Ingabe kukhona uketshezi olufana namanzi oluphuma ekhanda noma emhlane wakho? Ingabe lokhu kuvuza koketshezi lomgogodla (i-CSF leak)?

Ingabe ngezinye izikhathi umane nje uketshezi olucwebezelayo olufana namanzi aphuma ekhaleni lakho? Noma ingabe uphathwa yikhanda elivelayo uma usukuma, ugoba ikhanda lakho, noma ulala phansi? Ungase ucabange ukuthi lokhu kumane kungumkhuhlane ovamile noma okunye. Kodwa-ke, ngezinye izikhathi lokhu kungaba yinto okufanele uyikhathalele. Namuhla sikhuluma ngesimo esingabangela izimpawu ezifanayo, kodwa esingavamile kakhulu, kodwa kubaluleke kakhulu ukuqaphela. Lokho ukuvuza koketshezi lwe-cerebrospinal , noma njengoba odokotela bekubiza kanjalo (Cerebrospinal Fluid Leak) , noma (CSF Leak) ngamafuphi.

Kuyini uketshezi lomgogodla (CSF)? Kungani luvuza?

Kalula nje, uketshezi lomgogodla, noma i-CSF, luketshezi olukhethekile oluzungeza futhi luvikele ubuchopho bethu kanye nomgogodla . Lucwebezela njengamanzi. I-CSF inemisebenzi eminingana eyinhloko:

1. Okunomsoco: Lolu ketshezi luqukethe izakhamzimba ezidingwa ubuchopho bethu.

2. Ukunikeza isivikelo: Njengezinto ezimunca ukushaqeka emotweni, lolu ketshezi luvikela ubuchopho bethu kanye nomgogodla ekulimaleni okubangelwa ukudlidliza nokushaqeka. Luphinde lunikeze indawo yobuchopho yokuntanta.

Cabanga ngalokhu. Kwenzekani uma sifaka igilebhisi ebhodleleni lengilazi bese silinyakazisa ngamandla? Igilebhisi lingachotshozwa, lichotshozwe, akunjalo? Yilokho okwenzeka ebuchosheni bethu ngaphandle kwe-CSF. Kodwa-ke, uma sigcwalisa lelo bhodlela ngamanzi, sifake igilebhisi kulo, bese silinyakazisa, amanzi azokwenza igilebhisi lichotshozwe ngamandla, ngakho ngeke libangele umonakalo omkhulu. Yileyo ndlela i-CSF evikela ngayo ubuchopho bethu.

Ngakho-ke, lokhu kuvuza (CSF) kuphuma lapho kufanele kube khona kubizwa ngokuthi (CSF Leak) . Uma lokhu kuvuza kukhulu, kungakubangela izimpawu ezinzima. Kungenza kube nzima nokwenza imisebenzi yansuku zonke.

Ubani othinteka kakhulu yilesi simo (i-CSF Leak)?

Nakuba lokhu kungakhula kunoma ubani, abanye abantu bathambekele kakhulu kukho.

• Abantu abangaphezu kweminyaka engama-30, ikakhulukazi abaneminyaka ecishe ibe ngu-42, banamathuba amaningi okuzwa ukuvuza kwe-CSF okuzenzakalelayo ngaphandle kwesizathu esibonakalayo.
• Abesifazane nabo banamathuba amaningi okuthola lesi simo kunabesilisa.

Ingabe ukuvuza kwe-CSF kuyisimo esivamile?

Eqinisweni, ukuvuza kwe-CSF kubangela ukuthi ingcindezi yoketshezi ngaphakathi kwekhanda yehle. Lokhu kubizwa ngokuthi i-Intracranial Hypotension . Igama elithi "Intracranial" lisho "ngaphakathi kwekhanda," kanti elithi "Hypotension" lisho "ingcindezi ephansi kunejwayelekile." Lesi simo, esibizwa ngokuthi i-Intracranial Hypotension, siyisimo esingavamile. Senzeka kubantu abangaba ngu-5 kwabangu-100,000.

Kodwa-ke, ochwepheshe bakholelwa ukuthi ukuvuza kwe-CSF kuvame kakhulu . Isizathu salokhu ukuthi kunzima ukukuthola. Ngezinye izikhathi, ngisho nodokotela bakwenza kube ngezinye izimo, njenge -migraines .Ukutheleleka kwama-sinus kungaphambaniswa nokungezwani komzimba .

