Ukubhoboza i-lumbar: kuyini, kwenzelwa ini, kwenziwa kanjani nezingozi

-Delile

• Yenzelwe ini
• Kwenziwa kanjani ukubhoboza
• Imiphumela emibi engaba khona
• Ukungafani kokukhishwa kwe-lumbar
• Imiphumela ye-

Ukubhoboza i-Lumbar kuyinqubo evame ukuhlose ukuqoqa isampula ye-cerebrospinal fluid egeza ubuchopho nomgogodla, ngokufaka inaliti phakathi kwama-vertebrae ama-lumbar amabili ize ifinyelele esikhaleni se-subarachnoid, okuyisikhala esiphakathi kwezendlalelo ezigcwala umgogodla, lapho kudlula khona uketshezi.

Le ndlela isetshenziselwa ukukhomba ushintsho lwezinzwa, okungaba izifo, njenge-meningitis noma i-encephalitis, kanye nezifo ezinjenge-multiple sclerosis noma i-subarachnoid hemorrhage ngokwesibonelo. Ngaphezu kwalokho, ingasetshenziswa futhi ukufaka izidakamizwa kuluketshezi lwe-cerebrospinal, njenge-chemotherapy noma i-antibiotics.

Yenzelwe ini

Ukubhoboza i-Lumbar kunezinkomba eziningana, ezibandakanya:

• Ukuhlaziywa kwelabhorethri ye-cerebrospinal fluid, ukukhomba nokuhlola izifo;
• Ukulinganisa kwengcindezi ye-cerebrospinal fluid;
• Ukwehla komgogodla;
• Ukujova izidakamizwa ezifana nama-antibiotic kanye ne-chemotherapy;
• Isiteji noma ukwelashwa kwama-leukemias nama-lymphomas;
• Ukujova kokuqhathanisa noma izinto ezinemisebe yokwenza ama-radiographs.

Ukuhlaziywa kwelabhorethri kuhloselwe ukuthola ubukhona bezinguquko ohlelweni lwezinzwa oluphakathi, ezinjengezifo ezibangelwa amagciwane, amagciwane noma ukhunta njenge-meningitis, i-encephalitis noma ugcunsula, isibonelo, ukukhomba ukopha, umdlavuza noma ukuxilongwa kwezimo ezithile zokuvuvukala noma zokonakala uhlelo lwezinzwa, njenge-multiple sclerosis, isifo i-Alzheimer's noma isifo se-Guillain-Barré.

Kwenziwa kanjani ukubhoboza

Ngaphambi kwenqubo, akukho ukulungiselela okukhethekile okudingekayo, ngaphandle kwalapho kunenkinga ngokuqina noma ukusetshenziswa kwemithi ethile ephazamisa inqubo, njengoba kunjalo ngama-anticoagulants.

Umuntu angazibeka kwesinye sezikhundla ezimbili, noma alale ngohlangothi ngamadolo ikhanda liseduze nesifuba, elibizwa ngesikhundla se-fetal, noma ahlale nekhanda nomgogodla uguqulwe phambili nangezingalo eziwele.

Ngemuva kwalokho, udokotela usebenzisa isisombululo se-antiseptic esifundeni se-lumbar futhi ubheka isikhala esiphakathi kwe-L3 ne-L4 noma i-L4 ne-L5 vertebrae, akwazi ukujova umuthi wokubulala izinhlungu kule ndawo. Ngemuva kwalokho kufakwa inaliti enhle kancane futhi phakathi kwamathambo omzimba, ize ifinyelele esikhaleni esingaphansi komhlaba, lapho uketshezi luzokhipha khona luconsele kuyo inaliti, luqoqwe kuthubhu yokuhlola oyinyumba.

Ekugcineni, inaliti iyasuswa bese kufakwa okokugqoka endaweni yokuluma. Le nqubo ivame ukuthatha imizuzu embalwa, kepha udokotela kungenzeka angakwazi ukuthola isampula ye-cerebrospinal fluid lapho efaka inaliti, futhi kungadingeka ukuphambukisa ukuqondiswa kwenaliti noma wenze udosi kwesinye isifunda futhi.

Imiphumela emibi engaba khona

Le nqubo ngokuvamile iphephile, inamathuba aphansi okuletha izinkinga noma izingozi kumuntu. Umphumela omubi kakhulu ongaba khona ngemuva kokugcotshwa emlenzeni yikhanda lesikhashana ngenxa yokwehla koketshezi lwe-cerebrospinal ezicutshini eziseduze, futhi kungahle kube nesicanucanu nokuhlanza okungagwenywa uma umuntu elele phansi isikhashana ngemuva ukuhlolwa.

Kungabuye kube nobuhlungu nokungaphatheki kahle emhlane ongezansi okungancishiswa ngamaphilisi ezinhlungu abekwe ngudokotela, futhi yize kuyivelakancane, ukutheleleka noma ukopha nakho kungavela.

Ukungafani kokukhishwa kwe-lumbar

Ukubhoboza i-Lumbar kuyaphikiswa lapho kukhona umfutho wegazi ophakeme, njengalowo obangelwa yisisindo sobuchopho, ngenxa yengozi yokufuduswa kobuchopho kanye ne-herniation. Akufanele futhi kwenziwe kubantu abanesifo sesikhumba ukuze babhobozwe noma abanethumba lobuchopho.

Ngaphezu kwalokho, kufanele njalo wazise udokotela ngemithi ayiphuzayo, ikakhulukazi uma umuntu ethatha ama-anticoagulants afana ne-warfarin noma i-clopidogrel, ngenxa yengozi yokopha.

Imiphumela ye-

Amasampula we-cerebrospinal fluid athunyelwa elabhorethri ukuthi ahlaziywe ngamapharamitha ahlukahlukene anjengokubukeka, okuvame ukubonakala futhi kungenambala. Uma liphuzi noma lipinki noma libukeka liguqubele, lingakhombisa ukutheleleka, kanye nokuba khona kwamagciwane amancane njengamagciwane, amagciwane noma isikhunta.

Ngaphezu kwalokho, amaprotheni esewonke nobuningi bamaseli amhlophe egazi nawo ayahlolwa, okuthi, uma ephakanyisiwe, akhombise ukutheleleka noma isimo esithile sokuvuvukala, i-glucose, okuthi, uma iphansi, ibe wuphawu lokutheleleka noma ezinye izifo, kanye nokuba khona amaseli angajwayelekile angakhombisa izinhlobo ezithile zomdlavuza.