Uhlalutyo lweCSF

Uhlalutyo lweCerebrospinal fluid (CSF) liqela leemvavanyo zelebhu ezilinganisela imichiza kulwelo lwecerebrospinal. I-CSF lulwelo olucacileyo olungqonge kwaye lukhusele ingqondo kunye nentambo yomqolo. Iimvavanyo zinokujonga iiproteni, iswekile (iswekile) kunye nezinye izinto.

Isampulu ye-CSF iyafuneka. Ukugqobhoza i-lumbar, ekwabizwa ngokuba yimpompo yomqolo, yeyona ndlela iqhelekileyo yokuqokelela le sampulu. Iindlela ezimbalwa eziqhelekileyo zokuthatha isampulu yolwelo zibandakanya:

• Ukugqobhoza amanzi
• Ukususwa kwe-CSF kwityhubhu esele ikwi-CSF, enje nge-shunt, i-ventricular drain, okanye impompo yeentlungu
• Ukugqobhoza omoya

Emva kokuba isampulu ithathiwe, ithunyelwa elebhu ukuvavanywa.

Ugqirha wakho uyakukucela ukuba ulale phantsi ubuncinci iyure enye emva kokugqobhoza i-lumbar. Unokuphuhlisa intloko emva kokugqitywa kwembumba. Ukuba kuyenzeka, ukusela iziselo ezinecafini ezifana nekofu, iti okanye isoda kunokunceda.

Umboneleli wakho wezempilo uya kukuxelela indlela yokulungiselela ukugqobhoza i-lumbar.

Uhlalutyo lwe-CSF lunokunceda ukufumanisa iimeko ezithile kunye nezifo. Zonke ezi zinto zilandelayo zinokwenzeka, kodwa azisoloko zilinganiswa kwisampulu ye-CSF:

• Iintsholongwane kunye ne-DNA yeentsholongwane eziqhelekileyo
• IBacteria (kubandakanya leyo ibangela igcushuwa, usebenzisa uvavanyo lweVDRL)
• Ubalo lweseli
• Ikloride
• I-antigen ye-Cryptococcal
• Iswekile
• IGlutamine
• Lactate dehydrogenase
• I-Oligoclonal banding ukukhangela iiproteni ezithile
• Iprotheni esisiseko ye-Myelin
  
• Iiproteni zizonke
• Nokuba zikhona iiseli ezinomhlaza ezikhoyo
• Uxinzelelo lokuvula
  

Iziphumo eziqhelekileyo zibandakanya:

• Iintsholongwane kunye ne-DNA yeentsholongwane eziqhelekileyo: Akukho
• Intsholongwane: Akukho bhaktiriya ikhula kwinkcubeko yeelebhu
• Iiseli ezinomhlaza: Azikho iiseli ezinomhlaza ezikhoyo
• Ukubalwa kweeseli: ngaphantsi kweeseli ezimhlophe ze-5 (zonke i-mononuclear) kunye neeseli ezibomvu ze-0
• I-chloride: 110 ukuya kwi-125 mEq / L (110 ukuya kwi-125 mmol / L)
• Ngundo: nanye
• Iswekile: I-50 ukuya kwi-80 mg / dL okanye i-2.77 ukuya kwi-4.44 mmol / L (okanye ngaphezulu kwesibini kwisithathu senqanaba leswekile yegazi)
• I-Glutamine: 6 ukuya kwi-15 mg / dL (410.5 ukuya kwi-1,026 micromol / L)
• Lactate dehydrogenase: Ngaphantsi kwama-40 U / L.
• Iibhanti ze-Oligoclonal: iibhendi ezi-0 okanye ezi-1 ezingekhoyo kwisampulu yeserum ehambelana nayo
• Iiprotheni: 15 ukuya ku-60 mg / dL (0.15 ukuya ku-0.6 g / L)
• Uxinzelelo lokuvula: 90 ukuya kwi-180? Mm yamanzi
• Iprotheni esisiseko ye-Myelin: Ngaphantsi kwe-4ng / mL

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Imizekelo engentla ibonisa imilinganiselo eqhelekileyo yeziphumo zolu vavanyo. Ezinye iilabhoratri zisebenzisa imilinganiselo eyahlukeneyo okanye zinokuvavanya iisampulu ezahlukeneyo.

Iziphumo zohlalutyo lwe-CSF ezingaqhelekanga zinokubangelwa zizizathu ezininzi ezahlukeneyo, kubandakanya:

• Umhlaza
• I-Encephalitis (njenge-West Nile kunye ne-Eastern Equine)
• I-hepatic encephalopathy
• Usulelo
• Ukudumba
• Isifo seReye
• I-Meningitis ngenxa yentsholongwane, ukungunda, isifo sephepha, okanye intsholongwane
• Multiple sclerosis (MS)
• Isifo se-Alzheimer
• I-Amyotrophic lateral sclerosis (ALS)
• IPseudotumor Cerebrii
• Uxinzelelo oluqhelekileyo lwehydrocephalus

Uhlalutyo lweCerebrospinal fluid

• I-CSF chemistry

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IGriggs RC, iJozefowicz RF, iAminoff MJ. Indlela yesigulana ngesifo se-neurologic. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 396.

IKarcher DS, iMcPherson RA. I-Cerebrospinal, synovial, i-serous body fluid, kunye nezinye iisampuli. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 29.

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.