Kho hniav rau cov menyuam yaus hauv qab tshuaj loog: tshuaj xyuas

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:27

Tseem ntxov los yog tom qab, txhua leej niam yog ntsib nrog qhov tseeb tias tus menyuam mob hniav thiab yuav tsum tau coj mus rau kws kho hniav sai. Cov laj thawj rau qhov tsos ntawm qhov tsis xis nyob yuav txawv. Ntxiv mus, yog tias tus me nyuam twb tau mus rau qhov chaw kho hniav, nws tuaj yeem ua teeb meem loj heev kom yaum nws rov qab los. Feem ntau, txhawm rau txhawm rau kuaj xyuas kev tiv thaiv yooj yim, cov niam txiv yuav tsum yaum lossis txawm tias xiab tus menyuam nrog khoom plig rau lub lis piam. Nws yog ib qho tseem ceeb heev uas cov neeg laus lawv tus kheej coj tus cwj pwm kom raug ua ntej mus rau qhov chaw kho mob, uas yog, lawv tsis txhob ua kom qhov xwm txheej thiab tsis txhob ua rau tus menyuam ntshai thiab ntxhov siab.

Qhia rau niam txiv

1. Cov menyuam yaus hnub nyoog qis dua peb xyoos muaj qhov txo qis qhov mob, uas txhais tau hais tias qhov kev ntshai yuav luag tsis tshwm sim. Lub sijhawm no yog qhov zoo rau thawj zaug mus ntsib kws kho hniav.
2. Nws yog qhov xav tau tias thawj zaug tuaj ntsib thiab nrog rau kev kuaj xyuas tus menyuam lub qhov ncauj thiab pom zoo kom txhuam hniav kom zoo.
3. Ua ntejmus ntsib kws kho mob, nws yog ib qho tsim nyog los ua kev sib tham nrog tus me nyuam, piav qhia tias kev kho hniav thiab kev kho hniav yog ib qho tseem ceeb thiab yuav tsum tau ua, qhia los ntawm cov piv txwv tias nws tseem ceeb npaum li cas rau txhuam koj cov hniav thaum sawv ntxov thiab yav tsaus ntuj, ua si. thematic game nrog tus me nyuam.
4. Yog tus neeg mob me ntsis coj tus cwj pwm ua siab loj thiab muaj meej mom ntawm kev txais tos, yuav tsum tau qhuas nws, qhia nws tias nws siab tawv npaum li cas thiab tsis ntshai. Yog tus me nyuam ruam, koj yuav tsum txhawb nws siab thiab hais tias lwm zaus nws yuav coj tus cwj pwm zoo.
5. Niam lossis txiv tuaj yeem coj lawv tus menyuam nrog lawv mus teem sijhawm qhia tias tsis muaj ib yam dabtsi yuav kho. Hauv qhov no, koj yuav tsum npaj ua ntej nrog tus kws kho mob txog qhov muaj menyuam.

Yog cov lus qhia saum toj no tsis pab lossis ua tsis tiav raws sijhawm thiab raug, tsis txhob poob siab. Cov tshuaj niaj hnub no muaj cov txheej txheem them nyiaj, tab sis muaj txiaj ntsig zoo - kho hniav rau cov menyuam yaus hauv qab tshuaj loog.

Yam tshuaj loog

Hnub no, feem ntau ntawm ob lub tsev kho mob ntiag tug thiab pej xeem muaj cov kev pabcuam tshuaj loog hauv chav kawm siab nyob rau hauv lawv cov kev tswj hwm, uas tuaj yeem xaiv tus kheej thiab muab kev kho mob uas ua rau muaj kev phom sij tsawg rau lub cev. Txhawm rau kom muaj tus kws kho mob tshuaj loog thiab resuscitator hauv nws cov neeg ua haujlwm, kev kho hniav menyuam yaus yuav tsum tau txais daim ntawv tso cai tshwj xeeb los ntawm lub xeev, uas tsis yooj yim rau ua, vim tias muaj cov npe ntawm qee qhov yuav tsum tau ua rau cov khoom siv, tshuaj thiab cov khoom siv, nrog rau cov khoom siv. cov kev tsim nyog ntawm ib tug anesthesiologist thiabresuscitator.

