Ingaba impumlo enamanzi yimbangela yentloko ebuhlungu? Masifunde ngokuvuza kwe-CSF (ukuvuza kwe-Cerebrospinal Fluid)

Ngamanye amaxesha usenokuba nempumlo egobhozayo ngaphandle kokuba nomkhuhlane. Okanye ungaziva intloko ebuhlungu evakala ngathi iza kuqhekeka xa uvuka ulele phantsi. Ngokuqhelekileyo asizihoyi kakhulu ezi zinto. Kodwa ezi zinokuba ziimpawu zesifo ongazange ucinge ngaso, kwaye ezinokuba yingozi ngakumbi. Namhlanje sithetha ngesinye sezi meko, i-Cerebrospinal Fluid (CSF) Leak.

Ngamafutshane, yintoni i-CSF Leak?

Kulungile, masikhe sihambe kancinci ngaphakathi emzimbeni wethu ukuze sikuqonde oku. Ingqondo yethu kunye nomqolo ziilungu ezimbini ezibuthathaka kakhulu. Ngoko ke ukuze sizikhusele, umzimba wethu udale ulwelo olufana nomqamelo oluzijikelezileyo. Olu lwelo lubizwa ngokuba yiCerebrospinal Fluid (CSF) . Olu CSF luqulethwe ngaphakathi kwesigqubuthelo esenziwe ngee-membranes ezintathu ezincinci. Kwizonyango, oku sikubiza ngokuba yi-meninges.

Ngoku khawucinge ukuba ngesizathu esithile, kuvela umngxuma omncinci okanye ukukrazuka kwesi sigqubuthelo se-meningeal, ingakumbi kumaleko ongqindilili wangaphandle, i-dura mater . Emva koko, olo lwelo luxabisekileyo lwe-CSF luqala ukuphuma kancinci kancinci. Yiloo nto siyibiza ngokuba yi- CSF Leak .

Ukulahlekelwa lolu lwelo akulunganga engqondweni yethu nakwithambo lomqolo, kuba lulahlekelwa lukhuseleko kunye nokulinganisela koxinzelelo olulunikayo.

Kukho iintlobo ezimbini zokuvuza kwe-CSF:

Oku kuvuza kunokwahlulwahlulwa kube ziintlobo ezimbini eziphambili kuxhomekeke kwindawo okwenzeka kuyo.

1. Ukuvuza kwe-CSF yeCranial: Oku kwenzeka ngaphakathi entlokweni, oko kukuthi, ejikeleze ukhakhayi. Ulwelo oluphuma apha ludla ngokuphuma ngempumlo okanye ngeendlebe.

2. Ukuvuza kwe-CSF yoMgogodla: Oku kwenzeka kwi-spinal cord, kwindawo ejikeleze i-spinal cord.

Iimpawu esizibonayo kwezi ntlobo zimbini nazo zahlukile kancinci kwenye.

Zithini iimpawu zale meko?

Iimpawu zokuvuza kwe-CSF ziyahluka ngokuxhomekeke kwindawo ekuyo kunye nokuba lungakanani ulwelo oluvuzayo. Ngamanye amaxesha, ukuba ukuvuza kuncinci kakhulu, usenokungaziboni kwaphela iimpawu. Makhe sijonge iimpawu eziqhelekileyo ezinxulumene nezi ntlobo zimbini.

Yintoni ebangela ukuvuza kwe-CSF?

Amaxesha amaninzi, ukuvuza kwe-CSF kwenzeka ngenxa yokulimala okanye ingozi ethile.

• Ukubetheka nzima entloko okanye emqolo.
• Ukujijeka ngequbuliso kwentamo (i-whiplash enzima).
• Inxeba elibangelwe yinto ebukhali, njengenxeba lokuhlatywa.

Le meko inokwenzeka nasemva konyango oluthile.

• Utyando lobuchopho okanye umqolo.
• Utyando lwendlebe, impumlo, nomqala.
• Emva kwezinto ezinje ngokubhobozwa kwe-lumbar okanye i-epidural.

Kodwa kunqabile kakhulu ukuba oku kuvuza kwenzeke ngaphandle kwesizathu esicacileyo. Sibiza oku ngokuthi 'kuvuza okuzenzekelayo'. Ngamanye amaxesha, le ngozi inokwandiswa naziimeko zokuzalwa, ezifana neMarfan syndrome , ebuthathaka izicubu ezinxibelelanayo emzimbeni wethu.

Ngaba oku kungasongela ubomi?

