Masifunde ngeCisternogram Scan: uvavanyo olukhethekileyo olujonga ukuhamba kolwelo ngaphakathi kwengqondo!

Molo! Namhlanje siza kuthetha ngovavanyo olunzima kancinci ngegama, kodwa olubaluleke kakhulu kwingqondo yethu nakwithambo lomqolo. Oku kubizwa ngokuba yiCisternogram Scan. Mhlawumbi ugqirha ukuxelele ngale nto, okanye ukhe weva ngayo ndaweni ithile. Ngoko ke, makhe sibone ngokulula ukuba yintoni, kutheni yenziwa, kwaye yenziwa njani? Ungakhathazeki, ndiza kuyichaza ngendlela onokuyiqonda.

Yintoni i-cistenogram?

Ngamafutshane, kukho ulwelo olukhethekileyo olufana namanzi oluhamba ngaphakathi kweentloko zethu kunye nomqolo wethu. Olu lwelo lwaziwa ngokwezonyango njengeCerebrospinal Fluid (CSF ngamafutshane). Olu lwelo lweCSF lwenza imisebenzi emininzi ebaluleke kakhulu emizimbeni yethu.

Cinga ngale ndlela:

• Le 'CSF' ifana nomntu ozisa ukutya nokusela, oko kukuthi, izondlo, engqondweni yethu nasemgogodleni.
• Olu lwelo lwe-'CSF' lunceda inkqubo yethu yemithambo-luvo (CNS) ukuba isebenze kakuhle.
• Ngokufanayo, olu lwelo lukwanceda ekucoceni nasekususeni izinto ezingafunekiyo kunye neetyhefu kwizicubu zengqondo kunye nomqolo.
• Enye into ebalulekileyo kukuba, njengezinto ezithintela ukubetheka emotweni, zisebenza njengomqamelo kwaye zikhusela ingqondo , zinciphisa amathuba okuba ingqondo yethu ibethwe ndaweni ithile.

Ngoko ke, olu vavanyo olubizwa ngokuba yi-cistenogram lwenziwa ukujonga ukuba ulwelo lwe-CSF luhamba kakuhle na ngaphakathi kwengqondo yakho nakwi-spinal cord yakho, nokuba kukho ukuvaleka kwenye indawo, okanye kukho ukuvuza kwenye indawo.

Olu luhlobo lweskeni olubizwa ngokuba yi-"Nuclear Medicine Imaging". Yiyo loo nto ngamanye amaxesha ibizwa ngokuba yi-"Radionuclide Cisternogram." Okwenzekayo koku kukuba inani elincinci kakhulu lezinto ezine-radioactive lifakwa emqolweni wakho. Ungakhathazeki, akuyi kukwenzakalisa kakhulu, lisetyenziswa kuphela ngomlinganiselo okhuselekileyo . Kungenxa yesi sixhobo ukuba ugqirha abone ngokucacileyo indlela yolwelo lwe-"CSF" ngexesha leskeni.

Ifuneka nini le scan?

Ngoku usenokuba ucinga, "Kulungile, ngoko ke loluphi uhlobo lwengxaki umntu onale meko anokuyifumana kwi-cistenogram?" Ngokwesiqhelo, ukuba ugqirha ukrokrela ukuba ingqondo yakho okanye umqolo wakho uvuza ulwelo lwe-CSF (ukuvuza kwe-CSF) (oko kuthetha ukuba uxinzelelo ebuchosheni/emgogodleni wakho luhlile), okanye olu lwelo lwe-CSF luqokelelene kakhulu, oko kuthetha ukuba luvaliwe (oko kuthetha ukuba uxinzelelo ebuchosheni/emgogodleni wakho lunyukile), ke olu vavanyo luyacetyiswa.

Jonga ukuba unazo na ezi mpawu:

• Ngaba uziva ngathi ulahlekelwa yibhalansi yakho xa uhamba?
• Ngaba uhlala uziva unesiyezi ?
• NgokungacingekiyoIngaba uqaqanjelwa yintloko? Usenokuziva ngathi intlungu iya isiba mandundu xa usukuma.
• Ngaba uziva ngathi unengxaki yokuva okanye uva into ethile engathi ikhala ezindlebeni zakho?
• Ngaba unesicaphucaphu kwaye uhlanza ?
• Ngaba uziva intlungu entanyeni okanye ukuqina kwayo?
• Ingaba uvakalelwa kukukhanya okuqaqambileyo okanye ingxolo enkulu?
• Ngaba uziva ngathi unengxaki yokucinga kakuhle okanye yokugxila ? Ngaba inkumbulo yakho ibonakala ngathi ayisebenzi kakuhle?

