Qee zaum koj yuav muaj lub qhov ntswg ntws yam tsis tau mob khaub thuas. Los yog koj yuav hnov mob taub hau uas zoo li nws yuav tawg thaum koj sawv ntawm qhov chaw pw. Feem ntau peb tsis quav ntsej txog cov no. Tab sis cov no yuav yog cov cim qhia txog mob uas koj yeej tsis tau xav txog, thiab uas yuav loj dua me ntsis. Hnub no peb tab tom tham txog ib qho mob zoo li no, Cerebrospinal Fluid (CSF) Leak.
Hais yooj yim xwb, CSF Leak yog dab tsi?
Zoo, cia peb mus ncig me ntsis hauv peb lub cev kom nkag siab qhov no. Peb lub hlwb thiab tus txha caj qaum yog ob lub cev uas rhiab heev. Yog li ntawd, txhawm rau tiv thaiv lawv, peb lub cev tau tsim cov kua dej zoo li lub ncoo nyob ib puag ncig lawv. Cov kua dej no hu ua Cerebrospinal Fluid (CSF) . Cov CSF no muaj nyob hauv ib daim ntaub uas ua los ntawm peb daim nyias nyias. Hauv kev kho mob, peb hu qhov no ua cov meninges.
Tam sim no xav txog tias muaj qee qhov laj thawj, muaj ib lub qhov me me lossis kua muag tshwm sim hauv daim ntaub npog meningeal no, tshwj xeeb tshaj yog nyob rau hauv txheej tuab sab nraud, dura mater . Tom qab ntawd, cov kua dej CSF ntawd maj mam pib xau tawm. Qhov ntawd yog qhov peb hu ua CSF Leak .
Kev poob cov kua dej no tsis zoo rau peb lub hlwb thiab tus txha caj qaum, vim nws poob qhov kev tiv thaiv thiab qhov sib npaug ntawm lub zog uas nws muab.
Muaj ob hom kev xau CSF:
Qhov xau no muaj ob hom loj nyob ntawm seb nws tshwm sim qhov twg.
1. Cranial CSF To: Qhov no tshwm sim sab hauv lub taub hau, uas yog, nyob ib ncig ntawm lub pob txha taub hau. Cov kua dej uas to ntawm no feem ntau tuaj yeem tawm los ntawm lub qhov ntswg lossis pob ntseg.
2. Cov kua dej hauv lub hlwb txha caj qaum los ntawm kev xau: Qhov no tshwm sim hauv cov hlab ntsha txha caj qaum, nyob rau thaj chaw ib puag ncig cov hlab ntsha txha caj qaum.
Cov tsos mob uas peb pom hauv ob hom no kuj txawv me ntsis ntawm ib leeg.
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob ntawm CSF xau sib txawv nyob ntawm qhov twg nws nyob thiab ntau npaum li cas cov kua dej xau. Qee zaum, yog tias qhov xau me me heev, koj yuav tsis pom muaj tsos mob dab tsi li. Cia peb saib cov tsos mob feem ntau cuam tshuam nrog ob hom no.
| Cov tsos mob ntawm CSF Leak ntawm Cranial | |
|---|---|
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
| Qhov ntswg ntws | Qhov no tsis yog cov hnoos qeev. Nws yog ib yam kua ntshiab, dej, thiab tsis nplaum . Qhov no yuav pom tseeb tshwj xeeb thaum koj khoov koj lub taub hau mus tom ntej. |
| Cov kua dej ntws tawm ntawm pob ntseg | Tej kua dej ntshiab yuav tawm hauv pob ntseg, thiab los ntawm lub qhov ntswg. |
| Mob taub hau | Tej zaum yuav mob taub hau tas li. |
| Tsis hnov tsw ntxhiab | Qhov kev hnov tsw ntxhiab yuav maj mam txo qis lossis ploj mus tag. |
| Mob caj dab los yog mob nqaij tawv | Xav tias cov leeg nqaij caj dab nruj thiab mob. |
| Cov tsos mob ntawm qhov xau ntawm cov kua qaub ncaug ntawm tus txha nqaj qaum | |
|---|---|
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
| Mob taub hau thaum muaj teeb meem | Qhov no yog qhov tsos mob tseem ceeb tshaj plaws. Thaum kuv sawv lossis zaum, kuv lub taub hau mob zoo li nws yuav tawg ua ob daim. Tab sis thaum kuv pw, qhov mob maj mam ploj mus. |
| Kiv taub hau thiab xeev siab | Kiv taub hau thiab xeev siab. |
| Kev hloov pauv ntawm qhov muag pom kev | Tej zaum yuav pom kev tsis meej thiab pom ob sab. |
| Hnov cov suab hauv pob ntseg | Muaj suab nrov tas li hauv pob ntseg. |
| Lub Hlwb Huab Cua | Xav tias nyuaj rau xav kom meej, nyuaj rau nco qab. |
Dab tsi ua rau CSF xau?
