Xa ugqirha ekuxelela ukuba, "Ndifuna ukuthabatha amanzi emgogodleni wakho ndiwavavanye," ngoko nangoko uziva uloyiko noloyiko, akunjalo? Kuqhelekile ukucinga, "Owu, ndiza kubhajwa ngenaliti emgogodleni wakho." Nangona abantu abaninzi besoyika xa besiva eli gama, oku akulovavanyo oloyikisayo okanye olubuhlungu njengoko sicinga. Ngoko masifunde ngakumbi ngalo namhlanje.
Ngamafutshane, yintoni ukubhobozwa kwe-lumbar?
NgesiSinhala, sidla ngokubiza oku ngokuthi "yimpompo yomqolo." Olu luvavanyo olukhethekileyo oluqhutywa ngugqirha. Oku kubandakanya ukufaka inaliti encinci kakhulu, ebhityileyo emqolo wakho ongezantsi, phakathi kwamathambo amabini, kunye nokuthatha isampuli encinci yolwelo olucacileyo nolunamanzi olujikeleze ingqondo yakho kunye nomqolo.
Olu lwelo ngokwezonyango lubizwa ngokuba yi -cerebrospinal fluid (CSF) . Olu lwelo lufana nomqamelo okhusela ingqondo yethu kunye nomqolo. Ngoko ke, ngokuhlola isampuli encinci yolu lwelo, sinokufumana ulwazi oluninzi olubalulekileyo malunga neemeko ezahlukeneyo zonyango ezichaphazela ingqondo yakho, inkqubo yemithambo-luvo, okanye umqolo.
Kutheni ugqirha angacebisa olu vavanyo?
Kukho izizathu ezahlukeneyo zokuba kungenziwa ukubhoboza i-lumbar. Ngamanye amaxesha isetyenziselwa ukuxilonga imeko ethile, kwaye ngamanye amaxesha isetyenziselwa ukunika amayeza.
| Izizathu eziphambili zovavanyo | Inkcazo elula |
|---|---|
| Ukuxilongwa | Ukuba kukho ukurhanelwa kwengxaki yempilo echaphazela ingqondo okanye umqolo, olu vavanyo lwenziwa ukuze luqinisekiswe. |
| Usulelo lobuchopho (i-Meningitis) | Olu luvavanyo olubalulekileyo lokujonga usulelo lweentsholongwane okanye iintsholongwane olufana ne-meningitis. |
| Ukudumba kwezicubu zobuchopho (i-Encephalitis) | Chonga izifo ezibangela ukudumba kwezicubu zobuchopho. |
| Ukopha kwegazi ebuchosheni | Jonga ukuba akukho na ukopha engqondweni. |
| Izifo ezizikhuselayo emzimbeni ezifana neMultiple Sclerosis | Khangela izifo apho inkqubo yomzimba yokuzikhusela yonakalisa imithambo-luvo. |
| Iimeko zomhlaza | Jonga ukuba iiseli zomhlaza, ezifana ne-leukemia, zingene na kulwelo lwe-cerebrospinal. |
| Yonyango nezinye izinto | |
| Ukunika iintlungu zokuphelisa iintlungu | Kwiindlela zokuthomalalisa iintlungu ezifana ne-epidurals, ezithi zibulale inxalenye esezantsi yomzimba ngexesha lotyando oluthile. |
| Ukutofa amayeza | Amanye amayeza, afana namayeza okulwa nomhlaza, anikwa ngqo kwinkqubo yemithambo-luvo. |
| Uvavanyo olukhethekileyo lwe-X-ray | Faka idayi ekhethekileyo ngaphambi kovavanyo lwe-X-ray, njenge-myelogram. |
| Ukunciphisa uxinzelelo ngaphakathi kwekhakayi | Ukuba ulwelo olujikeleze ingqondo lunyukile kwaye lubangela uxinzelelo, susa olunye lwalo ukuze unciphise uxinzelelo. |
Khumbula, ayizizo zonke ezi zizathu eziya kusebenza kuwe. Ugqirha wakho uza kukuchazela isizathu solu vavanyo.
Ndingazilungiselela njani ngaphambi kolu vavanyo?
