Epidural Tuohy Punture Cannula

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Khoom Qhia

Dab tsi yog qhov txawv ntawm lumbar puncture thiab epidural anesthesia?

Lumbar puncture yog lub npe ib txwm siv rau subarachnoid puncture.

Ua ntej ntawm tag nrho cov, subarachnoid puncture feem ntau yog hais txog cov txheej txheem kuaj mob, uas yog siv tshuaj kho mob kom tshem tawm cov kua cerebrospinal rau kev kuaj xyuas, tab sis nws kuj tuaj yeem ua rau tshuaj loog los ntawm kev txhaj tshuaj loog hauv zos los ntawm subarachnoid puncture (tseem hu ua "subarachnoid block" lossis " lumbar anesthesia").

Tej zaum ntau tus neeg tsis to taub tias subarachnoid block thiab epidural anesthesia tsis txhaj rau sab nraub qaum. Qhov txawv ntawm ob yog dab tsi?

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Epidural Tuohy Punture Cannula

Qhov tseeb, ob hom tshuaj loog no suav nrog hu ua intraspinal anesthesia. Cov theem anatomical nyob rau hauv tus txha caj qaum yog ligamentum flavum, spinal dura, arachnoid thiab qaum qaum. Nruab nrab ntawm ligamentum flavum thiab tus txha caj qaum dura yog qhov chaw epidural, thiab muab cov tshuaj loog ntawm no hu ua epidural anesthesia. Thaum muaj qhov sib txawv hauv qab ntawm lub cev ntawm dura thiab arachnoid daim nyias nyias uas feem ntau tsis pom qhov txawv txav, muaj qhov sib txawv ntawm arachnoid daim nyias nyias thiab qaum qaum hu ua subarachnoid qhov chaw. Yog li ib qho ntawm qhov sib txawv ntawm ob hom tshuaj loog no yog qib ntawm kev txhaj tshuaj.

Qhov tseem ceeb tshaj, muaj qhov sib txawv ntawm lub sijhawm, qhov chaw thiab koob tshuaj loog ntawm ob pawg. Lub sijhawm ntawm subarachnoid block tshuaj loog yog luv luv, qhov chaw tshuaj loog muaj kev nyab xeeb tsawg (feem ntau tsuas yog siv rau kev tso tshuaj loog hauv plab thiab hauv qab), thiab cov koob tshuaj tsis tshua muaj (qhov teeb meem tseem ceeb yog mob taub hau los ntawm intracranial hypotension, tab sis tsis ntev los no kev txhim kho ntawm cov twj paj nruag muaj. txo qhov kev pheej hmoo ntawm hom tshuaj loog no). Epidural anesthesia tuaj yeem pab txhawb lub sijhawm ua haujlwm ntev dua thiab tuaj yeem siv rau kev mob ntshav qab zib. Qhov chaw tshuaj loog muaj kev nyab xeeb yog siab (nws txawm yog siv rau kev phais caj dab thaum ntxov), tab sis cov koob tshuaj yog siab (thiab cov kev cai ntawm tus neeg teb xov tooj yog siab, uas yuav ua rau muaj kev pheej hmoo ntawm cov teeb meem ntawm cov leeg txha caj qaum).

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