Dokotala akakuuzani kuti, "Ndikufunika kumwa madzi kuchokera mumsana wanu kuti ndikayese," nthawi yomweyo mumamva mantha komanso mantha, sichoncho? N'zachilendo kuganiza kuti, "O, ndikhala ndi singano mumsana wanu." Ngakhale anthu ambiri amachita mantha akamva dzinali, kwenikweni silili mayeso oopsa kapena opweteka monga momwe timaganizira. Choncho tiyeni tiphunzire zambiri za izi lero.
Mwachidule, kodi kupunthwa kwa lumbar ndi chiyani?
Mu Chisinhala, nthawi zambiri timatcha izi kuti "kupopera msana." Iyi ndi mayeso apadera omwe dokotala amachita. Izi zimaphatikizapo kulowetsa singano yopyapyala kwambiri m'munsi mwa msana wanu, pakati pa mafupa awiri a msana, ndikutenga chitsanzo cha madzi oyera, amadzi omwe ali pafupi ndi ubongo wanu ndi msana wanu.
Madzi awa amatchedwa madzi a m'mitsempha ya ubongo (CSF) . Madzi awa ali ngati chidebe choteteza ubongo wathu ndi msana. Chifukwa chake, pofufuza chitsanzo chaching'ono cha madzi awa, titha kupeza zambiri zofunika zokhudza matenda osiyanasiyana omwe amakhudza ubongo wanu, dongosolo lanu la mitsempha, kapena msana.
N’chifukwa chiyani dokotala angalimbikitse mayeso amenewa?
Pali zifukwa zingapo zomwe zimachititsa kuti lumbar bowole. Nthawi zina imagwiritsidwa ntchito pozindikira vuto linalake, ndipo nthawi zina imagwiritsidwa ntchito popereka mankhwala.
| Zifukwa zazikulu zoyesera | Kufotokozera kosavuta |
|---|---|
| Kuzindikira matenda | Ngati pali kukayikiridwa kuti pali vuto linalake lomwe likukhudza ubongo kapena msana, mayesowa amachitika kuti atsimikizire izi. |
| Matenda a ubongo (meningitis) | Iyi ndi njira yofunikira kwambiri yoyezera matenda a bakiteriya kapena mavairasi monga meningitis. |
| Kutupa kwa minofu ya ubongo (Encephalitis) | Dziwani matenda omwe amayambitsa kutupa kwa minofu ya ubongo. |
| Kutuluka magazi muubongo | Yang'anani ngati pali kutuluka magazi muubongo. |
| Matenda a autoimmune monga Multiple Sclerosis | Yang'anani matenda omwe chitetezo cha mthupi chimawononga mitsempha. |
| Matenda a khansa | Yang'anani ngati maselo a khansa, monga khansa ya m'magazi, alowa mu cerebrospinal fluid. |
| Za chithandizo ndi zinthu zina | |
| Kupatsa mankhwala ochepetsa ululu | Pa njira zogonetsa munthu ku ululu monga epidurals, zomwe zimachititsa dzanzi gawo la pansi la thupi panthawi ya opaleshoni zina. |
| Kubaya mankhwala | Mankhwala ena, monga mankhwala oletsa khansa, amaperekedwa mwachindunji ku dongosolo lamanjenje. |
| Kwa mayeso apadera a X-ray | Jambulani utoto wapadera musanayese mayeso a X-ray, monga myelogram. |
| Kuchepetsa kupanikizika mkati mwa chigaza | Ngati madzi ozungulira ubongo awonjezeka ndipo akuyambitsa kupanikizika, chotsani ena mwa iwo kuti muchepetse kupanikizika. |
Kumbukirani, si zifukwa zonse izi zomwe zingakukhudzeni. Dokotala wanu adzakufotokozerani chifukwa cha mayesowa.
Kodi ndiyenera kukonzekera bwanji mayesowa ndisanachite?
