Wena okanye umntu omaziyo usenokuba uzive usoyika kancinci kwaye unexhala xa ugqirha ekuxelela ukuba kufuneka ukhuphe umbhobho womthambo emqolo. Ngubani ongoyikiyo xa esithi, "Bafaka ityhubhu emqolo wakho," akunjalo? Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngokulula, ngokungathi sixelela umhlobo, ukuba yintoni kanye kanye le nto, kutheni yenziwe, kwaye isebenza njani.
Yintoni umsele womngxuma we-lumbar?
Ngamafutshane, ingqondo yethu kunye nomthambo womqolo, ohamba emqolo, azikho nje emizimbeni yethu. Zijikelezwe lulwelo olukhethekileyo, olufana namanzi, ukuze luzikhusele. Oku sikubiza ngokuba yi -'Cerebrospinal Fluid' , okanye i-CSF ngamafutshane. Cinga ngako njengokubeka into exabisekileyo ebhokisini uze ubeke enye into ejikeleze yona ukuze uyikhusele. Olu lwelo lwe-CSF lukhusela ingqondo yethu kunye nomthambo womqolo.
Ngoko ke, umsele womngxuma womqolo yityhubhu encinci kakhulu neguquguqukayo (i-catheter). Ifakwa emqolo wakho ongezantsi, kwindawo yomqolo, kwaye isetyenziselwa ukukhupha ulwelo lwe-CSF endilukhankanyileyo, okanye ukulawula uxinzelelo lwayo. Oku kudla ngokwenziwa okwethutyana, kangangeentsuku ezimbalwa.
Kutheni ufanele wenze into efana nale?
Kukho izizathu ezahlukeneyo zokuba ugqirha angacebisa into efana nale. Makhe sijonge ezona zizathu ziphambili.
| Isizathu | Ingcaciso elula |
|---|---|
| Kwimeko yokuvuza kwe-CSF | Emva kweengozi ezithile okanye ngezinye izizathu, olu lwelo lwe-CSF lunokuvuza endaweni yalo. Olu tyando lusetyenziselwa ukunciphisa uxinzelelo kunye nokunceda ukuvuza kuphole. |
| Kwimeko ye-hydrocephalus | Le yimeko apho ulwelo oluninzi lwe-CSF luqokelelana ngaphakathi entloko. Oku kubangela uxinzelelo olungeyomfuneko engqondweni (uxinzelelo lwangaphakathi kwentloko). Oku kuyimfuneko ukususa olo lwelo lungaphezulu nokulawula uxinzelelo. |
| Emva kotyando | Le drain ikwasetyenziswa emva kotyando lobuchopho okanye lomqolo ukunciphisa uxinzelelo kwindawo leyo nokunceda inxeba liphole ngokukhawuleza. |
| Ukuxilongwa | Kanye njengokuba kuthathwa igazi elincinci lize livavanywe ukuze kufunyanwe isifo, inani elincinci lolu lwelo lwe-CSF linokuthatyathwa lize livavanywe ukuze kufunyanwe izifo ezithile, iiseli ezingaqhelekanga, okanye iiproteni. |
Ndingayilungiselela njani le nkqubo?
Ugqirha wakho uza kukuxilonga kakuhle ngaphambi kokuba enze oku.
- Thetha ngembali yakho epheleleyo yezonyango .
- Ungacelwa ukuba wenze i-MRI okanye i-CT scan . Ezi scan zivumela ugqirha ukuba abone kakuhle ukuba kwenzeka ntoni emzimbeni. Zikwanceda ekufumaneni indawo efanelekileyo nekhuselekileyo yokufaka umsele.
- Usenokunikwa amayeza okubulala iintsholongwane ukuthintela usulelo, kwaye unganikwa neyeza lokulawula ukuveliswa kwe-CSF.
Eyona nto ibalulekileyo kukubuza ugqirha wakho nayiphi na imibuzo okanye iinkxalabo onokuba nazo malunga nale nkqubo ngaphandle koloyiko . Lilungelo lakho ukwazi ngokucacileyo ukuba kuza kwenzeka ntoni, zithini iingozi, kunye neenzuzo.
Kwenzeka ntoni ngokwenene xa kufakwa umsele wokuhambisa amanzi?
Nangona oku kusenokuvakala ngathi yinto enkulu, yonke le nkqubo idla ngokuthatha malunga nemizuzu engama-30, kwaye yonke into yenziwa ukuqinisekisa ukuba awuva ntlungu.
1. Ukulungisa indawo oza kuyenza: Okokuqala, uza kujika uye kwelinye icala lebhedi, amadolo akho aza kutsalwa asondele esifubeni sakho uze ulaliswe phantsi.
2. Ukucoca ulusu: Indawo esezantsi yomqolo apho kufakwa khona umsele wokukhupha amanzi ihlanjululwe kakuhle ngesisombululo sokubulala iintsholongwane.
3. Ukunciphisa iintlungu: Okulandelayo, kunikwa inaliti encinci (i-local anesthetic) ukuze kuthintelwe indawo. Ngoko awuyi kuva ntlungu. Ungaziva uxinzelelo oluncinci.
4. Ukufaka inaliti: Emva koko ugqirha ufaka inaliti ekhethekileyo ngononophelo kwindawo apho kukho ulwelo lwe-CSF (isithuba se-subarachnoid) . Ngamanye amaxesha oku kwenziwa ngoncedo lwe-X-ray ukuze kubonwe indawo echanekileyo.