Ngamafutshane, i-CSF lulwelo olukhuselayo olugcina ingqondo iphila. Xa luncinci kakhulu olu lwelo lwelo, ingqondo ilahlekelwa bubuthuntu bayo ize iqale ukugoba ngaphakathi kwentloko. Oku kunokubangela umonakalo engqondweni kwanokukhubazeka okungapheliyo.

Okuyingozi nangakumbi kukuba umngxuma okwisigqubuthelo uvumela iintsholongwane ukuba zingene ebuchotsheni . Olu sulelo, oluvela xa iintsholongwane zingena kwisigqubuthelo sobuchopho, lubizwa ngokuba yi-meningitis.Le yimeko enzima kakhulu efuna unyango olungxamisekileyo.

Uyifumana njani le nto, Gqirha?

Ukuba ukrokrela ukuba uneentsholongwane ze-CSF, awunakuzixilonga okanye uzinyange ngokwakho ekhaya. Ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Ugqirha uza kuqala akuphulaphule ngononophelo iimpawu zakho, akuhlole, aze emva koko acele iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.

• Uvavanyo lolwelo: Kuthathwa isampulu yolwelo oluvela empumlweni okanye endlebeni yakho ize ivavanywe iproteni ebizwa ngokuba yi -beta-2 transferrin, efumaneka kuphela kulwelo lwe-CSF.
• Uvavanyo lweMifanekiso: Iiskeni ezikhethekileyo ezifana ne -CT scan , i-MRI scan , kunye ne-myelogram zisetyenziselwa ukukhomba indawo echanekileyo yokuvuza.

Zithini iindlela zonyango zoku?

Indlela yokunyanga ixhomekeke kuhlobo lokuvuza, indawo okuyo, kunye nobunzima balo.

Unyango oluQhelekileyo kunye neeNgcebiso

Ezinye iintunjana ezincinci, ingakumbi ezo zenzeka emva kokuvuza kwamanzi, ziya kuphola ngokwazo. Ugqirha wakho angakunika iingcebiso malunga nendlela yokuzinyanga:

• Ukuphumla ebhedini: Uxelelwa ukuba ulale phantsi uphumle iintsuku ezimbalwa.
• Sela amanzi amaninzi: Kubalulekile ukugcina amanqanaba olwelo alungile emzimbeni.
• Ukusela i-caffeine: Ngamanye amaxesha, iziselo ezine-caffeine ezifana nekofu zinokunceda kwiintloko ezibuhlungu. Kodwa oku kufanele kwenziwe kuphela phantsi kwengcebiso kagqirha.
• Ziphephe izinto ezonyusa uxinzelelo: Izinto ezinje ngokuthimla, ukukhohlela, ukuphakamisa iintsimbi, kunye nokuzibhokoxa ukuya kwigumbi lokuhlambela zinokunyusa uxinzelelo lwe-CSF kwaye zilibazise ukuphiliswa kokuvuza.

Unyango oluthile

Ukuba ukuphumla kuphela akuncedi, ugqirha angasebenzisa unyango olufana nolu.

Ukuvuza kwe-CSF yoMgogodla:

• I-Epidural Blood Patch: Olu lunyango olusebenzayo kakhulu. Okwenzayo apha kukuthatha igazi engalweni yakho uze ulihlabe kwindawo yomqolo wakho apho ucinga ukuba kukho ukuvuza. Igazi liyajika lize livale umngxuma njengeplasta.
• Utyando: Kunqabile kakhulu, ukuba i-blood patch ayiphumelelanga, kunokufuneka utyando ukuze kuthungwe umngxuma.

Ukuvuza kwe-CSF yeCranial:

• Ukulungiswa kwe-Endoskopu:Ngobuchwepheshe obuphambili bale mihla, ikhamera encinci ingafakwa ngempumlo, ifumane indawo evuzayo ize iyivale ngaphandle kokuvula ukhakhayi.
• Utyando Oluvulekileyo: Kwezinye iimeko ezinzima, utyando lunokwenziwa ngokuvula ukhakhayi.

Ufanele uye nini kugqirha? Ufanele uye nini kwi-ETU?

Oku kubaluleke kakhulu. Ukuba uneempawu zokuvuza kwe-CSF, bonana nogqirha ngokukhawuleza. Nangona kunjalo, kwezinye iimeko ezingxamisekileyo, kunokufuneka uye kwi -ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko.

Ukuvuza kwe-CSF kunokuba yinto eyoyikisayo, kodwa idla ngokunyangwa ngokupheleleyo ukuba ifunyaniswe kwaye inyangwa kwangethuba. Into ebalulekileyo kukungawunaki lo mqondiso mncinci owunikwa ngumzimba wakho.