Muenzaniso wemurwere wekufananidzira kwekubhoborwa kwemusana

Zvinhu zvinoshanda:
1. Murwere akaedzwa akaiswa padivi, musana wakatwasuka pamubhedha, musoro wakakotama wakananga kuchipfuva chepamberi, mabvi akakotama akananga kudumbu, uye dumbu rakakotama.
2. Chiuno chinogona kufambiswa. Mushandi anobata musoro wemurwere anoedzesera neruoko rumwe uye popliteal fossa yemakumbo ese ari maviri ezasi zvakasimba neruoko rumwe. Musana unogona kuvhiringika zvakanyanya sezvinobvira kuti nzvimbo yemusana iwedzere uye kupedzisa kuboorwa.
3. Magadzirirwo enyama yechiuno akarurama uye zviratidzo zviri pachena pamusoro pemuviri: Kune vertebrae yakakwana ye 1 ~ 5 lumbar (muviri we vertebral, vertebral arch plate, spinous process), sacrum, sacral hiatus, sacral Angle, superior spinous ligament, interspinous band, ligamenta flandum, dura uye omentum, uye subomentum, epidural space, sacral canal, posterior superior iliac spine, iliac ridge, thoracic spine process, uye lumbar spine process yakagadzirwa kubva munyama dziri pamusoro apa inogona kunyatsonzwisiswa.
4. Kuvhiya kunotevera kunogoneka: anesthesia yemuchiuno, lumbar puncture, epidural block, caudal nerve block, sacral nerve block, lumbar sympathetic nerve block.
5. Chokwadi chekufungidzira chekuboorwa kwechiuno: Kana tsono yekuboorwa yasvika paboorwa re ligamentum, kuramba kunowedzera uye panonzwa kuomarara; kana tsono yekuboorwa yaparara nepakati pe ligamentum flavum, pane kunzwa kwekuora mwoyo, ndiko kuti, inopinda munzvimbo ye epidural uye ine kumanikidzwa kwakashata, uye mvura inopinzwa kuti iite seanesthesia ye epidural; Kuwedzerwa kwetsono kuchaboorwa dura ne omentum, uye pachava nekunzwa kwechipiri kwekuvhiringidzika, ndiko kuti, ichipinda munzvimbo ye subomentum, pachava nekubuda kwe cerebrospinal fluid, uye maitiro ese achatevedzera mamiriro chaiwo ekuboorwa kwe lumbar.
Kurongedza: 1 chidimbu/bhokisi, 77x62x33cm, 13kgs