Neck vagosympathetic xanibaadda on Vishnevsky

Go'doominta Daroogada ee araxda afka ilmo-galeenka ee jirridda u dabacsanaadaan oo ay la socdaan dareemaha vagus la odhan jiray "vagosympathetic Go'doominta". Waxay amar ku Aleksandr Aleksandrovich Vishnevsky la ujeedka lagu doonayo in ay kala go'do falalkooda dareemayaasha lagu jiro plevropulmonalnogo lama filaan ah ay sabab u tahay xanuunada argagaxa iyo meesha dhaawacyada xabadka.

Waxay bixiyaan natiijo ah oo deggan wanaagsan in cudurada of nooca bararka iyo nno kala duwan ee cabirida xaalada muruqa.

Shane Go'doominta novocaine soo maray S. G. Zograbyan iyada oo ujeedadu tahay in la aqoonsado gipotenzionny syndrome asal argagaxa leh. Galku dhaawaca maskaxda tijaabo ah, taas oo xanibaadda ee ganglia dabacsanaadaan afka ilmo-galeenka ee xoolaha la hypotension cerebral keeni kartaa cadaadis intracranial soo kordha waqti gaaban. Hoos u madax in 80% ka mid ah xaaladaha ka dib markii nidaamka. Laakiin natiijada soconayay oo keliya dhowr saacadood. Tan waxa u sabab xaqiiqada ah in xanibaadda waqtiga dabac vascular cerebral yareeyaa, iyadoo ay sabab u fiicnaaday qulqulka dhiigga maskaxda.

Iyada oo ku saleysan waxa habka?

Go'doominta vagosympathetic - hab daaweynta caadadiisu-pathogenetic ku salaysan:

• In kooban joojin patency durugsan dareemayaasha.
• In falcelinta ee xal novocaine sida xawliga ah u digayaan hawlaha nidaamka dhexe ee neerfaha (nerve system).

faa'iidooyinka Go'doominta

Under qodobbadan Vishnevsky yimaadaan si ay gunaanad qaar ka mid ah:

• Sababo kala duwan, habka caabuq bilowga ah ee ay koritaanka ku xiran yahay sharciyada isla.
• Geedi socodka koritaanka of barar waa la joojin karaa ilaa waa marxalad ka mid ah soo dhexgalka nabarrada of unugyada.
• caabuq daran ee foomkan si dhakhso ah ku koobnayn, soo bax iyo oggol yahay in yar oo lagu gudbo - waxyooday.
• Infiltrative, unsharp iyo noocyada kale ee joogtada ah ee caabuq loogu muujiyo gelinba trophic, mararka qaarkood bystrorazreshimymi.
• cudurada la xiriira isbeddel bahal ah ee xubnaha ah. cuncun yar ee habka dareemayaasha jirka, taas oo qabata doodii xubnaha Go'doominta vagosympathetic afka ilmo-galeenka ka gobolka modified. In Go'doominta this ee geedi socodka sida saamayn multi-function: ogolaanaya dabac ah, dib u soo celisa paresis ah.
• Hababka dabiiciga bahal ah, kuwaas oo ay keento isbeddel ku marinka qalliinka iyo xididada dhiigga, block novocaine Dardaarmi in la saxo booska nafsaaniga ah ee derbiga vascular.

Waa maxay noocyada kala duwan ee ka jira ayaa xayiraad?

Ka fiirso su'aashan si faahfaahsan. Noocyada ugu muhiimsan ee xiritaanka:

• Go'doominta of jabka lafaha dhaadheer.
• block garabka Futlyarnoy.
• faydi Go'doominta Futlyarnoy.
• Go'doominta ee qaybta cross.
• Go'doominta ee dareemaha bidig.
• markeedii.
• dareemayaasha Tibial.
• dareemayaasha Peroneal.
• Go'doominta tabinta Intercostal.
• Go'doominta Paravertebral.
• Dabcan, vagosympathetic qoorta.

Go'doominta Vagosympathetic: maragga

Tilmaamayaasha Go'doominta vagosympathetic afka ilmo-galeenka ayaa sidoo kale waxay kala yihiin:

• Plevropulmonalnoe lama filaan ah.
• Multiple feedhaha oo dilaaca.
• Open, xidhay iyo rucubo biiyaha.
• Burns of mareenka-mareenka.
• pneumonia Postoperative.
• Syndromes jirid cabbur argagaxa leh.
• Syndromes of mareenada dufanka leh (foomka pulmonary).

Inta badan waxa ay dhacdaa heley kuwaas oo hawshan.

Si Go'doominta waxaa fuliyey by habka Vishnevsky vagosympathetic, waa in aad ogaato xidhiidhka ka sirgaxan-jidh ee jirridda garawsi iyo dareemayaasha vagus. neoplasms Kuwanu waa kor ku xusan lafta hyoid hal meel kletchatochnyh bixisa sharaxaad ku saabsan siday suuragal u ah ku furid synchronous marka halkan maamula novocaine. Hoos u qaybsan yihiin lakabka parietal of fascia afraad.

diyaarinta bukaanka

Ka hor bilowgii xanibaadda ee dhakhtarku baarayaa Looxii on weelka ama dhalada daawada suuxinta. bukaanka waa in had iyo jeer in booska la jiifo sababta oo ah tallaabada of suuxdinta meesha kama saarayso muuqaalka kore ee dhibaatooyin kala duwan. Qaliinka ka hor mar kasta loola dhaqmo maqaarka xal aalkolada. Go'doominta ayaa sidoo kale loo baahan yahay. Processing waa lagama maarmaan si ay u qabtaan si ku khasab ah, maadaama ay tahay wax aan macquul aheyn in laga hortago in xiriir la wareer ah in site dalool ah.

