Kukonzekera kumeneku kuli ndi dzina lina - lumbar, nthawi zambiri amagwiritsidwa ntchito mu sayansi ya zamoyo pofuna kukhazikitsa chidziwitso chomaliza mwa kutenga cerebrospinal fluid ndi kuiganizira. Njirayi ili ndi zizindikiro zake, zotsutsana ndi zizindikiro zake.
Kujambula kwa Lumbar - zizindikiro
Ngati wodwala apatsidwa mpeni wamkati, zizindikiro zake zingakhale zomveka komanso zogwirizana. Izi zikutanthauza kuti, kuchitapo kanthu ndikoyenera kapena mungathe kuchita popanda izi. Ponena za matendawa, zizindikiro izi ndi izi:
- matenda opatsirana a m'katikati mwa mitsempha;
- zovuta zopweteka;
- Kuchepetsa magazi.
Zizindikiro zowonongeka ndi izi:
- multiple sclerosis;
- mapuloteni ;
- kumangirira zopanda zitsulo;
- malungo osadziwika kuchokera kwa ana osapitirira zaka 2;
- systemic lupus erythematosus .
Zizindikiro za ndondomekoyi zikuphatikizapo:
- opaleshoni yamtsempha asanayambe opaleshoni;
- anesthesia of birth;
- kuchuluka kwa kukakamizidwa mu cerebrospinal fluid (cerebrospinal fluid);
- kuyambitsa mankhwala.
Kodi ndizowopsa zotani za m'mimba?
Kuthamanga kwa cerebrospinal fluid ndi imodzi mwa njira zovuta zogwiritsira ntchito zomwe ziyenera kuchitidwa ndi katswiri wodziwa bwino komanso makamaka kuchipatala. Choopsa chachikulu ndi matenda mu msana ndi kuwonongeka kwake. Chodabwitsa n'chakuti, pamene kutsekedwa kwa mimba kumagwiritsidwa ntchito, mzere wa msana umakhalabe wosakhudzidwa.
Kupuma kwa Lumbar - ndi zopweteka?
Kuchotsa lumbar kumachitika ndi anesthesia oyambirira kumidzi ndi lidocaine. Maganizo atatha kuwonetseratu mankhwalawa amapezeka pafupifupi aliyense: ndizofooka, zofanana ndi kuchiza mano. Chifukwa cha anesthesia, jekeseni yokha ndi yopweteka kwambiri. Ngati mitsempha ya msana ikuvulazidwa, wodwalayo akhoza kumva chipinda chofanana ndi chisokonezo chamakono. Zidandaulo za mutu zimakhala zofala.
Pano ndi momwe mungachepetse zizindikiro za kupopera msana:
- Kuchokera pachiyambi, pambuyo poyendetsa, wodwalayo akupatsidwa mpumulo wogona kwa maola oposa 18. Nthawi zina, ngati kuli koyenera, imaperekedwa kwa masiku atatu.
- Kupweteka (mutu ndi kupuma malo) kumaperekedwa ngati analgesic therapy monga mawonekedwe a NSAIDs.
- Komanso, wodwala akulimbikitsidwa kumwa mowa wowonjezera. Ngati ndi kotheka, mawonekedwe a plasma amayamba.
Zotsutsana zomwe zimapangidwira
Kusokoneza kwa akatswiri sikovuta kwambiri. Koma popeza pali kuthekera kwa zotsatira zovuta, palinso zosiyana. Zolinga zogonana zimatenga 5 ml okha a CSF, ndipo tsiku limapangidwa pafupifupi 700 ml. Mukalowa jekeseni mu singano, pafupifupi 10 ml ya madzi amalowa mkati mwa msana. N'zotheka kutenga matenda kudzera mu singano, komanso zombo zovulala. Kuchokera pazimenezi, ndondomekoyi siyenela kuchitika:
- ndi mankhwala osokoneza bongo a hematoma, kuphwanya kwa ubongo, edema, abscess, mapangidwe apamwamba ndi kusintha kwina kwa ubongo;
- ndi zododometsa;
- ndi zilonda zazikulu zamatenda ndi zipsinjo zomwe zimapangidwira;
- ndi hemorrhagic diathesis;
- ndi matenda a msana wam'mimba ndi kuwonongeka kwa kayendetsedwe ka cerebrospinal fluid;
- ndi mawonekedwe a occlusal a hydrocephalus.
