Iimpawu zemveliso
1. Isinqe singashukunyiswa. Umqhubi kufuneka abambe intloko yesigulana esilinganiswayo ngesandla esinye aze abambe isiseko somlenze wamalungu omabini asezantsi ngokuqinileyo ngesinye isandla ukuze enze umqolo ube yi-kyphotic kwaye wandise indawo yomqolo kangangoko kunokwenzeka ukuze kugqitywe ukubhoboza. 2. Ulwakhiwo lwezicubu ze-lumbar luchanekile kwaye iimpawu zomphezulu womzimba zicacile: kukho i-vertebrae epheleleyo eyi-1 ~ 5 ye-lumbar (umzimba we-vertebral, i-vertebral arch plate, inkqubo ye-spinous), i-sacrum, i-sacral hiatus, i-sacral Angle, i-superior spinous ligament, i-interspinous ligament, i-yellow ligament, i-dura mater kunye ne-omentum, kunye ne-subomentum, indawo ye-epidural kunye nomjelo we-sacral owenziwe ziithishu ezingasentla: umqolo we-posterior superior iliac, i-ridge ye-iliac, inkqubo yomqolo we-thoracic kunye nenkqubo yomqolo we-lumbar inokuvakala ngokwenene. 3. Ezi nkqubo zilandelayo zinokwenzeka: i-anesthesia ye-lumbar, i-lumbar puncture, i-epidural block, i-caudal nerve block, i-sacral nerve block, i-lumbar sympathetic nerve block 4. Inyani eqikelelweyo yokubhoboza i-lumbar: Xa inaliti yokubhoboza ifikelela kwi-ligament etyheli eqikelelweyo, ukumelana kuyakhula kwaye kukho imvakalelo yokuqina, kwaye ukugqabhuka kwe-ligament etyheli kuba nemvakalelo yokuphoxeka ngokucacileyo. Oko kukuthi, kwindawo ye-epidural, kukho uxinzelelo olubi (ngeli xesha, ukujova ulwelo lwe-anesthetic yi-epidural anesthesia): qhubeka ujova inaliti uya kubhoboza i-dura kunye ne-omentum, kuya kubakho imvakalelo yesibini yokusilela, oko kukuthi, kwindawo ye-subomentum, kuya kubakho ukuphuma kolwelo lobuchopho oluqikelelweyo. Yonke inkqubo ilinganisa imeko yokwenyani yokubhoboza i-lumbar clinical.