Ka dib markii in, meesha maqaarka waa lagama maarmaan in la soo rogi maro wanaagsan ah oo Nadiif ah.

Maxaa dhacaya marka xiga?

Bukaanka ayaa la dhigayaa on dhabarka hoos geedku waqti isku mid ah ka dhigeysa barkin. madaxa ayaa la isku beddeli dhinaca ka soo horjeeda halka xanibaadda. gacanta ee bukaanka by dumiyo go'doominta. By ku laayeen gadaal muruqa sternocleidomastoid midig, kor ku xusan ay xarunta qiyaastii 1-1.5 cm mudo maqaarka ee xalka 1-2 ml 0.25-5% ka mid ah xalka suuxinta ka yar. Haddii xididka qaab Yarema ma la arki karo, ka dibna goobta galinta irbadda predetermine heerka helidda qarkiisa sare ee thyroid hurgunka ah.

Sidee dhabta go'doominta vagosympathetic?

Farsamada waa mid gaar ah, waxaa la fuliyay oo kaliya khubarada aqoon sare le. murqaha gacanta free iyo weelashii farta murdisada la wareejiyay in Zinedine dusha hore ee araxda ee dhabarka ku dhaca makaanka afkiisa. Dheeraad ah dhamaadka farta la soo bandhigay irbad weyn oo ka guurto ku duuban dhinaca dusha hore vertebral. Inta lagu jiro galinta ee irbadda la mugga yar, at 2-3 ml, xalka waxaa intaasi dheer oo mudaa suuxiye nidaamka xanuun joojiyaha. Marka caaradda irbadda taabtay araxda aspirate (qaadeen si looga fogaado maamulka intravascular of suuxinta) sameeyo. Ka dib markii uu xaqiijiyay in dhiiggiisa la gaarin oo saliingaha ku jira waxaa si tartiib ah ku daray 30-60 ml of xal 0,25% ka mid ah daawada suuxinta. irbadda ayaa la soo saaray iyo cadaadisay ka dhanka ah faashad duray jeermiska ee 1-2 daqiiqo.

Haddii aad si adag u dhawrtaan oo u hoggaansamaan xeerarka xal suuxinta Go'doominta vagosympathetic heshay dareemaha vagus iyo dareemayaasha kale in la kordhiyo ka qanjidhada jirridda u dabacsanaadaan afka ilmo-galeenka.

Astaamaha ka dib markii habka

dhaqanka wax ku ool ah ee bukaanka go'doominta vagosympathetic sababa calaamadaha soo socda:

• Ptosis (kaa dhaga ee indhaha sare).
• Miosis (foosha ee ardayga).
• Enophthalmos (kulanka jallo uurkooda triad Horner ee).
• Casaan ee wajiga iyo xub-axaleedka indhaha.
• Perikornealnaya duro vascular.
• dhidid hoos u sameeyey by go'doominta.

Neck Go'doominta vagosympathetic on Vishnevsky lagu cabudhibayo xanuun, qufac reflex, codadka nidaamka wareegga dhiigga iyo kordhiyaa cadaadiska dhiigga.

Go'doominta ma waxaa la samayn karaa labada dhinac ee hal mar. bareeg waqtiga u dhexeeya daaweynta waa in ay ahaadaan ugu yaraan 30-40 daqiiqo. Sidoo kale inta lagu guda jiro nidaamka aan lagu dari karaa si xal suuxinta adrenaline ah.

Maxaa sababa xayiraad oo kale ah? Xaqiiqdu waxay tahay in aad si qalad ah ka heli kartaa curyaannimo neefsashada sabab u go'doominta.

dhibaatooyin

Ka dib markii ay sidoo kale ay dhici karaan dhibaatooyin:

• Ku xadgudubka artery inta lagu guda jiro qofkale.
• Ku xadgudubka ugsa dhaw xididka dhuunta gudaha.
• Ku xadgudubka hunguriga.

itimaalka ee atonia iyo paresis xiidmaha (dhibaatooyin kale uma baahna daaweyn gaar ah).

Waxaas oo dhan waxay keeni kartaa go'doomin vagosympathetic afka ilmo-galeenka on Vishnevsky. Tilmaamayaasha in ay aannu dib u eegid.

kale

faragelinta kale on qoorta u baahan tahay helitaanka, in uu yahay, gooyaa lakabka kasta ee maqaarka. Si aad u hesho nadaafadda qoorta waa in lagu hayaa, sidii loo shaacin qayb jidhka ah. Taas darteed, on qoorta la isticmaalayo a helaan transverse Kocher, socdo maqaarka transverse xeryo. Tolay howlgalka ay dhacdo in this ka dib inta badan waa aan la arki karin. Marka fulinta hawlaha on qaybo ka mid ah qoorta la gaadhya inta badan isticmaalaan qaybta a gaadhya weheliyaan hore ama laayeen gadaal muruqa sternocleidomastoid. Gaar ahaan dun dareemi kadib markii qayb ka mid ah bartamaha gaadhya. Go'doominta Vagosympathetic (farsamo waa wax caadi ah) ayaa kaa caawin doona in ay ka fogaadaan howlgalkan.

hana la jirin caafimaadka svom u baahan tahay kaftanka, waa inaad dhawrtaan oo tallaabooyin taxaddar ah ammaanka iyo in ay feejignaadaan. Markaas shilalka xun kala duwan la baajin karin.