I-CSF ixubha Ubuningi Bakho Ukuyivikela Ekuqothulweni
I-Cerebrospinal fluid, eyaziwa nangokuthi i-CSF, iwuhlaza okwesibhakabhaka, okungabalabala okugeleza ebuchosheni nasendongeni yomgogodla, obungezungezile futhi ewuvimbela ekulimazeni. I-CSF inokuvumelana okufanayo njengamanzi futhi ihambisa izakhi kwisistimu yakho ye-central central (CNS). I-cerebral fluin spinal ikhiqizwa i-plexus ye-choroid, ema-ventricles, noma ezindaweni ezingenalutho, ebuchosheni bakho.
I-CSF ishintshwe ngokugcwele njalo emahoreni ambalwa futhi ithatha impahla yokudoba.
Ukuhlaziywa kohlelo lwe-Cerebrospinal Fluid - Lumbar
Ukuhlolwa kwe-cerebrospinal fluid kusiza ukuhlonza izifo, kuhlanganise nezifo ezithathelwanayo zesimiso sezinzwa ezisemkhatsini, izimbangela zesifo sobuchopho, ukuphazamiseka kwamagciwane kanye nomdlavuza. I-Fluid itholakala ngokwenza i- lumbar puncture , eyaziwa nangokuthi umgogodla wempophoma.
Ngesikhatsi i-lumbar ibamba isigqomo eside, esincane, esingenalutho singeniswa phakathi kwezikhala emthonjeni wakho wokugogodla ukuthola isampula yetshezi. Ungase uzizwe ucindezelekile futhi ucebe kancane njengoba inaliti ingena emzimbeni wakho. Ngemuva kokuba uketshezi kususwe uzocelwa ukuba ulale phansi isikhathi esingangehora noma ngaphezulu emva kokuhlolwa. Lokhu ukuvimbela ikhanda. Uma uhlakulela ikhanda , kungase kuphele ezinsukwini ezimbalwa ngemva kokuhlolwa. Uma ngabe ikhanda lakho lihlala isikhathi esingaphezu kweviki kufanele uxhumane nodokotela wakho.
Uma uhlakulela umkhuhlane ophezulu, ikhanda elibi kakhulu, ukuzwela ukukhanya, ukuhlanza, noma ukushaya noma ukuphazamiseka emilenzeni yakho, kufanele uxhumane nodokotela wakho.
I-CSF ihlaziywa ngokucindezela kwayo, ukubukeka, amaprotheni, i-glucose, isibalo samaselula kanye nokuhlonza kwamaseli akhona. Ihlotshiswe ukuhlolwa okuncane kakhulu futhi ikhiqizwe ukuze ibheke amabhaktheriya nezinye izifo ezithathelwanayo.
Okunye ukuhlolwa kwamakhemikhali kufaka phakathi ukubhekisisa abakwa-tumor markers, befuna i-amyloid beta 42 ne-tau amaprotheni esifweni se-Alzheimer , amaprotheni ayisisekelo e-myelin e- multiple sclerosis , kanye nezinye izilingo ezihlukahlukene.
Izifo Ezitholakalayo Ngesikhathi Sokuvala Lumbar
Izifo ezithathelwanayo ezinjengama-virus, amabhaktheriya, isikhunta kanye nama-parasites angakwazi ukuthelela isimiso sezinzwa zomphakathi. Izifo ezivame kakhulu ze-CNS zihlanganisa:
- I-Meningitis
- Encephalitis
- Isifo sofuba
- I-Virus yeNew West
- Izifo ze-fungal
Izifo ezithathelwanayo ezingasetshenziswa ngokuhlaziywa komswakama we-cerebrospinal zifaka ukuphuma kwegazi ngenxa yokushaywa umoya, ukucindezeleka kwegazi, kanye ne-aneurysm.
Ukuphazamiseka kwamagciwane kungaphazamisa isimiso sezinzwa esiyisisekelo ngokuvuvukala, ukukhiqizwa kwama-antibodies, kanye nokubhujiswa kwe-myelin sheathing eduze kwemizwa. Izifo ezivamile zokuzivikela nge-immunological zihlanganisa:
- Guillain-Barré
- I-Sarcoidosis
- I-Neurosyphilis
- Multiple sclerosis
Izicubu eziyinhloko zobuchopho noma umgogodla zingatholakala ngokuhlaziywa komthamo we-cerebrospinal. Kungabuye futhi ukubona umdlavuza oye waqhamuka kwezinye izindawo zesistimu yezinzwa eziphakathi. Ukukhishwa kwe-lumbar kubaluleke kakhulu kubantu abangase babe ne-lymphoma ebuchosheni ngenxa yokuthi amangqamuzana e-lymphoma avame ukusabalala ku-cerebrospinal fluid.
Ukuhlaziywa kwe-CSF kungasetshenziselwa ukunquma uhlobo nobungani bomdlavuza.
Izimpawu Ezivamile Zezibilini Zezinhliziyo Eziphathelene Ne-CSF
Ngokuvamile izimpawu zobuchopho noma isisu somgogodla ziyahlukahluka. I-Cancer ingabangela ukwanda komfutho ku-skull noma kuvimbele ukugeleza kohlobo lwamagogasi. Lokhu kungabangela ikhanda, ukudideka, izinkinga ngokulinganisela, noma ukuhamba. Kungase kubangele nezinkinga nokulawula kwesinye. Lezi yizimpawu ezingase zenze ukukhishwa kwe-lumbar nokuhlaziywa kwe-CSF kwenziwe.
Ama-injection ku-CSF yokwelashwa kwe-Brain noma i-Canal Spinal Cord
Ukukhishwa kwesibindi kungasetshenziselwa ukuletha imithi yamakhemikhali yokwelapha ubuchopho noma umdlavuza womgogodla.
Le nqubo ibizwa ngokuthi i- intrathecal chemotherapy . Isetshenziswa ekwelapheni ezinye izinhlobo ze-leukemia noma i-lymphoma. Inqubo, evame ukuthatha amaminithi angu-20, ihlanganisa ukuphazamisa indawo yesikhumba ngaphezu komgogodla wakho. I-needle izofakwa ngobumnene, futhi i-chemotherapy izojozwa ngokusebenzisa inaliti ibe yi-CSF. Inzuzo yale nqubo yukuthi kunezindlela ezimbalwa zemiphumela emibi ye-post-chemotherapy. Ezinye imiphumela emibi ingabandakanya inhloko.
Umthombo:
CSF Analysis, LabTestsOnline, American Association for Clinical Chemistry, Okthoba 30, 2015.