A ntụpọ lumbar (enwere ike ịkpọ mgbata ọkpụkpụ azụ), bụ usoro eji achịkọta ihe nlele nke cerebrospinal mmiri mmiri (CSF).
Kedu ihe mgbapu lumbar?
A ntụpọ lumbar (enwere ike ịkpọ mgbata ọkpụkpụ azụ), bụ usoro eji achịkọta ihe nlele nke mmiri mmiri cerebrospinal (CSF). Nke a bụ mmiri mmiri na-echebe ma na-akụda ụbụrụ gị na ọgidigi azụ. A ga-enyocha ihe nlele nke CSF iji hụ ma enwere mkpụrụ ndụ lymphoma ọ bụla. Na mgbakwunye, enwere ike ịme ule ndị ọzọ na nlele nke CSF nke ga-enye ndị dọkịta ozi dị mkpa.
Kedu ihe kpatara m ji chọọ mgbapu lumbar?
Enwere ike ịchọrọ mgbapu lumbar ma ọ bụrụ na dọkịta na-enyo enyo na lymphoma na-emetụta ya usoro nhụjuanya nke etiti (CNS). A nwekwara ike ịdị mkpa nkwụsịtụ lumbar iji nata chemotherapy ozugbo na CNS, nke a maara dị ka chemotherapy intrathecal. Nke a nwere ike ịbụ ọgwụgwọ lymphoma nke CNS. Enwere ike inye ya dị ka prophylaxis CNS. CNS prophylaxis pụtara na ndị dọkịta na-enye onye ọrịa ọgwụgwọ mgbochi n'ihi na enwere nnukwu ihe ize ndụ nke lymphoma nwere ike gbasaa na CNS.
Kedu ihe na-eme tupu usoro ahụ?
Kedu ihe na-eme n'oge usoro ahụ?
Dọkịta na-eme usoro ahụ ga-achọ ịnweta azụ nke onye ọrịa. Ebe kachasị nọrọ maka nke a bụ ịdina ala n'akụkụ gị na ikpere gbakọọ ruo n'obi. Mgbe ụfọdụ, nke a na-esi ike, n'ihi ya, ọ ga-adịrị ụfọdụ ndị ọrịa mfe ịnọdụ ala ma dabere n'ohiri isi nke na-ezu ike na tebụl n'ihu gị. Inwe ahụ iru ala dị mkpa karịsịa n'ihi na ị ga-achọ ịnọrọ jụụ n'oge usoro ahụ.
Dọkịta ahụ ga-enwe mmetụta azụ iji chọta ebe ziri ezi itinye agịga. Ha ga-ehichakwa ebe ahụ wee gbaa ọgwụ anestetiiki mpaghara (iji mebie ebe ahụ). Mgbe mpaghara ahụ dara, dọkịta ga-eji nlezianya tinye agịga n'etiti vertebrae abụọ (ọkpụkpụ nke ọkpụkpụ azụ) na azụ azụ. Ozugbo agịga ahụ dị n'ebe ziri ezi, mmiri ụbụrụ cerebrospinal ga-adapụta ma a ga-achịkọta ya. Ọ naghị ewe ogologo oge iji nweta ihe nlele ahụ.
Maka ndị ọrịa nwere a Chemotherapy intrathecal, dọkịta ahụ ga-esi na agịga gbanye ọgwụ ahụ.
Ozugbo usoro ahụ mechara, a ga-ewepụ agịga ahụ, tinyekwa uwe n'elu obere oghere nke agịga hapụrụ.
Kedu ihe na-eme mgbe ule ahụ gasịrị?
Ọtụtụ mgbe, a ga-ajụ onye ọrịa dina ala ruo nwa oge mgbe nke ahụ gasịrị ntụpọ lumbar. N'oge a, a ga-enyocha ọbara mgbali na pulse. Ịgha ụgha ga-enyere aka igbochi isi ọwụwa, nke nwere ike ime mgbe ọ gbasịrị ọkpụkpụ lumbar.
Ọtụtụ ndị mmadụ nwere ike ịla n'ụlọ otu ụbọchị mana anaghị ekwe ndị ọrịa ịnya ụgbọ ala maka awa 24 na-eso usoro ahụ. A ga-enye ntụziaka nzigharị iji nyere aka na oge mgbake na ọ bụ ezi echiche ịnwale ma ṅụọ ọtụtụ mmiri mmiri mgbe usoro ahụ gasịrị n'ihi na nke a nwere ike inye aka belata isi ọwụwa.
