Ingabe ngezinye izikhathi uthola ikhanda elibuhlungu uma usukuma noma uqondisa ikhanda lakho? Kodwa ingabe ubuhlungu buyaphela uma ulala phansi isikhashana? Noma ingabe uphuma amanzi ekhaleni noma ezindlebeni ngaphandle kwesizathu? Ngisho noma ucabanga ukuthi lezi zinto ziwumkhuhlane nje noma ikhanda elibuhlungu elivamile, ngezinye izikhathi lokhu kungaba yisimo esidinga ukunakwa okwengeziwe. Namuhla sikhuluma ngesinye isimo esinjalo, 'ukuvuza koketshezi lomgogodla' (ukuvuza kwe-CSF ).
Kuyini ukuvuza koketshezi lomgogodla (CSF)?
Kalula nje, ubuchopho bethu kanye nomgogodla, owela ngemuva kwentamo yethu, kuyizitho ezimbili ezibucayi kakhulu. Ukuze zivikeleke ekulimaleni, zizungezwe uketshezi olucacile. Kufana nokufaka into ebuthakathaka ngaphakathi komcamelo ogcwele amanzi. Lolu ketshezi lubizwa ngokuthi i-Cerebrospinal Fluid (CSF) .
Ukuze kuvinjelwe lolu ketshezi oluyigugu ukuthi lungaphumi, luqukethwe esakhiweni esifana nesikhwama esenziwe nge-membrane eqinile ebizwa ngokuthi i-dura mater. Uma ngesizathu esithile kukhona imbobo noma ukudabuka kule membrane, uketshezi lwe-CSF luzophuma kancane kancane. Yilokho esikubiza ngokuthi ukuvuza kwe-CSF.
Lokhu kuvuza kungenzeka ngezindlela ezimbili eziyinhloko:
1. Ukuvuza kwe-CSF yekhanda: Lokhu kwenzeka lapho ulwelwesi lwe-CSF olungaphakathi kwekhanda , oluzungeze ubuchopho, lonakala. Lokhu kungabangelwa yinto efana nokuqhekeka kwekhanda.
2. Ukuvuza kwe-Spinal CSF: Uma lolu lwelwesi luvuza noma kuphi eduze komgogodla .
Uma uketshezi luphuma ngale ndlela, ukugoba okuzungeze ubuchopho kuyancipha, kanti nokucindezela ngaphakathi kwekhanda nakho kuyancipha. Lokhu kubizwa ngokuthi "i-Intracranial hypotension." Lokhu kubangela ukuthi ubuchopho bugobe kancane, okubangela ikhanda elibuhlungu . Uma lesi simo siqhubeka, imithambo yegazi ebucayi ebuchosheni inganwebeka futhi idabuke, okuholela esimweni esibi esibizwa ngokuthi i-subdural hematoma.
Kodwa ungakhathazeki, ukuvuza kwe-CSF kuyisimo esingavamile kakhulu. Ngokuvamile kwenzeka kubantu abangaba bahlanu kubantu abayikhulu lamawaka. Kuvame kakhulu kubantu abaneminyaka engu-30-40.
Yini ebangela ukuvuza kwe-CSF?
Ngezinye izikhathi, akukho sizathu esithile esingatholakala. Odokotela bakubiza lokhu ngokuthi ukuvuza kwe-CSF 'okuzenzakalelayo'. Kodwa-ke, ezimweni eziningi, kunezimbangela ezithile ezibangela lokhu.
| Isizathu | Incazelo elula |
|---|---|
| Izinqubo zezokwelapha | Ngenxa yezinto ezifana nokubhoboza i-lumbar, imijovo ye-epidural yokubulala izinzwa , kanye nama-catheter omgogodla. |
| Ukuhlinzwa | Ukuhlinzwa komgogodla, njengokuhlinzwa kwe-transsphenoidal ukususa izimila zobuchopho. |
| Ukulimala | Ukulimala okukhulu ekhanda, entanyeni, noma emgogodleni. |
| Ukucindezela okwandisiwe ekhanda | Umfutho wegazi ophakeme ongelashwanga ngaphakathi kobuchopho ungabangela ingcindezi eyengeziwe kulwelwesi futhi ubangele ukuthi luqhekeke. |
| Ezinye izimo zezokwelapha | Izifo zezicubu ezixhumeneyo njenge-Ehlers-Danlos kanye ne-Marfan syndromes, kanye ne-bone spurs. |
Ziyini izimpawu zokuvuza kwe-CSF?
Uphawu oluyinhloko noluvelele kakhulu lokuvuza kwe-CSF yikhanda esixoxe ngalo ekuqaleni, kodwa kungaba khona nezinye izimpawu eziningi.
| Isibonakaliso | Incazelo |
|---|---|
| Izimpawu ezivame ukubonakala | |
| Ikhanda eliqondile | Ikhanda elibuhlungu liyaba libi kakhulu uma uhleli noma umile. Liyakhululeka uma ulele phansi. Lesi yisibonakaliso esiyinhloko. |
| Impumulo/izindlebe ezigobhozayo | Uketshezi olucacile, olufana namanzi kune-mucus, olugeleza ikakhulukazi uma ikhanda litshekile. |
| Ukunambitheka kwensimbi emlonyeni | Inambitheka njengensimbi emlonyeni wakho. |
| Izinguquko embonweni | Umbono ofiphele, umbono ophindwe kabili. |
| Ezinye izici | |
| Ukuzwela | Ukuzwela ukukhanya okukhulu nomsindo. |
| Izinkinga zokuzwa | Ukukhala ezindlebeni, ukulahlekelwa yibhalansi (izinkinga zebhalansi). |
| Ubuhlungu | Ukuqina nobuhlungu entanyeni, ubuhlungu phakathi kwamahlombe. |
| Okunye | Isicanucanu, ukuhlanza, ukulahlekelwa yiphunga. |
Kwenziwa kanjani ukuxilongwa?
