A lumbar puncture (inogonawo kunzi spinal tap), inzira inoshandiswa kuunganidza sampuli yecerebrospinal mvura (CSF).
Chii chinonzi lumbar puncture?
A lumbar puncture (inogonawo kunzi spinal tap), inzira inoshandiswa kuunganidza sampuli yecerebrospinal fluid (CSF). Iyi ndiyo mvura inodzivirira uye inomisa uropi hwako uye musana. Muenzaniso weCSF uchaongororwa kuona kana paine lymphoma masero aripo. Pamusoro pezvo, kumwe kuedzwa kunogona kuitwa pamuenzaniso weCSF uyo unozopa vanachiremba ruzivo rwakakosha.
Sei ndichida kuputika kwechiuno?
A lumbar puncture inogona kudiwa kana chiremba achifungidzira kuti lymphoma iri kukanganisa yepakati tsinga system (CNS). A lumbar puncture inogonawo kudiwa kuitira kuti ugamuchire chemotherapy zvakananga muCNS, inozivikanwa se intrathecal chemotherapy. Izvi zvinogona kunge zviri kurapa lymphoma yeCNS. Inogonawo kupihwa seCNS prophylaxis. CNS prophylaxis zvinoreva kuti vanachiremba vari kupa murwere mushonga wekudzivirira sezvo paine njodzi huru yekuti lymphoma inogona kupararira kuCNS.
Chii chinoitika kusati kwaitwa?
Chii chinoitika panguva yekuita?
Chiremba ari kuita maitiro achada kusvika kumashure kwemurwere. Nzvimbo yakajairika yekuve mune izvi ndeyekurara nedivi nemabvi akapetana kusvika pachipfuva. Dzimwe nguva izvi zvakaoma saka zvingava nyore kuti vamwe varwere vagare ndokuzendamira mberi pamutsago wakatsamira patafura pamberi pako. Kuve wakasununguka kwakakosha zvakanyanya sezvo uchizofanirwa kugara wakanyarara panguva yekuitwa.
Chiremba achanzwa musana kuti awane nzvimbo chaiyo yekupinza tsono. Vanobva vachenesa nzvimbo yacho uye vobaya anesthetic yemunharaunda (kuti dzive nzvimbo yacho). Kana nzvimbo yacho yave chiveve chiremba anozonyatsopinza tsono pakati pemabhonzo emusana) kuzasi kwemusana. Kana tsono yave panzvimbo chaiyo cerebrospinal fluid inodonha uye inounganidzwa. Hazvitore nguva yakareba kuti uwane sampuli.
Kune varwere vane a Intrathecal chemotherapy, chiremba anobva abaya mushonga netsono.
Kana nzira yacho yapera tsono inobviswa, uye kupfeka kunoiswa pamusoro pekaburi kadiki kakasiiwa netsono.
Chii chinoitika mushure mebvunzo?
Kazhinji kazhinji murwere anokumbirwa kuti aite rara wakatsetseka kwechinguva mushure menguva lumbar puncture. Munguva iyi, BP uye pulse zvichaongororwa. Kurara pasi kunobatsira kudzivirira kurwadziwa nemusoro, izvo zvinogona kuitika mushure mekubaya lumbar.
Vanhu vazhinji vanogona kuenda kumba zuva rimwe chetero asi varwere havabvumidzwe kutyaira kwemaawa makumi maviri nemana vachitevera maitiro. Mirayiridzo yekutumira ichapihwa kubatsira nenguva yekupora uye ipfungwa yakanaka kuedza uye kunwa zvinwiwa zvakawanda mushure mekuita nekuti izvi zvinogona kubatsira kuderedza kutemwa nemusoro.