Lesi simo sithinta kanjani umzimba wami?

Uma kukhona ukuvuza kwe-CSF, inani loketshezi oluzungeze ubuchopho liyancipha. Lokhu kunciphisa ukuvikelwa kanye nokuntanta kobuchopho.

• Uma ukuvuza kuncane , ungase ungaboni umehluko omkhulu. Noma, ungase ube nezimpawu kodwa ucabange ukuthi zihlukile.
• Kodwa-ke, uma ukuvuza kukhulu ngokwanele , okubangela ukucindezeleka kwengqondo okungaphakathi kwekhanda, ubuchopho bakho buzoqala ukucwila phansi ngaphakathi kogebhezi lwakho. Lokhu kubeka ingcindezi engadingekile ezingxenyeni ezingezansi zobuchopho bakho. Lokhu kungaphazamisa ukusebenza kwalezo zingxenye, kubangele izimpawu ezingasukela ezimpawini ezincane, ezingabonakali kahle kuya ezimpawini ezinzima, ezingabekezeleleki.

Yiziphi izimpawu zokuvuza kwe-CSF?

Uma ukuvuza kuncane, ungase ungabi nazimpawu. Ngaphandle kwalokho, ungase ucabange ukuthi kuyinto ehlukile. Kodwa uma ukuvuza kukhulu futhi kubangela ukucindezeleka okuphansi ebuchosheni (i-intracranial hypotension), uzoqala ukuzwa izimpawu.

Uphawu oluyinhloko noluvame kakhulu yikhanda elibuhlungu elisesimeni esivamile.

Yilokhu okwenzekayo:

• Ikhanda lakho liyaba libi kakhulu uma umi noma uhleli .
• Uma ugoba noma ulala phansi, ikhanda liyancipha noma liyanyamalala ngokuphelele.

Izimpawu ziyahlukahluka kuye ngokuthi ukuvuza kukuphi.

Ezinye izimpawu zingahluka kuye ngokuthi ukuvuza kukuphi. Izindawo ezimbili eziyinhloko lapho uketshezi lomgogodla (i-CSF) lungavuza khona yizinsini zakho kanye nekhala lakho . Noma ngabe yikuphi, ungase ube nokukhishwa kwamanzi okucacile nokucacile ekhaleni lakho (i-rhinorrhea) . Lokhu akuyona umkhuhlane ovamile. Kunezinhlobo ezimbili zako:

1. Uma usula impumulo yakho ngethishu, lapho i-mucus evamile yoma, ithishu iba lukhuni futhi iqine kancane. Kodwa uma yomile (CSF), ithishu ayibi njalo .

2. Lokhu kuphuma kwamakhala ngezinye izikhathi kungenzeka ezimweni ezithile. Isibonelo, uma ugoba phambili, uthatha okuthile phansi, noma ubopha izintambo zakho zezicathulo .

Enye indawo lapho ukuvuza kwe-CSF kungabangela khona izimpawu kusezindlebeni . Ukuphuma koketshezi olucacile endlebeni (i-Otorrhea) nakho kuyisibonakaliso sokuvuza kwe-CSF. Kodwa-ke, lokhu akunakwenzeka kakhulu. Ukuze lokhu kwenzeke, kuzodingeka futhi ube nembobo endlebeni yakho (i-Tympanic Membrane) .

Ezinye izimpawu ezingase zenzeke ngokuvuza kwe-CSF

• Ukulahlekelwa yiphunga (i-Anosmia): Lokhu kuvame ukwenzeka uma kukhona ukuvuza koketshezi lomgogodla (i-CSF) ngenxa yokulimala kobuso.
• Umbono ofiphele noma umbono ophindwe kabili (i-Diplopia): Lokhu kungenzeka ngenxa yokucindezela kwemizwa yeso lapho ubuchopho buhla.
• Izinguquko zokuzwa noma ukulahlekelwa ukuzwa: Njengoba kushiwo ngenhla, lokhu kungabangelwa futhi ukucindezeleka kwemizwa exhunywe ezindlebeni lapho kushintsha izikhundla.
• I-Pulsatile Tinnitus: Ukuzwa umsindo wokushaya kwenhliziyo yakho ngaphandle kwezinsimbi zomculo.
• Ukuquleka: Lokhu kungenzeka kakhulu uma kuvuza kakhulu (CSF) noma uma kunesimo esibi kakhulu (Intracranial Hypotension).
• Ubuhlungu nokuqina kwentamo.
• Ukudla akunambitheki.
• Ikhanda elibuhlungu: Ngezinye izikhathi lokhu kungaba nzima kakhulu futhi kungabekezeleleki.
• Isiyezi noma umuzwa wokujikeleza nxazonke zakho (i-Vertigo).
• Isicanucanu nokuhlanza.
• I-Photophobia (ukungakwazi ukubuka ukukhanya).
• Izinkinga zokulinganisela nokuhamba ngezinyawo uma uhamba.

