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Onínọmbà Cerebrospinal Fluid (CSF) - Òògùn
Onínọmbà Cerebrospinal Fluid (CSF) - Òògùn

Akoonu

Kini onínọmbà iṣan ara (CSF)?

Omi ara Cerebrospinal (CSF) jẹ omi ti o mọ, ti ko ni awọ ti o wa ninu ọpọlọ rẹ ati ọpa-ẹhin. Opolo ati ọpa-ẹhin ṣe eto aifọkanbalẹ aringbungbun rẹ. Eto iṣakoso aifọkanbalẹ rẹ n ṣakoso ati ipoidojuko ohun gbogbo ti o ṣe pẹlu, iṣipopada iṣan, iṣẹ eto ara, ati paapaa ironu ati ero idiju. CSF ṣe iranlọwọ lati daabobo eto yii nipa sise bi aga timutimu lodi si ikolu lojiji tabi ọgbẹ si ọpọlọ tabi ọpa-ẹhin. CSF tun yọ awọn ọja egbin kuro lati ọpọlọ ati ṣe iranlọwọ fun eto aifọkanbalẹ aringbungbun rẹ ṣiṣẹ daradara.

Onínọmbà CSF jẹ ẹgbẹ awọn idanwo kan ti o wo iṣan cerebrospinal rẹ lati ṣe iranlọwọ iwadii awọn aisan ati awọn ipo ti o kan ọpọlọ ati ọpa-ẹhin.

Awọn orukọ miiran: Ayẹwo Itan-ara Ọgbẹ, Itupalẹ CSF

Kini o ti lo fun?

Ayẹwo CSF ​​le pẹlu awọn idanwo lati ṣe iwadii:

  • Awọn arun aarun ti ọpọlọ ati ọpa-ẹhin, pẹlu meningitis ati encephalitis. Awọn idanwo CSF ​​fun awọn akoran wo awọn sẹẹli ẹjẹ funfun, kokoro arun, ati awọn nkan miiran ninu iṣan cerebrospinal
  • Awọn aiṣedede autoimmune, gẹgẹbi Arun Guillain-Barré ati ọpọlọ-ọpọlọ ọpọ (MS). Awọn idanwo CSF ​​fun awọn rudurudu wọnyi n wa awọn ipele giga ti awọn ọlọjẹ kan ninu iṣan cerebrospinal. Awọn idanwo wọnyi ni a pe ni amuaradagba albumin ati igG / albumin.
  • Ẹjẹ ninu ọpọlọ
  • Awọn èèmọ ọpọlọ

Kini idi ti Mo nilo itupalẹ CSF kan?

O le nilo onínọmbà CSF ti o ba ni awọn aami aiṣan ti ikolu ti ọpọlọ tabi ọpa-ẹhin, tabi ti aiṣedede autoimmune, gẹgẹbi ọpọlọ-ọpọlọ pupọ (MS).


Awọn aami aisan ti ọpọlọ tabi akoran eegun eegun ni:

  • Ibà
  • Orififo ti o nira
  • Awọn ijagba
  • Stiff ọrun
  • Ríru ati eebi
  • Ifamọ si imọlẹ
  • Iran meji
  • Awọn ayipada ninu ihuwasi
  • Iruju

Awọn aami aisan ti MS pẹlu:

  • Ti ko dara tabi iran meji
  • Jije ni awọn apa, ese, tabi oju
  • Awọn iṣan ara iṣan
  • Awọn isan alailagbara
  • Dizziness
  • Awọn iṣoro iṣakoso àpòòtọ

Awọn aami aisan ti aisan Guillain-Barré pẹlu ailera ati gbigbọn ni awọn ẹsẹ, apá, ati ara oke.

O tun le nilo onínọmbà CSF ti o ba ti ni ọgbẹ si ọpọlọ rẹ tabi ọpa-ẹhin, tabi ti ṣe ayẹwo pẹlu akàn ti o tan kaakiri si ọpọlọ tabi ọpa-ẹhin.

