Wena noma othile omaziyo kungenzeka ukuthi uzizwe wesaba futhi wethukile kancane lapho udokotela ekutshela ukuthi udinga ukukhipha amanzi emhlane. Ubani ongeke esabe uma ethi, "Bafaka ipayipi emgogodleni wakho," akunjalo? Kodwa ungakhathazeki. Namuhla, sizokhuluma kalula, njengokungathi sitshela umngane, ukuthi lokhu kuyini ngempela, ukuthi kwenziwa kanjani, nokuthi kusebenza kanjani.
Iyini i-lumbar drain?
Kalula nje, ubuchopho bethu kanye nomgogodla, okwehla emgogodleni, akukhona nje kuphela emizimbeni yethu. Kuzungezwe uketshezi olukhethekile, olufana namanzi, ukuze luvikeleke. Lokhu sikubiza ngokuthi 'i-Cerebrospinal Fluid' , noma i-CSF ngamafuphi. Cabanga ngakho njengokufaka into ebalulekile ebhokisini bese ubeka okunye ukulivikela. Lolu ketshezi lwe-CSF luvikela ubuchopho bethu kanye nomgogodla.
Ngakho-ke, i-lumbar drain iyipayipi elincane kakhulu neliguquguqukayo (i-catheter). Ifakwa emhlane wakho ongezansi, esifundeni se-lumbar, futhi isetshenziselwa ukukhipha olunye lwalolo ketshezi lwe-CSF engilushilo, noma ukulawula ingcindezi yalo. Lokhu kuvame ukwenziwa okwesikhashana, izinsuku ezimbalwa.
Kungani udinga ukwenza into efana nale?
Kunezizathu eziningana zokuthi kungani udokotela angase ancome into efana nale. Ake sibheke izizathu eziyinhloko.
| Isizathu | Incazelo elula |
|---|---|
| Uma kwenzeka ukuvuza kwe-CSF | Ngemva kwezingozi ezithile noma ngezinye izizathu, lolu ketshezi lwe-CSF lungavuza endaweni yalo. Lo mthombo wokukhipha amanzi usetshenziselwa ukunciphisa ingcindezi nokusiza ukuvuza ukuthi kuphole. |
| Uma kwenzeka i-hydrocephalus | Lesi yisimo lapho uketshezi oluningi lwe-CSF luqongelela ngaphakathi kwekhanda. Lokhu kubangela ingcindezi engadingekile ebuchosheni (ingcindezi yangaphakathi kwekhanda). Lokhu kuyadingeka ukuze kususwe lolo ketshezi olwengeziwe futhi kulawulwe ingcindezi. |
| Ngemva kokuhlinzwa | Le drain isetshenziswa futhi ngemva kokuhlinzwa kobuchopho noma komgogodla ukunciphisa ingcindezi endaweni nokusiza inxeba ukuthi liphilise ngokushesha. |
| Ukuxilongwa | Njengoba nje kuthathwa igazi elincane futhi lihlolwe ukuze kutholakale isifo, inani elincane lalolu ketshezi lwe-CSF lingathathwa futhi lihlolwe ukuze kutholakale izifo ezithile, amaseli angajwayelekile, noma amaprotheni. |
Kufanele ngilungiselele kanjani le nqubo?
Udokotela wakho uzokuxilonga ngokucophelela ngaphambi kokwenza lokhu.
- Khuluma ngomlando wakho wezokwelapha ophelele.
- Ungase ucelwe ukuba wenze i-MRI noma i-CT scan . Lezi skeni zivumela udokotela ukuthi abone kahle ukuthi kwenzekani emzimbeni. Ziphinde zisize ekutholeni indawo engcono kakhulu nephephile yokufaka ipayipi lokukhipha amanzi emzimbeni.
- Unganikwa ama-antibiotic ukuvimbela ukutheleleka, futhi unganikwa nomuthi wokulawula ukukhiqizwa kwe-CSF.
Into ebaluleke kakhulu ukubuza udokotela wakho noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngale nqubo ngaphandle kokwesaba . Kuyilungelo lakho ukwazi ngokucacile ukuthi kuzokwenzekani, ukuthi ziyini izingozi, nokuthi ziyini izinzuzo.
Kwenzekani ngempela uma kufakwa ipayipi lokuhambisa amanzi?
Nakuba lokhu kungase kuzwakale njengento enkulu, yonke inqubo ivame ukuthatha imizuzu engaba ngu-30, futhi konke kwenziwa ukuqinisekisa ukuthi awuzizwa ubuhlungu.
1. Ukulungisa isimo: Okokuqala, uzophendulwa ohlangothini olulodwa lombhede, futhi amadolo akho azodonswa eduze kwesifuba sakho bese ulaliswa phansi.
2. Ukuhlanza isikhumba: Indawo engezansi engemuva lapho kufakwa khona ipayipi lokuhambisa amanzi ihlanzwa kahle ngesisombululo sokubulala amagciwane.
3. Ukushaya izinzwa: Okulandelayo, kunikezwa umjovo omncane (i-local anesthetic) ukuze kuqede izinzwa endaweni. Ngakho ngeke uzwe ubuhlungu. Ungase uzwe ukucindezeleka okuncane.
4. Ukufaka inaliti: Udokotela ube esefaka inaliti ekhethekile ngokucophelela endaweni lapho kukhona khona uketshezi lwe-CSF (isikhala se-subarachnoid) . Ngezinye izikhathi lokhu kwenziwa ngosizo lwe-X-ray ukuze kubonakale indawo eqondile.
