Uma udokotela ekutshela ukuthi, "Ngidinga ukuthatha amanzi emgogodleni wakho ngiwahlole," uzizwa ngokushesha ukwesaba nokwesaba, akunjalo? Kuvamile kakhulu ukucabanga ukuthi, "O, ngizobhajwa ngenaliti emgogodleni wakho." Nakuba abantu abaningi besaba lapho bezwa leli gama, empeleni lokhu akulona ukuhlolwa okwesabisayo noma okubuhlungu njengoba sicabanga. Ngakho ake sifunde kabanzi ngakho namuhla.
Kalula nje, kuyini ukubhoboza kwe-lumbar?
NgesiSinhala, sivame ukukubiza ngokuthi "umpompi womgogodla." Lokhu ukuhlolwa okukhethekile okwenziwa udokotela. Lokhu kuhilela ukufaka inalithi encane kakhulu, enciphile emhlane wakho ongezansi, phakathi kwamathambo amabili, bese uthatha isampula encane yoketshezi olucacile nolunamanzi oluzungeze ubuchopho bakho kanye nomgogodla.
Lolu ketshezi ngokwezokwelapha lubizwa ngokuthi uketshezi lwe-cerebrospinal (CSF) . Lolu ketshezi lufana nomqamelo ovikela ubuchopho bethu kanye nentambo yomgogodla. Ngakho-ke, ngokuhlola isampula encane yalolu ketshezi, singathola ulwazi oluningi olubalulekile mayelana nezimo ezahlukene zezokwelapha ezithinta ubuchopho bakho, uhlelo lwezinzwa, noma intambo yomgogodla.
Kungani udokotela angancoma lolu vivinyo?
Kunezizathu eziningana zokuthi kungani kungenziwa ukubhoboza i-lumbar. Ngezinye izikhathi kusetshenziselwa ukuxilonga isimo esithile, kanti ngezinye izikhathi kusetshenziselwa ukunikeza imithi.
| Izizathu eziyinhloko zokuhlola | Incazelo elula |
|---|---|
| Ukuxilongwa | Uma kukhona okusolakala ukuthi kukhona isifo esithinta ubuchopho noma umgogodla, lokhu kuhlolwa kwenziwa ukuze kuqinisekiswe. |
| Ukutheleleka kobuchopho (i-Meningitis) | Lokhu ukuhlolwa okubalulekile ukuhlola izifo ezibangelwa amagciwane noma amagciwane njenge-meningitis. |
| Ukuvuvukala kwezicubu zobuchopho (i-Encephalitis) | Thola izifo ezibangela ukuvuvukala kwezicubu zobuchopho. |
| Ukopha kobuchopho | Hlola ukuthi kukhona yini ukopha ebuchosheni. |
| Izifo ezizenzakalelayo njenge-Multiple Sclerosis | Bheka izifo lapho amasosha omzimba awo elimaza khona imizwa. |
| Izimo zomdlavuza | Hlola ukuthi amaseli omdlavuza, njenge-leukemia, angene yini ku-cerebrospinal fluid. |
| Ukwelashwa nezinye izinto | |
| Ukunikeza amaphilisi obuhlungu | Ngezindlela zokubulala izinzwa njenge-epidurals, eziqeda ukuqina kwengxenye engezansi yomzimba ngesikhathi sokuhlinzwa okuthile. |
| Ukujova umuthi | Eminye imithi, njengemithi yokulwa nomdlavuza, inikezwa ngqo ohlelweni lwezinzwa. |
| Ukuhlolwa okukhethekile kwe-X-ray | Faka udayi okhethekile ngaphambi kokuhlolwa kwe-X-ray, njenge-myelogram. |
| Ukunciphisa ingcindezi ngaphakathi kwekhanda | Uma uketshezi oluzungeze ubuchopho lukhuphukile futhi lubangela ukucindezeleka, susa okunye kwalo ukuze unciphise ukucindezeleka. |
Khumbula, akuzona zonke lezi zizathu ezizosebenza kuwe. Udokotela wakho uzokuchazela isizathu salokhu kuhlolwa.
Kufanele ngilungiselele kanjani ngaphambi kwalolu vivinyo?
