operatsii na perifericheskix nervax konechnostey

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powerpoint presentation lektsiya № 3 tema lektsii operatsii na perifericheskix nervax konechnostey operations on peripheral nerves of limbs goals and objectives consider topographic anatomical and physiological characteristics of the structure and function of the nervous system. discuss the basic operations on the peripheral nerve trunks. tseli i zadachi rassmotret topografo-anatomicheskie i fiziologicheskie osobennosti stroeniya i funktsii nervnoy sistemi. obsudit osnovnie operatsii na perifericheskix nervnix stvolax. vidayushiysya xirurg n.i.pirogov skazal: «kto imeet delo s povrejdeniyami nervnix stvolov, tot znaet, kak medlenno i ploxo vosstanavlivayutsya ix otpravleniya, s kakimi mucheniyami soedineno bivaet obrazovanie rubtsa, i kak chasto ranennie ostayutsya tseluyu jizn kalekami i muchenikami ot povrejdeniya odnogo nervnogo stvola» spinnoy mozg spinal cord reflektornaya duga the reflex arc plechevoe nervnoe spletenie brachial plexus poyasnichnoe i kresttsovoe spleteniya lumbar and sacral plexus topograficheskaya anatomiya nervnix stvolov oblasti plecha topographic anatomy of the nerve trunks of the shoulder topograficheskaya anatomiya nervnix stvolov peredney oblasti …

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ces parabiosis. bruising (contusio) - hemorrhage, stretching the axons break of individual fibers or bundles. compression (compressio) - foreign bodies, broken bones, bruises paraneural, compression harness. dislocation (luxatio) - ulnar nerve (traumatic neuritis). stretching (distorsio) - brachial plexus with the dislocated shoulder. otkritie povrejdeniya nervov otkritie povrejdeniya nervnogo stvola soprovojdayutsya razrusheniem epinevriya i aksonov. delyatsya na koloto-rezannie i ognestrelnie. razrivi nervnogo stvola mogut bit: polnimi – rasxojdenie kontsov nerva (diastaz), polnoe vipadenie funktsiy nerva; chastichnimi – «bokovaya zarubka» pri kasatelnom ranenii; «dirchatie» raneniya – melkiy snaryad cherez tolshu nerva. upcoming nerve damage upcoming damage nerve trunk accompanied by the destruction of axons and epineurium. divided into stab and gunshot. breaks nerve trunk may be: complete - all nerve divergence (diastasis), the complete loss of nerve function; partial - "side notch" in the wounding of the tangent; "perforated" wounds - small projectile through the thickness of the nerve. i.m.sechenov – elektrofiziologicheskoe …

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y atrophy, decreased muscle tone, disturbances of tendon and periosteal reflexes, later - the restriction of joint movement. obshiy vid verxney konechnosti pri porajeniyax nervov general view of the upper limbs in nerve disease vid kisti pri porajenii loktevogo nerva type of manus with the defeat of the ulnar nerve obshiy vid verxney konechnosti pri porajeniyax nervov vid kisti pri porajenii sredinnogo nerva type of brushes with the defeat of the median nerve obshiy vid verxney konechnosti pri porajeniyax nervov vid kisti pri porajenii luchevogo nerva type of brushes with the defeat of the radial nerve obshiy vid nijney konechnosti pri porajeniyax nervov polojenie stopi pri porajenii n.cutaneus surae medialis the position of the foot in the defeat n.cutaneus surae medialis obshiy vid nijney konechnosti pri porajeniyax nervov polojenie stopi pri porajenii n.cutaneus surae lateralis the position of the foot in the defeat n.cutaneus surae lateralis obshiy vid nijney konechnosti …

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x ("gooseflesh"). troficheskie rasstroystva – naibolee tyajelie. pri etom nablyudayutsya: pomutnenie, ischerchennost i lomkost nogtey, shelushenie epidermisa, giperkeratoz, poyavlenie na konchikax paltsev «flikten» s serozno-krovyanistim vipotom, troficheskie yazvi konechnostey v mestax opori (pyatka, perviy palets, narujnaya polovina stopi). primer: yazva stopi pri porajenii sedalishnogo nerva. trophic disorders - the most severe. at the same time observed: cloudiness, striated and brittle nails, peeling epidermis, hyperkeratosis, the appearance at their fingertips "conflict" with bloody-serous effusion, trophic ulcers limbs in places of support (heel, the first finger, the outer half of the foot). example: ulcers of the foot in the defeat of the sciatic nerve. metodi lecheniya fizioterapevticheskie; neyrorafiya (shov nerva). physiotherapy; neyrorafiya (nerve suture) operativnie dostupi k nervnim stvolam operative access to the nerve trunk obshaya zakonomernost raspolojeniya sosudov i nervov. poetomu dostup i orientiri analogichni. opasnost povrejdeniya soputstvuyushix sosudov. sushestvuet klassicheskoe polojenie o tselesoobraznosti okolnix dostupov pri operatsiyax na nerve, otstupya …

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- 6 cm by bone resection. osobennosti krovosnabjeniya nerva features nerve blood supply krovosnabjenie nerva – segmentarnoe, ot arteriy idushix ryadom ili ot mishechnix arterialnix vetvey. poetomu immobilizatsiya nerva na bolshom protyajenii s tselyu sopostavleniya kraev privodit k rasstroystvam krovosnabjeniya, a sledovatelno uxudshayutsya usloviya dlya protsessa regeneratsii. the blood supply to the nerve - segmental, going from arteries near or on the muscular arterial branches. mexanizm vosstanovleniya funktsiy konechnosti posle operatsii recovery mechanism limb function after operation uollerovskoe pererojdenie – degeneratsiya nerva – demielinizatsiya aksonov (ostaetsya soedinitelno-tkannaya osnova, t.e. shvannovskie obolochki) rost (regeneratsiya) nervnix volokon (rost aksonov 1 – 1,5 mm v sutki). atrofiya ispolnitelnix organov (tkani, sustavnaya obolochka, sustavi). wallerian degeneration - degeneration of nerve - axonal demyelination (connective tissue remains the foundation, that is schwann sheath) height (regeneration) of nerve fibers (axons growth 1 - 1.5 mm per day). atrophy of the executive bodies (tissue, synovial membrane joints). …

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powerpoint presentation lektsiya № 3 tema lektsii operatsii na perifericheskix nervax konechnostey operations on peripheral nerves of limbs goals and objectives consider topographic anatomical and physiological characteristics of the structure and function of the nervous system. discuss the basic operations on the peripheral nerve trunks. tseli i zadachi rassmotret topografo-anatomicheskie i fiziologicheskie osobennosti stroeniya i funktsii nervnoy sistemi. obsudit osnovnie operatsii na perifericheskix nervnix stvolax. vidayushiysya xirurg n.i.pirogov skazal: «kto imeet delo s povrejdeniyami nervnix stvolov, tot znaet, kak medlenno i ploxo vosstanavlivayutsya ix otpravleniya, s kakimi mucheniyami soedineno bivaet obrazovanie rubtsa, i kak chasto ranennie ostayutsya tseluyu jizn kalekami i ...

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