Uma usola ukuthi unanoma yiziphi zalezi zimpawu, xhumana nodokotela ngokushesha.Kubaluleke kakhulu. Udokotela uzokubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba.
- Ungase ucelwe ukuthi ugobe phambili ubone ukuthi kukhona yini uketshezi oluphuma ekhaleni lakho. Uma lukhona, kuzothathwa isampula bese ithunyelwa elabhorethri ukuqinisekisa ukuthi luyi-CSF.
- Kungenziwa i-endoscopy, ehilela ukufaka ithubhu elincane elinekhamera ekhaleni.
- Ungahlola izindlebe zakho.
Ngaphezu kwalokho, kungenziwa izivivinyo eziningana ukuze kuthathwe izithombe zobuchopho nomgogodla ukuze kutholakale indawo eqondile yokuvuza.
- 'I- CT scan'
- I- MRI
- I-Myelography (ukuhlolwa kwezithombe ezikhethekile zomgogodla)
- `I-Cisternography` (ukuhlolwa kwezithombe zobuchopho nomgogodla)
Ngezinye izikhathi lesi simo singabhekwa njenge-migraine noma i-sinusitis . Ngakho-ke, uma unekhanda elibuhlungu eliba libi kakhulu uma usukuma futhi liba ngcono uma ulele phansi, qiniseka ukuthi utshela udokotela wakho ngakho.
Uma ingelashwa, amagciwane angasakazeka aye emaqakaleni azungeze ubuchopho futhi abangele izifo ezinkulu ezifana ne-meningitis. Ngakho-ke, ukuxilongwa nokwelashwa kubaluleke kakhulu.
Yiziphi izindlela zokwelapha ezikhona?
Ukwelashwa kuncike endaweni lapho ukuvuza kuvuza khona, imbangela yako, kanye nobunzima bakho.
Ukwelashwa kokuqala
Esikhathini esiningi, ikakhulukazi uma ukuvuza kubangelwa yinto efana namanzi angena emhlane wakho, udokotela uzokutshela ukuthi uzame izinto ezimbalwa ezilula kuqala.
- Hlala embhedeni uphumule izinsuku ezimbalwa.
- Ukuphuza amanzi amaningi kanye noketshezi .
- Ukuphuza i-caffeine (itiye, ikhofi).
Ngokuvamile, lezi zinto ezilula zizoziphulukisa zodwa lapho kuvuza khona.
Ukwelashwa okukhethekile
Uma ukuvuza kungapheli ngokwelashwa kokuqala, udokotela uzosebenzisa ezinye izindlela zokwelapha.
- Ngokuvuza kwe-CSF yomgogodla:
- I-Epidural Blood Patch: Lena yindlela evame ukusetshenziswa futhi ephumelelayo. Uthatha inani elincane legazi lakho bese ulifaka emgogodleni wakho lapho ucabanga ukuthi kukhona ukuvuza khona. Igazi liyawa bese livala imbobo.
- Ngezinye izikhathi, kwenziwa ukuhlinzwa ukuze kuvalwe imbobo ngezitishi noma nge-fat/ muscle graft .
- Ngokuvuza kwe-Cranial CSF:
- Lokhu kuvame ukudinga ukuhlinzwa. Lo mgodi uvalwa nge-endoscopy yamakhala noma ukuhlinzwa kwendlebe.
- Vala imbobo.Kusetshenziswa i-graft yokwenziwa, ucezu lwezicubu zomzimba wakho , inhlaka ekhethekile yokuhlinzwa , noma usimende wethambo .
Izinto okufanele uziqaphele ngemva kokwelashwa
Ngemva kokwelashwa kokuvuza kwe-CSF, udinga ukuqaphela kakhulu phakathi nesikhathi sokululama, okungaba amasonto angu-4-6, ngoba ulwelwesi ludinga isikhathi sokuphola.
- Ungaphakamisi izinsimbi ezisinda ngaphezu kwamakhilogremu angu-4.5 (4.5 kg).
- Gwema izinto ezifana nokugoba phambili, ukuphakamisa izinsimbi, nokujika .
- Gwema ukuzikhandla ngenkathi ukhipha indle. Uma kudingeka, cela udokotela wakho ukuthi akunike isithambisi sendle.
- Uma ukhwehlela noma uthimula, gcina umlomo wakho uvulekile . Lokhu kuzonciphisa ukwakheka kwengcindezi ekhanda.
- Uma unekhala eligobhozayo, gwema ukukhahlela ikhala lakho kakhulu.
- Ungasebenzisi izinti zokuphuza.
- Hlala uqonde umhlane wakho ngenkathi usebenza. Uma kufanele ugobe, goba emadolweni nasezinqeni zakho.
Umlayezo Wokuya Nawe Ekhaya
- Uphawu oluyinhloko lokuvuza kwe-CSF ikhanda elibuhlungu eliba libi kakhulu uma usukuma futhi linciphe uma ulele phansi.
- Uma unoketshezi olucacile nolunamanzi oluphuma ekhaleni noma ezindlebeni zakho ngaphandle kwesizathu, noma uma unomuzwa wensimbi emlonyeni wakho, kungaba uphawu oluyingozi.
- Uma unezimpawu ezinjengalezi, ungacabangi ukuthi kuyinto evamile futhi nakanjani vakashela udokotela.
- Ungakhathazeki. Ukuvuza okuningi kwe-CSF kungalapheka ngokuphelele ngokuphumula, ukuphuza amanzi emzimbeni, noma ukwelashwa okulula.
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