsawon lokaci fiye da Novokain.

"Novocain" da "Lidocaine", farashin abin da yafi samuwa, ana amfani dasu fiye da sauran kayan aikin gida. Kafin amfani da kowanne daga cikinsu, ya zama dole a bincika mutumin da zai iya lura da shi don hana ci gaban wani abu mai rashin lafiyan.

Shirye shirye-shirye

Shirye-shirye hormonal abun da ke ciki da magani daga pathologies daga cikin kashin baya a cikin irin kai-gwamnati suna da wuya amfani. Mafi sau da yawa ana amfani da su don biyan gidajen abinci. Blockade na kashin baya yana buƙatar haɗin corticosteroids tare da wasu kwayoyi (alal misali, anesthetics). Magungunan ƙwayoyin cuta suna rage ciwo, dakatar da ƙonewa, rage rashin tausayi da rashin bayyanar jiki.

Ma'aikatan da suke amfani da su a cikin maganin kimiyya:

1. "Prednisolone" an haxa shi da daya daga cikin kwayoyin cutar analgesic (Procaine, Lidocaine, Novocaine). Ana amfani da shi don amfani da shi tare da hernia na kashin baya, radiculitis, osteochondrosis.
2. "Hydrocortisone" ana amfani da shi don hanawa jijiyoyi. Mix sosai tare da rigakafi kafin gwamnati.
3. "Diprospan" ana amfani dashi ga kowane irin taimako mai zafi. Maganin miyagun ƙwayoyi yana da kyau don ci gaba da bunkasa sakamako da kuma tsawon lokaci.
4. Ma'anar "Kenalog", baya ga anti-allergic da anti-inflammatory, yana da sakamako na immunosuppressive. An yi amfani dashi ga kowane nau'i na katako da haɗin gwiwa.

Wasu magunguna

Sauran kwayoyi ba su da wani tasiri. An yi amfani da su a cikin abun da ke ciki na polycomponent blockades kuma sun hada da wadannan kwayoyi:

• Ƙungiyar anti-mai kumburi ba tare da ɓoye ba;
• Vitamin na rukuni B;
• Enzymes ("Lidase", "Papain");
• "ATP";
• Antispasmodics ("Platyphylline");
• "Thrombolizine";
• Chondroprotectors ("Rumalon").

Misali na hanya

Ka yi la'akari da misalin magudi. Novocaine kawancen na lumbar kashin baya ne da za'ayi a cikin yiwuwa matsayi. Sakamakon magungunan injection, ana bi da shi da maganin antiseptic. Yin amfani da allurar bakin ciki, an yi amfani da miyagun ƙwayoyi a cikin intradermally don samar da "lemun tsami".

Sa'an nan kuma an maye gurbin allurar ta tsawon lokaci kuma an sanya shi a tsakanin mahimmancin ƙididdigar ƙananan centimeters a kaikaice zuwa matakai masu sassauci. Yayin da aka saka allurar, an ba da adadi kaɗan a cikin wani bayani. An gabatar da iyaka a cikin tsari. Sa'an nan kuma, an rabu da allurar da baya kuma an umurce shi zuwa sama fiye da 2 cm 5 ml na maganin an allura a matakin kowane ɓangaren sashin kashin baya.

An aiwatar da matakan maki uku: tsakanin 4th da 5th lumber vertebrae, tsakanin 5th lumbar da 1st sacral, a cikin yankin na 1st sacral orifice. A cikin ciwo mai tsanani, an yi amfani da maniyyi ta hanyar amfani da maki shida. Hanyar yana kimanin minti 40. Domin da yawa hours bayan anesthesia, mai haƙuri yana karkashin kula da kwararru.

Tsarin gine-gine na spine - mece ce?

Epidurit da sciatica ne mai nuni ga epidural gwamnatin analgesic kwayoyi. Lokacin da maganin sa barci ne lumbosacral kashin baya haƙuri ne a kan gefen, Summing lankwasa gwiwoyi da ciki. Sanya na baya an saka shi da tawul din wando ko zanen gado. An kaddamar da filin a wurin da ake amfani da kwayoyi a nan gaba.

A cikin bincike na ƙananan ƙananan sacral, a cikin ƙwayar cuta, ana amfani da miyagun ƙwayoyi. Sa'an nan an canza allurar da kuma sanya shi a cikin layi daya, yana sokin membrane na ƙofar tashar sacral. Bugu da ƙari, allurar yana zuwa kusan zurfin zuwa zurfin ba fiye da 5 cm ba, ta hanyar saka idanu da ruwa, ta hanyar jan piston zuwa kanta. Idan babu abun ciki, an yi amfani da miyagun ƙwayoyi. Mai haƙuri zai iya jin matsa lamba da raspiranie a cikin coccyx.

Matsakaicin iyakar kwayoyi da aka gudanar da manipulation shine 60 ml. Hanyar jigilar kwalliya ta ba da damar amfani da:

• Novocaine;
• Cyanocobalamin;
• Thiamine;
• Corticosteroids.

Matsalolin da suka yiwu

Dukkan nau'in maganin rigakafi ya kamata a gudanar da shi ta musamman ta hanyar kwararren likita a karkashin yanayin bakararre. Ginin da kansa, allurar, kula da filin da duk sauran sassa na hanya yana buƙatar cikakken daidaituwa tare da aikace-aikace. Rashin kula da hanya zai iya shafar lafiyar mai lafiya da kuma haifar da ci gaba da matsalolin da ke tattare bayan an rufe shi daga layi:

• Ruwa saboda lalacewar amincin tasoshin;
• Mai zafi mai tsanani a wurin ginin;
• numfashi gazawar lokacin da hit yana nufin a cikin subarachnoid sarari ;
• Allergic halayen;
• Rushewa;
• Rushewa daga mafitsara;
• Kamuwa da ciwon daji da yanki;
• Hanyoyin da ke tattare da maganganu;
• Rashin lalacewa ga jijiyoyin jini, da jini, jigon jini ko kayan jijiyoyi tare da hanya mara kyau.

Kammalawa

Blockade na kashin baya, wadda aka tabbatar ta hanyar kyakkyawan sakamako, shine kusan hanya ce kawai idan babu tasirin magungunan ra'ayin mazan jiya. Tsarin bin doka don sakamako mai kyau shine jarrabawa sosai game da masu haƙuri da kuma bin bin ka'idoji da maganin antiseptic lokacin sarrafawa.