Ngaba nawe ukhe waphathwa yintloko ngenxa yokwenzakala komqolo? Masifunde ngale ntloko ibuhlungu yomqolo!

Ngaba wakha waba nentloko ebuhlungu enganyamezelekiyo, ingakumbi emva kokutofwa emqolo? Okanye ngaba uvakalelwa kukuba intlungu iba mandundu xa uhleli okanye umile, ize ibe ngcono xa ulele? Ukuba kunjalo, usenokuba unemeko ebizwa ngokuba yiSpinal Headache, esiza kuthetha ngayo namhlanje. Ungakhathazeki, masithethe ngayo ngokweenkcukacha .

Yintoni Intloko Ebuhlungu Yomgogodla?

Ngamafutshane, intloko ebuhlungu yomqolo yintloko ebuhlungu ebangelwa kukuncipha kobuninzi bolwelo lwe-cerebrospinal (CSF) , ulwelo olujikeleze ubuchopho bakho. Khawuthelekelele ukuba ubuchopho bethu kunye nomqolo, ohamba emqolo wakho, zikhuselekile njengomqamelo ozaliswe lolu lwelo lwamanzi olubizwa ngokuba yi-CSF. Olu lwelo londla ubuchopho kwaye lukhusela ubuchopho kunye nomqolo kwiintshukumo ezikhawulezileyo.

Ngoko ke, ukuba ngesizathu esithile olu lwelo lwe-CSF olujikeleze ingqondo luyancipha, oko kukuthi, ukuba luvuza, inkxaso yengqondo iyancipha. Emva koko ingqondo iqala ukugoba kancinci. Ngeli xesha, izicubu ezithambileyo kunye nemithambo-luvo edibene nengqondo iqala ukutsala. Oko kutsala yinto esiyivayo njengentloko ebuhlungu.

Oku kukwabizwa ngokuba:

• Intloko ebuhlungu emva kokubhoboza
• Intloko ebuhlungu ye-epidural
• Intloko ebuhlungu ephantsi koxinzelelo

Kutheni le nto intloko ebuhlungu yomqolo isenzeka?

Isizathu esiphambili sale nto yinkqubo yezonyango esiyibiza ngokuba yi- "spinal tap." Oko kukuthi, ukubhobozwa kwe-lumbar okanye i-spinal tap .

Ukubhajwa komqolo/ukubhajwa kwethambo lomqolo yeyona nto iphambili

Oogqirha benza ii-lumbar punctures ngezizathu ezahlukeneyo. Ukuze bafumane isampuli ye-CSF ukuze kufunyaniswe iimeko ezithile, okanye ukunika i-anesthesia. Usenokukhumbula i-epidural anesthesia enikwe umqolo ukunciphisa iintlungu ngexesha lokubeleka. Yiloo nto yenzelwe yona.

Kule nkqubo, ugqirha ufaka inaliti encinci kumjelo wakho womqolo, nokuba kukusebenzisa umqolo ongezantsi okanye ukunika i-anesthesia okanye ukuthatha isampuli ye-CSF. Nangona kunjalo, ngamanye amaxesha umngxuma omncinci kwi-meninges, i-membrane ejikeleze intambo yomqolo, unokubangela ukuba i-CSF iphume.

Xa ulwelo lwe-CSF luncipha, uxinzelelo olujikeleze ingqondo nalo luyancipha. Oku sikubiza ngokuba yi- intracranial hypotension . Emva koko ingqondo ibonakala ngathi ixhomekeke kancinci. Yiloo nto ebangela intloko ebuhlungu.

Izifundo zibonisa ukuba olu hlobo lwentloko ebuhlungu yomqolo lunokwenzeka kwi-10% ukuya kwi-40% yeempumlo ze-lumbar.

Ngaba zikho ezinye izizathu?

Ewe, ayisiyompompo yomqolo kuphela. Amaxesha amaninzi, ukuvuza kwe-CSF kunokubakho ngenxa yezinye izizathu, okubangela intloko ebuhlungu yomqolo.

• I-cyst ebonakala ngathi yi-water blister kufutshane nomqolo wakho iyaqhuma.
• Ukukrazuka kwi-membranes ezikhuselayo (meninges) ezijikeleze umnqonqo.
• Ukwenzakala okukhulu entloko okanye ebusweni, njengokhakhayi oluqhekekileyo.

Zithini iimpawu zentloko ebuhlungu yomqolo?

