tantrika apghatan

tantrika apghatan ack tantrika mein bhautik yaa rasayanik agents kaa anuprayog haye taaki lakshit tantrika tantuon kaa asthaayi apakshay hoe sakey. jaba tantrika tantu ksheen hoe jaate hain, tou yeh tantrika sanketon key sancharan mein baadha kaa kaaran banata haye. chikitsa kshetra mein, iska upayog cancer rogiyon mein dard koo cumm karane key liye sabse adhik aur fayademand roop seey kiya jaataa haye.
vibhinn prakaar key tantrika apghatan mein celiac plexus neurolysis, endoscopic ultrasound nirdeshit tantrika apghatan aur cutty sahaanubhooti tantrika apghatan shamil hain. chemodenervation aur tantrika block bhee tantrika apghatan seey judey hotey hain.
isake alawa, baahari tantrika apghatan hotaa haye. paridhiya tantrikaaen haddiyon aur maanspeshiyon key paar chalati hain (glide). ack paridhiya tantrika aspas key ootak key nishan seey funce sakati haye jisase sambhaavit tantrika kshati yaa dard hoe sakata haye. ack baahari tantrika apghatan taba hotaa haye jaba tantrika mein pravesh kiye binaa tantrika key aspas key nishan ootak koo hataa diyaa jaataa haye.
prishthabhoomi.
tantrika apghatan ack rasayanik apghatan takneek haye jiska upayog dard koo cumm karane key liye kiya jaataa haye. neurolysis kaa upayog kewal tabhi kiya jaataa haye jaba roga usa bindu taka badh jaataa haye jahan koee anya dard upchaar prabhaavi naheen hotey hain. ack neurolytic agent jaise sharaab, phenol yaa glycerol koo aamtaur parr tantrika tantra mein inject kiya jaataa haye. rasayanik tantrika apghatan vighatankari fibrosis kaa kaaran banata haye joe phir sahanubhutipurna ganglia koo baadhit kartaa haye. isake parinamswarup poore tantrikaon mein sanchaarit honey vaale dard sanketon mein kamee aatee haye. prabhaav aam taur parr teen seey chhah maheene taka rahata haye.
kuchh tantrika apghatan takneekon kaa upayog 1900 key dashak kii shuruat mein tantrika vigyaani maithyu jaibole dwara dard key upchaar key liye kiya jaane kii soochana millie haye. praarambhik report kiye gaye tantrika apghatan ney endovascular prakriyaon kii shuruat seey pahale dhamani avarodhak roga jaise vasospastic vikaaron kaa ilaaj karane mein madad kii.
prakaar.
celiac plexus neurolysis.
celiac plexus neurolysis (see. pee. aine.) celiac plexus kaa rasayanik kshay haye. iss prakaar key tantrika apghatan kaa upayog mukhya roop seey unnat agnashay cancer seey judey dard key ilaaj key liye kiya jaataa haye. agnashay key cancer key rogiyon key ilaaj key liye upayog kii jaane vaali paaramparik opioid davaaon seey agnashay key cancer key sabse unnat charanon mein aparyaapt dard seey raahat mill sakati haye, isaliye see. pee. aine. kaa lakshya dawa kii dakshata koo badhaana haye. isake parinamswarup khuraak mein kamee aaa sakati haye, jisase dushprabhavon kii gambhirta cumm hoe sakati haye. see. pee. aine. kaa upayog aamtaur parr upchaar mein upayog kii jaane vaali badee khuraak key kaaran rogi mein opioid davaaon kii lutt vikasit honey kii sambhavana koo cumm karane key liye bhee kiya jaataa haye.
paaramparik see. pee. aine. drishtikon aur tantrika khand.
