A mankhwala ochititsa dzanzi m'dera zimathandiza dzanzi gawo linalake la thupi kuti opaleshoni, mankhwala kapena chithandizo chichitike popanda kupweteka. Mfundo ndikuletsa kwakanthawi minyewa conduction m'dera linalake, kuti muteteze zowawa.

Opaleshoni yam'deralo imagwiritsidwa ntchito popanga opaleshoni yofulumira kapena yaying'ono yomwe siifuna opaleshoni yamba kapena yachigawo.

Chifukwa chake, dokotala amapita ku opaleshoni yam'deralo pazifukwa zotsatirazi:

• za chisamaliro cha mano
• za misozi
• kwa ma biopsies ena kapena ochotsa maopaleshoni ang'onoang'ono (ma cysts, ma dermatological njira zopepuka, etc.)
• kwa maopareshoni a podiatry
• kuyika zida za mtsempha (monga ma catheter) kapena musanabayidwe jekeseni
• kapena kuyezetsa chikhodzodzo pogwiritsa ntchito chubu cholowetsa mkodzo (cystoscopy)

Pali njira ziwiri zochitira opaleshoni ya m'deralo:

• by kusalola : ogwira ntchito zachipatala amabaya intradermally kapena subcutaneally ndi mankhwala oletsa kukomoka (makamaka lidocaine, procaine kapena teÌ?? tracaine) pagawo linalake la thupi kuti likhale dzanzi
• zamtundu (pamtunda): ogwira ntchito zachipatala amathira pakhungu kapena mucous nembanemba madzi, gel osakaniza kapena utsi wokhala ndi mankhwala oletsa kukomoka.

Malo enieni omwe amayang'aniridwa ndi anesthesia ndi dzanzi, wodwalayo samamva ululu uliwonse. Dokotala akhoza kuchita kachitidwe kakang'ono kapena kupereka chithandizo popanda zowawa kwa wodwalayo.