Daim ntawv thov tseem ceeb ntawm kev kho mob thiab cov lus qhia ua haujlwm ntawm Tuohy koob

https://en.wikipedia.org/wiki/Tuohy_needle

Raws li core minimally invasive puncture instruments rau cov txheej txheem spinal kwj dej,Tau koobtau txais kev pom zoo nyob rau hauv ntau lub chaw kho mob xws li tshuaj loog, obstetrics, mob tshuaj thiab neurosurgery, npog ntau yam xwm txheej xws li phais tshuaj loog, postoperative analgesia, ua hauj lwm analgesia thiab kab mob kev kho mob, vim lawv qhov zoo ntawm kev raug mob tsawg heev, tswj meej thiab dav compatibility. Qhov tshwj xeeb nkhaus nkhaus thiab lub qhov muag tom qab tsim tau txo qis kev pheej hmoo ntawm tus txha nqaj qaum, ua rau lawv nyiam cov cuab yeej rau kev kho mob intraspinal. Hauv - kev nkag siab tob txog cov xwm txheej tseem ceeb ntawm daim ntawv thov thiab cov lus qhia ua haujlwm tau zoo yog lub hauv paus tseem ceeb rau cov neeg ua haujlwm kho mob kom ua qauv siv ntsuas ntsuas thiab lav kev kuaj mob thiab kev nyab xeeb kev kho mob.

Kev ua haujlwm analgesia yog qhov nthuav dav tshaj plaws thiab classic daim ntawv thov scenario ntawm Tuohy koob, cov cuab yeej txhawb nqa tseem ceeb rau kev yug menyuam tsis mob hauv kev yug menyuam. Thaum lub sij hawm ua hauj lwm ntuj, lumbar intervertebral chaw epidural puncture yog ua nrog Tuohy koob los tso siab rau analgesic catheters rau nruam infusion ntawm qis -concentration anesthetic thiab analgesic tshuaj, zoo thaiv neural conduction ntawm mob mob thiab zoo heev alleviating niam kev txom nyem yam tsis muaj kev cuam tshuam nrog uterine contraction. Qhov nkhaus nkhaus ntawm Tuohy koob zoo tiv thaiv kev raug mob dura mater thiab vascular hemorrhage thaum lub sij hawm puncture, lub qhov muag rear guarantees uniform diffusion, thiab pob tshab hub enables cov neeg ua hauj lwm kho mob kom meej meej puncture txoj hauj lwm, drastic txhim kho kev nyab xeeb thiab ua tau zoo tus nqi ntawm kev ua hauj lwm analgesia. Tam sim no, kev siv tshuab tsis muaj mob rau kev yug menyuam tau nrov hauv cov tsev kho mob hauv txhua theem, ua Tuohy koob niaj hnub siv cov cuab yeej kho mob tseem ceeb rau cov chaw kho mob hauv tsev kho mob.

Epidural tshuaj loog rau kev phais dav siv los ua ib qho ntawm cov txheej txheem tseem ceeb ntawm Tuohy koob, dav haum rau kev siv tshuaj loog xav tau ntawm lub plab plab, qis qis, pelvic thiab qis dua - lub cev phais. Piv nrog rau kev siv tshuaj loog, epidural anesthesia txais Tuohy koob kom meej meej rau qhov chaw epidural thiab infuse cov tshuaj loog hauv zos, tsuas yog thaiv cov hlab ntsha hauv thaj chaw phais nrog qhov zoo ntawm kev raug mob tsawg, kev rov qab sai sai thiab muaj teeb meem tsawg dua. Thaum lub sijhawm phais, cov neeg ua haujlwm kho mob tuaj yeem ntxiv cov tshuaj loog rau kev thov los ntawm cov catheters tso los ntawm Tuohy koob kom raug tswj xyuas cov tshuaj loog ntev thiab qhov tob, sib piv cov kev phais ntawm qhov sib txawv. Meanwhile, puncture raug mob los ntawm Tuohy koob yog qhov me me, ua rau cov neeg mob rov qab ua haujlwm sai sai tom qab ua haujlwm, ua kom luv luv mus pw hauv tsev kho mob thiab txhawb kev kho mob. Rau cov pab pawg tshwj xeeb xws li cov neeg mob laus thiab cov neeg uas tsis muaj zog cardiopulmonary ua haujlwm tsis txaus siab rau kev siv tshuaj loog, epidural tshuaj loog ntawm Tuohy koob ua thawj qhov kev kuaj mob thiab kev kho mob.