Ugqirha wakho uya kukunika imiyalelo yento omawuyenze ngaphambi kovavanyo. Ezinye zezinto ezibalulekileyo ziquka:
- I-CT scan okanye i-MRI scan: Ngamanye amaxesha, ngaphambi kokuba uxilongwe ngomthambo womqolo, unokucelwa ukuba wenze olu xilongwe ukuze ubone ukuba kukho uxinzelelo oluphezulu engqondweni okanye emgogodleni.
- Uvavanyo lwegazi: Oku kubalulekile ukuze kubonwe ukuba amandla akho okujiya kwegazi aqhelekile na.
- Xelela ugqirha wakho ngayo nayiphi na imithi oyithathayo: Ukuba uthatha amayeza okunciphisa igazi (afana neWarfarin, iAspirin, iClopidogrel), ngokuqinisekileyo kufuneka umxelele ugqirha wakho. Ungacelwa ukuba uyeke ukusebenzisa la mayeza kwiintsuku ezimbalwa ngaphambi kovavanyo. Ungaze uyeke ukuwasebenzisa ngaphandle kwengcebiso kagqirha wakho.
La malungiselelo aza kukunceda wenze uvavanyo ngokukhuselekileyo kwaye uthintele iingxaki ezingeyomfuneko.
Kwenzeka ntoni ngexesha lovavanyo?
Le yinxalenye abantu abaninzi abayoyikayo. Ngoko ke masithethe ngayo inyathelo ngenyathelo.
1. Indawo: Okokuqala, uya kulaliswa ebhedini. Ngokwesiqhelo, uya kulaliswa ngecala lakho lasekhohlo. Emva koko, uya kucelwa ukuba ugobe amadolo akho uze uwasondeze esifubeni sakho , ngokungathi ugobile. Ngamanye amaxesha, unokucelwa ukuba uhlale esitulweni uze ugobe phambili phezu kwetafile. Nangona le ndawo ingakhululeki, iya kwandisa isithuba phakathi kwamathambo akho, okwenza kube lula ukufaka inaliti. Ke ngoko, kubaluleke kakhulu ukuhlala uzolile kangangoko kunokwenzeka.
2. Ukucoca kunye nokufaka iintlungu: Okulandelayo, ugqirha uza kucoca umqolo wakho ongezantsi aze afake inaliti encinci ye-anesthetic yendawo ukuze ingabi nantlungu. Usenokuziva unomsindo omncinci xa unikwa inaliti. Nangona kunjalo, loo ndawo iya kuba nentlungu emva kwexesha elithile.
3. Ukufaka inaliti: Emva kokufaka izihlunu emqolo wakho, ugqirha uza kufaka inaliti encinci ngononophelo phakathi kwamathambo akho amabini (ngesiqhelo emqolo ongezantsi). Awuyi kuva ntlungu ngeli xesha, kodwa ungaziva uxinzelelo oluthile.
4. Ukuthatha isampuli yamanzi: Nje ukuba inaliti ikwindawo efanelekileyo, ulwelo lwe-cerebrospinal (CSF) luza kuphuma kuyo ngethontsi. Ugqirha uza kuqokelela ubungakanani bayo obufunekayo kwiibhotile ezincinci ezininzi. Oku kuza kuthatha imizuzu embalwa.
5. Ukususwa kunye nebhandeji: Emva kokuba isampulu ithathiwe, inaliti isuswa ngononophelo kwaye ibhandishi encinci okanye iplasta ifakwa kwindawo yokufaka inaliti.
Uvavanyo lonke ludla ngokuthatha imizuzu eli-15 ukuya kwengama-30 . Inaliti isemva kwakho imizuzu embalwa kuphela.
Ungandilalisa ngeli xesha?
Hayi. Awuyi kunikwa i-anesthesia eqhelekileyo. Uza kunikwa i-anesthesia yendawo kuphela, ngoko ke uza kuba sengqondweni ngokupheleleyo. Kodwa awuyi kuva ntlungu.
Ndingenza ntoni emva kovavanyo?
Emva kovavanyo, ugqirha uza kukunika imiyalelo ethile. Kubaluleke kakhulu ukuyilandela ngokuchanekileyo.
