Funda iziseko malunga nokuba nomgca wokugcoba
Ukugqitywa kwe-lumbar, okanye umpompo wempuphu , yindlela eqhelekileyo ye-neurological ekhupha i- cerebrospinal fluid (CSF) ukusuka kumbhobho wokugcoba ukuze ugqirha afunde ngokubanzi umthamo. Nangona izazi ze-neurologists zenza lo vavanyo rhoqo, imbono yokugqithisa i-lumbar yenza abantu abaninzi banelisekile.
Kutheni Kufuneka I-Lumbar Puncture Pure
I-punctures ye-Lumbar idla ngokuqhubekayo ukuqhuba iimvavanyo zokuxilonga kwi-spinal fluid.
Oku kunceda ugqirha ukuba:
- Ukuchonga ngakumbi isifo
- Qonda ukuba isifo esele sifumanekile sichaphazela njani umntu
I-cerebrospinal fluid inokuvavanywa izifo ezithathelwanayo ezifana ne- meningitis , izifo ezivuthayo ezifana ne- multiple sclerosis , kunye nezinye i-cancer. Ukongezelela, uxinzelelo lomkhuhlane ngaphakathi kwinqanaba lomgudu lingagqithiselwa ukuvavanya iziphazamiso ezifana ne-pseudotumor cerebri. Ukulinganisa nayiphi na ukwanda kwenycinezelo, i-neurologists ingasebenzisa i-gauge eyaziwa njenge-manometer ngexesha lwenkqubo.
Yintoni eyenzekayo ngexesha leNkqubo
Inkqubo yokupasa i-lumbar idla ngokuthatha malunga nemizuzu engama-45 ukuya kwiyure. Uya kuhamba ngamanyathelo alandelayo:
- Uza kulala kwicala lakho kwindawo yokutshatyalaliswa ngamadolo akho emacaleni akho esifubeni. Ngaphandle koko, unokucelwa ukuba uhlale kwindawo ezingelwayo kunye nomqolo wakho kwi-neurologist.
- Umqolo wakho ongaphantsi uza kucocwa nge-agent e-staticiliza njenge-iodine, kwaye i-anesthetic yendawo efana ne-lidocaine iya kujoywa kwesikhumba ukuze idibanise indawo. Ukujola kweyeza elincinci kunokubangela ukuvutha okuncane.
- Xa umva wakho uphazamisekile, i-neurologist iya kutshitshisa isaliti esingenalutho phakathi kwama-backbones amabini kwisigqila se-thecal, esona sikhala esine-CSF. Ngamanye amaxesha inaliti kufuneka ibekwe kwindawo efanelekileyo.
- Emva kokuba inaliti isendaweni, i-neurologist ingakwazi ukulinganisa ingcinezelo isebenzisa i-manometer.
- I-fluid ke ikhupha ize iqokelelwe kwiibhubhu zokuvavanya ukuba zithunyelwe kwibha.
- Xa uqokelelwe umbane, inaliti isuswe.
- I-bandage idla ngokufakwa kwisiza sokutshitshiswa kwe-lumbar.
- Isiza sinokuba sisifo sosuku okanye ezimbini emva kwenkqubo.
Ngaba i-Paralysis inokwenzeka kwi-Tapinal Tap?
Kukho phantse amathuba okuba umonakalo wentambo okanye ukukhubazeka ngenxa yokuba inaliti ifakwe phantsi ngaphantsi apho intambo yomgudu iphelela khona. Intambo yomthambo igqiba ii-intshi ezimbalwa ngaphezulu kwendawo apho inaliti ifakwe khona. Amagxa amathambo emlanjeni we-spinal adibanisa ngokugqithiseleyo ngesikhwama se-thecal kwizinto ezibizwa ngokuba yi-cauda equina ("umsila wehashe").
Iingxaki ezinokwenzeka
Ngamanye amaxesha, inaliti ingaqhubisana nenye yeentsholongwane kwi -cauda equina , kodwa oku kubangele ukulimala kubantu aba-1 kwabangama-1 000 kwaye ngokuqhelekileyo baphulukisa ngexesha. Ngokuqhelekileyo unokuziva unomtshini omncinci wombane ohla emlenzeni wakho.
Kuphakathi kwama-10 ukuya kuma-30 ekhulwini abantu abafumana i-lumbar puncture baya kuhlakulela intloko . Nangona kukho ukuphikisana ngendlela engcono yokuphepha ezi ntlobo zentloko, amaninzi oogqirha baya kuncoma ukulungelelanisa ukulala kunye nokulala ngesitora emva kweyure emva kokugqitywa kwe-lumbar. I-caffeine inokukunceda nokuba kukho intloko. Ngamanye amaxesha inwele intloko iqhubeka iintsuku ezimbalwa emva kokugqitywa kwe-lumbar.
