Ubusoyika xa ndikuxelela ukuba uthabathe amanzi emqolweni wakho? (Ukubhoboza iLumbar / I-Spinal Tap) Masifumanise ukuba yintoni kanye kanye le!

Ngaba wakha weva 'nge-spinal tap'? Usenokuba ucinga, "Wow, le yinto enkulu, eyoyikisayo." Kuyaqondakala ukuba ube nexhala kancinci xa usiva eli gama. Kodwa luvavanyo olulula olunokunceda oogqirha ukuba bafumanise iimeko ezahlukeneyo ezinxulumene nengqondo yakho, inkqubo yemithambo-luvo, kunye nomqolo. Ngoko ke, masithethe ngale '-lumbar puncture' namhlanje, ngendlela enobuhlobo ethethwa ngumntu wonke, ngesiSinhala, kulungile?

Kutheni le nto (Lumbar Puncture) yenziwa? Ifuna ntoni?

Ngamafutshane, olu vavanyo lubandakanya ukuthatha isampuli encinci yolwelo olujikeleze umqolo wakho, ngaphakathi komqolo wakho. Olu lwelo lubizwa ngokuba yi -cerebrospinal fluid (CSF). Lufana nomqamelo okhusela kwaye wondla ingqondo yakho kunye nomqolo wakho. Ngoko ke, oogqirha banokufunda okuninzi ngokuhlola isampuli yale CSF.

Ngoku makhe sibone ukuba oogqirha bacebisa ukuba kwenziwe `(Lumbar Puncture)` phantsi kweziphi iimeko:

• Ukuba ukrokrela ukuba kukho ukopha ngaphakathi kwengqondo (Intracranial Hemorrhage): Oku ngamanye amaxesha kunokwenzeka emva kokubethwa entloko.
• Iimeko ezifana ne-dementia: Khangela izifo ezibangela ukulahleka kwenkumbulo kancinci kancinci.
• Jonga ukuba akukho fluid ye-CSF egqithisileyo engqondweni.
• Jonga ukudumba kunye nokudumba kwezicubu zobuchopho (`(Encephalitis)`).
• Iimeko zomhlaza ezifana ne-leukemia: Ezinye iiseli zomhlaza zinokusasazeka ziye kwi-CSF.
• Usulelo lobuchopho olufana ne-meningitis: Le yimeko engxamisekileyo. Iimpawu zingabandakanya umkhuhlane, intloko ebuhlungu, kunye nentamo eqinileyo.
• Izifo ezizikhusela ngokwazo emzimbeni ezifana ne-multiple sclerosis: Ezi zizifo apho inkqubo yethu yokuzikhusela yomzimba isebenza khona.
• Iimeko ezinje ngokudumba komqolo (`(Myelitis)`).

Ayipheleli nje apha, iLumbar Puncture isetyenziselwa ezinye izizathu ezininzi:

• Nika i-anesthesia ukunciphisa iintlungu: Usenokuba ukhe weva nge-epidural. Ikwaluhlobo lwe-anesthesia olunikwa umqolo. I-anesthesia yengingqi isetyenziselwa ukunciphisa iintlungu ngexesha lotyando kunye nokubeleka.
• Yenza uvavanyo olukhethekileyo lwe-X-ray (`(Myelogram)`): Kule meko, kufakwa ulwelo olukhethekileyo (idayi) kwintambo yomqolo kwaye kuthathwa i-X-ray.
• Nika amayeza okulwa nomhlaza okanye iziphumzi zemisipha ngqo kulwelo lomqolo.
• Nciphisa uxinzelelo oluphezulu ngaphakathi kwengqondo (`(Uxinzelelo lwe-Intracranial)`): Olu xinzelelo lunokunciphisa ngokususa ulwelo lwe-CSF.

Khumbula, ayizizo zonke ezi meko ezifuna ukubhobozwa emqolo. Ugqirha wakho uza kukuchazela ngokuchanekileyo ukuba uyaludinga na olu vavanyo kwaye kutheni.

Ndingazilungiselela njani ezi vavanyo?

