Inaliti efakwe ngemuva ihlinzeka i-Cerebrospinal Fluid for Diagnosis
Uma uzama ukuthola ukuxilongwa, ngezinye izikhathi kudingekile ukwenza ukuhlolwa okunamandla okukhulu ukuza nezimpendulo. Enye yokuhlolwa okunjalo okungase kuveze ulwazi olubalulekile lokuxilonga yikhampasi lomgogodla. Lokhu kungasiza kakhulu ezimweni ezithile zezinzwa futhi, ngokumangalisa, ezinye izifo zokulala. Iyini inqubo yokugcoba umgogodla noma ukukhishwa kwendwangu?
Zikhona yini izingozi noma izinkinga ezihlobene nenqubo okufanele wazi ngayo? Funda ukuthi umthamo womgogodla ungasetshenziswa kanjani ukuhlola isimo sakho ngokuthola i-cerebrospinal fluid (CSF) yokuhlola.
Iyini Ukuvala Isiphetho Sokugcoba noma I-Lumbar?
Umshini wokugubha umgogodla, noma ukukhishwa kwe-lumbar (LP), ubhekisela enkambweni ekhethekile lapho uketshezi kususwa khona ngenaliti ephuma esikhwameni esungeze intambo yomgogodla. Lesi sitshalo se-cerebrospinal (CSF) sihlamba ubuchopho nentambo yomgogodla, ivikela lezi zakhiwo ezibalulekile ekulimazeni. Ukuhlolisisa uketshezi kungaveza izici ezibalulekile mayelana nezimo ze-neurolo.
Inqubo ingenziwa ngudokotela emnyangweni ophuthumayo, esibhedlela, noma esimweni somtholampilo. Umshini womgogodla ngokuvamile uthatha ngaphansi kwehora, kodwa ungase uhlale isikhathi eside uma umkhuhlane uqoqwe kancane kancane. Kuvame ukuqhutshwa nesiguli esilele eceleni kwakhe, kaningi ngamadolo akhe adonsela esifubeni sakhe.
Kungenziwa futhi endaweni ehlezi. Lesi sikhundla sihlukanisa amathambo e-back back (okuthiwa i-vertebrae lumbar), okuvumela ukufinyelela okulula. Ngemuva kokuba isikhumba senziwe inzalo, imishanguzo ye-numbing ijojowe. Kule ndawo lapho inaliti enkulu inikwe khona ukususa i-CSF.
Kungani Kudingeka Umgogodla Wokugcoba?
Kungase kudingeke umgogodla wokugulisa ukusiza ekutholeni izimo ezihlukahlukene, ikakhulukazi izinkinga ezihlobene nesimiso sezinzwa.
Ngokuvamile, isetshenziselwa ukuhlola ukuthi kukhona yini ukutheleleka ebuchosheni noma ezihlotsheni ezizungezile. Lezi zifo zibizwa ngokuthi i-encephalitis noma i-meningitis.
Amathinta omgogodla nawo asetshenzisiwe uma kucatshangwa ukuthi ikhanda elibi likhishwa ngenxa yenani elincane lokuphuma ekhanda. Lokhu kubizwa ngokuthi isisu se-subarachnoid . Kunganakwa yizicathulo nokuqondisisa okungaphezulu kungatholakala ngokuhlaziya i-CSF yokutholakala kwegazi.
Kunezimo zezokwelapha ezingapheli ezingatholakala uma wenza ucingo lomgogodla. Okuvame kakhulu yi- multiple sclerosis . Abantu abane-multiple sclerosis bangase babe nezinguquko ezimakethe ezikhethekile kwi-CSF yabo ebizwa ngokuthi ama-oligoclonal bands noma amaprotheni ayisisekelo e-myelin. Izinyathelo zamaphrotheni, i-glucose, kanye nokubala kwamaseli zivame ukwenza kuwo wonke ama-punctures lumbar.
Ngisho nokucindezela lapho i-CSF iphuma khona kungaba ulwazi; ukuphakama kungase kusiphakamise i- pseudotumor cerebri . Ukucindezela okunciphisa kungase kwenzeke ekuphelelweni kwamanzi.
Esikhundleni semithi yokulala, kunezinkomba ezimbalwa zokwenza ucingo lomgogodla. Ukuxilongwa kwe- narcolepsy kungase kusize ngokulinganisa i-orexin namazinga e-hypocretin ku-CSF. Esifweni esithathelwanayo esibizwa ngokuthi ukugula kwe-Afrika, inqubo ingasiza futhi ekunqumeni izinga lokugula.
Ngenye indlela akuyona ukuhlola okudingekayo ukuhlola ukulala.
