Lesapo la mokokotlo puncture

Cerebrospinal puncture kenyeletsa taolo nale khethehileng ka sebaka subarachnoid ea thapo lesapo la mokokotlo. E sebediswa bakeng sa merero ea ho hlahloba lefu kapa oa phekolo.

lesapo la mokokotlo puncture tšoaroa ka dilaboratiriamong khethehileng moo lekanya CSF khatello le qeto ea hore na patency ea libaka tsohle tsa 'mele. E lumella ho hlahloba boteng le matla a hemorrhage, setorouku tlhaku hlalosa, hlwaya dithulaganyo hlabang ka lera la boko, cerebrospinal mokelikeli hlwaya liphetoho tse etsahalang ka mafu a ea tsamaiso ea methapo e bohareng. CSF khatello ea boleng isang qetello ea pontshi ena ka mokelikeli bokong. Hape lesapo la mokokotlo puncture e sebediswa ho hlahisa lithethefatsi tse sa tšoaneng le lintho tse radiopaque le radiopharmaceuticals moea nakong myelography, cisternography, pneumoencephalography.

Bakeng sa merero ea phekolo, mellwane tšoanang o etsoa ho lata kapa sehlōhō mokelikeli purulent tlhaho, ho kenyelletsa antiseptics, lithibela-mafu. Di sebediswa bakeng sa mafu a matla purulent-hlabang lesapong la mokokotlo 'me boko.

puncture lesapo la mokokotlo e entseng pakeng tsa dithulaganyo spinous ea boraro le ea bone lumbar vertebra. Ka nako e tšoanang ho iphaphatha le melao yohle ya antiseptics: letlalo e tšoaroa ka tharollo a iodine litareng e, ka nako eo hlakola ente saeteng le joala. Hape nkile thethebatso, e leng seo e sebediswa novocaine tharollo. ebe feela hlahiswa puncture nale, e leng e khomaretse ea qetellong ea stylet ena. Ka mor'a ho phunya ya dinama tse nyenyane tse o ile a ikutloa ho hloleha tloaelehileng oo e bontša ho kena ka sebaka epidural. Ka mor'a moo, mandrel e tlosoa 'me a kholiseha ka mor'a bo tahang. Sehlooho ho melao ya mellwane e sireletsehileng.

Puncture ea thapo lesapo la mokokotlo o na le matšoao a latelang: ho itlelang feela dutla ka sebaka sa subarachnoid ka lebaka la ho otlile ea aneurysm, meningoencephalitis, meningitis, myelitis, arahnomielity, cysticercosis, ehinokkokoz, neurosyphilis, liquorrhea, sithabetsang mo ntša kotsi bokong. E boetse e tla sebetsa ho selelekeleng ea lithibela-mafu ka ho tuberculous meningitis, purulent meningoencephalitis. Ka linako tse ling nakong ea ho buuoa boko lesapo la mokokotlo puncture e sebediswa ho fokotsa ho sehela intracranial khatello, ho fihlella bonolo ho lihlahala tse kotsi.

Ha lihlopha tse ngata tsa tsamaiso ea methapo le mafolo-folo mokhoa bohareng e sebediswa ka hloko, kaha hlahala ea ha fokotsa khatello ea 'na tsa fapana le boemong ba eona le ka ho e kholo ho kena-kenana occipital kapa lesoba tentorial. Ha e re comatose hape a sebetsa ka puncture ea thapo lesapo la mokokotlo. Liphello tsa boitšoaro tsa lona tse fosahetseng e ka ba bolaeang, haholo-holo maemong a pathological tsa etiology sa tsejoeng.

mathata a mang ya Tsamaiso ena: meningismus, e bontša ka boeona e le matšoao a aparela, hlooho e opang le boemong bo sa thabiseng ka tlaase morao, ho hlatsa, ho nyekoa ke pelo. The lesoba e thehoa ka mor'a mellwane e, e ka lula e butsoe bakeng sa nako e telele, ho fellang ka hypotension ka 'na etsahala. Pheta lesapo la mokokotlo puncture fa phahama ho lesapo la mokokotlo thophothetsa holestatom le kanaleng. Empa complication kotsi ka ho fetisisa ke ho kena-kenana ba brainstem ena. Joalo puncture e ka 'na ea fella ka lefu. Ka palo ea mathata e le ea bobeli feela ho puncture tsa moko oa lesapo, liphello tsa tsona li ka ntshetsopele ya khaello ea mali, osteomyelitis. Ka lebaka leo, ho tsamaelana le melao e ka sehloohong nakong ya tshebetso tsena tekotshupo.