Kulungile, masithi ugqibe ekubeni uhlatywe i-lumbar puncture. Ngaphambi koko, ugqirha uza kukubuza imibuzo ethile aze ajonge imbali yakho yempilo. Angakucela nokuba wenze izinto ezifana nezi:

• Fumana i-CT scan (`(CT scan)`) okanye i-MRI scan (`(MRI)`): Oku kunokufumana umfanekiso olungileyo womqolo kunye neendawo eziwujikelezileyo.
• Fumana uvavanyo lwegazi: Jonga izinto ezifana nokukwazi kwegazi lakho ukujiya.
• Xelela ugqirha wakho ngamayeza akho: Ukuba uthatha amayeza okunciphisa igazi, afana neWarfarin okanye iAspirin, ngokuqinisekileyo kufuneka umxelele ugqirha wakho . Angakucela ukuba uyeke ukuthatha amanye ala mayeza okanye utshintshe umthamo kwiintsuku ezimbalwa ngaphambi kovavanyo. Kodwa khumbula, ungayeki okanye utshintshe nawaphi na amayeza akho de ugqirha wakho akuxelele ukuba wenjenjalo, kulungile?

La malungiselelo aza kunceda ugqirha oqhuba uvavanyo ukuba aqonde kakuhle imeko yakho, enze uvavanyo ngokukhuselekileyo, kwaye athintele iingxaki ezingeyomfuneko. Ugqirha wakho uza kukuxelela nokuba unemiyalelo ekhethekileyo kuwe.

Kuza kwenzeka ntoni xa ndinesilonda seLumbar Puncture? Ngaba siza kuba buhlungu?

Kulapho abantu abaninzi bayoyika khona. Kodwa awuziva ntlungu . Usenokuziva ucinezelekile kancinci, ucinezelekile kancinci, kodwa akubuhlungu.

Nantsi into eyenzekayo:

1. Indawo: Uza kujika uye kwicala lakho lasekhohlo lebhedi uze ucelwe ukuba ulale phantsi. Emva koko, amadolo akho aza kutsalwa kufutshane nesifuba sakho kangangoko, njengebhola encinci. Okanye, ngamanye amaxesha, uza kucelwa ukuba uhlale esitulweni, ugobe phambili phezu kwetafile, uze uphumze intloko nezandla zakho etafileni. Le ndawo isenokuvakala ingakhululekanga okwethutyana, kodwa kubalulekile ukuhlala uzolile kangangoko . Uza kucelwa ukuba utshintshe indawo yakho kancinci ngexesha lovavanyo.

2. Ukucoca kunye nokuNciphisa iintlungu: Okulandelayo, umqolo wakho ongezantsi, kanye apho inaliti iza kufakwa khona, uza kucocwa kakuhle kwaye kufakwe i-anesthetic encinci yendawo ukuze kuthintelwe indawo. Xa i-anesthetic ifakwa , uza kuva ukutshisa okuncinci imizuzwana embalwa , njengokuhlaba kweembovane. Yiyo loo nto. Emva koko indawo iza kuba ndindisholo ngokupheleleyo.

3. Ukufaka inaliti: Emva kokuba indawo ingasebenzi kakuhle, ugqirha ufaka inaliti encinci kakhulu, engenanto emqolo wakho ongezantsi phakathi kwamathambo amabini (ngesiqhelo ithambo lesithathu nelesine, okanye lesine nelesihlanu). Oku kungaphezulu nje kweempundu zakho. Inaliti ifakwa kwindawo (indawo engaphantsi kwe-subarachnoid) phakathi kwee-membranes ezikhuselayo (ii-meninges) ezijikeleze umthambo womqolo kwaye zizaliswe yi-CSF. Ngamanye amaxesha, umatshini we-X-ray okhethekileyo obizwa ngokuba yi-fluoroscopy unokusetyenziswa ukuqinisekisa ukuba inaliti ikwindawo efanelekileyo.

4. Ukusela ulwelo lwe-CSF:Xa inaliti ikwindawo efanelekileyo, ugqirha uqala ngokulinganisa uxinzelelo lolwelo lwe-CSF. Emva koko, kuqokelelwa isampuli encinci (ii-milliliters ezimbalwa). Oku kuthatha imizuzu embalwa.

5. Ukugqiba: Emva kokuba isampulu ithathiwe, ugqirha uyayisusa inaliti aze ayifake iplasta encinci okanye ibhandishi kuloo ndawo.