Feem ntau, CSF xau tshwm sim vim qee yam kev raug mob lossis kev sib tsoo .
- Ntaus hnyav rau lub taub hau lossis nraub qaum.
- Tig caj dab tam sim ntawd (mob whiplash hnyav).
- Ib qho qhov txhab uas tshwm sim los ntawm ib yam khoom ntse, xws li qhov txhab raug chob.
Tus mob no kuj tuaj yeem tshwm sim tom qab qee qhov kev kho mob.
- Kev phais hlwb lossis tus txha nqaj qaum.
- Kev phais pob ntseg, qhov ntswg, thiab caj pas.
- Tom qab ua tej yam xws li lumbar puncture los yog epidural.
Tiam sis tsis tshua muaj, cov dej xau no tuaj yeem tshwm sim yam tsis muaj laj thawj pom tseeb. Peb hu cov no ua 'cov dej xau uas tshwm sim sai sai'. Qee zaum, qhov kev pheej hmoo no kuj tuaj yeem nce ntxiv los ntawm cov mob uas muaj txij thaum yug los, xws li Marfan syndrome , uas ua rau cov nqaij sib txuas hauv peb lub cev tsis muaj zog.
Qhov no puas yuav ua rau muaj kev phom sij rau lub neej?
Yog lawm, qee qhov kev xau CSF loj heev tuaj yeem ua rau tuag taus, yog li ntawd yog tias koj xav tias muaj cov tsos mob no, tsis txhob tsis quav ntsej lawv.
Hais yooj yim xwb, CSF yog cov kua dej tiv thaiv uas ua rau lub hlwb nyob saum dej. Thaum cov kua dej no tsawg dhau, lub hlwb yuav poob nws qhov kev ntab thiab pib poob rau hauv lub taub hau. Qhov no tuaj yeem ua rau lub hlwb puas tsuaj thiab txawm tias ua rau muaj kev tsis taus mus tas li.
Qhov txaus ntshai tshaj yog tias lub qhov ntawm daim npog ntawd tso cai rau cov kab mob nkag mus rau hauv lub hlwb . Qhov kev kis kab mob no, uas tshwm sim thaum cov kab mob nkag mus rau hauv daim npog ntawm lub hlwb, hu ua mob meningitis.Qhov no yog ib qho mob hnyav heev uas xav tau kev kho mob thaum muaj xwm txheej ceev.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Yog koj xav tias koj cov CSF xau, koj tsis tuaj yeem kuaj mob lossis kho koj tus kheej hauv tsev. Koj yuav tsum mus ntsib kws kho mob.
Tus kws kho mob yuav xub mloog koj cov tsos mob kom zoo zoo, kuaj koj, thiab tom qab ntawd yuav kom kuaj ntau zaus kom paub tseeb tias koj muaj mob.
- Kev kuaj kua: Ib qho qauv kua ntawm koj lub qhov ntswg lossis pob ntseg raug coj mus kuaj seb puas muaj protein hu ua beta-2 transferrin, uas tsuas pom muaj nyob hauv cov kua CSF xwb.
- Kev Ntsuas Duab: Cov kev ntsuas tshwj xeeb xws li CT scan , MRI scan , thiab myelogram yog siv los qhia qhov chaw tseeb ntawm qhov xau.
Nco ntsoov, tsis txhob nrhiav hauv internet seb koj muaj mob dab tsi los kuaj koj tus kheej. Tej zaum yuav txaus ntshai. Mus ntsib kws kho mob uas tsim nyog tas li.
Cov kev kho mob rau qhov no yog dab tsi?
Txoj kev kho mob nyob ntawm seb hom qhov xau, nws qhov chaw, thiab nws qhov hnyav npaum li cas.
Kev Kho Mob Dav Dav thiab Cov Lus Qhia
Qee qhov dej xau me me, tshwj xeeb tshaj yog cov uas tshwm sim tom qab dej xau, yuav zoo li qub. Koj tus kws kho mob yuav muab qee cov lus qhia rau koj txog kev kho lawv:
- So Pw Tsaug Zog: Lawv hais kom koj pw thiab so ob peb hnub.
