Ese wagize ubwoba igihe nakubwiraga gufata amazi mu mugongo wawe? (Urupfu rw'umugongo / Agati k'umugongo) Reka turebe neza icyo ari cyo!

Ese wigeze wumva 'umugongo'? Ushobora kuba urimo gutekereza uti "Wow, iki kintu kigomba kuba gikomeye kandi giteye ubwoba." Birumvikana ko kugira ubwoba gato iyo wumvise izina birumvikana. Ariko ni ikizamini cyoroshye gishobora gufasha abaganga gusuzuma indwara zitandukanye zijyanye n'ubwonko bwawe, uturemangingo tw'imitsi, n'umugongo. Noneho, reka tuvuge kuri iki 'gisebe cyo kugongwa mu kibuno' uyu munsi, mu buryo bwiza buri wese avuga, mu rurimi rwa Sinhala, sibyo?

Kuki ibi (Lumbar Puncture) bikorwa? Birimo gushaka iki?

Muri make, iki kizamini gikubiyemo gufata urugero ruto rw'amazi akikije uruti rw'umugongo, imbere mu mugongo wawe. Aya mazi yitwa cerebrospinal fluid (CSF). Ni nk'umusego urinda kandi ugatunga ubwonko bwawe n'uruti rw'umugongo. Rero, abaganga bashobora kwiga byinshi basuzumye urugero rw'iyi CSF.

Noneho reka turebe mu bihe abaganga basaba gukora `(Lumbar Puncture)`:

• Niba ukeka ko hari kuva amaraso mu bwonko (Intracranial Hemorrhage): Ibi bishobora kubaho rimwe na rimwe nyuma yo gukubitwa umutwe.
• Indwara zimeze nk'iz'indwara yo kwibagirwa: Shaka indwara zitera gutakaza kwibuka buhoro buhoro.
• Reba niba hari amazi ya CSF arenze mu bwonko.
• Reba niba nta kubyimba no kubyimba kw'imitsi yo mu bwonko (`(Encephalite)`).
• Indwara za kanseri nka leukemia: Uturemangingo twa kanseri dushobora no gukwirakwira muri CSF.
• Indwara zo mu bwonko nka meningite: Ibi ni ibintu byihutirwa. Ibimenyetso bishobora kuba birimo umuriro, kuribwa umutwe, no gukomera kw'ijosi.
• Indwara z’ubudahangarwa bw’umubiri nka sclerosis nyinshi: Izi ni indwara aho ubudahangarwa bw’umubiri bwacu bukora ku mubiri.
• Indwara nko kubyimba k'umugongo (`(Myelitis)`).

Si ibi gusa, amenyo yo mu kibuno akoreshwa kubera izindi mpamvu nyinshi:

• Gutera ikinya kugira ngo ugabanye ububabare: Ushobora kuba warumvise iby'umuti utera ikinya. Ni ubwoko bw'ikinya gitera ikinya gihabwa umugongo. Ikinya gitera ikinya gikoreshwa mu kugabanya ububabare mu gihe cyo kubagwa no kubyara.
• Gira ikizamini cyihariye cya X-ray (`(Myelogram)`): Muri ibi, haterwa amazi yihariye (irangi) mu ruti rw'umugongo hanyuma hagafatwa X-ray.
• Shyira imiti irwanya kanseri cyangwa imiti igabanya imitsi mu mazi y'umugongo.
• Kugabanya umuvuduko mwinshi mu bwonko (`(Umuvuduko wo mu bwonko)`): Uyu muvuduko ushobora kugabanuka ukoresheje amazi amwe ya CSF.

Wibuke ko atari ko ibi byose bisaba gutobora mu ruhu. Muganga wawe azagusobanurira neza niba ukeneye iki kizamini n'impamvu.

Ni gute nakwitegura iki kizamini?

