China Lumbar puncture simulation standardized patient model wopanga ndi fakitale

Chitsanzo cha wodwala choyezera kupunthwa kwa lumbar

Chitsanzo choyesera cha wodwala chofanana ndi cha lumbar puncture

Kufotokozera Kwachidule:

Tsatanetsatane wa Zamalonda

Ma tag a Zamalonda

Zinthu zothandiza:
1. Wodwala woyeserera anaikidwa pambali, kumbuyo kwake kuli kolunjika pa bedi, mutu wake unawerama kupita pachifuwa chakutsogolo, mawondo ake anawerama kupita pamimba, ndipo thupi lake linawerama.
2. Chiuno chingathe kusunthidwa. Wogwira ntchitoyo amagwira mutu wa wodwalayo ndi dzanja limodzi ndipo dzanja lina limagwira mwamphamvu fupa la miyendo yonse ya m'munsi. Msana ukhoza kukhala wopindika momwe angathere kuti ukulitse malo a msana ndikumaliza kubowola.
3. Kapangidwe kolondola ka minofu ya m'chiuno ndi zizindikiro zoonekeratu za pamwamba pa thupi: Pali vertebrae yonse ya 1 ~ 5 ya lumbar (thupi la vertebral, vertebral arch plate, spinous process), sacrum, sacral hiatus, sacral Angle, superior spinous ligament, interspinous band, ligamenta flandum, dura ndi omentum, ndipo subomentum, epidural space, sacral canal, posterior superior iliac spine, iliac ridge, thoracic spine process, ndi lumbar spine process yopangidwa kuchokera ku minofu yomwe ili pamwambapa ikhoza kumveka bwino.
4. Ma opaleshoni otsatirawa ndi otheka: opaleshoni ya lumbar anesthesia, lumbar puncture, epidural block, caudal nerve block, sacral nerve block, lumbar sympathetic nerve block.
5. Zoona zenizeni za kuboola lumbar: Pamene singano yoboola ifika pa ligamentum flavum yoyerekezeredwa, kukana kumawonjezeka ndipo pamakhala kulimba; pamene singano yoboola idutsa mu ligamentum flavum, pamakhala kukhumudwa koonekeratu, ndiko kuti, imalowa mu epidural space ndipo imakhala ndi kupanikizika koipa, ndipo madzi amalowetsedwa kuti ayese epidural anesthesia; Kuyikanso singano kudzaboola dura ndi omentum, ndipo padzakhala kumverera kwachiwiri kwa kukhumudwa, ndiko kuti, kulowa mu subomentum space, padzakhala kutsanzira cerebrospinal fluid outflow, ndipo njira yonseyi idzafanizira momwe zinthu zilili ndi lumbar lumbar puncture.
Kulongedza: Chidutswa chimodzi/bokosi, 77x62x33cm, 13kgs

Kapangidwe kolondola ka minofu ya m'chiuno ndi zizindikiro zoonekeratu za pamwamba pa thupi: vertebrae yonse 1 mpaka 5 ya lumbar (thupi la vertebral, vertebral arch plate, spinous process), sacrum, sacral hole, sacral angle, supraspinous ligament, interspinous ligament, ligamentum flavum, hard spine Membranes ndi bead reticulum, komanso subdural reticulum, epidural space, ndi sacral canal yopangidwa ndi minofu yomwe ili pamwambapa; posterior superior iliac spine, iliac crest, thoracic spinous process, ndi lumbar spinous proc
Opaleshoni zotsatirazi ndizotheka: opaleshoni ya lumbar anesthesia, kuboola lumbar, epidural block, caudal nerve block, sacral nerve block, lumbar sympathetic nerve block.
Chitsanzo chachipatala cha kukula kwa moyo wa munthu chojambulidwa ndi lumbar puncture. Chitsanzochi ndi: chiŵerengero cha 1: 1 cha thupi, kusinthasintha, kapangidwe ka munthu kolondola. Wodwala woyesedwa bwino amaikidwa m'malo ozungulira, kumbuyo kwake kuli kolunjika pamwamba pa bedi, mutu wake ukuwerama patsogolo pa chifuwa, mawondo ake akugwedezeka pamimba, ndipo thunthu lake likupindika.
Chiuno chingathe kusunthidwa. Wogwira ntchitoyo ayenera kukoka mutu wa wodwalayo ndi dzanja limodzi ndikugwira miyendo ya m'munsi pa popliteal fossa ndi dzanja lina, kuti msana ukhale wopapatiza ndikukulitsa malo olumikizirana pakati pa msana kuti amalize kubowola.
Kuyeserera kwa kuponderezedwa kwa lumbar ndi zenizeni: singano yobooledwa ikafika pa ligamentum flavum yoyerekezeredwa, kukana kumawonjezeka ndipo pamakhala kulimba mtima; kufalikira kwa ligament yachikasu kumakhala ndi tanthauzo lomveka bwino la kutuluka, ndiko kuti, imalowa m'malo a epidural ndipo pali kupanikizika koyipa (panthawiyi, jakisoni wamadzi oletsa ululu Ndi mankhwala oletsa ululu a epidural); kupitiriza kulowa mu singano kudzaboola dura mater ndi bead omentum, lingaliro lachiwiri la kutuluka kwa occu