Wigeze wumva 'spinal tap'? Wenda wigeze wumva umuntu abivuga muri filime cyangwa ikindi kintu. Mu by'ukuri, abantu benshi baterwa ubwoba no kumva iri zina gusa. Ariko iki ni ikizamini cy'ingenzi cyane abaganga bakora kugira ngo bapime neza indwara zimwe na zimwe zikomeye. Rero, uyu munsi turaganira ku ' spinal tap', cyangwa izwi mu buvuzi nka Cerebrospinal Fluid, n'uruhare rwayo mu mubiri wacu.
Amazi yo mu bwonko (CSF) ni iki?
Mu magambo make, amazi yo mu bwonko, cyangwa CSF mu magambo ahinnye, ni amazi asobanutse neza, adafite ibara akikije ubwonko bwawe n'umugongo wawe, anyura mu mugongo wawe.
Tekereza nawe, ubwonko bwacu n'umugongo wacu ni bimwe mu bice by'ingenzi kandi by'ingenzi mu mubiri wacu. Ntabwo bikubita no gukubita gusa mu gihanga cyacu cyangwa mu ruti rw'umugongo. Birinzwe kandi nta cyo byangiza kuko biri kureremba muri aya mazi yihariye. Nk'uko gushyira ikintu mu ibara ryuzuye amazi bikirinda.
Iyi CSF fluid ikorerwa mu mibiri yacu , binyuze mu rusobe rwihariye rw'uturemangingo twimbitse mu bwonko rwitwa Choroid Plexus . Igihe icyo ari cyo cyose, umubiri w'umuntu mukuru urimo mililitiro zigera ku 150 za CSF, bingana na bibiri bya gatatu by'igikombe gisanzwe.
Ni iyihe mirimo y'ingenzi y'amazi ya CSF?
- Gutanga uburinzi: Iyo umutwe ugonze ikintu gitunguranye, aya mazi akora nk'ikintu gifata ubwonko kugira ngo agabanye kwangirika kw'ubwonko bitewe n'ingaruka zacyo.
- Gutanga intungamubiri: Aya mazi afasha mu kugeza intungamubiri na ogisijeni mu bwonko mu maraso.
- Gukuraho imyanda: Indi nshingano y'ingenzi ni ugukuraho imyanda ikorwa mu gihe cy'imikorere y'uturemangingo tw'ubwonko no kuyisubiza mu maraso.
Kuki muganga apima amazi ya CSF?
Hari ubwo bagiteri, virusi, cyangwa uturemangingo twa kanseri twinjira mu mubiri wacu dushobora kwirundanya muri iki kinyabutabire cya CSF. Nanone, mu ndwara zimwe na zimwe zifitanye isano n’imitsi, imiterere y’iki kinyabutabire irahinduka.
Rero, niba muganga wawe akeka ko ufite indwara y'imitsi bitewe n'ibimenyetso byawe, bishobora kuba ngombwa gupima iki gipimo cy'iki kinyabutabire cya CSF kugira ngo yemeze cyangwa agaragaze ko icyo cyizere kitari cyo.
Dore zimwe mu ndwara zishobora kumenyekana cyangwa ibimenyetso by'ingenzi bishobora kuboneka muri iki kizamini.
| Indwara | Icyitonderwa cyavuye mu isuzuma rya CSF |
|---|---|
| Meningite - Kwandura kw'udusimba dutwikira ubwonko n'umugongo. | Gutahura bagiteri cyangwa virusi mu mazi ya CSF. Umubare w'uturemangingo tw'amaraso tw'umweru uri mu mazi. |
| Encephalitis - kwandura uturemangingo tw'ubwonko. | Kumenya virusi cyangwa ikindi kintu cyateye ubwandu. |
| Indwara ziterwa n'ubwiyongere bw'umubiri nka Multiple Sclerosis (MS) . | Ingano nyinshi ya poroteyine zidasanzwe (immunoglobulines) zikorwa n'umubiri zirwanya uturemangingo tw'imitsi. |
| Kuva amaraso mu bwonko cyangwa gucika kw'imitsi. | Amazi ya CSF, ubusanzwe adafite ibara, ashobora guhinduka umutuku cyangwa umuhondo bitewe no kuva amaraso. |
| Kanseri zimwe na zimwe, nka kanseri y'amaraso . | Kugira ngo hamenyekane niba uturemangingo twa kanseri twarakwirakwiriye mu mazi ya CSF. |
| Indwara ya Dementia cyangwa indwara ya Alzheimer. | Gupima niba hari poroteyine runaka mu mazi ya CSF ajyanye n'izi ndwara. |
Iki kizamini cya CSF (Lumbar Puncture) gikorwa gite?
