Ingaba kukho ulwelo olufana namanzi oluphuma entlokweni okanye emqolo? Ngaba oku kuvuza kolwelo lwe-cerebrospinal (CSF leak)?

Ngaba ngamanye amaxesha ukhe ube nolwelo olucacileyo olufana namanzi aphuma empumlweni yakho? Okanye ngaba uneentloko ezibuhlungu eziphuma xa usukuma, ugoba intloko yakho, okanye ulala phantsi? Usenokucinga ukuba ezi zizifo nje eziqhelekileyo okanye enye into. Nangona kunjalo, ngamanye amaxesha oku kunokuba yinto ekufuneka ixhalatyelwe. Namhlanje sithetha ngemeko enokubangela iimpawu ezifanayo, kodwa ayiqhelekanga kangako, kodwa kubaluleke kakhulu ukuba uyiqaphele. Oko kukuvuza kolwelo lwe-cerebrospinal , okanye njengoko oogqirha bekubiza njalo (Cerebrospinal Fluid Leak) , okanye (CSF Leak) ngamafutshane.

Yintoni ulwelo lwe-cerebrospinal (CSF)? Kutheni luvuza?

Ngamafutshane, ulwelo lwe-cerebrospinal, okanye i-CSF, lulwelo olukhethekileyo olujikeleza kwaye lukhusele ubuchopho bethu kunye nomqolo . Lucacile njengamanzi. I-CSF inemisebenzi emininzi ephambili:

1. Isondlo: Olu lwelo luqulethe izondlo ezifunwa yingqondo yethu.

2. Ukubonelela ngokhuseleko: Njengezinto ezifunxa umothuko emotweni, olu lwelo lukhusela ingqondo yethu kunye nomqolo wethu emonakalweni obangelwa kukungcangcazela kunye nomothuko. Lukwabonelela ngendawo yokuba ingqondo ikwazi ukudada.

Cinga ngale ndlela. Kwenzeka ntoni ukuba sifaka idiliya kwibhotile yeglasi size siyishukumise ngamandla? Idiliya inokutyumzeka, ityumke, akunjalo? Yiloo nto eyenzekayo engqondweni yethu ngaphandle kwe-CSF. Nangona kunjalo, ukuba sizalisa loo bhotile ngamanzi, siyifaka kuyo, size siyishukumise, amanzi aya kubangela ukuba idiliya ishukume ngamandla, ngoko ke ayizukubangela monakalo mkhulu. Yileyo ndlela i-CSF ekhusela ngayo ingqondo yethu.

Ngoko ke, oku kuvuza (CSF) kuphuma apho kufanele ukuba khona kubizwa ngokuba yi- (CSF Leak) . Ukuba oku kuvuza kukhulu, kunokubangela iimpawu ezinzulu. Kunokwenza kube nzima nokwenza imisebenzi yemihla ngemihla.

Ngubani ochaphazeleka kakhulu yile meko (CSF Leak)?

Nangona oku kunokuvela nakubani na, abanye abantu bathambekele kuko ngakumbi.

• Abantu abangaphezu kweminyaka engama-30 ubudala, ingakumbi abamalunga neminyaka engama-42 ubudala, banamathuba amaninzi okuva ukuvuza kwe-CSF ngaphandle kwesizathu esibonakalayo.
• Abafazi nabo banamathuba amaninzi okufumana le meko kunamadoda.

Ingaba ukuvuza kwe-CSF yimeko eqhelekileyo?

Enyanisweni, ukuvuza kwe-CSF kubangela ukuba uxinzelelo lolwelo ngaphakathi entloko lwehle. Oku kubizwa ngokuba yi -Intracranial Hypotension . Igama elithi "Intracranial" lithetha "ngaphakathi kwentloko," kwaye elithi "Hypotension" lithetha "uxinzelelo oluphantsi kunoluqhelekileyo." Le meko, eyaziwa ngokuba yi-Intracranial Hypotension, yimeko engaqhelekanga. Yenzeka kubantu abamalunga naba-5 kwabayi-100,000.

Nangona kunjalo, iingcali zikholelwa ukuba ukuvuza kwe-CSF kuxhaphake kakhulu . Isizathu soku kukuba kunzima ukukufumanisa. Ngamanye amaxesha, oogqirha bacinga ukuba kufana nezinye iimeko, ezifana ne-migraines .Usulelo lweSinus lunokuthathwa njenge -allergies .

