Kutheni Umtya Wobuncwane Ongafunwa Ngamanzi Ungadinga Kwiintsana okanye kwiintshaba
Ukugqitywa kwe-lumbar, eyaziwa ngokuba yi-LP okanye umpompo wempompo, yinkqubo oogqirha basebenzisa ukuqokelela umthambo wamanzi. Ngethuba le-LP, inaliti ifakwa phakathi kwamathambo omqolo ongaphantsi kunye nomqolo womgcini. Ixabiso elincinci lomqolo wamanzi uyasuswa kwaye inaliti ihoxiswe.
Ingcamango yempompo yomgulane ingabangcazela abantu abaninzi, ukuvakalelwa kwayo kungakhula kuphela xa kubandakanyeka umntwana.
Kodwa, inyaniso, xa iqhutywe ngumqeqeshi onamava kwizonyango, ngokuqhelekileyo akanakukhathazeka kunokuba kubuhlungu.
Izibonakaliso zeTonga lokuNgciniza kwiintsana
Iiplctures ezininzi ze-lumbar ezinganeni zisenziwa ukuba zihlolwe i-meningitis, usulelo lweembrane ezihamba kumgca wengqondo kunye nomqolo wesigxina (obizwa ngokuba yi-meninges). I-Meningitis yintsholongwane enzulu kakhulu, kwaye kuphela umpompo kuphela onokuqinisekisa ukuba ugula.
Abazali abaninzi bayamangalisa xa bekwazisa ukuba umntwana wabo ufuna umpompo, mhlawumbi ukuba umntwana akabonakali bonke abagulayo. Kodwa uvavanyo lubhekwa njengento ebalulekileyo kubangelwa izizathu ezithile ze-meningitis, iqela le-B lifaka iibhaktheriya , azibonakali rhoqo ngeempawu zesiqhelo zesifo.
Kwaye, oku kubalulekile ukususela ekubeni ukungabikho kwezibonakaliso akusenzi loo mqathango ungabi ncinane. Ngokwenza i-LP, ugqirha unokukhawuleza aqinisekise ukuxilongwa kwaye anike ikhondo elifanelekileyo lokonyango.
Ukongeza kwi-meningitis, iipompo zomgudu zingasetyenziselwa njengendlela yokwelapha kunokuxilongwa. Oku kubandakanya ukuphathwa kwimeko ebizwa ngokuthi i-hydrocephalus apho i-fluid iqokelela kwiingqondo, ngokuqhelekileyo kwiintsana ezinesifo esiqhekezayo esiyi-intraventricular hemorrhage. Kwiimeko ezinjalo, oogqirha bangasebenzisa umtshini wokugcoba umthambo ukuze uchithe igazi elingaphezulu kunye nokukhupha ukukhusela okanye ukulibaziseka imfuno yokumisa.
Iinzuzo kunye neengxaki
Ukutyunjwa kwe-lumbar yinkqubo engenayo idinga ukubonisana ngokuqinileyo ukuqinisekisa ukuba ifanelekileyo kwaye ikhuselekile, ingakumbi iintsana ezingasengaphambili. Ukugqiba ukuba ngaba okanye akwenzi nto enye akukhethi kube lula ukuzikhethela.
Iintlawulo zogqabiso lumbar ziquka:
- Iimpompo zomlingo zingakwazi ukuxilonga ngokukhawuleza izifo ezinobungozi kunye nobomi.
- I-Meningitis inokuthi ifunyanwe kuphela ngokusebenzisa umtshini wokugcoba.
- Iziphumo zompompo zompompo ziyakuthintela umntwana ukuba angabonakali kwimishinga engalunganga okanye engafanelekanga.
Ubungozi obunokwenzeka bubandakanya:
- Iipompo zengxangxongo zingakhathazeki kwaye zithinteke ngabazali.
- Usulelo lwe-Infection ngumngcipheko woko naluphi na uhlobo olungenayo.
- Iintsholongwane kunye nokuphuma kwamanye amaxesha kunokwenzeka.
- Iintsana ezisemgangathweni okanye ezigulayo zinokuthi zenze isantya senhliziyo esinciphile okanye i-oxygen saturation ngexesha le nkqubo kwaye idinga i-oxygen eyongezelelweyo.
Indlela Umgca we-Spinal Uyenziwa ngayo
Ngokuxhomekeke kwimeko, umzali angavumelekanga okanye angavunyelwa kwigumbi ngexesha le-LP. Inkqubo ithatha malunga nemizuzu engama-30 kwaye ibandakanya ukungeniswa kwenaliti encinci phakathi kwamathambo omqolo ongaphantsi.
Iintsana zihlala zixhomekeke emacaleni abo ngamadolo abo aphethwe phantsi kwe-chin. Iintsana zinokuhlala zithe tye kwindawo echanekileyo.
Xa umntwana sele echanekileyo, indawo engaphantsi yomhlaba iya kucoca nge-antiseptic. Ugqirha owenza inkqubo iya kubamba iiglavu ezingenakunqanda ukukhusela intsholongwane.
I-puncture encinci iya kwenziwa kwesikhumba se-back back, kwaye i-anesthetic yamanzi iya kutsalwa ukuze inciphise intlungu. I-cream engummangalisa ingasetyenziswa kwakhona ngaphambi kokuba umjovo ungcono ukunciphisa ubunzima.
> Umthombo:
> Srinivasan, L .; Harris, M; kunye no-Shah, S. "I-Lumbar iguqulwa kwi-Neonate: Imingeni kwiSigqibo sokwenza nokuThetha." Iisemina kwiPerinatology . 2012; 36 (5): 445-53. INGXENYE: 10.1053 / j.mpepha.2012.06.007.