Kini o ṣẹlẹ lakoko igbekale CSF kan?

A o gba omi ara cerebrospinal rẹ nipasẹ ilana ti a pe ni tẹẹrẹ ẹhin, ti a tun mọ ni lilu lumbar. Ọpa eefun ni a maa n ṣe ni ile-iwosan kan. Lakoko ilana:

  • Iwọ yoo dubulẹ ni ẹgbẹ rẹ tabi joko lori tabili idanwo.
  • Olupese ilera kan yoo sọ ẹhin rẹ di mimọ ati ki o lo anesitetiki sinu awọ rẹ, nitorinaa iwọ kii yoo ni irora lakoko ilana naa. Olupese rẹ le fi ipara ipara kan sẹhin sẹhin ṣaaju abẹrẹ yii.
  • Lọgan ti agbegbe ti o wa ni ẹhin rẹ ti parẹ patapata, olupese rẹ yoo fi sii abẹrẹ, abẹrẹ ṣofo laarin awọn eegun meji ni ẹhin kekere rẹ. Vertebrae ni awọn eegun kekere ti o ṣe ẹhin ẹhin rẹ.
  • Olupese rẹ yoo yọ iye kekere ti omi ara ọpọlọ fun idanwo. Eyi yoo gba to iṣẹju marun.
  • Iwọ yoo nilo lati duro gan-an lakoko ti a yọ omi kuro.
  • Olupese rẹ le beere lọwọ rẹ lati dubulẹ lori ẹhin rẹ fun wakati kan tabi meji lẹhin ilana naa. Eyi le ṣe idiwọ fun ọ lati ni orififo lẹhinna.

Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?

O ko nilo awọn ipese pataki eyikeyi fun itupalẹ CSF, ṣugbọn o le beere lọwọ rẹ lati sọ apo-inu ati inu rẹ di ofo ṣaaju idanwo naa.


Ṣe eyikeyi awọn eewu si idanwo naa?

Ewu pupọ wa si nini titẹ ọpa ẹhin. O le ni irọra kekere kan tabi titẹ nigbati o ba fi abẹrẹ sii. Lẹhin idanwo naa, o le ni orififo, ti a pe ni orififo post-lumbar. O fẹrẹ to ọkan ninu eniyan 10 yoo gba orififo post-lumbar. Eyi le ṣiṣe ni fun awọn wakati pupọ tabi to ọsẹ kan tabi diẹ sii.Ti o ba ni orififo ti o gun ju awọn wakati lọpọlọpọ lọ, ba olupese ilera rẹ sọrọ. Oun tabi obinrin le ni anfani lati pese itọju lati ṣe iyọda irora naa.

O le ni irọrun diẹ ninu irora tabi tutu ninu ẹhin rẹ ni aaye ti a ti fi abẹrẹ sii. O tun le ni diẹ ninu ẹjẹ ni aaye naa.

Kini awọn abajade tumọ si?

Awọn abajade onínọmbà CSF rẹ le fihan pe o ni ikolu, aiṣedede autoimmune, gẹgẹbi ọpọlọ-ọpọlọ pupọ, tabi aisan miiran ti ọpọlọ tabi ọpa-ẹhin. Olupese rẹ yoo ṣeese awọn idanwo diẹ sii lati jẹrisi idanimọ rẹ.

Kọ ẹkọ diẹ sii nipa awọn idanwo yàrá, awọn sakani itọkasi, ati oye awọn abajade.


Njẹ ohunkohun miiran ti Mo nilo lati mọ nipa itupalẹ CSF kan?

Diẹ ninu awọn akoran, gẹgẹbi meningitis ti o fa nipasẹ awọn kokoro arun, jẹ awọn pajawiri ti o ni idẹruba aye. Ti olupese rẹ ba fura pe o ni meningitis kokoro tabi ikolu miiran ti o lewu, oun tabi o le fun ọ ni oogun ṣaaju ki o to jẹrisi idanimọ rẹ.

