Kodi mumaopa mukamva za kupopa kwa msana? Tiyeni tiphunzire bwino tanthauzo la kupopa kwa msana (Lumbar Puncture)!

Kodi dokotala wanu anakuuzani kapena munthu wina amene mumamudziwa kuti achite opaleshoni ya msana? N'zachibadwa kuti anthu ambiri achite mantha pang'ono akamva dzinalo. Mantha omwe timakhala nawo tikamva mawu oti "spinal tap" ndi omveka. Koma kodi kwenikweni ndi chiyani? Nchifukwa chiyani mayesowa amachitika? Kodi ndi owopsadi? Musadandaule, tikambirana zonsezi momveka bwino komanso mosavuta lero.

Kodi Kuboola Msana (Lumbar Puncture) n'chiyani?

Mwachidule, Spinal Tap ndi mayeso apadera omwe madokotala amachita. Pachifukwa ichi, singano yopyapyala imayikidwa m'munsi mwa msana wathu, monga momwe zilili, m'chiuno, ndipo chitsanzo chaching'ono cha madzi apadera omwe amazungulira ubongo wathu ndi msana wathu amatengedwa. Madzi awa amatchedwa Cerebrospinal Fluid (CSF) .

Tangoganizani kuti ubongo wathu ndi chingwe cha msana chomwe chili mkati mwa msana ndi ziwalo ziwiri zofewa komanso zamtengo wapatali. Madzi a CSF awa amagwira ntchito ngati thaulo lozungulira ziwalozi ndipo amawateteza ku ngozi. Mwa kuwunika madzi awa, titha kupeza zambiri zokhudza matenda ambiri mu Central Nervous System yathu. Ichi ndichifukwa chake mayesowa nthawi zina amakhala ofunikira kwambiri.

N’chifukwa chiyani muyenera kuchita mayeso amenewa?

Pali zifukwa zingapo zomwe dokotala angalamule mayesowa. Chifukwa chachikulu ndichakuti apewe zinthu zina zazikulu zomwe zimayambitsa matenda monga khunyu .

Mwachitsanzo, ngati wina ali ndi khunyu, ndikofunikira kufufuza ngati chomwe chayambitsa ndi matenda a muubongo.

• Matenda a Meningitis: Ichi ndi matenda a nembanemba yozungulira ubongo.
• Encephalitis : Izi zikutanthauza matenda a ubongo.

Njira yabwino yodziwira ngati muli ndi matenda amtunduwu ndi kuyesa madzi a CSF.

Zifukwa zina kupatula mayeso

Kuwonjezera pa kufufuza madzi a CSF, kupopera msana kungachitike pazifukwa zina zingapo.

• Yesani kuthamanga kwa magazi kuzungulira ubongo ndi msana.
• Chepetsani kupanikizika kwambiri mkati mwa mutu.
• Jakisoni mankhwala oletsa kupweteka kwa msana (Spinal Anesthesia).
• Ikani utoto wapadera musanayese mayeso monga X-ray.
• Mankhwala ena, mwachitsanzoApatseni, monga Baclofen, mwachindunji mu msana.

Kodi chimachitika ndi chiyani mayeso asanachitike komanso panthawi yake?

Kudziwa zomwe zidzachitike mayeso asanayambe komanso panthawi ya mayesowa kudzakuthandizani kwambiri kuchepetsa mantha anu.

Momwe mungakonzekerere mayeso

• Kudya ndi kumwa: Nthawi zambiri simuyenera kusiya kudya ndi kumwa musanayesedwe, koma tsatirani malangizo a dokotala wanu.
• Mankhwala omwe mukumwa: Ngati mukumwa mankhwala ochepetsa magazi (monga Aspirin, Clopidogrel) kapena mankhwala ena aliwonse, onetsetsani kuti mwadziwitsa dokotala wanu . Mungapemphedwe kuti musiye kumwa mankhwalawa masiku angapo mayeso asanachitike.
• Matenda a ziwengo: Ngati muli ndi vuto lililonse la latex kapena mankhwala ena aliwonse, chonde tidziwitseni pasadakhale.
• Mayendedwe: Popeza sikoyenera kuyendetsa galimoto nthawi yomweyo mukamaliza mayeso, ndi bwino komanso kotetezeka kuti wina akutengereni kunyumba.