Iki kizamini tucyita gutobora mu ruti rw'umugongo cyangwa gukubita umugongo.Nubwo izina rishobora kumvikana nk'aho riteye ubwoba, ibi bikorwa ubizi neza kandi ni umutekano.
1. Kwitegura: Ubwa mbere, uzasabwa kuryama ugaramye ku buriri, amavi yawe agere ku gituza, cyangwa kwicara uhetamye imbere. Iyi myanya igamije kongera umwanya uri hagati y'imitsi y'uruti rw'umugongo.
2. Kubabara: Hanyuma, hatangwa urushinge ruto ( local anesthesia ) kugira ngo uruhu rwo hasi rw'umugongo aho urushinge ruzashyirwa. Bityo ntuzumva ububabare bwinshi.
3. Gufata icyitegererezo: Hanyuma, muganga azashyira urushinge rurerure cyane hagati y'uruti rw'umugongo wawe no mu mwanya uriho amazi ya CSF. Icy'ingenzi ni uko urushinge rutazigera rwinjira mu ruti rw'umugongo. Hanyuma, hafi ikiyiko kimwe cy'amazi kizakurwamo kugira ngo gipimwe.
4. Kwita ku barwayi nyuma yo kuvura: Igikorwa cyose gishobora gufata iminota 45. Nyuma y'ibyo, uzasabwa kuruhuka gato. Ushobora kandi kugirwa inama yo kwirinda gukora imyitozo ngororamubiri umunsi wose.
Hari ibyago ibyo ari byo byose?
Ubu buryo muri rusange ni uburyo bwizewe cyane, ariko hari ingorane nto zishobora kubaho gake cyane .
- Kubabara umutwe nyuma yo gupimwa (ibi ni ibisanzwe ariko akenshi bishira mu masaha make cyangwa iminsi mike).
- Udukoko duto twanduriye aho urushinge rwashyizwe.
- Kubabara umugongo.
- Kwangirika k'umutsi (bidakunze kubaho cyane).
Niba ufite impungenge ku kintu nk'iki, vugana na muganga wawe ku mugaragaro mbere yo gupimwa.
Kumena kwa CSF ni iki?
Ni gake cyane, amazi ya CSF ashobora kuva bitewe n'umwobo cyangwa gucika kw'agahu gakikije ubwonko. Ibi bishobora guterwa n'igikomere cyo mu mutwe, kubagwa, cyangwa se nta mpamvu na mba.
Ikimenyetso nyamukuru ni ukurwara umutwe cyane urushaho kwiyongera iyo uhagaze ukagabanuka iyo uryamye. Byongeye kandi, ushobora kugira urusaku mu matwi, isesemi, ibibazo byo kutabona, ndetse rimwe na rimwe n'amazi asohoka mu mazuru. Niba ubonye kimwe muri ibi bimenyetso, ni ngombwa kwihutira gushaka inama kwa muganga.
Ubutumwa bwo kujyana mu rugo
- Amazi yo mu bwonko (CSF) ni amazi y'ingenzi akingira, agatunga, kandi agasukura ubwonko bwacu n'umugongo wacu.
- Gutobora mu ruhu nta mpamvu yo gutinya. Ni ikizamini cyizewe kandi cy'ingenzi gikoreshwa mu gusuzuma indwara zikomeye nka meningitis, kuva amaraso mu bwonko, n'indwara zo mu bwonko.
- Kuribwa umutwe nyuma y'iki gipimo akenshi bishira mu munsi umwe. Iyo bikomeje, menyesha muganga wawe.
- Niba muganga wawe agusabye iki kizamini, ntugatinye kuganira na we ku mpungenge cyangwa impungenge ufite kuri cyo.
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