Izinto Zengozi kunye noPiliso lweNtloko ye-Spinal Tap
Ingaba unobungozi obunzima (owaziwayo njengengcambu yomthambo) ngexesha lobasebenzi okanye ukuxilongwa okanye unyango lwemo yezokwelapha, awuyedwa xa uvelise intloko-into efanayo (kodwa ungakhathazeki, phantse njalo uhamba ngokwawo).
Iyintoni i-Post-Lumbar yokunquma kwintloko?
Ukugqithiswa kwe-lumbar yinkqubo eyenziwa ngezizathu ezininzi, kubandakanya ukuvavanya i- cerebrospinal fluid (i-fluid ehlambayo kwaye iqhubise ingqondo yakho kunye nomgogodla) ukusuleleka okanye ukuvuvukala, njengokwenkcenkcesha okanye ukuxhamla kwe-sclerosis.
Ii-punctures zeLumbar zenziwa kwakhona ukulawula amayeza kwi-cerebrospinal fluid (CSF), njengama-antibiotics, i-chemotherapy, i-steroids, okanye i-anesthetics. Ngokomzekelo, ngexesha lomsebenzi, kubonakala ukuba ibhinqa lijongene neengxaki zentlungu. Kule nkqubo, i-anesthetic ifakwe kwisithuba se-epidural apho i-CSF ihamba khona ukuba idibanise indawo engezantsi kwinqenikazi yesifazane. I-Lumbar punctures ingenziwa kwakhona ukulinganisa uxinzelelo lwe-CSF, njengokwenza i- idiopathic intracranial hypertension- imeko eyenza ukuba inwele kunye nombono utshintshe.
Phantse kwisithathu sezigulane zihlakulela intloko emva kokugqitywa kwintsholongwane (ngokuqhelekileyo kwiintsuku ezingama-5) ngenxa yomngxuma wokungena emgodini womgudu, apho i-CSF iphuma khona. Xa i-CSF igxuma, ingenza ukuba intloko ibuhlungu xa uhleli ngokuthe tye okanye emi. Oku kuthetha ukuba intlungu yentloko iyancitshiswa xa umntu elala phantsi, kodwa ubuya (ngokukhawuleza) xa bephakamisa intloko yabo (njengoko i-CSF iphuma ngenxa yobukhulu bemvelo).
Inkqubo echanekileyo malunga nendlela i-head-lumbar yokukhanda kwintloko yentloko eqhubeka ngayo. Ezinye iingcali zikholelwa ukuba ukuvuza kwe-CSF kubangela ukuncipha kwimiqulu kunye noxinzelelo lwe-CSF ebuchosheni, ukukhusela ingqondo ukuba ikhonxwe yikhanga. Xa umntu elele, umkhuhlane ungaphinda ufikelele kwingqondo (ubuncwane) uvumele ukuba uphinde unamathele kwakhona kwaye ngoko ukhulula intloko.
Abanye bakholelwa ukuba inani elincinane le-CSF likhuthaza i-receptors ethile kwiingqondo ezibangelwa ukwanda kweengxube zeengqondo, ezikhokelela entloko.
Abantu abathile basengozini ephezulu yokuphula ikhanda elivela kwi-lumbar puncture. Ezi zinto zibeka ingozi:
- ngumfazi
- phakathi kweminyaka engama-31 no-50 ubudala
- kwimbali yangaphambili yesithuba sokukhanda ikhanda
- ubuchule bokusetyenziswa kobuchule kunye nobukhulu benaliti ezisetyenziselwa ukugqitywa kwisigqila se-thecal (esine-CSF)
Ukukhulelwa nokunyaniseka kunokunyusa umngcipheko womntu wokuphuhlisa intloko yomzimba.
Uthini lwe-Post-Lumbar Ukunqanda ukunyamezeka kwentloko?
Ukongeza kwintlungu emacaleni omabini entloko enemiqathango-ekunciphiseni xa ilala ingqambile kwaye ikhutshwe xa imile okanye ihleli-i-headache ye-post-lumbar yokupasa ikhanda inokuhamba kunye nezinye iimpawu ezifana nalezi:
- ukuqina kwentamo
- ukukhala ezindlebeni
- utshintsho lweendlebe
- uvakalelo ekukhanyeni
- isicaphulelo
Unyango lwe-Post-Lumbar Ukunquma kwentloko
I-headache ye-post-lumbar yokuthambisa isicathulo isoloko isombulula kwisithuba seveki kodwa ingathatha iiveki ezimbini. Iindaba ezilungileyo kukuba abaninzi bahamba bebodwa. Ngokuqhelekileyo amanyathelo alula afana nokudla, kunye neentlungu (njengama- opioids ) kunokunceda.
Abanye oogqirha babonisa ukuba i-caffeine nayo (nangona akukho nkcazelo yesayensi yenzululwazi yokubuyisela oku.)
Kodwa ukuba intloko yakho iyaqhubeka, i-pidural blood patch ingafuneka. Le yinkqubo apho umngxuma wokutshitshiswa kwe-lumbar ufakwe uphawu ngegazi lakho. Inika inkxaso ngokukhawuleza kwaye iphumelele, nangona ngamanye amaxesha idinga ukuphindwa.
ILizwi
Ukufakela i-lumbar puncture kungabi mnandi ngokwalo, kwaye intloko ephezulu phezu kwayo ayikho into elula. Kodwa musa ukudimazeka, njengoko isifo sekhanda sakho saso siza kuhamba ngokwawo okanye nge-patch yegazi (into elula kakhulu).
Imithombo:
U-Ahmed, uSV, uJayawarna, C., noJude, E. Ukuthumela intloko yomlomo: ukuxilongwa nokuphathwa. I-Postgraduate Medical Journal. 2006 Nov; 82 (973): 713-16.
I-Halker, i-RB Cafeine ekuthintela kunye nokonyango lwentloko ye-postdural headset: debunking inkolelo. I-neurologist 2007 Sep; 13 (5): 323-7.
IKomidi yokuBaluleka kweNtloko ye-International Headache Society. Ukwahlulelwa kwaMazwe ngamazwe kweengxaki zeNtloko: I-3 Edition (i-beta version) ". I-Cephalalgia 2013; 33 (9): 629-808.