Dokotala wanu nthawi zambiri amakupatsirani malangizo a zomwe mungachite musanayesedwe. Zina mwa zinthu zofunika ndi izi:
- Kujambula kwa CT kapena MRI: Nthawi zina, musanapimidwe msana, mungapemphedwe kuti muchite kujambula kumeneku kuti muwone ngati pali kupanikizika kowonjezereka mu ubongo kapena msana.
- Kuyezetsa magazi: Izi ndizofunikira kuti muwone ngati magazi anu amatseka bwino.
- Uzani dokotala wanu za mankhwala aliwonse omwe mukumwa: Ngati mukumwa mankhwala ochepetsa magazi (monga Warfarin, Aspirin, Clopidogrel), muyenera kuuza dokotala wanu. Mungapemphedwe kuti musiye kumwa mankhwala awa masiku angapo mayeso asanachitike. Musasiye kumwa popanda upangiri wa dokotala.
Makonzedwe amenewa adzakuthandizani kuchita mayesowa mosamala komanso kupewa mavuto osafunikira.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Iyi ndi mbali yomwe anthu ambiri amaiopa. Tiyeni tikambirane pang'onopang'ono.
1. Malo: Choyamba, mudzalamulidwa kugona pabedi. Nthawi zambiri, mudzalamulidwa kugona cha kumanzere. Kenako, mudzapemphedwa kuti mupinde mawondo anu ndikuwabweretsa pafupi ndi chifuwa chanu , ngati kuti mukupindika. Nthawi zina, mungapemphedwe kuti mukhale pampando ndikuwerama patsogolo pa tebulo. Ngakhale malo amenewa ndi ovuta pang'ono, adzawonjezera malo pakati pa vertebrae yanu, zomwe zimapangitsa kuti zikhale zosavuta kuyika singano. Chifukwa chake, ndikofunikira kwambiri kukhala chete momwe mungathere.
2. Kuyeretsa ndi kuchiza dzanzi: Kenako, dokotala adzayeretsa bwino msana wanu wa m'munsi ndikubaya mankhwala oletsa dzanzi pang'ono kuti musachite dzanzi. Mutha kumva kupweteka pang'ono mukalandira jakisoni. Komabe, malowo adzayamba kuchita dzanzi pakapita nthawi.
3. Kuyika singano: Pambuyo poika dzanzi kumbuyo kwanu, dokotala adzaika singano yopyapyala pakati pa mafupa awiri a msana (nthawi zambiri m'munsi mwa msana). Simudzamva kupweteka kulikonse panthawiyi, koma mungamve kupanikizika pang'ono.
4. Kutenga chitsanzo cha madzi: Singano ikafika pamalo oyenera, madzi a m'mitsempha ya ubongo (CSF) amatulukamo dontho ndi dontho. Dokotala adzasonkhanitsa kuchuluka kofunikira m'mabotolo angapo ang'onoang'ono. Izi zitenga mphindi zochepa.
5. Kuchotsa ndi Bandeji: Chitsanzocho chikatengedwa, singano imachotsedwa mosamala ndipo bandeji kapena pulasitala kakang'ono kamayikidwa pamalo oikira singano.
Mayeso onse nthawi zambiri amatenga pakati pa mphindi 15 ndi 30. Singano imakhala kumbuyo kwanu kwa mphindi zochepa zokha.
Kodi mungandigonetse tulo panthawiyi?
Ayi. Simudzapatsidwa mankhwala oletsa ululu. Mudzapatsidwa mankhwala oletsa ululu okha, kotero mudzakhala ozindikira bwino. Koma simudzamva kupweteka kulikonse.
Kodi ndiyenera kuchita chiyani nditamaliza mayeso?
Pambuyo poyezetsa, dokotala adzakupatsani malangizo osiyanasiyana. Ndikofunikira kwambiri kuwatsatira bwino.
- Gona pansi: Mudzapemphedwa kuti mugone pabedi kwa ola limodzi, mwina maola angapo, mutatha kuyezetsa. Izi zidzakuthandizani kupewa mutu uliwonse womwe ungabwere pambuyo pake.