Le meko ichaphazela njani umzimba wam?

Xa kukho ukuvuza kwe-CSF, ubuninzi bolwelo olujikeleze ubuchopho buyancipha. Oku kunciphisa ukhuseleko kunye nokuthamba kwengqondo.

• Ukuba ukuvuza kuncinci , usenokungawuboni umahluko omkhulu. Okanye, usenokuba neempawu kodwa ucinga ukuba ziyinto eyahlukileyo.
• Nangona kunjalo, ukuba ukuvuza kukhulu ngokwaneleyo , okubangela uxinzelelo lwegazi olungaphakathi kwentloko, ingqondo yakho iya kuqala ukuhla ezantsi ngaphakathi kwentloko yakho. Oku kubeka uxinzelelo olungeyomfuneko kwiindawo ezisezantsi zobuchopho bakho. Oku kunokuphazamisana nokusebenza kwezo ndawo, kubangele iimpawu ezinokuqala kwiimpawu ezincinci, ezingabonakaliyo ukuya kwiimpawu ezinzima, ezinganyamezelekiyo.

Zithini iimpawu zokuvuza kwe-CSF?

Ukuba ukuvuza kuncinci, usenokungabi nazimpawu. Ngaphandle koko, usenokucinga ukuba yinto eyahlukileyo. Kodwa ukuba ukuvuza kukhulu kwaye kubangela uxinzelelo oluphantsi engqondweni (i-intracranial hypotension), uza kuqala ukuba neempawu.

Uphawu oluphambili noluqhelekileyo yintloko ebuhlungu ekwimeko ethe tye.

Nantsi into eyenzekayo:

• Intloko yakho iba mandundu xa umi okanye uhleli .
• Xa uthe tyaba okanye ulala phantsi, intloko ebuhlungu iyancipha okanye iyanyamalala ngokupheleleyo.

Iimpawu ziyahluka ngokuxhomekeke kwindawo apho kuvuza khona.

Ezinye iimpawu zinokwahluka ngokuxhomekeke ekubeni ukuvuza kukuphi. Iindawo ezimbini eziphambili apho ulwelo lwe-cerebrospinal (CSF) lunokuvuza khona zii-sinuses zakho kunye nempumlo yakho . Nokuba yeyiphi na indlela, usenokuba nokukhupha okucacileyo, okumanzi empumlweni yakho (i-rhinorrhea) . Oku akuyongqele iqhelekileyo. Kukho iintlobo ezimbini zako:

1. Ukuba usula impumlo yakho ngethishu, xa i-mucus eqhelekileyo yomile, ithishu iba rhabaxa kwaye iqine kancinci. Kodwa xa yomile (CSF), ithishu ayibi njalo .

2. Olu phuma empumlweni lunokwenzeka ngamanye amaxesha kwiimeko ezithile. Umzekelo, xa ugoba phambili, uthatha into ethile phantsi, okanye ubopha imitya yezihlangu zakho .

Enye indawo apho ukuvuza kwe-CSF kunokubangela iimpawu khona kusezindlebeni . Ukuphuma kolwelo olucacileyo endlebeni (i-Otorrhea) kukwaluphawu lokuvuza kwe-CSF. Nangona kunjalo, oku akunakwenzeka kakhulu. Ukuze oku kwenzeke, kuya kufuneka ube nomngxuma kwi -eardrum yakho (iTympanic Membrane) .

Ezinye iimpawu ezinokwenzeka xa kukho ukuvuza kwe-CSF

• Ukulahlekelwa livumba (i-Anosmia): Oku kwenzeka rhoqo xa kukho ukuvuza kolwelo lomgogodla (i-CSF) ngenxa yokwenzakala kobuso.
• Umbono ofipheleyo okanye umbono ophindwe kabini (iDiplopia): Oku kungenzeka ngenxa yoxinzelelo kwimithambo-luvo yeliso xa ingqondo ihla.
• Utshintsho lokuva okanye ukulahlekelwa kukuva: Njengoko kukhankanyiwe apha ngasentla, oku kunokubangelwa luxinzelelo kwimithambo-luvo edibene neendlebe xa kutshintshwa iindawo.
• I-Pulsatile Tinnitus: Ukuva isandi sentliziyo yakho ngaphandle kwezixhobo zomculo.
• Ukuxhuzula: Oku kunokwenzeka ngakumbi xa kukho ukuvuza okukhulu (CSF) okanye imeko enzima (Intracranial Hypotension).
• Intlungu yentamo nokuqina kwayo.
• Ukutya akunancasa.
• Intloko ebuhlungu: Ngamanye amaxesha oku kunokuba nzima kakhulu kwaye kunganyamezeleki.
• Ukuba nesiyezi okanye ukuziva ngathi ujikeleza ngeenxa zonke kuwe (iVertigo).
• Isicaphucaphu nokuhlanza.
• I-Photophobia (ukungakwazi ukujonga ukukhanya).
• Ingxaki yokulinganisela kunye nokuhamba xa uhamba.

