Hom tshuaj loog nyob rau hauv kev kho hniav: hom hauj lwm

Kev kho mob ntawm cov hniav li ib tug medieval tsim txom ploj mus. Niaj hnub nimno khoom, npaum thiab ntau haiv neeg hom ntawm tshuaj loog nyob rau hauv kev kho hniav - ib tug kiag li tshiab operating hauv paus ntsiab lus, uas yuav pab kom txo tau qhov tsis zoo nyob ntawm tag nrho cov. Ntawm cov hoob kawm, muaj coob tus neeg nco ntsoov qhov kev paub ntawm tsis ntev los no xyoo thiab tsis cia siab rau phau ntawv qhia thiab advertising txoj kws kho hniav. Tab sis daring, tsis tau ntseeg hais tias muaj yog tsis muaj dab tsi yuav ntshai tiag tiag. Tshwj xeeb tshaj yog hais tias koj thov kev pab nyob rau hauv ib tug raws sijhawm. Tej yam yooj yim kev kho mob ntawm kev kho hniav caries los yog kom hniav zoo nkauj txheej txheem tsis tau txoj kev siv cov muaj zog cov ntaub ntawv tshuaj loog. Nyob rau hauv kev kho hniav, lawv yog ob peb yam, cia saib dab tsi qhov sib txawv, zoo, thiab nyob rau hauv txhua rooj plaub koj yuav tau siv ib tug los yog lwm analgesic.

Yuav ua li cas yog tshuaj loog?

Lo lus "tshuaj loog" yog ib yam uas Greek keeb kwm thiab lus txhais tau tias "tsis muaj txoj kev xav." Pharmacological nyhuv ntawm anesthetics yuav muab faib rau ib tug neeg lub cev feem (hauv zos tshuaj loog), raws li yog hais tias lawv muab tua lub kis tau tus mob ntawm kev mob receptors nyob rau hauv lub hlwb paj los yog tag nrho lub cev (ua kom tsaug zog). Tag nrho cov hom ntawm tshuaj loog nyob rau hauv kev kho hniav yog ntse siv, txawm hais tias ua kom tsaug zog muaj reservations thiab tshwj xeeb readings tus kws kho mob.

Lub cim tshiab ntawm anesthetics

Nyob rau hauv lub keeb kwm ntawm kev pab kho hniav tshuaj loog, li xws li, nws yog ib tug loj txhob. Tab sis nyob rau tib lub sij hawm thaum ntxov anesthetics muaj ib tug xov tooj ntawm contraindications, teebmeem thiab muaj kev phiv loj heev. Qhov no muaj tseeb txawm ntawm xws pa painkillers zoo li "Novocaine" thiab "lidocaine", uas yog tseem lug siv los ntawm cov kws kho mob. Undoubtedly, lawv muaj ib tug zoo zoo kom muaj ib tug nqi pheej yig, uas tej zaum kuj ua ib tug decisive zoo tshaj thaum xaiv ib tug yeeb tshuaj. Tab sis kuj tsis tshua muaj efficiency, theem ntawm toxicity, phiv yuam mus nrhiav cov tshuaj tshiab ua kom tsaug zog nyob rau hauv kev kho hniav. Cov ntaub ntawv ntawm tus tshiab tiam ntawm tshuaj loog yog npaum li cas nyob xeeb dua qub, sai, pheev lawv cov teebmeem, cov nyhuv ntawm lawv ntev, thiab lub concentration yuav siv sij hawm qhov chaw nyob rau hauv txoj cai qhov chaw. Nws yog ib nqi sau cia hais tias teeb meem los ntawm kev ua kom loog tswv yim yog tias koj xaiv qhov tsis ncaj ncees noj tshuaj. Tus kws kho mob yuav tsum paub los ntawm tus neeg mob raws li nws tau nyiaj tshuaj loog yog hais tias muaj teeb meem, dab tsi yog cov nyhuv.

Cov kev faib tshuaj rau qhov mob, uas yog siv nyob rau hauv kev kho hniav

Hom tshuaj loog nyob rau hauv kev kho hniav yuav tsum tau muab faib mus rau hauv ob hom: hauv zos thiab cov kev ua kom loog tshuaj. Raws li hais saum toj no, lub zos tshuaj feeb meej nyob rau hauv ib tug lub tsev kawm ntawv ntawm kev txiav txim, thaum ua kom tsaug zog kiag li disables rau pem tus neeg mob, thiab nws tsis xav tias tej nov ntawm nqaij tawv thaum lub sij hawm tuav. Tab sis sib nrug los ntawm preparative tshuaj loog, ib tug me me muaj lwm txoj kev. Uas yuav kuj yuav tsis yog-pharmacological tshuaj loog nyob rau hauv kev kho hniav? Hom yog muab hauv qab no:

• hypnosis;
• tshuaj loog los ntawm hluav taws xob pulses;
• tshuaj loog los ntawm lub xaav ntawm cov suab.