Txawm li cas los xij, ntxiv rau kev siv tshuaj loog, muaj cov tshuaj tsis yog tshuaj loog: hypnosis, electroanalgia, audioanalgia. Ntawm tag nrho cov txheej txheem no, tsuas yog electroanalgia tau txais txiaj ntsig thiab lees paub tias siv tau.

Kev kho cov hniav hauv cov menyuam yaus hauv qab tshuaj loog tuaj yeem muaj ob hom: tshuaj loog hauv zos, tshuaj loog tag nrho.

Cov kauj ruam ntawm daim ntawv thov tshuaj loog

Txoj kev no suav nrog kev xaiv tshuaj loog los ntawm hom kev siv. Ntawd yog, qhov chaw txhaj tshuaj yog thawj zaug desensitized nrog mint tsuag los yog gel, thiab tom qab ib los yog ob feeb txhaj tshuaj loog yog muab.

Hauv kev kho mob caries lossis pulpitis hauv cov menyuam yaus, kev npaj muaj artacoin hydrochloride yog siv rau tshuaj loog hauv zos, vim nws muaj tsib zaug ntau dua li novocaine, thiab tseem tsis tshua muaj kev phom sij rau lub cev. Tsis tas li ntawd, artacoin hydrochloride raug tshem tawm ntawm lub cev tom qab nees nkaum mus rau nees nkaum tsib feeb.

Kev kho hniav ntawm cov menyuam yaus hauv qab tshuaj loog siv tshuaj raws li artacoin hydrochloride tuaj yeem pib txij li plaub xyoos. Cov tshuaj uas muaj Articoin kuj tseem muaj kev nyab xeeb rau cov niam cev xeeb tub thiab lactating.

txhawm rau txhim kho cov tshuaj loog thiab lub sijhawm ntawm cov tshuaj, cov tshuaj no feem ntau ntxiv nrog vasoconstrictors (vasoconstrictor tshuaj), xws li adrenaline, mezaton, filipresin. Ua ke cov tshuaj loog hauv zos raws li artacoin hydrochloride yog tsimtsuas yog hauv lub teb chaws Yelemees, Fabkis thiab Spain.

Kev kho cov hniav ntawm cov menyuam yaus hauv qab tshuaj loog nrog kev siv cov tshuaj sib xyaw ua ke yog qhia pib txij li hnub nyoog tsib xyoos ntawm qhov sib piv ntawm ib ntawm ib puas txhiab (artacoin rau adrenaline).

Thaum muaj hnub nyoog tsib mus rau xya xyoo, benzocaine thiab lidocaine-muaj tshuaj tsuag yog siv los xaiv lossis siv tshuaj kho mob.

Kev npaj kho mob ua ntej ntawm menyuam yaus ua ntej mus ntsib kws kho hniav

Txhawm rau npaj tus menyuam lub cev rau kev siv tshuaj loog thiab txo cov kev mob tshwm sim, kev npaj tshwj xeeb yog siv, uas feem ntau hu ua kev npaj tshuaj ua ntej.

Muaj plaub yam ntawm qhov mob: psycho-kev xav, kev xav, lub cev muaj zog, autonomic.

tshuaj loog hauv zos xws li lidocaine, articoin, benzocaine desensitize qhov chaw cuam tshuam, tshem tawm cov kev xav, tab sis tsis txwv cov kev xav ntawm lub hlwb, lub cev muaj zog thiab lub cev muaj zog, yog li lawv yuav tsum tau muab tshem tawm tom qab kev tswj hwm ntawm cov tshuaj analgesic.

Txoj kev yaum thiab kev tawm tswv yim nres qhov kev xav ntawm lub hlwb.

Cov lus qhia rau kev siv

Kev kho hniav ntawm cov menyuam yaus hauv qab tshuaj loog nrog cov tshuaj uas muaj cov nyhuv calming yog qhia rau:

• mob hlwb tshwm sim;
• kab mob ua pa nyuaj;
• Yinsulin deficiency;
• kab mob ntawm endocrine system;
• mob qaug dab peg thiabhysteria;
• nce nqaij pob txha;
• kev nyuaj siab ntev;
• phobias.

Ib qho anxiolytic, xws li chlordeazepoxide, zoo dua hu ua Sibozon, Napaton, Seduxin lossis Chlozipide, tau muab tshuaj 10-25 feeb ua ntej kho.

