Spinal Needle Thiab Epidural Needle

1. Kev npaj:
- Xyuas kom meej tias lub ntim ntawm lub lumbar puncture koob yog qhov zoo thiab tsis muaj menyuam.
- Ntxuav thiab tshuaj tua kab mob rau tus neeg mob lub nraub qaum cheeb tsam uas yuav ua rau lub lumbar puncture.

2. Qhov chaw:
- Muab tus neeg mob tso rau hauv ib qho chaw tsim nyog, feem ntau yog pw ntawm lawv sab nrog lawv lub hauv caug kos rau ntawm lawv lub hauv siab.
- Txheeb xyuas qhov chaw intervertebral tsim nyog rau lumbar puncture, feem ntau ntawm L3-L4 lossis L4-L5 vertebrae.

3. Tshuaj loog:
- Muab tshuaj loog hauv zos rau tus neeg mob qhov chaw sab nraub qaum siv lub koob txhaj tshuaj thiab koob.
- Ntxig lub koob rau hauv cov ntaub so ntswg subcutaneous thiab maj mam txhaj tshuaj loog kom loog ntawm thaj chaw.

4. Lumbar Puncture:
- Thaum cov tshuaj loog siv tau, tuav lub lumbar puncture koob nrog ib tug tuav ruaj.
- Ntxig lub koob mus rau hauv qhov chaw intervertebral txheeb xyuas, tsom mus rau qhov nruab nrab.
- Ua ntej lub koob maj mam thiab tsis tu ncua kom txog thaum nws ncav cuag qhov xav tau qhov tob, feem ntau nyob ib ncig ntawm 3-4 cm.
- Saib xyuas cov kua dej cerebrospinal (CSF) thiab sau cov nyiaj yuav tsum tau ntawm CSF rau kev tshuaj xyuas.
- Tom qab sau cov CSF, maj mam thim cov koob thiab siv lub zog rau qhov chaw txhawm rau tiv thaiv los ntshav.

4. Koob Koob:
- Thaum cov tshuaj loog yuav siv tau, tuav tus txha caj qaum nrog ib tug tuav ruaj.
- Ntxig lub koob rau hauv qhov xav tau intervertebral qhov chaw, aiming ntawm midline.
- Ua ntej lub koob maj mam thiab tsis tu ncua kom txog thaum nws ncav cuag qhov xav tau qhov tob, feem ntau nyob ib ncig ntawm 3-4 cm.
- Saib xyuas cov kua dej cerebrospinal (CSF) thiab sau cov nyiaj yuav tsum tau ntawm CSF rau kev tshuaj xyuas.
- Tom qab sau cov CSF, maj mam thim cov koob thiab siv lub zog rau qhov chaw txhawm rau tiv thaiv los ntshav.

Lub hom phiaj:
Cov koob tshuaj epidural pov tseg thiab cov koob txha caj qaum yog siv rau kev kuaj mob thiab kho cov txheej txheem suav nrog kev sau cov kua cerebrospinal (CSF).Cov txheej txheem no feem ntau ua los kuaj xyuas cov mob xws li mob meningitis, subarachnoid hemorrhage, thiab qee yam kab mob neurological.Cov ntawv sau CSF tuaj yeem txheeb xyuas rau ntau yam, suav nrog suav ntawm tes, qib protein, qib qabzib, thiab muaj cov kab mob sib kis.

Lus Cim: Nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov txheej txheem aseptic kom raug thiab pov tseg cov koob siv hauv cov thawv ntim khoom raws li cov txheej txheem pov tseg kev kho mob.