Nws puas yog ib txwm hais tias ob qho tib si qis qis yog loog tom qab Nerve Block?

Oct 19, 2022

Nerve thaiv

Nyob rau hauv lub paj hlwb, plexus, node nyob ib ncig ntawm txhaj tshuaj loog hauv zos, thaiv nws impulse conduction, thiaj li hais tias innervated cheeb tsam muaj tshuaj loog nyhuv, hu ua paj hlwb. Nerve blocks yuav tsum tau txhaj ib zaug kom tau txais thaj tsam loj ntawm tshuaj loog. Txawm li cas los xij, nws yuav ua rau muaj teeb meem loj. Yog li ntawd, nws yog ib qho tsim nyog yuav tsum paub txog lub cev nqaij daim tawv hauv zos, cov ntaub so ntswg los ntawm cov koob txhaj tshuaj, thiab cov hlab ntsha nyob ze, cov kabmob thiab lub cev kab noj hniav. Cov paj hlwb feem ntau yog siv los thaiv INTERORBITAL, infraorbital, sciatic thiab ntiv tes (ntiv taw) paj hlwb, ncauj tsev menyuam plexus thiab brachial plexUS, STelllate ganglion thiab lumbar sympathetic ganglion rau kev kuaj mob thiab kev kho mob.

Tus neeg mob yog supine, nrog cov plaub hau ntawm caj npab shaved, thiab cov ceg ceg cuam tshuam yog abducted 90 degree, thiab caj npab yog flexed upward 90 degree, nyob rau hauv ib tug tub rog salute txoj hauj lwm. Tus neeg ANESTHETIZED sawv ntawm qhov cuam tshuam thiab hnov ​​​​txog cov hlab ntsha axillary uas qhov qis dua ntawm pectoralis loj tau raws li qhov nruab nrab ntawm caj npab, thiab hnov ​​​​qhov siab tshaj plaws ntawm kev ntaus mus rau sab saum toj ntawm caj npab (Daim duab {{2}) }). Thaum lub sijhawm ua haujlwm, rab koob yog tuav ntawm sab tes xis, thiab qhov taw qhia sab laug thiab ntiv tes nruab nrab yog siv los kho cov tawv nqaij thiab cov hlab ntsha, thiab rab koob yog ntxig rau ntawm daim tawv nqaij ntawm khawb lossis ulnar ntug ntawm cov hlab ntsha. Thaum lub sheath yog punctured, muaj ib tug pom tseeb kev nkag siab ntawm breakthrough, uas yog, nres nce. Tso tus ntiv tes thiab rab koob ntaus nrog lub pulsation ntawm cov hlab ntsha, qhia tias qhov kawg ntawm rab koob yog nyob rau hauv lub axillary sheath. Tom qab tsis muaj ntshav thim rov qab, 25 ~ 30ml ntawm cov tshuaj loog npaj tau txhaj tshuaj. Compression ntawm lub distal txhaj point thaum lub sij hawm txhaj tshuaj yog conducive rau lub diffusion ntawm cov kua mus rau lub proximal thiab distal axillary pins los thaiv cov hlab ntsha musculocutaneous. Vim tias cov hlab ntsha musculocutaneous tau tawm ntawm lub axillary sheath thiab nkag mus rau hauv cov leeg coracobrachial ntawm theem ntawm cov txheej txheem hlaws, feem ntau nyuaj rau thaiv tag nrho, thiab cov nyhuv tshuaj loog yog qhov tsis zoo ntawm lub forearm thiab lub hauv paus ntawm tus ntiv tes xoo.

Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob tshuaj biopsy, koob tshuaj tiv thaiv, koob txhaj tshuaj, koob txhaj tshuaj, koob tshuaj tua tsiaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!

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