Zithini izizathu zokuvuza kwe-CSF?

Iingcali zithi malunga ne-90% yokuvuza kwe-CSF kubangelwa kukwenzakala . I-10% eseleyo yenzeka ngokungazi okanye ngezizathu ezingaziwayo.

Ukuvuza kwe-CSF okubangelwa kukwenzakala

Ukuvuza kwe-CSF kunokwenzeka ngenxa yokwenzakala okuhlukeneyo. Imizekelo:

• Ukulimala ebusweni, entloko, entanyeni, okanye emgogodleni: Imizekelo eqhelekileyo ibandakanya iingozi zeemoto. Ukulimala empumlweni, kwiisinuses, ezindlebeni, ngasemva kweendlebe, okanye phantsi kwekhakayi kunokubangela oku. I-Whiplash inokubangela nokuvuza kolwelo lwe-cerebrospinal (CSF) olujikeleze umqolo.
• Amanxeba angena ngaphakathi: njengokuhlaba ngemela, ukudutyulwa.
• Ukulimala okubangelwe kutyando lobuchopho.
• Ukulimala okubangelwa lunyango olunxulumene nomqala, indlebe, kunye nempumlo (iinkqubo ze-ENT).
• Unyango lwezonyango olunxulumene nomqolo: Umzekelo, xa unika i-epidural anesthesia , ukhupha i-lumbar puncture , okanye uthatha ulwelo oluvela kumqolo (i-spinal tap) .

Ezinye izizathu ezingezizo iingozi

Kwiimeko ezimalunga ne-10%, unobangela ochanekileyo wokuvuza kwe-CSF awaziwa. Nangona kunjalo, iingcali zifumanise ukuba le ngxaki inxulunyaniswa nezinye iimeko zonyango. Akukaziwa ngokuqinisekileyo ukuba ezi meko zibangela ukuvuza kwe-CSF, kodwa uphando luqhutywa malunga noku.

• Iingxaki zeConnective Tissue ezibuthathaka iileya zezicubu ezibambe i-CSF: Umzekelo, iimeko ezifana neMarfan Syndrome kunye ne-Ehlers-Danlos Syndrome .
• Uxinzelelo oluphezulu ngaphakathi kwekhakayi (Intracranial Hypertension): Oku kunokubangela ukuba izicubu ezijikelezileyo zikrazuke kwaye kubekho ukuvuza.
• I-Pseudotumor Cerebri.
• Ukutyeba kakhulu: Ingakumbi ukutyeba kakhulu.
• Iziphene zokuzalwa okanye ezifunyenweyo kwindlela eyakheka ngayo impumlo, ii-sinuses, okanye ezinye iindawo zekhakayi.

Ingaba esi sisifo esosulelayo?

Hayi. (CSF Leak) ayisosifo esosulelayo.Awunakusasaza oku komnye umntu, kwaye awunakusasaza nakwabanye abantu.

Oogqirha bayixilonga njani le nto?

Ugqirha unokuxilonga ukuvuza kwe-CSF ngokwenza uvavanyo lomzimba, ukubuza ngeempawu zakho, nokubuza ngembali yakho yezonyango kunye neemeko zangoku. Banokusebenzisa iimvavanyo ezahlukeneyo zelebhu kunye neeskeni zokwenza imifanekiso ukuqinisekisa okanye ukuthintela ukuvuza kwe-CSF.

Uhlobo lovavanyo olwenzayo luya kuxhomekeka ekubeni ukrokrela ukuba kukho ukuvuza na nokuba ukhe wenzakala na ngaphambili (kudala okanye okutsha).

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?