Kev kho mob ntev yog ib qho kev siv txuas ntxiv ntawm Tuohy koob, feem ntau yog siv rau kev kho mob tsawg kawg nkaus ntawm kev mob intraspinal mob, qhov mob tom qab phais, lumbago thiab ceg mob. Cov kws kho mob ua kom raug mob nrog Tuohy koob kom xa cov tshuaj tua kab mob thiab tiv thaiv - cov tshuaj tiv thaiv ncaj qha mus rau qhov chaw mob. Targeted tshuaj yeeb yam ntawm cov hlab ntsha xaus thiab cov ntaub so ntswg inflammatory muab sai npaum li cas nrog tsawg cov kev phiv ntau tshaj li qhov ncauj los yog intravenous tswj. Tsis tas li ntawd, rau kev mob taub hau uas tshwm sim los ntawm cov kua dej cerebrospinal to, ntshav kho kho phais tuaj yeem ua tiav nrog Tuohy koob: autologous cov neeg mob cov ntshav tau muab rho tawm thiab raug txhaj rau hauv cerebrospinal kua dej ntws los ntawm Tuohy koob los kaw cov xau thiab paub txog kev kho me me, tshem tawm kev phais loj heev.

Postoperative nruam analgesia yog lwm qhov tseem ceeb daim ntawv thov scenario ntawm Tuohy koob, dav siv rau kev tswj mob tom qab loj kev phais thiab orthopedic. Qhov mob hnyav tom qab kev phais loj cuam tshuam rau cov neeg mob pw tsaug zog, rov qab los thiab mus ob peb vas. Preoperatively tso epidural catheters ntawm Tuohy koob ua kom tas mus li micro- noj rau 48 mus rau 72 teev tom qab kev ua haujlwm kom meej meej tswj qhov mob hnyav, txo qis kev txom nyem tom qab phais thiab pab txhawb kev cob qhia thaum ntxov. Txoj kev tshuaj tua kab mob no muab cov txiaj ntsig ruaj khov, txiav tag nrho kev noj tshuaj analgesic thiab txo qis cov tshuaj tsis zoo los txhim kho cov neeg mob kev kho mob tom qab phais.

Nyob rau hauv cov nqe lus ntawm cov lus qhia ua haujlwm tus qauv, kev siv Tuohy koob yuav tsum ua raws li cov txheej txheem nruj me ntsis. Ua ntej, xaiv koob shafts ntawm txoj kab uas hla thiab ntev raws li cov neeg mob lub hnub nyoog, lub cev hom thiab kev phais hom: ultra- zoo shafts luv luv rau cov menyuam yaus thiab cov neeg mob lean, qauv lossis txuas ntxiv rau kev phais neeg laus. Thib ob, tswj qhov tob kom raug raws li cov kab ntawm cov kab hauv rab koob thaum lub sij hawm puncture, soj ntsuam cov kua dej rov qab los ntawm lub pob tshab hub, thiab paub meej meej meej qhov chaw ua ntej tso catheter thiab tshuaj infusion. Thaum kawg, tshem cov koob maj mam tom qab kev ua haujlwm, zam kev siv dag zog uas yuav ua rau cov ntaub so ntswg ntawm tus txha caj qaum. Lub caij no, kev ua haujlwm tsis muaj menyuam yuav tsum tau ua tiav nrog cov khoom ua kom tsis muaj menyuam kom tshem tawm cov kev pheej hmoo ntawm kev kis kab mob. Nrog kev txhim kho txuas ntxiv ntawm cov cuab yeej siv kho mob tsawg kawg nkaus, daim ntawv thov scenarios ntawm Tuohy koob txuas ntxiv, thiab lawv lub zog tseem ceeb ntawm kev cuam tshuam me me, qhov tseeb thiab kev nyab xeeb tsim lawv ua cov cuab yeej hauv paus hauv kev siv tshuaj loog niaj hnub thiab kuaj mob.