Oku kusenokuthi ukuba inaliti ishiye umgodi kwisikhwama se-thecal, kwaye umbane uqhubeka uphuma. Kule meko, inqubo ebizwa ngegazi "iqhosha" -iyo igazi lakho lijojowe kwi-sac ye-thecal-inokukhupha intloko.
Kwizigulane ezinobunzima kwingqondo efana ne-abscess okanye i-tumor, utshintsho olubangelwa ukususa umthambo wamanzi lungabangela ukuguqulwa kwingozi kweengxube zeengqondo. Uvavanyo lwe- CT okanye i-MRI yengqondo ngaphambi kokuba inkqubo ikwazi ukulawula nayiphi na inzima. Ezinye iingxaki ezinokuthi ziquka ukusuleleka okanye ukuphuma kwegazi. Zonke ezi ngxaki ziqhelekanga zilungiselelwe ngokwaneleyo.
Indlela Yokulungiselela I-Tapinal Tap
Akukho amalungiselelo akhethekileyo okufunekayo phambi kompompo. Inqubo ingenziwa kwiofisi yegqirha okanye kwicala lokulala. Nangona kunjalo, ukuba uthatha imishanguzo yegazi , inokumiswa phambi kwenkqubo yokunciphisa umngcipheko wegazi. Kwakhona kubalulekile ukuqinisekisa ukuba ugqirha uphendule yonke imibuzo yakho ngaphambi kwenkqubo. Oku kunokunceda ukukhulula naluphi na uxhalaba onalo malunga nokugqithwa kwe-lumbar.
Ngaba I-Lumbar Inokubandezeleka Kwexesha?
Ukuphazamiseka okunxulumene nokugqithwa kwe-lumbar kubonakala kuhluka ngokubanzi kwisigulane ukuya kwisigulane. Akukho mntu oza kuthetha ukuba umpompo ukhululekile, kodwa ngokuqhelekileyo ubuhlungu obukhulu kunokuba ucinge. Ngamanye amaxesha inxalenye eyona nto iyona ingqungquthela evezwayo kunye nejojo yeyeza elincinci. Njengoko inaliti ende isetyenziselwa ukudweba umbane, abantu abaninzi bachaza ubuninzi beengcinezelo ezinzulu, kwaye ngamanye amaxesha uvakalelo lwegesi kumqolo okanye uhamba emlenzeni. Akukho ngaphezu kwe- anesthetic yendawo efunekayo ukulawula intlungu.
Ezinye iindlela zokufumana i-Cerebrospinal Fluid
Kubantu abaneengxaki ezinjenge- scoliosis ezinzima, i- arthritis , okanye ukukhuluphala , kunokuba nzima kakhulu ukuba i-neurologist ibuyise i-CSF kwicala lokulala. Kule meko, ukugqithwa kwesikhombane kungenziwa phantsi kolawulo oluthileyo ngoncedo lwe-radiologist. Nangona kunjalo, kwiimeko ezininzi, oku akunakunzima kwaye kuyabiza.
ILizwi
Ukugqithiswa kwe-lumbar, ngelixa kungonwabi, akubi njengokuba izigulane ezininzi ziyesaba. Nangona iimeko ezinokubakho iingxaki, ziyakwenzeka kakhulu. Iintlobo zokufumana umkhuhlane wokuvavanya zivame ukugqithisa ingozi kunye nokungahambi kakuhle kwenkqubo. Ukufumana ulwazi oluthe vetshe, qinisekisa ukuba yonke imibuzo yakho iqwalaselwe ngugqirha wakho.
Imithombo:
> ISilberstein SD. Intloko yokunyamezela. Version Merck Manual Consumer Version. https://www.merckmanuals.com/home/brain--spinal-cord--and-nerve-disorders/headaches/low-pressure-headache.
> Robbins E, Hauser EL, "Isahluko e32. I-Technique yeLumbar Puncture" (Isahluko). Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, Loscalzo J: Imigaqo ye-Harrison ye-Internal Medicine, 19e : 2015. Imfundo ye-McGraw-Hill.
> Ropper AH, MA Samuels, "Isahluko 2. Iingcali ezikhethekileyo ze-Neurologic Diagnosis" (Isahluko). Ropper AH, Samuels MA: Adams kunye neMigomo ye-Neurology, 10e : 2014. iMfundo ye-McGraw-Hill.