Hauv kev kho mob, qhov ua rau lub qhov ncauj lumbar los yog txha nqaj qaum yuav tau ua kom paub meej txog qhov kev kuaj mob, kawm txog tus txha nqaj qaum taub hau lossis qhia cov tshuaj rau nws. Cov txheej txheem yog xav tau tsawg minyuam thiab yog li ntawd feem ntau yog ua raws li hauv zos anesthesia.
Nqa tawm cov txheej txheem ntawm txha caj qaum
Manipulation yog ua nyob rau hauv ib lub rooj zaum los yog dag chaw, ntau zaus nyob rau tom kawg. Tus neeg mob cov ceg yuav tsum tau nyom thiab nias rau lub plab, thiab sab nraud yog qhov kawg nkhaus. Kom yooj yim, koj tuaj yeem lob koj lub hauv caug nrog koj ob txhais tes.
Qhov intake ntawm cerebrospinal kua yog ua los ntawm 3 thiab 4 lumbar vertebrae ntawm ib qhov tob ntawm 4-7 cm, nws lub ntim yog mus txog 120 ml. Thaum muab rab koob tso rau hauv, lub cev tshuaj loog yog muab tshuaj rau novocaine (1-2%).
Tom qab txoj haujlwm, koj yuav tsum pw hauv koj lub plab thiab tuav hauv txoj haujlwm no li 2 xuab moos. Kev hnov mob ntawm kev tswj ntawm qhov kev ua haujlwm yog tom qab 5-7 hnub tsis tau kev kho tshwj xeeb.
Cov kev qhia rau spinal puncture
Qhov kev tshwm sim yog tsim los rau kev tshuaj xyuas kab mob ntawm lub hauv paus paj hlwb:
- tus mob plab ;
- neurosyphilis;
- meningitis;
- Neuroinfections ntawm ntau lub hauv paus chiv keeb;
- fungal thiab kis kab mob;
- hemorrhages (subarachnoidal) nyob ib ncig ntawm lub membrane ntawm lub hlwb;
- Guillain-Barre Syndrome;
- inflammatory lub xeev ntawm lub zog hauv lub cev;
- ntau yam sclerosis ;
- malignant hlav qaum hlwb thiab hlwb.
Kuj spin puncture yog siv rau cov hom phiaj:
- kev qhia txog tshuaj tua kab mob thiab tshuaj tua kab mob rau hauv subshell;
- txo cov hauv siab ntsws nrawm nrog mob hnyuv qis cev hlav hydrocephalus thiab intracranial hypertension;
- ntau npaum li cas ntawm cov kab mob cerebrospinal;
- qhov yuav tsum tau ua tus txha caj qaum;
- kev tshawb xyuas ntawm cov lus sau thiab qhov ceev ntawm cov kab mob cerebrospinal.
Teeb meem thiab lub txim ntawm spinal puncture
Thaum ib tus kws kho mob tshwj xeeb ua tus txheej txheem, lub hlwb ntawm daim tawv nqaij yuav nkag mus rau tus txha caj qaum. Vim li no, tom qab tus tes taw choleastom tsim.
Tsis tas li xwb, qee cov neeg tom qab tswj kev mob taub hau, kiv taub hau thiab xeev siab, nrog ntuav. Qee zaus hypersensitivity ntawm daim tawv nqaij nyob rau hauv lub cheeb tsam ntawm qis rov qab thiab thighs ntxiv. Cov xwm txheej tshwm sim no tsis ua kom muaj kev kho mob, lawv kis tau los ntawm lawv tus kheej.