Cov kev yog siv heev tsis tshua muaj, competent cov tub txawg uas tau tiag tiag thov no yog tsis txaus. Nyob rau hauv tas li ntawd, tsis yog txhua tus neeg mob yuav tsum tau raug mus xws li cawv, nws yuav tsum tau tshwj xeeb cov khoom. Tag nrho cov no tsis pub kom tsim uas tsis yog-pharmacological tshuaj loog lug.

Hom ntawm lub zos tshuaj loog nyob rau hauv kev kho hniav

Txhua tus neeg mob yuav tsum tau ib tug tus kheej mus kom ze, tsis tsuas nyob rau hauv kev kho mob tab sis kuj nyob rau hauv cov kev xaiv ntawm painkillers. Siv tus qauv txheej txheem tau kuj vim hais tias tus kws kho mob pab kho tej zaum yuav tsum tau rau ntau yam yog vim li cas. Thiab qhov no txhais tau tias lub cheeb tsam ntawm tshuaj loog yuav tsum sib txawv. Nyob rau hauv no txim hluav taws xob yog los ntawm cov tshuaj loog nyob rau hauv kev kho hniav:

• daim ntawv thov;
• infiltration;
• neeg xyuas pib.

Yog li lub xeem ob hom loog tej zaum yuav conventionally grouped rau hauv ib pab pawg neeg. Lawv siv yuav siv sij hawm qhov chaw nyob rau hauv daim ntawv ntawm cov kev txhaj tshuaj, whereas Daim ntawv thov tshuaj loog tej zaum yuav nyob rau hauv daim ntawv ntawm ib cov tshuaj tsuag los yog ib tug tshuaj pleev. Cov tshuaj yog thov ncaj qha mus rau cov pos hniav nyob ze ntawm lub cuam tshuam hniav. Nws txiav txim no yog heev luv luv, yog li kho nyob rau hauv xws li ib tug yeeb tshuaj muaj peev xwm tsis yog ib tug teeb meem loj. Nws siv yog yuav tsum tau mus txo cov nyhuv uas cov mob thaum lub sij hawm txhaj tshuaj, rau qhov ncaws tawm ntawm cov mis nyuj cov hniav yog tias lawv yuav mus, rau qhov haum ntawm kev cog hniav, crowns, thaum tshem cov tartar.

Mob nyem nyob rau hauv cov kev kho mob ntawm pulpitis, tshem qab haus huv, sib sib zog nqus caries

Nyob rau hauv xws li mob, raws li tau zoo raws li ntau lwm tus neeg, siv ib tug tob "freeze." Qhov no pab pawg neeg no muaj xws li tag nrho cov hom ntawm infiltration tshuaj loog. Nyob rau hauv kev kho hniav rau tej loog nws yog ib qho siv "lidocaine," "Novocaine," "Ultrakain", "Prilocaine." Yuav kom ua tau qhov zoo tshaj plaws cov nyhuv nrog kev ua kom loog kws kho mob siv vasoconstrictors, stabilizers thiab preservatives. Txawm li cas los, tsis yog txhua txhua xws cov neeg mob "heev" sib tov ntawm influences tsis muaj teeb meem, yog li ntawd muaj cov tshuaj uas yuav siv tau nyob rau hauv cov ntshiab daim ntawv. Qhov kev txiav txim ntawm infiltration anesthetics yog tsis ntev heev (txog li ib teev), tiam sis nws yog txaus los pab rau cov neeg mob.

Npaj rau kev phais

Hom conduction tshuaj loog nyob rau hauv kev kho hniav yog siv nyob rau hauv cov neeg mob thaum nws yog tsim nyog mus cuag nyiaj pab ntau tshaj mob nyem uas nws kim heev ntau yam los yog yuav tsum tau ntev-lub sij hawm tshuaj loog. Lawv txiav txim kav ob peb lub sij hawm thiab yog tiav los ntawm tag nrho cov paj tshuaj loog. Prick ua tau nyob rau ib txhia nyob deb ntawm qhov chaw ntawm kev phais. Qhov no pub rau tshuaj loog los kho mnogokorennye hniav ua phais rau cov pos hniav tsis rov tshuaj loog. Rau cov tshuaj ntawm no hom xws li "Bupivacaine", "etidocaine".

