Koj puas tau hnov txog 'spinal tap'? Tej zaum koj twb tau hnov ib tug neeg hais li no hauv ib zaj yeeb yaj kiab lossis ib yam dab tsi. Qhov tseeb, ntau tus neeg tsuas yog hnov lub npe no xwb ces ntshai heev. Tab sis qhov no yog ib qho kev kuaj mob tseem ceeb heev uas cov kws kho mob ua kom paub tseeb tias muaj qee yam kab mob loj. Yog li, hnub no peb yuav tham txog qhov ' spinal tap' no, lossis hu ua Cerebrospinal Fluid, yog dab tsi thiab nws lub luag haujlwm dab tsi hauv peb lub cev.
Cov kua dej hauv lub hlwb (CSF) yog dab tsi?
Hais yooj yim xwb, cov kua dej cerebrospinal, lossis CSF luv luv, yog cov kua dej ntshiab, tsis muaj xim uas nyob ib puag ncig koj lub hlwb thiab tus txha caj qaum, uas khiav mus rau koj tus txha caj qaum.
Xav txog nws, peb lub hlwb thiab cov hlab ntsha caj qaum yog ob qho ntawm cov kabmob tseem ceeb thiab rhiab heev tshaj plaws hauv peb lub cev. Lawv tsis yog tsuas yog ntaus thiab ntaus ib ncig hauv peb lub taub hau lossis cov hlab ntsha caj qaum xwb. Lawv tau tiv thaiv thiab tsis raug mob vim lawv ntab hauv cov kua tshwj xeeb no. Ib yam li muab ib yam dab tsi tso rau hauv lub npas dej uas muaj dej tiv thaiv nws.
Cov kua CSF no yog tsim tawm hauv peb lub cev , los ntawm ib lub network tshwj xeeb ntawm cov hlwb tob hauv lub hlwb hu ua Choroid Plexus . Txhua lub sijhawm, lub cev ntawm ib tus neeg laus muaj li ntawm 150 milliliters ntawm CSF, uas yog li ob feem peb ntawm ib khob nruab nrab.
Cov dej num tseem ceeb ntawm CSF yog dab tsi?
- Muab kev tiv thaiv: Yog tias lub taub hau tam sim ntawd tsoo ib yam dab tsi, cov kua no ua haujlwm zoo li lub tshuab nqus dej kom txo qhov kev puas tsuaj rau lub hlwb los ntawm kev sib tsoo.
- Muab kev noj haus: Cov kua no pab xa cov as-ham thiab oxygen mus rau cov hlwb hlwb los ntawm cov ntshav.
- Tshem tawm cov khib nyiab: Lwm txoj haujlwm tseem ceeb yog tshem tawm cov khoom pov tseg uas tsim tawm thaum lub sijhawm ua haujlwm ntawm lub hlwb thiab xa rov qab mus rau hauv cov ntshav.
Vim li cas tus kws kho mob thiaj yuav kuaj cov kua CSF?
Muaj tej lub sij hawm, cov kab mob me me, cov kab mob me me, lossis cov qog nqaij hlav uas nkag mus rau hauv peb lub cev tuaj yeem sib sau ua ke hauv cov kua dej CSF no. Tsis tas li ntawd, hauv qee yam kab mob ntsig txog lub paj hlwb, cov kua dej no hloov pauv.
Yog li, yog tias koj tus kws kho mob xav tias muaj teeb meem kev puas siab puas ntsws raws li koj cov tsos mob, nws yuav tsum tau kuaj cov kua dej CSF no kom paub meej lossis txiav txim siab qhov kev xav ntawd.
Hauv qab no yog qee yam mob uas tuaj yeem txheeb xyuas tau lossis cov cim qhia tseem ceeb uas tuaj yeem tau los ntawm qhov kev kuaj no.
| Mob nkeeg | Cov lus qhia los ntawm kev kuaj CSF |
|---|---|
| Meningitis - Kev kis mob ntawm cov ntaub so ntswg uas npog lub hlwb thiab tus txha caj qaum. | Tshawb pom cov kab mob lossis cov kab mob hauv cov kua dej CSF. Cov qe ntshav dawb ntau ntxiv hauv cov kua dej. |
| Kab mob hlwb - kev kis kab mob ntawm cov hlwb hlwb. | Txheeb xyuas tus kab mob lossis lwm yam ua rau muaj kev kis kab mob. |
| Cov kab mob autoimmune xws li Multiple Sclerosis (MS) . | Cov protein tshwj xeeb (immunoglobulins) ntau uas lub cev tsim tawm los tawm tsam cov hlwb ntawm cov hlab ntsha. |
| Mob stroke los yog mob hlwb. | Cov kua dej CSF, uas feem ntau yuav tsum tsis muaj xim, tej zaum yuav hloov xim liab lossis daj vim los ntshav. |
| Qee cov mob qog noj ntshav xws li leukemia . | Txhawm rau txiav txim siab seb cov qog nqaij hlav puas tau kis mus rau cov kua dej CSF. |
| Kab mob Alzheimer's los yog kab mob Dementia . | Kev kuaj xyuas seb puas muaj cov protein tshwj xeeb hauv cov kua dej CSF uas cuam tshuam nrog cov mob no. |
Yuav ua qhov kev kuaj CSF (Lumbar Puncture) no li cas?
