Yuav ua li cas khiav lag luam thaum siv puncture?

Feem ntau siv txoj hauj lwm khoov rov qab, los ntawm lub lumbar 2 mus rau lub sacral 1 (tsuas yog lumbar 3-4) intervertebral chaw puncture. Tom qab siv tshuaj tua kab mob hauv zos thiab tshuaj loog, hnav hnab looj tes roj hmab, thiab siv 20- ntsuas rab koob (21-22 rau cov menyuam yaus) kom maj mam tho raws cov txheej txheem spinous. Thaum lub sij hawm tus txheej txheem txhaj koob, koob taub ntsib cov pob txha. Cov koob yog thim rov qab mus rau qhov chaw subcutaneous thiab lub kaum sab xis raug kho ua ntej xuas nrig ntaus. Thaum lub koob tau ntxig txog 4-150px rau cov neeg laus (txog 3-100px rau cov menyuam yaus), dura tuaj yeem nkag mus thiab qhov chaw subarachnoid tuaj yeem ncav cuag. ), tom qab ntawd ntxig lub koob tseem ceeb thiab rub tawm lub koob txhaj tshuaj. Lub siab me ntsis ntawm qhov taw tes kom tsis txhob los ntshav, siv cov ntaub qhwv tsis muaj menyuam thiab kho nws nrog daim kab xev. Puag rau 4-6 teev tom qab kev phais. Yog tias thawj zaug siab tshaj 2.94kPa (300mm dej kem), nws tsis haum rau tso cov kua, thiab tsuas yog cov kua cerebrospinal nyob rau hauv lub raj ntsuas lub siab yog xa mus rau kev suav ntawm tes thiab protein ntau. Qhia tus neeg mob pw ntawm ib sab ntawm lub txaj tawv tawv, nrog rau sab nraub qaum rau ntawm lub txaj saum npoo, flex lub taub hau mus rau hauv siab, thiab tuav lub hauv caug nrog ob txhais tes ze rau ntawm lub plab, kom lub cev yog arched; Ob txhais tes tuav lub cev nqaij daim tawv ntawm ob sab ceg thiab tuav kom nruj kom tus txha nraub qaum kyphosis kom nthuav dav ntawm qhov chaw intervertebral thiab pab txhawb nqa koob. Txiav txim siab qhov puncture point, siv qhov kev sib tshuam ntawm txoj kab txuas rau sab nraub qaum ntawm lub iliac thiab lub posterior nruab nrab kab raws li qhov puncture point, feem ntau siv 3rd -4th lumbar spinous txheej txheem qhov chaw, thiab qee zaum nws kuj tuaj yeem ua tau. ua nyob rau hauv lub Upper lossis qis lumbar intervertebral qhov chaw. Tom qab niaj hnub tshuaj tua kab mob ntawm daim tawv nqaij, hnab looj tes tsis muaj menyuam thiab lub qhov npog npog tau hnav, thiab 2 feem pua ​​​​lidocaine tau siv rau hauv zos infiltration anesthesia txheej los ntawm txheej ntawm daim tawv nqaij mus rau intervertebral ligament. Tus kws phais kho cov tawv nqaij ntawm qhov taw tes rau sab laug, thiab tuav lub koob txhaj tshuaj nrog sab tes xis kom maj mam tho rau ntawm txoj kab ntsug ntawm sab qaum teb. Qhov tob ntawm rab koob yog li ntawm 4-150px rau cov neeg laus thiab 2-100px rau cov menyuam yaus. Thaum rab koob hla lub ligament thiab dura, koj tuaj yeem hnov ​​​​qhov kev poob siab tam sim ntawd thiab kev nkag siab ntawm kev poob. Nyob rau lub sijhawm no, rab koob tseem ceeb tuaj yeem maj mam tshem tawm (kom tiv thaiv cov kua cerebrospinal sai sai, ua rau lub paj hlwb herniation), thiab cov kua dej cerebrospinal tuaj yeem pom.

Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob txhaj tshuaj, koob tshuaj tiv thaiv kab mob, koob txhaj tshuaj, koob txhaj tshuaj, koob tshuaj tua tsiaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho. koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!

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