Kuchulukitsa kwachisinkhu Chisamaliro Chisamaliro
Amatchedwanso : cerebrospinal fluid (CSF)
Nthendayi yotchedwa Cerebrospinal (CSF) imachitika chifukwa cha matenda omwe amachititsa kuti ubongo ndi msana zisagwiritsidwe ntchito. Kuti izi zichitike, njira yopanda malire pakati pa malo osungirako ubongo ndi mitsempha ya nasal / sinus imapangidwanso.
Malo osalimba angayambidwe ndi:
- matenda opatsirana opaleshoni
- zina zolephereka kubadwa
- matenda aakulu ogona ogona ogona omwe amachititsa kuwonjezeka kwa mankhwala osokoneza bongo (ICP)
- kukhumudwa kumutu ndi nkhope zomwe zimayambitsa fracture ya naso-orbito-ethmoid ndi kuwonongeka pamphepete (cribriform plate) yomwe ili mbali ya "denga" la sinus)
Zochitika zenizeni za CSF chifuwa sadziwika koma kafukufuku wina wasonyeza kuti mlingo wa CSF matenda a nthenda yakuda kuchokera kuchipatala ndi 0.5%. Mwamwayi, kuyambira pakukhazikitsidwa kwa malamulo a lamba lachitetezo, chiŵerengero cha CSF chifuwa chachikulu choyambitsa matendawa chagonjetsedwa.
Zizindikiro za CSF Rhinorrhea
Mphuno (mphuno yothamanga) yomwe imamveka bwino ndipo madzi akhoza kukhala chizindikiro choyamba cha cerebrospinal flu rhinorrhea. Zizindikiro zina zikhoza kukhala:
- mutu
- mchere wamchere ndi salty kapena metallic kukoma
- Madzi akuwonjezeka pamene akutsamira patsogolo ndi mutu pansi
- kusowa kwa fungo (anosmia)
- kusokonezeka kwa minofu
Ndikofunika kuzindikira kuti zizindikirozi zimachitika m'zinthu zambiri, zofala, ndipo ziyenera kuyesedwa ndi otolaryngologist (khutu, mphuno, khungu kapena ENT). Komabe ngati muli ndi zizindikiro zomwe tazitchula pamwambazi, musachedwe kuwonetsa chifukwa chifuwa chachikulu cha CSF chingabweretse mavuto aakulu.
Zomwe Muyenera Kuchita Ngati Inu Mukumana Cerebrospinal Fluid Rhinorrhea
Ngati muli ndi zizindikiro zomwe tazitchula pamwambapa, muyenera kufufuza kafukufuku ndi otolaryngologist. Ngati mwachita opaleshoni, muyenera kupita kuchipatala chomwe chinayendetsa ntchito yanu. Komabe, ngati simunachite opaleshoni yamasalimo, muyenera kupeza zojambula za CT kapena zojambula zina za machimo anu omwe munakhala nawo kale ndikupita nawo kwa ENT katswiri wofufuza.
Pamsonkhano uwu mukhoza kufunsidwa kuti mupange Chidziwitso Chozizwitsa Chodziwika kuti mudziwe ngati pali fungo loipa. Mayesowa ayenera kuchitidwa musanayambe mankhwala kuti mudziwe ntchito yoyambira. Dokotala wanu akhoza kuchita mapepala osungirako zinthu , izi zimaphatikizapo dokotala pogwiritsa ntchito kamera kakang'ono kuti awone ngati palibenso vuto lililonse pa tsamba la cribriform. Kuyezetsa kwina kumene dokotala wanu angapereke kumaphatikizapo:
- CT scan
- MRI
- B-2 transferrin assay (ma laboratory test on nasal drainage)
- Kugwiritsa ntchito mankhwala ozunguza bongo kunayambitsa kufufuza
- Intrathecal fluorescein
Njira Zothandizira Odwala Matenda a Cerebrospinal Rhinorrhea
Ngati muli ndi cerebrospinal flu rhinorrhea ndikofunikira kuti mulandire chithandizo choyenera kuti muteteze meningitis kapena pneumocephalus (mpweya mumphepete mwachisawawa).
Pochiza cerebrospinal fluid rhinorrhea, opaleshoni idzakhala yofunikira. Mtundu wa opaleshoni ukufunika udzadalira chifukwa cha matenda anu (opaleshoni, kupwetekedwa mtima, kugona kwa mpweya ...). Kuchuluka kwa opaleshoni kumachita bwino, komabe mavuto angakhalepo ndi opaleshoni iliyonse, makamaka yomwe imakhudzana ndi anesthesia . Muyenera kukambirana za chiopsezo ndi phindu la kuchitidwa opaleshoni ndi dokotala wanu ndikutsatira malangizo aliwonse omwe akukupatsani pokhudzana ndi kusala tsiku ndi tsiku ndi tsiku la opaleshoni yanu ndi malangizo aliwonse omwe muyenera kudziyang'anira mutatha.
Pamene cerebrospinal fluid rhinorrhea ndi yachilendo, mavuto (monga meningitis) akhoza kukhala oopsa ndipo sayenera kutengedwa mopepuka.
Zotsatira:
Goldenberg, D. & Goldstein, BJ (2011). Buku Lopatulika la Otolaryngology - Kumutu ndi Opaleshoni Yamphongo. New York City, NY: Thieme Medical Publishers, Inc.
Kuzniar, TJ, Gruber, B. & Gokhan, MM (2005). Mitsempha ya m'magazi yothamanga ndi matenda a mitsempha yothandizidwa ndi mankhwala osokoneza bongo. Chifuwa. Idapezeka: March 11, 2012 kuchokera http://journal.publications.chestnet.org/article.aspx?articleid=1083773