Uvavanyo olungaba luBomi -Londoloza
Iintsholongwane azihlali ziphazamiseka ziphambili, njenge-migraine okanye uhlobo lwentloko yesifo, kodwa kunokuba kukho izibonakaliso ukuba enye into eyenziwa emzimbeni. Ngokomzekelo, ezinye iintloko ezinzima zibonakalisa inkqubo enobungozi eyenziwa kwinkqubo yeentlanzi. Imizekelo ibandakanya:
- Meningitis
- Ukunyuka kwengcinezelo yenyango
- Ukutshatyalaliswa kwesisu
Ukuba ugqirha wakho ukhathazekile ukuba intloko yakho ingenye yeemeko ezikhankanywe apha ngasentla, unokwenza i-lumbar puncture okanye ikuthumelele kwigumbi eliphuthumayo elinye.
Sibanzi
Ukugqithwa kwe-lumbar yinkqubo ye-neurological eyenziwa ukufikelela kumgudu womgogodla apho i- cerebrospinal fluid (CSF) ihamba khona. Ii-punctures zeLumbar zenzelwa ukuxilonga okanye iinjongo zokwelapha. Ngokomzekelo, ukugqithiswa kwe-lumbar kusetshenziselwa ukwenza ukuxilongwa kwe-meningitis, efuna ukuhlaziywa kwe-cerebrospinal fluid. Ukugqithwa kwe-lumbar kusetyenziswa ukulawula i-chemotherapy kwisigulane ngomhlaza okanye i-anesthetics kumfazi osebenzayo.
I-Lumbar Pcture isenziwa njani
Okokuqala, ugqirha uya kukubeka ngokucophelela, njengoko oku kubaluleke kakhulu ukufikelela kwi-CSF ngokukhuselekileyo nangokufanelekileyo. Uya kukucela ukuba uhlale emphethweni wendawo yakho yokulala kunye "nomkhonto onjengetata," okanye ukucela ukuba ulale ngasecaleni kwimeko yakho yokutshatyalaliswa, eyaziwa ngokuba yimpumelelo. Ugqirha wakho uya kucoceka isikhumba emva kwakho kwaye ajobe ummeli onzima. Le nxalenye edla ngokugqithiseleyo.
Emva kokuba i-agent engxowanisiweyo ijojowe, ugqirha wakho uya kufaka inaliti yesipelingi phakathi kwe-vertebrae emibini emqolo wakho osezantsi.
Emva kokuba inaliti yomgulane ifinyelele kwindawo echanekileyo, i-CSF iya kudlulela kwiibhulo zokuqokelela. Kodwa okokuqala, ukuba ulala kwindawo ehambelana nayo yangaphambili (kwicala lakho), ugqirha wakho unokuthatha uxinzelelo lokuvula nge-manometer. Ukubona uxinzelelo lokuvula luncedo ngakumbi ekufumaneni iimeko zonyango ezifana ne- idiopathic intracranial hypertenal okanye i-meningitis ye-bacteria (iimeko ezimbini ezibangela uxinzelelo oluphezulu lwe-intracranial).
Xa sele iqokelelwe, i-CSF ihlalutyo ngokunyanisekileyo ukunceda ugqirha wakho ekwenzeni ukuxilongwa. Ngokomzekelo, ukuba ugqirha wakho ugxeka i-meningitis, uya kulawula i-gram stain kunye nenkcubeko ye-CSF, kunye neprotheni ye-CSF kunye ne-glucose.
Iingxaki ezinokwenzeka
Inkcenkcesha eqhelekileyo yokugqithwa kwe-lumbar yintloko, eyenzeka malunga nama-36 eepesenti zezigulane. Isizathu sentloko siyimfucumfucu ye-CSF kwisayithi kwindawo yakho apho inaliti ifakwe khona (ebizwa ngokuba yindawo yokuqhawula). Ubuchule beli ngxaki buyancitshiswa ngugqirha wakho usebenzisa inaliti encinci yomlenze.
Kwimeko yesikhumba somlenze, ugqirha wakho unokubonisa ukulala, i-intravenous fluids, i-caffeine, okanye i-patch yegazi, yinkqubo apho igazi lakho lijojowe kwisayithi yokuqhawula ukunyanzelisa umgodi, ukukhusela nayiphi na imithi ukuvuza kwamanzi.
I-Brain-stem herniation yinkxalabo enzulu kakhulu (kodwa inqabile) yokugqithiswa kwe-lumbar. Ngamanye amaxesha ugqirha wakho uya kuba ne- CT scan yakho yengqondo ngaphambi kokuba ube ne-lumbar puncture ukunceda ekufumaneni nayiphi na ingcinezelo ebusweni bakho, okuya kukwandisa ithuba lakho lokuhlaselwa.
Ukuhlambalaza kwindawo yokuqhawula isenokuthi kwenzeke, nangona kungavamile.
Ugqirha wakho uya kusebenzisa ingqiqo yakhe xa wenza i-lumbar puncture ukuba usegazini elincinci.
Ezinye iingxaki ezinqabileyo ezingabonakali zibandakanya ukusuleleka kwisayithi yokuhamba, iintlungu ezisezantsi, kunye ne-cyst eyenziwa ngokuthi i-subarachnoid epidermal cyst.
Ngaba iLumbar Punctures Hurt?
Lo ngumbuzo omhle kwaye uyahluka ngokwenene. Ngokuqhelekileyo inxalenye engabonakaliyo yenkqubo yinkampani egxininisayo ejoyiweyo kwesikhumba, ngaphambi kokuba kufakwe inaliti yomgulane. Oku kuvakalelwa njenge-bee sting. Emva koko, xa ugqirha ebeka inaliti emhlane wakho, uya kuziva uvakalelo olunjengexinzelelo, olukhutshwayo emva kokuba inaliti isuswe.
Ngokubanzi, inkqubo ngokuqhelekileyo iyakunyamezela, kwaye ngelixa inokubangela ukuxhalabisa, ihamba ngokukhawuleza kwaye ingakhathazeki kakhulu.
ILizwi
I-Lumbar puncture isebenza njengefestile kwinkqubo yethu yeentlanzi kwaye inokubonelela ngolwazi oluphambili lokuxilonga kunye neendlela zokwelapha. Ukuba uya kuba ne-lumbar pcture kwaye unenkxalabo, nceda uthetha ngogqirha wakho kwangaphambili ukuze uzive ulungele kwaye ukhululekile.
Imithombo:
Ellenby MS, Tegtmeyer K, Lai S, i-DAV ye-DA. Lumbar Ukuhamba. I-New England Journal of Medicine. 2006; 355: e12.
> Klein AM, i-Loder E. Postpartum entloko. Int J Obstet Anesth. 2010 Oct; 19 (4): 422-30. i-doi: 10.1016 / j.ijoa.2010.07.009.
I-DA i-DA, i-Reeves MM, i-DA i-Fomin. Ucwaningo lweCerebrospinal Fluid . WaseMerika ugqirha. 2003; 68 (6): 1103-1109.