Ukugqobhoza i-lumbar: yintoni, yintoni eyenzelwe yona, indlela eyenziweyo kunye nomngcipheko

Umxholo

• Yenzelwe ntoni
• Kwenziwa njani ukugqojozwa
• Iziphumo ebezingalindelekanga ezinokwenzeka
• Ukungqinelana nokugqabhuka kwe-lumbar
• Iziphumo ze

Ukugqobhoza i-Lumbar yinkqubo edla ngokujolisa ekuqokeleleni isampulu ye-cerebrospinal fluid ehlamba ubuchopho kunye nentambo yomqolo, ngokufaka inaliti phakathi kwe-vertebrae ye-lumbar de kube sekufikeleni kwisithuba se-subarachnoid. apho ulwelo ludlula khona.

Obu buchule busetyenziselwa ukuchonga utshintsho olwenzeka kwimithambo-luvo, olunokuba zizifo, ezinje nge-meningitis okanye i-encephalitis, kunye nezifo ezinjenge-multiple sclerosis okanye i-subarachnoid hemorrhage umzekelo Ukongeza, inokusetyenziselwa ukufaka iziyobisi kulwelo lwe-cerebrospinal, njenge-chemotherapy okanye i-antibiotics.

Yenzelwe ntoni

Ukugqobhoza i-Lumbar kuneempawu ezininzi, ezibandakanya:

• Uhlalutyo lwelabhoratri ye-cerebrospinal fluid, yokuchonga nokuvavanya izifo;
• Ukulinganiswa koxinzelelo lwe-cerebrospinal fluid;
• Uxinzelelo lomqolo;
• Inaliti yeziyobisi ezinje ngeyeza lokubulala iintsholongwane kunye nonyango lwamayeza;
• Ukubeka endaweni okanye unyango lwee-leukemi kunye nee-lymphomas;
• Inaliti yokuthelekisa okanye izinto ezinemitha ye-radio ukwenza iiradiographs.

Uhlalutyo lwelebhu lujolise ekuboneni ubukho botshintsho kwinkqubo ye-nervous system, enjenge-bacterial, viral okanye fungal izifo ezifana ne-meningitis, encephalitis okanye i-syphilis, umzekelo, ukuchonga ukopha, umhlaza okanye ukuxilongwa kweemeko ezithile zokudumba okanye zokonakala inkqubo ye-nervous, enjenge-multiple sclerosis, isifo se-Alzheimer okanye isifo se-Guillain-Barré.

Kwenziwa njani ukugqojozwa

Ngaphambi kwenkqubo, akukho lungiselelo lukhethekileyo lufunekayo, ngaphandle kokuba kukho ingxaki yokugodola okanye ukusetyenziswa kwamayeza athile aphazamisa ubuchwephesha, njengoko kunjalo nakwii-anticoagulants.

Umntu unokuzibeka kwesinye sezi ndawo zibini, okanye alale ngecala ngamadolo nentloko isondele esifubeni, ibizwa ngokuba yindawo yokuma komntwana, okanye ahlale nentloko kunye nomqolo oguqukele phambili kwaye iingalo ziwele.

Emva koko, ugqirha usebenzisa isisombululo se-antiseptic kwingingqi ye-lumbar kwaye ujonge indawo phakathi kwe-L3 kunye ne-L4 okanye i-L4 kunye ne-L5 vertebrae, ekwaziyo ukutofa iyeza le-anesthetic kule ndawo. Emva koko inaliti entle ifakwa kancinci kwaye iphakathi kwethambo lomqolo, ide ifike kwindawo engaphantsi kwento, apho ulwelo luza kukhupha luze lutyhoboze ngenaliti, luqokelelwe kwityhubhu yovavanyo olungenazintsholongwane.

Okokugqibela, inaliti iyasuswa kwaye kusetyenziswa into yokunxiba kwindawo yokuluma. Le nkqubo ihlala ithatha imizuzu embalwa, nangona kunjalo ugqirha usenokungakwazi ukufumana isampulu yecebrospinal fluid kanye xa ufaka inaliti, kwaye kunokuba yimfuneko ukuphambuka kwicala lwenaliti okanye wenze ukubetha komnye ummandla kwakhona.

Iziphumo ebezingalindelekanga ezinokwenzeka

Le nkqubo ikhuselekile ngokubanzi, kunye namathuba asezantsi okubonisa iingxaki okanye umngcipheko womntu. Iziphumo ezibi kakhulu ezinokuthi zenzeke emva kokuhlatywa kwe-lumbar yintloko yexeshana ngenxa yokuhla kwe-cerebrospinal fluid kwizicubu ezikufutshane, kwaye kunokubakho isicaphucaphu kunye nokugabha okunokuphetshwa ukuba umntu ulele phantsi ixesha elithile emva uviwo.

Kunokubakho iintlungu kunye nokuphazamiseka kumqolo osezantsi onokuthi unciphise iipilisi zentlungu ezimiselwe ngugqirha, kwaye nangona kunqabile, usulelo okanye ukopha kunokwenzeka.

Ukungqinelana nokugqabhuka kwe-lumbar

Ukugqobhoza i-Lumbar kuyaphikiswa xa kukho uxinzelelo lwexinzelelo lwe-intracranial, njengaleyo ibangelwa bubunzima bengqondo, ngenxa yomngcipheko wokufuduswa kwengqondo kunye ne-herniation. Ayifanelanga ukwenziwa nakubantu abanesifo solusu ekufuneka behlatyiwe okanye abane-abscess yengqondo.

Ukongeza, kuya kufuneka usoloko umazisa ugqirha malunga nonyango abaluthathayo, ngakumbi ukuba umntu uthatha ii-anticoagulants ezinjenge-warfarin okanye i-clopidogrel, ngenxa yomngcipheko wokopha.

Iziphumo ze

Iisampulu ze-fluid ze-cerebrospinal zithunyelwa elebhu kuhlalutyo lweeparameter ezahlukeneyo ezinje ngenkangeleko, zihlala zibala kwaye zingenambala. Ukuba ityheli okanye ipinki okanye inamafu, inokubonisa ukosuleleka, kunye nobukho beentsholongwane ezinje ngeentsholongwane, intsholongwane okanye ukungunda.

Ukongeza, iiproteni zizonke kunye nobungakanani beeseli ezimhlophe zegazi nazo ziyavavanywa, ezinokuthi, ukuba ziphakanyisiwe, zinokubonisa ukosuleleka okanye imeko ethile yokukrala, iswekile, ethi, ukuba iphantsi, ibe luphawu losulelo okanye ezinye izifo, kunye nobukho iiseli ezingaqhelekanga zinokubonisa iintlobo ezithile zomhlaza.