Kukho iimvavanyo ezininzi ezinokusetyenziselwa ukufumanisa ukuvuza kwe-CSF. Uninzi lwazo luvavanyo lomfanekiso. Ezi zivumela oogqirha ukuba bajonge ngaphakathi entlokweni yakho nasemqolo ukuze babone apho kukho ukuvuza khona kunye naluphi na umonakalo onokubangela oko.

• Uvavanyo lolwelo: Ukuba uneempawu zempumlo egobhozayo (ingakumbi empumlweni), ugqirha wakho unokufuna ukuvavanya ulwelo. Uvavanyo oluphambili loku luvavanyo lwe-beta-2 transferrin . Olu vavanyo lukhangela iproteni ebizwa ngokuba yi-tau , ekhoyo kwi-CSF kodwa engekho kwimibhobho yempumlo. Olunye uvavanyo olunokwenziwa luvavanyo lwe-glucose . Oku kungenxa yokuba ubungakanani beglucose kwi-CSF bufana nobungakanani obusegazini. Nangona kunjalo, ubungakanani beglucose kwimibhobho yempumlo buphantsi kakhulu, okanye abukho kwaphela.

• Uvavanyo lwemifanekiso kunye novavanyo lokuxilonga:
• Iiskeni ze-CT (i-Computerized Tomography)
• Iiskeni zeMRI (Umfanekiso weMagnetic Resonance)
• I-Angiography yeDijithali yokuThatha
• I-Myelography ( i-X-ray esebenzisa idayi ukufaka inaliti kwi-spinal cord)
• I-Cisternography ( iskeni yokujonga iindlela ze-CSF)
• Ukubhoboza eLumbar / Ukumpompa koMgogodla: Nangona kunjalo, olu ayilovavanyo lokuqala olwenziwayo xa kurhanelwa ukuba kukho ukuvuza kwe-CSF.

Inyangwa njani i-CSF Leaks? Ngaba inganyangeka?

Uninzi lwexesha, oogqirha abanyangi ngqo ukuvuza kwe-CSF. Oku kungenxa yokuba ukuvuza kwe-CSF okubangelwa kukwenzakala okuninzi kuyaphola ngokwako ngokuhamba kwexesha ngokuphumla nje .

Nangona kunjalo, xa ukuvuza kwe-CSF kungenakwenzeka ukuba kuphole ngokwako, okanye xa kusaziwa ukuba akuyi kuphola, kukho iindlela ezahlukeneyo zonyango ezinokunceda. Kwiimeko ezininzi, ukuvuza kunokulungiswa okanye kuvalwe . Oku kuya kuyithintela iimpawu ukuba zingabi mandundu okanye kuzithintele ukuba zingenzeki.

Ezinye izifo ezingapheliyo, ingakumbi (iMarfan Syndrome) okanye (iEhlers-Danlos Syndrome)Iingxaki zezicubu ezidityanisiweyo ezifana nezi azinakunyangeka. Ukuba ukuvuza kwe-CSF kwenzeka ngenxa yemeko efana nale kwaye akunakunyangwa ngokuthe ngqo, oogqirha baya kuzama ukunyanga iimpawu zakho.

Loluphi uhlobo lonyango okanye unyango olusetyenziswayo?

Unyango olufumanayo luya kuxhomekeka kwizinto ezifana nesizathu sokuvuza kwe-CSF kunye nendawo ekuyo.

• Unyango Olungaguqukiyo: Olu asilonyango oluthe ngqo lwe-CSF Leaks. Oku kubandakanya ukuphumla ebhedini okwethutyana. Kwakhona, ukuhlala unamanzi emzimbeni . Amayeza eentlungu nokudumba nawo aqhelekile. Ukuba ukuvuza kubangele uxinzelelo oluphantsi lwe-CSF, unokucetyiswa ukuba uthathe izongezo ze -caffeine kunye netyuwa . Ukuba olu nyango luqhelekileyo aluncedi emva kweveki okanye ezimbini, ugqirha wakho unokucebisa unyango oluthe ngqo ngakumbi.

• Utyando kunye neenkqubo ezinxulumene nalo: Utyando yindlela eqhelekileyo yokulungisa ukuvuza kwe-CSF. Ukuba ukuvuza kubangelwa kukwenzakala okukhulu, utyando lunokuvala ngokuthe ngqo ukuvuza okanye lulungise indawo eyonakeleyo. Ezinye utyando zingenziwa ngekhakayi. Ezinye zingenziwa ngempumlo okanye ngomlomo. Uhlobo lotyando luxhomekeke kwindawo, unobangela, kunye nobunzima bokuvuza.

