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Yashoda Hospitals > Diagnostics > Ukuhlolwa Koketshezi Lomgogodla We-Cerebral

Kuyini Ukuhlolwa kwe-CSF?

I-Cerebral Spinal Fluid (CSF) iwuketshezi olucacile nolungenambala olukhona ebuchosheni bakho nasemgogodleni. I-Central Nervous System yakhiwe ubuchopho nomgogodla owenza imisebenzi eyahlukahlukene. Lokhu kufaka phakathi ukucabanga okuyinkimbinkimbi, ukunyakaza kwemisipha, kanye nokusebenza kwezitho zomzimba. I-CSF ilawula yonke le misebenzi. Iphinde isuse imfucuza ebuchosheni bakho futhi iyisize isebenze kahle.

I-Cerebral Spinal Fluid (CSF) iyisethi yokuhlolwa okwenziwe ukuhlaziya ukuthi unezimo noma izifo ezingathi sína ebuchosheni bakho noma emgogodleni. 

Ake sifunde kabanzi ukuze sazi kabanzi ngalolu vivinyo, inqubo yalo kanye nemiphumela yokuhlolwa.

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Isethi yokuhlolwa kwe-CNS yenzelwe ukuhlaziya:

  • Izifo ezithathelwanayo zobuchopho nomgogodla, njenge-meningitis kanye ne-encephalitis. 
  • Uhlu lwamaseli amhlophe egazi, amabhaktheriya, nezinye izinto ezikuketshezi lomgogodla wobuchopho.
  • Izifo ezithinta amasosha omzimba ezihlanganisa i-multiple sclerosis (MS) kanye ne-Guillain-Barré Syndrome. 
  • Ukopha ebuchosheni.
  • Izimila zobuchopho.

Izingxenye

Amabanga Ajwayelekile

Ama-antibodies kanye ne-DNA yamagciwane avamile

None

Iphrotheni eyisisekelo ye-Myelin

Ngaphansi kuka-4ng/mL

Ukuvula ingcindezi

Amanzi angu-90 kuya ku-180mm

Amaseli anomdlavuza

Awekho amangqamuzana anomdlavuza akhona

Inani lamaseli: 

I-WBC: ngaphansi kuka-5 kanye ne-RBC: 0

chloride

110 kuya ku-125 mEq/L

I-glucose

50 kuya ku-80 mg / dL 

I-Glutamine

6 kuya ku-15 mg / dL

I-Lactate dehydrogenase

ngaphansi kuka-40 U/L

Amabhendi e-Oligoclonal

Amabhendi angu-0 noma angu-1

amaprotheni

15 kuya ku-60 mg/dL (

Amabanga angajwayelekile okuhlolwa kwakho kwe-CSF angabonisa:

  • Ukutheleleka
  • Ukuvuvukala
  • I-Reye syndrome
  • I-Meningitis I-Multiple sclerosis (MS)
  • Cancer
  • Encephalitis
  • I-Hepatic encephalopathy

Ungadinga ukuhlolwa kwe-CSF uma uhlangabezana nezimpawu ezilandelayo:

1. Ukutheleleka ebuchosheni noma emgogodleni:

  • Izinwele ezinzima
  • Umbono kabili
  • Izinguquko ekuziphatheni
  • Intamo eqinile
  • I-nausea nokuhlanza
  • Ukuzwela ukukhanya

2. Isifo sokuzivikela komzimba, njenge-multiple sclerosis (MS):

  • Izinkinga zokulawula isinye
  • Ama-spasms we-muscle
  • Imisipha ebuthaka
  • isiyezi

Ukuze uthole incazelo eyengeziwe yemiphumela, xhumana nodokotela wakho bese uthola ukwelashwa okusheshayo.

Inqubo ebizwa ngokuthi i-Spinal Tap noma i-Lumbar Puncture yenziwa ukuze kuqoqwe i-Cerebral Spinal Fluid yakho. Le nqubo ivame ukwenziwa esibhedlela. Lokhu kuhlanganisa izinyathelo ezilandelayo:

  • Okokuqala, udokotela wakho ucela ukuthi ulale phansi noma ngohlangothi.
  • Uchwepheshe wakho wezempilo uhlanza umhlane wakho bese efaka umuthi wokubulala izinzwa ukuze ungazizwa ubuhlungu phakathi nenqubo.
  • Uma indawo isiphelelwe amandla ngokuphelele, uchwepheshe ufaka inaliti encane, engenalutho phakathi kwezilwane ezimbili ezinomgogodla (amathambo akha umgogodla) womgogodla wakho ongezansi. 
  • Uqoqa inani elithile loketshezi lomgogodla ukuze aluhlole. Kodwa udinga ukuhlala unganyakazi ngenkathi uchwepheshe eqoqa isampula ngoba kungaholela engcupheni yokopha.
  • Ngemva kokuba isampula isiqoqiwe, uzokwaziswa ukuthi ulale ngomhlane wakho.
  • Isampula yakho ithunyelwa elabhorethri ukuze ihlolwe.

Ngemva kokuthi ukuhlolwa sekuqediwe, kuthunyelwa elabhorethri ukuze kuhlolwe. Udokotela wakho uzokucela ukuthi ulale phansi ihora elilodwa ngemuva kokubhoboza i-lumbar noma i-spinal tap. Ungase ube nekhanda elibuhlungu ngemva kwe-spinal tap. Udokotela wakho angase akucebise ukuthi uphuze iziphuzo ezine-caffeine njengekhofi, itiye, noma i-soda uma kwenzeka.

Ukuhlolwa kwe-CSF kungathola okulandelayo:

  1. Izifo zobuchopho noma umgogodla ezifana
  • Encephalitis
  • I-meningitis
  • I-West Nile virus
  • Igciwane le-Eastern encephalitis virus (EEE) 
  • Isifo sofuba.
  1. Izifo ze-Autoimmune ezifana
  • multiple sclerosis
  • I-Guillain-Barre syndrome 
  • I-Sarcoidosis.
  1. Ukopha ebuchosheni
  2. Izimila zobuchopho

Ukuvuza kwe-CSF kungabangelwa ukulimala, i-epidural, ukuhlinzwa, ukumpompa komgogodla noma isimila. Ama-CSF amaningi ayaziphilisa ngokwawo, kodwa lokho akudingi ukulungiswa kokuhlinzwa.

Ukuhlolwa kwe-CSF kuwuchungechunge lokuhlolwa olulula, olusheshayo nolusebenzayo olwenziwa ukuthola izimo noma izifo ezingathi sína ezikhula ebuchosheni bakho noma emgogodleni. Yonke inqubo ithatha imizuzu emihlanu kuya ehoreni elilodwa.

Uchwepheshe wakho wezempilo uzokuqondisa ngamalungiselelo ngaphambi kokuhlolwa. Kodwa-ke, ngokuvamile kuyalulekwa ukuthi ukhiphe konke okubi ngaphambi kokuhlolwa.

Ukuhlolwa kwe-CSF kungaba nezingozi ezilandelayo ezihilelekile:

  • Abantu abanikezwa imithi yokunciphisa igazi bangase baphume igazi
  • Ukutheleleka endaweni yokubhoboza
  • Ikhanda elibuhlungu ngemva kokuhlolwa
  • Ukungakhululeki ngesikhathi nangemva kwenqubo
  • Ukusabela kokungezwani komzimba nomuthi wokubulala izinzwa.

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