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ทางเลือกหนึ่งสำหรับการผ่าตัดที่บริเวณหน้าท้อง ขาหนีบ ขา เท้า รวมถึงบริเวณก้น มีกลไกการออกฤทธิ์โดยสกัดกั้น เส้นประสาทไขสันหลังบริเวณที่ยาชากระจายไปถึง และก่อให้เกิดการระงับความรู้สึกของเส้นประสาท รับความรู้สึกเส้นประสาทสั่งการและเส้นประสาทอัตโนมัติ

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