Reka tuvuge ko wafashe icyemezo cyo gupfumura uruhu rwo mu ruhu. Mbere y'ibyo, muganga azakubaza ibibazo bimwe na bimwe kandi arebe amateka y'ubuzima bwawe. Ashobora kandi kugusaba gukora ibintu nk'ibi:

• Kora CT scan (`(CT scan)`) cyangwa MRI scan (`(MRI)`): Ibi bishobora kubona ishusho nziza y'umugongo n'ibice biwukikije.
• Suzuma amaraso: Suzuma ibintu nk'ubushobozi bw'amaraso yawe bwo kuvura.
• Bwira muganga wawe imiti yawe: Niba ufata imiti igabanya amaraso, nka Warfarin cyangwa Aspirine, ugomba kubimenyesha muganga wawe . Ashobora kugusaba guhagarika gufata imwe muri iyi miti cyangwa guhindura ingano yayo iminsi mike mbere yo gupimwa. Ariko ibuka ko utagomba guhagarika cyangwa ngo uhindure imiti yawe kugeza igihe muganga wawe azakubwiriye, sibyo?

Iyi mitingi izafasha umuganga ugukorera ikizamini gusobanukirwa neza ikibazo cyawe, gukora ikizamini mu mutekano, no kwirinda ingorane zitari ngombwa. Muganga wawe azakubwira kandi niba afite amabwiriza yihariye agufitiye.

Bigenda bite iyo mfite ikibyimba cyo mu kibuno? Ese bizambabaza?

Aha niho abantu benshi batinya. Ariko ntabwo wumva ububabare ubwo aribwo bwose . Ushobora kumva ufite igitutu gito, urimo gukandagira gato, ariko ntabwo bibabaza.

Dore uko byagenze:

1. Uburyo bwo kuryama: Uzahindurirwa ibumoso bw'igitanda hanyuma usabwe kuryama. Hanyuma, amavi yawe azakururwa yegereye igituza cyawe uko bishoboka kose, nk'agapira gato. Cyangwa, rimwe na rimwe, uzasabwa kwicara mu ntebe, wubame imbere hejuru y'ameza, hanyuma ushyire umutwe n'amaboko ku meza. Iyi nzira ishobora kumera nk'aho itameze neza igihe runaka, ariko ni ngombwa kuguma utuje uko bishoboka kose . Ushobora gusabwa guhindura aho uhagaze gato mu gihe cy'ikizamini.

2. Gusukura no Gutera Ibisebe: Hanyuma, umugongo wawe wo hasi, aho urushinge ruzashyirwa, uzasukurwa neza hanyuma utererwe umuti muto wo mu gace kugira ngo ushire ibisebe. Iyo umuti uteye ibisebe utewe , uzumva ushyushye gato mu masegonda make , nk'aho isazi ikuruma. Nguko uko. Hanyuma agace kazaba gashize ibisebe.

3. Gushyiramo urushinge: Nyuma yuko agace kamaze gucika intege, muganga ashyiramo urushinge ruto cyane, rufite ububobere mu mugongo wawe wo hasi hagati y’amagufwa abiri (ubusanzwe ni uwa gatatu n’uwa kane, cyangwa uwa kane n’uwa gatanu). Aha ni hejuru gato y’amatako yawe. Urushinge rushyirwa mu mwanya (umwanya wa subarachnoid) hagati y’uturemangingo turinda (meninges) tuzengurutse umugongo kandi twuzuyemo CSF. Hari igihe, imashini yihariye ya X-ray yitwa fluoroscopy ishobora gukoreshwa kugira ngo irebe neza ko urushinge ruri ahantu heza.

4. Gufata amazi ya CSF:Iyo urushinge rugeze ahantu heza, muganga abanza gupima umuvuduko w'amazi ya CSF. Hanyuma, hagafatwa icyitegererezo gito (mililitiro nke). Ibi bifata iminota mike.

5. Kurangiza: Nyuma yo gufata icyitegererezo, muganga akuramo urushinge agashyira plaster nto cyangwa igitambaro aho hantu.