Kumntu okhe waba ne-spinal tap, ezi ntloko ziqala kwiintsuku ezimbini ukuya kwezintathu. Nangona kunjalo, ngamanye amaxesha zinokuvela emva kweenyanga.

Iimpawu eziphambili zezi:

• Intloko ebuhlungu nebuhlungu eqala ebunzini okanye ngasemva kwentloko.
• Intlungu iyanda xa uhleli okanye umi, kwaye iyancipha kancinci xa ulele. Olu lolona phawu luphambili nolubalaseleyo lwale ntloko ibuhlungu.
• Intloko ebuhlungu iba mandundu xa ukhohlela, utsala nzima, okanye uzama ukukhupha indle.
• Isicaphucaphu.
• Intlungu okanye ukuqina kwentamo.
• Isiyezi.
• Utshintsho embonweni kunye novakalelo ekukhanyeni, oko kukuthi, i-photophobia .

Ukongeza, ezi mpawu zilandelayo zinokubonwa rhoqo:

• Ukuva isandi ezindlebeni (Tinnitus) .
• Ukulahlekelwa kukuva.
• Iimpawu ezinje ngokuba ndindisholo okanye ukulahlekelwa yimvakalelo ezandleni (iimpawu ze-Radiculopathy) .

Ezi mpawu zinokuthatha ixesha elingakanani?

Uninzi lwexesha, ezi ntloko zomqolo zinokuhlala iiyure ezimbalwa ukuya kwiintsuku ezimbalwa. Kodwa kwabanye abantu, zinokuhlala ixesha elide. Ukuba unale mpawu ixesha elingaphezulu kweeyure ezingama-24, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Ngubani onokuba nethuba elikhulu lokuphuhlisa ezi zinto? (Izinto Ezinobungozi)

Abanye abantu banamathuba amaninzi okuba neentloko ezibuhlungu zomqolo. Kukho izinto ezininzi ezibangela oku:

• Ukusela amanzi amancinci (ukuphelelwa ngamanzi emzimbeni).
• Iimeko ezichaphazela umzimba wonke, ezifana noxinzelelo lwegazi oluphezulu kunye nomkhuhlane.
• Ukuba ngumntu ohlala ephathwa yintloko ebuhlungu.
• Kwabo banobunzima obuphantsi bomzimba (i-Low body mass index - BMI).
• Uhlobo lwenaliti esetyenziselwa i-spinal tap. Le ngozi iphezulu xa kusetyenziswa iintlobo ezithile zeenaliti (ezisikayo okanye ezinkulu).

Amaxesha amaninzi, ezi ntloko zomqolo zibonakala kubafazi abaphakathi kweminyaka engama-20 ukuya kwengama-40 ubudala abafumana i-epidural anesthesia emqolo wabo ngelixa bebeleka.

Ugqirha wazi njani ngokuqinisekileyo ukuba le yintloko ebuhlungu yomqolo?

Ugqirha uza kugqiba ukuba ingaba yintloko yomqolo ngokusekelwe kwimibuzo oyibuzayo (imbali yakho yezonyango) kunye neempawu zakho. Ukuba ukhe waxinwa yi-spinal tap kutshanje, oko kukuthi, kwiintsuku ezili-14, uxilongo lucacile. Kwimeko enjalo, akukho mfuneko yolunye uvavanyo.

Nangona kunjalo, ukuba awunayo i-spinal tap, ugqirha wakho unokuyalela i -MRI (Magnetic Resonance Imaging) scan ukuze kufunyanwe unobangela wentloko yakho. Oku kungajonga ngokusondeleyo ubuchopho bakho kunye nomqolo ukuze kubonwe ukuba akukho na ukuvuza kolwelo lwe-CSF.

Zithini iindlela zonyango zoku?

Oogqirha badla ngokucebisa oku kulandelayo ukunyanga intloko ebuhlungu yomqolo:

Izinto onokuzenza ekhaya

• Lala phantsi kwindawo ethe tyaba uze ulale phantsi. Kungcono ukulala phantsi kangangoko kunokwenzeka, kuba ukuma nokuhlala phantsi kunokubangela iintlungu ezingaphezulu.
• Sela amanzi amaninzi kunye nolwelo. Ingakumbi iziselo ezine-caffeine, ezifana nekofu, iti, kunye nezinye iziselo ezibandayo, zinokunceda.
• Sebenzisa izithomalalisi zentlungu/i-analgesics ezithengiswa ngaphandle kwemvume kagqirha onokuzifumana kwikhemesti.

