Ngaba ngamanye amaxesha uphathwa yintloko ebuhlungu xa usukuma okanye ulungisa intloko yakho? Kodwa ngaba intlungu iyaphela xa ulele okwethutyana? Okanye ngaba uphuma amanzi empumlweni okanye ezindlebeni ngaphandle kwesizathu? Nokuba ucinga ukuba ezi zinto zingumkhuhlane nje okanye intloko eqhelekileyo, ngamanye amaxesha le inokuba yimeko efuna ingqalelo engakumbi. Namhlanje sithetha ngenye yeemeko ezinjalo, 'ukuvuza kolwelo lomgogodla' (ukuvuza kwe-CSF ).
Yintoni ukuvuza kolwelo lomgogodla (CSF)?
Ngamafutshane, ingqondo yethu kunye nomthambo womqolo, ohamba ngasemva kwentamo yethu, zizitho ezimbini ezibuthathaka kakhulu. Ukuze zikhuseleke ekonakaleni, zijikelezwe lulwelo olucacileyo. Kufana nokufaka into ebuthathaka ngaphakathi komqamelo ogcwele amanzi. Olu lwelo lubizwa ngokuba yiCerebrospinal Fluid (CSF) .
Ukuthintela olu lwelo luxabisekileyo ukuba lungaphumi, lufumaneka kwisakhiwo esifana nengxowa esenziwe nge-membrane eqinileyo ebizwa ngokuba yi-dura mater. Ukuba ngesizathu esithile kukho umngxuma okanye ukukrazuka kule membrane, ulwelo lwe-CSF luya kuphuma kancinci kancinci. Yiloo nto siyibiza ngokuba kukuvuza kwe-CSF.
Oku kuvuza kunokwenzeka ngeendlela ezimbini eziphambili:
1. Ukuvuza kwe-CSF yentloko: Oku kwenzeka xa i-membrane ye-CSF engaphakathi kwentloko , ejikeleze ingqondo, yonakele. Oku kunokubangelwa yinto efana nokuqhekeka kwentloko.
2. Ukuvuza kwe-Spine CSF: Ukuba le membrane ivuza naphi na ecaleni komqolo .
Xa ulwelo luphuma ngale ndlela, umqamelo ojikeleze ingqondo uyancipha, kwaye uxinzelelo olungaphakathi kwentloko luyancipha. Oku kubizwa ngokuba yi-"Intracranial hypotension." Oku kubangela ukuba ingqondo igobe kancinci, okubangela iintloko ezibuhlungu . Ukuba le meko iyaqhubeka, imithambo yegazi ebuthathaka engqondweni inokolulwa kwaye ikrazuke, nto leyo ekhokelela kwimeko embi ebizwa ngokuba yi-subdural hematoma.
Kodwa ungakhathazeki, ukuvuza kwe-CSF yimeko engaqhelekanga kakhulu. Idla ngokuvela kubantu abamalunga nabahlanu kwikhulu lamawaka. Ixhaphake kakhulu kubantu abaneminyaka engama-30-40 ubudala.
Yintoni ebangela ukuvuza kwe-CSF?
Ngamanye amaxesha, akukho sizathu sithile sifumanekayo. Oogqirha bakubiza oku ngokuthi kukuvuza kwe-CSF 'okuzenzekelayo'. Nangona kunjalo, kwiimeko ezininzi, kukho izizathu ezithile ezibangela oku.
| Isizathu | Ingcaciso elula |
|---|---|
| Iinkqubo zonyango | Ngenxa yezinto ezifana nokubhobozwa kwe-lumbar, i-epidural injections ukuze kufakwe i-anesthesia , kunye ne-spinal catheters. |
| Utyando | Utyando lomqolo, olufana notyando lwe-transsphenoidal ukususa iithumba zobuchopho. |
| Ukonzakala | Ukulimala okukhulu entloko, entanyeni, okanye emqolo. |
| Uxinzelelo olunyukileyo ekhakhayini | Uxinzelelo lwegazi olungenanyango ngaphakathi kwentloko lunokubangela uxinzelelo oluphezulu kwi-membrane kwaye lubangele ukuba iqhekeke. |
| Ezinye iimeko zonyango | Izifo zezicubu ezidityanisiweyo ezifana ne-Ehlers-Danlos kunye ne-Marfan syndromes, kunye ne-bone spurs. |
Zithini iimpawu zokuvuza kwe-CSF?
Uphawu oluphambili nolubonakalayo lokuvuza kwe-CSF yintloko esixoxe ngayo kuqala, kodwa kunokubakho nezinye iimpawu ezininzi.
| Uphawu | Inkcazo |
|---|---|
| Iimpawu ezibonakala rhoqo | |
| Intloko ebuhlungu ethile | Intloko ebuhlungu iba mandundu xa uhleli okanye ume. Iyakhululeka xa ulele. Olu luphawu oluphambili. |
| Impumlo/iindlebe ezivuzayo | Ulwelo olucacileyo, olufana namanzi kune-mucus, oluphumayo ingakumbi xa intloko ityekile. |
| Incasa yesinyithi emlonyeni | Inencasa efana nentsimbi emlonyeni wakho. |
| Utshintsho kumbono | Umbono ofipheleyo, umbono ophindwe kabini. |
| Ezinye iimpawu | |
| Uvelwano | Uvelwano ekukhanyeni okukhanyayo nakwisandi. |
| Iingxaki zokuva | Ukukhala ezindlebeni, ukulahlekelwa yibhalansi (iingxaki zebhalansi). |
| Intlungu | Ukuqina kunye nentlungu entanyeni, intlungu phakathi kwamagqabi ehlombe. |
| Okunye | Isicaphucaphu, ukuhlanza, ukulahlekelwa yivumba. |
Yenziwa njani le nto yokuxilonga?
