Ingabe udokotela wakho ukutshelile noma othile omaziyo ukuthi asebenzise i-spinal tap? Kuvamile ukuthi abantu abaningi besabe kancane uma bezwa igama. Ukwesaba esikutholayo lapho sizwa igama elithi "spinal tap" kuyaqondakala. Kodwa kuyini ngempela? Kungani kwenziwa lokhu kuhlolwa? Ingabe kuyingozi ngempela? Ungakhathazeki, sizoxoxa ngakho konke lokhu ngokucacile nangokulula namuhla.
Kuyini i-Spinal Tap (i-Lumbar Puncture)?
Kalula nje, i-Spinal Tap iyisivivinyo esikhethekile esenziwa odokotela. Kulokhu, kufakwa inaliti encane engxenyeni engezansi yomgogodla wethu, uma kukhulunywa ngakho, okhalweni, bese kuthathwa isampula encane yoketshezi olukhethekile oluzungeze ubuchopho bethu kanye nentambo yomgogodla. Lolu ketshezi lubizwa ngokuthi i-Cerebrospinal Fluid (CSF) .
Cabanga ukuthi ubuchopho bethu kanye nomgogodla ongaphakathi komgogodla kuyizitho ezimbili ezibucayi kakhulu neziyigugu. Lolu ketshezi lwe-CSF lusebenza njengomcamelo ozungeze lezi zitho futhi luzivikele ekulimaleni. Ngokuhlola lolu ketshezi, singathola ulwazi mayelana nezifo eziningi ohlelweni lwethu lwezinzwa oluphakathi. Yingakho lolu vivinyo lubaluleke kakhulu ngezinye izikhathi.
Kungani udinga ukwenza lolu vivinyo?
Kunezizathu eziningana zokuthi kungani udokotela engase acele lokhu kuhlolwa. Isizathu esiyinhloko ukugwema ezinye izimbangela ezinkulu zesimo esifana nesifo sokuwa .
Isibonelo, uma umuntu enesifo sokuwa, kubalulekile ukuphenya ukuthi imbangela iyisifo sobuchopho.
- I-Meningitis: Lokhu ukutheleleka kwezicubu ezizungeze ubuchopho.
- I-Encephalitis : Lokhu kusho ukutheleleka kobuchopho uqobo.
Indlela engcono kakhulu yokwazi ngokuqinisekile ukuthi unalolu hlobo lokutheleleka ukuhlola uketshezi lwe-CSF.
Okubaluleke kakhulu, lokhu kuhlolwa kusiza ukuqinisekisa ukuthi lokho okubukeka njengesithuthwane empeleni kubangelwa ukugula okudinga ukwelashwa okusheshayo, njenge-meningitis.
Ezinye izizathu ngaphandle kokuhlolwa
Ngaphezu kokuhlola uketshezi lwe-CSF, ukumpompa komgogodla kungenziwa ngezinye izizathu eziningana.
- Kala ingcindezi ezungeze ubuchopho kanye nomgogodla.
- Nciphisa ukucindezeleka okukhulu ngaphakathi kwekhanda.
- Faka umuthi wokwenza umgogodla ungasebenzi kahle (i-Spinal Anesthesia).
- Faka udayi okhethekile ngaphambi kokuhlolwa okufana ne-X-ray.
- Eminye imithi, isiboneloBanike, njengoBaclofen, ngqo emgogodleni.
Kwenzekani ngaphambi nangesikhathi sokuhlolwa?
Ukuqaphela ukuthi kuzokwenzekani ngaphambi nangesikhathi salolu vivinyo kuzosiza kakhulu ekunciphiseni ukwesaba kwakho.
Indlela yokulungiselela ukuhlolwa
- Ukudla nokuphuza: Ngokuvamile akudingeki uyeke ukudla nokuphuza ngaphambi kwalokhu kuhlolwa, kodwa landela imiyalelo kadokotela wakho.
- Imithi oyithathayo: Uma uthatha imithi yokunciphisa igazi (isib. i-Aspirin, i-Clopidogrel) noma eminye imithi, qiniseka ukuthi uyatshela udokotela wakho . Ungase ucelwe ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
- Ukungezwani komzimba: Uma une-allergies ye-latex noma eminye imithi, sicela usazise kusenesikhathi.
- Ezokuthutha: Njengoba kunganconywa ukushayela imoto ngokushesha ngemva kokuhlolwa, kungcono futhi kuphephile ukuba othile akushayele imoto akuyise ekhaya.
Indlela yokwenza isivivinyo isinyathelo ngesinyathelo
Lokhu kwenziwa ngokukulalisa embhedeni ewadini noma ekamelweni elikhethekile.
1. Ukuma: Uzotshelwa ukuthi ulale ngohlangothi embhedeni, amadolo akho asondele esifubeni sakho ngangokunokwenzeka, nesilevu sakho sifakwe ngaphakathi. Sigoqeke njengebhola elincane. Noma, uzotshelwa ukuthi uncike phambili etafuleni. Lesi simo sandisa isikhala phakathi kwamathambo omgogodla wakho, okwenza kube lula ukufaka inalithi.
2. Ukuhlanza: Okulandelayo, udokotela noma umhlengikazi uzohlanza umhlane wakho ongezansi kahle ngesisombululo sokubulala amagciwane.
