Wani gwaji wanda zai iya zama Rayuwa-ceton
Ciwon kai ba lokuta ne na farko ba, kamar ƙwayar ƙaura ko nau'in ciwon zuciya, amma alamun cewa wani abu yana faruwa a jiki. Alal misali, wasu ciwon kai mai tsanani sune ainihin siginar wani tsari mai hadari wanda ke faruwa a cikin tsarin jin tsoro. Misalan sun haɗa da:
- Meningitis
- Ƙara hawan jini na intracranial
- Yaduwar cutar subarachnoid
Idan likitanku ya damu da cewa ciwon kai yana daya daga cikin yanayin da ke sama, zai iya yin fitilar lumbar ko aika ku zuwa ɗakin gaggawa daya.
Bayani
Kullun lumbar shi ne hanyar da ba a yi amfani da ita ba don samun damar canjin ta tsakiya inda gurasar cizon sauro (CSF) ke gudana. Lumbar punctures ana yi don ganowa ko magungunan dalilai. Alal misali, ana amfani da lalata lumbar a yin gwagwarmaya na meningitis, wanda ke buƙatar nazarin ruwan sanyi na cerebrospinal. An yi amfani da fashewa na lumbar don gudanar da ilimin chemotherapy a cikin mai haƙuri da ciwon daji ko ƙwararru ga mace da ke aiki.
Yaya aka yi Kashe Lumbar
Na farko, likitanku zai sanya ku a hankali, saboda wannan yana da wuyar samun isa ga CSF a amince da inganci. Zai tambaye ku ku zauna a gefen gadon ku da "baka kamar cat", ko kuma ku nemi ku kwanta a gefen ku a matsayin tayi, wanda aka sani da matsayi na baya. Kwararku zai tsabtace fata a kan baya kuma ya yi amfani da wakili. Wannan shi ne sashin da ya fi yawa.
Bayan an sanya magungunan ƙwayar cuta, likitanku zai sanya ƙwararren ƙwararre a tsakanin ƙwayar biyu a cikin ƙananan baya.
Da zarar ƙwaƙwalwar ƙirar tazarar ta isa wurin dama, CSF zai gudana cikin tarin tarin. Amma na farko, idan kuna kwance a matsayi na baya (a gefe), likitanku na iya ɗaukar matsi na bude tare da manometer. Gano magungunan budewa yana da amfani sosai wajen bincikar yanayin likita kamar hawan jini na intracranial cuta ko kwayar cutar meningitis (yanayi biyu da ke haifar da matsin lamba).
Da zarar an tattara, an yi nazarin CSF a hankali don taimakawa likitanka wajen yin ganewar asali. Alal misali, idan likitan likitanku wanda ake tuhuma, zai umarci sutura da al'adun CSF, tare da furotin CSF da glucose.
Rarraba Mai Kyau
Cutar da ta fi dacewa da ita a cikin ƙwayar lumbar ita ce ciwon kai, wanda ke faruwa a kimanin kashi 36 na marasa lafiya. Dalilin ciwon kai shi ne rushewa na CSF ta hanyar shafin a baya inda aka saka maciji (ake kira wurin fashewa). Ana iya rage yiwuwar wannan damuwa ta likitanka ta amfani da ƙirar ƙananan ƙwararre.
Idan akwai cutar ciwon zuciya, likitanku na iya ba da shawarar kwance, da ruwa mai kwakwalwa, caffeine, ko ma da jini, wanda shine wata hanyar da za a gurfanar da jinin ku a cikin wurin da za a sa shi don damun rami, ya hana kowane kashin baya ruwan ruwa.
Ƙwararren ƙwayar cutar Brain-stem ita ce mafi tsanani (amma sosai) wanda ya shafi ƙuƙwalwar lumbar. Wani lokaci ma likitanku zai shafe ku a CT scan da kwakwalwar ku kafin ku sami fitilar lumbar don taimakawa wajen gano duk wani tasirin da ke cikin ƙwaƙwalwarku, wanda zai kara yawan halayyar kuɗi.
Tsomawa a wurin ginin yana iya faruwa, ko da yake ba a sani ba.
Kwararka zai yi amfani da hankali lokacin da yake yin kullun lumbar idan kun kasance a kan jini.
Sauran matsaloli masu wuya sun haɗa da kamuwa da cuta a wuraren da ake yiwa fashewa, ƙananan ciwo, da kuma tsarin da ake kira cyst wanda ake kira cycidalid epidermal cyst.
Shin Lumbar Punctures Hurt?
Wannan tambaya mai kyau ne kuma mutum ya bambanta. Sau da yawa mafi ɓangare na hanya shi ne wakili mai laushi wanda aka allura a cikin fata, kafin a saka shi da allurar hanji. Wannan yana jin kamar kudan zuma ne. Sa'an nan kuma, idan likita yana sanya allurar a cikin baya, za ku ji jin dadi, kamar yadda aka cire.
Gaba ɗaya, ana bin hanyar da kyau, kuma yayin da zai iya zama tashin hankali, yana da sauri kuma ba tare da jin kunya ba.
Kalma Daga
Lumbar puncture tana aiki a matsayin taga ga tsarinmu mai juyayi kuma zai iya samar da cikakkun bayanai da magunguna. Idan kuna da fitilar lumbar kuma kuna da damuwarsu, don Allah magana da likitan ku kafin ku ji da shirye da kuma sauƙi.
Sources:
Ellenby MS, Tegtmeyer K, Lai S, Zama DAV. Lumbar Puncture. New England Journal of Medicine. 2006; 355: e12.
> Klein AM, Loder E. Postadarar ciwon kai. Int J Obstet Anesth. 2010 Oktoba; 19 (4): 422-30. Doi: 10.1016 / j.ijoa.2010.07.009.
Sakamakon DA, Reeves MM, Fomin DA. Cerebrospinal Fluid Analysis . Aminiya na Yammacin Amirka. 2003; 68 (6): 1103-1109.