Imodzi mwa zotsatira zosasangalatsa komanso zomwe zimachitika nthawi zambiri ndizopweteka mutu. Nthawi zambiri amapezeka odwala a mibadwo yosiyanasiyana. Monga lamulo, mukadzuka, kupweteka kumawonjezeka, pamene mukugona pa malo abodza, mmalo mwake, imachepa. Nkhumba zazing'ono zochepa zimachepetsa chikoka cha mutu. Kawirikawiri chizindikirocho chimadutsa palokha komanso pokhapokha. Komanso kuchotsa, mpumulo wa kama, zakumwa zakumwa, zamagetsi ndi caffeine zimagwiritsidwa ntchito.
Anayikidwa pamphunzi
Pofuna kugwiritsira ntchito, zida, mapulani ndi zipangizo zofunika izi:
- mankhwala a ayodini 5%;
- mowa
- collodion;
- yankho la novocaine 0.5%;
- Sirinji 5 ndi 10 ml;
- singano zopyapyala kwa majeremusi;
- singano kuti ikhale yodumphira (yomwe ili yabwino kwambiri yinodium-platinum singano zomwe siziphwasuka ndi kuzizira);
- kuthamanga kwa madzi kuti ayang'ane kupsinjika kwa cerebrospinal fluid;
- Mavitapu oyesera ndi osabala, mapulotachi ndi ubweya wa thonje.
Kukonzekera kupuma kwa msana
Mimba yam'mimba (lumbar) imaphatikizapo maphunziro oyambirira. Choyamba, adokotala ayenera kupeza zotsatirazi:
- poyerekeza ndi wodwala wamkazi, kaya ali ndi pakati;
- kaya wodwalayo ali ndi vuto la mankhwala osokoneza bongo komanso mankhwala osokoneza bongo;
- Kaya mankhwala aliwonse akutengedwa panthawiyi;
- za kuphwanya magazi.
Mtundu wina wa kukonzekera kovuta sikutanthauza kugwiritsidwa ntchito. Pali malamulo ena okha. Wodwala ayenera kuchotsedwa chikhodzodzo ndipo matumbo amatsukidwa. Chakudya chomaliza chimapangidwa pasanathe maola awiri chisanafike. Ndikoyenera kuti tipewe kusuta patsiku lakupuma. Njira zina zonse ndi mankhwala amaletsedwa.
Kuthamanga kwa msana
Kuchotsa maluwa - njira yokhazikitsira:
- Kuchiza ndi sopo yambiri, kenako ndi mowa kapena ayodini.
- Yesani kupukuta kuzungulira malo otsekedwa.
- Wodwala amatenga malo oyenera: atagona pambali pake, akugwada, akukankhira mutu wake pamutu kapena kukhala pansi, akuwerama kumbuyo kwake.
- Kuchiza kwa malo otsekemera ndi mowa.
- Kutsimikiza kwa malo otsekemera (pakati pa akuluakulu pakati pa 2 ndi 3 lumbar vertebrae, pakati pa ana ndi 4).
- Kumayambiriro kwa mankhwala osokoneza bongo (njira ya novocaine kapena lidocaine).
- Pambuyo pa mphindi 2-3 kuyembekezera kuti mankhwalawa ayambe kugwira ntchito, singano imalowetsedwera pamphuno. Ndi machitidwe abwino, dokotala ndi wodwalayo amamva kuti akugwera muzinthu zowonjezera.
- Kuchotsa mandrin, kumayambira mowa.
- Kuyesa kupanikizika ndi manometer.
- Ikani bandage wosabala kumalo otsekemera.
Kutentha kwa msana - zotsatira
Kawirikawiri, mavuto pambuyo poyendetsa amachitika nthawi zambiri, koma ngakhale ngati kutuluka kwa cerebrospinal madzi akuchitidwa moyenera, zotsatira zake zikadali zotheka. Monga tafotokozera pamwambapa, uku ndikumutu, komanso:
- chisokonezo;
- kusanza;
- chizungulire.
Pamene njira yothandizira msana imathyoka:
- magazi;
- paresis;
- malingaliro;
- matenda opatsirana, ndi zina zotero.