Lub hauv paus ntsiab lus ntawm Lumbar Puncture Diagnosis Thiab Kev Kho Mob Thiab Kho Kho Kho Kom Zoo Dua Logic Ntawm 22g 90mm Puncture Koob

Lumbar puncture sawv cev rau kev kuaj mob tseem ceeb thiab kho cov txheej txheem hauv neurology thiab neurosurgery. Cov neeg ua haujlwm ntxig cov cuab yeej rau hauv lub lumbar intervertebral qhov chaw los sau cov kua cerebrospinal, txhaj tshuaj lossis sib piv xov xwm rau kev kuaj mob thiab kho. CovQuincke Spinal Koob 22g 90mmua raws li cov cuab yeej tseem ceeb txuam nrog cov tshuab no. Nws qhov tsis ntev los no thiab cov qauv tsim ua kom zoo sib xws nrog cov qauv kev kho mob thiab cov kev cai kho mob ntawm lumbar puncture, tsim cov khoom lag luam hloov tau zoo rau kev lag luam.

Los ntawm txoj kev kho mob ntawm lumbar puncture, tib neeg cerebrospinal kua yog tsim los ntawm kev pom los ntawm choroid plexus capillaries. Cov neeg laus muaj qhov nruab nrab cerebrospinal kua ntim ntawm 150 ml, nrog rau qhov nruab nrab ntau lawm ntawm 0.35 ml ib feeb. Kev ua tiav tiav yuav siv sijhawm li 8 teev, qhia txog kev hloov pauv sai sai. Cerebrospinal kua qhwv lub hlwb thiab tus txha caj qaum yog qhov tseem ceeb tiv thaiv cov kua dej ntxiv ntawm lub hauv nruab nrab paj hlwb. Thaum cov kev hloov pauv pathological tshwm sim hauv lub hlwb, txha caj qaum, meninges thiab cov hlab ntsha, kev hloov pauv tshwm sim hauv cov kua dej cerebrospinal siab, muaj pes tsawg leeg thiab cov khoom. Cov kws kho mob sau cov tshuaj cerebrospinal me me los ntawm lumbar puncture rau kev kuaj xyuas kom paub cov kab mob, hemorrhage, qog, mob paj hlwb, kab mob thiab lwm yam kab mob. Lumbar puncture kuj txhawb kev xa tshuaj intrathecal thiab spinal canal angiography rau kev kuaj mob ntxiv thiab kho. Ua tsaug rau cov kua dej nrawm nrawm, rho tawm me me ntawm cov kua cerebrospinal imposes tsis muaj kev puas tsuaj rau lub cev rau cov neeg mob, tsim cov hauv paus kev kho mob rau kev nyab xeeb lumbar puncture.

Cov kev cai kho mob rau puncture koob specifications thiab kev ua tau zoo txaus siab los ntawm Quincke 22g 90mm koob. Ua ntej, 90 hli tus qauv ntev sib tw rau cov neeg laus lub cev qhov tob tob kom ncav cuag qhov chaw subarachnoid ntseeg tau rau kev kuaj ntshav cerebrospinal, tshem tawm qhov kev hloov kho qhov tob thiab txhim kho kev ua haujlwm thiab kev nyab xeeb. Qhov thib ob, qhov ntsuas 22G sawv cev rau qhov zoo tshaj plaws rau kev kuaj mob thiab kev kho mob. Cov koob tuab ntau dhau ua rau loj- nplai dural raug mob thiab ua rau muaj teeb meem nrog rau kev mob taub hau tom qab lub taub hau thiab cov kua cerebrospinal to. Cov koob nyias nyias ua rau ua rau cov kua cerebrospinal qeeb qeeb, lub sijhawm ua piv txwv ntev thiab muaj kev pheej hmoo ntawm cov qauv sib kis thiab kuaj tsis raug. 22G gauge ntaus qhov zoo tshaj plaws sib npaug ntawm kev raug mob thiab kev ua tau zoo.

Lub ntse Quincke lub taub hau hloov mus rau qhov xav tau ntawm anatomical puncture. Lumbar puncture yuav tsum tau nkag mus los ntawm ntau cov ntaub so ntswg txheej nrog rau daim tawv nqaij, subcutaneous rog, erector spinae thiab ligamentum flavum. Lub ntsej muag ntse ntse hla cov ntaub so ntswg sai sai thiab tawg los ntawm dura mater kom nkag mus rau qhov chaw subarachnoid, txo cov ntaub so ntswg traction raug mob thiab cov neeg mob intraoperative tsis xis nyob. Lub koob du nto tiv thaiv khawb rau cov paj hlwb thiab tus txha caj qaum thaum lub sij hawm puncture thiab zam kev pheej hmoo kho mob hnyav xws li limbness thiab paj hlwb puas. Lub pob tshab hub tso cai rau saib ncaj qha ntawm cerebrospinal kua outflow. Cov neeg ua haujlwm kho mob tuaj yeem txiav txim siab ua ntej ntawm tus neeg mob raws li tus nqi ntws, xim thiab pom tseeb ntawm cov kua cerebrospinal los txhawb kev kuaj mob thiab kev kho mob tom ntej.

Rau cov xwm txheej kho mob, lub koob txhaj tshuaj no hloov mus rau kev xa tshuaj intrathecal thiab spinal angiography. Stable inner lumen ua kom cov tshuaj txhaj tshuaj zoo ib yam thiab qhov sib txawv nruab nrab ntawm tus me nyuam tsis muaj qhov thaiv los yog xau los lav cov txiaj ntsig kho mob thiab pom meej angiographic duab. Cov khoom tsim qauv tsim ua rau nws cov khoom siv niaj hnub rau lumbar puncture hauv tsev kho mob ntawm txhua qib. Nws txoj kev kho mob siab ua tau zoo nrog kev ua haujlwm thiab kev kuaj xyuas cov hauv paus ntsiab lus tsim kom nws ua ntau yam dav dav dav dav siv rab koob hauv kev lag luam.