Amaprotheni aphelele we-CSF

Amaprotheni esewonke e-CSF isivivinyo sokunquma inani lamaprotheni ku-cerebrospinal fluid (CSF). I-CSF iwuketshezi olucacile olusendaweni ezungeze intambo yomgogodla nobuchopho.

Kudingeka isampula le-CSF [1 kuya ku-5 milliliters (ml)]. Ukubhoboza i-lumbar (umpompi womgogodla) kuyindlela ejwayelekile kakhulu yokuqoqa lesi sampula. Imvamisa, ezinye izindlela zisetshenziselwa ukuqoqa i-CSF njenge:

• Ukubhoboza umthombo
• Ukubhoboza okubonakalayo
• Ukususwa kwe-CSF kushubhu esivele iku-CSF, efana ne-shunt noma i-ventricular drain.

Ngemuva kokuthi kuthathwe isampula, ithunyelwa ebhodini ukuze ihlolwe.

Ungaba nalokhu kuhlolwa ukusiza ukuxilonga:

• Izimila
• Ukutheleleka
• Ukuvuvukala kwamaqembu amaningana amangqamuzana ezinzwa
• I-Vasculitis
• Igazi kulwelwesi lomgogodla
• I-Multiple sclerosis (MS)

Ububanzi bamaprotheni obujwayelekile buyahlukahluka kuye ngelebhu kuya kwelabhu, kepha imvamisa ingama-milligram ayi-15 kuye kwangama-60 nge-deciliter (mg / dL) noma ngo-0.15 kuye ku-0.6 milligram ngemililitha (mg / mL).

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Izibonelo ezingenhla zibonisa izilinganiso ezivamile zemiphumela yalezi zivivinyo. Amanye ama-laboratories asebenzisa izilinganiso ezahlukahlukene noma angahlola izinhlobo ezahlukene.

Izinga lamaprotheni angajwayelekile ku-CSF liphakamisa inkinga ohlelweni lwezinzwa oluphakathi.

Ukukhuphuka kwamaprotheni kungaba uphawu lwesimila, ukopha, ukuvuvukala kwemizwa, noma ukulimala. Ukuvaleka kokugeleza koketshezi lomgogodla kungadala ukwakheka okusheshayo kwamaprotheni endaweni engezansi yomgogodla.

Ukwehla kwezinga lamaprotheni kungasho ukuthi umzimba wakho ukhiqiza ngokushesha uketshezi lomgogodla.

• Ukuhlolwa kwamaprotheni we-CSF

UDeluca GC, uGriggs RC. Indlela eya esigulini esinesifo se-neurologic. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 368.

U-Euerle BD. Ukubhoboza umgogodla nokuhlolwa koketshezi lwe-cerebrospinal. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 60.

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.