Udokotela wakho uzokunikeza imiyalelo yokuthi yini okufanele uyenze ngaphambi kokuhlolwa. Ezinye zezinto ezingaba zibalulekile zifaka:
- I-CT scan noma i-MRI scan: Ngezinye izikhathi, ngaphambi kokuthinta umgogodla, ungase ucelwe ukuthi wenze lokhu kuskena ukuze ubone ukuthi kukhona yini ingcindezi eyengeziwe ebuchosheni noma emgogodleni.
- Ukuhlolwa kwegazi: Lokhu kubalulekile ukuze kubonakale ukuthi ikhono lakho lokujiya kwegazi lijwayelekile yini.
- Tshela udokotela wakho nganoma yimiphi imithi oyithathayo: Uma uthatha imithi yokunciphisa igazi (njengeWarfarin, i-Aspirin, i-Clopidogrel), kufanele nakanjani utshele udokotela wakho. Ungase ucelwe ukuthi uyeke ukuthatha le mithi ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Ungalokothi uyeke ukuyithatha ngaphandle kweseluleko sikadokotela wakho.
Lawa malungiselelo azokusiza ukuthi wenze ukuhlolwa ngokuphephile futhi uvimbele izinkinga ezingadingekile.
Kwenzekani ngesikhathi sokuhlolwa?
Lena yingxenye abantu abaningi abayesabayo. Ngakho ake sixoxe ngayo kancane kancane.
1. Indawo: Okokuqala, uzolaliswa embhedeni. Ngokuvamile, uzolaliswa ngohlangothi lwakho lwesobunxele. Ngemuva kwalokho, uzocelwa ukuba ugobe amadolo akho uwasondeze esifubeni sakho , njengokungathi ugobile. Ngezinye izikhathi, ungase ucelwe ukuba uhlale esihlalweni bese ugoba phambili phezu kwetafula. Nakuba lesi simo singakhululekile kancane, sizokwandisa isikhala phakathi kwamathambo akho, okwenza kube lula ukufaka inaliti. Ngakho-ke, kubaluleke kakhulu ukuhlala uthule ngangokunokwenzeka.
2. Ukuhlanza nokufaka izinzwa: Okulandelayo, udokotela uzohlanza kahle umhlane wakho ongezansi bese efaka inani elincane le-anesthetic yendawo ukuze awufake izinzwa. Ungase uzizwe umuzwa omncane wokuhlaba lapho unikezwa umjovo. Kodwa-ke, indawo izophela izinzwa ngemva kwesikhashana.
3. Ukufaka inaliti: Ngemva kokufaka izinzwa emhlane wakho, udokotela uzofaka inaliti encane ngokucophelela phakathi kwamathambo akho amabili (ngokuvamile emhlane ongezansi). Ngeke uzwe ubuhlungu ngalesi sikhathi, kodwa ungase uzwe ukucindezeleka okuthile.
4. Ukuthatha isampula yamanzi: Uma inaliti isisendaweni efanele, uketshezi lomgogodla (i-CSF) luzophuma kulo ngethonsi. Udokotela uzoqoqa inani elidingekayo lalo emabhodleleni amancane amaningana. Lokhu kuzothatha imizuzu embalwa.
5. Ukususwa Nokubopha: Ngemva kokuthathwa kwesampula , inaliti isuswa ngokucophelela bese kufakwa ibhandishi elincane noma iplasta endaweni yokufaka inaliti.
Isivivinyo sonke sivame ukuthatha imizuzu eyi-15 kuya kwengama-30 . Inaliti ingemuva kwakho imizuzu embalwa kuphela.
Ungangilalisa ngalesi sikhathi?
Cha. Ngeke unikezwe i-anesthesia ejwayelekile. Uzonikezwa i-anesthesia yendawo kuphela, ngakho-ke uzobe uphapheme ngokuphelele. Kodwa ngeke uzwe ubuhlungu.
Yini okufanele ngiyenze ngemva kokuhlolwa?
Ngemva kokuhlolwa, udokotela uzokunikeza isethi yemiyalelo. Kubaluleke kakhulu ukuyilandela kahle.
- Lala phansi: Uzocelwa ukuba ulale embhedeni okungenani ihora elilodwa, futhi mhlawumbe amahora amaningana, ngemva kokuhlolwa. Lokhu kuzosiza ekuvimbeleni noma yikuphi ukuphathwa yikhanda okungase kwenzeke ngemva kwalokho.
