Ukukhishwa kwe-Lumbar

Le nqubo kufanele ijwayele kuwe ezinkundleni eziningi zezokwelapha namafilimu. Ukukhishwa kwe-Lumbar, odokotela bangempela, njengamanga, bathathwa kaningi. Lena enye yezinqubo ezibaluleke kakhulu ezingahle zenzeke kokubili ngezinjongo zokwelapha nezokucwaninga.

Izinkomba nokuphikisana kwe-lumbar puncture?

Ukukhishwa kwe-Lumbar ngezinye izikhathi kubizwa ngokuthi ukugcoba komgogodla noma kwe-lumbar. Yenzelwe ngenhloso yemithi noma ukuhoxiswa kwe-cerebrospinal fluid, i-cerebrospinal fluid ejikeleza njalo emzimbeni wonke. I-Liqvor inethonya esimweni sesimiso sezinzwa, sinesibopho sezinqubo ze-metabolic ezenzeka phakathi kwegazi nobuchopho. Ukutadisha uketshezi kusiza ukuxilonga ngokunembile futhi ukhethe ukwelashwa okufanele kakhulu.

Ukukhishwa kwe-lumbar ngokuyinhloko kwenziwa ngezinjongo zocwaningo. Ikwabiwa kwamacala alandelayo:

1. Ukuphumula kuyisivivinyo esibaluleke kakhulu se- meningitis . Lesi sifo siwumphumela wokutheleleka. Ngosizo lwe-lumbar puncture kungenzeka ukucacisa ngokuqinisekile imbangela yangempela yalesi sifo.
2. Inqubo kuyadingeka ukunquma ukuphuma kwegazi.
3. Ukukhishwa kwe-lumbar kunqunyelwe i-hydrocephalus.
4. Ngezinye izikhathi le nqubo ihlola isifo sofuba nomkhuhlane.
5. Ukukhishwa kwe-Lumbar kukwazi ukuqinisekisa noma ukuphika ukutholakala kwe-oncology.
6. Kwezinye izimo, ukukhishwa kwe-lumbar kuphela kungabona i-hernia intervertebral.

Ukwengeza, ukugoba kwe-lumbar kuyadingeka ukukala ukucindezelwa emgodini wendlala yomgogodla, ukulawulwa kwezidakamizwa noma izidakamizwa ze-antiseptic, ukwelashwa kwe-leukemia nezinye izinkinga ezihambisana nezifo zesimiso sezinzwa eziphakathi (kuhlanganise nezicubu ezimbi).

Kanye nemibonakaliso yokukhishwa kwe-lumbar, kukhona nokunye okungahambisani nalokhu:

1. Ukucwaninga kungalimaza abantu abanokuhlukumezeka nokuhlelwa kobuchopho.
2. Uma isiguli sibhekene nesifo esithinta isifunda se-lumbar, kungcono ukugwema okwesikhashana ukuphuma.
3. Awukwazi ukwenza ukukhishwa kwe-lumbar kubantu abane-hydrocephalus evamile.
4. Enye ukuphikisana kuyaphazamiseka okukhulu.

Ukulungiselela ukukhishwa kwe-lumbar kanye nezinkinga ezingenzeka ngemuva kwenqubo

Inqubo ayidingi ukulungiselela okukhethekile. Ukuphela komzamo ongokomzimba okudingekayo kusuka esigulini ukukhipha isisu. Okunye kusemthethweni. Kumelwe:

1. Qaphela udokotela uma uthatha (noma uthathe esikhathini sakamuva esidlule) noma yimiphi imithi.
2. Ukutshela ngazo zonke izifo ezingapheli nezidlulisiwe.
3. Yazisa ngokukhulelwa noma nesifiso sokuba nomntwana maduzane.

Udokotela naye uzonikezela ukusayina isivumelwano esikhethekile.

Inaliti yokukhishwa kwe-lumbar ifakwe endaweni elandelwe ngaphambili nokuphathwa kwamakaki (ngokuvamile ephindeni). Lapho nje inaliti ifinyelela ukujula okudingekayo, uketshezi luqala ukugeleza kulo, okuyingxenye yalo kuyodingeka ukuthi uphenyo oluzayo. Ngalesi sigaba, isilinganiso sokucindezela esilinganisa ukucindezela ketshezi kungaxhunyaniswa. Ngokuvamile, ukugqama akusho lutho isigamu sehora. Ukuphila akudingekile: uketshezi lwe-cerebrospinal lukhiqizwa kabili noma kathathu ngosuku, ngakho-ke inani lemali esetshenziselwa ukuhlaziywa lizophola ngokushesha.

Nakuba lena yinkambiso yokuphulukisa iziguli, ochwepheshe batusa isikhathi esithile ngemuva kokuba i-lumbar ibambe iqhaza ukuze igcine irejista. Isiguli ngemuva kokukhishwa kwe-lumbar kungcono ukulala ngokuthula amahora amaningana. Uma kungenjalo, kungenzeka kube khona ikhanda. Kwezinye izimo ukuphuma kwegazi nokutheleleka kubonakala kuyinkinga. Emva kokukhishwa ngokungalungile, izicubu ezincane zingathuthuka emgodini womgogodla, zithuthuke ngobudala futhi zikhulule kakhulu.