Yiziphi izimbangela zokuvuza kwe-CSF?

Ochwepheshe bathi cishe ama-90% okuvuza kwe-CSF abangelwa ukulimala . Ama-10% asele avele ngokuzumayo noma ngezizathu ezingaziwa.

Ukuvuza kwe-CSF Okubangelwa Ukulimala

Ukuvuza kwe-CSF kungenzeka ngenxa yokulimala okuhlukahlukene. Izibonelo:

• Ukulimala ebusweni, ekhanda, entanyeni, noma emgogodleni: Izibonelo ezivamile zifaka phakathi izingozi zezimoto. Ukulimala ekhaleni, ema-sinuses, ezindlebeni, ngemuva kwezindlebe, noma ngaphansi kogebhezi kungenzeka kakhulu ukuthi kubangele lokhu. I-Whiplash ingabangela nokuvuza koketshezi lwe-cerebrospinal (CSF) oluzungeze umgogodla.
• Amanxeba angena ngaphakathi: njengokugwazwa ngommese, ukudutshulwa.
• Ukulimala okubangelwa ukuhlinzwa kobuchopho.
• Ukulimala okubangelwa ukwelashwa okuhlobene nomphimbo, indlebe, kanye nekhala (izinqubo ze-ENT).
• Ukwelashwa okuhlobene nomgogodla: Isibonelo, lapho unikeza i-anesthesia ye-epidural , uhlikihla i-lumbar , noma uthatha uketshezi oluvela emgogodleni (umpompi womgogodla) .

Ezinye izimbangela ezingezona ukulimala

Ezimweni ezingaba ngu-10%, imbangela eqondile yokuvuza kwe-CSF ayaziwa. Kodwa-ke, ochwepheshe bathole ukuthi le nkinga ihlotshaniswa nezinye izimo ezithile zezokwelapha. Akukaziwa ngokuqinisekile ukuthi lezi zimo zibangela ukuvuza kwe-CSF, kodwa ucwaningo lwenziwa ngalokhu.

• Izinkinga zezicubu ezixhumeneyo ezenza buthaka izingqimba zezicubu ezibamba i-CSF: Isibonelo, izimo ezifana ne -Marfan Syndrome kanye ne-Ehlers-Danlos Syndrome .
• Ukwanda kwengcindezi ngaphakathi kwekhanda (Intracranial Hypertension): Lokhu kungabangela ukuthi izicubu ezizungezile zidabuke futhi kwakheke ukuvuza.
• I-Pseudotumor Cerebri.
• Ukukhuluphala: Ukukhuluphala okukhulu kakhulu.
• Ukukhubazeka kokuzalwa noma okutholakale ngendlela ikhala, ama-sinuses, noma ezinye izingxenye zekhanda ezakheka ngayo.

Ingabe lesi yisifo esithathelwanayo?

Cha. (I-CSF Leak) akusona isifo esithathelwanayo.Awukwazi ukusabalalisa lokhu komunye umuntu, futhi awukwazi ukukusabalalisa komunye umuntu.

Odokotela bakuthola kanjani lokhu?

Udokotela angaxilonga ukuvuza kwe-CSF ngokwenza ukuhlolwa ngokomzimba, ukubuza ngezimpawu zakho, nokubuza ngomlando wakho wezokwelapha kanye nezimo zamanje. Bangasebenzisa futhi izivivinyo ezahlukene zelebhu kanye nokuskena kwezithombe ukuqinisekisa noma ukuqeda ukuvuza kwe-CSF.

Uhlobo lokuhlolwa olwenzayo luzoncika ekutheni usola ukuthi ukuvuza kukuphi nokuthi ngabe uke waba nokulimala ngaphambilini (okudala noma okusha).

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi simo?