Pab systematize hom tshuaj loog nyob rau hauv kev kho hniav tswvyim rooj:

General tshuaj loog raws li ib tug nyias muaj nyias ib hom loog

Nyob rau hauv lub tswvyim ntawm tshuaj loog yog tseem ceeb raws li ib tug nyias muaj nyias ib yam khoom tsis yog nyob rau hauv vain. Qhov no tshuaj loog - qhov no yog ib tug loj kev kho mob kev pab. Tsis yog txhua txhua lub tsev kho mob los yog lwm qhov chaw ua hauj lwm muaj cai mus nqa tawm kev kho hniav nyob rau hauv kev tshuaj loog. Ua li no, koj yuav tsum muaj cov kev txawj ntse, tshwj xeeb cov cuab yeej, cov muaj peev xwm mus pab tau tus neeg mob nyob rau hauv cov ntaub ntawv ntawm kev phiv. Feem ntau cov feem ntau, qhov no tshuaj loog yog siv nyob rau hauv heev loj heev zaum, los yog thaum tus neeg mob yog ntshai ntawm tej manipulation ntawm tus kws kho mob. Cov kev npaj no tej zaum yuav muab mus rau hauv tib neeg lub cev los ntawm cov daim npog qhov ncauj thaum tus neeg mob nqus tau cov pa khub narcosis thiab pw tsaug zog rau ntawm txoj cai lub sij hawm. Tab sis los ntawm cov kev thaij nyob rau hauv kev kho hniav tsiv vim lub fact tias lub qhov nqus tau pa tshuaj vapors los ntawm ib tug kws kho mob yog fraught nrog phiv txim rau lawv noj qab haus huv. Lwm cov kev xaiv - yog nkag mus rau tshuaj loog intravenously.

Kev siv cov tshuaj loog nyob rau hauv atypical mob

Tshuaj loog nyob rau hauv kev kho hniav, hom thiab cov hau kev ntawm kev siv yog ncaj qha nyob rau ntawm tus neeg mob. Txheeb cais qhia hais tias ntau tshaj ib nrab ntawm tag nrho cov neeg tuaj xyuas kom tus kws kho hniav qhov chaw ua hauj - cov neeg uas muaj feem yuav rau ib tug yog vim li cas los yog lwm. Cov no muaj xws cov neeg mob uas muaj mob plawv, neurological teeb meem, cov neeg txom nyem los ntawm ntshav siab, cev xeeb tub thiab lactating cov poj niam. Tsis yog tus twg ntawm cov pawg ntawm cov neeg yuav tsum tsis txhob muaj ib tug uas tsis yog-raws sij hawm thiab kev pab. Qhov ntau hais tias tus pharmacological lag luam muaj ib tug zoo, high-quality khoom uas hais tias yuav siv tau nrog tsawg heev uas yuav muaj.

Qhaj ntawv ntawm tshuaj loog thaum lub sij hawm kev kho mob ntawm kev kho hniav teeb meem yog fraught nrog txawm ntau dua deterioration ntawm kev noj qab nyob, yog li ib tug competent tus kws kho mob yog yuam ua hauj lwm los xaiv lub zoo tshaj plaws tshuaj.

Tshuaj loog nyob rau hauv kev kho hniav rau cov me nyuam

Cov me nyuam kuj yuav kev pab los ntawm ib tug kws kho hniav, qhov zoo ces, feem ntau cov tshuaj rau lawv tej teeb meem yog tsis yuam kom siv haib tshuaj. Feem ntau daim ntawv thov tshuaj loog. Qhov no yog ib qho ntxiv kom zoo dua, vim hais tias tus me nyuam tsis txawm yuav tau ua siab ntev nyiaj qhov mob ntawm lub qhov koob.

Nws yog tsim nyog sau cia hais tias tsis yog txhua txhua aerosols thiab tshuaj pleev thov rau cov me nyuam. Muaj hnub nyoog txwv. Lawv poob nyob rau hauv lub "Dikain" rau cov me nyuam mus txog rau 10 xyoo, nws yog txhob. Nws tseem yog nqi hmoog seb tus kws kho mob yuav siv lub adrenaline lug txhim khu cov nyhuv ntawm kev ua kom loog. Mus txog rau 5 xyoos nws tsis yog siv rau tag nrho cov, thiab tom qab muaj hnub nyoog - nyob rau hauv me me koob tshuaj thiab nrog zoo saib xyuas.