Ukuvuza kwe-CSF

Ukuvuza kwe-CSF kukuphuma kulwelo olujikeleze ingqondo kunye nomqolo womqolo. Olu lwelo lubizwa ngokuba yi-cerebrospinal fluid (CSF).

Nayiphi na inyembezi okanye umngxunya kwi-membrane ejikeleze ubuchopho kunye nentambo yomqolo (dura) inokuvumela ulwelo olujikeleze loo malungu ukuba avuze. Xa iphuma, uxinzelelo olujikeleze ingqondo kunye nethambo lomqolo luyehla.

Izizathu zokuvuza ngexesha lokuhlala zibandakanya:

• Intloko ethile, ingqondo, okanye utyando lomqolo
• Ukwenzakala entloko
• Ukubekwa kwemibhobho ye-anesthesia ye-epidural okanye amayeza entlungu
• Impompo yomqolo (i-lumbar puncture)

Ngamanye amaxesha, akukho sizathu sinokufunyanwa. Oku kubizwa ngokuba kukuvuza okuvele ngokuzenzekelayo kwe-CSF.

Iimpawu zingabandakanya:

• Intloko ebuhlungu kakhulu xa uhleli kwaye uphucula xa ulala phantsi. Inokudityaniswa nobuntununtunu bokukhanya, isicaphucaphu, kunye nokuqina kwentamo.
• Umjelo we-CSF osuka endlebeni (kunqabile).
• Umjelo we-CSF ophuma kwimpumlo (kunqabile).

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zakho. Uvavanyo lunokubandakanya:

• Ukuskena kwe-CT kwentloko nedayi eyahlukileyo
• I-CT myelogram yomqolo
• I-MRI yentloko okanye yomqolo
• Uvavanyo lweRadioisotope lweCSF ukulandelela ukuvuza

Kuxhomekeke kwisizathu sokuvuza, uninzi lweempawu luyaziphucula ngokwazo emva kweentsuku ezimbalwa. Ukulala okupheleleyo ukulala iintsuku ezininzi kuhlala kucetyiswa. Ukusela ulwelo oluninzi, ngakumbi iziselo ezinecaffeine, kunganceda ukucothisa okanye ukumise ukuvuza kwaye kunokunceda kwintloko ebuhlungu.

Intloko inokunyangwa nge-relievers pain and fluids. Ukuba intloko yesifo ihlala ixesha elingaphezulu kweveki emva kokugqabhuka kwesisu, kungenziwa inkqubo ukuvimba umngxunya onokuba uvuza ulwelo. Oku kubizwa ngokuba sisiqwenga segazi, kuba ihlwili legazi linokusetyenziselwa ukutywina ukuvuza. Kwiimeko ezininzi, oku kwenza ukuba iimpawu zihambe. Kwiimeko ezinqabileyo, kufuneka kwenziwe utyando ukulungisa iinyembezi ngexesha kunye nokumisa intloko.

Ukuba iimpawu zosulelo (ifiva, ukubanda, ukutshintsha kwemeko yengqondo) zikhona, kufuneka zinyangwe ngamayeza okubulala iintsholongwane.

Umbono uhlala ulungile ngokuxhomekeke kwisizathu. Uninzi lweziganeko luyaziphilisa ngaphandle kweempawu ezihlala zihleli.

Ukuba ukuvuza kwe-CSF kuhlala kubuya, uxinzelelo oluphezulu lwe-CSF (i-hydrocephalus) inokuba ngunobangela kwaye kufuneka inyangwe.

Iingxaki zinokwenzeka ukuba unobangela wotyando okanye umothuko. Usulelo emva kotyando okanye umothuko lunokukhokelela kwi-meningitis kunye neengxaki ezinzulu, ezinjengokudumba kwengqondo, kwaye kufuneka unyangwe kwangoko.

Fowunela umnikezeli wakho ukuba:

• Unentloko ebuhlungu kakhulu xa uhleli, ngakumbi ukuba usandul 'ukwenzakala entloko, uqhaqho, okanye ukubeleka kubandakanya i-epidural anesthesia.
• Unokonzakala entloko ngokuphakathi, kwaye emva koko uhlakulele intloko ebuhlungu kakhulu xa uhleli, okanye unencindi emhlophe, ecacileyo etsala impumlo okanye indlebe.

Uninzi lokuvuza kwe-CSF yingxaki yompompo okanye utyando. Umboneleli kufuneka asebenzise inaliti encinci xa esenza itephu yomqolo.

Intracranial hypotension; Ukuvuza kwamanzi kwiCerebrospinal

• Ukuvuza kwamanzi kwiCerebrospinal

I-Osorio JA, i-Saigal R, i-Chou D. Iingxaki ze-Neurologic zemisebenzi eqhelekileyo yomqolo. Ku: I-Steinmetz MP, iBenzel EC, ii-eds. Utyando lwe-Spine lweBenzel. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 202.

IRosenberg GA. I-edema yobuchopho kunye nokuphazamiseka kokujikeleza kolwelo lwe-cerebrospinal. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahl 88.