Nendlela Yokulungiselela
Umtshini wokugcoba, obizwa ngokuba yi- lumbar puncture , yinkqubo eyenziwa ngumboneleli wakho wezempilo ukuze uqokelele kwaye ufunde ucoceko olusicacileyo, okanye i-cerebrospinal fluid, ejikeleze ingqondo kunye nomgudu womgudu.
Kutheni Unokufuna Umtya Womgcini
Ngamanye amaxesha kuyimfuneko ukukunceda umboneleli wakho wezempilo ukuba aqinisekise isizathu sokubanjwa kwakho, njengokungathi unesifo , isifo sokuvuvukala, okanye umhlaza othile wengqondo kunye nomgudu womgogodla.
Umpompo ungasetyenziselwa ukunyanga iimeko ezithile zempilo. Ngokomzekelo, umpompo womgca ungasetyenziselwa ukunika i-antibiotiki, iziyobisi ezichasene nomhlaza kunye ne-anesthetics. Ukuba ingasetyenziselwa ukususa i-cerebrospinal fluid, enokunceda abantu abanesifo sengqondo somfutho we-hypertension ye-idiopathic engathandabuzekiyo -ingxaki yesifo esivela ekunyuseni komngcipheko we-spinal fluid.
Ukulungiselela
Ukulungela umpompo ongumlenze ulula. Ngaphambi kwesi senzo, umniki-nkonzo wakho uza kukubuza ngembali yakho yezobugqirha, kuquka nemibuzo malunga nomlando wakho wezonyango (kubandakanya imithi kunye nezinye izilwanyana zendalo), ukunyamezela, kunye nezinye iimeko, ezifana nokugula kwegazi okanye isimo sokukhulelwa.
Inkqubo
Umpompo wecinwa uvame ukuqhutyelwa kwigumbi lokuxakeka, esibhedlele esecaleni lakho, okanye ekliniki ye-neurologist ofisi yakho. Ngethuba le nkqubo, uya kulala embhedeni ecaleni lakho, ngamadolo akho afuphi esifubeni sakho, afana nesimo somntwana.
Unokucelwa kwakhona ukuba uhlale emphethweni webhedi yakho kunye nomqolo wakho osezantsi uphakamise ngaphandle, njengendawo yokuzingela.
Ugqirha uya kuhlambulula kwaye atyelele umqolo wakho osezantsi - obizwa ngokuba yindawo engqongeyo - ngokufanelekileyo ukuze ukhusele ukusulelwa kwisayithi yokujova. Amachiza angamaqhekezayo, ngokuqhelekileyo i-lidocaine, ifakwe kwilinki ejikeleze ukufakwa kwenaliti ukuze ungayi kuziva ukhululekile, ngokukodwa nje uxinzelelo oluthile.
Emva koko, inaliti ende ende, ifakwe engxenyeni phakathi kwe-vertebrae ezimbini kunye nomgudu womgogodla-isikhala okanye umgca apho umgca wesigxina ugijima kwaye apho i-cerebrospinal fluid ikhona khona.
Emva kokuba inaliti isemgodini womgogodla, umkhuhlane uya kuphuma kwaye uqokelelwe uhlalutyo olongezelelweyo. I-cerebrospinal fluid eqhelekileyo kufuneka ibe necacileyo kwaye iqulethe iprotheni, i-glucose, iiseli ezimbalwa kunye noxinzelelo oluqhelekileyo.
Yintoni ongayilindela
Unokufumana ubuhlungu obukhulu kwisayithi ngosuku olulandelayo. Intloko yinkxalabo exhaphakileyo yompompo kwaye ingenzeka kwiiyure ezingama-48 emva kwenkqubo. Intloko ngenxa yexabiso elincinci le-cerebrospinal fluid ephumayo ngaphandle kwesiza kwindawo yakho apho inaliti yafakwa khona. Ngokuqhelekileyo uziva ngcono xa ulala, utywala kunye ne-caffeine. Ngokuqhelekanga, kufuneka iqhosha legazi ukuvala isitifiketi, ukuba intloko iyaqhubeka.
Iingxaki
Iindaba ezilungileyo kukuba iingxaki zivame ukuba zincinci. Nangona kunjalo, ukuba kukho naziphi na izizathu uhlakulela umkhuhlane, ukubola, intloko, intamo eqinile, ukucoca okanye ukuphuma kummandla wephepheni yomgulane, okanye ubuthathaka, ukubetha okanye ukuphazamiseka ngaphantsi kwesiza sokutshintshwa kwendawo, xelela umboneleli wakho wezempilo ngokukhawuleza.
Umthombo:
Ellenby MS, Tegtmeyer K, Lai S et al. Lumbar Ukuhamba. N Engl J Med 2006; 355: e12.