- Haus dej ntau: Nws yog ib qho tseem ceeb kom tswj tau cov kua dej zoo hauv lub cev.
- Kev haus dej haus caffeine: Qee zaum, cov dej haus uas muaj caffeine xws li kas fes tuaj yeem pab txo qhov mob taub hau. Tab sis qhov no tsuas yog yuav tsum ua raws li kev qhia ntawm tus kws kho mob.
- Tsis txhob ua tej yam uas ua rau muaj kev ntxhov siab ntxiv: Tej yam xws li txham, hnoos, tsa cov hnyav, thiab siv zog mus rau chav dej tuaj yeem ua rau muaj kev ntxhov siab ntxiv rau CSF thiab ncua qhov kev kho qhov xau.
Kev kho mob tshwj xeeb
Yog tias so ib leeg xwb tsis pab, tus kws kho mob yuav siv kev kho mob zoo li no.
Rau qhov xau ntawm cov kua qaub ncaug hauv lub hlwb:
- Epidural Blood Patch: Qhov no yog ib txoj kev kho mob zoo heev. Qhov koj ua ntawm no yog muab qee cov ntshav los ntawm koj txhais caj npab thiab muab nws chob rau hauv thaj chaw ntawm koj tus txha nqaj qaum uas koj xav tias koj muaj qhov xau. Cov ntshav ces txhaws thiab kaw lub qhov zoo li ib daim plaster.
- Kev Phais Mob: Tsis tshua muaj, yog tias daim ntawv ntshav tsis ua tiav, yuav tsum tau phais mob kom xaws lub qhov.
Rau CSF Leak ntawm lub taub hau:
- Kev Kho Mob Endoscopic:Nrog rau cov thev naus laus zis niaj hnub no, ib lub koob yees duab me me tuaj yeem ntxig rau hauv lub qhov ntswg, nrhiav qhov xau thiab kaw nws yam tsis tau qhib lub pob txha taub hau.
- Kev Phais Qhib: Hauv qee kis mob nyuaj, kev phais yuav ua tau los ntawm kev qhib lub pob txha taub hau.
Thaum twg koj yuav tsum mus ntsib kws kho mob? Thaum twg koj yuav tsum mus rau ETU?
Qhov no tseem ceeb heev. Yog tias koj muaj cov tsos mob ntawm CSF xau, mus ntsib kws kho mob tam sim ntawd. Txawm li cas los xij, qee qhov xwm txheej ceev, koj yuav tsum mus rau ETU (Chav Kho Mob Ceev) tam sim ntawd.
| Lub cib fim | Cov yam ntxwv uas yuav tsum tau saib xyuas |
|---|---|
| Thaum twg koj yuav tsum mus ntsib kws kho mob? | |
| Yog tias muaj kev raug mob taub hau |
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| Yog tias muaj kev xav tias muaj qhov xau ntawm tus txha nqaj qaum |
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| Thaum twg yuav tsum mus rau ETU (Chav Kho Mob Thaum Muaj Xwm Ceev) tam sim ntawd | |
| Yog tias raug mob taub hau |
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| Yog muaj qhov xau ntawm tus txha nqaj qaum |
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Qhov CSF xau tuaj yeem yog ib qho txaus ntshai, tab sis feem ntau nws tuaj yeem kho tau tag nrho yog tias kuaj pom thiab kho thaum ntxov. Qhov tseem ceeb yog tsis txhob tsis quav ntsej cov cim me me uas koj lub cev muab rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Yog koj muaj cov kua dej ntshiab los ntawm koj lub qhov ntswg yam tsis tau mob khaub thuas, tsis txhob tsis quav ntsej. Mus ntsib kws kho mob tam sim ntawd.
- Mob taub hau uas hnyav zuj zus thaum koj sawv ntawm qhov chaw pw thiab tom qab ntawd ploj mus thaum koj pw dua (mob taub hau thaum pw) yog ib qho tsos mob tseem ceeb ntawm kev xau CSF ntawm tus txha caj qaum.
- Tsis txhob sim kuaj mob lossis kho tus mob no koj tus kheej hauv tsev. Nws tuaj yeem ua rau muaj kev phom sij.
- Yog tias kho kom zoo (feem ntau yog so lossis ua ib qho kev kho me me), qhov mob no tuaj yeem kho tau tag nrho.
- Yog tias koj muaj cov tsos mob xws li mob taub hau hnyav, hais lus tsis tau zoo, lossis tsis nco qab ib sab ntawm lub cev, mus rau ETU tam sim ntawd yam tsis muaj kev ncua.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus