CSF e Khothalletsa Boko ba Hao bo e Sireletsa ho Tlokotsi
Mokelikeli o se nang mokokotlo o tsejoang hape e le CSF, ke metsi a hlakileng, a se nang mebala a phallelang boko le mokokotlo oa mokokotlo, a pota-potileng le ho o thibela ho tsoa kotsi. CSF e na le ts'ebetso e ts'oanang le metsi 'me e fana ka limatlafatsi ho tsamaiso ea hau ea methapo ea mantlha (CNS). Bothata ba mokokotlo oa mokokotlo bo hlahisoa ke plexus ea choroid, ka li-ventricles, kapa libakeng tse se nang letho, bokong ba hau.
CSF e nkeloa sebaka ka ho feletseng lihora tse seng kae tse seng kae ebe e nka lintho tse senyang.
Ho hlahlojoa ha Cerebrospinal Fluid - Lumbar Pcture Procedure
Ho hlahlojoa ha cerebrospinal fluid ho thusa ho hlahloba maloetse, ho kopanyelletsa le maloetse a tšoaetsanoang a tsamaiso ea methapo e meholo, lisosa tsa boko bo tšoaetsanoang, ho kula ha meriana le kankere. Motsoako o fumanoa ka ho koahela lumbar , eo hape e tsejoang e le mohala oa mokokotlo.
Nakong ea lumbar ho koahela nale e telele, e tšesaane, e sekoti e kenngoa lipakeng tsa mokokotlo oa mokokotlo ho fumana sesebelisoa sa metsi. U ka 'na ua utloa khatello e itseng' me ua hlonama haholo ha nale e kena 'meleng oa hao. Ka mor'a hore mokelikeli o tlosoe, o tla kōptjoa ho robala fatše ka hora kapa ho feta kamora tlhahlobo. Sena ke ho thibela hlooho. Haeba u hlahisa hlooho , e ka 'na ea nka matsatsi a seng makae kamora tlhahlobo. Haeba hlooho ea hao e nka nako e fetang beke u lokela ho iteanya le ngaka ea hau.
Haeba o hlahisa feberu e matla, hlooho e bohloko, ho utloahala ha leseli, ho hlatsa, kapa ho ba le ho tsieleha kapa maoto maotong a hao, o lokela ho iteanya le ngaka ea hau.
CSF e hlahlojoa ka khatello ea eona, ponahalo, liprotheine, tsoekere, palo ea lisele le boitsebiso ba lisele tse teng hona joale. E hloekile bakeng sa tlhahlobo ea litebelisoa tse nyenyane mme e hlahisitsoe ho batla libaktheria le likokoana-hloko tse ling tse tšoaetsanoang.
Liteko tse ling tsa khemistri li kenyelletsa ho batla matšoao a li-tumor, ho batla amyloid beta 42 le liprotheine tsa tau ka lefu la Alzheimer , myelin protheine ea motheo ho multiple sclerosis , le mefuta e meng ea litlhahlobo.
Maloetse a Hlokoang ke Nako ea Lumbar
Maloetse a tšoaetsanoang a kang likokoana-hloko, libaktheria, li-fungus le likokoana-hloko li ka tšoaetsa tsamaiso ea methapo ea bohareng. Matšoao a tloaelehileng ka ho fetisisa a CNS a kenyelletsa:
- Meningitis
- Encephalitis
- Lefuba
- Virusi ea Nile Bophirimela
- Matšoao a fungal
Maloetse a haemorrhagic a ka fumanoang ka ho hlahloba ha cerebrospinal fluid a kenyeletsa ho tsoa mali ka lebaka la ho otloa, khatello e phahameng ea mali le anurysm.
Mathata a immunological a ka sitisa tsamaiso ea methapo ea methapo ka ho ruruha, ho hlahisa li-antibodies, le ho timetsoa ha likhahla tsa myelin ho pota-potiloe ke methapo. Mathata a tloaelehileng a ho itšireletsa mafung a kenyelletsa:
- Guillain-Barré
- Sarcoidosis
- Neurosyphilis
- Multiple sclerosis
Lihlahala tse ka sehloohong tsa boko kapa mokokotlo li ka fumanoa ka ho hlahlojoa ha cerebrospinal fluid. E ka boela ea lemoha kankere e fokolisitsoeng likarolong tse ling tsa tsamaiso ea methapo ea bohareng. Ho koaheloa ke lumbar ke habohlokoa haholo ho batho ba ka bang le boko ba lymphoma hobane lisele tsa lymphoma li atisa ho jala mongobo oa cerebrospinal.
Tlhahlobo ea CSF e ka sebelisoa ho fumana mofuta le karo ea kankere.
Matšoao a Tloaelehileng a Litlhaku Tsa Bokooa Tse Amanang le CSF
Hangata matšoao a boko kapa tumor ea mokokotlo e fapana. Kankere e ka 'na ea baka khatello ea lehata kapa ea thibela ho phalla ha metsi a mokokotlo. Sena se ka baka hlooho, ho ferekanngoa, mathata ka teka-tekano, kapa ho tsamaea. E ka 'na ea baka mathata le thibelo ea senya. Tsena ke matšoao a ka 'nang a etsa hore ho behoe lumbar le tlhahlobo ea CSF e lokelang ho etsoa.
Likokoana-hloko ho CSF bakeng sa Kalafo ea Kankere kapa Kankere ea Mokokotlo
Ho koaheloa ha lumbar ho ka sebelisoa ho fana ka meriana ea chemotherapy ho tšoara kankere kapa kankere ea mokokotlo.
Mokhoa ona o tsejoa e le chemotherapy ea intrathecal . E sebelisoa ho phekola mofuta o itseng oa kankere ea mali kapa lymphoma. Tsela eo hangata e nkang metsotso e 20, e kenyeletsa letlalo la letlalo holim'a mokokotlo oa mokokotlo. Nete e tla kenngoa hantle, 'me chemotherapy e tla kenngoa kahare ho nale ho CSF. Melemo ea ts'ebetso ena ke hore ho na le litlhahiso tse seng kae tsa post-chemotherapy. Litla-morao tse ling li ka kenyelletsa hlooho.
Mohloli:
CSF Analysis, LabTestsOnline, Mokhatlo oa American bakeng sa Kliniki ea K'hemik'hale, la 30 October, 2015.