Dzidza zvakakosha pamusoro pokuva nemugunha
Chirwere chinoputika, kana chirwere chepuropa , ndiyo nzira inowanzoyanzana neurological iyo inobvisa cerebrospinal fluid (CSF) kubva mumugero wemugwagwa kuitira kuti chiremba awane chidzidzo chemvura. Nepo maitiro eurologist anoita chiyero ichi kakawanda, pfungwa yekugadzirwa kwechimbwa chinokonzera vanhu vakawanda kutya.
Chikonzero Nei Chigadziro Chine Mwenga Chingave Chinodiwa
Lumbar punctures inowanzoitwa kuti ishandise kuongororwa kuongororwa pamusana pemusana.
Izvi zvinobatsira chiremba kuti:
- Zviri nani kuongorora chirwere
- Kunzwisisa kuti chirwere chinenge chatozivikanwa chichikanganisa sei munhu
Irorebrospinal fluid inogona kuongororwa zvirwere zvinotapukira se meningitis , zvirwere zvinopisa sezvakawanda multiple sclerosis , uye mamwe kanzira. Mukuwedzera, kuomeswa kwemvura inenge iri mukati memugero wepinini kunogona kuyerwa kuti kuongorore zvinetso zvakadai sepseudotumor cerebri. Kuyera kune chero upi noupi mukudzvinyirira, nyanzvi dzezveuropi dzingashandisa sejiji inozivikanwa se manometer panguva inoitwa.
Chii Chinoitika Panguva Yenzira
Chirongwa chekuvhara ropa chinowanzotora anenge maminitsi 45 kusvika paawa. Iwe uchafamba nematanho anotevera:
- Iwe uchaisa parutivi rwako muchinzvimbo chekufukidzira nemabvi ako akaiswa pedyo nebhokisi rako. Zvimwewo, unogona kubvunzwa kugara munzvimbo yakatsvaga nekaruwa yako kune neurologist.
- Mutsika wako wezasi uchacheneswa neine sterilizing agent seyodini, uye anesthetic yemunharaunda yakadai seydocaine ichaiswa mucheche kuti ifukidze nzvimbo yacho. Iyo jekesheni yemishonga inopera inogona kukonzera kushungurudzika kuduku.
- Kana mushure mako mushure mutsva, chirwere cheeurologist chichanyura chidimbu chisina tsvina pakati pemashure maviri kumashure mune thecal sac, iyo inzvimbo ine CSF. Dzimwe nguva nhare inofanira kuiswazve panzvimbo yekuwana nzvimbo yakarurama.
- Kamwe iyo nhare iri panzvimbo, nyanzvi yezveuropeti inogona kuenzanisa kushandiswa iko kushandisa manometer.
- Iyo inonaya inobva ichidonha uye inounganidzwa mu test test tubes kunotumirwa kubhi.
- Kana kese mvura inosanganiswa, tsono inobviswa.
- Bhaniji inowanzoiswa panzvimbo yekambiru yekuvhara.
- Nzvimbo iyi inogona kuva yakaoma kwezuva kana maviri mushure mekuita.
Kurwara Kunokwanisika Kubvira Kumugonha Wemvura?
Pano hachina chakanaka chetambo kukuvara kana kupora muviri nokuti nheyo inowanikwa zvakanaka pasi apa apo tsvimbo yepelinha inoguma. Mutsipa wepelinha unopera masendimita masere kumusoro kwecherechera iyo nheyo inowanikwa. Mitsipa inobviswa pamutsipa wepelinha inonamatira pasi pachena nechechi yekcal mune izvo zvinonzi "cauda equina" ("muswe wemabhiza").
Zvinokonzera Matambudziko
Dzimwe nguva, nenyuchi inogona kuputika kune imwe yenharo muhadadhi equina , asi izvi zvinokonzera kukanganisa mune 1 kubva kune 1 000 vanhu uye kazhinji vanorapa nenguva. Zvimwe zvinowanzoita kuti iwe unzwe hupfupi twinge twese yemagetsi iyo inowira pasi gumbo rako.
Pakati pe10 kusvika ku30 kubva muzana yevanhu vanowana kuvharwa kwekambani kuchazove nekugadzirisa musoro . Kunyange zvazvo pane mhirizhonga pamusoro pekugona kudzivisa sei misoro yemusoro, vanachiremba vakawanda vanozokurudzira zvakanaka hydration uye vanorara pasi kweawa imwe mushure mokunge vhudzi rinopera. Caffeine inogona kubatsirawo kana musoro uchikura. Dzimwe nguva misoro inopfuurira kwemazuva mashomanana mushure mokunge vhudzi rinopera.
