Irbadda Laf-dhabarta iyo Irbadda Epidural

1. Diyaarinta:
- Hubi in baakadda irbadda dalool lumbar ee la tuuri karo ay tahay mid sax ah oo aan nadiif ahayn.
- Nadiifi oo jeermi aagga dhabarka hoose ee bukaanka halkaas oo daloolinta lumbar lagu samayn doono.

2. Meelaynta:
- Bukaan-socodka dhig meel ku habboon, oo badiyaa dhinac u jiifa oo jilbahoodu u soo jeedaan xagga laabta.
- Aqoonso booska intervertebral ee ku habboon daloolada lumbar, badanaa inta u dhaxaysa L3-L4 ama L4-L5 laf dhabarta.

3. Suuxinta:
- Ku maamul suuxinta gudaha aagga dhabarka hoose ee bukaanka adigoo isticmaalaya sirinji iyo irbad.
- Geli irbadda unug ka hooseeya oo si tartiib ah u dur xalka suuxinta si meesha looga kabuubo.

4. Dulitaanka Lumbar:
- Marka suuxdintu ay hirgasho, ku qabo irbadda la tuuri karo ee lumbar adigoo si adag u qabsanaya.
- Geli cirbadda meesha bannaan ee intervertebral ee la aqoonsaday, adigoo u jeeda dhanka khadka dhexe.
- Si tartiib ah oo tartiib tartiib ah ugu hormari cirbadda ilaa ay ka gaarto qoto dheer ee la rabo, badanaa qiyaastii 3-4 cm.
- U fiirso qulqulka dareeraha maskaxda (CSF) oo ururi qaddarka loo baahan yahay ee CSF ee falanqaynta.
- Ka dib markaad ururiso CSF, si tartiib ah uga bax cirbadda oo cadaadis saar meesha daloolinta si aad uga hortagto dhiigbax.

4. Irbadda lafdhabarta:
- Marka suuxdintu ay hirgasho, ku qabo cirbadda laf dhabarta ee la tuuri karo adigoo si adag u qabsanaya.
- Geli cirbadda meesha la rabo ee intervertebral, adigoo u jeeda dhanka khadka dhexe.
- Si tartiib ah oo tartiib tartiib ah ugu hormari cirbadda ilaa ay ka gaarto qoto dheer ee la rabo, badanaa qiyaastii 3-4 cm.
- U fiirso qulqulka dareeraha maskaxda (CSF) oo ururi qaddarka loo baahan yahay ee CSF ee falanqaynta.
- Ka dib markaad ururiso CSF, si tartiib ah uga bax cirbadda oo cadaadis saar meesha daloolinta si aad uga hortagto dhiigbax.

Ujeedooyinka:
Cirbadaha epidural'ka ee la tuuri karo iyo cirbadaha laf dhabarta ayaa loo isticmaalaa ogaanshaha iyo hababka daaweynta ee ku lug leh ururinta dareeraha maskaxda (CSF).Nidaamyadan waxaa caadi ahaan loo sameeyaa si loo ogaado xaaladaha sida meningitis, dhiigbaxa subarachnoid, iyo xanuunada neerfaha qaarkood.CSF-ta la ururiyey waxaa lagu falanqeyn karaa cabbirro kala duwan, oo ay ku jiraan tirada unugyada, heerarka borotiinka, heerarka gulukooska, iyo joogitaanka walxaha faafa.

Fiiro gaar ah: Waa muhiim in la raaco farsamooyinka aseptic ee habboon oo lagu tuuro cirbadaha la isticmaalay weelal afaysan oo loo qoondeeyay iyadoo la raacayo tilmaamaha qashin-qubka caafimaadka.