Ibyo ni byo byonyine bibaho. Ikizamini cyose kimara hagati y'iminota 15 na 30. Ariko urushinge ruba mu mugongo wawe iminota mike gusa.

Iki kizamini gikorerwa he? Ese kizatuma nta ubwenge?

Iyi '(Lumbar Puncture)' rimwe na rimwe ishobora gukorerwa mu bitaro nk' 'Ubuvuzi bwo hanze'. Ibi bivuze ko ushobora gutaha uwo munsi. Cyangwa, niba uri mu bitaro, bishobora gukorerwa mu cyumba cy'ubuvuzi. Iyo bikozwe uri hanze, hazaba ngombwa ko umuntu aba ahari kugira ngo akujyane mu rugo nyuma yo gupimwa.

Nanone, ntuzaba umeze nk'utazi ubwenge muri iki kizamini. Uzahabwa umuti wo kuvura gusa. Bityo uzaba umeze nk'utazi ubwenge, ariko ntuzumva ububabare ubwo aribwo bwose.

Nkwiye gukora iki nyuma yo gupimwa?

Nyuma yo gupimwa, muganga cyangwa umuforomo azaguha amabwiriza amwe n'amwe. Ni ngombwa cyane kuyakurikiza. Akenshi bavuga ibintu nk'ibi:

• Ntugatware imodoka cyangwa ngo ukoreshe imashini ziremereye mu gihe cy'amasaha 24.
• Kuryama ku buriri (waba uri ku ruhande cyangwa ugaramye) mu gihe cy'isaha imwe cyangwa ebyiri, wenda igihe kirekire kurushaho. Ibi bishobora kugabanya umutwe.
• Ntugakore ikintu kiruhije, nko gukora imyitozo ngororamubiri, mu gihe cy'amasaha 24 kugeza kuri 48.
• Ruhuka neza.
• Nywa amazi menshi n'ibinyobwa kugira ngo wirinde umwuma.

Iyo muganga wawe aguhaye uburenganzira, ushobora gukomeza imirimo yawe isanzwe umunsi umwe cyangwa umunsi ukurikiyeho nyuma y’ikizamini.

Ese ni ibisanzwe kurwara umutwe nyuma yo gutobora mu ruhu?

Yego, hari abantu bashobora kurwara umutwe nyuma y'iki kizamini. Tubyita `(Umutwe wo mu Mugongo)`. Si buri wese ubibona, abantu bagera kuri 10% babibona .

Ikibaho muri iki gihe ni uko urwara umutwe cyane iyo wicaye cyangwa uhagaze. Urashira iyo uryamye. Ibi bishobora gutangira mu masaha make cyangwa iminsi mike nyuma yo gupimwa. Akenshi, biragenda byoroha ubwabyo mu minsi ibiri cyangwa itatu. Ariko kuri bamwe, bishobora kumara icyumweru kimwe.

Iyi `(Umutwe wo mu mugongo)` ishobora guherekezwa n'ibindi bimenyetso nka:

• Ukwiyongera k'umuvuduko w'umutima (Tachycardia)
• Umuvuduko w'amaraso uri hasi (`(Hypotension)`)
• Isesemi

Kugira ngo bifashe muri ibi, imiti igabanya ububabare itangwa na muganga, kugumana amazi menshi mu kunywa amazi menshi, no kunywa ibinyobwa birimo kafeyine nka kawa bishobora gufasha. Muganga wawe na we azakugira inama.

Ese hari izindi ngaruka mbi? Ese bizangiza umugongo?

Ingaruka mbi zikomeye zikomoka kuri iki kizamini ntizikunze kubaho. Ariko, mu bihe bidasanzwe cyane, ibi bikurikira bishobora kubaho:

• Kwandura aho urushinge rwatewe
• Nibyo koko kubyimba.
• Kuva amaraso
• Kubabara umugongo wo hasi

Ibuka ibi: Gupfumura umugongo mu ruti rw'umugongo ntabwo byangiza uruti rw'umugongo. Ibi biterwa nuko urushinge rushyirwa hasi cyane ugereranyije n'urwego rw'umugongo. Ntukarutinye rero.

