Mune zvekurapa, chiremba kana kuti gumbo remumumvuri inoitwa kuitira kuti ritsanangure kufungidzirwa, kuongorora murwere wepelinha mvura kana kuisa mishonga mairi. Iyo nzira inofungidzirwa kuti inowanzosavhiringidza uye naizvozvo inowanzoitwa pasi peanesthesia yemo.
Kuchengetedza nzira yekugadzirwa kwepelinha
Kushandiswa kunoitwa mune imwe nzvimbo kana kuti panzvimbo dzechema, kakawanda mune zvekupedzisira. Murwere wemakumbo anofanirwa kuvharidzirwa uye kumanikidzwa kusvika mudumbu, uye kumashure kunowanikwa marefu. Kuti uwane nyore, unogona kubata mabvi ako nemaoko ako.
Kudya kwe-cerebrospinal fluid kunoitwa pakati pe3 ne4 lumbar vertebrae pakadzika kwe 4-7 cm, iyo yakareba kusvika pamamiriyoni 120. Sezvo nheyo iri kuiswa, inzvimbo yeanesthesia inotungamirirwa nemhinduro ye novocaine (1-2%).
Mushure mekuita, iwe unofanirwa kureva nhema pamimba yako uye kubata munzvimbo iyi kwemaawa maviri. Zvinorwadza zvinokonzerwa nekugadzirisa zvinotevera mushure mazuva mashanu kusvika pasere asina kurapa.
Zviratidzo zvekuvhara kwepamuviri
Chiitiko chacho chakagadzirirwa kuongorora zvirwere zvepakati yenheyo system:
- encephalitis ;
- neurosyphilis;
- meningitis;
- Neuroinfections yezvakabva zvakasiyana;
- fungal uye zvirwere zvehutachiona;
- hemorrhages (subarachnoidal) akapoteredza membrane yeuropi;
- Guillain-Barre syndrome;
- zvinyorwa zvinoputika zvepakati yenheyo system;
- multiple sclerosis ;
- zvirwere zvinotyisa zvemutsipa wepelinha uye uropi.
Uyewo maruva epamusoro anoshandiswa pamishonga yemishonga:
- kuiswa kwemishonga inorwisa mabhakitiriya uye chemotherapeutic mishonga mu subshell;
- kuderera kwekusagadzikana kwechisimba nekufambira mberi normotensive hydrocephalus uye kusagadzikana kwoutachiona;
- yakawandisa yakawanda yecerebrospinal fluid;
- chido chekuita maginini anesthesia;
- kuongororwa kwehuwandu uye huwandu hwehuwandu hwemvura.
Matambudziko nemigumisiro yekupona kwepelinha
Apo nyanzvi asina ruzivo anogadzira nzira yacho, epithelial skin cells anogona kupinda mumutsara wesipinha. Nemhaka yeizvi, post-puncture choleastom inokura.
Uyewo, vamwe vanhu mushure mekugadzirisa musoro, chizivo uye kusuruvara, pamwe chete nekurutsira. Dzimwe nguva kugadziriswa kweganda iri munzvimbo yekumucheto kumashure nemahudyu kunowedzerwa. Zviratidzo zvemakiriniki zvakadaro hazvirevi kuderedza mahara, izvo zvinopfurikidza ivo pachavo.