Ukuba unenye okanye ngaphezulu kwezi mpawu, ugqirha wakho unokuqwalasela i-cistenogram scan.

Ndingayilungiselela njani le nto? Ndimele ndimxelele ntoni ugqirha?

Uninzi lwexesha, akukho nto yokulungiselela usuku olungaphambi kwe-custominogram scan yakho. Nangona kunjalo, ngamanye amaxesha ugqirha wakho uya kukunika imiyalelo ekhethekileyo malunga nento omawuyitye kwaye uyisele ngaphambi kwe-scan (umzekelo, ukuzila ukutya iiyure ezimbalwa). Le miyalelo mayilandelwe ngokuchanekileyo.

Kodwa eyona nto ibalulekileyo kukuba umntu akuse ekhaya emva kokuskena . Kuba ngamanye amaxesha ungaziva ungakhululekanga emva kovavanyo, njengentloko ebuhlungu, ngoko ke akucetyiswa ukuba uqhube imoto wedwa.

Enye into, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngezi zinto, ungafihli nto :

• Ngaba wakha waba ne-allergies kumayeza okunciphisa iintlungu, njenge-local anesthetics okanye i-anesthesia?
• Ukuba ukhulelwe okanye usenokuba ukhulelwe, ngokuqinisekileyo kufuneka uxelele ugqirha wakho kuba olu vavanyo lusebenzisa into ene-radioactive.
• Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kungekuphela nje lawo achazwe ngugqirha wakho, kodwa kunye namayeza okudambisa iintlungu, iivithamini, amayeza emifuno, kunye nezongezo ozithengayo kwikhemesti). Kubaluleke kakhulu ukuxelela ugqirha wakho ukuba uthatha amayeza okunciphisa igazi afana ne-aspirin okanye i-warfarin. Amanye amayeza anokunyusa umngcipheko wakho wokopha. Ukuba oku kuyenzeka, ugqirha wakho unokukucela ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kokuba kuhlolwe.

Yenziwa njani le nkqubo yokuvavanya i-cisternogram? Makhe siyijonge ngeenkcukacha ezithe vetshe.

Kulungile, ngoku makhe sibone indlela yokwenza olu vavanyo. Ungakhathazeki, ndiza kuluchaza ngokulula. Lwenziwe ngamanyathelo ambalwa.

Inyathelo Lokuqala: Kufana nokusela amanzi emqolo wakho - yiloo nto ukubhobozwa kwe-lumbar.

Into yokuqala ekufuneka yenziwe yi-'Spinal Tap'. Sikwayibiza ngokuba yi-'Lumbar Puncture'. Abanye abantu babiza oku ngokuthi 'kukuthatha amanzi emgogodleni.' Kodwa apha, abawathathi manzi, bafaka nje olo lwelo lukhethekileyo.

Nantsi into eyenzekayo:

• Okokuqala, umqolo wakho ongezantsi, apho inaliti iza kufakwa khona, uza kucocwa kakuhle kwaye kufakwe i-anesthetic yendawo ukuze ingasebenzi kakuhle . Oku kuya kukuthintela ekubeni uzive iintlungu. Abanye abantu banokunikwa i-sedative ukuze ibancede baphumle kwaye banciphise ixhala labo. Amaxesha amaninzi, kwaye kwiimeko ezikhethekileyo kuphela, apho i-anesthetic eqhelekileyo ingasetyenziswa khona ukuze ingasebenzi kakuhle.
• Emva koko uza kucelwa ukuba ulale ngobuso etafileni yokuhlolwa, okanye ulale ngecala lakho amadolo akho ejonge esifubeni sakho, ngokungathi ugobile . Oku kuvumela indawo engakumbi phakathi komqolo wakho.
• Okulandelayo, ugqirha ufaka inaliti encinci kakhulu, engenanto emqolweni wakho. Oku kukhokelwa ngamathambo omqolo, ukuya kwindawo apho kukho ulwelo lwe-CSF (ebizwa ngokuba yindawo engaphantsi kwe-subarachnoid). Oku kwenziwa kusetyenziswa indlela ebizwa ngokuba yi-fluoroscopy (indlela ekuvumela ukuba ubone imifanekiso ye-X-ray ephilayo). Ngoko ke akukho mfuneko yokukhathazeka malunga nokuba inaliti iya kwindawo engafanelekanga.
• Kungenaliti leyo apho intwana yento erhabaxa ekhankanyiweyo ngaphambili ifakwa khona kulwelo lwakho lwe-CSF .
• Xa loo msebenzi ugqityiwe, inaliti isuswa ngononophelo, kwaye kufakwa iplasta encinci kuloo ndawo.

