Futhi Indlela Yokulungiselela
Umshini wokugaya umgogodla, obizwa nangokuthi ukukhishwa kwe-lumbar , yinkqubo eyenziwa ngumhlinzeki wakho wezempilo ukuze uqoqe futhi ufunde uketshezi olucacile, noma u-cerebrospinal fluid, olungeze ubuchopho nomgogodla.
Okwenza Ungadinga Ithebhu Yomgogodla
Le nqubo ngezinye izikhathi kudingekile ukusiza umhlinzeki wakho wezempilo ukuthi anqume imbangela yokuhlukunyezwa kwakho, njengokungathi une-infection, inqubo yokuvuvukala, noma umdlavuza othile womqondo nobuchopho bomgogodla.
Umshini wokugwinya ungasetshenziswa futhi ukuphatha izimo ezithile zempilo. Isibonelo, ucingo lomgogodla lungasetshenziswa ukunikeza ama-antibiotics, izidakamizwa eziphikisana nomdlavuza, kanye nama-anesthetics. Uma kungenzeka futhi isetshenziselwe ukususa uketshezi lwe-cerebrospinal, okungasiza okwesikhashana abantu abane- hypertension ye-idiopathic engenawo umfutho wegazi ophezulu - isifo esiyinkinga esisuka ekukhuleni kwengcindezi yamanzi emgogodla.
Ukulungiselela
Ukulungiselela umthamo wokugwinya komgogodla kulula. Ngaphambi kwalendlela, umhlinzeki wakho wezempilo uzokubuza ngomlando wakho wezokwelapha, kufaka phakathi imibuzo emayelana nomlando wakho wezokwelapha (kuhlanganise nemithi yokwelapha yemithi), izifo zomzimba, nezinye izimo, njengengculazi noma isimo sokukhulelwa.
Inqubo
Umshini wokugogodla uvame ukwenziwa ekamelweni eliphuthumayo, esibhedlela eceleni kombhede wakho, noma ekamelweni lomtholampilo ehhovisi lakho lezinzwa zegazi. Phakathi nenqubo, uzolala embhedeni ohlangothini lwakho, ngamadolo akho asondele esifubeni sakho, afana nesimo somntwana.
Ungase ucelwe futhi ukuba uhlale emaphethelweni embhedeni wakho bese umhlane wakho ophansi uphonswe ngaphandle, njengendawo yokuzingela.
Udokotela wakho uzohlanza futhi abile emuva ngemuva kwakho okuphansi - okuthiwa indawo yesikhala - ngokucophelela ukuze uvimbele ukutheleleka endaweni yokujova. Imithi ephazamisayo, ngokuvamile i-lidocaine, ifakwe esikhumbeni esizungeze ukufakwa kwenaliti ukuze ungazizwa ungakhululekile kakhulu, ikakhulukazi ingcindezi ethile.
Okulandelayo, inaliti ende, eyinyumba ifakwa phakathi kwe-vertebrae emibili nasendlini yomgogodla - isikhala noma umhubhe lapho umgogodla ugijima nalapho kukhona khona uketshezi lwe-cerebrospinal.
Uma inaliti isendaweni yomgogodla, i-fluid izophuma futhi iqoqwe ukuze kuhlaziywe okunye. I-cerebrospinal fluid evamile kufanele ibe necacile futhi iqukethe amaprotheni, i-glucose, amaseli ambalwa nomfutho ovamile.
Okufanele Ukulindele
Ungase ubhekane nesifo esithile esiteshini ngosuku olulandelayo. Inhloko yesikhalazo esivame kakhulu sephepheni lomgogodla futhi singakapheli amahora angu-48 emva kwenqubo. Ikhanda libangelwa amanani amancane oketshezi lwe-cerebrospinal ephuma ngaphandle kwesayithi ngemuva kwakho lapho inaliti ifakiwe khona. Ngokuvamile uzizwa kangcono ngokulala phansi, uketshezi, kanye ne-caffeine. Ngaphansi kwalokho, kuvunyelwe igazi legazi ukuvala isitifiketi, uma ikhanda liqhubeka.
Izinkinga
Izindaba ezinhle ukuthi ukucindezeleka ngokuvamile kuvamile. Kodwa-ke, uma kunoma yisiphi isizathu uthuthukisa umkhuhlane, ukubola, ikhanda, intamo eqinile, ukugeleza noma ukuphaphaza kusukela kusayithi lomgogodla womgogodla, noma ubuthakathaka, ukugubha noma ukuphazamiseka ngaphansi kwesayithi lokuvala, kwazisa umhlinzeki wakho wezempilo ngokushesha.
Umthombo:
Ellenby MS, Tegtmeyer K, Lai S et al. I-Lumbar Ukuvala. N Engl J Med 2006; 355: e12.