Momwe mungachitire mayeso sitepe ndi sitepe

Izi zimachitika mwa kukugonetsani pabedi m'chipinda chapadera kapena m'chipinda chapadera.

1. Malo: Mudzauzidwa kugona chagada pabedi, mawondo anu ali pafupi ndi chifuwa chanu momwe mungathere, ndipo chibwano chanu chili mkati. Mudzapinda ngati mpira waung'ono. Kapena, mudzauzidwa kuti muweramire patsogolo pa tebulo. Malo amenewa amawonjezera malo pakati pa mafupa a msana wanu, zomwe zimapangitsa kuti zikhale zosavuta kulowetsa singano.

2. Kuyeretsa: Kenako, dokotala kapena namwino adzatsuka bwino msana wanu ndi mankhwala opha tizilombo toyambitsa matenda.

3. Kusanza: Kenako, jakisoni kakang'ono (mankhwala oletsa ululu am'deralo) amalowetsedwa m'dera lomwe singano inalowetsedwa kuti isanza. Mungamve kutentha pang'ono panthawiyi. Patapita kanthawi, derali lidzakhala losanza kwathunthu.

4. Kuika singano: Mukamaliza kuchita dzanzi, singano yopyapyala kwambiri, yopanda kanthu imayikidwa pakati pa mafupa awiri a msana. Pa nthawiyi, mungamve kupanikizika pang'ono. Chofunika kwambiri ndichakuti singano iyi isagunde chingwe cha msana. Musadandaule nazo konse. Msana uli pamalo okwera kwambiri kuposa pamenepo.

5. Kutulutsa mpweya: Singano ikangoyikidwa, madzi a CSF amasonkhanitsidwa pang'onopang'ono dontho ndi dontho. Izi zimatenga mphindi zochepa. Simudzamva kupweteka kulikonse panthawiyi.

6. Kumaliza: Madzi ofunikira akatengedwa, singano imachotsedwa ndipo pulasitala yaying'ono imayikidwa pamalopo.

Kodi mumatani mukamaliza mayeso?

Mukamaliza mayeso, mudzayang'aniridwa ndi dokotala kwa maola angapo. Musanapite kunyumba, namwino adzakupatsani malangizo olembedwa kuti mutsatire kunyumba.

Kodi zotsatirapo zake zingakhale zotani?

Ngakhale kuti nthawi zambiri iyi ndi mayeso otetezeka, nthawi zina mavuto ang'onoang'ono amatha kuchitika.

• Mutu: Izi ndi zotsatira zoyipa kwambiri. Pafupifupi 10% - 20% ya anthu amatha kudwala mutu. Izi zimakhala zovuta kwambiri akaimirira kapena kugona. Zimachepa akagona.
• Matenda: Chiopsezo cha matenda ndi chochepa kwambiri chifukwa izi zimachitika mwaukhondo komanso mopanda majeremusi.
• Kutuluka magazi: Nthawi zina mtsempha wamagazi waung'ono ungavulale ukalowetsedwa singano. Ngati izi zitachitika, kutuluka magazi pang'ono kungachitike, koma sikufunika chithandizo chapadera.
• Ululu: Nthawi zambiri siupweteka, koma ngati mbola yakhudza mitsempha, mungamve kupweteka kwakanthawi ngati kwamagetsi.

Zinthu zofunika kuziganizira mukamapita kunyumba

• Mukamaliza kuyezetsa , gonani pansi momwe mungathere mpaka dokotala atakuuzani kuti muchite zimenezo.
• Pewani kuchita masewera olimbitsa thupi kapena kunyamula zolemera kwa tsiku limodzi kapena awiri.
• Imwani madzi ambiri, monga madzi ndi madzi a zipatso. Kumwa malita pafupifupi 2.5 patsiku kungathandize kupewa mutu.
• Ngati mutu ukupweteka, gonani mokwanira momwe mungathere ndikumwa madzi. Koma ngati mutu ukupitirira masiku awiri kapena atatu, imbani dokotala wanu.

Zingatenge tsiku limodzi kapena sabata imodzi kuti zotsatira za mayeso (malipoti) zifike. Dokotala wanu adzakufotokozerani izi.