Wokubhoboza umgogodla

wokubhoboza cerebrospinal kuhlanganisa nokukhipha inaliti ekhethekile esikhaleni subarachnoid ka emgogodleni. Isetshenziselwa ngezinhloso zokuxilonga noma zokwelapha.

wokubhoboza umgogodla olwenziwa laboratories ekhethekile lapho kulinganiswa CSF ingcindezi futhi ekunqumeni patency kuzo zonke izikhala zomzimba. Kuvumela ukuhlola ubukhona ukushuba ukopha, unhlangothi uhlamvu ichaze, ukukhomba izinqubo ukuvuvukala kule ulwelwesi ubuchopho, cerebrospinal fluid ukukhomba izinguquko ezenzeka yezifo isimiso sezinzwa esiyinhloko. CSF ingcindezi ukubaluleka kuholela esiphethweni sale inkomba oketshezini palsy. Futhi wokubhoboza umgogodla isetjentiselwa kwetfula izidakamizwa ehlukahlukene izinto radiopaque futhi radiopharmaceuticals emoyeni ngesikhathi myelography, cisternography, pneumoencephalography.

Ngenhloso zokwelapha, ukuxhaphaza efanayo wenziwa ukubuyisa noma olunegazi uketshezi ubovu nemvelo, ngenxa yokuletha antiseptics, imithi elwa namagciwane. Zisetshenziswa izifo ezinzima ubovu ukuvuvukala umgogodla kanye nobuchopho.

wokubhoboza Spinal kwenziwa phakathi izinqubo spinous we yesithathu neyesine lumbar vertebra. Ngesikhathi esifanayo ukuhambisana nayo yonke imithetho antiseptics: isikhumba ziphathwe isixazululo iodine ke ukusula indawo umjovo ne utshwala. Futhi kwenziwe izinzwa, okuyiwona isetshenziswa isixazululo novocaine. Kuphela wabe esethula wokubhoboza inaliti, okuyinto unamathele ekupheleni stylet. Ngemva ukubhoboza kwezicubu wazizwa ukwehluleka ejwayelekile elikhombisa lingena isikhala epidural. Ngemva kwalokho, mandrel sisuswa futhi eqiniseka ngemva oludakayo. Angaphansi kwemithetho zokukhwabanisa iphephile.

Wokubhoboza ka emgogodleni ine izinkomba ezilandelayo: ukopha nokuguqulwa esikhaleni subarachnoid ngenxa ukudabuka of useshonile, meningoencephalitis, meningitis, myelitis, arahnomielity, cysticercosis, ehinokkokoz, neurosyphilis, liquorrhea, kuhlasimulise nokulimala engqondweni. Iphinde iyosebenza isingeniso kwamaphilisi tuberculous meningitis, ubovu meningoencephalitis. Ngezinye izikhathi phakathi nokuhlinzwa ubuchopho wokubhoboza umgogodla isetshenziswa ukunciphisa intracranial ingcindezi kulungiselelwa, ukufinyelela okulula izimila ebulalayo.

Lapho zokwakheka ngobuningi kule sezinzwa uhlelo indlela esebenzayo isetshenziswa ngokuqapha, kusukela isimila ngenkathi ekunciphiseni ingcindezi ingahluka isikhundla salo futhi kwephule i occipital ezinkulu noma imbobo tentorial. Lapho uthi comatose futhi sisebenzise wokubhoboza we nomgogodla. Imiphumela yokuziphatha yayo embi kungaba yingozi, ikakhulukazi ezimweni zokucabanga okubangelwa isifo omsakazo engaziwa.

Okunye yezinkinga le nqubo: meningismus, esizibonakalisa izimpawu wasibekela, ikhanda kanye nokuhlukumezeka ephansi emuva, ukuhlanza, isicanucanu. Umgodi esenzelwa emva zokukhwabanisa, angahlala evulekile isikhathi eside, okuholela hypotension kungenzeka. Okuphindaphindayo wokubhoboza umgogodla zisenza sibe a nolwelwesi umgogodla isiteshi holestatom. Kodwa inkinga eziyingozi kakhulu ukuphula umthetho we brainstem. a wokubhoboza okunjalo kungaholela ekufeni. Ngenani yezinkinga kuba yesibili ngemva wokubhoboza we umnkantsha, ngemiphumela okuyizinto ukuthuthukiswa kwegazi, osteomyelitis. Ngakho-ke, ukunamathela imithetho kubaluleke ngesikhathi le misebenzi zokuxilonga.