Zokuhlatywa spinal

zokuhlatywa fluid kubandakanya alawula inaliti okukhethekile kwisithuba subarachnoid ye umnqonqo. Isetyenziselwa iinjongo ukuxilongwa okanye iinkqubo zokunyangwa.

zokuhlatywa spinal oluqhutywe iilebhu ezizodwa apho uxinzelelo CSF lulinganiselwa kwaye patency nokumisela zonke izithuba zomzimba. It ivumela ukufumanisa ubukho kunye nobushushu legazi, inxeba umlinganiswa ukuchaza, ukuchonga iinkqubo ukudumba kwi inwebu ebuchotsheni, ulwelo fluid ukuchonga iinguqu ezithi zenzeke izifo kwinkqubo luvo. ixabiso xi CSF sifikelela kwisigqibo zesi salathisi kwi kulwelo lobuchopho. Kwakhona okuhlatywa spinal le isetyenziswa ukwazisa iziyobisi ezahlukeneyo kunye nezinto radiopaque kunye radiopharmaceuticals umoya ngexesha myelography, cisternography, pneumoencephalography.

Ukulungiselela iinjongo zonyango, ukuxhaphaza efanayo yenzelwa ukufumana okanye anegazi fluid ubovu indalo, zokwazisa ebulala, antibiotics. Bona zisetyenziselwa uthambo izifo kakhulu ubovu-ukudumba nomqolo nobuchopho.

zokuhlatywa spinal lwenziwa phakathi iinkqubo spinous yesithathu neyesine vertebra empontshwa. Ngelo xesha ukuthobela yonke imithetho ebulala: isikhumba iphathwa kunye ayodini, ngoko kuzisula kuyo inaliti kunye notywala. Kwakhona wayisa zomzimba, apho kusetyenziswa isisombululo novocaine. Kuphela ke zaziswa okuhlatywa inaliti, encamathele ekupheleni stylet. Emva ukugqobhoza yethishyu bavakalelwa ukusilela ekuqhelekileyo ukuba ibonisa akungeni isithuba ebulewe. Emva koko, lo mandrel isusiwe yaye ndeyisekile emva utywala. Ngokuxhomekeke kwimithetho yokuntlokothiswa ikhuselekile.

Zokuhlatywa le umnqonqo unalo iziboniso zilandelayo: ukopha ezizenzekelayo kwisithuba subarachnoid ngenxa komsipha of an kwemithambo, meningoencephalitis, meningitis, myelitis, arahnomielity, cysticercosis, ehinokkokoz, neurosyphilis, liquorrhea, ukwenzakala ebuchotsheni esibuhlungu. Iya kusebenza ukungeniswa antibiotics e tuberculous meningitis, ubovu meningoencephalitis. Ngamaxesha utyando kwengqondo okuhlatywa spinal isetyenziselwa ukunciphisa isicwangciso uxinzelelo intracranial, ukufikelela lula ngamathumba amabi.

Xa Iziseko ezikhulu nervous system indlela engundoqo esebenzayo isetyenziswa ngobulumko, ekubeni ithumba ngoxa kuncitshiswa uxinzelelo ungahluka indawo yayo kwaye Occipital aphula enkulu okanye umngxuma tentorial. Xa lithi comatose kwakhona nokusebenzisa okuhlatywa le umnqonqo. Imiphumo yokuziphatha yaso ephosakeleyo lunokubulala, ingakumbi kwiimeko zophendlo lwezifo ze umyalezo ezingaziwayo.

Ezinye iingxaki kule nkqubo: meningismus, esizibonakalisa iimpawu zigutyungelwe, intloko ebuhlungu kuhlolwe ezisezantsi emva, ukugabha, isicaphucaphu. Umngxuma ezikhandelwa emva ukuxhaphaza, ukuze kuhlala ejongile ixesha elide, nto leyo hypotension zingenzeka. Ukuphinda okuhlatywa spinal zinokubangela ukuba uyofaka nomqolo channel holestatom. Kodwa ke ingxaki kakhulu eyingozi ikukunyasha le brainstem. Loo okuhlatywa kungabangela ekufeni. Xa inani ezinobuzaza ke wesibini kuphela okuhlatywa le umongo wethambo, iziphumo zazo kuphuhliso igazi, osteomyelitis. Ngoko ke, ukubambelela kule migaqo kakhulu ngexesha kule misebenzi diagnostic.