Wannan magudi na da wani suna - lumbar, a mafi yawancin lokuta da ake amfani dashi akan ilimin lissafi don kafa samfurin ganewa ta ƙarshe ta hanyar daukar nauyin ruwa mai zurfi da kuma nazarin shi. Hanyar yana da nasa alamunta, contraindications da fasali.
Lumbar dam - alamu
Idan an sanya wani mai haɗin ƙwararre, alamar da wannan zai iya zama cikakke da dangi. Wato, aiwatar da magudi yana da mahimmanci ko zaka iya yin ba tare da shi ba (a wannan yanayin likitan likitan ya yanke shawarar). Amma ga cututtuka, cikakkun alamu sune wadannan:
- cututtuka na ƙwayar cuta ta tsakiya;
- m neoplasms;
- ciwon jini.
Alamun halayen su ne:
- Multi sclerosis;
- polyneuropathy ;
- kayan ado na kwalliya;
- zazzabi na asali ba a sani ba a cikin yara a karkashin shekaru 2;
- tsarin lupus erythematosus .
Alamomi ga hanya sun hada da:
- anesthesia ta asali kafin yin aiki;
- anesthesia na haihuwa;
- ingancin matsa lamba a cikin ruwa mai mahimmanci (ruwan sanyi);
- gabatar da magunguna.
Mene ne haɗari mai lalacewa na asali?
Rashin shan ruwa na ƙwayar cuta yana daya daga cikin magungunan maganin ƙwaƙwalwar da ya kamata ya yi ta kwararrun likita kuma dole ne a asibiti. Babban haɗari shi ne kamuwa da cuta a cikin kashin baya da lalacewa. Sabanin haka, lokacin da ake yin furanni na lumbar, layin kashin kansa ya kasance ba a taɓa shi ba.
Lumbar puncture - yana da zafi?
Lumbar puncture yana gudana tare da maganin rigakafi na farko tare da lidocaine. Jiyarwa bayan gabatarwar wannan cututtuka ya sami kusan kowa da kowa: yana da lalacewa, kama da maganin hakora. Saboda maganin rigakafi, allurar kanta kanta ba ta da zafi. Idan ciwo na kashin baya ya ji rauni, mai haƙuri zai iya jin wani ɗakin da yake kama da damuwa na yanzu. Sanarwa game da ciwon kai ne na kowa.
Ga yadda za a rage alamar bayyanar cututtuka na asali:
- Tun daga farkon, bayan da aka yi amfani da shi, an yi wa mai haƙuri magani cikakken kwanciya don akalla sa'o'i 18. Wani lokaci, idan ya cancanta, an kara shi zuwa kwanaki 3.
- Ciwon raɗaɗi (kai da kuma wurin shakatawa) an umarce shi da maganin cututtuka a cikin hanyar NSAIDs.
- Har ila yau, mai haƙuri yana bada shawara ga abin sha mai dadi. Idan ya cancanta, an gabatar da matakan plasma.
Contraindications zuwa lumbar damuwa
Wannan magudi don kwararrun ba shine mawuyacin wahala ba. Amma tun da akwai yiwuwar yiwuwar sakamako mai ma'ana, akwai wasu contraindications. Don dalilai na ganowa kawai ana amfani da 5 ml na CSF, kuma a rana an kafa shi kimanin 700 ml. Lokacin da ka yi amfani da kwayar bambanci a cikin allura, kimanin lita 10 na ruwa ya shiga cikin sararin samaniya. Zai yiwu a samu cututtuka ta hanyar allura, da kuma abubuwan da suka ji rauni. Tsayawa daga sama, ba ayi hanya ba:
- tare da hematoma intracranial, cin zarafin kwakwalwa, da harshensa, ƙwaƙwalwa, ƙaddamarwa da kuma sauran gyare-gyaren kwakwalwa;
- tare da raunin tashin hankali;
- tare da babban launi na yatsun kwaikwayo da kuma matsa lamba a cikin wurin da aka yi fashewa;
- tare da diathesis na jini;
- tare da cututtuka na canal na bakin ciki da kuma rashin lafiyar ƙwayar dabbar ruwa ta ciki;
- tare da occlusal nau'i na hydrocephalus.