Awọn itọkasi

  1. Ilera Allina [Intanẹẹti]. Ilera Allina; c2017. Iwọn wiwọn IgG ti iṣan Cerebrospinal, pipọ [toka 2019 Oṣu Kẹsan 20]; [nipa iboju 3]. Wa lati: https://account.allinahealth.org/library/content/49/150438
  2. Ilera Allina [Intanẹẹti]. Ilera Allina; c2017. CSF wiwọn albumin / pilasima albumin ratio [toka 2019 Oṣu Kẹsan 20]; [nipa iboju 3]. Wa lati: https://account.allinahealth.org/library/content/49/150212
  3. Hinkle J, Cheever K. Brunner & Suddarth's Iwe amudani ti yàrá ati Awọn Idanwo Ayẹwo. 2nd Ed, Kindu. Philadelphia: Ilera Ilera Wolters, Lippincott Williams & Wilkins; c2014. Ayẹwo Itan-ara Cerebrospinal; p.144.
  4. Johns Hopkins Oogun [Intanẹẹti]. Johns Hopkins Oogun; Ile-ikawe Ilera: Lumbar Puncture (LP) [toka si 2017 Oṣu Kẹwa 22]; [nipa iboju 3]. Wa lati: http://www.hopkinsmedicine.org/healthlibrary/test_procedures/neurological/lumbar_puncture_lp_92,p07666
  5. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Ẹgbẹ Amẹrika fun Kemistri Iwosan; c2001–2017. Onínọmbà CSF: Awọn Ibeere Ti o Wọpọ [imudojuiwọn 2015 Oṣu Kẹwa 30; toka si 2017 Oṣu Kẹwa 22]; [nipa iboju 5]. Wa lati: https://labtestsonline.org/understanding/analytes/csf/tab/faq
  6. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Ẹgbẹ Amẹrika fun Kemistri Iwosan; c2001–2017. Onínọmbà CSF: Idanwo naa [imudojuiwọn 2015 Oṣu Kẹwa 30; toka si 2017 Oṣu Kẹwa 22]; [nipa iboju 4]. Wa lati: https://labtestsonline.org/understanding/analytes/csf/tab/test
  7. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Ẹgbẹ Amẹrika fun Kemistri Iwosan; c2001–2017. Onínọmbà CSF: Ayẹwo Idanwo [imudojuiwọn 2015 Oṣu Kẹwa 30; toka si 2017 Oṣu Kẹwa 22]; [nipa iboju 3]. Wa lati: https://labtestsonline.org/understanding/analytes/csf/tab/sample
  8. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Ẹgbẹ Amẹrika fun Kemistri Iwosan; c2001–2017. Ọpọ Sclerosis: Awọn idanwo [imudojuiwọn 2016 Apr 22; toka si 2017 Oṣu Kẹwa 22]; [nipa iboju 4]. Wa lati: https://labtestsonline.org/understanding/conditions/multiplesclerosis/start/2
  9. Ile-iwosan Mayo [Intanẹẹti]. Foundation Mayo fun Ẹkọ Iṣoogun ati Iwadi; c1998–2017. Lumbar puncture (tẹ ni kia kia ẹhin): Awọn eewu; 2014 Dec 6 [toka 2017 Oṣu Kẹwa 22]; [nipa iboju 4]. Wa lati: https://www.mayoclinic.org/tests-procedures/lumbar-puncture/basics/risks/prc-20012679
  10. Ile-iwosan Mayo [Intanẹẹti]. Foundation Mayo fun Ẹkọ Iṣoogun ati Iwadi; c1998–2017. Lumbar puncture (tẹ ni kia kia): Kilode ti o fi ṣe; 2014 Dec 6 [toka 2017 Oṣu Kẹwa 22]; [nipa iboju 3]. Wa lati: https://www.mayoclinic.org/tests-procedures/lumbar-puncture/basics/why-its-done/prc-20012679
  11. Ile-iwosan Mayo: Awọn ile-iwosan Iṣoogun Mayo [Intanẹẹti]. Foundation Mayo fun Ẹkọ Iṣoogun ati Iwadi; c1995–2017. Idanwo Idanwo: SFIN: Cerebrospinal Fluid (CSF) Atọka IgG [ti a tọka 2017 Oṣu Kẹwa 22]; [nipa iboju 2]. Wa lati: https://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/8009
