Mapuloteni okwana CSF
Mapuloteni onse a CSF ndiyeso yodziwitsa kuchuluka kwa mapuloteni mu cerebrospinal fluid (CSF). CSF ndimadzimadzi omveka omwe ali m'malo ozungulira msana ndi ubongo.
Chitsanzo cha CSF chikufunika [1 mpaka 5 milliliters (ml)]. Kubowola lumbar (mpopi wamtsempha) ndiyo njira yofala kwambiri yosonkhanitsira chitsanzochi. Nthawi zambiri, njira zina zimagwiritsidwa ntchito potolera CSF monga:
- Kutsekemera kwa zitsime
- Ventricular puncture
- Kuchotsa kwa CSF mu chubu chomwe chili kale mu CSF, monga kuda kapena kutulutsa kwamitsempha yamagetsi.
Zitsanzozo zitatengedwa, zimatumizidwa ku labu kuti zikaunikidwe.
Mutha kukhala ndi mayeso awa kuti muthandizire kuzindikira:
- Zotupa
- Matenda
- Kutupa kwamagulu angapo amitsempha yamitsempha
- Vasculitis
- Magazi mumtsempha wamtsempha
- Multiple sclerosis (MS)
Mapuloteni abwinobwino amasiyanasiyana kuchokera ku labu kupita ku labu, koma pafupifupi mamiligalamu 15 mpaka 60 pa desilita imodzi (mg / dL) kapena 0,15 mpaka 0,6 mamiligalamu pa mamililita (mg / mL).
Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Lankhulani ndi wothandizira zaumoyo wanu 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.
Mulingo wosazolowereka wa CSF umawonetsa vuto m'katikati mwa manjenje.
Kuchuluka kwa mapuloteni kungakhale chizindikiro cha chotupa, magazi, kutupa kwa mitsempha, kapena kuvulala. Kutsekeka kwa kutuluka kwa madzi am'magazi kumatha kuyambitsa mapuloteni omanga msana.
Kutsika kwa mapuloteni kungatanthauze kuti thupi lanu limatulutsa msanga msana wamtsempha.
- Mayeso a protein a CSF
Deluca GC, Griggs RC. Njira kwa wodwala matenda amitsempha. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 368.
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.
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.