CSF kuongorora

Cerebrospinal fluid (CSF) ongororo iboka rekuyedzwa kwerabhoritari inoyera makemikari mune cerebrospinal fluid. CSF imvura yakajeka inopoteredza uye inodzivirira uropi uye musana. Bvunzo dzinogona kutsvaga mapuroteni, shuga (glucose), nezvimwe zvinhu.

Muenzaniso we CSF unodiwa. Lumbar puncture, inonziwo pombi yemusana, ndiyo nzira yakajairika yekutora iyi sampuro. Dzisina kujairika nzira dzekutora yemvura svumbunuro inosanganisira:

• Kubviswa kwetangi
• Kubviswa kweCSF kubva pombi iyo yatove muCSF, senge shunt, ventricular drain, kana pombi yekurwadziwa.
• Ventricular kubaya

Mushure mekunge sampuro yatorwa, inotumirwa kurabhoritari kunoongororwa.

Chiremba wako anokukumbira kuti uvate pasi kweinenge awa imwe mushure mekuputika kwechiuno. Iwe unogona kukura musoro mushure mekuputika kwechiuno. Kana zvikaitika, kunwa zvinwiwa zvine caffeine senge kofi, tii kana soda zvinogona kubatsira.

Mutapi wako wezvehutano anokuudza kuti ungagadzirira sei kupinza kwechiuno.

Kuongorora kweCSF kunogona kubatsira kuona mamwe mamiriro nezvirwere. Zvese zvinotevera zvinogona kuve, asi hazviwanzo nguva dzose, kuyerwa muyenzaniso yeCSF:

• Antibodies uye DNA yemavhairasi akajairika
• Hutachiona (kusanganisira izvo zvinokonzeresa njovhera, uchishandisa bvunzo yeVDRL)
• Cell kuverenga
• Chloride
• Cryptococcal antigen
• Glucose
• Glutamine
• Lactate dehydrogenase
• Oligoclonal banding kutsvaga mamwe mapuroteni
• Myelin mapuroteni ekutanga
  
• Yakazara mapuroteni
• Kunyangwe paine masero egomarara aripo
• Kuvhura kumanikidza
  

Mhedzisiro mhedzisiro inosanganisira:

• Antibodies uye DNA yemavhairasi akajairika: Hapana
• Hutachiona: Hapana mabhakitiriya anokura murabhoritari tsika
• Cancer maseru: Hapana maseru ane cancer aripo
• Cell kuverenga: asingasviki mashanu maseru eropa (ese mononuclear) uye 0 masero matsvuku eropa
• Chloride: 110 kusvika 125 mEq / L (110 kusvika 125 mmol / L)
• Fungus: Hapana
• Glucose: 50 kusvika 80 mg / dL kana 2.77 kusvika 4.44 mmol / L (kana yakakura kupfuura zvikamu zviviri kubva muzvitatu zveshuga yeropa)
• Glutamine: 6 kusvika 15 mg / dL (410.5 kusvika 1,026 micromol / L)
• Lactate dehydrogenase: asingasviki makumi mana U / L.
• Oligoclonal mabhendi: 0 kana 1 mabhendi asipo mune yakafanana serum sampuli
• Mapuroteni: 15 kusvika 60 mg / dL (0.15 kusvika 0.6 g / L)
• Kuvhura kumanikidza: 90 kusvika 180? Mm yemvura
• Myelin basic protein: Asingasviki 4ng / mL

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Iyi mienzaniso iripamusoro inoratidza zviyero zvakajairika zvemhedzisiro yeiyi bvunzo. Mamwe marabhoritari anoshandisa zviyero zvakasiyana kana anogona kuyedza mienzaniso dzakasiyana.

Mhedzisiro isina kujairika CSF mhedzisiro inogona kunge iri nekuda kwezvikonzero zvakasiyana siyana, zvinosanganisira:

• Gomarara
• Encephalitis (senge West Nile uye Eastern Equine)
• Hepatic encephalopathy
• Utachiona
• Kuzvimba
• Reye chirwere
• Meningitis nekuda kwebhakitiriya, fungus, tibhii, kana hutachiona
• Multiple sclerosis (MS)
• Alzheimer chirwere
• Amyotrophic lateral sclerosis (ALS)
• Pseudotumor Cerebrii
• Kazhinji kumanikidzwa hydrocephalus

Cerebrospinal fluid kuongorora

• CSF kemisitiri

Euerle BD. Spinal kubaya uye cerebrospinal fluid kuongorora. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 60.

Griggs RC, Jozefowicz RF, Aminoff MJ. Kusvika kumurwere ane chirwere chetsinga. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 396.

Karcher DS, McPherson RA. Cerebrospinal, synovial, serous muviri mvura, uye mamwe maenzaniso. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 29.

Rosenberg GA. Brain edema uye kusagadzikana kwecerebrospinal fluid kutenderera. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 88.