Yiloo nto yonke eyenzekayo. Lonke uvavanyo luthatha imizuzu eli-15 ukuya kwengama-30. Kodwa inaliti isemva kwakho imizuzu embalwa kuphela.

Olu vavanyo lwenziwa phi? Ngaba luza kundenza ndilahlekelwe zingqondo?

Le `(Lumbar Puncture)` ngamanye amaxesha inokwenziwa esibhedlele njenge `Extractive Procedure`. Oku kuthetha ukuba ungaya ekhaya ngaloo mini inye. Okanye, ukuba ungumhlali esibhedlele, ingenziwa ewadini. Ukuba yenziwa njengomntu ongaphandle, kuya kufuneka kubekho umntu oza kukuthatha akuse ekhaya emva kovavanyo.

Kwakhona, awuyi kuba ungekho zingqondweni ngokupheleleyo ngeli xesha lovavanyo. Uza kunikwa nje iyeza lokudambisa iintlungu. Ngoko ke uza kuba ungekho zingqondweni, kodwa awuyi kuva ntlungu.

Ndingenza ntoni emva kovavanyo?

Emva kokuba uvavanyo lugqityiwe, ugqirha okanye umongikazi uza kukunika imiyalelo ethile. Kubaluleke kakhulu ukuyilandela. Badla ngokuthi:

• Musa ukuqhuba okanye ukusebenzisa oomatshini abanzima iiyure ezingama-24.
• Lala ebhedini (nokuba ulele ngecala okanye ngomqolo) iyure enye okanye ezimbini, mhlawumbi ixesha elide. Oku kunokunceda ukunciphisa intloko ebuhlungu.
• Musa ukwenza nantoni na enzima, njengokuzilolonga, iiyure ezingama-24 ukuya kwezingama-48.
• Phumla kakuhle.
• Sela amanzi amaninzi kunye nolwelo ukuze ungaphelelwa ngamanzi emzimbeni.

Ukuba ugqirha wakho ukunika imvume, unokukwazi ukuqhubeka nemisebenzi yakho yesiqhelo ngaloo mini okanye ngosuku olulandelayo emva kovavanyo.

Ingaba kuqhelekile ukuba nentloko ebuhlungu emva kokuhlatywa kwe-lumbar?

Ewe, abanye abantu banokuba nentloko ebuhlungu emva kolu vavanyo. Siyibiza ngokuba yi-'(Spinal Headache)'. Asinguye wonke umntu oyifumanayo, malunga ne- 10% yabantu bayayifumana le ntloko .

Okwenzekayo kule meko kukuba intloko ebuhlungu kakhulu xa uhleli okanye ume. Iyaphela xa ulele. Oku kungaqala kwiiyure ezimbalwa okanye kwiintsuku ezimbalwa emva kovavanyo. Uninzi lwexesha, iba ngcono ngokwayo kwiintsuku ezimbini okanye ezintathu. Kodwa kwabanye abantu, inokuhlala iveki.

Le `(Intloko ebuhlungu yoMgogodla)` isenokuhamba nezinye iimpawu ezifana nezi:

• Ukwanda kwesantya sentliziyo (iTachycardia)
• Uxinzelelo lwegazi oluphantsi (`(Hypotension)`)
• Isicaphucaphu

Ukunceda koku, amayeza eentlungu athengiswa ngaphandle kwemvume kagqirha, ukuhlala unamanzi ngokusela amanzi amaninzi, kunye nokusela iziselo ezine-caffeine ezifana nekofu kunokunceda. Ugqirha wakho uya kukunika iingcebiso.

Ngaba kukho ezinye iziphumo ebezingalindelekanga? Ngaba iya konakalisa umqolo?

Iziphumo ebezingalindelekanga ezibi kakhulu ezivela kolu vavanyo azixhaphakanga. Nangona kunjalo, kwiimeko ezingaqhelekanga kakhulu, oku kulandelayo kunokwenzeka:

• Usulelo kwindawo yenaliti
• Kunjalo ukudumba.
• Ukopha
• Intlungu esezantsi komqolo

Khumbula oku: Ukubhobozwa kwe-lumbar akuyi kuyonakalisa i-spinal cord yakho. Oku kungenxa yokuba inaliti ifakwe ngaphantsi kakhulu kunomgangatho we-spinal cord. Ngoko ke musa ukuyoyika.