Tshuaj tiv thaiv kev ntxhov siab yog muab rau cov menyuam yaus hnub nyoog plaub xyoos ntawm qhov koob tshuaj ntawm tsib mus rau kaum mg, thaum muaj hnub nyoog xya xyoo - los ntawm kaum mus rau nees nkaum mg, thaum muaj hnub nyoog kaum tsib txog kaum yim xyoo - txij li nees nkaum mus rau peb caug mg ib hnub twg, rau ob peb tricks. Qhov koob tshuaj kawg ntawm diazepam yuav tsum tau noj kaum tsib feeb ua ntej mus ntsib kws kho hniav.

Sedation is an alternation to anesthesia

Vim qhov tseeb tias kev npaj khomob ua ntej tsis yog ib txwm ua tau zoo, niaj hnub kev kho hniav kho mob rau cov menyuam yaus siv txoj hauv kev zoo li sedation, lossis lwm txoj hauv kev tshuaj loog.

Sedation ("zoo pw tsaug zog") tuaj yeem sib sib zog nqus (tag nrho), uas yog, nrog kev nkag mus rau hauv lub xeev ntawm kev pw tsaug zog thiab ua pa qeeb, thiab sab (tsis tiav), thaum tus neeg mob muaj peev xwm tswj tau kev sib raug zoo thiab ua raws. cov lus qhia ntawm tus kws kho mob.

Kev kho hniav nyob rau hauv kev siv tshuaj loog hauv cov menyuam yaus yog ua los ntawm kev nqus pa ob peb feeb ua ntej kev kho hniav tiag tiag, siv N2 thiab O2 oxide - ZAX.

Thaum pib tus txheej txheem, tus menyuam tau txais O2 thiab N2 oxide ntshiab los ntawm lub npog ntsej muag rau kaum tsib feeb. Qhov tso cai concentration ntawm N2 hauv ZAKS sib tov yuav tsum tsis pub tshaj xya caum feem pua. Rau cov menyuam yaus hnub nyoog qis dua kaum tsib xyoos, feem ntau yog sivPeb caug feem pua nitrogen thiab xya caum feem pua cov pa ntshiab huv kho mob.

Tshaj tawm rau hauv lub xeev cov tshuaj loog nrog kev sib xyaw ntawm ZAX ua rau tus menyuam mos, xis nyob, tsaug zog.

Txoj txiaj ntsig ntawm sedation

Tus me nyuam pom thiab hnov txhua yam uas tshwm sim nyob ib puag ncig, tab sis tsis muaj qhov tsis xis nyob. Kev muab cov khoom sib tov rau kev siv tshuaj loog thiab tshem tawm lub npog ntsej muag oxygen yog ua los ntawm kev siv cov khoom siv zoo tshaj plaws. Thaum lub sij hawm kev kho hniav ua tiav, cov nitrous oxide txo qis thiab cov concentration ntawm cov pa ntshiab huv nce mus rau ib puas feem pua, tom qab ntawd lub npog ntsej muag raug tshem tawm. Cov nyhuv ntawm ZAX hnav tawm tom qab tsib mus rau kaum feeb.

A sedative sib tov, txawm hais tias nws muaj qee yam tshuaj loog, tab sis nws yuav tsis txaus rau kev ua haujlwm kho hniav, yog li ntawd, kev kho hniav hauv qab tshuaj loog hauv cov menyuam yaus tshwm sim nrog tshuaj loog hauv zos ntxiv.

Feem ntau, ZAX sib tov yog siv txij li plaub xyoos, thaum kev sib cuag tuaj yeem tsim nrog tus menyuam. Ib lub luag haujlwm tseem ceeb hauv qhov no, ob tus kws kho hniav thiab cov niam txiv, yog kom yaum tus menyuam kom siv lub ntsej muag nws tus kheej. Ua li no, siv cov roj tsw qab uas ua rau tus menyuam xav nqus pa yam tsis muaj kev quab yuam.

Kev xyaum txawv teb chaws ntawm chaw kho hniav siv cov khoom siv ntawm tus menyuam nyiam tas luav thiab dab neeg dab neeg thaum lub sijhawm "kho pw tsaug zog"

Kev kho hniav raws li kev siv tshuaj loog hauv cov menyuam yaus uas siv tshuaj loog tuaj yeem suav hais tias yog ib txoj kev tsis raug mob, vim nws tau siv hauvtag nrho cov teb chaws tsim hauv ntiaj teb no.