  12. Ẹya Olumulo Afowoyi Merck [Intanẹẹti]. Kenilworth (NJ): Merck & Co. Inc.; c2017. Okun-ọpa-ẹhin [ti a tọka 2017 Oṣu Kẹwa 22]; [nipa iboju 2]. Wa lati: http://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders/biology-of-the-nervous-system/spinal-cord
  13. Ẹya Olumulo Afowoyi Merck [Intanẹẹti]. Kenilworth (NJ): Merck & Co. Inc.; c2017. Awọn idanwo fun Ọpọlọ, Okun-ọpa-ẹhin, ati Awọn rudurudu Nerve [ti a tọka 2017 Oṣu Kẹwa 22]; [nipa iboju 2]. Wa lati: http://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders/diagnosis-of-brain,-spinal-cord,-and-nerve-disorders/tests-for -ọpọlọ, -ẹgbẹ-okun, -ati awọn iṣọn-ara-ara
  14. National Institute of Neurological Disorders and Stroke [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Iwe otitọ Fact Guillain-Barré Syndrome [ti a tọka 2017 Oṣu Kẹwa 22]; [nipa iboju 3]. Wa lati: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Guillain-Barre-Syndrome-Fact-Sheet
  15. National Institute of Neurological Disorders and Stroke [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Iwe Iroyin Meningitis ati Encephalitis Fact [ti a tọka 2017 Oṣu Kẹwa 22]; [nipa iboju 3]. Wa lati: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Meningitis-and-Encephalitis-Fact-Sheet
  16. National Institute of Neurological Disorders and Stroke [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Ọpọ Sclerosis: Ireti Nipasẹ Iwadi [ti a tọka 2017 Oṣu Kẹwa 22]; [nipa iboju 3]. Wa lati: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Multiple-Sclerosis-Hope-Through-Research#3215_3
  17. National Multiple Sclerosis Society [Intanẹẹti]. National Multiple Sclerosis Society; c1995–2015. Cerebrospinal Fluid (CSF) [toka si 2017 Oṣu Kẹwa 22]; [nipa iboju 3]. Wa lati: https://www.nationalmssociety.org/Symptoms-Diagnosis/Diagnosing-Tools/Cerebrospinal-Fluid-(CSF)
  18. Rammohan KW. Omi ara Cerebrospinal ni ọpọ sclerosis. Ann Indian Acad Neurol [Intanẹẹti]. 2009 Oṣu Kẹwa-Oṣu kejila [ti a tọka 2017 Oṣu Kẹwa 22]; 12 (4): 246-253. Wa lati: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824952
  19. Seehusen DA, Reeves MM, Fomin DA. Ayẹwo Itan-ara Cerebrospinal. Onisegun Am Fam [Intanẹẹti] 2003 Oṣu Kẹsan 15 [ti a tọka 2017 Oṣu Kẹwa 22]; 68 (6): 1103-1109. Wa lati: http://www.aafp.org/afp/2003/0915/p1103.html
  20. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2017. Encyclopedia Health: Tẹ ni kia kia ẹhin (Lumbar Puncture) fun Awọn ọmọde [toka si 2019 Oṣu Kẹsan 20]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=90&contentid=P02625

Alaye lori aaye yii ko yẹ ki o lo bi aropo fun itọju iṣoogun ọjọgbọn tabi imọran. Kan si olupese ilera kan ti o ba ni awọn ibeere nipa ilera rẹ.

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