Inalithi Yomgogodla Kanye Nenaliti Ye-epidural
1. Ukulungiselela:
- Qinisekisa ukuthi ukupakishwa kwenaliti yokubhoboza i-lumbar akulula futhi ayinyumba.
- Hlanza futhi ubulale amagciwane endaweni engezansi yesiguli lapho kuzokwenziwa khona ukubhoboza i-lumbar.
2. Ukuma:
- Misa isiguli endaweni efanele, ngokuvamile ulale ngohlangothi amadolo asondezelwe phezulu abheke esifubeni.
- Thola indawo efanelekile ye-intervertebral yokubhoboza i-lumbar, ngokuvamile phakathi kwe-L3-L4 noma i-L4-L5 vertebrae.
3. Izinzwa:
- Faka i-anesthesia yendawo endaweni engezansi yesiguli usebenzisa isirinji nenaliti.
- Faka inaliti esicutshini esingaphansi kwesikhumba bese ujova kancane ikhambi le-anesthetic ukuze unciphise indawo.
4. I-Lumbar Puncture:
- Uma i-anesthesia iqala ukusebenza, bamba inaliti yokubhoboza i-lumbar elahlwayo ngokubambelela ngokuqinile.
- Faka inaliti endaweni ekhonjiwe ye-intervertebral, uqondise emgqeni ophakathi.
- Dlulisa inaliti kancane kancane ize ifinyelele ekujuleni okufunayo, ngokuvamile cishe ngo-3-4 cm.
- Qaphela ukugeleza koketshezi lwe-cerebrospinal (CSF) futhi uqoqe inani elidingekayo le-CSF ukuze lihlaziywe.
- Ngemva kokuqoqa i-CSF, khipha inaliti kancane kancane futhi ufake ingcindezi endaweni yokubhoboza ukuze uvimbele ukopha.
4. Inalithi Yomgogodla:
- Uma i-anesthesia iqala ukusebenza, bamba inaliti yomgogodla elahlayo ngokubambelela ngokuqinile.
- Faka inaliti endaweni oyifunayo ye-intervertebral, uqondise emgqeni ophakathi.
- Dlulisa inaliti kancane kancane ize ifinyelele ekujuleni okufunayo, ngokuvamile cishe ngo-3-4 cm.
- Qaphela ukugeleza koketshezi lwe-cerebrospinal (CSF) futhi uqoqe inani elidingekayo le-CSF ukuze lihlaziywe.
- Ngemva kokuqoqa i-CSF, khipha inaliti kancane kancane futhi ufake ingcindezi endaweni yokubhoboza ukuze uvimbele ukopha.
Izinjongo:
Izinaliti ze-epidural ezilahlwayo nezinaliti zomgogodla zisetshenziselwa izinqubo zokuxilonga nezokwelapha ezibandakanya ukuqoqwa koketshezi lwe-cerebrospinal (CSF).Lezi zinqubo zivame ukwenziwa ukuxilonga izimo ezifana ne-meningitis, ukopha kwe-subarachnoid, kanye nokuphazamiseka okuthile kwemizwa.I-CSF eqoqiwe ingahlaziywa ukuze kutholwe imingcele ehlukahlukene, okuhlanganisa ukubalwa kwamaseli, amazinga amaprotheni, amazinga eglucose, kanye nokuba khona kwezidakamizwa ezithathelwanayo.
Qaphela: Kubalulekile ukulandela izindlela ezifanele ze-aseptic futhi ulahle izinaliti ezisetshenzisiwe ezitsheni ezicijile ezikhethiwe ngokuvumelana neziqondiso zokulahla imfucuza yezokwelapha.
