Inaliti yomqolo kunye nenaliti ye-epidural

1. Ukulungiselela:
- Qinisekisa ukuba ukupakishwa kwenaliti yokuhlatywa kwe-lumbar elahlayo icocekile kwaye ayinyumba.
- Coca kunye ne-disinfecting indawo esezantsi yesigulane apho i-lumbar puncture iya kwenziwa.

2. Ukubekwa:
- Beka isigulana kwindawo efanelekileyo, ngokuqhelekileyo singqengqe ngecala amadolo azotywe phezulu ngasesifubeni.
- Chonga indawo efanelekileyo ye-intervertebral ye-lumbar puncture, ngokuqhelekileyo phakathi kwe-L3-L4 okanye i-L4-L5 vertebrae.

3. Ukuphelisa iintlungu:
- Lawula i-anesthesia yendawo kwindawo esezantsi yesigulane usebenzisa isirinji kunye nenaliti.
- Faka inaliti kwi-subcutaneous tissue kwaye ucofe ngokucotha isisombululo se-anesthetic ukuze unciphise indawo.

4. Ukugqobhoza kweLumbar:
- Nje ukuba i-anesthesia isebenze, bamba inaliti ye-lumbar puncture elahlayo ngokubambelela ngokuqinileyo.
- Faka inaliti kwindawo echongiweyo ye-intervertebral, ejolise kumgca ophakathi.
- Yiqhubele phambili inaliti kancinane kwaye ngokuthe chu de ifike kubunzulu obufunekayo, ngokuqhelekileyo malunga ne-3-4 cm.
- Qwalasela ukuhamba kwe-cerebrospinal fluid (CSF) kwaye uqokelele isixa esifunekayo se-CSF ukuze uhlalutye.
Emva kokuqokelela i-CSF, yirhoxise ngokucotha inaliti kwaye ufake uxinzelelo kwindawo yokuhlatywa ukuthintela ukopha.

4. Inaliti yoMnqonqo:
- Nje ukuba i-anesthesia isebenze, bamba inaliti yomgogodla elahlayo ngokubambelela ngokuqinileyo.
- Faka inaliti kwindawo efunwayo ye-intervertebral, ujolise kumgca ophakathi.
- Yiqhubele phambili inaliti kancinane kwaye ngokuthe chu de ifike kubunzulu obufunekayo, ngokuqhelekileyo malunga ne-3-4 cm.
- Qwalasela ukuhamba kwe-cerebrospinal fluid (CSF) kwaye uqokelele isixa esifunekayo se-CSF ukuze uhlalutye.
Emva kokuqokelela i-CSF, yirhoxise ngokucotha inaliti kwaye ufake uxinzelelo kwindawo yokuhlatywa ukuthintela ukopha.

Iinjongo:
Iinaliti ze-epidural ezilahlayo kunye neenaliti zomgogodla zisetyenziselwa ukuxilongwa kunye neenkqubo zonyango ezibandakanya ukuqokelela kwe-cerebrospinal fluid (CSF).Ezi nkqubo ziqhele ukwenziwa ukuxilonga iimeko ezifana ne-meningitis, ukopha kwe-subarachnoid, kunye nokuphazamiseka okuthile kwemithambo-luvo.I-CSF eqokelelweyo inokuhlalutywa kwiiparamitha ezahlukeneyo, kubandakanywa ukubalwa kweeseli, amanqanaba eprotheyini, amanqanaba e-glucose, kunye nobukho bee-arhente ezosulelayo.

Qaphela: Kubalulekile ukulandela ubuchule obufanelekileyo be-aseptic kwaye ulahle iinaliti ezisetyenzisiweyo kwizikhongozelo ezibukhali ezichongiweyo ngokwezikhokelo zokulahlwa kwenkunkuma yezonyango.