Ese izuru rivanze n'amazi ni intandaro yo kubabara umutwe? Reka twige ku bijyanye no kuzana amazi mu bwonko (CSF Leaks)

Hari igihe ushobora kugira izuru rivamo amazi udafite ibicurane. Cyangwa ushobora kumva umutwe umeze nk'aho ugiye gucika iyo uhagurutse uryamye. Akenshi ntabwo twita cyane kuri ibi bintu. Ariko ibi bishobora kuba ibimenyetso by'indwara utigeze utekerezaho, kandi ishobora kuba ikomeye kurushaho. Uyu munsi turimo kuvuga kuri imwe muri izo ndwara, ni ukuvuga kuzana amazi mu bwonko (CSF) ku mazi.

Mu magambo make, CSF Leak ni iki?

Reka dufate urugendo ruto mu mubiri wacu kugira ngo tubisobanukirwe. Ubwonko bwacu n'umugongo wacu ni ingingo ebyiri zishobora kwitabwaho cyane. Kugira ngo tubirinde, umubiri wacu waremye amazi meza asa n'umusego hafi yazo. Aya mazi yitwa Cerebrospinal Fluid (CSF) . Iyi CSF ikubiye mu gipfundikizo gikozwe mu ruhu rw'imitsi itatu. Mu buvuzi, ibi tubyita meninges.

Noneho tekereza ko ku mpamvu runaka, hari umwobo muto cyangwa igisebe muri uyu mutwe, cyane cyane mu gice cyo hanze cy’ubunini, ari cyo dura mater . Hanyuma, ayo mazi y’agaciro ya CSF atangira gusohoka buhoro buhoro. Ibyo ni byo twita CSF Leak .

Gutakaza aya mazi si byiza ku bwonko bwacu no ku ruti rw'umugongo, kuko bitakaza uburinzi n'umuvuduko bitanga.

Hari ubwoko bubiri bw'amazi aturuka kuri CSF:

Uku gusohoka kw'amazi gushobora kugabanywamo ubwoko bubiri bw'ingenzi bitewe n'aho bibera.

1. Kuvoma kwa CSF mu mutwe: Ibi biba mu mutwe, ni ukuvuga hafi y'agahanga. Amazi ava hano ashobora gusohoka binyuze mu mazuru cyangwa mu matwi.

2. Gutemba kwa CSF yo mu mugongo: Ibi biba mu mugongo, mu gace gakikije umugongo.

Ibimenyetso tubona muri ubwo bwoko bubiri nabyo biratandukanye gato.

Ni ibihe bimenyetso by'iyi ndwara?

Ibimenyetso by'amazi ya CSF biratandukanye bitewe n'aho ari n'ingano y'amazi arimo kuva. Hari igihe, iyo amazi ari make cyane, ushobora kutabona ibimenyetso na gato. Reka turebe ibimenyetso bisanzwe bifitanye isano n'ubu bwoko bubiri.

Ni iki gitera kuva kwa CSF?

Akenshi, kuva kwa CSF gutemba bitewe n'ubwoko runaka bw'imvune cyangwa impanuka .

• Gukubitwa bikomeye ku mutwe cyangwa mu mugongo.
• Guhinduka mu buryo butunguranye kw'ijosi (gukubita cyane).
• Igikomere giterwa n'ikintu gityaye, nk'igikomere cyo guterwa icyuma.

Iyi ndwara ishobora no kubaho nyuma yo kuvurwa na muganga.

• Kubagwa ubwonko cyangwa umugongo.
• Kubagwa mu matwi, mu mazuru no mu muhogo.
• Nyuma y'ibintu nko gupfundika mu ruhu cyangwa gupfundika mu gitereko.

Ariko gake cyane, uku kuvoma bishobora kubaho nta mpamvu igaragara. Ibyo tubyita 'kuvoma gutunguranye'. Hari igihe, ibi byago bishobora no kwiyongera bitewe n'indwara zo mu mubiri, nka Marfan syndrome , ituma ingirabuzimafatizo z'umubiri wacu zigabanuka.

Ese ibi bishobora gushyira ubuzima mu kaga?

Muri make, CSF ni amazi akingira ubwonko atuma ubwonko bukomeza kureremba. Iyo aya mazi abuze cyane, ubwonko butakaza ubushobozi bwabwo bwo kugenda bugatangira kugonga imbere mu gahanga. Ibi bishobora kwangiza ubwonko ndetse no gutuma ubumuga buhoraho.