Unyango lukagqirha

Ngamanye amaxesha olu nyango lungasentla aluncedi. Ukuba usenentloko ebuhlungu emva kweentsuku ezimbalwa, ugqirha wakho unokucebisa inkqubo ebizwa ngokuba yi-epidural blood patch . Oku kubandakanya ukufaka igazi lakho emngxunyeni apho i-CSF ivuza khona. Igazi liyawavala kwaye liwavale umngxunya. Oku kunceda abantu abaninzi ukuba baphile ngokukhawuleza.

Kunqabile kakhulu ukuba utyando lufuneke ukuze kulungiswe ukuvuza kwe-CSF.

Ngaba intloko ebuhlungu yomqolo ingathintelwa?

Akukho nto unokuyenza ukuthintela oku. Nangona kunjalo, oogqirha basebenzisa uhlobo oluthile lwenaliti (inaliti engasikiweyo) ebhityileyo kangangoko xa besenza umthambo womqolo ukunciphisa lo mngcipheko.

Oku kuza kuphola ngokukhawuleza kangakanani? (Ingqikelelo)

Akukho nto yokoyika ngezi ntloko zomqolo. Uninzi lwexesha (malunga nama-85%) ziya kuphela ngaphandle konyango. Ukuba sisebenzisa unyango lwe-epidural blood patch esithethe ngalo ngaphambili, intloko iya kuphela ngokupheleleyo kwiiyure ezingama-24 kwi-60% ukuya kwi-70% yamatyala.

Nangona kunjalo, kunqabile ukuba kubekho iimeko ezinzima...

Nangona oku kunqabile kakhulu, iintloko ezibuhlungu zomqolo ezingapheliyo neziqatha zinokukhokelela kwiingxaki ezifana nezi:

• I-Cerebral venous sinus thrombosis – Ukuqhekeka kwegazi kwimithambo yegazi yengqondo.
• I-hematoma engaphantsi kwesisu – ingqokelela yegazi elijikeleze ingqondo.
• Ukuxhuzula.
• I-Hypopituitarism – ukungasebenzi kakuhle kwe-pituitary gland.
• I-Syringomyelia – Ukwakheka kwemingxuma egcwele ulwelo ngaphakathi kwintambo yomqolo.
• Ukuqhekeka kobuchopho – ukuvela kwenxalenye yengqondo ngenxa yoxinzelelo olugqithisileyo.
• Imeko ye-Coma.
• Nokufa kunokwenzeka (kodwa oku kunqabile kakhulu ).

Asitsho oku ukuze sikoyikise, kodwa kulungile ukuqaphela olu hlobo lwemeko. Yiyo loo nto sisithi ukuba intloko yakho ibuhlungu kwaye ihlala ihleli, ngokuqinisekileyo kufuneka ubone ugqirha.

Ndifanele ndimbone nini ugqirha?

Ukuba unentloko ebuhlungu emva kokutsalwa ngumqolo kwaye ihlala ixesha elingaphezulu kweeyure ezingama-24, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Kwakhona, ukuba unengxaki yokuchama, okanye ukuba uziva ngathi ulahlekelwa ziimvakalelo emqolo okanye emilenzeni yakho, oko kungaba luphawu lwengxaki enkulu. Ukuba oku kuyenzeka, kufuneka uye esibhedlele ngoko nangoko.

Umyalezo Wokuya Ekhaya

Sonke sifumana iintloko ezibuhlungu ngamanye amaxesha ngezizathu ezahlukeneyo. Kodwa intloko ebuhlungu yomqolo ayisiyontloko iqhelekileyo onayo. Ukuba uneentloko ezibuhlungu emva kokutsalwa ngumqolo okanye i-epidural, xelela ugqirha wakho. Uninzi lwexesha, ezi ntloko ziyaphela zodwa, kodwa unokufuna unyango, olufana ne-epidural blood patch. Ke ngoko, kubalulekile ukufuna ingcebiso kagqirha ngaphambi kokuba wenze naziphi na izigqibo ngokwakho.

Intloko ebuhlungu yomqolo, umbhobho womqolo, intloko ebuhlungu, ukubhobozwa kwe-lumbar, i-epidural, i-CSF, ulwelo lwe-cerebrospinal