Lumbar kubaya: chii icho, chii icho chiri, maitiro anoitwa uye njodzi
Zvemukati
- Chii ichochi
- Maitiro ekupinza kunoitwa sei
- Zvinogona kuitika mhedzisiro
- Contraindications ye lumbar kubaya
- Mhedzisiro ye
Lumbar puncture inzira iyo inowanzo tarisa kuunganidza muyero weiyo cerebrospinal fluid inogeza huropi uye musana, nekuisa tsono pakati pemaviri lumbar vertebrae kusvika yasvika kune subarachnoid nzvimbo, inova nzvimbo iri pakati pezvikamu zvinoteedzera musana, uko kunoyerera chinoyerera.
Iyi nzira inoshandiswa kuratidza shanduko yetsinga, inogona kuve utachiona, senge meningitis kana encephalitis, pamwe nezvirwere zvakaita se multiple sclerosis kana subarachnoid hemorrhage semuenzaniso. Uye zvakare, inogona zvakare kushandiswa kuisa zvinodhaka mukati meiyo cerebrospinal fluid, senge chemotherapy kana maantibioti.
Chii ichochi
Lumbar puncture ine akati wandei zvinoratidza, izvo zvinosanganisira:
- Rabhoritari ongororo yecebrospinal fluid, kuona uye kuongorora zvirwere;
- Kuyerwa kwecerebrospinal fluid kumanikidza;
- Kudengenyeka kwepamuviri;
- Jekiseni remishonga yakadai semishonga inorwisa mabhakitiriya uye chemotherapy;
- Kugadzira kana kurapwa kwema leukemias uye lymphomas;
- Jekiseni rekusiyanisa kana radioactive zvinhu zvekuita radiographs.
Kuongorora kweLaborari kunoitirwa kuti uone kuvapo kweshanduko mukati mehurongwa hwepakati, sekutapukirwa nebhakitiriya, hutachiona kana fungal senge meningitis, encephalitis kana syphilis, semuenzaniso, kuona kubuda ropa, gomarara kana kuongororwa kwehumwe hutachiona kana hunochinja mamiriro tsinga, senge multiple sclerosis, chirwere cheAlzheimer kana Guillain-Barré syndrome.
Maitiro ekupinza kunoitwa sei
Maitiro acho asati aitwa, hapana gadziriro yakakosha inodiwa, kunze kwekunge paine dambudziko nekugwamba kana kushandiswa kwemimwe mishonga inopesana nehunyanzvi, sezvazvinoitika kune anticoagulants.
Munhu anogona kuzviisa mune imwe yenzvimbo mbiri idzi, kana kurara nedivi nemabvi uye musoro padyo nepachipfuva, unonzi chinzvimbo che fetus, kana kugara nemusoro uye musana wakachinjika kumberi uye maoko akayambuka.
Ipapo, chiremba anoshandisa mushonga unorwisa utachiona kunharaunda ye lumbar uye anotarisa nzvimbo iri pakati peL3 neL4 kana L4 uye L5 vertebrae, achigona kupinza mushonga weanesthetic munzvimbo ino. Ipapo tsono yakanaka inoiswa zvishoma nezvishoma uye pakati pemitsipa, kusvika yasvika panzvimbo yepasi pearachnoid, kubva panobudira mvura uye ichidonha kuburikidza netsono, ichiunganidzwa mune chubhu yekuyedza chena.
Chekupedzisira, tsono inobviswa uye kupfeka kunoiswa panzvimbo yekuruma. Maitiro aya anowanzo kutora maminetsi mashoma, zvisinei chiremba anogona kutadza kuwana iyo cerebrospinal fluid sampuro chaipo paanoisa tsono, uye zvingave zvichidikanwa kutsausa iko kutungamira kwetsono kana kuita rumborera mune imwe nharaunda zvakare.
Zvinogona kuitika mhedzisiro
Maitiro aya anowanzo chengeteka, aine mikana yakaderera yekuburitsa matambudziko kana njodzi kumunhu. Mhedzisiro yakajairika kwazvo inogona kuitika mushure mekupwanywa kwechiuno ndeyemusoro wenguva pfupi nekuda kwekudzikira kwecebrospinal fluid mumatumbu ari padhuze, uye panogona zvakare kuve nesvoto uye kurutsa kunogona kudzivirirwa kana munhu akarara pasi kwenguva yakati mushure bvunzo.
Panogona zvakare kuve nekurwadziwa uye kusagadzikana muzasi kwezasi izvo zvinogona kudzikiswa nemapiritsi ekurapa akatemerwa nachiremba, uye kunyangwe iri isingawanzo, hutachiona kana kubuda ropa zvinogona zvakare kuitika.
Contraindications ye lumbar kubaya
Lumbar puncture inopesana muhupo hwekusagadzikana kwehypertension, senge iyo inokonzerwa nehukuru hwehuropi, nekuda kwenjodzi yekubva muuropi uye herniation. Izvo hazvifanirwewo kuitirwa kune vanhu vane hutachiona hweganda kubayiwa kana vane huipi hwehuropi.
Uye zvakare, iwe unofanirwa kugara uchizivisa chiremba nezve mishonga yavari kutora, kunyanya kana munhu achitora anticoagulants senge warfarin kana clopidogrel, nekuda kwenjodzi yekubuda ropa.
Mhedzisiro ye
Iyo cerebrospinal fluid samples inotumirwa murabhoritari kunoongororwa kweakasiyana paramende senge chitarisiko, icho chinowanzo kuve pachena uye chisina ruvara. Kana iri yero kana yepingi kana iine makore ekuonekwa, inogona kuratidza hutachiona, pamwe nekuvapo kwehutachiona hwakadai sehutachiona, hutachiona kana fungi.
Uye zvakare, mapuroteni akazara uye kuwanda kwemasero machena eropa anoongororwawo, ayo, kana akakwidziridzwa, angaratidza hutachiona kana chimwe chirwere chinopisa, glucose, iyo, kana iri pasi, inogona kunge iri chiratidzo chehutachiona kana zvimwe zvirwere, pamwe nekuvapo yemasero asina kujairika anogona kuratidza mamwe marudzi ekenza.