I-Radionuclide cisternogram

I-radionuclide cisternogram ukuhlolwa kwenuzi. Isetshenziselwa ukuxilonga izinkinga ngokugeleza koketshezi lomgogodla.

Umpompi womgogodla (ukubhoboza i-lumbar) kwenziwa kuqala. Inani elincane lezinto ezinemisebe, elibizwa ngokuthi i-radioisotope, lijojelwa kuketshezi olungaphakathi komgogodla. Inaliti isuswa ngokushesha ngemuva komjovo.

Ngemuva kwalokho uzoskenwa amahora angu-1 kuya kwayi-6 ngemuva kokuthola umjovo. Ikhamera ekhethekile ithatha izithombe ezibonisa ukuthi izinto ezisetshenziswa ngemisebe zihamba kanjani ne-cerebrospinal fluid (CSF) ngomgogodla. Izithombe zikhombisa nokuthi uketshezi luyavuza yini ngaphandle komgogodla noma ubuchopho.

Uzoskenwa futhi ngemuva kwamahora angu-24 ujove. Ungadinga ukuskena okungeziwe mhlawumbe emahoreni angama-48 nama-72 ngemuva kokujova.

Isikhathi esiningi, awudingi ukulungiselela lolu vivinyo. Umhlinzeki wakho wezokunakekelwa kwempilo angakunika umuthi wokudambisa izinzwa zakho uma ukhathazeke kakhulu. Uzosayina ifomu lokuvuma ngaphambi kokuhlolwa.

Uzogqoka ingubo yasesibhedlela ngesikhathi sokuskena ukuze odokotela bakwazi ukufinyelela umgogodla wakho. Uzodinga futhi nokususa ubucwebe noma izinto zensimbi ngaphambi kokuskena.

Umuthi we-numbing uzobekwa emhlane wakho ophansi ngaphambi kokugcotshwa kwe-lumbar. Kodwa-ke, abantu abaningi bakuthola kungakhululeki ukubhoboza izitho zomzimba ngaphandle. Lokhu kuvame ukwenzeka ngenxa yengcindezi esemgogodleni lapho kufakwa inaliti.

Iskena asinabuhlungu, yize itafula lingabanda noma libe nzima. Akukho ukungakhululeki okukhiqizwa yi-radioisotope noma isithwebuli.

Isivivinyo senziwa ukuthola izinkinga ngokugeleza koketshezi lomgogodla nokuvuza komgogodla. Kwezinye izimo, kungahle kube nokukhathazeka ukuthi i-cerebrospinal fluid (CSF) fluid iyavuza ngemuva kokuhlukumezeka ekhanda noma ukuhlinzwa ekhanda. Lokhu kuhlolwa kuzokwenziwa ukuthola ukuvuza.

Inani elijwayelekile likhombisa ukujikeleza okujwayelekile kwe-CSF kuzo zonke izingxenye zobuchopho nentambo yomgogodla.

Umphumela ongajwayelekile ukhombisa ukuphazamiseka kokujikeleza kwe-CSF. Lezi zinkinga zingafaka:

• I-Hydrocephalus noma izikhala ezivulekile ebuchosheni bakho ngenxa yokuvinjelwa
• Ukuvuza kwe-CSF
• Ingcindezi ejwayelekile i-hydrocephalus (NPH)
• Ukuthi i-CSF shunt ivulekile noma ivinjelwe noma cha

Izingozi ezihambisana nokubhoboza i-lumbar zifaka:

• Ubuhlungu endaweni yomjovo
• Ukopha
• Ukutheleleka

Kukhona nethuba elingandile kakhulu lokulimala kwezinzwa.

Inani lemisebe esetshenzisiwe ngesikhathi sokuskena kwenuzi lincane kakhulu. Cishe yonke imisebe ihambile ezinsukwini ezimbalwa. Awekho amacala aziwayo omsakazo odala ingozi kumuntu othola ukuskena. Kodwa-ke, njenganoma ikuphi ukuchayeka emisebeni, kuyalulekwa ukuthi uqaphele uma ukhulelwe noma uncelisa.

Ezimweni ezingavamile, umuntu angaba nokungezwani komzimba ne-radioisotope esetshenziswe ngesikhathi sokuskena. Lokhu kungafaka ukusabela okungathi sína kwe-anaphylactic.

Kufanele ulale phansi ngemuva kwesibhobo se-lumbar. Lokhu kungasiza ekuvikeleni ikhanda elibuhlungu kusukela ekuhlatshweni kwesikhumba. Akukho okunye ukunakekelwa okukhethekile okudingekayo.

Ukuskena kokugeleza kwe-CSF; I-Cisternogram

• Ukubhoboza i-lumbar

IBartleson JD, iBlack DF, iSwanson JW. Ubuhlungu be-cranial nobuso. Ku: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 20.

UMettler FA, uGuiberteau MJ. Isistimu yezinzwa ephakathi. Ku: Mettler FA, Guiberteau MJ, ama-eds. Okubalulekile kwe-Nuclear Medicine Imaging. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 3.