Isikhathi somgogodla (ukugqama kwesibindi) sinye yezindlela eziyinkimbinkimbi kakhulu futhi ezisebenzayo zokuxilongwa. Naphezu kwegama, umgogodla ngokwawo awuthintekile, kodwa uketshezi lwe-cerebrospinal (CSF) kuthathwa. Le nqubo ihilela ingozi ethile, ngakho-ke iqhutshwa kuphela uma kunesidingo esinzima, esibhedlela nasososheni.
Kungani kufanele uthathe i-puncture yentambo yomgogodla?
Isikhathi somgogodla sivame ukusetshenziselwa ukuthola izifo, ukucacisa uhlobo lwesifo, ukuxilonga ukuphuma kwamagciwane, ukushaywa kwe-multiple sclerosis, ukukhomba ukuvuvukala kobuchopho nomgogodla, kulinganisa ukucindezela kohlobo lwamanzi ophazamisi (cerebrospinal fluid). I-puncture ingenziwa futhi ukuhlinzeka imithi noma ukuphambene nabezindaba kwisifundo se-X ukuze kutholakale ama- disversibral aphikisiwe .
Ukuthathwa kwentambo yomgogodla kuthathwa kanjani?
Ngenkathi yenqubo, isiguli sithatha isikhundla, sibheke emadolweni, nesifuba sakhe esifubeni sakhe. Lesi sikhundla sikuvumela ukuthi unwebe kancane izinqubo zama-vertebrae futhi wenze lula ukungena kwenaliti. Indawo endaweni yokugwedla i-disinfected kuqala nge-iodine bese uphuza utshwala. Bese uchitha i-anesthesia yendawo nge-anesthetic (ngokuvamile i-novocaine). Ukuqeda i-anesthesia akunikezi izifo zokubulala umzimba, ngakho-ke isiguli kumele sibhekane nesimo esithile esingathandeki ukuze kugcinwe ukuqhuma okuphelele.
Isikhathi senziwa nge naliti ekhethekile oyinyumba kuze kufike kumamitha ayisithupha ubude. Benza isikhwama esifundeni se-lumbar, ngokuvamile phakathi kwe-vertebrae yesithathu nesine, kodwa njalo ngaphansi kwezintambo zomgogodla.
Ngemuva kokungeniswa kwenaliti emgodini womgogodla, i-cerebrospinal fluid iqala ukugeleza kuyo. Ngokujwayelekile cishe u-10 ml we-cerebrospinal fluid kuyadingeka ukuze kufundwe. Kanti futhi ngesikhathi sokuthatha umgogodla, ukulinganiselwa kokuphelelwa yisikhathi kuyalinganiselwa. Emuntwini onempilo, uketshezi lwe-cerebrospinal lucacile futhi alubalabala futhi lugeleza ngesilinganiso sokudonsa okungu-1 ngomzuzwana. Endabeni yokucindezela okwandisiwe, izinga lokuphuma kwamanzi landa, futhi likwazi ukugeleza ngisho nangokwenyuka.
Ngemuva kokuthola ivolumu edingekayo yoketshezi olwenziwe ucwaningo, inaliti isusiwe, futhi isayithi lokuqothulwa lihlanganiswe nezicubu eziyinyumba.
Imiphumela yomgogodla wezintambo
Ngemuva kwenqubo yamahora amabili okuqala, isiguli kumele silale emhlane, endaweni ephezulu (ngaphandle komcamelo). Emahoreni angu-24 alandelayo akunconywa ukuba uthathe isikhundla sokuhlala nokuma.
Ezigulini eziningana, emva kokuba zinikezwe umuthi wokugaya umgogodla, ukukhwabanisa, ubuhlungu obufana ne-migraine, ubuhlungu emgodleni, ukuvuza kungase kwenzeke. Kulezi ziguli, udokotela oya khona ubeka izinkinga zokudambisa ubuhlungu kanye nezidakamizwa eziphikisayo.
Uma i-puncture yenziwa ngendlela efanele, ngakho-ke ayithwali imiphumela emibi, futhi izimpawu ezingathandeki ziphela ngokushesha.
Iyini ingozi yokugqanyiswa kwentambo yomgogodla?
Inqubo yesikhumba somgogodla isenziwa iminyaka engaphezu kwengu-100, iziguli zivame ukubandlulula ngenhloso yalo. Ake sicabangele ngokuningiliziwe, ukuthi ukukhishwa kwentambo yomgogodla kuyingozi, futhi yiziphi izinkinga ezingabangela.
Enye yezinganekwane ezivamile - uma wenza i-puncture, intambo yomgogodla ingonakaliswa futhi ukukhubazeka kungenzeka. Kodwa, njengoba kushiwo ngenhla, ukukhishwa kwesibindi kwenziwa endaweni yesibhakabhaka, ngaphansi komgogodla, ngakho-ke awukwazi ukukuthinta.
Futhi, ingozi yokutheleleka iyinkinga, kodwa ngokuvamile kuvinjelwe ngaphansi kwezimo eziyingozi kakhulu. Ingozi yokutheleleka kuleli cala cishe cishe ku-1: 1000.
Izinkinga ezingenzeka emva kokugqama kwentambo yomgogodla zifaka ingozi yokugaya (epidural hematoma), ingozi yokunyuka kwengcindezi engaphezu kwezingculazi ezigulini ezinezifo noma ezinye izifo zobuchopho, kanye nobungozi bokulimala komgogodla.
Ngakho-ke, uma udokotela oqeqeshiwe enza umgogodla wokugcoba, ingozi ayilutho futhi ayidluli ingozi ye-biopsy yanoma iyiphi isitho sangaphakathi.