Teeb meem ntawm Lumbar Puncture Needles
May 20, 2018
Cov cim tseem ceeb hauv cov neeg mob rog rog yog qhov nyuaj los txheeb xyuas, uas ua rau muaj kev nyuaj rau cov kws kho mob. Osteoarthritis, ankylosing spondylitis, kyphoscoliosis, keeb kwm ntawm kev phais sab nraub qaum, thiab degenerative disc kab mob tuaj yeem ua rau nws nyuaj rau kev ua kom tiav lumbar puncture. Hauv cov neeg mob uas muaj cov mob no, kev sab laj nrog tus kws tshuaj loog lossis tus kws kho mob radiologist yuav tsum tau txhim kho qhov ua tau zoo ntawm lub lumbar puncture. Cov teeb meem ntawm lumbar puncture muaj xws li lub hlwb herniation, impaired cardiorespiratory function, localized los yog xa mus mob, mob taub hau, hemorrhage, kab mob, subarachnoid epidermal cyst, thiab CSF to. Qhov teeb meem feem ntau yog mob taub hau, uas tshwm sim hauv 36.5 feem pua ntawm cov neeg mob hauv 48 teev tom qab lumbar puncture. Yog vim li cas rau mob taub hau yog tias tus nqi ntawm CSF to los ntawm qhov chaw puncture tshaj tus nqi ntawm CSF ntau lawm. Qhov tshwm sim ntawm qhov mob taub hau ntau ntxiv yog cuam tshuam nrog lub thickness ntawm lumbar puncture koob siv. Qhov teeb meem loj tshaj plaws yog lub paj hlwb herniation, uas tuaj yeem tshwm sim yog tias qhov sib txawv ntawm cov kab noj hniav cranial thiab tus txha caj qaum loj. Thaum lub sij hawm lumbar puncture, qhov sib txawv ntawm qhov siab tuaj yeem nce ntxiv, ua rau kev tsim ntawm lub paj hlwb herniation. Cov kws kho mob tuaj yeem txheeb xyuas cov neeg mob uas muaj kev pheej hmoo siab uas ua rau lub paj hlwb herniation los ntawm cov ncauj lus kom ntxaws txog kev kho mob thiab kev kuaj mob hlwb. CT tej zaum yuav pab tau yog tias cov kws kho mob tseem muaj kev txhawj xeeb txog kev ua kom lub lumbar puncture, tab sis siab intracranial siab tej zaum yuav tsis tas yuav kuaj pom ntawm daim duab. Txawm li cas los xij, tsis yog txhua tus neeg mob xav tau CT vim tias nws tuaj yeem ncua kev kuaj mob thiab kho. Cov neeg mob uas muaj hemorrhagic diathesis feem ntau ua rau los ntshav, uas tuaj yeem ua rau txha caj qaum compression. Tsis muaj tus qauv tsim nyog rau kev sib raug zoo ntawm qib ntawm coagulation teeb meem thiab kev pheej hmoo los ntshav, yog li cov kws kho mob yuav tsum txiav txim siab raws li kev kho mob. Subarachnoid epidermal cysts yog tshwm sim los ntawm daim tawv nqaij emboli nkag mus rau qhov chaw subarachnoid, uas tuaj yeem zam tau los ntawm kev siv rab koob nrog lub hauv paus.
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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