Ingabe ikhala elimanzi liyimbangela yekhanda elibuhlungu? Ake sifunde ngokuvuza kwe-CSF (ukuvuza kwe-Cerebrospinal Fluid)

Ngezinye izikhathi ungase ube nekhala eligobhozayo ngaphandle kokuba nomkhuhlane. Noma ungase uzizwe ikhanda elizwakala sengathi lizoqhekeka uma uvuka ulele phansi. Ngokuvamile asizinaki kakhulu lezi zinto. Kodwa lezi zingaba izimpawu zesimo sezokwelapha ongakaze usicabange, futhi esingaba sibi kakhulu. Namuhla sikhuluma ngesinye salezo zimo, i-Cerebrospinal Fluid (CSF) Leak.

Kalula nje, kuyini ukuvuza kwe-CSF?

Kulungile, ake sithathe uhambo oluncane ngaphakathi emzimbeni wethu ukuze siqonde lokhu. Ubuchopho bethu kanye nomgogodla kuyizitho ezimbili ezizwela kakhulu. Ngakho-ke ukuze sizivikele, umzimba wethu udale uketshezi oluhle olufana nomcamelo oluzungezile. Lolu ketshezi lubizwa ngokuthi i-Cerebrospinal Fluid (CSF) . Le CSF iqukethwe ngaphakathi kwesembozo esenziwe ngama-membrane amathathu amancane. Kwezokwelapha, lokhu sikubiza ngokuthi ama-meninges.

Manje ake ucabange ukuthi ngesizathu esithile, kuvela imbobo encane noma ukudabuka kulesi simbozo se-meningeal, ikakhulukazi engqimbeni ewugqinsi engaphandle, i-dura mater . Bese, lolo ketshezi oluyigugu lwe-CSF luqala ukuphuma kancane kancane. Yilokho esikubiza ngokuthi i -CSF Leak .

Ukulahlekelwa yilolu ketshezi akukuhle ebuchosheni bethu nasemgogodleni, ngoba kulahlekelwa isivikelo kanye nebhalansi yokucindezela esinikezayo.

Kunezinhlobo ezimbili zokuvuza kwe-CSF:

Lokhu kuvuza kungahlukaniswa kube izinhlobo ezimbili eziyinhloko kuye ngokuthi kwenzeka kuphi.

1. Ukuvuza kwe-Cranial CSF: Lokhu kwenzeka ngaphakathi kwekhanda, okungukuthi, eduze kogebhezi. Uketshezi oluphuma lapha lungavame ukuphuma ngekhala noma ngezindlebe.

2. Ukuvuza kwe-CSF yomgogodla: Lokhu kwenzeka emgogodleni, endaweni ezungeze umgogodleni.

Izimpawu esizibonayo kulezi zinhlobo ezimbili nazo zihlukile kancane komunye nomunye.

Ziyini izimpawu zalesi simo?

Izimpawu zokuvuza kwe-CSF ziyahlukahluka kuye ngokuthi kukuphi nokuthi kuvuza uketshezi olungakanani. Ngezinye izikhathi, uma ukuvuza kuncane kakhulu, ungase ungaboni nhlobo izimpawu. Ake sibheke izimpawu ezivamile ezihambisana nalezi zinhlobo ezimbili.

Yini ebangela ukuvuza kwe-CSF?

Ngokuvamile, ukuvuza kwe-CSF kwenzeka ngenxa yokulimala noma ingozi ethile.

• Ukushaywa kanzima ekhanda noma emhlane.
• Ukusonteka kwentamo ngokuzumayo (ukushaywa ngempama okukhulu).
• Inxeba elibangelwa yinto ebukhali, njengenxeba lokugwazwa.

Lesi simo singase senzeke nangemva kokwelashwa okuthile.

• Ukuhlinzwa kobuchopho noma umgogodla.
• Ukuhlinzwa kwendlebe, impumulo nomphimbo.
• Ngemva kwezinto ezifana nokubhoboza i-lumbar noma i-epidural.

Kodwa akuvamile kakhulu, lokhu kuvuza kungenzeka ngaphandle kwesizathu esibonakalayo. Lokhu sikubiza ngokuthi 'ukuvuza okuzenzakalelayo'. Ngezinye izikhathi, le ngozi ingandiswa futhi yizimo zokuzalwa nazo, njenge -Marfan syndrome , ebuthakathaka izicubu ezixhumeneyo emzimbeni wethu.

Ingabe lokhu kungaba yingozi empilweni?

Kalula nje, i-CSF iwuketshezi oluvikelayo olugcina ubuchopho buhamba. Uma luncane kakhulu lolu ketshezi, ubuchopho bulahlekelwa ukuntanta kwalo bese buqala ukugoba ngaphakathi kwekhanda. Lokhu kungabangela ukulimala kobuchopho ngisho nokukhubazeka okungapheli.