Kunezivivinyo eziningana ezingasetshenziswa ukuthola ukuvuza kwe-CSF. Iningi lalezi izivivinyo ze-imaging. Lokhu kuvumela odokotela ukuthi babheke ngaphakathi kwekhanda lakho nomgogodla ukuze babone ukuthi kukhona ukuvuza kuphi kanye nanoma yimuphi umonakalo ongase ukubangele.

• Ukuhlolwa koketshezi: Uma unezimpawu zekhala eligobhozayo (ikakhulukazi elivela ekhaleni), udokotela wakho angase afune ukuhlola uketshezi. Ukuhlolwa okuyinhloko kwalokhu ukuhlolwa kwe-beta-2 transferrin . Lokhu kubheka iphrotheni ebizwa ngokuthi i-tau , ekhona ku-CSF kodwa hhayi ekukhishweni kwamakhala. Okunye ukuhlolwa okungenziwa ukuhlolwa kwe-glucose . Lokhu kungenxa yokuthi inani le-glucose ku-CSF lifana nenani elisegazini. Kodwa-ke, inani le-glucose ekukhishweni kwamakhala liphansi kakhulu, noma alikho nhlobo.

• Ukuhlolwa kwezithombe kanye nokuxilonga:
• Ukuskena kwe-CT (i-Computerized Tomography)
• Izikeni ze-MRI (Umfanekiso Wokuqabulana Kwamagnetic)
• I-Angiography Yokususa Idijithali
• I-Myelography ( i-X-ray esebenzisa idayi ukujova intambo yomgogodla)
• I-Cisternography ( iskeni sokubheka izindlela ze-CSF)
• Ukubhoboza Kwethambo Lomgogodla/Umpompi Womgogodla: Kodwa-ke, lokhu akuvamile ukuba ukuhlolwa kokuqala okwenziwa lapho kusolwa ukuthi kukhona ukuvuza kwe-CSF.

Ilashwa kanjani i-CSF Leaks? Ingabe ingelapheka?

Esikhathini esiningi, odokotela abalaphi ukuvuza kwe-CSF ngqo. Lokhu kungenxa yokuthi ukuvuza kwe-CSF okubangelwa ukulimala okuningi kuzophola ngokwako ngokuhamba kwesikhathi ngokuphumula nje .

Kodwa-ke, uma ukuvuza kwe-CSF kungeke kuphole ngokwakho, noma uma kwaziwa ukuthi ngeke kuphole, kunezindlela zokwelapha ezahlukahlukene ezingasiza. Ezimweni eziningi, ukuvuza kungalungiswa noma kuvalwe . Lokhu kuzovimba izimpawu ukuthi zingabi zimbi noma kuzivimbele ukuthi zingenzeki.

Ezinye izifo ezingamahlalakhona, ikakhulukazi (i-Marfan Syndrome) noma (i-Ehlers-Danlos Syndrome)Izinkinga zezicubu ezixhumene nalesi azinakwelashwa. Uma ukuvuza kwe-CSF kwenzeka ngenxa yesimo esifana nalesi futhi kungelashwa ngokuqondile, odokotela bazozama ukwelapha izimpawu zakho.

Uhlobo luni lomuthi noma ukwelashwa olusetshenziswayo?

Ukwelashwa okutholayo kuzoncika ezintweni ezifana nembangela yokuvuza kwe-CSF kanye nendawo ekuyo.

• Ukwelashwa Okulondolozayo: Lokhu akuyona indlela yokwelapha ngqo i-CSF Leaks. Lokhu kuhilela ukuphumula embhedeni isikhashana. Futhi, ukuhlala unamanzi . Imithi yobuhlungu nokuvuvukala nayo ivamile. Uma ukuvuza kubangele umfutho ophansi we-CSF, ungase welulekwe ukuthi uthathe izithasiselo ze-caffeine nosawoti . Uma lokhu kwelashwa okuvamile kungasizi ngemva kwesonto noma amabili, udokotela wakho angase ancome ukwelashwa okuqondile okwengeziwe.

• Ukuhlinzwa Nezinqubo Ezihlobene Nazo: Ukuhlinzwa kuyindlela evamile yokulungisa ukuvuza kwe-CSF. Uma ukuvuza kubangelwa ukulimala okukhulu, ukuhlinzwa kungavala ngqo ukuvuza noma kulungise indawo eyonakele. Okunye ukuhlinzwa kungenziwa ngekhanda. Okunye kungenziwa ngekhala noma ngomlomo. Uhlobo lokuhlinzwa luncike endaweni, imbangela, kanye nobukhulu bokuvuza.

