Ekusebenzeni kwezokwelapha, i-lumbar noma i-puncture puncture yenziwa ukuze kucaciswe ukuxilongwa, ukutadisha umthambo womgogodla noma ukuletha imithi kuyo. Le nqubo ibhekwa njengento encane kakhulu futhi ngenxa yalokho iqhutshwa ngaphansi kwe-anesthesia yendawo.
Ukukhipha inqubo yokugcoba umgogodla
Ukuxhaphazwa kwenziwa endaweni ehlezi noma eqamba amanga, kaningi kulezi zinsuku. Imilenze yesiguli kumele ifakwe futhi igxilwe esiswini, futhi emuva kunamaphiko. Ukuze kube lula, ungathatha amadolo akho ngezandla zakho.
Ukudla kwe-cerebrospinal fluid kwenziwa phakathi kwama-3 no-4 ama-vertebrae angama-4-7 cm, ivolumu yayo ifika ku-120 ml. Njengoba inaliti ifakiwe, i-anesthesia yendawo ilawulwa ngesisombululo se-novocaine (1-2%).
Ngemuva kwenqubo, udinga ukulala emathunjini bese ubamba kule ndawo cishe amahora amabili. Ukuzwa okubuhlungu ngenxa yokuxhaphaza kulandela izinsuku ezingu-5-7 ngaphandle kokwelashwa okhethekile.
Izinkomba zokuvala umgogodla
Lo mcimbi uklanyelwe ukuhlola izifo zesimiso sezinzwa eziphakathi:
- i-encephalitis ;
- i-neurosyphilis;
- i-meningitis;
- Ukungafani kwemvelaphi ehlukahlukene;
- izifo ze-fungal kanye nezifo;
- i-hemorrhages (subarachnoidal) ezungeze ulwelwesi lobuchopho;
- I-Guillain-Barre syndrome;
- Izibhamu ezivuvukalayo zesistimu enkulu yezinzwa;
- i-sclerosis amaningi ;
- izicubu ezibulalayo zomnsalo womgogodla nobuchopho.
Kanti futhi ukugcoba umgogodla kusetshenziselwa izinhloso zokwelapha:
- ukwethulwa kwezidakamizwa ze-antibiotic kanye nezidakamizwa ze-chemotherapeutic zibe ngaphansi kwesigatshana;
- ukunciphisa ekucindezelekeni kokungena emzimbeni nge-progression normotensive hydrocephalus kanye nokucindezeleka komfutho wegazi ophezulu;
- inani eliningi ngokweqile le-cerebrospinal fluid;
- isidingo sokwenza i-anesthesia yomgogodla;
- uphenyo lobunjwa nobukhulu be-cerebrospinal fluid.
Izinkinga kanye nemiphumela yokuphumula komgogodla
Uma onguchwepheshe ongenalwazi enza le nqubo, amangqamuzana ekhanda e-epithelial angangena intambo yomgogodla. Ngenxa yalokhu, i-choleastom i-post-puncture iqala.
Futhi, abanye abantu ngemuva kokuphathwa kabi kwekhanda, isiyezi kanye nesiphithiphithi, kuhambisane nokuhlanza. Ngezinye izikhathi ukuxilonga kwesikhumba esifundeni se-back and thighs esezansi kufakwa. Ukubonakaliswa okunjalo kwemitholampilo akulona ukwelapha, kepha badlula ngokwabo.