Ukuvuza kwe-CSF

Ukuvuza kwe-CSF ukweqa uketshezi oluzungeze ubuchopho nentambo yomgogodla. Lolu ketshezi lubizwa ngokuthi yi-cerebrospinal fluid (CSF).

Noma yikuphi ukukhala noma imbobo kulwelwesi oluzungeze ubuchopho nomgogodla (dura) kungavumela uketshezi oluzungeze lezo zitho ukuba zivule. Lapho iphuma, ingcindezi ezungeze ubuchopho nomgogodla iyehla.

Izimbangela zokuvuza ngalesi sikhathi zihlala:

• Ukuhlinzwa okuthile ekhanda, ebuchosheni noma emgogodleni
• Ukulimala ekhanda
• Ukubekwa kwamashubhu we-epidural anesthesia noma imithi yezinhlungu
• Thepha umgogodla (ukubhoboza i-lumbar)

Kwesinye isikhathi, asikho isizathu esingatholwa. Lokhu kubizwa njengokuvuza okuzenzakalelayo kwe-CSF.

Izimpawu zingafaka:

• Ikhanda elibuhlungu uma uhleli futhi lithuthuka lapho ulala phansi. Kungase kuhlotshaniswe nokuzwela okukhanyayo, isicanucanu, nokuqina kwentamo.
• Ukugeleza kwe-CSF kusuka endlebeni (kuyaqabukela).
• Ukugeleza kwe-CSF kusuka ekhaleni (kuyaqabukela).

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu zakho. Ukuhlolwa kungafaka:

• Ukuskena kwe-CT kwekhanda ngombala ohlukile
• I-CT myelogram yomgogodla
• I-MRI yekhanda noma yomgogodla
• Ukuhlolwa kweRadioisotope kweCSF ukulandelela ukuvuza

Ngokuya ngesizathu sokuvuza, izimpawu eziningi ziyathuthuka zodwa ngemuva kwezinsuku ezimbalwa. Ukuphumula kombhede izinsuku ezimbalwa kuvame ukunconywa. Ukuphuza uketshezi oluningi, ikakhulukazi iziphuzo ezine-caffeine, kungasiza ekunciphiseni noma ekumiseni ukuvuza futhi kungasiza ngobuhlungu bekhanda.

Ubuhlungu bekhanda bungaphathwa ngokunciphisa izinhlungu noketshezi. Uma ikhanda lihlala isikhathi esingaphezu kwesonto ngemuva kokuhlatshwa ngomlenze, inqubo ingenziwa ukuvimba umgodi ongahle uphume uketshezi. Lokhu kubizwa ngokuthi isichibi segazi, ngoba ihlule legazi lingasetshenziswa ukuvala ukuvuza. Ezimweni eziningi, lokhu kwenza izimpawu zihambe. Ezimweni ezingavamile, kudingeka ukuhlinzwa ukuze kulungiswe izinyembezi kulesisikhathi futhi kumiswe ikhanda.

Uma izimpawu zokutheleleka (umkhuhlane, ukubanda, ukuguquka kwesimo sengqondo) zikhona, zidinga ukwelashwa ngama-antibiotic.

I-Outlook ivame ukuba yinhle ngokuya ngesizathu. Amacala amaningi aziphilisa ngokwawo ngaphandle kwezimpawu ezihlala njalo.

Uma ukuvuza kwe-CSF kuqhubeka ukubuya, ingcindezi ephezulu ye-CSF (hydrocephalus) kungaba yimbangela futhi kufanele ilashwe.

Izinkinga zingenzeka uma imbangela kungukuhlinzwa noma ukuhlukumezeka. Ukutheleleka ngemuva kokuhlinzwa noma ukuhlukumezeka kungaholela ku-meningitis nasezinkingeni ezinkulu, njengokuvuvukala kobuchopho, futhi kudinga ukwelashwa ngokushesha.

Shayela umhlinzeki wakho uma:

• Unekhanda eliba libi kakhulu lapho uhleli, ikakhulukazi uma usanda kulimala ekhanda, ukuhlinzwa, noma ukubeletha okubandakanya i-epidural anesthesia.
• Unokulimala okulingene ekhanda, bese uba nekhanda elibi kakhulu lapho uhlala phansi, noma unoketshezi oluncane, olucacile olukhipha emakhaleni noma endlebeni.

Ukuvuza okuningi kwe-CSF kuyinkinga yompompi womgogodla noma ukuhlinzwa. Umhlinzeki kufanele asebenzise inaliti encane kunazo zonke lapho kungenzeka lapho enza umpompi womgogodla.

I-hypotension yangaphakathi; Ukuvuza koketshezi lweCerebrospinal

• Ukuvuza koketshezi lweCerebrospinal

U-Osorio JA, Saigal R, Chou D. Izinkinga ze-Neurologic zemisebenzi ejwayelekile yomgogodla. Ku: Ilungu lePhalamende laseSteinmetz, iBenzel EC, ama-eds. Ukuhlinzwa Komgogodla weBenzel. Umhla wesi-4. IPhiladelphia, PA: Elsevier; I-2017: isahluko 202.

IRosenberg GA. I-edema yobuchopho nokuphazamiseka kokujikeleza kwe-cerebrospinal fluid. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 88.