Ni ibihe bisubizo mbona? Bavuga iki?

Icyitegererezo cya CSF cyakuweho kizoherezwa muri laboratwari kandi gipimwe ibi bikurikira:

• Ese hari bagiteri (`(Bagiteri)`), fungi (`(Ibihumyo)`), cyangwa se uturemangingo tudasanzwe (nk'uturemangingo twa kanseri)?
• Igipimo cy'isukari yawe (`(Glucose)`) kimeze gite?
• Ubwoko n'urwego bya poroteyine bimeze bite?
• Ni ubwoko ki n'ingano y'uturemangingo tw'amaraso twera? (Ibi bishobora kugaragaza ubwandu)

Ibi bisubizo ni byo bituma muganga wawe ashobora kwemeza cyangwa gukuraho indwara zitandukanye.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Biterwa n'impamvu y'ikizamini. Ibisubizo bikunze kuboneka mu minsi ibiri cyangwa itatu. Ariko, iyo bikozwe kugira ngo harebwe niba hari amaraso yo mu bwonko cyangwa indwara yihutirwa nka meningite, ibisubizo bishobora kuboneka vuba cyane, ndetse no mu masaha make.

Ni iki cyakorwa nyuma y'aho ibisubizo bitameze neza?

Kubera ko gupfunyika mu ruhu bishobora kugaragaza indwara nyinshi zijyanye n'ubwonko, imitsi n'umugongo, ibisubizo bishobora gutandukana. Urugero, niba CSF yawe ifite umubare munini w'uturemangingo tw'umweru mu maraso, bishobora kugaragaza ko wanduye. Muri icyo gihe, ushobora kuvura iyo ndwara ukoresheje imiti yica udukoko.

Muganga wawe azagusobanurira icyo ibisubizo wabonye bisobanura, kandi azakubwira uburyo bwo kuvurwa bukenewe, ndetse n'icyo gukora nyuma yaho.

Ni ryari ngomba kongera kubonana na muganga?

Niba ubonye kimwe muri ibi bimenyetso nyuma yo gupimwa, menya neza ko ubimenyesheje muganga wawe:

• Iyo umutwe umaze iminsi irenga mike kandi ukaba ukomeye cyane.
• Niba amaraso cyangwa andi mazi arimo kuva aho urushinge rwashyizwe.
• Iyo hari ibimenyetso by'ubwandu (kubyimba, gutukura, umuriro).

Amaherezo, ibuka ibi... (Ubutumwa bwo kujyana mu rugo)

Rero, `(Lumbar Puncture)` cyangwa `(Spinal Tap)` twavugaga si ikintu cyo gutinya. Yego, ni ibisanzwe kumva ubabaye gato kandi ukagira ubwoba iyo urushinge rushyizwe mu mugongo wawe. Ariko, ntuzumva ububabare bukabije buturutse kuri ibi. Wenda bizamera nk'aho usunitswe gato.

Iki ni ikizamini cyizewe gishobora gufasha gusuzuma indwara nyinshi. Nta cyangiza uruti rw'umugongo.

Niba ufite ikindi kibazo cyangwa impungenge kuri ibi, biganireho na muganga wawe mbere yo gupimwa. Muri ubwo buryo, uzumva utuje. Niba ufite umutwe nyuma yo gupimwa, muganga wawe ashobora kukubwira uburyo bwo kugabanya. Rero, tekereza iki nk'ikindi kizamini cy'ingenzi mu buvuzi!

Gutobora mu ruti rw'umugongo , gutobora mu ruti rw'umugongo, gutobora mu ruti rw'umugongo, amazi yo mu bwonko, amazi yo mu bwonko, CSF, indwara zo mu bwonko, indwara zo mu bwonko, uruti rw'umugongo, gusuzuma indwara, umutwe