Iimpawu zemveliso
1. Isinqe sinokushukuma.Umqhubi kufuneka abambe intloko yesigulane esifanisiweyo ngesandla esisodwa kwaye abambe isiseko somlenze wemilenze yomibini ephantsi ngokuqinileyo kunye nesinye isandla ukwenza i-spine kyphotic kunye nokwandisa indawo ye-vertebral kangangoko kunokwenzeka ukugqiba i-puncture.2. Ulwakhiwo lwezicubu ze-lumbar zichanekile kwaye iimpawu zomzimba zicacile: kukho i-1 ~ 5 epheleleyo ye-vertebrae (umzimba we-vertebral, i-vertebral arch plate, inkqubo ye-spinous), i-sacrum, i-sacral hiatus, i-Angle ye-sacral, i-spinous ligament ephezulu, i-interspinous ligament. , i-yellow ligament, i-dura mater kunye ne-omentum, kunye ne-subomentum, indawo ye-epidural kunye ne-sacral canal eyenziwa yizicubu ezingentla: i-posterior iliac spine, i-iliac ridge, inkqubo ye-thoracic spine kunye ne-lumbar spine process inokuvakalelwa ngokwenene.3. Ezi zenzo 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. Inyaniso efanisiweyo ye-lumbar puncture: Xa inaliti yokuhlatywa ifikelela kwi-yellow ligament efanisiweyo, ukuchasana kuyanda. kwaye kukho imvakalelo yokuqina, kwaye ukuphumelela kwe-yellow ligament kunomqondo ocacileyo wokuphoxeka.Oko kukuthi, kwindawo ye-epidural, kukho uxinzelelo olubi (ngeli xesha, ukutofa kwe-anesthetic liquid yi-epidural anesthesia): ukuqhubeka nokutofa inaliti iya kuhlaba i-dura kunye ne-omentum, kuya kubakho imvakalelo yesibini yokusilela, kukuba, kwisithuba se-subomentum, kuya kubakho ukuphuma kolwelo lobuchopho olufanisiweyo.Yonke le nkqubo ifanisa imeko yangempela yeklinikhi ye-lumbar puncture.