Kev Xaiv Tus Txheej Txheem thiab Kho Kho Kho Kev Ua Haujlwm Zoo Rau Atraumatic Pencil Point Spinal Needle

https://www.bmj.com/content/361/bmj.k1920

1. Taw qhia

Kev xaiv tsim nyog ntawm cov kev qhia tshwj xeeb thiab cov txheej txheem kev ua haujlwm yog qhov tseem ceeb los muab kev ua si tag nrho rau kev kho mob zoo ntawmatraumatic mem hluav point spinal koob. Tau ntsib nrog 16G-27G tag nrho cov kev qhia tshwj xeeb, ntau tus neeg ua haujlwm kho mob tsis muaj kev xaiv zoo, uas tuaj yeem ua rau cov ntsuas ntsuas tsis sib xws thiab cuam tshuam rau kev ua haujlwm thiab kev nyab xeeb. Raws li cov yam ntxwv ntawm cov khoom lag luam thiab kev siv tshuaj kho mob, kab lus no txheeb xyuas cov txheej txheem kev xaiv kev tshaj lij thiab cov txheej txheem kev ua haujlwm zoo los pab cov neeg ua haujlwm kho mob ua qauv siv tshuaj kho mob thiab ua kom cov khoom lag luam muaj kev nyab xeeb tsawg kawg nkaus.

2. Kev Tshawb Fawb Txog Kev Tshawb Fawb Kev Xaiv los ntawm Scenario

Rau cov neeg laus niaj hnub siv tshuaj loog thiab kev kuaj mob lumbar puncture, nruab nrab specifications ntawm 20G, 21G, thiab 22G yog cov kev xaiv uas nyiam. Cov kev qhia tshwj xeeb no muaj qhov sib npaug ntawm rab koob lub cev tuab, puncture ceev, thiab kev raug mob degree, uas tuaj yeem ua tau raws li qhov xav tau ntawm cov neeg laus cov neeg laus feem ntau uas muaj tus txha caj qaum thiab yog cov kev kho mob ntau yam. Rau qhov xwm txheej loj ntawm kev phais mob uas yuav tsum tau txais cov kua cerebrospinal sai lossis siab - txhaj tshuaj loog, loj- ntsuas qhov ntsuas ntawm 16G, 17G, thiab 18G raug pom zoo los txhim kho kev ua haujlwm zoo thiab ua kom muaj kev phais zoo.

Rau cov pab pawg tshwj xeeb, me me - ntsuas cov koob nyias ntawm 23G txog 27G yuav tsum raug xaiv. Ultra-thov rab koob lub cev txo qis kev raug mob ntawm lub cev thiab txo qhov kev pheej hmoo ntawm kev mob taub hau tom qab phais thiab cov hlab ntsha tawg, uas yog qhov tsim nyog rau cov menyuam yaus, cov neeg laus uas muaj tus txha caj qaum degeneration, thiab cov neeg mob nyias nyias nrog cov ntaub so ntswg tsis yooj yim. Rau cov neeg mob rog lossis cov neeg mob uas muaj cov ntaub so ntswg sib sib zog nqus, kev kho qhov ntev ntev ntev yuav tsum tau xaiv kom tsis txhob muaj qhov tob tob tob thiab ua kom muaj kev ua haujlwm zoo.

3. Ceev Xim Code ID thiab xaiv txoj kev

Qhov tshwj xeeb xim code system ntawm atraumatic mem hluav point spinal needle muab txoj kev xaiv ceev ceev rau kev ua haujlwm kho mob. Cov neeg ua haujlwm kho mob tuaj yeem ua raws cov lus qhia tshwj xeeb los ntawm cov cim xim ruaj khov: dawb rau 16G, lub teeb liab rau 17G, liab dawb rau 18G, lub teeb grey rau 19G, daj rau 20G, ntsuab rau 21G, dub rau 22G, tsaus xiav rau 23G, ntshav liab rau 24G, txiv kab ntxwv rau 25G, xim av rau 26G, thiab grey rau. Qhov kev txheeb xyuas qhov muag pom tau zoo heev txhim kho kev npaj ua ntej ua ntej thiab zam kev xaiv cov kev xaiv yuam kev hauv kev ua haujlwm tsis khoom kho mob.

4. Cov txheej txheem kev ua haujlwm raws li kev kho mob

Hauv kev ua haujlwm kho mob, tus cwj mem atraumatic mem hluav point spinal needle yuav tsum maj mam nkag mus raws tus txha caj qaum anatomical qhov sib txawv kom tsis txhob yuam kev. Cov neeg ua haujlwm kho mob yuav tsum nkag siab cov ntaub so ntswg nkag mus rau lub sijhawm tiag tiag los tswj qhov tob tob kom raug thiab tiv thaiv kev nce qib ntau dhau los ntawm kev ua rau lub paj hlwb cauda equina thiab qaum qaum. Tom qab ua haujlwm, rab koob yuav tsum tau maj mam muab tshem tawm kom ntseeg tau tias kaw tag nrho ntawm dural fibers. Kev taw qhia tus neeg mob tom qab phais kuj tseem ceeb heev: txhawb cov neeg mob kom so hauv txaj thiab ntxiv dej kom tsim nyog kom tsis txhob zaum ntxov thiab sawv, ntxiv kom txo tau qhov mob me me tom qab mob taub hau.

5. Kev ceev faj txog kev thov

Txawm hais tias atraumatic mem hluav point spinal needle muaj kev nyab xeeb siab, nws tseem yuav tsum tau xaiv cov lus qhia tsim nyog raws li tus neeg mob sib txawv kom tsis txhob siv qhov muag tsis pom cov koob nyias lossis tuab. Rau cov neeg mob uas muaj qhov txawv txav ntawm tus txha caj qaum thiab qhov loj ntawm tus txha caj qaum degeneration, kev ntsuam xyuas ua ntej yuav tsum tau ua kom muaj zog kom haum raws li qhov ntev thiab qhov tshwj xeeb. Cov txheej txheem kev ua haujlwm tsis muaj menyuam yuav tsum tau ua raws li cov txheej txheem nruj me ntsis kom tsis txhob hla - kis kab mob thiab ua kom muaj kev nyab xeeb thiab ua tau zoo ntawm kev kuaj mob thiab kev kho mob.

6. Cov lus xaus

Mastering scientific specifications options and standardized operation instruction can maximize the minimally invasive, low -complication, and high-efficiency advantages of atraumatic pencil point spinal needle. Daim ntawv thov kev kho mob Standardized tsis tsuas yog txhim kho qhov ua tau zoo ntawm tus txha caj qaum thiab cov tshuaj loog ua haujlwm tab sis kuj tseem ua kom cov neeg mob rov qab ua haujlwm zoo dua, muab kev txhawb nqa zoo rau kev tsim kho tus qauv ntawm niaj hnub spinal minimally invasive kho mob technology.