Urushinge rw'umugongo n'urushinge rwa Epidural

1. Kwitegura:
- Menya neza ko gupakira urushinge rujugunywa urushinge rudafite imbaraga kandi rukomeye.
- Sukura kandi wanduze agace k'inyuma k'umurwayi aho hazakorerwa gucumita.

2. Umwanya:
- Shyira umurwayi ahantu heza, ubusanzwe aryamye kuruhande rwabo amavi yegeranijwe yerekeza mu gituza.
- Menya umwanya uhagije woguhuza imyanya yo gutobora, mubisanzwe hagati ya L3-L4 cyangwa L4-L5 vertebrae.

3. Anesthesia:
- Tanga anesthesi yaho mugice cyinyuma cyumurwayi ukoresheje syringe ninshinge.
- Shyiramo urushinge mumyanya yo munsi yubutaka hanyuma utere buhoro buhoro igisubizo cya anesthetic kugirango uceceke.

4. Gutobora Lumbar:
- Anesthesia imaze gutangira gukurikizwa, fata urushinge rujugunywa inshinge zifata neza.
- Shyiramo inshinge mumwanya wamenyekanye hagati, ugana hagati.
- Teza imbere urushinge gahoro gahoro kugeza rugeze kubwimbitse bwifuzwa, mubisanzwe hafi cm 3-4.
- Itegereze imigendekere ya cerebrospinal fluid (CSF) hanyuma ukusanye umubare ukenewe wa CSF kugirango ubisesengure.
- Nyuma yo gukusanya CSF, kura buhoro buhoro urushinge hanyuma ushyire igitutu kumwanya wacitse kugirango wirinde kuva amaraso.

4. Urushinge rw'umugongo:
- Anesthesia imaze gukurikizwa, fata urushinge rwumugongo rukoreshwa neza.
- Shyiramo inshinge mumwanya wifuzwa hagati, ugana kumurongo wo hagati.
- Teza imbere urushinge gahoro gahoro kugeza rugeze kubwimbitse bwifuzwa, mubisanzwe hafi cm 3-4.
- Itegereze imigendekere ya cerebrospinal fluid (CSF) hanyuma ukusanye umubare ukenewe wa CSF kugirango ubisesengure.
- Nyuma yo gukusanya CSF, kura buhoro buhoro urushinge hanyuma ushyire igitutu kumwanya wacitse kugirango wirinde kuva amaraso.

Intego:
Urushinge rushobora kwangirika hamwe ninshinge zumugongo zikoreshwa muburyo bwo gusuzuma no kuvura burimo gukusanya amazi ya cerebrospinal fluid (CSF).Ubu buryo bukorwa muburyo bwo gusuzuma indwara nka meningite, kuva amaraso ya subarachnoid, hamwe nindwara zimwe na zimwe zifata ubwonko.CSF yakusanyirijwe hamwe irashobora gusesengurwa kubintu bitandukanye, harimo kubara selile, urugero rwa poroteyine, urugero rwa glucose, no kuba hari ibintu byanduza.

Icyitonderwa: Ni ngombwa gukurikiza tekinike ikwiye ya aseptike no guta inshinge zikoreshwa mu bikoresho byabugenewe bikurikije amabwiriza yo kujugunya imyanda yo kwa muganga.