Ndi Momwe Mungakonzekere
Phokoso la m'mphepete, lomwe limatchedwanso kuti lumbar patch , ndi ndondomeko yochitidwa ndi wothandizira zaumoyo wanu kuti asonkhanitse ndi kuphunzira zozama zamadzimadzi, kapena cerebrospinal fluid, zomwe zili m'mphepete mwa ubongo ndi msana.
Chifukwa Chimene Mungafunikire Mphepete Yamphepete
Nthawi zina zimakhala zofunikira kuthandiza wothandizira zaumoyo kuti adziwe chomwe chimayambitsa kugunda kwanu, ngati muli ndi matenda, kutupa, kapena khansa ina ya ubongo ndi msana.
Mphepete yamaginja ingagwiritsidwe ntchito pochiza matenda ena. Mwachitsanzo, matepi a msana angagwiritsidwe ntchito kupereka antibiotics, mankhwala odana ndi khansa, ndi anesthetics. Ngati angagwiritsirenso ntchito kuchotsa cerebrospinal fluid, yomwe ingathandize anthu omwe ali ndi vuto loopsa la matenda opatsirana pogonana, lomwe limayamba chifukwa cha kuwonjezeka kwa msana.
Kukonzekera
Kukonzekera matepi a msana kumakhala kosavuta. Pambuyo pa njirayi, wothandizira zaumoyo wanu adzakufunsani za mbiri yanu yachipatala, kuphatikizapo mafunso okhudza mbiri yanu ya mankhwala (kuphatikizapo mankhwala a zitsamba ndi zina), chifuwa, ndi zina, monga matenda a magazi kapena mimba.
The Procedure
Kampu ya m'mphepete kawirikawiri imachitika m'chipinda chodzidzimutsa, kuchipatala pambali pa bedi lanu, kapena mu chipatala cha ofesi yanu ya ubongo. Panthawiyi, mugona pabedi pambali panu, mawondo anu akuyandikana ndi chifuwa chanu, ngati ofanana ndi mwana.
Mwinanso mungapemphe kuti mukhale pamphepete mwa bedi lanu ndi kumbuyo kwa msana wanu mutathamangitsidwa kunja, ngati malo othamanga.
Dokotala wanu amatsuka ndi kuthirira m'munsi mwendo wanu - wotchedwa malo a lumbar - bwino kuti muteteze matenda pa malo opangira jekeseni. Mankhwala osokoneza bongo, omwe nthawi zambiri amakhala lidocaine, amamwa jekeseni khungu lozungulira kulumikiza singano kuti musamve bwino, makamaka kuthamanga kwina.
Kenaka, singano yaitali, yopanda kanthu imayikidwa pakati pa awiri vertebrae ndi mumtsinje wa msana - malo kapena ngalande yomwe mzere wa msana umathamanga ndi kumene cerebrospinal fluid ilipo.
Kamodzi ngati singano ili mumng'oma wa msana, madziwo amatha kutuluka ndikusonkhanitsidwa kuti athe kufufuza. Mankhwalawa amadziwika bwino ndipo ali ndi mapuloteni, shuga, maselo ochepa komanso mavuto ambiri.
Zimene muyenera kuyembekezera
Mwina mungakhumudwe kwambiri pa webusaitiyi tsiku lotsatira. Mutu ndilo kudandaula kofala kwambiri pamphepete mwa msana ndipo ukhoza kuchitika mkati mwa maola 48 mutatha. Mutu umachokera ku khungu kakang'ono ka cerebrospinal fluid kuchoka kunja kwa malo kumbuyo kwako kumene singano inalowetsedwa. Nthawi zambiri zimakhala bwino pakagona, kumwa madzi, ndi khofi. Mosavuta, chigamu cha magazi chimafunika kuti mutseke malo opuma, ngati mutu ukupitirirabe.
Mavuto
Nkhani yabwino ndi yakuti mavuto ambiri amakhala ochepa. Komabe, ngati pazifukwa zilizonse mumayamba kutentha thupi, kukhumudwa, kupwetekedwa mutu, kupindika khosi, kukhetsa kapena kukhetsa magazi kuchokera pa tsamba la pamphepete mwa msana, kapena kufooka, kumangirira kapena kusowa pansi pamunsi pa malo otsekedwa.
Chitsime:
Ellenby MS, Tegtmeyer K, Lai S et al. Lumbar Puncture. N Engl J Med 2006; 355: e12.