Ukukhishwa komgogodla - ingozi iyadingeka yini?

Lokhu kukhwabanisa kunamanye amagama - i-lumbar, ezimweni eziningi ezisetshenziselwa i-neurology yokusungulwa kwesifo sokugcina ngokuthatha isisindo se-cerebrospinal nokuyihlaziya. Inqubo inezinkomba, izinkomba kanye nezici zayo.

Ukukhishwa kwe-Lumbar - izinkomba

Uma isiguli sinikezwa ukugqunywa komgogodla, izinkomba kulokhu zingase ziphelele futhi zibe nesihlobo. Okusho ukuthi, ukwenza ukuxhaphazwa kuyimpoqo noma ungenza ngaphandle kwayo (kulokhu udokotela oya khona uyazikhethela). Ngokuqondene nezifo, izinkomba eziphelele zilandelayo:

• izifo ezithathelwanayo zesimiso sezinzwa eziphakathi;
• i-neoplasms eyingozi;
• ukubola kwesisu.

Izinkomba ezihlobene nazo ziyi:

• i-sclerosis amaningi;
• i-polyneuropathy ;
• ukumbumbuluzwa kwe-septic yemikhumbi;
• umkhuhlane wemvelaphi engaziwayo ezinganeni ezingaphansi kweminyaka emibili;
• i-systemic lupus erythematosus .

Izinkomba zenqubo zibandakanya:

• i-anesthesia yomgogodla ngaphambi kokuhlinzwa;
• i-anesthesia yokubeletha;
• ukulinganisa kwengcindezi ku-cerebrospinal fluid (cerebrospinal fluid);
• isingeniso semithi.

Kuyini ukukhishwa kwesikhumba esiyingozi?

Ukuqothula kwe-cerebrospinal fluid kungenye yezindlela eziyinkimbinkimbi zokuxilonga okufanele zenziwe ngumchwepheshe oqeqeshiwe futhi ngempela esibhedlela. Ingozi enkulu ukutheleleka emthonjeni womgogodla kanye nomonakalo wayo. Ngokudabukisayo, lapho kutholakala ukugwedwa kwe-lumbar, intambo yomgogodla ngokwayo ayihlali ingathinteki.

Ukukhishwa kwe-Lumbar - kuyabuhlungu yini?

Ukukhishwa kwe-Lumbar kwenziwa nge-anesthesia yendawo yangaphambili ene-lidocaine. Imizwa emva kokusungulwa kwalesi sifo esibucayi sabonakala cishe wonke umuntu: kuyinqwaba, efana nokwelashwa kwamazinyo. Ngenxa ye-anesthesia, umjovo ngokwawo awubuhlungu kakhulu. Uma isifo somgogodla silimala, isiguli singase sibe nomuzwa ofanayo njengokwesabisa kwamanje. Izikhalazo mayelana nekhanda zivamile.

Nansi indlela yokunciphisa izimpawu zokugqunywa komgogodla:

1. Kusukela ekuqaleni, ngemuva kokuphathwa kabi, isiguli sinikezwe ukuphumula okuphelele okungenani amahora angu-18. Ngesinye isikhathi, uma kunesidingo, kunwetshwa ezinsukwini ezintathu.
2. Ubuhlungu (ikhanda nokukhwabanisa isayithi) kunqunywe ukwelashwa kwe-analgesic ngendlela yama-NSAID.
3. Futhi, isiguli sinconywa isiphuzo esifudumele. Uma kunesidingo, ama-substitute ama-plasma aziswa.

Ukuqhathaniswa kokuqedwa kwe-lumbar

Lokhu ukuxhaphaza kwabachwepheshe akulona kunzima kakhulu. Kodwa njengoba kungenzeka ukuthi kungenzeka ukuthi imiphumela emibi ingase ibe khona, kunezinsolo zokuphikisana. Ngezinhloso zokuxilonga uthatha 5 ml kuphela ye-CSF, futhi usuku lwakhiwe cishe ngo-700 ml. Uma ufaka i-agent ehlukile phakathi kwenaliti, cishe u-10 ml we-fluid ungena esikhaleni somgogodla. Kungenzeka ukuthola izifo ngokusebenzisa inaliti, kanye nezitsha ezimele. Ukuqhubeka kusukela ngenhla, inqubo akumele yenziwe:

• nge-hematoma engasebenzi, ukwephulwa kobuchopho, i-edema, i-abscess, ukwakheka kwe-volumetric kanye nezinye izinguquko zobuchopho;
• ngokushaqeka okubuhlungu;
• nge-lesion enkulu yama-tissue ama-dorsal kanye nezilonda ezicindezelayo endaweni lapho kukhishwa khona;
• nge-diathesis engavamile;
• nge-pathologies yomgogodla womgogodla nokukhubazeka kokusabalalisa kwe-cerebrospinal fluid;
• nehlobo le-occlusal le-hydrocephalus.

