Ndalama Yalowa M'mbuyo Imapereka Cerebrospinal Fluid kwa Kufufuza
Poyesera kupeza chidziwitso, nthawi zina ndi koyenera kuyesa zovuta kwambiri kuti zibwere ndi mayankho. Chimodzi mwa mayesero omwe angapereke chidziwitso chofunikira cha matenda ndi msampha wamtsempha. Izi zingakhale zothandiza makamaka m'maganizo ena ndipo ngakhale zodabwitsa, matenda ena ogona. Kodi kapu ya m'mphepete kapena njira yothandizira?
Kodi pali zoopsa kapena zovuta zokhudzana ndi momwe muyenera kudziwira? Phunzirani momwe pampopu yamaginja ingagwiritsidwe ntchito kuti muzindikire matenda anu popeza cerebrospinal fluid (CSF) kuti muyesedwe.
Kodi Mbalame ya Spinal Tap kapena Lumbar Ndi Nthawi Yanji?
Kapepala ka m'mphepete, kapena kupopera kwapadera (LP), amatanthauza njira yapadera imene madzi amachotsedwa ndi singano kuchokera ku thumba lozungulira msana. Madzi oterewa (CSF) amatsuka ubongo ndi msana, kuteteza zinthu zofunikazi kuti zisapweteke. Kusanthula madzimadzi kungapereke zidziwitso zofunika zokhudzana ndi matenda a mitsempha.
Ndondomekoyi ikhoza kuchitidwa ndi dokotala ku dipatimenti yowopsa, kuchipatala, kapena kuchipatala. Pampopu yamtsempha imatenga nthawi yocheperapo ora, koma ikhoza kukhala nthawi yayitali ngati mchere umasonkhanitsidwa pang'onopang'ono. Kaŵirikaŵiri imachitidwa ndi wodwala wodwala pambali pake, nthawi zambiri ndi mawondo ake atayandikira pachifuwa chake.
Zingathenso kuchitidwa pamalo okhala. Malowa amalekanitsa mafupa a m'munsi kumbuyo (otchedwa verbbrae ya lumbar), kulola mosavuta kupeza. Khungu likayamba kuyamwa, mankhwala opweteka amalowa. Panthawi ino pali singano yaikulu yomwe imachotsedwa kuchotsa CSF.
N'chifukwa Chiyani Mphepete Zamphepete N'kofunika?
Mphepete yamaginja ingafunike kuthandizira kupeza matenda osiyanasiyana, makamaka mavuto okhudza dongosolo la mitsempha.
Kawirikawiri, amagwiritsidwa ntchito kufufuza ngati pali kachilombo mu ubongo kapena matenda ozungulira. Matendawa amatchedwa encephalitis kapena meningitis.
Mafupa amtumbo amagwiritsidwanso ntchito ngati mutu waukulu ukuganiza kuti uli chifukwa cha kuchuluka kwa magazi m'mutu. Izi zimatchedwa kuwonongeka kwa mpweya . Zingathe kunyalanyazidwa ndi zowonongeka ndi kumvetsetsa kwina kungapezeke pofufuza za CSF chifukwa cha kukhalapo kwa magazi.
Palinso matenda aakulu omwe angapezeke mwa kupanga matepi a msana. Chofala kwambiri ndi multiple sclerosis . Anthu omwe ali ndi multiple sclerosis angasinthe mwapadera pamakina awo a CSF otchedwa oligoclonal band or myelin basic protein. Miyeso ya mapuloteni, shuga, ndi ma selo amapangidwa mobwerezabwereza ku punctures zonse za lumbar.
Ngakhale kukakamizidwa kumene CSF ikhoza kungakhale yothandiza; kukwera kungasonyeze kuti pseudotumor cerebri . Kuponderezedwa kwakukulu kumabwera chifukwa cha kuchepa kwa madzi.
M'madera a mankhwala ogona, pali zizindikiro zochepa zokha kupanga matepi a msana. Kutulukira kwa matenda osokoneza bongo kungathandizidwe poyeza orexin ndi ma hypocretin mu CSF. Mu matenda opatsirana omwe amatchedwa matenda ogona a Africa, njirayi ingathandizenso kudziwa momwe matendawa akuyendera.
