Muedzo Unogona Kuva Upenyu-Kuponesa
Musoro wepamusoro hausi nguva dzose kushungurudza kukuru, kufanana nemagraine kana kushungurudzika kwemazwi, asi pane zviratidzo izvo chimwe chinhu chiri kuitika mumuviri. Semuenzaniso, mamwe misoro yakakomba inonyatsoratidza kuti kune ngozi inowanikwa mumutambo wenheyo. Mienzaniso inosanganisira:
- Meningitis
- Kuwedzererwa kwepachirwere chepfungwa
- Subarachnoid homorrhage
Kana chiremba wako ane hanya kuti musoro wako ndewechokwadi wemamiriro ezvinhu ari pamusoro apa, anogona kuita chikwata chekutenga kana kukuendesa kune imwe nzvimbo yepamusoro kune imwe nzvimbo.
Overview
Kushandiswa kwechimbichimbi inzira yehutano yakagadzirirwa kuti inzwisise mugero wepinini apo cerebrospinal fluid (CSF) inoyerera. Lumbar punctures inoitwa nokuda kwekuongororwa kana kuti kurapa. Semuenzaniso, kupera kwemavara kunoshandiswa pakuita kuongororwa kwemainitisitis, izvo zvinoda kuongororwa kweperesipinal fluid. Kushandiswa kwechimbaridzo kunoshandiswawo kuronga chemotherapy mune murwere ane kenza kana anesthetics kumukadzi ari kushanda.
Kubata Kwakaitwa Rumbumburu Kwakaitwa Sei
Kutanga, chiremba wako achakuisa zvakasimba iwe, sezvo izvi zvakakosha kuti uwane CSF zvakachengeteka uye zvinobudirira. Anokukumbira kuti ugare pamucheto wemubhedha wako uye "chikafu semakati," kana kuti kukumbira kuti ureve parutivi rwako mumamiriro ekufukidzira, anozivikanwa sejecha rekupedzisira. Chiremba wako achazochenesa ganda pamusana wako uye inopisa mujeri wege numbing. Ichi ndicho chikamu chinowanzonyanya kunyanya.
Mushure mokunge mujeri anoshayiwa ajowa, chiremba wako achaisa seni repasinare pakati peviri vertebrae muzasi yako kumashure.
Kana kamwe rupiro rwepasipinha ruchizosvika panzvimbo yakakodzera, CSF ichayerera ichienda kuunganidzwa tubes. Asi kutanga, kana iwe uri kurara mushure mekupedzisira (kune rumwe rutivi), chiremba wako angatora dambudziko rekuzarura ne manometer. Kuona kuvhara kwekuzarura kunobatsira zvikuru pakuongorora mamiriro ekurapa seydiopathic inonyanya kukonzerwa nehutachiona kana bhakiteriya meningitis (mamiriro maviri anoita kuti munhu asanyanya kushanda nesimba).
Kana waunganidzwa, CSF inongororwa zvakanyatsobatsira kubatsira chiremba wako pakuita kuti uongororwe. Somuenzaniso, kana chiremba wako achifungidzira meningitis, acharonga chirongwa che gram uye tsika ye CSF, pamwe ne CSF protein uye glucose.
Zvimwe Zvimwe Zvinetso
Kunyanya kunetseka kwekugadzikana kwekambaradzi kune musoro, izvo zvinoitika munenge makumi mapfumbamwe nezana makumi matatu nevarwere. Chinokonzera kuora musoro kunokonzerwa neCSF kuburikidza nesaiti mushure mako iyo nheyo yakaiswa (inonzi nzvimbo yekuvhara). Izvo zvinogona kukonzera izvi zvinoderedzwa nachiremba wako achishandisa duku shoma repinal.
Munyaya yemupfupa wepamusoro, chiremba wako angaratidza kuti akarara pasi, mvura inoputika, caffeine, kana kunyange ropa, iyo nzira iyo ropa rako iro rinoshandiswa mukati mechidziro chekuvhara nzvimbo kuti rive nechokuita, kudzivirira chero mamwe maruva mvura inoputika.
Ubongo-stem herniation ndiyo yakanyanya kuoma (asi inonyanya kuwanzo) kusangana kwekugadzikana kwechimbwa. Dzimwe nguva chiremba wako achaita kuti iwe uwane CT scan yeuropi yako usati wava nechikwata chekubvumira kuti ubatsire pakuziva chero kuwedzera kwekumanikidzwa muuropi yako, iyo inowedzera mukana wako wekuita.
Kubuda patsva panzvimbo yekunaya kunogonawo kuitika, kunyange zvisingawanzoitiki.
Chiremba wako achashandisa kuchenjera kwake paanenge achiita sarudzo kana iwe uri paine ropa rakanyanya.
Zvimwe zvinogona kuoma zvinetso zvisingashamisi zvinosanganisira kutapurika panzvimbo yekuvhara pasi, kurwadziwa kwakadzika shure, uye chirwere chinonzi subarachnoid epidermal cyst.
Unoita Lumbar Punctures Hurt?
Uyu mubvunzo wakanaka uye unonyatsosiyana nemunhu. Kazhinji kacho chikamu chisina kunakidza chemuitiro ndechokuti munhu anoshaya ane chirwere cheganda, asati agadzirirwa mutsara wesipinha. Izvi zvinonzwa sokuti nenyuchi inodonha. Zvino, apo chiremba ari kuisa tsono mumusana wako, iwe unonzwa uchinzwa-kufanana nemanzwiro, ayo anonunurwa kamwe chete kana tsono yakabviswa.
Kakawanda, nzira yacho inowanzochengetedzwa zvakanaka, uye apo inogona kunge ichikuvhundusa, inokurumidza uye isina kunyanyisa.
Shoko Rinobva
Lumbar puncture inoshanda sehwindo kumagetsi edu emitemo uye inogona kupa tsanangudzo yekuongorora tsanangudzo uye nzira dzokurapa. Kana iwe uchizove nechikwereti uye uine zvinetso, ndapota taura nechiremba wako zvisati zvaitika kuitira kuti iwe unzwe wakagadzirira uye wakasununguka.
Sources:
Ellenby MS, Tegtmeyer K, Lai S, Mutungamiri DAV. Lumbar Puncture. New England Journal of Medicine. 2006; 355: e12.
> Klein AM, Loder E. Postpartum checheche. Int J Kuwana Anesth. 2010 Oct; 19 (4): 422-30. doi: 10.1016 / j.ijoa.2010.07.009.
Seehusen DA, Reeves MM, Fomin DA. Cerebrospinal Fluid Analysis . American Family Physician. 2003; 68 (6): 1103-1109.