Falanqaynta CSF

Falanqaynta Cerebrospinal fluid (CSF) waa koox tijaabooyin shaybaar ah oo cabbira kiimikooyinka ku jira dheecaanka maskaxda. CSF waa dheecaan cad oo hareeraha ka ilaaliya maskaxda iyo lafdhabarta. Baaritaannadu waxay raadin karaan borotiinno, sonkor (glucose), iyo walxo kale.

Muunad CSF ayaa loo baahan yahay. Dalool lumbar, oo sidoo kale loo yaqaan 'tubbada laf-dhabarka', ayaa ah habka ugu caamsan ee lagu soo qaado shay-baarkan. Siyaabaha ugu caansan ee loo qaado saamiga dheecaanka waxaa ka mid ah:

• Daloolinta godka
• Ka saarida CSF tuubo horey ugu jirtay CSF, sida shunt, dheecaanka marinka wadnaha, ama bamka xanuunka
• Daloolida Hawada

Ka dib sambalka la qaado, waxaa loo diraa shaybaarka si loo qiimeeyo.

Dhakhtarkaagu wuxuu ku weydiin doonaa inaad jiifsato ugu yaraan hal saac ka dib daloolida lumbar. Waxaa laga yaabaa inaad isku aragto madax xanuun ka dib daloolka lumbar. Haddii ay dhacdo, cabitaanka cabitaanka kafeega leh sida kafeega, shaaha ama soodhaha ayaa laga yaabaa inay ku caawiso.

Bixiyahaaga daryeelka caafimaadka ayaa kuu sheegi doona sida loogu diyaar garoobo daloolida lumbar.

Falanqaynta CSF waxay kaa caawin kartaa ogaanshaha xaaladaha qaarkood iyo cudurada. Dhamaan waxyaabaha soo socdaa waxay noqon karaan, laakiin had iyo jeer maahan, in lagu cabiro muunad CSF:

• Antibodies iyo DNA ee fayrasyada caadiga ah
• Bakteeriyada (oo ay ku jiraan waxa keena waraabowga, iyadoo la adeegsanayo baaritaanka VDRL)
• Tirinta unugyada
• Koloriin
• Antigen-ka loo yaqaan 'Cryptococcal antigen'
• Gulukooska
• Glutamine
• Sunta jirka ku dar jirka
• Qeybinta Oligoclonal si loo raadiyo borotiinno gaar ah
• Myelin aasaasi ah
  
• Wadarta borotiinka
• Haddii ay jiraan unugyo kansar ah oo jira
• Cadaadis furitaan
  

Natiijooyinka caadiga ah waxaa ka mid ah:

• Antibodies iyo DNA ee fayrasyada guud: Midna
• Bakteeriyada: Ma jiro bakteeriyo ku soo baxda dhaqanka shaybaarka
• Unugyada kansarka: Ma jiro unugyo kansar ah oo jira
• Tirinta unugyada: in ka yar 5 unugyada dhiigga cad (dhammaan mononuclear) iyo 0 unugyada dhiigga cas
• Chloride: 110 illaa 125 mEq / L (110 illaa 125 mmol / L)
• Fungus: Midna
• Glucose: 50 ilaa 80 mg / dL ama 2.77 to 4.44 mmol / L (ama ka badan seddex meelood laba meelood heerka sonkorta dhiigga)
• Glutamine: 6 illaa 15 mg / dL (410.5 ilaa 1,026 micromol / L)
• Lactate dehydrogenase: in ka yar 40 U / L
• Qeybaha Oligoclonal: 0 ama 1 guuto oo aan ku jirin muunad dheecaan ah oo dheecaan ah
• Barootiin: 15 illaa 60 mg / dL (0.15 ilaa 0.6 g / L)
• Cadaadiska furitaanka: 90 ilaa 180? Mm oo biyo ah
• Borotiinka aasaasiga ah ee Myelin: In ka yar 4ng / mL

Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Kala hadal adeeg bixiyahaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Tusaalooyinka kor ku xusan waxay muujinayaan cabirka guud ee natiijooyinka imtixaanadan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabin karaan tijaabooyin kala duwan.

Natiijada falanqaynta CSF ee aan caadiga ahayn waxaa sababi kara sababo badan oo kala duwan, oo ay ku jiraan:

• Kansarka
• Cudurka Encephalitis (sida West Nile iyo Eastern Equine)
• Cudurka Cagaarshowga
• Caabuq
• Caabuq
• Reye syndrome
• Qoorgooyaha oo loo yaqaan bakteeriyada, fungus, qaaxada, ama fayras
• Cudurka 'sclerosis' (MS)
• Cudurka Alzheimer
• Cudurka 'Amyotrophic lateral sclerosis' (ALS)
• Pseudotumor Cerebrii
• Cadaadiska caadiga ah ee hydrocephalus

Falanqaynta dareeraha maskaxda

• Kiimikada CSF

Euerle BD. Daweynta lafdhabarta iyo baaritaanka dareeraha maskaxda. Gudaha: Roberts JR, Custalow CB, Thomsen TW, eds. Nidaamka Caafimaadka ee Roberts iyo Hedges ’ee Daawada Degdegga ah iyo Daryeelka Ba’an. 7aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 60.

Griggs RC, Jozefowicz RF, Aminoff MJ. U dhowaanshaha bukaanka qaba cudurka neerfaha. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 396.

Karcher DS, McPherson RA. Cerebrospinal, synovial, dheecaannada jirka ee daran, iyo tijaabooyinka kale. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 29.

Rosenberg GA. Bararka maskaxda iyo ciladaha wareegga dareeraha maskaxda. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 88.