- Lala phantsi: Uza kucelwa ukuba ulale ebhedini ubuncinane iyure enye, mhlawumbi iiyure ezininzi, emva kovavanyo. Oku kuya kunceda ukuthintela naziphi na iintloko ezibuhlungu ezinokubakho emva koko.
- Sela amanzi amaninzi: Sela amanzi amaninzi, afana namanzi kunye neziselo zeziqhamo, imini yonke. Oku kuya kunceda ekubuyiseleni ulwelo olulahlekileyo emzimbeni.
- Ziphephe izinto ozenzayo: Ziphephe ukuqhuba okanye ukusebenzisa oomatshini abanzima iiyure ezingama-24. Kwakhona, ziphephe izinto ezifuna amandla ezifana nokuphakamisa iintsimbi okanye ukuzilolonga usuku olunye okanye ezimbini.
- Phumla: Phumla kangangoko unako.
Ingaba kuqhelekile ukuba nentloko ebuhlungu emva kokuhlatywa kwe-lumbar?
Ewe, le yeyona mpembelelo ixhaphakileyo enokubakho emva kolu vavanyo. Asinguye wonke umntu oyifumanayo, kodwa malunga neshumi ekhulwini (10%) labantu banokuva le ntloko ibuhlungu.
Oku akufani nentloko eqhelekileyo. Intloko iba mandundu xa uhleli okanye umile, kwaye iba ngcono xa ulele. Ingaqala kwiiyure ezimbalwa okanye kwiintsuku ezimbalwa emva kovavanyo. Le ntloko isenokuhamba nezinto ezifana nesicaphucaphu, i-tachycardia, okanye i-hypotension.
Ezi ntloko zidla ngokuziphelela kwiintsuku ezimbalwa. Ukuphumla ngokwaneleyo, ukusela amanzi amaninzi, kunye nokusela isiselo esine-caffeine, njengekofu, kunokunceda. Ungabuza ugqirha wakho malunga nokusela amayeza okuphelisa iintlungu afana ne-paracetamol.
Ngawaphi amaxesha ekufuneka uye kugqirha ngawo?
Akusoloko kukho iingxaki ezinkulu emva kovavanyo. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko .
| Iimpawu ekufuneka uziqaphele | Inkcazo |
|---|---|
| Intloko ebuhlungu kakhulu | Intloko ebuhlungu ehlala iintsuku ezingaphezu kwezimbalwa kwaye engancedi ngamayeza aqhelekileyo okuthomalalisa iintlungu. |
| Into ephuma kwindawo yokubhoboza | Ukuba igazi okanye olunye ulwelo luvuza kwindawo ebhoboziweyo. |
| Iimpawu zosulelo | Ukuba indawo ebhoboziweyo ibomvu, idumbile, ivakala ishushu, okanye unomkhuhlane. |
| Ubungqindilili okanye ubuthathaka emilenzeni | Ukuba uziva ukurhawuzelela okungaqhelekanga okanye ukuba ndindisholo emilenzeni yakho. |
Ngaba oku kuya konakalisa umqolo wam?
Hayi. Olu lolona loyiko lukhulu lwabantu abaninzi. Xa kusenziwa i-lumbar puncture, inaliti ifakwa isezantsi kakhulu kunenqanaba lomqolo. Ke ngoko, akukho thuba lokonakala komqolo. Olu luvavanyo olukhuselekileyo kakhulu.
Umyalezo Wokuya Ekhaya
- Ukubhobozwa kwe-lumbar akukho nto ifanele yoyike. Luvavanyo olubaluleke kakhulu lokufumanisa izifo ezinxulumene nengqondo kunye nenkqubo yemithambo-luvo.
- Umqolo wakho uza kuba ndindisholo ngaphambi kovavanyo, ngoko awuyi kuva ntlungu, kodwa uya kuva uxinzelelo oluthile.
- Olu vavanyo alubangeli monakalo kumqolo wakho, kuba inaliti ifakwe ngaphantsi kakhulu kunayo.
- Usenokuba nentloko ebuhlungu emva kovavanyo. Oku kungalawulwa ngokuphumla ngokwaneleyo nokusela ulwelo oluninzi.
- Landela imiyalelo kagqirha emva nje kovavanyo. Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, yazisa ugqirha ngoko nangoko.
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