3. Ukuba ndikindiki: Bese kuthi, kufakwe umjovo omncane (i-local anesthetic) endaweni lapho kwafakwa khona inaliti ukuze ingasebenzi kahle. Ungase uzizwe umuzwa omncane wokushisa kuleli qophelo. Ngemva kwesikhashana, indawo izobe indikindiki ngokuphelele.
4. Ukufakwa kwenaliti: Ngemva kokwenza izinzwa, kufakwa inaliti encane kakhulu, engenalutho phakathi kwamathambo amabili angaphansi komgogodla. Kuleli qophelo, ungase uzizwe ucindezelekile kancane. Into ebaluleke kakhulu ukuthi le naliti ingashayi intambo yomgogodla emgogodleni. Ungakhathazeki ngalokho nhlobo. Intambo yomgogodla itholakala phezulu kakhulu kunalokho.
5. Ukufutha: Uma inaliti isikhona, uketshezi lwe-CSF luqoqwa kancane kancane. Lokhu kuthatha imizuzu embalwa. Ngeke uzwe ubuhlungu phakathi nalesi sikhathi.
6. Ukuqeda: Ngemva kokuthatha inani elidingekayo loketshezi, inaliti iyasuswa bese kufakwa iplasta encane endaweni.
Wenzani ngemva kokuhlolwa?
Ngemva kokuphela kokuhlolwa, uzogcinwa ngaphansi kokuqashwa kwezokwelapha amahora ambalwa. Ngaphambi kokuba uye ekhaya, umhlengikazi uzokunikeza imiyalelo ebhaliwe okufanele uyilandele ekhaya.
Yimiphi imiphumela emibi engaba khona?
Nakuba lokhu kuyivivinyo eliphephile ezimweni eziningi, ngezinye izikhathi kungaba nezinkinga ezincane.
- Ikhanda elibuhlungu: Lona umphumela ovame kakhulu. Cishe abantu abayi-10% - 20% bangase babe nekhanda elibuhlungu. Lokhu kubi kakhulu uma bemi noma belele phansi. Kuyancipha uma belele phansi.
- Ukutheleleka: Ingozi yokutheleleka iphansi kakhulu ngoba lokhu kwenziwa ngendlela ehlanzekile kakhulu, engenamagciwane.
- Ukopha: Ngezinye izikhathi umthambo wegazi omncane ungalimala uma kufakwa inaliti. Uma lokhu kwenzeka, kungase kube nokopha okuncane, kodwa akudingi ukwelashwa okukhethekile.
- Ubuhlungu: Ngokuvamile abubuhlungu, kodwa uma isilonda sithinta inzwa, ungase uzizwe ubuhlungu obufushane, obufana nogesi.
Izinto okufanele uzinakekele uma ubuyela ekhaya
- Ngemva kokuhlolwa , lala phansi ngangokunokwenzeka kuze kube yilapho udokotela ekutshela ukuthi wenze kanjalo.
- Gwema ukuzivocavoca noma ukuphakamisa izinsimbi usuku olulodwa noma ezimbili.
- Phuza uketshezi oluningi, njengamanzi kanye nejusi yezithelo. Ukuphuza cishe amalitha angu-2.5 ngosuku kuzosiza ukuvimbela ikhanda elibuhlungu.
- Uma uphethwe yikhanda, lala phansi ngangokunokwenzeka bese uphuza uketshezi. Kodwa uma ikhanda lihlala izinsuku ezingaphezu kwezimbili noma ezintathu, shayela udokotela wakho.
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. | |
|---|---|
| Isibonakaliso | Incazelo |
| Okuthile okuphuma endaweni yokubhoboza | Uma igazi noma olunye uketshezi luphuma endaweni yokubhoboza. |
| Imfiva | Uma unomkhuhlane noma uzizwa ubanda. |
| Ikhanda elibuhlungu eliqhubekayo | Uma ikhanda lingaphumi ngemva kwezinsuku ezimbalwa noma liba libi kakhulu. |
| Ubuhlungu obandayo | Uma unesihlungu emhlane noma uzwa ubuhlungu emilenzeni yakho, ubuhlungu buya bukhula. |
Kungathatha usuku noma ngisho nesonto ukuthi imiphumela yokuhlolwa (imibiko) ifike. Udokotela wakho uzokuchazela lokhu.
Umlayezo Wokuya Nawe Ekhaya
- Ukubhoboza umgogodla (ukubhoboza i-lumbar) akufanele ukwesabe. Kuwukuhlolwa okubaluleke kakhulu futhi okuphephile okungabona izifo eziningi, ikakhulukazi izifo ezingathi sína njenge-meningitis.
- Lokhu kuhlolwa kwenziwa ngokucophelela okukhulu. Umgogodla wakho ngeke wonakale.
- Umphumela ovame kakhulu wecala ikhanda, elingalawulwa ngokuphumula nokuphuza amanzi amaningi.
- Landela imiyalelo kadokotela wakho ngokucophelela ngaphambi nangemva kokuhlolwa.
- Uma ubona noma yini efana nomkhuhlane, ikhanda elibuhlungu elingapheli, noma ubomvu obuphuma endaweni yokujova, yazisa udokotela wakho ngokushesha.
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