Kev kho hniav menyuam yaus hauv tebchaws Russia

Nws tsis yog zais cia tias thaj chaw no yog tus yau tshaj plaws thiab tib lub sijhawm yog cov ceg ntoo nyuaj tshaj plaws, uas suav nrog ntau cov lus qhia.

Tus tsim kev kho hniav rau cov menyuam yaus tuaj yeem suav tias yog AK Limberg, uas txij li xyoo 1901 los ua haujlwm ntawm tib lub npe ntawm Medical College ntawm St. Petersburg.

Xyoo 1974-1975, kev kuaj mob ntawm cov menyuam yaus hauv chaw kho hniav raug lees paub, nrog rau kev siv tshuaj loog thaum ua haujlwm hnyav.

Xyoo 1985, qhov tshwj xeeb "kev kho hniav menyuam yaus" tau raug suav nrog hauv cov npe ntawm cov kws kho mob tshwj xeeb.

Hnub no, muaj cov chaw kho hniav zoo rau menyuam yaus hauv txhua lub nroog. Ntxiv rau cov txheej txheem txheej txheem xws li tshuaj sab hauv, phais maxillofacial, phais menyuam mos, kho menyuam yaus orthodontics thiab prosthetics, kuaj lub cev thiab kho, qee lub tsev kho mob yuav muab tshuaj loog lossis tshuaj loog.

Txheej txheem cej luam ntawm cov chaw kho hniav menyuam yaus

Kev kho hniav zoo li cas rau cov menyuam yaus hauv qab tshuaj loog hauv Moscow? Tus nqi sedation, cov chaw kho mob uas ua nws, muaj npe hauv qab no.

Nyob hauv lub peev ntawm Russia, ntau lub tsev kho mob tuaj yeem muab qhov kev pabcuam no:

• "Kid thiab Carlson" - tus nqi ntawm nitrous oxide sedation (30 feeb) yog 2500 rubles. Lub tsev kho mob tseem muab kev kho mob raws li kev siv tshuaj loog. Tus nqi tshuaj loog "Sevoran" (30 feeb) yog 4500 rubles. Tus nqi ntawm ib feeb ntawm kev siv tshuaj loog yog 165 rubles.
• International Medical Center "ON Clinic"muab cov kev pabcuam hauv qab no: kev nqus tshuaj loog (30 feeb) - 5500 rubles.
• Nutcracker Tsev Neeg Kho Hniav Tsev Kho Mob tus nqi ntawm nitrous oxide sedation (30 feeb) - 2940 rubles. Kev siv tshuaj loog (30 feeb) - 5940 rubles. Lub tsev kho mob kuj tseem muab kev pab kho mob ua ntej - 1500 rubles.

Tsis yog hauv Moscow kev kho hniav nkaus xwb yog ua raws li kev tshuaj loog rau cov menyuam yaus. Novosibirsk kuj muaj cov kev pabcuam zoo sib xws:

• Style Dent Dental Clinic - kho hniav rau cov menyuam mos hauv qab tshuaj loog (1 teev) raug nqi 5,500 rubles. Kev siv tshuaj loog tuaj yeem siv los ntawm lub npog ntsej muag oxygen lossis txhaj tshuaj.
• "Center of Dentistry" - ib teev ntawm tshuaj loog hauv tsev kho mob raug nqi 3900 rubles.
• "Road Clinical Hospital" - cov ntaub ntawv hauv lub vev xaib hais tias tus nqi tshuaj loog yog 25% ntawm tus nqi kho mob.

Minsk cov chaw kho hniav tseem ua haujlwm kho hniav raws li tshuaj loog rau cov menyuam yaus:

• Tsev Neeg Kev Kho Hniav - Kev tso tshuaj loog 78 Belarusian rubles (2,530 Russian rubles).
• Melissa Medical Center kuj muab kev pabcuam tshuaj loog rau cov menyuam mos - tus nqi ntawm cov kev pabcuam yuav tsum raug tshawb pom ntawm lub tsev khomob ntawm tus kheej.