5. Ukufaka i-catheter: Ityhubhu ebhityileyo neguquguqukayo ifakwa ngenaliti.
6. Ukususa inaliti: Emva kokuba ityhubhu ifakiwe, inaliti isuswa ngononophelo.
7. Ukudibanisa nengxowa yokuqokelela:Isiphelo sangaphandle setyhubhu siqhagamshelwe kwibhegi ekhethekileyo apho i-CSF iqokelelwa khona.
8. Ukunamathela eluswini: Okokugqibela, ityhubhu ibotshelelwa eluswini ngeplasta okanye mhlawumbi imithungo emincinci ukuthintela ukuba ingawi, kwaye kufakwa ibhandishi ukugcina indawo icocekile.
Ngaba kuya kufuneka ndilale ebhedini emva kokuba kufakwe umsele wokuhambisa amanzi?
Ewe, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kokuba umsele uvuliwe. Kwaye uya kuxelelwa ukuba ulale ebhedini uninzi lwexesha. Okokuqala, uya kunyanzelwa ukuba ulale ngecala okanye ngesisu.
Eyona nto ibalulekileyo: Ngaphambi kokuba uvuke, ngaphambi kokuba uphume ebhedini , ngokuqinisekileyo kufuneka uthethe nabasebenzi bonyango. Kuba, xa uvuka, kufuneka ulawule ukuhamba kolwelo oluvela kumsele wokukhupha amanzi. Ngaphandle koko, ulwelo oluninzi kakhulu lunokuphuma luze lubangele iingxaki ezifana nentloko ebuhlungu. Ngoko ke landela imiyalelo yabo ngokuchanekileyo.
Zithini iingenelo kunye neengxaki ezinokubakho zoku?
Njengakweyiphi na inkqubo yezonyango, kukho iingenelo kunye neengozi ezincinci kakhulu.
| Iingenelo eziphambili | Iingxaki ezinokwenzeka |
|---|---|
| Ukuyeka ukuvuza kwe-CSF. | Usulelo lweentsholongwane. |
| Lawula uxinzelelo engqondweni kwaye uthintele umonakalo. | Intloko ebuhlungu, isicaphucaphu kunye nokuhlanza. |
| Ukubonelela ngolwazi olubaluleke kakhulu ekuxilongweni. | Ukopha kwindawo efakwe kuyo ityhubhu. |
| Mhlawumbi nokusindisa ubomi. | Ukukhutshelwa kwamanzi e-CSF ngokugqithisileyo (ukukhutshelwa kwamanzi angaphezulu). |
| Ukuvula indlela yotyando okanye unyango oluthile. | Ityhubhu inokuhamba okanye ikhululeke kwindawo yayo. |
Kodwa iqela lakho lezonyango liza kwenza konke okusemandleni alo ukunciphisa umngcipheko wezi ngxaki, ngoko ke kubalulekile ukulandela imiyalelo yabo ngokuchanekileyo.
Iza kuhlala ixesha elingakanani idreyini? Kuza kwenzeka ntoni emva koko?
Ihlala ishiywa ngaphakathi iintsuku ezimbalwa, kodwa amaxesha amaninzi ayidluli kwiintsuku ezi-5. Oku kungenxa yokuba umngcipheko wosulelo uyanda ukuba ishiywe ngaphakathi ixesha elide kunelo. Nje ukuba inqanaba le-CSF yakho kunye noxinzelelo zizinzile, ugqirha wakho uya kuyisusa ngokupheleleyo idreyini. Emva kokuba isusiwe, uya kucelwa ukuba ulale phantsi okwethutyana. Oku kuya kunceda ukuthintela iintloko ezibuhlungu. Kwanasemva kokuba ubuyele ekhaya, kufuneka uphephe ukuphakamisa izinto ezinzima okanye ukwenza umsebenzi onzima de ugqirha wakho akuxelele ukuba wenze njalo.
Ukuba ufumana nayiphi na intlungu entsha, intloko ebuhlungu kakhulu, okanye isicaphucaphu ngelixa usesibhedlele, yazisa abasebenzi ngoko nangoko. Kwakhona, ukuba ufumana nayiphi na kwezi mpawu emva kokuba ubuyele ekhaya, kufuneka ufowunele ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Umsele womngxuma ongaphantsi kwethambo lomqolo yityhubhu encinci esetyenziselwa ukususa okanye ukuhlola ulwelo olongezelelweyo (CSF) olujikeleze ingqondo kunye nomqolo.
- Le nkqubo yenziwa ngokunika amayeza okuvala indawo ukuze ungabi nantlungu.
- Kubaluleke kakhulu ukuphumla esibhedlele nokulandela imiyalelo kagqirha kwiintsuku ezimbalwa emva kokuba kufakwe umsele.
- Oku kubonelela ngeenzuzo ezininzi ezibalulekileyo, ezinje ngokuthintela ukuvuza kwe-CSF, ukulawula uxinzelelo engqondweni, kwaye ngamanye amaxesha kunokunceda nasekusindiseni ubomi.
- Ukuba ufumana iimpawu ezinje ngentloko ebuhlungu, isicaphucaphu, umkhuhlane, okanye ukubomvu okanye ukudumba kwindawo yokukhupha amanzi emva kokuba ubuyele ekhaya, yazisa ugqirha wakho ngoko nangoko.
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