Kuribwa umutwe cyane iyo ugoroye umutwe wawe? Ese iyi ni CSF Leak? (Cerbrospinal Fluid Leak)

Ese hari igihe urwara umutwe cyane iyo uhagaze cyangwa ugoroye umutwe wawe? Ariko se ububabare buragabanuka iyo uryamye igihe gito? Cyangwa se uva amazi mu mazuru cyangwa mu matwi nta mpamvu? Nubwo waba utekereza ko ibi bintu ari ikindi gicurane cyangwa umutwe usanzwe, rimwe na rimwe iki gishobora kuba ikibazo gisaba kwitabwaho cyane. Uyu munsi turimo kuvuga kuri kimwe muri ibyo bibazo, 'kuvunika k'amazi yo mu bwonko' (kuvunika kwa CSF ).

Kuvoma kw'amazi yo mu bwonko (CSF) ni iki?

Mu magambo make, ubwonko bwacu n'umugongo wacu, umanuka inyuma y'ijosi ryacu, ni ingingo ebyiri zoroshye cyane. Kugira ngo zibirinde kwangirika, zikikijwe n'amazi asobanutse neza. Ni nko gushyira ikintu cyoroshye mu musego wuzuye amazi. Aya mazi yitwa Cerebrospinal Fluid (CSF) .

Kugira ngo hirindwe ko aya mazi y'agaciro atavamo, aba ari mu gikoresho gisa n'agafuka gakozwe mu gatambaro gakomeye kitwa dura mater. Niba ku mpamvu runaka hari umwobo cyangwa igitonyanga muri aka gatambaro, amazi ya CSF azavamo buhoro buhoro. Ibyo ni byo twita amazi ya CSF.

Uku gusohoka kw'amazi gushobora kubaho mu buryo bubiri bw'ingenzi:

1. Kuvunika kwa CSF mu mutwe: Ibi bibaho iyo uturemangingo twa CSF turi mu gahanga , hafi y'ubwonko, twangiritse. Ibi bishobora guterwa n'ikintu nk'ivunika ry'agahanga.

2. Gutemba kwa CSF yo mu Mugongo: Iyo uru rurerure rutemba ahantu hose ku ruti rw'umugongo .

Iyo amazi asohotse muri ubu buryo, umusego ukikije ubwonko uragabanuka, kandi umuvuduko uri mu gahanga nawo uragabanuka. Ibi byitwa "Intracranial hypotension." Ibi bituma ubwonko bugwa gato, bigatera kuribwa umutwe . Iyo iki kibazo gikomeje, imiyoboro y'amaraso yoroshye mu bwonko ishobora kurambuka no gucika, bigatera indwara ikomeye yitwa subdural hematoma.

Ni iki gitera kuva kwa CSF?

Hari igihe nta mpamvu yihariye iboneka. Abaganga babyita "ibyuka bya CSF" bitunguranye. Ariko, akenshi hari impamvu zihariye zibitera.

Ni ibihe bimenyetso by'uko CSF ​​yavuye mu kanwa?

Ikimenyetso cy'ingenzi kandi kigaragara cyane cy'uko CSF ​​iva ni umutwe twavuzeho bwa mbere, ariko hashobora kubaho n'ibindi bimenyetso byinshi.

Isuzuma rikorwa rite?

Niba ukeka ko ufite kimwe muri ibi bimenyetso, hita ubonana na muganga.Ni ingenzi cyane. Muganga azakubaza ibimenyetso byawe kandi agukorere isuzuma ry'umubiri.

• Ushobora gusabwa kunama ukareba niba hari amazi asohoka mu mazuru yawe. Iyo ahari, icyitegererezo kizafatwa cyohererezwa laboratwari kugira ngo hemezwe ko ari CSF.
• Hashobora gukorwa endoscope, ikaba irimo gushyira umuyoboro muto ufite kamera mu mazuru.
• Ushobora kugenzura amatwi yawe.

Byongeye kandi, hashobora gukorwa ibizamini byinshi kugira ngo hafatwe amafoto y'ubwonko n'umugongo kugira ngo hamenyekane neza aho amazi yavuye.

• " CT scan"
• MRI
• Miyelography (ikizamini cyihariye cyo gupima umugongo)
• `Cisternography` (ikizamini cyo gushushanya ubwonko n'umugongo)

Iyo idavuwe, bagiteri ishobora gukwirakwira mu ruhu rukikije ubwonko igatera indwara zikomeye nka meningite. Kubwibyo, gusuzuma no kuvura ni ingenzi cyane.

Ni ubuhe buryo bwo kuvura buhari?

Uburyo bwo kuvura buterwa n'aho amazi yavuye, icyayateye, n'uburemere bwabyo.

Umuti w'ibanze

Akenshi, cyane cyane iyo amazi asohoka bitewe n'amazi agutera mu mugongo, muganga azakubwira kubanza kugerageza ibintu bike byoroshye.

• Irinde kuryama maze uruhuke iminsi mike.
• Kunywa amazi n'ibinyobwa byinshi.
• Kunywa kafeyine (icyayi, ikawa).

Akenshi, ibi bintu byoroshye bizakiza amazi ubwayo.

Ubuvuzi bwihariye

Iyo amazi adahagaze ku nshuro ya mbere, muganga azakoresha ubundi buryo bwo kuvura.

• Ku bijyanye no kuva amaraso mu mugongo wa CSF:
• Epidural Blood Patch: Ubu buryo ni bwo bukoreshwa cyane kandi bugira ingaruka nziza. Ufata amaraso yawe make ukayatera mu mugongo wawe aho utekereza ko hari aho amazi yavuye. Amaraso arafunga kandi agafunga umwobo.
• Hari igihe babagwa kugira ngo bazibe umwobo bakoresheje imisumari cyangwa bashyireho ibinure/imitsi .

• Ku bijyanye no kuvogera kwa CSF mu mutwe:
• Ibi akenshi bisaba kubagwa. Uyu mwenge ufungwa hakoreshejwe endoscope y'izuru cyangwa kubagwa ugutwi.
• Funga umwobo.Uduce tw’umubiri, igice cy’umubiri wawe , kole yihariye yo kubaga , cyangwa sima y’amagufwa birakoreshwa.

Ibintu ugomba kwitondera nyuma yo kuvurwa

Nyuma yo kuvurwa amaraso ya CSF, ugomba kwitonda cyane mu gihe cyo gukira, kikaba ari ibyumweru 4-6, kuko urugingo rw'amaraso rukenera igihe cyo gukira.

• Ntugaterure ibintu biremereye birenze ibiro 4.5 (4.5 kg).
• Irinde ibintu nko kunama imbere, guterura ibyuma biremereye, no kuzunguruka .
• Irinde kunanura ibirenge mu gihe uri kwituma. Niba bibaye ngombwa, saba muganga wawe umuti woroshya intebe.
• Mu gihe ukorora cyangwa witsamuye, komeza ufunguye umunwa . Ibi bizagabanya umuvuduko w'igihanga.
• Niba ufite izuru riva, irinde gufata izuru ryawe cyane.
• Ntugakoreshe imigozi yo kunywa.
• Buri gihe komeza umugongo wawe ugororotse mu gihe ukora. Niba ugomba kunama, komera ku mavi no ku kibuno.