Mayeso Amene Angakhale Moyo-Kupulumutsa
Mutu si nthawi zonse matenda aakulu, monga mutu wa mutu wa migraine, koma m'malo mwa zizindikiro zomwe zimachitika m'thupi. Mwachitsanzo, kupweteka kwa mutu kumakhala chizindikiro chenicheni cha ntchito yoopsa yomwe imapezeka mu dongosolo la mitsempha. Zitsanzo zikuphatikizapo:
- Maningitis
- Kuchulukitsa matenda opatsirana kwambiri
- Kuchuluka kwa magazi osakanikirana
Ngati dokotala akuda nkhawa kuti mutu wanu ndi chimodzi mwazimenezi, akhoza kutengapo mbali kapena kukutumizani ku chipinda chodzidzimutsa.
Mwachidule
Kutsekemera kwapachimake ndi njira ya ubongo yomwe imapangidwira kuti mufike kumtsinje wamtsempha kumene cerebrospinal fluid (CSF) imayenda. Mankhwala a Lumbar amachitidwa kuti apeze matenda ochizira kapena opaleshoni. Mwachitsanzo, kugwiritsira ntchito mankhwalawa kumagwiritsidwa ntchito poyambitsa matenda a meningitis, omwe amafunika kuti awononge cerebrospinal fluid. Kutsekedwa kwa mimba kumagwiritsidwanso ntchito kupereka chemotherapy kwa wodwala ndi khansara kapena mankhwala osokoneza bongo kwa mkazi wogwira ntchito.
Momwe Kuwombera kwa Lumbar Kumapangidwira
Choyamba, dokotala wanu adzakukhazikitsani mosamala, chifukwa izi ndi zofunika kwambiri kuti mupeze CSF mosamala komanso mosamala. Adzakufunsani kukhala pamphepete mwa bedi lanu ndi "chingwe ngati khate," kapena kukupemphani kuti munama pambali panu pamtunda, womwe umadziwika ngati malo omwe amatha kutsogolo. Dokotala wanu amatha kutsuka khungu kumbuyo kwanu ndikuyesa wothandizira. Ichi ndi gawo lomwe nthawi zambiri limapweteka kwambiri.
Wodwala wodwala atayikidwa jekeseni, dokotala wanu adzaika singano yamtsempha pakati pa vertebrae kumbuyo kwanu.
Pamene singano yamtsempha ifika pamalo abwino, CSF idzathamangira m'machubu yosonkhanitsa. Koma choyamba, ngati mutagona m'malo ovomerezeka (kumbali yanu), dokotala wanu akhoza kutenga vuto loyamba ndi manometer. Kuzindikira vuto lotseguka kumathandiza makamaka pozindikira kuti matenda amatha kukhala ngati matenda oopsa omwe amachititsa kuti munthu asatengere kwambiri matendawa kapena bacterial meningitis.
Mukamasonkhanitsa, CSF imafufuzidwa mosamala kuthandiza dotolo wanu kuti adziwe. Mwachitsanzo, ngati dokotala akudandaula kuti akudwala matenda a meningitis, adzalangizira magalasi ndi chikhalidwe cha CSF, komanso mapuloteni a CSF ndi shuga.
Zovuta Zomwe Zingatheke
Kuvuta kwapadera kwa kuponyedwa kwa lumbar ndi mutu, umene umapezeka pafupifupi 36 peresenti ya odwala. Chifukwa cha mutu ndi kuphulika kwa CSF kudzera pa tsamba kumbuyo kwanu komwe singano inalowetsedwa (yotchedwa malo opuma). Zomwe zingathetsere vutoli ndi kuchepetsedwa ndi dokotala wanu pogwiritsa ntchito singano yaing'ono yamphongo.
Pankhani ya mutu wamtsempha, dokotala wanu anganene kuti akugona, madzi osakaniza, caffeine, kapena ngakhale magazi, zomwe zimayikidwa mwazi wanu pamalo otsetsereka kuti athandizire dzenje, kuti asapitirize kupuma msana. zamadzimadzi zikutha.
Ubongo-stem herniation ndizovuta kwambiri (koma zosawerengeka) zovuta zowonjezera. Nthawi zina dokotala wanu adzakupatsani kachilombo ka CT ka ubongo wanu musanayambe kugwiritsa ntchito lumbar kuti muthandizidwe pozindikira zovuta zilizonse mu ubongo wanu, zomwe zingakuchititseni mwayi wochuluka.
Kutsekemera pa malo otsekedwa kungakhaleko, ngakhale kuti sikunali kozolowereka.
Dokotala wanu adzagwiritsa ntchito luntha lake pamene akuwombera magazi ngati muli ndi magazi ochepa.
Zina zomwe zingakhale zosavuta kwenikweni zimaphatikizapo matenda pa malo otsekedwa, kupweteka kwa m'mbuyo, komanso mapangidwe am'munsi otchedwa subarachnoid epidermal cyst.
Kodi Lumbar Punctures Hurt?
Funso limeneli ndi losiyana ndi munthu aliyense. Kawirikawiri gawo losasangalatsa kwambiri la ndondomekoyi ndi wothandizira omwe amalowa mu khungu, asanayambe kusungidwa kwa singano ya msana. Izi zimamva ngati njuchi. Ndiye, dokotala akakuika singano kumbuyo kwanu, mumamva ngati kutengeka, komwe kumachotsedwa pamene singano imachotsedwa.
Zonsezi, ndondomekoyi imalekereredwa bwino, ndipo pangakhale kukhumudwitsa, ndiyangu msanga komanso yosasokonezeka kwambiri.
Mawu Ochokera
Kutseka kwa Lumbar kumakhala ngati zenera pa kayendedwe kathu ka mitsempha ndipo kungapereke chidziwitso chodziwitsa kwambiri ndi njira zothandizira. Ngati mutakhala ndi lumbar ndikukhala ndi nkhawa, chonde lankhulani ndi dokotala musanayambe kotero kuti mukumverera wokonzeka komanso omasuka.
Zotsatira:
Ellenby MS, Tegtmeyer K, Lai S, Nthambi DAV. Lumbar Puncture. New England Journal of Medicine. 2006; 355: e12.
> Klein AM, Loder E. Postpartum mutu. Int J Kumva Anesth. 2010 Oct; 19 (4): 422-30. lembani: 10.1016 / j.ijoa.2010.07.009.
Seehusen DA, Reeves MM, Fomin DA. Cerebrospinal Fluid Analysis . American Family Physician. 2003; 68 (6): 1103-1109.