Emva koko skena

Emva kokuba ukubhoboza kwe-lumbar kugqityiwe kwaye kufakwe izinto ezine-radioactive, kufuneka uzinike ixesha lokuhamba nge-CSF ukuya engqondweni. Ngoko ke kuya kufuneka ulale ebhedini malunga neyure kwaye uhlale uzolile kangangoko unako . Ngamanye amaxesha unokucetyiswa ukuba ungayijiki intloko yakho ecaleni.

Emva koko, ngesiqhelo phakathi kweyure enye ukuya kwezintandathu emva koko , ugqirha uya kuqala ukuskena umqolo wakho kunye nentloko. Oku kusebenzisa ikhamera ekhethekileyo (i-`Gamma Camera`) enokuqaphela indawo ekuyo izinto ezinemitha ye-radioactive. Le mifanekiso isenokuba ivela kwi-`CT scan (Computed Tomography)` okanye i-`MRI (Magnetic Resonance Imaging`). Oku kukubonisa ngokucacileyo ulwelo lwe-`CSF` oluhamba ngalo.

Emva kokuhlolwa kokuqala, ungaya ekhaya. Nangona kunjalo, kuya kufuneka ubuye esibhedlele emva kweeyure ezingama-24 ukuze uphinde uhlolwe kwakhona . Oku kungenxa yokuba kuthatha malunga nosuku ukuba izinto ezinemisebe zisasazeke kuyo yonke ingqondo (ii-ventricles kunye nee-cuntainers). Abanye abantu banokwenza olunye uvavanyo emva kweeyure ezingama-48 okanye ezingama-72 . Ugqirha wakho uya kugqiba. Kodwa ungakhathazeki, akuyi kufuneka wenze i-lumbar puncture ngaphambi kokuhlolwa ngakunye . Kuya kwenziwa kuphela ngosuku lokuqala.

Ingaba kubuhlungu xa usenza oku?

Umbuzo omkhulu kunye noloyiko abantu abaninzi abanalo kukuba "Ngaba iza kuba buhlungu?". Ukunyaniseka, xa i-anesthetic yendawo ifakwa emqolweni wakho , isenokuvakala ngathi kukutsha kancinci, okanye njengokulunywa ziimbovane, imizuzwana embalwa . Emva koko, loo ndawo iya kuba ndindisholo, ngoko ke xa inaliti ifakwa kwindawo yokubhoboza i-lumbar , uya kuziva uxinzelelo oluncinci, kodwa akukho ntlungu yokwenyani.Abanye abantu basenokungaziva nto konke konke.

Akukho ntlungu konke konke ngexesha lokuskena. Kufuneka ulale ungashukumi ebhedini yesiskena.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga?

Njengakwezinye iimvavanyo zonyango, kukho ezinye iziphumo ebezingalindelekanga ezincinci ezinokwenzeka emva kokuhlolwa kwe-cistenogram. Nangona kunjalo, azibi kakhulu. Iziphumo ebezingalindelekanga eziqhelekileyo zezi:

• Kusenokubakho iintlungu okanye imikrwelo emincinci kwindawo efakwe kuyo inaliti (emqolo) kangangeentsuku ezimbalwa.
• Intloko ebuhlungu . Ingakumbi ukuba i-CSF encinci ivuza kwindawo apho kwenziwe khona ukubhoboza i-lumbar (oku kubizwa ngokuba yi-post-lumbar puncture headache okanye i-spinal headache), uxinzelelo ngaphakathi kwentloko lunokwehla kancinci, oku kubangele intloko ebuhlungu kakhulu. Oku kudla ngokuncipha xa ulele kwaye kunyuke xa usukuma okanye usukuma. Ungakhathazeki, oku kungokwexeshana . Kuya kuncipha ngokwakho kwiiyure okanye iintsuku ezimbalwa ukuba usela amanzi amaninzi kwaye uphumle. Ukuba awukwazi ukumelana nako, xelela ugqirha wakho, kukho amayeza okukubhoboza.