• Imijovo Yesichibi Segazi: Enye yezindlela eziyinhloko zokwelapha ukuvuza kwe-CSF ngaphandle kokuhlinzwa yi -Blood Patch . Kulokhu, udokotela ufaka inaliti emhlane wakho ongezansi (isigaba se-lumbar). Uma isisendaweni efanele, inani elincane legazi lakho liyathathwa bese lifakwa kwi-CSF ezungeze umgogodla wakho. Igazi libe seliyi-"patches" ukuvuza, noma liyivale. Ngezinye izikhathi kungadingeka i-Blood Patch engaphezu kweyodwa. Kodwa-ke, abantu abaningi bazizwa bekhululekile ngemva kweyokuqala.

• Imithi: Kunezinhlobo eziningana zemithi engasiza ngokuvuza kwe-CSF. Eminye yehlisa ingcindezi ngaphakathi kwekhanda. Eminye inikezwa izimpawu ezinzima njengobuhlungu. Ama-antibiotic nawo anganikezwa. Uma amabhaktheriya engena ebuchosheni nge-CSF, izifo eziyingozi ezifana ne-meningitis kanye ne-encephalitis zingavela.

Yiziphi izinkinga noma imiphumela emibi yokwelashwa?

Izinkinga kanye nemiphumela emibi yokwelashwa kuncike endaweni lapho ukuvuza kwakho (i-CSF) kuvuza khona, ubukhulu bako, imbangela, kanye nokwelashwa okutholayo. Udokotela wakho angachaza izinkinga ezingaba khona kanye nemiphumela emibi ethile ngesimo sakho nokuthi yini ongayenza ukuze uzinciphise noma uzigweme.

Ngizinakekela kanjani/ngiphatha kanjani izimpawu?

Ukuvuza kwe-CSF akuyona into ongayixilonga noma oyelapha wedwa. Uma usola ukuthi unalesi simo, kufanele ubonane nodokotela ngokushesha okukhulu.Lokhu kungenxa yokuthi izimpawu zalesi simo zingafana nezezimo zezokwelapha ezingathi sína ezidinga ukunakekelwa kwezokwelapha ngokushesha.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Isikhathi esithathwayo ukuze ululame futhi uzizwe ungcono siyahlukahluka kuye ngokwelashwa. Abantu abaningi bazizwa bekhululekile ngokulala phansi nje baphumule. Kodwa kwabanye, kungathatha izinsuku, ngisho namasonto, ukuze balulame.

Ngingayinciphisa noma ngiyivimbele kanjani ingozi yokuba lesi simo sivele?

(I-CSF Leak) yinto eyenzeka ngokungalindelekile. Ngakho-ke, ayinakuvinjelwa ngokuphelele. Kodwa-ke, ungazama ukuzivikela ezimweni noma ezimweni ezingabangela ukuvuza. Kodwa ungakwenza lokhu kuphela ngezimbangela ezibangelwa ukulimala.

Into ebaluleke kakhulu ongayenza ukuvimbela ukuvuza kwe-CSF ekulimaleni ukugqoka imishini yokuzivikela . Ukulimala ebusweni, ekhanda, entanyeni, nasemgogodleni kungabangela ukulimala okungaholela ekuvuvukeni kwe-CSF. Kungakhathaliseki ukuthi usemsebenzini noma empilweni yakho, unganciphisa le ngozi ngokusebenzisa izinto zokuzivikela kanye nemishini.

Yini engingayilindela uma nginalesi simo?

Ukuvuza kwe-CSF ngezinye izikhathi kungaba nzima ukukuthola. Kodwa-ke, umphumela ophelele walesi simo muhle . Nakuba izimpawu zingaba yinkinga, zibe zimbi kakhulu, noma ziphazamise imisebenzi yansuku zonke, lesi simo sivame ukwelashwa. Iningi labantu abanokuvuza kwe-CSF liyalulama uma ukuvuza sekulungisiwe, kungaba ngokwelashwa noma ngokuhlinzwa.

Kuhlala isikhathi esingakanani ukuvuza kwe-CSF?