Ɗaya daga cikin mawuyacin hali kuma sau da yawa yakan haifar da ciwon kai bayan ƙwaƙwalwar ƙwayar cuta. An samo shi a lokuta daban-daban. A matsayinka na mai mulki, idan kun tashi, ƙara ciwo, yayin da yake kwance a cikin kwance, a akasin haka, yana ragewa. Dole ne mafi ƙanƙan ƙananan diamita ya rage abin da ke fama da ciwon kai. Sau da yawa cutar ta wuce ta kanta da kuma spontaneously. Har ila yau, don rabu da shi, gado na gado, bugu na kwafi, analgesics da maganin kafeyin.
Kafa don ƙwanƙarar ƙuƙwalwa
Don magudi, kayan aiki na gaba, shirye-shirye da kayan aiki ana buƙata:
- bayani na iodine 5%;
- barasa
- Alamar aiki;
- bayani na novocaine 0.5%;
- shinges 5 da 10 ml;
- buƙatu na bakin ciki don sintiri;
- allura don ƙwanƙwasa lumbar (mafi sauƙi mai sauƙi na iridium-platinum wanda ba ya karya kuma baya yi tsatsa);
- wani matsi na ruwa don auna kwayoyi na ruwa;
- Kwanan gwajin sune bakararre, napkins da gashi auduga.
Ana shirya don ƙuƙwalwar ƙuƙwalwa
Cikin launi (lumbar) ya haɗa da horo na farko. Da farko, likita dole ne ya gano haka:
- game da mace mai ciki, ko ta kasance mai ciki;
- ko mai haƙuri yana da cututtuka ga magungunan magungunan da magunguna;
- Ko dai ana shan magunguna ne a wannan lokacin;
- game da cin zarafin jini.
Wasu irin shirye-shiryen tsari bazai buƙatar manipulation ba. Akwai wasu dokoki kawai. Mai haƙuri ya kamata a kwance daga mafitsara kuma an tsabtace hanji. Ana yin abincin na karshe ba bayan sa'o'i 2 kafin wannan hanya ba. Ana bada shawara don kaucewa shan taba a ranar lumbar lumbar. An soke duk wasu hanyoyin da magunguna.
Ƙarƙashin lalacewa
Kuskuren Lumbar - fasaha na aiwatarwa:
- Jiyya tare da sabulu antiseptic, to, tare da barasa ko aidin.
- Aiwatar da shafawa a kusa da shafin yanar gizo.
- Mai haƙuri yana daukan matsayin da ya cancanta: kwance a gefensa, yana durƙusa gwiwoyi, danna kansa zuwa kirji ko zaune, yana mai da baya a gaba.
- Jiyya na wurin fashewa tare da barasa.
- Tabbatar da shafin yanar gizo (a cikin tsofaffi tsakanin 2 da 3 vertebrae, a cikin yara tsakanin 4 da 5).
- Gabatarwa da cututtuka na gida (wani bayani na novocaine ko lidocaine).
- Bayan minti 2-3 da ake jiran aikin ƙwayar cuta, an saka allura don ƙwanƙarar ƙuƙwalwa. Tare da kyakkyawar gwamnati, likita da masu haƙuri suna jin cewa yana fada cikin dura mater.
- Ana cire gurasa, fara farawa da giya.
- Gwargwadon ƙarfin gwadawa ta manometer.
- Aiwatar da bandeji na bakararre zuwa shafin yanar gizo.
Rawan jini - sakamakon
Bugu da ƙari, rikitarwa bayan magudi yana faruwa sau da yawa, amma koda kuwa an yi amfani da ruwa na cerebrospinal sosai, ana iya samun sakamakon. Kamar yadda aka ambata a sama, wannan ciwon kai ne, kuma:
- Nausea;
- vomiting;
- dizziness.
Yayin da fasaha na fatar jiki ya rushe:
- zub da jini;
- Paresis;
- meningic halayen;
- cututtuka, da dai sauransu.