Peb hu qhov kev kuaj no ua qhov lumbar puncture lossis spinal tap.Txawm hais tias lub npe yuav zoo li txaus ntshai, qhov no ua tiav nrog kev paub tag nrho thiab muaj kev nyab xeeb heev.
1. Kev Npaj: Ua ntej, lawv yuav hais kom koj pw rau ntawm koj ib sab ntawm lub txaj nrog koj lub hauv caug rub mus rau koj lub hauv siab, lossis zaum nrog koj nraub qaum khoov rau pem hauv ntej. Txoj haujlwm no yog los ua kom qhov chaw ntawm cov pob txha caj qaum ntawm tus txha caj qaum ntau dua.
2. Kev loog: Tom qab ntawd, yuav muab ib koob tshuaj me me ( tshuaj loog hauv zos ) rau ntawm daim tawv nqaij ntawm sab nraub qaum qis uas yuav muab koob txhaj rau. Yog li koj yuav tsis hnov mob ntau.
3. Kev kuaj: Tom ntej no, tus kws kho mob yuav muab ib rab koob me me, ntev heev ntxig rau ntawm koj cov pob txha caj qaum thiab rau hauv qhov chaw uas cov kua CSF nyob. Qhov tseem ceeb, rab koob yuav tsis nkag mus rau hauv cov hlab ntsha caj qaum. Tom qab ntawd, yuav muab li ib diav me me ntawm cov kua ntawd rho tawm mus kuaj.
4. Kev Saib Xyuas Tom Qab: Tag nrho cov txheej txheem yuav siv sijhawm li 45 feeb. Tom qab ntawd, koj yuav raug hais kom so ib pliag. Koj kuj tseem yuav raug qhia kom tsis txhob ua ub ua no hnyav rau ib hnub.
Puas muaj tej yam txaus ntshai?
Qhov no feem ntau yog ib qho txheej txheem muaj kev nyab xeeb heev, tab sis muaj qee qhov teeb meem me me uas tuaj yeem tshwm sim tsis tshua muaj .
- Mob taub hau tom qab kuaj (qhov no yog ib qho uas tshwm sim tab sis feem ntau yuav ploj mus li ob peb teev lossis ob peb hnub).
- Muaj kev kis kab mob me me ntawm qhov chaw uas muab koob txhaj tshuaj.
- Mob nraub qaum.
- Kev puas tsuaj rau cov hlab ntsha (tsis tshua muaj).
Yog tias koj muaj kev txhawj xeeb txog ib yam dab tsi zoo li no, nrog koj tus kws kho mob tham txog nws ua ntej qhov kev kuaj mob.
CSF xau yog dab tsi?
Tsis tshua muaj, cov kua dej CSF tuaj yeem tawm los ntawm qhov lossis kev rhuav tshem ntawm daim nyias nyias uas nyob ib puag ncig lub hlwb. Qhov no tuaj yeem tshwm sim los ntawm kev raug mob taub hau, kev phais, lossis txawm tias tsis muaj laj thawj dab tsi li.
Cov tsos mob tseem ceeb yog mob taub hau hnyav uas hnyav zuj zus thaum koj sawv ntsug thiab txo qis thaum koj pw. Tsis tas li ntawd, koj yuav hnov lub suab nrov hauv pob ntseg, xeev siab, pom kev tsis meej, thiab qee zaum muaj cov kua dej tawm ntawm lub qhov ntswg. Yog tias koj muaj ib qho ntawm cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov kua dej hauv lub hlwb (CSF) yog ib qho kua tseem ceeb uas tiv thaiv, pub zaub mov, thiab ntxuav peb lub hlwb thiab cov hlab ntsha caj qaum.
- Kev siv lub qhov (lumbar puncture) los ntsuas qhov mob ntawm lub duav (lumbar puncture) tsis yog ib qho uas yuav tsum ntshai. Nws yog ib qho kev kuaj mob uas muaj kev nyab xeeb thiab tseem ceeb heev uas siv los kuaj mob hnyav xws li mob hlwb (meningitis), ntshav hauv lub hlwb (cerebral hemorrhage), thiab mob hlwb (neurological disorders).
- Feem ntau cov mob taub hau tom qab kuaj no yuav ploj mus hauv ib hnub. Yog tias lawv tseem muaj, qhia rau koj tus kws kho mob paub.
- Yog koj tus kws kho mob pom zoo kom ua qhov kev kuaj no, tsis txhob yig los tham txog tej kev txhawj xeeb lossis kev ntshai uas koj muaj txog qhov no nrog lawv.
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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