A ukufunxa okubanzi (kusenokuthiwa yimpompo yomqolo), yinkqubo esetyenziswa ukuqokelela isampulu yecerebrospinal ulwelo (CSF).
Yintoni i-lumbar puncture?
A ukufunxa okubanzi (kusenokuthiwa yimpompo yomqolo), yinkqubo esetyenziswa ukuqokelela isampulu ye-cerebrospinal fluid (CSF). Olu lulwelo olukhusela kwaye lukhusela ingqondo yakho kunye nentambo yomnqonqo. Isampulu ye-CSF iya kuvavanywa ukujonga ukuba ngaba zikhona na iiseli ze-lymphoma ezikhoyo. Ukongeza, ezinye iimvavanyo zinokwenziwa kwisampulu ye-CSF eya kubonelela oogqirha ngolwazi olubalulekileyo.
Kutheni ndifuna ukuhlatywa kwi-lumbar?
I-lumbar puncture inokufuneka ukuba ugqirha ukrokrela ukuba i-lymphoma ichaphazela Inkqubo ye-nervous central (CNS). I-lumbar puncture inokufuneka kwakhona ukuze ufumane i-chemotherapy ngqo kwi-CNS, eyaziwa ngokuba ichemotherapy intrathecal. Oku kunokuba kunyanga i-lymphoma ye-CNS. Inokunikwa kwakhona njenge-CNS prophylaxis. CNS prophylaxis kuthetha ukuba oogqirha banika isigulana unyango lothintelo njengoko kukho umngcipheko omkhulu wokuba i-lymphoma inokusasazeka kwi-CNS.
Kwenzeka ntoni phambi kwenkqubo?
Kwenzeka ntoni ngexesha lenkqubo?
Ugqirha owenza inkqubo uya kufuna ukufikelela ngasemva kwesigulane. Eyona ndawo ixhaphakileyo kukuyo kule nto kukulala ngecala ngamadolo agoqelwe phezulu ukuya esifubeni. Ngamanye amaxesha oku kunzima ngoko kunokuba lula kwezinye izigulana ukuhlala kwaye zayame phambili kumqamelo ohleli etafileni ephambi kwakho. Ukukhululeka kubaluleke ngakumbi njengoko kuya kufuneka uhlale uthule ngexesha lenkqubo.
Ugqirha uya kuziva umva ukufumana indawo echanekileyo yokufaka inaliti. Emva koko baya kuhlambulula indawo kwaye bafake i-anesthetic yendawo (ukunciphisa indawo). Xa ummandla unesithukuthezi ugqirha uya kufaka ngokucophelela inaliti phakathi kwee-vertebrae ezimbini (amathambo omqolo) kumqolo ongaphantsi. Nje ukuba inaliti ikwindawo echanekileyo i-cerebrospinal fluid iya kuthontsiza kwaye iya kuqokelelwa. Akuthathi ixesha elide ukufumana isampuli.
Kwizigulane ezine- Unyango lwe-chemotherapy, ugqirha uya kuthi ke alitofe iyeza ngenaliti.
Emva kokuba inkqubo igqityiwe inaliti iya kususwa, kwaye isambatho sibekwe phezu komngxuma omncinci oshiywe yinaliti.
Kwenzeka ntoni emva kovavanyo?
Kwiimeko ezininzi isigulane siya kucelwa ukuba senze njalo lala ucabalele ixesha elide emva koko ukufunxa okubanzi. Ngeli xesha, uxinzelelo lwegazi kunye ne-pulse ziya kuhlolwa. Ukulala phantsi kuya kunceda ukukhusela intloko, enokuthi yenzeke emva kokuhlatywa kwe-lumbar.
Uninzi lwabantu lunokugoduka kwangolo suku olunye kodwa abaguli abavumelekanga ukuba baqhube iiyure ezingama-24 kulandela inkqubo. Imiyalelo yeposi iya kunikezelwa ukunceda ngexesha lokuchacha kwaye luluvo oluhle ukuzama ukusela ulwelo oluninzi emva kwenkqubo njengoko oku kunokunceda ukunciphisa intloko ebuhlungu.