- Imwani madzi ambiri: Imwani madzi ambiri, monga madzi ndi zakumwa za zipatso, tsiku lonse. Izi zithandiza kubwezeretsa madzi omwe amatayika m'thupi.
- Pewani kuchita zinthu zina: Pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina olemera kwa maola 24. Komanso, pewani kuchita zinthu zolemetsa monga kunyamula zolemera kapena kuchita masewera olimbitsa thupi kwa tsiku limodzi kapena awiri.
- Kupuma: Pumulani mokwanira momwe mungathere.
Kodi ndi zachilendo kumva mutu utatha kubowoledwa m'chiuno?
Inde, ichi ndi vuto lalikulu lomwe limabwera pambuyo pa mayesowa. Si aliyense amene amalimva, koma pafupifupi anthu khumi pa zana (10%) amatha kuvutika ndi mutu.
Izi sizili ngati mutu wamba. Mutu umakula kwambiri mukakhala pansi kapena kuyimirira, ndipo umakula bwino mukagona. Ungayambe mkati mwa maola ochepa kapena masiku angapo mutatha kuyeza. Mutu uwu ukhozanso kutsagana ndi zinthu monga nseru, tachycardia, kapena hypotension.
Mutu umenewu nthawi zambiri umatha wokha patangopita masiku ochepa. Kupuma mokwanira, kumwa madzi ambiri, komanso kumwa chakumwa chokhala ndi caffeine, monga khofi, kungathandize. Mukhozanso kufunsa dokotala wanu za kumwa mankhwala ochepetsa ululu monga paracetamol.
Ndi nthawi ziti zomwe muyenera kupita kwa dokotala?
Nthawi zambiri palibe mavuto aakulu omwe amabwera mukamaliza mayeso. Komabe, ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa, muyenera kulankhulana ndi dokotala nthawi yomweyo .
| Zizindikiro zoyenera kusamala nazo | Kufotokozera |
|---|---|
| Mutu waukulu kwambiri | Mutu waukulu womwe umatenga masiku opitilira ochepa ndipo sutha ndi mankhwala wamba ochepetsa ululu. |
| Chinachake chikutuluka kuchokera pamalo obowoledwa | Ngati magazi kapena madzi ena akutuluka kuchokera pamalo oboolera. |
| Zizindikiro za matenda | Ngati malo oboolapo ali ofiira, otupa, ofunda, kapena ngati muli ndi malungo. |
| Kufooka kapena kusakhazikika kwa miyendo | Ngati mukumva kupweteka kosazolowereka kapena dzanzi m'miyendo yanu. |
Kodi izi zingawononge msana wanga?
Ayi. Ichi ndi mantha aakulu omwe anthu ambiri amaopa. Pochita kuboola lumbar, singano imayikidwa pansi kwambiri kuposa mulingo wa msana. Chifukwa chake, palibe mwayi woti msana uwonongeke. Iyi ndi mayeso otetezeka kwambiri.
Uthenga Wopita Nawo Kunyumba
- Kubowola kwa lumbar si chinthu choopsa. Ndi mayeso ofunikira kwambiri pozindikira matenda okhudzana ndi ubongo ndi mitsempha.
- Msana wanu udzakhala wopanda mphamvu musanayesedwe, kotero simudzamva kupweteka kulikonse, koma kungomva kupsinjika pang'ono.
- Kuyesa kumeneku sikuwononga msana wanu, chifukwa singano imayikidwa pansi kwambiri kuposa iyo.
- Mungathe kumva mutu mutamaliza kuyezetsa. Izi zitha kuthetsedwa mwa kupuma mokwanira komanso kumwa madzi ambiri.
- Tsatirani malangizo a dokotala mutangomaliza mayeso. Ngati mukuona zizindikiro zachilendo, dziwitsani dokotala nthawi yomweyo.
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