Uye Nzira Yokugadzirira Sei
Mutsara wepamuviri, unowanzonziwo sechimbaridzo , ndiyo nzira inoshandiswa nemutarisiri wako wehutano kuitira kuti uunganidze uye udzidze mvura yakachena, kana kuti cerebrospinal fluid, inopoteredza uropi nemutsipa wepelinha.
Chikonzero Chaunogona Kuda Mutsara Wemvura
Iyi nzira dzimwe nguva inofanirwa kubatsira rubatsiro wako wehutano hunoona chikonzero chekugumburwa kwako, sekunge uine hutachiona, chirwere chokuputira, kana kenza imwe yeuropi uye musipinha.
Mushonga wepamuviri unogona kushandiswawo kurapa zvimwe zvirwere zvehutano. Semuenzaniso, chirwere chemusana chinogona kushandiswa kupa mishonga inorwisa mabhakitiriya, mishonga inorwisa kenza, uye anesthetics. Kana inogonawo kushandiswa kubvisa cerebrospinal fluid, iyo inogona kubatsira kwenguva pfupi vanhu vane idiopathic vasingashandisi kuwedzera kwehutachiona - chirwere chepfungwa chinotangira kubva pakuwedzera kwepinini yemvura.
Kugadzirira
Kugadzirira mushonga wepelinha zviri nyore nyore. Izvi zvisati zvaitika, mushandi wako wehutano achakubvunza nezvehutano hwako hwekurapa, kusanganisira mibvunzo ine chokuita nemishonga yako yemishonga (kusanganisira mishonga pamwe nemamwe mishonga yemasikirwo), marwadzo, uye mamwe mamiriro ezvinhu, akadai sechirwere chekubuda ropa kana kuti pamuviri.
Nzira
Mutsara wepelinha inowanzoitwa muimba yepamhanho, muchipatara pamubhedha wako, kana mune imwe kliniki yehofisi yako yeeurologist. Panguva yekufamba, iwe ucharara pamubhedha uri parutivi rwako, nemabvi ako akadzikatira pedyo nebhokisi rako, rakafanana nechinzvimbo chemucheche.
Iwe unogonawo kukumbirwa kugara pamucheto wemubhedha wako nechezasi yako kumashure yakasimudzirwa kunze, kufanana nechinzvimbo chekucheka.
Chiremba wako achachenesa uye anochera shure kwako pasi-kunonzi nzvimbo yekomba - zvakakwana kuitira kudzivirira utachiona panzvimbo yejojo. Mishonga inoshayisa, inowanzoitwa lidocaine, yakakonzerwa muganda rakapoteredza nenyuchi kuisa kuitira kuti iwe urege kunzwa uchinetseka, kunyanya kungoita zvinetso.
Zvadaro, tsanga yakareba, isina kuberekwa inowanikwa pakati pemiti mbiri yepamusoro uye mumugwagwa wepasipinha - nzvimbo kana tuneni iyo iyo mutsara wesimbi inoshandisa uye apo cerebrospinal fluid iripo.
Kamwe nhare iri mumugero wepasipinha, mvura inoshanduka ichayerera ichibva yaunganidzwa kuti iwedzere kuongororwa. Kazhinji cerebrospinal fluid inofanira kuva yakajeka uye ine mapuroteni, glucose, masero mashomanana uye zvinowanzoita zvinetso.
Zvaunotarisira
Iwe unogona kunzwa kusuruvara panzvimbo yezuva rinotevera. Musoro ndeyekunyunyuta kunowanzoonekwa kwepombi yepamusoro uye kunogona kuitika mukati maawa 48 mushure mekuita. Iyo misoro inokonzerwa nediki shoma remvura inokonzera ichibva panzvimbo iyo mushure mako iyo nheyo yakaiswa. Inowanzoona zviri nani nekurara pasi, mvura, uye caffeine. Pashoma pacho, chirongo cheropa chinodikanwa kuti chivhare nzvimbo yekuvhara, kana musoro uchiramba uchingopfuurira.
Matambudziko
Nhau dzakanaka ndeyokuti zvinetso zvinowanzova zvishoma. Zvisinei, kana pane chikonzero chero chipi zvacho iwe unova nefivha, chills, musoro, mitsipa mikukutu, kunyura kana kubuda kubva panzvimbo yepepipe, kana kushaya simba, kumira kana kuvhara pasi pezhenjeti, taurira mutano wako wehutano pakarepo.
Kunobva:
Ellenby MS, Tegtmeyer K, Lai S et al. Lumbar Puncture. N Engl J Med 2006; 355: e12.