Tej zaum nyob rau lwm lub nroog, kho hniav hauv qab tshuaj loog rau cov menyuam yaus. Krasnoyarsk tsis nyob deb tom qab Moscow thiab tseem muab kev kho mob thiab kev siv tshuaj loog:

• Chaw Kho Hniav "ASTRAYA" - siv cov tshuaj "Sevoran", lub sijhawm thiab tus nqi ntawm kev pabcuam tuaj yeem tau txais los ntawm kev tuaj koom.tus kws kho mob lossis tus kws pab tswv yim.
• "University Center of Dentistry" - kev teem caij yog ua los ntawm tus kws kho mob tshuaj loog rau menyuam yaus uas, raws li kev qhia thiab hnub nyoog ntawm tus menyuam, qhia txog hom thiab tus nqi ntawm tshuaj loog.

kho hniav rau cov menyuam yaus hauv qab tshuaj loog: tshuaj xyuas

Cov menyuam yaus feem ntau ntshai cov kws kho mob, thiab yog li ntawd txhua qhov kev mus rau hauv tsev kho mob yog nrog los ntawm tantrums, kua muag thiab whims. Yuav kom tsis txhob ua mob rau lub siab lub ntsws ntawm tus menyuam, ntau leej niam mus rau kev kho hniav raws li tshuaj loog. Qhov zoo ntawm txoj kev no yog tias tus menyuam nqus tau cov pa roj thiab tsaug zog tsis ntshai tus kws kho mob thiab xyaum.

Ntawm no yog kev kho hniav li cas rau tus menyuam hauv qab tshuaj loog. Koj tuaj yeem nyeem cov niam txiv cov lus tim khawv hauv qab no.

Ntau zaus, cov niam txiv, ua ntej coj lawv tus menyuam mus rau kws kho mob, nug cov phooj ywg thiab cov neeg paub txog kev tawm tswv yim. Cov tsev kho mob ntiag tug muab kev pabcuam kho hniav, xws li kev kho hniav hauv qab tshuaj loog, tshwj xeeb tshaj yog. Ntau tus neeg sau tseg tias thaum lub sij hawm kev sab laj, tus kws kho mob tshuaj loog tau sau cov ntshav thiab zis, kuaj tus menyuam los ntawm tus kws kho mob. Ib qho kev ntsuas cais yog kev noj qab haus huv zoo thaum lub sijhawm kho, uas yog, qhov muaj kub taub hau lossis hnoos tsis tuaj yeem lees txais. Kev ua haujlwm tsis ua rau lub plab khoob. Tom qab kev kho mob, nyob ntawm lub hnub nyoog ntawm tus me nyuam, migraine, xeev siab, ntuav, ntxhov siab vim, lethargy tuaj yeem pom, niam txiv hais. Tag nrho cov no yuav tsum tau dhau los hauv 12-14 teev. Tshwj xeeb tshaj yog, cov niam cov menyuam uas muaj kev noj qab haus huv tsis zoo pom zoo kho hniav nrog ZAX sib xyaw lossis Sevoran npaj.

kho hniav rau cov menyuam yaus hauv qab tshuaj loog, tshuaj xyuas ntawm kws kho mob

Cov kws tshaj lij ceeb toom rau txhua tusThaum lub sij hawm lub neej ntawm cov tshuaj "Sevoran" ib tug loj tus naj npawb ntawm cov me nyuam raug kho, feem ntau yog cov me nyuam mos uas muaj ib tug kab mob ntawm lub hauv paus paj hlwb. Nyob rau tib lub sijhawm, cov kws kho mob nco ntsoov tias qhov xwm txheej tsim nyog yog kev coj noj coj ua ntawm kev kho mob nyob rau hauv kev saib xyuas ntawm tus kws kho mob uas tsim nyog tau txais tshuaj loog thiab resuscitator. Lub tsev kho mob yuav tsum muaj cov khoom siv kim heev: cov cuab yeej siv rau lub ntsws ua pa, cov cuab yeej ua pa, cov tshuaj loog niaj hnub, cov cuab yeej saib xyuas muaj zog. Nws yog ib qho tseem ceeb tshwj xeeb tshaj yog cov tshuaj loog muaj kev nyab xeeb rau tus menyuam noj qab haus huv thiab tsis ua rau muaj kev phiv tsis zoo.

Feem ntau, cov niam txiv pib npaj cov txheej txheem no thaum lawv cov menyuam cov hniav ua rau cov hniav lwj - txog li 3-4 xyoos. Kev kho hniav rau menyuam yaus (3 xyoos) hauv qhov tshuaj loog siv sijhawm li 4 teev thiab dhau los yam tsis muaj teeb meem.