- Phuza amanzi amaningi: Phuza uketshezi oluningi, njengamanzi neziphuzo zezithelo, usuku lonke. Lokhu kuzosiza ekubuyiseleni uketshezi olulahlekile emzimbeni.
- Gwema imisebenzi: Gwema ukushayela noma ukusebenzisa imishini esindayo amahora angama-24. Futhi, gwema imisebenzi enzima njengokuphakamisa izinsimbi noma ukuzivocavoca usuku olulodwa noma ezimbili.
- Phumula: Phumula ngangokunokwenzeka.
Ingabe kuvamile ukuba nekhanda elibuhlungu ngemva kokubhoboza i-lumbar?
Yebo, lokhu kuyimiphumela emibi evame kakhulu engenzeka ngemva kwalokhu kuhlolwa. Akuwona wonke umuntu okutholayo, kodwa cishe amaphesenti ayishumi (10%) abantu bangase babe nalolu daba lwekhanda.
Lokhu akufani nekhanda elivamile. Ikhanda liyaba libi kakhulu uma uhleli noma umile, futhi liba ngcono uma ulele phansi. Lingaqala emahoreni ambalwa noma ezinsukwini ezimbalwa ngemva kokuhlolwa. Leli khanda lingahambisana nezinto ezifana nokucanuzela kwenhliziyo, i-tachycardia, noma i-hypotension.
Lezi zinkinga zobuhlungu zivame ukuphela zodwa phakathi nezinsuku ezimbalwa. Ukuphumula ngokwanele, ukuphuza amanzi amaningi, nokuphuza isiphuzo esine-caffeine, njengekhofi, kungasiza. Ungabuza nodokotela wakho mayelana nokuthatha umuthi wokuqeda izinhlungu njenge-paracetamol.
Yiziphi izikhathi okufanele ubonane nodokotela ngazo?
Ngokuvamile azikho izinkinga ezinkulu ngemva kokuhlolwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, kufanele uxhumane nodokotela wakho ngokushesha .
| Izimpawu okufanele uziqaphele | Incazelo |
|---|---|
| Ikhanda elibuhlungu kakhulu | Ikhanda elibuhlungu elihlala izinsuku ezingaphezu kwezimbalwa futhi elingaqedwa yimithi ejwayelekile yokubulala izinhlungu. |
| Okuthile okuphuma endaweni yokubhoboza | Uma igazi noma olunye uketshezi luvuza endaweni lapho kubhotshozwa khona. |
| Izimpawu zokutheleleka | Uma indawo yokubhoboza ibomvu, ivuvukele, izwakala ishisa, noma unomkhuhlane. |
| Ukuba ndikindiki noma ubuthakathaka emilenzeni | Uma uzwa ukuqaqamba okungavamile noma ukuba ndikindiki emilenzeni yakho. |
Ingabe lokhu kuzolimaza umgogodla wami?
Cha. Lokhu kwesaba okukhulu kwabantu abaningi. Lapho kwenziwa ukubhoboza i-lumbar, inaliti ifakwa ngaphansi kakhulu kunezinga lomgogodla. Ngakho-ke, awekho amathuba okulimala komgogodla. Lokhu ukuhlolwa okuphephile kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukubhoboza i-lumbar akusho ukuthi kufanele wesabe. Kuyisivivinyo esibaluleke kakhulu sokuthola izifo ezihlobene nobuchopho kanye nesimiso sezinzwa.
- Umhlane wakho uzophelelwa amandla ngaphambi kokuhlolwa, ngakho ngeke uzwe ubuhlungu, uzwa nje ukucindezeleka okuthile.
- Lokhu kuhlolwa akubangeli umonakalo emgogodleni wakho, ngoba inaliti ifakwe ngaphansi kakhulu kunayo.
- Ungase uzwe ikhanda elibuhlungu ngemva kokuhlolwa. Lokhu kungalawulwa ngokuphumula ngokwanele nokuphuza uketshezi oluningi.
- Landela imiyalelo kadokotela ngemva nje kokuhlolwa. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, yazisa udokotela ngokushesha.
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