• Iinaliti zePatch yegazi: Enye yezona ndlela ziphambili zonyango olungelulo utyando lokuvuza kwe-CSF yiPatch yegazi . Kule meko, ugqirha ufaka inaliti kumqolo wakho ongezantsi (icandelo le-lumbar). Xa sele ikwindawo efanelekileyo, kuthathwa inani elincinci legazi lakho lize lifakwe kwi-CSF ejikeleze umqolo wakho. Igazi emva koko "liyayilungisa" loo nto ivuzayo, okanye liyivale. Ngamanye amaxesha kunokufuneka iiPatch zegazi ezingaphezulu kwesinye. Nangona kunjalo, uninzi lwabantu luziva lukhululekile emva kweyokuqala.

• Amayeza: Kukho iintlobo ezahlukeneyo zamayeza anokunceda ekuvutheni kwe-CSF. Amanye anciphisa uxinzelelo ngaphakathi kwekhakayi. Amanye anikwa iimpawu ezinzima ezifana neentlungu. Amayeza okubulala iintsholongwane nawo anokunikwa. Ukuba iintsholongwane zingena ebuchotsheni nge-CSF, izifo eziyingozi ezifana ne-meningitis kunye ne-encephalitis zinokwenzeka.

Zithini iingxaki okanye iziphumo ebezingalindelekanga zonyango?

Iingxaki kunye nemiphumo emibi yonyango ixhomekeke kwindawo ekuvuza kuyo (CSF), ubukhali bayo, unobangela, kunye nonyango olufumanayo. Ugqirha wakho unokuchaza iingxaki ezinokubakho kunye nemiphumo emibi ethile kwimeko yakho kunye nento onokuyenza ukuze uzinciphise okanye uziphephe.

Ndingazinyamekela njani/ndizilawula njani iimpawu?

Ukuvuza kwe-CSF asinto onokuyixilonga okanye uyinyange ngokwakho. Ukuba ukrokrela ukuba unale meko, kufuneka ubone ugqirha ngokukhawuleza.Oku kungenxa yokuba iimpawu zale meko zinokufana nezo zezifo ezinzulu ezifuna unyango olukhawulezileyo.

Ndiza kuziva bhetele nini emva konyango?

Ixesha elithathwayo ukuze umntu aphile aze azive engcono liyahluka ngokuxhomekeke kunyango. Abantu abaninzi baziva bekhululekile ngokulala phantsi baze baphumle. Kodwa kwabanye, kungathatha iintsuku, kwaneeveki, ukuze baphile.

Ndingayinciphisa okanye ndiyithintele njani ingozi yokuba le meko ingenzeki?

(CSF Leak) yinto eyenzeka ngequbuliso. Ngenxa yoko, ayinakuthintelwa ngokupheleleyo. Nangona kunjalo, ungazama ukuzikhusela kwiimeko okanye kwiimeko ezinokubangela ukuvuza. Kodwa ungakwenza oku kuphela ngezizathu ezibangelwa kukwenzakala.

Eyona nto ibalulekileyo onokuyenza ukuthintela ukuvuza kwe-CSF ngenxa yokwenzakala kukunxiba izixhobo zokuzikhusela . Ukwenzakala ebusweni, entloko, entanyeni, nasemgogodleni kunokubangela ukwenzakala okunokubangela ukuvuza kwe-CSF. Nokuba usemsebenzini okanye kubomi bakho, ungawunciphisa lo mngcipheko ngokusebenzisa izixhobo zokuzikhusela kunye nezixhobo.

Ndingalindela ntoni ukuba ndinayo le meko?

Ukuvuza kwe-CSF ngamanye amaxesha kunokuba nzima ukukufumanisa. Nangona kunjalo, isiphumo sisonke sale meko silungile . Nangona iimpawu zinokuba ziphazamisa, zibe nzima, okanye ziphazamise imisebenzi yemihla ngemihla, imeko idla ngokunyangeka. Uninzi lwabantu abanokuvuza kwe-CSF bayaphola xa ukuvuza kulungisiwe, nokuba kunyango okanye ngotyando.

Ihlala ixesha elingakanani i-CSF evuzayo?

