Cov txheej txheem:
Video: Koj ua li cas muab dev rau tus kabmob epidural?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Thaum qhov chaw txhaj tshuaj tau npaj thiab rub, palpate qhov chaw lumbosacral, rhuav qhov qhib me me hauv daim ntaub ntawm qhov chaw txhaj tshuaj, thiab ntxig rau rab koob kom txog thaum koj nkag mus rau ligamentum flavum. Txoj kab uas hla ntawm lumbosacral epidural qhov chaw yog 2 txog 4 hli hauv qhov nruab nrab dev thiab <3 hli hauv miv.
Ua kom pom qhov no, cov kev mob tshwm sim ntawm epidural yog dab tsi?
Txawm li cas los xij, tshaj tawm cov kev mob tshwm sim los ntawm kev txhaj tshuaj epidural steroid suav nrog:
- Qhov chaw nyob hauv qhov mob.
- Kev mob taub hau tsis ua haujlwm daws tau hauv 24 teev.
- Lub ntsej muag yaug.
- Kev txhawj xeeb.
- Pw tsis tsaug zog.
- Ua npaws hmo ntuj ntawm kev txhaj tshuaj.
- Ntshav qab zib siab.
- Kev txo qis hauv kev tiv thaiv kab mob vim yog kev cuam tshuam ntawm cov tshuaj steroid.
Ib sab saum toj no, uas opioid siv rau kev mob caj dab ntev muaj lub sijhawm luv tshaj plaws ntawm kev nqis tes ua? Cov lus xaus: Tsis pub dhau qhov txwv ntawm txoj kev tshawb fawb tsis yog, ib leeg txhaj tshuaj intrathecal ntawm morphine thiab fentanyl muaj lub sijhawm luv ntawm kev nqis tes ua thiab muab kev tswj hwm qhov mob tsawg dua li kev siv tshuaj tiv thaiv kab mob txuas ntxiv mus ntawm bupivacaine thiab fentanyl.
Ib yam li ntawd, tib neeg nug, vim li cas thiaj tsis muaj tshuaj tiv thaiv kab mob epidural?
Txhua yam tshuaj siv rau epidural los yog intrathecal analgesia yuav tsum yog khaws cia – dawb . Tshuaj khaws cia tuaj yeem yog neurotoxic thiab tuaj yeem ua rau raug mob txha nraub qaum. Ib qho ntxiv, dej cawv muaj peev xwm ua rau mob neurotoxic thiab yuav tsis siv los ntxuav lub vial saum lossis cov chaw txhaj tshuaj.
Dab tsi yog qhov txawv ntawm tus txha nqaj qaum thiab epidural?
A tus txha nqaj qaum yog ib qho kev txhaj tshuaj nrog rab koob nyias uas tso lub tshuaj loog ze rau ntawm lub qab haus huv, hauv cov kua uas nyob ib puag ncig tus txha nqaj qaum qaum. Ib epidural feem ntau nyob qis qis nyob rau hauv qhov chaw rau 2-3 hnub.
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