Ukuvuza kwe-CSF kungahlala izinsuku, amasonto, noma ngisho nezinyanga. Kuncike kubukhulu bokuvuza nokuthi yini ebangele lokho. Ukwelashwa kunganciphisa kakhulu isikhathi ozwa ngaso imiphumela yokuvuza kwe-CSF. Udokotela wakho ungumuntu ongcono kakhulu ukwazi ukuthi lesi simo sizokuthinta isikhathi esingakanani nokuthi yini engenziwa ukuze akusize.

Iyini ikusasa lalesi simo?

Sekukonke, umbono wokuvuza kwe-CSF muhle kakhulu . Cishe abantu abangu-98% abanokuvuza kwe-CSF bayalulama, kungakhathaliseki ukuthi imbangela iyini.

Ngizinakekela kanjani?

Uma uvuza i-CSF, kufanele ulandele imiyalelo kadokotela wakho yokuthi ungazinakekela kanjani. Bangumthombo ongcono kakhulu wolwazi ngalokho ongakwenza nalokho okufanele ukwenze. Bazokutshela nokuthi yiziphi izimpawu noma izimpawu eziyisixwayiso okufanele uziqaphele, nokuthi yini okufanele uyigweme.

Kufanele ngimbone nini udokotela wami noma ngifune iseluleko sezokwelapha?

Uma ucabanga ukuthi uvuza yi-CSF, kufanele ukhulume noma ubonane nodokotela. Nakuba lesi simo ngokuvamile singabangeli izinkinga ezinkulu noma ezisongela ukuphila, izimpawu zaso zifana nezesimo esiphuthumayo nesiyingozi.

Uma kutholakale ukuthi uvuza yi-CSF, udokotela wakho uzohlela ukuvakasha okulandelayo ukuze akuqaphe njengoba ululama. Uma uzizwa sengathi izimpawu zakho ziya ziba zimbi kakhulu noma zibangela ukuphazamiseka okusha empilweni yakho yansuku zonke, kufanele ubonane nodokotela wakho.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Uma uvuza i-CSF, kufanele uye ekamelweni lezimo eziphuthumayo uma unesifo sekhanda esibuhlungu ngokuzumayo, ubuthakathaka bemisipha, noma ubunzima bokuma . Kufanele futhi ubabone uma uzwa ukungabi namandla noma ubuthakathaka noma kuphi emzimbeni wakho, ikakhulukazi ezingalweni zakho, emilenzeni, ezinyaweni nasezithweni . Lokhu kungaba izimpawu zokulimala komgogodla wakho, okungaholela ngisho nasekukhubazekeni unomphela.

Futhi, kufanele ufune usizo lwezokwelapha oluphuthumayo uma uhlangabezana nezimpawu ezifana nohlangothi . Lezi zifaka:

• Ubuthakathaka, ukuba ndikindiki, noma ukukhubazeka kolunye uhlangothi lomzimba.
• Inkulumo engacacile noma inkulumo engacacile.
• Ukugoba kolunye uhlangothi lobuso noma ukulahlekelwa umbono kwelinye iso.
• Ubunzima bokugwinya.
• Ukudideka, ukucasuka, noma ukucasuka.
• Ubunzima bokugxilisa ingqondo, ukucabanga, noma ukukhumbula.
• Ikhanda elibuhlungu ngokuzumayo, elibi kakhulu, ikakhulukazi uma liphazamisa imisebenzi yakho evamile.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuvuza koketshezi lwe-cerebrospinal, noma ukuvuza kwe-CSF, kuyisimo esingakhulunywa ngaso kaningi, kodwa ngezinye izikhathi kungabangela izimpawu ezingakhululekile nezinzima kakhulu. Kodwa, ungesabi. Ngokuthuthuka kwezokwelapha nobuchwepheshe besimanje, odokotela bakwazile ukuxilonga le nkinga ngokushesha nangokulula. Futhi, odokotela manje sebekwazi ukwelapha le nkinga kangcono kunangaphambili. Ngakho-ke, umbono walesi simo muhle kakhulu .

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma unalezi zimpawu, kunokuqagela . Ngezinye izikhathi, ukuphumula okulula kungasiza. Ngaphandle kwalokho, ungalulama ngokushesha ngokwelashwa okufanele. Udokotela wakho uzokunikeza isiqondiso esingcono kakhulu. Hlala uphilile!

Uketshezi lomgogodla, ukuvuza kwe-CSF, ikhanda elibuhlungu, impumulo egobhozayo, ubuhlungu bomhlane, i-neuropathy, ingcindezi ebuchosheni