Ka pāngia koe e te mamae nui o te upoko i ētahi wā ina tū koe, ina whakatika rānei i tō upoko? Engari ka memeha te mamae ina takoto koe mō tētahi wā? He wai rānei kei roto i tō ihu, i tō taringa rānei, kāore he take? Ahakoa ki tō whakaaro he makariri noa iho ēnei mea, he mamae upoko noa rānei, i ētahi wā he āhuatanga tēnei e hiahia ana kia aro nui atu. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga pēnei, arā, ko te ' turuturu wai cerebrospinal' ( turuturu CSF ).
He aha te turuturu o te wai cerebrospinal (CSF)?
Ki te kī ngāwari, ko tō tātou roro me te taurakira, e rere ana i muri i tō tātou kaki, he okana tino ngawari e rua. Hei tiaki i a rātou mai i te kino, ka karapotia rātou e te wai mārama. He rite ki te whakatakoto i tētahi mea pakarukaru ki roto i tētahi urunga kī tonu i te wai. Ko te ingoa o tēnei wai ko te Wai Cerebrospinal (CSF) .
Hei ārai i tēnei wai utu nui kei turuturu ki waho, kei roto i tētahi hanganga rite ki te pēke i hangaia mai i tētahi kiriuhi kaha e kiia nei ko te dura mater. Mēnā he kōhao, he haehae rānei kei roto i tēnei kiriuhi, ka turuturu mārire te wai CSF ki waho. Koinei te mea e kiia nei e tātou he turuturu CSF.
E rua ngā huarahi matua e puta ai tēnei turuturu:
1. Te turuturu o te CSF angaanga: Ka puta tēnei ina pakaru te kiriuhi CSF i roto i te angaanga , e karapoti ana i te roro. Tērā pea ka puta tēnei i tētahi mea pēnei i te whati o te angaanga.
2. Te turuturu o te waikura tūaiwi: Mena ka turuturu tēnei kiriuhi ki ngā wāhi katoa o te taurakira .
Ina turuturu te wai i tēnei ara, ka heke te whakamarie huri noa i te roro, ā, ka heke hoki te pēhanga i roto i te angaanga. Ka kiia tēnei ko te "Intracranial hypotension." Ka paku piko te roro, ka pāngia e te ānini . Ki te haere tonu tēnei āhuatanga, ka totoro, ka haehae ngā oko toto ngawari o te roro, ka hua ake he āhuatanga kino e kiia nei ko te subdural hematoma.
Kaua e manukanuka, he tino onge te turuturu o te CSF. E rima pea ngā tāngata i roto i te rau mano e pāngia ana e tēnei mate. He nui ake te kitea i roto i te hunga 30-40 tau te pakeke.
He aha te take o te turuturu o te CSF?
I ētahi wā, kāore e kitea he tino take. Ka kiia tēnei e ngā tākuta he turuturu CSF 'tūpono'. Heoi, i te nuinga o te wā, he tino take anō kei reira e whai wāhi ana ki tēnei.
| Take | He whakamārama māmā |
|---|---|
| Ngā tikanga hauora | Nā ngā mea pēnei i te poka o te hope, ngā werohanga epidural mō te whakamoe , me ngā katitere tuaiwi. |
| Ngā pokanga | Ngā pokanga tuaiwi, pērā i te pokanga transsphenoidal hei tango i ngā pukupuku roro. |
| Whara | Ngā whara kino ki te upoko, ki te kaki, ki te tuaiwi rānei. |
| Te pikinga o te pēhanga i roto i te angaanga | Ki te kore e rongoatia te toto toto tiketike o roto o te angaanga, ka piki ake te pēhanga ki runga i te kiriuhi, ā, ka pakaru. |
| Ētahi atu āhuatanga hauora | Ngā mate hononga o te kiko pērā i te mate Ehlers-Danlos me te mate Marfan, me ngā wheua whakarara. |
He aha ngā tohu o te turuturu o te CSF?
Ko te tohu matua, me te tohu tino kitea o te turuturu o te CSF ko te ānini i kōrerotia tuatahitia e tātou, engari tera pea he maha atu anō ngā tohu.
| Tohu | Whakaahuatanga |
|---|---|
| Ngā tohu e kitea pinepine ana | |
| Te ānini motuhake | Ka kino haere te mamae o te upoko ina noho, ina tū rānei. Ka mama ake ina takoto. Koinei te tohu matua. |
| Ihu/taringa rere | He wai mārama, he rite ki te wai, ehara i te hūpē, e rere ana ina koa ka piko te māhunga. |
| He reka whakarewa i roto i te mangai | He rite te reka ki te konganuku i roto i tō waha. |
| Ngā huringa o te tirohanga | Te tirohanga pōuri, te tirohanga takirua. |
| Ētahi atu āhuatanga | |
| Te aro nui | Te aro nui ki te mārama me te tangi kanapa. |
| Ngā raruraru whakarongo | Te tangi o ngā taringa, te ngaro o te taurite (ngā raruraru taurite). |
| Mamae | Te pakari me te mamae o te kaki, te mamae i waenganui i ngā pokohiwi. |
| Ētahi atu | Whakapairuaki, ruaki, ngaro te hongi. |
Me pēhea te tautuhi i te mate?