Ukuvuza kwe-CSF kunokuhlala iintsuku, iiveki, okanye iinyanga. Kuxhomekeke kubukhulu bokuvuza kunye nokuba yintoni ebangele oko. Unyango lunokunciphisa kakhulu ixesha oziva ngalo iziphumo zokuvuza kwe-CSF. Ugqirha wakho ngumntu ongcono ukwazi ukuba le meko iya kukuchaphazela ixesha elingakanani kunye nento enokwenziwa ukukunceda.

Iyintoni ikamva lale meko?

Lilonke, imbonakalo yokuvuza kwe-CSF ilungile kakhulu . Malunga ne-98% yabantu abane-CSF bayachacha, nokuba yintoni na imbangela.

Ndingazinyamekela njani?

Ukuba uvuza kwi-CSF, kufuneka ulandele imiyalelo kagqirha wakho malunga nendlela yokuzinyamekela. Ngabo mthombo ongcono wolwazi malunga noko unokukwenza noko umele ukwenze. Baza kukuxelela nokuba zeziphi iimpawu okanye izilumkiso omele uziqaphele, kunye noko umele ukuphephe.

Ndifanele ndimbone nini ugqirha wam okanye ndifune ingcebiso kagqirha?

Ukuba ucinga ukuba uvuza kwi-CSF, kufuneka uthethe okanye ubone ugqirha. Nangona le meko idla ngokungabangeli iingxaki ezinzulu okanye ezisongela ubomi, iimpawu zayo ziyafana nezo zemeko engxamisekileyo neyingozi.

Ukuba ufunyaniswe ukuba une-CSF evuzayo, ugqirha wakho uza kucwangcisa utyelelo olulandelayo ukuze akujonge njengoko uphila. Ukuba uvakalelwa kukuba iimpawu zakho ziya zisiba mandundu okanye zibangela ukuphazamiseka okutsha kubomi bakho bemihla ngemihla, kufuneka ubonane nogqirha wakho.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Ukuba uvuza kwi-CSF, kuya kufuneka uye kwigumbi likaxakeka ukuba uneentloko ezibuhlungu ngequbuliso, ubuthathaka bemisipha, okanye ubunzima bokuma . Kuya kufuneka ubabone nokuba uziva ungenamandla okanye ubuthathaka naphi na emzimbeni wakho, ingakumbi ezingalweni zakho, emilenzeni, ezinyaweni, nasemilenzeni . Ezi zinokuba ziimpawu zokwenzakala kumqolo wakho, okunokukhokelela ekukhubazekeni okungapheliyo.

Kwakhona, kufuneka ufune unyango olungxamisekileyo ukuba ufumana iimpawu ezifana nezestroke . Ezi ziquka:

• Ubuthathaka, ukuba ndindisholo, okanye ukukhubazeka kwelinye icala lomzimba.
• Intetho engacacanga okanye intetho engacacanga.
• Ukuwa kwelinye icala lobuso okanye ukuphelelwa liliso linye.
• Ubunzima bokuginya.
• Ukudideka, ukucaphuka, okanye ukuxhalaba.
• Ubunzima bokugxila, ukucinga, okanye ukukhumbula.
• Intloko ebuhlungu ngequbuliso, ingakumbi ukuba iphazamisana nemisebenzi yakho yesiqhelo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuvuza kolwelo lwe-cerebrospinal, okanye ukuvuza kwe-CSF, yimeko engathethwa rhoqo ngayo, kodwa ngamanye amaxesha inokubangela iimpawu ezingathandekiyo nezinzima. Kodwa, musani ukoyika. Ngokuhambela phambili kwezonyango netekhnoloji yanamhlanje, oogqirha baye bakwazi ukuxilonga le ngxaki ngokukhawuleza nangokulula. Kwakhona, oogqirha ngoku bayakwazi ukunyanga le ngxaki ngcono kunangaphambili. Ke ngoko, imbonakalo yale meko ilungile kakhulu .

Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngokukhawuleza ukuba unezi mpawu, endaweni yokuqikelela . Ngamanye amaxesha, ukuphumla nje kunokunceda. Kungenjalo, ungaphola ngokukhawuleza ngonyango olufanelekileyo. Ugqirha wakho uza kukunika isikhokelo esingcono. Hlala usempilweni!

Ulwelo lwe - cerebrospinal, ukuvuza kwe-CSF, intloko ebuhlungu, impumlo egobhozayo, iintlungu zomqolo, i-neuropathy, uxinzelelo engqondweni