Zithini iingozi?

Iingxaki ezinkulu emva kokuhlolwa kwe-cistenogram azixhaphakanga, oko kuthetha ukuba azifane zenzeke . Nangona kunjalo, kulungile ukuqaphela nezona ngozi zincinci ezinokwenzeka. Emva koko akuyi kubakho loyiko lungafunekiyo.

• Iimpendulo ze-allergy (ezifana nokurhawuzelelwa, ukurhawuzelelwa) zinokwenzeka kwizinto ezisebenzisa i-radioactive okanye amayeza okuthomalalisa iintlungu. Nangona kunjalo, oku kunqabile kakhulu.
• Kunqabile kakhulu ukuba imeko ebizwa ngokuba yi-'Brainstem Herniation' (oko kuthetha ukuba izicwili zobuchopho ziyatyhalelwa ngaphandle ngenxa yoxinzelelo ngaphakathi entlokweni) inokwenzeka ngenxa yengxaki yoxinzelelo engqondweni. Oogqirha bakhathazekile ngale nto.
• Ukopha igazi engqondweni okanye emgogodleni ukusuka kwindawo efakwe kuyo inaliti kunokubakho. Le yinto abantu abasebenzisa amayeza okunciphisa igazi abafanele bayilumkele.
• Usulelo lunokungena kwindawo apho inaliti ifakwe khona. Eyona ndlela ingcono yokuthintela oku kukuyicoca kakuhle.
• Kunqabile kakhulu ukuba kubekho umonakalo omncinci wemithambo-luvo .

Olu vavanyo lusebenzisa into ene-radioactive, ngoko ke uchaphazeleka kumlinganiselo omncinci we-radiation . Kodwa yidosi ephantsi kakhulu, efana neye-X-rays ezimbalwa eziqhelekileyo . Umngcipheko wokwenzakala ixesha elide uphantsi kakhulu. Yiyo loo nto abafazi abakhulelweyo becetyiswa ukuba bangabi nayo.

Kuthatha ixesha elingakanani ukuba iziphumo zivele? Zithini?

Emva kokuskena kwakho kokugqibela, ugqirha oyingcali ('i-Radiologist' okanye 'iNyukliya Medicine Physician') uza kuyihlola ngononophelo imifanekiso aze abhale ingxelo. Oku kungathatha iintsuku ezimbalwa okanye iveki . Ugqirha wakho uza kukuxelela ukuba kufuneka uze nini ukuze ufumane iziphumo.

Ngoku makhe sibone ukuba ezi ziphumo zithini.

Ukuba isiphumo esiqhelekileyo...

Khawuthelekelele ukuba iziphumo zakho ze-cisternogram zibuye "ziqhelekileyo". Ziindaba ezimnandi ezo! Zithetha ukuba ulwelo lwakho lwe-"CSF" luhamba kakuhle, ngesantya esifanelekileyo, ngengqondo yakho nakwi-spinal cord . Oko kuthetha ukuba akukho kuvuza kwe-"CSF", akukho kuvinjwa, kwaye akukho kuvinjwa.

Yintoni enokuba sisiphumo esingaqhelekanga?