Izingozi Nezinkinga Zamathebhu Emagqabhagqabha
Amathinta omgogodla ayesabisa. Iningi labantu alinaso isithakazelo ekuzitholeni, futhi abaningi baye bazwa izindaba ezimbi. Ngaphezu kwalokho, uma kudingeka, ngokuvamile kuyisimo esibucayi. Kungenzeka ukukhipha ezinye zezinkathazo.
Ukukhathazeka okuvame kakhulu: Ingabe umcibisholo wesiphaphemende ubuhlungu? Ukubekezelelana kwenqubo kuhlukahluka, ngoba sonke sinemibundu ehlukene yokuzwa ubuhlungu noma ukunganaki. Ukusetshenziswa komuthi obunzima kungase uzizwe njenge-bee sting. Ngemuva kwaloo phuzu, kungase kube nomuzwa wokuthi ufana nokucindezelwa kunokuba ubuhlungu obubukhali.
Abaningi bazophawula ngesiphetho, "Kwakungekho okubi kakhulu." Ngezandla ezinamakhono, ngesilinganiso esamukelekayo senhlanhla enhle, umcengezi wokugwinya ungasetshenziswa kalula. Lokhu kungase kungabi njalo ngaso sonke isikhathi, ikakhulukazi lapho ukukhuluphala noma ukuguqulwa kwesimo esibuhlungu emgodini kwenza inselele.
Kunezingozi ezimbalwa ezihambisana nenqubo ngokwayo. Kubalulekile ukuthi udokotela aqaphele izingozi ezingase zibe khona ngaphambi kokwenza ucingo lomgogodla. Ukuhlukumeza okuyingozi kunazo zonke kwenzeka lapho ubuchopho buhamba ngenxa yenkinga ekhuphuka ngaphakathi kwegazi. Lokhu kungabangela ukufa. Ngenxa yalesi sizathu, ukuhlolwa kwe-neurological ejulile futhi ngezinye izikhathi kuyinkinga ye-computer ye-tomography (CT) noma isithombe se-magnesium resonance (MRI) esingenziwa . Nakuba kungathí sina, le nkinga ingavamile.
Ngokuvamile, inani elincane lokuphuma kwegazi lingase lisenzeke endaweni yesigwebo. Udokotela wakho angabheka ukubala kwegazi futhi ugweme ukuthatha igazi elincane ngaphambi kwenqubo. Kukhona nengozi encane yokutheleleka. Inkinga ejwayelekile kunazo zonke ehambisana nomthinta wokugwinya komgogodla yisikhalazo sekhanda eliqala emva kwalokho. Lokhu kuvame ukukhungatheka ngokuhlala phansi noma ukuma. Iphendula ngokuphumula ukuphumula, i-hydration, i-caffeine, nemithi yobuhlungu.
Okunye ukukhathazeka kungase kube yingozi yokukhubazeka ngenqubo. Nakuba ubuhlungu obunamahlumela noma ubuchopho obudutshulwa emlenzeni kungase kwenzeke njengoba kuthinteka umgogodla, ukungavumi okuqhubekayo okuqhubekayo akuvamile okwenzekayo. Lezi ziphazamiso zenzeke lapho kwenzeka izinzwa eziphuma emthonjeni womgogodla. Lokhu ngeke kuholele ebuthakathakeni. Kubantu abaningi, intambo yomgogodla ngokwayo iphetha amazinga angama-vertebral amaningana ngaphezu kwephuzu lapho kusetshenzwa khona uketshezi, ngakho-ke ingozi yokulimala noma ukukhubazeka akuyona into engavamile.
Uma udokotela wakho uncoma ikampompi lomgogodla, kungenzeka ukuthi isizathu esibalulekile. Xoxani nganoma yikuphi ukukhathazeka ongase ube nakho mayelana nenqubo bese ubuza imibuzo ukuze uqonde ukuthi kungasiza kanjani ekutholeni ukuxilongwa. Cabangela izingozi ngokucophelela futhi uthole induduzo ngokwazi ukuthi le nqubo evamile inganikeza izinkomba ezibalulekile mayelana nesimo esibucayi udokotela wakho enethemba lokukukhomba.
Imithombo:
"Izinqubo Nezinqubo Zokuhlola Neurological." I-National Institute of Neurological Disorders and Stroke , Izikhungo Zikazwelonke Zempilo. Kufinyelelwe: ngoJulayi 14, 2012.
Dugdale, C et al. "Iqoqo le-cerebral spinal fluid (CSF)." I-MedLinePlus , amaNational Institutes of Health. Kufinyelelwe: ngoJulayi 14, 2012.