Hunhu hwechigadzirwa
1. Chiuno chinogona kufambiswa. Mushandi anofanira kubata musoro wemurwere anoedzesera neruoko rumwe uye kubata gumbo remakumbo ese ari maviri epasi zvakasimba nerumwe ruoko kuti musana uve kyphotic uye kuwedzera nzvimbo yemusana zvakanyanya sezvinobvira kuti apedzise kuboorwa. 2. Maumbirwo enyama yemusana akarurama uye zviratidzo zvemuviri zviri pachena: kune vertebrae yakakwana ye1 ~ 5 yemusana (vertebral body, vertebral arch plate, spinous process), sacrum, sacral hiatus, sacral Angle, superior spinous ligament, interspinous ligament, yellow ligament, dura mater uye omentum, pamwe nesubomentum, epidural space uye sacral canal yakagadzirwa nematishu ari pamusoro apa: posterior superior iliac spine, iliac ridge, thoracic spine process uye lumbar spine process zvinogona kunzwiwa zvechokwadi. 3. Kuvhiya kunotevera kunogoneka: anesthesia yemusana, lumbar puncture, epidural block, caudal nerve block, sacral nerve block, lumbar sympathetic nerve block 4. Kuongororwa kwechokwadi chekupwanywa kwemusana: Kana tsono yekupwanywa yasvika pamusana weyero yakaedzwa, kuramba kunowedzera uye pane kunzwa kwekusimba, uye kubuda kwemusana weyero kune pfungwa yakajeka yekuora mwoyo. Kureva kuti, munzvimbo ye epidural, pane kumanikidzwa kwakaipa (panguva ino, jekiseni remvura inonyaradza inonzi epidural anesthesia): ramba uchipinza tsono ichaboora dura ne omentum, pachava nekunzwa kwechipiri kwekukundikana, kureva kuti, munzvimbo ye subomentum, pachava nekuenzaniswa kwekubuda kwemvura muuropi. Maitiro ese anotevedzera mamiriro chaiwo ekupwanywa kwemusana wekiriniki.