Ukuba ukrokrela ukuba unayo nayiphi na kwezi mpawu, bonana nogqirha ngokukhawuleza.Kubaluleke kakhulu. Ugqirha uza kukubuza ngeempawu zakho aze akuhlole ngokwasemzimbeni.
- Ungacelwa ukuba ugobe phambili uze ubone ukuba akukho manzi aphuma empumlweni yakho na. Ukuba akhona, kuya kuthathwa isampuli ize ithunyelwe kwilabhoratri ukuqinisekisa ukuba yi-CSF.
- Kunokwenziwa i-endoscopy, equka ukufaka ityhubhu encinci enekhamera empumlweni.
- Ungazijonga iindlebe zakho.
Ukongeza, kunokwenziwa uvavanyo oluninzi ukuze kuthathwe imifanekiso yengqondo kunye nomqolo ukuze kufunyanwe indawo echanekileyo yokuvuza.
- Iskeni ye-CT
- I -MRI
- I-Myelography (uvavanyo olukhethekileyo lomfanekiso womqolo)
- `I-Cisternography` (uvavanyo lomfanekiso wengqondo nomqolo)
Ngamanye amaxesha le meko ingachazwa gwenxa njenge-migraine okanye i-sinusitis . Ngoko ke, ukuba unentloko ebuhlungu eba mandundu xa usukuma kwaye iphucuke xa ulele , qiniseka ukuba uxelele ugqirha wakho ngayo.
Ukuba ayinyangwa, intsholongwane inokusasazeka iye kwiinwebu ezijikeleze ingqondo kwaye ibangele izifo ezinzulu ezifana ne-meningitis. Ke ngoko, ukuxilongwa kunye nonyango kubaluleke kakhulu.
Ziziphi iindlela zonyango ezikhoyo?
Unyango luxhomekeke kwindawo okuvuza kuyo, unobangela wayo, kunye nobunzima bayo.
Unyango lokuqala
Amaxesha amaninzi, ingakumbi ukuba ukuvuza kubangelwa yinto efana namanzi angena emqolo wakho, ugqirha uya kukuxelela ukuba uzame izinto ezimbalwa ezilula kuqala.
- Hlala nje ebhedini uphumle iintsuku ezimbalwa.
- Ukusela amanzi amaninzi kunye nolwelo .
- Ukusela i-caffeine (iti, ikofu).
Amaxesha amaninzi, ezi zinto zilula ziya kuziphilisa ngokwazo ukuvuza.
Unyango olukhethekileyo
Ukuba ukuvuza akuyeki xa kunyangwa okokuqala, ugqirha uza kusebenzisa ezinye iindlela zonyango.
- Ukuvuza kwe-CSF yoMgogodla:
- I-Epidural Blood Patch: Le yindlela esetyenziswa kakhulu nephumelelayo. Uthatha inani elincinci legazi lakho uze ulifake emqolweni wakho apho ucinga ukuba kukho ukuvuza khona. Igazi liyawavala aze avale umngxuma.
- Ngamanye amaxesha, kwenziwa utyando lokuvala umngxuma ngezititshi okanye nge-fat/ muscle graft .
- Ukuvuza kwe-CSF yeCranial:
- Ezi zihlala zifuna utyando. Lo mngxuma uvalwa nge-endoscopy yempumlo okanye utyando lwendlebe.
- Vala umngxuma.Kusetyenziswa i-graft yokwenziwa, isiqwenga somzimba wakho , iglu ekhethekileyo yotyando , okanye isamente yethambo .
Izinto ekufuneka uzilumkele emva konyango
Emva konyango lokuvuza kwe-CSF, kufuneka ulumke kakhulu ngexesha lokuchacha, elimalunga neeveki ezi-4-6, kuba i-membrane idinga ixesha lokuphola.
- Musa ukuphakamisa ubunzima obungaphezulu kweekhilogram ezili-4.5 (4.5 kg).
- Ziphephe izinto ezifana nokugoba phambili, ukuphakamisa iintsimbi, kunye nokujikajika .
- Kuphephe ukuzikhama xa ukhupha indle. Ukuba kuyimfuneko, cela ugqirha wakho ukuba akunike into yokuthambisa isitulo.
- Xa ukhohlela okanye uthimla, gcina umlomo wakho uvulekile . Oku kuya kunciphisa ukwakheka koxinzelelo ekhayeni.
- Ukuba impumlo yakho ivuza amanzi, kuphephe ukuyicola kakhulu.
- Musa ukusebenzisa izitro zokusela.
- Hlala ugcina umqolo wakho uthe nkqo xa usebenza. Ukuba kufuneka ugobe, goba emadolweni nasemaqakaleni.
Umyalezo Wokuya Ekhaya
- Uphawu oluphambili lokuvuza kwe-CSF yintloko ebuhlungu eba mandundu xa usukuma ize inciphe xa ulele.
- Ukuba ulwelo olucacileyo nolumanzi luphuma empumlweni okanye ezindlebeni zakho ngaphandle kwesizathu, okanye ukuba unencasa yesinyithi emlonyeni wakho, oko kungaba luphawu oluyingozi.
- Ukuba uneempawu ezinje, musa ukucinga ukuba ziqhelekile kwaye ngokuqinisekileyo bonana nogqirha.
- Ungakhathazeki. Uninzi lokuvuza kwe-CSF lunokupheliswa ngokupheleleyo ngokuphumla, ukufunxa amanzi emzimbeni, okanye unyango olulula.
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