Izi sizowona kuti sizowona kuti ndizofunika kuti muyese kugona.
Zowopsa ndi Zovuta za Mphepete Zam'madzi
Ma matepi amphongo akuwopseza. Anthu ambiri alibe chidwi chowapeza, ndipo ambiri amvapo nkhani zoopsa. Komanso, pamene akufunikira, nthawi zambiri zimakhala zovuta kwambiri. N'zotheka kuthetsa zina mwa mantha awa.
Chodetsa nkhawa kwambiri ndi: Kodi matepi a m'mphepete amavulaza? Kulekerera kwa ndondomekoyi kumasiyanasiyana, chifukwa tonsefe tili ndi malo osiyana siyana kuti tisavutike. Kugwiritsa ntchito mankhwala opweteka kungamve ngati njuchi. Pambuyo pake, zingamveke ngati zopanikizika kuposa ululu wowawa.
Ambiri adzayankha pamapeto pake, "Izi sizinali zoipa." Manja amatha, ndi chiwongoladzanja chamtengo wapatali, phokoso la m'mphepete mwasamba lingathe kuchitidwa mosavuta. Izi sizikhoza kukhala zotheka nthawi zonse, makamaka pamene kunenepa kwambiri kapena kusinthanso kwa msana kumayambitsa vuto.
Pali zochepa zoopsa zomwe zimagwirizanitsidwa ndi ndondomeko yokha. Ndikofunika kuti dokotala adziwe ngozi zomwe zingakhaleko musanachite matepi a msana. Vuto loopsa kwambiri limakhalapo pamene ubongo umasintha chifukwa cha kuwonjezeka kwachitsulo m'thuga. Izi zingachititse imfa. Pachifukwa ichi, kufufuza kwathunthu kwa ubongo ndi nthawi zina makompyuta (CT) scan kapena magnetic resonance image (MRI) angakhoze kuchitidwa. Ngakhale kuli kovuta, vutoli ndilosazolowereka.
Kawirikawiri, kachigawo kakang'ono ka magazi kamene kamapezeka pamtunda kamapezeka pa malo omwe amapezeka. Dokotala wanu angayang'ane kuwerengera kwa magazi ndipo mumapewa kutenga ochepa magazi musanakwane. Palinso kachilombo kochepa koyambitsa matenda. Mavuto ambiri omwe amapezeka pamphepete mwa msana ndi kudandaula kwa mutu umene umayamba. Izi nthawi zambiri zimakhala zovulazidwa ndi kukhala pamwamba kapena kuima. Amayankha bwino kupumula, kutulutsa madzi, caffeine, ndi mankhwala opweteka.
Chodetsa nkhaŵa china chingakhale chiopsezo chokhala ndi ziwalo. Ngakhale kupweteka kwina kapena kupweteka kofutika m'mphepete kungapangidwe ngati matepi a pamsana akuchitika, zovuta zambiri zomwe zimapitilira sizimapezeka. Mapulogalamuwa amatha kuchitika pamene mitsempha yomwe imachokera pamtsempha wa msana. Izi sizidzatsogolera kufooka. Kwa anthu ambiri, chingwe cha msanacho chimathera miyendo yambiri yapamtunda pamwamba pa malo omwe madziwo amakoka, kotero chiwopsezo chowonongeka kapena kuuma ndi chosowa kwambiri.
Ngati dokotala akukulimbikitsani kugwiritsira ntchito pamphepete, mumakhala chifukwa chofunikira. Kambiranani mavuto omwe mungakhale nawo pazokambirana ndikufunseni mafunso kuti muwone momwe zingathandizire kupeza matenda. Ganizirani za kuopsa mosamala ndikulimbikitsidwa podziwa kuti njira yodziwikayi ingapereke zidziwitso zofunika za matenda omwe dokotala akuyembekezera kuti mudziwe.
Zotsatira:
"Mayeso ndi Njira Zodziwiritsira Maphunziro a Edzi." National Institute of Neurological Disorders and Stroke , National Institutes of Health. Zapezeka: July 14, 2012.
Dugdale, C et al. "Kusonkhanitsa kwa ubongo wa spinal fluid (CSF)." MedLinePlus , National Institutes of Health. Zapezeka: July 14, 2012.