Litšobotsi tsa sehlahisoa
1. Letheka le ka sisinyeha. Mohlanka o hloka ho tshwara hlooho ya mokuli ya etsisitsweng ka letsoho le le leng mme a tshware sokete ya leoto la maoto ka bobedi a ka tlase ka thata ka letsoho le leng ho etsa hore lesapo la mokokotlo le be kyphotic le ho atolosa sebaka sa lesapo la mokokotlo ka hohle kamoo ho ka kgonehang ho phethela ho phunya. 2. Sebopeho sa dinama tsa lumbar se nepahetse mme matshwao a bokahodimo ba mmele a totobetse: ho na le di-vertebrae tse felletseng tse 1 ~ 5 tsa lumbar (mmele wa vertebral, plate ya vertebral arch, process spinous), sacrum, sacral hiatus, sacral Angle, superior spinous ligament, interspinous ligament, yellow ligament, dura mater le omentum, hammoho le subomentum, epidural space le sacral canal tse bopilweng ke dinama tse ka hodimo: posterior superior iliac spine, iliac ridge, thoracic spine process le lumbar spine process di ka utluwa e le kannete. 3. Mesebetsi e latelang e ka etsahala: anesthesia ea lumbar, ho phunya lumbar, epidural block, caudal nerve block, sacral nerve block, lumbar sympathetic nerve block 4. 'Nete e etsisang ea ho phunya lumbar: Ha nale ea ho phunya e fihla ho ligament e ts'oanang e mosehla, khanyetso ea eketseha 'me ho ba le maikutlo a ho tiea,' me katleho ea ligament e ts'ehla e na le maikutlo a totobetseng a ho soetseha. Ke hore, ka har'a sebaka sa epidural, ho na le khatello e mpe (ka nako ena, ente ea mokelikeli o thethefatsang ke anesthesia ea epidural): tsoela pele ho kenya nale ho tla phunya dura le omentum, ho tla ba le maikutlo a bobeli a ho hloleha, ke hore, ka har'a sebaka sa subomentum, ho tla ba le phallo ea mokelikeli oa boko o etsisang. Ts'ebetso eohle e etsisa boemo ba 'nete ba ho phunya lumbar ea kliniki.