Ngoku, ukuba iziphumo zibuya zisithi "Akuqhelekanga," kuya kunceda ugqirha wakho ukuba afumanise ukuba yintoni ebangela iimpawu zakho. Iziphumo ezingaqhelekanga zingabonisa enye okanye ezingaphezulu kwezi zilandelayo:

• Ukuvuza kwe-CSF: Ukuba iskeni ibonisa izinto eziphuma kwi-radioactive kwinkqubo ye-CSF, ibizwa ngokuba kukuvuza kwe-CSF. Oku kudla ngokwenzeka emva kokwenzakala kwengqondo (TBI), ukwaphuka kwentloko, okanye umonakalo kwisigqubuthelo sangaphandle somthambo womqolo (obizwa ngokuba yi-dura mater). Kunokwenzeka kancinane emva kotyando lobuchopho okanye ezinye iinkqubo zonyango, ezifana nokubhobozwa kwe-lumbar.
• Iingxaki nge-CSF shunts: Ityhubhu encinci (i-shunt) ifakwa ngaphakathi kwengqondo ukuze kukhutshwe ulwelo lwe-CSF kwenye indawo njengonyango lwe-hydrocephalus (amanzi ebuchosheni). Ukuba i-shunt ayisebenzi kakuhle, njengokuba ivaliwe okanye inezinye iingxaki, olu vavanyo lunokufumanisa oko.
• I-Hydrocephalus: Kulapho i-cerebrospinal fluid (CSF) iqokelelana khona kwi-ventricles yengqondo, nto leyo ebangela ukuba ikhule ize ibeke uxinzelelo engqondweni. Siyibiza nje ngokuba yi-"hydrocephalus." Oku kunokuqinisekiswa ngokujonga indlela i-CSF ehamba ngayo kwi-cistenogram.
• `I-Hydrocephalus yoXinzelelo oluQhelekileyo (NPH): Kule meko, ulwelo lwe-`CSF` luqokelelana nakwiimbobo zobuchopho, iimbobo ziba nkulu, kodwa uxinzelelo olungaphakathi kwengqondo alunyuki njengoko bekutshiwo. Njengoko igama lisitsho, yi-"I-Normal-Pressure". Le meko ibonakala kubantu abadala. Iimpawu ezinje ngobunzima bokuhamba, ubunzima bokulawula umchamo, kunye nokulahlekelwa yinkumbulo zinokwenzeka.
• `I-Pseudotumor Cerebri`: Abanye abantu bakubiza oku ngokuthi `yi-false brain tumor`. Oko kukuthi, kukho ukwanda koxinzelelo ngaphakathi kwengqondo ngaphandle kwe-tumor yokwenyani, kwaye ngaphandle kwesizathu esicacileyo. Oogqirha bakwabiza oku ngokuthi `Idiopathic Intracranial Hypertension`. Nakule meko, i-cistenogram inokunika umbono wokuhamba kwe-`CSF`.

Ngoko ke, ugqirha wakho uza kuthatha ezi ziphumo, iimpawu zakho, kunye nezinye iingxelo zovavanyo ukuze abone ukuba imeko yakho injani kwaye yintoni ekufuneka yenziwe ngayo.

Umyalezo Wokuya Ekhaya

Kulungile, masiphinde sichaze amanqaku abalulekileyo koko sithethe ngako:

• I-scan ye-cisternogram luvavanyo olukhethekileyo olujonga ukuhamba kolwelo olubalulekileyo olubizwa ngokuba yi-'CSF' (ulwelo lwe-cerebrospinal) engqondweni yethu nakwi-spinal cord, kunye nokuba kukho ukuvuza okanye ukuvaleka naphi na.
• Ukuba ugqirha ukuxelela ukuba wenze oku, kusenokwenzeka ukuba bakrokrela ukuba kukho ukuvuza kwe-CSF okanye ukwakheka kolwelo. Usenokuba neempawu ezinxulumene noko.
• Olu vavanyo lubandakanya ukubhobozwa kwe-lumbar (inaliti efakwe kumqolo) kulandele uthotho lwee-scan kwiintsuku enye okanye ezingaphezulu.
• Nangona kusenokubakho ukungakhululeki okuncinci kunye nemiphumo emibi, iingozi ezinkulu azifumaneki lula.

Ukuba uneminye imibuzo, iinkxalabo, okanye amathandabuzo malunga nolu vavanyo, musa ukuzibamba, ungoyiki ukubuza ugqirha wakho. Baza kukuchazela yonke into ngakumbi.

Ukuba uza kudlula kuvavanyo olufana nolu, ndikunqwenelela ukuchacha ngokukhawuleza!

I- Cisternogram, i-Cisternogram Scan, i-CSF, i-Cerebrospinal Fluid, uvavanyo lobuchopho, umqolo, inkqubo yemithambo-luvo