5. Ukufaka i-catheter: Ipayipi elincane neliguquguqukayo lifakwa ngenaliti.
6. Ukususa inaliti: Ngemva kokuba ipayipi selikhona, inaliti isuswa ngokucophelela.
7. Ukuxhuma esikhwameni sokuqoqa:Ingxenye engaphandle yepayipi ixhunywe esikhwameni esikhethekile lapho kuqoqwa khona i-CSF.
8. Ukubopha esikhumbeni: Ekugcineni, ithubhu liboshelwa esikhumbeni nge-plaster noma mhlawumbe izitishi ezincane ukuze ligweme ukuwa, bese kufakwa ibhandishi ukuze kugcinwe indawo ihlanzekile.
Ingabe kuzodingeka ngilale embhedeni ngemva kokufakwa kwepayipi lokuhambisa amanzi?
Yebo, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuba ipayipi selifakiwe. Futhi uzotshelwa ukuthi ulale embhedeni isikhathi esiningi. Okokuqala, uzolaliswa ngohlangothi noma ngesisu.
Okubaluleke kakhulu: Ngaphambi kokuba uvuke, ngaphambi kokuba uvuke embhedeni , kufanele ukhulume nabasebenzi abahlengikazi. Ngoba, uma uvuka, udinga ukulawula ukugeleza koketshezi oluvela emseleni. Ngaphandle kwalokho, uketshezi oluningi kakhulu lungaphuma futhi lubangele izinkinga ezifana nekhanda elibuhlungu kakhulu. Ngakho-ke landela imiyalelo yabo ngqo.
Yiziphi izinzuzo kanye nezinkinga ezingaba khona zalokhu?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo kanye nezingozi ezincane kakhulu.
| Izinzuzo Eziyinhloko | Izinkinga Ezingaba Khona |
|---|---|
| Ukuvimba ukuvuza kwe-CSF. | Ukutheleleka ngamagciwane. |
| Lawula ingcindezi ebuchosheni futhi uvimbele umonakalo. | Ikhanda elibuhlungu, isicanucanu nokuhlanza. |
| Ukunikeza ulwazi olubaluleke kakhulu lokuxilongwa. | Ukopha okuvela endaweni lapho ipayipi lifakwe khona. |
| Mhlawumbe ngisho nokusindisa impilo. | Ukumuncwa ngokweqile koketshezi lwe-CSF (ukumuncwa ngokweqile). |
| Ukuvula indlela yokuhlinzwa noma ukwelashwa okunye. | Ipayipi lingasuka noma likhululeke endaweni yalo. |
Kodwa ithimba lakho lezokwelapha lizokwenza konke okusemandleni alo ukunciphisa ingozi yalezi zinkinga, ngakho-ke kubalulekile ukulandela imiyalelo yabo ngqo.
Ipayipi lizohlala isikhathi esingakanani endaweni yalo? Kuzokwenzekani ngemva kwalokho?
Ngokuvamile ishiywa izinsuku ezimbalwa, kodwa ngokuvamile ayidluli izinsuku ezi-5. Lokhu kungenxa yokuthi ingozi yokutheleleka iyanda uma ishiywa isikhathi eside kunalokho. Uma izinga lakho le-CSF kanye nokucindezela sekuzinzile, udokotela wakho uzoyisusa ngokuphelele ipayipi lokuhambisa amanzi. Ngemva kokuthi isusiwe, uzocelwa ukuba ulale phansi isikhashana. Lokhu kuzosiza ekuvimbeleni ikhanda elibuhlungu. Ngisho nangemva kokuba usubuyele ekhaya, kufanele ugweme ukuphakamisa izinto ezisindayo noma ukwenza umsebenzi onzima kuze kube yilapho udokotela wakho ekuyala ukuba wenze kanjalo.
Uma uzwa ubuhlungu obusha, ikhanda elibuhlungu kakhulu, noma isicanucanu ngesikhathi usesibhedlela, yazisa abasebenzi ngokushesha. Futhi, uma uzwa noma yiziphi zalezi zimpawu ngemva kokubuyela ekhaya, kufanele ushayele udokotela wakho ucingo ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ipayipi lokudonsa imithambo ye-lumbar liyipayipi elincane elisetshenziselwa ukususa noma ukuhlola uketshezi olwengeziwe (i-CSF) oluzungeze ubuchopho kanye nomgogodla.
- Le nqubo yenziwa ngokunikeza imithi yokuqeda ubuhlungu endaweni ukuze ungezwa ubuhlungu.
- Kubaluleke kakhulu ukuphumula esibhedlela nokulandela imiyalelo kadokotela phakathi nezinsuku ezimbalwa ngemva kokufakwa komsele.
- Lokhu kunikeza izinzuzo eziningi ezibalulekile, njengokuvimba ukuvuza kwe-CSF, ukulawula ingcindezi ebuchosheni, futhi ngezinye izikhathi kungasiza ngisho nokusindisa izimpilo.
- Uma uzwa izimpawu ezifana nekhanda elibuhlungu, isicanucanu, umkhuhlane, noma ukubomvu noma ukuvuvukala endaweni yokukhipha amanzi ngemva kokuya ekhaya, yazisa udokotela wakho ngokushesha.
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