Okuyingozi nakakhulu ukuthi imbobo ekuleso simbozo ivumela amagciwane ukuthi angene ebuchosheni . Lokhu kutheleleka, okwenzeka lapho amagciwane engena esimbozweni sobuchopho, kubizwa ngokuthi i-meningitis.Lesi yisimo esibucayi kakhulu esidinga ukwelashwa okuphuthumayo.

Ukuthola kanjani lokhu, Dokotela?

Uma usola ukuthi unesifo sokuvuza kwe-CSF, awukwazi ukuxilonga noma ukuzelapha ekhaya. Kufanele nakanjani ubone udokotela.

Udokotela uzoqala alalele ngokucophelela izimpawu zakho, akuhlole, bese eyalela ukuhlolwa okuningana ukuqinisekisa ukuthi unesifo.

• Ukuhlolwa koketshezi: Kuthathwa isampula yoketshezi oluvela ekhaleni noma endlebeni yakho bese kuhlolwa iphrotheni ebizwa ngokuthi i-beta-2 transferrin, etholakala kuphela kuketshezi lwe-CSF.
• Ukuhlolwa Kokuthwebula Izithombe: Kusetshenziswa ukuskena okukhethekile okufana ne -CT scan , i-MRI scan , kanye ne-myelogram ukuthola indawo eqondile yokuvuza.

Yiziphi izindlela zokwelapha lokhu?

Indlela yokwelapha incike ohlotsheni lokuvuza, indawo okuyo, kanye nobunzima balo.

Ukwelashwa Okuvamile kanye Neseluleko

Ukuvuza okuncane, ikakhulukazi lokho okwenzeka ngemva kokuvuza kwamanzi, kuzophola ngokwako. Udokotela wakho angakunikeza iseluleko sokuthi ungakwelapha kanjani:

• Ukuphumula Embhedeni: Utshelwa ukuthi ulale phansi uphumule izinsuku ezimbalwa.
• Phuza amanzi amaningi: Kubalulekile ukugcina amazinga oketshezi emzimbeni.
• Ukudla i-caffeine: Ngezinye izikhathi, iziphuzo ezine-caffeine njengekhofi zingasiza ekuphatheni ikhanda. Kodwa lokhu kufanele kwenziwe kuphela ngaphansi kweseluleko sikadokotela.
• Gwema izinto ezandisa ingcindezi: Izinto ezifana nokuthimula, ukukhwehlela, ukuphakamisa izinsimbi, kanye nokuzikhandla ukuze uye endlini yangasese kungandisa ingcindezi ye-CSF futhi kulibazise ukuphulukiswa kokuvuza.

Ukwelashwa okuqondile

Uma ukuphumula kukodwa kungasizi, udokotela angase asebenzise izindlela zokwelapha ezinjengalezi.

Ngokuvuza kwe-CSF yomgogodla:

• I-Epidural Blood Patch: Lokhu kuyindlela yokwelapha ephumelela kakhulu. Okwenzayo lapha ukukhipha igazi engalweni yakho bese ulihlaba endaweni yomgogodla wakho lapho ucabanga ukuthi kukhona ukuvuza khona. Igazi bese livala imbobo njengeplasta.
• Ukuhlinzwa: Akuvamile kakhulu, uma i-blood patch ingaphumeleli, kungase kudingeke ukuhlinzwa ukuze kuthungwe imbobo.

Ngokuvuza kwe-Cranial CSF:

• Ukulungiswa kwe-Endoscopic:Ngobuchwepheshe obuthuthukisiwe banamuhla, ikhamera encane ingafakwa ngekhala, ithole ukuvuza bese iyivala ngaphandle kokuvula ugebhezi.
• Ukuhlinzwa Okuvulekile: Kwezinye izimo eziyinkimbinkimbi, ukuhlinzwa kungenziwa ngokuvula ugebhezi.

Kufanele uye nini kudokotela? Kufanele uye nini ku-ETU?

Lokhu kubaluleke kakhulu. Uma unezimpawu zokuvuza kwe-CSF, bona udokotela ngokushesha. Kodwa-ke, kwezinye izimo eziphuthumayo, kungadingeka uye e -ETU (Emergency Treatment Unit) ngokushesha.

Ukuvuza kwe-CSF kungaba yinto eyesabekayo, kodwa ngokuvamile kungalapheka ngokuphelele uma kutholakale futhi kwelashwe kusenesikhathi. Into ebalulekile ukungazinaki lezi zimpawu ezincane umzimba wakho okunikeza zona.