Ki te whakapae koe kei a koe tētahi o ēnei tohu, me toro atu ki te tākuta tonu.He mea tino nui. Ka pātai atu te tākuta ki a koe mō ō tohumate, ā, ka tirotirohia hoki e ia tō tinana.
- Tērā pea ka tonoa koe kia piko whakamua ki te tirotiro mēnā he wai e puta mai ana i tō ihu. Mēnā he wai, ka tangohia he tauira ka tukuna ki te taiwhanga hei whakaū he CSF.
- Ka taea te mahi i te endoscopy, arā, ko te whakauru i tētahi ngongo iti me te kāmera ki roto i te ihu.
- Ka taea e koe te tirotiro i ō taringa.
Hei tāpiritanga, he maha ngā whakamātautau ka mahia hei tango pikitia o te roro me te tuaiwi kia kitea ai te wāhi tuturu o te turuturu.
- ` Matawai CT`
- ` MRI`
- Myelography (he whakamātautau whakaahua motuhake mō te tuaiwi)
- `Cisternography` (whakamātautau whakaahua mō te roro me te tuaiwi)
I ētahi wā ka hē te tautuhi i tēnei mate hei migraine, hei sinusitis rānei. Nō reira, ki te pāngia koe e te mamae o te upoko e kino haere ana ina tū koe, ā, ka pai ake ina takoto koe , me kōrero ki tō tākuta.
Ki te kore e rongoatia, ka horapa ngā huakita ki ngā kiriuhi e karapoti ana i te roro, ā, ka pā mai he mate kino pērā i te meningitis. Nō reira, he mea tino nui te tātaritanga me te maimoatanga.
He aha ngā kōwhiringa maimoatanga kei reira?
Ko te maimoatanga e whakawhirinaki ana ki te wāhi i puta ai te turuturu, tōna pūtake, me tōna kaha.
Te maimoatanga tuatahi
I te nuinga o te wā, inā koa mēnā i puta mai te turuturu i tētahi mea pērā i te wai e uru ana ki tō tuara, ka kī atu te tākuta kia whakamātau koe i ētahi mea māmā i te tuatahi.
- Me noho noa ki te moenga, okioki ai mō ētahi rā.
- Te inu i te nui o te wai me ngā wai .
- Te inu kawheine (tī, kawhe).
He maha ngā wā, ka rongoātia te turuturu e ēnei mea ngāwari noa iho.
Ngā maimoatanga motuhake
Ki te kore te turuturu e mutu i te wā o te maimoatanga tuatahi, ka huri te tākuta ki ētahi atu tikanga maimoatanga.
- Mō te turuturu o te CSF tuaiwi:
- Pākete Toto Epidural: Koinei te tikanga e whakamahia whānuitia ana, e angitu ana hoki. Ka tangohia he iti o ō ake toto ka werohia ki roto i tō tuaiwi ki te wāhi e whakaaro ana koe kei reira te turuturu. Ka pūmau te toto, ka hiritia te kōhao.
- I ētahi wā, ka mahia te pokanga hei kati i te kōhao mā te tuitui, mā te tāpiri ngako/uaua rānei.
- Mō te turuturu o te CSF angaanga:
- Ko te tikanga me pokanga ēnei. Ka katihia tēnei kōhao mā te tirotiro ihu, mā te pokanga taringa rānei.
- Katia te kōhao.Ka whakamahia he whakapiringa hangai, he wahi o tō ake kiko tinana , he kāpia pokanga motuhake , he sima wheua rānei.
Ngā mea hei tūpato i muri i te maimoatanga
I muri i te maimoatanga mō te turuturu o te CSF, me tino tupato koe i te wā whakaora, arā, tata ki te 4-6 wiki, nā te mea me roa te wā e ora ai te kiriuhi.
- Kaua e hiki i ngā taumaha taumaha atu i te 10 pauna (4.5 kg).
- Āta karohia ngā mahi pēnei i te piko whakamua, te hiki taumaha, me te takahuri .
- Kaua e totoro i te toto i te wā e tūtae ana. Ki te tika, pātai atu ki tō tākuta mō tētahi rongoā whakangawari tūtae.
- I a koe e maremare ana, e tihe ana rānei, kia tuwhera tō waha . Mā tēnei ka whakaiti i te pēhanga e hangai ana ki roto i te angaanga.
- Ki te mea he ihu pupuhi tōu, kaua e kopikopiko rawa.
- Kaua e whakamahia he ngongo inu.
- Kia tika tonu tō tuara i a koe e mahi ana. Ki te mea me piko koe, piko ō turi me ō hope.
Karere Tangohia ki te Kāinga
- Ko te tohu matua o te turuturu o te CSF ko te mamae o te upoko e kino haere ana ina tū ake koe, ā, ka heke haere ina takoto koe.
- Mena he wai mārama, he wai hoki e puta mai ana i tō ihu, i tō taringa rānei, kāore he take, he reka konganuku rānei kei roto i tō waha, he tohu mōrearea pea tēnei.
- Ki te puta mai ēnei tohu, kaua e whakaaro he mea noa , engari me toro atu ki te tākuta.
- Kaua e manukanuka. Ka taea te whakaora i te nuinga o ngā turuturu o te CSF mā te okioki, te inu wai, ngā maimoatanga māmā rānei.
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