Izvi zvinogona kureva kuti nenyuchi yakasiya gomba mu-thecal sac, uye mvura inoramba ichidonha. Muchiitiko ichi, nzira inonzi ropa "patch" -kuti ropa rako rakapindwa mujecha re-the-rinogona kubvisa musoro.
Mune varwere vane uropi muhuropi hwakadai sokuputika kana tumarara, kushanduka kunokonzerwa nekubvisa maruva emumumvuri kunogona kutungamirira kuchinja kuchinja kwehutachi tissue. A CT kana MRI scan yeuropi mushure mekugadzirisa inogona kubvisa chero mashoma akadaro. Zvimwe zvinetso zvinogona kuitika zvinosanganisira kutapurika kana kubuda ropa. Zvose izvi zvinetso hazvishamisi zvakagadzirirwa zvakakwana.
Nzira Yokugadzirira Nayo Mharapara
Hapana magadzirirwo anokosha anodiwa musati mutsva. Iyi nzira inogona kuitwa muhofisi yechiremba kana pamubhedha. Zvisinei, kana iwe ukatora ropa-rinopisa mishonga , rinogona kumira pamberi pekugadzirisa dambudziko rekubuda ropa. Uyezve, zvakakosha kuita kuti chiremba apindure mibvunzo yako yose isati yasvika. Izvi zvinogona kubatsira kubvisa kushushikana chero kupi zvako kwaunayo pamusoro pekugadzikana kwemaremba.
Inobatwa Nechirwere Chekukonzera Mvura Here?
Kuvhiringidzika kunobatanidza kuvhara kwemavara kunoratidzika kunopesana zvakanyanya kubva kune murwere kusvika kune murwere. Hapana munhu angati mutsara wemugunha unofadza, asi kazhinji hahuna hurombo kupfuura zvaunofungidzirwa. Dzimwe nguva chikamu chakaipisisa ndicho chipinja chinonzwa nejojo ​​rwechirwere chinopera. Sezvo neta refu yakagadzirirwa kutora mvura yakasviba, vanhu vazhinji vanotsanangura zvakawanda zvekudzika kwekunzwa kwekunzwa, uye dzimwe nguva kugona kwegesi kumushure kana kutsika pasi petsoka. Kwete kune anesthetic yemahara inowanzodiwa kuti uchengetedze marwadzo.
Dzimwe Nzira Dzokuwana Cerebrospinal Fluid
Kune vanhu vane matambudziko akadai sehukuru scoliosis , arthritis , kana kuti kuneta , zvinogona kunge zvakaoma zvikuru kuti nyanzvi yezveuropiyo iwane CSF pamubhedha. Mune mamiriro ezvinhu aya, kuvharwa kwechikwata kunogona kuitwa pasi pehutungamiri hwehutachiona hunobatsira neruzivo rwehudhilogist. Zvisinei, mumatambudziko akawanda, izvi hazvina kuoma zvakaoma uye zvinodhura.
Shoko Rinobva
Kuvharwa kwechiremera, asi kusagadzikana, hakusi kwakaipa sezvinoitwa nevatengi vakawanda. Kunyange zvazvo zvinetso zvingaitika, zvinonyanya kuitika. Zvakanakira kuwana ruzivo rwekuongororwa zvinowanzopfuura zvengozi uye kusagadzikana kwekuita. Kuti uwane mamwe mashoko, iva nechokwadi kuti mibvunzo yako yose inotaurirwa nachiremba wako.
Sources:
> Silberstein SD. Kuderedza-Kushushikana Musoro. Merck Manual Consumer Version. https://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders/headaches/low-pressure-headache.
> Robbins E, Hauser EL, "Chitsauko e32. Tsika yeLumbar Puncture" (Chitsauko). Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, Loscalzo J: Harrison's Principles of Internal Medicine, 19 : 2015. McGraw-Hill Dzidzo.
> Ropper AH, MA Samuels, "Chitsauko 2. Unyanzvi Hwakanaka hweKutsvaga Neurologic" (Chitsauko). Ropper AH, Samuels MA: Adams naVictor's Principles of Neurology, 10e : 2014. McGraw-Hill Dzidzo.