see. pee. aine. koo celiac plexus key poorv yaa pashch twachiya injection dwara kiya jaa sakata haye. see. pee. aine. aamtaur parr tantrika blocks key poorak key roop mein kiya jaataa haye, joe injection seey judey gambhir dard key kaaran hotaa haye. neurolysis aamtaur parr ack safal celiac plexus block key baad hii kiya jaataa haye. see. pee. aine. aur celiac plexus block (see. pee. bee.) alag-alag hain, jisamen see. pee. aine. sthaayi kshay haye jabaki see. pee. bee. asthaayi dard nishedh haye.
kaee pashch twachiya drishtikon hain, lekin koee naidaanik pramaan yeh naheen bataata haye kii koee bhee ack takneek baaki kii tulanaa mein adhik kushal haye. pashch drishtikon aam taur parr dou suiyon kaa upayog karate hain, ack ack kasheruki shareer key pratyek paksh mein mein kasheruki shareer kii or ishara karate hue.
injection key prasaar koo badhaane seey tantrika apghatan kii prabhavkarita mein vriddhi hoe sakati haye.
endoscopic ultrasound-nirdeshit tantrika apghatan.
endoscopic ultrasound (eus)-nirdeshit tantrika apghatan ack aisee takneek haye joe ack raikhik-sarani pratidhvani-pradarshak kaa upayog karke tantrika apghatan karati haye. eu takneek nyuntam aakramak haye aur paaramparik twachiya drishtikon kii tulanaa mein surakshit maani jaati haye. yous-nirdeshit tantrika apghatan takneek kaa upayog agnyashay key cancer seey judey dard key upchaar mein celiac plexus, celiac ganglion yaa broad plexus koo lakshit karane key liye kiya jaa sakata haye.
eus-nirdeshit celiac plexus neurolysis (eus-see. pee. aine.) yaa tou ack tirchhe-dekhane yaa aage-dekhane vaale pratidhvani-pradarshak key saath kiya jaataa haye aur ise munh key madhyam seey annapranali mein paarit kiya jaataa haye. gastroesophasal junction seey, yous imaging doctor koo mahadhamani kii kalpana karane kii anumati detee haye, jise taba celiac dhamani kii utpatti taka jaanaa jaa sakata haye. celiac jalika kii pehchaan naheen kii jaa sakati haye, lekin yeh celiac dhamani key saapeksh sthit haye. neurolysis koo phir ack spray suee key saath kiya jaataa haye joe ack neurolytic agent, jaise kii sharaab yaa phenol koo celiac plexus mein failata haye.
ee. yuu. aiss.-see. pee. aine. koo ektarafa (kendriya) yaa dwaipaakshik roop seey kiya jaa sakata haye, haalaanki, ack kii dusare parr shreshthata kaa samarthan karane vaalaa koee naidaanik pramaan naheen haye.
yous-nirdeshit tantrika apghatan koo celiac ganglion aur broad plexus parr bhee yous-see. pee. aine. key samaan tareeke seey kiya jaa sakata haye. celiac ganglion neurolysis (eus-see. aine.) eus-see. pee. aine. kii tulanaa mein adhik prabhaavi haye aur broad plexus neurolysis (eus-bee. pee. aine.) eus-see. jee. aine. kii tulanaa mein adhik prabhaavi haye.
cutty sahaanubhooti tantrika apghatan.
cutty sahaanubhooti tantrika apghatan kaa upayog aamtaur parr ischemic aaraam dard vaale rogiyon parr kiya jaataa haye, joe aam taur parr gair-punarnirmit dhamani avarodhak roga seey judey hotey hain. haalaanki yeh roga iss prakaar key tantrika apghatan kaa aadhar haye, anya roga jaise paridhiya tantrika apghatan yaa vasospastic vikaar dard key upchaar key liye cutty sahaanubhooti tantrika apghatan praapt curr sakate hain.