Omunye wemiphumela engajabulisayo futhi evame ukuvela njalo kuyisifo sekhanda ngemuva kokuvala umgogodla. Ivame ukutholakala ezigulini zeminyaka ehlukile. Njengomthetho, lapho uvuka, ubuhlungu buyanda, ngenkathi ulele endaweni yokulala, ngokuphambene nalokho, kunciphisa. Izinaliti zokuphakama ezincane zinciphisa izigameko zesisu. Ngokuvamile isibonakaliso sidlula ngokwaso futhi sizenzele. Futhi ukulahla, ukuphumula kombhede, isiphuzo sokuphuza, ama-analgesics ne-caffeine asetshenziswa.

Hlela ukuvala umgogodla

Ukuze kusetshenziselwe ukuxhaphazwa, isethi yamathuluzi alandelayo, amalungiselelo nezinto ezidingekayo:

• ikhambi le-iodine 5%;
• utshwala
• i-collodion;
• Isixazululo se-novocaine 0.5%;
• ama-syringes 5 no-10 ml;
• izinaliti ezincane ezinamachiza;
• inaliti yokukhishwa kwe-lumbar (izinaliti ezilula kunazo zonke ze-iridium-platinum ezingaphuli futhi azigqila);
• ukulinganisa kwamanzi ukugada ukucindezelwa ketshezi lwe-cerebrospinal;
• Ama-tubes wokuhlola ayinyumba, ama-napkins noboya bekotini.

Ukulungiselela ukuvala umgogodla

Ukugqunywa kwesibindi (lumbar) kuhilela ukuqeqeshwa kwangaphambili. Okokuqala, udokotela kumele athole okulandelayo:

• ngokuqondene nesiguli sesifazane, ngabe ukhulelwe;
• kungakhathaliseki ukuthi isiguli sinomphumela wokwelapha izidakamizwa kanye nezifo ezibulalayo;
• Kungakhathaliseki ukuthi imiphi imithi ethathwa okwamanje;
• mayelana nokuphulwa kwe-clotting yegazi.

Olunye uhlobo lokulungiselela oluyinkimbinkimbi aludingi ukuphathwa. Kukhona imithetho ethile kuphela. Isiguli kumele sikhululwe isisu futhi isisu sicoceke. Ukudla kokugcina kwenziwa okungakapheli amahora amabili ngaphambi kwenqubo. Kunconywa ukuba uyeke ekubhemeni ngosuku lokukhishwa kwe-lumbar. Zonke ezinye izinqubo nemithi zikhanseliwe.

Ukugqunywa kwesiphahla

Ukukhishwa kwe-Lumbar - inqubo yokuqalisa:

1. Ukwelapha nge-sese antiseptic, bese uphuzo noma i-iodine.
2. Faka isicelo sokusula indawo yokuvala.
3. Isiguli sithatha isikhundla esifanele: silele eceleni kwakhe, siguqa ngamadolo, sigqugquzela ikhanda lakhe esifubeni noma sihlezi, sigijimela emuva.
4. Ukwelashwa kwesayithi lokuphumula ngotshwala.
5. Ukunqunywa kwendawo yokufaka indawo (kubantu abadala phakathi kwe-2 ne-3 vertebrae lumbar, ezinganeni eziphakathi kuka-4 no-5).
6. Ukwethulwa kwe-anesthetic yendawo (isisombululo se-novocaine noma i-lidocaine).
7. Ngemuva kwemizuzu engu-2-3 elinde isenzo se-anesthetic, inaliti ifakwe ekugqanyeni komgogodla. Ngokuphathwa okulungile, udokotela nesiguli bazizwa bewela emkhatsini ohlala isikhathi eside.
8. Ukususwa kwe-mandrin, kuqala ukugeleza utshwala.
9. Isilinganiso sokucindezela nge-manometer.
10. Faka isicelo sokubopha amabhilidi esihlahleni.

Ukuphumula komgogodla - imiphumela

Ngokuvamile, izinkinga emva kokuxhaphazwa zikhona njalo, kepha ngisho noma ukukhishwa kwe-cerebrospinal fluid kwenziwa ngendlela efanele, imiphumela isenzeka. Njengoba kushiwo ngenhla, lokhu kuyinhloko, futhi:

• isicasuli;
• ukuhlanza;
• isiyezi.

Lapho inqubo yokuphuza umgogodla iphukile:

• ukuphuma kwegazi;
• i-paresis;
• ukuphendula komuntu;
• izifo ezithathelwanayo, njll.