Ikindi giteye akaga kurushaho ni uko umwobo uri muri uwo mwenge utuma mikorobe zinjira mu bwonko . Iyi ndwara, ibaho iyo mikorobe zinjiye mu bwonko, yitwa meningitis.Iyi ni indwara ikomeye cyane isaba ubuvuzi bwihutirwa.

Ubibona ute, Muganga?

Niba ukeka ko ufite ikibazo cya CSF, ntushobora kwisuzumisha cyangwa ngo wivure ubwawe uri mu rugo. Ugomba kujya kwa muganga nta kabuza.

Muganga azabanza gutega amatwi witonze ibimenyetso byawe, agusuzume, hanyuma agutegeke ibipimo byinshi kugira ngo yemeze ko ari indwara.

• Ikizamini cy'amazi: Icyitegererezo cy'amazi ava mu mazuru cyangwa mu gutwi kwawe gifatwa kigapimwa poroteyine yitwa beta-2 transferrin, iboneka gusa mu mazi ya CSF.
• Ibizamini byo Gupima: Gupima byihariye nka CT scan , MRI scan , na myelogram bikoreshwa kugira ngo hamenyekane neza aho amazi yavuye.

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bwo kuvura buterwa n'ubwoko bw'aho amazi yavuye, aho aherereye n'ubukana bwaho.

Uburyo Rusange bwo Kuvura n'Inama

Hari ibintu bito bito bivamo amazi, cyane cyane ibivamo nyuma yo kuvamo amazi, bikira ubwabyo. Muganga wawe ashobora kuguha inama z'uko wabyivuza:

• Kuruhuka mu buriri: Bakubwira kuryama no kuruhuka iminsi mike.
• Nywa amazi menshi: Ni ngombwa kugira ngo umubiri ugumane urugero rwiza rw'amazi.
• Kunywa kafeyine: Hari igihe ibinyobwa birimo kafeyine nka kawa bishobora gufasha kubabara umutwe. Ariko ibi bigomba gukorwa gusa ku nama za muganga.
• Irinde ibintu byongera umuvuduko: Ibintu nko kwitsamura, gukorora, guterura ibyuma, no kwihata kugira ngo ujye mu bwiherero bishobora kongera umuvuduko wa CSF no gutinda gukira kw'amazi ava.

Uburyo bwihariye bwo kuvura

Iyo kuruhuka byonyine bidafashije, muganga ashobora gukoresha uburyo nk'ubu.

Ku bijyanye no kuva amaraso mu mugongo wa CSF:

• Epidural Blood Patch: Ubu ni uburyo bwiza cyane bwo kuvura. Icyo ukora hano ni ukuvana amaraso mu kuboko kwawe ukayatobora mu gice cy'umugongo wawe aho utekereza ko hari aho wavuye. Amaraso arafunga kandi agafunga umwobo nk'igishishwa.
• Kubagwa: Ni gake cyane, iyo agace k'amaraso katagenze neza, kubagwa bishobora kuba ngombwa kugira ngo hakorwe umwobo.

Ku bijyanye no kuvogera kwa CSF mu mutwe:

• Gusana Endoscope:Binyuze mu ikoranabuhanga rigezweho ryo muri iki gihe, kamera nto ishobora gushyirwamo inyuze mu mazuru, ikabona aho amazi yamenetse hanyuma ikayifunga idafunguye umutwe.
• Kubaga mu buryo bw'ibanga: Mu bihe bimwe na bimwe bigoye, kubaga bishobora gukorwa hifashishijwe agahanga.

Ni ryari ukwiye kujya kwa muganga? Ni ryari ukwiye kujya muri ETU?

Ibi ni ingenzi cyane. Niba ufite ibimenyetso by'uko CSF ​​yavaga, hita ubonana na muganga. Ariko, mu bihe bimwe na bimwe byihutirwa, ushobora gukenera kujya muri ETU (Ishami rishinzwe kuvura mu bihe byihutirwa) ako kanya.

Gutemba kwa CSF bishobora gutera ubwoba, ariko akenshi bishobora gukira burundu iyo bigaragaye kandi bigavurwa hakiri kare. Icy'ingenzi ni ukudaha agaciro utu tumenyetso duto umubiri wawe uguha.