pratyek kasheruka junction parr alag-alag injection key saath l1-l4 kasheruka key beach cutty sahaanubhooti tantrika apghatan kiya jaataa haye. tantrikaon key tantrika apghatan key liye upayog kiye jaane vaale rasayan vinashkari fibrosis kaa kaaran banate hain aur sahanubhutipurna ganglia mein vyavadhaan paida karate hain. tantrika apghatan seey prabhaavit kshetra mein vasomotor tone cumm hoe jaataa haye, joe dhamani shunt key alawa, prabhaavit kshetra key bheetar ack halki gulabi upasthiti paida kartaa haye. cutty sahaanubhooti neurolysis norpinefrine aur catecholamine key star koo badalkar yaa afferent fiber koo pareshan karke ischemic aaraam dard sancharan koo badal detaa haye. iss prakriya kaa upayog mukhya roop seey kewal tabhi kiya jaataa haye jaba dard prabandhan key liye anya sambhav tarikon kaa upayog naheen kiya jaa sakata haye.
cutty sahaanubhooti tantrika apghatan poorna sharaab kaa upayog karke kiya jaataa haye, lekin anya rasayan jaise kii phenol, yaa anya takneekon jaise kii radiofrequency yaa lazer ablation kaa adhyayan kiya gayaa haye. prakriya mein sahaayata key liye, fluoroscopy yaa ct margadarshan kaa upayog kiya jaataa haye. fluoroscopic margadarshan sabse adhik hotaa haye, joe suee kii behtar vaastavik samay nigrani detaa haye. cutty sahaanubhooti tantrika apghatan key sanchaalan kii samanya takneek mein ack key bajaay teen alag-alag suiyon kaa upayog karna shamil haye kyonki yeh rasayanon key behtar anudairdhya prasaar kii anumati detaa haye.
iss prakriya seey tantrika jarh kii chot, raktasraav, pakshaghat aur adhik jaisi jatilataaen utpann hoe sakati hain. sharaab yaa phenol key injection kii tulanaa mein uparokt radiofrequency yaa lazer ablation takneekon kaa upayog karate samay jatilataon koo cumm hotey dekhaa gayaa haye. aam taur parr, lagbhag dou-tihai rogi anukool parinam (nyuntam jatilataon key saath dard seey raahat) kii ummeed curr sakate hain. kull milakar, cutty sahaanubhooti tantrika apghatan kii nyuntam aakramak takneek ischemic aaraam dard kii raahat mein mahatvapurna haye.
chemoderneration.
chemodenervation ack prakriya haye jiska upayog phenol, alcohol, yaa haal hii mein khoje gaye botulinum toxin (bonts) mein seey ack key upayog key madhyam seey fokal maanspeshiyon kii atee sakriyata kaa prabandhan karane key liye kiya jaataa haye. chemodenervation kaa upayog tantrika apghatan key poorak key roop mein kiya jaataa haye. pasand key agent koo tantrika ootak key vipareet maanspeshiyon key tantuon mein inject kiya jaataa haye aur donon maanspeshiyon key bheetar tantrika sanket koo sust karane key liye ack saath kaam karate hain.
sharaab aur phenol injection key prabhaav bont key prabhaav seey alag hotey hain. neurolysis sharaab aur phenol injection key prabhaavon mein madhyasthata kartaa haye lekin bont injection key prabhaavon mein madhyasthata naheen kartaa haye. phenol aur sharaab cumm mahange hotey hain, teji seey kaam karate hain, badey kshetron kaa ilaaj curr sakate hain, aur teen maheene seey bhee cumm samay mein phir seey prashaasit yaa badhaava diyaa jaa sakata haye, haalaanki, una injections key liye rogi koo shaant karane kii aavashyakta hoti haye, maanspeshiyon parr nishan paida hotaa haye, aur maanspeshiyon key fibrosis kaa kaaran bunn sakate hain. bont injection koo injection denaa aasaan hotaa haye, rogiyon dwara behtar tareeke seey sweekaar kiya jaataa haye, aur maanspeshiyon parr prativarti prabhaav padata haye, haalaanki, way adhik mahange hotey hain, bahut dheere-dheere kaary karate hain, aur shareer unake prati pratirodh vikasit curr sakata haye.

