Kwindlela yokwelapha, i-lumbar okanye i-puncture puncture yenziwa ukuze kucaciswe ukuxilongwa, ufunde umthambo womthambo wamanzi okanye uqalise unyango kulo. Inkqubo ibonwa njengento encinci kwaye iyadlalwa phantsi kwe-anesthesia yendawo.
Ukukhutshwa kwenkqubo yokuguqulwa komgudu
Ukunyanzelwa kwenzelwa kwindawo ehleliyo okanye ekukholeni, ngokuphindaphindiweyo kokugqibela. Imilenze yesigulane kufuneka ifakwe kwaye igxininiswe kwisisu, kwaye umva uphezulu. Ukuze kube lula, unokubamba amadolo akho ngezandla zakho.
Ukutyiwa kwe-cerebrospinal fluid kwenziwa phakathi kwe-3 kunye ne-4 vertebrae engama-4-7 cm, ubukhulu bayo bufikelela kwi-120 ml. Njengoko inaliti ifakiwe, i-anesthesia yendawo ilawulwa ngesisombululo se-novocaine (1-2%).
Emva kwenkqubo, kufuneka ulale ngesisu sakho kwaye ubambe kule ndawo malunga neeyure ezingama-2. Uvakalelo olubuhlungu ngenxa yokuxhaphaza luhamba emva kweentsuku ezingama-5-7 ngaphandle kwonyango olulodwa.
Izibonakaliso zokuvala umlenze
Isiganeko senzelwe ukuxilonga izifo zesistim se-nervous central:
- encephalitis ;
- neurosyphilis;
- i-meningitis;
- Iingxaki ze-neuroinfections zemvelaphi eyahlukeneyo;
- izifo zentsholongwane kunye neentsholongwane;
- i-hemorrhages (subarachnoidal) ejikeleze umlenze wengqondo;
- I-Guillain-Barre syndrome;
- Amazwi avuthayo kwinkqubo yesistim ephakathi;
- multiple sclerosis ;
- izicubu ezinobungozi zentambo yomgogodla kunye nengqondo.
Kwakhona isetyenziso sokugaya sisetyenziselwa iinjongo zokwelapha:
- ukuqaliswa kweziyobisi zamachiza kunye neziyobisi ze-chemotherapeutic kwi-subshell;
- ukunciphisa uxinzelelo lwengcinezelo kunye ne-normotensive hydrocephalus kunye ne-intracranial hypertension;
- inani eligqithisileyo locerebrospinal fluid;
- imfuno yokwenza i-anesthesia yomgudu;
- uphando malunga nokubunjwa kunye nokuxinwa kwe-cerebrospinal fluid.
Iingxaki kunye nemiphumo yokuguqula umgudu
Xa unongcali ongenalwazi owenza le nkqubo, amangqamuzana ekhukhunyuli angama kungena entanjeni yomthambo. Ngenxa yoko, i-choleastom ihamba phambili.
Kwaye, abanye abantu emva kokunyanzelwa kwentloko, isisu kunye nesiphithiphithi, kunye nokuhlanza. Ngamanye amaxesha i-hypersensitivity yesikhumba ehlala kummandla we-back back and thighs yongezwa. Ezi zibonakaliso zeklinikhi aziyikunyanzelisa unyango, zidlula ngokwazo.