Umatshini wokulinganisa i-Lumbar puncture waseTshayina Umenzi kunye noMzi-mveliso

Imodeli yesigulana esemgangathweni yokulinganisa ukubhobozwa kwemilenze Umfanekiso obonisiweyo

Imodeli yesigulana esemgangathweni yokulinganisa ukubhobozwa kwe-lumbar

Inkcazo emfutshane:

Iinkcukacha zeMveliso

Iithegi zeMveliso

Iimpawu ezisebenzayo:
1. Isigulana esilinganisiweyo sabekwa ecaleni, umqolo umi nkqo ebhedini, intloko igobe ngasesifubeni esingaphambili, amadolo agobe ngasesiswini, kwaye umzimba ugobile.
2. Isinqe singashukunyiswa. Umqhubi ubamba intloko yesigulana esilinganiswayo ngesandla esinye kunye ne-popliteal fossa yamalungu omabini asezantsi ngokuqinileyo ngesinye isandla. Umqolo unokuba ne-kyphotic kangangoko kunokwenzeka ukuze kwandiswe indawo yomqolo kwaye kugqitywe ukubhoboza.
3. Ulwakhiwo oluchanekileyo lwezicubu zesinqe kunye neempawu zomzimba ezibonakalayo: Kukho i-vertebrae epheleleyo eyi-1 ~ 5 (umzimba we-vertebral, i-vertebral arch plate, inkqubo ye-spinous), i-sacrum, i-sacral hiatus, i-sacral Angle, i-superior spinous ligament, i-interspinous band, i-ligamenta flandum, i-dura kunye ne-omentum, kwaye i-subomentum, indawo ye-epidural, i-sacral canal, i-posterior superior iliac spine, i-iliac ridge, inkqubo ye-thoracic spine, kunye nenkqubo ye-lumbar spine eyenziwe kwiithishu ezingasentla zinokuvakala ngokwenene.
4. Ezi nkqubo zilandelayo zinokwenzeka: i-lumbar anesthesia, i-lumbar puncture, i-epidural block, i-caudal nerve block, i-sacral nerve block, i-lumbar sympathetic nerve block.
5. Inyani eqikelelweyo yokubhobozwa kwe-lumbar: Xa inaliti yokubhobozwa ifikelela kwi-ligamentum flavum eqikelelweyo, ukumelana kuyakhula kwaye kukho imvakalelo yokuqina; xa inaliti yokubhobozwa igqobhoza kwi-ligamentum flavum, kukho imvakalelo yokuphoxeka ecacileyo, oko kukuthi, ingena kwindawo ye-epidural kwaye inexinzelelo elibi, kwaye ulwelo lufakwa ukuze kulinganiswe i-epidural anesthesia; Ukufakwa ngakumbi kwenaliti kuya kubhoboza i-dura kunye ne-omentum, kwaye kuya kubakho imvakalelo yesibini yokukhungatheka, oko kukuthi, ukungena kwindawo ye-subomentum, kuya kubakho ukuphuma kolwelo lwe-cerebrospinal oluqikelelweyo, kwaye yonke inkqubo iya kuxelisa imeko yokwenyani yokubhobozwa kwe-lumbar.
Ukupakisha: Iqhekeza eli-1/ibhokisi, 77x62x33cm, 13kgs

Ulwakhiwo oluchanekileyo lwezicubu zesinqe kunye neempawu zomzimba ezibonakalayo: i-vertebrae epheleleyo eyi-1 ukuya kwe-5 ye-lumbar (umzimba we-vertebral, i-vertebral arch plate, inkqubo ye-spinous), i-sacrum, umngxuma we-sacral, i-sacral angle, i-supraspinous ligament, i-interspinous ligament, i-ligamentum flavum, i-hard spine Membranes kunye ne-bead reticulum, kunye ne-subdural reticulum, i-epidural space, kunye nomjelo we-sacral owenziwe ziizicubu ezingasentla; umqolo we-posterior superior iliac, i-iliac crest, inkqubo ye-thoracic spinous, kunye ne-lumbar spinous proc
Ezi nkqubo zilandelayo zinokwenzeka: i-lumbar anesthesia, i-lumbar puncture, i-epidural block, i-caudal nerve block, i-sacral nerve block, i-lumbar sympathetic nerve block.
Imodeli yezonyango yokubhoboza i-lumbar ngokulinganisa ubungakanani bobomi bomntu. Le modeli yile: Umlinganiselo womzimba ongu-1: 1, ukuthamba, kunye nokwakheka komzimba okuchanekileyo. Isigulana esilinganisiweyo sibekwe kwindawo ecala, umqolo umi nkqo kumphezulu webhedi, intloko igobile phambili esifubeni, amadolo agobile esisu, kwaye umzimba ugobile.
Isinqe singashukunyiswa. Umqhubi kufuneka atsale intloko yesigulana ngesandla esinye aze abambe amalungu angezantsi kwi-popliteal fossa ngesinye isandla, ukuze umqolo ube yi-kyphosis kwaye wandise indawo ye-intervertebral ukuze kugqitywe ukubhoboza.
Ukulinganisa ukubhoboza kwe-lumbar kuyinyani: xa inaliti yokubhoboza ifikelela kwi-ligamentum flavum elinganisiweyo, ukumelana kuyakhula kwaye kukho uvakalelo lokuqina; ukugqabhuka kwe-ligament etyheli kunengqiqo ecacileyo yokuphuma, oko kukuthi, ingena kwindawo ye-epidural kwaye kukho uxinzelelo olubi (ngeli xesha, ukujova ulwelo lwe-anesthetic Yi-epidural anesthesia); ukuqhubeka ukungena kwenaliti kuya kugqobhoza i-dura mater kunye ne-bead omentum, ingqiqo yesibini yokuphuma kwe-occu