Kusanthula kwa CSF

Kusanthula kwa Cerebrospinal fluid (CSF) ndi gulu la mayeso a labotale omwe amayesa mankhwala mu cerebrospinal fluid. CSF ndi madzi amadzi ozungulira komanso oteteza ubongo ndi msana. Mayesowo atha kuyang'ana mapuloteni, shuga (shuga), ndi zinthu zina.

Chitsanzo cha CSF chikufunika. Kubowola lumbar, komwe kumatchedwanso mpope wa msana, ndiyo njira yofala kwambiri yosonkhanitsira chitsanzochi. Njira zodziwika bwino zotengera madzi amadzimadzi ndi monga:

• Kutsekemera kwa zitsime
• Kuchotsa kwa CSF pa chubu chomwe chili kale mu CSF, monga shunt, ventricular drain, kapena pump pump
• Ventricular puncture

Chitsanzocho chitatengedwa, chimatumizidwa ku labotale kukayesa.

Dokotala wanu adzakufunsani kuti mugone pansi kwa ola limodzi mutapumira lumbar. Mutha kuyamba kudwala mutu mukangodumphadumpha. Zikachitika, kumwa zakumwa za khofi monga khofi, tiyi kapena koloko kungathandize.

Wothandizira zaumoyo wanu adzakuuzani momwe mungakonzekerere kuphulika kwa lumbar.

Kusanthula kwa CSF kungathandize kuzindikira zina ndi matenda. Zonse zotsatirazi zitha kukhala, koma nthawi zina, sizimayesedwa mu CSF:

• Ma antibodies ndi DNA ya ma virus wamba
• Bacteria (kuphatikiza zomwe zimayambitsa syphilis, pogwiritsa ntchito mayeso a VDRL)
• Kuwerengera kwama cell
• Mankhwala enaake
• Antigen wa Cryptococcal
• Shuga
• Glutamine
• Lactate dehydrogenase
• Bandeji la Oligoclonal kuti mufufuze mapuloteni enaake
• Myelin mapuloteni oyambira
  
• Mapuloteni onse
• Kaya pali maselo a khansa omwe alipo
• Kutsegula kwapanikizika
  

Zotsatira zodziwika ndi monga:

• Ma antibodies ndi DNA ya ma virus wamba: Palibe
• Mabakiteriya: Palibe mabakiteriya omwe amakula mchikhalidwe cha labu
• Maselo a khansa: Palibe maselo a khansa omwe alipo
• Kuwerengera kwama cell: osakwana 5 maselo oyera amwazi (onse mononuclear) ndi 0 maselo ofiira amwazi
• Chloride: 110 mpaka 125 mEq / L (110 mpaka 125 mmol / L)
• Bowa: Palibe
• Glucose: 50 mpaka 80 mg / dL kapena 2.77 mpaka 4.44 mmol / L (kapena kupitirira magawo awiri mwa magawo atatu a shuga)
• Glutamine: 6 mpaka 15 mg / dL (410.5 mpaka 1,026 micromol / L)
• Lactate dehydrogenase: ochepera 40 U / L.
• Magulu a Oligoclonal: magulu 0 kapena 1 omwe sanapezeke mu sampuli yofananira
• Mapuloteni: 15 mpaka 60 mg / dL (0.15 mpaka 0.6 g / L)
• Kutsegulira kotsegulira: 90 mpaka 180? Mm wamadzi
• Mapuloteni oyambira a Myelin: Ochepera 4ng / mL

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Zitsanzo pamwambapa zikuwonetsa muyeso wamba wazotsatira zamayesowa. Ma labotale ena amagwiritsa ntchito miyeso yosiyana kapena amatha kuyesa mitundu yosiyanasiyana.

Zotsatira zachilendo za CSF zitha kukhala chifukwa cha zifukwa zosiyanasiyana, kuphatikizapo:

• Khansa
• Encephalitis (monga West Nile ndi Eastern Equine)
• Kusokonezeka kwa chiwindi
• Matenda
• Kutupa
• Matenda a Reye
• Meningitis chifukwa cha mabakiteriya, bowa, chifuwa chachikulu, kapena kachilombo
• Multiple sclerosis (MS)
• Matenda a Alzheimer
• Amyotrophic lateral sclerosis (ALS)
• Pseudotumor Cerebrii
• Kupanikizika kwapadera hydrocephalus

Kusanthula kwamadzimadzi

• Makina a CSF

Zowonjezera Kutsekedwa kwa msana ndi kuyezetsa madzi amadzimadzi. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chap 60.

Griggs RC, Jozefowicz RF, Aminoff MJ. Njira kwa wodwala matenda amitsempha. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: mutu 396.

Karcher DS, McPherson RA. Cerebrospinal, synovial, madzi amtundu wa serous, ndi mitundu ina. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 29.

Rosenberg GA. Edema wamaubongo ndi zovuta zamayendedwe amadzimadzi a cerebrospinal. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 88.