Icisternogram yeRadionuclide

I-radionuclide cisternogram luvavanyo lokuskena lwenyukliya. Isetyenziselwa ukufumanisa iingxaki ngokuhamba kolwelo lomqolo.

Impompo yomqolo (ukubhoboza i-lumbar) kwenziwa kuqala. Inani elincinci lezinto ezinemitha ye-radio, ebizwa ngokuba yi-radioisotope, zifakwa kulwelo ngaphakathi komqolo. Inaliti isuswa kwangoko emva kwenaliti.

Uya kuskenwa emva kweeyure ezi-1 ukuya kwezi-6 emva kokufumana inaliti. Ikhamera ekhethekileyo ithatha imifanekiso ebonisa ukuba izinto ze-radioactive zihamba njani ne-cerebrospinal fluid (CSF) ngomqolo. Imifanekiso ikwabonisa ukuba ulwelo luvuza ngaphandle komqolo okanye ingqondo.

Uya kuskenwa kwakhona emva kweeyure ezingama-24 emva kwenaliti. Unokufuna iskena esongezelelweyo kwiiyure ezingama-48 kunye nama-72 emva kwenaliti.

Uninzi lwexesha, awudingi ukulungiselela olu vavanyo. Umboneleli wakho wezempilo unokukunika iyeza lokuthomalalisa imithambo-luvo yakho ukuba uxhalabile kakhulu. Uya kutyikitya ifom yemvume phambi kovavanyo.

Uya kunxiba impahla yesibhedlele ngexesha lokuskena ukuze oogqirha bakwazi ukufikelela kumqolo wakho. Kuya kufuneka ususe ubucwebe okanye izinto zesinyithi ngaphambi kokuskena.

Iyeza lokufaka amakhwenkwe liya kufakwa kumqolo ongezantsi ngaphambi kokugqobhoza i-lumbar. Nangona kunjalo, abantu abaninzi bakufumanisa kungonwabanga ukugqojozwa ngumbumbulu. Oku kuhlala kubangelwa luxinzelelo lomqolo xa inaliti ifakiwe.

Iskena asinazintlungu, nangona itafile inokubanda okanye inzima. Akukho buhlungu buveliswa yi-radioisotope okanye iskena.

Uvavanyo lwenziwa ukufumana iingxaki zokuhamba kolwelo lomqolo kunye nokuvuza kwemisipha. Ngamanye amaxesha, kunokubakho inkxalabo ye-fluid ye-cerebrospinal fluid (CSF) evuzayo emva kwengozi entloko okanye kotyando entloko. Olu vavanyo luyakwenziwa ukufumanisa ukuvuza.

Ixabiso eliqhelekileyo libonisa ukujikeleza okuqhelekileyo kwe-CSF kuwo onke amalungu engqondo kunye nentambo yomqolo.

Iziphumo ezingaqhelekanga zibonisa ukuphazamiseka kokuhamba kwe-CSF. Ezi ngxaki zinokubandakanya:

• IHydrocephalus okanye iindawo ezihlaziyiweyo kwingqondo yakho ngenxa yesithintelo
• Ukuvuza kwe-CSF
• Uxinzelelo oluqhelekileyo lwehydrocephalus (NPH)
• Nokuba i-CSF shunt ivuliwe okanye ayivalwanga

Iingozi ezinxulumene nokugqobhoza i-lumbar zibandakanya:

• Iintlungu kwindawo yenaliti
• Ukopha
• Usulelo

Kukho nethuba elinqabileyo lomonakalo wemithambo-luvo.

Isixa semitha esisetyenzisiweyo ngexesha lokuskena kwenyukliya sincinci kakhulu. Phantse yonke imitha ihambile kwiintsuku nje ezimbalwa. Akukho matyala aziwayo erediyo abangela ukwenzakala emntwini ofumana iskeni. Nangona kunjalo, njengako nakuphi na ukubonakaliswa kwemitha, ulumkiso luyacetyiswa ukuba ukhulelwe okanye uncelisa.

Kwiimeko ezinqabileyo, umntu unokufumana ukungahambi kakuhle kwi-radioisotope esetyenziswe ngexesha lokuskena. Oku kunokubandakanya ukusabela okungathandabuzekiyo kwe-anaphylactic.

Kuya kufuneka ulale phantsi emva kwesibhambathiso sembumbulu. Oku kunokukunceda ukukhusela intloko kwi-lumbar puncture. Alukho olunye ukhathalelo oluyimfuneko.

Iskena sokuhamba kweCSF; ICisternogram

• Ukugqobhoza iLumbar

UBartleson JD, uMnyama DF, uSwanson JW. Intlungu yomzimba kunye nobuso. Ku: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 20.

IMettler FA, iGuiberteau MJ. Inkqubo ye-nervous central. Ku: Mettler FA, Guiberteau MJ, ii-eds. Iimfuneko zoNyango lweNyukliya yokuNyanga. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2019: isahluko 3.