Zithini iziphumo endizifumanayo? Zithini zona?

Isampulu ye-CSF ethathwe kuwe iya kuthunyelwa kwilabhoratri kwaye ivavanywe kwezi zinto zilandelayo:

• Ngaba kukho iintsholongwane (`(Iintsholongwane)`), ifungi (`(Iintsholongwane)`), okanye iiseli ezingaqhelekanga (ezifana neeseli zomhlaza)?
• Ingakanani inqanaba leswekile yakho (`(iGlucose)`)?
• Zinjani iintlobo kunye namanqanaba eeproteni?
• Ziziphi iintlobo kunye nobungakanani beeseli ezimhlophe zegazi? (Ezi zinokubonisa ngezifo)

Ezi ziphumo zezona zivumela ugqirha wakho ukuba aqinisekise okanye asuse iimeko ezahlukeneyo zonyango.

Kuthatha ixesha elingakanani ukwazi iziphumo?

Kuxhomekeke kwisizathu sovavanyo. Iziphumo zihlala zifumaneka kwiintsuku ezimbini ukuya kwezintathu. Nangona kunjalo, ukuba kwenziwa ukujonga ukopha ebuchotsheni okanye imeko engxamisekileyo efana ne-meningitis, iziphumo zingafumaneka kwangethuba, nokuba kungeeyure ezimbalwa.

Yintoni omawuyenze emva koko ukuba iziphumo aziqhelekanga?

Ngenxa yokuba ukubhoboza i-lumbar kungafumanisa izifo ezininzi ezinxulumene nengqondo, imithambo-luvo kunye nomqolo, iziphumo zingahluka. Umzekelo, ukuba i-CSF yakho inenani eliphezulu leeseli ezimhlophe zegazi, oko kungabonisa usulelo. Kwimeko enjalo, ungayinyanga loo sulelo ngamayeza okubulala iintsholongwane.

Ugqirha wakho uza kuchaza intsingiselo yeziphumo ozifumeneyo, aze akuxelele ukuba loluphi unyango olufunekayo ngokufanelekileyo, kunye nento omawuyenze emva koko.

Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Ukuba ufumana naziphi na ezi mpawu emva kovavanyo, qiniseka ukuba wazise ugqirha wakho:

• Ukuba intloko ebuhlungu ihlala iintsuku ezingaphezu kwezimbalwa kwaye inzima kakhulu.
• Ukuba igazi okanye olunye ulwelo luvuza kwindawo yenaliti.
• Ukuba kukho iimpawu zosulelo (ukudumba, ukubomvu, umkhuhlane).

Okokugqibela, khumbula oku... (Umyalezo oya nawo ekhaya)

Ngoko ke, i-`(Lumbar Puncture)` okanye i-`(Spinal Tap)` esithethe ngayo ayiyonto yokoyika. Ewe, kuyinto eqhelekileyo ukuziva ukothuka kancinci kunye novalo xa kufakwa inaliti emgogodleni wakho. Nangona kunjalo, awuyi kuva iintlungu ezinganyamezelekiyo ngenxa yoku. Mhlawumbi kuya kuvakala ngathi kukutyhala kancinci.

Olu luvavanyo olukhuselekileyo olunokunceda ekuxilongeni izifo ezininzi. Alubangeli monakalo kumqolo.

Ukuba uneminye imibuzo okanye iinkxalabo malunga noku, xoxa nogqirha wakho ngaphambi kovavanyo. Ngale ndlela, uya kuziva ukhululekile ngakumbi. Ukuba unentloko ebuhlungu emva kovavanyo, ugqirha wakho mhlawumbi uya kukuxelela indlela yokunciphisa le ngxaki. Ngoko ke, cinga nje ngale nto njengolunye uvavanyo olubalulekileyo kwezonyango!

ukubhobozwa kwe - lumbar, i-spinal tap, i-spinal tap, i-cerebrospinal fluid, i-cerebrospinal fluid, i-CSF, isifo sobuchopho, isifo se-neurological, umqolo, ukuxilongwa, intloko ebuhlungu