Spinal Tsono Uye Epidural Tsono
1. Kugadzirira:
- Ita shuwa kuti kurongedzerwa kweinoraswa lumbar puncture tsono haina kusimba uye haina mbereko.
- Chenesa uye kuuraya utachiona kuzasi kwemurwere uko kunoitwa kubaya kwechiuno.
2. Positioning:
- Isa murwere panzvimbo yakakodzera, kazhinji akarara nedivi mabvi avo akakwevera kumusoro kuchipfuva chavo.
- Ziva iyo yakakodzera intervertebral nzvimbo ye lumbar puncture, kazhinji pakati peL3-L4 kana L4-L5 vertebrae.
3. Anesthesia:
- Gadzira nzvimbo yeanesthesia kunzvimbo yezasi yemurwere uchishandisa sirinji netsono.
- Isai tsono mukati me subcutaneous tissue uye zvishoma nezvishoma jekiseni mushonga weanesthetic kuti upedze nzvimbo yacho.
4. Lumbar Puncture:
- Kana imwe anesthesia yatanga kushanda, bata inoraswa lumbar puncture tsono nekubata kwakasimba.
- Isai tsono munzvimbo yakatariswa intervertebral, yakanangana nepakati.
- Enderera tsono zvishoma nezvishoma uye zvishoma nezvishoma kusvika yasvika pahupamhi hunodiwa, kazhinji kutenderera 3-4 cm.
-Cherechedza kuyerera kwecerebrospinal fluid (CSF) uye tora huwandu hunodiwa hweCSF kuti uongororwe.
- Mushure mekuunganidza CSF, zvishoma nezvishoma bvisa tsono uye isa kumanikidza kunzvimbo yekubaya kudzivirira kubuda ropa.
4. Muzongoza Tsono:
- Kana anesthesia yatanga kushanda, bata tsono yemusana inoraswa nekubata kwakasimba.
- Isai tsono munzvimbo inodiwa intervertebral, yakanangana nepakati.
- Enderera tsono zvishoma nezvishoma uye zvishoma nezvishoma kusvika yasvika pahupamhi hunodiwa, kazhinji kutenderera 3-4 cm.
-Cherechedza kuyerera kwecerebrospinal fluid (CSF) uye tora huwandu hunodiwa hweCSF kuti uongororwe.
- Mushure mekuunganidza CSF, zvishoma nezvishoma bvisa tsono uye isa kumanikidza kunzvimbo yekubaya kudzivirira kubuda ropa.
Zvinangwa:
Inoraswa epidural tsono uye tsono dzemusana dzinoshandiswa pakuongorora uye nzira dzekurapa dzinosanganisira kuunganidzwa kwecerebrospinal fluid (CSF).Matanho aya anowanzo itwa kuongorora mamiriro akaita semeningitis, subarachnoid hemorrhage, uye kumwe kusagadzikana kwetsinga.Iyo CSF yakaunganidzwa inogona kuongororwa kune akasiyana ma paramita, kusanganisira maseru kuverenga, mapuroteni mazinga, mazinga eglucose, uye kuvapo kweanotapukira.
Ongorora: Izvo zvakakosha kuti uteedzere nzira dzeaseptic uye kurasa tsono dzakashandiswa mumidziyo yakapinza yakarongerwa zvinoenderana nemirairo yekurasa tsvina yekurapa.
