Agịga Ọkpụkpụ Na Epidural
1. Nkwadebe:
- Gbaa mbọ hụ na ngwungwu agịga mgbapu lumbar adịghị mma na adịghị mma.
- Na-ehicha ma kpochapụ mpaghara azụ nke onye ọrịa ebe a ga-eme ntụpọ lumbar.
2. Ndokwa:
- Debe onye ọrịa ahụ n'ọnọdụ kwesịrị ekwesị, na-edinakarị n'akụkụ ya na ikpere ha gbagoro n'obi ha.
- Chọpụta oghere intervertebral kwesịrị ekwesị maka nkwụsị nke lumbar, na-emekarị n'etiti L3-L4 ma ọ bụ L4-L5 vertebrae.
3. Nkụnwụ:
- Jiri sirinji na agịga were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were were mee ihe n'azụ azụ onye ọrịa.
- Tinye agịga n'ime anụ ahụ dị n'okpuru akpụkpọ ahụ ma jiri nwayọọ nwayọọ gbanye ihe ngwọta anestetiiki iji mee ka ahụ kwụsị.
4. Ọkpụkpụ Lumbar:
- Ozugbo anesthesia malitere ịrụ ọrụ, jide agịga mgbapu lumbar na-ejisi ike.
- Tinye agịga n'ime oghere intervertebral achọpụtara, na-eche ihu n'etiti ahịrị.
- Jiri nwayọọ nwayọọ na-aga n'ihu agịga ahụ ruo mgbe ọ ruru omimi nke achọrọ, na-emekarị gburugburu 3-4 cm.
- Lelee maka mmiri nke cerebrospinal fluid (CSF) na-anakọta ego achọrọ nke CSF maka nyocha.
- Mgbe ị na-anakọta CSF, jiri nwayọọ nwayọọ wepụ agịga ahụ ma tinye nrụgide na saịtị ahụ iji gbochie ọbara ọgbụgba.
4. agịga azụ:
- Ozugbo anesthesia malitere ịrụ ọrụ, jide agịga azụ nke enwere ike ịwụfu ya na njide siri ike.
- Tinye agịga n'ime oghere intervertebral achọrọ, na-eche ihu n'etiti ahịrị.
- Jiri nwayọọ nwayọọ na-aga n'ihu agịga ahụ ruo mgbe ọ ruru omimi nke achọrọ, na-emekarị gburugburu 3-4 cm.
- Lelee maka mmiri nke cerebrospinal fluid (CSF) na-anakọta ego achọrọ nke CSF maka nyocha.
- Mgbe ị na-anakọta CSF, jiri nwayọọ nwayọọ wepụ agịga ahụ ma tinye nrụgide na saịtị ahụ iji gbochie ọbara ọgbụgba.
Ebumnuche:
A na-eji agịga epidural a na-atụfu n'efu na agịga ọkpụkpụ azụ maka nyocha na usoro ọgwụgwọ gụnyere nchịkọta cerebrospinal fluid (CSF).A na-emekarị usoro ndị a iji chọpụta ọnọdụ ndị dị ka meningitis, ọbara ọgbụgba subarachnoid, na ụfọdụ nsogbu akwara ozi.Enwere ike nyochaa CSF nke anakọtara maka oke dị iche iche, gụnyere ọnụ ọgụgụ cell, ọkwa protein, ọkwa glucose, na ọnụnọ nke ndị na-efe efe.
Mara: Ọ dị oke mkpa ịgbaso usoro aseptị kwesịrị ekwesị wee tụfuo agịga eji eme ihe n'ime arịa nkọ ahapụtara dịka ntuziaka mkpofu ọgwụ siri dị.